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HomeMy WebLinkAbout602 E 4th St - Building \0 co o " ,., o " ... ww t!)E-< .0:.0: 0.0 o ,., '<l' ... , N I/') '<l' :>- 0-1 I>: M I .. H 0-1 E-< WOO :.:W ~~ E-o'J Z .. 01>: HO E-<E-< UU WW 0.0. 0000 ZZ H H o \0 ,., ;': o gj 00 WW ZZ 00 :X::X: 0.0. " N '" N '" , o o o 0'" '0 :>:00:>:1/')0 HOOH~fl:: MCI)MMI :X:H~"'" ~ I>: 'I>: E-< 0. ... CI) P:: ~ I r-l '" 00 :x: . f-4 . 10 ~MEJMgg M M 10 W~O~OO U ,.,0 N C/) I I OHMH\DCD \DO~OOO 00 W .0-1 coW Ot!) ~~ o "E-< "'1>: o 0. o "'''' 1>:0 .0: 0.:>- WE-< I>:H o.U I>: I>: . 1Il1>: . . W ZO 1Il oo.t: .~ OOE-<~ o-1Z ~~E-<&l[j0-1 01il8~~~ ~E-<uoo..o: 00 E-o Z W "'Z~ "'00 "'HU E-<" 1>:0.00 0. HE-< 1>:0-1 OU::> iZioooo ww '01>: !-< ~o.~ 0.00::> ZOO t!)HW iZi I>: ... 9 tHl&l 1%lE-<E-< OOW grgo: 0:>: o.wo OI>:U ~ !-< ~ 0. o 00 " 0. :>- E-< Q) H >-< en <l III '" H ~ 00 W ... E-< ... 0 Z '" '" ,., 0 ~ 0 co I>: , co W 00 001>: E-o 0,., Z N'<l" W ... ~ '0-1 ., 0-1 ~MN~ 0 Z I/')Z U H >.~ H '" >-< '" Ill:>- t!) :>I>:t!) O<lI>:O o-1lllWo-1 1Il'J:':1Il ~ q ... 0 '" '" 0-1 1Il ~ "CRT ~ t::-l.O~~~ (j~~ 'L -=...;or ~ 'tSi~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 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 08-00000001 Date 103930 602 E 4TH ST 06-30-00-0-1-7345-0000- DIANNE E. ARNHEIM RE-ROOF 1/02/08 RS7 RESDNTL SINGLE FAMILY 2945 Owner Contractor DIANNE E. ARNHEIM . 8 MAGPIE CIRCLE WALPOLE ME 02081 WESCO ENTERPRISES PO BOX 1527 PORT ANGELES WA 98362 (360) 452-1430 TEAR OFF, INSTALL COMPo ROOF Structure Information 000 000 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, INSTALL COMPo 118364 109.75 Plan Check Fee 1/02/08 Valuation 6/30/08 .00 2945 Qty Unit Charge Per Extension 95.75 14.00 BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.25 114.25 .00 .00 ~<tk /, W S C/<p- 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 orwork 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. CJ -0 -Or Date Signature of Owner (if owner is builder) T: Forms/Building DivisionlBuilding Permit (I % 1/07). wpd BUILDING PERMIT INSPECTION RECORD CALL 4 17-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 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. o oQ o INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS 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 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ . . CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 I - "2 -t) ~ :\ L-t..- BUILDING CJ" ~ f\l -C J: ~ } ~ T: f'orms/BUlldll1g Dlvlslon/Buildll1g Perm.t (1010 I /07). wpd :::r:- ~ " Applicant or Agent J!c/'r y L Ic/' CC J v- Property Owner I mil s. fJr//4c//11 Property Owner's Address 8 m QYJ'Jc CirCle ,W.J1L.)oL.c::- Contractor/Engineer tA/C:JCo /?"'1-!<./d'/(fC'.t ' Contractor/Engineer's Address / (J &" l.r;) 7 License # BUILDING PERMIT APPLICA TION 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 For City Use Only: Date Received~ '2 J 0 ~ Permit # O~..:. , I Date Approved 0:1 CJcS' / /62 t:? t;ft Parcel Number PROJECT ADDRESS Lot Zoning Proiect Type & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair .'" Re-roof o Demolition o Sign o Heat System o Other ~esidential o Industrial o Commercial o Multi-family ?O /' ~,co o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Existinq (sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUA TlON $ 2 ?L1J3d- sq. ft. Lot size sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths % Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Occupancy group Occupant load Construction type ft. 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. ~ J/ / /r Date?l/-02-o$" Print Name ~rrY I'jercAv Signature C 0- K~ ( T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc J~"':':'::' = ~[4,o;~ ~,",,~~~ ~ 1). ",.'\, ~~ 1= :!: ~ if ,)- 'N " '1 4l-''''",~ ~~. v ,,{ ~~.,. ..L.-.....~ ~":,,;~'~ ;;;i:~:".':"-""~T=r;;. :=: ~ ~ ~~:;! ~=~:: :: ~ f' (J ~II. . '7 --' 'l; J -- I I 9o~ Ii f 1,,- ] /IS / /i..I /60 ~ I r,} v . <U/ I I.....;... ~/JtJw.- ~~ v-" f.2O- ((J).. ow'/,,<- /JrNhe/1'1 g I,-QS' 660 ))2]'/ e '1..;/ ',*' may/It: (2/~/C LA.//f.l. /o/~ . ~~-:s CJ20pl , / /Yl/!J. III I ( ;:; /'1 jJ . , !r'~ 7 ~ 2 ~ i.jJ x 2 <.j ::;:-..112- /3 )(.' / 2 '~/..;-t . , ;] x /~--~ /9..J" 1/ j.] -::- ,?J I / 'f. / Z. t; J J L. gJ fr al'-j'l ([J;{ ~ I.J()()~ /05( /Je' ~~. ',~, ' >~ ~t?hLY.L~ vC /lfJ' -:1 f /l.- r- J'-- V-r~ 0' r lire 25 A'pt jO-60 ---r . h 7 ~ :;# /./tJ ();,-( . P, ~ il YOl f. let.! :: I !cf;->'.J - 5c, /0 -tux I ,'-1/...) /'7 ,.i,-,~ I I ! J ,-;" l' . o {llIlllt'l f. rlcflr"7 t c....o, Ii. E Ic>d/I( i~/...vv v j~/ {2\ I,-.)"l,. 2 If II 7->~ ~ ~ ,~..... 2 9~.5 "--' Z'I7Jt ']/12,18 IIY~~ . ,tl rJ ./ :::-50 I o u:. (.;,.:, , . e.- 2 60-- , 0<.:1 /20-- 17~ J]106: !!- <: --- f-;zy; "i i!ol~~1~:! ;i.~ ~.' ~" 1 8 ~IC~ CITY OF PORT ANGELES DEPARTMENT 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 06-00000948 Date 948632 602 E 4TH ST 06-30-00-0-1-7345-0000- DIANNE E. ARNHEIM RE-ROOF 8/28/06 ~ ~ , ~ ():) RS7 RESDNTL SINGLE FAMILY 900 Owner Contractor ARNHEIM, DIANNE E. 8 MAGPIE CIRCLE WALPOLE WALPOLE ME 02081 WESCO ENTERPRISES PO BOX 1527 PORT ANGELES (360) 452-1430 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR-OFF,TORCHDOWN GAR 85720 62.20 Plan Check Fee 8/28/06 valuation 2/24/07 .00 900 Qty Unit Charge Per Extension 50.00 12.20 BASE FEE 4.00 3.0500 HND BL-501-2K (3.05 PER C) Other Fees STATE SURCHARGE 4.50 ~ ~ <p . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.20 62.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 66.70 66.70 .00 .00 It, .:t ~ :1 <0 ;tgJ Od ~ ~ /( 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 as commenced, or if required inspections have not been requested within 180 days from the last . inspection. I hereby-certifythat-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. /~ PO' -2.r-dt Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] ~ r-u--- rJ BUILDING PERMIT INSPECTION RECORD CALL417-4815 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 SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING - PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT - APPLICATION FOR OFFJClAL USE~LY: Date Rec.: o8/~ ~6 Pennit #: t9 G - q Ii Date Approved: Date .l5sued: Fill out COMPLETELY and in INK. Your application and site pial] MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: fV1 /? J. Address: 6 () 'I ,4, /J,{ ~/';" E t//4 Phone: Ph011e: City: lo/' f ~do , Zip: PJ 5'62 ArchitectlEngineer: Contractor Wc..t (,,0 En r Address: / t) go)C )">;2 7 PROJECT ADDRESS: 60 z VC/~5c.o<F State License #: 09 tjI tJ F City: ~/f- A-/l~/r:,I . Phone: Exp: ot-(.1J'-~7Phone: Z-/y)'o Zip: 7';>36 2- ZONING: c Y'"r4 LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: TYPE OF WORK: D Residential D New Constr. rfr Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: ---;r~ lei rc;l() (/ J~J SIZENALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION. $ r~ /l. A. ~ ).14 -r: ,t)( sAcc'r COMMERCIAL/RESIDENTlAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESA/Wetland(s): DYes D No SEPA Checklist required? DYes D No Other: 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. EXPIRA TION OF PLAN REVIEW: If no 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 Rl05.3.2 of the International BuildinglResidential 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 that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. - T:\FORMS\BldgPennitform.wpd Applicant: ~ ~ !(~ Date: 0(-25- 06 / ~4 I(~ (~~ 6f~_ --" ~ ~ cia-. ~ ~ e.~ t~;t;A,J aJ ~ d- ~ c tC4 /~? /~ /d ~~ /5'""27 / /'J ff.:?6C ) h ell ~ 4?ao ~ ()?/ Z P/06 / / C t', V "1:: 0 I AUG 2 8 2006 ~ CITY OF PORT ANGELES BUILDING O..MSlO I I I , ! I - ---- - ~ I 10 rgr FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT. A 571 PERMIT NUMBER .- TOTAL FEE jb~ \. j '. ~ 11(~ ,'OJ ~, ( .~ f S 'v'. . .'.' ... '.. '\ TIMETo"COMPLETE NO. STORIES LEGAL OCCUPANCY 51\e Address - ELECTRICAL PERMIT ONLY .,NO OC~~jfNC~ USE ESTABLISHED UNDER THIS PERMIT (002- ~ ~Ih Lj4-+aftIft-H. .'.. . CORRECT ODRESS 15 RESPONSIB TY OF APPLlCA T PERMITS WITH WRONG AD~S ARE CANCELLED -#- .5': Installation By J, sell E tea< ' Installers Address / </7/ 1:/:7 /17/ 4./- Installers Phone 6 /i"1~- t??/ r . Owner Owner's Address' Day Phone Application is hereby made for ~ermit to install Electr!cal Equipment as follows: $DMt.- ()JILL LH-~1L F ( tU... - (' fi.AI..:-"j [. SIC /L.tJ I C L_ Wiring Method ~ p" '-' .; NUMBER AMP 120V 240V - NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA 10QR FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 10 30 CIA 30 LIGHT N{t S~ \lILt.. SIGN - LIGHT . f.fw N.E- 'Jk.h~ fJ 50 VOlTS , OR LESS - ~O.J , MOTOR . CONVENIENCE .L(.- I......''''"' CONVENIENCE Rt",. IU. "f.I.N MOTOR APPLIANCE {t.~vJ Itt-t _ gll,-~ ~ MOTOR .' . DISHWASHER tt:... /1--<.-- nJIU ~M- -'( FIRE ALARMS DISPOSAL ttl>'V ,t - H 4't\ ",,,, k BUAGLAA ALAAM RANGE tJ~\;J (.f dl ~ ou-H t-t ,... ~fJ ~'" MISC. . . OVEN ,.n WATER HEATER /.: ..J"", /- 11 :A' V ~ - LAUNDRY DRYER if/J./' Vl - ^ .. REINSTALLATION LIGHT FIXTURE # FURNACE .1 / r,pJ I SUB TOT~L F:EE GAS - OIL FURNACE .- / ENERGY FEE ELECTRIC . BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT '1-,,,, AMP / PHASE . FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. , I SUB-TOTAL . . SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work tD be performed under this permit Will be done by the Installer a~~ In c7r;'" :e~ N.E.C. lectrical Code. Date Application made ~.-t _ / t; ,19 .?" G By ( 'A -, A~, . - .P6NTRACTOR OR OWNEA (OA AUTHOAIZED" AGENT) -. , . Permission is hereby given to do the above described work,.according to the conditions hereon and according to the approved plans and specifications pertammg thereto, subject to compliance With the Ordinances of the C ty f:port An eres~ ~ 4 " .:' <I" DIRECT OF I LIG T 4-f If. (0 (' BY. D - : .;:. :., Date Permit Issued II I) 'I ;- PLANS APPRO ~ r . . Notify Department of, City light by Street Address and Permit.Number whEm'ready'for inspection. Work'-must not be covered or current turned on before inspection 'and O.K. for covering or service has been given by' Inspector in Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. OrIginal CANARY. Duplicate PINK Triplicate WHITE CAAD . Inspector's Report OLYMPIC PAINTERS, INC. REPORT OF INSPECTOR , DATE OF VISIT . }fADE BY REMARKS ., /1. ~ I H '. . Ivt ;--- 5:-/0 0 f. d hrr- x.~t +IIU/ J;'" cd 1/ I \ '. ,. . < . " AI 4- t-f /1~ JlI. O\K. F?R COVERING 4 " zS' gc, I O.K. TO CONNECT SERVICE " '5/ {Ol q~ , tNI~ -5lHA~ \ 'Ob:.. IV'~ V S I (D~ f D uf- /-locH ., z Cl a: c( == ~ :z: I- z . I- o Z o c . RECEIVE4 CITY OF Pou ANGELES PERMn' APPLICATION JULw 1 2014 Building Division/EkOrival lnspectiows 321 East Fifth StMet — P.O. Box 1150 / Port Angeles Washing(on, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 L),,ile: 7/112014 — I & 2 Single Family Dwelling " Plan Review May Be Requlfed, Please Complete EInlrical Plan Review InformMon Swat b Address- —�0_2L4t_h5t,.__ HOIdIng qwva Fowaae 830 Descrip1mi (0 zwe Ovinar Information tjaMe, Napoe Lloyd hi a" Adftss: Gu2 c 4th st ulf Port Angeles Sjjto; 'AA Zip: 983625408 _Z0246 NO": M_70 fx: FF lktmo 01 &P. — Item Unit C bLrL SerlficaFooder 200 AM, $ Q0,00 Service* oedef 201AGO Amp, $146,00 Service*eedw 401.6W Amp $205.00 Service ffindet 601-100 Amp. $262,00 Serviceffae&r over Mo Ang S 371W f� anch Circuit V11 Sapke Fender S 6.00 Branch Ckcult WM Service Feeder S 63,00 Ew,h Addiliw r CitcW 5,00 Womb Ckcuits 1.4 75M Temp, geryicel Feeder 2W Artil 9100 Tomp, SOP&eFndor 201.00 Amp, S 1 KOO TvmR SeMceffeeder 401.600 Amp, $149,00 Temp, Se*WFeeder 601 a WOO Amp $ I MOD poa1s to .f3 lioudy $ Mil ,%0 C"�00 Limited Energy -1 A 2 Family Owding $ 61.00 MWnufatared Home Connection $120,00 Reny wtl* Electrical Energy - MA System or Leas $102,00 Thorm-ostal S KOO stole: 55.00 kg each addlional T-SW CONSTRUCTION I.Y. F 1300 Square R $120,00 Each Ad banal $00,5quxe R as Pb9ion d S 40.00 Each OutbtAft or Deltarhed Garage S 74.()0 Each S4mmlng Pol of Hol Tub $110.00 Contractor Information RaMQ: Protect Your Home M&UqAddrer,s 3 ORrlorltyWay5outhl)r C# jLcljlanaea[l .vim, y . Va16:,_1N_ 7* 1,6240 P11004,'_155-502-35,59 r-,SX.' 317-564-2547 Total LCLty �Mulfi S---.�4-�c_o Total Owner as del'W by RCM 9,29-26 1: (1) Owner Mlt oGcopy the strmttire for two years after this eledri0al Permit Is finatized. (2) Owne! is roqvired to hire an 01W(l CW contractor if above said property is for sale, fen( or tease. Pe it ex*t after six moflt4s of last Inspection, Alter teadiag the above statement, 1 hereby oerlify that I am the owner of the above named property or a licensed fJectdcal contractor. I am makfrig ft elec*al installaWn or afteraWn in coal wM time eleclftal laws, N.E.C., RCS. Chapter 19,28, WAC, 0-bapter 296468, The City of Port ArWles, Muol Code, and Ujil SpecirTafions and PAMC 14,05,050 regarding Elactriml Permit Apoicalions. Signature of owner, electrical contractor or electrical admInistratcl 0 Cash 0 Check 0 U00 Card 0 7/1/2014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14- 00000784 Date 7/01/14 Application pin number , . . 399392 Property Address . . . 1 602 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7.345 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , , . . , Property Use Property Zoning . . , . . , . R97 RESDNTL .SINGLE FAMILY Application valuation . . , 0 Application desc Prokect' your home Owner Contractor STEPHEN V LOPRESTT PROTECT YOUR HOME 374 RIFE RD 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98362 4200 INDINAPOLIS IN 46240 (317) 810 -4720 -- Permit I . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . , Permit Fee 64.00 Plan Check Fee ,00 Issue Date 7%01/14 Valuation , , 0 Expiration Date 12/26/14 Qty Unit Charge Per Extension 1,00 64,0000 ECH EL- SINGLE CIR LIMITED RES 64.00 _-- --- ---- - - - - --- - - -- ----_-----------------------__------------ Fee summary charged Paid Credited Due Permit Fee Total 64,00 69.00 .00 00 Plan Check Total DO .04 .00 .00 Grand Total. 64.00 64.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Coate 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: G:IEXCHANGEIBUILDING 0 NJ NOW� �I