HomeMy WebLinkAbout929 W 8th St - Engineering
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CITY OF PORT ANGELES ,-
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REQU_EST . I
Date ,-?.~ - 0
Time
Received by
(phone, person)
q~ q ,U
Location of Work to be inspected t7'- W l? -r Y\
Name of person requesting inspection -,-- tA.J i I (. 0 'f
Address of person requesting inspection J 1 +h f:r .J3 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other L,U CJ\.~ ')--
INSPECTION NOTES'
Inspected Date Tim....o/ d
Remarks. R-e 1lJ~ (,<.J -e u oj
5-e,y-vl ~ LA) / t-h
P ie-e F Yd W\ !212.. c-~ I A
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RESTORATION REQUIRED . . . .. YES
l'
By
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50 J. 1" - ~ Ib ?
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10
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
D Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # I q 6 t(
~PLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
d'OIIT~
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
S BROOKE TAYLOR
853 STRAITVIEW DR
Port Angeles, W A 98362
000/604-7327
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
4/21/2001
Permit No
Work Order'
1162
o
PROPERTY LOCATION
929 8TH ST W
Lot: 13
Subdivision.
Parcel No
Block: 240
TPA
063000024051000
D Long Legal
Start Date
Amount:
D Install
D Repair
D Watermain
PROJECT NOTES
Value Work.
$000
1 1
Finish Date
0001000-0000
1 1
$000
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
1 ) RIW Excav'
2.) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other RIW
8 ) Fire Hydrant:
9) Res Water Servo
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 7280
Inspection Fee $0 00
RW SANITARY WATER
$000
$000
$000
$145 00
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
D Mise
-D
1"',....1
---i',
FEES ASSESSMENT-
<:;:
'-
15 ) Other San Sewer' $000
16) Sew Tap Wye/Man Tap $000
17) Sew Capl W/M Removal $000
18 ) Alter Repair Sewer' $000
19 ) Storm Drain. $000
20 ) Catch Basin per ea. $000
21 ) Sewer System Dev' $0.00
22 ) Milwaukee Dr Sew Ass. $000
23 ) RIW Use Perm $000
24 ) Admin Cost (0 RA) $000
25 ) 0 RA. $0.00
26 ) Misc. $000
TOTAL FEE. $145.00
Amount Paid $14500
Balance Due $0.00
DWY STORM DRA OTHER
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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.
Sianature of Contractor or Authorized Aaent
Date
Date
Sianature of Owner lif owner is builder\
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 I ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEFT)
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DR YW ALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I I
MECHANICAL
CHIMNEY
WooDSTOVE / PELLET
DUCTS
PW UTILITIEs / SITE WORK (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1RICAL LIGHT DEPT 417-4746 ELEC1RICAL
LIGHT DEPT
CONSlRUCTIONRW /PW/ CONSlRUCTION RW
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MUL TJ-F AM. ONI.. Y) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-l102.15 [4I96J