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Home My WebLink About1135 E Park Ave - Engineering e !...- ~-.::;ij1F' CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ,--- 4 l rEh $-L I .4907 PUBLIC WORKS CONSTRUCTION Issued: 8/17/98 TF Permit No: 863 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ SAM TIKKA 1135 PARK AVE E 1119 EAST PARK AVE Lot: Port Angeles,WA98362 Block: 9 Long Legal: 360/457-8438 Sub: Campbells -- PROJECT INFO--------------------------------__________________-------__________-S? Work is INSIDE traveled road Value Work: $0.00 I \$ / / / / Plans Required: N/A Contractor: MORRISON EXCAVATING 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: 3943 Inspection Fee: R/W SANIT AR Y $40.00 $0.00 $0.00 $0.00 $0.00 $300.00 $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: $80.00 $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 ------------------------------ ------------------------------ $0.00 TOTAL FEE: AMT PAID: $420.00 $0.00 BAL DUE: ----------------------- $420.00 $0.00 WATER DWY STORM DRA 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 permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating const.. r uction o~ p. erformance of construction. .~~ L/J~~ 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. . . . . . J2/ft1f Time ~J''''''-::: Received by y--- / I /I.'?~ E ~ . . c;~J _~~ /' (Phone~~ REQUEST Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ryundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES _ r/ Inspected Date / ;;>. -Lj 46 Time Remarks G b ~ \ rr-~ Phone No ?&3 Permit No ?/Vl D By :=----1 A/J -.-( Ir ~ r !Ifl f r,.rew ;:::>~Tc..hecf I (' Y'a S~II'1 i C. l :-t-), LO (c{ .? ~1ct IZ- JO-9~ I '~---<~2. RESTORATION REQUIRED . YES NO 30' =-- c- ,;:> ~vr C_J "' J }f I" ::> " Q. Q () : ;- ,,! -~\' ~-- ry 't-. ! --- - -----1 ~YK '1')C. ..., J, c.- C' -~ ~~ f;~ f' SURFACE RESTORATION (s x J..b ') SURFACE TYPE 0 Unimproved 0 Gravel rKJ Asphalt 0 PCC Work Order # o COMPLETE o INCOMPLETE o Other o Repaired by City o Repaired by Permittee [] No Damage Found /~~ fired- /9- 9-f'liP STREET SUPERINTENDENT (DA TEl (Continue on reverse side if necessary I BUILDING PERMIT INSPECfION 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 I ACCEPTED COMMFJI/TS YES I NO FOUNDATION: FOOTINGS WAlLS FOUNDATION DRAINAGE ELECTRICAL (UGHT DEP1) ROUGH-IN I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WA 1ER llNE BACK FLOW I WA1ER AIR SEAL WAlLS CEIUNG I I FRAMING JOISTS I GIRDERS SHEAR WAll WAlLS I ROOF I CEIUNG DRYWAll T-BAR INSULATION SlAB WAll I FLOOR I CEIUNG I MECHANICAL CHIMNEY WooDSTOVE I PEllET DUCTS PW UTILITIES I SITE WORK (Engineering Division) WA 1ERllNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 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 BUIlDING 417-4815 BUIlDING GENERAL COMMENTS: PW-II02.15 [4/96)