HomeMy WebLinkAbout128 E 11th St - Building
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'~ITY OF PORT.ANGELES . ....'
DEPARTMENT OF COMMUNITY DEVELQPMENT-Bun.nING DIVIsION
321 EASTSTII STREET, PORT ANGELES; W A 98362
perinit . . . . ."
Additional desc
Sub Contractor
PermitFee. .
Issue Date . .
Expiration Date
ELEc;'1'RICAL ALTER RESIDENTIAL
2 CIRCUITS
SIMPSON ELECTlUC
46.70 Plan Check Fee
11/20/03 Valuation . .
5/19/04
.00
o
Application Number . .
Property Addr~ss .
ASSESSORPAR~NmmER:
Application'description
Sllbdivision Name ..
property zoning. . .
Application valuation .
03-00001027 Dclte'll/20/03
128, E llTHST ''::
06-30-00~0-3'-4310..,0000-'-"'-' '"
RES REMODEL ,:,
RS7 RESDNTL SINGLE FAMILY
7600
Owner
Contractor
--~--,----~-------~----~-
------------------------
. . " , ,.
YATES. TTEMARVIN/ JANICE
224 W9TH ST
PORT ANGELES WA 983627704
A' DEPENDABLE CONTRACTOR
P; O.BOX'1574
PORT ~GE~S WA98362
(360) 452""877Q
--~----~--'~~--~~~--~-------~--'--------------~~---~~~~-~--------~--~---------
Qty . unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
----~---------------~-----------------~----------------~--------------------
Other Fees . ~ . STATE SURCHARGE 4.50
Fee SUIII1Iar'y , Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
perinit Fee Total 46.70 46.70 .00 .OQ
Plan CheCk Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .cio .00
Grand Total 51. 20 51.20 .00 .00
Separate Permits are required for electrical woik, SEPA, Shoreline,E~~, utilities, private and public improvements,Thisperiiilf~jcon)..s
riullandyoicfifworl< or construction authorized is not.commenced,witilln 180 days, if construction orwork Issus-pen~~CFcff;Jlb~l1d~r)~;d
for a period of180 days after the work as commenced, odfrequired inspections have .,ot been requested withiti180"~;l~frQ,m'~h~;r~*
inse~ctlon,.1 hereby certify, that I, have read and ~xamined t~isap'plica~on and kn~w the sa~e to be true and C?r:r~.,'?~~!,prg~is~nlt~f
laWt; a.n~ordJnances govemlng thiS type of work Will be cqmp.hedWlthvroether speclfiedhereln or not. Thegranting()f~;P~rI'Jli~d.9~SJ:lPt
presume to give authority to violate or cancel the provisions~f any:S1atEl or local law regulating constructiono(tflEl'~rf6gnariCEl()f
construction.' ',", '~". . .....,.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\II02.1S [11/1412003]
;...'-.
BUll..DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRlCALINSPECfIONS.
- . . .,.--,-<-y::
. - -- - .
24 HOpRNOTICE. IT ISUNUWFUL TO COVER,INSULATE ORCONCEAfANYJfORKBEfORE
INSPECTPDANl)ACCEPTED. POST~.ERMIT IN A CONSPICUOUSLOCATION.:(' . . .
KEE PERMITC RD N AP ROVED PLAN
..~
It
...>., ......:./'.'..' : .'. ". . P A A D. P S A'P!JOB SITE; ,_>'_"'c
'.
< ; ': .. .... " DATE ACCEPTED .. I", .... 0.' ..... .',' .... "I;fi. ..'
ITl'rl!; I.
,. Y;', ,.; . , I . YES I ,NO : ~C"'i';'..\'~;X ....'..
"'>""; .....
'. t..- -;--- '. '>><?'.' .'.'" >,.,.
t:OUJIID",T;ION: .... .
FoOTINGS
W~ I
FOUNDATION ,'. ...... ,
DRAINAGElDOWN SPOUTS .'
ELEgRJg\L . SEPARATE PERMlT:/# .-::-
(LIGHT DEP1) .. .
. ROUGIJ.IN .. I I
.. ,
. I'LlJMBING. . .
.
~ :UNn~J1lb()R ISLAB
~ ROlJOH.:..1N . . I '. .'
, (METER TO BLDO)
.'. .
~W/WATER :.' .
AIRS . . .
~ 'W~ . . "
.'
.... o' '.
FRAMING .'. .
JOISTS I GIRDERS .
.
~WALI1HOLPDOWNS .
JIll.
,.. I R90FlCEILING '. . .
D~ ALl.. (INTERIOR BRACED PANEL ONLY) ..'
;1 ~ . '.'
. ".
IN TJOP( .
S I I
tJ .WAIJ-/FL()()R/CEILING .' I ..' I .'
.
MECHANIC\L .
r- HEAT PUMP ....
.
GAS LINE .... .'.
WOOD STOVE 1 PELLET 1 CHIMNEY .
HOOD I DUCTS ..'
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT /#'s:
W A TERLINEI METER
SEWER CONNECTION .
..' .
SANITARY ,:
STORM '. .
PLANNIJliG DEPT. SEPARA'l'E PERMIT /#'s . SEPA:
,
PARKINGILIGHTlNG ' , .' ESA:
LANDSCAPING '..:'. ':.' ," ...... i i~ SHORELINE: I
, ::'. , .f . . ..,. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUP,AJIlCYIUSE "
. RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
.'
." " , - . ..:... YES'; NO
ELECTRICAL- LIGHT DEPT; 417-4735 tt//;'d4 &J. ELECTRICAL i
. LIGHT DEPT
CONSTRUCTION R. W.I PWI , I CONSTRUCTION - R. W.
ENGlNEmuNG 417-4807 PW 1 ENGINEERING
FIRE . 417-4653 . FIRE DEPT.
. --
PLANNING DEPT. 417-4,750 , PLANNING DEPT.
, .
BUILDING 417-4815 BUILDING .
T:\PLANNING\FORMS\II02.IS [11/1412003]
'~':J2.~~,i ;~~~~1;i/~~;::~":' '~,T!';~t0{:.:'.fi~;t;;; ; ".~->''ji:L_ ':',,;- .~~~,
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CITY OFf9J}TANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILI)INGDIVISION
321 EAST 5TH STREET, PORT ANGELES,WA98362
is
'"
Application Number . .
Property Address
ASSESSORPARCELNUMBBR:
Application description
SUbdivision Name
Property Zoning .. ..:
Application valuation
03-00001027 Date 10/21/03
128 E 11TH ST
06-30-00-0~3~4310-0000-
RES REMODEL
54.25 Plan.Check Fee
10/21/03 Valuation
4/19/04
.00
o
~..
7600
'owner
Contractor
-------------~~----'-----
YATES TTB MARVIN/JANICE
224.W 9TH ST
PORT ANGELES KA 983627704
A DEPENDABLE CONTRACTOR
P. 0.BOX1574
PORT ANGELES KA 98362
(360) 452-8770
~-~... -~..-.. - -- -..;. - - ~'- .;;.-'....;. ~ - -,,'. - - - .".'.;..... .;.,':.:;,; _.' ....- - - ~ - - -..;. ~"-.;.' .'. - ~ - '..; -'~' - - ~.. - - - - - - - - - - - - - - - - - ...-
Permit . . . .
Additional.desc
Permit Fee
. Issue Date
Expiration Date .
BUILDING PERMIT -RESIDENTIAL
T';:"
176.75
10/21/03
4/19/04
Plan. Check Fee
Valuation
70.70
7600
Qty tTnitCharge Per
Extension
92.75
84.00
J.,:.;-<
BASE FEE
.6.00 14.0000 THOtT BL-2001-25K (14 PER K)
~~--~-~-~------.-~--------------------------..;.--~..._-.;..----------~--.;.~------~--
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PlmMIT
Qtytrnit Charge per
Extension
47.00
7.25
BASE FEE
1.00 7.2500 2CH ME-VENT FAN
... - -.... - - - "'!--- - ... - -.- - - - - - - - - - -- - - --- -- - - - - - - -- - - -- - -- - - - - - - - - - - - - - - - - -- - - .'. - - -..,'-
Permit
AdditiOnal desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
"
68.00
10/21/03
4/19/04
Plan Check Fee
Valuation .
.00
o
Qty Unit Charge Per
Extension
47.00
21.00 .
BASE FEE
3.00 7.0000 ECH PI.-EA.FIXTURE ON ONE TRAP
.. -.. - ":'.- ....:- -.- -.. - - ,." -.. - - - -.4/Il> - - ._.. - - - - - .-. - - -- - -- - - ..;....; .'. ~ - - ."-'. .,-- - - - - - - - - - -- - - -- -- - -'.
Other Fees
., ...... . c'. .
STATE .SURCHARGE
4.50
Fee swnmary
permltFee Total
Plan CheCk Total
Other Fee Total
Grand Total
Charged Paid Credited Due
-.'---..---- ...-------- ------"'..-- --------_.~
299.00 299.00 .00 .00
70.70 70.70 .00 .00
4.50 4.50 .00 .00
~14.20 374.20 .00 .00
Separllte P~nnlts arerequired for electrical 'wVork, SEP A; Shoreline, ESA, titilities, private and pUblicimprovemeJltS~:rnis.~l,'mll ~~C;orrles
nullCind void if work or construction authoriz~d is notcommenced within 180 days, if construction orworklss...sp~nd~d~l,'!1ba"dolleq
fora period of180. days after the work as commenced, or ifrequl~d'f1~pectlorls have not beEln . requ~st9(j VJjti-tin 1~0 <I~YSfn?r:rl'ttlelast
Inspecti()n.J. hereby c:ertify that I have read and examined this applicatiol) and know the same to be truEl andCbiTect..I'Upi'OYislon~of
laws and ordinances governing this type of work wlU be comPlied with'wVhether specified herein or not. The granting of.a pe@1tdoesl1(>t
presum tgive autho . o. late or cancel the provisions of 'anY slatEi or local law regulating construction or the. pe.rfor1nanc~of
cons . n. .
to ~ 2.( ,.03
Date
SIgnature of .owner (if oWner is builder)
T:\PLANNING\FORMS\1102.1S [4I2002J
.- - ~-::':>,",,:-;<:-:R;';i,"';~~.~' *~.e::"'}~f~,;'i::?-r":"
BUlLDINGPEJWIT,IN~:pECTION RECORD
CALL 4174815 FOR.BUlLDIJIlG INSPECTIONS.PLEASEPR0.VID&.AMINIMUM .~~om(JIl~ca; Ii!S UNLA,!,l{i#:~lJ~~VE~;"
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POSTPERMiT'IN ACONSPICU(1)S;E0cATIQN;'
.,~'~-
KEEP PERMIT CARD AND APPROVED PLANS AT JOB.SITE.!
. .," .. , r".,'r,,""' ..' " '.':
. INSPECTION TYPE DATE ACCEPTED ' .... '~ CO~""'" ,.;
.'
'. . I YES I NO :1 ,... .', ....,. ....;./'. , ."
. FOUNpATION: '. j .,. ..
. ....
~GS .c; i
'. ...., I
WALLS .. I
. FOUNDA.nON DRAlNAOE . " ! "", '.'
. ,,' j .
.", "', L::' "",:--",:~'~:r.:c, ."(l.IGKrDEP1)SEPillTE~: /#' ..
ELEC'I1l:Y'C# .
lWufuJ,iN,'" . . .' . ". .-1' . I '. : . ".
.> ,,':', ':,:..~'L~;,o.~'__~"':', '_''' .,f... V!cL) ~.4B-D1 JA..~ .
PLu~Fl(,'t. .,. . ....
UNDER'liOoR'ISLAB .
i
ROuQJI-q-i .' 10 ~D--< ~\L 1~l/o~ JL4- ;
I
wATERLINE I
. . ~
'.
GAS.LINE .' .'. ......
BACK FLOW I WATER . ..::'. " , .... ....
AIR SEAL ... . .' " "
- .
WALLS I;., J^I/A.~ I ,'f ~
CEILING ." . 1<.:-' .., I . . .
. " ... '.
. . ',' 1
FRAMING ....
JOISTS I GumERS i
!
SHEAR WAll
WALLS IRooF I cEILING . .. ,'2111 t> '3 JLl..
DRYWALL . , .1. ".--.-. , ... .... .
T-BAR . . . .
, INSULATION . <';.j
".
Jr ..
SLAB --"
W All I FLOOR! CEILING i 'Z.... Jo.--O.s . &b f"9"'P. .
MECHANICAL .. C. r' f I ij...Y,i4 :J,t
.. ., IIi fA,'
.
HEAT P.UMP . .. . I
WOOD STOVE I PELLET I CHIMNEY I
. . I
HOOD I DUCTS . .. .
PW UTILITIES I SITE WORK (EngineeringDivision)SEPARA TE PERMIT II's: .
W ATERLlNEI METER . ..
"
SEWER CONNECTION .
SANITARY .
,.
STORM .' l
'PLANNING DEPT. SEPARATE pERMJT#'s. SEPA: i
I
PARKlNGlLIGHTING . ESA: \
LANDSCAPING , SHORELINE:
. '.,
. '" .:F,!lf~~m~rEC!l<?NS~~ PR'.I()RTO.OCC!JPANcy~~'. . " .....,.. ...:.. .......).,;
RESI~ENTIAL " .. DATE YES NO I, .cO~l'tt&RcW;"" ; DATE . .t\~CEI'TED
.' ,..; ,..,- ,f' . .' YEs NO
ELECTRIc:~ - UqHT DEPT. .417.4735 .....1 ~~ "- .' ELECllUCAL .', .
.; UGHT DEPT
CONSTRUcTION R. W.I PWI . "- CONSTRUCTION- R. W.
ENGINEERING 417-4807 PW I ENGINEERING i . " .
FIRE 417-4653 FIRE DEPT. 1 .~ . ,-
. :.
. .. '. ..
PLANNING DEPT. 41.7~750 ..:? .. PLANNING DEPT. , .. .
..
BUILDING . 417-4815 JI:.-IyOIf ..J, )..., BUILDING !
.. . . '.
T:\PLANNING\FORMS\1102.15 [4/2002]
<-,'("';"i
PREPARED 4/13/04, 12:40:02
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
4/13/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 452-8770
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 10/23/03 JLL
10/23/03 AP
PL2 02 12/01/03 JLL
12/01/03 AP
PL99 01 4/08/04 JLL
4/08/04 DA
PL99 02 __, JLL
~e
PLUMBING ROUGH-IN TIME: 17:00
Gene Fulmer requests Rough in plumbing inspection after 2:00
P.M. today.
Ph#808-3181
PLUMBING ROUGH-IN TIME: 17:00
PLUMBING FINAL TIME: 17:00
seizmic starp reqd on w/h/jll
PLUMBING FINAL TIME: 17:00
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/13/04, 12:40:02
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
4/13/04
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
(360) 452-8770
SUBDIV:
PHONE
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01 12/01/03 JLL
12/01/03 AP
BL3 01 12/01/03 JLL
12/01/03 AP
BLI 01 12/31/03 JLL
12/31/03 AP
BL99 01 4/08/04 JLL
4/08/04 DA
BUILDING AIR SEAL TIME: 17:00
JENE 452-8770
BUILDING FRAMING TIME: 17:00
11
BUILDING INSULATION
insulation and air seal inspection was approved by bob
kajfasz on 12-30-03 /jim
bob kajfas did this inspection and was approved/jim
BUILDING FINAL
gene 808-3181
seizmic strap on water heater/jll
BL99 02 ~ ~ BUILDING FINAL
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 4/08/04, 12:48:15
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01
~
JLL
~f
MECHANICAL FINAL
SUBDIV:
PHONE
PHONE :
(360) 452-8770
PAGE
DATE
3
4/08/04
CONTINUED ONTO NEXT PAGE -----------------------------------
TIME: 17:00
PREPARED 4/08/04, 12:48:15
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV:
PHONE
PHONE :
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
(360) 452-8770
PAGE
DATE
4
4/08/04
PL2 01 10/23/03 JLL PLUMBING ROUGH-IN TIME: 17:00
10/23/03 AP Gene Fulmer requests Rough in plumbing inspection after 2:00
P.M. today.
Ph#808-3181
PL2 02 12/01/03 JLL PLUMBING ROUGH-IN TIME: 17:00
12/01/03 AP
PL99 01 ~ JLL PLUMBING FINAL TIME: 17:00
~
~ t;;='( "2-0"111, 'C
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~
~D
6~
u / I-Jl
dLL
PREPARED 4/08/04, 12:48:15
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
4/08/04
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 452-8770
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01 12/01/03 JLL BUILDING AIR SEAL TIME: 17:00
12/01/03 AP JENE 452-8770
BL3 01 12/01/03 JLL BUILDING FRAMING TIME: 17:00
12/01/03 AP 11
BLI 01 12/31/03 JLL BUILDING INSULATION
12/31/03 AP insulation and air seal inspection was approved by bob
kajfasz on 12-30-03 /jim
bob kajfas did this inspection and was approved/jim
BL99 01 4r8/~ JLL BUILDING FINAL
11 ~\ -P~ gene 808-3181
\ ,
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
~\2.<V\I.CL.
- ~ 12-.&- F
~
~LG
l) '--\
12-~o
\t..) / J-l
/"
PREPARED 12/31/03, 14:01:32
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 452-8770
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01 12/01/03 JLL BUILDING AIR SEAL TIME: 17:00
12/01/03 AP JENE 452-8770
BL3 01 12/01/03 JLL BUILDING FRAMING TIME: 17:00
12/01/03 14 11
BLI 01 12/31/03 LL BUILDING INSULATION
insulation and air seal inspection was approved by bob
kajfasz on 12-30-03 /jirn
2
12/31/03
-------------------------------------- COMMENTS AND NOTES --------------------------------------
L
PREPARED 12/01/03, 12:28:25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
12/01/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 452-8770
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
01
10/23/03
10/23/03
JLL
AP
PLUMBING ROUGH-IN TIME: 17:00
Gene Fulmer requests Rough in plumbing
P.M. today.
Ph#808-3181
PLUMBING ROUGH-IN
inspection after 2:00
PL2
AYL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
02
12/01/03
TIME: 17:00
PREPARED 12/01/03, 12:28:25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
12/01/03 r.v1.l'J BUILDING AIR SEAL
~ JENE 452-8770
BL3 01 12/01/03 JLL BUILDING FRAMING
---------------------~------ CONTINUED ONTO
BAIR 01
SUEDIV:
PHONE
PHONE :
(360) 452-8770
PAGE
DATE
3
12/01/03
NEXT PAGE -----------------------------------
TIME: 17:00
TIME: 17: 00
PREPARED 10/23/03, 12:28:34
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
10/23/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
128 E 11TH ST
A DEPENDABLE CONTRACTOR
YATES TTE MARVIN/JANICE
06-30-00-0-3-4310-0000-
03-00001027 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 452-8770
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
01
10/23/03
~
PLUMBING ROUGH-IN TIME: 17:00
Gene Fulmer requests Rough in plumbing inspection after 2:00
P.M. today.
Ph#808-3181
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: ID - 2/- 05
Permit #: J 02 7
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Applicant or Agent:
Owner: (\1 kf-V i- J
Address: , 1...-~ ~
~ tl€(>~b+\~LL
~^TES
\.\,~
CONrfl-.~c.. T'OtL
Phone:
Phone:
City: ro~ .H~e:..~
3100 ttSa- "if"" C
3t:,O 'tS-, ~~
Zip: tt t? ~ c.... L
.--
t-vt c- VV\. E: (L
")"14
Phone:
State License #: b~PftJ'l~/7,U)lf}p: 3, lC{ . oS'" Phone: ~~D q;S""J,.. in 0
City:J oil-\" PrN GCL.E.. ~ Zip: q 't 3 l" 1-
Architect/Engineer:
Contractor e~ t
Address: f 0 60y..
PROJECT ADDRESS:
47..~ ~ H T~
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0' Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATlON:
o Stove SF. @$ /SF. = $
o Garage SF. @$ /SF. = $
o Deck SF. @ $ /SF. = $
0\ ~ther TOTAL,yALUATION $ ~6CdC) <::)
Ac..l~ \.Sa;" ~ ~ J.A.A. I V\ 150 ~e I'1A ~ ~_
'-.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
= TOTAL Sq.Ft.
%
c
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 anhe time of permit issuance.
EXPIRATION 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 107.4 of
the Uniform Building Code, current edition). 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 t I must obtain such permits prior to work. _
T:\FORMS\APPS\BuiJdingpermi t. wpd
Applica .
Date:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00001027 Date 11/20/03
128 E 11TH ST
06-30-00-0-3-4310-0000-
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
7600
Owner
Contractor
YATES TTE MARVIN/JANICE
224 W 9TH ST
PORT ANGELES WA 983627704
A DEPENDABLE CONTRACTOR
P. O. BOX 1574
PORT ANGELES WA 98362
(360) 452-8770
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
2 CIRCUITS
SIMPSON ELECTRIC
46.70 Plan Check Fee
11/20/03 Valuation
5/19/04
.00
o
~
Ot
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 20 51. 20 .00 .00
"
~"::;.
~\~
~
Separate Permits are reqUired for electncal 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 penod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing thiS type of work will be complied With whether specified herein or not The granting of a permit does not
presume to give authority to Violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\I 102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICALINSPECTIONS.
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.
f!ft
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
'. W. LINE (METER TO BLDG)
" G1,5.-,LQoIE
BAfil/IIlItOW / WATER
AIRwSEAh
fI' W ~\<~ ,.
, cEYrING I
FRAMING
JOISTS / GIRDERS
- sljjAii WALL/HOLD DOWNS
" vJ AL,l,.S / ROOF / CEILING
-.
DRY.W ALL (INTERJOR BRACED PANEL ONLY)
~ T~R
~ IN~~TlON
SLeAB'
WALL / FLOOR / CEILING I
,. MECHANICAL
~t!f-" HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA-
PARKINGILIGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
} YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 '-1/ !/1J4 !leV ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ I I CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
...
~
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T.\PLANNING\FORMS\1102 15 [11/14/2003]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15316
3 -/ j- )5--
Port Angeles, Washington_nnn!.<'n.__nn__._.__n__m_.______._________n...mm, 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.
:: ~~;~~;=~-;.~;;~::=:?:,:??~::=:-:=:
'J
Light Outlets._.._m_m.__mm_m.._____.
Receptacle Outletsm_..h...._U___..._....mu
Dryer, K\Vjuuh.._nn___...._.._....._..h..__
Range, KW ______..m___m___
Water Heater:
KW.____.__._ ____m.____' ________m____.
Heat: RW .m_?_y_;;.t~;!!l?4_.)
Motors: size, volts and phase:
Total Load_....h_....h_..............
/ :.J D/~ /L:;
Service, volts ___m..mm___-;-....................
No. wires ......~:..............u_..m.______
y,tt ",(
Size wiresm_::..m~m..!.:L_::_r.:.~Jt4'v
Main fuse m._:!a.'fl..'.fmm_mm
Enclosure .mm(IL.l::J4._mm_.
Type of wiring-:
Entrance Cable u__...__m_____..______m_
Rigid Conduit u___..m_..u..m.____...__.
Metallic Tubing u__m...___....___.......
Current transformers:
No. & Size.__.u__.................h............
Ser. No.........u.....uu_uu___..uu..uu_...u
Ser. NO..uu..____________n._____n..___.______.....
Ser. No............_________..__..._______..._........
Ser. NO...__..un_____n__...nnn...__...._.......
Type of Wiring:
Armored Cable ..h............___..u______
Non-Metallic m.monnm________...h.....
Knob & Tube____mon___________m.mm__
Rigid Conduit ....._.....on..____mm__...
Metallic Tubing .___..mm_________....__
Raceway _.nnh........_................n_.n._
Circuits, UghL...m_______.____m____m..h___..
Utility ........nn___.nnnnn_u_...n.....n...
Heat
Range ....___._____...___.____.__._______._._______
Vlater Heater ............__m..mmmm
Motor ______._....____....n....._n....._.........
Dryer..____....__.un___..._unnnn.._nn_.n_....
Furnace ....hn...._............._......m
Total ____________n.__________________.__...
Remarks: _n_____.m____n-:!'L.i?'.,-:__'_,C:n__~_~::f.'::~n__7__..._e__ted._9!:.mL'i:.,-.,.,,_!J?""{~'_m_mnnmnmnnnnnmnn
,. . ;'
.f.~_~~_:~~~-_:::._::n_-_::_:::-_..:---m---i~~_~n~~~_~~_~_~__~~._~nnm-m-m-n:;->_2-Z2f~A~=;~::~~:=:-_-
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 belore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
::;1 Y/t{r~,y.~{b/l-,
ELECTRICAL PERMIT
N?
15316
Date called f~;~')Ftt't{;4C...&ummuuuu.u..u-uu.m..u.mmmuuu.uuuumm.mu.mm.uuuum,uu'.m_muuu.m'UUUUnu
Preliminary .it1spe'cttOn dates~-::.it.::"A-:.'.(::.?':':::~.....}...~:~....._.......__......m..__...n..nmhu___m............
Inspection comPleted..___~~?_~;{.~~:.~~~..~~~.~~._~~.....~h....h___.m__._.............__..............~::::~~~~~~~~~~~:=~:~~::::::~:~~~~~~~=~~~~~::::~~::::::~:
Total Load .n._..n__.nn___..___nn~n_;.'::n_nn_nn.___nn__..._n.._..n__u._____00___....
j1M
3-72
Olympic Printers, Inc.
.
~I
u....nu.__n_...............u........_.....hnn__.n.................h...00......._.................._
11/17/2BB3 19:58
457927B
SIMPSON ELECTRIC
PAGE B1
L.
tii
uQcCt-J fIl ovJ
ELECTRIC~PERMli APPLICATION
r ..............._......~__M'~
I :,,):1 C:H')(,.)....:. !)!il!;:'lNI.,' .
1 ~;::.~:I;;:~:. .~..~::==== ;
"..(" J'J.II.Il..t'.._..,__~___.. j
i r.'~.~!,i,,(_: _.._._.,._.,,_w_~___.
""Jiii'~;'~;l7 ..
,
,
.
'1'>10 EI"""CUI Porml' Appllcauon mYfl1lD 1I!IWlll..Yl!lIllIlilllY"
Pl$~a@. lyps l)r j.>>prlnt 'n Ink. n you nave sPlY quell'lon., pl!n& C1t;!J {a~s. if.f!,/i'," .'i'~
. Fa. numbor: (3BO) 41700471 I
0,/1 : 4'60-/0'(6
r'o. ) e,l _Q1' #:-
Owne' or EI.c. Contractor Agent..",)llJ1pS.Q..Y.:1---E: €l'-*" ~__ Phon.: ~.:i.l:J.<~_:lQi"-\ ....~_____._..
Proporry Own",: iYJ I<.~~__-;[~~ ~____..... i'ncI'" ....':-:L:;.2.::..2] y 6..
MC,o..: 1.:1. g .5 (~~/_.!..E::i2 ___ City Po/Z-I- A~I:!:-5-_.... ..__ ... ':,. .........-.--___...
Eloc,rlo"1 Contrao,or: I m~~ Ek.c.t-r-i'<:.. Llconse #: -J,b,1!2.i?S.15:.. "xc .. ..._.PS".. . ._: 'r." ,,,: ....._._____..
-- --....--....--. . [ ..", -7 L '3 B I 9 f3 b -
Mdr~!8;~Lf _~ o~ b I ~_LOI W City. pr 0. ~ 1"-,,, .___...._....... llo ....__....__~"..
INSTALI.ATION WIRED BY: 0 OWN~~ 0 Sl.ECTRICAL CONTRACTOR
Credit Card Hold6r Name: _____...............___.___
.flll/lng Addres/J:
C!Iy:_~
,J;t,P; .~.~._._._'--.~.._..
,.
Crtidlt Card NumbfJr:~__ ......:'............____. EKp. 0",...
li,!~,4:...___MC:._.._.
PAOJ!CT AOORElla:
/2.B____._L
//&
lyrE opr WORK:
Check .!!~ lhet "ppl~': [] N!lW
o Alt/lrallonIAQCI~lon
,J(l Resldentsl 0 Multi-family
C~ Commernl"ll 0 Mobile Home Sq. F1...._............................
r:J Remote MeIer 0 Detached 9"'<190 [J Hot Tub [J Swim Pool 0 Septic Pump [J ,_ow "-'c. "";.1" ::: .r,,'ocorn. 091(1"
N,;",o., of Clroulto olMid 0' all"red: ...~--..._-- t..f C. . 7 0
OESCRIPrlON OF tHE ELECTRICAl.. pr~()JE(;T:
/.
l"
f;'J.I!f:Jrjclll HIlat Lead AddIIW~
4;:.
.~Jl19.!l.J1!1<JJ:mi'.:lli"
tu1l0..bo<l'~
[:i Furnace
CI Hest Pump
o Fan. Wall
I)O~Kw
--_KW
-IWV
-IWV
Ll Ove,hsBd Sorvlce
C Temp S~rvIQ.
o Unde'groum:l Service
,
\,'o:ti;:q';':.. t";:o~f.;;(,'.'
rh~1BC. _,';, ~.. .
H~:llv~ce :~;:'i(::: :,::,., _". _.~...
!"'" .."p'" ;'".~"'...(.:rJ';0(!r::~ ::;;:",,,:, "~,, ...., ""''''
...\'-.' . ,
PAMC 14.06.060(8): r";or Industrial, c:ommsr~~~31, & Msldlrlntlal prOJmqfa larger than it duplii&:'f, ~ one ~ lil"1fj ~Jr;,\'{~ini~ IJi. i;1f?. f:~:J'.~tl'j~;rnl Servlc'~ !J
:F~H,dere, building ;118 (8q,~ ft.), IOi.'ld calcdE\1icmL 6\nd lhg type & o(oonduoiorQ and/or raoewey is, 1'8/,'jI.ji1'l'=!:~ ;:11)<'3 -.:!.;:::U i~,<,',:(;li\p,f}r:y the
""e01,lcal Pormll ~~pIIQstlon. . ,
I hereby certify that I have read Bnd G?:amineo thi3 aPpllcs/lon and know that Sllme to !;~.; :'(1.1,.) ond (;orrect, end I /!1m
authorized to apply for this permit I understand It Is not the Clly's legal resporlslN/lty ,'G (i(ilf..,',7./(lf; w/x,: permits
are raqlJlred; If remslns Ihe Ilppli~.~nts responsibility 10 determIne what permlls a.r"8 requirl!:(i f.'I?(1 (0 ('Ns!n such.
"""" Co.. H""~'. '~"'''M' a4.~.j / -:!:F-:Os
PW-9019
OWM!' Gl!' {;I<:,;. C:lllt.. 6!pa'l!!'IITll:________.__"...._.__..... ........ "... ,):11",~.,._..__..__.___...
tM.. c 62-
11-/1-03
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: — G --�
& 2 Single Family Dwelling
RECEW
'If�CGtt�4CA�,�
Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address;
Building Square Footage;
Description of above
Owner Information
Narne: JA.46!l 6 -%4'y-
_
Mailing Address:
_
City: State; Zip:
Phone: Fax:
State; Zip;
License # 1 Exp,
Fax:
Item
Unit Charge
Service/Feeder 200 Amp.
$120.00
ServicelFeeder 2014COAmp,
$146.00
Service /Feeder 401 -600 Amp
$ 205.00
ServicelFeeder 601 -1000 Amp,
$ 262.00
Service /Feeder over 1000 Amp.
$ 373.00
Branch Circuit Wl Service Feeder
$ 5.00
Branch Circuit W10 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 Homo 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
$11000
Contractor lDformation
_
Name;
I
Mailing Address:
City;
State; Zip;
Phone;
Fax:
License # / Exp.
Total _ {Qty Multiplied by Unit Charge
$
$
$
$
$
$
$
$ Total
Owner as defined by RCW19,28,261: (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 aiteration in compliance with the electrical laws, N,E.C., RCW. Chapter 19,28, WAC, Chapter 296 -468, The City of Port
Angeles Municipal antl tility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of o er el ctr' I contractor or electrical administrator: ❑ Cash V1`_Gtrock
❑ Credit Card t{
l - �•r
���03
1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . , . .
14- 00001364 Date
11/07/14
Application pin number . , ,
349668
DITCH
Property Address , . , , , ,
128 E 11TH ST
ASSESSOR PARCEL, NUMBER;
06-30-00-0-3 -4310- 0000 -
Applicat.i,on.t-ype description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use , , . . . . . ,
FINAL
Property Zoning , . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
Application desc
Panel replace
Owner
Contractor
------------------------
--------- -------- - - - -- --
YATES TTE MARVIN /SANICE
BLACK DIAMOND ELECTRICAL
CONTR
224 W 9TH ST
502 STACK DIAMOND RD
PORT ANGELES WA 983627704
PORT ANGELES
WA 98363
(360) 565 -1.035
Permit . , . . I I ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee 120.00
Plan Check Fee
00
Issue Date 11/07/14
valuation . . .
0
Expiration Date 5/06/15
Qty Unit Charge Per
Extension
1.00 12Q.000Q ECH EL -0
-200 SRV FEEDER
124,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 120,00
120.00 .00
DQ
Plan Checle Total ,00
00 .00
'Do
Grand Total 12Q,00
120.00 .0Q
00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
G l
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.:
GAIEXCIIANGEIBUILDING
Application Number
Application pin number
Property Address . : . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
16 00001035 Date 7111116
690270
128 E 11TH ST
06-30-00-0-3 4310-0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner
Contr,actor
RESULTS:
INSPECTOR:
ANTHONY PARELLO
EXTRA MILE TECH &
ELECT., :[:,I,C
1.28 E 11TH ST
418 N. RACE ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
..... .....
COMMENTS:
(360) 296 5688
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
(360) 457 5222
Permit
ELECTRICAL
ALTER RESIDENTIAL
Additional desc
1-4 CIR
Permit Fee
75.00
Plan Check Fee
Issue Date
7/11/16
Valuation
0
Expiration Date
1/07/17
Qty Unit Charge
Per
on
BASE
FEE
7500
Fee summary
Charged
Paid Credited
u e
Permit Fee Total
75.'00
75.00 00
00
Plan Check Total
.00
.00 0
00
Grand Total
75.00
75.00 00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
..... .....
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor XDate:
GAEXCHANGE\BUILDING
I
CIT:y OF Foltr PS, RbUT AXPLICATION t
ry
Building Divisiunffil feelricAll IMSPectiOns
321 East FiM, Street— P-0. Box 1150 / pay
Ph-, (360) 417-035 F2.1c (360) 4:111-47-11
-
Date-, ;qh
Plan Review May Be ReqUIred, Pie se Complete
Jul, Address -
26, I,Z
Maim
Man Review Info urta�ion
�k
� i u
u, ... .... .. .
ltd
Arldn'
�,A,aMw,pp
sewicelreI Amp.
Serv1ccJFeWer2[)1A0D-Amp
$146.00
servicelFeefier401-600AMI)
$205.00
ServimaiFeetler 601-IODD Amp.
MUD
GeTvicelFaader over 1000 Amp-
$M,00
Branch CircOt W1 Service Feeffar
$ 5.00
Branch CirC&jtVVj0 Service FeeLer
$ 63.00
F4ch Addiffortal Bmnuh Omit
$ UG
Branh Cmb 1-4
$ 75.00
Temp. SepAcel Feeder200 Amp.
$ 93.00
Tornp- rerAc 0,hader201AGO Anip.
$110-00
Temp. civic eiFtWer401-600 Amp.
$ -149-00
Tpjnp- Setvlco/Faadar 601-11000 Amp
$ 18K60
td) to Pof Lai Houdy
$ 98.00
Signal C!ilculy Umj:ted r=narjcy- I & 2 172dly Dwelling
$ ekao
MarjufauluteJ Home ComlWhOn
$ 120.OD
RenewabbElec"- Erienjy -51WA System or Less
$ 11ROD
Thermostat
$ 56-00
Note-, $5.00 for eadi addigan a] T -Sial
IN M.0
Tiiii 1300 Square FL
$120.0
Each Addllonal 500 Square F -L IT Portion of
$ 40.00
Each Outbddiing or Detached Gar8lga
$ 74.00
Each Swimming Pool or Hot rub
$110.00
Man Review Info urta�ion
�k
� i u
u, ... .... .. .
ltd
Arldn'
�,A,aMw,pp
_7
CqY,
.. . ..... ... —
....... ..... .
I i
e........ .. . .
I as derin?d bY RGW.19.2&261: (1) Owner iWill occupy the structure Mr two Yews 40r 4"
b hire an (Aectiod cOntmutOr if MbOve said proport is tor mle, rentor lease. 'PI.Infile, xr6, Io alloy siv, � (vr�
After reading the sfBtument, I here bycertjfy 1hall am the ownerof thectove 110ro"rJ Properly or"',
�he efeaical int aRation OF DflcllaffOn in compliancevAh the clactriod laws" NEC, RG11
Angeles Mwii�fqal Code, and UtKy' Speciffustions and, PANIC "1 .05.050 iugmding tk,,ralU
signaw roof oviner, plecVarti I contractor or electfical admInIstrato r.
OA