HomeMy WebLinkAbout1125 Columbia St - Engineering CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application NLu~ber ..... 03-00000892 Date 9/11/03
Application description . . . PUBLIC WORKS UTILITES
Subdivision Name ......
Application valuation .... 0
Issue Date .... 9/11/03 Valuation .... 0
Expiration Date . . 3/10/04
Orand Total .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 authodzed 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 ~ 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:~PLANNINGWORMS\I 102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 0 ~ _ g-q ~
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000892 Date 9/11/03
1125 COLUMBIA ST
06-30-00-5-3-0270-0000-
CITY LIGHT CONDUIT TRENCH
PUBLIC WORKS UTILITES
o
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Owner
Contractor
KENNETH DUANE TOBIAS
PO BOX 2261
PORT ANGELES WA 983620223
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
TRENCH/3" CONDUIT,
00
9/11/03
3/10/04
CITY LIGHT
Plan Check Fee
Valuation
00
o
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 00 00 00 00
Plan Check Total 00 00 00 00
Grand Total 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]
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COLUMBIA
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CITY LIGHT
TRENCHING REQUEST
//1125// COLUMBIA ST,
ColuMbio./\Vo. ter Alley
50/Lx24//\Vx30//D (Min)
Insto.ll 3// CONDUIT FroM(Dto @
Do. te Requesteo/: 9/9/03
Requesteo/ By John G Hebner
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Job# 9630
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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
PLUMBING
-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
IJACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T,BAR
INSULATION
SLAB
W ALL I FLOOR / CEILING I I
MECHANICAL
HEA T PUMP
WOOD STOVE / PELLET / CHIMNEY
11000/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE 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 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
IJUILDlNG 417-4815 BUILDING
T'\PLANNING\FORMS\1102,15 [4/2002]