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Home My WebLink About422 Vashon Ave - Building ~o\~ ~~ {~. ~t- ~....~ _... , ELECTRICAL WORK PERMIT APPLICATION\.-:; , Job wired by )!:Electrical Contractor 0 Owncr Installation description o Commercial ~Residential . .--, lJ /l,<i6',S (j;::/~/. t.," ~urchaser's mailing address I y..,,~ 49, Vno+ ~Jwv Telephone number ~ 36o~S0)-/Z/Z- Premises owner's name; / -s,'13 j:.,q-.:r-f'-A-$Z Addr.'V'i~nsp.~~ City "7J / /L, 5 rtf'Vr /.7/V~4fk- Phone numberJ tp sche(Jule inspection: y/ - 471r Owner as defined hy RCW.19.28.261:(l) OWI/er will OCCl/Py the .~trllctl/re for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is Jar sale, relit or lease. 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 instal- lation 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 Specificatio Signature ~ X ~ o New o Altered/Addition Slate ZIP Wll- 9 f3 & z--- FAX number . .--I/r.../ , -0 -</:)2.. -/'>To Tl~I1.Il((<d?&t LW,~ ~~ E:'vu.S CgV\:m~ l o Cash 0 Check # o Credi t Card Card # Visa Mastercard Discover Expiration Date of card EI clrical ad Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan,Wall KW o Overhead Service o Temp Service D Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE FINAL DITCH FEEDER , ~ ~ Date Approved My Dale Approved By Dale Approved By Dale Approved By Dale Approved By Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ".,~ 8ti.~... D!I 'ltil......,.. CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 9R,62 . . Application Number Application pin number _ Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning Application valuation 06-00000489 Date 499449 422 VASHON AVE 06-30-10-5-0-0216-0000- ELECTRICAL ONLY 5/12/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ROBERT KJAFASZ/MARY ROMSTADT 422 E VASHON AVE PORT ANGELES WA 98362 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permi t Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THORNESI T-STAT WTR HT-EMS CON 77297 THORNES REFRIGERATION 48. io plan Check Fee . 5/11/06 Valuation 11/07/06 .00 o Qty 1. 00 Unit Charge Per 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 COMMENTS/ACTION NEEDED . FOR OFFICIAL USE ONlj ~trIJlA-: -', PWmit .: Dale App,,,vcd: ~CI"UN; br-0 e:> ELECTRICAL PERMIT APPLICATION The ElectrlcaJ Permit AppJicatKJn must be filled out comDletetv. .:P=;l..-"Z-o Please type or reprint In Ink. "you have any questions, please call (360. 417-4735 Fax number: (360) 4t7-4711 Owner or Elee. Contractor Agent:i(\~~T ~A\'S;?: /1)10 R<:uIrf, fiA ~.l. Phone:(3~,\ yS~ '11. OFax: Property Owner . SA: ~ Phone: Address: Y,,),} IIA:sf/o,u Au[ City: Pr<< A,uJ.e(rc, Electrical Contractor: Ucense #: Exp: S/l."~ Zip: qt3GJ- Phone: Credit Card Holder Name: Billing Address: <;,.)J. (J A<:, 11o;j Credit Card Number: ' ) Date. .s. Zip: q,fL~bcJ.- VISA: t/. MC:_ IM.f AU~'S CO/J. TYPE OF WORK: Check all that apply: 0 New ~~Add~ion mResidental 0 Multi-family 0 Commercial 0 Mobile Home Sq. Ft. . "i !< f () PROJECT ADDRESS: It ) ol. 1/ A S}/otJ q I.'], G ,j o Remote Meter 0 Detached garage 0 HotTub 0 Swim Pool 0 SeplicP,u~p 0 Low Voltage 0 Telecom. 0 Si Number of Circuits added or altered; !.,', ',' DESCRIPTION OF THE ELECTRICAL PROJECT: I-a. / f\/O 11D.O&:>' UJ/JO Electrical Heat Load Additions 7b.30 'f- . / >/. ..1M2-;'1<-t:.. ::v...70 ;:::.'1,1>>0 /1$ r .: . Service Information . fr? "'l.--d)C ~rl3U>t:k. Voltage; d yl1 Phase: 8 1 0 3 Service Size: N,.. (\ Feeder Size: o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW o Overhead Service o Temp Service o Underground Service PAMC 14.05.060(B): For Industrial, commercial, & residential projects larger than a duplex. a one . line drawing 01 the Electrical Service I Feeders, building size (sq. fl.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and Il authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains Ho Signature: /2(;> / ,/ . Date: -dYO) Owner or Elec. Cont.. Signature: Date; PW-9019 tlKc~ 3h/>3 CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 32t EAST 5TH STREE'[, POR'r AN(}ELE~, WA 95362 BUILDING PERMIT ISSUED: 7/25/2000 PERMIT NO: 12088 OWNER/APPLICANT PROPERTY LOCATION 422 VASHON ROBERT KAJFASE Lot: 5,6,S68' OF 7 422 VASHON Port Angeles, WA 98362 Block: 2 [] Long Legal 360/000-0000 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $2,000.00 SFO Units: 0 Commercial: 0 Project Type: SHED SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES 12' X 22' STORAGE SHED FEES ASSESSMENT Building Permit: $69.25 Misc Fee 1: $0.00 Plan Check: $0.00 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: $73.75 Plumbing: $0.00 AMOUNT PAID: $73.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilizes, private and public improvements. This permit becomes null and void if work or construction autho~zed is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days affe~ the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby ce~'y that I have read and m(amined this application and know the same to be tree and con'ecL All provisions of ~ 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 autholffy to violate or cancel the ~rovisions of any state or local law regulating construction or the performance of construction. Si~lnature of Contractor or Authorized A~ent Date Signature ~)f Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD , ! CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A ~ 24 HOUR NOTICE. ITIS UNLAWFUL TO COVE&' INSUI~ TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP pER-MIT CARD ~ APPROVED PLANS AT JOB SITE ENGINeERiNG 417-4807 PW / ENGINEERING ~,onr FOR OFFICIAL USE ONLY; BUILDING PERMIT PREAPPLICATION Pr~ C~pl~e?~ The Building Pe~it - P~appIication mu~ hefted out completely. Date ~d: ~ Please typo or print ~ In~ If you haw any questions, please call 417~81 ~c~tect~n~neer: ,C~/~ Phone: Contracto~ ~/~ License g: Exp: Phone: Ad&ess: City:. Zip: ~g OF WO~: SIZ~ALUATION: n Resid~fial o New Co~. u Rer~f u W~tove ~ ~ q SF. ~ $_ /SF. = $ ~ ~ o ~ M~ti-f~y n A~aon n Move u O~age SF. ~ $ ~F. = $. ~ R~ o Si~ d~ TOT~ V~UATION $ · ~F DESC~ON OF ~ PR~CT: COMMERCIAL/P. ESII)ENTIAL: Occupancy Group:_ Occupant Load: __ Construction Type: No. of stories: f Lot Size: 1/-/~/,,~ .~;rf77 % Lot Coverage: __,/. ~'5' __ % Existing Lot Coverage: -2z¢~.'7 ]s~. ft. + Proposed Lot Coverage: ~.'9'7 __/sq. it = TOTAL LOT COVERAGE: 2---70~' -_/SCl. It I~LANNI~G USE ONLY: APPROVALS.' PLAN ,'Notes: - BLDG DPW ESA/WeOand(s): [] Yes o No SEPA Checklist required? gl Yes n No 'Other: OTHER PREAPPLICATION SUBMITI'AL: Your application and site idan rn~ beJ'dled out complete{V to be accepted for re~ie~,. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDIlNG PERM1T APPLICATION SUBMiTI'AL: Your completed application, site plan (fur additions) and building construction plans arc to be submitted to the Building Division. VALUATION Ol~ CONSTRUCTION: In all cases, a valuation amount mast be entered by the applicant. This figure will be reviewed and may be revised by thc Building Div. to comply with current fee schedules. Contact thc Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans arc submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of thc date of application, this application will expire by limitations. The Building Official can extend the time fur action by the apphcant up to 180 days, on written request by the applicant (see Section 304(d) of the Uniform Building Code, current edition). No application can be extended more than once. I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City5 legal responsibility to determine what permits are require& it remains the applicant's r. pon,,b,,, todeie,'m,.e.ha, perm..arerequ,redandioo to,u= . ~ Applicant: ate: PW-1102_13[rev. 2/96] MONOLITHIC CONCRETE FOUNDATION DETAIL 5'2,:,t £. ~J4.. ,'qo,,,O -SC_c..L~_: ~ : i'- 0" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ' " (phone, person) Date ' ~ Time Received by 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. Sewer Foundation ~t~min~g_~himney 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 ~'- ~--~[~') Time Received by ~ (phone, person) Location of Work to be inspected '~Z/2 '~ ~//'/~~"'~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other~,/~-~ INSPECTION NO]'ES: . Inspected: Date / ~ - (J~'~ 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 ~F (phone, person) Location of Work to be inspected ~-/2~--_, Name of person requesting inspection ~-'~> Address of person requesting inspection Phone No. ~//"~/ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing~ewerExcav. Other INSPECTION NOTES: ~ ----~', Time By ,,,_~ Inspected: Date ~ "- } ~ 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 PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 6/06/2001 PERMIT NO 7293 OWNER/APPLICANT PROPERTY LOCATION ROBERT KAJAFASZ 422 VASHON 422 VASHON ~\ Lot: 5,6,S68' OF 7 /' J(~ Block: 2 [] Long Legal Port Angeles, WA 98362 ~p 0 360/000-0000 ~__ r Subdivision: T: (~ S: 5 Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. OUTBUILD Project Value: $0.00 Occupancy Type: Construction Type: OUTBUILDING Occupancy Group: Zoning Use: RS7 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: 0 Feeder Size: 0 PROJECT NOTES Feeder to garage and circuits FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: garage $44.25 TOTAL FEE: $44.25 AMOUNT PAID: $44.25 BALANCE DUE $0.00 )MMI:?'I S/'ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL I~SPECTIONS. PLF~SE PROVIDE A MINIMIfM 24 HOUR NOTICE. IT IS UNLA FFFUL TO CO}~P~ INSUi~ TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER 6~/~'/-/ ,? SERVICE "~ _ r' FINAL I ~rS;/, ( [ ~ I GENERAL COMMENTS: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000220 Date 3/16/03 Property Address ...... 422 VASHON ST ASSESSOR pARCEL NUMBER: 0630105002160000 Application description . . . ELECTRICAL ONLY Property Zoning ....... Application valuation .... 0 Owner Contractor Additional desc . . Expiration Date . . 9/12/03 Fee summary charged Paid Credited Due 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 7:\PLANNING\FORMS\1102.15 [4/2002] 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 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE pERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS [ CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (EngineeringDivi$ion) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPAP~ATE PERJvlIT #'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 RW. / PW/ CONSTRUCTION - RW. ENGINEER/NG, 417 4807 PW / ENGINEERING FIRE 417~4653 FIRE DEPT PLANNING DEP'I. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLAN~NING~FORMS\] 102.15 [4/2002] . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. sstvs & !/gwt DATE ELECTRICAL PERMIT Installed By: 6 ;},.A () /11/ C / ' /(.A Q~ .;;r~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq, Ft, DetailslDescription: , 14-1'7 cis A.I -r:/ . -ir! P'&I"-l.i!I) . tr' RESIDENTIAL 0 RISER tJ COMMERCIAL ~ OVERHEAD SERVICE o NEW CONSTRUCTION 0 UNDERGROUND SERVICE o REMODEL VOLTAGE: /Zc'J /2-t/D Jl'l' ADD/ALTER CIRCUITS . '" '", \Z! SERVICE UPGRADE/REPAIR F- 1 p 0 3 p ":>-'0 SERVICE SIZE ,./0><- AMPS o TEMPORARY SERVICE ~ j FEEDER SIZE /t9.() AMPS ..IA. J.s-M II J,;:;O m.!/oe 'ti::t;;;.u tJ' (,9,.) hZr!.) IV! fIf> ..9&c1 /ru /hy:, fJM{/<; Eic/s '11.1,/ r' /JdJl /04J " ~c: c'(bp?f 6/./' ;It}, 2t''v /l7z~ ELECTRIC HEAT o BASEBOARD KW 13' FURNACE KW /0 ~ HEAT PUMP KW-----4- o FAN/WALL KW ~ . ~U{) /11 cl-r/2. r; '- tU/I/ MeV ,.1If!-c/E SERVICE SIZE DATE tJ I{IL-- ENGR. J~/) jJ7[:~. !)bLS ~. W.S. No. CAPACITY: o OK 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection OK /., 0 Rough-in/cover O.K. /(jj'IiA -~OK to connect service o Final O.K. Sile Address: ,1' /' 4/22- {//ftlttl/1 Y1c..,,/ ~t Itr? Permit/Receipt No. Installer: d~(L- New Meters Date: . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and 0. K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ #tff.> -/~ EleClrj~lnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16326 Ii: ...,..,. 1.\;,,; '0, J g o' I Port Angeles, Washlngtonumm___:mmu______m_mmmm..m.._m_m_m_, 19.:mn_ 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. tY ,; ,- -" ~ '."" I /-- .; '\, 1,/ .I . ,., Address _.n._m.~_m_._mL~:u___.c!_____~m:___L.:m'_nmnuuummumuuum_ Occupancym,~_,::-:__._c:....._m..n..u__m_m.n Owner nnnm:-;_~~;_:L_:.,___.___mJ_:u.......,...____m__um'u.. Tenant...._.______m__um___m_m._m...mnmmmm____..mm.m Wiring Contractor _mmum~...:~:~_:_m_5_~_~___,/..:__:.:.nunn_._.__u By_uu_mm_mm____.n..nm____..mm.m_.._._n..m___.____ IF] ....,.. t". 'i:.-ti Service, volts ...~......~.:'....;=......~....:..... Type of Wiring: ! Light Outlet.........._...........m......._..__.... Receptacle Outlets....m..................._m. :I:'e w~:::..:~~;if~:.:f::~:: f ", ~ ~, Main fuse ...!:..._.'m..m..................... Dryer, KW n.n...............____._..__.__.......__ Range, KW ____:::'~hi1::;.::d_::::r:C'.___..... .. , Water Heater: , Enclosure mm..m:m....m................. KW...m.........h.....m......n <:? Heat: KW........t...................._........._..... Type of wiring: Entrance Cable .._mm_ Kotors: size, volts and phase: ",-",:!.:.......L<.r:.lf.mm.m.mmmm... Rigid Conduit ....................--... Metallle Tubing ....m.................... Current transformers: No. & Size_mm_......m.......m... Ser. No..............._...._._.....__..........__..__ Ser. No. ..........._................_........._.._... Ser. NO......n....................................... Total Load...._...__.__..__________._o. Ser. No. ....__....00...."......_."....".._00.."_. ~ Remarks: mm._mummm_mummumm_..____..Un._._m. uhm________uuu.mm.m____..u_____n..._.m_.....__.____m_....ummmm Total ....._.._____..__..._.._............... Armored Cable .._m__m.....h_........... Non.Metallic ......._..___m......._......... Knob & Tube................._............._.. Rigid Cc>ndult .....m.mm............_... Metallic Tubing .m............m.n...__ Raceway __....._.__.._.____............_......_ Circuits, Light................_.n.........____.__... Utility ............._._.._....._.................... Heat ..___...._..________....___............_...... Range ....._.._.._.....______.......__............. Water Heater ....n..............._._....._. Motor ____.......___........._n_.._.___.nn..... Dryer______..._..........._........._......___..__.... Furnace .__..............._...___.___._____._..__._._. Fermit Fee Treas. Receipt /1.1 I / l~' / !~ . $ .m____.._.__._m___.___.____m__. NO._m________________________ By .__'__'_m~~_____m____m._m___.".:~.___._:.h~.___...m~_.m_. i . NOTICE-Current ust not be turned on until Certificate of Inspection has been issued. If work is to be con. c['aled due notice mUB be given the Inspector so that work may be inspected before concealment. ....,-- E INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION l ELECTRICAL PERMIT Ajdress N? 16326 o wner n_................................___u..____...._.__._...____._......_..._u._n_.__.......n_nn__n_n_..n_..n____. Tenant..................n.........n_.....................n..n......_.. Date_..___._._____..____...___________..._h_____..______.. V..iringContractor........_._..._._......................._____..._.__.......................__.........____._..............................By.....__..____........_........................................ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. c(':aled due notice must be given the Inspector so that work may be inspected before concealment. { 1M ()lvmT1;/", Prinf<>r". Tn/'" Application Number . . . . . 23-00000994 Date 9/18/23 Application pin number . . . 558882 Property Address . . . . . . 422 VASHON AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0216-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ROBERT KJAFASZ/MARY ROMSTADT DAVE'S HTG & COOLING SRVC INC 422 E VASHON AVE PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 9/18/23 Valuation . . . . 0 Expiration Date . . 3/16/24 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 1 - 2 SIN G LE-FA M ILY E.LECIRICAL PERMIT APELICAIION. Public Works and Utili ties Department 32 l E. 5th Street. Port Angeles, \,VA 98362 360.417.4715 I www.cilyufpu.us I ctectricalpcrmitsrc.cityofpa.us -422 Vashon Ave ProjectAddress: -------------------------------------- Low voltage thermostat wire for thermostat as part of a ducted installation Project Description:------------------------------------- 0 Single-Family Residential D Duplex/ ARU Building Square footage: ....;.1...;..44-'-0.;__ _ . . . - . . OWNER INFORMATION . . . ,· Name: Bob Kajfasz & Mary Romstadt Mailing Address: 422 Vashon Ave, Port Angeles, WA 98362 Email:~-------------- Phone: 3608085028 ·-· -- _ .. , ... -·· . -. , ... ELECTRICAL.CONTRACTOR iNFORMATION :· · . · ,_. .---~-<-f1 . . . .,_ .. ,, .. Name: Dave's Heating & Cooling Services, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheatinq@.wavecable.com License: DAVESHC9912C Expiration Date: _0_5/_2_0_2_5 _ Phone: 3604520939 twn. 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 for each additional) First 1'300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Poof/ Hot Tub Unit Cbacge. .QuaD.ti!Jl $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 1 $120.00 $4 0.00 $74.00 $110.00 TOTAL Tom! (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ 56.00 $ _ $ _ $ _ $ _ $ _ 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 o r of the ove named PJ:9Perty or a licensed electrical contractor. I am making the electrical installation or alteration in compliance it th ele~ ica laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Spe fi atio s an PA C 14.0 0 regardfng Electrical Permit Applications. 9/15/2023 Laci Williams Date Print Name ctor I Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/2/2023 23-994 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 422 Vashon Ave