HomeMy WebLinkAbout1106 E 1st St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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PUBLIC WORKS CONSTRUCTION Issued: 4/13/99 LEH Permit No: 943
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION-----------------------_
CCPS 1106 1ST ST E
1106 E 1ST STREET Lot: 22-26
Port Angeles,WA98362 Block: 124 Long Legal:
206/452-9247 Sub: D W MORSE
PROJECT INFO-----------------------_____________________________________________
, Work is N/A traveled road Value Work: $0.00
Plans Required: NjA
Contractor: MILL CREEK CONSTRUCTION
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Work to Perform:
Amount:
Watermain
Sanitary Sewer
/ / ~
/ / ~
$0.00 ~
C\l
Storm Drain ~
Underground Tele/Ele ~
Misc ~\
NOTES---------------------______________________________________________
PROJECT
PROJECT FEES ASSESSMENT-----------------________________________________________
R/W Excav:
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:.
Res Water Serv:
5/8"
3/4"
* 1"
Comm Water Serv: *
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No:
Inspection Fee:
R/W
SANIT AR Y
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
San Sewer SFR:
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev:
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A.:
Admin Costs (D.R.A):
Misc:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$1,500.00
$0.00
$0.00
4q12-
$0.00
WATER
TOTAL FEE:
AMT PAID:
$1,500.00
$1,500.00
BAL DUE:
-----------------------
$0.00
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
J
//00
HrcL ~,e~
ACCOUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
l,;onstructJon fUU.l:I[1l
Plan GheckFee rOO.9449
S-urCflarge ($4.50) 001.
Plumbing vV.::J~ IL
Mechanrcal r vV.l::I'<:'"
Sign /VV.l::I 1"+
Erectncaf Permits /Inspectlons S-1T. 9 37
ffouse Moving 700.9' 26
SidewalkIDnveway/Curb PermitlRight of Way Permit 700.9 28
Publications 700.9409
Bruepnnts- Aerial fUU. i:l4Ll:I
Englneenng ServIce Fees 700. 9462
[Crear/Grade Permit 700. 924
IFire TnspectlPermit Fee 500. 967
IFlre Sprinkler Plan ReView Fee >00.9449
IAdmlnrstration Cost (5%) vV.l::I"+'<:O
DRAFees Plus Tnterest OC 1
IPBIA 650.2319200
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Storm DranlTTap 752.96m
street! Alley Restoration 752.9242
s-JIN Co-Op 752.9626
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;:...... ................... '. ,,'. .. .....: ..';'. .... ..
IOther Fund
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..... .'. .. .....:.. " ..... .. .. ..... ......... .... .....
IProperty Sales
1*-i~~~j~*:1~~@i~;~:~j~~1:1.. .:.:. .:...: .'. .:. .::t ..,:~ .' .... ...:. :.....:.....:.:....:., .:~. ~:::~p...q:~!.::!.!t!:t!~t!~t!f:!!:! 1f:j~tl::.:.. :'.J. .C..: .::t;m1t .il*i~t~t..:.;...::;:.1:. ~;:.;: ...~ . . . At~1j:~i~~~~?]jj ~*:$j:j~~;~:ljf:l*$~1:1:f~:~::ili:~if:~jj;1;1~~:m~1;j~j~iMi~~1~ii;;~~~:~1~~~jl~~1r:~1
.. .... Water S-ystemITeveropement Charge 753.9403
Hot Tap (watermaln) 75 ,3.9619
FR InstalV Meter - 75 ,3.9619 J$.
WIM Inst",Uation C-f't./3 7<; ;~,QR1 Q 7/ .....r.Jr ~.~
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....... ........ .. ...... .... ........
Sanitary Sewer Tap/Cap or MH Tap 354.9619
Sewer System Developement Charge -,- 354.9403
Sanitary Sewer Permit 354.922:J
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.... ..... .. ..:-..... .........:.... ..... ... .' ':.'
IMilwaukee Dr Assessment 755.9403
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,.': ....................... ..... ........
Secondary Sewer Assessment 757,9633-
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RECEIPT # N 0 4 9 7 2 ::_I~Ht.T.tfr......,:.:.:.:.:.:,Jl:!:~ij!~iil1!1i!~i!1!1!~ij!~f~1~j: 1~~;~: ..... .:~~!111
- ..... ... ... .................
..
t-ILL- N :r lMI-'LI:: II::L Y - I U I AL ALL u 'U-J ANU IVlAL
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CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
CITY OF PORT ANGELES
DEPARTMENT OF,PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUES!: t1' ~t'
Date ----# - ; q - -{ Time Received by
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing
(phone, person)
) } 6~ E j s t-
I . ~
-rL~ I . L0.Y
11~ +13
Phone No.
Permit No. C/13
Final Sewer Excav. Other V. 1/.-\ "t--cY
Dw ~003
Chimney Plumbing
Time By
-J:- IV ~4-c..: 1l :l.' .Jt) -(' &-) r c
f) /lJ ~ 1/U t H1 ,.. ~ e c~y-
(' ) << +I" 7..ft VhL e -f-e~
/
/
. YES V NO
1 X (
~
INSPECTION NOTES:
Inspected: Date
Remarks:
. .
-
5-eY'U ,/{ --e 5
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
,?-€vutc-<-
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orb
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1 {<51?
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$ -e ytJ i C '"""'-
..
l\q
0-
~Vld
7r
o Asphalt ~ 0 Other
Work Order # J ,} ~?-
I
o COMPLETE
o INCOMPLETE
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