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HomeMy WebLinkAbout1309 W 6th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS W /PAMELA K WOLVERTON 1309 W 6TH ST PORT ANGELES Permit RIGHT OF WAY Additional desc REPAIR BROKEN Permit pin number 83527 Permit Fee 50 00 Issue Date 7/31/06 Expiration Date 1/27/07 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total 360 00 Plan Check Total 00 Grand Total 360 00 WA 983631812 1 00 Signature of Contractor or Authorized Agent T•\Policies\ 1102.15R (1/05) Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT STREET ALLEY RESTORATION REPAIR BROKEN SEWER 83535 270 00 7/31/06 1/27/07 Qty Unit Charge Per 1 00 270 0000 ECH STREET Qty Unit Charge Per 40 0000 EA SAN SEW REPAIR CITY OF PORT ANGELES PUBLIC WORKS UTILI'11ES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000818 484796 1309 W 6TH ST 06 30 00 0 1 -2070 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER SEWER IN ALLEY 360 00 00 360 00 Plan Check Fee Valuation IN ALLEY Plan Check Fee Valuation ALLEY RESTORATION Paid Credited 00 00 00 Date 7/31/06 00 0 Extension 50 00 00 0 Extension 270 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 83626 Permit Fee 40 00 Plan Check Fee 00 Issue Date 7/31/06 Valuation 0 Expiration Date 1/27/07 Extension 40 00 Due 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 goveming 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 cons Date Signature of-Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES 1 NO RESIDENTIAL CONSTRUCTION RW PW/ 417 -4807 ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102.15R [1/05) PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 .1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT. 1 PLANNING DEPT BUILDING 1 1 1 1 1 1 1 1 vveunesaay, UCIOoer U.j, Luu.1 ~::J:J AIVI Bobby O. Coleman 360-452-7594 p.01 ,~......... , ,.., 1 I ~ t ~ ELECTRICAL PERMIT APPLICATION FOROFFlO..u.USf.O-':LY O~klRn.~ I'nm..-; DIttA",,,,,,": D.~lullot\l. The Electrical Permit Application must be fined out cGmolelelll Billing Address: Please type or reprlnt'n ink.. If you have any QU8$tions. please call (360. 417-473$ /? / / /.1l /V !a. number. (360) 41Hm PDtloy C/ ~olo>-n.q.y . _._-~- 11"10*,,/ A'1n~~1 c:' Ph..e:d..-~;~~. Fmc Property Owrw, 7h () >'11 /j .s tiff t/ b/? -10 K ~ _ _ _ _ Phon.: Add'.s" / 5 () ~ 4) c; f- h Clty va-r- rJ -tJ'j 0" Elec""'a'Con~"or. c?/1 / CM,q,u E/c-cl-r(' <. Uc;ensuL!DI ttli,;1> ~:F~ lJ Add",,,,, :::';);;z. (,) II" T k. Gill': PuR T .A <'\J'7 pie s INSTAUATIONWlREOBV, DOWNER ~ICALCONTRACTOR Cr9dftCarrlHolderName: $o&6v a (l26/Gffl/l"l/ / /? I AJ / G; :/-1, CIIy: fO a. !- A -1/'7 de" ( / 'IS.l 7",,/ <{- $'57-53;;; G, Zip; 9 s.- 3 Co Z 07 Phone: ;;J... - 'I S <] '-J lip; Cjg S ( L 5d.;J Credit Card NUmber: Exp. Dale- Zip: 9 ~3 C, / VISA: ~C:_ PRO.IECT ADDRESS; /3() 7' w (.. f-J., TYPE OF WORK: Check all that apply: 0 New o AlteralionlAddrtlon o Residental 0 Mulli-family o Commercial 0 Mobile Home Sq. F1. o Remote Melar 0 Delached garage ~Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Vohage 0 Telecom. 0 Sign Number of Circuits added or allered: / DESCRIPTION OFTHE ELECTRICAL PROJECT: !.JI.e;' ),j" + J;j /; Eleclrical Heal Load Additions PerM;+ Fee.: 7/S.S0 SarvlC9 Information o Baseboam o Furnace o Heat Pump o Fan-Wall _KW -KW -KW -KW o Ovemead Service o Temp Service o Underground Service vonagefJ!if' ~ Phase: 3 Service Size. 06 Feeder . : PAMC 14.05.060(8): For indus'rial. commen:ial. & "'sidenlial pm/ects larger than e duplex. a ana _ line drawing of 'he Elec'rical Se"''''e & Feeders. bu~ding size (sq. h.), load celculalions, and the typ. & 01 conduc'ors andlor raceway is 'equi"'d and shall accompany 111. Electrical Permil application. I hereby CErtify that I have read and examined Ihis application and know that same to be true and correct, and I am authorized to appfy for this permit I undelStand it is not the City's legal responsibility 10 determine what permits are required; it remains the applicants responsibl7 termine what permits are required and to obtain such_ Credit Card Holder's Signature: Oate!- /cJ-3-C)/ Date: /17 - " -01.. P ature: PUBILIC WORKS & R/W PERMIT Issued 11115/1999 Permit No Work Order' 1006 o OWNER/APPLICANT 0 Attached Notes Tom Wolverton 1309 W6th St PW'CITY, PW'State PW:Zip 000/604-7526 PROJECT INFO Work is. Plans Required Contractor' OWNER Performance Bond Required Proof of Insurance. Work to Perform: PROPERTY LOCATION 1309 6TH STW Lot: 18 Subdivision. Parcel No' Block: 120 TPA D Long Legal Value Work: $000 Start Date. 1 1 Finish Date. 206/000-0000 1 1 Amount: $000 lSJ Install D D Repair D D Watermain D Sanitary Sewer Storm Drain Underground Tele/Elec 5J Misc dwy PROJECT NOTES construct to city standards FEES ASSESSMENT: 1 ) R/W Excav' $000 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' $12500 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 R/w' $000 21 ) Sewer System Dev' $000 8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000 9 ) Res Water Servo 5/8" $000 23 ) R/W Use Perm: $000 10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service. $000 25 ) 0 RA. $000 12.)Water System Dev' $000 26 ) Misc: $000 13 ) San Sewer SFR $000 TOTAL FEE. $125.00 14) San Sewer MFR $000 add unit: 0 Amount Paid: $000 Receipt No 5481 Inspection Fee. $000 Balance Due $125.00 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 Type of Inspection (circle appropriate one) } ~q LLJto~ Phone No Permit No )000 da~ ~ \)J '\::) ~ ~ \\'- \:5 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Remarks Date no ?l~ Time By IP/17/?-oo-o , rr= RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) e r~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 O&-9J>s Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use property Zoning . . . Application valuation 06-00000818 Date 484796 1309 W 6TH ST 06-30-00-0-1-2070-0000- PUBLIC WORKS UTI LITES 7/31/06 RS7 RESDNTL SINGLE FAMILY o 13Dqw~Jb Owner Contractor Permi t Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY REPAIR BROKEN SEWER IN ALLEY 83527 50.00 Plan Check Fee 7/31;06 Valuation 1/27/07 .00 o w~ ~@GJ1f ra~ THOMAS wjPAMELA K WOLVERTON 1309 W 6TH ST PORT ANGELES WA 983631812 OWNER Qty Unit Charge Per ElEVemrrbn 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 -------------------------------------~----~-----------------------~ ------ Permit STREET ALLEY RESTORATION Additional desc REPAIR BROKEN SEWER IN ALLEY Permit pin number 83535 Permit Fee 270.00 Plan Check Fee .00 Issue Date 7/31/06 Valuation 0 Expiration Date 1/27/07 Qty Unit Charge Per 1.00 270.0000 ECH STREET ALLEY RESTORATION Exte 270.00 Permit Additional Permit pin Permit Fee Issue Date Expiration SANITARY SEWER HOOK UP desc . number 83626 40.00 7/31/06 1/27/07 Plan Check Fee Valuation .00 o 0'Y'~Oy f-') Date Qty 1. 00 Unit Charge Per 40.0000 EA SAN SEW REPAIR Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------~-- Permit Fee Total 360.00 360.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 360.00 360.00 .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 constructio"n or the .performance of construction. Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T;\Policies\II02.ISR [lIosJ , ,.... I ",,^ '" ,~. ~ .;;,,' :'. " " , '~ ~"",,,,,, , ^ ""'~~""<;.,~ ..j.. .AiL. ~; ,:""Ji1~ " . '. , " ~ ; - , , t , j . Po;:.' ;:", ~ \ "'" " ,\ \ '< '\, , j. '> .. ''; , , .- . ~..t', . ' ~' , ~ i, , ';:' " . '. .:.~~, f"" '- \. '- .. \ h t. '. t ", '^'" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date B -I-OJ.:. Time <6 zo Received by -f-- (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~oundation, Framing Chimney 130'1 lD l.a 1b ---.:e~ 1 A-h A"",.- l<"'ck<:4l1 Ei 1~)..Ie.l/ s PI\.( \In b ( ~ Phone No. Permit No. Cl~- <a/~ Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 8- ) - Of?, Remarks:~la.~e. bt:o.kQ.."'- sZ I ontc r,-op~,_"f-y \' Time , L;..V\Q By *...0....... ell ~II (l.oncrefe. ""Ql J.J Q J'- lM.a 11.1. S-IX/O/ RESTORATION REQUIRED . . . . .. YES 'X NO P)(~~'f~~~- en" e/ Il<./If tJ , f F 5Tr~e+ , ~ "" p"'--' ~s '---'5/~/'_\ '2."""""-: - L{S c) Qc:l-ep tJ<f'?' o'{ fll/.'ll I '5 I ,2. rJw.J ,'/ I rI d".of '-1l'Jc '2. Z e..jo II tt...o>l ~ve- I " t ~'"' z.. _ ~ f I / k~v t.12. LJ /I (.o,^c.re " !~Di [ SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel [gJ Asphalt D PCC ~ ffcei J)6.f't. 00 Repaired by City Work Order # '53($- { 0 Repaired by Permittee JRJ COMPLETE o No Damage Found D INCOMPLETE D Other ~(lhr'~ fP _~l-rpPI- f -7~Drb TF ''''--'''-'-..- -- --------- -'-'- ,~-