HomeMy WebLinkAbout207 W 1st St - Engineering
s
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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PUBLIC WORKS CONSTRUCTION Issued: 3/15/99 LEH Permit No: 935
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DAVE ERICSON 207 1ST ST W
207 W. 1ST STREET Lot: e 1/2 17 all 18
Port Angeles,WA98362 Block: 14 Long Legal:
360/928~3571 Sub: tpa <::::::)
PROJECT INFO--------------------------------------------------------------------~
Work is OUTSIDE traveled road Value Work: $0.00 ~
Plans Required: NO Start: / /
Contractor: OWNER Finish: / /
Performance Bond Required: NO
Proof Insurance:
Amount:
Work to Perform: REPAIR
Watermain
Sanitary Sewer
~
-
\f>
$ 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
$0.00
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
Date
Date
$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$40.00
$40.00
$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 co uction or the performance of construction.
Signature of Contractor or Authorized Agent
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
DWY
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 ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WAlL')
FOUNDATION DRAINAGE
D.ECTRICAL (UGIIT DEM)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAlL')
CEIUNG I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAlL') I ROOF I CEIUNG
DRYWALL
T-BAR
INSULATION
SlAB
WALL I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEY
WO<?DSTOVE I PEllET
DUCTS
PW UTU.ITIFS I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RFSIDFNI1AL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - UGHT DEPT. 417.4746 ELECTRICAL
UGHT 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~ (4/961