Loading...
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