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Home My WebLink About825 Joshua St - Building CITY OF PORT ANGELES DEP AR TMENT OF COMMUNITY 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 05-00000460 Date 659680 825 JOSHUA ST 06-30-00-1-0-4600-0000- LOT 11 RES NEW SFR RS9 RESDNTL SINGLE FAMILY 152550 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL NEW SFR 53223 1314.05 Plan Check Fee 7/08/05 Valuation 1/04/06 Qty Unit Charge Per 53.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 53249 101.35 Plan Check Fee 7/08/05 Valuation 1/04/06 Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 53256 146.00 7/08/05 1/04/06 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 7/08/05 26.50 1. 00 9600.00 2546.00 1. 00 525.62 152550 Extension 1017.25 296.80 .00 o Extension 47.00 14.70 29.00 10.65 .00 o Extension 47.00 70.00 7.00 15.00 ffWA~W 2/2~/tJb07A/ ~ ~ \S\ ~ =+- s:::.. ~ ~ ff4t1 ~,~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 giv uthority to violate or cancel the provis'ons of any state or local law regulating construction or the performance of ".--~... , ~ ~-~ ---~ 5=- Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\Policies\ \ 10215 building permit inspection record05.wpd [1/4/2005] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL Aj\iY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. .,...."........ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO ~. FOUNDA TJON: FOOTINGS WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) ~_Jl_. PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER - AIR SEAL WALLS CEILING .........,....= FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB " WALL' FLOOR dIL~ ( MECHA..,'ij9AL' ("'"\ \\ HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 \ 7-4735 ELECTRICAL UGHT DEPT CONSTRUCTION RW IPWI CONSTRUCTION - R.\V. ENGINEERJNG 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT I'LA"''NING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDrNG T:\Pol iCles\ I 102 _1 5 building permi t inspection record05. \\11d [1/4/2005] CITY OF PORT ANGELES DEP AR TMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 05-00000460 659680 Page Date 2 7/08/05 Qty 1. 00 Unit Charge Per 7.0000 ECH PL- EA. WATER HEATER Extension 7.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code(UFC) and National Fire Protection Association (NFPA) standards. 06/28/2005 10:18 AM SROBERDS --Proposal will result in 27% lot coverage in the RS-7 zone. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee of $222.00 - under 2004 policy 06/15/2005 08:25 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by PUblic Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1561.40 1561.40 .00 .00 Plan Check Total 525.62 525.62 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3861.52 3861. 52 .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 Date Signature of Owner (if owner is builder) Date T:\Policics\11 02..\5 building pcrmit inspection record05.wpd [1/4/2005J BUILDING PERMIT INSPECTION RECORD e.f::.--J./ bO CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: /1'/0 V FOOTINGS -ry :J7/0 ( It/pI IJ ( WATT>:: --- . .. ---------.. 7/'-b/t...!:::'- oslo (FOUNDATION) (nRAINAGE 1 DOWN SPOUTS) ""0 '/0 ~ (ILl..-- aU PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB tnr ~t?f ' ;YJ:? jt>k ]^t'L/ ROUGH-IN 11- ., lL..L..- -H-f9 T WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS II-J./- 0<' J l-L CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS 10,Jl1.t;r 5w WALLS I ROOF I CEIUNG il-;./-os J LL DRYW ALL (INTERIOR BRACED PANEL ONLY) I.-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 11/- IS -c9S- -' LI I MECHANICAL ~J 4<>} - 2-!7~ lob :th-- HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE ,7--'5-05 J )-1- WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKIN G/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 I I PLAI'NING DEPT. 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Close Previous Next Forward Reply to Sender Reply All Move Delete Read Later Properties From: Trenia Funston To: David Yasumura Date: Monday - February 6, 2006 1 :03 PM Subject: Public Works final """""'__ Permits # 05-461 @ 817 Joshua St, 05-460!@ 825 Joshua St nd 05-463 @ 910 Madeline can be finaled. Trenia http://172.16.10.17/servletlwebacc?action=Item.Read&User.context=qnjyPbjrflBu&Item.dm=... 2/9/06 i n~ I OOJ .......... 3: 0 ......... ~ ~C~ .~ . 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WA 98~(,2 Lasered CED 05-00000460 Date L~L_ 825 JOSHUA ST T6-30-00-1-0-4600-0011- LOT 11 RES NEW SFR 7/19/05 RS9 RESDNTL SINGLE FAMILY 152550 Owner Contractor BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE 26 50 NUMBER OF STORIES 1 00 LOT SIZE 9600 00 TOTAL LOT COVERAGE 2546 00 NUMBER.OF UNITS 1 ,00 Permit ELECTRICAL NEW RESIDENTIAL Addltional desc BEST ELEC 2500 SQ FT Permit pin number 54908 Permit Fee 143 20 Plan Check Fee 00 Issue Date 7/19/05 Valuation 0 Expiration Date 1/15/06 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL-R-SQFT FIRST 1300 73.00 3 00 23 4000 5C EL-R-SQFT ADDITIONAL 500 70.20 Special Notes and Comments BUllding address sign shall not be less than 6" & not more than 12" in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed An inspection by BUllding Department lS required prior to backfill. New subdivision shall be equipped with a residential sprlnkler system that is installed and maintained in accordance with Uniform Fire Code(UFC) and National Fire Protection Association (NFPA) standards 06/28/2005 10 18 AM SROBERDS --Proposal will result in 27% lot coverage in the RS-7 zone No land use lssues are noted Electrical load calculations and elctrlcal permits are required Connection fee of $222 00 - under 2004 POllCY 06/15/2005 08.25 AM GMCLAIN ---------------------------- Sanltary sewer connection lnspection is requlred by PubllC Works prior to back fill of ditch Construct driveway and Sidewalks to City Standards No concrete wlth exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is requlred prior to prourlng concrete COMMENTS/ACTION NEEDED I I i i I I I I I I ~ f0 IV\ LJ ()-\ :CA :~ :~ I~ .\A :"") ~ ELECfRJCAL PERMIT INSPE~nON RECORD CALL 417 735 FOR ELECTRJCAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION n'P1 DATE COMMENTS NO GENERAL MMENTS: PW-IIC12.1'I4'96l JUL-18-2005 03:42 PM ROOKARD HARDWARE 0t1 .' ,11'_ ~~ :~! Job Hllred by IJ Owner ~lc~~ conIT"lor n.me Licen.. number Dote expires ~~;e~(:. Bl!SreE)Jf9f4'1C,," [Ujchascr'9 mall inK addrcn 111/ ~t). BDK... ~7_L c,'{;~~ U~M v3J ZIP 9'lt5 11 J- 'i ~xnu "_57 S? 5 Premises o""ner'. name ce- r ~ '- c.... ~7'11 ~ Ad~e:i o?,peell~ OSHo 4 _<::..r. Cll~ Ll ~eir 10 uhedule In,peellno: Owner QS defined h.l' RCHU9.Z8.261:(1) Owtll.!r wUl OCCllPY lite sfnlcl,m: PH' twn )'CtII'S ufler Ihi,~ flfectrl"QI pr!rlnit is flnoll:('(J. (1) O.....ner i.I' n'(Juln:d trJ JJjrf! un dear/co! eMlrudur if above .~ojd proper,y Is fo/' ,wit., rent o/' leoJe. Ant'r reading the above gtatcmeTlt, I hereby cerlify Ihot I am the owner of the above named property or a licensed electrical COf'ltrocttlf. I am making lhl: electrical instal- Illlion or Ilhcntion in compliance with the electrical l,ws. N.E,C" RCW. Chtlptcr \9.28, WAC, Chuflter 296-46B. The City or Porl AnScles Municipal Code, and Utility Specifications. SIEna r or o.....ner, electrical X V Date: Electrh::l!Il o NO LOAD tJ Baseboard CJ Furnace o Heal Pump CI Fan-Wall Ir I HANGES KW [bKW Ton KW 360 683 5785 P.01 ELECTRICAL WORK PERMIT APPLICATION InatllllBtion dctcription C Commercial IJ New o Altered! Addltle. ~i.f fa S Q.-=.Pr: -1) We?--/~NCt>. D 9"h IJ Cheek # ~CrediIC.rd Vis. ~ Discover Card# _QN_U______-____ o 01 \ -C:::- () G Ingpection fee S Service Inlormellan LAR r:J Overhead ServIce IJ Jemp Service tff Underground Service Votlage Ph..e IJ , IJ 3 Service Size: _ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT /tJ/z"Io--: .40 / D.~1 ...pp....vtJ By Pill: Aftpfo"'cd fly SERVICE /~~/.,-r k/) Oftl Appl'llYeoI fly FEEDER DIT~ '7-/~:05 :,;:~., 1)Qlc Aplll1>\I~Q)' F1NAL ').-';;3-ob Dale ApprovQ y 1nspc:ction Dtlle Area, Ruilding or Equipment lnspected AcHon Taken Electrical Inspcclor ~ '-------.~-------' ~ ~ . ELECTRICAL WORK PERMIT APPLICATION . Job Hllred by ~I""trlcal Contractor a Owner Instllllalion dcscriptio'V. CJ Commercial ~esldeDd.1 Elcctricllol contr,ctor name L~~b;r,.J r/_ Date Expires !,t;q ~t..-eod!J:C &~ E 1 fJ 7 '-W P(f~o~ mBn~}t." 'l- ~ 'I~. CI'~e()W~ W)1ZIP q1.3~ ~ T''qh no n~mor '1 fAXc,m "-.. - 5:> '} g S :f.A-'C SV,' o N.w 0 Altered/Addition (yo flmf pr&.1lII owner'lI (II e E- S. t- c..- J.I O,M C- Addreu ~IPectlon "J-! ~)- ToS VI}. City \) ./J " Phone number to u:bedule In~pettloD: 7lIJ7P P6wE!Z " t' OWI1t'r a$ defined by RCWJ9,18.1tH:(l) Owner will occupy the structurelOf tWI) Ydor$ ojier this electrical permit (,! finalized. (2) Ow/ltr is required to hirft all elecuical contraClor if abOlJe said propeny Is for sale. rent or /edJ'I!. After fI:~adlng the above statement, I hereby certify ttlllt I am the owner of the above named propeny or a Iictllscd electrical contractor. I am making the electrical instal- lation OT alt~ratlon in compliance with the electrical laws, N.E.C., RCW. ChillIer 19.28. WAC. Chapter 296.-468, The City of Port An8cles Municipal Code, and Utility Specifications. SICnDl of o"ner, e\eC!'ClI CODt~tor or electrical Idmlnllltrator X Vt t~ Date: ~-l!;- -c: , a Cash a Check # edilCard Visa ~lercardJ Discove, ~ Q NO LOAD CHANGES o e....board _ KW o Fumace _ KW o Hea' Pump Ton o Fan.Wall KW LAR o Ovarh.ad S.rvlce 'il Temp Service 'b'tJndarground SSNles o Service Information Voltag. -:J... If 0 Ph...'!iJ 10 3 S.nllc~Slze: 1&JJd F..d., Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 r ROUGH-IN r THERMOSTAT SERVICE '- Dille ^lIrlOvCG By Oil. "PPT(I~elJ By D..\~ APflIOHdBy FINAL DITCH FEEDER D~le A.ppra...d By./ "- 01111 Apptcn'ld By "- Dill' ApprQ..od By Inspection Arca, Building or Equipment Ir16pecteo Actiol' Tl!ken Electrical Date . Inlipcctot , ~!t s 10<' oIL ~1S[z2---- ?r/".uJ ) , I . (;/d>/cS" h .,o,q-L-- ~ #CO /7{!(,' &. Y~~5 - :289 092: 3~t::IMactt::lH ~. - - IT ~H:t)t 0 0 (:j Wd 6_.~0 ~00Z ~l Nnr RECEIVED WNP CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 r Ph: (360) 417 -4735 Fax: (360) 417- 4711�LZ,1'l�tL 3€44StyUip.)U IN Date. 7` 2 I 1 �� X1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: E3 Z (..0,"' .::p 5=A%J P"c -- Building Square Footage: Description of above L Owner Information Contractor Inf m�a .on Name: Ltjo/ � Name: Ah - Mailing Address V Z r Mailing Address: City: State: Zip: City State; Zip: Phone: LISA - L4� 12 Fax: Phone: Fax License # I Exp. License #I Ex p, Item Unit Charge Qty Total (Qtv Multiplied by 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 $ SorvicolFooder over 1000 Amp, $ 373.00 $ Branch Circuit WI Service Feeder Branch Circuit WIO Service Feeder $ 5.00 $ 63.00 $ $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. SonricelFeeder 201 -400 Amp, $110.00 $ Temp. 8ervicelFeeder 401 -600 Amp. $149.00 $ Temp. ServicelFeeder601 -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 $ Egch Outbuilding or Detached Garage $ 74,00 $ Each Swimming Pool or Hot Tub $110,00 $ $ Total Owner as defined by RCW.19.28 261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last Inspection. After reading the above statement, I hereby certify that 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, RE.C., ROW, Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, a trical contractor or electrical administrator: ❑ cash Check f—;, , ❑ Credit Gard # X Dated: -7-11 f 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . 15- 00000903 Date 7/22/15 Application pin number 814430 DITCH Property Address , . . , 925 JOSHUA ST ASSESSOR PARCEL NUMBER: 06-30-01-7-6- 0110 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . , . Property Use . . . . . . . FINAL Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY .Application valuation . . . . 0 Application desc Ductless heat pump Owner Contractor ------ ------------ -- - - -- [CATHLEEN LYON ------------------------ BLACK DIAMOND ELECTRICAL CONTR 825 JOSHUA ST 502 SLACK. DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 99363 (360) 452 -6612 (360) 565 -1035 ----------------------------------------------- Permit ELECTRICAL ---------- ----- --- --- ALTER RESIDENTIAL -- -- -- -- Additional desc . Permit Fee 63.00 Plan Check Fee QO I08ue Date . . . 7/22/15 Valuation , . . . 0 Expiration Date , , 1/18/16 Qty Unit Charge Per Extension 1.00 63.0000 ECH 'EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 6.3.00 63.00 .00 .00 Plan Check Total ,00 .00 .00 .00 Grand Total 63,00 63.00 .00 OD C� 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 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:1EXCHANGEIB UILB ING