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Home My WebLink About2020 W 4th St - Engineering e ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 PUBILIC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT Jr1 Af(.t1Il'\ kb bS Issued: 12/10/1999 Permit No: Work. Order: 1018 o PROPERTY LOCATION 2020 4TH ST W Lot: E1/2 14&15 Subdivision: EDGECLlFF REPLAT Parcel No: ~ Block: PW:CITY, PW:State PW:Zip 000/000-0000 PROJECT INFO Work is: Plans Required: Contractor: OWNER Performance Bond Required: Proof of Insurance: Work to Perform: Long Legal Value Work: $0.00 Start Date: 1 1 Finish Date: 206/000-0000 1 1 Amount: $0.00 D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Misc PROJECT NOTES FEES ASSESSMENT 1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $60.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W/M Removal: $0.00 4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00 6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00 7.) Other RIW: $0.00 21.) Sewer System Dev: $0.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: . $0.00 9.) Res Water Serv: $0.00 23.) RIW Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00 11.) Other Water Service: $0.00 25.) D.R.A. $0.00 12.)Water System Dev: $0.00 26.) Misc: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $60.00 14.) San Sewer MFR: $0.00 add unit: 0 Amount Paid: $60.00 Receipt No: 5656 Inspection Fee: $0.00 Balance Due: $0.00 R1W SANIT AR Y 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 do not presume to give authority to violate or cancel the provisions of any state or local law regulating constructi n or the perf"~ ?nstruction. ~ ~~ IZ/tJ f// Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ~____._ ________ _ ___._~._,_____.._ _ __ _____ ___,._ ___ _____._.__________.__~_._____m___.__~ _ _____ ______.____.__ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . 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): 2-157-0 LU4'tD Phone No. Sewer Foundation Framing Permit No. / 0 {8 Chimney Plumbing Final Sewer Excav. Other ~~ Inspected: Date Remarks: Time ~MUJr~~~ By ~ ~ ~ c. ~ INSPECTION NOTES: t{Af~ RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC o Other o Repaired by City o Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) S "I4i:i~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST S11I STREET, PORT ANGELES, WA 98362 / PUBILlC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT MARVIN ABBS 2020 W 4TH PW:CITY, PW:State PW:Zip 000/060-0000 PROJECT INFO Work is: Plans Required: Contractor: Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 2/07/2000 Permit No: Work Order: 1039 o Value Work: / / Finish Date: 000/000-0000 PROPERTY LOCATION 2020 4TH ST W Lot: E1/214&15 Subdivision: EDGECLlFF REPLAT Parcel No: ~ Block: Long Legal Start Date: Amount: $0.00 ~ D Misc D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec $0.00 / / PROJECT NOTES Vf~I~:Y;;'1o ~ 1/ '- - FEES ASSESSMENT 1 .) RIW Excav: 2.) Sidewalk: 3.) Curb/Gutter: 4.) Driveway: 5.) Dwy Culvert: 6.) Street Cut: 7.) Other RIW: 8.) Fire Hydrant: 9.) Res Water Serv: 10.) Comm Water Serv: 11.) Other Water Service: 12.)Water System Dev: 13.) San Sewer SFR: 14.) San Sewer MFR: add unit: 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Receipt No: 5836 Inspection Fee: $0.00 RW SANITARY WATER 15.) Other San Sewer: 16.) Sew Tap Wye/Man Tap: 17.) Sew Cap/ W/M Removal: 18.) Alter Repair Sewer: 19.) Storm Drain: 20.) Catch Basin per ea: 21.) Sewer System Dev: 22.) Milwaukee Dr. Sew Ass: 23.) RIW Use Perm: 24.) Admin Cost (D.R.A) 25.) D.RA 26.) Misc: TOTAL FEE: Amount Paid: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $125.00 $125.00 $125.00 Balance Due: DWY STORM $0.00 DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if wor\< 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 IiIws 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 ~."'. f. Y state or 10~all~Ulating construction or the performance of construction. ~---~ . ~ ~Cfl, . Si nature of Contractor or Authorized A ent Date Si nature of Owner if owner is builder Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUll..DING 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 I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LImIT DEPT) ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN , WATER LINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSUlATION SLAB I WALL I FLOOR I CEILING I I I MECHANICAL CHIMNEY WooDSTOVE I PELLET DUCTS PW~I~EWORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIffiR FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4746 ELECTRICAL LIGHT DEPT CONSTRUCTION R W I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE (MUL TI-FAM. ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDI1'IlG GENERAL COMMENTS: PW-II02.15141961 BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I INSPECTION n'PE DATE ACCEI'1E> COMMfNl'S YF1i NO FOUNDATION: FOOTINGS WAlLS FOUNDA nON DRAINAGE ELECTRICAL (UGlIT DEP1) ROUGH-IN I I I PLUMBING UNDER FLOOR I SlAB ROUGH-IN WATER llNE BACK FLOW I WATER AIR SEAL WAlLS CEIllNG I I FRAMING JOISTS I GIRDERS SHEAR WALL WAllS I ROOF I CEIllNG DRYWALL T-BAR INSULATION SlAB WALL I FLOOR I CEIllNG I I MECHANICAL CHIMNEY WooDSTOVE I PEllET DUCTS PW UI1LITIES I SITE WORK (Engineering Division) WA TERllNE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIIU!D PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YF1i NO COl\-lMDlCIAL DATE I ACCEPTED YF1i NO ElECTRICAL. UGHT DEPT. 417.4746 ElECTRICAL UGHT 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 GENERAL COMMENTS: PW-II02.J~ [4/96]