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HomeMy WebLinkAbout636 E Front St - Engineering r;/pOR1~ l~~~ ~. f~,. =- ~- CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 b -:;-65 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000055 Date .994825 636 E FRONT ST 06-30-00-5-1-2100-0000- FIESTA JALISCO ~UBLIC WORKS UTILITES 1/25/05 V34 E r~ Owner Contractor 6~P/~ COMMERCIAL ARTERIAL o PEDRO ARCEO/J LOPEZ BAUTISTA 636 E FRONT ST PORT ANGELES WA 98362 GARY'S PLUMBING INC PO BOX 255 PORT ANGELES WA 98362 (360) 457-8249 Permit Additional desc Permit Fee Issue Date Expiration Date STREET ALLEY RESTORATION 230.00 1/25/05 7/24/05 plan Check Fee Valuation .00 o ~~ Qty Unit Charge Per ];'.".:~~...;= BASE FEE C 230.00 ~ -------------------------------------------------------------------- ------- Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 35.00 Plan Check Fee .00 Issue Date 1/25/05 valuation 0 Expiration Date 7/24/05 /~ 0&- 05 4/~MJ --------=~~~---~~~:=~~~~~~-~:~--:~,:~~-~::~=~-------------------c:::~~~~~ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45.00 1/25/05 7/24/05 plan Check Fee valuation .00 o Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Exten~ C 45.00 Due Fee summary Charged Paid Credi ted ----------------- ---------- ---------- ---------- Permit Fee Total 310.00 310.00 .00 Plan Check Total .00 .00 .00 Grand Total 310.00 310.00 .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 no! commenced within 180 days, if cOD~tC'!~on 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:\Policies\1102.15R (1/05] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date I I..z..s; I D~ Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ffl3& E F~ G~/<; P/~ _~ K'UaAt4- Phone No. Permit No, tJS- S~ Sewer Foundation Framing Chimney Plumbing Fina0"ewer E~ Other INSPECTION NOTES: Inspected: Date / /2.1 f' Ins Time By Rema~~ ~~~~Pj~~eY w~~~)~ ~4~ !~J;#;n YJ'1OM,. /.() 1/ - - -/YO nOt!,;/W. ~"1& 7J' B \12- .I ~, " . . . .. YES NO c..(t;9 F=-'-. Ft.-::: Tv'1i!..G- c" ..c ""--'" "Tt..,tl" 4" 3'1 ~ ~ t:: '" ~ , i w ", ~<--i~ E~ '/,' 1- '- _ _ ~-v__@ k- IlL.' -I r.1l'~q 1[',(5.1: Atl G ,I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE - ...... --&,---- ._- --..-........ _i....... if n"""''''''''c:.g,rv' CTDI::I::T CIIDCDIIUTl::l\lrtol:::'UT InATe\ , ; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT . . . . . . ..... . . . . REQUEST Date tf - I 5 .. () S- Time 7 A ~ Received by Oe,,; ~ Ie; .E. (phone, person) Location of Work to be inspected 63f.o E Name of person requesting inspection // t' ~1 "1/ S Address of person requesting inspection Lo r'" vJ I Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final rroYl + S-r ;: Yo.. .r- d I 7 'f 1; Phone No <; ( 7 ' '-I [('I 9 Permit No ' Sewer Excav Othe~ +0 INSPECTION NOTES Inspected Date 'l r 50S- Time 2 Remarks J2.e...{Jc'\ I r It! Cl k ct i-tla. re 11 v f (..1 M 3/" /J C , J /'1 r- c- c{t-t . C()l-V\.r')res~ 10.'<. Vh I ('iA r/v1 By f)fh VII 5 E 3/'-1 I~ (or!/,et' -tUbl".:} I I iJ ,+h RESTORA TION REQUIRED YES )< NO I Qj ~~. \J - ~ \~ \ ----...J ..-l1 ,- Fro V\. 1- $+~ , I C-' ~ if7 ~ I" 35 16 I L I -E = L/ 'f)iefJ ~\ 1 -- ^'I?^ \ - .- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel ~epaired by City [] Repaired by Permittee o No Damage Found Ie; ^ 8' ~Asphalt OPCC o Other Work Order # 50 34 ~ '-cdL-! ~MPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)