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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
05-00000471 Date
419614
711 CURRIER CT
06-30~14-6-5-0030-0000-
RES NEW SFR
6/30/05
os- -47/
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
130013
Owner
Contractor
LBR CONSTRUCTION/STEWARD
618 S PEABODY ST STE H
PORT ANGELES WA
LAND P T -II CONSTRUCTION
P. O. BOX 76
983626244 SEQUIM
(360) 452-1647
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA 98382
Other struct info .
43.00
1. 00
5000.00
2151.00
1. 00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS
3/4" DROP IN
52712
195.00
6/30/05
12/27/05
RES WATER SERV
WATER METER
Plan Check Fee
valuation
.00
130013
Qty Unit Charge Per Extension
BASE FEE C 195.00
-----------------------------------------------------------------
Permit . . . .. SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
>:>
52720
110.00
6/30/05
12/27/05
Plan Check Fee
valuation
.00
130013
________'~~~___~~~~=~~~~~~_~:~__:AN_S~~~~_~~~~~________________~~6:~~--=:>
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers coloJ.'s must contrast with wall
color they are mounted on. (Ord. l4.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Euilding Department is required prior to backfill.
New subdivision shall be equipped with a residential
sprinkler system that is installed and maintained in
accordance with Uniform Fire Code (UFC) and National Fire
Protection Association{NFPA)standards.
06/28/2005 10:42 AM SROBERDS -- The proposal will result
in a s.f. res w/attached garage within the approved
footprint for the PRD development. No land use issues are
noted. .
Electrical load calculations and electrical permits are
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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 whelher specified herein or nol. The granting of a permil 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
Dale
Date
Signature of Owner (if owner is builder)
T:\Policies\1102.15R [1/05J
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number. . . . . . 05-00000471
Application pin number 419614
Page
Date
2
6/30/05
Special Notes and Comments .
required. $713 Connection Fee.
06(15(2005 03:13 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill~of ditch.
Other Fees . . . , . . . .. SEWER SYSTEM DELV CHARGE C "711'; (1(1"",\
STATE SURCHARGE II ~n
PW WATER SYSTEM USE FEE C1025,00~
------------------------------------------------------------ ------ - -
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
305.00
.00
1774.50
2079.50
305.00
.00
1774.50
2079.50
.00
.00
.00
.00
.00
.00
.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
Signalure of Owner (if owner is builder)
Date
T:\l'olicies\1102.1SR [1/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 1/:}.5/DS
I I
~-"-
Time-,''5:,c0-I~\ Received by
'-"--, U
(phone, person)
Location of Work to be inspected / l/ ('.Gt ~f2. T ~ r2 CT
Name of person requesting inspection [) 1:"1'1 W1 01'1 "'C! C 01'1'" Tuc., io",
Address of person requesting inspection Phone No.Lltol- "?, ?ol/
Type of Inspection (circle appropriate one): Permit No. 05- L/7 I
Sewer Foundation Framing Chimney Plumbing Final ~er Ex~ Other
INSPECTION NOTES:
Inspected: Date I /~~/O$ Time II ~ 1SAm By_Qo'i"t"V' L/. /~L
~ I I
" Remarks: ,"--O""'eAc.,o>,,- ~o"""'!00TEO To E". 10" PJ/C- STLt(2, 0":::' sSewE/Z m4ltV. dl<Ll
APr~'" a'DEE>" A~A 9' Soul", o~ ^)OY'T/.j-r:;""s'p~DpeeJi CO/vF-i'.'t-.<,s
tyt"'""f y:.;AI~ o~f.- -k, (':X:>' 5o<<H+- 01'- rYI. H. LOL"'~~) 0"", L4U,.;O';CN BLVD C.u~AbIC /.r
<;d ~TIUft2 CX>'i'I2<>I/ P1e(HU~""''<'-v1. 1Z.7~51o/.- 'f/lll/c +0 /lousE., ~,Q L.oc..<d.<.
q" 131151- o-J )/ou5~ ~ 3( :;Ou.{t ot ~Onv"'__ ot-J-leLd-e.
RESTORATION REQUIRED...... YES NO X
41'fVC
C. ,D.
.1. JI c.t204...,J U.()EL.
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt
<t/t~""
~f~
L/jJp" pv{;.
!2-~d'M'~
trfJtll:-
C./"I
1"
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c.. u IZfl.l= i; {L c.T
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OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
II""'~...+:................. ................._ ...:...._:,: __~~...___..l
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APPLICATION FOR WATER
Cily Waler Division,
Port Angeles. Washington r; - 30
20 OS
. -
I hereby apply for waler 10 be furnished in accordance with rates and rules of the City for the
following premises: c...~~r",.<.;\,..'" , .'
1>'" 'I CO"",S~-I"",,,c..,"IC^
. ,Po e6~ ,'" ,Se<}-.
Name of ApplicantTh",....a..s 'Fre.e \~...a 4~2.- I iD4 '7
Address::J.l1 G~"'r: er Ct,
Renewal 0 New Service Ilf'Blk.
Size of service]" 'J. ~/I./t Drop 1:"
Service Left On 0 Service Left Off if Signed'(
Installed by
Remarks: ~er.........'t it: 05- 4/ I
1I1"f5~ ~ilt02.S2S?
(r:::re spr:l'\Kle... "R.~<J. )
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
REQUEST: / I.-
/0/9-//0:> .
Date Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
7//
&,uvUi.L) t:6
Phone No.
Permit No. ~-<t}71
Sewer Excav. Other $~ d~
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES: ~ h ___
Inspected: Date If) ?oJ t?> Time By "/~
~_~ I.
Remarks: lA"'n~!J.ii., ~ 12/A'1~4' <4'I~.l ~./'Y'/Y./A7'7..:v. lA.' ~...,
,
I?1N.(. ~ .-/tfl'~ /. - (!. '-_..J'........-hn? ~~ .I~ OS"" .-..-'7,-' 7
{./!1 i &-('.IA. - 4.-lZid./. 7/ L>;::' #"$......7">< ~ . - ~.-h"lf P~'A~
~-'. (,p ~ 4 e"n,n-ed/~- D~ 1F"
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPOKT . . .
REQUEST:
Date :? ~ (7- 0 16
Time
Received by
Rv
(phone, person)
Location of Work to be inspected 71 / C u V' 0{'- t' €. V C I
Name of person requesting inspection -t 6 fl1
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbin~sewer Excav. Other
Lib / - 2377
<YS2 -/6 L/7
O~-Lj7(
INSPECTION NOTES:
Inspected: Date 5 - 26 - 0 G Time
Remarks: ])r I'Ve. LUo...)' (") ~
D",w,^ ~pcttf<:.. "* ~...,1u.~ 1>...<:>.:"'<, f6
R,V
RESTORATION REQUiRED...... YES
NO X
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
CITY OF PORT ANGELES
PUBLICWORKS '- UTILITIES DIVISION
321 EAST5THSTREET,'PORTANGELES,WA 98362
Application Number
Appl.ication" pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appa~cation type description
SubdiyisionName
Property Use
Property Zoning; . .
Application valuation
05-00000471,
419614
711 CURRIER CT
06-30-14-6-5-0030-0000-
RES NEW SFR'
RS7 RESDNTL SINGLE FAMILY
130013
Owxl;er .,~
Contractor
LBR CONSTRUCTION/STEWARD LAND
6'1&;-';S",PEABODY ST STE H
PORT ANGELES WA 983626244
Other struct info .
P T -II CONSTRUCTIONINC
P.O. BOX 76
SEQUIM,
(360) 452-1647
TOTAL % LOT' COvERAGE
NUMBER OF STORIES
LOT SIZE'
TOTAL LOT COVE;~~E
NUMBER OF UNITS
WA 98382
43.00
1.00
5000.00
2151. 00
1.00
...-..:- - - - :,:,,~:';:'!:"':' _::.. - --- - - ~- -':" - - - - - - - - - - - _.:.. _...: -- -;,;. - -:-,,;,,,,-:;,,;.':,;'_:...-.;..- '- - - - - - - - - - - -'- - ,-'- - - -' ":':"--
Permit . . . . .
Additional desc .
Permit pin number
Pe~t, Fee
Iss}le Date
ExPiration Date
PUBLIC WORKS RES WATER'SERV
3/4" DROP IN WATER METER
52712
195.00
6/30/05
12/27/05
Plan Check Fee .
Valuation
.00
130013
Qty Unit Charge Per
Exten~lion
195.00
BASE FEE
Permit . . . . .
Additional desc .
perm.~j;.,pin number
Permit Fee
Issue Date
Expiration Date
.00
130013
SANITARY SEWER HOOK UP
52729
110.00
6/30/05
12/27/05
Plan ,Check Fee
Valuation
'h"Qty Unit Charge Per
1. 00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Building address sign shall not be less ,than 611 & not more
than 12" in height. Numbers colors must contrast with wall
co'l'6rthey are mounted on. (Ord. 14.36.050':E)
Whenroof gutters are i~stalled. drains will located in dry
weitsor piped to approved storm drainlocat~on. No
pressurized or pumping to curbsareallowe!i;An inspection
by Building Department; is required prior to. backfill.
New,subdivision shall, be equippedwith,aresidential
sprii:1klersystemthatis installed and'maintained in
accordance with Uniform Fire Code(UFC) and,National Fire
Protection Association (NFPA) standards.
06/28/2005 10: 42 AM SROBERDS -- The proposal will result
in a s.f.. resw/attached garage within the approved
footprint for thePRD development. No land 'use issues are
noted. '
Electrical load calculations and electrical permits are
Separate Permits are required for electrical work, SEPp.'91J9reline,ESA, utilities,privateand public improvements~~l)j,s permit becomes
null and void ifworkorconstructionauthorize9is not c;Ornmencedwithin 180 days, if construction or work is suspendedorabantfoned
fora period of 180 days after the work as commenced,'Qrif;..~q~ired inspecti~ns have not been requested wjthint80. days from the last
inspection. I hereby certify that I havereadandexamif1ec:l!l)is application and know the same to be true and\coifectp.1I provIions of
laws and ordinances governing this type of work wiUb~cornPlied with wh~!her sp~cified herein or not. Thegrantingaf a permit oes not
presume to give authority to violate or canceUhe provisions of any state or local. law regulating onstruction. or the perfo ' ance of
construction.
Signature of Contractor or Authorized Agent
T:\Policies\1102.15R (1105]
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PERMIT INSPECTION RECORD
"Il
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITlS UNLAWFl1L1'(J (lOVER, \
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 J METER
SEWER CONNECTION
SANITARY .
,
STORM \
SITE DRAlNAGE ,
,
"
SITE EROSION CONTROL ,..
pARKING , ,
SIDEWALK ,
CURB & GUTTER , '.. . , '.
o ,
DRIVEWAY APPROACH
BACK-FLOW DEVICE , I "'..
.'....
"
-.
. \
,
\,
0 -
:
0 ,
\
.
.
(
. '" ;
, FINAL INSPECTIONS REQUIRED PRIORTO OCCUPANCYIUSE .... '," ....,
. " RESIDENTIAL . DATE YES NO COMMERCIAL , DATE'" \. ACC:E:PTED 0
" .' YES NO
CONSTRUCTION R. W.I PWI , CONSTRUCTION - R. W. , r,
ENGINEERING 417-4807 PW I.ENGINEERING
" . FIRE DEPT.
FIRE 417-4653
.'. ,
PLANNING DEPT. 417-4750 PLANNING DEPT. I
-
,
BUILDING 417-4815 BUILDING ,
, "
'.,
-...:...:.~
T:\Policies\1102.15R [1105]
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CITY OF PORT ANGELES
PUBLIC WORKS-UTILITIES DIVISION
321 EAST.5TII STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000471
Application pin number 419614
Page 2
Date. 6/30/05
Special Notes and Comments
required. $713 Connection ~ee.
06/15/2005 03:13 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch;
Other Fees . . . . . . . .. SEWER SYSTEMDELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
---------------------------------------------~~-----------------~--~'--------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 305.00 305 :00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2079.50 2079:50 .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 commencedwithin180days, ifconstruction orworkJs suspended or.abandoned
for a period of 180 days after the work as commenced, oriffElquired insPElftlonshave not been requested within 180daysfrom the last
inspection. I hereby certify that I have read and examined.this application and know the same to be true and correc( 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)
T:\Policies\1102.15R [1/05]
\:/"';'~:'\''f:~?!';
,
PERMIT INSPECTION RECORD
~D . ,,__
'-;
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT ISUNLAWFUL 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) . ; "
W ATERLlNE / METER
SEWER CONNECTION
SANITARY ,
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SlDEW ALK
CURB & GUTTER
"
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
.-
,
.
.
r
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE ,
RESIDENTIAL -- DATE YES NO COMMERCIAL DATE ACCEPTED
\
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. - I
ENGINEERING 417-4807 PW / ENGINEERING
-
FIRE 417-4653 FIRE DEPT. ,,'
PLANNING DEPT. 417-4750 PLANNING DEPT.
BillLDlNG 417-4815 BillLDlNG "
T:\Policies\1102.15R [1/05]