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Home My WebLink About1044 Campbell Avenue Address: 1044 Campbell Avenue (o PREPARED 8/24/15, 9:46:40 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/24/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 1044 CAMPBELL AVE SUBDIV: CONTRACTOR : PHONE : OWNER RAYMOND AND NANCY WADDELL PHONE : (360) 477-8399 PARCEL 06-30-14-5-4-0600-0000- APPL NUMBER: 15-00000891 RE-ROOF ------------------------------------------------------------------------------------------------ PBRMIT: BNOP 00 BUILDING PERMIT - NO PR FBS REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------—------------------ BL99 01 8/24/15 L BLDG FINAL August 24, 2015 9:47:10 AM jlierly. -------------------------- -- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 U` Application Number . . . . . 15-00000891 Date 7/20/15 M Application pin number . . . 050658 "V Property Address . . . . . . 1044 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0600-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax foln1 Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY . Application valuation . . . . 4400 (Location Code 0502) ---------------------------------------------------------------------------- Application desc tear off/install comp ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RAYMOND AND NANCY WADDELL OWNER 1044 CAMPBELL AVE PORT ANGELES WA 98362 (360) 477-8399 ---------------------------------=------------------------------------------ Permit . . . . . . BUILDING PERMIT NO PR FEE O Additional desc TEAR OFF/INSTALL COMP Permit Fee . . . . 137.75 Plan Check Fee .00 Issue Date 7/20/15 Valuation . . . . 4400 Expiration Date 1/16/16. Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due �! ----------------- ---------- ---------- ---------- ---------- W Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 ' Grand Total 142.25 142.25 .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 has 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 pres me to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of c nstr iqi. uL lele i Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL.TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit /37- / THEORT �jGELES For City Use CITY OF Permit# W A . s H I N G T o N, U. S. Date Received: 7-d6l 321 E 51b Street Date Approved 7-'M / Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0ci1yofpa.us BUILDING PERMIT APPLICATION Project Address: Phone: Prima Contact: /'yLdltG� �/�/(�G(C� u� Email: kJ 6 A.A Name / � _l �I Phone � q p' - Property Mailing Addr ,Q 77 / / �e• Email Owner 'Ji (� 1 city a State'UD C r ZipQ G Name : ok n,` J Phone 2too) 77— G311 LC Contractor Address �AV �Q�� +( Email-t�Jaxe� O Information city �y C• �T'V'E.. State.�s tL� zipy / Contractor License# Exp.Date: AJ 18- Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ Residential Commercial ❑ Industrial ff Public ❑ , Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) , Classification For the following.fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed edrooms or Existing? Yes O No Existing? Yes 0 Nok N ( 3 1 P- In addition to standard hard copy submittals please send a PDF copy of all St rmwater plans and Engineering to www.stormwater ci.t o a.us Project Description Jea � lA 3 Q V`e;C n2.G O Is project in a Flood Zone: Yes 0 NoM, Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it my responsibility to determine what permits are.required and to obtain permits-.prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. -7/a a1 ao1s ,mrd �c�.c�� 0 � �4a4,0, Date Prin ame Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"ora° floor) Garage Carport Other(describe) Area Totals. Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov_lot size) Max Bldg Height all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size) Mechanical Fixtures Indicate how,n of each a of fixture to be installed or relocated as art of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # 1/C h i Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate,how many of each type of fixture to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx I