HomeMy WebLinkAbout935 Grant Ave - Engineering
fJ
~~
CIlY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
~-
PUBLIC WORKS CONSTRUCTION Issued: 5/03/99 LEH Permit No: 949
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
JED CUNNINGHAM 935 GRANT AVE
511 E. FRONT Lot: 2
Port Angeles,WA98362 Block: Long Legal:
360/452-7108 Sub: sp 96 (03) 03
PROJECT INFO------------------------------------------------------------________
Work is N/A traveled road Value Work: $0.00
/ / ~
/ / ~~
$0.00 \:\
~
Work to Perform: Watermain Storm Drain ~
PROJECT NOTES-----------------:::~:::~-:::::-----~~;;:~::~:~-::~:~:~:----------f\
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav:
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv: *
* 5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev: *
Receipt No:
Inspection Fee:
R/W
SANIT AR Y
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$125.00
San Sewer SFR: *
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev: *
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Mise:
$80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
Signature of Contractor or Authorized Agent
Date
$0.00
$0.00
$883.00
fP~
TOTAL FEE:
AMT PAID:
BAL DUE:
WATER
STORM
OTHER
$1,730.00
$1,730.00
$0.00
Separate Permits are required for electrical work, utilities, private and public improvements. This permi~becomes null and void if work or
construction authorized is not commenced within 180 days, if construction or~rk is suspended or ,ab'an ned for a period of 180 days
after the work as commenced, or if required inspections have not been requestecfwithin 180 days frGh, the ast inspection. I hereby certify
that I have read and examined this application and know the same to be true an~ co ect. All provisions laws and ordinances governing
this type of work will be complied with whether specified herein or 1101. The/{Jra ing of a p~mit doe ot presume to give authority to
violate or cancel the provisions of any state or local law regulating construc,tfon r the perfotmanc / nstruction.
C; -;:; () {;.
--- .........
DRA
DWY
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
//
./
REQUEST
Date ~-I-- err)
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
Zf 1) c- tF r crv;'? /--
TeD /Ic ey
/ 1!-1t ~ t3 Phone No
Permit No
Plumbing Final Sewer Excav Other
111
(.AJ (( f-e ~
INSPECTION NOTES
Inspected Date
Remarks
Time By
::r /l/ 5- lc'L (/ /i; e.-t.u
[--CIa: f--~ v ?c;; vU/ C-Z
Ix 7~
L. ~I~
P q<j<t7/ C?Ol.1J
RESTORATION REQ IRED YES
t\
~
t
~
~
"-
.""
//
NOV
cf'> ~.v+"t k'"
.
\..?-q ~
~ ~ 1
.,\(
l"l,f
t;
~
~
l\
C-- ~r t'iv,?,t -r-
~
~
Other
170 yr
r
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Wor~1l
(::Y'EOMPLETE
D 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 ACCEPTED COMMENTS
I YFS I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEM)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER llNE
BACK FLOW I WATER
AIR SEAL
WALLS I
CEIllNG
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WAu..s I ROOF I CEIllNG
DRYWAlL
T-BAR
INSULATION
SlAB
WALL I FLOOR I CEIllNG I 1
MECHANICAL
ClllMNEY
WooDSTOVE I PEllET
DUCTS
PW urILITIES I SITE WORK (Engineering Division)
WATERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQ1.JIRID PRIOR TO OCCUPANCYIUSE
RESIDFNfIAL DATE YFS NO COMMERCIAL DATE ACCEPTm
YFS 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
BUIIDING 417-4815 BUIIDING
GENERAL COMMENTS:
PW-II02.IS [4/96J