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HomeMy WebLinkAbout3425 Mill Creek Ct - Engineering s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 0 3 -7 L?7 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000707 Date 7/24/03 3425 MILLCREEK CT 06-30-15-7-7-0080-0000- RES MANUFACTURED HOME 110000 OWner Contractor ------------------------ -------.---------------- BRANilT. LAVON/ RICHARD 3424'MILCRBEK COURT PORT ANGELES (360) 457-9480 WA 98362 VALLEY PROPERTIES 164HEUHSLElN RD PORT ANGELES, WA PORT ANGELES (360) 457-5518 NEW 1600 SF MANF HOME KARSTEN KMCK-60862----- TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 1 00 ---------------------------------------------------------------------------- Permit Additional desc permi t Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV DROP IN WATER METER 150 00 Plan Check Fee 7/24/03 Valuation 1/21/04 00 110000 Qty unit Charge Per Extension BASE FEE ~ ------------------------------------------------------------------~ permi t RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45 00 7/24/03 1/21/04 Plan Check Fee Valuation 00 110000 \) ~ & Qty unit Charge Per ~t . ___ 1 00 45 0000 ECH RIGHT OF WAY PERMIT " 45 oo"-~ - -- - - - - - - --- - - - - ---- - - - - - -- -- - --- -- - - - -- - - - -- -- - ---- -- -- - -- -- - - - -- -- - ........;;;o'.;;ro:.,.;;..-. permi t SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date " "- " 95 00 7/24/03 1/21/04 Plan Check Fee Valuation 00 110000 ..... .... r. ..... ~ (t r Qty unit Charge Per Extension 1 00 95 0000 BA SAN SEWER HOOKUP /" -9so:'O~ ------------------------------------------------------ ~." Other Fees SEWER SYSTEM DELV ~~;--(-- 745 O~'~~- STATE SURCHARGE -- .. 50 PW WATER SYSTEM USE FEE C~~ (" 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 1774 50 1774 50 00 00 Grand Total 2064 50 2064 50 00 00 Separate Permits are required for eiectrical 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. ~ d~ ?-0?~,.03 Signature of Owner (if owner is builder> Date T-IPLANNlNGIFORMSIJJ02_J5 [4/2oo2J f2~~ vJr "-.)()~ 9~91 APPLICATION FOR WATER City Water Department / J Port Angeles, Wash. 7/ .:::::..:41/)-,:, 1~~ I I I I " I I hereby apply for water to be furni shed in accordance with rates and rules of the City for the following premises ~ 'L ~~&U~ Name of Applicant l<.l~OlJ ~.1:a...V~ 8Y?~ ~ <l-~ Address ., 4 L.-~ ~ (!,l ~~ P A 1-Q.q 8D 4-57-Sse Renewal 0 New Service ~ Blk_ Lot1 Add YV:l.L iJa';J d. ) ..{ ~-z... /1/111.... ~r- I&:;J~ 7;'0 a Size of Service (\ /0 VV~tIl1- Meter Number c./~Y ,IS" Service Left On 0 Service Left Off~ Signed f<-PtlJ OOO~ II i Installed by Rema,k, P~-+-1r 71''7 ~ 160'!:!--r1/DZr.EE Y.v l )~ ~~~l'- ~Ilt t.J{k" L~ GO. k2 S~# '3/4 'I~I 0 w klfl- V-l ~ ::..... ~ r'\ -.... s ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT . . . REQUEST /p~oh~ , ",..r Date Time Received by - JC /" (phone, person) Location of Work to be inspected =)42.~/?J- .; -/ e.c_ ~ Name of person requesting inspection ~ S Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No 03 -7CJ7 ~ Foundation Framing Chimney Plumbing Final Sewer Excav Other ?ll~ INSPECTION NOTES Inspected Date { 0 110 { 0 7::. Remarks Time 1 ( k-f;/\. By If' /GI '-- RESTORATION REQUIRED YES NO . ... P~fe~~ '-':>b.4e"12.. r' ~ ~ ':J. VfE.'~w zPJ ~ 0~~~~ - IZ't1 ~ J J l tl~ ~ <}' 7.&; - I( , 2 t' ~I.[c- ./ ?Il" D-t"'lM I &II IS' ~ J - H~ vc.,. B SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City CJ Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)