HomeMy WebLinkAbout2005 W 8th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
-. ,
PUBILle WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
Toby & Stephanie Abrams
1219 East 4th St
Port Angeles, WA 98362
000/604-7158
PROJECT INFO
Work is.
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
1/30/2002
Permit No
Work Order'
1207
1410065398
PROPERTY LOCATION
2005 8TH ST W
Lot: 4
Subdivision.
Parcel No
Value Work:
I I
Finish Date
206/000-0000
SEAMOUNT
630017400400000
Block. V
D Long Legal
Start Date
Amount:
cgj Install cgj
D Repair cgj
cgj Watermain D
$000
cgj Misc
Sanitary Sewer
Storm Drain
Underground Tele/Elec
PROJECT NOTES
Existing water meter box, drop in meter only San. sewer lateral to
property line. Construct driveway to city standards. No exposed
aggregate in city right of way
$000
I I
dwy
FEES ASSESSMEN"F
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:
$000
$000
$000
$14500
$000
$000
$000
$000
$150 00
$000
$000
$1,02500
$95 00
$000
o
Receipt No
Inspection Fee
RW SANITARY
$000
WATER
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M 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 R.A)
25 ) D R.A.
26 ) Misc:
TOTAL FEE.
Amount Paid
$000
$000
$000
$000
$000
$000
$745 00
$000
$0.00
$000
$000
$000
$2,160.00
$2,16000
Balance Due
DWY STORM
DRA
$0.00
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 sta or ~allaw regulating construction or the performance of construction.
, ( ~ 1-3[J-{);2-
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
Date II - /4-D I
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)
CSew~oundation Framing Chimney
7~ / -f?A~.~
Permit No 4-:3
Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date J I - ?- ~ - 0 I
Remarks ~OvY1p I~
Time
Pt"l1
By \ A.A J
RESTORATION REQUIRED
YES
NO X
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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BUILDING PERMIT INSPECfION 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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGIITDEPT)
ROUGH-IN I T I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE I PELLET
DUCTS
PW UTlUTlES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1RICAL - LIGIIT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONSTRUCTlONR.W IPWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-ll02.l5 [4196]