HomeMy WebLinkAbout1302 Campbell Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 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 . . . .
08-00000943 Date
184700
1302 CAMPBELL AVE
06-30-14-5-3-0550-0000-
HENRY G. FINK
RES REPAIR
8/04/08
RESIDENTIAL HIGH DENSITY
1526
Application desc
REMOVE EAST CANOPY ROOF & REPLACE, NEW FRAMING
Owner
Contractor
HENRY G FINK
1302 CAMPBELL AVE
PORT ANGELES
WA 983622709
COZI HOMES CONSTRUCTION INC
324 E 9TH ST
PORT ANGELES WA 98362
(360) 452-9906
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
REMOVE & FRAME EAST ROOF
131508
83.55 Plan Check Fee
8/04/08 Valuation
1/31/09
33.42
1526
Qty Unit Charge Per
Extension
50.00
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 83.55 83.55 .00 .00
Plan Check Total 33.42 33.42 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 121.47 121.47 .00 .00
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Separate Perm its are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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.
Signature of Owner (if owner is builder)
T:Forms/Building Divisiontr3uilding Permit (0511 3/08).wpd
BUILDING PERMIT INSPECTION RECORD
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CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES. CALL 4 17-4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR I 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 ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
-,
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERC1AL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLO DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT fI'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 ELECTRICAL
LlGHT 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 <t ~ 7:~,...f) g pg BUILDING
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BUILDING PERMI..T APPLIC
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant or Agent
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
License #
r.-a ?..:r {.{ o'YYI p s rr:~c; +-
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Expires
Pho
Phone
Phone
Parcel Number
PROJECT ADDRESS
Lot r3 I is Zoning
Project Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
~epair
oRe-roof
o Demolition
o Heat System
o Other
Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
Floor Areas
Basement
15t Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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~idential
o Multi-family
o Industrial
o Commercial
2:-
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
Existinq (Sq. ft.) Proposed (sq. ft.)
@$
per sq. ft. = $
Ko-or P.e{J If-,y-
TOTAL VALUATION $
fJ 5dbo
I have read and completed this 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 of1-/'
projects.
Date ~-(-o<;J' Print Name !~ 2-
. TForms/Building Division/Bldg Permit AppL-7C06 Code.doc
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