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HomeMy WebLinkAbout1724 S O St - Engineering f pORT "'-'\.: $~O~~~ ,. -- ~ ~ 'l.tii:~ 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 04-00000103 Date .813102 1724 S 0 ST 06-30-00-4-4-0270-0000- RES NEW SFR 4/09/04 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info 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 22.90 V-N 1. 00 1.00 7500.00 1723.00 1723.00 1. 00 ~ ~ ..:t._ 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 Extension 1. 00 670.0000 EA PW W/M SFR 3/4" 670.00 ~ Permit Additional. desc Permit Fee Issue Date Expiration Date RIGHT OF WAY R/W & SIDEWALK 45.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 69610 ~ ~ Qty 1. 00 Unit Charge Per 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 fj) ~ permi t SANITARY SEWER HOOK UP Additional desc permi t 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 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGlFORMS\1102.15 [11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 4] 7-4815 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION 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 FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARK1NG/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] ~.~T",-\: $~O~~~ ". -- ~ ~ 'l.tii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000103 pin number . . .813102 Page Date 2 4/09/04 Special Notes and Comments installed and approved. Electrical load calculations and elctrical permits are required. Electrical load calculations and elctrical permits are required. 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 permitbecomes 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:IPLANNINGIFORMSII102.15 [11/14/2003] BillLDING 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 FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES I 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/ "t). - ,1Jo.<J::>- If CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSI1102.15 [11/14/2003] c!PORr""", ~4.~~("" C,.~. L~ ~ 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 04-00000103 Date .813102 1724 S 0 ST 06-30-00-4-4-0270-0000- RES NEW SFR 4/09/04 M-j 03 /724 5 (;# RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type occupancy Type Other struct info NEW 1199 SF SFR WiATT 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 22.90 V-N 1. 00 1. 00 7500.00 1723.00 1723.00 1. 00 Permit Additional Permit Fee Issue Date Expiration Qty Um.t Charge Per ~n3l.-~ "") 1.00 670.0000 EA PW W/M SFR 3/4" (__:70.~ ------------------------------------------------------------------ --- -- Permi t RIGHT OF WAY Additional desc R/w & SIDEWALK Permit Fee 45.00 Plan Check Fee .00 Issue Date 4/09/04 Valuation 69610 Expiration Date 10/06/04 Qty Unit Charge Per ~ 1.00 45.0000 ECH RIGHT OF WAY PERMIT 4.5.00 ------------------------------------------------------------------ ------- permi t SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 69610 ________=~~~___~~~::~h~~~~_~;::__:~_::~:~_HOOK~~_____________~ Special Notes and Comments The site is 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 iocal iaw regulating construction or the performance of constru ion. V"'- Y zed Agent Signature of Owner (if owner is builder) Date T:\PLANNmG\FORM$\II02.15 [11/14n003] .....r:1r.OAr......% il-~~ ".~ . -- "'<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000103 pin number . . .813102 Page Date 2 4/09/04 Special Notes and Comments installed and approved. Electrical load calculations and elctrical permits are required. Electrical load calculations and elctrical permits are required. ----------------------------------------------------------------~-- -----Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE l 745.~ STATE SURCHARGE ~~ PW WATER SYSTEM USE FEE ~ 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 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 iaw 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] "" . ' ,,':4, .. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 7- 3D -Dy Time &:>0 If Lvt. Received by D.et{Yll''', If: (phone. person) Location of Work to be inspected (7 24 ~,'<O ,'C Name of person requesting inspection De vlVl14 E.... Address of person requesting inspection ~rf t(c...""J Type of Inspection (circle appropriate one): s.:e: , Phone No, tft7-'-/(f\-I'i permit~ Sewer Excav, Ot r uJ""..fe. r- ) Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date '7 - '5 D - D<f Time Remarks: /Je<.J I K ~ -5enJi c...~ , I 2-', 3-D PM By 0<-"" "'-:., E.. , -fa.P,^.e.J.. oJ;(.ti Q.v< 8tr A-c, PL<-o..; V\. c. /OWr r- 01 a.~ 75"?'l RESTORATION REQUIRED. . . . .. YES X NO Q;J;" I 11 0 'I' , .E /33 ~ \. g-t4.. ~ '- 0. ~ I - -- , , , ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City [] Repaired by Permittee o No Damage Found ,\"",,1 " r-' u ~ b ---&x-, - o Asphalt 0 PCC 0 Other C:::OYt.L.,ett:. S' /({J e.<JC\.1 k Work Order # 1c.f7o~ - 0">7 11 COMPLETE "tJar LGoM.t'~eted. o INCOMPLETE b- \1 ~ GL\ ~ ~ rJ!rfJP) J7/~/o1TF (Continue on reverse side if necessary) . STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . REQUEST: Date ./ 1,-/1/(}':> 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 2-4 :s ~.l~~ ~~^ I I 1/ II () yf. -~ Phone NoH77-/"2A'5 Permit No. 04 -103" Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ./ ~ ./ 1/0 ':> Time q'" o IC-- By 1r Inspected: Date Remarks: RESTORATION REQUiRED...... YES NO~ - rvlc,.. \^' Ig~ ~o 110" SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC 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) PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLlCANT Issued: 12/27/2004 Permit No: Work Order: 1424 o PROPERTY lOCATION 1724 0 ST S lot: 27 Block: 2 Subdivision: Eagles lair Parcel No: 063000440270000 ~ Long legal 000/000-0000 PROJECT INFO Work is: Value Work: $0.00 Plans Required: Start Date: 1 1 Finish Date: 1 1 Contractor: QWEST COMMUNICATIONS 360/000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: [:><J Install D Sanitary Sewer D Mise D Repair D Storm Drain D Watermain [:><J Underground Tele/Elec PROJECT NOTES place bsw in r/w 70' along "0" St FEES ASSESSMENT 1.) RIW Excav: $45.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $70.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $145.00 17.) Sew Capl W/M Removal: $260.00 4.) Driveway: $145.00 18.) Alter Repair Sewer: $35.00 5.) Dwy Culvert: $45.00 19.) Storm Drain: $145.00 6.) Street Cut: $230.00 20.) Catch Basin per ea: $45.00 7.) Other RIW: $45.00 21.) Sewer System Dev: $745.00 8.) Fire Hydrant: $3,600.00 22.) Milwaukee Dr. Sew Ass: $240.00 9.) Res Water Serv: 5/8" $640.00 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: $1,025.00 26.) Mise: $0.00 13.) San Sewer SFR: $95.00 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: $7,555.00 DEe 23 2004 10:10 FR TRAFTON B 253 471 1324 TO 13604174542 .-~ ~~,t@1;ed g)~ ~W!llIIICII t 0 Perform Work 1n Street Rj;!lt~r.Way . ~.'.\ .-; :....,:;r:;r ~~(fj-/dh21t.j ,4S.Z~) . .'.r. .'>,:t:3~~ ....:...:. ;:~~ nored hereon and lIS Ahow" on ~IIBC .de 10' he municillality of PCin' ~"'i to perfolm work AI . , PUA'5E. -:PLA<:..G B:S\N I --na.eptla N E" %: l72.4 0 s Approved: cd d.awing; A1'CAC#eh Ro.W to' .5~:It# -r:D pt20VjD~ 0..YsTofVl t::'!?rLe --I I c.e; -r.b 00 q:;z p~~ I <l1Of Water neputJlleftt - Superintel\dent ~ DeparGNl1lt .-;.,SU~8l\t ,', The estimated time (oT'completion ftlle'above wort Is ID 1:JA'/S M::teR... Pale \2 - 2..~ -c:>y ~AX L~j-q7l-/3Z'f By Ryan M. Fuqua Contractor >< OWllef THE ABOVE APPLICATION IS HBEaY GaANTED SUBJECT TO AlPl.ICAm"S: P.01 Complying with all Municipt :O,rdinaI\CeJ; Notifying tbe Street Superin ndent ,of tile time the work will star; and when It WiU 'lIrIlah;' Pnuecuting the work wilb 4i . ce lind with due respecI tQ III propCITC)', CQntra..u. 1Ieno.... righu alld lne interests end venlence of the public; SaYing the "funicipaJlly be en from any and all damaloa which III&Y accrue to allY pcncln' " or 1>>O\)llrty beClluse of thit i' ~ta11ation or the maintenance thereof; Complying with foUowinl1 Dale 1~/~1-l) - ... ._,. a~~ BY L~ Uu 4' ,,'