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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
6&~ I 0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
06-00000010 Date
931120
1901 HAMILTON WAY
06-30-00-9-3-2210-0000-
DAN MILLLER
RES NEW SFR
1/23/06
I t10 I t---\A-f'Y\lL-lO~ \0Nj
RS7 RESDNTL SINGLE FAMILY
145057
~ M\. u.E1Z-
Owner
Contractor
MILLER DANIEL B & SANDRA K
POBOX 2034
PORT ANGELES WA 98362
(360) 452-9301
Other struct info
TERHUNE CUSTOM
POBOX 97
POULSBO
(360) 697-7000
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
HOMES
WA 98370
27.20
1. 00
9278.00
2526.00
1. 00
Permit
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
68825
170.00
1/23/06
7/22/06
Plan Check Fee
valuation
.00
o
_________~:~___~~~:_:~:::e__p::__BA::_~::_________________________~~~~i~~ ~
Permit PUBLIC WORKS RES WATER SERV
Additional desc .
Permit pin number 68809
Permit Fee 715.00 Plan Check Fee .00
Issue Date 1/23/06 Valuation 145057
Expiration Date 7/22/06
, ~ r
(I y1 D/O
'l) /\,?
Qty Unit Charge Per ~.~::;~
________=~~~______~==~~~~~_~~____~~_~~~_=:_:~~~_=~~:_~~=~~________~ 7~=.~~~~
Permit SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
68817
110.00
1/23/06
7/22/06
Plan Check Fee
Valuation
.00
145057
________=~~~___~~~~l~~~~~~_E:::__:~_::WER_~~~~P_________________:~
special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
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 orwork 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\1102.15R [1105]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . .. 06-00000010
Application pin number 931120
Page
Date
2
1/23/06
Special Notes and Comments
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
01/17/2006 05:17 PM SROBERDS -- proposal is a new s.f.
res .in the RS-7 zone for total lot coverage of 27%. No
land use issues noted.
Electrical load calculations and elctrical permits are
required.
Connection fee $713. Power source - padrnount transformer
s/w property corner.
01/06/2006 09:03 AM GMCLAIN ------------~----------~----
Sidewalk along "M" Street to be installed to City standards
required for school walking route.
Sanitary sewer connection is located in easement to north
of lot, inspection is required by Public Works prior to
back fill of ditch. 24 hour advance notice is required.
01/13/2006 04:14 PM RVESS --------------------~---------
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
<
C8~.00 "::::>
STATE SURCHARGE . :>0
PW WATER SYSTEM USE FEE ~uv.v~
------------------------------------------------------------- ---------~-
Fee sununary Charged Paid Credi ted Due
Other Fees
SEWER SYSTEM DELV CHARGE
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 995.00 995.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074. SO 2074. SO .00 .00
Grand Total 3069.50 3069.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utiiities, 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policics\1I02.15R [liDS]
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APPLICATION FOR WATER
City Water Division
305'/& / 67
Port Angeles, Washington
/ / d-!>
200b
. -
I hereby apply tor water to be furnished in accordance with rates and rules of the City for the
following premises; VV\A-t Un!)
( '\=: o. F3oi- .zD3</-
Name of APPlicant:~ ~ ~btA- MILLEt:" 4'62-C:;~1
..!7 ~ U ~.' 28'31-
Renewal 0
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\
New Service~lk. 2- Lot "2-\ Add Wes,YIt"lO .Adih.
~ -.I 5"1 II 003 apQ3Z-\ 0 ,fUt.. oDl'N)o
\ 1::. <6 Meter Number>b - #-05fJ8fd.j<ic,
r2..- P' ~ ~
Address;
Size of Service
Service Left On 0
Service Left O~ Signed
Installed by
Remarks: -p'e I( \'VI \ ,::i:L 0 {c; ; C 1 0
-q, '71~~+ 12...00~
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date LJ-Z-(;-D~
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):
Jt1-oJ ~1ti?o W~
Drh. @ c,* J. (~)
Phone No. ~ - 774/
Permit No. OCt; -j 0
Sewer Foundation Framing Chimney Plumbing Final ~wer EX~ Other
INSPECTION NOTES: 1Y-~
Inspected: Date ~, 3 - 0 {f? Time
Remarks:
By 12\/
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RESTORA TIO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
/
"2.7
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
~
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/(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . .
REQUEST:
Date ~-z.o- o!.o
Time
Received by
KY
(phone, person)
Location of Work to be inspected { q 0"2. W -'2.::;' t V: QUJ .b.r-
Name of person requesting inspection bo..\~ A'^-3~\-€~ P\lA..\A.A.'o~\A.-3
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): (:)&-/ (J
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.
INSPECTION NOTES:
Inspected: Date &:,- ZD - Ob Time By
Remarks: ?re,,;ot>.5 C:o,,,"-c:\~o,,, "",,,,A~ h" ,("6-J ~1As-{rv..~'\;~..... -\,.,~ 1'\6\ Hc.,vu.:ltc,^- \>Jo.y
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RESTORATION REQUIRED . . . . .. YE NO
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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 side if necessary)
STREET SUPERINTENDENT
(DATE)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date 8-7--00,
Time
Received by
I2v
.
(phone, person)
Location of Work to be inspected I q () (
Name of person requesting inspection [) ;, (
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
t14W-:' -k",,- W""y
Phone No. sLID - ~ l/95;:
Permit No. 0/,;,-/6
Sewer Excav. Other ~'~e w<:LlL
INSPECTION NOTES:
Inspected: Date 9, - 5 - Ob
Remarks:
Time-A M
By
Rl/
Dl( ~C> ~~av
RESTORATION REQUIRED. . . . .. YES
NO K
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 side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
(- z...#-Oy
Time
Received by jr
;:~.~~;!1l
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 0 c:> - /0
Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other d./~-:
INSPECTION NOTES: ~
Inspected: Date '7'" z., J,;... 0 t/ Time By
Remarks: ~ '::L [.,~ p J ILl.. h.... qcM.P:;;-€
~~~ -"Z-~~~Co /1" -ZO -O~
, .
0.44 I 8 ~7-D6 OK
?{ \ I
J/(".vewa..'{ {:',- ?-O (" ~/cJewo..~ k
RESTORATION REQUIRED. . . . .. YES NO
RV
8 - 7 - Ob
X
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)