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Home My WebLink About1338 1/2 W 15th St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 / PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT LISA DELGUZZI 113 E. 10TH ST Port Angeles, WA 98362 000/604-2763 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 1/09/2001 Permit No Work Order' 1127 o PROPERTY LOCATION 13381/2 15TH ST W Lot: 10 Subdivision Parcel No Block: 433 TPA 063000004330000 o Long Legal Value Work $000 Start Date. I I Finish Date. 206/000-0000 I I Amount: $000 ~ Install o Repair ~ Watermain ~ Sanitary Sewer o Storm Drain o Underground Tele/Elec o Mise PROJECT NOTES HOUSE MOVED FROM 800 BLK GEORGIANA ST DROP IN WATER METER ~rv(ueJ~ '- *~ crrL U~U r ~0 U_}'-L~ P ('~--F--ui1\-1 ~ "1JL~~ / FEES ASSESSMENT- 1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000 2 ) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M 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' $745 00 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo 5/8" $150 00 23 ) R/W Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12.)Water System Dev' $1,02500 26 ) Misc. $000 13 ) San Sewer SFR $95 00 TOTAL FEE. $2,060.00 14) San Sewer MFR $000 add unit: 0 Amount Paid $2,060 00 Receipt No 7005 Inspection Fee. $000 Balance Due $000 RW SANITARY 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 appk:ation 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 AQent Date Sianature of Owner (if owner is builder) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date Time Received by (phone, person) 0.- /335' tU /51t! location of Work to be inspected / ~ I J.. 4/1 € V E. #1> f 1-/ , / Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Phone No Permit No //~7 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Remarks Date 12. - 40- cO C._p{~ Time ?.M By C-LA.);;{ RESTORATION REQUIRED YES NO X -1 U I .. ..J. toed II. c;L'" _ l&l~(,.'" T '!:!' ,"'!'\) "" 61(( ~ l' wye.. 1. ~ I cJ.c.f" ~ '\h SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] 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 INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGlIT DEPT) ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DR YW ALL T-BAR INSULATION SLAB I WALL I FLOOR I CEILING I I I MECHANICAL CHIMNEY WooDSTOVE/PELLET DUCTS PW UTILITIES 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 YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL LIGHT DEPT CONSTRUCTIONR.W IPWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW,1102.J514196]