HomeMy WebLinkAbout1122 E Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST STII STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
DR GEORGE SYMONDS
1112 E FRONT
Port Angeles, WA 98362
000/604-7161
PROJECT INFO
Work is
Plans Required Start Date
Contractor' FEELEY CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
11102/2000
Permit No
Work Order'
1122
o
PROPERTY LOCATION
1122 FRONT E
Lot: 123
Subdivision
Parcel No
Block. 129
o W MORSE
06300062034000
~ Long Legal
Value Work
$000
1 1
Finish Date.
360/452-7559
1 1
$000
PROJECT NOTES
contractor to be responsible for all restoration of asphalt ~oad
repairs to alley
o Install
~ Repair
o Watermain
~ Sanitary Sewer
o Storm Drain
o Underground Te/e/Elec
o Misc
FEES ASSESSMENT-
1 ) RIW 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/M 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 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 (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 5857
Inspection Fee $0 00 Balance Due $0.00
RW SANITARY_ WATER DWY~ STORM~ DRA o TIlER
Separate Permits are ,""uired fo< eIectlica/ WOrk, """es, private and public improvements. Th" perm> becomes nul and void. WOrk or
construction authorized" not commenced within 180 days, . construction or work is SUSpended or abandoned for a period of 180 days after
1I1e WOrk as commenced, or' - inspections haw! not been requested wilhin 180 days ~om 1I1e'ast inspection. 'hereby ceJtify 1hat I have
- and OXllll'ined 1I1is a_ and know 1I1e same to be lrue and ""'.... All pr....'ons of""'" and o",nanoes governing this type of work
Will be complied With whether _fied her.,;n or not The granting of a perm> does not presume to give authority to violste or cancel 111,
provisions of any state or local law regulating construction or the performance of construction.
I {..... "2.-00
Date
Si nature of Owner if owner is builder
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUll..DING 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 lOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
, YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEFT)
ROUGH-IN T I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEll..ING r
FRAMING -
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEll..ING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEll..ING I I
MECHANICAL
CHIMNEy
VVOODSTOVE/PELLET
DUCTS
PW U11UTIEs / SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQlJIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGfIT DEPT 417-4746 ELECTRICAL
LIGfIT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MUL TI-FAM. ONL Y) 417-4654 FIREDEPT
BUILDING 417-4815 BUILDo.G
GENERAL COMMENTS:
PW-II02.1514l96j