HomeMy WebLinkAbout535 E Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/
PUBLIC WORKS CONSTRUCTION Issued: 3/26/99 LEH Permit No: 942
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
RIVIERA INN JAY EUN SO 535 FRONT E
535 E. FRONT Lot: 16,17,18
Port Angeles,WA98362 Block: 41 Long Legal:
360/417-3947 Sub: NR Smith
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
CJ'
(~$
$0.00 \}\
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PROJECT NOTES-----------------:::~:::~-:::::-----~~;;:~::~::-::~:~:~:----------~\
,171-dU2A?Ul~C2P.4 3/Z11qQ >>TJu-(/-uf (2) s;r i; ~
PROJECT FEES A~~E~M;::~-~~--~~~!:~~~~--------------------------------~
R/W Excav: $0.00 San Sewer SFR: $0.00
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: $0.00 Catch Basin per ea: $0.00
5/8" Sewer System Dev: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Corom Water Serv: * $1,500.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
* 11/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
/
/
/
/
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL * Watermain
Storm Drain
TOTAL FEE:
AMT PAID:
$1,500.00
$1,500.00
Receipt No:
Inspection Fee:
$0.00
BAL DUE:
$0.00
R/W
SANIT AR Y
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 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 can el the prpvfsib of any state or local law regulating construction or the performance of construction.
~r 7-~
Date Signature of Owner (if owner is builder)
Date
CITY OF PORT ANGELES /:
DEPARTMENT OF PUBLIC WORKS /3 {; v
.
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date / 2....- L( - 0 D
.
Time
Received by
(phone, person)
Location of Work to be inspected 5 3 S E F~ h t
Name of person requesting inspection I W I 1 (. () X
Address of person requesting inspection /711.. 15- fj( Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Lu ~~
INSPECTION NOTES
+6
Time
f( c) h IJ---t l0
PIck u;::;
y-vv- /R'VJ^VC'-
By
Q..ll ~tI C q4iz ~ (') 1
1 Y 2- c;-f'j/ (/ I 'c--e
,
6)yto f.eL
Inspected
Remarks
Date
RESTORATION REQUIRED
\ YJ- )~vc)\(.-e.
NO
4S~al) 5
~ [
\ ( PUG -rt I t)..'t (-.I
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l\~'J-7' 4,1 ~J I II
t f- ']'51 \~
').."01011' DY- ~
f Fr611 +-
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SURFACE RESTORATION . ~
SURFACE TYPE 0 Unimproved 0 Gravel ~phalt
OPCC
D Repaired by City
[] Repaired by Permittee
o No Damage Found
o Other
Work Order # 1/ 3 C( "\ Y ~~
o COMPLETE Dw - ';).0'1 Ur ,,~f '
o INCOMPLETE \Y. ~
'J\~
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECfION 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
YES NO
FOUNDATION:
FOOTINGS
W AIL'i
FOUNDATION DRAINAGE
. ELECTRICAL (UGHT DEM)
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER llNE
BACK FLOW I WATER
AIR SEAL
W Al.Ui I
CEIUNG I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAIL'i I ROOF I CEIUNG
DRYWALL
T-BAR
INSULA nON
SlAB
WALL I FLOOR I CEIUNG
MECHANICAL
ClllMNEY
WooDSTOVE I PEllET
DUCTS
PW UTILITIFS I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTIIER
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
IlESIDrnTIAL DATE YES NO COMMDlCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGHT DEPT 417-4746 ElECTRICAL
UGHT 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 BUIlDING
GENERAL COMMENTS:
PW.ll02.13 [4/96]