HomeMy WebLinkAbout720 E 4th St - BuildingElectical Permit
720 E 4th St
12-1395
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00001395
Date 10/22/12
Application pin number . . . 510615
RESULTS:
INSPECTOR:
Property Address . . . . . . 720
E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30
-00 -0 -1 -7420 -0000 -
SERVICE
Application type description ELECTRICAL
ONLY
Subdivision Name . . . . . .
ROUGH -IN
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7
RESDNTL SINGLE FAMILY
Application valuation . . . .
0
COMMENTS:
----------------------------------------------------------------------------
Application desc
2 circuits ductless heat pump
----------------------------------------------------------------------------
Owner
Contractor
KARI DRYKE
OLYMPIC ELECTRIC CO
INC
720 E 4TH ST
4230 TUMWATER
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 457-5303
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00
Plan Check Fee
.00
Issue Date . . . . 10/22/12
Valuation . . . .
0
Expiration Date 4/20/13
Qty Unit Charge Per
Extension
1.00 5.0000 ECH EL-ECH
ADDNT BRANCH CIRCUIT
5.00
1.00 63.0000 ECH EL -R-
BRANCH CIR WO/ SER FEED
63.00
-------------------------------------------------------------------------`--
Fee summary Charged
Paid Credited
Due
Permit Fee Total 68.00
68.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 68.00
68.00 .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 X Date:
G:\EXCHANGE\BUILDING .
Oct 19 2012 03:35PM Olympic Electric Co., Inc 3604523498
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: �IZZZ
* Plan Review IN
Job Address: — 7
Building Square Fod
Description of above
:o
01 & 2 Single Family Dwelling
page 1
red, Please Complete Electrical Plan RQview Information Shaet
1-/ Li I
Owner Information
Name: /(.4 —
Mailir:g Address: 7,Z.2
City', PORTANCELES State: WA ZI p:'�'^��I
Phon?: fr/J� 7S42Fax:
License is / Exp.
Item
Unit Charge
Servi,e/Feeder 200 Amp.
$ 120.00
Service/Feeder 201.400 Amp.
$ 146.00
Service/Feeder 401.600 Amp
$ 205.00
Service/feeder 601-1000 Amp.
$ 262.00
Service/Feeder over 1000 Anp.
$ 373.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 75.00
Temp. Service/ Feeder 200 Amp.
$ 93.00
Temp, Service/Feeder 201-400 Amp.
$ 110.00
Temp. ServicelFeeder 401-600 Amp.
$ 149.00
Temp. ServicelFeeder 601.1000 Amp.
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Limited Energy - 1 8 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$ 120.00
Renewable Electrical Enercy - 5KVA System or Less
$ 102 00
Thermostat
$ 56.00
Note: $5.00 for each addi;lonal T -Sial
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$12000
Each .Additional 500 Square Ft. or Portion of
$ 40.0C
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$ 110.00
Owner as defined by RCdV.19.28.261: (1) Owner will occupy the structure
to hire an electrical contractor if above said property is for sale, rent or lea
M
�','� �l, il'_, � �� ��Is'•r Vii'.
ELCIP :TICAL
9NSPECTIONE
Contractor Information�)
Name: OLYMPIC ELECTRIC
Mailing Address 4230 TUMWA�T-ER T'-R,UICK WOUTE_
City: PORT ANGELES State: WA. Zip: 98363
Phone: 36DA57-5303 Fax: 360452-3498
License 9 / Exp. GLY-PEC255DI
Total (QtV Multiplied by Unit Charge)
$
$
$
$
$
$
$ _�'- Total
two years after this electrical permit is finalized. (2) Owner 's required
Permit expires after s.x months of last inspection.
After 'eading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.0 , RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator; O Cash O Zbeck
X �C/ —r Dated: / / ��. �.�- — --- 01/0112012
a
Building Permit
720 E 4 "' St
12-1400
Prepared 11/27/12,12:27:35 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history
User ID PBARTHOL Application 12-00001400 ,
------------------------------------------------------------------------------------------------------------------------------------
Property Information
Address: 720 E 4TH ST
PORT ANGELES, WA 98362
Location ID: 92164
Owner name: KARI DRYKE
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7420 -0000 -
ALTERNATE ID: 063000017420
Zoning: RS7 RS7 RESDNTL SINGLE FAMILY
Subdivision:
Application Information
Application desc: DUCTLESS HEAT PUMP SYSTEM
Application status: PERMIT ISSUED
Status Date: 10/23/2012
Application type: MECHANICAL APPL. PERMIT
Application date: 10/22/2012
valuation: 3295
Square footage: 0
Public building: NO
Reviewed by: PB PAT BARTHOLICK
Pin number: 029800
Entered by: PBARTHOL
Contractor Information
Contractor Name: PENINSULA HEAT INC
Contractor Number: 639
Type: SPECIALTY
Status: ACTIVE
Contractor Requirements DOC Number Exp Date
---------- --------------- ----------
STATE LICENSE PENINH1005DB 3/02/2014
BOND 3/02/2014
LIABILITY INSURAiNCE 3/02/2014
Outstanding Inspections
Insp Schedule Confirmation Permit Pmt
Type ID Date Number Description Seq Min Max
--------------- ------ ---------------------- --------------- --- ----- ----
No outstanding inspections exist
Work Description
Code Description Quantity
------ ------------------------- --------
CO Information
CO Issue
Str/seq Date Status Description
------- ---------- --------------------------
Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date
Confirmation Nbr
000 000 ME 00 MECHANICAL FINAL 0001 JLL 11/08/2012 AP 11/14/2012
385518
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
12-00001400 Date 10/23/12
Application pin number . .
029800
Property Address . . . . . .
720 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -1 -7420 -0000 -
Application type description
MECHANICAL APPL. PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
3295
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP SYSTEM
----------------------------------------------------------------------------
Owner
Contractor
------------------------
KARI DRYKE
------------------------
PENINSULA HEAT INC
720 E 4TH ST
782 KITCHEN -DICK RD
PORT ANGELES WA 98362
SEQUIM
WA 98382
(360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
PERMIT
Additional desc . . DUCTLESS HEAT
PUMP SYSTEM
Permit Fee . . . . 64.80
Plan Check Fee
.00
Issue Date . . . . 10/23/12
Valuation . . . .
0
Expiration Date 4/21/13
Qty Unit Charge Per
Extension
BASE
FEE
50.00
1.00 14.8000 EA ME-FURN/HP/FAU
----------------------------------------------------------------------------
< OR = 5 TON
14.80
Fee summary Charged
Paid Credited
Due
Permit Fee Total 64.80
64.80 .00
.00
Plan Check Total 00
.00 .00
.00
Grand Total 64.80
64.80 .00
.00
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 th whether specified herein or not. The granting of a permit does
not presume to give authority to violate or c el the provision f any, stat or local law regulating construction or the performance of
construction. s; a /�r /
1Z
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 4174.815 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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 b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T�CnrmclR�iilrlinn fli�ric inn/Riiilrlinn Pormit
r
SUI LDING iftYRAING I NECHAUL94L PERMITALPIXATION - MORT
(To boused krpmfeds that do not requIm plan MyISW,)
mate Recery
City of Port Angele7s permit
Attn: Building ParmitTechniclan Please Print in ink. Date Appvad
by
321 E 51� St., Port Angeles, WA 98362 Approved
360-4174816 fa)36(W7-4711
Credit ;n;n8-8Pm(noArner-canEx SS)
Hours: Mon through Fq 8 - 5 pm C 0 4 prn & Pr 8:30-12:30 pm
Contact pemon,rPhone:
-
Property owner.
Phone-
Property owner's Mairnqaddress: ,
C.anh>scicars ETness—ria-me—:
... ... .. . .....
Phones
I I � (owners name if he/she I I s chin �6i7i-rsastne work
Contractor's malillng ad
Contractor's
HGOnag nuF ber.
LJL/6 Expiration da
�PrOjOCt Address:
7A
Z
I Project Type;7 -15 �esidenflal C3 Commercial 01ndustrief uvulti-famiiv
PrOjiH Business �Name:
(for commercial, industrial, or multi-fa - MI-iy projects)
The WImWr[q permfts are usually fssc ed over4e-counter im medlatsfy,'Without the need for Plan review,
Complete only the portions, of this petTnIt that are relevant to your project,
82:Mof" a house tn Verage C-; other
r, tear ofr & re-roof 6 lay 015-r �ane layar���
Lj20.0sed 00ntMgto-� Submft aPOPY of your re-"f bid.
Project Valuefon $ ,
(labor & Mterials, not thdiuding sales tax)
=house a garage b Other
Proje&, valuaVon 5
{IsbOr 1t< rnat®riafs,not including sales tax)
I-WIME valuation
*!t2MI23ffIMU It YOU VVIII be dotrig overseeing the work then the project valuation Will be datarrnf'
cost Of mate halsi to reftct the value n9d by doubling the
Castfs
1 the repair adds to your propertV
2 ` Project Valuation $
T-FOMWSUNIng DMa�G rdBugdlngPiuNNngIM6�ohanlo6J PeMA AppIP,-stion — Short Form (R%rlaed 2011)
Page 1 of 2
Swimming PRol or Spa (? 24" deep): Forprqfgbf1g&eg 2riiMmill _2g_0L_Qr. Ze OM ts Mat
duOtagwr-9 P1817 review"
Obtain the City of PA handout entitled 'Pools & Spas" & follow the requirements.
Project Valuation S
Demolition: A demolition permit is needed when an entire bullding gets demolished.
What will be demolished? Q house cs garage a other
Mote: sorne demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain,
Agree to ensure that all utilities are/will be properly turned off (and capped off if needed)
prior to demolition.
Obtain {lit m the City of PA) On serial view map of the parcel and put an "x" over the siructurg(s) to
be demolished. Submit the map with this application.
Obtain (from the C1 ty of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 3eO-417-1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
t= yes c7 no Will the debris be going to the Regional Transfer Station in Port Angeles?
Fz yes Q No ff Yes, will a ILP)S17sed contractor be taking It there?
V) — If yea, obtain (from the City of PA) a copy Of the Waste Disposal Application,
Complete and submit the waste disposal application to the Building Permit Tectnician, now
(or !ater If asbestos testing Is needed).
Plumbing Pqrmit:, f9njaln the—DMI221)
Project Valuatfon
Project Valuation
i have read and comp)etaly t#tjs aPP11caflon and know it to be true and correct, I am 8Uthotizad to apply tor this pstmit
and undarstei7d that it is my responsibil determine Whet PrMits are required, and 10 Oblah') Permits prior to
working on pro]", s
Date4LZ9��Signaturee
Print Name
I �M
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
9a�
ISSUED: 4/19/2002 PERMIT NO: 13367
OWNER/APPLICANT
PROPERTY LOCATION
KIM SCHROEDER
720 4TH ST E
720 E. 4TH STREET
Lot: 5
Port Angeles, WA 98362
Block: 174 ❑ Long Legal
360/417-0739
Subdivision: TPA
T: S:
Parcel No: 063000017420000
CONTRACTOR
ARCHITECT
LARRY'S ROOFING
N/A
352 AVIS ST
Port Angeles, WA 98362
98360-0000
360/452-2215
360/000-0000
PROJECTINFO
Project Value: $2,100.00
Project Type: RE -ROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
PROJECT NOTES
TEAR OFF ONE LAYER / REFELT/ 3TAB
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$83.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
SFD Units:
SFD SQ FT:
MFD Units:
MFD SQ FT: 0
Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
0 Commercial:
0 Industrial:
Garage:
0
$0.00
$0.00
$0.00
TOTAL FEE: $87.75
AMOUNT PAID: $87.75
BALANCE DUE: $0.00
0
0
0
1
�i
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
presurVe to give auto violate or cancel the provisions of any state or local law regulating construction or the performance of
ru t
constion.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
1:\PLANNING\M"S\1102.15 [4/2002]
n
L
LA
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE /3 '36
INSPECTION TYPEI DATE YES CEPTE NU COMMENTS I
FOUNDATION:
FOOTINGS
WALLS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE
GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T -BAR
INSULATION
SLAB
MECHANICAL
HEAT PUMP
WOOD STOVE/PELLET/CHIMNEY
PWUTILITIES/SITEWORK (Engineering Division) SEPARATE PERMIT Ws:
RESIDENTIAL
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SEPA:
ESA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
ELECTRICAL - LIGHT DEPT. 417-4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION- KW.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
7— --�
LE�
BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
R�
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ......
REQUE T:
Date — 2Z ^ 0 2— Time/7Received by (phone, person)
1-12
Location of Work to be inspected / --
Name of person requesting inspection
Address of person requesting inspection_
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney
Phone No.
Permit No.
Plumbin�Final Sewer Excay. Other
INSPECTION NOTES:
Inspected: Date Time By
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel ❑ Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order #
❑ COMPLETE
❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Sox 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: "•"
an
11 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electr5
Plan Revi w Information Sheet
Job Address; �
/ >
>e/y- s
� 1J�
-- -- - --
Building Square Footage:
Description of above G'
Owner Information
Contract mation
Name:
Name:
Mallin Address: �2 ZL
State: s �_ Zip:
Mailing Address:
City:=
S1ate_ c. Zip;
Phane: Fax:
Phone:
Fax;
License # ! Exp,
License # ! Exp, Sir,
Item
Unit Charpe
QtV
Total Q Multiplied by Unit Charge)
ServicelFeeder.200 Amp,
$120,00
_�
$
ServicelFeeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601.1000 Amp,
$ 262.00
$
Service/Feeder over 1000 Amp,
$ 373.00
$
Branch Circuit W! Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14
$ 75,00
$
Temp. Service! Feeder 200 Amp.
$ 93 00
$
Temp, ServicelFeeder 201 400 Amp.
$110,00
$
Temp, ServicelFeeder 401.600 Amp.
$149.00
$
Temp..Service/Feeder 641.1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal CirculY Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Nome 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
$
$ Total
Owner as defined by RCVV.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 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, y
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
Credit Card #
x d Dated: -"'0— '::2 `el 0110112012
/ r
. ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 14-00000149 Date 2/11/14
Application pin number , . , 013870
Property Address . , , . 720 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -.00 -0. -1 -7420 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . , . . . . R57 RESDNTL SINGLE FAMILY
Application.valuation , , 0
----------------------------------------------------------------------------
Application desc
200 amp panel replace
Owner Contractor
[CART ARYKE BOTERO & SON ELECTRICAL
720 E 4TH ST 940 TAMARACK WAY
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-4766
-----------------------------------------------------------------------------
Permit , . ELECTRICAL ALTER RESIDENTIAL
Additional, desc . ,
Permit Fee , , 120,00 Plan Check Pee O0
Issue Date , . . , 2/11/14 Valuation , . . . 0
Expiration Date . , 8/10/14
Qty Unit Charge Per . Extension
1.00 120,0000 ECH EL -0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Special Notes and Comments
February 10, 2014 4:22:11 PM tamiot,
PORCH AT METER NEEDS TO BE EXTENDED OR METER BASE NEEDS TO
BE RELOCATED FPOM STEPS, STRIKE HEIGHT IS GOOD BUT NEW
STRIKE IS REQUIRED.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- ----------
Permit ?as Total 120.00 120.00 .00 .00
Plan Check Total 00 .00 00 .0.0
Grand Total 120..00 120.00 00 ,00
REPORT SALES ,TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPWE SIX (6).MONTIIS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCPIANGEIBUILDING _ _�