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Home My WebLink About409 W 2nd St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ PUBLIc vVVK1\.~ CVN;::llKUCllUN Issued:02 1?1-9?' & R/W PERMIT Cond: OWNER/APPLICANT------------------------PROPERTY DOBSON L.TRUST C/O B. AMERICA : 409 101 NORTH 1ST DEPT 4422 : Lot: PHOENIX,AZ85003 : Block: 602/594-2861 : Sub: PROJECT INFO-----------------------------------------~-------------------------- Work is N/A traveled road Value Work: $0.00 Plans Required: N/A Contractor: PermIt No: Work Order: LOCATION------------------------ 2ND ST W 18 35 Long Lega 1 : Start: Finish: / / / / ~ '=' --S;:\ Performance Bond Required: N/A Proof Insurance: Amount: $0.00 C Work to Perform: INSTALL * Watermain Storm Drain ~ Sanitary Sewer Underground Tele/Ele ~ Mise ~ PROJECT NOTES------------------------------------------------------------------- INSTALL 1" SVC WITH 5/8" METER AT WAREHOUSE WEST OF DOBSON'S AUTO 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: 1 " 1 1/2" 2" Oth Water Serv: Water Sys Dev: Receipt No: Inspection Fee: R/W SANITARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $550.00 San Sewer SFR: San Sewer MFR: Add Unit: 0 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): Mise: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $0.00 $0.00 TOTAL FEE: AMT PAID: G50.QQ) $0.00 3<JJ1 $0.00 BAL DUE: ~ DRA?/;iJtj~THEr WATER STORM DWY 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. Signature of Contractor or Authorized Agent Date Sianature of Owner (if owner is builder) Date r ~' ACCOUNT NAME PERMIT NUMBER CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT DOLLAR AMOUNT ,\.,onsuucnon iPlan Check Fee ISurcharge (:Ji4.50) iPlumblng Mechanlca Sign Electncal Permits /Inspections House Moving SidewalkIDnveway/Curb PermitlRight of Way Permit Publications l:lIUepnnts- Aena Engmeenng SeMce Fees Clear/Grade Permit Fire InspectlPermit Fee Fire Spnnkler Plan ReView Fee Mmlnlstrat on Cost (5%) DRA Fees Plus Interest IPBIA ACCOUNT NUMBER lUU.l:I:lll 700.9449 001. f vv.,,'" 1-' 'V~. I" 'V~. I" 91 .~ 37 fUU.tI-'''O 700.9409 700.9429 700.9462 700.9241 600.9677 600.9449 7UU.l:I4:l6 001. 650. j~~~l~~!;~~~:l~~~:t~i::~~~1~~~~f:;:-::::' :::: :" ". .:. :' ..... :"::'.:.. ........... :...... ::::;;~~:~~~: ..f~~t~;;:::::~?f~~~ :S~~@~;.: .' : .' :: ::.... ~. :::~l~:::~~t :~;;~;~~~:~~;;*w.~~: :......... :?.. !o:-~~:lli=%~tt~~~.~%'. IStorm Drain/Tap StreeV Alley Restoration SIW Co-Op 1:;;1:t:::1t:::::f.....~.. . '.' y ..~ . : :::~ .'. '. ': .....:; ...... : .J~:~~~~:::::?-:~::~ ::: .' .' Other Fund 752.9619 752.9242 f .?:::.;:::.... ';:::;o;ili?~~ ":::: :. ~::::-t :.0;1 ~~~~~;f:*~~t==. : ..... . '., . . .:.:. ~ I I . :. ..~~ ~l~:~t~r:~:I~~: .:: ". 715.9634 I 1- ... ::::.... '. .'. Property Sales ~:~~~*~:::::::.::~..;~. '.' :" ~.. ....... .:..... . .... .. ........:.J:..:..:........:..:~~. ...... .:!: .' : ......:.:~~~J:::i ~;~1**~~.. :s.:..:: :.'. .' ~'.~ :::~. .' ~ ~X water system Developement Charge Hot Tap (watermaln) I- .H. InstalV Meter W/M Installation XQ-3 ::' N'.l w:::r;' ~:~.;: .... : .: ...:t.:-; .... : ..1&:i~~~~,..~. ~ ..' ::::: ISanltary Sewer aP/Cap or MH Tap Isewer system [ evelopement Charge ISanitary Sewer ermit ~j-*:::::.. .. .'. ':-. :.; Milwaukee Dr Assessment :::~!:::~i:'~q*, ? :::.., : :..... ~.~ .' :: .....:...;....... ..:.:..J..::..:".:...:Al~~fJ:: :.... .. 753.9403 753.9619 753.9619 f:>".~ll:l " ~~- 354.9619 3~4.l:I4U3 ""0' ..."''''~ ~~:t< >. 755.9403 ~,J:W$. .~~:::::~:t:~f. . ..' ::"} :".>~., I I I '. ", Secondary Sewer AssessmenT .' : :X: '.'.f..' .. RECEIPT # N~ 381 9 ,. rlll- -IU AI - --:Z=:;:>OBSO h S c::./ ~.I;" 9 /' "-?lS!- 4 D q W 2/:J d ( 1/1 /A-j;?.,r::yM I/<:;~ '\ T I I I I I ':$ ..' ..::. f:> f .~"" % ~^ op~CJ~ /o/tU. /ST ~~~ .---,-, L . " ,./77 (}:if '" ~ ~ J PORT 8NGELES CITY LT ID:360-4l7-4709 FEE 12'98 10:30 No.OOl P.Ol ._____' l(~~"X 'rl{AN~M"1 I AI... CITY Ole I'ORT ANGELES ENGINEERING DIVISION 321 E. 5th St PORT ANGELES. WA 08362 (360)0&67 ~11 I COM, .p. .'A_'-.', NY-NAM E:] I .. . ~A ~ I ~ _ ~f!MtK C/,F kr/~t! /;4 -,-.----,......-- , .' I~~NTACTNAME:! r-13t.,4/ii€~7;ek,lj,/)4;e".-._.-~==~~_~_~,1 I...~ FAX NO.: J [~_...... ~OZ'--- 5q;;".;'Z8/~". .--..', 1 L...~ITY/STATE: I [.~pe~.!..)f ,4;;".. ..m." '7;S.OL)~ ~~~=-"'] L.. SENT BY: 1 [!?ESCRIPTION: I ~-enla hhS~-'? ~A-re7t:;. h?r!f:/~~ l?-~L?Z- ~ Ii!. -10.2.. w 2 not E5~. -:Z;;P~$,C),{/~ ~/ V/h1?-_~ -- 1V#~e~pse .w~ ~ - Pt' St>/:J ~ ~ - RJl)ON j)C) . . {f963~b l-\- NUMBER OF PAGES (INCLUDING COVER SHEET): 2- itScjQY6 Ir: W1etQ)'("' ReTURNFAXNO.:(*).5t..e~S' =-1/?-~"D~ I \ '.. (\ n woJl.Vy' II \. If THERE ARE ANY PROBLEMS WITH THIS TRANSMISSION nSr~ (gO'D CALl:(380)~~1~"1 4/'1 -4ao~ ~(Y\l Y cD 0, if S SO I t2 (yIj . g }--Jo-rr~ /1 J j{ CITY LT ID:360-4l7-4709 FEE 12'98 10:31 No.OOl P.02 ic' ""\:IKt.::t" '1,,;.\:J1'\I" 'l'KU\.: l' 1 UN I s sued: & R/W PE~IT Cond: R/.AP.P.L:ICANT.i7:.;-;~'~:'" - - --- - - - - - - -- ---- -- PROPERTY BSON L.TRUST C/O B. AMERICA : 409 01 NORTH 1ST DEPT .422 : Lot: HOENIX,AZ85003 : Block: ~602/S~~-28~~""""" : Sub: ROJ EeT" 'lNF~ ---,- -- ----- ---- -- - - ---------.-- -- - - -- - -- - -: - -- --- - - --- ----:--- ---- - ---- Work is N~A traveled road Value Work: $0.00 Plans Required: N/A Contractor: CITY OF PORT ANGELES PUBUC WORKS . BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELBS. Wit. 98362 / (~I"'" Perm1.t No: Work Order: LOCATION------------------------ 2ND ST W 18 35 I Long Legal: Start: r-inish: I I / / Performance Bond Required: H/A Proof Insurance: Amoun t : SO.oo Storm Drain Underground Tele/Ele Mise kOJECT NOTES------------------------------------------------------------------- INSTALL I" SVC WITH S/8" METER AT WAREHOUSE WEST OF DOBSON'S AUTO Work to Perform: INSTALL . Watermain Sanitary Sewer ROJEtlT:: PEBS:: :A:S S:BS:SMENT~.;.;.~.;.;.- --------------- ------ ------------------------------- R/W Excav: Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: * * S/8" 3/4" 1 u Comm Water Serv; I" 1 1/2" 2" Oth Water Serv: Water Sys Dev: Receipt No: Inspection Pee: $0.00 SO.OO $0.00 $0.00 $0.00 $0.00 $0.00 SO.OO $0.00 $0.00 $550.00 San Sewer SFR: San Sewer MFR: Add Unit: 0 other San Sewel": Sew Tap Wye/Man Tap: Sew Cap/ w/~ 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): Mise; $0.00 $0.00 $0.00 SO.OO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 SO.OO $0.00 =~===================~======== $0.00 $0.00 TOTAL FEE: AMT PAID: G50.0Q) $0.00 $0.00 BAL DUE: $550.00 R/W SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, u1ilitiea, private and public imprQvements~ This permlt'becomes'null:and'void:ifwork:or : aonelrUction euthorized is not commenced wilhin 180 days, if con.uuction or work is &uspendecl or .bendoned for . p.riod 01180 d8ya.rter ' thewonc 88 convnenced, or I requtred Npedions nINe not been requested within 180 days from the last inepectlon. . I herebV certIfV 1hat I h.... reed and IIll8mined thia epPieetion and knCMI the same to be true and correct., All prOYision5 of laM am:! ordinances :goveming thie~ :of work : wiN be compiled with whllthw spedhd herein or not. The granting of . permit don not presume to give authority to violate or cancel th. ' provilion. of any illite or Iocellaw regulating construction OJ the J>8Iformanc& of cOnatruetion. ~InnAtt Ira nf CnnlrA~nr or Authorized Aoent Date SiQnature of Owner (if owner is builder) Oete CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: _.~ Date A. - A b 1 Time ---".r> '. . r 1.- ,.q.~ r-: ( k '.. 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): Ljo r ~:;;l vvl --r:- (J,.) I , Co ~ I 7-t/1 <(r 13 Phone No. Permit No. c?O_=5 Sewer Excav. Other UV~e y A e 0....4 1&.., tJ 001 k>o "8., I 0 (p <./ 1)w-:J.oo( By ) 'X c:;-/s W?cf-(v " I Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date Remarks: Time ::p./V S 1-e"t.l! llJ-€u.. \ S-e Jr U" C...Q < RESTORATION REQUIRED . / YES V NO lIt"~ ,(...R.. IVOC Jl 1; r v:- )/3 6" C-"I-- i~ J 0'3 t / I SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Repaired by City o Repaired by Permittee o No Damage Found /5, iJ~e/- (Continue on reverse side if necessary) I C- 5051- .c:: /i ".-'" t -'''~ ,.--c,- / ....1- D 'i..~.-ll .,/ _;<~ ,~-.) " i:\ '( ~ 'J-Vl~' 5.fr ~'It D PCC 0 Other Work Order # J 06 yr' '-W- COMPLETE =7 / I' I~g pW ~COMPLETE c5' Is-hp/ STREET SUPERINTENDENT (DATE)