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Home My WebLink About3164 City Lights Pl - Engineering ~~ {i CIlY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBLIC WORKS CONSTRUCTION Issued: 4/15/99 LEH Permit No: 910 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BETTY WENDEL 3164 CITY LIGHTS PLACE Lot: 6 Port Angeles,WA98362 Block: Long Legal: 360/457-8702 Sub: CITY LIGHTS ESTATES PROJECT INFO------------------------------------------------------------_______~ Work is INSIDE traveled road Value Work: $O.OO~ / / ~ / / ~ $O.oo.-ft' \'- * Storm Drain i Underground Tele/Ele * Misc dwy PROJECT NOTES-------------------------------------------------__________________ ~ ~ PROJECT FEES ASSESSMENT----------------------------------------------___________~ R/W Excav: * $40.00 San Sewer SFR: * $80.00 Sidewalk: $0.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add Unit: 0 Driveway: * $125.00 Other San Sewer: $0.00 Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: $0.00 Fire Hydrant: $0.00 storm Drain Tap: $0.00 Res Water Serv: * $125.00 Catch Basin per ea: $0.00 * 5/8" Sewer System Dev: * $642.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Corom Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2" ============================== Oth Water Serv: $0.00 Water Sys Dev: * $883.00 ~ Plans Required: N/A Contractor: TERHUNE HOMES, INC Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer TOTAL FEE: AMT PAID: $1,895.00 $1,895.00 Receipt No: Inspection Fee: R/W SANIT AR Y $0.00 WATER BAL DUE: $0.00 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 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 or local law regulating construction or the performance of construction. j Signature of Contractor or Authorized Agent Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date 1/;U~7 Time Time By ~ ~, person) ;t?/~ U -/ '\N --- ~ Permit No 7/ 0 ~ ~ ~ ...-..... ~ r Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~:ndation Framing Chimney INSPECTION NOTES ! Inspected Date 1. -.1' Clff1 Remarks Plumbing Final Sewer Excav Other Cb,""" \"/ \~ RESTORATION REQUIRED YES NO X I, AD If I' d,e,....T -Y 6 ~/,O ~ ' / ,~\ // i \( '-.., ~ r _ .1 \eC"~ ~;;!. '------_ "..,.,.,.'){ "1: ._--~. "~~ {, \ -~ \ 7- "1-- ~' ~3 '/" c D I 7 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT v REQUEST Date 'i lvdti4 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) Sewer Foundation Framing Chimney 3 ) &;4 Ck1 L; ~ pi., Phone No Permit No q I 0 PIUmbing~eWer Excav Other ~ 1lJ/ Time By ~ - ~ 1; =i f INSPECTION NOTES Inspected Date OJ / ':3-tJ /,("; ~~ Remarks (,~( ) ) ~ .1" . RESTORATION REQUIRED YES NO 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 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 COYER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCAi'ION INSPECTION TYPE DATE T ACCEl'TED COMMENTs YES NO FOUNDATION: FOOTINGS WAU.S FOUNDATION DRAINAGE ELECTRICAL (UGIIT DEP1) ROUGH-IN T PLUMBING T UNDER FLOOR I SIAB ROUGH-IN WAlER l1NE BACK FLOW I WAlER AIR SEAL WAllS CEIllNG I I FRAMING JOISTS I GIRDERS SHEAR WAll WAU.S I ROOF I CElllNG DRYWAll T-BAR INSULATION SIAB WAIl- I FLOOR I CElUNG , MEcHANICAL CHIMNEy WooDSTOVE I PEllET DUCTS PW UTll.ITIEs I SITE WORK <En8ineering Division) WA TERIlNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OllIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ElECTRICAL UGIIT DEPT 417-4746 ElECTRICAL UGIIT 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW.IW2.1' [4196J