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HomeMy WebLinkAbout816 W 15th St - Engineering d_T~ fj CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 / PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT DAVE BENOFF 816 W 15TH STREET Port Angeles, W A 98362 000/604-2604 PROJECT INFO Work is Plans Required Contractor' Performance Bond Required Proof of Insurance Work to Perform Issued 8/17/2000 Permit No Work Order' 1091 o PROPERTY LOCATION 816 15TH ST W Lot: 4 Subdivision. Parcel No Block. 428 TPA SP92-05-15 IZI Long Legal Value Work $000 Start Date 1 / Finish Date 000/000-0000 1 1 Amount: $000 D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Mise PROJECT NOTES :]Jau rrwJ h~ ~ c Zi ~ P-Vv~ Do-/ 0 (J2f ~) 1 ) R/W Excav' $45 00 15 ) Other San Sewer' $0 00 2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3) Curb/Gutter' $000 17) Sew Cap/ W/M Removal $000 4 ) Driveway' $0 00 18 ) Alter Repair Sewer' $0 00 5 ) Dwy Culvert: $0 00 19 ) Storm Drain $0 00 6 ) Street Cut: $0 00 20 ) Catch Basin per ea. $0 00 7 ) Other R/W $0 00 21 ) Sewer System Dev' $0 00 8) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo $000 23) R/W Use Perm $000 10) Comm Water Servo $000 24) Admin Cost (D RA) $000 11 ) Other Water Service $000 25) D RA. $000 12.)Water System Dev' $000 26) Misc. $000 13 ) San Sewer SFR $0 00 TOTAL FEE $45.00 14tf1lrs~lJ!J~:NQT RE(jt5.JlRE A SEPA, Sl!~M,ffI~7J OR ESA PERNf/ls 00 Receipt No Apm~6~lMon Fee: FEES ASSESSMEN"'F $000 Staff liaal:mQ9 Dye: Date $9.99 RW SANITARY 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 cancel the p'o~"'ons of any s_ m local low 'eg"'''"g CO"SU"ctiO" m the pertonna~-::; (3, ~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS r YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN I I PLUMBING UNDER F1..ooR / SLAB ROUGH-IN WATER LINE BACK F1..0W / WATER AIR SEAL WALLS CEILING T T I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / F1..ooR / CEILING MECHANICAL CHIMNEY VVOODSTOVE/PELLET DUCTS PW UTILITIEs / SITE WORK (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTHER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL LIGHT DEPT CONSTRUCTIONRW /PW/ CONSTRUCTION RW ENGINEERING 417-4807 PW / ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW-l102.15 (4196)