HomeMy WebLinkAbout822 Madeline St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
Application pin number
property'Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
property Zoning . . .
Application valuation
05-00000693 Date
672146
822 MADELINE ST
T6-30-00~1-0-4600-0017-
RES NEW SFR
8/16/05
gZ2//10~
RS9 RESDNTL SINGLE FAMILY
152550
qLC
Owner
Contractor
GLC HOMES INC.
121 TAXLqR CUTOFF
SEQUIM
(360) 683-8865
Other struct info
GLC HOMES INC
RD. 1975 SW 1ST SUITE H
WA 98382 PORTLAND
(503) 227~0207
TOTAL \ LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
OR 97201
26.52
1. 00
9600.00
2546.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN METER
Permit pin number 57034
Permit Fee 195.00 Plan Check Fee
Issue Date 8/16/05 Valuation
Expiration Date 2/12/06
,00
152550
Qty
Unit charge Per
BASE FEE
Extension
"195.00
Permit . . . . .
Additional desc .
Permit pin number
Permi t 'Fee
Issue Date
Expiration Date
RIGHT OF WAY
57026
50.00
8/16/05
2/12/06
Plan Check Fee
Valuation
,00
152550
];YloJ
IA/00
~./lP
Qty
1.00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit . . . . .
Additional desc .
Permit pin number
pe rmi t Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
57018
110.00
8/16/05
2/12/06
Plan Check Fee
Valuation
,00
152550
Qty
1. 00
Unit charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
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 location. No
pressurized or pumping to curbs are allowed. An inspection
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 Iype of work will be complied wilh whether specified herein or noL The granting of a permit does nol
presume 10 give authority 10 violate or cancel the provisions of any state or local law regulating conslruction or the performance of
construction.
Dale
Date
Signature of Contractor or Aulhorized Agent
Signature of Owner (if owner is builder)
T:\Policics\1102_1SR [1/051
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, IV A 98362
Application Number _ . . . . 05-00000693
Application pin number 672146
Page
Date
2
8/16/05
Special Notes and Comments
by Building Department is required prior to backfill.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association '(NFPA) .
08/11/2005 05:20 PM SRQBERDS -- The proposal will
result in a s.f. res w/attached garage in the RS-9 zone for
total lqt COy of 26\. No land use issues are noted. The
correct subdivision name is THE ESTATES AT MILWAUKEE.
Electrical load calculations and elctrical permits are
required.
Connection fee $222.00
08/03/2005 08;48 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from Ihe last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Signature of Owner (if owner is builder)
Date
I Signature of Contractor or Authorized Agent
T:\I'{)lil~ics\1 102.15R [1105]
50)'1'6' -Iv,!..
APPLICATION FOR WATER
City Water Division
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I hereby apply for waler 10 be furnished in accordance with rales and rull;ls of Ihe City lor lloe
following premises: ,G"e, 3- 2)8<o:S'
r1 1:;1/ "TAyloR. c.uToFF Rd
Name of Applicant: I..,.,LC HOME"'> S€I"'i..... 9&-3$'.l
, I
Address: ~1; (Y\A 0 F-L-i /\I e._ sr'
/-. VJIIO.AI\ T~ i 10
Renewal 0 New Service 8BIk, Lol I Add. IJ I EW
Size 01 Service I i ~/t./ D/lo(J -TN Meter N~er )71 a] 7/ ~ 1
Service Left On 0 Service Left Off Ill/" Signed ~
Port Angeles, Washington
m . It:) ,200S
Installed by
Remarks: PEe.>>? 'I -# 0$"-1093
/1 /O:J.S.rp Ji /95 qf2
fklZeu -po
Free S!lnJ/Lt..E,e
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date A -;1:J - O~
Time / -' /s [)J11 Received by
/
Location of Work to be inspected 9j j d\QJe[,'v\L.- sT
Name of person requesting inspection c::, L c..
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Yr_
(phone,~rson0
Phone No.
Permit No. OS - b93
Fi~~er Exca~ther
INSPECTION NOTES: , . ~
Inspected: Date 2> -:1,? -0 ~ Time I. c.j 0 f i11 By -'
Remarks: c..oV\+rtcc.JCV' IOCQA-c. J (L// P I/c.. <:'c-wEIL ST{(b cd 7'. s' dee/J ~-I- ih f-
rVor-H,-El'lsf- 1'04'/'-1\ (Jov-e(l, E-dt.-lC.'C 40 LjnpJlc.-I-olo(;(s~
RESTORATION REQUIRED . . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
-? --{r"OV 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
<g Z 7..- rn aA.J. Ju /'A a
Phone No.
Permit No.
eYewer Excav. Other
4 (;/-0 c"Z.3
OS -wq~
INSPECTION NOTES:
Inspected: Date :;--& 'Oft Time
Remarks: 5e...c e..-;- e - Z:2 - QS
~. ~ve- ;;a~ 0 k
WI\. . rt- t Lu....--b 1
By
KV
()k'
I
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
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
{DATE I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . .
REQUEST:
Date 3- /10 ~ oG
Time
Received by
Rv
(phone, person)
Location of Work to be inspected '2:5 7-. 2., Made 1.'V1.e ;'S r
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 6"7-(,"13
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 5- 11o-0.'=- Time
Remarks: ])r;",e VJG.'1 0/(
Q.u.".-\' 1T c,u..-\\e~ o~
DC>....,"'.s~""t5: +D ::,+"'....wc -\-cIA. 8CA.S1'V\ Dk:
By RV
0(<
RESTORATION REQUIRED . . . . .. YES
pI/..
NO ~
f/L
Jj",'1
, JIV
"V"
~" Pvc
))OuJt'\
<>1"'4<
I} ,....-~\d..Q".",
, ..,...rll-t "Pt.-
5~ "P::J7:' p~t-
1::'0' ~",_o.~e.
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M~d,\.v'~ ST
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gtavel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found)
I
I
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDATEI
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
Owner
GLC HOMES INC.
121 TAYLOR CUTOFF
SEQUIM
(360) 683-8865
Other struct info
8/16/05
05-00000693 Date
672146
822 MADELINE ST
T6-30-00-1-0-4600-0017-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
152550
Contractor
GLC HOMES INC
RD. 1975 SW 1ST SUITE H
WA 98382 PORTLAND
(503) 227-0207
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
OR 97201
26.52
1. 00
9600.00
2546.00
1. 00
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
57034
195.00 Plan Check Fee
8/16/05 Valuation
2/12/06
~
N
~
I'
\
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
.00
152550
Qty
Unit Charge Per
BASE FEE
Extension
195.00
~
~
~
\'\
0)
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
57026
50.00
8/16/05
2/12/06
Plan Check Fee
valuation
.00
152550
Qty
1. 00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
----------------------------------------------------------------------------
Permit .. . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
57018
110.00
8/16/05
2/12/06
Plan Check Fee
Valuation
.00
152550
Qty
1. 00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
----------------------------------------------------------------------------
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 location. No
pressurized or pumping to curbs are allowed. An inspection
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
[?rE;l~Sl!me . authority to violate or cancel the ovis' ns of any state or local law regulating construction or the performance of
... ruction.
Signature of Contractor or Authorized Agent
T:IPoliciesll102.15R [1/05]
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE 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
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\Policies\1102. I 5R [1105]
f ~ORT .'\-\(
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if- 'EiII -
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000693
Application pin number 672146
Page
Date
2
8/16/05
----------------------------------------------------------------------------
Special Notes and Comments
by Building Department is required prior to backfill.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
08/11/2005 05:20 PM SROBERDS -- The proposal will
result in a s.f. res w/attached garage in the RS-9 zone for
total lot cov of 26%. No land use issues are noted. The
correct subdivision name is THE ESTATES AT MILWAUKEE.
Electrical load calculations and elctrical permits are
required.
Connection fee $222.00
08/03/2005 08:48 AM GMCLAIN ----________________________
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
745.00
4.50
1025.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
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 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
co nstruction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPolicieslll 02.15 R [1105 J
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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 NO
PW UTILITIES (Engineering Division)
W A TERLlNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SJDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW. I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNll'G DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]