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Home My WebLink About1938 Hamilton Way - Engineering PUBILle WORKS & R/W PERMIT o Attached Notes OWNERIAPPLlCANT Issued: 4/0512004 Permit No: 1397 Work Order: 0 _PROPERTY LOCATION 1938 HAMILTON WAY Lot: Subdivision: westview Parcel No: Block: Port Angeles, WA 98360 000/600-0000 PROJECT INFO Work is: o Long Legal Value Work: $0.00 Plans Required: Start Date: Contractor: OWEST COMMUNICATIONS Performance Bond Required: Amount: Proof of Insurance: Work to Perform: II Finish Date: 3601000-0000 I I $0.00 !X) Install o Repair o Watermain o Sanitary Sewer o Storm Drain i:8J Underground TelelElec o Misc PROJECT NOTES place buried service wife for customer to include 30 ' feed at road crossing FEES ASSESSMENT 1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap WyelMan Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl WIM 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.) Misc: $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 APR 05 2004 12:50 FR TRAFTON B 253 471 1324 TO 13604174709 ~f <@f~ ~~ IlI.IIlUcwa_ '"'' -- Permil Ta Perfonn Work In Street Right~f~WllY APPLlCATION is hereby mHde ta the municipality of PORT ANGE:r.Es noted hereon and as -how" on altBchea drawing: 'PLEASE. r::..p e A\T ~ctf€ b gUF-IEO {L-teE {q~ff \IV Cf?,o55//1/&. 5E/Zv Ie E VVIfl..E FOr< Ti1 1,vc.tV{)E HI! " It.. iON \N''fY Approved: Water Department - Superintendent Date 4fRIt..- $"u 6.0 tJ"I } PHONE: 2- 5,3- If 7 J-07'}~ -fAk 2.q-'f71-I~Z'i l'rolCellting The work WiTh elilisenee and with due respect to all prop.rl:)', conTract., penlons' riglns and the in tereSTs and convenience of the public; Saving the MunicipalilY harmless from any IInd all damaie. which mill' accrue to any penon 01 property bec.IIse of this inrrallarion or the maintenance thereof: ComplYing wilh following special conditions: Dale 2. City .o.f PaRr ANGEI..Es DV~4~' ____ JIIiIIIf - -... ''.r " '~I~,f..:>\ ., \:,:::~;~~ ....?ll ~I RPR 05 2004 12:51 FR TRRFTON B 253 471 1324 TO 13504174709 P.03/03 Qwest Job # WO~'1(J I f6r/;@/yr;z.c 1'''' };,,6\:'~ af~ .'" l,'X"...,..I.~ . ,:' .\~~.;.')1t~1 :' ':~'I'i:;J{';~1.~~~f~ , \';';'~:H'~\ll.1~ ...... (i:~)!l~g~; " .,' \'_'t'< !j.\'\"\rlo~ . ..;..,.J.....';\>~.;i';~\.':i M);i;& 'Lv" ': !?i!;i'~i,l~ . 'Mi"'-j'h.;:-:' :::' ,i!!~:~l~ ,., .,~. 'II~'J'I' :);' ':":ii,:~}t "I-N,,;'\'i;,t.~~ I {~;';?;\y;;: "\;.~' A'~l.i"( .' '<"""\'b~~'."'. ",: ,,;,:'\P.~.I,>~~.t ' .: :~%. 4~~"\t' ; . . , ':.,>;; .~t;';~~}~~ """'''''l!~\'~~ " .'~;;A\;.'i\f~~~f.l~ . "I,"'i 'l..?Ii:~ , ,:/;r:~\f~~] ," ',,: '~."iI~)' ';'f1~t~ f / >- "{ 5 ~ ~ ..... ~ I/H~I "" - ::I: 0 .-. -.... I- VI \.i.! .5 lOTI{ >T/!'EET This request for permit is for the placement of underground telephone service'wire to' our customer at the following address: """E5T 193~ \tv HT HI/"IflT(l^, VVJ/Y This work will require: Trenching in the R/W (total footage) '9 , Push or bore 2 inch PVC or BIP under roadway (total footage) 30' Push or bore 2 inch PVC or BIP under driveway (total footage) rF g- o , Push or bore 2 inch PVC or BIP under multiple driveways (total footage) "All asphalt road crossings at 48 inches. "AU pits and trenching requires select fill. "All ROW work at 36 inches. .Backfill road bores with CDF. ** TOTAL PAGE.03 ** :f'l'OAT...~ A,~O~(l'(~ i)~~ ...~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3- 3--05 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation 03-00000305 1938 HAMILTON WAY 0630009330600000 PUBLIC WORKS UTILITES Date 3/28/03 o Owner Contractor L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES WA 983621905 ADAMICH CONSTRUCTION 810 CHURCH PORT ANGELES WA PORT ANGELES WA 98362 (360) 417-3409 45 00 3/28/03 9/24/03 Plan Check Fee Valuation 00 o --- ~ ~ ~ Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY ---------~:~---~~~:_:~:~~:__::~--~~:~-~~~------------------------~~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95 00 3/28/03 9/24/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per 1 00 95 0000 EA SAN ~EWER HOOKUP Other Fees SEWER SYSTEM DELV CHARGE PW WATER SYSTEM USE FEE WATER METER RESIDENTIAL ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 00 140 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2410 00 2410 00 00 00 Grand Total 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 Date Signature of Owner (if owner is builder) Date TW1.ANNING\FORMS\1102. 15 [4/2002] Hn: It 2 S" SS - I APPLICATION FOR WATER City Water Department h h Port Angeles, Wash ~ % / tP!? , 19 I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises . L .....J8I:;t2Pnp5T ) Name of Applicant ,4-DA/n /t!P (?L7/2S'/~/~77~ J4~t' ~>>7//~~~ Renewal 0 New Service Blk3- Lot~ Add ~a/ ~9 Address Si ze of Servi ce Meter Number Service Left On 0 Service Left Off J.:J--Signed --:t 1"3 - f. 1"2.. Installed ~ -J1? r /:n F/ ~ :-:::1 /.. A ^ /:)0 ~ _ .;i' / t.^ -? l-- 6{) Remark~ O~--~5{U~ y- CJ ~_ !\ I M~f.e..r ~/8" &Adfe:-u- II C.l~'" - ;a.A.( 8S C~.l\ _ J 8" ~ 8 "'l3C; ~t)b- e>OOOoo N E w ~~ BE BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR Bl)ILDlNG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL AN}' WORK BEFQRE 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS I'W UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM -- PLANNING DEPT SEPARATE PERMIT #'5 SEPA. P ARKING/LlGHTlNG 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/ ENGINEERING 417-4807 CONSTRUCTION - R. W PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T-\PLANNING\FORMS\ II 02.15 [412002]