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HomeMy WebLinkAbout1302 W 10th St - Engineering ,- ttf'ORT~ .....4.0~~ iJ"'f'rlii"'" .... -=.so ~ "\oii:,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001048 Date .412104 1302 W 10TH ST 06-30-00-0-3-1500-0000- RES NEW SFR 1/10/05 RS7 RESDNTL SINGLE FAMILY 102944 Owner Contractor CAUDILL MICHAEL R 431 VASHON ST PORT ANGELES WA 98362 ACE MICHAELS INC. 431 VASHON AVE. PORT ANGELES (360) 417-9579 1456SF SFR W/ATT 780SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 22.20 V-N 1. 00 1. 00 7000.00 1560.00 1560.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date CONCRETE SIDEWALK 70.00 Plan Check Fee 1/10/05 Valuation 7/09/05 .00 o Qty Unit Charge Per BASE FEE Extension 70.00 Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 1/10/05 7/09/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 145.00 Permit PUBLIC WORKS RES WATER SERV Additional desc 1 Permit Fee 640.00 Plan Check Fee Issue Date 1/10/05 Valuation Expiration Date 7/09/05 .00 102944 Qty 1. 00 Unit Charge Per 640.0000 EA PW W/M 1" SERV 5/8" METER Extension 640.00 Permit Additional desc Permit Fee Issue Date RIGHT OF WAY 45.00 1/10/05 Plan Check Fee Valuation .00 102944 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:IPolicieslll 02.15R [1105] 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 YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPoliciesIII02.15R [1105] of( pORT ~ ~.~~<;. ~,.~ .... -=.so ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Expiration Date . . 04-00001048 .412104 7/09/05 Page Date 2 1/10/05 Qty 1. 00 Unit Charge Per 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee .00 Issue Date 1/10/05 Valuation 102944 Expiration Date 7/09/05 Qty Unit Charge Per Extension 1. 00 95.0000 EA SAN SEWER HOOKUP 95.00 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 locations. The Fire Department has reviewed the project application and has no comments The proposal will result in the construction of a single family split level home with attached garage for a total of 1560 sq.ft. lot coverage or 22%. No land use issues are noted. Setbacks are good. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sidewalk to City standards required for school walking route. 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 995.00 995.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2769.50 2769.50 .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:\PoJicieslJ 102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:lPoliciesIII02.15R [1/05] <:!PORT.......~ t~~ ,. L~ ~ ""<~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 32t EAST 5TH STREET, PORT ANGELES, W A 98362 / 04-}lJ4f!) Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use Property Zoning Application valuation 04-00001048 Date .412104 1302 W 10TH ST 06-30-00-0-3-1500-0000- RES NEW SFR 1/10/05 )?fJZ yV)1J ft; RS7 RESDNTL SINGLE FAMILY 102944 mJ~~ Owner Contractor CAUDILL MICHAEL R 431 VASHON ST PORT ANGELES WA 98362 ACE MICHAELS INC. 431 VASHON AVE. PORT ANGELES (360) 417-9579 1456SF SFR W/ATT 780SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 22.20 V-N 1. 00 1. 00 7000.00 1560.00 1560.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date CONCRETE SIDEWALK 70.00 Plan Check Fee 1/10/05 Valuation 7/09/05 .00 o Qty Unlt Charge Per Extens~ BASE FEE C 70.00 ~ ~ ----------------------------------------------------------------- -------- Permit DRIVEWAY INSTALLATION Additional desc Permit Fee Issue Date Expiration Date 145.00 1/10/05 7/09/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per c -------------------------------------------------------------- BASE FEE Ext&l:H,";"", ~ 145.00 ~ Permit Additional desc Permi t Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 1 640.00 1/10/05 7/09/05 Plan Check Fee Valuation .00 102944 Qty Unit Charge Per 1.00 640.0000 EA PW W/M 1" SERV 5/8" METER Extf'n,:::;nn C-- 640.00~ Permit Additional desc Permi t Fee Issue Date RIGHT OF WAY 45,00 1/10/05 plan Check Fee Valuation .00 102944 Separate Permits are required for electrical work, SEPA, Shoreiine, 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. AIi provisions of iaws 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 cancei the provisions of any state or iocallaw regulating construction or the performance of construction. /'. J,~,- ~ J ~ 9- <t>~- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is buiider) Date T:\Policies\II02.15R [1/05J o~ ~ORr >\.\Ie l"'~.~"?'" r-dii- ,. ~ ~- "'"~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Expiration Date . . 04-00001048 .412104 7/09/05 Page Date 2 1/10/05 Qty Unit Charge Per Exteg.Bi8fl 1.00 45.0000 ECH RIGHT OF WAY PERMIT ,..,,--- 45.00 ~ --------------~-----------~------------~--------------~--------~---- Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95.00 1/10/05 7/09/05 Plan Check Fee valuation .00 102944 ________=~~~___un~::~~~~~~_E~:~__:~_:EWE~_~~~~~~_______________~~~ 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 locations. The Fire Department has reviewed the project application and has no comments The proposal will result in the construction of a single family split level home with attached garage for a total of 1560 sq. ft. lot coverage or 22%. No land use issues are noted. Setbacks are good. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sidewalk to City standards required for school walking route. --------------------------------------------------------------~ ~-- Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE r _. 711 r . 00 STATE SURCHARGE : ~~ PW WATER SYSTEM USE FEE '-- 18:. ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 995.00 995.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2769.50 2769.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pubiic 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. Ali 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:\Policies\1102.15R [1/05] . CITY OF PORT ANGELES ! DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: I) / / Date 4- -7)) ;70 Time Received by / / (phone, person) f I I Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Typ spection (circle appropriate one): Sewe: ~oundation . Framing Chimney Plumbing / -??tJ;? /1/ / Z/17-, /71/ /'U Ua 4-( /~_f"_ Phone No. ~(}-&/ 7';<' Permit No. () -4- J /:t7F) Final Sewer Excav. Other INSPECTION NOTES: ~___ Inspected: Date 4/;2/ o~ Remarks: Time ~rg;IJ By ~c / I t;n ru;C . L- ad/'-'#l-L-c/ RESTORATION REQUiRED...... YES NO ~ ~ ~ , 4-] ~ "- , ,\) ~) "'^~ .'\;v < I ::rF.~ 110" >- (t/I Dp @('onr)"-"--1 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 5'0 , , I r t t I ; r I t , 1 t 1 I , i _~_.______-.L.o.-.-.,+-""'..__ . I ;,-- ., IV' ~._...._.._.~ _.<~, __~.._...__.O-_"_F.'._. ... ;;r::' I ~ j; ----. " ~c>l I'f' . I ,- ! I <j 0 I 5G ~l is 626 $1 fr I ~ 2~ ~. I (.'f , t Lb-\ ~1l ~~cl!-~:~ I~ rr:~A: : : . ; : . ~ ; ~f+; ; ;,L *,: : ; , ! tJ~Oo-l t ,.,.;or: 1 ~\Ji : t j i , ! t t ! I I '1:..! \ t, i i It ' t t ' i , i . "AC~'~\IC~$J ""C., f.A::, ~ C ~0 01: \ \ 1..111 - 957'[ ~ , '~d- T -?1" t . , J '.___"T"' <f\ I?> . -V I , , t , I t r t t t , i i t i t t T t ! t I r t t i 1 t I I I , , f j j ! f , , t I t i t t , t + t , i t t r I i I + , , , + i , , I , I , t t -'>i . ., i I~ ,Iii) I t t t 1ft , ~ ) () ~ S"lt'e.t..i- r , , t , . , ' : {\\ ~"',r , ! r t t , I , I i I f t i I t r t t r 1 1 I 1 t r i- t ;- + r r t t r- t t t t ; i , .~\\t O~ \f oS' \<;' t(~ \~-y CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . : . . . . . . . . . INSPECTION REPORT . . . . . . .. . . . REQUEST: Date ""\ -) -~<) Time l/w..4~Receivedby (phone,person) Location of Work to be inspected I J 0 ;;? C-.../ /0 rz Name of person requesting inspection <-V "'- t......, ill v. Address of person requesting inspection f 7 oJ S"c:> is':> r Phone No. '/1)- '/~/7 Type of Inspection (circle appropriate one): Permit No. C:xf -/o<1r85 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~~ CA/c..re r-- INSPECTION NOTES: Inspected: Date "J -) - <:) S ~ Remarks: Time 1C>t:>t:>/j-",,- By //7 r1~?-../ / ,k 5/4 c/"1.f~/ .f" e/<//c'-< t""_ ?O~ (" / c::::. {) <f(J6g zzj) I RESTORATION REQUiRED...... YES NO Y (- Sf: P . r~r'~ ) 0 1Z)r ;;.' c.I ~ El SURFACE RESTORATION: SURFACE TYPE: ftJ Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee o No Damage Found o Asphalt 0 PCC J4r Other Work Order # J O.Jf-l'i' - Ol;l. ~COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be ins'pected I 3:.0 l.. laJ l () Jf Name of person requesting inspection 1'i1..~ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundatio? / Framing Chimney Plumbing Final Sewer Excav. ~ ,("rb'1/1ffcl" "...d dr("v~lda'j INSPECTION NOTES: <:; Z- c::; Phone No. 4-n ~ 1579 Permit No. 04- /018 Inspected: Remtrk:i d~C!)J::> { By F;le.. ,.b,.......... c. () .... kG/ft. ..,.',j ~ jJ)j" "$oS t;koo.> /j Pl'obii't~/ I I k' Ie ;:::" st.:cl !-tV}t' .,4 <e'> .....- (t r RESTORATION REQUiRED...... YES NO ------ 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 o (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date I ~ ( - 0 c:; Time Received by _R. \J (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Permit No. ~- loiiR Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other IsBL Ace.. W ll~tu c \. \ t M I <:.. lA-eQ., ';. C M:l<.e ') Phone No. 'f6b - 6/72. o Ok RESTORATION REQUiRED...... YES NO X. 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 necessary) STREET SUPERINTENDENT (DATE) ..:..dil'ORr~ a-~~ ~ L~ ~ .....;;p> CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00001201 Date 12/02/05 351948. 1302 W 10TH ST 06-30-00-0-3-1500-0000- QWEST PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY o Owner Contractor CAUDILL MICHAEL R 431 VASHON ST PORT ANGELES OWNER WA 98362 Permit RIGHT OF WAY Additional desc 100' BURIED SVC WIRE permi t pin number 66571 Permi t Fee .00 Plan Check Fee Issue Date 12/02/05 Valuation Expiration Date 5/31/06 .00 o Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total .00 .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 construction or the performance of construction. Date Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\Policies\II02.15R [1105] NOV 30 2005 09:36 FR TRAFTON B 2534711324 TO 13604174709 P.01 . . . . . . . . . . ). . ;;:....~.;~ ):;~:~t( ., ",,;~{',,;," ';~f;;~i:I; .~ . '0""'" '(1',...f.t"j ..' cd;': ;~;~~ ....);;;],::i~1 .-:-'~:'0j';:;~'~~~~~ . <.:t-L~':~) "--, .',' ,~-- , . ,"~;::i1il . . ;"-;.' 'J,~~'f .'.) .;/.~"':)" ,;'~,,~~ ..', \;':~~:~.~tz~-t.; ,.: : ..)J',.,..,,-.~,.':I.'b:I . ;-~".t-;'~'~'~~;7~~ -:." 1!J1 <, <f@~ . j;-_\''''>:'''''''.;'':;~ <}!~~1 7650B S, T",flon TlICom., W A 98409 fl,' inill" . ~. ~.."<.>J'i,,,:"..~.:tt.a""~"l' acS' . ie' .... .."...mif.:.... " ... ,,' ','~ ". "l . , " . .' ". ~ '':' " i: ":" ,: .. . To: City of Port Angeles Fax: 360-4174709 (Tel 360 4574807) From: Qwesl CommunicaliDns Dale: 11/30/2005 Re: Pages: CC: Dona Thaut 253 597 5136 o Urgent o FerRe_ o P"""",, Comment o Plea.. Reply o Please RecycJa NcrlaIs: Trenia Funston, 360417-4807 Permit applications: for 1302 W 10'h WP0500997-452C ':. . C1.;'~ ,,1';1;"", "j';": i'';'''':::. -Dona ", .,-.., . "X;~;': ,~li~.~t ',."",:,;~r,l;;r~ ",' ';',..' '~11f~ ';:~:::~~.:','~~:*iJ5 j~m ,."-.'.'h"-'.~' ,I '~:, '~~'f~ -\'. ";'l:t,\~~;;; '~:3";~:~:;:;~~'~~ t: ~.- , 'Thank you, ';"X~JiLi{i '-' "~"~;i:, :,';.';,,1::~ ,. , '~ "/~1'~'~ ; :{;: ;~: :,;(~~it~,i "i'i: .'''l'r.' ; ':".':~ '~"):"~".'..: ,;.7.{ .'?" .' . ',:;, ,'~ "''', ,->/.. "',;:- -.. - . . . . . - . - . . - .. . . . . . . . . . " ; ~,J~f;:~~~I: ,'c ;':S~}i "'!';~~~:ij ~:\:,l~'~~.l ,.' :~;".;';'~;rf '!:rc) NOV 30 2005 09:36 FR TRRFTON B 253 471 1324 cer~ <@f~ YJ~ TO 13604174709 H"Te- J:t- l ,''1-0 O~~ I"LJl&.IC WQJ:Ms WPOSOO997-4S2C Permit To Perform Work In Street Riaht-of.Way place Buried Service Wire 100' in ROW 1302 W lath ( Work is in the Alley) APPLICATION is hereby made [0 the municIpality of PORT A]\Iml!rJ:'1: nOTed hereon and as ,'hown on artached drawing; "?LLA5E. =e.E. Ai't ACtte:!:) Approved: Water Department - SllporiZ1tendern; " Sewer DepazanllDt -' Superintendent, The estimated time fOTcompletion of the above .work Is /lJ ])AyS Date. PHqv~ tAX H/JO-OS By Exce1- BSW~QWEST- Dona Thaut Contractor Owner OW.E..5/ /AJT-i~ ;~IU 2S 3/597 -513.6, 253/471-1324 7850-B S. Trafton, TQcoma,WA THE ABOVE APPLICATION IS HEREBY GRAN'fED SUBJECT TO APPUCANT'S: Complyin!: with all Municipal Ordinanecs; Notifying the Street Superintendent of rhe tlllle the work will star:, and wh.en ir will finish; Pros..euting th.. work ...ith dilililenee and with due respeet to 311 property, contraets. pel$Ol1S' rightS and rhe interests and convenie,u:e of the lNblie: Saving the MunicipaHtv harmless frtl1'tI any ~nthll darnallc' which ("ay ateJ'll= fO any penon or l'Toperty because of this instaJlInlon or The mailltenance thereof; Complying with following special condlrions: Date /2~ OS~ 05 19 II CIty,~ POR~ ~S , V~~~ BV -..... - ra. P.02 <~.;:I ,t,"~;~~'r.~'t~;) " ;!,'>'~:j;,~~ ~::;'I~'!~ , ,. to'",- ..:.t:~~.[~;, , . , '-1>\ 'f'i.'~ ~ '.:,\ti~~1 i I~ /.' 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'~"\~ilt~li ,; cr,~;€~l~~~i NOV 30 2005 09:37 FR TRAFTON B 2534711324 TO 13604174709 P.03 Qwest Job # W P05ccAcn,.. 46~ ~ - '.'~' , : .:/.:,<,: ...i;;)i~"i'j;~1 ':"i1!;i~ :,~~:' ::~~l . :::~\:~ :/,{\il "":;'~;;";>~~ ./::rdf~r ", '~-;'.: W - 1M'!-\- l ~ F- \?J ~ ~ "./\ ~,\ , & ,,"1~fl.4 l I ~ . " . : ":'~i,:~{:~~ ,":,J;m,:"-(:~il ]1 {"!f.:'?1j ':>:J~}~{~; .,.:}..;;~~ . '. ;Ji~i,.,~t~: ;'[1."~ "','?ffi" .:.,;1t.~$ ,', ,':;D,1~~~ " "'K''''~~~'' :2;~Y:~~;)~~ This request for permit is for the placement of underground telephone service wire to .....;;:~;';:' our customer at the following address:'c,:r:,;.<,), . .~ J".':;'; J30 d.. w I oiL, Push or bore 2 inch PVC or BIP under driveway (total footage) -t!!:7- Push or bore 2 inch PVC or BIP under multiple driveways (total footage) 0 +'i;j:l s, .~~= .:,-':';,: ~~;:f;('~ ..;:: " 1::}:'/in~~::~' ..", " ,,;,'ki~ '; !.{"I:>':';"li;.1tJ~' ,'. ~~;'.:'" ~)~;:{:'2 "';~!~,:? ,3;t~ This work will require: Plowing in the R/W (total footage) 100' Push or bore 2 inch PVC or BIP under roadway (total footage) o .:;~z:ft . .,.,...,r,.(~,,- ""~-',::~~;,~dl' ":!~ , '" ,-i~.tl-".' It", ',.' j , .."/'}~ii.1~l ;~~: L ,v.,~ ~1~.~~ .. ... "",-:1,c.r~,:.~.', ..,;.', >All crossings and ROW work at 36 inches: 'All pits and trenching require select fill, ** TOTAL PAGE.03 **