HomeMy WebLinkAbout1350 E 8th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST STII STREET, PORT ANGELES, WA 98362
/360e ~
PUB/LlC WORKS & R/W PERM/T
o Attached Notes
OWNER/APPLICANT
Matt Gochnour
1025 East 6th Street
Port Angeles, WA 98362
000/604-7463
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: ADMICH CONSTRUCTION
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
Issued:
6/18/2001
Permit No:
Work Order:
1144
o
Value Work:
II
Finish Date:
360/417-3409
PROPERTY LOCATION
1350 8TH ST E
Lot: EF
Subdivision:
Parcel No:
Cresthaven replat
063011550335000
Block: E
o Long Legal
["8:J Install
o Repair
["8:J Watermain
$0.00
["8:J Sanitary Sewer
o Storm Drain
o Underground Tele/Eiec
PROJECT NOTES
["8:J Mise
$0.00
I I
~zz wiD /%71
IX ~ II
FEES ASSESSMENT
C J DOC)
F 2q~/373
1.) RIW Excav:
2.) Sidewalk:
3.) Curb/Gutter:
4.) Driveway:
5.) Dwy Culvert:
6.) Street Cut:
7.) Other R1W:
8.) Fire Hydrant:
9.) Res Water Serv:
10.) Comm Water Serv:
11.) Other Water Service:
12.)Water System Dev:
13.) San Sewer SFR:
14.) San Sewer MFR:
add unit: 0
Receipt No: 7726
Inspection Fee: $0.00
RW.SANITARY WATER
5/8"
$45.00
$0.00
$0.00
$145.00
$0.00
$0.00
$0.00
$0.00
$640.00
$0.00
$0.00
$1,025.00
$95.00
$0.00
15.) Other San Sewer:
16.) Sew Tap WyelMan Tap:
17.) SewCaplWIM Removal:
18.) Alter Repair Sewer:
19.) Storm Drain:
20.) Catch Basin per ea:
21.) Sewer System Dev:
22.) Milwaukee Dr. Sew Ass:
23.) RIW Use Perm:
24.) Admin Cost (ORA)
25.) D.RA
26.) Mise:
TOTAL FEE:
Amount Paid:
(
c-
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$745.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2;925.00
$2,695.00
,
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Balance Due:
DWY STORM
$0.00
DRA OTHER
Separate PermitS'are ,equired for electrical work, utilities, private and public improvements. This permit becomes null and void ~ work or
construction authorized is not commenced within 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ~ 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 ate or local law regulating construction or the performance of construction.
~ 1k~ 'Ja (
Si nature of Contractor or Authorized A ent
Si nature of Owner ~ owner is builder
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date S'- ~- 0 I
Time
kYl'"\
Received by
~
@ person)
. "., -- -t&.
Location of Work to be inspected /3Sv t: 8----
Name of person requesting inspection :u. .n /1'1~"':..^~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No.
Final ~er Exca0ther
//11
INSPECTION NOTES:
Inspected: Date
Remarks:
,.:{-:;L-OI
CO""'-1>L...~
Time
I7-rVI
BY~
RESTORATION REQUiRED...... YES
NO ~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
fC:nntinIIA.nn.rAvarse.side.if.necessar.yl.
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. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date l- ?..A - 0 / 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):
Sewer Foundation Framing Chimney Plumbing
/3)0 E ~-f4
Tw J" cd'
/ if1t f-
Phone No.
Permit No.
Sewer Excav. Other lA.) ""L~
Final
INSPECTION NOTES:
Inspected: Date
Remarks:
Time By
;:f IJ S k II /V'-ew / )( )' /7 l)Ja..~
'5 e y cI ic. -{' 0 )1 2.. N C ct 5' t-! .;z::A' 0?1
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(_ / DCY:;
RESTORATION REQUIREI) . . . . .. YE ;; NO
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SURFACE RESTORATION.
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
[o/tOMPLETE
o INCOMPLETE
o Other
1'27 ?