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HomeMy WebLinkAbout1007 S Oak St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 / PUBLIC WORKS CONSTRUCTION Issued: 9/03/98 LC Permit No: 867 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ QUEEN OF ANGELES 1007 OAK S 1007 S. OAK Lot: 7,8,9,10 Port Angeles,WA98362 Block: 327 Long Legal: CJ 360/452-2351 Sub: tpa C) PROJECT INFO-------------------------------------------------------------------- Work is N/A traveled road Value Work: $o.oo-J V\ D $0.00 1> 1\ Plans Required: N/A Contractor: OWNER Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: / / / / Storm Drain Underground Tele/Ele * Misc conc walk PROJECT NOTES------------------------------------------------------------------- install approx 12'x 25' concrete walk in front of Q of A school area of new conc construction to have expansion joints. (city water main in area of new construction} Work to Perform: INSTALL Watermain Sanitary Sewer 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: 4380 Inspection Fee: RlW SANIT AR Y $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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: $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 $0.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: DRA OTHER $40.00 $40.00 $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 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 jonstruction or the performance of construction. ~/, ,~,/ C ,~4..-_~ ~~(~ Signature of Contractor or AuthOrized Agent Date Signature of Owner (if owner is builder) / ate DWY STORM BUILDING PERMIT INSPECfION RECORD CALL 417-4815 POR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER, 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 ACCEPTED COMI'tm'ITS I YES NO FOUNDATION: FOOTINGS WAlL'> FOUNDATION DRAINAGE ELECTRICAL (UGHT DEP1) ROUGH-IN I I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SEAL WALLS CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WAlL'> I ROOF I CEIUNG DRYWAlL T-BAR INSULATION SlAB WAlL I FLOOR I CEIUNG I I MECHANICAL CHIMNEY W09DSTOVE I PEllET DUCTS PW UTll.ITIFS I SITE WORK (Engineering Division) WA TERUNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTHER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RF.SID~AL 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.I~ [4/96) s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST STH STREET, PORT ANGELES, WA 98362 PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT QUEEN OF ANGELES 1007 SOAK Port Angeles, W A 98362 000/604-2251 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 6/25/2001 Perm it No Work Order' 1182 o PROPERTY LOCATION 1007 OAK S Lot: 7,8,9,10 Subdivision. tpa Parcel No 063000032730000 Block. 327 IZI Long Legal Value Work. $000 Start Date 1 1 Finish Date. 206/000-0000 1 1 Amount: $000 IZI Install IZI Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec IZI Mise sidewalk PROJECT NOTES repair and install sidewalk along Oak Street by Queen of Angels School FEES ASSESSMEN"F 1 ) R/W Excav' $0.00 15 ) Other San Sewer' $000 2.) Sidewalk. $000 16 ) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17) Sew Capl W/M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 20 ) Catch Basin per ea $000 7 ) Other R/W $000 21 ) Sewer System Dev' $000 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000 9) Res Water Servo $000 23 ) R/W Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12.)Water System Dev' $000 26 ) Mise: no fee $000 13 ) San Sewer SFR $000 TOTAL FEE $000 14 ) San Sewer MFR $000 add unit: 0 Amount Paid $000 Receipt No no fee Inspection Fee: $000 Balance Due $0.00 RW SANIT ARY 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 construction or the performance of construction. SiQnature of Owner (if owner is builder) Date Signature of Contractor or Authorized Acent Date 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 r ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN I I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL CHIMNEY WooDSTOVE / PELLET DUCTS PW VTlLITIEs / SITE WORK (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTHER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELEC1R1CAL LIGHT DEPT 417-4746 ELEC1R1CAL LIGHT DEPT CONSTRUCTlONR.W /PW/ CONSTRUCTION R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE (MUL T1-F AM. ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW 1102.15 [4I96J