HomeMy WebLinkAbout212 S Peabody St - Building CITY OF PORT ANGELES
*M PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000723 Date 7/18/11
Application pin number 717636
Property Address 212 S PEABODY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -6 -5 -0006 -0000- on your State excise tax form
Application type description PUBLIC WORKS UTILITES
Subdivision Name to the City of Port Angeles Property Use (Location Code 0502)
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Application desc
abandon sewer pump reconnect to gavity RCP #11 -25
Owner Contractor
GUNDERSON, JEFFREY LINDA OWNER
235307 HWY 101
PORT ANGELES WA 98363
Permit RIGHT OF WAY
Additional desc RECONNECT TO GRAVITY MAIN
Permit pin number 189167 A 4
Permit Fee 150.00 Plan Check Fee .00
Issue Date 7/18/11 Valuation 0 r
Expiration Date 1/14/12
Qty Unit Charge Per Extension 1 v
1.00 150.0000 ECH RIGHT OF WAY PERMIT 150.00
Special Notes and Comments Q /1
Traffic control per attached plan. Call City inspector prior
to start of work 417 -4831
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\
1
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
presum to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru ti n.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T: Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 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 NO
PW UTILITIES '(Engineering Division)
WATERLINE
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK s•:
CURB GUTTER
DRIVEWAY APPROACH
;BACK -FLOW DEVICE',"
t
k. w _k f 'i r i 4 r v 4
FINAL INSPECTIONS. REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL, DATE'' YES NO COMMERCIAL DATE `.ACCEPTED
YES NO
CONSTRUCTION R.W. P.W/ CONSTRUCTION: R.W
ENGINEERING "h' 417 -4807 •PW ENGINEERING
FIRE 417 -4653 FIRE DEPT..
PLANNING DEPT. -417-4750 PLANNING DEPT.
BUILDING 417 (BUILDING
4815
T Forms /Buildin Divtsron /Public Wo
g ks Permu
ApiSlication'Niimber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuits Lighting change
Owner
Gunderson Jeffrey/Lind&
235307 HWY 101
.PORT ANGELES
Permit ELECTRICAL
Addi:tion&I-dese-
Permit pin number 159020
Permit Fee 76. 10
Issue Date 1/05/10
Expiration Date 7/04/10
Qty Unit Charge Per
1 00 73 5000 ECU
---1 00- 2. 6000 ECH
Fee summary Charged
Permit Fee .Total 76 10. _76.10
Check :Total ===00 00
Grand Total 76 .10 76 10
INSPECTION TYPE
WA 98363
DITCH
SERVICE
.ROUGH
fINAL
_COMMENTS._
EL
.EL
out
ELECTRICAL. PERMIT
CITY OF PORT ANGELES
360-417-4735
Date 1/05/10
10 00000002
168818
212 S PEABODY ST
06 30 00 6 5 0006 0000
ELECTRICAL ONLY
COMMERCIAL-ARTERIAL
0
Contractor
-NORTH PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 17-64
BRANCH CIRCUIT WO/FEEDER,
ECH.ADDNT BRANCH CIRCUIT
Paid Credited
DATE
Plan Check Fee
Valuation
00
00-
00
111'o
RESULTS
00
0
Extension
7 3 50
2 60
Due
00
00
00
_Signature of owner or EleCtrical Gonfractor X Date
INSPECTOR.
2010 -01 -01 16:07
Description of above
NORTH PENINSULA ELEC 3609289409 3604174711
City of Port Angeles Permit Application
Building DMsImYEbdrlcsI Inspections
321 East Mb Street P.O. Box 1190
Port Angeles Washington, 98362
Ph: (380) 417 -4735 Fax: (380) 417{711
Date:
1 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel Repair'
Plan Review May Be R I ced, Please gomplete Etgal Pir R&M Informatio Sheet
Job Address:
Vr' ')C �•'\`C` c_e_.\
Building Square Footage:
1 te c\ L v C
►P. 1/1
a
0
Owner Informs Contrada Ireton on
Name: �C� Name: C Y\ LS- \-A Ae G.
Melling A fit: Mailing Address: t Lc"C N r L
City State: P Zp Y.,'7�,c`Z- City V 11� State: Zip: 3
Phone: Fax: Phone: Fax: 1..-t C:�
License Exp. license Exp. _QC) 'Pr' c- 3. ,CY∎
Unit Ching gh( Total (Xitlyitiplied by Unit Charge]
93.75 Service/Feeder 200 Amp.
5113.15 Service/Feeder 201.400 Amp.
.5160.00 Service/Feeder 401600 Amp.
5205.00 ServioeJFeeder 601 -1000 Amp.
5291.25 Service/Feeder over 1000 Amp.
2.00
Branch Circuit W/ Service Feeder
57.50 1 S `1 Branch Circuit WIC Service Feeder
Y.00 1 t;:' Each Additional Branch Circuit
72.50 'Temp. SeMce1 Feeder 200 Amp.
86.25 Temp. Service/Feeder 201 400 Amp.
5116.25 Temp. ServicelFeeder 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 CirauiU Limited Energy Commercial
50.00 Signal Circuit/ Limited Energy 18 2 Family Dwelling
50.00 Signal Circuit/ limited Energy Multi-Family Dwelling
93.75 Manufactured Home Connection
80.00 '5 Renewable Electrical Energy SKVA System or Less
86.25 Frost 1300 Square Ft.
27.50 Each Additional 500 Square FL or Portion of
57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
OSSZE Total
7L. (z
Owners. defined by RCW.19.28.261: (f) Owner wlfl occupy the seater, for tiro years after Ude electrical pemdt is finalized. (2) owner is requhed. tabby .n
electrical contractor N above said properly Is for soy, rent or base.
After reading the above statement, I hereby tardy that I am Um owner of the above named Property or a licensed electrical aaRract9c l am making the 0401011.
Installation or efteratlon In compliance wkh the eleclrkal laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City o1 POrt Angels. Municipal Cod., and.
Utility SpecMelione.
Signature of owner, electrical contractor or electrical administrator 0 Cash
O Check
x (c\ o.t,: Credit Cord It
PERMIT INSPECTOR
6a 11101 ct 3co
OWNER/CONT(IACTOR
_t111,-/4 /A
ADDRESS
DATE
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL
CORRECTIONS NEEDED: Watoir 4 C.%)D,P VAC
o.2,z v !Ng c®t.m o Tbf? S J p Cori WIT'
)4 7* #k VP T1O I 15
Q,g.Dt9C -th �t s i4 r (4.96p )2\
R>� 5 1ou_c 7 1a 1 TH 1A -ei b'e
(O AC 360
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
New electric hot water tanks
Owner
Gunderson Jeffrey /Linda
235307 HWY 101
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98363
143917
57 50
4/08/09
10/05/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000300
573500
212 S PEABODY ST
06 30 00 6 5 0006 0000
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
Charged Paid Credited
57 50 57 50 00
00 00 00
57 50 57 50 00
v
Date 4/08/09
WA 98362
DATE RESULTS
00
0
Extension
57 50
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
04/07/2009 09 01 FAX 360 452 9265
City of Port Angeles. Permit Application
BulldingDlvislonfEiectrical Inspections
321 East Street P.O. Box 1150
Pori Angeles Was1rington, 96362
Ph:;(380)417.4733 f ax: 60) 417.4711
Date:
14 2 Single Family Dwelling
amity or Commercial*
!�o mmerdal Addition /Alteration I Remodel Repair'
X
Plan: Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2/2 f,g±/4Qpy
Building Square Footage: 2
Description of above /lbD
eiyuie F i L4w a
Owner Infor sorr1yy
Name: /W feNtA Elie -Se»US
Mailing. ddress: 4i9
City: ..i, a it s- s State: J)/) Zip: 3b
Phone: °�/o 04' 9,-s
License Exp.
Unit Charge (Q yt Total (Qty Multiplied bv Unit Chan
93.75
$113.75
$160.00
$205.00
$29125
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
8625
43.75
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after trite electrical permit fs finalized. (2) Owner Is requiredio hire en
electrical conbadorff above said property is for sale, rent or lase.
After reading the above statement, I hereby certify that 1 am the owner of the above named properly or a licensed electrical contractor. l am making the electrical
Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29646B, The City of Port Angeles i Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
Angeles Electric
APR 7 2009
Thermostat
7!5kLToW
LIGHT DEPT
£Le 141,M' 4/
.FF l Meuil.ran/ 4/41/— 616-Y
Contractor In tion
Name:
Mailing Address:
City:
Phone:
License Exp.
State: Zip:
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
1=7SfJ Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 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 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 Outbuiding or Detached Garage
Each Swimming Pool or Hot Tub
I?j 0001/0001
.p.
.ppiicacion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
Gunderson Jeffrey /Linda
235307 HWY 101
PORT ANGELES WA 98363
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Permit Fee Total
Plan Check Total
Grand Total
61 30
00
61 30
COMMENTS /ACTION NEEDED
-CITY PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121'EAST STH:STREET, PORT ANGELES. WA'98362
06 00000149
381737
212 S PEABODY ST SEWER
06 30 00 6 5 0006 0000
ELECTRICAL ONLY
UNKNOWN
0
Contractor
BOB S ELECTRIC INC
2293 DEER PARK RD
PORT ANGELES
(360) 457 6887
ELECTRICAL ALTER COMMERCIAL
BOB S/ SEWER PUMP STATION
70961
BOB S ELECTRIC INC
61 30 Plan Check Fee
2/17/06 Valuation
8/16/06
Date 2/17/06
Qty Unit Charge Per Extension
1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS 61 30
Fee summary Charged Paid Credited Due
61 30
00
61 30
00
00
00
WA 98362
00
00
00
00
0
■LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24. HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORF.BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DI t'C;H
ROUGH -IN COVER
SERVICE
FINAL I A _f I
1 I
I
1 1
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW- 1102.15 14196)
PORT,.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
Gunderson Jeffrey /Linda
235307 HWY 101
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
T \Policies \1102.15R [1/05]
WA 98363
69302
40 00
1/24/06
7/23/06
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000068
908084
212 S PEABODY ST
06 30 00 6 5 0006 0000
PUBLIC WORKS UTILITES
COMMERCIAL ARTERIAL
0
Contractor
OWNER
SANITARY SEWER HOOK UP
Qty Unit Charge Per
1 00 40 0000 EA SAN SEW REPAIR
Plan Check Fee
Valuation
Charged Paid Credited
Permit Fee Total 40 00 40 00 00
Plan Check Total 00 00 00
Grand Total 40 00 40 00 00
Date 1/24/06
Due
00
0
Extension
40 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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
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
Ij
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \I102.15R [1/05]
PERMIT INSPECTION RECORD'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
SEP-04-2007 12:05 PM
E.JANSSEN
368 452 2982
P.81
..
S
~trlclll Contractor a Owner ~"'i;j~y
..:J AnnUMI I~ermit C Alarm Q Cllrnlv:tl ~ COmDlel'duf
ELECTRICAL WORK PERMIT API'LICATION
I
o Request Inspection
CJ Residential lJ RelSid('ntlal Mainc. 0 Signs 0 Tbermo.ItQt t:I Telrcoln.
Job ",ired "J
a Electrical ContraNor 0 Owner
Il'~tllllalion dcs~'ripllon
to.c.uJ
Eh~'lriClll C:Unllll~ft)r numc l,iccnsc number
- ExffuJ: m 1~~e:/~clmc"'ll
1"""::W8h",;n~..:~ 1?4a' 'ST.
I,,? ~ s,,,, ZIP
: ..~_ "" d~~__~_ 4f3'l'o2.
" Telcphnllc llllnllH~r FAX "lImber
'''O-~~i- $".;3;1~ "':lG.D-
ro
c.. (.c..u.if
OtJ~
.
,r
" l'rcmJ.eJi O"'ner11 n.me
~I...L "~"''''....L.u.J!!L 0"Nk..~o.v
"ddre~rlon --"~
,~/;J../2.'/.l!._ S'~..Q~__
~"oLl- A....~~teAwvt-- '\ t" b
: I hereby cel'lify thaI J IUn the owner of the abDve named pmpC"Jty HI" i1 Jicmscd
. dectricilll'onlrnctor (or the finn's Juthj}riz~u IlgcnO anrl :un Illaking the cl(,'ctl'ir.:;al
Imt4dhuioll or nhenllinn in comrli;\nce with lhl: dc{'trical fllW, ('harteI' J9..:!x HCW.
o Cash
o Cheek I'
o Credil Card
Vi5.1. Mas1ercard
Discover
Card #
"--- --0_- ___,
trulnr or elcC'lrlcal ;ut",iniHr:lIl(lr
n
--~
E~piration DalC
of caru
\\AI.LS
Inu,liltiCllI Ollly
CEII.(f\;G
In!iul!ltiOrl Olllr
IJftlC ^1'1,,~.v...d Or
---r;;;;--- " - '\rrn,'c.I ~y
TIIERMos-rNf1
1l~1. A~)
C~~c~,J
SERVICE
n"lf ^JlIlm~~ "y
FEF-Dr,.a
O"lt -- Af'lDrVved Ay ./
I.
I
~
[)~IC -;;ppro;-....{'ij-y-
l'OVll't
~"i\
.'\)1f1I'"v""i"i'i'l""
(" 11 "-~'r
~IDClrIC81I,o.All.Alldl!!Qj]UllKtaraubtr;CIIQ!!J!
J NO LOAD CHANGES
~J Baslboard KW
.J Furnace ~(W
.J Heot Pump ___ Ton __ tAR
.J FllI1-Well __KW
----- - -- ._-
StrvlCA Informl!ltlan
C,) Overhead Sal\iit:p.
o Temp Service
U Underground Service
Voltage
Ph...O,03
Servlco Size: __
Feeder Size:
InlOp....\hln
Dah'
Area. BuildinB or Equipment Inspected
ACliun Taken
F:h:crrieal
Irupcctor
--0_- ___ _
'-~/o2
~N,+t..,_-
4"
~
- -RECEI
---
-sf-
7--- - -----.-
""--------
UGHT
-~------
o Electrical Contractor
CJ ADDual Permit I:' Alarm
S=--
..
~~.
DOwner ........?
o Carnival j:l(connnereia.
.
ELECTRICAL WORKPERMlT APPLICATION'
o Request Inspection
.
o Residential 0 Residential MaiDt. 0 Sigp-s 0 Thermostat 0 Telecom.
Job wired by
o Electrical Contractor Cl Owner
hlStallation d~e,iption
D2-
z. r!~~/n~
,.
Pr.mi,., ~.r's n.m.
tl. ~ A'~~
Address of inspection
~
CI.y
of owner. electrical c.ontractor or electrical admJnlsrruor
o Cash 1:1 Check #
I(C",;<c.ro @ ""-7iL ~
Ciird# ----Ct& _-____
I hereby t:ertify that 1 am the owner of Lhe abovt named property or a licensed
elecU'ical contractor (or the firm's authOrl7.ed asent) and am making the cl~trical
installation or alteration in compliance with the eleclrical1aw, Chapter 19.28 RCW.
WALLS
lnsulation Only
Expiration Date
of card
CEILING
Insulation Only
THERMOSTAT
SERVICE
0.'
"PflfOlleG By
OM.
.'Ppr\wodDy
D.'
Ailproved By
OllIe
Apllf'OYtd By
DITCH
FEEDER
Cover
Cover
Dale
"~"'I'''l;IWCCl. By
011\1:
Apl"O"W Ry
D..,e
A.E'l'foved By
O"to
AmIl'O>'Cd By
Elf!etrical Load Additions and or subtractions
1:1 NO LOAD CHANGES
1:1 Baseboard IW>I
(J Furnace _ KW
Q Heat Pump _ Ton ~ LAR
o Fan.Wall KW
Service Information
[J Overhead Service
a Temp Service
o Underground Service
Voltage
Phase 0 1 03
Service Size: _
Feeder Siz;e;
Inspection Area. Building or Equipment Inspected Action Taken Electrical
Date h'Sp~~lOt
?h?'0h ~/NAt- rIP ~r)
/ ,
.
--
/lrJf ) .2//o/nt:.
I /
Gd WdOG:G1 900G 01 'qd~
:;:t;>55 GSt;> 09[ 1
'ON XI:J~
~ t..l+~d13 S ,aoa
WO<l~
~ical Contractor
CJ Annual Permit 0 Alarm
;
e ELECTRICAL WORK PERMIT APPLICATION
~ ~. ! ~st Inspection ·
o Owner ~1ifJ'\/
o Ca1"Dh.al ~mmercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired hy
a Owner
Inst3l1atinn description
(..
~ /.t?C) *1' S~VH:€-,
?fM
'$;xiQ 77 Nf;-,
urchascr's mailing addre::is
,52-'1 E. fik!5T Sr:"
Cij)A-. w'1-'c ZIP
...;
'Ibl-l>6~
Hu';Z; M1't.i"'\ rBlfSl Hte- (Jl;FF
I hereby certify at I am the.: OWTlcr of the above nartled property or a hccnscd
electrical Coutr.Jctor (or the Citm.'s authol'ized agent) and am making the electrical
insL.lllation or alteration in compliance with the clecmcallaw, Chapu.T 19.28 RCW.
a Cash a Check #
~rd VISa
Mastercard
Discover
Card# ____-_L2d_..E./LjE::._~__
r or electl'i~al 3dministntor
Expiration Date
of card
7l)
x
WALLS
ln~;ulali()n Only
D3lt Appn:lvcd Sy
Cover
O;o'D All......'~''>:I By
CFJLING
IMulation Only
D~It.: "'ppro~CCl I:ly
Cover
O.:ltc At>t>fOV'Cd fly
TIIERMOST..\T
'- O~le AllpRlVC<! t1y
/' Drrrn
0.. AIll!l"lW\'<J 6y
SERVICE
- I)~'e Approved By
FEEDER
[la.e Appm'O'ad 1)'0'
~lIical Load Additions and or subtractions
NO LOAD CHANGES
CJ Baseboard KW
Q Furnace KW
CJ Heat Pump _ Ton _LAA
o Fan.Wall KW
o Ov~rhQad Service
Q Temp SelVice
o Underground Service
~u.t9rmation
voltage ~fI'i' ~
Phase 0 1
Service Size: ~ .
Feeder Size: .-#---Z. C. t.{
Insp":Clion Area, Building or equipment Inspected Action Taken Electrical
Dale Inspector
qlz-~/~ /TP/;fL AY ,4Q::)
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t/:z-/jvs
S9G6 GSV 09E JNI JI~~J313 S313~N~ ~O~~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:l2\ EAST 5TH STREET. PORT ANGELES. WA 91B62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000279 Date
629060
212 S PEABODY ST
06-30-00-6-5-0006-0000-
ELECTRICAL ONLY
4/22/05
COMMERCIAL ARTERIAL
o
Owner
Contractor
JOHN N/APOLINE R WATSON TRUST
8837 FAIRCREST DR
LAS VEGAS NV 891348575
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(360) 452-9264
WA 98362
----------------------------------------------------------------------------
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
ANGELES/ 100A ALTER SVC.
47753
ANGELES ELECTRIC
78.70 Plan Check Fee
4/22/05 Valuation . .
10/19/05
.00
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Qty
1. 00
unit Charge Per
78.7000 ECH EL-COM ALT 0-200 SRV FDR
Extension
78.70
(I)
-----------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78.70 78.70 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 78.70 78.70 .00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEgJON 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-II02.l~ (4'96]
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FEE RE.CEIPT NUMBER
. CITY Q.F PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
,07
PERMIT NUMBER
I
/.
'TOTAL FEE' /6,00 v(U'v.-,(.Jtc ,J7u./-
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SI.te Address ::2 / 2 J, ,De., b<~ .
CORRECT ADDRESS IS RES NSIBlllTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner . f4L-~ Wd.ron Installation By . /!1,.!:1? ~ ~~",(,'r7
Owner'sAddress ,j..J'3 V"tfhnn . Installers Address tf?r. U -r.;"g.",;~ ?e/A-
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Day Phone 47..z.- 9'ppr.:> Installers Phone' &97- 4//r3
Application is hereby mage for.Perm.i~ to ~nstal! Electrical Equipment as follows: :z... Flhr. F; v~... _-"
~(/"':rho.~j' /J~Jfi;/-e FnJ"/ /J,M!'" U;/ /%,r/;; r<?~/ ~ r-ero..,..r",
r:,v/flin;t e/<!!ol: r__yn Wiring Method
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AMP 24QV NUMBER AMP 120V- 24QV
USE OF CIRCUIT NUMBER PEA o 120V 100R FEE USE OF CIRCUIT PEA 10'OR FEE
CIRCUITS CIA 10 30 CIRCUITS CIA '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
MOTOR .. ..
CONVENIENCE
CONVENIENCE MOTOR "
APPLIANCE. " MOTOR
DISHWAStiER . FIRE ALARMS ,
DISPOSAL BUAGLAA ALAAM
..
RANGE:: MISC.
OVEN
WATER HEATER
LAUNDRY ..
. REINSTALLATION LIGHT FIXTURE # ..
DRYER
FURNACE . -. SUB TOTAL FEE
GAS--OIL
FURNACE ENERGY FEE
ELECTRIC - , ..
BASIC FEE
ELECTRIC HEAT - /~/ 00
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
... --
A.C.UI'JIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE 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 m'ade "--;/naLe./.. ..:?fR." . ,19 Ji~ By /1'
CONTRACTOR OR OWNER (OR AUTHO AGENT)
Permission Is hereby given to do the above,described,work, according to the conditions hereon and aC90rding to the proved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City _of Port Angeles. ... ",:1:"' '.' ,.' (
DIRE ;fOR OF CITY LIGHT . .;.
.';P~/;;
WARNING I
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 _
WHITE. Original CANAAY. Duplicate PINK. Triplicate WHITE CAAD . Inspector's Report
OLYMPIC PAINTEAS, INC.
,
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16859
. :>1'
Port Angeles, Washlngtonm......m6:._=.;;Jm~m...moo.oo..moom, 19.00.0000
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address .~.~~~-tl~.oo.moommoom.-... ocCUpanCy.n..,:?-?:4.-'-_hmnoooo.m..oooo
~::~ ~~~~~~~:~..::.::?):fi;:::::~451:?::f:oo..~~:~~~;~::::::::::::~:...~::::::::::=::::=::::::::::=::::::::::=:::::::::
Light Outlets..............................._.._..... Service. volts /..f?.fL-:?Y..O"... t ~- Type of Wiring:
Receptacle OutIets....__..___.................... No. wires .....'Y...~...... ~ Armored Cable ..........--..................
SI I 9 "'-0 Me AA -= Non.Metallic .................................
Dryer, KW.....__......___..............._.......... ze w res..r;:m./.m...I.:..'Z.. ._L:.j_.. ~
Main fuse~.(2Ii.~................... Knob & Tube__................m..__......._
Enclosure ..c...l.0............... RIgid Conduit ...............................
Metslllc Tubing ...........................
Range, KW..............__..........._.........
Water Heater:
KW......h.mm.....hmm.oo..
Type of wiring:
Entrance Cable m__m..........m........
.'
Rigid Conduit ......h............__m......
Metallic TUbing ____m______...
Current transformers:
No. & Size....=.~..:..m......__......__........
Raceway ............................._._.__._
CIrcuits, Llght.........................m......._..
Utlilty.............................................
~ '- ~ t'"
Heat: KW.h.__..._...........m..___.........c...........
Motors: size, volts.and 'phase:
1-.....;)..$'........1./!....~Y!.f...
I -:.,j!j/-/.h.3.~..~.~..t...
Ser. No....................................----.--....
I-Ieat ........._._..........._.............._.._
Range .............................................
Water Heater ..__...........................
Motor ..._........................................
Ser. No. ..n..n____.____....__.............__.......
Dryer....________..................____.______......._
Furnace ..n.....................'w__n______.......
Ser. No.............__.'............______.__..........
Remark:~ta:oo,~:..;;t~;:.:~~.nhrlL-s~':.~Z:~I!...~..:2.::~..d.q,/e.~:~=::iJ;;;:~e-
......_..._._m....__I/.._m_..._.,::___......_.51______.m___oo.....m..m...m______m.lmm.m___m_.........m....._..............._......m.___.m..
,.
m;oo___.-<m___mmoomoo;:.-._...;.._mmmoom..m_._..m_m..m..nh___m___.m___moo.moooo..m----.m---oom;7/;...7/---.m..m---.'.... m___...
Permit Fee : . Treas. Receipt I/],{ f tJlcJ/J...t:. ~ ~
$m...___.___....m.mm..___.___.. NO..m..m..._..m.......__ By 7~.L::':oo.r..-.........:?f!::~m..~.f."-'..
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16859
Address..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_.........
Owner ..n..............................._......_.__......_......_.._.......un................................................ Tenant..........nn........................................._..........
Wjr~ Contractor ..........................................................._............................................................. By ..............................................................
~TICE-CUrrent must n()t be turned on unUl Certlflcate of Inspection has been issued. If work Is to be con-
cealed~ue notice must be given the Inspector so that work may be inspected betore concealment..
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . . 15- 00001389 Date 11 /03/15
Application pin number 546503
Property Address , , . 212 S PEABODY ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-5- 0006 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , , , . , ,
Property Use
Property Zoning , . . , , , . COMMERCIAL ARTERIAL
Application valuation , , , , 0
-------------------------------------- ---------------------------------------
Application desc
Main breaker replace
Owner
Contractor
G;UNCDERSON, JEFFREY
& LINDA
a0TERO & SON ELECTRICAL
235307 HWY 101
940 TAMARACK WAY
PORT ANGELES
WA 98363
PORT ANGELES
WA 98362
(360) 452 -4766
Permit . . . . .
, ELECTRTCAL
ALTER COMMERCIAL
Additional desc ,
.
Permit Fee . , .
. 132,00
Plan Check Fee
00
Issue Date , . .
. 11/03/15
Valuation
0
Expiration Date .
. 5101116
Qty Unit Charge Per
Extension
1,00 132.0000 ECH -EL -COM 0 -200 SRV FEEDER
132.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1$2,00
132,00 .00
.00
Plan Check Total
OD
.00 .00
00
Grand Total
132.00
132,00 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
-&EI CE�
� 1!
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
O:IEXCIIANGETUILDING
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 (_q
�7 Credit Card #�` -
X Dated: G— 01/0112012
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:
Multi - Family or Commercial*
_
* Plan Review May Be Required lease Complete Electrical Plan Review Information Sheet
Job Address: Z C' ckbci d.
Building Square Footage:
Description of above
--e �k?� V. y„"_tyj
�wrr y � sti
Owner Information
ContractQ nformatio
Name:
Name;
Q_ C� e
Q.
Mailing Address:
Mailing Address: _C,
6W 20 '
City: State: zip:
City: a r iS b E✓E State: L-
Zip:
Phone: Fax:
Phone: Fax:
License # 1 Exp.
License # I Exp,
Item
Unit Charge
fit Total (Qty
Multiplied by Unit Charnel
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
$
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. ServicelFeeder 601 -1000 Amp .
$185.00
$
Portal to Portal Hourly
$ 96.00
$
&gnlOutline 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: $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•, 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 (_q
�7 Credit Card #�` -
X Dated: G— 01/0112012