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HomeMy WebLinkAbout333 W Park Ave - Engineering CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 U 3 - 9' ;:1c;2 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000944 Date 333 W PARK AVE B 06-30-09-5-2-3865-0000- PUBLIC WORKS UTILITES 9/26/03 o iJ~r J/J '7 Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES WA 983620408 OWNER ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640 00 9/26/03 3/25/04 Plan Check Fee Valuation 00 o Qty Unit Charge Per 1 00 640 0000 EA PW W/M SFR 5/8" Extension 640 00 Fee sununary 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 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\II02.15 [4/2002] <:f. .ORT ~ l~~ ~ "-~ ~ "t.&;~p CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 3 a ~ ~ (J - /' ) Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000943 Date 333 W PARK AVE A 06-30-09-5-2-3865-0000- PUBLIC WORKS UTILITES 9/26/03 o jJ \(r 17~ Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES WA 983620408 OWNER ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV $280 FOR WATER MAIN EXTENSION 920 00 Plan Check Fee 9/26/03 Valuation 3/25/04 00 o Qty Unit Charge Per Extension 280 00 640 00 BASE FEE 1 00 640 0000 EA PW W/M SFR 5/8" Fee sununary Charged Paid ----------------- ---------- ---------- Permit Fee Total 920 00 920 00 Plan Check Total 00 00 Grand Total 920 00 920 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 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] J i.~~ .Ja-. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: DateL(J-~ ~ Time Received by Location of Work to be inspected :3:~;A...e:J;L q W, ;:;0.. r Ie Name of person requesting inspection j- f..A,) ,I (o?: Address of person requesting inspection I -; +A ~ f5 Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other (1 '131' ~ (phone, person) PhO~~o-' 93f Permit No ( AJ c:.t +-e J,-- - INSPECTION NOTES- Inspected Date Remarks \Ie~~ By 9?1~ ~ rtv5fel 1/. WD\:, S-e, V'J( ~5 .. NO ;J1' 'r- ~ ~ .~ U i' pv ~ ~ \ ~ i' f- tj' < A a \ r.J..l1" tl..l\b 't~ l\l\ .J ) ::J () ,I .'f ;,.c, C-.\' \ ~ oCf> p(\y- k 2 I ( C -J C\ Vl :Jt /'V L q I Fro 'tI1 prd{J-f ....t7 SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 pcc 0 Other WorkYrder # qq37- ~~f ~OMPlETE co ;3 o INCOMPLETE ,,,--_.....~- - -- -- --___ _:-1_ :.ll'_________, , k. ~. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date! (J-~ --oJ Time Received by Location of Work to be inspected :3 J JA-M> ];L q W, j/o.. r Ie Name of person requesting inspection T- (/....) I t (0 C Address of person requesting inspection I 1+'11 <f- a Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other l JJ ct+e ;,-- q t1 ji' c)V7 (phone, person) Pho~~O"' 93f Permit No INSPECTION NOTES' Inspected Date Remarks l' (>J t, ~ \ A a~ 1.1.~1 t\~\ .J By t:j?? ~( ?V i-. . T:A.i 5fa 1/. L<.; 0\. -j--t:r .s-e YvJ~ ( ~5 .. NO t )oV> eo~ fJ'1' r- ~ "-:--t::" U Q,I c-~ 6t 'b PC\y-K 21 ( c - J <A V1' :A,e I've- q I r."tJ yYf prdfJ~ t'1-,/ SURFACE RESTORATION' SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 pcc D Other Workyrder # qq37- ~~i [l{r'COMPLETE oc ;3 o INCOMPLETE ,,..,-~_...!_ _ __ ___ ____ _ ..J_:.c ________. , BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE (/ INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO - FOlfNDA TJON FOOTINGS WALLS FOUNDA TION DRAINAGE - ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROt rGII-IN I - - PUIMRING - UNI1ER FLOOR 1 SLAB ROUGII-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS I ROOF 1 f:EILlNG I1RYWALL T-IlAR INSULA TION SLAIl W ALL I FLOOR I CEILING MECIIANICAL ilEA T PUMP WOOD STOVE 1 PELLET 1 CIIIMNEY 1I00D I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: W A TERl.INE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA. PARKING/LlGHTING ESA. LANDSCAPINC SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 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 4 I 7-4750 PLANNING DEPT - IlUILDlNG 417-4815 BUILDING T \PLANNlNG\FORMS\1 102.15 [4/2002J BUILDING PERMIT INSPECTION RECORD CA LL 417-4815 FOR BUILDING INSPECTIONS. 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO - FOllNDA TION FOOTINGS WALLS FOUNDA TION DRAINAGE - ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROt J(i1I-IN I PLUMBING - UNDER FLOOR / SLAB ROt JGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF I CEILING DRYWALL T-IlAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL IIEAT PI IMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD / DIICTS PW UTlLlTlF:S / SITE WORK (Engineering Division) SEPARATE PERMIT #"s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNINC DF:PT SEPARATE PERMIT #"s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQtIIRF:D PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YF:S NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL I.IGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W ENGINEERING 417-4g07 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT - BUILDING 417-4g15 BUILDING T-\PLANNING\FORMS\1102.15 [4/2002]