HomeMy WebLinkAbout723 E Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TII STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
GARY POLlTICA
1534 W 11TH ST
PORT ANGELES, WA 98363
000/604-2227
PROJECT INFO
Work is
Plans Required Start Date
Contractor' HOCH CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
10108/2001
Perm it No
Work Order'
1192
o
PROPERTY LOCATION
723 FRONT E
Lot: 14,15, 16PC#06300051398000
Subdivision N. R SMITH
Parcel No 063000513965000 0
Block. 39
Long Legal
Value Work.
$000
I I
Finish Date'
360/452-5381
I I
$000
o Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
o Mise
DWY
PROJECT NOTES
FEES ASSESSMENT-
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $0.00
3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000
4 ) Driveway' $14500 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain. $145 00
6 ) Street Cut: $230 00 20 ) Catch Basin per ea. $45 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 5/8" $640 00 23 ) R/W Use Perm $000
10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000
11 ) Other Water Service $000 25 ) 0 RA. $000
12.)Water System Dev' $000 26 ) Mise: $000
13 ) San Sewer SFR $95 00 TOTAL FEE. $1,345.00
14) San Sewer MFR $000
add unit: 0 Amount Paid $1,34500
Receipt No 7398
Inspection Fee. $000 Balance Due. $0.00
RW SANITARY 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.
Sianature of Contractor or Authorized Acent
Date
Signature of Owner (if owner is builder)
Date
--- -(i:'~
.....
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
Type of Inspection (circle appropriate one)
1Z7bh-t.,,-r
J) OJ '1\ f(\ D r r"l ~ 1'\ fl
Phone No
//9 ;J..
Sewer Foundation Framing
Permit No
-.--.--.------.
Chimney Plumbing Final ~_E~_ca~.5)ther
INSPECTION NOTES
Inspected Date ) 0 - 8' - 0 I
Remarks
Time
F)vv\
By .-----LA d
Co,^,,- p ( zt<--
r _ C> VI -t-".
~
\..o.J t it
.. (" S 1 0 .. ( Co fie '/
/
RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
o Repaired by City
CJ Repaired by Permittee
Cl No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
()W-2ool- I?U,
. . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
.....
REQUEST-
Date /6 - ? Z - 0 I
Time
If A 1'Vl
Received by VUU1I.5 E
(phone, person)
~
Location of Work to be inspected 7 Z- ~ F Fro k. T
Name of person requesting inspection V~"'LV\' 5 E
Address of person requesting inspection urtJ ~l'"'d 17~ ~ B Phone No
,
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
I!-r 7e r;,j /
/ICJZ
INSPECTION NOTES
Inspected Date /0 -Z2~O( Time (1-. AWL By Ve"M....I"'? c
Remarks r:; "" <," Co T -"'<4 {;" { E,cf ('",,1 (" f? E 7 v6, "'j .,.. ""- I 'x: 5/08' "
vJ~+er i'erv(~e '
~
c- ~ q~2. '70 F 7-4////1
RESTORATION REQUIRED . . _ _ YES
NO ><
~ 7t'!, E. rfJ
\J
-.
~ PO'''-+
lJ fj1
'" J
~ ~ 207' >I
---- F-roVl .t
C-
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
.1 ..J-. L' (
~ Other {\J:.q ( ve :;:Jo (
ICJ f- G
~ COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TEl
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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN J
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
CHIMNEy
WooDSTOVE / PELLET
DUCTS
PW UTlUTIEs / SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1RICAL LIGHT DEPT 417-4746 ELEC1RICAL
LIGHT DEPT
CONS1RUCTIONRW /PW/ CONS1RUCTION R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MULTI-FAM. ONI.. Y) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
KEEP PERMIT CARD AND APPROVED PlANS AT JOB SITE
GENERAL COMMENTS:
PW-l102.15(4196J