HomeMy WebLinkAbout1312 S B St - Engineering
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DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 V q -4-4 '0
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Application Number
pin nwnber
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name -- .
Property Use
Property zoning . . .
Application valuation
04-00000446 Date
.554146
1312 S B ST
06-30-00-0-3-9590-0000-
RES NEW SPR
6/30/04
Owner
Contractor
j~/?>5~~7
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~
RS7 RESDNTL SINGLE FAMILY
66960
PARRISH GREGORY vi M J
393 CEDAR PARK DR
PORT ANGELES WA 983628429
OWNER
Structure Information
Construction Type
occupancy Type
Other struct info
NEW 1239 SF SFR WiATT 498 SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
28_20
V-N
1.00
1.00
7000.00
1979.00
1979.00
1.00
----------------------------------------------------------------------------
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 640.00 Plan Check Fee .00
Issue Date 6/30/04 Valuation 66960
Expiration Date 12/27/04
Qty Unit Charge Per Exten:~ ~
1.00 640.0000 EA PW W/M 1" SERV 5/8" METER .-------64~
_______________________.______________________________--.------./ . . .cc-'-_--c_..__
Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45.00
6/30/04
12/27/04
Plan Check Fee
valuation
.00
66960
--------=~~~---~~~::~~~~~~-~~;:_-~=~~:_~~-~~:_~~~=:_---------~~~~~
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95_00 Plan Check Fee .00
Issue Date 6/30/04 Valuation 66960
Expiration Date 12/27/04
________=~~~___~~~::~~~~~~_~::__s~_s~~~_~~~~~_____________~:~
special Notes and Comments "----
Building address sign shall not be less than 6" '& not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Separate Permits are required foreleGtrical work, SEPA, Shoreline, ESA, utilities, private and publiG 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 jf 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 Iype of work will be complied with whelher 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.
Sig nature of Contractor or Authorized Agent
Date
VVV\~~A~ \.
Signature 0 Owner (I owner is builder)
l/~D-D~
Date
T:\PLA!\'NING\FORM$\II02.15 [11/14/2003)
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CITY OF PORT ANGELES
DEPART:-'1ENT OF COM:vn :>-JJTY DEYELOP"'1E"T - B1 m.Dl'-:G D1YIS!O:\
321 EAST 5TH STREET, PORT ANGELES, WA %3&2
Application Number . . . . . 04-00000446
Pin number .554146
Page
Date
2
6/30/04
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
NO OCCUPANCY WILL BE PERMITTED UNTIL FINAL INSPECTION IS
APPROVED BY BUILDING INSPECTOR, PUBLIC WORKS & ELECTRICAL
INSPECTOR.
The Planning division has no requirements for this plan
review.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Utility easements for eletrical power & sanitary sewer must
be completed & filed prior to services being installed.
Charged
SEWER SYSTEM DELV CHARG~ 745.00 '~
STATE SURCHARGE C____ 4 ~~
PW WATER SYSTEM USE FE~_/::":::J. OO~
'd d' de ~'n
Pa~ Cre l te ue
Other Fees
Fee sununary
Permit Fee Total
plan Check Total
Other Fee Total
Grand Total
780.00
.00
1774.50
2554.50
780.00
.00
1774.50
2554.50
.00
.00
.00
.00
.00
.00
.00
.00
Separate Permits are required lor electrical work, SEPA, Shoreline, ESA, 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 loca! law regulating construction or the performance of
construction.
Signature 01 Contractor or Authorized Agent
Date
Signature 01 Owner (il owner is builder)
Date
T\PLA..~l!\G\FOR..\.1S\l ]02_15 [] 1/]412003J
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CITY OF PORT fu'lGELES
DEPARTYlENT OF COMML';\JITY DEVELOPME;-';T - BVILDrNG DIVISIO;-';
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
04-00000446
.554146
Page
Date
2
6/30/04
Qty Unit Charge Per
17.00 7.0000 THOU BL-50,OOl-lQOK (7.00 PER K)
Extension
119.00
Special Nates and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36. OSO-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
NO OCCUPANCY WILL BE PERMITTED UNTIL FINAL INSPECTION IS
APPROVED BY BUILDING INSPECTOR, PUBLIC WORKS & ELECTRICAL
INSPECTOR.
The Planning division has no requirements for this plan
review.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Utility easements for eletrical power & sanitary sewer must
be completed & filed prior to services being installed.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4 _ 50
1025.00
Fee swmnary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Pe rmi t Fee Total 994.25 994.25 .00 .00
Plan Check Total 314.50 314.50 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3083.25 3083.25 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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 jf required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application [md know the same to be true and correct. All provisions of
Jaws and ordinances governing this type of v'York will be compiicd "".lith ..vhcther 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.
Signature of Contraclor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
l' j'1..\~~I"';G.FOR:-'IS' 110~_15 '11'14'2DJ'1
ITrenia Funston - water meter 1312 S "B" SI.
Page 1 ~
\
"From:
. To:
Subject:
Trenia Funston
Annette Owens
water meter 1312 S "B" SI.
A WATER CARD IS IN THE MAIL THAT SHOULD HAVE BEEN SENT UP BACK IN JUNE, BUT IT
DIDN'T SO IT'S ON IT'S WAY. THEY WILL HAVE A STAKE IN THE GROUND, TOLD THEM NOT THIS
WEEK BUT COULD POSSIBIL Y GET NEXT WEEK. TF.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . .
REQUEST: I..., Al
Date h-~()~ 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):
/ B- / (~ 5 "B II
J ~l"<:;'-fn u. ) Y\ Ek2..-
-JOt-lIJ
Phone No. 4(00 - Za~ I
Permit No. 04 -#~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
ll..(e
INSPECTION NOTES:
- --
Inspected: Date 0) D::, Time By
Remarks: -n-\--15 W/L.L. BE (-z.)C..ov\t1e..c..--rions I f=oY" V\e.-uJ
}-+v YVlE , I r=-Ov" P Jl i":::>T'I~ L "n+tHo\\..\.. 12.~'I~ ')
RESTORATION REQUIRED . . . . .. YES
Wit..../.; 0Au... F ~ R TI\'Yl "" dGSi oS"
Of" '''',:>pe-<:-llon-
NO
11,,'1' ~
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
-- ---- -~- --------------
, CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 1- 2.c{ -0-) Time 7 A WI.. Received by Ve""l/\ ,'S E (phone, person)
\\.D"
Location of Work to be inspected IJ(2-- s.o. '0 ~
C'\ . r
Name of person requesting inspection ve.",,,", \ <; I:=...
Address of person requesting inspection Lc -r (J Ie.. r d /7 '1-13 Phone No. '-//7 - i.f 8 </1
Type of Inspection (circle appropriate one): ' Permit No. 8'1 - C;4~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. OtherWo...+er-
INSPECTION NOTES:
Inspected: Date 1- 2.-1.( -D')
Remarks:
Time
2-~ 3D flM. By
OehVl'S E
c.. 8'0 z.v ,::::: 0 4o~ i' ~T
L\'x<b 1
RESTORATION REQUIRED. . . . .. YES Y.. NO
/lfpe \~ 'ff
:2~'. -1' ~
I>P 1.1.
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,~
10 " C L"", 'Ii I {}"f T
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.#
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-1: J/-rf)>j / /i1f /05"{p
Irn...+i................ ......u....."'.... ,..,i...o. if n.........................\
'I \(0'
~sphalt 0 pcc 0 Other
Work Order # 503'-/'?-DD(; ~].n \ (1. t
!LV COMPLETE A''''''~' J'. ,l ,. ~O
, ''''-A It e..",a. I'ev.
o INCOMPLETE '~ I 0 '
~1 0""- ~
- (. OS-
\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
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CITY OF PORT ANGELES
DEPARTMENT OF COMMl..J~ITY DEVELOPMENT - BUlLDINGDIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Ap~l~~~~~?n N~r
PinnilinDer
pr6~:rty Address
MjI3Essg:R PARCEL NUMBER:
Application description
Subdivision Name
prope:tty Use
Property . Zoning . . "
Application. valuat,ion
04-00000446 Date
.554146 .. ..., ,"
1312 SBST
()6 -3 0..,.00:-0,.~::~.?90- 0000-'
RES NEW.fiFR
. 6/.30/04
RS7 RESDNTL SINGLE FAMILY
, 66960 . ,< '
OWner
Contractor
- -...-"-';"',;;";:.;.;. - - - -,- -'- - - -,------
PARRJ:l?IL~~G9RY, v/"M,!
393 ,CEDAR PARK DR
PORT ANGELES WA 983628429
OWNER. .,""
StX'Ucture Information
const~ctioniType
OCcupancy Type' . .
OtherstX'Uctinfo
NEW 1239 SF SFR WIATT 498 SF GARAGE
TYPE V NON-RATED..
SINGLE FAM& COllG,REGATES
TOTAL % LqT'c:oVE'RA'GE
CONSTRUCTION~PE
NUMBER .()J!'.STORIE.~"
EXISTING' 'LOT. covERAGE
LOT SIZE
PROPOSED., LqTC9YERAGE
TOTAL LOT COVERAGE '
NUMBER OF UNITS.,";'
28.20
V-N
1.00
1.00
7000.00
1979.00
1979.00
1.00
640.00
6/30/04
12/27/04
Plan Check Fee
Valuation . .
.00
66960
-------------------------------------------~~----~~-------------------------
Permit . . . .
Additional desc
Permit Fee
Issue. Date
Expiration Date
PUBLIC WORKS RESWATERSERV
Qty Unit Charge Per
1.00 640.0000 EA PW W/M I" SERV.,s/8" METER
Extension
640.00
Permit
Additi,onal'desc
Permit Fee
Issue Date
Expiration. Date
RIGHT OF WAY
45.00
6/30/04'
12/27/04
, pian Check Fee
""Valuation
.00
66960
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
" ". !,',., ~.
----------------------------------------------------------------------------
Permit . . . .
Additional desc
J?e~it'Ftee
Issue. Date
Expiration Date
SANITARY SEWER HooR;UP'
95.00
6/30/04
12/27/04
PlariCheck Fee
Valuation
, .00
66960'
Qty Unit Charge Per
1.00 . 95.0000 EA SAN SEWER HOOKUP
~tension
, 95.00
special'. Notes and. Comments
Building address sign shall not be les,s ,than 6" .& not more
than 12" in height. Numbers colors must contrast with
color they are mounted on. (Ord. 14.36'; 050-B)
, '-"'"''''\''' "~'
Separate Perrnits are required for electrical work, SEeA, Shoreline, ESA, utilities, private and public improvements. This pel"ijlifti~colnes
null and void.if work' or construction authorized is not Fomirlenced Within 1 ~90~ays, if,construction orwor~l~,~USp~,?,~~.d.gfil~,l:Jl1doned
for a period of 180 days aftertheworkascommenced, orifr~guiredinSpe~(ms have not been requestedWithi~,1~9daysfrom the last
Ins pectiori-,I,lierebycertifY'that I' navereaaand. exa-rrilneg:(tii~ applicationgnd know the s,aiTle to ljEf tnleandcoff~ct:":;aJ1 provisions of
laws arido~clh'ances governing this type of work wlHB~icPri1g!lcedwith wheth~r-speclfjed herein or not. Thegri:mtingotr~'\JermitPo~s not
presume to give authority to violate or cancel the'pro~isiOnsofany state.-br, local law regulating construction or the performance of
construction. "..
~1
Sigl1ature 0 Owner(1 ownerisbuilder)
'" t,~Sb-()i
',Date
Signature of Contractor orAuthoriz~d Ag~l1t
T:\PLANNING\FORMS\1I02.IS [11/1412003]
I
CALL 417-4815 FOR, BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL IN~PECTIONS.
I
BUlLDIN.'GPERMIT~SPECTION RECORD
,I
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. '. '".. .-." . ",-,' , ,<,." .,!
PLEASE PROVIDEAMINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL;TO COVER. INSULATE OR COlyi]EAL ANY WORK BEFORE
INSPECTED AND ACcEPTED. POST PERMIT IN A CONSPICUOUSLOCATION. .
.. . '. .. ,... . I
KEEP PERMIil\CARD AND APPROVED PLANS.;A'J'.J,OBSITE. '" .j
INSPECTION TYPE DATE ACCEPTED ;- ~ ~ = --:- COMMENTS . '.,' ,
YES .,' I NO ! .
"- ,J " j
FOUNJ)ATI0N:
FOOTINGS
WALLS .' , ..
,
FOUNDATION DRAINAGEIDOWN SPOUTS
,.,"- . !
ELEc;nuCAL (UGHTDEPl) SEPAMTEPERMlT: #
ROUGH-IN .' I
PLUM'IJlNG ....
uNDER FLOOR 1 SLAB
..._.. .___._u_ . u.__._._.. -, n. .~..~. - -...-
ROUGH-IN .'
WATERLINE (METER TO BLDG) .
GAS LINE I
BACK FLOW 1 WATER .' ',. '..
. '. ',1
..' .., , ,
AIR SEAL
WALLS ".
CEILING I I .
FRAMING , '.
10ISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS .
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR . , ,
INSULATION .
SLAB
WALL 1 FLOOR 1 CEILING ., I I I ,
MECHANICAL ','
'.' .'
HEAT PUMP '.
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY .'
HOOD I DUers . .
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'$: .. ',' .' ,. Ii .' r
WATERLINE 1 METER .
SEWER CONNECfION
SANITARY
STORM .
PLANNING DEPT. SEPARATEPERMIT#'s SEPA:
PARKINGlLIGIITING ESA:
LANDSCAPING , SHORELINE:' , .-
.'.--.-'-" , . ,
'..'i . ." " " "" ,.,,' FINAL ~S~~ONS REQUIREIB).~q~TO occup~glP,~~i .',,' , .... r
'.,',.
RESIDENTIAL DATE" YES'" NO COMMERCIAL' -''':'- I,"DATE ACCEPTEJ) -
.. -- ..... .-..0.0....'0.. ..-.----._-. _d_ .'0_.. _ _m_..__.u___._.__._.__....,...~._.._. .___ .... 'T~ ...... ..-...... .-._- . .-_~.__... -- -'---.'-
'. , . I, YES ':,NO
., 417-4735 .J... ,~;Y'-J:_"--:-::: ;, ... I' , .." ."
ELECTRICAL - UGHT DEPT. ELECTRI5tk . '1 .'
. . . UGHTD : .' .'
CONSTRUCfION R. W.I PWI CONSTRUCfION-R.W. I
ENGINEERING I 417-4807 PW 1 ENGINEERING
FIRE 417-4653.: i FIRE DEPT. - ......-. ,
PLANNING DEPT. 417-4750 PLANNING DEPT. "iY' "" 1', .') "
,'.
- , i3iliiliiNG ''', ..... , ',. '.\1.
BUILDING 417-4815 ..
T:\PLANNING\FORMS\1102,15 [11/1412oo3J . "'f
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CITY OPPORT ANGELES '.
DEPARTMENT OF COMMuNITY DEVELOPMENT - BUlLDlNG DMSION
321 EAST 5TH STREET, PORTANGELES; WA 98362
Appli~ation'NUIIlber
pin nUmber
Pag~
Date
2
.6/30/04
. . . . . 04-00000446
. . .554146
--~-~------~---------------~------------------------------------------------
Special Notes. and COllUllents ..'
When .roo~gy.ttersare installed, drains will located in dry
well~f or'piPEl,d to approved storm drainloca.t:i()!ls.
NO OCco::pANCY WILL BE PERMITTED UNTIL FINA,Li:NsPB.CTIONIS
APi?ROVED BY BUILDING .INSPECTOR, PUBLIC WORKS. & ELECTRICAL
. INSPEC'J;9.R., ..... ........ '. ..' ...... ..... "
The Planning division has no requirements for this plan
review.
MAINTJUN CLJ!AR!lNCIilS..FROM SERVICE WIRES. . .................<
Electrical load calculations and elctrical permits are
required.
-!U1ymodificationfltothe City's electrical facilities will
be at the customer's expense.
Utilityeasements.for Elletrical power & sanitilrysewer must
be completed & filed prior to services being installed.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SUR~GE '.
PW WATER SYSTEM USE FEE
745.,00
4;50
1025.00
Fee SUllUllary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 780.00 780.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774,50 1774.50 .00 .00
Grand Total 2554.50 2554.50 .00 .00
Separat~~errnitsareJequired for electrical 'vVOrk, SE.PA, Shoreline, ESA, utilitie~. private and public improvem~nts.;i;rhisp~irnif~(!comes
nullandvoid if work or construction autborized is nO!co/llmenced within 1 llO. d",ys,jf construction orVior~ Issusp';1'!.ge~or~~~n~tllled
fora period of 1809ar-- after the work ascomlllenc~d.orif required Inspecticms have not been requested V\lithin18~dar--fromthe last
irispectlon.JherebycertifithatI bave read arid e~.rninedthis applicatiofi"an9 know the same tbbEHruEI'a~dcdrtec[;t\n p'tovisi6ns of
laws 'and ordinances governing this type of work will 09. complied V\Iith whether~pecified herein or noLoThe granting of a permit does not
presume to give authority to violate or cancel the. provisions of any slate otlocallawregulating construction or the perfolTTlance of
construction. .
Signature of Contractor or Authorized Agent
SigrWture of.Owner (if owneris builder)
Date
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]
}'" ,"". -';"~,,,; t;'l~t')!'i\-' . -":,~J:':(':~~'~ ';>"'~"",' ,,-;--(,:i~:"",,~~"F'(_:r:"!:
:;:~,><'~t: "::'1',!:-,'~;'_' '",C'::","o, .
c'''" ,'," ,-".- "_,, ,",'
,-:T';r:>~"\-'C<r;:~T;:~~~_:{}.'! ;Tt:SM~:'\"".
"'~ ~"":,:>":;,~-;::~-:~' --I --, - ,-,q"::--:"!-'{T:~Z?/4~'.r
BuruUIN(;',PERMITINSPECTION RECORD
I ,.... -.-
~ . - ..
CALL 417-4815 FOR BUILDING INSPECI10NS. CALL 417-4735 FOR ELECTRICAL INSPECI10NS.
PLEASE PROVIDE A MINIMUM 24H9URNOTICE. IT IS UNLAWFUL TO COVER, INSULATEpR.(JO~CEAL ANY WORKBElf'ORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. :
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.' !
. INSPECTION TYPE DATE ACCEPTED . .. COryIMENTS :
. I YES NO I :
FOUNDATION: " I :
FOOTINGS ,
!
WALLS I
DRAlNAGElDOWN SPOUTS " i
FOUNDATION '. .
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # . -;c- I
,
ROUGH-IN , I .' _ > i
PLUMBING ~,
UNDE,R.,:PLO():R'SLAB . ~..'. ,--, . ~ ~- .. '.
.. ....,-,-- ,...,.
ROUGH-IN
WATER,LINE (METER TO BLoG)
GAS LINE ',,' .
BACK FLOW' WATER " .,-- . - ."
AIR SEAL ....... " .
WALLS I I
, I
. CEILING '. ... .1 , I'
FRAMING .
JOISTS' GIRDERS
SHEAR WALLlHOLD DOWNS ,
WALLS I ROOF' cEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION '. '.
SLAB
WALL' FLOOR' CEILING I
MECHANICAL
REA T PUMP . '.
GAS LINE
WOOD STOVE' PELLET, CHIMNEY r I
HOOD I DUCTS , .'
.
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWJ;.R CONNECTION
SANITARY I :
STORM
PLANNING DEPT. SEPARATE PERMIT #~s SEPA:
PARI<<NGILIGBTING ESA:
LANDSCAPING '" SHORELINE:
" FlNALINSP~ONS REQUIRED PRIOR TO OCCUPANCYIJ!~E ,
.'.'.. ", . "'.' ,
" ... ,R.,~!))E..NTIAL DATE YES NO COMMERC~ . l DATE " ACCEPTED.
.....-..-,.- . .... -. -~-----_. ,...'.".._--" ._..__.,,"...,~__.. u "'_ _: ,., '_., ..,.;~:,: ._...:.~..._.-..:..~ l. .
-, ,". . ? .'.YES ''''''NO .-~'
.'
;.. .. :
ELECTRICAL - UGHT DEPT. 417-4735 ELECTRICAL i '" i
. LIGHT DEPT . ". ,
, . .
CONSTRUCTION R. W.' PW' ,~...- - TV CONSTRUCTION - R. W. I )'
ENGINEERING 417-4807 PW I ENGINEERING
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FIRE 417-4653 FIRE DEPT. .
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PLANNING DEPT. 417-4750 PLANNING DEPT.
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BUILDING .... 417-4815 BUILDING :
T:\PLANNING\FORMS\l102.15 [1111412003] ! I