HomeMy WebLinkAbout1517 W 16th St - BuildingApplication Number 10 00001470
Application pin number 358460
Property Address 1517 W 16TH ST
ASSESSOR PARCEL NUMBER 06 30 99 0 4 3510 0000
Tenant nbr name QWEST
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
RCP #10 40
Owner
WEBBER STEVEN J
1517 W 16TH ST
PORT ANGELES
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
Special Notes and Comments
Follow traffic control per attached plan
Fee summary
desc
number
Permit Fee Total 150 00 150 00 00
Plan Check Total 00 00 00
Grand Total 150 00 150 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 thi type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authori y to 'o :te or cancel the provisions of any state or local law regulating construction or the performance of
construction
T \Policies \1102 15 [10/08]
WA 98363
RIGHT OF WAY
RCP# 10 40
179143
150 00
12/20/10
6/18/11
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES WA 98362
Contractor
150 0000 ECH PW RW CONST EXCAVTION
Charged Paid Credited
EXCEL UTILITIES CONSTRUCTION
54 W MISTY LN
PORT ANGELES
(360) 452 1110
OTHER
Date 12/20/10
WA 98362
Plan Check Fee 00
Valuation 0
Due
Extension
150 00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 UNL,9WFUL 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
T iPolicies\ l 102 1 10 /08]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES I NO
I
I I
I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO I
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
.'
Site Address:
Installed By:
OwnerfBusiness:
)s.. Residential ,.
Heat KW 10
o Baseboard ~ Furnace/Boiler
~ Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
DetailslDescription:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO, .;1 7 :;-/~
DATE 7J1t:./7'1J
o READY FOR )(wILL CALL FOR
INSPECTION INSPECTION
ELECTRICAL PERMIT
License Number:
Phone:
d..e-
Phone:
Sq. Ft.
Q(New Construction
o Remodel
o Service update/alter/repair
~ Overhead
o Underground
Voltage
o 10 03.0'
Service size ~ 00
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Kt~
_ )AA~
M-fJ:..
.
rJcJ
S~G(.}
S-k,,)
s-t0
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
Y~ROugh-in/cover O.K.
A,'" ii O.K. to connect service
tV" 0 Final O.K.
Site Address:
Installer:
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
13
Permit/Receipt No.
.;1l
New Meters
/
Date:
7-/~- ?6
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspe~ in Wri 'ng on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~ 5 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~t), t) 0
Ins ector f?- Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC PRINTERS. INC.