HomeMy WebLinkAbout824 Joshua St - Engineering
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CITY OF .pORT ANGELES
PUBLiC WORKS - UTILITIES DNISION
321 EAST STIISTREET, PORT ANGELES, WA 98362
05-4-/0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000410 Date
194200
824 JOSHUA ST
06-30-01-7-6-D040-0000-
LT 4
RES NEW SFR
7/20/06
55z4 Jos~CC
5e-dfj H-.Qt:A-~
RS9 RESDNTL SINGLE FAMILY
135159
Owner
Contractor
SCOTT HEADRICK
1002 MEDSKER RD
SEQUIM
(360) 460-2138
Other struct info
OWNER
WA 98382
~nj)J I(
oY-(;;51 00
Y'V':/f I~jv.- ~
o-Tr/j'{
f7ecJCf~ ~v / \o/f
71 17~ Y\ ~ \~rY.11 '
1010 OJJ 111/ 1
0~ ~o
.0
Qty unit Charge Per E~, II J~
-----;~~~~~~~:~~~;~;~~~;~~::~~:::ANO:E::~-:~~~~~------------------~ :7~. '~~~. nO" l~
Building address sign shall not be less than 6" & not more \ en
than 12" in height. Numbers colors must contrast with wall II"
color they are mounted on. (Ord. 14.36.050-E) V I Vl
Down spo~ts from roof gutters shall be piped, to drywells or 1'7. '? Y
may be p~ped to curbs that flow to strom dralns. No L/ 1~
pressurized or pumping to curbs are allowed. An inspection 1 J ~
by Bldg. Dept. is required prior to backfill. , /I 1 D
06/06/2005 11:46 AM SROBERDS _u_________.___uuuuu__ 'OJftj /2.\Jl , v
S.F. residence in RS-9 for total 'lot coverage of 30%. No '~ '/ [) I ~
land use issues are noted. 111 L1' ~ LY
Elec~rical load calculations and elctrical permits are \..fJ f 0 CL 0
re~lred. I.V
Under 2004 policy connection Fee - $222.00 tI'
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
30.00
1. 00
9003.00
2700.00
1. 00
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
desc .
number
PUBLIC WORKS RES WATER
DROP IN WATER METER
51375
195.00
7/20/06
1/16/07
SERV
Plan Check Fee
Valuation
.00
135159
Date
---------~:~--_:~~:_~~:~~:__::~--~~:~-~~~-------------------------~~~;~~
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
SANITARY SEWER HOOK UP
desc .
number
51383
110.00
7/20/06
1/16/07
Plan Check Fee
Valuation
.00
135159
Date
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utililies, 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 nol been requested within 180 days from Ihe last
inspection. I hereby certify that J 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.
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T:\Policies\1102.ISR {lIOS)
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
05-00000410
194200
Page 2
Date 7/20(06
Special Notes and Comments
05/31/2005 10:06 AM GMCLAIN -----------~----------------
Other Fees
RES UNDERGRND SERVICE FEE 222.00
SEWER SYSTEM DELV CHARGE ~
STATE SURCHARGE ~. 5
PW WATER SYSTEM USE FEE 025.00
---------------------------------------------------------~--- ------ ----~-
Fee summary Charged Paid Credited Due
Permit Fee Total
plan Check Total
Other Fee Total
Grand Total
305.00
.00
1996.50
2301.50
305.00
.00
1996.50
2301.50
.00
.00
.00
.00
.00
.00
.00
.00
Separate Permits are required for electrical wor!<, SEPA, Shoreline, ESA, 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
laws and ordinances goveming 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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R (1/05)
APPLICATION FOR WATER
City Water Division
Port Angeles, Washington b - 13
2005
, -
I hereby apply lor water to be furnished in accordance with rates and'rules 01 the City lor the
lollowing premises:
Name of Applicant: "S.... n-l:LJ.\o{ll1 <1((}(' K
Address: BzA ...\ll:>sh\Aa_ ~T.
Renewal 0 Newservi~k.' Lot <-I- Add/JJI V;"'./.I}ESr~'
Size of service~~ drop';" Meter Number 0'/.36 73J<.1. '07'
Service Left On b Service Left ~Sign
ilPo- "2.138
Installed by
717
~ V'YvlJ? 05-410
rp IqS'Zo + ~ / D250D
Remarks:
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
j-Iq...-O(~ Time
Received by
--Ie
II
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. OS~t} 10
Sewer Foundation Framing Chimney PIUmbing0n~ Sewer Excav. Other dlAif-
124 ~5MUL
5(.J:J N--P.IJ.~
INSPECTION NOTES:
Inspected: Date '/ - d 0 - 0 ("
Remarks:
Time 1:.20!;t1
By
G~~l-~~
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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RVlCE CONN.
SANITARY SEVt'ER 5E
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PROPOSED BUILDING I .. 0 I
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" TBACK LINES _ 'I
fMLDING SE 5 C y DRYWELl .. ..
....'-...... 5';5' 50,"3.8' OEEP'S, ,./ /
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Scale:
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, EXPIRES: 8/12{06
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CITY OF PORT ANGELES
PUBLIC WORKS - UTn.ItIb"'S'DWISION
321 EAST'STH"STREET, PORT ANGELES, WA 98362
Application Number
Appl1cation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subd1v1sion Name
Property Use
Property Zoning .
Appl1cation valuat10n
05-00000410 Date
194200
824 JOSHUA ST
06-30-01-7-6-0040-0000-
LT 4
RES NEW SFR
7/20/06
I
I
I
I
I
-I
I
I
I
I
RS9 RESDNTL SINGLE FAMILY
135159
Owner
Contractor
SCOTT HEADRICK
1002 MEDSKER RD
SEQUIM
(360) 460-2138
Other struct 1nfo
OWNER
WA 98382
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
30.00
1. 00
9003.00
2700.00
1. 00
Permit . . . . .
Add1t1onal desc .
Permit p1n number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
51375
195.00 Plan Check Fee
7/20/06 Valuat10n
1/16/07
.00
135159
Qty Unit Charge Per
BASE FEE
Extension
195.00
Permit . . . . .
Additional desc .
Perm1t p1n number
Permit Fee
Issue Date
Exp1ration Date
SANITARY SEWER HOOK UP
51383
110.00
7/20/06
1/16/07
Plan Check Fee
Valuat10n
.00
13 5159
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extens10n
110.00
Special Notes and Comments
FINALED 5/26/06 05/30/2006 02:08 PM
DYASUMUR -------
BU1lding address sign shall not be less than 6" & not more
than 12" 1n height. Numbers colors must contrast with wall
color they are mounted on. lOrd. 14.36.050-E)
Down spouts from roof gutters shall be piped to drywells or
may be piped to curbs that flow to strom drains. No
pressurized or pumping to curbs are allowed. An inspect10n
by Bldg. Dept 1S requ1red prior to backf111.
06/06/2005 11: 46 AM SROBERDS -- -- - -- -- -- -'- - - - - - - -- -- - ---
S.F. residence in RS-9 for total lot coverage of 30%. No
land use issues are noted.
Electrical load calculations and elctr1cal permits are
requ1red.
Under 2004 pol1cy connect1on Fee - $222.00
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.
Signature of Contractor or Authorized Agent
Date
Signature of 'Owner (if owner is builder)
Date
T:\Policics\1102.1SR [1105]
I
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f.ti~~
. r'Gli
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'l4tC~
CITY OF PORT ANGELES
.pUBLIC WORKS - UTILITIES DMSION
321 EAST'5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000410
Application pln number 194200
Page 2
Date 7/20/06
Speclal Notes and Comments
05/31/2005 10:06 AM GMCLAIN ----------------------------
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
222.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -----~----
Permit Fee Total 305.00 305.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1996.50 1996.50 .00 .00
Grand Total 2301. 50 2301. 50 .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 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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.ISR [1105]