HomeMy WebLinkAbout1807 S C St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, W A 98362
PUBLIC WORKS CONSTRUCTION Issued: 4/03/98 TF Permit No: 825
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
BURT REID 1807 C ST S
353 CLOVER LANE Lot: 4,5
SEQUIM,WA98382 Block: 456 Long Legal:
360/683-6900 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is OUTSIDE traveled road Value Work: $0.00
---
/ / ~
/ / ~
-.:J
$0.00 ~
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
\)~
Work to Perform: INSTALL
Watermain
Sanitary Sewer
Storm Drain
Underground Tele/Ele
* Misc CULVERT/DWY
NOTES-------------------------------------------------------------------
'-
'-
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 "
3/411
111
Corom Water Serv:
1"
1 1/211
2"
Oth Water Serv:
Water Sys Dev:
$40.00
$0.00
$0.00
$0.00
$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
$0.00
------------------------------
------------------------------
$0.00
$0.00
TOTAL FEE:
AMT PAID:
Receipt No:
Inspection Fee:
3957
$0.00
WATER
BAL DUE:
DWY STORM
-
DRA
OTHER
R/W
SANIT AR Y
$40.00
$40.00
$0.00
Separate Penn its are required for electrical work, utilities, private and public improvements. This pennit 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 resume to give authority to
violate or cancel the provisions of any state or local law regulating constructi r the perfonnance of co ctiot).
Signature of Contractor or Authorized Agent
Date
Date
BUILDING PERMIT INSPECI10N RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I NO
FOUNDATION:
FOOTINGS
WAllS
FOUNDATION DRAINAGE
ELECTRICAL (UGlIT DEP1)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAllS
CEIUNG I I
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WAllS I ROOF I CElUNG
DRYWAlL
T-BAR
INSULATION
SlAB
WAlL I FLOOR I CEIUNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW UfILITIFS I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDEi'ITIAL DATE YES NO COMMERCIAL DATE ACCEI'TED
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-1l02.1~ [4/96J