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Home My WebLink About1224 S Oak St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 11/24/97 TF Permit No: 776 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT--------------------____PROPERTY LOCATION-----------_____________ PHILIP CHURCHLEY 1224 OAK S 1224 S OAK Lot: 19, 20 ~ Port Angeles,WA98362 Block: 378 Long Legal: 360/457-3096 Sub: TPA ~ PROJECT INFO-----------______________________________________________________ ~ Work is OUTSIDE traveled road Value Work: $0. 0 V\ ~ $0.00 r Storm Drain Underground Tele/Ele Misc NOTES------------_______________________________________________________ Plans Required: N/A Contractor: OWNER Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: REPAIR Watermain * Sanitary Sewer PROJECT / / / / 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" Corom Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: $0.00 $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 $30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ TOTAL FEE: AMT PAID: Receipt No: Inspection Fee: 3314 $30.00 $30.00 ----------------------- $0.00 WATER BAL DUE: DRA $0.00 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 Conhacto< or AuthoOzed Agent Date X Sig~ Ow~~;';'r) R!W SANITARY DWY STORM I/-Z'!-:J7 Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: 'j/Z,I-Oy Date Time Received by - I~ , , (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): /z 2-4 ~ OM::::. P ~ p' (). {J )'U.1/L(~ --a-ft. Phone No. 7-i3.l.YJh Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: . Inspected: Date <zj>Z-/-Oy Time By Remarks: N~ ~ aJ>>-0 ~ l;;lIT1Ai~ a -yR..., .,( -b~' $1 Df2 aJA-L-r ~ LA c.-A /:0 AtJ-t!LI'''& f/?-) if...t. / ~!L~ 11J wi U/';L~. - ~~ RESTORATION REQUIRED. . . . .. YES NO :t.- J<;t-ee.f (y','-I-Lt. 1>4/1/ w<4<-<:f oV"'t1" wko- t- wCJl...d~be r <G <}~ ~ J'-e4) n"<.. -.e.J$ fa c..c:>........~ I vL c:t ~ t p~'" 7" ' f , L h..:s deW Vl.-spo<-<-+ dr.",.' '-'\. ",,->'-e. J,..o..,'-'.. '-'::J o,-<-fo 0. $0 f c b .r)).,... w.e/ls A Itet a...0 I1..-ted i-6 90 Cl {J...V- 0 Y 1293er- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI , I CfTY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 17351 Port Angeles. wasbJ.ngton..?j.-::....f....=--~..___.___...___.....______. 19.Y..O In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- t;::: ~~e~e:~.~~.f;~D~:~;:;.Q~_~:__:~IO:~cupancy___.________~___n________n___ ~wner .~ .--- . ---..'-4:ii-';;.(L.\L'll.i!!;'1i'Z-- Tenant___.______.._____.____..._____.__._____________..______..____..__...__ Wiring Contractor.. _.h(..___:I.,'/t.~.---..----------------- By_______..______________.___...___.___m.___m.____.___n____.___._.. Jlght Outlet._..._......__......._....._...______.._ Service. volts IA...o_~._a.':::l....Q Type 01 Wiring: Jeceptacle Outlets________..............__....... No. wires .~..h....._..h.______..._.._.. Armored Cable ..___........_..__n.......... ~ryer, KW..n__.......__.......____________________ Size Wlre._P.M..-?4...~ Non.Metalllc .......-........................- :1 2.da. A Knob & Tube...___........._.......__........ R:ange, KW__..___.__....____..___..__.._______..___ Main luse..""", . ......-.. :.....-... ,I RIgid Conduit .....-.......................-- r.ater Heater: Enclosure ____.___m_____._.._.___.............. M talll T bi e c u ng .._..........._....._...... I, eaIKKWW"".'.-.!_-_._-~_ -.-.-.'~. .~.-...___-.-_~__..;.,___~__-_- ,__-_-_,'1>__""_,n.-.. TYP~::r:~;:n~~ble ............__............ Raceway ...............................-......- . . Q. .f.l ~ C: Circuits, LigbL..............____.................... Motors: :i~. ~Olts ~d phase: Rigid Conduit ........h....m..........___. Utility ...._n.____n......._._....._.____.....__._ 'I I " I I I i Metallic Tubing 'mn..n................. Heat ..........................................._ Current transformers: Range .................__......n..............._.. No. & Size________............................... Water Heater ............................... Ser. NO.....n......__............................... Motor ............................................. Ser. NO......................__...____..........n.... Dr'fcr................-.............................-.. Furnace .........................._......_.._....... Ser. No....________.____._.......__................... ~emark:~ta:--:~---S~:~-:O~--~~::-~:.:.~::~::..~:..~---~--.-._:~__~__m___________._____:_~~::__:'~:~~::~::~~::~:::'~::~::~::~:: ,I ::r:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::=::::::::::::::::::::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::: Fjermit Fee $[--.--.--.----.-------..00.......----- No.__.____.__.....____...._.__ Byt!/..~.,.--.-s.e.k~..-..- I NOTICE-Current must n()t be turned on until Certificate of Inspection has been issued. It work is to be con. c~aled due notice must be given the Inspector so that work may be inspected before concealment. I Treas. Receipt NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION 1 I I A~dre.. .m__mm__............__.m......._____..____m.____..._...__...____m__...____..._____.._________...______......._........___.. Date......____________...._________...............____________ , o tvner .........._.__.....................___...._.._.....____...._.____.._...........n.........._..____......__.........____... Tenant...__.............______........._.................__n............. , ~jringContractor.....--..n..............-.........---....-................................................_........................_.._By.........................................................._... I NOTICE-Current must n()t be turned on until Certlflcate of Inspection has been issued. It work i!i to be con- c~aled due notice must be given the Inspector so that work may be inspected before concealment. I I ELECTRICAL PERMIT N? 17351 1M Olympic Printers, Inc.