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Home My WebLink About709 S Valley St - Engineering e ,. ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, W A 98362 PUBILIC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT SID ERICKSON 15201 348 TH AVE NE PW'CITY, PW State PW.Zip 000/257-8443 PROJECT INFO Work is Plans Required Contractor' KUCHAN CaNST Performance Bond Required Proof of Insurance Work to Perform Issued 12/27/1999 Permit No Work Order' 1020 o PROPERTY LOCATION 709 VALLEY ST S Lot: 9 &10 Subdivision TPA Parcel No 06300002344500 Block 234 D Long Legal ~ C) ~ <J\ Value Work. $000 Start Date I I Finish Date 360/457-7142 I I Amount: $000 ~ Install ~ D Repair D D Watermain D D Mise Sanitary Sewer Storm Drain Underground Tele/Elec PROJECT NOTES INSTALL PRESSURE SANITARY SEWER MAIN ~. j FEES ASSESSMEN"F 1 ) R/W Excav' 2.) Sidewalk 3 ) Curb/Gutter' 4 ) Driveway' 5 ) Dwy Culvert: 6 ) Street Cut: 7 ) Other R/W 8 ) Fire Hydrant: 9) Res Water Servo 10) Comm Water Servo 11 ) Other Water Service 12.)Water System Dev' 13 ) San Sewer SFR. 14) San Sewer MFR. add unit: 0 Receipt No 508 Z- Inspection Fee $000 R1W SANIT AR Y WATER $40 00 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $80 00 $000 15 ) Other San Sewer' 16) Sew Tap Wye/Man Tap 17 ) Sew Capl W 1M Removal 18 ) Alter Repair Sewer' 19 ) Storm Drain 20) Catch Basin per ea 21 ) Sewer System Dev' 22.) Milwaukee Dr Sew Ass 23 ) R/W Use Perm 24 ) Admin Cost (0 R.A) 25 ) 0 RA 26 ) Misc. TOTAL FEE. $000 $000 $000 $000 $000 $000 $642.00 $000 $000 $000 $000 $000 $762.00 $000 ~; b fr1-z-11ti1 OTHER I~r Amount Paid Balance Due STORM DWY DRA 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 thiSflY of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violat r cancel the prOviSijnS of any state or local law regulating construction or the performance of ~onstruction. a-t'41 b~~ /2~27' ?? . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . .. . INSPECTION REPORT I '1-/~ 7 ffr Time I REQUEST 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) ~~ Foundation Framing Chimney Plumbing :i:1~ ~~\~~ S[ __~__ __ _ (A-nA K-1)Lh~,\) Phone No Permit No 1 0 z [) Final Sewer Excav Other INSPECTION NOTES Inspected Date J - I go __0 Time Remarks fl~.5.s()Ye.) l h ~ C-- to V"'-f I ~ T €- .L a... "i ~ . h - ~ L-- ()JA Y he- (j eOFF By .-- A A "0-- p~'" r fa VI. RESTORATION REQUIRED YES X NO ~ >, D G. (<-' L K.SO t) )0201 ~40~ 'Du V-PrLL- U~f \\1 it- qgCJitj (2AfD 234 SURFACE RESTORATION ( ~x :z.o ) SURFACE TYPE D Unimproved 0 Gravel [M Asphalt D PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE -r;; J=l-v'te~ (Continue on reverse sideLif necessary) I / ! / j ~j i ZlJO{) . STREET SUPERINTENDENT (DA TE) ~ CITY OF PO-RT ANGELES DEPARTMENT OF.PUBLIC WORKS . . . . . . INSPECTION REPORT I '1-1 nJ1 q Time ~ 10;25 REQUEST Date Received by (phone, person) Location of Work to be inspected _u____~ f) Ll Name of person requesting inspection 5 \ ~ Address of person requesting inspection Type of Inspection (circle appropriate one) ~~ Foundation Framing Chimney Plumbing Final Sewer Excav Other 2:> 1,Il"c I \~ 4 S[ t=~ h \ C A-nA fClJ Lha..'\ ) Phone No Permit No iOzO INSPECTION NOTES Inspected Date J - I go __0 Time Remarks fl~.5.s()Ye.) l h e..- (;,. 6V1"-f IL;~L IL~ ~ . By C-A.A.B-- f' ~r r la 11\ RESTORATION REQUIRED YES_ X NO ~ SURFACE RESTORATION ( ~x ~D ) SURFACE TYPE D Unimproved D Gravel [M Asphalt 0 PCC D Repaired by City [] Repaired by Permittee [] No Damage Found o Other BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR 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 ACCWI'ED COMMENTS I YES I NO FOUNDATION: FOOTINGS WAIL'> FOUNDATION DRAINAGE D.ECTRICAL. (UGHT DEP1) ROUGH-IN I PLUMBING UNDER FLOOR / SlAB ROUGH-IN WATER UNE BACK FLOW / WATER AIR SEAL WAlL') CEILING I FRAMING JOISTS / GIRDERS SHEAR WAll. WAIL'> / ROOF / CEILING DRYWAll. T-BAR INSULATION SlAB WAll./ FLOOR / CEILING I MECHANICAL CHIMNEY WOODSTOVE / PEllET DUCts PW UI1LlTIES / SITE WORK (Engineering Division) WA TERUNE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OlHER FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE RESIDENI1AL DATE YES NO COMMERCIAL DATE ACCEPTED 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) 417-46.54 FIRE DEPT BUIlDING 417-4815 BUIlDING GENERAL COMMENTS: PW.II02.IS [4/96)