HomeMy WebLinkAbout2015 W 8th St - Engineering
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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
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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]