HomeMy WebLinkAbout1840 E Lauridsen Blvd - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBILIC WORKS & R/W PERMIT
OWNER/APPLICANT 0 Attached Notes
ART & HEATHER WILMOT
1840 E LAURIDSEN
PW CITY, PW State PW.zip
360/417-1814
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Issued
1/11/2000
Permit No
Work Order'
1027
o
PROPERTY LOCATION
1840 LAURIDSEN BLVD E
Lot: 8
Subdivision
Parcel No
Block
UPLANDS
~ Long Legal
Value Work.
$000
Start Date
I I
Finish Date
0001000-0000
I I
Amount:
$000
~ Install D
D Repair ~
D Watermain D
Sanitary Sewer
Storm Drain
Underground Tele/Elec
D Misc
PROJECT NOTES
CURB CUT ON GOLF COURSE RD & LAURIDSEN BLVD
FEES ASSESSMEN"F
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. $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 ) Misc' $000
13 ) San Sewer SFR $000 TOTAL FEE. $45.00
14) San Sewer MFR $000
add unit: 0 Amount Paid $45 00
Receipt No 5774
Inspection Fee $000 Balance Due $000
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 perlorrpance of construction.
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Si nature of Contractor or Authorized Agent Date Si riature of Owner (if ~ner is builder) Oat
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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. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION 1YPE DATE ACCEPTED COMMF1llTS
I YES I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAll.S
CEIUNG I I I
FRAMING
JOISTS I GIRDERS
SHEAR WAll.
WAlLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WAlL I FLOOR I CEILING I I
MECHANICAL
CillMNEY
WOODSTOVE I PEllET
DUCTS
PW UTILITIFS I sITE WORK (Ens ineerinS Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUDUD PRIOR TO OCCUPANCYIUSE
RFSIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTm
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
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-II02.13 (4/96J