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Home My WebLink About1538 W 12th St - Engineering (; ~..~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ PUBILle WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT Rochelle Edwards 1538 w 12th st PW'CITY, PW'State PW:Zip 360/457-0000 ~ q-~ 47 PROJECT INFO Work is. Plans Required' Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 9/24/1999 Permit No Work Order' 991 o PROPERTY LOCATION 1538 12TH ST W Lot: 10 Subdivision Parcel No Block. 365 tpa Start Date 1 1 Finish Date. 2061000-0000 1 1 -- \J\ \N CA D Long Legal Value Work: $000 Amount: $000 ~ ~ Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec ~ Misc sidewalk PROJECT NOTES \~ FEES ASSESSMENT 1 ) RIW Excav' $40 00 15 ) Other San Sewer' $000 2.) Sidewalk: $000 16 ) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Capl 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 RIW $000 21 ) Sewer System Dev' $000 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000 9 ) Res Water Servo 5/8" $000 23 ) RIW 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. $40.00 14 ) San Sewer MFR $000 add unit: 0 Amount Paid $40 00 Receipt No 5122 Inspection Fee $000 Balance Due $0.00 R/W SANIT AR Y 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 construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . REQUEST Date ?1~L___ Time Received by (phone, person) Location of Work to be inspected_ } 7~ '8 , Name of person requesting inspection --~ - '(5- Address of person requesting inspection _ . Type of Inspection (circle appropriate one) WIZ~ K ~~ gqj \Y\ \.N ~ ~ .............. ~ Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other :5 ( \A) INSPECTION NOTES Inspected Date ? - ;;}.-, - 9 '1 Remarks Time PM By ~~YJ c... ~ -- f {~_:t.te- E:I< p. ~ 3611 ",..-t b Rc.. k . f c<...t...rh il.....J e. verI ;1..0' "11\ S W - S C-4..,..-eJ elJery S I RESTORATION REQUIRED YES NO ~ '" ~ '" 1.....- ~ f. \ · 3 ~ ~ ~ ;:: H ::: SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI 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 LOCATI(l~. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEI'TED COMMENTS YF.'i NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE n.ECTRICAL (UGJIT DEn) ROUGH-IN I I PLUMBING UNDER FLOOR I SL\B ROUGH-IN WATER l1NE BACK FLOW I WATER AIR SEAL WAILS CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WALLS I ROOF I CEIUNG DRYWAlL T-BAR INSULATION SL\B I wAlL I FLOOR I CEIUNG I I MECHANICAL CHIMNEY WooDSTOVE I PEllET DUCTS PW Ul1LITIES I SITE WORK (Engineering Division) WATERllNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER );"J., 4A ~ ./ /)/ ~ /...-;;;- t/lt/I:. "7/ FINAL INSPECTIONS REQUIRED PIlIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YF.'i NO COMMERCIAL DATE ACCEPTm YF.'i NO ElECTRICAL UGJIT DEPT 417-4746 ElECTRICAL UGHT DEPT CONSTRUCTION R,W I PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI-FAM. ONLY) 417-46.54 FIRE DEPT BUlIDING 417-4815 BUlIDING GENERAL COMMENTS: PW-II02,I~ (4/96J