HomeMy WebLinkAbout3419 Mill Creek Ct - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 D :5 ----15 ( ~
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application description
Property Zoning
Application valuation
03-00000450 Date
3419 MILLCREEK CT
0630157700700000
DEBBIE RUTHERFORD
PUBLIC WORKS UTILITES
5/07/03
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Owner
Contractor
LOEWEN JACK HAROLD
1021 W SPRUCE ST
SEQUIM WA 983824000
HANNA CONSTRUCTION
332 GROUSE DR
PORT ANGELES WA 98362
(360) 452-1572
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Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 150 00 Plan Check Fee 00
Issue Date 5/07/03 Valuation 0
Expiration Date n/03/03
Qty Unit Charge Per Extension
BASE FEE 150 00
00 640 0000 EA PW W/M SFR 5/8" 00
Qty Unit Charge Per ~xten .
1 00 45 0000 ECH RIGHT OF WAY PERMIT 45 00
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Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
95 00
5/07/03
n/03/03
Plan Check Fee
Valuation
00
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
45 00
5/07/03
n/03/03
Plan Check Fee
Valuation
00
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Q'y Un" Charge Per G~
1 00 95 0000 EA SAN SEWER HOOKUP 95 .(0) ~
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Other Fees SEWER SYSTEM DELV CHARGE 7
PW WATER SYSTEM USE FEE 1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 290 00 290 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1770 00 1770 00 00 00
Grand Total 2060 00 2060 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.
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/____.~ -C:=. 5/ 7~5
Sig~ature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
T.\PLANNINGIFORMSIII02.15 [4/2002]
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APPLICATION FOR WATER
City Water Department ,5/ ~ << ~ ~ ___
Port Angeles, Wash. /2- LIt//-", 17_
I hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premises ~/7--t;'Z74 ~ CDn{V'Ct.cd<ry-
Nalll.e of Applicant-=:be.hb Je~~ I-la.hV"\tl &~;r'
~82- I-Ie.~ 1
Address ~1-1::l Mil \ C\::. 0T ~~Z-l~/'2-
Renewal 0 New Serviceg- Blk_ Lot+ Add ~ I Ll. c.~ CO\J...V'T
1/ S!.?d' '"j -r r '9.3
Size of Service / X 7% . r/JPJM Meter Number f4Ct' I~" 3~C'C
If. t".q f/ IIV (; 0(/(7 u:::t>
Service Left On D Service Left Off D Signed~
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Installed by
Remarks ~VYJ-tll #- .Q--,
$ J50~ dr~plh + {I02~O
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BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
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.
P ARKING/LlGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
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 [4/2002]