HomeMy WebLinkAbout1724 S O St - Engineering
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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
04-00000103 Date
.813102
1724 S 0 ST
06-30-00-4-4-0270-0000-
RES NEW SFR
4/09/04
RS9 RESDNTL SINGLE FAMILY
69610
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 1199 SF SFR W/ATT 524 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
22.90
V-N
1. 00
1.00
7500.00
1723.00
1723.00
1. 00
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Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 670.00 Plan Check Fee .00
Issue Date 4/09/04 Valuation 69610
Expiration Date 10/06/04
Qty Unit Charge Per Extension
1. 00 670.0000 EA PW W/M SFR 3/4" 670.00
~
Permit
Additional. desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
R/W & SIDEWALK
45.00
4/09/04
10/06/04
Plan Check Fee
Valuation
.00
69610
~
~
Qty
1. 00
Unit Charge Per
45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
fj)
~
permi t SANITARY SEWER HOOK UP
Additional desc
permi t Fee 95.00 Plan Check Fee
Issue Date 4/09/04 Valuation
Expiration Date 10/06/04
.00
69610
Qty
1. 00
Unit Charge Per
95.0000 EA SAN SEWER HOOKUP
Extension
95.00
Special Notes and Comments
The site is within the Madrona Woods Subdivision. The
residential structure may NOT be finaled until
infrastructure improvements for the subdivision are
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:\PLANNINGlFORMS\1102.15 [11/14/2003]
BillLDING 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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARK1NG/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
CONSTRUCTION R.W. 1 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:\PLANNING\FORMS\1102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000103
pin number . . .813102
Page
Date
2
4/09/04
Special Notes and Comments
installed and approved.
Electrical load calculations and elctrical permits are
required.
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 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 permitbecomes
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 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:IPLANNINGIFORMSII102.15 [11/14/2003]
BillLDING 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'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
CONSTRUCTION R.W. / PW/ "t). - ,1Jo.<J::>- If CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSI1102.15 [11/14/2003]
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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
04-00000103 Date
.813102
1724 S 0 ST
06-30-00-4-4-0270-0000-
RES NEW SFR
4/09/04
M-j 03
/724 5
(;#
RS9 RESDNTL SINGLE FAMILY
69610
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 1199 SF SFR WiATT 524 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
22.90
V-N
1. 00
1. 00
7500.00
1723.00
1723.00
1. 00
Permit
Additional
Permit Fee
Issue Date
Expiration
Qty Um.t Charge Per ~n3l.-~ "")
1.00 670.0000 EA PW W/M SFR 3/4" (__:70.~
------------------------------------------------------------------ --- --
Permi t RIGHT OF WAY
Additional desc R/w & SIDEWALK
Permit Fee 45.00 Plan Check Fee .00
Issue Date 4/09/04 Valuation 69610
Expiration Date 10/06/04
Qty Unit Charge Per ~
1.00 45.0000 ECH RIGHT OF WAY PERMIT 4.5.00
------------------------------------------------------------------ -------
permi t SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
95.00
4/09/04
10/06/04
Plan Check Fee
Valuation
.00
69610
________=~~~___~~~::~h~~~~_~;::__:~_::~:~_HOOK~~_____________~
Special Notes and Comments
The site is within the Madrona Woods Subdivision. The
residential structure may NOT be finaled until
infrastructure improvements for the subdivision are
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 iocal iaw regulating construction or the performance of
constru ion.
V"'- Y
zed Agent
Signature of Owner (if owner is builder)
Date
T:\PLANNmG\FORM$\II02.15 [11/14n003]
.....r:1r.OAr......%
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000103
pin number . . .813102
Page
Date
2
4/09/04
Special Notes and Comments
installed and approved.
Electrical load calculations and elctrical permits are
required.
Electrical load calculations and elctrical permits are
required.
----------------------------------------------------------------~--
-----Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE l 745.~
STATE SURCHARGE ~~
PW WATER SYSTEM USE FEE ~
Fee summary Charged Paid Credited 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, 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 iaw 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]
""
. ' ,,':4, ..
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7- 3D -Dy
Time &:>0 If Lvt.
Received by D.et{Yll''', If:
(phone. person)
Location of Work to be inspected (7 24 ~,'<O ,'C
Name of person requesting inspection De vlVl14 E....
Address of person requesting inspection ~rf t(c...""J
Type of Inspection (circle appropriate one):
s.:e: ,
Phone No, tft7-'-/(f\-I'i
permit~
Sewer Excav, Ot r uJ""..fe. r- )
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date '7 - '5 D - D<f Time
Remarks: /Je<.J I K ~ -5enJi c...~ ,
I 2-', 3-D PM By 0<-"" "'-:., E.. ,
-fa.P,^.e.J.. oJ;(.ti Q.v< 8tr A-c,
PL<-o..; V\.
c. /OWr
r- 01 a.~ 75"?'l
RESTORATION REQUIRED. . . . .. YES X NO
Q;J;" I 11
0
'I' , .E
/33 ~
\. g-t4.. ~
'- 0.
~ I -
--
,
,
,
~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
,\"",,1 " r-'
u ~ b ---&x-, -
o Asphalt 0 PCC 0 Other C:::OYt.L.,ett:.
S' /({J e.<JC\.1 k
Work Order # 1c.f7o~ - 0">7
11 COMPLETE "tJar LGoM.t'~eted.
o INCOMPLETE b- \1 ~ GL\ ~
~ rJ!rfJP) J7/~/o1TF
(Continue on reverse side if necessary) . STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . .
REQUEST:
Date
./
1,-/1/(}':>
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):
/7 2-4 :s
~.l~~ ~~^
I I
1/ II
() yf.
-~
Phone NoH77-/"2A'5
Permit No. 04 -103"
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
./
~ ./ 1/0 ':>
Time
q'"
o IC--
By
1r
Inspected: Date
Remarks:
RESTORATION REQUiRED...... YES
NO~
-
rvlc,..
\^'
Ig~
~o
110"
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel 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)
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLlCANT
Issued: 12/27/2004
Permit No:
Work Order:
1424
o
PROPERTY lOCATION
1724 0 ST S
lot: 27 Block: 2
Subdivision: Eagles lair
Parcel No: 063000440270000 ~ Long legal
000/000-0000
PROJECT INFO
Work is:
Value Work:
$0.00
Plans Required: Start Date: 1 1 Finish Date: 1 1
Contractor: QWEST COMMUNICATIONS 360/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: [:><J Install D Sanitary Sewer D Mise
D Repair D Storm Drain
D Watermain [:><J Underground Tele/Elec
PROJECT NOTES
place bsw in r/w 70' along "0" St
FEES ASSESSMENT
1.) RIW Excav: $45.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $70.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $145.00 17.) Sew Capl W/M Removal: $260.00
4.) Driveway: $145.00 18.) Alter Repair Sewer: $35.00
5.) Dwy Culvert: $45.00 19.) Storm Drain: $145.00
6.) Street Cut: $230.00 20.) Catch Basin per ea: $45.00
7.) Other RIW: $45.00 21.) Sewer System Dev: $745.00
8.) Fire Hydrant: $3,600.00 22.) Milwaukee Dr. Sew Ass: $240.00
9.) Res Water Serv: 5/8" $640.00 23.) RIW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00
11.) Other Water Service: $0.00 25.) DRA $0.00
12.)Water System Dev: $1,025.00 26.) Mise: $0.00
13.) San Sewer SFR: $95.00 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: $7,555.00
DEe 23 2004 10:10 FR TRAFTON B
253 471 1324 TO 13604174542
.-~
~~,t@1;ed g)~
~W!llIIICII
t 0 Perform Work 1n Street Rj;!lt~r.Way
. ~.'.\ .-;
:....,:;r:;r
~~(fj-/dh21t.j ,4S.Z~)
. .'.r.
.'>,:t:3~~
....:...:.
;:~~
nored hereon and lIS Ahow" on ~IIBC
.de 10' he municillality of PCin' ~"'i
to perfolm work AI
. ,
PUA'5E.
-:PLA<:..G B:S\N I
--na.eptla N E" %:
l72.4 0 s
Approved:
cd d.awing;
A1'CAC#eh
Ro.W to'
.5~:It#
-r:D
pt20VjD~
0..YsTofVl t::'!?rLe
--I I c.e; -r.b 00 q:;z
p~~ I <l1Of
Water neputJlleftt - Superintel\dent
~ DeparGNl1lt .-;.,SU~8l\t ,',
The estimated time (oT'completion ftlle'above wort Is ID 1:JA'/S M::teR...
Pale
\2 - 2..~ -c:>y
~AX L~j-q7l-/3Z'f
By
Ryan M. Fuqua
Contractor
><
OWllef
THE ABOVE APPLICATION IS HBEaY GaANTED SUBJECT TO AlPl.ICAm"S:
P.01
Complying with all Municipt :O,rdinaI\CeJ;
Notifying tbe Street Superin ndent ,of tile time the work will star; and when It WiU 'lIrIlah;'
Pnuecuting the work wilb 4i . ce lind with due respecI tQ III propCITC)', CQntra..u. 1Ieno....
righu alld lne interests end venlence of the public;
SaYing the "funicipaJlly be en from any and all damaloa which III&Y accrue to allY pcncln' "
or 1>>O\)llrty beClluse of thit i' ~ta11ation or the maintenance thereof;
Complying with foUowinl1
Dale
1~/~1-l)
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BY L~ Uu 4' ,,'