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HomeMy WebLinkAbout1830 W 4th St - BuildingPREPARED 9/29/04 12 42 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/29/04 ADDRESS 1830 W 4TH ST SUBDIV CONTRACTOR K C CONTRACTING PHONE (360) 452 4856 OWNER MUHM JAMES E /BETTY I PHONE PARCEL 06 30 00 0 1 4436 0000 APPL NUMBER 04 00000579 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/01/04 JLL BUILDING FOUNDATION FOOTING 7/01/04 AP John 460 7581 BAIR 01 7/26/04 RV BUILDING AIR SEAL 7/26/04 AP 460 7581 BLI 01 7/26/04 RV BUILDING INSULATION 7/26/04 AP wall insulation only wall insulation only Needs to install metal duct on exhaust fan in bath room BL3 01 7/26/04 RV BUILDING FRAMING 7/26/04 AP 460 7581 BL99 01 9/29/04 JLL BUILDING FINAL KEN 452 4856 COMMENTS AND NOTES PREPARED 7/26/04 12 41 48 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1830 W 4TH ST CONTRACTOR K C CONTRACTING OWNER MUHM JAMES E /BETTY I PARCEL 06 30 00 0 1 4436 0000 APPL NUMBER 04 00000579 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/01/04 JLL BUILDING FOUNDATION FOOTING 7/01/04 AP John 460 7581 BAIR 01 7/26 04 JL BUILDING AIR SEAL 460 7581 BL3 01 7/26/04 JLL BUILDING FRAMING OK, 460 7581 COMMENTS AND NOTES SUBDIV PHONE (360) 452 4856 PHONE PAGE 3 DATE 7/26/04 Wee' l< 1A— ce 000-nr\ PREPARED 7/20/04 12 32 43 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/20/04 ADDRESS 1830 W 4TH ST SUBDIV CONTRACTOR K C CONTRACTING PHONE (360) 452 4856 OWNER MUHM JAMES E /BETTY I PHONE PARCEL 06 30 00 0 1 4436 0000 APPL NUMBER 04 00000579 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 7/20/O.4 L PLUMBING ROUGH IN TIME 17 00 hi& JOHN 457 4500 PL2 01 COMMENTS AND NOTES PREPARED 7/01/04 13 16 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/01/04 ADDRESS 1830 W 4TH ST SUBDIV CONTRACTOR K C CONTRACTING PHONE (360) 452 4856 OWNER MUHM JAMES E /BETTY I PHONE PARCEL 06 30 00 0 1 4436 0000 APPL NUMBER 04 00000579 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/01/04 JLL BUILDING FOUNDATION FOOTING John 460 7581 COMMENTS AND NOTES Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor MUHM JAMES E /BETTY I 1830 W 4TH ST PORT ANGELES WA 98363 04 00000579 814418 1830 W 4TH ST 06 30 00 0 1 4436 0000 RES REMODEL RS7 RESDNTL SINGLE FAMILY 20000 K C CONTRACTING P 0 BOX 2261 PORT ANGELES (360) 452 4856 Date 6/30/04 WA 98362 Permit MECHANICAL PERMIT Additional desc Permit Fee 54 25 Plan Check Fee 00 Issue Date 6/30/04 Valuation 0 Expiration Date 12/27/04 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 7 2500 ECH ME VENT FAN 7 25 Permit PLUMBING PERMIT Additional desc Permit Fee 75 00 Plan Check Fee 00 Issue Date 6/30/04 Valuation 0 Expiration Date 12/27/04 Qty Unit Charge Per Extension BASE FEE 47 00 4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 28 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc CONVERT GARAGE TO BEDROOM Permit Fee 344 75 Plan Check Fee Issue Date 6/30/04 Valuation Expiration Date 12/27/04 Qty Unit Charge Per Extension BASE FEE 92 75 18 00 14 0000 THOU BL -2001 25K (14 PER K) 252 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 474 00 474 00 00 00 Plan Check Total 137 90 137 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 616 40 616 40 00 00 137 90 20000 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. Q C. 4 led 73 T PLANNING \FORMS\ 1102.15 [11/14/2003] Signature of Contractor or Authorized Agent Date SigKature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. 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 'ES I NO FOUNDATION: FOOTINGS I i o J r WALLS I I FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I PLUMBING UNDER FLOOR SLAB I ROUGH -IN I �!T I J, �e WATER LINE (METER TO BLDG) I GAS LINE I BACK FLOW WATER AIR SEAL n I WALLS I'). K V CEILING I FRAMING JOISTS GIRDERS I SHEAR WALL /HOLD DOWNS I WALLS ROOF CEILING 9 91"aq d V DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR I INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE 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 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 I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I I I BUILDING 417 -4815 17-9/-04 LI 14 I I BUILDING I I I T \PLANNING \FORMS \1102.15 [11/14/2003] Applicant or Agent: eci Owner t):_ o' I' )`r Address i r i Architect/Engineer Fill out COMPLETELY and in INK. Your 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 Contractor IC i e c +f, State License #:Kc? l.r)40 Exp Y/ y A105" Phone 2 Address. f=�1� J' �C U z „,wy9 r Ci t` }�v a r c 00, Zip �i PROJECT ADDRESS r`) (1) 4 PA ZONING LEGAL DESCRIPTION Lot: '7 fi r— gK Block 1 1- v rCYi Subdivision. Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT 1-(©o BUILDING PERMIT APPLICATION Re roof Move Demolition COMMERCIAL/RESIDENTIAL. Occupancy Group Existing Sq Ft. Total lot coverage C ity ._13 ��f= Stove Garage Deck Other Nit City. Phone( 4 Phone r Zip Cflr?i Phone CLALLAM COUNTY PARCEL NUMBER. ©C F, C r,e) 1 1 g roc c! No of Stories Lot Size: PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. Exp. Date: FOR OFFICIAL USE ONLY Date Rec. x' Permit 1:14 7r Date Approved: /Date Issued. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 2.fn OCb cw V APPROVALS. PLAN BLDG DPWU FIRE. OTHER BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 written request by the applicant (see Section 107 4 of the Uniform Building Code, current edition) 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 ust obtain such permits prior to work, T •\FORMS\APPS\Buildingpermit.wpd Applicant_ Date ("r, (lc/ Q/ A e) o j e 3YS t5'f2 G. L. KDR REmolt o'C to(e. HER. 06►- FLR 30 \SIS V ti19E),.. G L �lDR '3.itG (3tnt T this FILE CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdictio (SECIION 303(c) l niform luilding Code.) Approval Date k °"1 d L f By FAST ROOF SYSTEM 318 A13/2. G.L. 4*DR. REMOVE EX►ST BRG.WALL 4 l c' _EllsT Conic SLAB 3 /4" r 6 G PLR pANE LS 1)01 Jot STS 1(0" O.0 RE3o 1NSUL 2 M∎ PoN Y WALL `N/ P T SOLL PLATE ABL TOP PLATE E. STUDS 6 •A o,c _FuRR E) 5T STUDS To AccSa‘V\ODAll R- 1` NS \I\_ S pas s 4 r) u1Se_ Coo 1/ L. HGRS ON 2x8 LEDGER Sc J l c �A.c �c C- C a 0 v_ t'• Q a W Q ~ ,ORT ~ !>~~":~ ~ha~ "-~ -=- ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000579 Date .814418 1830 W 4TH ST 06-30-00-0-1-4436-0000- RES REMODEL 7/22/04 RS7 RESDNTL SINGLE FAMILY 20000 Owner Contractor MUHM JAMES E/BETTY I 1830 W 4TH ST PORT ANGELES WA 98363 K C CONTRACTING P. O. BOX 2261 PORT ANGELES (360) 452-4856 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 2 CIRCUITS ELECTRIC SERVICE 48.10 Plan Check Fee 7/22/04 Valuation 1/19/05 -- .00 o fJ o Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Other Fees STATE SURCHARGE 4.50 c Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 . J:.. \~ 1<\ 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] ~- u_~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II II -... ROUGH-IN 7~ :J. Z- - oLfI ~(X JI 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 DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMITlI'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 1~)'9~bq, J.r};) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] ~ FROM FRX NO. Jul. 19 2004 07:46RM P1 v \\ (i' ORT . .' .~ . t I ._. [/[-1/.__.___ _h. I ELECTRICAL PERMIT APPLICATION I'OA ~1I"'JC:l".L '..~ O!'l~.Y Oill""I1I:: h'...I. Pal"^""roI/~d'_~ DtI..I_d" The Electrical Permit ApPlicauan must be tnleel out comDletely_ Ple..e typo ar repriM In Ink. If yau nave any questian.. please call (36D) 417-4735 Fa. numbor: (36D) 417-4711 aLl - 577 OiNfler or Eler:. Contractor 'Agent: E l.a.cJ'r); Prop~rty owner~~YY"\ Addre..: \ lC-::) b w Y CHy.J..1+- Electrical CDnlrDc\ar:~-t~1 'L r({rl; "1'0.,., [n,._ . U08noe1l: ~~~~ Exp: Add,ess: ~:l. nf'1'L' V l\, t1.1 t?J City P'l!)rl An bL-I.l!$ INSTAL.L.ATION WIRED ~y; r: OWNE~. ~ELECTRICAJ... CONiAACTOR _~-:-~- Lu S&Nia .1~Phone: . '16 '} -~ 'f2'/Fax. '1 ~ 'J. - "..y 2~ Phone: Zip: ?d'.5~?' q //"{/o) pnane:I.f'5~~rrt~ , Zip: <:]93 "2 Credit Card Holder Name: BIlling Address: I Credit Card Numbe~: Zip: VlSA:_ MC: Exp. Dale: I \~30 W '-1.1..... PROJECT ADDRESS: TYPE OF WORK: Check all that apply: 0 New :J AlteratlonlAddltion "it. Residential c: M~!ti-femlly CI Remote Meter 0 Detached garage 0 Hot Tub CJ Swlm Pool 0 Septic Pump I Number of Cltcuils added or allered. -:;? DESCRIPTION OF TH~ ELECTRICAL PROJECT: G Of....} h ..... , '2 r ~ i I^( ...:W}.;J o Commercial Cl Mob~e Home Sq. Ft "0 o Low Voltage 0 Telecom. 061gn ~ - -r-~ 1II/-J'T dAJ _ I Electrical Heet Load Additions and or Subtractions Service Information o Baseboard Cl Furnace D Heat Pump o Fan-Wall ~ ~ ,TON LRA -'KW-' D Overhead Service (j Temp Service o Underground Service Voltage: Pha.e: 0 1 0 3 Service Size: Feeder Size: ~ - ~ \O~ I' jJv^ 't~\~ ~ I I hereby certify thalt I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not tha City's legal responsibility to determine what permjts are requirad; it re~ains the applicants responsibility to determine what permits are required and to obtain such. ~'11~ ...., t7/t1lrl'f - -___.t. Date: 1/1' !O':/ if3.JO Credit Card Holder's Signature: Owner or Elee. Cont. Signature: 1 ::IELECTRJCALPERYITtPLlCATION 7- Z-z-()<j ;ej.L..- ;4tJO 7/;91041 ~0t/ /i/v.4L PERMIT FEE: $ CITE' OF PORT ANGELES PERIMIT APPLICATION Building DivisionMectrical Inspections 321 East Fifth Street -- F.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: o `1-1 K1& 2 Single Family Dwelling k Plan Review May Be Required, Please Complete Electrical` Plan Review Information Sheet Job Address; Building Square Footage; Description of above C, 12 Gv i r U •P Owner Information Name: InVe Mailing Address: Vt1 TN City; Stale: Zip; Phone; Fax: License # 1 Exp. Item Unit Charge ServlcefFeeder.200 Amp, $120.00 Service /Feeder 201 -404 Amp, $146.00 Service /Feeder 401 -600 Amp $ 205,00 Servica /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 201 -400 Amp. $110.00 Temp. ServicelFeeder 401 -60C Amp. $149.00 Temp, ServicelFeeder 601 -1000 Amp . $168,00 Portal to Portal Hourly $ 96,00 Signai Clmuitl Limited Energy - 1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewabfe 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 $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contract�nFo mation Name; _ ��{{�� �_ Mailing Address: City: State: Zip: Phone; Fa X License # 1 Exp, 1L_ City Total (Qty Multiplied by Unit Charge) $ $ —�— $ $ $ $ $ $ $ $ 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 t 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.B,C„ RCW. Chapter 99,28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, trical contractor or electrical administrator: 12 Cash Check Cl Credit Card # x Dated: �' V /r �I . 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . . . . 19- 00001183 Date 10/02/14 Application pin number . . . 127132 INSPECTOR: Property Address , . . , 1830 W 4TH ST ASSESSOR PARCEL NUMBERT 06-30-00-0-1- 4436 -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision [lame . , . , , , ROUGH -IN Property Use Property Zoning . . , . , . . RS7 RESDNTL SINGLE FAMILY Application valuation , , , , 0 COMMENTS: Application desc Ductless heat pump Owner Contractor . MUHM JAMES E /BETTY I BLACK DIAMOND ELECTRICAL CONTR 1830 W 4TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 565 -1035 Permit . . . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 63.00 Plan Check Fee Q0 Issue Date 10/02/14 Valuation 0 Expiration Date 3/31/15 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ 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 .00 Grand Total 63,00 63.00 OD .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 kL FINAL COMMENTS: PERMU WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IFXCHANGEIBUILDING r l