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Home My WebLink About429 E 1st St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/W PERMIT ' o Attached Notes OWNER/APPLICANT FUNG FU Port Angeles, W A 98362 000/604-2909 PROJECT INFO Work is: Plans Required: Contractor: BRISCO EXC Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 7/19/2002 Permit No: Work Order: 1304 o PROPERTY LOCATION 429 1ST ST E Lot: SO. 112 L T 17 & 18 Subdivision: NORMAN R SMITH Parcel No: 063000511976000 Block: 19 D Long Legal Start Date: Amount: D Install D Repair ~ Watermain Value Work: I I Finish Date: 360/683-5195 $0.00 ~ Sanitary Sewer ~ Storm Drain ~ Underground Tele/Elec D Misc PROJECT NOTES ree # 7469 paid r/w & w/m $685.00 eozi homes 7/19/02 ree # 9750 paid $1865.00 PAKCHUEN FAMILY INTERNATIONAL LLC 10/3/02 $0.00 I I FEES ASSESSMENT- 1 .) R/W Excav: 2.) Sidewalk: 3.) Curb/Gutter: 4.) Driveway: 5.) Dwy Culvert: 6.) Street Cut: 7.) Other R/W: 8.) Fire Hydrant: 9.) Res Water Serv: 5/8" 10.) Comm Water Serv: 1" 11.) Other Water Service: 12.)Water System Dev: 13.) San Sewer SFR: 14.) San Sewer MFR: add unit: 0 Receipt No: Inspection Fee: $0.00 $45.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $640.00 $0.00 $0.00 $1,025.00 $0.00 $0.00 RW SANITARY WATER DRA $0.00 OTHER 15.) Other San Sewer: 16.) Sew Tap Wye/Man Tap: 17.) Sew Capl W 1M Removal: 18.) Alter Repair Sewer: 19.) Storm Drain: 20.) Catch Basin per ea: 21.) Sewer System Dev: 22.) Milwaukee Dr. Sew Ass: 23.) R/W Use Perm: 24.) Admin Cost (D.R.A) 25.) DRA 26.) Misc: TOTAL FEE: Amount Paid: $95.00 $0.00 $0.00 $0.00 $0.00 $0.00 $745.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,550.00 $2,550.00 Balance Due: DWY STORM Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presime to give authority to violate or cancel the provisions of any stale or local law regulating construction or the "",,orman: of constru""!n. \ I~ I 0 < )/ C 1---- Signature of Contractor or Authorized Agent Date Signature of ;;$n~ner ~ bu'derl Date [96It] s nOI h\\d :S~N';IWW();:) '1Vl1';1N';I~ DNIO"llil8 S 181rL It' DNI01ill8 'l.dHO ::nn!l t'S9\r'L It' (x '!NO 'Ji'W !I-Il. '1ill"V ::nn!l DNnffiHNIDNH/Md L0817"Llt' DNnlHHNIDNH 'M'"M - NOIl.::>n"MlSNO::> /Md / 'M'"M NOIl.::>mI.I.SNO::> MHO mDn 9l>L17"Llt' 'MHO mDn - 'lV::>nu.::>H"IH 'lV::>nu.::>HlH ON S3.\. <r.il.Ld3:J:JV 3.1VQ 'IVI:J1I3WNO:J ON S3.\. UVQ 'IVI.LN:!lmS:!llI 3SW.\.:JNVdfD:J0 0.1 1I0nId <r.illIIflO:nl SNOLL:J3dSNI'IVNl.!I ~3H.I.O DNDrnVd "IO~O::> NOISO~H / HDVNIWO Hl.IS r-rnms XWUNVS NOI.L::>HNNO::l "MHA\HS "MHl.HW / HNI~Hl.VM (UO!s!"tO lluJ.1""unm:;r) XlIOA\ 3.LIS I SnI.I'II.Lfl A\d s~::>no ~Hl1Hd/HAO~SOOON\ X HNYillI::l 'IV:JINVH:J3W I I DNIlIH::l / "MOOTI /"I'lV M I ev"IS NOIl.YI!1SNI W8-l. "I'lVA\A~O DNIlIH::> / dOO~ I S"I'lV M "I'lVM WHHS S"MHOIDD / Sl.SIOf nNIWVll.!l I DNIlIH::l S"I'lVM 'IV:!lS lIIV "MHl. V M / MOTI )I::>V8 HNI"I"MHl. V M NI-HDnO~ ev"IS / ~OOTI "MHONn nNIawn'ld I I I NI-HDnO"M UdHomDn) 'IV:JnI.L:J:n3 HDVNIWO NOI.LVONnOd S'I'lV M SDNIl.OO!l 'NOIl.VONflO.ll ON I S3.\. SJ.N:ilWNO:J <r.il.Ld3:J:JV 3.1VQ :!IdA.1 NOLL:J3dSNI H.I.IS HO! ~V SNV'ld G3AOMddV GNV mIV:J .I.IWMHd dH:>DI 'NOUV:>O'l snon:>IdSNO:> V NI llWlIRd ~SOd 'U:FI.LJJ/:XJJI' UNJI' U:FI.LJ:FIclSNI mIO.!l:FIfI JIHOM,{NJI' 7J1':FIJNOJ"N0 :FI.LJI'7ilSNI 1l:FIAOJ 0.1 7il.!lM Jl'7Nil SI.LI 'H;)UON "llilOH 17Z: WOWINlW V HCIIAOMd HSvtI'Id 'SNOU:JHdSNI DNIG'llilH "MOd S 18t>-L 1 17 TN:J mIo::nrn NOI.D:IdSNI .LIJW:Id ~Nla'IIflg CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . . . . . ..... REQUEST: I / Date c; / 0 () ~ Time I I 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. / G-c)c;' C~ Foundation Framing Chimney Plumbin~ewer Excav_ Other _ /b-{~ ~ a{'a~~ 4~ E, ~Sl .J70( Lp I INSPECTION NOTES: Inspected: Date 9 - I a - D 2- Remarks: ~r I/!--te: Time Yill BV-AAd RESTORATION REQUIRED . . . . .. YES NO P<- / ,( -,-_.._-_. -~-- I j ~-----------~~-----"---".. --------, , f I c~ -- .t-1 f.1 - k, ~) I --h1 '" ~ ~ --<t '" ...cl 'R '-;.J. '9 n <:.. ~~ \; .. :~ Sl.-U 'r ":> '>.) -!!-- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel 0 Asphalt 0 PCC D Other [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # D COMPLETE D 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 (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection /77/ '/:'-fJ Type of Inspection (circle appropriate one): Permit No. cT"~oundation Framing Chimney Plumbing Final Sewer Excav. Other ?' ccf- /3c:?a ~~~ ~ t1~~Z~~ -- INSPECTION NOTEi! 0,?'-?l4,-rJ1' ):2...ch<u~_J~ Inspected: Date 4 W,OZ:-=rrme r4 rv\ By ~, Remarks: <: ("/~ ~"-"T I~ . RESTORATION REQUIRED. . . . .. YES ..l;-~' LJCJ';>' .... I " ~ ;rK ~:i':l Ok' l[ " 1"', I; ....... ~'-..,. N ? __s___,I_n,.,~, ,,' /Z--t,,.J,!* t/ (~,'c r (,-o. 'IJ /'-"""r/~(Y \-,<:,., NO ^ J r., ,J- tf II .).. >( . "J )- , V o s:. r")I ~;;-t (.,;x (,.. " LJ ~ .. <;: ,I "-9; s~ I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ACCOUNT NAME CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT PERMIT NUMBER Surcharge ( 4.50) D.RA Fees Plus Interest Burning Permit Fee Fire Inspect/Permit Fee Fire Sprinkler Plan Review Fee Construction Plumbing Mechanical Sign Clear/Grade Permit House Moving Sidewalk/Driveway/Curb Permit/Right of Way Permit Publications Blueprints- Aerial Administration Cost (5%) Plan Check Fee Engineering Service Fees Property Sales ::j)lff*ifi'MfJJjj~ljj'T~illl~i;~~mMP:~(:)Y~t.1ENriffPNq~f~Mj: Hot Tap (watermain) F.H, Install/ Meter W/M Installation Water System Developement Charge Sanitary Sewer Permit Sanitary Sewer Tap/Cap or MH Tap Sewer System Development Charge ULlD 215 / Equivalent Service Connection Fee ACCOUNT NUMBER 001.2291000 001,2392000 600.32290014 600.34220015 600.34220016 711,32210017 711.32210018 711.32210019 711.32210020 711.32210021 711,32210033 711,32240011 711,34150000 711,34320000 711,34320010 711,34583000 711.34895000 DOLLAR AMOUNT 5'f~il:'11g(l:11Ji11'11Uttgj'ti$t$5i 752,32210032 752,34490010 752.36990000 715.39510010 MM~;jijtajl;.J~~;~;J1;~o~ti!414jj~ 753,34340023 753,34340024 753,34340025 753.34480010 W44~11il~~~11~ilQM1!t14i~11 754,32210029 754.34350018 754,34350024 782,34350025 FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL (!O~/ Mrn~.s 4;21 E 1ST G:IGr"'4'V\cc1\FonnsIRev.RecIPub-Wks Last Reo,;sed Dec. 1999 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: ~ cu. 2'co/ - "J 116 Date Time Received by (phone, person) Location of Work to be inspected Lf 2. 9 E: / ~ f Name of person requesting inspection T v-.) I J L c:;. -i - '- A 1/ "- Address of person requesting inspection /1 fit + G Phone No. Type of Inspection (circle appropriate one): Permit No. J .3..[>4-- Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other (j!J c^,- -t-ev- INSPECTION NOTES: Inspected: Date Remarks: 1-D Time By _ !~~~~i: 0 i l<;('K I ~ ,;;.~:;- S-e Jr L ro Yvt ~,If- C , .0"- ( .11 ~ e~y C _ Z-J'2..~ P /?i 23P7<!() c; h 1.< fit I \ 1- / ftU \ ( . . -'( ) v>1~ ~,. AL- " 1 , ~-- 5'3' /? /5+ \.. 5.+( Y ...... ,~ ." ~ I // RESTORATION REQUiRED...... YES V NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel D Repaired by City D Repaired by Permittee [] No Damage Found ..... (Continue on reverse side if necessary) ~:It 0 PCC 0 Other Work Order # ~ / 7 .~ IL1' COMPLETE A t-~ ~'<2,~\ ~~~ o INCOMPLETE vJ '\t lA. ~~\ M \ Y ca-~ ~ -()~.L ~ ( h,