HomeMy WebLinkAbout924 Milwaukee Dr - 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: 9/02/98 LC Permit No: 614
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT-------------------_____PROPERTY LOCATION----------_____~________
OTTO MILLER 924 MILWAUKEE DR
209 N 9TH AVE Lot: 6
SEQUIM,WA98382 Block: Long Legal:
360/683-2793 Sub: BLUFF'S WEST
PROJECT INFO-----------_________________________________________________________
Work is INSIDE traveled road Value Work: $O.OO~
Plans Required: N/A Start: / / ~
Contractor: PHIL ROBERTS CONSTRUCTION Finish: / / ~
Performance Bond Required: N/A Amount: $0.00 ,
Proof Insurance: ::-.....
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
* Storm Drain
Underground Tele/Ele
* Misc
NOTES-----------________________________________________________________
PROJECT
PROJECT FEES ASSESSMENT---------________________________________________________
R/W Excav: * $40.00 San Sewer SFR: * $80.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: * $125.00
Street Cut: * $200.00 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
Res Water Serv: * $575.00 Catch Basin per ea: $0.00
5/8" Sewer System Dev: * $642.00
* 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 I' ==============================
Oth Water Serv: $0.00
Water Sys Dev: * $883.00
Receipt No: 2802
Inspection Fee:
TOTAL FEE:
AMT PAID:
$2,545.00
$2,545.00
R1W
SANIT AR Y
$0.00
WATER
-----------------------
BAL DUE:
$0.00
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
l
<<('!.../
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENl
4 .1.1 JlIN I P .. DoLI.I II/N I
NAME NUMBER NUMBER
~~~s~~Z~kT;-e - -- ------- ---- __ ;~~~~}; _ __
~~~1i~~~t~1-~9r -----.-- --=~~=. _'u_ ----- ---20ioiW2\<r----- .
MechanicaT- ---- ----- f--_ -- 700 921;:f -------
~TgI1 -=-_. _ __ ___ ~~__- _. ~--.~- t----- -- - -- 700 9214 __ ~ __
Electrical Permj~.1lnspection6_ __ 911 9237_ _ _
House Moving 700 9626 ____
Sidewalk/DrivewayjClJ'b Permit/RightOfWay15ermit-- ',) /<:/ 700 9228-
Sanrtary Sewer Permit //7 / L1 700 9223- ----
Publications-- I 700 9469 --
----- -~-
Blueprints - Aerial 700 9429
Enqineering Service Fees _____-~ _ 700.~4E>?
~ar/Grade Permit .~ 700 9241___ ~.
~.I~ect!permit Fee 600 9677
.r-----"'~ Sprl~n Review Fee .---==~=== --___ 600 9449.--
Aamlnistration Cost (5%) _~_n__ 700 942G
nRAFf.E.G Plus"lnterest 00123Q;:>ClOO
DOli A~
AMOUNT
-----
-----
----
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g D (2..t:.L-
.-
l5BlA------ -
:ITII==:~:: '" ,TQTALGENERAkFUrm:=~,"""- n
~Oif!i~_Dr~_ __ ______.
~LAlley Restoration _
S/W (;0_--:91> __.n
650.2319~'l;nJ
~ ~;rf~::I!UIAlt~f{: : ...;:;:;.J)(rr~:JJIJ;Q~r :.;:;
/./':1
752:9619
752.924~_
752_9626
--
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;:..'J.=J1QIAL.;CAArrAltIMPa()VE~fLfIT~f.P~ff-.
151-0- ~ SaTes- -
~~"JJrQIAt::.'P~WJMPROVEMEf'Wf~Q~
:')T:QTAli)\?)al:O;lfi1~-I
71 5 9634
",{{UiU,AU:':";':::.::,}314:1.'fflMP<t:..}}, _,
Wat;r=~$tern Developement Charg~--
Hot Tap (watermain)
F H. Install/ Meter ----
W/MlnstaiJation-- .
===:'.~.-.-~-::~'_T!>TAtlWAlER .fVH~Y-
/~/</
7
~~94o.~. ~___~
753 9619
753 961 9
753 9619
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,
'q
/~~).,t
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~~~It~ry $e\'/:ffEP/Cap or MH TaF~
SewM Syr.te--'!lJ)eye/opement Charg~
-'
I ..., ~f
,~- / '"
354 9('1 9
354 ~403
---
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Milwaukee DrAssesement
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TOTAl"SEWER'lMPOOVEJ,;fE'Nr n 'I>;', ' .............
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ANU IUI/\I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 POR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TV 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 ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN I
PLUMBING
UNDER FLOOR { SlAB
ROUGH-IN
WATER UNE
BACK FLOW {WATER
AIR SEAL
WAllS
CEIUNG
FRAMING
JOISTS { GIRDERS
SHEAR WAlL
WAllS { ROOF { CEIUNG
DRYWAlL
T.BAR
INSULATION
SlAB
WAlL { FLOOR {CEIUNG I
MECHANICAL
CHIMNEY
WooDSTOVE { PEllET
DUCTS
PW UTILITIFS { SITE WORK (Engineering Division)
WA TERUNE { METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE { EROSION CONTIWL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRFD PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL
UGlIT DEPT
CONSTIWCTION R.W {PW{ CONSTRUCTION R.W
ENGINEERING 417-4807 PW { ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUlillING 417.4815 BUlill1NG
GENERAL COMMENTS:
PW-II02.I~ (4/96)