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HomeMy WebLinkAbout910 E 8th St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT DENISE CLARKE 910 E 8TH STREET PW'CITY, PW State PW.zip 360/452-5214 PROJECT INFO Work is Plans Required Contractor' HOME SERVICES Performance Bond Required Proof of Insurance Work to Perform Issued 1/17/2000 Perm it No Work Order' 1031 o PROPERTY LOCATION 910 8TH ST E Lot: 6 Subdivision Parcel No Block. 276 TPA D Long Legal ~ Start Date 1 1 Finish Date 2061457-1708 1 1 --- '0 \\'\ ~ Value Work $000 Amount: $000 D Install D D Repair D D Watermain D Sanitary Sewer Storm Drain Underground Tele/Elec D Misc PROJECT NOTES 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 $225 00 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 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 ) Milwaukee 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 ) 0 RA. $000 12.)Water System Dev' $000 26 ) Misc: $000 13 ) San Sewer SFR $000 TOTAL FEE. $225.00 14 ) San Sewer MFR $000 add unit: 0 Amount Paid $225 00 Receipt No 5781 Inspection Fee $000 Balance Due $0.00 R/W 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 vi te or cancel the provisions of any state or local law regulating construction or the performance of construction. " (~ Si nature of Owner (if owner is builder) Date //;7/7000 A-fl0 2' C2- AJtIV Aivd-- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . I IAJW/tJ'J. 3 -/5b i ~ REQUEST Date 3- /'I....~oo 6 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) ~ Foundation Framing Chimney Plumbing ~p 9/0 E. S"th. Phone No tAl /) .earm;t No Final Sewer Excav Other . ~J ~ .- /D~I INSPECTION NOTES Inspected Date Remarks Time By 0(\{~J 13' ~\\;",~k l'C 'f).bM. bfAcL ob ~t.v.-b 9' d p. RESTORATION REQUIRED tJ.(~ "" C ~ f r .1/ d2~ r!(J YES NO 'X 7,5; (gO ~' \J) r::v V cS e:C /0 E 13 I' COlA Sf: ~ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel D Repaired by City Cl Repaired by Permittee D No Damage Found o Asphalt 0 PCC 0 Other Work Order # --! 5" b q o COMPLETE o 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 INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (UGIIT DEP1) ROUGH.IN I I PLUMBING UNDER FLOOR / SlAB ROUGH-IN WATER UNE BACK FLOW / WATER AIR SEAL WALLS CEIllNG I I FRAMING JOISTS / GIRDERS SHEAR WAll WALLS / ROOF / CEIlING DRYWALL T-BAR INSULA nON SlAB WAll/ FLOOR / CEIUNG I MECHANICAL CfllMNEY WooDSTOVE / PEllET DUCTS PW urILITIES / SITE WORK (Engineering Division) WA TERUNE / METER SEWER CONNECTION SANITARY STORM S[TE DRAINAGE / EROS[ON CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO EU:CTIUCAL UGIIT DEPT 417-4746 EU:CTIUCAL UGIIT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417.4807 PW / ENGINEERING FIRE (MULTI.FAM. ONLY) 4[ 7-4654 FIRE DEPT BUIlDING 417-48[5 BUllD[NG GENERAL COMMENTS: PW-II02.IS (4196)