HomeMy WebLinkAbout3120 City Light Pl - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 11/07/96 LC Permit No: 516
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
FRANK BIRD 3120 CITY LIGHTS PLACE
3120 CITY LIGHTS PLACE Lot: 2
Port Angeles,WA98362 Block: Long Legal:
360/683-2343 Sub: CITY LIGHT SP
PROJECT INFO---------------------------------~----------------------------------
Work is OUTSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: TERHUNE HOMES, INC
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * watermain
* Sanitary Sewer
* Storm Drain
Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
drop in water meter existing depressed curb for driveway concrete in
driveway to be 6" in depth in city right of way no exposed aggregate
in city right of way.
PROJECT FEES ASSESSMENT----------------7----------------------------------------
R/W Excav: $0.00 San Sewer SFR: * $80.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: * $125.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W.: $0.00 Al ter /Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $125.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: * $674.00
3/4" Milwaukee Dr. Sew Assess: $0.00
I" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
I" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 II ==============================
Oth Water Serv: $883.00
Water Sys Dev: * $0.00
TOTAL FEE:
AMT PAID:
$1,887.00
$1,887.00
Receipt No:
Inspection Fee:
RIW
SANITARY
$0.00
WATER
BAL DUE:
$0.00
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and pUblic improvements. This perm~ becomes null and void ~ work or
construction authorized is not commenced ~hin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ~ required inspections have not been requested ~hin 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 compiied with whether specified herein or not. The granting of a perm~ does not presume to giy.e authority to violate or cancel the
provisions of any state or local law regulating construction or the performance of con~tructio~. f) ;;;,J '
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Si nature of Contractor or Authorized A ent Date Si nature of Owner ~ owner is builder
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
RUBLIC WORKS CONSTRUCTION Issued: / / Permit No: 516
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
FRANK BIRD 3120 CITY LIGHTS PLACE
3120 CITY LIGHTS PLACE Lot: 2
Port Angeles,WA98362 Block: Long Legal:
360/683-2343 Sub: CITY LIGHT SP
PROJECT INFO--------------------------~-----------------------------------------
Work is OUTSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: TERHUNE HOMES, INC
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * watermain
* Sanitary Sewer
* storm Drain
Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
drop in water meter existing depressed curb for driveway concrete in
driveway to be 6" in depth in city right of way no exposed aggregate
in city right of way.
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: $0.00 San Sewer SFR: * $80.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: * $125.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $125.00 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: * $674.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 II ==============================
Oth Water Serv: $883.00
Water Sys Dev: * $0.00
TOTAL FEE:
AMT PAID:
$1,887.00
$125.00
Receipt No:
Inspection Fee:
R/W
SANITARY
$0.00
WATER
BAL DUE:
$1,762.00
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This permft becomes null and void ~ work or
construction authorized is not commenced wfthin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ~ required inspections have not been requested wfthin 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 permft 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.
Sianature of Contractor or Authorized Aaent
Date
Sianature of Owner (~ owner is builder)
Date