HomeMy WebLinkAbout2510 W 10th St - Building\ap AORTA
T'F WZRY
W 1L-
Application Number 06 00000577
Application pin number 590908
Property Address 2510 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 1 0 5700 0000
Tenant nbr name QWEST
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
MC KEOWN JR THOMAS J
2510 W 10TH ST
PORT ANGELES
Fee summary
WA 983631202
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Charged Paid Credited
Date 6/02/06
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452 1110
Permit RIGHT OF WAY
Additional desc 50 SERVICE WIRE RD CROSSING
Permit pin number 79210
Permit Fee 00 Plan Check Fee 00
Issue Date 6/02/06 Valuation 0
Expiration Date 11/29/06
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 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]
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
INSPECTION TYPE
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102.15R [1/05)
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES NO
I
1
I I
I I
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
~VOllr"-l<
.,:...~~~
O,.~.
~ --
-..
~.(;v.d'~ .';'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
06-00000577 Date
590908
2510 W 10TH ST
06-30-00-1-0-5700-0000-
QWEST
PUBLIC WORKS UTILITES
6/02/06
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
MC"KEOWN 'JR THOMAS J
2510 W 10TH ST
PORT ANGELES WA 983631202
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
permi t
Additional desc
Permit pin number
peormrt::'. Fee" ,
Issue Date
Expiration Date
RIGHT OF WAY
50' SERVICE WIRE, RD CROSSING
79210
.00 Plan Check Fee
6/02/06 Valuation
11/29/06
.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, jf construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have n,ot 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 wilh 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)
Dale
T:\l'olicics\1102015R [1/05]
JUN 01 2006 15:46 FR TRRFTON B
2534711324 TO 13604174709
7850B S, Traflon
T~ma, W A 98409
"
,,'
"'{,:t',.,
To:
City of Port Angeles
Fall:
360.417-4709 (Tel 360 457-4807)
From:
Qwesr Communications
Date:
611 12006
Ra:
pagas:
cc:
Dona Thaul 253 597 5136
o Urgent
o For Ravlew
o Plaase Comment
o PI_ Rai>ly
o P'-e Rai;yela
.
.
.
.
.
.
.
.
.
N<ltl;Is:
'I'renia;!F\1n:ston, 360 417-4807
Pemutapplicalions: for 2510 W 10~ ST,
WP0601104/4521f
Thank you,
-Dona
!to SeA) ~/w p-tIUY~ QWlaJ-
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The estimared time for'completion orthesbove work Is 10 "bAYS A1:relL nF'C;~?!:]~;,~ 'if!
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JUN 01 2006 15:46 FR
TRAFTON B 253 471
~~, e@lP:d .,2)~
1324 TO 13604174709
IIUU:: WOQul
'.-."-
P~rmil To PUform Work In Straet Right-of,WlIV
VJ POLo[) i \ Ol-\.-
APPLICATION is hereby mucle 10 the municipality of PORI' ANmlT1:'t::
to j:lerform work ,is
Ilored hereon alld us ,~hown Oil a luched, clraWing;
<FE. A1\AC#eb
PLEASE.
~j(.Eji: H-#'
Place Buried Service ~ire in ROW to provide telephone service at
2510 w. 10th ST Work ~ill require a road crossing,
ApPl"oved:
.'
Wuer Departlnent -, SUperintendent
Dat"_
Pflql/~
L. ~ I - O~
By_ Excel- BSW~QWEST- Dona
Contractor Owner
OWES, /Arr-i~ ;BS,w
253/597-513.6,
253/471-1324
t'AX
7850-8 S. Trafton, T&coma,WA
THE ABOVE APPLICATION IS HEREBY'ORANTED SUBJECT TO APPl.lCANT'S:
ComplYing with all Municipal Ord.inancel;
Notifyini the Street Superintendent of the time the work will star:. and when it will'fii1ish;
Pr"s""utin~ rh" work wirh diligence and with' dUll relpect to all Prol"lfr)', contracts, petaons'
rights and rhe inleresrs and eonvenienl;e of the pyblic;
Dale
Savini the M unicipa!ity hirmles$ from any Slid ill climSKIlIl which fllay BI:c:ru~ fO any per.ron
or Froperty because of this inlrallationor the maintenance thereot';
Complying ",ilh followin& special con<lltlons:
(po/~/~
~ Cl~ot~s
BY '\ f1L~ {A~
-.
--..-
...
P,02
JUN 01
2006
15:46 FR TRAFTON B
253 471
1324 TO
13604174708
P.03
Qwest Job #
W-PO&O\104-LfS2 cy\
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sl
~ '^' ~'" ID+h 5
r
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101 I}-
This request for permit is for the placement of underground telephone service wire to
our customer at the following address:
d5{().
w
I{)~
This work will require:
Plowing in the R/W (total footage)
<c:;O I
Push or bore 2 inch PVC or Blp. under roadway (total footage)
^ )()'I\)~ .
nON -R _
Push or bore 2 inch PVC or BlP tinder driveway (total footage)
Push or bore 2 inch PVc or BlPunder multiple driveways (total footage)
* All crossings and ROW 'Work at 36 inches. 'All pits and trenching require .select fUl.
** TOTAL PAGE.03 **
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ;3-r-c:::o-
DATE ~I /9 /9' 1-
ELECTRICAL PERMIT
'nstalled By:
o READY FOR
INSPECTION
License Number:
I'j(WILL CALL FOR
INSPECTION
Phone:
Site Address:
Phone:
Owner/Business Address:
Sq. Ft.
IX RESIDENTIAL
ti COMMERCIAL
o BASEBOARD KW _
,g FURNACE KW -L.D.-
o FAN/WALL KW
~ HEAT PUMP KW =.r~c.cJ
o SIGN
o TEMPORARY SERVICE
~ PERMANENT SERVICE
:..g NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
~YNDE~G~~E
~LE PHA~
o THREE PHASE
SERVICE SIZE C)EJ 0 AMPS
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~~ Rough-in/cover O.K.
~ ~ O.K. to connect service
411 f/J Final O.K.
Installer:
Permit/Receipt No.
Site Address:
New Meters I
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ -;-0 .fl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ?t'tJl 0 ()
. ~ $
EI ricallnspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC_
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMITN~ ::?Yf/7
DATE / ~?z...
/
o READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
~ead
o Underground/ ~
Voltage I(~
~ 030
Service size /~ Amps
JI Temporary
o Add/alter circuits
o Auxiliary power
(list beiow)
o Special equipment
(list below)
Details/Description:
/r:r
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
A.nJIo.i.J O.K. to connect service
IIJY ro Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
.
Site AddreS~ S t(J. It? ~
Installer: 7W 1:-[. k L
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspect~riting on the Wiring Report or the Buiiding Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
,~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ 0 ~
, Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
_. "........ ......'T....."_ ''''€":.