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Home My WebLink About2903 S Peabody St - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00001027 Application pin number 042358 Property Address 2903 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 15 5 1 -2580 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7060 Owner Contractor Date 10/20/05 ENNIS KATHLEEN W LARIAT CONST RUCTION INC 1505 42 ND AVE #10 P 0 BOX 280 CAPITOLA CA 95010 PORT ANGELES WA 98362 (360) 457 0952 Permit BUILDING PERM IT NO PR FEE Additional desc TEAR -OFF RESHEET FELT COMP Permit pin number 63057 Permit Fee 176 75 Plan Check Fee 00 Issue Date 10/20/05 Valuation 7060 Expiration Date 4/18/06 Qty Unit Charge Per Extension BASE FEE 92 75 6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Cre dited Due Permit Fee Total 176 75 176 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 181 25 181 25 00 00 T•\Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005] 000 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 constructi. n. 0/ i b os ure Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL./ FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 h.a.+:......P.,nit mcnectton record05.wad H/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 1 NO 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I I 1 1 1 1 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING I I I 1 I I 1 1 k 4; Fh 1.4 f, fe_640 fesr_L tin LARIAT CONSTRUCTION, INC. PO. BOX 280 PORT ANGELES, WA 98362 (360) 457-0952 v6T.e -etpx..?" e 6_ at 4,401 1, „_s (V% frio_v ,j14_ /qti If/ t_C 3o_ j- i's MJu1 e 4 v4 kliik c/, 111:3 ___Prr_64_ 4 R hIkJ o h i (C4r4_, 14€44 14144 Co. P ()key S /170h C /i,.0.44fe Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Property owner Owner address Contractor Permit Additional desc Permit Fee Issue Date Expiration Date Qty 1 00 3 00 Other Fees Unit Charge 46 7000 5 2000 Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T• \PLANNING \FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 4000 3 Ch ri s p..„4 „Qt r S OWNER ELECTRICAL ALTER RESIDENTIAL 62 30 Plan Check Fee 2/05/03 Valuation 8/04/03 Per ECH EL -R OR RM 1 4 ALT CIRCUITS ECH EL -R OR RM ALT ADDNT CIRCUITS 62 30 00 4 50 66 80 03- 00000094 2903 S PEABODY ST 0630155125800000 RES REMODEL STATE SURCHARGE Paid Credited 62 30 00 4 50 66 80 Signature of Contractor or Authorized Agent Date 00 00 00 00 Date 2/05/03 Due Extension 46 70 15 60 4 50 00 00 00 00 00 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. L� S- 0 3 Signature of Owner (if owner is Gilder) Date G CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 BUILDING PERMIT INSPECTION RECORD YES I NO FOUNDATION: FOOTINGS WALLS Y FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT IT ROUGH -IN I) 4 o3 9VeW PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 T• \PLANNING \FORMS \1102.15 [4/2002] l 3 D st'0 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 I I I BUILDING I I I I I I I I I ELECTRICAL PERMIT APPLICATION FOR OFACI~ U~L y <' DaldRn:; - - c:l ........., CjLf lbleApPfllve"'; Oa:leIUUN: The Electrical Pennit Application must be filled out comDletetv. Please type or reprint In ink. If you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 Owner or Elee. Contractor Agent: properlyOWner,1-5i {I ~--j:~ Address: ;)903 S Pecc ~ Electrical Contractor: tV A Address: !\JP,il! Phone:'I{Og-lf'1f<- Fax: ;;o?-- 31 '" 5" Phone: City: f. 11 ' Zip: License #: Exp: Phone: City: Zip: INSTALLATION WIRED BY: -,s.oWNER Credit Card Holder Name: W', {{', 0'- rr-,. Billing Address9. 0 , (3" '" b b If Credit CardNumber::!; o ELECTRICAL CONTRACTOR Y <-a....5 -e. r City: Cc<-r-(sb:, r~ Exp. Oate' , Zip: l''f'3 :2.i VISA: Md PROJECT AODRESS:;:;( 1'03 ..s Pe<'-~e~ TYPE OF WORK: Check alllhat apply: 0 New o Alteration/Addition ~Residental 0 Multi-family '0 Commercial 0 Mobile Home , Sq. Fl. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool Number of Circuits added or altered: / .7 DESCRIPTION OF THE ELECTRICAL PROJECT:..4.c1c~ "'''-'~ !;" w ",--II C~ rOo''':''-\; -+ C I" \--,,-,sl- -f'-'<.-,0. o ~eplic P,ump 0 Low Voltage 0 Telecom. 0 S ..' "~-:t--e ~:.., +( 3d~~09 ~ €; FCC' '1& .70 oj- fj.:> 0 X 3) =.~ ')..30 L 'J.-.. .f,c...se.1co.."-<C 0-.J.,.-o-s_ .6,f( ~ Electrical Heat Load Additions ..L re.~ e-. - , Service Information , \ ..- ~ /?2?,t);2:LJ i-tJ,t?{)' w-d ~~. 6 l<:,J . ,rv'" ~ o Baseboard _KW / ~vU Voltage: o Furnace _KW 0 Overhead Service Phase: 01 0 3 o Heat Pump _ KW 0 Temp Service Service Size: o Fan-Wall i- KW 0 Underground Service Feeder Size: PAMC 14.05,060(6): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service ~ Feeders, building size (sq. ft.), load calculations, and the type & 01 conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this applicatio e and correct, and I ~ authorized to apply for this permit. I understand it is s legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. PW-9019 Credit Card Holder's Signature: ~~:.. (' !},JO---- Owner or Elec. Cant., Signature: (J k_________. C, UIL-.--- , A;f:,). '1- () 3 -IZf:f2 /p () f!I/ltI('f;- 1- ~3 .tJ'I L ~ ;(-1-t>~ Date:2-l{-.-03 Date:;2. -<( ~O S tJL ~. ELECTRICAL PERMIT APPLICATION FOR OFFICL\1. USE ONL l' Dlfo'Rcc: Pamilfl; D..rz: Approved.: Datclanaaf: Address: --- The Electrical Permit Application musl be ffll",* out oomolelelY. .:fI- 7C!^C- Plea.e type or reprint In Ink. If you have any questionlLoleBI8 call1lK8\ An ..nu (J-.."::) t"ax "umoer: (3001 411'"4111 REQUEST INSPECTION Phone:b8(-s-o~~ Fax: C-If. U- Phone: fflt?# - E( 9 I L Zip: 9~s>:2..'1' t;-&~ Owner or Elec. Contractor Agent: W': II ~ ~ __ ~s~..~_ Lie nsa #: City: Exp: INSTALlATION WIRED BY: ~WNER Credit Card Holder Name: Wi 1/ "D-"",- Billing Address:!;? 0 . (3 o~ b (, V- ' CredIt Card Number::' "'/ Phone: o ELECTRICAL CONTRACTOR Zip: PROJECT ADDRESS: ^ 7'03 fe.a..beS TYPE OF WORK: Check ;ill that apply: 0 New c.. Y~":j ~ , 'City: C.~sbo ~ :Xp.Date:_ " 1 .. / wq. Zip: '?fJ';L'I CV~~MC "l!!I Res/denial 0 Multi-family 1j1[ Alteration/Addition Remote Meter 0 Detached garage 0 Hot Tub 0 SWim Pool 0 Septic Pump o Commercial 0 Mobile Home Sq. Ft Number of Circuits added Or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:.,;(OO .....~jQ S-<a- (.J;: c:.."'E' 7!) A .~ClV A Sk-0u_ o Low Voltage 0 Telecom. 0 S ~~c //.m~ ,~ 4333' o Baseboard o Furnace ~at Pump r-ran-Wall (j~ LRA KW PERMIT FEE:-!t1.-90 ( l2-k rt 757'.:z.. L jiAe.<k.t Service Infonnation Electrical Heat Load Additions PAMC ".''''Of''' F~ "''''-. """"""'. · ~""'.. ."'... ....' '". . ,""'" ""', ""' '''''''' "<h, "",""" S~,~ . F...~. .."., ... f", n.' ... ~,",-, ... "'typ,." __ '".~ """". ",",", '"' ,h" """"PO"., ,,_, Permit application. mOverhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 Service Size: Feeder Size: o 3- , """'by <>rlify ~at , hav, "'ad 'nd ex'mln," /his appIfu./km and /m,w /ha/ same to b. !me and "'''''''. and J . authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what Permits c "',vlmd; ''''m."s the app'kant, "''POnsfblHty 10 -"""", Wh./ pe""" an> "",vlmd and to ob"'n '""" Ble7 AL.- UO rts is - ~epf .fni. MIcsr/?/12I/O<.I<1e f ~<L5 _ -JL Credit Card Holder's Signature:.L. LU{;,. .... C ~ Date:6'r.zb~-2- Owner or Elec. Cont. Signature: e)' r:2..b-<l , C:/ELECTRICALPERMiTAPPLlCATION --0-- ~ C CJ~ ~-2-"0 Z-- .... CITY OF PORT ANGELES 'f.~..~ PUBLIC WORKS - ELECTRICAL DIVISION 32~F. AST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT ISSUED: 8/30/2002 PERMIT NO 7805 OWNER/APPLICANT PROPERTY LOCATION WILLIAM YEAGER 2903 PEABODY S 2903 S PEABODY Lot: 38 PORT ANGELES, WA 98362 Block: 25 Long Legal 360/681-5028 Subdivision: GRANTS ADDT. T: S: Parcel No: 063015512580000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES, MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: Electrical Heat: Baseboard 0 KW Riser Underground Service Furnace 0 KW Overhead Service Voltage: 0 ~. 1 : Heat Pump 0 KW Temp Service Phase: ; 1 ] 3 Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES 100 AMP. PANEL CHANGE TO 200 AMP. RECEIPT# 9592 FEES ASSESSMENT Service: $64.90 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $64.90 AMOUNT PAID: $64.90 BALANCE DUE $0.00 COMMF~NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417.4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COl/ER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLAlqS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE FINAL GENERAL COMMENTS: Pw- I IO2.1 $ [4t96] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000094 Date 2/05/03 Property Address ...... 2903 S PEABODY ST ASSESSOR PARCEL NUMBER: 0630155125800000 Application description . . . RES REMODEL Property Zoning ....... Application valuation .... 4000 Property owner ....... Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee .... 120.75 Plan Check Fee . . .00 Issue Date .... 2/04/03 Valuation .... 4000 E~piration Date , , 8/03/03 Qty Unit Charge Per Extension BASE FEE 92.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 Permit ...... PLOMBING PERMIT Additional desc . . Permit Fee .... 68.00 Plan Check Fee . . .00 Issue Date .... 2/04/03 Valuation .... 0 Expiration Date . . 8/03/03 Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construct[on 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 i~ builder) Date T:\PLANNTNG\FORMSq 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT1S UNLAWFUL TO COVER, INSULATE OR CONCEAL ~4NY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTER COMMENTS YESI No FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB WATER LINE GAS LINE RACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (Engine~ringDivision) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'$ SEPA: PARKING/LIGHTiNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~ · ~ ~ '~'1 .1~ ~ , BUILDING T:\PLANNING\FORMS\ 1102.15 [4/2002] o~ eOR~,?e FOR OFFICIAL USE ONLY: 4~ Date Rec.: ° BUILDING PERMIT - APPLICATION Date Approved: Date Issued: The Building Pe~it Application must be filled out completely. Please type or print in in~ If you have any questions, please call 417-4815 Applic~t or Agent: ~t/[ ~ ~ i~ ~DC~ Phone: Owner: Phone: Address: ~ ~ ~ ~ ~ff City: ~ ~,/~ ~[~ ~ Zip: ArchitecffEngineer: Phone: Contractor License Exp: Phone: Address: ~~l(~ City: Zip:, LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: Billing Addr~s: City:. Credit Card ~: Exp. Date: VISA MC TYPE OF WO~: SI~UATION: ~ Residenhal ~ New Cohsm u Re-roof B Wood-stove sr. ~ $ /sr. ~ Multi-f~ly ~ Addition ~ Move ~ Garage sr. ~ $ /sr. = $ ~ Co~ercial ~ Remodel ~ Demolition ~ Deck sr. ~ $ /sr. = ~ Repair ~ Sign ~ TOTAL V~UATION $ COMMERCI~/~SIDENTI~: Occupancy Group:. Occupant Load: Cons~ction T~e:. No. of Stories: ~ Lot Size: % Lot Coverage: % Exist~g Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVE~GE: /sq. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW FI~ ESMWetland(s): ~ Yes ~ No SEPA Checklist required? ~ Yes ~ No Other: OTHER B~LDING PE~IT APPLICATION S~M1TT~: Your application and site plan must be filled out completely to be accepted for review. ~e Build~g Division can provide you with more detailed ~omtion on the application and plan sub~aal require~nts. Yo~ completed application, site plan (for additions) and building cons~ction plans are to be subdued to the Building Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applicant. T~s fi~e will be reviewed and ~y be revised by ~e Building Division to comply ~th c~ent fee schedules. Contact ~e Pe~t Coordinator at 417-4815 for assistance. PL~ CHECK FEE: Your plan check fee is due at the time the building pemt application ~d co~ction pla~ are subdued. All o~er pe~t fees are due at ~e tree ofpe~t issu~ce. EXPIATION OF PL~ ~VIEW: If no pe~t is issued wi~in 180 days of the date of application, this application will expire. The Building Official can extend the t~e for action by ~e applicant up to 180 days upon ~i~en request by the applicant (see Section 107.4 of the Unifom Building Code, c~ent edition). No application can be extended more than once. I hereby cert~ that I have read and examined this application and know the same to be ~ue and co~ect, and I am authorized to apply for this permit. I understand it is not the Ci~'s legal responstbtli~de~mtne what permit&are require& it remains the applicant's responsibili~ to determine what permits are required and to ob~ s~ ~ ~ ~/ ~; ~ SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PHONE: PROJECT/DEVELOPMENT ADDRESS: See Page 4 for instructions on completing the site plan. For more information, call 417-4815. [:- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date O ~--,/~J//~ ? Time ~.~'~ ~'~- Received by~,~ Location of Work to be inspected f)-~(?-~ Name of person requesting inspection ~ /3/ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one)~~ Permit No. Sewer Foundation Framing Chimne~ Plumbing )Final Sewer Excav. Other INSPECTION NOTES: ~ Inspected: Date ~ Time . By Remarks: ///'- ~. ? RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt ~-~PCC [~]Other {--I Repaired by City Work Order # ~1 Repaired by Permittee [] COMPLETE I--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)