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Home My WebLink About1016 Campbell Ave - Engineering x,,()RT~ t~O~~~ ~ -- ~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 O~-JOZ-'2--- Application Number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application description Subdivision Name Property Zoning Application valuation 03-00001022 Date 11/21/03 1016 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 10, BLOCK 6, ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner !Ol~ Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type Occupancy Type Other struct info E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 683-5731 1203 SF SFR W/ATT 230 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS WA 98382 WA 98382 1 00 ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640 00 Plan Check Fee 00 Issue Date 11/21/03 Valuation 76158 Expiration Date 5/20/04 Qty Unit Charge Per ~r~nj~~::S -------_:_~~------~:~-~~~~-~---_:~-~~~-~:~-=~~:_----------------(---~:~-~-- ~ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45 00 11/21/03 5/20/04 Plan Check Fee Valuation 00 76158 Qty Unit Charge Per Extens' -------_:_~~------_:=-~~~~-~~---~=~~-~:_~~:_:~~==-------------~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95 00 11/21/03 5/20/04 Plan Check Fee Valuation 00 76158 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Extension 95 00 ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745 00 4 50 1025 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780 00 780 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 2554 50 2554 50 00 00 c7 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 ive aut rit to violate or cancel the provisions of any state or local law regulating construction or the performance of construe' Signature of Owner (if owner is builder) T IPLANNINGIFORMSIII02.15 [11114/2003] Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date 6 - ~-D4 Time q - (){) /I M. Received by 7Jei-1.... 15 E-. (phone, person) Location of Work to be inspected 10 (& Wwt.j)b~1 ( A vi e.. f'\ . '~ Name of person requesting inspection VeVl.. V\ IS _ Address of person requesting inspection 4f"'rJ Ya.r& 11~ 'f- B Phone No '-1-'7 -48lt, I . Type of Inspection (circle appropriate onel Permit ~ '5 ~2-Z- Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Othe tJ",- +~; ') INSPECTION NOTES Inspected Date 6 - 3 .- Ot.{- Time I ( 00 A ~ By De V\. V\. \ S E ^ 1 "S-P fr _ r r {1 , Remarks {Ve-IV I >( ;;.r;s' s.e.r-\/Ic...~ -f2;...,1/J~d o--'\'"T o~ a... Z-' P- VL M~, r1... , , c- 0 73 ~7 I~ (?405S3J..::; I RESTORATION REQUIRED YES NO Y ~ '-..... \/\ ~ u"'^p~€-l t Ave., ~ '\) ~ }J ( ~ ~ df: ~ZL/5" .... /\ I '" ,- ..Y .,.... 20",1 ....1 Y - -...: /' ~ " f (f --rp&L trr ~ L L 1 3z O~~p 3 O.e.e.p SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee [] No Damage Found o Asphalt 0 PCC 0 Other Work Order # 1t.f7cS,. ODS o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 2\ I cJ. ~ APPLICATION FOR WATER City Water Department Port Angeles, Wash. II /u JD7 ,19_ I hereby apply for water to be furnished in accordance with rates and rules of the City for .the following premi ses ,,";9- ~L- Ne"JT1e of Applicant E.6; EA/T~~.PtC.1 13~r h~Jt}" Add,... /tJ/~ ;?d/?1,Pk# ~ ~/-2~ ~"lm "1F3J'; Renewal 0 N~w Serviceg--Blk~ Lo~ Add..22/.///~/..s ~ Size of Service / i ~~ Meter Numbel"t~o~oSg"383 cA~~731 I RJ2j ()l>()()()O Service Left On 0 Service Left Off g--S'lgned -<c: I I Installed by Remarks Pjrl1-1Jr-d:l.- 93 -) tJzz- rs ~40 - -f-~ 10259,) N '<1> w Z'f5' -,j E s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . REQUEST \ cr .1=1 Date ...j v Y\.e \ ~( Received by J *!JilI~, '- IPhonef~ /D 1& II ()/~ Location of Work to be inspected (4('1\(.>8,el-L) /\11'. 4,,0 0.t5L-C...> Name of person requesting inspection trlon () I ~~ Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No G~ Foundation Framing Chimney Plumbing Final Sewer Excav Other /IIt:J:l Time 63 - 1022- CJ-3-/0:Z3 INSPECTION NOTES Inspected Date Remarks Time By , I A ~ Df2~uY- RESTORATION REQUIRED YES NO <"'W~N 0':>' W i tK~ L,D If [ ~, ~' :I~~r!p 14 ~ I 4 ~ J 1 ..., ti -1)\ ~ ~ 20 -0 I \& f'vL \. wYc , 2.' oep1tf 1.,)y(3 "OC'f'T1-\ ~1\-O\P~~LL.- o ~ (.oV'C-42.e.c ,0 . 100 t 6" eve.... , 3'8' 6 ""'111 ?Uc- e,OOl" "b' Oe~\r\. - t\ :3 <"' '\0 <:J ( or ~ " SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 YES I NO FOllNDA TlON FOOTINGS WALLS FOUNDA nON DRAINAGE/DOWN SPOUTS ELECTRICAL (LlGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LlNE (METER TO BLDG) GAS LlNE BACK FLOW / WATER AIR SEAL WALLS CEILlNG I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSllLA TlON SLAB W ALL I FLOOR / CElLlNG I MECHANICAL HEA T PUMP GAS LlNE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES / SITE WORk. (Engineering Division) SEPARATE PERMIT #"5: 'N i\ TERl..INE I METER SEWER CONNECTION SANIT i\RY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELlNE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-473' ELECTRICAL LlGHT DEPT CONSTRUCTION R.'N I PWI CONSTRUCTION R.W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 4]7-48]5 BUILDING T IPLANNINGIFORMSIII02.1' [11/14/2003] ~ i'ORT..v.: t-tO~~~ ha ... -=-- ~ 'l<>:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00001022 Date 11/21/03 1016 CAMPBELL AVE 06-30-14-5-4-0620-0000- LOT 10, BLOCK 6. ILL ADD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 76158 Owner Contractor E G ENTERPRISES INC E G ENTERPRISES INC. 1324 JAMESTOWN RD 1324 JAMESTOWN RD. SEQUIM WA 98382 SEQUIM WA 98382 (360) 461-2744 (360) 683-5731 Structure Information 1203 SF SFR W/ATT 230 SF GARAGE Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 76158 Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 \) ~ 45.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 76158 (' 9 "3 \J () (\) Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP c-- ..-- 95.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 76158 p ~ Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 780.00 780.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2554.50 2554.50 .00 .00 Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. ThiS permit becomes null and void if work or construction authonzed is not commenced within 180 days, If construction or work is suspended or abandoned for a penod 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 compiled with whether specified herein or not. The granting of a permit does not presume to give authonty to violate or cancel the provIsions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authonzed Agent Date Signature of Owner (If owner IS bUilder) Date T \PLANNlNG\FORMS\1102 15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER COl'\'NECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ J..j /1'1 / a5 TF CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING , , FIRE 4 I 7-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\I 102 15 [11/14/2003]