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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning .
Application valuation
05-00000121 Date
.164278
2209 W 8TH ST
06-30-00-4-5-0150-0000-
RES NEW SFR
3/09/05
Owner
Contractor
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RS9 RESDNTL SINGLE FAMILY
137845
STEWARD LAND CO/RICK ANDERSON
618 S PEABODY ST STE H
PORT ANGELES WA 983626244
{360} 452-4641
Structure Information
Construction Type
occupancy Type
Other struct info
ANDERSON HOMES LLC
618 SOUTH PEABODY
PORT ANGELES
(360) 452-4641
1790 SF SFR W/ATT 565 SF GARAGE
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
WA 98362
28.50
V-N
1. 00
1. 00
9000.00
2572.00
2572.00
1. 00
170.00
3/09/05
9/05/05
Plan Check Fee
Valuation
.00
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f'l r\ q' t1 ,(~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
Qty Unit charge Per
BASE FEE
Extension
170.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
175.00 Plan Check Fee
3/09/05 Valuation
9/05/05
.00
13 7 84 5
_ __ _ _ __ h Q:~_ _ _ ~~~: _:~:~::_ _ ~:r _ _~~~~ _ ~~~ u _ _ u uu _ _ _ __ _ _ m _ m _~ ~ ~
Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
50.00
3/09/05
9/05/05
Plan Check Fee
Valuation
.00
137845
Qty Unit Charge Per EX~_' __ ~
1.00 50.0000 ECH RIGHT OF WAY PERMIT ~
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
SANITARY SEWER HOOK UP
110.00
3/09/05
Plan Check Fee
valuation
.00
13 7 84 5
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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Expiration Date . .
Page
Date
2
3/09/05
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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. 14.36.0SQ-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
proposal will result in a new sf res w/attached garage for
total lot coverage of 2572 or 29%. No land use issues are
noted.
connection fee $713.00. Connect to pedestal in s/w corner
of lot.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
---------------------------------------------------------------- ---
Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE ~
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE ~
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
505.00
.00
1774.50
2279.50
505.00 .00 .00
.00 .00 .00
1774.50 .00 .00
2279.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, ulHilies, privale and public improvements. This permit becomes
null and void if work or conslruclion aulhorized 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 specifjed herein or not The granting of a permit does not
presume to give authority to violale or cancel the provisions of any state or local iaw regulating construction or the performance of
construction.
Signature of Contraclor or Authorized Agenl
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.1SR [1/05]
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . INSPECTION REPORT. . . . . . . .
[P I ~ l()~ Time
Received by
(phone, person)
REQUEST:
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer FoJndation Framing Chimney Plumbing
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Phone No.
Permit No.
Fi'("Sewer Exca~ther
OS-/ZJ
.
INSPECTION NOTES:) I
Inspected: Date. {j! (j 05 Time s:: 'ISPI1.1
Remarks: p~,/ f) J2.-, ~ ~ rfP~A7;
I
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lJJ$kt C(..I..V' b.
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RESTORATION REQUiRED....... YES
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NO )(.
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l
PL
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 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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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
REQUEST:
Date 3(2-9 I 0 '5
Time /2: 3D PH
Received by e,.,-c.
(phone, person)
Location of Work to be inspected Z z. 0<1 v.-l.
Name of person requesting inspection 5:;)~l/e -
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
e:,+:J.
Q/y"",p/t.
( I
C"'c/e/e
Phone No. 4&0-0070
Permit No. tJ$ILI
Sewer Excav. Other z;J.-'Vt"lA/bY
/
INSPECTION NOTES:
Inspected: Date 3 / 2.. 9/0<7
--- " /
Remarks: rvr~~d C'-./rO
Time Z PI-/} By l-' ,../"c..
zy""c/ '1// /Jr-/ -!) .1:::.
RESTORATION REQUiRED...... YES ~NO
,x.!~ed -1-0 rc..f'kc.~ ",c/s!-,p,'j do-v~I?J"'Y ~ul- .J~ east- I~/,L~
fiu II heJ /,(. CUi/b_
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 #
o COMPLETE
o INCOMPLETE
(Continue oillev'!rJ'El ~ide if necessary)
STREET SUPERINTENDENT
(DATE)
~/'1
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: / /
Date 8, I _05 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):
rs~ Foundation Framing Chimney Plumbing Final
INSPECTION NOTES: / / ~rt.- 8/OJ /0S-
Inspected: Date 8/ B / {)5 Time By
Remarks: ('{Ltr2-6 FC!I''''s*",,~pu.J~do''' 11:-1(-o-.:;--ol:::+"no,-",-, ~~
/.iJ_____ ' - _ , ,
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R.1v''<-wl'o1c! r-o/M-C, T1'1 sp "c../..;".J o".) x-/o-o,,; -olC-.-/.oOc."'te-
,
~p~
Phone No.
Permit No. 05- /2. I
Sewer Excav. Other /2!a~-
G-u..rlo
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST: /,)
Date ~ OS
Time
Received by
-
IC
I .
(phone. person)
INSPECTION NOTES: ~'ot~
Inspected: Date l' /q ~ S'" Time
Remarks: ~ ~ <"It//as-
t?/~ Cu-PI3 ~tlr ~E:h7Pt/~ ?
.
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~ewer Excav. Other
~-"7? PO - ~r?t 8// rb
t7 'l>"'f weU r '1::>WY:6K
d~~
tUf~
~
,,:;- 4(, </ /
05""-1 ;2-/
I
/ / I06.4iM By
t-t/LZZ//U ~k o..t:::
Z; /? /1"&11/;4- '1 I=" () IUn 5
0-<.
is -/o-os
G-k
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
- -_I~nntinue.on.reverse.side.if.necessa!y')
STREET_SUf'ERINTENDENT
(DATEl
If' d\"Ok"'~
{i
11.:.--
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES 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
05-00000121 Date
.164278
2209 W 8TH ST
06-30-00-4-5-0150-0000-
RES NEW SFR
3/09/05
RS9 RESDNTL SINGLE FAMILY
137845
Owner
Contractor
STEWARD LAND CO/RICK ANDERSON
618 S PEABODY ST STE H
PORT ANGELES WA 983626244
(360) 452-4641
Structure Information
Construction Type
Occupancy Type
Other struct info
ANDERSON HOMES LLC
618 SOUTH PEABODY
PORT ANGELES
(360) 452-4641
1790 SF SFR W/ATT 565 SF GARAGE
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
WA 98362
28.50
V-N
1. 00
1. 00
9000.00
2572.00
2572.00
1. 00
---------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
170.00
3/09/05
9/05/05
Plan Check Fee
Valuation
.00
o
Qty
Unit Charge Per
BASE FEE
Extension
170.00
----------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
------------------------------------------
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
175.00 Plan Check Fee
3/09/05 Valuation
9/05/05
.00
137845
Qty
Unit Charge Per
BASE FEE
Extension
175.00
--------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
--------------------------------------
RIGHT OF WAY
50.00
3/09/05
9/05/05
Plan Check Fee
Valuation
.00
137845
Qty
1. 00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
----------------------------------
permi t . . . .
Additional desc
Permit Fee
Issue Date
SANITARY SEWER HOOK UP
110.00
3/09/05
Plan Check Fee
Valuation
.00
137845
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
conslru:,"o~/. '._. ;
....:.",...t-----?L1.. / ('~:-? - dl "C~-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PoliciesII102.15R [1I05J
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 / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE
I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / 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 [1/051
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Expiration Date . .
05-00000121
.164278
9/05/05
Page
Date
2
3/09/05
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.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
proposal will result in a new sf res w/attached garage for
total lot coverage of 2572 or 29%. No land use issues are
noted.
Connection fee $713.00. Connect to pedestal in s/w corner
of lot.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
----------------------------------------------------------------------------
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 505.00 505.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2279.50 2279.50 .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.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT ChRD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT, 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/051
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST:
Date ~ ~\ b') .
Time
{:')(Vl
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):
Sewer Foundation Framing Chimney Plumbing
;);)-e~9
kJ
8 ,+~
C L
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D\:::J---\."'--.t.. : <::..."
Phone No.
Permit No.
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~ c:;-
Remarks:
Time-p~
By~LL
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o
~
~??~
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~
,
~
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RESTORATION REQUIRED. . . . .. YES
NO
5~cs ,\ ,J' ---;--- } \
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel DAsphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE