HomeMy WebLinkAbout1429 W 10th 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: 12/07/98 LC Permit No: 814
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION---------------------___
BERNIE FLORES 1429 10TH ST W
2530 W.10TH ST Lot: 13
Port Angeles,WA98363 Block: 305 Long Legal:
360/457-1237 Sub: TPA
PROJECT INFO----------------------______________________________________________
Work is N/A traveled road Value Work: $0.00
..........
~
~
$0. 00 ~
~
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/
/
/
/
Work to Perform: INSTALL * Watermain Storm Drain "
* Sanitary Sewer Underground Tele/Ele ~\
* Misc \~
PROJECT NOTES---------------------______________________________________________
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"
Comm Water Serv:
1"
1 1/2"
2"
oth Water Serv:
Water Sys Dev: *
Receipt No: 4665
Inspection Fee:
R/W
SANIT AR Y
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$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
$883.00
------------------------------
------------------------------
$0.00
TOTAL FEE:
AMT PAID:
$2,155.00
$2,155.00
BAL DUE:
-----------------------
$0.00
$0.00
WATER
DWY
STORM
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 authority to
violate or cancel the provisions of any state or local law regulating ~uction or the performance of construction.
-------- 'C-i 7
Signature of Contractor or Authorized Agent Date
REQUEST
Date ~'- 1{ -]' 3'
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
.....
Time ? A/V\...
Received by J<. t~1 &v.bk!:--<Phone, person)
Location of Work to be inspected /1.f 2--'1 W ffJH....
Name of person requesting inspection --f} ~/t:TV'-
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
J:-Io~
Phone No ~
Permit No 1111 ~~
Sewer Excav Other V-J~.--
Ow ').CI~I
INSPECTION NOTES
Inspected Date 6--- 4 -98'
Remarks ~ow ~rL1,cG
Time I (J 1:;&1,
Q::n..... j'Y 2-? '\.oJ
c.. i~~
J= J.-5 CJ2{)tf7 8
I
By I)~ !~sO-_
I ">< 5-;~)
;
'"
~
RESTORATION REQUIRED
t\f'
YES
NOV--
~os-
~ /Lf2..'
-?f
~
~ II c..I.
I~S+
't
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\f\
\:J
SURFACE RESTOR~ION
SURFACE TYPE ~Unimproved OGravel 0 Asphalt
OPCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date /1- 23-7 R
Time
Received by
(phone, person)
-
/ /l.1'./k.....C..- J
1-l~-
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 Plumbing Final Sewer Excav Other
~~~
IN~CTION NOTES
/42..q tulO~
Phone No
Permit No
~14--
Inspected Date
Remarks
~ -> Ja...L.t.l ~./
~A7-, -
Time
By
~ (p UT) p-^~U.-'F 1 A'A: J ~ pt'.U2.Qcl~LL /21_ ~ ~
RESTORATION REQUIRED .
YES
NO X
IV () s;d.a.v..Ja (k
ci" I -',.Je f I
?
S~-.ey-
h () D ke ~
16 s I iT;iA1
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(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. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
r INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WAIL<;
FOUNDA nON DRAINAGE
ELECTIUCAL (UGlIT DEn)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SL\B
ROUGH-IN
WATER l1NE
BACK FLOW I WATER
AIR SEAL
WAIL<;
CEIUNG I I I
FRAMING
JOISTS I GIRDERS
SHEAR WAll.
WAlLS I ROOF I CEIUNG
DRYWALL
T-BAR
INSULATION
SlAB
WALL I FLOOR I CEIUNG I I I
MECHANICAL
ClllMNEY
WooDSTOVE I PEllET
DUCTS
PW UTIL1TIES I SITE WORK (Engineering Division)
WA TERl1NE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIlER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL
UGlIT DEPT
CONSTRUCTION R.W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUlillING 417-4815 BUlill1NG
GENERAL COMMENTS:
PW-II()2.I~ [4/96)