HomeMy WebLinkAbout1309 W 6th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
THOMAS W /PAMELA K WOLVERTON
1309 W 6TH ST
PORT ANGELES
Permit RIGHT OF WAY
Additional desc REPAIR BROKEN
Permit pin number 83527
Permit Fee 50 00
Issue Date 7/31/06
Expiration Date 1/27/07
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total 360 00
Plan Check Total 00
Grand Total 360 00
WA 983631812
1 00
Signature of Contractor or Authorized Agent
T•\Policies\ 1102.15R (1/05)
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
STREET ALLEY RESTORATION
REPAIR BROKEN SEWER
83535
270 00
7/31/06
1/27/07
Qty Unit Charge Per
1 00 270 0000 ECH STREET
Qty Unit Charge Per
40 0000 EA SAN SEW REPAIR
CITY OF PORT ANGELES
PUBLIC WORKS UTILI'11ES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000818
484796
1309 W 6TH ST
06 30 00 0 1 -2070 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
SEWER IN ALLEY
360 00
00
360 00
Plan Check Fee
Valuation
IN ALLEY
Plan Check Fee
Valuation
ALLEY RESTORATION
Paid Credited
00
00
00
Date 7/31/06
00
0
Extension
50 00
00
0
Extension
270 00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 83626
Permit Fee 40 00 Plan Check Fee 00
Issue Date 7/31/06 Valuation 0
Expiration Date 1/27/07
Extension
40 00
Due
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, 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 goveming 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
cons
Date Signature of-Owner (if owner is builder) Date
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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
RESIDENTIAL
CONSTRUCTION RW PW/ 417 -4807
ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102.15R [1/05)
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 .1 1
1 1 1
1 1
1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT.
1 PLANNING DEPT
BUILDING
1 1
1 1
1 1
1 1
vveunesaay, UCIOoer U.j, Luu.1 ~::J:J AIVI
Bobby O. Coleman 360-452-7594
p.01
,~......... , ,.., 1 I
~ t ~
ELECTRICAL PERMIT APPLICATION
FOROFFlO..u.USf.O-':LY
O~klRn.~
I'nm..-;
DIttA",,,,,,":
D.~lullot\l.
The Electrical Permit Application must be fined out cGmolelelll
Billing Address:
Please type or reprlnt'n ink.. If you have any QU8$tions. please call (360. 417-473$
/? / / /.1l /V !a. number. (360) 41Hm
PDtloy C/ ~olo>-n.q.y .
_._-~- 11"10*,,/ A'1n~~1 c:' Ph..e:d..-~;~~. Fmc
Property Owrw, 7h () >'11 /j .s tiff t/ b/? -10 K ~ _ _ _ _ Phon.:
Add'.s" / 5 () ~ 4) c; f- h Clty va-r- rJ -tJ'j 0"
Elec""'a'Con~"or. c?/1 / CM,q,u E/c-cl-r(' <. Uc;ensuL!DI ttli,;1> ~:F~ lJ
Add",,,,, :::';);;z. (,) II" T k. Gill': PuR T .A <'\J'7 pie s
INSTAUATIONWlREOBV, DOWNER ~ICALCONTRACTOR
Cr9dftCarrlHolderName: $o&6v a (l26/Gffl/l"l/
/ /?
I AJ / G; :/-1, CIIy: fO a. !- A -1/'7 de"
(
/
'IS.l 7",,/ <{-
$'57-53;;; G,
Zip; 9 s.- 3 Co Z
07 Phone: ;;J... - 'I S <] '-J
lip; Cjg S ( L
5d.;J
Credit Card NUmber: Exp. Dale-
Zip: 9 ~3 C, /
VISA: ~C:_
PRO.IECT ADDRESS;
/3() 7'
w
(.. f-J.,
TYPE OF WORK:
Check all that apply: 0 New
o AlteralionlAddrtlon
o Residental 0 Mulli-family
o Commercial 0 Mobile Home Sq. F1.
o Remote Melar 0 Delached garage ~Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Vohage 0 Telecom. 0 Sign
Number of Circuits added or allered: /
DESCRIPTION OFTHE ELECTRICAL PROJECT:
!.JI.e;'
),j" + J;j /;
Eleclrical Heal Load Additions
PerM;+ Fee.: 7/S.S0
SarvlC9 Information
o Baseboam
o Furnace
o Heat Pump
o Fan-Wall
_KW
-KW
-KW
-KW
o Ovemead Service
o Temp Service
o Underground Service
vonagefJ!if' ~
Phase: 3
Service Size. 06
Feeder . :
PAMC 14.05.060(8): For indus'rial. commen:ial. & "'sidenlial pm/ects larger than e duplex. a ana _ line drawing of 'he Elec'rical Se"''''e &
Feeders. bu~ding size (sq. h.), load celculalions, and the typ. & 01 conduc'ors andlor raceway is 'equi"'d and shall accompany 111.
Electrical Permil application.
I hereby CErtify that I have read and examined Ihis application and know that same to be true and correct, and I am
authorized to appfy for this permit I undelStand it is not the City's legal responsibility 10 determine what permits
are required; it remains the applicants responsibl7 termine what permits are required and to obtain such_
Credit Card Holder's Signature:
Oate!- /cJ-3-C)/
Date: /17 - " -01..
P
ature:
PUBILIC WORKS & R/W PERMIT
Issued
11115/1999
Permit No
Work Order'
1006
o
OWNER/APPLICANT 0 Attached Notes
Tom Wolverton
1309 W6th St
PW'CITY, PW'State PW:Zip
000/604-7526
PROJECT INFO
Work is.
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance.
Work to Perform:
PROPERTY LOCATION
1309 6TH STW
Lot: 18
Subdivision.
Parcel No'
Block: 120
TPA
D Long Legal
Value Work:
$000
Start Date.
1 1
Finish Date.
206/000-0000
1 1
Amount:
$000
lSJ Install D
D Repair D
D Watermain D
Sanitary Sewer
Storm Drain
Underground Tele/Elec
5J Misc
dwy
PROJECT NOTES
construct to city standards
FEES ASSESSMENT:
1 ) R/W Excav' $000 15 ) Other San Sewer' $000
2.) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W/M Removal: $000
4 ) Driveway' $12500 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain. $000
6) Street Cut: $000 20 ) Catch Basin per ea. $000
7 ) Other R/w' $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000
9 ) Res Water Servo 5/8" $000 23 ) R/W Use Perm: $000
10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000
11 ) Other Water Service. $000 25 ) 0 RA. $000
12.)Water System Dev' $000 26 ) Misc: $000
13 ) San Sewer SFR $000 TOTAL FEE. $125.00
14) San Sewer MFR $000
add unit: 0 Amount Paid: $000
Receipt No 5481
Inspection Fee. $000 Balance Due $125.00
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
REQUEST
Date
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)
} ~q LLJto~
Phone No
Permit No
)000
da~
~
\)J
'\::)
~
~
\\'-
\:5
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected
Remarks
Date
no ?l~
Time By
IP/17/?-oo-o
,
rr=
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 #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
e
r~
~
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
O&-9J>s
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
property Zoning . . .
Application valuation
06-00000818 Date
484796
1309 W 6TH ST
06-30-00-0-1-2070-0000-
PUBLIC WORKS UTI LITES
7/31/06
RS7 RESDNTL SINGLE FAMILY
o
13Dqw~Jb
Owner
Contractor
Permi t
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
REPAIR BROKEN SEWER IN ALLEY
83527
50.00 Plan Check Fee
7/31;06 Valuation
1/27/07
.00
o
w~
~@GJ1f
ra~
THOMAS wjPAMELA K WOLVERTON
1309 W 6TH ST
PORT ANGELES WA 983631812
OWNER
Qty Unit Charge Per ElEVemrrbn
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
-------------------------------------~----~-----------------------~ ------
Permit STREET ALLEY RESTORATION
Additional desc REPAIR BROKEN SEWER IN ALLEY
Permit pin number 83535
Permit Fee 270.00 Plan Check Fee .00
Issue Date 7/31/06 Valuation 0
Expiration Date 1/27/07
Qty Unit Charge Per
1.00 270.0000 ECH STREET ALLEY RESTORATION
Exte
270.00
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
SANITARY SEWER HOOK UP
desc .
number
83626
40.00
7/31/06
1/27/07
Plan Check Fee
Valuation
.00
o
0'Y'~Oy
f-')
Date
Qty
1. 00
Unit Charge Per
40.0000 EA SAN SEW REPAIR
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -------~--
Permit Fee Total 360.00 360.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 360.00 360.00 .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, 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 constructio"n or the .performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T;\Policies\II02.ISR [lIosJ
,
,....
I
",,^
'" ,~.
~
.;;,,'
:'.
"
"
,
'~
~"",,,,,,
, ^ ""'~~""<;.,~
..j..
.AiL.
~;
,:""Ji1~
"
.
'.
,
"
~
;
- ,
,
t
,
j
.
Po;:.' ;:",
~ \ "'"
"
,\
\
'<
'\,
,
j.
'>
..
'';
,
,
.-
. ~..t',
. '
~' ,
~
i,
,
';:'
"
.
'.
.:.~~,
f""
'-
\.
'- ..
\
h
t.
'.
t
", '^'"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date B -I-OJ.:.
Time
<6 zo
Received by -f-- (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
~oundation, Framing Chimney
130'1 lD l.a 1b
---.:e~ 1 A-h
A"",.- l<"'ck<:4l1
Ei 1~)..Ie.l/ s PI\.( \In b ( ~
Phone No.
Permit No. Cl~- <a/~
Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 8- ) - Of?,
Remarks:~la.~e. bt:o.kQ.."'-
sZ I ontc r,-op~,_"f-y
\'
Time
,
L;..V\Q
By
*...0.......
ell
~II (l.oncrefe.
""Ql J.J Q J'-
lM.a 11.1.
S-IX/O/
RESTORATION REQUIRED . . . . .. YES 'X NO
P)(~~'f~~~- en"
e/
Il<./If tJ
, f
F 5Tr~e+
, ~ ""
p"'--' ~s '---'5/~/'_\
'2."""""-: - L{S c) Qc:l-ep
tJ<f'?' o'{ fll/.'ll
I
'5
I
,2.
rJw.J
,'/
I rI d".of '-1l'Jc
'2. Z e..jo
II
tt...o>l ~ve-
I " t ~'"'
z.. _ ~ f I /
k~v t.12.
LJ /I (.o,^c.re
"
!~Di
[
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel [gJ Asphalt D PCC
~ ffcei J)6.f't. 00 Repaired by City Work Order #
'53($- { 0 Repaired by Permittee JRJ COMPLETE
o No Damage Found D INCOMPLETE
D Other
~(lhr'~
fP _~l-rpPI-
f -7~Drb TF
''''--'''-'-..- -- --------- -'-'- ,~-