HomeMy WebLinkAbout1321 Campbell Ave - BuildingPREPARED 9/19/06 9 08 44
PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/19/06
ADDRESS 1321 CAMPBELL AVE SUBDIV
CONTRACTOR PHONE
OWNER ROSE MARILYN R PHONE
PARCEL 06 30 14 5 3 0444 0000
APPL NUMBER 05 00000975 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR PEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01
INSPECTION TICKET
BUILDING FINAL TIME 13 00
ANDY 457 0928 TAKE CORRECT PERMIT WITH CORRECT ADDRESS FOR
APPROVAL
09/18/2006 01 37 PM DYASUMUR
COMMENTS AND NOTES
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000174
Application pin number 842742
Property Address 1312 CAMPBELL AVE
ASSESSOR PARCEL NUMBER 06 30 14 5 3 0530 0000
Tenant nbr name QWEST
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner
CASWELL GARY D
P 0 BOX 1513
SEQUIM
(360) 683 6566
T- \Policies \1102.15R 1/05]
WA 98382
Contractor
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452 1110
Permit RIGHT OF WAY
Additional desc PHONE SERVICE BURIED /BORE
Permit pin number 71456
Permit Fee 00 Plan Check Fee 00
Issue Date 2/17/06 Valuation 0
Expiration Date 8/16/06
Fee summary Charged Paid Credited Due
Date 2/17/06
Permit Fee Total 00 00 00 00
Plan Check Total 00 00 00 00
Grand Total 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 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417-4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417-4815
T \Policies \1102.15R 1/05]
RESIDENTIAL
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
Sr
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll-DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000975 Date
358825
1321 CAMPBELL AVE
06-30-14-5-3-0444-0000-
RE-ROOF
9/18/06
UNKNOWN
1595
f(NAL-EO
CJ /Iq 100
'0
CJ\
1
~
~
Owner
Contractor
ROSE MARILYN R
131 W 2ND ST
PORT ANGELES
OWNER
WA 983622622
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAROFF, FELT, COMP
61960
80.55 Plan Check Fee
10/06/05 Valuation
4(04(06
.00
1595
Qty Unit Charge Per
Extension
47.00
33.55
BASE FEE
11.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80.55 80.55 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 85.05 85.05 .00 .00
~~
~~
I
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 Owner (if owner is builder)
Date
ib..
~
~
Signature of Contractor or Authorized Agent
Date
T:\Policics\1102_15 building pennil inspection record05.wpd [1/412005]
"
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECfIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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
I YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOlJfS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
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
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ~I I PLANNING DEPT.
BUILDING 417-4815 v'IIvl/U& ~JI1/ BUILDING
T:\Policies\l102 15 buildin it inspection record05.wpd [1/412005]
g penn
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt!
17378
. po
Port Angeles, Washlngton..m.m.m..m...............m._.......mm.._.mm. 19000..000
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 IJ-3jm..~__J.3._."f__:c.____C.a.~"'-~_!'-,{-e.I2R.. OCCUpanCy.,~,f...:'*-<.,P€?~__mm____
Owner m---~.~?fm:...----.-T.m--m--.?--m-----(.(. Tenant..__mm__mmm_.__....____...fi__.m___.:.__.__n_..m.m
Wiring Contracto~__(&t€.t<"'_____.!.,.w.?.~~______.__.mm Bym____mmm_______..__._.m...____.mmm._.m__.m________
LIght Outlets_.........l..;?..........._..___._. ServIce. volts h...!:?:__a..LP....'C.'? Type of Wiring:
Receptacle Outlets....~.L._..__...d.. No. wIres ....__::1............................. Armored Cable .----....---........--........
W " SI I ~ t1>.P Non.Metalllc .__.._._..m....................
Dryer, K __________\.e____..____________._____..__ ze w res....,......hl,".h....'h.;!....
Runge, KW ___.!~__..__.__.__________ MaIn fuse .h.;;-;.;[r?,ff...4........
~
Enclosure __.._nn___nnn..........._.........
Remarks: _.m~g~.~____.1.3__2:1n=__..I]..F2..E...~!~.f.~f!f!-::..?!m------.~~.!:..~m--m
..m.mm__m.m____m.J.L______m__mL.lmLl..m.':::~::__I.'1__L.~mmmm.(,::.mm___m.m.____m__..____..mm__m__.mm.__m
______mmm__.m____mJt..nnn_____.mj:l.!2~r.~____.I_3..~.Z?__.________.m_m!..(____000.000000__000.000________...........000...............
BYmJ!;t..1L~,k~~
:;.X'
Water Heater:
-
KW....___:Y.L~:L___....___________:__
lIeat Kw......./L..I!.../'l............h..__...
Type of wiring:
Entrance Cable ...._.........___............
Motors: size: volts and phase:
Rigid ConduIt nn_...nm....um.........
MetaUic Tubing ...____....................
Current transformers:
No. & Sizennnn_......nnnn................
Ser. NO..n..................................__......
Ser. No. __......._____00_.................0000.......
Ser. No. .___...._..______....._0000...........___....
Total Load....________.....__._........
Ser. No..............-..._........_.................
Permit Fee
.41 ae>r<ti.:y"')
f.~'4-1-L't..:.....__~.m.
Treas. Receipt
NO..m__mm....m____...
NOTICE-Current must nDt be turned on until Certificate of Inspection has been Issued. If work Is to be con-
cealed due noUce must be given the Inspector so that work may be Inspected betore concealment.
Knob & Tube................................_
RIgid C()udult ___....,.......................
MetalUc TubIng ......._........______....
Raceway ___....__.............._......___._
3
Circuits. Llght................____._........._.......
Utillty....3.....__..............................
.;2. X lIeat .h..~..................................
Range .__......................____....___.__......
':2
Water Heater ......................__.......
Motor ...__......_._..............................
Dryer ..h........~.........................___
Furnace .._......................._._......___.__..__.
Ir
Total........__........_.____._.____........
,
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
#'
/'
(
ELECTRICAL PERMIT
N?
17378
Address._._____..............................__.___.___............._......................................_____...............................Date..._.._...__._......_.........._......_......___....._
Owner h..nn_u..._.__n.....h_..................._n__n_....._____.....h............................_.....0000.............. Tenant_..hn.....n..n_.....n.................................nn.._..
..""WlrlngContractor__......_...................._.............................................................__..__.__________...._.........By.._________.._...__...........................................
"\.
'\. NOTICE-Current must nDt be turned on untU Certificate ot Inspection has been Issued. It work 1.15 to be con.
ceated due noUce must be\given the Inspector so that work may be Inspected before concealment.
1M Olympic Printers, Inc.