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Home My WebLink About916 S B St - Engineering $~ ~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 12/12/96 TF Permit No: 543 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ REED DESIGN & CONSTRUCTION 916 B ST S 485 BLUE MOUNTAIN RD Lot: 19 & 20 Nl/2 OF BOTH Port Angeles,WA98362 Block: 300 Long Legal: 360/457-1436 Sub: TPA PROJECT INFO--------------------------~----------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: REED DESIGN AND CONSTRUCTION Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / / / $0.00 * Storm Drain Underground Tele/Ele * Mise PROJECT NOTES------------------------------------------------------------------- provide easement for house on South half Its 19 & 20 per G. Kenworthy sidesewer will serve both homes with easement PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street cut: * Other R/W: 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: 2594 Inspection Fee: RIW SANITARY $40.00 $0.00 $0.00 $0.00 $0.00 $200.00 $0.00 $0.00 $550.00 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 (D.R.A): Mise: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $0.00 $0.00 $883.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: DWY STORM DRA OTHER $2,395.00 $2,395.00 $0.00 Separate Permits are required for eiectrical work, ublllies, private and public improvements. This permit becomes null and void ~ work or construcbon authorized is not commenced within 180 days, ~ construcbon or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ required inspecbons have not been requested within 180 days from the last inspecbon. I hereby certify that I have read and examined this applicabon 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 granbng of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulabng construcbon or the performance of construcbon. Date Sionature of Owner m owner is builder) Date Sianature of Contractor or Authorized Acent dr;'<<T"~ ~. ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 // PUBLIC WORKS CONSTRUCTION Issued: 12/12/96 TF Permit No: 543 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ REED DESIGN & CONSTRUCTION 916 B ST S 485 BLUE MOUNTAIN RD Lot: 19 & 20 N1/2 OF BOTH Port Angeles,WA98362 Block: 300 Long Legal: 360/457-1436 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: REED DESIGN AND CONSTRUCTION Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / ~~ $0.00 ~ \J) ~ * Storm Drain Underground Tele/Ele * Misc PROJECT NOTES------------------------------------------------------------------- provide easement for house on South half Its 19 & 20 per G. Kenworthy sidesewer will serve both homes with easement PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street Cut.: * Other R/W: 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: 2594 Inspection Fee: R/W SANITARY $40.00 $0.00 $0.00 $0.00 $0.00 $200.00 $0.00 $0.00 $550.00 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 (D.R.A): Misc: $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $0.00 $0.00 $883.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: DWY STORM DRA OTHER $2,395.00 $2,395.00 $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 requir inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this . n d know the same to be true and correct. All prOvisions of laws and ordinances governing this type of work will be com ied wi ether cified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions 0 any s rlocal regulating constr 'on r the performance of construction. Si nature of Owner if owner is builder CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST ') Date ;0.. "::) _.- i- r ~~1 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 r. ( .J (-._ t ../ D . 1:.-> ..J 1 ,"l.~J -'\ \ (t.",' I pC '1; J~ ...;; {:!- I Phone No Permit No Plumbing Final Sewer Excav Other !' .~ INSPECTION NOTES. Inspected Remarks Time .rA.. Date , Ii I ; .~ < (j . '- \ .r! ",/ ~ (' 513 I ~j':.- (t rtt . ~ By ( j. (/( Ii IL 4> C,_ j I ","" . "....- ~/ .j\\..f!' /' ((ol,"4/, ) J ! / ') fro_' / E F/ I') C t' ,,"" RESTORATION REQUIRED ~ ~ ~. ...-.-........--.--....---..... '--1 I Gfi&j :~ F ~q'i1d-{~tS- . (i I '/ 'J '\ ! ~ (d& L?,q:ns:d?Jit/7 J J... I J" r'l- . YES NO ~ } I ! I t l · C; --1-/1 (' ../-. /) . .. -.-~4'" __..__".___..N.....~._,._ ..-..~-' , ~lJ --"7'.~ _'__'_''''_'' ~__ J... SURFACE RESTORATION ~ ~ SURFACE TYPE 0 Unimproved DGravel ~sphalt 0 PCC o Repaired by City o Repaired by Permittee o No Damage Found o Other /c. )- ) .' "9 -:t..... c, , L-. Work Order # ~ COMPLETE o INCOMPLETE . c (" STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . . REQUEST! L-- Date 7_~ I · Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~ Foundation Framing Chimney L . INSPE~~N NOTES q,tp IZ '-~ Received by --,r c:-- , ( r:< ';';n") t-> S"OC- (PhOn~ers~ Time Phone No Permit No Plumbing Final Sewer Excav Other s~~ Inspected Date Time I ~ Remarks CJo-N N 1"-::" C In'', 7 /' - C) ./ G, -..50, l;g /7-c c.F---y c...u7 F'I' c (. I~ t.reJ / c. 0 F By J<,;r- C-€ =-,-:::J, RESTORATION REQUIRED YES \/"" NO i't! I~ B..V c Fte.? --~f 'W'_' ___. pr;.-t../ !9 ~ I'Z. ~ ~- .... \ -.-/) ~ fVlH o .-- '.7'"""":'::::--==--.__.~-- ,/'/' // /, - / tb / 8 :~::::.__.//~/ {9 x '-f _~ ("- L.j S 5' (.! 1/ K ~v~E.K ?r../j 1~~~E-ND - - '\ c.- >7" '. & ~vc J -, ,I / (6 / 11, "'-~ , ....1--.,'0 il 8'1 '(<7J c ./ ~~I "r--~-----J j,- ~':~~"oJl ,- . /- R:, 'TO :51.0 ~ 5';;(''''<'');'::>1<::'' SURFACE RESTORATION ~ Y / () SURFACE TYPE 0 Unimproved 0 Gravel ~halt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INC MPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TEl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . It .. REQUEST. Date 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 q/ f/ ,-)')3 II JJrY) ~~ Plumbing Final INSPECTION NOTES Inspected Date 3 - ;z. <- -97 Remarks C,o t", p lete... , 4M / Time Phone No Permit No 047> Sewer Excav (ot~ D tv \/ - S L ) ~ f By~ A.d-- RESTORATION REQUIRED . YES NO )( ()t.!J- SURFACE RESTORATION. SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC AI''''j 1 )~ ~~. -'-1~ w ! ._---1 , '" i ~P!!C '1, I i ~- -"hr<<~,j L m G- DwY_j ~ : ~_J , (I / ,// o Other o 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)