HomeMy WebLinkAbout517 Lopez Ave - BuildingOF ,ONr,4
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
Housing Authority of Clallam C
2603 S Francis St
PORT ANGELES WA 98362
Permit PUBLIC WORKS
Additional desc $500 FOR CUT
Permit pin number 94342
Permit Fee 3285 00
Issue Date 3/21/07
Expiration Date 9/17/07
Qty Unit Charge Per
1 00 2785 0000 EA
Fee summary Charged
Permit Fee Total 3285 00
Plan Check Total 00
Grand Total 3285 00
T \Policies\ 1102.15R 1 /05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000107
480996
517 LOPEZ AVE
06 30 10 5 0 1606 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
BASE FEE
PW W/M COM 2
COMM WATER SERV
REMOVE EXISTING
Plan Check Fee
Valuation
Paid Credited
3285 00 00
00 00
3285 00 00
Date 3/21/07
00
0
Extension
500 00
2785 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 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 -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 R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815
T \Policies \I 102.15R [1 /05)
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
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
1 1 1
I 1 1
1 1 I
I 1 1
~ I'ORr.....
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r..
, ...- -
-
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
07-10
Application Number
Application pin number
property AddresS
ASSESSOr? PARCEL NUMBER:
Application type description
Subdivision Name
property Use
property zoning
Application valuation
07-00000107 Date
480996
517 LOPEZ AVE
06_30_10_5_0_1606-0000-
PUBLIC WORKS UTI LITES
3/21/07
RS7 RESDNTL SINGLE FAMILY
o
/5/7 Lope-=b
Contractor
Owner
------------------------
plan Check Fee
valuation
. n n nnn.. nKeJoC!#-e
w/Yh .
AptCoW\f')~
.00
o
------------------------
of Clallam C
OWNER
Housing Authority
2603 S Francis St
PORT ANGELES
WA 98362
-------------------------------------------------
permit
Additional
permit pin
permit Fee
Issue Date
Expiration
desc
number
PUBLIC WORKS
$500 FOR CUT
94342
3285.00
3/21/07
9/17/07
COMM WATER SERV
& REMOVE EXISTING
Date
Extension
----------------------------------------------------------------------------
1. 00
2785.0000 EA
BASE FEE
PW W/M COM 2"
500.00
2785.00
Qty
Unit Charge
per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 3285 .00 3285.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 3285. 00 3285.00 .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 ifrequired 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
Signature of Contractor or Authorized Agent
Date
T:\policies\ 1102.15R [1105)
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
lssueddate: ~,!o7 lnstalledby & date: 7('> (,--5-07 Permit # 0"/ - 107
1 hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Z/,b3 s .
F'tf'DnI'I5
Applicant Name & Phone:CtJi L.41Y\ C'nun-r\/ Ht>JlS/ Y>q
J
Site Address: ~ I? /..I'J EJe:::r: Mailing Address:
'~
Blk: _ Lot: Add: (0 Zi1dJ Parcel#: I'YA~/?J rYSnll f)e::;
Svc:ON/OFF Meter#'sC F 02-0013"10 W/O#: >03'-18 ~ 3'2../
S . S' "I'!.i1tl/ F . ~0C7'l :; I1C! . . ' I
vc. Ize ~ ees. '.7~ --- RestoratIOn ReqUIred: C>J C>
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SIgnature: .' ,...., Remarks:.jJro +-'
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