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HomeMy WebLinkAbout602 W 13th St - Engineering -_. 1" ----.--.... --- 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) Cooz LU t 3~' Phone No Permit No JDQS ~c Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date It to Remarks C () fu L? -e '<L.-- Time By RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBILle WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT KEN STEFFEN 1020 W 4TH ST PW CITY, PW State PW.Zip 000/604-7460 PROJECT INFO Work is Plans Required Start Date Contractor' J H CONSTRUCTION Performance Bond Required Amount: Proof of Insurance Work to Perform Issued 12128/1999 Perm it No Work Order' 1005 o PROPERTY LOCATION 602 13TH ST W Lot: 1 & 2 Subdivision TPA Parcel No 0630000392000 Block 392 o Long Legal C8J Install D Repair D Watermain Value Work. 1 1 Finish Date 360/681-0871 $000 C8J Sanitary Sewer D Storm Drain D Underground Tele/Elec D Misc PROJECT NOTES wm exists previously under address of 1312 S Cedar connect into san. sewer at alley main 8' dp ex sidewalk on Pine St. $000 1 1 bldg permit # 11595 FEES ASSESSMEN"F 1 ). R/W Excav' $40 00 2 ) Sidewalk. $0 00 3 ) Curb/Gutter' $0 00 4 ) Driveway' $0 00 5 ) Dwy Culvert: $0 00 6 ) Street Cut: $200 00 7 ) Other R/W $0 00 8 ) Fire Hydrant: $0 00 9) Res Water Servo $000 10) Comm Water Servo $000 11 ) Other Water Service $000 12.)Water System Dev' $000 13 ) San Sewer SFR. $80 00 14) San Sewer MFR. $000 add unit: 0 Amount Paid $0 00 Receipt No ;5 (p g tr d I Inspection Fee $0 00 Balance Due ~ () P / Z'J? ~:'"te pennl~:::~:YfO' elec1nca~ ~:~:'mes. pn~,:a~d public ~:~:ents Th~~,,"' be~::~U~ and void If wo" 0' ~ construction authorized is not commenced within 180 days. if construction or work is suspended or abandoned for a period of 180 days I 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 w. h whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pro isions of y state or local law gul ting construction or the performance of construction. ~- / Signature of Contractor or Authorized Agent 15 ) Other San Sewer' 16) Sew Tap Wye/Man Tap 17) Sew Capl W/M Removal 18 ) Alter Repair Sewer' 19 ) Storm Drain 20 ) Catch Basin per ea. 21 ) Sewer System Dev' 22.) Milwaukee Dr Sew Ass 23 ) R/W Use Perm 24 ) Admin Cost (0 R.A) 25 ) 0 RA 26) Misc. $000 $000 $000 $000 $000 $000 $642,00 $000 $000 $000 $000 $000 TOTAL FEE $962.00 Signature of Owner (if owner is builder) Date s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBILle WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT KEN STEFFEN 1020 W 4TH ST PW.CITY. PW State PW.Zip 000/604-7460 PROJECT INFO Work is Plans Required Start Date Contractor' OAKLEY CONCRETE CONSTRUCTION Performance Bond Required Amount: $000 Proof of Insurance Work to Perform Issued 1/12/2000 Permit No Work Order' 1030 o PROPERTY LOCATION 602 13TH ST W Lot: 1 & 2 Subdivision TPA Parcel No 0630000392000 Block, 392 D Long Legal Value Work. $000 / I Finish Date 360/452-6276 / / C8J Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec C8J Misc DWY/SIDEWALK PROJECT NOTES INSTALL DWY ON S CEDAR ST EXTEND SIDEWALK ON W 13TH ST FEES ASSESSMENT- 1 ) R/W Excav' $000 15 ) Other San Sewer' $000 2.) Sidewalk $000 16 ) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17) Sew Cap/ W/M Removal $000 4 ) Driveway' $145 00 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' $000 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo $000 23 ) R/W Use Perm $000 10) Comm Water Serv- $000 24) Admin Cost (0 R.A) $000 11 ) Other Water Service $000 25 ) 0 R.A. $000 12.)Water System Dev' $000 26) Misc' $000 13 ) San Sewer SFR. $000 TOTAL FEE $145.00 14) San Sewer MFR. $000 add unit: 0 Amount Paid $145 00 Receipt No 5775 Inspection Fee $000 Balance Due $0.00 R/W SANIT AR Y 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 be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or ~ncel the provisi ns of any state or local law regulating construction or the performance of construction. / / /- 2-6:.J uthorized Agent Date Signature of Owner (if owner is builder) Date l.tJU} 10:2 S CITY OF PORT.ANGELES DEPARTMENT Or: PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date / c -G-8- 97' Time //#. ~6 Received by R_ T ~f1~ person) - /'" Location of Work to be inspected 60 Z- t.-LJ / :5 Name of person requesting inspection J"": H ~S' / , Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No /00::;- Sewer Foundation Framing Chimney Plumbing Final~;;; Exc3 Other INSPECTION NOTES Inspected Date Remarks ( <'" I C 1'"1 I I .,). - ;2.... " vfcTc. } -" Time 1-:;::> Il \ / t-I By . J.. ':f ,~. I t. t 'r ( rye (,.1 / V to, :1 RESTORATION REQUIRED YES X NO Q r' l I I kWyej'lt'r I (p . -'- --~ 1 ;/, ~.__. In ,,\ i 7 ~!) ///1(1 ( I I / I' \ .j /01:' ( , l-k" SURFACE RESTORATION SURFACE TYPE D Unimproved D Repaired by Cit [] Repaired by Permittee [] No Damage Found D Other CALL 417-4815 FOR BUILDING INSPOCTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WPUL 1'0 CO_. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOcATION BUILDING PERMIT INSPECTION RECORD INSPEcTIONlYPE DATE I ACCEPTm COMMElITs YES , NO FOUNDATION: FOOTINGS WAILS FOUNDATION DRAINAGE ELEcTRICAL (UGHT DEP1) ROUGH-IN PLUMBING UNDER FLooR / SlAB ROUGH-IN WATER IlNE BACK FLOW / WATER AIR SEAL WAll.S CEIUNG , FRAMING JOISTS / GIRDERS SHEAR WAlL WAll.S / ROOF / CEIUNG DRYWAlL T,BAR INSULA nON SlAB WAlL / FLOoR / CEIUNG , MEcHANICAL CHIMNEY WooDSTOVE / PEllET DUCTS PW lJTU.rrIEs / SITE WORK (Engineering Division) WA TERI1NE / METER SEWER CONNECTION SANITARY STORM SI'rn DRAINAGE / EROSION CONllWL PARKING OllIER FINAL INSPECTIONS REQUIRED PRIOR TO <>CCUPANCYIVSE RESIDEVIlAL DATE YES NO COMMERCIAL DATE ACCEPTm YES NO ELECTRICAL UGHT DEPT 417-4746 ELECTRICAL UGHT DEFT CONSTIWCTION R. W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE (MULTI,FAM. ONLY) 417-46.54 FIRE DEFT BUILDING 417-4815 BUILDING I KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW'll02,13/4I96j BUILDING PERMIT INSPECfION 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 ACCWI'ED COMMENTs YES NO FOUNDATION: FOOTINGS WAILS FOUNDATION DRAINAGE ELECTRICAL (UGm DEn) ROUGH-IN I , PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SEAL WAILS CEIUNG FRAMING JOISTS I GIRDERS SHEAR WALL WAILS I ROOF I CEIUNG DRYWALL T.BAR INSULATION SlAB WALL I FLOOR I CEIUNG MEcHANICAL CHIMNEy WooDSTOVE I PEllET DUCTS PW t.rrn..rnF.s I SITE WORK (Engineering Division) WATERUNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OllIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCWI'ED YES NO ElEClRICAL UGm DEPT 417-4746 ElECTRICAL UGm DEPT CONS'ffiUCTION R. W I PWI CONS'ffiUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE CMULTI,FAM. ONLY) 417-46.54 FIRE DEPT BUIlDING 417-481.5 BUIWING GENERAL COMMENTS: PW,I 102.1' /4196J