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Home My WebLink About1110 E 2nd St - Building 4.ot"ORr~ 8~~ ,... !o -- ~Yi!iP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ ........J ( Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 07-00000258 Date 927000 1110 E 2ND ST 06-30-00-5-4-0415-0000- CARLA MONTGOMERY PLUMBING REPAIR 3/13/07 'P ~ ~ RS7 RESDNTL SINGLE FAMILY 1000 Owner Contractor CRABB DENNIS Ie: 1110 E 2ND ST PORT ANGELES WA 983624304 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 WA 98363 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 97147 57.25 Plan Check Fee 3/13/07 Valuation 9/09/07 .00 o Qty Unit Charge Per Extension 50.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 9713 9 79.00 3/13/07 9/09/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 1. 00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Extension 50.00 7.00 15.00 7.00 - - - \) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 136.25 136.25 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 136.25 136.25 .00 .00 ~ /O,...r ~ ~ ~ V % 0,.) Vi'~ 1 CI'\ "t ~ 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 c struction. 3- Date Signature of Owner (if owner is builder) Date T:\Policies\II02_1S building permit inspection record05.wpd [1/412005] ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEF'ORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAJNAGE/DOWNSPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB . . 7.,/~n/07 -' l...L- , ROUGH-IN WATER LINE (METER TO BLDG) I I GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL I WALLS CEILlNd I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF/CEaING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING MECHANICAL , HEAT PUMP 1 FURNACE 1 DUCTS 3/'3()/~'7 J J-L GAS LINE , WOOD STOVE I PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL.lNSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL, DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PW/ CONSTRUCTION - R. w. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . T.'n.".:__\ I In'> 1 < h..;..1;na "","",Imsoeclton record05.wpd [1/4/2005] or- ....0 '- 0 ,., '- ,., OlOl (9E-< <l:<l: 0.0 ::0 U1.,. 0 NN >< U1N com <>: , , 0 Nr- ~ U1U1 ::0 .,..,. 0. 0 ::0 >< >< 00 0 olZ ol<>: ..:1 \0\0 0 Uol UO <>: ,.,,., ~CIl~g; ~(I)~~ ol H rlE-<E-< .. f-i f-4 ~ ..:1 ..i:~~ NH(I)~ :> ....:;:H ..:1 H OlOl Ol<>:OU <>:OZ E-< 0 ZZ :;:ol "ol ol CIl olCll !:'l 00 HOlt'JlJ:;:I Olo.(9o. ol ~ol :X::X: E-< Z:X: :;: ZO E-< ~~ CIl 0.0. 0'" H 0 0 :;:..:1 E-<~..:1~ Z E-<>-:> Z<l: 0 '" NU 0 Z .. 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W)~ W( ('''-tA.Aj vrr\'A_) W\\rld1s-w ~~ ) 5) \2.a-1~tJ:Lu SC\A) tl \"'Y'-t ~\r(; n,'1 VU_t4' ~ '"1 to n'lO....i\1 \...\.",-tZ- Ce-) (4lo..u.. old, tuJ) F~ + tvJ9 W7 t'l.Vv-J I"'Y\,~I~ t:-~-b +- +~ ~ -f) kplcLu -to\/U W1 ILWu.j fen-lab B) ~~ \'2~~croYV1 +M W ('JJV fCUl/L'S~+ (<-teL. ~y(t dvJ~ - A V\C~dLS ?lu-l'V'Lb~- Ow ~d G~s - ~~ C15~ f)~ Zttutrl'L. - I (Yvt. - S-rcv'~'\-b FLoo6 -" ~_ - ~ lWlv--&wJ Parcel Lookup Parcel Number 0630005404150000 Site Address: 1110 E SECOND ST PA ,QOlfl Taxpayer: COUNTRYWIDE TSC 1757 TAPO CANYON RD #300 MAIL STOP SVW-24 (HEATHER TODD) SIMI VALLEY, CA 93063 Title Owner: CARLA MONTGOMERY & T CONKLIN 1110 E 2ND ST PORT ANGELES, WA 98362 Description: BAKERS EC SUBD OF LOT 19 LOTS 7&8 BL 111 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 63,650 Improvements Value: 168,620 Total Assessed Value: 232,270 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1114 FOUR BEDROOM Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for rnore details.) --.1L Bldg. Type Bldg. Style Total S.F. BD BA 01 House One Story 1519 4 2 Tax History Sales History ~~ 111,272,67211 http://apps.clallam.net/websi tel si tis ~ p. pgm ?parcel=063 0005404150000 Page 1 of 1 3/29/2007 BUILDING PERMIT - APPLICATION FOR OFF1ClAL USE ONLY: Date Rec.: 3h~/" '7 Permit #: (l) 7 -2 5 g::> Date Approved: ~ /r~ /07 Date lssued: 3/' if IJ7 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. lfyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: C(\..,(\rA. IV\ml"\-tr")o(""I'..e.-'^j Phone: Owner: W1o, ~y\-\"C:pll'n(l10j IT,yt/l (A")nv \j,VI Phone: Address: I \ I D 9_ '2 V'1t St. City: 'PO" t Avv-g l~ I -='>10 0- <.,(<;'1 -1..1 12-U ~IlO -L}~"t-q 22.L{ zip:-38 3G1 'L Architect/Engineer: Phone: Contractod~ 1{1'1J!JJ;, "?\H 1tYt\9.~ State License #: Exp: Address: City: PROJECT ADDRESS: II \0 ~ '2. 'fld S\-. PoJt- RY\qp.<<, 1). }P\ ~~(o1- LEGAL DESCRJPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Phone: Zip: ZONING: SIZEN ALUATION: SF.@$ /SF.=$ iJOlJU.1& SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 'PhA.>'Y\n.~C), -\-,'1 \fy)D\K s'''"'v G IAYY'~ s'CLlfY\.Jl I A. YJ ~ i u.-ps; )efl lJi>JYynY) +-f}'/ SlY' b eo p\/hP -tu-b O'I/\,..t TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial Gf Ren;!~del Ie D Demolition 0 Deck o Repair D Sign \v...<"'<\ I ~ Other BRIEF DESCRIPTION OF THE PROJECT: ,'r\ O~N7~ ClA/\ d jV"l \ t-IJ y7 1-rH-\O J' . COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. 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 R105.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to I apply for this permit and understand that ifis my responsibility to determine what permits are required ,not the City's, and that I I ~ust obtain such permfts prior to /1' J _ I "\FORMS\BldgPoroi~~'WPdAPPlic'"tl) -J9 Da'eo 3- 1'3 01 't;' ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l2! EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000189 Date 277248 1110 E 2ND ST 06-30-00-5-4-0415-0000- ELECTRICAL ONLY 3/02/07 RS7 RESDNTL SINGLE FAMILY o Owner Contractor CONKLIN,TIM 1110 E 2ND ST PORT ANGELES (360) 457-9224 WA 983624304 DISCOVERY BAY ELECTRIC, INC. PO BOX 3531 SEQUIM WA 98382 (360) 681-5194 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL DISCOVERY BAY/ BAT REMODEL-HTW 95943 DISCOVERY BAY 46.00 3/02/07 8/29/07 ELECTRIC, INC. Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 ~ - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 o r' N ~1 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO ~:t" \ GENERAL COMMENTS: PW.II02.l~ (4196] ~ ~ORT "'1\1 ..:!-O~o:C(~ U~~ '- -=:;;....w ~ "4iL"";;""""vd>'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 (b ~ ( Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Appllcatlon type descrlptlon Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001326 Date 12/19/06 198200 1110 E 2ND ST 06-30-00-5-4-0415-0000- FIREPLACE/INSERTS/FREESTANDING RS7 RESDNTL SINGLE FAMILY 5000 Owner Contractor EVERWARM 257151 HWYl01 PORT ANGELES (360) 452-3366 WA 98362 Permit Additional desc . Permit pln number Permlt Fee Issue Date Explratlon Date MECHANICAL PERMIT WOOD INSERT 92270 50.00 Plan Check Fee 12/19/06 Valuatlon 6/17/07 .00 o Qty Unit Charge Per Extension .00 50.00 BASE FEE 1.00 50.0000 ECH ME-WOOD BURNING APPL Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 - 'U-l ~ -- - -- ~ \I, ~ ;:s P- V\ "';:4 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 co 1. All proVisions of laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The g n of a permit does not presume to give authority to Violate or cancel the prOVIsions of any state or local law regulating constr. ,-h r the performance of construction. Signature of Contractor or AuthOrized Agent Date T IPo1lclesl1 102_15 bUlldmg penmt mspectlOn record05 wpd [1/412005] ('2- Ic;cJ; Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE IT IS UN LA WFUL 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 NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TlON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY MEDICAL GAS LINE AIR SEAL WALLS CElLING FRAMING JOISTS / GIR.DERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CElLING DR YW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ /1 I CONSTRUCTION - R W. ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 4] 7-4653 I FIRE DEPT. PLANNING DEPT 417-4750 , I A PLANNING DEPT . BUILDING 417-4815 ~ /IG /I'J? .A /1 BUILDING T \Pollcles\1102_15 buildIng pennlt inspectIOn record05 wpd [1/4/2005] (1'./ \ ~ ~ '-.... W N. ~I ~ ~ \"\ ~ I~ ~ ~ ~ ~ "'I PREPARED 3/19/07, 8-27-38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 3/19/07 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER_ 1110 E 2ND ST EVERWARM SUBDIV PHONE _ (360) 452-3366 PHONE 06-30-00-5-4-0415-0000- 06-00001326 FIREPLACE/INSERTS/FREESTANDING PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME9901jii- ~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- MECHANICAL FINAL 03/13/2007 02 46 PM PERMITS CARLA 457-9224 CALL AHEAD SO SHE CAN MEET YOU AT 360-820-8172 (::;;h/ BUILDING PERMIT - APPLICATION 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 Applicant or Agent: Owner: Cc....\1A- tJv>^'t~pmD .., Address: I r \ 0 <7 7 1'\4 S+- ArchItectlEngmeer: Contractor ZVd~ Phone: IT iVy\ (--tJY"IlL-Ltv--. City: RlA- pun ~U g Phone: ~Q{) - L{~ j-Cj 1.2-L-\ Zip: gS 3~ L Phone: State License #: Exp: Phone: Zip: ZONING: ?.~ '-'7 Address: City: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdIVIsion: TYPE OF WORK: SIZEN ALUATION: "IV ResIdential D New Constr. D Re-roof liS Stove w -..uck. SF. @ $ /SF. = $ 6, /)/) iJ. ~v o MultI-family D AddItion D MoveD Garage SF. @ $ /SF. = $ o Commercial 0 Remodel D DemolitIOn D Deck SF. @ $ /SF. = $ D RepaIr D SIgn D Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: IY\s.-ta lk\';J ~5t..- o.iQ.'7.1JN'\ ('^""l -0w (}lOu'1 1'v\<JK't' -/.AP.J,' )cl blU1^"~J 1Y'Jb,) 11AU:"+^~ +f'rt"(lliJI.to) + b(w'~\,,~ -P,\(cPI9d..J. l.AlIn.l'v;, ('{/lAd r,htryl,AI.......\ C~~RCI~~~~~~: Occupancy Group: Occupant Load: Construction Type- ",---"",~-~~--,..- No of Stones: Lot Size: Existmg Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESA/Wetland(s)' DYes D No SEPA ChecklIst required? DYes 0 No Other: VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant. This figure will be revIewed and may be reVIsed by the Building Division to comply WIth current fee schedules. Contact the PermIt Coordmator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due It must be submitted at fue trrne fue building penrut apphcation and constructIOn plans are sub1ll1tted All other permit fees are due at the trrne of permit Issuance. EXPIRATION OF PLAN REVIEW: Ifno penrut is Issued wIfuin 180 days offue date of applicatIOn, the application will expire. The Buildmg OffiCIal can extend the trrne for actIOn by the applicant up to 180 days upon wntten request by the apphcant (see SectIOn R105.3.2 of the InternatIOnal Buildmg/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. /)~ T \FORMS\BldgPenrntform.wpd Apphcant It ; Nt , ~ i \__/ / () Date: /1- IZ- (\ie . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16103 J- I 3 ,> P- Port Angeles, washlngtonmnL____m____.____nmm___m_._m___.________._., 19oom___ 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 oo-/{-jp--oom-(;"7i!"1~d.zm-.--mb--.m-m--m--m Occupancyn____::"~~_:":_______m_______________n._ Owner ----?"''-'--:G~L"'m-::.L-(-~4tlmm@ .<.!:/tanL---------b--------------------nm----m--oooo-n.--nmm-----.m Wiring Contractor -m~".,.:J-"-~-.e.<.:>--mg'-----'"..oo~'----mm Bym_______oo.nm_mm_m____m___m____m_nmn.____.m__n Light OUt1etB.....___._______...~....._...__..:...... Service, volts ..;/7!..?~:;'))f.Q...- Type of Wiring: --;J No. wires ....h~:-:;----------7:u. Size WlreS___;;p:.?!.....~m.:.--:.._n Main fuse ....._:fl.:'!!..t!;/4....._ Enclosure __._:~___.____..__................ Receptacle Outlets.........______................ Dryer, KW __.nn_n._..._.__.Un...._..__._.u____ Range, KW m____________________m___ Water Heater: KW..mmm..m..m....mm.... Type of wiring: Entrance Cable ......___n____non.___..... lIeat: KW..__nn__............._nn...............n...... Motors: sIze, volts and p)ase: .:'! J I~"". /0 ..?:.__(:__n____I.~~_f._!.__._____'~nt;.:!c:.~}~!..~'. hmmh.h..hh.........Y...................... Rigid Conduit nmnn__nnmmm....... ~MetaIUc Tubing .mnmm............... Current transformers: No. & Size..............................n....... Ser. NO..n.........n....._nnn..nnnn.......... Ser. NO.nn_..n_................................... Ser. No. ....n__.'nnnn.nn_nn__nn.__..n.n. Total Load.....mmnnmnmn.... Ser. No. ..n......nnnnn.nnn.n.__n.......... , Armored Cable ........m..m.............. Non-Metallic ................_m___mn..... Knob & Tube___............m__n_____....... Rigid C"nduit .h........_.....mm........ Metallle Tubing h...........m........... Raceway ..............................._......_ CIrcuits, Light..nn................_.mnm....... DImly ....m...................................._. Heat ............................................... Range .........,__......................._.....n.. Water Heater .........n_n.............._.. Motor __................_......................__._ Dryern.........n.n.n...................nn.__..._ Furnace .. ........................_......... .... ..00" Remarks: __oo.__________...nmu~-"'1..e:.-.,(.,-,':::;~.-.._uu-..mn...mu...-----m....m.u--...u.u...__...m___......m.___.mm......oo Total ................._..................... m_m._mmoo..........ooum_mmoo___oomm__....m__nm_oooomoo.....mm...mmm.m_mmm-7~nn ,--~-,- ____._...-;;__uoom__m,.....mmoo Permit Fee Treas. Receipt /1- - '. (. ,j . . I J ? l!t(e..1:{~4...<?~"4""'L .. $00_.._____..._......_...______.._..... No.._.........._._____...__._._ By nuum__.m...._'_u....oo:m_..._m...:_.._...:_.:_:_.::_~__ 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 N? 16103 Address........_......._..._............._......._......._..............................................._.....................................Date......_........_......_..........................._..._..... Owner nnnn.n.n.__n..._nn............................_..n.._..___....._..n...............n.nnn..n__n.....nn...... Tenantn..nn__nnnnnnnn.n__.....nnn.......................... Wiring Contractor...................................................._......_......._...................................................... 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 given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc. " ~ .... ~7.1 -... ELECTRICAL WORK PERMIT APPUCATI@~ License number 'I' (nstallation description o Cummucial ~ReSideDtial Job wired by " CiI Electrical Contractor 0 Owner CJ New ,Dr Altered! Addition Slate ZIP 06~3 '(;2..- FAX number :5 b 0 - ~fl r - 7 I 5' Z. .. " . , , \ - '-l CII C L' [ -K GJ ~1l C ],., , I\K\\)&~,S 6~(""):,)1.'V\ n'>.MD&el i Y'eJocf\+;ov'l ()~- 1.10+ 1.,-)(1:..6 -\7,.., k , Premises owner's na e c.., t> I Address o.!J.Ds~ec~io, 11+, & t:::. 2.tl4. C~ort AI1lje.Ie<:, Phone nllmber to schedule inspectiOP:3~O_ YS"7 _ C; Zz Owner a!i defined by RCW19.28,)61:(l) Owner will occupy the s(nrcturefor two years after this electrical permit is finalized. (2) O1wler is reqrnred fo hire an electrical contractor if above said property is for sale, re'" or lease. After reading the above statement, I hereby ~er1jfy that l am the owner of the above named pT<lpCrty or a licensed electrical cont('ac~or. I am making the electrical instal- lation or alteration in compliance with the electrical Jaws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, !lnd Utility Sp<<;cifications. SI~nattJTe of own.~. electrical (:(mtractor or e1ec:trical administrator " ~ Date: 2- Z3.v o Cash 0 Check # l!I Credit Card ~ Card # Mastercard Discover Expiration Date of card e Loa . itions CJ NO LOAD CHANGES CJ Baseboard KW o Furnace KW o Heat Pump Ton LAR CJ Fan,Wall KW bl Service Inrormafum D Overhead Service o temp Service CJ Underground Service Vollage Phase D 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 1/2.. roUGH-IN THERMOSTAT /' SERVICE Lj . /')"} ,t..........XZ D.al~ Approved By J (hI", Appf'\Wed By Dale Approved 8y .. FINAL /' DITOl FEEDER 3/dce ~ " Date Appro~ed By Dale Approved By Dale AppHlved By Jnspection Area, Building or Equipment Inspected Action Taken Electrical Date [nspcctor -- .- . - - -JrV! ~ l/z.? Ie '7 / r ~.d <:C;~L-~8S-098 UOSIJJBH ilY10W!l, B8~:m LO 8<: qS:J ~ t'1..Jt'(1~~l...;l.IVl..1 ~q/~LIL~~' ~~;DO ~O~~l.(qIL~ ,. I""Al.X:.. ~l CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEeT Date: To: Fax: Re: Sender: 4/2/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax; 417-4729 YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS CQVERSHEET. IF YOU DO NOT RECEIVE ALL 'THE PAGES, PLEASE CALL (360) 417-4724. Please Inspect for: Tim Harrison, Discovery Bay Electric 661-5194 460-7809 1110 E 2nd Thank you, Kathy 4/~f1 ~ cJl( , " ;j !: U~ CCLlH V09C LOOZ-CO-vO 'w'e Z900:00 I~l '1M ,0 is 3604172733 5T Of WA l&1 091319 am 04-07-7007 1IB PORT ANGaES CITY LT PAGE 81 83i38/2887 88:53 3684174729 s CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: To: Fax: Re: Sender: 3/30/07 Labor & Industries 417-2733 Inspections Kathy TraInor Phone: 4174724 Fax: 417-4729 YOU SHOULD RECENE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE AlL THE PAGES, PLEASE CAlL (360) 417-4724. Please Inspect for: Tim Harrison, Discovery Bay Electric 681-5194 460.7809 1110 E 2nd Added/altered cIrcuits Thank you, Kathy \ 3/#/f7 ~/ R:ertr3--f!r ICllffJPrrJ 3604172733 ST OF WA L&I 091341am 04-022007 2/8 - DO NOT REMOVE ELECTRICAL INSPECTION CORRECTION REPORT The corredfons listed below are hereby ordered and must be completed "Ubi. .!1l!!n. lecnical Code or State Rules for Safety Standards Is the permit fee correct o NOT APPROVED FOR SERVICE o No Fee due $ , NOTIFY rNSPECfrON OFFICE WHEN READ FOR REINSPECTION FSoo..-OO6-000 ~Jectrical inspection cOlTeCtion report 5-04 Page _ of .",--. CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: To: Fax: Re: Sender: 3/30/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724. Please inspect for: Tim Harrison, Discovery Bay Electric 681-5194 460-7809 1110E2nd Added/altered circuits Thank you, Kathy ~j ...~ .. CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: To: Fax: Re: Sender: 4/2/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724. Please inspect for: Tim Harrison, Discovery Bay Electric 681-5194 460-7809 1110 E 2nd Thank you, Kathy a 01 CITY bF PoRT ANGELES PERMIT APPLICATION a Building Division /Electrical Inspections E(°IRIN., Q�s 321. East Fifth Street P.O. Box 11501 Port Angeles Washington, 98362 E6TIOMS Ph: (360) 417 -4735 Fax: (360) 417 -4711 bate: q —'� l zi & 2 Slagle Family Dwelling * plan review May Be Required, Please Complete Electrical Plan Revi w Information Sheet Jttb Address: (//0 BuMing square Footage; Owner Information Contractor Information �� Name: r5 -90.4 Mailing Address: W e? 4 i+4 .2.4 5 l i ri Mailing Address: � ' nom+. RA4 swf, Clty: _ P' r '_. ? State: -LL f Zip: �a d� _ City: P 7 - State: "-A zip: a � �.. Phone: Wlo - S Fax: Phone:14 3L7- �:d-T- 2- pax i,,j License # 1 Exg License # / Fcpp tzA in -7 71 le 4_ item UhA Cbaliga 9i Tg�ffill Qy_Muftiolied lay „ Unit ,Gharne8 ServicelFeeder20OAmp. $120.0 -- $ Servicaffeader 201400 Amp. $146.00 � $ Service/Feeder 401- i00Amp $205.00 $- — ServlcelFeeder 601 -1000 Amp. $ 262.00 $ ServicelFeederover 1000 Amp, $ 37'3.00 � $ T Branch Circuit Wl Service Feeder Branch Circuit W10 Service Feeder $ 510 $ 63.00 $ $ Each Additional Branch Circuit $ 6.00 Branch Circuits 1.4 $ 75.00 $ Temp, Servicel Feeder 200 Amp. $ 93.00 Temp. Service/Feeder 2R1400Amp. $110.00 _ $ Temp. Serviceli=eeder401 -600 Amp. $145.00 Temp, Service/Feeder 601 -1000 Amp . $160,00 $ Portal to Portal Hourly $ 06.00 T $ Signal Circuitl Limited Energy -1 & 2 Family Dwelling $ 600 Manufactured Home Connection $120.00 $ Renewable Electrical Energy -5KVA System or Less $102.00 $ Thermostat $ 515,00 Note: $5.00 for each additional T•Stat NEW CONSTRUCTION QNLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74Z Each Swimming Pool or Hot Tub $110,00 $ $_�dotal Owner as defined by RCW.19.28.261: (1) Owner will o=py 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 Insperfion. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am making the electrical installation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 25646B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Appl ications. Signature; of owner, electrical contractor or electrical administrator: CI cash M Check ` IVA El Credit Gerd ill...... x + ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 14- 00001118 Date 9/19/14 Application pin number . . . 871242 DITCH Property Address . . 1110 E 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-5-4 -0415 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . , . . Property Use . . . . . . . , FINAL Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . , , , 0 Application desc Furnace and heat pump Owner Contractor TIMOTHY W CONKLIN EXTRA MILE TECH & ELECT., 7,LC 1110 E 2ND ST 418 N, RACE ST. PORT ANGELES WA 983624304 PORT ANGELES WA 95362 (360) 457 -5222 Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee 73,00 Plan Check Fee 00 Issue Date . . . 9/19/14 Valuation , . . . 0 Expiration Date . 3/18/15 Qty Unit Charge Per Extension 2,00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 10.00 1100 63.0000 ECH EL -R- 9RANCH CIE WO/ SEE FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 73,00 73,00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.p0 73.00 .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 �® l COMMENTS: PERMIT WILL EXPM SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDJNG d0 10/07/2014 8:48AN FAX OCT � ~~"��/ �� " XVm�d' Div��m��ch�calIn«p»c�omx '��'`"'""� Nmroo/w"^ 321 East � �/�� Washington, �� Ph: (360)417-4T95Fmx., (360) 417-4711 ONc ^ ° Plan Review May Be Required, Please Corn)lete Electrical Plan Review Information Sheet Description ol above 10$001/0002 AL Owner Informition Contra 4. Z . P City slala, zip, GIV FM Ph Item Sm=co;Fmdar20U Amp $120.00 _-----_ $ _________ ServixeF*odor3V1-4VVAmp. S14O.00 ------_ $_—_-----_ Swviva,Tmud*r401-6U0Amp S2OS.00 8um/oo/Fmader0014 QUO Amp, 8262.00 SonAv lFeader over 1000 Amp. 5373.00 __----_' V—__------- Branch Circuit Wil8om[ceFeeder 6 6.00 Branch Circuit ND0 Sum/cuFacdur $ 8oN Each Additional Branch Orcul\ & 5.00 Branch Circuits 14 75-00 Temp Service/ Feeder t(0Amp $ 93 (10 Temp. &owicofFwodor201-400Amp. S110,00 Temp. Snmicn/Fevder4O1'6UDAmp S14n�0n Tamp. 8o,Nce/F*oUm6O1'1uU0Amp $1$8.$0 Po,bdtoporluUHourly $ 90,00 Signal Circuit/ L/mhodr�oo�y'i83 Family DxmW"q $64UO Manufactured Home Connection $12000 S�--------- Rmr=woWeE|vv\h*a\Enorgy SKVA System orLess S102.00 Th*nnnota\ 8 56.00 Note. V5.VDkx*w0mddtlmnn|[. 81a I. NEW CONSTRUCTION ONLY First 1300 Square R. 812000 Each Additional 5UU Square [1, OrRoTtivno[ 8 40.00 Each Outbuilding or Detached Garage 3 74.00 Lpoh8WmminQ Pool or Hot [uh 5110.00 $�2K��w�| Owner as defined byRCW.19.28,261: (1) Ommer mll occupy the structure for Kvo years aftor this elecirical permit is finalized. (2) Ommorisequimd to hire an electrical conlractor if above said property is for sale, rent or lease, Permit expires after six months of last innpepUnn. After reading thn above statement, | hereby cwrt/fy [hat |wm the monornf thn above nnn)mU property orm licensed e|mdnnm| contractor. |nmmnkm0 thp eicolriol ioslallation or alteration in rompliancA, with the electrical lavv5, RE Q., RM Chapter 18.20.VY80. Chnp\rr20S'4UB. The Ci|yofPort A'gele: Municipal Code, arid Utility 8pe6ikua|kmo and PANIC 14.060S0 regarding Electrical PeaniApplications Signature pyowner, electrical contractor or electrical administrator: O m^x [] Check Ej!�zmuutxrd# = ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 . Application Number . . . . . 14- 00001205 Date 10/07/14 Application pin number 613435 INSPECTOR: Property Address 1110 E 2ND ST ASSESSOR PARCEL NUMBER; 06-30-00-5-4- 0415 -0000- SERVICE Applic.ation type description ELECTRICAL ONLY Subdivision Name , , , , . , ROUGH -IN Property Use Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY to to Application valuation . , . . C COMMENTS: ___ ____ ______ _ ___ _.._-- _-- _- --- ___.__.____- Application desc - - --- ----- _- _----- .- ._..-- - - -_ -_ T -stat Owner Contractor TIMOTHY W CONKLIN DAVE'S HTG & COOLING SRVC INC 1110 E 2ND ST PO BOX 413 PORT ANGELES WA 983624304 PORT ANGELES WA 98362 (3 6 0) 452-U939 LI,5-Z JJ L63-? 1_ [/- Permit . . . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee 56.00 Plan Check Fee 0,0 Issue Date 10/07/14 Valuation . . . , o Expiration Date 4/05/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL -LVT- THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged - Paid Credited - Due ------ ----- - - - -- ---- - - - - -- Permit Fee Total 56,00 ---- - - - - -- ---- - - - -- ---- 56.00 OD - - - - -- .00 Plan Check Total 00 ,00 Oa ,00 Grand Total 56.00 56,00 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 to to COMMENTS: PERMIT WILT, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GA1EXCI3ANGEMUILDING C� ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 14- 00000981 Date 8/18/14 Application pin number 817668 Property Address . . . . . . 1110 E 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-5-4- 0415 -0000- Application type,desCxiption ELECTRICAL ONLY Subdivision Name . . . , , . Property Use Property ZDninq . . . . . , . RS7 RESDNTL SINGLE FAMILY Application Valuation , , . 0 Application desc Basement remodel Owner Contractor TIMOTHY W CONKLIN OWNER 1110 E 2ND ST PORT ANGELES WA 983624304 Permit . , . , , , ELECTRICAL ALTER RESIDENTIAL Additional. desc 1 -4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date 8/16/14 Valuation . . . . 0 Expiration Date 2/14/15 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 CO ,00 .00 .00 Grand Total 75,00 75,00 00 Op 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 Cq imp FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION' , Signature of owner or Electrical Contractor X mm Date: G:IEXCHANGEIBUILDING s' aar A, RECEIVED CITY OF PORT ANGELES PERT IIT APPLICATION Building DivisiionlElectrical Inspections AUG 4 201 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 °- Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELEURICAL INSPECTIONS Date: 2 Single Family Dwelling" k Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: _r {1(,1T 7A ('D L+_2 Building Square Footage: Description of above fir ma"r- Own er Information deALU Contractor Information Name: Wit— Name: Mailing Address: WC5 F= Z S Mailing Address: City: 94 State: W iA Zip: City: state: Zip: Phone: X0 4( ,0 ?Z V1 Fax: Phone: Fax: License # ! Exp, License # I Exp, Item Unit Charge Total Multiplied b Unit Char e Service /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 Amp. $ 373.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ . Branch Circuit W!0 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5:00 $ ",,Branch Circuits 1-4 $ 75.00 I $ 2z Temp. Service/ Feeder 200 Amp $ 93.00 $ lamp, ServicelFeedar 201 -400 Amp. $110.00 $ Temp. Service/Feeder 401 -600 Amp. $149.00 $ Temp, ServicelFeeder &01 -1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit) Limited Energy - 1 & 2 Family Dwelling $ 64.00 $ Manufactured Home 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 $ 400 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $ 110.00 $_ $ T . 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 3 am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in complian�ewith the electrical laws, N.E,C,, RCW. Chapter 19.28, WAC, Chapter 296468, The City of Port Angeles Municipal Code, and Utility Speecfa Eons' and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical co lac r or electrical administrator: El Cash Q Check �� ' — f El Credit Card # x Dated: 1 01!0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14- 00000981 Date 8/18/14 Application pin number , . , 817668 Property Address . , . . , . 1110 E 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-5-4- 0415 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . , . . Property Use Property Zoning . . , . , , . RS7 RESDNTL SINGLE FAMILY Application valuation , . , . 0 ---------------------------------------------------------------------------- Application desc Basemeht remodel -----------------.__.-._.__-_____-_--_-------------- -------- ------------ - - - - -- owner Contractor ----------- ------- - - - - -- ------------------ - - - - -- TIMOTHY W CONKLIN OWNER 1110 E 2ND ST PORT ANGELES WA 983 624304 ---------------------------------------------------------------------------- Permit . , , I ELECTRICAL ALTER RESIDENTIAL DATE: Additional desc 1 -4 CIRCUITS DITCH Permit Fee 75.00 Plan Check Fee 00 Issue Date 8/18/14 Valuation . , . , 0 Expiration Date 2/14/15 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - -- - -- Permit Fee Total ---- - - - - -- ---- 75.D0 - - - - -- • ---------- ---- 75.00 .00 -- - - -- .00 Plan Check Total 00 .00 ,00 .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 X Date: G:IEXCHANGEIBUILDING ELECTRICAL INSPECTION O WIRING REPORT AKS APPROVED OT APPRO ED ® .............. ......DITCH .................... 0 ................ ROUGH IN /COVER .............. Qj;; — ® ............. .....SERVICE................,.. ® ............... ......FINAL...........,........ rT ORRECTIONS NEEDED:-- 415; r_._ jt o g►z� a�'tZ �) S _ ° e 3 ys Pic?, Lary." NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE — lc ELECTRICAL INSPECTION V - y WIRING REPORT 417- 4735 . ..................ullum . ® ................. ROUGH IN /COVER .... , . e- --_ ®..9 .......... .......SERVICE................. ® ..................... FINAL . CORRECTIONS NEEDED: ►' t 1� �1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN iS DAYS i >.. rl