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Home My WebLink About1102 Caroline St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 // PUBILlC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT OLYMPIC MEMORIAL HOSPITAL 939 CAROLINE PW'CITY, PW State PW.zip 000/604-7700 PROJECT INFO Work is Plans Required Start Date Contractor' LANDSCAPING BY COCKBURN Performance Bond Required Amount: Proof of Insurance Work to Perform Issued 1/03/2000 Permit No Work Order' 1022 o PROPERTY LOCATION 1102 CAROLINE Lot: 8,9,10 Subdivision HART & COOK Parcel No Block. 1 ~. ~ ~ \":) ~ ~ ~ ~ ~ [g] Long Legal Value Work. $000 I I Finish Date 360/681-0644 I I $000 [g] Install D Repair [g] Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Mise PROJECT NOTES upsize w/m from 5/8 to 3/4 I/~joou FEES ASSESSMENT 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' $000 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' $000 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo 3/4" $000 23 ) R!W Use Perm $000 10) Comm Water Serv- $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $125 00 25 ) 0 RA. $000 12 )Water System Dev' $000 26 ) Misc' $000 13 ) San Sewer SFR $000 TOTAL FEE. $125.00 14) San Sewer MFR $000 add unit: 0 Amount Paid $125 00 Receipt No 5690 Inspection Fee $000 Balance Due $000 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 complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel e ovi ions 0 ny state or local law regulating construction or the performance of construction. d' -.3-t'.:o Date Signature of Owner (if owner is builder) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . .;,' . REQUEST Date 1:2); Iff' Time ;/ S'5~-- J ~() J 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) Sewer Foundation Framing Chimney INSPE~~~';~~ihW@ Ojlfll Inspected Date I ;L - I 3 - '1 <1 Remarks S vJ ( D LA.) ( Phone No Permit No ( / ~ ~ ~ ~ ~ ~ :s~ ~ PI~bing., Fin~1 Sewer Excav 9ther . , ~/~.l Jl /4 ~/7 ~L~ .<1-<--< 7\ !t-);</1'- (~ U Time ,/111 \ By ___/, e~"""'-'r [~-re.. 0 Y( RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pce o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 14H- \ ... REQUEST Date -1 0 - G - 9 9 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . / T. 7 . ()O AJI1 Ime Received by ;:J I Y L. E. (phone, person) Location of Work to be inspected I ((J;;l ( -4 /( eJ L' IV'~ Name of person requesting inspection (J t' Y L <::.- Address of person requesting inspection I 7 .4A. 9- tJ Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav '!-"FiRE LIllie- T~f? ---- - Permit No qL~' <V ~ ~ ~ a Phone No Other PhrJ.()/9 INSPECTION NOTES Inspected Date / V - {; - 9? Time I {I t-- (iF /f.A1 By A t? IV Remarks flKE LIA/E }/t/T T4f7 '1/ E/lJi- Pi~ /I/!LI/E ~A/ Sf CCj{l-Ie/l &r C-4Il,ll,vE ~CIf-1"""JfE)eJ7.,. .--. "'5 r t RESTORATION REQUIRED YES NO ".--- r tV ==---=.-- , () :t. ~ ~ .r ~ C 1tJ</J LINt:: ~ :>::I 0- ~~X .,~_..._.~. ~ .;:: "Ir--n .:h ~:;~ r\k9 ("' ~~. n"\ " t rf\ , I P5" " - J , ,;- ,- '--" SURFACE RESTORATION SURFACE TYPE ffUnimproved 0 Gravel o Repaired by eity [] Repaired by Permittee o No Damage Found o Asphalt 0 pec 0 Other Work Order # I )L b f- ~OMPLETE 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 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 ACCFl'TED COl'tlMJi1ITS I YFS NO FOUNDATION: FOOTINGS WAlL5 FOUNDATION DRAINAGE ELECTRICAL (UGHT DEP1) ROUGH-IN I I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SEAL WAlLS CEIUNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WAlL5 I ROOF I CEIUNG DRYWALL T-BAR INSULATION SlAB WALL I FLOOR I CEIUNG I I I MECHANICAL CHIMNEY W09DSTOVE I PEllET DUCTS PW UTILITIES I SITE WORK (Engineerinll Division) WA TERUNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OllIER FINAL INSPECTIONS REQUIRID PlUOR. TO OCCUPANCYIUSE RESIDENTIAL DATE YFS NO COMMERCIAL DATE ACCFl'TED YFS 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 417-41115 BUIlDING GENERAL COMMENTS: PW-II02.I~ (41961 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . / REQUEST Date / ~ -, - tj 7 Time / /:' J tl 11 /11 Received by P t r L E (phone, . Jlerso.!l ) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney C/9/? L .:- ) 74< <f 8 , {.,. II{/' C'" Plumbing Final Phone No Permit No Sewer Excav Other pW ~ #1 r- ------ --- <::::J ~ ~ '"b ~ ---- -- ::! C INSPECTION NOTES w9 Inspected Date / V - l - / Time 9. tJ v Remarks 7 /9 f7{' e J? Ive tv / ~:J. /, tv /1 T~ Je 7/0. I ( I' , W /J T e .Y t::.-/t- V' I C ~ ./1 /I? By J" tEl? VicE. IIV /JNI7 C 1/;- pie ,t:"" Re h1. tJ V eeL C- 5(p Go - r;;. 3 Co 8 (p Z (p~4 4-370qq 1'12- qg RESTORATION REQUIRED YES ~ NO I 11 /'-./ n :::t. ~ ~ ~ C A /? OLII1I e ~ ___k_'_~_"_ _ ~-'- \" - - 0 i/A(..t/€. , . \n It-., - I I, '>.J --' X I ~ S6,!(v;c.t; {--x S I, - L /A/c Cvr /1' ,)'eKV;Cl; /I;:; F SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel ~halt 0 pce o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE [g-TNCOMPLETE (Continue on reverse side if necessary)