The URL can be used to link to this page

Home My WebLink About2710 W 14th St - Engineering s. " CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT JOEL ELLIOTT POBOX 2951 Port Angeles, W A 98362 000/604-7363 PROJECT INFO Work is Plans Required Start Date Contractor' ANDERSON HOMES LLC Performance Bond Required Amount: Proof of Insurance Work to Perform Issued 8/08/2002 Permit No Work Order' 1264 o PROPERTY LOCATION 2710 14TH ST W Lot: SUB LOT 83 Subdivision TPA Parcel No 063000108300000 Block: SL83 D Long Legal Value Work: $000 1 1 Finish Date 360/452-4641 1 1 $000 [g] Install D Repair [g] Watermain [g] Sanitary Sewer D Storm Drain D Underground Tele/Elec D Mise PROJECT NOTES RECEIPT#9524 FEES ASSESSMENT- 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 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 RIW $000 21 ) Sewer System Dev' $74500 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $15000 9) Res Water Serv' 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 R.A. $000 12.)Water System Dev' $1,02500 26 ) Misc. $000 13 ) San Sewer SFR $95 00 TOTAL FEE. $2,700.00 14) San Sewer MFR $000 add unit: 0 Amount Paid $2,700 00 Receipt No Inspection Fee $000 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 if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fo r 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 pro . Ions of any ~ate or local law regulating construction or the performance of construction. -;X. . "~",,,\'\ '\ t~----... cr) ~ cb - c L Si nature of Contractor or Authorized A ent Date Si nature of Owner if owner is builder Date PUBILIC WORKS & R/W PERMIT OWNER/APPLICANT i_I Attached Notes JOEL ELLIOTT POBOX 2951 Port Angeles, W A 98362 360/417 -3063 PROJECT INFO Work is Issued 3/05/2002 Permit No Work Order' 1251 o PROPERTY LOCATION 2710 14TH ST W Lot: SUB LOT 83 Block. SL83 Subdivision TPA Parcel No 063000108300000 [ I Long Legal Value Work. $000 Plans Required Start Date I I Finish Date I I Contractor' 0001000-0000 Performance Bond Required Amount: $0 00 Proof of Insurance Work to Perform Install [1 Sanitary Sewer I] Misc Repair lJ Storm Drain L j Watermain Underground Tele/Elec PROJECT NOTES-- TRENCH IN 14TH ST FOR ELEC 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 Servo 11 ) Other Water Service 12 )Water System Dev' 13) San Sewer SFR 14) San Sewer MFR add unit - - -- Receipt No Inspection Fee o $45 00 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 7389 $000 15 ) Other San Sewer' $0 00 16) Sew Tap Wye/Man Tap $000 17 ) Sew Capl W 1M Removal $0 00 18 ) Alter Repair Sewer' $0 00 19 ) Storm Drain $0 00 20 ) Catch Basin per ea. $0 00 21 ) Sewer System Dev' $0 00 22 ) Milwaukee Dr Sew Ass $0 00 23 ) RIW Use Perm $0 00 24 ) Admin Cost (0 RA) $0 00 25 ) 0 RA. $0 00 26) Mise' $000 -, --..-.~_._.- -- -- ----- "_... TOTAL FEE $45.00 Amount Paid $45 00 --- ---- - ------ ---. - Balance Due $0.00 ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . ..... REQUEST Date +/23/ tJ~me 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) ~e~ Foundation Framing Chimney 2710 lA.J 1-4t!: VfJ/n...a- t: u s..h mevr--/ JutPRf2~ 4bo- / D~2- I Z-~1 Phone No Permit No Plumbing Final Sewer Excav Other INSPECTION NOTES J Inspected Date 1- / 2-~ O'""Z- Time Remarks ~L!.f",A j tJ ' / Z N n?d/-'2 ~,.~ L~l-e... 1:30 BY~ - ~..t.../d dJ ..5>- S -t::. ~ 7~ .. L~ x. , RESTORATION REQUIRED / l :' Ta r bl c.tI>'1tr-. /' '6' c1cef' / \ -~~'- .all /tP ~ ~ :-=>vc .~-_..- Q} ~ ), "0 \ ~\'. 0 ~' r; / SURFACE RESTORATION SURFACE TYPE 0 Unimproved [] Repaired by City [] Repaired by Permittee [] No Damage Found o Asphalt 0 PCC Work Order # o COMPLETE o INCOMPLETE o Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PW-2.00{-2c?.3 DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date ~ - ~?- - {s 1- Time Received by (phone, person) Location of Work to be inspected ,J.. 7 lOw 1 L(fA Name of person requesting inspection r-r-l J.. I j' \ ( 0 _ () I Address of person requesting inspection 11--t1t ir- {) Phone No Type of Inspection (circle appropriate one) Permit No /2.-0 q Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other (j-J Q ~ INSPECTION NOTES Inspected Date Remarks L7f ~ F / 7 345ZZ( RESTORATION REQUIRED YES /' NOV /LIft , ~t(;tC SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC Lv / " ,j if J-~ 5~i f A13( < ~ ~ o Repaired by City [] Repaired by Permittee o No Damage Found Wo~rder # crCOMPlETE o INCOMPLETE o Other :)6 C;'3 (Continue on reverse side if necessary) STREET SUPERINTENDENT IDATE) CIT;OPORT ANGELES PUBLIC WORKS DEQMENT ACCOUNT _ .NA_MIL S u r.c~.: _ __ .__.. _ ____ ____ _ _____ ___ PERMIT NUMBER ~ THE CITY OF PORT ANGELES RO~!0037575 OQ;15/02 PW Trans General Fnd Chech ANDERSON 1264 l..BR 1264 LBR 1264 $45 00 $640 00 $95 00 $780 00 Ch~.# eak Property Sales TQrAL.teJWdMRaQ,~: . Hot Tap (watermain) F H Install/Meter W/M Installation Water System Development Charge rOTAt~w.~'i,$~!~Ut;.l..,! Sanitary Sewer Permit Sanitary Sewer Tap/Cap or MH Tap Sewer System Development Charge ULlD 215/Equivalent Service Connection Fee TOTAL.WA$tJi~~t~IiJ~~. Milkwaukee Dr Assessment RECEIPT# L- :;-"/0 4J / .--;;' ~ ~~ -- /.:..s /C 8956 / <'/ --- FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL ACCOUNT NUMBER 001.2291000 001,2392000 600.32290014 600.34220015 600.34220016 420.32210017 420.32210018 420.32210019 711.32210020 711.32210021 711.32210033 711.32240011 711,34150000 711,34320000 711.34320010 420.34583000 711,34895000 753.34340023 753.34340024 753.34340025 753.34480010 754,32210029 754,34350018 754.34350024 782.34350025 G:IGrouplAcctIFormsIAev,Aec\Pub_Wk DOLLAR AMOUNT O,<:SL-O Last Revised June 2001 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUll-DING INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLA WFUL ro 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LImIT DEPT) ROUGH-IN T I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL CHIMNEY WooDSTOVE/PELLET DUCTS PW UTILITIES / SITE WORK (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIffiR FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4746 ELECTRICAL LIGHT DEPT CONSlRUCTION RW / PW/ CONSlRUCTION RW ENGINEERING 417-4807 PW / ENGINEERING FIRE (MUL TI-F AM, ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW-ll02.l5 [4196] " PUBILlC WORKS & RIW PERMIT o Attached Notes OWNER/APPLICANT JOEL ELLIOTT P.O. BOX 2951 Port Angeles, W A 98362 000/604-7363 PROJECT INFO Work is: Issued: 8/19/2002 Permit No: Work Order: 1313 o PROPERTY LOCATION 2710 14TH ST W Lot: SUB LOT 83 Block: SL83 Subdivision: TPA Parcel No: 063000108300000 0 Long Legal Value Work: $0.00 Plans Required: Start Date: 1 1 Finish Date: / 1 Contractor: QWEST COMMUNICATIONS 360/000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: ~ Install 0 Sanitary Sewer 0 Misc o Repair 0 Storm Drain o Watermain ~ Underground Tele/Elec PROJECT NOTES PLACEMENT OF SSW 250' ALONG WEST 14TH ST 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 (DR.A) $0.00 11.) Other Water Service: $0.00 25.) 0 RA $0.00 12.)Water System 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 - . ~ - -r...... '''' It':::Ht-IUN B 253 471 1324 TO 13604174709 P.01/03 78S011 S. TraIlon T8.Coma:., W A 98409 " "(',.':" l,..,...: 111<'"''''"'1,,''''''''''''''''' '00'" '~,.. '. "I Jl "I l~ 'I" ,,_ ',r ! ... \.;:i.",.".~ r 'I, :; ',J Ii, ':~ >~,'_:~!i~' ~~',r:t:I'f ~~g:f(;~~~),:.,/,.', :~' , <,,,. .'''',..,.,~ ',,~,l1i\),," ,.' ,?~~':~r:~',:.,L:,::;:: -',~\;:::.,"~';:S::,i)',~''''. : ,-' <:' \:~::i,')~'/t:;,:\i:iv~ri!11!t~:il: .~ ~~ '" ,-\\'1.....,')", "'," "'"'~"~"I'h' .;!),~ ", ':; I '-::,;,,::,::'::~ '<::j:~!?;;+ ." .~' J To: City of Porr Angelos Fax: 360-417-4709 From: Qwest Communications Oat.: 08/16/02 Re: Pages: z... CC: Ryan Fuqua a Urgent o For Revisw o PIeege Comment o Please Reply o Please Racyc,. . . . . . . . . . NaIS$: T. Fun~lon, Pennit, applications: W002040 1 0/452C Thank you, -Ryan ".', . . , . . . . w . . . . . .. w . . . . . . . . ~,-,.'-tv rr::: IKHrlUN B 2534711324 TO 13604174708 P.02/03 ~~ <@/~ .0~ '- --- I'UlUoWOI'Ica 'h,. __ Permir To Perform Worle In Street Right-of-Way APPLICATION is her~by m~de 10 rhe municipality of !lOR!' ANGE:LEs _ to perfo[ltl work as ^'", h~~" .~~~~" ":;;~ ''':;~CIfE b 5I<E1;: H-#'WOIZ!2/dq,li ~ /q 52 ( fE'~I; FOK Pt.~CE"E"'T "F esw "'< "UK Curr"",. T. INCLuOE Z 501 -1iONc.. ,HE /<.0\1\/, , .....~ " -..- ..... . Approved: Water Department - Superintendent Sewer Dep8lOIIent - SUper1ntendent The estimated time for'completion of Ihe above \IIork Is 10 7:>AYS A"FTE{L ~ DateAI.J&l.JsT Ib ?DOL r BYci-<C5 -;/-d:. Contractor X Owner Q Wf.ST / AITi~ ; BS\IJ flDaM, 7 fJSo 6 , S' TJII;</F ro"-,, T'9~'O"'1,q/ "'''J THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPI.JCANr'S; rAX L q - r1.7(-/~Z'f 110 1~f.(tJ7 Complying with all MlJnicipaJ Ordinances; NotifYing rhe Street Superintendent of the time the Work will ~tllr;, and when (t will fInish; Pro$Cc\.Iting 'he work wirh diligence and with due respect to all property. Contracts. pencns' ri&hts and the interests and convenience of the PUblic; Saving the M unicipeJity Ilarmless from any and all damages which rnay accrue to any penon Or propePt~ because of this installation or the mahllenance thereof; Complyinl: Wilh fOllowIng special conditions; ~/ /1/(J;f9 Date Cfty Of PORr ~lAU~ ~ s ~-.- .oIIJo,.... - - - ~ '-'. -'u .-- I"": I t<::Ht- rUN B 2534711324 TO 13604174709 P.03/03 Qwest Job it WOrkfJ 'I t4/~/4S2. C !J N ~ Q!l fOV~TEE"'TH $T~E fr " l- '^ . I . I Co(. ~ -l I- ::) ~ ... This request for permit is for the placement of underground telephone service wire to our customer at the following address: 27/0 /'1 W~CET This work will require; 2. SOl Trenching in the R/W (total footage) Push or bore 2 inch PVC or SIP under roadway (total footage) , Push or bore 2 inch PVC or BIP under driveway (total footage) ~ Push or bore 2 inch PVC or EIP under multiple driveways (total footage) e ** TOTAL PAGE.03 **