HomeMy WebLinkAbout1928 Hamilton Way - Engineering
Issued:
10/24/2002
1340
o
PUBILle WORKS & R/W PERMIT
U Attached Notes
OWN E R/ APPLlCANT-------------- -----;
JEFF PRIEST
2755 MONROE RD
Port Angeles, WA 98362
000/604-2996
PROJECT .INFO
Work is:
Permit No:
Work Order:
.PROPERTY LOCATION-------
1928 HAMILTON WAY
Lot: 3
Subdivision:
Parcel No:
i
__._._"____ ____~_J___.
WESTVIEW
063000933030000
Value Work:
$0.00
Block: 3
[] Long Legal
Plans Required: Start Date: I I Finish Date: I I
Contractor: OWEST COMMUNICATIONS 360/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: ~ Install LJ Sanitary Sewer D Misc
D Repair D Storm Drain
D Watermain ~ Underground Tele/Elec
PROJECT NOTES-
placement of buried service 1928 /1930 West Hamilton Way 20' along
Right of way with 27' push under Hamilton.
FEES ASSESSMENT
1 .) RJW Excav:
2.) Sidewalk:
3.) Curb/Gutter:
4.) Driveway:
5.) Dwy Culvert:
6.) Street Cut:
7.) Other RJW:
8.) Fire Hydrant:
9.) Res Water Serv:
10.) Comm Water Serv:
-'-'11-1 Oll';;; W~ter S~rvice~
12.)Water System Dev:
13.) San Sewer SFR:
14.) San Sewer MFR:
add unit
.-..- ........
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
o
Receipt No:
Inspection Fee
$0.00
15.) Other San Sewer:
16.) Sew Tap Wye/Man Tap:
17.) Sew Capl W/M Removal:
18.) Alter Repair Sewer:
19.) Storm Drain:
20.) Catch Basin per ea:
21.) Sewer System Dev:
22.) Milwaukee Dr. Sew Ass:
23.) RJW Use Perm:
24:) Admin Cost (D.RA)
25.)"b.R~A~'":'~ -.:. -Jt
26.) Mise:
TOTAL FEE:
Amount Paid:
Balance Due:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00'
$0.00
$0.00
$0.00
so.oo
$0_00
OCT 17 2002 14:56 FR TRRFTON B
2534711324 TO 13604174709
P.02/03
~'? v;e/~ g)~
IUIUC WOl'llCS
Permit To Perfonn Worle In Street Right-of-Way
-.
.~,
,-
APPLICATION is hereby maae to the municipality of PORT ANGELES
to perform work as
" .
nored hereon a~~~~n .;;~dra;~;f\Ct+E: b .s~: \+=1*" WOf/J2(/J SZ3b!q 5ZC.
f'LJ)cf."f'VT OF &uf'.lfD 5E/z'v/CE vv/~E [of< Ov!i:. CU>70.-,E. R5 ~r
/QZ-'g-f-I13t1 "" /i""',LTOIII "I.Il" 7" IIVCI-IJOE Zti fJET ALtiNb -rHE
f'.10HT-OF-'VJ'~Y WITH" Z-7 fdclT f!o-,/O f'v511.
Pf/!/nuL /310
Approved:
Water Department - Superintendent
Sewer Depart1nent - Superintendent
The estimated rime for completion of rhe above work Is /D 7:>AYS A'FTE: It.. fl Fre=;lf'"\"
Date {)C. T 17
6.D 0 z.
,
By f3,y/1", rr/CflML FUQu",,!
Conuactor X Owner
t"AX 2. 5"3- VI-/52'f DwES, /ATf'N ;BSw 2.00"",
7~5()1f S Tf:r/FTorv 11'/Co"""4, 'v"A 1~'1Q7
,
THE ABOVE APPLlCA TIOl\' IS HEREBY GRANTED SUBJEcr TO APPI.lCANT'S:
DUe
Complying with all Municipal Ordinancea:
Notifying the Street Superintendent of the time the work will star:, and when It will finish;
Prosecuting rhe work with diligence and with due respect to all property, contracts. penona'
rights and the intereSTS and convenience of the public;
Saving the Municipality harmless from any and all damages whieh rnay accrue to any peroon
or property because of this installation or the maintenance thereof;
comp~;&~; :~I;W~g 'pecl~ condirions;
'/tf1!~ 0'i_ City lifPoRC ANGE:LE:S
BY~/;?LA',' ~[~-'1
-- --~I'"
OCT 17 2002 14:55 FR TRAFTON B
253 471 1324 TO 13504174709
P.03/03
OweST Job # WOr/;z..f/J 52 gG/Lf SZc.
l'
N
"
IICfrq 3-
...0 1lI
--1
, H A M.L TDN wAY ?
I, 11"',
I, ~ ::r
8 I (q l~f ' '
,',"
, ,;,:,<
" :,",'
,',
'Section: 5 ,i
Townshio'lD 0 fJ,
,RangeR (0 W I
This request for permit is for the placement of underground telephone service wire to
our customer at the follov.ling address:
\
J.~l~ 4- JOOvvEc,r IIAh}fLTdlV ""''''1'1''
This work wili require: /
Trenching in the RjW (toTal footage) 20
2-7/
Push or bore 2 inch pvC or BlP under roadway (total footage)
Pus}: or bore :2 inch PVC or ElP under driveway (total footage) {J
Push or bore 2 inch PVC or EIP under multiple driveways (total footage) ytf
';<'>.
** TOTAL PAGE.03 **
J.I tc-" 2 S.rG.
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash
, 19_
I hereby apply for water to be furnished in acco.t"dance with rates and rules of the City
for the following premi ses
'- J f=>~ -p~ I' est
I q Z. B H4tYll L- TO\J.
Renewal 0 New Servic~ BIL$ Loa- Add wesiv,eu.J by-.
Ii. 5JH
Name of AppJ i cant
Addres s
Si ze of Servi ce
Meter Number
Service Left On 0 Service Left O~ Signed 11 ~ - 11 "2.....-
Installed by
Remarks -Per' rulT:ti- /38. $~4Do..9 +-102'0 00
7<~-.#- O~33~
N
VVt Ie- h:.- ~I e Th ~ t:-1r'
C,kr It .J.IO~
.('~d · 113'2.."3 8"i3<.r.
R c", - ouc.;c,oo
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT _ BUILDING DIVISION
321 EAST5TH STREET, PORT ANGELES, W A 98362 0 .3 _ ~
f"o"r..~
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'l.Oi~
Application Number
Property Address
A$SESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Owner
------------------------
NEW VIEW, INC
C/O 2755 MONROE RD
PORT ANGELES WA 98362
03-00000336 Date
1928 HAMILTON WAY
0630009330300000
PUBLIC WORKS UTILITES
3/28/03
o
Contractor
------------------------
OWNER
Plan Check Fee
Valuation
~ ~/ eJL(
f /YZ52730
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640 00
3/28/03
9/24/03
00
o
~~~~~~~~'~~~~~~i=~~~~~.=~~~~PW~~/M~~FR~~:~:~~~~~~~~~~~~~~~~~~
Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per Extens~
--------------------------------_~~~_~~~_________________________~ 45 ~
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
45 00
3/28/03
9/24/03
95 00
3/28/03
9/24/03
~
~
Plan Check Fee
Valuation
00
o
Plan Check Fee
Valuation
00
o
~~~~~~~~:~~~~~~~:~:~~~~.=er~~SAN~~~~~~~~~~~~~~~~:~~~~~~:i~
Other Fees SEWER SYSTEM DELV CHARGE 745 00
PW WATER SYSTEM USE FEE 1025 00
~
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 780 00 780 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1770 00 1770 00 00 00
Grand Total 2550 00 2550 00 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
Signature of Owner (if owner is builder)
Date
Date
T,\pr.A NNTNG\FORMS\ II 02.15 [4/2002]
8UIU)ING PERMIT INSPECTION RECORD
CALL 417-4815 FOR aUILDING 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
- YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT>- SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
I'W UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANIT AR Y
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
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRlCAL
-- LIGHT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION R. W
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653
FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE
T"lPLANNINGIFORMSIl102.15 [4/2002]