HomeMy WebLinkAbout1418 Owen Ave - Engineering
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PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 9/11/96 LC perm't No: 519
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
HERINGTON 1418 OWEN AVE
3381 SHADOWGLEN BLVD Lot: 9
SILVERDALE,WA98383 Block: Long Legal:
360/697-5015 Sub: WEST VIEW
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $0.00
/ / ..{S.
/ / ~
~
$0.00 \::3
* Storm Drain ~
Underground Tele/Ele ~
* Misc ?
PROJECT NOTES-------------------------------------------------------------------
PRESSURE TESTED METER READY DROP IN SEE PERMIT 343 PRIMO CONST ~
~
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: $0.00 San Sewer SFR: * $80.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add unit: 0
Driveway: * $125.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: $125.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: * $642.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Corom Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: * $883.00
Plans Required: N/A
Contractor: HERINGTON BUILDERS
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL * Watermain
* sanitary Sewer
TOTAL FEE:
AMT PAID:
$1,855.00
$1,855.00
Receipt No:
Inspection Fee:
~~$~ko
BAL DUE:
$0.00
Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or
construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All pr . ons of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a per es not presume t give authority to violate or cancel the
provisions of any state or local law regulating construction or the performan of onstruction.
Si nature of Contractor or Authorized A ent Date
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . . . .
REQUEST
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
Phone No
Permit No
Plumbing Final Sewer Excav Other
c:::;/q
~ (
INSPECTION NOTES'
Inspected Date
Remarks
Time
By
RESTORATION REQUIRED .
YES
NO
l\
If-.
\--4J
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessaryl
STREET SUPERINTENDENT
(DA TEl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT.
.....
REQUEST
.'
Date "'I' I
.J
Time t 00 h '- \
Received by (r t\ ,,) Ie.
(phone, PfUgul)
Location of Work to be inspected /1../ / 0 - ! 11 f$ '1ev<.c. A) 5 +I:~ ~ f'
Name of person requesting inspection D. K~u~" rO ()
Address of person requesting inspection ll+~ :! 0#. ,'t, '! ~;+I !) ) Phone No / &~;-
Type of Inspection (circle appropriate one) Permit No . (-=;
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
M<' #..:) ~''1.:;' c-
Ded
INSPECTION NOTES
Inspected Date f-
A i
Remarks I tU 'c, ' A ( I . .1
+(1 <. ;. ''\. /ill A-dJ
c iL I f
-( ill. ~..llO} n · ~
Time I 'Z. oc::: I) ~V\ By D l-:S <=V~ I" 'klf U
( "" l' l'(
!L (,;.' E It. \,.., -t( 1'-.. -- '. ,',....... ( . J + C ~ I i f-
( I I' It
LJ 0 \\;\'kt-l;' 50 (~~.. +-t t! S -;-. . u (- " )
( U ...... f;... L..,) ct f". '7 \./ 1. A--{)u L l I- ) ()' ,.{( (, '-- ..
ft.1 jJ....~,v 1st..... be. l... + --:, ,'~.'t.;. '__ ..(. c' f j c.<,. '- _<_
Ie
L
c.
RESTORATION REQlltRED . . YES NO V
._'~""A_~ -.-. .- -~... ... _~r'" ... -
. 1----- '-.'--
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'-I ::.-- !
L:.
-..- ._""---~~--.,,--_._. .,,,.. ".-'" -------.-
- ....--
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<: ':'- if I , CJ ~_. \"
~ NfO 0 ,
, . V 51' ....1--------.--.--
5 c --~-
-*- I --------.-.-- A-Ih 'l
...l " i :;; I r fe' ~
\ ! l'il~~ I
\ ,of I--- ._-
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15S f
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,"r?
'( '"' 0 0 y
--.- "-- .~-.--- .---------. ~!
" ------'--"-'- .. . ...---....--
/ ~ :: "--I f g! -t
.-' ....l "I ...1
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order # L( ( .J
lli COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
$~
"'<;do"
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 9/11/96 LC Permit No: 519
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
HERINGTON 1418 OWEN AVE
3381 SHADOWGLEN BLVD Lot: 9
SILVERDALE,WA98383 Block: Long Legal:
360/697-5015 Sub: WEST VIEW
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: HERINGTON BUILDERS
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
PROJECT NOTES-------------------------------------------------------------------
PRESSURE TESTED METER READY DROP IN SEE PERMIT 343 PRIMO CONST
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:
$0.00
$0.00
$0.00
$125.00
$0.00
$0.00
$0.00
$0.00
$125.00
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:
RjW 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
============================--
$1,855.00
$1,855.00
$0.00
$0.00
$0.00
$883.00
TOTAL FEE:
AMT PAID:
$0.00
BAL DUE:
Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ becomes null and void W work or
construction authorized is not commenced ~hin 180 days, W construction or work is suspended or abandoned for a period of 180 days afler
the wel1< as commenced, or W required inspections have not been requested ~hin 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 construction or the performance of construction.
Date
Sic nature of Owner m owner is builder)
Date
Sicnature of Contractor or Authorized Acent