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HomeMy WebLinkAbout3230 Saddle Club Rd - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/02/2002 PERMIT NO: 13881 OWNER/APPLICANT PROPERTY LOCATION 3230 SADDLE CLUB RD. LAKE BEAVERS 3230 SADDLE CLUB RD Lot: Port Angeles, WA 98363 Block: [] Long Legal 360/452-3099 Subdivision: TXg6997 T: S: Parcel No: 07300133043000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO CO Project Value: $0.00 SFD Units: 0 Commercial: 0 Project Type: MANUF. HOME SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 ("" Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES REPLACE MANUFACTURED HOME FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $230.00 Sign: $0.00 TOTAL FEE: $230.00 ~__ Plumbing: $0.00 AMOUNT PAID: $230.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit become"-'~' 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 the performance of construction, or Signature of Contractor or Authorized Agent Date ~i~nature of'Owner'(if owner is builder) T:\PLANNING\FORNiS\i 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD ' ' CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN P~ CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE [ ACCEPTED COMMENTS WALLS ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~ ~DER FLOOR / SLAB BACK FLOW / WATER AIR SEAL JOISTS / GI~ERS WALLS / ROOF / CEIL~G WALL / FLOOR / CEIL~G WOOD STOVE / PELLET / C~EY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engin~ehng Division) SEPA~TE PE~IT ~'s: SEWER CO~ECTION SANITARY YES NO LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ~'~'~' I FOR OFFIC.~. USI~ ONLY: BUILDING PERMIT - APPLICATION t,~,~.: Date Approved: ~ac~vo~ T~ Building P~mit - Preapplic~ion mu~ be ~d out complete~, o~ ~. Please ~pe or~nt in ink If you bare any qu~fion~, pl~se cull ~cMtec~n~eer: ~ Phone: Cont~ctor Lice~e ~: E~:. Phone~ Ad.ess:. Zip: ~ LEGAL DESCR~TION: ~t: Block: Subdivision: ~ CLALL~ CO~ P~CEL ~ER:~? ~ I ~ ~ ~ TYPE OF WO~: S~ALUATION: ~ ~sidenti~ ~ Hew Co~. ~ ~f ~ Wo~v~ SF. ~ $ /SF. ~ $ ~ Multi-~ily ~ AddiSon ~ Move ~ G~ge SF. ~ $. /SF. = $. ~ Commerc~l a ~odel a Demolition u Deck ~ ~ 7 ~_ SF. ~ $~SF. = $ a ~ak ~ Si~ ~ ~ ~TAL V~UA~ON $ , ;"~- BR~F DESIGN OF T~ PRO~: COMMERCIAIdRIgSIDENTIAL:, ~Occupancy Grofp: Occupant Load: __ Construction Type: , , No. of Stories: Lot Size: ~ ~ ~, c,., % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ~ = TOTAL LOT COVERAGE: /sq.t~ PLANNING USE ONLY: APPROVALS: PLAN. Permits Required: Notes: BLDG Max, Height: Setbacks: Zoning: DPW. Site Plan and Use Approved by: Date: FlllE ESA/Wetland(s): t~ Yes rn No SEPA Checklist required? gl Yes t~ No Other: OTHER BUILDING APPLICATION SUB1V[rI'YAL: Foar eppllcatlo, m~d site plan mast be filled out cort~letel, V to be accepted for The Building Division can provide yon with more detailed information on thc application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBlVlryrAL: Yoar oompleted application, sit-plan (for additions) and buildins construction plans are to be submitted to thc Building Division. IVALUATION OF CON _b~,,U, CTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by thc Build/nE Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4515 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF pLAN REVIEW: If no permit is issued within 180 days of the date of applicatinn, this application will expire by limitations. The Building Official can extand the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and Imow the same to be true and correct, and I am authorized to appl) for thi~ permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain suck~.,~ //_ NAM~ (Print) ~. J~a v'er5 2002 ~096463 c~""~ AFFIDA~T STATE OF WASHINGTON ) ss. COUNTY OF CLALLAM ) L~ i<,c ~ ~C~2L~,,~-~ , being first duly sworn on oath, understand the following: 1. I AM THE OWNER of the property described as PARCEL NUMBER 0~]- :~ -0~- ~ '-ffJ~) , records of Clallam County, Washington. PARCEL h (Brief Legal Description) 2. Sewage Permit # ~D ~ , issued by the Clallam County E~nvironmental Health Division allows the construction of a single family residence with a total number of ~ bedrooms. 3. The ~,~~permitted sewage disposal system is designed for a maximum flow of gallons per day. 4. Water conservation practices including but not limited to installation of Iow water use f~tures and spacing high water use activities (i.e., clothes washing) should be adopted to ensure indoor water use does not exceed%,~O ~allous per day. 5. The reserve drainfield area identified on permit # ~ ~'f O ~ must be protected fi.om encroachment. 6. I certify that this structure has ~ bedrooms and it will not be sold, leased or rented as having more bedrooms than stated herein, unless upgraded and approved by the Clallam County Environmental Health Division. 7. Additional Clallam County Environmental Health Division comments: Subscribed and Sworn before me this ~__.l"~ day of ~)~'c~t~3~ ~3 ~ ,20 0 ~ -__ / . . .-- ~ S e~-~ ~ ~ NOTAR~UBLI~ A~ FOR ~ STA~ OF wAsH~GTON, 5 ~ ~ j ~ MY COMMISSION ~XPIE~ ~-~ I ~, ~ ,20 . ~ m2'~ .~ NAME (Prat) Filed for ~e record at the request o~ , on ~is day o~ ,20 , at minutes pm o'clock a.m./p.m., ~d filed in Volum~ , page , records o~Cl~lm Count, WA COLrNTY AUDITOR BY: J:'~h~onsit~'~DOCS~002'~tFFIDAVIT parcel. DOC CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date//~ -Z ~ '-~ ~ Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No Permit No. / Type of ~rcle appropriate one): Sewer~'FoundaZion' JFr~aming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: . Inspected: Date / '~- ~ ~ Z~. (~ ~_~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~IPCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date~ -//*~) '*' ~)*~ Time Received by _~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~ ~/~ '-~) '~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt []PCC []Other [] Repaired by City Work Order # ~-I Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)