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Home My WebLink About1409 S I St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 / PUBLIC WORKS CONSTRUCTION Issued: 1/16/97 TF Permit No: 601 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ TOM CALCOATE 1409 I ST S 1409 S. I STREET Lot: 9 & 10 Sl/2 OF BOTH Port Angeles,WA98363 Block: 408 Long Legal: 360/417-0164 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: WALT DAVY SUPPLY Performance Bond Required: N/A Proof Insurance: Start: Finish: Amount: / / / / $0.00 * Storm Drain Underground Tele/Ele Misc NOTES------------------------------------------------------------------- Work to Perform: INSTALL * Watermain * Sanitary Sewer PROJECT 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: 2645 Inspection Fee: R/W SANITARY $40.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 / $550.00 $0.00 $0.00 $883.00 $0.00 WATER San Sewer SFR: * San Sewer MFR: Add Unit: 0 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: $80.00 ~ $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ TOTAL FEE: AMT PAID: BAL DUE: DWY STORM DRA OTHER $2,445.00 $2,445.00 $0.00 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 w' whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an te or I callaw regulating construction or the performance of construction. Date Si nature of Owner if owner is builder ate r (- .... - CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT nnll ag .,.... PI IT NUMBER NAME onstruction Plan Check Fee SurcharQe ($4,50) umbinQ ~ echanlcal Sian Electrical Permits /lnsDections House MovinQ SidewalklDnvewaYlCl.I'b PermitJRiQht of Way Permit SanitarY Sewer Permit PUblications Blueorints- Aerial Enaineerina Service Fees Clear!Grade Permit Fre InsDecf/Permit Fee FeSorinklerp~nRe~ewFee Administration Cost (5"b) DRA Fees Plus Interest /'nl' J/ /...... /'1 / ~ PBIA :~:~:~:n~:~:~:~:Ht:t~:~:~:::::~:~:~:~:~:~:~:~:;;I::Q.:.:~:~:. .111;1 ;IIIIN I NUMBER AMOUNT , VV,fI~' . 700.9449 001 .2291000 700.9212 700.9213 700.9214 911 .9237 700.9626 700.8226 7oo~ 7oo~ 700.9429 700.9462 700.9241 6OO.96n 600.9449 700.9426 001.2392000 ,# -- ~ / Mj ~ 5:?" 10 2... v :. .~~*~~:~:~~::::~~~:~:R~1:1:1:~~:~t~~*1~:~: ~:~~*-~~~: ., : : ::-$i;:; ~"1~~~ .:. .. .~~:1:i::~~. ~~:~:l~~:m~l~f~l:-~~mW~r~~ 650.2319200 Storm Dram! TaD Street! A1lev Restoration SIW Co-Oo j:1~~~~~~m~ti~~~;:~11~1111~~~t~:*1~;;;*~~1:~~~~'I::~t:: .,..: . ,j~tl<<mj[~f::m~:~~~~~~ij~1j ;~i~~:i:: ::..' ..; : :~~ .' ::. Other Fund i~:~f~~~t~IDi: .': :::f:' ....::. : :,~ ,'. .' : ~~ .. : '. j1~:~~%1-~:I~= '. " ProDertv Sales I I i~~?:::;:1f::~$m~~~~:: ,.': .' : ::;:~~4 :::: :*~~~~:r*:~.*'" t.: .'. :'., : '. : Water Svstem DeveloDement CharCle HotTaD twatermain\ F.H. Install! Meter W/M Installation /L)/ // :. ..~~1*.@'?j,t':$Mil~*1:~~:~W&; ~i~~ :. :~:~%~~~?l:i111~11~~i:~~t=t:l~:~~f:~! ::. ' .': ';:::'" ~. .' SanitarY Sewer Tap/CaD or MH TaD Sewer Svstem DeveloDement Charae /dJ / ~ / m:1'fl.'iW?x:~M?:f:!:::::I::P.'Ult:i:;: ;:~~~:;~*~~:?~:~;:~~~*.*?:; 1:::f:.:. ' " Milwaukee Dr Assessment :0: .-:::' i'1:$... ':::~R~I::tIF.l:::. :: ::" '. .' .~:,$~~*i:.i~~~: ~:~ ~ I I I ::: ,,: .' :::~:~:~:1:: .... : '. :;:j::1g~*:::::::~@,:: ~:~::~::'i'. Secondary Sewer Assessment ::'.' RECEIPT # N~ " ::- 2645 t-ILL-IN COMp. j;Tj;1 v-TOTAL ALL '1O;y; /1/)4 ('t4/a,t:)~ -~/ ~) --L- 752.9619 752.9242 752.9626 :. ~ : .: .. .;~: ..?,..{ ;i~~%,: . .' " I I , ~ I I 715.9634 I 1 ", x ::: ,:0:: 20" 753.9403 XX..:::::?- 753.9619 753.9619 - 753.9619 ~ C/~ '" ; ." i'..~z ~.. ?\ 354.9619 /_~ 6 ~ 354.9403 /" d!f!::l v {,J - ::~: ~ :~. .. ":: :-" ::::':r::~:r:m~ j::~:*:mrl ",. 755.9403 '..>: , " .: ". : I I I I I I I I I ~ : , 767.9633 244'5!D --' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUES! L_ ff"h Date J... ) '1 .,. 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 )16 C; 5 :J:- '--'-Z'^-) ,oJ ( 0- ~ / "lid -f-t! S+f~_-e. +- Phone No Permit No Sewer Excav Other 00/ t~d-e/--- Inspected Remarks INSPECTION NOTES' ~-5'- f7 Time T;f/ Sf-cL /1 5-R J~(/ / (/-<... By /u~(J....) flu, /~-y /)L ~-,/7 U./r:i H1--- 'f" , Date C- &()(~ F 4()qllt SR RESTORATION REQUIRED ] ) L/ + A .-{ \/\, ~\ / NO ~ . YES J ~, f\, r \/;,1. Y , , \ 1 \ t I I I , 1 i ~ j:- " r ~/ r(/I ~f. fJ./{J--e1 SURFACE RESTORATION SURFACE TYPE 0 Unimproved OGravel o Asphalt OPCC D Repaired by City D Repaired by Permittee o No Damage Found o Other <; 6~ Work Order # ~PLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) r~-f1'-- -_..--:..-......:. ~;~.,. -' ,.~-"---'--~".. . (.. t.T. 2.f3 fff(~ [life APPLICATlO" FOR WATER City W~t~~ Department Port,Ahgele., Wa.h. I/I~ ,19~ ~ ~ \ I hereby apply for water to be furnished in accordance with rates and rules of the City ~ for the following premises \U ~ V\ Name of Applicant / /J Y1'7 ~ "'" New Service r;:r~ / /1 X-Jf C4-/Ctj~ . II.;;:.., // t. 2. ~ BI~L~ :t{dd, ,t ~f " ~ ...;> M.AddreSl . ~.. ." ~ Renew~'1 0 " . ..' '" . I ,....: .J;' I.l,[ Size of Service .. Service Left On) 0 t): 4: f:"Meter Number t p~'~ . . '! Service Left Off ~ Signed f ~:. > Installed by Remarks. Mrh1/T&-' ~O/ . ___~ __ - Jee~~~st5 , CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT . . . . . . REQUEST r: ./ Date / - 2:- 7: - / Time 5. 5 c Received by " (phone, person) ../'rI I; /i ~ '-I-veJ S "I " 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 -14}""-)'~ .... 'I .... Phone No Permit No Final Sewer Excav Other [c() l INSPECTION NOTES Inspected Date J - Z Z' -- 9"7 Remarks Time q~ I'. , Cj By R &,,/ ,,!ZJ/~;N~ RESTORATION REQUIRED . . . YES ) I NO ~- c / c cj (Ii /F-- I I I /1'"1 FIf.<:c i 3" ------7' J^I ,'Zt'," Ai NC..J'H "i 0-) ---"-- ------ o~-----___ ~ ..I (;' /~ p SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pcc o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . . . . . . .,// REQUEST. Date Time Received by (phone. person) Location of Work to be inspected Ii--{ () (/ 1:- Name of person requesting inspection Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No b L.\ I Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date "- I -::; \ f I Remarks Time r-J I I By I' "1 RESTORATION REQUIRED . YES NO ,.{ /'1 ~ ( I \' \ -- ---- ~ r i J I - , - .~~._-~- --- -, ;:/ , SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TEl a~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST STIISTREET, PORT ANGELES, WA 98362 .. PUBLIC WORKS CONSTRUCTION Issued: 1/16/97 TF Permit No: 601 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ TOM CALCOATE 1409 I ST S 1409 S. I STREET Lot: 9 & 10 SI/2 OF BOTH Port Angeles,WA98363 Block: 408 Long Legal: 360/417-0164 Sub: TPA PROJECT INFO--------------------------~----------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: WALT DAVY SUPPLY Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / / / $0.00 * Storm Drain Underground Tele/Ele Misc NOTES------------------------------------------------------------------- PROJECT 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" I" Corom Water Serv: I" 1 1/2" 2" Oth Water Serv: Water Sys Dev: * Receipt No: 2645 Inspection Fee: RfW SANITARY $40.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $550.00 San Sewer SFR: * San Sewer MFR: Add Unit: 0 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): Mise: $80.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $0.00 $0.00 $883.00 TOTAL FEE: AMT PAID: $0.00 WATER BAL DUE: DWY STORM DRA OTHER $2,445.00 $2,445.00 $0.00 Separate Permits are required for electrical work, utilities, private and public improvements. This permij becomes nuli and void ~ work or construction authorized is not commenced wijhin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ required inspections have not been requested wijhin 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 lavvs and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permij does not presume to give authority to violate or cancel the provisions of any state orlocallaw regulating construction or the performance of construction. Date Sionature of Owner (IT owner is builder) Date Sionature of Contractor or Authorized Aoent