HomeMy WebLinkAbout1024 W 14th St - BuildingPREPARED
11/12/09 9
54 44
INSPECTION
TICKET
PAGE 6
CITY OF
PORT ANGELES
INSPECTOR
JAMES LIERLY
DATE 11/12/09
ADDRESS
1024 W 14TH ST
SUBDIV
TENANT
NBR SANDRA M
BIASELL
CONTRACTOR
PHONE
OWNER
SANDRA M
BIASELL
PHONE
(360) 452 2426
PARCEL
06 30 00
0 4 1325
0000
APPL NUMBER
09 00000367 RES ADDITION
REQUESTED
INSP
DESCRIPTION
TYP/SQ
COMPLETED
RESULT
RESULTS/COMMENTS
November 12 2009 8
56 22 AM
pbarthol
handrail must return
to wall
and extend to front
edge of top
and bottom treads
BL99 01
11/12/09
L
BLDG FINAL TIME
O1 00
November 12 2009 9
48 45 AM
1pangrle
SANDY 452 2426
BLDG FINAL
AFTERNOON
COMMENTS AND
NOTES
PREPARED 11/10/09 8 30 26 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/10/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT•
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW 01 7/10/09 JLL BLDG FOUND FTG/'STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD 01 7/17/.09 JLL BLDG FOUNDATION DRAINAGE
7/17/09 AP July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN'
July 17 2009 4 06 26 PM jlierly
BL3 01 7/30/09 JLL BLDG FRAMING TIME 01 00
7/30/09 AP July 29 2009 4 30 12 PM 1pangrle
CHRIS 460 3490
UNDERFLOOR FRAMING
AFTERNOON
July 30 2009 4 27 56 PM jlierly
BLHD 01 8/27/09 JLL BLDG FRAMING HOLD DOWNS
8/27/09 AP August 27 2009 8 25 23 AM 1pangrle
SANDY 452 2426
HOLD DOWNS
August 27 2009 4 16 11 PM jlierly
BL9 01 8/27/09 JLL BLDG SHEARWALL
8/27/09 AP August 27 2009 8 24 51 AM 1pangrle
SANDY 452 2426
SHEARWALL
August 27 2009 4 16 11 PM jlierly
BL3 02 9/16/09 JLL BLDG FRAMING
9/16/09 AP September 16 2009 8 16 10 AM 1pangrle
SANDY 452 2426
FRAMING
September 16 2009 4 07 03 PM jlierly
BAIR 01 9/21/09 JLL BLDG AIR SEAL
9/22/09 AP September 21 2009 8 47 18 AM 1pangrle
SANDY 452 2426
AIRSEAL
September 22 2009 4 14 02 PM jlierly
BLI 01 9/24/09 PB BLDG INSULATION
9/25/09 AP September 24 2009 8 18 20 AM 1pangrle
SANDY 452 2426
INSULATION
September 25 2009 9 19 51 AM pbarthol
�03 11/1 /09 JLL" BLDG TIME 01 00
November 10 2009 8 19 49 AM 1pangrle
/ SANDY 2426
"�
BLDG FINAL
AFTERNOON
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
CONTINUED ONTO NEXT PAGE
All. -1��L�
r
PREPARED 11/10/09 8 30 26 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/10/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 11/1'0/09-1JL MECHANICAL FINAL TIME 01 00
leD November 10 2009 8 20 27 AM 1pangrle
SANDY 452 2426
MECHANICAL FINAL
AFTERNOON
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 8/27/09 JLL PLUMBING ROUGH IN
8/27/09 AP August 26 2009 4 45 53 PM 1pangrle
JOHN 460 6902
ROUGH IN PLUMBING
August 27 2009 4 16 11 PM jlierly
PL99 01 11/1 /09 JLL PLUMBING FINAL TIME O1 00
/ November 10 2009 8 20 49 AM 1pangrle
SANDY 452 2426
PLUMBING FINAL
AFTERNOON
COMMENTS AND NOTES
PREPARED 9/24/09 8 20 20 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/24/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW 01 7/10/09 JLL BLDG FOUND FTG/STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD O1 7/17/09 JLL BLDG FOUNDATION DRAINAGE
7/17/09 AP July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN'
July 17 2009 4 06 26 PM jlierly
BL3 01 7/30/09 JLL BLDG FRAMING TIME O1 00
7/30/09 AP July 29 2009 4 30 12 PM 1pangrle
CHRIS 460 3490
UNDERFLOOR FRAMING
AFTERNOON
July 30 2009 4 27 56 PM jlierly
BLHD 01 8/27/09 JLL BLDG FRAMING HOLD DOWNS
8/27/09 AP August 27 2009 8 25 23 AM 1pangrle
SANDY 452 2426
HOLD DOWNS
August 27 2009 4 16 11 PM jlierly
BL9 01 8/27/09 JLL BLDG SHEARWALL
8/27/09 AP August 27 2009 8 24 51 AM 1pangrle
SANDY 452 2426
SHEARWALL
August 27 2009 4 16 11 PM jlierly
BL3 02 9/16/09 JLL BLDG FRAMING
9/16/09 AP September 16 2009 8 16 10 AM 1pangrle
SANDY 452 2426
FRAMING
September 16 2009 4 07 03 PM jlierly
BAIR O1 9/21/09 JLL BLDG AIR SEAL
9/22/09 AP September 21 2009 8 47 18 AM 1pangrle
SANDY 452 2426
AIRSEAL
September 22 2009 4 14 02 PM jlierly
BLI O1424/ J BLDG INSULATION
September 24 2009 8 18 20 AM Ipangrle
SANDY 452 2426
INSULATION
- COMMENTS AND NOTES
PREPARED 9/21/09 8 53 01 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/21/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW O1 7/10/09 JLL BLDG FOUND FTG/STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD O1 7/17/09 JLL BLDG FOUNDATION DRAINAGE
7/17/09 AP July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN
July 17 2009 4 06 26 PM jlierly
BL3 01 7/30/09 JLL BLDG FRAMING TIME 01 00
7/30/09 AP July 29 2009 4 30 12 PM 1pangrle
CHRIS 460 3490
UNDERFLOOR FRAMING
AFTERNOON
July 30 2009 4 27 56 PM jlierly
BLHD O1 8/27/09 JLL BLDG FRAMING HOLD DOWNS
8/27/09 AP August 27 2009 8 25 23 AM 1pangrle
SANDY 452 2426
HOLD DOWNS
August 27 2009 4 16 11 PM jlierly
BL9 01 8/27/09 JLL BLDG SHEARWALL
8/27/09 AP August 27 2009 8 24 51 AM 1pangrle
SANDY 452 2426
SHEARWALL
August 27 2009 4 16 11 PM jlierly
BL3 02 9/16/09 JLL BLDG FRAMING
9/16/09 AP September 16 2009 8 16 10 AM 1pangrle
SANDY 452 2426
FRAMING
September 16 2009 4 07 03 PM jlierly
BAIR O1 9/21/09BLDG AIR SEAL
V11,September 21 2009 8 47 18 AM 1pangrle
SANDY 452 2426
AIRSEAL
COMMENTS AND NOTES
PREPARED 9/16/09 8 17 19 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/16/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDEN'T'IAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW O1 7/10/09 JLL BLDG FOUND FTG/STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD O1 7/17/09 JLL BLDG FOUNDATION DRAINAGE
7/17/09 AP July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN'
July 17 2009 4 06 26 PM jlierly
BL3 01 7/30/09 JLL BLDG FRAMING TIME O1 00
7/30/09 AP July 29 2009 4 30 12 PM 1pangrle
CHRIS 460 3490
UNDERFLOOR FRAMING
AFTERNOON
July 30 2009 4 27 56 PM jlierly
BLHD O1 8/27/09 JLL BLDG FRAMING HOLD DOWNS
8/27/09 AP August 27 2009 8 25 23 AM 1pangrle
SANDY 452 2426
HOLD DOWNS
August 27 2009 4 16 11 PM jlierly
BL9 01 8/27/09 JLL BLDG SHEARWALL
8/27/09 AP August 27 2009 8 24 51 AM 1pangrle
SANDY 452 2426
SHEARWALL
August 27 2009 4 16 11 PM jlierly
BL3 02 9/6/ 9 L BLDG FRAMING
September 16 2009 8 16 10 AM 1pangrle
SANDY 452 2426
FRAMING
COMMENTS AND NOTES
PREPARED 8/27/09 8 26 40 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/27/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW 01 7/10/09 JLL BLDG FOUND FTG/STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD 01 7/17/09 JLL BLDG FOUNDATION DRAINAGE
7/17/09 AP July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN
July 17 2009 4 06 26 PM jlierly
BL3 01 7/30/09 JLL BLDG FRAMING TIME 01 00
7/30/09 AP July 29 2009 4 30 12 PM 1pangrle
CHRIS 460 3490
UNDERFLOOR FRAMING
AFTERNOON
July 30 2009 4 27 56 PM jlierly
BLHD 01 8/271109 J,�L, /1 BLDG FRAMING HOLD DOWNS
�,l ,%\�j!\,V}1�— August 27 2009 8 25 23 AM 1pangrle
SANDY 452 2426
HOLD DOWNS
BL9 01 8/27/09J BLDG SHEARWALL
{ ` 44f_August 27 2009 8 24 51 AM 1pangrle
1, t SANDY 452 2426
SHEARWALL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 8/27/09 J L PLUMBING ROUGH IN
August 26 2009 4 45 53 PM 1pangrle
l JOHN 460 6902
ROUGH IN PLUMBING
COMMENTS AND NOTES
PREPARED 7/30/09 S 29 23 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/30/09
ADDRESS 1024 W 14TH ST SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL,
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW O1 7/10/09 JLL BLDG FOUND FTG/STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD O1 7/17/09 JLL BLDG FOUNDATION DRAINAGE
7/17/09 AP July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN
July 17 2009 4 06 26 PM jlierly
BL3 01 7/30/09L BLDG FRAMING TIME O1 00
July 29 2009 4 30 12 PM 1pangrle
CHRIS 460 3490
UNDERFLOOR FRAMING
AFTERNOON
COMMENTS AND NOTES
PREPARED 7/17/09 8 24 03 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/17/09
ADDRESS 1024 W 14TH ST J SUBDIV
TENANT NBR SANDRA M BIASELL
CONTRACTOR PHONE
OWNER SANDRA M BIASELL PHONE (360) 452 2426
PARCEL 06 30 00 0 4 1325 0000
APPL NUMBER 09 00000367 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFW 01 7/10/09 JLL BLDG FOUND FTG/STEM WALL
7/09/09 AP July 9 2009 4 19 14 PM permits
MIKE 460 5765
July 9 2009 4 55 50 PM jlierly
BLFD 01 7/17/09 L BLDG FOUNDATION DRAINAGE
July 16 2009 4 21 56 PM 1pangrle
SANDY 452 2426
CURTAIN DRAIN
COMMENTS AND NOTES
i
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 09 00000563 Date 6/09/09
Application pin number 684072
Property Address 1024 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 1325 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service circuits for addition with 5 cir
Owner
I RESULTS
Contractor
Biasell
MVV
SIMPSON ELECTRIC
1024 W 14TH ST
243036 W HWY 101
PORT ANGELES
WA 983637215
PORT ANGELES
WA 98363
(360) 457 9270
Permit
ELECTRICAL
ALTER RESIDENTIAL
Additional desc
Permit pin number
148106
Permit Fee
103 75
Plan Check Fee
00
Issue Date
6/09/09
Valuation
0
Expiration Date
12/06/09
Qty Unit Charge
Per
Extension
5 00 2 0000
ECH EL BRANCH
CIRCUIT W/FEEDER
10 00
1 00 93 7500
ECH EL 0
200 SRV FEEDER
93 75
Special Notes and
Comments
June 9 2009 8 27
49 AM Brian
417 4708 OK
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
103 75
103 75 00
00
Plan Check Total
00
00 00
00
Grand Total
103 75
103 75 00
00
INSPECTION TYPE I I DATE
I RESULTS
DITCH
SERVICE%2z 1 b�
MVV
ROUGH IN
FINAL
COMMENTS
Signature of owner or Electrical Contractor X Date
06!0712009 21 11 4579270
City of Port Angeles Pe twit Appi+calion
Oddhe Mhr➢aGenll *GtrlCW 10pectioer.
321 Fest Fft Street— P.O. ism 1150
PW Angeles Washington, i.912
Ph: (360) 417.4735 fare (M )1'17.4'711
Date: .(P— �04:!5
1 & 2 Single Family t -Y telling
Multi -Family or Comi a rciat"
Commercial Addition I Alteratio,i: r Remodel I Repair'
RE �1 GN:E�CTRIG
JUN 0 2009
L14NT DEPT
PAGE 0&
Plan Review May Be RE gairW, Pt;rM ; ete EIS cal Plan Review infortrlal on
Job Address: "f_� !.>•-r .w`
fir
Building Square Footage: IJ
Description of above{_U,
E L41
Owner Information
Name: �i • �r i ��� .�.(,,
Contract n infOrmaaal
Nath:
Mailing Address: ► '� c�.'� • / `f` M,54,
City �;5tare: ;,� zip: 9b
Maiiin ,ddres5:
City: late,W
L�
PhoneR t ,Fax:
Phone: Fax:
License S I Exp.".,_„ _
_
License I I Exp. STId? ez&I
UNI gbarne (P.
To I Multiplied ny Unit h
yggej
$ 93.75 _ _ �_
5
SerAcelFeedei 200 Amp.
$113.75 _
$
Sen6cetFeedo 201.400 Amp.
$160.00 _
$
SeretelFeedei 401-600Amp.
;205.00 _ _
$
Service/Feedei 601-1000Amp.
$291.7.5
S
Servlc&feodt over 1000 Amp.
$ 2.00 _
$ !D `^-
Branch Cirtxdt W Service Feeder
$ 57.50 _ _
S
Branch Circult N/0 Service Feeder
$ 2.00 _ _ _
$
Each Aditona Branch Circuit
S 72.50 _
$
Temp. Service! Feeder 200 Amp.
$ 66.25 _
$
Temp. Service! -ceder 201.400 Amp.
5116.25 _ _ .
$
Temp. Service/ -ceder 401.600 Amp.
$131.25 _ _
$
TeW. Service/ •eeder 601 1000 Amp.
$ 75.00 _
$
Portal to Portal floury
5 69.00 _
$
Sigrioudme UEbting-
$ 75.00 _ _
$
Signal Clraatl i "*ad Energy Commercial
5 50.00 _ _ _ w
S
Signal Circuit.! died Energy 1 & 2 Family. Dwelling
$ 50.00 _ _
$
Signal Circuit L mited Energy Multi -Family Dwelling
$ 93.75 _ _
$
Manritactured h tame Connecilon
$ 80.00 _
5
Renewable EW Moat Energy 5KVA System or Less
S 86.25 _
$
First 1300 Squat Fr.
$ 2750
$Each Additional 500 Square Ft. or Ponam of
$ 57.50 r
$
Each OtAtu lldln I or Detached Garage
$ 86.25 _ _
$
Each Swimming Pool or Hot Tub
$ 43:75 , _
$
Thermostat
$AN�,��
Ib3.-
Tofu
0
~D
t
W
0w Was dslPrred ay R7 W 18.. $.261. (?) 0w eris negrtiied a aft an
dec0fttcatttracetrJT4t iT Ailpmpemjr1s1ersarig mWorgrase.
ABer reading the above a te" e:rt, I herel y r.,rrtlfy Met I mn the owner of the abore named pr 3pany or a cleansed electrkal eonbutor. lain maldng lrre efectrlcal
Installation of alteration in cor igMance vA:h the dectriral laws. N.E.C., RCW. Chapter 1926, WIAC. Chapter 296-868, The City of Port Angelos Mun ftol Cods, and
u(Iftspecift--dow
Sign er, eloctf :el 1 on"tor or dlectrical administrator ❑ Cash
,f1 ❑ cum*
19)n .ir
ooRr+ro
�N
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
09 00000367 Date 5/13/09
450515
1024 W 14TH ST
06 30 00 0 4 1325 0000
SANDRA M BIASELL
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
53040
Application desc
ADDING A TWO-STORY ADDITION (EACH FLOOR IS 312 SF)
Owner
Contractor
SANDRA M BIASELL OWNER
1024 W 14TH ST
PORT ANGELES WA 983637215
(360) 452 2426
Structure Information 000 000 2 STORY ADDITION (312 SF EACH FLOOR)
Other struct info HARD SURFACE AREA
Permit RIGHT OF WAY
Additional desc POWER CROSSING IN ALLEY
Permit pin number 145813
Permit Fee 50 00 Plan Check Fee
Issue Date 5/13/09 valuation
Expiration Date 11/09/09
Qty Unit Charge Per
1 00 50 0000 ECH RIGHT OF WAY PERMIT
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
May 11 2009 4 55 08 PM sroberds
The proposal will result in removal of an enclosed porch and
the addition of a two level 312 sq ft footprint addition
in the RS 7 zone Lot coverage will be 14% with 15% site
coverage No land use issues anticipated
April 30 2009 9 27 46 AM banders Brian 417 4708
Electrical service to be moved or temporary service
installed prior to construction Contact Brian or Trent
(417 4735) for details Electrical permits required
Power crossing in alley restoration completed by owner
00
53040
Extension
50 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
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 previsions of any state or local law regulating construction or the performance of
construction /n
.r'��/Y19���,i /, /O Z -5— l'`S—O9-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies\1 10215 (10/081
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, ;h
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPEI DATE I ACCEPTED I COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
l STORM
SITE DRAINAGE
SITE EROSION CONTROL
I` PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
CONSTRUCTION R.W /PW/
CONSTRUCTION R.W
ENGINEERING
417-4831
PW / ENGINEERING
FIRE
417-4653
FIRE DEPT
PLANNING DEPT
417-4750
PLANNING DEPT
BUILDING
417-4815
BUILDING
T'\Policies\1102 15 [10/08]
DATE ACCEPTED
YES NO
Application Number
Application pin number
Grand Total
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
09 00000367
450515
54 50 54 50
Page 2
Date 5/13/09
00 00
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
Signature of Contractor or Authorized Agent
T \Policies\1102 15 [10/08]
Date Signature of Owner (if owner is builder) Date
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, ti
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE l
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE/ METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
I PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES I NO COMMERCIAL
CONSTRUCTION R.W /PW/
CONSTRUCTION R.W
ENGINEERING
417-4831
PW / ENGINEERING
FIRE
417-4653
FIRE DEPT
PLANNING DEPT
417-4750
PLANNING DEPT
BUILDING
417-4815
BUILDING
T Policies\l 102 15 [10/081
DATE
I
ACCEPTED I
YES NO
A CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
.�— 321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
09 00000367 Date 5/13/09
450515
1024 W 14TH ST
06 30 00 0 4 1325 0000
SANDRA M BIASELL
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
53040
Application desc
ADDING A TWO STORY ADDITION (EACH FLOOR IS 312 SF)
Owner Contractor
SANDRA M BIASELL
OWNER
1024 W 14TH ST
PORT ANGELES
WA 983637215
(360) 452 2426
Structure Information
000 000 2 STORY ADDITION (312 SF EACH
FLOOR)
Other struct info
HARD SURFACE AREA
Permit
BUILDING PERMIT RESIDENTIAL
Additional desc
TWO-STORY ADDITION
Permit pin number
144790
Permit Fee
698 25 Plan Check Fee
453 86
Issue Date
5/13/09 Valuation
53040
Expiration Date
11/09/09
Qty Unit Charge
Per
Extension
BASE FEE
670 25
4 00 7 0000
THOU BL -50 001 100K (7 00 PER K)
28 00
Permit
MECHANICAL PERMIT
Additional desc
Permit pin number
144816
Permit Fee
127 10 Plan Check Fee
00
Issue Date
5/13/09 Valuation
0
Expiration Date
11/09/09
Qty Unit Charge
Per
Extension
BASE FEE
50 00
1 00 7 2500
EA ME VENT FAN (SINGLE DUCT)
7 25
1 00 10 6500
EA ME STOVE/FIREPLACE/MISC APP
10 65
4 00 14 8000
EA ME HEATER(SUSP/WALL/FLOOR MTD)
59 20
Permit
PLUMBING PERMIT
Additional desc
Permit pin number
144824
Permit Fee
114 00 Plan Check Fee
00
Issue Date
5/13/09 Valuation
0
Expiration Date
11/09/09
Qty Unit Charge
Per
Extension
Fn a / e'j
1 1 -/ Z-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 regulating construction or the performance of construction. <
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T.Fonns/Building Division/Building Permit
4-
r
i
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
I Date
Accepted By
Comments
FOUNDATION
417-4653
Planning
Footings
Building
Stemwall
Foundation Drainage / Downspouts
Piers
I
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor / Slab
I
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water
I FINAL Date Accepted by
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
I 1
Wall / Floor / Ceiling
I
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts
Rough -In
I
Gas Line
1
Wood Stove / Pellet / Chimney
I
Commercial Hood / Ducts
l FINAL Date Accepted by
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
Parking / Lighting
I
I
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
T.Forms/Building Division/Building Permit
CITY OF PORT ANGELES
o ��1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Page 2
Application Number 09 00000367 Date 5/13/09
Application pin number 450515
Qty
Unit Charge
Per
STATE SURCHARGE
Extension
4 50
Fee summary
Charged
BASE FEE
50 00
5 00
7 0000
EA
PL -PLUMBING TRAP
35 00
1 00
7 0000
EA
PL -WATER LINE
7 00
1 00
15 0000
EA
PL -SEWER LINE
15 00
1 00
7 0000
EA
PL -WATER HEATER
7 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
May 11 2009 4 55 08 PM sroberds
The proposal will result in removal of an enclosed porch and
the addition of a two level 312 sq ft footprint addition
in the RS 7 zone Lot coverage will be 14% with 15% site
coverage No land use issues anticipated
April 30 2009 9 27 46 AM handers Brian 417 4708
Electrical service to be moved or temporary service
installed prior to construction Contact Brian or Trent
(417 4735) for details Electrical permits required
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
STATE SURCHARGE
4 50
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
939
35
939
35
00
00
Plan Check Total
453
86
453
86
00
00
Other Fee Total
4
50
4
50
00
00
Grand Total
1397
71
1397
71
00
00
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 regulating construction or the performance of construction. N
�-Dz/ � 9
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FotmsBuilding Division/Building Permit
BUILDING PERMIT INSPECTION RECORD Q
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - t
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 (S�,
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 I Date I Accepted By I Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage / Downspouts 7L[_
Piers +
Post Holes (Pole Bldgs)
PLUMBING
Under Floor 1 Slab
Rough -in R-27—Dq 7LL—
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water I FINAL Date � t— 1d -a Accepted by UL L_ C
AIR SEAL. 9_Z1,6 ALL I N
Walls I 7 I
Ceiling
FRAMING
-7--30-09
Joists / Girders / Under Floor
Shear Wall , Hpld Downs $_ ��q —SL-L-� Sh r wctfl 8-27-69 TL L
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only) I
T -Bar I �,
INSULATION C? _V4 —Oq Pg
Slab I I I
Wall / Floor/ Ceiling
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts I
Rouqh-In
Gas Line I q
Wood Stove / Pellet / Chimney f ' (_ 1 Q� 0 ` '(LL
Commercial Hood / Ducts I FINAL Date Accepted by cJ
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs I
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking / Lighting ESA.
Landscaping ' SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R W PW / Engineering 417-4831 N
Fire 417-4653
Planning 417-4750
Building 417-4815 Iu—
T:Forms/Building Division/Building Permit
0_�pOKTA,ti BUILDING PERMIT
+- CITY OF PORT ANGELES
Attn Building Permit Technician-
321- E. Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant a, ?>th a �6d
Property Owner 6AS-1 `/
Property Owner's Address f�,�L' /',I
Contractor�� �.
Contractor's Address
License # Expires
APPLICATION Print in ink
For City Use Only
/Date Received t -[_2"S (1
Permit # . 0"1 -
ate Approvi
Phon4, ?tin 777-37.�o`Z
Phone
PROJECT ADDRESS /(),_2 y GJ , 1W4 S-�,
E-mail
Parcel Number „ I:n./- - / ��,S�r��c9 Loty/" onin
Project Type & Brief-Descriotion. ,KResidential ❑ Multi -family ❑ Commercial
Check all that apply
❑ New Construction �pg �j�.% ,oa fo
Addition rng _ .��1<. "`3S r _�;_
.1�.d�
❑ Remodel , /�. �%
❑ Repair i r �nn r —ApArOA 01-N Lt_
Demolition
9
5---7
.o. Industrial
Re -roof House ❑ garage ❑ other Wtear off & re -roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑-gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existinq (sq. ft.) Proposed (sq. ft.)
Basement , ?.I\ Y,1\5 S�,,fl q$if' @e $ ° per sq ft. _ $
1st Floor 217
2nd Floor���
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures 9 sq ft. T Lot size c // oM i sq ft. = Lot coverage 1q,ai %
Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks, patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage H 97 %
Max. height of proposed structures 2_3 Occupancy group J # of bedrooms _
Will a lawn sprinkler system be installed? Occupant load� # of full baths j
Will a fire sprinkler system be installed? _ Construction type S'� C iso _� # of half baths I
/have read and completed this application and know it to be twe and correct. t am authorized to apply for this permit and understand
!hat it is my responsibility to determine what permits are required and to obtain permits prior to rk* g on projects
Datey-o23 –OF Print Name l�' SignG,. a
T Forms/Building Division/Bldg Permit.doc
1027
t
Y4 st,
50.00'
LOL-_O' B.S. B.L.
SSR
A
0 CR 0
cj� q
q ai 0
14 4 22'-4 t3'-4
20'-0' B.S.B.L
ravel
5
.00'
CITY GOVERNMENT
PRESCRIPTIVE APPROACH -SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
Climate Zone 1
Site Information.
Lot: 4Q �{ /
Address ,,1,0 a q
City- flaPleS
State- f } Zip
l.-
Contact. _lvi�ro /t'l . '91/7 so.1/
Phone _� n - �f .2 -
Phone 2r, 0
Phone2r,0 797
FAX
Building Department Use Only
Permit # 01-36-7
Notes
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
.Glazing II
J
GI#ii1g: U-Factdk
Door Vaulted.
fJption , Area:"la.ofi
U- Ceiling: Ceiling
'
Floor ',
Verticai- 'Overhead
Factor :
Unlimited
.
Grade.,,:
.Grade
Group R 3
R21
R10 R30 R10
IV and R-4
035 058
0.20 R 38 R 30
Occupancies
Only
This Project complies with the following:
1� The project is a single family residence or duplex.
The project is a wood frame OR all of the insulation is interior or exterior of the framing.
1" All building components meet the requirements listed above
The project will meet all other provisions of the WSEC and VIAQ
The Project will -take advantage of the following exceptions to the prescriptive option.
❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door 24 sq ft. or less, may be
installed per unit for ornamental, security or architectural purposes.
Location of the door taking this exception
❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U factor listed above
Location of the door(s) taking exception f
Type of Heat Source. e / n� At t. r, l +�
T Forms/Building DivisianlPrescr:ptive Approach -Simple Form
Wal!-
Wall ... ;
Wall "In#erior;
Above
'Exterior Sldbibn
Floor
Below
; Below Concrete
Grade ..
._I .I
.
Grade.,,:
.Grade
R21
R21
R10 R30 R10
1� The project is a single family residence or duplex.
The project is a wood frame OR all of the insulation is interior or exterior of the framing.
1" All building components meet the requirements listed above
The project will meet all other provisions of the WSEC and VIAQ
The Project will -take advantage of the following exceptions to the prescriptive option.
❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door 24 sq ft. or less, may be
installed per unit for ornamental, security or architectural purposes.
Location of the door taking this exception
❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U factor listed above
Location of the door(s) taking exception f
Type of Heat Source. e / n� At t. r, l +�
T Forms/Building DivisianlPrescr:ptive Approach -Simple Form
Electrical
-UtK Information Form
Public Works & Utilities Department (360) 417-4700
City Electrical Inspector (360) 417-4735
Please complete and return moPublic Works & Utilities Department
Permanent service.
Name.
Name and address of party
IStreet: cl,b�
responsible for permanent
|City/ Etate/ZIp- A rt. bA C/
service billing?
Daytime Phone C,3,� »\ 7f»7-3 'Home Phone /3�y)\4"��
Contact Information
(if other than above)
Site contact:
|Nome Title� 1
|DaythnePhuno
Contractor,
/| mame Company
uay8mePhono
Electrician
Name. Cpmpany-
|
|DaydmePhona
Excavator-
|Nom* Company,
Daytime Phone
F, roject Type Existing E]Nmw
Zmng|��m/lyresodence
UMulti-family residence #ofunits
�Commercial
OGubdivioion#oflots
Overhead service
___
MGeneno/semioe
LJUnderground service
MOthor
IDesired connection date
, 1) h4
X 111i
Electricaltransformer serving property is. on a pole F� on the ground
'Electrical.
Load : I
JTotal square footage '7 Y 9 sq ft. Main ' disconnect size amps
Voltage
F120/240 1ph E]120/208 3ph D277/480 3ph
0120/240 3ph E1480 3W 3ph EJ Other
�SStandard residential loads (Lighting refrigerator dishwasher washer)
Check all that apply
D A/C ( _ ton) XRange/Oven Hot Tub
9 Clothes Dryer EK Heating Pumps (_Hp)
El No Load Change
IKWater Heater EJ Elevator (_Hp) EJ Other
Supporting Do�uni"tlon
: - '— .-i Please provide a copy of the following
*Detailed plot plan (dwoor dxf format mandatory for subdivisions)
*Electrical one -line drawing showing the service entrance panel and location
*Connected load data.
Size and locked rotor amps ofall motors over 5Ohp
Applicant's Signature_ -}�-** -/l� /77 Date 4/-=,;? 3-01?
MAIL ORDELIVER COMPLETED FORM TO 321 E5TH STREET PORT ANGELES WA 88362
FAX TO 360-417-4711
Information form xb
WS
WF
M
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�1405
+Of BORT S.yCtr'
�•��� CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362 7 �7
>—� (206) 457-0411 PERMIT NO.
ELECTRICAL PERMIT
Site Address:
io.2y &/. iy 1-4
Installed By:
Owner/Business:
Owner/Business Address:
ESIDENTIAL ❑ TEMPORARY SERVICE
DATE
❑ READY FOR
INSPECTION
License Number:
❑
COMMERCIAL
❑ PERMANENT SERVICE
❑
BASEBOARD KW
❑ NEW CONSTRUCTION
❑
FURNACE KW
❑ REMODEL
❑
FAN/WALL KW
®'ADD/ALTER CIRCUITS
❑
HEAT PUMP KW
SERVICE UPGRADE/REPAIR
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
710'��
/(/O A)rlu /I ft4 T
W.S. No.
SERVICE SIZE
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER
❑ INSTALL SERVICE POLE
❑ Ditch Inspection O.K.
❑ Rough-in/cover O.K.
�Mn-"' K. to connect servica
/tv I ❑ Final O.K.
•
Site Address: /a
DATE
❑ WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft
KOVERHEAD SERVICE
VOLTAGE:
RGROIJND 6E_ RY10E
El SINGLE P/HAGSIJE7
❑ THREE PHASE
SERVICE SIZE 51620 AMPS
.'O'e�j
ENGR.
❑ CHANGE SERVICE WIRE
❑ OTHER
Permit/Receipt No.
.75/7
Installer: , New Meters Date:
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMITQQ ' /O 6W
Electrical Inspector W Permit Fee
WHITE — File by address
OLYMPIC PRINTERS INC
YELLOW — file by number PINK — Top: Eng, Bottom, Customer GREEN — Top: Meter Dept, BottomCity Hell
G!'
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-o0000p61 Date 1/19/16
Application pin number 515769
Property Address 1024 W 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4 Application type type description ELECTRICAL ONLY
Subdivision Name , . , . ,
Property Use
Property Zoning y g . , , , RS7 RESDNTL SINGLE FAMILY
Application' valuation ,-- 0
Application desc
Ductless heat pump.
----------------------------------------------------------------------------
Owner
I DATE:
Contractor
DITCH
------------------------
SANDRA BIASELL
------------------------
EXTRA MILE TECH & ELECT_
LLC
1024 W 14TH ST
ROUGH—IN
416 N, RACE ST,
PORT ANGELES
WA 983637215
FORT ANGELES
WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . , . . ,
ELECTRICAL ALTER
RESIDENTIAL
Additional desc
3
Permit Fee
68,00
Plan Check Fee
.00
Issue Date
1/19/16
Valuation
0
Expiration Date
7/17/16
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
T1 Fee summary Changed
Paid Credited
Due
Permit Fee Total
66.00
68,00 ,00
.00
Plan Check Total
.00
,00 00
.00
Grand Total
68,00
68.00 DO
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
I DATE:
RESULTS: INSPECTOR:
DITCH
a
SERVICE
ROUGH—IN
FINAL
1 1 4,D 11ii
COMMENTS:
PERMIT WILD, EXPIRE SIX (6) MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:1rXCHANGEIBUILb1NG
RECEIVED
Crm or w AmmL= Pzmw &macwnum : JAS
(M) 417-47M -617-4-7 ,
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