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Home My WebLink About1310 S I St - Engineering ;;<i:..P;.,;:i.,;'\J.":;':',iii'~:;;J'!~,,;.;... CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000940 1310 S I ST 06-30-99-0-4-0220-0000- RES MANUFACTURED HOME Date 11/21/03 08- q4D Ujtl 1~10 S ~ t)14+Ie- r' RS7 RESDNTL SINGLE FAMILY 73741 Owner Contractor SCOTT KENNETH M 42837 MCKENZIE HWY LEABURG OR 974899608 BUY RITE HOMES 3543 W STATE HWY 16 SEBRING (479) 795 1013SF MANUFACTURED HOME TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS FL Structure Information Construction Type Occupancy Type Other struct info 1 00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640 00 11/21/03 5/20/04 Plan Check Fee Valuation 00 73741 Qty Unit Charge Per 1 00 640 0000 EA PW W/M SFR 5/8" Extension 640 00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 11/21/03 5/20/04 Plan Check Fee Valuation 00 73741 Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Extension 45 00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95 00 Plan Check Fee Issue Date 11/21/03 Valuation Expiration Date 5/20/04 00 73741 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Extension 95 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be in contrast in color of there background 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" ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745 00 4 50 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. II '\ ') Signature of Owner (if owner is builder) Date T"IPLANNINGIFORMSII102.15 [I 1114/2003] ~~c;'. ,df:;J:C'{i.k.i:l....r(t;:J."r~!.:j.~; ~\:f;'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000940 Page 2 Date 11/21/03 ---------------------------------------------------------------------------- Other Fees PW WATER SYSTEM USE FEE 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 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-IPLANNINGIFORMSIJ 102_15 [11114/2003] n ,. t """',.1( It .~~. l-.,r-/ -.4/. dlj! I J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . / / REQUEST Date ;2-- / /6- c u 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) Sewer Foundation Framing Chimney J 3 b ( 1- )J I -r v.->- ) \ L G /~ llfl, -to 13 ' Phone No Permit No Plumbing Final Sewer Excav Other 1.U~_h:y- INSPECTION NOTES Inspected Date Remarks C\+ v Time By f(.{,P ~ I )r- 3/ if S-~ Vl.lj!.. t I~ /)/ \( eoV' 0 () W V)'l4 c^'--. ( 'V) I - RESTORATION REQUIRED' 1iJ // YES V NO f L u ~ " ~, ) ( til r ../ -.... ''1 V) ~J: 1( .;tt . r'lyof' d;'\'Y (.UV :/ ~Ir I)~~. I i " c> I i '7 . y5k' Lt r-' , .".j SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City o Repaired by Permittee o No Damage Found ~:It OPCC DOther 70/ :J5~)1 L f ___ Work Order # Is 5- ( jJJr...J ).()'0 7 '--/~ \.:-- - ' o COMPLETE o INCOMPLETE (DATE) (Continue on reverse side if necessary) tJ ~ I ! I ..-- N !- :;: I ~ i i ~ ::) l i 8 b 0 ~ Z I I ~ ~ " ~ .:;r f W ~ ~ ~ I ~ -i ~ z . U ! 'I i i a CI:: f ~ ~ ! i I ~h- S: e 'l"i WI ~ I ii~:; en i > ~ '!~" r:;O')J: >- i-j ~;;I~ ->" ~ . - OJ :< <: I ~lIi2;i1 :.. -. ,~ J '" .e '" ;:.. z c, ~ ~~h "" ,_~ ... ~ ill I' ... ;:.l~ <: ... n It ~~. l/) ;z i~)~il~l~ l ....l ~ l.U Cl ~ ~ ~:.~. .i ~ I OJ .' ~;, ...." w ~ ~ I i if \.1 ~ i ~ I ", " ~ ,~ in\\ " ~~ !:! !i qj I ! : ht) I ,'"" ! ~y I .t:r-~ ~ ) -0--1 ~ CJ j G:l ~Jj h, ~- \ ('t) " , , , / ,I I I ,"fir lZ:l~ ~I~ $;' ~ u::ti'- i~; st-8 e:~. a$, ".... ~ lJ ~ ~ (i) !:1 ,_ . fi t- ~::r .. ~~-U reg I"~ -i~5-' -.- !:!I!& I' ~ /., , '/ · 2. : :~r- !IL J I ~ 4 I -------------l--:-------~-~-~rttl. !1 i J ~ ~! '. ~~ ' ~..." i': . I i I I ~i 0 il' ~!~ I I ::. . . I ~ ' 'l:)J 1;":" ~~~ j ! ! I ~"t I ! Ii I a UiE5 -Q~ I r !! o! I ~h I w! ~"~~ i~~ l ! I ~ ~! . r I ......11/ i ebB \ / I i I :. ~ 1'1 ' ~ il;!; \ i-... 'f..- ~ ! I ~s I " i \ !1~B \::l!l i \,. - - - -.. -:~ .i~1 I '.' . i \ ~g!l ' / J .'- J I. I ..." e.... t:' -;.:.::::."=::-:-.-:: ':--:-.'-.-=- _.1 !ri -Jj ! !~ - - - - r.--'-----' - 'I i ;::Ji ; ,~ .. - -'-1 J I. = I:;;" I c:'! <! I' I iH" ~ j ~ "I ~: w 1: ~~~i ~~~ ::J ~ ~'~; I, "~~I -. <I ~ : I,i ~~ ,i h~i:::!; JI ~ ~ ~I U [I I i'i '11 w , ~ fit I Iii 'J~---"-~~~ : ~! "~g, ~":'7-:-:'-":-':-:-:'? I, b II '" : ! Ii I - --'--.--.-- - -1 l~' , w'S( -- ~ 'I .. I ~... ; ~~; J, ) ~ 1---- : \ 1 ~4 I ~~~ i,:fl.rOHO l 'I : --.-------:.-1. <<~.. " ~~a~~ : I ," I fA ~~;----u-l!2e..~~ _ui i ~ :!i! ~'"'J~~~ I l' I 2;"" ~ili!!J'~~ " >l ol~Z: ~5~ - } l : : 1 ~: l 'i.:: I O'i.!O H9 09C n'd 6T n NOW CO/6GI61 .. " . . .. ,. . -;; . .. '. - - .--- - .q .L33~S ~I;, . . '7 <l . . <; 9 . <J . .. 'l;r ~ arm Z " ilil ....., I II <{ N. II!I. ---1 II ;m Q _ !ii ~ ~ R~~ _ 0 I (/) ~ Ii c, , (j ----- -iiNO'K\-') II H;- 6()O~ JHJ03S ::unl-.l.1ij CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST Date (- L e - otf Time 7 DoAt0 Received by 7.) U/l 4 i-5 E (phone, person) \\".-:'" {( Location of Work to be inspected 13 {O $o,.i.. Name of person requesting inspection De VlL-\. (s E, Address of person requesting inspection Lc;r f Y' ~& Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Phone No . Permit NO~O Sewer Excav ~'w~ INSPECTION NOTES Inspected Date {- Z g ---0 L( Remarks Time 3. ()O PIVL By PevtVl( s E_ c;, 10 ~~ F /qf/151g3 YES:X NO . R r3- RESTORATION REQUIRED " C I 4- ( IJ€~ ~I ... '- ~ " ~ '- 1 ({ .; 501 ..; f~iO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other ~>Ol { o Repaired by City Work Order # 1'-I7()~-oo( [] Repaired by Permittee 0 COMPLETE o No Damage Found 0 INCOMPLETE 10 {)J(JIXG ~{;1/04 ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ORTANGELES . /( \...--. I .,.)<, I .,..-- , J (I J..,.; I WAS H I N G TON, USA r'~ November 26,2003 Kenneth M Scott 42837 McKenzIe HIghway Leaburg, Oregon 97489-9608 Re Lot sale on "1" Street Dear Mr Scott You recently sold a lot located m the vIcmity of 13th and "1" Street m Port Angeles to the Butlers They have secured a home loan through a government program sponsored through USDA. Apparently, the eXIstmg pnvate sewer lme WhICh servIces the lot to the north mterferes WIth the placement of the manufactured home on the bUIldmg lot you sold. WhIle the short plat denotes a sewer easement, the drawmg IS not accurate as to utIlIty locatIOn for thIS partIcular servIce lIne I recognIze that you know the sItuatIOn as the owner of the lot and as the ongmal applIcant for the short plat m May, 1990 My purpose m wntmg you thIS letter IS to appeal to your sense of ethICS and busmess to work WIth the Butlers' to resolve thIS Issue for your mutual benefit. WIthout such an effort, there IS the possIbilIty of complIcatIOns mvolvmg the partIes WhIch wIll likely exceed the cost of relocatmg the sewer servIce lIne m terms of costs and frustratIOn. The best solutIOn IS to abandon thIS lme and have the eXIstmg house and the proposed manufactured home connect to "1" Street VIa the publIc sewer An alternatIve IS to move the eXIstmg lme over far enough for the Butler's to place theIr new bUIldmg and connect m the sewer servIce lme leadmg to the publIc sewer connectIOn. I do not belIeve these Improvements are terribly expenSIve, espeCIally consIdenng the gam from sellmg the property The CIty does not field check pnvate servIce lInes and relIes on the profeSSIOnal drawmgs submitted by certIfied surveyors or engmeers m the short plat process We do certIfy the locatIOn of our publIc sewer lme and the locatIon of manholes In an Ideal sItuatIOn, the seller would disclose pertment mformatIOn about the lot Impactmg the transactIOn and the buyer would seek mformatIOn to assure that transactIOn met theIr needs. In thIS case, It appears the Ideal sItuatIOn did not occur I have suggested to the Butlers that they seek an adjustment m theIr USDA loan to cover thIS extra 321 EAST FIFTH STREET · POBOX 1150 · PORT ANGELES WA 98362 0217 PHONE 360-417 4500 · FAX 360-417 4509 · TTY 360-417-4645 E MAl L CITYMGR@CI PORT-ANGELES WA US CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . REQUEST Date Time Received by Tr ~\ J'31rJ S I \~~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Phone No Permit No Sewer Foundation Framing Chimney Plumbing ~ewer Excav Other rn~ Q<J ~ INSPECTION NOTES __I J 7 Inspected Date 5/ PJ/ Ot, Time if ,4/V) By 1;;<1<- Remarks OJ:. .}Pt? Akre 04 {"r~ RA1'J Re 5;4,(..1 CLl'A-,uoUr-$ D3-Q4u RESTORATION REQUIRED 5&/}~ 5...JUl-Ltf1-.. g,j I J 64 tv (J;/J;1G "Z- J J 7 10 1- YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 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 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 r YES NO FOUNDATION: FOOTINGS WALLS FOUND A TION 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 I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE 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 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\FORMS\l102.15 [11114/2003] .I:'''::t',./' 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 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 NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT II ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW /WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT II'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 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'IPLANNINGIFORMSIl102.15 [11/14/2003] , f) ~o (J) (f) I' " - I 0 N - --f q (J) rrl --" lJ : " r .... )> q N Z 0 Ol q ~.,..~ ~ 'h;;- "= ",,<:-, -c;-- ,~ ~ ~ ~ ~ 0. <:J - ~1r-~ ~ ~ ~ \V' -" ~ -::.. ~ <'"' " ~ ~ I ~ I I ~, I I 'c>. I I I I I l ~ I ' C>. ~I I I b. "- , J I :I:og 'I 0__0__ _ I'TII'TI I ~ I ro _0_:-:..____ _ _ ~ ~ , ~~~ i ~ II" ~ ~ I r;='--'--'--'-=;r,'''" . I ~ . 2:!: Ul_....___', ~1-1 : ~ I' ~ ~> I I ~;g I' r zSF 10 sao I, 8 ~ G'lCll I ,I 0\1 0' I G'l O)~ o\lG'l\l I'TIO ~ ~ I s,* S l$j,~~ JI ~8 J A I,,)> ii5~ ZSrii~ 10 I ~ r ~oo" Iti~1<l 'I n .' I 2 Q I ~ I~ ~~I ~l i 0 :!" 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OUl z"5 '?~~ \ -CUlI'TI zz>x G'lI'TlZVi --l I,,> O~~~ CO-< ' ~3:: S Z~\I !!!i!!i~ ~~ d ~ I 4 ~ 4 b ~ ~ I:> 4 41:> b t> t> t> 4 b 4 4 t> 41:> ~ t:> 4 t> ~ t>~ 4. ~ '" , r _. o I'T1 ~ - r ()J - o z C/) ~ )> b Z C/l --I ~ )> f;:; ;0 -< C/) JT1 ~ ;0 () r JT1 )> Z o C --I CfJ o ~ I'TI 3:: I\J 0 , ~ \I ~ m f;i ~ Ul Vi :!I 0 ~ I'TI Z ~ ~ ~ ~ I'TI m I'TI 1" I'TI J'T1 0 0 Z Z Z UlI\J 0 0 G'l J'T1 , Ul :::- ~ 0 ~\I Ul > ,. ... J'T1 0 \I N ~(!i 3:: J'T1 ITI ~ ~Ul z if \1:::- -l J'T1z ~ ~ -< (-/ lJ1 -i .tl,..,,:I..- "1 l ~ZJ'T1 ~m~ o::t:::l I'TImz ~!il" I'TI 4 "" t. b 4 <.\ ~ b ~ b 4 4 t. t:. b ~ ~ 4 4 t:. m\lo I I'TI:::- ...~Ul CXI -l !7~;o 000 O~z rii Ul!2 ~-lZ ~>G'l :::-Z,. ~oz " >0 I'TI~ 0!='0 '\10 ~~rii ~Z~ ~ . N e !;;! z > r-J ~~(')~'" (') [f) Z o'Od-< ~ [f) 0 ~a I"" ~ 0 -< ~(Oj~Q > n - -<5 & > ~ 1~a!Ao ri CD~ _ r:t li:::: [f) 2:z::E "'~"llCO i~ ~l!~iD CJ~ ~~ JIl l!:"'~ si~~ ~sVl8 ~~. -< g-r~~ :;:g~~ -~r1 ~ ~ ~~ ~ 1!I;:;j ~ I ~ ~ ~ o S ~ z ~ '" Z ~ i!} i ~ '" ~ ~ ~ s ~ N N lQ ;:;l '" '" ~ !Z1 .... ~ m ~ ~ ! I ~ I ~ '" g I ~ I '" '" I t '" N I N '" ~ ("j- , c ;;... ::l ~ V? rrl n --f I-----i o Z OJ J> n ^ ,., Z I-----i --f r (f) r QO Cl AJ J> t:J I-----i Z Cl 3:: o CD ~ :I: (I) !2zs J'T1~ ..........:::1 &' CDZ -<G') O~ -:1... > iI ~ 0 .....~ -<~3::-I~~ i1~~O~J'T1 OI'TlC.....:I:(I) :c2~~0~ Zb>3::5i" ~Z~OJ'T1> O-~~O~ ~)f~T:"''l> .. ~ ~.}- 5l:Zt:~Z~ ~ ~ - , -10.... O~... 0 ~~6 ~ 0J'T1- \1(1)\1 ~XZ r-J'T1 ~ >-1(1) ~~8 ~ :~~ >>~z O-:!l -I-IG') ~~r- 01\J \1M l' c:)f >~ ~ ~ ill ~ "l;:! ~ --r- --- ~~!!UN'f~______ ~ d=Ti~~Z I\J ~(I) , \I"f;; > ~- (I) ~ ~(I)~~F J'T1 1~ J'T1~CD~CD (I) ..... ~ J'T1-<r- ,.... "" ~J'T16dg G') ~ CO~ ^ ,;:0 ~~:e2~ ~ " . ZF 1fT! o -~ ~ -I J'T10 CD_rii~ ~ J'T1ZI\J (I).. :e >-1_> ~F~F ~~~> >J'T1(1) ~ OF 1 , I I ~z J'T1J'T1 (1)- -G') oz J'T1CD Zo o~ I'TI- Z " PUBILle WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT Janice Butler 1310 South" I" Street Port Angeles, W A 98360 000/600-0000 PROJECT INFO Work is: Issued: 7/28/2004 Permit No: 1409 Work Order: 0 PROPERTY LOCATION 1310lSTS Lot: Subdivision: Parcel No: Block: D Long Legal Value Work: $0.00 Plans Required: Start Date: 1 1 Finish Date: 1 1 Contractor: QWEST COMMUNICATIONS 3601000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: 161 Install D Sanitary Sewer D Mise D Repair D Storm Drain D Watermain 161 Underground Tele/Elec PROJECT NOTES palacement of 100 feet buried service wire in city right of way FEES ASSESSMENT 1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W/M Removal: $0.00 4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19:) Storm Drain: $0.00 6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00 7.) Other RIW: $0.00 21.) Sewer System Dev: $0.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: $0.00 23.) RIW Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00 11.) Other Water Service: $0.00 25.) DRA. $0.00 12.)Water System Dev: $0.00 26.) Mise: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $0.00 Receipt No: Inspection Fee: $0.00 Balance Due: $0.00 " d"'-if'l ;",,;:i'::l~:~ """:ij('" , :":'ti;~~,:~ "'1''i~'~.r'- ,'t?~11;;~J - to perform work as , ,~,;j'[';~~J =11' c-r..II# Vv10A\'1,;1\Lf~f;;{;tf~1 ~I'L. 11_ rr 'lJ )t' ~~~~~ ' " ':'<;'::~tf\/; Sf RVlc f WIt< 6 rO~; :,;,",'~~';i To I NC/..f.J OE I dO FeE. T "'(":'i\'/":;~ . . : ~' : '~.; i~:~~t~~ ,,'''.' ". . , , i{ta~fj '''''1"t''7'' ',';'?l!/.tf .'.,OJ """f'J Sewer Depamnent - Su~rintendent "'\l~~~~ A.FrelL . ", . !~''<\I . "{J';: /.' '!;C:)~:;l~\ 1'~?,'l?i"[!!;.;:4'::: d.- :; ;:':;1~~:::i~~;~ ,. ;';li;,T.:"'? ~~';''::''Ih;'.~;::~';~:~ ~~t'.:.:!.::: :r':::"~~l:r'a ~ ... ,,,,"',>,, ,o.,~,~. ..-' .i:i ,;:/~:t{;~~~~f.i . ~\.{."{ ~~1 .',' ,,;.~,:,_, :~~~~ :;~~i~! 44# JUL 27 2004 14:24 FR TRAFTON B 253 471 1324 TO 13604174709 ~'?' t@hd g)~, IUlLJC walla; Permit Tc Perfonn Work In Street lUght-<lf- APPLlCAT(ON is hereby made to the municipality of PORI' ANGELES nOTed hereon and ~s .hown on ~rrached drawing; "PLEA'5E:.. seE. AI( Actte 'D PL,fCE/'1fNI Of 8U{<IEO OuR.. CUSTOtVIG" 4T mo I ON rHE f< lG,yr- OF- tIY~'(. ~/4Dq Approved: Water Department - Superintendent o "J'UL:y ~7t> '1DOI.{ , PHON f;'2,. 5'3- ~75-0' ~~ tAX L S3 - rul-I~Z'f By FUQV4 Date Complying with all MunidpaL Ordinances; Notifying the Street Superintendent of fbe time the wor,k will star:, and when it will tiniJll:, Saving the Municipality harmless from any and all damalles which l~aY accrue to any penon or property because of this installs,ticn or the mailltenance thereof; ComplYing lh following special conditions; Date \9 k:;~ BY\. - ...- 'd'" P.02/03 ';''',,';,;;~?;!}~~ ,\., '1141..;.~,.l-"?~ , ',:. :\,,:,~:~::;';':':i{i ~:~ . :~ ;;~?~~.h!~I$ 1 ' -.\l .~. 'lr1 . .. .~J~~ service WIre -to" f- ,:",":'J};;P.~~""~ ""~~~\~i~ I:," :':::~rf:i~i1lfJ I.:i- 1!:'ftllJ ',,',\:, :",~dk~ , " .t'~a'{i:;(-' "l,I{li~j '.:' ;",,< ~f~!'I$ "", , """'1"'" . ;.:,~",~~:j,~j,j t~ .:"",.\l?.";:t;l ..n ~. '.',~\.r;;>~}~t" 1IJ ** TOTAL PAGE.03 ** JUL 27 2004 14:24 FR TRAFTON B 253 471 1324 TO 13604174708 5T~ff1" Qwest Job # ,^,00lf0Lf~(JJ~ /'1'iZC CALl-fY) I~I' h l.&.l W Ilo( ~ '" 1--1 I'1TH S7R,Hi xo---- lB )11"1 I ----r:- L .0" This request for permit is for the placement of underground telephone our customer at the following address: I~/O Sf This work will require: Trenching in the R/W (total footage) 100 Push or bore 2 inch pve or SIP under roadway (total footage) Push or bore 2 inch pve or EIP under driveway (total footage) Push or bore 2 inch pve or SIP under multiple driveways (total footage) Applicant Signature/Date ~_ '--:/ 7-Z7-tJ'l Road Number ; d l2$ o P.03/03 ^ N ',,' ,;,"\'i",/i,,:!J .>" ~v,t:l\6~ltil '"''''''''i''''''",''' '~'~:':~';~~~{(1~~~"~ I.,'-.,.;!....'(.,..~r., h"fI.1~~1~ '1;ll"\,"\fi"~ ;~~i , \<. l?..~~ ,.' '.' "i!'e:"'.j~'i.' .'~ .~);.;;, ~::fS::;:@j ",,;,:..,~..:>'1!i~'J.. . ,<~ji~i~~'~'- "",.....~.~~~ . "w:;:~,,~~~ii;'; , l''''?''''''l~ . i c,:;.x:;;:I~t~ ,,,.._J'!i-:J!'...'i,~ .:::; ~t f?tk!~ !!:~ . ;~"~~'.~:i~"". ;~'{'.~ . ,'~...~..... r.~I.!'~ . ;:',:~^~~;~h~:~J~~~i:r CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000940 Date 11/21/03 1310 S I ST 06-30-99-0-4-0220-0000- RES MANUFACTURED HOME RS7 RESDNTL SINGLE FAMILY 73741 Owner Contractor SCOTT KENNETH M BUY RITE HOMES 42837 MCKENZIE HWY 3543 W.STATE HWY 16 LEABURG OR 974899608 SEBRING FL (479) 795 Structure Information 1013SF MANUFACTURED HOME Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 73741 W 0' Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY (j\ ~ 45.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 73741 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 H \J\ "1 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 73741 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a min~mum of six inches high and be in contrast in color of there background. 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" ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 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 IPLANNlNGIFORMSIII02 15 [I ]/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number 03-00000940 Page 2 Date 11/21/03 Other Fees PW WATER SYSTEM USE FEE 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 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 \PLANNING\FORMS\1102 15 [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 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN 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 FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng 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 ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / pw/ '1- IJI-o 1 .j. ~, CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102 15 [11/14/2003]