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HomeMy WebLinkAbout300 E 4th St - Building %wF�F CITY OF PORT ANGELES L PUBLIC WORKS UTILITIES IL GI/ 32] EAST 5TH STREET, PORT ANGELES WA 98362 Application Number 11- 00001030 Date 9/19/11 Application pin number 253540 Property Address 300 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your state excise tax form Tenant nbr, name PORT ANGELES HIGH SCHOOL the Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Homecoming Parade RUP 11 -24 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc HOMECOMING PARADE RUP #11 -24 Permit pin number 192872 Permit Fee .00 Plan Check Fee .00 Issue Date 9/19/11 Valuation 0 Expiration Date 3/17/12 Special Notes and Comments Contact PAPD to coordinate police escort. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 hot 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. (126 it ,.14,61/ Signature of Contractor or Authorized Agent ate Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK IZEFORE 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. METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE: SITE EROSION CONTROL PARKING SIDEWALK a, CURB &CUTTER DRIVEWAY APPROACH BACK FLOWDEVICE', fax P ti y :s .i l a y 5, z, ..7 r'k.. .y L „N 4. ._„G. h�, F+,; FINAL INSPECTIONS QUIRED PRIOR TO OCCUPANCI /USE Y RESIDENTIAL t DATE IES `NO COMMERCIAL DATE' ACCEPTED, F. YES NO, ENGINEERING 417-4807' PW ENGINEERING CONSTRUCTION R W /'P.W/ CONSTRUCTION R:W NEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. 417 -4750 PLAN,NING,DEPT. BUILDING 4l l ;BUILDING 481'5 T Forms /Bwldmg Divts�on/Publtc WorksPermn CITY OF PORT ANGELES 0 �1� PUBLIC WORKS UTILITIES 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000493 Date 5 /20/11 Application pin number 807327 Property Address 300 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your State excise tax form Tenant nbr, name CHERIE KIDD Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Historic district parade, RUP #11 -12 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc RUP #11 -12 Permit pin number 186098 Permit Fee .00 Plan Check Fee .00 Issue Date 5/20/11 Valuation 0 Expiration Date 11/16/11 Special Notes and Comments Public Works Utility Engineering has no requirements for this plan review. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 1 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:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 ACCEI'TED COMMENTS YES l NO PW UTILITIES ',(Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE., SITE EROSION CONTROL PARKING SIDEWALK CURB &.GUTTER DRIVEWAY APPROACH 'BACK FLOW DEVICE:' .F E vrz 4 4 b d 3c FINAL INSPECTIONS ,REQUIRED PRIOR' TO OCCUPANCY /USE RESIDENTIAL. Y. DATE, IES NO COMMERCIAL DATE ACCEPTED CONSTRUCTION R W CONSTRUCT.ION: R.W. ENGINEERING; 417- 4807' PW ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417 -4750 PLANNING .DEPT. BUILDING 417 BUILDING 4815 T Forms /Building Djv s2on/Public Works Perrrui P °Rr�c CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000654 Date 5/29/12 Application pin number 921230 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0- 0000 -0000- REPORT SALES TAX Tenant nbr, name PA CHAMBER OF COMMERCE on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc 4th of July parade RUP #12 -14 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc 4TH OF JULY PARADE RUP #12 -14' Permit Fee .00 Plan Check Fee .00 Issue Date 5/29/12 Valuation 0 Expiration Date 11/25/12 Special Notes and Comments Traffic control per attached plan. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 his type of work will be complied with whether specified herein or not. The granting of a permit does not presume to •ive authority to iolate or cancel the provisions of any state or local law regulating construction or the performance of construc, u 0 r �e e rg thorized Agent ate Signature of Owner (if owner is builder) Date T:Forms /Building 1 vision /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms /Building Division/Public Works Permit Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Jaun De Fuca Festival Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Fee summary Charged Permit Fee Total Plan Check Total Grand Total T Forms /Building Division /Public Works Permit WA 983620217 00 00 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 32] EAST 5TH STREET PORT ANGELES. WA 98362 11 00000290 875610 300 E 4TH ST R6 30 00 0 0 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER Permit RIGHT OF WAY Additional desc RUP 11 06 Permit pin number 183319 Permit Fee 00 Plan Check Fee 00 Issue Date 4/04/11 Valuation 0 Expiration Date 10 /01 /11 Special Notes and Comments Traffic control per attached plan Applicant responsible for pick up placement and return of traffic control devices Coordinate with City Traffic Division 417 8422 Paid Credited Due 00 00 00 00 00 00 Date 4/04/11 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 to violate or cancel the provisions of any state or local law regulating construction or the performance of co st ction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY 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 PW' UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED COMMENTS FINAL INSPECTIONS. REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W /•PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417-4750 BUILDING 4'1.7- 4815 T.Forms /Building Division/Public;Works;Perrnit PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES I NO ,a• CONSTRUCTION R.■ PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING dm& Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HS Homecoming Parade RUP #10 31 Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 0000 ECH RIGHT 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total Signature of Contrac or Authorized Agent T \Policies \1102 15 [10/081 WA 983620217 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00001037 750272 300 E 4TH ST R6 30 00 0 0 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER RIGHT OF WAY HS HOMECOMING PARADE RUP #10 30 173583 00 9/17/10 3/16/11 Plan Check Fee 00 Valuation 0 OF WAY PERMIT Special Notes and Comments Applicant to coordinate police escort with PAPD Gale Thurston 360 417 4933 Charged Paid Credited 00 00 00 00 00 00 00 00 00 Va Contact Date 9/28/10 Due Extension 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 INSPECTION TYPE DATE PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102 15 [10/08] RESIDENTIAL KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ACCEPTED COMMENTS YES NO SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING Application Number 11 00000595 Date 6/14/11 Application pin number 747970 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name PA CHAMBER OF COMMERCE Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc 4th of July Parade RUP #11 11 Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments Traffic control per attached plan Coordinate traffic control set up and removal with street Division Fee summary Permit Fee Total Plan Check Total Grand Total con T• \Policies \1 102.15 10/08] WA 983620217 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER RIGHT OF WAY 4TH OF JULY PARADE RUP# 11 11 187492 00 6/14/11 12/11/11 Charged Paid Credited Plan Check Fee 00 Valuation 0 00 00 00 00 00 00 00 00 00 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 presum- to •ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of 654 gnature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 0 CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1 102 15 10/08] PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Signature of CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T.Forms /Building Division /Public Works Permit WA 983620217 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES WA 98362 11 00000099 944847 300 E 4TH ST R6 30 00 0 0 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Application desc RUP 11 02 Annual Community Safety Day RIGHT OF WAY RUP 11 02 ANNUAL 180992 00 1/31/11 7/30/11 Special Notes and Comments Applicant to coordinate street closure Transit Traffic control per attached prepared /approved plan Contractor OWNER SAFETY DAY with Clallam City Charged Paid Credited 00 00 00 00 00 00 00 00 00 Date 1/31/11 Plan Check Fee 00 Valuation 0 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 ntractor or uthorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB &`GUTT DRIVEWAY APPROACH `BACK -FLOW DEVICE 'RESIDENTIAL CONSTRUCTION;R:W PW/ ENGINEERING FIRE INSPECTION TYPE DATE ACCEPTED PLANNING DEPT 417 -4750 .I BUILDING 41.7- 4815 T.Forins /Building Division/Public;Works:Peimit I. PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 417-4807 417 -4653 YES I NO :FINAL 'INSPECTIONS.REQUIRED'PRIOR TO' OCCUPANCY /USE' DATE YES' NO COMMERCI ACCEPTED YES NO :R. W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 'BUILDING COMMENTS Application Number 10 00000556 Date 6/04/10 Application pin number 936476 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name PA CHAMBER OF COMMERCE Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Fourth of July Parade RUP #10 15 Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983620217 Special Notes and Comments Follow attached traffic control Fee summary Permit Fee Total Plan Check Total Grand Total T• \Policies \1102.15 [10/08] Charged CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER RIGHT OF WAY 4TH OF JULY PARADE RUP #10 15 166926 00 Plan Check Fee 00 6/04/10 Valuation 0 12' /01 /10 plan Paid Credited 00 00 00 00 00 00 00 00 00 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 o 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 bo azadji.— Ftitif") 6/F/r) ature of Contractor or Authorized Agent Ddce Signature of Owner (if owner is builder) Date 1 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T ■Policies \1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 YES NO 1 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I 1 1 1 of PORT,y�,O et IVA IL MGM .14 4IC NCO T F� U Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Juan de Fuca Festival Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments Traffic control per attached plan pick up placement and return of Fee summary Permit Fee Total Plan Check Total Grand Total 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 cQ1[ uGtion. T \Policies \1102.15 [10 /08] WA 983620217 RIGHT OF WAY RUP #10 14 165779 00 5/20/10 11/16/10 Charged Paid Credited 1 ,AAY /o Signature of C ontractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000511 138244 300 E 4TH ST R6 30 00 0 0 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER Applicant responsible for traffic control devices 00 00 00 00 00 00 00 00 00 Date Plan Check Fee Valuation Date 5/20/10 Due 00 00 00 00 0 Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417-4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102 15 [10 /08] PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I I I I I I Application Number 10 00000398 Date 4/23/10 Application pin number 272700 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name CLALLAM CO SHERIFFS Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Annual Community Saftey Day RUP #10 11 Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit RIGHT OF WAY Additional desc ANNUAL SAFTEY DAY RUP #10 11 Permit pin number 164202 Permit Fee 00 Plan Check Fee 00 Issue Date 4/23/10 Valuation 0 Expiration Date 10/20/10 Special Notes and Comments Temporary traffic control per attached City prepared and approved plan Fee summary 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 constr 'on Signature of Contrafr or Authoriztid Agent T1Policies \1102.15 [10/08] WA 983620217 Charged Paid Credited Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Due Date Signature of Owner (if owner is builder) Date �o CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T' \Policies \1 102 15 [10/081 INSPECTION TYPE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS Application Number 09 00000975 Application pin number 418400 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name PARS Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc HS Home Coming Parade RUP #09 45 Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Qty Unit Charge Per 1 00 0000 ECH RIGHT OF WAY PERMIT Fee summary T \Policies \1102 15 [10 /08] WA 983620217 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Permit RIGHT OF WAY Additional desc HOME COMING PARADE RUP #09 45 Permit pin number 153932 Permit Fee 00 Plan Check Fee 00 Issue Date 9/21/09 Valuation 0 Expiration Date 10/24/09 Special Notes and Comments Applicant to coordinate police escort with PAPD Contact Gale Turton 417 4933 Permit expires on 10 24 2009 September 21 2009 3 42 44 PM rvess Charged Paid Credited Date 9/21/09 Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 Extension 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 CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1 102.15 10 /08] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS Application Number 09 00000510 Date 5/28/09 Application pin number 055510 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name CLALLAM CO EMERGENCY MGMT Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Close 4th St Clallam Emrg Mgmt RUP #09 22 Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc CLOSE 4TH ST RUP #09 22 Permit pin number 147017 Permit Fee 75 00 Plan Check Fee 00 Issue Date 5/28/09 Valuation 0 Expiration Date 11/24/09 Qty Unit Charge Per Fee summary Permit Fee Total Plan Check Total Grand Total T \Policies \1102 15 [10/08] BASE FEE Special Notes and Comments Follow attached traffic control plan CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER Charged Paid Credited Due 75 00 75 00 00 00 00 00 00 00 75 00 75 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 clays 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 con truction. I tr/ 149 Extension 75 00 Signature o or Authorized Agent Dat e Signature of Owner (if owner is builder) Date DRIVEWAY APPROACH BACK -FLOW DEVICE CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \110' 15 [10/08] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT I BUILDING COMMENTS Of PORT,,. 1_ 't el1C Wee Application Number 08 00001134 Application pin number 831672 Property Address 300 E 4TH ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Home Coming Parade RUP #08 36 Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Date 9/09/08 Permit RIGHT OF WAY Additional desc HOMECOMING PARADE #08 36 Permit pin number 134122 Permit Fee 00 Plan Check Fee 00 Issue Date 9/09/08 Valuation 0 Expiration Date 3/08/09 Special Notes and Comments Police to escort from Vern Burton 4th Street to Civic Field Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 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•\Policies \1102.15R [1/051 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 T•\Policies \1102.15R 1/05] SITE EROSION'CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES 1 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL CONSTRUCTION RW PW/ 417 4807 I ENGINEERING FIRE 417 -4653 PLANNING DEPT. 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO 4 COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT PLANNING DEPT BUILDING COMMENTS 1 1 1 1 1 1 1 1 ?oar Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES T•\Policies \1102.15R [1/05] Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 983620217 RIGHT OF WAY RUP #07 11 100776 00 5/02/07 10/29/07 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000472 057832 300 E 4TH ST R6 30 00 0 0 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER Plan Check Fee Valuation Charged Paid Credited 00 00 00 00 00 00 00 00 00 Date 5/02/07 Due 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 goveming 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 CALL 417 -4807 FOR UTILITY 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION RW /.PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R 1/05] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO 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 1 1 1 1 1 1 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION ILW PW ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING I I I I I I I I of ,ORT~_ l~ ~ !o. -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CED Application Number Applicat~on p~n number Property Address ASSESSOR PARCEL NUMBER: Applicat~on type descr~ption Subdiv~sion Name Property Use Property Zoning . . . Appl~cat~on valuat~on 06-00001109 Date 10/06/06 713295 300 E 4TH ST R6-30-00-0-0-0000-0000- PUBLIC WORKS UTILITES UNKNOWN o ~ \ '"'- ~ ~ Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 OWNER Perm~t . . . . . Add~t~onal desc . Perm~t pin number Perm~t Fee Issue Date Expirat~on Date . RIGHT OF WAY R/W USE #06-29 88526 .00 10/06/06 4/04/07 Plan Check Fee Valuation .00 o Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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:\Policies\1102.15R [1I05J PERMIT INSPECTION RECORD CALL 4174807 FOR UTILITY 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 YES NO PW UTILITIES (Engineering DivisIOn) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policles\11 02.15R [1/05]