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Home My WebLink About1132 E 6th St - BuildingApplication desc Plow phone cable in alley R/W const #10 02 Owner Contractor AUSTIN CLINTON C 1132 E 6TH ST PORT ANGELES Fee summary T\Policies \1102 15 [10/08] WA 983626621 Sig ture of Contractor or AutOriluk Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000105 Application pin number 794255 Property Address 1132 E 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 1005 0000 Tenant nbr name QWEST Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Permit RIGHT OF WAY Additional desc R/W CONST #10 02 Permit pin number 160317 Permit Fee 150 00 Plan Check Fee 00 Issue Date 2/02/10 Valuation 0 Expiration Date 8/01/10 Qty Unit Charge Per 1 00 150 0000 ECH PW RW CONST EXCAVTION OTHER Special Notes and Comments TRAFFIC CONTROL PLAN TO BE SUBMITTED TO AND APPROVED BY THE CITY PRIOR TO START OF WORK WORK TO BE IN ACCORDANCE WITH ATTACHED DETAIL Charged Paid Credited Date 2/02/10 EXCEL UTILITIES CONSTRUCTION 54 W MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Due Permit Fee Total 150 00 150 00 00 00 Plan Check Total 00 00 00 00 Grand Total 150 00 150 00 00 00 Extension 150 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 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 local law regulating construction or the performance of construction 0o Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY 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 INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102.15 [10/08] RESIDENTIAL YES NO PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING 10/03/2008 FRI 13 46 FAX j��,t_ of pORT F I i I :t C v 070,01,...0 RIG OF WAY APPLICATION SE PER Tt F BAILEY NOTARY PUBLIC f STALE 0r rtAC; ii11G i Glr eeleMMISSIOq EXPIRES JUNE 3a.; 2013 Application reviewed and recommendation by City Engineer is to4eey-e prov) and with the following conditions JPI �✓-v O/'ro,. e Sham Approved copies to Applicant 0 Fire 0 Police 0 Street 0 Other N:1Urban Services Standards \Ch 1\2008 ROW Use Permit.doc, March 19 2008 al 002 t P It Dept iIg 5wiviri!S OiVISlen DATE 77 NAME OF APPLICANT Q\1\1�5 A MAILING ADDRESS 1 X71 a F\NN\ rr A PHONE NUMBER 7 V I O 2 STREET ADDRESS OF PROPOSED STREET USE ,p� DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested, please state the name of the street and limits of closure together with the duration of closure J P L Cis \NA t� CR S V JN 1 VINO C3 0_ 1111, IS THE USE TEMPORARY OR PERMANENT? \P. (if answer is PERMANENT. do not use this form use Right of Wav Permit eouiication form) HOW LONG WILL THE OBSTRUCTION BE IN PLACE? k C R WHAT ARE THE HOURS OF OPERATION? a M 0 HOW IT WILL BE LIGHTED? DD PNN .\t EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, planting strip or right f way DATED this L). day of `J !t v\ UC11 20 10 I t�n)8 Cke(V( M.2f1? Applicant NOTARY PUBLIC for Washingtoia.) residing at c_"Cir�LLari� My commission expires /3o 3 (This permit, if approved, may be terminated by the City of Port Angeles without cause and at anytime) [OFFICE USE ONLY) Date application received I 12.--t-0 I I O Fee paid ISO Receipt Date Certificate of Insurance per PAMC 11 12 140(B) received A. v.r..,ta1 Agreement to Remove Encroachment signed and on N/A X and recorded on N/A >4 'rector orks Date /3r (!0 he StJ4frril 34 .4-e 4a• c a/ a. el 0 Address file 0 RUP d QwestJob# P \OJ00 8- G ta This work will require Plowing in the R/W (total footage) 0 Push or bore 2 inch PVC or BIP under roadway (total footage) N R Push or bore 2 inch PVC or BIP under driveway (total footage) R Push or bore 2 inch PVC or BIP under multiple driveways (total footage) *All crossings and ROW work at 36 inches *All pits and trenching require select fill. iSection. V\ Township Q' Range This request for permit is for the placement of underground telephone service wire to our customer at the following address ACORDTM CERTIFICATE OF LIABILITY INSURANCE IDUCER Opel Insurance oma Commercial Insurance )1 Pacific Ave, Suite 1000 oma, WA 98402 TEED X X X Excel Utility Construction Inc 54 West Misty Lane Port Angeles, WA 98362 /ERAGES POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING Y REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH )LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DD'LL(J I POLICY EFFECTIVE I POLICY EXPIRATION I LIMITS r NSRU TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDIYYI DATE IMM/DDIVYI GENERAL LIABILITY X I COMMERCIAL GENERAL LIABILITY I I CLAIMS MADE X OCCUR X PD Ded.1,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRO- r7 LOC JFCT POLICY I AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS /UMBRELLA LIABILITY ZTIFICATE HOLDER OCCUR X CLAIMS MADE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER Client#: 33876 City of Port Angeles Public Works Utilities Dept. P O Box 1150 Port Angeles, WA 98362 C10150296 C10150296 C10150296 ORD 25 (2001108) 1 of 2 #S345687/M345676 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC INSURER A. North Pacific Insurance INSURER B: INSURER C: I INSURER D: I INSURER E. I 10/19/09 10/19/10 rr? U 3 1 1 jq9 2009 1011 (!t; of Port ,Jf e/e Public odor' arlr UtI)ItIE U? Engin !en &i' ng S ce. 1. i�vd,.o�: 10/19/09 10/19/10 RIPTION OF OPERATIONS LOCATIONS VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS litional Insured Form CG 84 16 12 03 as Required by Written Contract City of Port Angeles is included at Additional Insureds EXCEUTIL EACH OCCURRENCE F DAMAG E TO RENTED PR EMISES (Fa nmt mere) MED EXP (Any one person) I PERSONAL 8 ADV INJURY I GENERAL AGGREGATE I PRODUCTS COMP /OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) I AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY' I EACH OCCURRENCE I AGGREGATE r EA ACC WC STATU- I IOTH- T OR Y I IMITS 1 FR E.L. EACH ACCIDENT I E.L. DISEASE EA EMPLOYEE I E.L.iDISEASE POLICY LIMIT AGG DATE (MM/DD/Y.YYY) 10/23/2009 $1 ,000,000 $100,000 $5,000 $1,000,000 $2.000.000 $2,000,000 $1 000 000 $2,000,000 $2,000,000 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL :fin DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU ORIZED REPRESENTATIVE BMCOO O ACORD "ORPORATION 1988 TRENCH NOTES 47 24 I _m_12 L 12' 1 THE CUSTOMER IS RESPONSIBLE FOR DIGGING, BACKFILLING, AND COMPACTING TRENCHES 2. ALL COVERAGE DEPTHS AND SPACING DIMENSIONS ARE MINIMUM DEPTHS ARE RELATIVE TO FINAL GRADE. 3. THE BOTTOM OF THE TRENCH AND BACKFILL WITHIN 6 INCHES OF ELECTRICAL CONDUIT SHALL BE FREE OF ROCKS LARGER THAN 1 5 INCHES DEBRIS PAVING MATERIAL, SHARP ANGULAR OBJECTS OR CORROSIVE MATERIALS THAT MAY DAMAGE THE CONDUIT /CABLE OR PREVENT ADEQUATE COMPACTION OF BACKFILL. IF TRENCH BOTTOM CONTAINS ROCKS EXCEEDING THIS LIMIT THE TRENCH SHALL BE OVER EXCAVATED BY 6 INCHES AND THEN BEDDED WITH 6 INCHES OF ACCEPTABLE MATERIAL AND COMPACTED PRIOR TO INSTALLING THE CONDUIT 4 MINIMUM COVER AND TRENCH DEPTH REQUIREMENTS SHALL BE INCREASED BY 12 INCHES AT UNDEVELOPED LOCATIONS WITHOUT FINAL GRADE STAKES CUSTOMER /DEVELOPER RESPONSIBLE ALL FOR COSTS ASSOCIATED WITH RELOCATION OF UNDERGROUND FACILITIES DUE TO SUBSEQUENT GRADE CHANGE OR FAILURE TO PROVIDE CORRECT FINAL GRADE. 5 TO THE EXTENT POSSIBLE, TRENCHES SHALL BE STRAIGHT LINES. 30' 18' y ES 12' 1 L J SECONDARY TRENCH 6 TRENCHES 48 INCHES OR MORE IN DEPTH INTO WHICH A WORKER MUST ENTER SHALL HAVE ADEQUATE PROTECTION PROVIDED PER WAC 296 -155. 7 ALL CONDUIT TO BE 1 INCH MINIMUM FROM SIDES OF THE TRENCH. THIS SEPARATION IS REQUIRED FOR ADEQUATE COMPACTION 8 KEEP SPOILS AT LEAST 24 INCHES FROM THE EDGE OF THE TRENCH. 9 CONTROLLED DENSITY BACKFILL REQUIRED UNDER ALL PAVED STREET SURFACES. 10 ALL ELECTRICAL TRENCHES MUST BE INSPECTED AND APPROVED BY PW &U LIGHT OPERATIONS PRIOR TO BACKFILLING. 11 SCHEDULE TRENCHING SO THE TRENCH IS OPEN FOR THE SHORTEST PRACTICAL TIME TO AVOID CREATING A PUBLIC HAZARD AND TO MINIMIZE THE POSSIBILITY OF THE TRENCH COLLAPSING DUE TO OTHER CONSTRUCTION ACTIVITY RAIN ETC Date 2/07 Appd. Eng• TD Appd Ops: JK Std: UM 0 01 TRENCHING PRIMARY, SECONDARY, TV TELCO DEPTH CITY OF PORT ANGELES ELECTRICAL ENGINEERING SPECIFICATION LEGEND ES ELECTRIC SECONDARY EP ELECTRIC PRIMARY T COMMUNICATIONS TV CABLE TV FIGURE 9 ~,~'~- . ~ '~'iC"'ion Numbo, A . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation CITY OF PORT ANGEl,.ES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 91l~()2 05 00000641 Date 7 20 1132 E 6TH ST 06-30-00-0-2-1005-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor AUSTIN CLINTON C 1132 E 6TH ST PORT ANGELES OWNER WA 983626621 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL JEDI ELEC./ NEW SUB PANEL 54999 66.90 Plan ~heck Fee 7/20/05 valuation 1/16/06 .00 o Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 ~ ~ ,.. ~ COMMENTS/ACTION NEEDED ~ ELECfRlCAL PERMlT INSPE~fJON RECORD CALL 417-4735 FOR ELECTRJCAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECllON TYPE DATI COMMENTS NO GENERAL COMMENTS: PW-II01.1'I4'96l CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18047 Port Angeles, WllShlngtOn.__..........__7...::.....;;!...(:::.m...m..m, 19__>-:!/ In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted ~o dO electrical work as listed below. ~ '7 ~::::~~i.~~:~::~:::~:::~~:~:?;~=:::::::::::::::::--u~~:::~:::m~:~;;.~:~~:(~=:::::::::~::::::::::::: ,,' 71 ';f' y.j Wiring Contractor .m__~.'2::m::.____~.d___0!..~.".~::!__::2,.~,(~--"~By_mu______mmmumm_____mm.u_um_uum.mum.m ,,, ./ - l} cYl- 'YO Light Outlet8---___.___nn_________n.___n_n_nn. Service. volts _ . 00 No. wires ::::::::?3:::::::.::::::=:..:~: Size WlreS_____-:-//6.n/~~ Main luse .__n.:.h/.JL.nn____n___ Receptacle Outlets............................... Dryer, KW nnn..........._..__oo....oo............ Range, KW n.n___....nun...u... Water Heater: Enclosure ....................................... KW.___.________n_______n_nnn.nn Type of Wiring: Entrance Cable ..___nm Heat: KW...........................................n...... Motors: size, volts and phase: Rigid Conduit ..n.n........................ Metallic Tubing ...................___..... Current transformers: No. & Size.....n................................ ---.00---00----00---00--------00------0000;:1"00---_______ /.\ A-__:I ~.A7 .........0:;..1....,;.-.....:,....-...._-........00.......... Ser. No.....................u........................ ----. Ser. No. ............................................. Ser. No. .n......n.................................. Type 01 Wiring: Armored Cable ..................u........_ Non-Metallic ..............m..m........... Knob & Tube.................................. RIgid Conduit __00____00__00._____0000______. Metallic TubIng ....m.mm............. Raceway ..............................._....._ Circuits, Light..................n................... Utlllty .___.______________00___.___0000____0000___00 I-Ieat u..............................._...._...... Range ............................................. Water Heater .nm......................... Motor ..._....................n.................. Dryer ................................................_ Furnace .............._..........._......_..... ...n. ~L.-1 'J S"\ (..V Total l.A)ad..~...~.................... Ser. fI.'o..........................................._. Total .........................._............ R k' ,>-,.lJ--rU/f'.-<_f/ L~~~""{/:2 - JJ~v~g~ emar s. __nn__.__u.mmmu______n.__m_______.__.ooonnm__m_____ooo__.____mnmunmnnm.mmn00000___'.......__._________00__............. ~",/ :..: '~rJ . :/' V ____n...___.mmmm..mm.n._.l.mooo----.--mnmmmnmmmmmmmu--m________.._nnm000.0000000000000__...__........000__000.000.000__.000__ ,,___ -r _r_ ---r...,..-- ooommmmnm.mm__.__________.____ooo__m.ooomm__ooo.m.__mn__m.mnn.m.__m__.u.__mnnm--mooo--;7'm------.--u--m--ooo__________.__.__ Permit Fee / -' C-)( ,J $:.;.2l.C"""mn...=______.m.. Treas. Receipt NO....<;;??.:..~(/.... .'> / / "'/; / .. 4.-..- '-'-1 .t~ By 00__00__000__000000000____.00__.00__..000__000.00000000__00__000000000 ,"'. .' '-... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is-to be con- cealed due notice must be given the Inspector so that work may be Inspected belore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 18047 ELECTRICAL PERMIT /1..J2---[;(, J-;J(-SV :::::s.....:?nd:0:::::;::::~=fJ:~~:::::::::::::::::::::::::::::::::::::::::::::::.:::_:.m~~~.an:~t~:.:~::::::~::~::~.:~::::::::::~::::.:~::::::~::::::::: '/J ...... . " ,.,.-- r-'l fi ' t' ..r ..... / I.j _ .x ~ ;7 e;.' .....~:... -- -- Wiring Contractormm..m.......~.....nmn....._~:._.:::~.::-:::.~..a~~4.......::.....::::........!......... By..........~.:.......~.~.::.~:-;..m.......................... .-' -- ~ NOTICE-Current must not be turned on unttl Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ELECTRICAL WORK PERMIT APPLICATION "r ~Iectrical Contractor Installation description Job wired by DOwner o Commercial ~' Residential Electrical contractor name License number Date Expires o New ~'Altered/Addition ~b()1 GIa:..Tr,'c... ~SDI ~/3 #Qr7C- 'Z. Purchaser's mailing address .r '" 6 tPc..t4el c..h"""6< _p, 0, (3ox 35r /00 CI'^"'P CitYA State ZIP elll A-lI1ie!e..r ~ Cf.K :J t 2- Telephone number FAX number i-ft:.O -O..(f~ 5 (J-f/7.P premi7s owner';4.ame e,l'\./ . fAS,; r') Address of inspection ,Th r;;'/ \13;:). b"i51 ~Pc?r, A-I,qe..{~) Phone number to schedule inspection: Owner as defined by RCWI9.28.26l:(J) Owner will occupy the structure for two years after ,hi,l' electrical permif is finalized. (2) Owner is required (0 hire an electrical contractor if above said property is for sale, rent or lease. D Cash D Check # After reading the above statement, I hereby certify that I am the owner of the above <2jS';> named property or a licensed electrical contractor. I am making the electrical instal- tlfCredit Card Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code. and Card # - - - Utility Specifications. ~~---~-----~---- Signatur~ electrical contractor or electrical administrator Expiration Date ( $"'Z;;i~~C9'O ,-X -7-"'1 ~.- Date: 7-1"/-05 of card Electrica1 Load Additions and or subtractions Service Information ~ NO LOAD CHANGES o Baseboard _ KW o Furnace KW o Heat Pump _ Ton ~ LAR o Fan-Wall KW o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 / ROUGH-IN "- Dale Approved By / FINAL "- Date Approveo.llly Inspection Date THERMOSTAT Date Approved By DITCH Dale Approved By Area. Building or Equipment Inspected Voltage 1;2cJ/?-<{i:> Phaselj!10'3 Service Size: :2 0>0 Feeder Size: I oa / SERVICE "- Date Approved By / FmJr;:t: l 7-:m-tK Dale Approved By ~ Action Taken Electrical Inspector