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Home My WebLink About524 W 11th St - BuildingPREPARED 12/18/07 9 07 51 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 524 W 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 12/18/07 PLUMBING FINAL December 18 2007 8 43 34 AM ipangrle BILL 461 2309 PLUMBING FINAL COMMENTS AND NOTES PAGE 2 DATE 12/18/07 PREPARED 12/18/07 9 07 51 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/18/07 ADDRESS 524 W 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/11/07 JLL BLDG FOUNDATION FOOTING 9/12/07 AP 09/11/2007 08 16 AM LPANGRLE STEVE 460 0070 FOUNDATION 09/12/2007 09 04 AM JLIERLY BL3 01 10/09/07 JLL BLDG FRAMING 10/09/07 DA October 8 2007 4 48 38 PM 1pangrle BILL FEELY 461 2309 FRAMING October 9 2007 5 02 26 PM jlierly complete elec rough before frame /ill BL9 01 10/09/07 JLL BLDG SHEARWALL 10/09/07 AP October 8 2007 4 47 56 PM 1pangrle BILL FEELY 461 2309 SHEARWALL October 9 2007 5 02 20 PM jlierly BAIR 01 11/13/07 JLL BLDG AIR SEAL 11/13/07 AP November 13 2007 8 28 57 AM 1pangrle BILL 461 2309 AIRSEAL CALL 30 MINUTES AHEAD BL3 02 11/13/07 JLL BLDG FRAMING 11/13/07 AP November 13 2007 8 28 04 AM 1pangrle BILL 461 2309 FRAMING CALL 30 MINUTES AHEAD BLI 01 11/16/07 JLL BLDG INSULATION 11/16/07 AP November 16 2007 9 03 34 AM 1pangrle BILL 461 2309 n INSULATION BL99 01 12/18/07 BLDG FINAL December 18 2007 8 42 58 AM 1pangrle BILL 461 2309 BLDG FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 10/16/07 PB PLUMBING ROUGH IN TIME 01 00 10/16/07 DA October 16 2007 8 20 56 AM 1pangrle STEVE 461 2259 ROUGH IN PLUMBING AFTERNOON October 16 2007 4 25 37 PM pbarthol finish plumbing(install shower) recharge water supply recall inspection PL2 02 10/23/07 PB PLUMBING ROUGH IN 10/23/07 AP October 22 2007 4 39 06 PM pbarthol STEVE 461 2259 CONTINUED ONTO NEXT PAGE Application Number 07 00001322 Date 11/28/07 Application pin number 206118 Property Address 524 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4825 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor REICK ROBERT E /TAMMYJ 524 W 11TH ST PORT ANGELES WA 983627308 OWNER Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 320 AMP SERVICE NEW GARAGE Permit pin number 115246 Permit Fee 91 00 Plan Check Fee 00 Issue Date 11/28/07 Valuation 0 Expiration Date 5/26/08 Qty Unit Charge Per Extension 1 00 91 0000 ECH EL R OR RM 201 600 ALT SRV FDR 91 00 Fee summary Charged Paid Credited Due Permit Fee Total 91 00 91 00 00 00 Plan Check Total 00 00 00 00 Grand Total 91 00 91 00 00 00 INSPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH IN FD AL DG -S2-0 Z4 W k PREPARED 11/16/07 10 49 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/16/07 ADDRESS 524 B 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/11/07 JLL BLDG FOUNDATION FOOTING 9/12/07 AP 09/11/2007 08 16 AM LPANGRLE STEVE 460 0070 FOUNDATION 09/12/2007 09 04 AM JLIERLY BL3 01 10/09/07 JLL BLDG FRAMING 10/09/07 DA October 8 2007 4 48 38 PM 1pangrle BILL FEELY 461 2309 FRAMING October 9 2007 5 02 26 PM jlierly complete elec rough before frame /jll BL9 01 10/09/07 JLL BLDG SHEARWALL 10/09/07 AP October 8 2007 4 47 56 PM 1pangrle BILL FEELY 461 2309 SHEARWALL October 9 2007 5 02 20 PM jlierly BAIR 01 11/13/07 JLL BLDG AIR SEAL 11/13/07 AP November 13 2007 8 28 57 AM 1pangrle BILL 461 2309 AIRSEAL CALL 30- MINUTES AHEAD BL3 02 11/13/07 JLL BLDG FRAMING 11/13/07 AP November 13 2007 8 28 04 AM 1pangrle BILL 461 2309 FRAMING CALL 30- MINUTES AHEAD BLI O1 11/1 /07 BLDG IerU1ATION November 16 2007 9 03 34 AM 1pangrle BILL 461 2309 INSULATION COMMENTS AND NOTES PREPARED 11/13/07 10 48 16 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/13/07 ADDRESS 524 W 11TH ST SUBDIV TENANT NBA ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT BUR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/11/07 JLL BLDG FOUNDATION FOOTING 9/12/07 AP 09/11/2007 08 16 AM LPANGRLE STEVE 460 0070 FOUNDATION 09/12/2007 09 04 AM JLIERLY BL3 01 10/09/07 JLL BLDG FRAMING 10/09/07 DA October 8 2007 4 48 38 PM 1pangrle BILL FEELY 461 2309 FRAMING October 9 2007 5 02 26 PM jlierly complete elec rough before frame /jll BL9 01 10/09/07 JLL BLDG SHEARWALL 10/09/07 AP October 8 2007 4 47 56 PM 1pangrle BILL FEELY 461 2309 SHEARWALL BAIR 01 11/13/07 /1 October 9 2007 5 02 20 PM jlierly BLDG AIR SEAL November 13 2007 8 28 57 AM 1pangrle BILL 461 2309 AIRSEAL CALL 30 MINUTES AHEAD BL3 02 11/13/07 BLDG FRAMING November 13 2007 8 28 04 AM 1pangrle BILL 461 2309 FRAMING CALL 30- MINUTES AHEAD COMMENTS AND NOTES PREPARED 10/23/07 9 09 51 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/23/07 ADDRESS 524 W 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 10/16/07 PB PLUMBING ROUGH IN TIME 01 00 10/16/07 DA October 16 2007 8 20 56 AM 1pangrle STEVE 461 2259 ROUGH IN PLUMBING AFTERNOON October 16 2007 4 25 37 PM pbarthol finish plumbing(install shower) recharge water supply recall inspection PL2 02 3/07 JLL PLUMBING ROUGH IN 140100/ October 22 2007 4 39 06 PM pbarthol STEVE 461 2259 COMMENTS AND NOTES PREPARED 10/16/07 8 41 38 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 524 W 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT PL 00 PLUMBING PERM IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 10/16/07 JLL DA PLUMBING ROUGH IN TIME 01 00 October 16 2007 8 20 56 AM 1pangrle STEVE 461 2259 _ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES PAGE 4 DATE 10/16/07 Gt6! 5 gl/awr$ OrY- 4 S;7 1-- c72-Xe.2-- PREPARED 10/09/07 9 05 30 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/09/07 ADDRESS 524 W 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/11/07 JLL 9/12/07 AP BL3 01 10/09/07 4L 1 BL9 01 10/09/07 BLDG FOUNDATION FOOTING 09/11/2007 08 16 AM LPANGRLE STEVE 460 0070 FOUNDATION 09/12/2007 09 04 AM JLIERLY BLDG FRAMING October 8 2007 4 48 38 PM 1pangrle BILL FEELY 461 2309 FRAMING BLDG SHEARWALL October 8 2007 4 47 56 PM 1pangrle BILL FEELY 461 2309 SHEARWALL COMMENTS AND NOTES PREPARED 9/11/07 9 56 56 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/11/07 ADDRESS 524 W 11TH ST SUBDIV TENANT NBR ROBERT REICK CONTRACTOR PHONE OWNER REICK ROBERT E /TAMMYJ PHONE PARCEL 06 30 00 0 3 4825 0000 APPL NUMBER 06 00000820 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/11/07 BLDG FOUNDATION FOOTING 09/11/2007 08 16 AM LPANGRLE STEVE 460 0070 FOUNDATION' COMMENTS AND NOTES City of Port Angeles Building Department 321E 1st St Robert Reick 524 w 11 th St Application number 06- 00000820 I am requesting an extension on my building permit. I have not started construction yet due to this winters extreme weather conditions. Thank you Bob Reick /c47e-1.'e',/ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner REICK ROBERT E /TAMMYJ 524 W 11TH ST PORT ANGELES Other struct into Permit Additional Permit pin Permit Fee Issue Date Expiration Qty 15 00 desc number Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 3 00 7 0000 ECH 1 00 7 0000 ECH 1 00 15 0000 ECH 1 00 7 0000 ECH CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983627308 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 06 00000820, 129620 524 W 11TH ST 06 30 00 0 3 4825 0000 ROBERT REICK RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 16763 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 83550 305 75 Plan Check Fee 8/17/06 Valuation 2/13/07 Unit Charge Per BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) PLUMBING PERMIT 83568 100 00 Plan Check Fee 8/17/06 Valuation 2/13/07 BASE FEE PL- EA FIXTURE ON ONE TRAP PL- EA INSTALL WATER PIPE PL- EA BLDG SEWER PL- EA WATER HEATER Special Notes and Comments 02/16/2007 10 30 AM PERMITS Permit extended on 02/16/2007 as requested per letter by Bob Reick on file 08/15/2006 03 22 PM SROBERDS No land use issues are noted as presented The Fire Department has reviewed the project application and has no comments Date 2/16/07 30 00 2 00 1120 00 7000 00 981 00 2101 00 2 00 122 30 16763 Extension 95 75 210 00 00 0 Extension 50 00 21 00 7 00 15 00 7 00 /1 5 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 cons Yruction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Ow er (if wner is builder) 21 16 /a Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 4) 7 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL FUL T O 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 I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.1 PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES ELECTRICAL LIGHT DEPT T• \Policies \l 102 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD FINAL FINAL FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT' CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 I I I I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO ro e s i v 14 k■C V0 Application Number Application pin number Special Notes and Comments MAINTAIN CLEARANCES FROM SERVICE WIRES If electrical service is converted to underground the wire in conduit must be separated from water sewer Contact Gail in Engineering 08/02/2006 02 44 PM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Charged Paid Credited Due Permit Fee Total 405 75 405 75 00 00 Plan Check Total 122 30 122 30 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 532 55 532 55 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 \Policies \1102_15 building permit inspection record05 wpd 1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000820 129620 Page 2 Date 2/16/07 STATE SURCHARGE 4 50 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 FUL 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 I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDG S.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY BUILDING PERMIT INSPECTION RECORD IcI1iI0`7 1 vl-L- I I O 4 -0 7 7(.L In-23-61 I P13 FINAL U 6 7)ATE J ACCEPTED BY. FINAL DATE ACCEPTED BY. N z MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING F PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE: I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW /ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I I 1 F I PLANNING DEPT 417 -4750 I p I I I PLANNING DEPT I BUILDING 417 -4815 1 12- I i; 0 1- I 1 1 I I BUILDING I I I I �p T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] f Application Number 06 00000820 Date 8/17/06 Application pin number 129620 Property Address 524 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4825 0000 Tenant nbr name ROBERT REICK Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 16763 Owner Contractor REICK ROBERT E /TAMMYJ 524 W 11TH ST PORT ANGELES WA 983627308 Other struct info T-\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER TOTAL `k LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 83550 Permit Fee 305 75 Plan Check Fee Issue Date 8/17/06 Valuation Expiration Date 2/13/07 Permit PLUMBING PERMIT Additional desc Permit pin number 83568 Permit Fee 100 00 Plan Check Fee 00 Issue Date 8/17/06 Valuation 0 Expiration Date 2/13/07 Qty Unit Charge Per Extension BASE FEE 95 75 15 00 14 0000 THOU BL -2001 25K (14 PER K) 210 00 30 00 2 00 1120 00 7000 00 981 00 2101 00 2 00 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 21 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Special Notes and Comments 08/15/2006 03 22 PM SROBERDS No land use issues are noted as presented The Fire Department has reviewed the project application and has no comments MAINTAIN CLEARANCES FROM SERVICE WIRES If electrical service is converted to underground the wire in conduit must be separated from water sewer Contact Gail in Engineering 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. 122 30 16763 4 -11 07 /X Signature of Contractor or Authorized Agent Date S•- ure of Owner (if •writer 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 I NO FOUNDATION: FOOTINGS SHEAR WALLS 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 t 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ 417 4807 ENGINEERING FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417-4815 I r \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Other Fees 06 00000820 129620 Special Notes and Comments 08/02/2006 02 44 PM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Fee summary Charged Paid Credited Due Permit Fee Total 405 75 405 75 00 00 Plan Check Total 122 30 122 30 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 532 55 532 55 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 thati 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• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Page 2 Date 8/17/06 STATE SURCHARGE 4 50 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 FOUNDATION: FOOTINGS SHEAR WALLS 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ 417-4807 ENGINEERING FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T• \Pnli ,nc\t IU9 15 building permit inspection record05.wpd f 1/4/20051 BUILDING PERMIT INSPECTION RECORD YES I NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I I PLANNING DEPT I BUILDING I DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. I our application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: !K n b 2 i c?-P U1< Owner Address: 7 Architect/Encineer Contractor ,WlA.P.d' State License Address: City w k\ PROJECT ADDRESS Multi- family Commercial Repair Total lot coverage 8/9/04 T•1FORMS\B1dgPennitfor n.wpd Applicant: PLANNING USE ONLY v,/\ -e. Phone. City ?pi v&ckekes 52 `k S� LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Occupant Load. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Subdivision. Date: FOR OFFI 7 QNLY D Date Rec. Permit f -6 Date approved: Date Issued: Phone: 360 £4 I 7 Li6 0 2 Zip C r e3 76 Phone: S Z' S 7 Li Exp Phone. Zip ZONING TYPE OF WORK. ST7,F,/VALUATION Residential New Constr Re -roof ❑Stove- SF /SF Addition Mover Garage i& OJ 'SF $r2,( ,3 /SF 7 q SD Remodel Demolition Deck SF 74, fo0 /SF 6 0& (pt; TOTAL VALFATION ,j(�j; `76;0 BRIEF DESCRIPTION OF THE PROJECT x 2.0 5 t� iti. �q e Gt. kk W� v I lX,P s 3/q 4- Pout 3 �Q S P ¢f c.� 4 A Sign Other N CO MIERCIAL/RES�IDENTIAL. Occupancy Group i Co ction Type U 14,) No. of Stones: Z Lot Size :1,000 Existing Sq. Ft. 117-0 Proposed Sq Ft. G( 0 I TOTAL Sq Ft. 2. 6 APPROVALS PLAN BLDG DPWU FIRE 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. EXPIRATION 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 wntten request by the applicant (see Section R105.3.2 of the International Building/Residential 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. 'FC. qo el\ 2) Po cc Pt 2, LA kv LIF Cy, 2 F 1 ),•\.9 t J\C(.,_ c r ei I Lao4 C7cer .C.” sz_ os ro e ;t t'-JA 9 el To A ez, Ni CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 9~25~2002 PERMIT NO: 13740 OWNER/APPLICANT PROPERTY LOCATION ROBERT & TAMMY REICK 524 11TH ST W 524 W 11TH STREET Lot: W5' LT4,LTS,E10'LT6 Port Angeles, WA 98362 Block: 351 [] Long Legal 360/417-5258 Subdivision: TPA T: S: Parcel No: 063000034825000 CONTRACTOR ARCHITECT EVERWARM N/A 257151 HWY 101 Port Angeles, WA 98362-0000 , 98360-0000 360/452-3366 360/000-0000 PROJECT INFO Project Value: $2,000.00 SFD Units: 0 Commercial: 0 Project Type: PELLET STOVE 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 '--/- INSTALL NEW PELLET STOVE RECEIPT#9721 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PELLET STOVE $50.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $50.00 Plumbing: $0.00 AMOUNT PAID: $50.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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. ~ hereby certify that I have read and examined this application and knowthe 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. ~'~ d~//~,,~f ,~~ Signature of Contractor or Authorized Agent Date Sign'~(ure o~'Ov~n~r (if o~ne~'~s/build~ Date T:\?LANNFNG\FORMS\ ] ]02.[5 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 [ 3 7d 0 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # 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 (Engineering 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 ELECTRICAL - LIGHT DEPT. 417-4735 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. T:\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / ~-~ -4~ ~--- Time Received by )~'~ (phone, person) Location of Work to be inspected ~'~/-';7/ Name of person requesting inspection '~--~-'.~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final..~Sewer Excav. Other INSPECTION NOTES: Inspected: Date ,~ ' ~ ' ~ ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [~PCC ~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 11/12/2007 13:31 3504523498 OLYMPIC ELECTRIC PAGE 01 J.~ . :i~1'/ :1 ./ ..1. ).." .1" '.'-. .'..... o ',..j ELECTRICAL WORK PERMIT APPLICATION I . Job ",aoul by li'flectrlca' Coaua<lor a Owaer 1R1lll1alion daaonpdon C .COlDJDerdaI ~Ideatlal ~"'" 0 AllerodlAddldoo 7 ~ o?'r .5'-/]:/'''' ,- ,-Jt:=,U:I ~A~ wI 1M..&: "T',;,2 - '-ft..., -IT1 ~l5". J ~ N J'l ;1 :.! 21eeltil:OI confrector name Ween.e nwmbcf Ollie 1!kptres ol.._".~ &'--Lt'n-L /!?lY/l?P~CM'CI// P'~er~ moUin, adm.. '12 I/? Tv"", &V /9 r.G/? eilb Scale ZlP /brl- ~"?f u,? 7ff'J&'.2 Telephone number FAX number - ~ Pre~lsu O,,~~I. n~ 7 ~~ /;t',.rr/{ +- . ~ Add.... or-lo.p.e~ r' , f..z 'I ~t::/ / / -t- CIt~rr ~",...;C.( Pllolle Dumber 10 ubdule lalpoclloD: O"II<( '" dt/lo,d b1 RCw'J9,18,16I:{1) Own" 'WIiII ....P1 IA. ""'C"I'I/" "... )IeIltS ;qlu thu. eltCIriDtJ permit tr jI,ulll:ed. (1) Owllrr lJ rl9l1lmJ ID Ai,., Qff .1<<Inca! <0_ If abo..l4id properl1 i.J lor sol.. '1111 or 14M. Aftr:r readLoS Ibe .bove stalcmC!'l" I hereby certi~ tha, I lb1'l the owner of the .bove DIIDed property ar . lIen,n electriell r;:on!raClOr. I am meldnllhe elee1rlcal mstal.. lalion or alteraUon In ~pli'Ace with the electrical Jaw.. N.B-C.. RCW. Chapter 19.21. WAC. Cl\Jpac:r ~96-46B. Tbe City of Port "'101.. Muolclp.1 Code, and UliJit)' Sp~jnoadoDI. Slea.euti or IIwDer." elocrrlClI eeatraceor or dmrluJ _d.cninlJeralor , Dete://. 1,1/07 CJ c.sh a Cbeclc# lil'tredit Card v,," Mastereaid Discover ~#_--~----~--~-~-- Ilxpiration Dale of cw ; .I o NO LOAD CHANGES o B_board _kW ~/ C, Fumaoe . _ teN 1;1"" Overh8lSd S.rvIcg C H.al Pump _ Ton_lAR 0 Temp 5011I\oo Q F.....WalI _I<W 0 Unaa'11round 501Vlce SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Servl~ Information Voltage 2 V t? Phaee 1ZY1 C 3 5011I\oo SIm: ...L&:2 Feeder Size: ~&' ROUCH-IN THERMOSTAT /' fliVICE I(//'/I.~ ~ DI" ........ II)' ,tl416 -aR.y~-, " 19YeoIIlt)' ~ FlN;~B . r l'111!/4 DITCH FEEDER " 0... -... ./ "- au. Mt",,",B IlIlpeclioll Area, BaUd ins or Ilqulpmcnt Inspectod Ae~on Tal:e. 2hlC:trIcal Dlee ~ Jnspettor 11- IP; -() 7 An 2rJ\!6D //r . j' . - ~ . . ~ '" "": ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # $~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 ~. . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL INSPECTION WIRING REPORT 417-4735 I~ 'c. ADDRESS ~ ,.. APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 .~. . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . .. . . . . . .. . . . . .. . . . SERVICE. . .. . . .. . . . . . . . .. . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 ~ CORRECTIONS NEEDED: o NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 CITY OF PORT ANGELES PERMIT APPLICATION RECEIVED Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 983000 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELELTRICAI., 1 & 2 Single Family Dwelling NSPECTIONS 06 2014 Date: Z L- �-' 1 7 L * Plan Review May Be Required, Please Comolele Electrical Plan R view Infor afion Sheet Job Address: I y. Building Square Footage: Description of above C ✓ Z , - Owner inf atio t Name; Mailing Address: -- a City: �12 A _ State:� Zip: _ Phone: Fax License # ! Exp, Item Unit Charge ServloelFeeder 200 Amp $120.00 ServicelFeeder 201 -400 Amp. $146,00 Service /Feeder 401 -600 Amp $ 205.00 Service /Feeder 601 -1000 Amp. $ 262,00 Service /Feeder over 1000 Amp, $ 373.00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75,00 Temp. Service/ Feeder 200 Amp. $ 93.00 Temp. Service/Feeder 201ACC Amp. $110,00 Temp. Service/Feeder 401 -600 Amp. $149.00 Temp, Service /Feeder 601 -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 Erergy - SKVA 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 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110,00 Contractor Information Name:r5i��, Mailingg�4ddress: '" T' —' City, `rZA Adae*` State:y4'j�zip: co AXIS Phone: Fax: _ _ License # I Exp, Total Q Multiplied by Unit Charge) $ $ $ 1 0 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 properly 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, KIEL., RCW, Chapter 19.28, WAC, Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check l _ �- 'Credit Card q 1 .� Dated: ` O11a112012 J ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . , . , 14- 00001360 Date 11/07/14 Application pin number , , 584240 INSPECTOR: Property Address , . . . . . 524 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00--0-3- 4825 -0000- SERVICE Application type description FLECTRICAL ONLY Subdivision Name . . . . . . ROUGH -IN Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 COMMENTS: Application desc Kitchen remodel --------------------------------------------------------------..__-_-__----- Owner Contractor REICK ROBERT E /TAMMY) BOTERO & SON ELECTRICAL 524 W 11TH ST 940 TAMARACK WAY PORT ANGELES WA 983627308 PORT ANGELES WA 98362 (360) 452 -4766 Permit . , . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 150.00 Plan Check Fee .00 Issue Date 11/07/14 Valuation . . . . 0 Expiration Date 5/06/15 Qty Unit Charge Per Extension 6.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEFDFR 30,00 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120,00 Fee Summary Charged paid Credited Due Permit Fee Total 150.00 150.00 .00 QO Phan Check Total 00 .00 .00 .00 Grand Total 1.50,00 150.00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Come 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE I Z 2- j ROUGH -IN 9 J L4 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 'b Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING t W