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Home My WebLink About1015 W Hwy 101 - BuildingElectical Permit 1015 W Highway 101 13 -155 INSPECTION TYPE DATE: RESULTS:. INSPECTOR: DITCH SERVICE 2,13 )13 `P IA r ROUGH -IN FINAL 2_`{ /63 W COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner HIRSCHEL JR HENRY 1015 W HIGHWAY 101 PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 120.0000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983632336 ELECTRICAL ALTER RESIDENTIAL 120.00 2/11/13 8/10/13 120.00 .00 120.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000155 660960 1015 W HWY 101 06-30-08-5-8- 1940 -0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 EL -0 -200 SRV FEEDER 120.00 .00 120.00 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 -6424 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 2/11/13 WA 98362 .00 0 Extension 120.00 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: l 0 0 FEB -8 -2013 03:37P FROM:ELECTRIC SERVICE 4526424 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: 2 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 u' Building Square Footage: 'too Description of above Owner Info atlon Name: 4 v` L) a_� Malting dd 138 w h. City: V v State: Zi 4 r. Phone: 7 u"3 Fax: License 1 Exp. Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. SeMcelFeeder 401-600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Clrcults 1-4 Temp. Service/ Feeder 200 Amp, Temp. Service/Feeder 201-400 Amp. Temp. ServicelFeeder 401.600 Amp. Temp. Service/Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy -18 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY First 1300 Square FL Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub X _'1t2 Single Family Dwelling �y 1M Wts Unit Charge 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 75.00 93.00 110.00 149.00 168.00 96.00 64.00 120.00 102.00 56.00 120.00 40.00 74.00 110.00 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two y to hire an electrical contractor if above said property Is for sale, rent or lease. Perm After reading the above statement, I hereby certify that I am the owner of the above the electrical Installation or alteration in compliance with the electrical laws, N.E.C., Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Signature of owner, electrical retractor or electrical administrator: 1 Contractor Infopatlon N ame: ∎.�c. Ailing poress• 1 1- V Z l D f' City: Y p& State: W a Zip: q 113 u Flione: `-i v"-'b Y Fax Lcnse /Exp. et. 6 GT S 1 132.0vN [2:3 TO:4174711 L... l:'SPECTV.MS SltC Total fQty Multlotied by Unit Charnel a 2n Total P. 1 ars after this electrical permit is finalized. (2) Owner is required expires after six months of last inspection. named property or a licensed electrical contractor. I am making RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Electrical Permit Applications. Cash chedt Cron cud 0110112012 C!� 1 Application Number 12- 00000962 Application pin number 819958 Property Address 1015 W HWY 101 ASSESSOR PARCEL NUMBER: 06-30-08-5-8- 1940 -0000- Application type description DEMOLITION Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc REMOVE SHED AND GARAGE Owner HIRSCHEL JR HENRY 1015 W HIGHWAY 101 PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Other Fees STATE SURCHARGE Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 7/ -70/, i4( CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 T:Forms /Building Division /Building Permit WA 983632336 DEMOLITION REMOVE GARAGE /SHED 50.00 Plan Check Fee 7/30/12 'Valuation 1/26/13 Per BASE FEE Contractor WASHKE, BRAD J LENA M 1118 MT PLEASANT RD PORT ANGELES (417) 3978 Charged Paid Credited 50.00 50.00 .00 .00 .00 .00 4.50 4.50 .00 54.50 54.50 .00 Date 7/30/12 WA 98362 .00 0 Extension 50.00 4.50 Due .00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Vulva M ►Z 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 Taws, 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 e performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signattre of Owner (if A ner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by Under Floor Slab c1.4. 1- TL.. 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 c1.4. 1- TL.. PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T•Fnrmc /RuiIrlinn I7ivisinn /R1 tilrlinn Permit O r-- C3 N co 3 s- 0 N a W a W u 0g4 Ha E h 0X 0 0 H H U U w w a a Z N N 0 H W W nz W 0 0 2 0 n a a E. 0 H H X a 02 0U z Kt 0 oO was a i H 0 o a �aor0 2 0» H 0 0 �0 0 Z wa H Q 0 0 0 0 0 x F o W 1 CO H 2 0 a 0 o O W o o 0 O 2 x u 0 0 p4 w w U H U] a' f'1 O Q 0 0 2 0 H 0 0 0014 oa 00000 0 0 H 0 CO 0 00 a W' a0 O 0 w a 0 0 0 0 H w w o U a 0 co Kg a z F a O N 2 H W u 1 H CO W E- Q 2 2 2 W a 0 u a U 0 0 Q a F N 0 m 0 a 0 0 N 7 m w N H N H W o N W 0 f 0 0 a r U H U a z w E 3 N aa 0 (0 0 Project Address: to 15 tid H t affy (6/ l ed A O G-- L --e-S a A' Main Contact: K.k 1 4)`Z C,- GL L_ lame Phone S 7- 0 Property Owner yr r� r t o,= ltfN R`( (H,Scf f L Phone Mailing Address y id (A)/ 6 Y S% Email City F dR iv f,L4.5 (/4- F 3c� State 4 Zip q �c Contractor Name c A- J7 W k Phone z// 7 7 8 Mailing Address Email City State Zip Contractor License i p w w C TV 5 B 2__ Expiration: Project Value: Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial Public Demolition A Fire Repair 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? Yes No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description )1.._(4,1021_ it A tJ D S' >7 D PG a) PR P RT1 I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date r 3° Print Name 1M kAV Id v,(r-z__ Signature WA, A 144-4---,-, ,e, THE o ORTANGELES 45 W A S H 1 N G T O N. U. S 321 East 5th Street Port Angeles, WA 98362 P: 360 417 -4817 F: 360- 417 -4711 hcatuzo @cityofpa.us Building Permit Application 1 For City Use Permit 1 5(0a Date Received: 11301 Date Approved: 1 141 0 c v n O -I Z Z r m m 0 m_ m ,Contractors or Tradespeople Detail Page 1 of 2 Washington State Department of J Labor Industries Contractors or Tradespeople Detail Return to List Start a New Search E Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General /Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name BRAD WASHKE CONSTRUCTION INC Phone No. (360) 417-3978 Address 11 18 Mt Pleasant Rd Suite /Apt. City Port Angeles State WA Zip 98362 County Clallam Business Type Corporation Parent Company UBI No. J 602569956 Status I) Active License No. BRADWWC945BZ License Type Construction Contractor Effective Date 1/9/2006 Expiration Date Suspend Date Specialty 1 Specialty 2 1/9/2014 General 1) Unused 9 Other Associated Licenses License Name BRADWC "981 D2 8 Bond Information BRAD WASHKE CONSTRUCTION H Business Owner Information 9 Hide All Type Construction Contractor https: fortress .wa.gov /lni/bbip /Result.aspx Specialty Specialty Effective Expiration Status 1 2 Date Date General Unused 3/22/2002 3/22/2006 Re- Licensed Name Role Effective Date Expiration Date WASHKE, BRAD J President 01/09/2006 WASHKE, LENA M Secretary 01/09/2006 Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received 7/30/2012 Contractors or Tradespeople Detail 1 CBIC 5E2990 Until 12/28/2005 Cancelled $12,000.00 01/09/2006 Name Number Date 8 Assignment of Savings Information No records found for the previous 6 year period 9 Insurance Information +J Insurance Company Name Policy Number Effective Date Expiration Cancel Impaired Amount Date Date Date Received Date 8 7 6 5 4 3 2 North Pacific Ins Co North Pacific Ins Co NORTH PACIFIC 004168414 INS CO NORTH PACIFIC INS CO CO3168414 NORTH PACIFIC 002168414 INS CO LIBERTY NORTHWEST INS C01 168414 CORP AMERICAN STATES INS CO C06 168414 .03/20/2012 03/20/2013 CO5168414 03/20/2011 03/20/2012 03/20/2010 03/20/2011 03/20/2009 03/20/2010 03/20/2008 03/20/2009 03/20/2007 03/20/2008 01CG313358 03/20/2006 03/20/2007 4 I $500,000.00 02/13/2012 $500,000.00 03/01/2011 5500,000.00 03/24/2010 $500,000.00 02/24/2009 5500,000.00 02/28/2008 5500,000.00 03/12/2007 5500,000.00 02/21/2006 8 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period U Warrant Information '4 No unsatisfied warrants on file within prior 6 year period Date Date Date Amount Date Page 2 of 2 c; Washington State Dept. of Labor Industries. Use of this site is subject to the laws of the state of Washington. Access Ala. ngton https: fortress .wa.gov /lni/bbip/Result.aspx 7/30/2012 of P 1'g 110961- I 14 .1C NCO T.Forms /Building Division /Building Permit Application Number 08 00001227 Date 9/25/08 Application pin number 780932 Property Address 1015 W HWY 101 ASSESSOR PARCEL NUMBER 06 30 08 5 8 1940 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 3850 Application desc TEAR OFF INSTALL COMP Owner Contractor HIRSCHEL JR HENRY 1015 W HIGHWAY 101 PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32] EAST 5TH STREET PORT ANGELES, WA 98362 WA 983632336 LARRY S ROOFING 352 AVIS ST PORT ANGELES (360) 452 2215 WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF /INSTALL COMP Permit pin number 135335 Permit Fee 123 75 Plan Check Fee 00 Issue Date 9/25/08 Valuation 3850 Expiration Date 3/24/09 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 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 compile with wh= specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions o't y s -local law regulating construction or the performance of construction 0 Date` Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Accepted By Comments FOUNDATION Accepted By Electrical 417 -4735 Footings Electrical Stemwall Construction R.W PW Engineering 417 -4807 Foundation Drainage Downspouts Construction R:W PW Engineering Piers Fire 417 -4653 Post Holes (Pole Bldgs.) PLUMBING FINAL Date: Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls r Ceiling J FRAMING Joists Girders Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab r Wall Floor Ceiling MECHANICAL. FINAL Date. Accepted by Heat Pump Furnace Ducts Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE RESIDENTIAL DATE Accepted By Commercial Date Accepted By Electrical 417 -4735 Electrical Construction R.W PW Engineering 417 -4807 Construction R:W PW Engineering Fire 417 -4653 Fire Planning 417 -4750 Planning Building 417 -4815 Building PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 4735 Public Works Utilities 417-4807 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. T /Building Division /Building Permit lyP g -24 -io Applicant or Agent Property Owner Property Owner's Address Contractor /Engineer Contractor /Engineer's Address License Ott; fj Q p (q.J.4) PROJECT ADDRESS Parcel Number Project Type Brief Description. ,4 Residential Check all that apply New Construction Commercial Multi- family Industrial Addition -M61)e- faX14) if)% qu' Remodel r Repair ��i 001'4 X Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Basement 1 Floor 2" Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 10 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink ■iL 1.hL A ne For City Use Only Date Received ZS =Df' Permit Date Approved J i CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Phone Phone Mr= r .s Ph Expires I I015 t lob 6) Lot Existing (sq. ft.) Proposed (sq. ft.) ft. Occupancy group Occupant load Construction type TOTAL VALUATION Zoning per sq. ft. sq ft. T Lot size sq. ft. Lot coverage of bedrooms of full baths of half baths 38So 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 detegmjne what permits are required, and to btain s prior to working on projects. Date 1 7 0 Print Name IOTA, Signature 'TT Yrt FRAM : FAX N0. CjTV OF PORT ANGELES PERMIT APPLICATION Building Division/Eleetrica1 Inspections 321 East Fifth Street —.P.O. Sox 1150 I Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417 -4711 Rate. '!� `' �.a- 'ISin7a Family Dwelling Mar. 17 2018 11:59AM P1 * Plan Revlew N�Va Required, Please Complete l;lecttu al Plan review Information Sheet Job Address: 3 t� '4Y1 BulldN Square Foolage: _ t f o b Desaiption of Mme ...� ._.. - - Owner Info tion 9, 5 1; AX V Contractor Igrn Mott-iU C S +� V 1. Nam9 r Name 1 ___ _ _ lJlrtilirv� w t 4.w - A40 I ct..zfa MaAi 'a- o , t O' tiw. - Stelae zip; t-N� C 1°1- .w -4, Phatd— G4 — - FWC Phone a -C. ex: 4 (. y 7 License # 1 Ex p. Lioertga # 1 Exp. %.- s-r t l I-% `x. Ohl Item Unit Ghame Total fQty muldolied by Unik q:ome) Swvice, FwAer 200 Amp. $120.00 $ .. . SeMcOeader20140MV. $146A0 $ 5ervicelFeeder401 -WAnV $245.00 $ - - -. - - -' SenricalFeeder 601 -1000 Amp. $ 262.00 .- SeMcelFeWer over 9000 Amp. $ 373.00 $ Bmch Circig W! Service Feeder $ 5.04 Branch Ckctdt W10 Servk a Feeder $ 63.00 S Each Additiorwl Brandt OrCirit Bmnoh Cimub 1.4 $ 5.00 $ 75.00 $ $?' Temp. Service! Feeder 200 Arrp. $ 930 � S Temp. ServicelFeeder 201400 Amp. $110.00 $_ -- -. -- — - Temp. ServiceFeeder40l4M' p. $1d9.00 $ T". StMV Wff eerier 601 -10Y Amp . $166.00 $ Portal to Portal Hourly $ 96A0 S Signal Circuit! limited Energy -1 & 2 Ferny Dwepirti rg $ 64.00 Me nufa*md Home C6nnedlon $120.00 S Renewable EleftA Energy - $KVA System or teas $102.00 $ That $ 56.00 S Note; $5.00 for sett addital T-Slai NEW CONSTR First 13W Square rt $120.00 Each Additional SW Square Ft or Portion of $ 40.00 S Each outbuklbV or Relachad GaMs $ 74.00 $ Each Swimming Pod or Hot Tub $110.00 $ S �Total Owner as defined by RM19.26.261, (1) Owner will ocogy the struture for two years aliter this 4WWC21 permit Is finalized. (2) Owner Is reWlred to hire an ei(xtr t contras iT above said property is for self}, rent or lease. Pem►it expires attar six rnontfts of last Inspedlen. After reading the above statement, I hereby certify that I am the owner of the above named property or a kensed deciical cmtractar. I am making the electrical installation or mbar lJon in compllattoe with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296468, The City of Port Angeles Munidpal Code, and utility Speckadons and PAMC 14.05.050 regarding Electrical Perm#Apoi xt 0s. Slgnawra of own , el l conW r or electrtael adminlatratnr: 11 cash ❑ cr"ar C1 Cr0&Qffd# ..424 1 a V ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , . 14- 00000736 Date 6/24/14 Application pin number . . . 494400 Property Address , . . . , , 1015 W HWY 101 ASSESSOR PARCEL NUMBER: 06- 30- 08 -5 -8 Application type, type, description ELECTRICAL ONLY Subdivision Name . . , , , . Property Use . . , , . . , Property Zoning . . . , , . . COMMUNITY SHOPPING DISTR Application taluatign , , . 0 Application desc 4 circuits Owner Contractor -- -- -------------- -- - - -- ------------------------ HIRSCHEL JR HENRY ELECTRIC SERVICE 1015 W HIGHWAY 101 62 DRAPER RD PORT ANGELES WA 983632336 PORT ANGELES WA 98362 (360) 452 -6424 Permit . , . , ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee , , _ 75.00 Plan Check Fee ; 00 Issue Date . , , , 6/24/14 Valuation . , . . 0 Expiration Date . , 12/21/14 Qty Unit Charge Per Extension BASE FEE 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 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS. INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBLIILDING {S` L,