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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIY'ISION
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
- O\omer
DEPAOLO, CHRIS J/TERILYN
'11'40 CRAIG AVE
PORT ANGELES WA 98362
(360) 417-9170
Other struct info
Perm~t . . . . .
Add~tional desc .
Permit pin number
Perm~t Fee
Issue Date
Expiration Date
6/15/05
05-00000429 Date
972911
1136 CRAIG ST
06-30-14-5-4-0407-0000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
42000
Contractor
HATHAWAY CONSTRUCTION
309 W. 7TH STREET
PORT ANGELES
PORT ANGELES
(360) 457-5627
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
27.00
1. 00
4600.00
1236.00
1. 00
PUBLIC WORKS RES WATER SERV
51912
715.00
6/15/05
12/12/05
Plan Check Fee
Valuation
.00
42000
Qty
1. 00
Unit Charge Per
715.0000 EA PW W/M 1" SERV 5/8" METER
Extension
715.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expirat~on Date
RIGHT OF WAY
51920
50.00
6/15/05
12/12/05
Plan Check Fee
Valuation
.00
42000
Qty
1. 00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit . . . . .
Additional desc .
Permit pin number
Perm~t Fee
Issue Date
Exp~rat~on Date
SANITARY SEWER HOOK UP
51904
110.00
6/15/05
12/12/05
Plan Check Fee
Valuation
.00
42000
Qty
1.00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Bu~ld~ng address s~gn 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 p~ped to approved storm drain location. No
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 her ertlfy that I have read and examined this application and know the same to be true and correct All proVISions of
laws and ordlnan es go rnlng thiS type of work Will be compiled With whether specified herein or not. The granting of a permit does not
presume to give kuthorlt to violate or cancel the provIsions of any state or local law regulating construction or the performance of
co c I J
T \PohCles\1102 15R [1105]
Signature of Owner (If owner IS builder)
Date
~ r
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000429
Application pin number 972911
Page
Date
2
6/15/05
Special'Notes and Comments
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/07/2005 12:44 PM SROBERDS ---------------------------
Construct s,f. residence w/attached garage in RS-9 for
total lot coverage of 27%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Any modif1cations to the City'S electrical facilities will
be at the customer's expense.
LOAD CALCS ARE REQUIRED.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee sUIllfllary 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 forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements, ThiS permit becomes
null and void If work or construction authonzed IS not commenced Within 180 days, If construction or work is suspended or abandoned
for a penod 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 authonty to Violate or cancel the provIsions of any state or local law regulating construction or the performance of
construction,
Signature of Contractor or Authonzed Agent
Date
Signature of Owner (If owner IS bUilder)
Date
T \PolIcles\1102 15R [1/05]
HATHAWAY CONSTRUCTION
309 W. 7TH STREET
PORT ANGELES
PORT ANGELES
(360) 457-5627
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
cf""ORr"",
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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
Own~r
DEPAOLO, CHRIS J/TERILYN
1140 CRAIG AVE
PORT ANGELES WA 98362
(360) 417-9170
Other struct info
Permit . . . . .
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
02>-- 42
05-00000429 Date
972911
1136 CRAIG ST
06-30-14-5-4-0407-0000-
RES NEW SFR
6/15/05
RS9 RESDNTL SINGLE FAMILY
42000
1/~{l;2tUf
V-€pRPIo ,.
Contractor
WA 98362
27.00
1. 00
4600.00
1236.00
1. 00
PUBLIC WORKS "RES WATER SERV
Qty Unit Charge Per Extension
_ __ _ __ _ _ = ~ ~~ _ _ _ __ _ ~== ~~~~~ _~~ __ _ _~~ _~~~_ =:_ :~~~ _ =~~: _ ~~=~~__ _ ___ _ _C 715 .~
Permit . . . .. RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per E~ten .
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
------------------------------------------------------------------- ---- -
Permit SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
51912
715.00
6/15/05
12/12/05
51920
50.00
6/15/05
12/12/05
51904
110.00
6/15/05
12/12/05
Plan Check Fee
Valuation
.00
42000
s\ ~oJ
Plan Check Fee
Valuation
.00
42000
__ l -- Dj:J
:;
Plan Check Fee
Valuation
.00
42000
Qty Unit Charge Per ~xte
1.00 110.0000 EA SAN SEWER HOOKUP 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
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
Date
Signature of Owner (if owner is builder)
T:\Policics\l102_ISR [1/05 J
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000429
Application pin number 972911
Page
Date
2
6/15/05
Special Notes and Comments Ai 0 -
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
06/07/2005 12:44 PM SROBERDS ---------------------------
Construct s.f. residence w/attached garage in RS-9 for
total lot coverage of 27%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
LOAD CALCS ARE REQUIRED.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ' )~~
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE ~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~A~~T:~~~;;~~~~~F~E~~~~:;~~~~~
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 foreledrical 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:\l'oli~ics\1102.15R (1/05 J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. ......
REQUEST:
Date .3 -7 - 0 c::,
Time
Received by
Rv
(phone, person)
Location of Work to be inspected J' :3 ,-, 'e. ,o..~ A\J-e...--
Name of person requesting inspection C h". j 50
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. ~ ''-/2'7
Sewer Foundation Framing Chimney Plumbing~j );ewer Excav. Other
INSPECTION NOTES:
Inspected: Date 5~ r- 0 (p Time
Remarks: s{O...,"'.... IL-t-e-t'>~
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By
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RESTORATION REQUiRED...... YES NO x:
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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APPLICATION FOR WATER
City Water Division
-.-. """
Port Angeles, Washington
,20_
I hereby apply for water to be furnished in accordance with rates and rules of the City for !he
following premises: . /?'UI/Ph~
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::::s:f: APPlica;/ ~j; . ~ '-$D4A 9'/"-~'
O,;3tP/<;I-59'" ?
Renewal 0 New ServicEj.Bt:lik . Lot Add
~ ~ -? i<.dlb-OOOOOD
Size of Service / Meter Number 1'<lt:r' 0405'82 7'l
, /
"" ~ .-:--' -
Service Left On 0 Service Leftr Signed / r
Installed by
.f;? /S- pp 7-
I p?S;.OO
Remarks: 7.f r 1H;r# t?~-4?-1
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . . .
REQUEST:
Date
/2.- 1'2.-0~ Time
Received by
If-
(phone, person)
Location of Work to be inspected II '3 {J a. ~ 1
Name of person requesting inspection ~"-,,,dA.U...
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. nO::; - LJ zq
Sewer Foundation Framing Chimney Plumbing Final ~wer Ex~ Other
INSPECTION NOTES: "\,,wea. -
Inspected: Date I '--I~ -OS Time
Remarks:
By
pJ
\ '-
RESTORA TION REQUIRED. . . . .. YES NO
L )
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, 1;1' ~)I;.$+iv~ y Q.l!)M\.8:.;'f..ld\\ Q...o"'c....eii:p'pe N-
, ~~ " >
0- WtGt 111'\ '2, q I
MH ' "7 b J..,.p
20 'I
1p1>V'<'-. PIc.....
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C:lC> &~~J 11'10
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c-"''''5
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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
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