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Home My WebLink About516 S Tumwater Truck Rt - Engineering ~ ,"ORT ~ ~-I"O~~~ ar.~ ~~ ~ 'ttii:,,~ CITY OF PORT ANGELES {) -3 ..--> / 13 DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION j 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner MABCO PETROLEUM INC PO BOX 43 ABERDEEN WA 985200040 -----;~~~~---------------;~~~~-~;;;~-;;~-~~~;;-~;;;----------------------- Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per ~ . _____;~~;~O------,.~-~~~O;;.;;;-~~~~~M-~~-~/':----------------\c---~~~ Additional desc Permit Fee Issue Date Expiration Date Qty unit Charge Per Exte i -----;~~;~---------------~-~;;;~~;~~-~;;-~----------------~-~ Additional desc Permit Fee Issue Date Expiration Date 640 00 2/28/03 8/27/03 45 00 2/28/03 8/27/03 1025 00 2/28/03 8/27/03 Qty Unit Charge Per Fee summary Permit Fee Total Plan Check Total Grand Total BASE FEE Charged 1710 00 00 1710 00 2/28/03 03-00000193 Date 516 S TUMWATER TRUCK RTE 0630000096250000 PUBLIC WORKS UTI LITES o Contractor OWNER Plan Check Fee Valuation 00 o Plan Check Fee Valuation 00 o ~ ~ ~ ~ i ~ Plan Check Fee Valuation 00 o Paid Credited c""~ 1025 00 1710 00 00 1710 00 00 00 00 00 00 00 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 orwork 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 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'\PLANNING\FORMS\1102.15 [4/2002] III qf /CZ3 PUBILlC WORKS & R/W PERMIT U Attached Notes OWNER/APPLICANT JIM MASON P 0 BOX43 ABERDEEN, WA 98520 000/605-2980 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued I I Permit No Work Order' 1356 o PROPERTY LOCATION 516 TUMWATER TRUCK RTE Lot: 063000008335*108337 Subdivision TPA 83/96 Parcel No 063000009625* Block. D Long Legal Value Work. $000 Start Date I I Finish Date 206/000-0000 I I Amount: $000 ~ Install D Repair ~ Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec ~ Misc dwy, s/w, c&g PROJECT NOTES curb and gutter with 6' sidewalk to be installed city to set hub location and grade FEES ASSESSMENT 1 ) RIW Excav' $45 00 15 ) Other San Sewer' $000 2 ) Sidewalk. $000 16 ) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 20 ) Catch Basin per ea $000 7 ) Other RIW $000 21 ) Sewer System Dev' $000 8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000 9 ) Res Water Servo 5/8" $640 00 23 ) RIW Use Perm $000 10) Comm Water Servo $000 24) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12 )Water System Dev' $1,02500 26 ) Misc $000 13 ) San Sewer SFR $000 TOTAL FEE. $1,71000 14) San Sewer MFR $000 add unit 0 Amount Paid $000 Receipt No Inspection Fee $000 Balance Due $1,71000 rr;uQ O/}t.M;~~ 3&0-- 28:0 -- 44 73 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . Received by !: / t -IJ jf,-t"6~J-{)~ -r; ./.A.~' I--L .x: . ( ~ --f1{ -&-::(2, Phone No Permit No REQUEST Date j -- Y - 0 J Time Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) (phone, person) fru~k R fr 0.;;- /13 /3 <;((fJ lJ)~ HI/'" Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Time r:)v(rfc~/( S-PV"v; (~ (J /'..) ~ ' \ C-. (PObf c./?23>?cP75 I /' RESTORATION REQUIRED YES NO I/' j ~ ~ INSPECTION NOTES Inspected Remarks Date Nt ~ /xf ~. ~~ ",~I ,,\J~ - \ l ~0...S SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel D Repaired by City [] Repaired by Permittee D No Damage Found By , .rU--e lU I '(C ~/ '6 U-LtH 1c=- J4/1 .. / \..- v/F1 C{ ~ V\ ' -- f\ ~,-\b-l ~ \~ o Asphalt 0 PCC / <L70D Other Work 9J:der # I bOb [t.e6MPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTlONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT ARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. P ARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYJUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T ,PLANNING\FORMS\1102.15 [4/2002]