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HomeMy WebLinkAbout620 Vashon Ave - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 12- 00000660 Date 5/30/12 Application pin number 902660 Property Address 620 VASHON AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 10 -4 -3- 0550 -0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Location Code 0502) Application valuation 0 Application desc 1 circuit ductless heat pump Owner Contractor DAVID H YVONNE M PETERSON. BOTERO SON ELECTRICAL 620 VASHON AVE 940 TAMARACK WAY PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -4766 Permit ELECTRICAL ALTER RESIDENTIAL )1Ne Additional desc Permit Fee 63.00 Plan Check Fee .00 Issue Date 5/30/12 Valuation 0 Expiration Date 11/26/12 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due r Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN Q �j 1 Z efsek> -93347 FINAL 612,41 Z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING ELECTRICAL INSPECTION WIRING REPORT `'o 417 -4735 ,P °RKS 6 DATE: PERMIT INSPECTOR J2:3I 12. -OG6D OWNER CONTRACTOR pg� y ��f 1 1 7 :71 (2-1 7 --0 Jr-C 1C ---At ADDRESS �zp •PTs) to 4 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 0tiahr 1: 1V �J. 1 r, CITY OF PORT ANGELES PERMIT APPLICATION vu 0 Building Division /Electrical Inspections F rte IV— CT- East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 I.,1 ,ft J Ph: (360) 417 -4735 Fax: (360) 417 -4711 ftt Os Date: -jam ptv L/ 1 2 Single Family Dwelling 4t4����� Plan Review May Be Required, Please Complete Electrilan E�eview Information Sh-et Job Address: Building Square Footage: Description of above c. ,s T Owner Information Contractor n> n nation Name: Y /c nd) Name: Mailing Address: .c, UA S I,_ 1n Mailing Address: gy "7`,6 r r n 0.,.. I City: G J A State: (,v1t Zip: j 1 6 City: 5 State: LA a Zip: h. 5 Phone: Fax: Phone: r e,,/ C, g. Fax: 9 ?Le License Exp. License Exp. 3c/ ;..9 5 6 C 3 :69 Item Unit Charge Qty Total (Qty Multiplied by Unit Charge} Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1 -4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168,00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $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 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 sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: c h Check Credit Card✓' c° 3 6 Dated: 2 `7 0110112012 CITY OF PORT ANGELES (P'111 11111P' DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000588 Date 5/15/12 Application pin number 036376 Property Address 620 VASHON AVE ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0550-0000- 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 4987 Application desc HEAT PUMP DUCTLESS Owner Contractor DAVID H YVONNE M PETERSON ALL WEATHER HTG COOLING INC 620 VASHON AVE 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HEAT PUMP DUCTLESS Permit Fee 64.80 Plan Check Fee .00 Issue Date 5/15/12 Valuation 0 Expiration Date 11/11/12 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 f1 nca r2- 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. 5115 113, Cgein SY \eo(kr\ lika1/14 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 MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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 0:11 Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (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 Commercial Hood Ducts FINAL Date 5'2-4 /Accepted byJ 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 c Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T•Fnrmc /R nilriinn rlivicinn /Ru ilriinn Parmit O N H In W 0 E. 4 O. 0 M H co N N at O ko 0 0 N -1 N 0 11 1 0 CV' .V N -1 a- H m C) H H U a H W W A n N .O H F Qzz 0 m 2 u w c ca 0, 4 0 H M 01 z o 01 H r ll o M O N Q z ox c„01H s1 aw H O F 0) ad'rN 0a cox UU z 2m z 'b X01 F W P, W X w N 0 H N J� N 3 W 01(11 a z£ H0H N Ha z z U o 0 a o W 0 a o a H H z P1 0 4 N F N 11 Q N 4 0 H z a F\ U W N U U 0 a all H -a -3H •3 z a as z d Q -c H W Ua 5 H Nx [0 aFoa 1 (1 0 U >1 O w o 4 1441 1 1 1 1 1 1 0 4 1 1 1 1 OaoU EQ(x ££O£ C££ U O H H O g wLnx O1 H �Fzow aa j a a H o z W C' ro H z a b Q 0 x\ i 01 71 m x m F o o iLEV�!! V) 4XHo w 4 w o Q Q N W H P10 X E. E. HH H H C7 0 a> 1 (1 W z N a 4 S N O W a r- 4 Q o H o a X H H w0 In01 01 n a x W xU a 0 0) 7B Q H O: O a z F 0 0 0 W F Q z z 0 4 2 a N w m m 0 KC O O W F N U N< 01 4 VD N in H A 41 0 c\ �1 H P C f H Q CO 0 N 1n O ID 0 r1 N i a V 41 N H U H 0 41 .0 X H z z 2 W 01 00 ir1 F H U) a s M o H O m H c z ••N Z z oa IDa, a H H H H H r 2 U U 0 z Z N 2 F a s w (4 0 0 w 4 cn U) 0 z0 0 a Hz z Z .4 041 E y N 0 H z F\ F U W U 0 0 0 U7 H 04 H W 0 0 0 H HH 0 0000 E- 0a 2X0 U O H H E J O z 41 in x S W F2 00 a Pr. -1 N >X0 8 00 O 0 0 H W ul z w V' CO H a b ox� i Ln co N (4<000 p] N W H F. 00 0,.)> i i (1)0 r- z La K4 0 o 0 o 5 w 0 H 0£ 410 in di p4 x a0 0 .0 41 HH o W% a W z H d 0 cn wH r4 1-• I a m 0 0 0 0 0 0< W H F, 05/14/2012 09:38 13604525177 ALL WEATHER HEATING PAGE 02/03 _L NLDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT (To FORM used for nrn�ar ,v.. Date Receiveo6l I Or City of Port Angeles Permit Please print in ink. Date Attn: Building Permit Technician Approved by d�1 te 321 E. 5'" St., Port Angeles, WA 98362 Credit c 36 0- 417 -4815 fax 360 -417 -4711 Approved by 360 4 Mon t5roua S 8 15 card payments are accepted Mon -Fri 8 -5 pm (no American Express) P Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: J� /t l e Coo t Phone: Property owner: �ja 'fig I3 tiC °N at C4C4 50VI Property owner's mailing address: Phone: T 13 y� Contractor's business name or •ro.ert owner's name if he/she is doin• ov ersee e l th E`� w or I tn J Phone: 6 Contractor's mailing address: Jd� Contractor's L &I license number: Sfi Expiration date: A. L L W >r N L 1 50 U Project Address: fo(4,o E, Uushon 1 v'1✓ O(./30 l 5� Project Type: esidential c Commercial o Industrial n Multi- family v U Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over -the- counter Immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re-roof: o house o garage a other a tear off re -roof o lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Re air: ex lain t e ro'ect Project Valuation Homeowner; If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation RECEIVED T;FormR i .lriinr, niuini.,.. gm' rwpitGd —anon I -orm (Revised 2011) Page 1 of 2 MAY 14 2012 CITY OF PORT ANGELES BUILDING DIVISION 05/14/2012 09:38 13604525177 ALL WEATHER HEATING PAGE 03/03 Swlmmin ool o S a a 24" doe Fa re rice e s m I do not r g[,lre a,a o0 o s 'acts t t reVleE Obtain the City of PA handout entitled 'Pools Spas" follow the requirements. Project Valuation Demolition: IA demoliti be de permit molished? Is. needed when an entire building gets demolished. What o house r� garage mother Note: some demolition permit applications need to be reviewed by various City approximately two weeks to obtain, y departments and may take Agree to ensure that all utilities are /will be properly turned off (and capped prior to demolition, ro l off if needed) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the stru cture(s) to be demolished. Submit the map with this application. (V Obtain (from the City of PA) a copy of the Olympic Region Clean A Demolition Permit Application. Air Agency (ORCAA) Contact ORCAA at 36 0 417 -1466 to discuss whether or not an ORCAA D be needed, Demolition Permit will also yes o no Will the debris be going to the Regional Transfer Station in Port Angeles? o yes o No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technic) (or later if asbestos testing Is needed), an, now Plumbin Permit: ex, lainlain�oll Project Valuation N►ec anlcal perm t: ex la n t e o'ect Tnsta nation of Heat Pump C'tu 5 Project Valuation I U I have read and canplefed this application and know it to be true and correct em and understand that it Is my responsibility to determine whet permits are required, and to obtain working projects, authorized b to apply enn/ permits this porno p is prior to Date 5 Signature Print Name Karen McKeown Page 2of2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Bed bath addition Owner DAVID H YVONNE M PETERSON 620 VASHON AVE PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 ELECTRICAL ALTER RESIDENTIAL 171637 83 90 8/19/10 2/15/11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000876 867040 620 VASHON AVE 06 30 10 4 3 0550 0000 ELECTRICAL ONLY Contractor BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES Plan Check Fee Valuation Date 8/19/10 WA 98362 `{5z 76(z 00 0 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 4 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 10 40 Charged Paid Credited Due Fee summary Permit Fee Total Plan Check Total Grand Total Signature of owner or Electrical Contractor X 83 90 83 90 00 00 00 00 00 00 83 90 83 90 00 00 INSPECTION TYPE 1 DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ,A7 e fI2 9 ,l1? RESULTS REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date J CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 AUG 1 2000 ELECTRICAL Date' I INSPECTIONS 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Cc Z 6 4 lItiS1�. o r. Building Square Footage. 5 0 scc F Description of above R F o.ta AAA t E c avN Owner Information 1 Contract Information Name: Divot, i 217O �iye_co Name: n E et O k- 5 01,E 1 e 6. r cc \I Mailing Address: _A Q Mailing Address: `t `l v Tc. vh'.r acl< <-A.,., -c„ City State: L .7 Zip: City Q Ilk State: i... Zip: 1 "0 3 C 7 Phone: Fax: Phone: L(SZ 9 pfl ZFax: License Exp. License Exp. 0 T F 2 SF._ 0 C Item Unit Charoe Total (Qty Multiplied by Unit Charoe) Service /Feeder 200 Amp. 119:90 Service/Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601' 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 1 /,r Each Additional Branch Circuit 2.60 c 1310U Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp 148.70 Temp. Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note. $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63:90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102,30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73:50 Each Swimming Pool or Hot Tub 110.30 1.� 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 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.0 RCW Chapter 19.28, WAC Chapter 296 -46B 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' Dated: Cash Check Credit Card p 111 L F; 01/01/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 247 SF BEDROOM ADDITION 140 SF DECK ADDITION Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 DAVID H YVONNE M PETERSON 620 VASHON AVE PORT ANGELES Structure Information 000 000 247 SF BEDROOM ADDITION 140 SF DECK Other struct info HARD SURFACE AREA Permit Additional Permit pin Permit Fee Issue Date Expiration Qty 1 00 1 00 1 00 desc number Date Unit Charge Per 7 2500 EA 14 8000 EA 10 0000 EA Qty Unit Charge Per 3 00 7 0000 1 00 7 0000 1 00 15 0000 T Forms /Building Division /Building Permit WA 98362 10 00000248 Date 8/25/10 597376 620 VASHON AVE 06 30 10 4 3 0550 0000 DAVID YVONNE PETERSON RES ADDITION RS7 RESDNTL SINGLE FAMILY 25030 Contractor OWNER MECHANICAL PERMIT BATH VENT FAN WALL HTR 172114 32 05 8/25/10 2/21/11 EA EA EA BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL -SEWER LINE Plan Check Fee Valuation ME VENT FAN (SINGLE DUCT) ME HEATER(SUSP /WALL /FLOOR ME SUPPLEMENTAL PERMIT Permit PLUMBING PERMIT Additional desc NEW BATHROOM Permit pin number 172122 Permit Fee 93 00 Plan Check Fee Issue Date 8/25/10 Valuation Expiration Date 2/21/11 MT D) Special Notes and Comments The Fire Department has reviewed the project application and has no comments March 23 2010 3 08 58 PM sroberds The proposal will result in a bedroom addition that will result in 29% lot coverage and 39% site coverage in the RS 7 00 0 Extension 7 25 14 80 10 00 00 0 Extension 50 00 21 00 7 00 15 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) „O\ 0,0 \o\ S;)c s -V )W \c\e LAV6\\ "2 C7 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 /0 r :Dilu tb 411_. (abt 62, construction. r Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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 AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (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 Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s T:Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Application Number Application pin number Special Notes and Comments zone No land use issues anticipated Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T.Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 10 00000248 Date 597376 STATE SURCHARGE 4 50 Charged Paid Credited 125 05 125 05 00 00 00 00 4 50 4 50 00 129 55 129 55 00 Due 00 00 00 00 2 8/25/10 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (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 Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By PREPARED 10/05/10 9 02 42 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/05/10 ADDRESS 620 VASHON AVE SUBDIV TENANT NBR DAVID YVONNE PETERSON CONTRACTOR PHONE OWNER DAVID H YVONNE M PETERSON PHONE PARCEL 06 30 10 4 3 0550 0000 APPL NUMBER 10 00000248 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 7/09/10 JLL BLDG FOUNDATION 7/09/10 AP July 8 2010 9 49 20 AM 1pangrle DAVE 461 1805 FOUNDATION July 9 2010 4 45 51 PM jlierly BL9 01 8/13/10 JLL BLDG SHEARWALL 8/13/10 AP August 13 2010 8 25 57 AM 1pangrle DAVID 461 1805 SHEARWALL NAILING August 13 2010 4 40 20 PM jlierly BL3 01 8/25/10 JLL BLDG FRAMING TIME 01 00 8/25/10 AP August 25 2010 8 53 22 AM 1pangrle DAVID 360 461 1805 OR 360 797 1345 FRAMING AFTERNOON August 25 2010 4 46 20 PM jlierly BAIR 01 8/26/10 PB BLDG AIR SEAL TIME 01 00 8/26/10 AP August 25 2010 4 11 07 PM 1pangrle DAVID 797 1345 AIRSEAL AFTERNOON August 26 2010 4 30 03 PM pbarthol BLS 01 8/30/10 JLL BLDG INSULATION TIME 04 00 8/31/10 AP August 30 2010 9 05 30 AM 1pangrle DAVID 797 1345 INSULATION LATE AFTERNOON August 31 2010 4 11 29 PM jlierly BL99 01 10/05/10 JL BLDG eINAL _i October 5 2010 8 52 36 AM 1pangrle DAVID 797 1345 BUILDING FINAL BEDROOM BATHROOM DECK ADDITION ME99 01 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10/05/10 J L 1 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CONTINUED ONTO NEXT PAGE MECHANICAL FINAL October 5 2010 8 54 42 AM 1pangrle DAVID 797 1345 MECHANICAL FINAL BEDROOM BATHROOM DECK ADDITION PREPARED 10/05/10 9 02 42 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/05/10 ADDRESS 620 VASHON AVE SUBDIV TENANT NBR DAVID YVONNE PETERSON CONTRACTOR PHONE OWNER DAVID H YVONNE M PETERSON PHONE PARCEL 06 30 10 4 3 0550 0000 APPL NUMBER 10 00000248 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/25/10 JLL PLUMBING ROUGH IN TIME 01 00 8/25/10 AP August 25 2010 8 53 38 AM 1pangrle DAVID 360 461 1805 OR 360 797 1345 PLUMBING ROUGH IN AFTERNOON August 25 2010 4 46 20 PM jlierly PL99 01 10/05/10 J± PLUMBING FINAL ..1__ A A October 5 2010 8 55 31 AM 1pangrle DAVID 797 1345 PLUMBING FINAL BEDROOM BATHROOM DECK ADDITION COMMENTS AND NOTES DATE PERMIT q120/0 IO -on OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 H2O Va .51 "tO it\x ADDRESS 7 3 a E 2.0 saw INSPECTOR APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL COY RECTIONS NEEDED: J i■L LL_ SP j 15-x f, STt Cr-, 14e) tJA T))6,T"iel (-F —i i V InhLRK IT Y NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE PREPARED 8/30/10 9 06 51 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BLFO 01 BL9 01 BAIR 01 620 VASHON AVE DAVID YVONNE PETERSON DAVID H YVONNE M PETERSON 06 30 10 4 3 0550 0000 10 00000248 RES ADDITION BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 7/09/10 JLL 7/09/10 AP 8/13/10 JLL 8/13/10 AP BL3 01 8/25/10 JLL 8/25/10 AP 8/26/10 PB 8/26/10 AP BLI 01 8/30/10 INSPECTION TICKET INSPECTOR JAMES LIERLY BLDG FOUNDATION July 8 2010 9 49 20 DAVE 461 1805 FOUNDATION July 9 2010 4 45 51 BLDG SHEARWALL August 13 2010 8 25 DAVID 461 1805 SHEARWALL NAILING August 13 2010 4 40 BLDG FRAMING TIME August 25 2010 8 53 DAVID 360 461 1805 OR FRAMING AFTERNOON August 25 2010 BLDG AIR SEAL August 25 2010 DAVID 797 1345 AIRSEAL AFTERNOON August 26 2010 BLDG INSULATION August 30 2010 DAVID 797 1345 INSULATION LATE AFTERNOON SUBDIV PHONE PHONE COMMENTS AND NOTES AM 1pangrle PM jlierly 57 AM 1pangrle 20 PM jlierly 01 00 22 AM 1pangrle 360 797 1345 4 46 20 PM jlierly TIME 01 00 4 11 07 PM 1pangrle 4 30 03 PM pbarthol TIME 04 00 9 05 30 AM 1pangrle PAGE 10 DATE 8/30/10 .e)\r PREPARED 8/26/10 8 25 38 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/26/10 ADDRESS 620 VASHON AVE SUBDIV TENANT NBR DAVID YVONNE PETERSON CONTRACTOR PHONE OWNER DAVID H YVONNE M PETERSON PHONE PARCEL 06 30 10 4 3 0550 0000 APPL NUMBER 10 00000248 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 7/09/10 JLL BLDG FOUNDATION 7/09/10 AP July 8 2010 9 49 20 AM 1pangrle DAVE 461 1805 FOUNDATION July 9 2010 4 45 51 PM jlierly BL9 01 8/13/10 JLL BLDG SHEARWALL 8/13/10 AP August 13 2010 8 25 57 AM 1pangrle DAVID 461 1805 SHEARWALL NAILING August 13 2010 4 40 20 PM jlierly BL3 01 8/25/10 JLL BLDG FRAMING TIME 01 00 8/25/10 AP August 25 2010 8 53 22 AM 1pangrle DAVID 360 461 1805 OR 360 797 1345 FRAMING AFTERNOON August 25 2010 4 46 20 PM jlierly BAIR 01 8/26/10 JLL BLDG AIR SEAL TIME 01 00 Ke7 i—J August 25 2010 4 11 07 PM 1pangrle L --/t)49- DAVID 797 1345 AIRSEAL AFTERNOON COMMENTS AND NOTES PREPARED 8/25/10 8 54 32 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/25/10 ADDRESS 620 VASHON AVE SUBDIV TENANT NBR DAVID YVONNE PETERSON CONTRACTOR PHONE OWNER DAVID H YVONNE M PETERSON PHONE PARCEL 06 30 10 4 3 0550 0000 APPL NUMBER 10 00000248 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 7/09/10 JLL BLDG FOUNDATION 7/09/10 AP July 8 2010 9 49 20 AM 1pangrle DAVE 461 1805 FOUNDATION July 9 2010 4 45 51 PM jlierly BL9 01 8/13/10 JLL BLDG SHEARWALL 8/13/10 AP August 13 2010 8 25 57 AM 1pangrle DAVID 461 1805 SHEARWALL NAILING August 13 2010 4 40 20 PM jlierly BL3 01 8/2/10 JLL BLDG FRAMING TIME 01 00 13l August 25 2010 8 53 22 AM 1pangrle DAVID 360 461 1805 OR 360 797 1345 FRAMING AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/25/10 JLL PLUMBING ROUGH IN TIME 01 00 August 25 2010 8 53 38 AM 1pangrle DAVID 360 461 1805 OR 360 797 1345 PLUMBING ROUGH IN AFTERNOON COMMENTS AND NOTES PREPARED 8/13/10 8 37 20 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/13/10 ADDRESS 620 VASHON AVE SUBDIV TENANT NBR DAVID YVONNE PETERSON CONTRACTOR PHONE OWNER DAVID H YVONNE M PETERSON PHONE PARCEL 06 30 10 4 3 0550 0000 APPL NUMBER 10 00000248 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 7/09/10 JLL 7/09/10 AP BL9 01 8/13/10 BLDG FOUNDATION July 8 2010 9 49 20 AM 1pangrle DAVE 461 1805 FOUNDATION July 9 2010 4 45 51 PM jlierly BLDG SHEARWALL August 13 2010 8 25 57 AM 1pangrle DAVID 461 1805 SHEARWALL NAILING COMMENTS AND NOTES PREPARED 7/09/10 8 45 34 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/09/10 ADDRESS 620 VASHON AVE SUBDIV TENANT NBA DAVID YVONNE PETERSON CONTRACTOR PHONE OWNER DAVID H YVONNE M PETERSON PHONE PARCEL 06 30 10 4 3 0550 0000 APPL NUMBER 10 00000248 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 7 /0$ (0 BLDG FOUNDATION July 8 2010 9 49 20 AM 1pangrle DAVE 461 1805 FOUNDATION COMMENTS AND NOTES Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000248 Date 5/12/10 Application pin number 597376 Property Address 620 VASHON AVE ASSESSOR PARCEL NUMBER 06 30 10 4 3 0550 0000 Tenant nbr name DAVID YVONNE PETERSON Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 25030 Application desc 247 SF BEDROOM ADDITION 140 SF DECK ADDITION Owner DAVID H YVONNE M PETERSON 620 VASHON AVE PORT ANGELES WA 98362 Contractor OWNER Structure Information 000 000 247 SF BEDROOM ADDITION 140 Other struct info HARD SURFACE AREA Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 T:FormsBuilding DivisionBuilding Permit BUILDING PERMIT RESIDENTIAL 247 SF BEDROOM ADD DECK 162305 427 85 5/12/10 Valuation 11/08/10 Plan Check Fee Unit Charge Per BASE FEE 10 1000 THOU BL -25 001 50K (10 10 PER K) SF DECK 278 10 25030 Extension 417 75 10 10 Permit MECHANICAL PERMIT Additional desc WALL HEATER Permit pin number 162313 Permit Fee 64 80 Plan Check Fee 00 Issue Date 5/12/10 Valuation 0 Expiration Date 11/08/10 Qty Unit Charge Per Extension BASE FEE 50 1 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 14 Special Notes and Comments The Fire Department has reviewed the project application and has no comments March 23 2010 3 08 58 PM sroberds The proposal will result in a bedroom addition that will result in 29% lot coverage and 39% site coverage in the RS 7 zone No land use issues anticipated Electrical load calculations and electrical permits are required Print Name Signature of Contractor or Authorized Agent 00 80 c&'c o,\,9) off' \f\ ;0\ \00(\f\ 16 6sA ■e)) r ,0 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 fora 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 aut s iolate or cancel the provisions of any state or local law regulating cconstruction o the performance of construction. Signature of Owner (if owner is builder) 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 IFINAL Date Accepted by FINAL Date Accepted by Date Accepted By 3 Other Fees T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number 10 00000248 597376 Special Notes and Comments Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Page 2 Date 5/12/10 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 492 65 492 65 00 00 Plan Check Total 278 10 278 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 775 25 775 25 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall /�-lold Downs Walls Roof Ceiling Drywall (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 Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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. Date -lo R -Z5 -1Q R z(2 l!� 2% i© g ICJ -3(1-An Accepted By itr(i Comments i0 05' 10 1- FINAL Date Accepted 6y FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical Construction R.W PW Engineering Fire Planning Building 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Date Accepted By ib -0 5- l I r L- O 9 F Project Type Brief Description. Check all that apply New Construction {Addition Remodel Repair XDemolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Cover, Deck Shed Other Max. height of proposed structures 1 ft. Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 0,/ (360) 417 -4815 fax (360) 417 -4711 /hA S Property yy ViujAAAL.0.4 ner O�z L r Property Owner's Address v,� Contractor b ye, P rSbh Contractor's Address ar ph©tne CAA License Expires Applicant i P e 452 .40,∎/4 Phone 4_ _1 PROJECT ADDRESS �2,,e7 v-''#-! Parcel Number 43,o1d4 _gc:::. Sid (Residential Phone 3 /ii.6 /10 E -mail Lot Multi- family Commercial Paotin6 a &_,l Ybo rY, A 00e. watt -i e.ot 247 sf R4!reic% HolAs AM, /Qo ie-AD vn f p.- LNEc ArWnc 04, acc '1YDOIYN Io ck *hi OA" I geatftaVe__Lae 4 Air -Jr_ House garage 13 other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existina (sq. ft.) Proposed (sq. ft.) per sq ft 9! 420 d Porch snow, cas 4,� f \05)_) A qc 5F 5 o t6 I-4e 2e7 For City Use Only Date Received 3 1 U ermit to —it_ g ate Approved 5 j f to, Zoning c 7 logo +yzo t 247 .rtyl;t.� i Total footprint of structures 2. 3sGI sq tt. Lot size Avd /9 sq ft. Lot coverage 29, Site Coverage the amount of impervious surface on a parcel including structures paved driveways, sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Occupancy group Occupant load Construction type have read and completed this application and know it to be true and correct. I am authorized to ap that it is my responsibility to determine what permits are required, and to obtain permits prior to r, Date S 1 pe-. Print Name 14/1124 Signature T Forms /Building Division /Building permit application TOTAL VALUATION 2 of bedrooms of full baths of half baths Industrial ly for this permit and understand or projects Permit #_10 1' Form, 'BuilcIri Divisior Notes 4/g NOTES (2, av :ice 604 811 .608 619- 614 627 626- t oseA r 6,31" I 624 .662 ;638! 7" 638 :4?? -E) 16 1 c /'*N 1b P2 17 V Aate'enf $p"i %t 111C ew76 OZ tzto v5sc4ro ldcew 1aomd )64. H.34;116] aik-, 61)- ;14:4:2 3 Nat 7V/\ 1-10111044/ T *eel Mm Clallam County Assessor Treasurer Property Details 64823 DAVID M. Page 1 of 5 Clailam County Assessor Treasurer Property Search Results 64823 DAVID HNVONNE&R PETERSON for Year 2009-201O Property Account Property ID 64823 Legal Description TX#8515 LOT 2 19A Geographic ID 063010430550000 Agent Code Type: Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property* N Remodel Property N Multi-Family Redevelopment: N Location Address: 620 E VASHON AVE Mapsco PORT ANGELES Neighborhood: Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name. DAVID H/YVONNE M PETERSON Owner ID Mailing Address. Taxes and Assessments Due Property Tax Information as of 03/12/2010 Amount Due if Paid on. !Statement Year I ID 2010 47100 2010 47106 2010 47106 2010 47106 12010 47106 2010 47106 2010 47106 2010 47106 620 VASHON AVE Ownership. PORT ANGELES WA 98362 |Fhst 1 r Half i-'--'- i Base Base |Boow Am [Taxing Jurisdiction Due 1Due i Penalty Interest Paid Du ST SCH STATE SCHOOL $224 80 $224 81 $0 00 $0 00 $0 00 $i CC-GEN COUNTY $119 63 $119 64 $0 00 $0 00 $0 00 PORT PORT �O82 ��81 $0 $0 00 $0 00 PORTANG P�T/�os�� $277 $276 $0 $0 00 $0 00 SD #121 SCHOOL DISTRICT $29119 $291 18 $000 $o_ V0 $VOO NT*�Lvua _NORTH OLYMPIC $34 $34 *VD0 $0 00 $0 00 HOGP#2 MOGP|TAL#2 $49 08 $49 $0 $OUO $0 WSMET PK DIST WILLIAM SHORE MET PARK DIST $15 62 $15 61 $0 00 $0 00 $0 00 00 $36 $0 661 $OOO $o 00 $O82 *VO� �OOO $0 $0 00 $1065.72 $1065.69 $�V $0.00 $21 11 $257 56 $u5755 $0 00 $O00 $515 $130 36 *15O85 $OOO $VOO $260 69 $1848 $1O47 $0 00 $0 00 $3O93 i285 90 $285 91 $0 00 $0 00 $571 81 $318 51 $3185o $0 00 $0 00 $637 03 2010 47106 C CITY 2010 47106 WEED L VVEEDo3NTROL 2010 47�osTOT��. [06 648 GCM STATE SCHOOL 12009 O4Vu3uOOO CC'GEN COUNTY 12003 648232008 PORT PORT 12008 648232008 PORT ANG PORT ANGELES 2009 V48232OO8 SD #121 SCHOOL DISTRICT #121 12009 oOO9 O4O232UO0 NTH DLYL|B NDRTHDLY�P|C LIBRARY 2nno 648232008 MO8P#2 HOSPITAL #2 2009 648232008 C R�VVATER CITY STORMWATER Exemptions 46016 100 0000000000% $37 87 $37 88 $0 00 $0 00 $75 75 $5348 $5345 $0 00 $0 00 $1O091 $36 00 $3OOU �VO� $O OO $72.00 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_id=64 3/12/2010 L. BE Ir H A R C H I P C T S 319 s. peabody, suite b, port angeles, wa 98362 360.452.6116 fax 360.452.7064 Project: Project No. S.ubiect: L47 5PAI By e.-Pe- Date. IAl 24>f c Sheet of r Aupzi f A tAl STFZIA Fizir LAW 1; oti -5 l 9)41:2,94 r21-5 G 1 I a rT J FILE 1 ,r,r• 1 r .0bOD Lvw r ,0 0 1z NOI.i7 DOW IV tvuMP_ ict <.\.bro NI v+ppYP-- pr, 0WIZ_ MU rv P .S '1,46 005 N'p-rw 0 N WAL•S MS1 j ZK' co rz-1 V dPbi 1'1 ANAL LINDBER ITH A R C H I C T S 319 S. Peabody Suite B. Port Angeles, WA 98362 360 452.6116 fax 360.452.7064 contactnalindarch.com www.lindarch.com Project: 114:^":ONJ Subject: LATiggia Date A P P L Sol 0 V /er'. 1.:? SHEAR WALL SUMMARY W I L IHI V PtiTz III 0 151 it I i tea J *IC; 12... 2 Is 5' 15614. 1 0 prilOV 1 Gj 1 W1 fl GPtiof 1214. 4240 Z2 l 1.- 1 .1 1 I/ALLOFIT/FIRMINFO/FORMS /SHEARWAL I SW I VH- WL /2 1 POST HOLD DOWN V/L 15 1 I f �i 2620 r 2.ci `f $3 1 mcfr 40 I� l \I H I 4 Not'- R, )I )'dy1 E 120 Project No By Sheet 2. of ,L0 C v-5 172 ddr\ aV (1 "Ft* FA f411,1,11 LINDBERGAMITH ARCHIT.JC Project No 319 south peabody suite b port angeles, wa 9 8 3 6 2 Subject: 360.452.6116 fax 360.452.7064 17 T I- 1 I -t i l• 1 1 I 1 I 1-- 1 1 1 1- 1 I j i •I, 1 ,-----r r i _..1 !I Iri*i i 1 1 4-- ‘--i- 1-1 r 1 r 1 4 1. 1 i H I 1 1 I 1 i 4 C -1- I 1 P I Z!Z2 1 1 1 t 1 I 1- l i I 1 i r 1 l t j--4 --1 1 11 1 I 1 1 1 I 1! 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By Sheet of 0 Memorandum I:11 Telephone Memo El Meeting Notes 0 Field Notes LINDBER6-SMITH Project: A R C HI C T S Project No 319 south peabody suite b port angeles wa 9 8 3 6 2 Subject: 360.452.6116 fax 360.452.7064 email address contact@lindarch.com website address www lindarch.com i I 1 l'--- 1 L 1 1 -7 1 1 i ..1___,_i_ f_ i .I i i 1L1-1.L-: il .1 1 ---1 I i I I l I I II I I I I I 1 1 I 1 1 P rPai pli./. :2 1 t t_ 1 1 .1 L.__ I 1 I t •i- I i V 11- I r HI -i 1 L I. _,I 1. •,-,=.1-1.0).,1.44.1.1 1 f 1 1 t 4 -/----t 1- 1 1 1 T 1 4- i 1- I 1 ____4 I --I- t- 1 1 li 3 42.4 _"_1".1_ ___1_ .1_ ___..1 .i. 1 I -L--1 -,---1.- 1_ t J111 4 L 1 I 1 I. .1 1 _.1 j r o i-_, i J -1- i. __I t I 1._ i 1 I- t F i" 1 0 r l 1, i I 1 i I t I -I T+ 1 1 I' -I 1 1 1 .1 _i_ 4r, 4, i ll!. 1-- 1 1 1 r 1 L -I- 1 l i I I 2 -1, 16 y 1j.....*' td- 1 -T-L-1 4 -;4 i i I ,..2 -1 IT -1- 1 I- 4.---- -r- t I 1 t 1 1 1__J L J 01.„___ L t -1. .1- 1 i. 4 ____T 1 F 1 --1---1-- 1--- -1-- -----4--1----4-4------F-1- 1 1 11 1 1 IT I I j I i i L. 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LI._ I I T "1 41 .:1 _1 1 1 I 4 1 1 1 1 _1 email address contact@lindarch.com website address www lindarch.com Project: Date. By Sheet of 0 Memorandum Telephone Memo D Meeting Notes Field Notes LINDBEROTSMITH Project: ARCHIC TS Project No 319 south peabody suite b port angeles wa 9 8 3 6 2 Subject: 360.452.6116 fax 360.452.7064 Date: By Sheet of 0 Memorandum 0 Telephone Memo E] Meeting Notes 0 Field Notes email address contact@hndarch.com website address www.lindarch.com T Jr r 1 i I 'T• t-h I I r T 1 1 11-1 I .1 -I 1. ---H I 1 1 1 1 r 1 A j i. _Iltieri. 1 I -1 1--- 4- i 1 i 7 1 4 A 7 1- 1---1.-- .1— T '2., II,A1A.1.4.! -1 J 1-- l"I 1I I 1-1 1 ---f.--r t I I ;•;'t I .1- --I- I --1, i 1---I- i• 1- l'ii 11 1 i 1 't 1 1 ii,&:, 1 I gi i 1 1 1 I in L .r,„_. E i 4-4, -I- -I- --4—:— -1 I L-. y- J i 4 1 ,1 .1 1 1 1 t :„...i__-._ ____1_ I 1 -t ivtzitt .--sidp.6 i i -7 i I 1 i L I 10 +iv' I 40,4 1- I 1 -I 1 I 1/1 4 1 Zi 1 r f t"' i 1 C r -1- I r r' r i .J. 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I 1 I I II j jj -.1 1. 4 i 1 1 i I' 4- 1 -i 4--- I 1 1--- I i I i I 1 1" t 1- _____i i I r -h. i_I__d___,__t L__ t 1 I L k 1 1L .J. ..i- t_ i 1 i i__L Project: Sheet of Memorandum Project No 0 Telephone Memo Meeting Notes Subject: LI Field Notes Date: By CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9. 15820 c: _. ? U //.C Port Angeles, Washlngtonm.............m....__-<.m.m..m.mm......mmm. 19.....~. In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles. per- mission is hereby granted to dO electrical work as listed below. Address ..f..L!..O'__m..r:;fd?..i!..A:2.~'--:u....u.m..u.....nn__n.nn.n.. Oc~upancy.7.".,..""'u........m...u__...mmmuu Owner u:;:;f:..ff.'-"".._<..j,,(uum..~--.n.nu?.J".... TenanL...nnn.mn.__._......m._..mn.u.m.......mm..__....__.. Wiring Contractor mr:!!..t..E.""-"u!:nlk.uf'::::.~..,...___.________. By..u__.____.m.muuu......unnu......h.h.m..__m..____.u Light OUtlet.h.....d2hJ.........n_.._..u. Service, volts .,I;):.~/..;!...Y..Q.nn... Type or Wiring, Receptacle Outlets..__...-L..Q.........--.-- No. wires ...._?__.m_.._...........----...m--. Armored Cable ..............._.m.......__. . {/ D,y.., KW u......hnG.............u..........n. Size Wlres.)jlf)l!2m.:hmnh._n Rang., KW ....u/~......mn...n...nnm Main ruse .mn~(l.!1'hm.hn... ,- Water Heater: Enclosure __...~."'.."___h"."'".''''''''' HeatK:\~:::::~.--.h::j/P...~:I.~~ , Type of wIring: Entrance Cable _...m.................._... Motors: sIze, volts and phase: :7~::::~::::::::::::::::::::::::: Rigid Conduit ..umm_._..m______....... Metallic Tubing _m__m____.____...______ Current transformers: No. & Size......___.............................. Ser. No._..........__......______............._.__.__ Ser. No.._____........................................ Ser. No. ..........___.......___......_.__....____.__. Total Loadm__.....___.mmm___... Ser. No. ._.....___......._..._...____.__...__.....n Non-Metallic ........._.____.........._......_ Knob & Tube.__.................._.._......._ RIgid Conduit .......00...................... Metalllc Tubing ....hhm................ Raceway ___.._};:j;__.................__..._ Circuits, Llght~........mm.......__....... Utility ...I!f/In.hh....hn............nn..... neat ..../...;?nn....n..................... Range ...h~............mn....nn..n...u Water Heater ~..mn-m.......-....... Motor .___._.................._......._..___...... Dryer........~.._........______.._.....__......_ Furnace nu........____..........w__...._.._....... 33 Total __._.__..___.._.....____............... Remarks, n...m..7.,."-'--{;;;C~~....~n,:~.~4...n.......---n.....---.n............n..n...h......m....................m.m... Permit Fee . 3. 'pej $..h.~__n....n.......m...m.... B;~t!A,de---~.,~-?.~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. Trens. Receipt NO.......mm......._.._.__ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15820 Address..................._..............._._._..__..__...._.__....__..____.___._______....__...___.....__....____.............................Date._.__...______.._.._.........._......_......____...... Owner ....____.._._.___...n...........n__.n..____..............______.....__........__.._........_.........._.........__...... TenanL_____n_..........................................______..______.. WiringContractor..........................._._............................._..............................__.........___.......__._._____By._..........._._......................................_..___.. NOTICE-Current must not be turned on untU Certtflcate 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. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4174735 Application Number . . . . . 16-00001265 Date 8/24/16 Application pin number . . . 630890 Property Address . . . . 620 VASHON AVE ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0550-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 - Application desc Ductless heat pump --------------------------------------------------------------------- owner Contractor ------------------------ ---------------- DAVID H / YVONNE M PETERSON BLACK DIAMOND ELECTRICAL CONTR 620 VASHON AVE 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 63.00 Pian check Fee .00 Issue Date 8/24/16 valuation . . . . 0 Expiration Date 2/20/17 Qty Unit Charge Per Extension 1.00 63.0000 BCH EL -R- BRANCH CIR WO/ SBR FEED 63.00 --_----------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ----------- ----- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Pati Angeles (Location Coale 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH --IN FINAL COMMENTS: PERMIT WILL EXPIRE SLK (Q MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANCi&BUIIAING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: NA Y 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Information Contractor Infor tips a Name: 4Name:1 Mailing Address: Mailing Address: City: _ State: Zip: City: State: Zip: Phone:Fax: License # / Exp. Phone:~7 Fac:h f ' License # 1 Exp. L 't-''"z— Item Unit Charge QtV Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feed $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 Only $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $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 Each Swimming Pool or Hot Tub $ 74.00 $110.00 $ / �— $ 1 $� 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 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 installatio r alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Co nd tility Specifications and PAMC 14.05.050 regarding Electrical Permit plications. Signature of her, tri I contractor or electrical administrator: ❑ cash check -- „ `�z ❑ credit card# X Dated: l l�j 02106/2012 t/vf- �zs� ELECTRICAL PERMIT CITY OF PORT ANGELES - 360-417-4735 Application Number . . . . . 16-00001265 Date 8/24/16 Application pin number . . . 630890 Property Address . • • . . 620 VASHON AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0550-0000- On your eXCISe tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City Of Pori Angeles Property Use . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 — ---------------------- ---------------------------------------------------- Application desc Ductless heat .pump ------------------------------------------------------------------- -------- Owner Contractor ------------------------------------------------ DAVID H / YVONNE M PETERSON BLACK DIAMOND ELECTRICAL CONTR 620 VASHON AVE 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (36 0) 565-1035 ----------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . 8/24/16 Valuation . . . . 0 Expiration Date . . 2/20/17 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CTR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited --------- Due ----------------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total •00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTIONTYPE 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: GAEXCHANGEWILDING