HomeMy WebLinkAbout1144 Campbell Ave - Engineering
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
,
.~-:-I
~~C'lT~
"....<)~~{.:.
Or-Gii'
L~
~
""c",,",
Owner
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
05-00000287
641989
1144 CAMPBELL AVE
06-30-14-5-4-0508-0000-
RES MANUFACTURED HOME
5/17/05
00 - .:2?7
//4 4 (l,OfY}pb~~
R,,~
Date
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE
56545
FAMILY
Contractor
SMITH, RICHARD
20235 ROBIN LANE NE
SUQUAMISH WA 983929686
Other struct info .
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
OWNER
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
4680.00
1196.00
1196.00
PUBLIC WORKS RES WATER SERV
48843
.715.00
5/17/05
11/13/05
plan Check Fee
Valuation
.00
56545
Qty Unit Charge Per Extension
-~~~~~~------~~=~~~~~-~~----~~-~~~-=:_:~~~-=~~:_~~~~~--------~~==~~~~
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
48835
50.00
5/17/05
11/13/05
plan Check Fee
Valuation
.00
56545
5tflM. ~ 7-!:.1'-oc:;,
/)) a.JJ;;c 7 - ) J -() S-
+t VI oJ
--------=~~~---~~~:=~~~~~~-~~;~--~=~~:_~~-~~:_~~~=:_-------------~~~:~~
Permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
48850
110.00
5/17/05
11/13/05
Plan Check Fee
Valuation
.00
56545
Qty Unit Charge Per Extens~~
1.00 110.0000 EA SAN SEWER HOOKUP C 110.~
-------------------------------~~------------------------------- ---- -
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.
Manufactured home must be pit set so that no more than 12"
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 cons1ruction 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:\Policies\ 11 OZ.15R [1/05J
.?~
r1PUlT~
l"'~'1.
r\'!!ii
1L ~-
"",;;;<i'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
05-00000287
641989
Page
Date
2
5/17/05
Special Notes and Comments
of skirting is visable above grade.
05/12/2005 04:29 PM SROBERDS ---------------------------
The proposal will result in the placement of a s.f. rofg
home in the RS-9 zone for a total lot coverage of 26%. No
land use issues are noted.
$410 Connection Fee Applies.
Electrical load calculations and electrical permits are
required.
04/28/2005 09:51 AM JHEBNER ----------------------------
There is a conflict with the Elect Utility.
Any modifications to the City's electrical facilities will
be at the customer's expense. An easement may be required.
'See John Hebner 417-4706.
04/28/2005 09:54 AM JHEBNER ----------------------------
Ditches and culverts(12" min.lwill be installed to City
Stanards. See Public Works Engineering for Standards.
4' wide gravel path to City Suburban standards required for
school walking route.
05/11/2005 03:34 PM RVESS ------------------------------
-----~~~~~-;~~~--:-:-:-:-:-:-:-:-:--~~:~;-~~~~~~:~~-~~~~--~-
PW WATER SYSTEM USE FEE C 1025.00~
------------------------------------------------------------- -- ----
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
875.00
.00
1774.50
2649.50
875.00 .00
.00 .00
1774.50 .00
2649.50 .00
.00
.00
.00
.00
Separate Permits are required for eiectrical 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 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:\Policics\1 I02.15R [1/05)
I,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . .
REQUEST:
Date 7 - ;2 7' -0 s
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 Plumbing
IJ;~P/~~!Q~~
~
Phone No.
Permit No.
Final ~ E~ Other '
OS-2-1:J7
INSPECTION NOTES:
Inspected: Date {- J- q- 0 $' Time::J' CJO f}JA1 By , )L
Remarks: C'_o"'-+,..""c-kr Loc-e..-I.--c6 SU~,(/'L7_ W:, ~ cJ-IW" A-vd ;;JPf'{})I.
UJ-=."J.-o-J - l~ LocA-i~ 6"-' "...l-",?' UL n i,a I...d IP" (J",C-
T/'1 S ,-j", ()v"c,{)-uJ ,I (~"'-. e-E..d~r::.. -\-e 4 (, (JV<'-. ~ h.o..-<::' <::-
I I I
RESTORATION REQUiRED...... YES
NO
L{" fvc
35'
~\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse,sideif.necessarv)
\
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date J -11- oJ' Time <g : ov /J11\ Received by J ( I (phOn~rson"!)
Location of Work to be inspected J I '1</ ~A1I//;eJ( Av e
Name of person requesting inspection CJ~rer I ~o/.
Address of person requesting inspection ,17".1 .\" i3 SI Phone No.91?- </~y''1
Type of Inspection (circle appropriate one): Permit No. O-S-~l
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~......-'<.t e .r-
INSPECTION NOTES:
Inspected: Date 7 - 11- 0 5'
Remarks:
Time / / ;,fI) A IYl By 7 I /
flf!..v / ys;(; '<j.NJU .s e/t//~ R
~- e./7.0
I~ (? qo~r:;ZOI
I
RESTORATION REQUiRED...... YES NO 'V
'" $
~
..
~
-
C. ti./# ppe,l/ ~t/e. f
1;)0
-
~/,/q' 'W'.4/ ~
rb ~ ~
ii .~
. ~
\1<>
SURFACE RESTORATION:
SURFACE TYPE: %unimproved OGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Foul;1d
o Asphalt 0 PCC 0 Other
Work Order # "Jd'J'/cr - DJ(
ft('COMPLETE
o INCOMPLETE
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32 I EAST 5TH STREET, PORT ANGELES, W A 98362
o rs-- 7 CJ1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000794 Date
416426
1144 CAMPBELL AVE
06-30-14-5~4-0508-0000-
QWEST
PUBLIC WORKS UTI LITES
8/26/05
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
o
/ I LJ 4 C.MY\pb~11 A--u e:
Owner
Contractor
Qwes1
SMITH, RICHARD
20235 ROBIN LANE NE
SUQUAMISH WA 983929686
OWNER
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
QWEST UNDERGROUND PHONE SERVIC
58651
.00
8/26/05
2/22/06
Plan Check Fee
Valuation
.00
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total .00 .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 Ihis type of work will be complied with whelher 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:\l'olicies\1 I02.15R [1/05)
'~';1}~(, ;;
"L''''''''~
, "':J~li::t~~~;i
..".".,.,.,
'i;it
. :':,:.::~i,~;:}~~'~
. ,,,,""..,,;ll~";
. ,:.::~ :.".i\,~;~~;~,tj~~~~
'. ''''~'''T~
',1 :; ':~;:~.:~:!,~jr~t,\~
. . ~ " '~',-. I,:..i~,}~
'J,~!I
. . ;".:' K\1'~'&'
. : '.:: ':, ~ /:..~~::~{~
Campbell" ':'-""..:,!.+."
',{;~;J~~l~
';,' .~ ,1.,o/\l,~\~~\~li;
',';~:ljt~tli
.'; ':~J~I ~ ~',~~)\1
'" ;.~:Y}f~~}t;.\1
. .' ",\'~ ~~~il,?3
: <}t~:;~;~W:'~
"""'IT " \ , ~'~ ;
Sewer DepBnD1ent - SuperfntendeJlt" _. '-FI:~~r
The mimared time forcomple!ion of the allove work Is JD 7::>A'/S A,PT'ER- fl P(,I~l~;::':~~i:
;;~, ~~i;:i;=m: ~~~~;~.,~ A~:~~~ Oon. Th,o,:j~1
"'1"""'&~/1j
."',,,, '\Yi )',;
, F~t[j~~~
, 1\""\'j\1"'!~
,., :':\~' i~\' 'Ill,
~:::;:;~:ir:r:~:~;~~:;:~~:~:::;:~e time thc work ~11 Slur:. and when ir will fin~; ,. .),~~';~~!~
'I ~!..~ !~~.}t.~
:)~~~l
, ..' ,,:' :/' I~~!.
i'~Ui~,:'!i:~~~
'."":.'~~k:
. ,'~( :~~j;{:.i~4:~
RUG 25 2005 14:24 FR
TRRFTON B 253 471 1324 TO 13604174709
'tif'1" @~ Y)~
-. WP0500227/452C
PUlUCWORul
Permil To Perform W,orle: III Srreet Right-of.Way
APPLICATION is hen~by made to the municipality of PORI' ANGE:[ES
to perform lIIorle: as
noted hereon and as ,<hown on "Iuched drawing:
f/LA5C. :5:e.E A1\AC~eb
-5~:~#
Place Buried Service Wire in R,OW to provide telephone service at 1;_4"', East
Work will require a road crossing.
P-e.Y'lY\\\1:!::. DS-1QL\
Approved;
Water Deputment - ~uperlntendent'
,
7850-B S. Trafton, TAcoma,WA
THE ABOVE APPLrCA TION IS HEREBY GRANTED SUBJEcr TO APPlJCANT'S;
ProsecutIng rhe work ....i'h diliieni=e and with.due respcC'\' to all prol'o~ty, contracts, porson.'
rights and rhe inrerests and convenicnce of the public;
Saving the Municipality narmless from any and all damagel whleh rnay aeaue TO any pcnon
or property because of this in51allatiol'l Dr the,mailltenance thereof;
Complyi II: Wilh following spedal conditions:
Date
s
tJ'3
CItyo! PCRr
-.,........
'--,u.
-, '. ..~'-~":'. ;{"i-':;.... f',;=':<. "">.' .,-., ,.;
".;:_'G_, I'!;::!..,~~'... ~:,~""..'-,J'~, .'..'i!~~f,.!".f~,~~~'~iV'::::'~;"r;~>~ ~:
".., """""',;:r-,"T;Y.~~~~~'
-.,.,,' ".,.,~lJZ-~o~~
:BY
P,02/03
AUG 25 2005 14:25 FR TRAFTON B
253 471 1324 TO 13604174709
P.03/03
-t ~~
<:J.O
&.
. :.:~:;,/}t;.' '0
,'., ,'>: j 'j"~';,z,' .
.. ;,-'~!t~~~!J
"""'f''',.i';~
:'~;,~;ItJ~l
:"'(~( ~:Vff-P~
.;' ,:~ii;l~&~
I~
":::"";'i'~.~
,.3~t:~:i~~.'
. ,.,).. f'lJiio.
: 'i;\;t~;:'::~~~~'~
,<~ "'l,t/';::':i
, --d'I\'lm-:'lj
, ',t~i;\;\t~:~i~
"/"'. _",ll.;:!
.;t~\,:<~1;,~~l
. :",\{i, ~~"~.J.~r(\':'~:.
,.'~ . ;'l':r"~/Ff.t~;~
, ~I"'~~.'\n;;~~}~.r;~
:.~~;~~r'
Qwest Job #
W P (J 5W~ 7- '15,;).. e
.
ft[ll
!iiil
C--A-Yh P B&L
p..,
~~o
\\~
U L/ l.j
This work will require:
Plowing in the R/W (tDtal fDDtage)
~
Push Dr bore 2 inch PVC Dr EIP under roadway (total footage)
30'
J[)
Push or bore 2 inch PVC or EIP under driveway (total footage)
Push or bore 2 inch PVC or EIP under multiple driveways (total footage)
v
'All crossings and ROW work at 36 inches. 'All pits and trenching require select filL
"I
......
:ff'ORT~
cl~~"r,
na
---~
~
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
5/17/05
05-00000287 Date
641989
1144 CAMPBELL AVE
06-30-14-5-4-0508-0000-
RES MANUFACTURED HOME
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
56545
Contractor
SMITH, RICHARD
20235 ROBIN LANE NE
SUQUAMISH WA 983929686
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expirat~on Date
OWNER
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
25.50
1. 00
4680.00
1196.00
1196.00
PUBLIC WORKS RES WATER SERV
48843
715.00
5/17/05
11/13/05
Plan Check Fee
Valuation
.00
56545
Qty Unit Charge Per
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Perm~t pin number
Permit Fee
Issue Date
Expiration Date
Extension
715.00
RIGHT OF WAY
48835
50.00
5/17/05
11/13/05
Plan Check Fee
Valuation
.00
56545
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
48850
110.00
5/17/05
11/13/05
Plan Check Fee
Valuation
.00
56545
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Bu~lding address sign shall not be less than 6" & not more
than 12" ~n he~ght. 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.
Manufactured home must be pit set so that no more than 12"
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.
C) f'{ r= / J-J~
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \Pohclesll102 15R [1/05]
':
,'"
f "ORT ~
/O~~~
,.
.... w;;.or
~
-'t;it;-~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000287
Application p~n number 641989
Page
Date
2
5/17/05
Special Notes and Comments
of skirting is visable above grade.
05/12/2005 04:29 PM SROBERDS ---------------------------
The proposal will result in the placement of a s.f. mfg
home in the RS-9 zone for a total lot coverage of 26%. No
land use issues are noted.
$410 Connection Fee Appl~es.
Electrical load calculations and electrical permits are
required.
04/28/2005 09:51 AM JHEBNER ----------------------------
There ~s a conflict with the Elect Utility.
Any modifications to the City's electrical facilities will
be at the customer's expense. An easement may be required.
See John Hebner 417-4706.
04/28/2005 09:54 AM JHEBNER ----------------------------
Ditches and culverts(12" min.}will be installed to City
Stanards. See Public Works Engineering for Standards.
4' wide gravel path to City Suburban standards required for
school walking route.
05/11/2005 03:34 PM RVESS ------------------------------
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
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 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 atter 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:\Pohclesll102 15R [1105]