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