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Home My WebLink About1702 Melody Cir - Engineering PUBLIC \JORKS CONSTRUCTION Issued: 9/10/96 TF Permit No: 506 & R/~ PERMIT Cond: X Work Order: 0 OYNER/APPlICANT------------------------PROPERTY lOCATION------------------------ HEARTHSTONE GROUP 1702 MELODY CIRCLE 618 S. PEABODY Lot: 2 Port Angeles.~A9B362 Block: long legal: 360/452.1232 Sub: HIGHLAND COMMONS PROJECT INFO-------------------------------------------------------------------- ~ork is INSIDE traveled road Value Work: $0.00 Plans Required: YES Contractor: lBR CONSTRUCTION Start: Finish: Performance Bond Required: YES Amount: Proof Insurance: Work over $2000: 200K PI/SOOK Per Inc/100K Prop Work to Perform: INSTALL * Watermain * Sanitary Sewer .. Storm Orain .. Underground Tele/Ele '* Misc / / / / SO.OO PROJECT NOTES-----------------------------------------------------------------__ 1" irrigation meter $200_00 drop-in, 2" water meter $1100.00 drop-in ( corrpound) PROJECT FEES ASSESSMENT--.------------------------------------------------------ R/W Excav: '* Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: 5/BII 3/4" 1" $40.00 SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO SO.OO Comm Water Serv: * $1,300.00 '* 1" 1 1/211 * 2" Oth Water Serv: * Water Sys Dev: .. Receipt No: Inspection Fee: San Sewer SFR: San Sewer MFR: '* Add Unit: 54 Other San Sewer: * Sew Tap Wye/Man Tap: Sew Cap/ W/M Remova l : Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: * Sewer System Dev: '* Milwaukee Dr. Sew Assess: R/W Use Perm: O.R.A. : Admin Costs (D.R.A): '* Mise: inspect/fees ~ {S25.00 ~ \ \\lJICf(f S9, 271. 00 2360 S1,800.00 SO.OO $80.00 S270.00 SO.OO SO.OO SO.OO SO.OO S40.00 S5,316.00 SO.OO SO.OO SO.OO SO.OO S1,800.00 ------------------------------ ------------------------------ TOTAL FEE: AMT PAID: BAL DUE: S18,142.00 S1,865.00 S16,2n.00 $~ ~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 9/10/96 TF Permit No: 506 & R/W PERMIT Cond: X Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HEARTHSTONE GROUP 1702 MELODY CIRCLE 618 S. PEABODY Lot: 2 Port Angeles,WA98362 Block: Long Legal: 360/452-1232 Sub: HIGHLAND COMMONS PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: YES Start: / / Contractor: LBR CONSTRUCTION Finish: / / Performance Bond Required: YES Amount: $0.00 Proof Insurance: Work over $2000: 200K PI/500K Per Inc/100K Prop Work to Perform: INSTALL * Watermain * Sanitary Sewer * Storm Drain * Underground Tele/Ele * Misc PROJECT NOTES------------------------------------------------------------------- 1" irrigation meter $20Q.00 drop-in, 2" water meter $1008.00 drop-in (compound) PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: 5/8" 3/4" 1" Comm Water Serv: * * In 1 1/2" * 2" oth Water Serv: Water Sys Dev: * $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 San Sewer SFR: San Sewer MFR: * Add Unit: 54 Other San Sewer: * Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: * Sewer System Dev: * Milwaukee Dr. . Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D.R.A): Misc: inspect/fees $1,208.00 $0.00 $80.00 $270.00 $0.00 $0.00 $0.00 $0.00 $40.00 $5,316.00 $0.00 $0.00 $0.00 $0.00 $1,800.00 ============================== $0.00 $9,271. 00 TOTAL FEE: AMT PAID: Receipt No: 2360 Inspection Fee: $1,800.00 BAL DUE: $18,025.00 $1,840.00 $16,185.00 Separate Permits are required for electrical work, utilities, private and public improvements. This permrt becomes null and void ~ work or construction authorized is not commenced wrthin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days afler the work as commenced, or ~ required inspections have not been requested wrthin 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 permrt 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 Owner lrt owner is builder) Date Signature of Contractor or Authorized Aoent ~ (Jlo (;hF/" D4 PVBUC WORKS CONSTRUCTION PERMIT JJWi8 ~ 4tfW t~ and RIGHT-OF-WAY PERMITS ~ @~IJj~Alt~l-z....., City Phone: 206-457-0411, ext. 124 _ () ......UCANT/OWNER: \)5 \JJ~ ':>T CoYY\ ~DRESS OF JOB: OV\J?~~ \ J;o^ \ U ~ ~.~ fJ APPUCANT ADDRESS: PHONE LEGAL OF JOB: ~ WORK IS [] OUTSIDE or [] INSIDE OF TRAVELED ROAD VALUE OF WORK IS:S (If work is outside roadway and is equal to or less than S2.000. then permit may be issued to other than licensed and bonded COnlnlClor.) PLANS REQUIRED [] YES [] NO CONTRACTOR: DATES FOR START & FINISH PERFORMANCE BOND REQUIRED [] YES [] NO AMOUNT: S PROOF OF INSURANCE: [] Work S2,OOO or leSs: S50.000 personal injury, SIOO.OOO per incidenl. S20.000 property [] Work over $2.000: S2OO.000 personal injury. S500.000 per incident. SIOO,OOO property [] Right of Way Use: S3OO.000 personal injury, S300.000 per incident, SI00.000 property Pentiillee UIIderatanda that DO alnlet may be closed to traffic unless approved by tho City Enain- and ewef of Police in advmce of the closure: that there is a 24 hour min;mnm notice prior to inspection. and to call 48 hours before digging to: 1-800424-5555. .. .. . ~_..--."""""'" ..........._............ ar,~............... ,,~....................................... "-... 1IWIlr. ~ ....,-....__._-_._._...__....,--_.._........_............._~-.-p..-.~ .-...-................---"..- ~ } l? s We3T ('fQyywr-" DATE: ~ cq ~ SipccI: .. ".:.".,. a- ....... FD 'AID TY>E FEE ..o-n 'AID I lJGKI' OF WAY EXCAV. ...... ~.!~csr..l w ",'n... 6",.01' ...... _u. ........ ...... "'.,_. ..... .wourmo. ""... ..... lEWD "'''' . ADO. ur<rr u.. DlJYEWA Y , IIZSJD IAN lEWD. OTHEU . ...-&1,.00; =~.cmsa_ Ma-lno ~.~~ ...... ~Z:~'!~NO IIZSJD'l.](>>.aJ mar cvr. ...... I2D.lIl lEWD. C>>/'IIATEJl NErD. 1m'" lDlOVAL 0T1IEI.1JOHI' 0' WAY WOlK ...... ALTD.ATIONI ""... lEPAnt TO S'EWEJl f1lll HYDlN<f DE>OStT STOlM DJ.ADi' T A' IIU.lXl lD. WAT'D1I!aVIC'! I- X "'. ""'... CATCH BASIl'fS EN LOTS nl EACH ...'" lES. WATD SDVIC! 1- X )J.- am... SECONOAA Y SEWD ASSESS. 10110.00 In UU.OO ao.up i ,n WA .... -... lEWD. In, G' In''.oo~ I co..... WAT'D JDVJ:E I- .11,GaI MILWAUKEE~. SEWD ASSESS. ."o.oo/EWlol ~M:-J\i:' WATD.IDY1CE. 0T1II!I. """'AT! llOHT OF WAY USE PERM"" VAJ.J'ESU.lllXl 'l/ATD.IYS. OEV. CHA.lOE am... /EWW Tar AU s S ~~.._......__""'- ...-................__......... ....,....,...................... u.,....... iII~....,....,.. __ tin .~___ ."'~1ICIn g:~~~~i~~ON~~'~~~W..~7/;:;;;,Jt~O-lJ ISSUED BY: DATE' k . .cKMIT TOT Al.S $ RECEIPT # INSPEcnON FEES $ WORK ORDER No. 004;;8 INSPECTOR'S COPY. WlllTE APPLICANT'S copy. PINK OFl'lCE COPY . CANARY PElUt1lT PW.0209.03 (111931 ~ PUBLIC WORKS CONSTRUCTION Issued: 9/10/96 iF Permit No: ~ & R/W PERMIT Cond: X Work Order:. C~/ OWNER/APPLICANT------------------------PROPERTY lOCATION------------------------ HEARTHSTONE GROUP 1702 MELODY CIRCLE 618 S. PEABODY Lot: 2 Port AngeLes,WA98362 Block: long legal: 360/452-1232 Sub: HIGHLAND COMMONS PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: SO.OO Plans Required: YES Contractor: lBR CONSTRUCTION Start: / / Finish: / / Performance Bond Required: YES Amount: Proof Insurance: Work over $2000: 200K PI/500K Per Jnc/l00K Prop $0.00 * Storm Drain * Underground Tele/Ele * Mise PROJECT NOTES------------------------------------------------------------------- Work to Perform: INSTALL * Watermain * Sanitary Sewer 111 irrigation meter $200.00 drop-in, 211 water meter $1100.00 drop-in (compound) * 211 $~~/~k1 $270_00 $0_00 $0_00 $0.00 $0.00 $40.00 $5,316.00 $0.00 $0.00 $0.00 . $0.00 .1 ~fC^ ------------------------------ ------------------------------ Oth Yater Serv: * Yater Sys Dev: * TOTAL FEE: AMT PAID: $18,142.00 $3,165.00 Receipt No: 2360 Inspection Fee: $1,800.00 BAL DUE: $14,977.00 qj;o /4v