HomeMy WebLinkAbout143 Kemp St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
LEON E SKERBECK /L CELESTINO
312 W FOREST AVE
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
Fee summary Charged
WA 983622429
Permit Fee Total 168 00
Plan Check Total 00
Other Fee Total 1980 00
Grand Total 2148 00
Si Lontractor or Authorized Agent
T \Policies \1102 15 [10 /08]
10 00000027
972485
143 KEMP ST
05 30 18 5 3 0132 0000
EUGA PUBLIC WORKS UTILITIES
UNKNOWN
0
Application desc
Sewer connection Auto Shop And Office
EUGA SAN SEWER HOOKUP
AUTO REPAIR AND OFFICE
159319
168 00
6/30/10
12/27/10
Per
BASE FEE
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Other Fees EUGA CITY SEWER DEV FEE
Paid Credited
168 00
00
1980 00
2148 00
Contractor
BUILDING BROKERS CONSTRUCTION
P 0 BOX 3831
SEQUIM WA 98382
(360) 683 6216
Plan Check Fee 00
Valuation 0
00
00
00
00
Date 6/30/10
Extension
168 00
1980 00
Due
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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-gtvee gthority -or c`cel the provisions of any state or local law regulating construction or the performance of
y stratio
Date Signature of Owner (if owner is builder) Date
CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL 4NY 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
I CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102 15 [10/08]
RESIDENTIAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
PERMIT INSPECTION RECORD
YES
DATE YES NO COMMERCIAL
I I
I I
I I
I I
NO
I I
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE
I I I
I I I
I I
I I
ACCEPTED
YES I NO I