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HomeMy WebLinkAbout1144 Campbell Ave - Engineering Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation , .~-:-I ~~C'lT~ "....<)~~{.:. Or-Gii' L~ ~ ""c",,", Owner CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 05-00000287 641989 1144 CAMPBELL AVE 06-30-14-5-4-0508-0000- RES MANUFACTURED HOME 5/17/05 00 - .:2?7 //4 4 (l,OfY}pb~~ R,,~ Date RESIDENTAL SF 9000 RS9 RESDNTL SINGLE 56545 FAMILY Contractor SMITH, RICHARD 20235 ROBIN LANE NE SUQUAMISH WA 983929686 Other struct info . Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date OWNER TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 4680.00 1196.00 1196.00 PUBLIC WORKS RES WATER SERV 48843 .715.00 5/17/05 11/13/05 plan Check Fee Valuation .00 56545 Qty Unit Charge Per Extension -~~~~~~------~~=~~~~~-~~----~~-~~~-=:_:~~~-=~~:_~~~~~--------~~==~~~~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 48835 50.00 5/17/05 11/13/05 plan Check Fee Valuation .00 56545 5tflM. ~ 7-!:.1'-oc:;, /)) a.JJ;;c 7 - ) J -() S- +t VI oJ --------=~~~---~~~:=~~~~~~-~~;~--~=~~:_~~-~~:_~~~=:_-------------~~~:~~ Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 48850 110.00 5/17/05 11/13/05 Plan Check Fee Valuation .00 56545 Qty Unit Charge Per Extens~~ 1.00 110.0000 EA SAN SEWER HOOKUP C 110.~ -------------------------------~~------------------------------- ---- - Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" 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 cons1ruction 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 T:\Policies\ 11 OZ.15R [1/05J .?~ r1PUlT~ l"'~'1. r\'!!ii 1L ~- "",;;;<i' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 05-00000287 641989 Page Date 2 5/17/05 Special Notes and Comments of skirting is visable above grade. 05/12/2005 04:29 PM SROBERDS --------------------------- The proposal will result in the placement of a s.f. rofg home in the RS-9 zone for a total lot coverage of 26%. No land use issues are noted. $410 Connection Fee Applies. Electrical load calculations and electrical permits are required. 04/28/2005 09:51 AM JHEBNER ---------------------------- There is a conflict with the Elect Utility. Any modifications to the City's electrical facilities will be at the customer's expense. An easement may be required. 'See John Hebner 417-4706. 04/28/2005 09:54 AM JHEBNER ---------------------------- Ditches and culverts(12" min.lwill be installed to City Stanards. See Public Works Engineering for Standards. 4' wide gravel path to City Suburban standards required for school walking route. 05/11/2005 03:34 PM RVESS ------------------------------ -----~~~~~-;~~~--:-:-:-:-:-:-:-:-:--~~:~;-~~~~~~:~~-~~~~--~- PW WATER SYSTEM USE FEE C 1025.00~ ------------------------------------------------------------- -- ---- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 875.00 .00 1774.50 2649.50 875.00 .00 .00 .00 1774.50 .00 2649.50 .00 .00 .00 .00 .00 Separate Permits are required for eiectrical 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 ifrequired 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 T:\Policics\1 I02.15R [1/05) I, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . REQUEST: Date 7 - ;2 7' -0 s 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 IJ;~P/~~!Q~~ ~ Phone No. Permit No. Final ~ E~ Other ' OS-2-1:J7 INSPECTION NOTES: Inspected: Date {- J- q- 0 $' Time::J' CJO f}JA1 By , )L Remarks: C'_o"'-+,..""c-kr Loc-e..-I.--c6 SU~,(/'L7_ W:, ~ cJ-IW" A-vd ;;JPf'{})I. UJ-=."J.-o-J - l~ LocA-i~ 6"-' "...l-",?' UL n i,a I...d IP" (J",C- T/'1 S ,-j", ()v"c,{)-uJ ,I (~"'-. e-E..d~r::.. -\-e 4 (, (JV<'-. ~ h.o..-<::' <::- I I I RESTORATION REQUiRED...... YES NO L{" fvc 35' ~\ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse,sideif.necessarv) \ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date J -11- oJ' Time <g : ov /J11\ Received by J ( I (phOn~rson"!) Location of Work to be inspected J I '1</ ~A1I//;eJ( Av e Name of person requesting inspection CJ~rer I ~o/. Address of person requesting inspection ,17".1 .\" i3 SI Phone No.91?- </~y''1 Type of Inspection (circle appropriate one): Permit No. O-S-~l Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~......-'<.t e .r- INSPECTION NOTES: Inspected: Date 7 - 11- 0 5' Remarks: Time / / ;,fI) A IYl By 7 I / flf!..v / ys;(; '<j.NJU .s e/t//~ R ~- e./7.0 I~ (? qo~r:;ZOI I RESTORATION REQUiRED...... YES NO 'V '" $ ~ .. ~ - C. ti./# ppe,l/ ~t/e. f 1;)0 - ~/,/q' 'W'.4/ ~ rb ~ ~ ii .~ . ~ \1<> SURFACE RESTORATION: SURFACE TYPE: %unimproved OGravel o Repaired by City [] Repaired by Permittee [] No Damage Foul;1d o Asphalt 0 PCC 0 Other Work Order # "Jd'J'/cr - DJ( ft('COMPLETE o INCOMPLETE CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 o rs-- 7 CJ1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000794 Date 416426 1144 CAMPBELL AVE 06-30-14-5~4-0508-0000- QWEST PUBLIC WORKS UTI LITES 8/26/05 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o / I LJ 4 C.MY\pb~11 A--u e: Owner Contractor Qwes1 SMITH, RICHARD 20235 ROBIN LANE NE SUQUAMISH WA 983929686 OWNER Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY QWEST UNDERGROUND PHONE SERVIC 58651 .00 8/26/05 2/22/06 Plan Check Fee Valuation .00 o Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total .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 Ihis type of work will be complied with whelher 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 T:\l'olicies\1 I02.15R [1/05) '~';1}~(, ;; "L''''''''~ , "':J~li::t~~~;i ..".".,.,., 'i;it . :':,:.::~i,~;:}~~'~ . ,,,,""..,,;ll~"; . ,:.::~ :.".i\,~;~~;~,tj~~~~ '. ''''~'''T~ ',1 :; ':~;:~.:~:!,~jr~t,\~ . . ~ " '~',-. I,:..i~,}~ 'J,~!I . . ;".:' K\1'~'&' . : '.:: ':, ~ /:..~~::~{~ Campbell" ':'-""..:,!.+." ',{;~;J~~l~ ';,' .~ ,1.,o/\l,~\~~\~li; ',';~:ljt~tli .'; ':~J~I ~ ~',~~)\1 '" ;.~:Y}f~~}t;.\1 . .' ",\'~ ~~~il,?3 : <}t~:;~;~W:'~ """'IT " \ , ~'~ ; Sewer DepBnD1ent - SuperfntendeJlt" _. '-FI:~~r The mimared time forcomple!ion of the allove work Is JD 7::>A'/S A,PT'ER- fl P(,I~l~;::':~~i: ;;~, ~~i;:i;=m: ~~~~;~.,~ A~:~~~ Oon. Th,o,:j~1 "'1"""'&~/1j ."',,,, '\Yi )',; , F~t[j~~~ , 1\""\'j\1"'!~ ,., :':\~' i~\' 'Ill, ~:::;:;~:ir:r:~:~;~~:;:~~:~:::;:~e time thc work ~11 Slur:. and when ir will fin~; ,. .),~~';~~!~ 'I ~!..~ !~~.}t.~ :)~~~l , ..' ,,:' :/' I~~!. i'~Ui~,:'!i:~~~ '."":.'~~k: . ,'~( :~~j;{:.i~4:~ RUG 25 2005 14:24 FR TRRFTON B 253 471 1324 TO 13604174709 'tif'1" @~ Y)~ -. WP0500227/452C PUlUCWORul Permil To Perform W,orle: III Srreet Right-of.Way APPLICATION is hen~by made to the municipality of PORI' ANGE:[ES to perform lIIorle: as noted hereon and as ,<hown on "Iuched drawing: f/LA5C. :5:e.E A1\AC~eb -5~:~# Place Buried Service Wire in R,OW to provide telephone service at 1;_4"', East Work will require a road crossing. P-e.Y'lY\\\1:!::. DS-1QL\ Approved; Water Deputment - ~uperlntendent' , 7850-B S. Trafton, TAcoma,WA THE ABOVE APPLrCA TION IS HEREBY GRANTED SUBJEcr TO APPlJCANT'S; ProsecutIng rhe work ....i'h diliieni=e and with.due respcC'\' to all prol'o~ty, contracts, porson.' rights and rhe inrerests and convenicnce of the public; Saving the Municipality narmless from any and all damagel whleh rnay aeaue TO any pcnon or property because of this in51allatiol'l Dr the,mailltenance thereof; Complyi II: Wilh following spedal conditions: Date s tJ'3 CItyo! PCRr -.,........ '--,u. -, '. ..~'-~":'. ;{"i-':;.... f',;=':<. "">.' .,-., ,.; ".;:_'G_, I'!;::!..,~~'... ~:,~""..'-,J'~, .'..'i!~~f,.!".f~,~~~'~iV'::::'~;"r;~>~ ~: ".., """""',;:r-,"T;Y.~~~~~' -.,.,,' ".,.,~lJZ-~o~~ :BY P,02/03 AUG 25 2005 14:25 FR TRAFTON B 253 471 1324 TO 13604174709 P.03/03 -t ~~ <:J.O &. . :.:~:;,/}t;.' '0 ,'., ,'>: j 'j"~';,z,' . .. ;,-'~!t~~~!J """'f''',.i';~ :'~;,~;ItJ~l :"'(~( ~:Vff-P~ .;' ,:~ii;l~&~ I~ ":::"";'i'~.~ ,.3~t:~:i~~.' . ,.,).. f'lJiio. : 'i;\;t~;:'::~~~~'~ ,<~ "'l,t/';::':i , --d'I\'lm-:'lj , ',t~i;\;\t~:~i~ "/"'. _",ll.;:! .;t~\,:<~1;,~~l . :",\{i, ~~"~.J.~r(\':'~:. ,.'~ . ;'l':r"~/Ff.t~;~ , ~I"'~~.'\n;;~~}~.r;~ :.~~;~~r' Qwest Job # W P (J 5W~ 7- '15,;).. e . ft[ll !iiil C--A-Yh P B&L p.., ~~o \\~ U L/ l.j This work will require: Plowing in the R/W (tDtal fDDtage) ~ Push Dr bore 2 inch PVC Dr EIP under roadway (total footage) 30' J[) Push or bore 2 inch PVC or EIP under driveway (total footage) Push or bore 2 inch PVC or EIP under multiple driveways (total footage) v 'All crossings and ROW work at 36 inches. 'All pits and trenching require select filL "I ...... :ff'ORT~ cl~~"r, na ---~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Appl~cation pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 5/17/05 05-00000287 Date 641989 1144 CAMPBELL AVE 06-30-14-5-4-0508-0000- RES MANUFACTURED HOME RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 56545 Contractor SMITH, RICHARD 20235 ROBIN LANE NE SUQUAMISH WA 983929686 Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expirat~on Date OWNER TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 4680.00 1196.00 1196.00 PUBLIC WORKS RES WATER SERV 48843 715.00 5/17/05 11/13/05 Plan Check Fee Valuation .00 56545 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Permit . . . . . Additional desc . Perm~t pin number Permit Fee Issue Date Expiration Date Extension 715.00 RIGHT OF WAY 48835 50.00 5/17/05 11/13/05 Plan Check Fee Valuation .00 56545 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 SANITARY SEWER HOOK UP 48850 110.00 5/17/05 11/13/05 Plan Check Fee Valuation .00 56545 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Bu~lding address sign shall not be less than 6" & not more than 12" ~n he~ght. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" 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. C) f'{ r= / J-J~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Pohclesll102 15R [1/05] ': ,'" f "ORT ~ /O~~~ ,. .... w;;.or ~ -'t;it;-~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000287 Application p~n number 641989 Page Date 2 5/17/05 Special Notes and Comments of skirting is visable above grade. 05/12/2005 04:29 PM SROBERDS --------------------------- The proposal will result in the placement of a s.f. mfg home in the RS-9 zone for a total lot coverage of 26%. No land use issues are noted. $410 Connection Fee Appl~es. Electrical load calculations and electrical permits are required. 04/28/2005 09:51 AM JHEBNER ---------------------------- There ~s a conflict with the Elect Utility. Any modifications to the City's electrical facilities will be at the customer's expense. An easement may be required. See John Hebner 417-4706. 04/28/2005 09:54 AM JHEBNER ---------------------------- Ditches and culverts(12" min.}will be installed to City Stanards. See Public Works Engineering for Standards. 4' wide gravel path to City Suburban standards required for school walking route. 05/11/2005 03:34 PM RVESS ------------------------------ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2649.50 2649.50 .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 atter 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 T:\Pohclesll102 15R [1105]