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Home My WebLink About1134 Campbell Ave - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA ~8362 ' BUILDING PERMIT ISSUED: 10/28/2002 PERMIT NO: 13810 OWNER/APPLICANT PROPERTY LOCATION 1134 CAMPBELL AVE TERRY NESKE 1134 CAMPBELL AVE Lot: 6-9 Port Angeles, WA 98360 Block: 5 [] Long Legal 360~000-0000 Subdivision: ILLINOIS ADDN T: S: Parcel No: 063014540520000 CONTRACTOR ARCHITECT PENINSULA ROOFING N/A 1216 S. H ST Port Angeles, WA 98363 , 98360-0000 360/417-1039 360/000-0000 PROJECT INFO Project Value: $3,200.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF, FELT, COMP RECEIPT~850 FEES ASSESSMENT Building Permit: $97.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $101.75 Plumbing: $0.00 AMOUNT PAID: $101.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not construction.presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ ] 102.15 [4/2002J FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION °~ Da~ Approved: Da~ Issued: ~e BuiMing Permit ~pplica~on m~st be filled out completely. Please ~pe or print in in~ If you have any question$~ please call 4174815 ~c~tecffEngineer: ~ Phone: Contractor License ~: Exp:. Phone: Ad.ss: City: Zip:. PRO.CT ~D~SS: ~G: LEGAL DESC~PTION: Lot: Block: Sub&vision: CL~L~ CO~TY P~CEL ~BER: Credit Card Holder Name: Billing Address: Ci~: Credit Card ~: Exp. Date: ~SA MC ~E OF WO~: SI~N~UATION: ~ Resid~fial ~ Ncw Cons~. ~Re-roof ~ Wood-stove SF. ~ $ /SF. ~ Mulfi-fa~ly ~ Ad~fion ~ Mow ~ G~age SF. ~ $ /SF. = $ ~ Co~cial ~od~l ~ Demolition ~ Deck SF. ~ $ /SF. = ~ R~paff ~ Sign ~ TOTAL VALUA~ON $ COM~RCI~S~ENT~: Occupancy ~oup: Occup~t Load: Com~c~on T~: No. of Stories: Lot Size: % Lot Coverage: % Exist~ Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. fl. = TOT~ LOT COVE~GE: /sq. fl. PLYING USE O~Y: ~PROV~S: PL~ Notes: BLDG.. ~PW ESMWefl~d(s): ~ Yes ~ No SEPA ~ec~ist requffed? ~ Yes ~ No O~er: "' O~R B~DING PE~ ~PLICA~ON S~MI~: Your ~lication and site ~lan must be filled o~t completely to be accepted[or re~. ~e Buffing Div~ion c~ provide you ~ more de~iled ~fom~on on ~e applica~on and pl~ sub~l req~m~. Yo~ co~lemd application, site plan (for additions) and building cons~ction pl~ are to be sub,Red to the Bulldog Division. V~UATION OF CONS~UCTION: In nil cases, a valuation amount m~t be entered by ~e a~licant. ~s fi~e will be reviewed ~d ~y be revised by &e Build~g Division to co~ly ~& c~t fee schedffies. Contact ~e P e~t Coord~tor at 417-4815 for assistance. PL~ CHE~ ~E: Yo~ plan check fee is due at ~e ~e &e build~g pe~t applica~on and cons~cfion plato ~e subdued. All o~er' pe~t fees ~e due at the time ofpe~t issu~ce. E~TION OF PL~ ~EW: If no pe~t is issued ~ 180 days of~e date of appHca~on, ~s ~pplieafion will expire. Bulldog Offici~ c~ extend ~e ~e for action by ~e applic~t up to 180 days upon ~i~en request by the applic~t (see Sec~on 107.4 of the Unifo~ Buildi~ Code, c~cnt edi~on). No application can be extended more th~ once. [ hereby cert~ that [ have read and ~amined this application and ~ow the same to be ~e and co~ect, and [ am authorized to apply for this pe~it, l understand it is not the Ci~ legal respo~ibili~ to determine what pe~its are required; it remains the applicant'~ responsibili~ W determine what permits are required and to obtain such. WESTERN WOOD PRESERVING CO. P.O. Box 1250 Seattle (253) 838-1680 S,,mner, WA98390 Fax (253) 863-9129 (253) 863-8191 W^TS (800) 472-7714 . ''y CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT " ../- N? 17297 .> -...? ,Fd Port Angeles. Washlngton.n..n__.__.n.n___:..n...__.......................m. 19....'__. In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipment In. on. or about any building or other structure In the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address n/'l...}.d.Y.n.nE:__n~~~':'.v.~-.!!P..nnnn Occupancy____uu!.\..,(?...""Ln.nu.._.nn.n__... Owner ..nCZ.i:j{.~E_<'!L.2t.n.q;:z,.;!""l*d..uu TenanLuuunuumm_.un__.~__.:~__m__u..m.um.m_um__u - ~. Wiring Contractor ...Lr:~:.:;:'::::g~':L,.nunm.n..mmun__mmu By__.u.umm.mm..mu__.m.mnmmn._..m__m__n__.u LIght Outlets..._""""..".".._"_",, sm;:.. ~;:~: ::'f.~::~ TYP:::::1n;~ble "..".__"""...".... Ree€ ptacle Outletsumm..__no...nm........ Dcyec. KWm.m__."u".n.m.u"..."""". SIze wlres~t#.'k......-" Rang', KW_n....!__2:_______ Main fuse .?:.~.e.4..h.......... Wat'~r Heater: . .r Enclosure .......:5........................ 1--'7 KWm..m"n.""'''zm''''''... Heat: KW.......,,~.""r'~.---" Motors: size, volts and phase: Type of wIring: Entrance Cable ..............____..... Rigid Conduit _...................__......... Metallic Tubing _.__....................... Current transformers: No. & Size....___...n__....______...___......__. Ser. No.............................______........... Ser. No......................................__.__... Ser. No............____............................... Non-Metallic ..mm........__.............._ Knob & Tu be.__............................... RIgld Conduit .h.m.hh................... Metallic Tubing ........................... Raceway ...............................____._ CIrcuits. Light...........__.......................... Utilit)' ....__....................................... I-Ieat ......................................._.._.. Range .......____..__..__....__.....__............. Water Heater ....h......................__. Motor ...___.h__.....______.__...h........_.... Dryer ..............................................__ Furnace . ................__......'_.........._....._ Total Load.u..~..............____... Ser. No.................._.......................... Total ..........__........................... ~~:~~~~~:.h::'=:4!:~::~:::~~~:IZ::::::::::::::::::::::::::::::::::::::::::::::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::: Permit Fee .n.._.U_._..n....n_..__un.nnhn.~h.n_.._.nn.n______.__.__d...h__..h.h_hn__n._u.....n...nU_._n.____..u__nuu.hd~...n_nnnnnn.nun_unn__ $....m.m........nm....__..__m. Treas. Receipt NO....m.m..__mmm.m. By 9~..l?jtl~.fi;~.~~'L.(.,_ , . . v " ..... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT ., N? 17297 Address ................__._.....__..............h..__.______.............__..............................______..__..__.__...............h.. Date..._.........._h_..:.....h.___....___.__..._.n...... Owner .................__.........__..__............._......_......_.._.......__......____..................h__.................. Tenant...h.......____..__U......hn.__.__..____.__.__.____............. Wiring Contractor ..________................__......................................................h...h..____...........____............ By____...__.....__..................................h.......... , NOTICEf-:-:Current must not be turned on until Cert1flcate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. - I 1H tiluTnn;,.. Printer.!!. Inc.