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Home My WebLink About4122 Newell Rd - Engineering . ,. '~4-19-02 14:16 +2534711324 T-474 P.03/03 F-236 From-TRAFTON B vv 0 ~ztl /753 L4URIP:;'CN !';LVP ':1 'w N N :r- 1:> CJ.. ~ ..J u.. .$ .... <. c::: saon 'I UlW\'lSniIl )oN range 6w 1bis request for tlcmlit is for the placement ofunliefllTOUJld telephouc service wiR to our CllStllllUll" lit the foUowin@; address: '1/7.l. /VEvvfl.L ~c; Thia work will require: TfllIIc:bing in the PJW (total blnage). 166' Push or bote 2 inch PVC or iUP unclcr roadway (total footage) tP Push or bore 2 inch PVC or alP und~r driveway (total foouge) " Push or bore 2 inch PVCor aIP under multiple driveways (total footage) / , o PUBILlC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT DAVID BRIGGS/WYNDI COLE 239244 Hwy 101 W Port Angeles, W A 98363 000/604-2370 PROJECT INFO Work Is: Issued: 5/01/2002 Permit No: Work Order: 1268 o PROPERTY LOCATION 4122 NEWELL RD Lot: 4 Shp 82-09-12 Block: Subdivision: CROFT'S ADD Parcel No: 063009509090000 0 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: 0 Install 0 Sanitary Sewer 0 Mise o Repair 0 Storm Drain o Watermain 0 Underground Tele/Elec PROJECT NOTES bury service wire 100' along Newell 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: $000 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.) ORA $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 s CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILlC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT DAVID BRIGGSIWYNDI COLE 239244 Hwy 101 W Port Angeles, W A 98363 000/604-2370 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance Work to Perform Issued 9/26/2000 Permit No Work Order' 1108 o PROPERTY LOCATION 4122 NEWELL RD Lot: 4 Shp 82-09-12 Subdivision CROFT'S ADD Parcel No 063009509090000 Block o Long Legal Value Work. $000 Start Date I I Finish Date. 206/000-0000 I I Amount: $000 [;gJ Install o Repair [;gJ Watermain [;gJ Sanitary Sewer o Storm Drain o Underground Tele/Elec o Misc PROJECT NOTES san sewer to be installed per design by 4 Seasons Engineering size of water meter? IXJj/1 C- ?JOz.~ "F 27764 C:77 FEES ASSESSMEN"F 1 ) RIW Excav' $45 00 15 ) Other San Sewer' $000 2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 20 ) Catch Basin per ea $000 7 ) Other RIW $000 21 ) Sewer System Dev' $745 00 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo 3/4" $670 00 23 ) RIW Use Perm $000 10 ) C~mm Water Servo $000 24 ) Admin Cost (D RA) $000 11 ) Other Water Service $000 25 ) D RA. $000 12.)Water System Dev' $1,02500 26 ) Misc: $000 13) San Sewer SFR $95 00 TOTAL FEE $1,910.00 14 ) San Sewer MFR $000 add unit: 0 Amount Paid $2,580 00 Receipt No 6711 Inspection Fee. $000 Balance Due $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, 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. -/.. ~!t:t< 7-.26 Co Signature of Contractor or Authorized Aaent Date Signature of n r (if owner is builder) Date Q VI! CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILlC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT DAVID BRIGGSIWYNDI COLE 239244 Hwy 101 W Port Angeles, W A 98363 000/604-2370 PROJECT INFO Work is Plans Required Contractor' OWNER Performance Bond Required. Proof of Insurance Work to Perform Issued 9/26/2000 Permit No Work Order' 1108 o PROPERTY LOCATION 4122 NEWELL RD Lot: 4 Shp 82-09-12 Subdivision CROFT'S ADD Parcel No 063009509090000 Block. o Long Legal Value Work $000 Start Date I I Finish Date 206/000-0000 I I Amount: $000 [;gJ Install o Repair [;gJ Watermain [;gJ Sanitary Sewer o Storm Drain o Underground Tele/Elec o Misc PROJECT NOTES san sewer to be installed per design by 4 Seasons Engineering size of water meter? FEES ASSESSMEN"F 1 ) RIW Excav' $45 00 15 ) Other San Sewer' $000 2.) Sidewalk. $000 16 ) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17) Sew Capl W/M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain. $000 6 ) Street Cut: $000 20 ) Catch Basin per ea. $000 7 ) Other RIW $000 21 ) Sewer System Dev' $74500 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9) Res Water Servo 3/4" $670 00 23 ) RIW Use Perm $000 10) Comm Water Servo $000 24 ) Admin Cost (D RA) $000 11 ) Other Water Service $000 25 ) D RA $000 12 )Water System Dev' $1,025 00 26 ) Misc: $000 13 ) San Sewer SFR $95 00 TOTAL FEE $1,910.00 14) San Sewer MFR $000 add unit: 0 Amount Paid $2,580 00 Receipt No 6711 Inspection Fee $000 Balance Due $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Sicnature of Contractor or Authorized Agent Sionature of Owner (if owner is builder) Date Date (' f~ ~. I G',,;; :~ 1. : _n!~ , r~~. T tf.g;C;j~'";' ,..\; .-, j! !f. l~ l .-~- ~!:ir~' = 1 H 6?t: ~ !\R i~ j= ,i'. If tD _~o "t!...t.v 0.>.::-;". I" > i ' ~ . . ~ " > .. . .,: .;: Oi~..i ~ " ...~.... " ~",' , It .,.- ~ CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT DOLLAR AMOUNT ACCOUNT NAME PERMIT NUMBER ?} Surc arge ( 4 50) D RA Fees Plus Interest Burning Permit Fee Fire Inspect/Permit Fee Fire Sprinkler Plan Review Fee Construction Plumbing Mechanical Sign Clear/Grade Permit House Moving Sidewalk/Driveway/Curb Permit/Right of Way Permit Publications Blueprints- Aerial Administration Cost (5%) Plan Check Fee Engineering Service Fees ." : ~,,: .~. "'." ':0; ACCOUNT NUMBER 001 2291000 001 2392000 600.32290014 pOO 34220015 60034220016 711 32210017 711 32210018 711 32210019 711 32210020 711 32210021 711 32210033 711 32240011 711 34150000 711 34320000 711 34320010 711 34583000 711 34895000 1I~4*~lctt.~iiW$ 1~~f~!'\\I!~tt;-'l.POQi1#~;Ut 911 32210028 '" 'i:~... Hot Tap (watermain) F H. Installl Meter W/M Installation Water System Developement Charge fi Sanitary Sewer Permit Sanitary Sewer Tap/Cap or MH Tap Sewer System Development Charge UUD 215/ Equivalent Service Connection Fee 71539510010 ~l)~l~fl,'fljll;~~,(AOOnr.<$Ml' 753.34340023 753 34340024 753.34340025 753.34480010 MC~~ ~MP~~OTAL EACH FUND AND GRAND TOTAL 4/~z ?:5;e/y~ s G:'GrouplAccllFonnslRflV.ReclPub-Vllks Last Re\1sed Dec. 1999 '" ~ ..,.. :-" Z o ~11;11111!lljll; ~ !~;I iili;~Rla.i Iii: sl !~I ~;Ii !~~~ f! ~i. li~~ ~ I!!i Is Ii! Illn~ ~ i~11 Ig !Ii e~m= 5 ~ i~ Iii! =i ilo~ I!~fi ~ ~ i~ h~~ t:! i ~ ~I~I ~ IJ "- ~ii~ i~ ~J; ~~;i ~ , '\ 11;1 II i~! ;IU ~ i ili ~I~~ I~ I;; ! r ~ i;1 ~ ,. ~ j~1 d1 ~i ~U i ,;I! 4 SEA SONS DA TE. JUL Y 21, 2000 SCALE. AS NOTED ENGINEERING, INC. (360) 452-3023 DRA'hN BY' ItMD 619 S CHASE ST PORT ANGELES WA 9836" CHECKED: JSP L SHEET. I f :I> r -i z;::o om ~z f:.o fTl::r: .. ~ ~ " (() m o --j o z / :J:\ \{\y: ~y: ?': ~,;' / ~ \\. ' -::1 'II ~ ::, ; I( ~ ~ ::- - -m~;".';; '''~-,:' ~:r--A ~ ~ l 1~ . '~l D u.) - 2.oc)'~_.. l F:>8G. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . ..... /D f/ 7/ // REQUEST' Date 7- '2 ~ () ( Time_ c; >0 J/t/l.1. Received by Ve.1~l'7 E (phone, person) ...----~'>- location of Work to be inspected '/1 ZZ tVe..ve. (( ;:2 d Name of person requesting inspection D~vt't(.., C' ~ Address of person requesting inspection / 7~ <f- E ("L>rJ!J i Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other va..vl Phone No tf I 7 ,- 'I~c.f7 Permit No //0 ?{' W~ INSPECTION NOTES Inspected Date 7 - Z::o ( Time Remarks ---;;",b' 7-" fZ LIe I, ~ "';:or 7" '^- L I )C 3>/4 We:.:--f-er 5<.rVtCe. By DeVL'-\. ,~~ ( V/.. 5 ra. ( ~ t I 0 .',- c; -r ?t,- G ~o24 r Z-77rAlP7 RESTORATION REQUIRED. .. . YES NO ')L , .~ ~ ~ 1 "- '-..... ~ ~ ?nv.(\. +t.. 'vr SURFACE RESTORATION. SURFACE TYPE jX1 Unimproved 0 Gravel D Repaired by City D Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # ) 8t!!:>t, )kt COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~~~ ~.~ ~~ t ~1 ~ f", ~ ~I ~ ~,~, ~ ~ r \ ~ ~ ~,' ~. ~ ~ ~ I ~~ t, ~' ...,---- < ~ ~ (OJ ;:s '\" -- \'~ \'~ ~ ~ '- \' ~ "'-..J '-....j (" ,"" "- r- 0:, ~, h (~ \fL ---- I:: k\) >( 11'\ N II~ OJ II" 1.>( .p. II" II~ ~\II~ I / Ii: ~ II l!..;,l II II ~" :: "X_ II II II II 5. ='~4~~ / / I ~~/-----I- I x X N -....j ~ 1 ~~~~~ 1 Z - r. :t> ~ n r 0 Xl 0 ~ rT1 ~ ~ Cti ~ X 1> 0 :u~ i < I '; '" ~ r fTl G) fTl Z o ::::::::::" 'j,';;. I;,p" :' , ~":" I "Nil , 1',",< ','(' , :::'\ ^ "- -I ":.... t ------7<::- ~ , " / ^' N -....j m VI (?;i :r: ... z'" - Z~~Z / mO I ~~-.-~~_____~! ~ ~: ~ u ~ /' I J ,Jl;J}>.nlJ'l l (/ n ~ ~!T' ~ "_1- -- 0-< R ~L~~--/~::;\~-~Q ,:~ u ~-- ,~ ~ ~ 0 ~ ~ > " ~ " " -< 1 m m ii r I'J !11 J >> " BUILDING PERMIT INSPECfION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LImIT DEPT) ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL CHIMNEY WooDSTOVE / PELLET DUCTS PW UTILITIES / SITE WORK (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIffiR FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LImIT DEFT 417-4746 ELECTRICAL LImIT DEFT CONSTRUCTIONR.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE (MUL TI-F AM. ONLY) 417-4654 FIRE DEFT BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW-II02.l5 [4I96J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: /(~ Date ~' /-/- d.~ /' Time/L), ~2/--~/~ l~ Received by [// (phone, person) Location of Work to be inspected~/[Z ~ /~:~/~ j ~.,//' [ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No, [ ~.~Sewer~,~L~-~ ~' Foun~a~on Framing Chimney Plumbing Final Sewer Excav. Other [C~c~r~ Inspected: Date d.~ ~ 7 Time By d Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~/,~ ~_~ Date_ /O -- ~---O I Time Received by . , 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. Sewer Foundation Framing Chimney Plumbing~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date/t~~'-'~ ~'~ Time By Remarks: RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILIC WORKS & R/WPERMIT Issued: 9/26/2000 Permit No: 1108 OWNER/APPLICANT [] Attached Notes PROPERTY LOCATION Work Order: 0 DAVID BRIGGS/WYNDI COLE 4122 NEWELL RD 239244 Hwy 101 W Lot: 4 Shp 82-09-12 Block: Port Angeles, WA 98363 Subdivision: CROFT'S ADD 000/604-2370 Parcel No: 063009509090000 [] Long Legal PROJECT INFO Work is: Value Work: $0.00 Plans Required: Start Date: / / Finish Date: / / Contractor: OWNER 206/000-0000 Performance Bond Required; Amount: $0.00 Proof of Insurance: Work to Perform: [] Install [] Sanitary Sewer [] Misc [] Repair [] Storm Drain [] Watermain [] Underground Tele/Elec PROJECT NOTES san sewer to be installed per design by 4 Seasons Engineering size of water meter ? FEES ASSESSMENT 1 .) RNV Excav: $45.00 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 Cap/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: $745.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: 3/4" $670.00 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: $1,025.00 26.) Misc: $0.00 ~'~,~ 13.) San Sewer SFR: $95.00 TOTAL FEE: $1,910.00 14.) San Sewer MFR: $0.00 add unit: 0 Amount Paid: $2,580.00 Receipt No: 6711 Inspection Fee: $0.00 ' Balance Due: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work o~ consffucton authored is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days aftc~ the work as commenced, or if required inspec'dons have not been requested within 180 days from the last inspection. I hereby certify that I have reed and examined this application and know the same to be Vue and correct. Ail 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 )rovisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Oate Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR. BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCF_.AL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLa~2qS AT JOB SITE INSPECTION TYPE I DATE I YEsACCF~°I~EDI NO COMMENTS FOUNDATION: GENERAL COMMENTS: pW-ll02 15