HomeMy WebLinkAbout1710 W 4th St - Engineering
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~-.:~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUBLIC WORKS CONSTRUCTION Issued: 3/03/99 TF Permit No: 931
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DON WILEY 1710 4TH ST W
1710 W. 4TH Lot: 3 exc 8 x 31' in SE Cor
PORT ANGELES,WA98363 Block: 141 Long Legal:
360/452-2189 Sub: TPA
PROJECT INFO----------------------______________________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL
Watermain
Sanitary Sewer
/ /
/ /
$0.00
Storm Drain
Underground Tele/Ele
* Misc dwy
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: 4436
Inspection Fee:
R/W
SANIT AR Y
$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
$0.00
$0.00
------------------------------
------------------------------
Signature of Contractor or Authorized Agent Date
$0.00
TOTAL FEE:
AMT PAID:
$125.00
$125.00
BAL DUE:
-----------------------
$0.00
$0.00
WATER
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work. utilities, private and public improvements. This permit becomes null and void if work or
construction authorized is not commenced within 180 days. if construction or work is suspended or abandoned for a period of 180 days
after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify
that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing
this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the provisions of any state or local law regulating co uction or the performance of construction.
- ------ --~- ------------ --~-------~-----~-----"--~------_._----~---------.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date / t) II .;,/ ov
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing
/7/ t) Iv <:/-0....
/) . --r
/V '/)1- ttJ.-c~1 - / /Lt~
Phone No.
Permit No. 9i$/
Sewer Excav. Other a~
Inspected: Date
Remarks:
Time
1-11 A711,?7UZJ
/7" t:l~hl//~
II
By
............
'-.)
"-
"
~
~
\)!
Chimney Plumbing
Final
INSPECTION NOTES:
I'
'j
~h~~ooa T~ h
ch-2- Z-P7rO S --;l~~?/c'~~L~
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
[] 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 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 1YPE DATE ACCEPnD COMMF1'ITS
YES NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
FLECTRICAL (UGlIT DEn)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER llNE
BACK FLOW I WATER
AIR SEAL
WAlLS I
CEIliNG
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAlLS I ROOF I CEIliNG
DRYWALL
T-BAR
INSULATION
SlAB
WALL I FLOOR I CEIliNG I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW urn.ITIES 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 OCCUPANCYIUSE
RESIDENfIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
EI.ECTIUCAL - UGlIT DEPT. 417-4746 EI.ECTIUCAL
UGlIT DEPT
CONSTImCTION R.W. I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT.
BUlillING 417-4815 BUlill1NG
GENERAL COMMENTS:
PW~II02.I~ (4/96)