HomeMy WebLinkAbout920 E 1st St - Engineering
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CITY OF PORT ANGELES.
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
03--(47-3
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000473 Date 5/16/03
920 E 1ST ST
0630007203250000
PUBLIC WORKS UTILITES
o
Owner
Contractor
RICHARD P/MAUREEN CONNIFF TC
PO BOX 185
PORT ANGELES WA 983620027
HOME SERVICE
223 MARSDEN RD
PORT ANGELES
(360) 457-1708
WA 98362
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
145.00
5/16/03
11/12/03
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
145.00
~
~
~
Qty Unit Charge
Per
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 145.00 145.00 .00 .00
----..
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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
!;-/b-65
Date
T:\PLANNING\FORMS\ 11 02.15 [4/2002]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~ 4/:t
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation .
03-00000046
920 E 1ST ST
0630007203200000
PUBLIC WORKS UTILITES
Date
2/23/03
tjJ.() E /s r
o
Owner
Contractor
MAUREEN R/RICHARD P CONNIFF
PO BOX 185
PORT ANGELES WA 983620027
BOONE'S EXCAVATING INC.
265 HOWE RD.
PORT ANGELES WA 98362
(360) 452-9392
Permit . . . .
Additional desc
Permit Fee
Issue Date
RIGHT OF WAY
45.00
1/15/03
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per Extension
BASE FEE ~
-----;~~~~--~-~-~-~-~-~--~~~~~~-~~~;-~~~~~~~~~;-----------------~
Additional desc
Permit Fee
Issue Date
230.00
1/15/03
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Fee summary
Charged
Paid
Credited
BASE FEE
Permit Fee Total
Plan Check Total
Grand Total
275.00
.00
275.00
275.00
.00
275.00
.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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\] ]02.]5 [4/2002]
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PORT ANGELES PUBLIC WORKS DEPARTMENT
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c..';;'--';-',,;-iIU.}I)'.-! .
c;-~:.~" :~t)(:, E t..:::
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C\1P
PERMIT
NUMBER
-~ S ,/ ;-1-~.
'p"";"
80QNES EX~;~~~'~I~JG
~.:.'3 ~.,~
t:QJNES EXCAVA~ 136 $4~~J[)
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I:~ 'mit
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" f-W
BOGNES EXCAV~T 136 t23C.OO
~ 275 4 Qi}
----.------------.
. .. J.. "'''1 . '.:.~lVlaLion
Storm DrainfTap
S/W Co-Op
Hot Tap (watermain)
F.H. Install/Meter
W/M Installation
Water System Development Charge
Sanitary Sewer Permit
Sanitary Sewer Tap/Cap or MH Tap
Sewer System Development Charge
UUD 215/Equivalent Service Connection Fee
ACCOUNT
NUMBER
001.2291000
001.2392000
600.32290014
600.34220015
600.34220016
420.32210017
420.32210018
420.32210019
420.32210020
711.32210021
711.32210033
711.32240011
711 .34150000
711 .34320000
711.34320010
420.34583000
711.34895000
420.36990000
754.32210029
754.34350018
754.34350024
782.34350025
DOLLAR
AMOUNT
9360
RECEIPT#
,,-'
-:J3 () D f1~S (f-.)f~
FILL-IN COMPLETELY" TOTAL EACH FUND AND GRAND TOTAL
G :\GrouplAcct\Forms \Rev. Rec\Pub, Wk
Last Revised June 2002
PUB/LIe WORKS & R/W PERM/T
o Attached Notes
OWNERlAPPLlCANTu
T. DONG
920 E. 1 ST STREET
Port Angeles, W A 98362
000/600-0000
PROJECT INFO
Work is:
Plans Required:
Contractor:
Performance Bond Required:
Proof of Insurance:
Work to Perform:
Issued:
1/15/2003
Permit No:
Work Order:
1361
o
PROPERTY LOCATION
920 1ST ST E
Lot: 4,5,6,7
Subdivision: WMS & CRAMER
Parcel No: 063000720320000
Block: 3
~ Long Legal
Value Work:
$0.00
Start Date:
1 1
Finish Date:
0001000-0000
1 1
Amount:
$0.00
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
HTE PERMIT 3 0046 2/23/03
FEES ASSESSMEN'F
1 .) R/W Excav: $45.00 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: $230.00 20.) Catch Basin per ea: $0.00
7.) Other RIW: $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.) RIW 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.) ORA $0.00
12.)Water System Dev: $0.00 26.) Misc: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $275.00
14.) San Sewer MFR: $0.00
add unit 0 Amount Paid: $275.00
Receipt No: 9360
Inspection Fee: $0.00 Balance Due: $0.00
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 Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final ~'~~E;~yther
tjZ{) C /51
I
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
-I-
'~o-
~ 2A- / ." / ~
RESTORATION REQUIRED. . . . .. ~ES NO ~
SURFACE RESTORATION: ~
SURFACE TYPE: 0 Unimproved DGrav~ Asphalt 0 PCC
o Repaired by City Work Order #
[] Repaired by Permittee 0 COMPLETE
[] No Damage Found 0 INCOMPLETE
o Other
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
WORK REQUEST
REg/JOB: WF0002215 / 001 PROJECT:
CREW:
LOCA TOI ON :
GEN. LOC:
REQ DEPT:
REQUESTOR:
USER ID:
REPAIR
LOC
ID:
PRIORITY
ORIGIN
WORK TYPE
PAGE 1
REQUEST DATE: 3/20103
PRINT DATE: 3/20/03
PRINT TIME: 10:10:47
SCHEDULE DATES
START: 3/20103
COMPLETION: 3/27/03
REF NBR:
Low
Staff
Scheduled Work
PW-Street
TKAUFMAN
TKAUFMAN
UTILITY CUT
AUTH: TKAUFMAN
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
REQUEST COMMENTS
REPAIR UTILITY CUT AT 920 E FIRST PERMIT #1361
------------------------------------------------------------------------------
------------------------------------------------------------------------------
REPAIR UTILITY CUT
Category code . :
Task coae: ..:
Facility ID . . :
Assigned D~partment:
Start tlme . . :
Street Maintenance
Roadway Patch-Major
PW-Street
STMN
PACH
. .
---
Stop time:
. .
---
INSTRUCTIONS
K~~AIK U~lLITY CUT AT 920 E. FIRST PERMIT#1361
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
START DATE:
/ /
COMPLETION DATE:
/
/-
UNIT OF PRODUCTION:
QUANTITY:
LABOR
EMPLOYEE HRS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
EQUIPMENT
NUMBER HRS
MATERIAL
ITEM
QTY
COST
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--- --------------------------------------------------------------------------
-------------------------------------------------------------------------------
PUBILle WORKS & R/W PERMIT
LJ Attached Notes
OWNER/APPLICANT ...
T. DONG
920 E. 1 ST STREET
Port Angeles, W A 98362
000/600-0000
PROJECT INFO
Work is:
Plans Required:
Contractor:
Performance Bond Required:
Proof of Insurance:
Work to Perform:
Issued:
1/15/2003
Permit No:
Work Order:
1361
o
PROPERTY LOCATION
920 1ST ST E
Lot: 4,5,6,7
Subdivision: WMS & CRAMER
Parcel No: 063000720320000
Block: 3
~ Long Legal
Value Work:
$0.00
Start Date:
1 1
Finish Date:
000/000-0000
1 1
Amount:
$0.00
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
HTE PERMIT 3 0046 2/23/03
FEES ASSESSMENT
1 .) R/W Excav: $45.00 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: $230.00 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.)Water System Dev: $0.00 26.) Misc: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $275.00
14.) San Sewer MFR: $0.00
add unit 0 Amount Paid: $275.00
Receipt No: 9360
Inspection Fee: $0.00 Balance Due: $0.00
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. .' ~'. ~ . INSPECTION R'EPORT . . . . : . '.
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
qZD E 15/
Boon@ 7" R 0.,:) n~
Phone No,
J3Jfl {
INSPECTION NOTES:
Inspected: Date
Remarks:
/-~:; -D3
c.o"""'-i' I..~,
Time
PAl.
By --{-,-J
RESTORATION REQUIRED . . . . .. YES NO
r-:- ! ~
9;1.-0 t:::.
&
~
~
l-j" UJj e
~
0-- -
~33'
#4114!'Y
/
SURFACE RESTORATION: bX ttJ
SURFACE TYPE: 0 Unimproved DGravel ~Asphalt OPCC
o Repaired by City Work Order #
o Repaired by Permittee 0 COMPLETE
o No Damage Found 0 INCOMPLETE
o Other
/10 (~~eeJ
(Continue on reverse side if necessary)
I t
1/'74 D3
,......r-.r..."r ,.... .nr-.................__.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT . . . . . . . .
/-fIe wP 7U-CJ
REQUEST:
Date 7 - 2... g -D3
Time
Received by
(phone, person)
Location of Work to be inspected c72D E. / s;ft-
Name of person requesting inspection ~u/1I'5 E.
Address of person requesting inspection~ro ~,--vJ Phone No.
t
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~
INSPECTION NOTES:
Inspected: Date 7 - 2B '-0"$ Time
Remarks: Ae.cJ{c..Lc 3>/c(- f$.-. Cof;Jer xr0(~<-.
I I
By
w;-ft,.." 3/<{- f! E ..
I ~ I ~
'~
~
(~ h
r '~
~ t- ~
~
1J~( ~
e:i t t It r
? I/:L- .5 f?e~~?
. J
...,a "
SURFACE RESTORATION: G \0 N- .nl IO't"o
\,Jt - "
RESTORATION REQUIRED. . . . .. YES >< NO
SURFACE TYPE: D Unimproved 0 Gravel zr Asphalt ~PCC 0 Other
[] Repaired by City Work Order # 72...d1
[] Repaired by Permittee ~ COMPLETE A'D\J"V\o,\r ct- Cot-Jc;tet-~
o No Damage Found 0 INCOMPLETE V0:::Jt-\<:.. Gtv\~~e\-~
Lf X S- As,tJL(+ !Jec-+cC_ ~-\b-()c; )l<
/ I
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIT'{ OF, PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7 - 2- g --o~
III&: wF 1UCf
Time
Received by
(phone, person)
Location of Work to be inspected 920 E. (sJt-
Name of person requesting inspection .'~/lJ"u'5 E.
Address of person requesting inspection&-rt! Yo.-vd.
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No.
Permit No.
Sewer Excav. Oth~
INSPECTION NOTES:
Inspected: Date 7-2:8-o~ Time
Remarks: ~e ~t c-c.~ 31<1:- {$.- G::,/J~e r x"'--J(~e.....
I , ,
By
w;-fk 3/<f- f? E .
~ ~
~
(~ ;0
~ E- ~
~
(
~. 6 1-(-:; t ,t r
q <? ~c .5 V~~
RESTORATION REQUIRED. . . . .. YES >< NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel MAsphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order # 72.d1
o COMPLETE
D INCOMPLETE
t-f >z S- A5 tJ~(+ tJd--c-L
/ I
_ ..!_____ ___ ___.____ _:-II_:JI: __________,
CIty 01 IJort Angeles tI (e (J,.) F -r ~ Cj
Public 'Vorks Departnlent
vVater Distribution Repair Report
IWork Order No: 7 ~DC{
Icrew:~(€. 'De",,;., 0'(1
DATE REPORTED: 7- Ze - o~
CONDITION: EI\.1ERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR:
7 - 'L 8 -03
TIME:
REPAIR LOCATION: ADDRESS: C:;ZO
~
7.:~
. -s.*
( -
~.M. OP.M.
TYPE OF MAIN: ~. A ~ SIZE: ;?( r
( ~
DEPTII OF MAIN: :3 Z CLOSEST VALVE DEPTH: a'<z-
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLANW 0 OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE)l CURB STOP 0 FITTING 0
I\.1ETER SETTER 0 I\.1ETER 0
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTIIER:
COMPONENTS OF REPAIR: CLANWO DRESSERO OTHER
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK FT.
DRIVEWAY CUT Fr. .
MAIN CONDITION: INTERNAL LINING' tJ/^ TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROS~D 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ~/ A P.P.M.
WATER OFF: FROM "; ^ M. TO (0 It M.
FROM
M.TO
M.
APP ARENT CAUSE OF LEAK: Of cf) A ~
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COFER,
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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: #
ROUGH-IN 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 I
MECHANICAL
HEAT 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 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:IPLANNINGIFORMSII 102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 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.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]