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HomeMy WebLinkAbout920 E 1st St - Engineering {i~~'" is 0'_ ~~ n... ~ -- ~JC~ CITY OF PORT ANGELES. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 03--(47-3 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000473 Date 5/16/03 920 E 1ST ST 0630007203250000 PUBLIC WORKS UTILITES o Owner Contractor RICHARD P/MAUREEN CONNIFF TC PO BOX 185 PORT ANGELES WA 983620027 HOME SERVICE 223 MARSDEN RD PORT ANGELES (360) 457-1708 WA 98362 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 5/16/03 11/12/03 Plan Check Fee Valuation .00 o BASE FEE Extension 145.00 ~ ~ ~ Qty Unit Charge Per Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145.00 145.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 145.00 145.00 .00 .00 ----.. '-..r> -\ 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 !;-/b-65 Date T:\PLANNING\FORMS\ 11 02.15 [4/2002] ~ VORT ""-\: ~..J...O~~ i;".,.~ "--~ ~ "l.Ol--;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ 4/:t Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation . 03-00000046 920 E 1ST ST 0630007203200000 PUBLIC WORKS UTILITES Date 2/23/03 tjJ.() E /s r o Owner Contractor MAUREEN R/RICHARD P CONNIFF PO BOX 185 PORT ANGELES WA 983620027 BOONE'S EXCAVATING INC. 265 HOWE RD. PORT ANGELES WA 98362 (360) 452-9392 Permit . . . . Additional desc Permit Fee Issue Date RIGHT OF WAY 45.00 1/15/03 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension BASE FEE ~ -----;~~~~--~-~-~-~-~-~--~~~~~~-~~~;-~~~~~~~~~;-----------------~ Additional desc Permit Fee Issue Date 230.00 1/15/03 Plan Check Fee Valuation .00 o Qty Unit Charge Per Fee summary Charged Paid Credited BASE FEE Permit Fee Total Plan Check Total Grand Total 275.00 .00 275.00 275.00 .00 275.00 .00 .00 .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. 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\] ]02.]5 [4/2002] .0.........'................. .. .... tJett,j {Y"": -r R lJb f{ff p~' 7' PORT ANGELES PUBLIC WORKS DEPARTMENT ...,.....,;' " " -, , . i":::' '_ .1. ! ..-'............. ~, c..';;'--';-',,;-iIU.}I)'.-! . c;-~:.~" :~t)(:, E t..::: ~ ,\ ~ C\1P PERMIT NUMBER -~ S ,/ ;-1-~. 'p"";" 80QNES EX~;~~~'~I~JG ~.:.'3 ~.,~ t:QJNES EXCAVA~ 136 $4~~J[) J.. "() ~. I:~ 'mit ~"'~~ ,jV ~~. \,)~O " f-W BOGNES EXCAV~T 136 t23C.OO ~ 275 4 Qi} ----.------------. . .. J.. "'''1 . '.:.~lVlaLion Storm DrainfTap S/W Co-Op Hot Tap (watermain) F.H. Install/Meter W/M Installation Water System Development Charge Sanitary Sewer Permit Sanitary Sewer Tap/Cap or MH Tap Sewer System Development Charge UUD 215/Equivalent Service Connection Fee ACCOUNT NUMBER 001.2291000 001.2392000 600.32290014 600.34220015 600.34220016 420.32210017 420.32210018 420.32210019 420.32210020 711.32210021 711.32210033 711.32240011 711 .34150000 711 .34320000 711.34320010 420.34583000 711.34895000 420.36990000 754.32210029 754.34350018 754.34350024 782.34350025 DOLLAR AMOUNT 9360 RECEIPT# ,,-' -:J3 () D f1~S (f-.)f~ FILL-IN COMPLETELY" TOTAL EACH FUND AND GRAND TOTAL G :\GrouplAcct\Forms \Rev. Rec\Pub, Wk Last Revised June 2002 PUB/LIe WORKS & R/W PERM/T o Attached Notes OWNERlAPPLlCANTu T. DONG 920 E. 1 ST STREET Port Angeles, W A 98362 000/600-0000 PROJECT INFO Work is: Plans Required: Contractor: Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 1/15/2003 Permit No: Work Order: 1361 o PROPERTY LOCATION 920 1ST ST E Lot: 4,5,6,7 Subdivision: WMS & CRAMER Parcel No: 063000720320000 Block: 3 ~ Long Legal Value Work: $0.00 Start Date: 1 1 Finish Date: 0001000-0000 1 1 Amount: $0.00 D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Misc PROJECT NOTES HTE PERMIT 3 0046 2/23/03 FEES ASSESSMEN'F 1 .) R/W 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 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: $230.00 20.) Catch Basin per ea: $0.00 7.) Other RIW: $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.) RIW 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.) Misc: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $275.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $275.00 Receipt No: 9360 Inspection Fee: $0.00 Balance Due: $0.00 CITY OF PORT ANGELES DEPARTMENT Of; PUBLIC WORKS ". : . . . INSPECTION REPORT. . . . . . REQUEST: Date Time Received by (phone, 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 Final ~'~~E;~yther tjZ{) C /51 I INSPECTION NOTES: Inspected: Date Remarks: Time By -I- '~o- ~ 2A- / ." / ~ RESTORATION REQUIRED. . . . .. ~ES NO ~ SURFACE RESTORATION: ~ SURFACE TYPE: 0 Unimproved DGrav~ Asphalt 0 PCC o Repaired by City Work Order # [] Repaired by Permittee 0 COMPLETE [] No Damage Found 0 INCOMPLETE o Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) City of Port Angeles WORK REQUEST REg/JOB: WF0002215 / 001 PROJECT: CREW: LOCA TOI ON : GEN. LOC: REQ DEPT: REQUESTOR: USER ID: REPAIR LOC ID: PRIORITY ORIGIN WORK TYPE PAGE 1 REQUEST DATE: 3/20103 PRINT DATE: 3/20/03 PRINT TIME: 10:10:47 SCHEDULE DATES START: 3/20103 COMPLETION: 3/27/03 REF NBR: Low Staff Scheduled Work PW-Street TKAUFMAN TKAUFMAN UTILITY CUT AUTH: TKAUFMAN ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- REQUEST COMMENTS REPAIR UTILITY CUT AT 920 E FIRST PERMIT #1361 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ REPAIR UTILITY CUT Category code . : Task coae: ..: Facility ID . . : Assigned D~partment: Start tlme . . : Street Maintenance Roadway Patch-Major PW-Street STMN PACH . . --- Stop time: . . --- INSTRUCTIONS K~~AIK U~lLITY CUT AT 920 E. FIRST PERMIT#1361 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- START DATE: / / COMPLETION DATE: / /- UNIT OF PRODUCTION: QUANTITY: LABOR EMPLOYEE HRS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- EQUIPMENT NUMBER HRS MATERIAL ITEM QTY COST {]/( ::r.~"" L G COO ~ ~ 3 ,- ::J{) " --- -------------------------------------------------------------------------- ------------------------------------------------------------------------------- PUBILle WORKS & R/W PERMIT LJ Attached Notes OWNER/APPLICANT ... T. DONG 920 E. 1 ST STREET Port Angeles, W A 98362 000/600-0000 PROJECT INFO Work is: Plans Required: Contractor: Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 1/15/2003 Permit No: Work Order: 1361 o PROPERTY LOCATION 920 1ST ST E Lot: 4,5,6,7 Subdivision: WMS & CRAMER Parcel No: 063000720320000 Block: 3 ~ Long Legal Value Work: $0.00 Start Date: 1 1 Finish Date: 000/000-0000 1 1 Amount: $0.00 D Install D Repair D Watermain D Sanitary Sewer D Storm Drain D Underground Tele/Elec D Misc PROJECT NOTES HTE PERMIT 3 0046 2/23/03 FEES ASSESSMENT 1 .) R/W 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 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: $230.00 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.) DRA $0.00 12.)Water System Dev: $0.00 26.) Misc: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $275.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $275.00 Receipt No: 9360 Inspection Fee: $0.00 Balance Due: $0.00 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . .' ~'. ~ . INSPECTION R'EPORT . . . . : . '. REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final qZD E 15/ Boon@ 7" R 0.,:) n~ Phone No, J3Jfl { INSPECTION NOTES: Inspected: Date Remarks: /-~:; -D3 c.o"""'-i' I..~, Time PAl. By --{-,-J RESTORATION REQUIRED . . . . .. YES NO r-:- ! ~ 9;1.-0 t:::. & ~ ~ l-j" UJj e ~ 0-- - ~33' #4114!'Y / SURFACE RESTORATION: bX ttJ SURFACE TYPE: 0 Unimproved DGravel ~Asphalt OPCC o Repaired by City Work Order # o Repaired by Permittee 0 COMPLETE o No Damage Found 0 INCOMPLETE o Other /10 (~~eeJ (Continue on reverse side if necessary) I t 1/'74 D3 ,......r-.r..."r ,.... .nr-.................__..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT . . . . . . . . /-fIe wP 7U-CJ REQUEST: Date 7 - 2... g -D3 Time Received by (phone, person) Location of Work to be inspected c72D E. / s;ft- Name of person requesting inspection ~u/1I'5 E. Address of person requesting inspection~ro ~,--vJ Phone No. t Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~ INSPECTION NOTES: Inspected: Date 7 - 2B '-0"$ Time Remarks: Ae.cJ{c..Lc 3>/c(- f$.-. Cof;Jer xr0(~<-. I I By w;-ft,.." 3/<{- f! E .. I ~ I ~ '~ ~ (~ h r '~ ~ t- ~ ~ 1J~( ~ e:i t t It r ? I/:L- .5 f?e~~? . J ...,a " SURFACE RESTORATION: G \0 N- .nl IO't"o \,Jt - " RESTORATION REQUIRED. . . . .. YES >< NO SURFACE TYPE: D Unimproved 0 Gravel zr Asphalt ~PCC 0 Other [] Repaired by City Work Order # 72...d1 [] Repaired by Permittee ~ COMPLETE A'D\J"V\o,\r ct- Cot-Jc;tet-~ o No Damage Found 0 INCOMPLETE V0:::Jt-\<:.. Gtv\~~e\-~ Lf X S- As,tJL(+ !Jec-+cC_ ~-\b-()c; )l< / I (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CIT'{ OF, PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 7 - 2- g --o~ III&: wF 1UCf Time Received by (phone, person) Location of Work to be inspected 920 E. (sJt- Name of person requesting inspection .'~/lJ"u'5 E. Address of person requesting inspection&-rt! Yo.-vd. I Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. Permit No. Sewer Excav. Oth~ INSPECTION NOTES: Inspected: Date 7-2:8-o~ Time Remarks: ~e ~t c-c.~ 31<1:- {$.- G::,/J~e r x"'--J(~e..... I , , By w;-fk 3/<f- f? E . ~ ~ ~ (~ ;0 ~ E- ~ ~ ( ~. 6 1-(-:; t ,t r q <? ~c .5 V~~ RESTORATION REQUIRED. . . . .. YES >< NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel MAsphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # 72.d1 o COMPLETE D INCOMPLETE t-f >z S- A5 tJ~(+ tJd--c-L / I _ ..!_____ ___ ___.____ _:-II_:JI: __________, CIty 01 IJort Angeles tI (e (J,.) F -r ~ Cj Public 'Vorks Departnlent vVater Distribution Repair Report IWork Order No: 7 ~DC{ Icrew:~(€. 'De",,;., 0'(1 DATE REPORTED: 7- Ze - o~ CONDITION: EI\.1ERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0 LEAKAGE SURVEY 0 OTHER 0 DATE OF REPAIR: 7 - 'L 8 -03 TIME: REPAIR LOCATION: ADDRESS: C:;ZO ~ 7.:~ . -s.* ( - ~.M. OP.M. TYPE OF MAIN: ~. A ~ SIZE: ;?( r ( ~ DEPTII OF MAIN: :3 Z CLOSEST VALVE DEPTH: a'<z- COMPONENT REPAIRED: MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0 HOLE 0 CLANW 0 OTHER SERVICE: TAP 0 CORP. STOP 0 PIPE)l CURB STOP 0 FITTING 0 I\.1ETER SETTER 0 I\.1ETER 0 LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT: BRANCH 0 VALVE 0 BARREL 0 OTIIER: COMPONENTS OF REPAIR: CLANWO DRESSERO OTHER SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0 TOP SOIL AREA 0 SOIL TYPE CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK FT. DRIVEWAY CUT Fr. . MAIN CONDITION: INTERNAL LINING' tJ/^ TUBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROS~D 0 EXTENSIVE 0 CHLORINE RESIDUAL SAMPLE ~/ A P.P.M. WATER OFF: FROM "; ^ M. TO (0 It M. FROM M.TO M. APP ARENT CAUSE OF LEAK: Of cf) A ~ BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COFER, 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT 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:IPLANNINGIFORMSII 102.15 [4/2002] BUILDING PERMIT INSPECTION 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT 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:\PLANNING\FORMS\1102.15 [4/2002]