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HomeMy WebLinkAbout2015 W 8th St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST STH STREET, PORT ANGELES, WA 98362 PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT Stewart Kedish 624 Evans Port Angeles, W A 98363 000/604-7505 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 11/03/2001 Perm it No Work Order' 1194 o PROPERTY LOCATION 2015 8TH ST W Lot: 6 Subdivision Parcel No Block. 37 SEAMOUNT ESTATE DIV -V 063001740060000 D Long Legal Value Work $000 Start Date I I Finish Date 206/000-0000 I I Amount: $000 C8;J Install D Repair C8;J Watermain C8;J Sanitary Sewer D Storm Drain D Underground Tele/Elec C8;J Mise DWY PROJECT NOTES CONSTRUCT DWY TO CITY STANDARDS WATER METER DROP IN SAN SEWER LATERAL TO PROPERTY FEES ASSESSMEN"F 1 ) RIW 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 1M Removal $000 4 ) Driveway' $14500 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' $74500 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo 5/8" $15000 23 ) R/W Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (D R.A) $000 11 ) Other Water Service $000 25 ) D R.A. $0.00 12 )Water System Dev' $1,02500 26 ) Mise: $000 13 ) San Sewer SFR. $95 00 TOTAL FEE. $2,160.00 14 ) San Sewer MFR. $000 add unit: 0 Amount Paid $2,16000 Receipt No 8219 Inspection Fee $0.00 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 complied with whet er specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the r isi ns of any stat or I 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. . . . . . ::t~UEST q /;J /C~ Time Received by (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 J I CJ 1- ~~~~~~t!~: n:amingw~;~U:;;i~~S=;:; ~t~J ~ UA- (.A/~'~ if Ytlt!,Cl::-~Frn..a~ INSPECT N NOTES { I ! , r rp'..e~ Inspected Date 0/ 111/02-- Time . By j , Remarks c:z.ZJ ~ w cf -fir K -e c/1rS:-A- - //7a,& 8~ ^ I _ I. ,(> " \., 'r C RESTORATION REQUIRED YES NO r'!'l ) , ... "";;. r ;""" .. ~ x: LI ~:., , ~ /,-_/ l,.\ \:) -, J'~c ~ r~--"-'-4_"~"'>~- '. _'_ I I SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC o Other [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) l) w -;1.0 (j I - 111-'1 .... ~ APPLICATION FOR WATER City W.t.r Department Port Angeles, Wash. 11- ? -UJIJ/, 19_ I I hereby apply for water to be furnished in accordance w;th rates and rules onne City for the following premises Name of Applicant ~1Ja rJ- keeL/SA Address Zo 16 IAJ ~ Renewal 0 New Service c;r Blk c..,.....- Lot1.tL.. Add S~d !nOUI1..f- I} d IJ kef- ~q /7//7 Size of Service I ~ 1$ drIJp/n Meter Number Se<v;ce Lef, On 0 Se<v;ce Left Off 0 S;gned ~ ). Installed by ,-:- v..J (f--e/ZJ I 'Wj 00 0 C) D Remarks -Pe r YvlI-r:JL ) Iq<q c:f /60~y- '1/026 Ot) -=- -R-e c.-#- F;;;2/1 BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUll.,OING 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGlIT DEPT) ROUGH-IN I PLUMBING UNDER F1..ooR I SLAB ROUGH-IN WATERLINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I F1..ooR I CEILING I I MECHANICAL CHIMNEY WooDSTOVE I PELLET DUCTS PW UTILITIES I SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELEClRlCAL - LIGlIT DEPT 417-4746 ELEClRlCAL LImIT DEPT CONSTRUcnONRW IPWI CONSTRUCTION R W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MUL TI-FAM. ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW-l102.1S [4196]