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Home My WebLink About1837 W 12th St - Engineering CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 t:) -3 ---b9~ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000698 Date 1837 W 12TH ST 06-30-00-0-3-6150-0000- RES MANUFACTURED HOME 9/03/03 42500 Owner Contractor METTERN, DONALD/DEBBIE 528 W LAURIDSEN BLVD PORT ANGELES WA 98362 OWNER Structure Information Construction Type Occupancy Type Other struct info 1067 SF STARVIEW MOD #KS-40013 TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS 1 00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV - 640 00 9/03/03 3/02/04 Plan Check Fee Valuation 00 42500 ~ <:.N ~ Qty Unit Charge Per ~ 1 00 640 0000 EA PW W/M SFR 5/8" 640 00 ------------------------------------------------------------------- ------ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date ~ 45 00 9/0~/03 3/02/04 Plan Check Fee Valuation 00 42500 Qty Unit Charge Per Extension -------_:_~~-------~:_~~~~-~=~---~:~~:_~~-~~=_:~~::_---------------~-~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 1> """t :s 95 00 9/03/03 3/02/04 Plan Check Fee Valuation 00 42500 (Jf) ~ Qty Unit Charge Per Excye . 1 00 95 0000 EA SAN SEWER HOOKUP 95 00 -------------------------------------------------------------------- ---- - Other Fees CITY DRA % 22.11 DRA FEES PLUS INTEREST 668.5 SEWER SYSTEM DELV CHARGE 745 00 STATE SURCHARGE 0 PW WATER SYSTEM USE FEE 00 J::> I2-A- Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780 00 780 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2469 67 2469 67 00 00 Grand Total 3249 67 3249 67 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. ~' . U:~~~t f"'A ;::;,1- Signature of Contractor or Authorized Agent Date Signature 0 Owner (if owner is builder) I Date T'\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date 1- 1 J - 6 ? Time Received by (phone, person) location of Work to be inspected / <?) 7 b-J / ~~4 Name of person requesting inspection T ~ I' I (6 Y Address of person requesting inspection 1111t. {-!3 Phone No Type of Inspection (circle appropriate one) Permit No?.;:?.:-~l rf Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Gl \ ('^'--1--[ V- INSPECTION NOTES Inspected Remarks Date Time .T'JU 5' -tCL II :5-ev Ut c.-e ( J (<' .) /7 U---J rA+ ~ 1 -- / v -, P" t:::./ 6' 2 ??7 ~ 3 / c- ~37 RESTORATION REQUIRED YES /' NO V 101' tf}- I I ~~ 6:t' /~-M l5 \ k .~ ( ~(jJ ~ V) '21( of--- iil ~ c~ I - J- SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC D Repaired by City [] Repaired by Permittee [] No Damage Found Wor~er # [tyCOMPlETE o INCOMPLETE o Other 9D6 :L (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Date o I' , :i t...._ (")-=.: CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . ,../J 7, ~/) . J M Received by-"{~ zj . Time REQUEST (phone, person) r-(~t;r' / . J ~- -f h IA/ 1/ ','I, l-!(' I- 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 ).("3 7 Phone No Permit No _.-_..~ Final ~o=~~ Other O.3-Wf t INSPECTION NOTES Inspected Date 9 -::; l.{ - 0 3 Remarks Time AM By ~. td C'IZWr1 c..:> l.e--re I RESTORATION REQUIRED YES NO X , 0 ~ t-' ., y {"" \ < \ r... v 2 Il/~ ,/ --+-.- .-- ( i ~. 'Ill' /--.,.:. I? " , lh ---~ v f"r -1-" h I" ~I L , [ '1 <>>le. j..'G,'pvc- (;l'-/ d -""'? , (p )( .-4, ~~ J , "... ~ t. -0 l~ - - ~~.. (}- , \ . .. ~?~ I / / ,/ , I \ SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-481 'i FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 FOlINIMTION IlRAINM";F ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT /I ROIIGII IN I I'LUMIIING - llNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FI.OW / WATER Am SEAl WALlS CEIUN(; FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T BAR INSULA TlON SLAB WALl / FLOOR / CEILING I M~~CIIANICAL HEAT I'IJMP WOOD STOVF / PELLET / CHIMNEY I loon / f)\ ICT"; I'W UTILITIES / SITE WOI{k. (Engineering Division) SEPARATE PERMIT /I's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNINC DEPT SEPARATE PERMIT /I'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 CONSTRllCTION R. W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DErT 417-4750 PLANNING DEPT III III ,[)IN(, 417-4815 I3UILDING T-\PLANN1NG\FORMS\1102. I 5 [4/2002] ,.."',fi,n,~~"."", ~, ~'" 'Si:~' ... )-."', , ,CITY Q'P. POR;TANQEJ.,E~" ','- ,'"." . -,.,. .''''0'.'' i,-:';" .' T DEPARTMENT OF coMMuNITY DEVELOPMENT -BUlliDING DMSION 32i,EA,$T'STH STREET. PORT AN(JEt~S; WA98362 ,.j<,'/\ff'~ _,~ Application Number " Property"Ad~ess ',' , ASSESSOR PARcmt'NUMBER: '" Applicatioridescription p SUbdivision N~e' . . propertyZoning~' " . . Application valuation ; 03-00000698 Date 183 7-W.12~ST 06-30-00-0~3-6150~0000~ RES MANUFACTURED HOME 9/03/03' . .' " 42500 Contractor ---------------"--------- METTERN j ,'DONALD/DEBBIE 528 W LAURIDSEN'BLVD PORT ANGE!;ESWA98362 OWNER .,-.,-~:~ _ Structure Information 1067 SF STARVIEW, MOD. #KS-40013 ConstrUction Type . . . . . TYPE V NON-RATED Occupancy Type . . . .. . SINGLE FAM & CONGREGATES Otherstruct info. . . . . NUMBER OF UNITS 1.00 -----------------~-,---~-----------------------.---~---~---------~---------~-- Permit . . . . Additional desc Permit'Fee IssueDate . . Expiration Date BL MANUFACTURED HOME - 230.00 9/03/03 3/02/04 Plan Check Fee Valuation . . .00 42500 Qty Unit Charge Per BASE FEE Extension 230.00 ., -. - -. .. - -~- - - - ~;".. -- -- -~ - - --'- - - - -- - ~.... - - '": - -- -'-;" - -- - ---~ ~- -~----.;.. - - - - - -'- _:..._~;.. ~ - -'- - -.;., -;., Other Fees CITY DRA %- DRA FEES PLUS INTEREST SEWER SYSTEM DELVCHARGE STATE SURCHARGE -PW, WATER SYSTEM USE FEE 22.11 668.56 745.00 9.00 1025.00 Charged Paid ~J::edited , Due ---------- ---------- ---------- ---------- Permit-i"Fee -'Total 230.00 230.00 .00 .00 Plan Check Total ..00 .00 .00 .00 -Othe3;'Fee Total 2469.67. 2469.67 .00 .00 Grand Total 2699.67 2699.67 .00 .00 T:\PLANNING\F()RMS\l 102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECfIONS; PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL1,WFUL TOCO,~Rt INSULAtE OR CONCB#~ WOilK,BEFO~ INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LO(:ATlON~ KEEP PE~IT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED I YES' NO . COMMENrS FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE ELECTRICAL (LIGHT DEPl) SEPARATE PUMlT: II q -A q-n2, \ L.,. ~\A' 1J1ttg,;... . . 1,.1-... ~cPhe-d;w-..s ~~-()~ Pri( J .).... . ROUGH-IN I . PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 'WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR . INSULATION SLAB . WALL' FLOOR I CEILING .~ MECHANICAL . . . . I I . , . . HEAT PUMP WOOD STOVE' PELLET' CHIMNEY HOOD' DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT 11'1: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT 11'1 PARKINGILIGHTlNG LANDSCAPING SEPA: ESA: SHORELINE: . RESIDENTIAL FINAL INSPECTI~JUtQUlREl! P~O~TO OCcuPAN~f!{~".;;-,.. DATE.;; YES ,,' NO COMMIRtLtL. " , DATE>> ,,' ACXZIl'JEl); ,"" vtS. ,"'.'\lro ELECTRICAL. LIGHT DEPT. 417-4135, . ;'" CONSTRUCTION ll. W.I PWI It' 'lA ,hi, 1(/ ENGINEERING 417-4807 417-4653 T , II FIRE . '. , ,;" PLANNING DEPT. 417-4750 I J BUILDING '. , 417-4815, "~"Z I... ILL , , T:\PLANNING\FORMS\1102.15 (412002] ., ,..' f~lA!: .',~t ,.. .~. CONSTRUCTION -ll. W. PW I ENGINtmlUNG fIRE DEPT. PLANNlNODliPT., " .,....). ",:' ','" ,'1' .' BUILDING, " " .; '" ..',;' ----;:----------:i[~(;,',;;,----- ~...s...,~ .......... h;i ~"'" ~w;;r.. <i\ ...../.eITY 9fpORT ANGELES DEPARTMENT OF COMMUNIfy DEVELOPMENT - BUILDING DIVISION 321. EAST 5TH STREET. . PORTANGELES, W A 98362 App~ication Number Property Address ASSESSOR. PARCEL NUMBER: AppHcation....description . Bubdivision Name Property Zoning . . . Application valuation 03-00000698 Date 9/03/03 J.837.W J.2TH.ST 66-30-00-0-3-6J.50-0000- RES MANUFACTURED HOME 42500 Owner Con:tractor MJn'TBRN, DONALD/DEBBIE 528 W LAURIDSEN BLVD PORT ANGELES WA 98362 OWNER Structure Information construction Type occUpancy Type . . '. . . Other struct info. . . . J.067 SF STARVIEW MOD. #KS-400J.3 TYPE V NON-RATED SINGLE FAN & CONGREGATES NUMBER OF UNITS J..OO --~----~-----~~-------~-----~---------------------~-----------------------~- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640.00 9/03/03 3/02/04 Plan Check Fee Valuation .00 42500 co .......<~i. iii\1 ~.., . . ,....',...."... '0' " ......"'.. , ..' '':-'. .'.;, .,,'.' '.' ,'.. .,. , . ---~--------~---~~--~-------~-~---~~----~--~~~~~-~~--~:_----------~~------~- Qty '. unit Charge Per J..OO 640.0000 EA PWW/M SFR5/8" Extension 640.00 Permit . . . . Additional.. desc PemitFee Issue Date Expiration Date RIGHT OF WAY ~, 45.00 9/03/03 3/02/04 ' Plan Check Fee Valuation .00 42500 95.00 9/03/03 3/02/04 Plan Check Fee Va.luation .00 42500 Qty unit Charge Per J..OO 45.0000 ECH RIGHT OF WAY.PERMIT Extension 45.00 __~------~------~---------------------------M---------______________________ Permit .. . . Additional desc ,Permit. Fee . Issue Date EXpiration' Date SANITARY SEWER HOOK UP Qty Unit Charge Per J..OO 95.0000EA SAN SEWER HOOKUP Extension 95.00 - -.- - - --- -- - - - -- -.--- - - -'- ---'~'_:'" - - - - - - "':'- - - - --- -'-'~- - - - - - -- -- - - - - - - - - - - - - - - - - - - - -- . ". .. OtherFees . . . . . . . .. CITY DRA t, DRA FEES PLUS INTEREST SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 22.11 668.56 745.00 9.00 J.025,00 .. Fee. summary Charged Paid Credited Due ----------------- ---------- ---------- - --.-- - - --- ---------- , ", . - " Permit Fee Total 780.00 780.00 .00 .00 Plan Check Total ..00 .00 .00 .00 Other Fee Total 2469.67 2469.67 .00 .00 Grand Total 324"9.67 3249.67 .00 .00 S~par~te ~erl11lts,.arerequlre~.foreiectrical work,SEf'A.sROreline..ESA.iJtilltles. private and pubficimprovemerits~Thisperwlf6~c:()mes null and void if work or construction authorized is not commenced within 180 days, if construction or work issq~peodE!donltandoned for a period of 180 ,days after the work as commenced, or ifrequlred inspections have not been requestecl withil1.180"ejays from the las.t hlspec::tion.lhereby certify that I have read and examined this application and know the same to be.true and correcLAltprovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The. granting o1.a pefll1itdoes not presulTleto give authority to violate or cancel thep~ovisions of any state or local law regulating construction or t~e performance of construction."" SignatlJre of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\t:ORMS\U02.IS [412002] P,' -,."'.... , ~~,,~o>..," ;",";';';-< -, 1 BVJLDING PERMIT INSPECtiON RECORD ...... .... ~. ,''".. . -' .:. ..... :-~t~-~~~~:<~> . CALL 417-4815 FOR BUILDING INSPECTloNS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COY&R, INSULA TE OR.CONC&j.L ANY WORK BEFORE INSPECTEDAND. ACCEPTEIJ.~ POST_~E~I'r.( IN A CONSPICUOUS LOCAlION. KEEP PERMIT CARD AND APPROVED PLANS A TJOB SITE >- INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO , ,.' c:-:c., FOUNDATION: . FOOTINGS WALLS . I FOUNDATION DRAINAGE . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I {, ROUGH-IN I I PLUMBING C, " : . . - UNDER FLOOR I SLAB . ROUGH-IN .' WATER LINE ., , GAS LINE . '. BACK FLOW I WATER AIR SEAL WALLS .'. . .J .. CEILING , '., ," ,,' ". " , FRAMING JOISTS I GIRDERS SHEAR WALL , WALLS I ROOF I CEILING DRYWALL "." T-BAR .n,- INSULATION "1 " 0 . SLAB . WALL I FLOOR I CEILING {1; I " 0 - . .- . , MECHANICAL HEAT PUMP WOOD STOVE I PELLET I CHIMNEY ..,' , HOOD I DUCTS .' i<i " " " .... PW UTILITI ES' SITE WORK (Engineering Division) SEPA~ TEPERMIT /I's: WATERLINE' METER ' < SEWER CONNECTION . SANITARY , , . " STORM '. .' 0 PLANNING DEPT. SEPARATE PERMIT /I's SErA: PARKINGILIGHTING ESA: .. LANDS<::APING, .. .'..' SHORELINE: " ...... ~4,_'-'-" -""'~ -, ,Lti, .,;" ,; ,): ~Jlll:FlNAlJINSPEOTIONS REQUlRED,~IORcro.OCCUP ANCYIUSJ!;. ';" < c ';}ll ' ~:;r ,. ';')"/\- ,,! '. RESIDENtiAL .'. d DATE tOMMERCI..\U :<:,tI\CCEPTED 1 h~ YES NO DATE :1' " "'''YES '.1 1-" N(fl , . " . .... "'.' . ~f - ELECTRICAL - LIGHT DEPT.' . 417~73S I' >11 ELECTRICAL, ; ," I;:, " <"" f' ; , :i. .. .. LIGHT DE~ "', .. CONSTRUCTION R. W. , PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW , ENGINEERING FIRE .---- 417-4653 FIRE DEPT, ' PLANNING DEPT. 417-47S0 .,- ..... PLANNINGj)\WT,'j' .i"~<; , -. . " ,j,"' ; ~! .:.i,_.,,; BUILDING. ,..~~.,.".'';;':-!::~,- --" ,. '.' .,BUILDlbI(l'~..,.. __ , i.,'.. ." 417-4815 ~., ., -- -- _1,. . , '~.. /h T:\PLANNING\FORMS\1102.IS [412002]