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Home My WebLink About850 Church Ave - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 �.0 Application Number 11- 00000847 Date 8/08/11 Application pin number 648185 REPORT SALES TAX J Property Address 850 CHURCH AVE ASSESSOR PARCEL NUMBER: 06- 30- 15 -4 -4- 9020 -0000- on your excise tax form Application type description, ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat Heat Pump, Furnace Owner Contractor ROBERT VIRGINIA A DRYVER DAVE'S HTG COOLING SRVC INC 850 CHURCH AVE PO BOX 413 PORT ANGELES WA 983626753 PORT ANGELES WA 98362 (360) 452 -6615 (360) 452 -0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 190694 Permit Fee 56.00 Plan Check Fee .00 Issue Date 8/08/11 Valuation 0 Expiration Date 2/04/12 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 .00 .00 Cj Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: r DITCH SERVICE ROUGH -IN J -2/rz-- F1Th')AL r7 1 T J °T,/ COMMENTS: !i 6 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING Aug 08 11 09:05a Dave's Heating Cooling 3604520939 p.1 RECEVED City of Port Angeles Permit Application ,t1tf 1\ C�i, Building DivisionlElectrical Inspections M U 011 J 321 East Fifth Street- P.O. Box 1150 Port Angeles Washington, 98362�`�� \J ELECTRICAL Ph: (360) 417.4735 F (360) 417 -4711 I i INSPECTIONS Date: g A 1 2 Single Family Dwelling Multi -Famly or Commercial' Commercial Addition Alteration I Remodel 1 RepaV Plan Review May Be Required, Please mite Electrical Plan Review Inform lion Sheet cob Address: 0 C -k kA. v- c._ ke-, v e Yt 1. Building Square Footage: u_QP:'e..\C 1' 5c Description of above h e .._k P r..._ t i r s -t- ,l.1 0,--4-1'c) 0 -h rr r o �.0. Owner Information C ontractor Inform .ti.n Name: V� ,e- 0 rL e...tr Name:. Pe '-e 5 it °h t- Mailin Address: 6 y i Mailing Addre s: ii♦le Cit -2_. state: (i3 Zip: Gj 3E,, City: n o. i e: Y 4 ip: F,' 7 Phone: M. Fax: Phone: ax: f �i I 1 License 1 Exp. License f Exp. 5 C.' C1-; Unit Charge oh Total (Otv Multiplied by Unit Charge) 5119.90 S ServicelFeeder 200 Amp. 5145.50 Service/Feeder 201-400 Amp. 204.60 S Service/Feeder 401 -600 Amp. 5262.20 Service/Feeder601 -1000 Amp. 5 372.50 S Service/Feeder over 1000 Amp. 5 2.60 5 Branch Circuit W/ Service Feeder S 73.50 S Branch Cirwil Wi0 Service Feeder 2.60 S Each Additional Branch Circuit 92.70 Temp. Service,' Feeder 200 Amp. 5110.30 Temp. Service/Feeder 201 -400 Amp. $148.70 Temp. Service,Feeder 401 -600 Amp. 167.90 Temp. Servic&Feeder 501 -1000 Amp. 5 95.90 Portal to Portal Hourly 5 88.20 5 Sign /Outline Lighting 95.90 Signal Circuit/ Limited Energy Commercial. Additional 1500 55.00 5 63.90 Signal Circuit/ Limited Energy -1 2 Family Dwelling 5 53.90 5 Signal Circuit/ Limited Energy Mutt -Family Dwelling 5119.90 Manufactured Horne Connection 5102.30 Renewable Electrical Energy 5KVA System or Less 5 110.30 5 First 1300 Square Ft. 5 35.20 Each Additional 500 Square Ft or Portion of 5 73.50 Each Outbuilding or Detached Garage 5110.30 5 Each Swimming Pool or Hot Tub 5 56.00 OD Thermostat O :Total Owneras defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is Finalized. (2) Owneris required to hire an electrical contractor if h above said property is for sale, rent or tease. 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 49.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator 0 Cash j� 0 Check j X t i 0,.. rJ Date: f� .I I I Credit Card 9 ELECTRICAL PERMIT 4 CA CITY OF PORT ANGELES ,...9 360- 417 -4735 0 C' Application Number 11- 00000906 Date 8/23/11 Application pin number 006590 REPORT SALES TAX Property Address 850 CHURCH AVE our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 15 -4 -4- 9020 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit heat pump Owner Contractor C( n ROBERT VIRGINIA A DRYVER EXTRA MILE TECH ELECT., LLC v 1 850 CHURCH AVE 418 N. RACE ST. 0` PORT ANGELES WA 983626753 PORT ANGELES WA 98362 (360) 452 -6615 (360) 457 -0198 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 191452 Permit Fee 73.50 Plan Check Fee .00 Issue Date 8/23/11 Valuation 0 Expiration Date 2/19/12 Qty Unit Charge Per Extension G 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 f:: Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 1 G e. Z, /14' it Z INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 712771 46e FINAL 47711,-z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING AUG -19 -2011 11 :01 AM E. JANSSEN 360 452 2982 P. 01 Y It IP p 1 +0 t,c,ItrA O (:rry OF PORT ANGELES Pp ?lam! r AI PL. ICA r'toN M6 1 9 2011 A i Building Division/Electrical Inspections ctions 0 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 9836.2ELECTRICAL Ph: (360) 417 -4735 Fat: (360) 4174711 INSPECTIONS Oat t ,V_ 1 2 Single Family Dwellinc Mufti Family or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May R Phase Complete Electrical Plan Review Information Sly Job Address: S U s -1 s /1, c vV 11.k.. Building Square Footage: w.. Description of above Owner Information Contractor Information _W__ Name; _ALE .S, 11:-' �.er#41F `%p ...4 l y. Mailing Al r 4 E E [.E c) 2 r Lr Malang Address: City: a,t 1_ ��y_ Mailing Ad4res5: f.'.E�. •ua.x�k �i4.vt: s�� N: 1 _8 r1 c�� state: 1.44. ZID:.3'..3_4LL_.. DIY: Plmne :._y.(- 4EI_5: .Fax; N _l 5 •A Fa 7 Zip. `i$..,i1;_Lr f�hon@ /'S 7-S'��:.r FaX:��S 7 g' license O Exp._ License 11 Exp. ii: x: P "F'f+ T '7 3 a G, f Unit Chortle g_ty ota T ff2 l )y Multiplied tat UnItchaggg Service/Feeder 200 Arnp. $119.90 Service/Feeder 201400 Amp. 145.51) Service/Feeder 401-600 Amp 204.60 Servtce/Feeder 601.1000 Amp. 262.20 Service /Feeder over 1000 Arnp. 312.50 Branch Circuit W/ Service Feeder 5 2.60 $_._7 Branch Circuit W/0 Service Feeder Each Additional Branch Circuit 5 2.60 Temp. Service/ Feeder 200 Amp. 6 92.70 Amp. F 110.:10 •;.s. Temp. Service/Feeder 201 -400 Nn Temp. Service/Feeder 401 -800 Am e P 9. 148.:'') Temp. ServicetFeeder 601-1000 Amp 5167.90 Portal to Portal Hourly 95 90 Sign/Outline Li htln 95 g Lighting E1$.21) Signal Circuit/ Limited Energy First 1500 51- Commercial 95.90 Note' $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi -Family Dwelling 6.9ti Manufactured Home Connection g 119 9 7c) Renewable Electrical Energy nergy 51NA System or LESS Thermostat 5(i.hil NM CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portlor of S 35.20 Each Outbuilding or Detached Garage Each Swimmlrrl Pool or Hot Tub 110 ;10 23 1 Total Owner as defined by RCW,19,28.261. y'.) 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 tor sale, rent or lease. Permit expires after six ninrrths of last inspection. Alter reading the above statement, I hereby certify that I am the owner of tho 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 :'8. WAC, Chapter 296-468, The City of Pori Angeles Municipal Code, end Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Arrplicarions Signature of owner, electrical contractor or electrical administrator. n Cash i' .1 Pt„ 7 I A Credit Card d --Ee. Oa1cd: ....,L L 1 I 01/0112010 ,,.:;.,,,E,,,,,'J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 3 21 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000846 Date 8/10/11 Application pin number 606936 Property Address 850 CHURCH AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-4-4- 9020 -0000- Tenant nbr, name ROBERT V DRYVER On your state excise tax form Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 6555 Application desc HEAT PUMP Owner Contractor ROBERT VIRGINIA A DRYVER DAVE'S HTG COOLING SRVC INC 850 CHURCH AVE PO BOX 413 PORT ANGELES WA 983626753 PORT ANGELES WA 98362 (360) 452 -6615 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 190686 Permit Fee 64.80 Plan Check Fee :00 Issue Date 8/10/11 Valuation 0 Expiration Date 2/06/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 s tlail e- A fig ji 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. .0 t I i t 2 Li Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS On 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 FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T Bar .S INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line I Wood Stove Pellet Chimney Hood Ducts FINAL Date 0 I Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SERA: 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 --i- Building 417 -4815 T- Cnrmc /Rnilrlinn nivisinn /Building Permit N H H I 0 H c w w U' H as a ca I I I I 01 H tn f H 0 a ono N N u N d' N H 0) 0 0 IT 1 10 M M rd a 1 o a, a 1 o r. w 1 a H o\ M2 a 1 H w 0 C 1 o g 0) H 10 Z 1 aoa m w V1 w 0 0 w X 4 1 0 o X I W CONE E H s n a s 1 I H M 0 w 0 Z H b l 1 l H H X H 0 0 0iX -1x 1 H 0 1 H I V1 I s a HE 1 H I H 1 aH CI) a (A C./ 0 1 Z 1 Z I Z H Z H CO w a I w I H 0 0 H Z a s w 1 2 i 0 N> W w zz a I u 1 oO 1 a •Qa X H H 1 Z 1 H u 1 a r" a 2 0 1-1 a 1 E\ 1 u H u 0 u a a 1 a [f1 1 H 0H0 a l as amzaa f1 D- 1 u u 1 x 0)z v1 a 04 1 In t/1 1 u CD uH 0 o a l w w 1 w 0) w w w 0 o u I E 0 a Z a E a Z a 0 H I 1 al l a o l i 1 w O H N O l 0 >ozoula H 0 a u H of w 1 a s a 0 01 a d 1 F Z. 0 1 1-1 re, x >u' a1 C t H H w 1 h J U H of 1 i `!14P N l a x S1 X 0 (n 1 0 H o t w'xHmH1 0 0• -0 1 0a- a o o ki4.410 H H 1 wwwroo 1 EE H F0 1 oxi 0 1 1 Cr) G-1 1 1 Mo0ow. 1 1 0I4 •_4 1 H rp CO 1 a Oa 0H 1 O 'a a C H H 1 aE 1 oP 1 0 1 a a 1 a U 1 a z o w CO 1 CA 0 H Z 1 a o Z EH u r a a z 1 E 0 1 0 a a H W U a I H l 01 C.1 H q o z z z a a i a 01 aU Ca H u0 a I a F i E Aug 05 11 02:48p Dave's Heating Cooling 3604520939 p.1 y kr BUILDING PERMIT APPLICATION( Print in in CITY OF PORT ANGELES For City Use Only: Attn: Buildin Permit Technician 9 Date Received R 11 321 E. Fifth St, Port Angeles, WA 98362 Permit ‘t —W -t6 NMI (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant _11)6: ■./-e (s r, 6 Phone Lf Property Owner V-e.Q .D vk v-e Phone `15;c (S Property Owner's Address '5c C rah A J- Po r-f izls- -s Contractor a V -'s {ems 1 n 5 Phone I- ,2- `137 Contractor's Address ;C. License 13A K Ce j< G Expires E -mail PROJECT ADDRESS F5-0 C-47 Parcel Number Lot Zoning R5 Project Type Brief Description: Residential a Multi- family Commercial o Industrial Check all that apply New Construction o Addition Remodel o Repair Demolition Re-roof o House o garage o other o tear off re -roof o Jay over one layer X Heat System Heat pump o wood burning stove as fireplace o pellet stove other Other Floor Areas Existing (sq. ft) Proposed (sq. ft.) Basement Q per sq. ft. 1 Floor 2 Floor 3" Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 565 Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage 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 9'0 Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 responsibility to determine what pennits are required and to obtain permits prior to working on projects. Ol e- Signature ��,.,r,, j.0 Date "S I Print Names T:FotmslBuilding Division/Bldg Perrnit.doc Clallam County Assessor Treasurer Property Details 67839 ROBERT AND VIRGI... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 67839 ROBERT AND VIRGINIA E DRYVER for Year 2011 2012 Property Account Property ID: 67839 Legal Description: LOT 3 RALSTON SHORT PLAT V22 P54 Geographic ID: 0630154490200000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 850 S CHURCH AVE Mapsco: PORT ANGELES, WA 98362 4> Neighborhood: Cycle 4 Res (City) Map ID: 2 c\N Neighborhood CD: 10953130 V `L Owner Name: ROBERT AND VIRGINIA E DRYVER Owner ID: 22228 t Mailing Address: 850 CHURCH AVE Ownership: 100.0000000000% PORT ANGELES, WA 98362 -6753 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/08/2011 Amount Due if Paid on: EIS. 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. r Penalty Interest Base Paid Amount Due Statement Details 2011 161322 $1540.96 $1540.86 $0.00 $0.00 $1540.96 $1540.86 Statement Details 2010 49609 $1475.11 $1475.07 $0.00 $0.00 $2950.18 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 8/8/2011 3:52 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =67839 8/8/2011 Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT .. ELECTRICAL PERMIT PERMIT NO. ~9YO / /.;1..5' h~ DATE Site Address: D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: OWrler/Business: vU Phone: OWl1er/Business Address: Sq. Ft. M Residential ,.-- /' Heat KW J~ Q Baseboard -g Furnace/Boiler rx Heatpump 0 Other re;' Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) 1'K' New Construction o Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead ~ Underground /. /0 Voltage /.:U:1Ii!.'!'..'. !!!.10 030 Service size G!.t70 Amps o Temporary Detai IslDescription: #It...r- ~J . W.S, No. Service Size CaplJ.city: 0 O.K. 0 Not O.K, Comments If. ~ Ditch inspection O.K. - J fr Rough-in/cover O.K. ~~ O.K. to connect service ~.f" Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. T01IV\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ !!!l- Inspector mount paid WHlliE - file by address YELLOW - file by number PINK - Top: Eng, a.ottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMP,C PRINTERS. INC. Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT '. ELECTRICAL PERMIT PERMIT NO. c::2 1/t/' DATE /1j/;Y.hO I nstalled By: D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: OWl1er/Business Address: Sq. Ft. [J Residential Heat KW [j Baseboard D Furnace/Boiler [j Heatpump D Other [J Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair D Overhead ~ndergyund h yo Voltage . 7. 0, lsY1 0' D 3.0 Service size Amps pK'Temporary D Add/alter circuits D Auxiiiary power (list below) D Special equipment (list below) Det$ilslDescription: . -r:~ ~ W.S, No. Service Size Capacity: D O.K. D Not OK Comments D Oitch inspection OK D Flough-in/cover O.K. ...~ O.K. to connect service t\)f~ Pinal O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending 8so cjA.~ ~ ~ New Meters o Sitel Address: Installer: . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;;2..OtJ!!!- Inspector" Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ! ~ OLY....'IC PRINTERS. INC, Application Number . . . . . 23-00000593 Date 6/06/23 Application pin number . . . 415544 Property Address . . . . . . 850 CHURCH AVE ASSESSOR PARCEL NUMBER: 06-30-15-4-4-9020-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALAN J AND SUSAN C MURRAY TTE APS ELECTRIC 850 CHURCH AVE 546 BENSON RD. PORT ANGELES WA 983626753 PORT ANGELES WA 98363 (360) 461-2539 (360) 452-6753 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 6/06/23 Valuation . . . . 0 Expiration Date . . 12/03/23 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 .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 PREPARED 6/05/23,13:58:07 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000593 850 CHURCH AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/6/2023 23-593 TAP OWNER CONTRACTOR APS Electric PROJECT ADDRESS 850 Church Ave 'ffi{la- E,llrnq# ELECTRICAL INSPECTION WIRING REPORT 417-4736 NOT APPROVED ..... D]TCH..... ROUGH IN/COVER SEFIVICE FINAL APPROVED u ... tr u. EL. CORRECNONS NEEDED: tr tr tr tr fo ) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - '7/r'b|z=*ryi-fr3 '*""22-3 o*^'^ +L**) T futa-*, ,CCONTBACTOR hADDBESS tJ