HomeMy WebLinkAbout1025 W 8th St - Engineering
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Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuption
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 () '3 _ 5& 3
03-00000563 Date
1025 W 8TH ST
06-30-00-0-2-4180-0000-
RES MANUFACTURED HOME
6/10/03
39900
Owner
Contractor
CROUSE ROBERT L
436 GLASS RD
PORT ANGELES
OWNER
WA 983628662
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW MANUF 1680 SF 2002 CHAMPION REDMAN
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS 1 00
---------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
-------------------------------
PUBLIC WORKS RES WATER SERV
640 00
6/10/03
12/07/03
Plan Check Fee
Valuation
00
39900
~
~
~
~
Qty Unit Charge Per Extensio~
1 00 640 0000 EA PW W/M SFR 5/8" ~40 00
----------------------------------------------------------------~----------
Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45 00
6/10/03
12/07/03
Plan Check Fee
Valuation
00
39900
---------~:~---~~~:_:~~~~~--~~~--~~~~-~~~-------------------------~;~~~
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
95 00
6/10/03
12/07/03
Plan Check Fee
Valuation
00
39900
Qty Unit Charge Per
1 00 95 0000 EA
Extension
SAN SEWER HOOKUP ~
----~~~;-~~~;~-~~~;-~~~~--~;~~-~~--
STATE SURCHARGE ~
PW WATER SYSTEM USE FEE 1025.00~
--------------------------------
Other Fees
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
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-IPLANNINGIFORMSIII02.15 [4/2002]
.....
CITY OF P.ORT AN~GELES )
DEPARTMENT,OF PUBLIC WORI<S'
. . . . . . INSPECTION REPORT. . . . . . .
\{fE
vJ'f b\b9 ~ \
REQUEST
Date g - 1:2 0 _::
. . . .
Time
PI}
Received by
(phone, person)
Location of Work to be inspected /) ;:J ~-
Name of person requesting inspection K r '
Address of person requesting inspection
Type of Inspection (circle appropriate one)
!AJ,
(") ~),
x ____
(~ IJ C -:
Phone No
Permit No.O 3- S{LJ 3
F - ~--..:.::.~
~ewer Ex~~ Other
- ._--~--
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date g - / z ():3
Remarks l'> 0 VY1.r !..e-t e.
Time-p rr\
')
By _.--A ,) )::tj
RESTORATION REQUIRED
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SURFACE RESTORATION J D X L/
SURFACE TYPE 0 Unimproved 0 Gravel M Asphalt 0 PCC
o Other
~:
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
~ COMPLETE
o INCOMPLETE
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STREET SUPERINTENDENT
(DATE)
CITY OF PO.RT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUE,ST J
Date $;, j--- 0
Time
Received by
(phone, person)
Ib 2s- l~ ?-h.//L
Location of Work to be inspected ~
Name of person requesting inspection tiv -j I (II Y
Address of person requesting inspection I "1{l? Phone No
Type of Inspection (circle appropriate one) Permit No Q:3 -/:!?u3
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other L../.J ct:f-c' ,Y
INSPECTION NOTES
Inspected
Remarks
Date
I k ~/6" (jJtj-fLJ-
li7 \'I-~l~\r/ A'1
Q)1. c ~y -
{:J ( -- 1 ?)-rh 5'r
~F'70 "
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I 'v)
U
I
RESTORATION REQUIRED
YES
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
STREET SUPERINTENDENT IDA TEl
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
.....
REQUEST
tj/slo~
Time
Received by
(phone, person)
Date
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
/ozs- W ';?--t:/1
Phone No
Permit No
PlumbinGewer Excav Other
03-~':;>
INSPECTION N~TE
Inspected Date /I
Remarks ~'l)e..n ~ 6.~. - JJC!~
Time f '30 A-;V7
Jhr.s #t= 6~ ~
,
By l5:;'L
CttI:Id/~ 7
RESTORATION REQUIRED .
YES
NO ~
\
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TE)
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDlNG 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
r INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 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
DRYW ALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
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
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T IPLANNINGIFORMS\1102.15 [412002]