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Home My WebLink About1419 S C St - Engineering CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . ..... . . . . REQUEST Date /; .-l- cJ ) Time .J ( "1.:J b' IJ'\ Received by { 7/t (phone, person) Location of Work to be inspected I 1.// 75 Name of person requesting inspection iJ,;\. r e ~ Address of person requesting inspection /70 3 Type of Inspection (circle appropriate one) L5/ tJ,,/ .5 8 0ec... \l \ 0 ,I...J ').. r-s L\ OO-S <;T Phone No (/(7- '1"('19 Sewer Foundation Framing Permit No .-.-...., -- Chimney Plumbing Final Sewer Excav ,other) c~'- r e ..r l..:./ INSPECTION NOTES Inspected Date 6--/-o~- Remarks Time JI'; ] ,) ~ { I By 7/7 / 0'~ J1'Jr. f'r:' .;'''''' , ()Cl<-J. A61Y/~t',~.p J 9'Xb l A)/~ i(;!n~?) 111 5' ,J.t2 ,./.:./k RESTORA TION REQUIRED . YES Y NO L-. 1 m f 'v) " \) \\1 U7 "" .1" ,. } r; TI,- ~ R\ - 'V ..... II SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel D Repaired by City [] Repaired by Permittee [] No Damage Found o Asphalt OPCC ~Other 510e I/I/,;:.//::, Work Order # Jo 7::1-/60 \: '& COMPLETE 'iI\E:.O. t'e..~QJ,,\ t-~ p' INCOMPLETE --\T~ --70"'" OS STREET SUPERINTENDENT IDA TEl CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 () ~ - -3 7 ~ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation 03-00000376 1419 S C ST 0630000414500000 RIGHT OF WAY Date 4/17/03 o Owner Contractor WILLARD C/CAROLYN B MULLER TTE 3264 MT ANGELES RD PORT ANGELES WA 98362 CMU CONSTRUCTION 1695 S BAGLEY CREEK PORT ANGELES WA 98362 (360) 452-1771 ------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 1419 SO C ST & 45 00 4/17/03 10/14/03 938 W 15TH ST Plan Check Fee valuation 00 o BASE FEE Extension 45 00 ~ --- ~ Qty Unit Charge Per Fee swnmary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 45 00 00 45 00 45 00 00 45 00 00 00 00 00 00 00 \J\ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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 T-\PLANNINGlFORMS\1102.15 [4/2002] Signature of Contractor or Authorized Agent Date WAS H I N G TON, USA. ~;ORTANGEL,ES NAME OF APPLICANT L. J i LL.I].M 1"\ U-.LLl:.,? MAILlNGADDRESS?:,Cvl.Lf /V1f A.vSl:L~..... /2.:J, PHONE NUMBER '-I ~ / - S'~ \ 5 STREET ADDRESS OF PROPOSED STREET USE / '-{ to, c. ~112. DATE ... S - 1 - C .~ P 4. / 9 ~ ~ ~ ,/ 5 T II ":>7 ~ ,- DESCRIPTION OF REQUEST (include drawings required for clarity). [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure] IS THE USE T~~OR PERMANENT? "-rj;J'.1~,'2.A(2~ HOW LONG WILL THE OBSTRUCTION BE IN PLACE? ' WHAT ARE THE HOURS OF OPERATION? ., ~ 0 G ~M r 0 "",): 0 G P ^1. HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP ARE THERE AL TENATIVE AREAS THAT COULD BE USED? . l ~ J'Ia.. ;\.l"'C\.-U~ ('J f f l'''Ui~"l { (;"Y' Lt. ~ ~ t1m1 ~ HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, or planting strip DATED this_day of ,2001 Applicant Seal SUBSCRIBED and sworn to before me this _ day of ,2001 NOTARY PUBLIC in and for the State of Washington residing at (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) [OFFICE USE ONL Y] Copies sent to: Police Fire Planning _ Finance Date: Fee paid $ Receipt # Agreement to Remove Encroachment signed and recorded on N/A ************* Application reviewed and recommendation by City Engineer or approve and with the Date application received Certificate of Insurance per PAMC 11 12.140(B) on N/A Date following is to deny conditions Application approved or denied by the Director of Public Works Date Copies to: Applicant 0 Fire 0 Police 0 Street 0 Other N:\POLlCY_P\0200_0FF\0209_10.wPO (AugusI13. 2001J o Address file 0 RUP file 0 RUP# ~"" f\ , c, v .1-------~--- i ~ ~ VI j ! i I ;p I ~ I~ I I I I i., t<~ '"' r~'v '--1 P1(",:'....i Li.1 I j <'-l \c, 2 ~ I -. r: :.., ~ ~ \; r ~ ~ .~ ' "1 r~ ~ \..: ~ ~ ..... } ..) ~ /.,\,' /~~~ ~. . ) ~ f r: C: ,,1 -\ V.Jo 16 S~~ -, PtlR\((.......s L..:/( .c J' r..l \ ...J ...J ~ ~ p <: ~ , ' /0/. r"z.-,.<;;, -\ j i) -""-"' \ ":> .;) nt.... ~ ~ r -----___________.__ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO:i.OVER, INSULA TE 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 DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA. P ARKINGILIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R. W ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST' Date t - /-0 )- Time :; ~ 10 f iYl Received by 7/1 (phone, person) Location of Work to be inspected I if 7 S C. 5 T Name of person requesting inspection j,J ^' t e ~ {J,,/ Address of person requesting inspection /703 5 if S" r Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Phone No '-1/7- 'I "( '/9 Permit No SewerExcav @~A-te"- Inspected Remarks INSPECTION NOTES 6-/-o~ Date Time l;. su /JIY-- ( I By 7/7 / 'I;. \~ #7~ f'-er.r . J~J. A6~~t';.,. c! o/'~b' h/)/'e. .f~/!n~"dl 111 5'(J ~ ~4../k . RESTORATION REQUIRED. .... YES Y NO ~ 1 ~ t " \) \\1- U7 "" .1" ,. J r; T"- ~ R\ Ir - ~..,. 'V ..... II SURFACE RESTORATION: SURFACE TYPE D Unimproved 0 Gravel D Repaired by City D Repaired by Permittee D No Damage Found o Asphalt 0 PCC ~ Other Sloe tA/a.//::, Work Order # Jo 3J1-/IO o COMPLETE P'INCOMPLETE STREET SUPERINTENDENT IDA TEl