HomeMy WebLinkAbout235 W 9th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET. PORT ANGELES, W A 98362
,
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PUBLIC WORKS CONSTRUCTION Issued: 5/27/99 LC Permit No: 824
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DUANE & MARY GETCHELL 235 9TH ST W
530 EAST 8TH ST Lot: 12
Port Angeles,WA98362 Block: 266 Long Legal:
360/457-5299 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $O.OO~
~
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
~
~
\j\
/
/
/
/
$0.00
Storm Drain
Underground Tele/Ele
Misc
NOTES-------------------------------------------------------------------
PROJECT
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: *
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut: *
Other R/W:
Fire Hydrant:
Res Water Serv: *
* 5/8"
3/4"
1"
Corom Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev: *
Receipt No: 5100
Inspection Fee:
R/W
SANITARY
$40.00
$0.00
$0.00
$0.00
$0.00
$200.00
$0.00
$0.00
$550.00
San Sewer SFR: *
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev: *
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D,R.A):
Misc:
$80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$0.00
$883.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
$2,395.00
$2,395.00
$0.00
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.
)~\~~" L~,,~~~~~
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
DWY
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST:
Date
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
D2 35
w
9!:!:-
VURne-
Phone No
Permit No
Plumbing Final Sewer Excav Other
p,1
INSPECTION NOTES'
Inspected Date I C? - 9 - Cf 1
Remarks C C> yV/f/~
Time
,A--f'V1
By
~JL
RESTORATION REQUIRED .... YES
NO K
Ji_
_____ _____.....__.._1.. "'__
- -~-- - ~
I -f ----.. .-
100 -- ~
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t Co. <.;
LO
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0
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SURFACE RESTORATION:
SURFACE TYPE D Unimproved D Gravel D Asphalt D pec
D Other
D Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
r
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~~
~~
---.-
'REQUEST FOR PAYMENT' Authorization
TO
/V\ f\ {2. \..( GET e J-l ELL-
235 We.5\ CJiiL SJ
Yorz-"' A~GGLE5 ;kffl
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DESCRImON J<-.e. F L1 N D
$I 40 ~ r:-t6f-j T ot: ill^!
FD i2- -PEi2- M 1\ 'S JJ'O'T U s-ev -d1 ~z tf--
t t2.cJo ~ Sr/2.EE"T ~5'lOr<-A--r1 ~
00 A
BUDGET CODE -$ 4-0-- 100. q<oZ~ / J 20009- - "'752 · q'Z. 4-Z
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AMOUNT"
-:f;L+O~
A--(
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--.,I
DATE
vI r1 r9'
APPROVAL
SpcclallnllrUC110n~
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RECEIPT #
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APPLICATION FOR WATER
City Water Department
Port Angeles, Wash.
5.-2. '7 ,19~
I hereby apply for water to be furni shed in accordance with rates and rules of the City
for the following premises
Name of AppUcanl b:Aob~ ~ ~u.'1 G('-hJIP U j
Address 2.~S W C[ft: ST. ( S3D -s Sih
Renewal 0 New Service @- Blkz.&;.& Lot 1 L Add rr~ 1 &<6
I I SI') q /fJ..-
Size of Service } 'f.-. If Meter Numbek ~ 1
Service Left On 0 Service Left dTrB Signed >(~ ~ ~~
Installed by ~W , cpa,W/.R~J~ () b 60 ~
Remarks l?eV"W1-\\~ yz '1 ~- 550 E.P i--BB38Q
~L~ 5rov
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. POSf PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMl\DJlITS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (UGHT DEPl)
ROUGH-IN , T
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAU$
CEIUNG I
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WALLS I ROOF I CEIUNG
DRYWAlL
T-BAR
INSULATION
SLAB
WAlL I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEy
WooDSTOVE I PELlET
DUCTS
PW UI1UTIES I SITE WORK (Engineering Division)
WATERllNE I METER
SEWER CONNECTION
SANITARY
STORM
srrn DRAINAGE I EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGHT DEPT 417.4746 ElECTRICAL
UGHT DEPT
CONSTRUCTION R W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI.FAM. ONLY) 417.4654 FIRE DEPT
BUIillING 417.4815 BUIillING
GENERAL COMMENTS:
PW.II02.15 [4/96)