HomeMy WebLinkAbout2904 Maple St - Building
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/
PUBLIC WORKS CONSTRUCTION Issued: 2/02/99 LC Permit No: 922
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
PASD 2904 MAPLE S
216 E.4TH ST Lot: ~
Port Angeles,WA98362 Block: Long Legal: \ ~
360/457-8575 Sub: MAGUIRES (W-Aq '~.J-Er"C' s (~r(. 1'J ') '='
PROJECT INFO-------------------------------------------------------------------~
Work is N/A traveled road Value Work: $0.00
V\
~
$00001
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Work to Perform:
Amount:
Watermain
Sanitary Sewer
/
/
/
/
Storm Drain
Underground Tele/Ele
Misc
NOTES-------------------------------------------------------------------
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"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No: 4741
Inspection Fee:
R/W
SANIT AR Y
$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
$225.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
Ouv~
2/2/7'7
Date
$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$225.00
$225.00
$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 construction or the performance of construction,
Signature of Contractor or Authorized Agent
A--t 1 Y'- ~
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
DWY
Date
.
.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST.
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) P/ V / () z., '5 Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
~
"~7-- ~
~
~
INSPECTION NOTES' _ l'
Inspected Date t./..- 2 0 ~ Time By
Remarks ~ fUd 5 S IlJn ~ 5"9' c5 f)6
/(40.-.1 " 2. ( clU--f / ~ ~ ~ ~
~~
hill e S 1I!r
RESTORATION REQUIRED . . YES
F A. H. S. ~V\c..e R.C1t\l?
NO x..
~
~
l-
f,
, ~
~
t\~
~
~~\7
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST"
Date ~- (6- C{<!\
/'
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing
~q O~ t 51 o;u~fl~
fCd\\(;OX~
11-tii ~~ Phone No
INSPECTION NOTES
Permit No
Final Sewer Excav Other Wd" t-e1'"
DWJ5fS
@3~
~
<::::::,
~
V)
~
Inspected Date
Remarks
Time
By
RESTORATION REQUIRED
!};.i1o.~6~~ It!t l,u~1r f%fLjoc-e
ell+- ___ _ _ 5 hu t D ~ Cl+-~6\"Yl
//
YES V' NO
5 c k ()b ~ r+CC~~7
f{OlA--J
:\ \ ~/I_' ~'\t J:.J/ Y ~ A
,\0- 'ioJ l)'/J t~ ~:t"\. \\
~~ a \t~\'\ '1 ~ ~ "< J.
dJ t}~..')~,<.-
SURFACE RESTORATION /
SURFACE TYPE D Unimproved 0 Gravel c1:JA(phalt 0 PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
o Other
/3 () 6
::r::::o
(DATE)
BUILDING PERMIT INSPECfION RECORD
CALL 417-4815 POR 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 ACCEPTED COMME'ITS
YFS NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL (UGHT DEP1)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN I
WATER llNE
BACK FLOW I WATER
AIR SEAL
WAll.S
CEIUNG I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAlLS I ROOF I CEIUNG
DRYWALL
T-BAR
INSULATION
SlAB
WAll I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PElLET
DUCTS
PW urn.ITIES I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIlER
FINAL INSPECTIONS REQUIRFD PRIOR TO OCCUPANCYIUSE
RESIDENfIAL DATE YFS NO COMMERCIAL DATE ACCEPTED
YFS NO
ELECTRICAL UGIIT DEPT 417-4746 ELECTRICAL
UGHT DEPT
CONSTRUCTION R,W I PWI CONSTRUCTION R.W
ENGINEERING 417-4g07 PW I ENGINEERING
FIRE (MULTI-FAM, ONLY) 417-4654 FIRE DEPT
BUIlDING 417-4815 BUIlDING
GENERAL COMMENTS:
PW-II02.15 [4/96J
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15317
,-) _/ ;.... J) ~.""
Port Angeles, WasWngton__m____(-!':___n_______n___mm__m_.m__mmm_.m, 19~___~_
In aC()ordance 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-
mission is hereby granted to do electrical work as listed below,
- /'vi
. f' V /~./ ~,-. ;f..~;"'7
Address _,~Z______c::___:______:2::__~L_~~__:!_n:__________n_____m________n__ Occupancy_______________________m______________._______
, ,- /
~:::~-:~::::~~q/~:~~~::~::~:~=::::;::-J~f~~t:::::::--::::::-::_-::::::::::::~:::::::::::::::::::::::::::::::::::::::
Light OutletB_u______________u____________uu______
Receptacle Outlets.....u.uunuuu___...n.._
Dry", KWJmmu______u____uu_________uu_____
Range, KW...,m_h__.__..
Water Heater:
KW__________u___u______uuu____uu_________
""'/fL<
Heat: RW...hm.Lu....-'!'..___'d..mmun_m.n
Motors: size, volts and phase:
Service, volts ....I:;!.!Y_2.t..~_...
. ':1
No. wIres uuu.__._........mumu..:=n._..
Size wiresu_____Y:L2._?-J<_u_
~(1/!
Main fuse _m__mm..u..~..mhummmu
Enclosure ____m._5..u.._..n.m...._.......
Type of wiring:
Entrance Cable ..n.um.._.._..h.._......
Rigid Conduit unu.mn.m....._......u.
Metall1c TUbing ....muh.m_mm.n._
Current transformers:
No. & Stze..n.u.._..___.Un..h..h....h.....
Ser. NO.........._..u._.._...___...h.h.........h
Ser. No. .__.._u_.u._n.__.._..__.._........_..h_.
Ser. NO.._h__.n........___nuu_un._.._n.......
Type of Wiring:
Armored Cable ....h_.h_......._......n..
Non-Metal11c _.........un._.mnn.._mm
Knob & Tube..u.nnum__.__..........n...
Rigid Conduit m__nmmmnn.__..__....
Metallic Tubing m.nn...mm__mm__
Raceway ........_.._.....__............._._..___..
Circuits. Light.mu.nm____h__m____mnh__'"
U.tllity .....___.n.__unn_._..n.._.._____________
Heat
Range __.nh_..u.__.u...........h_.....__...h_
Water Heater __nm.._..n.___m.___nnn
hfotor .__..............__................_.._....._
Dryer.un_____..__.h..__..____.......h...........__
Furnace h__..._h__..__h....h..__unnnmn.
Total wad____.__.___....n..__...._... Ser. NO._.._.._..n.__.._..h.._......__h..h____... Total .h.h_.hh____________.__....h_h_h
Remarks: _____,~!.'--!?,,'L.--=n-nn-'d,,!!-c:=L--S/m----L.<!!'~y-------m-------------n_n___.m__m__m___________________m__
____n__._..__n__________________mm_______n__________________________mmm______----.nmm--.mi(;---;--;.;--nj.?F--:l---------------;:n-----.---------
~~-~.~~.-~~~------.-----.-.---- ~~~_~~:__~_~_~_~~~_~_._..._, By _1.L_tl.'.d!.?:.~.,_fE.~.a~'~_",.,_~,:-------
r / .. _
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/'- y- n f)
, 1/ (.tF' !J ,U
ELECTRICAL PERMIT
N?
15317
D~te called Ii ZPUfo;,_u_..-:!i:_t._E~:___u...Lrt.________u_____________u_u_______n___u__hu_h___U_ __ 2 / / 11) .5 ..-
, )~_. ~, Ijp~ ,i-rG V - - u____/un______:'u____u_______________uuu
PrelIminary insPecttont--aates.....nn...tf:............_....................h.h.._"i_....._ ....,.:~':1--.............
" - ',-P. 'v,r;- (' _____u_________________________u_______________________________________
-1/( r:? ?f~........"'_<r." V '7 l~<f' ",.-f'
InspectioncO'ID.pleted____..._.......:__::;-.__....._......._____..____...__.___.__.__._....___....___._........._____00____...___....__.._.__...........__.._....__......_..._.__..._._.._..._......_
1M 3-72 Olympic Printers, Inc.
Total Load .......___....._.._..__.____...._n_..__....._............h........___..