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113 Vashon Ave - Building
ELECTRICAL PERMIT l CITY OF PORT ANGELES CI 360- 417 -4735 mil Application Number 11- 00000096 Date 4/27/11 Application pin number 934592 Property Address 113 VASHON AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1050-0000- on your 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 I circuit basement. Finish final expired permit Owner Contractor SLOTA FRED /WINIFRED OWNER PO BOX 1906 PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL V Additional desc 3 Permit pin number 180968 Permit Fee 73.50 Plan Check Fee .00 eJ Issue Date 2/15/11 Valuation 0 Expiration Date 8/14/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 0 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 N' INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 31 Zi l) -z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 111W IR L. CITY OF PORT ANGELES PERMIT APPLICATION -401 IJAN- 2 8 2011 •T 4 s B it uilding Division/Electrical Inspections__ 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL 7 mi Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: 112c-tA/ 1 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: l l 3 i,-S 1.4 0 N AUE Building Square Footage: Description �f above PsOlc -edv. ev- v P vv■r iz. Owner Information Contractor Information Name: d-c.c S lin:f.., Name: Mailing Address: 4 13 'V per. ,p Mailing Address: City: P. Ps State: uv A. Zip: Ck6<3 fe, 2, City: State: Zip: Phone: c1941• ,.,r{2. L -Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) 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— Each Additional Branch Circuit 2.60 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 1-10.30 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: Cash Check /1.9 A01( ED Credit Card /I X Dated: l 01/0112010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RCP #10 22 New Driveway Owner PR 46// /rec.° R 0• Kok, /?1,4 5 3�6a Permit CONCRETE CURB GUTTER Additional desc RCP 10 22 Permit pin number 169854 Permit Fee 180 00 Issue Date 7/27/10 Expiration Date 1/23/11 Qty Unit Charge Per Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 169862 Permit Fee 180 00 Plan Check Fee Issue Date 7/27/10 Valuation Expiration Date 1/23/11 Qty Unit Charge Per Fee summary nstr Signature o'Contractor or Authorized Agent T \Policies \1102.15 [I 0/08] 10 00000732 557332 113 VASHON AVE 06 30 10 5 0 1050 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 BASE FEE BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor WESTERN PACIFIC CONSTRUCTION 169 RIVER ROAD SEQUIM WA SEQUIM (360) 461 2421 Plan Check Fee Valuation Special Notes and Comments All work to be in accordance with current City standards No gravel or other paving to be within 5 feet of side lot line Notify City Inspector prior to start of work by calling 360 417 4831 Charged Paid Credited Permit Fee Total 360 00 360 00 00 Plan Check Total 00 00 00 Grand Total 360 00 360 00 00 Date 7/27/10 WA 98382 Due 00 1 Extension 180 00 Extension 180 00 00 00 00 00 1 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 fora 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 1 have read and examined this application and know the same to be true and correct. All provisions of laws a... nces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pr? um o giv authority to violate or cancel the provisions of any state or local law regulating construction or the performance of 7'Z 1 -ID Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102.15 [10/081 PERMIT INSPECTION RECORD YES 1 NO I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I PREPARED 2/26/10 10 37 02 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 113 VASHON AVE SUBDIV TENANT NBR FRED WINIFRED SLOTA CONTRACTOR L P HANNA CONSTRUCTION INC PHONE (360) 452 1572 OWNER FRED WINIFRED SLOTA PHONE (360) 928 2426 PARCEL 06 30 10 5 0 1050 0000 APPL NUMBER 09 00000726 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 9/02/09 PB 9/03/09 AP BLI 01 9/02/09 PB 9/03/09 AP BL99 01 2//6'10 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/26/10 t PERMIT PL 00 PLUMBING P REQUESTED INSP TYP /SQ COMPLETED RESULT PL2 01 9/02/09 96 9/03/09 AP PL99 01 2/26/10 IT DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET BLDG AIR SEAL TIME 01 00 September 2 2009 8 55 37 AM 1pangrle LARRY 461 2032 AIRSEAL AFTERNOON THE BACK BASEMENT DOOR IS OPEN THE PERMIT IS IN THE HALLWAY IN A CUBBYHOLE September 3 2009 8 40 05 AM pbarthol BLDG INSULATION TIME 01 00 September 2 2009 8 55 59 AM 1pangrle LARRY 461 2032 INSULATION AFTERNOON THE BACK BASEMENT DOOR IS OPEN THE PERMIT IS IN THE HALLWAY IN A CUBBYHOLE September 3 2009 8 40 05 AM pbarthol BLDG FINAL February 26 2010 9 47 28 AM pbarthol MECHANICAL FINAL February 26 2010 9 47 43 AM pbarthol PLUMBING ROUGH IN TIME 01 00 September 2 2009 8 54 08 AM 1pangrle LARRY 461 2032 ROUGH IN PLUMBING AFTERNOON THE BACK BASEMENT DOOR IS OPEN THE PERMIT IS IN THE HALLWAY IN A CUBBYHOLE September 3 2009 8 40 05 AM pbarthol PLUMBING FINAL February 26 2010 9 47 56 AM pbarthol COMMENTS AND NOTES PAGE 4 DATE 2/26/10 PREPARED 9/02/09 9 38 56 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/02/09 ADDRESS 113 VASHON AVE TENANT NBR FRED WINIFRED SLOTA CONTRACTOR L P HANNA CONSTRUCTION INC OWNER FRED WINIFRED SLOTA PARCEL 06 30 10 5 0 1050 0000 APPL NUMBER 09 00000726 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 9///07/09 JL72 BLI 01 PL2 01 9/0 /09 JL SUBDIV PHONE (360) 452 1572 PHONE (360) 928 2426 BLDG AIR SEAL TIME 01 00 September 2 2009 8 55 37 AM 1pangrle LARRY 461 2032 AIRSEAL AFTERNOON THE BACK BASEMENT DOOR IS OPEN THE PERMIT IS IN THE HALLWAY IN A CUBBYHOLE /09 J BLDG INSULATION TIME 01 00 September 2 2009 8 55 59 AM 1pangrle LARRY 461 2032 INSULATION AFTERNOON THE BACK BASEMENT DOOR IS OPEN THE PERMIT IS IN THE HALLWAY IN A CUBBYHOLE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLUMBING ROUGH IN TIME 01 00 September 2 2009 8 54 08 AM 1pangrle LARRY 461 2032 ROUGH IN PLUMBING AFTERNOON THE BACK BASEMENT DOOR IS OPEN THE PERMIT IS IN THE HALLWAY IN A CUBBYHOLE COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Bathroom remodel 2 circuits Owner Solda Fred 113 Vashon Ave PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE COMMENTS WA 98362 152769 59 50 9/01/09 2/28/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000897 387623 113 VASHON AVE 06 30 10 5 0 1050 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Charged Paid Credited 59 50 59 50 00 00 00 00 59 50 59 50 00 Date 9/01/09 WA 98363 DATE RESULTS 00 0 Extension 57 50 2 00 Due 00 00 00 ROUGH IN GAN oML' e t /1 10` 6I FINAL Signature of owner or Electrical Contractor X Date INSPECTOR. DAT C l OWNER/CONTRACTOR ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTO APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED (Z) r7-1Z-- 1-\ pi l2 DUX 1 t TZt kih IL) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 08/18/2009 10 39 City of Part Angeles Permit P. pplicat on Building D1v1e1on1Etectrlcal Imp a tons 321 East Filth Btmet P.O. Box 150 Port Angeles Washington, 9 36 Ph; (360) 411; -4735 ex: (380) 41' ..711 Date; 0 9_ A 1 2 Single Family Owe ling Multi-Family or Comrnen jilt' Commercial Addition r AI .E ration I Rnrn0del /Repair" Plan Review May Be Requi t d, Pleas (.prr Electrical Plan Review lnfotmat on Sheet Job Address: �c��.:� �?.1h. Building Square Footage Description of above Owner information J r Name: rct :221 A fAX..z Mailing AI I r•ss: ,e E111:aP City' i' ate: ;IB. ,o Zip: p -7- Phone: .J� w 3x: License Exp. Unit Charge 4:'!�1 93.75 $11375 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 S 93.75 5 80.00 86,25 27.50 57.50 86.25 43,75 Owner as defined by RCW. l9 ele:trlcal contractor R thew After reading the above sorer installation or alteration in s;o; Utility Specifications. 4579270 Signs a of owner, electrical :ti a ctor or' +rinetrtcal administrator y l ode: RECE V t ELECTRI AUG 31 2009 ELECTRICAL INSPECTIONS Total (Qty Multiplied by Und Charaei Service/Feed :r 201 -400 Amp. Senrite/Feed s' 401.600 Amp. Servicel(eed tr 601 -1000 Amp. Service/Feed tr over 1000 Amp. Branch Circul [WI Service Feeder .c 7.5t Branch Circu. t WIO Service Feeder ,"..7.. ,,OP E a E ach Addition al Branch Circuit Temp. Su* Feeder 200 Arnp. Temp. Servic :{Feeder 201 -400 Amp. Temp. Servic a/Feeder 401-600 Amp, Temp. Servic :!Feeder 601 -1000 Amp. Portal to Pon 9I Hourly SignlOudine Jghting Signal Circa Limited Energy Commercial Signal Clrcull I Limited Energy 1 A 2 Family Dwelling Signal Circuit i Limited Energy Multi Family Dwelling Manufacturer [Home Connection Renewable E iectrtcal Energy 5KVA System or Less First 1300 St were Ft. Each Additio cal 500 Square Ft. or Portion of Each Outbuil ling or Detached Garage Each Swimn Ing Pool or Hot Tub Thermostat y 50 Total 1) Ogler nrel occupy the structure fear 'wooers at a this electrical mire is fiirelized. (Z) Owner 11 si gtired to him an ecd prom l y U for sate. rent or lease. e nt 1 hen luau (Addy that I am the owner of the above name properly or a licensed electrical oontrar. or. I am eking the electrical Oilmen with Cho electrical laws, N,E.C., RCW. Chapter 19.23, WAG. Chapter 296.468, The City of Port Angeles Ir4unicipai Code, and Service/Feed rr 200 Amp, Ca peck 14 Ca edit Card PAGE 01 Contractor Information �c L Name: ,5.J1'� e Mailing J 0 tA1 City State; Zip: Phone: 4.1,E 7 -`1a ?Fax: 45 '7— License Exp. 2 .1 &L 99 3 Application Number 09 00000726 Date 7/22/09 Application pin number 064298 Property Address 113 VASHON AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 1050 0000 Tenant nbr name FRED WINIFRED SLOTA Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4800 Application desc BATHROOM REMODEL Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 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 Per BASE FEE Contractor FRED WINIFRED SLOTA L P HANNA CONSTRUCTION INC 113 VASHON AVE 332 GROUSE DR PORT ANGELES WA 98362 PORT ANGELES (360) 928 2426 (360) 452 1572 Structure Information 000 000 BATHROOM REMODEL BUILDING PERMIT RESIDENTIAL BATHROOM REMODEL 150466 137 75 7/22/09 1/18/10 Qty Unit Charge Per BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Qty Unit Charge Per BASE FEE 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 1 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) PLUMBING PERMIT BATHROOM REMODEL 150482 79 00 Plan Check Fee 7/22/09 Valuation 1/18/10 1-.22-01 (ith„ 31b w -f WA 98362 Plan Check Fee 89 54 Valuation 4800 Extension 95 75 42 00 MECHANICAL PERMIT BATHROOM REMODEL 150474 72 05 Plan Check Fee 00 7/22/09 Valuation 0 1/18/10 Extension 50 00 7 25 14 80 Extension 50 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 00 0 Signature of Owner (if owner is builder) 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 Stemwail 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 PLANNING DEPT Separate Pen #s Parking Lighting Landscaping T Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. 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 Date Accepted By Application Number Application pin number Qty Unit Charge Per 1 00 7 0000 EA 1 00 7 0000 EA 1 00 15 0000 EA Other Fees Fee summary 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 09 00000726 064298 PL- PLUMBING TRAP PL -WATER LINE PL -SEWER LINE STATE SURCHARGE 4 50 Charged Paid Credited Page 2 Date 7/22/09 Due Permit Fee Total 288 80 288 80 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 382 84 382 84 00 00 Extension 7 00 7 00 15 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) FOUNDATION Footings Stemwall 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 Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In c i /tip PB Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Q ,_b'3 f B1 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 U Q Inspection Type PLANNING DEPT Separate Perrnit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date 6— I Accepted by -3L FINAL Date 2_,N) Accepted by -31-1— FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By z —16 1314— 1— Floor Areas Applicant irtd 6 I /I 7 Property Owner /13 rlecs Property Owner's Address //3 ViksA rr`- Contractor Contractor's Address F/4nnti License Parc& •Number Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360). 417 -4711 Total footprint of structure\ Site Coverage the amount o mpervio and other impervious surfaces see Max. height of proposed structur Will a lawn sprinkler system b installe Will a fire sprinkler system installed? �a 4�fir el -tom/ Date 1-,,21) Print Name W rn 51 o1 T Forms/B. ding Divisicn /Bldg Permit.doc �B ns +rk L i -t Expires PROJECT ADDRESS I l3 Ve ti r- >C Project Type Brief Description. Residential Multi -family Check all that apply New Construction Addition Remodel Repair d emolition Re -roof Heat System Other House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) sq ft. Lot size surface on a parcel including s AMC 17 94 135 for exemptions) Site coverage ft Occupancy group Occupant load Construction type For City Use Only 'Date Received 7,2 )..----Oct Permit (Y 2te ,Date Approve Phonq 3110 R�8 -Qy�b Phon 3 lob A{ t0 Phone E -mail Lot Zoning Commercial Industrial per sq ft. TOTAL VALUATION Lig00 tr uc auad driveways sidewalks patios sq ft. Lot coverage of bedrooms of full baths of half baths l have read and completed this application and know it to he true and correct. I am ajlhorized to apply for this permit and c, iderstand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. Signature r 'IC 5Z 43, ige":"Lz, Af" P?' 4 1:fr?, r ?r .4 1 Att r Tvt31 S hQwgR HALL WAS` EX G 0 0 0 P1lQV_ Tvg SH( I f3C apt QF� Q_ REMo CLQ$ T I _dAKbot w rieNd g{ 7K_t>ooR �N5.t// ©JtL rS }WA Kf c0 -1 TCWC."1 ON. To _n"?_c WORK L)/40- P.F 2. 16 1UU- j6 O c. Q xW D �TttEsE, k/ Lt4 CLAD w G `rJ8i 5a cftA i CLOSET" r l°. N CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the aemection of errors in said plans, specifications and other Iota, or from preventing building operations being seated en thereunder when in violation of all codes and ordinences of this jurisdiction. Approval Date N (lam v7 -co c..fkL-c. E Eb w St...0 P 1t3 vtltsitON 4A RA wA Application Number 06 00000052 Application pin number 269408 Property Address 113 VASHON AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 1050 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner PHILLIPS THELMA R SEBRING Fee summary FL COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc SIMPSON/ 10KW FURNACE 2 5 HP Permit pin number 68973 Sub Contractor SIMPSON ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 1/19/06 Valuation 0 Expiration Date 7/18/06 Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Charged Paid Credited Date 1/19/06 WA 98363 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 Extension 48 10 t DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD C' LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 COMMENTS g p c 5/z-710? .99/-1102.13 14/96) 'Electrical Contractor 0 Owner contractor name. L'cense numbs[ Date 0 7/7 c. r r C 'mpSe L ?732 Purchasrfi's mailing address /O/ 4f3 036 (,v Job wired by !„leptrical CY lY y T36 Telephone number FAX number 457 -927 0 r Prcryi►cs owner's name Addrmf inspect A c City 7 7L 49`,45i Phone num er to jgbedole inspe tlon Owner us defined by RCW 19 28.261 Owner will occupy the structure fur two years after this• electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is fur sale, runt or tease. Atter reading the above statement, 1 hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration LO compliance with the electrical laws, N.B.0 RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. 'Slignatu x Inspection Date TO 39:d ur o el owner, electrical Electrical Load Additions and or glbtractions 1.3 NO LOAD CHANGES 0 Baseboard KW Furnace 02 KW 0 Heat Pump Ton LAR Il Fan -Wall a KW Dale 7 D FINAL 00/0/_ az+ xpires untractor or eleetrical administrator L Date. App, cd Hy 100 By node Oulu DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PER 11TAPPLICATION (installation description 0 Commercial Residential 0 New Expiration Date j_...1-7 C)eo �f t;ard 9 r Overhead Service O Temp Service Underground Service SAME DAY INSPECTION, CAI L BEFORE 1.00 AM 360 -417 -4735 l ROUGH IN C THERMOSTAT CI Cash 0 Check 0 Credit Card Card App,ovcd by J 7 App, ad By 0 Altered/Addition cL SERVICE' Mau Dale App,uvud By FEEDER Mastercard Action Taken Approved av (1nPcce to grjv ice Information Voltage Phase 0 1 0 3 Service Size; Feeder Size: Discover Electrical Inspector J OI2110313 NOSdWIS 0LZELSb BE E0 9002 /LT /T0 t. NOO 0 , 0 N , 0 rl , , , (<1(<1 , elE-< , <l;<l; , <>.Q , , , , , , , , '" , 0 , Lll , N , , , r- , rl OJ , "" rl , >< , m , 0 <: , '" '" >< , M 0. ...:I , rl <t: , (<1 , .. 0 H > ~~ ...:I H (<1(<1 E-< Q ZZ rl UJ (<1UJ g; 00 0,," (<1 :.:'" :>::>: M E-< ~~ UJ <>.<>. 0 "'''' Z E-<,"> :;:M H .. 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O::OOO::W U+JWUf-1 WUO:W<<' :>:0<<':>:00: ~ N a 00 '- 0. >< E-< ri o '" '" W :>: W :> o E-< 00 o o o ~ 00 W E-< o Z o ~ 00 E-< Z W :>: :>: o U FOR OFFICIAL USE ONLY: DateRec.: Pmnit N: "7 / .3 9 Date Approved: j "" D... Ia,ued: I 2/7./ / (.PO ( . ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completely. Please type or print In Ink. If you have any questions, please call (360) 417-4735 Fa:t number: (360) 417-4711 Applicant and/or Agent: f);> 5 Property Owner: Address: ~kcit<..(C4/ Phone: 4!s-ZAC,7.>3 Fax # Phone: City: Zip: License #: Exp: Phone: Contractor Address: City: Zip: Credit Card Holder Name: S~ c..~1 / ~ Billing Address: .5''1 b &-/U..NM.J N. Credit Card Number Permit Fee: TI C,I >'" J4c-,f CifJ1./lJd-+,f< Zip: '7?r.:r6 '? Exp. Date: JlISA_ MC X- PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: //3 I/pf-:(~' (~E:IL'4f-J . ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Multi-family 0 Commercial 0 Mobile Home Electrical Permit fees are based on WAC 296-46-910 BRIEF DESCRlP'nON OFTHE PROJECT: C~1t ~~ ;qJJ A~Wrlll, Electrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW KW KW o Riser o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 I 0 3 Service Size: Feeder Size: Comments: I hereby certify that 1 have read and examined this application and know the same to be tme and correct. and I am authorized to apply for this permit, 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain su~pp J . J PW-1I02.23 [rev3t.OO] Credit Card Holder's Signature: , 12. ~.l' Date: 5-;l3-Olacro f VORT ~ 8J,.o~l(~ ~ ~-- ~IC~ CITY OF PORT ANGELES DEPARTMENT 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 . . . . 08-00000538 Date 736456 113 VASHON AVE 06-30-10-5-0-1050-0000- FRED & WIN SLOTA PLUMBING REPAIR 5/05/08 RS7 RESDNTL SINGLE FAMILY 200 Application desc RELOCATE PLUMBING FOR DISHWASHER Owner Contractor FRED & WIN SLOTA 113 VASHON AVE. PORT ANGELES (360) 417-2506 OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . PLUMBING PERMIT RELOCATE DSHWSHR PLUMBING 126045 57.00 Plan Check Fee 5/05/08 Valuation 11/01/08 .00 200 Qty Unit Charge Per Extension 50.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 0? ??/ /a.. /~ ~O ....... qp 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 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. S-5-() F! 01.) / n .5 I () 1-",- Date Print Name Signature of Contractor or Authorized Agent (;UJ\~~ ~ rJh-- Signature of Owner (if owner is builder) T:FormsfBuilding DivisionfBuilding Pennit (10101/07). wpd BUILDING PERMIT INSPECTION RECORD ,. CALL 4 J 7-4815 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 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. D DO , \f\ ~ 00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUG.H-IN WATER LINE (METER TO BLDG) O-ZO..Q& -:s; LL- ACCEPTED BY: GAS LINE FINAL \ ATE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING --- JOISTS I GIRDERS - SHEAR W ALL/HOLD DOWNS UV WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) ? T-BAR l/) INSULA TION SLAB ;5 W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET / CHIMNEY FINAL DATE ACCEPTED BY: 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 C. CONSTRUCTION R. W. I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. ...... PLANNING DEPT. 417-4750 _. PLANNING DEPT. BUILDING 417-4815 BUILDING ~ 6' t \) ~ U ~ T:Forms/Building Division/Building Permil (I % 1/07).wpd ~ Applicant or Agent +- r "itA S I 0 +-^- Property Owner -.J rt,q Ci- Vl.J ,"/I Property Owner's Address 113 VASJ."-rJ Contractor/Engineer OW" -tJL Contractor/Engineer's Address License # BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only: Date Received S - 5"-0& Permit # ()g- -53&' Date Approved Phone ~ I 0 fA.. Phone f 01'"+ Anj-LI"tJ IN A- I Phone 3lt tJ.- 411- .250 It /1IJNJ'.. <783i.J0l, k.;C Expires PROJECT ADDRESS II VASA,.--n A Parcel Number Dk-3b-lO- 5"b /V5 Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Heat System ther Floor Areas Basement 1 st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Zoning ..>(Residential o Commercial o Multi-family o Industrial o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other Existinq (sq. ft.) Proposed (Sq. ft.) @$ per sq. ft. = $ TOTAL VALVA TlON $ sq. ft. % Lot size sq. ft. = Lot coverage Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 5-5-t); Print Name W;,,\ Slvt-iL. T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc Signature W~ 9~ f90RT~ $.J.O~~~ ,. "-~ ~ 'tSi:,,~ CITY OF PORT ANGELES DEPARTMENT 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 07-00000839 Date 332085 113 VASHON AVE 06-30-10-5-0-1050-0000- FRED SLOTA MECHANICAL APPL. PERMIT 7/17/07 RS7 RESDNTL SINGLE FAMILY 3000 Owner Contractor FRED / WINIFRED SLOTA 113 VASHON AVE. PORT ANGELES WA 98362 (360) 928-2426 EVERWARM 257151 HWYI0l PORT ANGELES (360) 452-3366 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT WOODBURNING FIREPLACE 107292 100.00 Plan Check Fee 7/17/07 Valuation 1/13/08 .00 o Qty Unit Charge Per Extension 50.00 50.00 BASE FEE 1.00 50.0000 ECH ME-WOOD BURNING APPL. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 1; ~ -0 ~ C/..... CZp 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. \tJ~ - Signature of Contractor or Authorized Agent QL~ 1-/7-01 Date Signature of Owner (if owner is builder) Date T:\PoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005] BUll.,DING PERMIT INSPECTION RECORD o ~ , 0<) vJ -S) 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 UNLA WFUL TO COVER. INSULATE OR CONCEAL ANJ' 'WORK BEFORE INSPECTED A.1\'D ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TJON DRAINAGE I DOWN SPOUTS PIERS I POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER . AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALIJHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL ROUGH-IN HEAT PUMY I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING ) FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 \O-7-D:..nS( -:r iL- BUILDING ~ lfJ < ~ o ::s- o ;5 ;r 3 (t) ~, T:\Policies\1102 15 building pennit inspection record05.wpd [1/412005] ~ " 0' :. ::-:- '''''e;;, dS _1""'l'~lf.t;../(J ~-,~ ~...~~I ~~I ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: {~ Il'-O]~ Permit #; Of - 83q Date Approved: 0 1 ~ ( 7 ~ 0 Date Issued: \ \ Fill out COMPLETELY and ill INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: OlA..) ("\ 'l/L ~ .. Owner: ?-r-l.d ~/{) ~ Address: J J 3 \I ^ ~ /... rr--- City: f It- Phone: Phone: .sIR o-1a ;;-..2 J../P.. '" ---- Zip: Cf fr~ u.!<. Architect/Engineer: Contractor r V-eyW~ Address: PROJECT ADDRESS: ) 13 ", LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Phone: State License #: Exp: Phone: City: vi Pr.!. A (7IL I\\l~ fpy+ Zip: f.+.n :t-l. I'C' .J /..J t4- ZONING: qJ'3/s.!:l..... Subdivision: Block: TYPE OF WORK: Jil<Residential D New COllStr. D Re-roof D Stove o Multi-family D Addition 0 MoveD Garage o Commercial D Remodel D Demolition 0 Deck o Repair D Sign y( Other BRIEF DESCRIPTION OF THE PROJECT: '^)~ burnlYj SIZEN ALUATION: SF. @$ ISF. = $ SF. @ $ ISF. = $ SF.@$ ISF.=$ TOTAL VALUATION $ 3,OVtJ,OO . -h' re.pkce i nSer + COMMERClALIRESIDENTlAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWet1and(s): DYes D No SEPA Checklist required? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4 815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. . T:\FORMS\BldgPermitform.wpd Applicant: lAJ l~^ ~ ~D~ -- Date: 1-/'7-t) 7 Ulr- 0 , Ul .... , \D r.1r.1 C9E-< <(<( o..Q \D N .,. N . 0) N '" 0 \D >< .., ..:l >< >< 0: ..:l ..:l r.1 0: 0: H ~ r.1 r.1 ..:l Ulr.1 H H E-< Q ZZ ..:l ..:l Ul r.1Ul ~ 00 'J 'J r.1 "'r.1 "'''' E-< ~~ Ul 0..0.. 0 ~ ~ Z E-<'J Q Z .. ~ 00: r- 0) HO Ul .... .... E-<E-< E-< Ul UU Z 0 0 E-< r.1r.1 ~ ~ .... .... Z 0..0.. C9 r.1 UlUl HZ:>: Z :>: ;:::~ ffiOO Hl'Hr""- :>: HU ~O<(O 0 E-<' oZO U Qo..Ul ~NHN HHE-< tx...........tx........... UlO:..:l Ul Ul ...:l ~U::> t)..-i(!J.-t oUl UlUl Cl.........Cl......... OQ r.1r.1 H\.OHI.D 00 .QO: 0::100::10 <(0:>: f-< E-< 'r.1 000: H ..:lUl ~o.. UlOUl .., r.1 ....r.1 N ~ Q '0: "-Ul::> r.10 ZUl 0) 0: ..,. tllHr.1 .... Z<( ~UlO :z: 0: OE-< H . .., H 0 :>::0 ZOO 9 ....Ul Ul..:l H....O r.1 <(Ul ~ '0 HQQ t -..:l :> '00 ::>r.1r.1 r- r- r-r.1 Q Q..,o ~E-<E-< ~. 0 0C9 ..,r.1 r.1 , , Ulr.1 , ;;,~ ....0: 0: \Dr- 0r.1..:l ~j Ul ....~ ~oo 0::>0.. .... .... 0:>: , , 'E-< r.10 \D \D \DO: 0: 0: l>:O:U 0 . I1l 0: .w "" 0.. zo III ~ Q E-< .~ r.1~ Ul -u .... .... 0:0 UlE-<<( ..:lZ f-< 0 0 0 <( gj~~&l~L H Ul 0..>< ~ , '" r.1E-< QZzzo:o.. 0.. .., '" O:H ~r.10~<(0.. >< ..:l ..:l o..u E-<UOo..<( "- E-< III III :f ~ORT ~ tO~~~ .,.. ....~ ~ 'l.iiloc~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 <<> .,..:J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000304 Date 370032 113 VASHON AVE 06-30-10-5-0-1050-0000- FRED SLOTA RES REMODEL 3/23/07 ~ ~ -1:.. RS7 RESDNTL SINGLE FAMILY 4500 Owner Contractor FRED/WINIFRED SLOTA PO BOX 1906 PORT ANGELES WA 98362 (360) 928-2426 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL NEW EVES AND RE-ROOF 97881 137.75 Plan Check Fee 3/23/07 Valuation 9/19/07 55.10 4500 Qty Unit Charge Per Extension 95.75 42.00 - -- BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 <Y '- ~ ~ S Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 55.10 55.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 197.35 197.35 ..00 .00 ~ ,. ~ ~ ?z;o- ~ Y -J.. ~ ~ 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 PEtriod of 180 days after the work as commenced, or if required inspections have not been requested within 1,8,9 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 ot a p.erf!1it does n9t 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:\Policies\l102_15 building penn it inspection record05.wpd [1/4/2005] " ~ BUILDING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A IvlINlJ'vlUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOR.K BEFORE J/I/SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNOATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING ~Yn\nJ oCe f 15 I 07 PB JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF / CElLING DRYWALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL I FLOOR / CEILING MECHANICAL ROUGH-IN HEAT PUMY I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET I CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCYJNG & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlH's SEPA: PARKING/LIGHTING ESA: LANDSCAI'ING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTIUCAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 4 I 7-4653 FIRE DErT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 Of.n 1/6/ Of tVp)- \ BUILDING T.IP"lir.;e<ll HI? 1 'i hlJildinl' nennit insnection record05.WDd 1114/2(!051 . BUILDING PERMIT - APPLICATION ~ , \ Fill out COMPLETELY and in Th'K. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call . PERMITS (360) 417-4815 FAX(360)417-4711 Address: Il3. SLOTA VI\SH'ON AvE. Phone: Phone: (3(0()) 9 '^~ - ~ c{ ~ b City: PORT ANGr€LES Zip: 9~3(o.2 Applicant or Agent: Owner: F~ED Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Zip: ZONING: City: AVE Address: PROJECT ADDRESS: 1 (~ V f\;.S HON LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: ~ Residential 0 New Constr. ~Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRlJ>TION OF THE PROJECT: fft'TACH SIZEN ALUATION: SF. @$ /SF. = $ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ Ev6S ro !-t()uSE:. A-N.O:::> r:2.E- ~ooF Occupant Load: & Proposed Sq. Ft. Construction Type: \/ 8 = TOTAL Sq. Ft. COMMERClAL/RESIDENTlAL: Occupancy Group: t2.- 3- No. of Stories: ..l.- Lot Size: Existing Sq. Ft. Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 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'(f" r.- ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 06-00000066 Date 959302 113 VASHON AVE 06-30-10-5-0-1050-0000- FRED SLOTA MECHANICAL PERMIT 1/23/06 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 8400 Owner Contractor PHILLIPS THELMA R ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 SEBRING FL Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 69278 Permit Fee 36.40 Plan Check Fee Issue Date 1/23/06 Valuation Expiration Date 7/22/06 .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 Permit MECHANICAL PERMIT Additional desc Permit pin number 69260 Permit Fee 64.70 Plan Check Fee .00 Issue Date 1/23/06 Valuation 0 Expiration Date 7/22/06 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 101.10 101.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 101.10 101.10 .00 .00 " " \P ! L ~ ~ 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 constr ction. ...... Signature of Owner (if owner is builder) Agent Date L- BUILDING PERMIT INSPECTION RECORD " ~ "'"... . or, 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 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 FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP/FURNACE 1 DUCTS (i\eG~o.n~\ h'~\ GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL () '-27-o~ATE J'L-L-- ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 I ~ PLANNING DEPT. BUILDING 417-4815 'r: . BUILDING T:\Policies\1 102_15 building permit inspection record05.wpd [1/4/2005] JAN-20-2006 10:04 AM ALL WEATHER H/C Inc 360 452 5177 P.01 ..~ \a. ~p ,BUILDING PERMIT. APPLICATION I 71, 8"UdIrtf htwt.t, . ~pllt:tldDlI ."" 1M /IIl<<I_1II eo"",.,..,. ,.... .,... .r prIDt Ia Iak. If you ban aDY qullUou, ple.e cau 41''''815 AppIiClllt 01' Apat: Ow.r:..F{~C\ S~ G> 4a AddIw:J)~ \. )(1~ndt) ~ Phone: CcmInaIor~y ~ }~ Lic~#:CLIluteh(' L<<;bK~:~ PboDe~ ~\ \ ~ ~~~~Q n c~;:ri~lr;/2 mNIIf::31r,~ (n~ ~'LoI: Block: . _~bdiw_ CI,.6.r .I.w cotnn'Y 'AItCIL N1JMBIIlI Credit Card Bolder N.m.: ...... Md~1 ' City: CndIt c. .: Esp. Datil Pheme: ::>CDD-~l5"2- q [J~ Phone: L~ ~ L - lJ,q LJ Of Zip:fj 9;'3 (0 L VJS.A MC TYfICWWOB: SlUlVALVAnONc ~Ur. ~~'I a New Cautr. CI RHoof C WoodItDVD SF. @ S ISF. - S.....a....JLIO a IimilJ a AckUtlaa CI Move C Ouqe SF,.@S ISF.-S CI C.-.III~dI1 ,)it....... CI DIIDOUtioD C Dock Sf'.;@'S' - ISF. - S C1llepair C Sip C TOTAL VALUAll0N s' ~c../t10 IIIUU~OI'11IIraoacr: ~:y \ 1'-j-\;n 11n'-hCJ\r\ '0)) L Vrrlh~f~l1.~ . - I . CO~1NTlAL: Ocoupuc)' Oroup: OC:C:UPlDt Lold: No. ofltariol: _ Lot Sill: % IAt Cover..e: BxiIdDa Lot Coverqe: Ilq. ft. + PrDpoHd Lot Coverage: PLANNPfG VII ONLY: N...r Coaatruc:tioD Type: %. Ilq. ft. · TOTAL LOT COVERAOE: APPROV ALII PLAN ~ D'\\, I'ID O'J'lftD laq.ft BSAlWeduad(.): D YeI C1No SBPACIIIokliltreqWred? a Yes C No 0Iber: . ;. al1llaDfG ......,.AI'&ICATlOK IlJIIMlTl'ALI 'if., ."... 11M""" ."" IMJIIIM'''~IIF.P('' II" _frfltJJ~ rwt.... ne 8uDdiDa DlviaioD eID pmvide you 1rit!I more de1ai1ed iDformation OD tho application lad plan .ubmittal 1"OCI\IiremeIUa. YOW' compl-.t appJicadaa. lite pllD (for additioaa) aDd bui1cliq coutnacdcm pluLt are to be IUbmitted to the Buildiq DiviaiOD. V ALVA'I'IOJlf OJ' CONl'l'avcnO":. .. aU ..... .......... _WIt IDIIIt be IDtared by Ibe 1ppUc:aat. 1lUa ftaure will .. rmew..t and may be nviaecl by die BuildDIa DMaionto comply with c:urreDt fea Icbedu1ea. CoDtac:t the Permit CoorcUutor It 417-4815 far ...u....co. PLANCDCKn&: Your pLlll abeok lie ill due It the time the buUdiaa plllJDit applicatiaa IDd l:ODItnIctiaIl piau Il'CllUbmiaed. AU olber permit fOIl.... due It tho time ofpam:Ut iNIIaace. IXI'IRAnON OJ' PLAN UVlEWs It DO perllUC 11 iuued witbiD 180 d.,. of1be date of applicltioD, thia ,.ppUca... will upln. 'J1le BuildiDa Official CD extead the dale for lCuon by the applicant up to 110 day. UpoD wrinea rcqua't by the applicant (aee SactiOllI07.4 of the UDifonn BullcUaa Code, cunat edidOD). ND eppUc:atioll CAD be extendod more th&D once. I II..... ~ III", I Mw NtIII GIld atJ1II"'''' 1111" application arId GlOW lhe '''m' 10 be h, ""d comel, "nd I am "ulltorll_ 10 tlpply /0, ,Jail p-",.U, I UIIJ",1tuUI I' ilnol "., Ot}'~ I'gal rapollllhm~ 10 d8,e,.".t"e wh"t p,,.,,.'" 1Irt: r'f/ulred,' II f'emtJlu ,,,, appllell"", rt.IporulblUlJl1o d.,.,.".;". wIt",,.,,,,1I8 tn'f required Gild 10 oblaUt II, I T:\POIU4I\AP...."lkllnpnnll . . :,':.-,.., . DIIeI .l::J 8 -~ (~ I:"... CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000501 Date 013243 113 VASHON ST 06-30-10-5-0-1050-0000- FIRE ABANDON TANK -INSPECTION 6/20/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor PHILLIPS THELMA R SEBRING FL PETTIT OIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457-9404 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . UNDERGROUND TANK RES SLURRY FILL TANK IN PLACE 52373 15.00 Plan Check Fee 6/20/05 Valuation 12/17/05 .00 o ~ ~ ~ ~ ~ ?:- Qty Unit Charge Per BASE FEE Extension 15.00 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 X?- e'f.~\~ ~ 0",0 \ '],..-lr This permit becomes null and void if work authorized is not commenced within] 80 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 compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the g ovisions of aflY state~_ r ,11 regulating the work specified in the permit. 7il ~~O,t/ Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date ~ I 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 Tank (container) inspection Time initiated 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 UST abandonment final PERMIT OTHER (specify) permit final " Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00