Loading...
HomeMy WebLinkAbout3208 Regent St - BuildingPREPARED 2/01/11 8 45 39 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/01/11 ADDRESS 3208 REGENT ST TENANT NBR ALFRED L AND SUSAN FOSSUM CONTRACTOR BILL MEYERS CONSTRUCTION LLC OWNER ALFRED L AND SUSAN FOSSUM PARCEL 06 30 15 5 0 9060 0000 APPL NUMBER 10 00000928 SIDING PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS COMMENTS AND NOTES SUBDIV PHONE (360) 452 5457 PHONE (360) 457 9732 BL99 01 2/01 J BLDG FINAL TIME 01 00 January 28 2011 4 02 26 PM 1pangrle I CALLED AL AT 457 9732 TO FINAL THIS PERMIT BUILDING FINAL RE SIDED THE HOUSE AFTERNOON CJI Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RE SIDING THE HOUSE CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor ALFRED L AND SUSAN FOSSUM PO BOX 2564 PORT ANGELES WA 98362 (360) 45/ 9732 Structure Information 000 000 RS7 RESDNTL SINGLE FAMILY 4125 Permit BUILDING PERMIT NO PR FEE Additional desc RE SIDING THE HOUSE Permit pin number 172254 Permit Fee 137 75 Issue Date 8/30/10 Expiration Date 2/26/11 Qty Unit Charge Per 3 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T.Forms /Building Division /Building Permit 10 00000928 Date 8/30/10 550080 3208 REGENT ST 06 30 15 5 0 9060 0000 ALFRED L AND SUSAN FOSSUM SIDING BILL MEYERS CONSTRUCTION LLC PO BOX 1603 PORT ANGELES (360) 452 5457 RE SIDING THE HOUSE BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Charged Paid Credited 137 75 137 75 00 00 00 00 4 50 4 50 00 142 25 142 25 00 WA 98362 Plan Check Fee 00 Valuation 4125 Due Extension 95 75 42 00 STATE SURCHARGE 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Rnale-A 02 -01 -I l Separate Permits are required forelectrical 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 1 1 1 1 30-/o L1 Yv11 0 ��N vN Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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 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 Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 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 IFINAL Date FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Accepted by Date Accepted By C./•) 0 Electrical 417 -4735 1 1 (b t Construction R.W PW Engineering 417 -4831 I Vl Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I n2-01-11 LVL-1.- Applicant Property Property Contractor Contractor's License Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 1\ Owner 1 Vass, Owner's Address Cl,a, c hr o ffik S Cyr) 1 C{\ o•r•N Address o l 1 i YY TY r pt Expires PROJECT ADDRESS 3aoR `2 v Parcel Number Project Tvpe Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Nc\\. 'CEO C Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Dat -)6 Print Name T Forms /Building Division /Building permit application Existing (sq. ft.) X it Total footprint of structures sq ft. Site Coverage the amount of impervious surface on and other impervious surfaces. (see PAMC 17 94 13 C5kIResidential Multi- family \C‘ e\ House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Proposed (sa. ft.) (TOTAL VALUATION f n Lot e sq. ft. L el including structures, pave r exemptions) 0• upancy group Oc pant load Construction type I cSSignature For City Use Only Date Received SS 3 U It) Permit# t0 ct Date Approved Phone��- 5'1 Phone r 4nc�, e1/A 4�- g732.c Phone 1 4s -5L-L5 7 ss ,�s►.g4t31� 1A -mail Lot Zoning Commercial Industrial per sq ft. of bedrooms full baths of half baths 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 d e e at permits are required, and to obtain permit:Wo�` ing on projec 1 coverage ays sidewalks, patios Site coverage cyo Clallam County Assessor Treasurer Property Details 67898 ALFRED L AND SUS Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 67898 ALFRED L AND SUSAN FOSSUM for Year 2010 2011 Property Account Property ID 67898 Legal Description. MAGUIRES H ADDITION SP85-9-5 Vi 5 P 100 LT3EX E15' &EXN15' 16A SURVEY V24 P60 Geographic ID 0630155090600000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property N Remodel Property' N Multi- Family Redevelopment: N Township Section Range Location Address: 3208 REGENT ST Mapsco PORT ANGELES WA Neighborhood Cycle 4 Res Map ID 2 Neighborhood CD 10952130 Owner Name. ALFRED L AND SUSAN FOSSUM Owner ID 25095 Mailing Address. PO BOX 2564 Ownership 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessment Due Property Tax Information as of 08/30/2010 Amount Due if Paid on. �a.. Exemptions. First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base 2010 49654 ST SCH STATE SCHOOL $133 48 $133.48 $0 00 $0 00 $1 2010 49654 CC -GEN COUNTY $71 04 $71 02 $0 00 $0 00 $7 2010 49654 PORT PORT $9 98 $9 99 $0 00 $0 00 9 2010 49654 PORT ANG PORT ANGELES $164 47 $164 46 $0 00 $0 00 $1E 2010 49654 SD #121 SCHOOL DISTRICT #121 $172.89 $172.89 $0 00 $0 00 $17 2010 49654 NTH OLY LIB NORTH OLYMPIC LIBRARY $20 64 $20 64 $0 00 $0 00 $2 2010 49654 HOSP #2 HOSPITAL #2 $29 14 $29 14 $0 00 $0 00 $2 2010 49654 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9.27 $9.27 $0 00 $0 00 9 2010 49654 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $Z 2010 49654 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9 2010 49654 TOTAL. $647 73 $647 70 $0.00 $0.00 $64 2009 678982008 ST SCH STATE SCHOOL $139 37 $139 38 $0 00 $0 00 $27 2009 678982008 CC -GEN COUNTY $70 53 $70 55 $0 00 $0 00 $14 2009 678982008 PORT PORT $9 99 $9 99 $0 00 $0 00 $1 2009 678982008 PORT ANG PORT ANGELES $154 71 $154 73 $0 00 $0 00 $3C 2009 678982008 SD #121 SCHOOL DISTRICT #121 $172.35 $172.35 $0 00 $0 00 $34 2009 678982008 NTH OLY LIB NORTH OLYMPIC LIBRARY $20 50 $20 49 $0 00 $0 00 $4 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =67 8/30/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000403 Application pin number 715336 Property Address 3208 REGENT ST ASSESSOR PARCEL NUMBER 06 30 15 5 0 9060 -0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5354 Owner Contractor FOSSUM ALFRED L /SUSANA 3204 S REGENT ST PORT ANGELES WA 983623748 Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Date 5/27/05 GARLAND CONST MAINT 1117 E 2ND ST PORT ANGELES WA 98362 (360) 457 5186 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF COMP FELT Permit pin number 49973 Permit Fee 148 75 Plan Check Fee 00 Issue Date 5/27/05 Valuation 5354 Expiration Date 11/23/05 Qty Unit Charge Per Extension BASE FEE 92 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 148 75 148 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 153 25 153 25 00 00 Date ;ce-ie) ,0'7 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 fora 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 vi te or cancel the p ;ovisions of any state or local law regulating construction or the performance of construcion dc Signature of Owner (if owner is builder) Date 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 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 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 MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD I L_. T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005] PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W PW ENGINEERING 0<1 FIRE DEPT PLANNING DEPT I BUILDING ! o~j CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION ~~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ - Application Number 03-00000702 Date 7/22/03 Property Address 3208 REGENT ST ASSESSOR PARCEL NUMBER: 06-30-15-5-0-9060-0000- Application description PLUMBING REPAIR Subdivision Name Property Zoning . Application valuation 1200 Owner Contractor ------------------------ ------------------------ FOSSUM ALFRED L/SUSANA MEYERS CONST. MAINT. 3204 S REGENT ST 391 BROWN RD PORT ANGELES WA 983623748 PORT ANGELES WA 98362 (360) 452-5457 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc JOIST /SUB FLR REPAIR Permit Fee 21.35 Plan Check Fee 8.54 Issue Date 7/22/03 Valuation 1200 Expiration Date 1/19/04 Qty Uni t Charge Per Extension 7.00 3.0500 HND BL-SOl-2K (3.05 PER C) 21. 35 --------------------------------------------------------------------------~- Permit PLUMBING PERMIT Additional desc Permit Fee 54.00 plan Check Fee .00 Issue Date 7/22/03 Valuation 0 Expiration Date 1/19/04 (N Qty Unit Charge Per Extension ~ BASE FEE 47.00 (J 1. 00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 7.00 ---------------------------------------------------------------------------- <Jel Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid C,redited Due ----------------- ---------- ---------- ---------- ---------- :::Q Permit Fee Total 75.35 75.35 .00 .00 plan Check Total 8.54 8.54 .00 .00 ~ Other Fee Total 4.50 4.50 .00 .00 Grand Total 88.39 88.39 .00 .no \\l ~ No rlHArL lh :i 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 ~~~ill1-X\-D~ Signature of Contract r Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLAN!\'JNG\FORMS\1102.15 14/2002] FOR OFFICIAL USE ONLY. BUILDING PERMIT. APPLICATION Date Rec.: Permit #: Fill out COMPLETELY aud iu INK. Your application and site plan MUST BE Date Approved. COMPLETE to be accepted for review. If you have any questions, call Date Issued- (360) 417-4815 Applicant or Agent: AI r:o S <.; u "- Phone: '~;S 7 -9752- Owner: Al r:o " 5' \./ l.-(7 Phone: 5/!)M t' Address: <::7 /" <)f <( iZ?p~(- City: t'/J Zip: '9t!:'YG.<- Architect/Engineer: LJlOL-.(( Phone: Contractor ?;/l/Yt-P State License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: ZONING: 5(18)--'ior-fJS"P-/()D ,. _ ~vu /lfC'-/Fv; f" 5 N LEGAL DESCRIPTION: Lot: / ,,1- BloclQY 55 r:;'_cl ,r V ubdivision: KP 6&3ttc;-5or'ck:,t5 t CLALLAM COUNTY PARCEL NUMBER: , Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZENALUATION: Ii Residential o New Conslf. ORe-roof o Stove SF.@$ /SF. ~ $ o Multi-family o Addition o Move o Garage SF.@~ ISF. ~$ o Commercial o Remodel o Demolition o Deck SF.@$ /SF. ~$ tJ Repair 0 Sign o Other TOTAL VALUATION $--.l..k /iD ':'- BRIEF DESCRI T~1: TH~ROJECT I/' )U~#,,.IL- "., (1. ""1 h. c ",,<'V nd---r....- ;L,t?cu V ~"",,....,\-Q C\ " \l-.I~ ~~~C\..\\t. Dbe COMMERCIALfRESIDENTIAL: Occupancy Group: Z- Occupant Load: 2- Construction Type: No. of Stories: ...1c.. Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. ~ TOTAL Sq.Ft. Existing lot coverage % & Proposed lot coverage % ~ Total lot covera!," % I'~ APPROVALS: PLANNING USE ONLY: I?, "N1'v,/ c- old ShD\UC'V -bNu ~ PLAN: I BLDG: DPWU: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: FIRE: OTHER: BillLDlNG 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 Pennit 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 pennit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days ofthe 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 107.4 of the Uniform Building Code, current edition). 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 appiy for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I us! obtain such permits prior to work. //, Date7-2/- ()-y, T:\FORMS\APPS\Buildingpermit. v.rpd Applicant: CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . (' REQUEST: Datp '1 - 30 ~ 0 ~ Tim/' 9.'?/U Received by ~1P tJ e- (PhOn~ssY . ~ . Location of Work to be inspect",-I '3 i}o <y( r?e~l1. t- Name of person requesting inspection /~, / J U Address of person requesting inspection Phone No. y(yt)'- 39:99 fJ () 0- , Type of Inspection (circle a ropriate one): Permit No. - Sewer Foundatir/ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: 0 Inspected: Date /}/:g: 0:::> Time By Remarks: ( " f-) II Y RESTORATION REQUiRED...... YE~ NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City Work Order # o Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES ~ / DEPARTMENT OF PUBLIC WORKS __I ~f . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 7/':</)/;;'YZ, Time <x' ' ':?U Received by, s:~ t7erson) - Location of Work to be inspected ~lWi ~f,d Name of person requesting inspection - r2;// Address of person requesting inspection . - Phone No. $tL( .3 'i{!Lt Type of Inspection (circle a ropriate one): Permit No. "7 I'.) :2- Sewer Foundation Plumbing Final Sewer Excav. Other INSPECTION NOTES:\ \ Jf Inspected: Date r; -STJ t}) Tim" rM By Remarks: r:~ i'L ~~('J<'\L/ (' \ .-J . OJ \)<lO- - , ~ ~ RESTORATION REQUiRED...... YES NO \pH~~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City Work Order # [] Repaired by Permittee o COMPLETE [] No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) MAR 4 2015 CITY of Po T ANGELES PEWVUT A PLICAI'ION y C ° B � • Building Division/Electrical Inspections lELECTR i AL 321 East Fifth Street F- P.O. Box 1150 / Port Angeles Washington, 98362 Ph., (360) 417 -4735 Far: (360) 417.4711 Date: 2 Single Family Dwelling Plan Review May Be Ranuired, Please Complete Electrical Plan ReVieW Information Sheet JQbAddress: 1Z �Z Building Square Footage: #escripticn of above w i Owner InfoEmation Contractor lnfonnatirn Farce: — ,L f Name: O,c ;(.11�$���c.x Mailing Address' x . s� State: " . _ citf. _. ZIP. 2 . Malffng Address q[ . x_` _ -� ..... statv v'± ZIp; t phon8: x•17 7 l,ic�inse # 1 Exp. lt�rrr ServlcalFeeder 200 Amp. Unit Charge $ 120.00 ;fly Takp1,M Mulfiplied k Unit Cher ServicelFeeder201400Amp. $146.00 ServlcelFeeder 401 -600 Amp $ 205.00 Service/Feeder 6001 -1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W1 SWIce. Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Bach Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 � $ Temp. Senricet Feeder= Amp. $ 93.00 $� Temp. Service/Feeder 201••400Amp. $110.00 --T--$ Temp. Servi IFeeder407- 6©0Amp. $ 140.00 Ternp. Servicall=eeder 601 -1000 Amp . $ 963.00 $ .Portal to Portal Hourly $ 9$.00 �� $ Signet CircWW Urnited Energy - 7 & 2 Family idling $ 644,00 $ Manufactured Home Connection $ 120.00 Renewable Eisdaral Energy - 5KVA System or t,ess $102.00 $ Thermostat $ 56.00 $ Note; $5.00 for each additional T -Stat NE1N CON RUG11ON QKLY• First 7300 Square Ft $ 72000 $ Each Additional 600 Square Ft. or Portion of $ 40.00" $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $ 110.00 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after thls electrical 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 East inspection. After reading the above statement, l hereby cer ify 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 lags, N.E.C., RCW. Chapter 19.28, WAG. Chapter 29646B, The City of Po: Angeles Municipal Cade, and Utility Speciffeatlons and PAMC 44.05.950 regarding Electrical PerinkApplications. Signature of owner, electrical contractor oretectrical adrninistrator, 17 cash 0 Check _ D Credit Card 4 91101=2 Efill ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . , . . 15- 00000203 Date 3/05/15 Application pin number . . . 176642 INSPECTOR: Property Address . , . . 3208 REGENT.ST ASSESSOR PARCEL NUMBER; 06-30-15-5-0- 9060- -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name . . . . . . ROUGH -IN Property Use Property Zoning . . . , , . . RS7 RESDNTL SINGT,F FAMILY ib Application valuation . . . . 0 COMMENTS: ---------------------------------------------------------------------------- Application desc Ductless Heat Pump Owner Contractor ALFRED L AND SUSAN POSSUM EXTRA MILE TECH & ELECT., LLC PO BOX 2564 418 N, RACE ST. PORT ANGELES WA 96362 PORT ANGELES WA 98362 (360) 457 -9732 (360) 457 -5222 ----------------------------------------------- Permit . . , , , , ELECTRICAL --- --- ---- ---------- ALTER RESIDENTIAL --- - - - - -- Additional desc , . Permit Fee 68,00 Plan Check. Fee 00 Issue Date 3/05/15 Valuation , , . , 0 Expiration Date 9/01/15 Qty Unit Charge Per Extension 1,00 5,0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5100 1100 63,0000 ECH EL -R- BRANCH CIR WC/ SER FEED 63100 Fee summary ' Charged Paid Credited - - - Due - - -- ----------- - - - - -- ---- - - - - -- Permit Fee Total 68,00 ---- - - -- --- - - - - -- ---- 68.00 ,00 - - ,00 Plan Check Total 00 .40 .00 .00 Grand Total 68100 68,00 100 ,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 ROUGH -IN 10 FINAL ib COMMENTS: PERMIT WILL EXFME SiX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: G:IEXCffANGE1BLIII.DING i 0