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Home My WebLink About614 Lopez Ave - Engineering ti ~~> CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 / / PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT R W FRICK 614 LOPEZ PW'CITY, PW'State PW:Zip 000/604-7781 PROJECT INFO Work is: Plans Required Contractor' R J SERVICES Performance Bond Required Proof of Insurance Work to Perform Issued 10/11/1999 Permit No Work Order' 998 o PROPERTY LOCATION 614 LOPEZ Lot: 15 Subdivision Parcel No Block. ~ --...... ~ (\\ \' a ~ ~ BROADWAY 06301052240000 ~ Long Legal Value Work: $000 Start Date 1 / Finish Date 360/457-1420 1 1 Amount: $000 D Install [gJ Repair D Watermain [gJ Sanitary Sewer D Storm Drain o Underground Tele/Elec D Mise PROJECT NOTES contractor to do restoration FEES ASSESSMENT 1 )' R/W Excav' $40 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' $30 00 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: $000 13 ) San Sewer SFR $000 TOTAL FEE. $70.00 14 ) San Sewer MFR $000 add unit: 0 Amount Paid $70 00 Receipt No 5474 Inspection Fee $000 Balance 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 state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . ;zt1J3 V/ REQUEST ..... Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection ~Inspection (circle appropriate one) ~Foundation Framing Chimney ~.i~,)~~"?O { ~(c-k ) Phone No Permit No Plumbing Final Sewer Excav Other ~ ~ ~ j INSPECTION NOTES Inspected Date Remarks /D- 1/-99 Time r /4/( By 6~J.4 c~ VY\-F r ek J I1~J(,' I"-Of e::z: ()- . RESTORATION REQUIRED ./ c..1. l {~f 7tde~F /' 1\ YES X NO ~;l-:J-.c. L.'I(~& ,..'1-- t CO ~ " ~ II n\ I <J '- '1' ~ ~ SURFACE RESTORATION q X 2-6 SURFACE TYPE 0 Unimproved 0 Gravel ~Asphalt 0 PCC o Repaired by City Work Order # [] Repaired by Permittee 0 COMPLETE [] No Damage Found 0 INCOMPLETE !?1ft;;;; ~- De bPtr' 21,/ &/7k"hr o Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (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. POSf PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WAllS FOUNDATION DRAINAGE ELECTRICAL (UGlIT DEYI) ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATERliNE BACK FLOW I WATER AIR SEAL W ALl.S CEIliNG I FRAMING JOISTS I GIRDERS SHEAR WAIL WAllS I ROOF I CEIliNG DRYWAIL T-BAR INSULATION SLAB WAIL I FLOOR I CEIUNG I MECHANICAL CHIMNEY WooDSTOVE I PEllET DUCTS PW UI1LITIES I SITE WORK (Ens ineerins Division) WATERliNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIJER FINAL INSPECTIONS REQUIRED PIlIOR TO OCCUPANCYIUSE RESIDmIlAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO EU:CTRICAL UGlIT DEPT 417-4746 EU:CTRICAL UGlIT DEPT CONSTRUCTION R.W I PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING ARE (MULTI-FAM. ONLY) 417-4654 ARE DEPT BUIWING 417-4815 BUIWING GENERAL COMMENTS: PW.II02.I~ (4/96)