HomeMy WebLinkAbout907 W 15th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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PUBILIC WORKS & RIW PERMIT
o Attached Notes
OWNER/APPLICANT
NANCY ST ARKWEA THER
14904 29TH AVE WEST
PW'CITY, PW'State PW:Zip
425/741-9720
PROJECT INFO
Work is'
Plans Required
Contractor' A TW
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
11/21/1999
Permit No
Work Order'
1007
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PROPERTY LOCATION
907 15TH ST W
Lot: 19
Subdivision
Parcel No
Block. 414
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TPA
[gJ Long Legal
Value Work:
$000
Start Date
1 1
Finish Date
360/4'17-3695
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Amount:
$000
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PROJECT NOTES
dropin water meter reconnect to existing san sewer capped at alley
lateral side sewer must be inspected by city forces prior to
connection
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Install
Repair
Watermain
[gJ Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
o Misc
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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' $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 RIW' $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22,.) Milwaukee Dr Sew Ass. $000
9 ) Res Water Servo 5/8" $125 00 23 ) R/W Use Perm $000
10 ) Comm Water Serv' $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 $80 00 TOTAL FEE $205.00
14 ) San Sewer MFR $000
add unit: 0 Amount Paid $205 00
Receipt No 5478
Inspection Fee $000 Balance Due $000
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 jf work or
consl<uction aUlho,ized is nol commenced within 180 days ff cons,,"clion 0".(". is suspended o,"bandoned (0, a period 01180 days
afte"he wori< as commenced 0' ff 'equ',ed inspections have nol been 'equesled .,;thin 180 days from the Jastinspection. I hereby certify
thaI I ha'e 'ead and examined Ihis applicalion and know Ihe same 10 be l<ue and correct. Ali p"",isians of laws and o",inances go,eming
this type of wo,k will be complied with whethe' specilied he'eln 0' not. The g",nting of a penn. does not p'esume 10 gl'e authorny 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
SiQnature of Owner (if owner is builder)
Date
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash,
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f he,eby opply fo, WOle, to be fumi.hed 'n occo,donce with 'ote. ond 'ule. of the City
for the following premises
Name of Applicant /\/t:tn("y SJ:4-!fK WE:lt-T~
qtJ7 W/5~
Renewal g New Se,,'ce 0 Blk 4/4 Lo,E Add Ly/'J " uJ.DD b Wi\-
sL. .-, q'<8D37
Size of Service -/(j dYOp I h Meter Number 1'?'3 'F
~"ice Left On 0 Se,,'ce Left Off G- Signed iF '1"1 {, S-;2.. 'I? 6
In.tolled by 'I" W 1 1P~..lr 0 0 '" ,., f2 n
Remarks ~e~~r~- IDD~ \ 2. S QQ
~ec~
Address
BUILDING PERMIT INSPECI'ION RECORD
CALL 417-4815 POR 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 I NO
FOUNDATION:
FOOTINGS
WAlL'>
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEn)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SlAB
ROUGH-IN
WATER UNE
BACK FLOW / WATER
AIR SFAL
WALLS
CEIUNG I
FRAMING
JOISTS / GIRDERS
SHEAR WAlL
WAlL'> / ROOF / CEIUNG
DRYWALL
T.BAR
INSULATION
SlAB
WAlL / FLOOR I CEIUNG I I
MECHANICAL
ClllMNEY
WooDSTOVE I PEllET
DUCTS
PW UTD..ITIES I SITE WORK (Engineering Division)
WA TERUNE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONlROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RF.SIDENI1AL DATE YES NO COMMERCIAL DATE ACCEI'TED
YES NO
ELECTRICAL UGlIT DEPT 417.4746 ELECTRICAL
UGlIT DEPT
CONSTRUCTION R. W / PWI CONSTRUCTION R,W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM, ONLY) 417.4654 FIRE DEPT
BUIlDING 417-4815 BUIlDING
GENERAL COMMENTS:
PW-II02,IS [4/96J