HomeMy WebLinkAbout2441 Arbutus Ln - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000104 Date
.976336
2441 ARBUTUS LN
06-30-01-5-5-0080-0000-
RES NEW SFR
4/09/04
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
69610
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1199 SF SFR W/ATT 524 SF
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
GARAGE
19.00
V-N
1. 00
1. 00
9005.00
1723_00
1723.00
1. 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
150.00 Plan Check Fee
4/09/04 Valuation
10/06/04
.00
69610
Qty Unit Charge Per Extension
_________________________________~~:~_~~~_________________________~:50.0~~
Permit
Additional desc
Pe rmi t Fee
Issue Date
Expiration Date
RIGHT OF WAY
plan Check Fee
Valuation
45.00
4/09/04
10/06/04
.00
69610
Qty Unit Charge Per Extension
1.00 45.0000 ECH RIGHT OF WAY PERMIT C 45.0~
----------------------------------------------------------------- ---------
Permi t SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
95.00
4/09/04
10/06/04
plan Check Fee
Valuation
.00
69610
Qty Unit Charge Per ~~~'~~
____:~~~_______::_~~~~_~____:~_:~~~_~~~~:________________~___95.0~
Special Notes and Comments
The site is located in the Madrona woods Subdivision. The
residential structure may NOT be finaled until
infrastructure improvements for the subdivision are
01-/01
J44/ /lrrhtthu
!fl.
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. Ail provisions of
laws and ordinances governing this type of work wiil 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
construe ion.
Signature of Owner (if owner is builder)
T:\PLANNING\FORIvlS\] ]02.]5 [] ]114/2003]
Date
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000104
pin number . . .976336
Page
Date
2
4/09/04
Special Notes and Comments
installed and approved.
Electrical load calculations and elctrical permits are
required.
o~~~~-;~~~--~-~-~-~-~-~-~-~----~~~~~-~~~;;~-~;~;-;~~;---~~~-~;~---
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE ~.25.~
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 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 constru'ction 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\II02.15 [11/14/2003]
(R3/
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash. f/ - /()-
2::?cJrj
,'.:l9_
I hereby apply for water to be furni shed in accordance with rates and rules of the City
for the following premises: 'If~
Nome of APplicont\itz.l.rl-'~ 1 flttj fi ~,'~ z.C,tJ3 5Ma.n"~
24 C; 114~I3L1TI4$ /..,,4I-/:E ;P,/-. 4{5"y~~~
Renewal 0 New Servic~Blk_ Lot~ Add~uh/V.h /V~
/ X ;$4 j; 1!1ft?J?;:mber 0II~57 ~03 elf.
Address
Size of Service
Service Left On ,0 Service Left Off..Q--signed
Installed by 7 n n~~ ~ht
~d/~icH Yl0ro ~ /OZSt:!!. d
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . .
REQUEST:
Date
J ;;- ~t ~ [Nt
Time
Received by
(phone. person) _
Location of Work to be inspected 5244/ .M. 8LLtv,S
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 01 ~J04
-~f7oundation-"'Framing--ChimneY~ Plumbing--Final~.Sewer.Excav..-Other------._-------------
INSPECTION NOTES: !3rl1u/t1~(lo rnp-l-oJ;
Inspected: Date /?-- fl- 01 Time By#NoI!.S'I/7,-:; A,.,W~JC.:I:;-I '
Remarks:
51 Dr:> (it) 5!t-t/ U 1--01- (-z.)'z.OISeL- 4"pVc..- .J-f.e.113's<,,"---'
W 'Z--'Z- {J ___ <1 H h -;;,; ~ 0 b /!?// - CclMec./....r~ wdA' 5 I F""c"]
'5 E Co r ;7)/7
RESTORATION REQUIRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
______________________1
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SCALE: , - .. 20'
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o 30
r TlTLE:MADRONA WOODS SUBDIVISION SCALE: "'\
c..HIZ IS //tFt /J 5 z.rJ lot 8 1" = 20'
JOB NO:
02030
CLIENT: FILE:
HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT8.DWG
2603 S. FRANCIS STREET DA TE:
PORT ANGFLES. WA 98362 -- nr ~7
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\II
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
04-00000104 Date
.976336
2441 ARBUTUS LN
06-30-01-5-5-0080-0000-
RESNEWSFR
4/09/04
Application Number
pin number . . . .,
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
69610
OWner
Contractor
HOUSING AUTHORJ;TY OF CLALLAM
2603S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1199 SF SFR W/ATT 524 SF GARAGE
TYPE V NON -RATED
SINGLE FAM & CONGREGATES
TOTAL t LOT COVlmAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
.EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF .UNITS
19.00
V-N
1.00
1.00
9005.00
1723.00
1723.00
1.00
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
150.00 Plan Check Fee
4/09/04 Valuation
10/06/04
.00
69610
Qty Unit Charge Per
Extension
150.00
BASE FEE
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
Plan.Check Fee
Valuation
45.00
4/09/04
10/06/04
.00.
69610
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
--.-------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue. Date
Expiration Date
SANITARY SEWER HOOK UP
Plan Check Fee
Valuation
95.00
4/09/04
10/06/04
.00
69610
Qty Unit Charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
Extension
95.00
Special Notes and Comments
,The site is located in the Madrona woods Subdivision. The
residential structure may NOT be finaled until
infrastructure. improvements for the subdivision are
f>
~
.:t.
~
.,.
~
C-
~
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~
..
SePlirate Permits arerequired for electrical work, SEPA, Shoreline, ESA,utilities, private and public improvements.. This permit becomes
null and void ifwprk or construCtion authorized is not commenced within 180 da~, if construction or work Is suspended or abandoned
for. a period of180 da~ after the work as commenced, or if required inspections have not been requested within 180 da~fn?m.the last
inspectlon..,1 hereby certify that I have read and examined this application and knowthe 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 caricel the provisions of any state or locallaw'reguiating construction or the performance of
construction. .
Signature of Contractor or Authorized Agent
Date
Signatu~ of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.1S [11/1412003)
l.
BuIu>ING PERMIT INSPEGTlONRECORD
"
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CALL 417-:4815 FOR BUILDING INSPECI10NS. CALL417-4735 FOR ELECTRICAL INSPECTIONS.
>-.~ :", : - . ,i' ,
'.' --" '. >
. PLEASRPROVIDE ~MlJlfIMtJM'~~:Hgl:JR'1ll0TICE. IT IS UNLAWFl{LTO CtJVEII.1NSl{b4TE OR pONCEAL AlVY WORK BEFORE
INS,PECT~g 1lil!iACCEfTED; POST PERMIT ~ A:(~ONSPI(;U9Y~I..~TION.
.' ;'. ..,. KEBP PERMIT CARD AND APPROVED PLANS'A:T JOB' SItE'
. INSPECTION TYPE DATE I ACCEPTED '" COMMENTS
.; i I YJisi; I NO
FOUNDATION: ,
..;,
FOOTINGS. I ,
WALLS ''" i"
FOUNDATION DIWNAGEIDOJ#fSPOUrs ." ....,
ELEC'l'RJCAL ... ". nlGlrrDEFI)';'SEPARA;rE PERMIT: II
ROUGH-IN iCe , , I I I
, .
PL\JMjING.'< . I .... , " .
.
uNDER FLooRl SLAB '.
ROUGH-IN i, t ,; .'>. ,
.. .
WATER LINE (METER TO BLOG) . . , .. .-
GAS LINE " 1 '. 'i.....
, .
BACK FLOWVWATER .c. , , ;, .
AIR SEAL . .C
" .
WALLS .J I "
CEILING , ~', '. I .,"
FAAMlNG' .',.',. 'f "'i.,! ., c, .
, ,'''' " .' ;" . .' '.
JOISTsI~ 7.: ".", .
~'W~~p,~~s I . .)
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WAI.Ls/RCl()F'/CE~G , "
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DRYWtJ.L(lNfERIQ~ BRAc:imPtJ'lEL()1)<<. }1 . ,Y ",
T-BAR ,'! .- '"
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INSULATION '"
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S~ ,.... '. ., j I' ..
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WALL IFLOORI CEIiING '. ...., " I ,;, I . ,. ,
',,' . c .'~ ,-,-,__ , J '. ,
MlCHANlCAL
-, ",,,"p!:,'. . . .'
HEAT PUMP , , '
~UN~ '" ..' j v. .
. " . "
WOOD'S1'9YEl PELLETi ~
H()()DI'~> t.. , ,.,
urn.111IESZ1;.Si'TEr-WoRK ' ~ri&fueeririg~t :;,'.,.'"':,,,,"'" PERMIT , ..
PW SEfARATE N's:
. ,; -,,-;~'!.~';i;"_:~-.-r:-:': :!\,!"'C;;'"
WA~~~~(.
SEwER) .. . Ni\mimON !
"'~,i),,(,,,,,'i"" .' "
SANiTARY'F';; .;.
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PI.ANNJNG.DEP:r;SEP.ARA TE PERMIT #'s SEPA:
':. '. ',.','..;..-:,",_"",,:",',,;-,/'~;"'\""'....:'; ''','.0....::. _, -0 .... .'
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,PA~~m~G~ .; ESA: ,
'~~~~'.," > .i..'~i. 'dO
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. ,.; 'c" ..:'t.\~';:',.J:) "".' ' . ';~;JN~~S-REQUIRED'fRl~'1VOCCUPANcylIJSEr;{iX\.....)..... , ,
.. 'RESIDENTIAL I .C' , ,',. >'DAn T" , NO '" ", ..,'':' '" ~' AcCEPTED
YES COMMERCIAL DATE
,{ " , i'c '''~i n ',~' ., .
, " .. ., : .'. YES. NO
f\l)IGwrDEPT"> I...... ,'" ."'" , "
ELEGTRlCAL 417-4735 1 L., , '. :EI.ECTRI~j ,
." " UGHT DEPT ,'.
CONSTRUCTION J{.W./YWI I '. CONSTRucTION R.W. '.
ENGINEERING' I,,' 417-4807 " ,! PWI ENGINEERING '.
FIRE... .. . ..... - .... . . FlREbEPT. . - .... "
., " ,(." !p-4653 , - .~; .... ,,' ..,". . '",.,'., .,/ .
PLANNING. DEPT. .." I 417-4750 PLANNING DEPT~ ,'.' ,.'.'"
.:.:.'4::~ ..
BUll.DING 4i7-4815 BUILDING . " .,..; i.c, ";')'!:'" '. k. '
".
T,\PLANNJ,NG\FOIU.fS\1102.15 [1111~3]
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" , , CrryORPORT ANGELES
DEP ARmENT OFc9MMliNrrYDEVE:i;.OPMENT -BUILDING DMSION
32VEAST 5TH STREET, PORT ANGELES, W A98362
Application>Number . . . '.' 04-00000104
pin n1,11llber .. '.. .,976336
page 2
Date 4/09/04
- - - - - - - - - - -'- - - -'-'- - - - ---- -' - - - - - - - - - - - - - -- - - - - -,- - - - - - --'- - - - - - - - - - - - - - - - - - - - - - --
Special'Notesand'Conunents
, in13talle!i, andappro~ed.
Electrical 'load calculations and elctrical permits are
reqUi;ed. ' .
'. .
--------------------------------------------~-------------------------------
Other Fees
SEWER SYSTEMDELV CHARGE
STATE SURCHARGE
PW WATER:, SYSTEM USE FEE
74~.00
4.50
10~5.00
Feesummary Charged Paid Credited Due
----------------- ---------- ---------- ---------,- ----------
Permit Fee Total 290.00 290.00 .00 .00
Plan clu~ck Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand 'Total 2064.50 2064.50 .00 .00
Sepa~:~erm!ts,are re,qui~~for electrical work, SEP~, ShQteline, ESA, utilities, priVate and public i'I!prOvements;This peJl:J)IUiecomes
. . null~~~'i}'()I~,~~rk ()r.~n~tru9t'()1J :authorized ,Is not ~1Tl.in'~nced w.iti1in t~gcfllys,ifconstnJct!on 9[work is SUSp8IJ~'.~()#lllJ.itn:cloned
for a"periedef 1~O days after ~,work as commenced, or If required inspections have, not been req~ested within.1~m cla~;ftom'the last
InsPfJ,ctI~~:1Ih'(:lreby certify th,at I have read and exal1'lined this applicatlon~ndknow the same,to be true and 9Qrrect.}\ffprovl!iiQnsof
laws. ai]dordl'ia!)geS gqyeming this type of\VorkW/,II,b~P9rnplied withwhethElfspecified her~inorn~t: The grantin~'of~P'Eltmitdo~~ not
presume to give authority to violate or cancel the provisions of any state or locallaw regulating construction orthepetfoirllance of
constrUCtlQn. .' ,
Signatu~ot.Contractoror Authorized Agent
Date
Signature of OwnerJif owner is builder)
Date
T:\PLANNlNG\FORMS\lf02.IS [1111412003]
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~mLDING PERMITINSPE~'l~ONRECO~
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CALL 4] 748]5 FOR BUILDING ,INSPECI10NS. CALL 4174735 FOR ELECTRICAL INSPECI10NS.
PLEASE PROVIDE A MINI~UM'24I:I()~;N,()TICE..IT IS UNLAWFUL: TO CO~R,~SULATE OR CONCEAL ANY WORK BEFORE
INSPECTEDA.1VI!c.4CCPffI'ED.p()sTP,ERMIT IN A CONSI,JJqJqpS.yx;ATlON.
j'KEBtiPERMilfCARD AND APPROVED PLANS AT JOBsrtE. '
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INSPECTION TYP~'
I .....,
,
F()UNDATlON:
FOOTINGS
WALLS
.
DATE
','
','
.'
COMMENTS
ACCEPTED
YES. NO
I
,
FOUl)lDA1:ION
ELEc::TIUC,AL
ROUGH-IN
PLUMBlNq '."""
UNDERfLCOR/ SLAB
'J'. '.'
DRAINAGEJD<i\V}\l:sPOifrS. . "',
.". ", "~r~" ~,:r:'_:-'>""\ ,'-~ " ", : ':' ::-~
(LIGHT DEPpSEr~kRMrr: II ,,'
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ROUGH.IN,..';4.' ;.". .,.
, W ATERLINE(METBR 1'0 BWXi)<
GAS LINE, .;},!.; ./'"
BACKFl.OW1WATER..,~(' .
AIRSEAL . · '.I ,...... ,'.
WALLS ,'. " .
CEILlNG \,; ". I".,. '.' .
FilAMING ,}i"..)' "~"
JOISTS/ GJ:R:D~s.' "","
SHBAR\1I~JiP~WN~ "I.
w~I,Ji69~~:Y
DRywALL (IN{ENORBMCEp P~L ONLY)'
T-BAR' , ,.....',..",,' '.' ,
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WooD:S'I'()YE '1'EI.I.l!'tl ClUMNEY ',. ~ .'
HOOP/ DUerS,' . .....;1 ., .
PW trrn.ITlE8/'~ITE WORK ~~neeringDivision). SEPARATEPERMITI#'s: "
"Y
,
INSULATION
SLAB
.
WALL / FLOOR/ CEILING
MECHANICAL
HEAT PUMP
GAS IDlE '
W A TERLIl'lE,l.MEl'ER.
SEWER CONNECTION
SANITARY
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PLANNING DEPT., SEP~TE;P!ffiMIT #'5
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,(".' '1~;~~ffl&Egl10NS REQ~PRlo.R!'O~P~~~.,;,; I;> .';.
. , .' DATE , YES NO -" '"COMMERCIAL
PARKlNGILIGHTlNG
,..
LANDSCAPING'
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RESmE~:
; - -.,
ELECTRICAl,.. LidHib~.
CONSTRUCTIONR W./ PW/
ENGINEEIQNG
FIRE
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PI.ANNIN(lDEPT. ..
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T:\PLANNl)\lG\FO~II02.15[1111412003)
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SEPA:-.
.
DATE
ACCEPTED'
YES " NO
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, >' ,
417-4735 ,.
.
'.
ELECnuoAL.~. "
UGHT DEPT" '.
,
1 417-4807 ,"-""~~ f' p
..'1 .....417-4653 ".'
....'.
CONSTROenON -R. W.
PW / ENplNEERING
FIREDEPT;~\.~>:"_ .... ..
.
i417-4750
.. .....
; 417-4815
l'LANNII'fP DEPT.
BUILDING
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