HomeMy WebLinkAbout2003 W 8th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST STH STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
STEW ART KED ISH
POBOX 507
Port Angeles, W A 98362
000/604-7505
PROJECT INFO
Work is
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
5/07/2002
Perm it No
Work Order'
1267
o
Value Work.
1 1
Finish Date
2061000-0000
PROPERTY LOCATION
2003 8TH ST W
Lot: 3
Subdivision
Parcel No
Block.
SEAMOUNT ESTATES V
063001740030000 D Long Legal
Start Date
Amount:
$000
o Mise
o Install
D Repair
o Watermain
o Sanitary Sewer
o Storm Drain
D Underground Tele/Elec
PROJECT NOTES
driveway to conform to city standards 6" cone. in city right of way
water meter drop in
san. sewer later 55' south of MH at alley 5.5' dp
storm drain roof leaders to curb
$000
1 1
dwy
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:
$45 00
$000
$000
$145 00
$000
$000
$000
$000
$150 00
$000
$000
$1,02500
$95 00
$000
o
9063
$000
WATER
Receipt No
Inspection Fee
RW SANIT ARY
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17) Sew Capl 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
$0.00
$000
$000
$000
$745 00
$000
$000
$000
$000
$000
$2,205.00
$2,20500
Balance Due
DWY STORM
$0.00
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 authori.ty to violate or cancel the
provisions of any state or local law regulating construction or the performance of c9.PTctiO~J / ., ,/" '7. .
'" V t.tL(1.~1.-( .ce~ r./(f S-.yo"?-
Si nature of Contractor or Authorized A ent Date Si nature of Owner if owner is builder Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . .
REQUEST i l
Date 9jt4 ()V Time Received by 1 r (phone, person)
Location of Work to be inspected ~O 3 fJ......) 8' ~
Name of person requesting inspection S k ~ cJ.. 1 ~
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No I Z0 7
~oundation Framing Chimney Plumbing evewer Excav Other
INSPECTION NOTES J. A i ~
Inspected Date q I ~qJ () z., Time 7- ~ 7- be By , U {!
Remarks C 6' \, {,. I r1'-(7
RESTORATION REQUIRED
YES
NO X
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I
1
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
C> LoU - 2-C1D l - 2-1 0 7-
..
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash.
:?-7-0~~
I hereby apply for water to be furni shed in accordance w th rates and rules of the City
10, the follow;". p'em;'~J
Name of Applicant ~/IS/;
Address ZOO 3 u.) ?-!b .____
Renewal 0 New Service ~ Blk~ Lot~ Add J)" IntJt( h-l-
/ f ~//~P~te~~
Service Left On 0 Service Left Off 0 Signed
Installed by tW ri\.{" /7/ g.g yo'} cii
Remarks /(;rl11/r# I Z~ 1.50Eg 'i- /OZS-..E8
Rec-;dt:-9t?~ '/L/l4:LL-/n~~
Size of Service
..
-......:.
<'1'-:1"'"
..
N
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~
w :J... r; / '
0 t4dd.e-J
~
.E" 1 :J... x I
~ If..e 5 .e tf:ty
ci lV-eoJ ?11-!. f-e r
s J30Y
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\'OCA TION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I I I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTlUTIES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONfROL
PARKING
OTIlER
JI'lNAL INSPECTIONS REQUIRED PRIOR TO OCCUP ANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONR.W IPWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-1102.15 [4196J