HomeMy WebLinkAbout1710 Delores Pl - Engineering
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CITY OF PORT ANGELES
PUBLI,C,WORI<.S '- UTreITIES DIVISION
321 EAST 5T1IS'rRlt~T; PORT ANGELES, W A 98362
GAR9EAU,<:FRED
164 HEUHSLIEN'RD
poRT" A'NG'Et.E'S
,(360) 460":,7390
, ather struct info
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perniit ,:,:: . .'. '. PUBLIC waRKS RES WATER SERV
AdcUtfi,onal ciesc . .'
Permit :p,in number'.
permi t',' Fee
Issue "D~te" '; .
Expiration Date
'"
Permit
Additional desc .
pernlit pin number
Permd,t.Pee '. .
Issue Da!=e
Expiration Date
Permit . . . . ..
Additional desc .
Permit.:pin nUmber
Permit Fee
Issue"Cate
Expir{it:~op. Date
"
Qty Unit Charge Per
1.00 110.0000 EA
,'- ' ',' , ,.
- - - - - - ~_~'- - - ~-;,,:," ~__- ~ - - -,~,~ - - -,_-_ _:- - ~- -7""' _":"- - - ~-- - - --':;':"",, -::;.;..- -;- - - ~ - -- - - --- - - - ",;",-- - -;.. - - --
Special Notes and Comments .' -.: ,'-
The Fire Department has, reviewed the' project , application and
has 'no comments '
08/29/2005 12:ia PM SRaBERDS -- The proposal wil1.al1.0w
the placement of a sf mfg home in.the RS-9'zone'for total
lot coverage of 23%. No land use. iElsu~'s-
Conri~cti,on fee to u/g'power $713.00
Separate Permits are required far eh3ctrical wo'rk, SEPA; Shore~ne,E~A, utilities, priv~ate and-public impr6vements.Tfii~'perr.rtit becomes
null and void ifwark or canstruction autharized is nat cammencedwithin 180 days, ifcanstructian arwork is 5uspen,ded or abandoned
far a periad af 180 days after the work as cammenced, ofifrequired inspections have nat been requested within 18q:days:frQm the last
inspection..J hereby certify that I have read and examined this application and know the same to' be true,andcarreGh All p~avisions af
laws and ordinances gaverning this type af work will bfcQn1!)lied with whether specified herein ar nat. The granting ()faperrnit poes not
presume to' give autharity to' vialate ar cancel the provisions of any state ar lacal law regulating constructian or theperfarmance of
canstruction:- '
2~qy~~~~-_. Y~3t/~t/J'
, ' Signature of Owner (if awner'is builder) ...... '... Date
PERMIT INSPECTION RECORD
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CALL 417-4807 FOR UTILITY INSPECTIONS.. PLEASE PROVIDE A MINIMUM 24. HOUR NOTICE. IT IS U~LAJfF:r!~T{)(;ijVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN ACONSPICQOUSLOCATION.
KEEP PERMIT CARD AND APPROVED PLANSA T JOB SITE
.. .,. ,
INSPECTION TYPE .DATE ACCEPTED' . COMMENTS "
1/ YES 1 NO / ,
'. .
PW UTILITIES (Engineering Division) ..,
WATERLINE I METER .'
SEWERCONNECTION ~
SANITARY . . ."
STORM' /'
, SITE DRAINAGE .' ......
..:..'
SITE EROSION CONTROL
PARKING
SIDEWALK'
CURB & GUTTER . .
. .'.
"
DRIVEWAY APPROACH
BACK-FLOW. DEVICE I " ,
.
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FINAL INSPECTIONS. REQUIRED PRIOR TO OCCUPANCYIUSE .'. <. ,.,:,
RESIDENTIAL DATE YEs NO COMMERCIAL .' DATE ACC.EPTED
"
,; YES . NO
", . . -
CONSTRUCTION R. W.I PWI CONSTRUcTION - R. W.
ENGINEERING 417-4807 .'. , . .4; Pw I ENGINEERING .....
, ....
FIRE 417-4653 FIRE DEPT. '. .. .... .... ."
PLANNING DEPT. 4]7-4750 PLANNING DEPT. ., ,-
BUILDING 417-4815 BUILDING .". "
.
T. "
.' .:
T:\Policies\1102.15R [1105]
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"CITY OF PORT ANGELES ,
PUBLIC WORKS -UTILITIES DIVISION
321 ,EAST 5TH STREET, PORT ANGELES, WA 98362
. r- . , ~ _ _ ,_ . . -
Application Number
,Application,pin number
-----------------------------------------------------------~---~--~---------
Special, Notes and Conunents
08/23/2005 03.:25 PM GMCLAIN ----------,--.:---------,.-----
Electrical load calculations and elctricalpermits are
required., '-
sanitary, s~wer connection inspect1o'n is required'by
Public Works prior to back fill of ditch. 24 hour advance
not;ice ,is reqUired. '"
Construct . driveway to City Standards. Noconc:t:ete. with.
exposed ag~regate allowed in t,he City road. right of way. An
insp!,!c~\?I]..by Public Works E~gineering is required prior to
prouring concrete ~ ' \ '
--------------~--~------------------------'-~--~---------_._----~---------~---
Other Fees . . . . . . . " SEWER SYSTEM DELV CHARGE \745.00
STATE SURCHARGE 4.50.
PW .WATER SY~,TEM USE FEE 1025.00
- - - - --- _:... - - -- ~ - -:- - - -~ -- - - -- - -~ '- - - -.;;, - - - - -':"" - - - -'-..; "':",-:- -.;.. --.-- ~'- - --~ -, -~ - - - ~ - -'';' - -:--
Fee summary Charged Paid Credited Due
- --:- -.-,~ ....-7"'~ - - -r,.- -:- ~ - - - - - - -.- - - - - - - - - - - - - - - - --- -- - - - - - - - - - ---
permi t , Fee ,T,otal
Plan Check'Total
Other Fee Total
Grand Total
875.00
.00
1774.50
2649.50
.00
.00
.00
.00
I~-
~.
Separate ~ermits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. T!1is~~rm,itbecomes
null and'void if work or construction authorized is not commenced within 180 days, ifconstruction or work is suspended'or abandoned
- - - - . --~ . - _' . - ' .' _' -.' " - - _.' _' _' " I"'" ,'_ '_,'. .. :.'",' .. ," ,- : ,,' ':.__'- ,,'-' ,,-_" ',-:. '__," _ -' - . .. _ _ . . -' " ':,., '-",. . - -./:',:_ :.',: ~'.' __,"._ -....,'.. _'. '
for aperiod of 180 days after the work as commenced, orifrequin!d inspections have not been requestedwithiri 18Qdays,f~6m the last
inspection; I hereby certifY that I have read and examlnedthis application and know the same to be true and cor~ecL ;AII ~,iWovisions of
laws and ordinances governing this type of work'will be complied with ~hetherspecified herein or not. The grClnting 'of aperniit 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. .,
Signatllfe of Contractor or Authorized Agent
PERMIT INSPECTION RECORD
CALL 417-4801 FORUTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE.
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN
I INSPECTION TYPE DATE ACCEPTED ~ . COMMENTS
1
. YES NO ! .
PW UTILITIES (Engineering Division) .
WATERLINE I METER .
.
SEWER CONNECTION . ,---
..
SANITARY . .
, ..
STORM (
SITE DRAINAGE
SITE EROSION CONTROL .
PARKING
SIDEWALK
CURB & GUTTER .. .....
/ .,
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
'.
".
. " .,
..
I ,
",
,
. . ,
, ,.
, ,~c .
,
- .
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE .,'
RESIDENTIAL , DATE YES NO .COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W.I PWI JJ-!1,.,JO C 0J . CONSTRUCTION- R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 , I FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
.. "
BUILDING 417-4815 BUILDING ..
,. , ,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
"'
T:\Policies\1102.15R [1105]
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ClTY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32] EAST 5TH STREET, PORT ANGELES, \VA 98362
0<6- 7 B2-
Application Number
Application pin number
Property" Address
ASSESSOR PARCEL NUMBER:
Appl~catlon type descr~ptlon
'Subdivl'slon Name . . . . .
property Use
Property Zoning . . .
APPtication valuation
.'. Qty . Unit Charge Per ~xte '
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER 715.00 ~
------------------------------------------------------------------ ------~
Permi t RIGHT OF WAY
Additional desc
Permit pin number
Permit~Fee
Issue Date
Expiration Date
...".".,Qty Unit Charge Per ~xten ~
' . 1.00" . 50.0000 ECH RIGHT OF WAY PERMIT~iYo.............
------------------------------------------------------------------ --------- '
Permit SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
I~sue- Da"te
E~piration Date
Owner
. ,_. " ~
------------------------
GARCEAU, FRED
164 HEUHSLIEN RD
'POR"T'-.'ANGELES'
(360) 460-7390
Other struct info
Permit
Additional desc .
Permit pin number
Permi t Fee
'Tssue'Date' .
Expiration Date
8/30/05
05-00000782 Date
511000
1710 DELORES PL
06-30-00-4-9-0170-0000-
RES MANUFACTURED HOME
17/0 D~~
RS9 RESDNTL SINGLE FAMILY
110000
1.
G leA- ~<---
Contractor
OWNER
WA 98362'
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
22.90
1. 00
9000.00
2069.00
1. 00
PUBLIC WORKS RES WATER SERV
58776
715.00
8/30/05
2/26/06
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Plan Check Fee
valuation
.00
110000
58768
50.00
8/30/05
2/26/06
plan Check Fee
Valuation
.00
110000
58750
110.00
8/30/05
2/26/06
Plan Check Fee
Valuation
.00
110000
Qty Unit Charge Per EXt:ens,i~
________=~~~______:=~~~~~~_~~____~~_~~~~~_~~~~~~________________s:: 110.~
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
08/29/2005 12:18 PM
the placement of a sf
lot coverage of 23%.
Connection fee to u/g
SROBERDS -- The proposal will allow
mfg home in the RS-9 zone for total
No land use issues are noted.
power $713.00
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 orwork 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:\\'olicics\1102.15R [1105]
CrfY OF PORT ANGELES
PUBLIC WORKS - UTlLlTIES DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000782
"Application .pin number 511000
Page
Date
2
B/30/05
Special Notes and Comments
'OB/23jzoo5 03:25 PM GMCLAIN ----------------------------
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
- 'Construct driveway 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
prourlng concrete.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -;;='----~""=...- --
Other Fees . . _ . . . . .. SEWER SYSTEM DELV CHARGE "- 745.0_0/
STATE SURCHARGE _~O~
PW WATER SYSTEM USE FEE ~1025.00~
------------------------------------------------------------ -~-==.=...=..=-_.--------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2649.50 2649.50 .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! 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 Wittl 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:\!'olicil.:s\1102.15R [1/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT.
.'. . .
REQUEST:
Date / -z--} ~~DS
Time
Received by
IF
I'
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
17 J 0 be. /0 v1""-.S
1-v-eJ @ lIa o~ P'/unlliY7~
Phone No. LJ t'/JO - 73 '9D
Permit No. 05-782-
Ii -'-1f -
Sewer Foundation Framing Chimney Plumbing Final Sewer. Excav. Other
<--/1/114 .
INSPECTION NOTES: q P3 _I 0 ~ O~-
Inspected: Date / 2-/4 -D~ Time /!!::i!- JJvv d/1l'1fi'.;r{Jcr;'~
Remarks: (~/..<.l'- 6 ce- O,U-.-\:t..er f:'.....~ pol.lV- () k
/2-/5-0' Rv
RESTORATION REQUIRED. . . . .. YES
NO ..,..
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
.
I('ro....i......""....... ..",.............. ...irl.,. if ...."".......~.........\
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
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:.. I 1 2~
Date q J~ ~O'5 Time./ Received by 7F (phone, person)
111D D~P..t
'"""FJ-u.ct G~ ~1Jt)Qd-u1 p~~V\
Phone No.
Permit No. 6'5 - '782..
Plumbing Final ~r E~ca?ther
INSPECTION NOTES: / t'rJAAdttr
Inspected: Date /7).3-
Remarks:
AWl
Time 'i' 35.A .....
By
(<II
C)k
RESTORATION REQUIRED. . . . .. YES
NO )c
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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 ne.cessaryl
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