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Home My WebLink About1617 E 4th St - Engineering _d'_' " '",,~~lnu~~IHl~ o~. {l~T "'4G '--~~<{ 0)-,.'" L~ ~ ~p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o 3.-C/// Application Number pin number . . .. .5457 Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00000911 Date 3/11/04 1617 E 4TH ST 06-30-00-6-9-9020-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 181077 Owner Contractor MITROVICH MARK F 614 E 7TH ST PORT ANGELES WA 98370 4:~ /1 e; WA 983626216 TERHUNE CUSTOM POBOX 97 POULSBO (360) 697-7000 2244SF SFR W/ATTACHED 480SF 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 HOMES Structure Information Construction Type Occupancy Type Other struct info GARAGE /~ 18.30 V-N 2.00 1. 00 10481.00 1922.00 1922.00 1.00 Permit PUBLIC WORKS RES WATER SERV Additional desc permi t Fee, 640.00 Plan Check Fee .00 Issue Date 3/11/04 Valuation 181077 Expiration Date 9/07/04 Qty Unit Charge Per 1.00 640.0000EA PWW/MSFR5/8" Permit . . . . Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 3/11/04 9/07/04 Plan Check Fee Valuation .00 181077 Qty Unit Charge Per Ext~ --------=~~~-------~=~~~~~-~=~---~=~~=-~~-~~=_:~~==----------------~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95.00 3/11/04 9/07/04 Plan Check Fee Valuation .00 181077 --------=~~~---~~~:~~~~~~~-~~:_-~~-~~~~-~~~~:_----------------~~~~~ Special Notes and Comments Address numbers shall be plainly visible from the street. .Address numbers shall be a minimum of six inches high and be inHcontrast in color of there background. 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, -r. TrLaILlz- ~A 3./1- Olf Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\l 102. I 5 [I III 4/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 03-00000911 Date 3/11/04 pin number . . . . . . .5457 --------------------------------------------------------------~~-- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745 STATE SURCHARGE ~ PW WATER SYSTEM USE FEE ~' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780.00 780.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2554.50 2554.50 .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\l 102,15 [1]/]4/2003] ! It; (.) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . REQUEST: Date 3//0ID4 Time Received by (phone, person) Location of Work to be inspected } &l (7 E 4 ~ Name of person requesting inspection ~:fh,,- @ ~~; :-, Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Elf'ALJA/70N , Phone No. LLJ ~ c~ ::s~:~~;"~~t:OTES3LJ~7kTime (I' n Ui Remarks: (j ~-/11 / By ,1 < "I. i ~..._-'.." .....1 . RESTORATION REQUIRED. . . . .. YES NO / C(1(t } , L \-<' 4-""""'/ Af....\C:~,-~.c..:.ii.. J~ ! ~: Jl I. ,,<: LtDl,' 2.'2 '" ./\..-- I 0 I .cr-- '-15 D 1_!::P1 ~.) ,~f' ~ [LEA.U 00\' ~ s::C> "" L-e.c.u~ t:L 3,' 0 \ ..b t--" ~ li-t w..,-s'" E: L (!.C)L.L.) 4-- ~--~-;~~.~~~-~~~)':.- -@ s' c~ D~01"f ~ LIiO -[,"'-f' ALCt,( , '.u.k' ,< SURFACE RESTORATION: ~ )( \'h SURFACE TYPE: D Unimproved D Gravel ~AsPhalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # t}6 COMPLETE D INCOMPLETE / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: / / Date ( i? t -1 01 Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 03- 9/1 Sewer Foundation Framing Chimney Plumbing Final Sewer Exca~ F) 11 ~ )IP/7 ht E1~ ,~:> )Y;J+rbUJ~ INSPECTION NOTES: Inspected: Date ~ /8hl ( [ Remarks: AL..('G>"1' 1-4~eDs. P~~-ert-ll ~>(O\'2..;':"'TI e::,N ~ $C"/.or-IB"le... c''O'-h--/Gt:::..-o.:>J ~"tu...(t:!fL.-'- ~&"12.- I N'.f?Cl. TED $Io..JU::> <::::.b-~H/Z.M /P/St"fL L..A 7/cA./ I Time :5 : '30 ff// By biG. RESTORATION REQUIRED. . . . .. YES v/' NO ...~-) :' I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel ~halt 0 PCC o Other [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . REQUEST: Date t.f -1- 0 4- Time~ Received by De...t"1..l~ s e (phone, person) - -- Location of Work to be inspected 1(" 7 €. Name of person requesting inspection U-eVlvl c'o;, Address of person requesting inspection LerrO , Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final ~ E.. ~~J 17~~ 3 Phone No. '111 - q.~c.f~ Permit No. 03-QJ/ Sewer Excav. Other ~ +-~ v- INSPECTION NOTES: Inspected: Date ~ -7 -0 '-f Time Remarks: IVe.t.c.J t''X. :S"ht X.('"'Vl c- e. Z- f YtA By De.~vu:S ~. 1~'51-~( L:...+(~ V'.. RESTORATION REQUIRED . . . . .. YES NO X ~ I 'k: If:. il €.- ~~ I .~ ~ ~ t '3" C-100 I 3 i pe.ep l~t~ , - 'f~ S--r. t:::. C- 0/72- r:: }q?)j &Zf!O SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Repaired by City [] Repaired by Permittee [] No Damage Found D Asphalt D PCC D Other Work Order # /4705- O"'Z.f':) D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . REQUEST: Date sJ; ~J//1 Time Received by (phone, person) Location of Work to be inspected / {/ / ~ '9~ ~ Name of person requesting inspection <::7 'f2 ~h.RHi_ Address of person requesting inspection Pho;e No. ~~ j- /3<;t 7 Type of Inspection (circle appropriate one): Permit No. /:) 3 -9// Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~~ ~- INSPECTION NOTES: Inspected: Date $'/;~hl I I Remarks: Time t1 A-M By e;; " tlt:. - ~'-'e..e-I':> FuL ~UT(/ar pFf?eP5SFp S/~ft.fk~ (f7 V~Vcf RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt 0 PCC o Other D Repaired by City D Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T.BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET / CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417.4807 PW / ENGINEERING FIRE 417.4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [1111412003] 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 WALLS FOUNDA nON 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 I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR 1 CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMJT #'5 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. / 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.I5 [11114/2003]