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CITY OF PORT ANGELES °~* DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/26/2002 PERMIT NO: 13926 OWNER/APPLICANT PROPERTY LOCATION JOHN SIMPSON 227 5TH ST W 227W5THST Lot: 14 Port Angeles, WA 99360 Block: 87 [] Long Legal 206/000-0000 ', Subdivisior~: TPA T: S: Parcel No: 063000008748000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: SPECIAL INSP SFD SQ FT: 0 Industrial: 0 (-'-- Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 (-~-'~ Zoning Use: RMF PROJECT NOTES INSPECTION TO FINAL PREVIOUSLY EXPIRED PERMITTED CONSTRUCTION ~.~, RECEIPT#10026 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: SPECIAL INSP $47.00 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: $47.00 Plumbing: $0.00 AMOUNT PAID: $47.00 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 pedod 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 o! laws and ordinances governing this type of work will be complied with whether specifiefi--~erein or not. The granting of a permit does no! to give authority to violate or cancel the provisions of any state or Ioc01dgW./rel~lating__/,-- construction or the performance ol presume construction. ,~ .~./.~~__~/ //~// ~ / &.2/F_~ T:\PLANNING~OPdVIS\ ISignature of Contractor or Authorized Agent Datetoz.15 [4/20021 /fitur~~/wner (if °wner is builder) / Dat'e BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNZAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DKAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK PLOW / WATEE AIR SEAL WALLS I ' CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL BUILDING 417-4815 /V7''~//10~''' ~N BUILDING CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ! 7~/&~ Time ~'~' ~ Received by (phone, person) Location of Work to be inspected c~_ Name of person requesting inspection ~.~ Address of person requesting inspection Z Type of Inspection (circle appropriate one): Permit No. ~ ,~ ~, , Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: /' Inspected: Date i ~' ? .' 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) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANOELES, WA 98362 BUILDING PERMIT ISSUED: 9/27/2000 PERMIT NO: 12233 OWNER/APPLICANT PROPERTY LOCATION 227 5TH ST W JOHN SIMPSON 227 W 5TH ST Lot: 14 Port Angeles, WA 99362 Block: 87 [] Long Legal 360/452-8717 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Pod Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $3,000.00 SFD Units: 0 Commercial: 0 Project Type: WORKSHOP SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 576 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RMF PROJECT NOTES CONSTRUCT A 576 SQ/FT NON-HABITABLE STRUCTURE FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $33.30 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 t.~- House Moving: $0.00 Matlufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $121.05 ~'~ Plumbing: $0.00 AMOUNT PAID: $121.05 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, pdvate and public improvements. This permit becomes null and void if work or cons'a'uc'don 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 il' required inspeddons have not been requested within 180 days from the last inspection. I hereby cer'~fy that I have read and examined this application and know the same to be true and co~recL All provisions of 1,3ws 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 ~rovisions of any state or local law regulating construction or the performance of construction Si~lnature of Contractor or Authorized A~ent Date Signature Of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-481 $ FOR BUILDING IlqSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PI~RMIT IN A CONSPICUOUS LOCATION. FOUNDATION DRAINAGE s~ni~Y CONSTRUCTION KW / PW/ CONSTRUCTION - P-_W. -~6 FOP,. OFFICIAL USE ONLy: BUILDING PERMIT- APPLICATION Dat~ A~row4: ~ The Building P~mit - Pr~pplication ~t be~ed out completely. D~ Issuce., Please ~pe or print in ~ lfyou have any qu~ons, pl~se call 417~81S Applic~t ~orAgen~? Phone: O~er:~ ~. ~";~z~< ~¢~o~ Phone: X~ ~g~-~7, Ad~e~j.~-7.-~ ~+~ Ci~: ~a~ ~~ Zip: ~tec~n~ Phone: Cont~tor '~.~ Lieeme g: E~:. Phone: .... Ad.ess: Ci~:. Zip: LEGAL DESk--ON: ~ BI~ Subdiv~ion: CL~L~ CO~ P~CgL ~E~. TYPE OF WO~: S~A~ON: ~ R~aid~ti~ ~ G~. ~ ~f ~ Woo~v~ ~ BF. ~ ~ /SF. ~ $ ~ Comme~ial o R~odel o Demolition ~ Deck SF. ~$ /SF. =~ o R~ o Si~ ~ TOTAL V~UA~O~ No. of Sto~es: ~ Lot S~: ~ 0 ~ ~ % Lot ~vemge: , ~ ~~ ~i~ not cow-se: t ~q /sq. [ + ~o~ ~t ~: ~ /sq. ~ = TOT~ ~ CO--GE: ~.d ~ O PL~G USE O~Y: ~PROVA~: Pe~im Requ~d: Not~: BLDG ~7 M~. HeiSt: ~ S~ac~: ~J ~/~.~ ~/<~'~ Zones: ~ DPW_ Site Plan ~d Use Approvgd by: ~ ' ~. - D~e: OT~ ES~etl~d(s): OYes~No SEPAChec~imrequ~? o Yes~o B~D~G ~PLICA~ON S~'l'l'~: Your application and s~e plan must be fllled out co~letely to be acc~ted for r~ie ~e Build~g Division ~ provide you wi~ mor~ derailed ~fo~ation on ~e application ~d pi~ submi~l m~. B~D~G PE~ ~PLICA~ON S~I-I'~ Yo~ ~mpl~d ~plica~o~ sim pl~ (for addition) ~d bulldog pl~ ~ to ~ submi~ed to ~e Build~g Division. VALUATION OF CONS~U~I'ION: ~ ~ ~es, a valuation ~o~t m~ ~ en~ by ~e applic~L ~is flg~e will be revi~ ~d may bo revved by ~e Bu~d~g Div. to ~mply wi~ c~t f~ sch~dulm. Coam~ ~ Pe~it Coo~ator ~ 417~815 for PL~ ~CK FEE: Yo~ pl~ check f~ is du~ ~ ~ ~e ~ build~g pe~it application ~d cons~ction plus ~e submiE~d. o~er pe~it fees ~e due at ~ t~e ofpe~it i~u~ce. E~TION OF P~ ~W: If no ~it b issued wi~ 180 days of~e date of application, ~is application will expire I~i~fions. ~e Build~g O~cial c~ extend &e ~e for action by ~e appli~t up to 180 days, on ~i~en requ~ by ~e applic~t (s Section 107.4 of ~ Unifo~ Build~g Code, cu~nt edition). No applica~on c~ be extended more ~ once. I hereby c~t~ t~t I ~e read and ~amin~ th~ ~plication ~d ~ow the same to be ~e and co~ect, and I am author~ed to ap~ for th~ permit. I understand it ~ not the Ci~'s legal r~po~ibilJ~ to determine what p~mi~ are requ~ed; it remai~ t~ applic~ respo~ibili~ to determine what permits are required and to obtain suc~ ~/ Applic~t; ~ Data: PW-I 102_13[r~.~99] / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: - ...... Date /// ~' , ,' Time Received by ~" (phone, person) Location of Work to be inspected r../? ' Name of person requesting inspection I~' '~/ ~ '~,/ '/' ~ Address of person requesting inspection Phone No Type of inspection (circle appropriate one): Permit No. Sewer ¢-~oundatmn? Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date /'/~ /' ~') Time / ~ '-' -' By i Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: []Unimproved [~Gravel [~Asphalt ~PCC []Other ~1 Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5tit STREET. PORt ANGELES. WA 98162 ELECTRICAL PERMIT ISSUED: 3/28/2001 PERMIT NO 7207 OWNER/APPLICANT PROPERTY LOCATION JOHN SIMPSON 227 5TH ST W 227 W 5TH ST Lot: 14 Port Angeles, WA 99360 Block: 87 [] Long Legal 206/000-0000 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT owner N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. OUTBUILD Project Value: $0.00 Occupancy Type: Construction Type: SERVICE INSTALL ~N Occupancy Group: Zoning Use: RMF ~,~ Electrical Heat: ,.~ [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] Tamp Service Phase: [] 1 [] 3 ~ [] Fan Wall 0 KW Service Size: 320 Feeder Size: 0 "~ PROJECT NOTES "'f' WIRE NEW GARAGE, MOVE METERING TO GARAGE WITH 320 METERBASE CHANGE HOUSE SERVICE WIRES TO UNDERGROUND 0' FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Tamp Service: $0.00 Misc Fee: OUTBUILDING $44.25 TOTAL FEE: $44.25 AMOUNT PAID: $44.25 BALANCE DUE $0.00 )MMI.!vI S/ACTiON NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A btINIMIJM 24 HOUR NOTICE. ITIS UNLAWFUL TO COIT~R, INSULATE OR CONCEAl. ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER GENERAL COMMENTS: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 15-00001074 Date Application pin number 965850 Property Address . �. 227 W 5TH ST ASSESSOR PARCE'L NUMBER: 06..30-00-0-0-8748 0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Ductless heat pump Owner Contractor Bernie Gonsalves .. BLACK DIAMOND E1,ECTRICAL CONTR 227 W. 5th DITCH 502 BLACK DIAMOND RD PORT ANGE1,ES WA 96362 PORT ANGELES WA 98363 (360) 461-0914 (360) 565.-:1.035 FINAL COMMENTS: Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 58.00 Plan Check Fee 00 Issue Date 8/25/15 Valuation 0 Expiration Date 2/21/16 Qty Unit Charc .je Per Y.!;Xtcu,13-ian 1.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 5�00 1.00 63.0000 ECH E1,..R.. BRANCH CIR WO/ SER FEED 63.00 Fee snatmary Chkarged Paid Credited Due Permit Fee Total 68,00 68.00 .00 Plan Check 'Total .00 '00 .00 00 Grand Total 68 00 66,00 .00 00 Jr 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 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANGEWILDING May Required, yew Won -nation Sheet Plan Review Ma Be Re ulred, Please Complete Electr° al Flan Rev" Job Address: Building Square Footage: Description of above - _ — ............... _. .......... ._— Owner Infoation Name, " Contractor I�nfo,r� Name: _ ........ - W......__ Mailing Address: a I" Mailing Address: City: State: Zip: City: _ _ �- State: Zip CITY OF PORT ANGELES PERMIT APPLICATION phone;, Fax License # I Exp. tj Item Building Division/Electrical Inspections 321 East Fifth Street P.O. k6 , '' � Service/Feeder 200 Amp. $120.00 — Box 1150 / Port Angeles Washington, 9 ,f $ Service/Feeder 401-600 Amp Ph: (360) 417-4735 Fax: (360) 417-4711 Service/Feeder 601-1000 Amp. $ 262.00 Date:. °I ................. 2 Siii & fail: -billy If) r ellln . , $ 373.00 $ May Required, yew Won -nation Sheet Plan Review Ma Be Re ulred, Please Complete Electr° al Flan Rev" Job Address: Building Square Footage: Description of above - _ — ............... _. .......... ._— Owner Infoation Name, " Contractor I�nfo,r� Name: _ ........ - W......__ Mailing Address: a I" Mailing Address: City: State: Zip: City: _ _ �- State: Zip Phone: Fax: License # I Exp,—....— phone;, Fax License # I Exp. tj Item !Unit Charge y Total (gly Multilied by Unit Charge Service/Feeder 200 Amp. $120.00 Service/Feeder 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 WI Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 _L� $ Branch Circuits 1-4 $ 75.00 Temp, Service/ Feeder 200 Amp, $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $__„___� Temp. Service/Feeder401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $166.00 $...... ......... _.......IT Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA 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 Each Swimming Pool or Hot Tub $ 74.00 $110.00 $_ $ $ . 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 property 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, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Cod and Utility Specifications and PAMC 14.05.050 regarding Electrical Per;�( plications. Signature o ner„ ctr I contractor or electrical administrator: D cash heck. X .... _ r}ated...✓w. 0 Yw ....� 0110112012 20 r-- 'L___ Application Number . . . . . 22-00001588 Date 1/04/23 Application pin number . . . 018572 Property Address . . . . . . 227 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8748-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NILS BRUNO ANDERMO CASCADE ELECTRIC & VAC INC 227 W. 5th PO BOX 369 PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (360) 461-0914 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 1/04/23 Valuation . . . . 0 Expiration Date . . 7/03/23 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 $ Service/Feeder 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 W/ 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 201-400 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 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ 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 property 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, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 12/29/22, 7:44:25 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001588 227 W 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/4/2023 22-1588 TAP OWNER CONTRACTOR Cascade Electric PROJECT ADDRESS 227 W 5th St Application Number . . . . . 23-00000281 Date 3/22/23 Application pin number . . . 459996 Property Address . . . . . . 227 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8748-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bathroom circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NILS BRUNO ANDERMO KIRSCH ELECTRIC INC. 227 W. 5th P. O. BOX 3396 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 461-0914 (360) 683-6819 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 3/22/23 Valuation . . . . 0 Expiration Date . . 9/18/23 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 PREPARED 3/21/23,13:59:12 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000281 227 W 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 3/27/2023 23-281 TAP OWNER CONTRACTOR Kirsch Electric PROJECT ADDRESS 227 W 5th ST