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Home My WebLink About1018 Campbell Ave - Engineering f..m'''H~"1'' ~ ~ ~ORT ~ $"'O~~~ rea "-~ ~ "t!ii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o ~-/(}Z3 Application Number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application description Subdivision Name property Zoning Application valuation 03-00001023 Date 11/21/03 1018 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 9, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 ~ ) V 1~ Owner Contractor E G ENTERPRISES INC E G ENTERPRISES INC 1324 JAMESTOWN RD 1324 JAMESTOWN RD SEQUIM WA 98382 SEQUIM WA 98382 (360) 461-2744 (360) 683-5731 Structure Information 1203 SF SFR W/ATT 230 SF GARAGE Construction Type TYPE V NON-RATED Occupancy Type SINGLE FAM & CONGREGATES Other struct info NUMBER OF UNITS 1 00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV Plan Check Fee Valuation 00 76158 640 00 11/21/03 5/20/04 Qty Unit Charge Per 1 00 640 0000 EA PW W/M SFR 5/8" Extension 640 00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY Plan Check Fee Valuation 00 76158 45 00 11/21/03 5/20/04 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 Issue Date 11/21/03 Valuation Expiration Date 5/20/04 00 76158 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Extension 95 00 Special Notes and Comments Ditches and culverts will be installed to City Stanards See Public Works Engineering for Standards 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 780 00 780 00 00 00 Plan Check Total 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 've au 0'rit 0 violate or c eel the provisions of any state or local law regulating construction or the performance of construe . ~// Signature of Owner (if owner is builder) T-IPLANNlNGIFORMSIII02.15 [11/]4/2003] Date :f ~ORT ~ ~~O~~'" ~rea~ "-~ ~ "t!ii:i;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Other Fee Total Grand Total 03-00001023 1774 50 1774 50 2554 50 2554 50 Page 2 Date 11/21/03 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'IPLANNlNGIFORMSII102.]5 [11/14/2003] , CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. REQUEST ~ cr-.p Date j v V\~ Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection. Type of Inspection (circle appropriate one) G~ Foundation Framing Chimney (VCP Plumbing Final Sewer Excav Other [)3 - /022- C"3-/023 Permit No INSPECTION NOTES Inspected Date Remarks Time By , I --4 ~ Df2f:Iu-<- RESTORATION REQUIRED YES NO ill ,/'lJ:' ~ 4llJ .~ ~,f; - . ~ A Q - ~ \11'"' 11 f r .Q :r .~ ~ o~ ~ ~~9 100 ( 13'8.\ 6 SSM'1 20 ~ III 0 ~ 6'( pVL.. " cL>V\'-42...eTE I \ b fve... \ lVYc ,0 GWP<<.N "b \ () e.f\t"\. ovT ~ve ' 2-' oc-?"Iot eve.. boOr u...iM~ .,' oC'rTi-\ ?+I\'\(>~\=W- , Ld'~ ~l :3 .... ~ 1, ~ 'J ,.:. ( ~ ~ ~ " SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) (I" Lf . ~> APPLICATION FOR WATER City Water Depa,rtment Port Angeles, Wash. Ilk'JID? , 19_ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises Name of Applicant E ~ gIJT~PR:.1 Se::s..:r;.~ ./n4;~";1 /PIS' (!tlmpb-e// #tie. 41A--;J..74~ h21~" . sv.II' n, um-14( 1 Renewal 0 New Service ~Blkk- Lot /0 Add ..tI Qr3J"2.. !>.--z./1 .:JU,.INfY.$ ~N j Size of Service / X it' Meter Numbe/6."..f-1:t.o405838'-1 C.iTy"93Z' R~j 000000 Service Left On 0 Service Left Off Ia-' Signed if Address Installed by reYYI'7J,#=- 05- /02-3 Remarks ~ ~ .do, ~ r-f)D --p(p10 -- +-\{) /V~--- \' . f.,I . , w ~ .E * " z',Nt- 3'04 tDtY> . GLMphd I r k.. S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . REQUEST Date &, -- '5 '0 t.(- Time 7 ()O A~ Received by l)~i/[IA_I 5 c... (phone, person) ~ Location of Work to be inspected 10 ( IS 61 bel ( A 0/"- Name of person requesting inspection :;).{ Vl vt j ~ __ Address of person requesting inspection C-o.rfJ l..{ik..1 1.. 17 ~ 1- 6 Phone No I Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav INSPECTION NOTES Inspected Date 0 ~ 3 ~ 0 <-( Remarks ~ e. kJ I;' y:: '5"'('8 l', Time 'Se-vvt c.-e. q ,00 AWl 'T A ;J () e-J I I By D<-vt t'll 'S E- 04 of C\. z /I [1.\/ L {Q~ c S',>5 2. f t:::: ( - 4 (' SrI? -:3, .f1 I RESTORATION REQUIRED YES NO )<. ~ ~ V' ,~ -- ~ ~ u~pb€-~ ~ Aue.. p -r ~ ~ I I, z.. 4 (, & ~ ~ o,J l"C' A"\ ~ J... ~ l Y I y - ~ 20<'" - '-.l r () 2" c L , 1."PV'- '"t" {, 0 g(P-Uf 6-z- e.~t SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel [] Repaired by City [] Repaired by Permittee [] No Damage Found D Asphalt D PCC 0 Other Work Order # I cf 7 05 ~ 004 o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ ~ ~ORT ~ $"'O~~~ r-Gii "-~ ~ "t!ii:-;-~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 ~/(}Z3 Application Number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application description Subdivision Name Property Zoning Application valuation 03-00001023 Date 11/21/03 1018 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 9, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 ~ ) V 1~ Owner Contractor E G ENTERPRISES INC E G ENTERPRISES INC 1324 JAMESTOWN RD 1324 JAMESTOWN RD SEQUIM WA 98382 SEQUIM WA 98382 (360) 461-2744 (360) 683-5731 Structure Information 1203 SF SFR W/ATT 230 SF GARAGE Construction Type TYPE V NON-RATED Occupancy Type SINGLE FAM & CONGREGATES Other struct info NUMBER OF UNITS 1 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640 00 11/21/03 5/20/04 Plan Check Fee Valuation 00 76158 Qty Unit Charge Per 1 00 640 0000 EA PW W/M SFR 5/8" Extension 640 00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY Plan Check Fee Valuation 00 76158 45 00 11/21/03 5/20/04 Qty unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Extension 45 00 Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP Plan Check Fee Valuation 00 76158 95 00 11/21/03 5/20/04 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Extension 95 00 Special Notes and Comments Ditches and culverts will be installed to City Stanards See Public Works Engineering for Standards Other Fees 745 00 4 50 1025 00 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780 00 780 00 00 00 Plan Check Total 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 've au J9rit 0 violate or c eel the provisions of any state or local law regulating construction or the performance of construe' Signature of Owner (if owner is builder) T-IPLANNlNGIFORMSII 102.1 <; [11/14/2003] Date ~ :f ~ORT ~ CJt::"'O~ ,.~ "-~ ~ "t!ii:.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Other Fee Total Grand Total 03-00001023 1774 50 1774 50 2554 50 2554 50 Page 2 Date 11/21/03 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. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T'IPLANNlNGIFORMSII 102.15 [11114/2003] , , ~ pORT ~ ~~o~~~ ana "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application description Subdivision Name Property Zoning . . . Application valuation 03-00001023 Date 11/21/03 1018 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 9. BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner Contractor E G ENTERPRISES INC E G ENTERPRISES INC. 1324 JAMESTOWN RD 1324 JAMESTOWN RD. SEQUIM WA 98382 SEQUIM WA 98382 (360) 461-2744 (360) 683-5731 Structure Information 1203 SF SFR W/ATT 230 SF GARAGE Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 76158 o OS Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 45.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 76158 r; p ~ -U r1 (t) Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 - .- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 76158 J; <.. (Q Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. 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 780.00 780.00 .00 .00 Plan Check Total .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 compiled with whether specified herein or not. The grantmg 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\1 102 15 [11/14/2003] ~ ,"QRT ~ ~,~~~'"' ~,.~ !:. -- 'l<\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Other Fee Total Grand Total 03-00001023 1774.50 1774.50 2554.50 2554.50 Page 2 Date 11/21/03 .00 .00 .00 .00 ,. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes null and void if work or construction authonzed 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 authonty 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 Authonzed Agent Date T IPLANNINGIFORMSIII02 15 [11/14/2003] BUILDING 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 I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIon) SEPARATE PERMIT #'5 WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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/ J/ //11/05 I'P CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 I . FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNING\FORMS\1102 15 [11/14/2003]