HomeMy WebLinkAbout833 E Front St - Engineering
s
~.,..
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST STH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
HARTNAGELS (DELGUZZI)
833 E FRONT
Port Angeles, W A 98362
000/604-2833
PROJECT INFO
Work is
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
1 0105/2000
Perm it No
Work Order'
1113
o
PROPERTY LOCATION
833 FRONT E
Lot: 14,15,16,17,18
Subdivision nr smith
Parcel No 063000513860
Block. 38
~ Long Legal
Value Work.
$000
Start Date
1 1
Finish Pate
206/000-0000
1 1
Amount:
$000
~ Install
~ Repair
o Watermain
o Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
~ Mise
dwyl sidewalk
PROJECT NOTES
relocation and replacement of sidewalk and driveway aC<2ess at
Hartnagel Building.
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 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.
FEES ASSESSMEN'F
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 6666
Inspection Fee $0 00
RW SANIT AR Y
~
@/ 15 ) Other San Sewer'
$000 16) Sew Tap Wye/Man Tap
$000 17) Sew Capl W/M Removal
$0 00 18 ) Alter Repair Sewer'
$0 00 19 ) Storm Drain
$0 00 20 ) Catch Basin per ea.
$000 21 ) Sewer System Dev'
$000 22.) Milwaukee Dr Sew Ass
$0 00 23 ) R/W Use Perm
$0 00 24 ) Admin Cost (D R.A)
$0 00 25 ) D R.A.
$0 00 26 ) Misc:
$0 00 TOTAL FEE.
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$45.00
$45 00
$0.00
ORA OTHER
Amount Paid
Balance Due
WATER
OWY
STORM
Signature of Contractor or Authorized Aaent
Date
Date
Sianature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417-481 S 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
YES NO
FOUNDADON:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING -
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DR YWALL
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I
MECHAMCAL
CHIMNEY
WOODSTOVE I PELLET
DUCTS
PW UTll.ITlES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANlT AR Y
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL LIGHT DEPT 417-4746 ELECTRJCAL
LIGfIT 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 BUILD~G
GENERAL COMMENTS:
PW-II02.15(4196]
S
~:MiiI"
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST S11I STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
HARTNAGELS (DELGUZZI)
833 E. FRONT
Port Angeles, W A 98362
000/604-2833
PROJECT INFO
Work is
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
10105/2000
Permit No
Work Order'
1113
o
PROPERTY LOCATION
833 FRONT E
Lot: 14,15,16,17,18
Subdivision. nr smith
Parcel No 063000513860
Block. 38
[gJ Long Legal
Value Work.
$000
Start Date
I I
Finish Date
206/000-0000
I I
Amount:
$000
PROJECT NOTES
relocation and replacement of sidewalk and driveway ac~ess at
Hartnagel Building.
[gJ Install
[gJ Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
[gJ Misc
dwyl sidewalk
FEES ASSESSMENT-
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2.) Sidewalk. $000 16 ) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000
4 ) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain. $000
6 ) Street Cut: $000 20) Catch Basin per ea. $000
7 ) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000
9) Res Water Servo $000 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 ) Misc: $000
13 ) San Sewer SFR $000 TOTAL FEE. $45.00
14 ) San Sewer MFR $000 $45 00
add unit: 0 Amount Paid
Receipt No 6666
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 IiIWS 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.
Signature of Contractor or Authorized Agent
Date
Signature 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
r YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING T
FRAMING -
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
CHIMNEy
WooDSTOVE I PELLET
DUCTS
PW UllUTIEs I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANlT AR Y
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCcuPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONSThUCTION R W I PWI CONSThUCTION R W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE CMULTI-FAM ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDn.G
GENERAL COMMENTS:
PW 1102.1514196/
"'"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date J/-;Z7-G~)
Time
j' J ,
\. (.. tJlJ1 Received by
I
7/7
6 perso~)
Location of Work to be inspected~.J J e r/O~1 r
Name of person requesting inspection iJ,,- t e[ t1 i/
Address of person requesting inspection I 7cJ"3, ~ 0 f3 <;1 Phone No. (.1/7- 'I<:pt/'7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ C-c.h'L t e ~
INSPECTION NOTES:
Inspected: Date //-;l7-or.:;-
Remarks:
Time
~', 50pIYI By 711
,
;< ,\ .
, f/1'7A /~1.
~/e4i
<6X6 C-vl/N c;ij~vUtl./k
v !
'l::
~
- , ~
~
Jl'c.c r-'il' ~ q'\
ftOi/lf 5I. l-.:
'v)
IIJ"a ~. 17.' t:.;I
0/ ,
'V
~
~
RESTORATION REQUIRED. . . . .. YES X NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC ~Other .5;dC' w~)k
Work Order # 3u 3 9?- - OS'!
o COMPLETE
)2:[ INCOMPLETE
~}
/?-/; /{)CS~
o Repaired by City
o Repaired by Permittee
o No Damage Found
/'r;~ SlY~roJ