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HomeMy WebLinkAbout1025 W 8th St - Engineering if'i'ORT~ ^.J...O~<( ",.~ '- ~ ~ -'t,l;1C~ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuption CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 () '3 _ 5& 3 03-00000563 Date 1025 W 8TH ST 06-30-00-0-2-4180-0000- RES MANUFACTURED HOME 6/10/03 39900 Owner Contractor CROUSE ROBERT L 436 GLASS RD PORT ANGELES OWNER WA 983628662 Structure Information Construction Type Occupancy Type Other struct info NEW MANUF 1680 SF 2002 CHAMPION REDMAN TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS 1 00 --------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date ------------------------------- PUBLIC WORKS RES WATER SERV 640 00 6/10/03 12/07/03 Plan Check Fee Valuation 00 39900 ~ ~ ~ ~ Qty Unit Charge Per Extensio~ 1 00 640 0000 EA PW W/M SFR 5/8" ~40 00 ----------------------------------------------------------------~---------- Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45 00 6/10/03 12/07/03 Plan Check Fee Valuation 00 39900 ---------~:~---~~~:_:~~~~~--~~~--~~~~-~~~-------------------------~;~~~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95 00 6/10/03 12/07/03 Plan Check Fee Valuation 00 39900 Qty Unit Charge Per 1 00 95 0000 EA Extension SAN SEWER HOOKUP ~ ----~~~;-~~~;~-~~~;-~~~~--~;~~-~~-- STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 1025.00~ -------------------------------- Other Fees Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780 00 780 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 2554 50 2554 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-IPLANNINGIFORMSIII02.15 [4/2002] ..... CITY OF P.ORT AN~GELES ) DEPARTMENT,OF PUBLIC WORI<S' . . . . . . INSPECTION REPORT. . . . . . . \{fE vJ'f b\b9 ~ \ REQUEST Date g - 1:2 0 _:: . . . . Time PI} Received by (phone, person) Location of Work to be inspected /) ;:J ~- Name of person requesting inspection K r ' Address of person requesting inspection Type of Inspection (circle appropriate one) !AJ, (") ~), x ____ (~ IJ C -: Phone No Permit No.O 3- S{LJ 3 F - ~--..:.::.~ ~ewer Ex~~ Other - ._--~-- Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES Inspected Date g - / z ():3 Remarks l'> 0 VY1.r !..e-t e. Time-p rr\ ') By _.--A ,) )::tj RESTORATION REQUIRED 7j1II,~~ l , "' ti 1'1' -" '0 t)~ ~ NO \ I I ) n,J - -") x Ll tJ~t ,p 3/(.. (, C \", '/ -,~ <.1 - w\ "-150 ye c '< ~....--/ ,~c ,~ r-.../C... '.() ::: +-' (I) er 1,1-1 T C L; (. j .Q /I c.,C> >l> I cJ SURFACE RESTORATION J D X L/ SURFACE TYPE 0 Unimproved 0 Gravel M Asphalt 0 PCC o Other ~: [] Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # ~ COMPLETE o INCOMPLETE .A.t' '\f:'.:...\' <-.::....~(-:.. ( ~. ~-("'\ w \ 1 ~ ~\r2"\ I\j~ \ STREET SUPERINTENDENT (DATE) CITY OF PO.RT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUE,ST J Date $;, j--- 0 Time Received by (phone, person) Ib 2s- l~ ?-h.//L Location of Work to be inspected ~ Name of person requesting inspection tiv -j I (II Y Address of person requesting inspection I "1{l? Phone No Type of Inspection (circle appropriate one) Permit No Q:3 -/:!?u3 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other L../.J ct:f-c' ,Y INSPECTION NOTES Inspected Remarks Date I k ~/6" (jJtj-fLJ- li7 \'I-~l~\r/ A'1 Q)1. c ~y - {:J ( -- 1 ?)-rh 5'r ~F'70 " ~. I 'v) U I RESTORATION REQUIRED YES SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City [] Repaired by Permittee o No Damage Found STREET SUPERINTENDENT IDA TEl ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . . . . . . ..... REQUEST tj/slo~ Time Received by (phone, person) Date Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney /ozs- W ';?--t:/1 Phone No Permit No PlumbinGewer Excav Other 03-~':;> INSPECTION N~TE Inspected Date /I Remarks ~'l)e..n ~ 6.~. - JJC!~ Time f '30 A-;V7 Jhr.s #t= 6~ ~ , By l5:;'L CttI:Id/~ 7 RESTORATION REQUIRED . YES NO ~ \ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DA TE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDlNG 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE r INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING 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/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPLANNINGIFORMS\1102.15 [412002]