HomeMy WebLinkAbout1326 W 5th St - Engineering
fl"ORl'-4~
A...J..O~~
i)rt::ii":'
'IL~
---
~~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 03--- 341
,_.,
Application Number
Property Address
AS.SESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Owner
COLWELL LARRY L/MYRA J
656 LEWIS RD
PORT ANGELES WA 983628440
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
03-00000344 Date 4/01/03
1326 W 5TH ST
0630000120300000
PUBLIC WORKS UTILITES
o
Contractor
OWNER
CONCRETE CURB & GUTTER
145 00
4/01/03
9/28/03
Plan Check Fee
Valuation
00
o
~
~
~
~
\)\
- \~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. ')
Qty Unit Charge Per
Fee summary Charged Paid Credited Due
BASE FEE
Extension
145 00
Permit Fee Total
Plan Check Total
Grand Total
145 00
00
145 00
Signature of Contractor or Authorized Agent
TWLANNINGIFORMSI 1102.15 14/2002j
145 00
00
145 00
00
00
00
00
00
00
Date
d - 1- i..3
Date
CITY OF POR.T ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST'
Date 4;/~k, Time 9 A~ Received by .)lJ1-vl tL't (phone, person)
Location of Work to be inspected Ii 2 LA! fA-.(
Name of person requesting inspection 1 Ad-4--r
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing
L? T!:!
Phone No
Permit No 0:3 -3 <1-1-
Final Sewer Excav ~ l,.-lke ~C( ~-
INSPECTION NOTES
Inspected Date ~/ ~/O:4
Remarks (\ t:
Time 1) ( 0 .Ac v\ By h, c-
d1-<~il'JA~~ 9tC/~
1 ~
RESTORATION REQUIRED ... YES &.,~// NO
~pHA-0-r 12:-ESTDRATJOYj
C!2 ~
SURFACE RESTORATION ~
SURFACE TYPE 0 Unimproved 0 Gravel .Jd"Asphalt 0 PCC
o Other
o Repaired by City Work Order #
o Repaired by Permittee 0 COMPLETE
o No Damage Found 0 INCOMPLETE
/Y; Str~~~!07fP
(Continue on reverse side if necessary) STREET SUPERINTENDENT
.~t~ t-~~\~
w \\\A ,^Q\ M\ <'
~- \1.-()~ \~
(DATE)
BUIl.DING I>ERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTE/) AN/) ACCEPTED. POST PERMIT IN A CONSI)ICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION ORAINAGE
ELECTRICAL (LIGHT OEPT>- SEPARATE PERMIT II
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
WALL / FLOOR I CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD I DUCTS
I'W UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT II's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM --
PLANNING DEPT ..
SEP ARA TE PERMIT II's SEPA.
P ARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
- - - FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
- -
RESIDENTIAL DATE YES NO COMMIi;RCIAL I
DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
- - LIGHT DEPT
CONSTRUCTION R. W / PW/ CONSTRUCTION - R. W
ENGINEERJNG 417-4807
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT
PLANNING DEPT 417-4750
PLANNING DEPT
BUILDING 417-4815
BUILDING
T-\PLANNING\FORMS\l1 02.15 [4/2002]