HomeMy WebLinkAbout910 Madeline St - Engineering
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CITY OF PORT ANGELES
PU13LIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, \VA 98362
05 - L{~:S
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
i
05-00000463 Date
947691
910 MADELINE ST
06-30-00-1-0-4600-0000-
LOT 19
RES NEW SFR
'1>/",,'''-'
c"-Z9-c::lS-
q/o j\1{l(:h~.I~",-~
RS9 RESDNTL SINGLE FAMILY
15255.0
lSFV
Owner
Contractor
BFV LLC
711 E FRONT ST
PORT ANGELES
(360) 452-8924
Other struct info
OWNER
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
26.50
1. 00
9600.00
2546.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN WATER ~ETER
perm~~,.pin number 52639
Permit Fee 195.00 Plan Check Fee .00
Issue Date 6/29/05 Valuation 152550
Expiration Date 12/27/05 I
Qty Unit Charge Per Exten~ior:-7""'}
BASE FEE ( 195.00.-/
-----------------------------~---------------~---------------------~-
Permit . . . .. SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
52647
110.00
6/29/05
12/27/05
Plan Check Fee
valuation
.00
152550
Qty
1. 00
Unit Charge Per
110.0000 EA
~~
zJlilD~
SAN SEWER HOOKUP
I
---------------------------------------------i------------------------------
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
by Building Department is required prior to backfill.
New subdivision shall he 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.
06/28/2005 10:21 AM SROBERDS -- Proposal will result in
27% lot coverage in the RS-9 zone. No land use issues are
noted.
Electrical load calculations and elctrical permits are
lr-
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 cqmmenced 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. '
Olate
j
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\Polidcs\llOZ.15R [1/05J
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
05-000004'63
947691
Page
Date
2
7/08/05
.-:
special Notes and Comments
required.
Connection fee $222.00 - under 2004 pol'icy
06/15/2005 08:28 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 prouripg concrete.
-----~~~~~-;~~~---------------------~;~~~-~~~~;~-~~~~-;~~~-----S~~~--
STATE SURCHARGE 4.:.50
------------------------------------~~-~~=~~_:::=~~-~:~-~~~---~~---
Fee summary Charged Paid Credited Due
----------------- ---------- ~--------- ---------- ----------
Permit Fee Total 305.00 305.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2079.50 2079.50 .00 .00
. .".
Separate Permits are required for electrical work, SEPAl 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
D'ate
Signature of Owner (if owner is builder)
Date
T:\l'olicics\1102.15R [1/05]
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: . J I
Date (/V~ I ~ Time Received by (phone. person)
q/O J?74d//-b24" ,
I'--AA../~ ~ Lt" .. L- T Iq
Phone No. 6Z)~-544--:;-~~
Permit No. D5- .:11o~
Sewer Foundation Framing Chimney Plumbing Fina
Ar Tc9 r
INSPECTION NOTES: ~ 10.
Inspected: Date 7, 2/1. ~me 2.' OOp","
Remarks: .
f)~ ~,~,.
By RV
tt~.(
~
RESTORATION REQUiRED...... YES
~4 7'<~ 1
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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 side if necessary)
STREET SUPERINTENDENT
(DATE)
W.O. "3.:l5'-{t)-OS z..
APPLICATION FOR WATER
City Water Division .
Port Angeles. Washington ~'2-c...
20e<'
. -
I hereby apply for water to be fumished in accordance with rates iind rules of the City for the
following premises: 12.\ '0..'{16/'" Cu..\-o<< j:l.,J.
. ~e~-88b~
Name of Applicant: GLc..lioY"'"'\~s l:~C.
Address:.:1\O Mo.d~\;nQ st
Renewal 0 ,.. New Service'lZf'Slk.
/I. g/"
. Size of Service I ^ 14 br-op ~II\
Service Left On 0 Service Left Off ~
Lot ~ Add Mt-Vie.UJ Estat<'5
c.(~'l-887
. ~Nu~rn~~r-o<t357583 ,z~ODOD'
81g , ,~
Installed by
Remarks:ye...."'a. #- 65 - L/b3
.$1~S0'+iI'Cj2S~
(F;r-e.sp,.....dd-et- ~ )
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date _1- ~ - ("25
Time
Received by
f2v
(phone. person)
Location of Work to be inspected
Name of person requesting inspection ~ \If<.-
Address of person requesting inspection
Type of Inspection (circle appropriate one):
q(6
,,,,- 0-..\ a-l: v-.-e..
Phone No..51..( I 5 ILJ- ~~ 'i
Permit No. 05"- '-I~
Sewer Excav. Other .D.r;v~ UJ~y
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date J - 4 - oS- Time
Remarks:
By
~v
O/:< +0
Pcu... r-
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o 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 ! /-ft:J/Oy Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No. -f? 1..c?Z~5
Type of Inspection (circle appropriate one): Permit No. ~ 4t, '5
~oundation Framing Chimney Plumbing@werExcav. Other
9/0 .I7J~ ~.' ~'~-..J.....
INSPECTION NOTES:
Inspected: Date ." / 'i. 6 ~ Time I L PtV1
Remarks: 1/ U, 7 D6" ~ c-.", tU.vl
/J.){)a;h, 0 Ie...
~~-t.;;:: /PIc.... /-4--DS
By
?,r,<.
RESTORATION REQUIRED. . . . .. YES NO
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
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~V(:1.T 41\.:
$~O~~~
r'Siii
'"- ~
~
't,;(1C~'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Ap~lication pin number
Property Address
ASSESSOR PARCEL NUMBER:
'I'enant nbr, name
Application type description
Subdivision Name
Property Use . . . .
Property zoning . . .
Application valuation
05-00000463 Date
947691
910 MADELINE ST
06-30-00-1-0-4600-0000-
LOT 19
RES NEW SFR
7/08/05
RS9 RESDNTL SINGLE FAMILY
152550
Owner
Contractor
. ..... ..B.RV" LLC
711 E FRONT ST
PORT ANGELES
(360) 452-8924
Other struct info
OWNER
WA 98362
',0 ",},,''''''; ,,,,. ,....'_..~ -.'
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
26.50
1. 00
9600.00
2546.00
1. 00
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
. ,._...Bell!lit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
3/4" DROP IN WATER METER
52639
195.00 plan Check Fee
6/29/05 Valuation
12/27/05
.00
152550
BASE FEE
Extension
195.00
Qty
unit Charge Per
----------------------------------------------------------------------------
Permit . . . . .
. .._Ao.<1:ltional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
52647
110.00
6/29/05
12/27/05
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
." "."i::'han 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
by Building Department is required prior to backfill.
New subdivision 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.
06/28/2005 10:21 AM SROBERDS -- Proposal will result in
27% lot coverage in the RS-9 zone. No land use issues are
noted.
~~ectrical load calculations and elctrical permits are
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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Po\icies\ll 02.15R [1/05]
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 I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SlDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
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:IPoliciesl 11 02.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
- Application Number . . . " 05-00000463
Application pin number 947691
Page
Date
2
7/08/05
----------------------------------------------------------------------------
Special Notes and Comments
required.
Connection fee $222.00 - under 2004 policy
06/15/2005 08:28 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 305.00 305.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2079.50 2079.50 .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
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05)
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)
WATERLINE / METER
SEWER CONNECTION
SANIT ARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRIVEW A Y APPROACH
BACK-FLOW DEVICE I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
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:\PoJiciesIII02.15R [1/05]