HomeMy WebLinkAbout216 Vashon Ave - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 (y
Application Number 11- 00001048 Date 9/23/11 /Y\
Application pin number 669376 REPORT SALES TAX CO
Property Address 216 VASHON AVE
ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 0415 -0000- On your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Hot tub
Owner Contractor
PETER W AND LORI L FREDERICK ANGELES ELECTRIC
216 E VASHON AVE 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362 1\
(360) 452 -9264
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 193094
Permit Fee 110.30 Plan Check Fee .00
Issue Date 9/23/11 Valuation 0
Expiration Date 3/21/12
Qty Unit Charge Per Extension
1.00 110.3000 ECH EL- SWIMMING POOL /HOT TUB 110.30
CP
Fee summary Charged Paid Credited Due
Permit Fee Total 110.30 110.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.30 110.30 .00 .00
C
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 1 1 47 if
FINAL
6
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
09/21/2011 18:02 FAX 360 452 9265 Angeles Electric 1710001 /0001
c--..
t
rf E C E 1 V E 1$'
City ot:PortAngoles Pernik ApplIcetlon ,e ....t.
dii4iii ,'DiyteionilliONiLleepic lone C
3 t 7.1,eoc„ae SEP 2 2 2011 ..C7
Pod
�41T F 41MT1! I
EI CCTRICAL
...Date: i/ INSPECTIONS _..a
x
&2 Slrele "FamtyDtwrlltrg
Muft nettle!'
Cammerci¢I•AddlOri /Altendian Remodel l Repair
Plan"Rev v Required, Please Com Plan Review InfgrnaUori Street
JobAddr>r Vl !3J?DN
Bulld Fo
inp:5quare.olage, l6a0
Desaiptlan of above ''f h V �p
r•
Nan*:; 2!D 4 D N a me: 4. t mr SCnre
14011IngAddr &!f #'S1d Mails Address. .5 T .5
C� ..L Sts: f.)I 7p: f ?I 7 aty: ;State: wM- Zit: 11244
Phone• 7 L�io� T it Phone; :yESZ�z s Tex 4.062-1z46
L lc9he9 /.E Ucense l{ F�xp, Auk i s y 6o.t sS
:.Unit Chart S1l! Total (Qtr Multlalled b jUnIt enamel
•:'$ii9.0:• 8 ServloeTaeder2ooMrp:
X145.50• sarkalFesdar201400
$20450. Service/Fseder401100Mrp.
8262.20 SentelFeader101.1000Mip.
•..$31210 sentrEeeder oar 1000Any.
S 2.60 S, Branch clraRwrservloa Fader
:73.50 Brandt *MOO Sinks Feeder
..S 1.00 i Each Addl9p d Month Maul
42.10 8 Trrip. Soolhoar200Artp.
5.110,30. S Tamp. eerbtofeeder201.0BAnai.
145.10 S Tamp. Buvtor ffieder'4014106_Amp.
IRA:. Temp. 8enbdFeedV601- 1000
.3 ,95,10 3 pond b.) kW**
`i ;8820 SIpNOutineteh6ng
95:90 '8 SIB Cava Weed En,By- Cpmtor dot. Add39oad 1600 $5.00
;;;S:-.63.90 Signal Ciro* Unshod Eir•rpy•1&2
i -431/0 Sign! Caput/ WihetEnelpy MISFarNy Doting
1 11910 i Manufachried.Herro f oiaieceen 1
s 0L0 Ramie* Eleeb(cal Energy 610/A System or Laos
*:140: net t1300sgua$FL
`•:6:;35.20
EashAddmond600- 89usR or Potionor i
E adr Outbuilding
f >78.50 o y et OaaOe
,,12P.y�,;_ .1-1---;4.- Eadr eci#Trra
Total I
1
w m rh d,H
hedby'RC W 1t2 16261: (1) Orner leg occupy tha Iowan A too Mare O rsalhxtdeef etrkI► penettk
iboveSlid s raelalwrterIaewhrmltdr�hesatt ratrmont so/patbtapeetlar. j 41tift ifing 1M a ehbme ti I hereby certify that I am the owner of the above named properly or Band sNetrtat contractor. l an ni the shaddedinetel tlon or
7 alterf a liMin00mplfa�e tiiNilhe aleeldniLIare, N.E.C, RCW. Chapter 19.26.WAC Cheptet296.4ea. The cool Port Angeles Munidpal Rods t id U9Ugr
I O cis
SlpniiUua of Dunn, daeblal eanbeotor or st ableai administrator
0 Cheek i i
.490.
Doh: /Z/ Gamt Cer0 /'l
Please type or reprint in [nk. If you have any questions, please can (360. 417-4735
\ K . \ Fax number: (360) 417-4711
."'JO~ \.f'5G~ J' .
Owner or Elec. Contractor Agent: ,G.l ) C\ \ I +)1 r \ <- ("II', r. Phone: (" r-J ~ GO/' '/ Fax:
Property owner: '1':<\ "-I- C \) ,~U c \ 0/) Yv, p v, -( Phone:
I .
Address: ~. I (;, \ ) ,~5)o (\ City:
i' \ f ?\ I C"ur,l/c C\~P6i.K
Electrical Contractor: '---o.~\'~,' T} ? 0- r --r ~ ( L.- License #\ " VExp:
Address:,':) c.,~J C' fl'-l ): ,Q..l , City: _ ~ (..<;;/, I",'
, ______ I
INSTALLATION WIRED BY: 0 OWNER (D E~CTRICAl CONTRACTOR
Credit Card Holder Name: " j <' '. \' <-',,y k ;J . K, \" \ ( L
;).<::::; C A'-/'l r,I City:
\ (.,
PROJECT ADDRESS:
TYPE OF WORK:
VISA:
MC:_
;;Ub
1/11-5#0/--1
Check all that apply: ~New
o Alteration/Addition
. 0 Commercial ~ Mobile Home . Sq. Ft. "
o Residental 0 Mulli-family
o Remote Meter ODetachedgarage o Hot Tub o Swim Pool OSepticP.u~pOLowVoltage o Telecom, OS
Number of Circuits ~dded or. altered: ,co"
.' ;0..'," ; ~
JIi.,y~17t-,,' 1t7Y7J;.- rA,?J
. "
. 1'1Jt;8/ /-P'
,
,
DESCRIPTION OF THE,ELECTRICAL PROJECT:
$'16-7(J
Service Information
Electrical Heat Load Additions
o Baseboard
B1'umace
o Heat Pump
o Fan-Wall
_KW
.L:i:. KW
_KW
_KW
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o Overhead Service
o Temp Service
Iid'Underground Service
PAMC 14.05.060(B): For industrial, commercial, & residential projecta larger than a duplex, a one -line drawing of the Electrical Service I
Feeders. building size (sq. ft.). load calculati
ue and correct, and I ~
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
N- e,;,:::. q~'11 ~ L~(fWIe,fl- w'16e.. reSfP'lsl'hk ~ --n'",i:...CoS+s
... fO /~~7P(r..t... TI7-t..- 'XrA1
l}1 f 17/4 I ()O / Credit Card Holder's Signature: ' , Date:--5 -7'-(;>"5
- 1 - VI /
Owner or Elec. Cont. Signature: 'cV_
PW-9019 'Do il~ vJJi.-I !'O/r+
/l // /',/J ~~. 11c.~ Cd11+""f.-I
;:~;;;,--- c '&~ :3 . <; . 0,3
":> Y''''
Date: <) ,." (. )
~~ U;~ se ~\fI c. L '?
M'€. - 4/(r470C.
TlV- ~) L......J
o?~(~. Date Rec.:
°*~ ~ BUILDING PERMIT - APPLICATION
Date Approved:
Date Issued:
The Building Permit ~pplication must be filled out completely.
Please type or print in ink. If you have any questions, please call 417~815
~chitecffEngineer: ~ Phone:
Contractor~C ~~ ~icense ~~xp:~ Phone:~
LEGAL DESCmPTION: Lot: ' Block: ~ Subdivision: ~F~*~0 ~
CL~L~ COUNTY P~CEL NUMBER:~~Credit Card Holder Name:
Billing Address: City:.
Credit Card g: Exp. Date: VISA
T~E OF WO~: SI~UATION:
~Residential DNewCons~. DRe-roof DWood-stove ~2~O SF.~$
D Mulfi-h~ly D Addition D Move ~ G~age SF. ~ $ /SF. = $
m Co~ercial D Remodel D Demolition ~ Deck SF. ~ $ /SF.
D Repak D Si~ D TOTAL VALUATION $
COMMERCI~SIDENTI~: Occupancy ~oup: ~ Occupant Load: ~ons~cfion ~e:~
No. of Stories: / Lot Size: ~)O % Lot Coverage: /~,~%
Existing Lot Coverage: ~ /~q. fl. + Proposed Lot Coverage: ~/sq. ~. = TOTAL LOT COVE~GE:/2~ ~ /sq. ft.
PLANING USE ONLY: ] Z ~ ~ ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etland(s): D Yes ~ No SEPA Chec~ist requ~ed? ~ Yes ~ No O~er: OTHER
B~LDING PE~IT ~PLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you ~h~ more detailed i~omtion on ~e application and plan sub~al requkements. Your
co~leted application, site plan (for additions) ~d b~lding co~tmction plans are to be sub~6ed to the Build~g Division.
V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This fig~e MI1 be reviewed
and may be revised by the Building Division to co~ly M~ c~ent fee schedules. Contact the Pe~t Coordinator at 417-4815 for assis~nce.
PLAN CHECK FEE: Yo~ plan check fee is due at ~e time the building pe~t application and cons~ction plans are sub~aed. All other
pemt fees are due at ~e time ofpe~t issuance.
E~I~TION OF PL~ ~VIEW: If no pe~t is issued within 180 days of the date of application, t~s application will expire. The
Build~g Official can extend the t~e for action by the apPlicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of
· e Umfo~ Building Code, c~ent edition). No application can be extended more than once.
I hereby cert~ that I have read and examined this application and know the same to be tme and correct, and I am authorized to apply for
this permit. I understand it is not the Ci~'s legal responsibility to determine what pemits are require& it remains the applicant's
responsib ili~ to determ in ewhatperm its are required an dtoob ta in such~ ~/~ ~ ~
., O-, o_,C'
BUILDING DIVISION
CITY OF PORT ANGELES
_ Correction Notice
JOb Located at _~l~ ~//~l~//p~,~ ~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call ~ ~f ?_ c//~/?
for inspection, r /~
/
Date ~/-/&C~ ~" -) InsP~tor f~;'Building
Division
DO NOT REMOVE THIS TAG
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /'/- '}~ -- ~)~ Time Received by /'~/ (phone, person)
Location of Work to be inspected ~-~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type ~~e appropriate one): Permit No. /
Sewer ~i~ming~ ~ ~ Chimney Plumbing Final SewerExcav. Other
Inspected: ~ate ~-t ~ Time By
Remarks: ~~ ~ ~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [-~ COMPLETE
~-]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS '/
........... INSPECTION REPORT ...........
REQUEST:
Date --~'-c>~--/'-~--~.~ Time Received by ,~/-/// (phone, person)
Location of Work to be inspected ~--/~
Name of person requesting inspection ._~-/,/z,c- c_~ '~-~-->~l
Address of person requesting inspection Phone No._~
Type of Inspection (circle appropriate one): Permit No. /
Sewe~Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date -~' ~'*~ ~'~ ~ Time By
Remarks: (~/~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt [PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~//~)-~//~, ~ , Time ~,"~0 /~'~/- Received by ~~.-~~, person)
Location of Work to be inspected ~)~1 ~ ~/4:~.~/~ C)
· cD
Name of person requesting inspection ~.//J/?~_. ! ~L~.l/! ¢2[.Y'~l~- .~__.~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing~__~) Sewer Excav. Other
INSPECTION NOTES:~ I
Inspected: Date (~1~(~1 ~f'~ Time ~ j/J4 By
Remarks: ~vc'' - V
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~]Asphalt []PCC []Other
[] Repaired by City Work Order #
E] Repaired by Permittee L-~ COMPLETE
r-} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STKEET, PORT ANGELES, WA 98362
Application Nuaiber ..... 03-00000222 Date 3/12/03
Property Address ...... 216 VA~HON ST
ASSESSOR PARCEL NUMBER: 0630105004150000
Application description . . . ELECTRICAL NEW RESIDENTIAL
Property Zoning .......
ADplieation valuation .... 0
Owner Contractor
JOE/TERRY MANGIAMELI QUALITY ELECTRIC
SEQUIM WA 98382 SEQUIM WA 98382
Permit ...... ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee .... 46.70 Plan Check Fee . . .00
Issue Date .... 3/12/03 Valuation .... 0
Expiration Date . . 9/08/03
Qty Unit Charge Per Extension
1.00 46.7000 ECH EL-MANF HOME SRV OR FEEDER 46.70
Fee summary Charged Paid Credited Due
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Tota/ .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 Jf work or construction authorized is not commenced within ~180 days, if construction or work is suspended or abandoned~
for a pedod 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
T:\PLANNING\FORIvlS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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 }YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPAKATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~.~
Date --~--/~::~'~(~ Time. Received by {phone, person)
Location of Work to be inspected ,~. /~:~ ~/(::t~_~
Name of person requesting inspection ~..~//~ ~ ~ ~'~
Address of person requesting inspection Phone No. ~
Type of Inspection (circle appropriate one): Permit No. _~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other~
INSPECTION NOTES:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [~Asphalt [-~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)