HomeMy WebLinkAbout1722 Lambert Ln - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST 5TII STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
MR & MRS CLIFFORD MAYBEE
724 CURRIER COURT
Port Angeles, W A 98362
000/604-2461
PROJECT INFO
Work is.
Plans Required Start Date.
Contractor' ANDERSON HOMES LLC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
5/23/2002
Permit No
Work Order'
1259
o
PROPERTY LOCATION
1722 LAMBERT LANE
Lot: A-20
Subdivision
Parcel No
Block.
HIGHLAND COMM. I & 2
063014650200000 0 Long Legal
~ Install
o Repair
~ Watermain
Value Work:
1 1
Finish Date
360/452-4641
$000
~ Sanitary Sewer
~ Storm Drain
o Underground Tele/Elec
PROJECT NOTES
~ Mise
$000
1 1
dwy
FEES ASSESSMENT-
1 ) R/W Excav'
2.) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12.)Water System Dev'
13 ) San Sewer SFR
14 ) San Sewer MFR
add unit: 0
Receipt No 9/tJB
Inspection Fee $000
RW SANITARY WATER
5/8"
$000
$000
$000
$145 00
$000
$000
$000
$000
$15000
$000
$000
$1,02500
$95 00
$000
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17) Sew Capl W/M Removal
18 ) Alter Repair Sewer'
19 ) Storm Drain
20 ) Catch Basin per ea
21 ) Sewer System Dev'
22.) Milwaukee Dr Sew Ass
23 ) R/W Use Perm
24 ) Admin Cost (D.RA)
25 ) D R.A.
26 ) Mise:
TOTAL FEE.
Amount Paid
Balance Due.
DWY
STORM
$000
$000
$000
$000
$000
$000
$74500
$000
$000
$000
$000
$000
$2,160.00
$2,16000
$0.00
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 appication 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
pro\:" s of any state or local law regulating construction or the performance of construction.
\. J ) i'St\i~~ '- - d-,3-0 d-.
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Signature of Contractor or Authorized Aaent Date Signature of Owner (if owner is builder) Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST /~--I~
Date 1/;; ')/0 2.-- 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
/7'ZZ La~
Phone No
Permit No
Plumbin~wer Excav Other ~
tJL
/261
INSPECTION NOT~
Inspected Date 'tJ 2-
Remarks t:t;zt.
- ~ - ~/d;?~~./~r~
Time
By
RESTORATION REQUIRED
. YES
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] 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
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
~f Inspection (circle appropriate one)
(se~~~ Foundation Framing Chimney
/7 ;l d- La~"\ b -e 1-'1 La 11 €."
Phone No 1/60 J. 1 3 ~(
Permit No' /ZSI
Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date '7 - ? -- 0 "2.-- Time
R k (' \J"_~
emar s .0 V"'.~ .. r 1..f..- ' .e__
F ('\/\
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RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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BUILDING PERMIT INSPECTION 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 TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGIIT DEFT)
ROUGH.IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH.IN
,
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAllS I ROOF I CEILING
DRYWALL
T.BAR
INSULATION
SLAB I I
WALL I FLOOR I CEILING I I I
MECHANICAL
CHIMNEY
WooDSTOVE I PELLET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIlER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL LIGIIT DEPT 4174746 ELECTRlCAL
LIGIIT DEPT
CONSlRUCTIONR.W IPWI CONSlRUCTION R. W
ENGINEERING 4174807 PW I ENGINEERING
FIRE (MULTI.FAM. ONI.. Y) 417-4654 FIRE DEPT
BUILDING 4174815 BUILDING
GENERAL COMMENTS:
PW~II02.IS [4I96J