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Home My WebLink About3130 City Lights Pl - Engineering ~\"ORT ""'" A....J...O~~~ t1ha~ '- ~ ~ "-iii-;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3- & ! 0 Application Number property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property zoning Application valuation 03-00000610 Date 10/30/03 3130 CITY LIGHTS PL 06-30-15-7-6-0030-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 172629 Owner Contractor FOSNES KENT R TERHUNE CUSTOM HOMES PO BOX 7066 POBOX 97 TACOMA WA 984060066 POULSBO WA 98370 (360) 697-7000 Structure Information NEW 2480SF SFR Construction Type TYPE V NON-RATED Occupancy Type SINGLE FAM & CONGREGATES Other struct info NUMBER OF UNITS 1 00 71?fD~ uF ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV DROP IN WATER METER 150 00 Plan Check Fee 10/30/03 Valuation 4/28/04 00 172629 Extension BASE FEE I5a 00-.... - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~_.__.- -- - -" Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 10/30/03 4/28/04 Plan Check Fee Valuation 00 172629 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 Issue Date 10/30/03 Valuation Expiration Date 4/28/04 00 172629 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP EX~_E;!J:lsio:tt . 95 00 Other Fees SEWER SYSTEM DELV CHARGE C~45 00 STATE SURCHARGE 4 50 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 1774 50 1774 50 00 00 Grand Total 2064 50 2064 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 law regulating construction or the performance of con tion. ~ Signature of Owner (if owner is builder) Date T \PLANNlNG\FORMS\ 11 02.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . REQUEST Date It>/; V 10'3 Time Received by / J/~ ~ . Location of Work to be inspected ~ L/ ~ &p t...L." Name of person requesting inspection (!. ~' ..e-X.C, Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final~ Other (phone, person) 03-&10 INSPECTION NOT~ ,;;; Inspected Date / fi :1I e Remarks Time ~'n1 , By Ad C c> "V\ P l-E> -r~ Vle.Wc.ye~"""" ( 4 * f ) t'l. It N ,~- - 'ft - 'j6' 1- - ,111 " .-- !.IFf. r- ---- I I .,. L/ I '~ I; ~ '" :3 ~ '" I j - '11\ ! In , I ~' ___.....V'I"l- A.., "- /' v>( RESTORATION REQUIRED YES NO X SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . . l/t-i JrX3 Time Received by REQUEST Plumbing --J.c::- (phone, person) II C,~_L~~, ~ ~ / FiC'cAOIt TI () n Phone No Permit No 03~/O Fin~wer ~ther Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney il/W ~ INSPECTION NOTES r/z" ! - Inspected Date 7J. 1~ Time Remarks f' (, By I I :f I " .If':' RESTORATION REQUIRED if:& YES NO r >! .. i) i I YI. +,:-r t ~ '\. 1:_, 1 1 )f ,'- - -? , , '" ;2 ;;; 6 1 I' 1\- " \1 \ --~ ..;1',- ~ -, I( 'I I, -4 !. .J (j - \ r \ \ \" SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING 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 YES NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULA TION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP 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 I YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T"\PLANNING\FORMS\1102.15 [4/2002] ,,~ORr~ S r.... ~~ ~ ""<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000610 Date 10/30/03 3130 CITY LIGHTS PL 06-30-15-7-6-0030-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 172629 Owner Contractor FOSNES KENT R TERHUNE CUSTOM HOMES PO BOX 7066 POBOX 97 TACOMA WA 984060066 POULSBO WA 98370 (360) 697-7000 Structure Information NEW 2480SF SFR Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV DROP IN WATER METER 150.00 Plan Check Fee 10/30/03 Valuation 4/28/04 .00 172629 BASE FEE Extension 150.00 oJ Qty Unit Charge Per 45.00 10/30/03 4/28/04 plan Check Fee Valuation .00 172629 -- \.)j C) () a.s:.--I- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP - 95.00 10/30/03 4/28/04 Plan Check Fee Valuation .00 172629 ct -:-to Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 ""0 T 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 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.J5 [4/2002]