HomeMy WebLinkAbout1404 E 3rd St - Engineering
S
f'IS!
~~
CITY OF PORT ANGELES
PUBLIC WORKS . BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES. WA 98362
//
PUBLIC WORKS CONSTRUCTION Issued: 7/21/99 LC Permit No: 953
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CRAIG HECKMAN 1404 3RD ST E
221 FOGARTY AVE Lot: 7
Port Angeles,WA98362 Block: 102 Long Legal:
360/452-1186 Sub: TW CARTER SL 15/16
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
~
$0.00 c:::J
~
Work to Perform: Watermain Storm Drain '"
PROJECT NOTES-----------------:::~::~-:::::-----~~;~:::::::-::~:~:~:---------~
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/
/
/
/
-
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"
Corom Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev: *
Receipt No: 5273
Inspection Fee:
R/W
SANITARY
$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:
$80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$2,395.00
$2,395.00
$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 localla. w regul~ng\ nstruction gr the erformance of construction. . .
%. 7 -0 . 'j c
Signature of Contractor or Authorized Agent Date Si nature of Date
$550.00
$0.00
$883.00
TOTAL FEE:
AMT PAID:
$0.00
BAL DUE:
WATER
DWY
STORM
DRA
OTHER
.-.... )
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . .
:~~U?~:f6-q?
Time
Received by
(phone, person)
Location of Work to be inspected J <-( 0 il f:- ) v-cI '
Name of person requesting inspection ~ Wi"" C 0 ")tC
Address of person requesting inspection ) 7 +11. "t- B r Phone No.
Type of Inspection (circle appropriate one): Permit No. 1'5 '3
./
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other L(J cc.f-e~
f)tA...! J: ('\Qf
PW ~607
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
~N S +C{ tI
S-e tr{./t ~ -f J
-
By
Jl/~ c<.oJ
J K >/K tu4. ,-1- A'/
. / ~
I
RESTORATION REQUIRED.. ~ YES
~..; ,
,..~....
'? ref ·
It J4-'-
:,""
~
~
I'r'~
(
,"
SURFACE RESTORATION: /
SURFACE TYPE: D Unimproved DGravel ~phalt 0 PCC
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
~MPLETE
D INCOMPLETE
D Other
/ J~ tj
,
\a ~\\<~T )w\., 99
(Continue on reverse side if necessary)
5"t::~$~(c 5- v~d9 hJ.v~-f
STREET SUPERINTENDENT (DATE)
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,
INSPECTION TYPE DATE ACCEPTED COMMFNfS
I YES NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL (UGIIT DEP1)
ROUGH-IN
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAllS
CElUNG
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAILS I ROOF I CElUNG
DRYWALL
T-BAR
INSULATION
SlAB
WALL I FLOOR I CElUNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW UTILITIFS I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OlllER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESlDI'NI1AL DATE YES NO COMMERCIAL DATE ACCWfED
YES NO
ElECTRICAL - UGIIT DEPT. 417-4746 ElECTRICAL
UGIIT 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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW-II02.1~ (4/961