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Home My WebLink About1709 S O St - Engineering dP"'~T"",!\<: l~~ n:ii ... -- ""<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISIONj 321 EAST 5TH STREET, PORT ANGELES, WA98362 tJLJ-4. Application Number pin nwnber Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use Property zoning . Application valuation 04-00000098 Date .996932 1709 S 0 ST 06-30-01-5-5-0030-0000- RES NEW SFR 4/09/04 1/ /~f{)'1 So /~()1 ./ RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71523 Owner Contractor ~ HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 Plan Check Fee .00 Issue Date 4/09/04 Valuation 71523 Expiration Date 10/06/04 Qty Unit Charge Per Extension 1. 00 670.0000 EA PW W/M SFR 3/4" 670.00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 4/09/04 10/06/04 Plan Check Fee valuation .00 71523 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 .00 Issue Date 4/09/04 Valuation 71523 Expiration Date 10/06/04 Qty Unit Charge Per Extension 1. 00 95.0000 EA SAN SEWER HOOKUP 95.00 Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until required infrastructure for the subdivision is improved and 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or ifrequired 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. fivL&( " Signature of Owner (if owner is builder) Date T:\PLANNI!\:G\FORMS\1102.15 fl1/14/2003] rfi,..~T~ l~'\o~ ~ ~ ~- ^".~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32t EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000098 pin number . . .996932 page 2 Date 4/09/04 special Notes and Comments installed. Electrical load calculations and elctrical permits are required. 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 810.00 810.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2584.50 2584.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, uIilities, 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:\PLANNING\FORMS\1102.15 [] ]/14/2003) .cjr rK.e5 APPLICATION FOR WATER City Water Department Port Angeles, Wosh. 1- If)- ~~ ,- I hereby apply for water to be Furnished in accordance w:th rotes and rules of the City for the following premis1L ~ ~ /l ,~ ' J rr~IA$/I'7'f' . 4l ' ~'1-zlj,t)3 Sffl~ Nome of Applicont 1-- el'7'-lbL,p 1 ,I.{-' Ji.4 134. UN} .?1 II/') , ........:r.:- -+5"2.-7""3, Address /70,/ 5 V y-r/n"0 X<I' Renewal 0 New Service Ia' Blk_ Lot~ Add$~"" bV'~ '3; 1/ . /f~"~ / j 71' - Meter Number O'{K 7~"'1 c,lv1F ID7'1/ l:JIXJt;OV Service Left On 0 Service Left 0110 Signed ~f). ~ Size of Service Installed by Remorks: Rr'/1.t IT":#! oL{~.'18 f~70 po ~ .; /02S~ ~~~tfUt~._~ttltkP-t4(i) 5h; ,A"'ZC N o~r if , pI. ~ IW E e TL. -;1. s. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . . . . . REQUEST: I~ Date ~ It /A- .------;: Time ~ ( Received by I r::: Ir- Location of Work to be inspected / '701 /7 () q S 6--LUJ, In I) / ' I . Name of person requesting inspection c.. 7,- "J EA.(Y, Address of person requesting inspection T Inspection (circle appropriate one): (phone. person) )')'7 ac.6u/x/r 11.J~ Phone No. Permit No. t?4-/6/ (;1- qgr / Sewer F undation Framing Chimney Plumbing Final Sewer Excav. Other )Jp;.) INSPECTION NOTES: Inspected: Date f.} I 't ] Dq Remarks: 1 DO By ,j. A).l \)~ ErL<-J", Time \ S""'GU:\,~G. . CD'\.\:i:<A( co\\ \) \ \\\ \J~_~ RESTORATION REQUiRED...... YES NO Ss\..-()~ ,":>,1,;0 ..s 0'01 -\ :;. "d. STiLLeT -It,:) ~ ~ 1:.:"::0 "" " ~ -11-' '- "'.......... (.... 70P (::.1" Plf'.t:.. ~A.;);)o..:t::- fb \f' _i ~ --I 'f';' '-SSMI\ <'l.J,~~ ~- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) t -nRT ~ .....4.0~~ u".~ L -=...r ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING 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 04-00000098 Date .996932 1709 S 0 ST 06-30-01-5-5-0030-0000- RES NEW SFR 4/09/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71523 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 -...J ~ ~ Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 .00 71523 Qty 1. 00 Unit Charge Per 670.0000 EA PW W/M SFR 3/4" Extension 670.00 ~ permi t Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY ~ 45.00 4/09/04 10/06/04 Plan Check Fee Valuation .00 71523 Q, ~ Qty 1. 00 Unit Charge Per 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 4/09/04 Valuation Expiration Date 10/06/04 .00 71523 Qty 1. 00 Unit Charge Per 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until required infrastructure for the subdivision is improved and 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:\PLANNING\FORMS\1102.15 [11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE 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: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL 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\ II 02. I 5 [11/14/20031 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000098 pin number . . . . . . .996932 Page Date 2 4/09/04 Special Notes and Comments installed. Electrical load calculations and elctrical permits are required. 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 810.00 810.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2584.50 2584.50 .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:\PLANNINGIFORMS\I 102.15 [11114/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE 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: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ r' . f\n, '-OS "'Ii:' CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. 3 PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003]