Loading...
HomeMy WebLinkAbout301 S Oak St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUll..OING ONISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 qz/C)- / f/JZg PUBLIC WORKS CONSTRUCTION Issued;lo / ?/9fR. Permit No: 532 & R/W PERMIT Cond: 7F Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATlbN------------------------ NORMA MOON 301 OAK S 301 S. OAK ST Lot: 10 ~ Port Angeles,WA98362 Block: 70 Long Legal: ~ 360/452-2826 Sub: TPA ___ PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $O.O~ / / ~ / / ~ $0.00 r:::-- Plans Required: N/A Contractor: OWNER Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: * Storm Drain * Underground Tele/Ele * Misc PROJECT NOTES------------------------------------------------------------------- sidewalk on Oak to be improved possibly thru 50/50 sidewalk program estimate for work to Ridout 155' + wheel chair ramp to be replaced Ms moon to pay based on 80' replacement $500.00 Work to Perform: INSTALL * Watermain * sanitary Sewer PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * $40.00 San Sewer SFR: * $80.00 Sidewalk: * $500.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add unit: 0 Driveway: $0.00 Other San Sewer: $0.00 Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: * $200.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: $0.00 Fire Hydrant: $0.00 Storm Drain Tap: $0.00 Res Water Serv: * $550.00 Catch Basin per ea: $0.00 * 5/8" Sewer System Dev: * $642.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Corom Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2" ============================== Oth Water Serv: $0.00 Water Sys Dev: * $883.00 TOTAL FEE: AMT PAID: $2,895.00 $500.00 R/W SANITARY $0.00 WATER BAL DUE: $2,395.00 fd Receipt No: Inspection Fee: DWY STORM DRA OTHER Separate Permits are required for electrical work, 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,r local law regulating construction or the performance of construction. . , j/ Date Si nature of Owner if owner is builder A I . ..........1 0011 AR ..- NAME N U MBE R N U MBE R AMOU NT .;ons uction 'VV.~t:.1 )lan ~heck Fee 700.9449 )urc arae ($4.50) 001 .2291000 )Ium >Ina 700.9212 Meet anlcaT 700.921 3 Slan 700.921 4 WSEO 700.9301 House Movina ~ 700.9626 idewalklDrlVewav/Curb PermitlRiaht of WavPermlt 700.9228 ~C1U anitarv Sewer Permit 700.9223 9n, " 0 ublications 700.9409 Blueorints - Aerial 700.9429 Enaineerina Service Fees 700.9462 Clear/~ade Permit 700.9241 Fre I nsoect/Per m it Fee 6OO.96n Fte Sorinkler Plan ReVIew Fee 600.9449 1\Ommlstration Cost (5%) 700.9426 DRA Fees Plus Interest 001 .2392000 ~ .;.;.:.;.:.;.:.:.:.;.:.:.:.:.:.:.;.:-:.:.;.:.;.:.;.:.:.:':':':', ::::,~I:~"t" ,,::f':::::f}:::t:f:::::::::::,:,:::,::::::f :,:::::,:1::,:I:p:t:Ai(::::@::: :t:::::,:,~t~::, 1::1:,: .:.:.:.:.:.:.:-:.:-:-:. ::~::::,l:,::~:~:::::t'r:::t,::,:::",:"" : ,,::::::::::::::,:,:::::::':'::: :;:::::::::::::::::;:::::::::::::::::::::::::::::;:::::::::::::: .. .. .. : ~ Storm-Dralnl TaD 752.961 9 Street! A1lev Restoration 752.9242 SIW Co -00 752.9626 t:::::::tt::~::::dt:::tt:::~~:::~:~~::::J:Ql.tt~, : : : ':: J:ti:q~Q:t~::::::~::::~~::::::::m:::::~:~:::t::::::::::t::: :::::::t~:l':P',!:~I:::~~~t,~~ ': : .: ;~~~~~~~~~~11~~~;;; m~~1~;;~!~~~~~~~~~;;~1~~~3~~~~~l:~~;~~;;~;;;~;;;;f:;;;m;;;;~;;~;i:j;~~;;;;~;~~;;~;~;;j;;;; .. :.:.:.:.:-:.:.: " .:,,:. .. .. .. Other Fund t;;;:;;:~:~1*~1:;~:: " : :' ::::: " : ::;j~':1';'1:~j~j;;;;1;f:;~:~;~::;m; j;;t3~::~~~~I::~;,~~~ t:~~~:?:aHU::U:lI:0.00l:~M,t~ ;~;if.~r~*~;:;;~~1~~ili~~t~l:l~fi*;~j;j~5jj;;1;~j~;~~j~~~~~f:j::~m " .. .. Prooertv Sales 71 5.9634 ~:;:;:3;:;:~:~:j:;:;:;:::r:3j~:r:;:~:I:~::I:.';::~I:!:~ .:: : " : }~~~:~::::::::~::::::::::,:::::::,,:::::::: :;:;:;:~r:r~: " ;:;:::-;::::. :.:.:.:-:.:." .... ;:;:;:;:;:::j:~::~:;:; :j:;~:j:j:j*~:::~:::j:~::*r:;:r:~l~~:::r:~:j;1:r:~:1:;:;:;:;:~:~:~:~::~:~:~:$.:~~:::r:~;:;: :' " .. : :.:.:.:.:. :::::::::::::' .. ~, " " " -,... Water Svste m Develooement Charae 753.9403 Xx :;z Hot TaD lwatermain) 753.961 9 F.H. Install! Meter 753.961 9 W/M Installation ~ 753.961 9 W t'C/ ::::~t~J:::::~~m::,~rr~:::::;::1,:W::~:::: :... : :: :: :. .:~~~~~:~:j:::;;~t~:r:~1~t~~:j~~~~~~~~~:~:t1~1~;~ ~~~~~:i:::: :..': .:. :: ...: :::~ .:~~ ~t.~:t. .~~*r~~~~*~ :~~~~.:;:~'*:~~~~. ,~l'_if_,:?::1:t~M .. .. ..:: " : ,', : " ", :' .. .. ISanitarv Sewer TaD/Cao or MH Tao 354.961 9 'X" /") ~f,L Sewer Svstem Develooement Charae 354.9403 //l~ d.~ 00 ~ r :~~:~~:~::;:;:~r$.:;~~:::~:~$~:j:.: " : ': .. : ~:~:~r~:~:~:: :r:r:~ :~: i:~:1:~:~:~:~:~;:~:~:~;~: ~:r:~:::1:1:~;:::i:~:::;;j~=:::r:r:~:;~~:;:~:~;: ::::::~:l, .:': :: :i: .:~::::::~:::r:~: ~:::;:~:j::*~:ili~~::.~::~_~:~:::~~::::~::r:r:j~~;': .. " " .. .. .. - Milwaukee Dr Assessment 755.9403 :::::}~~:1.~:"::;::::?:f1~:r:::~:::~:;:j*:I::~I:.I::::~:H.UD:~ :: .;: " . r:~~:r:~~:1:~:1;~;~:~:~:j:r:;:::~:;:~:~:~: ~~: ~:~:~~:~~~:::~$1:1:::::?:r:~~r:r:~r::~~::' :~:?-":f .... ;: " ':j~:~::~::::::: 1:1:::?:r:;~~f.::::W~~1f5.~::~:r:~:f:~~~~:::r:~*;.t::::::r:1?~*W~}'l:"~ ", .. ::~~::::~:::f." " :t~~~~.~~:'~f!I~:: : *-ti:q~q::m~:,:,:::::::t~:::: ~i~;:~~~::::::::~::~~~~l;o=t?:$:%~/.::~ l'. ::. : ..~~"?:j~m~ ~:?:::~:;:::'f.;::~1*~:;:~Jili~.:::tW~~;~~?::;:er::::~<"f~::~ .. .. " " ',' " :: SecondiiV Sewer Assessment 757.9633 : " , " : ~ .. : : ';:;' .;,' '.. -=:*:*:~f.:y.?~:;*; :;:;::::~ ,< ~ .:: ,::i'i' , " : RECEIPT '* N 0 2 4 5 3 " - , .. x FILL. .IN COMPLETELY 10 IAL ALL I CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT ;f/t} /( /J1/t/ v41 OO).L 'OJ Sm O~ t? 39'1?_CJO .. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . ...... REQUEST Date / D - / - Lf V c;- Time, /1 I; Received by (c lit (phone, person) .I ;-^ Location of Work to be inspected ,,-..i I Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney J i / .. J Phone No Permit No .. -. '~ Plumbing Final Sewer Excav Other "V;Cj I 1;. ~ INSPECTION NOTES /A.<;-"/,l /'_ F~ Time ( /y~ By /1./ ~ Inspected Remarks / /" ~ / '/ a Date '-' - / V ~J c___ 7%9 Ie 4 () f/_q 4 464 RESTORATION REQUIRED . . .. . YES NO X _J ! I \ I ----_.~- _.- - - -~_._-- .....)~ ~-,/3 .-- ---- -----1 :2 C/ ." . .~ (' r X .3 0 /) (- /" ------.-....-------------- 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 "'"7 ~'J Work Order # 7,,)....... gf COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TEl CITY OF PORT ANGELES PUBLIC WORKS - BUll..OING ONISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 s ~~. PUBLIC WORKS CONSTRUCTION Issued: 9 /90/q~/'I'/ Permit No: 532 & R/W PERMIT Cond: r Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ NORMA MOON 301 OAK S 134 W.3RD ST Lot: 10 Port Angeles,WA98362 Block: 70 Long Legal: 360/452-2826 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: OWNER Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: / / / / $0.00 * Storm Drain * Underground Tele/Ele * Misc PROJECT NOTES------------------------------------------------------------------- sidewalk on Oak to be improved possibly thru 50/50 sidewalk program estimate for work to Ridout 155' + wheel chair ramp to be replaced Ms moon to pay based on 80' replacement $500.00 Work to Perform: INSTALL * Watermain * Sanitary Sewer PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: * Curb/Gutter: Driveway: Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: * * 5/8" 3/4" 1" Comm Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: * Receipt No: Inspection Fee: R/W San Sewer SFR: * San Sewer MFR: Add unit: Other San Sewer: Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: Sewer System Dev: * Milwaukee Dr. Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D.R.A): Misc: o $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ TOTAL FEE: $2,695.00 AMT PAID: $0.00 _________________~eQ_~ STORM DRA $2, 695.,-G-Er o:L /9~ ov OTHER BAL DUE: Separate Permits are required for electrical work, 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. .A ~LJ IW ~~ 1M ~ Si nature of Contracto76rAuthorized ~ Date Si nature of Owner if owner is builder Date $0.00 $883.00 (?1Ji;?oo1 / ?p/q~ SANITARY WATER DWY f CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . /0,/1 #w Time ~=s- d ..-:-;:/ ..;::::.. Receive by F r-- 1!/f#(:;:4 ~ C{Ph~erSOn) . REQUEST Date Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~oundation Framing Chimney Phone No Permit No Plumbing Final Sewer Excav Other ~~L. INSPECTION NOTES / J Inspected Date (/ ~/ I j) /1'~ Time Remarks I I By _...:--- _~C v"'" i --<: RESTORATION REQUIRED .. .. YES ! NO 7\ ' -,' ,.,I~. ~, \... 'I- e, ( ..j '~ ) " " :::: ~ IML- / C (ff P t1-f' c SURFACE RESTORATION. (_-' ,--, c) v 7~ SURFACE TYPE D Unimproved DGravel r;J Asphalt 0 PCC D Other D Repaired by City Work Order # o Repaired by Permittee ~ COMPLETE o No Damage Found 0 INCOMPLETE ~J/r~ell t0tJNb (Continue on reverse side if necessary) ~/2l'h~ STREET SUPERINTENDENT ,/q4Jx~ (DATE) tn t\I ~ ~r: () Q ( ~Uf., v /02, 5' APPLICATION FOR WATER City Water Department !-) Port Angeles, Wash _ / ~$___, 19~ \ I hereby apply for water to be furnished in accordance with rates and rules of the City ~ for the following premises , Name of AppUeant ~ t1> 01 ~ ./ ~&J Address ~ / ~~ -' Ct:Lh. - ~ Renewal 0 New Service Blk!ZQ Lot/O /11 I; I" ,/S ~ Si ze of Servi ce,1 Meter Number Service Left On 0 Service Left Off 0 Remarks ~~71z, /C~-:;t!L 2453 oooood 556 ~ --J-? /:3 tl-O /OJ..4~d 10 -~<D /V4f Installed by w 4,:'.\ ./ {l1 -f /'Q. c.1-Iy 78C( (It I r if''''- '3" '1S'/ ( 1'/7 OO(JOI'O N .." ~ ~ o E ~. I ,C< i ...." ;t , c ( s $B ~;? ~fUJ-:~ /0/ CITY OF PORT ANGELES 7 PUBLIC WORKS - BUILDING DIVISION t!}. '5 '40 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 10/08/96 TF Permit No: 532 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ NORMA MOON 301 OAK S 301 S. OAK ST Lot: 10 Port Angeles,WA98362 Block: 70 Long Legal: 360/452-2826 Sub: TPA PROJECT INFO--------------------------~----------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: OWNER Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: $0.00 Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain * Underground Tele/Ele * Misc PROJECT NOTES---~--------------------------------------------------------------- sidewalk on Oak to be improved possibly thru 50/50 sidewalk program estimate for work to Ridout 155' + wheel chair ramp to be replaced Ms moon to pay based on 80' replacement $500.00 PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * $40.00 San Sewer SFR: * $80.00 Sidewalk: * $500.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add unit: 0 Driveway: $0.00 Other San Sewer: $0.00 Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: * $200.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: $0.00 Fire Hydrant: $0.00 Storm Drain Tap: $0.00 Res Water Serv: * $550.00 Catch Basin per ea: $0.00 * 5/8" Sewer System Dev: * $642.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Comm Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2 II ============================== Oth Water Serv: $0.00 Water Sys Dev: * $883.00 TOTAL FEE: AMT PAID: $2,895.00 $2,895.00 Receipt No: Inspection Fee: $0.00 BAL DUE: $0.00 R!W SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ 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 perm~ 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. Sionature of Contractor or Authorized A~ent/1 . Date Sianature of Owner (if owner is builder) Date e ~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Issued: q /7--J alA & R/W PERMIT Cond: I'V -(yv Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ NORMA MOON 301 OAK S 134 W.3RD ST Lot: 10 Port Angeles,WA98362 Block: 70 360/452-2826 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 PUBLIC WORKS CONSTRUCTION Permit No: 532 Long Legal: Plans Required: N/A Start: / / Contractor: OWNER Finish: / / Performance Bond Required: N/A Amount: $0.00 Proof Insurance: Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain * Underground Tele/Ele * Misc PROJECT NOTES------------------------------------------------------------------- sidewalk on Oak to be improved possibly thru 50/50 sidewalk program estimate for work to Ridout 155' + wheel chair ramp to be replaced Ms moon to pay based on 80' replacement $500.00 PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * $40.00 San Sewer SFR: * $80.00 sidewalk: * $500.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add Unit: 0 Driveway: $0.00 Other San Sewer: $0.00 DWy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: $0.00 Fire Hydrant: $0.00 Storm Drain Tap: $0.00 Res Water Serv: * $550.00 Catch Basin per ea: $0.00 * 5/8" Sewer System Dev: * $642.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Comm Water Serv: $0.00 D.R.A.: $0.00 1" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 2 " =============================== Oth Water Serv: $0.00 Water Sys Dev: * $883.00 ~fo~o 1~#~ RIW SANITARY WATER DWY STORM TOTAL FEE: $2,695.00 AMT PAID: $9.e~ -------__________5~__ BAL DUE: $2,695.00 \ .f;L Jqs,-e- OTHER DRA Receipt No: Inspection Fee: Separate Permits are required for electrical work, utilities, private and pUblic improvements. This permrt becomes null and void if work or construction authorizee is not commenced wrthin 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commencee, or if requiree inspections have not been requestee wrthin 180 days from the last inspection. I hereby certify that I have read and examinee 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 permrt does not presume to give authority to violate or cancel tihe provisions of any state or local law regulating construction or the performance of construction. Sionature of Contractor or Authorized AQent Date Sianature of Owner (if owner is builder\ Date