HomeMy WebLinkAbout1012 E 9th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TII STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Clint Soelter
Issued
1/03/2002
Perm it No
Work Order'
1222
o
PROPERTY LOCATION
1012 9TH ST E
Lot: 7
Subdivision
Parcel No
Block. 282
Port Angeles, WA 98360
000/600-0000
PROJECT INFO
Work is.
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
TPA
063000028230000
D Long Legal
Value Work.
$000
Start Date
1 1
Finish Date:
206/000-0000
1 1
Amount:
$000
[::8:J Install
D Repair
[::8:J Watermain
[::8:J Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
[::8:J Misc
dwy
PROJECT NOTES
san sewer connect in at alley 12.5 'dp
water meter install off 9th Street or off alley
driveway off alley or 9th requires (2) off street parking places for
SFR
FEES ASSESSMENT-
1 } RIW 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' $000
5 } Dwy Culvert: $000 19 } Storm Drain $000
6 } Street Cut: $230 00 20 } Catch Basin per ea $000
7 } Other RIW $000 21 } Sewer System Dev' $745 00
8 } Fire Hydrant: $000 22.} Milwaukee Dr Sew Ass. $000
9} Res Water Servo 5/8" $640 00 23 } RIW Use Perm $000
10 } Comm Water Servo $000 24 } Admin Cost (0 RA) $000
11 } Other Water Service $000 25 } 0 RA. $0.00
12.}Water System Dev' $1,02500 26 } Misc: $000
13 } San Sewer SFR $95 00 TOTAL FEE. $2,780.00
14 } San Sewer MFR $000 $2,780 00
add unit: 0 Amount Paid
Receipt No
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 nuU 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.
Si nature of Contractor or Authorized A ent Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
/
13Y'2-
REQUEST /11
Date .3 _ _ OZ-
.
Time
z~
Received by
--IF
f
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~~.0 Foundation Framing Chimney Plumbing Final Sewer Excav Other
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Phone No
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Permit No
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RESTORATION REQUIRED
YES f)( NO
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SURFACE RESTORATION {S-XID)
SURFACE TYPE D Unimproved 0 Gravel LKl Asphalt D PCC
D Other
[] Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
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STREET SUPERINTENDENT
(DATE)
(Continue on reverse side if necessary)
CITY OF PORT ANGELES bw 2OG(-20~Z
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST
Date 3- "7 - 6 "2-
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)
J 6 / ~ r- 1-11
I w~ I co-y:
/ (fit c)
Phone No
Permit No
/zz z...-
Lt.J 0\ i-er
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date
Remarks
Time
~/U S+A_ U
~r U I 'ce
By
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RESTORATION REQUIRED
/'
YES {/' NO
SURFACE RESTORATION /'
SURFACE TYPE D Unimproved D Gravel ~sphalt D PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
1M" COMPLETE
D INCOMPLETE
q Other
,2.6 ~ ?-
(J---uJ ?- (16 (
S:::2..oz
(DATE)
(Continue on reverse side if necessary)
BUILDING PERMIT INSPECfION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMuM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER,
INSUUTE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEFT)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR / CEILING
MECHANICAL
CHIMNEY
WooDSTOVE / PELLET
DUCTS
PW UTILITIEs / SITE WORK (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONIROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELEC1RICAL LIGHT DEPT 4174746 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONRW IPW/ CONSTRUCTION RW
ENGINEERING 4174807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 4]74654 FIRE DEPT
BUILDING 4174815 BUILDING
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW-1102.15 [4I96J