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HomeMy WebLinkAbout920 W 7th St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 / PUBILIC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT Ben Waldron 920 W 7th St Port Angeles, W A 98362 000/600-0000 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 8/14/2000 Permit No Work Order' 1085 o PROPERTY LOCATION 920 7TH ST W Lot: 5 Subdivision Parcel No Block. 240 tpa o Long Legal Start Date 1 1 Finish Date 2061000-0000 1 1 ~ ~ ~ ~ \~ Value Work. $000 Amount: $000 IZJ Install o Repair IZJ Watermain IZJ Sanitary Sewer o Storm Drain o Underground Tele/Elec IZJ Mise dwy PROJECT NOTES M~ -i5 /7q-l-~ ~~ EI7)~ I//Z~/O(J . / ~~~~ FEES ASSESSMENT- 1 ) R/W Excav' $45 00 ( 15 ) Other San Sewer' $0 00 2) Sidewalk $000 16) Sew Tap Wye/Man Tap $000 3) Curb/Gutter' $000 17) Sew Capl W/M Removal $000 4 ) Driveway' $145 00 ,/ 18 ) Alter Repair Sewer' $0 00 5 ) Dwy Culvert: $0 00 19 ) Storm Drain. $0 00 6 ) Street Cut: $230 00 /' 20 ) Catch Basin per ea. $0 00 7) Other R/W $000 21 ) Sewer System Dev' $74500 r- 8) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo 5/8" $64000 /' 23) R/W Use Perm $000 10) Comm Water Serv- $000 24) Admin Cost (0 R.A) $000 11 ) Other Water Service $000 25) 0 R.A. $000 12.)Water System Dev' $1,02500..r 26) Mise: $000 13 ) San Sewer SFR. $95 00 ~ TOTAL FEE. $2,925.00 14TINS~[lg~:N~T REt}l/lRE A SEPA, Sl{~~trflg~ OR ESA PEW!~ 00 A ~ceWi No 6522 Stafl Date lpfn~W~diu'l Ft:t: $0 00 I3slsflee Due' $9.99 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 rovi . anysbtJe or focal law regulating construction or the performance of construction. --... Date Si nature of Owner if owner is builder Date ----- --------- ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . / REQUEST J ) Date g 2/ 00 , ~ location of Work to be inspected q~! ~ ~ Name of person requesting inspection ~ ~.,. Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 7~ Ie c..R..-~ 1F (phone, person) Time Received by Phone No Permit No /O~5 INSPECTION NOTES / _ f Inspected Date ? /2- ~tpoi) Time 2:~- Remarks a7~ 7L:) C!..>r-../ C:C ~ By R.,,--r;- RESTORATION REQUIRED YES NO X J \\ .- /1" ~,. / _..- ./ (' ,"1; ,':" , // '" I J 1- J ~- , ,I --..J /1" I I (p f\ if -\. l)~ '.....::..- L ~ '/ 1,--yC io LF & ~- Vc.1! .~ .-;; ~., /.-\ / ," ' I / - / ~ ('.;f'1/'J / D ,,('7: ,? ~ - ~j;::..>..:_._- (0 - I P 1 V '2:./9 ----~O - NH ? II? --", 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 (DA TE) -.-----.--. ---- -~~~._._- ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . // REQUEST ~)~ Date sj , , Time Received by 7~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbin~ Sewer Excav Other ~~7~ ~ ~--=.- /0 P:?s RESTORATION REQUIRED YES NO t< .C.e;v"",~ ~"'7' .eF~ 14cc.ey - ~e<.... PltJ .~~.&e-s 7Z) .:s~~~~ 4-,,- ~ ~~S. P7' ~U--.5 , · No S/P~ /I/o SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT IDA TE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUll.,oING INSPECTIONS. PLEASE PROVIDE A MINIMuM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.u INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION INSPECTION TYPE DATE ACCEPTED COMMENTs I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE BACK now / WATER AIR SEAL WALLS I I I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHAMCAL CHIMNEy WooDSTOVE / PELLET DUCTS PW UTILITIEs / SITE WORK (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIiER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELEC1RICAL LIGHT DEPT 417-4746 ELECTRICAL LIGHT DEFT CONSTRUCTlONR.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE (MULTI-FAM. ONI.. Y) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW.1102.15 [4196J