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HomeMy WebLinkAbout1620 S O St - Engineering ,- c1t'o"r~o l"~~~ ~ 1!:..-- ~-;;'.p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivislon Name Property Use Property zoning . . . Appllcation valuation 04-00000694 Date .287996 1620 S 0 ST 06-30-00-4-4-0310-0000- RES MANUFACTURED HOME 11/16/04 RS9 RESDNTL SINGLE FAMILY 68000 Owner Contractor GARCEAU, FRED 164 HEUHSLEIN RD PORT ANGELES (360) 457-5518 WA 98362 VALLEY PROPERTIES 164HEUHSLEIN RD. PORT ANGELES, WA PORT ANGELES (360) 457-5518 1600SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS & CONST WA 98362 Structure Information Construction Type Occupancy Type Other struct info 16.80 1. 00 9500.00 1600.00 1600.00 1.00 Permlt Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 11/16/04 5/16/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 145.00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee Issue Date 11/16/04 Valuation Expiration Date 5/16/05 .00 o Qty Unit Charge Per 1.00 640.0000 EA PW W/M 1" SERV 5/8" METER Extension 640.00 1" Permit SANITARY SEWER HOOK UP Additional desc Perml t Fee 95.00 Plan Check Fee .00 Issue Date 11/16/04 Valuation 68000 Expiratlon Date 5/16/05 Qty Unlt Charge Per Extenslon 1. 00 95.0000 EA SAN SEWER HOOKUP 95.00 ~ 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 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 7~d~ Signature of Owner (if owner is builder) / ;L/k -(;11 Date T \PLANNING\FORMS\1102.15 [11/14/2003] ci pORT .......G'~ .!.."'~~("~ (;r~~ I' 'EiI L -=...r ~ ~w;p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatlon Number . . . . . 04-00000694 Pln number . . .287996 Page 2 Date 11/16/04 Special Notes and Comments wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. A resldential 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 identifled as "Fire alarm" The proposal will result in the placement of a manufactured home on a property in the RS-9 for total lot coverage of 17%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Electrlcal load calculatlons and elctrical permits are required. Construct driveway to City Standards. No concrete with exposed aggregate is allowed in the City road right of way. 6' sidewalk required at curb. 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 ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 880.00 880.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2654.50 2654.50 .00 .00 I., ~ 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 f 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 [11/14/2003] --........- City of Port Angeles Public Works Department Water Distribution Repair Report IWork Order No: 3C'J::/6- 0/1 Icrew: "7 /7, }~ Jj 7~ ( , DATE REPORTED '3 ~/,/-O~ CONDITION: EMERGENCy)l{ ROUTINE 0 CITIZEN COMPLAiNT 0 LEAKAGE SURVEY 0 OTHER 0 DATEOFREPAJR 3-/~!-(;J<) TIME REPAlRLOCATlON: ADDRESS: /b;2u J: IU .5 c:> CJ OA,'''1.Jr.M. TYPE OF MAlN: ft/G -;<-'1 SIZE: u.. DEPTI! OF MAlN: CLOSEST VALVE DEPTIl: COlvlPONENT REPAlRED: MAlN: JOINT 0 CJR. BREAK 0 SPLIT BELL 0 LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SERVICE: TAP 0 CORP. STOP 0 PIPE k' CURB STOP 0 FITTING 0 METER SETTER 0 METER [(\ LINE VALVE: FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0 HYDRANT: BRAt"iCH 0 VALVE 0 BARREL 0 OTHER: CO!vIPONENTS OF REPAIR: CLAMPO DRESSERO OTHER Cc)nf/.7/,f.'~~'A (/i1'c) ,"'- , SITE CONDITION: GRAVEL15r ASPHALT 0 SIDEWALK 0 CURB 0 TOP soIC AREA 0 SOIL TYPE CUTS: ASPHALT CUT _FT CURB CUT _FT. SIDEWALK _FT. DRlVEWAY CUT _FT. MAIN CONIJ[TION INTERNAL LINING /l/ h TUBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0 CHLORlNE RESIDUAL SA.JVlPLE P.P.tV!. WATER OFF: FROM M.TO M. FROM M. TO M. A.PP.ARENT CAUSE OF LEAK: -.J I e~Jc~.er ~I'ORT~ lO~,,<~ ~.~ .,'t.:!!II ~ -- "'t~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 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 04-00000694 .287996 1620 S 0 ST 06-30-00-4-4-0310-0000- RES MANUFACTURED HOME Date 11/16/04 04-u;Cl1 If/Zo 5 O~- :J WA 98362 1JU4 G-M~~ tI~~~ V\ RS9 RESDNTL SINGLE FAMILY 68000 Owner Contractor GARCEAU, FRED 164 HEUHSLEIN RD PORT ANGELES (360) 457-5518 WA 98362 VALLEY PROPERTIES 164HEUHSLEIN RD. PORT ANGELES, WA PORT ANGELES (360) 457-5518 1600SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS & CONST Structure Information Construction Type occupancy Type Other struct info 16.80 1. 00 9500.00 1600.00 1600.00 1. 00 (j ::: t 145.00 11/16/04 5/16/05 plan Check Fee Valuation .00 o (~Jr{ ~ 4\~lD Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION Qty Unit Charge Per Extenslon BASE FEE ~ ------------------------- ----------------------------------------- -- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee Issue Date Expiration Date 640.00 11/16/04 5/16/05 Plan Check Fee Valuation .00 o Qty Unlt Charge Per ExtenSlon --------=~~~-~----~~~~~~~~-~~----~~-~~~-=:_:~~~-=~~:_~~=~~-------~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date I 95.00 11/16/04 5/16/05 Plan Check Fee Valuation .00 68000 ~ --------=~~~---~:~:=~~~~~~-~;:~-_:~-~~~~~-~~~~~~-----------------~ 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 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvemenls. This permit becomes null and void jfwork or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after Ihe work as commenced, or if required inspections have nol 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 Ihis type of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume to give authority 10 violate or cancei Ihe proviSions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agenl Date Signature of Owner (if owner Is builder) Dale T;\PLANNING\FORMS\1102.15 [11/14/2003J ri<l'ORr..... $-.l,~<"(<:}. ~ 'IL -- ""';<iP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . _ . . 04-00000694 pin number . .287996 Page 2 Date 11/16/04 special Notes and Comments wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. 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 alarm" The proposal will result in the placement of a manufactured home on a property in the RS-9 for total lot coverage of 17%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Electrical load calculations and elctrical permits are required. . Construct driveway to City Standards. No concrete with exposed aggregate is allowed in the City road right of way. 6' sidewalk required at curb. ----------------------------------------------------------------~-- --- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00 STATE SURCHARGE .~ PW WATER SYSTEM USE FEE ~1025.0~ Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 880.00 .00 1774.50 2654.50 880.00 .00 1774.50 2654.50 .00 .00 .00 .00 .00 .00 .00 .00 I. ~ 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 iaws 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 Date Signature of Owner (if owner is builder) T:\PLANNING\FORM.S\1102.15 [11/1412003] \ '...- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. .. INSPECTION REPORT. . . . . . .,' REQUEST: Date f ~ -zr' - 0 '1 Time 1/ e' SO Ill^-- Received byf)--e..~", t:c, E (phone, person) Location of Work to be inspected /bZO 50 ~'on S::t. Name of person requesting inspection ~......'^ .. s E-_ Address of person requesting inspection Co'f .....; ~rJ I 7 -1-]:. ~ 'e Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth INSPECTION NOTES: Inspected: Date 7 - Z ~ - 0 '-f Time Remarks: AJ e. ....J I bt. 5""/8' $e or vie <- (0 A tv<- By 1)(2........:":> E. I~ s-h:...( leo.. -+-:o'^-. RESTORATION REQUIRED . . . . .. YES NO >< ~I p , c ~ '" j ~ <:i -..9 ':> c .... ".\<.--(;, 8 ' ,~- ,i- )- , ' ,,':l- ~ <l <l c- -\- j \J 1\ ~ '~~ ~ '(J -;)) '~ L cJ, 1.?Tz.. ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # /4 ?o5"-oS{, o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: / / Date li!t~ otp Time Received by ~ II (phone, person) Location of Work to be inspected } lfJ Z 0 Name of person requesting inspection ----17 f1 ~ Address of person requesting inspection Type of Inspection (circle appropriate onel: Sewer Foundation Framing Chimney Plumbing " II '5 0 PJ1~A~ Phone No. Permit No. Final ~wer Exca~ Other ol~U4f INSPECTION NOTES: L Inspected: Date ;?-.124 O~ Remarks: ;ft"<AA - -L~~ '" c~uPIe- I Time l " SO P.vt P/zo.c.-~ UC I- ..",c v , f By ~'L, 1....:-10 1$:1/ , RESTORATION REQUIRED. . . . .. YES NO ~ ('\ Tl ('d- e. ~ <Y' "\ ~ "'!>,, .'/' n~-t,,,,,J\, v, ,'0 -'<- ,~ i-o neK 1-- J""f ~D -z:- --=- "D"e{ ~ I.D,.!.. \J> I I~ 'k ~ 1242'-- + '<- 'J:. I" ,p = 'II:> " 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 (Continue on reverse side if necessary) STREET SUPERINTENDENT ,- (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . . . . . . . . REQUEST: Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): / if ZO 1/ ~ J(f Received by S Ib II ~~ (phone, person) Date Time Phone No. Permit No. 01- ~1'1 Sewer Excav. Other slk~ Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Time t', \S rl"1 By ~/C- k~d. Inspected: Date Remarks: (),.f:::'. RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 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) " . 0D:;(( 1470<; _ 051.. APPLICATION FOR WATER City Water Department Port Angeles, Wash, Ii - I {r> - . . ?C1 , ~.euf I hereby apply for water to be furnished in accordance with rah"il:. nnrt rlllpc nf the City for the following premises: !.b;./ IIrzv,>s.i""cttfJ. Name 01 Applicant_fleeo Gorce a.V ~rf-~J,!;\,IIe{ < I (p~O 'StJ i/ D 1/ ST' 1-/ 0-.s-St.~ - Renewal 0 New Service-G-BI~ LotM Add EIft7LL::.> LAfJe, ) (/ X ~ II Meter Numberf1i~-C;;::J:!03! OOOOC rAL't- 0<+05837"/ '&'8 ()ooa; Service Left On 0 Service Left Of~ned Address Si ze of Servi ce Installed by PerWlIT-dt:&/I_69,;j5fh4DIl::Q+ t/;' loZS~ Remarks: N <" ~ (,,'6' S- J ~ - '" lj-, -..9 <J M Q 1 'S' ,\J <;>!, E W 5 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: / Date :3 I I { I oS;- Time Received by (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ) It W ~ (/ 0 II S' ~e'l Po p....~ .- T P one No. ~(/J(J - 7-59D Permit No. 04-'~.tJ-9 , Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other SJDetod!L. 'i., ap IUA...., INSPECTION NOTES: I. . 1/:;0 ;1-,0 Inspected: Date 3 119J~ Time ~ By e,,'L. Remarks: tJ...eJ.." So""-,,", r~ -.{;,."."" 'hi +-.. C!1!t:lw./o" 6, I 1""3""/'$ l1nd r-ur<!!.. ~rh 2?...d fu..l-/~r I't!!.....,,,~ d 4,,", no,.Ph ,~icle ,./' d r/v<"" _ ~ .? WMlJlM Qf}Ji/IJ~r~J. Lv!"/:;, c-ut bZlCi:. but /,;../77// ,::+,",,.,j /'7<'.0",,-,,<-//.. ,,/- bZ?Gk:-. ~ z. ;;,,, ~/ - .-.~~"..i ,....1 'c-" ",../ -~(:. /;f~> RESTORATION REQUIRED . . . . .. YES NO J.I ~.J- 1n..fA4 tt Af~ II^- V In ct;v '-! JU..d.. 6" ~ nt>-f ~ ~ ~~..J _or 3Jz'b \D s-- II T~- ;> DrD 7.;.t;'s ~~T Cj),ePrTTED . /C).}ou.-J I F DK- ~ Neob TO . I ...-r. /I. /5 ~~I \"It:: 1 F BLb9 lDJ IITve:: LD. ) v.A!U bE: ~\ V\Ct.LED - ~/O{i , ,~ 1-ZOoo SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 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) '(I "" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .~2( EAST 5TH STREET. PORT ANGELES. WA 9Rl62 Application Number pin number . . . . . 04-00000694 . . .287996 Page Date 2 3/04/05 Special Notes and Comments required. Construct driveway to City Standards. No concrete with exposed aggregate is allowed in the City road right of way. 6' sidewalk required at curb. When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments Proposal will add attached garage in the RS-9 for a total lot coverage of 23%. No land use issues noted. Electrical load calculations and elctrical permits are required. Construct driveway to City Standards. No concrete with exposed aggregate ia allowed in the City road right of way. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 9.00 1025.00 ~. N <0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 ~OO .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1779.00 1779.00 .00 .00 Grand Total 1827.10 1827.10 .00 .00 ~ ~ lJ\ ,""I COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECTJON RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02.1S (4'96) '~ (i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,~21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning , . , Application valuation 04-00000694 Date .287996 1620 S 0 ST 06-30-00-4-4-0310-0000- RES MANUFACTURED HOME RS9 RESDNTL SINGLE FAMILY 68000 Owner Contractor GARCEAU, FRED 164 HEUHSLEIN RD PORT ANGELES (360) 457-5518 Structure Information Construction Type Occupancy Type Other struct info VALLEY PROPERTIES 164HEUHSLEIN RD. PORT ANGELES, WA PORT ANGELES (360) 457-5518 1600SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL MOBILE AND FEEDER RW BECKER ELECTRIC 78.70 12/17/04 6/16/05 Plan Check Fee Valuation Qty 1. 00 Unit Charge Per 78,7000 ECH EL-MANF HOME SERVICE & FEEDER 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. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. 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 alarmll The proposal will result in the placement of a manufactured home on a property in the RS-9 for total lot coverage of 17%. Setbacks ar~ good, No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Electrical load calculations and elctrical permits are COMMENTS/ACTION NEEDED 12/17/04 & CONST WA 98362 16.80 1. 00 9500,00 1600.00 1600.00 1. 00 .00 o ~ ~. ('- ....J Extension 78.70 I \../\ CJ V\ -/ , ELECfRICAL PERMIT I NSPECf JON RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO III II 'H '-'& & Il(}UU~-IN / l;UYbK ShKV"';b ~TN A T I I ......... GENERAL COMMENTS: PW-1I02.1S (4196) 'D;l (i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,~21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62 Application Number . . . . . 04-00000694 pin number . . .287996 Page 2 Date 12/17/04 Special Notes and Comments required, Construct driveway to City Standards. No concrete with exposed aggregate is allowed in the City road right of way. 6' sidewalk required at curb. 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 78,70 78.70 .00 .00 Plan Check Total .00 .00 ,00 .00 Other Fee Total 1774.50 1774,50 ,00 .00 Grand Total 1853.20 1853,20 ,00 .00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECf,ION RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-1102.1S (4196)