HomeMy WebLinkAbout2420 Woodside Cir - Engineering
s
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, WA 98362
/
PUBLIC WORKS CONSTRUCTION Issued: 10/19/98 TF Permit No: 887
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
PATRICK GILBERT 2420 WOODSIDE CIRCLE
2420 WOODSIDE CIRCLE Lot: 16
Port Angeles,WA98363 Block: Long Legal:
360/457-6771 Sub: SAMARA WOODS DIV II
PROJECT INFO--------------------------------------------------------------------
Work is OUTSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: Watermain Storm Drain *
Sanitary Sewer Underground Tele/Ele
Mise '
PROJECT NOTES------------------------------------------------------------------~
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PROJECTR~:Eix~:;~SSMENT--$~~~~---------------------$~~-$~~~~-$;;~--------$~~~~-~
sidewalk: $0.00 San Sewer MFR: $0.00 t
Curb/Gutter: $0.00 Add unit: 0 \
Driveway: * $125.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 ~
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00 ~
Other R/W: $0.00 Alter/Repair Sewer: $0.00 ~
Fire Hydrant: $0.00 Storm Drain Tap: $0.00 C'"
Res Water Serv: $0.00 Catch Basin per ea: $0.00 r
5/8" Sewer System Dev: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
TOTAL FEE:
AMT PAID:
$125.00
$125.00
Receipt No: 4423
Inspection Fee:
SANITARY
$0.00
WATER
BAL DUE:
$0.00
R1W
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
qbAJ 1j0 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)
Sewer Foundation Framing Chimney
2- 4z..D WOODSIDE CIru:L.E
~~
Plumbing Final
Phone No
Permit No g c?7
Sewer Excav Other ~
INSPECTION NOTE~
Inspected Date I () - "l- 1- -'1 ~
Remarks
Time
By
,r-
I-
t
t-t.pUAKJ-eJ r!.-u.fLb- (bJi
e~JL-~
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BillLDING 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 I ACCFl'TED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WAU.S
FOUNDATION DRAINAGE
ELECTRICAL (UGHT DEn)
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SlAB
ROUGH-IN
WATER liNE
BACK FLOW / WATER
AIR SEAL
WAll.S
CEIliNG I I
FRAMING
JOISTS / GIRDERS
SHEAR WAll
WAU.S / ROOF / CEIliNG
DRYWAll
T-BAR
INSULATION
SlAB
WAll / FLOOR / CEIliNG I I
MECHANICAL
CHIMNEy
WooDSTOVE / PELlET
DUCTS
PW VTILITIEs / SITE WORK (Engineering Division)
WATERliNE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OlliER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
El.EC1RICAL UGHT DEPT 417-4746 El.EC1RICAL
UGHT DEFT
CONSTRUCTION R. W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUIWING 417-4815 BUIWING
GENERAL COMMENTS:
PW-II02.13 [4/9iS)