HomeMy WebLinkAbout724 E 10th St - BuildingElectical Permit
724E lOthSt
13 -315
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
4/ 6 3
V. Y
FINAL
11
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 -4 circuits basement remodel
Owner
SHAUGHNESSY PAT C
724 E 10TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983628004
ELECTRICAL ALTER
1 -4 CIRCUITS, 2X
150.00
4/01/13
9/28/13
150.00
.00
150.00
BASE FEE
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
13- 00000315
348115
724 E 10TH ST
06-30-00-0-3- 3415 -0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
150.00
.00
150.00
Contractor
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(360) 452 -9264
RESIDENTIAL
FEE NO PERMIT
Plan Check Fee
Valuation
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Paid Credited Due
.00
.00
.00
Date 4/01/13
WA 98362
.00
.00
.00
.00
0
Extension
150.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
C)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Firth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: D Vl I<2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 72. a_
Job Address:
Building Square Footage:
Description of above
to a -Z i s 3•40 124 Pi-
Owner Informatf
Name:
.SK.4- 1v15�
Mailing Ad. -s: 724l At /DIN S
City: State:, Zip:
Phone• ax:
license Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401.600 Amp
ServicelFeeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1.4
Temp. Service/ Feeder 200 Amp.
Temp. SeMce&Feeder 201 -400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Chants
120.00
146.00
205.00
262.00
373.00
5.00
63.00
5.00
75.00
93.00
110.00
$149.00
$168.00
96.00
64.00
$120.00
102.00
56.00
120.00
40.00
74.00
$110.00
1111 &GIGO 1:1c1. 1.1 1l.
3/3v�i 3
APR 120
ELECTRICAL
INSPECTIONS
Contractor Information
Nam: A NLLlt$ S
Mailing Address• .4 fZ'/' F Fi ST S'
City:
a' te:1 Zip: �3G2
Phone. 1t5 *R Fax. -1/i51.. .l
License Exp AIU e..iffF SIB
Total (Qtv Multiplied by Unit Choral
I Xa s�
S
s
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: 0 Cash Check
teen cab:
01101/2012
(jVV /U
Building Permit
724 E lOthSt
13 -270
Application Number 13- 00000270
Application pin number 378100
Property Address 724 E 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3415 -0000-
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 20000
Application desc
CONVERT GARAGE TO LIVING SPACE ADD BATHROOM
Owner.
SHAUGHNESSY PAT C
724 E 10TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
18.00 14.0000
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
3.00
1.00
7.0000 EA
7.0000 EA
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
WA 983628004
BUILDING PERMIT RESIDENTIAL
ADD BATH TO BSMT
347.75
3/25/13
9/21/13
Per
BASE FEE
THOU BL- 2001 -25K
MECHANICAL PERMIT
VENT FAN IN BATH
57.25 Plan Check Fee .00
3/25/13 Valuation 0
9/21/13
Per
Qty Unit Charge Per
Contractor
OWNER
BASE FEE
PL- PLUMBING TRAP
PL -WATER LINE
PLUMBING PERMIT
ADD BATH
78.00
3/25/13
9/21/13
(14 PER K)
BASE FEE
1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT)
Special Notes and Comments
Carbon Monoxide Detectors: Existing dwellings shall be
equipped with carbon monoxide alarms when alterations,
Date 3/25/13
Plan Check Fee 226.04
Valuation 20000
Extension
95.75
252.00
Extension
50.00
7.25
Plan Check Fee .00
Valuation 0
Extension
50.00
21.00
7.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical 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
ctei constru
z ife4ilior
w
ate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type r Date
Accepted By
Inspection Type
Comments
FOUNDATION:
Accepted By
Electrical
Footings
417 -4735
Stemwall
Construction R.W.
PW Engineering
Foundation Drainage Downspouts
Piers
417 -4653
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
Accepted by
Under Floor Slab
417 -4815
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
FINAL Date
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceilin.
Drywall (Interior Braced Panel Only_
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Accepted by
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
FINAL Date
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
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.
T:Forms /Building Division /Building Permit
t
Page
Application Number. 13- 00000270 Date
Application pin number 378100
Special Notes and Comments
repairs or additions requiring a permit occur, or when one
or more sleeping rooms are added or created. Carbon monoxide
alarm(s) shall be installed outside of each separate
sleeping area in the immediate vicinity of the bedrooms and
on each level of the dwelling and in accordance with the
manufacturer's recommendations.
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
STATE SURCHARGE 4.50
Charged Paid Credited
483.00 483.00 .00
226.04 226.04 .00
4.50 4.50 .00
713.54 713.54 .00
Due
.00
.00
.00
.00
2
3/25/13
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)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 -4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
FINAL Date
Accepted by
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:
FINAL Date
Accepted by
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
PLANNING DEPT. Separate Permit. #s
SEPA:
ESA:
SHORELINE:
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.
T:Forms /Building Division /Building Permit
Project Address:
9 i Primary Contact:
v 1 n rS
Phone J S Z q y
E -Mail. 5 i s .ess if." ,i,- ,G
Property
Owner
Name act_
Phone
3[eo -YS
Email
Mailing Address
City n
State
Zi S/ 2
Contractor
Information
Name
�1 ryl
W
O DI 1 I Ds
License 1 I rn5 N.
q 7 7` D
Email
Expiration Date•
Legal Description:
Zoning:
ae s 4-
Tax Parcel
Project Value: (materials and labor)
Permit
Classification
(check
appropriate)
Residential .21"
Commercial Industrial Public
Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Exterior Remodel Addition Tenant Improvement
Mechanical Plumbing Other -.-l:
Existing Fire Sprinkler ystem?
Yes No
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Project
Description
4 .r111(f I _..aa.: A
I v s �!Fi/ �'�1 JIRA t% (2.44±1
Is project in a Flood Zo e: Yes No lood Zone Type.
If in a Flood Zone, what is the value of the struct re before proposed improvement?
I have read and completed the 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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up /issued within 18o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
31 246 i 3
Date
Pc,.i k ski
Print Name
411 EP
Signature
W A S H 1
321 E. First Street
Port Angeles, WA 98362
P: (360) 417 -4817
F: (360) 417 -4711
E -mail: permits@cityofpa.us
N
G
T
a
N
u. s:
Building Permit Application
Permit#
Date Received:
Date Approved
For City Use
P 'Cr-7o
2A,3
3r�
Residential Structures
Area Description (SQ FT)
Existing
Proposed
value
For Office Use
Basement
33 S
33e
Heater (Suspended, Floor, Recessed wall)
First Floor
Size:
Heating /Cooling appliance
repair /alteration
Second Floor
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
Covered Deck /Porch /Entry
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Deck (over 3o" or 2" floor)
Ventilation System
Garage
Carport
Other (describe)
Area Totals
Mechanical Fixtures
Indicate how many of each
type of fixture to
Size:
be installed
or relocated as part of this project.
Haz /Non -Haz Piping
of Outlets:
Air Handler
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
Size:
Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached, not
portable)
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
of
Outlets:
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Ventilation System
Commercial Structures
Area Descriptions (SQ FT)
Existing
Proposed
Value
For Office Use
Existing Structure (s)
Water Line
Medical gas piping
Sewer Line
Industrial waste pretreatment interceptor
Proposed Addition
Other
Tenant Improvement?
Other work (describe)
Site Area Totals
Plumbing
Fixtures
or relocated.
Indicate how many of each type of fixture to be installed
Plumbing Trap
Fuel gas piping
#of Outlets#
Water Heater
Water Line
Medical gas piping
Sewer Line
Industrial waste pretreatment interceptor
Vent piping#
Other
Lot /Site Coverage Calculations
Lot Size
%Lot Coverage (Sq Ft of all Structures):
%Site Coverage (Sq Ft of all impervious surfaces including structures)
BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX
-1
cc
f1LE
1,provai Date
.a1) 9
k\N__
^t`i'lt OF PORT ANGELES Construction N us
The issuance of this permit h^sod upon these plans, specifi-
rcruens and other data s` -'I not ri's the building official
`yam thereafter requiri-g the correct en of errors in said
Duns, specifications and ether data, or from preventing
)ttilding operations being carried on thereunder when in
violation of all ccdes a;id ord oa es of this jurisdiction.
Pan Qi ,off
F
1--E)H<E
P Czo
PREPARED 4/05/13, 15:08:43 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0 /00 /00 THRU 0 /00 /00
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
000 000 PL 00 PLUMBING PERMIT
ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR
13 00000270 724 E 10TH ST 06- 30- 00 -0 -3- 3415 -0000- 063000033415
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 4/02/13 CANCELLED
REQ COMM: Pat 452- 4466/565 -0870
REQ COMM: *At or before 12:00 if possible
RES COMM: April 2, 2013 4:17:09 PM jlierly.
RES COMM: Electrical final not complete. Reschedule for next day. jll
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0002 BLDG FINAL 4/03/13 APPROVED
REQ COMM: April 3, 2013 8:30:56 AM pbarthol.
REQ COMM: Pat 452- 4466/5650870
RES COMM: April 3, 2013 10:25:09 AM jlierly.
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 4/02/13 CANCELLED
REQ COMM: April 1, 2013 8:37:58 AM pbarthol.
REQ COMM: Pat 452- 4466/565 -0870
REQ COMM: *At or before 12:00 if possible
RES COMM: April 2, 2013 4:17:09 PM jlierly.
RES COMM: Electrical final not complete. Reschedule for next day. jll
000 000 ME 00 MECHANICAL PERMIT ME99 0002 MECHANICAL FINAL 4/03/13 APPROVED
REQ COMM: April 3, 2013 8:31:25 AM pbarthol.
REQ COMM: Pat 452- 4466/5650870
RES COMM: April 3, 2013 10:25:09 AM jlierly.
000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 4/02/13 CANCELLED
REQ COMM: April 1, 2013 8:38:08 AM pbarthol.
REQ COMM: Pat 452- 4466/565 -0870
REQ COMM: *At or before 12 :00 if possible
RES COMM: April 2, 2013 4:17:09 PM jlierly.
RES COMM: Electrical final not complete. Reschedule for next day. jll
PL99 0002 PLUMBING FINAL 4/03/13 APPROVED
REQ COMM: April 3, 2013 8:31 :40 AM pbarthol.
REQ COMM: Pat 452- 4466/5650870
RES COMM: April 3, 2013 10:25:16 AM jlierly.
JLL
JLL
JLL
JLL
JLL
JLL
�
QTY OF PORT ANGELES l
9 FiC1IT APPLICATION "� S-1
Building Divisaon/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Part Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 JUN 014 Me W-F,
1 &28ngie Fat #y D dIIng ELECTRICAL
INSPECTIONS
Ran PeAew May Be red, Please Comer Rectricd Plan P&AewI tion Sheet
Job Addnass: � �° / ® --
Widiing Sq ov Footgge: r
DWption of abate ,-s s' —
Omer Inf 'on ContradQr Informd'
Nam: Nmm' se
lUilir>g hl�ilir�y c� a'
air; Sta6� !x �_�
P US 7- f 0
Lioee #1 8 p Lne0 �p�
'!
9 7
j= unit Charge ay Todt a, Miltic Jed by Qhit Charge)
Servioeif r ZOO Mp, $120.00 _
servloelFaecr201�00Amp. $148,00
$eimWFeedef 401.600 Amp $ 205.00
Sr~ WFeeder 601.1000 Alsp. MOO $
Servlmr-eeder over 1000 Anp. $ 3mloo $
Oanch CrroJt W SeMoe Feeder $ 5.00
Bmr& arcUt W0 Service Feeder $ e3.00 $
E- ChAdd{honalerar&Orcuit $ 5100 $
Branch Or-culls 1-4 $75.00
Terre. Servioal Feeder 200 MR $ 93.00 $
Temp, SennoaFwkr 201400 Arrp. $110.00
Terre, SeMoe'Feedisr 4M49M Ar p. $149.00
Temp, Servioa'F'eeder 801 -1000 Arrp . $166.00 $
PcM to PorWi t bully $ 98.00 $
Sigrol OrmW United EneW -1 &2 Fmily Welling $ ROO
Nlanufactured Horre COrv10Cbon $120.00 -- _ $
Paxwrable Electrical nwW - SiNA Sysm or less $10200 1i
Thamx bt $ 56.00 `$
Note: $6 00 for each adcttlanal T-dt
LOQU ONLY
First 1300 warp R $120.00 $ ._
Etch kdbonza 500 Square FL or Portlon of $ 40.00
Each Outbuilding or DYad*ed Game $ 7400 $
Each Snir+rdng Pbd orHc b $110.00 $
$ ! Total
o m-a as defined by FiON19.26.261: (1) Owner will o=py the stWure for tm yem afler'this electrical pm" is finalized. ( � O4ww is required
to hire an elecUical contractor if abovin said ptx;" is for sales rent or le e, grit epires doer six months of last inspection.
After reading the above statement, I hereby oerlify that I am tha am-er of the *om nmmd property or a liom;ed eledricd cortmdor, I am making
the electrical installation or alteration in cw0imm with the ele*c d lam, REG, F CW. Chapter 19.28, VV C Mpter 2964 lie, The Coy of PW
Angeles Municipal Coder and Utility Wcdons and PAW 14,05.050 regarding Bectical PemitAppllog ions.
Sgn re of ahnmer, electri ractor or electrical administrator: ❑ cash ❑ Ched£
r Crude t Card #
,_Ct�ted; �n�n `r� `� �� __ 0 ?.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , . . 14- 00000634 Date 6/02/14
Application pin number . , . 631058
Property Address , . . . . . 724 E 10TH ST REPORT SALES TAX
PARCEL NUMBER; 06-30-p0-0-3- 3415 -p000-
Application type ,description ELECTRICAL ONLY on your excise fax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , . , . 0
Application desc
Ductless heat pump
Owner
Contractor
RESULTS:
---------- -- ------
SHAUGHNESSY PAT C
------
------------------------
SIMPSON ELECTRIC
724 E 10TH ST
243036 W HWY 101
PORT ANGELES
WA 983626004
PORT ANGELES
WA 98363
� h L4
(3 60) 457 -9270
Permit . .
. ELECTRICAL ALTER
RESIDENTIAL
Additional desc
1 -4 CIRCUITS
Permit Fee , . .
. 75,00
Plan Check Fee
d0
Issue Date . , ,
. 6/02/14
Valuation . . ,
, 0
Expiration Date
11/29/14
Qty Unit Charge
Per
Extension
BASE
FEE
75,00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
75.00
75.00 .00
00
Plan Check Total
00
.00 .00
.00
Grand Total
75.00
75.00 .00
.D0
INSPECTION TYPE
DAVE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH-IN
� h L4
FINAL
COMMENTS:--°
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contrabtor X Date:
G:TXCHANGE\I3UILDING
1
W
��Ilj
2