HomeMy WebLinkAbout1127 Grant Ave - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
CaTHA NEELY
1127 GRANT
Port Angeles, W A 98362
000/604-7857
PROJECT INFO
Work is
Plans ReqUired Start Date.
Contractor' EXCEL UTILITIES CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
12/10/2002
Permit No
Work Order'
PROPERTY LOCATION
1127 GRANT AVE
Lot: 6
Subdivision
Parcel No
1350
o
Block: 1
HIGHLAND VIEW ACRE TR
063014560160000 IZI Long Legal
IZI Install
D Repair
D Watermain
Value Work.
I I
Finish Date
360/452-1110
$000
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
PROJECT NOTES
Permit for Northland Cable
IZI Misc
$000
I I
tv cable
RECEIPT#9994
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 Serv'
11 ) Other Water Service
12.)Water System Dev'
13.) San Sewer SFR
14 ) San Sewer MFR
add unit: 0
Receipt No
Inspection Fee $000
$45 00
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
RW
SANITARY
WATER
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M 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 RA.
26 ) Misc:
TOTAL FEE.
Amount Paid
$000
$0.00
$000
$000
$000
$000
$000
$000
$0.00
$000
$000
$000
$45.00
$45 00
Balance 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 appJication 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.
J-///JJ!~~ /Z/~Sh.
Signature of Contractor or Authorized Jl<bent Date Sianature of Owner (if owner is builder) Date
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 (LIGHT DEFT)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING 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
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1RICAL - LIGHT DEPT 417-4746 ELEC1RICAL
LIGHT DEPT
CONSTRUCTIONR.W IPWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-l102.15 (4196J