HomeMy WebLinkAbout1242 W 4th St - Engineering CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application NU~er ..... 03-0000058S Date 1/14/04
Property Address ...... 1242 W 4TH ST
ASSESSOR PARCEL NL~4BER: 06-30-00-6-7-9030-0000-
Application description . . . RES NEW SFR
Subdivision Name ......
Property Use ........
Property Zoning .......
Application valuation .... 163737
Owner Contractor
HUNT JJ~ES C ANDERSON HOMES LLC
1304 ~%RIE VIEW DR 618 SOUTH PF2%BODY
PORT A~GELES WA 983631442 PORT ANGELES WA 98362
(360) 45~-4641
...... Structure Information NEW 1862 Se 1148 SF BASE1842 SF CJ~R/CANP .....
Constlnaction T~e ..... TYPE V NON-RATED
Occupancy T~pe ...... SINGLE FAM & CONGREGATES
Other struct info ..... TOTAL % LOT COVERAGE 15.00
CONSTRUCTION TYPE
NUMBER OF STORIES 2.00
EXISTING LOT COVERAGE 1.00
LOT SIZE 24500,00
PROPOSED LOT COVERAGE 3694.00
TOTAL LOT COVERAGE 3694.00
Expiration Date . . 7/05/04
Separate Permits are required for electrical work, SEGA, Shoreline, ESA, utili6es, 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 certi~ that I have read and examined this application and know the same to be true and correct. All provisions
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does riel
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING~FORMS\ 1102.15 [11/14/2003i
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
FOUNDATIONI
FOOTINGS
WALLS
FOUNDATION DKAINAGE/DOWN SPOUTS
EL ECTRICAL (LIGHT DEPT) SEPARATE PER.MIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTEKIOR BRACED PANEL ONLY)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number ..... 03-00000585 Date 1/14/04
Permit Fee Total 780.00 780.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2554.50 2554.50 .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\FORNiS\1102.15 [11/14/2003]
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 I DATE I YEsACCEPTEI~I NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE (METEE TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / G1R~ERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERiOR BRACED PANEL ONLY)
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERIVlIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRiCAL - LIGHT DEPT. 417-4735 ELECTRiCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEEKING 417-4807 PW / ENGINEERYNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING~FORMS\1102.15 I11/14/2003]
~~ORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~()
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0-7 .......::70' ~
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
Owner
HUNT JAMES C
1304 MARIE VIEW DR
PORT ANGELES
6/17/03
03-00000585 Date
1242 W 4TH ST
06-30-00-6-7-9030-0000-
RES NEW SFR
163737
Contractor
ANDERSON HOMES LLC
618 SOUTH PEABODY
PORT ANGELES
(360) 452-4641
NEW 1862 SF 1148 SF BASE1842 SF GAR/CARP-----
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
WA 983631442
WA 98362
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
1.00
PUBLIC WORKS RES
~
12/14/03
WATER SERV
----
~
-+>
~
2:
~
~
Plan Check Fee
Valuation
.00
163737
Qty Unit Charge Per
1.00 640.0000 EA PW W/M SFR 5/8n
Extension
640.00
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
~
12/14/03
Plan Check Fee
Valuation
.00
163737
Qty Unit Charge Per
BASE FEE
Extension
45.00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee Plan Check Fee .00
Issue Date Valuation 163737
Expiration Date
Qty Unit Charge Per Extension
BASE FEE .00
1.00 95.0000 EA SAN SEWER HOOKUP 95.00
Charged Paid
-~----------
780.00 780.00
.00 .00
1774.50 1774.50
2554.50 2554.50
Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Credited
Due
.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 governin this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority t olate or cancel the provisions of any state or local law regulating construction or the performance of
co . n.
t.
T:IPLANNINGIFORMSII102.15 [4/2002]
6 ~18'~
Date
Signature of Owner (if owner is builder)
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:.___ , .....,
Date CJ- --..) ,,/' 2> _7
Time
Received by
(phone, person)
Location of Work to be inspected } IA t{ ~ l'J l/.-fJ\
Name of person requesting inspection T ~ \' I c () Y'
Address of person requesting inspection /1 i1l -t- ~ Phone No.
Type of Inspection (circle appropriate one): Permit No. () 3-5~S
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other -U JL~/"
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
:!tJU ~ -f~JJ
:5-Rr V ~ 'e -'2
{,e.J?{j-d~
By
A.J -e c....... I 'Y S;/g
( - I S3D
rlg'233~
RESTORATION REQUIRED . . . . .. YES NO
jJ.o...)t '!-)/3 Nt
ttJ vJit::~ ,1.<-
,
/ ~,( y
..., c~ ~
1 __1 ...
~ r;.3 I
,.. / L/fA 5f
w
.~ ~'<
<::
~
SURFACE R ::STORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
~ETE
o INCOMPLETE
o Other
73 t; J
f
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: / / 1-
Date ) _ ( / ~ Time
I I ,
Received by
(phone. person)
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 Plumbi~wer Excav. Other
J Z12- LA..) 1:-ti:l
1..--f6/Z-
03 -5~C5
INSPECTION NOTES=; It) t/.,
Inspected: Date I .- 7 _~ Time
Remarks:
OK
)-7"'{)~ By ~
RESTORATION REQUIRED . . . . .. YES NO
x
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt Dpcc
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF-PUBLIC WORKS
. . . . INSPECTioN REPORT. . . . . .
REQUEST: . /_ /
Date /0,/ n f23-
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
/~12- wJ 4~
c...~' ,T e 'fe-,
Phone No.
Permit No. 0-3-5~
Fin~wer E~ther
INSPECTION NOTES:
Inspected: Date /0/1 A"3
Remarks:
Time
Pvr1
By c--( A,y!-
Co V'v'" ,/ (-e-1 e.-
I
RESTORATION REQUIRED. . . . .. YES NO
cP,
o
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h_..'hh,.h__h'_________
SUR~ACE RESTORATION: ,/ B -' (;}.5 X 1:2)
SURFACE TYPE: 0 Unimproved 0 Gravel (Xl Asphalt 0 PCC
D Repaired by City
[] Repaired by Permittee
o No Damage Found
o Other
/~ SfrL-eJ- IDj/~Q3{P
(Continue on reverse side if necessary) I ·
Work Order #
o COMPLETE J'\,\"?D.. R~{Y'J\ \'~\ W,)
o INCOMPLETE ~GrSv\~! t\-7-1-0~
'~L......
. ..
STREET SUPERINTENDENT
(DATE)