HomeMy WebLinkAbout3425 Mill Creek Ct - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 0 3 -7 L?7
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000707 Date 7/24/03
3425 MILLCREEK CT
06-30-15-7-7-0080-0000-
RES MANUFACTURED HOME
110000
OWner
Contractor
------------------------
-------.----------------
BRANilT. LAVON/ RICHARD
3424'MILCRBEK COURT
PORT ANGELES
(360) 457-9480
WA 98362
VALLEY PROPERTIES
164HEUHSLElN RD
PORT ANGELES, WA
PORT ANGELES
(360) 457-5518
NEW 1600 SF MANF HOME KARSTEN KMCK-60862-----
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
1 00
----------------------------------------------------------------------------
Permit
Additional desc
permi t Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
150 00 Plan Check Fee
7/24/03 Valuation
1/21/04
00
110000
Qty unit Charge Per Extension
BASE FEE ~
------------------------------------------------------------------~
permi t RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45 00
7/24/03
1/21/04
Plan Check Fee
Valuation
00
110000
\)
~
&
Qty unit Charge Per ~t . ___
1 00 45 0000 ECH RIGHT OF WAY PERMIT " 45 oo"-~
- -- - - - - - - --- - - - - ---- - - - - - -- -- - --- -- - - - -- - - - -- -- - ---- -- -- - -- -- - - - -- -- - ........;;;o'.;;ro:.,.;;..-.
permi t SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
"
"-
"
95 00
7/24/03
1/21/04
Plan Check Fee
Valuation
00
110000
.....
....
r.
.....
~
(t
r
Qty unit Charge Per Extension
1 00 95 0000 BA SAN SEWER HOOKUP /" -9so:'O~
------------------------------------------------------ ~."
Other Fees SEWER SYSTEM DELV ~~;--(-- 745 O~'~~-
STATE SURCHARGE -- .. 50
PW WATER SYSTEM USE FEE C~~
("
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
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 eiectrical 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.
~ d~ ?-0?~,.03
Signature of Owner (if owner is builder>
Date
T-IPLANNlNGIFORMSIJJ02_J5 [4/2oo2J
f2~~
vJr "-.)()~ 9~91
APPLICATION FOR WATER
City Water Department / J
Port Angeles, Wash. 7/ .:::::..:41/)-,:, 1~~
I I I I " I
I hereby apply for water to be furni shed in accordance with rates and rules of the City
for the following premises ~
'L ~~&U~
Name of Applicant l<.l~OlJ ~.1:a...V~ 8Y?~ ~ <l-~
Address ., 4 L.-~ ~ (!,l ~~ P A 1-Q.q 8D 4-57-Sse
Renewal 0
New Service ~ Blk_ Lot1 Add YV:l.L iJa';J d.
) ..{ ~-z... /1/111.... ~r- I&:;J~ 7;'0 a
Size of Service (\ /0 VV~tIl1- Meter Number c./~Y ,IS"
Service Left On 0 Service Left Off~ Signed f<-PtlJ OOO~
II i
Installed by
Rema,k, P~-+-1r 71''7 ~ 160'!:!--r1/DZr.EE
Y.v l
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GO. k2 S~#
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT . . .
REQUEST
/p~oh~
, ",..r
Date
Time
Received by
-
JC
/"
(phone, person)
Location of Work to be inspected =)42.~/?J- .; -/ e.c_ ~
Name of person requesting inspection ~ S
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No 03 -7CJ7
~ Foundation Framing Chimney Plumbing Final Sewer Excav Other
?ll~
INSPECTION NOTES
Inspected Date { 0 110 { 0 7::.
Remarks
Time 1 ( k-f;/\.
By If' /GI '--
RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
CJ Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)