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Home My WebLink About921 Seamount Dr - Engineering PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLlCANT Issued: 10/17/2003 Permit No: Work Order: 1389 o PROPERTY LOCATION 921 SEAMOUNT DRIVE Lot: 1 & w1/2 It 2 Block: 1 Subdivision: Seamount I Parcel No: 063000950000000 D Long Legal 0001000-0000 PROJECT INFO Work is: Value Work: $0.00 Plans Required: Start Date: 1 1 Finish Date: 1 1 Contractor: QWEST COMMUNICATIONS 360/000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: ~ Install D Sanitary Sewer D Mise D Repair D Storm Drain D Watermain ~ Underground Tele/Elec PROJECT NOTES placement of buried service wire for customer at 921 seamount Dr. to include 300ft of the right of way on 10th Street FEES ASSESSMENT 1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W/M Removal: $0.00 4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00 6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00 7.) Other RIW: $0.00 21.) Sewer System Dev: $0.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: $0.00 23.) RIW Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00 11.) Other Water Service: $0.00 25.) D.R.A. $0.00 12.)Water System Dev: $0.00 26.) Mise: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $0.00 Receipt No: Inspection Fee: $0.00 Balance Due: $0.00 OCT 14 2003 14:55 FR TRAFTON B 2534711324 TO 13604174709 P.01 ,~~ ;' ;i" "'><4e;: .;;~ '..:,':~:' ~~l,'~ (~} ~t;,,'~' L~'1" J!.acS. ,I ;', r ' \ ~)~UlNII~ I," ::' j ~ .',< . :'))'i:;l;t~~~ ,;, ',' ~{}':'!1 ~mU '.' ."i!)\~;:~ ';. '1,~'~;~ .' .';;;:H}i~i~ ,'":,;,,V::!! .".:"~{f~ '::;~~J:i~:; . . ;\?~~f:i,~~' :', ,~}~!~:~:~ ,',' :":"':::';;~ " ":''/'.~;'l~~} ',:~:, ~",:':;'~ .: " . ~( , :::N:~:\ , :'i:}~1;;: >. ";'j ", ~ '!, ' 78~OB S, Trafton Tacoma, W A 98'409 To; City of Port Angeles Fax: 360-417-4709 From: Qwest Communications Date; 10/14/03 Re: Pages; :3 CC: Ryan Fuqua D Urgent o ForRmrlew o Pi...... Comment o PI_ Reply o _ Rscycla . . . . . . . . . . ., :1.' , .:>:::;::;::~ 'i ,~, ~~; <, ~:;j~~ ~;f~ .:,;::.'~,,,~j .;~!.t)\>~ " ,.::~:;,~ W0030600 1/452C " r ~ ~, ,l , : : >~S~\ , '\.\\\~ /'lotBs; T. Funston, Permit applications: -Ryan ,,"/' "/~:~ 1 :~:';;,~~rfj, , '/~; Thank you, -'. . .. . - . .. . . ~ . . "'. ".;',.~,:~~~~ '."'~..\'lJ,'}gtt! ,~j!{,1 ( .", ??';',:r':~)~'?i , <, .',1:;'1:;: .':.' ,:>.:~\:~,;:,i ~',.,.' ',:.. f,~'k: . ,',,;,:,..., ,~(. : :~.::\,~: ;1 '"", i., . , ':' .,.){~ :", ~~~ ,.,,\ ;. OCT 14 2003 14:55 FR TRAFTON B 253 471 1324 TO 13604174708 ~'? t@/~ g)~ FUIUC WO~ Pcrmil To Perform Work In Street Right-of-Way .: '"....~ .- APPLICATION is her~by made to the muni~ipality of !?OM' ANGELES nOTed hereon and as .hown on attached drawing: _ to perform work as . PLEA'SG P.02 .<:~f~:: . ,~ ":',,=(:~j , ~\ > :;.<:~1::;~ ';":<l~ \!:~~ . ,':;:i'lii ", ':<';::.::"'1 ,::\,,)t: " ".:~/..T;:I: " '~':::9::.;; ',:,\\'-:, ,""" , " see. A1\ ACttE!:::> 5~:J{'#' W00306001/452C, ' . ,~,' r',;: Placement of Seamount Dr. buried service wire for our customer at 921 to include 300 feet on the right-of-way. Approved; f~\73V] Water Department - Sltperintendent Sewer Depanment - Superintendent The estimated time ror'~ompletion oflhe above work is 10 "DAYS AF-n::::lL n F:CEIF""l' Date Oct, *" :" Phorie:253-473-0788 6.003 , By Ryan Fuqua COntraClor X Owner OWE51 /ATf'i~ ;B6w iDOM,' 7~ 5085' TF:-9F TQro-- Tl'jctJ"1.q, ",,'~ I THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPI.ICANT'S: l"AX L S3 - em- f~2'1 ComplYing with lIll Municipal Ordinances: Notifying The Street Superintendent of the time the work will star:, and whon It will finish; Pros..cuting the work with dillgence and with d.... rcspeCt to all property, cantrllcn. persons' ri8.h.ts and the in IcreSTS lInd conv"nience of the publi~; Pate Saving the Municipality harmless from any and all damag", whic;h rnay a~crue to any person or property beclluse of this installation Or the maintenance thereof; Complyinl1: "'lIh following special conditions: /0/;7/03 19 aty..~ B~~/.I, \ ) ~-- ..... .....,,.. ",;,/' '~ , . ; if, ~ I '.' ':};:, ,~;J'~~' .. , , ;: . ~. . , .' ' " .' I \~ , .' :i"~:! ,~ . ,'.s,;..',; . '. ,rl?i:~'>' ~ ~1..iJ':"Ii\: : : : ': :" i(~,~~::'~i:~ .. ,,:..,:'~':~ ~'&If,,,i'" . , . ' , I ~ :,.',~:'.'. \ ~ ," "')\),::~0;! ,/:\\,:",.:: ',,' >'.;,'" ", , ",.' .' -,", , " " " \," ,'., / ,1,', , ; '~<!:~:;;~:'~ , ':. '::+:::~i: ',.;:~j.'!<;::' OCT 14 2003 14:55 FR TRAFTON B 2534711324 TO 13604174709 Qwest Job # 'vvOr)3~G 015f -'-f52..C ",--,,,,, // / 1';/ ~.) / ,,0 / ~ ~ / "~ ~J vj/~ '''~/O / ~ ~ "" ~~ -"" P""f?- '" ~ 1OU;' ~~ ......'-...", " ", '~=-'-l~=- (S f=t) Min. -::: ~ ~ I I --' "- c:...rr.~ PifIC ~CUJSIll ~o<e< Dl"lI~s.itM::ll:lad.,lh..uJd ,:.oQll=~ III . su:i.ablc drau\llll;<a~ Section: ownshi Ran e: Typica' Crossin!: Detail CasiaIPipc:r~t:. .,...a..,o mu;t ...m.:l Dee p..tWUMil~ t N This request for permit is for the placement of underground telephone service wire to " our customer at the following address: C)21 SEA-MOUN} 'DR, This work will require; Trenching in the R/W (total footage) ,~I 'l-- 8 Push or bore 2 inch PVC or SIP under roadway (total footage) 0 ~ 'Push or bore 2 inch PVC or BIP under driveway (total footage) C;Z; ~ Push or bore 2 inch PVC or SIP under multiple driveways (total footage) (J () ';ill crossings and ROW work at 36 inches, <::> . All pits and trenching requir""s select filL ~ ~ ~ o P,03 , ;~ :,: \1\' , "':'; ',,' . ,;. '. '.:::'# "'.Ide , , 1/,>(,..-, "" ,\",,:0 .' ~ '.' L". I~' ,(!l;r~~}~l ;,}~~~;~ ":,:' , "1 ,~ :,.//J;';~~ ""<~\:t\1Jlit " ' ,',,: I , " 'l, \,', ~ , "" ";,~,' , ' : ".~,,: ',,)' "\\:r::"'; : ,';~\\;}.'< i >.,' :,\'~',:' ? '<:'~ >':I,;~::(;'ft:~ ;\,t~1 , ~';,,:;,:::.'!; , " , , .',.~ i.: "",tll',) ',' ;,~,'" " ,,,J' " , \'" ,:" .'", , {'.','. ,,\' ~. : :Cr: ':' ,{ " . \: , :::..,,:, I"~ , " 'I,~ ," ", . :,::/,/ . ;:',".)':."~: >",;',1 :.': . ,~ I, , '.. '" ~;:I.:':>~" , , :' ,:',;,~'~ ;, "'".'.1 '.,.,'\\,' ** TOTAL PAGE,03 ** c1 ~ORT ~Q ~~~~<,. ~,.W "-~ ~ ~.,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 03 -(;;/7 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valijation 03-00000617 Date 921 SEAMOUNT DR 06-30-00-9-5-0000-0000- RES NEW SFR 7/22/03 142216 Owner Contractor --S::\ ~ WALTERSON, LUCILLE OWNER 18453 E H 106 BELFAIR WA 98528 (360) 275-4621 Structure Information NEW 1947SF SFR W/ATTACHED 910SF GARAGE _____ Construction Type TYPE V NON-RATED Occupancy Type SINGLE FAM & CONGREGATES Other struct info NUMBER OF UNITS 1 00 -" 640 00 7/22/03 1/19/04 Plan Check Fee Valuation 00 142216 W k, ~ ..J % * y ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV -------_:~~~---~~~~~~~~~~~-~;:~-_:~-~~~_:~~_:~~:_-----------------~ permtt RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45 00 7/22/03 1/19/04 Plan Check Fee Valuation 00 142216 -------_:~~~---~~~:~~~~~~~-~~;~--~:~~=-~~-~~=_:~~==--------------~~~~ Perm~t SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95 00 7/22/03 1/19/04 Plan Check Fee Valuation 00 142216 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1025 -------------------------------- ---------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780 00 780 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 2554 50 2554 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 regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date ~rO/ Signature of Owner (if owner is builder) Date TWLA!\.'NING\FORMS\ll 02.] 5 [4/2002] tOF 7 "Y/0 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST " r? Date q - t)- 'D /' 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) Cf;(( 5-e CA. 111. 0 U yt 1- ---- ILdi$OY It fit n-- 13 Phone No J)jrl Permit No CJ~."lj /7 f { )J(~~l/ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Remarks Date Time .. ~ ~~// S-er . By lu'--P(.l j I IX ~ (1 /6<t~y- ~ ~~~~d I 7' YES NOL/ RESTORATION REQUIRED II I t:r )J1\ ~b ""L~ - / ($ \t\ )0+1 . - --' \ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City [] Repaired by Permittee [] No Damage Found "York~er # ~MPLETE o INCOMPLETE o Other 73)10 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB I ROUGH-IN WATER LINE GAS LINE BACK FLOW /WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4] 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 4] 7-4653 FIRE DEPT PLANN]NG DEPT 417-4750 PLANNING DEPT BU]LDING 417-48]5 BUILDING , I T ,PLANNING\FORMS\] ]02.15 [4/2002)