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HomeMy WebLinkAbout1224 W 15th St - Engineering Q ~ 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 NICK LOUNDGIN 1224 W 15TH STREET Port Angeles, W A 98363 000/604-2515 PROJECT INFO Work is Plans Required Contractor. Performance Bond Required Proof of Insurance Work to Perform Issued 5/30/2000 Perm it No Work Order. 1068 o PROPERTY LOCATION 1224 15TH ST W Lot: 6 Subdivision Parcel No Block 432 TPA D Long Legal Value Work. $000 Start Date / / Finish Date 000/000-0000 / / Amount: $000 D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Mise PROJECT NOTES FEES ASSESSMEN"f 1 ) R/W Excav. $000 15 ) Other San Sewer. $000 2.) Sidewalk $000 16) Sew Tap Wye/Man Tap $000 "- N 3 ) Curb/Gutter. $000 17) Sew Cap/ W/M Removal $260 00 N 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. $000 '" '\N 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) Mise $000 13 ) San Sewer SFR $000 TOTAL FEE. $260.00 14) San Sewer MFR $000 add unit: 0 Amount Paid $260 00 Receipt No 6259 Inspection Fee $000 Balance Due $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and pUblic improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. r-e.c,. rO yo 9 V C- Si nature of Contractor or Authorized A ent Date Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. . . .. ..... Time /O.;OU ~ReceiVedbY~ (phone.personl 0, /s'Ji d Location of Work to be inspected /:;; J) '-I Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~ Foundation Framing Chimney .(A~ INSPECTION NOTES Inspected Date Time By Rema~~P6D ~FW~ ~ :;. oJ, ~ ftJ-ce, I ~ ~ _ __ttv\J2".. U~_ ~ ~ _V~ CJ~_ ~l PV0 _ 1 . I' deep CB C-.O..p. ~ .. REQUEST Date Dl$ -:;2. S~DO t.0W J Od-~ - 1(Of&, if Phone No Permit No /u(p~:- Plumbing Final Sewer Excav Other WtO -:II=- /~"9 ~4'1 tvw 10 ~3 RESTORATION REQUIRED RIM~ 10.2 ~~.... W 15TH C!.......1o ~e" -:r: I/l' ~ 'f' ~-( ~" IC" ~- T2/J " cooo '" 9 :!:: '<> 3..9 T/6/ RIM? 1J.9 -J-/ J T/7f I~f I ." ~OOD IH~€1 5.9 SURFACE RESTORATION: SURFACE TYPE D Unimproved D Gravel D Repaired by City [] Repaired by Permittee o No Damage Found YES NO ''C) T/6fdP I'- ,j I If ~,o , r-19r T/59" .~. R~~ /4. 'J. 15.6 .... 'l ,--, ~ ~f ~ i- '" T2/2 RIM. 9.2 9.-/ OiL- ." \() i- ...,"" ." 1: '" ;0 i- '" D Asphalt D PCC D Other Work Order # ~ (p Co tl o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUll.DING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER, INSUUTE 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGIIT DEPT) ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATERLINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL CHIMNEY WooDSTOVE I PELLET DUCTS PW UTILITIES I SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONfROL PARKING OTHER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGIIT DEPT 417-4746 ELECTRICAL LIGIIT DEPT CONSTRUCTIONR.W IPWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW.II02.l5 (4196J