HomeMy WebLinkAbout1128 W 15th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000331 Date 3/26/03
Property Address ...... 1128 W 15TH ST
ASSESSOR PARCEL NUMBER: 0630000431280000
Application description . . . MECHANICAL APPL, PERMIT
Property Zoning .......
Application valuation .... 2500
Owner Contractor
EDWARDS, LARRY LINDA OWNER
Additional desc . .
Expiration Date . . 9/22/03
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 cedify 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 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
LYSULA TE OR COI¥£'EAL ANY B ORK BEFORE L~3'PE CTED A~¥D ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE (~ 3 '3''2) )
INSPECTION TYPE DATE ACCEPTED COMI~IENT$
YES ] NO
FOUNDATION:
FOOTINGS
WALLS
ELECTRICAL (LIGHT DEPT) SEPARATE PEKMII: #
BUILDING 417-4815 ~--~ --00 ~ ~ BUILDING
PI~o ~ o~ p~t la ~ ~u ~ve ~y q~Uo~, pb~o =U
Apphc~t mWor Ag~t:~ P~ne:
........ P~nc: _
LEC~ D~ON= ~C , B~ Su~v~
E
TYP~ OF WO~ ~ S~UA~ON
~D~ ONOF~ ,
~O ~ ~P~ON S~-t'r~: Yo~ comple~d ~plic~ li~ p[~ (for ~m)
,y b~ revise~ by tb lllu~diag DIv, to crumply wt~ ~ fm acbed~dgs, C~un-t I~ PannR Co<~'~tnr ~ 417../,I tS for ~i~.
Pi~.ATION OF PLAN ILEVI~W: [fao p~rm[t b b~ed with~ 180 days of the daU~ of appiic4giou, titb appUcet~ou will expire by
i~atiom, The BuUdl~g Offic[~ om extend ~he dine f~r a~tlou by the applicant up lo 180 days, on wri~Aa rea, ueet by the ~ppLkaa~ (see
~ion t ~?.4 ~t' the Ued.for~ 8~6M~ C~&, okra'rant mtitio~). Ho ~pplic~tto~ ~m bt ~ mom ~ OAG~.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:. .--. /~
Date ~'~ ~'~-~<> Time Received by (phone, person)
Location of Work to be inspected / / ~ ~ (-~ /~-
Name of person requesting inspection ~--~-v-~,
/
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other _
INSPECTION NOTES:
Inspected: Date ~-~ d.p _~ Time ~'~-~ ~ ,~"c~7 By ~_.~x~/~ /
Remarks: ~_~,.'~
RESTORATION REQUIRED ...... YES_ NO
;URFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee ~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ ~ ~7 '-- ,(-~ Time Received by (phone, person)
Location of Work to be inspected / I ~ ~ {jj
Name of person requesting inspection ~V~
Address of person requesting inspection Phone No. ~-~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing~Fina~
Sewer
Excav.
Other
Inspected: Date ~--~ ~ Time By
~omarks: '
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other _
[] Repaired by City Work Order #
~] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)