HomeMy WebLinkAbout2419 Arbutus Ln - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, \VA 98362
o!>-"'UD
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
"' Application type description
Subdivision Name
Property Use
property Zoning .
Application valuation
05-00000310 Date
498430
2419 ARBUTUS LN
06-30-01-5-5-0120-0000-
RES NEW SFR
MADRONA WOODS
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
82980
7/26/05
2,1/'1 f)-IUYU -rJ15 U}
, Owner
Contractor
ANGELA AGREN
..... ..u24.19 ARBUTUS LN
PORT ANGELES
OWNER
IMF ~
WA 98363
Structure Information 000
Other struct info
000 1372 SQ.FT SFR W/ 528
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ATT GARAGE
21.90
1. 00
9034.00
1978.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 5/81' DROP IN WATER METER
.permit pin number 51185
Permit Fee 195.00 Plan Check Fee .00
Issue Date 7/26/05 Valuation 82980
Expiration Date 1/22/06
Qty Unit Charge Per ~xt~ ~~~:~
. BASE FEE 95.~
---------------------------------------------------------------- --
Permit . . . .. RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
51169
50.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
82980
Qty Unit Charge Per E~te
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
------------------------------------------------------------------- -- -:--
Permi t SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
51177
110.00
7/26/05
1/22/06
Plan Check Fee
Valuation
.00
82980
(j.\
\-~t
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Special Notes and Comments
05/12/2005 12:36 PM SROBERDS ---------------------------
proposal will result in 22% lot coverage. Setbacks are
good.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
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 iocai law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
.
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05!
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, \VA 98362
Application Number . . . . . 05-00000310
Application pin number 498430
Page
Date
2
7/26/05
'. Special Notes and Conunents
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 location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
New subdivision 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.
Electrical load calculations and elctrical permits are
required.
under 2004 policy - NO connection fee
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.
.! J
,
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee. swnrnary Charged Paid Credi ted Due
--------------~-- ---------- ---------- ---------- -------~--
Permit Fee Total 355.00 355.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .00 .00
Separate Permits are required foreleclricai work, SEPA, Shoreline, ESA, utilities, privale and pubtic 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 Ihe work as commenced, or if required inspections have not been requested within 180 days from Ihe last
inspection. I hereby certify that I have read and examined Ihis application and know the same to be true and correct. All provisions of
laws and ordinances governing Ihis Iype of work will be complied wilh whether specified herein or not. The granting of a permit does not
presume to give authority 10 violate or cancel the provisions of any state or local law regutating construction or Ihe performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
Signalure of Owner (if owner is builder)
T:\Policies\1 102.15R [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . .
REQUEST:
Date 8-.;;L5 - 0("
Time
/61'\>-\
\ r-
(phone, person)
Received by
Location of Work to be inspected d '-/ f '1 A '^ b lA ), I-< "::> L "'''' ~
Name of person requesting inspection S-e:I ~ l-.\ -e 1 p t-\ C><-<,SlV'.J
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 0 S - -:31 0
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ F " ^~ \
INSPECTION NOTES:
Inspected: Date 8 -,Q '6 . 0 b
Remarks:
Time
qil'"
~JL ~~t
c:; I'V0 . """"3 - 10- ora
D ..,' ~tlZ-,^-,A 'I 6 - d- e-6b
::; (~-e... 'f),I'C( <'''-'tr-~ ~ 8 - 3- Ob
LA) c...--\.-'J" - 0 Ie
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,""..._..:_..... __ __u____ _:..1...:.1: __________1
~
APPLICATION FOR WATER
City Water Division
Port Angeles, Washington '/ - ?-b
, 200~-
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: L A--q V-eh ) '1"'S 2- - 7 &;;3 / j / ~
Name of Applicant: JJoI1S/n'1 ~J-4VJlC.A.L1 jI&,. ~
Address: z,1/.q 4.1tlMLt)t S LAlIt'
Renewal 0 New servi9'1sr.- LotI Z- Add;Y1.4tJeOntJ. LV/Xl~
Size of Service / ,X ,~i/!JJ:dfL!.D- Met?~ 371 J9
Service Left On 0 Service Left Off? Signed
Installed by
rI Jqs-Q.P +- i/DZ5'<
Remarks: -Pev /.1.11 T:l:l: 0 ~-~ ID
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
o
. . . . .. . INSPECTION REPORT. . . . . . . .
REQUEST:
Date --7 ~2P-O(,#
Time
Received by
IF
,
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
C?FOUndation Framing Chimney Plumbing
21! q ;4Rf3-tt 7Z1<;
~ 1 - ~1) Mr ~j-A7"'~
Phone No.
Permit No. c7s-3-/D
Final Sewer Excav. Other
Inspected: Date
Remarks:
INSPECTION NOTES:
q.--ZtJ-O&;
Time
By
R\J
o~
RESTORATION REQUiRED...... YES NO X
t '/S'" 3: - "7' ~ I l
",-x. I T ~
", ~ j \
I 'I d4.ef s"flV(
N I~ qr" ,/da"-f
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If!! pile
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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 nel':es,s.:uv)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 1/ /"":27... ~S-
,
J
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
~-f /~ ~nd-AJjol-# /:;1.
t!,i!r~
Phone No. 477 /.2i~
Permit No. ().')'-;i3JO
Plumbing Final Sewer Excav. Other
INSPECTION NOTES: ----L P(V\-~
Inspected: Date 114~ '~5 Time (>-3, By'
Remarks: Or1jY'A.C ieV' C'~ Ie 'III f'v'c:. SfC-( b (Q E,.'/ ,iofC QN d 6" l""l""
TI'? "'/A//ed '("I'Ve. -10 ;'01.0(<:)"(:___ SnUEe. 1..,0. Wi/( h...,/J s/"dl,..rf 6L
Q /CdC..-riAf.C. /-Iouse /1,4-5 Nd pluM 1:7,',/ cd I-L..;s +-,'I4-lC,
RESTORATION REQUiRED...... YES NO X
yt;;O
~~o ~ frJ
\0: "
3'
0..
"-
, ~
<3;) ~
)-
450
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 8/.2 /0'"
I I
Time
-/
Received by / ,P
(phone, person)
Location of Work to be inspected 61 '1/ 9 IJ yo b tA I- u.s L c<... -e.
Name of person requesting inspection Cb r-c 'j ~ - 5 e.l ~ l:-\ 'e lIP \-\.0... :!H' v\ j
Address of person requesting inspection Phone No. '-(77-/:1<1.3
Type of Inspection (circle appropriate one): Permit No. 05" - "3/0
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~
Dowl\J&fo("("(...s
INSPECTION NOTES: O...c..'~c:.)-e..
Inspected: Date B /3 /ob Time 9 IfM By ~
Remarks:~ Y\ ~~Il ~ J 4" PVI::- p.p.... .g,.e;..., -\-i........ tV! 1& / IJvd ~/t& .. rVN-<-
~~au.~...-\-e. Df-e"-' ctll't'./.c5~ c..'"-ec.. (po')I(IO'
RESTORATION REQUIRED . . . . .. YES
Pt>''' b......~"'~ \~.q,{c..
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
NO X
~'-II'1
,,{'('V
<{ " PIIe-Cl 0'
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse sideJf necessar.v.1