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Home My WebLink About1701 S O St - Engineering ," ).r:/POR'........ ....J,,~% <J~~ ~~ ~ 'ii.C';;j/' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 Application Number pin nwnber Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . Application valuation 04-00000101 Date .486634 1701 S 0 ST 06-30-01-5-5-0040-0000- RES NEW SFR 4/09/04 II /70) $-t; {J / RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor PAULSEN, SHAWN 1214 COLUMBIA ST PORT ANGELES (360) 452-5203 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1199 SF SFR WIATT 524 SF TYPE V NON-RATED SINGLE PAM & CONGREGATES TOTAL \ LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1723.00 1723.00 1. 00 ~ Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 plan Check Fee .00 Issue Date 4/09/04 Valuation 69610 Expiration Date 10/06/04 Qty Unit Charge Per 1.00 670.0000 EA PW W/M SFR 3/4" ~ensi"on~, , 670.00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 4/09/04 10/06/04 Plan Check Fee valuation .00 69610 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 .00 Issue Date 4/09/04 Valuation 69610 Expiration Date 10/06/04 Qty Unit Charge Per EX~ _____;~~~~~~-~~~~~-~~~O~~~~~~~--:~-:~~ER-~~~~~~-------___________~ The site is located within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure improvements for the subdivision are Separate Permits are required forelectricai 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 construe ion. Signature of Owner (if owner is builder) Date T:\PLANNING\FORM$\1102.15 [11/1412003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number 04-00000101 .486634 Page Date 2 4(09(04 Special Notes and Comments installed and approved. 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 wells or piped to approved storm drain locations. -----~~~~~-;~~;--~-----~-~-~-~-~-~--~;~;;-~~~;;~-~;~;-~~~;---~~- STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 025.00 Fee summary Charged Paid Credlted Permit Fee Total Plan Check Total Other Fee Total Grand Total 810.00 .00 1774.50 2584.50 810.00 .00 1774.50 2584.50 .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. Ail provisions of laws and ordinances governing this type of work wiil be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate 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.IS (11/1412003) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 'I ~ I "t ~o '-f .-... ., Time 7: ObA"'1. Received by DV'LI/l;5.E (phone, person) ~ It (/ L Ii Location of Work to be inspected I 70 / J <> 0 0 -t , Name of person requesting inspection Del/ll/l (s E- Address of person requesting inspection Lorv? y<^.-,J Phone No. Y/7 - '-f'?~'1 Type of Inspection (circle appropriate one): ( Permit No. 04--:. /jJ ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~o....+e C _ ()~ 3007 SSD::J<j. D-{JOOO INSPECTION NOTES: Inspected: Date 4-1'"1-0c.f Time / ( ,"t)O 11M, By DtnVtlS ~- Remarks: (" 7c....-? +~<d(:"'j Z_3/(/';1{~fe,- ~"\.h~e.<; I c- 'gO 5U F /!l23 7/71 RESTORATION REQUiRED...... YES NO )( ~ Q VI ~ N ~ -J ~"'- "'- .u %~ 11""'- ~\) l.r) '00 t.V - I gt~ .s.t_ rn..alJJ& ~ ~ ~Nde'~'~' ;/, p.,,~ ~ ~ I~'~}. /.. u.u-4 i:tJNI W-u-J 1M- A+S/P~~ A.lkufxJ~- . Q :; SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved ~Gravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # ""70') -OLl{ o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 04-00000101 .486634 Page Date 2 4/09/04 Qty Unit Charge Per 20.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 140.00 Special Notes and Comments The site is located within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure improvements for the subdivision are installed and approved. . 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. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 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 1015.25 1015.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2789.75 2789.75 .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:IPLANNINGIFORMSI1102.15 [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 I YES I NO FOUNDATION: FOOTINGS d - / '1-.tJ;i J. J., WALLS /..J -r.i.7 -eil-j J, ).... FOUNDATION DRAINAGE/DOWN SPOUTS ~-It -01..-/ (J\/ ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING Pi Vt-"l. FINAL 1.1- 2[;'"- (-'6 J i. i. A'F UNDER FLOOR 1 SLAB ROUGH-IN R - JR-(')Jl HL WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS Ilf-/Q--O.t../ j, L I CEILING r I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS q . '\('; LI i ) .I WALLS 1 ROOF 1 CEILING "j - /;;-'1....[ I.L. DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL H ~Gtt. 4-2S--06 JLi. ilP HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL . LIGHT DEPT. 417-4735 ;,1 ,'J-1-'-0 j" lku ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1Jj-~s--05 .jt,.( BUILDING T:IPLANNINGIFORMS\1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000101 Date .486634 1701 S 0 ST 06-30-01-5-5-0040-0000- RES NEW SFR 4/09/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor PAULSEN, SHAWN 1214 COLUMBIA ST PORT ANGELES (360) 452-5203 Structure Information Construction Type occupancy Type Other struct info OWNER WA 98362 NEW 1199 SF SFR W/ATT 524 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1723.00 1723.00 1. 00 ~ C') -... Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 .00 69610 {j) o Qty 1. 00 Unit Charge Per 670.0000 EA PW W/M SFR 3/4" Extension 670.00 ,.. Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY a 45.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 69610 ~ Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 CP ">J Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 .00 69610 Qty 1. 00 Unit Charge Per 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments The site is located within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure improvements for the subdivision are 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:IPLANNINGIFORMSII 102.15 [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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN 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 DR YW ALL (INTERlOR 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 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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 I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSI1102.15 [11/14/20031 - ~\,... "~ $4.0~~~ R!ii 'L ~ ~ "'-ii~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 04-00000101 Pin number . . . . . . .486634 Page Date 2 4/09/04 Special Notes and Comments installed and approved. 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. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 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 810.00 810.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2584.50 2584.50 .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 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. 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:IPLANNINGIFORMSI1102.15 [11114/2003]