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Home My WebLink About1156 Campbell Ave - BuildingBuilding Permit 1156 Campbell Ave 12 -1069 rt fn (0 N (D 0 P•0 P. 0 0 r+ 0 m a C11 H O 41 n Y W r H H H N H N H 01 w H to r 0 H a N x 1x r W K 01 0 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00001069 Application pin number 111276 Property Address 1156 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-4- 0500 -0000- Application type description RE -ROOF Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 3000 Application desc TEAR OFF REROOF Owner PRICE, TAD R. PO BOX 555 PORT ANGELES (360) 460 -3117 Permit Additional desc Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total BUILDING PERMIT NO PR FEE TEAR OFF REROOF 109.75 8/17/12 2/13/13 TJ21cE T:Forms /Buliding Division /Building Permit Contractor OWNER Plan Check Fee Valuation BASE FEE 1.00 14.0000 THOU BL- 2001 -25K (14 PER K) Charged Paid Credited 109.75 109.75 .00 .00 .00 .00 4.50 4.50 .00 114.25 114.25 .00 Date 8/17/12 Due .00 3000 Extension 95.75 14.00 STATE SURCHARGE 4.50 .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 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 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. r "i 74/A/ REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Landscaping Footings Electrical Stemwall Foundation Drainage Downspouts Construction R.W. PW Engineering Piers Post Holes (Pole Bldgs.) 417 -4653 PLUMBING: FINAL Date Accepted by Under Floor Slab Planning Rough -In 9/ /d--._ Water Line (Meter to Bldg) Building Gas Line Back Flow Water 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 Pump /Furnace FAU Ducts Rough-1n Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Landscaping Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 4750 417 -4815 9/ /d--._ ,.7 Building PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Project Address: 1 5 Cal/obeli A'i e 5 c r S Main Contact: l ad Pri Phone 3bo 4 7 t.o -1 Property Owner Name /a d t i t cc Phone 3 60 2 3 117 Mailing Address PO BoA SSS Email `I I Yic�401y =�vl Co wl City PO A14e\.rS State A 'Zi 3 G/Y3 z Contractor Name Phone Mailing Address Email City State Zip Contractor License Expiration: Project Value: r, Sda 3, bo&) Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial Public Demolition Fire Repair Reroo tear off ay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes U No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description Tf'cxr ci f k lraa �cj compostriavt 4' svvici -f (otA) Slope (1,e rr% rea 04 k ose finsfatI neln.) 4 orr_1-1duo V1 (I 1- kev\ i vas l en ✓lposi i id-t on sloped roUf A pro “Wia it I `7oo so. Fe` i l 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 is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date g -!7 �Z Print Name SAD i�l�C Signature //4/" THE CITY OF W A S H I N G T O N U.S. 321 East 5th Street Port Angeles, WA 98362 P: 360 417 -4817 F: 360 417 -4711 hcatuzo @cityofpa.us Building Permit Application For City Use Permit# \1• 1099 Date Received: S I 1 Date Approved: g117 1 1 G) N rn 0 m m CITY OF PORT ANGELES LIGHT DEPARTMENT 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. 'v d- fr.. --/'d. l� //i Address Owner Wiring Contractor C Tenant By Light Outlets Service, volts VC Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor Dryer Furnace Total Load 1 Total Permit Fee Treas. Receipt No 1M Olympic Printers, Inc. ELECTRICAL PERMIT Port Angeles, Washington v Ser. No Ser. No Ser. No Ser. No Receptacle Outlets No. wires Dryer, KW Size wires Range, KW Main fuse Water Heater: Enclosure KW Type of wiring: Heat: KW Entrance Cable Motors: size, volts and phase: Rigid Conduit Metallic Tubing Current transformers: No. Size Remarks: A r act 2......., Address Date Occupancy -o N? 16822 ,19. By 4& l 6�r r te` NOTICE— Current must not be turned on until Certificate of Inspection has been issued. If 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? 16822 Owner Tenant i Wiring Contractor By i NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment.