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HomeMy WebLinkAbout426 Rhodes Rd - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 12/29/1999 Issued PUBILle WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT WILLIAM 0 JENSEN 426 RHODES RD PW CITY, PW State PW.Zip 0001604-7653 PROJECT INFO Work is Plans Required Start Date Contractor' SCHOENFELDT CONSTRUCTION Performance Bond Required Amount: Proof of Insurance /" Work to Perform -EJ Install D Repair D Storm D Watermain D Under Perm it No Work Order' PROPERTY LOCATION 426 RHODES RD Lot: NE4SE4SW4S15T Subdivision township Parcel No 34101 PROJECT NOTE FEES ASSESSMENT 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 MF 15 ) Other San Sewer. ) ew Tap Wye/Man Tap Sew Capl W/M Removal 8 ) 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 RA) 25 ) 0 RA. 26) Misc: TOTAL FEE o Amount Paid Receipt No Inspection Fee R/W SANIT AR Y 5688 $000 WATER Balance Due. STORM DWY DRA 1021 o Block ~ Long Legal 1 1 $000 $125 00 $000 $000 $000 $000 $642.00 $000 $000 $000 $000 $000 $887 00 $887 00 $000 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 perm. -does not presume to give authority to violate or cancel the provisions of any state or local law regulating const~ction or 7 perform nc construction /' / r /C:c;? Signature of Contractor or Authorized Agent Date Date ,> ~ = ." ." ~ S ~ 0 Er ~ Q . ~ 8 tl g. CI 0 0 '" m ~ ~-...~ ~ \~~ -f :rl ~ {~Y\ )J~S m 0 ~ ~ ~ ~ ~~- c " - m r~~" '( J en ~~~" -f (9 N ~ t~ :D ~~ ~~~ " ~ t) ~ Vi V\ ?( " C) ~ N f ~~ m ~~ ~ ~ G\'Q... ~ )> c ~~ g 0 \'J 0 ~ ~ {~ ~ iii- m \JJ "'\ d: ~ 0 ~ ~ "- ::J \J\ U\ I B~ ~ ~ tJ ~ VN '- ~ & (\, C ..L. 29 FFSLR 360 417 3208 P 03 ... CllY OF PORT ANGa.ES PUBUC WORKS DEPARTMENT ACCO Ai. NUMBeR NUMBER DOLLAR AMOUNT ?~ ~Z21a!').I 7ot/~~ fJM~ 76118 Z.Z-I f%J Z- N~ . 56 88 V~/!/ I WM.- A ~ ". e;?'/ L ..:., n .,,-.:- _ ..0__ ~ JUL-03-2001 11 28 FFSLR 360 417 3208 P 01 PO'" J5t 105 w-ri 8d1 Scn.t Port .....". WA 98362 Phone: (3&0) 451.046. Fax: (360) 4J 7-J208 F First Federal F Savings & Loan Assn of Port Angeles fax /Accounting Dep~rtmen~ To; Lbu--PuhllC )JOtksFrom: ~hbtf' J(;/}Sff) Fax: 300-L( /I}-'--l/} / I Pages: 4 C tlUr-f-IrL1 '-I1Jf ~ Phone: Date: He: cc: If you have any questions about this fax, please call (360) 457 "()461 b~ ' d ( Ch- ~ cdl fru ~ <+N. b~tcI. l' /jPlA hf'€ ~~ d -fv 0) if'!> f) --IN /" ( e l' f 32-15 Of Ol +- h iJYIw.- 4 s, 2 - D f) I &, ~ '--JJw-t.s .Ii) ~~_;. : ~'~ D-eh~~ j -----'. / I -T-'/ ,. / {_h" oCt" ,/ ,I T J l ..-.,. " /" / I .. i J / i.\ il / / / I . JUL-03-2001 11 30 !,~l":~~::" ~.; :}~~~ ~\~'.~~i~ ~j..~~.~t. FFSLR ...i~ ~.-- .--..------ . . , .,--'- . -'. .;~ 1:. _I .. ... DAn- 360 417 3208 P 04 CITY OF PORT ANGELES R Eee IPT .y AMOUNT S ~ ~ "7 - --- RECEIYeD FftOM: __).~r"se- Foft:Y\1b l~~ UG~~-5 "..., ..,.: - _ ata:JI( _ CAlM _ OTMl'l DEPARTMENT: 8Y .,ft'f/'J ( ~ ,': -,. , '" ~ , , ..- I :" {" TOTRI P V14 .--- Jt . CD ~ , I , ,... r-- ~ .. EI , , ~ U!I " ..... . . - ! < ./ ..l oJ t. . 0 Q flit ... ~ 2~ zit \. i-I ~ .., . -i.o jj! \j i;f _~t\ j:~ :~ <a; .. c..C .4 ~ .. e0 d 80e[ ~lp 09[ tns.::!.::! 8e 11 100e-[0-lnr 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) 4z(c t!C~~ fJ " Phone No Permit No / CJ ~/' ~S-~ ~ \'J " Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date lu/:,7 Time Remarks tlt!/'viry By RESTORATION REQUIRED YES NO ~ SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt D PCC D Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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 1YPE DATE ACCFPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (UGlIT DEP1) ROUGH-IN I I I PLUMBING UNDER FLOOR / SlAB ROUGH-IN WATER llNE BACK FLOW / WATER AIR SFAL WAil.S I CEIUNG FRAMING JOISTS / GIRDERS SHEAR WAll. WALLS / ROOF / CEIUNG DRYWAll. T-BAR INSULATION SlAB WAll. / FLOOR / CEIUNG I I T MECHANICAL CHIMNEY WooDSTOVE / PEllET DUCTS PW UTILITIES / SITE WORK '(El18ineering Division) WA TERllNE / ME1ER SEWER CONNECTION SANITARY STORM SIn: DRAINAGE / EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIR.FD PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMFllCIAL DATE ACCEPI1!D YES NO ELECTIUCAL umIT DEPT 417-4746 ELECTRICAL UGlIT DEPT CONSTRUCTION R.W / PWI CONSTRUCTION KW ENGINEERING 417-4807 PW / ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUIIDING 417-4815 BUIIDING GENERAL COMMENTS: PW.II02.1~ [4/96)