HomeMy WebLinkAbout1702 S O St - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
city of port angeles
Issued:
3/07/2005
Permit No:
Work Order:
1429
o
PROPERTY LOCATION
1702 0 ST S
Lot: 30
Subdivision:
Parcel No:
Block: 2
Port Angeles, W A 98360
000/600-0000
PROJECT INFO
Work is: Outside Traveled Road
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
Eagles Lair
063000440300000
~ Long Legal
Value Work:
$0.00
~ Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
~ Underground Tele/Elec
o
/ /
Finish Date:
$0.00
PROJECT NOTES
place buried service wire 125' in city rlw
FEES ASSESSMENT
1.) R/W Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Cap/ 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 R/W: $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.) R/W Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (ORA) $0.00
11.) Other Water Service: $0.00 25.) ORA. $0.00
12.)Water System Dev: $0.00 26.) Misc: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00
14.) San Sewer MFR: $0.00
add unit 0 Amount Paid: $0.00
Receipt No:
Inspection Fee: $0.00 Balance Due: $0.00
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The estimated time for'completion of the above work is /0 DAVS A'F-re~ np"rEIf"f'"~\\ji';;;Kli;
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MRR 07 2005 10:20 FR TRRFTON B
2534711324 TO 136041747099
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PU!LIC WOI'll.S
W00501141/452C
Permit To Perfonn Worle In Street R1ght~f.Way
APPliCATION is h.er~by made [0 the municipality of PORI' ANGELES
to perform wQrk as
nored hereon and U "hown on artached drawing:
"PLEASE
AI1' AC HE'D
..5r..ETi: 4
.=e.E.
Place Buried Service Wire 125'
at 1702 0 st.
in ROW to provide telephone service
Jh.
7'€V'Y\t\.\\ 14.'G4
Approved:
Water DepiU'tment - Superintendent
Date
Mi1TCh 7,2005
. I'
BY~~
Contractor X Owner
OWE-5T /A1Ti~ ;ESvJ
7850-88. Trafton,Tacoma
,
r'A~
253-471-1324
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPl.lCANT'S:
Complying with all Municipel Ordinances;
Notifying the Street Superintendent of the time the work will star:, and when it will finish; .
P<osecutin~ the work with diliicncc ancl with due respect to alll'roperry. contncrs. penons'
righU and the interests ancl convenience of the public;
Date
Saving the Municipality harmless frem allY and all dsmsges whi~h rnay accrue to any penon
or prope-rry because or this inotalllltion or the maintenance thereof;
Complying wirh followinl\ .pedal conditions;
~I '7IDS~
C1tyof PORr ANGElES
JIU1t14 ~-
BY
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P.02
MAR 07 2005 10:21 FR TRAFTON B
253 471
1324 TO 136041747099
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Push or bore 2 inch pve or Brp under roadway (total footage)
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service wir.e >to ':",:,:~~,\~> _
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** TOTAL PAGE.03 **
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This request for permit is for the placement of underground telephone
our customer at the following address:
J 7tJ::A
o~
This work will require:
Plowing in the R/W (total footage)
/cPS I
Push or bore 2 inch pve or BIP under driveway (total footage)
Push or bore 2 inch pve or Brp under multiple driveways (total footage)
"All crossings and ROW work at 36 inches, "All pits and trenchmg require select fill.
, CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date! - z.. 7 - 0 'f
Time '7 /'l M.
Received by Ve"-,,,: S j!;.. .' (phone, person)
~
<:: ""_.Ll
Location of Work to be inspected ( 'l D -z.... ~. 0 >-<- .
Name of person requesting inspection 1)e.... Vo.. :..., E -
Address of person requesting inspection C:.enrp y~vd
Type of Inspection (circle appropriate one):
)7'f- f5. Phone No. 4(( - '-/ S't.f '7
P"m;' No "~51
Sewer Excav. Ot~
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date r - Z 7 - 0 c.f Time
Remarks: /Vet-J (X ~A? ~.fJ\c..e.
I ( : DO A C<-tBy De-VI l/1 ,'c, E .
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RESTORATION REQUIRED . . . . .. YES
NO )(
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # /<170') -DS()
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00001012
Pin number . . . . . . .462672
Page 2
Date 11/18/04
----------------------------------------------------------------------------
Other Fees PW WATER SYSTEM USE FEE 1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 230.00 230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2004.50 2004.50 .00 .00
I..
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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
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. ~.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 TYPE DATE ACCEPTED COMMENTS
YES NO
, Ii ~ dcu: J0
FOUNDATION: Block J -I Cf -0.> j,}..,
FOOTINGS ItJ., b i 1)..- ) f] -U~ LL.
WALLS -,
FOUND A TION DRAINAGEiDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) J'Z"l~C>;) lLL-
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~ -2f$-e>5- )LG BUILDING
T:\PLANNING\FORMS\ 11 02.15 [11/1 4/2003]
rf9'ORT "-11
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001012 Date
.462672
1702 S 0 ST
06-30-00-4-4-0300-0000-
RES MANUFACTURED HOME
11/18/04
RS9 RESDNTL SINGLE FAMILY
67227
Owner
Contractor
PARS INEN , WILFRED
210 SO. FRANCIS
PORT ANGELES
(360) 457-8922
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98362
BUY RITE HOMES
3543 W.STATE HWY 16
SEBRING
(479) 795
1424SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
FL
16.00
1. 00
9000.00
1424.00
1424.00
1. 00
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
145.00
11/18/04
5/18/05
Plan Check Fee
Valuation
.00
o
Qty
Unit Charge Per
BASE FEE
Extension
145.00
----------------------------------------------------------------------------
permi t PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 640.00 Plan Check Fee .00
Issue Date 11/18/04 Valuation 67227
Expiration Date 5/18/05
Qty Unit Charge Per Extension
1. 00 640.0000 EA PW W/M 1" SERV 5/8" METER 640.00
----------------------------------------------------------------------------
permi t SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95.00 Plan Check Fee .00
Issue Date 11/18/04 Valuation 67227
Expiration Date 5/18/05
Qty Unit Charge Per Extension
1. 00 95.0000 EA SAN SEWER HOOKUP 95.00
L
~
----------------------------------------------------------------------------
Special Notes and Comments
The proposal will allow the placement of a manufactured home
in. the RS-9 zone. Setbacks and lot coverage is good at 16%.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
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
r I s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
p, s me to ive au ority to viol te or cancel the p ovisions of any state or local law regulating construction or the performance of
ructio .
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEiDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W,
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11114/2003]
~.,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00001012
pin number . . .462672
Page 2
Date 11/18/04
----------------------------------------------------------------------------
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as IIFire alarm"
Electrical load calculations and elctrical permits are
required.
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road right of way. 6'-0" sidewalk reqd @ curb.
----------------------------------------------------------------------------
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 880.00 880.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2654.50 2654.50 .00 .00
L
~
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:\PLANNING\FORMS\1102,15 [11/14/2003]
c"
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL 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,
r INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEiDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH. IN
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT, SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W, I PW I CONSTRUCTION - R.W,
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT, 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102,15 [11/14/2003]