HomeMy WebLinkAbout3713 Mt Angeles Rd - Engineering
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
03- 101 J
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
03-00001011 Date
3713 S MT ANGELES RD
06-30-14-3-1-9110-0000-
RES NEW SFR
1/16/04
CORN JOE B
1317 E 7TH ST
PORT ANGELES
WA 983626605
CHILDERS/BUKOVNIK
13 VALHALLAS
PORT ANGELES
(360) 457-6547
2402SF SFR W/ATTACHED 993SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL t LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
r
/I)~
'11
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
170586
OWner
Contractor
Structure Information
Construction Type
Occupancy Type
Other struct info
10 20
V-N
1 00
1 00
36633 96
3769 00
3769 00
1 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
~
1 16 04
7/14/04
Plan Check Fee
Valuation
00
170586
Qty Unit Charge Per Extension
------~::~~~-------~=-~~~~-~~~---~:~~=-~~-~~=-~~~:=---------------~
Pel;init
1\dditional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
95 00
1/16/04
7/14/04
Plan Check Fee
Valuation
00
170586
--------~:~~---~~~:=~~~~~~-~::__:~_:~~~-~~~~~-----------------~~~~~~
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
The home is being located in an area with deficient
fireflow The home will be required to be equipped with a
residential fire sprinkler system meeting the requirements
of NFPA 13D
-----~~~~~-;~~~---------------------~~~;-~~~~~:~;-~~~~--~4~ ~--
/;u tJiJ;& ~ PIA.]::)
Fee summary Charged
Paid Credited Due
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'\PLANNrNG\FORMS\1102.15 [11114/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 03-00001011 Date 1/16/04
Permit Fee Total 140 00 140 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 749 50 749 50 00 00
Grand Total 889 50 889 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
TWLANNrNG\FORMS\1102.15 [11114/2003]
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)
?>'7 J?7 f}(t U11J:d<.ftj a
(!AA_,[l h~/ ej&tL/~~.4- /
Phone No
Permit No D ~-l /J ) I
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES-
Inspected Date \D r....t; 0::f
Remarks
Time
2e:D
~
By JC';y E~nd-
RESTORATION REQUIRED
YES
NO
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V'"""" e'"
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It
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt 0 PCC
o Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEfDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
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
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
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
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 \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 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 DRAINAGEfDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD I 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/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 \PLANNING\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
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
170586
f=1WA~~D
5/&/Cq3
~
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--
~
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00001011 Date
3713 S MT ANGELES RD
06-30-14-3-1-9110-0000-
RES NEW SFR
1/16/04
--...
--
Owner
Contractor
CORN JOE B
1317 E 7TH ST
PORT ANGELES
WA 983626605
CHILDERS/BUKOVNIK
13 VALHALLAS
PORT ANGELES
(360) 457-6547
2402SF SFR W/ATTACHED 993SF GARAGE
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
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
---
10.20
V-N
1. 00
1. 00
36633.96
3769.00
3769.00
1.00
45.00
1/16/04
7/14/04
Plan Check Fee
Valuation
.00
170586
W
-J
-
VJ
~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
95.00
1/16/04
7/14/04
Plan Check Fee
Valuation
.00
170586
IC:'
~
~
~
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J
e-
~
1.J
~
Permit
Additional desc
permi t Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
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.
The home is being located in an area with deficient
fireflow. The home will be required to be equipped with a
residential fire sprinkler system meeting the requirements
of NFPA 13D.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
Fee summary Charged
Paid
Credited
Due
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 penod of 180 days atter 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 authonty to violate or cancel the provisions of any state or local law regulating construction or the performance of
constrl,lctiQQ,
J:..A. ,-1.__
Viii/tit
Signatu-rof Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T'\PLANNINGIFORMS\1102.15 [11/14/2003]
4.0'( VORT ~G~
8~('~
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"-~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
140.00
.00
749.50
889.50
03-00001011
140.00
.00
749.50
889.50
Page
Date
2
1/16/04
.00
.00
.00
.00
.00
.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 Owner (if owner IS builder)
Date
Signature of Contractor or Authorized Agent
Date
T IPLANNINGIFORMSIlI02.15 [11/14/2003]