HomeMy WebLinkAbout727 Caroline St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
ROBERT & NANCY BLOOM
POBOX 141
ARLINGTON, WA 98223
000/604-5055
PROJECT INFO
Work is
Plans Required Start Date
Contractor' TERHUNE HOMES, INC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
5/22/2002
Perm it No
Work Order'
1235
o
PROPERTY LOCATION
727 CAROLINE
Lot: 1 & 2
Subdivision. N R SMITH
Parcel No 063000513300000
Block. 33
o Long Legal
Value Work.
$000
1 1
Finish Date.
360/697-7000
1 1
$0.00
[gJ Install
o Repair
[gJ Watermain
[gJ Sanitary Sewer
[gJ Storm Drain
o Underground Tele/Elec
[gJ Misc
dwy
PROJECT NOTES
2" water in Caroline, will require svc line extension
sanitary sewer in Caroline (west of lot 2)
driveway to city standards (6" concrete to property)
storm drainage
FEES ASSESSMENT
1 ) R/W Excav' $45.00 15 ) Other San Sewer' $0.00
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W/M Removal $000
4 ) Driveway' $145 00 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $230 00 20) Catch Basin per ea: $000
7 ) Other R/W $000 21 ) Sewer System Dev' $745.00
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000
9) Res Water Servo 5/8" $640 00 23 ) R/W 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' $1,025 00 26 ) Misc: $000
13 ) San Sewer SFR $95 00 TOTAL FEE. $2,925.00
14 ) San Sewer MFR $000 $2,92500
add unit: 0 Amount Paid
Receipt No 7419
Inspection Fee $000 Balance Due: $0.00
RW SANITARY WATER DWY STORM DRA OTHER
Signature of Contractor or Authorized Aaent
Date
:!)! >-""J-/o A-
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
b w - zoo {- Z[ <.( 'I
REQUEST
Date h- lj -"61-
Time
Received by
(phone, person)
Location of Work to be inspected 7 '~ -; E. Co..... Yc> I l' rv '-Z.
Name of person requesting inspection I UJ I \ (pX
Address of person requesting inspection Ii ~ 1!- 13 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
J235
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INSPECTION NOTES
Inspected Date
Remarks
J/~J< /
, /
YES V NO
RESTORATION REQUIRED
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SURFA ERESTORATI ~
SURFACE TYPE 0 Unimproved 0 Gravel ck1(sphalt
OPCC
D Repaired by City
[] Repaired by Permittee
tVCl No Damage Found
o Other
Work Order # :21 <( r; b-2CJ~cYA
o COMPLETE I\te.D.. ~Jtc.V\ a1. 0J \ \-~
o INCOMPLETE '-\0\ fJ\" X \""
STREET SUPERINTENDENT (DATE)
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
1/~3~me
Received by
(phone, person)
REQUEST
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
c-~ Foundation Framing Chimney
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Phone No
Permit No
Plumbin
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RESTORATION REQUIRED
NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
\
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(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 JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LImIT DEPT)
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTILITIES / SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LImIT DEPT 411-4746 ELECTRICAL
LIGlIT DEPT
CONSlRUCTION RW / PW/ CONSlRUCTION R.W
ENGINEERING 411-4807 PW / ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW.lI02.l5141961