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HomeMy WebLinkAbout1225 W 10th St - Building ~ VORT ~ 8~o~ ". L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000903 Date .104296 1225 W 10TH ST 06-30-00-0-3-0365-0000- RE-ROOF 10/04/04 RS7 RESDNTL SINGLE FAMILY 1356 Owner Contractor GALLAUHER CHAD C/MARY E 1225 W 10TH ST PORT ANGELES WA 983635619 OWNER ---------------------------------------------------------------------------- Permit Additional desc permi t Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, SHEET, FELT, COMP 74.45 Plan Check Fee 10/04/04 Valuation 4/03/05 .00 1356 Other Fees STATE SURCHARGE 4.50 N tJ \J'l \, ~< f r Qty Unit Charge Per Extension 47.00 27.45 BASE FEE 9.00 3.0500 HND BL-501-2K (3.05 PER C) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.45 74.45 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 78.95 78.95 .00 .00 ...--. -. ~D ~ +- C;---> ~ 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. ! Q~~~.l tractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNINGIFORMSIII02.15 [11114/20031 BIDLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING 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 R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 i(')-I".+I-I')14 \ \ \,--, BUILDING T:\PLANNlNGIFORMSIII02.15 [1111412003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: /D - L/-Ot./ Permit#: 04......903 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved: Date Issued: G cdJ Cll.L k flY- W l D'tV'- Phone: Phone: City: POV+ AW(e l(S Phone: Applicant or Agent: Owner: (J/\ a. J Address: J--. b zlj 457 - 50t I Zip:~ 8-3(,:3 S157 '- 5D-Z { State License #: Exp: Phone: iA.J City: {D~ Zip: ZONING: (( S ~ 1- Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o Residential 0 New Constr.)( Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: 1-i2a..v- a-{) (: ) City: MC # Exp. Date: SIZEN ALUATlON: 1"1 r I . q.t2- SF. @ $ /SF. = $ _ :1~~~ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ <jh..1"09+) Fzl-f) LClAArJ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 ofthe International Bui1dingIResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand Ihal ff is my responsibility 10 delennine whal pennffs are required ,not/he City's, and I:J op: such permits prior to WOr/':,_..r J /.." T\RVESS\BLDG-form,-bwoho=\2003-BoHdfogpormi,wpd App"'''''' Ci _ _~ Do<" ~ , OJ >-3 '" , r;;~iJ8E; n'O , t-< ..., ~ I H:<1 , ID '0 , "':<1ZZtJ >-3'" , ID '- , t-< n", >-3:<1 ""'0 Ul H , "':<1:<1'" "'" , 0 10 >-l , Zt-< ","Ul 0:<1 , H .. I !ii. nUl "'''' , >-3 tJ '1 ~ OJ 0 '0 ",. :<1. OH I H , n:uo :u :uo , 0 , 0"'", >-3'- , '-, 3:10 tv , , 'OC::o ooGl H ~~ ' H , t-<",o """''''" tv , '-, "'Ul , , t-< tv Glo , 0 , >-3 >-3 III owt-< lJ1 "'"" , , "''''e:: 00"," t-<- tJtJH ~~g :>: '" , , e; UlH , , 00'" H W .w H ID' :u 0 :<1 ill 00 >-3 tv "'HGl w , n :>: " UlZ w:>: C::Ul'" ~~E; Ul w ~~i >-3 '" , w :u"'n H 0lJ1'- >-l 0' 3: ",0"," nOJ :utJ, o:u :orc:: "'''' 0"" '" H UlUlill 0 o.t-< c::no '" tJ t-<:U :>:H >-3H'" ~ ti Z Ul'Oi<l n "'Gl '->-3 0 nH", H 0 3: """' OOt>:l HZ 3: ""H 3:Zt>:I ZUl '" lJ1Z 3: Ul'd Z tv"," '" '0'" >-3 , t-< Z "'n Ul lJ1 >-3 n>-3 0 Ul >-3H ~ ~ ID 00 lJ1>-3 :UZ ~ tJ H 3: '-<>-3 Z '" ","H 0 'd'dUl 3:n >-3 g;g;g "':>: .). '" H Ul'" Ul " ZZtJ >-3 "''''H t-< .... 0 <: 0 t-< ~ H '" :<1 t-< ..., ~ tJ.'. t tJ'd "'""'" >-3Gl "'''' H 0 '- tv H '- OH ",,0 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17632 Y-cJ.Y f/ Port Angeles. Washlngton.....n_..m..m.....__....n...mn.....mm.m.m.. 19nn.m In aocordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address .....!;?.n.;z.A.~~L((J~nmm....mm.nnn. Occupancyn.d.L"',,;-L..m.nn.....mmmnn Owner ..~c.~.....<~.=-'f..,<,"{'.~ TenanL._.m..nmmn...n...m._m..mmn.n_.m.......nm...n Wiring Contractor n...nm.m..nm.m..mnnm.....n....m...n....mm By...nnm......m............mmm.nmnn...nn.....m..... C. Light Outlet........................................... y Receptacle Outlets....___;-............___....... Service, volts ...........nn........................ No. wires .........n._n........................ Dryer, KW..un......................-.......--.... Size wlres........................nnnu..._.. Range, KW.__.n.h__.n...______..__... Main fuse ....nn...................h__........ Water Heater: Enclosure ...n.....................hn......... KW........T........mm.......... He," Kw.............J.f.d..l.1!........ , " , Type of wIring: Entrance Cable ........n...n.....n....... Mot~'.::Z~~h:;9( ," Rigid Conduit .......mm........ Metallic Tubing hnnu....... Current transformers: No. & Size.........n.nnnun................. Ser. NO......................__......_......n........ Ser. No. .......nn.......................n......... Ser. No. unn.............._....n.................. Type 01 Wiring: Armored Cable .............................. Non.Metalllc m....mn.....m............_ Knob & Tube...........m.................... Rigid Conduit ....m........................ Metallic Tubing .mm......m_.......... Raceway ...............................__..._ Circuits, LighL.......................m........... Utility............................................. Heat ......................................._...... Range ...................._........................ Water Heater ..nmm......m._m....... Motor ............................................. Dryer ..............................................__ Furnace ..........................w......_........... Remark:~ta:..~~~...~..~;.:?2nn-kns~~~~:;;;...~....::.~:::...:...nmmm...nnm.:~~~:..~::...:~.::~:::.:::..:::.:...:::~:: -r __ n_...u.u_uuununnn..uuuun.u_nn__nnu_u_nun.nn.n....nnn_nn.___.....__..nnnn_n.n......._u_nn_nn_nn.____u_n_n_nn_nnn__....nn .;~;;~..;~~nn....mmn.mnm....;~~~~:.~~~~;~~nn..........mn.mmm....:;:;plJ;;}~.~.m..... $.....mmnmm......nn.mnn. NO.m.........mm.......... By n....nn._.mmn.!!i.....mnm.nn.mn........___n ". " NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. . NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION , ELECTRICAL PERMIT Address .............n...._....................................................................................................n............. N~ 1 7 6 3 2 Date....;........_.._.._.._.........._......_..._.._......... Owner n......nnnnh.........._nn.._......_.._._..n_......_.._h......nn.n..n....nn...n_.n...n.................. Tenant........................n.............................._nnun.. WlringContractor..............~.._......_____..........._h............__.._...................................................~:,.......By.............................................................. \ ~ NOTICE--Current must not be turned on until Certificate of Inspection has. been issued. If work Is to be con- cealed due notice must be .'glven the Inspector so that work may be inspected before concealment.. \ \ 1M Olympic Printers, Inc. \ . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15702 Port Angeles, WashlngtOnnm.m.jt:-!2..:~.m..m.m._...._.m...m_____, 192b In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure in the City of Port Angeles. per- mission Is hereby granted to do electrical work as listed below. Address ___.mLd__2__~..~./!.~_.~.__n..___n___m______.._n.m Occupancyn__.m.nnn,n,_____.n_______.nm_m_n Owner -.--------&l1..l':Lm--~J~..___ Tenant.mnnmmm.m_.n____...____nm~.:._____..n__nnm.mmn Wiring Contractor __nm.~~C--nn--.--nn.--m. By.nnnnmnmnmm_.mn___._n_nn_m._.m__.__n.___nn Light Outlets.......____...................._..___... Service, volts .../:?:o/2--.'!r..t? Type of Wiring: Receptacle Outlets..................__.........__ No. wires __...:!...............j?7..... Armored Cable ............................. Dryer, KW...m.._m.....__._..__._._______.._____ SIze wireSn..~t!...f?........._.. Non-Metallic _m...__m.................___. 4htI!1cj :.d Knob & Tube................h.............._ Main fuse ........~,....;L....... Enclosure __....\5.......................... Range, KW...._....................__.._.__ Rigid Conduit .....................__........ Water Heater: Metallic Tubing ..........._.......___..... KW.........____....____________n_______ Type of wiring: Entrance Cable .__nmnn_________ Ser. No......__.......................____............ Raceway .........__...._..............._......_ Circuits, Light........__............................. Utility ........................................._... lieat ___._______.................____...._.._....._ Range ....___._______........_..........__.._....__ Water Heater ............................... Motor ..........._...._...00_..__..00_............. , . Heat: KW.........:..'m.....n...no.......:....__no Motors: size. volts and phase: Rigid Conduit m_mm..m_...m......... Metallic Tubing ..nm Current transformers: No. & Sizen......n......._.._mm.. Ser. No.....__..............................._....... Dryern............._.........._n.....n_..._..n..... Furnace .........................._____...._.......... Ser. No. ..00......000000__.00__.._____..... ......._.. Total wad............................. Set. NO...n_nn....__.._.nn_....._._.nn._..__. Total 00........_............................ :~:~~:~:m:::::::::::::::::::::=:~~::~~9:t::::::::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Permit Fee Treas. Receipt NO.nm.mmmm.__.nnn By ________'___00_________.___0000000000000___000___000.___._____00000000 $_____.___.000.___000.000000___00000___ NOTICE-Current must nQt; be turned on until Certificate of Inspection has been issued. If work is to be COD- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15702 Address.____.....___..._______....._________.._._..__....................................__....._..............._................_.___...._....Date..._......____.._.__...._....._._...._......_..._..... Owner ....h_..._._......_...............__........._.........._...__._n.....................00.........00...000000...00..000000. Tenant....._...............................................n__....n..... Wiring Contractor .........................00.00........................................................._._..............00_............... Bynu..n....._..._...._........n_....................._..._.. NOTICE-Current must DQt; be turned on until Certificate of Inspection has been issued. If work Is to be COD- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers. Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15691 Pbrt Angeles, wash1ngton________J___:::_/._~____________________________________, lr/.!ii In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission Is here~y granted to do electd work as listed below. Address 7:/~---d.--:;7jT?~1-9..----t;{!---------m-------------------- Occupancy____,A,-&_4,____m_________________._ Owner _U..~(rtk-i--m7-";:jf..-::::---;-~.-G~-~~-~.mmm------ Tenant_mm____m_____m__m_._.______uu_m_m._u.____mn____.mn Wlrlng Contractor ______6:""!."<t?_?j__i:__.\_~_____ooo.___________________________ By______________________ooo______________________________m____ooo____ Light Outlets____.__.__..mm_____________________. ServIce, volts _/(.~-?/Q.-::~.:? No. wIres ........-~n:...:......-7:~m.. Size wires..;~~::-:--~=:.....:...-..-.. / "-/,'- ,..' .::...." Main fuse m.n-';:_~:..______m:n~..L_....m .s Enclosure mm.........._...m__.__m.n__m Receptacle Outlets.._......_______.__.___........ Dryer, KW _........___._____hn........._._..______ Range, KW hnu_.nn..__. Water Heater: KW._____mm.m_m__mmm________ Heat: KW______C:.:f./..,,).:__3LI.. Type of wiring: Entrance Cable mm"._"_ Motors: sIze, volts and phase: Rigid Conduit nn.nnm Metallic TubIng nun Current transformers: No. & Size............................n Ser. NO.__._n.n_........_.........n........_...... Ser. No. 00.00_..................................__... Ser. NO....n__..................................__... Type of Wiring: Armored Cable ............._................ Non-Metallic ._...................00..00.._.._ Knob & Tubem___________.m____m_________ Rigid Conduit _m_m_______________________ Metallic Tubing .m_m.n........._m... Raceway ___...._......................._._...._ Circuits, LIght...._.._._...._.............._._..._.. Utility.___3___________________m.____________ Heat --ft-..............-...-..........-.-_.~ Range .__h__.._............_._______.............. Water Heater _.nmm_............_....... Motor ........______...__.................._....... Dryer_..........______.__...........__..________....._ Furnace ....n...............___..~n..n_h.....n.. '. Total LoaL..............____......__ ser."No.mm..:....______.....;;____;........ )1 " " :tS! ....m__mm___...<==~m--- Remarks: __________oo__~.~~"._'-"'---ooom----~~I'__,,4.-,-;looo!f.--e:--~oom&~/;i4-----ooo-'~...R.____<!XA~~~ -.. ,.r-- -- . /' t .__..__._..___....._.______...__u_u_______._.__._...________________________.._.__.__.._.____._.______...._.........________________.._______.._.______..._.._._.._.._...______ " ~A ____hU..._UUuu__...uuuunnnnnnnnnun....n_..n._______._u_uu_uunnn_nnnnu__nnn._n.n._________u____..,..__nu_u.u__nun_unnn_n_n... $000_________00__000__000_________000.. No.__oooooo____________________ 1(/V~/' './ / B -/f r.. V~ f.,,<>~-":l! // (_; '.. ,~- '. -Y',~' _ Y 00_ ,._ ____ __000_ ______._______000______ _________,_____"'-__ NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected berore concealment. Permit Fee Treas. Receipt NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION I?~B ?J /" 'V J /Fy-"" /fl-?'~-:n..R...., {. 0 -5 0<- f' ELECTRICAL PERMIT N? 15691 /~ -- ~ :::::s..::::::::::_:1i~:~~~~~::::::::::::::::::::::::::::::::.:..~~:-a:_a_t~:-:~::::::~::~::~.:~::::::::-:~::::::~::::::~::::-::-: Wiring Contractor ........__~-t-:~:;;r---""'"~.n...n.nn--.nn........n.......-.....-n...n.nnn__n__nn.._U_.nn.n. By.n..._..n___...................._........____...__nn._n._ NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work is to be con. cealed due notice must be gIven the Inspector so that work may be inspected before concealment. 1M r ()lvm..,if' Prinf"r,,_ Tnf'_ RECEIVED' C �.uv VO1{rq.1�� {�� QTY OF PORT ANGELES PIFRMT A$I'LjcATXON i Building Divising/Llcctiri(2l Inspections APR 2 3 2014 32 ). Fast Fifth Street —.P.O. BOX US0 / Port Angeles Washin � Ph: (360) 417.4735 Fax: (360) 417 -4711 ��s 9836 ELECTRICAL 13S ECTIONS �;' —4— bate: %G / 7 & Z Single Fatally towelling Plan Review Mays aired, p� Job Address; 7 e Complete Efectricai Plan eview Info qlation Sheet Building Square Footage: Descdptlan of above / "I � /A x- -= Owner Information fV < Contractor infanaaa tfo Name., ,.� a u�-ce� ,Jt?�L Mailing , dd blame: - %�'►G�� �L„ C8Y - 5tate: gyp; Marling A dress: �, ra �� Phone: Fax: �ityr Slate, • �p;� �r"� License # /Exp, Phone: , yZ rax:� tea. License # 1 Exp. Item als,5'r, 5 Service/Feeder 200 Amp, Unit Charge '�4y Multi I i pd Unit C a e $120.00_ t ServicelFeeder701- 400Amp. $146.00 Service/Feeder 401 -600 Amp $ 205.00 $.- -- ServIca/Feedar 601.1000 Amp. $ 262.00 - $ - -- ftvlcaFeeder over 1000 Amp, $ 373.00 $— Branch Circuit Wl Service Feeder $ 5.00 $ --- - Branch Circuit W/O Service Feeder $ 63.00 Pach Additional Branch Circuit $ 5 0U _. g Branch Circuits 1-I $ 76.00 -- $ -� Temp. Service / Feeder 200 Amp, $ 93.00 Temp_ Service /Feeder2.01A00 Amp. $110,00 Temp, Senrice)Feeder 401.600 Amp, $149,00 $, Temp. Service /Feeder 601 -1000 Amp . $168.00 Portal to Portal Houriy $ 900 $- Signal CimulU.,Umlted Energy -1 & 2 Famify Dumliing $ 644.00 Manufactured Home Canne6on $120.00 — -- Renewable Electrical Energy- 5KYA System or Less $102.00 - $- ---� -� Thermostat $ 56.00 $- ": $5,00 for each additional T-Stat NEW 0 , _ONSMUCTI & OMLY: First 1300 Square Ft. $120.00 Each Additional 500 Squarer Ft, or Paton of $ 40.00 $� Each Outbuirding or detached Gai'mge $ 74.00 Each SvAmming Pool or Hot Tub $110.00 $ _=�60 ~.� $ Owner as deftned by RCK%28.261: (1) Owner will occupy) the structure for years after this electrical e � taI y to hire an electrical contractor it above said property Is for sale, rent or lease, Permit expires after six months of last inspectctiorf 2) Oo,rrer is required After reading the Above statement, I hereby certify that I am the owner of the above named property the electrical installation or alteration in camplian with the electrical laws, IN.E,C., RCW, Chap19 28 licensed WAC, Chapter 296 -468,1 the City of Pert Angeles Municipal Code, and Utility Spechicaflons and PAMC 14.05,050 regarding Electrical Permit Applications. Signatu alwner, elect4ca! contras or electrical administrator: CasA Ct Chock • 'rr'ti"Jnrrtaa: • �•� alrot2o�z fl�(OflT4&9k ELECTRICAL INSPECTION WIRING REPORT 417-4735 ORK b DATE; PERMIT INSPECTOR OWNER CONTRACTOR ADDRESS ;Q APPROVED NOT APPROVED 0 ................... . DITCH .................... 13 ................ ROUGH IN/COVER ............... 0 ....... .......... SERVICE ........ ........ 0 .................. FINAL. ....... p CORRECTIONS NEEDED: 04 3! Lf NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELESp 350 - 417 -4735 Application Number . , , , . 14- 00000484 Date 4/24/14 Application pin number . . . 338604 Property Address 1225 W 10TH ST REPORT SAES TAX ASSESSOR PARCEL NUMBER; 06-- 30- 00 -0 -3- .0365 -0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name , , , , , , to the City of Port Angeles Property Use Code ^ Property Zoning . , . , . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . , 0 Application deec New garage ------------------------------------------------------ --------- ------- - - - - -- Owner Contractor DATE: RESULTS: SARAH E PEDEN SIMPSON ELF,CTRIC =41,1 1225 W 10TH ST 24.3036 W HWY 101 SERVICE - PORT ANGELES WA 98363$61.9 PORT ANGELES WA 90363 ROUGH -IN (360) 461 -5677 (360) 457 -9270 ----------------------------------------------- ----------- ---- --------- - - - --- °+ Permit , , , , ELECTRICAL NEW RESIDENTTAL Additional desc , . 1 Permit Fee . , , . 74.00 Plan Check Fee 00 V tt issue Date . . , . 4/24/14 Valuation , . , . 0 Expiration Date , . 10/21/14 Qty Unit Charge Per Extension iJ 1,00 74.0000 ECH E1,- R- 0UTSD /DTCH GAR IN /SEP 74,00 Fee summary Charged Paid ,Credited Due ----------- - - - - -- ---- - - -- -- ---- Permit .Fee Total 74.00 -- -- -- -. __ . - -- ---- 74.00 00 - - - - -- ,00 per} Plan Check Total .00 ,00 00 ,00 Grand Total 74.00 74.00 ,00 .00 — M _fOC' &,1— lz7 w... I e[. t-. C_ rar P'. �.i *. L-- INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH =41,1 SERVICE ROUGH -IN yam. - -/4 FINAL Z COMMENTS. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE1BUILDING