HomeMy WebLinkAbout324 E 10th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 ~ __ /
321E JD0-
~ ",ORT ~
i4..4.o~~
~r~~
~
"lOl,,~
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Property owner
Owner address
Contractor
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
03-000000l8
324 E lOTH ST
0630000330150000
PUBLIC WORKS l)RI'~WJlY
2/07/03
Date
GUil~R'I'
o
CORK, JR MELVIN L
324 E lOTH ST
PORT ANGELES
( )
OWNER
WA 983627924
PUBLIC WORKS <m-T""''''''v CUJ;.mj:RT
RIGHT OF WAY(CURB WEEP HOLES)
45 00 Plan Check Fee
2/07/03 Valuation
8/06/03
00
o
vJ
\'J
~
~
~
\)
sf
Qty Unit Charge Per
Fee summary
Charged
Permit Fee Total
Plan Check Total
Grand Total
45 00
00
45 00
BASE FEE
Extension
45 00
Paid
Credited
Due
45 00
00
45 00
00
00
00
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T-\PLANNING\FORMS\II02.15 [4/2002]
f1 "ORT ~
$4.~~~
,.
'"-~
~
"lOl,,~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
l+TE il 16
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
MELVIN CORK
324 E 10TH STREET
Port Angeles, W A 98362
000/604-2947
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance.
Work to Perform
Issued
1/24/2003
Permit No
Work Order'
1363
o
PROPERTY LOCATION
324 10TH ST E
Lot: 4
Subdivision
Parcel No
Block. 330
TPA
063000033015000
o Long Legal
Value Work.
$000
Start Date
/ /
Finish Date
000/000-0000
/ /
Amount:
$000
o Install 0
o Repair 0
o Watermain 0
Sanitary Sewer
Storm Drain
Underground Tele/Elec
o Mise
PROJECT NOTES
\JJ
';:>
~
FEES ASSESSMEN"F
1 } R/W Excav' $45 00 15 } Other San Sewer' $000
2.} Sidewalk. $000 16) Sew Tap Wye/Man Tap $0.00
3 } Curb/Gutter' $000 17 ) Sew Cap/ W /M Removal $000
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 (D RA) $000
11 ) Other Water Service $000 25 } D RA. $000
12.)Water System Dev' $000 26 } Misc. $000
13 } San Sewer SFR $000 TOTAL FEE. $45.00
14 } San Sewer MFR $000
add unit: 0 Amount Paid $45 00
rtl
...........
\)
~
~.
Receipt No
Sepa ~~required for el I work, SEPA, Shoreline, ESA, ~m~~rQl::lfe and public improvemSBt8.Ofhis 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.
Signature of Contractor or Authorized Agent
Date
~&Jc
Signature of Owner (if owner is builder)
1-2 Y--lJ3
Date
TWLANNING\FORMS\J1 02.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
REQUEST
Date ~-(-G3
Time
Received by
r2 ,,/
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
,32'1 E /6---1- tl
Me ( Cop.. K-
Phone No
Permit No I 3 ~_s
Sewer Excav Other~t ~ \.L.
]) .~a. : Vl
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date 7 "./f/J-o?
,/
Remarks
----
Ir-
e} I...fTj-'~ (jIJH-1/YU- uJ.1U--p~ /
-C7t11J._ C!ll.t?~ ()~
Time
By
RESTORATION REQUIRED
YES
NO ~
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D 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 C4~VER,
INSULA TE 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION - R. W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T'\PLANNING\FORMS\11 02.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO C(j)VER,
INSULA TE 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 (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 SEPA.
P ARKING/LlGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W / PW, CONSTRUCTION R.W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-48]5 BUILDING
T-\PLANNING\FORMS\1102.15 [4/2002]