HomeMy WebLinkAbout1222 W 12th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
05-4
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
THOMAS LUNDERVILLE
3812 OBRIEN RD
PORT ANGELES
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Pe rmi t Fee
Issue Date
Expiration Date
05-00000404 Date
997024
1222 W 12TH ST
06-30-00-0~3-6B20-0000-
RES NEW SFR
9/15/05
W
/ZZ2- VV /2
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RS7 RESDNTL SINGLE FAMILY
186058
Contractor
ETAL COLUMBIA PACIFIC
P. Q. BOX 1750
WA 983627426 PORT ANGELES
(360) 457-7525
TOTAL t LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDERS INC
WA 98362
30.00
2.00
7000.00
2100.00
1. 00
PUBLIC WORKS RES WATER SERV
50559
715.00
9/15/05
3/14/06
Plan Check Fee
Valuation
.00
186058
Qty Unit Charge Per
1. 00 715.0000 EA PW W/M I" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
715.00
RIGHT OF WAY
{,Uf{tJ/LOr:..
~l^--~ z,,-!?-()f
50567
50.00
9/15/05
3/14/06
Plan Check Fee
Valuation
.00
186058
}~&
.. .. . Qty Unit Charge Per C'O~
--------=~~~-------=~~~~~~-~~~---~=~~=-~~-~~=-~~~==-------------- ---=~.~
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
50542
110.00
9/15/05
3/14/06
plan Check Fee
Valuation
.00
186058
--------=~~~---~~~~=~~~~~~-~::_-~~-~~~~~-~~~~~:_--------------~~~
Special Notes and Comments
Building address sign shall not be. less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36_050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
The Fire Department has reviewed the project application and
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 appiication 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
construclion.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T;\Policics\1102.\5R [11051
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application NumhE!r . . . . . 05-00000404
Application pin number 997024
Page
Date
2
9/15/05
Special Notes and Comments
has no conunents
06/06/2005 11:07 AM SRQBERDS ---------------------------
Construct s.f. res wiatt garage for a total lot coverage of
30%. Setbacks are good. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee under 2004 policy $222.00
05/31/2005 09:59 AM GMCLAIN ----------------------------
Sidewalk to City standards required for school walking
route.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
-----~~~~~-;~~~--:-:-:-:-:-:-:-:-:--~~=~~~~~~~~~~~:::~:~~:;~-
----~;~~-~~~~;--------~~~~~~~------ P~~~---- -credited ---~~~--
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2649.50 2649.50 .00 .00
Separate Permits are required for eleelrical 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 wor~ is suspended or abandoned
for a period of 180 days after the work as commenced, or ifrequired 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:\Policies\1I02.15R[I/05]
-
APPLICATION FOR WATER
City Water Division
Port Angeles, Washington
9----/(
, 20ill
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises;
p. (), f3tJI/7~
"7 - bXCJ/
Name of Applicant '1i {i rn/r"=, I JA 11 tI ervI (/e
Address; ) ZZz. hJ 17.-itl-
New Sen/jC~k. 5/;l( lot {; Add lM- /)/;7 '?:.I::<X:O
J ';,"/; f ~tPX~c?OO
Size of Sen/ice ).. j t Me~~ Num~ O'l{) tr~
Sen/ice left On 0 Sen/ice lefl0igne~ev.::> .;; tJ,,-,2
Renewal 0
Installed by 1 J 1
i7/'500 + 1jOZSD-P....
Remarks;
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . .
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REQUEST:
Date
q-?../-Oy Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 05 -461
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other -L'; h C<-) '7
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INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
fA) (J::to'L-- C)) c....
"SOh\ 5~..LLUJl.) (o....f{p-()0
;>:Je ujo./I</ tt.<.lI'-b ) hr~"e,OJ"'Y 6/.( ~V 9~Zq.-Oh
brV we-II s f.'t' Dov /'t, >po.....+..s.
r:,'r.a.) OJ< 'Rv ~-2.ft'C>{,
RESTORATION REQUiRED............ YES
NO "f...
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE