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Home My WebLink About436 Vashon Ave - Building CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION t21 EAST 5TIt STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 3/16/2001 PERMIT NO 7201 OWNER/APPLICANT PROPERTY LOCATION TOM & LAMBERT GRIMES 436 VASHON 108 WHIDBY Lot: 1 Port Angeles, WA 98362 Block: 2 [] Long Legal 360/452-4847 Subdivision: PSCC 2ND ADDITION T: S: Parcel No: CONTRACTOR ARCHITECT HALVORSEN ELECTRIC N/A 1426 W. 11TH PORT ANGELES, WA 98363-0000 , 98360-0000 360/457-7803 360/000-0000 PROJECT INFO Project Type: RES.NEW Project Value: $0.00 Occupancy Type: Construction Type: SERVICE INSTALL Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 10 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 8 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES NEW HOUSE, 10 KW FURNACE & 8KW HEATPUMP FEES ASSESSMENT Service: $153.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 · Misc Fee: $0.00 TOTAL FEE: $153.00 AMOUNT PAID: $153.00 BALANCE DUE $0.00 ('()MMh?~TS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COl ~R, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE GENERAL COMMENTS: ~ '~" CITY OF PORT ANGELES a*.~.~ PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5Tll STREET. IK)RT ANGELES, WA 91,1362 ELECTRICAL PERMIT ISSUED: 3/16/2001 PERMIT NO 7200 OWNER/APPLICANT PROPERTY LOCATION TOM & LAMBERT GRIMES 436 VASHON 108 WHIDBY Lot: 1 Port Angeles, WA 98362 Block: 2 [] Long Legal 360/452-4847 Subdivision: PSCC 2ND ADDITION T: S: Parcel No: CONTRACTOR ARCHITECT HALVORSEN ELECTRIC N/A 1426 W. 11TH PORT ANGELES, WA 98363-0000 , 98360-0000 360/457-7803 360/000-0000 PROJECT INFO Project Type: TEMPORARY SVC. Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 60 Feeder Size: 0 PROJECT NOTES UNDERGROUND TEMP FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $38.75 ' Misc Fee: $0.00 TOTAL FEE: $38.75 AMOUNT PAID: $38.75 BALANCE DUE $0.00 ('()MMLNTS/ACTION NEEDED ELECrRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 94 HOUR NOTICE, ITIS UNLAWFUL TO INSULATE OR CONCF. AL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMflT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER i SERVICE i-'~ //{~/V [ FINAL I I GENERAL COMMENTS: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 3/06/2001 PERMIT NO: 12506 OWNER/APPLICANT PROPERTY LOCATION 436 VASHON TOM & LAMBERT GRIMES 108 WHIDBY Lot: 1 Port Angeles, WA 98362 Block: 2 [] Long Legal 360/452-4847 Subdivision: PSCC 2ND ADDITION T: S: Parcel No: CONTRACTOR ARCHITECT MILL CREEK CONSTRUCTION N/A 4619 OLD MILL ROAD Port Angeles, WA 98362 , 98360-0000 360/452-8281 360/000-0000 PROJECT INFO Project Value: $127,160.00 SFD Units: 0 Commercial: 0 Project Type: SFR NEW SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES NEW 2312 SQ. FT. SFR WITH 576 SQ. FT. GARAGE PERMIT INCLUDES MECH. FEES PLANS B-10 FEES ASSESSMENT Building Permit: $1,150.55 Misc Fee 1: $0.00 Plan Check: $460.22 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,794.67 Plumbing: $109.00 AMOUNT PAID: $1,794.67 Mechanical: $70.40 BALANCE DUE: $0.00 Radon: $0.00 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 certi~ 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 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I ACCEPTED COMMENTS YES I NO FOUNDATION: FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB I ~_ [ WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL PLANNING DEPI 417-4750 PLANNING DEPT. BUILDING 417-4815 t I-~,~c)-O \ ~L t~. BUILDYNG FOR OFFICIAL USE ONLY: Building/Utility/Electric/Fire Permit Application ~ P~:~ Please fill oat coml~etdy. Type or print in ink. Ifyou have questions ~,,-Appl SHBI?24: ¥,, N please call (360) 417-4815 er Fax: (360) 417-4711 ~ ofco~m~,, e-mail: www.ci.por t-aagele~.wa.m BId~ Peanit AMd: B.P. B~g A~: Ci~: ~p:, C~t C~ $ ~- ~: ~MC ~g O~WO~: S~UA~ON: O Comm~ O ~d O D~Hfi~ O D~ SF. o ~ o ~-~ o Si~ o UST T~V~UATION $ No. ofSt~:~ ~S~ ~'1~ %~t~ ~ ~ . P~ Ug~ O~Y: P~ ~: Nm~: ES~md(s): o Y~ ~ No SEPA ~ r~? o Y~ o No ~ O~ P~~ON SB~'I-I'~: Your ~plic~on ~ Mte p~n m~ ~ ~d pl~s ~ to ~ ~H~ lo ~e ~g ~si~. ~d~~e~g~.~p~ ~t~ ~eP~t C~at~ ~ 417~15 f~ ~. o~ ~t f~ ~e ~e ~ &e time of~t i~ ~ON OF P~ ~W: ffno p~t is i~ ~in 180 ~ys of&e ~te of~pfi~fio~ (s~ S~on 107.4 of~e Uni~ ~g C~ ~ ~fion). No ~licMi~ c~ ~ ~t~d~ ~e ~ once. I here~ ct~ ~at 1 ~ ~ad and ex~mi~d ~ ~ca~on and ~ow the ~e to be ~ a~ co.ct, and I am a~ff to apply for ~ pe~i~ I unO.and ~ ~ ~t the Ci~'s le~l ~o~bil~ to dete~ine ~t pe~i~ ~p~cant's ~v~bi~ to ~te~i~ what pe~i~ are requi~d and to obtain City of Port Angeles Applicant Project Review Sheet ~ew ~s ~c ~j~t ~md Eeo ~y ~u~ ~t~ ~ ~ss my lot ~es (~ or c~)? ~ yes: ~s PD ~no: ok · c ~low~ lot ~v~gc ~ ~s z~e? ~ yes: ~s PD ~no: ok ~s ~e ~j~t el~te ~y c~g ~g ~s? ~ yes: mq~s PD ~o: ok h ~e ~oj~t l~t~ ~ 2~' of~e ~oml~c? D yes: ~s PD ~no: ok r~ew ~clM~g: ~ yes: mq~ PD ~ no: ok ~ ~ a slo~ of 40% ~ ~t~ or ~ ~t ~ ~d~ of ~ ~d mo~mt or ~osion? ~vc all ~e req~ su~s L~ Site Pl~ ~)C~s~ti~ rcq~ If Planning Depar~ent r~ is required, ~e pr~e~sing ame my be extended. If it is dete~ined a sepa~te Phnning De~t ~it(s) is needed, ~e P~ing ~ent ~it(s) ~t be app~d pH~ to the is~nce of any other pe~it. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~--~'~ -~) / Time ~; ~-~ ~ Received by ~-~ ~' (~person) Location of Work ,o be inspected J .ame o~ .erso. re..,est~ng ~nspection ~'~'! PULL C ~£~ I~, Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. % Sewer (Foundation1 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 [--I 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 Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one)2 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ ~/i ' ~',/' Time Received by (phone, 3erson) Location of Work to be inspected Ir' ~' ~ ~ ~ ' ...... ~ ~ ~ Name of person requesting inspection Address of person requesting inspection Phone No Type of Inspection (ci~opriate one): Permit No. ! Sewer Foundation ~Framin~ 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 [--I 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 Received by (phone, person) Location of Work to be inspected ,~-_-~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No.~ 1~ ~5~0 Sewer Foundation Framing Chimney Plumbing~Fin~l~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 # E] Repaired by Permittee [] COMPLETE ~--I 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 ~', ~,~z~. rr~ Received by /(~// (phone, person) Location of Work to be inspected ./7/, ~)~ Name of person requesting inspection ~ Address of person requesting inspection Phone No. Type of Inspection [q rcle appropriate one): Permit No. Sewer~F'(~'~r~ ~Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION ~'~JOTES: .__.~ · ~ ? :::~ ,~ / , Inspected: Date x. -, ' '~ 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) The City of Port Angeles, by signatures below, acknowledges that the attached Record of Survey #5593 (originally recorded on October 11, 1984) for Mr. and Mrs. C.W. Peacock, 504 Va~hon Avenue. The adjoining property is owned by Thomas Grimes and Lou Lambe~t Grimes, 436 Vashon Avenue, Port Angeles, Washington. The properties were adjusted due to a pre-existing driveway. The properties are described as being Lots 10, Block 1, and a portion of vacated Vine Street abutting said lot, and Lot 1, Block 2, and a portion of vacated Vine Street, both in Puget Sound Cooperative Colony's Second Addition to Port Angeles, Washington. The filing of this document is approved by property owners: Mr. C.W. Peacock Dated M;s. c.W.~'c~ck Dated Mr. Thomas Grimes , Dated Mrs. Lou Lambert Grimes Dated Before me this date appeared Mr. and Mrs. C.W. Peacock, known to me to be the persons who signed the above document, did sign the above document of their own free will. Mr. Tho s ames, k own to me to be the person who signed the above docume~ ¢~~~l~ument of his own free will. ~ ,.~I~U'~".~_~ DELLA S. ROBEf~DS, NOTAI~I~UBLIC ~ ~ O' ~'~-$~lr In and for the State of Washingt0/n, residing in Port Angeles ~lllh ~ ~' -e.,~~'' Mv Commission exnires 2/24/2004 ~llllllllll#t%%%'~ ., Approved by the City of Port Angeles: B Dated Department of Community Development Glenn Cutler, Director Dated Public Works Department Fee: $75 CITY OF PORT ANGELES = ~t,~. =~ .. .. BOUNDARY LINE ADJUSTMENT ~ ~ = i PROPERTY INFORMATION: Exist~g site a~: ~ A ~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 16990 Port Angeles, washlngton______.f..=__f...__.__.____.__.._____________________, 19_/./? 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- :~::~: i~_~_~~~~:~J2~::L~:_~_~r:_~~_~:t_~~__::IO:~cupancy---/J_/.!.___e_~___________________.________ o~~er ------uuj!E.~(fl~~;uF-ij;{;;;.l~ Tenant..uoooooo__ooo_mu__.m_________m__oouu___u__u_oooooo__uooou Wll'lng Contractor uc5Ll-lu_______.u_ooooooooooooooo_umoo___________u By.oo------.uu.-ooo--.uuooo-oooooo--ooo--oo--m------u-u-----u-- - V \ Light outlet.....-.--.~-~-7.-..-..... Service, volt. ........................_.............. Type of Wiring: Receptacle Outlets____I..:.:.............._... No. wires _....m___.._.___...___._.___..__.____ Armore~ Cable ..___m._______h.........._ Co SI . Non-Metallic ............................--.-. Dryer. KW __unn..__u..u...........__.....__ ze wlres....nnnnnn..nnnnnnn..._.. . ::2- Range, KW m_.'/m____mn__n.n...m___ Main fuse ___nm.___nm___m_____nmn.... Water Heater: ..,.- ,~ S KW......n._J:.__':.!.._______n______n___n___ Heale Kw..J.1!:.i3..I1.._.._.._ Enclosure _______.____.n___mn._..___m Type of wiring: Entrance Cable .......m....___............ Motors: size, volts and phase: J..?~_m_m.mmmm_.m... _l..&!d..c:mmmm-m-.----.-...-... Rigid Conduit ...................... Metallic TUbing ................. Current transformers: No. & Size__________________..______.___ Ser. NO...__.___n..n.nn_nnn_.nnn..nnn__. Ser. No............................................_. Ser. NO..._.....__nn._..........._.................. Knob & Tube._.....___......................_ Rigid Conduit __...._____..........._.____... Metallic TUbing ______m___..__........... Raceway ___.___................................_ C. clrc~:~;it~I~~.t:~::::::::::::::::::::::::::::::::: Heal _._..I..(,I.__.........m___..__.___..._ "l Range ._...r.:::'!_~_.______._._......__............ Water Heater ...1i1..:.m................ Motor .n_.._.....___...n....................n_.. rT) Dryer _...__~......................n........_..... Furnace ..........................~......_..... ...... ;; r- Total wadnn_n__...nn__.__........ Ser. NO....h_............h............nn__...____ Total ......g...h.e....................._ Remarks: ____.___oooooo_oooooo'_:::~____oo_~~:::g&""_?f.'1.:_t_.u__uoo_______...._________u_mu_ooo._m__ooo_.ooo_..__ooo____ooo -..~....-.-.----_.----.-----.---------.--------..-..--...__.._______._._....._.__.___.____..._.__.__._._...__._____..____.___.._________...n._.._.________..__.________no_____ __._____n___u__n_nnnnnnn.nnnnn.uhhndnhnn_nn_n__nn__n_nn_hnn_n.nu.nnn.uu_u___..nhO___.h____nnnn_.nnon__nuunnnnnnn Permit Fee ~Yt $._000_____000____000000000_______00_.. Treas. Receipt No.____._oooooo__ooo___.ooo_ooo By oooo______m.ooo_ooooooooooooooo_ooou_.__.__.umooo.ooo__ooouooo_ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If 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? 16990 Address...__....____________..____.__...................._......_.............._.____..___._._..__._................................__...___..Date..._......_.....__.._.........._......_......_......... Owner.._.__...............___..._.............___..__.._..____...____._.....__.._.._.__....__..___.__......._____...._____.....Tenant........_______n__..____.._....__........_......................... WiringContractor.........................______............................................._....._........__........__________n._.____..By.........__...._....______..____..n__..________....________.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work 1~ to be con- , cealed due notice must be given the Inspector so that work may be inspected before concealment. . '\ 1M Olympic Printers, Inc. ,,-~ ~~, CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT Tom & Lambert Grimes 108 Whidby Ave Port Angeles, WA 98362 000/604-2447 PROJECT INFO Work is: Plans Required: Start Date: Contractor: MILL CREEK CONSTRUCTION Performance Bond Required: Amount: Proof of Insurance: Work to Perform: Issued: 3/30/2001 Permit No: Work Order: 1146 o PR~TY LOCATIO.. N" 436 VASHON AVE/ lot: .1----- Subdivision: PSCC 2nd Parcel No: 063010500202000 Block: 2 D long Legal Value Work: $0.00 II Finish Date: 360/452-8281 I I $0.00 [8J Install o Repair [8J Watermain [:><:J Sanitary Sewer [8J Storm Drain o Underground TeJelElec o Mise PROJECT NOTES water main in Vashon. 8" san sewer in alley and in Vashon, drainage thru curb if connecting into alley san sewer then no restoration . charge for streel ($230.00) FEES ASSESSMENT 1.) RIW Excav: $45.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap WyelMan Tap: $0.00 3.) Curb/Gutter: $0.00 17.) SewCaplWIM Removal: $0.00 4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00 6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00 7.) Other RIW: $0.00 21.) Sewer System Dev: $745.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: 5/8" $640.00 23.) RIW Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (DR.A) $0.00 11.) Other Water Service: $0.00 25.) ORA $0.00 12.)Water System Dev: $1,025.00 26.) Mise: $0.00 13.) San Sewer SFR: $95.00 TOTAL FEE: $2,550.00 14.) San Sewer MFR: $0.00 add unit: 0 Amount Paid: $2,550.00 . Receipt No: 7231 Inspection Fee: $0.00 . Balance Due: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permtt becomes nuU and voidn work or construction authorized is not commenced wtthin 180 days, n construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or W required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and elCamined 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 whetheI specified herein or not The granting of a permtt 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. ~'MA_ <j,}^ c:r--- 5/>0/01 Si6nature of Contractor or Authorized AQent . , 'Date Sianalure of Owner en owner is builder\ Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. .... REQUEST: L/ Date ;5-/0 - Of Time Received by c7<) (phone, person) Lo,";o. of W.,k '0 b. ;",p~"d -f3 b &:!!,.J ~ ' Name of person requesting inspection (2' ~ ('R ~'", Lj ~I-I '2..75") Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): //40 Sewer Foundation Framing Chimney Plumbing Fin INSPECTION NOTES: Inspected: Date 3- /(.,,-CJ Remarks: Time /1: 00 By CAA~ ~ RESTORATION REQUIRED . . . . .. YES NO ~ It' J.ee...-f " #+ <::3 "3 C, ~ -J7 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) v CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 1/- / I - ti I 1;:)"""(';,,,0((:- i82:'i,' [, / - j . Time Received by (phone. person) Location of Work to be inspected Lj:3 (; L/cz5 h-cf"Vt Name of person requesting inspection -r- w ;1 Gay: Address of person requesting inspection /-1,11/ of- 8 Phone No, 'Zft;3 Type of Inspection (circle appropriate one): Permit No, /1 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other 0J~ INSPECTION NOTES: Inspected: Date Remarks: Tir -:FA) >fy:A. / S-f"v U I '2 -e ( ,-t/V'-<-<.J , By J X:' 7'-0'" C- Cj ifjf c;;z1. 3t 7 / / NO J/ Lu OiJ "q. RESTORATION REQUIRED . . . . .. YES [ ty , ~'J 01k) l . -e 6-- S~ ~V'\ VtdV ~ ~ \ l' ~L J V' ~ -r< e-Y \:) C7 .~ . 'I.- ~ lb~~~ '(. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Repaired by City o Repaired by Permittee o No Damage Found ~o~rder # ~COMPLETE o INCOMPLETE o Other J9~'J I I Continue.on.reverse.side.if.necessarv L CTDI:E:T CIIDCDIft.ITI:::IUnCIUT InATel Application Number . . . . . 24-00000843 Date 8/14/24 Application pin number . . . 320733 Property Address . . . . . . 436 VASHON AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0202-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------------------------------ GRIMES THOMAS / LOU AIR FLO HEATING CO INC 436 VASHON 221 W CEDAR ST PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 681-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . ..00 Issue Date . . . . 8/14/24 Valuation . . . .0 Expiration Date . . 2/10/25 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-LVT-THERMOSTAT 95.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .00 .00 Electrical Service Inform ation Form Public Works & Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4817 I www.cityofpa.us I permits@cityofpa.us PROJECT ADDRESS: 436 E Vashon Ave Port Angeles WA 98362 PROJECT DESCRIPTION: Install Trane Series XV18 R410A Heat Pump System 3Ton CITY USE ONLY App.#:------ Received: _ Please review the Port Angeles Municipal Code (Chapters 13.12, 14.05, and Sections 13: l 0.040 through 13.10.065 PAMC) regarding Electrical Code, and Chapter 8 of the Urban Services Standards & Guidelines (USSG). APPLICAN1i INF.ORMAifION Permanent service: Name Name: Thomas & Lambert Grimes and address of party Street:436 E Vashon Ave responsible for permanent electrical service billing? City I State I ZIP: Port Angeles WA 98362 Daytime Phone: 360-406-4645 Alt. Phone: □ Existing electrical service? Utilit account number: -~•t•>~ ~~ Site contact: Name: Thomas Title: Owner Phone: 360-406-4645 Contractor: Name: Joel Berson Company: Air Flo Heating Phone: 360-683-3901 Electrician: Name: Robert Company: Cascade Electric Phone: 360-531-0385 Excavator: Name: Company: ' Phone: IH.«!••a1 -u"Wl!ll ...- .. Iii Single-family residence □Commercial □Overhead service □ Underground service □Multi-family residence;# of units_ □Subdivision;# of lots_ □General service □Other: l!.l~4"111a1-rll~l:rfU . , •. 11~, .. - Street address/ lot number: 436 E Vashon Ave Port Angeles WA 98362 Nearest cross street: E Park Ave Estimated start date: 8/26/2024 Describe the project in your own words: Install Trane Series XV18 R410A Heat Pump System 3Ton Install One 4TWV8X36A1 Heat Pump Install One TEM8A0B30V31 Air Handler Install One BAYHTR1510BRKC Heater Pack Install One CAP TEMFR 18213 Filter Install One TZON1050AC52 Thermostat Total square footage: 2323 sq. ft. '1, amps Voltage: _9'1,-120/240 I ph □ 120/240 3ph □ 120/208 3ph □ 480 3W 3ph □ 277/480 3ph □ Other Check all that apply: D Standard residential loads (Lighting, refrigerator, dishwasher, washer)· □ A/C (.FLA) □ Range/Oven □ Hot Tub □ Clothes Dryer ~eating □ Pumps (_Hp) D Water Heater D Elevator (_Hp) D Other _ Change in load: ~ Load Increase (kW) -{J- 'ef:» Load Decrease (kW) --B-: Please provide a copy of the following: o Detailed plot plan (.dwg or .dxfformat is mandatory for subdivisions). o Electrical one-line drawing showing the service entrance panel and location. o Connected load data. o Size and locked rotor amps of all motors over 50hp. 8/12/2024 Rebecca Blouin Date Print Name Signature (□Owner ii Contractor D Representative) SUBMIT COMPLETED FORM TO THE CITY OF PORT ANGELES BY EMAIL TO permits@cityofpa.us FOR QUESTIONS ABOUT THIS FORM CALL ELECTRICAL INSPECTOR: 360-417-4735 ELECTRICAL ENGINEER: 360-417-4702 1 - 2 S IN G L E -FA M ILY E L E C T R IC A L P E R M IT A P P L IC AT IO N Public Works and Utilities Department 321 E. 5th Street Port Angeles, WA 98362 360.417.4735 I www.cityofpa.us I electrical perm its@cityofpa.us '1J Cl) 3 ;:::.: =I:!= Project Address: 436 E Vashon Ave Port Angeles WA 98362 Project Description: Install Trane Series XV18 R41 OA Heat Pump System 3Ton Building Square footage: _ I.CIS.Gi.CIS-4-1.1.i.CS#eC.\ Name: Thomas Grimes Mailing Address: 436 E Vashon Ave Port Angeles WA 98362 Email: pcxphilosophy@yahoo.com Phone: 360-406-4645 ELECTRICAL CONTRACTOR INFORMATION Name: Air Flo Heating Mailing Address: 221 W Cedar St Sequim WA 98382 Email: Permits@ airfloheating.com License: AirFli*206DG Expiration Date: 04/25/2026 _---=-:.:==----- Phone: 360-683-3901 Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal CircuiULimited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note $5.30 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub $190.20 $285.30 $380.40 $475.50 $5.30 $95.10 $47.55 $95.10 $95.10 $190.20 $285.30 $380.40 $95.10 $95.10 $190.20 $190.20 $95.10 1 $190.20 $47.55 $95.10 $190.20 TOTAL IQ1a! (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ 95.10 $ _ $ _ $ _ $ _ $ 95.10 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. 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 installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications andfAMC 14.05.01'1 1garding,Electrical Permit Applications. 8/12/24 Rebecca Blouin IJetXCv /Jl,{,l-(A,M1/ Date Print Name Signature (0 Owner~ Electrical Contractor I Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@ cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN / COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/29/2024 24-843 TMC OWNER Contractor Air Flo Heating ADDRESS 436 E Vashon Ave Application Number . . . . . 24-00001240 Date 11/14/24 Application pin number . . . 759240 Property Address . . . . . . 436 VASHON AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0202-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace Heat Pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GRIMES THOMAS / LOU CASCADE ELECTRIC & VAC INC 436 VASHON PO BOX 369 PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 11/14/24 Valuation . . . . 0 Expiration Date . . 5/13/25 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .00 .00