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Home My WebLink About2917 1/2 S Peabody St - Engineering <ft'Ofn~ @ h.4ri ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3 --Lf ~3 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation 03-00000463 Date 5/12/03 2917 & 1/2 S PEABODY ST 0630155125700000 PUBLIC WORKS UTI LITES o Owner Contractor RH JOHNSON JR/S M JOHNSON JT PO BOX 8145 PORT ANGELES WA 98362 OWNER ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640 00 5/12/03 11/08/03 Plan Check Fee Valuation 00 o ~ --- ~ ~ ~ 'v) ~ J Qty Unit Charge Per 1 00 640 0000 EA PW W/M SFR 5/8" Extension 640 00 Fee summary Charged Paid ----------------- ---------- ---------- Permit Fee Total 640 00 640 00 Plan Check Total 00 00 Grand Total 640 00 640 00 Credited Due 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 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 I regulating constrlJ!;tion or the performance of construction. ~ p/ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) ------------ 0 ate T'\PLANNING\FORMS\] 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . ...... REQUEST Date 5"..,.A D - (\! Time Received by (phone, person) location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) 2(.1/1 Y2 S' //~{{ 106cl y '~rD ) \' \ (C),X" / l1-flc ":is-J) Phone No Permit No tJHIIl3 LU(\j--e:V Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date Remarks Time By ~ ?;!'-I{ fiJ-elA.J 1"7- 7.--? IJ-.>~ }./ SP.6.), (~ Oi1 tJ. (, : i't f+ :j:kc )[J In.) I ,', - ~ /' / I "- L---''L~//' L I- J.-~-~; _' t RESTORATION REQUIRED J ( fJ.1J1 ) )Jf " [) I f tu ( r-eC;}-- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City CJ Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # II ~ ~ '9 ~MPlETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) [zooZ/t,) ~ (OW I I\SW)/Q.,I\9NINNVid\.J.. 9NIOilfUI ~18v-L1v 9NIOilfl8 J..d3:0 9NINNVid O~Lv-Llv J..d3:0 9NINNVid J..d3:0 ffilB (~9v-L Iv ::ruB 9Nn:13:3:NI9N3: 1 M.d L08v- LI v 9Nn:133NI9N3 M.'lI- NOIl.:JOllJ..SNO:J IM.d 1 M.'"l:I NOI.l:JO"l:lJ..SNO:J J..d3:0 J..H9n lV:JrnJ..:J3:i3: ~(Lv-L Iv J..d30 J..H9n iV:JnIJ..:J3i3: ON S3A G3.Ld3:J:JV 3~VG 'lVIJ1I3Jo\1Jo\10:J ON S3A 3~VG 'lVI~N3mS311 3Sf1/A:JNVdf1:J:JO O~ 1I0111d G311Inb311 SNOU:J3dSNI 'lVNI1I o3:NIiffilOHS 9NldV:JSGNV' 'VS3: 9NI~H9n/9NDllIVd 'Vd3:S s.# J..Iw)/3d 31V"l:lVd3S J..d3G 9NINNV'd W)/OlS A"l:IV1INVS NOIl.:J3:NNO:J "l:I3M.3:S "l:I3:13Jo\1 1 3:NITIl31 V M. :s.# 11w)/3:d 3:J.. V"l:IYd3:S (UOIS!^!O llu!l~~u!llu3:) )I110M. 3J..1S I S3UnlJ..f1 M.d Sl:Jf10 1 OOOH A3:NJo\IIH:J 1 13li3d 1 3:A01S OOOM. dJo\lf1d J.. V3H 'V:JINVH:J3Jo\1 I 9N1'I3::J 1 "l:IOO1.'[ 1 'lV M. 8ViS NOU V'f1SNI "l:IY8-1 "V M.A"l:IO 9N1'I3::J 1 1I00"l:l 1 S"Y M. 'lV M. lIY3:HS S"l:I3:mI19 I SlSIOr 9NlJo\IV"l:I1I I 9NIi13:J S,liY M. iV3S lIIV "l:I3:1 Y M. 1 M.Oi" )J:JV8 3NIi SV9 3N1i "l:I3:1 V M. NI-H9f10"l:l 8ViS 1 "l:I001" 1I3:0Nn 9NUlJo\If1'd I NI-H900"l:l # 1Iw)/3:d 3:1V"l:lYd3:S Ud3:0 1H9n) iV:J11I.L:J3i3 3:9YNIV"l:IO NOll. VONnO" SliVM. S9N1l.00" NOI.LVGNf101l ON I S3A s.LN3Jo\1Jo\10:J G3.Ld3:J:JV 3.LVG 3dA.L NOI.L:J3dSNI 3lJS HOf .LV SNV'ld G3AO~ddV GNV crnV;) .LIW~3d d33)1 NOI.LV::>O'l SflOfl;)IdSNO;) V NI .LIW~:>Id .LSOd -U!/.IJ!/:XJVUNVU!/.I:J!/JSNI IDIOJ!/fI nOM ANV 7V!/:JNO:J 1/0 !/.IV7ilSNI '1/!/AO:J O.I 7ilJM V7Nil SI.II 03;)!.LON ~flOH 17Z WflWINIW V 30IAO"Md 3SV3'ld oSNOI.L;)3dSNI DNIG'lIfl8 "MOd ~ 1817-L 1 V 'l'lV;) ffiIO:Xfll NOll.:>3:dSNI l.I:wH3:d DNIG'lUUl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~<~--~ ~---6_~ Time Received by P ~/~ (phone, person) Location of Work to be inspected ~ c~ i-~/ ~/,~ ~r--_.,~ Name of person requesting inspection ~.,/~,. Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /-~-~ Sewer Foundation Framing Chimney~ Final Sewer Excav. Other INSPECTION NOTES; I Inspected:Date (~1 ~ l~~ TimeJ~'7- By~~' Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [--~Gravel []Asphalt []PCC []Other' [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE ~--I No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)