HomeMy WebLinkAbout920 W 7th St - Engineering
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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
~
~
~
~
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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
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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
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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
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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