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Home My WebLink About723 Evans Ave - Engineering .~~G S '""'c;:? CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES 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 05-00000072 Date .124288 723 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 2/15/05 RS7 RESDNTL SINGLE FAMILY 102765 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 NEW 1581SF SFR W/ATT 477SF GARAGE 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 INC WA 98362 WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2098.00 2098.00 1. 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per Exte~~ BASE FEE (145.00 '/ --------------------------------------------------------------------~=~ Permi t RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 102765 Qty Unit Charge Per Extens~~ --------~~~~-------~~~~~~~-~:~---~~~~=-~~-~~~-=~~:=----------------~~ Permit STREET ALLEY RESTORATION Additional desc Permi t Fee Issue Date Expiration Date 230.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 102765 Qty Unit Charge Per Extens~ ---------------------------------~~:~-~~~------------------------5> Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. {Ord. 14.36.050-E} 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 T:\Policies\1102.15R [1I05J ~~"" ~ ~ "<i<;d" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Pin number 05-00000072 . .124288 Page Date 2 2/15/05 ----------~----------------------------------------------------------------- special Notes and Comments when roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Builder option to install a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association{NFPA) standards. The proposal will result in the construction of a new s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 420.00 420.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 424.50 424.50 .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 fora period of 180 days after the work as commenced, orif 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 wiil 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. . Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102.15R (1/05] ~ p?~r """ -......()~"'"<<' "~. ~ -- ~1Cv-d'P CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 ()\-~ 7 2- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Appi'l"cation type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000072 Date 6/07/05 124288 723 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR owner Contractor 72-3 EVtl4t3 C~/ RS7 RESDNTL SINGLE FAMILY 102765 COZI HOMES CONSTRUCTION INC. 3':l4" EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information 000 Construction Type Occupancy Type Other struct info WA 98362 COZI HOMES CONSTRUCTION INC 324 E 9TH ST PORT ANGELES (360) 452-9906 000 NEW 1581SF SFR W/ATT 477SF GARAGE 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 WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2098.00 2098.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV DROP IN WATER METER 46367 150.00 Plan Check Fee 6/07/05 Valuation 12/04/05 .00 102765 _________~:~___~~~:_~~:rge__per__~~~~_~~~_______________________~~~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Builder option to install a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. The proposal will result in the construction of a new s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. 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 ]he work as commenced, or if required inspections have not been reques]ed wi]hin 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 ]his type of work will be complied wi]h 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:\l'olicies\1102.15R [1I05J CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 32l EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 05-00000072 Date 6/07/05 Application pin nwnber . . . 124288 ---------,------------------------------------------------------~- Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE ~ STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 1025.00- ------------------------------------------------------------ --------- ---- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total O~~er Fee Total Grand Total 150.00 ,00 2184.50 2334.50 150.00 ,00 2184.50 2334.50 ,00 ,00 ,00 ,00 ,00 ,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 Agenl Date Signature of Owner (if owner is builder) Date T:\l'olicies\J I02_15R[I/05] Q . ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. .. INSPECTION REPORT. . . . . . . . . . . ." REQUEST: Date 8 -25 - 05 Time Received by (phone. person) Location of Work to be inspected 723- Name of person requesting inspection f~ e V\ Address of person requesting inspection Type of Inspection (circle appropriate one): E i/O',"!,.$' 4 v-€- Phone No. Permit No. 05 -72- , Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other J)..., v~ UJa.V' / INSPECTION NOTES: Inspected: Date <;>, ~ Z6- 6~ Remarks: Time By f;2V f>..(Lr- +>o\A..- O~ - RESTORATION REQUiRED...... YES NO X . SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ,f""......+;..u.."'....... ...0."'......"".... ~iA^ i.J ...........................1 . ::tl ;;- '-'- ~ :J> :.:- 3:: < n , o o tv 71 '- ..", Cl ,-I , ~~-~ ,,<>" :J '" . ~..' ~ " y- " C/' , .Y Y '/ ,.", ':~ ,.' o l . . ~...~ '1J - I' (). ,.V ,\ ~:~~)11 ':, ~.' J~ \is,t'" " I Jot. \ t,)I,'-. .=-- ,.. '@, Ip.~ ~'\-,. 6' ,~ "- 00 ~ '0 '.0 ~ tv o o V> ~ :JJ h ~ l~ ...~' , r"t \ ' , " " I -I ~\ " IJ ,. I, u = ,(1 ,I ~ ," ", " , , " .' ..", po (JO " CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date Time Received by (phone. person) Location of Work to be inspected J '2"3 j-:VZ.. "=f \;;.11 06,"".5 lv-a Name of person requesting inspection k.~ "'-I'<: ~a...~ c:..o ~ (c.., ~ i ~<.'-4 So - '-f&, 0' 003r,,) Address of person requesting inspection Phone No. t..S,3- 51"1 S Type of Inspection (circle appropriate one): Permit No. ('SewVFoundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date S illJ l D'> Time 4- fi'-'\ By '8n',- Remarks: 0-Z-oS- :S:COorw 'RV I'ec/le,.} /v\'.k" ~1'-;SC6 +0 9iv'f> +kQ. <!.:ty G-<, hv..;\t {.,; L:""e ~'-Ol,,", ""a:'" ic. 727 ~vo....", Ave RESTORATION REQUIRED . . . . " YES .,/ NO ( J ) h , 13 I , ~~i I v~l--- - --, ~ . <0 <$). "" -,}-!7 In ~ l, I'- " ? ~ i2.l l 2~~ I )_ t(~ l' )~~i~j'~ ~O' I 17' '-1" J </. I 2.~' t. '/ ---.-<' /I"'~' .. , l\V '",' t:J -'I -;01 "f' ' ~ 0 ",0 " >~~,,- ,j" ?'iC- e , ~ ... "::t ~V7t--.<;,. {:;..,,-e SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved ca-&avel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE J""__...:_.._ __ ~_..____ _:..J_:.c __________, ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date '5 -((". -05 Time 7 A~V\. Received by .Ve........:., E. , (phone, person) Location of Work to be inspected 7 Z. ~ - 7 Z 7 Lv"'..... sAve,. . Name of person requesting inspection De",,,, ~'? t:... Address of person requesting inspection Ct-rf Yo..v-J. Type of Inspection (circle appropriate one): ( 7.... i$. Phone No. 'f ( I -'f.8<l~ Permit C. 04~11 Sewer Excav. Oth ~"-+€. , Sewer Foundation Framing Chimney Plumbing Final os -7L- INSPECTION NOTES: Inspected: Date -6- -I r.. -0'7 Time II It tv<. By 0-" '^ "'- ,- s E-. Remarks: '(;.'/15' +0'- -rvJo I ><- s;.-S :5en':G.~"S O~ 8'" C..qoD f!.tlc-., eKf-e",J z. ovt..e... 11v1.c.l. yJ,i!?... t;.u?...-'S 0...:::..."''5<; Eva.......S AJe. "",.J. S-e.-r "^'L.f-er hb'JCeS c-+ prof~;+' 5tJ.LJ.. t'\ll~ <<L+,-l. u),+L. Z- s....G.k c...1>.F. 0'5 - 7 2-- 7t3r:JlAn5 c:..-yOfot:; F 010~'i?Z41 1/ L/ -I t/1-'f 77/7 EV;l-f7S c. <;' /J (d7 r=' 04058 2-4 Y, RESTORATION REQUIRED . . . . .. YES 1><' NO tAJ (It... S l' ' If' l~ -:; '\I " \~ ~ ,.', (v.I .~ " v ':'..\ !;O ~ SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel ~ Asphalt D PCC D Other Work Order # .5D3-t8- C>Z.7-(3D5'l2-D'L~ -A-COMPLETE Afeo.. t"E:fcJl'-EBI D INCOMPLETE W\t~ \-1b~ M~ l i Q ;/;1/ ~-jC)- OS -\~ L'/ _ ,_t'ff/1 S _j/.J(;C I,............i............... .......n.....""L"i....... ;,f:........................\ ' 0'} ~ 't.~ <;) <:l 'l' ~ D Repaired by City D Repaired by Permittee D No Damage Found 72'S , r" p..E... 2 ~ tft.<f -l I 72-1 i. .I " 2<- x ~o . '__OU" ,..... . ....HIU.... ..,,,. .,\;c::~ Environmental Health Services 223 E. 4th "e 14 Port Angeles, ~2iO~ . vv~ISS ANAle-'iTI6\:~C 26276 Twelve-Trees Lane, Suite C PJ.ulsbci, Washington 983?9 -, 3 ::uL ~ (360) n9-6141 7/7", -7 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COP If instructions are not followed, sample will be ,"ejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH / DAY_/ YEAR ' ?D L fA /1~-IIl( - ----L. : ~ 5 r:.,:;;:::: "'''' DAM Ci'l>M ~ J TYPE OF SYSTEM IF PUBLIC SYSTEM. COMPLETE cfpUBLlC lID. No.1 I b[ s 16~ 011 CIRft"JGROUP o INDIVIDUAL (s(lrvesonlylresldence) A-/ B NAME OF SYSTEM f I f I C./ /;. 0 13'-?1 h/'J'leles SPECIFIC LOCATtt:lN WHERE SAMPLE COLLECTED TELEPHONE NO. S tft 'i- C: V /VV.5 DAY (36.0 - "'/17- i{ '55' EVENING ( ) SAMPLE COLLECTED BY: (Name) SYSTEM QWNERlMGR : (Name) /?v7! ItVdt'/<.501 8. ~e.IP. FDtZD SOURCE TYPE ROUND WATER UNDER SURFACE INFLUENCE o SURFACE 0 WELL or 0 SPRING 0 PURCHASED or 0 COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO: (Print Full Name, Address and Zip Code) P,J II J3euGR.FofZf:J p (). 8r; J! /I 5'1', ~A-"JG E:Lt- WASHINGTON?g .3 b~ TYPE OF SAMPLE (check only one in this column) o ~~~1WN~ WATER ~hlorinated (ReSidual:...a.r Tolal _Free) check treatment , 0 Filtered o Untreated or Other o REPEAT SAMPLE Previous coliform presence Lab # Date_ _ ~ o RAW SOURCE WATER Source # ~ CD ~EW CONSTRUCTION or REPAIRS o OTHER (Specify) REMARKS: o Total Coliform o Fecal Coliform , ~ ' (LAB USE ONLY) DRINKING WATER RESULTS o UNS:ATISFACTORY, Coliforms present jT;ATlSFACTORY. Coliforms abs911t REPEAT o E. C~li present o E. Coli absent SAMPLES REQUIRED o Fecal present o Fecal absent OTHER LABORATORY RESULTS TOTAL COLIFORM ~/100mJ E. COLI ~ /100 ml FECAL COLIFORM _/100m! PLATE COUNT Iml ANOTHER SAMPLE REQUIRED SAMPLE NOTTESTED BECAUSE, TEST UNSUITABLE BECAUSE: o Samples 100 old o Confluent growth o Wrong container o TNTC o Incomplete form o Turbid cullure 0 o Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LA~... jLDIGITSJ DATE. TIME RECEIVED RECEIVEjl BY I -." ./ ' ~' -' ...''-: ......:. . '\ ~ t-- 1"" 'i / ~ ......:... ' -' \ - ~{~ DATE..REPORT,ED .!;;/1.!t?1, "-1f .i_ I {r 1(........ REIoOARKS , I 05/20/2005 07:14 3505835195 BRISCO EXCAVATING PAGE 02 ~ J> .~ '" -\ -.:> " \ C\ "'" ~ \ "" 79~ 't:l.. T , ;;N1.11 1 ,5"" ~5 J. '(I tI .__.._-_._'_._-_.,,-_._---,-,-_._---_......_--,._._~-~...........- _...._'-'----'--'-_......-._---_.,...__._,,_.~~--"--~--,.,..~~ . ~o J~) ~ >~ i ~ ~---------,-,-,_.,---..-....... , i ~ .) .:.t..s '7tg { 05/20/2005 07:14 3505835195 BRISCO EXCAVATING PAGE 01 Brisco Excavating 432 Parrish rd. Sequim, W A. 9838 (360) 683-5195 Fax (360) 683-5195 Date: 6 -?'-u'-- OJ To: (~'jer Re: (:U J1 AJS ST : ~~"'/Vj.l ~ Number of pages including this one: "2- Notes: w~>Vs ,r1.r;. j,'A' LI- hr Co2: $",)., /'I,r//V; ~r?_ v /./0...... <<r 477 ~<1 '21 ( "L Please call us if there were any problems with this transmission. <:1"!k.. .~ ~,." lb -- 'l.iii:1C~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000072 Date .124288 723 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 2/15/05 o s- 72- RS7 RESDNTL SINGLE FAMILY 102765 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 NEW 1581SF SFR W/ATT 477SF GARAGE 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 29.90 INC. INC WA 98362 WA 98362 V-N 1. 00 1. 00 7000.00 2098.00 2098.00 1. 00 permi t . . . . Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per ~xte . BASE FEE 145.00 . ---------------------------------------------------------------- --------- - Permit . . . . . . RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 102765 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 STREET ALLEY RESTORATION Plan Check Fee Valuation .00 102765 230.00 2/15/05 8/14/05 Qty Unit Charge Per BASE FEE Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) 7Z~EVMlS Lo~/ f-Jo y-ye ~ .o~. ~; 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 Date Signature of Owner (if owner is builder) T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRJVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\ II 02.15R [1/05] ti u,.~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000072 pin number . . .124288 Page Date 2 2/15/05 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Builder option to install a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC} and National Fire Protection Association (NFPA) standards. The proposal will result in the construction of a new s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 420.00 420.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 424.50 424.50 .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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRJVEW A Y APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\ 11 02.15R [1/05] lcash Adjustment Cashier info Payment Type L K Check # i '-{50 Y 2-) 5'- c5 Receipt # (j C; - TZ- I fo~o y JL 3,5" 00 Application # Refund Amount 07 0<:.) 55 iYSUO cQ 2;S6 - ":06 ~76 . -r:o-so4 \ ~ r .~ 'C-l'O D5 .-?_sl- ::> ~y SAP Fee Type Amount Paid Adjustment Posted Fee _. 3750<::-1 New Fee ~ Signature 1~''LM. V~ CiJec..k -lb : Go -Z / I-IOvt/1.eS,. f'or- 723. ~ vo..VL.S Ave, ... d'ORT~ @ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 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 05-00000072 Date .124288 723 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 2/15/05 RS7 RESDNTL SINGLE FAMILY 102765 Owner Contractor COZI HOMES CONSTRUCTION 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information Construction Type Occupancy Type Other struct info INC. COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452-9906 NEW 1581SF SFR W/ATT 477SF GARAGE 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 INC WA 98362 WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2098.00 2098.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per E~. BASE FEE ( 145.00 ) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .,;~=,=-=-=-...-/ permi t . . . . RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 102765 -------_:~~~---~~~:~~~~~~~-~~;:_-~=~~=-~~-~~=-~~~==--------------~~~~ Permit STREET ALLEY RESTORATION Additional desc Permit Fee Issue Date Expiration Date 230.00 2/15/05 8/14/05 Plan Check Fee Valuation .00 102765 ---------~:~---~~~:_::::~:__:::_-~~:~-~~~------------------------~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) 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. x Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] - ,'ORT~ S ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000072 pin number . . . . . . .124288 Page Date 2 2/15/05 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Builder option to install a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC} and National Fire Protection Association (NFPA) standards. The proposal will result in the construction of a new s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 420.00 420.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 424.50 424.50 .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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [I/05J PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 PW UTILITIES (Engineering Division> WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRJVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000072 Date 124288 723 EVANS AVE 06-30-00-8-5-0215-0000- RES NEW SFR 6/07/05 RS7 RESDNTL SINGLE FAMILY 102765 Owner Contractor COZI HOMES CONSTRUCTION INC. 324 EAST 9TH ST PORT ANGELES (360) 452-9906 Structure Information 000 Construction Type Occupancy Type Other struct info WA 98362 COZI HOMES CONSTRUCTION INC 324 E 9TH ST PORT ANGELES (360) 452-9906 000 NEW 1581SF SFR W/ATT 477SF GARAGE 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 WA 98362 29.90 V-N 1. 00 1. 00 7000.00 2098.00 2098.00 1. 00 ~ y ~~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV DROP IN WATER METER 46367 150.00 Plan Check Fee 6/07/05 Valuation 12/04/05 .00 102765 \0 C; p ;S (f\ BASE FEE Extension 150.00 Qty Unit Charge Per Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Builder option to install a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. The proposal will result in the construction of a new s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ~ c::::.. f 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. -J. -:::r-.bY' ~3~ A Signature of Contractor or uthonzed Agent Date Date Signature of Owner (if owner is builder) T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 lOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKJNG SIDEW ALK CURB & GUTTER DRIVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W,; PW; CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW I ENG1NEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4] 7-4815 BUILDING T:\PoIicies\1102.15R [l/05J ~ pORT % $..4..0~~~ ~ '''-~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000072 Application pin number 124288 Page Date 2 6/07/05 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 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 2334.50 2334.50 .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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [11051 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SlDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPolicies\1102,15R [1/05]