HomeMy WebLinkAbout910 E 8th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
DENISE CLARKE
910 E 8TH STREET
PW'CITY, PW State PW.zip
360/452-5214
PROJECT INFO
Work is
Plans Required
Contractor' HOME SERVICES
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
1/17/2000
Perm it No
Work Order'
1031
o
PROPERTY LOCATION
910 8TH ST E
Lot: 6
Subdivision
Parcel No
Block. 276
TPA
D Long Legal
~
Start Date
1 1
Finish Date
2061457-1708
1 1
---
'0
\\'\
~
Value Work
$000
Amount:
$000
D Install D
D Repair D
D Watermain D
Sanitary Sewer
Storm Drain
Underground Tele/Elec
D Misc
PROJECT NOTES
FEES ASSESSMENT-
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 Capl W/M Removal $225 00
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 $000 23) R/W Use Perm $000
10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000
11 ) Other Water Service $000 25 ) 0 RA. $000
12.)Water System Dev' $000 26 ) Misc: $000
13 ) San Sewer SFR $000 TOTAL FEE. $225.00
14 ) San Sewer MFR $000
add unit: 0 Amount Paid $225 00
Receipt No 5781
Inspection Fee $000 Balance Due $0.00
R/W 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
vi te or cancel the provisions of any state or local law regulating construction or the performance of construction.
"
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Si nature of Owner (if owner is builder)
Date
//;7/7000
A-fl0 2' C2- AJtIV Aivd--
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
I
IAJW/tJ'J. 3 -/5b i
~
REQUEST
Date 3- /'I....~oo 6
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)
~ Foundation Framing Chimney Plumbing
~p
9/0
E. S"th.
Phone No
tAl /) .earm;t No
Final Sewer Excav Other
. ~J ~
.-
/D~I
INSPECTION NOTES
Inspected Date
Remarks
Time
By
0(\{~J
13' ~\\;",~k l'C 'f).bM. bfAcL ob ~t.v.-b 9' d p.
RESTORATION REQUIRED
tJ.(~
"" C ~ f r .1/ d2~ r!(J
YES
NO 'X
7,5;
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13 I'
COlA Sf:
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
Cl Repaired by Permittee
D No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # --! 5" b q
o COMPLETE
o 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (UGIIT DEP1)
ROUGH.IN I I
PLUMBING
UNDER FLOOR / SlAB
ROUGH-IN
WATER UNE
BACK FLOW / WATER
AIR SEAL
WALLS
CEIllNG I I
FRAMING
JOISTS / GIRDERS
SHEAR WAll
WALLS / ROOF / CEIlING
DRYWALL
T-BAR
INSULA nON
SlAB
WAll/ FLOOR / CEIUNG I
MECHANICAL
CfllMNEY
WooDSTOVE / PEllET
DUCTS
PW urILITIES / SITE WORK (Engineering Division)
WA TERUNE / METER
SEWER CONNECTION
SANITARY
STORM
S[TE DRAINAGE / EROS[ON CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
EU:CTIUCAL UGIIT DEPT 417-4746 EU:CTIUCAL
UGIIT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION R.W
ENGINEERING 417.4807 PW / ENGINEERING
FIRE (MULTI.FAM. ONLY) 4[ 7-4654 FIRE DEPT
BUIlDING 417-48[5 BUllD[NG
GENERAL COMMENTS:
PW-II02.IS (4196)