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Home My WebLink About4515 Old Mill Rd - Engineering J;~r~ l~~ ( ,.~ .: ~- ~<;dI' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 oc;-sf' Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000059 Date .054022 4515 S OLD MILL RD 06-30~22-2-1-9010-0000- RES NEW SFR 2/07/05 46/:;- S OP) (r)iQ) f2rI RS9 RESDNTL SINGLE FAMILY 200015 Owner Contractor JAMES W/SHERRIE L 4619 OLD MILL RD PORT ANGELES SCHOUTEN WA 983621911 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 2449SF SFR W/ATT 817SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 J. 0 A~ Structure Information Construction Type Occupancy Type Other struct info 16.50 V-N 2.00 1. 00 17424.00 2884.00 2884.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee .00 Issue Date 2/07/05 Valuation 200015 Expiration Date 8/06/05 Qty Unit Charge Per _ ~xte 1.00 640.0000 EA PW W/M 1" SERV 5/8" METER 640.00 ------------------------------------------~-------~------------- -------- permi t RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45.00 2/07/05' 8/06/05 plan Check Fee Valuation .00 200015 Qty Unit Charge Per ~~ 1.00 45.0000 ECH RIGHT OF WAY PERMIT 45.00 -------------------------------------------------------~~--------- ------- 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-El When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" The proposal will result in a new s.f. residence in the RS-9 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 T:\Po]icies\1102.15R (]/05] \11111",- ~~\;, ~~~ L -- ,,<~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 05-00000059 pin number . . .054022 Page Date 2 2/07/05 Special Notes and Comments zone for total lot coverage of 17%. No land use issues are noted. Electrical permits are required. OH Residential Connection Fee Applies $410.00. Late Comers Fee Applies. $501.25. (See Cost Letter. Job#.9877 WF30000/01) Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees Fee sununary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 685.00 685.00 .00 plan Check Total .00 .00 .00 Other Fee Total 1029.50 1029.50 .00 Grand Total 1714.50 1714.50 .00 STATE SURCHARGE ~ :: ' '\ PW WATER SYSTEM USE FEE ~25~ Due .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. t 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\l 102.15R [1/05] f-~ APPLICATION FOR WATER City Water Division u).D. 303 '-18'-018 \'o,+.Q.;2. lV" :Ac . . ., Port Angeles, Washington '2- - 7 ,200S- I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: . Name of APPlicant:~ ~~ SrJ, OIA 4- u.... 4~ 7 -I?~ I Address: 4~ OJrl foil II L 2J:l.. Renewal 0 New se~fki/ Lot 7 Size 01 Service I,x 7zf Service Left On 0 Service Left O? Installed by", Remarks: /1?r M 1':# t6- esq ~t:4o~+ '/02SlJD (,(+y - 80'1"1 ftl.'-T -O'-lo5'8318 RJ.(j 000000 ,N ~ ~. - - '-f -"<J ~ S"-nlol\.e'- ~a E w , . ~~~~ ~ Oll> 4,,0" I 7- 0.... I -45'1'5 olR W\.:~~ PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT Issued: 4/04/2005 Permit No: 1433 Work Order: 0 PROPERTY LOCATION 4515 OLD MILL RD S Lot: Subdivision: Parcel No: Block: Port Angeles, W A 98360 000/600-0000 PROJECT INFO Work is: D Long Legal Value Work: $0.00 Plans Required: Start Date: 1 1 Finish Date: 1 1 Contractor: QWEST COMMUNICATIONS 3601000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: I2SJ Install 0 Sanitary Sewer D Mise push D Repair 0 Storm Drain D Watermain D Underground Tele/Elec PROJECT NOTES place buried service wire to provide telephone svc at 4515 Old Mill Rd will require 76' in r/w and paipe push under Old Mill Rd FEES ASSESSMENT 1.) R/W Excav: $0.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W/M 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 R/W: $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.) R/W 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.) Mise: $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 ':~~1~~ N ""'r.)'~ " ::,:~.~~~:'l~ ,..,Ii', "~lY' ':'..~\~{~~t~1. _':'~\"'.~~\f , >;::~l~:~~~~~~ . .-d':~N~~ ;~', .\ "~,,jf~r~f~;~ ...,,~~' > ~{+t~*5~i~; , ' ~~l:'J.>t,,:"'''J{if :'f;~~;~;~l;;j , ",p';:'~'.,f.'\\\"' It :'''11 ,'\:~1;~;~Y~ ." :;:~;"j:~~~l~ ;,.I.\~3.;' ,,:t""ii ..:, :,!tl;"~.~:;" ~l '. "~'ri<'{; ". , <,J" '".~I'w" ,:. ,'.',!~r.p:;\' . ,;:,:~}t~~~%~ , '.q,,;,.l)i,CIo,."" ;:"~i'Y.!J~~ ',' '1\\:-";" ~,Il,~..J' I ' . ,.... ~~. ...,:{P:l!....ri Section' /,2~ . 'I,::"""",,:"'.:~':',i rr h' ~":-~Aj;i.:"~hRi;~\:1 i owns lP. . ";~'0:i'~;~I!;f)j. Range: __ !,{"."";~wj{; ~ VVf..t~~~l/'" ',' ". .~J;.;tW..t:';~.i rhis request for permit is for the placemem of underground telephone service wire .to"/~,;'H'6t;~f;; )ur CUstomer at the following address;.';'f:I,~<r;t; ";-'.;' ';;;'~;'1 , f,,~;,n+;:;\;.t;: ., '~'?};r~~~ti~1 , 'i:~~~;"":~.':~l . ..\.;.:.f!;,ii.::: ",..",rc'''',f...J'''': '<f:~ft?~ ""~'"""~r".J'\ "{~,I "H1,h. j~li '. ~~ ~, .~l;f~{~;i:i '......""'/'11' " :" ~,!.:~~:,r.~~~~ .:","';'W~~~ .,.-. '-'-',:f~ij"f-f!fr~.~ .; .-~-'~.:::;.::I~~~~l;~ ** TOTAL PAGE.03 ** MAR 25 2005 09:28 FR TRAFTON B 253 'At A-- 0. t::;() 1!J0L); - 4;;;:).(' 471 1324 TO 13604174709 Qwest Job # IJJfLVY?':; eD " ...n Pol e. " 11\96/ l / '/5/S- o"l) mILt.. Ro/4..'b rhis work will reauire: 'lowing in the R/W (total footage) 7eo' "ush or bore 2 inch PVC or SIP under roadway (total footage) C:;t./- I >Ush or bore 2 inch PVC or SIP under driveway (total footage) -e-- 'ush or bore 2 inch PVC or 8lP under multiple driveways (cotal footage) o III crossings and ROW work a.t 36 inches. "All pits and trenching require select fill. P.03/03 '. P,02/03 , ",:,r~~~'~'~~;,!~~<J~~:j ""I"'<'!'I'\ " :'{~x~;:~fl~ >(.,'i';:':"'~~~~>'lj <i~ I ,\ t r"l..~,'ij , ~Y' ?~}~~'; 'i;,;{;;}';ib;;1 ,,' l"f!,I~"~ :,;,:;rili,t~:' " :"'it"" "::':',~i:~.{~;.;;' j1 , X' ~ r'" "i,,' '".. APPLICATION is her~by m.de to the m\.lnidpality of PoRI' ANGELEs to nOTed hereon and tlS "hown on tllttlched drawing: PLEASE. 5e.E. A1iACtl-cb .si'-.ETi:~' OLD MILL ROAD WILL RE-C;)UIRE 76' IN ROW AND A PIPE POSH. P ~ '=Ft Sewer Depa.rtD1ent - Superintendent :;,';;;:~~i~*}ll y . ',,",}?!;~y', ::::"':::::'m. f~.om;:'::r <h..b,~ W~~~~~:'o; ~"'~'~:~ ~~11~l- ^".I r:S~ /.'A':rT.:. "" .'~~..l '~:""O' kJi.,ii:,;:;ii'!\~i. U \AIL. I I, ". \-:j" ~w 'K.I.J I'" ~,"-'A;\~:':~~;', THE ABOVE APPLlCA TION IS HEREBY GRANTED7;~;:'E~ T~:~;;IC:~;:a IV A 98409,:;!'J;!t)~~~ , ':i,,';\~,\~'i~i~ .'; ~;.~,\,~;r~\';ij{1~:~5~ i'l ~.~ ,~Ifv\'!:d~~ ;, 'Ui!1~~:i'\ , ""II~~~r,(":.{: MAR 25 2005 09:28 FR TRAFTON B ~~ ''@/hd g)~ 253 471 1324 TO 13604174709 .~ -- F'lJ2UC WOIio;S .,.,. -- JiJ fJ -p:, \Af fY050 I Jut - 45d. C-- P~rmit To'Perform Work In Street Right..gf.Way ", " 45<1:5' /47;1 Approved: Phone 253/597':'5:1-36' l""AX 253,t471-B24 Cernplyjng with all M\.Inieipal Ordinances; Notifying rhe Street Superinten~ent of the time the work will star:, and when lr will finish; Pro.o.cuting the work with diligenco. and With due respect to all property, conrracu. penlonl' rights and the inlerests and convenience of the public; Sa..;ng tho. Municipality harmleas from any and all damaao.l which rnay 'c'r\.le to any penon' or propllrty bectl\.lse of rhis installation or the maintenanee thereof; , Date Complying "'ilh followinllllleclal conditions; 4/~ / ItO()~19 CIty at PORr ANGELES BIfC1wxr::r '~ ....-- -- an-itl. . ,. . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 3 -I ( - 05 Time 7 It ~ Received by 7) G"... ,';' E (phone, person) Name of person requesting inspection V.e'-t....:" Address of person requesting inspection~p Type of Inspection (circle appropriate one): Phone No. 'f( 7 - 4-8'-l"l Sewer Foundation Framing Chimney Plumbing Final Permit No. ~ Sewer Excav. Othe~"'- t-e r ~ INSPECTION NOTES: Inspected: Date .5 - fI - 05' Remarks: T:... Kl itA.. +0 c:.. (" P E.. OjIJ ~l.tl ' 1212. ~i1.J YUY1.. <-Is t? () Id tAI!.:{ ( RJ. 1Jt ;,^~;~r:hlt ;;5k~evY RESTORATION REQUiRED...... YES Time q A M By De"'....,;", ~. (I~e... If' uJest- of' Me.+e, bo'f-- o...t 'f"'lJ9 Sf of( P..E.. -;-0 +i~ 5out-l ('OV" ~ ~~~1R.~//1 , NO X Sc....;0I'\er R.d. ~ '-- '-.. ~ ~ \j 1 <15 D"i Old. [M.,{( ..j <{515 ,,16 IV\.:({ SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Repaired by City D Repaired by Permittee D No Damage Found D Asphalt D PCC D Other Work Order # 50'3'-/2--02..( D COMPLETE D INCOMPLETE .. ... - -". ______l .. rft:~"~ S . ,... ~-- "l,il,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 05-00000059 Date .054022 4515 S OLD MILL RD 06-30-22-2-1-9010-0000- RES NEW SFR 2/07/05 RS9 RESDNTL SINGLE FAMILY 200015 Owner Contractor JAMES W/SHERRIE L SCHOUTEN 4619 OLD MILL RD PORT ANGELES WA 983621911 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 2449SF SFR W/ATT 817SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 16.50 V-N 2.00 1. 00 17424.00 2884.00 2884.00 1. 00 ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee Issue Date 2/07/05 Valuation Expiration Date 8/06/05 .00 200015 Qty 1.00 Unit Charge Per 640.0000 EA PW W/M I" SERV 5/8" METER Extension 640.00 ---------------------------------------------------------------------------- Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 2/07/05 8/06/05 Plan Check Fee Valuation .00 200015 Qty 1. 00 Unit Charge Per 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 ---------------------------------------------------------------------------- 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as IlFire alarm" The proposal will result in a new s.f. residence in the RS-9 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. " ure of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\ 11 02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1105] ~@QRT ~ ,I,~O';".~"'" (j~1$t If ... L~ ~ "l,il,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000059 pin number . . . . . . .054022 Page Date 2 2/07/05 Special Notes and Comments zone for total lot coverage of 17%. No land use issues are noted. Electrical permits are required. OH Residential Connection Fee Applies $410.00. Late Comers Fee Applies. $501.25. (See Cost Letter. Job# 9877 WF30000/01) Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 685.00 685.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1029.50 1029.50 .00 .00 Grand Total 1714.50 1714.50 .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 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05]