HomeMy WebLinkAbout1902 W 5th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
03--/00
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
Owner
LINDQUIST JACQUELINE M
1902 WEST 5TH STREET
PORT ANGELES
(360) 565-8019
Structure Information
Construction Type
Occupancy Type
Other struct info
03-00000100 Date
1902 W 5TH ST
06-30-00-9-0-0200-0000-
RES NEW SFR
6/17/03
300000
Contractor
K 3 CONSTRUCTION
POBOX 3835
SEQUIM
(360) 683-4059
NEW 2363 SQ FT SFR
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
WA 98362
WA 98382
1 00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95 00 Plan Check Fee
Issue Date 6/17/03 Valuation
Expiration Date 12/14/03
00
300000
Qty Unit Charge Per
1 00 95 0000 EA SAN SEWER HOOKUP
Other Fees
Extension
95 00
STATE SURCHARGE
4 50
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
95 00 95 00 00 00
00 00 00 00
4 50 4 50 00 00
99 50 99 50 00 00
Fee summary
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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
T \PLANNING\FORMS\1102.15 [4/2002]
of Owner (if owner is builder)
C.('7/o ?
Date
Treina Funston - sewer tap-1902 W 5th
C)3--100
From
To
Date
Subject:
Annette Owens
Treina Funston
6/19/03 8 40AM
sewer tap-1902 W 5th
Treina-
On Tuesday, June 17, Jay and I did a sewer tap for Mrs Lindquist at the above address We tapped the
15" sewer with a 6" sand collar and used a 22 bend
Annette
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . .
REQUEST
Date (c,.- /1 - 0 3
Time
Received bvaeXh/"J (phone, personl
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~ Foundation Framing Chimney
(mt:l/
~
INSPECTION NOTES
Inspected Date & - 17- {J 3 Time
Remarks ''f:~ p-ed 15" .$..etLrt1 ttlc:u...1"1
{p (, W. D Lund k,'--€J\ t -Tc..ncls Ire'
L~{LJ.er luu ~
/902
/0.
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.)-
Phone No
Permit No
D~DO
Plumbing Final Sewer Excav Other
RESTORA TION REQUIRED YES NO
\~v
\u ,- X
\S
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,- 14' '"'- , "Q
MI- I
LIDD - t
-1
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SURFACE RESTORATION NO
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
o No Damage Found
D Asphalt 0 PCC 0 Other
Work Order # S 3~ L{ - r
B COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST
Date q - l - 0 S
Time
Received by
(phone, person)
Location of Work to be inspected J Cf 0 ~ W. ~"'t"'- tl4-.
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No () 3 - 36b
Sewer Foundation Framing Chimney Plumbing Final ~er E~ Other
INSPECTION NOTES
Inspected Date Ct -1 -0 S Time
Remarks -r-h i S S ~ (.V~ IL selL ,; ,'C L (,..VII'\- S
6x'.el'c...C-.( c...t- +k-<. +~~..... c..-l.. ,,,,~4-,,,,,(tc;.. i.:on.
w ~~~ ~'< II\.~ l P 0-{- ~"C... B L.c.l I ~ "")
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RESTORATION REQUIRED
YES
NO
i.
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
100
Vertical Datum = I\lA VD 88
/
N
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'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
ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION R.W
ENGINEERING 4] 7-4807 PW / ENG1NEERlNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
TWLANN1NGIFORMS\1102.15 [4/2002]
CITY OF PORT Al'-TGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
App11cat1on Number
P1n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subd1v1s1on Name
Property Use
Property Zon1ng . . .
Application valuation
04-00000556 Date
.062972
1902 W 5TH ST
06-30-00-9-0-0200-0000-
PUBLIC WORKS UTI LITES
6/24/04
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RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
LINDQUIST JACQUELINE M
1902 WEST 5TH STREET
PORT ANGELES WA 98362
(360) 565-8019
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expirat10n Date
RIGHT OF WAY
RETAINING WALL
30.00
6/24/04
12/21/04
RUP #04-24
Plan Check Fee
Valuation
.00
o
Qty Un1t Charge Per
BASE FEE
Extens10n
30.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 30.00 30.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 30.00 30.00 .00 .00
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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)
T IPLANNlNGIFORMSl1102 15 [11/14/2003]
\ /-...
r
PREPARED 6/17/04, 13 15 30
CITY OF PORT ANGELES
INSPECTOR SUMMARY LISTING
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
6/17/04
s~
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APPL NUMBER ADDRESS
STR/SEQ PMT/SEQ TYPE/SEQ
TIME POINTS
03-00000188 726 E 4TH ST 000 000 BPR 00 BAIR 0001 0
03-00000188 726 E 4TH ST 000 000 BPR 00 BL3 0001 0
03-00001214 4509 S OLD MILL RD 000 000 BPR 00 BLI 0001 17 00 0 a
03-00001215 4509 S OLD MILL RD 000 000 BPR 00 BLI 0001 17 00 0 Uo
04-00000018 811 W 8TH ST 000 000 BPR 00 BL99 0001 17 00 0 ~
04-00000019 819 W 8TH ST 000 000 BPR 00 BL99 0001 17 00 0 )
04-00000306 160 DELGUZZI DR 000 000 BPC 00 BL1 0001 0 ~
04-00000319 1425 W 7TH ST 000 000 BPR 00 BAIR 0001 0 C\-
04-00000319 1425 W 7TH ST 000 000 BPR 00 BL3 0001 0 r
04-00000368 1636 E 3RD ST 000 000 BPR 00 BLI 0001 0
04-00000438 731 E 11 TH ST 000 000 BNOP 00 BL99 0001 0 ~ c-
-
04-00000441 1117 S CHERRY ST 000 000 BPR 00 BL99 0001 0 ~ ~
TOTAL FOR INSPECTOR JLL 12 POINTS:
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