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HomeMy WebLinkAbout235 W 9th St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET. PORT ANGELES, W A 98362 , " PUBLIC WORKS CONSTRUCTION Issued: 5/27/99 LC Permit No: 824 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DUANE & MARY GETCHELL 235 9TH ST W 530 EAST 8TH ST Lot: 12 Port Angeles,WA98362 Block: 266 Long Legal: 360/457-5299 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $O.OO~ ~ Plans Required: N/A Contractor: Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer ~ ~ \j\ / / / / $0.00 Storm Drain Underground Tele/Ele Misc NOTES------------------------------------------------------------------- PROJECT PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street Cut: * Other R/W: Fire Hydrant: Res Water Serv: * * 5/8" 3/4" 1" Corom Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: * Receipt No: 5100 Inspection Fee: R/W SANITARY $40.00 $0.00 $0.00 $0.00 $0.00 $200.00 $0.00 $0.00 $550.00 San Sewer SFR: * San Sewer MFR: Add Unit: 0 Other San Sewer: Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: Sewer System Dev: * Milwaukee Dr. Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D,R.A): Misc: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $0.00 $0.00 $883.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: STORM DRA OTHER $2,395.00 $2,395.00 $0.00 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 provisions of any state or local law regulating construction or the performance of construction. )~\~~" L~,,~~~~~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date DWY CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . ..... REQUEST: Date 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 D2 35 w 9!:!:- VURne- Phone No Permit No Plumbing Final Sewer Excav Other p,1 INSPECTION NOTES' Inspected Date I C? - 9 - Cf 1 Remarks C C> yV/f/~ Time ,A--f'V1 By ~JL RESTORATION REQUIRED .... YES NO K Ji_ _____ _____.....__.._1.. "'__ - -~-- - ~ I -f ----.. .- 100 -- ~ - '~),' ---. .:.--- .8 9 A )I~l ~ f )ll<;' I (\ .', V -'-'>cI 1 --.--- )' ~~-IC ~-~:~:~::~~-~-~f----' .'. t Co. <.; LO ~.M 0 r '::--- L :>.- ~ --1: c.J SURFACE RESTORATION: SURFACE TYPE D Unimproved D Gravel D Asphalt D pec D Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) r / I ~~ ~~ ---.- 'REQUEST FOR PAYMENT' Authorization TO /V\ f\ {2. \..( GET e J-l ELL- 235 We.5\ CJiiL SJ Yorz-"' A~GGLE5 ;kffl q~?~z.. DESCRImON J<-.e. F L1 N D $I 40 ~ r:-t6f-j T ot: ill^! FD i2- -PEi2- M 1\ 'S JJ'O'T U s-ev -d1 ~z tf-- t t2.cJo ~ Sr/2.EE"T ~5'lOr<-A--r1 ~ 00 A BUDGET CODE -$ 4-0-- 100. q<oZ~ / J 20009- - "'752 · q'Z. 4-Z { AMOUNT" -:f;L+O~ A--( ""- --.,I DATE vI r1 r9' APPROVAL SpcclallnllrUC110n~ : *..... <<.: . '.' o'!:. ~ ":,, . . :-..... . .:",.,,:::: .::::.m.. x' ..:~~: .: ....::' .:. '.' ap arge '. .. ,'.".. . ':'. .' {o'" ',' ~~"~" ~1:: ~~ ~ .... .,' <. RECEIPT # Q7c:U/cL G, ((1<::::- -;z 35 W.. <7...... ..J r qt 'l~ C; ,__I ..., v~ \.. APPLICATION FOR WATER City Water Department Port Angeles, Wash. 5.-2. '7 ,19~ I hereby apply for water to be furni shed in accordance with rates and rules of the City for the following premises Name of AppUcanl b:Aob~ ~ ~u.'1 G('-hJIP U j Address 2.~S W C[ft: ST. ( S3D -s Sih Renewal 0 New Service @- Blkz.&;.& Lot 1 L Add rr~ 1 &<6 I I SI') q /fJ..- Size of Service } 'f.-. If Meter Numbek ~ 1 Service Left On 0 Service Left dTrB Signed >(~ ~ ~~ Installed by ~W , cpa,W/.R~J~ () b 60 ~ Remarks l?eV"W1-\\~ yz '1 ~- 550 E.P i--BB38Q ~L~ 5rov 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. POSf PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMl\DJlITS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (UGHT DEPl) ROUGH-IN , T PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SEAL WAU$ CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WALLS I ROOF I CEIUNG DRYWAlL T-BAR INSULATION SLAB WAlL I FLOOR I CEIUNG I I MECHANICAL CHIMNEy WooDSTOVE I PELlET DUCTS PW UI1UTIES I SITE WORK (Engineering Division) WATERllNE I METER SEWER CONNECTION SANITARY STORM srrn DRAINAGE I EROSION CONTROL PARKING OTIffiR FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ElECTRICAL UGHT DEPT 417.4746 ElECTRICAL UGHT DEPT CONSTRUCTION R W I PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI.FAM. ONLY) 417.4654 FIRE DEPT BUIillING 417.4815 BUIillING GENERAL COMMENTS: PW.II02.15 [4/96)