HomeMy WebLinkAbout1229 Caroline St - Building rte, CITY OF PORT ANGELES
w 7 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000960 Date 9/06/11
Application pin number 059200
Property Address 1229 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -3 -0685 -0000- REPORT SALES TAX
Tenant nbr, name BRANDO S BLORE
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 400
Application desc
REPLACE WATER LINE FROM METER TO HOUSE
Owner Contractor
BRANDO S BLORE WILL DO PLUMBING INC
PO BOX 3029 268 BLACK DIAMOND RD
PORT ANGELES WA 983623029 PORT ANGELES WA 98363
(360) 457 -0341
Permit PLUMBING PERMIT
Additional desc REPLACE WATER LINE
Permit pin number 192062
Permit Fee 57.00 Plan Check Fee .00
Issue Date 9/06/11 Valuation 0
Expiration Date 3/04/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
Fee summary Charged Paid Credited Due
e,i\
Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
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:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD —9
0
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 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) 9-7-1(
Gas Line q i 1
Back Flow Water FINAL Date I Accepted by 3 1 4--V
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
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line 5
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
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
Fire 417 -4653
Plannin 417 -4750 S
Building 417 -4815
T:Forms /Building Division /Building Permit
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BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for.projects that do not require plan review.) Q r
Date Received t Y t
Permit* II-960
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5 St., Port Angeles, WA 98362
360 -417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: j 6 ;n w a I hone: 5 7 /6, y
Property owner:
/3-4 13 /6 i e Phone:
Property owner's mailing address:
Contractor's business name: 9a Phone:
(or property owner's name if he /she is doing /overseeing the
Contractor's mailing address:
Contractor's L &I license number: Expiration date:
Project Address: (No j- 229 z
C Coll c-(-
Project Type: )esidential o Commercial D Industrial D Multi- family
Project Business Name: Zoning:
(for commercial, industrial, or multi family projects)
Parcel Lot
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your prole
Re -roof: house garage other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project) L
?ep lc �4�ei .i".e TYrs'"' v`� /v fl�.� C4/
Project Valuation jh o
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost materials, —to- reflect the °value the repair adds -to -your- property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 3
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa protects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing:
Complete submit page 3 "Plumbing Changes" Project Valuation
Mechanical:
Complete submit page 3 "Mechanical Changes" Project Valuation
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.
Dat u 1 Signature l 1—
Print Name i u,4-1 6c
Page 2 of 3
Clallam County Assessor Treasurer Property Details 61829 BRANDO S BLORE fo... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 61829 BRANDO S BLORE for Year 2011 2012
Property
Account
Property ID: 61829 Legal Description: P S CO -OP COLONY
SUBDIVISION LOT 17
BL 6
Geographic ID: 0630005306850000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N I
Township: Section:
Range:
Location
Address: 1229 CAROLINE ST 1229 1/2 Mapsco:
PORT ANGELES, WA
Neighborhood: x ref Cycle 5 Res Map ID: 2
Neighborhood CD: 10955130
Owner
Name: BRANDO S BLORE Owner ID: 14399
Mailing Address: PO BOX 3029 Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -3029
Exemptions:
t i axes and Assessment Details i
Property Tax Information as of 09/06/2011
Amount Due if Paid on: EML. 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. Penalty Interest Base Paid Amount Due
Statement Details
2011 156244 $636.52 $636.44 $0.00 $0.00 $1272.96 $0.00
R Statement Details
2010 44518 $610.24 $610.22 $0.00 $0.00 $1220.46 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
1.
RoII 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: 9/6/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop id =61829 9/6/2011
°''°'T CITY OF PORT ANGELES
°~ PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 11/05/2001 PERMIT NO: 13072
OWNER/APPLICANT PROPERTY LOCATION
TOM BLORE 1229 CAROLINE
1229 CAROLINE Lot: 17
Port Angeles, WA 98362 Block: 6 [] Long Legal
360/000-0000 Subdivision: PSCC
T: S: Parcel No: 063000530685000
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 360/000-0000
PROJECT INFO
Project Value: $400.00 SFD Units: 0 Commercial: 0
Project Type: REROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR-OFF / FELT / COMP
RECEIPT # 8223
FEES ASSESSMENT
Building Permit: $23.50 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. ~ hereby certif7 that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances gQ.vetoing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presum~o give au~on~ to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru?. n.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
~ VORT ~
l'O~~~
hiii
'L ~
~
"tiii:JC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00001064 Date 10/31/03
1229 CAROLINE ST
06-30-00-5-3-0685-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
2200
Owner
Contractor
BLORE BRANDO S
504 W 5TH ST
PORT ANGELES
WA 983622225
LARRY'S ROOFING
352 AVIS ST.
PORT ANGELES
PORT ANGELES
(360) 452-2215
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
106.75
10/31/03
4/29/04
- NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
2200
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
~
~
~
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111. 25 .00 .00
(\
~
~.
~
(b
CIa
f-
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 vernlng this type of work will be complied With whether specified herein or not. The granting of a permit does not
presum to give au or y to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru tl n.
fo-c>l-Q3
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is bUilder)
Date
T \PLANNING\FORMS\1102 15 [4/2002]
""/
BillLDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 I/-O--:r-O~ \ } BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
PREPARED 11/03/03, 12 16 07
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1229 CAROLINE ST
LARRY'S ROOFING
BLORE BRANDO S
06-30-00-5-3-0685-0000-
03-00001064 RE-ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
11/03/03.t1= BUILDING FINAL
re-roof f,nal, take
---------------------- - ------------- COMMENTS AND
BL99 01
NOTES --------------------------------------
SUBDIV
PHONE
PHONE
(360) 452-2215
perm't w,th you
PAGE
DATE
8
11/03/03
12/16/2014 15;41 FAX
d 001/001
RECENt titQCakP.t �,
CITY OF PORT ANGELES PERMIT APPLICATION �� �s 1 �� 2014
(Building Division /Electrical Inspections tLt Ci'B$iC611
321 ]East Fifth Street— P.O. Box 1150 /Port Angeles Washington, 99362 � - ri6gs
Ph: (360) 417 - 4735 Fax: (360) 4I7 -4711
oat - I l
2 Si gle F mily Dwelling Multi- Family or Commercial* _Commercial Addition /Alteration f Remodel 1 Repair"
' Plan Review May e R quired, Please Com t Electrica eview Information Sheet
Job Address -Lk
Building Squaro Fool
Description of above _
Owner il rmation
Contract
Name; Vt
Name::
,oration
Cyr
Mailin ddress:
Mai' tldr
CI[y: Stale, ii : d
C111 I
[s[e:
ip,
Phone.
Phon
Fax:
! icense 111 xp,_ _
License # / Exp.
Item
Unit Charroe
V
Total
flu Jed by Unit: Chat
Service /Feeder 200 Amp
3119.90
�
$
5ervicelFeeder 201.400 Amp,
S 145,50
Service /Feeder 401.600 Amp
$204.60
S
Service /Feeder 601.1000 Amp
S 26220
ServicelFeeder over 1000 Amp.
$ 372,50
$
Branch Circuit Wf Service Feeder
S 2,60
$
Branch Circuit W/O Service Feeder
$3,50
$
Each Additional Branch Circuit
S^ ° 2.60
$
Temp. Service/ Feeder 200 Amp,
$ 92,70
1
Temp, ServicclFeeder 201,400 Amp.
$17030
S
_
Tamp. Service /Feeder 401.600 Amp.
$ 148.70
$—
Temp, Service /Foedcr 601 -1000 Amp .
3167,90
$�
Portal to Portal Hourly
3 95,90
3
SignlOutline Lighting
S 80,20
$
Signal Circuit) Umited Energy/ First 1500 sf – Commercial
$ 95,90
g�
Note: S5,00 for each additional 1500 sf
_
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 63.90
$
Signal Circuil! Limited Energy . Mull/- Family Dwelling
S 63.90
g
Manufactured Home Connection
$119,90
g
Renewable Electrical Energy - SKVA System or Less
s 102.30
Thermostat
$ 56.00
s�
NEW,CONSTR ON ONLY:
Fir , 300 Square Ft. 3110.30 $
Ea Additional 500 Square Fr, or Portion of S 35.20 $
Each Outbuilding or Detached Garage S 73.50 g
Each Swimming Pool or Hot Tub S110.30 _ $�
$ Total
Owner as defined by RCW,19,28.261; (1) Owner will occupy the structure for two years after this electrical per "s 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 re 'B the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractoT, I a m making
the elc tticai i stalfation or ation in c p ian with the electrical laws, N,E.C., RCW, Chapter 19,26, WAC. Chapter. 296-46B, The City of Port
Angel s Munic pal Code, nd ility Sp cifications a d PAMC 14,05.050 regarding Electrical Permit Applications,
ligna ure of wn r, el etrica ontr or or ele rical administrator: ❑ cagh ❑ Check /� ��
ltaI7014— 01101010
Ua�p�pawr,4%(� I
ELECTRICAL INSPECTION
Zip WIRING REPORT
417-4735
ORKS &
DATE:
INSPECTOR
l
OWNER
') PC m k
A te
CONTRACTOR
ADDRESS
APPROVED OT APPROV
................. DITCH ................
. . ......... ROUGH IN/COVER. . ... ......... 11
0 ... ....... ........ SERVICE. ........ 11
El ...... - ........ .... FINAL .................... 0
%) CORRECTIONS NEEDED: fl— � 2
Fl� -
0- ay.. L c, r U
Ps LA—
C-6 �-j -- �
PL— Atkv-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
WF0190577 -/-001 City of Port Angeles
PAGE
REQ. DA„T2: 11/13/14 11/13/14 15:06:22
SCMRD START: 1.1./1.3/14 SCHED COMPLETION: 11/13/14
CREW: Electric Meter 01 EM01
LOCA'T'ION: 1229 CAROLINE ST LOC ID: 150242
SUBDIVISION: LOC. ZIP: 98362
REQ DEPT: FE-Customer Service RI medium
REQUESTOR: UTILITY BILLING ORIGIN: Staff
REQ USER: TROOKS AUTH USER:TROOKS WRK TYPE:Routin.e
CONDENSATION INSIDE GLASS PER DERICK
-PRICY CONTACT - INFORMATION
SHUMWAY, JAMIE L (360) 477 -1.481 ( ) ( ) ( )
PO BOX 2373
PORT ANGELES, WA 98362
CONDENSATION INSIDE CLASS PER DERICK ----------------------^_______-
CATEGORY: E Svc /Meter Maint SVCM
TASK: Hazard Electric EZ READY
DEPT: PW- Electric PWEL
SCHED START: 11/13/1.4 SCHED COMPLETION: 11/13/14
CUSTOMER: SHUMW Y, JAMIE L CUSTOMER ID: 56249
CUST. PHONE: (360) 477 -1481
JUR:PORT ANGELES CL:RESIDENTIAL DUPLEX
SERVICE /SEQ EL 000 ELECTRIC CYCLE /ROUTE: 11 31
METER NUMBER E3980
MAKE W WEST
SIZE
VOLT
AMPS 30
STYLE . MEEO MECHANICAL ENERGY ONLY I
CATALOG
I##R 1.0000
PHASE
NO. OF WIRES: 3
LOCATION
SPECIFIC LOC:
HAZARD I
READING SEQ
COMMENTS N WALL
PREVIOUS- 11/12/1,4 CURRENT READING: NEW READING:
KWH 19804.00 KWH
COMPLETION INFORMATION
COMPLETE
DATE:
ACTION
TAKEN:
-START TIME: ----- �____---- �__-- �__-- - - -__- COMPLETION �TIME: START DATE: / / COMPLETION DATE:
UNIT OF PRODUCTION: QUANTI1Y:
DATE-- EMPLOYEELABOR HRS -- OT- - NEQQUIPMENT -- - --- ITEM-- MA.TERIAL ------- - - - - --
QTY COST
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 4174735
Application Number , . . , ,
14- 00001511 Date 12/16/14
Application pin number . , ,
469210
INSPECTOR:
Property Address. , . . , . ,
1,229 CAROLINE ST
ASSESSOR PARCEL NUMSER:
06 30 00 -5 -3
SERVICE
Application type type description
ELECTRICAL ONLY
Subdivision Name , . . .
ROUGH -IN
Property Use
Property Zoning , . . , , . ,
RS7 RESDNTL SINGLE FAMILY
�2. E
Application valuation . , , .
0
COMMENTS:
Application desc
-- ----------------------------
Meter mast repair
Owner
Contractor
SRANDO S BLORE
SHAMP ELECTRICAL CONTRACTING
PO BOX .3029
PO BOX 383
PORT ANGELES WA 983623029
PORT ANGELES
WA 98362
(360) 452 -1689
Permit , , , . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee 120,00
Plan Check Fee
.00
Issue Date . . . . 12/18/14
valuation
0
Expiration Date . . 6116/15
Qty Unit Charge Per
Extension
1,00 120.0000 BCH EL -0
-200 SRV FEEDER
120.00
Special Notes and Comments
December 17, 2014 10;08;50 AM
banders,
Meter height needs to be moved
to between 41 -6" and 61,
Mast
and service attachment will need
raised to meet minimum
12'
over top step of stairs.
Fee summary Charged
Paid Credited
Due
Permit Fee Total 120.00
120.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 120,,00
120.00 Do
1 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
BIZ
ROUGH -IN
FINAL
�2. E
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G,\F_XCHANGE; BUILDING
1