HomeMy WebLinkAbout220 Dogwood Pl - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, \VA 98362 0 4 - 4 L I
Application Number
Pin number .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use
Property Zoning
Application valuation
04-00000421 Date
.422624
220 DOGWOOD PL
06-30-15-6-0-0006-0000-
PUBLIC WORKS UTILITES
5/18/04
c? ~Om9WW~
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
MANGIANTINI, MICHELE
26 WALKER RANCH RD
PORT ANGELES WA 98363
K C CONTRACTING
P. O. BOX 2261
PORT ANGELES
(360) 452-4856
WA 98362
Permit RIGHT OF WAY
Additional desc
Permit Fee 45.00 Plan Check Fee
Issue Date 5/18/04 Valuation
Expiration Date 11/14(04
Qty Unit Charge Per
1. 00 45.0000 ECH RIGHT OF WAY PERMIT
.00
o
Fee summary Charged Paid Credited
-~--------------- ---------- ---------- ----------
Permit Fee Total 45.00 45.00 .00
plan Check Total .00 .00 .00
Grand Total 45.00 45.00 .00
C~'!F'A~
r45 ;-{)v )
Due
.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, jf 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 wllether specified herein or not. The granting of a permit does not
presume to give authority to violat or cancel the provisions of any state or local law regulating construction or the performance of
construction~
r-/ r
. ~
Signature of Contractbr or uthorized Agent
Date
y
Signature of Owner (if owner is builder)
Date
T;\PLANNING\FORlvl$\1I02.15 [11/1412003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: ,)
Date 5/\t\ \ O~ Time
.
Received by
lP:
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
z.. "5 D l:::> C) ~ ",,-) 0 () b
K,C.. c......O\'V-\'<'^-0~"S
Phone No.
Permit No.
2. - <q5?SL-,
() ~ -4Ll
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Sl~ "1:),0..\'" -
INSPECTION NOTES:_\
Inspected: Date S CD I 0,\ Time
Remarks: --h e- \ Y\ ~ ~ +--0 va..~ Q.,V"a..w...
) oj. -QAr ,U '-h) ? I I.-
Of::- --
By
t'V\. Do&. wooc:l. - e,/-.
\
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,,..__..:_.._ __ __..____ _:...1_:.1: __________1
'CITY OFPORTANGELES
DEPARTMENT OF COMMlJNlTY DEVELOPMENT ,- BUILDING DIVISION
321 EASt 5TH STREET, PORT ANGELES, WA98362
Appli?atiqn Number
Pin ,number . . . . . .
pr, ope,rty, A~d, res,', s', ','
ASSESSOR PtRCEL NUMBER:
Application description
Subdivision Name
property Use
Property Zoning.
Application valuation
04-00000421
.422,624
220 ,DOGWQOD PL
06 -3 0 -15 -6- 0:" 0,006- 0000-
pPUBLICWORKSU'!'ILITES
RESDNTL SINGLE FAMILY
{)
'~leeo
4/nf(%:?
,Contractor
MANGIANTINI, 'MICHELE
26 WALKER, ~Cfl RD
PORT ANGELES
K ,C CONTRACTING
P.O. BOX 2261
PORT ANGELES
(360) 452-4856
WA 98362
__.'.- __ --c--
:.._-- -'- -........... --- --~.....-~.-~ --- -,,", ...._~..... - ..~-~-."';;''- ---~.................. -.. -- - - - ---' ...;'--_.. -.;..................... -'-......
Permit . ., .
Additional desc
Permit Fee, " .
Issue Date
Expiration,Date
RIGfIT OF ,WAY
plan Check Fee
Valuation...
, Qty Unit Charge Per
1.00 45.0000 ECH RIGfIT OF WAY PERMIT
Fee summary
Charged
Credited
paid
Permit Fee Total
Plan Check'Total
Grand Total
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA;utilities, private and public improvements. This permitbecomes
null and void if work or construction authorized is not commenced within 180days,ifcQnstruction or work is,stJspend~d or abandonee!
for a period of 180 days after the work as commenced, or ifrequiredinspections have not been requestedwithin180'daySfrom thetast
inspection. I hereby certify that Ihave read and examined this application and know thesame to be true and correct I:\Jlprovisionsof
laws and ordinances governing this type of work will be complied'with 'whether specified herein or not The granting ofa 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 Owner (if owner Is builder)
Signature of Contract or or Authorized Agenf
Date
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Date
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BUILDING PERMIT,INSPECTlON RECORD
CALL 417~4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELEcTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOURl\lOl'ICE. ITISUNLAWFUL TO COVER,lNSUl4TE QRCONCE4LANY H{ORJ(BgFQRE
INSPECTED AND AC9E.fJ'ED. PO~:r.PE;~IT IN A CONSPICUOUS LOCATION. '
KEEP PERMIT CARD AND APPROVED PLANS AT iOB SITE
INSPECTION TYPE DATE . AcnmD <" .. . COMMENTS .;
VE.<r . ....1 NO .. ;'.. "', c.
FOUjl/DATION:." ", ",......."
FOOTINGS \. .,; , " ',",
, " . '",;
WALLS' .
FOUNDATION ~.oDRAINAGEIDOWN.seoUTS . .'
.
ELECTRICAl. (LlGIIT DEPT) SEPARATE PERMIT: 1/
ROUGH-IN I I 1 " ' .
PLUMBING , , < ! '. .. .
,. ,
UNDER FLooRI SLAB
ROUGH.IN
WATERLINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
. , ;
AIR SEAL
WALLS
CEILING I
FRAMING .
JOISTS I GiRDERS
SHEAR WALUHOLD DOWNS .
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR ,
,
INSULATION
SLAB I I
WALL 1 FLOORI CEILING I I J
MECHANICAL .'
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY .
HOOD 1 DUCTS '. .
PW UTILITIES I SITE WORK (Engineering DiVision) 'sEPARATE PERMIT#'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT fI's SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING ~H()RELJNE: .
FINAL INSPEClJOI'i$ IU:QUlRED PRIOR TO OCCUPANCY/USE , '"
RESIDENTIAL DATE YES NO COM,M.ERqAL ':' <'. DATE ACCEPTED
, , . .., yEs 1;/Ii0
ELECTRICAL - LIGHT DEPT. 417,4735 ELECTRICAL ' ,', 0,
UGHT DEPT .
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417,4807 PW I ENGINEERING
FIRE 417,4653 FIRE DEPT. ',~'
PLANNING DEPT. . 417,4750 . " ",
PLANNING DEPT.
BUILDING 4i7,4815 .', , BUD.:DJNG , ,,' ,
T.\PLANNING\FORMS\1102.15 [1111412003]