HomeMy WebLinkAbout636 Vashon Ave - Building
FROM : Electric~S
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FAX NO. : 4526424
Jul. 22 2003 07:34AM Pi
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ELECTRICAL PERMIT APPLICATION
mil. uf'f'ICIi\I. :,/jf; vf';L ~
OBI,Ull.tc:
Perm,! ~: __.__._.
D.."'APP<"t,....:j; ,
Dal~ lUIJo:d. _"__"__'__
The Electrical Pemrt Applit:ation must bG fiUtd out cQmDlarelv.
REQUEST INSPECTION 0
o.m.ror Elec. Conlrac1orAgent: Y.1-~T'1l' ",_ ~"I'" ,..!.L...... Phone: IJ,'U-u.'i'2'" F.., LI rl.-,,~ -.."
Property OWn., --1i-lJ -ti/\ -r-h~.m a <'" Phon.:
Addre.. V<. It \/ rt S h,J).~ C~:. rC.... + I\-Vl if!h Zip:
ElecmcaIConltac\or: (ZI-'!,-ont.,,_ ~ J.._ liC8M.It.~n" I"~ '?/'''h'>o.
Address: cth_ ~ \(~ ~& I ~; \~fl-' ~ ivJ:""
~RICAL CONTRACTOR
PiClue type or ~pr1"t In Ink. tfYllU nave any 'question ii, pl6an call (360) 417-473:5
~'''' number: (360) ~1704711
IT & 35"
9 ~ '<,("j
Phon.: '1 r 4.. -6 ~.
Zip; '1 T~.. .'-...
INSTALLATION WIRED BY:
DOWNER
Credit C"d Holder Name:
~c
6^" City:
Billing Address:
Crwdlt Card Number:
Exp. Dllte:
Zip:
VISA:_MC
PROJECT ADDRESS;
o 3<c
V od,)
....""
TYPE OF WORK:
Check l!!l that apply:
o New
~ltarationlAddiUon
1ReSldental 0 Mulll-famlly
Remote Meter 0 Detached garage
o CommercIal 0 Mobile Home Sq. Ft
o Hot T ull 0 Swim Pool :J Septic Pump
o Low Voltage 0 Telecom. 0
Number of Circuits add8d or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
y\ eM )
~ bG,'>0- YVlU.$J-
o Baseboard
o Furnace
o Heal Pump
Q Fan-Wall
KW
KW
-TON
=KW
LRA
o Overl16ad Sarvlce
o Tamp Servlca
Ll Undersround Service .
SaNlc.lnformatlon
VOltsge:~o
Phase: 1 0 3
Service iza: \. '" c 4
Feeder Size:
Electrical Heat Load Additions
PERMIT FEE:_
PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a dupler, a one -line drawlni of the Electrical Service
Feeders, building size (sq. ft.), load calculations. and the type & of conductors andlor raceWay Is J'el;Uirecj and shall accompany the Ele~1
Permit appll<:8tlon.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I
authorized to apply for this permit. I understand it is not the City's iegal responsibility to d~termine what permits
required; it remains the applicants responsibiiity to determine what permits are required and to obtain such,
Credit Card Holder's Signature:
~~
Date:
Owner or Eh~c. Cont. Signature:
C:/ELECTRICALPERMIT APPLICATION
Date:
~ C ~ 7-J2,-03
<$ 35' ;)..0
ELECTRICAL WORK PERMIT APPLICATION~
A-
Job wired by
o Electrical Contractor 0 Owner
Installation description
D Commercial )Q Residential
Date Expires
DNew
'e
~ Altered/Addition
Electrical contractor name
,
:; S
Purchaser's mailing address
2442- PLnc;,J;; 1?D
City
p()~r I'!li)(;;:FLkS
Telephone number
License number
,.
State ZIP
('HIll!(";; FU~r..n p'AA/J;/
Tt> ~ Je /:;: /I k't;; Il P /J Ji/J,;[J
"
. <;fff3t. 3
FAX number
Premises owner's name
i?t>cF!..1< TJlIlMh)
Address of inspection
/"'7/" VA)/IIJtV
City
PtJRr /:rAkEL~s
Phone number to schedule inspection:
Owner as defined hy ReW 19.28.26/:(/) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) O>-t'ner 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 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
o Cash 0 Check #
o Credit Card f/isJ Mastercard Discover
Card# __&AL.ALE _-____-____
x
Date: ,'}; ~ ',t/i/
Expiration Date
of card
Inspection fee
$ c;,1.,90
Electri al Load Additions and or subtractions
ll( NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground SelVice
Voltage 14t2/JZ40
Phase Ji( 1 D 3
SelVice Size: '2/)" It
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT " SERVICE
DalC Approved By Dale Approved By "- Dale Approved By ./
FINAL DITCH " FEEDER
'j/'Z-~/,,>~ ~
Dat Approved By Dale Approvcd By "- Date Approved By/
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
~A7 ~ /..z '7 ~/::
, , ......- / /
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
A~plication Number ..... 03-00000635 Date 7/11/03
Property Address ...... 636 VASBON ST
ASSESSOR PARCEL N~3~: 06-30-10-4-3-9020-0000-
Application description . . . RE-ROOF
Subdivision Name ......
Property Soning .......
Application valuation .... 3500
Owner Contractor
ALLEN L T~OMAS LIVING TRUST LINDQUIST CONSTRUCTION
636 VA~HON ST 1509 W. 8TH STREET
PORT ANGELES WA 983626770 PORT ENGELES
PORT ANGELES WA 98363
(360) 452-4820
Permit ...... BUILDING PERMIT - NO PR FEE
Additional desc . . REROOF
Permit Fee .... 120.75 Plan Check Fee . . .00
Issue Date .... 7/11/03 Valuation .... 3500
Expiration Date . . 1/08/04
Qty Unit Charge Per Extension
2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00
...................................................................Other Fees ......... STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 ,00 .00
Grand Total 125.25 125.25 .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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby cer[ify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and or~i~ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume,,t6~i.v~e authority to vio)ete 9r'jcancel the provisions of any state or local law regulating construction or the performance of
Si~nat"~u of C ~ o~ u"~ho-rized Agent ' Dat~" Signature of Owner (if owner is builder) Date
T:\PLANNING\FOPdVlS\ 1102. ] 5 14/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS '~
........... INSPECTION REPORT ...........
REQUEST:
Date 7 -//- /-/~-- Time d/ ~ ,~d_~ Received by .~--~ (phone,
Location of Work ,o be inspected ~ ~ ~ ~ ~ ~
Name of person requesting inspection
Address of person requesting inspection Phone No. ~
Type of Inspection (circle appropriate one): Permit No. ~ ~ ~
Sewer Foundation Framing Chimney Plumbin~Sewer Excav. Other
INSPECTION NOTES:I / V~ ~ ~ ~
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)
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Date Rec.:~ ~'~0~'~
Pemait #: ~:~ -~ ~'-
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date A~rov~:
COMPLETE to ~ accepted for review. If you have any questions, call Date Issued:
(360) 417~815
Applicant or Ag~t:, ,'/~ /~'/~ ~ ~1' - -/~:' Ph°ne:~' ~)' ~-~ ~ ~
Phone:
~chitecffEng~neer: , f ~ , / Phone:
Con~actor~/F}~ /~/~¢~ State Lice~:~f~c/CG2~' Exp:~/~L~'~ Phone: ~ '-<~
Address: /~),7 ~7f ~ CiW: /~{f/ Zip: ~ ~> ¢
mo cx ss: zomsa:
LEGALDESC~TION: Lot:~~' ~/~ Block: Subdivision: ~- ~ ~2 fF ~
CL~L~ CO~TY P~CEL ~BER:
Credit Card Holder Name:
Billing Address: City:.
Credit CardType VISA__ MC __ # Exp. Date:
TYPE OF WORK: ./ SIZE/VALUATION:
[] Residential [] New Constr.fiRe-roof [] Stove SF. ~ $. /SF. = $
[] Multi-family [] Addition [] Move [] Garage SF. ~ $, /SF. = $
[] Commercial [] Remodel [] Demolition [] Deck SF. @ $. /SF. = $.
,l~R~epair [] Sign [] Other TOTAL VALUATION $ ~f. V~A'r~? ~ --
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
o o o
Existir. e, lot covera~,e __ % & Proposed lot coverage __% = Total lot coverage Ye
APPROVALS:
PLANNING USE ONLY: PLAN: __
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 4174 815 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.
EXPIRATION OF PLAN REVIEW: If no perrmt 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 ~witten request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the/~e to be true and qorrect~ I
am
authorized
to
for
this
permit
understand that it is my responsibility to determine what permits are requ(/ ~/ "/ ~t~e Cit~,~, and t~ l m~ obtain such permits prior to work.
g
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number _
Property Address
ASSESSOR PARCEL NUMBER'
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000543 Date
306217
636 VASHON AVE
06-30-10-4-3-9020-0000-
ELECTRICAL ONLY
6/05/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
THOMAS, ROGER
636 VASHON ST
PORT ANGELES
WA 983626770
HALVORSEN ELECTRJ;f'l'l. ~) 0-. ...-' . (-
1426 W 11TH ST' ..
PORT ANGELES WA 98363
(360) 457-7803
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
HALVORSEN/ PNL CHANGE
78279
HALVORSEN ELECTRIC
66 90
5/25/06
11/21/06
plan Check Fee
Valuation
.00
o
~
\A
~
Qty
I 1 00
Unit Charge Per
66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 66 90 66.90 00 .00
Plan Check Total 00 00 00 00
Grand Total 66.90 66.90 .00 00
SJ
~
~
~
-,
~
r'i
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,
INSULATE OR CONCEAL ANY WORK BEFOREIT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
I
Ull C.t1 I
IHl1IGH-~ / CUVbK
SERVICE I
I
JlJN AT I 3. ~'S' . 0 ~ IM'F)
I I
I
I
I
I
, I
i GENERAL COMMENTS:
.'\" I
.. ,
PW-II02 U (4'961
....
. ,.
'" (.
. .
. ",,'
.1"'
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.-'
..
,
"'. \...,~
/'...
INSPECTION TYPE
ELECTRICAL PERMIT
RESULTS:
INSPECTOR
DITCH
CITY OF PORT ANGELES
SERVICE '
3604174735
Application Number . . . . .
18-00001011 Date 7/05/18
Application pin number . . .
307610
Property Address .. . . . . .
636 VASHON AVE
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -10 -4 -3 -9020 -0000 -
on tax fam
Application type description
ELECTRICAL ONLY
your excise
subdivision Name . . . . . .
to the City of Pat Angeles
Property Use . . . . . . . .
��
X0000n,�sCode0502}
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner
Contractor
NEVARIL, RON
EXTRA MILE TECH & ELECT., LLC
815 S CHAMBERS ST
418 N. RACE ST.
PORT ANGELES WA 98362
PORT ANGELES WA 98362
(360) 457-9060
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 68.00
Plan Check Fee .00
Issue Date . . . . 7/05/18
Valuation 0
Expiration Date . . 1/01/19
Qty Unit Charge Per
Extension
1.00 5.0000 ECH EL -BRANCH
CIRCUIT W/FEEDER 5.00
/
1.00 63,0000 ECH EL -R-
BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
Permit Fee Total 68.00
68.00 .00 ...00
Plan Check Total .00
.00 .80 .00
-Grand Total 68.00
68.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE '
ROUGH -IN
FINAL
COMI1�TSt
,
PERMIT WILL EXPIRE SIX (6) Mf3wm FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
Date.
ProjectAddress:
7sk�VL—:'OF's""nAy"i"Res benfiaI
I - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATIof*'
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www cityofpa-us I e1ectrica1pennfts@cityofp&u5
Me ft Address.
ni5-r A�Acpv 4),I -e
k VEX, :LA rp> -1 �b A4A- t -p 1; 5
13 Dtq*x / ARU Buk" Square footage:
-e V A -M ( / Ernst
Name: a,4t* 4 1E,ttkitAC-Sk-1
hda"Address: 1>-6. Rex 3 113X
Email.grx!A" i 140�01:gtqpm -Ate:7-
V�
Phorie. 3 t, c) -4 9 7 — 506 0
License: e-pef
Expiration Date:
Phone: '340-4&1 -139Y
am
urea chance
gHmm IM (OmAW x Unit Charge)
Ser*WVeeder 2W AmpL
$120.00
$
ftrvlc*1Feeder2M4WAmp.
$146.00
$
SeridcerF 401-M0AM-
=WW
$
Sefvfceff%ed&r6D1400DAmp-
$26200
$
ServicafFeeder over 1000 Arm
$373.00
$
Branch Circ d W Swam Feeder
$6.00
$
Branch Cir d WO Service Feeder
$noo
$
Eads AdMonall Bmwh CMA
$5.00
$
Branch Ck=ft 1-4
$75-00
$
TerM. ServimgFeeder 200 Arrp.
$93.00
$
TWM. S0rWCVT4%Xlsr 2DIAM Arrip.
$110.00
$
Twp. Servkeff:;seder401-=AnV.
$149.00
$
Temp. Servics/Feeder=4000Arrip.
$166.00
$
Portal ID POW HWO
$0.00
$
SOW CiraWlkniled BoW -182 (XJ-
$54.00
$
AlamAsdwed Home Cormumfion
$120.00
$
Renewable EW-, Energy: 5M Systain or lose
$10200
$
ThemmxM (Nolm $6 for each additional)
$56-W
$
Fast 1300 Squaw Feet
$120-W
$
Each Addffardd 5W squaw bar
saw
$
Each Oubdhft I Dahwhed Gmp
$74.00
$
EischGamoft Pool / lot Tub
$110.00
$
TOTAL $
Owner as dalbmd by ROK1928281; (1) Ownerwill occupy the soudure for two years aftertme ekdrical permit is linalized, (2) Owner is
required to him an ebdftW owdractor fabove said properly
is forzab. rat orseve Permit eVivisafterskirwriftaflast kapeclim
Aftr reading the above statement I hereby certify OW I Wn Me owner of the above roamed properly or a wed elechical conft*w. I
am making the electrical oddation or "afion m owrOance with to electrical hvm. N.E.C. RCI. Chaplet' 19-X WAC Chwler 296-
468, The City of PortAngdes Municipal Code. arid Ulfty SpecNicabons and PAMC 14.05.050 regardkV Sechics! PWn* ApOcadons.
--7 Z.1 I � W=X;'
Date prinfocame
Signalure(o
OwWCrElectrical ConVactor/Admn*ator)
lEkcww Permit Apprcallwrm may be submided to city Hal or ekzlrica1pennftGd"fpa.us or taxed to 360-417.4711]