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HomeMy WebLinkAbout516 S Peabody St - Engineering c/p{lllr"" ~ ~ .... -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 0 4 -I D q ~ Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning Application valuation 04-00001092 Date 11/24/04 .831160 516 S PEABODY ST 06-30-00-0-1-9985-0000- RIGHT OF WAY Owner Contract<;>r b7& SP~~ /(e d - tou Cn:4- COMMERCIAL OFFICE o DRYSDALE, JANET P. O. BOX 3174 PORT ANGELES { 36} 457-2855 WA 98362 KED-TER CONSTRUCTION 1231 THREE CRABS RD PORT ANGELES WA 98362 (253) 874-4884 Permit RIGHT OF WAY Additional desc Permit Fee 45.00 plan Check Fee Issue Date 11/24/04 Valuation Expiration Date 5/24/05 Qty Unit Charge Per 1. 00 45.0000 ECH RIGHT OF WAY PERMIT .00 o Fee summary Charged Paid Credited -----~----------- ---------- ---------- ---------- Permit Fee Total 45.00 45.00 .00 Plan Check Total .00 .00 .00 Grand Total 45.00 45.00 .00 E~ ~ Due .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. Date Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\PLANNING\FORMS\I ]02.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQlJEST: )! A Date /~LP--~~ime Received by (phone, person) Location of Work to be inspected Name of person requestin~ inspection . Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final 01 h So k P ff ';-b1-- p'7 f:, , lee: +A-~-c }./ f7e~ ~ ~LA {!nUL/- ,e~~ Phone No. WJ-O/~ Permit No. Sewer Excav. Other)(kA-<<~ .~ INSPECTION NOTES;, J; J ^ .I Inspected: Date / t.?1 ~ Time , Remarks: 8y-.J e~ RESTORATION REQUiRED...... YES NO 'If 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 IL-....------ \" _._~-,------,--_._----~-~_. 1____..__ n.____.___..._ 1 1 I I I I ~ I I I <:7 I 0'_ i i I i i 1 ! ! i I I , I ! i i i i I I I I i i I I I i I , --L- ---0 y (' f'" \9. "" , 95' 0.. + --- 6>_ , " I'-~~ I ! 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(> -.( i I i r I i I I i i I I I 1 'I f pORT ~ 8~O~~~ ,. .....~ ~ ~<:~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number .. .. . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001092 Date .831160 516 S PEABODY ST 06-30-00-0-1-9985-0000- RIGHT OF WAY 1/12/05 COMMERCIAL OFFICE o Owner Contractor PURVIS, BONNIE E 516 S PEABODY PORT ANGELES WA 98362 KED-TER CONSTRUCTION 1231 THREE CRABS RD PORT ANGELES WA 98362 (253) 874-4884 Permit RIGHT OF WAY Additional desc Permit Fee 45.00 Plan Check Fee .00 Issue Date 11/24/04 Valuation 0 Expiration Date 5/24/05 Qty Unit Charge Per Extension 1. 00 45.0000 ECH RIGHT OF WAY PERMIT 45.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45.00 45.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 45.00 .00 .00 Vt, - 'tJ \j\ V CC P C- O ~ ",,-< 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. 0/1/ F/Lc: Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [l/05] 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 I YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PWI CONSTRUCTION.. R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05]