HomeMy WebLinkAbout112 W 8th St - BuildingPREPARED 4/01/09 8 42 07
CITY OF PORT ANGELES
ADDRESS 112 W 8TH ST
TENANT NBR CPI COMPUTERS
CONTRACTOR
OWNER CPI VENTURES LLC
PARCEL 06 30 00 0 2 6708 0000
APPL NUMBER 09 00000185 SIGNS
PERMIT SIGN 00 SIGN
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE (360) 565 8400
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 4/01/09 JLL BLDG FINAL TIME 01 00
March 31 2009 11 06 57 AM 1pangrle
1
zi t PATRICIA 565 8400 EXT 1
BLDG FINAL SIGN (CPI COMPUTERS)
AFTERNOON
COMMENTS AND NOTES
C T -
PAGE 10
DATE 4/01/09
CITY OF PORT ANGELES
a DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT BUILDING DIVISION
�— 321 EAST 5TH STREET PORT ANGELES WA 98362
v�
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
3 SQ FT PROJECTING SIGN
Owner
CPI VENTURES LLC
116 1/2 W 8TH ST
PORT ANGELES WA 98362
(360) 565 8400
09 00000185
980175
112 W 8TH ST
06 30 00 0 2 6708 0000
CPI COMPUTERS
SIGNS
COMMERCIAL NEIGHBORHOOD
150
Contractor
OWNER
Permit SIGN
Additional desc 3 SF PROJECTING SIGN
Permit pin number 142208
Permit Fee 47 00 Plan Check Fee
Issue Date 2/25/09 Valuation
Expiration Date 8/24/09
Qty Unit Charge Per
1 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF
Date 2/25/09
Special Notes and Comments
February 25 2009 8 58 20 AM sroberds
The proposal will result in the addition of a 3 sq ft sign
for a total of 23 sq ft in the CN zone Total allowable
is 100 sq ft
Fee summary Charged
Permit Fee Total 47 00
Plan Check Total 00
Grand Total 47 00
00
150
Extension
47 00
Paid Credited Due
47 00 00 00
00 00 00
47 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.
J/3,5/61 POV-f-(S A Lo rcA "f f-� A
Date Print Name Signature of Contractor or Authorized Agent Signature of Owrier (if owner is builder)
T.FormsBuilding 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
I Date
I Accepted By
Comments
FOUNDATION
417-4653
I
Footings
I
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
I FINAL Date Accepted by
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall / Floor / Ceiling
I
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts
Rough -In
I
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
I FINAL Date Accepted by
MANUFACTURED HOMES
Footing / Slab
I
Blocking & Hold Downs
I
I
Skirting
IPLANNING DEPT Separate Permit#s
SEPA.
(Parking / Lighting
ESA.
(Landscaping
I
I
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical
417-4735
Construction R.W PW I Engineering
417-4831
Fire
417-4653
Planning
417-4750
Building
I
417-4815
T Forms/Building Division/Building Permit
1.-
Ae- o w.nex-,
V&T -vres LLc,
r C SIGN PERMIT APPLI CA TION Print in ink
CITY OF PORT ANGELES
B i For City Use Only:
Attn: Building,Permit Technician Date Received-�Z Y,
321 E. Fifth St. Port Angeles, WA 98362�l3
(360) 417-4815 fax (360) 417-4711 Permit.# 1
p / �``- i Date Approved
Applicant or Agent Kurfi S ' Pa fri c,ia �.o reiihen Pho 5b5- {yap / k f f
Property Owner C ra i gTn hn.Son -Fdr C PI Ver►ttkre.S Ph S toy - 7400, ex+ #�
Property Owner's Address I % 8+h St. PA. WA q&36I
Contractor/Engineer Phone
Contractor/Engineer's Address (? oxt 7ovxasoA , Q)h.ar
License # Expires
Project Address I I W 8thStreet Su i fe A
Business Name _Cy_r Corn YIT
Parcel Number 0636 wo Z (.-uog Lot Zoning
Submit an 8 Y2" x 11 "site plan & (three7.sets of plan that include.
■ Type of sign (wall -mounted, projecting, freestanding, i other.
■ Placement and sq ft. area
■ How the sign will be securely attached (Engineering specs may be required for freestanding signs)
■ Separation distance between the bottom of projecting, and freestanding signs and the surface below
See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements.
Sian Tvpe & Brief Description. (Type, location, sq. ft.)
mefal plaleno lower"th�,_:
Sign #1 Wa I f W UhT RICK 51-6 310"�) S13 to "x 34 ", bo #0M ofsim io' 4
Sign #2 /IP.cir € QbOW enttran(e door inh 9" _Ivrea'
Sign #3
Sign #4 r� JPS=(-; �, ;.i.3 �,. sc1.4 a re �-erit
Totals (Unit charaes Sign(s)
Unit Charae Quantify multiplied by auantities)Ty
e of Sign Valuation $ 15000
$47 00 x _ $ -1, OQ All signs less than or equal to 25 sq. ft.
$85 00 x - $ Wall sign or marquees, over 25 sq. ft.
$11500 x = $ Freestanding sign or projecting. sign, over 25 sq. ft.
GRAND TOTAL Make Checks Payable to. City of Port Angeles
$ Credit Cards (Except American Express) are accepted
Existing sign(s) area aO sq. ft. + Proposed sign(s) area 3 sq. ft. = Total sign(s) area sq. ft.
- asfim44e- c-qlA-4 ge+ e ct keijM
Building fagade area (height Q5 ft. X width 9 5 ft.) = I I d 5 sq. ft. (if a building has more than one
business in it, only measure the area of the building fagade that is used by the business applying for this permit.)
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 iworking on projects ��
Date a-a�-09 Print Name W-ri GSI q Lo red zety Signature
T,Forms/Building Division/Sign, Permit Ap Gca iobn doc L rentZ&%
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4'°p'""° CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY 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
Owner
CPI VENTURES LLC
116 1/2 W 8TH ST
PORT ANGELES WA 98362
07 00001178 Date 11/01/07
755404
112 W 8TH ST
06 30 00 0 2 6708 0000
CPI COMPUTERS
SIGNS
COMMERCIAL NEIGHBORHOOD
1600
Contractor
JACKSON S SIGNS & GRAPHICS
472 MOUNT PLEASENT RD
PORT ANGELES WA 98362
(360) 457 3703
Permit SIGN
Additional desc 20 SQ FT WALL SIGN
Permit pin number 113076
Permit Fee 47 00 Plan Check Fee
Issue Date 11/01/07 Valuation
Expiration Date 4/29/08
Qty Unit Charge Per
1 00 47 0000 PER S SIGN LESS THAN 25 SF
Fee summary Charged Paid Credited
00
1600
Extension
47 00
Due
Permit Fee Total 47 00 47 00 00 00
Plan Check Total 00 00 00 00
Grand Total 47 00 47 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.
Il -01-0') P�(� ( 4�
Date Print Name
T.Forms/Building Division/Building Permit (10/01/07).wpd
Signature of Contractor 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
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR/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
I` 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 N's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
FINAL
FINAL
SEPA.
ESA.
Ij Ij SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL LIGHT DEPT 417-4735
CONSTRUCTION R.W /PW/
ENGINEERING
417-4807
FIRE
417-4653
PLANNING DEPT
417-4750
BUILDING
417-4815
T.Forms/Building Division/Building Permit (10/01/07).wpd
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW / ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY:
DATE ACCEPTED BY.
DATE I ACCEPTED
YES NO
W L 0tJ10RT,,,,er�s BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY
Date Rec. i 0 (7 " 07
W�`* Fill out COMPLETELY and in INK. Your application, prescriptive energy
it
form, plans, specs, and a 8 %z" x 11" site plan MUST BE COMPLETE to be Permit # 0-1
n. w I Date Approved:
'► accepted for review (360) 417-4815 FAX (360) 417-4711 UI i
Date Issued:
Residential projects, submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent (I- i,- Q t, -f Phone
Owner 1101, kAt a Tc, c, A14 _ Phone
Owner's Address / 1,2=�-
Contractor/Engineer `y: ,-,:.) Cts . State License #��/} e LE 6n a.� xplres - ")C)c,
Contractor/Engineer's Address &I XZ d Al ig-mp Phone G/_ S� � - -� ;7,�D �
PROJECT ADDRESS�/ 1 I, eC s� s _��- ZONING 0 -.5 N
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF"WORK SIZENALUATION
❑ Residential ❑ New Constr ❑ Re -roof ❑ Stove SF @$ /SF = $
❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF @ $ /SF = $
❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @ $ /SF = $
❑ Repair Sign ❑ Other TOTAL VALUATION
BRIEF DESCRIPTION Of THE PROJECT —
COMMERCIAL/RESIDFATIAL. Occupancy Group- Occupant Load. Construction Type:
Existing Structure(s) basement Sq Ft. &. Proposed Structure(s) basement Sq Ft.
151 floor Sq Ft. & I" floor Sq Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3`d floor Sq. Ft. & 3`d floor Sq Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
LOT COVERAGE Maximum Height of Proposed Structure(s) Ft.
Lot size Sq Ft.
Existing Structure(s) Sq. Ft. Footprint Are you planning to install a lawn sprinkler system?
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. 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)
I hereby certify that / have read and examined this application and know the same to be true and correct l am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required, and that 1 must obtain
such permits prior to work.
Date Applicant (
TAFORMSIBUILDING DIVISIOMBIdgPermitAppl.-2006 CODE backupmpet" /
! ls' W6,
p t yy !
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f \
a 1
! 3
4' X 5, 3/4" MD0 Slgn
CF'l Computero
112 W. bth Gt re et
leo rt R �j l V � Y V A CITY OF PORT ANGELES — Construction Plans
The lssuance 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. specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
Approval DaterD t 1 13Y
�.. �i wesn.4c.. -•.
Mounting diagram for wall mount Sign
Wa I I
Lag bolt with washer
51gn
Lag bolt with washer
4,iWW;AO
CFl Computers
112 W. 8th Street
Bort Angeles, WA
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
05-00000873 Date 9/19/05
968249
112 W 8TH ST
06 -30 -00 -0 -2 -6708 -0000 -
ELECTRICAL ONLY
COMMERCIAL NEIGHBORHOOD
0
Owner
Contractor
- -----------------------
LAUREL LANES CORP
------------------------
HI TECH SECURITY INC
108 W 8TH ST
723 E FRONT ST
PORT ANGELES
WA 983626032
PORT ANGELES
WA 98362
(360) 452-2727
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc .
. HI TECH/ CAMERA AND MONITOR
Permit pin number
60087
Sub Contractor
HI TECH SECURITY
INC
Permit Fee
42.20
Plan Check Fee
.00
Issue Date . . .
. 9/19/05
Valuation . . . .
0
Expiration Date .
. 3/18/06
Qty Unit: Charge Per
Extension
1.00 42.2000
EL -LOW
VOLT SYS <=2500 SQFT
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
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
YES NO
DITCH
ROUGH -1N / COVER
SERVICE
FINAL
Irk ,,GENERAL COMMENTS:
e. .
Pw-1102.1314%)
' J�FPOflTµC'p CITY OF PORT ANGELES
°ham DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
v 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
04-00000460 Date 5/28/04
Pin number . . . . . . .394560
Property Address . . . . . .
112 W 8TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -2 -6708 -0000 -
Tenant nbr, name . . . . . .
LABOR READY
Application description . . .
SIGNS
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
COMMERCIAL NEIGHBORHOOD
Application valuation . . . .
200
Owner
Contractor
------------------------
LAUREL LANES CORP
------------------------
ADVERTISING SALES &
MORE
108 W 8TH ST
1327 E. IST STREET
PORT ANGELES WA 983626032
PORT ANGELES
PORT ANGELES
WA 98362
(360) 452-7785
----------------------------------------------------------------------------
Permit . . . . . . SIGN
Additional desc . .
Permit Fee . . . . 60.00
Plan Check Fee
.00
Issue Date . . . . 5/28/04
Valuation . . . .
200
Expiration Date . . 11/24/04
Qty Unit Charge Per
Extension
2.00 30.0000 PER S-
SIGN ALL 25-
60.00
Fee summary Charged
----------
Paid Credited
Due
-----------------
Permit Fee Total 60.00
------------------------------
60.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 60.00
60.00 .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 au 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:\PLANNING\FORMS\1102.115 [11/14/2003)
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPEI DATE YES ACCEPTED TEDVO 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 I 1
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/LIGH
LANDSCAPING TING I I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
FIRE 417-4653
PLANNING DEPT. 417-4750
BUILDING 417-4815
T:\PLANNING\FORMS\1102.15 [11/14/2003]
ELECTRICAL
LIGHT DEPT
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE DEPT.
PLANNING DEPT.
BUILDING
BUILDING PERMIT - APPLICATION
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:_ UZ
Owncr:--L
Address: L 11 city: P,,zt
FOR OFFICIAL USE ONLY: -
Date Rec. /6 -o q
Permit #: ewA 6 D
Date Approved:
Dam Issued:
Phone:
Phone:
Aj CC2 C -<S S zip: 9F3 C 2
Architect/Engineer: A S r S S C --j ie Phone:
Contractor Cj IQ State License #: 0,4 c. e Exp:
Address: City:
PROJECT ADDRESS: L - &A-'' - S, — a"i c -,,-
LEGAL DESCRIPTION: Lot: �- 14 Block: *3 c) (I / Z G -I Subdivision:
CLALLAM C01 JNTY PARCEL NUMBER: 0 (,'1 0 <D (D p-2— 6 —? a&
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
0 Residential 0 New Constr. El Re -roof
0 Multi -family 0 Addition 11 Move
M Con-me-rcial El Remodel 0 Demolition
0 Repair >esip
BRIEF DESCRIPTION OF THE PROJECT:
City:
Phone:
Zip:
ZONING:
E --p. Date:
SIZE/VALUATION:
* Stove I • Z SF. @ $ /SF. = $
* Garage SF. @ $ /SF. = $
* Deck SF. @ $ /SR = $
1:1 Other TOTAL VALUATION $
S 6 d, -,j 1-4 r4,4 C, ,
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft.
& Proposed Sq. Ft.
=TOTAL Sq. Ft.
Total lot coverage
%
PLANNING USE ONLY:
APPROV S.
PLAN:
BLDG:
9' --111 , V11
DP"J:
ESAJWetland(s): M Yes D No SEPA Checklist required? F1 Yes
D No Other:
FIRE:
OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information or, the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will he reviewed
and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
/ hereby certify that I have read and examined this application and know the same "�ndcorrect, / am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, nohe City's, and thaRrn�t, obtain such permits prior to work,
T:\I--ORMS\APPS\Buildingp,ermit.wpd Applicant: Date: S 1 0
q 4Z.3L
I
�4-
I
� - a.*Z. .-, C2.
C"0 --,-C`
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e 2-
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�v � -2- -?
C__3,_,4, C�
� J2� (
2_1:z. ELECTRICALWORKPERNIITAPPLICATION
F 0 Reauest Insneetion
D Electrical Contractor ❑ Owncr ,Z
0 Annul Permit 0 Alarm ❑ Carnival Commercial 0 Residential 0 Residential Maint. 0 Signs Q Thermostat 0 Tcjeeom.
� \%lnstalladon d£saiption �
Job ruired by �ectrical Contractor D Owner
Electrical contractor name License number
Ser—o;wry. 17.c_ 1itTFCT's 45565
Pumhasnr's mailing address
X23 ct,.s-r �caz�.�
Cit State ZIP
aGti wA. 4342
Telephone number FAX number
3�0-`152 _2�2�Ga `fS2 016
Premises owner's name 5ark11 rr*
T:IRzr FgQpfai L SAV t.pQS 1 oA+� o
Address of inspection
Clr> o�T P,,* ,6E:c, aP, 98342--.
t
z1l"At\1 S it { IA.N_41,
ct� ftis *- {mecca z sfl --
Q Cash Q Check # p., i- t\ !et_
I hereby certify that I am the owner of the above named property or a licensed P<redit Card Visa Mastercard Discover
elecvicai contractor {or the form's authorized agent} and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Card # - -
1* Signature of owner. elect0cat coarroctor or electrical administratnr Expiration Date �
� Inspection fee
X Mi of
` WALLS , MUNG SERVICE
Insulation Only InsuleGon Only
mo,npam+a Sy nate .anmo wiry
pp„ �pprovcd ay Ila,e Mpruvcd nY DITCH FEEDrt
COv£r Cnvct
prep approved 9y unit Approved
By
Electrical load Additions and or subtractions
0 NO LOAD CHANGES
0 Baseboard _ KW
0 Furnace _ KW 0 Overhead Service
Q Heat Pump —Ton _ LAR 0 Temp Servu:e
Q Fan -Wall _KW ,Q Underground Service
Inspection ( Arco, Building or Equipment Tnepoctcd
Date
Td WdST:ZT SOOZ ET 'daS
N
0950 ESP 092 : 'ON Xdd
Approved aY / � 0. nrp.pvw uy
,fisprvice Information
voltage
Phase Q 1 Q 3
Service Size: _
Feeder Size: _
Action Taken
Electrical
Inspector
SDINOdID913 H091—IH : WObd
Application Number . . . . . 23-00000446 Date 5/03/23
Application pin number . . . 242164
Property Address . . . . . . 112 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6708-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Portable generator
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WAVEDIVISION I LLC LEGACY TELECOMMUNICATIONS INC
401 KIRKLAND PARKPLACE STE 500 PO BOX 360
KIRKLAND WA 98033 BURLEY WA 98322
(253) 858-0214
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 102.00 Plan Check Fee . . .00
Issue Date . . . . 5/03/23 Valuation . . . . 0
Expiration Date . . 10/30/23
Qty Unit Charge Per Extension
1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 102.00 102.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 102.00 102.00 .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 5/02/23, 7:46:41 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000446 112 W 8TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 102.00
TOTAL DUE 102.00
Please present reciept to the cashier with full payment
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
5/3/2023 23-446 TAP
OWNER
CONTRACTOR
Legacy Telecommunications
PROJECT ADDRESS
112 W 8th St
Application Number . . . . . 22-00001205 Date 9/27/22
Application pin number . . . 938640
Property Address . . . . . . 112 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6708-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WAVEDIVISION I LLC VANZELIA LLC
401 KIRKLAND PARKPLACE STE 500 1128 SW SPOKANE ST
KIRKLAND WA 98033 SEATTLE WA 98134
(855) 505-8500
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 376.00 Plan Check Fee . . .00
Issue Date . . . . 9/27/22 Valuation . . . . 0
Expiration Date . . 3/26/23
Qty Unit Charge Per Extension
20.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 100.00
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
1.00 88.0000 ECH EL-COMM-SIGN 88.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 376.00 376.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 376.00 376.00 .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
LOAD CALCULATIONS
112 W 8th Street
Port Angeles Washington 98362
(1) LIGHTING LOADS
•Store (Retail)994 square feet 01890
•Office 994 square feet 01193
•Show Window 30 feet 07500
•Track Lighting 50 Feet 04688
•Sign 2 03000
(2) HARD
•Heat 36000 36000
•Air Conditioning 32000 32000
•Receptacles 45 08100
(3) FIXED
•Fan 1600 x 2 03200
•Microwave 3000 00300
•Hot Water Tank 5000 05000
(4) 25% LARGEST MOTOR
•01600 00400
71271 / 240 = 297 amperes
c
STATE OF WASHINGTON
7532
devin johnson
ARCHITECTREGISTERED JOHNSON SQUAREDARCHITECTURE + PLANNING595 Madison Ave N.Bainbridge IslandWashington 98110T . 2 0 6 . 8 4 2 . 9 9 9 3F . 2 0 6 . 8 4 2 . 9 6 6 6www.johnsonsquared.com
This document is the property of Johnson Squared
Architecture until transferred by actual sale. All
Rights Reserved. And is soley to be used for the
construction of project stated. No other use of this
plan shall be permitted without written consent from
Johnson Squared Architecture. All general
contractors and subcontractors shall check and
verify all dimensions and notes prior to start of
project construction.
PREPARED 9/23/22, 7:55:57 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001205 112 W 8TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 376.00
TOTAL DUE 376.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/6/2022 22-1205 TAP
OWNER
CONTRACTOR
Vanzelia LLC
PROJECT ADDRESS
112 W 8th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
Partial ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Wall and hard lid cover
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/14/2022 22-1205 TAP
OWNER
CONTRACTOR
Vanzelia Electric
PROJECT ADDRESS
112 W 8th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Job completed by Phase NW Electric 23-644
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/12/2023 22-1205 TAP
OWNER
CONTRACTOR
Vanzelia Electric
PROJECT ADDRESS
112 W 8th St
ELECrRICAL PERMIT _, s
CITY P PEORT ANGELES
360-417-4735
-Application Number . . . 19-00002055 Date 1/02/20
Application Pin number 355040 REPORT STATE SALES- TAX
Property Address . . . 112 W 8TH ST
ASSESSOR PARSEL-NUMBER: 06-30-00-0-2-6708-0000- on your excise tax form
.Application type description ELECTRICAL ONLY to the City Of Port Angeles
Subdivision Name . . . (Location Code 0502)
Property Use . . . . . .
Property Zoning . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . 0
Application dese
Access camera
-----------------------------------------------------------------------
Owner Contractor
WAVEDWISION I LLC OLYMPIC SEC & COMM SYS INC
401 KIRKLAND PARKPLACE STE 500 PO BOX 3559
KIRKLAND WA 98033 ARLINGTON WA 98223
(360) 652-1088
----------------`-: ------------------------------------- ---------------
Permit • ELECTRICAL ALTER COMMERCIAL G
Additional?desc
Permit Fee 101.00 Plan Check Fee .00
Issue Date . . 1/02/20 valuation . . . 0
Expiration Date .. . 6/30/20
Qty Unit Charge Per Extension
1.00 96.0000 BCH EL-LIMITED 1ST 1500.SQ FT 96.00
1.00 5.0000 BCH EL-ADDNT LIMITED 1500 SQ FT 5.00
----------------------------------------------------------------------------
Fee summary Charged ---Paid___ -------Credited ____Due___ f
----- -------- ----- - -- -Credited
Permit Fee. Total 101.00 101.00 .00 .00"
Plan Check Total .00 .00 .00 .00
Grand Total 101.00 101.00 .00 .00
I
i
I
- i
'41
i
-
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST TNSPBCTION
Signature of owner or Electrical Contractor X Date:
�,,
_'"�'
i
��
;'
j
t
�� .
MULTI-FAMILY [COMMERCIAL '
ELECTRICAL PERMIT APPLICATION
1 �
Public 'Works and Utilities D pai•tt ant
'21 E, 5th Street, fort Angeles. WA 98361 �/`•� ��t, N
360.417.4?3 w%v",.cityofpa.us clectricalperiiiits@cityofpa.us
Project Address:k _ 4a
Project Description: ,�►-
® Multi-Family Residential Commercial/Industrial/Public Building Square footageZ
Name: Email:
Mailing Address: Phone:
Name: Li . _
censer C-
Mailing Address: xpiration Date:t;
Email: . Phone . l. .l
�
�UVM
Uralt,Charae Total`10 ant ty 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 1000Amp, $410 00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $6.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder200 Amp, $102 00 $
Temp.Service/Feeder 201-400 Amp. $121,00 $
Temp.Service/Feeder401-600Amp_ $16400 $
Temp.ServicwFeeder 601-1000 Amp $185.00 $
Portal to Portal Dourly $96.00 $
Sign J Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $ .
Signal CircuitfLimited Energy/First 1500 sf-Commercial $96.00 $ 1[�1 ----
(Note:$5.00 for each'additiowl 15M sf)
Renewable Elec.Energy:SKVA 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-
468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1 a � 3
Date Print Name Signa re(❑ Owner X Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 j
Application Number . . . . . 24-00000051 Date 1/18/24
Application pin number . . . 352195
Property Address . . . . . . 112 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6708-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Low voltage communications
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WAVEDIVISION I LLC EVERGREEN TECHNOLOGIES INC
401 KIRKLAND PARKPLACE STE 500 3623 E MARGINAL WAY S
KIRKLAND WA 98033 SEATTLE WA 98134
(206) 774-1400
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 212.60 Plan Check Fee . . .00
Issue Date . . . . 1/18/24 Valuation . . . . 0
Expiration Date . . 7/16/24
Qty Unit Charge Per Extension
1.00 190.2000 ECH EL-LIMITED 1ST 1500 SQ FT 190.20
4.00 5.6000 ECH EL-ADDNT LIMITED 1500 SQ FT 22.40
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 212.60 212.60 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 212.60 212.60 .00 .00
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
1/19/2024 24-51
TAP
OWNER
CONTRACTOR
Evergreen Tech
PROJECT ADDRESS
112 W 8th St
Application Number . . . . . 23-00000644 Date 6/23/23
Application pin number . . . 785376
Property Address . . . . . . 112 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6708-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Final for permit 22-1205
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WAVEDIVISION I LLC PHASE NW LLC
401 KIRKLAND PARKPLACE STE 500 8601 S 212TH ST
KIRKLAND WA 98033 KENT WA 98031
(206) 487-7278
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 162.00 Plan Check Fee . . .00
Issue Date . . . . 6/23/23 Valuation . . . . 0
Expiration Date . . 12/20/23
Qty Unit Charge Per Extension
BASE FEE 86.00
4.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 20.00
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.00 162.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 162.00 162.00 .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 6/21/23,10:48:39 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000644 112 W 8TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 162.00
TOTAL DUE 162.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
1. Finish installation of low voltage telecom.
2. Label breaker panel schedule spare for unused breakers. NEC 408.4
3. Secure LFMC within 12 inches of box. NEC 350.30
4. Plug hole in exterior bell box. NEC 110.12
5. Breaker blanks required for panel openings. NEC 110.12
6. Access control cables shall be installed in a workmanlike manor. NEC
725.24
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/12/2023 23-644 TAP
OWNER
CONTRACTOR
Phase NW
PROJECT ADDRESS
116 W 8th 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
1/19/2024 23-644
TAP
OWNER
CONTRACTOR
Phase NW
PROJECT ADDRESS
112 W 8th St