HomeMy WebLinkAbout31 Benson Rd - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
WUGA water service connection
Owner
PATTERSON KENNETH
31 BENSON RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees WUGA WATER CONNECTION
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T \Policies \1102 15 [10/08]
WA 983639490
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000703
236520
31 BENSON RD
06 30 08 4 3 0080 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
WUGA WATER CONNECTION
168948
00
7/08/10
1/04/11
Charged
00
00
5000 00
5000 00
Plan Check Fee 00
Valuation
Paid Credited
00
00
5000 00
5000 00
00
00
00
00
Date 7/08/10
5000 00
Due
00
00
00
00
0
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
fora 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
P4/-1,-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
5
9
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 R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
I PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies` 1102 I [10/08]
PERMIT INSPECTION RECORD
CALL 417 -4831 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
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I
I I