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Home My WebLink About125 Vashon Ave - Building n G lo, CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000958 Date 9/07/11 Application pin number 483100 Property Address 125 VASHON AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 1060 -0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7000 Application desc RCP #11 -32 Sewer Connection Owner Contractor BROWN LARRY W C &J EXCAVATING 125 VASHON AVE PO BOX 430 PORT ANGELES WA 983622554 CARLSBORG WA 98324 (360) 683 -7741 Permit SANITARY SEWER HOOK UP Additional desc RCP #11 -32 SEWER CONNECTION Permit pin number 192047 Permit Fee 150.00 Plan Check Fee .00 Issue Date 9/07/11 Valuation 0 Expiration Date 3/05/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 0 Fee summary Charged Paid Credited Due V Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 (P` V e 5 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. c5g 1 g/71 Signature Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 PW UTILITIES :'(Engineering Division) WATERLINE,/ METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CUR &GUTTER DRIVEWAY "A P.PROACH BACK FLOW °DEVICE. Y y C_ a.... '+'�ti 1 ti. t FINAL INSP ECTIONS;.REQUIRED?PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE I ES y `NOS COMMERCIAL DA7 E ACCEPTED e „r YES ..NO CONSTRUCTION R W PW/ �CONSTRUCT,ION, `R:W ENGINEERING.: 417-4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT 417 -4750 PLANNING DEPT. BUILDING 417 BUILDING 4815 T Forms /Bwldm Dwis,on /Public Works '.... . . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. Z'9 '7 5 /~/h-'71 ELECTRICAL PERMIT DATE Site' !Address: I READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Installed By: I OWf\erl J Own'erl I I ~ReSidential .--" Heat KW '::L . Baseboard D Furnace/Boiler o Heatpump D Other d Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Phone: Sq. ~ 2--0 )9 New Construction D Remodel D Service update/alter/repair J& Overhead D Underground Voltage ~ 1.0 D 3.0 Service size rzo 0 Amps D Temporary D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) JJ 0.J 041~(P .- f;r ...:;> DetailslDescription: I I I -i 1 1 -j w.sj No. Service CaPfcltY:~ O.K. D Not O.K. D 9Jtch inspection O.K. ~ough.in/cover O.K. D O.K. to connect service D Ainal O.K. I Site I Address: I Sizetf Z- TP</.. Date 1 (1..1 h, Hold for: D Easement D Letter Comments ~ D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Permit/Receipt No. Insll,lIer: I New Meters I Date: ,j -- - I ~, Notify the Department of City.-Light by Street Address and Permit Number when ready for inspection. Work mu~t not be covered or electrica:ily energized before inspection and O.K. for covering or service has been given by title Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~. iU n-ll-.- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ..Jc 0 0 .-J f J---C(l \L:f l-t-J-X.D 1- I 7 -cc ( ~ 4--.0. Inspector Amount paid WHI~E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLy",JIC PRINTERS. INC. I W.S No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o 9itCh inspection O.K. A ""'41 ~ough-in/cover O.K. II.! 0 O.K. to connect service o jinal O.K. SitelAddre/~ Insialler: I Notify the D artment of City Light by Street Address and Permit Number when ready for inspection. Work muSt not be covered or electrically energized before inspection and O.K. for covering or service has been given by tre Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. i --;;;;;;, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,If ,;s.D ~ 'I ' Inspector Amount paid WHIJE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GRE~N - Top: Inspector, Bottom: City Hall OlVM Ie PRINTERS. INC. .. . . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. eX 709 /.;], //3/70 / ' ELECTRICAL PERMIT DATE SiteUAddress: I Installed By: I Owner/Business: I Owner/Business Address: I o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. ~ Residential I Heat KW 8 ~ Baseboard 0 Furnace/Boller Heatpump \)( Other ~ Commercial/Industrial load Total Connected load (attach breakdown) Totai Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary Amps t4 Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Det ilslDescription: , i _oj I --I -I ~ I ] leo ~ -/kdue ~ /II~!?, Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Permit/Receipt No. c;;2 New Meters (/ I I Site:iAddress: I Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. I :3 r 0 /1/5/67 f I EADY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: DATE Owner/Business: I Owner/Business Address: I J "f.i; Residential Heat KW Baseboard 0 Furnace/Boiler Heatpump 0 Other Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Phone: Sq. Ft. o New Construction ARemodel o Service update/alter/repair o Overhead o Underground Voltage o 1.0' 03.0' Service size o Temporary gAdd/alter circuits o Auxiliary power (list below) o Special equipment (list beiow) Amps Details/Description: I I I vJE :', r [AJ [) ~'!>'b1\10/J '1'\ ~0-\;~; of J+r,\J~ If . 1'.-'\)'Dt..D l0I\-D 15 '00 \,,'-' lJi<J0 t ((A~~T cAi F""!\rJ H'iJ\.'K~ . i --, (I{IZ~' jJi)7 /,v {J4/l/fL YfT! -----; -! , -----; W.S, No. Service Size .I. . Capacity: 0 O.K. 0 Not O.K. Comments I o Ditch inspection O.K. ~Rough.in/cover O.K. o O.K. to connect service ~inal O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Sitel Address: /2:;- [". I/A shAl PermitfReceipt No. Installer: New Meters . I -e- Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by t~e Inspecto in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. 'j r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /~ ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall , OLYM~C PRINTERS. INC. , CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 17003 Port Angeles, washlngtonm......t'..:..l..:-?:::m...m...m............m.. 19P/", In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment In. on, or about any building or other structure In the City of Port Angeles. per- :~:::s: i~.~~~:f..:~S~ t:~~.~~..:~.~~~.~~..::IO:~cupancy.~~................-............. Owner ..m.~~..::Z~m,Z7..CJ.<fTenanL.m.m..m.m..-mmm.-mm..........-.......m_.m..... Wiring contracto"sliJL..~iY::E;~~r::p'-;" ~;;;.mm.m..m.m..mm..m......................m.... LIght OUt1et8.....~.....r'\..25..n_h.. Service, volts ....1::f/l,.... ........... Type of Wiring: Receptacle Outlets :7 No wires g Armored Cable .................-..........- . Cnm.mh.m..m....... . h':::ilZ..(j.nmnm . Non.Metalllc ....h...m............hn..... ::::, ::......._...........j}..._._._._..n........n.. :::n :::s:::~/i.!..::h:::.m:~:: Knob. & Tuben.n.hn....n................_ A) I. RIgid ConduIt .....0....0.................... Enclosure _...U. m_~m___u__. M tali' TubI e lC ng 0....................00.... Type of wiring: Entrance Cable ......nn Ser. No............................................... Raceway n...'lf':.................__...- CIrcuits, LIght.;;f"=hn.hh.................. ~:~tity._~::::L~:::~~::::::::::::~::~~ a Range ......................__..__....___...___..__ Water Heater ..~__.............n..... ::::~m::::._:g._:..-.::::::._..:::::::::::::::..::~ Furnace .........................._................... Rigid Conduit m..mhm.................. Metallic TubIng .................. Current transformers: No. & Size.mmm..mmm.....m Ser. No. .............................hh............ .YO Total wad............h...h.......... Ser. NO...................................h......... Total ..._h.............._n.....h......... Remarks: .h____h.~...(~....m~~~....n.h....__.m....___...._______..........m...............................__h.__.__ Ser. No. .........n.................................. .__o..______.______.___u__._.____._.__.__.__u____._u_______._._..._._._...._.__._u...___________________________________________u_.__._._..____u____.u_uu._u_.____.__ .;~~i;i.~..........................;~:~~.--~:~:;~~h..--.--h.mm--nm--.......(?0..;;Il:J;;;:7~ $..__.....~...m...mh............ NO..m__...................... By ..,1!-.~..tl........:t'.!:..r:..--.....mm....h....__.......... NOTICE-Current must riOt be turned on until Certificate of Inspection has been Issued. It work is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17003 ;. Address................_..............................................................................._.......................................Date..._......__._......_.........._......_......_......._ o wner ..............__..................._...h__h_......_......__._.........................................h................ Tenant....h............_................................................. V/lrlngContractor.........................._.................................................._.................................._.........By.............................................................. \,.. ,- NOTIC~urrent must not be turned on until CertWcate ot Inspection has been issued. It work i~ to be con. cealed due noUce must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc.