HomeMy WebLinkAbout1121 A St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
HATCHER WALTER /CAROLYN
15749 WALLINGFORD AVE N
SHORELINE WA 981336011
Permit
Additional desc WATER METER
Permit pin number 90290
Permit Fee 715 00
Issue Date 11/09/06
Expiration Date 5/08/07
T\Policies\ 1102.15811/051
Qty Unit Charge Per
1 00 715 0000 EA
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES`DNISION
321 EAST3TH STREET PORT ANGELES, WA 98362
06 00001209
269923
.,��1-74;
06 30 00 0 3 5090 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
TO 2ND UNIT
Plan Check Fee
Valuation
PW W/M 1 SERV 5/8 METER
Permit STREET ALLEY RESTORATION
Additional desc
Permit pin number 90308
Permit Fee 400 00 Plan Check Fee 00
Issue Date 11/09/06 Valuation 0
Expiration Date 5/08/07
Qty Unit Charge Per Extension
1 00 400 0000 ECH STREET CUT OTHER 400 00
Due
Fee summary Charged
Permit Fee Total 1115 00
Plan Check Total 00
Grand Total 1115 00
Signature of Contractor or Authorized Agent Date
Paid Credited
1115 00
00
1115 00
00
00
00
Date 11/09/06
t A S fee's'
l-L
00
0
Extension
715 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 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 kW PW/ 417 4807
ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750
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 I NO
I I 1
I I I
I I 1
I 1 1
I I I
1 I 1
I 1
1 I 1
1 I I
1 1 1
I I
I I 1
1 I I
I I 1
1 I I
1 1 I
1 1 I
1 I I
I I I
1 I 1
1 I 1
1 I I
1 I I
I I
I I I
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
1 I
1 1
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . .
,
REQUEST:
Date I - 8- c)'7
Time :3 II N.
Received by Pc''''....;, C (phone. person)
Location of Work to be inspected If z ( So - '11"
Name of person requesting inspection J)."... '^ '-5 E.
Address of person requesting inspection t:.o, p V"",R
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
17 +-15
Phone No. tf7-</f?Y7
permit~~ ~
Sewer Excav. Ot r Wu.+er)
INSPECTION NOTES:
Inspected: Date 1- 8 - 07 Time ! fI /v1. By Ve vt 0, S G:.
Remarks: ~ eJ ~.. /J-e - e +e....Jed I" I?E- -t-t..,o':jl C-. z" r:r/C-.
Cbvtdu;--r -. +"0""'- Cu,&, +0 C-ur (" To M-.L+c. ~ T u. t- ro er+y.
RESTORATION REQUIRED . . . . .. YES X NO
~ (' Pc:.. 1<1\
~ 2'1 CL,lJ\i,'T
.~ c" -58' m
"I) 2.' /J.lcf ,-
'\J
-~ ,
N
~ '3"-
- .,
~. 1'1..
VJ vJ. iZ - $-t-
-
.:'t"
Q
\ \f)
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
2...' x.. '-ID"
~ Asphalt D PCC D Other
Work Order # 3031./8 - 281
~ COMPLETE ;f~;z ~
6</S,s'f- r-
D INCOMPLETE v
1#(07
(Continue on reverse side if necessa )
DENT
(DATE)