HomeMy WebLinkAboutRook Dr - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
GREEN CROW TIMBER LLC
PO BOX 2439
PORT ANGELES
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
T•\Policies \1102.15R [1/05)
WA 983620312
42 50
00
42 50
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000689
460428
UNASSIGNED
06 30 14 5 3 1009 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Permit PUBLIC WORKS RES WATER SERV
Additional desc FIRE HYDRANT METER
Permit pin number 81166
Permit Fee 42 50
Issue Date 6/28/06
Expiration Date 12/25/06
BASE FEE
'Signature of ;Contractor or Authorized Agent Date
Plan Check Fee
Valuation
Paid Credited
42 50 00
00 00
42 50 00
Date 6/28/06
Extension
42 50
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 goveming 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.
1 c,-2s--66
Sign ture of Owner (if owner is builder) Date
00
0
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417.4815
T•\Policies \1102.15R 1 /05]
RESIDENTIAL
PERMIT INSPECTION RECORD
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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
I I
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT.
1 PLANNING DEPT
BUILDING
COMMENTS
1 1
1 1
1 1
I I