HomeMy WebLinkAbout2440 Arbutus Ln - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 OS ~ /3
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000313 Date
745189
2440 ARBUTUS LN
06-30-01-5-5-0190-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82890
7/26/05
.2~~Oj)/(&TII.J
!.eO 6pCJ~
Owner
Contractor
LEO AND GENNY LOPEZ
2440 ARBUTUS
PORT ANGELES WA 98363
OWNER
Structure Information 000
Other struct info
000 1372 SQ. FT. SFR wi 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SQ. FT. ATT GARAGE
20.70
1. 00
9559.00
1978.00
1. 00
Permit
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date
PUBLIC WORKS
5/8" DROP IN
51359
195.00
7/26/05
1/22/06
RES WATER SERV
WATER METER
Plan Check Fee
Valuation
.00
82890
Qty Unit Charge Per Extension
_________:_______________________~~::_FEE_______________________~:~
Perm~t . . . . . . RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
51367
50.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
82890
Qty Unit Charge Per ~
1.00 50.0000 ECH RIGHT OF WAY PERMIT ~~
-----;~~~~~--~-~-~-~-~-~--;~~;~~-;;;;;-~;;;-~;----------------- --------
Additional desc .
Permit pin-number
Permit Fee
Issue Date
Expiration Date
51342
110.00
7/26/05
1/22/06
plan Check Fee
Valuation
.00
82890
Cf'\
Y::/
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
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)
Down spouts from roof gutters shall be piped to drywells or
may be piped to curbs that flow to strom drains. No
Separate Permits are required lor 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 certily that I have read and examined this application and know the same to be true and correct. Ali 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\1102.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000313
Application pin number 745189
Page
Date
2
7/26/05
Special~Notes and Comments
pressurized or pumping to curbs are allowed. An inspection
by Bldg. Dept. is required prior to backfill.
New subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
05/12/2005 02:57 PM SROBERDS ---------------------------
The proposal will result in 20% lot coverage. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
Under 2004 policy - NO connection fee
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
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.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credited
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .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 Ihat 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
Date
Signature of Owner (if owner is builder)
T:\Policies\j 102.15R [il05)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 8-.;2S' -Db
Time
/011#7
Received by
TF
(phone. person)
Location of Work to be inspected :J '-I <-{ 0
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
A,-,-b~+VLS LC<.Yt~
S el f tt-el p ~ot.<-::;c'^-8
Phone No.
Permit No. 0 ~ - "5/ ~
Sewer Excav. ~ F"r1 y. (
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date R - d pJ' 0(.,
Remarks:
0191'-7
Time 7
~LyYlj)
<;:::lA00 S--/D-06
D"'iU~UJK\'1 9-7-oCo
S,'~--e bvc..~Y'q)-€- - ~-q-ob
UJ CL--k,- - Oc..
RESTORATION REQUiRED...... YES NO
.
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
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APPLICATION FOR WATER
City Water Division
Port Angeles, Washington 7 - ;;:l-b
~
,20 <::)S
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: 5(- ?t::3/ ;t /8
Name of Applicanf' ~
Address: ;Z >z;
Renewal 0 New se~e~lk, LotL q Adry;174/)f~l'7d >>,:7~
Size of serviceN'*, '# oIp /n Meter N~.m~Eer ~<;'7S-:)-7
Service Left On 0 Service Le~ed ~_ .
Installed by
;i /~ -r-/; lJ~- -
Remarks: H /'$/7 ..J.LJ?-5 --&/3
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . .. . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
'S-IP-Ot"
Date
Time
Received by
IF
(phone. person)
Location of Work to be inspected 2 440 >4-R "UftS
Name of person requesting inspection t1 ~ - SO F Ht1-f2-~ U ~lJ..,1t;
Address of person requesting inspection Phone No. i..f77-1'l.'B
Type of Inspection (circle appropriate one): Permit No. 6S-- 30
~9 Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Inspected: Date
Remarks:
INSPECTION NOTES:
~//)-Of.t;
Time
By
(2v
o I/:=
RESTORATION REQUiRED...... YES
NO -(
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'il C.I01 9<0.1'<<.)"- t
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/ ~II :jV~
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
{("'.........i......""....... ........Or...." .,.irl"" i.J.............,."'......l
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date / 'l~)4-o7
../
Time
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
, ..Jkc~eived by
[' {
\ c2'1~O . ( A-R13[1l \[1 S
C {2,4-\ br ~e l~' H-~ i-\nlAs [ nq
Phone No. ~ 1
Permit No. lOS'-313 !
Final0we; E~ther r 2
(phone, person)
INSPECTION NOTES: __
Inspected: Date 1 Z -J 41)5 Time
Remarks:
By
IN
c&K
RESTORATION REQUIRED . . . . .. YES
?/L.
NO I'
J
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It) b I"-
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A d> u;r"-. ~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
CI Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse sicie if nAr.:As.s.~rv'
CITY OF.PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected g)'-I'I 0 A4 b'-<.+\.\.~ LAlU-e-
Name of person requesting inspection A I.~....,.. Co o"OV 'Co C":_OW'\, ':> {. .
I
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No.
Permit No. OS -31'3
Sewer Excav. ~ OI'(ve......A '1-
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. . . . .. YES
NO X
8/3/0c." - D".;v-e,^-,"'"I ~"""\<i _ ole/ ~
<6/7/010 - f>nc< ( CJ)V d....II/-c.WJ(1j -01:./ ~e-.
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
/
-:3,p.....,
Time
Received by
(phone, person)
RESTORATION REQUIRED. . . . .. YES
NO ..;...
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, Si~", ........lAlk. I
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I - ""Pvc... - (4o'J
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE