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Home My WebLink About102 W 8th St - Engineering s ~;;? CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBLIC WORKS CONSTRUCTION Issued: 7/08/99 LC Permit No: 956 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ THOMAS & BARBARA PELETT 1021 5TH ST W 1021 W. 5TH ST Lot: 16 -- Port Angeles,WA98363 Block: 109 Long Legal: ~ 360/417-5589 Sub: TPA ~ PROJECT INFO---------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 <: ~ $0.00 If Plans Required: N/A Contractor: OWNER start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: / / / / storm Drain Underground Tele/Ele Misc NOTES------------------------------------------------------------------- Work to Perform: INSTALL * Watermain * Sanitary Sewer 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: 5228 Inspection Fee: R/W SANITARY $40.00 $0.00 $0.00 $0.00 $0.00 $200.00 $0.00 $0.00 $550.00 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: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ Signature of Contractor or Authorized Agent Date $0.00 $0.00 $883.00 TOTAL FEE: AMT PAID: $0.00 BAL DUE: $2,395.00 $2,395.00 $0.00 Separate Pennits 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 gr ling of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating cons ucti or the perform~Of construction. ( ./ ~CC~--e:.- -:U WATER DWY STORM - DRA OTHER Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . REQUEST _ Date 7 - I (/ - err Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Jb ~ ( , I L) 5.+-1] "T L0 I l ( C> /' j-7 f Ii C"~ Phone No Permit No -- G q5(;; ~ Other Lv c~:\- ,~,Y ~ O("U -:;?oer( ~ \j\ \~ / K :::/Z f Sewer Foundation Framing Chimney Plumbing Final Sewer Excav INSPECTION NOTES L u 0-.. -\-- Time -r AJ ~+C{ll By J( ) ...p lU....J Inspected Remarks Date e 1/' . 5 .-i? If if r (' -€.. , RESTORATION REQUIRED /' YES v-' NO tQ r , ,( /' ~' ('"' . (l ,\' ,-' ) 1- \.":-- i/ _~~h -J- l" \ V SURFACE RESTORATION ~ SURFACE TYPE D Unimproved D Gravel [~'Asphalt 0 PCC D Other D Repaired by City Work Order # I y 0 y [] Repaired by Permittee 0 COMPLETE D No Damage Found D INCOMPLETE 7 " STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. . . . . . Date 112-0/ tft) Time REQUEST 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 Chimney 101-1 1Oh-I Received by ~ (phone, person) 'AI 5~ 'Pe left Keul n 120 dYh A-tJ Phone No Permit No Plumbing Final Sewer Excav Other q5& -- <::::::J ~ -- ~ tt INSPECTION NOTES tf:/;f Inspected Date 7 z,!3 Q'1 Remarks 1),)1 / / {! 14/ / Time A- ~ By C---u J C2..-D VV' r ( e --/-;;- RESTORATION REQUIRED YES NO )\ ~' ! -c.' ~ '" c. ) I I p "",l' rj ,.:2 I - c~ 1111 i SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . // REQUEST Date crp}/19cJ Time Received by ff (PhO~~d~ Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) (Sew-=!) Foundation Framing Chimney Plumbing /02-/ ~S~ ,K~ e.Jdrn~ Phone No Permit No ---===-_. -- Fin~r Ex~ther qS~ -- a ~ - Inspected Remarks Date Time By ~ \J\ t INSPECTION NOTES ~A~~ h-- Jf(.1~J1 RESTORATION REQUIRED YES ~ NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved D Repaired by City [] Repaired by Permittee [] No Damage Found PCC o Other r Order # 4COMPLETE o INCOMPLETE (Continue on reverse side if necessary) BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCkTION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WAllS FOUNDATION DRAINAGE ELECTRICAL '(UGlIT DEP1) ROUGH-IN I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER IlNE BACK FLOW I WATER AIR SEAL WAlLS CEIllNG FRAMING JOISTS I GIRDERS SHEAR WAlL WAlLS I ROOF I CEIllNG DRYWAlL T-BAR INSULATION SlAB WAlL I FLOOR I CEIUNG I I MECHANICAL CJllMNEY WooDSTOVE I PEllET DUCTS PW UTILITIES I SITE WORK (Engineering Division) WA TERIlNE I METER SEWER CONNECTION SANITARY STORM srm DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDFNTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL UGlIT DEPT CONSTRUCTION R. W I PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI-FAM, ONLY) 417-4654 FIRE DEPT BUIlDING 417-4815 BUIlDING GENERAL COMMENTS: PW-II02.13(4/96]