The URL can be used to link to this page

Home My WebLink About1930 Hamilton Way - Engineering H'te' ff::t ss ~ _ , 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 Renewal o J ~-~G- Pr\es-T \Cl ~~ l-1A4Y\lL-10h New Service ~ Blk~ Lot~ Add wR.>h/t'tV 2:lr. )4 s/ // X 71' Meter Number 1- 1 ~ - 1/ 2- o Service Left offfl Signed Name of Applicant Address Size of Service Service Left On Installed by ~1""V\1 ,-p::tf Remarks -r:::>~_ ~#- I SZ7 i &10 qg 'I-/Dc;500 CJ3-33Q )<. I I I i~ N Mc-.J-q- - silO" i?> ~() ~ Clf-or' ... 21-1 J .c~.,., I 82-"3f:' =1 3 T ~\:)... - ooooC'o E w -Wo.M.t~ Wed DOGe s f ~ORt ~"" $~O~~~ ~ 'IL~ ---- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION A 2 _ 2,.2. L 32] EAST 5TH STREET, PORT ANGELES, W A 98362 V 7 .../J9 Application Number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application description Property Zoning Application valuation Owner 3/28/03 03-00000335 Date 1930 HAMILTON WAY 0630009330400000 JEFF PRIEST PUBLIC WORKS UTILITES o Contractor Lv) m j//:;/td IJ (' V- C ?-7/1 FJfb3f73~ ~ 'Z L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES OWNER WA 983621905 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640 00 Plan Check Fee 00 Issue Date 3/28/03 Valuation 0 Expiration Date 9/24/03 Qty Unit Charge Per ~xte . 1 00 640 0000 EA PW W/M SFR 5/8" 640 00 ----------------------------------------------------------------- -------- Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Ex~e BASE FEE 45 00 ------------------------------------------------------------------- ------- Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 45 00 3/28/03 9/24/03 Plan Check Fee Valuation 00 o 95 00 3/28/03 9/24/03 Plan Check Fee Valuation 00 o ~ Qty Unit Charge Per '1 00 95 0000 EA SAN SEWER HOOKUP Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total SEWER SYSTEM DELV CHARGE PW WATER SYSTEM USE FEE Charged Paid Credited Due ---------- ---------- ---------- ---------- 780 00 780 00 00 00 00 00 00 00 1770 00 1770 00 00 00 2550 00 2550 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 Signature of Contractor or Authorized Agent L-. T'\PI.A NNING\FORMS\ 1102.15 [4/2002J Date Signature of Owner (if owner is builder) Date r:ft~ORT:V.oG A..-Io.~c,((~ 6~~ I~ ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT. BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 {;J~ '5? ~ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation 03-00000523 1930 HAMILTON WAY 0630009330400000 RIGHT OF WAY Date 5/29/03 o Owner Contractor L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES WA 983621905 NORTHLAND CABLE 1201 3RD AVE STE 3600 SEATTLE WA 98101 (360) 452-8466 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 5/29/03 11/25/03 Plan Check Fee Valuation 00 o ----- ~ ~ Qty Unit Charge Per BASE FEE Extension 45 00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 45 00 00 45 00 45 00 00 45 00 00 00 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 > ~~~?t:d Signature of Contractor or Authorized Agent ---5'= Z 9 -0 5' Date Signature of Owner (if owner is builder) Date T.\PLANNlNG\FORMS\1102.15 [4/2002] 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-RAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT 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 417-4735 ELECTRICAL LIGHT DEPT 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'\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEll, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AN/) ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE T ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE 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 r I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS I'W UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM - - PLANNING DEPT SEPARATE PERMIT Ii's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: - - - FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE - - RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL - - LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION - R. W ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNING\FORMS\1102.15 [4/2002]