HomeMy WebLinkAbout3407 Mill Creek Ct - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
ISE HERTZOG
122 W LAURIDSEN BLVD
Port Angeles, W A 98362
000/604-2152
PROJECT INFO
Work is
Plans Required
Contractor. BUY RITE HOMES
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
1/24/2001
Permit No
Work Order.
1139
o
PROPERTY LOCATION
3407 MILL CREEK CT
Lot: 5
Subdivision
Parcel No
Block.
MILL CREEK COURT
063015770050000 0 Long Legal
Value Work:
$000
Start Date
I I
Finish Date.
360/681-0777
I I
Amount:
$000
~ Install
o Repair
~ Watermain
~ Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
~ Misc
PROJECT NOTES
FEES ASSESSMENT-
1 ) R/W Excav" $45 00 15 ) Other San Sewer. $000
2.) Sidewalk $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter. $000 17 ) Sew Capl W 1M 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. $0.00
7 ) Other R/W $000 21 ) Sewer System Dev. $74500
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000
9) Res Water Servo 5/8" $15000 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. $1,02500 26 ) Misc. $000
13 ) San Sewer SFR $95 00 TOTAL FEE. $2,060.00
14) San Sewer MFR $000
add unit: 0 Amount Paid $0 00 __
Receipt No 7/?;l q .G2-Ob 0 Ilz/f leoo(
Inspection Fee Balance Due $2,060 00
RW SANITARY WATER OWY STORM ORA OTHER
Date
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date I /3 I I d DOl
!
Time
Received by
(phone, person)
<.! /. I
Location of Work to be inspected ,.- I Jr, ,
Name of person requesting inspection ----1-/e f
Address of person requesting inspection
Type of Inspection (circle appropriate one)
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Phone No
Permit No
, I 31
Sewer I Foundation Framing Chimney Plumbing Final Sewer Excav Other
u. t 1 '1"
S-ror.' -te> ...ele,,11l>'" ch"'h.",et-
INSPECTION NOTES
Inspected
Remarks
Date (') 2 - () I - D I
C. D >, F' (e--r~
Time
? ~I\
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B\{.J V J
RESTORATION REQUIRED
YES
NO /\
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
OPCC
o Other
o Repaired by City
Cl Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
REQUEST .r
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
/ tf;() /
I
.....
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
5407 )nll/ eR~ CT
I
Phone No
Permit No
Plumbin~sewer Excav Other
INSPECTION NOTES
Inspected Date
Remarks
'31;l--()f
C:"c> v'1.J (P'K
Time
A I
~. JJ/
/J
By f..{ /t
RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
Cl Repaired by Permittee
CI 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 BUll.,OING 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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DR YW ALL
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONR.W IPWI CONSTRUCTION R. W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW 1102.15 [4I96J