HomeMy WebLinkAbout835 Church Ave - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILIC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
RICK & SANDY GRANGER
830 CHURCH AV
Port Angeles, W A 98362
000/605-5137
PROJECT INFO
Work is
Plans Required Start Date:
Contractor' ADMICH CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
6/24/2002
Permit No
Work Order'
1269
o
PROPERTY LOCATION
835 CHURCH AVE
Lot: 29 - 30
Subdivision. BEN CHAMBERS ADDN
Parcel No 063015521300000 i:8J
Block: 13
Long Legal
Value Work:
$0.00
I I
Finish Date'
360/417-3409
I I
$000
i:8J Install
o Repair
i:8J Watermain
i:8J Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
i:8J Mise
PROJECT NOTES
SANITARY SEWER IN CHURCH AVE AND IN MCGILL ST WILL REO. TAP
ON MAIN BY CONTRACTOR WATER MAIN IN CHURCH AVE. PLACE STAKE
IN GROUND WHERE W/M IS TO BE INSTALLED (CHURCH AVE) IF CULVERT
IS REO. THEN 12" - 25' CULVERT TO BE PROVIDED BY OWNER INSTALLED
BY CITY FORCES RECEIPT#9243
FEES ASSESSMEN"F
1 ) R/W Excav'
2.) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo 5/8"
10) Comm Water Servo
11 ) Other Water Service
12.)Water System Dev'
13 ) San Sewer SFR:
14) San Sewer MFR
add unit:
$45 00
$000
$000
$000
$45 00
$000
$000
$000
$640 00
$000
$000
$1,02500
$95 00
$0.00
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap.
17 ) Sew Capl W 1M Removal
18 ) Alter Repair Sewer'
19 ) Storm Drain.
20 ) Catch Basin per ea.
21 ) Sewer System Dev'
22.) Milwaukee Dr Sew Ass
23 ) R/W Use Perm
24 ) Admin Cost (D RA)
25 ) D RA.
26 ) Mise:
TOTAL FEE.
$000
$0.00
$000
$000
$000
$000
$745.00
$0.00
$000
$000
$000
$000
$2,595.00
$2,595.00
o
Amount Paid
Receipt No
Inspection Fee
RW SANITARY
$000
WATER
Balance Due:
$0.00
DRA OTHER
DWY STORM
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
provisions of any state o~callaw. r egUlati. 'ng.7~' struction or the performance of construction.
--7,)( I '// /
L- - (~_~ ././i--/ ~ :;:"}/c I::
i nature of Contractor or Authorized A ent Date Si nature of Owner if owner is builder Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
bw - 2..00 1- 21 S-(.,
REQUEST
Date { r ( ,- () Z-
Time
Received by
(phone, person)
location of Work to be inspected 83~ L4.I..H--cL Ave..
Name of person requesting inspection 7) ~ (~~ V'o...
Address of person requesting inspection Cur,1 Yb-.-Jc\
(
Type of Inspection (circle appropriate one)
Phone No 4/7 - 4f1'-l:t:t
Permit N~
Sewer Excav Othe '4.../-te.r
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Time
tV (1-[" 1'( ta,j e;<.teYld.
(
By
{'( ^
r;:E
I
II -r- 0 f1.-Le. t- l' or
Cll;; ,== I g 2- 3~/3.-()
RESTORATION REQUIRED
YES
NO X
535 ~
ct..vrc:t.. All e.
----
U '-
-
~ \9
2'1 f!lIc - 3 ( (>eef- -{~
/ (" -r~ ;riPler-ty '0'
r c~vr,-L Aue
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
o No Damage Found
D Asphalt D PCC D Other
Work Order # 2 (5~
[B'" COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
Date
CITY OF PORT ANGELES
, ~ DEPARTMENT OF PUBLIC WORKS
- -
. . . . . . . . INSPECTION REPORT . -~ .
r;/ ~/ /) 7n::e
- - -
.....
REQUEST
Received by
(phone, person)
Location of Work to be inspected . ~
Name of person requesting inspection )4ui · ,4 J. ~.." ~ b,- ,4.d VI'! u' ~h
Address of person requesting inspectio IYIlrJl'lSDh Phone No
Type of Inspection (circle appropriate one) Permit No /2/1;1
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date S - :5 0 ~o '2--Time P w\
Remarks to'l sf; h 6 /..1 -f+-z........-, 1.4/1 ",' I 11\
By C-AA8
RESTORATION REQUIRED
I
:; II
B' I _ ' 1<'1-- t':,<> ..- -~ I
~ u. r C 1/- - 1 - - _<2- - 1\. '" r' 1 . --I.. Ii I
--. -6). ,-- Wye 1f1S\~ eo:
L./ I f by c..",1r..~i'1"-r
c.. X ""1 --...>
I!
redu.cer -__-!
-,
3'd-'!e-p -(~.~,
Jl \()
--\"'-
<::. I ~-
\
YES
NO ,x.
:u-
j
~~
C-hu\"'c-~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D 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 ACCEPTED COMMENTS
YES I NO
Ji'OUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGlIT DEPT)
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
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
WALL I FLOOR I CEILING I I I
MECHANICAL
CHIMNEY
WooDSTOVE/PELLET
DUCTS
PW urn.rrIES I SITE WORK (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 4174746 ELECTRICAL
LIGHT DEPT
CONSlRUCTION R.W I PWI CONSlRUCTION R.W
ENGINEERING 4174807 PW I ENGINEERING
FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEPT
BUILDING 4174815 BUILDING
GENERAL COMMENTS:
PW-1102.15 [4196J