HomeMy WebLinkAbout2206 S Cherry St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 6/04/98 LC Permit No: 840
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------______
MICHAEL DANISIEWICZ 2206 CHERRY S
2206 S CHERRY Lot: 1,2,3,4
Port Angeles,WA98362 Block: 18 Long Legal:
360/457-4704 Sub: FOGARTY DOLAN
PROJECT INFO------------------__________________________________________________
Work is OUTSIDE traveled road Value Work: $0.00
Plans Required: N/A Start: / / tJ
Contractor: OWNER Finish: / /
Performance Bond Required: N/A Amount: $0.00 ~
Proof Insurance:
Work to Perform: Watermain Storm Draip ~
Sanitary Sewer Underground Tele/Ele
PROJECT NOTES-----------------___________________~~::___________________________~
existing depress curb charge is $40.00 construct concrete driveway to
city standards
$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
PROJECT FEES ASSESSMENT---------------__________________________________________
R/W Excav: *
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other RjW:
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: 4095
Inspection Fee:
RlW
SANIT AR Y
$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 (DfR.A):
Mise:
$0.00
$0.00
------------------------------
------------------------------
$40.00
$40.00
$0.00
BAL DUE:
-----------------------
$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
th;, type of worn w;U be romplied w;th whethe, 'pedfied he'e;n 0' not. The g,anonBf a permit does not presume to give authority to
violate or cancel the provisions of any state or local law regulating constructi n or t\ erformance of constructio;.
~ '^ GILt q(eJ
Signature of Contractor or Authorized Agent Date Signature of Ow e (if owner is builde Date
$0.00
TOTAL FEE:
AMT PAID:
WATER
DWY
STORM
DRA
OTHER
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST I }
Date (I, I (t tt1Y Time
~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~~~~~
Received by jF
rLlLJ~
(phone, person)
Phone No
Permit No
c2 --1~
~-t _
~
Sewer Foundation Framing
Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date Time By
Remarks
{h;f:;/I;;r~7E;~~ r~4Y~~~;ULdZ-#'
RESTORATION REQUIRED
YES
NO
{;- /\ 11(
No }>"'ld':':'~
..-. / -- .
~! ".-, .", ,/ ~ ", ;'f.!,
t I /~~ ;
I I ,
. ..
II j
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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 ACCEPTID COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ELECTRICAL (umIT DEP1)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SlAB
ROUGH-IN
WATER UNE
BACK FLOW I WATER
AIR SEAL
WAllS
CEIliNG I I
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WAlLS I ROOF I CEIliNG
DRYWAlL
T-BAR
INSULATION
SlAB I
WAlL I FLOOR I CEIliNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEllET
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WATERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OllIER
FINAL INSPECTIONS REQUIRID PRIOR TO OCCUPANCYIUSE
RFSIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTID
YES NO
El.ECnuCAL UGlIT DEPT 417-4746 El.ECnuCAL
UGlIT DEPT
CONS'ffi.UC110N R. W I PWI CONS'ffi.UCTION R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT
BUIlDING 417-4815 BUIlDING
GENERAL COMMENTS:
PW-II02.13 (4/96J