HomeMy WebLinkAbout602 W 13th St - Engineering
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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)
Cooz LU t 3~'
Phone No
Permit No
JDQS
~c
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date It to
Remarks C () fu L? -e '<L.--
Time
By
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
KEN STEFFEN
1020 W 4TH ST
PW CITY, PW State PW.Zip
000/604-7460
PROJECT INFO
Work is
Plans Required Start Date
Contractor' J H CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
12128/1999
Perm it No
Work Order'
1005
o
PROPERTY LOCATION
602 13TH ST W
Lot: 1 & 2
Subdivision TPA
Parcel No 0630000392000
Block 392
o
Long Legal
C8J Install
D Repair
D Watermain
Value Work.
1 1
Finish Date
360/681-0871
$000
C8J Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
wm exists previously under address of 1312 S Cedar connect into san.
sewer at alley main 8' dp ex sidewalk on Pine St.
$000
1 1
bldg permit # 11595
FEES ASSESSMEN"F
1 ). R/W Excav' $40 00
2 ) Sidewalk. $0 00
3 ) Curb/Gutter' $0 00
4 ) Driveway' $0 00
5 ) Dwy Culvert: $0 00
6 ) Street Cut: $200 00
7 ) Other R/W $0 00
8 ) Fire Hydrant: $0 00
9) Res Water Servo $000
10) Comm Water Servo $000
11 ) Other Water Service $000
12.)Water System Dev' $000
13 ) San Sewer SFR. $80 00
14) San Sewer MFR. $000
add unit: 0 Amount Paid $0 00
Receipt No ;5 (p g tr d I
Inspection Fee $0 00 Balance Due ~ () P / Z'J?
~:'"te pennl~:::~:YfO' elec1nca~ ~:~:'mes. pn~,:a~d public ~:~:ents Th~~,,"' be~::~U~ and void If wo" 0' ~
construction authorized is not commenced within 180 days. if construction or work is suspended or abandoned for a period of 180 days I
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 w. h whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the pro isions of y state or local law gul ting construction or the performance of construction.
~- /
Signature of Contractor or Authorized Agent
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17) Sew Capl W/M Removal
18 ) Alter Repair Sewer'
19 ) Storm Drain
20 ) Catch Basin per ea.
21 ) Sewer System Dev'
22.) Milwaukee Dr Sew Ass
23 ) R/W Use Perm
24 ) Admin Cost (0 R.A)
25 ) 0 RA
26) Misc.
$000
$000
$000
$000
$000
$000
$642,00
$000
$000
$000
$000
$000
TOTAL FEE
$962.00
Signature of Owner (if owner is builder)
Date
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
KEN STEFFEN
1020 W 4TH ST
PW.CITY. PW State PW.Zip
000/604-7460
PROJECT INFO
Work is
Plans Required Start Date
Contractor' OAKLEY CONCRETE CONSTRUCTION
Performance Bond Required Amount: $000
Proof of Insurance
Work to Perform
Issued
1/12/2000
Permit No
Work Order'
1030
o
PROPERTY LOCATION
602 13TH ST W
Lot: 1 & 2
Subdivision TPA
Parcel No 0630000392000
Block, 392
D Long Legal
Value Work.
$000
/ I
Finish Date
360/452-6276
/ /
C8J Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
C8J Misc
DWY/SIDEWALK
PROJECT NOTES
INSTALL DWY ON S CEDAR ST EXTEND SIDEWALK ON W 13TH ST
FEES ASSESSMENT-
1 ) R/W Excav' $000 15 ) Other San Sewer' $000
2.) Sidewalk $000 16 ) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17) Sew Cap/ W/M Removal $000
4 ) Driveway' $145 00 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 Serv- $000 24) Admin Cost (0 R.A) $000
11 ) Other Water Service $000 25 ) 0 R.A. $000
12.)Water System Dev' $000 26) Misc' $000
13 ) San Sewer SFR. $000 TOTAL FEE $145.00
14) San Sewer MFR. $000
add unit: 0 Amount Paid $145 00
Receipt No 5775
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 ~ncel the provisi ns of any state or local law regulating construction or the performance of construction.
/
/
/- 2-6:.J
uthorized Agent
Date
Signature of Owner (if owner is builder)
Date
l.tJU} 10:2 S
CITY OF PORT.ANGELES
DEPARTMENT Or: PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date / c -G-8- 97'
Time //#. ~6
Received by R_ T ~f1~ person)
-
/'"
Location of Work to be inspected 60 Z- t.-LJ / :5
Name of person requesting inspection J"": H ~S' / ,
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No /00::;-
Sewer Foundation Framing Chimney Plumbing Final~;;; Exc3 Other
INSPECTION NOTES
Inspected Date
Remarks ( <'"
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Time 1-:;::> Il \
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By . J.. ':f
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RESTORATION REQUIRED
YES
X NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved
D Repaired by Cit
[] Repaired by Permittee
[] No Damage Found
D Other
CALL 417-4815 FOR BUILDING INSPOCTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WPUL 1'0 CO_.
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOcATION
BUILDING PERMIT INSPECTION RECORD
INSPEcTIONlYPE DATE I ACCEPTm COMMElITs
YES , NO
FOUNDATION:
FOOTINGS
WAILS
FOUNDATION DRAINAGE
ELEcTRICAL (UGHT DEP1)
ROUGH-IN
PLUMBING
UNDER FLooR / SlAB
ROUGH-IN
WATER IlNE
BACK FLOW / WATER
AIR SEAL
WAll.S
CEIUNG ,
FRAMING
JOISTS / GIRDERS
SHEAR WAlL
WAll.S / ROOF / CEIUNG
DRYWAlL
T,BAR
INSULA nON
SlAB
WAlL / FLOoR / CEIUNG ,
MEcHANICAL
CHIMNEY
WooDSTOVE / PEllET
DUCTS
PW lJTU.rrIEs / SITE WORK (Engineering Division)
WA TERI1NE / METER
SEWER CONNECTION
SANITARY
STORM
SI'rn DRAINAGE / EROSION CONllWL
PARKING
OllIER
FINAL INSPECTIONS REQUIRED PRIOR TO <>CCUPANCYIVSE
RESIDEVIlAL DATE YES NO COMMERCIAL DATE ACCEPTm
YES NO
ELECTRICAL UGHT DEPT 417-4746 ELECTRICAL
UGHT DEFT
CONSTIWCTION R. W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MULTI,FAM. ONLY) 417-46.54 FIRE DEFT
BUILDING 417-4815 BUILDING
I
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW'll02,13/4I96j
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 ACCWI'ED COMMENTs
YES NO
FOUNDATION:
FOOTINGS
WAILS
FOUNDATION DRAINAGE
ELECTRICAL (UGm DEn)
ROUGH-IN I ,
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAILS
CEIUNG
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAILS I ROOF I CEIUNG
DRYWALL
T.BAR
INSULATION
SlAB
WALL I FLOOR I CEIUNG
MEcHANICAL
CHIMNEy
WooDSTOVE I PEllET
DUCTS
PW t.rrn..rnF.s I SITE WORK (Engineering Division)
WATERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OllIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCWI'ED
YES NO
ElEClRICAL UGm DEPT 417-4746 ElECTRICAL
UGm DEPT
CONS'ffiUCTION R. W I PWI CONS'ffiUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE CMULTI,FAM. ONLY) 417-46.54 FIRE DEPT
BUIlDING 417-481.5 BUIWING
GENERAL COMMENTS:
PW,I 102.1' /4196J