HomeMy WebLinkAbout913 Madeline St - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98302
Oy- &8 7
Application Number
Application pin number
Property Ad~ress
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision' Name
Property Use
Property Zoning . . .
Application valuation
05-00000687 Date
069362
913 MADELINE ST
T6-30-0Q-I-O-4600-Q023-
RES NEW SFR
8/16/05
qI3(ha~
RS9 RESDNTL SINGLE FAMILY
144700
Owner
Contractor
~G6
GLe HOMES INC.
121 TAYLOR CUTOFF RD.
SEQUIM WA 98382
(360) 683-8865
Other struct info
G L C HOMES INC
1975 SW 1ST SUITE H
PORTLAND OR 97201
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.90
1. 00
9004.00
2332.00
1. 00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date'
Expiration Date
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
57000
195.00 plan Check Fee
8/16/05 Valuation
2/12/06
.00
144700
--------_::~---~:~:_~:::::__:::_~~~~~-~~~------------------------~~
Permit . . . .. RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee'
Issue Date
Expiration Date
56994
50.00
8/16/05
2/12/06.
plan Check Fee
Valuation
.00
144700
Qty _ Unit Charge Per EC2ten .
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
--------------------------------~---------------------------------- ~--- -
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
56986
11 0 . 00
8/16/05
2/12/06
plan Check Fee
Valuation
.00
144700
Qty Unit charge Per Extens-~o
1.00 110.0000 EA SAN SEWER HOOKUP ~
-----------------------------------------------------------------~~~-~
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 location. No
pressurized or pumping to curbs are allowed. An inspection
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 pelformance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T:\Po1il.:ics\1 102.15R [1/05J
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
-' '
Application Number . . . . . 05-00000687
Application pin number 069362
Page
Date
2
8/16/05
special Notes and Comments
by Building Department is required prior to backfill.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
08/11/2005 05:19 PM SROBERDS -- The proposal will result
in a s.f. res in the RS-9 zone for total lot COy of 25%.
No land use issues are noted. The correct subdivision name
is THE ESTATES AT MILWAUKEE.
Electrical load calculations and elctrical permits are
required.
Connection fee $222.00
08/03/2005 08:47 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
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.
. . ~ ".~
~
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .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 after the work as commenced, or if required inspections have not been requested wilhin 180 days from the last
inspection. I hereby certify thai I have read and examined this applicalion and know Ihe 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 Contraclor or Aulhorized Agenl
Date
Signalure of Owner (if owner is builder)
Date
T;\Policics\IIOZ.15R [1/05J
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APPLICATION FOR WATER
City Water Division
Port Angeles, Washington
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I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: (p S 3 - 8~(oS
1;?ITAY.h<z C~7r6(!f- IU)
Si!2~L<,_ ~1r38:Z
/
Nam~ 'of Applicant: (' "T L L H 0 W\ E $
Address: q I 3 ((\ A [) 1= LIf,) E. ~ +
~ l11owv."H N
Renewal 0 New Service ~Ik. Lot OJ- ~ Add III cW
Size of serviceJ '1..3/4 DR.op-rN . Meter Nu~7 ~!
Service Left On 0 Service Left Oft W Signed ~ .-.
Installed by
Remarks:?t~\'1\ \T~ 05-1:, f;7
If, IO~S.09~ ft /%.09-
R~t:.L-1oI-
p-
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . . . .
REQUEST:
Date R -:YI -OS
Time
Received by -r F
(phone, person)
location of Work to be inspected C; /3 IJ70 ,J e. /;/1 e. ST
Name of person requesting inspection C J,r"S
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 05 -b \) '7
Sewer Foundation Framing Chimney Plumbing Final ~er ExcaV Other
:~s~:~~:I~~t~ORE~~9_05 Time /,' /~ f}t11 By ~L
Remarks: r nl1lrac)-or" !r,c:..A-k c\ (0" Pi/e... Sf-ulo &. ~'[) <"<"6 ,J.--/{)' SOtAH, crt -I-J~c
(\)Cll'~.k.-i.-U...:,~ pl'Ope.e-ii cv.e.,,-eQ.. \(A".J /.f" PlJt. -1-0 h~s.e CL",J ;"s!-..lIed
'-I (f ,ovr c..D.
RESTORATION REQUIRED. . . . .. YES
NO X
too"
L/5;o
"1510
9/3 made/'1E.- sT
:~/co
u-.J,- t::,' ~
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 I
,," /' 1," <':'-'1"'(/ WO:#- 0 'l$-1(3
, -<';::,}/ , ) APPLICATION FOR WATER >;,
<:vt> ~v (, ',' ,-' City Water Division
G.:-<v,,\Q"'j:[;J'~ ' Port Angeles, Washington Avl~. 11,
'- '-- ~
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: 'i '5 7 - ). '13 3
/089 UJ ISf'?
,20~
Name of Applicant: ,) EH:-.!- lEe. E51'\
Address: I.J 4:J. t, is''' ,sr
o '--"'EN
Renewal 0 New Service OOk, ' A
Size of Service ) X. 5h
Service Left On 0 Service Left Off EI'"
Lot ~ A Add CJ~ E$ T 1-1 All E 111
Meter Number
Signed ~t1/Jd ()/)Jt{,
I nstalled by
Remarks: PP-I!. 141 I I 'ttos-b68
iJ 10;)5.92 ~{/ 7lS.~
pl4eCGt-,.1 0&301155'70100000
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W /35' F- e 8(t., '5-!-. E
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date '5 - tb- of>
I
Time
Received by
Rv
(phone, person)
Location of Work to be inspected L+ 23 q/3 M",,"d~ l.\.,.e .'S' +-
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. O~ - (',8,
Sewer Foundation Framing Chimney Plumbing cJi~;IYewer Excav. Other
INSPECTION NOTES:
Inspected: Date "? - I b '- 6(0 Time
Remarks:
""." ~~~\ ~ "J) ~~ ~b
~~:b '~ Q,u. ::. ';;~ ;10/
By
RJ
01<
6k
,
(~,) f<
RESTORATION REQUIRED . . . . .. YES
NO v....
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
property Zoning . . .
Application valuation
05-00000687 Date
069362
913 MADELINE ST
T6-30-00-1-0-4600-0023-
RES NEW SFR
8/16/05
RS9 RESDNTL SINGLE FAMILY
144700
owner
Contractor
GLC HOMES INC.
121 TAYLOR CUTOFF
SEQUIM
(360) 683-8865
Other struct info
G L C HOMES INC
RD. 1975 SW 1ST SUITE H
WA 98382 PORTLAND
OR 97201
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.90
1. 00
9004.00
2332.00
1. 00
----------------------------------------------------------------------------
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN METER
Permit pin number 57000
Permit Fee 195.00 Plan Check Fee
Issue Date 8/16/05 Valuation
Expiration Date 2/12/06
.00
144700
.5:)
<-'~~~--
BASE FEE
Extension
195.00
eN
Qty
Unit Charge Per
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
56986
110.00
8/16/05
2/12/06
Plan Check Fee
Valuation
.00
144700
.:Y
t
07
t
k--
\.j}
56994
50.00
8/16/05
2/12/06
Plan Check Fee
Valuation
.00
144700
Qty
1.00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
Qty
1.00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
.l;)
----------------------------------------------------------------------------
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 location. No
pressurized or pumping to curbs are allowed. An inspection
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 _gi e authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
Signature of Contractor or Authorized Agent
.----
1>')
Signature of Owner (if owner is builder)
Date
T:\Policies\l 102.15R [1/05)
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAW}<..,. ^ J CO~~.R,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE! METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SlDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH I I
BACK-FLOW DEVICE I I
/
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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:IPolicies\1102.15R [1105]