The URL can be used to link to this page

Home My WebLink About1717 W 12th St - Engineering ~ ~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TII STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT SUSAN HARRIS 611WEST 13TH Port Angeles, W A 98362 000/604-7988 PROJECT INFO Work is Plans Required Start Date Contractor' ALDERGROVE CONSTRUCTION Performance Bond Required. Amount: Proof of Insurance Work to Perform Issued 3/12/2001 Perm it No Work Order' 1125 o PROPERTY LOCATION 1717 12TH ST W Lot: 16 Subdivision Parcel No Block. 360 TPA 063000036075000 o Long Legal Value Work $000 1 1 Finish Date 360/457 -2067 1 1 $000 [gJ Install o Repair [gJ Watermain [gJ Sanitary Sewer [gJ Storm Drain o Underground Tele/Elee [gJ Mise dwy PROJECT NOTES contractor to extend san sewer in alley per previous design. ORA 93-01 to be paid prior to final. Install conc. driveway to city standards. Fee for ORA 93-01 based on connect date of 3/25/2001 aldergrove fax # 457-6765 inspection of san. sewer 4 hrs @ $30.00 FEES ASSESSMENT- 1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000 2 ) Sidewalk $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17) Sew Capl W/M Removal $000 4 ) Driveway' $000 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" $640 00 23 ) R/W Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (0 R.A) $609 43 11 ) Other Water Service $000 25 ) 0 R.A. $000 12.)Water System Dev' $1,02500 26 ) Misc. 4hrs @ $30 $120 00 13 ) San Sewer SFR: $95 00 TOTAL FEE. $3,279.43 14 ) San Sewer MFR. $000 add unit: 0 Amount Paid $3,279 43 Receipt No 6958 Inspection Fee $000 Balance Due $0.00 RW SANIT ARY WATER OWY STORM ORA 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 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. Signature of Contractor or 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 .I 7/7 ~/ Ie!) l/J 7/1P7( ~ Phone No Permit No / I c2 .6 Plumbie:9 Sewer :;av Other m~- INSPECTION NOTES Inspected Date t/ I } Remarks /} / '; . 4 IN ?((!! 1// Time By RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel 0 Asphalt 0 PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # D COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS lNSPECTION REPORT REQUEST Date 5/1/ Q ::' Time 2 <:- (.) Received by k T. 8perso"'t ) . Location of Work to be inspected IY 12_ ~ L Name of person requesting inspection c,,.,y rl'" II' Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Phone No ~57-:2 () ~ 7+ Permit No D ~ .-----~:"\ ,,~Excav Other INSPECTION NOTES I d Date 5" -- II - 9 S nspectc Remarks (' _D VY'I \' \1'1 r Time ?rl) BY~-~ :> -.J RESTORATION REOUIRED \ '.Ie 11.'.da.P ,\-1 tl'l .L-- :33' ---rl--Y<:'--- '15 --- I~ I o ------.---:\: .--_'" \<_0; d#~p _..__ r - i.- <;;(~~~:~: ~ s~ "'~';Jf) I I ''ri <f" \ ). '(>'10/,(>/ I ': ~L. lJ />', )\' ~ CD ... 1.1- r i - I YES NO Y /'; 7_ A 1I.e. '/ -- -I " 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 "~,J IDATE\-\f~Nt':"Jtj ;,fjJl>:.' t> t..U - .2..00 [-! f;JO Z- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date ,'3 '- I q - 6 I / Time Received by (phone, person} location of Work to be inspected 11 J 7 iu / J--+A Name of person requesting inspection --r:r. A..J I J (?!--/ Address of person requesting inspection / ~ ftt *-j3 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other //;2~ LDt'( -f-+~ INSPECTION NOTES Inspected Date Remarks Time ::r>v ) 1- c1 1/ _S'f/ r u ,rc' -e By 411.-P Cu l)r :;/1( tijc.(frJ.;- RESTORATION REQUIRED YES /.""", NO V 1(11 ltJ I 2ft \ #1' I c / bC,3 \ y:'-i) t ~ ~-t( y Gl- I:::: ~q;;;{ 1375 . \1 l ) :L #7 ~ {AJ- / , c ?-?J ~ -i -- 7-; . ~ - ~ I ~ SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt D Repaired by City o Repaired by Permittee o No Damage Found D Other Wo~rder # / J 6 2... ~COMPlETE D INCOMPLETE Dpcc S'fr-e ~i iJ..p/l, {( Lr--<a ,-f;L {}r. fc/;.pc/ >fr-e-et (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date Time Received by (phone, person) location of Work to be inspected I Y I 'Z.. A II e / E. '" r k '::. -\- . Name of person requesting inspection G a'r"/ P.., ~. ~ T ('"..,Ii I J <<..., VI!) ve Address of person requesting inspection Phone No ~Y.~~J,nspection (circle appropriate one) Permit No / J Z S (Sewer / )Foundation Framing Chimney Plumbing Final Sewer Excav Other \~ INSPECTION NOTES Inspected Date '3 - 2. - (] (') Remarks l.""''''''! I~~~ Time 1~H I / Bye .-1. A. J RESTORATION REQUIRED YES NO X \ \ I I I .~ t " f l'l {fIJ.. e .~ \. t- ^ I' )... ~~. \,... ~ .~ rijf:A 14) ... ~I 4Wlo t:! ~ CO -. U/IZ A lip I r SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 15719 3"- ]0 7C Port Angeles, Washlngtonu______..________............___u..u_________.._....___.___, 19.______.. --.- In accordance with the City Ordinance to regulate the installation, extension, <;?r repair of elec- trical equipment in, on, or about any building or other structure in the City..of...Port Angeles, per- :~:::s: i~__:i~;;.fZ;;l.~~~~:..~.~.~~__~~_::~~:~__~~.IO:~cupancy____.~~~!._.___._____......._.._.. O'."~er uu---./f.?:!>-:22jj~--f:V.---.---~.~.~ TenanL___u____.u__..u.uumu________.uu__________u._.____u______.u Wmng Contractor .::-_~u~.,..---..~uu---.-----u---=--u.--u--u--- By___________..___.___u____m.___h.h____.__________u______h___.___ Light OUt1.t.....______!__~__mmm._______. S.rvlc., volts __/,;1...9/d.__.Y.E__ Typ. 01 Wiring: Heceptacle Outlets_..,Z:"Z___.m....... No. wires .........?6--"'Z..- _....__.............. Armored Cable .................-........-... W b SI I ( ./ 9'} Non-Metallic .-...........--................-- Dryer. K. ..........__..._..__...._....___....______ ze w res......?Y../'.i;.J.._._...._..__...___.. Range, KW ____/2._____._____.._ Main fuse _.~CLq4~-..--......... Knob & Tube.....____......_.................. \' RIgid Conduit .._____.______m__mmm.._ Water Heater: .,,- Enclosure m..~............._.m___._....___ M till T bl y; j . a c u ng __________________...m.__ KW...........uf:.m_h______m_..._________n Type of wiring: H KW Lv (38 Entrance Cable ....mm..._.............._ eat, ..mm .__.__.:.L"__..........m....__...... Motors: size, volts and phase: ___m/.~r=m______..______.....____ RigId Conduit m..m_mm_ Metallic TUbing m_mmm...m........ Current transformers: No. & Size_..____......................._.....__. circ:::,e:;;~~::::E:::::::::::::::::::::::::= Utility ..__Y................................... I-Ieat ...~_...____......................._...... '"" Rang. ....t..mm______m_________........_m. Water Heater _:2..__..............._.m__. Ser. No........__........._.........___....___...._... Motor _._._......__...._....____..._._......_.... Dryer .....:;t.=-..-...-......-...................-.... Furnace ......................._.._......__....m_.. Ser. No. ..........._..._._....._..................... Total Load_____......__...__..._...._.. Ser. ~'o......_.................................._.... Total .....d;.Q..._.....___........... Remarks: .um_.nm.'~q.W!.d..J~.=n._.n~).,~__'_.u___.u__numn___m.__________nmn___nmnn._._........un___nm___ Ser. No. .h................................m..___.. __m___...____._______n___n___m___._______________n___________h____h__nhhnm______._.___________.__h....____uhn...hn_l_m___hn._.___.___mninnm.._ ;~.~~.~Z..___..______m___. ::~.~.~:_.~.~.~.~~.~.~........ By -}!.tib;'~~~C~nn NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION 1(' I((d 1)/3 )e>/JA ELECTRICAL PERMIT N? 15719 :=.:..-='~t~j:2h~=-;,;-=-=;==::::'==~= wlri:::I:n=::;~:;::~4::.t::::-:::~~;1~~.:~1::::~~;:~-~:~;;~~-- ~= :~=..;.~~~:~.-.~;.-:~.~~..;:..;~..~:...~~:: cealed due noUce must be given the Inspector so that work may be inspected before concealment. ". 1M Olympic Printers, Inc.