HomeMy WebLinkAbout614 Vashon Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000891 Date
.843705
614 VASHON AVE
06-30-10-4-3-0530-0000-
MECHANICAL APPL. PERMIT
10/13/04
RS7 RESDNTL SINGLE FAMILY
3500
Owner
Contractor
KETTERLING ROBERT G
614 E VASHON AVE
PORT ANGELES WA 98362
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
Permit MECHANICAL PERMIT
Additional desc PELLET FIREPLACE INSERT
Permit Fee 50.00 Plan Check Fee .00
Issue Date 10/13/04 Valuation 0
II Expiration Date 4/12/05
Qty unit Charge Per Extension
1. 00 50.0000 ECH ME-WOOD BURNING APPL. 50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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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.
cJA./ F/L~-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSII102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ;n-\H-O,..\ \, \...., BUILDING
T:IPLANNlNGIFORMSIII02.15 [11/14/2003]
:=J-2,'~,-04: : 0 1 PM
-3f30 4r:::,2 C)sn ; #
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011
BUILDING PERMIT - APPLICATION
fOR Ofl'FIClAL USD.ONIY'
DUe Rtc; CJ ~ 2 A '- () 'I
P~rm/t #: ,)~ - <a q ,._
Onto ^pP'ov~:
Oallo luuc~;
FlU out COMPLETEL Y anllln 1:<<' YOllr appllcatJon and ,lie piau MUST BE
(;OMPLETE to h. .c:c~pted for rn'ew. If you h.ve an)' qutstlonJ, call
(360) 4i 7....815
Apphoanl or A,.nt'~ ~ ~. Phone: i3W1.4'a7. ~IQ
own..~~~ n ~~". M.:~ ( Ke f~ >-~lL P'M'
Address:..bl4F~~ CJtyd+ A Zlp:-98ab2a.._
AIchitecrlEnsintler: . Phone:
Contractor~ CT ~-r CJ"1_ State License All C''I.l(;:l),<II.t:ifP 4 .,,-<:)'$ Phone~C&:.
Address:2~-c Q _ , sr City:~ Allt...R k"'Ir. Zip: ~2
PRoncr ADDRESS: ~(4& ~~tJ ZONING:
LEGAL DESCRlPTION: tot Z. Blook: . SUbdivision: 1S.~_~1-Win J-
(~LALLAM COUNTY PARCEL NUMBER: OIa~,C4 '3CYS?;C)(:r:>OO
Credit Card Holder N.l1Ie:~.* ~I~I~
BIIU.llk Adut_: City I
Credit CerdTrpe VISA MC ~ N ~~ J:Kp. Date:
TYPE OF WORKI SIZIJVALUATlON:
::J RClI/itlmtUll1 0 New CODStt. 0 1\e-l"Ool ~ Ston SF. @ $ . ISF. _ )
o MUoLti.family 0 AdctitiOJ! 0 M~ 0 Clal'l.ge SP. @ $ ISF, = $___
:J Commm:ial 0 Remodel C DelrlOlitloQ 0 D;~" S:F.@.~ ISF. =:,$
Cl Rllf'air 0 SlJP1 Ll Other TOTAl VALUATION $ ~ ~QLi~ .n~
BRIKF DESCRIPTION OF THE PROJECT: ;:;.,...... pl." II "PL/!.." '+viole.. ~..(""~~___
COMMEJlCIALIRlCSIDEN'J'LU.: Oeeupa.ncy Gruup: Occuparu Load:
No. OiSCOftlla: _ Lot S!zc: _ B.xiatl~ Sc.J. Fl. II: Propotecl Sq. Ft.
E)(iut!Jg 101 coverage _ % It Proposed lot eovellli\: _% - Total lot coveraal:
COl18uuc:t1on Type:____ .
~ .. TOTAL Sq,fl.__
%
APPROVALS: 1
PLA..'1: I
'--I
BLDG:
DPWU;_
!llllE:
o TllIR:,==
P~G USE ONLY:
r:~.\rw~tlanrl(!): I:] Yet 0 No SBPA O1eckJiB11'cq\.lire<1? 0 Ye,O No Other:
RT ITT ,OTNG PERMIT APPLlCA nON SUBMlTT ALl The Buildina DivUlOEl Cll1 providt: YUU 1"1\t11nfor.tU\llor, on the applicution anJ
pIAn submlttlll ~quirementll ifyolt hltve qUQsdollJ.
VAl.UATION OF CONSTRUCTION; In aU calleS,. nhlllllnn amOllDI mUlt be entered by the applicant. This fi~lJ'e, wiU be rC\'Icwc:tl
,'U'!.d r1lIIY be revlsecl by the Building Dlvbion t.J ~(Jmpl)' with ourreot fee sebcdvlca. Contact lilt Permit Coordina tont 417 -4~ J .' for I&$islar.. e.
rLA,.'1 CHECK FEE; IF II plan check fee II due it mUll be .ubmitted at the time the bulldi.ca permit applic;&!'ioll LLld I:Dn~lnJr.t;nn plan~ liJ'e
~ubmlrted. ^11 other permit foes an: due at ~ time of pennit lUlIanell.
EXPTRATION OP PLAN REVIEW: Utlg pmnlt La inuod within 18(1 day. oftll.: lb.,c nrapplic:aUon. !:he IiIppUcaUoo will nplre. Th~
8uildtn.g Official caa ax.tend the tima tor action 1:-y the applicant up to 180 day.lJt1on writt~n requeat ~y the appJicallL (Hee Section 107.4 oj
the L'nifoml Buildlnr Code, cwmt edition). Nu appl;clt1on can be extended more thaa once.
/ herwby certify fhllt / hS\4!I1Nd .nrJ ')(8f'fIi'ftd "'Is .ppJle'tlon 1M know the SIma 10 be 1M and correct. I am authorlled 10 apply for t.lJls parmit and
'Jndera/end Hlllt ~ f$ my rwpo(J$ibJIfty to d'termine wllllt pel'mlrli art reqlJlrtrJ ,net me city's, and that' m 'bta/n ~ p,rmlts prior 10 worl<
T:\F('Ill"""\'A"P,"\flII1InmlP"",m.~ Applicl1nt: ~~ . Dllle:"f'. 2..ir-~y
'"=;'--2_"8-04; : 0"1 PI'v1
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Print Key Output
5769881 V4RSMO 000526 CLALLAM
Display Device
User
Mode: INQUIRY
Parcel # 063010
* Taxpayer~
* Title Owner #
* Contract Own #
Plat/Condo Type
Description TX#S
AUseC 1113
F/Bk 520
F/Pg 098
PCC 130
Tax Code 0010
Zoning Code RS7
Chg Rs
Land:
ASSRPUB2
.ADOIG
Real Property
430530 0000 Rng 06 Twp 30 Sec 10
KETT 8200 ROBERT G KETTERLING
KETT 8200 ROBERT G KETTERLING
Code
3012 & 8002 LT2 .l6A
Elk
PA 121 H2 L
RES SINGLE FAM7
Tax
Lot
Land Use 1113
Tax Stat TX
F/P? N Ac
Timber Total Land
.16
31850
Improved
.16
31850
Acres
Taxable
Market
New/C
Sr Cit Cd
Lien
Date
Unimp
OlAV
Vol/
Mob Home AV
870 400
As-Tx Yr
E3 4'=, 2: "--'=' 2-; it
09/28/04
Page 1
14:36:47
Auto Roll: OFF
Yr 2005
Date 2/14/92 By
Aud/File#
Loan #
Unit
Chg Date
Chg By
Chg Rs
ApprCd
THREE BEDRM
TAXABLE
Improvement
96370
Sub Cd
Regular Taxable
App#
LSNY
Dock
6/12/01
MHOP
RV
19
Reval 5
Total 'AV
128220
Int%'
128,220
Agr#
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