HomeMy WebLinkAbout1632 W 6th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: 11/24/98 LC Permit No: 892
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION-----------------_______
ANN BALCH/JAMESTOWNS'KLALLAM 1632 6TH ST W
1632 W. 6TH STREET Lot: It 8 exc E 5' El/2 It 9 ___
Port Angeles,WA98363 Block: 150 Long Legal: ~
360/452-3073 Sub: TPA
PROJECT INFO---------------____________________________________________________~
Work is N/A traveled road Value Work: $0.00 \'
/ /
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Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
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Work to Perform: INSTALL * Watermain
* Sanitary Sewer
* Storm Drain
Underground Tele/Ele
* Misc dwy
PROJECT NOTES---------------____________________________________________________
former housed demolished may reuse ex. san sewerconnection @ 6th st.
or @ alley but connection must be made @ property line & verified
by city inspector prior to connection. W/M made be reused will need
to be verified by city prior to reconnect c2556 5/8 badger
PROJECT FEES ASSESSMENT-------------____________________________________________
R/W Excav: * $40.00 San Sewer SFR: $0.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: * $125.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: * $30.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $0.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
Receipt No: 4605
Inspection Fee:
TOTAL FEE:
AMT PAID:
$195.00
$195.00
R/W
SANIT AR Y
$0.00
WATER
-----------------------
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.
:2__--'<--e~ )'L.e S-?C_ /j/J-~i/q0
Signature of Contractor or Authorized Agent Date
Signature of Owner (if owner is builder)
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST.
Date O~-\ <0 -<1 ~
Time
Received by
(phone, person)
~ (eiCAe-1 \
Location of Work to be inspected llo6C <-b\ \<- W. ~- L ~D~S (A.Vtt.nDW,y __
Name of person requesting inspection JOht\ ~-\is Jo....vvus4evOf'\ ~~cA;~
Address of person requesting inspection Phone No
r};;;1J Inspection (circle appropriate one) Permit No :8 Cj "2....- ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other :<:
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RESTORATION REQUIRED . . . .. YES
NO y,
W..es+ Lo~I+ riJ
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SU RFACE RESl ORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
/
REQUEST
Date f//~-1q1
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)
Sewer Foundation Framing Chimney
J&~2 Vt)U~
-J /7.-R~.A ~
Phone No
Permit No
Plumbi~ewer Excav Other
~~
-..........
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\'-
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Inspected
Remarks
J)vJ
By4
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INSPECTION NOTES
7
or<>~O'\. d... h.<h-\..S.e....
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l. ... L
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
CJ Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECTION 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
I INSPECTION TYPE DATE ACCEPTED COMME'ITS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
D..ECTRICAL (UGlIT DEP1)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SFAL
WAlLS
CEIUNG I
FRAMING
JOISTS I GIRDERS
SHEAR WAll
WALLS I ROOF I CEIUNG
DRYWALL
T-BAR
INSULA nON
SlAB
WALL I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW UTll.JTIES I SITE WORK (Eng ineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRJOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMDlCIAL DATE ACCEPTED
YES NO
EIECTIUCAL UGlIT DEPT 417-4746 EIECTIUCAL
UGIIT 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.I~ (4/96)