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HomeMy WebLinkAbout410 S Chambers St - Engineering Application Number property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Property owner Owner address CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ()3 ---'" / ) & 1/05~ 03-00000116 410 S CHAMBERS ST 0630000177100000 RIGHT OF WAY Date 2/07/03 ~~ORT""" $~o~~~ na L~ ---- "l.tillC~ Contractor o M M FRYER & SONS INS INC PO BOX 1347 PORT ANGELES ( ) BRYAN ANDERSON WA 983620249 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 2/07/03 8/06/03 Plan Check Fee Valuation 00 o ~ - '==> \n BASE FEE Extension 45 00 Qty Unit Charge Per Fee sununary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 45 00 00 45 00 45 00 00 45 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 T.\PLANNING\FORMS\1102.15 [4/2002J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . REQUEST ) ~ Date ~ 11 /)3 Received by ~~ / I Location of Work to be inspected ~ S ~~ Name of person requesting inspection /}'\...- Address of person requesting inspection Phone No Q -- 36 Z'7 Type of Inspection (circle appropriate one) Permit No 0:3 -/ / (p Sewer Foundation Framing Chimney PIU[# ~inal ~ o~lC _ Time (phone, person) INSPECTION NOTES ~ / Inspected Date ~ -f; tJ;5 Remarks ~ I 30 A- M ~ ,d e ...v 91 ~ (? &' '-'''l'e .fii:- Time By Fo..,.1IO., \ Ill"'\. dWI o k T'o r e. iLA .,... RESTORATION REQUIRED YES NO X. SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC D Other [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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 NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I 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 I DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA. P ARKING/LIGHTING 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 / PW/ CONSTRUCTION R.W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-48]5 BUILDING T.\PLANNING\FORMS\1102.15 [4/2002]