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Home My WebLink About711 E Front St - Engineering , ~of~ ~ "-- -=:;..ao ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation Owner 03-00000908 Date 9/19/03 711 E FRONT ST 06-30-00-5-1-3960-0000- COMM ADDITION 262800 Contractor NESKE TERRY A/JILL E FLORES CONSTRUCTION 711 E FRONT ST 2530 W 10TH PORT ANGELES WA 983623610 PORT ANGELES WA 98362 (360) 457-1237 Structure Information NEW 2920SF TWO STORY ADDNT Construction Type . . .. TYPE V NON-RATED Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 9/19/03 3/18/04 Qty Unit Charge Per Plan Check Fee Valuation .00 o BASE FEE Extension 145.00 ---------------------------------------------------------------------------- '-J Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC W0RKS RES WATER SERV 640.00 9/19/03 3/:1;8/04 '-- -- Plan Check Fee Valuation .00 262800 Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 ~ Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 9/19/03 3/18/04 Plan Check Fee Valuation " d ~ ~ .00 262800 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Permit Additional desc Permit Fee Issue Date Expiration Date Extension 45.00 STREET ALLEY RESTORATION 230.00 9/19/03 3/18/04 Qty Unit Charge Per Other Fees Fee summary Charged Permit Fee Total . 1060.00 Plan Check Fee Valuation .00 262800 BASE FEE Extension 230.00 STATE SURCHARGE 4.50 Paid Credited Due 1060.00 .00 .00 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 Date Signature of Owner (if owner is builder) \ T:\PLANNING\FORMS\1102.IS [412002] .. ~of:~ ha 'L ~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Plan Check Total Other Fee Total Grand Total .00 4.50 1064.50 03-00000908 .00 4.50 1064.50 Page Date 2 9/19/03 .00 .00 .00 .00 .00 .00 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 goveming 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:\PLANNING\FORMS\1102.1S [412002] ~ r&;i 1!:c -- "tfO:1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3--- Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner 03-00000908 Date 711 E FRONT ST 06-30-00-5-1-3960-0000- COMM ADDITION 9/19/03 262800 Contractor NESKE TERRY A/JILL E FLORES CONSTRUCTION 711 E FRONT ST 2530 W 10TH PORT ANGELES WA 983623610 PORT ANGELES WA 98362 (360) 457-1237 Structure Information NEW 2920SF TWO STORY ADDNT Construction Type TYPE V NON-RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Qty Unit Charge Per GVxten . BASE FEE 145 00 ----------------------------------------------------------------- --------- Permit PUBLIC W0RKS RES WATER SERV Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per ~xte . 1 00 640 0000 EA PW W/M SFR 5/8" 640 00 ----------------------------------------------------------------- ------- Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per ~~ 1 00 45 0000 ECH RIGHT OF WAY PERMIT 00 ------------------------------------------------------------------ --------- Permit STREET ALLEY RESTORATION Additional desc Permit Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145 00 9/19/03 3/18/04 Plan Check Fee Valuation 00 o 640 00 9/19/03 3/3:8/04 Plan Check Fee Valuation 00 262800 45 00 9/19/03 3/18/04 Plan Check Fee Valuation 00 262800 230 00 9/19/03 3/18/04 Plan Check Fee Valuation 00 262800 Qty Unit Charge Per Ex~en . BASE FEE 230 00 -------------------------------------------------------------------- - Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total - 1060 00 1060 00 00 00 /f~ 1) \ t) ",,; /' vo~~o~ D~r\V L.--l7b\l'O~S ~s 17 ~e- V ' yee,5 NO 12.( \ 'AC; d pr.r .. ",,6> '7 f: W~root-v 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 Sig T-\PLANNING\FORMS\1102.15 [412002] u3 Date ~ '!. -- "tfO:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Plan Check Total Other Fee Total Grand Total 00 4 50 1064 50 03-00000908 00 4 50 1064 50 Page Date 2 9/19/03 00 00 00 00 00 00 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'\PLANNING\FORMS\II02.15 [412002] vJ,~p~^-MeA,';" Lc7 ~.....(. 40 f. IS"'O - - .. ~ 't.... fJ:> otuD /. r -p ~6 De,.... , - '9 r"'~- r-:.t...A+ C-:::. 0. ~ . t.. ::. 0.'01 A; 4 0 'I-- I'?D 1\ J- <\- ~.~(.o Q-=- 0.~' 1(" 0.'07 ~ (.f!2 ~ /r;o) :;. 0Pj/cr4 l!~,)-WO f' ..c... ~ -p"... T -pe...../ ~ t..4-NQ'S"~~ - .,.. ~ f 140- 10 'f. 10 ::: 700 ( t!:JD ___ "l,.... 8 dO ~r -P~.t- ~...J ~-::: c.':A- e>. q ~t '0-' / s...7-~ '" -t Q~I 5(..,"0 ) - D ,35"" ')( €; 1 >' ~ ::. (!). b CjqD(, A- ~ :5?oO Ft3/ I'SC Q.~+ - Q-p/t!. oX- ~'-;4 'rC (go~ :: "^"': ..y (0. qe:{ I - 0,04 /q-+) ~ ~o }C f.:>O _ L 0, O~71"'2.-- io '- r::+- =i. --- ~ IO~OP-04 -t.- lO'- Pt- - 'F~ tt;" Q ----- (!)~. 1-. Co (. '$."'lo,..L. p:;::... G..I~ ~;IW f+ - V h.tAD ;: '-.,1..- rdolo<li\jq~':. ~rl."" p.pE: Vol '"'~ e - ""L. rrr,fl...,l-. 10 2- ::. 1r cP ,1(z... v-l.. A.{ 'ttEi'I\.."'1 G:'t'\.4;" "D1\..A..uA~{; LAI-c.' {O '- ')t' (] st -::: L- - 5"1 r-: +- I~t te/' ~ ~o -... t-NM. OAT!: SEASONS ENGINEERING, INC (360) 452-3023 619 5 Chase St. Port Angeles, WA 98362 SHEET SCALE: DRAWN IY 7P CHECkED: 0. ( CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST ~ I Date 9-. -- (1--0 L~ Time Received by (phone, person) l/~ E- F-r6 Y\-r T<u.-> (\ LOr' 1~.{1l fr G Phone No INSPECTION NOTES Inspected Date Time By ~ Remarks -F/U S rr",- ( J Jlf-e 'U...J ( .Ll ",-.J--ey S-e rv I c--e Lu 1 ~ I X 7~ '111 Jl- -/-tr- t:t/t,8/Z-t// RESTORATION REQUIRED YES NO jJl' ~ r .", L--- T ~ I b 1 · A'(c-j:: \) -/ fr-6Y\+- )t- . -.......... ~ ~ - 1 .~ SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City Work Order # 1 0 3:3 0 -- 00 ( [] Repaired by Permittee ~MPLETE CI No Damage Found D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (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 Plumbing '7/1 c:- F~ ~ . / (? -e. 411. t:L Phone No Permit No 3;-CJ () t? Final Sewer Excav Other ~-\-o~ -L INSPECTION NOTES Inspected Date :J - t../ - 0 i Remarks Time ftfr'\ . BYC~ ~.~i I~ RESTORATION REQUIRED YES X NO -- I I I rf I ,~ p v c.. sadJ\E'- .5 ~J"'r b, c.. 0 ""-l Y8 c:T;;Y'" r-").I-'-~~, SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel ~Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE /JC: {f~t'd ~ 31M -/;:7 I~nntinlla. nn ra.\la.rc::~ c:::iti,:t if n~ra.c:.c:::::arv' " ".......P"r-.... ". .I"'U-............r-...roto............ II"\^T~' 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) '7// GF~ ---:--: ' / (1-f..411 t:L Phone No Permit No3-Q 0 Ji Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~-\u~,",- INSPECTION NOTES Inspected Date :;. - J.j - 0 ~ Remarks Time )1 J11 By:.... . -cd c., t> W\ i I-rle: RESTORATION REQUIRED YES X NO \ I I I ~ I I .~ I i I L-____--- QC~ I .~St'-4 - L . "l -- PUC~SClJJ\e. sg.J",p 6'1 c..o ",-Lrdcr.;;....- / I '2 I' " t:> rt C, SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel ~Asphalt 0 PCC o Other hesz:.. \"'G~^\\i'~\ UJ\ t,t \ t-\ot M'\ 'X -3- \~-()L-\ ti ~ / ~ -rk /' (~'fJd Qf;l3/. YIP (Continue on reverse side if necessary) I ' STREET SUPERINTENDENT o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # 0.9. COMPLETE o INCOMPLETE (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING - UNDER FLOOR' SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 'WATER AIR SEAL WALLS CEILING FRAMING JOISTS' GIRDERS SHEAR WALL WALLS' ROOF' CEILING DRYWALL T-BAR INSULATION SLAB WALL' FLOOR' CEILING MECHANICAL HEAT PUMP WOOD STOVE' PELLET' CIDMNEY HOOD' DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE'METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. P ARKINGILIGHTING ESA. LANDSCAPING SHORELINE: 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 'PW' CONSTRUCTION R. W ENGINEERING 417-4807 PW 'ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T-\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #.s SEPA: P ARKING/LIGHTING 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 / PW/ CONSTRUCTION - R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE 4 17-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\l 102.15 [412002] Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . . ~bf Time Received by (phone, person) REQUEST Location of Work to be inspected t J I t=: Fvv Y\ i- Name of person requesting inspection ~~~(', 1\-lYft T I () 1::+ Address of person requesting inspectiona-" WW,d _ Phone No ~O <14 I Type of Inspection (circle appropriate one~ Permit No 03... q 08 Sewer Foundation Framing Chimney Plumbing Final ~er E~Other INSPECTION NOTES ~ Inspected Date C2 1 / Remarks Time J e.t"\'Y\~ - By " I: It.- J C-- uJ o IL-- NO ~/ RESTORATION REQUIRED J r l'r () 4-1,,' , L;-J_- I- - - -- -t~ i 1/ ~ f '\ . YES 1- '" 15: ;...\ '- - ? -' '4 0(;-' r ",.., ,)1 r T f q 'i' ~j I-\" ~ D r t /: \' < i ( If' .. \--L l j I ~ 112: ----------1 .:. -; 'I \ ~ '1 I ) N rv'()kj..- ~'1 ~€O SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~::3""'S ~9f'8e y~ ....,.61..1Y ~a -5 ~.c 'S e.' !r~or-m (09f) :IN/ DNld=-3/\I::; V~ , SNOS~3SV J .... . - '-~ ;~ 'Iliih !f'>tJ "'" ~" d S r 03>iJ3H) SNtJ B dsr ).8 NM'v'~O ,02 = "I 31'v':JS ~ooz N 'if r '31 "10 I ,_.. , -- - ----,--- - -.-, - -- - --' - ... - - ... Q) .c .E .... ~ g .~ ... ... -~ "4- a. - ~ Q) en II Q) ..9! - ... = ':; Q) - ,S 0' 0' lLJ Q) Q) c ... <( -' 0 Q) - ,~ <( u ... & u en 0 (/) - () C/) u - - :::J 0 ... E +- (/) Vl '- :>-. C W f +- 0 I- U u 2 ~ '- - ~1\1ld 3.llS NOi.l: i ~-,-:::' = = '" r-' "'" ~ ~ I ~ .2 .~ ... a. Q) - o g c - 0 o :;: - ~ o o ~ U t1.> ~J N ), ~\- cl .. \v w \--. ~ I l.u ilJ '" "'"" 2 I ->".h -< -~ ~~ <fI I )oi ~ ~ UJ I ;\ I.J..I Ill. --.... I II .............. u ~ ~c:Ild W01.LN31.1BO \I'lil.S '. ~ "i I - - ~,,9\ .:1"09 ::.c ~ ~ II ~ <l :ll' I 3NO ~. ,/ , ~ ,,/' w:1t I I "- l: f'\ IG aU. Ii"l I fl.1 II <T'!Iddv.) I ..... ., . ," r ~ "..' . .,..,;,: ... .",1 f" . .. .." ( t ~g ~~ , '- ~ ~~;;a^,.r; ,~ , .... f" ~I VI z )<t' - <. ll.' ~ rl'\1J tl/: 4U, ~~ -l'1 11 a ~ll\ "- . UJO ~:::..c ~ -I ~ c;i. ~: ;Z:cQ ....1-1 Y r \ " )1 ~ CQ ~ I. . '" . 0(\ v') , " \ ~I ;i " , '- ~ , ....; ~ -- I z: I , , " ,Drl 0 .JJ .- <J I j t I-~/ I -[ "L I . 10 ",<'1 1......\.1 "'- \P z I", 0- ~\ I:; << , I I ~ "" )/./ V l- e( Q.. 0- .-: ....r I I W I~ u ~~ ( lltt I...IJ or"" ~ <(r I I >- I", I" ~~ C::i. uJ 1lI.- t- U <\I" \l<:-' ~-I' .-J I~ lID ~ (f) 1~ 11J'^ lllt..i I I " I l- I ; I I I z ~ 0 UJ I ~ I I I CY ~ l.L.. '" I I I I 1/1 -- ~~ ~ %: I ~I ' I <! I/' I ..1- ~ / x I \!J ""1 III \!J I I z I ~I z I I ~ \J I- :i z. '~I ~ I I I I : z " 0 rY Ct' r:Y I <t l' , I- Cl LL ""I <! I I I Cl- V\ .-J I- lL /-1- f'\ If) ~ I tJ ~ "" tn <t' X W v I I I I q: ~ UJ ~ <( I I I I 0 ~ I ~ ~ \j : ! I I 2 ~ z I I I I l'- ~, l- I 1/1 1/1 I I I I k, ~ II I I I )< >< III ~ IU I ~" II I I I I I I ~ ~I : I I I I ~ I I I I ~I I I I I I ~ ! I I I I " I I I I I I I I "" ,~:.J f I I I ~ " I I _ ="=--___ ~'" L "" " I L I - w___'_ " <I I L-____________________--1_, __ I : } \ I~ I I ,./ "'::J. I I .L '3 3. d .1 C; 3=>'Nn3 -- t; ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBLIC WORKS CONSTRUCTION Issued: 3/03/99 TF Permit No: 932 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ TERRY NESKE 711 FRONT E 711 E FRONT Lot: Port Angeles,WA98362 Block: 39 Long Legal: ~ 360/457-0456 Sub: N R SMITH ~. PROJECT INFO-------------------------------------------------------------------- Work is N/A traveled road Value Work: $O.OO~ / / ~ / ~o.oo 4 Plans Required: N/A Contractor: ANGELES PLUMBING Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Storm Drain Underground Tele/Ele Misc NOTES------------------------------------------------------------------- Work to Perform: PROJECT Watermain sanitary Sewer 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" Corom Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: Receipt No: 4434 Inspection Fee: R/W SANITARY $40.00 $0.00 $0.00 $0.00 $0.00 $200.00 $0.00 $0.00 $0.00 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): Misc: $0.00 $0.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $0.00 $0.00 $0.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: DWY STORM - DRA OTHER $270.00 $270.00 $0.00 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 cel the provisions of any state or local law regulating construction or the performance of construction. 3-3- Date Si nature of Owner (if owner is builder) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . .. INSPECTION REPORT. // Date q kq 19-1Time Received by (phone, person) REQUEST Location of Work to be inspected. Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) :1/ { E FJUxi-- -;/7. ~ Phone No Permit No Final~ewerE~ Other /b-pai/u 132- Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES Inspected Date Remarks Time By r/::;:zr(J } /! ~ ~/f /1/( 11/5!f::;1{ -le/cpa1r (1;/ Ir.{.r't' RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved [J Gravel 0 Asphalt D PCC D Other o Repaired by City [] Repaired by Permittee CI 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 POR 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 YES NO FOUNDATION: FOOTINGS WAlLS FOUNDATION DRAINAGE ELECTRICAL (UGJIT DEPl) ROUGH-IN PLUMBING UNDER FLOOR / SlAB ROUGH-IN WATER UNE BACK FLOW / WATER AIR SEAL WALLS CEIUNG I FRAMING JOISTS / GIRDERS SHEAR WAll. WAlLS / ROOF / CEIUNG DRYWAll. T-BAR INSULATION SlAB WAll./ FLOOR / CEIUNG I MECHANICAL CHIMNEY WooDSTOVE / PEllET DUCTS PW UTILITIES / SITE WORK (Engineering Division) WA TERUNE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE I YES NO COMMERCIAL DATE ACCEPTED YES NO ElECTRICAL UGm DEPT 417-4746 ElECTRICAL UGJIT DEPT CONSlRUCTION R.W / PW/ CONSlRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE (MULTI-FAM. ONLY) 4 I 7-4654 FIRE DEPT BUIlDING 417-4815 BUIlDING GENERAL COMMENTS: PW-II02.15 [4/96)