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HomeMy WebLinkAbout1724 Delores Pl - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBLIC WORKS CONSTRUCTION Issued: 8/11/99 TF Permit No: 567 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BILLY & KARRIANE MINKS 1724 DELORES PLACE Lot: 14 Port Angeles,WA98360 Block: Long Legal: 360/000-0000 Sub: Eagles Lair PROJECT INFO-----------------------------------_________________________________ Work is N/A traveled road Value Work: $0.00 Plans Required: N/A Contractor: Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: $0.00 Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain Underground Tele/Ele * Misc PROJECT NOTES---------------------------------------____________________________ all water meters are installed & paid. Sanitary sewer connection $80.00 + $642.00 c807 f39139195 1 x 5/8 meter "- PROJECT FEES ASSESSMENT------------------------------------_____________________~ R/W Excav: $0.00 San Sewer SFR: * $80.00 ~ Sidewalk: $0.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add unit: 0 ~ Driveway: $0.00 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: $0.00 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 II ============================== Oth Water Serv: $0.00 Water Sys Dev: $0.00 ~ " I ~ ~ ~i I, v Receipt No: 5318 Inspection Fee: TOTAL FEE: AMT PAID: $722.00 $722.00 ) ~ ~ ----------------------- $0.00 BAL DUE: $0.00 R1W SANITARY 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 be complied with whether speCified herein or not. The granting of a permit does not presume to give authority to violate or cancel the prov~~z;:~c:~s .~ any pate' or local law regulating construction or the performance of construction. C., ..,./' ~., " Co" , ~_----< / ?\~.~1 I . Signature of Contractor or Authorize gent Date Signature of Owner (if owner is builder) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date i -i 'L -'\ '1 Time Received by Location of Work to be inspected \ I z,,~ ~l"D u...!3> Name of person requesting inspection Address of person requesting inspection ~ Inspection (circle appropriate one) l? Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date ~ "'IZ ....'1~ Remarks ~ d fll^ Lou.. . (phone, person) Phone No Permit No SG7 Time d:(fl) f M..- BJ~~ RESTORATION REQUIRED . . . . .. YES NO b- , AU 3" AB~ -\-0 . &.~ - U)~ I' cl- ~ -h.o.N> ,4-. ~ t-o LlII f>VG. l SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pcc D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE o Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date ~\ ~--q 9 Time Received by (phone, person) Location of Work to be inspected \ I L..- 4- ~ l ~ Name of person requesting inspection ~ ~ Address of person requesting inspection /7 2J..f D.t./ ()'U..<:'J Phone No Ty e of Inspection (circle appropriate one) Permit No Chimney Plumbing Final Sewer Excav Other 5(07 CTION NOTES' Inspected Date ~ -1"2. ~!\'G. Tlme:3 '.001''''''- BY~ [)~ Remarks --rn ~e-tcL tlJ fV'v 't-' N c.f- t^t\a;~ 'tl f W(~ ~)(~ +:0.0 ~~rl LL + '1$0 ~. . " RESTORATION REQUIRED . ... YES NO X- i ; ( ~~v i , ~' ~I ~~\ o? 1)ZLOUS /' fA.~ ,-U C >> rn f'lo.(J '0' ?+ , Co- , ~~r. Sr\-- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D 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) BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER, 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 1YPE DATE ACCEPTED COMMENTS YE'i I NO FOUNDATION: FOOTINGS WALL'> FOUNDATION DRAINAGE ELECTRICAL (UGlIT DEP1) ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER UNE BACK FLOW I WATER AIR SEAL WALL'> CEIllNG I FRAMING JOISTS I GIRDERS SHEAR WAlL WALL'> I ROOF I CEIllNG DRYWAlL T-BAR INSULATION SLAB WAlL I FLOOR I CEIllNG I MECHANICAL CIDMNEY WooDSTOVE I PEllET DUCTS PW UTILITIFS I SITE WORK lEn8ineering Division) WA TERl1NE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CON1ll.0L PARKING OlllER FINAL INSPECTIONS REQUIIlED PRIOR TO OCCUPANCYIUSE IlESIDENTIAL DATE YE'i NO COMMERCIAL DATE ACCEPTED YE'i NO ElECTRICAL UGm DEPT 417-4746 ElECTRICAL UGm DEPT CONSTRUCTION R.W I PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW I ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT BUlIDfNG 417-4815 BUIlDING GENERAL COMMENTS: PW-II02.13 [4/961