HomeMy WebLinkAbout1020 E 9th St - Engineering
s
~~
CIlY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
3 [ CZ,-/-
PUBLIC WORKS CONSTRUCTION Issued: 3/22/99 LEH Permit No: 938
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
JOE SWORDMAKER 1020 9TH E 5f1=ZE.E~T
1020 E. 9TH STREET Lot: 5 & 6
Port Angeles,WA98362 Block: 282 Long Legal: ~
360/457-0802 Sub: TPA ~
PROJECT INFO--------------------------------------------------------------------~
Work is N/A traveled road Value Work: $0.00 C
0'
~
\ ~
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Work to Perform:
Amount:
Watermain
Sanitary Sewer
/
/
/
/
$0.00
Storm Drain
Underground Tele/Ele
Misc
NOTES-----------------------------------------------------------________
PROJECT
PROJECT FEES ASSESSMENT-------------------------------------------------------__
R/W Excav: *
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut: *
Other R/W:
Fire Hydrant:
Res Water Serv:
5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No:
Inspection Fee:
R/W
SANIT AR Y
$40.00
$0.00
$0.00
$0.00
$0.00
$200.00
$0.00
$0.00
$0.00
San Sewer SFR:
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer: *
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev:
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc:
$0.00
$0.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
Signature of Contractor or Authorized Agent Date
$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
$270.00
$270.00
$0.00
Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or
construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify
that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing
this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the provisions of any state or local law regulating c nstruction or rformance of construction.
DWY
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
?'~ ~I ~1rime
.-r c::::-
Received by t f--
IDZ-O E: q~
~S~
(phone, person)
REQUEST
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~~ Founda~ion Framing Chimney Plumbing
~
INSPECTION NOTES
q38
...........
~
~
\t\
~
Phone No
Permit No
Final Sewer Excav Other
Inspected
Remarks
Date
.. Time By
:r~ ~ - ~!;;
<-I'~~ a,..z(~ ~ ,rn /?~P~
RESTORATIO REQUIRED . YES NO q-u-. 4-7-
.-' ~.
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
CI No Damage Found
~SPhalt 0 PCC
Work Order #
o COMPLETE
o INCa PLETE
o Other
rYlAethr
/~/9l(
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE T ACCwrFD COMMENTS
YF$ I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WA 1ER liNE
BACK FLOW I WA1ER
AIR SEAL
WAlLS
CEIliNG I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAlLS I ROOF I CEIliNG
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEIliNG I I
MECHANICAL
ClUMNEY
WooDSTOVE I PELlET
DUCTS
PW UIUJTIES I SITE WORK (Eng ineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENIlAL DATE YF$ NO COMMERCIAL DATE ACCwrFD
YF$ 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
BUIillING 417-4815 BUIillING
GENERAL COMMENTS:
PW.II02.I$ [4/96J