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HomeMy WebLinkAbout321 E 5th St - Engineering "�F CITY OF PORT ANGELES T F U VO j� PUBLIC WORKS UTILITIES o 321 EAST 5TH STREET, PORT ANGELES WA 98362 Application Number 11- 00000227 Date 3/17/11 Application pin number 517751 REPORT SALES TAX Property Address 321 ENGINEERIN E 5TH ST ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- On your state excise tax form Tenant Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc AMI fiber nods, lines, multi attachments RUP #11 -05 Owner Contractor CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION PO BOX 1150 54 W. MISTY LN PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 452 -1110 Permit RIGHT OF WAY Additional desc RUP #11 -'05 Permit pin number 182543 Permit Fee 75.00 Plan Check Fee .00 Issue Date 3/17/11 Valuation 0 Expiration Date 9/13/11 N Qty Unit Charge Per Extension BASE FEE 75.00 Special Notes and Comments Applicant responsible for traffic control, erosion control and restoration. Installation must meet all NESC clearance v requirements. A separate Electrical Permit must be obtained R for each location Fee summary Charged Paid Credited Due 5 r Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 ro u1 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 anoinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pr dime to give authority to violat: or cancel the provisions of any state or local law regulating construction or the performance of nstru On. l r l�� A -7 -17i( ure of C•ntracto •r 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 ACCEPTED COMMENTS YES I NO PW UTILITIES Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE: SITE EROSION CONTROL PARKING SIDEWALK x CURB &GUTTER DRIVEWAY' APPROACH BACK FLOW DEVICE r S 5 i i X M3�$,., z 1'INAL INSPECTIONS. REQUIRED,`PRIOR TO OCCUPANCY /USE r RESIDENTIAL DATE N O COMMERCIAL DATE ACCEPTED YES, NO CONSTRUCTION R W CONSTRUCTION: -'R.W ENGINEERING 417-4807 PW ENGINEERING FIRE 417.4653 FIRE DEPT. PLANNING DEPT 417 -475 0 PLANNING DEPT: BUILDING 4 -7 ;BUILDING 4815 T Form /Building Division /Publk/ Works'Permu ;r /wFC CITY OF PORT ANGELES ,I II PUBLIC WORKS UTILITIES V_ NI.-1/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000322 Date 4/13/11 Application pin number 610260 Property Address 321 ENGINEERIN E 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- 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 CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Fiber Optics Redundant System Install RUP 11 -07 Owner Contractor CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION PO BOX 1150 54 W. MISTY LN PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 452 -1110 Permit RIGHT OF WAY Additional. desc RUP 11 -07 FIBER OPTICS Permit pin number 183715 Permit Fee 75.00 Plan Check Fee .00 Issue Date 4/13/11 Valuation 0 Expiration Date 10 /10 /11 Qty Unit Charge Per Extension 1.00 75.0000 ECH RIGHT OF WAY PERMIT 75.00 \1�' Special Notes and Comments Consult w /City Electrical Inspector regarding permi requirements prior to start of work. All work to be in accordance with attached conditions. No travel lane closure or revision without traffic control plan approved by the City. r Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 :5. Plan Check Total .00 .00 .00 .00 ZS Grand Total 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 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 an ordinances governing this t •,e of work will be complied with whether specified herein or not. The granting of a permit does not pres e o give authority to vial. dr cancel the provisions of any state or local law regulating construction or the performance of c struc on. Sut ure of ontractor •r Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Divi..n /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 NO PW UTILITIES •'(Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING. SIDEWALK DRIVEWAY APPROACH ,BACK- FLOW`DEVICE. r I a r an :a `.4 4 a i a FINAL INSPECTIONS.REQUIRED`PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE I ES NO COMMERCIAL DATE y ACCEPTED CONSTRUCTION R W W CONSTRUCTION, .R'.W ENGINEERING,ga P. 417 -4807 PW ENGINEERING FIRE 417 -461;3 FIRE DEPT.. PLANNING DEPT 417- 47.50 PLANNING, DEPT. BUILDING, 417 BUILDING 4815 T Forms /Bwldmg'Dtvtsion/Public Works, Permit h f~ORT "-v. $4.0~~~ rea -- ~ ~ 't.,i{~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cation descript~on Subdivis~on Name Property Use Property Zoning . . . Applicat~on valuation 04-00000363 Date .310841 321 E 5TH ST 06-30-00-0-1-7050-0000- 1115 E FRONT ST PUBLIC WORKS UTILITES 5/03/04 PUBLIC BUILDINGS & PARKS o Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 OWNER Permit Additional desc Perm~t Fee Issue Date Exp~rat~on Date PUBLIC WORKS COMM WATER SERV HOT TAP 2" ON 8" MAIN .00 Plan Check Fee 5/03/04 Valuation 10/30/04 .00 o Special Notes and Comments PROPJECT #WFI6077-16077-17US0401 tN ? Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 - ~ 0'( ""t :s ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes null and void if work or construction authonzed is not commenced Within 180 days, if construction or work is suspended or abandoned for a penod 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) Da T \PLANNING\FORMS\\ 102 15 [11/14/2003] PREPARED 3/30/06, 12-23 36 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 3/30/06 ------------------------------------------------------------------------------------------------ ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL _ _ APPL NUMBER 321 E 5TH ST CITY OF PORT ANGELES SUBDIV, CITY OF PORT ANGELES 06-30-00-0-1-7050-0000- 06-00000254 COMM REMODEL PHONE PHONE ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 ~~ PLUMBING ROUGH-IN TIME 13 00 * OVERRIDE TAKEN BY DYASUMUR DATE, 03/29/06 TIME, 15 28-17 03/29/2006 03 27 PM DYASUMUR -----------________________ Clty of port angeles 417-4815 -------------------------------------- COMMENTS AND NOTES ----------------------________________