HomeMy WebLinkAbout1302 Campbell Avenue Address:
1302 Campbell Avenue
PREPARED 7/03/13, 9:40:25 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/03/13
------------------------------------------------------------------------------------------------
ADDRESS . : 1302 CAMPBELL AVE SUBDIV:
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452-9906
OWNER FINK HENRY G PHONE
PARCEL 06-30-14-5-3-0550-0000-
APPL NUMBER: 13-00000644 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FES
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 7/03/13 L n BLDG FINAL
V July 3, 2013 9:19:41 AM pbarthol.
ken 460-0036
Garage roof final
-------------------------------------- COMMENTS AND NOTES --------------------------------------
a
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT— BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 13-00000644 Date 6/12/13
Application pin number . . . 550960
Property Address . . . . . . 1302 CAMPBELL AVE
ASSESSOR PARCEL NUMBER: 06-30-14-5-3-0550-0000-
Application type description RE-ROOF REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY to the City of Port Angeles
----- PP
A lication valuation 2879 Location Code 0502
-----------------------------------------
----------------
--------------
Application desc
TEAR OFF/INSTALL COMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FINK HENRY G COZI HOMES CONSTRUCTION INC
1302 CAMPBELL AVE 324 E 9TH ST
PORT ANGELES WA 983622709 PORT ANGELES WA 98362
(360) 452-9906
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF/INSTALL COMP
Permit Fee . . . . 109.75 Plan Check Fee .00
Issue Date . . . . 6/12/13 Valuation . . . . 2879
Expiration Date 12/09/13
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 /
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00 (��
Grand Total 114.25 114.25 .00 .00 W
%)
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 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 grantin a perfnit-does
not presume to give authority to violate or cancel the provisions of any state or local law regulatin
construction. g co n or the performance of
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES: `
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THEwT- N G
TTPS
CITY OF ` , :.+� �t1i ? For City Use
Permit#
W A F{ 1 N G T O N , U . S . 2
Date Received: -��-13
321 East 51' Street
Port Angeles, WA 98362 Date Approved -/� l3
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
136'a cMM / -rf �
Main Contact: Phone #
E-Mail:
Property Name � (C Phone � �
Owner Mailing Address Email
City State Zip
o�l✓2� -7--
Contractor Name Phone
C c=- �sY�-yam C o
Mailing Address Email
City State Zip
cloi- "r/
Contractor License # Expiration:
Project Value: Zoning: Tax Parcel # Lot#
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over)
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project %orf-�` �
Description
L '
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions (SQ FT) Existing Proposed $$Value
Existing Structure (s)
Proposed Addition
.Tenant Improvement?
.,Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other describe :
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX