HomeMy WebLinkAbout1008 W 5th St - Engineering
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
,/'/
PUBLIC WORKS CONSTRUCTION Issued: 4/03/98 TF Permit No: 826
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CHARLES BEAM 1008 5TH ST W
1008 W.5TH ST Lot: 1-3
Port Angeles,WA98362 Block: 108 Long Legal:
360/457-7805 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: DAUGAARD PLUMBING
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/ /
/ /
--
'='
C)
~
$0.00
<:
~
Work to Perform: INSTALL
Watermain
* Sanitary Sewer
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:
$0.00
$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
~O~~
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$0.00
TOTAL FEE:
AMT PAID:
Receipt No: 3958
Inspection Fee:
$0.00
WATER
BAL DUE:
DWY STORM
-
DRA
OTHER
R/W
SANIT AR Y
$30.00
$30.00
$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 r I the provisions of any state or local law regulatin construction or the performance of construction.
Date
Signature of Owner (if owner is builder)
Date
::~u~~ R- -1("
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
tf~J
Time Received by
!~ fl) P /.) ~ c.e
Location of Work to be inspected ~ V 0 tA.-/
Name of person requesting inspection .Lfs ""'16,!;;/r-
Address of person requesting inspection_J::~{h1IU1-;eD PLf},q1i Phone No
Type of Inspection (circle appropriate one) Permit No
~
(phone, person)
ffZ&
Sewer Foundation Frami~mbin~wer Excav Other
INSPECTION NOTES
Inspected Date 4.- f - 'I t Time A-- m.. By (A...~
Remarks c'e> """-~ l.e.:te
RESTORATION REQUIRED
YES
NO X
.-it.,
5-
Sl
-
e-
" (.,p'il-
, tl
~,,' 0
6.... \'fo\' J~ca.)
l' i I
L
AI " l' tf C.
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECI10N RECORD
CALL 417-4815 FOR BUIWING 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 ACCEPl'ED COMMENTS
I \'F3 I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL (UGIIT DEP1)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WA1ER llNE
BACK FLOW I WATER
AIR SEAL
WAlLS
CEIUNG I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAlLS I ROOF I CEIUNG
DRYWALL
T-BAR
INSULATION
SlAB
WALL I FLOOR I CEIUNG I I I
MECHANICAL
ClllMNEY
WooDSTOVE I PEUliT
DUCTS
PW urn..rrIFS I SITE WORK (Engineering Division)
WA 1ERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPl'ED
YES 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
BUIlDING 417-4815 BUIlDING
GENERAL COMMENTS:
PW-ll02.1' [4/96)