HomeMy WebLinkAbout1450 Campbell Ave - BuildingOF PORTAj,O
IGN
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MATTHEWS TTE A FLOYD /ELDORAR
PO BOX 2698
PORT ANGELES
Permit
Additional desc
Permit pin number 61614
Permit Fee 110 00
Issue Date 10/04/05
Expiration Date 4/02/06
Other Fees
WA 98362
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA-98362
05 00000969
133625
1450 CAMPBELL AVE
06 30 14 1 3 0135 0000
PUBLIC WORKS UTILITES
0
Contractor
OWNER
SANITARY SEWER HOOK UP
Plan Check Fee
Valuation
Date 10/04/05
Qty Unit Charge Per Extension
1 00 110 0000 EA SAN SEWER HOOKUP 110 00
SEWER SYSTEM DELV CHARGE 745 00
Charged Paid Credited Due
Permit Fee Total 110 00 110 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 745 00 745 00 00 00
Grand Total 855 00 855 00 00 00
Fee summary
T \Policies \1102.15R [1/05]
00
0
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
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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 41 -4653
PLANNING DEPT 417 -4750 I
BUILDING 41 -4815
T \Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 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
1 1
I I I
I I
I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MATTHEWS TTE A FLOYD /ELDORAR
PO BOX 2698
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 48 1000 ECH
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
Charged Paid
48 10
00
48 10
COMMENTS /ACTION NEEDED
05 00000966
162354
1450 CAMPBELL AVE
06 30 14 1 3 0135 0000
ELECTRICAL ONLY
EL R SEPTIC
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
EL SEPTIC PUMP
SIMPSON/ 1 4 CIR
61507
SIMPSON ELECTRIC
48 10 Plan Check Fee
10/07/05 Valuation
4/05/06
48 10
00
48 10
PUMP ONLY
Credited
00
00
00
Date 10/07/05
WA 98363
Due
Extension
48 10
00
00
00
00
0
ELECTRICAL PERMIT INSPECTION RECORD
e CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED
FINAL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
DITCH 1 1
ROUGH -IN COVER I 1 1
SERVICE I I
II 1 1
1 1
1 1
1 1
COMMENTS
PW-1102.15 14
Purchaser's mailing address
/Installation description
Job wired by Electrical Contractor Owner
Electrical contractor name License number Date Expires
w-fpS6 r �l S'% to Sc(`1 ?3 R4
Li 2O34 i`fxwti t0/ ()-ef/
State ZIP
Tcicphuue number V FAX number
q
7— 2.70 Sf�'"
'Premises owner's, uatne
Address of itf pectiuu
Q Cat- 6 elf /9v�
City Pri 47
Inspection
Date
0 Heat Pump _Ton LAR
Fan -Wall _KW
SAME DAY INSPECTION, CALL BEFORE
ROUGH -IN
y., e
Phone number to schetJ,tl tr n. G 0
Owner as defined by RC'WW)9 28.24 1 Owner will occupy the structure for two
years after this electrical permit is fnallied. (2) Owner is required to hire an electrical
contractor if above said properly is for sale. rent or lease.
After reading the above statement, I hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor I am making the electrical instal-
lation or alteration in compliance with the electrical Laws, N.E.0 RCW Chapter
19.28, WAC Chapter 296 -4613, The City of Port Angeles Municipal Cede, and
Utility Specific ^tions.
4. /Slgnatu of'' uer, Iectric 0 actor or electrical administrator xpiration Date
go 10/1//95
10 39Vd
App,uvcd ay I
Del,.
FINAL
6CP /r 5)17
Vprc Approved 13y
/0- 7 er5 1 /may io4 .S■
Dow
DIa10313 NOSdWIS
DITCH
(of
X �t l�ate• .�2
glee 'trl6Uoad Additive and h rac tl O fl.
El NO LOAD CHANGES
Baseboard _KW El Fumace KW
C.) Temp Service
'Underground Service
7:00 AM 360-417-4735
tn,-)c., P eA,
c ❑O verhead Service
THERMOSTAT
7 Dale Approved ay I
Area, Building or Equipment inspected
Approved By J
6
ELECTRICAL WORK PERMIT APPLICATION
O Commercial 'Rosidentlal
0 New )4/Altered/Addition
A10-23-4_ 1„430
Y
Cash 0 Check
0 Credit Card
Card ,0>n
Mastercard Discover
SERVICE
unle
FEEDER
Uate
C Inspection tCC�
Service ID
Voltage
Phase 1 3
Service Size:
Feeder Size:
Approved By
Approved By
Action Taken
/34 dr-O
Electrical
Inspector
0LZ5LSP Si' 80 S00Z/Z0/0T
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MATTHEWS TTE A FLOYD /ELDORAR
PO BOX 2698
PORT ANGELES WA 98362
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
60921
50 00
9/22/05
3/21/06
05 00000914
901188
1450 CAMPBELL AVE
06 -30 14 1 3 0135 0000
PUBLIC WORKS UTILITES
0
Contractor
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Fee summary Charged Paid
Permit Fee Total 50 00
Plan Check Total 00
Grand Total 50 00
T \Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Plan Check Fee
Valuation
LARRY S EXCAVATING
123 ALDERWOOD CREEK DRIVE
PORT ANGELES WA 98362
(360) 457 7469
50 00
00
50 00
Credited
00
00
00
Date 9/22/05
Due
Extension
50 00
00
00
00
00
0
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
CALL 417 -4807 FOR UTILITY INSPECT[ONS. 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102.15R [1105]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417-4751) I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING