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HomeMy WebLinkAbout430 E Lauridsen Blvd - Engineering CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000455 Date 274415 430 E LAURIDSEN BLVD 06-30-10-5-0-2100-0000- PUBLIC WORKS UTILITES 6/14/05 COMMERCIAL OFFICE o Owner Contractor ANGELES DEVELOPMENT LLC 1371 3 CRABS RD SEQUIM WA 98382 EIKUM CONSTRUCTION 1835 EAST 5TH ST PORT ANGELES WA 98362 (360) 457-3785 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY DRIVE WAY TO EMPLOYEE PARKING 51805 105.00 Plan Check Fee 6/14/05 Valuation 12/11/05 .00 o ~ \:S \\\ Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT 1.00 55.0000 EA STORM DRAIN C/B Extension 50.00 55.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 ~ f') - "J ,,-'0 ~ ~ ~ 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:IPoliciesllI02.15R [1105 ] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANIT AR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRIVEW A Y APPROACH BACK FLOW DEVICE FINAL INSPECTlO)\;S REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION RW.I PWI CONSTRUCTION - RW, ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT, PLANNING DEPT 417-4750 PLANNING DEPT. BUILDI:--.JG 4 I 7-4815 BUILDING T:\Policies\II 02, ISR (1105 ] rJ"ORT~ S....~~ r.. ....... -- _.' .:e.'"lCW$P CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 D5 - '2 4 ~ Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000024 .724920 430 _E LAURIDSEN BLVD 06-30-10-5-0-2100-0000- COMM REMODEL Date 2/15/05 411JE fM{M... COMMERCIAL OFFICE 25000 Owner Contractor ANGELES DEVELOPMENT LLC EIKUM CONSTRUCTION 1371 3 CRABS RD 1835 EAST 5TH ST SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 457-3785 Structure Information ENCLOSE COVERED PORCH& REMODEL Construction Type TYPE V NON-RATED Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST Other struct info . . .. NUMBER OF UNITS 1.00 iJ/rtfp{V UIU,V. U0 Permit PUBLIC WORKS COMM WATER SERV Additional desc Permit Fee 1160.00 Plan Check Fee Issue Date 2/15/05 Valuation Expiration Date 8/14/05 .00 o III Co yY1 rYl . w/rn Qty Unit Charge Per 1.00 1160.0000 EA PW W/M COM 1" Extension 1160.00 Other Fees STATE SURCHARGE 4.50 Fee surrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1160.00 1160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1164.50 1164.50 .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 1 have read and examined this application and know the same to be true and correct. Ail 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. OtV Flcr Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T;\Policies\II02.15R [1/05J - CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 3 - 3-0<;" Time // : Jc} .4 /hReceived by (phone, person) Location of Work to be inspected 'I",lrS C ).av/,dsee/j Name of person requesting inspection. Uvt! "'/ t/II/ Address of person requesting inspection / 7 (F 3 .5 .t' i? 'Or Phone No. L//").. (./ I'J 9"'7 Type of Inspection (circle appropriate one): Permit No. 0 5- z'cJ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav .~-z/'""re .r INSPECTION NOTES: Inspected: Date 1:1 .3- 05- Time Remarks: /I / ,< f. r 4<"~'1,.../ _ ~~~- -P/ ....:>eJ.0C:.~ ,). :./"0 O.;r\. By 7/7 r c- 72(/ Ie {J<1-3~ ?7,,7-,7 RESTORATION REQUIRED , . . . .. YES NOX , ffr / ". L f ,,1.1 . \ ,. " ~ lID' (;" 4<.. /N..: I areaS "1' c..J; ;,.., , ~ ( " '{J ~ ~ SURFACE REST?!lATION: SURFACE TYPE: ;0\ Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # ']oj'l'8 -()f)'" % COMPLETE o INCOMPLETE CITY or PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, P.ORT ANGELES, IV A 98362 os--4C6" Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . Application valuation 05-00000455 Date 274415 430 E LAURIDSEN BLVD 06-30-10-5-0-2100-0000- PUBLIC WORKS UTILITES 6/14/05 1'lO c MHI Owner Contractor &; ru rn ~f)~ COMMERCIAL OFFICE o ANGELES DEVELOPMENT LLC 1371 3 CRABS RD SEQUIM WA 98382 ElKUM CONSTRUCTION 1835 EAST 5TH'5T PORT ANGELES WA 98362 (360) 457-3785 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY DRIVE WAY TO EMPLOYEE PARKING 51805 105.00 plan Check Fee 6/14/05 Valuation 12/11/05 .00 o Qty 1. 00 1. 00 Unit Charge 50.0000 55.0000 Per ECH EA RIGHT OF WAY PERMIT STORM DRAIN CjB Fee sununary Charged Paid Credi ted Due ---~~~----~------ ---------- ---------- ---------- ---~------ Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utililies, private and public improvemenls. 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 wDrk as commenced, Dr if required inspections have not been requesled within 180 days from the last inspection. I hereby certify Ihat I have read and examined this application and know the same to be true and correcl. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or nol. The granling of a permit does nol presume 10 give authority to violate or cancel Ihe provisions of any state or local law regulating conslruction or the performance of construction. Signature of Conlractor or Authorized Agent Dale Signature of Owner (if owner is builder) Date T;\l'ulicics\l l02.15R. [1/05j CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: / I Date 7, I , D'7 Time Received by 1F (phone, person) Location of Work to be inspected '-Iso E (~..UJl.l~~r~4'...:f;;,eAlv{ Name of person requesting inspection ~ ..I~-<)../ - Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. Sewer Foundation Framing Chimney Plumbing Final Permit No. 65- '-15-_<:: Sewer Excav. Other d~ INSPECTION NOTES: :) Cu,r b 0 k... L::::. l.V :s:J~w<>..lk Cl k. 4 tv) Inspected: Date Remarks: 7-S--..o 7-"-(jS" Time By EW 1:;:>\/ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE '("'O......+i........"...r'I ..Ou....re>.... ..,.i"!... il...........................\