HomeMy WebLinkAbout316 E 6th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TII STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
JIM GALVIN
316 E. 3RD STREET
Port Angeles, WA 98362
000/604-7064
PROJECT INFO
Work is
Plans Required Start Date
Contractor' ANGELES PLUMBING
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
2/04/2002
Permit No
Work Order'
1237
o
PROPERTY LOCATION
316 6TH ST E
Lot: 6
Subdivision
Parcel No
Block: 202
TPA
06300002023500
cgJ Long Legal
Value Work.
$000
I I
Finish Date.
360/452-8525
I I
$000
D Install
cgJ Repair
D Watermain
cgJ Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
REPAIR SIDE SEWER
FEES ASSESSMENT-
1 ) R/W Excav' $000 15 ) Other San Sewer' $45 00
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000
4 ) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain. $000
6 ) Street Cut: $230 00 20 ) Catch Basin per ea: $000
7 ) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000
9) Res Water Servo $000 23 ) R/W Use Perm $000
10) Comm Water Serv' $000 24 ) Admin Cost (D RA) $000
11 ) Other Water Service $000 25 ) D RA. $000
12.)Water System Dev' $000 26 ) Misc: $000
13 ) San Sewer SFR: $000 TOTAL FEE. $275.00
14 ) San Sewer MFR $000
add unit: 0 Amount Paid $275.00
Receipt No
Inspection Fee $000 Balance Due $0.00
RW SANITARY WATER 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
provisi s of any stat or local law regulating construction or the performance of construction.
-02-
Date
5i nature of Owner if owner is builder
Date
- -------.. - - -_.._-~ ~
CITY OF PORT ANGELES
DEPARTMENT ()f PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . .
REQUEST
Date ()2 - /3-0'2-
__ Time W \ \ ~ceived b0 (~ (phone, person)
Location of Work to be inspected . '31 fJ; C ( r; y-t:
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
~ Foundation Framing Chimney Plumbing Final Sewer Excav Other
WO#- 2-by~
/;;13 7
/
INSPECTION NOTES
Inspected Date Time By
Remarks:i::!fb III ~ur lAl~)(I'L- -k?o
I ~f - vY\-t\- P Sf
,
::>~
RESTORATION REQUIRED
C ~Q.~
YES V/ NO
,
I
I
....,
t--- f 5t:> '
l ~I tb ~p
ap ~ ftp-J1 .
SURFACE RESTORATION /'"
SURFACE TYPE 0 Unimproved D Gravel jd"'Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
/(iJlrtJe!- ~-1!oC?JF
W~k Order #
g COMPLETE"\" ~
D INCOMPLETE
'\ K- ~ ~~--O.-2
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . .
. . . . . .
REQUEST
Date ()2 - /3-0'2-
Time W \ \ ~ceived b0 (~ (phone, person)
Location of Work to be inspected '31 fJ; C
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~ Foundation Framing Chimney Plumbing
~
(r;-
Phone No
Permit No
Final Sewer Excav Other
/;;137
/
wo'*- 2-by~
INSPECTION NOTES
Inspected Date Time By
Ri~ls-J~fb ~f~ ~1Af slf~o ::~I'L- :b(~
::>~~
RESTORATION REQUIRED .. . . YES V / NO
C~Q.~
(p
,
I
I
....,
t--- f 5t:> '
~ ~I tb ~p
~f~ .
SURFACE RESTORATION: /'
SURFACE TYPE D Unimproved 0 Gravel BAsphalt 0 PCC
o Other
o Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
/fj Jlr{Je-!-- d?J !o?jp
BIDLDING 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 LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGlIT DEPT)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
CHIMNEY
WooDSTOVE / PELLET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONfROL
PARKING
OTIlER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGlIT DEPT 417-4746 ELECTRICAL
LImIT DEPT
CONSlRUCTIONR.W /PW/ CONSlRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERJNG
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUll..DING 417-4815 BUll..DING
GENERAL COMMENTS:
PW.1I02.1S [4196J