HomeMy WebLinkAbout2532 W 16th St - Engineering
.~OP.T"'IiG
/~~(~~
.~
L~
~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use
Property Zoning . . .
Application valuation
04-00000052 Date
2532 W 16TH ST
06-30-0Q-4-4-0050-0000-
RES MANUFACTURED HOME
1/27/04
01~sz-
RS9 RESDNTL SINGLE FAMILY
64600
Owner
Contractor
GERALD MORRIS/MARILYN DAVIS
1009 S LAUREL STREET
PORT ANGELES WA 98362
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1280 SF MAN W/ATTACHED GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
19.00
1. 00
9075.00
1760.00
1760.00
1. 00
~
\IV
('J
Permit BUILDING PERMIT -RESIDENTIAL ~!ID<}
Additional desc 480SF ATTACHED GARAGE
Permit Fee 204.75 Plan Check Fee 81. 90
Issue Date 1/27/04 valuation 9600
Expiration Date 7/25/04
Qty Unit Charge Per Extension U \~
BASE FEE 92.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
~
Permit
Additional desc
Permi t Fee
Issue Date
~*p.~fation Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
150.00 Plan Check Fee
1/27/04 Valuation
7/25/04
.00
64600
'll'
.f
-!
:::=:-,.?~~.l;-Y uni t Charge Per
~.'-"-' ::" BASE FEE
Extension
150.00
Permit
_Additional desc
perrnit:-'Fee
Issue Date
Expiration Date
RIGHT OF WAY
45.00
1/27/04
7/25/04
Plan Check Fee
Valuation
.00
64600
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
Permit SANITARY SEWER HOOK UP
.Additional desc
Permit Fee 95.00 plan Check Fee .00
Issue Date 1/27/04 Valuation 64600
Expiration Date 7/25/04
Separate P\ii~its ar.l-requ'fr~(lforJ'I'i,~trical work, SEPA, Shoreline, ESA, utilities,'/ifIVm~iaTru pubiic 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.
J~a.fd. (j) 711 (;r1k\
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
/- '2 7 - otf
Date
1';\PLANNiNG'lFORMS\II02.15 [11/14/2003]
~'--",._-'-~
~-=::)
~ --
,4J ~IC~
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
04-00000052
Page 2
Date 1/27/04
Qty Unit charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
Extension
95.00
Permit
Additional desc
Pennit Fee
Issue Date
Expiration Date
BL MANUFACTURED
HOMES NORTHWEST
230.00
1/27/04
7/25/04
HOME
MOD#48724
plan Check
Valuation
Fee
.00
64600
Qty Unit Charge Per
BASE FEE
Extension
230.00
Special Notes and Comments
Addreas numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarrntt
Electrical load calculations and elctrical permits are
required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 724.75 724.75 .00 .00
Plan_Check Total 81. 90 81. 90 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2581.15 2581.15 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utililies, 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
fora 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. Aii provjsions of
laws and ordinances governing this lype of work will be complied wilh whether specified herein or not. The granling of a permit does not
presume to give authorily to violate or cancel the provisions of any slate or local law regulating construction or the performance of
constructiOii.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FOR..\1S\1102.15 [11/1412003J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . .
~
REQUEST: -J _)
Date ~L:::' _04- Time
----I .=
Received by r ,= (phone. person)
;;2. 5" 3'7--
-lI:RZ5 W! tc~
YY\D\'2.-R.1S, bADt"
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
~ Foundation Framing Chimney
preSSu..re I pu-rn p
INSPECTION NOTES: ~ I.
Inspected: Date . 51 s-: /)1
Remarks: Ui5i..-\
Phone No.
Permit No. 04-5~
Plumbing Final Sewer Excav, Other
Time 3',"50 'f}./) By -:e(t..lc...
RESTORATION REQUIRED . . . . .. YES NO
1 t= t,J \ 1.P C!:i
\ \'3"--
.i ~DF- .0-Ie..~
I
<l
0 If\
~
~ 4e:."
, a'
~ 'l-\ouse-
~ v~'2y
\-- .1 9'" 4"
..II)'
J j;~F"'''''~~ f'vtJ\? ~H"""""'e-
('ll v""-V. ;!: I-z--Z"
~\L ~ ~~
J"J ~:-~Zi-
"\J iZlf1'le... ,,;,jpv< hlV'.4,-ry
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
. Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date "? {I \ ( D 4-
Time
{to
Received by
&IC
(phone. person)
Location of Work to be inspected 2'S ~z 0. 1t.!1I
Name of person requesting inspection \/'"" VMifS
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. tfe3-/~7/
Permit No. CJ4--q 7
Sewer Excav. ~
c:: ()~ c (/{ /Cie MV
p,t!'/t/8::/AY
INSPECTION NOTES:
Inspected: Date S/IZ./Otj Time g.'3rJ M'1
,.,- t I
Remarks: ~S d&/) 14'tJt!/~/<A-7?{)-<./' AffetJ /. / <;L/);PE ,c~~ 7#,e'CJ,4"7 c;r
.
De./lfE 7D "/?lP o,c c::: C//2/$. t".H-t..Ft? c' LFP7 A./f~..fC...~ ; fkI.eCJ ,c OV ~.6Ut.s
.
..-
By I:::-e/{
d~ (I.rn.f liT; .--
(J / I .;;foZj
I'
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNERlAPPLlCANT~-- --~
Issued: 411612004
Permit No:
Work Order:
1399
o
"_~~~"PROPERTY LOCATION
I 2532 16TH ST W
Lot: 5 Block: 2
Subdivision: Eagles Lair
Parcel No: 063000440050000 ig] Long Legal
Port Angeles, WA 98360
0001600~0000
PROJECT INFO
Work is:
Value Work:
$0.00
Plans Required: Start Date: 1 1 Finish Date: 1 1
Contractor: QWEST COMMUNICATIONS 3601000~0000
Performance Bond Required: Amount: $0"00
Proof of Insurance:
Work to Perform: [gI Install 0 Sanitary Sewer 0 Mise
o Repair 0 Storm Drain
o Watermain [gj Underground TelelElec
PROJECT NOTES
Placement of buried service wire for customer on lot 5 at 16th &
Butler includes 80' of city right of way
FEES ASSESSMENT
L) R!W Excav: $0"00 15") Other San Sewer: $000
2") Sidewalk: $0"00 16.) Sew Tap Wye/Man Tap: $0"00
3") Curb/Gutter: $0"00 1 n 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
n Other R!W: $0"00 21") Sewer System Dev: $0"00
R) Fire Hydrant: $0.00 22") Milwaukee Dr" Sew Ass: $0"00
9.) Res Water Serv: $0"00 23") R!W Use Perm: $0"00
10") Comm Water Serv: $0"00 24") Admin Cost (D"RA) $0"00
11.) Other Water Service: $0.00 25") DRA $0"00
12")Water System Dev: $0"00 26") Mise: $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: $0.00
RPR 15 2004 15 39 FR TRRFTON B
253 471
1324 TO 13604174709
78509 S. Tmllon
T~om~. W A 98409
file inill.. . ,,'.', ' "'.'ttal'. . .
""'1."'~"'"'''''''''ml:'''''''''''''
, ., s.' . .. 'e!"j, c .' c'" , . ,"" ' ' :
" , .' .".,;.<,' i, .) . 'I,.. "
, ',"," ,"
To: City ofPort Angeles Fax, 360-417-4709
From, Q",est Communications Data: 04/15/04
Re: Pages; 5
cc: Ryan Fuqua
o Urgent o For Rs~ew o P_ Convnanl o Please Reply o PI_ Recy1;1e
.
.
.
.
.
.
.
.
Notss'
T. Funston.
Permit applications
W0040Z042/452C
Thank. you.
-Ryan
"
"
. <,"'{.
.\, ~ ';,. "~,'
P.01/03
J~~:
,.l....u.. "',>," .\~.~,
, :: '; :'::~~!/!_ :~j>.\~;F?~;;~~.l
," ,.",:\,. ,l., '...\~ ~;,.!
";,/:.:.:;);~):!~
-",.;~, '"1',' l~il~
. '- I :-,{,~,.,,'5q~,~
~", 1'- ,'.:~ .(':!t:,1.:..'
I~':;,:,.f,~',,':\_k~i!l
. I ~I ,.,~' "fL:',1'i~~
.
. '! (.; 1fl./~~"i:;
\:,:,~~}~
, ,.,.,.,\i,,,itj
,: \.,I;>,:'l:ii'\~~!~
, '. <f~Jxl;~'!-:1<~~~
'~!i
, ., " 'I("t'2l,~~
. .:',}<it~:!~~i~~
. " ~"''''~
:: .',J~'~;~;~
>,~'~~$~
, ,~ . , " ,. :~r.,!V,"
" ~~. ;', ,""~~':..t'~~
. < ' . .l\~ '1.1',
, :~\1~ll
,"j\^
, ~'~
" .-:. ~',~,,;, i .
", >r~;::::
RPR 15 2004 15:40 FR TRRFTON B
U':lf v;:;r/ uv...... I"n... ~..."....... .L .".L""" . ,..
'AR 15 2004 12:~9 FR TRAFTON B
253 471 1324 TO 13604174709
25~ 471 1324 TO 1~6111417471119
Qwest Job.
vJOctJLI@Zy)'1Z/45ZC
'"
v:
iLl
.;J
,F,
,J
kJ ~
W. /& ~ 5'""T
,
10
,0
,.,,__",,1,-
\.c'~['t.;dl
HI,
~-
'.. '=" ,,~,_"'l_
I
Pc
1.nlllil1ll:'l
(~ (..ll MM.
'-C;1SfII.1
.......
, lClt!G:"'
DAN. ,,--..t. ....owJd
1I.N<<I1I:I.. .IdlI&"I,
.d~II.""'"
'-.. c..m-a I"l~
Typical Cr.s5;"\: D,,~i1
,ca.s_--
ABOuT 2500
:Sf.
This work will require: , ,
Thenching in the'R/W (total fo~)
'30
Push or bore :2 inch PVC or 13IP under roadway (total footage)
, 1..,
"
Push or bore 2 inch I'Ve or BIP'..:3n'der driveway (total footage)
...-.'1....-,,'
Push or bore 2 inch PVC or BrP <l1nder multiple driveway.1! (total footage)
."1'
.AU craning. and ROW wo:rli'ilt :3,6"~~D_'
"All pita and. u-ene.l'llns:.reqUil:l!Is' aj;l.ct'fi!l;,
,';,
** TOTe1L
** TOTRL
~WORUi
P.02/03
'. ',': ;':"",:/~: .'::J:~b.~
'.' ' 'f. ,. 'j' ~.".~;{..:J
. . '.::::;;"i~{~}tri~
"i, :;.;;-::;;.)
\.1, ','"17 , ~
. ::., {
RPR 15 2004 15:40 FR TRRFTON B
2534711324 TO 13604174709
~~ <@/~ g)~
P~rmit To Perfonn Work In Street Riaht-of-Way
"PPLlCATION is herl!by made [0 the municipality of PORI' >>=.~I':
_ to perform work. Il5
nored hereon and as .hown on a!lached drawing:
Approved:
Water DepllJ'Unent - Superintendent
The estimated timll fcrccmj:lletion of the above work. Is
Sewer DeplU'tment - Superintendent
hSAP
Data April 15, 2004
By f'f.c. fI-
X
Contractor Owner
OWES, IAlT.N ;E6w iOOM,
7'35C > r~;jFr"rv, TI'IC.0"14/ "v'~
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO "PPl.lCANT'S:
Pnone:253-473-0788
i"A'x 2. Sj - 7/-132'(
Complying with all Municipal Ordinancn:
NOTifying the Streer SuperinTendent of the time the work will star:. and when it will finish:
Prosecutlns rhe worl< with diligence and with due respect to all property, contracts, penon.'
righTS and lite interestS and convenience of the public;
Saving the M uniclpolfTY harmless from any and all dornases which r~ay accrue to any penon
or propeny because of this installatign or the maintenance thereof;
Dale
B't' ~ i!1IM M?J1
-
--
....,aM