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HomeMy WebLinkAbout1007 Cathleen St - Building .".,~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98]62 ~ ~ "'l \ \\' l-J () Application Number Application pin number - . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000620 Date 978000 1007 CATHLEEN ST 06-30-01-7-7-0110-0000- ELECTRICAL ONLY 6/01/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARlAR WINDS PORT ANGELES ( 36) 477-9449 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. svc.1 200A SVC 103267 ELECTRIC. SERVICE 75.00 Plan Check Fee 6/01/07 Valuation 11/28/07 .00 o " ~ () ~ Qty Unit Charge Per 1.00 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 ~ ~ ~ <; ~ , COMMENTS/ACTION NEEDED ~ ELECfRICAL PERMIT INSPECfION ,RECORD . ~ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO ;/z,u~ ~ . Wk~ 7U,uy~" Cf 0 0 T7J ;C"fcL eA'nJ u..€.J sr - JE,x::.I.sn~ t wIIC./AJ6 ii" ~ GENERAL COMMENTS: pW~l;02.1S (~c; ~ ,l\ u~/ Jab'wired by ELECTRICAL WORK PERMIT APPLICATION I< ; .1"',_ DOwner Installation de's~riplion Cl Commerdal Cl Residential ,. Eleclrical conlractor name .. License number Date Expires' fZ.\...€..C...'TL4c.... ~e..r v'-CQ.. -.J- 6b....tZ"SI ,~~ OY\ Purcha~'s mailing ad ess I ~~ r . State ZIt' .....Wh Cl New 0 Altered/Addition City ~ 10",- ~ L.t. ~ Telephone number - 4 ("'"L~(, ~ 'L " ~re.ml~eN~s nu~~ Addre~ o( Ins~~ _ ( ~ ~.,'O (j;J)\. -. I. City P "hone number to schedule InSIJcction: FAX number ~'\ /c; t::> 7 "' L'ok'//L Owner as defined by RCW.19.28.261:(I) Owner will occupy 11Ieslruclure for Iwo years after Ihis electrical permit is j111alized. (1) Owner i~ required to hire all electrical , "contraclor if above said property is for sale, rtnt or lease. After reading the above statement, I hereby certify lhat I am Ihe owncr of the above named propeny or a "licensed ell;elrical' contractor. I am making Ihe electrical inslal- lation or aIlernlion in compliance with Ihe elcclrical laws, N.E..C., RCW. Chapler 19.28, WAC: Chapter 296.468, Thc City-of Pori Angeles Municipal Code. and Ulilil)' Specifications. SI2nature or ow , eelrlcnl co Q Cash Q Check # ~ar~;itC~ ;;_~~_~.:ov,~_ x Date: Expiration Date of card Electrical Load Additions and or subtractions Cl NO LOAD CHANGES a ~eboard ~ KW . ~Furnace ~KW Cl Overhead Service Cl Heat Pump _' Ton ..:.- LAR a T6II1flServlce a Fan-Wall ~~.lN - l>>"'Gnd~rground Service SAME DAY INSPECTiON, CALL BEFORE 7:00 AM 360-417-4735 vo"ag~/~~t. Phase 1 a 3 Service Size: ~ Feeder Size: -t:t/O .- FEEDER ~_. .-., "~:' -'. ROUGH~lN Ad;) API'lovcd Uy THERMOSfAT DAle Approved lIy DnCH ~ Oo'e AppNvN By Inspeclion Dale Area, Building or Equipment Inspected Aclion Token _ _ 5.-3 J ",t!) .. N ".f'A U~6...h IJ n r~ f . - fJ ff ... .v, ~J I" U.hf ~~IZ.~ I el.... A W(I LJ J1f, t . 1d"d HLI7HI7:Ol 1721792S17 3)I~~3S )I~1)3l3:WO~~ ~62:L0 17002-172-^~W ' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use Property Zoning . . . Application valuation 05-00001249 986197 1007 CATHLEEN ST 06-30-01-7-~-0110-0000- NEW VIEW INC. RES FOUNDATION REPAIR Date 5/30/07 o \It \ - \,J ..c S\ f ,ORT~_ lO~ r....a ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Owner Contractor lhi s pe.t-tY\;-r Wo.., s p~V~OVS\~ \ssv'€tl 01'\ 0\-04 -0(0 Q S \003 Co..."\h\~ St-. '-Ji'\ e.. Lo r- \"e c.t. l 01- ,'S .:tt ~ \ ~ me. . (,0 ~V'ed- . o.Jt!V'e S > , . lS \06, CLdhlun ~t-. RS9 RESDNTL SINGLE FAMILY 5000 NEW VIEW INC. 13 3 MARIAH WINDS PORT ANGELES ( 36) 477-9449 Other struct info WA 98362 NEW ,VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 TOTAL % LOT COVERAGE NUMBER OF STORIES I EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 , -...---------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 67983 50.00 1/04/06 11/21/07 Plan Check Fee Valuation .00 5000 o o .J Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 67975 Permit Fee 110.00 Plan Check Fee Issue Date 1/04/06 Valuation Expiration Date 11/21/07 .00 5000 ~. 5t ~ Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 12/29/2005 12:20 PM SROBERDS -- The proposal will result in the repositioning of a residence on a new foundation in the RS-9 zone. Lot coverage is 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Underground facilities have not .been installed yet - waiting for contractor to dig trench - customer will use generator? 12/20/2005 11:32 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by ~ 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. OV1 Rle.. Signature of Owner (if owner is builder) . Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1105] 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 & GUITER DRIVEWAY 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\11 02.1 5R [1/05] . of ,OAT~. ~~~ O~ ~ -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00001249 Application pin number 986197 Page 2 Date 1f?/30/07 Special Notes and Comments Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineer'ing is required prior to prouring concrete. No occupancy or final inspection until all street, curbs, sidewalk & infrastructure is completed & approved by Public Works Engineering. Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 749.50 749.50 .00 .00 'Grand Total 909.50 909.50 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent 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 CQVER, 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 I 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 I , 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 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R (1/05] 1- f90RT .v.... tO~,,~ r~ "-~ ~ 'l.9i:",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 () vI \ \ -- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001249 Date 986197 1007 CATHLEEN ST 06-30-01-7-7-0110-0000- NEW VIEW INC. RES FOUNDATION REPAIR RS9 RESDNTL SINGLE FAMILY 5000 Owner Contractor NEW VIEW INC. 13 3 MARIAH WINDS PORT ANGELES ( 36) 477-9449 Other struct info NEW VIEW INC. 277 MONROE RD WA 98362 PORT ANGELES (360) 477-9449 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 5/30/07 !hi s per"",;+ W~S ?r-e.V~Oll$~ ISSUeJ 0\'\ ol-olf-o(' 0- s, l 00 '?:. CtLih l€.er"\ S+. The. Cor-re.cr \01- IS -# Il & the- C.o rrec.:r AA are. t; 5 ) s IOOf CG:thleEW\ St- \'l .J: -S:) WA 98362 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 1.00 o o -J Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 68239 Permit Fee 137.75 Plan Check Fee 55.10 Issue Date 1/04/06 Valuation 5000 Expiration Date 11/21/07 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 102921 .00 5/30/07 11/26/07 Plan Check Fee Valuation Qty 1.00 1.00 Unit Charge Per .0000 ECH PL- EA. INSTALL WATER PIPE .0000 ECH PL- EA. BLDG SEWER Special Notes and Comments The Fire Department has reviewed the project application and has no comments 12/29/2005 12:20 PM SROBERDS -- The proposal will result in the repositioning of a residence on a new foundation in the RS-9 zone. Lot coverage is 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Underground facilities have not been installed yet - waiting for contractor to dig trench - customer will use generator? .00 o h::;~ ~/~/O? D J: f Extension .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 orwork 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. o V\ Rle. Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building penn it inspection record05.wpd [1/4/2005] J1 c: ;5 t 01" ~ -f a,. J 'I Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES I I PLE.A.SE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WOPLK BEFORE' I/\'SPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTlOl': TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMJIING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN HEAT PUMP /FURNACE / DUCTS I GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHlMNEY MANUFACTURED HOMES FOOTING I SLI\B BLOCYJNG & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERM1T#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 4 I 7-4735 ELECTRJCAL 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. BU1LDING 417-4815 BU1LDING T:\PoliciesIJ 102 15 building pennl1 Inspection record05.wpd [1/4/2005] f~ORT~ $.J..O~~<t. rGiii ~ -=-- ~ 'tOi:",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 05-00001249 Application pin number 986197 Page Date 2 5/30/07 Special Notes and Comments 12/20/2005 11:32 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete.No occupancy or final inspection until all street, curbs, sidewalk & infrastructure is completed & approved by Public Works Engineering. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 55.10 55.10 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 942.35 942.35 .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\l102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTlON RECORD CALL 4 ]7-48]5 FOR BUILDING INSPECTIONS. CALL 4J 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UT]L1TIES .. PLEASE PROVIDE A MINIMUM 14 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANJ' WOFJ{ BEFORE' I1VSPECTED AN]) A CCEPTE]). POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTION TYPE DA TE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS II,(',ID~ JU.... FOUNDA TJON DRAINAGE I DOWN SPOUTS I , I PIERS I I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-TN , / WATER LINE (METER TO BLDG) ~/,t/'7 J ,-C I GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULA TJON SLAB W ALL I FLOOR I CEILING MECHANICAL ROUGH-IN HEAT PUMY I FURNACE I DUCTS , . GAS LINE ~/~~/ 1)7 VL(/ FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CH1MNEY 7 I MANUFACTURED HOMES FOOTING I SLAB BLOCYJNG & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT #'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LlGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 J / PLANNING DEPT. BUILDING 417-4815 l.t / :JILl () ., 'OW BUILDING T:\Policies\1102 15 building eonil inspection record05.wpd [1/~/2005r p @ ~4. 11. -- ~.... CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 51HSTREET, PORT ANGELES, WA 98362 07-~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . Application valuation 07-00000455 Date 5/01/07 838345 1007 CATHLEEN ST 06-30-01-7-7~0110-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor l)eA- ..IDD1{)~ NEW VIEW INC. 133 MARlAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit ... . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY DRA PROCESSING PERMIT 100511 .00 plan Check Fee 5/01/07 Valuation 10/28/07 .00 o Special Notes and Comments 04/30/2007 11:39 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B$615.18 + City Admin $33.57 Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 Fee summary Charged Paid Credi ted Due. ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .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. 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Q E-< , , 00"- 00 -U ~ , .... , 1>:0 OOE-<<'; ..:1 E-< 0 , 0 , <.; ~~~~Hj..:1 H 00 , , 0.>< ~ , , , OOE-< Q~13~~g; 0. , N , I>:H >< , ..:1 , o.U ~E-<UOo.<.; 0. E-< , III , ,- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . II\ISPECTION REPORT. . . . . REQUfiT: Date \ \01 ~{, I ~'P 00 0 r 5a?ner Time ~.. Received by 'Dt (phone, person) Location of Work to be inspected \ OO't; U--niLeeN 41. Name of person requesting inspection S~ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other WAVL- Phone No.411,.. &1441- Permit No. e:ri-l~~ INSPECTION NOTES: Inspected: Date Remarks: Time By RESTORATION REQUIRED. . . . .. YES NO ~rp~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC o Other o Repaired by City o Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE ~ VORT ~ o'Y.~~~ ~ it 'Eirl ~~." ~.,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001249 Date 986197 1003 CATHLEEN ST 06-30-99-1-0-5540-0000- NEW VIEW INC. RES FOUNDATION REPAIR 1/04/06 ( V1' ~ * \.~ ~e; ~ ~ ~ X~ ~/rJ7 '\..0 #- \) ~-t) ~ ~\' . ~ ~0~ 0(-0' 6" / Qty Unit Charge Per 1.00 50.0000 ECH RS9 RESDNTL SINGLE FAMILY 5000 Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 Other struct info WA 98362 NEW VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 1. 00 1. 00 1.00 1. 00 1. 00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 67983 50.00 1/04/06 7/03/06 Fee .00 5000 Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Plan Check Fee Valuation .00 5000 Qty 1. 00 Per EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments The Fire Djpartment has reviewed the project application and has no comments ~2/29/2~5 ~2:20. PM SROBERDS -- The proposal will result 1n the;:epos1t1on1ng of a residence on a new foundation in the RS-9 zone. Lot coverage is 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. ~nderground facilities have not been installed yet - waiting for contractor to dig trench - customer will use generator? 12/20/2005 11:32 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by 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. 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 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 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 [1/05J ~ VORT ~ <~ ct _.~.~ ~ ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00001249 Application pin number 986197 Page 2 Date 1/04/06 Special Notes and Comments Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete.No occupancy or final inspection until all street, curbs, sidewalk & infrastructure is completed & approved by Public Works Engineering. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 909.50 909.50 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\ 11 02.15R [ 1/051 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 I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRlVEW 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. I PW I 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] 4..0~"ORT~ l,~'1, r'iSii ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001249 Date 986197 1003 CATHLEEN ST 06-30-99-1-0-5540-0000- NEW VIEW INC. RES FOUNDATION REPAIR RS9 RESDNTL SINGLE FAMILY 5000 Owner Contractor NEW VIEW INC. 13 3 MARlAR WINDS PORT ANGELES ( 36) 477-9449 Other struct info NEW VIEW INC. 277 MONROE RD WA 98362 PORT ANGELES (360) 477-9449 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . . Additional desc . Permit pin nlmIDer Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 68239 137.75 1/04/06 7/03/06 Qty Unit Charge Per 3.00 14.0000 THOU Special Notes and Comments The Fire Department has reviewed e project application and has no comments 12/29/2005 12:20 PM SROBE in the repositioning of a re the RS-9 zone. Lot covera are noted. Electrical load required. Underground waiting for generator? 12/20/2005 11: 2 GMCLAIN ---------------------------- Sanitary sewe connection inspection is required by Public Work prior to back fill of ditch. 24 hour advance notice is equired. Constru driveway and Sidewalks to City Standards. No co rete with exposed aggregate allowed in the City road ight of way. An inspection by Public Works En neering is required prior to prouring concrete.No cupancy or final inspection until all street, curbs, sidewalk & infrastructure is completed & approved by Public Works Engineering. The proposal will result idence on a new foundation in is 20%. No land use issues and elctrical permits are have not been installed yet - to dig trench - customer will use 1/04/06 WA 98362 P' h~ o ~~ <:'~~~ 0<#(' ~ \) ~ \~ -\V ~ ~ \" ~ Q :t: ~ ~ 55.10 5000 5A Extension 95.75 42.00 eparate 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. - -t)(p Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD - . .. CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CmMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] ff'ORT ~ S.J.O~~~ -~ ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00001249 Application pin number 986197 Page 2 Date 1/04/06 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 745.00 4.50 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 55.10 55.10 .00 .00 Other Fee Total 749.50 749.50 .00 .00 Grand Total 942.35 942.35 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\IJ02_15 building permit inspection record05.wpd [1/4/2005J BUILDING PERMIT INSPECTION RECORD ..' INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS I . WALLS l /10 / ~ -JiA./ FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING ~ UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) z:.. GAS LINE FINAL DATE ACCEPTED BY: D BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING ! JOISTS / GIRDERS ~ SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I . MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL.lNSPECTIONS 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 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 LOCA TION. ~, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 'S\ ~ j or--- ~ \~ ~~ ~5 ~ ~ T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] PERMITS (360) 417-4815 FAX(360)417-4711 c-. (\, ?~)In '1.\tj ~=~~ .1f7~~~~~ ~- :,,';k~"""- "',_:" ........- ~ .:._...~.~_...~~...... , ~.-.., \~' BUILDING PERMiT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan1\1UST BE COI~.frLETE to be act:epied for ~'ev.ieyr. IfyoTI have any q1.lcstiGTIs~ ~~l11 Applicant or Agent: ~ ~,z.~. Owner: n~rCY~rY}L~ 9~/~ :-:=::::: MT~ - J w=:rJi f fJA Address:~/&\ '6.1;1/ /U'9J1~^ I City. . Architect/Engineer: Contractor ~ cy~ .J: 1Ie...- Phone: Phone: V)?- 9l/C/9 Zip: 983&!l. Phone: State License #: Address: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: () (;,:10<19 /o~.s-c.;o OC(:?O TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~vJ _-nJI<.He-Oe:XI~1"~ -Hous>>e cpo SIZE/VALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ F)V .u()rh; OIJ ~ srrJo C01\1MERCLA.L/RESIDENTIAL: Occummr.v Group: Occupant Load:' No. of Stories: Lot Size: 9.154... ~isting Sq. Ft. I~ & Proposed Sq. Ft. Total lot coverage % Construction Type: = TOTAL Sq. Ft. ESAfW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPRO V ALS: PLAN: BLDG: DP\VU: FIRE: OTHER: PL.ANl\TJNG USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee .is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of pernnt issuance. EXPIRATION OF PLAN REVIEW: lfno pemlit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tin1e for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. BP,];';MIBL-llO'_13.wpd Applicmt ~ 4/!.::::1 D'te' (J-- IC -tx,- , - C....'lI..1 '" ".' ~ ,.... ' .. '..' v ,-~ . , . , , " ., I '-:,- :I~ ;I~ ~ 'I;j- } 0 II "- I I I I STREET 1:}@~j' ~ /~/iC . ~ 2f5 .90' I ~10D.45:- -.--,r - , ,. - . -', M,I S . /l,,@)'j]' U~ 25 I ~I ~09.7 so. FT. ~./I a:/ ! (#loo3)! ~ / I I I ~'~~6'45~1"~ I 100.45' 8' l I r'-'-'l . . 25' I . . h ~O~~~O.:r. g .~ to I ~I ~O~~llSQ,~r ~ L 1 ~ oj O'l/ OJ I 'I;j- I"" i V1006) . i 00 00 i (#1007) i 00 1 ~ , 2S". is' . , 25',:g '~~-'-hJ ~~-'_IJ S 56'45'27 E N 56'45'27' W (~< · r .LQO,46"l8 I . 100..46. 8' I i U'il ~ 25' . 1 i U'il uti! :~ ~001 50,FT ~ ffi ~I ~007 SO.FT ~: OJ v, ill O'l OJ oE[ I '" ,i (#1010) i '" ~ "'I i ( #1011) i '" I I 25 ~, j !; I *S' ~, J 2S' 1 1 S 56'45~7''' E c) S 56'4527" E I 8' 100.46 I r' w..o..4Q"l8' . l. 2S' I ' 10' X 10' POWER . . 25 I EASEMENT (5' EACH ,10 I /l,,{ffJ'ii' 4A ~. I I /l.,@}'j]'.@.1 SIDE OF LOT LINE) ::l ~OOI 50.FT- ~ Ig ~I ~OO1 5Q,FT- ~I .00 i (#1014) i 00 8 001 i (#101S) i 00, I 2S' . . . VJ 1S' . . I ~"-'-IJ I ~"-'-IJ N 56'45'27' W N 56'45'27' W 1 100.46 S 3D' 3D' ",I 100.46' 8' I "'-I ~'-'-'J '-; I '1 ,'-'-'-' ,.",., ;:s: ~ ~ \ I :;t1Ut. ~125' 1 U'il If 2S' ,," "'~ \U'il ~ 25' i~ .01', ~ I. 9238 50'fT. \92~8 so,tT. , ,~ . V)I~. 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RIGHT OF WAY DRA PROCESSING PERMIT 100511 .00 5/01/07 10/28/07 Plan Check Fee Valuation ..00 o Special Notes and Comments 04/30/2007 11:39 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B $615.18 + City Admin $33.57 Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 o S Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .00 .00 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 Signature of Owner (if owner is builder). . Date T:\Policies\1102.1SR [1105] 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 SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I 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 / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . T:\Policies\1102.15R [1/05]