HomeMy WebLinkAbout2538 W 16th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTiLITIES DNISION
321 EAST 5TH StRE~T, PORT ANGELES, W A 98362
WEATHERLY, NANCY
2915 S PEABODY
PORT ANGELES
(360) .808-3845
Structure Information
Construction Type
occupancy Type
Other struct info
(
Application Number
pin number . .' . "
property Address
IASSESSOR PARCEL NUMBER:
. Teriht nbr. name
Application description
Subdivision Name
property Use
property Zoning . . .
Application valuation
Owner
Permit . . . .
Additional desc
permit Fee
Issue Date
Expiration Date
1./11(?5
04-00000987 Date
.547874
2538' W 16TH ST.
06-30-00~4-4-0060-'0000-
NANCY,WEATHERLY
RES. MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
94020
Contractor
,.
WASHING-:fONHOME .
P. O.BOX176
CHEHALIS
(360 )790- 9411
NEW 1512SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & <::ONGREGATES
TOTAL % LOTCOVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL' LOT COVERAGE
NUMBER OF UNITS
CENTER INC
WA 98362
WA 98532
16.10
1.00
9350.00.
1512.00"
1512.00
1.00
PUBLIC WORKS RES WATERSERV
DROP IN WATER METER
150.00 plan Check Fee
11/02/04 Valuation
7/03/05
.00
94020
Qty Unit Charge Per
Permit . . . .
Additionaldesc
Permit Fee
Issue 'Date
Expiration Date
BASE FEE
Extension
150.00
(
RIGHT OF WAY
45.00
11/02/04
7/03/05
Plan Check Fee
Valuation
I
. !
.00
94020
Qty Unit Charge Per
1. 00 . ' 45.0000 ECH RIGHT OF WAY PERMIT
Permit
Additional desc
Permit Fee'
Issue Date
Expiration Date
Extension
45.00
SANITARY SEWER HOOK UP.
95.00
11/02/04
7/03/05
Plan Ch.eck Fee \
Valuation
, .00
94020
I
Qty Unit Charge Per ,Extension
1.00 95.0000 EA SAN.SEWER HOOKUP 95.00
_______________________L______________________________-'~_____'___~______'__~~_
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. lOrd. 14.36.050-E)
When roof gutters are installed, drains will located in dry
Separate Perrnlls are required forelectricalwork, SEPA, Shoreline, ESA,utilities, private and public improvelTlents~.,,..~i~perrnlt~ecomes
null and void if work or construction authorized is not commencet:l within 180 days, if constructionorwork Issusp~n~e~(pr,at)~Il.t1C)ned
for a periodof 180 days after the work as commenced, or ifrequh~edlnspectlonshave not beenrequested.witljiIl18(),daYii;frd!11il1~last
Inspection. I hereby certify that I have read and examhled this ~pplication and know the same to be true andcbrrectJ:\u'pmyisionsof
laws and ordinances govEtmingthistype of work will becompliedwlti1whether specified herein or not. The gran1ingof~petj'hit,(fo~S/'1bt
presume to give authority to, violate or cancel the provisions of~nystate or local law regulating construction or the performance of
construction. ' .
6tV FI L C-'
Signature of Contractor or Authorized Agent Date
T:\Policies\1102.15R [1105]
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PERMIT INSPECTION RECORD
~,
CALL 417-48Q7 FOR UTILITY INSRECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY Wf,JRK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
'. Ii YES I NO . . c
PW UTILITIES (Engineering Division) -
WATERLINE / METER .
.'
SEWER CONNECTION
SANITARY .
STORM
SITE DRAINAGE
.
,
SITE EROSION CONTROL
P~G
SIDEWALK ,
CURB & GUTTER
" ,
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
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FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
i YES NO
,~
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 . PW (J3NGINEERING ,
FIRE 417-4653 . FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT. ,
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1I05J
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CITYOFPORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 511iSTREET, PORTANGELES/WA 98362
Special' Notes and Comments ,
wells, or piped to approved storm drain locations.
Manufactured home must ,be pit set so that no more than 12"
of skirting is visabie\abovegrade.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.'
2nd option is to install an out sideala:J:'lllbelLthat is
eletronicly connected to the residence i s, smoke detectors ~
Thea.larm bell will be painted red in color and identified
as" ]'irealarm" . . .' . , .
Theproosal will result in the placement ofa mfg. home ,in
the RS";9 zone. Lot coverage and setbacks are good. Noland
use issues are noted.
Electrical load calculations and elctrical permits are
reqili-rl:!d.
:'1
Application Number . . . . . 04-00000987
pin number '. . .547874
Page 2
Date '1/11/05
------------~---~----~----------------------------------------~-------------
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 290.00 290.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 ;00 .00
Grand Total 2064.50 2064.50 .00 .00
Signature of Contractor or AiJthorized Agent
SePEirate Permits~rerequired for electricalwork, SEPA, ShofeU~e,ESA, utilities,privateand public improvEllT1entS.ij;Qisp~;r~l,tl)ecomes
null and void if wgrk or construction authorized is not commenced within 180 days, if constructioll orworkl~susp~n.~ecfor,al>andOlled
for a period 9f 180 days after the work as commenced, or if required 'In!ipi'!ctlons have, not been requested within;180d#~~frornthe last
inspection. I hereby certify that I have read and examined t~isappUcation and know,the same to be trueandc9Ji~ctAlI proYisionsof
laws and ordinances gov~rning this type of work will be complied with whether specified herein or nOt. Thegranting()fap~rrnitdoes not
presume to give authoritytoviolate or cancel the,provisions.of any state or 10callawregulatirigconstnJctlonorthep~rfqrmance of
construction.' ., .
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Signature of Owner (if owner is builder) ,
T:\Policieslll02.15R [1105]
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIM{jM 24 HOUR NOTICE. IT IS llNM WFpL1;(J(JOfER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CQNSpi~lJ()lJSLOCATI()N.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
.' 0
. INSPEqlON TYPE .' ..' DATE ACCEPTED COMMENTS .
". , YES I NO .... .
. (Engineering Diyision) ...... '. , ..
PW UTILITIES .' .
WATERLINE / METER '. .. . :
.
SEWER CONNECTION .( (
( .. '; .
SANITARY '. . .
. ....
STORM . \,: ....
SITE DRAINAGE .. \ . "
..
'. .' ..... . c. " .. ........... !
.
SITE EROSIOjl/ CONTROL . '.
.',
PARKING I,'"
SIDEWALK ,;, I '0
CURB & GUTTER , . .... .' ., . i
,
\ ' I"
DRIVEWAY APPROACH ".1 ..
.,
BACK-FLOW DEVICE , ,( 'I 0 I I '. .... .
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, F~~ IN.SPECTI()JIl~ ~QUIRED PRIOR TO()CCUPA,l.'lSYIlJSE ,.., \ . ,
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" " : . RESIDENTIAL DATE ,... YES NO . COMMERCIAL, DATE ' 'ACCEPTED'
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.. . " YES NO
CONSTRucTIoN R. W./ PW/ / , " -:- ".' ..
!. CONSTRUCTION " R.W. .'.
ENGINEERING . 417-4807 'PW I'ENGINEERING ,. .
FIRE ,417..(653 FIRE DEYI'. ; '. ....
.. ~. ..
PLANNING DEYI'. 417-4750 PLANNING DEn .... .
, ,
BUILDING ... 417-4815 : BUILDING
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T:\Policies\II02.15R [1105]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o4-?/t7
Application Number
pin nwnber
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000987 Date
.547874
2538 W 16TH ST
06-30-00-4-4-0060-0000-
NANCY WEATHERLY
RES MANUFACTURED HOME
1/11/05
;<53~ w/()b
Owner
Contractor
;j /JJP~
RS9 RESDNTL SINGLE FAMILY
94020
WEATHERLY, NANCY
2915 S PEABODY
PORT ANGELES
(360) 808-3845
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98362
WASHINGTON HOME
P. Q. BOX 176
CHEHALIS
(360) 790-9411
NEW 1512SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE PAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
CENTER INC
WA 98532
16.10
1. 00
9350.00
1512.00
1512.00
1. 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
DROP IN WATER METER
150.00 Plan Check Fee
11/02/04 Valuation
7/03/05
.00
94020
Qty Unlt Charge Per Extens~.
BASE FEE C 150. 00 ~
--------------~~--~-------------------------------~--~~--~- - -~-
Permi t RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45.00
11/02/04
7/03/05
Plan Check Fee
Valuation
.00
94020
Qty Unit Charge Per Extpnc:d~
1.00 45.0000 ECH RIGHT OF WAY PERMIT C 45. ~ ~
------~--~--~-~--~-~~-------------------------------------------------------
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95.00 Plan Check Fee .00
Issue Date 11/02/04 Valuation 94020
Expiration Date 7/03/05
________'~~;___Unlt9;~~~~~_~er__SAN_SEWER_HOOKUP________________~te;;~
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. 14.36.0S0-E)
When roof gutters are installed, drains will located in dry
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 orwork 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. Ail provisions of
laws and ordinances governing this type of work wili 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;\Policies\11OZ.1SR [1/0S)
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000987
Pin number .547874
Page
Date
2
1/11/05
Special Notes and Comments
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
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 proosal will result in the placement of a mfg. home in
the RS-9 zone. Lot coverage and setbacks are good. No land
use issues are noted.
Electrical load calculations and elctrical permits are
required.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~~~-~~~;~~-~~~~-~~~~--~ 7~~
STATE SURCHARGE ~
PW WATER SYSTEM USE FEE~ 1025.00~
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 290.00 290.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2064.50 2064.50 .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 cominenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, orii1required 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:\Policies\1102.15R [1/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
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):
~65~ tv )~~
Phone No.
Permit No.
04-?R7
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUiRED...... YES NO
()J..I).Ml d e/LUiL. tH-- 1icc ~ (J.-?Ld
e~t; ~ ~ '~fItAt-
I) ~ ~7i! iU. _7f't;lb~ ~
M1IJIin ~~~ddi<< ~-
(;tot 1kt aM- t)/c - 77-
II j {} 0(
rve/' 1'/1,,;' O. /::'. #", .
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~
APPLICATION FOR WATER
City Water Department
Part Angeles, Wash. . / / - 2- '.
z::>oy'
t'}
I hereby apply far water to be. furriished. in accordance with rates and rules of the City
. for the.following premises: ' ..
Name of Applicant .All1nL'!I j{J,<:J/J#t?r!y
Addre.. 02:5 8 8 UJ I ~if.l
",- -
Installed by
New Ser~ice~II';-- Lot-#2- Add~5//>Jr-
/" '* drt7,P/~ . '. . c:' "'..J ,~~
I' IF /. Meter Number 0'1 v C-tf, ff "'"
~ervice Left Off ~ign..
..~ .
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~enewal 0
Remarks:
p~ -JJ- 04Jj <2'7.. ct /5{) t!E-Ilozs-E!]
\
Si ze of.\Servi c'~
, , \
Service Left On' O.
N.
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. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 0 1 I 0 s
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):
7 -?~3' k.) liP ~
~0Mf f~
Phone No.
Permit No.
FinCewer Ex~er
() 4 -q'i?7
Sewer Foundation Framing Chimney Plumbing
INSPECTION NOTES:
Inspected: Date -z..... LB.-' ex;-
Remarks: ~.e......
Time
By
E, j,UM.I3trf~
RESTORATION REQUiRED...... YES
./
NO/
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4
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SURFACE RESTORATION: 18!-
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
:::t
.,
('ol.\
~/
+-3~", 4~ .::"" b.
. ,
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)