HomeMy WebLinkAbout1218 W Lauridsen Blvd - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Widen driveway culvert
Owner
AUSTIN GERALD G
1305 E 1ST ST
PORT ANGELES
Fee summary
T \Policies \I 102 15 [10/08]
WA 983624602
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES WA 98362
08 00001504
245920
1218 W LAURIDSEN BLVD
06 30 08 5 5 0400 0000
PUBLIC WORKS UTILITES
Permit RIGHT OF WAY
Additional desc WIDEN DRIVEWAY CULVERT
Permit pin number 138719
Permit Fee 50 00
Issue Date 12/08/08
Expiration Date 6/06/09
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Plan Check Fee
Valuation
Special Notes and Comments
12 culverts will be installed to City Stanards Call for
Public Works inspection before cover 24 Hr advance notice
is reqiured 417 4831
Charged Paid Credited
Permit Fee Total 50 00 50 00 00
Plan Check Total 00 00 00
Grand Total 50 00 50 00 00
Date 12/08/08
Due
00
0
Extension
50 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.
J -Lt,eideJ
Date Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417 -4831 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
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
I FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T' \Policies \1102 15 [10/08]
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
ACCEPTED
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
ELECTRICAL PERMIT AJ+.T]) INSPECTiON RECORD
CITY OF PORT ANGELES
360-417-4735
~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00001534 Date 12/17/08
472500
1218 W LAURIDSEN BLVD
06-30-08-5-5-0400-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Application desc
100 amp panel garage with lights and receptacles
Owner
Contractor
AUSTIN GERALD G
1305 E 1ST ST
PORT ANGELES
OWNER
WA 983624602
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 13913Q
Permit Fee 75.00 Plan Check Fee
Issue Date 12/17/08 Valuation
Expiration Date 6/15/09
Qty Unit Charge Per
1. 00 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER
.00
o
Extension
75.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
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SPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR:.
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
I
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~
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RECEIVED
DEe 1 ~1li6BTRICAL WORK PERMIT APPL\~AT19N
Job wired by
o Electrical Contractor .iJ Owner
Uti .' ~ion description
o Commercial ,., Residential
Electrical contractor name
License number
Date Expires
.. New
o Altered/Addition
City
State ZIP
l(jrJ Il #/ f ~'P<.t) 1 ~~
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o Cash II Check # r L f :5
d6
Purchaser's mai I ing address
Telephone number
FAX number
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premC;;Re~s;:Oe ~ A uS/')~
Ad?ress of ins~ . · -l 0 L
1'2./f . . ~~ Dj taJ
City WA ~
P-f f1tJ(J~r::; ~ 9-6303
Phone number to schedule j~splction:
Owner as defined by RCW 19.2 .261 f1) Owner will occupy the structure fbr two
years after this electrical permit is finalized (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Sign t
o Credit Card Visa
Card #
Mastercard
Discover
Expiration Date
of card
~
SenliceJniormation
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
~~[?1r8 ~
Date
Approved By
FEEDER
FINAL
~~
DITCH
l/JbIDC[ 1W
Date Approved By
Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
1>/1" JOr O/L IIf eTA