HomeMy WebLinkAbout1124 Campbell Ave - Building
MOJ
o
,
III
N
,
r-
f>lf>l
01-<
..;..;
n.Q
Q)
.....
'"'
>< en
...:I l':
<>: '"
f>l '"
H :> .....
...:I H f>lf>l
I-< Q ZZ en
f>len gJ 00 ~ f>l
~f>l :I::I: ....
~~ en n.n. 0
r- Z
1-<1-) III
"" ~
Z .. .... 0
0<>: M 0
HO en .. o:r 0::
1-<1-< I-< OJM' en
UU f:l Mf>l I-<
f>lf>l OJO\<>: Z
n.n., ~Z~ o , , f>l
en en 00 ~
ZZ f>l 00 ~N\D~
H H ...:I HU ..; ....;Z 0
H 1-<, Z - Z 0 U
I-< c>:n.en HU'l~HO
Z n.HI-< ~NHli..s:i
f>l 055
0 , o >'...:1 0 f>l
0 :Z:enen Q........:IQI-<
1-)0 f>lf>l ...:I::SHHli..
0 IQ<>: III 1-)3: 1Il";
f>lo""
H , 0 E-<
f>l ~oo H !~
:> M<>: ~n.~
";f>l Ill'
N ...:I "'of>l
N ...:IH f>l , <>: "'en
...:II-< 1-<.. zen
.... ra en , .... OHf>l
.... 'IIlN :z: <>:
"'0 0'.. H
0\ 5~ ..0 ~ 1
en ~....O ,
f>l 10 SQQ ,
-...:I , H HOO f>lf>l , OJ
OJf>l .....:I ...:IMO IZlI-<I-< , 0
00 N...:I ...:I' , enf>l , ,
;;':ii ....H HWW gf:l~ , III
....3: 3:00 1 N
N OI;E 1 ,
,I-< g.f>lO , r-
r-<>: <>: <>: o<>:u 1
0 . ~ g5 .f>l gj 1
'" III 1
Q I-< 1
f>l... en -u ~ , ....
~o enl-<~ ...:I E-< 01 , 0
~~I-<~tJ...:I H en ,
"'>< ~ , , 0\
f>ll-< Qffis~~g: n. , 0\
<>:H >< , ...:I
"'u ~I-<uo"'''; ,g. I-< , III
~
e
u,.~
:!o. --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr. name . .
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000421 Date
946414
1124 CAMPBELL AVE
06-30-14-5-4-0530-0000-
WILLIAM GENTILE
RE-ROOF
6/08/06
Owner
Contractor
~
\
-\4
~
RS9 RESDNTL SINGLE FAMILY
2000
WILLIAM G/STEPHANIE J GENTILE
1124 CAMPBELL AVE
PORT ANGELES WA 98362
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date .
BUILDING PERMIT - NO PR FEE
79772
95.75
Plan Check Fee
Valuation
.00
2000
12/05/06
Qty Unit Charge Per
Extension
50.00
45.75
BASE FEE
15.00 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 95.75 95.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 100.25 100.25 .00 .00
0?
)>~ ?T~
"
O~
~
~~
\ s:
1
~
~
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 goveming 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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] "
1
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
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 I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL(INTE~ORBRACEDPANELONL~
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING I I
MECHANICAL
HEATP~/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 OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL
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 1-2.r:;-r.R :r u...- BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
Fill Ollt COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, caU
PERMITS (360) 417-4815 FAX(360)417-4711 .
ApphcantmAgent \^~:k ~e\J\\LE
Owner: U/ It,!.. W"\ ~~ 1
Address: 1/i,V Cd-YVtj7be// 4VrL City: cf4
Architect/Engineer:
Phone:
Phone: ~ Co q 7 J (/
Zip: 9 r7 r:; d-..
Contractor
State License #:
Phone:
Exp: Phone:
Zip:
ZONING:
City:
C-Q;y1jbet/
Block:
Address:
PROJECT ADDRESS: .j / J C(
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER: 06- go - [4 ,. ,t:; -4 - 05":30
Subdivision:
TYPE OF WORK:
o Residential D New Constr. ;< Re-roof D Stove
o Multi-family D Addition 0 MoveD Garage
o Commercial D Remodel 0 Demolition 0 Deck
o Repair D Sign 0 Other
BRIEF DESCRll'TION OF THE PROJECT:
SIZE/VALUATION:
SF. @$ /SF. = $ :2 OOq.,Oo
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION $
Construction Type:
= TOTAL Sq. Ft. 2/00
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stones: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
ESA/W etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FillE :
OTHER:
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Divisionto comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are .
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that J have read and examined this application and know the same to be true and correct. J am authorized to
apply for this permit and understand that it /s my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permfts prior to work. ~ A li t: JZf- "" .-C
T:\FORMS\BldgPennitfOrm.WPdAPPliCV~~~ Date: W)