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Home My WebLink About1704 Delores Pl - Engineering City of Port Angeles Applicant Project Review Sheet Owner: fl~;,~ ~/,ndt,5~4~er/'/~ Proposed use: ~ Zoning: ~ r~ew b ~s ~e oily ~ Cusme~, ~siden~, etc.) on ~s site? ~ y~: ok ~ no: mq~s PD H~ ~em ~ ~n ~ suMi~sion, sho~plat, or P~ ap~ for ~s site, or h~ one ~ yes: requkes PD ~ no: ok ~ su~t~ ~d ~s ~d~g appro~ ~ew ~s ~e ~ ~ req~ a new buim~ li~? ~ yes: ~q~ffes CC ~ no: ok ~s ~e pmj~t e~end into ~y mqu~ ~t~c~ or emss ~y lot l~es (interior or e~or)? ~ yes: requ~s PD ~ no: ok r~ew ~e p~t ex~ ~e Wm~tt~ heist a~o~ or ~ ~e pro~ to ex~ PD ~o~ lot ~v~ge ~ ~s ~ne? ~s~ ~s~e~ne?~J~t ~qu~ ~y additional ~g ~ ~i~ d~i~d~ im~m~ ~ yes: req~s PD ~ no: ok ~ ~e pmj~t el~te ~y e~sting ~g ~s? ~ yes: mq~es PD ~ no: ok · e ~oj~t I~ ~ 200' of ~e shoml~e? ~ yes: mq~ PD ~ no: ok ' ~ds or ~ of s~d~ ~t~ ~ m~d or ~)~ r~ew · ~ ~ a slo~ of 40% ~ ~t~ or ' · ~ ~at ~ve md~ of~ ~d mo~t or ~osion? 5 En~ Cdc 5 Sup~ E~. C~c ~lanning Depar~ent renew Is req.lred, tnt pr~essing time m~ be e~e.&d. ~it is &te~ined a separate Pla..I.g ~t pemit(s) is needed. ~e P~i~ ~ent pemit(s} mint be app~d p~or to the issuance of any other pe~it. ~ [~p~ed a~ a ~e ~ ~e ~ ~~, 1 ~e~ t~t tn'tht ~nt:~t any ofthi* ~ the Lt~ to oe incomect, t~is project will be ~opped Until such time ~e Ci~ dete~lne$ the c~ect Infomation is prided subsequently required r~i~ and appr~ls are ~pleled a~ ~nte& .:: P~iCatego.~ ~Oeerever. eside) BuildingPenmtg [0~q~ ~sterTracmg~ Route m: ~ BD ~ CC ~ FD D LD ~ PD ~ PW ~ File ~ ~ Smff~flals ~ Date ~ompletion oJ tha fom, a required for all catego~ lb, 2 & 3 pe~i~. Completl~ a not ~ mqutredfor catego~ la pe~i~ unle~ ~ re~ln a potential cAange ofu$e ~ occupant. ~0 ~ 133HS fJ ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ;' " / I PUBLIC WORKS CONSTRUCTION Issued: 6/08/98 TF Permit No: 563 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION----------------~------- AMCO 1704 DELORES PLACE Lot: 18 Port Angeles,WA98360 Block: 1 Long Legal: ~ 360/000-0000 Sub: Eagles Lair ~ PROJECT INF~~;;-i~-;/~-----~;~~~~~~-;~~~----------------;~~~~-;~;;~_------$~~~~~ \::} Plans Required: N/A Contractor: Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: $0.00 Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain Underground Tele/Ele * Misc PROJECT NOTES-------------------------__________________________________________ all water meters are installed and paid Its 14-16. Sanitary sewer connections $80.00 + $410.00 c1112 f39139151 1 x 5/8 meter ~ PROJECT FEES ASSESSMENT-------------------------________________________________ R/W Excav: $0.00 San Sewer SFR: $80.00 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: $0.00 Catch Basin per ea: $0.00 * 5/8" Sewer System Dev: * $410.00 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" ============================== Oth Water Serv: $0.00 Water Sys Dev: $0.00 Receipt No: 4108 Inspection Fee: TOTAL FEE: AMT PAID: $490.00 $490.00 ----------------------- R/W 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 <;lpplication 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 ny state or local law regulating construction or the performance of construction. , -- ,/ .' - ~ .J~ {r..',{.; Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ti 1b. -- ~~ ~5 CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBLIC WORKS CONSTRUCTION Issued: 6/08/98 TF Permit No: 563 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ AMCO X"n Ue..-S-+n,e.)'l-1-..s - 1704 DELORES PLACE ~I/ ~E 1P11()- -=I::t 404 Lot: 18 ~ii; ~ I Block: 1 Long Legal: 5:aatilt.J.uft-Q8'104 Sub: Eagles Lair PROJECT INFO----------------------______________________________________________ Z{)/P-540- Work is N/A traveled road Value Work: $0.00 {)qc;? Plans Required: N/A Contractor: Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: $0.00 Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain Underground Tele/Ele * Misc PROJECT NOTES------------------------___________________________________________ all water meters are installed and paid Its 14-16. Sanitary sewer connections $80.00 + $410.00 c1112 f39139151 1 x 5/8 meter PROJECT FEES ASSESSMENT--------------------_____________________________________ R/W Excav: $0.00 San Sewer SFR: $80.00 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: $0.00 Catch Basin per ea: $0.00 * 5/8" Sew_er System Dev: * $410.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Comm Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2" ============================== Oth Water Serv: $0.00 Water Sys Dev: $0.00 Receipt No: 4108 Inspection Fee: TOTAL FEE: AMT PAID: $490.00 $490.00 ----------------------- R/W 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 Lp (B \ q7 Time Received by (phone, person) 1}1~~,\D~~1~ ) Phone No Permit No .5 {o :31 Plumbing Final Sewer Excav Other Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection ~ection (circle appropriate one) (sew~r/Y6undation Framing Chimney ,- -------- INSPECTION NOTES Inspected Date L, - S' ;; S' Time Remarks C04(~- ( Dr, 17 ~ f ~ CO~t?IQV /? ;/1' 'l_ By --~'Cc.d RESTORATION REQUIRED YES NO ~ jv / I \V f~ G ",. ~1 c CV c.... "i. / "i- [ - "7 to /l> ~J .., /~-/ ~ k. 7 I - .---__n --r _LI~ .J e-r./ \;. ., \ '"'\ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECfION RECORD CALL 417-4815 POR 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WAILS FOUNDATION DRAINAGE ELECTRICAL (UGlIT DEn) ROUGH-IN I I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER llNE BACK FLOW I WATER AIR SFAL WAILS CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WAILS I ROOF I CEIUNG DRYWAlL T-BAR INSULATION SlAB WAIL I FLOOR I CEIUNG I I MECHANICAL CmMNEY WooDSTOVE I PEllET DUCTS PW UTILITIFS I SITE WORK <En8ineering Division) WA TERUNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL UGlIT DEPT CONSTRUCTION R. W I PWI CONSTRUCTION R,W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUIlDING 417-4815 BUIlDING GENERAL COMMENTS: PW.II02.I~ (4/96J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 POR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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 ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (UGIIT DEP'I) ROUGH-IN I PLUMBING . UNDER FLOOR I SlAB ROUGH-IN WATER llNE BACK FLOW I WATER AIR SEAL WALLS CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WALLS I ROOF I CEIUNG DRYWALL T-BAR INSULATION SlAB WALL I FLOOR I CEIUNG I I MECHANICAL CIllMNEY WooDSTOVE I PEllET DUCTs PW Ul1LITIFS I SITE WORK (Ens ineerins Division) WA TERllNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OllIER FINAL INSPECTIONS REQUIRED PRIOR. TO OCCUPANCYIUSE RESIDFNfIAL DATE YES NO COMMERCIAL I DATE ACCEPTIW YES NO ElECTIUCAL UGIIT DEPT 417-4746 ElECTIUCAL UGIIT DEPT CONSmUCTION R.W I PWI CONSmUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUlillING 417-4815 BUIillING GENERAL COMMENTS: PW.II02.13(4/96]