HomeMy WebLinkAbout304 W Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/
PUBLIC WORKS CONSTRUCTION Issued: 8/17/99 LC Permit No: 975
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
NW MEDIAM, INC LP 304 FRONT W
305 W.1ST ST Lot: 1,2,3,4,18-25 ~
Port Angeles,WA98362 Block: 13 Long Legal:
360/452-2345 Sub: TPA
PROJECT INF~~~;-i~-~~~~~;--~~~~~~~~-~~~~----------------~~~~~-;~~;~-------$~~~~CJJ
Plans Required: N/A
Contractor: R. J. SERVICES
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL
Watermain
* Sanitary Sewer
/
/
~
~
~
i-
/
/
$0.00
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: 5329
Inspection Fee:
R/W
SANITARY
$40.00
$0.00
$0.00
$125.00
$0.00
$200.00
$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
$80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
Date
~v
Sign~ture of Owner (if owner is builder)
$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
$445.00
$445.00
$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.
DWY
Signature of Contractor or Authorized Agent
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
/
REQUEST
Date
7/7i! I C,1
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) Permit No
0~ Foundation Framing Chimney Plumbing Final Sewer Excav Other
(504- LA)
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F r On i-
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'0
q'15~
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INSPECTION NOTES
Inspected Date 7 ~;;L.D - CJ 7
Remarks C-DVV\- fIe-I......
Time
PP'V1
ByG{ 4.
c:::,pl.AJer- ~c.r~u.S"c,~ e~~fli.-nri, /. ('o.....c. ~-L'-1.
RESTORATION REQUIRED
YES )( NO
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SURFACE RESTORATION J 0 K I
SURFACE TYPE D Unimproved D Gravel IXJ Asphalt D PCC
D Other
16 ) -f~e ~f
Work Order #
,pr COMPLETE
D INCOMPLETE
121
1/ I qq ~ C
{ l
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
/!r:X} -71
(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.
INSPECTION TYPE DATE ACCEPTED coMMENTS
YES T NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTIUCAL (UGlIT DEn)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER llNE
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
WALL I FLOOR I CEIUNG I
MECHANICAL
CHIMNEY
WooDSTOVE I PEUET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WATERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENI1AL DATE YES NO COMMEllCIAL DATE ACCD'TED
YES NO
ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL
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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW-II02.IS [4/96J
~S2-
3 Jo 7
PUBILIC WORKS & R/W PERMIT
U Attached Notes
OWNER/APPLICANT _____
NW MEDIAM, INC LP
305 W 1ST ST
Port Angeles, WA 98362
000/604-2245
PROJECT INFO
Work is. Outside Traveled Road
Plans Required Start Date
Contractor' R J SERVICES
Performance Bond Required
Proof of Insurance.
Work to Perform:
Issued
7/20/1999
Permit No
Work Order
975
o
PROPERTY LOCATION
304 FRONT W
Lot: 1,2,3,4,18-25
Subdivision TPA
Parcel No
Block: 13
Long Legal
Value Work:
$000
1 1
Finish Date.
360/457-1420
1 1
Amount:
$000
o Install
Repair
o Watermain
o Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
[J Misc
DWY
PROJECT NOTES
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FEES ASSESSMENT
1 ) RIW Excav' $40 00 15 ) Other San Sewer' $000
2 ) Sidewalk: $000 16) Sew Tap Wye/Man Tap' $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W/M Removal: $000
4 ) Driveway' $12500 18 ) Alter Repair Sewer' $000
5) Dwy Culvert: $000 19 ) Storm Drain. $000
6) Street Cut: $200 00 20 ) Catch Basin per ea. $000
7 ) Other RIW' $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000
9 ) Res Water Servo $000 23 ) RIW Use Perm: $000
10 ) Comm Water Servo $000 24 ) Admin Cost (D RA) $000
11 ) Other Water Service $000 25 ) D RA. $000
12.)Water System Dev' $000 26) Misc: $000
13 ) San Sewer SFR $80 00 TOTAL FEE. $445.00
14 ) San Sewer MFR $000
add unit: 0 Amount Paid $445 00
Receipt No 5329
Inspection Fee $000 Balance Due. $0.00
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST srn STREET, PORT ANGELES, WA 98362
BUILDING PERMIT Issued: 6/23/99 Permit No: 11183
Conditions:
OWNER/APPLICANT------------------------PROPERTY LOCATION-------------___________
NW MEDIAM, INC LP 304 FRONT W
305 W.1ST ST Lot: 1,2,3,4,18-25
Port Angeles, WA 98362 Block: 13 Long Legal:
360/452-2345 Sub: TPA
T: S: Pare No: 06300000130000
CONTRACTOR-----------------------------DESIGNER________-------------------------
J & J CONSTRUCTION
233 ALICE RD
Port Angeles, WA 98363 ,
360/457-1809 000/000-0000
PROJECT INFO-----------------___________________________________________________
prj Value: $102,375.00 SFD UNITS: 0 MFD UNITS: 0
prj Type: WAREHOUSE SFD SQ FT: 0 MFD SQ FT: 0
Occ Type: COMMERCIAL
Occ Group: Occ Load:
Cnstr Type: VN
Land Use: CA
PROJECT NOTES---------------____________________________________________________
STORAGE WAREHOUSE FOR PENINSULA DAILY NEWS/SHORELINE PERMIT SEPA REQ'D
CLOSE UNUSED D/W APPROACHES TO BE CLOSED AND NEW D/W TO CITY STD,
PARKING LOT TO CITY STDS,INSTALL FIRE SPRINKLER SYSTEM & BACKFLOW
PREVENTOR VALVE & ELECTRICAL LOAD CALCS.
plan=H6
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PROJECT FEES ASSESSMENT-----------______________________________________________~
BUILDING PERMIT $902.25 -------------- $0.00 -------------- $0.000
PLAN CHECK $586.46 -------------- $0.00 ---------RADON $O.OOe
STATE SURCHARGE $4.50 -------------- $0.00 $O.O~
HOUSE MOVING $0.00 -------------- $0.00 $0.00
MANUFAC HOME $0.00 -------------- $0.00 $0.00
SIGN $0 00 $0 00 -----____________________
. -------------- . -------------------------
PLUMBING $0.00 -------------- $0.00 TOTAL FEE: $1,493.21
MECHANICAL $0.00 -------------- $0.00 AMT PAID: $1,493.21
--------------- $0.00 -------------- $0.00 _______________________
--------------- $0.00 -------------- $0.00 BAL DUE: $0.00
COMMERCIAL:
INDUSTRIAL:
o
4,375
GARAGE:
o
u
C)
~
RW SANITARY WATER DWY STORM DRA OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes nun and void if work or
COnstruction authorized is n~t com.me~ced ~in 180 days, if construction or work is suspended or abandoned for a period of 180 days after
the WOf1c as co,:"m~ed. or. if r~red 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 Iitws 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.
.
Si nature of Owner if owner is builder Date
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1401 V 7th (360)452-2098
Port Angeles, VA. 98363
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