HomeMy WebLinkAbout536 E 10th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, W A 98362
PUBLIC WORKS CONSTRUCTION Issued: 3/12/99 LC Permit No: 934
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
RICK MATHIS 536 10TH ST E
536 E 10TH Lot: 1
Port Angeles,WA98362 Block: 332 Long Legal:
360/452-8683 Sub: TPA
PROJECT INFO-------------------------------------------------------------------_
Work is N/A traveled road Value Work: $0.00
~
~
$0.00 \\l
Watermain Storm Drain ~
Sanitary Sewer Underground Tele/Ele ~
PROJECT NOTES------------------------------------~~::-----------________________~
11) f~ '- f:J ), ( Ir:-. (~),~ /) <'I' j.-/" I
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Work to Perform:
Amount:
/
/
/
/
/ I - .~-,".- ~ CI -r-.
I .. /
$40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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:
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: 4812
Inspection Fee:
R/W
SANIT AR Y
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$40.00
$40.00
$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 co tio or the performa ce of construction.
Si nature of Contractor or Authorized Agent
$0.00
WATER
BAL DUE:
STORM
DRA
DWY
OTHER
Date
Date
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. POSf PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
\'E'i I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL (~GlIT DEPl)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER llNE
BACK FLOW I WATER
AIR SEAL
WAlL';
CEIliNG I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAlLS I ROOF I CEIUNG
DRYWAlL
T-BAR
INSULATION
SlAB I I
WAlL I FLOOR I CEILING I I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW urn.rrrns 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 \'E'i NO COMMERCIAL DATE ACCWI'ED
YES NO
ELECTRICAL UGlIT DEPT 417-4746 ELECTRICAL
LIGlIT DEPT
CONSTRUCTION R.W I PW/ CONSTRUCTION RW
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUIilllNG 417-4815 BUIilllNG
GENERAL COMMENTS:
PW-II02.15 [4/961