HomeMy WebLinkAbout1218 E Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
LYNN H ROGERS
1210 E FRONT ST
Port Angeles, WA 98362
000/600-0000
PROJECT INFO
Work is
Plans Required
Contractor' VISION BUILDERS
Performance Bond Required
Proof of Insurance.
Work to Perform
Issued
3/12/2002
Permit No
Work Order'
1253
o
PROPERTY LOCATION
1218 FRONT E
Lot: 8-12
Subdivision.
Parcel No
LONDON PARK
063000750110000
Block. 1
o Long Legal
Start Date
Amount:
C8J Install
o Repair
o Watermain
Value Work:
1 1
Finish Date.
360/452-1186
$000
o Sanitary Sewer
C8J Storm Drain
o Underground Tele/Elec
PROJECT NOTES
install 6" stm drain in alley with CB
o Mise
$000
1 1
RECEIPT#8816
FEES ASSESSMEN'F
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
o
$45 00
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
WATER
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17) Sew Capl W/M 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 ) Mise:
TOTAL FEE.
Amount Paid
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$45.00
$45 00
Balance Due.
DWY
STORM
DRA
$0.00
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 b lie with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
pro . ion a y at or local law regulating construction or the performance of construction.
5-~O~
Date
Si nature of Owner if owner is builder
Date
BUILDING PERMIT INSPECTION RECORD
CALL 4174815 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 LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTs
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
ROUGH-IN
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING , ,
MECHANICAL
CHIMNEy
WooDSTOVE I PELLET
DUCTS
PW llTILITIEs I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONR.W IPWI CONSTRUCTION R. W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONL Y) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW 1102.15 [4I96J