HomeMy WebLinkAbout1211 Spruce St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
STOUT KARIN
1527 DEER PARK RD
PORT ANGELES WA 98362
(360) 457 1839
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T• \Policies \1102.15R [1/05]
RIGHT OF
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
SEWER CONNECTION
65557
50 00
11/17/05
5/16/06
50 00
00
50 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00001137
353859
1211 SPRUCE ST
06 -30 08 5 5 0596 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
////7/0
ALDERGROVE CONSTRUCTION
1705 WEST 12TH STREET
PORT ANGELES WA 98363
(360) 457 2067
SEWER CONNECTION
WAY
ON FAIRMOUNT
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required Contractor to complete all street
restoration
Paid Credited
50 00
00
50 00
00
00
00
Date 11/17/05
Due
00
00
00
00
0
Extension
50 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 ontractor or Authorized Agent bate Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R 1/05]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Temporary Road Closure
1 Conditions represented are for work that requires closings during daytime
hours only
2. This application is intended for a planned temporary closing not to exceed
15 -20 minutes.
3. The flaggers shall stop the first vehicle from the position shown, then move
to the centerline to stop approaching traffic.
Z F L 4144:EI
ki on F.1 -r E
�-t -450'7 T
ROERw S■DES
'TO 1\CCo MMO�F
112iNat tCCrZOSS
Rolt0 w�-Y
L.S
1opt WDl.k A D
—roSTED on. e W
5 rod's of 5 P ruC
S -a
2S (in feet)
A
Nici t ,���PottC e
and- k Y'
(AL Figure TA -13. Temporary road closure.
viStflh
D
1 FaVor uKT
ofrORT......
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
0::)- 701
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000709 Date
832688
1211 SPRUCE ST
06-30-08-5-5-0596-0000-
PUBLIC WORKS UTI LITES
8/03/05
Owner
Contractor
/21/ ~)?f,
r~~
RS7 RESDNTL SINGLE FAMILY
o
STOUT, KARIN
1527 DEER PARK RD.
PORT ANGELES
(360) 457-1839
WA 98362
CMU CONSTRUCTION
1695 S. BAGLEY CREEK
PORT ANGELES WA 98362
(360) 452-1771
Permit . . . .. PUBLIC WORKS RES WATER SERV
Additional desc .
Permit pin number 56580
Permit Fee 715.00 Plan Check Fee . . .00
Issue ..{)ate 8/03/05 Valuation 0
Exp1ration Date . 1/30/06
________=~~~___~~~~=~~~~~~_~;::__~~_~~~_=:_:~~~~:_~~:~~_____~t~;~~
Permit
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
56598
110.00
8/03/05
1/30/06
plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
---------------------------------------------------------------- --
_____~:~:r_F:::__:_:_:_:_:_:_:_:_:__~~~~;:;~~~;~:~~~~:~~;~~lt~;:~_
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 825.00 825.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1770.00 1770.00 .00 .00
Grand Total 2595.00 2595.00 .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 requesled 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_15 building permit inspection rccord05.wpd [1/4n005}
,~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date & - '7 ~ 0 ",)
Time
7' Avo.{
Received by Oei/l"~; <j E (phone, person)
Location of Work to be inspected /7- ( l W, 5tJ rveL
De . r-'
Name of person requesting inspection J'l vi { .s L,
Address of person requesting inspection Lor tJ 'fc<-r i
,
Type of Inspection (circle appropriate one):
;':)-;-,
Sewer Foundation Framing Chimney Plumbing Final
/7 Cj- 6 Phone No, iff 7 A{>Jtf'1.
Permit N~[)f
Sewer Excav, Othe W4.-+e. r ')
INSPECTION NOTES:
Inspected: Date g -'1 -0':)
Remarks: -r;. () z.'" (J.I/ L ,
I , I
Time
e ,c+e ><.6
it AM
'I ~
( _E. _
By
To
!)e.,,,'I"S L ,
14L+e.r xtf<..-
7.4 '
z.. .
c... q7g
? 04"36 7 ~Z;O
I
RESTORATION REQUiRED...... YES
NO X
~ ~
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2" P.v,t:.. 5 { Oe~" ~-. 't'
~ I . 0
/82 >I 1-
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # '3031./ '0 - () go
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~..... ...---
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
.
REQUEST:
Date 11-,;2"3 -0<:;
Time
Received by
IF
(phone. person)
Location of Work to be inspected I':) 1/ :::., () ru",. F S +- - Fa;,/' W1 (')(A" Ii- S+.e-ect- 005'5 ;,,"C
.. . ^t' I "" I ~ e.OV\v\€Ll-io"", I
Name of person requesting inspection I-+- Q ~...... ~ /'0 v e.... '--CJ"-'-r- '
Address of person requesting inspection Phone No. 7. 07
Type of Inspection (circle appropriate one): Permit No. (')!=; - '~
Sewer Foundation Framing Chimney Plumbing Final ~er EX~ Other
INSPECTION NOTES: _______
Inspected: Datel::J -1- O~ Time 1 ~ 30 pff7 By ~ L
Remarks: r',()Ylfro<:w,.-- rv1 ",..le s +r..e+- CIbSSi "J..!:><>- If -;;I',. ;l1sh,/f...d i'll"7fi;cJ~ 30 '/oro'}
cc ".r- ,rQ4d <<.JA ,... N I - t J.!",~ ;;;2 /. /-/ OPE Se"<J"'~ ,.,,5$ ,. , .'"
'I"s..j",II...d ~",-;:Je d/'o _ TI--e :J"NOPE. '5 "/,;)" "" a.veL' ~-t,"~"'51-0.E /'
+Le e o.(2-l-l..". ,ro<;, . 'Tk<.. roc..d.U..M '~!JO'5c;,;V\ /5 'IS "sou/A oj}.
-I- Jt e 1Y1-I.
RESTORATION REQUIRED . . . . .. YES
NO 'X
5 F:t;. AUI4e..l,-~_-l-.
'fo..:.......""^'CJv'-~\- )':\UL E-/'os<;'" uJ.A-'S p"^",,,,J, 0,,-> 1;l-5 b1 \.t>-I<cs,'j.".~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
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)
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