HomeMy WebLinkAbout401 E 5th St - Building R E C E I V NV
C1'l W 1Fr`PE312"T ANGELES PFRN'11T Al'pF.,iC'A`1'tQN MAY 14 2(h3
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321 Eat ,t 1°i€'ti1 ta•ect--P.O.Box 11511 f Pori Ari elc,��basllintytnn.03362
1110: (3611)417-4735 F,,w (3613) 117-4711 INSPEUIONS �
Data . ' ?.u._._. [ t multi-r-amily or Commercial* L�
°P4.IE411 f avieyj i4ay!Be Required I as- Comp[ctc Electri 'al 'L'n Review Infarrria icry Sheet
;;°:SC(:JiiG'rY(lf a:?.S .+ni'n3r hx s:r:e, ,rt�sfr
rAVI 1,rxn,me:rr; ro x^a.C.a _ .,.�...�._..__..._,.....,..-.,—�.._,..,..,.._...__._........,._...,._..-_....�...._'____.___.«....».................v............._..........,.-
......_....._..._.. — _..__._..._____._. .___ ....._.. ...r.-
Owner Information Contractor lnformatiarl -
i l 71x, f'v Ta3.s 6 g. rrm va,< t;a m
t tar. ss _,�,cA�.e, r kir iA r�55 rar, c� sr__..... v.
{t a �� gg f� un a�� Cry rr State 4v Zip to ;
_ �.
Itorn /brit Char a 9tal Cat —Mu-i131ies1 l?v Unit6 i7artt�j
SarviceJFeeder 200 AMP 5 132.9(} --
5arvieKaeder 201.4170 Amp $160.04
5er0WFe,eder X101-6010 Amp S 225.00 ..-
ServicelFeeder 601.10p0 Amp. 5 2 1.00
v calreedar sxaer IOW 1F1tp. S 410,00
UTarich Circuit W/S#Mw peestar 5.1117
awch f;mit W/D Seance FeWor S 74,00 5"-A---
Each Addilion emnah Circuit b 51.09 __,,...... .._
Branch Circuits 14 $ OU0 �_. . .
Ternp,Servicel reedy 200 Amp. 192.09
'rernp. 201.400 Arnp S 121.00
1"en1p.6e1vi J r ader 401-6000 Anrp. $164.015
7'ernp.SurvlcafFeuder 801-1000 Amp. 515.5.011
Purtrrl to€'w#at Hourly 5 06,00
Sig Outfina Las3111ing 5 88 09
Signet Circuit/Llmitti Energy-Mvl3-1"Rmily 5 04.00
Signal Clrmitf Unu€ed Enerrgy/Rmt 1500 sf•-CarrrrnersiAl $ 463.09
N€rte, $5V for o fr addit'anrrt 1500 of _
Renwoble EiacUlcrij Energy•5XVA Syslenr or Less 5 113.00
V"ET rlaSat 5
Note:$5,00 for each addltionial T-Stat
�ids rrm_T0$al
Ovarrpr as defined by RCW.1g.2-261;(1)Qvrner will mcupy the otructwo for two yeas%aftor t11is eiecHcal pannit is finelired.(2)Owner is tegufred
Ira hire an electrical contractor if above said property is far s4ile,rant or tease.Per0111 expires alter six 1110111110 of last inspection.
After reading the above statement,l hereby certify ttlat I and the awslcr of the above named property or a licensed electrical CCMMCtot,.I arts 111sking
the electrical insiallabon or URC43bon in compliance with Ih0 eiootrioal lags,N.E.C.,PCW.CPraptar 19.20,WAG.Chapter 2g646B,The City of Bart
Angeles Municipal Cvi a,and Utility Specifications and PAMC 14.06.0 aQ regarding Ew eclrical Permit AppliealiNs,
Signatrare of Owner,electr€cal conlractar Or r:aWfcal adnifttlstratar: 3') Gasrr C? crr�ctc
x Mike hirley f Cary Politika Dated: .
ELECTRICAL PERMIT
t
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000578 Date 5/15/13
Application pin number 576980
Property Address . . . . . 401 E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7145-D000- on your excise tax form
Application type descriptbo.` ELECTRICAL ONLY
Subdivision Name to the City Of Port Angeles
Property Use f (Location Code 0502)
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . , . 0
Application deSC
Fire alarm panels
Owner Contractor
HOUSING AUTHORITY OF CLALLAM HI TECH SECURITY INC V "
2603 S FRANCIS ST 723 E FRONT ST 4j rr /�
PORT ANGELES WA 983626710 PORT ANGELES WA 98362 9��+ 1
(360) 452-2727 i
Permit ELECTRICAL ALTER COMMERCIAL
Additional des
Permit Fee . 96.00 Plan Check Fee 00 ! L
159ue Date 5/15/13 valuation 0
Expiration Date 11/11/13
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED IST 1500 SQ y Charged ,--redit FT 96.00
----------------
- ------------- -_--------------------
Fee summa- -- Paid Credited Due--
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total 40 .00 .00 .00
Grand Total 96,00 95.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL �J
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEWILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 11 00000102
Application pin number 645512
Property Address 401 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7145 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
Low voltage
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
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 983626710
181032
63 90
2/02/11
8/01/11
Charged
63 90
00
63 90
Signature of owner or Electrical Contractor X
G• \EXCHANGE \BUILDING
Contractor
TEKNON CORPORATION
15443 NE 95TH
REDMOND
(425) 895 8535
ELECTRICAL ALTER COMMERCIAL
DATE
Plan Check Fee
Valuation
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 2/02/11
WA 98052
Paid Credited Due
63 90 00 00
00 00 00
63 90 00 00
RESULTS
T iav t. 2 143) 44 11
0 0
0
Qty Unit Charge Per Extension
1 00 63 9000 ECH EL SINGLE CIR LIMITED MULTI 63 90
INSPECTOR.
l )tn M
251? 'i+D
Date:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
C
E EP/ED
FEB 1 2011
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ELECTRICAL
321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS
Ph. (360) 417 -4735 Fax: (360) 417 -4711
Date: //.4 /`f,7 OIL
1 Single Family Dwelling ,g Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review M ay Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: tit c,T f�U e_1 A N(, F S W A 9 Sr,
Building Square Footage: s. /n U c/ 4/
Description of above III D 1) Iv At/71-4/9 cti 441 i2. /14 Ai ti e L r I G 7
Owner Information Contractor Information
Name:/22/2.',W4 d,,'mmo.e,t a' FJPe/,zt /J. ,4/r7 Name: '7 ICAIDAJ el u f: Pole 62T/tA/
Mailing Address: Lot" 4 4 PIM 410 it 5 5_ Mailing Address: S y Apt' 9 5.i-h c;T`
City fPe grJ/IuJL,E 5State: (4f3 Zip: 6 1$ 3 r. J City R1rpinnAIh State: inf Zip: _9 g 65a_
Phone: 3 /op /Fax: 3N 4 157 766/ Phone: U ,2 c ry SSSf,Fax: 'I 5 e 01 rIfi35
License /Exp. License Exp. 7'7: fC ,JhC_•-- IAl 7 /V /r5 /�Ory
Item Unit Charae C3yt Total (Qty Multiplied by Unit Charael
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 $_vg -(4 0
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
G3 `>OTotal
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 Che
X Credit Card
X A-r 41.404 J C Dated: //1/.2. D 01/01/2010
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000850 Date 8/03/06
Application pin number 180050
Property Address 401 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 7145 0000
Tenant nbr name CLALLAM HOUSING AUTHORITY
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 29111
Owner Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
TOPNOTCH ROOFING GUTTER
1235 W 9TH
PORT ANGELES WA 98362
(360) 457 0066
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR -OFF FELT COMP
Permit pin number 84301
Permit Fee 468 25 Plan Check Fee 00
Issue Date 8/03/06 Valuation 29111
Expiration Date 1/30/07
Qty Unit Charge Per Extension
BASE FEE 417 75
5 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 50 50
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 468 25 468 25 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 472 75 472 75 00 00
Separate Permits are required forelectrical 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 [s suspended or abandoned
fora 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 Autho'ed Agent Date Signature of Owner (if owner is builder) Date
T• \Policies \1102 15 building permit inspe6tion record05 wpd [1/4/2005]
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 4's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION RW PW/
ENGINEERING
FIRE
PLANNING DEPT
BUILDING
T• \Policies \1 IO2_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
YES I NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
417 -4807 PW ENGINEERING R.W
417 -4653 I I I I FIRE DEPT
417 -4750 I I I I PLANNING DEPT
417 -4815 I ata 7I. 7O'()9 I I BUILDING
I I I
I I I
I I I
TYPE OF WO
Residential
Multi- family
Commercial
Repair
BUILDING PERMIT APPLICATION
Fill out COMPLETELI and in INIi I our 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 p4' 4
r
Owner.
Address: 5 e h L/ I b
Architect/Engmeer
Contractor C.P
Address: /.2 3 S City
PROJECT ADDRESS L b
LEGAL DESCRIPTION Lot: Block:
CLALLA.M COUNI'I PARCFT NUMBER.
RR.
New Conti. le Re -roof Stove
Addition Move Garage
Remodel Demolition Deck
Sign Other
FOR OFFICIAL USE ONLY
Date Rec.
Perini
Date pproved:
Date Issued:
4c e r Phone: 36.6 5 -mi
140 4'4' rt, Phone. T// tj 'Z
Cite' cs n r, f4S (04 Zip 793 e
Phone:
State License rz 6 4' L/ J> xp 5f Phone. 7
Zip Fg"
ZONING
Subdivision.
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
BRIEF DESCRIPTION OF THE PROJECT i ,7- d/ e rob f t
e 4, 3
COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load. Construction Type:
No. of Stones: i Size: Existing Sq Ft. &Proposed Sq Ft. TOTAL Sq Ft. /160
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
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 -4$15 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application Will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that have read and examined this application and know the same to be true and correct, 1 am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T•�FOP.MS�E1dgPermitform.vpd Applican r `A Date: 6— 3 6
6
1/06/06
topnotchroofinga@qwest.net
f TOPNORG994DA EXPIRATION DATE: 5/18/06
Company signaturef /.1 bate //&/.06
Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and /or labor
to complete work. Homeowner will be notified of any necessary changes, which may affect cost.
Property owners are responsible for obtaining any permits required for_work.and materials described herein. TOPNOTCH is happy to provide
permit, but will add the cost to the final bill.
Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you
have questions concerning this estimate /bid. If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER, at the
address above. Work is scheduled upon receipt of signed bid. Verbal agreements will not guarantee scheduled work.
References are available!
ESTIMATE AND BID PROPOSAL CONTRACT
TO Clallam County Housing Authority Attn. Vern 461.0247) Fax to. 457.7001
FOR. Re -roof at Mount Angeles View Villa, Port Angeles WA
Tear off existing single layer of composition roofing. Clean up and landfill disposal inc
roofing over 30# felt Install starter course composition, 2 -1 neos 1 -2" neo 21 -4
Step flash, 1 roll of torch down to plug holes in sheathing.
Estimated cost of tear off and re -roof using the materials specified herein, labor to
2
$29,111.00
2,416.21
$31 527 21 Thirty one thousand, five hundred twenty seven, and 21/100
00Z 0/// Rer6 Cc6 .&ezit
lude. Roof with 30- year Pabco Premier
neos 372' of ridge vent 372' of ridge cap,
complete work as described, and sales tax:
3/ 5 5 32.-
Authorized party to accept bid 4%4 Date
MATERIAL WARRANTY BY MANUFACTURER, WORKMANSHIP GdIANTEED BY LICENSED, BONDED, INSURED CONTRACTOR
PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED* ALTERNATIVE PAYMENT ARRANGEMENTS
MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
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 983626710
Charged
1 Ly
COMMENTS /ACTION NEEDED
CITY OE`BORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001318
860944
401 E 5TH ST
06 30 00 0 1 7145 0000
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Owner Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
ELECTRICAL ALTER. RESIDENTIAL
ANGELES/ 400A ALTER
92189
ANGELES ELECTRIC
97 80
12/18/06 Valuation
6/16/07
Plan Check Fee
Qty Unit Charge Per
1 00 97 8000 ECH EL -R OR RM 201 600 ALT
Paid Credited
ANGLES ETa 4TRIC
524 E 1ST STt:
I :GE1 S
tom
u.
'H bfC ?;IT SF
SRV FDR
t4 1.14
Date 12/18/06
WA 98362
Due
.97 80 QU97 1 80� 00' Data, 1 006
00 44 00 00 00
97 80 97 80• 00 00
00
0
Extension
97 80
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.
INSPECTION TYPE
DITCH
ROUGH -IN COVEk
SERVICE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE ACCEPTED
YES I NO
I I I
I. I I
I I I
COMMENTS
PV/-I 102.15 (416I
05- 00000203
Pin number 206520
Property Address 401 E 5TH ST
ASSESSOR PARCEL NUMBER: 06 7145 -0000-
Application description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged
42.20
.00
42.20
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
Contractor
HI TECH SECURITY INC
-723 E FRONT ST
PORT ANGELES
(360) 452 -2727
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc HI -TECH/ SUR. CAM.
Sub Contractor HI TECH SECURITY INC
Permit Fee 42.20 Plan Check Fee
Issue Date 3/23/05 Valuation
Expiration Date 9/19/05
Qty Unit Charge Per
1.00 42.2000 EL -LOW VOLT SYS =2500 SQFT
Paid Credited
42.20 .00
.00 .00
42.20 .00
Date 3/23/05
WA 98362
Due
.00
.00
.00
.00
0
Extension
42.20
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH I I I
ROUGH -IN COVEk I I I
SERVICI I I I
FINAL 10 /e?< I I
I I I
I I I
I I I
I I I
VW-1102.1514961
Application Number 04- 00000716
Pin number 483928
Property Address 401 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7145 -0000-
Application description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
Fee summary
T: \PLANNING \FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Contractor
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 -5303
Qty Unit Charge Per
1.00 61.3000 ECH EL -COMM ALT <5 CIRCUITS
Charged Paid Credited
Date 8/13/04
WA 98363
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc ELEVATOR DISC/ OLYMPIC ELECT.
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 61.30 Plan Check Fee .00
Issue Date 8/13/04 Valuation 0
Expiration Date 2/10/05
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
Extension
61.30
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 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\N‘
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:
ROUGH -IN
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
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING /LIGHTING ESA:
LANDSCAPING I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL
ELECTRICAL LIGHT DEPT. 417 -4735
CONSTRUCTION R.W. PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT. 417 -4750
BUILDING 417 -4815
T: \PLANNING \FORMS11102.15 [11/14/2003]
YES I NO
DATE YES NO COMMERCIAL DATE ACCEPTED
��jj Y YE ES I
I FIRE DEPT. I I II l
I I I PLANNING DEPT. I I I I
I I BUILDING I I I
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.
PW ENGINEERING
NO
1
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 06- 00000020
Application pin number_ 660520
Property Address 401 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 7145 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 -2727
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc HI -TECH SECURITY CAMERAS
Permit pin number 68445
Sub Contractor HI TECH SECURITY INC
Permit Fee 42 20 Plan Check Fee
Issue Date 1/09/06 Valuation
Expiration Date 7/08/06
Fee summary Charged Paid Credited Due
COMMENTS /ACTION NEEDED
Date 1/09/06
WA 98362
00
0
Qty Unit Charge Per Extension
1 00 42 2000 EL -LOW VOLT SYS =2500 SQFT 42.20
Permit Fee Total 42 20 42 20 00 00
Plan Check Total 00 00 00 00
Grand Total 42 20 42 20 .00 00
7
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COMER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
DITCH I I
ROUGH -IN COVEk j
SERVICE I
FINAL I /o- 66 I I
I I
I I
I I
I I
COMMENTS
PW -I 102 1510961
G 3o
12 -13 -206 11:18PM
Job wired by
Electrical contractor name
Purchaser's mailing addrds
City
Telephone number
Address of Inspection I
Inspection
Dale
/Z -r$- o(c
ROUGH -IN
Wlc
7 FINAL
01 9.4 4
nets
FROM ANGELES ELECTRIC INC 360 452 9265 P. 1
UdElectricalContractor
Owner
Date Expires
License number
ANGELES ELECTRIC IrJ(
524 EAST FIRST
PORT ANGELES. WA 9R3R7 IOU Alur WV/et. 4CZl
State ZIP
FAX number
Prgmises owner's ram l' &ttStl
81.4 -19 -3 901 g S
City 74,
Phone We a SC¢g�tO lo�e� in�
'/(�/t/ Yip/ L An_ 7631 ,r- it
Owner tp defined by RCW. 19.28.261:0) 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 Jar 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- Credit Card Visa
lation or alteration in coeapliance with the electrical laws, N.E.C.. RCW. Chapter
19.26, WAC. Chapter 296 -46B. The City of Port Angeles Municipal Code, and Card
Utility Specifications. 1
Signature of owne electrical contractor or electrical administrator Expiration Date
X d Date: z �3 /elf f card
Flnctrical Load Addi and or subtractions A
El NO LOAD CHANGES at s ens V /N La4� fZ iv /go KW -7)
Baseboard KW
Furnace KW
Heat Pump Ton LAR
O Fan -Wall KW
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735
AOpTw Hy J
THERMOSTAT
put:
Overhead Service
U Temp Service
Underground Service
DITCH
New
Dale Approved by
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
(Install teriescription
m'Commereial Resittaefial
,&e n r o
Ca sL Check
Approves Hy
(ooKw
Altered /Addition
Dab
Date
Mastercard Discover
mac/ Fick
C$
Bsrvii information
Voltage Lam' /O
Phase 0 1 7f�
Service Sire: 7f�t
Feeder Size:
5✓ OD it -44 f �1_r
SERVICE
AlWoved Hy
FEEDER
Action Taken
A P/Zs srten
Approved By
Electrical
Inspector
LIX
City
Dale
%se Rea uest Inspection
0 Electrical Contractor 0 Owner 4° 1
0 Annual Permit 0 .alarm 0 Carnival 'Commercial Residential 0 Residential Main. 0 Signs 0 Thermostat 0 Telecom.
'Installation description
Job wired by 0 Electrical Contractor 0 Owner
Electrical contractor name e� License number
1 e t w &r S a&e' 4rrEetS 9s513 .t...rS -vicki S tCr9R0it
Purchaser's mailing address
Zy 3 Syr 'RRa r Cp_ir
City I State ZIP
P c R A 2g e...?--__
Telephone number I FAX number
36o -`452- 272 740 S2 &cc
Premises owner's name
C 41.NAA-4.N C s0..>ttV' L rl;ta(
Address of inspection
I hereby certify that I tun the owner of the above named property or a licensed
electrical contractor (or 'Mc fin's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
.'Signature of owner, electrical contractor or electrical administrator
Expiration Date
of card
WALLS CEILING THERMOSTAT
Insulation Only
Insulation Only
Appwvpd By
Cover
Dmc Appro•oi By Date Approved By
Electrical Load Additions pnd or subtractions
O NO LOAD CHANGES'
O Baseboard KW
O Furnace KW
Li Heat Pump Ton LAR
0
Fan-Wall KW
Inspection
Date
l o
a Zd WN�� S0
time Arprovcn ay
Cover
Area, Building or Equipment Inspected
ELECTRICAL W ORK PERMIT APPLICATION
0 Cash 0 Check 8` P 1t.
0 Credit Card Visa Mastercard Discover
Card#
Dame
Date
O Overhead Service
Temp Service
Underground Service
DITCH
Approved KY
Appmvcd BY
t\ inspection fee
4'2.20
D tt
Voltage
Phase O 1 0 3
Service Size:
Feeder Size:
SERVICE
Approved By J
}SEDER
Dare Aupm•ad By
Service Information
Action Taken Electrical
Inspector
e
i
t
A
0950 ?Sr 092 '0N Xtj3 SDIHOd1D313 H031-1H WOdJ
FROM HI -TECH ELECTRONICS
0 Electrical Contractor 0 Owner
0 Annual Permit 0 alarm D Carnival l lommcrcial
i
Job wired by I 0 Electrical Contractor
Electrical contractor naive
N S frr,cxr c`!
Purchaser's mailing address
723 LT
City
(•r las
Telephone number
340 L i 2 2 2- 4-
'Premises owner's name
GI A\ \Aar■ COL T1
Address of inspection
r O l ri'_toS- -1 S
C
Ste; PaLc.
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or tom's authorized agent) and am making the electrical (•reditCard
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Card
"Signature of owner, electrical contractor or electrical administrator
0 Owner
License number
i- IrTtcTS 9 SSSS
CQ Db-DC
State ZIP
.J P
FAX number
o c■ 452 85
1401/4610 riv Tb*CR.t t
98362
Ogrm
WALLS 'FIr ING
Insulation Only Insulation Only
Date
Dale
Electrical Load Additions and or subtractions
LI NO LOAD CHANGES
Cl Baseboard KW
0 Furnace KW
D Heat Pump Ton LAR
Fan -Wall KW
Inspection
Date
Cover
Aooro, d ay
Approved ay Date
Date
Cover
FAX NO. 360 452 8560 Mar. 22 2005 10:39AM P1
Approved By
Approved By
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
0 Request Inspection
O Residential O Residential Maint. 0 Signs 'Thermostat 0 Telecom.
"(Installation description
Ovemead Service
O Temp Service
O Underground Service
Expiration Date
of card
Dare
Dow
TrJ St�t\ Pat. t'�OJP•L►
s347.vLL t tote,
DV
THE
AoprovW BY
DITCH
Voltage
Phase O I 0 3
Service Size:
Feeder Size
Action Taken
CPrv'o2dZ
Y
z /i trifr 2
1 d -311514 0 Cash O Check C 3 --D C l a-
Visa Mastercard Discover
inspection get
1 4 2.2
Date
SERVICE
Approved By
FEEDER
Approved or Once Anivov<p Eta
Service Inlormatinn
Electrical
Inspector
/e/
i
r
♦27/27/2004 091:39 FAX 3604523498
Owneroreisc.ConbsctntAOent Olympic Electric Co. Inc. Phone: 457 -5303 Fax: 452 -3498
Propeny,Owmr. /s1 AiiTfVQ�TY ccf G /,9/ /AM y Phone 47 q,4 3)
Address: 1,9)) te 7-h Cit R,f/G--E7 'S zip: `lX ?/Z
EketrlcN contactor. Olympic Electric Co., Inc. usenet. O_ `DIE■P 3/31/03 Phone: 457 -5303
Ad 4230 ITumwater city Port Angeles zip: 98363
INSTALLATION WIRER BY: O OWNER gt ELECTRICAL CONTRACTOR
CreditCardHolderName: Charles T. Burkhardt, Olympic Electric Co., Inc.
Billing Address; Same City: Zip:
Credit Card Number j� &-/-4},‘-s Exp. Date: NSA: X MC
PROJECT ADDRESS: G/0 6 S- ""om� 0// //g /.S-
TYPE OF WORK:_ r Check i that apply: 0 New tnuteratlon(Aclekton
Residential 0 Multi -family Ef Mobile Nome Sq. Ft.
O Remote Meter O Detached garage O Hot Tub O Swim Pool O Septic Pump O Low Voltage O Telecom. O Sig
Number of Circulte added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: A/A //.4770/e ,/JA%'r/Z C
Electrical Load Additions and or subtractions glirvics Information
O Baseboard KW Voltage:
O Furnace KW 0 Overhead Service Phase: 1 0 3
O Meat Pump TON LAR o Temp Service Service Size:
O Fan Well KW O Underground Service Feeder Size:
I
PAMC 14.05.000(8): For industrial, commercial, residential projects larger than a duplex, a one line drawing of the Electrical Service
Feeders, bolding size',(aq. ft.), bad calculations. and the type 8 of mnduc tors and/or raceway is required and shall accom parry the
Electrical Permit application.
I hereby certify St I have read and examined this application and know that same to be true and correct and at
authorized to apply for this permit I understand it is not the City's legal responsibility to determine whet permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
PW- 9019/7/03
Till «f L✓i/
The E lecmoal Permit Application must be filled out COm e(etety.
P lean type or reprint In Ink. It you have any questions, please cell (3W) at7 •733
Fax number: (360) 417-4711
Credit Card Molders Signature:
Owns: or Else. Cont. Signature:
OLYMPIC ELECTRIC
ELECTRICAL PERMIT APPLICATION
71
The Dale: 7 %16/0
PERMIT FEE:
.360+1
On 7 /2g7,0 4
FOR OPfCIAI. LSS ONLY
Wit O.t Appn.d.
o.. brat
Oil- 7/6
r
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
1/24/2022 21-895 TAP
OWNER
CONTRACTOR
Olympic Electric
PROJECT ADDRESS
401 E 5th St
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
3/9/2023 21-895 TAP
OWNER
CONTRACTOR
Olympic Electric
PROJECT ADDRESS
401 E 5th St
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
3/8/2023 21-1456 TAP
OWNER
CONTRACTOR
Security Services NW
PROJECT ADDRESS
401 E 5th St