HomeMy WebLinkAbout1003 S C St - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, W A 98362
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PUBLIC WORKS CONSTRUCTION Issued: 8/27/99 LC Permit No: 709
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
ROBERT MC GUIRE 1003 C ST S
Lot: 9,10
Port Angeles,WA98362 Block: 319 Long Legal:
360/000-0000 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
............
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Plans Required: N/A
Contractor: TRU LINE CONSTRUCTION
J4 'O/z.. qoodrld:... 1:>R. Nw
Performance Bond Required: N/A GI9ll,4eBO~WA
Proof Insurance: 4 f?~2c;
Work to Perform: INSTALL * Watermain * Storm Drain
* Sanitary Sewer u~derground Tele/Ele ~~
M1SC \ '
PROJECT NOTES------------------------------------------------------------------- ~
NEED TO VERIFY WM SIZE
Start:
Finish:
/
/
/
/
$0.00
Amount:
~
PROJECT FEES ASSESSMENT---------------------------------------------------------
$40.00
$60.00
$0.00
$125.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$80.00
$48.00
$0.00
$0.00
$0.00
$0.00
$0.00
$3,210.00
$0.00
$0.00
$0.00
$0.00
$0.00
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: *
San Sewer SFR:
San Sewer MFR:
Add Unit:
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:
*
o
*
*
$1,500.00
------------------------------
------------------------------
$0.00
$4,415.00
TOTAL FEE: $9,478.00 I
AMT PAID: $0.00 f({
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R/W SANITARY WATER DWY STORM DRA OTHER ,) , (r
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 a~mmenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify
that I have r d examined this application and know the same to be true and correct. All provisions of laws and ordinances governing
this type rk will be complie with whether specified herein or not.. The granting of a permit does not presume to give authority to
v;o'at , noe' the pcov;,;on 7~aw ,""ulallng con,truct;on 0' the pertonnance of con"ructlon
r Authorized Agent Date Signature of Owner (if owner is builder)
Receipt No: 5118
Inspection Fee:
$0.00
Date
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS /
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date /D- S- ~ r l'
Time
Received by
(phone, person)
Location of Work to be inspected / (:.. 0 3 5, c... s+
Name of person requesting inspection ,--=0-,:) 1\ ~
Address of person requesting inspection I 1 ~ 't-'f> Phone No
Type of Inspection (circle appropriate one) Permit No ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other r
INSPECTION NOTES
OAf
Time By
5Ju>kJI J!.j-.!--UJ1Y2-UJ~-er 5.ey--u~
?... or c- G{, ; J- --:t::- /? cSVf. (JJZ< -/--t1--
{}1<flJ 'Yl..A
Inspected Date
Remarks
~ ~ & F Cj1IB/7~1
RESTORATION REQUIRED
YES
./
NO (.,/
loA
(u>fr-H
~
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SURFACE RESTOR~N
SURFACE TYPE ~nimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Wo~er # jt(6b
EJ' COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
'"
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL T.? CO''-E.''!.,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMl'NTS
I YES NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL (UGJIT DEn)
ROUGH-IN
PLUMBING
UNDER FLOOR I SIAB
ROUGH-IN
WATER llNE
BACK FLOW I WATER
AIR SFAL
WAllS
CEIliNG I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WAllS I ROOF I CEIliNG
DRYWALL
T-BAR
INSULATION
SIAB
WAlL I FLOOR I CEIUNG I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW UfILlTIF.S I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
allIER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
IlFSIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ElECTRICAL UGJIT DEPT 417-4746 ElECTRICAL
UGJIT 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.II()2.13 [4/96J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
/
REQUEST
Date 1 ]".- JV ..-q l'
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)
loo~ S
f--; J1~
!,le')
Phone No
Sewer Foundation Framing
-7 C;
Permit No CJ I
,
Chimney Plumbing Final Sewer Excav Other 1== I ~
Inspected
Remarks
f>1 f9"11.. (y\ ~
INSPECTION NOTES . .. J
1 2- -- 1 J - q q Time
t: n~ :~~~fc:c~ ~~
/
Date
By
RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)