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HomeMy WebLinkAbout427 E 10th St - BuildingPREPARED 9/23/10 8 40 19 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/23/10 ADDRESS 427 E 10TH ST SUBDIV TENANT NBR BRIAN AMY BORDE CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER BRIAN AMY BORDE PHONE (360) 460 0579 PARCEL 06 30 00 0 2 8875 0000 APPL NUMBER 10 00000386 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/07/10 JLL BLDG FOUNDATION FOOTING 9/07/10 AP September 7 2010 10 55 25 AM 1pangrle LANCE 460 0037 FOOTING September 7 2010 4 39 22 PM jlierly ufr installed jll BL99 01 9/23/10 J,L BLDG FINAL TIME 01 00 Al, September 22 2010 2 17 00 PM 1pangrle 1 KEN 460 0036 BUILDING FINAL FOUNDATION REPAIR AFTERNOON THE PERMIT IS BY THE ACCESS DOOR COMMENTS AND NOTES PREPARED 9/07/10 10 56 25 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/10 ADDRESS 427 E 10TH ST SUBDIV TENANT NBR BRIAN AMY BORDE CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER BRIAN AMY BORDE PHONE (360) 460 0579 PARCEL 06 30 00 0 2 8875 0000 APPL NUMBER 10 00000386 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/07/10 BLDG FOUNDATION FOOTING September 7 2010 10 55 25 AM 1pangrle LANCE 460 0037 FOOTING u 2J me COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000386 Date 4/20/10 Application pin number 462906 Property Address 427 E 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 8875 0000 Tenant nbr name BRIAN AMY BORDE Application type description RES REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5875 Application desc FOUNDATION REPAIR Owner Contractor BRIAN AMY BORDE PO BOX 311 PORT ANGELES (360) 460 0579 T:FormsBuilding Division/Building Permit WA 983620051 COZI HOMES CONSTRUCTION INC 324 E 9TH ST PORT ANGELES WA 98362 (360) 452 9906 Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDATION REPAIR Permit pin number 164061 Permit Fee 151 75 Plan Check Fee 98 64 Issue Date 4/20/10 Valuation 5875 Expiration Date 10/17/10 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 151 75 151 75 00 00 Plan Check Total 98 64 98 64 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 254 89 254 89 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. v'_ 10 .0", t Date Print Name Signature of Contractor or Amt o rized Agent Signature of Owner Of owner is builder) \c\ oc)\ 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. Inspection Type Date FOUNDATION Footings 4— 7-- 10 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 Fumace 1 FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab 1 Blocking Hold Downs 1 Skirting Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. n sr. iej n e)10c FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By C FA_ Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 0 Planning 417 -4750 Building 417 -4815 9'23 I0 3 LL 4 r T:Forms /Building Division /Building Permit Project Type Brief Des Check all that apply New Construction Addition Remodel epair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION 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 Applicant Property Owne,r /9 IVY r-Jje_.. Property Owner's Address Lf a" o Contractor H" tryn -e5 Contractor's Address License E*pirds cription. PROJECT ADDRESS LID 7 7 Parcel Number Residential Existing (sq. ft.) Proposed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Pho Phon Phone E -mail Multi- family Commercial per sq ft. For City Use Only Date Received 4-19 -10 Permit #4- 3 D ate Approved tJ(-;a nom Lot Zoning of bedrooms of full baths of half baths 0 0 3 C, Industrial x' 3rt 1 l CL. -1l r.a l Ctd.e- w i-1-1, 4- Y 1)1F �e i �1- 1� L L rt v o Lc A t S v ce- tp 0s-- 4_-e r—�ct 1 o House o garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other TOTAL VALUATION l S Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways, sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage 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 working on projects Date t/—I 7'10 Print Name f l k) Signature /a T Forms /Building Division /Bldg Pe :m t.doc Apr 08 10 02:53p Charles Burnell Z /3 -7 .1 rgruYNi ''L A e -1:7142s 5 4524094 ,1 t J (31-.34tt- j-,tv.um-t d )e e e i.a_d 40. t-" 4414- k.C4110 l eeirk h 1 v 1/01" Q t Q;Y�o p� CC *fir. k p.3 v) CILE GQ 7 1D G G� C� w CITY OF PORT ANGELES Construct Plans The- Issuance --of- this permit 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 jurisdiction. Zsao tP Approval Date a S r ra By C VIgt3? Uts 1U UZ:b..ip Charles Burnell t 4524 a,' o r••••• r7 1 Apr 08 10 02:54p Charles Burnell 8 CP fflirgiptI15 ?4!* 0 C !Orem ?res5lee_itectkrea iv% rcir\ alc ‘7. .-?6$1-cLAK i bar I ye ca ?e),5t jPe1r ,rcx+`113 dlat4 et 40)Am R e ,fcca-- conatAi33oL de 1 e?.‘fx" 42 X id' ez Fier 4524094 P 5 Clallam County Assessor Treasurer Property Details 58750 BRIAN AMY BORDE Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 58750 BRIAN AMY BORDE for Year 2009 2010 Property Account Property ID* Geographic ID Type Tax Area: Open Space Historic Property* N Multi- Family Redevelopment: N Location Address: 427 E TENTH ST PORT ANGELES Neighborhood: Neighborhood CD* Owner Name. Mailing Address. Taxes and Assessments Due Property Tax Information as of 04/19/2010 Amount Due if Paid on: Statement I 1 Year ID Taxing Jurisdiction 2010 41669 ST SCH STATE SCHOOL 2009587502008 1 2 60 6-5 8 75 6200 ti 520 2009 587502008 2009 587502008 2009 587502008 2009 587_502008 2009 587502008 2009 587502008 1 58750 0630000288750000 Real 0010 PA 121 PORT ST CNTY H2 L N Cycle 5 Res 10955130 2010 41669 CC -GEN COUNTY 2010 41669 PORT PORT 2010 41669 PORT ANG PORT ANGELES 2010 41669 SD #121 SCHOOL DISTRICT #121 2010 41669 NTH OLY LIB NORTH OLYMPIC LIBRARY 201_0 41669 HOSP #2 HOSPITAL #2 2010 41669 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 41669 CITY STOR_M_WA_TER CITY STORMWATER 2010 41669 WEED CONTROL WEED CONTROL 2010 41669 TOTAL. ST S CH STATE SCHOOL CC GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL CITY STORMWATER CITY STORMWATER Legal Description. Agent Code. Land Use Code 11 DFL N Remodel Property N Mapsco Map ID BRIAN AMY BORDE Owner ID* PO BOX 311 Ownership PORT ANGELES WA 98362 -0051 Exemptions 1 First Half I Base Due Second Half Base Due LOT 16 BL 288 14710 100 0000000000% $134 64 $134 65 $0 00 $71 67 $71 64 $0 00 $10 07 $10 07 $0 00 $165 90 $165 90 $0 00 $174 40 $174 40 $0 00 $20 82 $20 82 $0 00 $29 40 $29 39 $0 00 $9 36 $9 35 $0 00 Base Amoi Paid Due $0 00 $0 00 $26! $0 00 $0 00 $14. $0 00 $0 00 $2( $0 00 $0 00 $33 $0 00 $0 00 $341 $000 $000 $4 $0 00 $0 00 $51 Penalty I Interest $0 00 $0 00 $1/ $36 00 $36 00 $0 00 $0 00 $000 $7' $0 82 $0 81 $0 00 $0 00 $0 00 $653.08 $653.03 $0.00 $0.00 $0.00 $1301 $153.24 $153.23 $0 00 $0 00 $306 47 $77 55 $77 $0 00 $0 00 $155 10 $10 98 $10_99 $0 00 $0 00 $21 97 $1 1 76 10 $0 00 $0 00 $340.20 $l $189 50 $189 50 $0 00 $0 00 $379 00 $22.53 $22.54 $0 00 $0 00 $45 07 $31 80 $31 81 $0 00 $0 00 $63 61 $36 00 $0 00 $0 00 $72.00 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2009 &prop_id =58 4/19/2010 PREPARED 9/28/06 9 31 26 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/28/06 ADDRESS 427 E 10TH ST SUBDIV TENANT NBR AMY BORDE CONTRACTOR REDI CONSTRUCTION PHONE (360) 452 4582 OWNER BORDE BRIAN AMY PHONE PARCEL 06 30 00 0 2 8875 0000 APPL NUMBER 06 00000165 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 9/28/06 JLL BUILDING FINAL TIME 13 00 k mark 460 9491 09/27/2006 10 46 AM DYASUMUR COMMENTS AND NOTES OF ,ORT N ft elle WO CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000165 Date 2/15/06 Application pin number 501915 Property Address 427 E 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 8875 0000 Tenant name AMY BORDE Application type description RE ROOF /NV. C:?. Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY 3/ZOC Application valuation 8000 Ow ner BORDE BRIAN AMY PO BOX 311 PORT ANGELES WA 98362 Contractor REDI CONSTRUCTION 1032 E 4TH PORT ANGELES (360) 452 4582 WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 71308 Permit Fee 179 75 Plan Check Fee 00 Issue Date 2/15/06 Valuation 8000 Expiration Date 8/14/06 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL 2001 25K (14 PER K) 84 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 179 75 179 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 184 25 184 25 00 00 Signature of Contractor or thorized Agent Date T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Signature of Owner (if owner is builder) 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. D kt) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 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 PLANNING DEPT 417 -4750 I I PLANNING DEPT I BUILDING 417 -4815 I I I BUILDING I T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] ANGELES MILLWORK LUMBER CO INC 1601 S 'C' St. Port Angeles WA 98363 Bus. 457-8581 FAX 457-8896 angelesmillwork.com -pe Ig 3(-2 P oetr )?-ti,kA 7T� /bci ghte- i L4-44.1.,t4A z zy tAt CVD Employee Owned and Operated dr) HARTNAGEL BUILDING SUPPLY INC 833 E Front St. Port Angeles WA 98362 Bus 452-8933 FAX 452-8943 hartnagels.com Do 5 IA viA Ock E 00- r cA4-1- z FREE ESTIMATES FREE DELIVERY ORTNGELES W A S H I N G T O N U S A PUBLIC WORKS UTILITIES DEPARTMENT February 15, 2006 Redi Construction P 0 Box 3179 Port Angeles, WA 98362 RE. Port Angeles Landfill Waste Disposal Application, WDA 06 -07, Roofing Demo We have received your application for disposal ofbuilding demolition debris from the referenced site. Based on the information submitted the debris appears to be acceptable for use in the landfill. A copy of your approved application is attached. This approved application must be shown to the landfill scale attendant at the time of disposal. Please be advised that this disposal application is only for the materials and quantities listed in the application. Materials not listed or in excess of the quantities noted may require separate applications and approval. Please call if you have questions. Very truly yours, Gary W Kenworthy, P.E. City Engineer Deputy Director of Engineering Services G WK:tf Encl. WDA 06 -07 Copy Ken Loghry N:\PWKS\ENGINEER \WDAPPLIC \06 -07 WPD FILE: Landfill Solid Waste Disposal Applications 321 EAST FIFTH STREET P 0 BOX 1 150 PORT ANGELES WA 98362 -0217 PHONE 360 -417 4805 FAX 360 -417 4542 TTY 360 -417 4645 E MAIL publicworks@cityofpa us Application Number . . . . . 22-00000840 Date 7/11/22 Application pin number . . . 150080 Property Address . . . . . . 427 E 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-8875-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRIAN / AMY BORDE BLACK DIAMOND ELECTRICAL CONTR PO BOX 311 502 BLACK DIAMOND RD PORT ANGELES WA 983620051 PORT ANGELES WA 98363 (360) 460-0579 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 7/11/22 Valuation . . . . 0 Expiration Date . . 1/07/23 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 7/06/22,15:01:24 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000840 427 E 10TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Service NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/22/2022 22-840 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 427 E 10th St