HomeMy WebLinkAbout500 Whidby Ave - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Fee summary Charged
Permit Fee Total 42 50
Plan Check Total 00
Grand Total 42 50
T•\Policies \I102.15R [1/05)
Qty Unit Charge Per
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST STH STREET PORT ANGELES, WA 98362
06 00000404
4953
500 WHIDBY AVE HYD
R6 36 00 0 0 0000
PUBL::C WORKS UTILITES
UNKNOWN
0
Contractor
OWNER
P ?id Credited Due
42 50 00
00 00
42 50 00
Date 5/02/06
Permit PUBLIC WORKS RES WATER SERV
Additional desc FIRE HYDRANT METER
Permit pin number 76141
Permit Fee 42 50 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 10/29/06
Extension
BASE FEE 42 50
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 eot commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenc ed, 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 Mil be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel they 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
0
0
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 RW 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
I I
I I I
I I I
I I
I I
I I
I I
I I
I I I
I I
I 1 I
1 I
I
I 1 I
I I
I I I
I I I
I I I
1 I I
I I
I I I
I I
1 I
I I
I I I
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
1 1
I I
I I
I I
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
1 I I
1 I I
I I
I I