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HomeMy WebLinkAbout712 S N St - Engineering ~",ORT.v..: A...J..O~ "r. ~ -- ~,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner Date 3/12/03 ()3-z6Q 03-00000259 712 S N ST 0630004801100000 PUBLIC WORKS UTILITES o Contractor STEWARD LAND CO/RICK ANDERSON 618 S PEABODY ST STE H PORT ANGELES WA 983626244 OWNER ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 150 00 Plan Check Fee 00 Issue Date 3/12/03 Valuation 0 Expiration Date 9/08/03 Qty Unit Charge Per Exte~' BASE FEE C 150 00 ------------------------------------------------------------------ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per E . _____;~~~---------------;~;-;;;;~F~~-~--------------~~ Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per C~ BASE FEE__.~:~ -----;~~~~---------------~~~;~;-~;~;-~~~~-~;--------------- ----------- Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Ex . _____~~~~-------::-o~~~~~~~;~:~~;;;---------------~~ Additional desc Permit Fee Issue Date Expiration Date '-.::J """-- q.::> 45 00 3/12/03 9/08/03 Plan Check Fee Valuation 00 o ~ 745 00 3/12/03 9/08/03 Plan Check Fee Valuation 00 o z... ... 95 00 3/12/03 9/08/03 Plan Check Fee valuation (jJ ~. " 00 o -tv1 ~ 1025 00 3/12/03 9/08/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE c::,;'~ Fee summary Charged Paid Credited 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 gover' this type of work will be complied with whether specified herein or not. The granting of a permit does not presu give aut i to iolate or cancel the provisions of any state or local law regulating construction or the performance of co r T-\PLANNING\FORMS\ I] 02.1 'i [4/2002] Signature of Owner (if owner is builder) Date - ~ ",ORT.v..: l"O~~<t. r-sa L~ ~ ~,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000259 Page 2 Date 3/12/03 Permit Fee Total Plan Check Total Grand Total 2060 00 00 2060 00 2060 00 00 2060 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 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T-\PLANNING\FORMS\1102.15 [4/2002] Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . -- tJ 7;;1) } D~~ Time ~!-~. Received by -r/::~ I ' (phone, person) REQUEST Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney 1//7 cAt} ._' 1- :/ Phone No Permit No 6;1, ~ Plumbing Final Sewer Excav Other J. I / W-')''''- ......... --~ :~S~~~~;I~~t:OTES 4J7t It? Remarks rl (,' 11.'\( c--l'E' J IP--+-0 , (I. 'j"-{: .~. I Time -- 3~ By fl" ....-:-- ('. -.,.,..' I., " III L;. I ('I ) ./ /.. /f}' f. J. (f),'i y ('''"> ~ I ..; - ~" RESTORATION REQUIRED YES NO I' '~ '7 1\ \/(,- \7 '\1ft; <;) Db ~ " \~." (1\ .y ~. .' .^l/ 0 ~ .., Vr r .~ ,X: I~ W1~ _..,~.. '. l_~ '" _..._~."'-,~_ v\v II '}.ll! 0... SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TEl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . REQUEST Date 7- 1- o-:s Time Received by Rl/ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) --, rz- e"'. 1'~ N<;'r- Phone No Permit NO~Z6/ PIUmbing~SeWer Excav Other Sewer Foundation Framing Chimney INSPECTION NOTES Inspected Date -; -.- 0 I Remarks I~) 3' Time /. J By " I , , RESTORATION REQUIRED YES NO )jv-o k.€'~ s~de, waJk I \ 6; I t....... 1.AJ I -/. ,( ~ f ~ / f~j SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other [] Repaired by City [] Repaired by Permittee CI No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)