HomeMy WebLinkAbout121 Dolan Ave - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, W A 98362
//
2&5~
PUBLIC WORKS CONSTRUCTION Issued: 5/11/98 TF Permit No: 836
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION-----------------------_
MORT CASTLE 121 DOLAN
121 DOLAN Lot: 28,29
Port Angeles,WA98362 Block: 16 Long Legal:
360/457-0201 Sub: fogarty & dolans
PROJECT INFO----------------------______________________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
/
/
/
/
~
$0.00 '-.....
~
Work to Perform: INSTALL * Watermain Storm Drain ~
PROJECT NOTES---------------:-:::~:::~_:::::_____~;;;:~::~::_::~:~:~:__________~
C- :2./;!~9,f' ~h.- A?~ ___I ( ) q f ,.II h1 JA..rf ~ ·
PROJECT FEES ASS~S~~?-~~~~~-------------______~____________________________
R/W Excav: $0.00 San Sewer SFR: * $30.00
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: * $125.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: $0.00
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
Performance Bond Required: N/A
Proof Insurance:
Amount:
Receipt No: 3936
Inspection Fee:
TOTAL FEE:
AMT PAID:
$155.00
$155.00
-----------------------
RJW
SANIT AR Y
$0.00
WATER
BAL DUE:
$0.00
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
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . : .
/
REQUEST
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
~Jnspection (circle appropriate one)
~0undation Framing Chimney
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,
L2L'rY I
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Phone No
Permit No
Plumbing Final Sewer Excav Other
~(,P'
INSPECTION NOTES
Inspected Date
Remarks
~- 5-'ig
Time
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RESTORATION REQUIRED
. YES
NO):
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pec
o Other
o 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)
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
REQUEST
/o~1- /1 V
Date
Time
Received by
I;F- (]pho~erson)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
/2-1 Do/It J?
-- - r:. ./
fin^- - rO/5T~'
INSPECTION NOTES
Inspected Date /0//'1/ q r
Remarks
<;17- ~):33
Phone No
Permit No
Plumbin Final Sewer E~_ r
e// 6~
F3(~
Time
By
0,<
J::::: - h A-fJ
/ I
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o 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 INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER,
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 I ACCEPTED COMMENTs
YES I NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL (UGHT DEPT)
ROUGH-IN
PLUMBING
UNDER FLOOR / SlAB
ROUGH-IN
WATER UNE
BACK FLOW / WATER
AIR SEAL
WAlL'> I
CEIUNG I
FRAMING
JOISTS / GIRDERS
SHEAR WAlL
WAllS / ROOF / CEIUNG
DRYWALL
T-BAR
INSULATION
SlAB
WALL / FLOOR / CEIUNG I
MECHANICAL
CHIMNEy
WOQDSTOVE / PELlET
DUCTS
PW UIlLITIF.s / SITE WORK (Engineering Division)
WA TERUNE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTIWL
PARKING
OlllER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGHT DEPT 417-4746 ElECTRICAL
UGHT DEPT
CONSTRUCTION R. W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-/1()2./5 [4196)