HomeMy WebLinkAbout2315 S Cherry St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/'
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNERlptPPLlCANT
'Roberf- ~ I pe'
~~(? S Cltl/VlM
Port Angeles,- VvAJ;J8360
000/600-0000
PROJECT INFO
Work is
Plans Required
Contractor' VISION BUILDERS
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
8/01/2000
Perm it No
Work Order'
1079
o
PROPERTY LOCATION
2315 CHERRY S
Lot: 1 sp 96-10-07 (Its 15-17)
Subdivision. ~o~ si L)~~
Parcel No 063009519100000 D
Block. 24
Long Legal
Value Work.
$000
Start Date
I I
Finish Date
360/452-1186
I I
Amount:
$000
IS] Install
D Repair
D Watermain
IS] Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
IS] Misc
PROJECT NOTES
tap into san sewer in Cherry 5t
$400.00 for street cut asphalt repair
curb repair to be done by contractor
7/11
FEES ASSESSMENT-
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17) Sew Capl W/M Removal $000
4 ) Driveway' $000 18 ) Alter Repair Sewer' $35 00
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $400 00 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
10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $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. $480.00
14 ) San Sewer MFR $000
add unit: 0 Amount Paid $480 00
Receipt No 6455
Inspection Fee $000 Balance Due. $0.00
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
wil be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
pr isions 0 any a or local law regulating construction or the performance of construction.
Si nature of Owner if owner is builder Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
/
REQUEST
Date
Time
Received by
(phone, person)
,;2 ~ ( /' :;; (I ; , /\ /) i 4-
Location of Work to be inspected --:::- ~. L/ vI
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
/u 7~7
INSPECTION NOTES
Inspected Date
Remarks
,-:, ()
Time
i~ /I
By
)J
J .
.._ ....--..A ~._
RESTORATION REQUIRED.
YES
NO
t' '-I-
"-
\1
k,
\ {
\
CJ>
.~. +
{/";1 ,;- ,
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel D Asphalt D PCC
D 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)
CITY OF PORT ANGELES
DEPARTMENT" OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. .
REQUEST I
Date II' u'z.oo 0 Time
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
;25 IS
. IOh
$c)
~';j
IF
~
cL er--.S
(phone, person)
Received by
~
\..N
Sewer Foundation Framing
Chimney Plumbing
Phone No
Permit No
Finalewer~ther
/0
\J\
V\
Inspected Date
Remarks
Time
By
INSPECTION NOTES
RESTORATION REQUIRED
YES V- NO
,
Asp A~ ~at/L-
I ;)
(~D X {c I
SURFACE RESTORATION " /
SURFACE TYPE D Unimproved D Gravel'LE:r Asphalt D PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
~ COMPLETE 9-7-,,00 ~~.~ /
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 COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGIIT DEPT)
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL / FLOOR / CEILING I I
MECHANICAL
ClUMNEY
WooDSTOVE / PELLET
DUCTS
PW UTIUTIES I SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGIIT DEPT 417-4746 ELECTRICAL
LIGIIT DEPT
CONSTRUCTION R.W / PWI CONSTRUCTION R.W
ENGINEERING 411-4807 PW / ENGINEERING
FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-lI02.15 [4196J