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HomeMy WebLinkAbout525 W 11th St - BuildingPREPARED 6/10/10 9 04 45 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/10/10 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS August 24 2009 4 49 26 PM jlierly BL3 03 8/24/09 JLL BLDG FRAMING 8/24/09 AP August 21 2009 2 36 10 PM 1pangrle PAT 460 4202 FRAMING NAILING HE REQUESTED THAT YOU CALL HIM BEFORE YOU INSPECT SO HE CAN EXPLAIN SOMETHING TO YOU August 24 2009 4 49 26 PM jlierly BLI 01 9/09/09 JLL BLDG INSULATION TIME 01 00 9/11/09 AP September 9 2009 8 52 34 AM 1pangrle ANNETTE 452 7281 INSULATION CEILING WALLS AFTERNOON September 11 2009 4 50 05 PM jlierly BL99 01 6/10/10 BLDG 1INA2 TIME O5 00 June 10 2010 8 40 45 AM 1pangrle ANNETTE 808 2726 BUILDING FINAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 6/10/10 .7;,L^ MECHANICAL FINAL TIME O1 00 1 _Pe June 10 2010 8 41 37 AM 1pangrle —17-6 ANNETTE 808 2726 MECHANICAL FINAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE PERMIT PL 04 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/10/09 PB PLUMBING ROUGH IN 7/13/09 AP July 9 2009 4 56 41 PM permits MIKE 477 9773 July 13 2009 9 34 26 AM pbarthol PL99 01 6/10/10 PLUMBING FINAL TIME 01 00 —ti, June 10 2010 8 41 56 AM 1pangrle ANNETTE 808 2726 PLUMBING FINAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 9/09/09 8 58 32 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/09/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 9/09/09 HE REQUESTED THAT YOU CALL HIM BEFORE YOU INSPECT SO HE CAN EXPLAIN SOMETHING TO YOU August 24 2009 4 49 26 PM jlierly BLDG INSULATION TIME 01 00 September 9 2009 8 52 34 AM 1pangrle ANNETTE 452 7281 INSULATION CEILING WALLS AFTERNOON COMMENTS AND NOTES PREPARED 8/2 8 44 34 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/24/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/24/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/24/09 AP March 23 2009 5 00 58 PM 1pangrle PAT 460 4202 FOUNDATION FOOTING MORNING GO IN THE ALLEY THERE IS A FANCY WOODEN GATE OPEN IT AND DO THE INSPECTION PAT SAID THERE ARE NO DOGS BACK THERE March 24 2009 4 40 14 PM jlierly BL2 01 4/06/09 JLL BLDG FOUNDATION STEM WALL 4/07/09 AP April 6 2009 8 18 30 AM 1pangrle PAT 460 4202 FOUNDATION WALL April 7 2009 1 06 04 PM jlierly BL3 01 4/29/09 JLL BLDG FRAMING 4/30/09 AP April 29 2009 8 25 22 AM pbarthol PAT 460 4202 Apr 30 2009 8 59 18 AM jlierly BAIR 01 8/12/09 JLL BLDG AIR SEAL TIME 01 00 8/12/09 DA August 12 2009 8 36 22 AM 1pangrle ANNETTE WORK #417 2380 CELL #808 2726 AIRSEAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN TAKE OFF WORK AND MEET YOU THERE SHE LL USE HER LUNCH HOUR TO MEET YOU SHE USUALLY TAKES LUNCH ABOUT 2 30 PM August 12 2009 4 53 07 PM jlierly finish air seal /dryer duct and vent fan duct /plumb vent termination /t &p 3/4 line /pan and drain line/j11 BL3 02 8/12/09 JLL BLDG FRAMING TIME 01 00 8/12/09 DA August 12 2009 8 38 14 AM 1pangrle ANNETTE WORK #417 2380 CELL #808 2726 FRAMING AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN TAKE OFF WORK AND MEET YOU THERE SHE LL USE HER LUNCH HOUR TO MEET YOU SHE USUALLY TAKES LUNCH ABOUT 2 30 PM August 12 2009 4 53 07 PM jlierly finish air seal /dryer duct and vent fan duct /plumb vent termination /t &p 3/4 line /pan and drain line/j11 BAIR 02 8/24/09 JLL/ f BLDG AIR SEAL August 21 2009 2 37 15 PM 1pangrle PAT 460 4202 AIRSEAL HE REQUESTED THAT YOU CALL HIM BEFORE YOU INSPECT SO HE CAN EXPLAIN SOMETHING TO YOU BL3 03 8/24/09 J L BLDG FRAMING August 21 2009 2 36 10 PM 1pangrle PAT 460 4202 FRAMING NAILING HE REQUESTED THAT YOU CALL HIM BEFORE YOU INSPECT SO HE CAN CONTINUED ONTO NEXT PAGE PREPARED 8/24/09 8 44 34 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/24/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS EXPLAIN SOMETHING TO YOU COMMENTS AND NOTES Correction Notice /I c j_ Job Located at s C Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction ic" atA- Dr) 1f2,117 1) f P/Dt /A. pAki 4 Lf /r) I/> BUILDING DIVISION CITY OF PORT ANGELES IA) I (L-F Pek.(C4( (5T /o:(.,fi C aolog 7 eJ4-rf fret c 2 t FT, re 7 lb/ Th Lc Pt Fr These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call for inspection Date 21 J n �i 7 /Ins'pector for Building Division DO NOT REMOVE THIS TAG PREPARED 8/12/09 8 39 19 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/24/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/24/09 AP March 23 2009 5 00 58 PM 1pangrle PAT 460 4202 FOUNDATION FOOTING MORNING GO IN THE ALLEY THERE IS A FANCY WOODEN GATE OPEN IT AND DO THE INSPECTION PAT SAID THERE ARE NO DOGS BACK THERE March 24 2009 4 40 14 PM jlierly BL2 01 4/06/09 JLL BLDG FOUNDATION STEM WALL 4/07/09 AP April 6 2009 8 18 30 AM 1pangrle PAT 460 4202 FOUNDATION WALL April 7 2009 1 06 04 PM jlierly BL3 01 4/29/09 JLL BLDG FRAMING 4/30/09 AP April 29 2009 8 25 22 AM pbarthol PAT 460 4202 April 30 2009 8 59 18 AM jlierly BAIR 01 8/12/09 BLDG AIR SEAL TIME 01 00 August 12 2009 8 36 22 AM 1pangrle ANNETTE WORK #417 2380 CELL #808 2726 AIRSEAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN TAKE OFF WORK AND MEET YOU THERE SHE LL USE HER LUNCH HOUR TO MEET YOU SHE USUALLY TAKES LUNCH ABOUT 2 30 PM BL3 02 8/12/09 JLL BLDG FRAMING TIME 01 00 r. August 12 2009 8 38 14 AM 1pangrle ANNETTE WORK #417 2380 CELL #808 2726 FRAMING AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN TAKE OFF WORK AND MEET YOU THERE SHE LL USE HER LUNCH HOUR TO MEET YOU SHE USUALLY TAKES LUNCH ABOUT 2 30 PM COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Bedroom bathroom addition 8 circuits Owner WARREN ANNETTE R 525 W 11TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983627307 150565 71 50 7/24/09 1/20/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000734 266688 525 W 11TH ST 06 30 00 0 3 2365 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Charged Paid Credited Date 7/24/09 JEFF NELSON ELECTRIC 7062 OLD OLYMPIC HWY PORT ANGELES WA 98362 (369) 460 4291 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 7 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 71 50 71 50 00 00 00 00 71 50 71 50 00 Due DATE RESULTS 161 411. 1 oi7. Extension 57 50 14 00 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360)417 -4735 Fax: (360)417 -4711 Date: ,22/09 /71 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: .'5 S' /J. /1 -i 4 Building Square Footage: ,47)t)/1 /t/ Description of above R4'hVd1/1/g/9 /472/ i /aa //2.: L Owner Information Name: /f./ Mailing Address: S.Zr j City .ate) State: ,1.J4 Zip: 4k'362 Phone: Fax: License Exp. Unit Charae 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Signature of owner electrical contractor or electrical administrator X i ,6� Date: 7 J /dy %O RECE VED JUL 2.3 2009 ELECTRICAL INSPECTIONS Total (Qv Multiolied by Unit Charae1 Contractor Inform tion A/ FL /L. �F /1/FLS Mailing Address: 32-5 rag City 62.5L ultit State: '14) Zip: 9r9& Phone: 366 1 /kb 42.9/ Fax: 675" zS'Ii License Exp. J f# 4Jt t '9 l?P Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 7i SD Total 57 5t/ /2 W -C Owner as defined byRCW.1928.261: (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. 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 laves, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Cash Check .. PREPARED 7/10/09 9 41 54 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/10/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/ 0/09 JLL, PLUMBING ROUGH IN July 9 2009 4 56 41 PM permits /V K, MIKKE 477 9773 COMMENTS AND NOTES PREPARED 4/29/09 8 50 25 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/24/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/24/09 AP March 23 2009 5 00 58 PM 1pangrle PAT 460 4202 FOUNDATION FOOTING MORNING GO IN THE ALLEY THERE IS A FANCY WOODEN GATE OPEN IT AND DO THE INSPECTION PAT SAID THERE ARE NO DOGS BACK THERE March 24 2009 4 40 14 PM jlierly BL2 01 4/06/09 JLL BLDG FOUNDATION STEM WALL 4/07/09 AP April 6 2009 8 18 30 AM 1pangrle PAT 460 4202 FOUNDATION WALL April 7 2009 1 06 04 PM jlierly BL3 01 4/29/09 JL BLDG FRAMING April 29 2009 8 25 22 AM pbarthol PAT 460 4202 COMMENTS AND NOTES PREPARED 4/06/09 9 22 59 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/06/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/24/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/24/09 AP March 23 2009 5 00 58 PM 1pangrle PAT 460 4202 FOUNDATION FOOTING MORNING GO IN THE ALLEY THERE IS A FANCY WOODEN GATE OPEN IT AND DO THE INSPECTION PAT SAID THERE ARE NO DOGS BACK THERE March 24 2009 4 40 14 PM jlierly BL2 01 4/06/09 BLDG FOUNDATION STEM WALL April 6 2009 8 18 30 AM 1pangrle VS PAT 460 4202 FOUNDATION WALL COMMENTS AND NOTES PREPARED 3/24/09 8 12 53 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/09 ADDRESS 525 W 11TH ST SUBDIV TENANT NBR ANNETTE R WARREN CONTRACTOR PHONE OWNER WARREN ANNETTE R PHONE PARCEL 06 30 00 0 3 2365 0000 APPL NUMBER 09 00000224 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/24/09 ,L BLDG F0I FOOTING TIME 00 23 2 March 23 2009 9 00 58 00 58 PM 1pangrle PAT 460 4202 FOUNDATION FOOTING MORNING GO IN THE ALLEY THERE IS A FANCY WOODEN GATE OPEN IT AND DO THE INSPECTION PAT SAID THERE ARE NO DOGS BACK THERE COMMENTS AND NOTES WARREN ANNETTE R 525 W 11TH ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000224 Date 3/20/09 Application pin number 188704 Property Address 525 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2365 0000 Tenant nbr name ANNETTE R WARREN Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 28800 Application desc 280 SF ADDITION BEDROOM BATHROOM WOOD STOVE Owner Contractor WA 983627307 OWNER Structure Information 000 000 ADD 280 SF BEDROOM /BATHROOM /WOOD STOVE Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc ADD 280 SF BEDROOM /BATHROOM Permit pin number 142760 Permit Fee 458 15 Plan Check Fee 297 80 Issue Date 3/20/09 Valuation 28800 Expiration Date 9/16/09 Qty Unit Charge Per Extension BASE FEE 417 75 4 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 40 40 Permit MECHANICAL PERMIT Additional desc Permit pin number 142778 Permit Fee 137 45 Plan Check Fee 00 Issue Date 3/20/09 Valuation 0 Expiration Date 9/16/09 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 21 75 2 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 21 30 3 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 44 40 Permit PLUMBING PERMIT Additional desc Permit pin number 142786 Permit Fee 121 00 Plan Check Fee 00 Issue Date 3/20/09 Valuation 0 Expiration Date 9/16/09 Qty Unit Charge Per Extension 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. 3 /2010 441/1149.11t 10A.Vi :Q 1 J Date Print Name Signature of Contractor or Authorized Agent t �Signature of Owner (if owner is builder) T:FormsBuilding DivisionBuilding Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By 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 AIR SEAL. Walls Ceiling FRAMING Joists/Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood /Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit FINAL Date Accepted by IFINAL Date Accepted by Date Accepted By Application Number Application pin number Qty Unit Charge Per Extension BASE FEE 50 00 6 00 7 0000 EA PL- PLUMBING TRAP 42 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 1 00 7 0000 EA PL -WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments March 18 2009 8 08 57 PM sroberds No land use issued 24% lot coverage /28W site coverage in the RS 7 Use is remodal /enlargement of sf res MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Charged 09 00000224 188704 Paid Credited Due Page 2 Date 3/20/09 STATE SURCHARGE 4 50 Permit Fee Total 716 60 716 60 00 00 Plan Check Total 297 80 297 80 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 1018 90 1018 90 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall L (n O a CLL► Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In '7— IIF► Oct Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. S 2 4--O9 Walls Ceiling FRAMING g 2 1 4 0 di 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 -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting °I— 0 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date6' I Accepted by I Zq—Oj 3 Fv&irpt l by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date'I W Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Cv 10 -Io Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner WARREN ANNETTE R 525 W 11TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGE[ IN FINAL COMMENTS WA 983627307 143016 93 75 3/17/09 9/13/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000238 947494 525 W 11TH ST 06 30 00 0 3 2365 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Plan Check Fee Valuation Charged Paid Credited Permit Fee Total 93 75 93 75 00 Plan Check Total 00 00 00 Grand Total 93 75 93 75 00 DATE Date 3/17/09 JEFF NELSON ELECTRIC 7062 OLD OLYMPIC HWY PORT ANGELES WA 98362 (369) 460 4291 &UO 1 {7,1 Due RESULTS Extension 93 75 00 00 00 00 0 Signature of owner or Electrical Contractor X Date City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711 Date: 31/6 /0 1.1& 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Revie Information Sheet Job Address: S31 S 4) 77 57 7D tr Building Square Footage: /s 2 L Description of above 711d-it 1 P,4r /31.4� diti And e t ttit.;_n4 yn> /2, 2 4,,,,e° Owner Information Name. .4 77t Mailing Address: SaS w 7// City R4 State. 6& "T Zip 8 'Z Phone. Fax: License Exp /EFF4/ 'X4' P Unit Charae 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 E® MAR 1 6 20 LIGHT DEPT Total (Qtv Multiplied by Unit Charnel $___131. Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp Service /Feeder 601 1000 Amp. Portal to' Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 5'3 Z Total Contractor Information Name. Je i /1h/S01-1 Mailing Address: 33S r/r5,A City Se4Lirfr -t State ie///f Zip )1" 3 .1' Z Phone: d 4' s/ ax: Cp5'/ '/2.SY/ License i cxp 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. 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. Signature of owner electrical contractor or electrical administrator Cash 1 A% El Check -,/cre AJ t�soh X 4�� 4C &O Date. Applicant Aline, Ik.)arre,v. Property Owner Any R (J} (L,tQ,_ Property Owner's Address SIX" W 1 1 4 4 4 Contractor o v Contractor's Address License Expires PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition wRemodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other criation. Date 9 /0 Print Name T:Forms /Building Division/Bldg Permit.doc BUILDING PERMIT APPLICATION CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Sf- O(o3ooea 0323(.S 0000 Ehlcwya eki -i1n bedraon— d E Ieair,'r 5eirvit` 11 be, Ownex di scu csiud -phis w -H- House garage other Heat pump orwood- burning stove gas Ivt_ l ILhYl/ Ir,..r,..,. 433 Existing (sg. ft.) Pposed (sg. ft.) /')o, 300 Phon Phon Phone E -mail Lot rikResidential Multi family Commercial Industrial -I`o iu r in ,eJ/ors DLit tier z clad 4 lei a., dears J tear off re -roof lay over one layer fireplace pellet stove other .500 no& S'tb\f r and other impervious surfaces. (see PAMC 17 94 135 for exemptiops) 1 -10.5e/ Driveway 9( sQ 5idewaiK -1- t64'1 Sr 1,`1 6 995 Max. height of proposed structures /S ft. Occupancy group 1R3 Will a lawn sprinkler system be installed? /46 Occupant load Will a fire sprinkler system be installed? Construction type Print in ink For City Use Only Date Received Permit (`A ate Approved 452 -n-2 5 Wort_ 417 2310 gg3(Z Zoning RS persq.ft. Z.fo 9,6 3 800 W orj3 O v+:vD 9 remode-1 1 boo TOTAL VALUATION �2 S OO -Z /A) Lrr24 Signature z[ 3,5oo Wdv As-We Total footprint of structures 16 4tf sq. ft. T Lot size 7000 67°l sq ft. Lot coverage 02.44 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways sidewalks, patios, Site coverage A8. of bedroom 3 fu1 -da of full baths Z 3o}4( of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to wgrking on projects. Lot: 1 4 SL 3 Z2 Address. c2,5 ry 1 1 City c State W4 Zip 98362- Contact: A rill Phone:(W 411 Z3d 6 SIS L 7)-f/ Phone 2 FAX. Type of Heat Source: PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information. Building Department Use Only Permit Notes. Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U- Factor Option Alta of 'Floor Vertical, Overhead Wall Wall D r Ceiling Vaulted Above Interior Exterior Floor Slab on Factor Ceiling, Grade Below Below Concrete Grade Grade Unlimited Group R -3 IV and R -4 0.35 0.58 0.20 R -38 R -30 R -21 R 21 R -10 R -30 R 10 Occupancies Only This Project complies with the following: J The project is a single family residence or duplex. 4 The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. 4 The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception. 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U factor listed above. Leine"— Location of the door(s) taking exception. _re. L d ELL SL, Ia€I n e,, T:Forms /Building Division /Prescriptive Approach Simple Form 1✓ Y�r i rev bed Iota( heid -tr_5 1 1 1 I \I 524 0 Vs-A 1 \\el d 000(5 519 r 5th -e1M' Scdeo i'— fewce 13 I r f f 0 t 146 1 e c_sfter-;> 10, 15.01°,4,, 0 Le-GY, v 1 Nt 1 rw)17 -xdf10 "GI-1'7(113 ^1 7da 4i1 r ai?4‘4 1 4 \13 1 v 01 ""ME 1 111E I qg 1 g Golac Jeatsv I, tAetts 4 ABP 4 w� ss E �y .cam,1 b o Aar 21 g" frit Menke) 11) r) a %oc(1.4r 9 12 5 I4 5wl464 l S i rn p5ovx t rt.t s5 G.I' ps 2X IO IL" 0C &wa Rif 'n541(11 Gable C,rt Vew+ 3 ra-G zI 12 fR3o (45,.l44.. X3 KW' 1)14e IAT tisG. %2 /D AB C w .14.,, -l2 e Prece. et4 -0) rebcw- IL" (o" Li ve( 4,a-( foots- )1 6' ht.-) 2) re,{,c✓ I Imp (110,(..1+.-) 0, b -rrj w 'Pre eri. 'i'eere) roof 4 (ZJ ax 9 4i z (AD 1 2 6. 1 1 00 f Co MI 1-.1 11,-eirivi 51-0,11.5 419 Ey-c4A-0,1 2,7c Alternate Bracing Requirements in the First Story of Two -Story Building 3/8" wood structural panel sheathing both faces with 8d nails, 4" on edges Double Studs @12" oc field R602.10.6 #2 1 /2" x 10" AB /v 1 N Continuous footing 4 10' Max v 3000 pound holdown In the first story of two -story buildings, wood structural panel sheathing shall be on both faces, sheathing edge nailing spacing shall not exceed four inches on center, at least three anchor bolts shall be placed at one -fifth points, and tie -down device uplift capacity shall not be Tess than 3000 pounds. 3 1 0 11 X:21 4,044'1 „o> -0-vrif' -101,74 1 40 -1-v1 -210\ rw-z-tsr-s to.O Asaiscs. 1 14vas.j> Vern t o v t z c. Pi 0 6 4 a 1 7,11411111 re elf ,45 -0 rz 3 18 bd (1 "0 ie '13 P y2, 6013 otoi 5 I a 7" Sea cot tt,J /c P' s..) 4 AV 3 A 13P it emir, d A E 0 v V 1 t y Rabb 1 3'• t Vit P TtoN>eza,x. BED R CS 3 Cleo/ Qt. t. x 10 0 r 'r- 10 to' DI la 4 i�(4 Q,YN1 uric t4 7-0 k5ik t id (0" 1 g f� w 44)- U L 1..tn <j 10� tom+ 41 C frlf f yt. X 4 StASe o d s Hr Er, i toy-- h i t 4 An ID 1 k c.'' 1 per, Way FEN -1 trl 11;1 f •4D ..A Yf OF V ,ASS "V 68 kir f C' eN A t i- t p o 0 q 2 3 �p, 7 i %%k evo c r e4: " Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ~J's-7 ;>/,- 70 . ELECTRICAL PERMIT DATE-,Lti .- Site Address: . WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ;R Residentia~ Heat KW..:>- ~ Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercialllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) '!Xl New Construction /ej Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) }5. Overhead o Underg/~~~ Voltage . M10' 03.0' S'ervice size .2"0 Amps o Temporary Detai IslDescription: Nc0 ~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~ Rough-in/cover O.K. ~ O.K. to connect service ~ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: t.{) //.4k ~~~ Permit/Receipt No. ;2 8..57 Date: 'f) -.J /'-1?0 Site Address: S"02S-- . c. .(..4 Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457'O~1, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT If' 'i'? ~ ~ctor mount paid WHITE - fife by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall New Meters - - lil..l OLV,.."IC PRINTe:RS. INC. '. > CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. .J.- 7 ? ? DATE /f-:J-j -9,ey Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Totai Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair cY Overhead o Underground ~Itage ~10 03.0' Service size -:11J XTemporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (iist below) Amps Detai Is/Description: &L~ ~d~ . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. ~Jii O.K. to connect service o Final OK Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: ___ 5CJO Installer: Permit/Receipt No. d--7P Date: l?-,;) . Notify the Department of City Light by Street Address and Permit Number when ready for inspection_ Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224_ .,.)-.r: M'P.B' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall '" "......-- PA''''TEAS_ INC. CITY OF PORT ANGELES PERMIT APPLICATION mow" Building DivisionlElectrical Inspections RE CovED, -0 321 East Fifth. Street — P.O. Box 11501 Port Angeles Washington, 98362, ---tll Ph: (360) 417 -4735 Fax: (360) 417 -4711 OCT 2 7 204 � Date; OCTOBER 8,2014 1 & 2 Single Family Dwelling EUCTRIVAL ✓WSPEd.Tioi. Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address 525W53T117HST Building Square Footage: NIA Description of above MK-V -Y ROOFMOIlN= GRID- TIaoPV (SOLAR ELECTRIO)SYSTEM Owner Information Contractor Information Name; ANNETTE WARREN Name; POWER TRIP ENERGY CO Mai iing Address: 525 WEST 11TH ST Mailing Address; 83 6ENNY AVE City: PORT ANGELES State; WA Zip: 98363 city; PORT ANGELES State: WA Zip; 98368 Phone1380- 808 -2726 Fax; "A Phone: 360 -643 -3080 Fax: 38M394E57 License # 1 Exp. - License # 1 Exp, POWERTE934JN EXP ^"5x°15 Item Unit Chang Qt y Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service /Feeder 201 -40C Amp. $146.00 $ Service/Feeder 401 -60C Amp $ 205.00 $ ServicelFeeder 601 -1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp, $ 373.00 $ Branch Circuit WI Service Feeder $ 5,00 $ Branch Circuit WIO Service Feeder $ 63,00 1 $ 6s.co Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 75.00 $ Temp. Servicel Feeder 200 Amp. $ 93,00 $ Temp. Service/Feeder 201 -400 Amp, $ 110.00 $ Temp, Service/Feeder 401 -600 Amp. $ 149.00 $ Temp ServicelFooder 601 -1000 Amp , $ 16$.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuitl Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $ 120,00 $ Renewable Electrical Energy - 5KVA System or Less $ 102,00 1 $ 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 $ $ 165,00 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 PAW 14,05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator; © Cash ❑ Check Power Trip Energy Cory 83 Denny Ave Port Townsend, WA 98368 (360) 643 -3080 www.powertripc-nrzrgy.com Lic # POWERTE964JN Project: Annette Warren Residence Date: October 8, 2014 Client: Annette Warren Address: 525 W 11th St., Port Angeles, WA 98363 System Description: 4.58 kW SunPower PV, 14 @ 327 Watt modules, 6 kW Power One inverter Line Drawing: Solar Modules 4.58 kW PV Array System DC Disconnect Mounted on Southeast facing house Built into inverter roof. - 14 SunPower 327 watt monocrystalline modules Inverter Power One Aurora 6 kW synchronous inverter. Located on northwest exterior wall of attached garage. Max output: 6,000 watts Operating voltage: 240 VAC AC System Disconnect — Visibly Open & Lockable (Line) City of Port Angeles Located on northwest side of attached Electric Utilitv Grid garage adjacent to City of Port Angeles Electric Utility net meter. City of Port Angeles Electric Utility Net Meter Located on northwest exterior side of attached garage. Meter #: E1453 Production Meter Lino 1 Line 2 Main Service Panel Located on northwest side (Load) of attached garage. City of Load i Load 2 200 Amps located on Port Angeles Electric interior wall of house. Utility meter on northwest side of attached garage. Application Number . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER; Application type description Subdivision Name property Use Property Zoning .. . . . . . Application valuation . . . ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 14- 00001342 Date 11/04/7.4 442820 525 W 17TH ST 06-30-00-0-3- 2365 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor RESULTS: WARREN ANNETF'E R DITCH POWER TRIP ENERGY CORP. 525 W 11TH ST 2343 THOMAS ST PORT ANGELES WA 983627307 PORT TOWNSEND WA 98368 ROUGH -IN (360) 643 -3080 ly- Permit --. - -1 . - - - . ELEC`S'RICAL ALTER RESIDENTIAL Additional desc . . COMMENTS: Permit Fee . . . . 165.00 Plan Check Fee .00 Issue Date , , . . 11/04/14 Valuation 0 Expiration Date 5/03/15 Qty Unit Charge Per Extension 1..00 102.0000 ECH EL- RENEWASTF 5 -KVA OR LESS 102.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 - - - - -- -------- ------------------ Pee summary Charged - - - - -- - Paid Credited -- Due ----------- - -- - -- -------- Permit Fee Total. -- ---------- 165100 165.00 .00 .00 Plan Check Total '00 .00 .00 •00 Grand Total 165.00 165.00 00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL S COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANOMBULDING