HomeMy WebLinkAbout629 Marine Dr - Engineering
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~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/'
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
PORT OF PORT ANGELES
Issued
5/17/2000
Permit No
Work Order'
1063
o
PROPERTY LOCATION
629 MARINE DR
Lot: 13
Subdivision
Parcel No
Block. 37
Port Angeles, W A 98360
0001600-0000
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
TPA
D Long Legal
Value Work.
$000
Start Date
I I
Finish Date
0001000-0000
I I
Amount:
$000
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
FEES ASSESSMEN"'F
1 ) R/W Excav' $0 00 15 ) Other San Sewer' $0 00
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter" $0 00 17 ) Sew Capl W 1M Removal $0 00
4 ) Driveway' $0 00 18 ) Alter Repair Sewer' $0 00
5 ) Dwy Culvert: $0 00 19 ) Storm Drain $0 00
6 ) Street Cut: $0 00 20 ) Catch Basin per ea $0 00
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 2" $2,32000 24) Admin Cost (0 RA) $000
11 ) Other Water Service $000 25) 0 RA. $000
12 )Water System Dev" $000 26) Misc: $000
13 ) San Sewer SFR $0 00 TOTAL FEE. $2,320.00
14 ~B/tMFF..DOES NOT RE@tJfllE A SEPA, SIIORELIl'lE OR ESA PE~fIT
add Unit: 0 Amount Paid $2,32000
A Rfflei~r No 6223 St rfi Date
pps'pceact"IOfl Fee $6 00 a BID
Tn C1 C1111..C UC
$0.00
RW
SANITARY
WATER
OWY
STORM
ORA
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 Aaent
Date Sianature of Owner (if owner is builder)
7/;:Z-S-; 2000
Date
~D, PA-iO ~ OJ::
~) CITY OF PORT ANGELES Ow ').tPs' 111/
I ~ . . . . . ~~~~~~~::;T~~:~:~~R~~.~~~. . . . . .
REQUEST
Date ,- ~ - c>D
Received by (phone, person)
t.pZC:; /ntVu~LJ~,
Location of Work to be inspected tlltlf....'R/).;-I!.. Or-J'lIe VU-e.;1- 11 F- fYLk.k Rf.
Name of person requesting inspection f GAJ , 'I Co/"
Address of person requesting inspection 17 f1t '(;-'l3 Phone No
Type of Inspection (circle appropriate one) Permit No 10 b3
.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other W ~
Time
INSPECTION NOTES
By
:J..-,X 0~ w ~
/
Inspected Date
Remarks
Time
:f AJ S b-I / n -u.....J
~-eV'UI C~
//
RESTORATION REQUIRED . . . YES V' NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
~ O~/ OOthe,
Work Order # /~ / 1
~ COMPLETE G -;).""3 CO /YIlt
D INCOMPLETE
BUILDING PERMIT INSPECTION RECORD
CALL 4174815 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 I ACCEPTED COMMENTs
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN T
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DR YW ALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE / PELLET
DUCTS
PW UTILITIEs / SITE WORK (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRlOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONS1RUCTION R. W / PWI CONS1RUCTION R. W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MUL TI-F AM. ONL Y) 417-4654 FIRE DEPT
BUILDING 417-48]5 BUILDING
GENERAL COMMENTS:
PW-II02.15 [4I96J