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HomeMy WebLinkAbout325 Vashon Ave - Building ,---- '~ ~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9S:\Cl2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000591 Date 723194 325 VASHON AVE 06-30-10-5-0-0864-0000- ELECTRICAL ONLY 7/06/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor WASHBORNE, RANDY 325 VASHON ST PORT ANGELES OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER/ CIRCUIT TO CARPORT 79467 48.10 Plan Check Fee 7/06/06 Valuation 1/02/cn .00 o lAJ ~ l1\ Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 ~ ~ 'L ~ COMMENTSI ACTION NEEDED ELECfRlCAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE bATE COMMENTS NO GENERAL COMMENTS: PW.I102.1' (4'96) ',. ELECTRICAL WORK PERMIT APPLICATI01'l ~. lK'i Electrical contractor name License number Date Expires Installation description /' o Commercial IJJ"'"Residential ~tered/AdditiOD CJ New Job wired by : 0 Electrical Contractor Owner Purchaser's mailing address I City State ZIP o.M -40 o\J+d..o"O. C~lUI:+- ("'.00. \r fO'r- +- :"1" ,,-;~...j. Telephone number FAX number -<., """"""'''; , -32-btzS VLO IA.. City 16 +- i. .(. orl ~ -QS Phone number to sChedu e inspection: 2-- .. 4\~ Owner as defined by RCW.19.28.26/:(l) 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 pfoperty is for sale, rent or lease. After reading the above st~tement, 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' corripliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. C 296-468, The City of Port Angeles Municipal Code, and Utility Specifi ations. ~ ~ Signatur of 0 tractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date: t;/ ~ '(){; Expiration Date of card '0 Service Information Electr cal Load Additions and or subtractions CJ NO LOAD CHANGES o Baseboard KW I o Furnace KW o Heat Pump Ton o Fan-Wall _KW1 I SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 LAR o Overhead Service o Temp Service o Underground Service Voltage Phase CJ 1 CJ 3 Service Size: Feeder Size: I ROUGH-IN ;" THERMOSTAT SERVICE , , Dat~ Approved By "- Dale Approved By Date Approved By ./ , /" ' FINAL DITCH FEEDER 7-7'c-fJ(, ~ Date Approved By Date Approve y Dale Approved By "- Inspection , Electrical , Area, Building or Equipment Inspected Date Action Taken Inspector I A 1 A-// :".~.. ~ /~;" ,- L>- t / '/ ~ ELECTRICAL PERMIT APPLICATION / < ( FOR OHJC1.'>'.l. USE ONLY I V IJaldl\ol ---~_._'"-_.._-,-~ t, f'~",1i'.1I _____~_.._.____.__~ Dal~Alll'r"v~J _______~~ Oalt 1s~"",.J _______..'._______ The Electrical Permit Application must be filled out completely, Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 0'1- 380 Owner or Elec. Contractor Agent: J'JN8/1i.'b '€J. "i-c. TI'? I G. Property Owner RANDY U))::i!//!,C)/(A/;;:" MPt:JlcL I Address 32~ UIl1Nj",,y Phone 9'A'(f - 3-}iR'j ~ Fax: Phone: Electrical Contractor: .-rAVLJIRb City f>",~ A.AlG.'< ti" J"H1J1'l IEAUT/fle, License#: Is'~ 101 City ~Ve..1'. Zip: Exp: -?~() f; Phone:rZ~- S?.. ~l Zip 90'5l.f 3 Address: ~ 0, fu 'f v~ INSTAllATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Credit Card Holder Na"!e: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC: PROJECT ADDRESS: :3:A ~ (,I /J S H~ N s-r. . TYPE OF WORK: I 8heck all that apply: 0 New I - o Alteration/Addition o Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft I o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign 'Number of Circuits added or altered: I I DESCRIPTION OF THE ELECTRICAL PROJECT: 1-1{ ~/Rt:UII . 4' c-<!J#tf>U'~1t.. cl/le:.d,r . Electrical Heal Load Additions and or Subtractions Service Information ~ Baseboard ::J Furnace ::J Heat Pump :J Fan-Wall _KW KW TON: LRA KW~ o Overhead Service o Temp SelVice o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: , , hereby certify that I have read and examined this application and know that same to be true and correct, and I am 3uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits 3re required; it remains: the applicants responsibility to determine what permits are required and to obtain such. .... . 4'"'' C;", '0,""', ,;"",,", 4 b a ; qwner or Elec. Cant. Signature:L ! f/,~ Date: - Date: Nt ~ 2,1~ 'i . PERMIT FEE: $ 'r'~~ , ::lE LE CTR I CAlPE RMIT AP PLICATION I /c!o ~~~ ~) l0' ~ ELECTRICAL WORK PERMIT APPLICATION ,,~ 0 Request Inspection ..",,~.... DOwner "Q;;;;".., o Carnival 0 Commercial ')\ Residential 0 Residential Maiot. 0 Signs 0 Thermostat 0 Telecom. ~ Electrical Contractor o Annual Permit 0 Alarm , Job wired by ''')( Electrical Contractor 0 Owner Installation description -' ~~~ ~:e-tumbef (\5 ~I ~:; FAX numbe, , 0-4Sd-/;;~f,3 . Electriclll contractor name \ l\.f'.S. 6fechri I:a. Purchaser's mailing address 54 t &.n601) . License number hi/dol fl1'5tLc.:r ql! 1::1'. ~~~ 1;; fUVv~ ~hM-0 Slate ZIP WA Cf~3t.3 SA"'~ Premises owner's name: Ro...i'\{~li. LU<i"hbVlIY\. Address of inspeblOn 3~S-vl.l.~)hoT\. ;ST City Po('-+ do{) s o Cash 0 Check # O'l -['I' / e..... Mastercard Discover I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the, finn's authorized agent) and am making the elcctrical installation or alteration in compliance with the electrical law, Chapter ]9.28 RCW. o Credit Card Visa Card # x owner, elf)rical contractor or electrical administrator /~ rc ~WC Expiration Date of card WALLS Insulation Only CEILING Insulation Only THERMOSTAT SERVICE \'-.. ~ , ~J) <J Dale Approved By Dale Approved By Dale Cover App~oved By Dale Approved By DITOI FEEDER Cover Dale Approved By Dale Approved By Dale Approved By Dale Approved By Electrical Load Additions and or subtractions X NO LOAD CHANGES I o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan.Wall KW j/-'Z.-- Service Information )( Overhead Service - n ol() o Temp Service o Underground Service ~ he- Voltage :2!/0 Phase.lil.1D3 Service Size: JOI)A Feeder Size: ,-/0 Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Insp;ctor '7', ()~ {,.p:l{o Al.JJ 71 ~~ Y/ ,A.l4Z-- H Ad:J I , , -. 7bo 6/at?/os ~, . , ~~~<tJ Please type or repnnt In Ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 4174711 ELECTRICAL PERMIT APPLICATION FOR OF!'IC!AL USE O!',L Y J, f),lleil(n .-___.____.__._____ !'",,,lil ~ __.________..__~_______ IhleAlll',,"cd _ ~ Dale h~\.JrJ _______..______ The Electrical Permit Application must be filled out completely. o -~1 41 Z- ~ or Elec Contractor Ageht p", IA10€{ IA 1. ! L~ uVlA--e I . Property Owner: '5c.(~ Address ?:'2~ \!fasl~1A City Hv+ ~de.s. Phone 'f~.2 - "6f./f I Fax: Phone: Zip ? ~ 56 "2- Electrical Contractor: License #: Exp: Phone; Address: Cily: Zip: INSTAllATION WIRED BY: ~NER Credit Card Holder NaJe: ~ IA d/.p r I ' Billing Address: PO! ~fJ'K I ~7 , I Credit Card Number: I 3zs> Ju-s~,^- ~CTRIC~ CONTRACTOR I <;;.1.. \ JVV..-.r< City: /Jv-+ 4:;e{-es. Exp. Date: ~ Zip: l'&-"3.b ~ VISA: /MC: PROJECT ADDRESS: jr ~ration/Addition , Check all that apply: 0 New , - o MUlti-f~miIY i I o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool I Number of Circuits added or altered: :?- I I DESCRIPTION OF THE ELECTRICAL PROJECT: TYPE OF WORK: ~sidential o Commercial o Mobile Home Sq Ft o Septic Pump o Low Voltage 0 Telecom. DSign (~<2-W~ -C--. +l"P-<"'-;Z-'Pli aJ ') <{ V"R LJ.Q / - ~r ( U0: rL C-FL) Electrical Heat Load Ad~itions and or Subtractions , ~ I\;<tf Service Information :J Baseboard =:J Furnace :J Heat Pump ::J Fan-Wall _KW KW TON_LRA KW VOltage: Phase: 0 1 0 3 Service Size: Feeder Size: o Overhead Service o Temp Service o Underground Service I , hereby certify that I h~ve read and examined this application and know that same to be true and correct, and I am 3uthorized to apply for this permit. I understand it is not the it 's Ie I res nsibility to determine what permits 3re required; it remains the applicants responsibility to det rmin war s are required and to obtain such. I 5'/7/04.. qredit Card Holder's Signature: I Owner or Elec. Cont. Signature: A- - I, .J: J ~ N/J+-I VleuJ-€..1l """''/.. -ve..si,,,, 'PI ~~ .J"dtt. i<\ 64a.~(- IF TrilL 4~~~ SWell'" IS fcJ -.riA!.- PERMIT FEE: $~ 70 ; IELECTRICAlPERMITAPPLlCATION Hv\.J~ J ' ~ .9r-r.v+ cs~.~ ~~~ ~~ ;/(!{J 5/3 /oil A-RL MJ1' ~ -- c;~ :!i' ~ f_~'11 Date: !:>~2/a i / / Date: . -t" . ~ , ELECTRICAL PERMIT APPLICATION FOR OFF!CL"..L USE ONL Y Dald1!.ec. PcmIit~ Dale Apl'foved Dale I~sued. The Electrical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 0 V - 573.- 0 CJ Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: J~ '^ J.. e I I ::::::o;:~ J :;-Lo~ I '\Il<) "'-'-'2.- - t'j LA 1 "- l~()V"'Ii\.~ PhoneL-!S2-?)(,4t Fax Electrical Contractor: 6WIA..-Qi/ License #: ~.J;) (€- S. Exp: Phone: S' ~lA....-Q_ Zip 9 ~"3 {, 2- City: fir T Phone: City: Zip: Address: I INSTAllATION WIRED BY:: ~NER ( 0 ElEc;jRICAl CONTRACTOR Credit Card Holder Nathe:--'!2 0.. ~Q._ CA,..), <; L~\J"\A.-.Q_____ BillingAddress:~PO 'h~x... I 'is! City: ;:lv--+- A-v-.~R k.s., I><J{1- Credit Card Number: . .62'> \J C<..&: L<:> "'- zip:?R 3~? VISA: /' MC: PROJECT ADDRESS: TYPE OF WORK: ~Sidential Check;ill that apply: l<YNew ~ation/Addition o Multi-family o Commercial o Mobile Home Sq. Ft Number of Circuits added or altered: o Detached garage 0 Hot Tub 1 o Swim Pool o Septic Pump o Low Voltage 0 Telecom. o Sign o Remote Meter DESCRIPTION OF THE ELECTRICAL PROJECT: c> {)j) {"hIt ,-<2+.... J" . . 1 'A:e,""., r~~c.v'lt , 1J€r:>Ia....c:<e ~\~r;..L f Q '-'-'j "..)\..,,(...\-, J -re /A L. ~ K'U. \ ~ ..("ej~ ~ 'P'X I " \ ,\ uJlV'~ ) r Q\~\+s. I ex &&. Il,;,tr- Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW. KW TON_LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this appiication and know that same to be true and correct, and I am authorized to apply for: this permit. I understand it is not th ity's egal r ponsibility to determine what permits are required; it remain~ the appiicants responsibility to d er in t mits are required and to obtain such. Credit Card Holder's Signature: Date: b - ~-o 'T 9wner or Elec. Cont. Signature: Date: 6- 2R" -tYf C:tElE CTR I CAlPERMIT APPLICATION , 4cffJ 09A4' PERMIT FEE: $ 116, 70 r Tn 17 A ~) CITY OF PORT ANGELES FIRE DEPARTMENT PER,\'1lT 321 East 5th Street, Port Angeles, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00000197 Date .556050 325 VASHON ST 06-30-10-5-0-0864-0000- FIRE ABANDON TANK INSPECTION 3/10/04 RS7 RESDNTL SINGLE FAMILY 850 Owner Contractor CANDACE STEED 83 LINDNER CREEK RD FORKS WA 98331 PETTIT OIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457-9404 WA 98362 ---------------------------------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date UNDERGROUND TANK RES ABANDON IN PLACE, SURRY FILL 15.00 Plan Check 3/10/04 Valuation 9/06/04 Fee .00 850 \tJ N VI BASE FEE Extension 15.00 Qty Unit Charge Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 15.00 .00 .00 < p (J' ~ (I :5 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be com pied with \vhether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the ovisions o.fany ~tat~locallaw regulating the work specified in the permit. ,Z if ff I )f' 3--/0.-()L Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough- in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # I Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned ?'-jl6-C>Lj J<Db UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments ] GENERAL COMMENTS: 2/ 15/00 $~ ~r';;> CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98:\62 pp lcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05 00000537 Date 855525 325 VASHON ST 06-30-10-5-0-0864-0000- ELECTRICAL ONLY 7/03/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor WASHBORNE, RANDY 325 VASHON ST PORT ANGELES WA 98362 APS ELECTRIC ..546 BENSON RD. PORT ANGELES PORT ANGELES (360) 452-6753 WA 98363 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL APS/ O/H TO U/.G 53553 APS ELECTRIC 66.90 Plan Check.Fee 7/03/05 valuation 12/30/05 .00 o ~ V\ Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 l' ~ \'\ * (. ---------------------------------------------------------------------------- Fee summary Charged Paid credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 l' COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPEC;T,ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO '} 7. GENERAL COMMENTS: PW-II02.IS 14196) :ff'ORT~ ~~O~'" ~r.~ I!.. -- "'lC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use property zoning . . . Application valuation 06-00000162 Date 220062 325 VASHON AVE 06-30-10-5-0-0864-0000- RANDAL WASHBURNE MECHANICAL PERMIT 2/15/06 Owner Contractor AN~t,t50 3/10/0& ~ RS7 RESDNTL SINGLE FAMILY 2568 ------------------ WASHBORNE, RANDY 325 VASHON ST PORT ANGELES WA 98362 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 ---------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 71266 50.00 plan Check Fee 2/15/06 valuation 8/14/06 .00 o Qty unit Charge Per 1.00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 ------------------------ Fee surrunary 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 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 orwork 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 spe . ed he in or not. :The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or I al law r. g i co truction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEATPUNW/FURNACE/DUCTS GAS LINE ?)O/{)fc WOOD STOVE / PELLET / CHIMNEY vt/ ACCEPTED BY: FINAL DATE COMMERCIAL HOOD / DUCTS 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 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 3/10/01. .JtU BUILDING \}.l N \S\ ~ ~ tA tr t~ T:\PoIicieslll02_15 building permit inspection record05.wpd [1/4/2005] ~ O~ -[~-:z. SPECIAL INSTRUCTIONS www.everwarmhh.com Page-L-of 257151 Hwy. 101 . Port Angeles, WA 98362 · (360) 452-3366 · FAX: 452-3367 · 1-800-750-7868 -DIo ~:T{' i/ ~'2' (, 'J \ '\r, .-:::;: Q fT . \_~ ,"-,. \ \ "'-./\ \ \c; \0 1< 00 PERMIT REQUIRED HOMEOWNER EVERWARM 0 SUBTOTAL TAX WOOD BURNING APPLIANCE FEE TOTAL DEPOSIT Authorized Signature Note: This proposal may be withdrawn by us I n 30 days. PAYMENT TO BE MADE AS FOllOWS I/~ UOLl)V\ ~O \Q.YlC e... Up DV\ All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. \ vn) 0 '\ ( e... Acceptance of Proposal. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. I agree to pay attorney's fees, court costs and any other collections costs in the event collection becomes necessary. Signature Date of Acceptance Please return white copy, signed, when accepting this bid. s- 8359 , 3: >-3 "" r;;~~8t;1E; n"" , t'l ><: ~ H~ , '" '0 'O~ZZZO >-3t'l , '" '- '-'Qgj:;J~[:l ><:'0 , m H :<> , 0 0 >-3 Z'-' :<>>-3m O~ , H ~. n- m ...,t'l , >-3 0 if" ~ tD OZ '0 t'l. ~ tD . 0 n~ ~ ~ ~w Ot'l >-3'- , '- 3:0 H , H 'Oco oo::ttJ::I::Uw ~~ ' 0 ,-.t'l0 lJ'Ctl~<:~N , '- t'lm I I {J} trj Ln Qo , 0 t;1t;1~ ow::r:~ t'l'" , '" ootx:l~:t-c:::: ,-.- , OO~ o I o:t:o t"l ~ t'l , . 0.......::::0::0 m mH , ooZ3:~::r: IV i~ H' t'l :<>0 ~ H '" lJ1- mz lJ1 ",H~ IV , :I: '" mz o~ tD:<> cm ~~~ ~;;j N '-''0 OJ >-3 "" nOJo Z ~ :I:"'><: t'l ~~ , , H HO , " 0 3: ~O":l no , ,"Wt'l t'lt'l :<>0 , ::1'-n mm ,-.0 , p.0:I: cn , , '<~~ ,-.~ '0 , >-3H t'l NH m'O ~ n on '->-3 3: , 0 ""0:<> nH , H , H H 3: lJ1"',-. 00 >-3 , ZZ 3: N 3:Z , mm t'l ..., 3: '0'0 Z OJ 0 H t'l , t'lt'l >-3 "'HZ Z nn m "" .. :<> >-3 , >-3>-3 H"",-. m , OH ~ "" , ~o , .. Z 0 , '0>-3 , "<>-3 Z 3:H , ~8 0 3: '0'0 m , >-3 t'l :I::I: g t'l?: t'l 0.. 00 , mt'l m ><: zz 0 , >-3 :<>H t'lt'l ~ , ,-. mw , !g .. ,-. H , t'l w , ~ '" , ,-. 0 , ><: , , "" , lJ1 , N , , W W '" '" 0'0 :<>:<> >-3Q t'lt'l w '- H 0 '- 0 "'''' ~ pORT ~ ~~O~~<;o ~r...~ 'L ~ ~ ~lC~ CITY OF PORT ANGELES DEP ARTMENT 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 04-00000573 Date .617874 325 VASHON ST 06-30-10-5-0-0864-0000- ELECTRICAL ONLY 7/01/04 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 1-4 ADDED/ALTERED CIRCUITS 46.70 Plan Check Fee 7/01/04 Valuation 12/28/04 .00 o ~ ~ \ CJl "-.J \i\ IN f 7 r \ ~-J " ^"'') w N ) ~ U\ f' -.... <" '- 01 t ~ ~ J ~ RS7 RESDNTL SINGLE FAMILY o Owner Contractor WASHBORNE, RANDY 325 VASHON ST PORT ANGELES OWNER WA 98362 ---------------------------------------------------------------------------- Qty unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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 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. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\ 1102.15 [1111412003] BUILDING PERMIT INSPECTION RECORD CALL 4 17-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSI1 ]02.15 [] 1114/2003] ~ ",ORT ~ ~4.0~~~ ~"'Eiii ~ 'IL~ ~ ~--;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] 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 04-00000573 Date .617874 325 VASHON ST 06-30-10-5-0-0864-0000- ELECTRICAL ONLY 7/01/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 1-4 ADDED/ALTERED CIRCUITS 46.70 plan Check Fee 7/01/04 valuation 12/28/04 .00 o ~ ~ \\, ~ - CJI ~ '\j' K::)VJ l WASHBORNE, RANDY 325 VASHON ST PORT ANGELES OWNER WA 98362 ---------------------------------------------------------------------------- Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee surrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 ....0 I ~} --C. ~ ~ CfI. C ~ f ~ C) -e: 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\II02.15 [11/14/2003] 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 A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # /! cJj) C'eLt.tI Vc ) V- S. lA, ~ U' ROUGH-IN I q. ~V- ("1./ vr I - _flII.M I , PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO 8LDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED .,.. YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 C L' Y' . ~/( ELECTRJCAL /-'OJ .,- 01( LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\11 02. I 5 [11/1412003] f ~ORT ~ $~O~~~ hta ~~ ~"'~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000412 Date .567036 325 VASHON ST 06-30-10-5-0-0864-0000- ELECTRICAL ONLY 5/21/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor WASHBORNE, RANDY 325 VASHON ST PORT ANGELES OWNER WA 98362 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL CIR. FREEZER / GARAGE SHOP GFI 46.70 Plan Check Fee 5/21/04 Valuation 11/17/04 .00 o (jUV ~~ ~c ~f Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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 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. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] 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 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 5/ J.o/IJ 4 At!IJ ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ .. J CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMSIII02.15 [11114/2003] ~~ORT~ -I..O~<f; ~~ "-~ ~ 'l.tO:~ 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 04-00000386 Date .734612 325 VASHON ST 06-30-10-5-0-0864-0000- ELECTRICAL ONLY 5/17/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor WASHBORNE, RANDY 325 VASHON ST PORT ANGELES OWNER WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 1-4 CIRCUITS 2-COMPUTER CIR. JAYBIRD ELECTRIC 46.70 Plan Check Fee 5/17/04 Valuation 11/13/04 .00 o lA ~~ ~~ ~ ]'\ L ~. ( Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\J 102.15 [11/]4/2003] 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, INSULA TE 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 PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 5/~!oo/ #to ELECTRICAL LIGHT DEPT I CONSTRUCTION - R.W. CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11114/2003] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N';l 17052 Port Angeles, washlngton....LO'...'='.....e:.-=......m............m.m...... 19.)...7 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- mission is hereby granted to do electrical work as listed below. Address hh.3'.h~..~::::..h.hl/..~....h...h...hhhhh___.___ OccupancYm'OOO~'OOOOOh'h'_OO""___'OOO ~::~~.!~:::~:::~:::hh~~::~~;:::::::::::::::.:...~::::::::::=::::::::::::::::==::::::::::::::::::: Ught Outlet........................................... Receptacle Outlets_________________u.....______. Dryer, KW.....h.........n...........,..____ Range, KW _________w___...... Water Heater: KW.h.h...h......h.h.............. .. Heat: KW......::i....t2..........E.~........ Motors: sIze, volts and phase: Service, volt, ....l:?3{:L.?I.6....... No. wires ..................................h... Size wires....i./o....A...4. Main fuse ....2..".#::::1:1..,"*...... Enclosure .......__............h......n..n.... Type of wiring: Entrance Cable "''''00__'' Rigid Conduit .h.__________m...___..'..__. Metallic Tubing m.___ Current transformers: No. & Size..............h..hnn____n... Ser. NO............__.............._n.nn...n...u Ser. No. .._n.h..nn.h.nn._.__n................ Ser. NO..n..nnnnn....................h.......n Type of Wiring: Armored Cable ...._______.hnh..........__ Non.Metalllc ..............................h. Knob & Tube___.______...___h...___n....... Rigid Conduit ............................... Metallic TUbing ..n........_..___n____... Raceway ..............................._.__._ Circuits, Light....................................... Utllity ......................._.................... Heat ......................................._...... Range ...........................__...........___._ Water Hea.ter ....h......................... Motor ............__................_.............. Dryer ._........00000000..._........00......._......._ Furnace ...._....___.............._................... Total Load.__.....h..nn___.___n__.. Ser. ~'o.__..............._.._..n.h.___..n........ Total....................................... Remarks: oooo~':...-------oooo.--ooh..h.h....------.ooo.oo-----.---ooo..h---.h------.------------ooo.----ooo.ooo--..__..__ Permit Fee Treas. Receipt $.__00.__000000.000___00__....___000... ByhL'ill._<'--oo..U~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must he given the Inspector so that work may be inspected before concealment. NO.____ooom__..mm.__.___ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17052 Address.................._._..............................._.._........................................_.........._...._............__.........Date...___...._.._.................._.__...____._.__........ Owner ..nn..............___...~_~_.........._....n__n....____nn_.....__....._.........._000000..00'..__..00............ TenanL....n.nn.___n............_.....n..n...................n..... Wi,ringContractor..................................................._......._.................................__...........................By._..............._...................._........_.............. NOTICE-Current must not be turned on until Certlflcate 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. 1M Olympic Printers, Inc. X IVE CITY OF PORT ANGEL S PERMIT APPLICATION Building IiivnsiionlElectrical 321 East Fifth Street �- P.O. , , c � Inspections ' F 1 2015 " 1 Box 11.501 Port Angeles Washin on 9 Ply: (360) 417 -4735 Fag: (36 ) 417 -4711 � �CTRICAL CiRICA� SPECTIONS Date: 2/512015 i 7 $� 2 Single Family DwelliAlYPECTIONS j * Plan Review May Be Required, i lease Complete Electrical Plan Review Information Sheet Jab Address 325 E. Vashon Ave, Port Anneles. WA 96362 Building Square Footage: nla Description of above OF MQLINTED rtESIDENTIAL SOLAR PHOTOVOLTAIC PV SYSTEM- 13 KW SOLARWORLD SYSTEM 12 275 WATT MODULES 1 a 3.0 KW I VERTEi Owner Information Contractor Information Name; Randel Washbume & Gunvor H11dal Name: POWER TRIP ENERGY GO Mailing Address: 83 DENNY AVE Mailing Address: 325 E - Vashon Ave City: Port An eles State: WA Zip: 98362 City:. PT. TOWNSEND State: WA Zip; 96368 Phone: 360 -643 -3060 Fax: 360- 539 -1857 _ License #/ Exp. POWERTE964-JN - 4/15/2016 Phone: 360-452-8641 Fax: NIA License # / Exp. N/A Item Unit _Charge Tv#ai G8 fillulti lied b Unit Char e ServicalFeeder 200 Amp. $120.00 ServicWF'eeder 201 -400 Amp. $146.00 $ ServicelFeeder 4 1, -600 Amp $ 205.00 $ ServiWFeeder 601 -1000 Amp. $ 262,00 _ — ServicelFeeder ovgr 1000 Amp. $ 373.00 Branch Circuit VV/ Service Feeder $ 5.00 $_.. Branch Circuit 4V /O Service Feeder E $ 63.00 $ - $ 83.00 Additional Branch Circuit j $ 500 $ Branch Circuits 1-4 $ 75.00 $ Tamp, Servical Feeder 200 Amp. ^__ $ 93.00 $� Temp. ServicelFeerier 201 -400 Amp. $110.00 $ Temp. Service /Feeder 401.600 Amp. $149,00 $ - Temp. 8ervicelFeeder 601 -1000 Amp, $168,00 Portal to Portal Hourly $ 96.00 $ Signal Circuit! Limited Energy -1 & 2 Family Dwelling $ 64,00 $ Manufactured Home Connection 'I $120,00 Renewable Ektrtcal Energy - 5KVA Systbm or Less $102.00 1 $_ t 02 00 Thermostat $ 56.00 $� Note: $5,00 for each additional T -St t NEW CONSTRggTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portiomof $ 40,00 $ Each Outbullding or Detached Garage i $ 74.00 $ Each Swimming Pool or Hot Tub $110,00 $� $-166-00 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 if abovE said property is for sate, 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 ipt compliance with the electrical taws, N.E,C., RCW. Chapter 19,28, WAG, Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: 0 cash © Check a Credit Card # X o f Trip En r y Corp 83 Deny Ave Port TownsEnd,WA 983 (360) 643 -30SO www.powrzrt.rlpr-.nc-rgg.com Lic # POW6RTE964JN Project: Hildal —Wash burne Res Date: 1 -19 -15 Client: Gunvor Hildal and Rate Address: 325 Vashon Ave, Port A System Description: 3.31t17V Grid Line Drawing: Solar Modules 3.3 kW PV Array Mounted on South facing roof. - 12 SolarWorld SW 275 black modules. City of Port Angeles Grid Net Meter Located in alley. Meter #: 08752 Main Service Panel (Load) 200 Amps located on interior north wall of house, "Randy" Washburne, Ph: (360) 452 -8641 ;ales, WA 95362 ied PV all- System DC Disconnect Built into inverter inverter Power One PVi 3.6- OUTD -U5, synchronous inverter. Located on north exterior wall of house. Max output: 4,000 watts Operating voltage: 240 VAC AC System Disconnect — Visibly Open & Lockable (Line) Located on north side of house remote from city of PA revenue meter. Production Meter Located on north side of house, City of PA revenue rneter . in alley. i.irLee 1 Line2 Load lIft2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . , , , 15- 00000151 Date. 2/2D/15 Application pin number , , . 392044 Property Address . . , . . . 325 VAASHON AVE ASSE$SOR PARCEL NUMBER; 06- 30- 10- 5- 0- D864 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . , . . . RS7 R48DNTL SINGLE FAMILY Application valuation . , , . 0 Application desc PV system Owner Contractor RESULTS: WASHBORNE, RANDY DITCH PCWER TRIP ENERGY CORP. 325 VASHON ST 83 DENNY AVE PORT ANGELES WA 98362 PORT TOWNSEND WA 98368 (360) 643 -3080 Permit . . . . , . ELECTRICAL ALTER RESIDENTTAL Additional desc , . COMMENTS: Permit .Fee . , , . 165.00 Plan Check Fee .00 Issue Pate . . . 2/19/15 Valuation 0 Expiration Date , 8/15/15 Qty Unit Charge Per Extension 1.00 102,0000 BCH EL- RENEWABLE 5 -KVA OR LESS 102.00 1100 63,0000 BCH EL -R- BRANCH GTR WO/ SER FEED 63.00 Fee summary Charged Paid 'Credited Due Permit Fee Total 165.00 165,00 .00 ,00 Plan Checic Total .00 .00 .00 ,00 - Grand Total 165.00 165.00 .00 .00 %a 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 SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING "1