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Home My WebLink About419 Vashon Ave - Building ~ ,ORT ~ ~ ",...~ ~ ...--- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use property zoning . . . Application valuation 04-00000859 Date .405047 419 VASHON ST 06-30-10-5-0-0756-0000- ELECTRICAL ONLY 9/27/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ------------------------ ------------------------ ENGELBERTSON DANIEL/LUCINDA 419 VASHON ST PORT ANGELES WA 983626312 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date EL-HOT TUB HOT TUB 48.10 9/27/04 3/27/05 Plan Check Fee valuation .00 o G \\ -t ~ I ~ \)\) \~ (]I l ~ -t: ~ -- -..\) ~ <::::. .....r"\ )0 ) (j l ---\ ~ ~ ---------------------------------------------------------------------------- Qty Unit Charge Per 1.00 48.1000 ECH EL-R-HOT TUB ONLY Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .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:\PLANNING\FORMS\1102.15 (11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-48] 5 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ". ~ Q~J ROUGH-IN q - ~f::.O{ IKJf...... ~ C; - d/~ PLUMBING I 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 WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 If:. ::;;t;j-C L/ trc ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNING\FORMSlI102.15 [11/14/2003] ., ,~---~.~ .~6iD .~CC J _. .." <(<' 0_____ ~,lI' fI'!"",=" if t]f',~ 1,:'41.. ta~j"-'!:{j <lie- C' {'/C'~ '<'~ ~KSAtl.D\.';. 'p '.', ELECTRICAL PERMIT APPLICATION FOf'. UI'J:I(:JP_'.... us.!.' C~!~_': Duldl;~l ._~_____._.__.._.__ h::'''';!F The Electrical Permi1 Application must be filled out cDmpletelv 1~"lcAPI'''''''~.d D~lr I.'>u",,) Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 c;;-~ Owner or Elec. Cont;~ctor Agent: D/lH Eve; t-L(3t.:lZl.fO;.J I' Phone tf If 73 / J' Fax: Propert)' Owner: Address !j / '9 (;. /h, ( H/'?;.J II Phone: City: Au /l;J{~-; c::.;f Zip ffJ;;J Electrical Contractor: License #: Exp: Phone: Address: City: Zip: Billing Address: Zip: C'J .....c .€t- V -l' INSTAllATION WIRED BY: J(OWI'ER Credit Card Holder Name: o ELECTRICAL CONTRACTOR City: Credit Card Number: Exp. Date: VISA: MC: PROJECT ADDRESS: L//q Z_ 0.(;-i//'u Check ~ that apply: 0 New o AlterationlAddition TYPE OF WORK: o Residential 0 Multi-family o Commercial 0 Mobiie Home Sq. Ft o Remote Meter 0 Detached garage KHat Tub 0 Swim Pool 0 Septic P,ump Number of Circuits added or altered: / DESCRIPTION OF THE ELECTRICAL PROJECT: 1iJ iT'-'l L 1-&/ ~6' o Low Voltage 0 Telecom. 0 Sign \ -so A. M.f' '.,. Electrical Heat Load Additions and or Subtractions u/~ Service Information =1 Baseboard :J Furnace ::J Heat Pump ::J Fan-Wall KW KW TON_LRA KW o Overhead Service o Temp Service ~ Underground Service Voltage: /20 Phase: ~1 0 3 Service Size: 2.. ':;0 Feeder Size: I hereby cerlify that I have read and examined this application and know that same to be true and correct, and J am 3uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits 3re required; it ~r.ains the applicants responsibility to determine yrhat permits are required and to obtain such ., Q ~ ~ 1":7 Credit Card Holder's Signature: 7'~ Date: 9::.2 YuL/ ~~ 4 ' Owner or Elec. Cont. Signature: , ~~ Date: C/--J!/{}[f' 'tl:-- -(l~L - PERMIT FEE: $ , r 1 t' ::/ELECTRICALPERMIT APPLICATION -- ,....'- , ........ - ELECTRICAL ~INSPECTION WIR~N1G ~HEIPORT 417-4735 APPROVED NOT APPROVED D ................... DITCH ................... D D .............. ROUGH IN/COVER.. ...... ...... D D .................. SERVICE .................. D D .................... FINAL. . . . . . . . . . . . . . . . . . .. D CORRECTIONS NEEDED: ~ i.-:{IM~XJO ,J(ec:1 ~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452.1381