HomeMy WebLinkAbout1328 W 11th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: 9/01/98 LC Permit No: 866
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT-----------------_______PROPERTY LOCATION-------_________________
CAROL MARTINEZ 1328 11TH ST W
1328 WEST 11TH ST Lot: 7
Port Angeles,WA98363 Block: 356 Long Legal: ~
360/000-0000 Sub: ~
PROJECT INFO--------___________________________________________________________~
Work is OUTSIDE traveled road Value Work: $O.OO~
Plans Required: N/A Start: / / ~
Contractor: BRYAN ANDERSON Finish: / /
Performance Bond Required: N/A Amount: $0.00 ~
Proof Insurance:
Work to Perform: INSTALL
Watermain
Sanitary Sewer
Storm Drain
Underground Tele/Ele
Misc DWY
PROJECT NOTES--------___________________________________________________________
EXISTING DEPRESSED CURB, TO INSTALL CONCRETE DWY TO CITY STANDARDS
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: 4369
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
$0.00
$0.00
------------------------------
------------------------------
$0.00
TOTAL FEE:
AMT PAID:
$40.00
$40.00
BAL DUE:
-----------------------
$0.00
$0.00
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 sa e to be true and correct. All provisions of laws and ordinances governing
this type of work will be complied with whether specified here; or not. The granting of a permit does not presume to give authority to
vlol.te 01 cancel the pmvi'ion, of .ny ".te 01 locall.w 'egul.1I g co ~uctlo~e onnanee of construction.
Signature of Contractor or Authorized Agent Date Signature of Owner if 0
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST. I
Date CJ~ I / ~r
,
Time
Received by
~r- ~
/ r- phon, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
1328 VtJ ll~
(l.Q ~J A ./k..... ~ - '/YJtl/J-;/';""J
Phone No
Permit No 8' (p~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~
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~
~
~
-.....
il
INSPECTION NOTES ~ J
Inspected Date q 1 qcf
Remarks CJ-~ TZJ ,r?CkJ,27
Time /: 'Y .:'
BJ(~ )
By
R.~
RESTORATION REQUIRED . .. YES
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/-
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDA TE)
BUILDING PERMIT INSPECfION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE 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
W ALL'i
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEPT)
ROUGH-IN I .,
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAlLS
CEIliNG I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALL'i I ROOF I CEIliNG
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEIliNG I I
MECHANICAL ,
CillMNEY
WooDSTOVE I PEllET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SI'rn DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
IlESIDENI1AL DATE YES NO COMME1l.CIAL DATE ACCD'TED
YES NO
ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL
UGlIT DEPT
CONSTRUCTION R. W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUlillING 417-4815 BUlillING
GENERAL COMMENTS:
PW-II02.I~ [4/96)