HomeMy WebLinkAbout514 E 10th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
HAROLD WHITMAN
514 E.10TH ST
Port Angeles, W A 98362
000/600-0000
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
5/16/2000
Permit No
Work Order'
1062
o
PROPERTY LOCATION
514 10TH ST E
Lot: 6
Subdivision
Parcel No
Block 332
TPA
D Long Legal
Value Work.
$000
Start Date
1 1
Finish Date
0001000-0000
1 1
D Install
D Repair
D Watermain
Amount: $000
Right of Way Use
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
replace 60 I f sidewalk
FEES ASSESSMENT
1 ) R/W Excav' $0 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' $0 00 18 ) Alter Repair Sewer' $0 00
5 ) Dwy Culvert: $0 00 19 ) Storm Drain $0 00
6 ) Street Cut: $0 00 20 ) Catch Basin per ea $0 00
7 ) Other R/W $45 00 21 ) Sewer System Dev' $0 00
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 (D RA) $000
11 ) Other Water Service $000 25) D RA. $000
12 )Water System Dev' $000 26) Misc: $000
13 ) San Sewer SFR $0 00 TOTAL FEE. $45.00
14THl&~OE$ NOT RE(j()/.fJB.E A SEPA, SHORELINE OR ESA PERMIT
add Unit: 0 Amount Paid $45 00
Ap~~WRr No 6221 Staf1 Dute
frlspectlon t-ee' $0 M Balafl(;~ Du~ $0 00
RW SANITARY WATER OWY STORM ORA 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.
:#v~~E' 0l1L- ~ ~ /~ (/0
Signature of Contractor or Authorized Agent Date Sianature of Owner (if owner is builder) Date
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUll.,OING 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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH. IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH.IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T.BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE I PELLET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 4174746 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW I PWI CONSTRUCTION R W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MUL TI.F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW.1102.15 (4196)