HomeMy WebLinkAbout312 S Lincoln St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
03-1'81
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
03-00000187 Date
312 S LINCOLN ST
0630000069000000
PUBLIC WORKS UTILITES
4/07/03
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3 I 2- <:; L ~ h c-ol t}
Owner
Contractor
RICHARD A BONDELID, TRUSTEE
C/O LANDMARK PROP MGMT
PORT ANGELES WA 98362
OWNER
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
DRIVE WAY CLOSER
145 00 Plan Check Fee
4/07/03 valuation
10/04/03
00
o
Qty Unit Charge Per Extensi~~
BASE FEE C:=-145 ~
------------------------------------------------------------------- - -
Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45 00
4/07/03
10/04/03
Plan Check Fee
Valuation
00
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Qty Unit Charge Per Extension
BASE FEE 00
00 0978 7~0~H DRA FEES PLUS INTEREST ~
1 00 4~ 0 00 ECH RIGHT OF WAY PERMIT ~
-------------------------------------------------------------------- --
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
185 00
4/07/03
10/04/03
Plan Check Fee
Valuation
00
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--
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....
Qty
1 00
2 00
Unit Charge Per
95 0000 EA SAN SEWER HOOKUP
45 0000 EA STORM DRAIN C/B
[f:'!3
95.00
Due
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 375 00 375 00 00
Plan Check Total 00 00 00
Grand Total 375 00 375 00 00
00
00
00
4q1g '74 +
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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 Owner (if owner is builder)
Date
T-IPLANNTNGIFORMSII 102_ 15 [4/2002J
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~~..
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST STH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Richard A. Bondelid, Trustee
312 S Lincoln
Port Angeles, W A 98362
000/600-0000
PROJECT INFO
Work is Outside Traveled Road
Plans Required Start Date
Contractor. KANE ENVIRONMENTAL INC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
2/25/2002
Permit No
Work Order.
1249
o
PROPERTY LOCATION
312 LINCOLN ST S
Lot: 1& 2
Subdivision
Parcel No
Block. 69
TPA
063000006900000
D Long Legal
Value Work.
$000
1 1
Finish Date
206/691-0476
1 1
$000
[gJ Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
[gJ Misc
GEO PROBE
PROJECT NOTES
GEO PROBE IN SIDEWALK AREA ALON 3RD AND LINCOLN STS
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/M Removal $0.00
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 ) D RA. $000
12.)Water System Dev' $000 26 ) Misc: $000
13 ) San Sewer SFR $000 TOTAL FEE. $45.00
14) San Sewer MFR $000 $45 00
add unit: 0 Amount Paid
Receipt No
Inspection Fee. $000 Balance Due $0.00
RW SANITARY 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 appJication 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.
2-2s 02.
Date
Si nature of Owner if owner is builder
Date
E THIRD STREET
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ASPHALT
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II APPROXIMATE
. GP-4 +~ SUSPECTED
------- UST LOCATlON
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/INFERRED
DIRECTlON OF
GROUNDWATER
FlOW DIRECTlON
GP~ ~ 1;2-
APPROXIMA TE I .----=r-
HEATlNG OIL ~
UST lLOCA"ON=~ 1 '2. -+ -
"~ ALPINE REALTY
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;01
SAFEWA Y ~ +
PARI KING _ · GP-8 =r
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CONCRETE
APRON
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FORMER
DISPENSER
ISLAND
1
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SUSPECTED
'-( GASOUNE UST
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APPROXIMA TE
WASTE OIL UST
LOCATIONS
I I~,r.._~
v"/"", '
ASPHALT DRIVEWAY
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I~:;-.J ~ ~ ~J. CUANER
~'1;\ .,J tac. -;-APEREO CONCRETE RETAINING WAll
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GP-1 .
la/~~ ~... t
GP-1. PREVIOUS GEOPROBE NUMBER AND APPROXIMATE LOCATlON
-f PROPOSED SAMPUNG LOCATIONS - GEOPROBE
L J{oM. (;IftV;(Ok /'"f.... h.!J
SAFEWAY PARKING AND DRIVEWAY
o
20
40
Approximate Scale in Feet
KANE
Environmental, Inc.
3' J... 5ou~ L ;hto~ )
1?d A..~e Ie J t tJ 14
Figure 1
Previous and Proposed
Sampling Locations
g:"m.-. :~\~\_\alpClOl'"
~ ACCOUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
Surcharge ($4.50) 001.2291000
DR A. Fees.Plus Interest 001.2392000
Burning Permit Fee 600 32290014
Fire Inspect/Permit Fee 600 34220015
Fire Sprinkler Plan Review Fee 600 34220016
Construction ,. 42032210017
Plumbing 42032210018
Mechanical 420 32210019
Sign 711 32210020
Clear/Grade Permit 711 32210021
House Moving 711 32210033
Sidewalk/Driveway/Curb Permit/Right of Way Permit I 2 YCJ 711 32240011 '-/5- ,-0
Publications 711 34150000
Blueprints-Aerial 711 34320000
Administration Cost (5%) 711 34320010
Plan Check Fee 420 34583000
Engineering Service Fees 711 34895000
TOTAL GENERAL FUND TOTAL 0011111000 I..J_,~~
Street/Alley Restoration 752 3221 0032
Storm Drain/Tap 752 34490010
S/W Co-Op 752 36990000
TOTAL STREET FUND TOTAL 102.11110000
Electrical Permits/I nspections 911 32210028
TOTAL LIGHT DIVISION TOTAL 4011111000
PB I.A. 650.2319200
TOTAL PBIA TOTAL 6~0.11110oo
TOTAL CAPITAL IMPROVEMENT FUND TOTAL 310.1111000
Property Sales 71539510010
TOTAL P W.IMPROVEMENTFUND TOTAL 314.1111000
Hot Tap (watermain) 753 34340023
FH Install/Meter 753 34340024
W/M Installation 753 34340025
Water System Development Charge 753 34480010
TOTAL WATER FUND TOTAL 402.11110000
Sanitary Sewer Permit 754 32210029
Sanitary Sewer Tap/Cap or MH Tap 75434350018
Sewer System Development Charge 754 34350024
ULlD 215/Equivalent Service Connection Fee 782 34350025
TOTAL WASTEWATER FUND 402.1111000
Milkwaukee Dr Assessment 755 34370030
TOTAL SOLID WASTE FUND 404.11110000
RECEIPT# j-'77 IDI_L JiG'"<;'>~ .
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
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FILL-IN COMPLETELY
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TQTAL EACH FUND AND GRAND TOTAL
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1- 1"1"'''' C....i
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G :IG roupIAcctIForms\Rev. ReclPub- Wk
Last Revised June 2001
cI {'ORT "'-\1(;'
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o~-- -5
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
03-00000054 Date 5/20/03
312 S LINCOLN ST
0630000069000000
DRA FEES PLUS INTEREST
o
Owner
Contractor
NECA/PBTF WESTERN PROPERTIES
1125 15TH ST NW
WASHINGTON DC 200052707
OWNER
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----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DRA FEES PLUS INTEREST
4978 74
5/20/03
11/16/03
Plan Check Fee
Valuation
00
o
u
~
~,
(\
~
o
Qty Unit Charge Per
1 00 4978 7400 ECH DRA FEES PLUS INTEREST
Extension
4978 74
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 4978 74 4978 74 00
Plan Check Total 00 00 00
Grand Total 4978 74 4978 74 00
Due
(<14tVj1-)
00
00
00
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4q7~ 74
____ / {{J'l ~4
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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
T \PLANNTNG\FORMS\1102.15 [4/2002]
'REQUEST FOR PAYMENT' Authorization
TO C
.11\.) C) f- PA-
DESCRlmON D R-A:- q -5 - D I l A-LM \ 1\ 1 S~ I 01) f="FP.; \
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BUDGErCODE QOI_ 7!) J D - 34 =3 ZD:')O
/(0 , ~
AMOUNT
APPROV AI..
DATE
S-/zO ) u3
SocciallnslrUClions lJ."tlltl5Fev- YhOne,.y t-yuvn e,LD~ PE1G.l1IT~ 03-i87
'REQUEST FOR PAYMENT' Authorization
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BUDGEr CODE ()O 1- nrYr'J- :2312 om
AMOUNT 14 '1 4Q..
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APPROV AI..
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
(p /~ DV" Permit No
Work Order.
PROPERTY LOCATION
312 LINCOLN S
Lot: 1& 2
Subdivision.
Parcel No
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Richard A. Bondelid, Trustee
312 S Lincoln
Port Angeles, WA 98362
000/600-0000
PROJECT INFO
Work is
Plans Required Start Date
Contractor' KANE ENVIRONMENTAL INC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
1288
o
Block: 69
TPA
063000006900000
D Long Legal
Value Work.
$000
I I
Finish Date
206/691-0476
I I
$000
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
soil borings on 3rd Street and on either side of Lincoln Street across
from 312 S Lincoln, area of Clallam County Courthouse
FEES ASSESSMENT-
1 ) R/W Excav.
2.) Sidewalk.
3 ) Curb/Gutter.
4 ) Driveway.
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12.)Water System Dev.
13 ) San Sewer SFR
14) San Sewer MFR
add unit:
Receipt No
Inspection Fee.
RW SANITARY
$45 00
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
15 ) Other San Sewer.
16) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M Removal
18 ) Alter Repair Sewer.
19 ) Storm Drain.
20 ) Catch Basin per ea.
21 ) Sewer System Dev.
22.) Milwaukee Dr Sew Ass.
23 ) R/W Use Perm
24 ) Admin Cost (0 RA)
25 ) 0 RA.
26 ) Misc:
TOTAL FEE.
$0.00
$000
$000
$000
$000
$0.00
$000
$000
$000
$000
$000
$000
~
$0 00 Lt\ I ~ \ ov'
~ptL
DRA OTHER
o
Amount Paid
$000
WATER
Balance Due.
DWY
STORM
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 atter
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.
6-- /8 c) 2
Date
Si nature of Owner if owner is builder
Date
~
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B-19
+
LEGEND
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"'-PEREL ric"k---T-iN"-- wA-'-_.'--~~-';;----i
SAFEWAY PARKING LOT i
MW-1 ~ Kane Environmental Monitoring Well Location
B-1 + Kane Environmental Geoprobe Number and Approximate Location
GP-1 . Previous Geoprobe Number and Approximate Location
B-24 -+ Proposed Boring Location
KANE
Environmental, Inc.
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20
40
Approximat~ Scal~ in Feet
312 South Lincoln St. Figure 1
Supplemental Phase II Environmental Site Assessment Proposed Sampling Locations
Port Angeles, WA
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO .(:OVER,
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 COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-TN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-TN
WATERLINE
BACK FLOW 1 WATER
AIR SEAL
WALLS I
CEILTNG
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILTNG
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILTNG I I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE 1 EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4746 ELEC1RICAL
LIGlIT DEPT
CONSlRUCTIONR.W IPWI CONSlRUCTION R.W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUll..DTNG 417-4815 BUll..DTNG
GENERAL COMMENTS:
PW-I 102.15 [4/96J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I NO
FOUNDATION:
FOOTTNGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-TN I I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-TN
WATER LTNE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILTNG
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
.-
PLANNING DEPT SEPARATE PERMIT #"s SEPA.
PARKING/LlGHTlNG ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W
ENGINEERTNG 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 4]7-4750 PLANNING DEPT
BUILDTNG 417-4815 BUlLDTNG
T IPLANNINGIFORMSIl102.15 [4/2002J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I NO
FOUNDATION
FOOTTNGS
WALLS
FOUNDATION DRATNAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-TN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-TN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILTNG
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILTNG
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHiMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
W A TERLTNE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
P ARKING/LIGHTlNG ESA.
LANDSCAPING SHORELTNE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYiUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW 1 ENGTNEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNTNG DEPT
BUILDING 417-4815 BUILDTNG
T \PLANNINGIFORMSl1 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUll..DING 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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGlIT DEPT)
ROUGH-TN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-TN
WATER LINE
BACK FLOW f WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILTNG I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTlUTIES f SITE WORK (Engineering Division)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE 1 EROSION CONTROL
PARKING
OTIffiR
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGlIT DEPT 4174746 ELECTRICAL
LImIT DEPT
CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W
ENGINEERING 4174807 PW 1 ENGINEERING
FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT
BUlLDTNG 417-4815 BUlLDTNG
GENERAL COMMENTS:
PW-II02.15 [4196J