HomeMy WebLinkAbout1312 W 5th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET. PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 3/06/98 Permit No: 817
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
WM BEACH 1312 5TH ST W
232 W. 10TH ST Lot: 2,e.40' of 3
Port Angeles,WA98362 Block: 120 Long Legal:
360/452-7379 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: DAUGAARD PLUMBING
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Storm Drain
Underground Tele/Ele
Misc
NOTES-------------------------------------------------------------------
Work to Perform:
PROJECT
Watermain
sanitary Sewer
/
/
/
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$0.00
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: 3865
Inspection Fee:
RfW
SAN IT AR Y
$40.00
$0.00
$0.00
$0.00
$0.00
$200.00
$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 /
$30.00 /
$0.00
$0 00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
$270.00
$270.00
$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 xamined this application and know the same to be true and correct. All provisions of laws and ordinances governing
this e of w rk will be complied with whether specified herein or not. The granting of a pennit does not presume to give authority to
v. late ca cel the rovisions of any state or local law regulating construction or the performance of construction.
DWY STORM
-
DRA OTHER
Si nature of Owner (if owner is builder)
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
-=9j Q iN -r._
REQUEST
Date 3 } 11 I qr
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
d~~ Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
1~J2- \A.)5~
f) lL-u. ~ ~i_
Phone No
Permit No
Plumbing Final Sewer Excav Other
W fii-1.Q'l--.-5 AO 15~!J
811
INSPECTION NOTES
Inspected Date
Remarks
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Time
11 )"1 )
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77 ( h 70 (ti) e/P13
RESTORATION REQUIRED YES .X NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved
o Repaired by ty
[] Repaired by Permittee
[] No Damage Found
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rJY'Order #
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o COMPLETE
/ D INCOMPLETE J J II I/g p\'lJ
STREET SUPERINTENDENT
(DATE)