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HomeMy WebLinkAbout316 W 9th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION J 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00001047 Date 8/10/12 Application pin number 624973 Property Address 316 W 9TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 9415 -0000 REPORT SALES TAX Application type description RE -ROOF 1 Subdivision Name on your state excise tax form Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles c. Application valuation 1134 (Location Code 0502) n I Application desc TEAR OFF REROOF 1/2 HOUSE Owner Contractor BREWIN, ROBERT T OWNER 316 W 9TH ST PORT ANGELES WA 983627603 6 vIa l 2»•t tVJ .11' Permit BUILDING PERMIT NO PR FEE vF Additional desc REROOF 1/2 HOUSE Permit Fee 71.35 Plan Check Fee .00 Issue Date 8/10/12 Valuation 1134 Expiration Date 2/06/13 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 3.0500 HND BL- 501 -2K (3.05 PER C) 21.35 Other Fees •STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 71.35 71.35 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 75.85 75.85 .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 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. i 'I'D'I D.--- P ItZ� tk grew t.--) Date Print Name Signature of Contractor or Authorized Agent ignature ot (if owner is builder) 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. V Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by 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 Fumace FAU Ducts Rough -ln Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By 1J Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 u t'° Fire 417 -4653 Planning 417 -4750 Building 417 -4815 g- 15. �a C N 01 H 01 W F as q 0 N 0 0 4 1 a a .0 G7 H F q PI V) a00 w x w q z z n F U cn a s o 0 H a z Fh 01 0 0 a z d H0 0 0 z 0 H P1 41 w 0 z U) t W z X N 01 zz w00 0 F HH P.H0 •a u, 0 H F W U 0 0 5 0 0 o z t11 V7 0 tT o w w a s o i al a w 0 01 0 F cn 0 H F w H o a° avid �o N CQ N t` 01 H 1n 0 o ac Z 01 m H a o 0 H co m o o w z o H0(0 N W 3�0 CF E w 0 0 to w cn w 011 M o. 00( w 0 H a� F a w 0 m w01 x 001 0 01 w Z a 0 w w 0 F a0 v az E 0 o W F q 0 z z a W a a 01 a 0 W 0 0 0 0 a 4 a H w CITY C >F til es 1 ELES For City Use rn Permit tam,-, O4 G c 0 T W A S H I N G T O N U.S. zo VI i o� MOM Date Received: 1©I z� r:,.) ,e 321 East 5th Street g o m r Port Angeles, WA 98362 Date Approved: vl O\ z N P: 360- 417 -4817 F: 360- 417 -4711 hcatuzo @cityofpa.us Building Permit Application Project Address: At(f-a-i'-5 Main Contact: Phone ��Z iA R 3 0 L 17 7 T-2. t f Property Name Phone Owner Liz' r t� V'' Sh wk Mailing Address Email Seto City State Zip Contractor Name (�.1 Phone Mailing Address Email City State Zip Contractor License Expiration: Project Value: Zoning: Tax Parcel Lot 113H H. cn) Type of Residential Er Commercial Industrial Public Permit Demolition Fire Repair Reroof ear off/ y over) A For the following, fill out both pages of permit applica ion: New Construction Remodel Addition Tenant Improvement Mechanical 0 Plumbing Other a K 0 U ,lti.` Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes No Project Description —Rik 2.∎ N k4-1 n kc7o f a r h o u..5 .4-- f -T �V4-ci L t I have read and completed the 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. n Date Print Name Signature (_,,i(i jj2 Clallam County Assessor Treasurer Property Details 58844 ROBERT T BREWIN f... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 58844 ROBERT T BREWIN for Year 2011 2012 Property Account Property ID: 58844 Legal Description: W 3 LT 3 &ALL LT 4 BL 294 Geographic ID: 0630000294150000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 316 W NINTH ST Mapsco: PORT ANGELES, WA Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: ROBERT T BREWIN Owner ID: 15402 Mailing Address: 316 W 9TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -7603 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on: 8/10/2012 3:51 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =58844 8/10/2012 HARTNAGEL BUILDING SUPPLY INC. PAGE NO 1 3111 HIGHWAY 101 EAST PORT ANGELES, WA 98362 TOLL FREE 1- 888 452 -6252 PHONE: (360) 452 -8933 AN EMPLOYEE OWNED AND OPERATED LUMBER TRADERS STORE CUST NO JO &NO PURCHASE ORDER REFERENCE CL 5 fi T 1 TI E 11 58 r 201432 00 TERMS TERMINAL: 569 SOLD TO a SHIP TO C O D ACCOUNT 3i W 9TH DEL. DATE: 8/9/12 SALESPERSON: 56 STEVE HOSKINS TAX: Hi HARTNAGELS- CHARGE RET ORDER: 528836 .LINE ;SKIPPED:,; ORDERED FUM SKU DES,CRIP,TIO,N SUGG UNITS PRICE1, :k.° 1 21 EA 00623EG OC 30 DURATION ESTATE GRAY [3] 21 19.67 /EA 413.07 2 1 EA RTOP ROOF TOP DELIVERY PER SQ. 1 50.00 /EA 50.00 3 4 5 MIND THE SOFT SPOT IN THE 6 SHEETING 7 2 EA SO424 DECORIDGE ESTATE GRAY 2 52.10 /EA 104.20 TAXABLE 567.27 NON- TAXABLE 0.00 SUBTOTAL 567.27 DEPOSIT AMT 0.00 BALANCE DUE 614.92 TAX AMOUNT 47.65 11 1111 11111 1 11111111111111 11 11 111 1 1111 TOTAL 614.921 TOT NVT:0.00 X Phone Received Transaction By d'~'~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98:162 ELECTRICAL PERMIT Issued: 8/11/99 Permit No: 6719 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ GUY MADISON 316 9TH ST W 316 W. 9TH STREET Lot: 4 Port Angeles, WA 98362 Block: 294 Long Legal: 360/452-3275 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD HEAT Occ Grp: Occ Load: Land Use: .Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 X Furnace KW: 10 Overhead Service Diameter: X-I -3 X H~at Pump KW: 5 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $31.50 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $31.50 $31. 50 =============~=================== TOTAL FEE: $31. 50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE lNSPEC'I10N TYPE DATE ACCEPTED COMMENTS YES I NO Kill lliH-lN I \..,u V r-K ::E , FINAl IX((f/tjl? I I GENERAL COMMENTS, PW-II02.U(4'9ti] . . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT 16966 r~/5 7Y Port Angeles, Washlngtoll..mm..m..........._.....mm....._.mm__.m.mm., 19000.000. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- :: ~~z.f"~$l?::'~==b''':"-'&?~m-mmm : ~::: ~~~~~~~r...:~~~;~~:::::.h.~~::~~;:::::::::::::...~.....~~:::::::::=::::::::::::::::::::::=::::::::::::::: Light Outletsm.hU....mm..um..uu.u.u.u Service, volts uu./.:P..u'?/-:u??..P Type of Wiring: 3 N 0 wires Armored Cable ...........m__.............. . . umm.,uf;:fummX;0 Size wlresui21.umY~mu ......u Non.Metalllc .mmmmm.umm......u / J () 6 Knob & Tubemd..........m_.h.........._ Main fuse ."...muummm.m uummm Enclosure ..~___.mm.__.__...........__ Receptacle Outlets....m..........mn___...... Dryer, KW..........__.n.............n.....__. Range, KW.mmu_ Water Heater: HeaIK:~..:;9~;;?.K;:jjl!. Motors: size, volts and phase: :~:::::::::::::::::::::::::::::::::::::::::::::::::~: Type of wiring: Entrance Cable ......__m.mmm........ Rigid Conduit h..__........... Metallic Tubing .__m......m............ Current transformers: No. & Size...............____________.h......... Ser. NO....h..............____....______............ Ser. No. ...__.n..____...........................__.. Ser. No.........______......._................____.... N? Rigid COOldult m___uu..m.m...uuU... Metallic Tubing h.........m___.......... Raceway ............._................._._..._ Circuits, LlghL.mm..m.....u...mmm..... Utillty .___uumum.m.m.m..mmum.... Heat .n..............__...................._...... Range ........_.....................___............ Water Heater ....._...__..............\..... Motor ..._........................._............... Dryer ......_......._d.................d..........__ Furnace .. ........................_......_..... ...... I {~~:ark:~ta:__:.~,:~;~,=::~::n::u__~.:~......:..~~.~~::n.:::..:::._...:::..;::.:::.:::~.:~:: ( u.n__nu__n_un______nun__..._..__nn...u.nnu__un.nn.nnn_.h~nnnnn..nn.n.nnn._..._.u......._nnnn..nn.nnnnu.u.un.u.n._.u.n__u._ mm...mmmmm..mm.__nmm....nh.....mmnmmmmm.mhnm..mmnm__n.1/Zm.. mmz.mmm ......c.l...hm...m_m...m__._______. Permit Fee Treas. Receipt ' (ft:. ~ .4: $.m.__..m.....n.m..hmn.___... NO..m.m.m.....mm..m By /--'!:: m~____ .__"'-mn../!!.?:~'._m.m.._:._:!:.m.~.:"-'__ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '- ELECTRICAL PERMIT N? 16966 , , I Address............_......_.._..._......____..._.......__._......._......................1...................._........___.........._..........Date..._.....__.._.._.._........-._.-_..._......_......... Owner..................................._.........._......_......_................_......._............___......__........__.....Tenant.........................................--......................... \ Wiring Contractor.......................................... ................._.............................................................By..........................._........-.--...................... NOTICE-Current must not. be turned on until Certificate of Inspe~tlon has been issued. If work 1s to be COD. cealed due notice must be given the Inspector so that work may be inspected before concealment. , 1M Olympic Printers, Inc. North Peninsula Electric 928 -9409 p.1 CITE OF PORT ANGELES PERMIT A PUCA -nON � Building DMsionMiectdcal Inspections 2013 i 321 East Fifth Street — P.O. Bog 11501 Fort Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417 4711 1 & 2 Single Family oWling t Plan Re: May Be Reglti Com le Ef c�Pian Review Information Sheet dobAddress; SulrGng Square Footage: Description of atwve Owner info on - Contractor Info on Namur t r' ^ 1 Qrr� Name: ff fvlaiting A Ivtaill d r l Phone: ---�— Fax -�P' Cit}r: ' # 1 — _ License # i Exp Phone License # 1 ExA. �. 1 item ServieerFeeder=Amp. _Unit Charge $120.00 TOW My Wultiaiierf by Unitiyharae? ServicelFeeder201400 Anp, S 1400 SMloa!Feeder 401-600 Amp $ 205-00 5arvicelF'eeder 541 -1040 Amp. $ 262-00 $— SeMOPJFeeder ovar 10015 Amp. $ 373.00 Branch Clrcud W1 Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder Each Additional Branch arovit $ 63.00 $ Branch Circuits 1-4 5 5.00 $ 75.00 $---- Temp. Service) Feeder 240 An�p. $ 93.00 Temp. ServicaJFe9der201- 400Arm. $110.00 Temp. SerVice;Feeder 401-00 Amp. $149.00 $ emP- SeivlcelF'eeder fi01 -1000 ATM. $168.00 $ Road to Portal Hourly S 96,00 $ Signal Circuit! Limited Energy -1 & 2 Famiiy Dwelling S 64.00 $ ManufaC;ured Home Cortnedon S 12C.00 $ Renewable Fle&cd Energy - 5KVA System or Lass $ 102.00 $ rherrEcIat S 56.00 $ Note: 55.00 for each additional T-Stat NEW CONS'iR UIGN ONLY First 1300 Sguam Ft, S 12{5.00 Each Additional 500 Square FL or Portion of 5 40.00 5 Each OulbuRding or Detached Garage $ 74.00 $ Each Svhmrdng Pool or Hat Tub S 11DAD . $ Total Owner as defined by RCW.19.2B, 2111: (1) Owner will occupy rite structure for two years after this elecbicd permit is finalized- {2) Owner is required to hire an electrical contractor if above said pruperiy is for sale, rent or lease, permit expires after six months of last inspedfon. After reading the above statement I hereby certify that I am the owner of the above reamed property or a licensed electrical contractor. I am maidng the electrical installation or alteration in compliance with the electrical laws, N -EC., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of tart Angeles Municipal Code, and UG7ity Specifications and PAMC 14.05.050 regarding Electrical Perm t Applications Signature of owner, electrical contractor or electrical administrator. 0 Cash r.1 chmk J� 7 Cla Card r( -- 01191012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . . 13- 00001408 Date 12/10/13 Application pin number . . . 801984 INSPECTOR.: Property Address . . . , 316 W 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 9415 -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name , , , , . . ROUGH -IN Property Use . . . . . . . . Property Zoning . . , . . , , RS7 RESDNTL SINGLE FAMILY Application valuation . , . , C COMMENTS: Application dese 2 Circuits Owner Contractor --------------- --- - - - - -- BREWIN, ROBERT T ------------------------ NORTH PENINSULA ELECTRIC 316 W 9TH ST 761 FRESHWATER PARK RD PORT ANGELES WA 983627603 PORT ANGNLES WA 98363 (360) 477 -1764. Permit . , . , , , ELECTRICAL ALTER RESIDENTIAL Additional de5c . , Permit Fee . , , 68,00 Plan Check Fee .00 Issue Date , , , 12/10/13 Valuation , , . , 0 Expiration Date , 6/08/14 Qty Unit Charge Per Extension 1100 6.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63,0000 ECH EL -R- BRANCH CIR WO/ SER FEED 53.00 Fee EQmmary Charged Paid Credited Due Permit Fee Total 68,00 68.00 ,00 .00 Plan Check Total ,00 CO .CC 00 Grand Total 68,00 68.00 00 ,00 REPORT SALES TAX on your excise fax 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 Date: G:IEXCHANGEIBUILDING �t RECEIVED t`� ON �ORC t,l.��r� CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections AUG 11 2015 321 East Fifth Street —P.O. Box 11501 Port Angeles Washington, 98362 RKTRICAL Ph: (360) 417 -477335 Fax: (360) 417 -4711 INSP'EUIONS Date: IT-//- S & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 774 Building Square Footage: Description of above Owner Information Contractor l m tion Name; f/ Name: Mailing Address: _ I(* W 9 Mailing Address: City'. State: Zip: City: State: zips Phone: 1,06-341- 46Fax: Phone'. Fax'. License # I Exp. Llcense #! Exp. �^ Item _Unit Charge (qty Total (Qtv Multiplied by Unit Charge,) Service /Feeder 200 Amp. $12000 $ Service /Feeder 201 -400 Amp, $146.00 $ Service /Feeder 401 -600 Amp $ 205.00 $ ServicelFeeder 601 -1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp. $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W/0 Service Feeder $ 63,00 $ �- Each Additional Branch Circuit $ 5.00 $ Branch Clrcuils 1 -4 $ 75.00 $ Temp, Service/ Feeder 200 Amp. $ 93.00 $ Temp, Service / Feedor 201 -400 Amp, $11000 $ Temp. Service /Feeder 401 -600 Amp. $149.00 $ Temp. Service /Feoder601 -1000 Amp . $166.00 $ Porlal 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 F1. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $- -Total Owner as defined by RCW.19,28,261: (1) Owner will occupy the structure for two years after this electrica! permit is finalizod. (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 fast 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 installatio r al ation in compliance with the electrical laws, N.E.C., ROM Chapter 19.28, WAC. Chapter 296 -4613, The City of Port Angeles Municipal C , a tifity Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of n ele ri I contractor or electrical administrator: ❑ cash check Credit Card # X.. Dated: (',JC 9/ r 0110112012 16/_ z / �� PERMIT WILL EXPRE SIX (6) MONTHS FROM LAST INSPECTION( Signature of owner or Electrical Contra_ c.tor X Date: GAIEXCHANGEMIJILDTNG ELECTRICAL PERMITL CITY OF PORT ANGELES d 360 -417 -4735 Application Number . . . , 15- 00001014 Date 8/11/15 Application pin number . . . 442554 Property Address . . . . 316 W 9TH ST REPORT SALES TAX ASSESSOR PARCEL, NUM6ER: 06-30-00-0-2- 94.15 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . , Property Use to the City of Part Angeles Property Zoning , . . , , . . RSV RESDNTL SINGLE FAMILY (Location Code 0502) Application Valuation . . . . p -------------------------------------------------------------- Application desc Ductless heat pump Owner Contractor JOHN .P SCHMIDT AND MARK E FOX BLACK DIAMOND ELECTRICAL CONTR 1171.2 STENDAL, DR N 50.2 BLACK DIAMOND RD SEATTLE WA 98133 PORT ANGELES WA 98363 (206) 321- -8696 (360) 565 -1035 Permit . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 63.00 Plan Check Fee QO Issue Date 8/11/15 Valuation , . , , 0 Expiration Date 2/07/16 Qty Unit, Charge Per Extension 1,00 63.0000 ECH FL -R- BRANCH CIR WC/ SER FEED 63,00 Fee summary Charged Paid .Credited Due Permit Fee Total 63.00 63,00 ,00 .00 Plan Check Total 00 00 .00 04 Grand Total 63,00 63.00 ,00 00 PERMIT WILL EXPRE SIX (6) MONTHS FROM LAST INSPECTION( Signature of owner or Electrical Contra_ c.tor X Date: GAIEXCHANGEMIJILDTNG