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Home My WebLink About2109 W 15th St - Engineering ti ~~ L!! I ur t'U1\.! i"\!~UL::.LL') PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 9/11/96 LC Permit No: 521 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HERINGTON BUILDERS 2109 15TH ST W 3381 SHADOWGLEN BLVD Lot: 7 SILVERDALE,WA98383 Block: Long Legal: 360/697-5015 Sub: WEST VIEW PROJECT INFO-----------------------------------------------_____________________ Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: HERINGTON BUILDERS Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / / / $0.00 * Storm Drain Underground Tele/Ele * Misc NOTES-----------~--------------------------------_______________________ PROJECT PROJECT FEES ASSESSMENT--------------------------------------------_____________ R/W Excav: Sidewalk: Curb/Gutter: Driveway: * Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: * * 5/8" 3/4" 1" Comm Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: * Receipt No: Inspection Fee: $0.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $550.00 San Sewer SFR: * San Sewer MFR: Add Unit: 0 Other San Sewer: Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: Sewer System Dev: * Milwaukee Dr. Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D.R.A): Misc: $80.00 $0.00 $0.00 $0.00 $0.00 $(l. 00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ Si nature of Contractor or Authorized A ent Date $0.00 $0.00 $883.00 ;2;7(f)'5 $0.00 TOTAL FEE: AMT PAID: BAL DUE: $2,280.00 $2,280.00 $0.00 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 provi. s f laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a perm. oes ot presume give authority to violate or cancel the provisions of any state or local law regulating construction or the performance f co ruction. Date ~ ------ PUBLIC WORKS CONSTRUCTION Issued 6/21/99 TF Permit No 962 & R/W PERMIT Cond Work Order 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ VANCE ADAMIRE : 2109 15TH ST W 2109 WEST 15TH : Lot 7 N2 SL77 PORT ANGELES,WA98363 : Block Long Legal ~ 360/417-0378 : Sub WEST VIEW HTS ~ PROJECT INFO--------------------------------------------------__________________ ~ Work is OUTSIDE traveled road Value Work $0 00 ~ Plans Required N/A Start / / ~ Contractor OWNER FInish / / -- Performance Bond Required N/A Amount $0 00 \f\ Proof Insurance \3. Storm Drain Underground Tele/Ele * Misc sidewalk NOTES------------------------------------------------___________________ Work to Perform PROJECT INSTALL Watermain Sanitary Sewer PROJECT FEES ASSESSMENT----------------------------------------_________________ R/W Excav Sidewalk * Curb/Gutter Driveway Dwy Culvert Street Cut Other R/W Fire Hydrant Res Water Serv 5/8" 3/4" 1 " Comm Water Serv 1 " 1 1/2" 2" Oth Water Serv Water Sys Dev Receipt No 5112 Inspection Fee $0 00 $60 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 San Sewer SFR San Sewer MFR Add Unit Other San Sewer Sew Tap Wye/Man Tap Sew Cap/ W/M Removal Alter/Repair Sewer Storm DraIn Tap Catch Basin per ea Sewer System Dev Milwaukee Dr Sew Assess R/W Use Perm D R A Admin Costs (D R A) Misc $0 00 $0 00 o $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 ------------------------------ ------------------------------ $0 00 $0 00 TOTAL FEE AMT PAID $60 00 $60 00 $0 00 BAL DUE $0 00 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 Plumbing Phone No Permit No Final Sewer Excav Other ~J ( INSPECTION NOTES Inspected Date Remarks Time By- (' RESTORATION REQUIRED .. .. YES NO , \ \ .., 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 (DATE) . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST '1( Date Time Received by 4 ! ).. (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 Phone No Permit No Plumbing Final Sewer Excav Other /,n/ INSPECTION NOTES Inspected Date Remarks " Time By L_ t. )l C- 75"4B j;:;;' r3?/ ff ljJ ~ 1/ 0 , RESTORATION REQUIRED ..... YES NO ./ ~ (" -" ~I li --1 SURFACE RESTORATION: SURFACE TYPE 0 Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC Work Order # -::;) ~f GJ COMPLETE o INCOMPLETE o Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. . . . . . ..... REQUEST Date {,- ZI- '1'1 Time Received by -r- ,r (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) 21D&:J LV I S--ti1 V ~(!..:6"" .k D A-tv\. \ ~g Phone No 41 ?-t)~7B Permit No Cj Itt:1 "2- Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Remarks Date Time SlOG WA-t.-I< - r..D v"'''. n {~~ I By ~Jht RESTORATION REQUIRED I YES NO X .;20 I I ---- ._~_.~ / I \ - I '" ( ----- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TE) 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 Phone No Permit No Plumbing Final Sewer Excav Other .5. c2-/ INSPECTION NOTES Inspected Date Remarks Time By RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION. SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) @ ......~ LilY VI' t'U.l\..l J-\l\lUCLC.) PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 9/11/96 LC Permit No: 521 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HERINGTON BUILDERS 2109 15TH ST W 3381 SHADOWGLEN BLVD Lot: 7 SILVERDALE,WA98383 Block: Long Legal: 360/697-5015 Sub: WEST VIEW PROJECT INFO------------------------------------------~------------------------- Work is INSIDE traveled road Value Work: $0.00 plans Required: N/A Contractor: HERINGTON BUILDERS Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / / / $0.00 * Storm Drain Underground Tele/Ele * Misc NOTES-----------_------------------------------------------------------- PROJECT PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: Sidewalk: Curb/Gutter: Driveway: * Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: * * 5/8" 3/4" 'I" Comm Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: * Receipt No: Inspection Fee: $0.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $550.00 San Sewer SFR: * San Sewer MFR: Add Unit: 0 Other San Sewer: Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: Sewer System Dev: * Milwaukee Dr. Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D.R.A): Misc: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ,------------------------------ $0.00 $0.00 $883.00 TOTAL FEE: AMT PAID: $0.00 BAL DUE: $2,280.00 $2,280.00 $0.00 Separate Permits are required for electricai work, utilities, private and public improvements. This perm~ becomes null and void if work or construction authorized is not commenced ~hin 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ required inspections have not been requested ~hin 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 perm~ 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. Date Sinnature of OWner (if owner is builderl Date Sianature of Contractor or Authorized Anent