HomeMy WebLinkAbout2619 W 18th St - Engineering
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~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: 3/09/99 TF Permit No: 933
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT-----------------------_PROPERTY LOCATION-------------___________
MARIE DUKE 2619 18TH ST W
2619 W. 18TH Lot: 17 ~.
Port Angeles,WA98363 Block: Long Legal:
360/000-0000 Sub:
PROJECT INFO-------------______________________________________________________~
Work is N/A traveled road Value Work: $O.oo~
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL
Watermain
* Sanitary Sewer
/ /
/ /
c
$0.00 -
\Y
\~
Storm Drain
Underground Tele/Ele
Misc
PROJECT NOTES--------------_____________________________________________________
install pressure san sewer line along 18th street from 2619 West 18th
to Eagles Lair san sewer main line
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"
Corom Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No: 4435
Inspection Fee:
R/W
SANIT AR Y
$40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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: r/w use permit
$160.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,284.00
$0.00
$0.00
$0.00
$0.00
$50.00
$0.00
$0.00
------------------------------
------------------------------
$1,534.00
$1,534.00
BAL DUE:
-----------------------
$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 provisions of laws and ordinances governing
this typ work will be compile with whether specified herein or not. The granting of a permit does not presume to give authority to
viol 07nc he pr"on st te o~ocallaw regulating construction or the performance of construction.
/ ) (/ O~ _Ct/
/;)'-" .-';. - L.7-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
$0.00
TOTAL FEE:
AMT PAID:
$0.00
WATER_DWY_STORM
DRA
OTHER
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT . . . . . .
.....
REQUES~
Date ~.?l l ~ t1
Time
Received by
--~
Jr
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
0e~ Foundation Framing Chimney
i:h
2(-,,[ c; \.1 J l 8-
-
lCJ Svc--
08-5
N
S"
~
Phone No
Permit No
Plumbing Final Sewer Excav Other
lL:>es -
INSPECTION NOTE~ I
Inspected Date 7- ~ C10 Time /1: - By K X-
Remarks "'5 -P.-V\... S€....u..)e..v- r'f"D VV"\ z. ~ \ ~ LV , ~ ~ E:. \D E: ~ Lt:;s
L-~l R - 0 pe..yt C-uT ~S B UTL~ - ?"'€..S.S\JV'"~ L.\V\.e.....,
o;e- 7?J ~F-/<-'- ~. SE-r=: ~ .cA.-~. A72:"
~s;....4c:6.- O/,..,..,~SIt'Jr.../.:5 6~ ~~ ?/u..J. ,
c
--
11
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
D 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!
Date ~31 r / 1"1
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
e Foundation Framing Chimney Plumbing Final Sewer Excav Other
ZU;q w /~
E/ S-V~
933
INSPECTION NOTES
Inspected Date Time By
Remarks 7res",-vYl" 6:ni;!., p~-:;-) S~C-~~ _ _
(!bnhec--I- //;-h:; ~ ey 6;, ~ ~/2 I
.
c..-o ~. 0 f~
I
RESTORATION REQUIRED
YES
NO Pc
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECTION 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 ACCEP1E> COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL- (UGHT DEn)
ROUGH-IN I
PLUMBING
UNDER FLOOR / SlAB
ROUGH-IN
WATER llNE
BACK FLOW / WATER
AIR SEAL
WAll.S
CEIUNG I I
FRAMING
JOISTS / GIRDERS
SHEAR WAlL
WAlLS / ROOF / CEIUNG
DRYWAlL
T-BAR
INSULA nON
SlAB
WALL / FLOOR / CEIUNG I I I
MECHANICAL
CHIMNEY
WooDSTOVE / PEllET
DUCts
PW UI1LlTIES / SITE WORK (Eng ineering Division)
WA TERUNE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENI1AL DATE YES NO COMMERCIAL DATE ACCEP1E>
YES NO
ElECTRICAL UGHT DEPT 417-4746 ElECTRICAL
UGHT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-II02.IS [4/96J