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Home My WebLink About1345 E Lauridsen Blvd - Engineering fAfid~ .~ ~~ ~/43 CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET. PORT ANGELES, W A 98362 ~~ PUBLIC WORKS CONSTRUCTION Issued: 5/19/99 LC Permit No: 929 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ ART STENNES 1345 LAURIDSEN BLVD E 241 DUNGENESS MEADOWS Lot: EP SEQUIM,WA98382 Block: Long Legal: ___ 360/000-0000 Sub: ALTERATION OF CRESTHAVEN ~ PROJECT INFO---------------------------------__________________________________~ Work is INSIDE traveled road Value Work: $O.OO~\ Plans Required: N/A Contractor: FLORES CONSTRUCTION -, - I Z- S 1 Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / ~ / / $0.00 ~ ! \' * Storm Drain Underground Tele/Ele * Misc dwy PROJECT NOTES------------------------------------_______________________________ right of way permit includes driveway/curb installation, sidewalk, and pavement installation 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: 5078 Inspection Fee: R/W SANITARY $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $550.00 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: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $883.00 ------------------------------ ------------------------------ $0.00 TOTAL FEE: AMT PAID: $2,195.00 $2,195.00 $0.00 BAL DUE: ----------------------- $0.00 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. I /7 . . ~i~ Date Signature of Owner (if owner is builder) 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 ~ Inspection (circle appropriate one) ~ Foundation Framing Chimney J34S If f}f~ r;D Y'e S Phone No Permit No Plumbing Final Sewer Excav Other q;J-1 INSPECTION NOTES Inspected Date g- 5- c;- '1 Remarks Time ;j /lJ1 ( By r=>(J ~ Cc ~f lete..- RESTORATION REQUIRED YES NO X -,X' ----i ~ 9, / 'f''' ~.~ - -~ -'" (' K:10 l-\ '6'''' ,7 IC- 0' :/ o~1 '\'IV !II~ j 17 )'00.' -----..--------------. / y ,,'-4 t{>cL~ "yo v , rJe v-l ~H oWl(' q r , t- 4~ ---~--- -.---------,--.. -- I- ~ C/vd SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee D 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. . . . . . REQUE.ST I _ a Date C;. A-b r t / 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) J3Vs-- E- , 't-w; ICb/- 110ft, ~ [1' fJ J ~(O Phone No Permit No q :;-tl iu ~+-ev Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date Remarks Time By j: j'<J > fu 'I llJ--e f.0 f X ~ Ie Lv ~~kp-- ~ -e V- "I'" r ~ 1v : +l, ~/~ ~~ 1-et/" ,,'---. :=</"7 F (/('(~'7/\/v:.:- ------ ,.../ (..... ~ I ,) ,) J L ---> RESTORATION REQUIRED "Pi' g ~ 12- , lJ\..et"JJ YES / NO)/ ~ 3D~ ./ , r~ ~~ l(] r fylVDI SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other D Repaired by City Work Order # J] -7.2... [] Repaired by Permittee ~PLETE ' D No Damage Found 0 INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . / Date q t~_litJ,.ime Received by (phone, person) REQUEST Jl~~~~f q~c; Phone No 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 INSPECTION NOTES Permit No Plumbin~ Sewer Excav Other ~ Inspected Date Remarks / I/', "I,' , {! () II/(/;r{' :/"rL /1 7 '111;(<- Time By l '^ (1).(( It J'J 'rL;< /, I l~( ,c., , .{.I. / / .-( f / I, 'f./ RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE IContinue on reverse side if necessary) STREET SUPERINTENDENT (DATE) APPLICATION FOR WATER City Water Department Port Angeles, Wash. 5/~ - , 19.22 I hereby apply for water to be furnished in accordance with rates and rules of the City :~~:eo:o~::::::,'em;a/t ~ _ (PMk? ~) /~4'-:; E~~~ Blkd Lo._ Ad~7~ Meter Number Address Renewal o New Service ~ /~II ~t ' o Service Left Off Size of Service Install ed by L.!J ?~-==#- ::2f Remarks 7~t! # .5:::' 78 (Jtr t'JDOO 06 60tJ 7-f~3~ Service Left On "l "', l... N ( cz. ..~ . ~/~ ~y ,e.;J\ ~ , 'i jyd-' 7 ~ .~ ~ w I (.,') ~.-.... -, ". r' 1rl~ier- * L''''ty 362- kc- q~g1/'3()~ s ~ glVD E BUILDING PERMIT INSPECfION 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 1YPE DATE ACCEPTED COMMENTS YFS I NO FOUNDATION: FOOTINGS WAllS FOUNDATION DRAINAGE ELECTRICAL '(UGlIT DEPl) ROUGH-IN PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SEAL WAllS 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 MECHANICAL ClllMNEY WooDSTOVE I PEUET DUCTS PW UTU.ITIES I SITE WORK (Engineering Division) WA TERUNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE RFSIDENTIAL DATE YFS NO COMMDlCIAL DATE ACCEPTED YFS NO EILClRICAL UGlIT DEPT 417-4746 EILCTRICAL UGlIT 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-II02.15 (4/96)