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Home My WebLink About616 S Liberty St - Engineering ~'PORT~ ,",O~~ G~~ W- -=:;;..a> ~ 'l.tii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 O~-4&L_ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner 03-00000462 Date 12/05/03 616 S LIBERTY ST 06-30-11-5-4-0000-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 75708 ~/~ 5 L/~ Contractor PARENT DOUG/SUZETTE PARENT & SON BUILDERS 215 WEST 5TH STREET 215 WEST 5THST PORT ANGELES WA 98362 PORT ANGELES,WA (360) 452-2198 PORT ANGELES WA 98362 (360) 452-2198 Structure Information NEW 1563SFSFR W/ATTACHED 540SF Construction Type TYPE V NON-RATED Occupancy Type SINGLE FAM & CONGREGATES Other struct info NUMBER OF UNITS 1 00 ---------------------------------------------------------------------------- Qty Unit Charge Per ~ BASE FEE 145 00 ---------------------------------------------------------------------- ---- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Extensio~ ________:_~~______:~~_~~~~_~____=~_~~~_~~~_:~~:__________________~ 640 O~ Permit RIGHT OF WAY Additional desc permi t Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145 00 12/05/03 6/03/04 Plan Check Fee Valuation 00 o 640 00 12/05/03 6/03/04 Plan Check Fee Valuation 00 75708 45 00 12/05/03 6/03/04 Plan Check Fee Valuation 00 75708 -------_:~~~---~~~:~~~~~!~-~~~--~~~~-~~-~~=-=~~~~--------------~~~~:~~ Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95 00 12/05/03 6/03/04 Plan Check Fee Valuation 00 75708 Qty Unit Charge Per Ex~e . 1 00 95 0000 EA SAN SEWER HOOKUP 95 00 ---------------------------------------------------------------------- --- Other Fees NSF CHECK FEE ~ SEWER SYSTEM DELV CHARGE 745 0 STATE SURCHARGE 50 SeparatePerrnlts are required for electrical work SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and voicHf 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 consfruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T ,PLAI'NING,FORMSI! 102.15 [11114/2003] f'POAT~ ,",O~"':~ G~~ W- -=:;;..a> ~ 'l.tii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 03-00000462 Date 12/05/03 -------------------------------------------------------------------- :~-- Other Fees PW WATER SYSTEM USE FEE (1025 ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 925 00 925 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1794 50 1794 50 00 00 Grand Total 2719 50 2719 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.IPLANNINGIFORMSI! 102.15 [11114/2003] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date )A -/5-- 07 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 Plumbing Final Sewer Excav Other b/L 5, l;:b--eviv 'Tvil~: " I /1 . I - (J. Phone No '1; Permit NoO~ ~ Z --- Wc~~ INSPECTION NOTES Inspected Date Remarks Time By t) I//It-ei^- '-' '- ,!tv ~1r( 1/ 3-e ru ,"'(> -'-P Al --e (A I I 'Y s;/ --i y~ )f~Rt:?/ RE~ORATIPN REQUIRED ;Jf /~ 1111> L ~ v'lJ . t--Z... ~ . u:/ ) V->V\::'1- bt( [\ ~ E- 7fJ1 S J\ S+- ----- 11 SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work~r # ) 2 9 Cf -; ~OMPlETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . ..... Date 1 /t/c~ / ~ Time REQUEST ~ ;::::::- (phone, person) / I 5 L I B.e...rT'1 rl1.- V e-d- Phon~ No p.~ PermIt N~---=_ Plumbing Final0"wer EXc~Other Received by 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 {;(fp \:::> . ::~::'~:I~~t:OTES 7 ~/O_=3 Remarks Time J~ ( By / I J ' i RESTORATION REQUIRED YES NO )< , 1 ". , :x.h , Go 1 I" ......2::.< 'I!' -"_(-.,-0 , : ---- I /':7 ) -, -Y, n <:) J -- --~ , I -- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC D Other D Repaired by City D Repaired by Permittee [] 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 j~MTime Received by (phone, person) Date 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 ~/ff S 0l~ PfL11Atr- Phone No Permit No CJB -st~ Plumbing ~ewer Excav Other INSPECTION NOTES L A / _ Inspected Date II ~~ Time Remarks By OK 1- '"3-D '-( ~. RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City CJ Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~.~- 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, 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEP ARA TE PERMIT #'s SEPA. PARKI~G/LlGHTlNG ESA. LANDSCAPING SHORELINE. F1~AL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO CO'1MERCIAL DATE ACCEPTED YES NO ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W I PWI CONSTRUCTION R.W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPLANNI"NGIFORMSII 102.15 [11114/2003] 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T BAR INSULA TlON SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEA T 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. P ARKING/LlGHTING ESA. LAI'mSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCT10N R.W 1 PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPLANNINGIFORMSII ]02.15 [11/]4/20031 ~~oln "" "...o~<'( <:;r'1Ilfij~ ~ -- "'.- CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001260 Date 12/19/05 473000 616 S LIBERTY ST 06-30-11-5-4-0000-0000- .....--OWEST .~ PUStIC-WORKS-.UTILITES RS7 RESDNTL SINGLE FAMILY o Owner Contractor FULLER, DAVID/PHAEDRA 616 SO. LIBERTY ST PORT ANGELES WA 98362 ( 36) 452-8910 OWNER Permit RIGHT OF WAY Additional desc UNDERGROUND PHONE SERVICE Permit pin number 67561 Permi t Fee .00 plan Check Fee .00 Issue Date 12/19/05 Valuation 0 Expiration Date 6/17/06 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ~--- II ~J(~ L~ DEe 2 3 JX5 ] Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utililies, private and public improvemenls. 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 a!terthe work as commenced, or if required inspections have not been requested within 180 days from Ihe last inspection. i hereby certify that I have read and examined this application and know the same to be true and correct. Ail 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 reguiating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policics\1 ]02.]5R []/05J . 'jl,t' '.:: i)j;/" ~ 'dit' WI c, , ,: ,~:;;::~;:1tt;}; O 5<:-, }\2', I '4~:';"",/,~' , fO.~_, tJ-r .,1 ~. \' \/';-L,)'..:O of ;,,"'<"'\!V"S.7 , \ ,.Ji.~~t,'i ',;" ~'j{"..<L' .~ l\ l ~; 1 . "I\rn I 'L" '~~AiJi ~' . :P~"~;''.':'\~';',<i "':%k:"\,"\:j " . ~ " ~~ '" ,p . ) . '; : .~.; I;C:l~ '~~'t:; .;;j~ ' ,:'<:-f~~~fi;!i~~ ",' \,f\"I/';i"."~{:i~ " ""1; ,j," ~: ~'''Il,'" )\.. , ,l:"'",,"<\;;VI~~,;\"~ ""'t,"'llr'I~'a ': < ..:t,.,:j \~~'.f;;YP..i'" ;0' :_,1.\", ,\,,',.Ji,,\~. . -.-."I-I,'.!",-",'" ,. "",1' "-1"(,),11' ~ , i tU~~f.;~i~;J~~ " l'ift,::.".~d,.':e.~,1\ . , , ..1, ",' '.. :\~ " , ,,< 'I .' '''''I'U,''~ , ,,?;;J;:,~ji~ )" "b .' ~ .~.~..~,a ., :, ,:;,5;~I~g~f~j -'~rt"",.,.<~~-J :: .::;t<;i"~}"'/'\; ""..t$>J ;:t:'~~"&'\)j ',. .,~'~f::.~U[~L ''\ I,::':;.;,ff..~~ ~ :' '.'\1.;;;X:~;,t~.:'I~ ,. ..\.,,!(,f:,I.! , ".'l:: j','. '~"""a ':' \;'~' ,,"'{:..,\~,~ ,::,;~~:i;~~i~l (' '."..;-: '?"'l1!"?5 ".\' .",~~loit4 '.;,;t)st~f~. . ,'.. 'r"..1..:),~,\; " " ".~~~\'.~)1.~1i"'~~, ,."l"{"'" f1,loo:,&3 '>,{~'<~~Jr't.~i~ ,,'\'J,"i~\';!;~j~ . ,: .::;:~~~'.; :~.:~~ '.(' r' .f_.,~ fftll~1 it (i,@~~~0~~~~;~~~ i.; :';.l.~,*\''?'"i~'iI.':1 .... ;:'.,:~~~:!t~fJ~ J!"l",!(r..te; '~ . '1:::~~~{~~}f::~~~;:J \ ." 'Ii ~"',1..1,,, ,.~ ,:':;~x;[~f,i:! ~::':~.;ti;;~f 'l~ ,r;::~,{.\U ....'~! " "';"/,""(,~ .:?'{::'r..:li~~f;l, , ' '.I' , IO,I:),..~ ") " !(i :~'.'\:~ ~,","'I"'IM:~ :J1,i DEe 19 2005 12:54 FR TRAFTON B 2534711324 TO 13604174709 7850B $. TtIilftoll Tacomllj viA 98409 irilil' ,'0 .,.:., :." ; ',. '. 'Iat'." , . ' :fi ' "'''iJ~'''''''..;.!;..'''''''''.''.'-' .,-, , acs" "e....-," mI'" , ... '.' ',11;'" l ,.. , ",'; . I' l .~:"" \'1- . .,' I' - . " To: City of Pon Angeles Fax' 360-417-4709{Te1360 457-4807) From: Qwest Communications Date: 12/19/2005 Re: Pages: cc: Dona Thaut 253 597 5136 o Urgent o For Review o PI_ Comment o PleliS9 Reply o Please Recycle o o o o o o . o . NO'l6s: Trenia Funston. 360 417-4807 Permit applications: for 616 S Liberty VVP0501160-452~ Thank you, -Dona " <".': . . . . . ~ . . . . . . .. . . . . . . . . .. .. ,'. ,', , ~;' P,01 o place Buried Service wire 125' in ROW to provide telephone service at :\":'~~'0t~i~~f::~~ \/ ,If; <t"";J)1 \ , \~~\I"~~~ff.'l1~ , ':';\'~J"i!}f;' , '. .,'\:i. '/~'p.< -i~ i ,,'". ';:;.~~W:~1~~~p- , '" ,"~~J~..;t4 ~\'1 ::!~~11:,~f~{ .." .,...)..~ "'\1>"<< :,'," .:~~;:.\t~:~~ ',.' \'.,,, ..\t;fl1'~ :. .':'r,tJ~~j , '" """'v',"~1 ~ p..r~m...,.u~;,~1 -S\<.ETi: ~#' WP0501160/452i:t';!:;:';~::(i;;1 , ,'.::.;:}):;ti~i~ 616 S 'Ll' berty '., .,s.'r"t'V:\'~II,t; . . ,'4,.."".t-,,,.,, :.'~\;,{~~a~~i1'il < . '.;? '.!:.~'i'. ~~,~il:l\i'~ , ,:' ': ' ".s~~4~:~\1,~~e) . . ";.' ':."f~),;'I.~t~~9i~ . :;('t;t~;~'~):fn~~ ",.J""'~)JI." Approved: ',',~~ '.':I,4j , ~D:;:;;~:;,jrl The estimared tim" fOf'completion of the above W'otic Is _ ~:!I?:::!::;~~;:'''' TRRFTON B 253 471 1324 TO '(?:1~ (?}hd :;;v~ 13604174709 P.02 DEe 19 2005 12:54 FR FUlLICl WOFIl8 P~rmil To Perlonn Worle In Street Ri&ht-of.WaY' APPLICATION is hereby made to the municipality of roRl' ~~!'l noted hereon and as ~hown on attached drawing: t'LEA5E. see A\\ AC#E b ~-:ti OS-~/ZW Date. PH'V~ ~AX 253/597-51315_ 253/471-1324 Complying wilh all Municipal Ordinanc:e,; Notifying the Street Superintendent of the time the work will star:, and wtu:n !t will.fInish,; Date --- ) 1/ Zlr"tJS .JAMIL: :;;;:;;: -- -.....,... DEe 19 2005 12:54 FR TRRFTON B 253 471 1324 TO 13604174709 P.03 ~ ffi ~ ti Qwest Job # ~o 50 IILtJO - t./ 5;;..('1\. ,""..,:, ''''~/' I <:;i.~r~ l' I \.. ~~" '1):11..1"( ,,- , ' .' ',< >':/T':!?0/(~'~; H4 Ran e. . ,'., ",;""(!"',,ji .' ,': ,':.i.~'!l'::L','r"~~'~i:1 . \,- .~f{~ (,';'1 This request for permit is for the placement of underground telephone service wire to" ,f~~::;I:t~ our customer at the following address; , ,,: :',:j~'!7#,l1,\'1 , . ' -I ~-"~lr~ ~ ;)!I~ ': ,~(I:,\,~'.I'i~~~ , ,":.: "".\i: ;~~1~/~'< 1 . .' 7,:.~. f:~"<'ilV~;~~ ":}j~;c~i~11 """''''"''L,,~, , ' '<'~.~;'.;~}~}~~r~ .' "."J", ."',,~ : : "'/.~:;r,\' r<;',(~~$~~f:i '> ,~;f!f':j;~~!j ~', ','. '. '.}."\ ~)i,tl~,,;,i /"~:f<{~)~% > l)':% ;r{\~ ~!j!!A. " . "I .?l"r t~ .,':J~$1;,)~~i)~;j , "~:I.\,';.~;;..~,{,:',;~;~~l~; C' I ..' ~ ~ " , " ~ :;'J Wen This work will require: Plowing in the R/W (total footage) ~ , ',(~'~~;~~!i: , "~"'I.I'.,lb,," ~ . "'\'(')'~" >,;.,0; , " ;'~~~/~:,:~\~~~ .... ,':':~i;.:I%~j{1 :.,' 5'1J\',jI;'oI."''i'I'~ ;:11 , ,+.,"".~ "J'(":::\<:lili" 1,;,;",,'i"J\p~f,! ::;./~:::~l;{?~;.~.tl , ":,~ ..,~" i\'!'^'}t~~/"!. :J )le..,5\!.:\1.\:ifi~~J "''.').'~''\\.:,,~~ "^;;;:;' i<il1Jt~t~i , . .' ,:,:;fj.!'~'~'f.~~n , ,.:.*",0'. ,~tlQj~YJ~ , ;. I""((C\.~:,' ':..;:l~'/:J , . ~:. },.l';':q;~(?,~)t' ',i"j""/""""'l'\") "'" ",,,'(j~jt.~,~ . "~;:' V;:\:~~:f:~:~M ': , \';l<,_.~I"~"t,~~] I);~!&f,f.'" ,J",'; , , -I '- g L I t5.QPTL( /),5' . -& Push or bore 2 inch PVC or BIP under roadway (total footage) -e-- Push or bore 2 inch PVC or BlP under driveway (total footage) -e- Push or bore 2 inch PVC or BIP under multiple driveways (total footage) <All crossings and ROW work at 36 inches. <All pits and trenching require select iii!. ** TOTAL PAGE.03 ** ~ VORT ~ $4,O~~~ ~ ... -=.;or ~ '40:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000799 Date .8913 81 616 S LIBERTY ST 06-30-11-5-4-0000-0000- PUBLIC WORKS UTILITES 9/09/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor FULLER, DAVID/PHAEDRA 616 SO. LIBERTY ST PORT ANGELES WA 98362 (360) 452-8910 DOWN TO EARTH LANDSCAPING 306 S VALLEY PORT ANGELES WA 98362 (360) 452-0824 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY CURB WEEP HOLE 45.00 9/09/04 3/09/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extens].on 45.100 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 45.00 45.00 .00 Plan Check Total .00 .00 .00 Grand Total 45.00 45.00 .00 Due .00 .00 .00 ~ .......... ~ ,~ V' \ LJ "r- 'J- k, \ " ~--t- Vj "1 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. l ~ LO'-A d . , 0 - '7 - {7 ''-/ :t>ignatur~pf Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGlFORMS\1102.IS [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. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / 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./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMS\l 102.15 [11/14/2003] PUBILlC WORKS & R/W PERMIT D Attached Notes OWNERlAPPLlCANT Issued: 3/12/2004 Permit No: 1396 Work Order: 0 PROPERTY LOCATION 616 LIBERTY S Lot: 2 Subdivision: Cresthaven Parcel No: Block: C Port Angeles. WA 98360 000/600-0000 PROJECT INFO Work is: D Long Legal Value Work: $0.00 Plans Required: Start Date: 1 1 Finish Date: 1 1 Contractor: OWEST COMMUNICATIONS 360/000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: l8J Install D Sanitary Sewer D Mise D Repair D Storm Drain D Watermain l8J Underground Tele/Elec PROJECT NOTES PLACE BSW TO CUSTOMER AT 616 S.L1IBERTY 80 TRENCHING FEES ASSESSMENt 1.) R1W 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 R1W: $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.) R1W 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.) ORA. $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: $000 Receipt No: Inspection Fee: $0.00 Balance Due: $0.00 MAR 11 2004 09:52 FR TRAFTON B 2534711324 TO 13604174709 7850B S. T'roftQn Tacoma, W A 98409 facsimiletrnnsmittal To: City of Port Angeles Fax: 360-417-4709 From: Qwest Communications Oate: 03/11/04 Re: Pages: 3 CC; Kelley Hopkins o Urgent o ForRevl_ o Please Coml1lllnt o Please Reply o Please Recycle . . . . . . . . NolDs: T. Funston, Permit applications: W00400540-452C - 616 S. Liberty St. Thank yeu, -Kelley . . . . . . . . . . . . . . . . . . . . . . . . . . . . P.Ol . iifl .":::: - TO perform worle QS, "'~H?~i, ..s~: it#" 'NOCP-'+/1)(P54f/J.~.s?t;;,;i' "",tll,h ., .<, ~'\' .'; ",; r:{,t1~{i}~ ra / / I '3 LI &32.--n~'~;:~ '-=-- l.9 v;, TH ~~i1~} <~i ~"'l"~~ '" l>.'.k"~,">~ " <:u:"~';I"l.~t"< Sewer Department - .Superintendent .:;:)~;;r~~~ The estimated time for'completion of the above work is I D 7:>AYS M'Te (L (l1[c.el'fI'!'P' . .;';Y:::',\: Date 3/11 '1D o'-f By K~lLR'-f I-hP t: / 0 <:;: " ):1}~~ ' , : '.:'''' .c.J. 25:3. 473- 07'58 Contractor ~ Owner . ", ..;\,;1,';!:; t"AX L q - q7/-/~2'f DWEST /A)f~ ;E6\IJ f2.DOrY\. ,,).:::~q{;.~ 7H0(5 S' rR-'lFTtN'V, T/jCO""1A, "v''1it~,ff't..ti;t;,;:~ . "" .: ,;:.....,:',,:.~( THE ABOVE 4PPLlCA nON IS HEREBY GRANTED SUBJECT To APPIJCANT'S: . , ',!<;'!i:,i',~:\ ~::::;::;:;~~ S:::::d::::7'~ tim, <h. _,k ..u ,~'" ..d wh.. I, ..u am", .jil.,..!...,,:~i,,',,'.',.~..:,!..,'.,.:, Prosecuting the worle with diligence and with duo respeo:r to all prolletry, contracts. pel'5Ons' rillhu and rhe inrerests and Convenience of the public; ':,t;',' . ~:':',;r:;'; ,. .,' :"":;"i(~..j " ',/,'/\~i:\'!;.' }~;}fi{:1:': MAR 11 2004 09:52 FR TRAFTON B 2534711324 TO 13604174709 ~~ <@/hd .0,.~~ PuIlIJC WOAKs Permir To Perform Worle In Str~t Right-of.Way APPLICATION is hereby made ro the municipality of PORl' ANGE:r.ES noted hereon and ijS ,\hown on artached drawing: PLEA5C.. .see AIt' Ac#e; b 7c.ftCJ;:; 6 F 13 S. W 10 ! NCC<-)[)E To ouR.. C-U:sfDl'-lei2 ""'&) r CJ F 120, W. P>>rvi~ { 30 ~ Approved: Water DepartJnent - Superintendent Saving the M unicipaJity nalltlless from any and aU damages which may ao:crue to any person or property becijuse of this installation or the maintenance thereof; Date Complyinll with fOllOWing special conditions: 3 /lvl 04 19 City ,o~ PORr ANGELES BY~~~~. - -- -,.... P.02 MAR 11 2004 09:53 FR TRAFTON B 253 471 1324 TO 13604174709 P.03 Qwest Job # vJnOY-{(l)t1J5L{(l) ~ 'i-51.c- ,:';<:: ,;:~~ij~~ . A; :.~:; ;:~~::~jE t:..,.;:c ,"'t':"'6":;";'t ~ J..:'Fc,t, '<po ~ -.--.-.- ...-..,. E: <i th cf) / ..';':,.r)~~~ ( "'''''1~;'' \ir'tt \ ~ \ ':,)\'~f \~ \ ,~~~ --- -, , wtf,~ _------ .~ \:.. J'I; _._.~-- --=-'1 "';.' "I,,,, V "\{1~/ .__~.--.......-- C - . ''>.~::i,.', C ,~I,. ~/I;l1l/{; . ., .' . ",,~1.. !!~, ff,"!i1-'J4'!{.: , ?r,~:\.',\~{t/~ ',':":;:\\!i;ti~',:~ .,' :1 ';,; ,~; . ---------------- --- 11/ I 1.12'''-''1''''') H ~I 1.07",-. 1.s::.rpeU=; ~, l"'" r:ac:.llG:I,Mi:a.. (j (a;t) Min. _____ - "-... Carner ?lpr: '-. C~~ Notl!3~ Pnain&.. if nadad, &b;iWd. cgNl<<f to ill A1ir.b1e dr.J.U'iI.F<:\]~ Typical Crossing Detail CUlI:I, .Pipet KouJd. ~ _1iIl1_dNlIllid...,. Jt/W 11M ,r nq'WdI1. This work will require: Trenching in the R/W (total footage) This request for permit is for the placement of underground telephone service wire ,to ..;. iIi:': au, :::=' a~lli' fa::::~~ 6T:~!1 ';~.'<i\,i"'f!j/ ."-t '.~~~:f~ "),~~ ,'<~~; ~~ i" ,t'~~ "8"0/ Push or bore 2 inch PVC or BIP under roadway (total footage) ~ 95 Push or bore 2 inch PVC or BIP under driveway (total footage) Push or bore 2 inch PVC or BIP under multiple driveways (total footage) s23 'All crossings and ROW work at 36 inches. . All pits and trenching requires select fill. ** TOTAL PAGE.03 ** ~i'O~~ ../O~"":~ hai 'L ~ ~ "l.tii~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PARENT & SON BUILDERS 215 WEST 5THST. PORT ANGELES,WA PORT ANGELES (360) 452-2198 NEW 1563SFSFR W/ATTACHED 540SF TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation Owner PARENT DOUG/SUZETTE 215 WEST 5TH STREET PORT ANGELES (360) 452-2198 WA 98362 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . Permit Additional desc Permit Fee Issue Date Expiration Date 03-00000462 Date 12/05/03 616 S LIBERTY ST 06-30-11-5-4-0000-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 75708 Contractor WA 98362 DRIVEWAY INSTALLATION 1. 00 145.00 12/05/03 6/03/04 Qty Unit Charge Per BASE FEE Permit Additional desc Permit Fee Issue Date Expiration Date Plan Check Fee Valuation .00 o () .,...-.... roo Extension 145.00 PUBLIC WORKS RES WATER SERV Ij\ () 640.00 12/05/03 6/03/04 Plan Check Fee Valuation .00 75708 Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 r- - -' \J tb 2r "< Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 12/05/03 6/03/04 Plan Check Fee Valuation .00 75708 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 SANITARY SEWER HOOK UP 95.00 12/05/03 6/03/04 Plan Check Fee Valuation .00 75708 Qty 1.00 Unit Charge Per 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Othe~t~ees . . . . . . . . . -',,:--,~~.<... NSF CHECK FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE 20.00 745.00 4.50 Separ-.rte'P,ermits 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 Q[~~l!m13to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructton. ON ~/LE Date Signature of Owner (If owner is bUilder) Date Signature of Contractor or Authorized Agent T \PLANNING\FORMS\J 102 15 [11/14/2003] fPOR ~ $~O~~~ ~ ---- I' 'EiiI L K;;;;...W ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000462 Page 2 Date 12/05/03 Other Fees PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 925.00 925.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1794.50 1794.50 .00 .00 Grand Total 2719.50 2719.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utrlrties, 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 J 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 compiled 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\l 10215 [11114/2003]