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Home My WebLink About624 Evans Ave - Engineering ~ YI CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBLIC WORKS CONSTRUCTION Issued: 11/21/97 TF Permit No: 775 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ STU KEDISH 624 EVANS 2012 WEST 6TH Lot: 6 ~ Port Angeles,WA98363 Block: Long Legal: ~ 360/457-5005 Sub: SEAMOUNT IV ~ PROJECT INFO---------------------------------------------------------------- --- Work is N/A traveled road Value Work: $O.OO~ Plans Required: N/A Start: / / ~ Contractor: OWNER Finish: / / ~ $0.00 '\jJ Performance Bond Required: N/A Proof Insurance: Amount: Storm Drain Underground Tele/Ele * Misc DWY NOTES------------------------------------------------------------------- Work to Perform: INSTALL Watermain Sanitary Sewer PROJECT PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: Sidewalk: Curb/Gutter: Driveway: * Dwy Culvert: Street Cut: Otl.1er 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: 3920 Inspection Fee: R/W SANIT AR Y $0.00 $0.00 $0.00 $125.00 $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): Misc: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $330.00 $330.00 $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. ca:cel the~Vis ns of a:y state or local law regulating construction or the performance of construction. ~~ - 5~ff Signature of Contractor or Authorized Agent ate Si nature of Owner (if owner is builder) Date $0.00 $0.00 $0.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: DWY STORM DRA OTHER (I ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 11/21/97 TF Permit No: 775 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ STU KEDISH 624 EVANS ST 2012 WEST 6TH Lot: 6 Port Angeles,WA98363 Block: Long Legal: 360/457-5005 Sub: SEAMOUNT IV PROJECT INFO------------------------------------~------------------------------- Work is N/A traveled road Value Work: $0.00 Plans Required: N/A Contractor: OWNER Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: / / / / $0.00 Storm Drain Underground Tele/Ele * Misc DWY NOTES------------------------------------------------------------------- Work to Perform: INSTALL Watermain Sanitary Sewer PROJECT 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: 3656 Inspection Fee: R/W SANITARY $0.00 $0.00 $0.00 $125.00 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $125.00 $0.00 $0.00 WATER DWY STORM DRA $125.00 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 be complied with whether specified herein or not. The granting of a permit do~ not presume to give authority to violate or cancel the provision~"of any state or local ~w r;gulating construction or the performance of construction. j:;}/4~/~ ?1 y~:;{ CI , Signature of Contractor or Authorized Aaent Date Signature of Owner (if owner is builder) Date $0.00 $0.00 $0.00 TOTAL FEE: AMT PAID: BAL DUE: I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premi ses S~elJ rfJo//S/; Address_~k4 ~7/ff-/7 S APPLICATION FOR WATER City Water Department Port Angeles, Wash Name of Applicant Renewa I 0 ~o , 1 00 ;;:LOld-. l-U~~ Add,SPtt :rn~V/7'f-- J Size of Service Meter Number ~ Service Left On ~Service Left Off ~Signed ~-- ----.., .... Installed by . / ~.2- - ";::::.c..:> C w ~4d;:J.C) Remarks L- Iflflul- P- ~ 7 :) j 4?-~- eQ ~ V c) F:::~:j:: r-,- fJ1ekr (;!j If ~ 32. Se.r,a{ #' l(o(;,3o:J..30 % NeftfAl/i e lZ..eI4J,''"i' - 000= ~ '.1601 J . -l t(oH I' '.1 V N w =:5 €.: 14 It1Cil..-fv.--) IrJ ~ \~ s E CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . Date s;t/% Time Received by IF ~~rson) REQUEST Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No C S;w~undation Framing Chimney Plumbing Final Sewer Excav Other 024 EVA-11 S 5-k4J J::: ec/ &A. 175 INSPECTION NOTES .r-/ Inspected Date .J / Remarks Time -- //~ j By \ ~~ ~ \ J-- RESTORATION REQUIRED YES NO Y ( 0 -r q I -to-:----1C 1- ,-\5'" ~ o I ) { ----J -f' ~: ./(' .J / 7~ 1-/ 'f f.- I, r r .; i / I L,Yt.f ! 1--(511 i f y 1 I /- ) I - I 1.:> {,'d (f) \:: 1\:1 ~ 70 SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST / Date crf Z? 1ft- 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) CP24 GVIf11S j/lMlJ; J Phone No Permit No 77S Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Time By Inspected Remarks Date ~~. ~ - pluJ C(~~ , RESTORATION REQUIRED YES NO __-~---~--.-- 1_____ \~--- I~-. tY.:; > SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt D PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECI10N 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (UGlIT DEP1) ROUGH-IN PLUMBING UNDER FLOOR / SlAB ROUGH-IN WATER llNE 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 I MECHANICAL ClllMNEY WooDSTOVE / PEUET DUCTS PW UI1I..ITIES / SITE WORK (Engineering Division) WATERUNE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRFJ) PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ElECTRICAL UGlIT DEPT 417-4746 ElECTRICAL UGlIT DEPT CONSTRUCTION R. W / PW/ CONSTRUCTION R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE <MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUJI.DING 417-4815 BUJI.DING GENERAL COMMENTS: PW-II02.I~ [4/96]