HomeMy WebLinkAbout420 E 11th St - Engineering
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CTIY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST STIf STREET, PORT ANGELES, W A 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning .
Application valuation
06-00000969 Date
018394
420 E 11TH ST
06-30-00-0-3-4020-0000-
BAKER RESIDENCE
RES NEW SFR
1/10/07
Owner
Contractor
R~ fyJwJ .
rog I r' g2 I~
1t-oOr' 81 Z
RS7 RESDNTL SINGLE FAMILY
148376
ROY L/MARILYN L
206 W 5TH ST
PORT ANGELES
BAKER, REV TTE
WA 983622812
R. WAY INC
PO BOX 186
CARLS BORG , WA.
CARLSBORG
(360) 808-3774
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAI~ LOT COVERAGE
NUMBER OF UNITS
WA 98324
Other struct info . . . .
27.90
2.00
6987.00
1950.00
1. 00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
2ND W/METER FOR PRIMARY UNIT
87338
715.00 Plan Check Fee
9/21/06 Valuation
5/21/07
.00
148376
Qty
1. 00
Unit Charge Per
715.0000 EA PW W/M 1" SERV 5/8" METER
Extens-i --:>
715.00
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
87072
no.oo
9/21/06
5/21/07
plan Check Fee
Valuation
.00
148376
Qty Unit Charge Per
1.00 110.0000 EA SAN SEW RECON
Extension
110.00
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
of contrasting color from the background.
09/20/2006 11:27 AM SROBERDS -- The proposal is to
construct a sfr in the RS-7 for total lot coverage of 28t.
A small structure exists at the rear of the site that
resembles a sfr. That structure does not have permitting
that would allow it to be used as a residential unit due to
setback issues: It CANNOT serve as a residential unit. A
primary structure must include standard utility hookups.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
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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
Date
Signature of Owner (if owner is builder)
T:\Policies\1102.15R [1105)
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST STIf STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
06-00000969
018394
Page 2
Date 1/10/07
Special Notes and Comments
notice is required.
A new water meter and service is required"for the permited
primary structure.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- --------~- ---------- ---------- ----------
Permit Fee Total 825.00 825.00 .00 .00
plan Check Total .00 .00 .00. .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 829.50 829.50 .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 (jays 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 constructio'n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)' .
Date
T:\Policies\II02.15R (1/05)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . INSPECTION REPORT. . . . . . . . . ..
REQUEST:
Date /- '1- t>7
Time
/p -
Received by
IE
(phone. person)
Location of Work to be inspected 1tIJ (3; / / 'i:!J
Name of person requesting inspection R w J;, c:..-
Address of person requesting inspection Phone No. '7"(,0- "5/ z..-:;
Type of Inspection (circle appropriate one):. Permit No. OCe?~6:J
cse~ Foundation Framing Chimney Plumbing @ewer Excav. Other
INSPECTION NOTES:
Inspected: Date /- 1-07
Remarks:
Time
By
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?Jow" ....\-.s: -k> 1"' wel $
RESTORATION REQUIRED. . . . .. YES NO ><
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)
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