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Home My WebLink About902 S K St - Engineering PUBILlC WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT Sharron Foster 1026 Georgiana Port Angeles, W A 98362 000/605-5109 PROJECT INFO Work is: Issued: 4/09/2003 Permit No: 1375 Work Order: 0 PROPERTY LOCATION 902 K ST S Lot: 1& 2 Subdivision: TPA Parcel No: Block: 308 D Long Legal Value Work: $0.00 Plans Required: Start Date: / / Finish Date: / / Contractor: R & B PROPERTIES 360/452-6233 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: k2J Install D Sanitary Sewer D Misc o Repair D Storm Drain D Watermain k2J Underground Tele/Elec PROJECT NOTES placement of buried servlce wire for customer at 902 South "K" Street to include 170 along "K" Street FEES ASSESSMENT 1.) RfW Excav: $0.00 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 RfW: $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.) RfW 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: $0.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $0.00 Receipt No: Inspection Fee: $0.00 Balance Due: $0.00 APR 07 2003 10:41 FR TRAFTON B 2534711324 TO 13604174709 P.02/03 ~~ t@Ved g)~ ,',' l'~ ..I<~..\\,': . ':\':',1(;, ".~;,t;.,. ,.~ -- ;' .:~~,'.' 'If PlJIilUC walllloS ,,' ,:,' '" ':i:}"~'~ '" , , , APPLICATION is h~r\!by m~de to the municipality of POM' ~:J:!l: to perform work as . , " ,'.:~ 1,.:: <, ',) "',:, , X ;;::~; ':/::',.~'I:f ,'.~';' '~J? , ;. h~ ....~. '~'~ {~&,,~ :' '~<~\".:~ " '.'I P~rmit To Perfonn Work In Street Right-of-Way nOTed hereon and os .hown on allached drawing: 5e..c:. A""I1' ACtre b of gU(ZI/;O 5G~vICE \.vIR/!. Fo~ )T itS /N4.vpC 170 FEET At-OND - 1<; lS p~ S~: It#WO~~(l5/~it./15Z;~ j"", . c.l/S10~ E~:'}\ ....r. '... , .JT, of-vv;q,'r. :::(;'-:; Rk:.17 " """',, , "I;";~, .. ",". . "'''. . ";.: ;~::} , """'1' , '.~ <'~ dtJR, THE PLEASE. pc. -4'- E "1 f-'vT 4T 10Z I< Approved; , ,'",:t."":} By~'(AI\I FUGv,,& Contractor X Owner QW~5T /AJi-N ;'B."5aw fZ..DO~, ,',' NJ504 S TFU1Fr(/""1 TI'/~'Ofi/A, ",-" THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPI.ICANT'S: , :",',r Water Department - Superintendent ";",':'k~~~ Sewer Depan:ment - Superintendent ...; '; ,,' ;,' The estimated time for'completion of the above work Ii ID "DAYS A.F1'2::R.. ~:" :,.",;:S,:;;,:/ ';', J;~)~:~ , ," :;:):~,jY:i, ,:,',':':""/ . ~. , I , .1. ::/( , '. I' ~'l ' ,,"'., HI'fO;l, ':,..,:. r ". .f , " _': I ::; :{\t::"~ :':';',:': ;:~: " ,/,\'i,.,' 7 ?J'.o 3 I Date---..A P~. :tAX 2. S'$ -11.71- i~Z'1 " Complying with all Municipal Ordinances; Notifying the StrceT Superintendent of the time the work ",ill star:, and when tr will finish: . '~ ' :/ ',,("," Pr'lIecutin~ th~ work with diligence and with due respeC'! to all pral)erty. contracts. penlans' ngllts and the interests and convel'lience of the public; Saving the Munic.ipality harmless from any and all damage. which. rnay accrue to 81'1Y pClnon or property because or this installation or the maintenance thereof; . .\; "1. ',' I.... \. " Complying with fallowing special conditions: 1/'1/03 --w- .~~ ,.:' ~'. ,~ :':~""{\;',;' , ,:1 '~~":;, ,: ',"\'0\'. Date ... -...... >i'{~~ APR 07 2003 10:42 FR TRAFTON B 253 471 1324 TO 13604174709 P.03/03 rf.1!!: ''', . \ ~~.' .' ~ '''. . .- " .~;., ~""" 'l1~J':; :..' Qwest Job # \JVOrb3~/b<jz/Y 52-A-] ..'.(: . ". "', ..,., ,..... -PI..J\CC Ftbu.:)8l2. p::" 1. M' '"",," ,', .... ^ ',,' ,',\' '," , ~ o r 1"'.>,' 'i~', " i .., -PEf) -:. " "..". w IOtb ST. . " 'ISection: ='. i<~.:,:. .:,,': . ~''''''') . fownShiP:",~;;J':<,: R"'" Uv\;""" . . . __ H" _. ~. . '::;'J~f.;;i This ~ecues[ for permi, :s for ,he ?lacement of unde:-ground teie::>hone ser\'lce c;"ir.~(t,~:;'J::! . . """',:'r\;""r,'..;, our ,:uswmer at ,he foilowing address:."''<':.HP.. " '. i . ,.~., ~ ~ ; . :.... \ ~::;;i:~ .~, ":."':; ",J,' qoz K -;5/ ",: ..,- ThIS ',vorl.; will require: Trenchincs in the R/W [total footage! \iD1 '.' . ;:.;. Push or CJore 2 inch pve or BIP under roadway (total footagel d (jJ Push or ':Jore 2 inch pve or SIP under driveway (total footage) Push or bore :2 inch PVC or SIP under multiple drivewavs (total footage) o:s ",11 crossings and ROW work at 36 inches. ..',' -All ;:>its =ci trenching rec;ulres select fill. .. . ** TOTAL PAGE.03 ** APR 07 2003 10:41 FR TRAFTON B 253 471 1324 TO 13604174709 785011 $. Trafton Tacoma, W A 98409 E imiO"""'~'" . 0",'. ,... . .. .,.~..!,.,..., ...."..,.< " lac" 'S.". . . ,," , .'. J', r.'~, ' :.:~ , "" ~ I ,.' ~. .. . _ To: City of Port Angeles Fax: 360-417-4709 From: Qwest Comrmmications Date: 04/07/03 Re: Pages: 3 cc: Ryan Fuqua o Urgent o ForRevlaw o PIa.- Comment o Please Reply o Please Recycle o o . . . . . . . N......: T, Funston, Permit applications: W00301682/452M Thank you, -Ryan .::V:,:!:. '. . . . .. . .. .. .. .. . . .. . . . . I .. .. . .. . . P,01/03 , . . ),\,-" .' ,: ~:,:!;:":<'~~:':~~':~ . """.;-,~I,(iJ.r,'5i~ :\, \~"',~.:!;:'1f..~ . . ": ~T L~(t~;~~1 . :. :t/:;'~7 '}.:' . ,~, '.:, \' -^,;" r,';: ...;",,: .,-, ','.! ~ .. ..", ,'1," , '~,'. ,i: i . ,."', . -: ,-~.-.:::{,\~~ T "oF; .' ~ ~,' ;.:'~:~0~ ":.' ,'._1 ;/ ~. . ~ ';,,:, ~, "f ',",' :", ,,' .:-' :~: o , .., . .,~ ','.. ,,' '~'.~ ....c,.,. j :; ',:., ....... '''" .:. ",: \\);.~;~~~ ,,::,~'Yt: ~ ;.::. .,-.it: . ,,:j" ~ .'~<{f~ .' :1.:: ':;J~';:;'J:: . ,<.,:,t :.~.'.:].\ " rft"ORT~ ~4.~~~ r. ~ -- "l.ti:lC~ CITY OF PORT ANGELES C -3 .-/2// / DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner FOSTER SHARON 902 S K ST PORT ANGELES Date 3/06/03 03-000002ll 902 S K ST 0630000308000000 PUBLIC WORKS UTILITES o Contractor OWNER WA 98362 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640 00 Plan Check Fee 00 Issue Date 3/06/03 Valuation 0 Expiration Date 9/02/03 Qty Unit Charge Per Exten . n _____;;~;;O------~~~-O~~~;~-;~~M~~-~~;--------------~~ Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per Ext . -----;;~;;---------------;~~;~~~;~~~~-~-----------------~~ Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per E . --------=-~~-------~~-~~~~-~---_:~_:~~~-~~~~~-----------------~ Permit PW WATER SYSTEM USE FEE Additional desc Permit Fee Issue Date Expiration Date ~ c:::::? ~ 0\ 745 00 3/06/03 9/02/03 Plan Check Fee Valuation l- ~-- "'" '" 00 o 95 00 3/06/03 9/02/03 Plan Check Fee Valuation 00 o l025 00 3/06/03 9/02/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE E~ C l025 O~ Due Fee swnmary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 2505 00 00 2505 00 00 00 00 2505 00 00 2505 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. y Signature of Owner (if owner is builder) T'\PLANNfNG\FORMS\1102.J5 [4/2002J ;< / Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST. /") Date 0/- I () - 0 ) 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) 10 J- S .---r{, A. ) ( J 11 +~ +- 13 ;cs+, (07 Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 03-2/1 L;..)~Z,r- INSPECTION NOTES Inspected Date Remarks Time ~ TM kl( 5-evV,'c-e f By IU--e ~ ) X ~ L,U ('d-t~ RESTORATION EQUIRED 1 )f1~<J'~ ~( ~I YES NO Alf' '\ L, +- )6 fll 71-( SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Repaired by City [] Repaired by Permittee o No Damage Found o Asphalt 0 PCC 1'<) / -1 Other Wo~rder # 0 () ~ COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . REQUEST Date 4-23--63 Time Received by Rv (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 007_ ~ C ~=r K Exc.. Dc., VI (j Ii HOUl - Plumbing Phone No Permit No03r-;2-/ / Final Eer EX~ Other INSPECTION NOTES Inspected Date Remarks .I ;) -...' 03 Time A-vY\ By r-~__ (' . L..-ovn p I €~ RESTORATION REQUIRED YES NO V \ i I q, i 'TJ~~~s , ~ f4 - ~-~ lie. ~~f.....p c.o-r- q-tb JTrCC7 c..",,"'....t r;;. /'- ./ elL I ~1! "I .--___..._00__+ .tlooI 1" ~ P.-of C-br " 4-' I --i:o eX -po ,.....(, J i: J r l....._ '-7 FE-LA ~ /D <\,.~,,_,J- ~ v --- ;.. SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC D Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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) SEPARATE PERMIT # ROUGH-IN 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 DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING 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 OCCUPANCYIUSE 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'\PLANNING\FORMS\I 102.15 [4/2002]