HomeMy WebLinkAbout1247 E Lauridsen Blvd - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
MYERS, SUZANNE M
915 WEST 6TH # B
PORT ANGELES
(360) 565-9000
Structure Information
Construction Type
Occupancy Type
Other struct info
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
permi t
Additional desc
Permit Fee
Issue Date
Expiration Date
4/12/05
05-00000216 Date
.597504
1247 E LAURIDSEN BLVD
06-30-11-5-5-9040-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
183283
Contractor
QUALITY BUILDERS
610 DRYKE ROAD
SEQUIM
(360) 461-3312
2518SF SFR W/ATT 556SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98363
WA 98382
21. 20
V-N
2.00
1. 00
9575.00
2033.00
2033.00
1. 00
DRIVEWAY INSTALLATION
170.00
4/12/05
10/09/05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
170.00
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
175.00 Plan Check Fee
4/12/05 Valuation
10/09/05
.00
183283
Qty Unit Charge Per
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
175.00
RIGHT OF WAY
50.00
4/12/05
10/09/05
Plan Check Fee
Valuation
.00
183283
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
permi t . . . .
Additional desc
Permit Fee
Issue Date
Extension
50.00
SANITARY SEWER HOOK UP
110.00
4/12/05
Plan Check Fee
Valuation
.00
183283
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.
.d I'''' C 1./'
1/ ,j- <)
T:\Policies\1102.I5R [1/05]
Date
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
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. '
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number
Expiration Date . .
05-00000216
. .597504
10/09/05
Page
Date
2
4/12/05
Qty
1. 00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
The proposal will result in a new s.f. residence
with attached garage in the RS-7 for total lot coverage of
21%. No land use issues are noted.
Electrical permits are required.
> $713 Connection Fee Applies.
Permanent elect service will be from the pedestal at the SW
prop corner.
Temp SVC may be overhead from the Pole at the SE prop
corner.
MAINTAIN CLEARANCES FROM SERVICE WIRES.
Contact Mike Hill @ PUD for review. 565-3286.
The recommended electric meter loctaion is on the Garage
Wall closest to the SW Prop corner.
Any modifications to the electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
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 505.00 505.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2279.50 2279.50 .00 .00
Separate Permits are required for electrical work, SEF>A, 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.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102,15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW.I PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building.Depar'trnent.Use.Only
State: ~
Zip: CU33fJd-
Permit#:
Lot: If d-- c (l.p~; "IW~ t'\ #Y
Address: Bits -r- L A-11i\ i ~() "" I) J 1/ ~
City: POf\.T p.r-.~ /-'.!>
Contact: fl}v'L. L!3lA./..s
Phone: '16)- 33 J~
Phone 2: f:>fJl-O;)"b7
Fax: b (13, J.,S"o I
n lIDIte azmg JptlOn ny
Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4
Option Area 10 Do. Ceiling2 Vaulted Above Int4 Ext4 Floor5 On
% of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Below Grade
Grade Grade
ill Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-l0 R-30 R-lO
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(U r . dGl . O' 0 I)
See the code text for footnote references
This project complies with the following:
./ The project is a single family residence or duplex.
./ The project is wood frame OR all of the insulation is interior or exterior of the framing.
./ All building components meet the requirements listed in Table 6-1, Option III.
./ The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
D 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
BUILDING PERMIT - APPLICATION
FOR OFFICIAl USE ONlY'
ate Rec.:3- 22-6~
Permit #: 05- 2 I. b
~/lf(C1C
-
Fill out COMPLETELY and in INK. Your application and site plan MUST B:ri
COMPLETE to be accepted for review. If you have any questions, call vt.
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: PAvL v L~w~ ,,5'
Owner: SI/ Z~ fro... ve tl5
,
Address: 9 I S- - W b + ~ ::If is.
City: ?.4
Phone: '16/-33/cJ-
Phone: S>6S"-&jOoo
Zip: q ~~~ <3
Architect/Engineer: EyesTVi\.e.. tJ~.5'; r;..~ (:-'eflR. v",S.....tt Phone: rS-7-.3 €PO
Contractor 6N,q.t; \1 ~v; 'lOl.> State License #: Q.;Alih~JJ~p: 3-1!f--()oV/ Phone: '//:'/-331)..
Address: 6/0 DJ.yk.t> {lOAd City: :S~dll; rV\ Zip: cr~3 f/ J..
PROJECT ADDRESS:IZ~7 G.. L t\iJ(lI~$en 8/ (/ d- ZONING:
LEGAL DESCRIPTION: Lot: A ().. BlockJ Subdivision: C!. (l/~/T), ~~ ;')
d-
CLALLAMCOUNTYPARCELNUMBER: OC;.3011 S-S-1o'/O OO()O Tt:J;( 1l'\'/6fl.o/'1J-S--
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
IJ(Residential ~ New Constr. D Re-roof
D Multi-family D Addition D Move
D Cormnercial D Remodel D Demolition
D Repair D Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATION:
D Stove "';)...<;ili SF. @$ '7~,)"/SF. = $
D Garage ~.:.~ 5$"" SF. @ $ /SF. = $
D Deck ?eo.~ii7 SF.@$ /SF.=$
D Other TOTAL VALUATION $
f'I ~....v It. *' 5; ~ e Y' '"t ..s r Nee... +- t> II- -..p
;fJ3j ~fJ3 J]&
/65, r)-PJ s ,BG
.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: ~ Lot Size: q S7S Existing Sq. Ft.
Total lot coverage '2 ( ; "'2. %
Occupant Load:
Construction Type:
sV
& Proposed Sq. Ft. ~o.3..:3 = TOTAL Sq. Ft. d- 0 33
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIns figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
T:\R VESS~DG- forms-brochures\2004-Buildingpermit.wpd
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I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
APPlica~~~ "--
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Date: O'S-;)')- oS-
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Area Map
This map is not intended to be used as a legal description.
This map/drawing is produced by the City q{ Port Angelesfor its own use and purposes.
Any other use qf this map/drawing shall not be the responsibility of the Ci(~'.
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183283
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CONNECTION FEE PAYMENT
Customer: SIJ:lAt,j~JG M~EJt.S
/J K' n
Contractor: ot "'k I rs~
Project Address: (2-4-7 ~ ~([A D?~ 't2-vb
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Connection fee due: $ 7/...3:> 7 Date Paid: f3 / G" /0 c;--
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CASHIER:
1.
Please post check to:
Capital Contributions / Construction Contributions
LT 401-7180-343.30-24
In "additional comments":
WFOO ~---I C ~
Y ~i~Je.. ~~..JlCL
2.
Send a receipt of payment upstairs to:
John G. Hebner
Public Works & Utilities Dept
417-4706
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