HomeMy WebLinkAbout610 S Cherry St - Engineering
PUB/LlC WORKS & R/W PERM/T
U Attached Notes
OWNER/APPLICANT
I BOURM I J P HALLER
802 EAST 6TH ST
Port Angeles, WA 98362
000/604-7558
PROJECT INFO
Work is
Plans Required Start Date
Contractor' CITY OF PORT ANGELES
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
3/03/2003
Permit No
Work Order'
1371
o
PROPERTY LOCATION
610 CHERRY S
Lot:
Subdivision
Parcel No
Block. 163
TPA
063000163150000
D Long Legal
Value Work.
$000
I I
Finish Date
3601000-0000
I I
$000
~ Install
D Repair
~ Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Mise
PROJECT NOTES
SEPERATE DUPLEX WATER SERVICES 608 S CHERRY TO KEEP ORGINAL WATER
METER NEW METER TO SERVE 610 S CHERRY
FEES ASSESSMEN,.
1 ) R/W Excav' $000 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: $000 19 ) Storm Drain $000
6 ) Street Cut: $000 20 ) Catch Basin per ea $000
7 ) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000
9 ) Res Water Serv' 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' $000 26) Misc. $000
13 ) San Sewer SFR. $000 TOTAL FEE. $640.00
14) San Sewer MFR $000
add unit 0 Amount Paid $640 00
Receipt No
Inspection Fee $000 Balance Due $000
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JO$tiUA PAUL HAUER f9;.1l11S/*
~f; 6TH STREET . 4(1644~1 .
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APPLICATION FOR WATER
C;t;o:a::g:~::''';::: 3 ft~ 3> ,19 .
I hereby apply for water to be furni shed in accordance with rates and rules of the City
for the following premises OWne~.'
Reder,' b. . J - /Jf"> / - n .0_
Name of Applicant ;reV/I? L..elferr- JRB e.~u f2n-.,
({; / D :5, {J~~/'/'l/ ~j:.t4~
/ sz.. ~~()COC>l.3/'5014
Renewal 0 New Service ~ ~Ik~ Lot "'f'/(ldd "/'P/h-)
/ v,SL/1 (Sf/?l'/t?1e SVc... ~y dvp/e;<
Size of Service _ ~ L$- Meter Number
Address
Service Left On 0
Service Left Off 0
Signed
--;-;:-
/
Remarks
~ 61tJ ~
(p/OS~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION rY
321 EAST 5TH STREET, PORT ANGELES, WA 98362 tl3 -- ;;236'
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
03-00000238 Date 4/14/03
610 S CHERRY ST MAIN
0630000163150000
PUBLIC WORKS UTILITES
o
Owner
Contractor
IRENE BOURM
802 E 6TH ST
SEQUIM
(360) 457-5458
OWNER
WA 98382
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES
~
10/08/03
WATER SERV
Plan Check Fee
Valuation
00
o
00
00
00
00
00
00
~
---
C0
V)
Qty Unit Charge Per
1 00 640 0000 EA PW W/M SFR 5/8"
Extension
640 00
Fee summary Charged Paid
----------------- ---------- ----------
Permit Fee Total 640 00 640 00
Plan Check Total 00 00
Grand Total 640 00 640 00
Credited
Due
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'\PLANNlNG\FORMSIJ 102.15 [4/2002]
I Rog_e! Vess - e~.r:mit # 238___
~=-. . ....--=~ . ~ .. ... '_ .____-~____ - . P~.~e 11
From
To
Date
Subject:
Treina Funston
Roger Vess
4/9/03 9 56AM
perm it # 238
Roger, would you make a copy of permit 238 water meter installation for 610 s Cherry don't seem to have
my copy thanks TF
· /Y8dS)..
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash.
e"At
03,- 23?
I4:TE ~ 1841'2.
3bh3
.
, 19
~
I hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premises OWne~.'
Reder,' ~ . Ie /JI'"> / '::IRene. O""'u IG.Y'l-.
Name of Applicant, /reV/I? Iferr- " ~ . . J
/) / 8~2.. ~ Cb f:h
Address ({; / D :5, C/lfJr/'tj 467-'51sf ~
/ S Z I ~ Z- ~~oOOOIl..3/'50
Renewal 0 New Service ~ ~Ik~ Lot--.Z::. Add P/h-
Lv SL/1 (5f;Pl'/'t?1e S vc... ~t; v,e ~
Si ze of Servi ce _ ~ L$- Meter Number
G~' ~'S
S L f 0 0 L f Off 0 S d ---....- . b. .
ervice e t n Service e t, igne J f '~f9 ODoc:>ob
Installed by
tj (;;<!tJ ~
Remarks
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date 0}- J.-. ~ - d ? 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)
biD -5 ell(> Jr,/
~tu I I (' <l Y
- I~/{ ~e Phone No ;
Permit No 03 - 2..$-;
, . ,?
Chimney Plumbing Final Sewer Excav Other (peL --r---c v-
Time By
~ 'Flu 5 +-Cl ,1/ lu'-4lJ (,.I /?\ f-t y-
") e- J/(.;'-~ Z ~ s- ~ '
c~ -5 754' Ii :>?~7rf
Sewer Foundation Framing
INSPECTION NOTES
Inspected Date
Remarks
RESTORATION REQUIRED
YES
...-/
NO~
~)J
~ \
~ '(
" "'\
~
\(j
tfA
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC, D Other
D Repaired by City Work Order # I?J C( r:l--
[] Repaired by Permittee ~PLETE
o No Damage Found 0 INCOMPLETE
(Continue on reverse side if necessary)
(DATE)
STREET SUPERINTENDENT
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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 LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEA T PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LlGHTING ESA,
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R,W 1 PWI CONSTRUCTION - R,W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T'\PLANNINGIFORMSlll02,15 [4/2002]