HomeMy WebLinkAbout1007 S Oak St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/
PUBLIC WORKS CONSTRUCTION Issued: 9/03/98 LC Permit No: 867
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
QUEEN OF ANGELES 1007 OAK S
1007 S. OAK Lot: 7,8,9,10
Port Angeles,WA98362 Block: 327 Long Legal: CJ
360/452-2351 Sub: tpa C)
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $o.oo-J
V\
D
$0.00 1>
1\
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/
/
/
/
Storm Drain
Underground Tele/Ele
* Misc conc walk
PROJECT NOTES-------------------------------------------------------------------
install approx 12'x 25' concrete walk in front of Q of A school
area of new conc construction to have expansion joints. (city water
main in area of new construction}
Work to Perform: INSTALL
Watermain
Sanitary Sewer
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: *
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv:
5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No: 4380
Inspection Fee:
RlW
SANIT AR Y
$40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
San Sewer SFR:
San Sewer MFR:
Add unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
storm Drain Tap:
Catch Basin per ea:
Sewer System Dev:
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
DRA
OTHER
$40.00
$40.00
$0.00
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 jonstruction or the performance of construction.
~/, ,~,/ C ,~4..-_~ ~~(~
Signature of Contractor or AuthOrized Agent Date Signature of Owner (if owner is builder) / ate
DWY
STORM
BUILDING PERMIT INSPECfION RECORD
CALL 417-4815 POR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER,
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 COMI'tm'ITS
I YES NO
FOUNDATION:
FOOTINGS
WAlL'>
FOUNDATION DRAINAGE
ELECTRICAL (UGHT DEP1)
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
WAlL'> I ROOF I CEIUNG
DRYWAlL
T-BAR
INSULATION
SlAB
WAlL I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEY
W09DSTOVE I PEllET
DUCTS
PW UTll.ITIFS I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RF.SID~AL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL UGHT DEPT 417-4746 ELECTRICAL
UGHT DEPT
CONSTRUCTION R.W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW.II02.I~ [4/96)
s
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST STH STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
QUEEN OF ANGELES
1007 SOAK
Port Angeles, W A 98362
000/604-2251
PROJECT INFO
Work is
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
6/25/2001
Perm it No
Work Order'
1182
o
PROPERTY LOCATION
1007 OAK S
Lot: 7,8,9,10
Subdivision. tpa
Parcel No 063000032730000
Block. 327
IZI Long Legal
Value Work.
$000
Start Date
1 1
Finish Date.
206/000-0000
1 1
Amount:
$000
IZI Install
IZI Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
IZI Mise
sidewalk
PROJECT NOTES
repair and install sidewalk along Oak Street by Queen of Angels School
FEES ASSESSMEN"F
1 ) R/W Excav' $0.00 15 ) Other San Sewer' $000
2.) Sidewalk. $000 16 ) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17) Sew Capl W/M 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' $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 (0 RA) $000
11 ) Other Water Service $000 25 ) 0 RA. $000
12.)Water System Dev' $000 26 ) Mise: no fee $000
13 ) San Sewer SFR $000 TOTAL FEE $000
14 ) San Sewer MFR $000
add unit: 0 Amount Paid $000
Receipt No no fee
Inspection Fee: $000 Balance Due $0.00
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 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.
SiQnature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Acent
Date
BUILDING PERMIT INSPECTION 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 r ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE / PELLET
DUCTS
PW VTlLITIEs / SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1R1CAL LIGHT DEPT 417-4746 ELEC1R1CAL
LIGHT DEPT
CONSTRUCTlONR.W /PW/ CONSTRUCTION R. W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MUL T1-F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW 1102.15 [4I96J