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Home My WebLink About1238 E 6th St - Engineering g w CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT Edward Hopfner 1234 E 6th Port Angeles, WA 98362 000/600-0000 PROJECT INFO Work is Plans Required Contractor' Performance Bond Required Proof of Insurance Work to Perform Permit No 1317 Work Order' 0 PROPERTY LOCATION ~THSTE }Z3~G-J~4~ 173~ Lot: 9 & vac Liberty St Block212 Subdivision TPA Parcel No 0630000212* Issued 1 % 1/2002 o Long Legal Start Date. Amount: [gj Install o Repair [gj Watermain Value Work. / / Finish Date 000/000-0000 $000 o Sanitary Sewer o Storm Drain o Underground Tele/Elec o Misc PROJECT NOTES $000 / / FEES ASSESSMENT- 1 ) R/W Excav' 2.) Sidewalk. 3 ) Curb/Gutter' 4 ) Driveway' 5 ) Dwy Culvert: 6 ) Street Cut: 7 ) Other R/W 8 ) Fire Hydrant: 9) Res Water Servo 5/8" 10) Comm Water Servo 11 ) Other Water Service 12.)Water System Dev' 13 ) San Sewer SFR 14) San Sewer MFR add unit: 0 Receipt No 7484 Inspection Fee $0 00 $000 $000 $000 $000 $000 $000 $000 $000 $640 00 $000 $000 $000 $000 $000 RW SANITARY WATER 15 ) Other San Sewer' 16 ) Sew Tap Wye/Man Tap 17) SewCap/W/M Removal 18 ) Alter Repair Sewer' 19 ) Storm Drain 20 ) Catch Basin per ea 21 ) Sewer System Dev' 22.) Milwaukee Dr Sew Ass 23 ) R/W Use Perm 24 ) Admin Cost (D RA) 25 ) D RA. 26) Misc. TOTAL FEE. Amount Paid $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $640.00 $640 00 Balance Due. $0.00 DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and pUblic improvements. This permit becomes nuU 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 cons..yuction. / ':( Q / & I d~ Si nature of Contractor or Authorized A ent Date Oat PUBILlC WORKS & R/W PERMIT Attached Notes Issued 1 % 1 /2002 Permit No Work Order' OWNER/APPLICANT Edward Hopfner 1234 E 6th Port Angeles, W A 98362 000/600-0000 PROJECT INFO Work is Plans Required Contractor' Performance Bond Required Proof of Insurance Work to Perform PROPERTY LOCATION---- 1238 6TH ST E Lot: 9 & vac Liberty St Subdivision TPA I Parcel No 0630000212* _J_ i Long Legal 1317 o Block. 212 Value Work. $000 Start Date / / Finish Date. 000/000-0000 / / Amount: $000 PROJECT NOTES [>-j Install [J 1 Repair il r;] Watermain Ci Sanitary Sewer Storm Drain Underground Tele/Elec [i Misc FEES ASSESSMENT-- ---...- -- - _u_ -..- 1 ) R/W Excav' $000 15 ) Other San Sewer' $000 2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Cap/ W /M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 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 5/8" $640 00 23 ) R/W Use Perm $000 10 ) Comm Water Servo $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 $640.00 14) San Sewer MFR $000 add unit 0 Amount Paid $640 00 Receipt No 7484 Inspection Fee $000 Balance Due $0.00 --- ~ \j\J 'X;J C\\ ~ ,t CITY OF PORT ANGELES t>tu-~oo(-2.2~J DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date /0 -. 7-- oJ- Time Received by (phone, person) location of Work to be inspected J/) ?, <6 -E- 6'~A Name of person requesting inspection' -Ii. w \ ~ (~x: Address of person requesting inspection /1, '6-. Phone No Type of Inspection (circle appropriate one) Permit No I~, T- Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~ INSPECTION NOTES Inspected Date Time By Remarks -p j{J 31d l! V':f w I ~ -5f!- ~J..J .(''-.:t-=-- ~rvt '-e f'-1~ 6Yh h'c I? ;rAA fY\ .~ CJ1t p - -{--e:v- . C. (P7-:? - :.:;:; I j7 33,S~/~ RESTORATION REQUIRED YES NO l~~ f(J..S 1,Glr----- f'- 6ftl Wd - ::J.----.-.-.-~--.-b -- ----.-.----~- -- ~ic " 'U ~, ~ ~ ~/ tl{ ~f' k- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City Cl Repaired by Permittee o No Damage Found Work Order # ~OMPlETE o INCOMPLETE 'l I") 0 Other ~/-3/ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TE) BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER, 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGlIT DEPD ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB I WALL I FLOOR I CEILING 1 I I MECHANICAL CHIMNEY WooDSTOVE/PELLET DUCTS PW UTILITIES I SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGlIT DEPT 411-4746 ELECTRICAL LIGlIT DEPT CONSTRUCTIONR.W IPWI CONSTRUCTION RW ENGINEERING 417-4807 PW I ENGINEERING FIRE (MOL TI-F AM. ONLY) 417~54 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW-1102.l5 [4I96J