HomeMy WebLinkAbout1724 Delores Pl - Engineering
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUBLIC WORKS CONSTRUCTION Issued: 8/11/99 TF Permit No: 567
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
BILLY & KARRIANE MINKS 1724 DELORES PLACE
Lot: 14
Port Angeles,WA98360 Block: Long Legal:
360/000-0000 Sub: Eagles Lair
PROJECT INFO-----------------------------------_________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor:
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
* Storm Drain
Underground Tele/Ele
* Misc
PROJECT NOTES---------------------------------------____________________________
all water meters are installed & paid. Sanitary sewer connection
$80.00 + $642.00
c807 f39139195 1 x 5/8 meter
"-
PROJECT FEES ASSESSMENT------------------------------------_____________________~
R/W Excav: $0.00 San Sewer SFR: * $80.00 ~
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add unit: 0 ~
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: $0.00 Catch Basin per ea: $0.00
5/8" Sewer System Dev: * $642.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Corom Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 II ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
~
"
I
~
~
~i
I,
v
Receipt No: 5318
Inspection Fee:
TOTAL FEE:
AMT PAID:
$722.00
$722.00
)
~
~
-----------------------
$0.00
BAL DUE:
$0.00
R1W
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 prov~~z;:~c:~s .~ any pate' or local law regulating construction or the performance of construction.
C., ..,./' ~.,
" Co" , ~_----< / ?\~.~1 I .
Signature of Contractor or Authorize gent Date Signature of Owner (if owner is builder) Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST
Date i -i 'L -'\ '1
Time
Received by
Location of Work to be inspected \ I z,,~ ~l"D u...!3>
Name of person requesting inspection
Address of person requesting inspection
~ Inspection (circle appropriate one)
l? Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date ~ "'IZ ....'1~
Remarks ~ d fll^ Lou.. .
(phone, person)
Phone No
Permit No
SG7
Time d:(fl) f M..-
BJ~~
RESTORATION REQUIRED . . . . .. YES
NO b-
,
AU 3" AB~ -\-0 . &.~ -
U)~ I' cl- ~
-h.o.N> ,4-. ~ t-o
LlII f>VG.
l
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
D Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
o Other
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date ~\ ~--q 9
Time
Received by
(phone, person)
Location of Work to be inspected \ I L..- 4- ~ l ~
Name of person requesting inspection ~ ~
Address of person requesting inspection /7 2J..f D.t./ ()'U..<:'J Phone No
Ty e of Inspection (circle appropriate one) Permit No
Chimney Plumbing Final Sewer Excav Other
5(07
CTION NOTES'
Inspected Date ~ -1"2. ~!\'G. Tlme:3 '.001''''''- BY~ [)~
Remarks --rn ~e-tcL tlJ fV'v 't-' N c.f- t^t\a;~ 'tl f W(~ ~)(~
+:0.0 ~~rl LL + '1$0 ~.
.
"
RESTORATION REQUIRED . ... YES NO X-
i
;
( ~~v
i
,
~' ~I
~~\ o? 1)ZLOUS
/' fA.~
,-U C >> rn f'lo.(J
'0' ?+
,
Co-
, ~~r. Sr\--
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECfION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER,
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 1YPE DATE ACCEPTED COMMENTS
YE'i I NO
FOUNDATION:
FOOTINGS
WALL'>
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WALL'>
CEIllNG I
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WALL'> I ROOF I CEIllNG
DRYWAlL
T-BAR
INSULATION
SLAB
WAlL I FLOOR I CEIllNG I
MECHANICAL
CIDMNEY
WooDSTOVE I PEllET
DUCTS
PW UTILITIFS I SITE WORK lEn8ineering Division)
WA TERl1NE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CON1ll.0L
PARKING
OlllER
FINAL INSPECTIONS REQUIIlED PRIOR TO OCCUPANCYIUSE
IlESIDENTIAL DATE YE'i NO COMMERCIAL DATE ACCEPTED
YE'i NO
ElECTRICAL UGm DEPT 417-4746 ElECTRICAL
UGm DEPT
CONSTRUCTION R.W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUlIDfNG 417-4815 BUIlDING
GENERAL COMMENTS:
PW-II02.13 [4/961