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HomeMy WebLinkAbout833 E Front St - Engineering s ~.,.. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST STH STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT HARTNAGELS (DELGUZZI) 833 E FRONT Port Angeles, W A 98362 000/604-2833 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 1 0105/2000 Perm it No Work Order' 1113 o PROPERTY LOCATION 833 FRONT E Lot: 14,15,16,17,18 Subdivision nr smith Parcel No 063000513860 Block. 38 ~ Long Legal Value Work. $000 Start Date 1 1 Finish Pate 206/000-0000 1 1 Amount: $000 ~ Install ~ Repair o Watermain o Sanitary Sewer o Storm Drain o Underground Tele/Elec ~ Mise dwyl sidewalk PROJECT NOTES relocation and replacement of sidewalk and driveway aC<2ess at Hartnagel Building. 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 Iitws 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. 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: 0 Receipt No 6666 Inspection Fee $0 00 RW SANIT AR Y ~ @/ 15 ) Other San Sewer' $000 16) Sew Tap Wye/Man Tap $000 17) Sew Capl W/M Removal $0 00 18 ) Alter Repair Sewer' $0 00 19 ) Storm Drain $0 00 20 ) Catch Basin per ea. $000 21 ) Sewer System Dev' $000 22.) Milwaukee Dr Sew Ass $0 00 23 ) R/W Use Perm $0 00 24 ) Admin Cost (D R.A) $0 00 25 ) D R.A. $0 00 26 ) Misc: $0 00 TOTAL FEE. $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $45.00 $45 00 $0.00 ORA OTHER Amount Paid Balance Due WATER OWY STORM Signature of Contractor or Authorized Aaent Date Date Sianature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417-481 S 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 YES NO FOUNDADON: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN I I 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 DR YWALL T-BAR INSULATION SLAB I WALL I FLOOR I CEILING I MECHAMCAL CHIMNEY WOODSTOVE I PELLET DUCTS PW UTll.ITlES I SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANlT AR Y STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIffiR FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL LIGHT DEPT 417-4746 ELECTRJCAL LIGfIT 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 BUILD~G GENERAL COMMENTS: PW-II02.15(4196] S ~:MiiI" CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST S11I STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT HARTNAGELS (DELGUZZI) 833 E. FRONT Port Angeles, W A 98362 000/604-2833 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 10105/2000 Permit No Work Order' 1113 o PROPERTY LOCATION 833 FRONT E Lot: 14,15,16,17,18 Subdivision. nr smith Parcel No 063000513860 Block. 38 [gJ Long Legal Value Work. $000 Start Date I I Finish Date 206/000-0000 I I Amount: $000 PROJECT NOTES relocation and replacement of sidewalk and driveway ac~ess at Hartnagel Building. [gJ Install [gJ Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec [gJ Misc dwyl sidewalk FEES ASSESSMENT- 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 $45 00 add unit: 0 Amount Paid Receipt No 6666 Inspection Fee. $000 Balance Due $0.00 RW SANITARY 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 IiIWS 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 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 r YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATERLINE BACK FLOW I WATER AIR SEAL WALLS CEILING T FRAMING - JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL CHIMNEy WooDSTOVE I PELLET DUCTS PW UllUTIEs I SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANlT AR Y STORM SITE DRAINAGE I EROSION CONTROL PARKING OTHER FINAL INSPECTIONS REQUIRED PRIOR TO OCcuPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL LIGHT DEPT CONSThUCTION R W I PWI CONSThUCTION R W ENGINEERING 417-4807 PW I ENGINEERING FIRE CMULTI-FAM ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDn.G GENERAL COMMENTS: PW 1102.1514196/ "'" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date J/-;Z7-G~) Time j' J , \. (.. tJlJ1 Received by I 7/7 6 perso~) Location of Work to be inspected~.J J e r/O~1 r Name of person requesting inspection iJ,,- t e[ t1 i/ Address of person requesting inspection I 7cJ"3, ~ 0 f3 <;1 Phone No. (.1/7- 'I<:pt/'7 Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ C-c.h'L t e ~ INSPECTION NOTES: Inspected: Date //-;l7-or.:;- Remarks: Time ~', 50pIYI By 711 , ;< ,\ . , f/1'7A /~1. ~/e4i <6X6 C-vl/N c;ij~vUtl./k v ! 'l:: ~ - , ~ ~ Jl'c.c r-'il' ~ q'\ ftOi/lf 5I. l-.: 'v) IIJ"a ~. 17.' t:.;I 0/ , 'V ~ ~ RESTORATION REQUIRED. . . . .. YES X NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC ~Other .5;dC' w~)k Work Order # 3u 3 9?- - OS'! o COMPLETE )2:[ INCOMPLETE ~} /?-/; /{)CS~ o Repaired by City o Repaired by Permittee o No Damage Found /'r;~ SlY~roJ