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Home My WebLink About806 S Liberty St - Engineering PUBILIC WORKS & R/W PERMIT Attached Notes OWNER/APPLICANT MARK A. DAWBLER FAMILY TRUST POBOX 2182 Port Angeles, W A 98362 000/604-2984 PROJECT INFO Work is Plans Required Start Date Contractor' R J TISDALE CONST INC Performance Bond Required Amount' Proof of Insurance Work to Perform Install Repair L <! Watermain : ~x ,-- Issued 9/04/2002 PROPERTY LOCATION 806 LIBERTY S Lot: AC Subdivision Parcel No CRESTHAVEN 063011550020000 Value Work. I I Finish Date 360/683-5156 $000 Sanitary Sewer Storm Drain Underground Tele/Elec Misc PROJECT NOTES construct driveway to city standards, No exposed aggragate in city right of way 6" cone, depth for driveway within rlw water meter install off 8th Street (not a drop in meter) san sewer lateral off 8th St RECEIPT#7493 FEES ASSESSMENT 1 ) R/W Excav' 2 ) Sidewalk. 3 ) Curb/Gutter' 4 ) Driveway' 5 ) Dwy Culvert: 6 ) Street Cut: 7 ) Other R/W 8 ) Fire Hydrant: 9) Res Water Serv' 5/8" 10 ) Comm Water Servo 11 ) Other Water Service 12 )Water System Dev' 13 ) San Sewer SFR. 14) San Sewer MFR. add unit Receipt No Inspection Fee 7493 $000 $45 00 $000 $000 $14500 $000 $000 $000 $000 $640 00 $000 $000 $1,02500 $95 00 $000 o 15 ) Other San Sewer' 16 ) Sew Tap Wye/Man Tap 17 ) Sew Capl W 1M Removal 18 ) Alter Repair Sewer' 19 ) Storm Drain 20 ) Catch Basin per ea 21 ) Sewer System Dev' 22 ) Milwaukee Dr Sew Ass 23 ) R/W Use Perm 24 ) Admin Cost (D R.A) 25 ) D R.A. 26) Misc: TOTAL FEE. Amount Paid Balance Due Permit No Work Order' 1309 o Block, A Long Legal $000 I I driveway $000 $000 $000 $000 $000 $000 $74500 $000 $000 $000 $000 $000 $2,695.00 $640 00 -$2,8SS.88 0 r~1fl\OY g ~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT MARK A. DAWBLER FAMILY TRUST POBOX 2182 Port Angeles, WA 98362 000/604-2984 PROJECT INFO Work is Plans Required Start Date. Contractor' R J TISDALE CONST INC Performance Bond Required Amount: Proof of Insurance Work to Perform Issued 9/04/2002 Permit No Work Order' 1309 o PROPERTY LOCATION 806 LIBERTY S Lot: AC Subdivision Parcel No Block: A CRESTHAVEN 063011550020000 o Long Legal Value Work. $000 I I Finish Date 360/683-5156 1 I $000 I:8J Install o Repair I:8J Watermain I:8J Sanitary Sewer I:8J Storm Drain D Underground Tele/Elec I:8J Misc driveway PROJECT NOTES construct driveway to city standards, No exposed aggragate in city right of way 6" conc, depth for driveway within r/w. water meter install off 8th Street (not a drop in meter) san sewer lateral off 8th St RECEIPT#7493 FEES ASSESSMENT- 1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000 2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $0.00 3 ) Curb/Gutter' $000 17) Sew Cap/ WIM Removal $000 4 ) Driveway' $145 00 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' $745 00 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $0.00 9) Res Water Servo 5/8" $640 00 23 ) R/W Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (D RA) $0.00 11 ) Other Water Service $000 25 ) D RA. $000 12.)Water System Dev' $1,025 00 26) Misc: $000 13 ) San Sewer SFR $95 00 TOTAL FEE. $2,695.00 14 ) San Sewer MFR: $000 add unit: 0 Amount Paid $640 00 Receipt No 7493 Inspection Fee $000 Balance Due $2,055.00 RW SANITARY WATER 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 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 d ,000T ~ fir- YI! CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION _ _ ~21~ST 5TH STREET, PORT ANGELES, WA 98362 Issued 9/04/2002 PUBILIC WORKS & R/W PERMIT ' o Attached Notes OWNER/APPLICANT MARK A. DAWBLER FAMILY TRUST POBOX 2182 Port Angeles, W A 98362 000/604-2984 PROJECT INFO Work is. Plans Required Start Date Contractor' R J TISDALE CONST INC Performance Bond Required Amount: Proof of Insurance Work to Perform Permit No Work Order' PROPERTY LOCATION 806 LIBERTY S Lot: AC Subdivision. Parcel No CRESTHAVEN 063011550020000 1309 o Block: A D Long Legal Value Work. $0.00 1 1 Finish Date 360/683-5156 $000 I:8J Install D Repair I:8J Watermain I:8J Sanitary Sewer I:8J Storm Drain D Underground Tele/Elec I:8J Misc PROJECT NOTES construct driveeway to city standards. No exposed aggragate in city right of way 6" conc, depth for driveway within rlw drop in water meter off 8th Street, san sewer lateral off 8th Street 1 1 driveway RECEIPT#7493 FEES ASSESSMENT- 1 ) R/W Excav' 2.) Sidewalk. 3 ) Curb/Gutter' 4 ) Driveway' 5 ) Dwy Culvert: 6 ) Street Cut: 7 ) Other R/W 8 ) Fire Hydrant: 9) Res Water Servo 10) Comm Water Servo 11 ) Other Water Service 12.)Water System Dev' 13 ) San Sewer SFR 14) San Sewer MFR add unit: 0 Receipt No 7493 Inspection Fee $0 00 5/8" $45 00 15 ) Other San Sewer' $000 16) Sew Tap Wye/Man Tap $000 17) Sew Capl W/M Removal $145 00 18 ) Alter Repair Sewer' $0 00 19 ) Storm Drain $0 00 20 ) Catch Basin per ea $000 21 ) Sewer System Dev' ~ ~2.) Milwaukee Dr Sew Ass ~ 23) R/W Use Perm $000 24) Admin Cost (D RA) $0 00 25 ) D RA. $1,02500 26) Misc: $95 00 $000 $000 $000 $000 $000 $000 $000 $74500 $000 $000 $000 $000 $000 TOTAL FEE. Amount Paid $2,205.00 f"" $640 00 f)f; ~ ($1.5~ ~O DRA OTHER Balance Due RW SANIT ARY WATER DWY STORM 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. Sionature of Contractor or Authorized Acent Date ')( ~ d O&-~ Sicnature of Owner (if owner is builder) s 4 oz. Date ~ ~ORTANGELES CITY OF WAS H I N G TON, USA PUBLIC WORKS & UTILITIES DEPARTMENT September 10, 2002 Mark A. Dawbler FamIly Trust POBox 2182 Port Angeles, W A 98362 RE PublIc Works PermIt # 1309 Dear Mr Dawbler When the blue copy of the PublIc Works permIt # 1309 was pnnted September 4, the lIne Item # 9 stIll reflected a charge of$150 00 for (drop m) water meter I have smce corrected the permIt reflectmg the standard ($640 00) charge for water meter lllstallatlOl1. The total fees for the PublIc Works permIt for the 806 South Liberty bUIldmg project IS $269500 Enclosed IS a copy of the corrected permIt shbwmg payment of $640 00 WIth balance owmg of$2055 00 If you have questIons, feel free to contact me at 417-4807 Smcerely, Trema Funston, Engmeenng PermIt SpecIalIst File: Building Address File 321 EAST FI FTH STREET · POBOX 1 150 · PORT ANGELES, WA 98362-0217 PHON E 360-417-4805. FAX 360-417-4542 . TTY 360-417-4645 E-MAIL PUBWORKS@CI PORT-ANGELES WA US CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . o c..u - ~C10 { - 2.. " z..o REQUEST Date q - ( 1 --6 )--- 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) Sewer Foundation Framing Chimney Plumbing (l;, , L ~ Phone No Permit No /~~ Final Sewer Excav Other ~ INSPECTION NOTES Inspected Remarks Date Time By 1:-,.1; ;-Jzr.I/ AI-eW ) y ~k C0f/.ft~ 0-91/' / I c- <~ -H/' 6 n"l /; r;i,- ~c~ H:: qz{ C\.,Vl +v ~~J- Co 19Z 5t. /~ / 2,3 ~47 RESTORATION REQUIR ~J~ /// /' YES (t;/ NO V 5+- !" F -< ?-.r ( j!!J 10 UJ ~) ;/ I '/]'AI ~ ~ '--Q\ "- '{ 11 'ZII ~/& t <fl ~ Vutl (j~ I ~ ~rlA( SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel D Repaired by City [] Repaired by Permittee D No Damage Found ------ o Asphalt ~C D Other Wor~r er # fI.- J-;J... 0 !tV'COMPLETE o INCOMPLETE (Continue on reverse side if necessary) ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. .. REQUEST Date I If I~ 11()~ , Time "'- .J ) Received by (phone, person) ) Location of Work to be inspected Name of person requesting inspection T (( I, ff(n Address of person requesting inspection Type of Inspection (circle appropriate one) Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 9)9 I {. INSPECTION NOTES f I ,J f' / n ".', Inspected Date -_ I- ' Remarks Time <. (I By kJ : )' /dr r(',i; 1, ,{.//(tv RESTORATION REQUIRED . YES NO o lvr ill tI / ~ I ~I I --+,~- ExIJi--fy';,'jiui-ro Pc fL 1 ~ 01(& tfj~ 1"'11 (-;If<{rrr!uff''J/_l /5- - <I ~'(!: - -. -. '5 '\-59drry ~ir~. (;~')I ~_./' , 'fSJ'I~I.--""'::.J 1{'fP 'I I /5 II j1(;r 71 ( c 8 - y ~ tf()()j( /lJc SURFACE RESTORATION r SURFACE TYPE 0 Unimproved 0 Gravel [ ..--c.- o Repaired by City o Repaired by Permittee o No Damage Found ) 7f c ~, "...." '\ -", \ - \ o Asphalt Opcc o Other Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TE)