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Home My WebLink About3808 Old Mill Rd - Engineering <:I:;>ORt"" l~o.:~ ~- ~ ~::d" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00001068 .625124 3808 OLD MILL RD 06-30-15~3-2-9040-0000- RES NEW SFR RS9 RESDNTL SINGLE FAMILY 91088 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information construction Type occupancy Type Other struct info E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 1330 SF SFR W/ATT 528 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 Permit Additional desc Permit Fee Issue Date Expiration Date CONCRETE SIDEWALK 70.00 plan Check Fee 12/07/04 Valuation 6/06/05 Date 12/07/04 WA 98382 20.60 V-N 1. 00 1. 00 8979.00 1858.00 1858.00 1. 00 Qty Unit Charge Per Extension BASE FEE C 70.00 ----------------------------------------------~------------------ ---- ---- Permit DRIVEWAY INSTALLATION Additional desc Permit Fee Issue Date Expiration Date 145.00 12/07/0' 6/06/05 Plan Check Fee Valuation 04- //)h6 6~ 3iOS01Jmd!JcJ! .00 o ~ .00 o Qty Unit Charge Per Extension -----------------------------~---~~:~-~~~-----------------------~=~=~~~ Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee Issue Date Expiration Date 640.00 12/07/04 6/06/05 Plan Check Fee Valuation .00. 91088 Qty Unit Charge Per Exten~ ________=~~~______:~~~~~~~_~____~~_~~~_=:_:~~~_=~~:_~~=~~_______~40.00 ~ Permit RIGHT OF WAY Additional desc Permit Fee 45.00 Plan Check Fee .00 Issue Date 12/07/04 Valuation 91088 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 compiied with whether specified herein or not. The granting of a permit does not presume to glv utho. to iolate or can el the provisions of any state or local law regulating construction or the performance of construction ,,-. Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] <f'~ORT~G l~ rUii L'~ ""C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Expiration Date 04-00001068 .625124 6/06/05 Page 2 Date 12/07/04 Qty 'Unit.Charge~Per- ---- -~--- --~- -- -Extension--~------ ________=~~~_______~=~~~~~_~~~___~=~~=_~~_~~=_~~~==_____________~ 45.00~ Permit SANITARY SEWER HOOK UP Additional desc 1 Permit Fee Issue Date Expiration Date 95.00 12/07/04 6/06/05 Plan Check Fee Valuation .00 910B8 Qty Unit Charge Per Extension ._------_:~~~-------~~~~~~~-~---_:~_:~~~~-~~~~~-----------------~=~~~~ 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 has no corrunents The proposal will result in a new sf residence with attached garage for a total of 1858 sq.ft. or 20% lot coverage. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sidewalk to City standards required for school walking route. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE c745.00 ~ ~ 4.50 cTIi25.00 :::> Fee summary Charged Paid Credited Due ---------~~------ ---------- ---------- ---------- ---------- Permit Fee Total 995.00 995.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2769.50 2769.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nutl 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, orif required inspections have not been requested within 180 days from the tast 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 vioiate 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 buitder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] LYop- ~fJ APPLICATION FOR WATER City Water Division Port Angeles. Washington /;?--tJ 7~ 20_ , I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: / 3Z~lt.>> SP. . Je<i ~z~ Name of Applicant E <? En+eYf>r15t!'t(' ..z;~ Address: 380 cg tJ/d /11;1/ ,.p~ Renewal 0 New Servic~k. Lot J?, Add,K'Rall-/; .s~ Size of Service / X ~I/ Meter Number o <fcn.-,'3<il6'7 c:7H 7~ Service Left On 0 Service Left O~ Signed Installed by 7/7 Remarks: Pen11/T-dL f)1-/ ~tbf' rj VfP!E +- .J/ tJzS-- r- -~-_.~ -,- .", n " \, "f .p' L' pld' 1 W ",,4C E '"' ((k~t5 ,n Q > -- " ~ - ..... , ~ s::. I \:} " S \ f \ \ l --- - .-.-- ,- ' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: / ! Date 1/'VI, 'OS. . 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. 04 - /DbA --Sewer-.-Foundation..Framing-Chimney-Plumbing-Final-Sewer.Excav.. Other----.--.--........-... , J g' () g' !Jid !JJd-I J2.L 6 J1 .I;;'~'/ INSPECTION NOTES: It 1 . -- Inspected: Date J, 'iJ./ ~ Time Remarks: J~ By ..Jt,.)\:)~WS. RESTORATION REQUiRED...... YES NO N 4 @ 4 "" b" F-8'Lb Q. () \:f,'--\ = b' '\5'06'--"'0lV \ , , ...--...),CJ '\J ~l'./ "J .' ~~...". . ,t/I g 'Y oJ. ~ ".'- :'7.; "" '1" Pill.- .. ~\'~J--' III ;'t1~LI1<lI-" 1\ '" ~ .,j , €,"(.~T '\ S\v!?, OD( Q " 0 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: // / /" Date S / /J1fJS Time Received by f (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 3 f? () 2' OJl hJ.dJ e~ ~1C/17/7U- f/ZJ-q~73 Phone No. 4~/- :;1'74f Permit No. o4-/0b8 Final Sewer Excav.~ INSPECTION NOTES: i vi/" Inspected: Date 6 I~ t?J Time 3 -f1-'1 By "t;,e... Remarks:. (I~~ ! DWe-w6~/ - 6. k. I RESTORATION REQUiRED...... YES NO -- , r ~.ed 6;e;1112d{ 4 (j)--- ~ t 44 ~ l SURFACE RESTC SURFACE TYPE: 0, C I C! I 0\ . IOpcc I rder # \ lPLETE \ __=-,n'GdMPLETE o Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) o~ "ORT ~ ~...~<:. ~hlII~ 'IL -=:;;.so ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning , , , Application valuation 04-00001068 Date ,625124 3808 OLD MILL RD 06-30-15-3-2-9040-0000- RES NEW SFR 12/07/04 RS9 RESDNTL SINGLE FAMILY 91088 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type Occupancy Type Other struct info WA 98382 E G ENTERPRISES INC, 1324 JAMESTOWN RD, SEQUIM (360) 683-5731 1330 SF SFR W/ATT 528 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 20.60 V-N 1. 00 1. 00 8979,00 1858,00 1858,00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date CONCRETE SIDEWALK 70,00 Plan Check Fee 12/07/04 Valuation 6/06/05 ,00 o BASE FEE Extension 70,00 Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145,00 12/07/04 6/06/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 145,00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640,00 Plan Check Fee Issue Date 12/07/04 Valuation Expiration Date 6/06/05 ,00. 91088 Qty Unit Charge Per 1. 00 640,0000 EA PW W/M 1" SERV 5/8" METER Extension 640.00 Permit Additional desc permi t Fee Issue Date RIGHT OF WAY 45,00 12/07/04 Plan Check Fee Valuation ,00 91088 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 giv ~uth~:j to iolate or can el the provisions of any state or local law regulating construction or the performance of construction "- ,_.-~ Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102,15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W,I PWI CONSTRUCTION - R. W, ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNlNG\FORMS\1 102.15 [11/14/2003] ~ 8-~", ". ~ 'l4i:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Expiration Date , , 04-00001068 ,625124 6/06/05 Page 2 Date 12/07/04 Qty 1. 00 Unit Charge Per 45,0000 ECH RIGHT OF WAY PERMIT Extension 45,00 Permit SANITARY SEWER HOOK UP Additional desc 1 Permit Fee 95,00 Plan Check Fee Issue Date 12/07/04 Valuation Expiration Date 6/06/05 ,00 91088 Qty 1. 00 Unit Charge Per 95,0000 EA SAN SEWER HOOKUP Extension 95.00 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 locations. The Fire Department has reviewed the project application and has no comments The proposal will result in a new sf residence with attached garage for a total of 1858 sq,ft, or 20% lot coverage, Setbacks are good, No land use issues are noted, Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense, Sidewalk to City standards required for school walking route, Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch, 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 995,00 995,00 ,00 ,00 Plan Check Total ,00 ,00 ,00 ,00 Other Fee Total 1774,50 1774,50 ,00 ,00 Grand Total 2769.50 2769,50 ,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:\PLANNlNG\FORMSIl102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGElDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL. LIGHT DEPT, 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102. 15 [11114/2003] . ~ORTANGELES WAS H I N G TON, U. S. A, PUBLIC WORKS & UTILITIES DEPARTMENT January 21,2005 Fred Grinnell C/o E.G. Enterprises, Inc. 1324 Jamestown Rd Sequim, WA. 98382 Subject: 3808 Old Mill Road Job# 9892 Dear Fred: Q}.) ~ ~ ~ The estimated cost of labor and materials supplied by the City to provide electrical service for your property is $ 527.89. This estimate was based on the data you provided and is subject to review. This quote is good for 180 days. The City will be responsible for the following: co p:: ~ 1) Providing and installing the power pole. 2) Upgrading the transformer. 3) Providing and installing the service wire across the road. 4) Providing and installing the 120/240v meter. - -- (l: . The owner/contractor will be responsible for the following: 1) Providing, installing and future maintenance of the service riser on the pole. (Ref: Underground Service-Secondary Riser CR 5 01) 2) Providing, installing and future maintenance of the underground service wires in conduit from the power pole to the house and/or meter base. (Ref: Trenching Specifications UM 001-S) 3) All Required Permits. (Building, electrical, etc.) 4) Payment of $ 527.89. 321 EAST FIFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645 E-MAIL: publicworks@cityofpa.us \.~. : t 't,~~c_,,< L~ ,:.j~" ~'" .~. "j 'd '~~.~~J(/r' If the actual cost of construction exceeds the estimated amount, there will be no further billing. If the actual cost is less than the estimate, the difference will be refunded to you. Payment of the estimated amount will authorize the City to schedule the work. If you have any questions or concerns, feel free to contact me. Sincerely, John G. Hebner Electrical Engineering Specialist ihebner@citvofoa.us 360.417.4706 Cc: James Harper, Electrical Engineering Manager AI Oman, Electrical Inspector Roger Vess. !=>ennit Tech Attachments: 3 Ref: WF31216101 ~ l'ORT """ ~:,O~,,"r.., o rGiii . L~ ~ """"'" 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: Tenant nbr, name Application type description Subdivision Name property Use property zoning . . . Application valuation 06-00000024 Date 853176 3808 OLD MILL RD 06-30-15-3-2-9040-0000- QWEST PUBLIC WORKS UTILITES 1/09/06 3802' tJ.Jj ~ eJ.. RS9 RESDNTL SINGLE FAMILY o Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM WA 98382 (360) 461-2744 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452-1110 Permit RIGHT OF WAY Additional desc 100' BURIED PHONE CABLE Permit pin number 68569 Permit Fee .00 plan Check Fee .00 Issue Date 1/09/06 Valuation 0 Expiration Date 7/08/06 Fee surrunary 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 orwork 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 permH does not presume to give authority to violate or cancei the provisions of any state or local law regulating construction or the performance of construction. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\Policies\l J02.15R [1/05] P.02 ;)i;j~;f~l~f~~ ,-, ''I/'~''1~~~h'lS ; ~,,\iL;~Irf~4.q~~,~ ."" ,'\~~~(,![1~" ., . 'T~~': '., ,.,~\~; , . ~7!, "~:I, ,,, l4i~" "':"~:i~~)f~~~ ,\'" ,,,~~,f', /';~~j;t!~ .......r..)" , i~.' [~~~~j~i~~i~~~l wP0600069.:.4"'~;'ii;;~l , d .~-~1f" ".,~.i?;. i """, .,~. .;,il~:.~\j,,':".;t';{~ " -,', '-"."~;;~ ~~{\~ to perform warJc as: ,.::" '>\;:;;~\\~~~~i .':liJ , "', d!l.'(i~ "',~" 4 3808 Old Mitl;,iID"~),j;)'::{,'ii .';,~,[J~~tl~ ,(;...~.;,.t.;>i.i'!'I" ~(!r~ ' ,,\ :'t'~ ii\}..~ t~~ ':',6,\,.'t,}1pi'l;'] ,....".i'.Ii>. ;:". .\~t~i~t~j~~ ..........f'~'!i! 'i',':~il!;~ii:;\{;'i Sewer Depanmeni - 'Superintendent ' ~':<?i~t~~~r~~%1 The estimated time for'completion of the aboye work Is 10 7>A'/5 AF1~{L. np.C;~1~~~~~~ Date. 01-09-06 By Excel- BSW.,..QWEST- Dona ThauJ~\~tt~~~t~ PH'w~ 253/597-513J5. Contractor Ownsr .;]i\~;;1~i{1 rAX 253/471-1324 OWE-5f /Arr~ ;~W;:"'~1;"t~w';;" THE A:::I:;:~:::IO:":ci:~::~.::,~'~~~~E~ ;~~~A::r:;,m.,"A ';!;~~; ~~;~;~;';~~~'::;;~;'~~ ;~;~;::: ~::::.:~ ::<::::=:~~,~ ':';.)-~;,,;Ii'r),I,';~'~~ ":":-:1;/",::;;/.':\J.,l. . ....'7l . .".~M1~[]\~ "',' ,1"I~("'~I;I~ij " <' <'i~';~~~~t~~~~) . ,,~i'.'" ~\'9r.'~'~ " ; .;j).o', , '\ .ifs ,~,{.", .;!~~ ;;j::\;j~~~: JAN 08 2006 15:14 FR TRAFTON B 253 471 1324 TO ~~ <@JVed !;D~ 13604174708 IUl.JCW~ P~nTIit To Perform Worle In Street R,isht-of-Way APPLICATION is h~~by made to the 'mW\icipalitv of PORI' ANGEU:S nored hereon and .i ,holNn 011 a!tachsd:drawing: PLEA'5E. 5e.e. AIt'Actteh ..5!(.ETj: ~# Place Buried Ser-vice Wire 100' in ROW to provide telephone service at Approved: water Oepartrrient - Superintendent ; Saving the.Municipality harmless fram any IInd all damageD which fnay accn.lC TO any penon or prope"y because of this installation or the maintenance thereof; Date Complying ....;Ih following special conditions: //1 ~V' ~~ot7' ~ BV\. 4 ..... ,.. - --~... JAN 09 2006 15:14 FR TRAFTON B 253 471 1324 TO 13604174709 P.03 This work will require: Plowing in the R/W (total footage) ....::;:'~~;t~~:!ii .....!b~. ," ,:;.,':: ?;:r~ :i~~I\ 1) , ~, ..1:. ,\.~;'fj!rl;' ''r ~', . ;,,,~~ .!.J.,' .;~i,ii . <.........,.L,\. . ~:,,'~W:\:;:;!\:);?~~ , ".: ""I-;>yi~,~~~~ :' ,:: :'f;f;\:j~;~~~~,~l , '. '" ;)lr'~ u:;;~:~~~lt~~ ',:'.' , ',Y\1~~:!~~i:'1? ...'ii.",,q.<,,.f<,,,,,; ~",:',::~:,':{~t~{~:~t;t\~ ;, 'd\ "\''%'\~\''l ,'.;' ::';;.W;:;}~~n~;;~ '" . 'f, ",' . J. Y\., \ ~ . "'::'W}f'~f,;') I. ~f>.1 <':~'" ,1 '~ , ;"'h\ '\'\Vt;"Ii~ , " ,;~:~.~~t~~~~::~j "'i(.:"dfS\.~ , ~::~~~<i-;f~~~jif,:: .' :;'>";'~J;<~;!'~J~ iili "!"'''P '~'}t;;<:~*;!tt':; .': [.:'~:~,,; . '~: . ".::e,;:.;' < ,. :.~;~~?~;;; ~i .:;\~~L~~t Ran. e. I , 'II'.;: ""i~~1"1 .' . ,.'.',~;;:~~Xjti~la;~~ This request for permit is for the placement of underground telephone servlCe Wlre to, . ""t""i,,,",'" au, 'u"am~ at tho falla;n~ ~;" 01.. D m \ LL e (Xd, '('il , - "'. 'r~~'>'<'~"r,'~i~ . .i"'~:"''r"\IU'1 , ',).' ,~r~!b\d~t~Ji , ' . I' :,>~ 'i'-j.J't;i, ': " .'..l';~<':;~~ , .', .,~. \i\\"\'~i \~ .::~~~J~~~'! . ,'. "\,,.l~iJf...:i~\~ <1'- , ", :"~';t::"~iL?l;fflM\.>'1 '-' " 'J,,;\.,'I;,'<-;:t!::r.ktr,,~~ '~~;;1 ~'~y.~$~~1~mfi'; ** TOTAL PAGE.03 ** Qwest Job # ~IYo L,mob9- L{~ C. ~ ~ \.L. SOil ~ <J ~ B :5 .- ~ .!) d o 'V'v lonl Push or bore 2 inch PVC or SIP under roadway (total footage) .() Push or bore 2 inch pve or SIP under driveway (total footage] D Push or bore :2 inch we or HIP under multiple driveways (total footage) o 'All crossings and ROW work at 36 Inches. 'All pits and trenching require select fill.