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HomeMy WebLinkAbout321 E 5th St - Building`i�1 YtlRf j'.:
CITY OF PORT ANGELES PERIVIIT APPLICATION RECENED
Building Division/Electrical Inspections �!
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 96A 2 2115
Ph: (360) 417.4735 Fax: (360) 417 -4711
Date; �� M - ` Muld-Family or Commercial fMNJ§' Z��Z— Zia
Plan Review Ma Be Required, Ptese Complel o�lecfrio�evlevAliforrnco5 t�
Jab Address � '��
Owner Information
Name: r e.
Contractor Information
City: p�d�dr� 3 a- ,sM
N: tate, Zip; Gr
dame, L `5?1.
Mallin Address:
l its, i
Phone. .atr Fax'3
©
ti.
Stale. �4 Zip; 1
License #1 Exp.
r��1��1f����'�'7.°27
Phone: a
License #1Exp.
Fax; 4f , --
./l/ 'L, .2 —zi~ 17
t"7
Item
Service /Feeder 200 Amp,
Unit Charge
$ 132,00
Q yt
Total Q Mufti lied h Unit Char e
ServicelFeeder 201 -400 Amp,
$160.00
$
Service /Feeder 401 -600 Amp
$ 225.00
$
Service /Feeder 601.1000 Amp,
$ 288.00
$
ServicelFeeder over 1000 Amp,
$ 410,04
$
Branch Circuit W1 Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74,00
$
Each Additional Branch Circuit
$ 5.00
Branch Circuits 14
$ 86.00
$
$
Temp. Service/ Feeder 200 Amp.
$ 102,00
$
Temp. Service/Feeder 201.400 Amp,
$121.00
$
Temp, ServicelFeeder 401 X00 Amp,
$164.00
$
Temp, Service/Feeder 601 -i 000 Amp .
$185, CO
Portal to Portal Hourly
$ 96.00
$
Sigr/Outline Lighting
$ 88,00
$
Signal Circuitl Limited Energy — Multi•Family
$ 64,00
Signal Circuit! Limited Energy / First 1500 sf — Commercial
$ g6,00
$
r
Note: $5,00 for each additional 1500 sf f
$ 1—�--
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 566,00
$
$
Note; $5.00 for each additional T -Stal
$ Total
Owner as defined by RCVV,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 con tractor if above said propertyis 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 installalion or alteration in compliance with the electrical laws, N,E.C,, RCW, Chapter 19,28, WAC, Chapter 296 -468, 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;
X Dated; 6119
9
/I �
Cl Cash ■ Check
esla1120t2
R l
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application.Number , , , . .
15- 00000707 Date
6/22/15
Application pin number . . .
865543
DITCH
Property Address . , . ,
321 E 5TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-1-7050 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . , , ,
Property Use . . , . , . , .
-
Property Zoning . , . . . . .
PUBLIC BUILDINGS & PARKS
..►J
Application valuation . . , .
0
COMMENTS:
Application desc
'
Law voltage cable ceuncel chambers
Owner
contractor
CITY OF PORT ANGELES
AUDIO VTSUAL INNOVATIONS
INC
PO BOX 11.50
6301 BENJAMIN ROAD
PORT ANGELES WA 983620217
TAMPA
FL 33639
(813) 884 -----
- ,%3
Permit , . . . ELECTRICAL
ATTTRR COMMERCIAL
Additional desc .
Permit Fee 96,00
Plan Check Fee
.00
Issue Date 6/22/15
Valuation . . , ,
0
Expiration pate 12/19/15
Qty Unit Charge Per
RxtensicD
1100 96.0000 EcH E7-
7,TMITED 1ST 1500 SQ FT
96,00
Fee summary Charged
Paid Credited Due
Permit Fee Total 96,00
96.00 DO
.00
Plan Check Total .00
.00 ,DO
00
Grand Total 96.00
96.00 d0
DO
r
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
..►J
COMMENTS:
PERMIT WILL EXP= SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical. Contractor X Date:
G:IEXCHANGEIB UILD ING
C3
Application Number . . . . . 22-00001384 Date 11/04/22
Application pin number . . . 519136
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Load bank
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC
321 E 5TH ST PO BOX 360
PORT ANGELES WA 983620217 BURLEY WA 98322
(253) 858-0214
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 223.00 Plan Check Fee . . .00
Issue Date . . . . 11/04/22 Valuation . . . . 0
Expiration Date . . 5/03/23
Qty Unit Charge Per Extension
1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00
1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 223.00 223.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 223.00 223.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 11/03/22, 7:29:18 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001384 321 E 5TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 223.00
TOTAL DUE 223.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Load bank generators
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/7/2022 22-1384
TAP
OWNER
CONTRACTOR
Legacy Telecommunications
PROJECT ADDRESS
321 E 5th St
•
ELECTRICAL PERMIT
CITY QFPORT ANGELES F
360417-4735
AppiiCition Number 17-00001662 Date 11/13/17
Applicati* pin number . . 970072
Property Addreals 321 E 5TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . , 0, •
Application desc
Power and pate Eng. Conference
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . 74.00 Plan Check Fee . . .00
Issue Date . . . 11/13/17 Valuation . . . 0
Expiration Date . 5/12/18
Qty Unit Charge Per Extension
1.00 74.0000 BCH EL-COMM BRANCH CIR WO/ S/F 74.00
Fee summary Charged Paid Credited Due
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 • .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
11 117 /17 "IpiP4)
FINAL /ri 11 7
041:1
COMMENTS:
•
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
•
oY?ORT 4,y„,
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections t
321 East Fifth Street—Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 IIIIIIIPOr
Date: // ? /7
_Multi-Family or Commercial* Commercial Addition/Alteration/Remodel/Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3 Z t £ 7--4±1 51--
Building Square Footage:
Description of work I a�Attic- O4.c r t. -r t' 414-r/4 r"i et 14.40 � �0 S p -2. ‘16-1:1110(41
2is.•rt.. _ (CL.A T fC.2.d1 w>
Owner Information Contractor Information
Name: 44 Ty •f AA (GI / OA Lt) Name:
Mailing Addressi Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#I Exp. License#/Exp.
Item Unit Charge flty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuits 1-4 $ 86.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 I $ 74. at,
Each Additional Branch Circuit $ 5.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 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 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy I First 1500 sf-Commercial $ 96.00 ,...Ct $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
$ otal 7 4 v:'
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 14.05.050 regarding Electrical Permit Applications.
Signature f owner,electrical contractor or electrical administrator: ❑ Cash 0 Check
p•—vh......--..........Dated: ❑ Credit Card#
x 1� ?- 17 01/01/2012
EI,ECTRAL PERMIT
CITY OF PORT ANGELES �1
360-417-4735 :, -
Application Number 17-00000225 Date 3/01/17
Application pin number . . 035100
Property Address 321 E 5TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-70.50-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . to the City of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . 0
Application desc
Planning office walls
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 86.00 Plan Check Fee . . .00
Issue Date . . . 3/01/17 Valuation . . . . 0
Expiration Date . 8/28/17
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
10/2‹/17 *P colP
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
...._
RECEIVED .„1/43v?"RLING,,,
L) Al..'e.Y )
CITY OF PORT ANGELES PERMIT APPLICATION FEB )r)'? N
Building Division/Electrical Inspections - ff _ 1111
321 East Fifth Street—Port Angeles Washington,98362 ELECTRICAL Lipall11111111111,
Ph: (360)417-4735 Fax: (360)417-4711 INSPECTIONS W. _ 1
Date: 2!7-$ 12 ...mmik
Multi-Famil or Commercial* r ommerc- ,.'tion/Alteration/Remodel/Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3z t it_ S
Building Square Footage:
Description of work
qt—itS P444
i r 6 WkCk. 143IssC-� Oro.). $u r.:)
7 W N
Owner Information Contractor Information
Name: G t D.r ov I'esitz'- A ILLP9a A Name:
Mailin Address: '32.1_ S 'Sr Mailing Address:
City: ',els.— State: y.D-P-Zip: , City: State: Zip:
Phone: Fax: Phone: Fax:
License#1 Exp. License#1 Exp.
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $ .
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuits 1-4 $ 86.00 1, $_
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 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 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
$ 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 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: D Cash D Check
❑ Credit Card#
X Dated: 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00000015 Date 1/05/17
Application pin number . . 122840
Property Address 321 E 5TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation . . . 0
Application desc
Data wiring
Owner Contractor
CITY OP PORT ANGELES ANGELES COMMUNICATIONS INC.
PO BOX 1150 102 ROSS LN.
PORT ANGELES WA 983620217 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 96.00 Plan Check Fee . . .00
Issue Date . . . . 1/05/17 Valuation . . . . 0
Expiration Date . . 7/04/17
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN lb 4f/ -'-",%;;;:3111'
FINAL '11)114
�7
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
i. 4 �\
CITY OF PORT ANGELES PERMIT APPLICATIONCI).
Building Division/Electrical Inspections EcEivf,- Iwo
., .x
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax:(360)417-4711 _ JAN,
Date: 2- ../ A9 20/7 Multi-Fao imi ca'
'Plan Review May Be Required,Please Complete Electrical Plan Review Informption Sheet
C J 4
Job Address: 2/2r 1" 5f• og.r / [.-t E$ , 0.-llt t:36 2
Buid'mg Square Foo -: 14,)A/Des* on of above '' -- O. .. L Or' I c./ /n r" , M1
aFP-tce)
Owner (
In gmtti-on a Cont a Information
!
Name: •► y 0f- O R r �1 N 6-6(...E Eme:5 Naftti �E(,E5 Cann r/:�i iLiT)JdJ S
M ' Ad S 5t• Main. -.: i ' c 5 :r
City. State:i1/& Zap: `1 City, c. r .r. (,.-late: Zp:�- cl 3
Phone:36O't'7 1 I I Fax: Phone:A41 S -r+7 571 Fax: 'u 7&- Z...
License#/Exp. _ ,,1 ES t1i 2 1F'21-.�, License#/Exp. (0 j 3 g 4,5 l2 v/3e/,7
tlE Unit Chante gyt Total(Qty Mukio ed by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
ServicFeeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $ •
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 5
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. S 164,00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly S 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy-Multi-Family $ 64.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 / $ f(v
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less S 113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$ 7( 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 14.05.050 regarding Electrical Permit Applications.
Signature of oymer,elect it l contractor or electrical administrator: 0 cam, 0 Check
fcrime carr Q3 F 1
x , Dated: �f�* `i t 2 17 oran/zotz
9 i
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
•
Application Number 17-00001080 Date 8/09/17
Application pin number . . 826760
Property Address 321 E 5TH. ST REPORT STATE SALES TAX "
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- '
Application type description ELECTRICALONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
r _
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation . . 0
Application desc
Generator Load Bank
Owner Contractor
CITY OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC
PO BOX 1150 PO BOX 360
PORT ANGELES WA 983620217 BURLEY WA 98322
(253) 858-0214
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 223.00 Plan Check Fee . . .00 •
Issue Date . . . 8/09/17 Valuation . . . . 0 '
Expiration Date .' 2/05/18
Qty Unit Charge Per Extension
1.00 102.0000 -ECH EL- COMM 0-200 TEMP SRV / FDR 102.00
1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00
Fee summary Charged Paid Credited Due
Permit Fee Total 223.00 223.00 .00 .00
Plan Check Total .00 .00 .00 .00 - •
Grand Total 223.00 223.00 .00 .00
INSPECTION TYPE DATE RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN gJ J7/1-7 + - *.p,11111PFINAL
$
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Aug. 2. 2017 11 : 26AM No. 7923 P. 1
RE, I ,.-cEi .,,,!: Ori pc�Rr� t
'&, ifs
CITY OF PORT ANGELES PERMIT APPLICATION 'i'=c. ��;.
Building Division/Electrical Inspections W liblail (:.9
321 East Fifth Street—P.O.Box 1.150/Port Angeles Washington,98362 ,--. :;i''. :.
Ph:(360)4174735 Fax:(360)417-4711 :'" hi:.
F
Date ;lZ 2-1I'�_ _Muamily
•Cgt::.
'Plan Review May Be R-•uired,P -- Complete Electrical Plan Review Information Sheet
Job Address: ' 21 E. 1k - 'aC A • -l
Bu9dtng Square F• -:
ar eboue O• .its A . • _ .. !ti._ 7* • . K 2 a` Q 11 • Ct►C1'('-e time
Dgy 0• • '.1i C[ 0 e Oar-4wIRIIit -4-
Owner Informata Contractor information
Name: C r- oa .0 -ATI 4e%eS Nam___Qe ,C•L P Wer
Nailing Address: Melling Address: P•b. -Ox 3/0c 2�
Ci7 State: BP! city 4Sustoic - A -
Phone: Fax: Phonclear Ora% 2 1 '- 02 4
Lkense#i Exp. License#!Exp. 1_14T i 00 V.-
Unit
Unit Charge a Toad(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201400 Amp. $160.00 $ _,
ServioelFeeder 401 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $ -
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/0 SeMce Feeder $ 74.00 $
Eats Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 S 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 t $ O'1 .iQ
Temp.SeMcelFeeder 201-400 Amp. $121.00 $ 1L t.00
Temp.Service/Feeder 401-800 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Parol to Portal Hourly $ 96.00 5.
Sign/Outline Lighting 5 88.00 $
Signal Circuit;Limited Energy-Medd-Family $ 64.00 $ -
Slgnal ClrcuM/Limited Energy/First 1500 sf-Commercial $ 96.00 - $ .
Note: $5.00 for Bath addbonal 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$ 7-23.° 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 tam the owner of the above named property or a licensed electrical contactor.I am making
the electrical installation or alteration in compliance with the eledrical laws,N.EC..RCW.Chapter 1928,WAC.Chapter 296-48B,The City of Port
Angeles Municipal Code,and Utility Speciacgtlons and PAMC 14.05.050 regarding Electrical Permit Applications. �-p
Signature of owner,electrical contractor or electrical administrator: ❑ cath 0 Cbeete 1 %.&Lw.-.CC1- 1')14.11.
1cFada Cara _
ELECTRICAL PERMIT -
CITY OF PORT ANGELES -
360-417-4735 15'-
Application Number 16-00001638 Date 11/01/16
Application pin number . . 183332
Property Address . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . 0
Application desc _ •
Install AP cables and equipment
Owner Contractor
CITY OF PORT ANGELES CTS
PO BOX 1150 ' 2720 S ASH ST
PORT ANGELES WA 983620217 TACOMA WA 98409
. Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 161.00 Plan Check Fee .0.0
Issue Date . . . . 11/01/16 Valuation . . . . 0
Expiration Date . . 4/30/17
Qty Unit Cb4Yge Per Extension
1.00 96.0000 ECH ''EL-LIMITED 1ST 1500 SQ FT 96.00
13.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 65.00
Fee summary Charged Paid Credited Due
Permit Fee Total 161.00 161.00 .00 .00
' Plan Check Total - .00 :00 .00 .00
Grand Total 161.00 161.00 .00 .00
•
•
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
•
SERVICE
ROUGH-IN
FINAL - 1)41-7 147 1C:4>.
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GIEXCHANGE BUILDING
i
l
CITY OF PORT ANGELES PERMIT APPLICATION ,1_� W
Building Division/Electrical Inspections / 1,'. tori
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 NIIIMPF
Date: 10/26/2016 _Multi-Family or Commercial*
'Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address: 321 E 5th St Port Angeles,WA 98362
Building Square Footage: 20,000 sq ft
Description of above Install 1051 AP cables 1051 locations and install AP equipment
Owner Information Contractor Information
Name: City of Port Angeles Name: CTS
Mailing Address: 321 E 5th St Mailing Address: 2720 S Ash St
City: Port Angeles State: WA Zip: 98362 City Tacoma State: WA Zip: 98409
Phone-MO-417-4735 Fax: 360-417-4711 Phone:206-886-2000 Fax: 206-686-2000
License#1 Exp. License#/Exp.CTS"TS881 BK
Item Unit Charge gty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 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 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy–Multi-Family $ 64.00 $
Signal Circuit/Limited Energy/First 1500 sf–Commercial $ 96.00 14 $161
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56,00 $
Note:$5.00 for each additional T-Stat
$161 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 ppecifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sigr a ure of ow er,elect cal co tractor or electrical administrator: 0 Cash 0 Check
l
Credit Card* ' �� ( � _ IYI f ''�
x `r. J '.�.i Dated: 10/26/2016 0110112012
��t(E'`\V1 UJe-O'('_-t—
/,;," ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PER4./i q it6 M��� INSPE
OWNER
CONTRACTOR
GYM O' tG
ADDRESS
32J rte- SS1�
APPROVED NOT APPROVED
O DITCH ❑
Cr ROUGH IN/COVER
O SERVICE ❑
❑ FINAL ❑
CORRECTIONS NEEDED: �x+►� A L(.. L.
c z-)1 (44,s GdJ1F- z, Az i 10 MD
1'.1,x..G 110 0 rah
h
1414.7— A 4 ' hta�-r a=igy*"rriz_ 1Q
At*L 353.30
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE---
ti htiJhr �,�
CITY OF PORT ANGELES PERMIT IT APPLICATION
Building Division/Electrical Inspections r���,mw.l .�
321 East Fifth ,Street--P.O. Box 1.1501 Port Angeles Washington, 98362 ��
Phe (360) 417-4735 Fax: (360) 417-4711
Date: ulti-Ramify or Commercial* aNSpF� ��S
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address
Bullding Square Footage:
Description of above
Owner Information Contractor Information
Name: 4:: r-k C ��- Name:
Mailing Address: A.21 rs— 4 Mailing Address:
City: State: W P Zlp:_ 'w!` City ate: Zip:
Phone: "r2 Fax; Phone Fax: r
License#I Exp. License#1 Exp.
Item Unites Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $ 160,00 $
ServicelFeeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit WIC Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 200 Amp, $102.00 _ $
Temp.Service/Feeder 201-400 Amp, $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $1850 $
Portal to Portal Hourly $ 96,00 $
SigrlOutline Lighting $ 88,00 $
Signal Circuit/Limited Energy-Multi-Family $ 64,00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96,00 $
Note $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note $5.00 for each additional T-Slat
$ 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 296-468, 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; © Ca E Check
—=::Za edit Card#
X Dated; � 01!01!2012
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
-
E
CITY OF PORT ANGELES
SERVICE
ROUGHJN
360-417-4.735
�
Application Number. . . . . .
14-00000274 Date 3/10/14,
4
Application pin number , . .
187828
Property Address
321 E 5TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-00-0-1-7050-0000-
Application type description
ELECTRICAL ONLY
on your excise fax form
SubdivisionName
fo the City of Port Angeles
Property Use
Property Zoning . , . . ,
PUBLIC BUILDINGS & PARKS
ItCode 0502)
Application valuation . , , ,
0
Application desc
RCPT in councel chamber
--------- ----- -- ---------------------------------------------------------
Owner
Contractor
-------------------------
CITY OF PORT ANGELES
------------------------
OWNER
PO BOX '1150
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit , . . . . , ELECTRICAL
ALTER COMMERCIAL
P.
Additional desc . , -
I�
Permit Fee 74.00
Plan Cheaic Fee 00
`
.Issue Date 3/10/14
Valuation , , . , 0
Expiration Date 9/06/14
Qty Unit. Charge Per
Extension
1.00 74.0000 ECH EL -COMM
BRANCH C.IR WO/ SIF 74.00
----------------------------------------------------------------------------
Fee summaryCharged
Paid ;Credited Due
['
-----------------
Permit Fee Totai 74,00
-
74,00 00 .00
Plan Check Total 00
.00 .00 .00
Grand Total 74,00
74.00 .00 00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGHJN
1
FINAL
4
COMMENTS:
PERMIT WELL EXPIRE SIX {6} MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contractor XDaie:� l I�
G:IEXCHANGMBUILDING f
,Ir
CITY OF PORT ANGELES PERMIT APPLICATION �° -
Building Division/Electrical Inspections
321 East Fifth Street—P.O. Box 11501 Port Angeles Washington, 95362
Ph: (360) 417-4735 Fax: (360) 417-4711 '�� N
Date; _Multi-Famify or Commercial*
* Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: -Z)
Building Square Footage;
Description of above C 1&
Owner Information Contractor information
Name: "� Name;
Mailing Addr ss: Mailing Address;
City: State: �haZip City; Slate; Zip;
Phone; Fax: Phone: Fax:
License#1 Exp. License# xp
Item Unit Charge aty Total(Qty Multiplied by Unit Charge)
ServlcelFeeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 609-1000 Amp, $288,00 $
ServicelFeeder over 1000 Amp, $410.00 $
Branch Circuit WI Service Feeder $ 5.00
Branch Circuit WIO Service Feeder $ 74,00 I
Each Additional Branch Circuit $ 5.00 ! $ l
Branch Circuits 1-4 $ 86.00 $
Temp.Service!Feeder 200 Amp, $ 102.00 $
Temp,ServlcelFeeder 201-400 Amp, $121.00 $
Temp.Service/Feeder 401-60C Amp, $164.00 $
Temp.Service/Feeder 601-1000 Amp, $185.00 $
Portal to Portal Hourly $ 96,00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy—Multi-Family $ 64.00 $
Signal Circuit/Limited Energy 1 First 1500 sf—Commercial $ 96,00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note;$5.00 for each additional T-Stat ap
$__717' 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,, RCK Chapter 19,28,WAC. Chapter 296-466, 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: ❑ Cash ❑ Check
] ❑ Credit Card#
X Dated: / 0110112612
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000026 Date 1/09/13
Application pin number 127944
Property Address . . . . , , 321 E 5TH ST
ASSESSOR PARCRT4 NUMBER: 06-30-00-0-1-7050-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name
Property Use to the City of Pori Angeles
Property zoning , . . , . , . PUBLIC BUILDINGS & PARRS (Location Code 0502)
Application valuation . . , . 0
----------------------------------------------------------------------------
Application desc
2 circuits for copy machines
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
PO BOX 1150 .{
PORT ANGELES WA 983620217 �fV
--------------------------------------------------------------------------___
Permit . , , . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 79,00 Plan Check Fee .00
Issue bate 1/09/13 Valuation , , , . 0
Expiration Date 7/08/13
Qty Un1 t Charge Per Extension
1,00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
1.00 5.0000 ECH ET,-ECH ADDNT BRANCH CIRCUIT 5.00
Fee summary Charged Paid - Credited Due
Permit Fee Total 79.00 79.00 C0 .00
Plan Check Total ..00 .00 C0 .00
Grand Total 79.00 79.00 00 DO
INSPECTION TYPE DATE: RESULTS: INSPECTOR;
DITCH
SERVICE
ROUGH-IN z
FINAL 6
COMMENTS: to
PERMIT WILL EXPIRE SIX{6}MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDINCY
of pokr,l;��, t
ONO
CITY OF PORT ANGELES PEIUVIIT APPLICATION' �t� �'�'- f
Building Division/Electrical Inspections V `
321 East Fifth Street—P.O. Box 1150 I Port Angeles Washington, 93362 --
Ph: (360) 417-4735 Fare: (360) 417-4711
It
Date: I l "Z t i z _Multi-Family or Commercial
Plan Review May Be Req ed, Please Complete Electrical Plan Review Information Sheet
Job Address: 3-L-1 7 �1 -
Building Square Footage:
Description of above yti b •r t _ as ,Imo. 5a ,cs,-e
Owner Information Contractor Information
Name: Av\w." Name:j/<(Iie'\�/
Mailin Address: r E Eft c Mailing Address: 11rx�
City: r+ AA � State: w A. Zip: qZ 25C� City:�i ec rc'xt State:�Zip: C14_'70 a
Phoneme-')jr-4y5io� Fax: Z-1L i_7 Phone:14T&Y 191-IL-IL �2 -+is=�.•[� 7
License#!Exp. License#1 Exp
Item Unit Charq Qt Total,(Qty Multiplied by Unit Charge
ServicelFeeder 200 Amp. $132.00 $
ServicelFeeder 201-400 Amp, $160.00 $
ServicelFeeder 401-600 Amp $225.00 $
ServicelFeeder 601-1000 Amp, $288.00 $
ServicelFeeder over 1000 Amp $410.00 $
Branch Circuft VV/Service Feeder $ 5.00 $
Branch Circuft+N10 Service Feeder $ 74,00 �_-_ $ -7'1
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 86,00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp. ServicelFeeder 201-400 Amp. $121.00 $
Temp.ServicelFeeder 401-600 Amp. $164.00 $
Temp.ServicelFeeder 60 1-1000 Amp, $185.00 $
Portal to Portal Hourly $ 96.00 $
SlgnlOutlino Lighting $ 88.00 $
Signal Circuit!Limited Energy-Multi-Family $ 64.00 $
Signal CircuiU Limited Energy 1 First 1500 sf-Commercial $ 96.00 �rn $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$1�� Total
Owner as defined by ROR19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or cease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed efectricai contractor. i am making
the electrical installation or alteration in compliance with the electrical laws, N:f=.C.,RCW,Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding E=ectrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: Cl Cash 'Lf Check
❑ Credit Card#
X L_� p� _ Dated: fi h / r 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . . . . 13-00001349 Date 11/21/1$
Application pin numher . , . 372091
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER; 06-30 00-0-1-7050-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Property Frame to the City of Port Angeles
Pro ert Use
Property zoning . , PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation , . . . 0
Application desc
Weather station
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES VALLEY ELEC CO OF MTVERNON TNC
PO BOX 1150 1100 MERRILL CREEK PKWY
PORT ANGELES WA 983620217 EVERETT WA 98203
(425) 407-0832
permit , . , , . , ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 170.00 Plan Check Fee ,00
Tssue Date , , . . 11/21/13 Valuation . , . , 0
Expiration Date 5/20/14
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ SIP 74,00
1.00 96,0000 ECH EL-LIMITED 1ST 1500 SO FT 96.00
Fee summary Charged paid Credited Due
Permit Fee Total 170,00 170.00 .CC .00
Plan Check Total 00 .00 CC 00
Grand Total 170.00 170,00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1
FINALv
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X `� -"""~ Date:
G;IEXCHANGEMILDING -
�Cy4?OR r��r��
CITY OF PORT ANGELES PERIVHT APPLICATION RECEIVE-D
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Bose 1150/Port Angeles Washington, 98362 OCR (
Ph: (360)417-4735 Fare: (360)417-4711
Date:ZV -ra —/3 I. Multi-Family or Commercial* ryNSPEC'J10WI,IS
*Plan Review May Be Req red, Please omplete Electrical Plan eview Information Sheet
Job Address;
Building Square Footage:
(Description of above "M a 4L 12te vk -M P ¢m c .4A6 oN stp! -Ate f �otz T3.2MAA� . &0a4e*=�
Owner Information Contractor Information
Name:_e!2L It, 6JECirs Name
Mailing Address: 3a! _cF Mailing Address:
Cily: ,¢,y� c_�State, Zip; PRV 92— __ City: State: Zip:
Phone: Fax: Phone; Fax:
License#I Exp. License#1 Exp.
Item Unit Charge %Y Total(Qty Multiplied by Unit Charge)
ServicelFeeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 , $
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit WIO Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 240 Amp. $102.00 $
Temp.ServicelFeeder201-400 Amp. $121.00 $
Temp.ServicelFeeder 401-600 Amp. $164.00 $
Temp.ServicelFeeder601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit!Limited Energy—Multi-Family $ 64.00 $
Signal Circuit/Limited Energy I First 1500 sf—Commercial $ 96.00 $
Note; $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat 00
$ R� ` 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 PANIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cash © Check
© CreditCard�
X l� Dated; ��� —�� 0110V2042
13 85 7, AP3 Af 7
ELECTRICAL PERMIT
CITY OF PORT ANGELES ;
360-417-4735
Application Number 13-00001176 Date 10/11/13 fro
Application pin number 189640 V
Property Addrese , , . . , . 321 E 5TH ST
ASSESSOR PARCEL NUMEER: REPORT SALES TAX
06-30-00-0 1-7050 0900- F
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , . . . , to the City of Port Angeles
Property Use . . . .. . . , .
Property Zoning . , , , . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation , . . . 0
Application desc
1-4 circuits police remodel
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217 J
Permit ELECTRICAL ALTER COMMERCIAL
Additional. desc 1-4 CIRCUITS
Permit Fee . . , , 66.00 Plan Check Fee 00
Issue Date . . . . 10/11/13 Valuation . . . . 0
Expiration Date . 4/09/14
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86,00 B6.00 .00 .00
Plan Check Total 00 .00
Grand Total 86.00 86.00 00 .00
4
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN D 1
FINAL
COMMENTS:
PERMIT WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_ Date:
G:IEXCHANGEIBUILDING
dam..
RECEIVE
CITY OF PORT ANGELES PERAHT APPLICATION — _N
Stailding Division/Electrical Inspections FEB 2 6'20% r n
321 East Fifth Street--P.O. Box 1150 /Port Angeles Washington, 98362
�LCC�Ri�AI
Ph: (360) 417-4735 Far: (360) 417-4711 INSPECTIONS ELECTR CAL
Date; .- Multi-Family Commercial*
* Plan Review May Be Regiuired, Please Complete Blectricai Pian Review lnformation Sheet
Job Address: �a ( i a _
Building Square Footage:,
Description of above
Owner Information Contr r Wgrmation
Name: Name:
Nlaiiin Add res t Mailing Addr ss:.
GitT State: Zip; City: ` State; Zlp:
Phone: Fax: Phon Fax,
License#]Exp. License#l Exp S PtL � :r ._. 7?y
Item Unit Charge ty Total(Qty Multiplied by Unit Charge)
SorvicelFeeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Ser*elFeeder 401-600 Amp $225,00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 y, $
Branch Circuit Wl Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1.4 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-60D Amp. $164,00 $
Temp.Service/Feeder 601-1000 Amp• $185.00 $
Portal to Portal Hourly $ 96.00 $
SlgnlOutline Lighting $ 88.00 $
Signal Circuitl Limited Energy—Multi-Family $ 64.00 $�
Signal Circuit]Limited Energy i First 1500 sf—Commercial $ 96.00
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$50 for each additional T-Scat
$ C) 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,, ROW,Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ check
ELECTRICAL PERMIT i
CITY OF PORT ANGELES
360-417-4735 . �h
Application Number 14-00000215 Date 2/26/14 V
Application pin number . . . 454525
Property Address . .. . . . . 321 E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . (Location Coale 0542)
Property Zoning . . PUBLIC .BUILDINGS & PARKS
Application valuation . . . . 0
Application desc
Low,voltage audio upgrade
Owner Contractor C ��
------------------------ ------------------------ V^'
CITY OF PORT ANGELES AUDIO VISUAL INNOVATIONS INC
PO BOX 1150 6301 BENJAMIN ROAD t
PORT ANOELES WA 983620217 TAMPA FL 33634
(813) 884-7168
--------------------------------------------
Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee 96.00 Plan Check Fee .00
Issue Date 2/26/14 Valuation . . . 0
Expiration Date , . 8/25./14
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
----------- --------- ---------- -- ----------
Permit Fee Total 96.00 96.00 .00 .00
Plan
Check. Total 00 .00 00 00
Grand Total. 96.40 96.00 00 00
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:
G:IEXCHANGEIBUILDING
CITY OF PORT ANGELES PERNIIT APPLICATION "
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362
Ph: (360) 417-47351+ax: (360)417-4711 NOV
Date: _Multi-Family or Commercial* ELECTRICA1
MSPF-vl0i
* Plan Review Ma Be Required, Pleaswompiete Electrical Plan Review information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: Name:
Mailing Address: Mailing Address:
City: State: Zip, City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#!Exp.
Item Unit Charge ty Total[Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 60 1-1000 Amp. $288,00 $
Service/Feeder over 1000 Amp. $41000 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74,00 $
Each Additional Branch Circuit $ 5,00 $ C90
Branch Circuits 1-4 $ 86.00 $
Temp,Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 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 $
SignlOutfine Lighting $ 88.00 $
Signal Circuit/Limited Energy—Multi-Family $ 64.00 $
Signal Circuit/Limited Energy!First 1500 sf—Commercial $ 96.00 $
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$50 for each additional T-Slat0 G
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€icensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C,,i 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,
Signatur f w er,electrical rA ctor or electrical administrator: ❑ cash ❑ check
f ❑ Credit Card id
x
C.
Dated: _/ �� '" /3 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
Application Number 13-00001309 Date 11/12/13
Application pin number , . , 356706
Property Address , . . . . , 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning , , , , , , . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . , . . 0
Application desc
6 circuits office remodipl
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217 r
- ------------; -�------------__-------------------- -�
---- --------___-- `�.Jp',►
Permit , . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee , , . , 99,00 Plan Check Fee 00
Issue Date , , . . 11/12/13 Valuation , , . . 0
Expiration Date , , 5/11/14
Qty Unit Charge Per Extension
1,00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74,00
5100 5.0000 ECH EL-ECH ADDNT SRANCH CIRCUIT 25,00
-- -------------------------
Fee summary Charged Paid Credited Due
----------------- ------- ---
Permit Fee Total 99.00 99,00 .00 .00
Plan Check Total 00 DO 00 00
Grand 'Total 99100 99.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DI'T'CH
SERVICE A
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILAING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00001309 Date 11/12/13
Application pin number . , . 356706
Property Address . , . , , . 321 E STH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-D000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . to the City of Port Angeles
Property Use
Property Zoning , . . . , . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . , D
Application desc
6 Circuits office remodel
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217.
- -------- --------__
Permit . , . . , . ELECTRICAL ALTER COMMERCIAL
Additional dea.c . .
Permit Fee 99,op Plan Check Fee .00
IBSue Date 11/12/13 'Valuation , . , . . 0
Expiration Date 5/11/14
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
5.00 5.0000 ECH EL-3CH ADDNT )3PANCH CIRCUIT 25,OD
- -- Fee summary _ -u -Charged -- -- Paid Credited Due
---------------- - ---------- ----------
Permit Fee Total 99.00 99,00 .00 OD
Plan Check Total ,00 ,00 00 00
Grand Total 99.00 99.00 DO 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PEWIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGMBUILDING
ELECTRICAL PERMIT F s
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001012 Date 9/28/11
Application pin number 747344 REPORT SALES TAX
Property Address 321 E 5TH ST our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- on y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
LIGHT FOR ROOF MECH. EQUIP. VERN BURTON
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc LIGHT FOR VERN BURTON v
Permit pin number 192666
Permit Fee 73.50 Plan Check Fee .00
Issue Date 9/28/11 Valuation 0
Expiration Date 3/26/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00
C 3
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: rsKC? 6 7/) t'llOxf>
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION U
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
oFpORT44,CF EL TRaC 1L aRISP CTOOU V
At <sr—
Wanah10 REPORT
w oRKS 2•Ws' 417 -4735
DATE: PERMIT INSPECTOR
OWNE
lZ� 11 P
G41 Y Off
CONTRACTOR
ADDRESS
3Z t 5_ sv—
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: gi U »J S 1 AL1--LSD L 14 fit
YT _0GP T idhJ •b' V ST 1312- 6 Al S'6""A L.!_ -ii
Lo 4TH d� TEAL) P t\ T 6.az) v xl i> t tit
Coil D Uc ro Ul--o CO plc.. 2c b Liiog Cino
0 x t r z i 2 1 'o 0 vs S XLi
APTr a rpriT To A-(1_01 -0 Yot)
`�tZC Lt.. �iX'C'i2, 6W__414-11/4 1L 41 r-I-L 110- 3
(oJ vNUST VJ5c. v.ois• o irr 14 L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
Do MOT REMOVE
RECEIVED y
ti cur ti
CITY OF PORT ANGELES PERMIT APPLICATION SEP 1 2011 r
Building Division/Electrical Inspections o
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 4735 Fax: (360) 417 4711 INSPECTIONS `qiiiialr
Date: q- 14 2-0\1
_I& 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Electrical Plan Review Information Sheet
Job Address: Vern b r on /62.0f 1,0e57' 0 44 As e tti *t -rn 04-41. l 1 1 'T�
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: C y o F P. A• Name: o w mavaY'
Mailing Address: ddress: ,n Pao x 11 SG Mailing Address:
D
City: i 4 State: LJ Zip: q g In 2 City: State: Zip:
Phone: 7 oQ Phone: Fax:
License I Exp. License Exp.
Item .Unit Charge Qty Total (Qty 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 7 3 5
Each Additional Branch Circuit 2.60
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'SquareiFt. 110.30
•Each 500 Square •Ft.•or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
"7-3 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, t 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 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
Credit Card
e
X t Dated: 4 4 1 °11 0110112010
t
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 12- 00000846 Date 7/10/12
Application pin number 819966
Property Address 321 E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7050 -0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS PARKS (Location Code 0502)
Application valuation 0
Application desc
2 circuits relocate event plugs to gym
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
VV
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 79.00 Plan Check Fee .00
Issue Date 7/10/12 Valuation 0
Expiration Date 1/06/13
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.00
1.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.00
Fee summary Charged Paid Credited Due
Permit Fee Total 79.00 79.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 79.00 79.00 .00 .00
C S)
c
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN —7/10
FINAL 7)1D (11 °q.1 e-,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
CITY OF PORT ANGELES PERMIT APPLICATION
J 6 2 2
Building Division /Electrical Inspections k Q
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL viiti alomiw 00
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS .41 4ENIV
Date: 7/ Ji Z Ceti- Family or Commercial* t5
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: :;2.% Tom. 5 S i
Building Square Footage: 1., 4 i
Description of above at ez.._ 1E.411E101 ?L.1..) 6 S 7 0 6p M ,t-.3 RA—L.
Owner Information Contractor Information
Name: .i Dr' 0 Name:
Mailing Address: 3t i Mailing Address:
City: 'A State: .)Pilip: c tr5i 3. 3. City: State: Zip:
Phone: Fax: Phon Fax:
License Exp. nse Exp.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 132.00
Service /Feeder 201 -400 Amp. 160.00
Service /Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuit W/ Service Feeder 5.00 r�G
Branch Circuit W/O Service Feeder 74.00 1 7
Each Additional Branch Circuit 5.00 1 as
Branch Circuits 1-4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 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
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Multi- Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
Db 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 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check 0'o. �3�' Z
Credit Card#
2,k... gI1�iT Dated: 7 ��!rz—
x 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 11- 00001452 Date 1/04/12
Application pin number 070864
Property Address 321 E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 7050 -0000- 017 your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City Of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS PARKS (Location Code 0502)
Application valuation 0
Application desc
1 circuit planning copy machine
Owner Contractor
CITY. OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 73.50 Plan Check Fee .00 A t
Issue Date 1/04/12 Valuation 0 W
Expiration Date 7/02/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL -COMM BRANCH CIR WO/ S/F 73.50
Fee summary Charged Paid Credited Due
Permit Fee Total 73.50 73.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN j Z J
541 10if
FINAL ,3/z1 /z
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE\BUILDING
r RECEN (---e<- y }t',Itir I f r
f 1
CITY OF PORT ANGELES PERMIT APPLICATION DEC 2 9 2011 rms
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL s
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS
Date: i-l�% 11
1 2 Single Family. Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 32 t S g-4—
Building Square Footage:
Description of above
Owner Information Contractor Information
Name: C.ii CDF Name:
Mailing A dress: .32I $T Mailing Address:
City: d)- State: Zip: 4 ,4) 34.a. City: State: Zip:
Phone: Fax: Phone: Fax:
License Exp. License Exp.
Item Unit Charge Qty Total (Qty 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 1 '73
Each Additional Branch Circuit 2.60
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
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 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
1 1 Credit Card
X �,p /7.--/ Dated: J 0110112010
ELECTRICAL PERMIT
CITY OF PORT ANGELES t
360 -417 -4735
Application Number 11- 00001213 Date 10/28/11
Application pin number 092424 REPORT SALES TAX
Property Address 321 E 5TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7050 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
Low voltage xyz panel
Owner Contractor
CITY OF PORT ANGELES ESC AUTOMATION INC
PO BOX 1150 22121 17TH AVE SE STE 116
PORT ANGELES WA 983620217 BOTHELL WA 98021
Permit ELECTRICAL ALTER COMMERCIAL N
Additional desc
Permit Fee 95.90 Plan Check Fee ,.00
Issue Date 10/28/11 Valuation 0
Expiration Date 4/25/12
Qty Unit Charge Per Extension
1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90
Fee summary Charged Paid Credited Due
Permit Fee Total 95.90 95.90 .00 .00 n
Plan Check Total .00 .00 .00 .00
Grand Total 95.90 95.90 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN I Z
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections OCT 2 s �j�� 'a._
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362`
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL
INSPECTIONS
Date: to /1l /II
1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 E. P 1 o0 -T Pec..31.Ir.N ip,(
Building Square Footage:
Description of above ik` t6-3 caVc.1 V yr htt \(Z coy,. V Paw n tcorr
Owner Information Contractor Information
Name: Name: E .S.C.- kvrr"
Mailing Address: Mailing Address: 22t'L\ 1 Avc. Sc-
City: State: Zip: City: AAoN,.a. State: \-/tsc Zip: R<joL\
Phone: Fax: PhoneAt' Ml- V. tl Fax:
License Exp. License Exp. ESL NOT— IA et tfl4S i1 (L4 f t'L
Q.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Seryice /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
Each Additional Branch Circuit 2.60
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 i `l 9 0
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
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 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
Cd Credit Card
ELECTRICAL PERMIT
CITY OF PORT ANGELES o
360- 417 -4735
Application Number 12- 00000233 Date 3/12/12
Application pin number 016922
Property Address 321 E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- on your excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS PARKS Location Code 0502)
Application valuation 0
Application desc
Panic buttons and door strike plates
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL N
Additional desc
Permit Fee 170.00 Plan Check Fee .00
Issue Date 3/12/12 Valuation 0
Expiration Date 9/08/12
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.00
1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 170.00 170.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 170.00 170.00 .00 .00
\1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 3 Zti `t z-
FINAL 31 i
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
ti >c)hr r t RFC1(i)(..rf:
tr �^�.y tt V
CITY OF PORT ANGELES PERMIT APPLICATION P
Building Division /Electrical Inspections w
a y,�r;,.i
E�EC
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 f t
Ph: (360) 417 -4735 Fax: (360) 417 -4711 6^JSP;FCTtor,r
Date: '3 I. /2-- Multi Family o Commercial*
Plan ReviewVay Be Required PIle Complete Electrical Plan Review Information Sheet
Job Address: -b 21 a 7 H
Building Square Footage: J
Description f above DID r 0 b. P J' 04I to j 1 l Z -v> 11 I) 4. dl-6
S -,yl R �r Cc, iv P c7z) vi 7 i L c ',.7 /L
M l j r..S e- 0 F 16./i_ -!"t A4 1 6 0 --r'G4
Owner Informatipn Contractor Information
Name: C CI r,4-, Name:
Mailing Address: 57 1 o• zj Mailing Address:
City: n A State: Zip: 9 3 3 City: State: Zip:
Phone: Q/1 4735 Fax: Phone: Fax:
License Exp. Li e Exp.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 132.00
Service /Feeder 201 -400 Amp. 160.00
Service /Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00 1 1L1 P
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 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
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Multi Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 c 51, 42
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
I 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 14.05.050 regarding Electrical Permit Applications.
Signat re of owner, electrical contractor or electrical administrator: Cash Check
Credit Card
X r tit1111111111mr, Dated: S 1 0110112012
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
Audio councel chambers
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
ELECTRICAL ALTER COMMERCIAL
191775
95 90
8/29/11
2/25/12
Charged
95 90
00
95 90
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000934
190736
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
Paid
Contractor
SPL INTEGRATED SOLUTIONS
6301 BENJAMIN ROAD
SUITE 101
TAMPA
(813) 884 7168
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 95 9000 ECH EL- LIMITED 1ST 1500 SQ FT
95 90
00
95 90
Credited
00
00
00
Date 8/29/11
RESULTS
cpsi7
'Lit/ a
FL 33634
00
0
Extension
95 90
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 9K$62 2 0 2011
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date I I
Owner Information
Name: LciV m.e ?Dv' /4 (--e5
Mailing Address:
City Po.- A"4eLe S State: 1.4,-,9 Zip: 783 62_
Phone: Fax:
License Exp.
Item Unit Charae
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
Each Additional Branch Circuit 2.60
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.
Firsti300 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
1 2 Single Family Dwelling
AWlet
0/06 -c 17014
Multi Family or Commercial*
Dated:
RECEIVED
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: _ZQ Sr"rr PST A-v`4 eLe.
Building Square Footage:
Description of above 1 vt fn oC vo
4il f o S y5 r/r
ELECTRICAL
INSPECTIONS
ommercial Addition Alteration Remodel Repair*
Contractor Information
Name:,(// S l
Mailing Address: Q eat rtt 5 7 S E 5 arc_ 30
City LtiODZJrNUtZte State: a-15/ Zip: 9 ZrO L
Phoneot V.25 atm 556'/ Fax:
License Exp. Si/ /A/ /5 961 P
Total (Qtv Multiplied by Unit Charae)
X
Total I s
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 •f owner electrical contractor or electrical administrator Cash Check S k-Er 6:9Lvc
jgr—Credit Card
7- hee±j 4 &e 4P
eP
d
W
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 11 00000879
Application pin number 225316
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
2 circuits councel chamber Sound system
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Qty Unit Charge Per
1 00
1 00
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
76 10
00
76 10
Signature of owner or Electrical Contractor X
G \EXCHANGE\BUILDING
Contractor
OWNER
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 191122
Permit Fee 76 10 Plan Check Fee
Issue Date 8/19/11 Valuation
Expiration Date 2/15/12
73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
76 10
00
76 10
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
00
00
00
Date 8/19/11
Due
RESULTS
44
00
00
00
0 0
0
Extension
73 50
2 60
INSPECTOR.
Date:
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph. (360) 417.435 F (360) 417-4711
Date: 0
1 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3 2 1 7od-- 4-,
Building Square Footage.
Description of above 7 r_ t rZ r_- T S
Owner Information Contractor Information
Name: e---t 1te'1 0)- 7 A Name:
Mailin9Address: l'.6 1 l S Mailing Address:
City 1' 14 State: if- Zip: lsi City' /State Zip:
Phone: Fax: Phone: Fax:
License Exp. License Exp.
Unit Charae
93.75
$113.75
$160.00
$205.00 Service /Feeder 601 1000 Amp.
$291.25 Service /Feeder over 1000 Amp.
r 2'6tJ Branch Circuit W/ Service Feeder
1 Branch Circuit W/O Service Feeder
-.2:Ofr Each Additional Branch Circuit
S.-S.-7175r 71' '7 Temp. Service/ Feeder 200 Amp.
86.25 Temp. Service /Feeder 201 -400 Amp.
$116.25 Temp. Service /Feeder 401 -600 Amp.
$131.25 Temp. Service /Feeder 601 1000 Amp.
75.00 Portal to Portal Hourly
69 00 Sign /Outline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling
50.00 Signal Circuit/ Limited Energy Multi Family Dwelling
93.75 Manufactured Home Connection
80.00 Renewable Electrical Energy 5KVA System or Less
86.25 First 1300 Square Ft.
27.50 Each Additional 500 Square Ft. or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
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.
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.
Signature of owner electrical contractor or electrical administrator
ate:
Total (Qtv Multiplied by Unit Charael
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp.
Cash
Check
Credit Card
RECEIVE)
AUG 16 20 11
ELECTRICAL
INSPECTIONS
OW
C.>su r C tgL G t
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Split existing lighting and add switch
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
186213
73 50
5/26/11
11/22/11
Charged
73 50
00
73 50
Signature of owner or Electrical Contractor X
G. \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000498
819630
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
OWNER
ELECTRICAL ALTER COMMERCIAL
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 5/26/11
Plan Check Fee 00
Valuation 0
Extension
73 50
Paid Credited Due
73 50 00 00
00 00 00
73 50 00 00
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
DATE.
RESULTS
slz6
LooF
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date-
CITY OF PORT ANGELES PERMIT APPLICATION RECEIVE
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98368AY 2 0 2011
Ph (360) 417 -4735 Fax. (360) 417 -4711
ELECTRICAL
Date. 6'2- I/ INSPECTIONS
1 2 Single Family Dwelling Multi Family or Commercial* X Commercial Addition Alteration Remodel Repair*
Plan Review May Be Requ' d Please Complete Electrical Plan eview Information Sheet
Job Address: 3 L/ lL a L t_ L. C F i-
Build inb Square Footage:
Description of above S Y L 1 1 1.0e T l' 6 I- C J/ T"/ tti /4. J)3 5 to 1 1 F7
Owner Information, f L!= 6 s
Name: 1', lr`�
Mailing Address:
City State: Zip:
Phone: Fax:
License Exp.
Item 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/0 Service.Feeder 73.50
Each Additional Branch Circuit 2.60
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 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
x
Dated:
Contractor In ormation
Name: ,44 i -i 4 LlL.vi L i")
Mailing Address:
City State: Zip:
Phone: `/L:e "e/1 6 Fax:
License 4 Exp.
Total (Qtv Multiplied by Unit Charge)
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' Cash Check
Credit Card
01101,2010
PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/11
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY OF PORT ANGELES
CONTRACTOR PHONE
OWNER CITY OF PORT ANGELES PHONE (360) 417 4532
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 11 00000496 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01
6/17/11 JLL
BLDG FINAL
June 17 2011 8 39 25 AM 1pangrle
BOB PETTY
BUILDING FINAL WALLED OFF A 6 FT SECTION ADDED A DOOR IN
LEGAL DEPT
COMMENTS AND NOTES
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
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
WALL OFF A 6 FT SECTION ADD A DOOR IN LEGAL DEPT
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
(360) 417 4532
Structure Information
Construction Type
Occupancy Type
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
10 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983620217
BUILDING PERMIT
ADD WALL DOOR
186189
80 50
6/17/11
12/14/11
Per
3 0500 HND
Charged
80 50
00
4 50
85 00
BASE FEE
BL 501 2K (3
Paid
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
6_17 -II Bob P
11 00000496
764112
321 E 5TH ST
06 30 00 0 1 7050 0000
CITY OF PORT ANGELES
COMM REMODEL
PUBLIC BUILDINGS PARKS
1500
Contractor
OWNER
000 000 ADD WALL DOOR IN LEGAL
UNKNOWN
BUSINESS OFF /PRO /MED /REST
COMMERCIAL
IN. LEGAL DEPT
STATE SURCHARGE
80 50
00
4 50
85 00
05 PER C)
Credited
00
00
00
00
Date 6/17/11
DEPT
Plan Check Fee 00
Valuation 1500
Due
Extension
50 00
30 50
4 50
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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 Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit Its
Parking Lighting
Landscaping
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 Accepted By Comments
!FINAL Date
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
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
Accepted by
Date Accepted By
(0- 1-1, i Pa
Floor Areas
Applicant Aid& Y 2.1±Al 0.A-
Property Owner C i T j— r /41i
Property Owner's Address 3 )-f -f
Contractor
Contractor's Address
License
Parcel Number
Project Type Brief Des
Check all that apply
New Construction
Addition
XRemodel
Repair
Demolition
Re -roof
Heat System
Other
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
crip tion.
Existing (sq. ft.) Proposed (sq. ft.)
Expires
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phony y‘7) `7
Phone
Phone
E-mail-
For City Use Only
ate Received 5-20
ermit 1
ate Approved
PROJECT ADDRESS 3 2 i/ cC, FR c-0_17',
Lot Zoning
Residential Multi family X- Commercial Industrial
U ALL off 6 sEcr -lost) ri.J I i JoK <I-
/i-3 kr 14-i) IT 3 0 x 7 -0 re-u L I-, r�
r1IAAP,a i 1z0 1)cr
House garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
TOTAL VALUATION J
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
of bedrooms
of full baths
of half baths
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 permits are required, and to obtain permits prior to working on projects
Date S P if Print Name M /4) I D'11 Signature 4/(
T Forms /Building Division /Building permit application
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
Councel Chambers outlets
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 73 5000 ECH
Fee summar
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
ELECTRICAL ALTER COMMERCIAL
185892
73 50
5/19/11
11 /15 /11
Charged
73 50
00
73 50
Paid
Signature of owner or Electrical Contractor X
G' \EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
11 00000479
747959
321 E 5TH ST
06 30 00 0 1 7050 0000
Contractor
OWNER
EL BRANCH CIRCUIT WO /FEEDER
73 50
00
73 50
Plan Check Fee
Valuation
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Credited
00
00
00
Date 5/19/11
RESULTS
9p
00
0
Extension
73 50
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date: 7" 14
1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 3. L 1
Building Square Footage:
Description of above L'
ADP Q c..477:: 4 i SPA A l 'r T, ,,i e Rrr' tit
Owner Information
Name:
Mailing Address:
City
Phone:
License Exp.
State: Zip:
Fax:
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 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
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal: Hourly
Sign /Outline Lighting
Signal Circuit/ Limited.Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/. Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
148.70
$167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
110.30
35.20
73.50
$110.30
X Dated: v l i 2 a( Dated: 5-_/ 7 1 1
Multi Family or Commercial* X Commercial Addition Alteration Remodel Repair*
Contractorlif „matt'p
Name: A/1 Y
Mailing Address:
City
Phone:5 6
License Exp.
qty
Credit Card
RECEIVED
MAY 17 2Q11
ELECTRICAL
INSPECTIONS
State: Zip:
Fax:
Total (Qty Multiplied by Unit Charge)
S
S
S
S
01/01/2010
I
s a
r il."411Mill'ill.'”- ...E.
Total
73
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' Cash Check
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuits for PAPD dispatch
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
ELECTRICAL ALTER COMMERCIAL
184499
76 10
4/28/11
10/25/11
76 10
00
76 10
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G' \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000374
259966
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
OWNER
Plan Check Fee 00
Valuation 0
Extension
73 50
2 60
Paid Credited Due
76 10 00 00
00 00 00
76 10 00 00
RESULTS
5 l cw'
Date 4/28/11
INSPECTOR.
Date
4
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date: 1 1/2-5 7 Z.o
1 2 Single Family Dwelling
Plan Review. May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: .5 S( Pouf 4 e. (ems 9 FT3 6.2-
Building Square Footage:
Description of above C.4- 4-„ go Po Deal. Ti_ 10,1.o..a._ Rovn.
Owner Information_ Information
Name: C I), 01 Po, t .o es Name: C 1 Bei
Mailing Address: 1 4 I F S Mailing Addres.
City 'a 1 e State: wA Zip: 9 R"3 C Z City'
Phone: Fax: Phone:
License Exp. License III Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 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
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline. Lighting
Signal Circuit/.Limited.Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
.Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited. Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Unit Charge
119.90
$145.50
204.6D
262.20
372.50
2.60
73.50
2,60
92.70
$110.30
$148.70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
$110.30
35.20
73.50
$110.30
Dated:
Qiy Total (Qtv Multiplied by Unit Charge)
6
Credit card tt
RECEIVED
APR 2 6 2011
ELECTRICAL
INSPECTIONS
State: Zip:
Fax:
S
S
01/01/2010
Total
°A f 1-5 k 1 'wtst (4. .-c Co, 4 S via&
Owner gs 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 PANIC 14 05 050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator cash Check
itt
,Applidation'Number.
Application pin number
Property Address;
ASSESSOR PARCEL .N UMBER
.r Tenant nbr 'name
Application type description.:,
Subdiwision,
Property' Use
Property .Zoning
Application valuation
y :Permi•.t„
ate° ..a
'Addit'i`onal d'esC•
wPerft pip ;number;,
Perini -t .Fee
"I s sue^�Dat e"
.Expiration `Date.
35
;Qty Unit Char
Fee summary
icr
Owner'
C OF PORT';A'NGELES
1 3 O,-BOX 1;15
PORT :ANGELES
.Permia, OE-
Date Print Name
T:Forms /Building ;Division /Building Permit: r
CITY Q1 PORT ANGELES-'" .r
:DEPART COMMUNITY. E(ONOMIC.. DEVELOP,MEN:T- BUILDING DIMISION
321'EAST.5TH STREET .PORT ANGELES, WA 98362
WA• °983;62021'7'
d
PLUMBING.PERMIT
;REPLACE; BACKFLOW'
18266 -7
do'
3 "/76.1111 y
;BASE' FEE>
15. 0000:.EA Y "PL= BACKFLO
Charged`
65:00'
6
•PREVENTER
T1 0000023.4
:0644'36'
'STN. ST
06 .3:0 ',0.0 '.0 ;1'7.05'0 '0000
-4 CI•TY :HALL
P LUMBING' PERMIT
]?UBLIC- BUILDINGS PARKS
47.00
"REPLACE .BACKFLOW.:PREVENTER ,FOR
Contractor•
KNIGHT ,FIRE' PROTECTION ,INC
;,WES,T' :19TH STREET
.PORT "ANGELES' .NIA •9
:(3,60 4'1,7:.0;505
Check "Fee
Valuation,
VPROTECTTON:: >--'2
Paid' Credi-ted
6.5 10'0 oo..
6,:$;.
Signature of Contractor or Authoriied Agent.
:Date "3/',16/11.
REPORT,SA'LES TAX
on, your::state 'excise 'tax -form
Ito ,the `City of:Port_Angeles
(Location.:Coale 10502)
SSeparate`Permits required forfelectricafwork, Shoreline,' ESA,. utilities, private: and: public' improvements. `This permit becomes'
9 .null•and void'if'work:or constructionauthonzedtis' not commenced°.within X1 days; if constructiono work is suspended or abandoned
ifor.a period of 180ndays after'thetwork has- tommen if required inapections1have, mt; b
oeemrequested:-withint180kdays ,from the,
last inspectionMhherebyrcert ithat`I;•have;read<andtexamined this;application:and.know the.same to:'be$true4nd=correct. All, provisions;
:of' andes\governirig,this type4:of complied 'with;whetherspecified;herein or;not: 'The.granting permit does;
not presume ito ;give,authority'to'violate or cancel the provisions•.of "any =state or hcallaw rpniilatinn: ennsti•i,etinn nrtha ^narfrirmanca of
Icbnstrucfion!: r`
4c
•ii
Signature of Owne_ r (if-owner is builder)
a$
31''!
Application Number 11 00000234
Application pin number 064436
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050
Tenant nbr name CITY HALL
Application type description PLUMBING PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
REPLACE BACKFLOW PREVENTER FOR FIRE SPRINKLER
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
15 0000 EA
34 la:0
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983620217
PLUMBING PERMIT
REPLACE BACKFLOW PREVENTER
182667
65 00 Plan Check Fee 00
3/16/11 Valuation 0
9/12/11
Per
Charged
65 00
00
65 00
Paid
0000
PUBLIC BUILDINGS PARKS
4700
KNIGHT FIRE PROTECTION INC
2509 WEST 19TH STREET
PORT ANGELES WA 98363
(360) 417 0505
BASE FEE
PL- BACKFLOW PROTECTION 2
65 00
00
65 00
Credited
00
00
00
Date 3/16/11
Extension
50 00
15 00
Due
00
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 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
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 Furnace FAU Ducts
Rough -In
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
T Forms /Building Division /Building Permit
Inspection Type
Electrical
Construction R.W PW Engineering
Fire
Planning
Building
Date Accepted By
417 -4735
417 -4831
417 -4653
417 -4750
417 -4815
FINAL Date 3' 1, 1 Acceoted by l?
IFINAL
SEPA.
ESA.
SHORELINE.
Comments
Date Accented by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
WAcer
Date Accepted By
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant
Property Owner F, j
Property Owner's Address li .<)-1-) 4-}-
Contractor 1, t gyp r�c� !L V
Contractor's Address 2,s Ukv I1 Sr
License p Expires
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1St Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
�Ze ace h�r,
_FILO s O(n K S u 1
1 J
House garage other
Heat pump wood burning stove
Existing (sq. ft.)
/I
1
1
1
1
1
i
Total footprint of structures
Site Coverage the amount of impervious surfa
and other impervious surfaces (see PAMC 1
Max. height of proposed structures
Will a lawn sprinkler system be installe
Will a fire sprinkler system be instal
Residential
Print Name 4404- ))my"
T:Forms /Building Division /Building permit application
Proposed (1g. ft.)
I
I
I
Phone
Phone
Phone
S PCv�� s
E -mail
PROJECT ADDRESS 321 5 S-{-
Parcel Number
Multi- family
Lot size
on a parcel including structu
135 for exemptions)
Occupancy group
Occupant load
onstruction pe
t t 1 i in
I have read and completed this application and know it to be true and correct. I am autho,'.
that it is my responsibility to determine what permits are required, and to obtain permits prior t
Date 3 1111, 1
Signature
Lot
7 wo
For City Use Only
Date Received (10
Permit 1 3
Date Approved
1/04 6631
1_-
16- wr4a e, f- h fr�►vt
Zoning
Commercial Industrial
verve `Fo Crh,, 1-16 1
Derr Luew el/Item
tear off re -roof lay over one layer
gas fireplace pellet stove other
per sq ft.
TOTAL VALUATION 4 706 OO
sq. Lot coverage
ved driveways sidewalks patios
Site coverage
of bedrooms
of full baths
of half baths
d to apply for this permit
d understand
PREPARED 3/14/11 8 33 41 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/14/11
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR ROOM 210 PUB WKS ENG AREA
CONTRACTOR PHONE
OWNER CITY OF PORT ANGELES PHONE
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00001487 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 1/05/11 PB BLDG FRAMING
1/05/11 DA January 4 2011 1 47 01 PM 1pangrle
MARTY 460 4126
FRAMING UPSTAIRS IN THE ENGINEERING DEPARTMENT
January 5 2011 4 43 26 PM pbarthol
Recall after connection at water meter has been made Ok to
backfill trench
BL99 01 3/14/11 ALL J BLDG FINAL
March 11 2011 4 27 43 PM 1pangrle
LUCY HANLEY 417 4541
BUILDING FINAL CONVERT A ROOM INTO AN OFFICE A CONE ROOM
SECOND FLOOR ENGINEERING DEPT
COMMENTS AND NOTES
PREPARED 1/13/11 8 06 26 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/13/11
ADDRESS 321 E 5TH ST
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC
OWNER CITY OF PORT ANGELES
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/03/10 JLL BLDG FRAMING TIME 01 00
11/04/10 AP November 2 2010 2 18 24 PM 1pangrle
WALT 457 2067
FRAMING (IN THE EMPLOYEE BREAKROOM)
AFTERNOON
November 4 2010 4 37 01 PM jlierly
BLI 01 11/04/10 JLL BLDG INSULATION TIME 01 00
11/04/10 AP November 4 2010 8 25 34 AM 1pangrle
WALT 457 2067
INSULATION 'OK TO COVER
HE REQUESTED AN AFTERNOON INSPECTION
November 4 2010 4 39 59 PM jlierly
BL3 02 11/04/10 JLL BLDG FRAMING TIME 10 00
11/04/10 AP November 4 2010 8 24 15 AM 1pangrle
WALT 457 2067
FRAMING 'VERN BURTON CURBS
HE REQUESTED A MID MORNING INSPECTION
November 4 2010 4 50 44 PM jlierly
BL3 03 11/09/10 PB BLDG FRAMING TIME 01 00
11 /10 /10 AP November 9 2010 1 55 30 PM 1pangrle
WALT 457 2067
FRAMING STRUCTURAL REINFORCEMENT NAILING PATTERN
DOUBLES IN THE I T DEPT
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL THEIR EQUIPMENT
November 10 2010 8 26 06 AM pbarthol
BL3 04 11 /10 /10 PB BLDG FRAMING TIME 09 00
11 /10 /10 AP November 9 2010 4 01 45 PM 1pangrle
WALT 457 2067
FRAMING STRUCTURAL REINFORCEMENT IN THE I T ROOM NAILING
PATTERN DOUBLERS
MORNING INSPECTION
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL THEIR EQUIPMENT
November 10 2010 8 36 58 AM pbarthol
BL3 05 11/12/10 PB BLDG FRAMING
11/15/10 DA November 12 2010 3 12 14 PM 1pangrle
WALT 457 2067
SEISMIC BLOCKING IN THE I T ROOM'
PLEASE INSPECT AS SOON AS POSSIBLE
November 15 2010 9 16 34 AM pbarthol
BL99 01 1/11/11 BLDG FINAL TIME 09 00
1\'\ BLDG
12 2011 3 43 26 PM 1pangrle
DAVE 206 832 8352
BUILDING FINAL HVAC UPGRADES
SUBDIV
CONTINUED ONTO NEXT PAGE
PHONE (206) 762 3311
PHONE (360) 457 0411
PREPARED 1/13/11 8 06 26 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/13/11
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311
OWNER CITY OF PORT ANGELES PHONE (360) 457 0411
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MORNING
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 11/18/10 JLL
11 /18 /10 AP
ME99 01 1/13/11
MECHANICAL ROUGH IN
November 18 2010 2 02 35 PM 1pangrle
A NOTE WAS LEFT ON MY DESK TODAY STATING
FINAL ON THE INDOOR COIL AT CITY HALL I T
November 18 2010 4 06 43 PM jlierly
MECHANICAL FINAL TIME 09 00
January 12 2011 3 44 12 PM 1pangrle
DAVE 206 832 8352
MECHANICAL FINAL HVAC UPGRADES
MORNING
COMMENTS AND NOTES
-7
PREPARED 1/05/11 8 54 56 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/05/11
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR ROOM 210 PUB WKS ENG AREA
CONTRACTOR PHONE
OWNER CITY OF PORT ANGELES PHONE
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00001487 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 1/05/11
IBS
JLL
BLDG FRAMING
January 4 2011 1 47 01 PM 1pangrle
MARTY 460 4126
FRAMING UPSTAIRS IN THE ENGINEERING DEPARTMENT
COMMENTS AND NOTES
Application Number 10 00001487
Application pin number 282709
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Tenant nbr name ROOM 210 PUB WKS ENG AREA
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 3000
Application desc
CONVERT A ROOM INTO AN OFFICE A CONF ROOM
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00 14 0000
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983620217
Per
Contractor
THOU
OWNER
Structure Information 000 000 CONVERT ONE ROOM INTO TWO
Construction Type UNKNOWN
Occupancy Type BUSINESS OFF /PRO /MED /REST
BUILDING PERMIT COMMERCIAL
CONVERT ONE ROOM INTO TWO
179358
109 75
12/28/10
6/26/11
BASE FEE
BL -2001 25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Date 12/28/10
Plan Check Fee 71 34
Valuation 3000
Extension
95 75
14 00
STATE SURCHARGE 4 50
Charged Paid Credited
109 75 109 75 00
71 34 71 34 00
4 50 4 50 00
185 59 185 59 00
Due
00
00
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
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
AIR SEAL.
Walls
Ceiling
FRAMING-
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
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
1 n5 ►1_
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
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts 'FINAL Date
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T:Forms /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Comments
Accepted by
Accepted by
Date Accepted By
Electrical 417 -4735 I
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 �J t'-1H1 .r LL-
CITY OF PORT ANGELES
BUILDING DIVISION
TRANSMITTAL
To Fire Department
Other Department
Date t 2 22 l0
Project Address 32 Ei 5-4-ti a14- F L)-or
�Z10
Contact mOLtA ,e,motn
s 6d
Phone number( s)
Permit number l D I g
Project Description S P `i+ ay) exl 51 in fr 1/Y\
0 n)o VY1 S V_ Cti ck 0
New Construction
`g AdditionyAlteration n Z 1kb
l l a ,�t' "9
r� ka
Please review return to the Building Division,
Permit Technician
an
T Forms /Building Division/Transmittal
Floor Areas
Project Type Brief Des
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Applicant :44i 'I i—FVL; J
Property Owner G I r' (e) 'P o ie r
Property Owner's Address 32/ S-411 Contractor Milk-r L F /14_ 3
Contractor's Address
License Expires
Parcel Number
Basement
1 Floor
771O
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
PROJECT ADDRESS 3-74 £6'//
cription. Residential Multi family XCommercial Industrial
Pl, I /STin.I room 'iv TO TAD P O4/1s
I c- F I r— IC-IZ 0i Lac- 4-r loo i-iV
SondYc� ,,1 do +he b, III r,C ovx -rh
House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sq.. ft) Proposed (al. ft.)
TOTAL VALUATION 060 oo
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
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
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 permits are required, and to obtain permits prior to working on projects
Signature M
Date /C Print Name /14411 4_45 e
T Forms /Building Division /Building permit application
Ph rte
Phfr e
Phone 6
E -mail
For City Use Onlyy
Date Received G2=10
Permit 10 1
Date Approved
per sq ft.
nol fr oo Ir Roantl ZIP ubWks
Lot A Zoning
of bedrooms
of full baths
of half baths
V
(12/22/2010) Linda Pangrle Permit #10 -1487 payment sheet Page
From. Linda Pangrle
To: Sondya Wray
Date 12/22/2010 8 40 AM
Subject: Permit #10 -1487 payment sheet
Attachments: Permit #10 -1487 payment sheet pdf
Hi
Thanks
Linda
Marty Lemon told me to give you the payment sheet for the Pub Wks Eng
remodel and that you would pay for it The payment sheet is attached below
FII�
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cation and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
pla• specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction
c
7
St07 e41.- if .1)
Ft C2
0\\
C 0 Th
ti
-c C
`CP
Ye 0 "0)41' c\Nt
/tiEhi) 4.4
0
36 3.
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7 .6
I seri ‘i L-,Ati xr
.2i
roo Irv\
s c 02-)
z)0
Application Number 10 00001482
Application pin number 774256
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
Office remodel relocate circuits
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
179291
73 50
12/22/10
6/20/11
Contractor
OWNER
ELECTRICAL ALTER COMMERCIAL
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
Charged Paid Credited Due
73 50 73 50 00 00
00 00 00 00
73 50 73 50 00 00
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Valuation
it ci
1g_ti) IP
Date 12/22/10
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESULTS
00
0
INSPECTOR.
Date
U
RECEVEI
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: _1 —/0
1 2 Single Family Dwelling
Owner Information
Name: C J rq F Po t2 4 N 6 if f h -rte
Mailing Address:
City State: Zip:
Phone Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 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
Temp. Service! Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
$119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
$102.30
56.00
$110.30
35.20
73.50
$110.30
x 44 L `f Dated. 1
DEC 2 2010
ELECTRICAL
INSPECTIONS
Multi Family or Commercial* X Commercial Addition Alteration Remodel Repair*
*Plan Reviewlai Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 5
Building Square Footage:
sc ription of above CI TY 1-4 A- L L_ Y5nJC 1,/ JL 1 6 .S f& Y ir7 1. 1.•t) �v
V8 c_/ rf_ tt� r' w s`l�� r i 1_16' /TI,ti6' goy cryN�
p) rJ Ai r, :f
Name: Air fr fprmtion
L
Name: N d j
Mailing Address:
City State: i Zip:
Phone: of ba• h/ /245 Fax:
License Exp.
Qty Total (Qty Multiplied by Unit Charm)
s 73
01/01/2010
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 -465 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 Cash check
Credit Card
.)41#"
e ftall
C ORKS b‘
DATE PERMIT
1l 11 l
OW NtR/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
ADDRESS
32I ic
APPROVED NOT APPROVED
DITCH 0
ROUGH IN /COVER
SERVICE
FINAL 0
CORRECTIONS NEEDED C CTR l U-
w_ On! SARA -z. ►,.1 A4
Lt It t-t 14,4 ,.J c t l v t Z.
INSPECTOV'
T12ui Ffrt g_�.Li To
n1 ,-r raoR,Ke►►4ti
iS1"CT 0V c. c-7 °Y' Go NI 1414_c_1" YZS
4' rl.f“; t ‘krr
CO/.1 V O 11 `ra 8S 5 o"Pi 7 bYZTES i`TK/ N 3
►4o fi irrd s-R i i1 /0 i� 3`s °v 36
��7 ure uzccA t_ C_ortrYCA4Lt O 32. 4t)11
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
OLYMPIC PRINTERS, INC. (360) 452 -1381
DO NOT REMOVE
rdi
OMER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT a
INSPECTOR
C 15' 9 ivF ?a �'T /�ct.� Pry (Ass-,
ADDRESS
ems_ c S\
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL
CORRECTIONS NEEDED: CO V Vi IZ O 1 C N2 l '-Tcr
y 11 10 Cis V �1w fZZ50
VP" S.A___ 4
laic -4t4., g C- s t ,J 0-Lb l 9t, PC L)
b� L 'Fa x 2, L,/ U �-/7 S G K� kg K. ©t) r" c� 3'
Tv NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE
PERMIT IN PECTi
1/ (C OO
OWNER(CONTRACTOR
A44 t
ADDRESS
321
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: 1Z P j C- w a
lgtz�- Cwt/ r i IZJ) i) W.:. A N
3 1 o
12:t i-Acv �7�1„1 C- Z 18�s �Ps N `-4
cab x.4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
pORT ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE PERMIT N INSPECTOR
OWNER/CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: I 1 t FY LP C_rI R C
Gr2. i2 tom v 1-1
Q
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
le
PREPARED 11/18/10 14 04 06 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/18/10
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311
OWNER CITY OF PORT ANGELES PHONE (360) 457 0411
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 11/18/10 L MECHANICAL ROUGH IN
November 18 2010 2 02 35 PM 1pangrle
A NOTE WAS LEFT ON MY DESK TODAY STATING
FINAL ON THE INDOOR COIL AT CITY HALL I T
COMMENTS AND NOTES
PREPARED 11/12/10 15 13 39 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/10
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311
OWNER CITY OF PORT ANGELES PHONE (360) 457 0411
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/03/10 JLL BLDG FRAMING TIME 01 00
11/04/10 AP November 2 2010 2 18 24 PM 1pangrle
WALT 457 2067
FRAMING (IN THE EMPLOYEE BREAKROOM)
AFTERNOON
November 4 2010 4 37 01 PM jlierly
BLI 01 11/04/10 JLL BLDG INSULATION TIME 01 00
11/04/10 AP November 4 2010 8 25 34 AM 1pangrle
WALT 457 2067
INSULATION OK TO COVER
HE REQUESTED AN AFTERNOON INSPECTION
November 4 2010 4 39 59 PM jlierly
BL3 02 11/04/10 JLL BLDG FRAMING TIME 10 00
11/04/10 AP November 4 2010 8 24 15 AM 1pangrle
WALT 457 2067
FRAMING 'VERN BURTON CURBS"
HE REQUESTED A MID MORNING INSPECTION
November 4 2010 4 50 44 PM jlierly
BL3 03 11/09/10 PB BLDG FRAMING TIME 01 00
11 /10 /10 AP November 9 2010 1 55 30 PM 1pangrle
WALT 457 2067
FRAMING STRUCTURAL REINFORCEMENT NAILING PATTERN
DOUBLES IN THE I T DEPT
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL THEIR EQUIPMENT
November 10 2010 8 26 06 AM pbarthol
BL3 04 11/10/10 PB BLDG FRAMING TIME 09 00
11/10/10 AP November 9 2010 4 01 45 PM 1pangrle
WALT 2067
FRAMING STRUCTURAL REINFORCEMENT IN THE I T ROOM NAILING
PATTERN DOUBLERS
MORNING INSPECTION
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL THEIR EQUIPMENT
November 10 2010 8 36 58 AM pbarthol
BL3 05 11/12/10 JLL BLDG FRAMING
i November 12 2010 3 12 14 PM 1pangrle
l/ (2- D n Y/:A�. WALT 457 2067
SEISMIC BLOCKING IN THE I T ROOM
PLEASE INSPECT AS SOON AS POSSIBLE
COMMENTS AND NOTES
PREPARED 11/10/10 8 08 44 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11 /10 /10
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311
OWNER CITY OF PORT ANGELES PHONE (360) 457 0411
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/03/10 JLL BLDG FRAMING TIME 01 00
11/04/10 AP November 2 2010 2 18 24 PM 1pangrle
WALT 457 2067
FRAMING (IN THE EMPLOYEE BREAKROOM)
AFTERNOON
November 4 2010 4 37 01 PM jlierly
BLI 01 11/04/ 0 JLL BLDG INSULATION TIME 01 00
11/04/10 AP November 4 2010 8 25 34 AM 1pangrle
WALT 457 2067
INSULATION 'OK TO COVER
HE REQUESTED AN AFTERNOON INSPECTION
November 4 2010 4 39 59 PM jlierly
BL3 02 11/04/10 JLL BLDG FRAMING TIME 10 00
11 /04/10 AP November 4 2010 8 24 15 AM 1pangrle
WALT 457 2067
FRAMING 'VERN BURTON CURBS
HE REQUESTED A MID MORNING INSPECTION
November 4 2010 4 50 44 PM jlierly
BL3 03 11/09/10 JLL BLDG FRAMING TIME 01 00
4i/; W A LTmb57 9 2010 1 55 30 PM 1pangrle
7 WALT 457 2067
FRAMING STRUCTURAL REINFORCEMENT NAILING PATTERN
DOUBLES IN THE I T DEPT
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL THEIR EQUIPMENT
BL3 04 11 /10 /10 JLL BLDG FRAMING TIME 09 00
November 9 2010 4 01 45 PM 1pangrle
WALT 457 2067
FRAMING STRUCTURAL REINFORCEMENT IN THE I T ROOM NAILING
PATTERN DOUBLERS
MORNING INSPECTION
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL THEIR EQUIPMENT
COMMENTS AND NOTES
PREPARED 11/09/10 13 57 39 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/09/10
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311
OWNER CITY OF PORT ANGELES PHONE (360) 457 0411
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/03/10 JLL BLDG FRAMING TIME 01 00
11/04/10 AP November 2 2010 2 18 24 PM 1pangrle
WALT 457 2067
FRAMING (IN THE EMPLOYEE BREAKROOM)
AFTERNOON
November 4 2010 4 37 01 PM jlierly
BLI 01 11/04/10 JLL BLDG INSULATION TIME 01 00
11/04/10 AP November 4 2010 8 25 34 AM 1pangrle
WALT 457 2067
INSULATION OK TO COVER
HE REQUESTED AN AFTERNOON INSPECTION
November 4 2010 4 39 59 PM jlierly
BL3 02 11/04/10 JLL BLDG FRAMING TIME 10 00
11/04/10 AP November 4 2010 8 24 15 AM 1pangrle
WALT 457 2067
FRAMING 'VERN BURTON CURBS?
HE REQUESTED A MID MORNING INSPECTION
November 4 2010 4 50 44 PM jlierly
BL3 03 11/09/10 JLL BLDG beAMING TIME 03 00
November 9 2010 1 55 30 PM 1pangrle
WALT 457 2067
FRAMING STRUCTURAL REINFORCEMENT NAILING PATTERN
DOUBLES IN THE I T DEPT
PLEASE INSPECT AS SOON AS POSSIBLE SO AIR FLO HEATING CAN
INSTALL ,THEIR EQUIPMENT
COMMENTS AND NOTES
For rn
instry
le Of Thor Building
5005 3n Avenue South
Seattle, WA 98134
206.762.3311
206.762.2624 Fax
ITEM:
REFERENCE DwgfSpec:
DESCRIPTION:
Roof Structure
10-6g(0 2l E 1h St_
RECEIVED
NOV 0 9 2010
CITY OF PORT ANGELES
BUILDING DIVISION
(R EQUEST FOR INFORMATION
P ort Angeles City Hall Upgrades
McKinstry Job Number C10119
McKinstry RFI No. 007
McKlnstry SUB RFI No. ACI -001
1 Abandoned skylight is framed per attached sketch. Is this acceptable to carry load? If not, how do
you want to address framing?
2. Is it acceptable to install 2 X 6 sisters in opening between top and bottom of cross bracing?
Fit
REPLY REQUIRED BY 10/27/10 URGENT
ORIGINATED BY Walt D. COMPANY- Aldergrove DATE: 10/26/10
SUBMITTED BY Dave R. McKinstry
POTENTIAL COST IMPACT YES NO ROM COST
POTENTIAL SCHEDULE IMPACT- YES NO
ARCHITECT/ ENGINEER RESPONSE
R wvcor w j 2x to v l'ev. of 2-K to (sue a�4 -ac�ea skeF -�1.�
av; rrovide 2xto ver -ic4\ ..uPr°r#S re-r
2 yes provide tti,e 2xb is wI d-e P o F fi.,e (e) 2x12
DWGS ATTACHED:
RESPONSE BY- 6r t C- DATE: 1012:9- 10
IN-HOUSE cc: i SUB cc:
ZooF JI.oPE
6 Ttt +S S% Lie
AT 2%uM
t3E'wger1
C.rr.\ 4
PoLtc.�
S"K.6 (Z1'-'1 1
1;:x 0 0 Doult p N.- it- 2.
x 8-2- -0"Loc 1 S4tP
CQ) ut. w �ba e604..
21'- O" SPAN
z x 12" TOISTs
ax
QoS Sr.s/c P
5 7 c A L
3 r
tL
Q I_
z C.
30 0
0
dill Borne aNdeactim Pie.
336 Benson Road
Port Angeles, WA 98363
(360) 457 2067
Fax (360) 457 -6765
30 vi ALL
CMS 0Z
MEAS
For Th
ins
fe Of row Building
5005 3` Avenue South REQUEST FOR INFORMATION
Seattle, WA 98134 Port Angeles City Hall Upgrades
206.762.3311 McKinstry Job Number C10119
206.762.2624 Fax
ITEM: AHU -L -1 Support
REFERENCE Dwg/Spec: S101
DESCRIPTION:
DWGS ATTACHED:
RESPONSE BY- c r -i G 1 c _k e
IN -HOUSE cc: SUB cc:
McKinstry RFI No. 009
McKinstry SUB RFI No. OWN -002
Please see attached photos of added support for AHU -L -1 Subcontractor originally installed 4x4 flush
with bottom of truss and toe nailed to bottom chord. McKinstry directed him to install a 4x4 along the
top of the bottom chord and extend all- thread through both pieces. Top of all- thread will be double
nutted as specified in drawings. Is this an acceptable alternative to what is shown in the plans? (FYI
diagonal bracing will be installed shortly)
There was one location where a 4x4 could not be installed along the top of the bottom truss chord Is
it acceptable to use uni -strut instead?
REPLY REQUIRED BY 11,/1/10 URGENT
ORIGINATED BY Dave R. COMPANY- McKinstry
SUBMITTED BY Dave R. McKinstry
POTENTIAL COST IMPACT YES NO ROM COST
POTENTIAL SCHEDULE IMPACT- YES NO
DATE: 10/29/10
ARCHITECT/ ENGINEER RESPONSE
Y e 5, i 4 1 s a cc- p- I IC. ex w \t l r eo `�"lq� ou�,. ke. ate.
trs r- ov1,)e.A% t1 c tts,8. al` r.e Is c o -s cuss, cat %/A
001 \o €aa$ D J CL e --CT 4
g�c 1 s c cc-9400 ‘P- ..otosiC4udre_ a' kit& 1:>100go. oa- X1001
o"c 4- Y--`41t t ,A€ uw\ z r T weA FY2. S' i-o kA tA 1 k vine u0123.2.4 ®a
ra-o (.2 p.!! sctraws iv. 1,,0 IA+
7o
DATE DATE (I I 10
For Th
nstry
In Of roar Boilding
5005 3 Avenue South
Seattle, WA 98134
206.762.3311
206.762.2624 Fax
ITEM: DX Coil Support
REFERENCE Dwg/Spec: S101 Details land 3
DESCRIPTION:
REQUEST FOR INFORMATION
Port Angeles City Hall Upgrades
McKinstry Job Number C10119
McKinstry RFI No. 010
McKinstry SUB RFI No. OWN -003
Drawings S101 shows max equipment weight allowed at DX -M -1 as 700Ibs. The actual weight of the unit is
1400# It is unlikely that the current support shown in detail three is accurate. Please provide a revised
detail that will support the weight of the unit.
REPLY REQUIRED BY 11,/1/10 URGENT
ORIGINATED BY Dave R. COMPANY
SUBMITTED BY Dave R.
POTENTIAL COST IMPACT YES
POTENTIAL SCHEDULE IMPACT- YES
ARCHITECT/ ENGINEER RESPONSE
.101 s 03.0 �6 kt, &k
c Me 4 r �a T; �5 ck t" e. ova a 4
c\osgs+ 40 AlA V t vol. la,v,- Q wet, -ciller a
e.7< i sue w Q -E VZ V I n 1 4.. v4 Vr s o VA e)( 4-e. "hap- Q.
g �aMgB¢' J
IN -HOUSE cc SUB cc:
McKinstry
McKinstry
NO ROM COST
NO El
DATE: 10/29/10
2, we
tit
cr
S S+ z
DWGS ATTACHED:
RESPONSE BY- r I c- Pa.C'. e'f DATE: g l 3
/0
5005 3' Avenue South
Seattle, WA 98134
206.762.3311
206.762.2624 Fax
DWGS ATTACHED:
RESPONSE BY- r I G Packer
REQUEST FOR INFORMATION
Port Angeles City Hall Upgrades
McKinstry Job Number :C10119
ITEM: Mechanical Equipment Sleepers
REFERENCE Dwg/Spec: 5101 Details 5
DESCRIPTION:
Detail 5 on drawing $101 shows equipment resting on top of 4x4 sleepers. This is the existing condition on
the roof The McKinstry superintendent has raised concerns that the sleepers should be attached to the roof
to meet code. Please verify that the current drawings meet required code. If attachment of the sleeper to
the roof structure is required, please provide a detail showing how the curb should be attached.
REPLY REQUIRED BY 11,/1/10 URGENT
ORIGINATED BY Dave R. COMPANY- McKinstry
SUBMITTED BY Dave R. McKinstry
POTENTIAL COST IMPACT YES NO ROM COST
POTENTIAL SCHEDULE IMPACT YES NO El
ARCHITECT/ ENGINEER RESPONSE
ry- ov t c1 t vv-1; v vin Q wn 0 0 w
C h Ian b s e-
-c e c 4 1-e-J2..P A-° 4 x LS, 6114 \Da
S ►A\ °c--kt 2 c -e&c. -ev∎ cktfya
A r VA I6 r' i VVV o- ,-e ?Wr
IN -HOUSE cc: SUB cc:
McKinstry RFI No. 011
McKinstry SUB RFI No. OWN -004
DATE: 1111/10
DATE: //Nip
Subject r 4 I
P roject No. 11
f5
Project Name: 'Pod( A
I
\/9 L.1 Me Uw■4
Py 6acl,
s.1eer 4-x4 Glen Pcr
5 3"
�Rocf Sots.
4)( Q, V ,\'f -C (?.a [c.c-o.-Itmans
eac\, fb 4- a+ gm( aaie)
0 'Fs
By ri w
11 /1 a>>
1185 Grove Street Boise, Idaho 83702 208.336 4900 Fax: 208.343.3531
www.ctagroup.com E -mail: boise.info @ctagroup.com
Page: of
Date: 2- j 0
For Th
Please advise.
nstry
its Of Your Building
5005 3' Avenue South REQUEST FOR INFORMATION
Seattle, WA 98134 Port Angeles City Hall Upgrades
206.762.3311 McKinstry Job Number C10119
206.762.2624 Fax
ITEM: DX Coll Support Modification
REFERENCE Dwg/Spec: Detail 3/S101
DESCRIPTION:
Detail 3/S101 shows Timberstrand joist being installed on the outside of the bay where all- thread will be
hung from the 2x4. There is existing ductwork and wiring that make this difficult. Is it acceptable to run the
Timberstrand on the inside of the bay where the 4x4 hanger is located? All else will be as shown.
REPLY REQUIRED BY- 11/4/10 URGENT
ORIGINATED BY Dave L. COMPANY- McKinstry DATE: 11/3/10
SUBMITTED BY Dave R. McKinstry
POTENTIAL COST IMPACT YES NO ROM COST
POTENTIAL SCHEDULE IMPACT YES NO
Yes h.lis
04 .4. x
DWGS ATTACHED:
RESPONSE BY- 6 t c. ?cA L 1, er
ARCHITECT/ ENGINEER RESPONSE
IN -HOUSE cc: t SUB cc:
McKinstry RFI No. 016
McKinstry SUB RFI No. OWN -006
CIO, I'D Al Is
DATE: t‘/ 8 110
I o
Mc
For rh
instry
Ya 0/ Your Building
5005 r Avenue South REQUEST FOR INFORMATION
Seattle, WA 98134 Port Angeles City Hall Upgrades
206.762.3311 McKinstry Job Number C10119
206.762.2624 Fax
ITEM: DX Coil Web Filler
REFERENCE Dwg/Spec: Detail 3/S101
DESCRIPTION:
Is plywood an acceptable 2x web filler?
DWGS ATTACHED:
RESPONSE BY Cr c Ta.
IN -HOUSE cc: SUB cc:
McKinstry RFI No. 017
McKinstry SUB RFI No. OWN -007
The nailing pattern for the 2x web filler calls for (10) 6d's clinched to existing joist, each face. What is the
spacing for the nails? Is this (10) nails total for the entire face?
REPLY REQUIRED BY- 11,/4/10 URGENT
ORIGINATED BY- Dave L. COMPANY McKinstry DATE: 11/3/10
SUBMITTED BY- Dave R. McKinstry
POTENTIAL COST IMPACT YES NO ROM COST
POTENTIAL SCHEDULE IMPACT- YES NO
ARCHITECT/ ENGINEER RESPONSE
1ieul. oc pvovi a w¢b pr e. X IS L,V L
cnc J ®I SA z-v- c v$ 5 tc. e p 4,4- 4 v■Aew.i104
Fo .,,ae, a. l-o L. -1%Jcz 2 w 6 Hoc* mails
DATE: /1
aho
g Subject: R 1�i -1�
Project No. Ai ckiiiS41 ?OR rA
Project Name: 70;4- A-Pi ies
■I
s
(od e m m. c
(Pro. nk 6D)
Q a, 5 14
CF 4 )(4 bf)
Page: of
By W P Date: II I t3 0
c� HtAc raa s S
xt I e p4-r 3 (o l
C a +4t. meid
oiS+ p.gr. 'IS 101( e,;)
1185 Grove Street o Boise, Idaho 83702 208.336.4900 Fax: 208.343.3531
www.ctagroup.com a E -mail. boise.info @ctagroup.com
ESR 2549 Most Widely Accepted and Trusted Page 5 of 13
MODEL NO.
HU26
HU28
HU210
HU212
HU214
HU34
HU36
HU38
HU310
HU312
HU314
HU316
HU44
HU46
HU48
HU410
HU412
HU414
HU416
HU66
HU68
HU610
HU612
HU614
HU616
HU24 -2
HU26 -2
HU28 -2
HU210 -2
HU212 2
HU214 -2
HU216 -2
HU310 -2
HU312 2
HU314 -2
HU210 -3
HU212 3
HU214 -3
HU216 -3
HANGER DIMENSIONS'
(inches)
W H B Header
1 9 /16
9
1 /16
1 9 /16
9
1 /16
9
1 /16
s
2 /16
9
2 /1s
9
2 /1s
9
2 /1s
9
2 /1s
9
2 /1s
9
2 /1s
3
9
3
9
3 /,s
9
3 /1s
s
3 /,s
3
9
3 /1s
5
5'/2
5'/2
5'/2
5'%
5'/2
3
3
3
3
3
3
3
5
5'/
5
4
4n/i6
4
1
4 /1s
For Sl 1 inch 25 4 mm, 1
TABLE 3- ALLOWABLE LOADS FOR THE HU /HUC SERIES JOIST HANGERS
3 2 1/4
5'/. 2 '/4
7 2
9 2
10'/ 2'%
3 2
5 2
7 2
8'/8 2
10 2
12 2
14 21
2'/ 2'%
5 2
.6 2
8 2
10 2
12 2
13 2
4 2
5 2
7 2 '1
9 2
11 2
12 2'1
3
2
5 2
7 2'%
8 2'%
10 2
12 2'%
13'/8 2
8'/ 2
10 2
12 2
8 2 'A
10 2
12 2'%
13'/ 2
Ibf =445N.
4 -16d
6 -16d
8 -16d
10 -16d
12 16d
4 -16d
8 -16d
10 -16d
14 -16d
16 -16d
18 -16d
20 -16d
4 -16d
8 -16d
10 -16d
14 -16d
16 -16d
18 -16d
20 -16d
8 -16d
10 -16d
14 -16d
16 -16d
18 -16d
20 -16d
4 -16d
8 -16d
10 -16d
14 -16d
16 -16d
18 -16d
20 -16d
14 -16d
16 -16d
18 -16d
14 -16d
16 -16d
18 -16d
20 -16d
FASTENERS
(Quantity -Type)
Joist
2 10dx1'/
4- 10dx1
4- 10dx1
6- 10dx1
6- 10dx1
2 10dx1
4- 10dx1
4- 10dx1
6- 10dx1'/
6- 10dx1
8 -1 Odx1
8- 10dx1
2 10d
4 -10d
4 -10d
6 -10d
6 -10d
8 -10d
8 -10d
4 -16d
4 -16d
6 -16d
6 -16d
8 -16d
8 -16d
2 10d
4 -10d
4 -10d
6 -10d
6 -10d
8 -10d
8 -10d
6 -10d
6 -10d
8 -10d
6 -10d
6 -10d
8 -10d
8 -10d
Uplift
CD 1.6
240
480
480
720
720
240
480
480
720
720
960
960
300
605
605
905
905
1,205
1,205
715
715
1,070
1 070
1 430
1 430
300
605
605
905
905
1,205
1,205
905
905
1,205
905
905
1,205
1,205
ALLOWABLE LOADS (Ibs)
CD 1.0
535
805
1 070
1,340
1 610
535
1 070
1 340
1 875
2,145
2,410
2,680
535
1 070
1 340
1 875
2,145
2,410
2,680
1 070
1 340
1 875
2,145
2,410
2,680
535
1 070
1,340
1 875
2, 145
2,410
2,680
1 875
2,145
2,410
1 875
2,145
2,410
2,680
Download
CD 1 15
615
925
1,230
1,540
1,850
615
1,230
1,540
2,155
2,465
2,770
3,080
615
1,230
1 540
2,155
2,465
2,770
3,080
1,230
1,540
2,155
2,465
2,770
3 080
615
1,230
1,540
2,155
2,465
2,770
3 080
2,155
2,770
2,770
2,155
2,465
2,770
3,080
CD 1.25
670
1 005
1,340
1 675
2,010
670
1,340
1,675
2,345
2,680
3 015
3,350
670
1 340
1 675
2,345
2,680
3 015
3,350
1 340
1,675
2,345
2,680
3 015
3,350
670
1 340
1,675
2,345
2,680
3 015
3,350
2,345
2,680
3 015
2,345
2,680
3,015
3,350
'Refer to Figures 3a and 3b (previous page) for definitions of hanger nomenclature (W H, B)
2 Refer to Section 3.2.3 of this report for nail sizes and required minimum physical properties
3 HU series hangers with widths (W) equal to or greater than 2 9 16 inches (65 mm) are available with header flanges turned in (concealed) and
are identified with the model designation HUC# See Figure 3b (previous page)
Tabulated allowable loads must be selected based on duration of load as permitted by the applicable building code.
5 HU Series hangers provide torsional resistance, which is defined as a moment of not less than 75 pounds (334 N) times the depth of the joist
at which the lateral movement of the top or bottom of the joist with respect to the vertical position of the joist is 0 125 inch (3.2 mm)
6 Allowable uplift loads have been increased for wind or earthquake loading with no further increase allowed. The allowable uplift loads must be
reduced when other load durations govern.
ESR -2549 Most Widely Accepted and Trusted
3.1.9 HSUR /L Series Hangers The HSUR/L series
hangers are formed from No 14 gage galvanized steel.
SUR and SUL are mirror -image identical hangers, skewed
at 45 degrees right and left, respectively See Table 9 for
the hanger dimensions required fasteners and allowable
loads, and Figure 9 for a drawing of typical HSUR /L series
hangers.
3.1 10 The HTU Series Hangers. The HTU hangers are
designed to support trusses installed with full or partial heel
heights and gaps between the truss and the supporting
girders of up to but not exceeding, '/2 inch (12.7 mm) as
shown in Tables 10A and 10C and 1/8 inch (3.2 mm) as
shown in Table 108 Minimum and maximum nailing
options are given in Tables 10A, 10B and 10C to address
varying heel heights and support conditions. The HTU
hangers are formed from No 16 gage galvanized steel
See Table 10A and Figures 10A and 10B for hanger
dimensions, required fastener schedule allowable loads
and an installation detail for installations in which the gap
between the truss and the supporting girders is less than
or equal to inch (12.7 mm) See Table 10B and Figures
10A and 10B for hanger dimensions, required fastener
schedule allowable loads and an installation detail for
installations in which the gap between the truss and the
supporting girders is less than or equal to 1 /8 inch (3 2
mm) See Table 100 and Figures 10A and 10C for hanger
dimensions required fastener schedule, allowable loads
and an installation detail for installations in which the
minimum allowable number of nails is driven into the
supporting girder and the gap between the truss and
supporting girder is less than or equal to 1 /2 inch (12.7 mm)
3.1 11 The LUCZ Series Hangers The LUCZ hangers
have concealed flanges to allow for installation near the
end of a supporting member such as a ledger or header
The hangers are formed from No 18 gage galvanized
steel See Table 11 and Figure 11 for hanger dimensions,
required fastener schedule, allowable loads and a typical
installation detail.
3.2 Materials
3.2.1 Steel The HTU hangers are manufactured from
galvanized steel complying with ASTM A 653 SS
designation, Grade 40 with a minimum yield strength, F
of 40 000 psi (275 MPa) and a minimum tensile strength,
F of 55 000 psi (379 MPa). All other hangers described in
this report are manufactured from galvanized steel
complying with ASTM A 653 SS designation Grade 33
with a minimum yield strength, F of 33000 psi (227 MPa)
and a minimum tensile strength, F,,, of 45 000 psi (310
MPa) Minimum base -metal thicknesses for the hangers in
this report are as follows
NOMINAL THICKNESS
(gage)
No 14
No. 16
No. 18
No 20
MINIMUM BASE -METAL
THICKNESS (inch)
0.0685
0.0555
0.0445
0.0335
For SI: 1 inch 25 4 mm.
The hangers have a minimum G90 zinc coating
specification in accordance with ASTM A 653 Some
models (designated with a model number ending with Z)
are available with a G185 zinc coating specification in
accordance with ASTM A 653 Some models (designated
with a model number ending with HDG) are available with
a hot -dip galvanization, also known as 'batch
galvanization in accordance with ASTM A 123, with a
minimum specified coating weight of 2.0 ounces of zinc per
Page 2 of 13
square foot of surface area (600 g /m total for both sides
Model numbers for all hangers in this report, except the
LUCZ series hangers, do not include the Z or HDG ending,
but the information shown applies The lumber treater or
holder of this report (Simpson Strong -Tie Company) should
be contacted for recommendations on minimum corrosion
resistance of steel connectors in contact with the specific
proprietary preservative treated or fire retardant treated
lumber
3.2.2 Wood Wood members with which the connectors
are used must be either sawn lumber structural glued
laminated timber or engineered lumber having a minimum
specific gravity of 0 50 (minimum equivalent specific
gravity of 0 50 for engineered lumber) and having a
maximum moisture content of 19 percent (16 percent for
engineered lumber) except as noted in Section 4 1 The
thickness of the supporting wood member (header beam
or ledger) must be equal to or greater than the length of
the fasteners specified in the tables in this report, or as
required by wood member design, whichever is greater
3.2.3 Fasteners Nails used for hangers described in this
report must comply with ASTM F 1667 and have the
following minimum fastener dimensions and bending yield
strengths (F
COMMON
NAIL SIZE
SHANK FASTENER F
DIAMETER LENGTH (psi)
(inch) (inches)
10d x 1 I 0.148 I 1 I 90 000
10d I 0 148 I 3 I 90 000
16d x 2 I 0 162 I 2 I 90 000
16d I 0 162 I 3 I 90 000
For SI 1 inch 25.4 mm, 1 psi 6 895 kPa.
Fasteners used in contact with preservative treated or
fire retardant treated lumber must comply with IBC Section
2304 9 5 or IRC Section R319 3 as applicable The lumber
treater or this report holder (Simpson Strong -Tie Company)
should be contacted for recommendations on minimum
corrosion resistance of fasteners and connection
capacities of fasteners used with the specific proprietary
preservative treated or fire retardant treated lumber
4.0 DESIGN AND INSTALLATION
41 Design
The tabulated allowable loads shown in this report are
based on allowable stress design (ASD) and include the
load duration factor Co, corresponding with the applicable
loads in accordance with the NDS
Tabulated allowable loads apply to products connected
to wood used under dry conditions and where sustained
temperatures are 100 °F (37 8 °C) or less When products
are installed to wood having a moisture content greater
than 19 percent (16 percent for engineered wood
products), or where wet service is expected, the allowable
loads !must be adjusted by the wet service factor C
specified in the NDS When connectors are installed in
wood that will experience sustained exposure to
temperatures exceeding 100 °F (37 8 °C) the allowable
loads in this report must be adjusted by the temperature
factor Ct, specified in the NDS
Connected wood members must be analyzed for load
carrying capacity at the connection in accordance with the
NDS
4.2 Installation
Installation of the connectors must be in accordance with
this evaluation report and the manufacturer's published
PREPARED 11/04/10 8 26 54 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 321 E 5TH ST
TENANT NBR CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC
OWNER CITY OF PORT ANGELES
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11 /g} 3/10 JLL BLDG FRAMING TIME 01 00
1 1 1/
/7 November 2 2010 2 18 24 PM 1pangrle
WALT 457 2067
FRAMING (IN THE EMPLOYEE BREAKROOM)
AFTERNOON
BLI 01 11/04/10 //y BLDG INSULATION TIME 01 00
7 6/
INSULATION 45IO2067o0K 25 34 1pangrle November 4
HE REQUESTED AN AFTERNOON INSPECTION
BL3 02 11/04/10 JLL BLDG FRAMING TIME 10 00
November 4 2010 8 24 15 AM 1pangrle
WALT 457 2067
FRAMING 'VERN BURTON CURBS
HE REQUESTED A MID- MORNING INSPECTION
SUBDIV
AND NOTES
PHONE (206) 762 3311
PHONE (360) 457 0411
PAGE 3
DATE 11/04/10
I
9
PREPARED 11/03/10 8 20 56 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/10
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBA CITY HALL
CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311
OWNER CITY OF PORT ANGELES PHONE (360) 457 0411
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 10 00000686 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/03/10
BLDG FRAMING TIME 01 00
November 2 2010 2 18 24 PM 1pangrle
WALT 457 2067
FRAMING (IN THE EMPLOYEE BREAKROOM)
AFTERNOON
COMMENTS AND NOTES
4
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Air handling update See drawings from McKinstry
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
WA 983620217
168724
83 90
9/14/10
3/13/11
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00000691
235577
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
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 73 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER
4 00 2 6000 ECH EL -ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
Permit Fee Total 83 90 83 90 00
Plan Check Total 00 00 00
Grand Total 83 90 83 90 00
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
DATE. RESULTS
Id�t��lb
q2,A.
Date 9/14/10
WA 98362
00
0
Extension
73 50
10 40
Due
00
00
00
0
1 i
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
0144
14e
Date 9 14 1 0
CITY OF PORT ANGELES
�1�� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Tk
Date
Application Number 10 00000686
Application pin number 184492
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Tenant nbr name CITY HALL
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
HVAC UPGRADES MECHANICAL ROOM ABOVE CHAMBERS
Owner
CITY OF PORT ANGELES MCKINSTRY ESSENTION INC
PO BOX 1150 5005 3RD AVE S
PORT ANGELES WA 983620217 SEATTLE
(360) 457 0411 (206) 762 3311
Structure Information 000 000 HVAC UPGRADES ETC
Construction Type TYPE V NON RATED
Occupancy Type BUSINESS OFF /PRO /MED /REST
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 14 8000 EA
1 00 10 6500 EA
1 00 7 2500 EA
1 00 18 2000 EA
1 00 10 6500 EA
PUBLIC BUILDINGS PARKS
148828
Contractor
BUILDING PERMIT COMMERCIAL
HVAC UPGRADES ETC
168666
1294 65
8/05/10 Valuation
2/01/11
Plan Check Fee
Unit Charge Per
BASE FEE
49 00 5 6000 THOU BL 100 001 500K (5 60 PER K)
MECHANICAL PERMIT
HVAC UPGRADES
168674
111 55 Plan Check Fee
8/05/10 Valuation
2/01/11
BASE FEE
ME FURN /HP /FAU OR 5 TON
ME AIR HAND <OR =10 000 CFM
ME VENT FAN (SINGLE DUCT)
ME FURN /HP /FAU 5 TON
ME STOVE /FIREPLACE /MISC APP
Date
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Other Fees
T:Forms /Building Division /Building Permit
8/05/10
WA 98134
Extension
1020 25
274 40
STATE SURCHARGE 4 50
841 52
148828
00
0
Extension
50 00
14 80
10 65
7 25
18 20
10 65
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 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.
botvid 101V U t4\ I
Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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 Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD A
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
T /Building Division /Building Permit
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00000686
Application pin number 184492
Fee summary Charged Paid Credited
1406 20
841 52
4 50
2252 22
Page 2
Date 8/05/10
Due
1406 20 00 00
841 52 00 00
4 50 00 00
2252 22 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 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)
IT IS UNLAWFUL TO COVE =R, 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
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 Furnace FAU Ducts
Rough -In 11( -171 10
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
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
T I
Comments
FINAL Date Accepted by
I( -y ID var>7ing pj
11 FArntneJ
1 1 -tb -$O Fi P8
I FINAL Date I Accepted by �J
j
SEPA.
ESA. O
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 I
Construction R.W PW Engineering 417 -4831
Fire 417 -4653 I
Planning 417 -4750 I
Building 417 -4815 I n■- 3- I J 0-
Applicant tx 2pbltnav
Property Owner AN P,.�
Property Owner's Address ,,2_1 c
Contractor 14a-
Contractor's Address _mss-
License SILK -TNe s a tZs
PROJECT ADDRESS
Parcel Number
Project Type Brief Des
Check all that apply
New Construction
Addition
XRemodel
Repair
Demolition
Re -roof
Heat System
)(Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of impe
and other impervious surfaces (see
Max. height of proposed structure
Will a lawn sprinkler system be i tailed?
Will a fire sprinkler system be i stalled?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
S 11^ St 1
S.
3 1 C t- S+
Lot
1
Phor
avte..% W9
Phone zce.,_ z_3st
5e..► FI t i/4
Expires 1z /coo E -mail
Cl H I1�
v
Zoning
Residential Multi- family XCommercial Industrial
o HVAC u (CI Hail Cym nasl'urn l
C Some, Rt-e_ S? -Kt. r i Ping a sP►--'r (ex- hea1,c is II be, m
o Add a -Finor ra.Ibove 4 e. c.e?unci 1 cha hibQ,rs J walk d rH U:4.l1
Two small ex r;c'r QeAne vu+?on s -For n4ake- d haus-i
cription.
House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sg. ft.) Proposed (sg. ft.)
I have read and completed this application and knowit to be true and correct.
that it is my responsibility to determin what permits are required, and to obtain
ZI Date (012.9 I ID Print Name I I 1 O( r V\
T Forms /Building Division /Building permit application
Occupancy group
Occupant load
Construction type
per sq ft.
Signature
,q ft. T Lot size sq ft.
urface on a parcel including structures paved dr
C 17 94 135 for exemptions)
For City Use Only
Date ReceivedOb 1 30/10
Permit I 0
ate Approved
2ttm. iikSZ
3. 9 I9 6 'i7v3
1,Sr3c�Z
d„„,c. vc •t,w ►s+ti .A
TOTAL VALUATION $"Z O
of b- •rooms
#of full •.ths
#of half b s
Lod c• erage
s sidewalks patios
coverage
I am authorized to apply for this permit and understand
permits prior ,(q working gn •rojects
e�.. it.
s
ME
covudey ;r unit reof
buck rnod -fice onus ��(G��
—sma.tl ANA czboVefic cc ►��e r
2 --bvx MP ()IA ira-o f
I re lief fah
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e
of r fans (1 wed s 4rnp m ■b)
f rzvYuntl oko-tpQ coufna, 41)'YleA_ Floe
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foil Alt unit ah mode 5 +oh
a 0 H P r o o f
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m ai n floor
r
N 2 Q 4t4f2
u-r1
Permit 10 (p '6
S(A) mi+ 3 se- +s 1are., wet s-- ary\ -ed 3 S.2) o`F
Z S S co Pies S e,4u
CatA c v s
For Th
ov\V rnstry
fe
of Your Bufding
Dave Robinaugh, LEED® AP
Project Engineer
T Forms /Building Division/Notes
206.832.8352
Cell: 206.714.5141
Fax: 206.716.3538
davero @mckinstry. com
NOTES
Linda Pangrle
321 East 5th Street
PO Box 1150
Port Angeles, WA 98362 -0217
May 5 2010
Linda
Here is a brief narrative of the remodel /retrofit at the Port Angeles City Hall
Main Floor
o Installation of DX coil above ceiling
o Installation of associate 20 -ton condensing unit on roof
o Installation of two condensate pumps
o Installation of condensate and refrigeration piping
o Installation of all power associated with mechanical equipment
o Duct modifications to allow for DX coil install
o Relocation of hydronic heating coils to allow for DX coil install
o Relocation of sprinkler line at DX coil and relocation of some electrical
o Install (8) new control valves
o Replace pneumatic controls with DDC
o Re- balance of main floor air system
Second Floor (legal area)
o Installation of (1) small indoor AHU above council chamber
o Installation of 2 -ton heat pump on roof
o Installation of (1) relief fan above council chamber
o Two wall penetrations with louvers and motorized dampers
o Replace pneumatic controls with DDC
o Cap portion of existing ductwork and install new duct branch to serve legal area
o Install GRDs associated with new ductwork in legal area
o Installation of condensate and refrigeration piping
o Installation of all power associated with mechanical equipment
o Install plywood floor beneath AHU for required maintenance
Best regards,
Dave Robinaugh
Project Engineer
McKinstry
206 832 -8352
Std Chance
From: Dave Robinaugh [DaveRo @McKinstry.com]
Sent: Monday December 06, 2010 3.33 PM
To: Steve Chaney
Subject: RE. Port Angeles
These will be wired by Angeles Electric on Friday the 10 They are not part of your scope
Dave Robinaugh, LEED AP 1 McKinstry
m. 206.714.5141 1 d.206.832.8352
FOR THE LIFE OF YOUR BUILDING
From: Steve Chaney rmailto:scha v(escautojnation.coml
Sent: Monday, December 06, 201.0 2.43 PM
To: Dave Robinaugh
Subject: Port Angeles
Steve Chaney, Operations Manager
ESC Automation Inc.
suite 116 22121 nth Ave.
SE Bothell, WA
9R021
http. /1www.escautomatlon :coin
Dave,
Just got off the phone with the electrical inspector he says the following; there is a solenoid valve unwired on the Gemini
split unit, and some sort of overflow sensor not wired on the overhead unit. Both sound part of the mechanicals work.
The inspector states he needs someone from your firm to confirm they are not part of our scope and he will final our
permit. Can you confirm this to me via an email I will copy and fax to him.
Steve
T tt"1 O T 1 C1 N
u hi
sch anevOesca utomativn
mobile: +1.206.310.0657
office: +1.425.487.8613 ext 2010
skype: steve.chaney.escautomation
Please consider the environment before printing this a -mail.
This email message Is directed in confidence solely to whom it is addressed. If you are not the intended recipient, you may not use
or disclose any information contained here. If you received this email message in error please reply to the sender Immediately and
delete the message along with any associated attachments. While every effort Is made to ensure safe transmissions, it Is still
recommended that you scan any attachments for viruses.
This email is the property of McKinstry or one of its affiliates and may contain confidential and/or privileged
information. If you are not the intended recipient or have received this e-mail in error please notify the sender
immediately and delete this e-mail. Any un copying, disclosure or distribution of the material in this
e-mail is strictly forbidden.
WE TRANSMIT
THE FOLLOWING:
IZI
instry
ile 01 Your Building
5005 3` Avenue South
Seattle, WA 98134
206 762.3311
206 762.2624 Fax
Attached
Under Separate Cover
VIA
Hand Delivery
Courier
Mail
Fax
Email
Correspondence
Project Directive
Submittals
Request for Information
Schedule
Drawings
Transmission Status
Information
As Required
Review Comment
For Approval
Request for Proposal
Distribution
Price Proceed
Response required
Yes
No
Date 7/9/10
Dave Robinaugh
Signed
206 832 -8352
Phone
Date
Subject
To
Attention
Phone
TRANSMITTAL
29 June 2010
Electrical and Mechanical Permit Drawings
City of Port Angeles
321 East 5th Street
Port Angeles, WA 98362
Linda Pangrle
(360) 417 -4815 Fax
Number of pages Transmitted (including transmittal sheet) 4
Linda,
Please see the enclosed applications for the Building Permit and Electrical Permit.
Also enclosed are (3) copies of both the electrical and mechanical drawings.
Please let me know if there is anything else you need.
Thanks.
Transmittal No. 001
Project Name. Port Angeles City Hall
McKinstry Job No. C4 1t24 G.10 i
CC
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DETACHAND.RETAIN THIS"STATEMENT
THEATTAOHED:CHECI6S PAYMENT OFIITEMESCRIBE6 ABOVE
IF NOT CORRECT PLEASE US NO RECEIPT DESIRED.
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MA 9;83 62
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CHECK DATE
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SIGNATURE AREA CONTAINS A'KNJ6HT FINbERPRINT CHECK WORDINd
U.S. PATENTS 5538290, 5575508, 5641183, 578535 5964.364, 6030000
003 L 2960 L 24 30300 71 4 700 3 240
8 52
E JU D
Ja. G 2009
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical Inspections INSPECTIONS
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax: (360) 417 -4711
Date. i t (O I Vt(to
1 2 Single Family Dwelling Multi Family or(CommercialY X Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Com fete Electric I Plan Review Information Sheet
Job Address: 32- 1 S7 5 ST T72.CE� T 2'r /47kZ E lrti$ KRA 9433&z.
Building Square Footage:
Description of above litoit hoE OV,PtiCntr aiJaeerbrAl S. Di SCdNN eery r "WO 0 ✓F_2 efArentr AaffEcno-^1 Fi►2.
(1) Coi4 s,^Irn d nil ra 0) fhr -b +you'/ r R 0 uEF F nI r P
CO NV. o,r AV0 epf./22tX'.7)2 s .OM
Owner Infoymgtion
Name: (?7Y QF r
Mailin Address: 321 t$iT sr
City ¢r AsJlf3 State: W4 Zip: 9 $.3(o z
Phone: Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service/Feeder 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
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
if Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
119.90
145.50
204.60
262.20
372,50
2.60
73.50
2.60
92.70
110.30
148 70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
110.30
35.20
73.50
110.30
,,t i YY
J
Contracto I.for..
fit u o
Name:
Mailing Address: 1 Avg_ S.
City o.2s7/ irt r` State: i/ Zip: FS /If
Phone: ?A6.1&Z. 33/( Fax:
License Exp.it(gacs►oai °l‘lzSC;z 12.11/P
Total (Qty Multiplied by Unit Charae)
Fr .10 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 -468 The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 1.4 05.050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator
x .e
Dated: r
io
Cash Check
Credit Card
01/01/2010
0
low
Structural Calculations
for
PORT ANGELES CITY HALL HVAC UPGRADES
Mechanical Unit Supports
Port Angeles, Washington
GUSHING
TERRELL
ARCHITECTS ENGINEERS
STRUCTURAL DESIGN CRITERIA.
Subject: Desiari Criteria Page: 1 of 3
Project No. ..MCKIN PORTA By EWP Date: 6/28/10
Project Name: Port Antieles City Hall
1 Materials (unless noted otherwise)
Steel: Shapes Plates. ASTM A36
Lumber Joists, Plates Studs: DF No. 1
Beams Headers. DF No. 1
Sheathing. PS -1 or PS -2 for Plywood PS -2 for OSB
2. Type of Construction: Roof System. Timber Roof
3 Design .Code: 2006 IBC
4 Scope of Work: Install several new mechanical units on existing roof structure or
hung from roof or floor framing.
5 Seismic Criteria: Site Class D
SpS= 0.786 Sp 0.477
1= 1.25, Occupancy Category III
Design Category D
Design Criteria.xis
Subject: (0) 10 AE,G0 U 0 i \j c6) 2 Krz, S
Project No Mt ,7 0R1A Br 6 (AJ
Project Name: S CsrY FfrPc LA
ty 4 74
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Page: 2_. of 3
Date: 6 /-2. 8/ LO
1185 Grove Street Boise, Idaho 83702 208.336.4900 Fax: 208.343.3531
www.ctagroup.com E-mail: boiseirifo gctagrouP.com
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Project Name: p m r A Le s. c
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(7 1 EXISTING STRUCTURE KEY PLAN
GENERAL STRUCTURAL NOTES
GENERAL
THE GENERAL CONTRACTOR AND ALL H S SUB.CONTRAC S ARE RFSPONC BLE FOR COORDINATION OF
ALL M HANICAL AND STRU URAL.WORK THE CONTRACT° S ENCOURAGED TO STUDY THE CONTRACT
DOCUMENTS DETAIL DER TO ANTIC AT EALL 77E1140 GTRADES AND THE RELATION TO ONE
ANOTHER CO STRUCTION 0005 SHALL GREATER THAN THE DESIGN OAOS TAONCA1FIO UNLESS
REVIEWED AND APPROVED BY THE ENGINEER
1) INTERNATI NAL ILO CODE BBC). 2006 EDITION
2) NATI NAL13 NSPE FICATION FOR WOOD CONSTRUCTION (NOS), 2005 EDITION
GRAVITY LOADS (PSF):
ROOF DEAD IOM SNDwi OM
G NERAL
EQUIPMENT SEE PLANS WA
WIN CRITERIA
SETS CRITERIA:
MATERIALS.
W000
n 0 0
U 0 U 0
(ORIGINAL 1965 WIN 5 GN)
BASIC WIN PEED OOMPH
EXPOSURE B
(0 ENT CODE)
BAS D SPEEO 100 MPH
EXPOSUREC
SITE CUSS 0
SOS 795/ 477
25/ U NCY CATEGORY
ATEGOR
MISC SHAPES AND PLATES ASTM -3605)
ANC LTS OR 5 A36
STRAND LSL, NES REPORT NO. NER-481
FB -2250 PS FV- 400351
1850 PSI 6 PSI
r T T
T
LUMBER GRADED GRADED 1 WESTERN W 0 UCR ASSOCIATION(WWPA) OR
WES OAST E NSPECTI BUREAU(WCUB) DOUG-RR6
NLES OTED OTHERWISE
FRANI COIN TORS, ANC AND HANGER SHOWN ON THE DRAWINGS ARE PRODUCTS OF
MP5O STRONG-T DARE ATED BY MANU CTURERS STANDARD PRODUCT NUMBERS OLLOW
ALL M2OU CTURERS RECOMMEND STALLATION AND ALL LAG BOLTS SKOU HAVE LEAD
IDLES RILLED THE SAME DIAMETER R THE SHANK AND 504e OF THE SHANK DIAMETER FORMETNREAOE
POR ATE THREADS FORE INSTALLATION
I EXISTO40 FLOOR FRAING
i1. I
7
U R LW
(3507 MAX)
NEW 4 SLEEPERS
0 0 L 0 U 0 0
0
V
0
V
O
—0
0
EXISTII3 OOK
FRAMING
4 PLA
I I
I I
NEW 4
J
"DX -M -1" UNIT
ENLARGED PLAN VIEWS
DOS G4JO
�E%S
ECK7
NEWU EMCIONSTRY
TAN 0 IT TYPE,
SIZE, WEIGHT AND LOCAT1 N7 88
D J
S STER (5) 1WnMBERSTRAND (DEPTH 0 MATCH
(E) I ST) x(LENGTH "34 T PAN) TO(0)
40 I( ROWS 190 @Woo
2. WEB FILLER x (LENGTH 34 1-0 0151 SPAN) LONG
I (10)16E's CLINCHED TO EXISTING /JOIST, EACH F
NEW
17 HANGER
EACH END
1000H NUT
BOL OEAC 1001
(7 1 ROOF TOP UNIT
U
4'\ P1546
9
5101
'EW U 000ONSTRY
PLANS IT TYPE.SIZE.
WEIGHT AND LOCATIONS
P1000 UNISTRUT FRAMING
P1001 STRUT FRAMING
P1001 STRUT
FTUMIN
P 000 DIAL NAL BRACE
HCORNER
NEW 4 PLACE
112.1'0
P1000 D1 ONAL BRAG
®4 EACH CORNER
35' OD ASSEMBLY,
TYP CAL O4 CORNERS
(71 HANGING UNIT (FROM EXISTING FLOOR)
1,7
NEW SLEEPER.
0 (2) JOIST BAYS
BEY° DEAL
CJ 1
SISTER (5) 2x12 4 (LENGTH 3S SPAN) EXIS ROOF
0 ALL (0) 2 125 BELOW FOOT FRAMING
RINT OF (NU (2x1 ELD VERIFY)
/(2)ROWS 16E e6'
ra
P HANG ,EACH END
LAG SCREW
NEWU ,SEEMWNSTiY
PLANS FORD NDL0
sI2E, GHTANO LOrwn
NEW
EXISTING ROOF FRAMING
NEW 44,
4 MAC
FOR ROD
EW U EE
IT TYPE
WEIGHT AND
PLANS
EIG LOCATIONS OCH
EXIS 00
&TRU S FRAMING
0
O "AHU -L -1" UNIT
Isi
0 H TO ORD _NAIL MAN ER INTO
OF E%IS h WE TILLER
T
51'BR /DOUBLE NUT
CONNECTION DETAILS
P100UU RUT FRAMIN
r P1001 UNiSTRU FRAMM
1 1
P10000 00AL BRACE
��45•, EAC ORNE
OCAnO S SNS I2 E,
Y NEW4 4PLAC
4
P1000 DRAG NPL 10D1
45, EACH CORNER p 0 5 INUTB /....11001 FRAMRN
(SEE 5 CONNECTION 0 EACH 1
A OTH ENDS)
(T" HANGING UNIT (FROM EXISTING ROOF)
5(•O ROD ASSEMBL
TYPICAL CI 4 CORNERS
NEW E MECINSTRY
PLANS FORD IT TYPE,
ZE WEIGHT AND LOCATION
ra
1,2• 1d
H2O FAL SIDE
O EXISTING
TRU TYPICAL
Mc
For Th
PROJECT:
PORT ANGELES
CITY HALL
HVAC
UPGRADES
321 EAST 5TH STREET
PORT ANGELES, WA 98362
CUSH:I'NG
TERRELL
ARCHITECTS ENG NEERS
RFY®1@
NO WE DECRPIION
06/23/10 PETMB /f1,ISOIICTON 5ET
119196IRY OOMO
ENGINEERING
DEIGNED 01 J. E00031
OW91N 03. E TAT05134
CHEMED 6/: K 530
JOB 1011®ER 010119
WE NAT 07. 2010
SCALE AS SHOWN
MEET 110E
ERAL STRUCTURAL NOTES
FRAMING PLAN, ARID DETAILS
10w MASER
S101
instry
'fe Of Your Building
SEATTLE
5065 3RD WOE
5
PO Mt 01 94507
SANE,
N1TLW0
16790 NE 1NWN SE
FORTL OR 97720 503-531 -023
Application Number 10 00001302
Application pin number 331138
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
4 circuits for help desk
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit Pee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983620217
81 30
00
81 30
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
OWNER
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 176958
Permit Fee 81 30 Plan Check Fee 00
Issue Date 11/05/10 Valuation 0
Expiration Date 5/04/11
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 7 80
Fee summary Charged Paid Credited Due
81 30
00
81 30
DATE
PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION
00
00
00
Date 11/05/10
00
00
00
RESULTS INSPECTOR.
a *I )!04;)
)2!2(O
Signature of owner or Electrical Contractor X Date
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax: (360) 417 -4711
Date. L
1 2 Single Family Dwelling Multi Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 321 C.- 5 S`1
Building Square Footage:
Description of above 4 t 2G a) ,-r s V t T c, y 151 CA-6- (_PL11. $a L-C s�
Owner Information
Name: C.1.1"-e C "soRT
Mailing Address: jp_s> U SO
City' 4o.$.r ap.i z .c+State:
Phone: Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 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
Temp, Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Signature of owner, electrical contractor or electrical administrator
0
Zip: 363
Unit Charge
119.90
145.50
204 60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
148 70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
110.30
35.20
73.50
110.30
Dated:
Contractor Information
Name:
Mailing Address:
City' /State:
Phone: Fax:
Lic Exp.
Zip:
R
If 5 1008
ELECTRICAL
Commerci'aIAdditionJ Alteration Remodel Repair*
Total (Ay Multiplied by Unit Charge)
g 1 3v 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.
D Cash Check
�,r��
Credit Card O
Application Number 10 00001247
Application pin number 804140
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
6 T stats for heating control
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
P)an Check Total
Grand Total
WA 983620217
ELECTRICAL ALTER COMMERCIAL
176222
414 70
10/26/10
4/24/11
414 70
00
414 70
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Contractor
Date 10/29/10
ESC AUTOMATION INC
22121 17TH AVE SE STE 116
BOTHELL WA 98021
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT W0 /FEEDER
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
6 00 56 0000 ECH EL LVT THERMOSTAT
Paid Credited
414 70 00
00 00
414 70 00
RESULTS
00
0
Extension
73 50
5 20
336 00
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
S J
N
INSPECTOR.
Date.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417-4735 Fax. (360) 417 -4711
Date. Lq/actita
1 2 Single Family Dwelling
Signature of owner electrical contractor or electrical administrator
X IL Dated 1! 00
Cash Check
X Credit Card
Multi Family or Commercial` Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above 3 a. e. re_ u 7 -7,, c a -"t is 7, _f 4 -e...,
o1STI 6
-T- t
Owner Information Contractor Information
Name: G LT" 0 7' VI Name: FS C Pi if-r N l c kJ
Mailing Address: Mailing Address:
City State: Zip: City State: Zip:
Phone: Fax: Phone: Fax:
License Exp. License 4 Exp
Item Unit Charge Qty Total (Qty 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/0 Service Feeder 73.50 1 73 -56
Each Additional Branch Circuit 2.60 2 S, .2. E
Temp. Service/ Feeder 200 Amp 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp 148.70 5
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 1:802 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
7£s. 70_ 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 tire 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.
5feve, CL.,),e7
Application Number 10 00001247
Application pin number 804140
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
6 T stats for heating control
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
Contractor
ELECTRICAL ALTER COMMERCIAL
176222
336 00
10/26/10
4/24/11
Qty Unit Charge Per
6 00 56 0000 ECH EL LVT THERMOSTAT
Charged Paid Credited
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Date 10/26/10
ESC AUTOMATION INC
22121 17TH AVE SE STE 116
BOTHELL WA 98021
Plan Check Fee
Valuation
336 00 336 00 00
00 00 00
336 00 336 00 00
Due
RESULTS
00
0
Extension
336 00
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date
3
3$ 0 66-5 7
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: 10 /z2 /1 b
1fir
GC 2 b 2 J
ELECTRICAL
INSPECTION
1 2 tingle Family Dwelling Multi Family or Commercial* )X Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above _14nr Je. WI 'fro Ic
Owner Ipformation Contractor Information
Name: Yor-F AN42.1e4 C iv AI Name: EC L Ati4.4o nnu.4io'/
Mailing Address: 3Z Oar l SA 5>" Mailing_Add ess: 2 Z I Z 1 17 "h Ft VL 3E. 5/4,. it_ 114'
Cityf ar9 Anse 1 es State: ■''✓A Zip: 4816 City ISb I& 01 State:.' A Zip: AR OZ
Phone: Fax: Phone: `IZS d 86 IS Fax: 4Z S `187 8, 61
License Exp. License Exp.
Item Unit Charae Qlt Total (tom 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
Each Additional Branch Circuit 2.60
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 G 5
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
-&'3 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 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 Cash Check
L0125 *Creditc
`/:zve y
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Heater circuit for employee
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 73 5000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
160820
73 50
2/16/10
8/15/10
73 50
00
73 50
10 00000145
680415
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
lounge
WA 983620217
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Contractor
OWNER
ELECTRICAL ALTER COMMERCIAL
EL BRANCH CIRCUIT W0 /FEEDER
Paid Credited Due
73 50
00
73 50
Plan Check Fee
Valuation
00
00
00
Date 2/16/10
DATE RESULTS
-3111
t 1
00
0
Extension
73 50
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
6
p,,,,,, 2 C
x v l Dated:
4-
/9' 7P /0 6 3/0/
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections CITY OFC1rs
321 East Fifth Street P 0 Box 1150 Port Angeles Washington ost3 tLDl�4�
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date. a
1 2 Single Family Dwelling
R
FBA I ZoNo
Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 32 B Ar/
Building Square Footage:
Description of above 1,4957 ALL i Mx/ L
l4-K 0 v 40 14 A j
Owner Information Contractor I f rmation
Name: C IT O 1 4 Name: /K Ofkr'? d h 0
Mailing Address: Mailing Address:
City State: Zip: City State: Zip:
Phone: Fax: Phone: .6 a mo t' /L6 Fax:
License Exp. License Exp.
Item Unit Charae Total (Q yt Multiplied by Unit Charge
Service /Feeder 200 Amp. $119.90
Seryice /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 1 7 7
Each Additional Branch Circuit 2.60
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
Z3 '0 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 Cash Check
Credit Card
0110112010
poRT4,
if %Ma
\,-44N
`3N1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Add circuit for PAPD IT room
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number 145334
Permit Fee 57 50
Issue Date 5/05/09
Expiration Date 11/01/09
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983620217
57 50
00
57 50
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
09 00000400
263600
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
ELECTRICAL ALTER COMMERCIAL
OWNER
Date 5/05/09
Contractor `m `181a
Plan Check Fee 00
Valuation 0
Extension
57 50
Paid Credited Due
57 50 00 00
00 00 00
57 50 00 00
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
DATE RESULTS
4,2
Date
INSPECTOR.
slap
3
O
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph. (360) 417 -4735 Fax: (360) 417 -4711
Date: At/ o6'7
Signature of owner electrical contractor or electrical administrator
Date: \C1
RECEIVED
MAY 5 2009
LIGHT DEPT
1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition/ Alteration Remodel Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information §heet
Job Address: a I E S'" S f0(-f diCf., r Y P
Building Square Footage.
De cription of above T P 1 e 1 /P1A sa, 94 ,14, l c 6 15U`7 U i l u7ti
(9 AsiP 0 fir. 7 3 e e,c ,2 3 Si-S �CII!f' J P6t.0 L14.49
1U6 c TS M-kb fi n t rs .1'ked c\-f kau, r
Owner Information Contractor Information
Name: S T r1) YI 6 C- Name
Mailing Address: 3 1 C S 1 M ailing Address:
City' 15 64e.T iA e State t.) A Zip 9X',3(¢J- City State. Zip:
Phone. c11"7 4711 Fax: 417 (.5 G Phone. Fax:
License Exp License Exp
Unit Charge aty Total (Qtv Multiplied bV Unit Charge)
93.75 Service /Feeder 200 Amp.
$113.75 Service /Feeder 201 -400 Amp.
$160.00 Service /Feeder 401 -600 Amp
$205.00 Service /Feeder 601 1000 Amp.
$291.25 Service /Feeder over 1000 Amp.
2.00 Branch Circuit W/ Service Feeder
57.50 X Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
72,50 Temp. Service/ Feeder 200 Amp.
86.25 Temp. Service /Feeder 201 -400 Amp.
$116.25 Temp. Service /Feeder 401 -600 Amp.
$131.25 Temp Service /Feeder 601 1000 Amp.
75.00 Portal td Portal Hourly
69 00 Sign /Outline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling
50.00 Signal Circuit/ Limited Energy Multi Family Dwelling
93.75 Manufactured Home Connection
80.00 Renewable Electrical Energy 5KVA System or Less
86.25 First 1300 Square Ft.
27.50 Each Additional 500 Square Ft. or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
Total
m
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.
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.
Cash
Check
1' Credit Car
REVIEWER: h &ct
DATE a- Fs"
DEPT REVIEW
DATE.
COMMENT DRAWING SHT
NO_
and/or
SPEC. PARA.
REVIEW COMMENTS
CONCEPT REVIEW 0
PRELIM. REVIEW 0
RNAL REVIEW 0
REVISION 0
COMMENTS
3Zl
33n3
1/tae S c icy PZ��i4C
r r►
e/' e-->tir V[ (LTA'
yD (2,ti
I PROJECT.ADD G7® D/SZ f L°Er cY770
5-
SHEET
ACTION TAKEN ON COMMENT
COMMENT STATUS
A—,omment accepted
C= Correction made
List DWG arp ragrrap t number
where conviction made
6', I�
!LOCATION: 32 4
PERMIT V
BACK
CHECK
BY/DATE:
PREPARED 1/26/09 8 40 33 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/09
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY OP PA /IT SERVER ROOM
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901
OWNER CITY OF PORT ANGELES PHONE
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 09 00000020 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 1/26/09
JLL
MECHANICAL FINAL
January 23 2009 1 17 12 PM 1pangrle
ELLEN 683 3901
MECHANICAL FINAL INSTALL TWO 5 TON A/C 2 1980 CFM AIR
HANDLERS FOR THE I T ROOM
COMMENTS AND NOTES
4 ,4x/9e_,
rigSlY
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000020 Date 1/09/09
Application pin number 309000
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Tenant nbr name CITY OP PA /IT SERVER ROOM
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 27818
Application desc
INSTALL TWO 5 TON A/C 2 1980 CFM AIR HANDLERS
Owner Contractor
CITY OF PORT ANGELES AIR FLO HEATING CO INC
PO BOX 1150 221 W CEDAR
PORT ANGELES WA 983620217 SEQUIM WA 98382
(360) 683 3901
Permit MECHANICAL PERMIT
Additional desc 2 A/C UNITS 2 AIR HANDLERS
Permit pin number 139964
Permit Fee 100 90 Plan Check Fee 00
Issue Date 1/09/09 Valuation 27818
Expiration Date 7/08/09
Qty Unit Charge Per
BASE FEE
2 00 14 8000 ECH ME INSTALL 100- FAU
2 00 10 6500 ECH ME OTHER APPL N/R
Fee summary Charged Paid Credited
(%/0 cz— sµ--
Date Print Name
T.Forms/Building Division/Building Pennit
Due
Permit Fee Total 100 90 100 90 00 00
Plan Check Total 00 00 00 00
Grand Total 100 90 100 90 00 00
Extension
50 00
29 60
21 30
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 1 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.
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
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 Furnace 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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
--Dq Pp.
Date Accepted By
Applicant or Agent
Owner 1T 1/4 1 err k16, E LE S
Owner's Address 3 a 1 E s 5TQ E E"f
Contractor /Engineer k Q PLO k} EPF' u.16-
Contractor /Engineer's Address A.41 tkJ C E
License f FL-. Q p qcc
PROJECT ADDRESS 3 aA t�
Parcel Number
Prolect Tvoe Brief Descriotlon:
Check all that apply
New Construction
Addition
o Remodel
o Repair
o Re -roof
Demolition
o Sign
o Heat System
Other
Floor Areas
Basement
1' Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. T Lot size
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
2 d
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
j360) 417 -4815 fax (380) 417 -4711
Existing (so. ft.) Pro osed (so. ft.)
tt.
For City Use Only
Date Received 1 Oct
Permit #_09 —2.0
Date Approved
Phone
Phone a 1 I
r t e Le$ Jk 5 t45310
Phone t e S 3` -31 o I
SE_Q01 ■J A- c' ,3%
Expires
5 ST.. Ac l 6E L_ES vat
Occupancy group
Occupant load
Construction type
Lot Zoning
o Residential KCommercial c Multi family o Jndust 1
1 g t-Ar Ll.. 1_k 014 OK 'C 5 l CN 4 so
N S t-L- BLS t tY0 r©.
o wall mounted projecting o freestanding o awning
Total sign area so. ft. Maximum allowed sign area sq ft.
o Heat pump wood burning stove gas. fireplace pellet stove other
NW- (1001T1 014 \N (T 4 r fr\
per sq ft.
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
o other
oef
moLter
TOTAL VALUATION 2 1 s 00
/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 permits are required, and ie.obtain ermits prior to working on
projects. r
Date l 'l 0� Print Name ALE. N Signature
TForms /Building Division /Bldg Permit App1, -2006 Code.doc
I LSE 689 096 01d 2I I d WdSS 2 6002 LO UeC
NOTE. All dimensions are in mm /inches.
3
OUTDOOR UNIT 00
POWER CORNS. V/PH/HZ O
MIN. BRCH. CIR. AMPACITY
BR, CIR. l MAX. (AMPS)
PROT. RTG. f MIN. (AMPS)
COMPRESSOR
NO USED NO. SPEEDS
VOLTS/PH/HZ
R.L. AMPS 'J L.R. AMPS
FACTORY INSTALLED
START COMPONENTS O
INSULATION /SOUND BLANKET
COMPRESSOR HEAT
OUTDOOR FAN
DIA. (IN.) NO. USED
TYPE DRIVE NO. SPEEDS
CFM 0.0 IN. W.G.
NO. MOTORS HP
MOTOR SPEED R.P.M.
VOLTS/PH/HZ
F.L. AMPS
OUTDOOR COIL TYPE
ROWS F P.I.
FACE AREA (SO. FT)
TUBE SIZE (IN.)
REFRIGERANT CONTROL
REFRIGERANT
LBS. R-410 (0.D. UNIT)
FACTORY SUPPLIED
LINE SIZE IN. O.D. GAS 0
LINE SIZE IN. O.D. LIQ.
CHARGING SPECIFICATION
SUBCOOLING
DIMENSIONS
CRATED (IN.1
WEIGHT
SHIPPING (LBS.) 287
NET (LBS.) 751
0 Certified in accordance with the Air Source Unitary Air- candNoner Equipment certification program,
Which a based on API standard 210/240.
0 Rated in accordance with ARI standard 270.
Calculated in accordance sixth Nob. Elao. Codes. IJsD only NACR on '.t breakers or fuse
0 Standard Av Ory Cal Outdoor
0 This valve approrommale. For more peeeise see unit nameplate.
Max. hear length 60 11. Max. Id( Suction So R, Max 411 uqui 60 h
For greater length colault refrigerant piping software Pub No, 32 12
denotes latest tension).
•0 This value shown for cempressar RLA en the .mil nameplate and on 6r;s specufcalion sheet is
used to compute mininum branch circuit amenity and men. fuse size. The ralu shown is the
branai circuit selection current
0 No mear no tart cm;onenis.Yes mean quids tart kit c_.,.,- PTC means positive
temperature coefficient starter
MODELS IBASE 1 FIG. I A I B 1 C I D I E I F I GI H I J I K I
4TT63060A 1 4 I 1 11045 (41 1 /811 946 (37 1/411 870 (34 -1(41J 718 I 3/8 1 152 (61 1 98 (3 -7181j 219 (8 -5/81) 86 (3- 3/8)1508 (20)
A- weighted Sound Power Level [dB(A))
73
74,
t d
TAG
.4r—
(t. -'.RKA 71 ,1.. e4
.4tin 1.1 crrr
'CO •I•li
con
71
Di tl.
W C 4 rrnl
NAf ..4C If 1'
lm.[x
'4.
K
J
G 1- -4
FIG. t
\-46 7 474 mIt ti rCL
411.5.5 5417. 5074'..•1.4
477 '#77454( t4' '1''M
ILSE 689 09E
.151 Art 4
414 vta:., i* e4 em Ott Er Ofi 4+4
_1417 451 5' 744
`7 74/. Dtx4 1'
From Dwg. 210153074 Rev. 13
4TTB3060 -SUB -106 00
5 Ton Split System
Cooling 1 Phase
4TTB3060A
Product Specifications
SOUND POWER
MODEL LEVEL [dBIL A- WEIGHTED FULL OCTAVE SOUND POWER LEVEL dB (dB(A)]
1 I 63 1 125 1 250 1 500 I 1000 I 2000 1 4000 1 8000
4TT83060A1 I 80 I 47.3 I 55.7 1 69 1 72.7 j 75.8 1 69.4 1 62.2 1 53.3
Note: Tested in accordance with ARI Standard 270.95. (Not listed with ARI) I I I I
0 2006 American Standard Inc. All Rights Reserved
4TTB3060A1000A
208/230/1/60
36
60
60
CLIMATUFF° SCROLL
1 1
208/230/1/60
27.6 158
YES
NO
YES
PROPELLER
27.6 1
DIRECT 1
4840
1 -114
825
200/230/1/60
1.3
SPINE FINTMt
1 24
27.86
3/8
EXPANSION VALVE
8 LBS. 6 02.
YES
7/8
3/8
10° F
H X W X D
46 4 x 35.1 x 38.7
01d 2111=1 WdGS 2 6002 LO UeC
e.0„ 0 0117 4
Ntewyco
Application Number 08 00000607 Date 5/22/08
Application pin number 174349
Property Address 321 ENGINEERIN E 5TH ST
ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000
Tenant nbr name HWA GEOSCIENCES INC
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
Bore test holes for sewer line 18th Kacee Way
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit RIGHT OF WAY
Additional desc RUP 08 15
Permit pin number 127001
Permit .:Fee 70 00 Plan Check Fee
Issue Date 5/22/08 Valuation
Expiration'Date 11/18/08
Qty Unit Charge Per
WA 983620217
BASE FEE
CITY OF PORT ANGELES
PUBLIC WORKS. UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Special Notes and Comments
Applicant must notify City Water Utiliy(360 41'7 484'9) at
least 48 Hrs in advance of any subsurface excavation or
drilling and coordinate with them all such activities Must
locate all utilities per applicable State law regarding
such
Fee summary
T•\Policies \1102.15R [1/05]
Charged Paid Credited
S /az�
Due
Permit Fee Total 70 00 70 00 00 00
Plan Check Total 00 00 00 00
Grand Total 70 00 70 00 00 00
00
0
Extension
70 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 workas'commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that 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 o violate' or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature o ontractor or Authorized Agent f Date. Signature of Owner (if owner is builder) Date
W
N
N
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R 1/05]
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY INSPECTIONS. 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
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
PREPARED 5/21/08, 9 07 24
CITY OF PORT ANGELES
APPLICATION NUMBER
FEE DESCRIPTION
RIGHT OF WAY
08- 00000607 321 ENGINEERIN E 5TH ST
AMOUNT DUE
TOTAL DUE
70 00
70 00
PAYMENTS DUE RECEIPT
PROGRAM BP820L
Please present this receipt to the cashier with full payment
pa-r-k-vod-
\ATE_ -31- 0 (joo7
,w 1/11 Rilinrr4;
424 66 2:41C_
?Id< up 4)joroved peV mil-- :7146.7
iT 5 p
df)wr\54-6011�,-e.�2�
f w -F07( O�
AttridibniU emu"
OAP R0--ED g
411- z1,5 rtit.
50 ._I- r DA 1I-L I QU )5
In .-rpv,,,oYrvto 04514 V 4g,07
,OF ?OAT 4
i urrtrs
NAME OF APPLICANT
Application proved
/27 Alld Zyg
9
MAILING ADDRESS 7.3r) L r v>°_ w r�
7 Z<5r77�- 2-7 N• $036
4 1
PHONE NUMBER L zs 7 010‘ 1
STREET ADDRESS OF PROPOSED STREET USE 4f_
DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested please state
the name of the street and limits of closure together with the duration of closure
4- fed Ep)o rcv >i 1 '04 a ri-4 ��s7` ftrkc
inixo dP, L Setae(' l )kei.
J t)
IS THE USE TEMPORARY OR PERMANENT? i4 ports f cf (if answer is PERMANENT. do not use
this form use Riaht of Wav Permit application form)
HOW LONG WILL THE OBSTRUCTION BE IN PLACE? CIA-
WHAT ARE THE HOURS OF OPERATION? g r1O P/
HOW IT WILL BE LIGHTED? /1/0 /i/ a k 1AJOt Or r to C I '1Ri
c�
EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE
ALTERNATE AREAS THAT COULD BE USED?
HOLD HARMLESS and INDEMNIFICATION AGREEMENT
In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a
Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the
undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless and defend the City of
Port An. t any claims or lawsuits for personal injury or property damage arising out of or in any way connected
with, i r- doe A e use or obstruction on the City street, sidewalk, plantin rt or righ ffj�w/ayy
DATED this /t-- of ,20
Applicant
n (OFFICE USE ONLY]
Date application received 6 J9- I2 Q Fee paid
Date Certificate of Insurance per PAMC 11 12 140(B) received
Agreement to Remove Encroachment signed and on
and recorded on
Application revie and recommendation by City Engineer "7\
\61t
is t� en' or ..prov= and with be following conditions
Weii u -id (Y o- Y/7-- `184/9) at o/er8
sulbU r4'e -rr cZcavai or itrt,U.t,4 f t nd C.sdYltt, t1 Luf N1
(o tJ G A. 0–N:it :I per atop/ rv`� l o S 1� Q u a
NOTARY PUBLIC for Washington
residing at J
My commission expires /A /,.R —IC
(This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time)
y the Director of Public Work
Approved copies to: Applicant 0 Fire 0 Police 0 Street 0 Other
N: \Urban Services Standards \Ch112008 ROW Use Permit.doc, March 19 2008
RIGHT OF WAY USE PERMIT 4 6-41 0 —(o 0 7
APPLICATION
1 I &l/L DATE OS b //02
0 Address file 0
/10.
N/A
N/A
Receipt
n
1 16 halt ✓1 14 (ACA stcr ut
a U Such ac-f f. es,
Date
5 1/9/9
RUP#
Application Number 08 00000045
Application pin number 742155
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 Q000
Tenant nbr name CITY OF PA I T
Application type description FIRE SPRINKLER SYSTEM
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 32000
Owner Contractor
Fee summary
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East S Street, Port Angeles, WA 98362
Date 1/18/08
CITY OF PORT ANGELES COSCO FIRE PROTECTION INC
PO BOX 1150 13 RUTH S PLACE
PORT ANGELES WA 983620217 SEQUIM WA 98382
(360) 457 3308
Structure Information 000 000 FM200 FIRE SUPPRESSION SYSTEM I T
Permit FIRE SPRINKLER COMM
Additional desc FM200 FIRE SUPPRESSION I T
Permit pin number 118968
Permit Fee 488 45 Plan Check Fee 317 49
Issue Date 1/18/08 Valuation 32000
Expiration Date 7/16/08
Qty Unit Charge Per Extension
BASE FEE 417 75
7 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 70 70
Permit FIRE SPRINKLER COMM
Additional desc INSPECTION TESTING
Permit pin number 118976
Permit Fee 100.00 Plan Check Fee 00
Issue Date 1/18/08 Valuation 32000
Expiration Date 7/16/08
Qty Unit Charge Per Extension
:BASE FEE 100 00
Special Notes and Comments
January 15 2008 4 39 08 PM kdubuc
1) An acceptance test will be required for this system All
detectors and notification devices. will be tested -The
manual release station will also be tested
2) Owner is responsible for all ongoing system maintenance
and inspections
3) System must be interconnected with building fire alarm
system Test will include verification of alarm receipt by
remote monitoring station
Charged Paid Credited
/4 0
Due
Permit Fee Total 588 45 588 45 00 00
Plan Check Total 317 49 317 49 00 00
Grand Total 905 94 905 94 00 00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360- 417 -4655 for fire inspections. 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
Date Passed
Inspection Type
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Underground piping inspection /pressure test
Above ground piping inspection /pressure test
Tank (container) inspection
Appliance inspection
LP gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
I PERMIT OTHER (specify)
permit final
GENERAL COMMENTS
ODD 2 (0-(
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
Comments
Completed by Contractor.
2/15/00
psi
psi
D
00
Reviewed by•
A
C t 5
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name City of Port Angeles IT room FM -200 System
Address 321 East Fifth Street.
Plan 08 -03 Com Residential
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
1) An acceptance test will be required for this system. All detectors and notification devices
will be tested. The manual release station will also be tested.
2) Owner is responsible for all ongoing system maintenance and inspections.
Date 1 15.2008
3) System must be interconnected with building fire alarm system. Test will include
verification of alarm receipt by remote monitoring station.
NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Building Department Copy
Contractor/ Owner Copy
Fire Department Copy
Date (l S 08
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
ENERGY
ENGINEERING
POLICE DEPARTMENT
ADMINISTRATION
CITY CLERK
RISK MANAGEMENT
FROM. PUBLIC WORKS/BUILDING DIVISION
RE ADDRESS 3 1 5+
NAME /CONTACT 414 3 o h P,
PHONE 4 5 7
PERMIT NUMBER. O R- 1 5
PROJECT DESCRIPTION Ern 2_0(1) F r S u p P S S(o vt
NEW CONSTRUCTION
ADDITION /ALTERNATION
COMMENTS /CONDITIONS
REVIEW/RETURN FILE
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: 4 2t 3 o r 5
Owner C. r. Y o 4r4' )4,1/ p Phone
Address S a t E S City T cry" n 5
Architect /Engineer
n doses FP
Contractor e o 50 c i Fir e r 1 State License 'i 3 tit
Address. 1 c,��� S P (1& G>; City' rJ E-Q Gt./
PROJECT ADDRESS 3 oZ E 5 i 5 4-
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address.
Credit Card Type VISA MC
TYPE OF WORK.
Residential New Constr
Multi family Addition
is Commercial Remodel
Repair
BRIEF DESCRIPTION OF THE
Re -roof
Move
Demolition
Sign
PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group.
No. of Stories. Lot Size. Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
City.
Stove
Garage
Deck
Other
F (M, Zoo Fore.
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other:
Subdivision.
SIZE/VALUATION
Exp. Date:
FOR OFFIfI L USE ONLY
Date; Rec. `ff 11 0
Permit V O 4 S
Date Approved.
Date Issued
Phone •3 0 -I 6" 7 3 3
Zip g ds
Phone
Exp 7 /2J0 Phone 4/5 7 3 307'
Zip 9
ZONING
SF /SF
SF /SF
SF /SF
TOTAL VALUATION op A_Sa O
S P t, e ss l MIL l cs 2.T
Occupant Load. Construction Type.
Proposed Sq Ft. TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE
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 tune the buildmg 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 pennit is issued witlun 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. I 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 t must obtain such permits prior to work.
T• \RVESS \BLDG- forms brochures \2004- Buildingpennit.wpd Applicant: L/ QA5 2 Date: 1 02 0--0 `8°
PREPARED 11/14/07 10 34 01 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/14/07
ADDRESS 321 E 5TH ST SUBDIV
TENANT NBR CITY OF PORT ANGELES
CONTRACTOR PHONE
OWNER CITY OF PORT ANGELES PHONE (360) 417 4824
PARCEL 06 30 00 0 1 7050 0000
APPL NUMBER 07 00001167 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 11/14/07 J L BLDG FRAMING
ti__ November 14 2007 9 04 43 AM 1pangrle
MARTY 460 4126
FRAMING (UPSTAIRS)
COMMENTS AND NOTES
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
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
(360) 417 4824
Structure Information
Construction Type
Occupancy Type
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T.Forms /Building Division/Building Permit (1 0/0 1 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983620217
BUILDING PERMIT
ATTRNY OFF /ABOVE
112763
277 75
10/26/07
4/23/08
Charged
277 75
180 54
4 50
462 79
07 00001167
279953
321 E 5TH ST
06 30 00 0 1 7050 0000
CITY OF PORT ANGELES
COMM REMODEL
PUBLIC BUILDINGS PARKS
15000
Contractor
OWNER
000 000 ATTORNEY OFFICE ABOVE CNCL
TYPE V. NON RATED
BUSINESS OFF /PRO /MED /REST
277 75
180 54
4 50
462 79
COMMERCIAL
CNCL CHMBRS
BASE FEE
13 00 14 0000 THOU BL -2001 25K (14 PER K)
Plan Check Fee 180 54
Valuation 15000
Special Notes and Comments
October 9 2007 5 34 49 PM kdubuc IBC 1014 2 2 prohibits
egress from a room through a storage space
October 9 2007 5 36 35 PM kdubuc
If area outside of proposed new office is a storage space
then egress must be modified
October 12 2007 12 38 33 PM sroberds
The proposal will result in an interior remodel to a public
building No increase in parking is required No land use
issues are noted
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
STATE SURCHARGE 4 50
Paid Credited Due
00
00
00
00
Date 10/26/07
CHMBR
Extension
95 75
182 00
00
00
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.
b X1"07 M *,4.� 1 //lad
Date Print Name Signature of C or or Authorized Agent Signature of Owner (if owner is builder)
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
BUILDING PERMIT INSPECTION RECORD
YES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
1 YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I 1 1 I FIRE DEPT
I PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT
I BUILDING 417 -4815 1 1 1 1 BUILDING
T Forms /Building Division/Building Permit (10/0 I/07).wpd
t 8•o7 I ki2
I I
PREPARED 10/26/07, 9 15 12
CITY OF PORT ANGELES
APPLICATION NUMBER 07-00001167 321 E 5TH ST
FEE DESCRIPTION AMOUNT DUE
PLAN CHECK FEES
BUILDING PERMIT COMMERCIAL
STATE SURCHARGE
j
1 ■,.......1
MI
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TroAL
Please present this receipt to the cashier with full payment
CC"( 361 Et, 14.44 1
AP 015741 1
%I Din Lass'. i
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ADEIE=5:41CKNIPLED-SE REP' fr: Off
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TOTAL DUE
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1131.1DGET CODE
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180 54
277 75
4 50
462 79
PAYMENTS DUE RECEIPT
PROGRAM BP820L
Job wired by
Electrical contractor name License number
C 'PC)
Purchaser's mailing address
City State ZIP
Telephone number FAX number
'Premises owner's name
C OF
Address of inspection
Ci tp t 4
Phop�� to seJtg� a spection
S j
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two
years after this electrical permit is finalised. (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 I 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, and
Utility Specifications.
/Signature of owner, electj 1 or electrical administrator
1-4—v%"1 `/1`- Jl jc 177''x" Date c am c 7
Electrical Load Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW-
Heat Pump Ton LAR
Fan -Wall KW
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735
Inspection
Date
ROUGH -IN THERMOSTAT
Date
Date
Electrical Contractor Owner
FINAL
Approved By Date
7
Appr ed By Date
Date Expires
Overhead Service
Temp Service
Underground Service
DITCH
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
(Installation description
Comttiercial Residential
New fAltered/Addition
CtNST)['utCr )'h 64 Fug AA 1/✓ A-TTIC..
o li, GvU t. 4111:- IC Mi 4-Cr
sy i /pr'Ft''ciL.
Clf NG( I l- /r(NC &6)/TA 40) J
l� n� R
Appr ed By Date
Appr ved By Date
SERVICE
FEEDER
Action Taken
Inspection fee
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
Appr ed By
Appr ed By 1
Electrical
Inspector
/C) PERMIT NS A aA��l� r
1
OWNER/CO■TRACTOR
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE 0
FINAL
CORRECTIONS
OLYMPIC PRINTERS, INC. (360) 452 -1381
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
-P V 14
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
1
F pORIN
7 V-7
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Owner Contractor
07 00001167 Date 10/26/07
279953
321 E 5TH ST
06 30 00 0 1 7050 0000
CITY OF PORT ANGELES
COMM REMODEL
PUBLIC BUILDINGS PARKS
15000
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
(360) 417 4824
Structure Information 000 000 ATTORNEY OFFICE ABOVE CNCL CHMBR
Construction Type TYPE V NON RATED
Occupancy Type BUSINESS OFF /PRO /MED /REST
Permit BUILDING PERMIT COMMERCIAL
Additional desc ATTRNY OFF /ABOVE CNCL CHMBRS
Permit pin number 112763
Permit Fee 277 75 Plan Check Fee 180 54
Issue Date 10/26/07 Valuation 15000
Expiration Date 4/23/08
Qty Unit Charge Per Extension
BASE FEE 95 75
13 00 14 0000 THOU BL -2001 25K (14 PER K) 182 00
Special Notes and Comments
October 9 2007 5 34 49 PM kdubuc IBC 1014 2 2 prohibits
egress from a room through a storage space
October 9 2007 5 36 35 PM kdubuc
If area outside of proposed new office is a storage space
then egress must be modified
October 12 2007 12 38 33 PM sroberds
The proposal will result in an interior remodel to a public
building No increase in parking is required No land use
issues are noted
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Building Division/Building Permit (10 /01 /07).wpd
STATE SURCHARGE
Charged Paid Credited
Due
4 50
277 75 277 75 00 00
180 54 180 54 00 00
4 50 4 50 00 00
462 79 462 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 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 tfactor or Authorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
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 I
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
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 FINAL
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING 1-14 -61 3LL
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
1 HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY FINAL
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS 1
SKIRTING A
II
PLANNING DEPT SEPARATE PERMIT it's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I FIRE DEPT
PLANNING DEPT 417 -4750 1 I PLANNING DEPT
BUILDING 417 -4815 bla raw,i' 1 1 BUILDING
T Forms /Building Division /Building Pennit (10 /01 /07).wpd
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
d
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ALE
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
pla ,s, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
2co. e. (p
3/ 4" T &G CnX
2x4 Blocking Top Bottom Chord (TYP)
Approval Date I 24 a 7 By
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October 24 2007
Prawn 6i
Madsen
Page
I'raminci plan
o7-l( (0 7
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name City of PA Attorney Office Remodel
Address 321 East Fifth
Plan 7 -26 Com Residential Date 10 9.2007
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
1) International Building Code (IBC) section 1014.2.2 prohibits egress through storage
rooms. It appears that the egress from the proposed new office is through a storage room.
If this is the case, the egress must be modified.
NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by i!
I
Building Department Copy
Contractor/ Owner Copy
Fire Department Copy
Date to 9 vT
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
ENERGY
ENGINEERING
POLICE DEPARTMENT
ADMINISTRATION
CITY CLERK
RISK MANAGEMENT
FROM. PUBLIC WORKS/BUILDING DIVISION
RE ADDRESS C k &,t,
NAME /CONTACT (INA r` Lenno v\
PHONE 1 -4 y-.R 4
PERMIT NUMBER. 0 7 (I (o
PROJECT DESCRIPTION Ref c iJ S is s (G fr l
A-t4 --0 vv e v o f R c u e R A a 4 N v vA
a -{-41 J o V eAr Q, u +n �,1 CIA 6 -ems E--f -c
NEW CONSTRUCTION
51 ADDITION /ALTERNATION
COMMENTS /CONDITIONS
4 REVIEW/RETURN FILE
r
Applicant or Agent Ai r r i,Fivi,4a
Owner C t rci- R:4 4 1/C_ >i ri r
Owner's Address
Contractor/Engineer C ITV 6 Y P4
Contractor/Engineer's Address
PROJECT ADDRESS le f 5-
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
Residential
Multi family
Commercial
Repair
TYPE OF WORK
New Constr
Addition
Remodel
Sign
Existing Structure(s) basement
1 floor
2" floor
3rd floor
Accessory Structures
Existing Structure(s) TOTAL
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8'A" x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 -4815 FAX (360) 417 -4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Re -roof
Move
Demolition
Other
Stove
D Garage
Deck
SF
SF
TOTAL VALUATION
1� ►mac s F/ ►2tv s 6t iWfieet
Phone 1 c C!/
Phone
Sq. Ft. Proposed Structure(s) basement
Sq. Ft. 1" floor
Sq Ft. 2" floor
Sq. Ft. 3` floor
Sq. Ft. Accessory Structures
Sq. Ft. Proposed Structure(s) TOTAL
TOTAL of existing proposed structures
Maximum Height of Proposed Structure(s)
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
State License Expires
I\\bnei Phone
Of'Ce ZO N IN G
Subdivision.
Are you planning to install a lawn sprinkler system?
FOR OFFICIAL USE ONLY
0 Date Rec. lJ 9 Z-ID O
Permit D (0
J ate Approved: /P
Date Issued:
-9 z-ii1_2y
SIZE/VALUATION
SF /SF
/SF
/SF
$ice a O /1
BRIEF DESCRIPTION OF THE PROJECT
A'77 J 2 J C'/ O r A c v t T A 0 4-‘710 ?i T RN1 IC G✓ e Cvun/Gl4..
R tic vIT N W4 11-00 /0X /-2 vr,C r ,i eV) /y a F eN hlzra►214)6 w 41-4_,
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
Sq Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq Ft.
Ft.
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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC /IBC 2006 105.3.2)
1 hereby certify that have read and examined this application and know the same 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 that I must obtain
such permits prior to work.
Date 0-2 Applicant 4t (lYL
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANdELEES, WA 98362
07 00000603
565017
321 ENGINEERIN E 5TH ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
0
Contractor
OWNER
RIGHT OF WAY
PBIA SIDEWALK SALES R/W #07'25
102988
00 Plan Check Fee 00
5/25/07 Valuation 0
11/21/07
Charged Paid Credited
00 00 00
00 00 00
00 00 00
Date 5/25/07
Due
00
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. AN 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 Signature of Owner (if owner is builder) Date
T\Policies \1102.15R [1 /05]
0
5
5
c_s‘
st
CALL 417 -4807 FOR UTILITY INSPECTIONS. 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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R 1/05]
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
1 YES 1 NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
1 1 1
I I 1
I I
I
DATE PERMIT INSPECTOR
1 122, )a- cci-ao32
OWNER /CONTRACTOR
ArI6g-L -F S `32.bc
ADDRESS
32l
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED' Y V 1Z Pl S
t' 02 1X735 X16 jZ 91 r_o,.1n1 t>�C 1 5 (Tr► uC. LAi3E)
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Heat pump for IT
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983620217
140103
61 50
1/12/09
7/11/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000032
595968
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
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 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
61 50 61 50 00
00 00 00
61 50 61 50 00
DATE. RESULTS
Date 1/12/09
WA 98362
00
0
Extension
57 50
4 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
01/12/2009 08 34 FAX 360 452 9265 Angeles Electric
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: 360)417- 4735�� Fax:
10 (360) 417-4711
Date: //17
1 2 Single Family Dwelling
Multi- Family or Commercial`
Commercial Addition I Alteration I Remodel I Repair
Plan Review May Be Required Please Complete Electn
Job Address: s i F 321 E
Building Square Foota e:
Description of above
Owner Information
Name:
Mailing Address:
City
Phone:
License #1 Exp.
Unit Charge
93.75
$113.75
$160.00
$205,00
$291.25
2.00
57.50
2.00
72.50
8625
$116.25
$13125
75.00
69.00
75.00
50.00
50.00
93.75
80.00
8625
27.50
57.50
86.25
43.75
&Ty f/-
Z[ Fy
State: id
9hl
opD71x?i'lt_. "444.4‹
Zip: 7042
RECEIVED
JAN 12 2009
WWI DEPT.
an Review Information Sheet
Contractor Information
Name.
Mailing Address: AT f r T
City Po4-' State: Zip:
Phone:
License I Exp. 4 $tLZt y�
Total (2, Multiolied bx3 nit Charr{y]
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
C`7 CO 7 Branch Circuit W/O Service Feeder
ssod Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 18 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
eJ0001 /0001
1
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.
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 -468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
09 —W23
Date 'W*
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
AC units for IT space
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number 139998
Permit Fee 87 50
Issue Date 1/08/09
Expiration Date 7/07/09
Qty Unit Charge
2 00 43 7500
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983620217
09 00000023
868382
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
ELECTRICAL ALTER COMMERCIAL
Per
ECH
Charged
87 50
00
87 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
EL LVT THERMOSTAT
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM
(360) 683 3901
Plan Check Fee
Valuation
Paid Credited
87 50
00
87 50
DATE.
00
00
00
Date 1/08/09
WA 98382
Extension
87 50
Due
00
00
00
RESULTS
4;iziz/a.4
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
QoP
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street P.Q. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: t 1 0 s l
1 812 Single Family Dwelling
Multi -Family or Commercial'
Commercial Addition Alteration I Remodel 1 Repair
Plan Review May Be Required, Pleese Com�Ilete El rical Plan Review Information Sheet
Job Address: 'AAA E 5 5, 1 I I ter 4 /3 (o L S W M
Building Square Footage:
Description of above
Owner Information
Name: it N i E LC
Mailing Address: 4 0 'fi S
City* VO T We LE$tate: vJ Zip: 4 3 "3-- Phone: Li 11 4T<
License 1 Exp.
Unit Charge
593.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
d
Owner as defined by RCW.19.28261: (1) Owner will occupy the structure for two years after this electrical permit is finalized (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
Alter reading the above statement, I hereby certify that I am the owner of the above named property ore licensed electrical contractor. I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC, Chapter 298468, The City of Pon Angeles Municipal Code, and
Utility Specifications.
Signature weer, electrical contractor orelectrical administrator
Oats': 1 l 1 a
I L6E 689 096
RECEIVED
JAN. 2009
LIGHT DEPT
Contractor Information
Name: 1 R. F L O 14 E Ti kJ 6
Mailing Address: at tl CE 5t
City' A E CA) t Ak State: Zp:
Phone: 0 1
License /Exp. 1 FLk CObgC$
Total (Qtv Multiolied by Unit Charge,
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
5 Service /Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601.1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal CirccuiU Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbudding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
011 81E1 Wd6S 2 6002 LO Ue(
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 Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Construction Type
Occupancy Type
WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc MANAGERS OFFICE/ 1 5 CIRCUITS
Permit pin number 7 3114
Permit Fee 61 30 Plan Check Fee 00
Issue Date 4/05/06 Valuation 0
Expiration Date 10/02/06
Qty Unit Charge Per
1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS
Special Notes and Comments
03/21/2006 03 42 PM SROBERDS The proposed remodel
does not add any floor area to existing structure No
additional parking is needed
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000254 Date 4/17/06
341334
321 E 5TH ST
06 30 00 0 1 7050 0000
CITY OF PORT ANGELES
COMM REMODEL
PUBLIC BUILDINGS PARKS
29000
OWNER
Structure Information 000 000
TYPE V NON RATED
BUSINESS OFF /PRO /MED /REST
STATE SURCHARGE 4 50
Charged Paid Credited Due
61 30 61 30 00
00 00 00
4 50 4 50 00
65 80 65 80 00
Extension
61 30
00
00
00
00
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
$ALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
DITCH
ROUGH- INTCOVES I3•20 06 I
SERVICE I I
FINAL 15" S• o 41 .4- 60
I I
I 1
I I
I I
COMMENTS
PW- uo2.1314/961
Job wired by
City
/404,' z.
Electrical Contractor Owner
License number Date Expires
Electrical contractor name
Purchaser's mailing address
City State ZIP
Telephone number FAX number
'Premises owner's name
CI 2 1 t .41 -A
Address 91 inspection
3,� l
Phone number to schedule inspeEtion
L5/! 7— 6/73
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.
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 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, and
Utility Specifications.
/Signature of owner electrical contractor or electrical administrator
ELECTRICAL WORK PERMIT APPLICATION
Q
(Installation description
?Commercial Residential
New i kAltered/Addition
Ci cif
7
Cash Check
Credit Card Visa Mastercard Discover
Card
Expiration Date
X Date of card Inspection fee
/.30
Electrical Load Additions and or subtractions
NO LOAD CHANGES
Baseboard KW Voltage
Furnace KW Overhead Service Phase 0 1 3
Heat Pump Ton LAR Temp Service Service Size:
X Fan -Wall W Underground Service Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT SERVICE
Inspection
Date
/9 L Ul'2
/4() 3 /n r,
Service Information
\i" Dat Appr� Date Appr ed By Date Appr ed By
I� FINAL DITCH FEEDER
Date Apr e By Date Appr ed By Date Appr ed By
i0,
Area, Building or Equipment Inspected
Action Taken
t
Electrical
Inspector
1
1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
08 00000060
536840
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
ELECTRICAL ALTER COMMERCIAL
OLY EL CIR FROM FM PNL
119115
OLYMPIC ELECTRIC
58 00 Plan Check Fee
1/15/08 Valuation
7/13/08
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 1/15/08
WA 98363
00
0
Extension
58 00
Due
00
00
00
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH Ih
FINAL
COMMENTS
ELECTRICAL
RESULTS INTSPECTOR
°Tv
ELECTRICAL PERMIT AND INSPECTION RECO
CITY OF PORT ANGELES
360 -417 -4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
PUBLIC BUILDINGS PARKS
0
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc NEW COUNCIL OFFICE
Permit pin number 111484
Permit Fee 58 00
Issue Date 11/16/07
Expiration Date 5/14/08
Qty Unit Charge Per
1 00
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
58 0000 ECH EL COMM ALT <5 CIRCUITS
58 00
00
58 00
07 00001094
040830
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
Paid Credited Due
58 00
00
58 00
Plan Check Fee 00
Valuation 0
00
00
00
Date 11/16/07
Extension
58 00
00
00
00
SPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
Ally /off `TAP
2lf/oe AL-
Application Number 08 00001296
Application pin number 126640
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Application desc
2x100 amp feeders for UPS
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
WA 983620217
OWNER
Date 10/13/08
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 136168
Permit Fee 150 00 Plan Check Fee 00
Issue Date 10/13/08 Valuation 0
Expiration Date 4/11/09
Qty Unit Charge Per Extension
2 00 75 0000 ECH EL COM ALT 0 200 SRV FDR 150 00
Fee summary Charged Paid Credited Due
Permit Fee Total 150 00 150 00 00 00
Plan Check Total 00 00 00 00
Grand Total 150 00 150 00 00 00
V
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH -Ili
FII�
AL
COMMENTS:
/11/046
ELECTRICAL
RESULTS INSPECTOR
P
Fee summary
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360- 417 -4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
ELECTRICAL ALTER
OLY EL HP FOR
112037
OLYMPIC ELECTRIC
58 00
10/09/07
4/06/08
Charged Paid
58 00
00
58 00
07 00001125
536000
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
Qty Unit Charge Per
1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681 3333
COMMERCIAL
IT ROOM
58 00
00
58 00
Plan Check Fee
Valuation
Credited
00
00
00
Date 10/09/07
Due
00
00
00
00
0
Extension
58 00
N
VP
INSPECTION EL IH,CTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL PEST AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number 07 00001125
Application pin number 536000
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7050 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 0
Owner Contractor
Date 10/09/07
CITY OF PORT ANGELES PENINSULA HEAT
PO BOX 1150 782 KITCHEN DICK RD
PORT ANGELES WA 983620217 SEQUIM WA 98382
(360) 681 3333
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc PEN HEAT/ T STAT
Permit pin number 111997
Sub Contractor PENINSULA HEAT
Permit Fee 35 00 Plan Check Fee 00
Issue Date 10/09/07 Valuation 0
Expiration Date 4/06/08
Qty Unit Charge Per Extension
1 00 35 0000 ECH EL LVT FIRST THERMOSTAT 35 00
Fee summary Charged Paid Credited Due
Permit Fee Total 35 00 35 00 00 00
Plan Check Total 00 00 00 00
Grand Total 35 00 35 00 00 00
INSPECTION EL FiVTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH Ili
FINAL
COMMENTS:
/D-5-07
4 itko
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF' PORT ANGELES
PO BOX 1l50'
PORT ANGELES
Permit
Addi.tional'desc:
,Permit ,pin, number
Sub. Contractor
'Permit` Fee!
Issue" `Date
Expiration Date
Qty Unit Charge Per
,00 58 0000 ECH,
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
a
WA 983620217
COMMENTS /ACTION NEEDED
CITY`OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321.EAST 5TH .STREET ;PORT ANGELES. WA 98.362
07 00000300
273300
321 E 5TH ST
06 30 00 0 1 7050 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS PARKS
0
Contractor
ANGELES ELECTRIC
;524 E 1ST ST
PORT ANGELES
(360),x•452' 9264
EL NEW COMMERICAL,;
ANGELES .EL CAMERAS, PIER;;
:9.7790
ANGELES ELECTRIC
58
9/23/07
3„/21,/08
Charged
58 00
00
58 00
Eli COMM ;ALT <5
Paid'
58 00
00
58 00
CIRCUITS,
Credited
00
00
00
Date 9/23/07
WA 98362
Plan Check Fee 00
Valuation 0
Extension
.58 00
Due
00
0'0
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
DI l .CH
ROUGH -IN COVER I I
SERVICE I 1 1
FINAL 1 8- 3 0 071.44;( L
:I
1. :1
1 I I
Inv -I IOZ.is.
COMMENTS
ELECTR!lCAL PERMIT AJ\lD INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
08-00001503 Date 12/08/08
648347
321 E 5TH ST
06-30-00-0-1-7050-0000-
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
o
Application desc
Server rack grounding and circuits
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OWNER
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 138693
Permit Fee 58.00 Plan Check Fee .00
Issue Date 12/08/08 Valuation 0
Expiration Date 6/06/09
Qty Unit Charge Per Extension
1. 00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
v
}J
---
:.~
~
\f\
~\
SPECTION ELECTRICAL
TYPE DATE: RESULTS: . INSPECTOR:
DITCH
SERVICE
OUGH - IN
;Af>
FINAL
I J-t"d1
~
OMMENTS:
RECEIVED
OB-/503
DEe
5 200~LECTRICAL WORK PERMIT APPLICATION
y~o-v-L~
Installation description
)( Commercial 0 Residential
Job wired by
o Electrical Contractor 0 Owner
Electrical contractor name
License number
Date Expires
)tNew
o Alteredl Addition
o
00
--L
\S'
0'
vJ
City
State ZIP
6jl.PU1Q lJd'./6 / J3t'NOI 1+6 ]:-r
/
I?kk::; Lj Lo~NS
;;; ~/;:-;J:)
;2. 1-I~--<A1 C!.-r /VI-Uj'15 8 pi,u.~
/J~ ~tnf... f'r
Purchaser's mailing address
Telephone number
FAX number
name
Or
61.
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
al contractor or electrical administrator
x
Date:
Expiration Date
of card
Inspection fee
$
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Basebo?rd KW
o Furnace ; _ KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN TIlERMOSTAT
l/Z/lft
L Dale
~.
Date
Approved By
Date Approved By
SERVICE
DITCH
FEEDER
Date
Approved By
Date
Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
...--,.. ~ .. "'.. ..
I I
i. ,. .
I
.- I
!
i
, ,""r
e
u,.~
"- ~
~
~"'~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDlNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Laserea
CED
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name .
Application type description
Subdlvision Name
Property Use
Property Zonlng . . .
Appllcatlon valuation
06-00000254 Date
341334
321 E 5TH ST
06-30-00-0-1-7050-0000-
CITY OF PORT ANGELES
COMM REMODEL
4/05/06
PUBLIC BUILDINGS & PARKS
29000
Owner
Contractor
RV\(J~
r;(~(6ro
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
OWNER
WA 983620217
Constructlon Type . .
Occupancy Type
Structure Information 000 000
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
Permit . . . . .
Additional desc .
Permlt pln number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
73296
458.15
4/05/06
10/02/06
Plan Check Fee
Valuatlon
297.80
29000
Qty Unit Charge Per
4.00
10.1000 THOU
BASE FEE
BL-25,001-50K (10.10 PER K)
Extension
417.75
40.40
vJ
\'J
...----.
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc MANAGERS OFFICE/ 1-5 CIRCUITS
Permit pin number 73114
permi t Fee 61. 30 Plan Check Fee
Issue Date 4/05/06 Valuation
Explratlon Date 10/02/06
.00
o
Qty Unit Charge Per
1.00 61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61. 30
IT)
.00
3/29/06
9/27/06
Plan Check Fee
Valuation
.00
o
\Jl
~
Permit . . . . .
Addltlonal desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
PLUMBING PERMIT
73668
Speclal Notes and Comments
03/21/2006 03:42 PM SROBERDS -- The proposed remodel
does not add any floor area to existing structure. No
additional parklng is needed.
~
Other Fees
STATE SURCHARGE
4.50
Fee summary
Charged
Paid
Credlted
Due
Permit Fee Total
519.45
519.45
.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 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 Owner (if owner is builder)
Date
T \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
c- t
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.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA nON DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY'
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W.I PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \Pohcles\1102_15 bUlldmg penmt mspectlon record05 wpd [11412005]
_ ~ ",;'/lRT"",
'fi
L~
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~.,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Lasered
CEO
Appllcatlon Number . . . . .
Application pln number
Plan Check Total
Other Fee Total
Grand Total
297.80
4.50
821. 75
06-00000254
341334
297.80
4.50
821.75
Page
Date
2
4/05/06
.00
.00
.00
.00
.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 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T IPohclesll102_15 bUIldIng penmt InspectIOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
.- .,
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 UNLA WFUL TO COVER, INSULA TE 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
YES NO
COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUNWI FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
, I
~ ;z"j ~/n
I r
Af
fUA
V
FINAL ~/5fo~
DATE
}L,L
ACCEPTED BY
I
........
J ,
J
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t~ V
T:I Ai
V "
!2J ;:"" .I
I I ~
<7t:;'7o {p
I I
T
I
FINAL
DATE
ACCEPTED BY
RESIDENTIAL
SEPA
ESA
SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
DATE
YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION - R W.
PW I ENGINEERING
FIRE DEPT <;j.$.C)(o ~
PLANNING DEPT I I (/1
BUILDING [ .r:.Jfl,-, l/ ..
( , t
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
ELECTRICAL - LIGHT DEPT
417-4735
CONSTRUCTION R W I PWI
ENGINEERING
FIRE
PLANNING DEPT
417-4807
417-4653
417-4750
BUILDING 417-4815
T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
PREPARED 5/05/06, 16 33 47
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
5/05/06
ADDRESS
TENANT, NBR-
CONTRACTOR
OWNER
PARCEL _ _
APPL NUMBER:
321 E 5TH ST
CITY OF PORT ANGELES
SUBDIV
CITY OF PORT ANGELES
06-30-00-0-1-7050-0000-
06-00000254 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
01
3/29/06
3/29/06
JLL
AP
Lasered
CED
BUILDING FRAMING TIME: 13:00
* OVERRIDE TAKEN BY JLIERLY DATE: 03/31/06 TIME 12:10:53
03/31/2006 12:10 PM JLIERLY ----------------------------
04/10/2006 08:42 AM JLIERLY ----------------------------
BLCG 01 5{~5/06 ~L~ ~~~~~~~;0~EI~~~;3GR~~ JLIERLY ____________________________
BL99 01 5/05/06 ~ BUILDING FINAL
;;;;~~~-;~--~~~-;~~~;;;~~-~=~~=~~~~~--~~-==--~~--~~=~~~=-=========================~==-----
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
TYP/SQ
PL2 01
3/30/06 JLL
3/31/06 AP
PLUMBING ROUGH-IN TIME- 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE 03/29/06 TIME: 15 28:17
03/29/2006 03 27 PM DYASUMUR ---------------------------
Clty of port angeles 417-4815
03/31/2006 12 08 PM JLIERLY ----------------------------
also a frame and mech rough ln are approved on thlS date/]ll
PLUMBING FINAL
05/05/2006 04:13 PM JLIERLY ----------------------------
PL99 01
5~0~/06 ~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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5'.1' 2'-0' 5'.1 :W4'
12'.2 :W4'
5'.1 :W4' 2'-0' 5'-1'
21'.1 :W4'
16'.1 W'
'3'.3 1/2'
o
5'.5 :W4' 6'.1 V4' 1 '
ADMIN.
ASSIST.
Lasereri
CED -
I!XI&TING
1:X16TING
IC . ~ I E
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1:X16TINr:i
~
~ s CITY
i MANAGER
==
~
MECI-IANICAL-l
.
i<'I
~
:oj.
COUNCIL CI-IAMBERS
FILE
CITY OF PORT ANGELES - Construction Plan~
The Issuance of this permit based upon these p!ans, spel:lfl-
cations and other data shall not preve~t the bUilding .offlclal
from thereafter requiring the correctIOn of errors m said
fl12~S speclf1r.~tions and other data, or from preventmg
~,id;n operations being earned on thereunll~r whell III
~iOlatlO~ of all codes and ordmances of thiS luns~~
ISWIGN'"Iel-;;~''' :3iT-
Jlpproval Date Y
-g,n ~
~3
~'?
;l~~
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~L
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FLOOR FLAN
6CAL!: V4' . 1'-0'
1/1bJ1~} L~..
Lasered
CEO
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: City Manager's Office Remodel
Address: 321 East 5th
Plan # 06-11 I Com lZJ Residential D I Date: 3.20.2006
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
1. A sprinkler head will need to be added in the Admin. Asst. space. Two other heads in the
corridor will need to be repositioned in order to achieve maximum coverage.
These details were discussed on site on 3.20.2006.
NOTE:
Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by:
~Od .idQ
Building Department Copy
Date:
3.z.c .Ob
fa
D
D
Contractor/ Owner Copy
Fire Department Copy
"Cl
~O
QJlLJ
K5u
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o
D'.'3I4'
5'-131'" 1.2'..0"1 5'.r I'
"".31/2"
'1'.1314'
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Ex/!TIN3
EXl6TIti:i
MECf.lANICAL-1
COUNCIL CHAM13ER5
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FLOOR FLAN
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lA:/'---) 1..,,-
PLANS APPPtOVSD BY
Pr,p I' A" ;('eel- ""[;'." FTU"G' D<<'PIf?
'...i.....\ J.~vL ...I.i...J0 .L'..1.~\..,t..:.l J.:.,J 1."11
~Op.~}.Q .
DAT: 3-20 .O~ ~
FOR OFFICIAL %E O~L y
BUILDING PERMIT - APPLICATION DateRec (/3 Z" /~(,
t ~\I PermIt # 0".;;1
Fill O~u! C?~P!,ETEL Y and in INK. Y ~ur apylicat~on and site pla~ MUS~ B ~ Date Approved
CUMPLEIE to be accepted for reVIew. !fyou have any questIOns, cali II
PERMITS (360) 417-4815 FAX(360)417-4711 " ,Date Issued
I \~
Applicant or Agent:
Own~:City of Port Angeles
Address: 321 E. 5th Street
Phone:
Phone:
Architect/Engmeer: Li ndhprg & A!';!';or.i i'lt:P!';
Phone:
360-417-4500
Zip: 98362
452-6116
Phone:
Lasered
ceo
City: Port Anqeles
Contractor
State License #:
Exp:
Address. City:
PROJECT ADDRESS: 17.1 F. _ I:)rh !=irrppr
Zip:
ZONING: PRP
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
D Residentml D New Constr. D Re-roof D Stove
D MultI-family D AddItion D MoveD Garage
D Commercial )( Remodel D DemohtIOn 0 Deck
D Reparr D Sign D Other
BRIEF DESCRIPTION OF THE PROJECT: Tnrpri or
additional reorganized office area -
SIZEN ALUATION:
SF. @ $ /SF. = ~~ tOOO
SF. @ $ /SF = $
SF @ $ /SF = $
TOTAL VALUATION $
rpmodpl of pllhlir. fi'lr.iliry
ro r.rpi'lt:p
COMMERCIAL/RESIDENTIAL: Occupancy Group: ~~fS
No of Stones: Lot Size: Existmg Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): DYes D No SEPA Checkhstrequired? DYes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by tlie apphcant.
Tills figure will be revIewed and may be revIsed by tlie Buildmg DIVlSlOn to comply with current fee schedules. Contact tlie Perrmt
Coordmator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee IS due It must be subll1ltted at the tune tlie bUlldmg pefilllt application and constructlon plans are
submitted. All other pefilllt fees are due at the tune of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pefilllt IS Issued WIthin 180 days of the date ofapphcation, the application will expire. The
Buildmg Officml can extend the tune for actlOn by the applicant up to 180 days upon wntten request by the apphcant (see SectIOn
Rl 05.3.2 of tlie International Buildmg/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. I am authorized to
apply for this permit and understand that it is my responsib 'fity to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
Date:
1/2Ci/~~
I /
T \FORMS\BldgPermltform wpd Applicant:
.~
'\01;.....,...
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.121 EAST 5TH STREET. PORT ANGELES. WA 9RJ62
ELECTRICAL PERMIT
ISSUED: 11/29/1999
PERMIT NO 6804
OWNER/APPLICANT
CITY OF PORT ANGELES
321 E. 5TH STREET
Port Angeles, WA 98362
206/457-0411
T:
S:
PROPERTY LOCATION
321 5TH ST E
Lot: 13-20
Block: 170 ~ Long Legal'
Subdivision: TPA
Parcel No: 063000017050
CONTRACTOR
STRAITS ELECTRIC
P.O. BOX 2914
PORT ANGELES, WA 98362
360/452-9104
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
ARCHITECT
N/A
, 98360-0000
360/000-0000
CITY PROPERTY
Project Value: $0.00
Construction Type: GENERATOR
Zoning Use: PBP
o KW
o KW
o KW
o KW
o Riser ~
o Overhead Service
o Temp Service
Underground Service
Voltage: 480,277
Phase: 0 1 ~ 3
Service Size: 1,600
Feeder Size: 0
PROJECT NOTES
INSTALL 25KW 3-PHASE GENERATOR FOR POLICE WING.
IN VERN BURTON GYM INSTAL 2 - 15 KW FURNACES (480 VOLT) AND WIRE
GYM LIGHTING TO THE EXISTING CITY HALL GENERATOR.
CITY JOB-NO PERMIT FEE.
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
TOTAL FEE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
. Misc Fee:
AMOUNT PAID:
BALANCE DUE:
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCKPTED COMMENTS
YES I NO
KUUUH-IN I \"'UV~K
:Sr.KVIU::
~ ,
liZ/Z'1/~91 #H1 I
I
GENERAL COMMENTS:
pw.IJ02.1~I4'96)
JDi
(i
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 9R,62
ELECTRICAL PERMIT
Issued: 1/29/99
Permit No:
6547
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY OF PORT ANGELES 321 5TH ST E
321 E 5TH ST Lot: 13-20
Port Angeles, WA 98362 Block: 170 Long Legal:
360/457-0411 Sub: TPA
T: IND. WATER SCREEN HOUSE S: Pare No: 063000017050
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: CITY PROPERTY prj Value: $0.00
Occ Type: Cnstr Type: SERVICE CHANGE
Occ Grp: Occ Load: Land Use: PBP
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------.
INSTALL TRANSFER SWITCH AND GENERATOR HOOK UP PLUG TO IND. WATER
SYSTEM SCREEN HOUSE, AT ELWHA FISH HATCHERY
INSTALL 200 AMP SERVICE.
NO PERMIT FEE, CITY BUILDING
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Mise
TOTAL FEE:
Amount Paid:
$0.00
$0.00
---------------------------------
---------------------------------
TOTAL FEE:
$0.00
Balance Due:
$0.00
COMMENTS/ACT/ON NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
R()TTGH=INTCUVER
SRRVTr.R /1, .r~ Ot: Ie ?wE",eQ'/'LE-
~ I T T
GENERAL COMMENTS,
PW-I 102.U 14196)
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 11/13/96
Permit No:
5720
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY OF PORT ANGELES 321 5TH ST E
321 E 5TH ST Lot: 13-20
Port Angeles, WA 98362 Block: 169 Long Legal:
360/457-0411 Sub: TPA
T: S: Parc No: BLK 170
CONTRACTOR-----------------------------DESIGNER---------------------------------
OLYMPIC ELECTRIC
1805 TUMWATER
PORT ANGELES, WA 98362
360/457-5303
,
000/000-0000
PROJECT INFO----------------------------------------____________________________
prj Type: CITY PROPERTY prj Value: $0.00
Occ Type: Cnstr Type: SERVICE INSTALL
Occ Grp: Occ Load: Land Use: PBP
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
service Type
X Riser
Overhead Service
X Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
DAMPS
PROJECT NOTES---------------------------------------------______________________
PROVIDE 100 AMP SERVICE AT VETERANS PARK
CITY PROJECT, NO PERMIT FEE
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$0.00
$0.00
---------------------------------
---------------------------------
TOTAL FEE:
$0.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS lNSPECTEDAND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
I ulTCH
-IN / ,~.~R
SERVICE 1/11/1 1()1.
FINAL I I
-
GENERAL COMMENTS:
PW-U02.1514196]
.S;
\li!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 10/28/96
Permit No:
5709
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY OF PORT ANGELES 321 5TH ST E
321 E 5TH ST Lot: 13-20
Port Angeles, WA 98362 Block: 169 Long Legal:
360/457-0411 Sub: TPA
T: LINCOLN PARK S: Pare No: BLK 170
CONTRACTOR-----------------------------DESIGNER---------------------------------
STRAITS ELECTRIC
P.O. BOX 2914
PORT ANGELES, WA 98362
360/452-9104
,
ODD/ODD-DODO
PROJECT INFO--------------------------------------------------------------------
prj Type: CITY PROPERTY prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: PBP
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
X Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
DAMPS
PROJECT NOTES-------------------------------------------------------------------
ADD 200 AMP SERVICE AND WIRE OLD LOOMIS TAVERN BUILDING AT LINCOLN
PARK.
NO CHARGE FOR PERMIT----VOLUNTEER LABOR
PROJECT FEES ASSESSMENT----------------------------------------------------_____
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Mise
TOTAL FEE:
Amount Paid:
$0.00
$0.00
---------------------------------
---------------------------------
TOTAL FEE:
$0.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
DITCH
ROUGH-IN / COVER /I/t; (/~h -:1~
~ERVILE 1/ , 7.-.-
FINAL I I I
GENERAL COMMENTS:
PW.1I0US(4I96]
D Ditch Inspection O.K.
D Rough-in/cover O.K.
....~ O.K. to connect service
~. Final O.K.
Site Address:
~
.
.
~
i
\
,
,
\
I-
)
~
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~ s7
3~&h
,
DATE
ELECTRICAL PERMIT
Site Address:
Sq. Ft.
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D HEAT PUMP KW
D FAN/WALL KW _
D RESIDENTIAL
~ COMMERCIAL
~ NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D RISER
D OVERHEAD SERVICE
,J13: UNDERGROUN SERVICE
VOLTAGE: 2""" 'z.PCf'
(J 1 f/S 3 f/S
SERVICE SIZE /{{?O
C =RA", ::;:s/ ~/'r"
AMPS
AMPS
DetailslDescription:
tvillL
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
Installer:
New Meters
-
Permit/Receipt No.
s-jI 57
;];;J-.
Notify Port Angeles City Light by Street Address and Permit mber when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in W"}itin on either the Wiring Report
or on the~mit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 60
/ Electrical Ins ector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: C;ty %..
OLYMPIC PAINTERS INC
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. Scf'f "
..::?/~9'~
DATE
Site Address: ~I
Installed By:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
D BASEBOARD KW ~
D FURNACE KW _
D HEAT PUMP KW
D FAN/WALL KW
D RISER
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D1!l1 D3!l1
SERVICE SIZE
D TEMPORARY SERVICE FEEDER SIZE
~~ AW/' ~;f/ ~~4~
e dLs !1l;ffiJ:I
D RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
AMPS
AMPS
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
D Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ fi. Final O.K.
SiteAddres~1 C. SA
Notify Port An les C Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .%/ C
.~ $ /t..
\ Ele6tncallnspe or Permit Fee
WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall
')LYMPIC PRINTERS INC
J
New Meters
\'
~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. S.s.s- z-
/ Z./b/?S-
I
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
:;gr ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
01!11 03!11
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription: r:A /~
~~ jJ~.~~
f
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
'f'J. Rough-in/cover O.K.
o O.K. to connect service
#A 'fJ Final O.K.
Installer:
s-~
New Meters
s
Site Address:
.
,
Ic-
Notify Port Angele City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O. K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
f $
Electrical Inspector
he--
Permit Fee
WHITE - File by address
PINK - Top; Eng, Bottom, Customer
GREEN - Top: Meter Dept.. Bottom: City Hall
OLYMPIC PRINTERS INC
\
~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeies, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. _ ~ pl'cP
7/.pA"r
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Fl.
ELECTRIC HEAT
o BASEBOARD KW _
~ FURNACE KW
. HEAT PUMP KW
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D116 D316
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O. K. to connect service
1r~Final O.K.
Site Address:
New Meters
Installer:
.
Notify Port Angeles Ci ight by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building~il. PHONE 457-0411, EXT. 224. 111(c
,. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I V j -"'"
Eleclrlcallnspector Pert,it Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. -3 (, II
s:-~~..z
DATE
ELECTRICAL PERMIT
Installed By:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
~
Phone:
Owner/Business Address:
Sq. Ft.
D RESIDENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D HEAT PUMP KW_
D SIGN
~PORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
D OVERHEAD SERVIC
D UNDERGRO JD. R
VOLTAGE: V, Z
N SINGLE PHASE
D THREE PHASE
SERVICE SIZE /C40 AMPS
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
~j1 O.K. to connect service
D Final O.K.
Site Address:
{".s-
Permit/Receipt No.
.361/
Installer:
.
,
Notify Port Angele City ight by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. &-0
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 0 _
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
Installed By:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
E[ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~5"",6, 0
,,/-/,/-9J-
DATE
ELECTRICAL PERMIT
3d; E'S READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
g ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
I)d d mf /" r'(p<(?fl1iJt' /eS
t}/!r'FIt1/-? J-:J (l/r(,a/I:,
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
~
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
o O.K. to connect service
C- /c-
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
-rs / J)f
Elect,fuallnspector
.
WHITE - File by address
Permit/Receipt No.
New Meters
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
.20. CJCJ
Permit Fee
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
PINK - Top: Eng, Bottom, Customer
-.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
3d:2 .2.
~clC41l
ELECTRICAL PERMIT
\
PERMIT NO. /'191
((~r
DATE
Site Address:
Installed By:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
license Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
0113 03.0
Service size
o Temporary
11 Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Details/Description:
_TtJ,r-4l/
l)r)l)1l
, . ~ J
hJ /'lr~ S::/S~( J
I
..
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
.:{;:..inal O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pendi ng
Site Address:
IIr I! )
:~
/
.
. ,;]! ~.
Insta~. /J .
'-J Fdlr/t../'!- ~ ('12
, ,
Notify the Department of City Light by Street ~ddress and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /6 (90
. -~~ ~
Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
T7<t1'l\ )" v-J'l~ t 1/'f (IV? ~JlM L -n 0 I!,vtl
(-,Mitt. rf\J'~(!ft 71. ,.J .
/1/<- H. \.. (..:T''<\,.. I Co A1.. U-J f\--) 'J ~ ... <.4 A/1
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1$f, -nL'i Pt-t<>..E. 011..- Oi"ll'lA.. Lo..-J
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4aM-<>"I fLn LodLeO N;) (r-'S(ltc..n>..I ~"'DE
If, Pi) L l& l-l. V , g,...... (A'Tii '- M.~A): -S- 'IS "'''< aJ<LL oq: /r'pt
vJI/LC.:f 01.>1' 0 j: IT..
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{,. c,.",~\.. (A-oIIYt.T NHor 1<.0. PLue. flU /V!FCH 12M
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/0, Wrll 01' Ftt->/'r YNTlL7 A-"" lMu I, r..wI c.;:,1....l~/~-A-
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bsy yo It (LfC.t?t 1 Ct,~d.-J'(f (2<'l"'\d,Jcd.
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up STAIIt! Abou\ &Jr'(, I C~I\-- b~
LLJLI- c1yl J~~~.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /5/7..---
DATE ~/ ~h 7
Site Address:
Installed By:
fqj
ficl~
(!t 10/ J!4it
ft ftf. <; *
3;;2./ J!. s-
7-~~c:e
D READY FOR
INSPECTION
Li~nse Number: ,
flt:JZJ(. t:/ IS" or
D WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
~Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
-,6 New Construction
([j Remodel
D Service update/alter/repair
D Overhead
D Underground
Voltage
D 1~ D 3Z
Service size
D Temporary
D Add/alter circuits
D Auxiliary power
(list below)
~ Special equipment
/ ' (list below)
Amps
Detai I s/Descri ption:
~ - /-Mfa /V
SJS-/;/I1S
S '1 J f.u.., if. I
S'iS.ftM "'v
+(ML
/b~
,
*' '2)Jf[~!J M- -Mz
19!-
5Mt..
.
/AJdlw IN
AJ M C~(.~ .-- fJ~ Thtt... '3H'T 1? uT
/
Or-~p
W.S. No. Service
Capacity: D O.K. D Not O.K.
"-B- Ditch in6~8GtiQn n K
""B- ~Qllgh-in/r.over O.K.
-{] 0.1<. te OOAReet servioe
ffJ ~inal O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address: ;1J'1.A-J
Installer: /t (. ~ f'
ndtJ-ll"'-. /I.(!.~
New Meters
-&-
r7
.
Notify the Department 01 City Light by Str et Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
fUr NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :2.tJ ~
i' Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Halt
OLYMPIC PRINTERS. INC.
~ pORT 4~
4. 0 Q~
~ (
iJ ~
(~~
:r~~
-
.
CITY OF PORT ANGELES
~
-_..---------~
~
Crry L1G"~
-
240 WEST FRONT ST, PO. BOX 1150 PORT ANGELES, WASHINGTON 98362
PHONE 1206) 457-0411
December 30,
/~?E('E
1986 Iv -IVED
JI',N ",
( "- 1?7
Crry (F '
LlGHTDEPtL€S
.
E & E Contractors Inc.
1301 N. 97th
Seattle, WA 98103
ATTENTION: Gary Blaflkenship
Dear Mr. Blankenship:
Thank you for your initial permit payment of $100 for the new Port
Angeles City Hall project. Thirty dollars of this amount will cover
the temporary service. The other $70 will be applied toward the
electrical permit fee of $697. This will leave a balance of $627.
A copy of the permit and a receipt will be sent to you upon final
payment of the permit fee.
.~ Attached, you will find a breakdown of the charges from which the
permit fee was derived. The letters on the attached breakdown indi-
cate from which part of the permit fee schedule particular fees
were taken.
The low voltage systems in the building were not added to your permit
as they are generally done by another contractor. This contractor
would be responsible for taking out his own permit for the work
. involved.
Thank you for your cooperation in this matter.
/JI;;tJl:;o
Mark Shamp
Electrical Inspector
"
dp
cc: Rob Orton
Richard French
.
"
.
.
~
1/5
19.!!.L
1~
1250
,
I
i
\
I
E & E coNTRACTORS
\301 NORTH 97TH 52&-9939
SEATTLE. WASHINGTON 98103
11699
,.-..
PAY TO THE
ORDER OF City Of port Angeles City Light I $1627.00 1
Six Hundred Twenty Seven And 00/100---------------------------------------------
DOLLARS
FOR
l~ ~"7L;;/1
-
~1ERBM'K.
RAINIER NATIONAL BANK
UniVersity Office. 1300 Northeast 45th
Seattle. Washington 98105
11'0 ~ ~ b'1'1I1' ': l. 250000:1 ,/1: 002051; Sa.a. '/110
"/J't M.J b r:t /f4l L
'Pow~,t!. ~ Ltr"IIry>
.. S~~I/I({ - 1000 """fJ ~I'o //. "fP (A)
@ 0\.5"1" "''' hi '''''' .....;..., (!.fM-/!.
-to "^ 3
fa x ,#\1<..,
,/0 !3.,lf1-
t-o -r;e ;IS. s w. jb X <[-
10 T~NS. S.-J. (:>E.I1UIC.l) (1<)
TO X FMf...
,Tr> XF
To )< G
1f,('/J4lf
i
i
;., fffDt,e S
A., 5-4
8., 5~
(!.. i Sf
P., oS<{-
r. : GEN.
t: iX+
,6." X z..
)1. , X Z,
or ill_
..J . I ~I ;;>
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"
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.
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f~ \
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(~)
,
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( SfoC.V,(.[.)
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(Gj)
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.
r
/5'73
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A . '9f~
PERMIT NUMBER
-.
TOTAL FEE /;;27~ tJ/Mf .
CONT. Lie. NO. TIME TO COMPLETE NO. STCRI ES LEGAL OCCUPANCY
~
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address )JEW -Povtr lAJoflE.r Cr-h. - /-4-//
/J' --/" cOI""C~ADDRESS ;s' ~';~ONSIBILlTY OF APp~lANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Qq oL ~A-. S2( f _ ~ Installation By €f/ f: (o,.,+tLA-e.1-r.1t.. S ::ClUe,
Owner's Address Installers Address / 30 I /II. 9771< . SY>-ffl! _ WI>_
I
Day Phone Installers Phone 5'2" - '19 31 98/03
Application is hereby made for Permit to install Electrical Equipment as follows: F N4-L /fLM / r r[ L
:F)JL.- fCz.c..-7'ft.-IckL P'iiLM IT 'Felt- fV'i"'-l c..lfLt, r\-A-LL: A-s L/S7U?
ON ~-nr+-cH11J sf/'f'i'T #fP lHLllW, Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE U M L.~~9 L..Lo j) S WnT /"<1 0'0
IIV 1M: -
CONVENIENCE fI 921 L 55 '/IM p,.., 'I//VIfA T - I-- '71 00
APPLIANCE MOTOR t.'2: 00
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE -,
ELECTRIC BASIC FEE
ELECTRIC HEAT /,;p..7~
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRAiicE CONDUCTORS
SERVICE -------------, A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
,
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
,
!
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to 'the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of port~;.
/EC~ t ITY LIGHT
Date Permit Issued IjZ.f / f{ ~C.NSAP R VED
Notify Department of City Light by Street Address and PermIt Number when ready for Inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
REPORT OF INSPECTOR
~
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DATEOFVISIT MADE BY REMARKS
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CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner . City Of Port Anceles Instafl~tion By : E&E Contractors 'ruc.
Owner's Address InstallersAddres~.~1301 N 97th Seattle~
Day Phone \, " Installers Phorie~ ...~. 526-9939
Application is hereby made for Permit to install Electrical Equipment as follows: 1 , non
service per plans. ().)ty[
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FEE RECEIPT NUMBER
.
TOTAL FEE
Site Address
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
#
927
PERMITNUMBER
A
PA-I-+ k EECONI*332KC 8 Nonths
'P/r1 /fI ~ l?60 CONT. LIC. NO. TIME TO COMPLETE
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ComDercial
J
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Ha' '98103
'" -. ,- ,'/
ASurlBf.. 1/ tSM~ ;20V
CIRCUITS PER 1 (2)
CIR
volt
A _ .,
Ul'ofCll~T
{
Wiring Method
r.onrllli t
5'"
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
.
RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
240V
100R
30
AMP
PER
CIR
240V
100R
30
U,SE OF CIRCUIT I I~~~BER
L9-nCUITS
120V
10
FEE
FEE
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SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
,
( "I-Iv
( L
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
~
I SUB- TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer an in c~t;_mance Wilh;1,EJ'. Elec'ri~al Code, ..
Date Application made December 8th ,19 86 By /l f , .j,
\;INtTOR OR OWNER lOR AUTHORI~E AGENT)
Permission is hereby given to do the above des'cr'ibed work, Accordj(lg to the corTditions here and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances
.
Date Permit Issued
WARNING
OLYMPIC PRINTERS. INC.
By
PLANS
;Z;l1 It;
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or cur(ent turned on before inspection and O,K. for covering or service has been given by Inspector in
Writing on Permit~Placard. A.. Permits Phone: 457-0411 Ext. 158.
"
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CA~ARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
. -,
REPORT OF INSPECTOR
I
DATE OF VISIT MADE BY REMARKS
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
.'
A
CfO~
PERMIT NUMBER
.
TOTAL FEE
/t!5?--
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('/711
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED Utq;ti-.TH1S PERMIT
1 -(}i't4j E' . ;J:l1 E. S"
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PEAMITS WITH WRONG ADDRESSES ARE CANCELLED
of P.;4 . , '')I'tallation By CJ W# E-.~
;:j( ~At2 ()tJT ~ tV ..l7ILP'L7/l;,.{.,stallers Address __
Installers Phone ~
Owner
Owner's ~Address
Day Phone
Ap~J.icatI9n is hereby made for Permit to install EI~9trical Equipment as follows:
.1l1P' g!t-tl~L
.
'--- '. - I Wiring Method
AMP ~ 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT - NUMBER PER 100A FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 30 CIRCUITS CIR 10 30
LIGHT SIGN ,
LIGHT 1\ 50 VOLTS ' .
OR lESS
CONVENIENCE j.j MOTOR"
-.
CONVENIENCE \ '" J\ MOTOR
,
APPL1ANCE -- .- .J:! MOTOR .
?
.- \ nn
DISHWASHER - . FIRE ALARMS
DISPOSAL . =:: BURGLAR ALARM
-
RANGE II --,= MISC,
OVEN '.... -
WATER HEATER )) ~r II
LAUNDRY 1-, "-
DRYER I-JJ (( I) ) REINSTALLATION L1GHT FIXTURE #
FURNACE . SUB TO.TAL FEE
GAS - OIL
FURNACE ~- . l ]), ENERGY FEE
ELECTRIC
~ !:: BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT ':J . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER '
A.C. UNIT /,;? ...
r -::::.\ AMP PHASE
FEEDER ...:::J ~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ~' AW.G.
I SUB-TOTAL - ""'-..\ -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I Code.
I certify that the work to be performed under this permit will be done by the installer and in c
Date Application made
,19
By
CONTRA OR OR OWN UTHORIZED AGENT)
Permis~Jon is hereby given to do the above des~rlbed work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances f e City.of Port Angeles.
,... 'IREC R OF ITY LIGHT
.
Date Permit Issued
/z/i'~
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. . .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection an'dO.K.for,covering or service has been given by Inspector in
Writing on Permit Placard. A'--" Permits Phone: 457.0411 Ext. 158. -
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Oupllcate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
property owner
Owner address
03-00000091
321 E 5TH ST
0630000170500000
ELECTRICAL ONLY
Date 2/03/03
Contractor
o
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
( )
ANGELES COMMUNICATIONS INC.
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
.00
2/03/03
B/02/03
plan Check Fee
Valuation
.00
o
Fee sununary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
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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 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
Signature of Owner (If owner is builder)
Date
T:\PLANNJNG\FORMS\l102.] 5 [4/2002J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT tN A CONSPICUOUS LOCATtON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
O~ - q /
INSPECTION TYPE DATE T ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FDUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL / FLOOR / CEilING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT Irs:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT Irs SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL tk/03 ,
LIGHT DEPT ., <X-/
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ' ,
ENGINEERING 417-4807 PW I ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T;\PLANNING\FORMS\] ]02.15 [4/2002J
-~,:_~ ',> :)~-'P';:~::' '<', ;\'.<' ':
IS,
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. Application NwlIber
proPertyAddress..
AssEsSOR. PARCEL.. NUMBER:
TGant nbr i name. ..
. Application description
SUbdivision Name. . . .
proPert:YZoning ., ....
Application valuation .
03~00001112 Date11!19/03
321 E 5THST
06-30-00-0-1-'050-0000-
PORT ANGELES CI'r.Y PIER
FIRE SPRINKLER SYSTEM
~I
KEEP PERMlTCARD AND APPROVED PLANS AT JqBSlTE ", ,
c;:QMMENTS
.. ,
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, INSPECfION TVPE
, " " :
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,FQUNPATION:
FooT~GS
WALLS
FOUNDAnON 'DRAINAGE
,ELEC'l'aICAL (UGHT DEPT)
,ROUGH-IN "
I'LUMBING , .
UNDER FLooRl SLAB
ROUGH-IN
WATER LINE
DATE
ACCEPTED "
YESI' ,NO "1'
.'
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I BACKFLOWlWATER
AIR SEAL,
" WALLS
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FRAMING
JOISTS! GIRDERS
S~WALL
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INSULATION
,
,
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W AliI FLooRI CEILING
MEC~NICAL
HEAT PUMP
,
, "
, '
,
, ,
WOOD STOvE (PELLET I CHIMNEY
,
HOOD I DUCTS, '
c.,
PW UriLITIES I SITE WORK (El1iineeringDivision) SEPARATE PERMlT#'s:
WATERLINE/METER ,c.' ,
, ',,','
SEWER CONNECTION
,
..
SANITARY
STORM
"
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,
PLANNING DEPT. SEPARATE PERMIT#'s
SEPAl
ESA:
,
P ARKiNGlLIGHTING
t.ANDSCAPING
,
, ,
"
, ',,; " SHOREJ,.~:
" FINAL IN8PECTIONSREQJJIRED PRIOR TO OCCUPi\NCYIUSE
DATE :,' YES NO COMMERCIAL
,
"
" .'
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ACCEPTED
YES,.' NO
,RESIDENTIAL
,
ELECTRICAL - LIGHT DEPT.
,. " " '
CONsTRuCTION R.W. lPWf
ENGINEERING
FIRE
D~r~ "
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LIGHT DEPT ",
417-4735
,
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, PW I ENGINEERING
FIRE DEPT.
417-4807
" 417-4653
417-4750
417-4815
,
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.
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BUILDING '
PLANNJNGDEPT.
,
BUILDING
,
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T:\J>LANNING\FORMS\II02.15 [4I2002J
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1-
ss - Re: Fire s
Pa
ier
From:
To:
Date:
Subject:
Marc Connelly 0 3 - 1119-
Roger Vess
6/20/03 3:46PM
Re: Fire sprinkler at city pier
Roger, please consider this request to waive the permit fee for the City Pier Sprinkler Project.
Thanks--Marc
>>> Roger Vess 06/20/03 03:19PM >>>
Mark,
Could you send me an em ail with your approval to waive permit fee's for this project.
Thanks,
Roger
S
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000190 Date
.208380
321 E 5TH ST
06-30-00-0-1-7050-0000-
ELECTRICAL ONLY
3/18/05
Owner
Contractor
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o
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CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
ANGELES COMMUNICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
-----------------~----------------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTE~ COMMERCIAL
ANG. COMM./ VOICE DATA INSTALL
ANGELES COMMUNICATIONS INC.
42.20 Plan Check Fee
3/18/05 Valuation
9/14/05
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1. 00
Unit Charge Per
42.2000 EL-LOW VOLT SYS <=2500~SQFT
Extension
42.20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42.20 42.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 42.20 42.20 .00 .00
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\
ELECTRICAL PERMIT INSPEc;r.lON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
pW.1I02.1514196]
d'O'lI'~_
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.121 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000516 Date
659844
321 E 5TH ST
06-30-00-0-1-7050-0000-
ELECTRICAL ONLY
6/25/05
PUBLIC BUILDINGS & PARKS
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(360) 452-9264
WA 98362
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
ANGELES EL.POLICE DEPT COPIER
52753
ANGELES ELECTRIC
61.30 Plan Check Fee
6/25/05 Valuation
12/22/05
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Unit Charge Per
61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61.30
--------------~--------------~----------------------------------------------
Fee summary Charged Paid Credited Due
-~--------------- ---~------ ---------- ----~----- ----------
Permit Fee Total 61.30 61.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.30 61.30 .00 .00
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CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.U [4196]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
Appllcation Number
Applicatlon pln number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdlvlslon Name
Property Use
Property Zoning
Application valuation
07-00000055 Date
692270
321 E 5TH ST
06-30-00-0-1-7050-0000-
ELECTRICAL ONLY
2/05/07
PUBLIC BUILDINGS & PARKS
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit
Addltional desc
Permit pln number
Sub Contractor
Permit Fee
Issue Date
Expiratlon Date
ELECTRICAL NEW COMMERICAL
OLYMPIC EL/ 200A FEEDER
93617
OLYMPIC ELECTRIC
91 00 Plan Check Fee
2/05/07 valuation
8/04/07
00
o
~
Qty Unit Charge Per
1.00 91 0000 ECH EL-COM 101-200 NEW SRV FEEDER
Ext'ension
91 00
-...
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91 00 91 00 .00 00
Plan Check Total 00 00 00 .00
Grand Total 91 00 91 00 00 .00
\'\
"
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\1-
t.,
~
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
, I YES I NO
IJI (.N
KIIII( iH-lN I CUV.ER
:S~KVIC~ 1--" -It "7 A..e ~
'1,,-<1-&11 LJ..cl I
,
GENERAL COMMENTS:
PW.I 102.1' 14'961
08~12~(p
~~o':::::~<,
~~~~
1..~'
"t~;;
~"'~""
""'.0
RECEIVED
OCT 1 0 20tl8LECTRICAL WORK PERMIT APPLICATION
D Own~GHT DEP lnstallation description
Job wired by D Electrical Contractor ~Commercial 0 Residential
Electrical contractor name License number Date Expires ~ltered/Addition
o New
Purchaser's mailing address
Z /00 A......" f' a..DI~--'Z.~
City State ZIP
Tdephone number FA X number
Premises owner's name
C-1-rY eF ?llR-T -I'\J>..{ "'E.L~~ 1:]:
Address of inspection
321 ~ 6 SI
c~ Ar--lbE.~S 01T--
"rz-T
Phone number to schedule inspection:
Owner as defined by NeW 19.28.26/:(1) Owner will occupy rhe structure for two
years after this electrical permit is finalized. (2j OWner is required to hire an electrical
contractor !f ahove said property is fiJr sale, rent or {ease. D Cash D Check #
After reading the above statement, r hereby certify that ( am the owner of the above
named property or a licensed electrical contractor. I am making the e\cctrical instal- D Credit Card Visa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Code, and Card # - - -
Utility Specifications. ----------------
,,~ of o.~ ~:ical contractor or CJ;~::: a~;I;;7~ Expiration Date ($ns~~ ~
of card
"
"'- ..
~
I
..--
N
..J)
(j
EleGlncaI.Load.AddltlQOS.and.OLsubtracllinls
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan.Wall KW
SeDlIceJntQrmatlon
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size:
Feeder Size:
SAM.E-DAY I NSJ>.ECILQl'S, CALL.BEFORE 7:00 AM. 160-417-41.15
"
/J ROUGH-IN
It D/tJ8 ~
""-- [)~t~ Approwd H,
THERMOSTAT
SERVICE
'\
/
FEEDER
Appn)\cd Ill' ../
"
Date
Approved Hy
Date
.AL
/1 ~"" ~./
DITCH
Date
Approved By
Date
Approv~<.l By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
/o-/o~o3
"K(VI8--l ro
0L
t/-- liD/
ElECTIR~CAl ~NSPECTION
W~R~NG REPORT
417-4735
INSPE TOR
-z r l'!7
t L.-!E-C- ,
~ y-
ADDRESS
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
~. . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . .. . . ... . . . . ... . . . . SERVICE. . . . ... . . ...... . . ..0
D..................... FINAL.................... ~
CORRECTIONS NEEDED:
\2,fZ..~ />, I..... e'F"
1[0 u Rf1/I-.€. t--f\
~u- \) t{ L)':"~ p ~ lI;;.~/C.AL..
?t-. hC tt-/ .0("'.. f2tL1)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
01/14/2008 08:25
3604523498
OLYMPIC ELECTRIC
PAGE e1
',I','
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"
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ELECI'RICAL WORK PERMIT APPLICATlON
::,1.
:'1-
Job wired by
~Iectrlcal CDDtractor 0 OwDer
IMlaU.lion c!elariplion
....C.mmercIAI C RcaldeDaaJ
C New Icf AlleredlAddltl..
:.!
Ltceose number Date eXJ)trClll
O/~/77"'r~ ~/"""L't'n;': I?LY/l?PEC~r-1?1
PtRh(5ct:,{ moilin& Iddresl
'I.2Jo TC/;tJfa/.-9r-G/!
Ci1b Stale ZIP
/b,--r -1?;;-k-/ U," 7J-Jt5.2
Telephone number FAX number
- 7-
Premhu owner'. Dime F A,-1-' ij L.
c. -+..J:1c; 0 Tn 7 r"h.q~~ s
Add.....r 1.~CU.3.J.-1 E 5"111
Po fl J:1 It Q' 1,$
Plloae number tD acbdllle ilhpectloD:
Ne w Citt. ~..d To
FM :J-OtJ Af/u../
.I-
EIc:r:.trlca.1 ~onlr"tor n8mtl
ClOy
~ 7 S Jo :J
0....,... d<fl..d by RClI'./9.28.26/:{/) 0-., wlllo..upy Ih. "MI.'o,., 10' ,...
)ItflJrJ oftv llW BlutrloaJ punt/lis jlllalirtd. (1) Ownv " requlnd tD hire all f!!:1f!!:ClrlcQI
eonrn=or tf ahem! .MId property b far ,air. rat or I.tul.
A&r te:ldma the lbove llalement., I ~ Ccr1If't rt.at I 1m the owner of the above
aamed 1'IVperty or l licensed electrical c:on\nlC\Of. I am making tbe eleet,r1cll hUltal-
laliDtl or alte,.lfon in compliaace with Ihe electric.1 Jaws, N.ac.. RCW. Chapter
19.28, WAC. Chapter 2516-468. The City or Port Angeles Munlclpal COdt, and
Utilily.SpecilicatiollS.
SICDlture of II ,. tlaetrleal CODtnctor or c.lectrlcal .OJnlulllrator
X Date:/, 'IS 10 fI
o Cash 0 Check #
o Credit Card VlSll
Mastercard
Discover
Card #
- . -
------------_._-~
, ,
Bxpifation Date
of card
EI8etrleal L~Ad Addlllon. And Of A\JbtMctlons
C NO LOAD CHANGES
o Buebootd _ KW
C FumoCG _ KW
O'HaDIPump _Ton_tAR
o Fan-WDlI _ KW
o Overhead Service
o Temp Servlce
Il:a;, Underground Service
Service Information
V.J"'ge 1~/..:4:ft?
Ph.....C '~3
Service $lzD:_
F.ed., Siz.:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417.4735
'!RJ
~l'\ !~"" ROtJGB..~ r THERMOSTAT SERVICE
?J'2.f,)IJB
1>.1.' ^",--"b ... Appftt-BJ ... ^pp~qd 111
PINAL DTTQI FEEI>ER
v11jj/pf) ~ I
. ApprlW~ 8 ... AIcJfOm:I.) DtlC MIIl'Owcd 8)' ./
hUipeClioD . Area, Building or EquipmeollnspCClod Ac.lion TIkc'O Blootrlcal
Dale In~pe~tor
~~~RV~ IfF\)
"'HI~ J. ;) LUUlS
_,~... UI:I"". . .
. .
~.:;
/ Installation description
Job wired by D Electrical Contractor DOwner 9l Commercial 0 Residential
Electrical contractor name License number Date Expires ~. Altered/Addition
CITY (..IF (uRTf).NG ti......cf<, DNew
Purchaser's mailing address
c."i\lsrIGlALf f )../4 T fu~A/\. 1# tTfIC
City State ZIP
() 1Ifit.... c..vu......c It--.. - K~t-v"-,4Tfi- ^Jj~l(.,~1
FAX number .
Telephone number 5ys-)~ _(Jpr 6FfiGf- -/0',< /;/
Premises owner's name CJfIlI/Ja.i[ LIC-Hfljl/c;, (jt.J iTQ-/vJr:;, J I
C. t"ri 01'" 1>.1).
Address of inspection ApP r: r:Lri-fTlCif.!:'
J <-I f- . C;-1J(
:f~4.
Pho3c6"Jmb;;')7C~~1 ~pcction:
OWl/er as dejil/('d by ReW /9.28.26/:(1) Owner will occupy the structllre for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
cO/1lraclor if ahove said properly is for sale. rell! or lease. D Cash D Check #
After reading the above statement, I hereby certify that I am the owner of the above
named properly or a licensed electrical contractor. I am making the electrical instal- D Credit Card Visa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Card # - - -
Utility Specifications. ----------------
Signature of owner, electrical ~on8actor or electrical administrator Expiration Date (~nsP~;ie,e OV
XjY', ~.!L-.- f~:..,v Date: '7-~ - 07 of card
" ~
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o~.
.,.......
~ r=.:J:..
~~f
-...
ELECTRICAL WORK PERMIT APPLWATlON
.
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp SeNice
o Underground SeNiee
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
41J~~(o7 ~y
THERMOSTAT
SERVICE
Dale
Approved By
Dale Approved By
FINAL
~~7J
DITCH
FEEDER
<>IlL
Approved By
Dale
Approved By
Dale
Approved fly
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
It-.
1..VA-LL-;.S
NP
PREPARED 9/23/07, 9:50:03
CITY OF PORT ANGELES
PAYMENTS DUE RECEIPT
PROGRAM BP820L .
.-----~--------------------------------------------------------------------
APPLICATION NUMBER: 07-00001094 321 E 5TH ST
YEE DESCRIPTION AMOUNT DUE
y---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL
TOTAL DUE
58.00
58.00
Please present this receipt to the cashier with full payment.
Ccr?l.f..ie I L
OrF-rc-C
Ii L-lVvTR... L L
wo!--t::.....
Pt~\l
f"E(,
09/28/0i Oi:40 FAX 3808812088
PenInsula Hea~
14101
_.~...,..
G- - '2.Jo
~
~
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
leCl.-ital COnrf"3tlOr CI Owner
InSl'allalion description
CJ Commercial CI Residential
7!;;:U;;~~J.U;~ _. 0"4;;
pu~';'jt:~A/~ ()pL R.d ~
Cb' 5,,,. ZIP ~2
:.6
D New .a-Att.~edIAdditioD
~ ~ 1/-n(!C
mu-
~ r:'-.4-.5t--
~.on~~~ <::'~~<ct;on'
OWrrt:r cu' f/<'fi,,~d by RC~:19,28.J6J:(J) Owm:r will acr:upy Ine SlnlC'llm:for two
.W,"lJr~' uftl'r this eTectrical permit is fil1o/ced. (1) OWnEr is' required to hire an electrical
co,.,rIICro' if allOl'f said p"opf.r~\! is for sofe, rent or h!(/Sf!,
After reading tbe above: stalmlcnL I hm::by certify thal I urn the O\\'Ilcr of the above
n~mcd propcl'TY or a licensed electrical COf)[r:l,CIOr. I am making the rlectricill insLaI-
Illtion or alteration in compliance 'With the electrical laws. KF..C., Re\\!. Ch:lp~cr
19.23, WAC. ChilpTltf 296.46B, The City of Port Angeles Municipal Codt:'o and
Utility: ciflcarions.
Slg t r of owner, tecn .1 co
o Cash 0 Ch~
o Credit Card Visa Mastercard Discover
Card# _0 __FILe _.____
Expiration Dale
of card
In~""'''':--~
$ 3~
~-
-
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
D Baseboard t(!N
a Furnace --J<'!:I
~rpump --=-"TOn _LAA
o Fan-Wall t(!N
Service InfDrmatlDn
o Ol/emead Service
Cl Temp Service
o Undergrounc1 Service
Voltage
PhaseD' D 3
Service Si.ze:_
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUG1HN
THERMOSTAT
SERVICE
O~lC
^l'Pro~~ 8y
T;'lj'l<.:
App"'''CU 0,.
Ollc
^l1Ilr;lYl:d D)'
FINAL
~f)
DITCH
I'EEDER
Dale "r,.,o~1ttI Fly
nile Ar~'O'C\/B,.
lnspccrion
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
/O-Z-o,
IWJ
,
C NO'LOAD CHANGES
C Bll!lOIlOard _ KW
C Furnace KW Q evornoad Service
!ilH8at Pump lGSTon _ LAR [J T.mp $eM'"
C Fen-Wall _ KW 0 Und.rground S.rvlco
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN ' 11[ERMOSTAT "
09/25/2007 17:09
3504523498
.'. .
Gr-Zo
.
Job wired by
~ec:trlcal CODU'8tIOr a Owuer
E.leetrieal aonttlLCtOr 1\1"", l,.lcema number o.tt: Blplrea
1"7~~"jf'/& 4,,&.,,-- /7/..Y.A4p;:;:/.2%<TP1
l'\UC~e\llf ...iIlni ad_ / '
ij.2 ?o 7Vmf../..:? 7?~
Ci'YO 'd_
;-~r':/~J" ,?,
1'elephone: number
State ztP
Wd.
FAX number
7/1'6,)"
Pre9tlle. Dwaer'. au
f-',r't 11/1
Addre,. of ID.peenoo '#
fIl 3.9.5 ~ I,' I
9lty (Jod 1fn~
PIIDlU: flurubtr to lc:btdull la,plctloD:
3J-1
f: ' 5'~
,I
t.f17 s(J'71
..;.
O>Mer OS defl.,d by RCw'19.28,16/:(/J Ow.'" wll/ _.py ,he ",..".,./., 'w.
YfId1' qfiu 'hIs ,(ettrlazl per",uJl "jllltJlUed. (2) Owtrtr p N9uI~J 'D ld~ all tlt:tJricG1
CQfllnU:'4)r V obow smd prOPuIy u /Dr lalit, Tell' 0" 1lf4St..
AftJ:f tead.ina 1hc a'Dove ILlunnmc. 1 billeby' certifY lhlt llm the OIWOl' or 1M a.bove
aamed l'fOPeny Of I lict:l'lled eleetrical conttae\OT. I am. matins, lbe eledric.' Inltal~
,.rloa or .ttcrldop in, OOlJIIpUalC:1I with the electrical IIWI, N.E.C.t U:;W. Chapter
19.28, WAC. Chlp..r 29~, The City of PO" Anlol.. Muolelpal Cod., and
U,U1ty Spe.ifi..d....
Sll:GICure awn', electTlul unt .dor or Glectrh~11 .dmlnluratar
X' Date: 1'1)-(/07
OOW
..\IPIV....d II,
0."
DITCH
OLYMPIC ELECTRIC
PAGE 01
ELECTRICAL WORKI'ERMlT APPLICATION '
IItstaUIllon descniption
tl(. CODlDlorcl8l C Ilnldo"t:Ia1
o New
j)ll.AIlorecllAddltlOD
Po LY U
He.,rj-
TIf N~w'
1111",,1
a Cash a Check #
~il Card VIsa MestercBl'd Diocover
C8I'd# ____.____.----.-:---
Expi:ation DBle
of card
Sl!IrvlCB Information
Vollllgo 1:;0/;09
Phaae 0 , llh
Service SIz.: _
FotIdor Size'
~8J'
SERVICE
"'" """",11II87
FEEDER.
OOk -"
Acdon Take. Bl.mc.'
Inspeotor
N' .&<
0.1 ^ ,,"8)'
InspectlolL
DII.
Area, Building or Eljulpmenllnspcclod
O,~'o7
.'.1Rl
SEP 2 7 2007
UGHTDEPT.
LI Contl"actor a Owner @.
YLECTRICAL WORK PERMIT APPLICATION
urRelluest Inspection
[J Annual Permit 0 Alar.n D C.unival D Commercial a Residential Q RC.ddcnd.al Maiot. Q Signs a Thermostat 0 Tele~m.
Job wired bi
~ctrical Conlnctor
a Owner
Inst'lIati~ :It-z
t/
v "'7'
Electrical contractor~
AN6~."
Purchaser's nutilins addre!t~
52.'( . f.E _;;~
State ZIP
wA-
FAX number
. z-
City 72 .
I~~"
T(:lc~h~c number .
7oZ:""'f zPt'
pr.r:~$ "wnel'~ame
.'A. utE:
^ddreu of t~ectlon
/.;ftI6J)v~
C;IY ?~
License number
~6r./ ,:::;r'l~ K:.S
/lJbJ df/~
-
/20 V'4U
sr.-
~,;r:
/)rhce..
t~z-
U
3;</ if.. :;}
j.IZ-
Z blDlll#l ""
.5r,
a Cash a Check #
~~ \Tt~
I hereby certify that r am the OWner of the above named property or a. JjceTl~cd
electrical conaactor (or [be film's authorized agent) and am making rhe electrical
installation or alteration in compJiaru;c with the c1cttricallaw, Chapter 19.28 RCW,
x
/
WALLS
Insulation Only
OtiC
-'l"P"nvedl;'ly
Cover
0:11<:
Appr~ed By
\.
Mastercard
Discover
Card# ____-_.P.N_-Et..E-_-____
efor or electric:IIl administrator
Expiration Date
of card
~
r CEILING
lnltula.tinn Only
I).IC APf"l)lte(l at
Cuver
Dale I\pprervcd By
./
I' THERMOSTAT
O"IC AWrlIltc:dBy
DITrn
DalC A[lpIll..ea My
SERVICE
DlllC ApllI'lwedHy
FEEDER
010lC -"P\l'I'<"wBy
Electrical load Additions and or subtractions
o NO LOAD CH.'INGES
o aa.aboard _ ~w
o Furnace KW
o Heat Pump. _ Ton _~ LAR
Q Fan-Wall 'tWV
Service Inlormatlon
Voltage
PhaseOl03
Service Size; _
Feeder Size:
o Overhead Service
o Temp $elVlce
o Underground Service
Inspection Area, Building or Equipmel\[ Inspected Action T3kcn P.lcctric3.1
Date IMpcctor
klt.,-:;; /"s ~. AJP A;.rJ
I /
. ..
A
/;/'2.:3/0 I:' 4t:O
-/ ,
l "d
S9c6 CSV 09E JNI JI~~J313 S313~N~ NO~~
N~VS'9 S0c-Ec-9
Mar-09-0S 03:27P
360-457-0212
P.Ol
o Ele-Clrieal Contl'actol'"
o!,,'''''',
~
o Owner ~..........:r
ELECTRICAL WORK PERMIT APPLICATION
o Request IlIsp~~tion
o Annuall~ermi. a AlnOt D Carnival LJ CommerCial 0 Kesidenthtl a Rcsidcnlioll\lnlnt. Cl Signs CJ Tht.-rmo$IJt
Telecom,
JlJb "';red by ~ ~lcctrical Contractu,.. 0 Owner
- -
A-~cal conlra.clor na(" D/11 fn\A !\.~'~;;(\ ~lber
Purcha r'c; ",sHin.: addfl=s~
InsLltlltltiol1 desaiptioll
C;ty P If-
Stale ZIP
l! 6 )'Ce ~ D:t tfJ.
fc pIa n () 1'q)_H
. ,
,
WI(R.
Telephone numllcr
'-t57- 31:5
FAX numller
7w02..1 c....
_,;)5PO .5Q
tc-r
ad
-<
rrell1lsu owner's namt 8...11
c.r'.f--Yt!J-C rr
Addre,. or ifU./-l:c.tIOlt f J J
r,'~ Httl
--..- .
City
3z/f:.. ~ ({,
U (:,,-<h 0 Check II
I hereby ccrti fy r.hltl I ani the owner (If the ahove lI<1Jl1cd pr(lp~~ny c.r a licensed
electrical conlrsclor (or ll1c finn'~ HlllhorizeLl a~cn() and am nlllking the el~c(fical
inl<olallation or altCTitliun in ~~)m\.lli.mcC' w;,h Ihc l"Iel::lricaJ law, Chapfer 19.28 RCW.
U Credit Card visa Maslerca.rd Discover
C.rd# o'J__.-Ak.____-
Expiration narc
of card
~ ^Pllro~d Dy
"~IC "'1'1..,'.c:.1 1'1).
THERMOSTAT __}
[)lItC ADllro'~lIt\Y)
-0"0 Ullm"""'''.2,~J
HO_-J
SERVICF.
^rplo'.e~ Oy
WALLS
Insuhuiun Only
a:1I.ING
l"~ld:llit1n Onlv
l)~h"
lllle -^~,,,,,'dHy
Cover
-['I~'l ^ppr~~r:Il D:v
(''',,"'l'r
FlFDER
lhle
Arr"...,~l 1-1,,:..../
Eleclrlcal Load Addlllon~ and or 8ublr8cll9ns
o NO LOAD CHANGES
U Baseboard KW
U ~urna(;e .n KW
o Haat Pump _ Tol'l _ LAR
D Fan.WaU t<W
~~rYlce Information
o Ovemead Servic..e
U Temp Service
U UndAfground Sorvicc
Voltage
Phase Cl , D 3
Service Size:
Feeder Size:
InspL'_~li1)l\ . An.":1. Rllildillg or hquipmt.nl Tnspel.:I~c1 Aclion Talell Flc.crriClIl
l)ule Inspree"r
-.,..... - -.- . . ---
0 .-
- . .-. H_
-
- ---. m - .. .-
. - -
.-. _. -- - -- --
H
-- -. -
- - -.o/.g~~ - -- - - - -
._- -'---.-
- - - - - - -
/!tJfJ
01/16/2007 09:23
3604523498
OLYMPIC ELECTRIC
PAGE 01
~
~.
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s
ELECTRICAL WORK PERMIT APPLICATION
,;
Job ",ired by )(ElectrJCal Cootrsctor !;l Owner
tlll.tricel c:qntral:lO\.name L.l~n'c number Dale e,:plrc.!l
O~ymp1C E ectric Co. OLYMPEC285D1
Purchl$er's moilin, Idcnu
4230 Tumwater Truck Route
State ZIP
Jn~lllllBUon clCJlj.':ripciOtl
[J Comlnerdol [J ResJdeDtlal
aNew
XAlteredJAddltlOD
2001<
~M"
City
Port Angeles,
WA
98363
Telephone number
(360) 452-5303
FAX number
Prembu OWDer's almlll
360 452- 4
0{. pqr/- ANjele s
32/ E sm' $r
Port A-nqele.s
-
lfs-7 - 5""3 03
C"ry
Addresl or lalpecrloa
Clt7
PbODC nuruber Co Icbedule lalp.ellon:
:j
Owner lU d~f1~d by RCW.J9.28.26/:{1) Owner will occupy Ihe 1/1'VCturt !()r rwq
)"tan qflu tAb .Irclrla:/ ~Ul II jltJtJltzed. (1) Owl," lJ rquInJ. '0 IIfrr 411 dmriad
coturact01" 1/ ahow .$/lid pt'()pu~ II /01' JtJlt. renl or 1et1fe.
After rea4lnaltle above "lIt=umt, 1 hereby cenlr)' IhlU I am lhe owner or the abo\le
oamed property or a IiCto.cd elettrioal c:onU'ac:lQf. I MIl makin; lbe cl~ctril;allmtal~
Iltlon or Iheration in oomplilnce: with (he electrical lawI, N.B.C.. llCW. Chapter
19.28, WAC. Chlpler 296---4&8. The City or port Angelc, Munh:lpal Code, and
UtlUt)' SpecllicariDDJ,
SIr;ntun 0' owoer, electrical confrscCor or electrlca' admlnlsrrator
X . ~ Date:
Electrical Losl:! Addltlon!A and or RubtrAerlonR
[J NO LOAD CHANGES
[J Baseboard _ tr:W
o Furnace _ tr:W
[J Heat Pump _ Ton _ LAA
[J F.".WaJl _ tr:W
o Cash 0 Check #
o Credit Card VISI\
Card #
Mastercard
Discover
Expiration Date
of card
[J Overh..d Service
o Temp ServiCe
o Underground Service
Service Information
VOltage(~. ..~
Phll8& 01 0 3
Service Size:
FGGder Size:
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417.4735
.
ROUGH-IN THERMOSl'AT SERVICE
D... ApplV'n'd 01 DII' AppftrIed By ~~7 -iR
~.
~FTNAL DYTOI / FEEDER
./r ~B D~. ~b1J ~hf" ~
IQt.peclioa. Area, Building or Equlpmcn< Inspected Action rakeD Blccrntal
Dlle Inspector
')4CO (-/'1-;)7
ELECTRICAL PERMIT APPLICATION
FOROFFICIALUSE~"')Y "?
DJll:I.R~l': .I -- .....^
Pemulll;
Dale Appruvtd:
Dale!.sl,lell'
The Electrical Permit Application must be filled out comoletelv.
Please type or reprint in Ink. If you have any questions, please call (360. 417-4735
Fax number: (360) 417-4711
OwnerorElec.ContractorAgent: 1I~1e? COmmlAn;~-h'on.S Phone: 4fS7~l.)375 Fax: !.j57-6Z1'2..
Property Owner crfy ('}f- P&
Address: '321 ~ 0"1">/;1</0/f//1uNttity:
Electrical Contractor:
Phone:
?4
Zip:
License #:
Exp:
Phone:
Address:
City:
Zip:
INSTALLATION WiRED BY:
DOWNER
Credit CardHolder Name: Bob ~V\~ A~
Billing Address: 102 lRo~ L 1J City: P II-
Credit Card Number:
o ELECTRICAL CONTRACTOR
Co r\t w'\
Zip: G\~36 '3
V1SA:_MC:~
PROJECT ADDRESS:
32/
e G"~
TYPE OF WORK:
Check all that apply: 0 New
o Alteration/Addition
o Residental
o Multi.family
1!i( Commercial
o Mobile Home
Sq. Ft S-at') I
7
.
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Number 01 Circuits added or altered:
DESCRIPTION OF THE E~CTRICAL PROJECT: :r:V\~fq II Nerwo rlc.
;ro.rl:::5 3. K<<.-, Ci"1 (blAnCA'1 C.hGll.ttber'\, lIeV'(1
(Joff>l:1rlJ..U.I'7 LJ/U/~"p,.,J[.AI- y
wAil/it f5bt:5
CAD Ie h,r
1514n-ol\. ~lIcf>
,
Electrical Heat Load Additions
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voitage:
Phase: 0 1 G 3
Service Size:
Feeder Size:
o Baseboard
o Furnace
o Heat Pump
o Fan.Wall
_ iW'J
_KW
_KW
_ iW'J
PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one . line drawing of the Electrical Service &
Feeders, building size (sq. ft.), load calculations, and the type & 01 conductors andlor raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's /egal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Date:
/-1'-(J3
I
Date:
PW.9019
Feb-04-02 10:51A
360-457-0212
P.02
e
l'OI.orPIaALj80NLY:
0..--. ,-
--
011I........ .~
0IIr1.:- -
ELECTRICAL PERMIT APPUCA nON
n.. El<<1IfuI fttrfffil ~ ..... --JIIIMI- -. ..).
""'-I)pe.. ..... ...... 11,.......... . . .... all PMIf.7..f1J5
'a - LIf,"f11-4711
ApplicantmdlorA,geDI: ~Jzk5 (1"""CPiu4~45'1-'J37C Fa' "1.$"7 -OZ;~
Property 0MIer: Cay &f? ell C'i-y HCf I) Pboac: LJS7-o9IJ
Address: City. Zip:
Contractor u-e N: EIp: l'IaoM:
Address:
City:
Zip:
CrwlitCGNHoU.,N_.: ~s. ~"rJ.Alir~/ttJlfIs.
BillilrzAM. 4 IDL ~ "U.
CnJUOJriN."r~
_ J'lSiI_/tIC 2L.
BtJU;2/ e,6~ul:J
r ..... :
TVPE OI'WORk:
o Raidaaliol 0 MoIIi-ruiaily X ('--..w DMIbiIe"-
1I....t.keI ~..... ......... _ WAC ZK.U-t18
L
~.~. ~~.".
BRJU DESCRIPTION or TIlE 1'IlOBCT:
D~."" UNIt...... A...... "-
......... - -"-'-
Q.... .. --d
o FuruKe
o ... '-II
o F.-W.u
_XW
_KW
KW
Il.W
0"'-
D 0IwIIllIlI....
o T.. SInioa
o UIda. 1 SeW:e
v......
I'll-.: 01 0)
Sonira Ii-.
PCllIIIr Size: --
Co.......
I.....w.y......","-/~ rNJ-.J__",u"""'_ ...,_._.... r..._~ "_1_-",.-",
/o"IoU,..,,..;,, r -.Ia,.,......ir u -,,. (.'if)/:' ,.pl...",.,..wu,.........._,.-_~~ II.......... ~".,_.,
T<.,fI'HII~il{~ 10 JrrtNfJiM """ "........ """ ....,.,;m.................
l'W1I.ZdJ'I""''''''I Qv4jIC~I~.I~-I~~ ~. Dac:J..-'-{-Q"0
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; I L5 114
Multi-Family or Commercial*
yo-.
yt 5
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
ti �C.. v� 17ta�lrrr i� lam, YL
aECT ICAL
@NSPECTIONS
Q v5.) k F 4 C, L
I--
� .,;e'+
Name: G►'i'-1 y r
dame:
Mailing Addr ss:
Mailing Address:
City: State W ip k
Owner Information
Contractor Information
Name: G►'i'-1 y r
dame:
Mailing Addr ss:
Mailing Address:
City: State W ip k
City:
State: Zip:
Phone: `'i 0 y 75 Fax
Phone:
Fax:
License # 1 Exp. r- ---- -- -� ...
License # ! Exp.
Item
Unit Charge
Qty
Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp
$ 132.00
$
Service/Feeder 201 -400 Amp,
$ 160,00
$
ServicelFeeder 401 -600 Amp
$ 225.00
$
ServicelFeodor 601 -1000 Amp.
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit W! Service Feeder
$ 5.00
$
Branch Circuit W/0 Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 86.00
$
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp, Service/Feeder 201 -400 Amp.
$ 121.00
$
Temp. Service/Feeder 401 -600 Amp.
$ 164.00
$
Temp, Service/Feeder 601 -1000 Amp .
$ 18500
$
Portal to Portal Hourly
$ 96,00
$
Sign /Outline Lighting
$ 88,00
$
Signal Circuit/ Limited Energy — Multi - Family
$ 64.00
$
Signal Circuit) Limited Energy I First 1500 sf — Commercial
$ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note: $5,00 for each additional T -Stat
$ 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 eiectrical installation or alteration in compliance with the electrical laws, N,EC., RCVV. Chapter 19.28, WAC. Chapter 296 -4613, 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: ❑ cash ❑ check
2 El Credit Card#
X Hated; J
0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , , ,
14- 00000268 Date 3/06/14
Application pin number , , .
897208
Property Address . , . . , .
321 E 5TH ST
ASSnSSOR PARCEL NUMBER;
06-30-00-0-1- 7050 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . , . .
Property Use , , , , . . , .
Property Zoning , , , , . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . ,
0
Application desc
Disconnect for dumbwaiter
----------------------------------------------------------------------
- - - - --
Owner Contractor
CITY OF PORT ANGELES OWNER
PO SOX 1150
PORT ANGELES WA 963620217
Permit , . I I . , E'LECT'RICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 74,00 Plan Check Fee .00
Issue Date . . . . 3/06/14 Valuation . , , , 0
Expiration Date . . 9/02/14
Qty Unit Charge Per Extension
74.0000 ECH EL -COMM BRANCH CIR WO/ S /F 74,00
Fee. summary Chargg ed -Paid _Credited Due
- --
Permit Fee Total 74.00 74.00 .00 00
Plan Cheek Total .00 .00 .00 0'0
Grand Total 74.00 74.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GiA1EXCHANGMBUILDING
1
a
N
aM
ff�
ti
W
1
,
CITY OF PORT ANGELES PERMIT APPLICATION •-
Building Division /Electrical Inspections RECEI'VID
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 9836
Ph: (360) 417 -4735 Fax: (360) 417 -4711 JUL 0 2013
Date: 7 -3c> -- (3 Multi- Family or Commercial* ELECTRICAL
INSPECTIONS
* Plan Review May Be Required, PI se Complete Electrical Pian Review Information Sheet
Job Address; 7" Fi®om
Building Square Footage:
Owner Information Contractor Information
Name: CAT of' PT` P,1 Name:
Mailing Address: YYY"' Melling Address:
City; State: zip: City: State: Zip:
Phone: Fax: Phone: Fax;
License #I Exp License # 1 Exp.
Item Unit Charge ty Total (Qty Multiplied by Unit Chargel
Service /Feeder 20C Amp. $132.00 $
Service/Feeder 201 -400 Amp. $160.00 $
Service/Feeder 401 -600 Amp $ 225.00 $
Service/Feeder 601.1000 Amp, $ 286.00 $
Service/Feeder over 1000 Amp. $ 410.00 $
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5,00
Branch Circuits 1 -4 $ 86.00 �� $~�(c
Temp Service/ Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201 -400 Amp. $121.00 $
Temp. ServicelFeeder4C1- 600 Amp, $164.00 $
Temp. Service/Feeder 601 -1000 Amp, $ 185.00 $
Portal to Portal Hourly $ 96.00 $
Sign /Outline Lighting $ 88.00 $
Signal Circuit/ Limited Energy — Mulli- Family $ 64.00 $
Signal Circuifl Limited Energy I First 1500 sf — Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $ 113.00 $
Thermostat $ 56.00 $
Note; $5.00 for each additional T -Stat
$ —ft eE) -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 1 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 -463, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
5igna a of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
C ❑ Credit Card #
x Dated; 7 —'3a 13 0110112012
A(_� C . o "A A"j
133 ►� -3
GET COD& o ff. '3
DE T0V AI'f ROVAL: C ��
DATE I t3
0 *V-QFIT,4*,Q ELECTRICAL INSPECTION
u
WIRING REPORT
"
RKS w 417-4735
OATE'.
W,
PERM7 i fN PECTQ
CONTRACTCR
ADDRESS
NOT APPROVED
0 ................. - DITCH ......... ..... . - 13
Xr . ........... ROUGH IN/COVER ...... ....... 0
El ... ................ SERVICE .............
................... FINAL ......... .......... 0
�) CORRECTIONS NEEDED. ..... zy ov—th��
&I*, c. lozf�a5 !�--
3n
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . , . 13- 00000855 Date 7/31/13
Application pin number . . , 254960
Property Address , , . , . , 321 E STH ST
ASSESSOR PARCEL NUMBER: 06 -30- 00-0 -1- 7050- OOp0 -.
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , . , , . , . PUBLIC BUILDINGS & PARKS
Application valuation , , , , a
Application deac
Refeed QFCT, Move switch , lights and HVAC switch
--------------------------------------------------------------------- - - - - --
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOY 1150
PORT ANGELES WA 983620217
- ---- ----------------------------------------------------------------------
permit . . , . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 66.00 Plan Check Fee DD
Issue Date 7/31/13 valuation . . . . 0
Expiration ]late 1/27/14
Qty Unit Charge Per Extension
BASE FEE 86,00
Fee summary Charged Paid Credited Due
Permit Fee Total 66,00 86,00 0o ,00
Plan Check Total 00 .00 00 .00
Grand Total 86.00 86.00 ,00 ,00
I
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
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X `' Date:
G:IEXCHANGEIBUILDING
i
w
N
9
v�
aft
so
It ECEI y GJlif .
DEC ��
CITY OF PORT ANGELES PERMIT APPLICATION
Btilldinng Division/Electrical Inspections ���Cr I �F ta
321 East Fifth Street —P.O. Box 1150 /Port Angeles ashirngtorn, 98362 SPECr10fl►i
Pha (360) 417 -4735 Fax. (360) 417 -4712
Date: /Z -3C — 3 _ Multi Family or Commercial*
* Pian Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2.A 1 4
Building Square Footage:
Description of above G ®�
Owner Information Contractor Information
Name: g1_ Name:
Mailing Address.. Mailing Address
City: YJA State: _ Zip �. .. City, State: Zip:
Phone: Fax'. Phone; Fax:
License # !Exp. Licorse # 1 Exp,
Item Unit Charge QtV Total tQty Multiplied by Unit Charge!
Service /Feeder 200 Amp, $ 132.00 $
Service/Feeder 201 -400 Amp. $ 160.00 $
Service/Feeder 401.600 Amp $ 225.00 $
Service /Feeder 601 -1000 Amp $ 288.00
ServicelFeeder over 1000 Amp. $ 410.00 $
Branch Circuit W1 Service Feeder $ 5,00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1 -4 $ 86,00
Temp Service/ Feeder 200 Amp. $102,00 $
Temp. Service /Feeder 201 -400 Amp $ 121.00 $
Temp. Service /Feeder 401 -6C0 Amp, $ 164,00 $
Temp. Service/Feed er 601 -1000 Amp . $ 185.00 $
Portal to Portal Hourly $ 96,00 $
Sign /Outline Lighting $ 88,00 $
Signal Circuit/ Limited Energy — Multi- Family $ 64,00 $
Signal Circuit/ Limited Energy i First 1500 sf — Commercial $ 96,00 $
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $ 113.00 $
Thermostat $ 56.00 $
Note: $5.00 for each additional T -Stat
$ 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 efeotricai installation or alteration in compliance with the electrical laws, N E,C., RCW, Chapter 19.28, VVAC. Chapter 296 -468, 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: ❑ Cash ❑ Check
q ❑ Credit Card #
x (/— Gated:
0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number. , . . , ,
13- 00001461 Date 12/30/13
Application pin number
677479
Property Address , . .
321 E 5TH ST
ASSESSOR PARCEL NUMBER:
06 -30 00 0-1- 7050 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , , . . . ,
Plan Check
Property Use
.00
Property Zoning . . , . . . .
PUBLIC BUILDINGS & PARKS
Application valuation , . , ,
0
Application desc
Expiration hate
Finanace remodel
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit , . . , .
. ELECTRICAL ALTER COMMERCIAL
DATE:
RESULTS:
Additional desc
1 -4 CIRCUITS
Permit Fee
86.00
Plan Check
Fee
.00
Issue Date
12/30/13
Valuation
, , .
. 0
Expiration hate
6/28/14
Qty Unit Charge
Per
Extension ,
BASE
FEE
8 6.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
66.00
86.00
Op
00
Plan Check Total
00
.00
.00
.00
Grand Total
86:00
86.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
{
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGMBUILDING
t
N�
N
I
RECEIVED-
CITY OF PORT ANGELES PERMIT APPLICATION 2 c 2013 ` .
Building Division /Electrical Inspections Y ti..
321 East F €tile Street — P.O. Box 1150 / Port Angeles Washington, 98362 EUCTRICAl
Ph., (360) 417 -4735 Fax: (364) 417 -47 11 INSPEVIONS
Date. -,' _6_ 1.:3r _ Multi - Family r Co- m total
* Plan Review May Bey _Required, Please Complete Electrical Plan Review In ormation Sheet
Job Address: \L -yvj .F�� c� '11 Ce r'14 -�e- it �.;L .5 _
Building Square Footage:
Description of above 00 V7
Owner Information Contractor Information
dame: C._r -°C Name:
Mailing Address: : �. Mailing Address:
City: State: u2,4 Zip; I ._ L City: State: Zip:
Phone; Fax: Phone: Fax:
License # / Exp License # I Exp.
Item Unit Charge y Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp, $ 132.00 $
Service/Feeder 201 -400 Amp. $ 16000 $
Service/Feeder 401 -600 Amp $225,00 $
Service/Feeder 601.1000 Amp. $ 288.00 $
Service/Feeder over 1000 Amp, $ 410.00 $
Branch Circuit Wl Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $ e�
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1 -4 $ 86,00 $
Temp. Service/ Feeder 200 Amp. $102.00 $
Temp, Service/Feeder 201 -400 Amp $121.00 $
Temp. Service/Feeder 401 -606 Amp. $ 164.00 $
Temp ServicelFeeder 601 -1000 Amp . $ 1850 $
Portal to Portal Hourly $ 96,00 $
Sigri /Outline Lighting $ 88.00 $
Signal Circuit! Limited Energy- Multi - Family $ 64,00 $
Signal Circuit/ Limited Energy 1 First 1500 sf - Commercial $ 96.00 $
Note $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $ 113,00 $
Thermostat $ 56.00 $
Note: $5,00 for each addifionai T -Stat
$ �� Totai
Owner as defined by RC VV. 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 electftal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reacting 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 instailation or alteration in compfianco with the electrical laws, N.E.C., RCW, Chapter 19,28, WAC. Chapter 296.468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 1405,050 regarding Electrical Permit Applications
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check
D Credit Cars! �
1
X Dated; < � � � I`� 0910112012
�3 '3%Z -Z-
BUDGET CODE
DEPTOV APPHQV
DATE , �-�
V�
N
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
SERVICE
360-417-4735
�-
Application Number
13- 00001114 Date 9/30/13
.,x.
r-�-
Application pin number . . .
357284
(`
Property Address . . . , . ,
321 E STH ST
��i'•-
ASSESSOR PARCEL NUMS'ER:
REPORT SALES
Application type description
ELECTRICAL ONLY
,TAX
on your excise tax form
Subdivision Name , . . . . .
Property Use . , , .
to the City of Port Angeles
Property zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
(Location Code 0502)
Application valuation . . . .
0
Application desc
Light over north exit door
-----------------------------------------------------------------------------
Owner
-
Contractor
---- --- ----------- -- - --
CITY OF PORT ANGELES
------------------ - - - - --
OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit , , , ELECTRICAL
ALTER COMMERCIAL
t *�
Additional desc , .
N
Permit .Fee 74,00
Plan Check Fee
Issue Date 9/30/13
Valuation . . . . 0
6lV
Expiration Date 3/29/14
Qty Unit Charge Per
Extension
1.00 74.0009 ECH EL -COMM
BRANCH CIR WO/ S/F 74.00
--_--_-__-------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
------ ----- - - -- -- ---- - - - - --
Permit Fee Total 74.00
---- ------ ---- - - - --- ---- - - - - --
74.00 .00 00
Plan ChecX Total .00
00 .00 00
Grand Total 74,00
74.00 .00 .00
V�
N
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
.,x.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILnING
08/16/2013 08:40 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Buiidiag DivisimnMectrical inspections
321:EastFifth'Street — P.O. Box 1150 ! Port Angeles vVashin.gton, 983.62
Ph: (360)417 -4735 ax: (360) 417 -4711 ZMURI-Family Date: .or Commercial.
AUG lei
EIERI i
ftioorplrfn ;PNa)
[a 0001/0001
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:.
Building Square Footage: - _ t! _ -
Description of above 170VM Y4_
Owner - Information,
Contract pr Information
Name:
Name: eftegAA
r
Mailing Add ss:
Mailing d s:
City. Slate: x
CEIy
State: ZIP:
Phone:. ax
Phone: ~
Fax
License. # / Exp,L,_, ..
License # / Exp.
6S X60 Its
Item
Unit Charge
ft
Total LQty Mulliqllied DY Unit Chargel
Servjafeeder.200Amp.
$132,00
�2—
Service/Feeder 201400 Amp.
$ 160.00
S
Service/Feeder 401.600 Amp
$ 225.00
S
ServicelFeeder 601.1000 Amp.
$ 288.00
S
Serviceifesder over 1000 Amp.
$ 410.00
$
Branch Circult W/ Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 74.00
S
Each Additional Branch Circuit
$ 5.00
S
Branch Circuits 14
$ 86.00
S
Temp. Service! Feeder 200 Amp.
$102.00
S
Temp. ServicafFeeder 201.40D Amp.
$121.00
S
Temp. Service/Feeder 401$00 Amp.
S 164.00
$
Temp. $ervicall wader 6014000 Amp .
$185.00
S
Portal to Portal Hourly
$ 96.00
S
Sign/Outline Lighting
$ 88.04
S
Signal Circuit! Limited Energy - Muld- Family
$ 64.00
S
Signal Clrculd Limited Energy 1 First 1500 sf - Commercial
$ 96.00
S
Note: $5.DD for each additional 1500 of
Renewable Electrical Energy -6KVA System or Less
$113.00
S
Thermostat
$ 56.00
s
Nate: $5.DD for each additional TStat 00
s-26Y— Totai
owner as defined by RCW.19.28261: (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 Part
Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050- regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Crib; D Ch H*
['SCnditCard# �°✓ OL
W
?oRT 44,,
Qp
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
*ORKS
DATE
PERMIT 11
INSFECTOP
r2_
If U
� )
OW ER
C,
FA
CONTRACTOR
ADDRESS
:5-2- 1
e
APPROVED NOT APPROVED
Cl . . .......... ...... . DITCH ................... o 11
0 ...... ...... — ROUGH IN/COVER .....
0 .... ........... SERVICE ................
0 ......... ....... ... FINAL ..............
COHRECT�ONS NEEDED:
AL
-lw
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
.1 p 0 Rrq,,,
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE
PERMir
INSPECTOJJ_
OWN R
C-1
CONTRACTOR
ADDRESS
- 5 Z k
UNS KORTMI
NOT APPROVED
-- ................ DITCH ....................0
0— . ........... . ROUGH INICOVER ............
.................. .. SERVICE .................
[J,. —, — . ........... FINAL ............ I . ...... 11
CORRECTIONS NEEDED:
lqc,-r
a — _44 m -rk ft-
fz,*-Qok9�&p C-o0 w-
70-1, IP -708
lkpd4slvoafl�ca G ti ALL )KI-M L 04 iL-roj 1 6-r2
F'AA A 0. ' IJUA 'I "MM!�LTS C- 110 - '5 7,
CON
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
08/16/2013 14:18 FAX 360 452 9265 Angeles Electric
AU'G /16/2013/FRI 02:15 PM FAX No,
ELECIMCAL PE Aff
MY OF PORT ANGELES
360.417 -4735
application Number 13- 00000929 Date 8/16/11
Application pin number 303005
Property Addrdss . . . 321 R 5TH ST
A38868OR PARCBL NUMBn. 06-30- 40.0 -1- 9050 -D000-
Appliaation type daocripcion 8LECTRICAL ONLY
Subdivision Name . . . , . .
Property Una . . . . . . . .
property zoning , , . . . , . PUBLIC BU`XLDX140a L PARRS
Application valuation . . , . 0
Application deco
Temporary Generator installation
Owner Contractor
y
CITY 09 FORT ANGELES - -
PO Box 1350 524 S.-1ST ST.
PORT ANOELE9 WA 9 83620317 PORT ANGELIS WA 96362
- -(360) 452 -9264
---------- -- --------- ---- -------- -- - - - --- -- -- -- -- -- -- -- -. -.r
Permit . . . ZL14CTRICJLL ALTER COMMERCIAL
Additionm3 door .
19ermit Pam 264.00 plan Check Y66 .00
Issue Date 81%6113 Valuation . . . . 0
axpiration Date 2/ }2 /3.4
Qty' unit Charge Der ixtenoion
2.00 1,32,0000 BCH ML -COM 0 -200 SRV 8&EDSR 364.00
----------------•----- ,----------- _._..�- �� -���d� .�....... -.. �.
Special votes and Co —ents
August 16, 2013 8458t42 AM Tpappard.
This permit is for a temporary ganerabor Anstallabion'that
does nor comply with the NBC.
prior to any expansion of the emergency or optiSorial side of
the electrical omrvies a ocmplet,ed upgrade of the generators
is required.
My understanding is that Hunt engineering is marking on
plans and a prnpoaal to upgrade the cities generators.
------ _---- --- --- -- ----r - - -_ - . .......w - --- . --- ------ - - - - --
Fee Sultiynary Chargad Paid Credited Due
- - -- ..........
Permir. Fee Total 264,00 264 00 100 .00,
plan Check Total .t •.00 .00 00 .00
vrand Total 264.00 304.00 .00 .00
00001/0001
P. 001/001 .
iNS�PC'Y`1dN TYi'E
vj
DATE:
RESULTS:
]CrTSPLCi'OR
nTT
R9P0ltrSALES rAx
�o r
on your excise tax form
to the City of Port Angeles
(Locadon Code 0502)
iNS�PC'Y`1dN TYi'E
DATE:
RESULTS:
]CrTSPLCi'OR
nTT
�o r
fTP
SERVICE
ROUGH-IN
VINAL
CONIMSN' ;
QEnfrr w LL Ezi rmE 56C (6)1lSON' m FROM f.An wsps=oN
SWatum of owner or Eleo tloal Contractor X Date: /
C 41
WXCHANaMRUUMNC: •
�A
0 V
N
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street- P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Far: (360) 417 -4711
Date: S ~ X6 _ 1
)o Multi-Family or Commercial*
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address; 3.72( S t �` 6T- `T -ni. � t4 r ro G r24�, u �yy\.
Building Square Footage:
Description of above .'s wi-74,! -J et L j ,t -7-_K rrAff-'Z.
Owner Information
Contractor Information
Name: e�i r" t q) F l0e
t of e3
Name:
Mailing Address: _ , t if r sT
Mailing Address:
City, state: 4: 4 A 3 (,2—r
City: Slate: Zip:
Phone: Fax:
Phone: Fax:
License # 1 Exp.
License # 1 Exp.
Item
Unit Charge
tV Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$ 132,00
$
Service /Feeder 201 -400 Amp.
$ 160.00
$
SeMcelFeeder 401 -600 Amp
$ 225.00
$
Service /Feeder 601 -1000 Arnp,
$ 288,00
$
ServicelFeeder over 1000 Amp,
$ 410.00
$
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 86.00
�— $
Temp, Service/ Feeder 200 Amp
$ 102.00
$
Temp. Service /Feeder 201.400 Amp.
$121.00
$
Temp, Service/Feeder 401-600 Amp-
$164.00
$
Temp. ServicelFeeder601 -1000 Amp ,
$185.00
$
Portal to Portal Hourly
$ 96.00
$
Sign /Outline Lighting
$ 88,00
$
SignalCircuit/LimitedEnergy - Multi - Family
$ 64.00
$
Signal Circuit! Limited Energy / First 1500 sf - Commercial
$ 96.00
$
Note: $5.00 for each additional 15D0 sf
Renewable Electrical Energy - 5KUA System or Less
$ 113.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional 7 -Stat
$ 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 (tire 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 -468, 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:
❑ Cash ❑ Check
❑ Credit Card #
4�k
` l
X � ,� �
Dated: 16
U110112012
40 Al �� r.
1 4yzzi 6 _s
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
AppliCation Number . . . , . 14- 00001022 Date 9/02/14
Application pin number 549844
Property Address . , . 321 E 5TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-1- 7050 -0000-
.Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . , . . , . . PUBLIC BUILDINGS & PARKS
Application valuation , , , , 0
Application desc
Ligt over training computer
Owner Contractor
CITY OF PORT ANCEL3S OWNER
PO $OX 1150
PORT ANGELES WA 983620217
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
DATE:
RESULTS:
Additional desc
1--4 CIRCUIT'S
Permit Fee
86.00
Plan Check
Fee
D.0
issue Date
9/02/14
Valuation
. . .
. 0
Expiration Date
3/01/15
Qty Unit Charge
Per
Extension
BASE
FEE
86.00
--------------------------------------------------
Fee summary
Charged
- ---- ---------------------
Paid Credited
- - ----
Due
- - - - --
-------- --- - - - - --
Permit Fee Total
---- - - - - -- ----
86.00
- - - - -- ---- -
86,00
---
.00
.00
Plan Check Total
.00
,00
.00
.00
Grand Total
86.00
86,00
.00
,00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
RINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDTNG
X_
t
d
N
V
~�
>
~~
OTV OF PORT ANGE
Building Division/Electrical Inspections .�A
321 East Fifth Street — P.O. Box 11.50 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 Oct
Date: IQ Multi-Family (r,�C�_comnmierclal`*
°Plan Review May Be Reguired, Please Complete Electrical Plan Review Information Sheet
Building Square, Footage:
Owner Information Contraotor Information
Mailing Addre
License 4/ Licons*#/
Item Unit ChprS 0 Total (q!y Multiplied by Unit Charge)
Service/Feeder 200Amp, $l32,Om
Service/Feeder 2V14UVA/np. $180,00
Service/Feeder 401-600 Amp $225,00
Service/Feeder 0014UuOAmp. $288.00
GervicwFoaamr over 10O0 Amp, $41010
Branch Circuit W/ Service Feeder $ SJN
Branch Circuit W/O Service Feeder $ 74.08
Each Addlilnna{ Branch Circuit $ 5,00
Branch Circuits 14 $ 86,0o
Temp. 8omimel Feeder 2VVAmp, $102,00
Temp, Swni*elFeo8 r 201-400 Amp. $ 12118|
Temp, Gem|*eFeedar4U1^M0Amp, $184l0
Temp, Gam|weiFwede,VU1-1OOV Amp . $185.00
Portal to Portal Houdy $ 96-00
SiUn0uU|oeUghUoQ V 88.00
Signal C|muiti Limited Energy -Mg!|'FmnUy $ 64.00.
Signal OiroLdV Limited Eno rgy / First 15VUaf-Commercial $ 96.00
Nom! $5.O0 for each additional 15VVsf
Renm*ubteE|octdmm Energy '5KVA System sLess $113.00
Thermostat $ 56.00
Note:*S.Ob for each additional T'8ta/
Ommarau defined byROW1A.28.2G1,(1) Owner eiH occupy the structure for two years after this electrical permit |o finalized. (2) Owner isrequired
to hire ano|ect6ca| contractor |f above wddproperty is for sale, rent nr lease. Permit expires after six months of last inspection.
After reading the above statement, } hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation O[ alteration |n compliance with the o|ectriio8| laws, N.E.C..RCVK Chapter 19.%O.VAC. Chapter 398'408. The CNyoYPon
Angeles Municipal Code, and Utility Specifications and PAMCi4.O6.D50 regarding rE|vvtd^o|Permit Applications.
Signature vY owner, electrical contractor or electrical administrator. O u,w` O Check\@m ICTn<m@r
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . .
14- 00001233 Date
10/10/14
Application pin number . , .
033660
DITCH
Property Address . . . . .
321 E 5Th ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-1- 7050 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
1b C�5
Property Use
FINAL
Property Zoning
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
Application desc
Generator load test
Owner
Contractor
---
- --
------------------------
CITY OF PORT ANGELES
------------------
LEGACY TELECOMMUNICATIONS INC
PO BOX 1150
PO BOX 360
PORT ANGELES WA 963620217
BURLEY
WA 98322
(253) 85B -021A
Permit . . . I ELECTRICAL
ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 223.00
Plan Check Fee
00
Issue Date . . . . 10./10/14
Valuation , . . .
0
Expiration Date 4/08/15
Qty Unit Charge Per
Extension
1.OQ 102.0000 ECH EL-
COMM C-200 TEMP SRV / FDR
102.00
I.00 121,0000 ECH EL-
COMM 201 -400 TEMP SRVIYI1R
121,00
Pee summary Charged
Paid Credited
Due
Permit Fee Total 223,00
223.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 223.00
223.00 00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
1b C�5
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING
t
l�
h,
r
CITY OF PORT ANGELES PERMIT APPLICATION N
Building Diviston /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 OCT
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: <Z) _t ufti- Family r ommercia SPEC TIO S
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Jab Address: � 1 075- 4;; r
Building Square Footage:
Description of above .a t-A-M r e- r v'2 e- L-J 1 ! 1�
Owner Information
Contractor Information
Name C'r7"Y u °F "7 ►<t--
Name;
Mailing Address: s 2 t o2- oa� xr
Making Address:
City: V state: w d�Zip: °/r_'365
City: State: Zip:
Phone: Fax:
Phone: Fax
License # I Exp.
License # 1 Exp,
Item
Unit Charge
Qtv Total (Qty Multiplied by Unit Charge
Service/Feeder 200 Amp,
$132.00
$
Service/Feeder 201 -400 Amp,
$160.00
$
Service/Feeder 401 - 6CO Amp
$ 225.00
$
ServicelFeeder 601 -1000 Amp,
$ 288,00
$
ServicelFeeder over 1000 Amp
$ 410.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit WO Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5,00
$
Branch Circuits 1 -4
$ 86.00
$
Temp. Service/ Feeder 200 Amp.
$ 102.00
$
Temp, Service/Feeder 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
$
Sign /Outline Lighting
$ 88.00
$
Signal Circuit] Limited Energy - Multi- Family
$ 64.00
$
Signal Circuit/ Limited Energy I First 1500 sf- Commercial
$ 96.00
1 $
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T -Staff
r�r° VD
$� 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 l am the owner of the above named property or a licensed electrical contractor. I am making
the electrical instailation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC Chapter 296 -46B, The City of Port
Angeles Municipai Code, and Utility Specifications and
PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
❑ Cash ❑ Check
❑ Credit Gard #
X
Gated; rig ��"
0110312092
is
ELECTRICAL PERMIT
CITY OF .PORT ANGELES
360- 417 -4735
Application Number . , . . ,
14- 00001251 Dato 10/15/14
Application pin number . , .
236124
Property Address . . . .
321 E 5TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-1-7050-0000-
Application type description
ELECTRICAL QNLY
Subdivision Name . . . . . .
. 96.00
Property Use
Fee
Property Zoning . . . . . , .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
------------------------------------------
Application desc
- ---------------------------------
Fire alarm circuit
. 4/13/15
Owner Contractor
CITY .OF PORT ANGELES OWNER
PO BOX 11$0
PORT ANGELES WA 963620217
Permit , , , . ,
. ELECTRICAL
ALTER COMMERCIAL
RESULTS:
INSPECTOR:
Additional desc ,
.
16 15 !
Permit Fee . . .
. 96.00
Plan Check
Fee
Q0
Issue Date , . ,
. 10/15/14
Valuation
, . ,
. 0
Expiration Date ,
. 4/13/15
Qty Unit Charge
Per
Extension
1100 96..0000
ECH EL- LIMITED 1ST 1500 SQ
FT
96.00
----------------------------------------------------------------------------
Fee summary
Charged
Paid Credited
Due
----------- - - -- --
Permit Fee Total
---- -- - - --
96.00
---- - - - --- --- - -- -
96,00
- -- --
00
-- - - - - --
.00
Plan Check Total
.00
.00
.00
.00
Grand Total
9640
96.00
.00
,00
REPORT SALES TAK
on your excise tax form
to the city of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
16 15 !
SERVICE
ROUGH -IN
b I
FINAL
COMMENTS:
PERMU WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCI- CANGEIBUILDING
ii
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections RECEIVED J
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 PR 20%
Ph: (360) 417 -4735 Fax: (360) 417 -471.1 ELECTRICAL
Cate: _ Multi - Family or Commercial* liiNSITC` ONS
4 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: _` r�� _
Building Square Footage;
Description of above
Owner Information
Contractor Information
Name: C-1TV PE
Name:
Mailin Address; 'r
Mailing Address:
City: fate: �. zip:
City; State; Zip:
Phone; Fax:
Phone: Fax:
License # 1 Exp
License # J Exp.
Item li Charge
ON Total (CKY Multiplied by Unit Char gel
ServicelFeoder 200 Amp. $ 132.00
$
ServiceJFeedor 201 -400 Amp, $ 160.00
$
Service /f=eeder 401 -600 Amp $ 225.00
$
ServicelFeeder 60 1 -1000 Amp. $ 288.00
$
ServicelFeoder over 1000 Amp $ 410.00
$
Branch Circuit WI Service Feeder $ 5.00
$
Branch Circuit W10 Service Feeder $ 74.00
_� _
Each Additional Branch Circuit $ 5.00
$$,4
Branch Circuits 1 -4 $ 86.00
$
Temp. Service/ Feeder 200 Amp. $102.00
$
Temp. ServicelFeeder 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
$
Sign /Outline Lighting $ 88.00
$
Signal Circuit/ Limited Energy — Multi•Family $ 64,00
$
Signal Circuit! Limited Energy I First 1500 sf— Commercial $ 96.00
$
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $ 113.00
$
Thermostat $ 56,00
$
Nate: $5.00 for each additional T -Scat
b
$- 7 -- 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 cerlify that I am the owner of the above named property or a licensed electrical contractor, I am making
the eiectrical installation or aiteration in compliance with the electrical laws, N,E.C„
RCW. Chapter 19.28, WAC. Chapter 296 -4613, The City of Port
Angeies Municipal Code, and Utility Specifications and PAMC 14.1)5,050 regarding
Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
❑ Cash ❑ Check
❑ CrediE Card #
x bated:
01101012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . , , 14- 00000433 Date 4/09/14
Application pin number 327225
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06 30 00 0 1- 70$0 -QODO-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , .
Property Use
Property honing . , . , . . , PUBLIC BUILDINGS & PARKS
Application valuation , , . 0
Application desc ------
Police desk computer power
Owner Contractor
CITY OF PORT ANGELES OWNER
PO HOx 1150
PORT ANGELES WA 983620217
Permit . . . . , , ELECTRICAL ALTER COMMERCIAL
Additional desc , ,
Permit Fee 74.00 Plan Check Fee .00
Issue Date 4/09/14 Valuation , . , , 0
Expiration Date 10/06/14
Qty Unit Charge Per
1.00 74,0000 ECH E
-----------------------------
Fee summary Charged
Permit Fee Total 74.00
Plan Check Total 00
Grand Total 74,00
Extension
L -COMM BRANCH CIR WO/ S/F 74,00
Paid Credited Due
74.00 .00 .00
.00 ao 00
74.00 00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
D
FINAL
COMMENTS:
PERMfT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGEIBIIILDING
E C Ell
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections Rt:C'fhliCA
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 fNSPECTi0NS
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 0 _ Multi - Family or Commercial*
* Plan Review May Be Required Please Complete Eiectricai Plan Review Information Sheet
Job Address. 321 ri.
Building Square Footage'. — —
Description of above rat aa, C db L_ al 9 Ir S yz ,
Owner Information Contractor Information
Name: 4-1 " Name:
Mailing Address: S21 Mailing Address:
City, fix} State: �� Zip City: State; Zip;
Phone'. Fax: Phone: Fax:
License # 1 Exp. License # 1 Exp.
Item Unit Charge oty Total (Oty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201 -400 Amp. $160,00 $
Service/Feeder 401 -600 Amp $ 225.00 $
Service/Feeder 601.1000 Amp. $ 288.00 $
Service/Feeder over 1000 Amp $ 410,00 $
Branch Circuit WI Service Feeder $ 5.00 $�
Branch Circuit WIO Service Feeder $ 74.00
Each Additional Branch Circuit $ 5,00 p $ 'IV
Branch Circuits 1-4 $ 86,00 $
Temp. Service/ Feeder 200 Amp. $ 102.00 $
Temp. Service/Feeder 201 -400 Amp, $121.00 $
Temp, Service/Feeder 401 -600 Amp, $164.00 $
Temp. Service/Feeder 609 -1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign /Outline Lighting $ 88,00 $
Signal Circuit/ Limited Energy — Multi- Family $ 64.00 $
Signal Circuit! Limited Energy 1 First 1500 sf — Commercial $ 96,00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note: $5.00 for each additional T -Stat
$ 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., RCVV, 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: ❑ Cash ❑ cheat
g ❑ Credit Card q
x Dated: l 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . .
, 14- 00001372 Date 11/12/14
Application pin number . ,
. 932364
Property Address . . , . .
, 321 E 5TH ST
ASSESSOR PARCEL NUMBER:
06 -30 00 -0 -1 705D 0000
Application type description
ELECTRICAL ONLY
Subdivision Name , . , . ,
,
Property Use
x.1/12/14
Property Zoning . . , . . ,
. PUBLTC BUILDINGS & PARKS
Application valuation . , ,
. 0
Application desc
Relocate cooling system to
----------------------------------------------------------------------
server room
- - - - --
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit , , . , . .
ELECTRICAL
ALTER COMMERCIAL
RESUL'T'S:
Additional desc , ,
DITCH
Permit Fee
75.00
Plan Check Fee
.00
Issue Date
x.1/12/14
Valuation , , ,
, 0
Expiration Date
5/11/15
Qty Unit Charge
Per
ha
Extension
1.00 74,0000
ECH ETA -COMM BRANCH CTR WO/ S/F
74.00
1.0D 5.D000
ECH EL -ECH ADDNT BRANCH CIRCUIT
5,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
79.00
79,00 00
00
Plan Check Total,
00
.00 ,00
00
Grand Total
79.00
79.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE;
RESUL'T'S:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
i
FINAL
ha
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPHCTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGF\BUILDING
111"1"14 J' ddAM 1-AA
CITY OF PORT AINGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fiitat StMet —P.O. Box 1150 /Port Angeles Washington, 98362
Flt: (360) 417 -4735 Fax, (360) 417 -4711
Dale. i
'._ 1 & 2 Single Family Dwelling
NOV 07201k
El.EGTHICAl,
f NSPFC11ONS
It0001/0002
l�l ti'Cti� I .1,y
Plan Review May Be Required, Pfea Corn lets eatrical Plan Revi w Info align Shea
Job Address: 4
Wldipq Square Faot3ge _
tiescn tion Or.Gt)ov9
Owner Information
Contract information
Name - --
dame. 1 kcal
Is4ad ng llddress _
Cdy are: 2i11
Marling ildress f
Cil +! Stale.(Zi �
Phone. Fax,
„•
Phcne. ax
License # 1 Exp
License , -
Item
Unit Charge
(,fit Total (ft Multiplterl by Unit Gbarne!
ServicefFeeder 200 Amp
$120.00
..,..,,..��,....,
ServlcefFeeder 201.400 Am p•
$146.00
S
ServicelFeeder 401 -600 Amp
S 205,00
S
Servrcell -eedpr 601 -1000 Amp
S 262 00
S
ServiceiFeeder over 1000 Amp.
S373.00
S
Branch Circuit W1 Service Feeder
$ 5,00
$�
Branch Circuwl VJIO Service Feeder
5 6300
5
Each Additional Branch Circuit
$ ' 5.00
�_ S
Branch Circuits 1-4
$ 75.00
,_T _ _• S _ —_
Ump Sorvieei Feeder 200 Amp
S 9300
`•---- _ - -_ -• 5 -
Temp. ServicelFeeder 201 -400 Amp-
5110.00
--
_ $
Pomp ServicelFcodcr 401,600 Amp.
5141100
_ -• -- $_--
Temp. SorvicelFeeder 601 -1000 Amp ,
$168.00
_.... •-- .-- ....._
Portal to Portal Hourly
S KOO
Signal Circudf Limilerl Emogy - t & 2 Family Ovrnlling
S 6400
Manufactured Nome Conoaction
$120.00
S
Renewable Electrical Energy - 5KVA Syslem or Laso
Thermostat
$ 102.00
$
$
Noto $6.00 for each addrl Tonal 1 -8t91
NEW CONSTRUCTION ONLY,
First 1380 Square Ft.
S12000
— $— __ —_ --
Each Additional 500 Square Ft. or Portion of
S 40 -00
$
Each Outbuilding or Detached Garage
S 74.00
$
Each Svdmming fool or Hot Tub
$110.00
5
S Total
owner as defined by RCW.1 °.28 -281: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
t4 hire an electrical contractor if above said property is for sale, rent or (ease, Permit expires after six months of last inspection.r_l
After reading the above statement. I hervhy reffily
Nit I am the mvnr:r of Me ahvvr; named property or a licensed electrical contractor. I am making
the electrical inslalialion or allegation in compliance with the electrcal laws, N.E,C
, RCW Chapter 19.28, WAC. Chapter 29R-46B, The City of Port
Angeles Municipal Code, and Ulilily Specificalions
and PAW 14.0 5.050 regarding Eleclrir;al Permit Applications
Signature of owner, electrical contractor or electrical administrator; © Cash ❑ check
r �J
Credit Card
x baled: r .,.ter �((-- ,,) - -- OVOV2012
G
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , , . . 14- 00001370 Date 11/10/14
Application pin number , . , 786690
Property Address . . , , . , 321 E 5TH ST
ASSESSOR PARCEL NUMBER; 06 30 00 -0 -1 7054 Application type type description ELECTRICAL ONLY
Subdivision Name . , , , . .
Property Use . , . . , , . .
Property Zoning , . , , PUBLIC BUILDINGS & PARKS
Application valuation , , . . 0
------°----------------------------------------------------------------------
Application desc
T -stat cooling in server
Owner
Contractor
RESULTS:
CITY OF PORT ANGELES
DITCH
DAVE'S ETC & COOLING SRVC INC
PO BOX 1150
PO BOX 413
SERVICE
PORT ANGRLHS
WA 983620217
PORT ANGELES
WA 98362
ROUGH -IN
{360} 452 -0939
--------------------
---- - - - - --
Permit , . . . . .
ELECTRICAL ALTER COMMERCIAL
Additional deso . .
Ail
COMMENTS:
Permit Fee . . . ,
56,00
P]an Check Fee
00
Issue Date . . . ,
11/10/14
valuation
, , 0
Expiration Date . .
5/09/15
Qty Unit Charge.
Per
Extension
1100 56.0000
ECH ETA -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
100
Grand Total
56.00
56.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
111 j 2
FINAL
6.1 11 Z 7
Ail
COMMENTS:
PERMIT WILT, EXPM -E SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGU31JILDING
Mar 13 2015 03 :54PM Olympic Electric Co,, Inc 3604523498
page 1
RECEIVED
ON- VURT. tv 1
A F 201 �`�
Nr�
CITY OF PORT ANGEGIKS PERMIT APPLICATION
Building Division /Electrical Inspections INSPE'CT60,15 , ,—�r
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -41735 Fax: (360) 417 -4711
Date; tr.1 Multi - Family or Commercial"
* Plan Review May Be Required, Please Complete Electrical Plan Review Information 5heei
Job Address:
Building Square Footage:
cescrtption of above
Owner Infer anon Contractor Information
Noma Name: OLYMPIc eLecraic
Mailin rod d'" Mailing Address: a23oTUrnwarea
PORTANGELFS State: 4VA zip: x8353
City: to e: Zip: City, p'
Phone: Fax: Phone; 3so os� -saos pax; ass asp -3aea
License ii Exp. License #I Exp. �� Mp cxssn,
Item Unit Charge Qy Total Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201400 Amp. $160.00 $
Service/Feeaer 401 -600 Amp $ 225.00 $
Service /Feeder 601 -1000 Amp. $ 288.00 $
Service /Feeder over 1000 Amp. $ 410,00 $
Branch Circuit Wf Service Feeder $ 5.00 $
Branch Cirml W10 Service Feeder $ 74.00
Each Additional Branch Circuit $ 50
Branch Circuits 1-4 $ 86.00 $
Temp. Service/ Feeder 200 Amp. $102.00
Temp. Service/Feeder 201.400 Amp. $ 121.00 $
Temp, ServicelFeeder401 -600 Amp. $164.00
Temp, Service)Feeder 601 -1000 Amp $185.00
Portal to Portal Hourly $ 96,00 i $'
Sign/OlAne Lighting $ 88.00
Signal C1rcultl Limited Energy - Multi-Family $ 64,00
Signal Circu'V Limited Energy I First 1500 sf - Commercial $ 96.00 $
Note $5.00 for each additional 1500 st
Renewable Electrical Energy - 51NA System or Less $113.00
Thermostat $ 56.00
Note $5.00 for each additional T -Stal �e
$ Total
Owner as defined by RCW.19.2B.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 1 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, KE.C., RCW. Chapter 19.28, WAC, Chapter 296 -4613, 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, 0 Cash ❑ Check
IN Credit Card q
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , , , . 15- 00000256 Date 3/17/15
Application pin number , . . 750336
Property Address , , . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-1- 7050 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , . . . . .
Property Use
Property Zoning PUBLIC SUILDIUGS & PARKS
Application valuation 0
----------------------------------------------------------------------------
Application desc
Conduit repair parking lot
Owner Contractor
CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC
PO BOX 1150 4230 TUMWATER
PORT ANGELES WA 983620217 PORT ANGELES WA 98363
(360) 457 -5303
Permit . , , , , . ELECTRICAL ALTER COMMERCIAL
Additional desc ,
Permit Fee 96.00 Plan Check Fee OD
Issue Date . . , . 3/17/15 Valuation , , . . 0
Expiration Date . . 9/13/15
Qty Unit Charge Per Extension
1.00 96,0000 ECH EL -TRIP FEE- INSPECT EX, INSTAL 96.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - ---- --------
Permit Fee Total 96,00 96.00 ,00 00
Plan Check Total. 00 .00 ,00 ,00
Grand Total 96,00 96,00 ,00 QO
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
(17
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:TXCfdANGE1BUILDING
�1
AAid�
6V
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , . , . 15- 00001408 Date 11/06/15
Application pin number , . . 587712
Property Address . . , . . 321 E 5TH ST
ASSESSOR PARCEL NUMBED; 06-30-00-0-1- 7050 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , , . , .
Property Use
Property Zoning , , . , , . . PUBLIC BUILDINGS & PARKS
Application valuation 0
Application desc
Load bank generator
Owner Contractor
CITY OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC
PO BOX 1150 PO BOX 360
PORT ANGELES WA 983620217 BURLEY WA 9$322
(253) ESB -0214
Permit . . . , . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee 223.00 Plan Check Fee ,e0
Issue Date 11/06/15 Valuation 0
Expiration Date 5/04/16
Qty Unit Charge Per Extension
1100 7.02.0000 ECH -EL- COMM 0 -200 TEMP SRV / FDR 102,00
1,00 121.0000 ECH EL- COMM 201 -400 TEMP SRV /FDR 121,00
Fee summary Charged Paid Credited Rue
Permit Fee Total 223.00 223,00 00 00
Plan Check Total 00 .00 .00 .00
Grand Total 223.00 223,00 .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESUL'T'S:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
a I hi'l
COMMENTS:
PERMIT WILL EXP]RE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBCIII,DING
s
Nov, 3, 2015 2.59PM
No. 6 158 P. 8
CITE( Or PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections �.
321 East Fifth Street — P.O_ B*x 11501 Port Angeles Washington, 98362 left. I
Pb: (360) 4174735 Fax: (360) 4174711
Date: to Z ► MultkFamlly r ammerclai
Plan Review May Be Requ red, P ease Complete Electrical Plan Review Information 5hoet
Job Address. 3 21 — 5 - e (- A EQ e% ?_$
6Wd'mg Square Footage:
J '
owner lnfarmatio
Contractor Information
Name: C r~4 !� D f 1�i �i 12$..
Name: LeC. l Gi'C� p Cit►w��'
- - - - --
Maaing Addresss:
- --
Ma :ling AddrA. _ P, 0 • _ ox
City _ stagy 4:
city: u stage: A � : � z.
Phone, l=ax:
Phone•4 D'2- 7 t)2.►
Woe # I Ev. ..-.
license # ! Exp. lr ^ C
Rem
Unit Charoe
gyt Total 1(h MuKIRI ed try Unit ChaMei
ServicelFeeder 200 Arnp,
$132.00
$.- _ --
ServiCelFesder 201400 Amp.
$16O.D0
$
Serv'WFWsr 401 -600 Amp
$ 225.00
$
ServicelFeeder 601 -1 DDO Amp.
$ 298.00
$
ServicerFseder over 1000 Amp.
$ 410.00
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit W10 Serves Feeder
$ 74.00
$
Each Additional Breech Circuit
$ 5.00
Ili—
Branch Clrcults 1-4
$ 96.00
$
Temp. ServioOFeetler200Amp.
$102.00
$__ I
Temp, servicelFeeder2014MAmp.
$121.00
$ l i
Temp. Servka*aWar 40 1-600 Amp,
S 1600
� $
Temp. ServicelFeeder601 -1040 Amp ,
$1$5.40
$
PorW to Portal" Hourly
$ 96.00
$�
SignlOutline Lighting
$ 88.00
Sig" CircuidiimW Energy - -MUti- Family
$ 64.00
Signal Clrcuid Limited Energy 1 First 1500 sf— Commercial
$ 96.00
$
Note: $5.00 for each addltlonal 1500 sf
Rermwabla Electrical Energy . 5KVA System or Lass
$113,00
$
Thennostat
$ 58.00
Note' $5.00 for each additional TStat
QgTolal
�, 223•
Owner as defined by RM 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 properly is
for sale, rani or lease. Permil expires after six months of last Inspection.
After reading the above statement, I hereby certify that t am the owner of the above named property or a licensed electrical oontractor. I am taking
the electrical installation or alteration in compliance with the electrical laws, KEG., RGW. Gilapter 1928, WAC. Chapter29646B, The Gity of Port
Angeles Municipal Code, and Utility Speaficafions and PANIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, sWcWtal contractor or elecWtal administrator: ❑ cash ❑
E
111
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , . , 15- 00001r,14 Date 1/07/16
Applicatieil pin number , , 973978
Property Address , , . 321 E 5TH ST
ASSESSOR PARCEL NUMBER; 06- 30 -00 -0 1- 7050 -0 -000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning , , , , , . . PUBLIC BUILDINGS & PARKS
Application valuation , , . . 0
Application desc
Outlet for accounting
Owner Contractor
CITY OF PORT ANGELES OWNER
PO Box 1150
PORT ANGELES WA 983620217
Permit . , , , , .
ELECTRICAL
ALTER COMMERCIAL
RESULTS:
INSPECTOR:
Additional desc . ,
Permit Fee . . , .
74.00
Plan Check
Fee
00
Issue Date
1/07/16
Valuation
, , .
, 0
Expiration Date
7/05/16
Qty Unit Charge
Per
Extension
1,00 74,6000
ECH 'EL -COMM BRANCH CIR WQ/
S/F
74,00
Fee summary Charged
Paid Credited
Due
------ ---- - - - - - -- ----
Permit Fee Total
---- -- ----------
74,00
--- - - - -
74.00
- -- ---
00
- - - - - --
,60
Plan Check Total
DO
00
.00
.00
Grand Total
74,00
74.00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
7 l
t 7/lb
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.-
GAEXCHANGMBUILDING
CITY OF PORT ANGELES PERMIT APPLICATION '
Building DivisionMectrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: l 2 _ Multi - Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 321 ws �
Building Square Footage:
Description of above
Z)
I 7.4 ' 4 fe.
_
Owner Information
-PA,-
Contractor Information
Name; - r 1):F
Malling Address:
Mailing Address
City: �— State: Zip: AIF,
City: State; Zip:
Phone: Fax:
Phone; Fax:
License # 1 Exp.
Li se 1 Exp.
Item
Unit Charge TotaL(_Qty Multiplied by Unit Charge)
ServicelFeeder 200 Amp.
$132,00
$
Service/Feeder 201 -400 Amp.
$160.00
$
Service/Feeder 401 -600 Amp
$ 225.00
$
Service/Feeder 601 -1000 Amp.
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit INIO Service Feeder
$ 74,00 �_
$a
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 86,00
$
Temp. Service/ Feeder 200 Amp.
$ 102,00
$
Temp. Service/Feeder 201 -400 Amp,
$121.00
$
Temp, Service/Feeder 401 -600 Amp.
$164.00
$
Temp. ServicolFooder 60 1 -1000 Amp .
$185.00
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 882
$
Signal Circuit) Limited Energy- Multi - Family
$ 64.00
$
Signal Circuit/ Limited Energy 1 First 1500 sf - Commercial
$ 96.00
$
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note $5,00 for each additional T -Stat
$ Tbtal
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 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ cash E Check
X
,�- -❑ Credit Card #
Dated: �� 7
0110112012
,1 F
-;1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 - 417 - 473.5
Application Number . . . , . 15- 00000542 Date 9/16/15
Application pin number . , , 344814
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7050 -0000-
Application type description EIRCTRICAL ONLY
Subdivision Name . . . .
Property Use
Property Zoning . . . , . , PUBLIC BUILDINGS & PARKS
Application valuation . , , . 0
Application desc
Phase 1 panels Xi, PH, RA, XF,X
Owner
Contractor
RESULTS:
CITY OF PORT ANGELES
DITCH
ANGELES ELECTRIC
PO BOX 1150
524 E. 1ST ST,
PORT ANGELES
WA 983620217
PORT ANGELES
WA 98362
} �7
(360) 452 -9264
Permit , , , , , ,
ELECTRICAL ALTER
COMMERCIAL
Additional desc
1 -4 CIRCUITS
Permit Fee
1494,00
Plan Check Yes
.00
Issue Date
5/15/15
valuation , , ,
, 0
Expiration Date
17/05/15
Qty Unit Charge
Per
Extension
BASE
FEE
86.00
44.00 5.0000
ECH EL- BRANCH CIRCUIT W /FEFDER
220.00
9.00 132.0000
ECH EL -COM 0 -200 SRV FEEDER
1188.00
Special Notes and Comments
May 18, 2015 8:.26:48
AM tamiot,
ENJOY!
Fee summary Charged
Paid Credited
Due
Permit Fee Total
1999.00
1494.00 .00
00
Plan Check `fatal
00
.00 00
00
Grand Total
1494.00
1494.00 .00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
} �7
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAIEXCHANGE0UILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number .. . . . , 15- 00000542 Date 5/18/15
Application pin number , , , 344814
Property Address . . . . . , 321 E STH ST
ASSESSOR PARCEL NUMSFER: 06 30- 00 -0 -1- 7050 0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . , , .
Property Use
Property Zoning , . . . , , , PUBLIC BUILDINGS & HARKS
Application valuation . , . , 0
Application desc
Phase 1 panels X1, PH, RA, XF,X
Owner
Contractor
RESULTS:
CITY OF PORT ANGELES
DITCH
ANGELES ELECTRIC
b"a�q�
PO BOX 1150
524 E. 1ST ST,
PORT ANGELES
WA 983620217
PORT ANGELES
WA 98362
(360) 452 -9264
Permit . . , . . .
ELECTRICAL ALTER
COMMERCIAL
Additional desc . .
COMMENTS:
Permit Fee
660,00
plan Check Fee
00
Issue Date . . , ,
5/1B/15
Valuation
0
Expiration Date . ,
11/14/15
Qty Unit Charge
Per
Extension
5,00 132.0000
ECH EL -COM
0 -200 SRV FEEDER-
66D,00
Special Notes and Comments
May 18, 2015 8:26:48
AM tamiot.
ENJOY!
Fee summary Charged
Paid Credited
Due
Permit Fee Total
660100
660,00 00
DO
Plan Check Total
,00
.00 .00
.00
Grand Total
560,00
660,00 .00
•00
r
1
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
b"a�q�
AN JIF,
SERVICE
ROUGH —IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G °IEXCHANGGEIBUILDNG —
05/15/2015 09:06 FAX 360 452 9265
CITY OF PORT ANGELES Pup= An
BuRding. i blonlElectricalInspections
321 East Fifth Sttreet — P.O. Box 11501 Port A
Ph: (360) 417,4735 Fax: (360) 4174711
Date; v
" Plan Re i,ew.May Be Required, Please Complete Eli
JohAddress:
8u1ldfng Squ re Footage:
Marne'
Name:
s:
Melting
Mafling.Addre
Stets: 2'p:
Z)p:
City:
Phone,
a)c
ft GbpEgsi
License # 1
UM
s --
Service/Mes
r200 Amp.
1;
ServlcelFee
r 201.400 Arnp.
311
Service/Fee
r401.800 Amp
S 2v
ServicalFee
r801•1000Amp,
$21
ServlcelFee
r over 1000 Amp.
$4'
Branch Ctrcu
w Service Feeder
S
Branch.Cir�cu
W10 Service Feeder
$ l
Each Add'r6o
al Branch Cirouit
3
Branch Clrcu
1�4
$
Temp. Servi
Feeder 200 Amp,
S 11
Temp. Servi
eedor 201.400 Amp,
31.
Temp. Servic
lFeeder 401.800 Amp.
311
Temp. SeMq
lFeeder 601.1000 Amp.
311
Portal to Port
I Hourly
3 t
Slgn/001ne
Signal Grcul
ghtlrng
Limhed Energy- MW&Fomlly
$ 1
$ J
SignalCircul,
Ltmfted Energy I First 1500of— Commercial
$ 1
Note: $5
Co for each sddidaraal 1500 if
Rengwable E
ectrical Energy - SKVA System er Less
31'
Thermostal •
$ l
Note: $q.00
for each additional T-Slat
owner as defined by RCW.192.261: (1) Owner will OCCUPY
to hire an e1 ctrioal Contractor .Nabove said property is for sa
After reaclinj I the above statement, I hereby Certify that I am
the electrica installation or alteration In compliance with the
Angeles Mu Idpal Code, and tJflllty SpecMcetlons and PAM
Stgnathrre owner, electrical contractor or electrical ad,
am
Angeles Electric 160001/0001
CATION F
ales Washington, 98362 MAY 3. b, n15 I ..,.
iltl- Family, or Commercial" �R.SpFC °IONS
Ical Plan Review Imbrmation Sheet .
r
Contra r Ink nn90011
Name:
Melting
City: 8lste:
Z)p:
P e
license V E*
ft GbpEgsi
s --
S
3
3
S
s
3.
s
a structure for Iwo years -after this electrical parfait is MaIM- (2) Owner is required
rant or lease. Permit explres after six months of last inspedon.
owner of the above named property or a licensed electrical Contractor, [-am making .
ctflCW laws, N.E.C., RCW. Chapter 1918, WAC. Chapter 298.468, Tine, City of Port
14.05.050 regarding Eleahical Parmlt Applications.
tistrator: 0� ���i/ 0 ChKk
t'�Cndlt Card / '0A1
/ tnlatnm:
C�
09/15/2015 07:12 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building Diaision/ElectrieW Inspections
321 East nth Street -P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: L' Multi-Famiiy,or Commercial'
k' py ✓
. Plan Review. May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage; , },
Description of above 14A 40 177"
Owner.lnfo
V
.Na ' 1,4 4C4
Mailing. sass:
Stale: ap
City: L Statetlle—_ ZIP:
ex;
Phone: Fax:
B fs 0
License A I Exp.
To II d by I h e
Item
Unit Chance
Service/Feeder 200 Amp.
$132.00
Service/Feeder 201 400 Amp.
$160.00
ServicelFeedei 401-600 Amp
$ 225.00
Service/Feeder 601.1000 Amp.
$ 288.00
ServicelFeeder over 1000 Amp.
$ 410.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 74.00
Each Addldonal Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 86.00
Temp. Service/ Feeder 200 Amp.
$102.00
Temp. ServlcelFeeder 201400 Amp.
$121.00
Temp. Service/Feeder 401 -600 Amp.
$16.4.00
Temp. Service/Feeder 601 -1000 Amp .
$185.00
Portal to Portal Hourly
$ 96.00
Sign /001ne Lighting
$ 88.00
Signal Cireultl Limhod.Energy— Multi-Family
$ 64.00
Slgnal CircullY Llmited Energy! First 1500 sf — Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
$ Total
Renewable Electrical Energy - SKVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T -Scat
Contractor Information
f
10 00 01/0 00 1
Name:
V
Rtaiiiny ass:
City
Stale: ap
Phan,'
ex;
Lioanse 41 Exp.
B fs 0
ght
To II d by I h e
s
S
$
$
$
$
$
s
S
S
S
$
s
$
$
--
S
T3 Y
$ 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 298.46B, 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: ❑ CwM C] Cho*
Q'cradrt Card 0 _ �/✓dL�
x _ Dated: % `.�� etroiraaiz
* V-ORI'4N
ELECTRICAL INSPECTION
WIRING REPORT
110', 0, 417-4735
MKS ell
DA7 ) -
ERWT i
INSPECTCq
owF-ER
CONTRACTOR
AfAl f-
ADDRESS
- -3-2-1
0,00-06mcp
: j 62161, rl
0 ............ ...... . DITCH ...... -- ......... Ll
ROUGH IN/COVER . . . . ........... 0
................. SERVICE..... . ...... ...... 0
.............. FINAL . .............
CORRECTIONS NEEDED: JZ*- Kb i.) ir— ALL L) A 1)'e::, 0. t2
� N " S)j. A LL Loiq-rl t4OQS
3Cn J-2-
4W [2 t'1.A
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
,t Q V'ORT4&
k-ko ELECTRICAL INSPECTION
c� 0
WIRING REPORT
417-4735
qKS
WE: PERMIT# IN
CONTRACTOR
4) P4
ADDRESS
-2"�7 1 -----------
APPROVED \NOT AP
El .................... DITCH .............
............. ROUGH IN/COVER . . . ........ -.. 0
................ SERVICE ....... ..........
o.................... ANAL ...................
CORRECTIONS NEEDED: Ctltc-o-r
Al
-�
b
-
c-w- I AEC, 3L 15
t2
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . . , , 15- 00001093 Date 8 /31/15
Application pin number 549395
Property Address 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7450 -000C-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , .
Property Use
Property Zoning . . , . . , . PUBLIC BUILDINGS & PARKS
Application valuation , , . , 0
Application desc
Fire alarm
Owner Contractor
CITY OF PORT ANGELES pLYMPIC ELECTRIC CO INC
PO BOX 1150 4230 TUMWATER
PORT ANGELES WA, 983620217 PORT ANGELES WA 96363
(360) 457 -5303
Permit , , , . , , ELECTRICAL ALTER COMMERCIAL
Additional deac , .
Permit Fee . . . 96.00 Plan CheCk Fee ,00
Issue Date 8/31/15 Valuation , . , , 0
Expiration Date 2/27/16
Qty Unit Charge Per Extension
1.00 96,0000 FCH EL-LTMITEP 19T 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96,00 p0 ,00
Plan Check Total 00 .00 .00 .00
Grand Total 96,00 96.00 .00 .00
-.r
r^ i
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPII2_E SIX (6) MONTHS FROM LAST INSPFC -TION
Signature of owner or EIectrical Contra_ ctor X
G:IEXCHANGEIE UILDING
Date:
Aug 26 2015 02:57PM Olympic Electric Ca, Inc 3604523498 page 1
RECEIVED
AUG 2
3
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street -1P,0, Boa 1150 / Port Angeles Washington, 98362
-Ph: (360) 417.4735 Fax: (360) 417• -4711
Date: , - 7 J Multi-Family or Commercial*
"Plan Review May Be Required Please Com�lele Electrical Plan Review Information Sheet
Job Address: a T*
Building Square Footage::
Description of above
G *�• CCC�
�v
Owner informatio
"
Contractor information
Name: s C L_-
Name: oLrMN' IL9URiC
Mallin Address: 2 !
��
Mailing Address: 42JOTUMWAYER
Ciiy; State: � zo:
City: r oRrAW.E�s Slate: wa Zip; aaaea
Phone' Fax-,
l.ioense 9 / Exp•
phone: 399 - 457.5505 Fw(: 350-aUAM
License 41 Exp, aNKC2eZ1
U Unit h r e
Q4y jgUl ii2ty ftflpli§4 by Unit a e
Service/Feeder 200 Amp, $ 132.00
$
Service /Feeder 201400AAmp• $160.00
$
ServicalFeedar 401.600Amp $ 225.00
g
Service)Feeder 601 -1000 Amp. $ 298.00
$
Service/Feeder over 1000 Amp, $ 410,00
$
Branch Circuit WI Service Feeder $ 5.00
$
Branch Circuit WIO Service Feeder $ 74,00
$
Each Additional Branch Circuit $ 5.00
—�
Branch Circuits 1-4 $ 86.00
$
Temp, SeMed Feeder 200 Amp. $ 102.00
$
iernp. ServicatFeeder 201-400 Amp. $ 121.00
$
Temp. Sery €cdFesder 4f11 -600 Amp. $164.00
$
Temp. ServicalFeadar 60 1 -1000 Amp , $ 185,00
$
Portal to Portal Hourly = $ 966
$
Sign /Outline Lighlirg $ 88,00
g
Signal Circuit/ Lim €tad I:rergy - Mulli-Family $ 64.00
g
Signal Circull/ Umited Energy 1 Flrsl 1500 sf - Commercial $ 88,00
_ _ j $ 9c,, -Ur-1 ,
Note: $5,00 for eacli additional 1500 sf
Renewacle Electrical En6rgy - 5KVA System or'_ess $ 1113,0C
$
Thermostat $ 56.00
$
Note: $5A0 for each additional T•Stal
S Total
Owner as defined by RCK19.28.251: (1) Owner will occupy the structure for two years afterthis 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„ RCK Chapter 1 5.28, WAG, Chapter 296-468, The City of Port
Angeles Municipal Coe, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator:
© ca :h © charm
i
D Credit Cerd �
Dated: _ 20 C
�__ J � a1l01ROt?
L..
A 0 * 0 RT 4,,.Q ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE PEnMIT # �SPEGT4F3
n 1 -;7,3 Lii�i:: I
I OWWR
CONTRACTOR
ADDRESS
APPROVED ( NOT APPROVED
Cl .. . ................. DITCH ...........
................ ROUCH IN /COVER . ...........
0 .... .............. SERVICE ...... I I . . .........
[3 ............. ... . R'NAL .................... 13
r
CORRECTIONS NEEDED: t-, H o. L-L- �e
5
Lis
5
t
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
0 F pORT,% 0. ELECTRICAL INSPECTION
WIRING REPORT
417-4735
RKS
til I t-;tl ....................
......... ROUGH IN/COVER ......
--- - ------------ -
.............. - ... SERVICE .... ..............
0 ................. FINAL ...................
CORRECTIONS NEEDED: 14 LL2��C) i Y4
n) c- Cl jn�4 F- X W-V I LLW.
--f
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . . 18-00000036 Date 1/12/18
Application pin number . . . 710384
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7050 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . .. . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Load bank generator 2
----------------------------------------------------------------------------
Owner
Contractor
------------------------
CITY OF PORT ANGELES
------------------------
LEGACY TELECOMMUNICATIONS INC
PO BOX 1150
PO BOX 360
PORT ANGELES
WA 983620217 BURLEY
WA 98322
(253) 858-0214
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . .
121.00
Plan Check Fee
.00
Issue Date . . . .
1/12/18
Valuation . . . .
0
Expiration Date . .
7/11/18
Qty Unit Charge
Per
Extension
1.00 121.0000
ECH EL-
COMM 201-400 TEMP SRV/FDR
121.00
----------------------------------------------------------------------------
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
----------
121.00
---------- ----------
121.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
121.00
121.00 .00
.00.
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the Cfty of Port Angeles
(Location Code 0502)
INSPECTOR:
ti;fdrrg
Signature of owner or Electrical Contractor X Date:
a a. �`\�`N �yrrtr 1�LflF 1
J �J
CITY OF PORT ANGELES PERNIIT APPLICATION
Building Division/Electrical Inspections V��►
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 a r
Ph: (360) 4174735 Fax: (360) 4174711
Date: i — IC)— t'$ 1-11 Multi -Family or Commercial* C,?.k, e ��
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 'S Zi EGLS't'
Building Square Footage:
Oescrip!roofabove,rK +-obC Ciona tnC1uGael re,�'t%Ve 1 c�.d 10&nK�r+¢ of
Y�t 7 S K W %+=,y%d i %r-ozica:4 s r- . �"
'vJQ C- 1G sch ecl%3 LP d r'T t "' l "Z- —% rS
Owner Information
Name: 't&r i` A rRE
(CS
MailkV Address: -3 2- Cary: 1 stagy rp: 46 �—
Phone. Far
License # / Exp.
Item
UnkCllarae
Servk*Feeder 200 Amp.
$132.00
Service/Feeder 201400 Amp.
$160.00
Service/Feeder 401-600 Amp
$ 225.00
Service/Feeder 601-1000 Amp.
$ 288.00
Service/Feeder over 1000 Amp.
$ 410.00
Brand Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/0 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 86.00
Temp. Service/ Feeder 200 Arra.
$102.00
Temp. Service/Feeder 201400 Amp.
$121.00
Temp. Service/Feeder 401-600 Amp.
$164.00
Temp. Service/Feeder 6014000 Amp.
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline Lighting
$ 88.00
Signal Circuit/ Limited Energy - Multi -Family
$ 64.00
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 foreach additional 1500 sf
Renewable Electrical Energy - SKVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Contractor Irlforma00
Name: Ve�id,cyMaill'T2 (t Gonrrmueica ftrr,�
'itf.ng,(ddres"111,e PA -0, OXAr3Z4p o
Ptxme:2" WYV '}Fax: 4` 4 T 02.1 g�
License #IExp..-.,tr AS AeT x 892 S'3
r',
Tota( (Qty Muldoiled by Unit Chame)
$T
=121. oQ 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 sate, rant 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 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
x Caw:
7-. LAK •;
Application Number . . . . . 22-00000728 Date 6/14/22
Application pin number . . . 279296
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Pen-Com call station remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES JOHNSON ELECTRIC COMPANY
321 E 5TH ST 3129 S REGENT
PORT ANGELES WA 983620217 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 106.00 Plan Check Fee . . .00
Issue Date . . . . 6/14/22 Valuation . . . . 0
Expiration Date . . 12/11/22
Qty Unit Charge Per Extension
BASE FEE 86.00
4.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 20.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.00 106.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 106.00 106.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Pen-com call station
Change of scope of work. Secure existing electrical equipment above ceiling.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/14/2022 22-728 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
321 E 5th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Pen-com call station
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/15/2022 22-728 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
321 E 5th St
km
ELE
O�CALPERMrr
MY OF PORT ANGELES
360417-4735
,�Application Number . . . . . 19-00000178 Date 1/29/19
Application pin number 172582 REPORT STATESALES TAX
Property Address . . . . . . 321 E STH ST on your exdse tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-1�7050-0000-
Application type description ELECTRICAL ONLY tO the City of Port A)798/eS
Subdivision Name . . . . . . (Location-Codf?0502)
Property Use . . . . . . . .
Property Zoning . .. . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
------------------- ---------------------------------------------------------
Application deBc
Light fixture in DCED director office
--------------------------------------------I--------------------------------
Owner Contractor
----------------- ------------------------
CITY OF PORT ANGELES OWNER'
Po BOX 1150
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 86,00 Plan Check Fee .00
Issue Date . . . . 1/25/19 valuation . . . . 0
Expiration Date 7/28/19
Qty Unit Charge Per Extension
BASE FEE 86.00
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --------
Permit Fee Total 86.00 86.00 .00 .00.
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
S. ERVICE
R00GII-IN
FINAL Ij-
CObOdENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPBMON
Signature of owner or Electrical Contractor X Date:
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department REcE,,VIED
La.:7 321 E. 5th Street, Port Angeles, WA 98')62 JAN
'1_S 1
360.417.4735 1 www.cityofpa.us I electricalperrnitsgcityofpa.us
E7 571�
Project Address: 57'1w�� — _C)CF_,D
Project Description: _f Sk��\'t ^bCE 7-1�,
El Multi-Family Residential El Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: E�i� T- E>T KtiZ�s Email:
Mailing Address: 2-1 F, r.r- S�� Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity 121i(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 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 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 sfl
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 01"o 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 14.05.050 regarding Electrical Permit Applications.
— I I/7-ro I/I -I A I )I�p 0\ ffyt L�e_
Date Print Name Signaturd([-] Owner & Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
--co poor sq� ELECTRICAL INSPECTION
WIRING REPORT
'ji
417-4735
DATE: PERMIT# INSPECTOR
pil- j 7
CONTRACTOR
ADDRESS
APPROVED NOT APPRO
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: DR) IFMAIX A6 I ItIl e-4 VC-0 IT
of
"v-c. DD,I Z
Nit?AD L9 r- se�wn W-4,
VS,
X�L I A*4D
11
lk)UZ,; +AgfadQjZ t)74-,K-- JX) I
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— 00 NOT REMOVE—
1 PIT 7MN7.
I'll I.............
PERNff
Crty OV ANGELES
30404735
Application Number. . . . . . 19-00001223 Date 8/14/19
139992
Application pin number . . .. �`�l
REPORT STATE SALES TAX
'Property Address . . . . . . 321 E STH ST
ASSESSOR PARCEL NUMBER. 06-30-00-0-1-70SQ-0000- on your excfse tak form
Application type description
ELECTRICAL ONLY
to the City of Port Angeles
"divi:aion Name.. . . . . . .
Property Use . . . . . . . . (Location Code 0502),
Property Zoning . . . . . . . I PUBjjc BUILDINGS & PARKS
Application valuation 0
----------------------------------------------------------------------------
Application desc
GENERATOR LOAD,BANK
-----------------------------------------------------7----------------------
Owner
Contractor
------------------------ --------I---------
CITY OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC
PO BOX 1150 . PO BOX 360
PORT ANGELES WA 983620217 BURLEY . WA 98322
(�53) M-0214
------------------------------------------------------ ----------------
' Permit . . . . . . RIJIMICAL ALTER COMMCIAL7
Additional desc
Permit Fee . . . . 223.00 Plan Check. Fee .00
Issue Date . . . . 8/14/19 Valuation . . . .
Expiration Date 2/10/20
Qty Unit Charge Per Extension
1.00 102-0000 BCH RL- COMM 0-200 TEMP SRV PDR- 102.00
1.00 121.0000 BCH COW 201-400 TENP SRV/FUR 121.00
------- ----------------------------- ------------I ----------------------
Fee summary Charged Paid Credited Due
----------------- ------- -- ---------- ---------- ---------- -
Permit Fee Total 223.00 , 223.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 223,001 223.00 .00 .00
INSPECIION TYPE DATE: RESULTS. INSPECTOIL-
DITCH
SERVICE
RNAL 7'
COMMENTS:
PERMIT WELL EXPIRE SIX(6)MONTHS FROM LAST.INsPscnON
Signature of owner or Electrical Contractor X Date:
MULTI-FAMILY COMMERCIAL
ELECTRtCALPERMIJAPPLICATICIq RE
CEI
Pubhc Works and Utilffies Dep t 41ir, ly
201,9
321 E.5th Street,Port Angeles,WA 98362
360,417.4735 1 www.cityofpaus I electricalpermits@citydpa.us
Project Address: Police station 321 E 5th St Port Angeles, WA 98362
Project Description: Load bank 2 generators for Annual Maintenance
13 Multi-Family Residential El Commercial I Industrial Public Building Square footage:
Name: Citv of Port Angeles Email: boobu 00tyallpaus
Mailing Address: PO Box 1150 Port Angeles,WA 98362-0217 Phone: 360-565-3860
T' )R IN F',')R IJ 1�F I C)N
\-TRi:,
F d
Name: Leclacv Telecommunications License: LEGACTL821 LL
Mailing Address: PO Box 360 Burley,WA 98322 Expiration Date:
Email: rhenry@Jegacypower.com Phone. 253-868-0214
Item Unit ChaMlk Quantity 12W(Qwmft x Unit ChaM)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86,00 $
Temp.Service/Feeder 200 Amp. $102.00 $ 102.00
Temp.Service/Feeder 201-400 Amp. $121.00 $ 121.00
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp,Service/Feeder 601-1000 Amp. $185.00
Portal to Portal Hourly $
Sign/Outline Lighting $88.00 $
Signal Circutt/Limited Energy-Multi-Family $88.00 $
Signal Circutt/Urnited Energy/First 1500 sf-Commercial $06.00
(Note:$5.00 for each additional 1500 sf)
Renewable Elec.Energy:5KN/A Systeni or less $113.00
Thermostat(Note:$5 for each additional) $50-00
s223.00 TOTAL
Owner as definedby RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permitis finalized,(2)Owneris
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-
468,The City of Port Angeles Municipal Code,an and PAMC 14.05.050 regarding Electrical Permit Applications.
8/8/19 Rich Henry
Date Print Name SigAture(_[_]__0_w_n_a_r_;Z-VectricaI Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@,cityofpa.us or faxed to 360.417.47111
L.
vv
ELEC t'ICA PE ST
?r4735
Application Number 21-00000566 Date 5113/21
Application pin number 242844
Property Address 321 E STR ST
ASSESSOR PARCEL NQMBER: 06730-0Q-0-1-7050-0000-
Application type description S1ikMICAL ONLY
Subdivision Name . . ..
Property Use
Property Zoning . PURLIC H€TILDiItGS 6 PARKS
Application valuation 0
------------------ ------------ ------------------- ---
Application desc
Kiosk and alarm booster circuit j
- ---- ---- --- -- ------- - -- -------------------------------------
Owner Contractor
-CITY OF PORT ANQELES OWNER
PO Box 1150 -
PORT ANQ9LES WA 983626217
_ -- Permit . . ELECTRICAL ALTER COMKERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . 86.00 Plan Check Fee .00
Issue Date . . 5/13/21 Valuation . . 0
Expiration Date 11/09/21
Qtp Unit Charge Per Extension
BASE FEE 86.00
----------------------•-------•-- ------ --------
Fee summary- Charged Paid Credited Due
Permit Fee^Total 86.00 86.00 .00 .00
Plan Check Total .00 .`00 .00 .00
Grand Total 86.00 86.00 OQ .00
REPORT SALES TAX
on your excise tax form
to.they City of fort Angeles
(Location Code 0502)
i
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
1
DITCH
SERVICE
ROUGH-IN I !
FINAL, _
COMMENTS:
l
PERMIT WILL EXPIRE SIX(6)MONTHS PROM LAST INSPEGTIOIV
Signature is,owner or Electrical Contractor X Date:
GAEXCHAN G
. -
MULTI-FAMILY / COMMERCIAL
�
ELECTRICAL PERMIT APPLICATION 3
Public and Utilities
NOW`
Project Address:
171 Multi-Family Residential )��Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Mailing AddressJ Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Dote:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quaftft Total(Quanttty x Unit Charge)
Service/Feeder 201-400Amp. $160.00 $_________.
@emkne/Fewdar401-8OnAmp. $22500 *_________
Service/Feeder 8O1-1OUUAmp. $288.00 $________
Service/Feeder over 1ODDAmp. $410.00 $__________
Branch Circuit W/Service Feeder $5.00 u______
Branch Circuit WIO Service Feeder $74.00 $______
Each Additional Branch Circuit *5.00 $
Branch Circuits 1-4 $88.00 _-� $
Temp. Service/Feeder 2OOAmp. *102.00 s___-______
Temp.Service/Feeder 2U14UUAmp. $121.00 $_________
Temp. Service/Feeder 4Oi-60DAmp. $164.00
Temp. Service/Feeder 601-1GOO Amp. $185.00 $�_�
Portal to Portal Hourly $96.00 _ ___ $________ '
Sign/Outline Lighting M.00 $_____.
Signal C/muittLimdedEn �_=, _ --_-- __- _-_-__--_-
S�na|Ci����Ene� �� Convaercial $96.00 $___�
(Note: $5.O0 for each odMmmay1500 sf)
Renewable Elec.Energy:5KVA8ymtenv or less $11100 � ______ $__-______
Thermostat(Noto:s5 for each additional) $56.00 $___________
$_84- -TOTAL
Owner as defined by RCW19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is fina|bed.(2)Ownari's '
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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature er F1 Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us orfaxedto 360.417.4711]
eLXCAIr PERMIT
CITY o ART ANGELES A
36"17-4735
Application Number . . . 20-00001191 Date 10/15/20
Application pin number 325622
Property Address 321 E:STH ST
ASSESSOR PARCEL;NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . .` . . .
Property Use . . . . . .
Property Zoning . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
PAPD IT circuits
--------------------- --- --- - ------- ----- --- - -
Owner Contractor
----------------- --- ---------------------
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . , 86.00 Plan Check Fee .00
Issue'Date . . . . 10/15/20 Valuation . . . 0
Expiration Date 4/13/21
Oty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total '86.00 86.00 00 .00
Plan Check Total .00 .00 00 .00
Grand Total 86.00 86.00 .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE: DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1 40
SAW
FINAL b;
COMMENTS:
PERMfr WELL'EXPUtE SIX(6)MOMM FROM LAST INSPEC MN
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEIBUn DM
s
...
._
,�. �
. . . ,
KSA�" ���
-�- " ~-- Ji
, �Q1
CITYK�
������������ ���w���������0�� ` �
Building Division/Electrical Inspections
321East Fifth Street—Port Angeles Washington,98362
Ph: (360)487-4735 Fax: (360) 417-4711 ^�~
Dote:
Multi-Family O{Commercial* Commercial Addition/Alteration Remodel Repair*
°P{@D Review Ma Be Requir d, PI Complete Electrical Plan Review InformationSheet
Job Address:
Building Square Rootage:
Ownm«lmfnnnmdion Contractor Information
m Name:
MaiU Address: Mailing Addmu :
CityCity: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/
Item Unit Charcie 9!Y Total(Qtv Multiplied W Unit Change)
Service/Feeder 2U0Amp. $132.00 $_________
Service/Feeder 201400Amp. *160.00 $ ________
Service/Feeder 4O1-6OOAmp $225.00 $__________
Service/Feeder GO1'100Amp. $288.00 $________
Service/Feeder over 1000Amp. $410.00
Branch Circuits 14 $ 86.00 f __
Branch Circuit VN Service Feeder $ 5.00 $__________
Branch Circuit W/O Service Feeder $ 74.00 $ _____
Each Additional Branch Circuit $ 5.00 o_--__----'
Temp,Service p. $102.00 $_________
Temp,Semkx0Feudor2O14OUAmp. $121M $_________
Temp.Service/Feeder 401-6OUAmp. s164.00 $_________
Temp.Service/Feeder G01'1DOOAmp. $185,00 $_________
Portal to Portal Hourly $ 96.00 $__________
S|gn/Out|inwUghhng $ 88.00 $____----__
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ KOO $ _____
Note: $5.00 for each additional 15OOuf
Renewable Electrical Energy-5KVA System orLess $113.00 $_________
Thermostat * 56.00 $_________
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 him on electrical contractor if above said property is for sale,rent or lease. Permit expires after nix months of last inspection.
After reading the above statement, (hereby certify that|am the owner ofthe above named property ora licensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCK Chapter 19.28,WAC.Chapter 28G-4G8.The City cfPort
AnQa|oo Municipal Code,and UU{ih/Specifications and PAMC 14.05.050 regarding Electhoal Permit Applications.
Slgn�l(of own contractor or e ec±ricm md inistnaton O Cash O Check
O creduoumw
DaW: /!z
-�� - mxnxmo
7T
ELECAICAL PERMrF
CrrY Of PORT ANGELES
3A50-417-4735
Application Number . . . . . 19-00000440 Date 3/26/14
Application pin number . . . 012240 REPORr SrATE SALES M
Property Address - . I. . . . 321 9 STH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- 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 . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Privacy room_
------------------ P--- ------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
PO BOX '1150
PORT ANGELES WA 983620217
-------------------r--------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date . . . . 3/26/19 valuation . . . . 0
Expiration Date 9/22/19
Qty Unit Charge 'Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --------
Permit Fee Total 86.00 86.00 .00 .00
Plan check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS., wspkcm:
DITCH
S. ERVICE
ROUGH-IN 0
FINAL
COb04ENTS:
PERMrF WILL EXPIRE SEX(6)MONMS FROM LAST INSPECTION
Signature of owner or Eledrical Contractor X Date:
11--,wi�
R6,C-
CD
MULTI-FAMILY / COMMERCIAL VE
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 vvww.cityofpa.us I electricalperrnits(��cityofpa.us
V-k
ProjectAddress: 4�_1-7 1010yee Z-e-?C41'7!qC
Project Description: .&1 1/0 c,�-4 R�)Ot'71
El Multi-Family Residential X Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: 01:64 i�E h2 Z n a e— Email:
Mailing Address: Phone:.S40
ELECTRICAL CONTRACTOR INFORMATION
Name: A-%4 'n-F &r4 Anael�& License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 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 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 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 14.05.050 regarding Electrical Permit Applications.
-3 - V-5- /5 13 0-,6 A Z'r 7-,V/ a/A_��
Date Print Name Sign�ture(8 Owner E] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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)4174711
Date: /&( b Multi-Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Discription of above 1-4:5-g -r- rz_ 1�
C_j!& 21473.4. a
PD,
Owner Information Contractor Information
Name: n i-m r— 1� All-k. Name:
Mailing Ad�rg;:—) Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License# Exp.—
Itern Unit Charcie Total(QtY Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $_
ServiGe/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $_
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 86.00 $_
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 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
Sign/Outline Lighting $ 88.00
Signal Circuitl Limited Energy—Multi-Family $ 64.00 $
Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 96.00 $—.
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
$ Total
Owner as defined by RCK 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 14.05.050 regarding Electrical Permit Applications.
I ct I ntractor or electrical administrator:
ated:
44k�-k_ L�—'(A-'A 50 N t L-k:---'�A
PC&-6 0
�AL9
LA PA-N
Application Number . . . . . 24-00000485 Date 5/22/24
Application pin number . . . 435080
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Office remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
321 E 5TH ST
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 5/22/24 Valuation . . . . 0
Expiration Date . . 11/18/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/22/24 24-485 TAP
OWNER
City of Port Angeles
Contractor
ADDRESS
321 E 5th St
Address:
321 E 5 Ih Street
PREPARED 8/31/16, 11:17:13 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/31/16
------------------------------------------------------------------------------------------------
ADDRESS . : 321 E 5TH ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER CITY OF PORT ANGELES PHONE
PARCEL 06-30-00-0-1-7050-0000-
APPL NUMBER: 16-00001271 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 8/31/16 r
&LIn MECHANICAL FINAL
.. August 31, 2016 10:29:36 Am jlierly.
DHP
--------------------- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 16-00001271 Date 8/29/16
Application pin number . . . 466863
Property Address . . . . . . 321 E STH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax fban
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 4827 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
install ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES AIR FLO HEATING CO INC
PO BOX 1150 221 W. CEDAR
PORT ANGELES WA 983620217 SEQUIM WA 98382
(360) 683-3901
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 8/29/16 Valuation . . . . 0
Expiration Date 2/25/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
---------------------------------7------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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. 2
cl
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 INCONSPICUOUS 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/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighti g ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
f
Construction - R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
08/23/2016 TUE 12: 18 FAX 360 683 3971 Airflo Heating copier 0001/001
T*4m
For City Use
C MY OF
Permit#
W A S H I N 0 N, U. S. Date Received: ? - I to
321 E 5th Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F.360-417-4711
Email:Uermits(&ci1yofpa.us BUILDING PERMIT APPLICATION
Project Address:321 E 5th St
Phone:
Primary Contact: Email:
Name City of PA-City Hall Building Phone 360-417-4800 (Cory or Bob)
Property MailingAddress 321 E 5th Street Email
Owner
city Port Angeles State WA zip 98362
Name Phone
Air Flo Heating 360-683-3901
.................. --Mdress -- Email
tractor 221 W Cedar Christina@airfloheating.com
Information -citySequim State wA ziP98382
Contractor License#AIRFLI*206DG Exp.Date:4/25/2018
Legal Description: Zoning: Tax Parcel# Project Value- (materials and labor)
$ 4827.05
Residential Commercial Industrial 11 Public 11
Permit Demolition 11 Fire El Repair 11 Reroof(tear off/lay over) 0
Classification For the following,fill out both pages of permit application:
(check New Construction 0 Exterior Remodel 0 Addition 11 Tenant Improvement 11
appropriate)
Mechanical @ Plumbing 0 Other 11
V� -Fire Sprinkler System Proposed I Irrigation System Proposed or Proposed Bathrooms oposed Bedrooms
or Existing? Yes 0 No E3 Existing? Yes 0 No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater@qW a--us
IhsW Mftubishi Ductless Heat Ptunp Systan
Project Description
Is project in a Flood Zone: Yes 13 No[3 Flood Zone Type:
If in a Flood Zone,what is the value of the structure before proposed improvement? $
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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Christina Overby
811MM 4 6 Name tu
Date Print Sign Ce "
Application Number . . . . . 24-00000232 Date 3/26/24
Application pin number . . . 742088
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
New Office
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
321 E 5TH ST
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 3/26/24 Valuation . . . . 0
Expiration Date . . 9/22/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
Wall Cover
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
3/26/24 24-232 TAP
OWNER
City of Port Angeles
CONTRACTOR
ADDRESS
1319 Campbell Ave
Application Number . . . . . 25-00000009 Date 1/09/25
Application pin number . . . 656406
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Add outlets to existing circuit
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
321 E 5TH ST
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 1/09/25 Valuation . . . . 0
Expiration Date . . 7/08/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/9/25 25-9 TAP
OWNER
City of Port Angeles
CONTRACTOR
PROJECT ADDRESS
321 E 5th ST
Application Number . . . . . 24-00001385 Date 1/06/25
Application pin number . . . 150705
Property Address . . . . . . 321 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7050-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Outlets
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
321 E 5TH ST
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 1/06/25 Valuation . . . . 0
Expiration Date . . 7/05/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]