HomeMy WebLinkAbout633 Vashon Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001129 Date
.436122
633 VASHON ST
06-30-10-4-3-0110-0000-
MECHANICAL PERMIT
12/06/04
RS7 RESDNTL SINGLE FAMILY
2600
Owner
Contractor
BURTON L/JULIE A SENF
633 VASHON ST
PORT ANGELES WA 983626769
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
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Permit MECHANICAL PERMIT
Additional desc
Permit Fee 57.65 Plan Check Fee .00
Issue Date 12/06/04 valuation 0
Expiration Date 6/05/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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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.
o ^/ r::: I L-t.....
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BIDLDING 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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL F ,,'I IH- 3'1/-0) Ji-L IJ-r
HEAT PUMP
GAS LINE 1/ - fJ../r -IJ. tJ JilL..
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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 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:\PLANNING\FORMS\1102.15 [11114/2003]
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DEC-06-2004 01:05 PM SPA. SHOP
360 452 0503
P.01
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pol. OPFlCtAL 'USB ONLY: .
BUILDING.PERM'T,. APP.L1CATION DlU~.:
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,PW'O.H~OM1'LlTIILYUcllllJNK.y.~app,,~tlO......tlta,1IDMUS:);U . 'tlat8~:' . ..
.COMl'LE'1'I. to ... aMlpCa4 tor' rm~. If 1011 Uw III' qaedOJll, ca11 DUD 1I1Ued'
PJt1il.MlTS (360) .17-4815 1'A.X(360)411-4'11 '
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.... "AWlioantOr'AF~ L5Lusr . Phone: . <a .
()ormer:S..., F' \3 i.! I'Z. rtJ l..J . . "" " """.l'bcilIt; ..1'i:1"7 - 3:11/3. "
A&lre&I'..kiB'i~\-IOoJ Q\y:~ ZIp,~,,<2
Ai'cliitec1lE . . eer: .. . . . '. . . Phone: Li S,"4...4C1o' , .
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Contractor. ,1 F:'f". Cl.I State . cenae W: . Exp: t:f5 })hone: t\6)..'\40~
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PROmer ADDUSS: (6~~ "OSl-Jt8AJ ZO~G:
LBGAL DBSCRJPTIDN~ Lot 1. Z I A Block: Sllbdivil:iaD:
CI..AU.AM COUNTYPAACBL NuMBBR.: C b301 04 '3"1 I ~
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CredltCar4Sold"'Nuaa:_~h('~ ~_~I e:- .
BPUDc A.cIdr": Z~- r". 1 . _ atyt_~L.Y~ ~ ~ :=-.
CredJt Card Type ~C , ('oj ..1~ll.'T Esp. Datol
C.OF WOB: J SID/VALUATION:
Ileltdential C New Camtr. c:&Hoof ~ Stzmr r SF. @ S ISF. - $ :
ldUlU-6mi1y. C AtIdidlm C Mcm 0 ~. Sf.@$ ISF. - S
. .. ...O..COmlXWfcial.. .C...1U:IIIodc1-.. _C..Dmaolil1oll...,:.P .D.ec:k... ...... ..Sf.~@.$ I.SP.......S
. C hplir C Sip C. Oth. ~ .-:roTAL~U^TlON ~ :2.. .'- ,,~..
BlUJt1I' ])J,SCllIPTIOllf or TJD. PB.OJECT: 'l~ t/~~ I Nn J r
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coMMJrJlCIAIJRBSIDJ.N'1'IA1.! Ocaup~Y Group: OccuplDt Load: Const;Nction Typo:
.
No. of Stanca; _ Lot Size: adadq8q. Pt. _ Ie Pmpoae4 Sq. Pc. ~ TOTAL Sq. Ft.
ToW lo~ CO"ftIl'I88 .%
APPllOV AL8r
PLANNING USE ONLY: PJ.,AN :
- , BLDG:
.. DPWU:
BSAlWetlw!(.): C Yea 0 No SBPAChJddi.tr~7 c Yes C No OCh..: J'IlUt:
OTBlCll:_
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BUILDING PPM1T .Al'PLlcA'110~ SUBMITrAL: 'I'M ButlcUq n1vilicin cq ~ :YGIl witli ~0Il 011 the llppl.ica.tiOD.lnd
p1al mb1Di.'lbl reqair-- if)'OUbaYO queltiODl.
. VALUATION or CONSTRtl'CTJ:ON': III &U eal.,. va)u.I.tIOIl amo\t.DUlult'be entered 'by the applicant., Tbi8 filure wilJ:be reviewed
mdmaybe revised bythdlui1dillsDivtaion U) comply With cut11lIlt* 1~u1ee. Con1lettbl pmcCoorcHni.torat417-481 S for usiS1anCe.
PLAN MftJ"1( JBI: IF. a plazl c:beck foe iI.cWo it mule 'be I\lbmi.UIId at 1bc tiD:Ie tbi: buUdm& pcmlt app1i()llilOll aid CODItructioa plaDa are
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EXPIRATION OP PLAN uvmw! lfnc permit iI JaIl1OC1 witb:b1180 daye oftbe date of appllcariora. the appUcltlOJl 'ft1I1 expire. The
Buildmg .0f5ei&l CaD extolld 1ht t1me ftlr acUcm by the epplioa.uC up to 18~ ct.,.. upon Mittall'~ by the IPPIiomt ('DO Sotl1icm R1 05.3.2
atdle lJlt8mltiaU1 Bun~tW Code, 2003). No app1ic&tion caD be ~ft"" more 1tsI:It~.
. I he"b)' certtl'y thrrll hlVt.,.,1d IItd txII'fIIned fhII.ppl1c8t1on tnd knOW ttie ..",. tc be true end COIJ8DI, Jim IlIihon.ito spp/y for thI8 pttmlt end
unde,.t~nd fhllt r Is my 18apons1b1l1fy 10 def81m/ne whet plrmltr-",. ,.qlJlred ,Mfthe CIty". end thet I must obtaln.1ICh P8lT1l1t1 pi1orto wor1c.
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~"'V!SS\B~OOI"uJJalaIpImlIt..
. AppJi~:
Date: