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HomeMy WebLinkAbout1215 Campbell Ave - BuildingW A S H I N G T O N U S A Public Works Utilities Department February 3 2009 Bank of Amenca Attn. Tnna Cook 134 West 8 Street Port Angeles, WA 98362 Re Assignment of Savings Habitat for Humanity of Clallam County Stephen S rr, P.E. City Engineer cc: Habitat for Humaity of Clallam County DCD File: Habitat for Humanity Phone 360- 417 -4805 Fax 360-417-4542 Website www cityofpa.us Email publicworks @cityofpa.us 321 East Fifth Street P C Box 1150 Port Angeles WA u8-.62 -0217 PS ^1 AIECEDVIE1 FEB 132009 CITY OF PORT ANGELES Dept. of Community Development Public Works and Utilities has determined that Habitat for Humanity of Clallam County has completed the required dnveway and parking pavement improvements in accordance with PAC 14 40 N The assignment of savings under Account 22043326 in the amount of $13,000 00 copy attached) may be released to Habitat of Humanity of Clallam County N —s� 2 N I ........ o , ..... 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'J<( \0\0 00 " MM 00 " ltlltl \0\0 00 " 00 .-<.-< " ltlltl o en , I>. >< E-o .-< o N o .-< ..:I I>. .-< ..:I I>. N .-< ..,., ltl' .. , <Xl' o , , .. , r<1' :>:, H' E-o' , , \0 o , o .-< , ltl o <l o ..... .u u Q) 0- OJ <l ..... OJ ..... -<= .u .u III Z o H E-o U 0r<1 01>. "00 :::~!3 M~~ :>: en Hr<1<( E-oE-o>< <(0 ..:I <l o ..... .u III .-< " OJ >< <l ..:I..... 0: r<1.Q Hill ..:1.-< 'JOJ it ~, .-< o \0 ..:I "" 00 r<1 E-o o Z ~ Ul E-o Z r<1 ~ o U ,o.,~ ~ a~ ~r'.';iI" CITY OF PORT ANGELES '" PUBLIC WORKS - ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 98~62 ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000297 Date 123807 1215 CAMPBELL AVE 06-30-14-5-3-0346-0000- RICHARD CHAMBERS RES NEW SFR 6/02/06 RESIDENTIAL HIGH DENSITY 56115 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT. SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 8.00 2.00 14104.00 1247.00 1. 00 Plan Check. Fee Valuation .00 o --- r U"\ permi t . . . . . Additional desc . Permit pin number Permit Fee I~sue Date Expiration Date ELECTRICAL HHCC/ 1247 76646 73.00 5/25/06 11/21/06 NEW RESIDENTIAL SQFT SFR Qty 1. 00 Unit Charge Per 73.0000 ECH EL-R-SQFT FIRST 1300 Extension 73.00 () 1 -s-- ~ ~ 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 of contrasting color from the background. 04/05/2006 02:33 PM SROBERDS -- No land use issues anticipated. The project is one of four in a cluster development in the RHD zone. Electrical load calculations and elctrical permits are required. A cost estimate for the extension of u/g power is being prepared. 03/30/2006 04:06' PM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ~ Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 713.00 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due Permit Fee Total 73.00 73.00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD # CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PL~SE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO III I"H I{( H I{ iH-IN / COVER :Sh.K V lCb .FiNAL 1 17../'2{0., "1Jti) I I GENERAL COMMENTS: PW.II02.1' (4196] ,o.,~ ~ '(i ........,ijrI" CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 \ , Application Number . . . . . Application pin number Plan Check Total Other Fee Total Grand Total .00 2787.50 2860.50 COMMENTS/ ACTION NEEDED Page Date 2 6/02/06 06-00000297 123807 .00 2787.50 2860.50 . .00 .00 .00 .00 .00 .00 ELEcrRICAL PERMIT INSPEcrION RECORD I , , CALL 4) 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. 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" E-< P ~ I U ZooOl ::> ,-.0. o \DUl r..\D Z o H elo ZNOel H........~Z Cl~lC(H H..-l::r=Z H..........Up:: l::J"<tHO 1Il0<>::>: o-l o-l 0-, \D o , " .... , " ... ~ 0. .... o 0< Ul , 0. >< E-< .... o-l III Q. -4 ~ t~ ~ Q Ul W ... o Z o ~ o t 'J o tiJ \""' ':J Ul E-< Z W :>: :>: o u ~ ~ s ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST"SllISTREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000297 Date 123807 1215 CAMPBELL AVE 06-30-14-5-3-~346-0000- RICHARD CHAMBERS RES NEW SFR 4/13/06 RESIDENTIAL HIGH DENSITY 56115 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 8.00 2.00 14104.00 1247.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 73916 715.00 Plan Check Fee Valuation .00 56115 10/10/06 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 73908 50.00 Plan Check Fee Valuation .00 56115 10/10/06 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 73882 110.00 Plan Check Fee Valuation .00 56115 10/10/06 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 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 of contrasting color from the background. 04/05/2006 02:33 PM SROBERDS -- No land use issues anticipated. The project is one of four in a cluster Separate Permits are required for electrical wOr1<, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if wor1< 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 wor1< 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 wor1< 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 ~~ Signature of Contractor or Authorized Agent 9'-/ 3-es C Date Signature of Owner (if <>wner is builder) . Date T:\Polities\J J02.JSR [JlOS) \... PERMIT INSPECTION RECORD ..,,. CALL 417-4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE , -, I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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:\Policies\1102.15R [11D5] -, .s ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST'STIISTREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000297 Application pin number 123807 Page 2 Date 4/13/06 Special Notes and Comments development in the RHD zone. Electrical load calculations and elctrical" permits are required. A cost estimate for the extension of u/g power is being prepared. 03/30/2006 04:06 PM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City St"anards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .00 ".00 Separate Permits are required tor electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void it work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned tor 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 ot laws and ordinances governing this type ot 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 T:\Policics\II02.ISR [IIOS] PERMIT INSPECTION RECORD " CALL 417-4807 FOR UTILITY 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 I YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUlTER DRIVEWAY APPROACH I BACK-FLOW DEVICE I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION. R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-46S3 FIRE DEPT. PLANNING DEPT. 417-47S0 PLANNING DEPT. BUILDING 417-481S BUILDING - T:\PoJicies\11 02.1 SR [I/OS] L <'s L~ ~ ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name . . Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 06-00000297 Date 123807 1215 CAMPBELL AVE 06-30-14-5-3-0346-0000- RICHARD CHAMBERS RES NEW SFR RESIDENTIAL HIGH DENSITY 56115 Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 Other struct info . permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date OWNER TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT -RESIDENTIAL 1247 SF SFR PLAN B 74393 719.25 Plan Check Fee Valuation Qty Unit Charge Per 10/10/06 BASE FEE 7.00 7.0000 THOU BL-50,001-100K (7.00 PER K) permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 74443 89.65 Plan Check Fee Valuation 10/10/06 Qty Unit Charge Per BASE FEE 2.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME":OTHER APPL. N/R 2.00 7.2500 ECH ME-INSTALL APPL. VENT Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date . Expiration Date . PLUMBING PERMIT 74401 142.00 Plan Check Fee Valuation 10/10/06 Qty Unit Charge Per BASE FEE 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 4/13/06 q:. ~ ~ , <:p ~ ~ 8.00 2.00 14104.00 1247.00 1. 00 287.70 56115 Extension 670.25 49.00 .00 o ~ - ?:' 6-( r / ?'7' ~ ~, ~ Q r 2/ "- ~ ~ ~ ~ Extension 50.00 14.50 10.65 14.50 .00 o Extension 50.00 56.00 7.00 15.00 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 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 ~~ Signature of Contractor or Authorized Agent ,(/-/8 -,6.c.. Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD r ' CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I 1 FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL(INTE~ORBRACEDPANELONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE I DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNG/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL LIGHT DEPT CONSTRUCTION R. W. I PW I CONSTRUCTION - R.W. ENGINEE~G 417-4807 PW 1 ENGINEE~G FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] . ._ORT"" lO~\ ". L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 06-00000297 123807 Page Date 2 4/13/06 Qty Unit Charge Per 2.00 7.0000 ECH PL- EA.WATER HEATER Extension 14.00 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~ ;'. of contrasting color from the background. 04/05/2006 02:33 PM SROBERDS -- No land use issues anticipated. The project is one of four in a cluster development in the RHD zone. Electrical load calculations and elctrical permits are required. A cost estimate for the extension of u/g power is being prepared. 03/30/2006 04:06 PM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. sani7ary sewer 7onnection inspection is required by PubllC Works prlor to back fill of ditch. 24 hour advance notice is required. Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------- ---------- ---------- ---------- ---------- Permit Fee Total 950.90 950.90 .00 .00 Plan Check Total 287.70 287.70 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 3313 .10 3313.10 .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 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD . CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 YES NO COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING I I 1-/ ///.1/0 Ii, IlIa.:,' !M, I J {.v .:nc.." ~ /~ Iou I.{. (1ft (0'" 7!Zfd IfJ~ I ' :JL.t.-- J"L-L-- ,~( eft) jO/J <Jv'. 1l-- ~ ~ I ~ ~ ~ FINAL I 2 -2 (-67DATE :fLL ACCEPTED BY: ~/n'107 SU:.- I I - ~ - 1/~/o'1 JhL.. &, ~ If) 07 .r~c... () & ZOJbt -:1"LL ~ . .! :r;'() sui o;;h"o 1"\ 1 /2-ll) Ie 7 'J" u.... ~ ~ I I I ~ ~/q.1 Ah I:iI3. r , . FINAL \2-21-61 DATE TLL ACCEPTED BY: ,._._~. PLANNING DEPT.. SEPARATE PERMIT #'s PARKING/LlGHTING LANDSCAPING SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI ENGINEERING FIRE PLANNING DEPT. BUILDING 417-4807 417-4653 4 I 7-4750 417-4815 \2-2-1-f)i :rLL. ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW 1 ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING ELECTRICAL - LIGHT DEPT. 417-4735 T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] <...... ,--------- -~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COIvIPLE.TE to he accepted [(.01' review. If you have any questions, cuB PERMITS (360) 417-4815 FAX(360)417-471l . Applicant or Agent: 02 c kAf'"lr.:. L. c?,t?J-r /._,.,r- Phone: ""3(;,0 -L. '70- 4/'"NQ Owner: -L~UA'J''-I,.rr-..,..~ UA /1r-1 ~/j"f/;(~__ Jlu~A-""'?j Phone: -=3(.,D-6.:SJ -, f70c Address: ~_ D. 'dc.y ICe sl") City: -:5E?J<-'H~"" Zip: '=to 36 ~ Architect/Engineer: Z-NGU-'-c:... $'" .4~J)c-<r;;-r;:;, Phone: t. Ei' ~ r ,,..,... ~/J7-o 01 Contractor 4/-:r4/" Jl. d.-A-A", State License #: Ex~V-( Exp: Phone: 6d1-/' ?t5o Address: 7_0. 6o.";7C 1~,-rv /2.15: City:5C-=-~lA./H1' Zip: '9<5'"3c'S?, PROJECT ADDRESS: C't4vIA"krl/ 4c..... AJ. .,;,d... E:=-I ~~fd, ZONING: RIIP , ., LEGAL DESCRIPTION: Lot: ~o '2, ';[ 'Z.. Block: "'3 Subdivision: ""B1?.4ro..-v /.,!,. i / ... J CLALLI\M COUNTY P 3'03'1L TYPE OF WORK.: ~esidential ~w Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRJEF DESCRIPTION OF THE PROJECT: 2~f) DJ }oc...(1 '-- SIZENALUATION: o Stove /24'7 SF. @$ 4/r /SF. = $ 6-C., II \ - o Garage SF. @ $ ISF. = $ o Deck SF. @ $ ISF. = $ o Other TOTAL VALUATION $ -S;^Jk ~;':J' ::z -1f/G1( r ~ chr/ 0--.. ~;r fY'.-r.c~/ hGU--'5'C COMMERCL4LIRESIDENTlAL: Occupancy Group: No. of Stories: 1., Lot Size: 14, I ~4- Existing Sq. Ft. Total lot coverage 0.f; % Occupant Load: . Construction Type: & Proposed Sq. Ft. rz41 = TOTAL Sq. Ft. 1741 ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLMw:NGUSE ONLY: . VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee .is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIR4..TION OF PLAN REVIEW: !fno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby cerlify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. T:\Policies\BL-l102_13.wpd Applicant: Q~ ~ Date: -0-;:<0 -o~ 9N1<i~8 ~OON 33S) ~ ~ :s: f--~ ~ ~ ~: ~~ ~ ~ < K ~~ ~ ~f ~ ~ f-:: Cf) ~ gs ~ f"\< '"--i a 2::~ ~ ~ ~ 8 ~ ~ ~ ::5 2--.] ::5 ~<:.) ~ ~ ~ ~- ci:: 2 >- ~ Cl:: ::) V) < a i=:: <:.) ~ < -- II ,.~ ~~ Oi'" ~~ ,,"' i:!" ;si:! :>Oi :oJ:> u'" o ~ ~I~ t ''''1 -;" .... '" --; l"", ~( I 1 F;"~ .:. ~ - / 51 ~ '" o :;; ':J ~ ~ Ii ,0> <0 I ~ ! ~r Ii ,'!! ~06b>I_, r;;; _'.__A . 'P.9~/_.Bl"f' ,,-~<:I U 3~90Z"p. -, / . .!;'ON-- ~ :?, '" ~ ~ ~ -.GBrzt ~ ~ ~ l~ -J.- ~ ,.;,n<:1 o .., 0,...> 1 rS> .f ~ ,LS"CZl l'i \ .., '" ~ ~ ~ ~ "" ~ .~ @ e ~ ?; '" ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ... ~ s '" ~ ffi 8 ~. ~ ! ~ ~ !3 (.:) Q :5 ti ~ ~ Cj " " ;::; ~ ~ '" "',,- c- ~ -"O'1-~ J..r;o2iSoN '" ... ::: ~ ... ::: ~ ......-'O.r~' 1S <i31<iOd I I" I~ _ Ii ;' ,or' \ - - I --.:.!..!!!..OB ~o,<:~ _ ~ " o " l> " ~ IO! 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S 3..90,GY,!;ON _ __ \ ~ ---~ c; .., ..; 1) o oj " 2 is " " ... ~ I.. ~ Q. ~ - ~ I ~ IO! ::: <t} t:f gee ",2 I;S~ "'Iii ,."' 0,. !!;O: i:! ~~ ii'i~ '"~ ~,. ~~ ~?J ",'" ~i.i "'<0 ~~ eO> ~@ i.i~ ".... ~'" oil lt~ "::i ~-) ~5i ~~ Q~ ~~~ oj ~t /"? r s: Q \.n~' ~'-+- ~ ' ~~ , I i "'; ; a' ~ ~ ",. ~,.: " ~~ '" ~(Q ~ ~~ '" " ~e ~~ ,,'" <:'" 5"- "'0 '" ;;....;:lu 0:l2:~"; ~~h.O ~'":~ ~~~eJ ~~~~ ~~~li: ""(~8~ ~~~~ ~;~~ ~~~~ ~~~q ~Q~l5 ~~~~ ~~~""( (.J~Cj~ ~:::i~h. ~ h~(fJ -J tileS::::) V) ~~~~ ~ ~ r--- ~ ""P 122 '\1 1203 PV-Oft?Ss v S lIE eampbellmAve. 1212 40 Vertical Datum = NA VD 88 Horizolltal Datum = NAD 83/91 N Area Map This map is not intended to be used as a legal description. ';'<~<j This map/drawing is produced by Ihe Cit)' of Port Augelesfor its OWII Hse and purposes. (!'~ AllY other use '!f this map/drawing shall/lot be the responsibility oj the City. ~~ Coat <;> in L--,N House J B___ ~ ,',. r}-z.\~ ') ~" ~ . - . ... - f':.,..q, 1 Roofs Overhang 2' F bundation' line ~ (etbackS"- Foundations ~"v' '\ /-~ - - '\ --~ - \ 30'-0" .~ ~J"""'" 9 in N 1 e-T~- ~ / LL ) House : r (~ A.-/ I 1"- ~, I -' (1ibJ I I L I J 'l I ~ I 24'-0" - .'~"~~'''''->'..'- 3' Is,"owalks :,'1 '30 -v .1 ~! -I --, I - r. ;2'-512" I -I- ---:- r- , 1 I II -10'~:~ \l~ I I I, -14'-61 r- I 33'-0" ~ House ~ < '~~;V 00")'_0" - - - r I . 3 I ? 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",- "fi ~.... CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST5TI1'STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00000297 Date 123807 1215 CAMPBELL AVE 06-30-14-5-3-0346-0000- RICHARD CHAMBERS RES NEW SFR 4/13/06 RESIDENTIAL HIGH DENSITY 56115 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info _ TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 8.00 2.00 14104.00 1247.00 1. 00 Permit Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 73916 715.00 plan Check Fee Valuation .00 56115 10/10/06 Qty Unit charge Per Este . 1. 00 715.0000 EA PW WIM 1" SERV 5/8" METER 715.00 ----------------------------------------~-------------------------- ~-~ -- Permi t RIGHT OF WAY Additional desc . Permit pin number 73908 Permit Fee 50.00 plan Check Fee .00 Issue Date Valuation 56115 Expiration Date 10/10106 Qty Unit Charge Per E~' 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 -----------------------------------------~------------------------ ------- Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number 73882 Permit Fee 110.00 plan Check Fee .00 Issue Date Valuation 56115 Expiration Date . 10/10106 Qty Unit Charge Per ~. 1. 00 110.0000 EA SAN SEWER HOOKUP 110.00 ---------------------------------------------------~~------------- ----- - 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 of contrasting color from the background. 04/05/2006 02:33 PM SROBERDS -- No land use issues anticipated. The project is one of four in a cluster O&-zq J (\ (\ o~ \ q/ . \/v 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 goveming 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 Date Signature of Owner-{if owner is builder) T:\Policics\1102.1SR (1105) 'f~ ~ii<i'" CITY OF PORT ANGELES PUBLIC WORKS - UTll.ITlES DNISION 321 EAST STIISTREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00000297 123B07 Page Date 2 4/13/06 special Notes and Comments development in the RHD zone. Electrical load calculations and elctrical'permits are required. A cost estimate for the extension of ufg power is being prepared. 03/30/2006 04:06 PM GMCLAIN --------------------:---~--- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. --------------------------------------------------------------~--r-?--)-- Other Fees . . . . . . _ . _ SEWER SYSTEM DELV CHARGE '--Ja2Q-OO--- STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 1200.00 ------------------------------------------------------------- ----- ----- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 875.00 .00 2074.50 2949.50 875.00 .00 2074.50 2949.50 .00 .00 .00 .00 .00 .00 .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, ff 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 permn does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructi6n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)- -Date T:\Policies\1102.ISR [1I0S} ~e) / , APPLICATION FOR WATER City Water Division Port Angeles, Washington 4?~.f ;:3 ,20=~ I hereby apply tor water to be furnished in accordance with rates and rules of the City for the follOWing premises: ~l c..h.uz.&-. (!j,~ \!, n._l'.. u7t;- 4-7q- Name of Applicant: 't>U 1ttj-e.I1.9SS A{L~ J-i,tW,', ITA-7" ~ n..a VI \ ~ ' Address: 1 z.. t.c; C A-IIYIf' bell A-v-Q.. I ~1~3n/~:36':;;~1\-. Renewal 0 New servicislk;; 3 Lot~,U,72.Add !3ep.c.oh 1-J..o (I Size of Service I 'I ~ Meter Number ~~o9~<( ~O<:ldO Service Left On 0 Service Left Offp Signed G~ ~. Installed by <$, J '5~ -}- '$} ZLO~ Remarks: R r 1141 T-::l1 0 ftr '2 q7 ,t N ..... V) I.- IV "- I.. &. ~; % w LA""-fbe.(( Av~ ?( - ZI'1 2. . E s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date J./-Ol fc -0 k, Time Received by TF (phone.~rs~) Location of Work to be inspected J.::J.. / SeA yY\. p b-e l t A v s... Name of person requesting inspection C:...+ i. 1::)( (" A lJA.\-:" ~ (;/1'16 ;/<> I /!ow5 il1;l) Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): 0<0 - ') q 7 Sewer Foundation Framing Chimney Plumbing Final Other INSPECTION NOTES: -- /J Inspected: Date [:; -/G-6b Time "3; OC PIn B~~ y0 j7 Remarks: C_OO"lt"<Lc. -k,.,.. ; ^ s -l--.<+Il eel '-{ II PvL~~o..... .\.-t 1:: &"14 fI (t: JL~ 5...,( .\.e, -t--l.__ hA-ek~l6<-U JC......'<.-<... C<", cl C-.O. f0ck: I:J/~ C('L.Jei /.117 CI4Muh-e// /lfJe... .shcw<:<, c, I C.OffTl"'lON RESTORATION REQUiRED...... YES NO t. ... " ~ l!J l- . () Q. G,r'f~" f2.~JL<S"d..(Q 54' (&;;~ 'd_"~_' ~ . 4. /I f'wc. 'fS~ Lj' ~~ \ r---, /'-1' e~/_. v /:}15 c...o. ,.~.!. B""..Cic,w d.!.v;'L ~ 7'5'" . 'it' PtiC- - 4' 4"fPI:. - -:;/' 1\..._. _u_ . , r-.- ~ ~ <> Ji. I '.~- h. /~G27 ~__.:-l ;.....- / 3'- ......--=,. &-. FL.UI-U c:."""",- AUE... SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI " . r-~::' . r(. " t)' .^ _, , .(.1' ' ,," .' , {\'. , J .(. ' . .'; j \: !\ """"'. \\ r. :"'~" ),:',<"l'",;,;r:"'tN":'\; '-, . . (' -~'\.~, oIt" \!!('"..>- "r ,~ '~,';...~ "~",,- - ",,-V:~ ......::~"("-40\. .;~ ,.1,"_ -".~. <., _, ~l'" . ~...., ",. '.... .' ..'W. , .. '. ,,' ':~ "- ~'... '. '..... ''''''- ",' .\' "\.." '. ( . ~ c"",,,_~ ,", \ ' j :rj .\'~ ~;>: ',t,o '):.. '\ ' l''' i' '. .. "- ~ . . ~\ ~j > '\,:'. l' 't . .~ ( . " " . .. ....~ .- ~ ".;... ;'. /', j. . r ,.,',,,4.., I ..'. . "'~. , . 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'- ! -.... ~ .... - -<l:> . ~ ..c: . ~ I -<:.. ~ - - <'\ .. \.. ..0 ~ ... - (\. i l 001 ffiT~ Y\\ ~ ~ i ~~ ~ ...- ~ ~r ..J- ~ cI. W ... ..... "- co ~ ..... <:>. } <i:.. .-.::- :l t ,. ~ I 1 ~ ~ ~ .. ~ -;;; ~ ~ j .s <: "' \II ("I t ~ ,. ~ t- r%- 83......... .,.. @'<O-- '-co" ..".~ ~t:>~ /'"*~ s,.:.,. 7 I CiTY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. . INSPECTION REPORT. . . . . . REQUEST: /51- /~-o7 ---, F- . _ (phone. person) / . location of Work to be inspected /$(F5 //2-21 Ctl~.A'tJ1/~./iI1') Name of person requesting inspection t/fd /?;.fl A- Address of person requesting inspection Phone No. 46tJ -.:?c5' 75 Type of Inspection (circle appropriate one): ~ Permit No. C. '-- <. 97 Sewer Foundation Framing Chimney PIUmbing~eWer Excav. Other 06 ~ s~ ~ Date Time Received by INSPECTION NOTES: Inspected: Date /51-/;;' -07 Time /? . / J . \ ( Remarks: uw..p"" (" SfoDs:. r; u strrtvr'3 . /-2'1-6'1 F~~~t'. Ok 1<. By /10fG6w<p/~f€- j2-(c-67 . RESTORATION REQUIRED . . . . .. YES NO lC SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) , ;; < ~ ~ v' \1' ~ '" _ H '<1._ . C- 0v''- ,,^- ive- tS ~,c\C- . q( 7 -- i--{7 00 il I ~ ~ I ~I < ~ - --1- --, <" , ... ~ \1 C\ , .< '.o.,.Iri", .ii '" I"-<--' ; '( I ~ i\ - --1- -- ~-~0 ! ,,~~ ' I -~~4' CJ)-! ~-'lj l; " ~';, 0, , ., .t}~ t---. i1 I " - - - - ~ -I "- tv -~ I 'n (~ I ~ __ r , ,-- - I _J 'J <. " -pp ., , ~ , -"~ c >- t" 0(,. <<<.j 1 I I I L Yon <:.~ -'\' \- --\- " ,- - '-'7 -- -f -,'"- <tV)J<::JJ .~ .......t. ~ ~ "'-~i. ~ ~ 1(-",,;. ::Pc:.- ~. _ L. '" <l ~ / ',4 ~t '~I "-I.. I, :~: , '(III L1__'/__[__ '(I.II,i ~ . ~ ' 1 i 1.1 o. {\, ,. 'I.' )J ~ '-\J i ;, ~ i ",I \ "{l.. .I '\..1! . .J- -.:----. ~\'I_: :'tl(]~:11 ~ , ~ al,ul IlJ ',- --~- ..i; ~ . j.:, \' 1 ... l'> ~ \1', 41 :i '\1 ~ ti" I :51 \', I 'r-. 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ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Installation ~escription ~ o Commercial B"'1{esidential Date Expires icense number ~ e<4 Purchaser's mal ing address 'po,'R-x I 'is? City ~ . ,-"./VI Telephone number 3(,.0-6&;- c. '766 Slate ZIP wA C:;cSoo FAX number 3"600 -b:5/-r;;. l70a Premises owner'sl'1ame ;IAJ...-rA7- ..J.;'" t!c.......:::r; a.j ClAd..... Address of inspection /~/-S- E.d''''Db-<"'il Aue. C"'Porrr .AN~Je;' Phone number to sche . ule inspection: _ '0 (.6- 4'0- 33"7.i Co...j~ . /.J '17 Owner as defined by RCW /9.28.261:(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 instal. lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The Cily of Pori Angeles Municipal Code, and Utility Specifications. Sig~ owner, electrical co ractor or electrical administrator xC.::,~~ Date:~..E-c:::;C Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW o Cash 0 Check # o Credit Card Card # Expiration Date of card o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN "- Dale Approved By / FINAL '02/67 ~y Dale THERMOSTAT ~1/ J'Z/tJ'7 ~ Dale Approved By DITCH '\ ~~DJ..'f- ",/b be) "- Dale Approved By Inspection Date Area, Building or Equipment Inspected &1'1 :;,=",1' s:: . [J Altered! Addition .5'-' ,:::.r- Visa Mastercard Discover Service Information Voltage PhaseD 1 03 Service Size: Feeder Size: SERVICE A{) Approve..! By . FEEDER Dale Approved By Action Taken Electrical I~spector / \~ ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 IN~ OWNHCO~RACTOA ADDRESS fl.) -It V fZ- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. .. . . . .. . . . . .. . . . . . . SERVICE. . . . .. . . . . . . . . . .. . . 0 D.....................RN~......._..........._D CORRECTIONS NEEDED: OoiL1i-T FoR. th~OSE::L , , Co~.JZ, 'YLA'TlL. nJ2, '2..4 \-(0 oE-.T L~ ~i2.) 1<.~?f'>\:g, ~'TH~;f~~~ 1 ' ~ l-TW_1L- ,,?~l;. '-- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. {360} 452-1381 ~