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HomeMy WebLinkAbout1030 W 10th St - Engineering ~ VII CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TII STREET, PORT ANGELES, WA 98362 PUBILle WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT Ernest Griffith 101 E10THST Port Angeles, WA 98362 000/604-7026 PROJECT INFO Work is Plans Required Contractor' Performance Bond Required Proof of Insurance Work to Perform Issued 10109/2001 Permit No Work Order' 1190 o PROPERTY LOCATION 1030 10TH ST W Lot: 7 & 8 Subdivision TPA Parcel No 063000031828000 Block. 318 o Long Legal Value Work. $000 Start Date. 1 1 Finish Date. 0001000-0000 1 1 Amount: $000 [gJ Install o Repair [gJ Watermain [gJ Sanitary Sewer [gJ Storm Drain o Underground Tele/Elec [gJ Mise dwy PROJECT NOTES san sewer in alley wlm to be installed at property on 10th st. construct 6' sidewalk adjacent to curb along both lots. stm drain roof leaders thru curb FEES ASSESSMENT- 1 ) R/W Excav' $45 00 15 ) Other San Sewer' $0.00 2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17) Sew Capl W/M Removal $000 4 ) Driveway' $14500 18.) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain. $000 6 ) Street Cut: $230 00 20) Catch Basin per ea. $000 7 ) Other R/W $000 21 ) Sewer System Dev' $745 00 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000 9) Res Water Servo 5/8" $640 00 23 ) R/W Use Perm $000 10) Comm Water Servo $000 24) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12.)Water System Dev' $1,04500 26 ) Mise: $000 13 ) San Sewer SFR: $95 00 TOTAL FEE. $2,945.00 14) San Sewer MFR $000 add unit: 0 Amount Paid $2,945 00 Receipt No 8148 Inspection Fee $000 Balance Due. $0.00 RW 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 provisi of any state or local law regulating construction or the performance of construction. ,. Si nature of Owner if owner is builder Date CITY OF PORT ANGELES DEPARTMENT OF PlJBLIC WORKS . . . . . . INSPECTION REPORT. . . REQUEST ~/zZ-! oz Date Time 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 INSPECTION NOTES Ii h Inspected Date ~ ) 0 Z-- Remarks Received by ~- /1 /------~ " (phon,e: person) , "'----- / 03() DcJ!' il ' )L~ LO ,_ J -+' c1r7 ~ , .0<- I ,c:c/ y-/ r I Phone No Permit No IlcrO Plumbing Final Sewer Excav Other s-;rfp B~f' /,r-' ~!j/ // / ( / /) -- Time / (/ BY~ c..c,~ l~ I ;.-r:z:: YES ^ NO RESTORATION REQUIRED 1 SURFACE RESTORATION {5X It.. ) SURFACE TYPE 0 Unimproved 0 Gravel ~ Asphalt " '-I. \ \ \ \ -- " --J ---' fJ ,.1 cJ---, -----. \ ~ =. 02-14>' [] Repaired by City [] Repaired by Permittee [] No Damage Found /t: l Jfr~ef (Continue on reverse side if necessary) ~ b'~ 4? c....O ~: , ~ .. \() :2" <? +. J _ b " 'JlY 0.M'>>r-- ~ ~., : 6~r c.l-a.( I ' J.Q,-, ~ S' &--t edf>..\ C) ,,Ie l ' i? ~ I rei p ef', - --- (df l. " ~ r t J!I ' I It(; J Ail;' I 1/ \ OPCC o Other Work Order # ~COMPLETE /ttiJ o INCOMPLETE 3/i 7 h'Jz- , 1/Ifl s-'- 7 /() 2- STREET SUPERINTENDENT (DATE) b c.v - 2. 00 I - {r 6,r ...... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST. Date lOr 22-01 Time II Ant.. Received by tJO(/,1U C) E (phone, ~rson) 't... Location of Work to be inspected /030 W 107;.... t?f,/ FF/7/ Name of person requesting inspection uel/Lkl"') C Address of person requesting inspection ur f) V~.-J (1 i~ ..,... '6 Phone No Type of Inspection (circle appropriate one) I Permit No /j/i () Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other tJc<...:te r INSPECTION NOTES Inspected Date (0 ~ 2'2 - c> ( .- {{ -- . Remarks I~j? 2 C L. me:.../Vl f.... , W~C+~{ Sf?rV'( c...~ Time If IfJVl By ~'~-U-'-(S tE- e Kfel'tJ ( d f?E -fub, ~ -r.::. ~ (x: 5/$ C 032D P Z/j/7/~?_ . RESTORATION REQUIRED . . . . .. YES NO X i-- ~ V) ~ '- f;J 1k 5+ :\J (0 .-- . '-' 3(.,5 ( ~ t1 ~ z <, c1= - PI IO'7~ 3 1)ettf 1030 W SURFACE RESTORATION. SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt Dpcc ~ Other Ak.-+, lie So; I 110~ o Repaired by City o Repaired by Permittee o No Damage Found Work Order # ~ COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 4174815 FOR BUILDING 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 ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGIIT DEPT) ROUGH-IN I I PLUMBING UNDER FLOOR J SLAB ROUGH-IN WATER LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL WALLS J ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING J I I MECHANICAL CHIMNEY WooDSTOVE/PELLET DUCTS PW UTILITIES J SITE WORK (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGIIT DEPT 417-4746 ELECTRICAL LImIT 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-l102.15 (4196]