HomeMy WebLinkAbout3424 Mill Creek Ct - Engineering
e
~~
CIlY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 7/29/99 LC Permit No: 963
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT--------------------____PROPERTY LOCATION---------_______________
JACK LOEWEN 3424 MILL CREEK CT
1021 W.SPRUCE Lot: 1
SEQUIM,WA98382 Block: Long Legal:
360/681-2818 Sub: MILL CREEEK COURT
PROJECT INFO-----------_________________________________________________________
Work is N/A traveled road Value Work: $O.O~
~ ~ ~
Plans Required: N/A
Contractor: J.H. CONSTRUCTION
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0. 00 ~
storm Drain ~
U~derground Tele/Ele ~
M1SC ~
PR~~~;~ =~~:;-~;~~-i~-$~;~~~~--;~~-;~~~;-~;~;;~~~-~i~~-~~~~;~~-~~-~/~----------~
/- I . ,- /" ..)
C 7' I ,;t_/ I !! ( 7 ,r , / / -) i?
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: $0.00 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
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 I' ==============================
Oth Water Serv: $0.00
Water Sys Dev: * $883.00
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
Receipt No: 5289
Inspection Fee:
TOTAL FEE:
AMT PAID:
$1,730.00
$1,730.00
$0.00
-----------------------
BAL DUE:
$0.00
R/W
SANIT AR Y
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 s ate or local law regulating construction or the performance of construction.
Date
Signature of Owner (if owner is builder)
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 Phone No
Type of Inspection (circle appropriate one) Permit No 7(f,3
Sewer Foundation Framing Chimney Plumbin~ Sewer Excav Other ~_
r:>fcf;; 4 /7711/ C.K {!r
,
RESTORATION REQUIRED
YES
NO
\.)J
~
~
R
INSPECTION NOTES
Inspected Date I 01/!J + Time
Remarks (! 0 J11 0 -e e
{
By
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 POR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POSf PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WAU.S
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN
PLUMBING ,
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAll.S
CEIUNG I
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WAU.S I ROOF I CEIUNG
DRYWAlL
T-BAR
INSULATION
SlAB
WAlL I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW UTU.lTIES I SITE WORK (Engineerin8 Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
RESlDFNI1AL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL
UGlIT DEPT
CONSTRUCTION R.W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BlJIl.DlNG 417-4815 BlJII.D1NG
GENERAL COMMENTS:
PW.II02.13 [4/96J