HomeMy WebLinkAbout2412 Arbutus Ln - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
OS-~3~7
Application ;~umber
Application pin number
Property Add~ess
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision ~ame
Property Use
Property Zoning . . .
Application valuation
05-00000317 Date
074201
2412 ARBUTUS LN
06-30-01-5~5-0150-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
68040
7/26/05
c?t/ /;? H/!I311 TII5
Owner
Contractor
LORI BUCHANAN
2412 ARBUTUS LN
PORT ANGELES
OWNER
~lkaA~
WA 98363
Structure Information 000 000 996 SQ.FT. SFR w/ 484
Other struct info . . TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SQ.FT. ATT GARAGE
14.60
1. 00
10286.00
1504.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN WATER METER
Permi t pin number 50765
Permit Fee 195.00 Plan Check Fee .00
Issue Date 7/26/05 valuation 0
Expiration Date 1/22/06
Qty Unit Charge Per . ~xt
BASE FEE 195.00
---------------------------------------------------------------- ------- --
Permit . . . .. RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
50757
50.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per ~x .
1. 00 50.0000 ECH RIGHT OF WAY PERMIT 50.0
------------------~---------------------------------------------- ----------
Permit SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
50773
110.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
o
(/",
Y/
Qty Unit Charge Per
1.00 110.0000 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 contyrast with 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 location. No
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:\l'olicic5\] I02.15R{1I05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000317
Application pin number 074201
Page 2
Date' 7/26/05
special Notes and Comments
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
New subdivi:sion outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association (NFPA)'" .-.
standards.
05/12/2005 03:01 PM SROBERDS ---------------------------
Lot coverage will be 15%. No land use issues are noted:
Under 2004 policy - NO connection fee
Electrical load calculations and elctrical permits are
required.
Ditches and culverts will be installed to City Stanards. See
Public works Engineering for Standards.
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credi ted ue
. .........~..,,_..---... Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
355.00
.00
1774.50
2129.50
355.00
.00
1774.50
2129.50
.00
.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, jf 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:\Policics\1102.1SR [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . .
REQUEST:
Date ~ -.;2::; .66
Time
/01'1"
Received by T F
(phone, person)
Location of Work to be inspected ~ c..; I d. J::j v- 6 <-<- k.., L "'- v\. "c:::-
Name of person requesting inspection 'S -e (~ l-\ -e [p t-\ c.u..s <' '^ '-r
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 0 S - "317
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~~y F..vtc....1
INSPECTION NOTES:
Inspected: Date 8. ~ 2, - Ob
Remarks:
Time
91'1""
By
S lA^-', '-3 ,;;)0-010
O...Ju",<-",-,,,,,, ,I CCS-,;LS-oCo
Sl'~"- 'D....C<.','^-c,J~ 9-3-0("
W",-~IL - o~
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
'''''__'''~_--------------'''''-,~~------ .
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APPLICATION FOR WATER
City Water Division
Port Angeles. Washington 7 - ,~
,20~
~
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: C F.> It\c.h~)
Name of APPlicant:-iJolA.~IVI'1 ~.d..ADl'\-L \ ttf GL. r7X{/I\~
Address: '1Al'7~ ~f7{AT1A~ (f1..nt=::
Renewal 0 New se~;ltk. Lot ) "5 Add MA-PflD na.. i.LJa:'D..J
,,,. ''''N'' ) f ff 'dr'f JV7 ""', ,~.17/11"
Service Left On 0 Service Left of Signed C::'
Installed by 7'7 .
Remarks: PefWlIp. {)5-~/-& i/q~--;9'-I-jJ/)~-OO
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . . .
REQUEST:
Date
7-ZO-V~
Time
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
~nspection (circle appropriate one):
~ Foundation Framing Chimney Plumbing
jJ~
Z 1/2..- A~UJa--J
b/LU) ~6 ~
Phone No.
Permit No. 05 -~17
Final Sewer Excav. Other
Received by
(phone. person)
INSPECTION NOTES:
Inspected: Date ;s --W-O{tJ
Remarks:
Time
By
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eJK
RESTORATION REQUiRED...... YES NO J
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date /1-dl-05
j
Time
Received by
iF-
~person)
Location of Work to be inspected '/} l/ If) A Y" b LA ~u -5 L 0'\)- LOf -illS
Name of person requesting inspection G:, I''''j
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
Phone No. 4 n ... (:J 4 3
ermit No.OS -317
INSPECTION NOTES: I>
/1 ~ I 05 /0 'D/I14)<'
Inspected: Date ... 0< ~/- Time. C./ By
Remarks: Coni Q(...Je.r IOCA-kJ '-{1-pVc.... .sklo & er-L- l "!At: <it 7 / D~lp
IYI..,-I-A/leJ '-{"f\Jc -\-c ko'-A.::'e.., SE-c-<..Jf,e. e. (..(...),,/1 he t'nS/"Yllerl
r"/-- CL I evk..--.. ctc.. k kovt ~ ~ It 04--:, I\.l CJ f l'-'L...... to .. "l <<.1-- i-k;::, +:wce.. '
RESTORATION REQUiRED...... YES
NO X
A. y-- 6 ut-....5 LI4NX-.
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
~
!Continue.onreverse side if necessarvl
~Tl"n'~I"'''' ~. .nl"'n.................P"......
'....A.......l
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date B/C2 / Ole
, ,
J
Time
Received by
(phone, person)
INSPECTION NOTES:
Inspected: Date 8/ 3/0l... Time 7' /It",
Remarks: '::l:"1'1.s.f-"I'~d 4"pv'C... P"()'E" f..."..
~ ~f..<....b. .
Location of Work to be inspected c2 '/ I ~ ,q 14 b (..(. t-"" ~ L... "" "C...
Name of person requesting inspection c:.....~j 1 - 5-e1 ~ l-\....,lP I-\O.....~''^'
Address of person requesting inspection Phone No. '-177 - /2 "13
Type of Inspection (circle appropriate one): Permit No. b S" - '317
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~
OOI.Al~ .s fJ (I", f.,
101'"" ;"""1 ~
~L
fIJ! S. e.o"",... -- o-t .\.L r- j" "'f 'i l:"
RESTORATION REQUIRED. . . . .. YES
NO /(
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A. b L(.+ lA~ LA""'L
,
4'IPIl~" 3"
/
:ly I~ 7
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,,....__..,____ __ _________ _'-'_"1