HomeMy WebLinkAbout620 Evans Ave - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT. BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 64- / D t?
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001069 Date
.526612
620 EVANS AVE
06-30-01-6-8-0050-0000-
RES NEW SFR
12/09/04
/;;zo El/Ai^-S
RS7 RESDNTL SINGLE FAMILY
124215
51\;(
Kd[~
Owner
Contractor
KEDISH STEWART L
PO BOX 507
PORT ANGELES
OWNER
WA 983620077
Structure Information
Construction Type
Occupancy Type
Other struct info
1870SF SFR W/S62 SF ATTACHED
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
28.80
V-N
1. 00
1. 00
9000.00
2592.00
2592.00
1. 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER AT 150.00
150.00 Plan Check Fee
12/09/04 Valuation
6/08/05
.00
124215
Qty Unit Charge Per Extensi~n
________~~~~______~=~~~~~~_~____~~_~~~_=:_~~~~_=~~:_~~=~~_______~==~~o~
Permit SANITARY SEWER HOOK UP
Additional desc
Permi t Fee
Issue Date
Expiration Date
95.00
12/09/04
6/08/05
Plan Check Fee
Valuation
.00
124215
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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. 14.36.050-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"
The proposal will result in the construction of a new single
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
Signature of Owner (if owner is builder)
Date
T:\PLANNrNG\FORMS\II02.15 [11/1412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number 04-00001069
pin number . . .526612
Page 2
Date 12/09/04
Special Notes and Comments
family residence with attached garage for a total of 2592
sq.ft. or 29% lot coverage. Setbacks are good. No land use
issues are noted.
Public works electrical engineering has no requirements for
this plan review.
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road right of way.
--______________________________________________o_o_______________ ~
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE ~5.00 ~-
STATE SURCHARGE ~-----..
PW WATER SYSTEM USE FEE ~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit. Fee Total 245.00 245.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2019.50 2019.50 .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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\l1 02.15 [11/14nOO3]
APPLICATION FOR WATER
City Water Division
Port Angeles, Washington /:;.41--0'1,20-
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:" :5 r~ksd/S~
Name of Applicant: /J1k-j(&7;> :Z1I L. I? ':,,'!j ~.
Address: !P1-P F#';:H1,~ #Pe ~7_e:;./Jn~
Renewal 0 New servri. / t/ Lot':s- Add SPt?h7~~~"f
Size of Service * q X '!h- I/~~t~~/~~IJ 7;'Q;
Service Left On 0 Service Left~igned ,~_ _ ~
Installed by 7/7
Remarks: f1e r /?fIT i/J:..- tt?1- / tJ'7
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: _ ) ~
Date .;?? uJ os,. 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):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No.04-10h'1
Sewer Excav. Other 'S"l;z:,G{...()/l Q L
Final
INSPECTION NOTES~ A I. ~ .
Inspected: Date ~~ Time Z PM
Remarks: C).. *:: -
z:: .
By '-' rl Co
RESTORATION REQUiRED...... YES
NO -------
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved [] Gravel [] Asphalt 0 PCC
o Other
o Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
[] COMPLETE
D INCOMPLETE
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT . . . . . .
REQUEST: ! I
Date 5i 7 _ 0 ('
I
Time
Received by
(phone, person)
Location of Work to be inspected {J 2.0 r::f)A-r\S ME:
Name of person requesting inspection "5 tlA '!('F:DI 5 i+
Address of person requesting inspection Phone No.
Type of Inspection /circle appropriate one): Permit No. ~
~oundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ?/7 /()5---
Remarks: ~e'-'-' ' (' .-?nn'-, Ie).
;;r-t.- 'IDI'?1J",J' 7.:>O,~-f-
.
Time 6"" 3>0 ?vi By 8(['L-
La '=.h' [, ~a in ~ =~, in,." ~tu L <::/0 t, Jd;r(
/ I
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RESTORATION REQUiRED...... YES
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'C'V201 $
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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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
04-00001069 Date
.526612
620 EVANS AVE
06-30-01-6-8-0050-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
124215
Owner
Contractor
KEDISH STEWART L
PO BOX 507
PORT ANGELES
OWNER
WA 983620077
Structure Information
Construction Type
occupancy Type
Other struct info
1870SF SFR W/562 SF ATTACHED
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
V-N
GARAGE
12/09/04
28.80
1. 00
1. 00
9000.00
2592.00
2592.00
1. 00
----------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER AT 150.00
150.00 Plan Check Fee
12/09/04 Valuation
6/08/05
Qty
1. 00
Unit Charge Per
150.0000 EA PW W/M 1" SERV 5/8" METER
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95.00 Plan Check Fee
Issue Date 12/09/04 Valuation
Expiration Date 6/08/05
Qty
1. 00
Unit Charge Per
95.0000 EA SAN SEWER HOOKUP
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 alarmll
The proposal will result in the construction of a new single
.00
124215
~
6
~\
~
,\J
;:s.
\J~
Extension
150.00
.00
124215
Extension
95.00
b
t
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
:n1iJ0i:4 Z~-->< (~9~L/
S;gnature of conlr~r Authorized Agent DaW
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CIDMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI 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:\PLANNING\FORMS\1102.15 [11114/2003]
at 'PORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00001069
pin number . . . . . . .526612
Page 2
Date 12/09/04
Special Notes and Comments
family residence with attached garage for a total of 2592
sq. ft. or 29% lot coverage. Setbacks are good. No land use
issues are noted.
Public works electrical engineering has no requirements for
this plan review.
Construct driveway to City Standards.
No concrete with exposed aggregate is 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 245.00 245.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2019.50 2019.50 .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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [1111412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAlNAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CIDMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 S -!fJ:.}-05' Ii:: 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:\PLANNING\FORMS\1102.15 [11/14/2003]