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HomeMy WebLinkAbout1706 Lambert Ln - Engineering Si ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 8/19/99 TF Permit No: 983 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ MILDRED WATERMAN 1706 LAMBERT LANE 1706 LAMBERT LN Lot: A16 Port Angeles,WA98362 Block: Long Legal: 360/457-9191 Sub: HIGHLAND COMMUNITIES PROJECT INFO-------------------------------------------------------------------- Work is N/A traveled road Value Work: $0.00 Plans Required: N/A Contractor: LBR CONSTRUCTION Start: Finish: / / / / -- Performance Bond Required: N/A Proof Insurance: Amount: -.....j '0 $0. 00 ~ \'- Work to Perform: INSTALL * Watermain * Storm Drain PROJECT NOTES---------------:-:::~:::~-:::::---~-~~;;:~::~:~-::~:~:~:----------~ ~ C 7~4;;;...p47c;./4ID(O 3s>g-llAJ, 1J\J~@ ~~ :\ 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: * $150.00 Catch Basin per ea: $0.00 5/811 Sewer System Dev: * $642.00 * 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Corom Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2 II ============================== Oth Water Serv: $0.00 Water Sys Dev: * $883.00 I TOTAL FEE: AMT PAID: $1,755.00 $1,755.00 Receipt No: 5115 Inspection Fee: SANIT AR Y $0.00 WATER BAL DUE: $0.00 R/W 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. . . . . / REQUEST Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney } 7 0 V (~~ '--!A>>l% ~ -r~A--/ I Phone No Permit No Plumbin~ewer Excav Other 9F3 '" ~ C\0 ~ INSPECTION NOTES I ~ Inspected Date I 0 _ ~ Remarks e 0 ~ ~A-,",_ Time By RESTORATION REQUIRED YES NO ~ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (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. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCWTED COMMnITS YES NO FOUNDATION: FOOTINGS WAlLS FOUNDATION DRAINAGE ELECTRICAL (UGlIT DEP1) ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER llNE BACK FLOW I WATER AIR SFAL WAUl) CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WAlLS I ROOF I CEIUNG DRYWAlL T-BAR INSULATION SLAB WALL I FLOOR I CEIUNG MECHANICAL CIllMNEY WooDSTOVE I PEllET DUCTS PW Ul1LITIES I SITE WORK (Engineering Division) WA TERllNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIlER FINAL INSPECTIONS REQUIRED PIllOR TO OCCUPANCVfUSE RF.SIDENTIAL 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) 417-46.54 FIRE DEPT BUIlDING 417-481.5 BUIlDING PW.ll02.1S [41961 GENERAL COMMENTS: