HomeMy WebLinkAbout1311 W 5th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
09-44
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
property Zoning . . .
Application valuation
04-00000044 Date
.947096
1311 E 5TH ST
06-30-11-5-4-0420-0000-
RES NEW SFR
2/10/04
I~/I e5~
RS7 RESDNTL SINGLE FAMILY
166750
Owner
Contractor
HAINES, ROBERT/JENNY
15708 60TH AVE W
EDMONDS
(206) 226-3848
Other struct info
WA 98026
BEE JAY CONSTRUCTION
P. O. BOX 82594
KENMORE
(206) 226-3848
TOTAL t LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98028
28.50
~
&-O{rZzu, ~:3?4-iI
V-N
2.00
1. 00
10350.00
2949.00
2949.00
1. 00
640.00 Plan Check Fee .00 } ,.04
2/10/04 Valuation 166750 i? S:t/~V--
_ _ Date .. S/OS/04 / L be.-l n
Qty Un~t Charge Per Extension ~ ~
________=~~~______:~~~~~~~_~____:~_~~~_~:~_=~~:________________~:~~.oo~ ~
Permit
Additional
Permit Fee
Issue Date
Expiration
PUBLIC WORKS RES WATER SERV
desc
45.00
2/10/04
S/OS/04
Plan Check Fee
Valuation
.00
166750
Permit
Additional desc
Permi t Fee
Issue Date
Expiration Date
RIGHT OF WAY
Qty Unit Charge Per Exten6~
1.00 45.0000 ECH RIGHT OF WAY PERMIT C 45.00~"""",
----------------------------------------------------------------- ~-------~
Permit STREET ALLEY RESTORATION
Additional desc
Permi t Fee
Issue Date
Expiration Date
230.00
2/10/04
S/OS/04
plan Check Fee
valuation
.00
166750
Qty Unit Charge Per C.... .
1.00 230.0000 ECH STREET ALLEY RESTORATION 2~
----------------------------------------------------------------- - ---- ~
Permit SANITARY SEWER HOOK UP
Additional desc ~
Permit Fee .00 ,'~ plan Check Fee 0
_._ .0
Issue Date 4 Valuation 166750
Expiration Date 8/08/04
Qty Unit Charge Per
Extension
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
-~Z1- iL: Llv;:<r
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORlvlS\1102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
04-00000044
. .947096
Page 2
Date 2/10/04
--------=~~~---~~~::~~~~~-~::_-~~-~~~~-~~~~~-----------------~~~ ~
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
-----~~~~~-;~~;--~-~-~-~-~-~-~-~-~--~~~~-~~~;~~-~~~~-~~~~--~4~~~--
STATE SURCHARGE 4..-S-O==:c-...
PW WATER SYSTEM USE FEE ~
Fee swnrnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1010.00 1010.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2784.50 2784.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreiine, 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 appiication and know the same to be true and correct. AIi provisions of
laws and ordinances governing this type of work will be compiied 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 reguiating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FOR1YlS\1102.15 [11114/2003]
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CITY OF'P~QRT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
10 jlP:J I~ Time
Date
Received by
(phone. person) _ .
Location of Work to be inspected I ~ / E '5<f:1l
Name of person requesting inspection A, .P~-, J fkl ~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No, 04- 4Lf
a Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected:
Remarks:
D~e TIme
~~fllUL~'r JO!ZIJ/Dt
By
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE