HomeMy WebLinkAbout1142 Campbell Ave - Engineering
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3- q 7 0
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000970 Date 10/03/03
1142 CAMPBELL AVE
06-30-14-5-4-0500-0000-
TERRY NESKI
PUBLIC WORKS UTILITES
Owner
Contractor
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)1411
o
BRANDT JAMES/ELDA
1156 CAMPBELL AVE
PORT ANGELES
OWNER
WA 983622707
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
INSTALL CURVERT
45 00
10/03/03
4/01/04
Plan Check Fee
Valuation
00
o
Qty Unit Charge Per
BASE FEE
Extension
45 00
Fee summary Charged Paid
----------------- ---------- ----------
Permit Fee Total 45 00' 45 00
Plan Check Total 00 00
Grand Total 45 00 45 00
Credited Due
00 00
00 00
00 00
Sf II
ke ~ th 4tlO -0115
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
~ 1<~~
to
~ -u :s
Date
Signature of Owner (if owner is builder)
Date
T'\PLANNING\FORMS\l \02.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CA LL 417-4815 FOR BUILDING 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 T ACCEPTED COMMENTS
YES NO
FOIINDA TION
FOOTINGS
WALLS
FOllNDA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROIIGII-IN I
PLUMBING
-
UNDER FLOOR / SLAB
ROl 1GB-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FI{AMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-flAR
INSULA TlON
SLAB
WALL / FLOOR /CEILING
MECHANICAL
IIEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
1l00D / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARy
STORM
PLANNING Ill':PT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANIlSCAPING SHORELINE.
FINAL INSPECTIONS REQUIREIl PRIOR TO OCCUPANCY/USE
RESIDENTIAL IlATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRU,T10N R.W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4R07 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
flUILDING 417-4815 BUILDING
T'\PLANNINGIFORMSI 11 02.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
A~plication Number ..... ~3-00000970 Date 10/03/03
Property Address ...... 1142 CAMPBELL AVE
ASSESSOR PARCEL NI~4BER: 06-30-14-5-4-0500-0000-
Tenant nbr, name ...... TERRY NESKI
Application description . . . PDBLIC WORKS UTILITES
Subdivision Name ......
Property Zoning .......
Application valuation .... 0
Owner Contractor
BP.%NDT JAMES/EDDA OWNER
1156 C~MPBELL AVE
PORT ANGELES WA 983622707
Permit ...... RIGHT OF WAY
Additional desc . . INSTALL CURVERT
Permit Fee .... 45.00 Plan Check Fee . . .00
Issue Date .... 10/03/03 Valuation .... 0
Expiration Date . . 4/01/04
Qty Unit Charge Per Extension
BASE FEE 45.00 ---~
Fee summary Charged Paid Credited Due ~,
Permit Fee Total 45,00 , 45.00 .00 .00 ~%
Plan Check Total ,00 .00 .00 .00
Grand Total 45.00 45.00 .00 .00
Separate Permits ara raquired for electrical work, SEPA, Shoraline, 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:kPLANNING\FORMS\ 1102.15 [4/2002 ]