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Home My WebLink About3421 Wabash St - Engineering 'i CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 O)--yt7 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use property zoning . . . Application valuation Qty Unit Charge Per E~ 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 Owner MEYER, DONNA P. Q. BOX 3125 SEQUIM (360) 808-2170 Other struct info Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date 8/17/05 05-00000697 Date 038356 3421 WABASH ST 06-30-14-1-)-9020-0000- RES NEW SFR 3421 w~~$f. RS9 RESDNTL SINGLE FAMILY 144051 Dn1At4 ~ Contractor TERHUNE CUSTOM POBOX 97 WA 98382 POULSBO (360) 697-7000 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS HOMES WA 98370 21.07 2.00 11322.00 2386.00 1. 00 PUBLIC WORKS RES WATER SERV 57323 715.00 8/17/05 2/13/06 plan Check Fee valuation .00 144051 57315 50.00 8/17/05 2/13/06 ~,~ ?/~,.oy 1'(- plan Check Fee valuation .00 144051 Qty 1. 00 Unit Charge Per 50.0000 ECH E~~-;) RIGHT OF WAY PERMIT ~50.00 ----------------------------~---------------------------------------- --- SANITARY SEWER HOOK UP Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 57307 110.00 8/17/05 2/13/06 Plan Check Fee Valuation .00 144051 Qty Unit Charge Per ~. n 1.00 110.0000 EA SAN SEWER HOOKUP 110. 0 ------------------------------------~-~--------------------------- ------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall 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 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. r 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 wilh 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'olicies\II02.15R [1/05J ~ ?ORT-v., "...O~.q.<" a~.ri1iii ~ "! ~-, ' -' ~1Cw:;!<'P .j ,'. CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 05-00000697 Applicat~on pin number 038356 Page Date 2 8/17/05 Special Notes and Comments by' Bu{lding Department is required prior to backfill. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as"."Fire alarm" 08/11/2005 05:13 PM SROBERDS -- The proposal will result in .the construction of as. f. res in the RS-9 zone for tOtal" 'lot' 'coveage of 21%. No land use issues are noted. $410 Connect Fee 08/02/2005 04:24 PM JHEBNER ---------------------------- Electrical load calculations and electrical permits are required. 08/02/2005 04:24 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will . b.e.~at""the. customer 1 s expense. , -" . 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 ~ - ____________________________________~~A~~:~~~~;;_~:~_~~~___~;:~~-- Fee summary Charged Paid Cr~dited Due . '~'." , ;..-,. .......i'...' ----------------- ---------- ---------- ---------- ---------- permi't- 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 h~ve not been requested within 180 days from the last inspection. I hereby certify lhall 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'olicies\] I02.15R [I/OS] V'"-~V APPLICATION FOR WATER !' \ City Water Division yl; \ fJ 0 Port Angeles. Washington '8 ~ 17 . . 20 C~ ~ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: €loB -;;l./'O po (!,of.. ~5 5 8 5L9"'/~ 9'K3'il':l. . Name of Applicant: D 0 l\l N A VItI Fo y' F;. R. Address: -=3Lj:J I \AI t'\ f'> ~s H "T. Renewal 0 New Service El1fIk. Size of service_I i.. 5/1() Service Left On 0 Service Left Off Er Installed by "711 Remarks: PE \!.l'I\ Ii ~ 0 6; -IoC{7 Lot c.. AddSP6~IOll:l. ..:~~6m .tl/O;;z.5"-~d-~,IS-~ ~1ZC6LxI O&]ON/39oM ( w ~_ 11" ilL N "," " v 't: , " '" ~c.J;.rt! ""'- "U E -< ... '" ~ ~ s ~ - Se/'ltl." 3' /I'm" ,,~ NyJrr..,r - - CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date /';; -;:2 - 0 S Time "IF Received by (phone, person) Location of Work to be inspected "3 Lj d I Wa 10 Cl :':> 11 Name of person requesting inspection C,.-,t j' E-"'-., Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 05 - Co 9, Sewer Foundation Framing Chimney Plumbing Fina~~r EX~ Other INSPECTION NOTES: ________ Inspected: Date /,;1 -7 -D ~ Time d: fJ~ By ~~ Remarks: C _0>'\-\-0" ~le-~ \ OcC<..-~A_ C,I' fvc. S~b cd- pr"D--e.~~ 1- C,..-J J. I'd -eep. Tn .5//4 (( h "-I (/" !2...f Jus..: UN J /n S //4 II 'I" IVc.. Jo hat-{ ~-c l-V,-/-t, C!.~o. II RESTORATION REQUiRED...... YES ~ \ NO I( " I/lt{ lP I ':J{{I/ (L~ov G,ro"d leu..! c:p lII\ , 1/ J.4 13{J,"~fl 1 I (J { ~ 4s0('y",~ 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 ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date 2 - 17- db Time Received by Rv (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. :'?i/n 849~ Type of Inspection (circle appropriate one): Permit No. ClS -697 Sewer Foundation Framing Chimney Plumbing ~sewer Excav. Other .?Lfz / wo...bqs Ii fS/11 INSPECTION NOTES: Inspected: Date 2- - 2/ - C) 6 Time By R t/ Remarks: Dr" well" 0 < . 7<u..:td,'.....-:; b~pt I ))....~ \I e "'/("y - C'...... ",r ..-",-r--~ () k ,.Sew-e....- i!.D~'^e.ut-~18\.1 I") - '7 -oS Ole OK RESTORATION REQUiRED.,.... YES NOY- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC OOther o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO .-.-:;/ 1'_ ,/VI P c. TVr' · I ("'-/4L- GENERAL COMMENTS: PW,II02.1~ [4196] 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: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner MEYER, DONNA P. O. BOX 3125 SEQUIM (360) 808-2170 Other struct info 05-00000697 Date 038356 3421 WABASH ST 06-30-14-1-3-9020-0000- RES NEW SFR 8/17/05 RS9 RESDNTL SINGLE FAMILY 144051 Contractor TERHUNE CUSTOM POBOX 97 WA 98382 POULSBO (360) 697-7000 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS HOMES WA 98370 21.07 2.00 11322.00 2386.00 1. 00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 57323 715.00 8/17/05 2/13/06 Plan Check Fee Valuation .00 144051 Qty 1.00 Unit Charge Per 715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Qty 1. 00 RIGHT OF WAY 57315 50.00 8/17/05 2/13/06 Plan Check Fee Valuation .00 144051 Unit Charge Per 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Qty 1. 00 SANITARY SEWER HOOK UP 57307 110.00 8/17/05 2/13/06 Plan Check Fee Valuation .00 144051 Unit Charge Per 110.0000 EA SAN SEWER HOOKUP Extension 110.00 ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast 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 pressurized or pumping to curbs are allowed. An inspection 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 T:IPoliciesIII02.15R [1/051 Date Date - (1-0) PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 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 I YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4] 7-4750 PLANNIJ'.:G DEPT. BUILDiNG 417-4815 BUILDING T:IPolicieslll 02.15R [1/05J CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000697 Application pin number 038356 Page Date 2 8/17/05 ---------------------------------------------------------------------------- Special Notes and Comments by Building Department is required prior to backfill. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" 08/11/2005 05:13 PM SROBERDS -- The proposal will result in the construction of a s.f. res in the RS-9 zone for total lot coveage of 21%. No land use issues are noted. $410 Connect Fee 08/02/2005 04:24 PM JHEBNER --__________________________ Electrical load calculations and electrical permits are required. 08/02/2005 04:24 PM JHEBNER ____________________________ Any modifications to the City's electrical facilities will be at the customer's expense. 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 745.00 4.50 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 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:IPoliciesl] I 02.15R [1105J PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE r INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKJNG SIDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 4 I 7-4750 PLANNING DEPT. BUILDING 417 -48 I 5 BUILDING T:IPoliciesll 102.15R [1/05J