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Home My WebLink About2321 W 18th St - Engineering PUBILle WORKS & R/W PERMIT D Attached Notes OWNERIAPPLlCANT SERENITY HOUSE OF CLALLAM CO 2321 W. 18TH ST Port Angeles, WA 98363 000/600-0000 PROJECT INFO Work is: Plans Required: Start Date: Contractor: QWEST COMMUNICATIONS Performance Bond Required: Amount: Proof of Insurance: Work to Perform: Issued: 5/14/2003 Permit No: Work Order: 1379 o PROPERTY LOCATION 2321 18TH ST W Lot: 1,2 Subdivision: Parcel No: Block: SP 81-10-6 063099110210000 o Long Legal Value Work: $0.00 II Finish Date: 360/000-0000 II $0.00 ISJ Install o Repair o Watermain o Sanitary Sewer o Storm Drain ISJ Underground TelelElec o Mise PROJECT NOTES open trench 135' @ 30" depth on west 18th 5t reet from "811" to serenity house FEES ASSESSMENT 1.) RfW 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 Capl 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 RfW: $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.) RfW Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00 11.) Other Water Service: $0.00 25.) D.R.A. $0.00 12.)Water System Dev: $0.00 26.) Mise: $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 ~ ~~ <@he/ g)~ F PI JRI Ie WORKS Permit To Perform Work In Street Right-of-Way APPLICA TION is hereby made to the municipality of PORI' ANGELES . to perform work as noted hereon and as shown on attached drawing: JOB # ~ 2.. w '9 \"1- 3 O(Jr::1'-{ -10 -n<.GI'-lc.\-.l. (. \ ~ ') @ so tu ON lAJ. ~a........~ \ 9>..ft. )-f (nz \ ) Y.4-V ~1' "'" w...-t . 1.-0'-'4'& ~VV~<:./l ~v-~"'~ 't; p~ /371 CHRIS CHRISTENSEN Qwest. ENGINEER 360-452-2184 Approved: Water Department -Superintendent ~ The estimated time for completion' of the above work is ..J v.."'-O. Sewer Department - Superintendent l \' f 200 ~ , Dai~ \'i 2..cro3 e=oo~.~ Contractor Owner ~ (check one) fl'1-Y: Lj ~~-9Y-=t=t- THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPLICANT'S: Date Complying with all Municipal Ordinances: Notifying the Street Superintendent of the time the work will start. and when it will finish; Prosecuting the work with diligence and with due respect to all property, contracts, persons' rights and the interests and convenience of the public: Saving the Municipality harmless from any and all damages which may accrue to any person or property because of this installation or the maintenance thereof; C:f;~;f'''O::", ;~d,1 ,,"di",", City of eo" '"' BJlAI~ ~ ,.,.,.,1.,.,c.....m"n/caflon..PorIJOwnH...,_J8~r256 c----------- ??~ <@hd g)~ Pl JRJ Ie: WORKS Permit To Perform Work In Street Right-of-Way APPLICATION is hereby made to the municipality of PORI' ANGELES _ to perform work as noted hereon and as shown on attached drawing: JOB # ~ 2. w'9 \'1- 3 1ro~& <;.R-I/ v ~ cJl I. \ ~ )" ~ so tu ~V~"'~ +; p~ u~ /371 ON IN. ~a......\.R \ ~ -tt. )-f (23ll) Y.A-V .,J~ "'^ ~i- . orr::1'-{ --to \1(GI'-lc.~ CHRIS CHRISTENSEN Qwest, ENGINEER 360-452-2184 Approved: Water Department -.Superintendent Dat~ \"1 2-0-0 3 Sewer Department - Superintendent \ (' r 200 ~ . ~n~ ~ The estimated time for completion of the above work is .-1....W2 Contractor Owner ~ (check one) Fr,-y: "-l ') 1- - 9 ~ 1- =t THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPLICANT'S: Date Complying with all Municipal Ordiriances; Notifying the Street Superintendent of the time the work will start. and when it will finish; Prosecuting the work with diligence and with due respect to all property, contracts, persons' rights and the interests and convenience of the public; Saving the Municipality harmless from any and all damages which may accrlle to any person or property because of this installation or the maintenance thereof; C:j;470;fOllO~:", """,., '''''''00; City of "'''' "" U'S BJhtU ~ ~l.,., CQmmunlca1Ia"., PIJtT TowlI....a_JS's'1256 Reason for reissue: Issue: Date: ......v,,,. 'Ul...n, I.....L. u,-'v.....'-'-''- ,....,'..... .....'Jll\ltlUIt. ':'ULtLI IV U21 fYL.J1 EMPLOYEES HAVING A NEED TO KNOW ..., 1b 'N'c,1' --Dt>o D + C> D I <>io,\ 1 ~ O1G'l \OfwAL\<. I ~ Otoo Edv<\'lC.o: b '2.2,01 W I~f\.. ">t. REMARKS: CITY or (lIOltl t=\N.~fLfS ~r:l\lMlT (t-('ru CJ4 TlDI--\ . 10 OPEN. mfN.CH l ,~I Of bll.~'Mo v:t~ff\ ON W - \B+C-.. <;+. O\..UES\" \0 ((fffiRE @,Rv\c;S OPr:M ~V\CH. l"1,(((l)~cJ"Off.f \ I L f(l..QiIt\. 6ll ,Q l)E\JE.Lo(El. 1lI.f:1A~. e Clc. D + ~ "'Cl~ Gl 'C..- ~\\ !::XI"1 ~ QW'-~T rf\)e<;<'AL ............ -Qwest~ \oJ. Ig~ 'Sf- :1, ..,., l'o'J(.i I ... I \ CM.\Ul~<<" l'l4lll,OEIl l1\.b.1c 1-\ , I Ph r qii.EN.lT'1 ~OV.SE bEvcUlfw.fM:l 1 NORTH Notice: Not for disclosure outside of Owest and affiliates exce t under written a reement. DESIGNED BY: VOl\..\;.. \)f\ VI Sb M JOB: "3 Z Lv 1> n TELEPHONE: ?,,,,o - '-Il1-- 2.l"1-'1 GEO CODE: w 2.r.,-t ~2. TAPER CODE: we CLLI: PmN wf\0\ PLAT REF: C l'l.. A ISSi: ISS DATE: . SH: OF f ~ORT ~ $~O~~~ na 'IL~ ~ ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 O.3-7..J&; Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation 03-00000215 Date 2321 W 18TH ST 0630991102100000 RES NEW MULTI 5+ FAMILY 4/25/03 962738 Owner Contractor SERENITY HOUSE OF CLALLAM PO BOX 4047 PORT ANGELES WA 983630997 PRIMO CONSTRUCTION PO BOX 296 CARLSBORG,WA SEQUIM (360) 683-5447 Structure Information ------------_____________ TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS WA 98382 Construction Type Occupancy Type Other struct info 2320 00 3/04/03 8/31/03 Plan Check Fee Valuation 00 o ~ ~ ~ --- 10 00 ------------------------------------------ Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS COMM WATER SERV Qty Unit Charge Per 1 00 2320 0000 EA PW W/M COM 2" Extension 2320 00 00 00 00 00 00 00 c -- 1t Fee summary Charged Paid ----------------- ---------- ---------- Permit Fee Total 2320 00 2320 00 Plan Check Total 00 00 Grand Total 2320 00 2320 00 Credited Due 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 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date .~- l ~-D3 Time Received by (phone, person) Sewer Foundation Framing a. '3 ~ l _ w 11?-+" TGUt \ (~Y ) '1111 * 0. Phone No , Permit No ~~/I__ Chimney Plumbing Final Sewer Excav Other U ~ 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 Remarks ,*\ q' i S~;f ~ ~ V) '\ , \) I~ t\~ / YES A:JV NO V 0,f~JJl' 1IJ1 V~~ RESTORATION REQUIRED ~-t \-ti ( SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC o Repaired by City [] Repaired by Permittee o No Damage Found Work ~r # ~OMPLETE D INCOMPLETE I 0 Other ~71 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Q v ,\:):!.. ~Tt ~ 18 rc-1 APPLICATION FOR IWATER City Water Department Port Angeles, Wash. s-Lj- ,~ Address I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premi ses Name of Applka.' . 5ev-.p h ; ~~-<SE-- ~?Zl w} <lib Renewal 0 SffP fi' J- / /) -I.R tV z. - New Service g Blk_ Lot_ Add '5u 5 LoT }O2- II /1 lO.c. 4i: ~ ~ 00 1l1lS" Si ze of Servi ce Z. 'f 2- ".511c...- Meter Number (\i. 5 ?li'S Service Left On 0 Service Left Off 0 Signed/' K~ Ct )@.-A~ _ ~ () fj L()0:f. DUD 000 I..'alled bY~W. f<-elLcft'vo.-r H-~J, 00 Q<200P-J Remarks Pe V 1M i T::tL ~;f.;5 ~ 1 ~/s- 1 Z'3 '0 ~ . Ke[..~ .' N ?- b ~K'^ ~~1 -0-{ b' V- E s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date y-(C)- 0 J Time Received by (phone, person) t) r; Location of Work to be inspected cA.. ;) Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~I w 1"6-\1" -r lA) \ \ (0 ~ I 1 11, <&- f3 Phone No Permit No D3-2 IS U-JC',-,+r:~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date Remarks Time ~y f!. -e '11C-V--R cI (') I - 'Vb 1-4'><- try 5-fY U t ~ FreJ'vPt ?? ( ( -I- CJ1-1 t ;' VII \ttOJ{;L( )-e{lh~ ~Jc Nf I ~Q" 1- ~ r.ql(h ~W~J~/1rll CtJ vJ \ J L- ~~71 ~ '- ~'i y, ~ 0 I 1 ~ RESTORATION REQUIRED YES // NO~ SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC D Other Work Order # J'A-.7'J- ~MPLETE D INCOMPLETE D Repaired by City [] Repaired by Permittee [] No Damage Found (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST _ ~ Date tJ - 1!6 - 6 I 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) Permit No O~-2 /6 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~ ~ 3 ~, W Il?+il rrtA-J i' (~y If{ll c.fr D ~hone No INSPECTION NOTES Inspected Remarks Date Time I By ft ~~ I. ~1ti ;2..tr.. ('0 ,6"V ~ ,06 ',~ -' I' L 5..Ar-U.c-e j '~ r - --g W-;'~~y RESTORATION REQUIRED ,\ 1 \',,(... , : \'1 '1:. :'f'\. Q t.eY. ,tv L) L. V\)D -/ ~e, 0 YES NO IJtJ'IJi~~~ /' /' V ~ ~ \) ! .5 '6 () " ~ 'b I D k- { ~ ~ 19+1, 5+, SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Repaired by City Cl Repaired by Permittee CI No Damage Found o Asphalt 0 PCC I 6 vOther Work Order # ?5 o:;vCOMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) REQ/JOB CREW City~of Port Angeles WORK REQUEST WF0001869 / 001 PROJECT DWMC Water Maintenance Crew ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- PW-Drinking Water bbeverfo BBEVERFO AUTH BBEVERFO 18th St -New Ser -2" x 2" LOC ID PRIORITY ORIGIN WORK TYPE PAGE REQUEST DATE PRINT DATE PRINT TIME SCHEDULE START COMPLETION REF NBR Medium Staff Routine 1 3/11/03 3/11/03 7 38 52 DATES 3/26/03 3/28/03 LOCATION GEN LOC REQ DEPT REQUESTOR USER ID 2321 W REQUEST COMMENTS Install New Ser 0 -Main is 8" D I , (possibly 8" AC)Material will be Brass with Prefab Setter & 2" Compound Meter ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ 2321 W 18th St -New Ser -2" x 2" Category code Water Dist Const Task coae Install Facility ID Assigned D~partment Start tlme DWCN INST _ / 2/3 () r fYl t-- ;;=:;~~=;;~~=~=S7;:z:z;~=~~===~~:;~;;;~;=~=;;===~;=/=7;=~;?=~~=~==~== UNIT OF PRODUCTION I QUANTITY T AJ 5 in ( AI-er.u 2 X 2- P~::~6~"~J Wii~ ~ ~,th 2 It ~ PW-Drinking Water ~ ~ onq c....--- Stop time ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- LABOR EQUIPMENT EMPLOYEE HRS NUMBER HRS ITEM QTY COST ~ ~v 17(1'2... l)t/ (:7 ~ ~ :2 ~ ~I=-J~/hf: -Lv/ /7~2- )- co 'fp 5 f-o~ ~ I' _ ~ J' lJt:.Ib?e~ 5 t/ 17Sb ~ is-t'e L 8'vCt S'S :z ( , L Jr G-VdV~ > y~ --L J fJ;--4 <;' S ;J I )/-e ~'I X ~Ljj~~:J::Ee5_ ')v j C; () 0 g Vel 5' 5 ::z r ' -L ===-========~==============~=-------------------========================= JfJf-e fctb 5-e 1k J- ~ t (- I J (0 'rYJ?v Jncl :A" 911effl- / J /-~(). vc;..€... P / t{ 5"+( c 'frJ7.e -to ~() ;<,_1 9 /rt I/--e L S- Y /r C/ 5" v/" .I,,~ ~ ~ ~7 "'v/j>{ Ie vIJ",i-c, C~TY Of ~ORT ANGELES D fPUBUC WORKS DEPT. STANDARD DETAilS ;. ASPHAL T CONCRETE PA VEMENT OR CLASS B PCC PA VEMENT (HIGH EARL Y) MA TCH EXISTlNG PA VEMENT TYPE AND DEP TH. SEE NOTE #4 6. MIN. OVERLAP ---t f--- CUTS SHALL BE SAKCUT SEe NOTE #3. t C.D BACKFILL L 4. BEDDING NO T TO SCALE C.D. SA CKFILL SPECIFICA TlONS vo TES 2600 LBS. OF QJ75 IN. AGGREGA TE 800 LBS. OF STANDARD CONCRETE SAND 94 LBS. OF PORnAND CEMENT APPROX. 14 GAL. OF WA TER THE AMOUNT OF WA TER IS A CRITlCAL FACTOR TO SET UP TlME AND SHOULD BE ADDED A T THE SI TE. , ACP PA TCH SHALL BE ROLLED AND !fE!. VlBRA TED. 2 TO BE USED FOR ALL PA VED STREETS AND ALLEYS. BACKFILL LOCA TlON TO 1 -0. BEHIND CURB OR EDCE OF PA VlNG UNLESS OTHERWISE APPROVE:D IN ADVANCE BY CITY ENGINEER. .], WHERE CONCRETE PAVE:MENT JOINT IS LESS THAN 4 -0. FROU SAWCUT THE PAVE:MENT SHALL BE REMOVED TO THA T JOINT 4 TEMPORARY PATCHING WITH ASPHALT OR PLACEMENT OF STEEL PLATES IS REOUIRED WHEN TRAmC WILL CROSS CDF FOR MORE THAN 24 HOURS WITHOUT PERMANENT RESTDRATlON. STEEL PLATES SHALL HAVE: COLD PATCH .tCDGES ON TRAmc EDGES. CAU. rOR lN$PCC11ON PRfOR TO PLACING CDF BACKFl.L . AU. It09Ir AND MAIFRfALS ro K IN A~ ."., CURRDlT STANDARD SPCC1F7CAl1ONS FOR RQcD. BRIOCC AND IlUNlClPAL CONS1RUC11ON' WASHINGTON STATe OEPAR1J/E'NT or 11liWSPORTA T1CN. AMeRICAN PUl1UC IK*'S A.5:mCrA 11OY. AF?~OV=~ EY Cl7v =:'-lGINIEE:; DATE 06/09/92 REVISED' 8/23/95 CONlrfiOlllE~ :ENlSrry 3AC~F~~_ :CDf) '=:~ ': '\. A Hi: rn~ nwr BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL WALLS 1 ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA, P ARKING/LIGHTlNG ESA. LANDSCAPING SHORELINE, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 BUILDING T'\PLANNING\FORMS\1102.15 [4/2002]