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Home My WebLink About1119 E Park Ave - BuildingIt Buildingpern' 1119 E Park Aye 13--35S 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: Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 13-00000358 Date 4/08/13 241720 1119 E PARK AVE 06 -30 -11 -5 -1 -0690 -0000 - RE -ROOF UNKNOWN 16917 Owner ------------------------ Contractor TIKKA SAMUEL J ------------------------ LARRY'S ROOFING 1119 E PARK AVE 352 AVIS ST. PORT ANGELES WA 983622740 PORT ANGELES WA 98362 (360) 452-2215 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF SHEET COMP Permit Fee . . . . 305.75 Plan Check Fee .00 Issue Date . . . . 4/08/13 Valuation . . . . 16917 Expiration Date . . 10/05./13 Qty Unit Charge Per Extension BASE FEE 95.75 15.00 14.0000 ---------------------------------------------------------------------------- THOU BL -2001-25K (14 PER K) 210.00 Other Fees . . . ---------------------------------------------------------------------------- . . . . . . STATE SURCHARGE 4.50 Fee summary ----------------- Charged Paid Credited -------------------- Due Permit Fee Total -------------------- 305.75 305.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 310.25 310.25 .00 .00 . REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) �. 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 app' tion and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compl' d with ther specified herein or not. The granting of a permit does not presume to give authority I to vio ate or cancel the provisions f any s to r local law regulating construction or the performance of construction. 4� 6-► �m LS -_A� - Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 I Date I 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 FINAL Date Accepted by 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 / Furnace / FAU / Ducts Rou.qh-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs lj Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653, Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE` ti CITY GFor Rff''' Ci5 Use Cit ty CSF ,'�:� Permit# Date Received: J S I r 3 321 East 51 Street Port Angeles, WA 98362 / /Date Approved =A1/ 4-� P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us ` Building Permit Application Project Address: i tiA Otter Main Contact: r- (ern ot`�5 Phone # E-Mail: Property Name c� k SOnrYI � Phone S 4so J ® Owner _ - MailingAddress � i I Email City P�- r State Zip�� Z Contractor I Name / I Phone Mailing Address 1 Email CityI t. }1� I State I Zip ."IDt3( � Contractor License #.2nrr rGO ) "t Expiration: I1-13 Project Value: I Zoning: I Tax Parcel # Lot # $ i Type of Residential M Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair 0 Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project i Description I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to.obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 da s of receipt, the application will be considered abandoned and the fees forfeit. Date Print Name Signature Residential Structures For Office Use Area Description (SQ FT) Existing Proposed $$ value Basement First Floor} ' Second Floor Covered Deck%Porch/Entry Deck ' Garage I . Carport Other (describe) Area Totals Area Descriptions (SQ FT) Existing Structure (s) Proposed Addition Tenant Improvement? Other work (describe) Area Totals 1 Footprint (SQ FT) of all Structures: SQ FT Site coverage (all impervious + structures) Commercial Structures For Office Use Existing Proposed $$ Value Lot/Site Coverage Calculations Lot Size: % Lot Coverage Mechanical Fixtures % Site Coverage Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping # of Outlets: Appliance Vent # Heater (Suspended, Floor, Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler (attached, not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping # of Outlets: Water Heater # Medical gas piping # of Outlets: Water Line # Vent piping # Sewer Line I # Industrial waste pretreatment # interceptor Other (describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX PREPARED 4/26/13, 11:50:29 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ---- — ---- ------------------------ — ----- --------------- — ----- — ------------ ------------- APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 13 00000358 1119 E PARK AVE '06-30-11-5-1-0690-0000- 063011510690 000 000 BNOP 00 BUILDING PERMIT - NO PR FEE BL99 0001 BLDG FINAL 4/19/13 APPROVED JLL REQ COMM: April 19, 2013 8:42:32 AM pbarthol. REQ COMM: Tom 460-0517 RES COMM: April 19, 2013 2:52:29 PM jlierly. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner TIKKA.SAMUEL J 1119 E PARK AVE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000878 Date 9/15/05 208824 1119 E PARK AVE 06 3&1l 5 1 0690 0000 l QWEST PUBLIC WORKS UTILITES RESIDENTIAL MEDIUM DENSTY 0 PORT ANGELES WA 983622740 Contractor OWNER Permit RIGHT OF WAY Additional desc UNDERGROUND PHONE SERVICE Permit pin number 60269 Permit Fee 00 Plan Check Fee Issue Date 9/15/05 Valuation Expiration Date 3/14/06 Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 00 0 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 andl 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 Date T \Policies\ I 102.15R [1/051 Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED COMMENTS I` YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY(USE RESIDENTIAL DATE YES NO COMMERCIAL 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-\Policies\1102.15R [1/05] DATE ACCEPTED YES NO CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street— P.O. Bos 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735" Fax: (360) 417-4711 Date:Z��/ 1 & 2 Single Family Dwelling MAY 2 8 2( ELECTRICAL 1N P 4'TIOINS * Pian Review May Be Required Please Complete Electrical Pian Review Information Sheet Job Address: .///< ' .eT Ai9-R Building Square Footage: Description of above Owner Information Contractor Information Name: Name: —P1,0 Mailing Address: Mailing Address: City: State: Zip: City: Skate: Zip: Phone: Fax: Phone: Fax: License # ! Exp. License # 1 Exp. - Item Unit Charge Q—ty Total (Otv Multiolied by Unit Charas 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. $ 37100 $ Branch Circuit W1 Service Feeder $ 5,00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Addilional Branch Circuil $ 5,00 $ Branch Circuits 1.4 $ 75.00 $ Temp. Service/ Feeder 200 Amp, $ 93.00 r - $ ` Temp. Service/Feeder 201.400 Amp. $110,00 $ Temp. Service/Feeder 401-600 Amp. $149,00 $ Temp. ServicelFeeder601-1000 Amp . $168,00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit) Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable 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 $ $ ?210.!P— 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 296-46B, The City of port Angeles Municipal Code, and Utility Specifications and PAMC 14,05050 regarding Electrical Permit Applications, Signature o o er, electrical contractor or electrical administrator: Cl Cash �( Check -�' ❑ Credit Gard 9 x �i _ Dated; ��Jl/ h' 0110112012 l ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . , . 14-00000614 pate 5/28/14 Application pin number 378700 Property Address . . 1119 E PARK AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-11-5-1-0690-0000- App]ication type description ELECTRICAL ONLY on your exclse tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use Property Zoning . . . . . . . UNKNOWN (Location Code 0502) Application valuation . . . . 0 ----------------------------------------------------------------------- Application desc Temp pole Owner Contractor TIKKA SAMUEL S TWETER ELECTRIC 1119 E PARK AVE 423 BLACKHAWK LOOP PORT ANGELES WA 983622740 PORT ANGELES WA 98362 Signature of owner or Electrical Contractor X (360) 417-1151 G:IEXCHANGEIBUILDING ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL TEMPORARY SERVICE Additional desc . Permit Fee 93,00 Plan Check Fee .00 Issue Date 5/28/14 Valuation 0 Expiration Date 11/34/14 Qty Unit Charge Per Extenjion 1.00 93.0000 PCH EL -TEMP SRS/ 0-200 SRV FDR 93.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Pee Total 93.00 93.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 93.00 93.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ! i ROUGH -LN FINAL, lCOMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING �1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711. Date; �/Z3A/- 1 & 2 Single Family Dwelling SEP 2 4 2[ ELECTRICAL WSPECTi S " Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; J11 rC FI ✓rte ��f �A Building Square Footage; 74nr) _<1— Description of above ;7 / Owner Information Contractor Information Name; Name; 'TePcJ��,�/v� Mailing Address; Mailing Address: _/•Cts City; -L24-- State; Zip; 9 City; State; Zip; Phone: Fax; Phone; 0/-T% Fax: License 4 / Exp. License 41 Exp. Item Unit Charge Qty Total [Qtv Multiplied by Unit Chargel Service/Feeder 200 Amp. $ 120,00 $ ServicelFeeder 201-400 Amp. $146,00 _ $ . Service/Feeder 401-60C Amp $ 205.00 $ Service/Feeder 601-1000 Amp, $ 262.00 ServicelFeeder 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 20C Amp. $ 93.00 $ Temp. Service/Feeder 201400 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 Circuit/ Limited Energy - T & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable 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 f3 $ "iZ'gC) 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 $ $ OP '- 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 296-4613, The City of Port Angeles M nicipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signal: of owner, electrical contr to-ror electrical administrator: ❑ Cash 15, Cheek ❑ Credit Card ii / Bated; �� /,� 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 14-00001145 ]late 9/25/14 Application pin number . , . 409400 Property Address . . , . 1.119 E PARK AVE ASSESSOR PARCEL NUMBER; 06--30-11-5-1-0690-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . , , . , , , „ Property Zoning . . . . , . , UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc New home ----------------------------------------------------------------------------- REPORT SALES TALC on your excise tax form to the City of Port Angeles (Location Code 0502) Owner Contractor ------------------------ ------------------------ TIKKA SAMUEL J TWETER ELECTRIC 1119 E PARK AVE 423 BLACKHAWK LOOP PORT ANGELES WA 983622740 PORT ANGELES WA 96362 (360) 417-1151 ---------------------------------------------------------------------------- Permit , , , , , . ELECTRICAL NEW RESIDENTIAL Additional desc , Permit Fee 280.00 Plan Check Fee 0,0 Issue Date 9/25/14 Valuation . , . . 0 Expiration Date 3/24/15 Qty Unit Charge Per Extension 1,00 120,0000 ECH EL-R-SQFT FIRST 1300 120.00 4.00 40,0000 ECH EL-R-SQ?T ADDITIONAL 500 160,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 280,00 260.DQ .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 280,00 280,00 00 Do INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 1 SERVICE ROUGH -IN � FINAL COMMENTS: PERMIT WILT, EXPIRE SIX (6) MONTI-IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCFIANGEIBUILDING Date: ' VV/L5/6V14 'THU 14:14 kAX .5bu bt5,i still Air i'lp Hearing ua. j"VUI/VUI �4 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections RECEIVED 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 SEP 2 6 201 Date: 9 A5" 1 a 2 Single Family Dwelling ELECTRICAL INSPECTIONS * Plan Review May a Re ired�Ple,�se Co�npleie�Ele� cal Plan Review Information Sheet Job Address: Building Square Foolage: -_ Description of above Owner Informations Contracto Inform 1 Name; . ' / i /'S I� Name: MONA! t at - Mailln d ess: City: State: W 4 Zip; 91AG Z. `t City:A S Zip: Phone 41.0 -yy o •ora ax: Phone - --Aho • as 3 -LB" 3 - 377/ License # / Exp. License # l Exp. - .ZS- j (0 Lem Unit Charge Qt [ Total (4tv Multiplied by Unit Charnel ServlcelFeeder 200 Amp. $120.00 $ ServicelFeeder 201400 Amp, $146.00 $ ServlcelFeeder 401.600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch CircuitVVI Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Cfrcuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. ServI&Feeder 401.600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal -to Portal Hourly-..... .. ...... .... ..........$._9600.... ........ _.._-.,...._.. $-,.._.w. ._...,.........._.._...... ......,.... Signal Circuill Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable 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 $ $ . �6 %� 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 n arced 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 Pori Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. &ignature of caner, electrical contr ctor r electrical administrator; ❑ cash ❑ check /-Xredit Card q x r fated: / �JS7 - _ 0110112012 r ELECTRICAL PERMIT CITY OF PORT ANGELES 360-41.7-4735 . Application Number . . . . 14-00001154 Date 9/26/14 Application pin number . . . 170852 Property Address . , 1119 E PARK AVE ASSESSOR PARCEL NUMBER: 06-30-11-5-1-0690--0000- Application type deaCription ELECTRICAL ONLY Subdivision Name . , . . . . Property Use Property Zoning . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T -stat ---------------------------------------------------------------------------- Owner Contractor TIKKA SAMUEL S AIR FLO HEATING CO INC 1119 E PARK AVE 221. W. CEDAR PORT ANGELES WA 983622740 ,SEQUIM WA 98382 (360) 683-3901 --- 7 i --------- -- - --- - ----------------- Permit . , , . , , ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 56.00 Plan Check Fee 00 Issue Dare 9/26/14 Valuation . . , . 0 Expiration Date 3/25/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 56;00 56.00 .00 00 Plan Check Total 00 .00 .00 00 Grand Total 56.00 36.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: 1 DITCH SERVICE 1 ROUGH -IN , 1 J ' ( 4�7 1 *7 FINAL 5b�`➢ COMMENTS: I PERMH WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor_ X Date: G:IEXC14ANGEWILDING all