HomeMy WebLinkAbout210 E 7th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
RAY GRUVER
210 EAST 7TH ST
Port Angeles, W A 98362
000/604-7467
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
6/06/2001
Permit No
Work Order'
1172
o
PROPERTY LOCATION
210 7TH ST E
Lot: 6,7
Subdivision
Parcel No
o Long Legal
Block: 230
TPA
PROJECT NOTES
Value Work.
$000
Start Date
/ /
Finish Date
000/000-0000
/ /
Amount:
$000
~ Install
o Repair
o Watermain
~ Sanitary Sewer
o Storm Drain
o Underground Te/e/Elec
o Misc
FEES ASSESSMENT-
1 ) R/W Excav'
2.) Sidewalk.
3 ) Curb/Gutter"
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12.)Water System Dev'
13 ) San Sewer SFR
14 ) San Sewer MFR:
add unit:
Receipt No 7331
Inspection Fee $000 Balance Due. $0.00
RW SANITARY_ 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.
$000 15 ) Other San Sewer' $000
$000 16) Sew Tap Wye/Man Tap $000
$000 17 ) Sew Cap/ W /M Removal $000
$000 18 ) Alter Repair Sewer' $35 00
$000 19 ) Storm Drain. $000
$000 20 ) Catch Basin per ea. $000
$000 21 ) Sewer System Dev' $000
$000 22.) Milwaukee Dr Sew Ass $000
$000 23 ) R/W Use Perm $000
$000 24 ) Admin Cost (D RA) $000
$000 25 ) D RA. $000
$000 26 ) Mise: $000
$000 TOTAL FEE. $35.00
$000
0 Amount Paid $35 00
Si nature of Owner if owner is builder 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 LOCA nON
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGIIT DEPT)
ROUGH-IN J
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING 1
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTU.ITIEs I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGIIT DEFT 417-4746 ELECTRICAL
LIGIIT DEFT
CONSTRUCTlONR.W IPWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW-1102.JS [4I96J