HomeMy WebLinkAbout1630 W 4th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 "3 _ &J 23
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valMation
03-00000623 Date
1630 W 4TH ST
06-30-00-0-1-2932-0000-
RES NEW SFR
7/23/03
134420
Owner
Contractor
BLANCHARD, ROGER E R & N BUILDERS
POBOX 2904 171 CEDAR GLEN LN
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460-0979
Structure Information NEW 2068 SF SFR W/ATTACHED 364SF GARAGE _____
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 1.00
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Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee ~ Plan Check Fee .00
Issue Date 7 2 3 Valuation 134420
Expiration Date 1/20/04
~-
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Qty Unit Charge Per E~
1.00 640.0000 EA PW W/M SFR 5/8" 640.00
-------------------------------------------------------------------- --
Perm~t RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
~i~~
1/20/04
Plan Check Fee
Valuation
.00
134420
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
------------------------.--------------------------.-------------------------
Permit SANITARY SEWER HOOK UP
Additional desc q:'~
Permit Fee 7 95.00 . Plan Check Fee
Issue Date Valuation
Expiration Date . 1/20/04
.00
134420
Qty Unit Charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Extension
95.00
---0!~~---
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------------------------------------------------------------
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 780.00 780.00 .00
Plan Check Total .00 .00 .00
Other Fee Total 1774.50 1774.50 .00
Grand Total 2554.50 2554.50 .00
Due
.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.
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Signature of Contractor or Authorized Agent
Date
T:\PLANNTNG\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date f: - I 5 --- 0 ')
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):
)636 w. t;f/l
"-rtu tI Us f:..
I 7-(/( '6-/3
Phone No.
Permit No.
03-- C?23
"
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other L 1_1 ~---
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
:;;. ff Pi! C
/U-etU
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C;t'XUI G-e / ;;;. ~g~7.
RESTORATION REQUIRED '. . . . .. YES i7'1 NO
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel
D Asphalt D PCC D Other
Work Order # 7 ~ I :a
g( COMPLETE .~'\'eS..^ ~\"XJ-\ t-~ 'v~\ \ l\
D INCOMPLETE \/\0"\ ~}\\.Y, CO'- -l2 -0'3
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date ro/rrlOLf
___ Time~-=_Pm
Received by J. A.A..J D fUiW ~ (phone ( person)
Location of Work to be inspected_-
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
S~ Foundation Framing Chimney
__E. 1
....,{,- 'C:-IA/'
\10~O (~, 4.1!} STlL&C~
6P~
Phone No.
Permit No.
Plumbing Final Sewer Excav. Other
~ - &23
INSPECTION NOTES~
Inspected: Date f::,17 / C~
Remarks: / I
Time
I Oc~ PlY) By
,j /tuOeGL~
RESTORATION REQUIRED. . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
o Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)