HomeMy WebLinkAbout529 W 12th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 51H STREET, PORT ANGELES, W A 98362
0&- 3 <69
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . .
Application valuation
06-00000389 Date 11/27/06
288300
529 W 12TH ST
06-30-00-0-3~4860-0000-
JEFF BENNETT
RES MANUFACTURED HOME
jzq fU/2~
RS7 RESDNTL SINGLE FAMILY
10000
Owner
Contractor
J6~
JEFF BENNETT
665 DRYKE ROAD
SEQUIM, WA
SEQUIM
(360) 683-2477
Other struct info
OWNER
WA 98382
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
16.30
1. 00
7000.00
1144.00
1144.00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
76695
110.00
5/11/06
1/21/07
Plan Check Fee
valuation
.00
10000
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
E0n7'.^lL.~
. 110.00
Special Notes and Comments
Electrical load calculations and elctrical permits are.
required.
No electrical connection fee for new manufactured home
because there was a previous electrical service.
05/02/2006 01:30 PM GMCLAIN ----------------------------
Sanitary sewer connection will be reconnected at property
line at alley an inspection .is required by Public Works
prior to back fill of ditch. 24 hour advance notice is
required.
Water meter requires an inspection by the Water Dept.prior
to making building water service connection.
Fee summary Charged Paid Credited Due
----------------- ~--------- -------~-- -~-------- ----------
Permit Fee Total 110.00 110.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.00 110.00 .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. .
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T;\Policies\l I02.ISR [1105]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . .
REQUEST:
Date /1- z,z -- o~
Time
Received by
rF-
(phone, person)
Location of Work to be inspected "72 c;1 Jt/ /2 ?Q
Name of person requesting inspection '- [,'/" ~~/H/.Lf ~
/p
Address of person requesting inspection Phone No. 8'~?tb~
Type of Inspection (circle appropriate one): Permit No. 06- 3 ~9
Sewer Foundation Framing Chimney Plumbieewer Excav. Other
INSPECTION NOTES: )2-'5-0(;
Inspected: Date // Z7-0r> Time
Remarks: No I..5oec,f:OVl ~"" S.....ue....- <,"'",,,,e<:.1:oV\
J]ty we..lI<; .
By 'i<v
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RESTORATION REQUiRED...... YES
NO ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City.
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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