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Home My WebLink About1431 W 5th St - Engineering e ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT ELIZABETH SANDBERG 1431 W 5TH ST PW'CITY, PW'State PW:Zip 000/600-0000 PROJECT INFO Work is. Plans Required Contractor' APS ELECTRIC Performance Bond Required Proof of Insurance Work to Perform Issued 11118/1999 Permit No Work Order' ~~ o /0' '1 PROPERTY LOCATION 1431 5TH ST W Lot. 13 Subdivision. Parcel No Block: 122 TPA o Long Legal Start Date 1 1 Finish Date 360/452-6753 $000 ~ 1 1 '\N --- ~ cJl ~5i Value Work. Amount: $000 ~ Install o Repair o Watermain ~ Sanitary Sewer o Storm Drain o Underground Tele/Elec o Mise PROJECT NOTES connect into existing sidesewer on property FEES ASSESSMENT 1 ) R/W Excav' $000 15 ) Other San Sewer' $000 2.) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Capl W/M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $30 00 5 ) Dwy Culvert. $000 19 ) Storm Drain $000 6) Street Cut: $000 20 ) Catch Basin per ea $000 7 ) Other R/W' $000 21 ) Sewer System Dev' $000 8 ) Fire Hydrant: $000 22.) Mifwaukee Dr Sew Ass. $000 9 ) Res Water Servo $000 23 ) R/W Use Perm $000 10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25) D.RA $000 12.)Water System Dev' $000 26 ) Mise: $000 13 ) San Sewer SFR $000 TOTAL FEE. $30.00 14 ) San Sewer MFR $000 add unit: 0 Amount Paid $30 00 Receipt No 5480 Inspection Fee $000 Balance Due $0.00 R/W SANIT AR Y 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 construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . REQUEST i' , /" 1/ L\ '1/ 1"'~{ l"",. Date v I) , Location of Work to be inspected Name of person requesting inspection j4-.;as Address of person requesting inspection Type of Inspection (circle appropriate one) _-- Sewer Foundation Framing Chimne~~ Final ~' -.-.. INSPECTION NOTES " <-(5-- Inspected Date / (- / cf -1;1' Time I! ~ Remarks -, d ,I j Received by --c{' ~,..... -.:.> ~.d<, ( f (phone, person) Time ) / ~ ~ 4-cL Phone No . I Permit No . -'-- ,. Sewer Excav OtherC 701 ~) ~~ By RESTORATION REQUIRED YES NO t~ouse ~Ik~ ~ '201 0~ 7 1/4-E5 "- -- - ~ \ -- - 0 \ 1~~G'1 - J -="- I SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC \ \ o Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 POR 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 YFS NO FOUNDATION: FOOTINGS WAllS FOUNDATION DRAINAGE ELECTRICAL (UGHT DEPl) ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH.IN WATER LINE BACK FLOW I WATER AIR SEAL WAllS CEIllNG I I FRAMING JOISTS I GIRDERS SHEAR WAlL WAllS I ROOF I CEIllNG DRYWAlL T-BAR INSULA nON SLAB WAlL I FLOOR I CEIUNG I MECHANICAL CInMNEY WOODSTOVE I PEllET DUCTS PW UI1LITIES I SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTIWL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YFS NO COMMERCIAL DATE ACCEl'TED YFS NO ElECTRJCAL UGHT DEPT 417-4746 ElECTRJCAL 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-II02.13 (4/96)