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Home My WebLink About1032 W 12th St - Engineering OCT 13 2004 14:07 FR TRRFTON B 2534711324 TO 13604174709 ~~ t@~ g)~ .-- PtJraUC WCl~ P~rmil To Pe(folTn Work In Srreet Rieht-of-Way ~b# P.02/03 APPLICATION i~ hereby mode co the municipality of PORI' ANGE:LES \. I 1:- 0 ' I 1\ C '"1/ 0_ J IY4'1i~i;i'H~i)j,j TV IJ. Lf'uCJ I tJ 70~'~'.hlli;:!;'~"ft . to perform w.ork as 'j"ir~:~~rJ Sewer DepartDlent - Superintendent . . .,.",!li;",.," The estimated time for'completion of.the above work Is 10 DAYS A..FTeR... n F~EIP'r"";'{J4]1~ ," ~lj.~:lt%j{ :;i"l~ l~..W""'H"Yf: , ..........;'.. t.." V">iU~~:!,. I.~ ~ 'Sl(II1:7<<{.;;v.i:'.!::!,; ., i;, ""\I~'h,. 'I . /;'~ 'I'>}i~: .,: >.1<1'1,_, ......\.:f~~~~~j " ,,,!\,~~h.'1 ' ::;s~;,~~:~t: ",.t'''''''''!"..:j .. '.. .",~~~:?l~~i) nored hereon and "s 'hown On attached drawing: 'PUA5E:.. <:.FE, AIt'ACtte:b ...5~:H-# _.. PIc'1C.L run.w 8O.J2Vl(Q. WI (.e. ICD I (Y1 f(. 0 , LV -to flroJl~~Ph()1Q 8Q;wf('-O ) a.t- 1d.--tJ.-., ~ ~ ..JJ- /111 IC3~ LA) Approved; Water Department - Superintendent ~r-=* 13 :?.D~ -tAX d-.53 Lfll. 13d.tL- Date By Contrattor X Owner QWc..ST /Arri~ ;"BSW f2.DON\ 7~ 504 S' TRr/ F rorv T/'/<(J/''I''I, --';'io! , THE ABOVE APPLICATION IS HEREBY GRANrED SUBJEcr TO APPI.!CANT'S; Complying With all Municipal Ordinances; Notifying the Street Superintendent of the time the work will star:, and when it will finish; PrQ'eeulin~ the work with c1iliience and with clue rc.peet to all property, conlract., penon" rilOhts and the interests and convenience of the public; Saving the Municipality harmless from any and all damage. which may accrue to allY pc",on or property because of this installation or the lnaintenance thereof; COlnplying with following special conditions: Date /O//1k1- alY~ BY \ ~~4 ..~ \9 .--. .-. Ilo..... ~IU. , OCT 13 2004 14:08 FR TRAFTON B 253 471 1324 TO 13604174709 P.03/03 ..,' ~~,~'~9l\'<....",.."t: . Qwest Job # w u{jl.}() 671 ,<f( ~ Lff;) t2 ~ I / :L'ff.l- I 1 See,non: Townshi1:l: .. ROlnge: , .I"..;,:{}: ".\ .\<) .., :.:".t,",\:}~!>f,~~ ~:{;;i~:~JI~t~ ~. ( "'hi' i'''~r;g' t, , ',,~~%1~ijt~i '<;~J\!i: ,!~., :".,,,:X " "i:~,\~~;;1~,~ "5,:~,,ff' D s 1u1rt1/J1\1....o ~ oa~ _,~~---=. 4u.J2- V ,h Or bore 2 inch PVC or SIP t.:.nder multiple' driveways (tOtal footage) f'T ':':~,',,:";;~:!rf,; ,:\'I:;~.t'i:::~?:~JI~ ~~i~ , '~" '~"~~II- i-~ :.-)~li~~~ "\V.... '--, .''""''1:'\''IJ(tt-i'fI~~~ ',' ,f'~l~t;~~~~ , ':~.' ;/;t~:~i:1{~1 . ,", \'1':,,~,'~'r~I""j : :; .~')~::i~~f;~~~;~ , , . ,.,., ..,'....,~ '. . '?,{";,,":,,,;:,},;'i,~,lJ,~,I:~,';J .:/ ."'<1','. , .f~ :;'IJ"'~ , ':;::t;~!i~~1 ,', ,P~!?'~t;,~~; .... ~, ~~~ ~~tJBrl~~ . ',,,'\,,,\'1\ ,/;')"9')- " : ~,.'L@j,'~,&i~,u , , , I,.,..".,..;r,,~~~ " :,;,t~f\~1~~~;i~ .:~',~'~~ "~'Ytfi,';~ " (:". ;'.}t1J~}~ , -~/\,,;:: :~','~~~1 ',;, <'.'~;""~\'r1JM '.,~_' ;_~~{.1i..:~';c,"~ .-:~s :""e~--:.e-::: ~O; ;1e:-:7::: ~s {or '":_~e ::;.:a.::.::e::r:e!1t :he :oilo'tvin3 s.cic..:-ess; of unde:-grounci :ele::;~one service ...:..::: '::::"':'SIG::-:-_~~ 21: 10 3d-.. \J\J J~+-h ::5 '.vork "-~~ ~- :equire: sh or :)0:-': .., :nc,;, ?'.'C or SIP '.lnc:e:- roadway (tOtal footage} {}~ -Er e~c:""~n::r :..... ... .-.. = ..... :ne ~/W :,tocal fooragel loa' sh or jor,: -, :nc~ P'IC or BIP unQer driveway (tOtal footage) -9- ** TOTAL PAGE.03 ** ~pORr ...... .-"S-l.O~~,", r~ ~~ ~ ""<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 04-h3-&, Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property Zoning . Application valuation 04-00000636 Date .257072 1032 W 12TH ST 06-30-00-0-3-7040-0000- RES NEW SFR 8/03/04 RS7 RESDNTL SINGLE FAMILY 99950 /03?- UJ J2. "t:h Owner Contractor FUSON STEVE/DEBORAH 682 KEMP ST PORT ANGELES WA 98362 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1438 SF SFR W/DETACHED 432SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE V-N NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE -- --- 25.70 1. 00 1. 00 7000.00 1870.00 1870.00 1. DO Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee .00 Issue Date B/03/04 Valuation 99950 Expiration Date 1/31/05 ________=Q~~___~~~;:~~~~~~_~er__p~_~~~_=:_:ERV_5~::_~::ER_______~~~~"~::> ~ Permit RIGHT OF WAY Additional desc Permit Fee 45.00 Plan Check Fee .00 Issue Date 8/03/04 Valuation 99950 Expiration Date 1/31/05 Qty Unit Charge Per Extension ________~~~~~______~=~~~~~_~:~___~:~~=_~~_~~=_~~~~==______~______~__~5.~ STREET ALLEY RESTORATION Permit Additional Permit Fee Issue Date Expiration desc ________=~~~___un";3~~~~~~_:~;:__STREET_ALL::_::::~RATION_______~t~~~i~~~~ Date 230.00 8/03/04 1/31/05 Plan Check Fee Valuation .00 99950 Permit Additional desc Permit Fee Issue Date SANITARY SEWER HOOK UP 95,00 8/03104 plan Check Fee Valuation .00 99950 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 applicafion 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. Date Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\PLANNING\FORM$\1I02.15 [11/]4/2003] . ~, -<<1I'ORr~ S~~ r-8ii ~ -- "'ic#" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Pin number Expiration Date . . 04-00000636 .257072 1/31/05 Page Date 2 a/03/04 Extension ~ C 9500~/ --~--------------------------------------------------------------- Qty 1. 00 Unit Charge Per 95.0000 EA SAN SEWER HOOKUP 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-El when roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Site is zoned RS-7. Construction of a s.f. residence will result in lot coverage of 26%. Setbacks are good. 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. Sidewalk to City standards required for school walking route. -----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~~~-~~~;;~-~;~~-~~~~~--~~~~~~~-- STATE SURCHARGE 4.50 1 PW WATER SYSTEM USE FEE (1025.00-=r> Fee surrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1010.00 1010.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2784.50 2784.50 .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 provisiQns 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:\PLANNING\FORMS\1102.15 [11/14/2003) ... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS .. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date t!j. ~J,o<-I , Time 7 ~ 3 C> 4/V,- Received by (phone. person) Location of Work to be inspected /03.;2.. ~v;;. It. Name of person requesting inspection fA./o#~tt!o'- 0,.,,- Address of person requesting inspection J 7 rJ.. ./ /.5 tr Phone No. ~/7- </'ii'l9 Type of Inspection (circle appropriate one): Permit No. 6<f--~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ 6. k1 /<<1./" INSPECTION NOTES: Inspected: Date 1- ill -0<'/ Remarks: Time <?: J 0 .1;...... By 7/7 /J6'-'-' /k'Sh- ,~e.r(//~A. ~ ~~8 ?qg RESTORATION REQ.UIRED . . . . .. YES NO X' . ~ T) CI '^ .~ ~Q~Cc.. J ;z.t J.... , k-- ;p~ C.T- ;'0/\ .~ .... " ,."1.,. t:1. SURFACE RESTORATION: SURFACE TYPE: ~ Unimproved OGravel o Repaired by City [] Repaired by Permittee D No Damage Found o Asphalt 0 PCC 0 Other Work Order # /<f'705- - 06~ % COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ..; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: _ / l Date /0,/ &J /.ll7 Time Received by (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;;2, W J~~ J),,,~ , Phone No. '7 INSPECTION NOTES: / ,} /. Inspected: Date /~ ' ~Time '33oOfn. Remarks: Permit No. Fin~her O<J-IA~ By .j.A)J\)'L~vs.:. RESTORATION REQUiRED...... YES NO . , I 'VI" 46.ll'~~ 0-5'~ I ~ i if t=-- \l~ cf2...- 'I I I ~eb\-rn I I s-I OF 'I" PvL U~^N o~T "-..1 vvoG 7R o~~" \\ / 0 No D,m'g. FOj"' .10 SfrteR- 70 ( 1/01' ~eL \D- 1'--\ ~ ~'Q ~halt 0 pcc 0 Other . Wyk Order # r-\ IE 7-1000 ;EQ COMPLETE vJor-~ ~"^\>~<::"-~ o INCOMPLETE \0 ~ 7C\ -aL\ ~. \ L SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Repaired by City o Repaired by Permittee PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT DEBORAH FUSON 1036 W.12TH ST Port Angeles, W A 98362 000/604-7607 PROJECT INFO Work is: Issued: 10/14/2004 Permit No: Work Order: 1419 o PROPERTY LOCATION 1032 12TH ST W Lot: 8 Block: 370 Subdivision: TPA Parcel No: 063000037040000 [g] Long Legal Value Work: $0.00 Plans Required: Start Date: Contractor: QWEST COMMUNICATIONS Performance Bond Required: Amount: Proof of Insurance: Work to Perform: I I Finish Date: 360/000-0000 I I $0.00 D Install D Repair D Watermain D Sanitary Sewer o Storm Drain D Underground Tele/Elec D Mis -OCi i '" 10M PROJECT NOTES lace buried svc wire 100' in r/wat alley E of "D" Street FEES ASSESSMENT 1.) R/W Excav: $0.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W/M Removal: $0.00 4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $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: $0.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: $0.00 23.) R/W Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00 11.) Other Water Service: $0.00 25.) DRA $0.00 12.)WaterSystem Dev: $0.00 26.) Mise: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $0.00 Receipt No: Inspection Fee: $0.00 Balance Due: $0.00 . ;PORT ~ ~O~~"" (.i~\I' if~ "-~ ~ "4ii:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appllcatlon Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivislon Name Property Use Property Zoning . . . Appllcation valuatlon 04-00000636 Date .257072 1032 W 12TH ST 06-30-00-0-3-7040-0000- RES NEW SFR 8/03/04 RS7 RESDNTL SINGLE FAMILY 99950 Owner Contractor FUSON STEVE/DEBORAH 682 KEMP ST PORT ANGELES WA 98362 OWNER Structure Information Constructlon Type Occupancy Type Other struct info NEW 1438 SF SFR W/DETACHED 432SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE V-N NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE ----- 25.70 1. 00 1.00 7000.00 1870.00 -i 1870.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee Issue Date 8/03/04 Valuation Expiratlon Date 1/31/05 .00 99950 Qty Unit Charge Per 1.00 640.0000 EA PW W/M 1" SERV 5/8" METER Extenslon 640.00 Permit Additional desc Permit Fee Issue Date Expiratlon Date RIGHT OF WAY 45.00 8/03/04 1/31/05 Plan Check Fee Valuation .00 99950 Qty Unlt Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit STREET ALLEY RESTORATION Additional desc permi t Fee 230.00 Plan Check Fee Issue Date 8/03/04 Valuation Expiration Date 1/31/05 .00 99950 Qty Unit Charge Per 1.00 230.0000 ECH STREET ALLEY RESTORATION Extension 230.00 Permlt Additional desc Perml t Fee Issue Date SANITARY SEWER HOOK UP 95.00 8/03/04 Plan Check F'ee Valuation .00 99950 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 J have read and exammed 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. ~~~ ~/~/Olf Date Signature of Contractor or Authorized Agent Date T \PLANNINGIFORMS\l 10215 [11/14/2003] o'''OOT '" t~\. · ha 'L -=-'" ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Appllcatlon Number pin number Expiration Date . . 04-00000636 .257072 1/31/05 Page Date 2 8/03/04 Qty Unlt Charge Per 1.00 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 wlth 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. Site is zoned RS-7. Construction of a s.f. residence will result in lot coverage of 26%. Setbacks are good. No land use lssues noted. Electrical load calculations and elctrical permits are requlred. Any modlflcations to the City's electrlcal facilities wlll be at the customer's expense. Sidewalk to City standards required for school walking route. 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 ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 1010.00 1010.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2784.50 2784.50 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\1102 15 (11/14/2003]