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HomeMy WebLinkAbout106 W 11th St - Engineering CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-;;>,5h Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description subdivision Name Property Use Property zoning . Application valuation 04~00000256 Date .915584 106 W 11TH ST 06-30-00-0-3-4412-0000- PUBLIC WORKS UTILITES 3/29/04 /ouw/~ UNKNOWN o Owner Contractor cox WILLIAM E 106 W 11TH ST PORT ANGELES WA 983627710 KUCHAN CONST. CO. INC. 3049 E HICKORY STREET PORT ANGELES WA 98362 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee .00 Issue Date 3/29/04 Valuation 0 Expiration Date 9/25/04 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP ("~'~ 95.00 Due Fee summary Charged Paid Credi ted ----------------- ---------- ---------- ---------- Permit Fee Total 95.00 95.00 .00 Plan Check Total .00 .00 .00 Grand Total 95.00 95.00 .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 a!terthe work as commenced, or ifrequired 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 y_ ocal la regulating construction or the performance of construction. ( ~ Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/1412003} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: ,/ J Date 3~~!J /01 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): 6Foundation Framing Chimney Sef' z. D Y) I INSPECTION NOTES' Inspected: Date 31~~/04 Remarks: ~ t-JtflL.( '. - AI!>A?Joc>JJI ~Lp / [) II' fA) / /iiL 'j), I::/IM~ Phone No. Permit No. 0 <1 ~~ Plumbing Final Sewer Excav. Other Time Z p~ d J'/ C. t..,4 Y By & I L RESTORATION REQUIRED . . . . .. YES WilT:!. 0 )! ""~ JL 100- ""'fb? U./'2. :d-... /- - /~,... --I ~ J IJltUfJI \. ( 2-~ 25~,J ',.?- J' z:9- T"l:"o? ~ /": \ W .tL_f.~~:~~-I:-J &'u..,(. - . \ "" r ~ I ,. 'Z.<:.<e; '\O;If('.4:""l ~o(.. ~~ e \ '{W, SLeeVe' IS .~ " / _0 - _ ? - e~ ?/Ilc {: 'f<I. """'M , ~"'I *::5 r- -I! '" NO ..\Dl;,~ OS~H Y - e~~':-M~ B"~w C ~I.:> Sl:>t-r,.f-/ 1-04- I i \ I ( -..'l 1>0 ~ ~ <l: -.l SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt ~CC o Other o Repaired by City ~epaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE S-bOt3r-/A-UC- "lu ~ '/2<PfM ~O ~ pORT ~ :t:-..l",O~~~ ~~~ ....~ ~ 'l..,i;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Applicatlon Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdlvislon Name Property Use Property Zoning . . . Application valuation 04-00000256 Date .915584 106 W 11TH ST 06-30-00-0-3-4412-0000- PUBLIC WORKS UTILITES 3/29/04 UNKNOWN o Owner Contractor COX WILLIAM E 106 W 11TH ST PORT ANGELES WA 983627710 KUCHAN CONST. CO. INC. 3049 E HICKORY STREET PORT ANGELES WA 98362 Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95.00 3/29/04 9/25/04 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extenslon 95.00 -- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .00 .00 ~ ~ i~ - - \-1 :s"' LA ~ 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 govermng 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) T \PLANNING\FORMS\1102 15 [11/14/2003]