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Home My WebLink About903 S K St - Building +Of PORT �CF` CITY OF PORT ANGELES lo PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000147 Date 2/09/12 Application pin number 264798 Property Address 903 K ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0740-0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc new sewer tank pump Owner Contractor FEDERAL NATIONAL MORTGAGE CORP D G GENERAL CONTRACTORS 400 NATIONAL WAY 4006 MOUNT ANGELES RD SIMI VALLEY CA 93065 PORT ANGELES WA 98362 (360) 460 -6513 Permit SANITARY SEWER HOOK UP Additional desc REPLACE SEWER TANK PUMP Permit Fee 40.00 Plan Check Fee .00 Issue Date 2/09/12 Valuation 0 Expiration Date 8/07/12 Qty Unit Charge Per Extension 1.00 40.0000 EA SAN SEW REPAIR 40.00 Fee summary Charged Paid Credited Due Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .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 governin• this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority iolate or cancel the provisions of any state or local law regulating construction or the performance of const u• ion. 1..cA Signature of Cor(tr (to or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1102.15 [100 /08] PERMIT INSPECTION RECORD CALL 417-4831 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) (,.J WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE 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 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANMNG DEPT. BUILDING 417 -4815 BUILDING T: \Policies \1102.15 [10/08] ELECTRICAL PERMIT N CITY OF PORT ANGELES 0 360- 417 -4735 Application Number 12- 00000148 Date 2/09/12 Application pin number 529532 Property Address 903 K ST "REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 0740 -0000- on your excise tax form Application type description ELECTRICAL' ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2 circuits septic pump Owner Contractor FEDERAL NATIONAL MORTGAGE CORP D G GENERAL CONTRACTORS 400 NATIONAL WAY 4006 MOUNT ANGELES RD. SIMI VALLEY CA 93065 PORT ANGELES WA 98362 (360) 460 -6513 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc FIRST CIRCUIT Permit Fee 68.00 Plan Check Fee .00 Issue Date 2/09/12 Valuation Expiration Date 8/07/12 Qty Unit Charge Per Extension BASE FEE 63.00 1.00 5.0000 ECH EL-ECH CH ADDNT BRANCH CIRCUIT 5.00 Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 v Grand Total 68.00 68.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH C3 if Z of-6,17 SERVICE ROUGH -IN JClAdr. FINAL ZI)Lj I )Z, 1-:., 0 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING °OA ELECTRICAL INSPECTION WIRING REPORT L h 0es 417 -4735 DATE PERMIT INSPECTOR OWN R/CONTRACTOR )}I rd ADDRESS `03 be APPROVED NOT APPROVED );114—_,,e DITCH ROUGH IN /COVER SERVICE FINAL Y CQRRECTIONS NEEDED: :Ior C n•C NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 1' i CITY OF PORT ANGELES PERMIT APPLICATION II I L Li' Building Division /Electrical Inspections FEB 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 E 0 201 a r Ph: (360) 417 -4735 Fax: (360) 417 4711 r C9 ELECTRICAL Date: -5= 20/ 2— 1 2 Single Family Dwelling INSPECTIONS Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: q(- 3 5 K S.t r ee-'t— Building Square Footage: Description of above Owner Information Contra f Infformation A Name: Name: A. (7 G eilerq �lrac, »S Mailing Address: Mailing Address: 1 (Q Lve.c•F— 1 1 t City: State: Zip: City: ft State: LA/Cr Zip: 9 63 b 2— Phone: Fax: Phone:3hO/1 4S/3 Fax: 3 S'7' d' License Exp. License Exp. 'b c.G, E M G G 9 7`f C9 K Item Unit Charge Qty Total (Qty Multiplied by Unit Chargel Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 1 ,3 2 Each Additional Branch Circuit 5.00 Branch Circuits 1 -4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifi 'ons and PAMC 14.05.050 regarding Electrical Permit Applications. Signat owner, el- ..I contra or o electrical administrator: Cash Check Credit Card 4 Dated: 26 2 0110112012 .... CITY OF PORT ANGELES £~ PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/22/2001 PERMIT NO: 12673 OWNER/APPLICANT PROPERTY LOCATION Dave Ireland 903 K ST S 903S"K"St Lot: 9&10 Port Angeles, WA 98363 Block: 307 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000030740000 CONTRACTOR ARCHITECT LAMPLIGHTER HOMES N/A 261391 HWY 101 SEQUIM, WA 98362 , 98360-0000 360/683-1136 360/000~0000 PROJECT INFO Project Value: $45,500.00 SFD Units: 0 Commercial: 0 Project Type: MANUF. HOME SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES NEW MANUFACTURED HOME 26' X 58' FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $230.00 Sign: $0.00 TOTAL FEE: $230.00 Plumbing: $0.00 AMOUNT PAID: $230.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits am required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby cer[ify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified heroin or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNL4WFUL TO COVE'R, INSULATE OR CONCEAL ,4NY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION DRAI[NAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL ! FLOOR / CEILING MECItANICAL HEAT PUMP WOODSTUVE / PELLET/CHIMNEY ~ INSERT BODD/DUCTS PW UTILITIES / SITE WORK (Engineenng Division) SE?ARATE PERMIT #'s: WA I'ERI.[NE / METER SEWER CONNECT[UN SIORM PLANNING DEPT SEPARATE PERMII #'s SEPA: PARKI NG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCU PANC¥/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT ENGINEERING 417-4807 PW / ENGINEERING FI RE 417-4653 FIRE DEPT. EUILDING 417-4815 ~Z- BUILDING FOR OFFICIAL USE ONLY: Building/Utility/Electric/Fire Permit Application Ptease fill out completely. Type or print in mk. If you have questions SHIaI724: __Y please call (360) 417-4815 or Fax: (360) 417-4711 e-mlli[: www. gi .pot t~elg~.Wa.llS BId~ Pm=it Alii: B.P. l~u~d: Applicant md/or Agent: ~'~ .~'~ t ~ ~'r~e! ~ c~ Phone:' 7~1'~7g~ ~it~~i~: C~tor: L ~ ~ ~ ~'1 ~ k~ q ~ Licm~ · E~: Phone: A~: Ci~. ~p: PRO~CT~:: ~'~ "/~, ZOla Billing A~S: C~: ~ ~:~ C~t C~ ~ ~. ~te: ~ MC ~ OFWO~: SI~UA~ON: ~dmfi~ ~N~ ~. ~ ~f u Stov~sm SF. ~ ~ ~F. 0 ~mm~ 0 ~ ~ D~fi~ ~ ~ SF. ~ $ /S~. co~c~m~: ~p~ ~up:. ~t~: E~g ~ ~</~ /~. ~ + ~s~ ~t C~e: /~. · = T~ L~ CO--GE: /~.~ P~O USE O~V: ~PROV~S: P~ ~: N~: Site PI~ ~ Usc ~ ~ D~e: ~.. ~l~g ~on ~ ~de ~u ~ m~e d~l~ h~a~on on ~e ~fion nd pin ~ B~D~G ~ ~ON S~'rl'~: Y~ ~1~ ~ ~pl~ (~ ~s) ~d ~g ~on pl~s ~C t0 ~ ~ IO ~C ~ ~sion. F~ C~K ~: Y~ plm ~ ~ ~ ~ t &c ~mc ~e ~l~g ~ application ~d ~n~cfion pl~s o~ p~ f~ ~e ~e at the ~me ofp~t is~. EXP~ON OF P~ ~W: ffno p~t is i~ ~h i~0 days ofthe d~e of~ca~on, ~s nppli~fion ~11 ~ l~s. ~e ~g ~ ~ ~d ~c ~c ~r ~ ~ ~c ~t ~ to 180 day~ on ~m r~u~ ~ ~c ~lic~t (s~ S~ion 107A of~e Uni~ ~l~g C~ ~t ~tion). No ~pli~fi~ ~ ~ ~t~d~ m~c ~ on~. I hereby ce~ tkdt 1 ~ re~d ~ ~a~ned t~ ~#ca~n dfld k~ tAe sa~e M be true a~ply f~ ~s ~e~i~ I unde~ it ~ ~r tAe C;~'s le~! ~bili~ ~ deM~ine ~hat pe~i~ are ~equi~d; ~t ~ the ~p~cd~'~ re~bgli~ t~ dete~i~e ~t pe~i~ ~e required and t~ ~bt~in City of Port Angeles Applicant Project Review Sheet Applicant: "~o t ~ '~'it. ~ l Pr o' ~ Property address: Oxvncr: ~_t~/th ~lZe. lt~oh Proposedus¢: ~[ Zoning: Is the proposed use list~l as a "pemuttcd use" or an "accessory us~" in this zone? ~[ yes: ok [] no: reqyfires PD review Is this the only use (business, residence, etc.) on this site? ~ yes: ok [] no: req.uires PD Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one I~ yes: requires PD ~ no: ok been submitted end is pending approval? review Does the proposed use require a new buisuess license? [] yes: req~h'ea CC ~j~no: ok Does the project extend into eny required setbacks or cross any lot lines (interior or [] yes: requires PD ~ no: ok Does the project exceed the penmtted height allowance or cause the property to exceed lq yes: requires PD ~ no: ok the allowed lot coverage in this zone? review Does the project require any additional parking or special design/ls~scape improvements [] yes: requires PD ~/no: ok in this zone? . Does the project eliminate any existing parking spaces? [] yes: req¢ires PD ~i~ no: ok review Is the project located within 200' of the shoreline? [] yes: req~..s PD J~ no: ok remew A~e there any environmentally sensitive areas on or within 200' of the properS, [] yes: requires PD ~ no: ok mduclmg: review wetlends or areas of stending water (year round or seasonal); streams (year or seasonal); round areas with a slope of 40% or greater; or · areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? 1~ yes: ok [] no: mark [] Site Plen [] Construction Drawings required [] Parking/Drainage Plen [] Civil Drawings item(s) D Energy Calc [] Supporting Engr. talc [] Landscape/Lighting Plen [3 Other If Planning Department review is required, the processing n'me raay be extended. If it is determined a separate Planning DeparOnent permit(s) is needed, the Planning DeparUnent permit(s) must be approved prior to the issuance of any other permit. Th~ information provtded abo~ is tree to the beg of my lmowhnffge, I unde~ that in the event that any of this infarrnation is determined by the City to b~ incorrect, this project will be stopped until such time th$ City determines the correct [nf°rrnation is provided and any subeequently required re~e~n~d approvals are completed anct grz:nted. Appltcant Date Permit Category # (see reverse side) Building pcrnut # Master Tracking #_ Route to: ~ BD 13 CC [] FD [] LD D PD [] PW [] File [3 Other Stafflnitials Date Completion off this form is required for all category lb, 2 & 3 permit~. Completion is not required for category I a per'mits unless they result in a potential change of use or occupancy. y z~ .. ,',,' .../~ ~ ~ '~... ~,~ / / / / -PUMP CHAMBER FOR ~ / ~ LOW PRESSURE SANITAI ~ ~ SEWER LINE; SEE DETA~ SERVICE ~'. ',// NECT TO EXIST / ~. / 4"¢ GRAVITY L~ FROM HOUSE TO PUMP C~R NO STORM kNHOLE 3SE~ SINGLE FAMILY RE ENCE / DRAIN LINE AGENDA BUILDING APPLICATION REVIEW COMMENTS DATE: MAY 21 2001 LOCATION: SEND COMMENTS TO PERMIT COUNTER ITEMS TO BE REVIEWED: 1. REVIEW PLANS FOR A NEW 1508 SQ. FT. MANUFACTURED HOME, FOR DAV~; \ IRELAND ,TO BE LOCATED AT.~_903 SOUTH K STREET. --.- 2. REVIEW PLANS FOR A NEW 42? SQ. FT. SFR, FOR LISA DELGUZZl, lOBE PLEASE SUBMIT COMMENTS TO PERMIT COUNTER. THANK YOU TRENIA GAll.. GARY KEN DENNIS ROHB. DEBBIE/$UE MEE'r/NG W~LL BEGIN PR~P~Y AT N//A -OR- PLEASE SUBMIT COMMENTS- IN WRITING 2001 1063896 ZON G LOT COVENANT I/WE the undersigned owner(s) of the following described property: (Inserl legal description here) /-o-r q + do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.05.032 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot and may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles' short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) m interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this 1 ~' day of ~/~o~ ,2001. (Owner) (Owner) (Owner) (Owner) STATE OF WASHINGTON ) COUNTY OF CLALLAM ) ss I,~'~.~.~)ta~.~c~:l.~ , Notary Public in and for the State of Washington, do hereby certify that on this iF day of w'OTY'x~ ,200_/, personally appeared before me · ~ ~ t,~ \c~ ~ and - to me known to be the individual(J) desribed in and who executed the within instrument and acknowledged that ~,~._ned and sealed the same as . ~'-~-.c~ free and voluntary act and deed for the purposes herein AND OFFICIAL SEAL this [ ~-~ay of "'~T"~n~c~__ 200_[ '////~ ~'~' OF' ~ll~x~'¢ NOTARY PUBLIC in an~ for the State of tllllttlllllll,~,~¥' Washington residing at Port Angeles. ^ TOR'S CEaT FICATE Filed for record at the request of ~V;~ ~[~' r IQ ¢q d this ,-~ .] day of //~A Ckq 200_1 CLALLAM COUNTY AUDITOR [pO TAN¢ L S WASHINGTON, U.S.A. DATE: May 22, 2001 ME M O To: Permit Counter FROM: Light Department, Gail McLain . PUBLIC WORKS & UTILITIES RE: Building Application Review Conuments DEPARTMENT Glenn A. Cutler Director[480t] 1. 903 S K St. (offW l0th St.) Dave Ireland - manufactured home Phyllis Rasler Administrative Assistant [46001 The underground electrical service will be installed by the customer from the cate Rinehart transformer pole on Tenth St. Electrical permit required. Administrative Assistant 147001 Ken Ridout Deputy Director [4802] 2. 320 Ahlvers Road - Lisa Delguzzi - new construction Gary kenworihy Depety Director and City Engineer [48031 The previous house on this lot was served overhead from Old Mill Road. The Scott MoLai. existing service pole is in poor condition and must be replaced. Following are Deputy Director [47031 options for supplying electrical service to the new construction: Jim Harper Electrical Engineer [4702] a) Installation of a new service pole in a location that is easily accessible by Leu Haehnlen City Light equipment. The service wire to the pole would be overhead from Building Official [4816] Old Mil[ Road to thc service pole for thc creek crossing. From the pole to Tom Sperline Sr Electrical Inspector [4735] thc house, thc customer has the option of underground installation (by her Doyle McGinle¥ electrical contractor) or overhead by City Light. Water, Wastewater Collection Superintendent [4855] Pete Surfeit b) Underground from the existing underground cable on the west side of Equipmect Services Crabapple Street. Installation ofa padmount transformer on Crabapple Supedntendect Street will be required. There is existing conduit for a street crossing. Dave [re[and Light Operations Manager [4731] Cost estimates for these options will be calculated after the electrical load requirements are Jeff D. Young Treat. Plant Superintendent supplied to our office. [4845] Tom McCabe Solid Waste Supedntendect ]4876] Steve Evans Landfill Supervisor [4873] Mike Herren Street Maintenance Supervisor [4825] From: Dennis Dickson To: RVESS Date: 5/23/01 ll:49am Subject: May 21 Preapp AGENDA BUILDING APPLICATION REVIEW COMMENTS DATE: MAY 21 2001 ;.OCAT~ON: SEN~ co.ME,frs TO P~RMIT cou~rr~R ITEMS TO BE REVIEWED: REVIEW PLANS FOR A NEW 1508 SQ. FT. MANUFACTURED HOME, FOR DAVE IRELAND ) AT 903 SOUTH K STREET. REVIEW PLANS FOR A NEW 4220 SQ. FT. SFR, FOR LISA DELG~*r~I. TO BE PLEASE sUBMiT COMMENTS TO PERMIT COUNTER. THANK YOU AGENDA BUILDING APPLICATION REVIEW COMMENTS DATE: MAY 21 2001 LOCATION: SEND COMMENTS TO PERMIT COUNTER ITEMS TO BE REVIEWED: 1. REVIEW PLANS FOR A NEW '1508 SQ. FT. MANUFACTURED HOME, FOR DAVE IRELAND ,TO BE LOCATED AT 903 SOUTH K STREET. 2. REVIEW PLANS FOR A NEW 4220 SQ. FT. SFR, FOR USA DELGUZZI, TO BE LOCATED AT 320 AHLVERS RD. PLEASE SUBM/T COMMENTS TO PERMIT COUNTER. THANK YOU TRENIA GAll. GARY KEN DENNIS RON B. DEBBIEJSUE MEETING WII. L BEGIN PROMPTLY AT N/lA -OR- PLEASE SUBMIT COMMENTS- IN WRITtNG CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~_~ Date ~--~ ~ ~ I Time Received by (phone, person) Location of Work to be inspected r~/~ ~.~f ~-~ _~ [~....~-"~ Name of person requesting inspection ~--~ _~> Address of person requesting inspection Phone No. ~7~(~0-7-~ O Type of Inspection (circle appropriate one): Permit No. /7_'-/(~ Sewer CFoundationi Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved L--~Gravel I~Asphalt [~]PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ',., /~ Date ~ ' ~' ',,~ ' Time Received by ~ T~-, (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. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: / Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [-~Gravel [~]Asphalt r~Pcc [~Other []Repaired by City Work Order # ~] Repaired by Permittee ~ COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) @. CITY OF PORT ANGELES PUBLIC WORKS . BUILDING DNISION 321 EAST S11I STREET, PORT ANGELES, WA 98362 C(O:5 S Ilk I PUB/LIe WORKS & R/W PERM/T D Attached Notes OWNER/APPLICANT Dave Ireland Issued: 5/22/2001 Permit No: Work Order: 1169 o PROPERTY LOCATION 903 K ST S Lot: 9& 10 Subdivision: TPA Parcel No: 063000030740000 Block: 307 Port Angeles, WA 98360 000/600-0000 PROJECT INFO Work is: Plans Required: Contractor: OWNER Performance Bond Required:, Proof of Insurance: Work to Perform: D Long Legal Value Work: $0.00 Start Date: II Finish Date: 206/000-0000 II Amount: $0.00 [;><:] Install D Repair ~ Watermain [;><:] Sanitary Sewer [;><:] Storm Drain D Underground TelelElec ~ Mise roadway PROJECT NOTES install pressure main in 9th street K street east to "I" st.. project was paid in full 7/9/2001 receipt # 7793 FEES ASSESSMENT 1.) R/W Excav: $45.00 15.) Other San Sewer: $0.00 2.} Sidewalk: $0,00 16.) Sew Tap WyelMan Tap: $0.00 3,} Curb/Gutter: $0.00 17.) Sew Capl WIM Removal: $0.00 4.} Driveway: $0.00 18.} Alter Repair Sewer: $0.00 5,} Dwy Cuivert: $0.00 19.} Storm Drain: $0.00 6.} Street Cut: $0,00 20.} Catch Basin per ea: $0.00 7,} Other R/W: $0.00 21.} Sewer System Dev: $745.00 8.) Fire Hydrant: $0.00 22.} Milwaukee Dr. Sew Ass: $0.00 9,) Res Water Serv: 5/s" $640,00 23.} R/W Use Perm: $0.00 10.} Comm Water Serv: $0.00 24.} Admin Cost (ORA) $0.00 11.) Other Water Service: $0.00 25.} ORA $0.00 12.)Water System Dev: $1,045.00 26.} Mise: R/W USE $60,00 13.} San Sewer SFR: $95.00 TOTAL FEE: $2,630.00 14.} San Sewer MFR: $0.00 add unit: 0 Amount Paid: $2,630.00 , Receipt No: 7628 Inspection Fee: $0.00 ' Balance Due: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements, This permit becomes null and void ~ work or construction authorized is not commenced within 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ 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. Sionature of Contractor or Authorized Allent Date Sianature of Owner (~ owner is builder) Date ...d,.cwn~ ~~.. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILle WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT Dave Ireland Port Angeles, WA 98360 000/600-0000 PROJECT INFO Work is: Plans Required: Contractor: OWNER Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 5/22/2001 Permit No: Work Order: 1169 o PROPERTY LOCATION 903 K ST S Lot: 9& 10 Subdivision: TPA Parcel No: 063000030740000 Block: 307 D Long Legal Start Date: Amount: ~ Install D Repair ~ Watermain Value Work: II Finish Date: 206/000-0000 $0.00 ~ Sanitary Sewer ~ Storm Drain D Underground TelelElec ~ Misc PROJECT NOTES install pressure main in 9th street K street east to "I" st.. install $0.00 II roadway FEES ASSESSMENT 1.) RIW Excav: 2.) Sidewalk: 3.) Curb/Gutter: 4.) Driveway: 5.) Dwy Culvert: 6.) Street Cut: 7.) Other RIW: 8.) Fire Hydrant: 9.) Res Water Serv: 10.) Comm Water Serv: 11.) Other Water Service: 12.)Water System Dev: 13.) San Sewer SFR: 14.) San Sewer MFR: add unit: 0 . Receipt No: 7628 Inspection Fee: $0.00 RW SANITARY WATER 5/8" $45.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $640.00 $0.00 $0.00 $1,045.00 $95.00 $0.00 15.) Other San Sewer: 16.) Sew Tap WyelMan Tap: 17.) Sew Capl WIM Removal: 18.) Alter Repair Sewer: 19.) Storm Drain: 20.) Catch Basin per ea: 21.) Sewer System Dev: 22.) Milwaukee Dr. Sew Ass: 23.) RIW Use Perm: 24.) Admin Cost (DRA) 25.) DRA. 26.) Misc: R1W use $0.00 $0.00 $0.00 $0.00 $0.00 $45.00 $745.00 $0.00 $0.00 $0.00 $0.00 $60.00 .1"': '~II()_20~- $45.00 TOTAL FEE: Amount Paid: Balance Due: DWY STORM $2,630.00 DRA OTHER Separate Permits are required for electrical work, utilities, private and pUblic improvements. This permrt becomes null and void ff work or construction authorized is not commenced wrthin 180 days, ff construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ required inspections have not been requested wrthin 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 permrt 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\ \' \ \\ ~ JlJ \. ~ .{<Il-CJ/ Sionature of Contractor or Authorized Acent Date Signature of Owner lif owner is builder) Date