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
~
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\\\
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
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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 ]
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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
,
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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:
:)
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: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
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