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HomeMy WebLinkAbout403 N Liberty St - Engineering WO~"<., ~~~ !:c -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 '3 - ~ ~ 3 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner SOELTER CLINT D 54 EDGEWOOD LN PORT ANGELES 9/05/03 03-00000863 Date 403 N LIBERTY ST 06-30-00-7-8-0322-0000- RES FOUNDATION REPAIR 20000 Contractor OWNER + ~ ~ WA 98363 Structure Information Construction Type Occupancy Type Permit Additional desc Permit Fee Issue Date Expiration Date MOVE FR 1029 GEORGIANA TO 403 N LIBERTY----- TYPE V NON-RATED SINGLE FAM & CONGREGATES C. \- - ~ 1+ DRIVEWAY INSTALLATION 145 00 9/05/03 3/04/04 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 145 00 Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 69 00 9/05/03 3/04/04 Plan Check Fee Valuation 00 o Qty Unit Charge Per Extension 47 00 7 00 15 00 In e;;f-0V pd BASE FEE 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 9/05/03 3/04/04 Plan Check Fee Valuation 00 20000 Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Permit Additional desc Permit Fee Issue Date Expiration Date Extension 45 00 SANITARY SEWER HOOK UP 95 00 9/05/03 3/04/04 Plan Check Fee Valuation 00 20000 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 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 atterthe 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. Date Signature of Contractor or Authorized Agent T.\PLANNINGIFORMS\1102.15 [4/2002] Date of .",ORT """G'~ A....J..~('{\' ~,...-~ ... w;;;;,.:., ~ "l.Oi:k:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number 03-00000863 Fee summary Charged Paid ----------------- ---------- ---------- Permit Fee Total 354 00 354 00 Plan Check Total 00 00 Other Fee Total 1774 50 1774 50 Grand Total 2128 50 2128 50 Page 2 Date 9/05/03 Credited Due 00 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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date TWLANNTNGIFORMS\ 1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 -3 - s: Z. .5 Application Number property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000823 Date 403 N LIBERTY ST 06-30-00-7-8-0322-0000- PUBLIC WORKS UTILITES 9/03/03 o I\~ t+V ~ 4b~ . , Owner Contractor SOELTER, CYDNEY 54 EDGEWOOD DR PORT ANGELES (360) 452-8132 OWNER WA 983624226 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV rO' t 640 00 8/21/03 2/18/04 Plan Check Fee Valuation 00 o c 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 <:. ~ ' ( ,e. ~\, I Y.. C1-3-u3 403 l.~e... ~ ~ u...J L.' be.~ly I k; s. 1AAo CL o.c) ~ v..-S{ ~e '^- + ~ o.dd resS J ~ ~ ~ a.d2s t e sC::; WCLS i!> \ 1303 ~a \ c> l, V\-e bo\--'.-v\,d ~ I Ct. ~ j -+ "'-c2 /'oJ' WM CL V' Q... V-J t> ev- vV\..\1. 1- Copy H~ve.. of .... is ----. .~~ ,'" - -,~_.._-- Separate Permits are requirea for electrical work, SelSA, ShoNIlM, ESA, i.iatIti., priVate and public improvements. This permit becomes null and void if work or construction authorized is not.commenced within 110 daya, if construction or work Is suspended or abandoned for a period of 180 days after the work as commenced, or if ..-qulrec:llnspecttons have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this appncatlon 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 [4120021 ~90f':T~. lO~ ~la \~ "=.or ~~ 'I.il::c..,..- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 640 00 8/21/03 2/18/04 Plan Check Fee Valuation 00 o -- ~ fer"vV;/ ~ 1hetJBtV ty1~ fJ()1o 1~T r?UJ;n~ @ JfJ6"' y1116 /A$'; USa? ;VII/V G ~ ..q::o rz- JfO?JJ~ Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 000823 Date 8/21/03 1303 E CAROLINE ST ~:~O~-~;~;~:04 -6 2-? IJ Z- o Owner Contractor SOELTER, CYDNEY 54 EDGEWOOD DR PORT ANGELES (360) 452-8132 OWNER WA 983624226 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 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 'X~ .f' \ S ')~ 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 ate T-IPLANNING\FORMSlll 02. J 5 [4/2002] ;)Iiw CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST:! I Date _~/?dJ 01 Time Sewer Foundation Framing Chimney 4101/01 INSPECTION NOTE~i 1 F1 ~ ;K2 Inspected Date H ~ Time J I ~ By Remarks :'San Sr;~er (>Ohh-EJc.TJDJj @ CTL-~y fvlL.~ RUh sou.JA (')V, Ll ~.e~YTV ,I) LOT I Received by (phone, person) I~)D Uv~ . L/ &~/iq 1D3 A1 LJ~Alzt c ~:J EiLC! A lJA Ti n 1-1 f Phone No RtJqe'4&o-OD1~ Permit No 0'3-323 lumbing Final Sewer Excav Other Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) - ------ dY /"Iii RESTORATION REQUIRED . . . . .. YES =--~-----=-_~ -2 ~ P \ -1 ~ " ':;" 30 / / S <- -r--------- -- ---------- ___c____ ~.-- to,S- Luf'>._~___':_!"'__E _ ____ ____ NO -C-C j- ~ "" 'I' ~ r , ~ (,.~). 4 Ct '--~ -"_. . ). 'l ,I. Pt-P\'~\~~'5 m tW. i< I, 0 'I"i I J I 0""\ ~ ~ If'\! ! !)I ru-' k> v'" - 'N! II r- '-t5'" e L_ ~~ ~ t. l-'~ J;- ........ ,,--" jJ~ -----, .- , ,~~ , '!,-f4 ;-" I,. , \- t. ./"J I ~, l' J' 2$:; '- \ u; '-1 .....J /iL.l Ii' ,. .....l,lll>"-itt~ Y h IiI p}1 ~ JJ G_UpJl !./ ,~ . 0 /,1 / C SURFACE RESTORATION' / SURFACE TYPE 0 Unimproved 0 Gravel )Lf'AsPhalt 0 PCC 0 Other o Repaired by City Work Order # o Repaired by Permittee 0 COMPLETE o No Damage Found 0 INCOMPLETE ::L?:&:~~t.....:.!. Ii 9 ) 04 TEuoo_._..._..._..._ lro. ...-lTC\ 0' .0Rr ~ .....4..~~tf'! ~rGiI~ ...~ ~ ~k:~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ap~~lca~10n ~umoer Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000823 Date 8/21/03 1303 E CAROLINE ST 06-30-00-7-8-0320-0000- PUBLIC WORKS UTILITES o Owner Contractor SOELTER CYDNEY 54 EDGji:WOOD DR PORT ANGELES (360) 452-8132 OWNER WA 983624226 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640 00 8/21/03 2/18/04 Plan Check Fee Valuation 00 o V'J C> ~ W 00 \l1 -~ ~ c:7 r ~ ~ () - / - ... ~ -{ .<;:: V -r I \ 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 o'vV 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 TWLANNINGIFORMSI1I02.15 [4/2002] IASHIHGTOH OHE CALL Ticket No 2~4283 :~U~ TO ?rA~G~vl 5eq No 2 FULL BUSINES~ n~!~ 2 Map Ref . Tnnsmi t Date 8/19/03 Time 12 11 PM Op lay Original Call Date 8/19/03 Time 10 16 AM Op lay Work to Begin Date 8/22/03 Time 12 00 AM State WA County CLALLAM Place PORT ANGELES Address Street N LIBERTY ST Nearest Intersecting Street E CAROLINE ST Twp 30N Rng6W Sect-Q11 Twp Rng Sect-Qtr Type of Work FOuNDATION EXCAVATION/RELOCATE WATER SVC Location of Work MARK ENTIRE LOT LOC AT NE CORNER OF ABV INTER Remarks CALLER GAVE TOWNSHIP, RANGE, SECTION INFO Overhead Lines N Company C AND J EXCAVATING Contact Name DAN WITHERS A1t Contact STAN SULLINS Contact Fax Work ~eing Done For SOELTER Additional Members PTANGL01 USWEST44 Best Time Phone (360) 683-7741 Phone ~~D SLjd/J~ 5~LJ 7-.,.J'} "'---. ~~v ....- ,_.J ~T \., \ \ , ___-::--0r' \ ~ it -- ) }~\\ \ "".....--- \\ ,-- ~\~ \ \\ ~'J /__/~~~- \ \ -~ -- \. \ -,,^" // "".' yo- ~- \..-~/ 0(;3 OfJO 7g {J "32 Oa:tXJ 3t1Jb tr3if [,rs 14-}7 BLk3 {}~ Ticket ~o 4076093 Send 'To PTANGL01 Seq No 2 FULL BUSINESS DAYS 1 Map Ref Transmit Date 3/25/04 Time 8 47 AM Op mary Original Call Date 3/25/04 Time 8 40 AM Op mary Work to Begin Date 3/30/04 Time 12 00 AM State WA County CLALLAM Place PORT ANGELES Address' Street N LIBERTY Nearest Intersecting street E CAROLINE Twp 30N Twp Rng6W Rng Sect-Q2r' Sect-Qtr Type of Work INSTALL SEWER SERVICES Location of Work AT NE INTER MARK ENTIRE LOT ALL ROW AND EASEMENTS Remarks BEST INFORMATION AVAILABLE++CALLER GAVE LEGALS++ Overhead Lines N Company Contact Name' Alt Contact Contact Fax ' Work Being Done For Additional Members USWEST44 C AND J EXCAVATING DAN WITHRES STAN SULLINS Best Tim.' Phon. (360)683-7741 Phon. (360) 461-1834 SOELTER MAR 2 5 3lO4 IU::: ,// )' 55'2- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . . . REQUEST Date t:') 3 .-C) 3 Time Location of Work to be inspected -I / S IV Name of person requesting inspection 1)Ct.1..V1.(~ Address of person requesting inspection Gv f> Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES Inspected Date c; - 3 ---0 "3 Remarks ./Vf..~Jd ZiP V L I I I I / Time 2 ~ X +e vtded. Received by 2::e-tKI'? e (phone, person) Libert-v fC- I I(CLrd Phone No Permit ~ Sewer Excav Oth r ) P t1A.... By D t: vl ~ · 5 ~:=: (It ,D e _ +0 D v 0 () e \" t v I r- ( C -e; I O/~~ c t 0Z-3~ 7z4 I I RESTORATION REQUIRED --+'A.... ~ ').J ~ --J <=- --.------.--- E Lu"-ollVLe SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee o No Damage Found YES NO X 415 ;J L i be r t- '/ I' 72 ~ ~ , '- '- '-t (V~'7t.t 3 Oel?f 2.' pt/L o Asphalt 0 PCC 0 Other Work Order # 8532- o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) - II ==~ -... =~ Eg .... '~,o " ~!>-<l ~("'O{) .... .....(~ ~ ...iLJ dLJ~~l.:JO! ... I l~r'r'-~3~Or z ~ ;;. ~ &) ;;, IF. e ~ i::.:l co'i "- ~ >i " 0 ,u <0 "" Z u 0 " u 3: w ;= j <.) z " ;'c '" <L '" z Q~ 3, u @ "' '" Z<t: "- ~ ~ &&.I~ c:a~ '.- <.) <.) z ~ ~tI a 9 III ~ " I:, YO '" . . I Hl~ON 3NOZ ----------.;. ~ f'j]lSAS ]IVNla~OOJ )IVlS N01~NIfIS\iM I\J tv #~ iff o fY) '\!J () 3 BLK, $> I S'c :~II .er? .4' 10'" t / / .... Ii> Ii> \ .... .... o '" .. e,6 ~ <~ ~ t:; " ...!lI ~.. q, j;; r:: .. .. .- ".t;- :'.:::-~ ~s- ,,-.....:::::-~ e ~----- ::( "'" <Iil .. o '" o n II " '" o Q) o u r.n N 1.&.1....... =>- x"'" ELU ~~ ..c> t-~c 00::: Z ..2 (/) ::) a...Q N g' (/) O!!! -1 ~ I ~~ 0 0 -Q>~ La.. ~! to- >- L -..;:t 0 ~CI) S ] .2 o cs.ne:.8 I Ca...~ . E ~O:::Oc~ 0 ... '0 Uo.. ~ o U ,.,;l&.. u W 0 ~Q: g~ m mu g -1 ~~~ " 5 <( " -' ~ Ci ~~ ~ tJj Vi C ~ ~ ~ a i~4 " ~ .., vi iE <L ... vi ~:~~ <: ~ Z <: U ::> 0 10 '-' '" '" z <( "'z ~u 0.. i ('..., o ~ ~I z '" 0 0 <: ~ <:.)~ t:i!i ;< r1 vi ,~ ,'" Q"- ,. ?: w L ~ :.8 >- z ~ 04('" ~ <t: ::J , <;)6 c.:: ;:) 0 ;:) III '-' U ;:) <: eo c ~w ~~~ vi~ wi:5~ ~N o:N ~l!2t;S ,"0 1&1 w~u zz :>w .... ~~z as c 'i~~ 0;;; ~ i~~ ,,'" ~; - ~,;~ ~ "'I'~ &&.I ~,,~ U f5tj~ ;1 ~~- "" _. U) b:::.t:-.[ :... . :t~ I ~' ~ >~;;e 0.::'8:.;1 "y. ~ j;~ 1;" ., '",;,; CI..~~ ':1 ~:.: ~ ~~~ en .!~~ ;0:w CITY OF PORT ANGELES DEPARTMENTOF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REOUEST ! L Date ~~ I 3t:) {)1 Time (phone. person) 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 4/0/104 INSPECTION NOTE~ 1:___ I 7) ~ ~ Inspected Date ~_ J "?-1 ~ Time J I .~ By Remarks . <~f1 /j S :_t.L-J(-, r (J 0 h II ~c T jD"I @ a CJLEy t U / L L J: L I h S () lI-+ h (') VI L I A .~.J- yTV T /) U) T { f!tlQe.l1r.-:O--001:1 Permit No lumbing Final Sewer Excav Other .y '--I"lH 6'0 . RESTORATION REQUIRED ~ ./ r(':-'cc" . ~~. ~'I 4 0/ '4 !o . ---------? { ~i_;_.4. ~ 25..;' =y",.!', 7 l{ - l' 't'" flIYi.' I tV t v i--l" ; t~ " I ~ / 1/'- I YES NO ~ &<\ '- ,J ,i/' " SURFACE RESTORATION / SURFACE TYPE D Unimproved D Gravel ?AsPhalt D PCC D Other D Repaired by City Work Order # \ 0\ 'E> ~ ~ \ [] Repaired by Permittee ~ COMPLETE A tea. ~ .;e& D No Damage Found D INCOMPLETE ~ \tV\ ~d-\- J"\~ V (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417~4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATIO KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB .. ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER I, AIR SEAL WALLS I CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT # 's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATIO' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I 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 / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS / ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR / CEILING I MECHANICAL HEA T PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA. PARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R. W 1 PW/ CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION FOOTINGS WALLS FOUNDA nON DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATERLINE 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 I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 ClllMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNEcnON SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKINGILIGHTlNG ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 PWI CONSTRucnON - R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPLANNINGIFORMSIII02.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 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 A T JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I 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 / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKINGILIGHTlNG ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 T-IPLANNING\FORMS\1102.15 [4/2002J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO'VER,. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT II 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 TBAR INSULATION SLAB . WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA: PARKING/LlGHTING ESA. LANDSCAPING 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 PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING c1 ~ORr ""v. S &n..~ '"--~ ---- ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation 03-00000863 Date 403 N LIBERTY ST 06-30-00-7-8-0322-0000- RES FOUNDATION REPAIR 9/05/03 20000 Owner Contractor SOELTER CLINT D 54 EDGEWOOD LN PORT ANGELES OWNER WA 98363 Structure Information Construction Type . . . . Occupancy Type . . . . . MOVE FR 1029 GEORGIANA TO 403 N LIBERTY----- TYPE V NON-RATED SINGLE FAM & CONGREGATES Permit . . . . Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 9/05/03 3/04/04 Plan Check Fee Valuation .00 o BASE FEE Extension 145.00 -I: C0 ul Qty Unit Charge Per Permit . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 69.00 9/05/03 3/04/04 Plan Check Fee Valuation .00 o <- Qty Unit Charge Per Extension 47.00 7.00 15.00 ""r- BASE FEE 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER Permit . . . . Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY r- 45.00 9/05/03 3/04/04 Plan Check Fee Valuation .00 20000 ~ Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 C\f+ (j) ~ Permit . . . . Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95.00 9/05/03 3/04/04 Plan Check Fee Valuation .00 20000 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 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:\PLANNTNG\FORMS\1102.15 [4/2002] BUILDING PERMIT 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKING/LIGHTlNG ESA: LANDSCAPING 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002J c1I'ORT ""'- @ ~-- ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . , . . 03-00000863 Page 2 Date 9/05/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 354.00 354.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 ,00 .00 Grand Total 2128.50 2128.50 ,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 Date Signature of Owner (if owner is builder) T:\PLANNTNG\FORMS\1 \02.15 [4/2002] BUILDING PERMIT 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 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNG/LIGHTlNG ESA: LANDSCAPING 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 I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1 ] 02.15 [4/2002] d'''''T ~ ~ r-Gii ~ -- "t.O;/CW:F' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation 03-00000823 Date 9/03/03 403 N LIBERTY ST 06-30-00-7-8-0322-0000- PUBLIC WORKS UTILITES o Owner Contractor SOELTER, CYDNEY 54 EDGEWOOD DR PORT ANGELES (360) 452-8132 OWNER WA 983624226 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee .00 Issue Date 8/21/03 Valuation 0 Expiration Date 2/18/04 Qty Unit Charge Per Extension 1.00 640.0000 EA PW W/M SFR 5/8" 640.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 640.00 640.00 ,00 .00 Plan Check Total .00' - .00 .00 ,00 Grand Total 640.00 640,00 ,00 .00 .::t G lJJ ~ r- ~ J. C\? Co 'i 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] BUILDING PERMIT INSPECTION RECORD CALL 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING - UNDER FLOOR 1 SLAB ROUGH.IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL - . HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/L.lGHTING ESA: LANDSCAPING 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. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNlNG\FORMS\1102.15 [4/2002]