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HomeMy WebLinkAbout1012 Campbell Ave - Building CITY OF PORT ANGELES fil '111 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000889 Date 8/17/11 Application pin number 378435 Property Address 1012 CAMPBELL AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-5-4- 0625 -0000- Tenant nbr, name PATRICIA CONANT on your state excise tax form Application type description RE -ROOF to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 4980 Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor PATRICIA CONANT DIAMOND RFNG ENTERPRISES INC 1012 CAMPBELL AVE 1295 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452 -9518 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 191239 Permit Fee 137.75 Plan Check Fee .00 Issue Date 8/17/11 Valuation 4980 Expiration Date 2/13/12 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL- 2001 -25K (14 PER K) 42.00 Other Fees STATE SURCHARGE 4.50 n Fee summary Charged Paid Credited Due `1 /Vlv Permit Fee Total 137.75 137.75 .00 .00 Vi\A Plan Check Total .00 .00 .00 .00 ()V..' Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .00 .00 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 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. n V )4k -L3�n�a\a�'S �u��f gu1-1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building DivisionlBuilding Permit BUILDING PERMIT INSPECTION RECORD 1 cjo PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backfiow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS 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 by AIR SEAL: Walls Ceiling r-- FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling �J Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump 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: Parking 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 (D Fire 417 -4653 Planning 417 -4750 �j Building 417 -4815 q^- 1"- I p p T c �mc /Ruilrllnn rlivisinn /Ruildina Permit H H IH H 0 W W E co aq H N H d N G W O CL O N i ri ■H 0 a H a H 4.1W E q Z w w pa o o w w w x x 0 F e H w a s o a°' 0 11; I E h m w q oa a �d H O V] H E E l F l o m u u i 7. I N 00 0 F CO w H Z a s Z w Z Z z o r-1 Ol H HH i U 0 u s 1�Nw O H C4 a r./7 H, az u W H E i w E H H o z W w l a 0 a U4 0 1 0 0 1 0 0 0 P] a o w a 0 E W W u1 O H H a W0, a al o W 0 2 0 0 a C7 0.l Li) eo 2 a h a a m H m Q Z OUZO U H g H I o o W a H O O 1-(0.0 •O H o o p W W H i N a Z a r W E E z o H lO H o W H•g■oH oa■ o o 0 a 1 a ca oa u O 1 0 0 w z a i Z 0 W W E ..X P.1 w 0• u 0 w z•••S aa w z H o CE. ZZzaa X a i m H g F U O W Q P F 0.al r°Hr.,, BUILDING PERMIT APPLICATION Pr i i nk F,. CITY OF PORT ANGELES it For City Use Only: Attn: Building Permit Technician Date Received I 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant lfa�dvs Phone 34;)p. wSa -9 S Property Ownex LpL3.` c_ Phone Propert Owner's Address i_ C rk Pie Contractor I ke.s e.S 1\C Phone Contractor's Address tads p"seic_s W 9 License (A fl' q y b ..Expires,;. /t2 E -rnail PROJECT ADDRESS C,,,,,, Aoe Parcel Number Lot Zoning Project Type Brief Description: kcResidential Multi- family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Jute -roof dHouse garage other }<tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed' (sq. ft.) Basement per sq. ft. 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 4 qTS 7 O CLCa Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date VI I1 Print" Name b *w.`ex Vats Sigl�ature T:Forrns /Building Division /Bldg Permit.doc DIAMOND ROOFING Cliff Duffy Fors (360)452 -9518 .9901431 1295 BIk. Diamond Rd. Port Angeles, WA 98363 CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME L OLL. \e_. CC) kr•• 1 ADDRESS 1014. C iAO CITY, STATE, ..ZIP UDR- SOLD BY 'CASH C .O .D CHARGE ON ACCT. ,MDSE'RETD IPAfD OUT t QUANTITY DESCRIPTION PRICE AMOUNT 1 3 11 IBS G S lZ mg... 4 /l Gr-LL(� t Wti 6 7 C e 8 pp 1?/T) 10 11 e 12 13 14 15 16 17 I 18 19 20 RECEIVED BY KEEP THIS SLIP FOR REFERENCE 5805 CITY OF PORT ANGELES 111' k DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION J 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000830 Date 8/03/11 Application pin number 272660 Property Address 1012 CAMPBELL AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-5-4- 0625 -0000- Tenant nbr, name PATRICIA CONANT on your state excise tax form Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 3800 Application desc F/S WOOD BURNING STOVE INSTALLATION Owner Contractor PATRICIA CONANT OWNER 1012 CAMPBELL AVE PORT ANGELES WA 98362 Permit MECHANICAL PERMIT Additional desc WOOD- BURNING STOVE INSTALLATIO Permit pin number 190470 Permit Fee 60.65 Plan Check Fee .00 Issue Date 8/03/11 Valuation 0 Expiration Date 1/30/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 g` to `kr 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 clays, 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 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. y I l7 /1/40 .41 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD vQ PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type l Date Accepted By Comments FOUNDATION: Footings Stemwail Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab ..—ii Rough -In Water Line (Meter to Bldg) C Gas Line Back Flow FINAL Date Accepted by 1 B AIR SEAL: Walls 1 P.., Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab 1 I ‘g? Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line vA Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date`' f 01 Accepted by P. MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting I ESA. Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Inspection Type a Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T•nrrnc /Riiiirlinn nivision /Ruildina Permit p1 N O i CN W W as a q u w 0 m 0 u 0 0 o N 0 a tiw P4 mw u ro H H 0 z z a x41 0 00 a u U££ m a s 0 H a a Fh a•r q z O N a N H o F V1 ,1 r F F H Z FC a' m v1 U U Z r- r as w w w V1 V1 a 2 Z o H H 0 0 a N 0 F u a u a aco H nHg a H a a 00 cn o0 cncn U >•+F0 oU E 0 a a Q z H H W v F F co U W F d o W a E, a PC m �o w o 0 0 H w a �r CJ uvtrt H a 1 a m CO HH n a H H H W U U U 0 q q N W Na arto X H 0 0 H F F v1 41 0 Rt RC O H 041,1 0 O H a 1 4 0 0 0012, H 0 410 a a a au O zo 41 41 qw U1 0 0 4 !L' p1F E'zi ,1z F 0 0 CO CO H a H g o a a pig a PI w 1340 oQFUOa a F p1 CITY OF pORTANGELES W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT April 2, 2012 Patricia Conant 1012 Campbell Ave Port Angeles, WA 98362 RE: Expired Building Permit #11 -830 Dear Mr. Gallagher: I am writing this letter to inform you of the status of the above permit. The permit expired on January 30, 2011. We have attempted to contact B B Enterprises but did not receive a return call. This will be our final attempt to resolve the status of the permit. If we do not receive a response from you regarding the above permit by April 20, 2012, we will consider the permit abandoned and will expire the permit. Thank you for your prompt attention to this matter. Sincerely, HUOMA, Cu Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360 417 -4817 cc B B Enterprises PROJECT STATUS UPDATE Permit t 11W 1011-• Ca m p be/11 Ave/ Date: I phoned the: Applicant CO 1 I'1 600y at `f11 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. WI 11 CAI,l, 100 ,6 T :Forms /Building Division/Project Status Update s °Hr a BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: Date Receive 321 E. Fifth St., Port Angeles, WA 98362 d Permit 1 �0 (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant Co L 7 y %36 c9 Phone 1 i 7-O'13 Property Owner re PA7f c-; c Corr "r 'i Phone Property Owne 's Address Ip alt AV Contractor t3 3 Fla -e/ P ro LTo n 13o cicl v Phone x/1 --0 q 3 Contractor's Address ,57-0 R osc S License 13 F N i *of13104 Expires I t /Z /Goi/ E -mail PROJECT ADDRESS IO\2 Cam t o 6E1 141e Parcel Number Lot Zoning Project Type Brief Description: Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump (wood- burning stove gas fireplace pellet stove other Other Fre- e-S ✓t Pr Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 ftl Floor Garage Carport Covered Porch Deck Shed Other a TOTAL VALUATION 3 &W Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage cyo Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to wo i r on pro'ects. S C 1 �r7 �5d dd Si nature f �..�tri:i.��r Date /3l Print Name g T:Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 67238 PATRICIA CONANT f... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 67238 PATRICIA CONANT for Year 2011 2012 Property Account Property ID: 67238 Legal Description: LOTS 11 -12 BL 6 EXC EASE ILLINOIS ADDITION Geographic ID: 0630145406250000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Address: 1012 CAMPBELL AVE Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 4 Res (City) Map ID: 2 Neighborhood CD: 10953130 Owner Name: PATRICIA CONANT Owner ID: 40448 Mailing Address: 1012 CAMPBELL AVE Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: SNR /DSBL Taxes and Assessment Details Property Tax Information as of 08/03/2011 Amount Due if Paid on: Ev NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 160835 $468.66 $468.58 $0.00 $0.00 $468.66 $468.58 R Statement Details 2010 49128 $449.38 $449.36 $0.00 $0.00 $898.74 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 8/3/2011 3:50 AM ©2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =67238 8/3/2011 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Bath fan and timer Owner t -001,5 COIN.INrtr Donant Louie 1012 CAMPBELL AVE PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 09 00000557 844464 1012 CAMPBELL AVE 06 30 14 5 4 0625 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor HALVORSEN ELECTRIC 1426 W 11TH ST PORT ANGELES (360) 457 7803 ELECTRICAL ALTER RESIDENTIAL 148007 57 50 6/09/09 12/06/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Charged Paid Credited 57 50 57 50 00 00 00 00 57 50 57 50 00 DATE RESULTS (.l9 lag 0/k1 Date 6/09/09 WA 98363 00 0 Extension 57 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. v 3 l City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417-4735 Fax: (360) 417.4711 Date: 6/,S 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel /Repair* RECEIVED JUN b 2009 SIGHT DEPT Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /o /2 CAMPRJ LL Building Square Footage. Description of above m n-i FAN 07. 7 /1 Owner Information Name. Lau)'' De/U 4A/ Mailing Address: /0 /P i/P13J LG City fYRT State 1/1/ft Zio 9f 62 Phohe: 4/ —464. Fax: License Exp Contractor Information Name. HALVaRS'EN 5 EL& Ri C Mailing Address. 2442. PLACE RD City PO In' /A/VCli7E.S State I.i)A Zip ,55?/'3 /o3 Phone: 1X4 -7f, 9 Fax: License Exp a i14Lt'tI7 44 CL E /i. /ifl Unit Charge Qty Total (Qty Multiplied by 'Unit Charge) 93.75 Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. $160.00 Service /Feeder 401 -600 Amp. $205.00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder 57.50 I ,13 5o Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. ;$131.25 Temp. Service /Feeder 60f 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75:00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi- Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat _5'7.50. Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296.46B, The City of Port Angeles Municipal Code. and Utility Specifications. Sig iature of owner electrical contractor or electrical administrator De A1/20 Cash Creck r' edit Card d: l'ORT ~ ,s: ~~ ha .... -=::w ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appllcation Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Appllcation valuation 04-00000851 Date 9/22/04 .185977 1012 CAMPBELL AVE 06-30-14-5-4-0625-0000- SIDING RS9 RESDNTL SINGLE FAMILY 7000 Owner Contractor MCNULTY, TRUST FREDA 1012 CAMPBELL AVE PORT ANGELES WA 98362 G & M VINYL SIDING & GUTTER 4113 SOUTH C STREET PORT ANGELES WA 98363 (360) 457-3949 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE INSTAL VINYL SIDING 162.75 Plan Check Fee 9/22/04 Valuation 3/22/05 Qty Unit Charge Per Extension 92.75 70.00 BASE FEE 5.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 162.75 162.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 167.25 167.25 .00 .00 i9KP( 0eY) 4/~/()p Pi' .00 7000 "'- ~ "'- p () ~ ; \;) 10- r\, -- '-- ~ ~ 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 atter 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. AU provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a p~ it does not presume to give authority to violate or cancel the proviSions of any state or local law regulating construction or the perf mance of construction. Signature of Owner (if owner is builder) T'\PLANNlNG\FORMS\1 102. I 5 [I 1/1412003] CITY OF PORT ANGELES PERnrr APPLICATION Building Division/r,-Itetrical Inspectious 321 East Fifth Strect — P.O ox 1150 / Fula Angeles Washington, 98362 PhI (300) 417 -4735 F«ax: (360) 417-4711 Date: I & 2 Slagle Family Dwelling EUCTRiCAL INSPECTIONS glen Review My Be Required, PWsa Completo Fled al Plan Review Information Street `Nj ss; 1012 Camp hell Ave Dulldrtg $quwe F040, 1,100 . A t�scripl�an � ztbla ��--�• .�.�.n .................... . ,04ner Information fl= , Lculs Conant III 4ar0; IN 46240 Ma Ad&OSS, 101 2 Cam �, -- 1 ; 317 -564 -2547 Cj^ Part Angeles Sjjft WA P: 983622706 MrQ0 160 971674 #1 � }U,%An Sor*WFeoder 200 Afm, 1 3. SerylcdFeedof .201.4DO Amp, 14S €rvicl:�ar 401.61 Amp SMOD %Nic0embr 601 -100 Amp. S 282 SeNlcefsadat over =0 Alp, 5 37 ,t 7 Fkanch Qmutt WJ Setvict F edai S 540 RMCh NMI W10 Service Feuer S 6100 Em% Addillmzg Brea CIWI S 6„617 Bra'tch CkWb 14 75,00 Ttmp, Servicd Feeder 2W Amp, 0340 `ramp. SepilWFeader 201.403Amp. 10, Tamp. ,rvlca dat 4Ol Amp, 1419,033 Temp, Serai dF Jai 601-M Amp, $168,00 pwal 10 PoU Itufly KOO 510M cirmig Limited Energy .1 & 2 Fancily owding $ 64,00 Manufad red time Con€ Sian 12OA0 t n a!Ao Eleovical beigy - S IA System er Less $ MUD Thtrmostat 56,00 Noie: MOO each ad to nza T- iat N t � I TRUC`r g SLY, Flit 1 VO &jirs Ft. 6 f2Q, Each Additknal 600 S e F4 cw Pcdw of 5 40,00 Each WbW&V Cf Detached Garago 7440 Eadi Ummins Pool or Hot Tub $110,00 Contractor information f1nt_° Protect Your Home ,1 Mdresr, p37 c PLr , ty Wary South I)r 21 COY, Lrdiana olis 4ar0; IN 46240 Pl�on :866 - 502 502 -355"T 9� 1 ; 317 -564 -2547 # f Exp, Ppo— H934R5 ex 112/10/2013 fatal (Qtv Multiplied by Unit Mtge) W 14.00 - -- I 6m...,..m.4 e00 —Total otal Baer as rlef'r ed by R t .19,28,261: )1vwri ry h wcupy the stritAofe for Mo years afer this electrical lawmit is fu lined. (2) ti required to lake an al td it €(mctor it a e sail propet€y Is for sale, rent or lease, Permit exinkas after six m0fi s of Mst Inspectiom After reading tho above staterne L I herabi rti 1118t l am ilea t WROr Of the abOve AMC[ property or a licemed electrical Contractor, 1 am malting the eleftal imlofto a or allembon to comMIM0 With the eleftel 1444, iV.U., ROW Chapter 19.28, WAC. Chapter 296468, The City of Pert Angeles l s, nicipal Cate, ctrl Utility Spedfieatiarts and PAC C 141.0 .050 regar6g Ejecttkal Permit Apoiratifom. Slgrrattire of ouster, eloctrical 0ontrador or electrical administrator, 0 cart 0 21 cratktardg. acecete iGuti; 7/8/2014 014112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14- o00og808 Late 7/09/14 Application pin number 787360 Property Address . . . . , . 1012 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-4- 0625 -0000- Application type, description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . , . , R89 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Security system Owner Contractor PATRICIA CONANT PROTECT YOUR HOME 1012 CAMPBELL AVE 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98362 4200 INDINAPOLIS IN 46240 (317) 610 -4720 _..__.-------------------------------.._-------_--------------------------- Permit . . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee 64.00 Plan Check Fee .00 Issue Date 7/09/14 Valuation 0 Expiration Date 1/05/15 Qty Unit Charge Per 1.00 64.0000 ECH E Fee summary Charged Permit Fee Total 64.00 Plan Check Total 00 Grand Total 64,00 .2 /1.1)4- r, Extension U- SINGLE CIR LIMITED RES 69.00 Paid Credited Due -- -------- ---- - - - - -- ---------- 64.00 ,00 00 .00 .00 00 64,00 .00 ,00 9 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) a INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G;IEXCHANGEISUILDING (' t