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Home My WebLink About1016 Campbell Ave - Building _< .ofu "" ~U"~~., $-~~ ha "--~ ~ "4l:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 03-00001022 Date 11/21/03 1016 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 10, BLOCK 6, ILL ADD RES NEW SFR Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 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 BUILDING PERMIT -RESIDENTIAL 856.25 11/21/03 5/20/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 27.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 76.00 Plan Check Fee 11/21/03 Valuation 5/20/04 Qty Unit Charge Per BASE FEE 4.00 7.2500 ECH ME-VENT FAN Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 153.00 11/21/03 5/20/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER 1.00 7.0000 ECH PL- EA.WATER HEATER Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited 342.50 76158 Extension 667.25 189.00 o - If' .00 o \,\0 - p ::r. 3 -t>"1] \ rr to Extension 47.00 29.00 .00 o - - Extension 47.00 77.00 7.00 15.00 7.00 )> " ~ 745.00 4.50 1025.00 Due 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 e au it 0 Violate or a cel the proviSions of any state or local law regulating construction or the performance of construct' T \PLANNlNGIFORMS\1102.15 [11/14/2003] v" Signature of Owner (if owner is builder) Date Or VORT ~ ~~~",:", Oha~ ... -==-- ~ 'l.oi~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Permit Fee Total Plan Check Total Other Fee Total Grand Total 1085.25 342.50 1774.50 3202.25 03-00001022 1085.25 342.50 1774.50 3202.25 Page 2 Date 11/21/03 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electncal 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 \PLANNING\FORMS\1102 15 [11114/2003] 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 UNLAWFUL 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 11').i /{)I/ 1.1. WALLS I '//J.'J /tJ;:.) 1.L FOUNDA TION DRAINAGE/DOWN SPOUTS 7 , 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 W-!f/-t)J/ I CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS . 3-.49-O.A/ J,L WALLS / ROOF / CEILING I-/-I/I.~ ~J..t .J,i., DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB \ WALL / FLOOR / CEILING kJ -(q~o '" U .Ll MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engmeermg 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 I PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 I <{,-}of -0 "I A j.... BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] PREPARED 8/04/04, 12:25:04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 8/04/04 ------------------------------------------------------------------------------------------------ ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER 1016 CAMPBELL AVE LOT 10, BLOCK 6, ILL ADD E G ENTERPRISES INC. E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001022 RES NEW SFR PHONE (360) 683-5731 PHONE (360) 461-2744 SUBDIV: ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 01 ------------------------------------------------------------------------------------------------ 17 00 BL1 1/23/04 1/23/04 1/27/04 1/27/04 3/22/04 3/22/04 4/15/04 4/16/04 BI2 01 BL9 01 BAIR 01 BL3 4/15/04 4/16/04 4/19/04 4/19/04 01 BLWS 01 JLL AP JLL AP JLL AP JLL AP JLL AP JLL AP BUILDING FOUNDATION FOOTING Rex BUILDING FOUNDATION WALL Dan 460-2485 BUILDING SHEARWALL TIME BUILDING AIR SEAL A1r Seal and Fram1ng Inspect10n requested by Fred Gr1nnell. Ph#461-2744 BUILDING FRAMING BUILDING INSULATION WALL/FLOOR TIME 17:00 Fred requests a Insulat10n Inspect10n for th1s P.M Phone # 461-2744 'C"~"'~~~~~l1'-----:~:~::::::::::-:.:"N::E:_'::~b'":---~----_________~~~_________~ PREPARED 4/19/04, 13'11:43 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 4/19/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1016 CAMPBELL AVE LOT 10, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001022 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/23/04 JLL 1/23/04 AP BI2 01 1/27/04 JLL 1/27/04 AP BL9 01 3/22/04 JLL 3/22/04 AP BAIR 01 4/15/04 JLL 4/16/04 AP BUILDING FOUNDATION FOOTING Rex BUILDING FOUNDATION WALL Dan 460-2485 BUILDING SHEARWALL TIME. 17 00 01 BUILDING AIR SEAL Alr Seal and Framlng Inspectlon requested by Fred Grlnnell Ph#461-2744 BUILDING FRAMING BL3 4/15/04 JLL 4/16/04 AP BLWS 01 4fl4M19 04 ~JLL BUILDING INSULATION WALL/FLOOR TIME 17 00 Fred requests a Insulatlon Inspectlon for thlS P.M Phone # 461-2744 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/15/04, 13 00 25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 4/15/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1016 CAMPBELL AVE LOT 10, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001022 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 1/23/04 1/23/04 1/27/04 1/27/04 3/22/04 3/22/04 Li1~~ J~ 4/15/04 ~11 q /111/ij( ~ -------------------------------------- COMMENTS AND NOTES -------------------------------_______ 01 01 JLL AP JLL AP JLL AP BUILDING FOUNDATION FOOTING Rex BUILDING FOUNDATION WALL Dan 460-2485 BUILDING SHEARWALL TIME 17 00 BI2 01 BL9 BAIR 01 BL3 01 BUILDING AIR Alr Seal and Ph#461-2744 BUILDING FRAMING SEAL Framlng Inspectlon requested by Fred Grlnnell PREPARED 3/22/04, 12 35 46 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 3/22/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER: 1016 CAMPBELL AVE LOT 10, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001022 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 3/22/04 tA ~~~B~~;_~~~~H-IN --------~------------------- COMMENTS 01 TIME 17 00 AND NOTES -------------------------------------- A? ~o~ <Vh~v)~U~ ~: ~ bi-1- \ '1 "&) l Wan- e.- t t ",J -:l.-..... b~l?<.-~ l~ le-~~~ ~ (.l..)D.btJ ~ ~uu12~/" J ~ 0LL ~ ~:~ PREPARED 1/27/04, 8'50 51 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY 1016 CAMPBELL AVE LOT 10, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001022 RES NEW SFR SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 BI2 01 01 1/23/04 1/23/04 1/27/04 JLL AP BUILDING FOUNDATION FOOTING Rex BUILDING FOUNDATION WALL Dan 460-2485 ~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- (360) 683-5731 (360) 461-2744 TIME. 17 00 PAGE DATE 2 1/27/04 PREPARED 1/23/04, 12 35 01 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 1/23/04 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . APPL NUMBER 1016 CAMPBELL AVE LOT 10, BLOCK 6, ILL ADD E G ENTERPRISES INC E G ENTERPRISES INC 06-30-14-5-4-0620-0000- 03-00001022 RES NEW SFR SUBDIV PHONE PHONE (360) 683-5731 (360) 461-2744 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS "'::O':::'I"IO'::~::::::~'D';:D::::::;:::-:~'::;G:::''"'::":00::::::::::::::::::----: ('~"OItr ~ -,~ ,~gp BUILDING PERMIT . APPLICATION FOR Ofl'lCtAL USE GNL Y Date R&c .::2 . ,..,... C)~ Penmt #. 10 2.2- Dete Approved Date Iuucd The B14lldmg Permll ApplicatIOn must ~ filled 0111 completely, Please type or print ia ink. If you bne allY questions, please uU 417-4815 Applicant or AgerEa E ~.c.d~J /~ ___ Phone: _~f / -- ,;2 JY,/ OwnerE'C E-LY:".~Pr/J6 J /~ Phone' 5'~ Address'~~~I#-CitY__ S~I C-(JA ZIP:.7!J1:3P:~ ArchitectiEngineer:.k.LA.JJ~.k..YC"..! ~ _ Phon(, <{~d-- - (, I ~_ ~ d:::-G ..,.'"X/ Z I I . J , I contractorf{:;.._ ~ )~Llcen.e#:~:It: _ Exp: I//b L!L Phone: '7:.(,1-22:1:1_ Addre:ss/3d-c/_~ Rd. City: ~2fl'(t'~ ~__ Zlp:I??rL PROJECT ADl>lUSS ID/~ C~ 'Dtt=-// A---t/tC ._ ZONING: tf f1 ... ~ LEGAL DESCRiPTION: Lot /'tJ Block 0 SulxhvislOl1: ~~, Add 1 -X-CLALLAIl,1 COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Addnss: City: ~_.4a r.s4 #I: Exp. Date: _ VISA___ Me ___ TYP~eOF "'ORK: ../ SIZEIV ALUATION: .... !YResidenttal ~ewConstr 0 Re-roof 0 Wood-sto\oe ''''0.3 SF. @ $ 5'9 IS1-. -~$--2-'I"'" 1.0" o Multl-fanuly 0 Addmon 0 Move 0 Garage ~30 SF.@S~r'SF...S_ ~ f ", ~__ o ComrnerClld 0 Remodel a Demohtloo Cl Deck SF @ $ ISF = oS o Repair 0 Sign 0 .__ TOTAL VALUATION S 7-;;JS~~ BRIEF DESCRJPTION OF THE PROJECT ~t<J /.:l (L~~ Lc-,S i' v._I/'.~ ~3(J $':.~yh _ C./1"7' 0--L!1:::.__._ COMMIlRCLu.lRESIDENTIAL: Occup<lnc)' Grour Occupant Load Consnuchon Type:_ No. of Stone~i' ~_ Lot Size -5L-6cf 0 _ ')/" Lot Coverage. /7: P b % EXisting Lot Coverage Isq. ft. -+ Propos~d Lot Coverage' R.J~ Isq f1, -= TOT At LOT CQVERAGE:_ '.3 PLANi'ING liSE ONLY. APPROVALS: PLAN Notes:__ BLDG DPW FIRE ESA/Wetland(s). a Yes 0 No SEPA Checkhst rcqulIcd? 0 Yes a No Other' OTHER__ BUILDING PERM1T APPLlCAT'ON SUBMITTAL: You'lIpp/iuJtiOIf IInd <tile plan Must fJ". fillet! Dut r""'plete!y to bl8 accepted/or ,~;ew. The BUIlding DtvlSlon can provIde you Wlth moTC dctalled mfonnatlon on the apphcatlOn and plan submittal requirements. Your complet.:d applica.tlon, site plan (for additions) and bU1Jdmg construcnOD plans are to he submitted to the Buddmg Dmslon. VALUAnON OJ;" CONSTRlJC1ION In _It cases, a valuation amount must M enter'ed by the applicant. Thls figure Will he reviewed :lod :may be re'>ised by the BU11dulg Div1Slon to comply WIth c~rrenr fee schedules. Contact the Pt'nnH Coordinator at 417481 5 for ilSslstal':Ce PLAN CHECK FEE . Your pla.e ched: fee IS du~ at the tm'le the b\..lldmg pemut a}::phcatlon and construcllOn plans are submitted .<\1l other PCTll1l[ fees are due at the tune ofpem'lJt Issuance EXPlRATIOl\ OF PLA.~ REVIEW: If no pemut 15 Issued wlthm 180 day. of the date of..pphci!lOn. tills IIppliutinn wtu upire. !'he BUlld:.ng Official can e;o,tend t.~e tlmc for actIon by the apph<:ant up to ISO days upon wmten request by the applicant ($e~ Seetton W7'; of the Vmform Bulldmg Code. \:urrent edulOn). No apphl;atlon ca.", be extended more than onC"e J haeby cer.:/J: tltal J !lave read aM exammed thiS appllcatlo/'t and know tlte same to be true and :.O,.rect, and {,'m autnorT.zed fO Cipplv PI,. tnls permll ! und~rsta,'1d fl IS not the Oty's legal respol1slblll!y to determine what perm1ts are required, U remams the app[;r.onf'S '''pan".,''", <0 ,/.."",,", whn< p<'m," a,< "qu,,,d and to ubta:~ /"'~" Applicant' __~ Date: 7.- ~ 9-41. r"FOK.v.~,"'f'PS.\B~lldll1gpoTlm -/ - - T --- ..... -:r ""'r~J,~ .) J!::.. OAJ C'b /c(~ '1/? .:.' t) ~ ~ I ) 5 ;::: ~ J,'. ~.'(; C-7~ /cJ' Pr'" I.} r': f.-v C / ~ ;J../ V';-1.lt./tJ/'r.) ~.IA/ /?d .~ . t t /) .,...,. ,,-:? r_ .:..; E'f (..1 . !.-..-. "t-f 7 u-- _,r Z t,. ,:/, I - ". 7 ..; y id/ I j'1 I",,? liT , : ,t :? "'Il- I i5"u I I - "() / / V , Jl~~ f · I ~v I{'~/I r \)/' I / I I' .I /1 , / /1 I I I ~I I -r .....-- ~ ~. I f:' 7" ,I f'orJ., ,." -- , , ( \' 'f,lii: ...' {:r- _ f , , 'i t'r , ! 55 I - ,J (' '5 .YD' , t:': (. 't'- I, ,,, ':j \-1 '-- Ie,' . i- t , , if'... , "- '""'" I ... II'- ;\9 / j I i i I I I \ J L: I r./, i J ' ' '1 S~.,. .Dfl<.;<-- r'1-- " 't..~o' / I ~ ~D'~ ,/' "1 '. f.) , J , L ( I .. 1&' _-Y~!6r/~ 10' / i;/ tv~ [;, & ..7>/~~o 1'1 .elK (; ..ri :>b . /{)/~ (!;:rmfJl:eLL Me;-, I .L /1//;-.- '{ LoT 9 1511- b ""- I . t r, ". 'p -f, ! / / // I / ,I '. tt ,IV , !X)x~ -\ . ,)t- / I I \r , _ L , -' - \ g' '1)'10 I "..\.. . ~ _: IJU' ~/-~~; K: - " I (; ~\('1 l I t; I! I ~I J J ! ! t-'~... (Ill f' ! . . : I 0',) I lJ ~ -oJ - (LlV' ~- Iq'~ ... ~ ~ r<'lf' 41 )r----.--- i i / 10 \<a .0') i ~-4 : z /J l ~' 22t. ;! ~ /) f ~ 4- b}> Lori- / cJ 4/ k. Co . .w. - Appencr,x &: a.m.,.. Ch-*..... & Woru...... /Ol/P &tnP~'iLL Ave, PAIN Exemne, - .. out this ~ NCIon or _eft . wi1dow IlChec::tlM 10 this ~ InIp<<tor _ wrH)o ..... 1ft. 'CJm\alion durir1g fMMd inspections. Indude 1kyti0000.,.ota1 doors InCl at! other glaring on ttlts Ootm u.. rouon __ .,.. 'Of celca.dallona. ("') J I . - J'r I fIod I Verified t{, ",. 7--,,<.11:> f10R ( tc Ii 11 :,. ',"", ,I, , .' ,.' .' '. , . '.~ , ~ ~ T~ g&cllng 11IM: /.. -? ~. 5 D T___: ~)?4 Petwntage gtutng: {} ,- l \ Verttled ! .. DOORS P\ans EJ<amin<< -list ~ doors by type (sold ccn.lnsuleted. *).~. UoYIIiue. n menutaet..... InspedCf - YIIrify do<< tnlcnNdion cUing fiekJ tnspoc:tior.. IU-ValuelManutacturer lVerlfted ,.. 0;' () 86gMtuf'e of luSdng OflIoIat: 0... of Rn" tn.,..*,,: :fJ I ~", e-A '\~I,f \ ~: ?J~' , CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001022 Date 1/26/04 1016 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 10, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type Occupancy Type Other struct info WA 98382 E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 1203 SF SFR W/ATT 230 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 ~ C) - \) 17.86 % (\txl :!J z: r~ V-N 2.00 1.00 4680.00 836.00 836.00 1. 00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE KIRSCH ELECTRIC 46.70 1/26/04 7/24/04 INC. Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 46.7000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 46.70 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1821.20 1821.20 .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 \PLANNINGIFORMS\1102 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 UNLAWFUL 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 ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (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 #'s 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 1/ J-1 / O~ 1Ml2 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 \PLANNING\FORMS\I 10215 [11/14/2003] ~ ~ORT ~ $'4.0~~~ rea 1!:::-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 App11cation Number pin number .6568 Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application descr1ption Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001022 Date 8/03/04 1016 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 10, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construct1on Type Occupancy Type Other struct info E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 1203 SF SFR W/ATT 230 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1443 SQ.FT. SFR KIRSCH ELECTRIC 96.40 8/03/04 1/31/05 INC. Plan Check Fee Valuation Qty 1. 00 1. 00 Unit Charge Per 73.0000 ECH EL-R-SQFT FIRST 1300 23.4000 5C EL-R-SQFT ADDITIONAL 500 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE r/lll/fL ~?y e:.~ /dJ WA 98382 17.86 V-N 2.00 1. 00 4680.00 836.00 836.00 1. 00 ~ ~ .00 o ~ 1\, ~ ~ f~ ~ Extension 73.00 23.40 745.00 4.50 1025.00 Fee summary Charged Pa1d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96 .40 96.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1870.90 1870.90 .00 .00 ~ Separate Permits are required for electncal 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 T \PLANNING\FORMS\1102 15 [11/14/2003] Signature of Owner (if owner is builder) Date 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON 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 PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL I WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (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 (EngmeerIng 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 OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 !/J104 /ItJO 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 \PLANNING\FORMS\ 1102 J 5 [11/14/20031 FROM , KIRSCH ELECTRIC FRX NO. 3505830859 Jan. 23 2004 03:50PM Pl 0( tQ~ l~' Ii ,,0 DIf~'f ELECTRICAL PERMIT APPLICATION The Eloe~J Punni! ~pljcatJon "'u~ b. fUld out CDlnDI"~I.,. POl O"lC~1 l"SI; DNI. V =~ ==:--'..--.. tlut~.~ _. D...........o:_...__., .'__'. PI.... typ.orr.prlnttn Ink. If you have .ny vuestlOftl,.... call (3IiO~"'7"'735 'u runber: (360).11....c711 03-/02.-2, . REQUEST INSPECTION 'Ii( Pho"", (01;">;- ICSJ q Fill: UJ~; -:So f1K(/? /'Ioano: (D&~- 5731 Zip: 91t":n:::) Pho,,,,:COGY(0819' ZIP:~ Ownor or EIIC. CootraclOI Ag8l1t: :\tit' ~ "" i \" ~(' h Proponya..,,,, Fb-. b'n#A"'''r''~''~ AClOrau, 10,:L'-j :-\fJ.A>ov:.-mI.J<'I C>>.I: s-eq, J;,'Y"">, Elo._ICoIll>aator. hirsC'h 'EJ-eN-r-i 0 lIcra..: I(Jl1'<;"FJ"'~, Add",,, PO. !Dj. 3'jQ (() Oily -3J1.qOim INSTALLATION WIRED BY; 0 OWNER )(e.lECTRIc.Al CONmACTOR CffHllt C.fl1 Holder N.me, =s () h Y\ +:-. v:. \ r '" (" ~ S/NlngAddt'e..: 9oGo)(.3?,q(p City: St'1uiYV"'\ CredltCafl1NutnJJ.r. Zip: ._cm.~ V1SA:X MC'_ PROJ!CT ADDRin: Ii)I In 01'1 KYl ? '00 H au€. J TYPE OF WORK: . Check gJI that apply: ~8W 0 AllerallonlAddltion ~esjdente'l C Multi-family ::J Commercial Q Mobile HOnle SQ. Ft Remots M~ter 0 Deteched garage n Hot Tub 0 Swim Pool :J Septic Pump 0 I. ow Volmge 0 Telecom. 0 Sjgr. .Number of ClI'CUlte added or a1lered: CESCRJPTlON OF THe eU!CTRJCAL P"OJecT: (\\J'€r l\J.a d ~ ~om. ~ Elect""'" Hut Load Addition. LJI. r-;O PERM'TFEE:~ Servlee 'nformatlDn o Raa.AhoMd LJ Furnace C ~..I Pu,"" LI i=Bn-WaU /II!N /II!N -TON LRA _.KW -- ~vem.eed ServIce amp SeMce . Underg!"ound Sel\llce Vol18go: Phase: r:J 1 ~ Service Size: Food... SJu: PAMC 1~.05.JBO(8): Forlnduat!iaJ. commerolel. & reeldontlal projects Ie'llerth"" a ,uplex, . one -line drawing of tho Eloctrlc.1 Service & Feed~. building size (5q. ft.), load calcv.aU:Jtl:!t, end the t)lPS & or cond:.Jdora and/or raceway 15 reqt!lred end shaff Bcrom~any t!'1e Ei9C'tncal PwlM appncoUon. I hereby C6ftify that I hBVe read and elC8minad this application ana know /liar same to be true and correct, and I am 8I.Jthorizedto apply for fl1ls permit. Il.Jnder$/end ills n"t (in, City's legel ri/ilsponsibl/Ity /0 detarmlne whet pe plicants responsibility to de~nnlr;e what permits are T>Jql1lred and to obtaIn s'.JCh. C,.cllt Card Holder'1 Signature: Owner or ElK. Conl Slgnatu....: C,/ELECTRICALPERMIT APPLlCA TlON /z(,/o~ / a _r t..01 t/€-c.r A-I- Ivd C5\o<'1'{rc...+ 'I _ tjt:I ~f 1M. ~. 'Prof L-f4 u]~~...~ y Date: /-d"O'6i.{ Date: u"'" L./ -rr -;- {?~ f".J)1 t!: ~~ . tf7Z.:" 1137/ I~ I 'J ./ /lee ~~L </Lj610 / - t'/ . tJf7