Loading...
HomeMy WebLinkAbout1025 S Lincoln St - BuildingPREPARED 7/13/09 11 05 42 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/13/09 ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 4/09/09 JLL BLDG FOUNDATION 4/09/09 AP April 8 2009 4 05 48 PM 1pangrle DAVID 417 8194 FOUNDATION April 9 2009 3 01 15 PM jlierly April 9 2009 3 01 29 PM jlierly BL3 01 5/22/09 JLL BLDG FRAMING TIME O1 00 5/22/09 DA May 22 2009 8 29 32 AM 1pangrle The woman didn t leave her name 417 8194 framing (sunroom) afternoon May 22 2009 4 47 35 PM jlierly strap wall corners/ k brace/nail sheathing/ strap headers and topp plates/3x3x14 washers/jll BL3 02 5/29/09 JLL BLDG FRAMING 6/15/09 DA May 29 2009 8 19 39 AM 1pangrle JANICE 360 417 8194 FRAMING SHE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE I TOLD HER IT WILL PROBABLY BE IN THE AFTERNOON June 15 2009 8 48 22 AM 1pangrle BL99 01 6/04/09 JLL BLDG FINAL 6/15/09 DA June 4 2009 8 59 41 AM 1pangrle DAVID 417 8194 FINAL June 15 2009 8 48 35 AM 1pangrle BL3 03 6/16/09 JLL BLDG FRAMING 6/16/09 AP June 15 2009 8 43 44 AM 1pangrle JANICE 417 8194 FRAMING June 16 2009 4 59 43 PM jlierly BLI O1 6/22/09 JLL BLDG INSULATION 6/22/09 AP July 13 2009 11 00 39 AM 1pangrle INSULATION July 13 2009 11 01 04 AM 1pangrle BL99 02 7/13/09 AL BLDG FINAL July 13 2009 11 01 29 AM 1pangrle BLDG FINAL - COMMENTS AND NOTES PREPARED 6/22/09 9 00 14 INSPECTION TICKET PAGE CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 4/09/09 JLL BLDG FOUNDATION 4/09/09 AP April 8 2009 4 OS 48 PM 1pangrle DAVID 417 8194 FOUNDATION April 9 2009 3 01 15 PM jlierly April 9 2009 3 01 9 PM jlierly 8L3 01 5/22/09 JLL BLDG FRAMING TIME O1 00 5/22/09 DA May 22 2009 8 29 32 AM 1pangrle The woman didn t leave her name 417 8194 framing (sunroom) afternoon May 22 2009 4 47 35 PM jlierly strap wall corners/ k brace/nail sheathing/ strap headers and topp plates/3x3xl4 washers/jll BL3 02 5/29/09 JLL BLDG FRAMING 6/15/09 DA May 29 2009 8 19 39 AM 1pangrle JANICE 360 417 8194 FRAMING SHE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE I TOLD HER IT WILL PROBABLY BE IN THE AFTERNOON June 15 2009 8 48 22 AM 1pangrle BL99 01 6/,4/09 JLL BLDG FINAL 6/15/09 DA June 4 2009 8 9 41 AM 1pangrle DAVID 417 8194 FINAL June 15 2009 8 48 35 AM 1pangrle BL3 03 6/ 6/09 JLL BLDG FRAMING ' 6/16/09 AP June 15 2009 8 43 44 AM 1pangrle JANICE 417 8194 FRAMING - une 16 2009 4 59 43 PM jlierly BL99 02 6/22/09 BL NAL TIME 03 00 li June 22 009 B 57 it AM 1pangrle DAVID 417 94 ,V) .BLDG FINAL PLEASE INS CT BETWEEN 3 00 5 00 P - - - OMMENTS AND NOTES - 1 6/22/09 PREPARED 6/16/09 9 25 22 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/16/09 ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 4/09/09 JLL BLDG FOUNDATION 4/09/09 AP April 8 2009 4 05 48 PM 1pangrle DAVID 417 8194 FOUNDATION April 9 2009 3 01 15 PM jlierly April 9 2009 3 01 29 PM jlierly BL3 01 5/22/09 JLL BLDG FRAMING TIME O1 00 5/22/09 DA May 22 2009 8 29 32 AM 1pangrle The woman didn t leave her name 417 8194 framing (sunroom) afternoon May 22 2009 4 47 35 PM jlierly strap wall corners/ k brace/nail sheathing/ strap headers and topp plates/3x3xl4 washers/jll BL3 02 5/29/09 JLL BLDG FRAMING 6/15/09 DA May 29 2009 8 19 39 AM 1pangrle JANICE 360 417 8194 FRAMING SHE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE I TOLD HER IT WILL PROBABLY BE IN THE AFTERNOON June 15 2009 8 48 22 AM 1pangrle BL99 01 6/04/09 JLL BLDG FINAL 6/15/09 DA June 4 2009 8 59 41 AM 1pangrle DAVID 417 8194 FINAL June 15 2009 8 48 35 AM 1pangrle BL3 03 6/16/09 L BLDG FRAMING I_ i June 15 2009 8 43 44 AM 1pangrle JANICE 417 8194 FRAMING COMMENTS AND NOTES PREPARED 6/04/09 9 10 02 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/04/09 ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 4/09/09 JLL BLDG FOUNDATION 4/09/09 AP April 8 2009 4 05 48 PM 1pangrle DAVID 417 8194 FOUNDATION April 9 2009 3 01 15 PM jlierly April 9 2009 3 01 29 PM jlierly BL3 01 5/22/09 JLL BLDG FRAMING TIME O1 00 5/22/09 DA May 22 2009 8 29 32 AM 1pangrle The woman didn t leave her name 417 8194 framing (sunroom) afternoon May 22 2009 4 47 35 PM jlierly strap wall corners/ k brace/nail sheathing/ strap headers and topp plates/3x3xl4 washers/jll BL3 02 5/29/09 --.ILL BLDG FRAMING May 29 2009 8 19 39 AM 1pangrle JANICE 360 417 8194 FRAMING SHE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE I TOLD HER IT WILL PROBABLY BE IN THE AFTERNOON BL99 01 6/04/09 JLL - BLDG FINAL June 4 2009 8 59 41 AM 1pangrle DAVID 417 8194 FINAL COMMENTS AND NOTES too0`�� aa�e� PREPARED 5/29/09 8 23 16 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/29/09 ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO 01 4/09/09 JLL BLDG FOUNDATION 4/09/09 AP April 8 2009 4 05 48 PM 1pangrle DAVID 417 8194 FOUNDATION April 9 2009 3 01 15 PM jlierly April 9 2009 3 01 29 PM jlierly BL3 01 5/22/09 JLL BLDG FRAMING TIME O1 00 5/22/09 DA May 22 2009 8 29 32 AM 1pangrle The woman didn t leave her name 417 8194 framing (sunroom) afternoon May 22 2009 4 47 35 PM jlierly strap wall corners/ k brace/nail sheathing/ strap headers and topp plates/3x3xl4 washers/jll BL3 02 5/29/09 {�L-'//��— BLDG FRAMING May 29 2009 8 19 39 AM 1pangrle • JANICE 360 417 8194 FRAMING SHE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE I TOLD HER IT WILL PROBABLY BE IN THE AFTERNOON COMMENTS AND NOTES A 41 P� PREPARED 5/22/09 8 41 05 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO 01 4/09/09 JLL BLDG FOUNDATION 4/09/09 AP April 8 2009 4 05 48 PM 1pangrle DAVID 417 8194 FOUNDATION April 9 2009 3 01 15 PM jlierly April 9 2009 3 01 29 PM jlierly BL3 01 5/22/09 J_ LL BLDG FRAMING TIME 01 00 May 22 2009 8 29 32 AM 1pangrle The woman didn t leave her name 417 8194 framing (sunroom) afternoon COMMENTS AND NOTES PAGE 2 DATE 5/22/09 �Ww *P�r,G UcpS1G,a ee L 412, r PREPARED 4/09/09 8 35 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/09/09 ADDRESS 1025 S LINCOLN ST SUBDIV TENANT NBR DAVID A LUNN CONTRACTOR PHONE OWNER DAVID A LUNN PHONE (360) 417 8194 PARCEL 06 30 00 0 3 2950 0000 APPL NUMBER 09 00000242 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 4/09/09 LL BLDG FOUNDATION April 8 2009 4 05 48 PM 1pangrle DAVID 417 8194 FOUNDATION COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION (- 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000242 Date 4/08/09 255418 1025 S LINCOLN ST 06 30 00 0 3 2950 0000 DAVID A LUNN RES ADDITION RS7 RESDNTL SINGLE FAMILY 2430 Application desc ADD AN 81 SQ FT ENCLOSED PORCH Owner Contractor DAVID A LUNN OWNER 1025 S LINCOLN ST PORT ANGELES WA 983627849 (360) 417 8194 Structure Information 000 000 ADD AN 81 SQ FT ENCLOSED PORCH Permit BUILDING PERMIT RESIDENTIAL Additional desc 81 SF ENCLOSED PORCH Permit pin number 143099 Permit Fee 109 75 Plan Check Fee 71 34 Issue Date 4/08/09 Valuation 2430 Expiration Date 10/05/09 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments April 7 2009 4 50 37. PM sroberds The proosal will result in a 81 sq ft enclosed porch in the RS 7 zone for total lot coverage of 20% and site coverage of 41% No land use issues are anticipated Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 71 34 71 34 00 00 Other Fee Total 4 50 4 50 q0 00 Grand Total 185 59 185 59 6o 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 n4(ifneris builder) T:FonnsBuilding Division/Building Pennit 0 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION N — q —OLI Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab Rough -In Q Water Line (Meter to Bldg) N Gas Line Back Flow / Water I FINAL Date Accepted by AIR SEAL. Walls Ceiling r FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs I Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar a INSULATION _ 2Z-09 ' � L Lj Slab Wall / Floor / Ceiling + O MECHANICAL. ( 7 Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line f � V ) Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE C� Inspection Type Date Accepted By V's Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 �.. ; Building 417-4815 7— 13 — 01 Tj-L' s T.Forms/Building Division/Building Permit BUILDING PERMIT APPL/ ATION Print in ink f CITY OF PORT ANGELES For City Use Only Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 Date Received (360) 417-4815 fax (360) 417-4711 ermit # ate Approved Applicant )4V,/0 f% ._1IAI11/ Ph e//30-417 Siff Property Owner � via A. 4 1�%1i1� Ph ne�04 TA//7-,9j?11 Property Owner's Address 101_ 'S',,U�,(N S7' f�QR%/9 �n /A 993 -1 Contractor �'��,Ti ©W/Y9Q ,UJB'/iii, GI�YIY Phone Contractor's Address 1,011- S, IUWC-04,41 S)7, "s 17 A16.,FAP? PV/49, 9S3G� License # Expires E-mail PROJECT ADDRESS /64r s;1,1CICOXir %�i 983G� Parcel Number Lot 14 11 Zoning R s-7 Proiect Tvne & Brief Description. Check all that apply ❑ New Construction Addition AA S ❑ Remodel ❑ Repairer ❑ Demolition Residential ❑ Multi -family ❑ Commercial ❑ Industrial sQ . F+ . t_, � ` •hey �1�,e✓l l - .�_ s i deG1 w � hd ac.�c i ❑ Re -roof ❑ House ❑ garage ❑ other ; ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existin (sq. ft. Proposed (sp. ft. Basement I @ $ 1 St Floor 7Q? 2nd Floor /•yij ,� OFT 3`d Floor Garage Carport Covered Porch rj,�4 Deck Shed 6,V Other per sq ft. = $ OA �S)e T j TOTAL VALUATION $ a tt3 o Total footprint of structures �� sq ft. - Lot size�,) 185 sq ft. = Lot coverage �� q % /have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, 'alnd to obtain permits prior to rkingon(j T Forms/Building Division/Bldg Permit.doc�ecrts. Date 3 �gV 7 Print Name �,R 11,1D A, AUAW Signature AzAi ' [�I � Site Coverage =the amount of impervious surface on a parcel, includi g structures paved driveways, sidewalks patios, and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage 4w SiaewaiK©rdnveud��'� I��$O �a F+ ti,393=�jg73--6,gsy, Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? )Vo_ Occupant load # of full baths Will a fire sprinkler system be installed? &o Construction type # of half baths FA 3e" 00 fp ro HDU. cv 20 4-1 CA A 20 03 //-rg 5r .......... �� I c n ra d `XU N 'I�N �yy .may._-��.�/. ,t._�I ,L � _/�.. _.t �►.iZ ,/..��_ � I �n.� � � C�L�� �,. t •�� �j ��r?7."esl: • I .�r� z..Y� �'�-'F {+� �' `� �^'�.. G.� � ins : �ifA�.a� p � trp. t:{ �L. � y +4 ►�I +. 1_ RECEIVE® JUN 0 3 2009 �-c. 4 >1. Pyr- lop, _C*a .. �� _� �.� dvi CIT' OF PORT ANGEL66 i - BUILDING DIVISW,4 �o � )e - t4 LL. *a PC Rrq�'CY Applicant or Agent BUILDING PERMIT APPLICATi • Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 I-Gl v Phone Property Owner 1-.)14 1)//j X. / Phone Property Owner's Address /p s' S 3 Contractor/Engineer % Phone Contractor/Engineer's Address License # J(9 COA(6C9,3,O _Z- / Expires // For City Use Only Date Received 1- J ; -O iS Permit # O9;-( (n Date Approved 3I©., /J/7 -- (TX A// .3 6 6 --/�o — MY i PROJECT ADDRESS Parcel Number Lot Zoning e- ^.P4 yuTi- Tin e41 , �o Pro'ect T e & Brief Description: Residential/ ❑ Commercial ❑ Multi -family ❑ Industrial l Vp o / / Check all that apply �� C Hf, f, �O ,S a� C ❑ New Construction 'L11 �� ,�,�` T X'Addltion ❑ Remodel ❑ Repair ❑ Re -roof ❑ Demolition ❑ Sign ❑ Heat System ❑ Other Floor Areas Basement 15' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint /1f C r^S'f 0A, V/- 1-/ Q, Pofek-w oti-�-,1 `I ❑ wall -mounted ❑ projecting ❑ freestanding ❑ awning ❑ other Total sign are sq ft. Maximum allowed sign area sq ft ❑ Heat pump❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other Existing s . ft. Proposed (sq. ft.) l� v — _ @ $ vrl per sq ft = $ rfl� Ar,v C 0, lTOTAL VALUATION $ /, o ctures sq ft T Lot size K'q % sq ft = Lot coverage �a. % Max height 01proposed structures ft Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type l have read and completed this application and know it to be true and correct understand that it is my responsibility to determine what permits are required, projects / Date 1'/,�(� 0Print Name IJA V1,0 /9 • A 60V14 Signatu T Forms/Building Division/Bldg Permit Appi -2006 Code doc # of bedrooms # of full baths # of half baths I am authorized to apply for this permit and and t obtain p/e�rmits pnor to working on re �xs cn P PREPARED 1/15/08, 13:53:09PAYMENTS DUE RECEIPT CITY OF PORT ANGELES Nv*[*A �-- L a N N PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 08-00000066 1025 S LINCOLN ST ,FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES BUILDING PERMIT - RESIDENTIAL STATE SURCHARGE TOTAL DUE 71.90 179.75 4.50 256.15 Please present this receipt to the cashier with full payment. 'INN, qg DUN TONS - viz. 4k4k 4t, An s .F. I 14N I "All-, le!z r4Z V22 /'ll 4CJ6 7 61 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 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 . . . . 04-00000563 Date 6/29/04 .387153 . . . 1115 S LINCOLN ST 06-30-00-0-3-4260-0000- . . . ELECTRICAL ONLY . . . RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor ROUSH, PHILLIP/KATHY OWNER 1421 W 5TH ST PORT ANGELES WA 983622740 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc 400A SERVICE 94.80/SUB(5)22.70 Sub Contractor STRAITS ELECTRIC Permit Fee . . . . 208.30 Plan Check Fee .00 Issue Date . . . . 6/29/04 Valuation . . . . 0 Expiration Date . . 12/26/04 Qty Unit Charge Per Extension 5.00 22.7000 ECH EL -RM -0-200 ADD SRV FEEDER 113.50 1.00 94.8000 ECH EL -RM -201-400 1ST SRV FEEDER 94.80 Fee summary Charged- --------------- -Paid Credited ---------- Due Permit Fee Total 208.30 208.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 208.30 208.30 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T \PLANNING\FORMS\1102 15 [11/14/20031 Date Signature of Owner (if owner is builder) Date 10