HomeMy WebLinkAbout1517 W 10th St - Engineering
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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
Tenant nbr name
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
03-00000920
Date
4/28/04
05-QZO
4557
1517 W 10TH ST
06-30-00-0-3-0676-0000-
NORTH PENINSULA BLDG
RES NEW SFR
ASSO
)))7U)IO~
RS7 RESDNTL SINGLE FAMILY
95804
Owner
Contractor
NORTH PENINSULA BUILDERS ASSOC
POBOX 748
PORT ANGELES
(360) 452-8160
Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 98362
1542SF SFR W/ATTACHED 432SF
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
29 90
V-N
1 00
1 00
7000 00
2094 00
2094 00
1 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640 00
4/28/04
10/25/04
Plan Check Fee
Valuation
00
95804
Qty
1 00
Unit Charge Per Exte~sion
___:~~_~~~~_~~____~~_~~~_=:_~~~~_=~~:_~~=~~________~:40 ~
RIGHT OF WAY
Permit
Additional
Permit Fee
Issue Date
Expiration
desc
Date
45 00
4/28/04
10/25/04
Plan Check Fee
Valuation
00
95804
Qty
1 00
Unit Charge Per E~Rion
----~=-~~~~-~~~---~=~~=-~~-~~:_~~~==---------------~~=-~~~
SANITARY SEWER HOOK UP
Permit
Additional
Permit Fee
Issue Date
Expiration
desc
Date
95 00
4/28/04
10/25/04
Plan Check Fee
Valuation
00
95804
Qty Unit Charge Per ~
1 00 95 0000 EA SAN SEWER HOOKUP 95 00
------------------------------------------------------------------ --------
Special Notes and Comments
This permit allows constuction to proceed while permit fee's
are approved by City Manager
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-IPLANNING\FORMS\1102.15 [11/14/2003 ]
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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
03-00000920
Page
Date
2
4/28/04
4557
Special Notes and Comments
Side set back must be maintained at 7'
Lot coverage may not exceed 30% or 2100 Sq FT
School walking route, sidewalks must be installed to City
Standards
-----;~~~~-;~~~---------------------:~~~~~~~;~~;~~~~~:~~~~-~::~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 780 00 780 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1770 00 1770 00 00 00
Grand Total 2550 00 2550 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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T-IPLANNING\FORMS\1102.15 [11114/2003]
Feb
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FAX TRAN-SMITT AL
CITY OF PORT ANGELES
ENGINEERING DMSION
321 E 5th St
PORT ANGELES, W A 98362
(360) 457-0411
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7.45 +
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10. 25 +
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COMPANY NAME-
CONTACT NAME:
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NUMBER OF PAGES (INCLUDING COVER SHEET):
RETURN FAX NO.: (360) 417-4709
rF THERE ARE ANY PROBLEMS WITH TRANSMISSION
CALL. (360) 417-4807
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . . .
REQUEST
Date :3 -' ;2.'1- t3 'f
Time /;:< ~",3 0
Received by
(phone, person)
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
~ I:spection (circle appropriate one)
~oundation Framing Chimney
/5"/7 w. /tJ -I"
Phone No
Permit No
Plumbing Final Sewer Excav Other
" 3- to/.;zc)
INSPECTION NOTES
Inspected Date
Remarks r 5 ~ ~ E /t f)1~ - t ,( 1/4- ~ lJY1
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REST A TION REQUIRED YES
Time
By
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NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date .s - 3-0 ~
Time 7 I4t~'l
Received by V.e. \Lll S E.
(phone, person)
Location of Work to be inspected ( 5" I 7 tJ. Ie -te.....
Name of person requesting inspection V.cnrtl'S 6-
Address of person requesting inspection~ Y~..rd
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
~v 3DCOD.3Db7&ooct)
Phone No
r:t!f-
Permit .
Sewer Excav OtH ~ 5
INSPECTION NOTES
Inspected Date .3 ~ 3 ----DL(
Remarks /\,)eL.....i (><- y&, Lt---~ fer
Time q II t VI..
~Y--u l c....€-
By
.D t'l--L( '\ I C".7 E
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RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE kI Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 1+7o~ -0(5""
E1 COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST ~ /;.
Date :3 ~ )4 Time
(
Received by
(phone, person)
J51q
Location of Work to be inspected J S J 7 \V 1 D ~
Name of person requesting inspection ^ / () fG1-f) 0 J \/ yY) piC Nt) Y>1 (l . g J d S ~ .
Address of person requesting inspection II~J 14 iZ b .- Phone No g l?f''--t:Jt., 1 /
Type of Inspection (circle appropriate one) 1J4-cC ?i'Nr5I'rI Permit No 0:3 --Cj20
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~ l<J1.J?
H/cPl tL)Or~ I' '--
Idler jJa//1- ~)'- (/*1
Time 3' 3...... p~-1 By ~re-I <-
INSPECTION NOTES -h ;;
Inspected Date I ~ 2~ 1/1
Remarks ~ 0 t:::..
RESTORATION REQUIRED
YES
NO ~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved D 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)
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
03-00000920
Date
4/28/04
.4557
1517 W 10TH ST
06-30-00-0-3-0676-0000-
NORTH PENINSULA BLDG
RES NEW SFR
ASSO
RS7 RESDNTL SINGLE FAMILY
95804
Owner
Contractor
NORTH PENINSULA BUILDERS ASSOC
P. O. BOX 748
PORT ANGELES
(360) 452-8160
Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 98362
1542SF SFR W/ATTACHED 432SF
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
29.90
V)
..J
V-N
1. 00
1. 00
7000.00
2094.00
2094.00
1. 00
~
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 640.00 Plan Check Fee .00
Issue Date 4/28/04 Valuation 95804
Expiration Date 10/25/04
Qty Unit Charge Per Extension
1. 00 640.0000 EA PW W/M 1" SERV 5/8" METER 640.00
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S
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
45.00
4/28/04
10/25/04
Plan Check Fee
Valuation
.00
95804
Qty
1. 00
Unit Charge Per
45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95.00 Plan Check Fee .00
Issue Date 4/28/04 Valuation 95804
Expiration Date 10/25/04
Qty Unit Charge Per Extension
1. 00 95.0000 EA SAN SEWER HOOKUP 95.00
Special Notes and Comments
This permit allows constuction to proceed while permit fee's
are approved by City Manager
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:IPLANNINGIFORMSII102.15 [11114/2003]
BillLDING 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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-iN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELiNE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION RW. 1 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:IPLANNING\FORMSIIl02.15 [1 1I14/2003J
.. ~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
pin number
03-00000920
Page
Date
2
4/28/04
. . .4557
Special Notes and Comments
Side set back must be maintained at 7'
Lot coverage may not exceed 30% or 2100 Sq. FT.
School walking route, sidewalks must be installed to City
Standards.
Other Fees
SEWER SYSTEM DELV CHARGE
PW WATER SYSTEM USE FEE
745.00
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 780.00 780.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1770.00 1770.00 .00 .00
Grand Total 2550.00 2550.00 .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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSI 11 02. J 5 [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 UNLA WFUL TO COVER, INSULA TE 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
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LiNE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR I CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I 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
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSIII02.15 [11/14/2003]