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HomeMy WebLinkAbout1632 W 6th St - Engineering ~ ~) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 / PUBLIC WORKS CONSTRUCTION Issued: 11/24/98 LC Permit No: 892 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION-----------------_______ ANN BALCH/JAMESTOWNS'KLALLAM 1632 6TH ST W 1632 W. 6TH STREET Lot: It 8 exc E 5' El/2 It 9 ___ Port Angeles,WA98363 Block: 150 Long Legal: ~ 360/452-3073 Sub: TPA PROJECT INFO---------------____________________________________________________~ Work is N/A traveled road Value Work: $0.00 \' / / / / Plans Required: N/A Contractor: Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: $0.00 ~ ~ I \5 Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain Underground Tele/Ele * Misc dwy PROJECT NOTES---------------____________________________________________________ former housed demolished may reuse ex. san sewerconnection @ 6th st. or @ alley but connection must be made @ property line & verified by city inspector prior to connection. W/M made be reused will need to be verified by city prior to reconnect c2556 5/8 badger PROJECT FEES ASSESSMENT-------------____________________________________________ R/W Excav: * $40.00 San Sewer SFR: $0.00 Sidewalk: $0.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add Unit: 0 Driveway: * $125.00 Other San Sewer: $0.00 Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: * $30.00 Fire Hydrant: $0.00 Storm Drain Tap: $0.00 Res Water Serv: * $0.00 Catch Basin per ea: $0.00 * 5/8" Sewer System Dev: $0.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Comm Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2" ============================== Oth Water Serv: $0.00 Water Sys Dev: $0.00 Receipt No: 4605 Inspection Fee: TOTAL FEE: AMT PAID: $195.00 $195.00 R/W SANIT AR Y $0.00 WATER ----------------------- BAL DUE: $0.00 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. :2__--'<--e~ )'L.e S-?C_ /j/J-~i/q0 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. Date O~-\ <0 -<1 ~ Time Received by (phone, person) ~ (eiCAe-1 \ Location of Work to be inspected llo6C <-b\ \<- W. ~- L ~D~S (A.Vtt.nDW,y __ Name of person requesting inspection JOht\ ~-\is Jo....vvus4evOf'\ ~~cA;~ Address of person requesting inspection Phone No r};;;1J Inspection (circle appropriate one) Permit No :8 Cj "2....- ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other :<: ~ t:: RESTORATION REQUIRED . . . .. YES NO y, W..es+ Lo~I+ riJ (Y\I/\J~ l' 'Vp ~ ~ 11<;( I ~ of W\.\T @ K ~ - ~ I)' a.f. K (," p"e. :r Sf: ~/''~ S\. 7 11,c.. ~<-l r C.o ~ J'W""" ~ SU RFACE RESl ORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . / REQUEST Date f//~-1q1 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 Chimney J&~2 Vt)U~ -J /7.-R~.A ~ Phone No Permit No Plumbi~ewer Excav Other ~~ -.......... ~ ~~ \'l \'- \:. Inspected Remarks J)vJ By4 ~ (~ INSPECTION NOTES 7 or<>~O'\. d... h.<h-\..S.e.... /( I J T/7 y-,-,< l. ... L RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City CJ Repaired by Permittee o No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPECTION TYPE DATE ACCEPTED COMME'ITS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE D..ECTRICAL (UGlIT DEP1) ROUGH-IN I I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SFAL WAlLS CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAll WALLS I ROOF I CEIUNG DRYWALL T-BAR INSULA nON SlAB WALL I FLOOR I CEIUNG I I MECHANICAL CHIMNEY WooDSTOVE I PEllET DUCTS PW UTll.JTIES I SITE WORK (Eng ineering Division) WA TERUNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRJOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMDlCIAL DATE ACCEPTED YES NO EIECTIUCAL UGlIT DEPT 417-4746 EIECTIUCAL 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 GENERAL COMMENTS: PW-II02.I~ (4/96)