HomeMy WebLinkAbout301 S Oak St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUll..OING ONISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued;lo / ?/9fR. Permit No: 532
& R/W PERMIT Cond: 7F Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATlbN------------------------
NORMA MOON 301 OAK S
301 S. OAK ST Lot: 10 ~
Port Angeles,WA98362 Block: 70 Long Legal: ~
360/452-2826 Sub: TPA ___
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $O.O~
/ / ~
/ / ~
$0.00 r:::--
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
* Storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
sidewalk on Oak to be improved possibly thru 50/50 sidewalk program
estimate for work to Ridout 155' + wheel chair ramp to be replaced
Ms moon to pay based on 80' replacement $500.00
Work to Perform: INSTALL * Watermain
* sanitary Sewer
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: * $40.00 San Sewer SFR: * $80.00
Sidewalk: * $500.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: * $200.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $550.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: * $642.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Corom Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: * $883.00
TOTAL FEE:
AMT PAID:
$2,895.00
$500.00
R/W
SANITARY
$0.00
WATER
BAL DUE:
$2,395.00
fd
Receipt No:
Inspection Fee:
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, 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,r local law regulating construction or the performance of construction.
. , j/
Date
Si nature of Owner if owner is builder
A I . ..........1 0011 AR
..-
NAME N U MBE R N U MBE R AMOU NT
.;ons uction 'VV.~t:.1
)lan ~heck Fee 700.9449
)urc arae ($4.50) 001 .2291000
)Ium >Ina 700.9212
Meet anlcaT 700.921 3
Slan 700.921 4
WSEO 700.9301
House Movina ~ 700.9626
idewalklDrlVewav/Curb PermitlRiaht of WavPermlt 700.9228 ~C1U
anitarv Sewer Permit 700.9223 9n, " 0
ublications 700.9409
Blueorints - Aerial 700.9429
Enaineerina Service Fees 700.9462
Clear/~ade Permit 700.9241
Fre I nsoect/Per m it Fee 6OO.96n
Fte Sorinkler Plan ReVIew Fee 600.9449
1\Ommlstration Cost (5%) 700.9426
DRA Fees Plus Interest 001 .2392000
~
.;.;.:.;.:.;.:.:.:.;.:.:.:.:.:.:.;.:-:.:.;.:.;.:.;.:.:.:':':':', ::::,~I:~"t" ,,::f':::::f}:::t:f:::::::::::,:,:::,::::::f :,:::::,:1::,:I:p:t:Ai(::::@::: :t:::::,:,~t~::, 1::1:,: .:.:.:.:.:.:.:-:.:-:-:. ::~::::,l:,::~:~:::::t'r:::t,::,:::",:"" : ,,::::::::::::::,:,:::::::':':::
:;:::::::::::::::::;:::::::::::::::::::::::::::::;:::::::::::::: .. .. .. :
~
Storm-Dralnl TaD 752.961 9
Street! A1lev Restoration 752.9242
SIW Co -00 752.9626
t:::::::tt::~::::dt:::tt:::~~:::~:~~::::J:Ql.tt~, : : : ':: J:ti:q~Q:t~::::::~::::~~::::::::m:::::~:~:::t::::::::::t::: :::::::t~:l':P',!:~I:::~~~t,~~ ': : .: ;~~~~~~~~~~11~~~;;; m~~1~;;~!~~~~~~~~~;;~1~~~3~~~~~l:~~;~~;;~;;;~;;;;f:;;;m;;;;~;;~;i:j;~~;;;;~;~~;;~;~;;j;;;;
.. :.:.:.:.:-:.:.: " .:,,:. .. .. ..
Other Fund
t;;;:;;:~:~1*~1:;~:: " : :' ::::: " : ::;j~':1';'1:~j~j;;;;1;f:;~:~;~::;m; j;;t3~::~~~~I::~;,~~~ t:~~~:?:aHU::U:lI:0.00l:~M,t~ ;~;if.~r~*~;:;;~~1~~ili~~t~l:l~fi*;~j;j~5jj;;1;~j~;~~j~~~~~f:j::~m
" .. ..
Prooertv Sales 71 5.9634
~:;:;:3;:;:~:~:j:;:;:;:::r:3j~:r:;:~:I:~::I:.';::~I:!:~ .:: : " : }~~~:~::::::::~::::::::::,:::::::,,:::::::: :;:;:;:~r:r~: " ;:;:::-;::::. :.:.:.:-:.:." .... ;:;:;:;:;:::j:~::~:;:; :j:;~:j:j:j*~:::~:::j:~::*r:;:r:~l~~:::r:~:j;1:r:~:1:;:;:;:;:~:~:~:~::~:~:~:$.:~~:::r:~;:;:
:' " .. : :.:.:.:.:. :::::::::::::' .. ~, " " "
-,...
Water Svste m Develooement Charae 753.9403 Xx :;z
Hot TaD lwatermain) 753.961 9
F.H. Install! Meter 753.961 9
W/M Installation ~ 753.961 9 W t'C/
::::~t~J:::::~~m::,~rr~:::::;::1,:W::~:::: :... : :: :: :. .:~~~~~:~:j:::;;~t~:r:~1~t~~:j~~~~~~~~~:~:t1~1~;~ ~~~~~:i:::: :..': .:. :: ...: :::~ .:~~ ~t.~:t. .~~*r~~~~*~ :~~~~.:;:~'*:~~~~. ,~l'_if_,:?::1:t~M
.. .. ..:: " : ,', : " ", :' .. ..
ISanitarv Sewer TaD/Cao or MH Tao 354.961 9 'X" /") ~f,L
Sewer Svstem Develooement Charae 354.9403 //l~ d.~ 00
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:~~:~~:~::;:;:~r$.:;~~:::~:~$~:j:.: " : ': .. : ~:~:~r~:~:~:: :r:r:~ :~: i:~:1:~:~:~:~:~;:~:~:~;~: ~:r:~:::1:1:~;:::i:~:::;;j~=:::r:r:~:;~~:;:~:~;: ::::::~:l, .:': :: :i: .:~::::::~:::r:~: ~:::;:~:j::*~:ili~~::.~::~_~:~:::~~::::~::r:r:j~~;':
.. " " .. .. ..
-
Milwaukee Dr Assessment 755.9403
:::::}~~:1.~:"::;::::?:f1~:r:::~:::~:;:j*:I::~I:.I::::~:H.UD:~ :: .;: " . r:~~:r:~~:1:~:1;~;~:~:~:j:r:;:::~:;:~:~:~: ~~: ~:~:~~:~~~:::~$1:1:::::?:r:~~r:r:~r::~~::' :~:?-":f .... ;: " ':j~:~::~::::::: 1:1:::?:r:;~~f.::::W~~1f5.~::~:r:~:f:~~~~:::r:~*;.t::::::r:1?~*W~}'l:"~
", ..
::~~::::~:::f." " :t~~~~.~~:'~f!I~:: : *-ti:q~q::m~:,:,:::::::t~:::: ~i~;:~~~::::::::~::~~~~l;o=t?:$:%~/.::~ l'. ::. : ..~~"?:j~m~ ~:?:::~:;:::'f.;::~1*~:;:~Jili~.:::tW~~;~~?::;:er::::~<"f~::~
.. .. " " ',' " ::
SecondiiV Sewer Assessment 757.9633
: " , " : ~ .. : : ';:;' .;,' '.. -=:*:*:~f.:y.?~:;*; :;:;::::~ ,< ~ .:: ,::i'i'
, " :
RECEIPT '* N 0 2 4 5 3 "
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FILL. .IN COMPLETELY 10 IAL ALL I
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
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..
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . .
......
REQUEST
Date / D - / - Lf V
c;-
Time,
/1 I;
Received by (c lit
(phone, person)
.I ;-^
Location of Work to be inspected ,,-..i I
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
J
i /
..
J
Phone No
Permit No .. -. '~
Plumbing Final Sewer Excav Other "V;Cj I 1;. ~
INSPECTION NOTES
/A.<;-"/,l /'_
F~
Time (
/y~
By
/1./
~
Inspected
Remarks
/ /" ~ / '/ a
Date '-' - / V
~J
c___ 7%9
Ie 4 () f/_q 4 464
RESTORATION REQUIRED . . .. . YES NO X
_J
!
I
\
I
----_.~- _.- - - -~_._--
.....)~
~-,/3
.-- ----
-----1
:2 C/
." .
.~
('
r
X
.3 0 /) (- /"
------.-....--------------
SURFACE RESTORATION.
SURFACE TYPE 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
"'"7 ~'J
Work Order # 7,,).......
gf COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TEl
CITY OF PORT ANGELES
PUBLIC WORKS - BUll..OING ONISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
s
~~.
PUBLIC WORKS CONSTRUCTION Issued: 9 /90/q~/'I'/ Permit No: 532
& R/W PERMIT Cond: r Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
NORMA MOON 301 OAK S
134 W.3RD ST Lot: 10
Port Angeles,WA98362 Block: 70 Long Legal:
360/452-2826 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/ /
/ /
$0.00
* Storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
sidewalk on Oak to be improved possibly thru 50/50 sidewalk program
estimate for work to Ridout 155' + wheel chair ramp to be replaced
Ms moon to pay based on 80' replacement $500.00
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: *
Sidewalk: *
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv: *
* 5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev: *
Receipt No:
Inspection Fee:
R/W
San Sewer SFR: *
San Sewer MFR:
Add unit:
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev: *
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc:
o
$80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
TOTAL FEE: $2,695.00
AMT PAID: $0.00
_________________~eQ_~
STORM
DRA
$2, 695.,-G-Er
o:L /9~ ov
OTHER
BAL DUE:
Separate Permits are required for electrical work, 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.
.A ~LJ IW ~~ 1M ~
Si nature of Contracto76rAuthorized ~ Date Si nature of Owner if owner is builder Date
$0.00
$883.00
(?1Ji;?oo1 / ?p/q~
SANITARY WATER DWY
f
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
/0,/1 #w Time ~=s-
d ..-:-;:/ ..;::::..
Receive by F r--
1!/f#(:;:4 ~
C{Ph~erSOn)
.
REQUEST
Date
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~oundation Framing Chimney
Phone No
Permit No
Plumbing Final Sewer Excav Other
~~L.
INSPECTION NOTES / J
Inspected Date (/ ~/ I j) /1'~ Time
Remarks
I
I
By
_...:---
_~C v"'" i --<:
RESTORATION REQUIRED .. .. YES ! NO
7\ '
-,' ,.,I~.
~,
\...
'I-
e,
(
..j '~
) "
"
::::
~ IML- / C (ff P t1-f' c
SURFACE RESTORATION. (_-' ,--, c) v 7~
SURFACE TYPE D Unimproved DGravel r;J Asphalt 0 PCC
D Other
D Repaired by City Work Order #
o Repaired by Permittee ~ COMPLETE
o No Damage Found 0 INCOMPLETE
~J/r~ell t0tJNb
(Continue on reverse side if necessary)
~/2l'h~
STREET SUPERINTENDENT
,/q4Jx~
(DATE)
tn
t\I
~
~r: () Q (
~Uf., v /02, 5'
APPLICATION FOR WATER
City Water Department !-)
Port Angeles, Wash _ / ~$___, 19~
\ I hereby apply for water to be furnished in accordance with rates and rules of the City
~ for the following premises ,
Name of AppUeant ~ t1> 01 ~ ./ ~&J
Address ~ / ~~ -' Ct:Lh.
-
~ Renewal 0 New Service Blk!ZQ Lot/O
/11 I;
I" ,/S
~ Si ze of Servi ce,1 Meter Number
Service Left On 0 Service Left Off 0
Remarks
~~71z,
/C~-:;t!L 2453
oooood
556 ~ --J-? /:3 tl-O
/OJ..4~d
10 -~<D /V4f
Installed by
w
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c.1-Iy 78C(
(It I r if''''- '3" '1S'/
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~fUJ-:~ /0/ CITY OF PORT ANGELES
7 PUBLIC WORKS - BUILDING DIVISION
t!}. '5 '40 321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 10/08/96 TF Permit No: 532
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
NORMA MOON 301 OAK S
301 S. OAK ST Lot: 10
Port Angeles,WA98362 Block: 70 Long Legal:
360/452-2826 Sub: TPA
PROJECT INFO--------------------------~-----------------------------------------
Work is INSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
* Storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES---~---------------------------------------------------------------
sidewalk on Oak to be improved possibly thru 50/50 sidewalk program
estimate for work to Ridout 155' + wheel chair ramp to be replaced
Ms moon to pay based on 80' replacement $500.00
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: * $40.00 San Sewer SFR: * $80.00
Sidewalk: * $500.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: * $200.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $550.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: * $642.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 II ==============================
Oth Water Serv: $0.00
Water Sys Dev: * $883.00
TOTAL FEE:
AMT PAID:
$2,895.00
$2,895.00
Receipt No:
Inspection Fee:
$0.00
BAL DUE:
$0.00
R!W
SANITARY
WATER
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ 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 perm~ 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.
Sionature of Contractor or Authorized A~ent/1
.
Date
Sianature of Owner (if owner is builder)
Date
e
~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Issued: q /7--J alA
& R/W PERMIT Cond: I'V -(yv Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
NORMA MOON 301 OAK S
134 W.3RD ST Lot: 10
Port Angeles,WA98362 Block: 70
360/452-2826 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $0.00
PUBLIC WORKS CONSTRUCTION
Permit No:
532
Long Legal:
Plans Required: N/A Start: / /
Contractor: OWNER Finish: / /
Performance Bond Required: N/A Amount: $0.00
Proof Insurance:
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
* Storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
sidewalk on Oak to be improved possibly thru 50/50 sidewalk program
estimate for work to Ridout 155' + wheel chair ramp to be replaced
Ms moon to pay based on 80' replacement $500.00
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: * $40.00 San Sewer SFR: * $80.00
sidewalk: * $500.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: $0.00 Other San Sewer: $0.00
DWy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $550.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: * $642.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 " ===============================
Oth Water Serv: $0.00
Water Sys Dev: * $883.00
~fo~o 1~#~
RIW
SANITARY
WATER
DWY
STORM
TOTAL FEE: $2,695.00
AMT PAID: $9.e~
-------__________5~__
BAL DUE: $2,695.00
\ .f;L Jqs,-e-
OTHER
DRA
Receipt No:
Inspection Fee:
Separate Permits are required for electrical work, utilities, private and pUblic improvements. This permrt becomes null and void if work or
construction authorizee is not commenced wrthin 180 days, if construction or work is suspended or abandoned for a period of 180 days after
the work as commencee, or if requiree inspections have not been requestee wrthin 180 days from the last inspection. I hereby certify that I have
read and examinee 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 permrt does not presume to give authority to violate or cancel tihe
provisions of any state or local law regulating construction or the performance of construction.
Sionature of Contractor or Authorized AQent
Date
Sianature of Owner (if owner is builder\
Date