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HomeMy WebLinkAbout4317 Tumwater Truck Rt - Building CITE.'O TI PORT ANN ELL,8 )PERM I'AP -1iCATIaNBuilding Division/Electrical Inspections 321 East]Fifth Street -1',O.Box 1-150/Part Angeles Washington,95362 Pb: (360)417-4735 Fax. (360)417-47.1.1 �0 Multi-Family or Commmeroia —Commercial Addition/Altem6on/Remodel 1 Repair* i Plan Reuiew May Be Required, Please Complete Electrical Plan Fte 'ew Information Sheet ,lob Address: ��� ����w G Building SquareFoat g : Description of above le Owner Informo4on Contractor Information Name; , Mailing dreg:'-_�* 1"! ,,. �,,�., � �f Nerve: City; , g� � d Melfi dd sr �- 7�i a x L41�. zip: _ Ciry d f'honp, 5tete: gyp; �. License#I Exp, Phone: ax: License#t Eicp, ° � ftenlr Unit Charn_e Service/Feedar 200 Amp. 132.00 AL Total Q 1Mlutbi pp4 Una#Char Q Service/Feeder 201.400 Amp. $162.00 $ Service/FeWer401-600 Amp $225.00 - SeMcelFeeder 601-1000 Amp. $286.00 ServlcefFeeder over 1000 Amp. $410.00 — $----� Branch Circuits 1-4 $ 86.00 $_ Branch Circuit W/Service Feeder $ 5.00 _ Branch Circuit W10 Service Feeder $ 74.00 `� - EachAdditionai Branch Circuit $ 5.00 $—�- Temp,Sevice(Feader200Amp. $102.00 $�-- --� Temp.ServiceiReder 201-400 Amp, $121100 Temp,SeMcelFeeder401400Amp. $164.00 Temp,Servi0ofteder601-1000 Amp, $185,00 Portal to Portal Hourly $ 96,00 $�--- SignlOulfine Lighting $ 08.00 "� $ Slgnaf Clrcu!V Limited Energy-Mulli-Famoy $ 64.00 - "` k_ Signal Circuit/Limited Energy!Pir$t 1500 0--Commercial $ 96.00 $-- Note; $6.00 for each additiohel 1500 sf Rene Thermostat Renewable Electricaf Energy-5KVA System or Less $13,00 — $ $ 56,00 $-/ Co. otal Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized:(2)G i,wner is required to hire an elaotrlcal contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statemenit,I hereby eerfify that I am the owner of the above named property or a licensed electrical contras lor- I am making the electrical installation or alteration in compliance with the electrical laws,KE.C.,RCW,Chapter 19,78,WAC.Chapter 296-46B,The City of Dort Angeles Municipal Code,and Utility Spedficafions and PAMC 14.05.050 regarding Blcchiral Permit Applications. Signature of owner,electrical contractor or electrical administrator: D CaR,h 0 Check � � Cr�dHCardia ' _ 01tar1; r 49111112412 —�. ELECTRICAL INSPECTION WIRING REPORT 417-4735 RKS 2� DATE: PERMITA INSPECTOR 3 � 13-Q)IC"'7 OWNER CONTRACTOR Sc m? &f-Q A mac.*- ADDRESS T3172 'i u v--t w Lo--t-KNUV� 75�;e 14:1- APPROVED NOT APPROVED . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . 13 . . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . — 13 ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: fox es 04F zib)k k-4pc'.� S! 35% --RD co I-L 1)Q 5-'r0 YZ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — CJJ ELECTRICAL PERMIT 1 CITY OF PORT ANGELES (� 360-417-4735 Application Number 13-00000107 Date 1/29_/13 Application pin number . . , 605903 Property Address . . 4317 TUMWATFR TRUCK RT ASSESSOR PARCEL NUMEER: 06-30-09-5-0--0910-0000- REPORT SALES TAX Application type description FLECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning . . , . . . , INI)USTRIAL LIGHT (Location Code 0502) Application valuation . . . . 0 Application desc 400 amp service Owner Contractor S.RIAN S PAYNE LLC SIMPSON ELECTRIC 4317 TUMWATER TRUCK RT 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 96363 (360) .457-9270 , -------------------------------------------------------------- -_- _------- l AS Permit . . , , ELECTRICAL ALTER COMMERCIAL �J�S Additional desc Permit Fee 16Q.00 Plan Check Fee .00 Issue Date 1/29/13 valuation . . . , 0 Expiration Date 7/28/1.3 Qty Unit Charge Per Extension 1.00 160.0000 ECH EL-COM 201-400 SRV FEEDER 160.00 ------------------------ ----------------------------- -_--__------- -------- Fee summary Charged Paid Credited Due L� Permit Fee Total. -_--160,00 -^f ------'160,00 `^-^^'-.00 00 Plan Check Total 00 .00 DO 00 Grand Total 160.00 160,00 DO .00 r� INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ! ROUGH-IN IIN COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 10- 00001368 Date 11/19/10 V*' Application pin number 869600 REPORT STATE SALES TAX Property Address 4317 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER: 06- 30- 09 -5 -0 -0910 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc 200 amp service Owner Contractor WILMER R JR /BRIAN L POSSINGER OLYMPIC ELECTRIC CO INC 1802 TUMWATER TRUCK RT 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457 -5303 t. 31!J c1 Permit ELECTRICAL ALTER COMMERCIAL 7 l Additional desc Permit pin number 177782 Permit Fee 119.90 Plan Check Fee .00 Issue Date 11/19/10 Valuation 0 Expiration Date 5/18/11 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due rl Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 1 l fl re...1 k5 2 3) ill 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE Z ROUGH -IN FINAL COMMENTS: t C J E) i/d PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: r o c PORT 44,04,‘ ELECTMCAL ONSPECTMN N itaga WIMKG REPORT Ne.MEN NMINSV e' $90 rtaS e* 4174735 PERMIT INSPECTOR DATE t RC2 iz RD' OWNER/CONJACTOR DL, YE- L.:ES-N ADDRESS Li) /NI C.01...).-1 MI II s-T-rz) N? APPROVED NOT APPROVED O DITCH o ROUGH IN/COVER 0 O SERVICE 0 O FINAL 0 CORRECTIONS NEEDED: Lo, v c Loc) 1 )21te_45Q A-1 Arzw__ veg._ L...c.t4171F....,P 047 E5 t 'Rs NOTIFY INSPECTOR WHEN C'e RmECTIONS RE COmPLETED WITHIN 15 DAYS DO NOT E OVE 11/18/2010 10:40 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT a 001/001 i. ci City of Port Angeles Permit Appllcatlon `J o, t'C1K1 t�. C°/ Building Division /Electrical Inspections J 321 Eeet Flftn Street —v,0. Box 1150 f 1 V J 'io` Port Angeles Washington, 98362 or '161.111i Ph: (360) 417-4735 Fox: (360) 4174711 7 l I LL!.J s t;i.,A! Date;, 1 f// f //6 6iTf=CCT;Of113 W 1 2 Single Family Dwelling Multi- Family or Commercial' .Commercial Addition Alteration 1 Remodel Repair• 'Plan Review May Be R ef, Electri Plan Review Information Sheet Job•Addrees: Building Square Footage: d Description of above e e. I PV2 h e e re A,,e. Owner Information Contractor Ihformat Name: L,-4 C,.LN NQUVTr, T 7 N ame: r V ii Mailing A dre 6: Mailing Ad •s; i v City. State: _1 Zip: J6 J Clty ice State: r' Zip: e Phone; Fax: Fax: Y. -eft License 41 Exp. License Exp. /,,{�iri"- %.s Olt Charge Otv Total Ot Mu lll Ile b U nll Cher $119 90 114,4 ServIcelFeeder 200 Amp. 145.50 Service /Feeder 201-400 Amp. 204,80 ServIcelFeeder 401.600 Amp. 262,20 Service/Feeder 601.1000 Amp. 372.50 ServIcelFeeder over 1000 Amp. 2.60 Branch Circuit W/ Service Feeder 73.50 Branch Circuit W10 Service Feeder 5 2.60 5 Each Additional Branch Circuit 5 92.70 Temp. Service/ Feeder 200 Amp. 110.30 5 Temp. Service /Feeder 201.400 Amp, 5 148.70 Temp. Service /Feeder 401.600 Amp, $167.00 Temp. Service /Feeder 501.1000 Amp. 95.90 5 Poral to Portal Hourly S 68.20 Sign /Outline Lighting 95,90 5 Signal Circuit/ Limited Energy Commercial. Additional 1500 55,00 5 63.90 Signal CircuiV Limited Energy -1 8 2 Family Dwelling S 63,90 Signal CircuiV Limited Energy- Multi-Famlly Dwelling $119,90 Manufactured Home Connection 102.30 Renewable Electrical Energy- 5KvA System or Less 110.30 First 1300 Squere Ft, 3520 Each Additional 500 Square FL or Portion of 73.50 Each Outbuilding or Detached Garage 5110.30 5 Eecn Swimming Pool or Hot Tub 56,00 Thermostat Total i Owner as defined by RCW.19.29.261: (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 slx months of last Inspection. After reading the above elatement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, am making the electrical Installation or alteration In compliance with the electrical laws, N.E,C., RCW. Chapter 19.20, WAC, Chapter 298.469, The City of Port Angelee Municipal Code, end Utility Specifications. $Ignatere of owner, electrical contractor or electrical edminletretor Ceeh e 44;4° 0 Check ii Date; II Credlt Card 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Circuit for phone equipment Owner WILMER R JR /BRIAN L POSSINGER 1802 TUMWATER TRUCK RT PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total 135558 58 00 10/01/08 3/30/09 08 00001248 651520 4317 TUMWATER TRUCK RT 06 30 09 5 0 0910 0000 ELECTRICAL ONLY INDUSTRIAL LIGHT 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS Charged Paid Credited 58 00 58 00 00 00 00 00 58 00 58 00 00 Date 10/01/08 WA 98362 0 0 0 Extension 58 00 Due 00 00 00 DATE OWNER /CONTRACTOR 01...-64/C f C ADDRESS 1 1 7 7)7 1 APPROVED 0 0 0 0 CORRECTIONS NEEDED: N). r. A'TE 310 4 17 8 7 L- 11() ti 24=, OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR Y�- t.3-pr Q_ Tiz.vcie QT DITCH ROUGH IN /COVER SERVICE FINAL o►.1DVLTba ;-2Do r44' aW1.1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED 0 0 IN SPEC MIN TYPE DITCH' SERVICE ROUGH IN FINAL COMMEI\ \TS EL FH,CTRICAL DATE. RESULTS INSPECTOR io /h(Or3 loll he A -1c4P Application Number 08 00000751 Application pin number 452338 Property Address 4317 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER 06 30 09 5 0 0910 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc Relocate 100 feeder Owner Contractor WILMER R JR /BRIAN L POSSINGER 1802 TUMWATER TRUCK RT PORT ANGELES WA 98362 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Date 6/30/08 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 128777 Permit Fee 75 00 Plan Check Fee 00 Issue Date 6/30/08 Valuation 0 Expiration Date 12/27/08 Qty Unit Charge Per Extension 1 00 75 0000 ECH EL -COM ALT 0 200 SRV FDR 75 00 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 SPEC ION TYPE DATE DITCH SERVICE ROUGH FINAL COMMENTS ELECTRICAL RESULTS INSPECTOR og-07 Job wired by Address or lospectloo O NO LOAD CHANGES O Baseboard KW O Furnace KW O Heat Pump Ton O Fen•Well KW Inspection Dote L00 /L0021 133dSNI A1I3 add F Fl AL Aomo�. Oy WilectrIcal COO tractor CI Owner $laetrloel oontroowr name Llccnao number Detc expire. PutclttTsar Y moll n� address 5 %4. /2L rMPP6 p/ V/23p T ra/r Cit State ZIP f Telephone number FAX number La" Premise, owner's Dime L f vlcci_h I N a(Js *`i a Ce42, 3 7 'ru ts, wA City p o rf f1 i' Phone number to schedule Inspection. q 5 7 3 0 3 Owner A r Wined by RCW.19, 28,261: fl) Owner will occupy the eructate jor two W years fhb d etrla permit is (2) Owner Is required to hire cut elecfrfcal contractor tf above said property filar sale, rent or tease. After reading the above atelement, 1 hereby certify that 1 un the owner of the above named property or licensed denied contractor. 1 em making the electrical Instal- lation or alteration in oompliaooe with the electrical laws, N.E.C. RCW. Chapter J9.2$, WAC. Chapter 296 -46E, The City of Port Angeles Municipal Code, and Utility Specifications. "Signature owner, eleetrlcal coat ctor or electrical administrator I irattotlDate 2 ofcard Date: Y� O Overhead Service O Temp Service O Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 -417 -4735 �J ROUGH-1N THERMOSTAT Appnive Arca, Building or Equipment Inspected T ELECTRICAL WORK PERM1TAPPLICATION Vinatullation description ,Commercial 0 Residential 0 New ll, l a /e /Do &14 So e DITCH Appeorea ay Piegst I7IJPec,7 /aS P /e,s G --no- p'4 e. e/1 5'r F RECEIVED 0 cash 0 check #N 2 5 2008 visa Masse d LIGHT DE 0 Credit Card Card DMu Voltage Phase 0 1 0 3 Service Size: Feeder Size: VIC Aline or FEEDER G\ Action Token Amend irr Discover inspection fee s 7SLd Service Information Electrical inspector 03 0t.11.0eI3 3tdWATO 608 ZSb 098 XV.d 60 LL 8002/bZ/90 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000253 Date 9/05/06 Application pin number 257313 Property Address 4317 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER 06 30 09 5 0 0910 0000 Tenant nbr name LINCOLN INDUSTRIAL Application type description COMM REMODEL Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 15000 Owner Contractor WILMER R JR /BRIAN L POSSINGER LINCOLN INDUSTRIES CORP INC 1802 TUMWATER TRUCK RT 4130 TUMWATER TRK RTE PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457 6122 Structure Information 000 000 Construction Type TYPE V ONE HOUR Occupancy Type REPAIR GARAGES Permit BUILDING PERMIT COMMERCIAL Additional desc Permit pin number 75366 Permit Fee 277 75 Plan Check Fee 180 54 Issue Date 9/05/06 Valuation 15000 Expiration Date 3/04/07 Qty Unit Charge Per Extension BASE FEE 95 75 13 00 14 0000 THOU BL 2001 25K (14 PER K) 182 00 Permit PLUMBING PERMIT Additional desc Permit pin number 75374 Permit Fee 71 00 Plan Check Fee 00 Issue Date 9/05/06 Valuation 0 Expiration Date 3/04/07 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 14 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 Special Notes and Comments A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Electrical load calculations and elctrical permits are required Upgrades to City electrical facilities if required will be at the customer s expense 03/22/2006 09 33 AM GMCLAIN Prior to issuence of Building permit written approval from Clallam County Health Dept stating existing septic system is adequate or requires improvement If second address is needed for Heartline Battery the new addresses will be 4317 A Tumwater Truck Rt for Lincoln Signatu orized Agent T•\Policies \1102_I5 building permit inspection record05.wpd (1/4/20051 Date Signature of Owner (if owner is builder) Date li 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. t- 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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not ,,,_k presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of '1 construction. of 69/0.5 of ontractor or 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 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 CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 1 T \Policies \1102 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING 1 1 1 FIRE DEPT 1 1 1 I PLANNING DEPT 1 1 1 1 BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. Application Number Application pin number 06 00000253 257313 Special Notes and Comments Industries and 4317 B Tumwater Truck Rt for Heartline Battery Other Fees Fee summary Charged Paid Credited Permit Fee Total 348 75 348 75 00 00 Plan Check Total 180 54 180 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 533 79 533 79 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 goveming 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 Signature of Owner (if owner is builder) Date T•\PolicieslI 102_15 building permit inspection record05.wpd (1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Date 9/05/06 STATE SURCHARGE 4 50 Due 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 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 CONSTRUCTION R.W 1 PW/ 417 4807 ENGINEERING FIRE 417 -4653 1 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 T• \Policies 1102 15 building perrnit inspection record05.wpd [1/4/2005) BUILDING PERMIT INSPECTION RECORD YES 1 1 1 1 11 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 NO FINAL FINAL SEPA. ESA. SHORELINE: 1 DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 1 1 1 PLANNING DEPT j 1 BUILDING I"" I 11- 16 Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: 1- AACO>'� TY�l�„ jL lJO I 1 L. Phone 3 b©' `i 1 5h p ZZ Owner W v t e 1� VO�1 Q 2( Phone Z� -L AST k.0 Address `'1 \3ccTUtYh Wti3 -2'r 77/1.V City Y.ONNelf A `ALS Architect/Engineer .,`(\L r D`Y1�r \c tOy v Phone Contractor `c�C,a Co's-P State License t tO" 611 xp Address `��C1- v.H`n•A A- i C City WA 1\mot.s PROJECT ADDRESS L z 1 -71/4-VmW0.1czr Tvk V IN G LEGAL DESCRIPTION Lot: Block. Subdivision C)1 .f�11 C` e1.+1 CLALLAM COUNTY PARCEL NUMBER 1i'y( b Cy, c. Credit Card Holder Name Billing Address: Credit Card Type VISA MC TYPE OF WORK Residential New Constr Multi family Addition X Commercial )11 Remodel Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT BUILDING PERMIT APPLICATION vo p`P ok ook-1 5ooa 10 0 coo Re -roof Stove Move Garage Demolition Deck cm \e 0a *NAVICW` TAN r xc% 4 COMMERCIAL /RESIDENTIAL Occupancy Group No of Stories: 1 LotSize t 60°' j Existing Sq Ft. f1/4 Total lot coverage T O 7 PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building /Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work. Applicant: SIZE/VALUATION SF /SF SF /SF SF /SF�$ TOTAL VALUATION zip b3 3 Lo-A5 6 Phone %1A9 3 Zip FOR OFFICIAL USE l ate Rec 1 ro ermit tiL2- 7 G at_ ate Issued. APPROVALS PLAN BLDG DPWU FIRE OTHER. \ca. brcwyvaONTL -x, l eliv loneC. -0 vcosc.- +Pi Occupant Load 2. Construction Type t". 4 Proposed Sq Ft._,ef•-•fr TOTAL Sq Ft. V p p0Q \t 1 1 N' y 5 I r r if'� t UCbf 1 \iv ,(iwR1 Cl t �iLfN,t Lt �vcol �C 7a ____L %Lbi° F k fri V 1 ----fF 51- 1 L vv rt. 1 3 rOval Date OFFTC EXt OVEC 11t4d FILE TY OF PORT ANGELES Coirstruation.Plans 1 Issuance of pelmit ions and other data shah not prevent the biiiidino official thereafter requirit correction Or errors in said os, specifications and other data. er from preventing 'ding operations being carried on thereunder when in abon of ail code s. and ordinances-of-this jurisdiction. G-00 i\ Dv &cif Ati 0 acne Tye 6 -to Se _Y6 .08 fr 1 Tyee o r truss Y(0 to I k-440493. udith Scott Clallam County Treasurer P 0 Box.2129 223 E 4th St. Suite '3 Port Angeles, WA 98362 -0389 (360)417 2344 PAYABLE TO: CLALLAM COUNTY TREASURER P 0 Box 2129 Port Angeles, WA 98362 -0389 Insufficient funds will cancel payment of tax and a $25.00 service charge will be added. (Clailam County Code Chpt. 5.24 020 Ordinance No. 685, 2000) Taxes S50 00 and under must be paid in full by April 30th. Full or half paid after April 30th requires interest plus penalty on full amount. Second half tax becomes delinquent after October 31st. RP =REAL PROPERTY PP PERSONAL PROPERTY MH MOBILE HOME S/A Noxious Weed, Irrigation, Fire Patrol, Storm Water, Lake Management Tax Taxable AssesseckVaiue Gross Dig Code Img or Equip Land Total Levy Tax Assmts PP Pen Exempt Net Tax Yrs Parcel WILMER R JR /BRIAN L POSSINGER 4130 TUMWATER TRUCK RT PORT ANGELES WA 98362 Address /Description 1/2 Tax RP 063009 500910 0000 0102 143,600 95,600 239,200 10.33783 2,472.80 376.13 2,848.93 4317 S TUMWATER TRUCK RT 1 424 47 CROFTS ADDITION TX #6119&EXC EASE BLS 9 14 S/A District WEED CONTROL DISTRIBUTION SUMMARY: TAX ID POSS7000 WILMER R JR /BRIAN L POSSINGER Address Correction TAX ID POSS7000 WILMER R JR /BRIAN L POSSINGER Address Correction ULHLLHIVI L,UUIV 1 Y 2006 TAX STATEMENT DELINQUENT PAYMENTS RECEIVED WITHOUT INTEREST AND PENALTY WILL BE RETURNED CALL 1360)417 2344 FOR CURRENT INTEREST AND PENALTIES DUE. IF FULL YEAR DELINQUENT TAXES FOR 2003 ARE SHOWN BELOW PROPERTY MAY BE SUBJECT TO FORECLOSURE. 1 63 CITY STORMWATER 360.00 F/P 14.50 Total Taxable Assessed VaJge:.. $239 >200. :Voter Approved .......:.826.09.. Taxes... Total....... :93:... lst:half 1i,42447...;2nd halt 1,424.46 State Levy' 635 83 County :Road: 324 05 Hose, :Di :.Park &;.Rec SP .As $0f.. 3: County .3 2 0' 35 School 8 09 Port Dist 1:. 46'7R •Gross :Tax. 2,47 Fire Patrol 14 50 City: ......:Fir.e::Dist. ...:194 :61 :Library 93;08: Sr :Exempt :Full Tax: Due: 2.,84$.93. YEAR 2006 2ND HALF PAYMENT 2nd Half taxes are due October 31st 2ND HALF $1 424 46 Interest and penalty figured to April 2006 Payments received after 01/17/06 not reflected. YEAR 2006 1ST HALF PAYMENT 1st Half taxes are due April 30th FULL TAX. 1ST HALF. 2,848.93 $1 424 47 muta POSS7000 DELINQUENT YEAR AMOUNT SEE REVERSE SIDE FOR ADDITIONAL INFORMATION. REMIT THIS PORTION WITH YOUR SECOND HALF TAX PAYMENT TO CLALLAM COUNTY TREASURER REMIT THIS PORTION WITH YOUR FIRST HALF OR FULL YEAR TAX PAYMENT TO CLALLAM COUNTY TREASURER ON SITE SEWAGE DISPOSAL SYSTEM EVALUATION PERSON OR ORGANIZATION REQUESTING REPORT NAME. Will Possinger ADDRESS. Possinger Sons ADDRESS. 4217 Tumwater Truck Route, CITY STATE, ZIP Port Angeles, WA 98362 PHONE. 360- 457 -6122 LEGAL OWNER OF RECORD NAME. Wilmer Brian Possinger ADDRESS. 4130 Tumwater Truck Route CITY STATE, ZIP Port Angeles, WA 98362 PROPERTY ADDRESS. 4317 S. Tumwater Truck Route CITY STATE, ZIP• Port Angeles, WA 98362 DIRECTIONS TO SITE. FINDINGS. THIS REPORT DOES NOT CONSTITUTE A GUARANTEE, WHETHER EXPRESSED OR IMPLIED THAT THE SEPTIC SYSTEM WILL CONTINUE TO FUNCION PROPERLY THIS REPORT CONSTITUTES ONLY A SUMMARY OF FINDINGS ON THE DATE OF INSPECTION PERMIT ON FILE? YES g NO SEP Not Found APPROXIMATE DATE OF INSTALLATION 1970's NUMBER OF BEDROOMS (EXISTING) na (DESIGN) na Commercial/Shop SEPTIC TANK. VOLUME. 1000 1250 D OTHER NUMBER OF C MPARTMENTS. 0J 2 CONSTRUCTION MATERIAL. ACONCRETE NEEDS REPLACEMENT REPAIR? YES CYNNO INLET MISSING/REPAIR? OYES NO OUTLET MISSING /REPAIR? YES ,NO OUTLET SCREEN? ,&,YES NO SCUM DEPTH. 0' 2nd Compartment: SLUDGE DEPTH. ''Y2' 2nd Compartment: DATE TANK LAST PUMPED Aug. 2006 UNKNOWN PUMPING OF TANK REQUIRED YES NO PUMP CHAMBER 750 1000 1250 OTHER SCUM DEPTH. SLUDGE DEPTH: PUMPING REQUIRED YES NO PUMP DRAW DOWN GPM CONTROLS ALARMS ADEQUATE YES NO ENVIRONMENTAL HEALTH FOLLOW UP. PUMPER RECIEPT NEEDED REPAIR PERMIT NEEDED REPAIR RECEIPT NEEDED LINE LOCATE NEEDED WATER SAMPLE NEEDED ACTION REQUIRED EHS INITIALS REASON FOOD ESTABLISHMENT INSPECTION P LOAN CERTIFICATION BUILDING PERMIT OTHER ADS .4 134T1-l'►cof4 PARCEL NUMBER. 06- 30- 09- 500910 LOT BLOCK. SUBDIVISION Crofts Addition VOLUME. 1 PAGE. 56 PROPERTY CURRENTLY OCCUPIED? )YES 0 NO LENGTH OF TIME VACANT (MONTHS) (YEARS) DRAI[NFIELD• (FOR A DEVELOPMENT PERMIT, DRAINFIELD MUST BE LOCATED.) TYPE OF SYSTEM. G014 dErll l; °NAG G vx-TY SETBACKS IN COMPLIANCE MATES NO SEPTIC SYSTEM ON SAME PROPERTY CKYES NO REPAIR /REPLACEMENT AREA. ADEQUATE ,AYES NO LIMITED YES ISNO SEVERELY LIMITED YES JNO SYSTEM APPEARS TO BE OPERATIVE AT TIME OF EVALUATION? YES NO WATER SUPPLY PUD EXPIRES 1 OBS 29/ OG. JACOBS 206205 DATE RECD SURVEY ti 0o31? 2 COMMENTS. This septic system consists of a 1000- gallon, single compartment septic tank and approximately 75ft. of drainfield trench as electronically located (see drawing on back). The septic tank appears to be sound, liquid levels are normal. Staining on the inside of the septic tank indicates that the tank has been backed -up in the past. The outlet baffle and the outlet screen is in place. The inlet baffle is missing and should be replaced. I did not observe any ponding on the drainfield. 10 /20 /06 INSPECTION DATE JERRY L. JACOBS WSWTS 5100126 DR A TA(:ORS INC ..1.1.)-23-6 l� DATE CLALLAM COUNTY ENVIRONMENTAL HEALTH REPRESENTATIVE BY SIGNING THIS REPORT THE ENVIRONMENTAL HEALTH DIVISION IS CERTIFYING THAT THE PERSON PERFORMING THIS EVALUATION IS A CERTIFIED DESIGNER OR SYSTEM EVALUATOR IN CLALLAM COUNTY EVALUATIONS OF SYSTEMS ARE TO BE PERFORMED IN ACCORDANCE WITH POLICY NUMBER 540.2 OF THE CLALLAM COUNTY HEALTH DIVISION . Cf}; ~l zL/~ t;l1E ~ IE ~ 'VIlE RECTRICAL WORK PERt'\1lT APPLICATl()N ~ ,SEP3 0 2008 ---.....:? . City Licetlse number ANGELES ELECTRIC,INC. 524 EAST FIRSI PORT ANGELES. WA 98362 Slate .ZIP Date Expirc:s Instal~description B"Comrnen:ial (J Residential Cl New ~dlAdditiOn Job wired by ltf'Eiect,ical Contractor 0 ~t DEPT. FAX number ~ ~1L ~V4.- ry~. ~ {r'i~ g Electrical con!racior name Purchaser's mailing addres~ ~ Telephone number 2i (jO Owner as defined by RCW19. 8.261:(1) Owner will occupy the ructure 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. After reading the above statement. I hereby certify that r am the owner of the above .named property or a licensed electrical contractor, I am making the electrical instal- lation 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, arid Utility Specifications. Sign.ture of 0 lJ Cash lJ Check # o Credit Card VIS8 Mastercard Discover C~#___~_~~~~~____ x Expiration Date of card $n,p~6V SANlce Information ~~=eelw Service Size:.~ Feeder Size: ~)f;Z.- EIP.CIrie.alload Addltlo lJ NO lOAD CHANGES o Basaboard KW CI Fumace KW lJ Heal Pump _ Ton _ LAR o Fan-Wall KW o Overhead Service lJ Temp Saoviae Q Underground Serv;cs SAME DAY INSPEC.TION, C.ALI. BEFORE 7:00 AM 360-417-4135 I' ROUGH..IN I' TIIERMOSTAT "- I' SERVICE ,-/r)~I.~ ~ " Dllte Approvl:4 By \, Dale Approved Dy I' FINAL I' DITCH "- I' FEEDER :o1[lJ8 ~Y/ '-- Dale Approved By ./ Dill: Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Dale Inspector . 100011000 ~ JT~lJaTH saTaSuv S9Z6 ZSt 09~ XV~ ~~:LO 900Z16Z160 '~';,. ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,('2 ELECTRICAL PERMIT Issued: 10/29/97 Permit No: 6102 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HOPKINS 4317 TUMWATER TRUCK RTE 4317 TUMWATER TRUCK RT. Lot: Port Angeles, WA 98362 Block: Long Legal: . 360/000-0000 Sub: T: S: Pare No: 063009500910000 CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 T:JMWATER PORT A~GELES, WA 98362 360/457-5303 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE INSTALL Occ 3rp: Occ Load: Land Use: IL Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 100 AMPS o AMPS PROJECT NOTES----------------~-------------------------------------------------- INSTAL 100 AMP SERVICE ON AIR COMPRESSOR BUILDING AIR COMPRESSOR IS CURRENTLY FED FROM MAIN BUILDING, BUT IS CAUSING VOLTAGE DIP PROBLEMS WHEN IT STARTS PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $67.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Mise TOTAL FEE: Amount Paid: $67.00 $67.00 --------------------------------- --------------------------------- . . TOTAL FEE: $67.00 Balance Due: $0.00 COMMI:NTS/ACTlON NEEDED '. ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COlIER. INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTlON TYPE DAn ACCIll'TED COMMEI'mi YES I NO -IN I vy..." , ~VICh /t?7'i",M1 7 I I I GENERAL COMMENTS: rw-I 101.1' 1051 oS ~r.~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. W A 98362 ELECTRICAL PERMIT Issued: 6/18/97 Permit No: 5957 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ RICHARD HOPKINS 4317 TUMWATER TRUCK RTE 912 W.4TH ST Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: 063009500910000 CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457-5303 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: IL Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o X Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- WIRE PAINT BOOTH PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $50.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $50.00 $50.00 --------------------------------- --------------------------------- TOTAL FEE: $50.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPRCTION TYPE DAn: ACCRPTED COMMENTS YES I "0 DITCH I ~~~GH-IN lCOVER ~VIf'F I bJ/~jt;7 -I GENERAL COMMENTS, PW.1I02.ljI4l96] CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical lnspee60ns 321 East Fifth Street — P.O. Sox 1150 /Port Angeles Washington, 98362 Fit: (360) 417 -41735 ]Fax: (360) 41.7 -4711 Date. 5 �-U 1 Muffl-Family or Comm* r RECE,0� roar•i,b MAY 2014 INSPECONS x Plan Review May Be Required, Please Com ate Electrical Plan Review I� ri ma iion Shegtt Job Address: 7 �- Building Square Footage: -- - --�- -- pesedpuon of above O Owner InforMation Name: � Malfr�g A�*d a: Gi �. ly: Stale: 71p: Phone: QA-7b Fax- License i /Exp. Contractor Inform tion Mailin ddresS: City; �C7�.� Phone: Fax: License 6 / Exp. • Ia tJnit:_Chame Tote! iCh Mulf3'piied 4y Unit C—hagipj Service/Feeder 200 Amp. $132,00 $ Service/Feeder 201.400 Amp. $160.00 Servlce(Feeden401 -600 Amp $225.00 $ _ Service/Feeder601- 1000 Amp, $288.00 $ ._ Ssnu ce/Feeder over 1000 Amp. $ 410.00 $ — Branch Circuit WI Sorvlce Feeder $ 5.00 Branch Circuit W/p Service Feeder $ 74.00 Each Additional Branch Olrcuit $ 5.00 Branch ClrcuM 1.4 $ 86.00 $ $ -[ 5z Temp. Service/ Feeder 200 Amp. $102.00 $� _ Temp, 5ervice/FeWmr 201.400 Amp. $121.00 $ Temp. Service/Feeder 401 -600 Amp. $164.00 Temp. Service/Feeder 601 -1000 Amp. $185.00 $ Portal to Portal Hourly $ 96,00 $ r Sign/Ou0lneUghting $ 88.00 Signal Circuill Limited Energy — Multi - Family $ 64.00 Signal Cim uit/ Limited Energy 1 First 1500 Sf — Commercial $ 96.00 $ _ Note: $50 for each additional 1500 sf Ranawable Electrical Energy - StVA System or Lees $113.00 Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ �� „� � Total Owner as defined by RCW.19.28261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. 1.2) 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 cc ntractor. I am making the electrical Installaton or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -168, The City of Poo Angeles Municipal Code:, and Utility SpeciBtations and PAMC 14.05,050 regarding Electrical Permit Applications, Signs of owner, electrical coil r or electrical administrator: © Cash © Check • � G�redim Gard #,,,,,, „�� ,,,, Dated• '5-- 'Zd � t17f0111092 1 d ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , . . 14- 60000590 pate 5/22/14 Application pin number , . . 581730 Property Address 4317 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER; 06-30-09-5-0- 0910- -0000- Application type description ELECTRICAL ONLY SubdiviSian Name . . . . , , Property Use . . . . . , , . Property Zoning . , , , , , . INDUSTRIAL LIGHT Application valuation . . . , 0 ---- - - - - -- - - - - -- Application desc Lighting change Owner Contractor BRIAN S PAYNE LLC SIMPSON ELECTRIC 4317 TUMWATER TRUCK RT 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 -9270 . ----------------------------- Pexmit , . . , . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 5/22/14 Valuation , , . . D Expiration Date 11/18/14 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 00 .0b Plan Check Total 0p 00 00 00 Grand Total 86.00 86.00 .00 00 aL.1 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE; RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN .FINAL , PIF COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: G;IEXCHANGEIBUILDING