HomeMy WebLinkAbout2416 Woodside Cir - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
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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)
;?1/ V l/U o-o--cfl~~ j ~--Z~,
--
I /L..t. -"1~-t:---
Phone No
Permit No
947
ch;y_
Sewer Foundation Framing
Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date /0/:;L--7 ~time
Remarks {!~ ~ 4-,
By
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE D 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
(DATE)
s
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/'"
PUBLIC WORKS CONSTRUCTION Issued: 4/16/99 LEH Permit No: 947
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DANIEL WILLIAMS 2416 WOODSIDE CIRCLE
2416 WOODSIDE CIRCLE Lot: 17
Port Angeles,WA98362 Block: Long Legal:
360/452-3306 Sub: SAMARA WOODS II
PROJECT INFO-------------------------___________________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Work to Perform:
Amount:
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:
R/W
SANIT AR Y
$0.00
$0.00
$0.00
$125.00
$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:
$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
$0.00
------------------------------
------------------------------
$125.00
$125.00
$0.00
BAL DUE:
-----------------------
$0.00
Separate Penn its 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
v;olale 0' cancel Ihe pmvi,ion, of any "ale 0' local law cegula;2Z":::: of con'tru~ *7'"7
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Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
$0.00
TOTAL FEE:
AMT PAID:
WATER
DWY
STORM
DRA
OTHER
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER,
INSULA TE 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 \'E.'i I NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL (UGHT DEn)
ROUGH-IN I
PLUMBING
UNDER Fl1)()R I SlAB
ROUGH-IN
WATER liNE
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
MECHANICAL
ClllMNEY
WOODSTOVE I PEllET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
RESlDE'ITlAL DATE \'E.'i NO COMMERCIAL DATE ACCEPTED
\'E.'i NO
ELECTRICAL UGHT DEPT 417-4746 ELECTRICAL
UGHT DEPT
CONSTRUCTION R. W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUIIDING 417-4815 BUIIDING
GENERAL COMMENTS:
PW-II02.I~ [4/96J