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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuat~on
Owner
2/02/06
06-00000073 Date
937747
1716 0 ST
06-30-00-4-4-0280-0000-
FRED GANCEAU
RES MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
66314
Contractor
EAGLE'S LAIR LMTD PARTNERSHIP
PO BOX 798
SNOQUALMIE WA 980650798
OWNER
Other struct ~nfo .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
23.00
1. 00
9000.00
2032.00
2032.00
DRIVEWAY INSTALLATION
70219
170.00
2/02/06
8/01/06
Plan Check Fee
Valuation
.00
o
Qty Un~t Charge Per
BASE FEE
Extens~on
170.00
Permit . . . . .
Additional desc .
Permit p~n number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
70227
750 00
2/02/06
8/01/06
Plan Check Fee
Valuat~on
.00
66314
Qty Unit Charge Per
1.00 750.0000 EA PW W/M 1" SERV 3/4" METER
Perm~ t . . . . .
Add~t~onal desc .
Permit p~n number
Permit Fee
Issue Date
Expirat~on Date
Extens~on
750.00
SANITARY SEWER HOOK UP
70201
110.00
2/02/06
8/01/06
Plan Check Fee
Valuat~on
.00
66314
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Address numbers shall be plainly v~sible from the street.
Address numbers shall be a minimum of s~x inches h~gh and be
of contrasting color from the background.
All homes ~n new subdivisions that are outs~de of the F~re
Department four-minute response area shall be equipped with
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 penod 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 authonty to violate or cancel the provIsions of any state or local law regulating construction or the performance of
construction.
qM.(2dA.A9~'lo ;J.-A-O~
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Pohcles\1102 15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000073
Application pin number 937747
Page
Date
2
2/02/06
Spec1al Notes and Comments
res1dential fire sprinkler systems that comply with the
Internat10nal Fire Code (IFC) and Nat10nal Fire Protect1on
Assoc1ation (NFPA).
01/30/2006 01:48 PM SROBERDS --The proposal will result
in the placement of a new mfg home in the RS-9 for total
lot coverage of 23%. No land use 1ssues are noted.
Electr1cal load calculations and elctrical permits are
requ1red.
Electrical connection fee of $410.00. U/g service form
pole at s/e corner of lot.
01/24/2006 04:21 PM GMCLAIN ----------------------------
Sldewalk to C1ty standards along "0" Street requ1red for
school walk1ng route.
Sanitary sewer connection inspect10n is requ1red by
Public Works prior to back fill of ditch. 24 hour advance
notice 1S required.
Construct driveway and Sidewalks to C1ty Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public works
Eng1neer1ng is requ1red pr10r to prour1ng concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Pa1d Cred1ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1030.00 1030.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 3104.50 3104.50 .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 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 authonty 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:\Pohcles\1102 15R [1105]
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CITY OF PORT ANGELES
PUBLI9 WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
0&- 73
/7JII 'S
td~tMvP~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . .
Application valuation
06-00000073 Date 2/02/06
937747
17160 ST
06-30-00-4-4-0280-0000-
FRED GANCEAU
RES MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
66314
Owner
Contractor
EAGLE'S LAIR LMTD PARTNERSHIP
PO BOX 798
SNOQUALMIE WA 980650798
OWNER
Other struct.info
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
23.00
1. 00
9000.00
2032.00
2032.00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
70219
170.00
2/02/06
8/01/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per ~xte .
BASE FEE 170.00
---~-------------------------------~------~---------------------- -------~-
Permit _ _ . . . . PUBLIC WORKS RES WATER SERV
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
70227
750.00
2/02/06
8/01/06
Plan Check Fee
Valuation
.00
66314
________=~~~___~~l~=~h~~~~_~:~__:~_~~~_=:_SE~V_:~4"_~ET~~________~~~~
Perm~t SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
70201
110.00
2/02/06
8/01/06
Plan Check Fee
Valuation
.00
66314
Qty Unit Charge Per E~ten .
1.00 110.0000 EA SAN SEWER HOOKUP 110.00
--------------~------------------------------------~-------------- ---~---
special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
'0 J) ~
dJJ
~ ~J
I. f 1;\
\ \ VJ
Separate Permits are required lor electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void ilwork or construction authorized is not commenced within 180 days, il construction or work is suspended or abandoned
lor a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days lrom 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
Date
Signature of Owner (if owner is builder)
T;\Policies\1102.ISR {1/05}
rJ:~ORr~
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00000073
937747
Page
Date
2
2/02/06
Special Notes and Comments
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
01/30/2006 01:48 PM SROBERDS --The proposal will result
in the placement of a new mfg home in the RS-9 for total
lot coverage of 23%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee of $410.00. U/g service form
pole at s/e corner of lot.
01/24/2006 04:21 PM GMCLAIN ----------------------------
Sidewalk to City standards along "a" Street required for- '-r
school walking route.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct dri:eway and Sidewalks to City Standards. ~
No concrete w~th exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~;~;~-~~~;;~-~;~;~~~~;-~-~o.oo~
____________________________________;~:~;=;~:~~;~_~:~_~~~__c: 120~~__
.
Fee summary charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permi t Fee Total 1030.00 1030.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 3104.50 3104.50 .00 .00
Separate Permits are required fDrelectrical wDrk, SEPA, ShDreline, ESA, utilities, private and public improvements. This permit becomes
null and void if wDrk Dr cDnstruction 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 cDmmenced, 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 y.ohether 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 locai law regulating construction or the performance of
construction.
Date
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:\Policles\1102.ISR [1/05]
APPLICATION FOR WATER
City Water Division
Port Angeles, WaShingtontd q
,204
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: 1~4 ~
:::':'"""'";l~~ljrf~J''^ et;::=
Renewal 0 New servi~ Lot f.,!; Add ~ I~ ~e
~ /j .. --., 7C:<J
Size of Service 7, Meter Number OS ~.J\ C l 0
Service Left On 0 Signed r;z. /? ....(~ J '"
Installed by
l?soD} r)ZffO --
tr>> j 0 l_
Remarks: fe r mrr--l:l- 0& - 7?
s
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date '-/ -11- 0<':'
Time
Received by
(phone, person)
Location of Work to be inspected II I <0 S 0 .
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
rfewij) Foundation Framing Chimney Plumbing
o S+.
Phone No. 'f~O -7.3 90
Permit No.Ob- 73
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date r~ t.! - II - () lo
Remarks: )...0 ~",-\..e ~ e
{~rls+;;;;;:.;r'l I...j {I PVc- r:&!
lD' _ I',ovt...
'1'5;0 ESTORATION REQUIRED...... YES
10 '-2\'f"P-J1::. ~ 'is'Cl
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NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date L/-2t6- Db Time Received by gV (phone, person)
,
Location of Work to be inspected -111 In 0
Name of person requesting inspection h.or~,
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
s.,
Phone No.
Permit No. Of-l-73
Sewer Excav. Other CLAt~b
Final
INSPECTION NOTES:
Inspected: Date L.J-ZCd- Db
Remarks:
Time
By f2 V
o k. +0
'P nLl. II""" C ~... h
RESTORATION REQUiRED...... YES
NO Y---
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 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)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . . . .
REQUEST:
6'-JZAO~
Date
Time
Received by
--rr::::-
I I
(phone, person I
II
Location of Work to be inspected J 7 J I" 5 D II
Name of person requesting inspection !}Q OQ.ut f~~/l
Address of person requesting inspection Phone No. ~/~ 1~<rC)
Type of Inspection (circle appropriate one): Permit No. 0" -7.3
Sewer Foundation Framing Chimney PlumbingBsewer Excav. Other dUkj- - ~'UbJk.
INSPECTION NOTES:
Inspected: Date 6-1/3 -Of.&, Time
Remarks: sewe.... c:.OO'l'~<::C.t-LOV\. '1-I/-()(,..,
])S~~~::1k (!iL~b ~:::~~Z
J::,',.(.c::t I s -/6-06
By
RV
(j {:
{
RESTORATION REQUIRED . . . . .. YES NO)<..
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC OOther
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)