HomeMy WebLinkAbout1402 Owen Ave - Engineering
S
YI
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
.....---
PUBLIC WORKS CONSTRUCTION Issued: 4/03/97 LEH Permit No: 544
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
HERINGTON HornEJS -:Int..- 1402 OWEN AVE
.3 r~1 :5/1,4-l)o,uqLe:N BLV-D Lot: 11 N2 SL 77
5//i/-en:ldle- Wrl .c1&383 Block: Long Legal:
360/697-5015 Sub: WESTVIEW HTS
PROJECT INFO--------------------------------------------------------------------
Work is OUTSIDE traveled road Value Work: $0.00
--
~
~
$0.00 ~
~
Work to Perform: INSTALL * Watermain * Storm Drain ~
* Sanitary Sewer U~derground Tele/Ele f
PROJECT NOTES----------------------------------~-~:::-------------------------~
Plans Required: N/A
Contractor: HERINGTON BUILDERS
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/
/
/
/
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: 2840
Inspection Fee:
R!W
SANITARY
$0.00
$0.00
$0.00
$125.00
$0.00
$0.00
$0.00
$0.00
$550.00
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
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$2,280.00
$2,280.00
$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 type of work
will be complied with whether specifi~d 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 construction or the performance of construction.
~
Si mtlufe of Contractor or Authorized A ent Date Si nature of Owner if owner is builder Date
$0.00
$0.00
$883.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
STORM
DRA
OTHER
DWY
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
.....
/
;/
I
REQUEST
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection ( P\- Le .,., -'I ')
Address of person requesting inspection
~Inspection (circle appropriate one)
~ Foundation Framing Chimney Plumbing Final Sewer Excav Other
140~ ~ fJtv~ /
Phone No
Permit No
siff
INSPECTION NOTES
Inspected
Remarks
Date 5 - I cr - 9 7
Co ""f l~-te
Time
/1- nJ
By -----.--1 .A. J--
RESTORATION REQUIRED. ... YES
NO X
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel 0 Asphalt D PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDA TE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST'
Date 'j - }--(- q 7
,
Time
/ (I (5 2- [) u.J e /1
/ -
'fwrleer<
/ 7 -fit lr 13
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES.
Inspected Date
Remarks
Received by
I
I
(phone, person)
Phone No
Permit No
Sewer Excav Other
5<11
(C)C'{ Hv
~
Time
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By
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c::. 710 F- <j()cJ/7790
,
RESTORATION REQUIRED IJ1:. YES
f~ I
!
I
1
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SURFACE RESTORATION
SURFACE TYPE D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
o No Damage Found
D Asphalt D PCC . / D Other
Work Order # ? ( l:.~
lQ ""COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
IDA TE)
STREET SUPERINTENDENT