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Home My WebLink About1619 S O St - Engineering 'C,';ORT"-I-". ':":7~""~ "ha- L~ ;:; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Addre$s ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property Zoning _ . . Application valuation 04-00000097 Date .833698 1619 S 0 ST 06-30-01-5-5-0050-0000- RES NEW SFR 4/09/04 0447 /f//J1S lJ // RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER 1..07 5 Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR WiATT 520 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9006.00 1700.00 1700.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 .00 71573 Qty Unit Charge Per 1.00 670.0000 EA PW W/M SFR 3/411 Extension 670.00 Permit Additional desc pe rmi t Fee Issue Date Expiration Date RIGHT OF WAY 45.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 71573 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 4/09/04 Valuation 71573 Expiration Date 10/06/04 Qty Unit Charge Per Extension 1. 00 95.0000 EA SAN SEWER HOOKUP 95.00 Special Notes and Comments The site is located in the Madrona Woods Subdivision. The residence may NOT be finaled until infrastructure improvements for the subdivision are installed and improved. Separate Permits are required for eiectrical 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 ifrequired 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 violale or cancel the provisions of any state or local law regulating construction or the performance of constr tion. orized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ 1102.15 [11/1412003 ] if':':OAT"vI< l~~~ ha~ L~ ~ "'.""" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Pin number 04-00000097 .833698 Page Date 2 4/09/04 Special Notes and Comments New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 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 Credi ted Due ----------------- ---------- ---------- --------- ---------- Permit Fee Total 810.00 810.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2584.50 2584.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, u!iH!ies, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or ifrequired 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. Ail provisions of .Iaws and ordinances governing this type of work wiil 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 Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\ 11 02.15 [] 1/1412003] : 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 requestin,g inspection Address of person requesting inspection Type of Inspection (circle appropriate one): 1(.,,\ c. '\ ,.,.." \, <::- ~ ~ -I , f,-uA~--R-@ YJA-mtN>-1 ~ Phone No. q77-! 245 Permit No. 0147 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Other INSPECTION NOTES: / 1/J -' Inspected: Date ) 2: 02> Remarks: Time--.ZJ n p(V\, By J. A ND(L\JL~ RESTORATION REQUIRED . . . . .. YES NO .x A~~"'T~'S. ~ ~1.,-~A,:/o;\ - ~I rHe';",\.- <'~-.i-~;"- ",-- - .- ./ , \;. ','\, I~ .'-1 'L ( .............1 I I 1..-1'\ II ; "" I Vv 160 17e-l.v I o yEP""; ~I 5:5" ( ~ f'zg, """-- I I '- ., 1(" [>,L~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ! t, i I I I I I I [ ~ APPLICATION FOR WATER City Water Department PorI Angeles, Wash. {).. - I '.1- ,~I-f I hereby apply for waler 10 be furni shed in accordance wllh roles and rules of Ihe Cily for Ihe'fallowing premises: }{,4-t:L..-. 11 ..A." '2./,03 s.. F/lant.l. Name of Applicanl--M-I<tAA..t~1 )OJ..I.J7).AAJ'71P.A. ' 4J5'l.-7/;3/ Address I {.f (~ 'SM.I Ch "d /1 c;;;...u:;, I r-:- j( 41 Renewal 0 New ServiceB- Blk_ Lal L-~ Add,/?1AA'A.J2.<'" lLJ~Q. Si.e ai Service / f .% 1/ MeIer Number 1~:2J7/66 Ctf: Service Left On 0 Service Lefl Off 0 Signed Inslalled by 117 Remarks' -PPOt.llT -):i (jl.{-~ rI~jO{lP ..,.. $ I Oz.?~ ~'1.A~~~-~~t) ~~ N ~ w . " Il<:. \i, (J Ar&Jtfls E ~03' s ~ ~~";.-n ~ $4.0~~~ ~ L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number 04-00000097 .833698 Page Date 2 4/09/04 Qty Unit Charge Per 22.00 7.0000 THOU BL-50,OOl-100K (7.00 PER K) Extension 154.00 Special Notes and Comments The site is located in the Madrona Woods Subdivision. The residence may NOT be finaled until infrastructure improvements for the subdivision are installed and improved. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 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 1029.25 1029.25 .00 .00 Plan Check Total 328.50 328.50 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3132.25 3132.25 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\! 102.15 (11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS 1;./ -/}. '7 --(!:) H _ \IL WALLS 11_ $(j--C/4 \ i L- FOUNDATION DRAINAGEIDOWN SPOUTS t;: -I I ~QLJ --,::;!\7 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING PLl,'!--'\ e. FiNAL..- iJ -'ZS -C6 .j I-L A P UNDER FLOOR I SLAB ROUGH-IN ;/-H -01-1 ,,}I i.., WATER LINE (METER TO BLDG) -iQ-or J,J,.. GAS LINE BACK FLOW I WATER AIR SEAL WALLS Ii J}..- '7 -C>~I J. ).... CEILING v FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING lit}. -? -D Ii J i )..} DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL I FLOOR I CEILING MECHANICAL Htdt f{tJ ftL- 4-25 -cs .ji,L .l\-p HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI l~ 1UJ-L2)" -r- CONSTRUCTION - R.W. ENGINEERING 417-4807 J.- PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 l-j-lS -Or; J Li- BUILDING T:\PLANNING\FORMS\1102.15 [11114/2003] --:ORT ~ ~~V~~ U~~ L~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000097 Date .833698 1619 S 0 ST 06-30-01-5-5-0050-0000- RES NEW SFR 4/09/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9006.00 1700.00 1700.00 1. 00 ---------------------------------------------------------------------------- --.. Permi t PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 ~ .00 71573 - -.Q Qty 1. 00 Unit Charge Per 670.0000 EA PW W/M SFR 3/4" Extension 670.00 ~ ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 71573 Qty 1. 00 Unit Charge Per 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 \) -- "' ---------------------------------------------------------------------------- Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 .00 71573 ~ :-f. Qty 1. 00 Unit Charge Per 95.0000 EA SAN SEWER HOOKUP Extension 95.00 ---------------------------------------------------------------------------- Special Notes and Comments The site is located in the Madrona Woods Subdivision. The residence may NOT be finaled until infrastructure improvements for the subdivision are installed and improved. 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/UGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11114/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000097 pin number . . .833698 Page Date 2 4/09/04 ---------------------------------------------------------------------------- Special Notes and Comments New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 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 ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 810.00 810.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2584.50 2584.50 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI ~ t;"- n.:J .-L> c ..-./'- CONSTRUCTION - R.W. ENGINEERING 417-4807 j /' PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\1102.15 (11/14/2003]