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HomeMy WebLinkAbout1216 Spruce St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SHADOW ROBIN A 268 BLACK DIAMOND RD PORT ANGELES WA 983632403 Permit Additional desc Permit pin number 49924 Permit Fee 715 00 Issue Date 5/26/05 Expiration Date 11/22/05 Qty Unit Charge 1 00 715 0000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 110 0000 Other Fees Fee summary T•\Policies \1102.15R 1/051 PUBLIC WORKS RES WATER SERV Per EA PW W/M 1 SERV 5/8 METER SANITARY SEWER HOOK UP 49932 110 00 5/26/05 11/22/05 Per EA SAN SEWER HOOKUP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000399 202043 1216 SPRUCE ST B 06 30 08 1 3 0175 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Plan Check Fee Valuation Plan Check Fee Valuation SEWER SYSTEM DELV CHARGE PW WATER SYSTEM USE FEE Charged Paid Credited Permit Fee Total 825 00 825 00 00 Plan Check Total 00 00 00 Other Fee Total 1770 00 1770 00 00 Grand Total 2595 00 2595 00 00 Date 5/26/05 00 0 Extension 715 00 00 0 Extension 110 00 745 00 1025 00 Due 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. 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 T\Policies \1102.15R [1/05] PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION ILW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BRADOW ROBIN A 268 BLACK DIAMOND RD PORT ANGELES WA 983632403 Permit Additional desc Permit pin number 49908 Permit Fee 715 00 Issue Date 5/26/05 Expiration Date 11/22/05 T•\Policies \I 102.15R (1/051 Qty Unit Charge Per 1 00 715 0000 EA Other Fees Qty Unit Charge 1 00 110 0000 Permit Additional desc Permit pin number 49916 Permit Fee 110 00 Issue Date 5/26/05 Expiration Date 11/22/05 Fee summary Charged Permit Fee Total 825 00 Plan Check Total 00 Other Fee Total 1770 00 Grand Total 2595 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000398 101286 1216 SPRUCE ST A 06 30 08 1 3 0175 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER PUBLIC WORKS RES WATER SERV SANITARY SEWER HOOK UP Per EA SAN SEWER HOOKUP Plan Check Fee Valuation PW W/M 1 SERV 5/8 METER Plan Check Fee Valuation Date 5/26/05 00 825 00 00 00 00 00 00 1770 00 00 00 2595 00 00 00 SEWER SYSTEM DELV CHARGE 745 00 PW WATER SYSTEM USE FEE 1025 00 Paid Credited Due 0 Extension 715 00 00 0 Extension 110 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T\Policies\ 1102.15R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD 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 I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I of ?ORT APIPNab- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BRADOW ROBIN A 268 BLACK DIAMOND RD PORT ANGELES WA 983632403 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T• \Policies \1102.15R 1/05] Qty Unit Charge 1 00 110 0000 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total PUBLIC WORKS RES WATER SERV 49882 715 00 5/26/05 11/22/05 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000397 000529 1216 SPRUCE ST 06 30 08 1 3 0175 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Plan Check Fee Valuation Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER SANITARY SEWER HOOK UP 49890 110 00 Plan Check Fee 00 5/26/05 Valuation 0 11/22/05 Per EA SAN SEWER HOOKUP SEWER SYSTEM DELV CHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 825 00 825 00 00 00 00 00 1770 00 1770 00 00 2595 00 2595 00 00 Date 5/26/05 00 0 Extension 715 00 Extension 110 00 745 00 1025 00 Due 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 I PLANNING DEPT 417 -4750 I 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 COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING