HomeMy WebLinkAbout520 E 10th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
PUBLIC WORKS CONSTRUCTION Issued: 3/24/99 TF Permit No: 940
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
SHIRLELY MCCASLIN 510 10TH ST E
510 E. 10TH STREET Lot: N 100' LT 8
Port Angeles,WA98362 Block: 332 Long Legal:
360/457-3368 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
\J'r
,,\
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$0.00 f\'-
"
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/
/
/
/
"""-
* Storm Drain ~
Underground Tele/Ele \l
Misc )-
PROJECT NOTES------------------------------------------------------------_______
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Work to Perform: INSTALL
Watermain
Sanitary Sewer
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"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No: 4844
Inspection Fee:
R/W
SANIT AR Y
$40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
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$0.00
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$40.00
$40.00
$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.
/
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
DWY
Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
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)
Sewer Foundation Framing Chimney
41ff? tU~
INSPECTION NOTES
Inspected Date ~;;f
Remarks
570 E /0 -r:c
-
7 /U1( / tfL../
Plumbing Final
Phone No
Permit No
Sewer Excav Other
99'0
~
""
#'1
Time
AI 0 tlell/I 'I
By
111
~
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RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
D Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECI'ION 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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR' SlAB
ROUGH-IN
WA 1ER llNE
BACK FWW , WATER
AIR SEAL
WAlLS
CEIUNG I
FRAMING
JOISTS' GIRDERS
SHEAR WAlL
WALLS 'ROOF' CEIUNG
DRYWAlL
T-BAR
INSULATION
SlAB
WAlL, FLOOR' CEIUNG I I
MECHANICAL
CHIMNEY
WOODSTOVE , PEllET
DUCTS
PW VTU..ITIES , SITE WORK (Engineering Division)
WA TERllNE , ME1ER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE' EROSION CONTROL
PARKING
OllIER
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
EIECTIUCAL UGlIT DEPT 411-4146 EIEClRICAL
UGHT DEPT
CONSmUCTION R.W 'PWI CONSmUCTION R.W
ENGINEERING 411-4801 PW' ENGINEERING
FIRE (MULTI-FAM. ONLY) 411-46.54 FIRE DEPT
BUIlDING 411-481.5 BUIlDING
GENERAL COMMENTS:
PW-II02.I~ [4/96)