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HomeMy WebLinkAbout517 Lopez Ave - BuildingOF ,ONr,4 NktC W3 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..... lO~&~ r.. , ...- - - ""<~ 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> . eO~m 1> ,... P ~kM<a+eV-, SIgnature: .' ,...., Remarks:.jJro +-' 1?elo e.. W Yl-'\ -+De ol'fmf>'vVls{.a.Pr~Je':"l; (fl?rCbmpll}t.) ~~.}e:(W\d-ev- 5oo~F02.~ILI"i (<etltIOlJt t?l.l> s!Ad30 N .1. IOl'~lr E 1<' o w C. LDp e.. L- .~ ::3 J<, s 1