HomeMy WebLinkAbout328 E 10th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
r 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001028 Date 9/19/11
Application pin number 907000
Property Address 328 E 10TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3010 -0000-
Tenant nbr, name RACHEL RICHMOND on your state excise tax form
Application type description RE -ROOF
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4390
Application desc
TEAR OFF RE -ROOF THE HOUSE GARAGE
Owner Contractor
RACHEL M RICHMOND OWNER
328 E 10TH ST
PORT ANGELES WA 98362
(360) 460 -3742
Structure Information 000 000 RE -ROOF THE HOUSE GARAGE
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF THE HOUSE GARAGE
Permit pin number 192856
Permit Fee 137.75 Plan Check Fee .00
Issue Date 9/19/11 Valuation 4390
Expiration Date 3/17/12
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL- 2001 -25K (14 PER K) 42.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 142.25 142.25 .00 .00
1 vla i 3 0)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law r .ting construction or the performance of
construction.
,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 INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling 1 V
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:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
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 3.28' /a. ,77/G
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit (l' 1 02 10 "d J
�Z�
Date: 3- 13' I'a'
1 phoned the: Applicant JZaa) kro 11 at 11600 -3 -p
Property Owner at
Contractor at
1 (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
Permct -e pt res 3'i •/2-
Lin Cu1 e,v iy Penn I‘
.1)r finak
T:Forms/Building Division/Project Status Update
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.) q i I
Date Received l lc(-
Permit 1-161.3
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5th St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: \n^ K fo Phone: 300 l f PO
Property owner: C'A\�� COh (.1? ‘C,��y Phone: c 'S.QQ 'uQo 3�
Property owner's mailing I S 1c'fg. address: CAA
E \,Cjtlry S�. RCN-\ 1-e hone: v`g 3 (n�
Contractor's business name: .�cc '2) `CcOh
(or property owner's name if he/she is doing /overseeing the work) j (Qp (QC) t R
Contractor's mailing address:
Contractor's L &I license number: Expiration date:
Project Address: 32.$
"Residential G 1 A o$C9 2-
Project Type: D Commercial D Industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: 4ouse t/ garage other
otear off re -roof lay over one layer
(1) Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation )1) (labor materials, not including sales tax)
Re -side: house garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the protect)
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, t reflect the value the repair adds to your roperty.
Cost of materials 00 x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some 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.
(1) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
(1) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit
and understand that it is my respons ine what permits are required, and to obtain permits prior to
working on projects.
Date 9- I°i Signature --;_i. c
Print Name 0I0.A(N Q Yc) r
Page 2 of 2
Clallam County Assessor Treasurer Property Details 59319 RACHEL M RICHMO... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 59319 RACHEL M RICHMOND for Year 2010 2011
Property
Account
Property ID: 59319 Legal Description: LOT 3 BL 330
Geographic ID: 0630000330100000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N l
Historic Property: N Remodel Property: N e
Multi Family Redevelopment: N
Township: Section:
Range:
Location
../S/
ik i,
Address: 328 E TENTH ST Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 5 Res Map ID: 2 ee 4
Neighborhood CD: 10955130
Owner
A
Name: RACHEL M RICHMOND Owner ID: 48638
Mailing Address: 328 E TENTH ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 09/19/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid l Amount Due
1 Statement Details
2011 153933 $624.26 $624.17 $0.00 $0.00 $624.26 $624.17
Statement Details
2010 42218 $598.51 $598.51 $0.00 $0.00 $1197.02 $0.00
Values
i Taxing Jurisdiction
Improvement Building
3 Sketch
1 P roperty Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 9/19/2011 3:46 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =59319 9/19/2011
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15174
7- Y . )y
Port Angeles, Washington____h____________n__________________________________________, 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 d~lectrical work as listed below.
J;) '6 e/C?:J(.
~::;s~:~!::::---~;~i~:-:-~~.:~:-:~::::i>~~c:":~~-~~~:::-_::-::::-:-:--_._:_::::._:_:__-.:.--:---.:::
'i
n/<?ni!/?f..CJ._....
Light Outlets..___mm_.m.__..h...._.h____.m.
Service, volts
3
No. wires n.nn____nn_..._._....~.....n.h.
. #~dP
Size 'VIreS.n_._..mn____....n.._........hn.
/ L\
Main fuse _nC'?_!2t?...C.n..___.........n
~
Enclosure m.m.nmm._...__.....n....n...
Receptacle Outletsm__m_.___.h.........___._.
Dryer, KWI_n_____......._____h__un______m____.
Range, KW nmm____ummm____
Water Heater:
KW.____n_n.._hn_h___.. _m_h_h_n
Heat: RW._nm_f....il.8._mn.____.___
Type of wiring:
Entrance Cable m_..m.___..n.h.........
Motors: size, volts and phase:
Rigid Conduit 00__.__.__...__.___.........00.
Metallic Tubing ..._mm__mm..m___.
Current transformers:
No. & Sizennnnnn___nn___.nn.__...n.__.
Ser. NO...__..._...n_n_..n..__.........._.._......
Ser. NO........_..__.___.._.h........_..nh_...___.
Ser. No...__...._.___.._.._...__..__.............._..
Type of Wiring:
Armored Cable _....__.....____m..mmn.
Non-Metallic m____......n..__mn__m..h
Knob & Tubem..mm___n..._m.m.h....
Rigid Conduit .n...n..n......._..__.._._..
Metallic Tubing ____nn.__nmn...n....
Race\vay _..._____n____.n___...nnn_h___......
Circuits, LighLm....h_...__......h..__......__m
Utility....nn.nnn.nnnn_nn_hnn.........
Heat
Range .__.nn_.hnn_...n........._._......__...
Water Heater ..m.__..____m...______..___
Motor _____..______.___..___________.______._...._
Dryer..n_n___h__.__.._...___.h...._................
Furnace __n__n._______._____n.._m
Total Load._____._______.__............ SeT. NO...__.nn.nnn.__..__..__............hh. Total .....___..__.__..____..__.______.__._00
/'
tv // Y'
Remarks: n____h..__U~_':,,__~-.._;:._l,-~hun..~:~-h-..:.h.m.-:":::'~:::~..:-:--~~uu.--nu....hdhun___u_.._.._m_.._.n___jmmn..m__._n__
i:_~_~~_-_~~~-_~~~~~~-_~-_~~~-_~--__~---------i~~_~_~:~~~_~_~_~~i_~~-_-__~._~------------------:~--::;r::Ztf~12~::::::::::::
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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
-/;/'
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.J O~ IL
ELECTRICAL PERMIT
N?
15174
'?,--:' F ,6-:; /0 t-l . 9- ~~ -)r
:::~1~;~~:~;12~:::fGi~~;::::q:::::~:::::::::~:~::::::::::::::_:::::~:::::=:::::::::_::::::::::::_::::_:::::::.::::::::::::::::::::::::::::::::::::__::::_:::=:::::::::::::::::~
r7!. 4, '7 r j;" cj/'J. "I',
Inspectionc~mpleted"_'_"_""t?""':_"'___"_'_'"_..._...__.._..__..._.___..._....~._......h__..______...__....._____._____.._...............__.._________.........___.._.___...._______..._._
Total Load ........___.._...___00_.00..0000_..____.000000..._0000_..___00...00_.__..__.....00__..... hh" .....__.__........h.................n.___..h.._.._n.n_.................h.....__hn..___.....__
\
1M \ 3-72 Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15162
, ;r-;2(, ;>Y
Port Angeles, Washlngton.........".........~.....-'-.................................., 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.
Address .....}:!..!...r;;:./?2..!:-L........................................ Occupancy..m.~-L.............................
Owner .......~>..,...t:~~.!t-............................... Tenaut..........................................................................
Wiring Contractor ....~tle:!?~::"....€f~:.-;.Jr...c~)L.. By......................................................................
LIght Outlets....m_umm_m..........._..__.__
ServIce, volts __n.nn_._n..._..............mm_
Receptacle Outletsmmm.mm..mm.......
No. wires .._.._..h__.n_...nn__n..._........
Dryer, K\Vi ._..____............u____..u____..______
Size wiresn._.._..._..m.mmm____.........
Range, KW n_______H____n_____
Water Heater:
Main fuse ___m...mm............._m.m.n
Enclosure ._..._00_____.._.........__..00__00..00
Type of wiring:
Entrance Cable ......00..__.....00
KW....m.mmmmm nnmnn'.n
He.. RW.nn?n1.'?:Entl..l}mn
Rigid Conduit _.__...._m.....n..
Metallic Tubing _mm___......._.........
Current transformers:
No. & Size........mnn...nnmnnm..m..
Motors: size, volls and phase:
Ser. NO.nn.n____.....n___....nu_n_.._nnn...
Ser. NO..___...__nnn____._.__._.__...............n
Ser. NO..._..._._..n..u................_...._n_.n
Total Load..n..n..nm_____mm_.
Ser. NO..n...n___n_____........__......n..nn___
Type of Wiring:
Armored Cable .mm.mm___...n........
Non-Metallic .""n........_n..._......__n.
Knob &. Tube___.....mn...___n___....m__
Rigid Conduit ____m....._mm___.__m...
Metallic Tubing mm.....um...........
Race\vay _.__..__n___..__n..nn.._n__n__.._._.
Circuits. Light._____.nnn__.__n.m...m____m..
Utility __0000000000_....00.00_.......__.........._..
Heat
Range _._.__.____.__..____..______...____._______..
Water Heater ..._..._....00.................
Motor ........___......__....._.__.........__.____.
Dryer..____._________________..._______.._______..__.._
Furnace .....nn..n.._....__...._...__m..
Total __un_n...._..n..._........__...._..
Remarks: ..............................................................m...........................................................................................
.i~.~~..~~~.:.~~..~~......~....~................i~~.~:.~~~.~.~~.~.~~..~.~...~....._...........:;.::.i{l~~:~;:==2~::::=:.:.:.
NOTICE-Current must not be turned on until Cert1f1cate of Inspection has been issued. 11' 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
C. r ~; ,I(:;., /1 (}
ELECTRICAL PERMIT
N?
15162
Date calledJr'i?s4"Cti~.../t2mtimmnmunmun.u.nnu_uuu.uu.m.mm..uummuuuu.numuuuummm'UUnnmn.m_mmu....m....
c//,/' ~ _.1 n
Preliminaryinspect{~---aates.......~.._...____..______u__._____.~..__......._..____._..........___.___..........____..._......___.__.__...........____.____......._......_
Inspection completedn__n_.._...n....._......_......_.........n..n.......___........'."00
r""'TotalY Load _n.nnn.nn_u_nn__...nn_n______n.n______nn_..._n.nnn...n............._ .....n
\
'\. 1M 3-72 Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001881 Date 12/27/16
Application pin number . . . 591388
Property Address . . . . . . 328 E 10TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3010 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
--------- -- ------------
Application desc
Panel replacement
----------------------------------------------------------------------------
Owner Contractor
RACHEL M RICHMOND BOTERO & SON ELECTRICAL
328 E 10TH ST 940 TAMARACK WAY
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460-3742 (360) 452-4766
--------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc : .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . 12/27/16 Valuation . . . . 0
Expiration Date 6/25/17
Qty Unit Charge Per Extension
1.00 120.0000 BCH EL -0-200 SRV FEEDER 120.00
---------- ----- -----------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------------------------------------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
REP+Q,Rr E ` - > ALES TAX
on your 06 K form
to the City of Pdftftelft
(Location Codi 2)
. INSPECTION TYPE
DATE: RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
1z- / z h L „7
�1
FINAL
COMMENTS:
�Me . 7Ptaw[ 0 -Ta V %I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections 'rx`
321 East Fifth Street — Port Angeles Washington, 98362 i s
Ph: (360) 417-4735 Fax: (360) 417-4711 1 y :.
Date:Family/ I 1 & 2 Single7 7Dwellinry x¢°�'�-'
l �
* Plan Review May Be RequireleaseComplete Electrical Plan Review Information} Sheet
Job Address: V t Z
Building Square Footage: S (_1 % / C) ?r. IA9 t �_
Description of above k J
Owner 1,rif9rmatiorr - \
Name:
Mailing Address: I
City: State: Zip:
Phone: Fax:
License # 1 Exp.
Item
Unit Charge
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 WI Service Feed
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4 Only
$ 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 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
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
Contractor InlymaLIC-
Name: 5
Maili Addr :�
City
Phone:
License # I ExD. r�
$
$ Total
:har4e)
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature owner, el riical contractor or electrical administrator: ❑ Cash ❑ Check
/ I Dated: Credit Card #
x ! J _
ZV I
0210 2012
INSPECTION TYPE DATE: a RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMtT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
A
CITY OF PORT ANGELES
3604174735
Application Number . . . . .
16--00001881 Date. 12/27/16
Application pin number . . .
Property Address . . . . . .
591388
328'E 10TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -3010 -0000 -
on your �J(lJC f017]?
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
t0 the (�'/'�{.Of Ftp`. t? les
Property Use . . . . . . . .
(Lt catron Code 0502)
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
------------------------ ---------------------------------------------------
Application desc
Panel replacement
----------------------------------------------------------------------------
Owner
Contractor
------------------------
RACHEL M RICHMOND
------------------------
BOTERO & SON ELECTRICAL
328 E 10TH ST
940 TAMARACK WAY
PORT ANGELES WA 98362
PORT ANGELES WA 98362
(360) 460-3742
(360) 452-4766
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00
Plan Check Fee .00
Issue Date . . . . 12/21/16
Valuation . . . . 0
Expiration Date 6/23/17
Qty Unit Charge Per
Extension
1.00 120.0000 BCH EL -0-200
SRV FEEDER 120.00
Fee summary Charged
Paid Credited Due
---------------------------
Permit Fee Total 120.00
------------------------------
120.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 120.00
120.00 .00 .00
INSPECTION TYPE DATE: a RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMtT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date: