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HomeMy WebLinkAbout324 N Race St - Engineering /' Application Number pin nwnber Property Address ASSESSOR PARCEL NUMBER: Application description subdivision Name Property Use property Zoning . . . Application valuation 04-00000892 .873620 324 N RACE ST 06-30-00-5-1-]700-0000- PUBLIC WORKS UTILITES Date 9(30(04 COMMERCIAL OFFICE o Owner Contractor CLALLAM CO PUB HOSPITAL DIST 2 939 CAROLINE ST PORT ANGELES (360) 417-7000 OWNER WA 98362 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 260.00 Plan Check Fee .00 Issue Date 9/30/04 Valuation 0 ,I Expiration Date 3(30(05 , Qty Unit Charge Per Extension 1. 00 260.0000 EA SAN SEW CAP/PULL W/M 260.00 Fee summary Charged Paid Credited Due ----------------- ------- ---------- ---------- ---------- Permit Fee Total 260.00 260.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 260.00 260.00 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] ci VORT ~ ~...~~"" ~,.~ ...~ ~ ~;;JtP . CITY OF PORT ANGELES A DEP ARTM OF COMMUNITY DEVELOPMENT -WILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Appllcation descrlption Subdivision Name Property Use Property zoning . . . Application valuatlon 04-00000892 Date .873620 324 N RACE ST 06-30-00-5-1-3700-0000- PUBLIC WORKS UTILITES 9/30/04 COMMERCIAL OFFICE o ~, Owner Contractor CLALLAM CO PUB HOSPITAL DIST 2 939 CAROLINE ST PORT ANGELES WA 98362 (360) 417-7000 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 260.00 9/30/04 3/30/05 Plan Check Fee Valuatlon .00 o /1 Extension 260.00 Qty Unit Charge Per 1.00 260.0000 EA SAN SEW CAP/PULL W/M Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 260.00 260.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 260.00 260.00 .00 .00 ~ ~ ..z ~ ~ 1\ ~ ~ Separate Permits are required for electrical work, SEP A, 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 ordin nces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to e ;lthori to violate or cancel the provisions of any state or local law regulating construction or the performance of constructio ~ ~q/50tr re 0 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [11/14/2003] ,. ./ ~ Person Calling Received by: Date: IlJ II /01 person Phone 4Cl07 PRIORITY: Urgent 6. Schedule ASAP,6 Time: RCQUEs~:e;; Pj;'JfJf;!~ @)J7~4 t;.~ ~ ?~3~#L:d: I ~. _~q~ Nt;s, I~ ~ CITY OF PORT ~ . 117"- 14.A t:t./ REQUEST FOR SERVICE ANGELES * PUBLIC WORKS DEPARTMENT phone D D D Address mail Director o City Engineer o FORWARD TO FOR Street BuiLding o 0 ACTION BY: Engineering o ;zr ;z (after aC~lon) Yes ~ SoL id Waste o No ~ ACTION TAKEN making request .-:/'/.. ! ,<-t~ rj (before action) Yes ~No ~ ;4/1 e}/-..(! 11 Contact person !Y;~iaL , " ~~ ~~ RETURN TO SECRETARY FOR FILING" " " 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 fora period of180 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 Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.IS {11/1412003] REQUEST FOR SERVICE . CITY OF PORT ANGELES * PUBLIC WORKS DEPARTMENT --r: . 0 Person Calling 11l.f-j'f.A. ~ Received by: phone Address Date: ID /1 / O<f person 0 Phone 4~07 PRIORITY: Urgent6 Schc'du]e ASApL':I,Time: mml 0 REQUEST <<. lj,~ F . ;;;;44 F SI. Director o City Engineer o FORWARD TO FOR ACTION BY: Street Build'ng Engineering o 0 0 7r;Z SOloWaste (after ac:ion) Yes 6. No L':I, Contact person making request (before action) Yes 6.No L':I, ACTION TAKEN ~\ ~W~ . . , - /f c/UJpDEl< - i ~ fiW. zZL,. 4)c;...4. I j,L)~ tJ?<. /0-0;/3 ~()<j " ." ". RETURN I r' It~41 IfrF ~R.-13!o'1/jDh ...28'1 F#/3Ytj7SC/i t!...7i-;c,,7/ J(dJ .29t g9;;z '32-4 N RACE .-.,;.,." CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: IJ -0;2 -ocJ Date Time Received bDJVePJo ~ (phone. person) Location of Work to be inspected 3Z q S. )(6\ G e, Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. () <j- F9,;} ~w~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~ /1127 13g?6 -- () 0;7 INSPECTION NOTES: Inspected: Date /,?-O,!;!,- 0</ Time /t);{!lJ;f7u By LAvee'.bss /Crol/P.Y Remarks: ~j,(2tl(.y! 1.l)CU1. JjJ !a.~~ /C)Z; I' u/: 0./ ;7 / I - ;jJ sr -' / r 61 '" . /1 J U ( MA A:J . ".u f2 _ 07A /La. u.. ) . -5 .:; <). U I.--~ ~ O>l.. c~?Uw. S;T: tu;'ftc, '/'< rC/G ~. RESTORATION REQUIRED . . . . .. YES NO . ~V)t \' . SL/' _I ~ I c.c...i?~~ . ~ f,w1b , . I ~ ~Z I lool~ 0 I C 1Mb eu.... ~(=' ~ \C9 'S. I 3ZY S. (V.DlL ! R,^~ ~ (;.Ij/lh {;::;:;:; . ~ R6\ce. s --\,ee ~ , SURFACE RESTORATION: SURFACE TYPE: ~Unimproved o Gravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # 15'iSlO -OOZ ~ COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)