HomeMy WebLinkAbout3110 City Lights Pl - BuildingDate
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
T Forms /Building Division/Building Permit (10/6 1 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000076
403456
3110 CITY LIGHTS PL
06 30 15 7 6 0010 0000
JOHN CAMPBELL
RE ROOF
RS7 RESDNTL SINGLE FAMILY
8710
Date 1/17/08
Owner Contractor
JOHN D KAREN L CAMPBELL TOPNOTCH ROOFING GUTTER
3110 CITY LIGHTS PLACE 1235 W 9TH
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 4851 (360) 457 0066
Structure Information 000 000 TEAR OFF INSTALL 30 YEAR LAM
I
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 119354
Permit Fee 193 75 Plan Check Fee 00
Issue Date 1/17/08 Valuation 8710
Expiration Date 7/15/08
Qty Unit Charge Per Extension
BASE FEE 95 75
7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 1 93 75 193 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 198 25 198 25 00 00
'V'
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.
R-u-v
1 �ft'c9 193 2 c+2.-- j
Print Name Signature of Contractor or Authorized Agent v ignature of Owner (if owner is builder)
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
I MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
CALL 417 -4815 FOR BUILDING INSPEC
CALL 417 -4807
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT
INSPECTED AND ACCEPTED
KEEP PERMIT CARD
INSPECTION TYPE DATE
PLANNING DEPT SEPARATE PERMIT IPs
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
PLANNING DEPT
BUILDING
417 -4807
417 -4653
417 -4750
417 -4815
T Forms /Building Division/Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
TIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
FOR PUBLIC WORKS UTILITIES
IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
POST PERMIT IN A CONSPICUOUS LOCATION
AND APPROVED PLANS AT JOB SITE.
ACCEPTED COMMENTS
YES 1 NO
11;- PM I I v to
FINAL
FINAL DATE
SEPA.
ESA.
SHORELINE.
FINA INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE
DATE
ACCEPTED BY.
ACCEPTED 13Y.
ACCEPTED
YES 1 NO
0
PROJECT ADDRESS
Parcel Number
Heat System
Other
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent "re. 4/o Ft/ r 1,/),/, 1 *is? r
Owner Go 1?
Owner's Address 3 110 C, 4- L I FP,
Contractor /Engineer b
Contractor /Engineer's Address
License 7�p,,f 7 c f, Q94 r7 A-
i
Te..r ea.. 41/21 30 G.e /4. 3 ®V 1a.w
�,ro F /mss1, r ,k.a VA. IA, n.s" kt,l
i
Proiect Tvne Brief De Commercial
Check all that apply
New Construction
Addition
Remodel
Repair
-Re -roof
Demolition
Sign wall- mounted projecting freestanding awning
Total sign area 3 G sq. ft. Maximum allowed sign area sq
Heat pump wood- burning stove gas fireplace pellet stove other
Floor Areas Exist (sp. ft.) _proposed (sp. ft.)
sq ft. T Lot size
ft.
i v
Lot
Occupancy group
Occupant load
Construction type
For City Use Only
Date Received VI —8
Permit
Date Approved
Phone "Y5 041 4 44
Phone y 1_ y,w s/
Phone
St3
Expires
TOTAL VALUATION
lsz or, L.(
`tP 3-4-2-
Zoning
Multi -family Industrial
per sq ft.
ft.
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
other
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 responsibility to determine what permits are required, and to obtain permits prior to working on
projects. q
Date j-/ y-- D k_ Print Name l /ALA. 7. Signatu j l
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
11/13/07
T
Authorized party to accept bid
T f 0
1064
topnotchroofmg @qwest.net
TOPNORG994DA EXPIRATION DATE: 5/18/08
Company signatur_ Zgr Date �7
1
Bid prices are subject to reasonab increases due to any necessary alterations, additions, increases in material and /or
labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost.
Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH is happy to provide
permit, but will add the cost to the final bill.
Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to Please feel welcome to call if you
have questions concerning this estimate /bid If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER,
at the address above Work is scheduled uoon receipt of signed bid. Verbal aareements will not guarantee scheduled work.
References are available!
ESTIMATE AND BID PROPOSAL CONTRACT
TO John Campbell 3110 City Light Port Angeles WA 98362 457 5633
FOR' Wind storm damage re -roof estimate (revised estimate)
This roof has Pabco HO -25 composition. The material has aged and has become brittle. On 11 /11
11/12 2007 a severe windstorm blew off a lot of the shingles Repairing the existing roof is
Impossible because this material has been discontinued and is no longer available. The roof needs to
Be torn off and replaced. Estimate as follows
Tear off existing roofing Clean up and disposal included Roof with 30 -year laminated architectural
Composition over 30# feltf Install starter course composition skylight flash step flash 190' of hip
Ridge 70' of ridge vent 110' of W valley 3 -small vents 2 -1" neos 2 -2" neos Estimated cost
Of tear off and re -roof using the materials specified herein labor to complete work as described
And sales tax Port Angeles City building permit is required but not included in the estimate.*
$8045 00
675.78
$8710 78 Eight thousand seven hundred ten and 78/100*
Material upgrade options also available upon request- 40 and 50 year composition
Materials $3025 00 (composition roofing material felt flashing ridge vent valley metal vents
vents step flash etc
Labor $5020 00 (labor includes tear off roof installation skylight flashing installation of all
Accessories required and aprox $450 00 landfill for hauling and dumping)
Permit is aprox $250 00 in addition
Date 22 /S
MATERIAL WARRANTY BY MANUF TURER, WORKMANSHI GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR
PAYMENT TERMS: ONE HALF TO STAi WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED ALTERNATIVE PAYMENT ARRANGEMENTS
MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB
pipE
Inst lied By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
:s ..3$""</
.
ELECTRICAL PERMIT
DATE 1/-/-9/
Site Address:
:3
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Ow er/Business:
Phone:
Ow er/Business Address:
Sq. Ft.
0{ Residentiall S'"
fT Heat KW
!=I Baseboard ~ Furnace/Boiler
~ New Construction
o Remodel
o Service update/alter/repair
o Overhead
)i?J UndergrOun~
Voltage I'~e> ;.:2 S/O
D
~. ,. .
Heatpump 0 Other %10 030
Commercial/Industrial load o Add/alter circuits Service size c:.261D Amps
Total Connected load o Auxiliary power o Temporary
(attach breakdown) (list below)
Total Motor load o Special equipment
(attach breakdown) (list below)
et ils/Description: ~
/0 Lf</ .L' ~ ~ .....,
SAW Lh ~.,L .A.. .r.
/ /
.S. No. Service Size Date Hold for: 0 Easement 0 Let
ap city: 0 O.K. 0 Not O.K. Comments
C itch inspection O. K. o Signed up for service/meter
. .
ter
.
W
C
o
~ Rough'ln/cover O.K.
. ~.K. to connect service
VF1nalo.K.
Site IAddress:
.;J//O
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
\nst \\er:
fll.
PermitfReceipt No.
"3 :JS-
New Meters
I
Date:
1/- I "'II
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
muJI not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t e 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 1o!5!-
Inspector Amount paid
WHI E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMP C PRINTERS, INC.
Ins ailed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO,
3.Q./L
~ -t; -9/
.
.
ELECTRICAL PERMIT
DATE
Sit Address:
D READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Ow erfBusiness:
Phone:
Ow er/Business Address:
Sq, Ft.
] Residential
Heat KW
I Baseboard 0 Furnace/Boiler
] Heatpump 0 Other
] Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
!:&Underground
(Voltage
o 1.0' 03.0'
Service size
7TempOrary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
.
W.S No. Service
Capacity: 0 O.K, 0 Not OK
o qitCh inspection OK '
o ~OUgh'in/cover O,K. '
1- q,K. to connect service
V' p 1inal OX
sitelAddres'j //7)
Inst lIef:
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
permj:;LPi Z
New Meters
.
.
Not fy the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu t not be covered or electrically energized before inspection and O,K, for covering or service has been given
by t e 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 e:52tJ .!!::!:!
Inspector Amount paid
WHI E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Ol-YMP C PRINTERS. INC.
3
3 �
CITY of PORT ANGELES PERMIT APJPLICAmN � � � � �
Building Division/Electrical Inspections
321 East Fifth Street — P.O Box 1150 /]Port Angeles Washington, 98362 ELEURIUL
Ph: (360) 417 -4735 Fax: (360) 417- 4711 14SPEC ONS
- -1U• - 1
Date: ,..Z9 & 2 angle Family Dwelling
* Plan Review May Be Required, Please Compete Electrical Pian Review Information Sheet
Sullding Syfrare Fge:
Description of above
0..
Owner Information
Name: '0;k'.
Contractor Information
-e Au
Mallfng Address: �LLo G- Ins
Naffing Adclress:
r ' W. Tt'
Gift': x' ` —
State: V Ot Zip: � Z
`t-r
Phons: Fm
_ _ -
Phone: 215'7 -S"'X 2-- Fax: nj ,+
Ucenm # l Exp.
License # 1 Exp,
X `l r2 sir r?
Unit Cfiarge
Jut ft Mini lie b it Char
ServicefFeeder 2o4 Amp.
$120.00
Servlce/Feeder 201.400 Amp.
$146.00
ServloefFeeder 401 -600 Amp
$ 205.00
�
ServlcelFeeder 601 -1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp,
$ 373.00
—
$
Branch Circuit W3 Service Feeder
$ 5.00
$
Branch Mcult W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
$-
Temp. Senncel Eder 240 Amp.
$ 01013
-
$
Temp. Service/Feeder 201400 Amp.
$114.00
$
Temp. ServicelFeeder401- 600Amp.
$149.00
$�
Temp. ServlaelFeeder 601,1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 98.40
$
Signal Circuit] limited Energy -1 & 2 Family Dwelling
$ 64.00
�
$��
Manufactured dome Conneeilon
$120.00
$
32enewable Electrical Energy - 5KVA System or Um
$142.00
$
Thermostat
$ 56.00
$
Nate: $5.00 for each additional T Stat
NEW C NSMUCTION QKkt.
First 1300 Square Ft.
$120.00
$�
Each Additional 540 Square Ft, or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
—`
Each Svrimming Pahl or Hot Tub
$1110,00
$ Total
Owner es defined by RCW.19.28.261: (1) Owner Wit occupy the structure for two years after this efecWcal permit is finalized. (2) Owner is require
to hire an electrical contractor if above said property is for sale, rent or lease, Permit expires after six months of fast inspection.
After reading the above statement, I hereby ceffify that I am the owner of the above named property or a licensed electrical contractor. I am makir
the electrical installation or alteration in compliance with the electrical laws, N.IE=.C., RCW. Chapter 19.28, WAG. Chapter 296.46B, The City of Po,
Angeles Municipal Cade, and ]Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ cash 0 Check
® Cradff Card
oeWd: Oft€tM=
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . , . 15-- 00000230 Date 3 /11/15
Application pin number 825350
Property Address 3110 CITY LIGHTS PL
ASSESSOR PARCEL NUMBER: OE-30-15-7-6- 0010 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
.Property Use
Property Zoning . , , . , , . RS7 RESDNTL SINGLE FAMILY
Application valuation . . , . 0
Application desc
Heat pump / bathroom outlet
--------------------------------------- ------------------- - - - --- --- -- -- - - --
Owner
------------------ - - - - --
PETER AND CATHY DUPPENTHALER
ONOHARA -NISHT 3 -17 -16
MIND -SHI 562 -0032
Contractor
EXTRA MILE TECH & ELECT'., LLC
418 N. RACE ST,
PORT ANGELES WA 98362
{360} 457 -5222
(360) 452 -1326
DATE:
RESULTS:
----------------------------------------------
Permit , . , , , .
ELECTRICAL ALTER
--------- ___- -- --
RESIDENTIAL
------- - - - - --
Additional desc .
SERVICE
Permit Fee
68.00
Plan Check Fee
.00
Issue Date
3/11/15
valuation , . , ,
0
Expiration pate
9/07/15
Qty Unit Charge
Per
Extension
1,00 5.0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1.00 63,0000
ECH EL -R-
BRANCH CIR,WO/ SER FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
68,00
68.00 .00
00
Plan Checic Total
00
00 00
OD
Grand Total
68,00
68.00 .00
.00
-q.
5
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:
GAEXCEIANGEWILDING
02/11/2015 11:00AM FAX
RECEIVED
ng 112015
CITY Ok' PORT ANGELES PERAnT APPLICATION EMIRICK
Building Division /Etechical inspections fl�5P�C�D�S
321 East Filth Sti,eet — P.O. Box 115"'0 / Poi•t Angeles Wlashington, 98362
Ph, (360) 417 -4735 Fax: (360) 417 -4711
Date. - . „l, �, ,�..r!... _ 1 & 2 Single Family Dwelling
* Plan Review May Be
Job Address:
ouildin4 Square Footage
Description of above
on Sheet
C-�12—
190001/0002
1�!
Owner 5"S defined by RC1P!•19.28.261: (1) Owner will occupy the structure for hvo years after this electrical permit is hnafized_ (2) Owner is required
10 hire an electrical contractor if above Said property is for safe, rent or lease. Permit expires after six months of last inspection.
Aller reading the above statement, I hereby corltfy lhrt I lam the owner of tho above, named property or a lis:c used electrical cor1rarlor I tarn mfalcinf)
tho elcoldcal ins(allalion or allettation in Compliance with the electrical lzaays, N,F- C., RCW Ghaplec 19,20, WAG. Chapter 2.96.4613, The City of fort
Angeles Municipal Code, and Ulilrly Spedfic aliorrs and PAW 14.05.050 regarding Electrical Permit Applic:aiiunw
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ cheek
VCredit Card4—u. -... --
K Oatcd: ,- .__ - /..I L ����,..,...... D1101120`12
Ownerkiformatlon ,.1
Name. �'✓fj G��' 1-C�- �P>r
+h�-1'
Contracto nformatlotn
Name ✓2 S
2�-'F►
klaihng Address'. _ _ _.
-
City — 91ato: 7,ip
.. ,.,
Mailin Addrs,
City
s
5talo
Li
Phone. w Fax.
Phonc. Fax
License #1 Exp.
_
License r5” 1 Exp.�'
-
Item
Unit Charcie
gty Total ON Multtbllad by Unit Charge)
ServicelFeeder 200 Amp
$120.00
m _.
5__,�____
Sar0celFeeder 201.400 Amp.
$146.00
5
ServicelFeeder 401 -600 Amp
$ 205.00
$ .
ScrmcelrePder GUI -1000 Amp
$ 262 00
—
$ _
Ser6calFeeder over 1000 Amp.
3373.00
$
Branch Circuit Wl Service Feeder
$ 500
$
Branch Circuit VWD Service f=eeder
$ 000
_._..._ ...__
.......... _......._.._..,....
Each Additional Branch Circuit
$ 5.00
�
5_
Branch Circuits 1.4
S 7500
'fensp Service? Feeder 200 Amp
S 9300
Temp. Servico1eeder 201400 Amp.
S110.00
1 -rrnp ServicoiFaeder401.600 Amp
S 10 00
-.....
S_,,,-----••---•--••-
Terne. ServicaiFeeder 601.1000 Amp
$16$.00
—
S_
Portal to Portal Houdy
S 96.00
$
Signal Cimuill Limiled hnen)y 1 R i }amdy l)wrc:IhriU
8 64 00
Manufactured Horna Connection
S 120 00
S
Renewable Electrical Energy - 51NA System or Less
$102.00
S
Thermostat
5 56.00_
(Vote $6.00 for each additional I -Slat
NEW CONSTRUCTION ONLY:
First 1300 Square Fl.
S 12n on
Each Additional 500 Square R. or Portion of
S 4000
S
Each Outbuilding or Detached Garage
S 74.00
S
L•ach Svvnmming Pool or Hot Tub
$110.00
S Total
Owner 5"S defined by RC1P!•19.28.261: (1) Owner will occupy the structure for hvo years after this electrical permit is hnafized_ (2) Owner is required
10 hire an electrical contractor if above Said property is for safe, rent or lease. Permit expires after six months of last inspection.
Aller reading the above statement, I hereby corltfy lhrt I lam the owner of tho above, named property or a lis:c used electrical cor1rarlor I tarn mfalcinf)
tho elcoldcal ins(allalion or allettation in Compliance with the electrical lzaays, N,F- C., RCW Ghaplec 19,20, WAG. Chapter 2.96.4613, The City of fort
Angeles Municipal Code, and Ulilrly Spedfic aliorrs and PAW 14.05.050 regarding Electrical Permit Applic:aiiunw
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ cheek
VCredit Card4—u. -... --
K Oatcd: ,- .__ - /..I L ����,..,...... D1101120`12
Owner
PETER AND CATHY DUPPENTUALER
ONOHARA -NTSAI 3 17 -16
MINO -SHZ 562 -0032
Contractor
DAVE'S HTG & COOLING SRVC TNC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 -093.9
(360) 452 -1326 'V-Z- ` 3'7AP
Permit . . , , , , ELECTRICAL ALTER RESIDENTIAL
Additional desc ,
Permit Fee 56.00 Plan Check Fee 00
Issue {late 2/11/15 Valuation , , , , 0
Expiration pate 8/10/15
Qty Unit Charge Per Extension
1,00 56,0000 ECH EL-WT-THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56,00 56,00 ,00 .00
Plan Check Total .00 00 00 00
Grand Total 56.00 56.00 00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
.. ..
I
--
360 -417 -4735
ROUGH -IN
Application Number . , . . .
15- 00000127 Date 2/11/15
Application pin number . . ,
250045
Property Address , . . .
3110 CITY LIGHTS PL
REPORT SALES TAX
Applicatior type description
06 -30 15- 9- 6 -OOZ0- 0000_ ........
ELECTRICAL ONLY
on your excise fax form
Subdivision Name . . , , . .
to the City of Port Angeles
Property Use
Property Zoning , , , , . . .
RS7 RHSDNTI� SINGLE FAMILY
r
(Location Code 0502)
Application valuation . , . .
0
Application desc
Replace heat pump system
Owner
PETER AND CATHY DUPPENTUALER
ONOHARA -NTSAI 3 17 -16
MINO -SHZ 562 -0032
Contractor
DAVE'S HTG & COOLING SRVC TNC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 -093.9
(360) 452 -1326 'V-Z- ` 3'7AP
Permit . . , , , , ELECTRICAL ALTER RESIDENTIAL
Additional desc ,
Permit Fee 56.00 Plan Check Fee 00
Issue {late 2/11/15 Valuation , , , , 0
Expiration pate 8/10/15
Qty Unit Charge Per Extension
1,00 56,0000 ECH EL-WT-THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56,00 56,00 ,00 .00
Plan Check Total .00 00 00 00
Grand Total 56.00 56.00 00 .00
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:
GIEXCHANGETUILDING