HomeMy WebLinkAbout1225 W 10th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000903 Date
.104296
1225 W 10TH ST
06-30-00-0-3-0365-0000-
RE-ROOF
10/04/04
RS7 RESDNTL SINGLE FAMILY
1356
Owner
Contractor
GALLAUHER CHAD C/MARY E
1225 W 10TH ST
PORT ANGELES WA 983635619
OWNER
----------------------------------------------------------------------------
Permit
Additional desc
permi t Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, FELT, COMP
74.45 Plan Check Fee
10/04/04 Valuation
4/03/05
.00
1356
Other Fees
STATE SURCHARGE
4.50
N
tJ
\J'l
\,
~<
f
r
Qty Unit Charge Per
Extension
47.00
27.45
BASE FEE
9.00 3.0500 HND BL-501-2K (3.05 PER C)
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 74.45 74.45 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 78.95 78.95 .00 .00
...--. -.
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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.
! Q~~~.l
tractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNINGIFORMSIII02.15 [11114/20031
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
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 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 i(')-I".+I-I')14 \ \ \,--, BUILDING
T:\PLANNlNGIFORMSIII02.15 [1111412003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: /D - L/-Ot./
Permit#: 04......903
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
PERMITS (360) 417-4815 FAX(360)417-4711
Date Approved:
Date Issued:
G cdJ Cll.L k flY-
W l D'tV'-
Phone:
Phone:
City: POV+ AW(e l(S
Phone:
Applicant or Agent:
Owner: (J/\ a. J
Address: J--. b zlj
457 - 50t I
Zip:~ 8-3(,:3
S157 '- 5D-Z {
State License #:
Exp:
Phone:
iA.J
City:
{D~
Zip:
ZONING: (( S ~ 1-
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
o Residential 0 New Constr.)( Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: 1-i2a..v- a-{) (: )
City:
MC
#
Exp. Date:
SIZEN ALUATlON: 1"1 r I . q.t2-
SF. @ $ /SF. = $ _ :1~~~
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
<jh..1"09+) Fzl-f) LClAArJ
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
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 at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno 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
ofthe International Bui1dingIResidential 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 Ihal ff is my responsibility 10 delennine whal pennffs are required ,not/he City's, and I:J op: such permits prior to WOr/':,_..r J /.."
T\RVESS\BLDG-form,-bwoho=\2003-BoHdfogpormi,wpd App"'''''' Ci _ _~ Do<" ~
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17632
Y-cJ.Y f/
Port Angeles. Washlngton.....n_..m..m.....__....n...mn.....mm.m.m.. 19nn.m
In aocordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in. on. or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address .....!;?.n.;z.A.~~L((J~nmm....mm.nnn. Occupancyn.d.L"',,;-L..m.nn.....mmmnn
Owner ..~c.~.....<~.=-'f..,<,"{'.~ TenanL._.m..nmmn...n...m._m..mmn.n_.m.......nm...n
Wiring Contractor n...nm.m..nm.m..mnnm.....n....m...n....mm By...nnm......m............mmm.nmnn...nn.....m.....
C.
Light Outlet...........................................
y
Receptacle Outlets....___;-............___.......
Service, volts ...........nn........................
No. wires .........n._n........................
Dryer, KW..un......................-.......--....
Size wlres........................nnnu..._..
Range, KW.__.n.h__.n...______..__...
Main fuse ....nn...................h__........
Water Heater:
Enclosure ...n.....................hn.........
KW........T........mm..........
He," Kw.............J.f.d..l.1!........
, " ,
Type of wIring:
Entrance Cable ........n...n.....n.......
Mot~'.::Z~~h:;9(
,"
Rigid Conduit .......mm........
Metallic Tubing hnnu.......
Current transformers:
No. & Size.........n.nnnun.................
Ser. NO......................__......_......n........
Ser. No. .......nn.......................n.........
Ser. No. unn.............._....n..................
Type 01 Wiring:
Armored Cable ..............................
Non.Metalllc m....mn.....m............_
Knob & Tube...........m....................
Rigid Conduit ....m........................
Metallic Tubing .mm......m_..........
Raceway ...............................__..._
Circuits, LighL.......................m...........
Utility.............................................
Heat ......................................._......
Range ...................._........................
Water Heater ..nmm......m._m.......
Motor .............................................
Dryer ..............................................__
Furnace ..........................w......_...........
Remark:~ta:..~~~...~..~;.:?2nn-kns~~~~:;;;...~....::.~:::...:...nmmm...nnm.:~~~:..~::...:~.::~:::.:::..:::.:...:::~::
-r __
n_...u.u_uuununnn..uuuun.u_nn__nnu_u_nun.nn.n....nnn_nn.___.....__..nnnn_n.n......._u_nn_nn_nn.____u_n_n_nn_nnn__....nn
.;~;;~..;~~nn....mmn.mnm....;~~~~:.~~~~;~~nn..........mn.mmm....:;:;plJ;;}~.~.m.....
$.....mmnmm......nn.mnn. NO.m.........mm.......... By n....nn._.mmn.!!i.....mnm.nn.mn........___n
". "
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,
ELECTRICAL PERMIT
Address
.............n...._....................................................................................................n.............
N~ 1 7 6 3 2
Date....;........_.._.._.._.........._......_..._.._.........
Owner n......nnnnh.........._nn.._......_.._._..n_......_.._h......nn.n..n....nn...n_.n...n.................. Tenant........................n.............................._nnun..
WlringContractor..............~.._......_____..........._h............__.._...................................................~:,.......By..............................................................
\ ~
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 .'glven the Inspector so that work may be inspected before concealment..
\
\
1M Olympic Printers, Inc.
\
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15702
Port Angeles, WashlngtOnnm.m.jt:-!2..:~.m..m.m._...._.m...m_____, 192b
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure in the City of Port Angeles. per-
mission Is hereby granted to do electrical work as listed below.
Address ___.mLd__2__~..~./!.~_.~.__n..___n___m______.._n.m Occupancyn__.m.nnn,n,_____.n_______.nm_m_n
Owner -.--------&l1..l':Lm--~J~..___ Tenant.mnnmmm.m_.n____...____nm~.:._____..n__nnm.mmn
Wiring Contractor __nm.~~C--nn--.--nn.--m. By.nnnnmnmnmm_.mn___._n_nn_m._.m__.__n.___nn
Light Outlets.......____...................._..___... Service, volts .../:?:o/2--.'!r..t? Type of Wiring:
Receptacle Outlets..................__.........__ No. wires __...:!...............j?7..... Armored Cable .............................
Dryer, KW...m.._m.....__._..__._._______.._____ SIze wireSn..~t!...f?........._.. Non-Metallic _m...__m.................___.
4htI!1cj :.d Knob & Tube................h.............._
Main fuse ........~,....;L.......
Enclosure __....\5..........................
Range, KW...._....................__.._.__
Rigid Conduit .....................__........
Water Heater:
Metallic Tubing ..........._.......___.....
KW.........____....____________n_______
Type of wiring:
Entrance Cable .__nmnn_________
Ser. No......__.......................____............
Raceway .........__...._..............._......_
Circuits, Light........__.............................
Utility ........................................._...
lieat ___._______.................____...._.._....._
Range ....___._______........_..........__.._....__
Water Heater ...............................
Motor ..........._...._...00_..__..00_.............
, .
Heat: KW.........:..'m.....n...no.......:....__no
Motors: size. volts and phase:
Rigid Conduit m_mm..m_...m.........
Metallic Tubing ..nm
Current transformers:
No. & Sizen......n......._.._mm..
Ser. No.....__..............................._.......
Dryern............._.........._n.....n_..._..n.....
Furnace .........................._____...._..........
Ser. No. ..00......000000__.00__.._____..... ......._..
Total wad............................. Set. NO...n_nn....__.._.nn_....._._.nn._..__. Total 00........_............................
:~:~~:~:m:::::::::::::::::::::=:~~::~~9:t::::::::~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Permit Fee
Treas. Receipt
NO.nm.mmmm.__.nnn
By ________'___00_________.___0000000000000___000___000.___._____00000000
$_____.___.000.___000.000000___00000___
NOTICE-Current must nQt; be turned on until Certificate of Inspection has been issued. If work is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15702
Address.____.....___..._______....._________.._._..__....................................__....._..............._................_.___...._....Date..._......____.._.__...._....._._...._......_..._.....
Owner ....h_..._._......_...............__........._.........._...__._n.....................00.........00...000000...00..000000. Tenant....._...............................................n__....n.....
Wiring Contractor .........................00.00........................................................._._..............00_............... Bynu..n....._..._...._........n_....................._..._..
NOTICE-Current must DQt; be turned on until Certificate of Inspection has been issued. If work Is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers. Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15691
Pbrt Angeles, wash1ngton________J___:::_/._~____________________________________, lr/.!ii
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 here~y granted to do electd work as listed below.
Address 7:/~---d.--:;7jT?~1-9..----t;{!---------m-------------------- Occupancy____,A,-&_4,____m_________________._
Owner _U..~(rtk-i--m7-";:jf..-::::---;-~.-G~-~~-~.mmm------ Tenant_mm____m_____m__m_._.______uu_m_m._u.____mn____.mn
Wlrlng Contractor ______6:""!."<t?_?j__i:__.\_~_____ooo.___________________________ By______________________ooo______________________________m____ooo____
Light Outlets____.__.__..mm_____________________.
ServIce, volts _/(.~-?/Q.-::~.:?
No. wIres ........-~n:...:......-7:~m..
Size wires..;~~::-:--~=:.....:...-..-..
/ "-/,'- ,..' .::...."
Main fuse m.n-';:_~:..______m:n~..L_....m
.s
Enclosure mm.........._...m__.__m.n__m
Receptacle Outlets.._......_______.__.___........
Dryer, KW _........___._____hn........._._..______
Range, KW hnu_.nn..__.
Water Heater:
KW._____mm.m_m__mmm________
Heat: KW______C:.:f./..,,).:__3LI..
Type of wiring:
Entrance Cable mm"._"_
Motors: sIze, volts and phase:
Rigid Conduit nn.nnm
Metallic TubIng nun
Current transformers:
No. & Size............................n
Ser. NO.__._n.n_........_.........n........_......
Ser. No. 00.00_..................................__...
Ser. NO....n__..................................__...
Type of Wiring:
Armored Cable ............._................
Non-Metallic ._...................00..00.._.._
Knob & Tubem___________.m____m_________
Rigid Conduit _m_m_______________________
Metallic Tubing .m_m.n........._m...
Raceway ___...._......................._._...._
Circuits, LIght...._.._._...._.............._._..._..
Utility.___3___________________m.____________
Heat --ft-..............-...-..........-.-_.~
Range .__h__.._............_._______..............
Water Heater _.nmm_............_.......
Motor ........______...__.................._.......
Dryer_..........______.__...........__..________....._
Furnace ....n...............___..~n..n_h.....n..
'.
Total LoaL..............____......__ ser."No.mm..:....______.....;;____;........ )1 " " :tS! ....m__mm___...<==~m---
Remarks: __________oo__~.~~"._'-"'---ooom----~~I'__,,4.-,-;looo!f.--e:--~oom&~/;i4-----ooo-'~...R.____<!XA~~~
-.. ,.r-- -- . /' t
.__..__._..___....._.______...__u_u_______._.__._...________________________.._.__.__.._.____._.______...._.........________________.._______.._.______..._.._._.._.._...______
"
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____hU..._UUuu__...uuuunnnnnnnnnun....n_..n._______._u_uu_uunnn_nnnnu__nnn._n.n._________u____..,..__nu_u.u__nun_unnn_n_n...
$000_________00__000__000_________000..
No.__oooooo____________________
1(/V~/' './ /
B -/f r.. V~ f.,,<>~-":l! //
(_; '.. ,~- '. -Y',~' _
Y 00_ ,._ ____ __000_ ______._______000______ _________,_____"'-__
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
Permit Fee
Treas. Receipt
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I?~B
?J /" 'V J /Fy-""
/fl-?'~-:n..R...., {. 0 -5 0<-
f' ELECTRICAL PERMIT
N?
15691
/~ -- ~
:::::s..::::::::::_:1i~:~~~~~::::::::::::::::::::::::::::::::.:..~~:-a:_a_t~:-:~::::::~::~::~.:~::::::::-:~::::::~::::::~::::-::-:
Wiring Contractor ........__~-t-:~:;;r---""'"~.n...n.nn--.nn........n.......-.....-n...n.nnn__n__nn.._U_.nn.n. By.n..._..n___...................._........____...__nn._n._
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work is to be con.
cealed due notice must be gIven the Inspector so that work may be inspected before concealment.
1M
r
()lvm..,if' Prinf"r,,_ Tnf'_
RECEIVED' C �.uv VO1{rq.1�� {��
QTY OF PORT ANGELES PIFRMT A$I'LjcATXON i
Building Divising/Llcctiri(2l Inspections APR 2 3 2014
32 ). Fast Fifth Street —.P.O. BOX US0 / Port Angeles Washin �
Ph: (360) 417.4735 Fax: (360) 417 -4711 ��s 9836 ELECTRICAL
13S ECTIONS �;' —4— bate: %G / 7 & Z Single Fatally towelling
Plan Review Mays aired, p�
Job Address; 7 e Complete Efectricai Plan eview Info qlation Sheet
Building Square Footage:
Descdptlan of above / "I � /A x- -=
Owner Information
fV < Contractor infanaaa tfo
Name., ,.� a u�-ce� ,Jt?�L
Mailing , dd blame: - %�'►G�� �L„
C8Y - 5tate: gyp; Marling A dress: �, ra ��
Phone: Fax: �ityr Slate, • �p;� �r"�
License # /Exp, Phone: , yZ rax:� tea.
License # 1 Exp.
Item als,5'r, 5
Service/Feeder 200 Amp, Unit Charge '�4y Multi I i pd Unit C a e
$120.00_ t
ServicelFeeder701- 400Amp. $146.00
Service/Feeder 401 -600 Amp $ 205.00 $.- --
ServIca/Feedar 601.1000 Amp. $ 262.00 - $ - --
ftvlcaFeeder over 1000 Amp, $ 373.00 $—
Branch Circuit Wl Service Feeder $ 5.00 $ --- -
Branch Circuit W/O Service Feeder $ 63.00
Pach Additional Branch Circuit $ 5 0U _. g
Branch Circuits 1-I $ 76.00 -- $ -�
Temp. Service / Feeder 200 Amp, $ 93.00
Temp_ Service /Feeder2.01A00 Amp. $110,00
Temp, Senrice)Feeder 401.600 Amp, $149,00 $,
Temp. Service /Feeder 601 -1000 Amp . $168.00
Portal to Portal Houriy $ 900 $-
Signal CimulU.,Umlted Energy -1 & 2 Famify Dumliing $ 644.00
Manufactured Home Canne6on $120.00 — --
Renewable Electrical Energy- 5KYA System or Less $102.00 - $- ---� -�
Thermostat $ 56.00 $-
": $5,00 for each additional T-Stat
NEW 0
, _ONSMUCTI & OMLY:
First 1300 Square Ft. $120.00
Each Additional 500 Squarer Ft, or Paton of $ 40.00 $�
Each Outbuirding or detached Gai'mge $ 74.00
Each SvAmming Pool or Hot Tub $110.00 $ _=�60
~.� $
Owner as deftned by RCK%28.261: (1) Owner will occupy) the structure for years after this electrical e � taI y
to hire an electrical contractor it above said property Is for sale, rent or lease, Permit expires after six months of last inspectctiorf 2) Oo,rrer is required
After reading the Above statement, I hereby certify that I am the owner of the above named property
the electrical installation or alteration in camplian with the electrical laws, IN.E,C., RCW, Chap19 28 licensed
WAC, Chapter 296 -468,1 the City of Pert
Angeles Municipal Code, and Utility Spechicaflons and PAMC 14.05,050 regarding Electrical Permit Applications.
Signatu alwner, elect4ca! contras or electrical administrator:
CasA Ct Chock
• 'rr'ti"Jnrrtaa: •
�•� alrot2o�z
fl�(OflT4&9k ELECTRICAL INSPECTION
WIRING REPORT
417-4735
ORK b
DATE;
PERMIT INSPECTOR
OWNER
CONTRACTOR
ADDRESS
;Q
APPROVED NOT APPROVED
0 ................... . DITCH .................... 13
................ ROUGH IN/COVER ............... 0
....... .......... SERVICE ........ ........ 0
.................. FINAL. .......
p
CORRECTIONS NEEDED: 04
3! Lf
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL PERMIT
CITY OF PORT ANGELESp
350 - 417 -4735
Application Number . , , , . 14- 00000484 Date 4/24/14
Application pin number . . . 338604
Property Address 1225 W 10TH ST REPORT SAES TAX
ASSESSOR PARCEL NUMBER; 06-- 30- 00 -0 -3- .0365 -0000
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , , , , , , to the City of Port Angeles
Property Use Code ^
Property Zoning . , . , . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . , 0
Application deec
New garage
------------------------------------------------------ --------- ------- - - - - --
Owner
Contractor
DATE:
RESULTS:
SARAH E PEDEN
SIMPSON ELF,CTRIC
=41,1
1225 W 10TH ST
24.3036 W HWY 101
SERVICE
-
PORT ANGELES WA 98363$61.9
PORT ANGELES
WA 90363
ROUGH -IN
(360) 461 -5677
(360) 457 -9270
-----------------------------------------------
----------- ----
--------- - - - ---
°+
Permit , , , , ELECTRICAL NEW
RESIDENTTAL
Additional desc , . 1
Permit Fee . , , . 74.00
Plan Check Fee
00
V tt
issue Date . . , . 4/24/14
Valuation , . ,
. 0
Expiration Date , . 10/21/14
Qty Unit Charge Per
Extension
iJ
1,00 74.0000 ECH E1,- R-
0UTSD /DTCH GAR IN /SEP
74,00
Fee summary Charged
Paid ,Credited
Due
----------- - - - - -- ---- - - -- -- ----
Permit .Fee Total 74.00
-- -- -- -. __ . - -- ----
74.00 00
- - - - --
,00
per}
Plan Check Total .00
,00 00
,00
Grand Total 74.00
74.00 ,00
.00
— M _fOC' &,1— lz7 w... I e[. t-. C_ rar P'. �.i *. L--
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
=41,1
SERVICE
ROUGH -IN
yam. - -/4
FINAL
Z
COMMENTS.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE1BUILDING