HomeMy WebLinkAbout103 Viewcrest Ave - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUB/LlC WORKS & R/W PERM/T
D Attached Notes
OWNER/APPLICANT
DAVE MEYERS
103 VIEWCREST
PW'CITY, PW State PW.zip
000/604-71 01
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
1/27/2000
Permit No
Work Order'
1036
o
Value Work.
I I
Finish Date
0001000-0000
PROPERTY LOCATION
103 VIEWCREST
Lot: TAX #1972 S260' SWNWNW
Subdivision.
Parcel No
0630152210750
Block.
D Long Legal
Start Date
Amount:
$000
D Mise
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
PROJECT NOTES
$000
I I
j) W!J-- -
FEES ASSESSMEN'F
1 ) R/W Excav'
2.) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12.)Water System Dev'
13 ) San Sewer SFR
14 ) San Sewer MFR
add unit: 0
$000
$000
$000
$145 00
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
Receipt No
Inspection Fee
R/W SANITARY
5814
$000
WATER
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M 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 (D RA)
25 ) D RA.
26 ) Misc.
TOTAL FEE.
Amount Paid
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$145.00
$145 00
DWY
Balance Due
STORM
DRA
$000
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
;"';;}i~e p;fsl~e 0' local'~~;:ng construction 0' the ..nonn.nee 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
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
/0:5 V I~JC!A-UJ*
/Y) ~
Phone No
Permit No
Plumbing Final Sewer Excav Other
'"
~
\)oJ
INSPECTION NOTES ~
Inspected Date (0 , I (' ~me
Remarks ' 0 J11 () ('-P/
I
By
~
t
t
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D 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 ACCEl'TFD COMMENTS
YFS I NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL. (UGlIT DEPT)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WALLS
CEIUNG I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEIUNG
DRYWALL
T-BAR
INSULATION
SlAB I
WALL I FLOOR I CEIUNG I
MECHANICAL
ClllMNEY
WooDSTOVE I PELlET
DUCts
PW UI'll.ITIES I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OlHER
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
RESIDFNrlAL DATE YFS NO COMMERCIAL DATE ACCEPTED
YFS NO
ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL
UGlIT DEPT
CONSTRUCTION R.W I PWt CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
ARE (MULTI-FAM. ONLY) 417-4654 ARE DEPT
BUlillING 417-4815 BUlilllNG
GENERAL COMMENTS:
PW-II02.I~ [4/96J