HomeMy WebLinkAbout114 Vashon Ave - Building CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisionlEiectr-ical Lnspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362OC" 14 2013 �---
Ph: (360) 417-4735 Fax: (360)417-4711 FLECTRICAL
Date: 1 &2 Single Family Dwelling � SfC d05
* Plan Review Nay Be R�q rled, Please Complete Electrical Plan Review Information Sheet
Job Address: �`tt cc--��JJ11
Building Square Fcolage:
Desc[iption of above
4
Owner I mat, . Contract nforma io
Name mat,
[=� C� Name: �.{_eCHZ G
Mailing Address: Matting Add ess:
City: Stala: Zip: C ty: Stale;- Zip;
Phone: Fax: Phone: Fax:
License 41 Exp. License#f Exp k9
Item Unit Charge Total(Qtv Multiplied by Unit Charge)
ServicelFeeder 200 Amp. $120.00 $
SenricelFeeder 201-400 Amp. $146.00 $
ServicelFeeder 401-600 Amp $205.00
ServicelFeeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp. $373.00 $
Branch Circuit.W1 Service Feeder $ 5,00 $
Branch Circuit W/O Service Feeder $ 6300 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 __� $�
Temp.Service!Feeder 200 Amp, $ 93.00 $
Temp.ServicelFeeder 201-400 Amp. $110,00 $
Temp,ServicelFeeder 401-6600 Amp, $149,00 $
Ternp.ServlcelFeeder601-1000 Amp. $16$,00 $
Portal to Portal dourly $ 96,C0 $
Signal Cireuill Limited Energy-i&2 Family Dwelling $ 64.00 $
Manufactured dome Connection $120,00 $
Renewable Electrical Energy-5KVA Syslem or Less $102.00 $
Thermostal
Note:$5,00 for each additional T-Slat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $12000 $
Each Additional 500 Square Ft.or Portion of $ 40,00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pocl or Hot Tub $110,00 $
$Total
Owner as defined by RCW.19 28.261: (1) Owner will occupy the structure for two years after this eiectrical permit is finalized.(2)Owner is required
to hire an electrical contractor it 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 iicensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.G., RCW. Chapter 19.26,WAC.Chapter 296-46B,The City of Port
Angeles unici I Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Si atu o o er,electrical contractar or electrical administrator: �0 cast, ❑ Check
! credit Card q
X bated; 0110112612
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00001190 Date 10/15/].3
Application pin number . . . 374694
Property Address . , . . . 114 VASHON AVE
ASSESSOR PARCEL NUMBER.; 06-30 10-5-0-0524-000V- Fonyour T SALES TAX
Application type description ELECTRICAL ONLY
Subdivision Name excise tax form Property use . . of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation .. 0 n Code1J502)
------------------------------ _
Application desc
circuits in bathroom '
Owner Contractor
------------------------- ------------------------
MARY M BLACKWOOD/CAROL WETSS STRAITS ELECTRIC
114 VASHON AVE PO BOX 2914
PORT ANGELES WA 983622555 PORT ANGELES WA 98362 ,
{360} 452-9104
---------------------1-'- --- t ,
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75,00 plan Check Fee pp
Issue Date 10/15/13 Valuation , . , . 0
Expiration Date 4/13/14
Qty Unit Charge Per Extension
____- BASE FEE 75.00 A
Fee summary Y" Charged Paid Credited DueM1-fT-----
----- ------------ .__------
Permi,t Fee Total 75,00 75100 O0 00
Plan Check Total 00 OQ 00 00 CY
Grand Total 75.00 75.00 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGMBUILDING Date:
CITY OF PORT ANGELES
D EPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000944 Date 7/26/12
Application pin number 086128
Property Address 114 VASHON AVE
ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0 -0524 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 3920
Application desc
HEAT PUMP- DUCTLESS
Owner Contractor
MARY M BLACKWOOD /CAROL WEISS DAVE'S HTG COOLING SRVC INC 111 n
114 VASHON AVE PO BOX 413 la I (1)`I 7
PORT ANGELES WA 983622555 PORT ANGELES WA 98362
(360) 452 -0939
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP- DUCTLESS
Permit Fee 64.80 Plan Check Fee .00
Issue Date 7/26/12 Valuation 0
Expiration Date 1/22/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 has 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.
)latAA Olcie,kif CoAS
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MIN /MUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted b
AIR SEAL:
-Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
mall (Interior Braced Panel Only
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney �y a
Commercial Hood Ducts FINAL Date 2.1 (p' 1 f/ Accepted by {5 �,L,
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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Jul 26 12 08:12a Dave's Heating Cooling 3604520939 p.1
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u`.r`rsri.te_ BUILDING PERMIT APPLICA 1 ION Print in ink
ir°d�- CITY OF PORT ANGELES
V Attn: 8 uildin^ Permit Technician Fcr City Use Only:
v. 3e g .=i: Received 12.
321 E. Firth SI., Fort Angeles, W:, 95332
(360' 417 -4915 fax (360) 417 -4711 -rm!t 1 2.- 4 4y-
it to Approved Tv,. 12-
fj __2--
Applicant De. 1 s r, g Phone j ({S 0 93 9
Property Owner NA 0 .e 131ac-kWoo ci Phone
Property Owner's Address kick s let or-, A for (,_s
Contractor a v�k s _e, Phone 5'_093 j
Contractor's Address 0. o }c 3 oy4 -.4- /J$,S I
License .DA- 1t c R I KG Expires .,ao j3 E -m ail l
i
PROJECT ADDRESS S ino rN v �v\w j.
Parcel Number Lot Zoning
Project Type Brief Description: KResidential a Multi- family c Corn -rcia! o Industrial
Check ail that apply 1
New Construction
I
o Addition
o Remodel I
o Repair
o Demolition
I
o Re -roof o House o aarace other o tear off 1i. -roof lay over one layer
j System O'Heat pump o woodburning stove o gas fireplace o pellet s cvi other
o Other u.G s 5
Floor Areas Existing (sa. ft.) Proposed (sq. ft.)
Basement C S p- sq. ft
1" Floor
2 Floor
3' Floor
Garage I
=II
Carport
Covered Porch
Deck 'III III
Shed •=1 'I I) ii
Other II;
CITY OF PORT ANGELES 1 2
BUILDING DIVISION TOTAL VALUATIO I S 3
Total footprint of structures sq. ft. z Lot size sq. ft. of coverage
Site Coverage the amount of impervious s!.!r`ace on a parcel, including structures, paved driv vays, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) rite coverage °/u
1
Max. height of proposed structures ft. Occupancy group i
#1 f bedrooms
Will a lawn sprinkler system be installed? Occupant load #I full baths
Wll a fire sprinkler system be installed? Construction type I half baths
1 have read and completed this application and know if to be true and correct 1 am authorized to aoply I this permit and understand
that it is y responsibility to determi what permits are regiirc d, and to obtain permits prior 1 working o I •rojecf
Date IA Print Narne �1�—
btu, K4�f Signature
T:Foimsi ui!dina DivisioriBuihdiny per application
I
i
I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 12- 00001058 Date 8/14/12
Application pin number 389116 1
Property Address 114 VASHON AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0524-0000- our excise tax form
Application type description ELECTRICAL ONLY on y o
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Owner Contractor
MARY M BLACKWOOD /CAROL WEISS EXTRA MILE TECH ELECT., LLC
114 VASHON AVE 418 N. RACE ST.
PORT ANGELES WA 983622555 PORT ANGELES WA 98362 0
(360) 457 -0198
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc SVC W/ CIR TO DUCTLESS
Permit Fee 125.00 Plan Check Fee .00
Issue Date 8/14/12 Valuation 0
Expiration Date 2/10/13
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 5.00
1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00
Fee summary Charged Paid Credited Due
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 125.00 125.00 .00 .00
1—
t
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 8 [1 g r a •M4OP 7 t 2
ROUGH -IN
FINAL g[ /'Z,
21 F )E477
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
-Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
AUG -14 -2012 10:15 AM E.JANSSEN 360 452 2982 P.01
I
a I outi
CITY OF PORT ANGELES £EIIMIT APPLICATION rirr` O
Building Division/Electrical Inspections I v
321 East Fifth Street P.O. Box 11.` 0 Port Angeles Washington, :_:_....rx
Pb: (360) 4117 4735 Fax: (360) 4117 -4711 9��62
Date: j _L i 77 j:`1 2 Single family Dwelling
Plan Review May Se Reqpired Please Complete Electrical Plan Review Information Sheet
Job ,1.
t At►oresg.._ _w_.._.._,.‘...Et:.,Illl 4._L____.� ..._....._.....w_.___._
Builds 3 uaro Fools e:
Building 4 0
De Crlptian of shove i r2 lL� _.i �t� P-_!i ld1 .4'..
.-c' 1. 1. tittM Z
Owner Information Contractor Information
Name: /1? It R 1 I. 4 c.., r c____. Name: F.. 1 J1� _lr. c ._r
i. t. j
Mailing Address: 1 •L in
::�::k;E` Mails Address; r
CRY state: Esc.:. 2in:. .'`.i ..l. City. ft... Slatn:'I,.i Zip: .0 :t.3_ .G'._.
phone:._.,. Fax: Phone:_!c Z.._._'- Fax: �.S_Z._`. 6.5-
License d Evp. License e Exp. A R. A .M r. 722. .L:,......_.
IBM Unit Charge gt i Total (Qty Mt�ItJplled Un it charge'
Service/Feeder 200 Amp. $120.00 $_.,.'-i?
Service/Feeder 201-400 Amp. 1
Service/Feeder 401.600 Amp 205.00
Service/Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373.00
Branch Ckcuft WI SeMoe Feeder 5.00 1. $._,..5.4 g
Branch Circuit VV/0 Service Feeder 5 63.00 Each Additional Branch Circuit S 5
Branch Circuits 1.4 S '5.00
Temp. Service/ Feodet 200 Amp. 5 93,01)
Temp. Service/Feeder 201 400 Amp. 110,00
Temp. SoruiceFFeeder 401-800 Amp. S 149.00
Temp. Service/Feeder 1601 -1000 Amp $168.00
Portal to Portal Hourly 96.00
Signal Circuit/ limited E.ra rgy -1 2 Femlh' 11weltlny S S4.00 •TT
Manufactured Wome Connection 8120.00
Renewable Electrical Energy 5KvA Systom or _rss 102.00
Tharmoatel 56.00
Note: 35.00 for each additional 7 -Sta
SlicallIRMEENCOLYI
First 1300 Square Fl. S 120,00
Each Additional 500 Square Ft. or Portion (II 40.00
Each Outbuilding or Detached Garage 14.00
Each Swimming Poet or Ha Tub $110 00
3...l.2..4` Total
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 It above said property is for sale, mot or lease. Permit expires atter stx months of last inspection.
Alter reading the above statement, I hereby certify that t am the owner of the above narned property or a licensed electrical contractor I am making
the electrical Installation or alteration it compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 298 -48B, The City of Pot
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regariing Electrical Permit .5pnlir.Etttons,
Signature of owner, electrical contractor or electrical administrator: 0 cosh C:; Cued*
I 0 CreditCard 4
X_.__ 1.+._ic: oaten, i- 01f01R012
Mar 12 14 07:52a Straits Eleotrio
3604520741
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections . RECEIVED
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 MAR ��
Ph: (360) 417 -4735 Fax: (360) 417 -4711
<_� ELECTRICAL
Date: ltalvb* W X 1 & 2 Single Family Dwelling INSPECTIONS
Plan Review Be R9 uired, Please Complete Electlical Plan Review Information Sheet
Job Address LS LLcan
Building Square Footage;
Description of above 4
Owner Infor on� �_
Name;
Mailing Address:
fUling Address,
City:
Cily; Stale: Zip:
Phone;
Phone: Fax:
License # i Exp,
License # l Exp,
Qt
Item
Unit Charge
ServicelFeeder 200 Amp,
S120.00
Service /Feeder 2C1 -400 Amp,
S 146.00
ServicelFeedar 401 -500 Amp
S 205.00
Service /Feeder 603 -1000 Amp.
$262,00
ServicelFeeder over 1000 Amp.
S 37340
Branch Circuil W/ Service Feeder
S 5,00
Branch Circuit W10 Service Feeder
S 63.00
Each Additional Branch Circuit
S 5.00
Branch Circuits 1 -4
5 75.00
Temp. Service/ Feeder 200 Amp,
S 93.00
Temp. Service /Feeder 201 -400 Amp.
S110,010
Temp, Service /Feeder 401.600 Amp.
$149,00
Temp, Service /Feeder 601 -1000 Amp .
$168.00
Portal to Portal Hou.,fy
S 96.00
Signal Circuitl Limited Energy - t & 2 Family Dwelling
$ 64.00
Uanufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102,00
Thermostat
$ 56.00
Nate: $5,00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft,
$120.00
Each Additional 500 Square Ft. or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$ 110,00
P.1
Contractok Informa
Name: . -Vi
Mailing Address:
City:
State: Zip:
Phone;
Fax:
License # i Exp,
Qt
Total (Qtv Multiplied by Unit Char e
�^
$
S
$
$
$
$
$�
$
$
$
$ Total tbE3
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
Angele Municipal Code, and Utility Specifications and PAMC 44,05.050 regarding Electrical Permit Applications,
Sign ture,of weer, electrical contractor or electrical administrator: ❑ Cash ❑ Check
' T ❑ Credit Card#
X U Dated:1�1 T 0110112012
1
ELECTRICAL PERMIT
CITY Or PORT ANGELES
360- 417 -4735
Application Number
14- 00000296 Date
3/13/14
Application pin number
620736
DITCH
Property Address _, . . . .
119 VASHON AVE
ASSESSOR PARCEL NUMBER;
06-30-10-5-0- 0524 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use
FINAL
Property Zoning . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application desc
Replace Knob and Tube
Owner
Contractor
JINA JOY FELTON
STRAITS ELECTRIC
114 VASHON AVE
PO BOX 2914
PORT ANGELES h�A 983622555
PORT ANGELES
WA 9$362
(360) 452 -9104
Permit . , . , , . ELECTRICAL
ALTER RESIDENTIAL,
Additional desc .
Permit Fee 108,00
Plan Check Fee
.00
Issue Date 3/13/14
Valuation
0
Expiration Date 9/09/14
Qty Unit Charge Per
Extension
9,00 5.0000 ECH EL -ECH
ADDNT BRANCH CIRCUIT
45.00
1100 63.0000 ECH EL -R-
BRANCH CIR WO/ SER PEEP
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 108.00
108.00 .00
Do
Plan Check Total .00
.00 .00
Oo
Grand Total 108.00
108.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIC (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIS UI LDING
i
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