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Home My WebLink About1318 W 5th St - Engineering ~ "ORT ~ t::-4..0~~~ ~Riiii~ "-~ ~ "l.tii:JC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3--- 40'2---- 4/17/03 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner 03-00000402 Date 1318 W 5TH ST 0630000120200000 PUBLIC WORKS UTI LITES o Contractor FRANTZ, ROBERT JENNIFER 1962 PLACE RD PORT ANGELES WA 98363 (360) 417-6849 Qty Unit Charge Per ~ten . BASE FEE 150 00 ------------------------------------------------------------------ -_._- Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date OWNER PUBLIC WORKS RES WATER SERV DROP IN METER 150 00 Plan Check Fee 4/17/03 Valuation 10/14/03 00 o --. ~ - ~ 45 00 4/17/03 10/14/03 Plan Check Fee Valuation ~ ~ 00 o Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Permit Additional desc Permit Fee Issue Date Expiration Date Extension 45 00 STREET ALLEY RESTORATION 230 00 4/17/03 10/14/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 230 00 r\ (',).LI\ \ ~ 0 ty Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95 00 Plan Check Fee 00 Issue Date 4/17/03 Valuation 0 Expiration Date 10/14/03 Qty Unit Charge Per 1 00 95 0000 EA Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Extension SAN SEWER HOOKUP 95 00 ---~~~~-~~~;~~-~~~;-~~;~--~~--- Paid Credited Due --pr-e t/ / J -e..t. >~~ / ~ 7)!f!., 74J-!!9 /"" ---------- ---------- ---------- ---------- 520 00 520 00 00 00 00 00 00 00 745 00 745 00 00 00 1265 00 1265 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and publi 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 10ca!Jaw regulating construction or the performance of construction. ,/, /t~/.'f)/ r/7oJ Signature of Contractor or Authorized Agent Date Date nPLANNINGIFORMSIII02.15 [4/2002] c1 'PORT ~Q !o......~~~ ~".~ "-~ ~ "l.tii:JC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000402 Page 2 Date 4/17/03 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T'IPLANNINGIFORMSIII02.15 [4/2002] 'REQUEST FOR PAYMENT' Authorization TO. ----=R oi:.e.-...-t- r;. tL"1-1--=c I q (PL..- -p l... A<::E:" R D -ro VT A4 4ELE.S W-A-(,3 ~ {) 3 -04D2- -=Fe y >>1.l T lEi DESCRlmON' ~e:-k.tt'\ cL. W fir T -e:-1e.. ~"'<2.. yo d. Y'O P I J..! L 'J 50 t?.E ) Ke~ Y\cL Sew-e..r S~S...J.~ be.,.u~of>rn~(;;<i5eg) Pr-enoL/$ -EX. "5r~u.c1'ure wl'f17 t1-J.j}I'J-t~- #/So<:1O "7D~-/~'Oa- :s:V'3~o5o BUDGEI' CODt=f7<-1$""'" ~6s- 7'1&6 "'3<.;:5 50,?'! 19 q5 q!2- AMOUNT RV APPROV AI.. DATE 1/;7/tJ ? SoeeiallnslrUCllons CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST ;),.. ~ Date 4 ~ 1-- Time Received by (phone. person) Sewer Foundation Framing /j/f tv ~ J.~8c-> Phone No Permit No~-</o;L Chimney Plumbing Fina~wer ~ Other Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) INSPECTION NOTES Inspected Date I -z;;l ~ - 0 f Time Remarks c.." IN">_ f I p 1'"€- rfV'\. By vvYd - RESTORATION REQUIRED YES NO X 5t!;..-. * ~. )' 1 :'"C; ;~ ~ ~7 LJ ,"' y,,t 'I c~" c. \ 0 --1...-=:- ~~_ fe'':..~ '*~ " ;J. l.. 0 I - 0 t _._ ._... _ _.._.... . SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST ~ - rJ 1:' c- Oate 5 ,r )o..-V 7 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) Sewer Foundation Framing Chimney ) 2/'6 w ~rA .-::-: ) / ~[U I, C ~ x: I frl 6-- f3 5'f- r- Phone No Permit No Plumbing Final Sewer Excav Other (;-J (A" + -e 1--- INSPECTION NOTES By C)?( -e-H)-- -'5.-e ;'/:7,;- Inspected Remarks Date Time /?-I:?PcV>- q;(/ ) --Rt'~ i(' ( RESTORATION REQUIRED YES / NoL/ I '"'/., jJ/~ h ~ jf/~ (+ )' (" itJ , ~.( c- ~ . /~11_~, j~ "" ,~ -' I t~ ~---..-- SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Repaired by City [] Repaired by Permittee [] No Damage Found o Asphalt 0 PCC Lj-J 0 Other VYo~der # I 6 ~ C:r' COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) LIty 01 lJort Angeles Public 'V orks Departnlent t+~ * .L.{ 'to 8 -{ '" ater Distribution Repair Report I Crew (If! IWork Order No. L/-; 0 3' I DATE REPORTED z;-/},:)- 6 ? CONDITION EtvlERGENCY 0 ROUTINE 0 CITIZEN Co:tvIPLAINT 0 LEAKAGE SURVEY X OTHER 0 Z? ?o - oJ TIME 7 {(A.M. DP.M, ADDRESS I J I '3 w s--M ?-.. ~ ( (.. --- .:r::- SIZE DATE OF REPAIR. REP AIR LOCATION TYPE OF MAIN DEPTH OF MAIN CLOSEST VALVE DEPTH. COMFONENT REPAIRED. MAIN JOINT 0 CIR, BREAK 0 SPLIT BELL, 0 LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SERV1C~ TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FIITING 0 , METER SETTER!{' METER 0 LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT BRANCH 0 VALVE 0 BARREL 0 OTIIER, COMPONENTS OF REP AIR. CLAMPD DRESSERD OTHER SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0 TOP SOIL AREA ti SOIL TYPE curs ASPHALT cur _FI' CURB cur _FI' SIDEW ALK _FI' DRIVEWAY cur _FI' MAIN CONDITION INTERNAL LINING 11JBERCULA TION-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0 '1/} CHLORINE RESIDUAL SAMPLE / ^ t P.P.M. WATER OFF FROM M.TO f.)' . ),r i> U:; --e-;z{. ,r. a (z '~]I./' ." . , M. IUC>!fJ't;+'I/ b<,k)- /3{[j!. FROM M, TO M. APPARENT CAUSE OF LEAK. Itvs1kd'l OU+ {jic{5S /'Jt',PP/'-~