Loading...
HomeMy WebLinkAbout1630 W 4th St - Engineering f ~ORT ~ A..4.0~ot} cJ"r..'f, ...~ ~ 'lot~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 "3 _ &J 23 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valMation 03-00000623 Date 1630 W 4TH ST 06-30-00-0-1-2932-0000- RES NEW SFR 7/23/03 134420 Owner Contractor BLANCHARD, ROGER E R & N BUILDERS POBOX 2904 171 CEDAR GLEN LN PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-0979 Structure Information NEW 2068 SF SFR W/ATTACHED 364SF GARAGE _____ Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 ~ ~ ~ ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee ~ Plan Check Fee .00 Issue Date 7 2 3 Valuation 134420 Expiration Date 1/20/04 ~- ~, ~' \~ Qty Unit Charge Per E~ 1.00 640.0000 EA PW W/M SFR 5/8" 640.00 -------------------------------------------------------------------- -- Perm~t RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date ~i~~ 1/20/04 Plan Check Fee Valuation .00 134420 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 ------------------------.--------------------------.------------------------- Permit SANITARY SEWER HOOK UP Additional desc q:'~ Permit Fee 7 95.00 . Plan Check Fee Issue Date Valuation Expiration Date . 1/20/04 .00 134420 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Extension 95.00 ---0!~~--- C1~2~.~ ------------------------------------------------------------ Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 780.00 780.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 Grand Total 2554.50 2554.50 .00 Due .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. l' Signature of Contractor or Authorized Agent Date T:\PLANNTNG\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date f: - I 5 --- 0 ') Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): )636 w. t;f/l "-rtu tI Us f:.. I 7-(/( '6-/3 Phone No. Permit No. 03-- C?23 " Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other L 1_1 ~--- INSPECTION NOTES: Inspected: Date Remarks: Time :;;. ff Pi! C /U-etU ~ /l..J--.f'.W C;t'XUI G-e / ;;;. ~g~7. RESTORATION REQUIRED '. . . . .. YES i7'1 NO . I.- c('/\'" ~ t .sL1'" Y"- .~Q f' :J.f(flJ(\Ab ~ \ \~t\\~ <--eJl ) >l~1 \ \\ \DtY '~~ )i1 ~<5-er"'UI'- e ~ -7 C;I ?-\ J 'A\ * SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other Work Order # 7 ~ I :a g( COMPLETE .~'\'eS..^ ~\"XJ-\ t-~ 'v~\ \ l\ D INCOMPLETE \/\0"\ ~}\\.Y, CO'- -l2 -0'3 (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date ro/rrlOLf ___ Time~-=_Pm Received by J. A.A..J D fUiW ~ (phone ( person) Location of Work to be inspected_- Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): S~ Foundation Framing Chimney __E. 1 ....,{,- 'C:-IA/' \10~O (~, 4.1!} STlL&C~ 6P~ Phone No. Permit No. Plumbing Final Sewer Excav. Other ~ - &23 INSPECTION NOTES~ Inspected: Date f::,17 / C~ Remarks: / I Time I Oc~ PlY) By ,j /tuOeGL~ RESTORATION REQUIRED. . . . .. YES NO \ ~~STtJ ~e, ~ Ii.. \, 5\(U~EOl \ \ \ I ..- (\ p - y __::> -ruP c>" ,PI:: L- 2l f .~ fl'-l<}11 AJc, LL..,A.v ,,~T SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC D Other o Repaired by City [] Repaired by Permittee CI No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)