HomeMy WebLinkAbout1201 Milwaukee Dr - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
DIVERSIFIED RESOURCES CORP
3430 HWY 101 E
PORT ANGELES
WA 98362
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000246
190074
1201 MILWAUKEE DR
06 30 00 1 0 6700 0000
PAUL CRONAUER
CLEARING GRADING
RESIDENTIAL MEDIUM DENSTY
0
Contractor
OWNER
Structure Information 000 000 C/G TOPPGRAPHIC SURVEY ONLY
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CLEAR GRADE
C \G FOR TOPOGRAPHIC SURVEY
72975
30 00
3/17/06
9/13/06
Qty Unit Charge Per
1 00 30 0000 MIN CLEAR GRADE
Plan Check Fee
Valuation
Special Notes and Comments
Clearing Grading permit is for topographic survey only
Seperate permit is required for all other site work
Fee summary
Permit Fee Total 30 00 30 00 00
Plan Check Total 00 00 00
Grand Total 30 00 30 00 00
l�Q 3/7/67
T \Policies \1102.15R 1/05]
Charged Paid Credited
Date 3/17/06
Due
Extension
30 00
00
00
00
00
0
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. Thereby 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.
Sign4tur6i Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
I
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.
INSPECTION TYPE
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/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/051
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED
YES 1 NO