HomeMy WebLinkAbout403 S Peabody St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
PICO -A WASHINGTON PARTNERSHIP
403 S PEABODY ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
23 00 14 0000
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
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
WA 983623210
BUILDING PERMIT NO PR FEE
TEAR OFF FELT WOOD SHINGLES
414 75 Plan Check Fee
5/27/04 Valuation
11/23/04
Per
04 00000462
228158
403 S PEABODY ST
06 30 00 0 1 7125 0000
RE ROOF
BASE FEE
THOU BL -2001 25K
Charged Paid
414 75
00
4 50
419 25
COMMERCIAL OFFICE
24316
LEGACY ROOFING INC
19330 NE UNION HILL RD
REDMOND WA 98053
(206) 999 7663
(14 PER K)
STATE SURCHARGE
414 75
00
4 50
419 25
Credited
00
00
00
00
Date
5/27/04
00
24316
Extension
92 75
322 00
4 50
Due
00
00
00
00
/QA
,(1,2
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.
(?)!'l L i L- L
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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
1 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION
FOOTINGS I
WALLS I I I
FOUNDATION DRAINAGE/DOWN SPOUTS I I I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I I I
PLUMBING
UNDER FLOOR SLAB I I I
ROUGH -IN I I
WATER LINE (METER TO BLDG) I I I
GAS LINE I I I
BACK FLOW WATER I I I
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS GIRDERS I I I
SHEAR WALL/HOLD DOWNS I I I
WALLS ROOF CEILING I I I
DRYWALL (INTERIOR BRACED PANEL ONLY) I I I
T -BAR I I I
INSULATION
SLAB I I I
WALL FLOOR CEILING I I I
MECHANICAL
HEAT PUMP I I I
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I I I
HOOD DUCTS I I I I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
I
WATERLINE METER I I I
SEWER CONNECTION I I I
SANITARY I I I
STORM I I I
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING I I ESA.
LANDSCAPING I I I SHORELINE.
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
TA P1 a NNTNl;1fillR MC11 109 1 5 6 1 /14/20031
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE i
DATE YES NO COMMERCIAL DATE ACCEPTED I
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
Sent By Legacy Roofing Inc,
1
A,vrL i -}i¢ rs
Phone: a t O q -7(
j
p h o n e (R(6(1 S 7
q q,?'N Zip: c R. da
No Phone:
ii State License auk Exp :A� Phone:
address: 1. tL ry tl 4 S i trity y t l c� Zap` 5
PROTECT ADDRESS. 4br� 'Pe tLICW1a A ZONING:
LEGAL DESCRIPTION Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER.
AAlicant or Agent: Leo A f
Owner P1 o. -ik
Address: LlO PPa. k City- Y ("sic
Architect/Engineer.
Co at:rector \.-e oNKc
No. of Stones: Lot Size:
PLANNING USE ONLY
T
v i 1 Vi
425 836 2634, May 26 04 2 55PM,
oil& iitrf FAX No 360 417 4711
BUtLbtNG 1 APPLICATION
Fin out CO M LETZLY and in INK. Your application and site plan MUST Blg
COMPLETE to be accepted for review If you have any questions, call
MIMS (360) 4174815 FAX(360)417 4711
Existing Sq. Pt.
Total lot covelge
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes Q No Other:
L �e c+ bo-Pr In c
Y■ )scs. t 4 1 s�
ETD. NU:
SIZE/VALUATION-
qtOegF /SF
Credit Card Holder Name: p,
Bil{iog Address: ckS5s0 kik,„
Credit CardType VISA MC
E OF WORK. �1
Residential New Constr. Id Re 0 Stove
D Multi family o Addition, d Move Cl Garage
0 Commercial 0 Remodel D Demolition D Deck
Repair A Sign Other
BRIEF DESCRIPTION OF THE PROJECT.
COMMERCL&1 ESID dTIAL. °ccupancy 4'iratxp 9 of Occupant Load:
SF g) S !SF
TOTAL VALiUATIt)N
Proposed Sq. Pt,
Construction. Type:
TOTAL Sq Ft.
Page 2/3
P 001/001
•FOtt•OFFICCA L- LISE-ONLY
Oita Z
Peimh N:�„y 7��
One Approved:
Date issoo:
Date: b! 05
APPROVALS:
PLAN:
BLDG:
DPW:
FIRZ.
OTHER.
BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on 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 be reviewed
and maybe revised by the Building Division to comply with cwrent fee schedules. Contact therermit Coordinator at 4174815 for assistance.
TLAK.CREatai IE a plan check fee is due it mist be submitted at the time the building permit application and construction plans are
submitted_ All other pea oil fees are due at the time oipetmtit issuance.
EXPIRATION OF PLAN REVIEW- Yu* permit is issued within ISO 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.
I hereby certify that t have mad and examined this epptitation and know the same to be true and correct t am authorized to apply for this perms` and
understand Met it is my responst:Sikty to detenninne whet permits ,f)011110 s, t trust- obtain such permits Or fa Bork,
App f. a t
a`�
Sent By Legacy Rooting Inc,
Mailing address.
If Win PICO Partnership
403 South Peabody
Port Angeles, Washington 98362
425 836 2634
(9
LEGr'CY
ROOFING
.4 T)uclittcrrr of Quality
AGREEMENT FOR ROOFING SERVICES
A SCOPE OF WORK. Legacy Roofing, Inc.. (Contractor) ogrees to perform the supply and installation work
indicated here and in the separate Specifications Work not specifically stated below will be performed
pursuant to Paragraph 2 of the Generat Conditions. The following are FIXED AGREED PRICES
*Questions about this agreement? Call Clef at 206.949 1708.
OPTIONS
No. 1 30 -year Codas Shtngtes $24.31670.0
Cerii '.Graded `The Authority Since 1915'
2/5 Thick X 16' Long High Quality Old Growth
Price subject to change without notice
Special Order 50% Deposit Required
Work to be performed al.
Remove Dispose and
Replace Roofing Materials at
403 South Peabody
Port Angeles, Washington 98362
/ifis l N Uritorw c(116 I
j
SALES TAX. Above prices do not include applicable Washington State Sales Tax.
:6 SCHEDULE OF PAYMENTS. Customer agrees to pay for the supply and installation work at the indicated
agreed price as follows: Initial investment of ten percent due on signing Balance to be paid in full to
Contractor on its final inspection of job Zero down payment Financing is available on approval of credit
The amounts listed above can be financed with monthly payments os low as: S289 per month.
C ACCEPTANCE OF AGREEMENT The included prices, specifications and conditions are satisfactory and ore
hereby accepted. Contractor is auttaorizdd to do the work as specified. Payment will be made as outlined
above Customer may accept this Agreement (including all the terms and provisions on the reverse sides) for
roofing services Or the Customer may accept this Agreement (including all the terms and provisions on the
reverse sides) for roofing services by giving oral or written directions to Contractor to proceed with the work a
staled in Section k above and accompanying Specifications.
)NOTE. Customer has read the reverse sides of this Agreement and agrees to its terms.
PICO Partnership L.EGACY No ING, INC.
0y— 8y
Nome J Clifford E. f n, CEO 30 Apr 2004
Pucie 1
May 26 04 2 57PM,
Page 3/3
plto 425 443 ROOF 17b&3)
ftrx 42'.836.2634
19380 NS. Ut :n Rd
Redmond, WA 96053
wwvv.legotyroufi ny.uym
1
S
~lC~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
PERMIT NO: 13080
OWNER/APPLICANT
PICO INC.
519 SO. PEABODY STREET
Port Angeles, W A 98362
360/457-3327
T:
S:
ISSUED: 11/07/2001
PROPERTY LOCATION
403 PEABODY S
Lot: 6-9
Block: 171
Subdivision: TPA
Parcel No:
~ Long Legal
CONTRACTOR
HENDRICKS CONSTRUCTION INC.
1125 W. 5TH STREET
Port Angeles, W A 98363
360/452-1641
PROJECT INFO
Project Value: $10,500.00
Project Type: REMODEL
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use: OC
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
~
~
l0
PROJECT NOTES
INSTALL PARTITION WALL AND HANDICAP RAMP
RECEIPT # 8234
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$195.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
~
~
~
C/
-\
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$199.75
$199.75
$0.00
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
~ ~~nzed A9~( 7 ~ :':e Slgnatu'" of Owne,(lf owne' Is bullde') Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LrNE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
C:IAPPL.WPD
d "ORT ~
'{if
~--
~~
BUILDING PERMIT - APPLICATION
FOR omclAL USE ONLY:
Date Rec.:
Pennit #:
Date Approved:
Date Issued:
Applicant and/or Agent: #-rlVd j/. {(-..s CONS! ~C
Owner: ;(.<j IN p; r "'1 ,j /lt1 rr -/.-1- W,' '\/1 f/'r,dt""/ <.J/, 'V-U; (.17//"'- ,Y
Address: '-I 0 ~ ..s /l~1 60 / -/ city:;lo (' r-- A^-? 1/"'S
~ ,
oLA/~/
The Building Permit - Pre-application must be fdled out completely.
Please type or print in ink. Hyou bave any questions, please caD 417-4815
Phone: 360 -7' .r-;z - / t C:/ /
Phone:
License #: Exp:
City: /tJr'(- ~N~ 71"'5 WI7-
SC"l'!L, /?'~b{JcI'-/
Block: ' Subdivision:
Credit Card Holder Name:
City:
Exp. Date:
Zip: 7c9.3C C
Phone:tV5'?/i3~ ?
Phone: 7".>::;?-1 b 4"/
Zip: p~:>~ ~
ZONING:
Architect/Engineer:
Contractor H7rvd r " (/-5 (o/V,>;-- -7""(
Address: J.:< 7 r= 10>-"
PROJECT ADDRESS: AI 03
LEGAL DESCRIPI'lON: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address:
Credit Card #:
VISA MC
TYPE OF WORK:
o Residential 0 New Constl'. 0 Re-roof
~ Multi-family. 0 ,Addition 0 Move
^ Commercial J{' Remodel 0 Demolition
/0 Repair 0 Sign
BRIEF DESCRIPTION OF mE PROJECI':
o Woodstove
o Garage
o Deck
o
~.u;"r
SIZElVALUATION: p.
SF.@$ ISF.=$ /0/:> Co
SF.@$ ISF.=$
SF.@$ ISF.=$
TOTAL VALUATION $
;! .<J n I () tV . rJ.. IIIIIvtJ I c 1/",;:7"( XIV "-r P
"c/
--
COMMERCIAIJRESIDENTIAL: Occupancy Group: Occupant Loila:
No. of Stories: Lot siZe: % Lot Coverage:
Existing Lot Coverage:; . ./sq. ft. + Proposed Lot Coverage: ...'"
Construction Type:
%
Isq.ft;;=.= tOTAL LOT COVERAGE:
"; .;;--
Isq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING APPLICATION SUBMI'lTAL: Your application ad site pia must bej1Jled out completely to be lICCeptedfor review. The
Building Division can provide you with more detai1ed information on the application and plan submittal requirements.
BUD..DING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation aniount must be entered by the applicant. This figure will be reviewed and
may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE; Your plan check fee is due 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, this application wiD expire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and co"ect. and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what perm'ts are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such. W
PW-II02_13[revSJOI] APPlicant~:1 /~/ Date: 11/7 ~ I
In aooordance 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 g;anted.to d6 electrical work as listed below.
~:::s..::::zt~'71~::~~:f::i~~~~~'~:~L...~::~~~.~~.~:::::::~~~~::::::::::::::::::::::
Wiring Contractor ..!..!2e):~{!..'.:9.mt/fi?~t;.y"~..___......... By...h.____...h.m.__.h.h.....__.......mm......mmm.......
LIght Outletsuuumu!.:.:-:Lt;?m_u_m_ Service, volts uu/?u?L~u~mt Type of WIring;
Receptacle outlets,/..././.Z....m___... No. wires .....E~....................... Armored Cable ...m..h..h................
Dryer. KW..m__.m..'mmm.m__m____mu. Size wiresuu~d.~"'~..._u Non.Metallic mmumum__'u"__'m'U'
'#' - :;.tJ :;- A7' ~"-,,,~b & Tubem__u.muum.m..m..m.
Range, KW hhUh____U..h..h______.. Main fuse ....---.....mT_---.......:.m./ -
(' / I I Rigid Conduit mu.mm____mmUhum
Water Heater: Enclosure ....____~_____...::~.___..___m. M t IIi T bl
e a c u ng h.........................
Type of wiring:
Entrance Cable om_.____ ..___00....___.._.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
""').1'
f7( .
KW.__mm.hu..u.hmmu___m__m
He'L Kw.Jf./u..,.i':.,.u!.t.,.e......,. J
I
Motors: size. volts and phase:
~ k,'1A7
/1i1.:.:2:;~;g:::::2~:::
(!.ffJ,,!.l-~1'~.~..:...u.uu..u.u__
Total Load....____nm.___u..........
N~
17873
ELECTRICAL PERMIT
fJ- r- 73
Port Angeles, Washlngtonm........................................__...........h..... 19...:.m
Raceway ............._.._._............_......_
Rigid Conduit ______mm........__
MetalUc Tubing ___m..mm.............
Current tTanstorm_ers:~
No. & Size.ur.-(.?::'..,......R~...
Ser. NOm..3~~J?-4'!.,e
Circuits, Light......u......__uu..............m..
Utllity..__..mm.u.......__..............m....
/
I-Ieat .d.___........................................
Range ........................___....___...........
Water Heater ............._.......___.___...
Motor ..........___...________.....................
Ser. No...................................:..........
Dryer nnnn...___________.____....................._
Sec. No.__........______._..______...___....__.......
Furnace ..n.h..__..............'____n._h._n..... ".
"
",
See. No. ....n..........._.........._.h........_n
Total ._.___.......__..._______.__...........
. d---/fC
Remarks, ........................'....um..___.....m..........m.__.~..--..m'.mm...........m..mmm."'.F...----................................
/di. t;:;: ~ / I iT" /4-m h Y, 51'/t<.r
:::::::::::::::::::::::::::::::J2'::::::::::::::::::::~::i;'::::i:::2E:::::z:::::::::::::::::::::~::r~.;;:::::::::::::::::::::::::::::::::::
By ...'~;KL~.:~~I~L,__
- . .
Pel'lIlit Fee
'47~
$....n........mm.mnnm.m...
Treas. Receipt
NO.nmn.nmmnmn.....
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cen.led due notice mUBt be given the Inspector so tbat work may be Inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 7873
ELECTRICAL PERMIT
Address..................._.............................___....____.................__......__h__....._____..........____....................Date..._......_.._.._.._.................._....___...__....
Owner ..__nn_nnn_nnnn____......._.....__.._......_......_.._................._un_n........_......._.........____.... Tenant............nnnnnn_.......__n...........................n.n
Wiring Contractor........................................................................_..__./....__.._.___...........................u By .__.................__............................._....._~:..
. ,
NOTICE-Current must not; be turned on until Cert1flcate ot' Inspection has been issued. If work is to be COD- ~
cealed due notice must be,\ven the Inspector so that work may be Inspected before concealment, .
.- . 1M Olympic Prinlers~ Inc.
~
\
"\
11111
12/12/2014 13:13 13604525177 ALL WEATHER HEATING
CITY OF PORT ANGELES PERMIT APPLICATION 12,
8uiitding Mvisiion /Ellectrical Inspections
321 East Fifi:h'Sbreet — P.O. Box 11,50 / Port Angeles Washington, 9$362
Ph: (360) 4174 735 Fax: (360) 417-4711 INS t'isCMOS
Date:
,L Multi-Family or Commercial*
' Plan Review Mgy Be Required, Please Complete Electrical Plan Review Information Sheet
JobAddrass: 403 South. peabnd
Building square Footage:
Description of above
M_.,_ T,�,�a11 �ut.door u{�° l7e�t pumrs
Owner Information
Name: -K t,t Irwin Law Firm
Mailing Address9 t J?eabody Street
C*Port Ancre],eBStata: WA Zip; 92362 _
Phone: 457 3327 ^Pax;
Lroens5 /EKp, _.
Item
Service /Fender 200 Amp.
Service /Feeder 201.400 Amp,
ServicetFeeder 401 -600 Amp
Service /Feeder 801.1000 Amp.
Service /Feeder over 1000 Amp,
Branch Circuit W1 SerVloe Feeder
Branch Circuit W10 Sarvios Feeder
Each Additional Sranclt Circuit
Branch Circuits 1.4
Tomp, Service/ Feeder 20C Amp.
Temp, ServicefFeeder 201 -400 Amp,
Tamp, Service /Feader401 -600 Amp.
Temp, ServicelFeeder 601.1000 Amp .
Portal to Portal Hourly
$ign/Outiine bighting
Signal Circuit/ Umited Energy - Multi- Family
Signal Circuit/ Limited Energy 1 First 1500 sf - Commerclal
Note: $5.00 for each additional 1500 sf
Renewable Eleovical Energy - SKVA System or Less
Thermostat
Note; $5,00 for each additional T -Scat
U 't Char e
$132.00
$150,00
$ 225,00
$ 288,00
$ 4T0,00
$ 5,00
$ 74,00
$ 5.00
$ 86,00
$102.00
$121.00
$164.00
$165,00
$ 96.00
$ 88,00
$ 64A0
$ 96.00
$113,00
$ 56,00
PAGE 03104
vaRrq -
c�,r�".4c�. �
Contractor Information
Name; A l_ wpa trier Ike ing Coo
Mailing address; 3 07 ICemo�
City;Port Stete;._WA Zip;�9 362
Phone,�52 -9513 Fax; 452 5.77
License 1pli2xp, A_r,r,urFwx�3,annrr g�in_F
fJt Total(_ Multiplied by_Unft Chamey
a_-
$
$
$
$ 56.00
$ 5600 Total
Owner as defined bylRCW,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 rea09 the above statement, I hereby certify that I am the owner of the above named property or a licensed alecVcal contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C„ RCW, Chapter 19.28, WAC Chapter 296468, The City of Port
Angeles Municipal Code, and Utility Specif +cations and PAMC 14.05,050 regarding Siectrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: 0 Cash Q Chock
f l� rl Crodtt Csrc! # ,
x Ualed; 12/12 I, 9;
01lD112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
- -- - -- -- -- - - _ _ -- - -
--360-417-4735-- - -- -
Application Number 14- 00001497 Date 12115114
Application pin number 538476
Property Address . . , . 403 S PEABODY ST
ASSESSOR PARCEL NUMBERr 06-30-00-0-1-7125-0000-
Application type description ELECTRICAL ONLY
subdivision Name . . , . ,
Property Use . . . . . . , .
Property Zoning COMMERCIAL OFFICE
Application valuation . , , . 0
Application desc
Heat Pump
Owner Contractor
PICO-A WASHINGTON PARTNERSHIP ALL WEATHER HTG &_COOLING INC
403 S PFASODY ST 302 KEMP ST
PORT ANGELES ,j9A 983623210 PORT ANGELES WA 9B362
(360) 452 -9813 ��2 .��
Permit , , , , . , ELECTRICAL ALTER COMMERCIAL
Additional desc , ,
Permit Fee 56.00 Plan Check Fee OD
Issue Date 12/15/14 Valuation . . . . 0
Expiration Date 6/13/15
Qty Unit Charge Per Extension
1,00 55,0000 $CH EL-LVT- THERMQSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 00
Plan Check Total 00 .00 00 .00
Grand Total 56.00 56,00 00 .00
- 1D__ -_
-.1 -
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILT, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
G :\rXCHANGBIBUILDING