HomeMy WebLinkAbout832 Victoria St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUB/LlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Meek
113 E 10TH ST
Port Angeles, W A 98362
000/604-2763
PROJECT INFO
Work is
Plans Required Start Date
Contractor' MORRISON EXCAVATING
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
1 108/2001
Perm it No
Work Order'
1133
o
PROPERTY LOCATION
832 VICTORIA ST
Lot: 1 &2
Subdivision
Parcel No
Block 32
N R SMITH
0630005132050
D Long Legal
Value Work.
$000
I I
Finish Date.
360/452-7179
I I
$000
D Install
~ Repair
D Watermain
~ Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
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' $35 00
5 ) Dwy Culvert: $000 19 ) Storm Drain. $000
6 ) Street Cut: $230 00 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 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 $310.00
14) San Sewer MFR $000
add unit: 0 Amount Paid $31000
Receipt No 7007
Inspection Fee $000 Balance Due $000
RW SANIT ARY 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 menced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and min this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
will be c . with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisio s f ny ta r local law gulati nstruction or the performance of construction.
Date
Si nature of Owner if owner is builder
Date
CITY OF PORT ANGELES
DEPARtMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date /-09 -0 I
Time
'}. ';j4~ Received by
(PhOn~rs~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
832. \) ,ffi It-;.;L o:s -t.
At~ rr'.s~" EY r JU;;!;""r
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Phone No 3'~D -~S2-.. 7177
Permit No 1/33
Final ~ Other
Sewer Foundation Framing
Chimney Plumbing
INSPECTION NOTES
Inspected Date I - c> ~ - 0 I
Remarks
Time
AIVl
BYC.~<-~
(),J;? t)';!Dt"\Cj
J
RESTOf\t ~ION REQUIRED
YES V NO
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SURFACE RESTORATION ( G)' ~ )
SURFACE TYPE D Unimproved D Gravel W Asphalt D PCC
D Other
,-
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
OJ COMPLETE 3.. (t, - 0 I M t-\-
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEAsE PROVIDE A MINlMuM24 HOUR NOTICE. IT IS UNLA WFUL TO COI'EJl
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
BUILDING PERMIT INSPECTION RECORD
r INSPECTION TYPE DATE T ACCEPTED COMMENTS
J YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN J
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB r I
WALL I FLOOR I CEILING
MECHANICAL
CHIMNEY
WooDSTOVE I PELLET
DUCTS
PW IlTILITIEs I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1RICAL - LIGHT DEPT 417-4746 ELEC1RICAL
LIGHT DEPT
CONSTRUCTION R W I PWI CONSTRUCTION _ RW
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MUL TI-F AM, ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
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PW.II02,15 (4196/