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HomeMy WebLinkAbout421 E 3rd St - BuildingApplication Number 10 00000040 Application pin number 996960 Property Address 421 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 6 5 0030 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Rewire existing 10 circuits Owner Contractor MYERS DAVID A 421 E 3RD ST PORT ANGELES WA 983623204 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 OWNER Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 159467 Permit Fee 96 90 Plan Check Fee 00 Issue Date 1/14/10 Valuation 0 Expiration Date 7/13/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 9 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 23 40 Fee summary Charged Paid Credited Due Permit Fee Total 96 90 96 90 00 00 Plan Check Total 00 00 00 00 Grand Total 96 90 96 90 00 00 Geru-*.q 3 b4 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS VACI 7/15 DATE RESULTS o s Date 1/14/10 r�►��� r� S,F� fi Signature of owner or Electrical Contractor X Date INSPECTOR. CITY OF PORT ANGELES PERMIT APPLICATION IJAN 13 2009 Building Division/Electrical Inspections E LECT R 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 983621 ECT TIO CA L N S Ph (360) 417 -4735 Fax. (360) 417 -4711 Date. I 1 Si le Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete lec rical Ian Review Informs ion Sheet Job Address: 4 1 l et54 3 S'i V 6er a t 5 b Z Building Square Footage: 1 1 Description of above C% el R L Q i,%1 1 Owner I rmation hh� Contractor Information Name: .v1 :AD'S I�t-i e.•.rs CN ;;12.9 Name: Mailing Address: yZ/ S '6.M._ *-I2t c. 1,.1 e ty Mailing Address: City _Py-Pt c Sta e: .;Jk Zip: C.4 2_ City State: Zip: Phone: a. ax: Phone: Fax: License Exp. License Exp. Item Unit Charae Qty Total Kit/ Multiplied by Unit Charge} Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 '73 `'U Each Additional Branch Circuit 2.60 23'40 Temp Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Ih !9 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.0 RCW Chapter 19.28, 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 electrical contractor or electrical administrator Dated: RECEIVED Ca�fi Check Credit Card 0110112010 54 6e& GQq,SS" c nh PREPARED 2/05/10 8 46 08 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/05/10 ADDRESS 421 E 3RD ST SUBDIV TENANT NBR DAVID A MYERS CONTRACTOR PHONE OWNER DAVID A MYERS PHONE (540) 686 6935 PARCEL 06 30 00 6 5 0030 0000 APPL NUMBER 09 00001056 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/19/10 JLL BLDG FRAMING TIME 01 00 1/20/10 DA January 13 2010 3 28 26 PM 1pangrle DAVID 540 686 6935 FRAMING AFTERNOON January 20 2010 9 23 30 AM jlierly this was a consult only not ready for inspections finish plumbing framing electrical and mech rough jll BL3 02 2/01/10 PB BLDG FRAMING 2/01/10 DA February 1 2010 9 21 44 AM 1pangrle DAVID 540 686 6935 FRAMING February 1 2010 5 01 45 PM pbarthol air seal plumbing needs to be on test h clips on roof rafter BL3 03 2/03/10 PB BLDG FRAMING TIME 01 00 2/04/10 AP February 2 2010 3 13 29 PM 1pangrle DAVID 540 686 6935 FRAMING AFTERNOON February 4 2010 8 48 18 AM pbarthol BAIR 01 2/04/10 PB BLDG AIR SEAL 2/04/10 AP February 4 2010 8 49 51 AM pbarthol February 4 2010 8 50 23 AM pbarthol BLI 01 2/05/10 JL BLDG INSULATION TIME 01 00 �1 L February 5 2010 8 43 21 AM 1pangrle .at/ DAVID 540 686 6935 INSULATION AFTERNOON COMMENTS AND NOTES PREPARED 2/03/10 8 30 59 INSPECTION TICKET PAGE 6 CITY CF PORT ANGELES INSPECTOR AMES LIERLY DATE 2/03/10 ADDRESS 421 E 3RD ST SUBDIV TENANT NBR DAVID A MYERS CONTRACTOR PHONE OWNER DAVID A MYERS PHONE (540 686 6935 PARCEL 06 3D 00 6 5 0030 0000 APPL NUMBER 09 00001056 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENi'IAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/19/10 JLL BLDG FRAMING TIME 01 00 1/20/10 DA January 13 2010 3 28 26 PM 1pangrle DAVID 540 686 6935 FRAMING AFTERNOON January 20 2010 9 23 30 AM j ierly this was a consult only not ready for inspections finish plumbing framing electrical and mech rough jll BL3 02 2/01/10 PB BLDG FRAMING 2/01/10 DA February 1 2010 9 21 44 AM 1pangrle DAVID 540 686 6935 FRAMING February 1 2010 5 01 45 PM pbarthol air seal plumbing needs to be on test h clips on roof rafter BL3 03 2/03/10 JLL BLDG FRAMING TIME 01 00 1 February 2 2010 3 13 29 PM 1pangrle ?/3 FRAID 540 686 6935 FRAMING AFTERNOON 44 COMMENTS AND NOTES h-61)411 iN //E /P AEPARED 2/01/10 9 24 49 CITY OF PORT ANGELES ADDRESS 421 E 3RD ST TENANT NBR DAVID A MYERS CONTRACTOR OWNER PARCEL APPL NUMBER BL3 02 2/01/10 DAVID A MYERS 06 30 00 6 5 0030 0000 09 00001056 RES REMODEL PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL3 01 1/19/10 JLL 1/20/10 DA JLL PL2 01 2/01/10 JLL l PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT RESIDENTIAL DESCRIPTION RESULTS /COMMENTS BLDG FRAMING TIME 01 00 January 13 2010 3 28 26 PM 1pangrle DAVID 540 686 6935 FRAMING AFTERNOON January 20 2010 9 23 30 AM jlierly this was a consult only not ready for inspections finish plumbing framing electrical and mech rough j11 BLDG FRAMING February 1 2010 9 21 44 AM pangrle DAVID 540 686 6935 FRAMING DESCRIPTION RESULTS /COMMENTS PLUMBING ROUGH IN February 1 010 9 22 29 AM 1pangrle DAVID 540 686 6935 PLUMBING (ROUGH IN INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV COMMENTS AND NOTES PHONE PHONE (540) 686 6935 PAGE cos t.a-e1/6//t/ /4444-c re) _6 gig 1 4120 2 DATE 2/01/10 BUILDING DIVISION Job Located at CITY OF PORT ANGELES Correction Notice -L. Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction 6od 4774 These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call "7 7 ati for inspection Date Z 7 DO NOT REMOVE THIS TAG Inspector for Building Division PREPARED 1/19/10 8 48 53 INSPECTION T CKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE /19/10 ADDRESS 421 E 3RD ST SUBDIV TENANT NBR DAVID A MYERS CONTRACTOR PHONE OWNER DAVID A MYERS PHONE (540) 686 6935 PARCEL 06 30 00 6 5 0030 0000 APPL NUMBER 09 00001056 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/19/10 BLDG FRAMING TIME 01 00 January 13 2010 3 28 26 PM 1pangrle DAVID 540 686 6935 FRAMING AFTERNOON COMMENTS AND NOTES e.0,uso -tica,+0 rr— te/ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc DRYWALL /INSULATION /GAS WATER HTR STOVE ETC Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge T:FortnsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00001056 115328 421 E 3RD ST 06 30 00 6 5 0030 0000 DAVID A MYERS RES REMODEL 8000 Contractor Date 10/12/09 DAVID A MYERS OWNER 421 S LIBERTY ST PORT ANGELES WA 98362 (540) 686 6935 Structure Information 000 000 DRYWALL /INSULATION /GAS WATER HTR ETC Permit BUILDING PERMIT RESIDENTIAL Additional desc DRYWALL INSULATION Permit pin number 155010 Permit Fee 179 75 Issue Date 10/12/09 Valuation Expiration Date 4/10/10 MECHANICAL PERMIT VENT FAN COOKING STOVE 155028 78 55 10/12/09 4/10/10 Plan Check Fee Qty Unit Charge Per BASE FEE 6 00 14 0000 THOU BL 2001 25K (14 PER K) Va luation Qty Unit Charge Per BASE FEE 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 1`op/o 9 Lit /V[up,�S Date Print Name Signature of Contractor or Authorized Agent 00 8000 Extension 95 75 84 00 Plan Check Fee 00 0 Extension 50 00 7 25 10 65 10 65 PLUMBING PERMIT GAS WATER HTR 155044 64 00 Plan Check Fee 00 10/12/09 Valuation 0 4/10/10 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. &'gnature of Ow if owner is builder) ��Q vo72-A Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 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 1FINAL Date AIR SEAL. PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping i SHORELINE. Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 1 00 1 00 Other Fees T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Qty Unit Charge Per 7 0000 EA 7 0000 EA 09 00001056 115328 Extension BASE FEE 50 00 PL -WATER LINE 7 00 PL -WATER HEATER 7 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Page 2 Date 10/12/09 Permit Fee Total 322 30 322 30 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 326 80 326 80 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) 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 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit 2. i 4- I (7 2 -3 Io 2-5 P8 PE5 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping SHORELINE. FINAL Date Accepted by FINAL Date Accepted by 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 Date Accepted By ))c —10 Q S t 0 6 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant Da 1 4G( M vevs Property Owner ,A d A M%reiS Property Owner's Address 42/ s S� »7' Contractor p /,4 ej,,,.,,,. Contractor's Address License Expires PROJECT ADDRESS Parcel Number 6(03O00 Project Type Brief Description. Check all that apply New Construction ;Addition iRemodel d epair emolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink NP R Z- 2 Cat 67 3 Y' R. 7 jai k M4 LOVI 6 Zoning d r t-Gxln k (>_;t House garage other Heat pump wood burning stove gas fireplace Existing (sq. ft.) Pposed (sq. ft.) Max. height of proposed structures. Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? /Residential ft. No M -Multi-family Occupancy group Occupant load Construction type For City Use Only: Date Received le .i2- 09 Permit ('>q ins(p Date Approved Phone S7E 4,43s Phone Phone E -mail TOTAL VALUATION of bedrooms of full baths of half baths o Commercial Industrial 4- f, 4-a/ (1s cuit)41 nv1 Nat, ?y t.no 14 1 w-a-V r l> w P Pro Pam_ coo 54oVe_ v On 'CI.vx tear off re -roof lay over one layer pellet stove other per sq ft. fla 40 00 toe) v- 'too o coo Total footprint of structures sq ft. T 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 2. 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 perrnits are required, and to alai permits prior to worlyl�igy6�i pryjects Date iof iZ/ 4°I Print Name ax O Pri 'Signature T Forms /Building Division /Bldg Permit doc A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT C NOTE. This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked '(p o.c.)' were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D NAME ADDRESS OF BORROWER. E. NAME ADDRESS OF SELLER. F NAME ADDRESS OF LENDER G PROPERTY LOCATION 421 E. 3rd, Port Angeles, WA 98362 H SETTLEMENT AGENT Clallam Title Company PLACE OF SETTLEMENT 204 South Lincoln, P 0 Box 248, Port Angeles, WA 1 SETTLEMENT DATE. 10/09/2009 Estimated J. Summary of Borrower's Transaction I K. 1 400. Gross Amount Due To Seller 90,000.00 401 Contract sales price 402. Personal property 4,953.90 403 293.79 404 105 405 100. Gross Amount Due From Borrower• 101 Contract sales price 102. Personal property 103 Settlement charges to borrower' (line 1400) 104 Property Tax 106, City /town taxes 107 County taxes 108 Assessments 109 110 111 112. 113 114 115 116 200. 201 202. 203 204 205 206 207 208 209 Adiustments For Items Paid By Seller In Advance: Adjustments For 210 City /town taxes 211 County taxes 212. Assessments 213 214 215 216 217 218 219 David A Myers 421 S. Liberty, Port Angeles, WA 98362 Norma Erickson 251 S Ocotillo Ave, Unit 22, Benson, AZ 85602 Quicken Loans, Inc. 20555 Victor Parkway, Livonia, MI 48152 to to to 120. Gross Amount Due From Borrower Amounts Paid By Or In Behalf Of Borrower: Deposit or earnest money Principal amount of new loan(s) Existing loan(s) taken subject to Items Unpaid By Seller to to to 220. Total Paid By /For Borrower 300. Cash At Settlement From /To Borrower: 301 Gross amount due from borrower (line 120) 302. Less amount paid by /for borrower (line 220) 303. Cash (iX FROM) I I"TO) Borrower• Previous Edition is Obsolete Form No 1581 3/86 95,247 69 1,000.00 72,000.00 Adiustments For Items Paid By Seller In Advance: 406. City /town taxes to 407 County taxes to 408. Assessments to 409 410 411 412. 413 414 415 416. 420. Gross Amount Due To Seller 500. Reductions In Amount Due To Seller: 501 Excess deposit (see instructions) 502. Settlement charges to seller (line 1400) 503 Existing loan(s) taken subject to 504 Payoff 1st Mtg. Ln. 505 Payoff 2nd Mtg. Ln. 506. 507 508. 509 1 511 County taxes 512. Assessments 513 514 515 516. 517 518. 519 73 000 00 520. Total Reductions in Amount Due Seller 1 600. Cash At Settlement From /To Seller: 95,247 691 601 Gross amount due to seller (line 420) 73,000,001 602. Less reductions in amount due seller (line 520) 22,247 69 603. Cash TO) FROM) Seller Page 1 of 3 t OMB No 2502 -0265 B. TYPE OF LOAN I 11 FHA 2. i_I FHMA 3 X, CONV UNINS 4 LJ VA 5 L CONV INS. 6. FILE NUMBER. 7 LOAN NUMBER 107809SB 3221593779 8 MORTGAGE INS CASE NO 98362 (360) 457 2000 DISBURSEMENT DATE 10/09/2009 Summary of Seller's Transaction Adjustments For Items Unpaid By Seller 510 City /town taxes to to to 0 (10 513-4 -3538 -000 -1 HUD -1 (1 -86) RESPA. 1 IB 4 05.2 Application Number 09 00001156 Application pin number 828992 Property Address 421 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 6 5 0030 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc 200 amp service change Owner Contractor Myers David 421 E 3RD ST PORT ANGELES (540) 686 6435 Qty Unit Charge Per 1 00 93 7500 ECH EL -0 200 SRV FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983623204 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Charged Paid Credited Date 11/05/09 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 156182 Permit Fee 93 75 Plan Check Fee 00 Issue Date 11/05/09 Valuation 0 Expiration Date 5/04/10 93 75 93 75 00 00 00 00 93 75 93 75 00 Due 00 00 00 DATE RESULTS a /A do 1 1 1 6 l Extension 93 75 Signature of owner or Electrical Contractor X Date INSPECTOR. NOV 04 2009 10 01 PM E JANSSEN RECE;VED NOV 0 5 2009 ELECTRICAL INSPECTIONS City of Fort Angeles Penult Application BulMingtbbrbdon&Eleetrlctll Inspections 321 liastrrth Street- P.O. Hos 1130 Port Angeles Washington, 98362 Ph: (500;1417.4736 Fax; (380) 4174711 Date: 11& 2 Single Family Dwelling Multi -Family or Commercial' Coritmerclai Addition Alteration Remodel Repair" Plan Rleview May Be goqiired, Please Complete Electrical Plan Review Information Sheet Job Adcyress: t'r- S A Building? Square Footage: Deacripifon of above t� �S t c��l e.,,•r V Aga JD vim. 'off yntt Chas* 93.75 1113.75 $160.00 $205.00 $291.25 2,00 57.50 2.00 8 72.50 8@.26 $11625 $131.25 75.00 69,00 1 76,00 50.00 5 50.00 83.75 80.00 1 56,25 2750 3 57,50 43,75 360 452 2982 x 1L Mr ef 1 0 l T\ Owner i?hfonnetlon Contractor Information Name: hoof( D. 1V1 y e k- Name: E ler rc.a__K tip _'T_Bo i a L-e a-et ►cI a Maiiing .Address: 4 a. C rz,) Mailing Address: 44. LS ,Z AGE# St. Cry; .,.1� ut.,t_ 61.1. t State: w rl ;Zip; 1 3 r City: A_ ..LEJ state: _sue ZiP: ¶!36L Phone:_. Vii r dr$! '5. Phone: V. Q 4ri as x qto ii 4 t .13.18 Licenael# Exp.___.. License Exp..Z1 A,tn S R rr r11 7.4 f o4 fl4x `f5'"7 x'.5 Total IQty Multiplied by Unit Chprgel t XL., Service/Feeder 200 Amp. 1. Service/Feeder 201.400 Amp. Service/Feeder 401.600 Amp. S Service/Feeder 601 1000 Amp. Service/Feeder ovar 1000 Amp. Branch Circuit W/ Service Feeder 5 Branch Circuit Who Service Feeder Each Additional Branch Circuit 6 Temp. Service/ Feeder 200 Amp Temp. ServlcalFeeder 201 400 Amp Temp. Service/Fender 401 600 Amp. Temp. Senrice&Feeder 601 -1000 Arno 1. Portal to Portal Hourly Slgn1Cutitne Lighting Signal Circuit/ Limited e=nergy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Chuff/ Limited Energy Multi- Family Dwelling 5. Manufactured Home Connection Renewable Electrical Energy 5KVA `ivatern or Less First 1300 Square Ft. _Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garr>ue Each Swimming Pool or Hot Tub Thermoatat r< 75' Total P 01 0eewaia defined by RCW. *11.28,2ilt (I) Owner will occupy the structure for two years after this electrical penult is finalized. (2) Owner le regvn*A 10 fire an efechfradce t aster Sshove said property is for sole, rant or tease Altar m ding Wa above stetemest, t hereby certify that 1 am the owner of the above named property or a licensed gladden' eonbaeter.1 am amides the elealriati insight on or sltaratton to compthoree with the etaotrrionl laws, N.E.C. RCW. Chapter 1928, WAC Chapter 298 -160, The City of Part Angetee Mlanictpat Code, and Willy 8 1aotilcaff4tra. f lgn$*I a otpwn oiaatrtal Contvetaor or etacbtcal administrator khata: 'et' Vi