HomeMy WebLinkAbout1138 W 12th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS .. UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
D7--52-D
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
property Zoning . .
Application valuation
05-00000320 Date
081600
1138 W 12TH ST
06-30-99-0-3-6910-0000-
RES MANUFACTURED HOME
5/13/05
Owner
Contractor
--r::f'.
1/38' w 1'2--
jAJAJ ~
RS7 RESDNTL SINGLE FAMILY
80000
12
WILHElM, RACHEL M/BAAR, CRAIG
565 HULSE RD
PORT ANGELES
(360) 417-9187
Other struct info
WA 983629219
PRESTIGE PROPERTIES
261533 HWY 101 EAST
SEQUIM
(360) 681-3094
LOT COVERAGE
LOT COVERAGE
INC
TOTAL %
EXISTING
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
18.00
1. 00
7000.00
1296.00
2196.00
wlN\
WA 98382
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aY-
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')~b'
Permit . . . . .
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
48918
110.00
5/13/05
11/09/05
Plan Check Fee
Valuation
.00
80000
Qty Unit Charge Per ~--~ .
1.00 110.0000 EA SAN SEWER HOOKUP 110.00
------------------------------------------------------------------ -------
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36. 050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
05/12/2005 04:14 PM SROBERDS ---------------------------
The proposal will result in a mfg home in the RS-7 zone for
total lot coverage of 18%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee required $410.00
Customer service wire to be underground in conduit.
Sidewalk to City standards required along 12th street for
school walking route.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~;~;~-~~;;;~-~;~;-~~;;--~~
STATE SURCHARGE 4.50
Siu.~ (;/{/1~5
f(NJ
Fee summary Charged Paid Credited Due
---~------------- ---------- ---------- ---------- ----------
Permit Fee Total 110.00 110.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 749.50 749.50 .00 .00
Grand Total 859.50 859.50 .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
fora 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:\Policies\II02.15R [1/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
. .
REQUEST:
Date G,- 21..j - 05
Time
Received by
'Kv
(phone. person)
Location of Work to be inspected II .s B IAJ I '2. 'f-l.'(
Name of person requesting inspection M+ V;.ew e.>tc.c..:vC<.+,~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 05 - ~ Z c)
0e;;;'~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date (0 - 2. '-I - 0 S
Remarks:
Time
By
7<..;
8-K
1 1'Z-~\" ~+-
..;
l 4-10'....1
VI
1-4
(,,0' ~" pvc..
~
4.0 r/L.
"- 'I, . f
~" . '~JI
" I," , q~~'1
IP ?V( <:! ',-'I' be.PD N\~i...
C5
RESTORATION REQUIRED~..... YES
-
NO ../
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
o Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
of "ORT ~
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CITY OF PORT ANGELES
PUBLIC WORKS - UTIT-ITIES DIVISION
321 EAST Sill STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
05-00000320 Date
081600
1138 W 12TH ST
06-30-99-0-3-6910-0000-
RES MANUFACTURED HOME
5/13/05
RS7 RESDNTL SINGLE FAMILY
80000
Owner
Contractor
WILHEIM, RACHEL M/BAAR, CRAIG
565 HULSE RD
PORT ANGELES
(360) 417-9187
Other struct info
------------------------
WA 983629219
PRESTIGE PROPERTIES
261533 HWY 101 EAST
SEQUIM
(360) 681-3094
LOT COVERAGE
LOT COVERAGE
INC
WA 98382
TOTAL %
EXISTING
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
18.00
1. 00
7000.00
1296.00
2196.00
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
48918
110.00
5/13/05
11/09/05
Plan Check Fee
Valuation
.00
80000
Qty
1. 00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
----------------------------------------------------------------------------
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
05/12/2005 04:14 PM SROBERDS ___________________________
The proposal will result in a mfg home in the RS-7 zone for
total lot coverage of 18%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee required $410.00
Customer service wire to be underground in conduit.
Sidewalk to City standards required along 12th street for
school walking route.
----------------------------------------------------------------------------
Other Fees
. . . . . . . . .
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 110.00 110.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 749.50 749.50 .00 .00
Grand Total 859.50 859.50 .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. r.
Ol-l <+ t' '=- 5
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date
T:\PolicieslI102.15R [1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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
YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W.I 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:\policies\1102.15R [1/05]
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APPLICATION FOR WATER
City Water Division
Port Angeles. Washington S - /3
. 20.Q'5"
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: . f ~ J - 3S3b
Name of APPlicant:6alq &a.v flcaMe.! UJ/lhel,..., svs-/okdS4..f:.
bh / r,q. /VA
Address: 11 '3 ~ (A.) / z '- .
Renewal 0 New servic~3u,9 Lot A- Add ~ J6n <7J"Jt1 ~
1 ,/ if.., 7/ a,~9q-tJ~~1q:z ~
Size of Service , jf . ~eter Number 17CJ3S0F;O .-
Service Left On 0 Service Left O~ Signed d)mcr.uU}/JJIh-Q A~
. Installed by
.J r;/5PZi 1-JlVO-
;-;. ~ -I- '
e-fJ5r1ntj
I! Remarks:
Perm/r-dl O~ -5,?t)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
q~ ~ 1 rop Time
Received by
(phone, person)
Location of Work to be inspected J /? fb CU rz.. -th
.-c- .
Name of person requesting inspection / .IJ P/U L - ~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 6 '5- ':)2.0
Sewer Foundation Framing Chimney Plumbing(!::v Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 9 - 2 Cf - 0 b Time
Remarks: -:'51 t>eUJa...t2Ju ~
By 7<. V
Yes 0..\0"":3 IL.-+"- s-r
uk
e~, lV,JIin
"'SCUll l/nilA 9 Dpd (J~z4~os
RESTORATION REQUiRED...... YES
NO Y-.
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
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