HomeMy WebLinkAbout1020 Campbell Ave - Engineering
1(- ~ORT ~
~4.0~~
" 'I'ti!ii<!.
"-~
~
'l.Oi--;;--~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1;:1
,
.
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property zoning
Application valuation
03-00001131
Date
2/12/04
:J
03-/1~
5678
1020 CAMPBELL AVE
06-30-14-5-4-0605-0000-
RES MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
61000
Owner
Contractor
WADDELL, RAYMOND
1044 CAMPBELL AVE
PORT ANGELES
( 36) 457-3932
Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
~~10
WA 98362
NEW 1528SF MAN MARLETTE #5728-41-3
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
14 10
1 00
10800 00
1528 00
1528 00
1 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
RECONNECT TO SAN SEWER
95 00 Plan Check Fee
2/12/04 Valuation
8/10/04
00
61000
Qty Unit Charge Per E~
--------~-~~-------=~-~~~~-~----~~-~~~~~-~~~~:_-----------------~
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background
Other Fees
STATE SURCHARGE
4 50
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
95 00 95 00 00 00
00 00 00 00
4 50 4 50 00 00
99 50 99 50 00 00
Fee summary
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and voi~ if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for aperio_d:Qt180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection, l 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.
--;
2-/'Z.'0
Date
Signature of Owner (if owner is builder)
Date
T IPLANNINGIFORMSI1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date
~~1 qy/C i
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
I C 2- () C @-n<-p ~*'-..
----J,\~Yl !31~
Phone No
Permit No
Plumbing Final Sewer ~xca--v. Other
63 -II~
INSPECTION NOTES , / )
Inspected Date ttk4 ~~ Time
Remarks ~e~{
By
RESTORATION REQUIRED .
. YES
NO
Cp<HP~6'LL
3\~
v .
./
0~
---> ~ ~,~..
? D' l'o
4')~
~
\'00
<-s; ,~ "S
(/ - ~ y c'c
I~ . ~~~
I 1~"-./l::-
L...,(, .
"€'"
gp
1
(
o
';-;'MH
__-- (~-\ 11'
":> ."
(p.,...J,--
"""I - "r' .\
::Or. ,~p Lt >-"'12'
II
.~~ \
~~\ \
(6t\ \
\\ ~ \
\
/
I
"
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o 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 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
YES NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
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
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
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 BUILDING
T IPLANNINGIFORMSII102.15 [11114/2003]
CITY OF PORT ANGELES
DEPARTMENT COMMUNITY DEVELOPMENT - BUILDING DIVISION OF
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00001131 Date 2/12/04
Pin number ....... 5678
Property Address ...... 1020 CAMPBELL AVE
ASSESSOR PARCEL N~MBER: 06-30-14-5-4-0605-0000-
Application description . . . RES MANUFACTURED HOME
Subdivision Name ......
Property Use
Property Zoning ....... RS9 RESDNTL SINGLE FAMILY
Application valuation .... 61000
Owner Contractor
...... Structure Information NEW 1528SF MA~. MARLETTE #5728-41-3 .....
.... 95.00 Plan Check Fee . . .00
ExPiration Date .
Qty Unit Charge Per Extension
1.00 95.0000 EA SAN SEWER HOOKUP 95.00
Address numbers shall be plainly visible from the street.
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
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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED ,4ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES [ NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAiNAGEdDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR./SLAB