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HomeMy WebLinkAbout629 Marine Dr - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 /' PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT PORT OF PORT ANGELES Issued 5/17/2000 Permit No Work Order' 1063 o PROPERTY LOCATION 629 MARINE DR Lot: 13 Subdivision Parcel No Block. 37 Port Angeles, W A 98360 0001600-0000 PROJECT INFO Work is Plans Required Contractor' Performance Bond Required Proof of Insurance Work to Perform TPA D Long Legal Value Work. $000 Start Date I I Finish Date 0001000-0000 I I Amount: $000 D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Misc PROJECT NOTES FEES ASSESSMEN"'F 1 ) R/W Excav' $0 00 15 ) Other San Sewer' $0 00 2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter" $0 00 17 ) Sew Capl W 1M Removal $0 00 4 ) Driveway' $0 00 18 ) Alter Repair Sewer' $0 00 5 ) Dwy Culvert: $0 00 19 ) Storm Drain $0 00 6 ) Street Cut: $0 00 20 ) Catch Basin per ea $0 00 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 2" $2,32000 24) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25) 0 RA. $000 12 )Water System Dev" $000 26) Misc: $000 13 ) San Sewer SFR $0 00 TOTAL FEE. $2,320.00 14 ~B/tMFF..DOES NOT RE@tJfllE A SEPA, SIIORELIl'lE OR ESA PE~fIT add Unit: 0 Amount Paid $2,32000 A Rfflei~r No 6223 St rfi Date pps'pceact"IOfl Fee $6 00 a BID Tn C1 C1111..C UC $0.00 RW SANITARY WATER OWY STORM ORA 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. Signature of Contractor or Authorized Aaent Date Sianature of Owner (if owner is builder) 7/;:Z-S-; 2000 Date ~D, PA-iO ~ OJ:: ~) CITY OF PORT ANGELES Ow ').tPs' 111/ I ~ . . . . . ~~~~~~~::;T~~:~:~~R~~.~~~. . . . . . REQUEST Date ,- ~ - c>D Received by (phone, person) t.pZC:; /ntVu~LJ~, Location of Work to be inspected tlltlf....'R/).;-I!.. Or-J'lIe VU-e.;1- 11 F- fYLk.k Rf. Name of person requesting inspection f GAJ , 'I Co/" Address of person requesting inspection 17 f1t '(;-'l3 Phone No Type of Inspection (circle appropriate one) Permit No 10 b3 . Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other W ~ Time INSPECTION NOTES By :J..-,X 0~ w ~ / Inspected Date Remarks Time :f AJ S b-I / n -u.....J ~-eV'UI C~ // RESTORATION REQUIRED . . . YES V' NO _ ..[4 It ~ ~~:)f ~,L ~r~t AO~\m1l tWt"" rf1J -e. () I ~[} · f-oy ~ c... r '/ )Dr;' t~-J! SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Repaired by City D Repaired by Permittee D No Damage Found ~ O~/ OOthe, Work Order # /~ / 1 ~ COMPLETE G -;).""3 CO /YIlt D INCOMPLETE BUILDING PERMIT INSPECTION RECORD CALL 4174815 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 I ACCEPTED COMMENTs YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN T PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DR YW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL CHIMNEY WooDSTOVE / PELLET DUCTS PW UTILITIEs / SITE WORK (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIffiR FINAL INSPECTIONS REQUIRED PRlOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL LIGHT DEPT CONS1RUCTION R. W / PWI CONS1RUCTION R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE (MUL TI-F AM. ONL Y) 417-4654 FIRE DEPT BUILDING 417-48]5 BUILDING GENERAL COMMENTS: PW-II02.15 [4I96J