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Home My WebLink About1519 W 10th St - Engineering ~of~<< ",.,...'i. . !:c -- ~IC~ CITY OF PORT ANGELES O~/2;.t~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner SCHOOL DISTRICT #121 216 E 4TH ST PORT ANGELES WA 983623200 Permit Additional desc Permit Fee Issue Date Expiration Date 03-00000126 1519 W 10TH ST 0630000306750000 PUBLIC WORKS UTILITES 2/10/03 /6/1 H'/O!6 Date o Contractor RJ SERVICES 514 IRVING JACOBS RD PORT ANGELES WA PORT ANGELES WA 98362 (360) 457-1420 PUBLIC WORKS RES WATER SERV 95 00 2/10/03 8/09/03 1045 00 2/10/03 8/09/03 Qty Unit Charge Per 640 00 2/10/03 8/09/03 45 00 2/10/03 8/09/03 745 00 2/10/03 8/09/03 BASE FEE Plan Check Fee Valuation 00 o ---- ~\ ---...; ~ ~ Qty Unit Charge Per ~xte . 1 00 640 0000 EA PW W/M SFR 5/8" 64 00 -------------------------------------------------------------- ------------ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date ---------~:~---~~~:_~~:~~:_-~:~--~~~_:~~------------------------~~ Permit SEWER SYSTEM DEVL CHARGE Additional desc Permit Fee Issue Date Expiration Date Plan Check Fee Valuation 00 o -- ~ Plan Check Fee Valuation 00 o Qty Unit Charge Per ~ BASE FEE 745 00 --------------------------------------------------------------- ---------- Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date Plan Check Fee Valuation 00 o Qty Unit Charge Per ~xt . 1 00 95 0000 EA SAN SEWER HOOKUP 5 00 ----------------------------------------------------------------- ---------- Permit PW WATER SYSTEM USE FEE Additional desc Permit Fee Issue Date Expiration Date Plan Check Fee Valuation 00 o E 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 pre ume to give authority to violate or cancel the provisions of any state or local law regUlating construction or the performance of uction. T-\PLANNING\FORMS\] 102_] 5 [4/2002] Signature of Owner (if owner is builder) Date t "ORT ~ ...O~~~ rY - ~(~ hiiii .._~ ~ . ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000126 Page 2 Date 2/10/03 Fee sununary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 2570 00 00 2570 00 2570 00 00 2570 00 00 00 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'\PLANNING\FORMS\l102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date 1- ') 0 - 6" Time Received by (phone, person) location of Work to be inspected /51 1 t~ / 6 ~ A Name of person requesting inspection / 0U l) c ~ y Address of person requesting inspection /1f1l 't- 1> Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 03-/2.[.? l~. Aj-(tF INSPECTION NOTES Inspected Date Remarks Time J:VS~~t:U By ) y rh u.. ) t "- ....L.-J.,,-- / ~ /_ (pD(j~ c:: I g Z-?I5Zv/ / t I 5 -fJ rl/I C .....Q I ~Iq o~~\ AJI' .,J j ~ 1l.' C/Y -~ 1--- ~sq( .,,-- w /6+h.. ~ .- 7 , ~ RESTORATION REQUIRED YES / NoL/ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC D Repaired by City [] Repaired by Permittee CI No Damage Found Work Order # ~PlETE o INCOMPLETE o Other 700 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) REQ./JOB CREW LOC1\TION GEN LOC REQ DEPT REQUESTOR USER ID Install Angel~K WFOO~O~/ DWMC Water REQUEST 001 PROJECT City of Port ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- PW-Drinking Water Doyle W McGinley DMCGINLE AUTH DMCGINLE 5/8" Meter @ 1519 W lOth PRIORITY ORIGIN WORK TYPE PAGE REQUEST DATE PRINT DATE PRINT TIME SCHEDULE START COMPLETION REF NBR Medium Scheduled Routine 1 2/10103 2/10/03 12 22 25 DATES 2/10103 2/10/03 Maintenance Crew LOC ID Install 5/8" Meter Category code Task coae Facility ID Assigned D~partment Start tlme @ 1519 W lOth Water Dist System Install PW-Drinking Water DWDS INST Stop time =============================================================================== START DATE :2.. / J~ / 2/} COMPLETION DATE L/ /b / 6 J QUANTITY UNIT OF PRODUCTION I ~1- v \.. ;,.......,J/t"'\.-.t 'I+- /~ W X 5":: Lu "-.;,+-e,v Lj"-e rut' ( -€ met ,17 -I- 0 ~HY- =============================================================================== LABOR EQUIPMENT MATERIAL EMPLOYEE HRS NUMBER HRS ITEM QTY COST T LA) d (0;<' _ /.., 1.t'1- Q.h1--./ 5C{ d 11 ~ 2..)( I / i Por-t" /1 )~ ~" COrp S tn ~ I' , ~ 0. [- ~ 1 fl-d-n}~ 1- ,/ ;{3}-~ 5S ' 960 I' ( L J G-~cl0-e5_ 2- ./ 0J A-Opl-c INS} c I" ~ _ _ .; Femcd--e /1-f)ptt:tIUSf< /'1 ~ ================================================-============================== iF' f f//Z ,'IN - /1...' / cJl1 e f-e y 5-e-/f~}- - /.zx I - I v fn --e!-ez,-- /I/)P+( - JYS/IJ- :L .; 1n ef-er ~lg - ! ./ 9n-eHv 13ty. 1J1~~~lI'145hc - I -;;tL. 03--'/ Zk !-Ire /2& PUBILle WORKS & R/W PERMIT U Attached Notes OWNER/APPLICANT NPBA P 0 BOX 748 Port Angeles, WA 98362 000/604-2860 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 2/10/2003 Permit No Work Order' 1310 o PROPERTY LOCATION 1519 10TH ST W Lot: 15 Subdivision Parcel No Block 306 TPA 063000030675000 D Long Legal Value Work. $000 Start Date / / Finish Date 206/000-0000 / / Amount: $000 ~ Install D Repair D Watermain PROJECT NOTES HTE PERMIT 126 PAID 2/10103 Lg] Sanitary Sewer Lg] Storm Drain D Underground Tele/Elec D Misc FEES ASSESSMEN'f 1 ) RIW Excav. $45 00 15 ) Other San Sewer. $000 2 ) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Cap/ W /M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 20 ) Catch Basin per ea. $000 7 ) Other RIW $000 21 ) Sewer System Dev' $745 00 8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000 9 ) Res Water Servo 5/8" $640 00 23 ) RIW Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12 )Water System Dev' $1,04500 26 ) Misc. $000 13 ) San Sewer SFR $95 00 TOTAL FEE $2,570.00 14) San Sewer MFR $000 add unit 0 Amount Paid $2,570 00 Receipt No Inspection Fee $000 Balance Due $000 --- V\ -- ~ ~ ~ ~ PUBILIC WORKS & R/W PERMIT U Attached Notes OWNER/APPLICANT NPBA POBOX 748 Port Angeles, W A 98362 000/604-2860 PROJECT INFO Work is ,z:- 4;< -- ~~ ~ c) <:-- 7-q721- ,-t-t c f.e. rV^ t{T c- 1'2-0 Issued 1 1 Permit No Work Order' 1310 o ?~, 6 0..1.>7 Block. 306 ~ I o Long Legal PROPERTY LOCATION 1519 10TH ST W Lot: 15 Subdivision Parcel No TPA 063000030675000 Plans Required Start Date 1 / Finish Date / 1 Contractor' OWNER 206/000-0000 Performance Bond Required Amount: $0 00 Proof of Insurance Work to Perform cg] Install cg] Sanitary Sewer 0 Misc o Repair cg] Storm Drain o Watermain 0 Underground Tele/E/ec Value Work: $0 00 PROJECT NOTES FEES ASSESSMEN"F 1 ) R/W Excav. $45 00 15 ) Other San Sewer. $000 2 ) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter. $000 17) Sew Capl W/M Removal $000 4) Driveway' $000 18 ) Alter Repair Sewer. $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 20 ) Catch Basin per ea. $000 7) Other R/W $000 21 ) Sewer System Dev. $745 00 8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000 9) Res Water Servo 5/8" $640 00 23 ) R/W Use Perm $000 10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12 )Water System Dev. $1,045 00 26 ) Misc' $000 13 ) San Sewer SFR $95 00 TOTAL FEE. $2,570.00 14) San Sewer MFR: $000 add unit 0 Amount Paid $000 Receipt No :... Inspection Fee $000 Balance Due $2,570.00 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . ..... REQUEST Date Time Received by ~ W \D~ ~ \ ('. -I- 1'--17. \.6"'")\' (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) o~jOfXJLJ 30~ Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~'b- J} -L 03--/zy; INSPECTION NOTES Inspected Date I - ;}. t' - 0:3 Remarks Time prVi By ~ t'-f j'j l- (:, "'"' 1" Lrl ( RESTORATION REQUIRED YES NO X \ ..... 1 }'( J, f) pr\ -0 -t-- [ 1 ;J t- - f .l" L. \ I r { " ~~/ ( :\ - \ -~'. \ ~ \~ i~ 1~-l:5 c." r/ I r "'" I f __, f' (' C !....... b--i ) --. ~__ z. u t 1 1 t-, ; ....... ) I SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt OPCC o Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD " CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,. INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s; WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'S SEPA, PARKING/LIGHTING ESA, LANDSCAPING SHORELINE, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW / 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-\PLANNING\FORMS\1102, 15 [412002J BUILDING PERMIT INSPECTION RECORD f CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULA TE 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 DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: J WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED , YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT 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 \PLANNING\FORMS\l102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ ( L~ · ,-i~· ,~ 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. / 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 r~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)