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Home My WebLink About1932 Hamilton Way - Engineering PUBILlC WORKS & R/W PERMIT -l Attached Notes OWNERlAPPLlCANT- --------- DON & LOLA ANDERSON 1932 Hamilton Way Port Angeles, WA 98360 000/600-0000 PROJECT INFO Work is Issued 7/18/2002 Permit No Work Order. 1276 o PROPERTY LOCATION 1932 HAMILTON WAY Lot: 5 Subdivision WESTVIEW Parcel No 063000933050000 Block. 3 Long Legal Value Work. $000 Plans Required Start Date I I Finish Date I I Contractor. ALDERGROVE CONSTRUCTION 360/457-2067 Performance Bond Required Amount: $0 00 Proof of Insurance Work to Perform lvj Install Sanitary Sewer Misc I_J Repair Storm Drain Watermain i Underground Tele/Elec PROJECT NOTES---- ------- refunded $490 00 7/29/02 drop in meter only fee $150.00 FEES ASSESSMENT 1 ) R/W Excav. $45 00 15 ) Other San Sewer. $000 2 ) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter. $000 17 ) Sew Capl W 1M Removal $000 4 ) Driveway. $000 18 ) Alter Repair Sewer. $000 5 ) Dwy Culvert: $45 00 19 ) Storm Drain $000 6 ) Street Cut: $000 20) Catch Basin per ea. $000 7 ) Other R!W $000 21 ) Sewer System Dev. $74500 8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000 9) Res Water Servo 5/8" $640 00 23 ) R!W Use Perm $000 10 ) Comm Water Servo $000 24 ) Admin Cost (D RA) $000 11 ) Other Water Service $000 25 ) D RA $000 12 )Water System Dev. $1,025 00 26) Misc. $40 00 13 ) San Sewer SFR $95 00 TOTAL FEE. $2,635.00 14) San Sewer MFR $000 add unit 0 Amount Paid $2,635 00 Receipt No -------------- Inspection Fee $000 Balance Due $000 CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT ACCOUNT PERMIT ACCOUNT DOLLAR NAME NUMBER NUMBER AMOUNT Surcharge ($4 50) 001 2291000 D R.A. Fees Plus Interest 001 2392000 Burning Permit Fee 600 32290014 Fire Inspect/Permit Fee 600 3422001 5 Fire Sprinkler Plan Review Fee 600 34220016 Construction 71 1 3221 001 7 Plumbing 71 1 3221 001 8 Mechanical 71 1 3221 001 9 Sign 71 1 3221 0020 Clear/Grade Permit 71 1 32210021 House Moving ".n /J IA .J- .::; 71 1 32210033 ~ Sidewalk/Driveway/Curb Permit/Right of WaYJ>ermit7 1'7-_'7I/) 71 1 3224001 1 ..,. 'lI..1 ~ Publications f 71 1 34150000 Blueprints- Aerial 71 1 34320000 Administration Cost (5%) 71 1 3432001 0 Plan Check Fee 71 1 34583000 Engineering Service Fees 71 1 34895000 , -- _l!i~!WQQ~;~jf!~;".1mm;J)t}fii~1 Street/ Alley Restoration 752.32210032 Storm Drain/ Tap 752.3449001 0 S/W Co-Op 752.36990000 ~ 'Wl)"itfi~02;1'1.~10ongU;f1t'~ Electrical Permits / Inspections 911 32210028 ;,'~i1.;;oAh;.,;;<;:;}: ";,.....'fij.f[PTAI..'CIGHt}PIVISION;Kl~~)1iNnH,fjii ~,;i~,:,',:;;':.:.>::' .0;i~;rgJ:~I(J*llbf~4;. 'f%%i~\11\;~1~1.1.";~';QQQlft4,f) '-'N":,,.,t,<;i,:''':''; ::1h,;':;:'\:/'.-: P B I.A. 650 231 9200 - :fttJ;j:;n,~~%11;1,~,q<g:ff~~ll!' ilflijjMi;,;td)T()T~1Jj1q~PJT~'IMPR.():VEMEf\fr.'.FQNPi~:1I:i,Jljt~;Jl:iti ~ ~ Property Sales 715 39510010 ~ . J(,'tH1iraf.LWfl!~jJiT~I~lif:R;"".. M PR.()\f!;M ENTJ;;,",Nq~;,~'3i';' ;'-'':';,',':- ~ ijjfU0j~j:!:~~:'j<.t~iQQg;,lljW!X;j Hot Tap (watermain) 75334340023 F H. Install/ Meter 753 34340024 W/M Installation 753 34340025 Water System Developement Charge /7 .7//7 753 3448001 0 / /)Z~ - ( """10. nATEll.FUNDFi';1;Aiiil,J,ib(;i,' ...... ,."",,/]01 "i;'Y.'~~;1.~.1i1,Qq(J;1{1;:;~ ~ Sanitary Sewer Permit / 7 7T~ 754 3221 0029 Sanitary Sewer Tap/Cap or MH Tap , I 754 3435001 8 - Sewer System Development Charge /?7//J 754 34350024 r;4~- ULlD 21 5 / Equivalent Service Connection Fee I T 782.34350025 'lilalill;liiiMjfi$D1,fij~j'Ji():r~J:l'W~Te:Wp.TER.f::tJNgI:WL'.;: ,..;; ,-,.".,>,', "i;,:"",,;,./'i~ " S:+i~~;11'~i1P99,H;;;};j ~ Milwaukee Dr Assessment 755 34370030 &~j:;.::i/;:>';,'~'~;':,,' ,.,' '.";;hii;ji':rrPT.AI:''$()CJaW~TE.' FUNq:#'i;.ii;1Oi ~:?i~; . ;.v'." ~ K"'_1ff'lllOWM~ :~? :i? ~..:~.. ;.~;:; ':~' ~ ',/'; " ,<, 'j!,"";'!';.. ,'., "... "'o'...."S'ii'k+. ~ N 0 7 4 7 1 ~ # - FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL !11;itA /17Z ~nj()/U; G:\Group\Acc1\FonnsIRev.RecIPlJt>.1IIII<s Last Revised Dec. 1999 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date 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 13j~tj1~j~ Phone No Permit No Plumbing Final ~r~Other ~q3 /'2-70 INSPECTION NOTES . J ) Inspected Date 1j1t4- D 2----time ? rrj Remarks BY~ L I' D ~YY)) i I' .... (~ RESTORATION REQUIRED YES NO X - \: ~ \ ;~ If "- J #- c.b. ' L-~__FFJ .,u :, L ~/ '- ~ l I f J ,,/ . I " ,I J . I ~ ~ \ ~ ~ \/ 0c... ~ " , l-\. ~'~6 J~\ - ~_../--" d< I .___----.1-- t;:. J( ~ i {, \' '?;. - 9, {.' ~ c Y'C 7:'L- r SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 'REQUEST FOR PAYMENT' Authorization TO /? ~ /tle;-f/"CN/e. L tPn'i /705 W l z. 1::1, ~C' de DESCRImON" --;Re.,(;ncZ on W~/&r ~ere,l- //?~~h-~'.ry drtJ,KJ//; me/e,-- tJ.l14f -/Je //60~ re.-kntL- ~ 90 "21 j?CiId. ~~?'o~P r~Na;rp~"P/27- BUDGErCODE 75 :3,34.:3 40025 P AMOUNT ~4q () ~ APPROVAL ~ \...... K -. DATE 7b.1!c-L- Soec:iallnslrUClIons CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date 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 Permit No Plumbin(gewer Excav Other INSPECTION NOTEV.?t3ft Inspected Date !lJ; .:2--' Remarks Time By -j'p I I or:--, RESTORATION REQUIRED. . YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)