HomeMy WebLinkAbout135 E Front St - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
AHN VOANG
225 DOGWOOD PL
Port Angeles, W A 98362
000/604-7388
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
5/22/2000
Perm it No
Work Order'
1067
o
PROPERTY LOCATION
135 FRONT E
Lot: TLE
Subdivision
Parcel No
Block. 1
1
D Long Legal
Value Work
$000
Start Date
/ /
Finish Date
000/000-0000
/ /
.............
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Amount:
$000
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
FEES ASSESSMEN'F
1 ) R/W Excav' $000 15 ) Other San Sewer' $000
2,) Sidewalk $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Cap/ W /M Removal $260 00 "
~
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 g
10) Comm Water Serv' $000 24 ) Admin Cost (0 R.A) $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. $260 00
14 ) San Sewer MFR. $000
add unit: 0 Amount Paid $000
Receipt No
Inspection Fee $000 Balance Due $260.00
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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEFT)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE/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
CONSTRUCTlONR.W IPWI CONSTRUCTION - R. W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW. II 02. 15 (4196J