HomeMy WebLinkAbout1023 E 2nd St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date U OC)
Time
Ib'~
~
Received by ~one, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
[0"2 ~ C, 2 ^-~ C:;:r
~.,9
Phone No.
Sewer Foundation Framing
Permit No.
er Excav. Other
~
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED . . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF p.'
REQUEST:
Date~_ Time
n--
-
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
(02 3 ~, 2~ St-
8~,al''Nr~ I)
Phone No.
'Permit No. Q9f;,
Sewer Foundation Framing Chimney Plumbin
er Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks: ~:t.
~-<~ -
Time By
P::i~~~ -CwJ--~
c..o W\ f' l~ e.Jt ~ rl
~
RESTORA EQUIRED . . . . .. YES X NO
- ./_ ^.I b ~/.- _I Ji) II I (j I
C '0 m p }'f!.-)f-e..xL- Vj --.) ff e a
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved
/ '\.
-~OlX 50J
o Gravel !Xl Asphalt 0 PCC
D Other
D Repaired by City
[] Repaired by Permittee
[] mage Found
Work Order #
jit COMPLETE et<2v.() I 111 II
D INCOMPLETE
"......
(DATE)
fi"-~
"[I!I'
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
32\ EAST 5TH STREET, PORT ANGELES, WA 98362
ID23 .E~
PUB/LlC WORKS & R/W PERM/T
D Attached Notes
OWNER/APPLICANT
JIM HAGUEWOOD
705 CHRISTMAN
Port Angeles, WA 98362
360/452-3540
PROJECT INFO
Work is:
Plans Required:
Contractor: OWNER
Performance Bond Required:.
Proof of Insurance:
Work to Perform:
Issued:
6/21/2000
Permit No:
Work Order:
996
o
PROPERTY LOCATION
1023 2ND ST E
Lot: 15-19 SP91-05-04
Subdivision: DW MORSE
Parcel No: 0630006202100
Block: 125
o Long Legal
Value Work:
$0.00
Start Date:
I I
Finish Date:
206/000-0000
II
Amount:
$0.00
[Z;] Install
D Repair
[Z;] Watermain
C8J Sanitary Sewer
C8J Storm Drain
D Underground TelelElec
[Z;] Mise
DWY
PROJECT NOTES
charge system user fees at 1 112" meter size upgrade to 2" for fire
protection
landscape meter to be 5/8" pd for w/ms 1/18/2000 pd system user fee
on 2/8/2000 sidewalk to be installed on 2nd 8t
FEES ASSESSMENT
1 .) RIW Excav: ("$40 00..:;:> 15.) Other San Sewer:
2.) Sidewalk: ('l>60.gg/ 16.) Sew Tap WyelMan Tap:
3.) Curb/Gutter: $0.00 17.) Sew Capl WIM Removal:
4.} Driveway: l$125.QQ) 1)18.) Alter Repair Sewer:
5.) Dwy Culvert: $0.00 ~ 19.) Storm Drain:
6.} Street Cut: ($400.00 .:.)~(}'~O.) Catch Basin per ea:
7.) Other RIW: $0.00 \~t' 21.} Sewer System Dev:
8.) Fire Hydrant: $0.00 \'122.} Milwaukee Dr. Sew Ass:
9.) Res Water Serv: 5/8" $0.00 ~ V 23.} RIW Use Perm:
10.) Comm Water Serv: 2" 2,000.00 ~ 24.} Admin Cost (D.RA)
11.) Other Water Service: $550.00 25.) DRA
12.)Water System Dev: 4,415.00 26.) Mise:
13.} San Sewer SFR: $0.00 TOTAL FEE:
14.} San Sewer MFR: . /18b.00 ')
add Unit: 0 (_ ~ Amount Paid:
Receipt No: &? /7
Inspection Fee: $0.00 . Balance Due:
$11,048.00
$11,048.00
e;/'tO)'ZPl
od u'C
r !f4Dg5~
$0.00
RW
SANITARY
WATER
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ becomes null and void ij work or
construction authorized is not commenced ~in 180 days, ij construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ij required inspections have not been requested ~hin 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 Ail provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not The granting of a perm~ 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.
00
Si nature of Owner ij owner is builder Date
~
~
~
~;;:io"
CITY OF PORT ANGELES
PUBLIC WORKS "BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES. WA 98362
Issued:
1 1
Permit No:
Work Order:
PROPERTY LOCATION
1023 2ND ST E
Lot: 15-19 SP91-05-04
Subdivision: DW MORSE
Parcel No: 0630006202100
996
o
Block: 125
o Long Legal
PUBILle WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLlCANT
JIM HAGUEWOOD
705 CHRISTMAN
PW:CITY, PW:State PW:Zip
360/452-3540
PROJECT INFO
Work is:.
Plan.s Required:
Contractor.: OWNER
Performance Bond Required:
Proof of Insurance:
Work to Perform:
Start Date:
Amount:
~ Install
o Repair
~ Watermain
PROJECT NOTES
Value Work:
II
Finish Date:
206/000-0000 .
$0.00
~ Sanitary Sewer
~ Storm Drain
o Underground Tele/Elec
$0.00
II
DWY
~ Mise
charge system user fees at 1 1/2" meter size upgrade to 2" for fire
protection
landscape meter to be 5/8" pd for w/ms 1/18/2000 pd system user fee
on 2/8/2000 sidewalk to be installed on 2nd 8t
FEES ASSESSMENT
1.) RIW Excav:
2.) Sidewalk:
3.) Curb/Gutter:
4.) Driveway:
5.) Dwy Culvert:
6.) Street Cut:
7.) Other RIW:
8.) Fire Hydrant:
9.) Res Water Serv: 5/8"
10.) Comm Water Serv: 2"
11.) Other Water Service:
12.)Water System Dev:
13.) San Sewer SFR:
14.) San Sewer MFR:
add unit:
$40.00
$60.00
$0.00
$125.00
$0.00
$400.00
$0.00
$0.00
. $0.00
$2,000.00
$550.00
$4,415.00
$0.00
$80.00
o
Receipt No:
Inspection Fee:
RJW SANIT AR Y
$0.00
WATER
15.) Other San Sewer:
16.) Sew Tap Wye/Man Tap:
17.) Sew Capl W/M Removal:
18.) Alter Repair Sewer:
19.) Storm Drain:
20.) Catch Basin per ea:
21.) Sewer System Dev:
22.) Milwaukee Dr. Sew Ass:
23.) RlWUse Perm:
24.) Admin Cost (D.R.A)
25.) D.RA
26.) Mise:
TOTAL FEE:
Amount Paid:
$48.00
$0.00
$0.00
$0.00
$0.00
$120.00
$3,210.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11,048.00
$6,965.00
OWY
Balance Due:
STORM
$4,083.00
ORA OTHER
Separate Pennits are required for electrical work, utilities, private and public improvements. This pennit 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
aflerthe work as commenced. or if required inspections have not been requested within 180 days from the last inspection. 1 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
Signature of Owner (if owner is builder)
Date
Date
FAX TRANSMITTAL
CITY OF PORT ANGELES
ENGINEERING DIVISION
321 E 5th St
PORT ANGELES, WA 98362
(360) 457-0411
COMPANY NAME:
CONTACT NAME:
~. I-+rA'1 "e u.J OC"> 1:::,.
CITY /STATE:
4<;;2...- (PLRs6
~A
FAX:
SENT BY:
T...% Ie.
DESCRIPTION:
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NUMBER OF PAGES (INCLUDING COVER SHEET):
'Z-
RETURN FAX NO.: (360)417-4709
IF THERE ARE ANY PROBLEMS WITH TRANSMISSION
CALL: (360) 417-4807
CITY OF PORT ANGELES oW ~oo5_ '~3(
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
j--2c--Oo
Date ~ J Time
. ,
"
Received by
(phone, person)
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
)t> 2.3 l: ?" Jd .
-ru...> i I c~ X-
i '7 +$1 f- G ' Phone No.
W.O .4*"perlflit No.
r~
/6'3/ ~
,., f ~.-f-e1/
tJ_
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time
Remarks: . r (f-N '5tcdl
/.L.') \.f~' t;;YYu2;.I':.r +-
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RESTORATION REQUIRED. . . . .. YES
By
01-.'( LU-0-J---or 5~n.Jlc ~
LJA,:...1-er ~--fV'/f>; L
A
J;CZ
~tJ '>(5ft'
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.~
~~
.~
,~
I !)./b'
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC /' 0 Other
'-'7
vyork Order # S;I I '
~PlETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT _ _ (DATE)._
o 30 60
\10.... '
SCALE IN FEET
L1=GoEND
~ c.ATCI-l BASIN
C"'tJ CONTROL REL.EASE UNIT
& CLEAN OUT
~
~
I
----&9----- EX1&TINC. &TORH DRAlN " ./'
-,
~ PROPOSoED &TORM DRAIN - "-
EXI&TINC. &AJ'lITART &EuER
PROPo&ED &,tlNITAR'r' e.Eu.EI"l_~ljj
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5ECCtID STREET
SYM. REVISION DATE BY CHECl<EO 'It) NORTHWf5TfRN TfJ?RITORIES, INC. 1999
SCALE: ,... JO' DAlE: 10/2/99
DESIGNED BY: ROBERT A LEACH. P.E.
ORA'M'l BY: JJLL BURNS
QiEO::ED BY: ROBE:J?T A LEACH. P.E.
RE'I1(W: ENGR. . CONST.
SHEET I OF J
DRAINAGE SITE PLAN
SUNRISE APARTMENTS
FOR: HAGUEWOOD
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12/30/00
_ NORT=~~L~~::~~~RIE5, INC.
~ conatruCl/otlCOOI'dlllaffon-IrIaterlalaTeatlng
NT I 717 SOUTH PEMlOOY. POOT ANGELES. WASHINGT0II98362. (360) 452-8491