HomeMy WebLinkAbout705 Estes Ct - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
RICK ANDERSON
618 SO PEABODY
Port Angeles, W A 98362
360/452-1232
PROJECT INFO
Work is
Plans Required Start Date
Contractor' ANDERSON HOMES LLC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
7/09/2002
Permit No
Work Order'
1280
o
PROPERTY LOCATION
705 ESTES COURT
Lot: 21
Subdivision
Parcel No
Block.
MILWAUKEE HEIGHTS
063000450210000 D Long Legal
Value Work.
$000
I I
Finish Date.
360/452-4641
I I
$000
~ Install
D Repair
~ Watermain
~ Sanitary Sewer
~ Storm Drain
D Underground Tele/Elec
~ Misc
driveway
PROJECT NOTES
san. sewer if along the North side of lot 30" deep at east end.
w/m drop in
construct dwy to city standards
CAll FOR INSPECTION 24 HRS PRIOR TO INSTAllATION OF DWY OR
SAN. SEWER RECEIPT#9316
FEES ASSESSMEN"F
1 ) R/W Excav' $000 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' $145 00 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' $745 00
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000
9) Res Water Servo 5/8" $150 00 23 ) R/W Use Perm $000
10) Comm Water Servo $000 24 ) Admin Cost (D R.A) $000
11 ) Other Water Service $000 25 ) D R.A. $000
12.)Water System Dev' $1,025 00 26) Misc $000
13 ) San Sewer SFR. $95 00 TOTAL FEE $2,16000
14 ) San Sewer MFR. $000
add unit: 0 Amount Paid $2,16000
Receipt No
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 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
~i~ns of any state or local law regulating construction or the performance of construction.
0G.--\-0---c~ '1 - q,- 0 ~
Sianature of Contractor or Authorized Aaent Date Sianature of Owner (if owner is builderl Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date
/O/1/a-z----
Time
Received by
-Jr-=-
/ /
(phone, person)
Location of Work to be inspected 70S c:::=-s J~ c->T
~ '
Name of person requesting inspection / /lht.<..q
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney PIUmbing~eWer E;t;, O.ther
:~s~::'~;I~~t~OTE/q~Z-- Time ,/, '/5 (~ By ~-d
Remarks J.) r-l \J e I ~u lj C--"'> ~I) (-e te
_ I 1
iJ6tJ\y\'i,ru.T<:: 7..... ri'>~rte(-re..L 7r~ # ?l'c.... ,Vlit;. '111'-<">,, h d :c d,d "0+
'v
I ",::'!--,("(7 MY)' A\pl( 8
RESTORATION REQUIRED
YES
NO
IX
--
~(
,....--
70.::J
-----
'/.:;:> ./
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'./
)
~/ R /
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V ~
Y
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel D Asphalt 0 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)
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
1lt t.a/ () 2-- Time
~
REQUEST
Received by
(phone, person)
~ t=sle-~ CT
- ~ c;. - .::r
Phone No
Permit No
Plumbing Final Sewer Excav Other
1..0 -t d-I
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
(S;~Foundation Framing Chimney
I2.BD
INSPECTION NOTES V1 / /
Inspected Date / Li!:;;2 / O:J- Time
, ,
Remarks ('..0 w'v\,..) \rte-
\
-pm
By \_A..J. xl
RESTORATION REQUIRED
YES
NO >(
~~ -----.---_.~ ----------"
-'-,
\
\
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel D Asphalt D PCC
D Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
Utu- ~C>o ( - 2..1 " ,
1"
APPLICATION FOR WATER
City W..D'.' D.p....... /L.. ...., 474~~, ~
Port Angeles, Wa~ II I t.
~
I hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premi;;t~ _ ~ /
Name of Applicant Jl.fn/fJrs///) ~/77 eJ"
Address 708 e.s~ c-r
Ro.owol 0 NOW5o,~lM- Blk~LotzL AddPh/ltltLVkteel/n
$;zo of 50..;00 / 'itS ahf2 /h.'D' NU~~ "2 ~ t
~
Service Left On 0 Service Left Off 0 Signed .
IV.. -00'0 DOC)
Installed by yw ,
Remarks 7(JrlHlr:lt IZIt) FISl)'lR ~ /t)Z)~
7<e c:#-- 9?,/tp )/1//0 ZJ~/
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E
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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGlIT DEPT)
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW UTlUTIES / SITE WORK (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONfROL
PARKING
OTIiER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGIIT DEPT 417-4746 ELECTRICAL
LIGHT DEPT
CONSTRUCTIONR.W IPWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE (MUL TI-F AM. ONI. Y) 417-4654 FIRE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-ll02.l5 [4196)