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Home My WebLink About3413 Mill Creek Ct - Engineering ,~'-<,\~\",.;~-,:" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, W A 98362 q I O~- G Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner LOEWEN JACK HAROLD 1021 W SPRUCE ST SEQUIM 03-00000921 Date 10/27/03 3413 MILL CREEK CT 06-30-15-7-7-0060-0000- RES MANUFACTURED HOME 49000 Contractor OWNER WA 983824000 Structure Information Construction Type Occupancy Type Other struct info Qty Unit Charge Per ExtenRi~ BASE FEE ~50 ~ ----------------------------------------------------------------- ------ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date 1280SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS 1 00 PUBLIC WORKS RES WATER SERV DROP IN WATER METER 150 00 Plan Check Fee 10/27/03 Valuation 4/25/04 00 49000 (]v -C. CJ 45 00 10/27/03 4/25/04 Plan Check Fee Valuation ~ 00 49000 - # Qty Unit Charge Per C:::~~~inn 1 00 45 0000 ECH RIGHT OF WAY PERMIT 45 oe-~ ----------------------------------------------------------------- ---- - Permit Additional desc permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP PUBLIC WORKS 95 00 Plan Check Fee 10/27/03 Valuation 4/25/04 n (t (\l 1\ 00 49000 Qty Unit Charge Per ExtenRinn 1 00 95 0000 EA SAN SEWER HOOKUP C 95 00 --....~ --------------------------------------------------------------- ------------- 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 in contrast in color of there background Manufactured home must be pit set so that no more than 12" of skirting is visable above grade -----~~~~;-;~~~---------------------~~~~-~~~;~~-~~~~-~~~~-~-~:~ nn ~::, STATE SURCHARGE . 'i" PW WATER SYSTEM USE FEe- 1025 00 ~ q Fee summary Charged Paid Credited Due 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 tru rrect. All provisions of laws and ordinances governing this type of work will be complied with whether speCified herein or . he grymling of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regu Ing con~tion or the performance of construction Signature of Contractor or Authorized Agent Date ,r')? Date TWLANNING'FORMS\1102.15 [4/2002j CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES W A 98362 Page 2 Application Number 03-00000921 Date 10/27/03 Permit Fee Total 290 00 290 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 2064 50 2064 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 \PJ.ANNlNG\FORMS\II02.15 [4/2002] .J APPLICATION FOR WATER City Water Department Port Angeles, Wash.-11- IY - 114~C{ ~3 ,~ .. I hereby apply for water to be furnished in accordance with rates and rules of the'City for the following premises Name of Applicant ~-t::: 1---1)0 ( 1 )~ 1 3 4J ~ A4..lLl ~ jVt?e-~ Address Renewal o ~- ( New Servic~ g- Blk_ Lot-&z Add .41, ({ ~ K CT. I ..J' !:Z. 1/ ,,}, ~rlf le';J g ~.,e- . ^ 10' rlrtJplh Meter Numb ~/f II- '3 o Service Left Off B-- Sign II Si ze of Servi ce Remarks C() YVJ1,,JLqZ/ Service Left On Installed by ',~ N ~ ,o'el w ~ '0 Ii E ~ "' !;\ It. (\ C"'I ~ l\ ~ " ~ >~'.III'rI s BUILDING PERMIT INSPECTION RECORD CALL 417-48] 5 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO dJVER, INSULA TE 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 NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS / ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR I CEILING MECHANICAL HEA T PUMP WOOD STOVE / PELLET / CHIMl','EY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNECTION SANIT.\Rr 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 I P'WI CONSTRUCTION R.W ENGINEERING 4174807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-47)0 PLANNING DEPT Bl'ILDIN(; 417-4R15 BUILDING T .I'LAI'NING\FORMS'1102.15 14/2(02) ,~\~- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO CuVER, INSULA TE 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 NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROLIGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING T FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DR YW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ilEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANIT<\Rr STORM PLANNING DEPT SEPARA TE PERMIT #'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 417.473' ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PVV/ CONSTRUCTION RW ENGINEERING 4174807 PW / ENGINEERI!\'G FIRE 417-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT BUILDING 417-4815 BVILDlNG T ,PLANNING' FORMS' 1102.1' [4/2002]