HomeMy WebLinkAbout619 E 1st St - Building t'-.: CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
\low 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000743 Date 7/20/11
Application pin number 771805
Property Address 619 E 1ST ST
ASSESSOR PARCEL NUMBER: 06 30- 00 -5 -1- 2180 -0000- REPORT SALES TAX
Tenant nbr, name ANGELES PAWN SHOP on your state excise tax form
Application type description RE -ROOF
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL ARTERIAL
Application valuation 500
Application desc
TEAR OFF RE -ROOF SHED BETWEEN BUILDINGS
Owner Contractor
RONALD LESLIE DIIMMEL TTES OWNER
128 DIAMOND VIEW DR
PORT ANGELES WA 983639437
(360) 457 -4000
Structure Information 000 000 TEAR OFF RE -ROOF THE SHED
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE -ROOF THE SHED
Permit pin number 189407
Permit Fee 50.00 Plan Check Fee .00
Issue Date 7/20/11 Valuation 500
Expiration Date 1/16/12
Qty Unit Charge Per Extension
BASE FEE 50.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 54.50 54.50 .00 .00
l YIGit 3
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 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 permi oes
not presume to give authority to violate or cancel the provisions of any state or local law regulating constrttion or the perfor ce of
construction.
7 1/ ,V7/
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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BUILDING PERMIT INSPECTION RECORD -C
W
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only) I 1
T -Bar
INSULATION:
Slab
Wall Floor Ceiling V)
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line /1
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping _SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type- Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 1 t
Fire 417 -4653 I
Planning 417 -4750 kA)
Building 417 -4815 I 4. I
T:Forms /Buildino Division /Building Permit
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PROJECT STATUS UPDATE
Permit Vl "4'4'5
Date: n 13'
I phoned the: Applicant (LO 1 �1 Q� YAYY1A at 51 1 4 0 C�W
Property Owner at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
Recol,y CDr ns pt° On, Wo r c
T:Forms /Building Division/Project Status Update
0,,,»r,� BUILDING PERMIT APPLICATION Print in ink
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CITY OF PORT ANGELES
For City Use Only:
ix. '4,n ,;.:23,27 Attn: Building Permit Technician Date Received .7 ---'0-- t 1
321 E. Fifth St., Port Angeles, WA 98362 ,r
Permit# I l-
(360) 417-4815 fax (360) 417-4711 Date Approved
Applicant b li ;may -$c 7 Phone `-S7- C7o O v
Property Owner 7/ Phone 7i
Property Owner's Address f �j ,�i f 1
Contractor eo j�,, t ,A Phone t r
Contractor's Aress
License .Expires.- -E -mail
PROJECT ADDRESS 61 E 1 .1– S plekc Pawl' sk
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair fr-r44
Demolition i), i n between ov Zp
(e -roof House garage other iui (ell ?n5.5 tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove o other
Other
Floor Areas Existing (sq. ft.) roposed (sq. ft)
Basement per sq. ft.
1 Floor
2nd Floor
3rd Floor
Garage j -5'0
Carport �Q'�S x 25D
Covered Porch L-p-o
Deck
Shed
Other
TO TAL VALUATION 50-
Total footprint of structures sq. ft. T Lot size q. ft. Lot coverage °yo
Site Coverage the amount of impervious -urfa•- on a parcel, including structuV paved driveways, sideway s, ..tios,
and other impervious surfaces. (see PAM .94.135 for exemptions) Site coverage
Max. height of proposed structures Occupancy gr. -4p of bedro• s
Will a lawn sprinkler system be inst. ed? Occupant lo- of full aths
Will a fire sprinkler system be inst., led? Constructon type of e f baths
I have read and completed this application and know it to be true and correct. t am authorized to apply for this permit and ierstand
that it is my responsibility to determine wl t permits e required, and t obtain permits prior to orking or)%projects.
Dat Print Name Signature
T.Forms /Building Division /Building permit application
Clallam County Assessor Treasurer Property Details 61470 RONALD AND LESLI... Page 1 of 1
Clai lam County Assessor Treasurer
Property Search Results 61470 RONALD AND LESLIE DIIMMEL TTES for Year 2011 2012
Property
Account
Property ID: 61470 Legal Description: SMITH, NORMAN R
LOTS 14 15 BL 21
SURV V41 P35
Geographic ID: 0630005121800000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 59
Open Space: N DFL
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: Section:
Range:
Location
I 4
Address: 619 E FIRST ST Mapsco:
PORT ANGELES, WA
Neighborhood: Cycle 5 Comm Map ID: 2
Neighborhood CD: 20953140
Owner
Name: RONALD AND LESLIE DIIMMEL TTES Owner ID: 21593
Mailing Address: 128 DIAMOND VIEW DR Ownership: 100.0000000000%
PORT ANGELES, WA 98363-9437
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 07/20/2011
Amount Due if Paid on: figl, NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
U Statement Details
2011 155899 $1968.99 $1968.90 $0.00 $0.00 $1968.99 $1968.90
11 Statement Details
2010 44176 $1936.73 $1936.71 $0.00 $0.00 $3873.44 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N/A".
Website version: 9.0.32.2200 Database last updated on: 7/20/2011 3:50 AM O 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=61470 7/20/2011
April 22, 2010
Mr. and Mrs. Ron Dimmel
Angeles Pawn
619 E. First Street
Port Angeles, WA 98362
Sue Roberds
Planning Manager
W A S H I N G T O N U S A
Community Economic Development Department
es,— 619 E. First Street
It was good to meet with you on Tuesday at your business to discuss your sign
improvement plans. We wanted to put in wntmg the information we spoke about so there
will be no confusion when you do proceed with your plans
Given your building facade area, 82 5 sq.ft. of signage can be placed on your building.
You currently utilize 85 sq.ft. Of that amount, the south facmg "Angeles Pawn" sign is
25 sq.ft. in area. That sign can be replaced with a projecting sign of the same area, or a
free standing sign can be installed, likely on the southeast corner of the site, up to 125
sq.ft. in area to accomplish the message board use
I'm not sure I answered your question regarding how far a projecting sign could extend
from the building. When I thought about the conversation afterward, after seeing the
south wall relative to the property line, I wanted to clarify that you would not be able to
project over the sidewalk, nor would you need to A sign can project over a property line
onto the sidewalk if there is no alternative, that is, if a building wall is on the property
line. Yours is not. You can accommodate a sign within your property boundary so that
intrusion is not necessary
We are happy to assist you in making your sign changes, and thank you for your early
inquiry to avoid unpleasant confusion issues. Just remember you have no more than 25'
to work with in redesigning your signage, unless you remove other signage to increase
that area. You said you might like to keep some signage on the south face toward
Swain's the south windows could be used for that purpose without adding sign area.
If we can be of further assistance, please don't hesitate to contact this office
Phone 360- 417 -4750 Fax 360- 417 -4711
Website. www cityofpa.us Email smartgrowth @cityofpa.us
321 East Fifth Street PO Box 1150 Port Angeles, WA 98362 -0217
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUN1TY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
Property zoning .
Application valuation
05-00001153 Date 11/22/05
996443
619 E 1ST ST
06-30-00-5-1-2180-0000-
SIGNS
COMMERCIAL ARTERIAL
4900
Owner
Contractor
DIIMMEL TTE RONALD/LESLIE
128 DIAMOND VIEW DR
PORT ANGELES WA 983639437
PENINSULA AWNINGS
410 CARLSBORG
SEQUIM
(360) 582-9284
WA 98382
Permit
Additional desc
Permit pin number
pennit Fee
Issue Date
Expiration Date
SIGN
65771
85.00
11(22(05
5/21/06
plan Check Fee .
Valuation
.00
4900
Qty Unit Charge Per
1.00 85.0000 PER s- SIGN WALL 25 SF+
Extension
85.00
Fee summary Charged Paid Credi ted Due
---------~------- ---------- ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork 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 compiied 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
conzctionj {;} C\,
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Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policics\1102_15 building permit inspection record05.""'))d [1/412005J
<....
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRlCAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSP~CTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER UNE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS T
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERlOR BRACED PANEL ONt Y)
I-BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMt.1ERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA:
PARKJNGJLlGHTING ESA:
tANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCErTED
YES NO
ELECTRlCAt - 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 "I/^7/ri7 l-:ill
I ction d 114 5 I
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I Vertico/Dafum=NAYD88
Horizontal Datum = NAD 8J191
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Area Map
This map is nol ifllelldd 1(1 be used as a legal description ;~~
This map/drawing is produced by the City of Port Angeles(ar its OWIIIISf! and purposes. i~
Any othe,. use q(rhis map/drawing shall not be the responsibilil)' qflhe City. ~
W AlVER AND RELEASE
the right to:
FOR AND IN CONSIDERA nON of permission from the City of Port Angeles for
:rtJfi7o,J(A .. A\.VNr~g C.I-D" QVEI;zJ-/At-IQ/Nc; SIOE.VALiL.
AI"'V ; 0 -0" A0{;;JV& -S / De WALlL
on the property located at: b J '1
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The undersigned, for themselves, their heirs, successors and assigns, hereby waives,
releases, and forever discharges any claims against the City of Port Angeles or its employees for
personal injuries or damages arising out of the entry onto the above referenced property for the
purpose as set forth above.
DatedthisJ(51 dayof AJ(Jtlnl7~ ,2005.
~~9
STATE OF WASHINGTON)
) ss:
COUNTY OF CLALLAM )
On this itf5T day of A}ol.J-ffM ~ ,2005, before me, the undersigned, a Notary
Public in and for the State of Washington, duly commissioned and sworn, personally appeared
M;r..hn pI.. I. E'rn ct.lzol , to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged to me the (s)he signed and sealed the said
instrument as hislher free and voluntary act and deed for the uses and purposes therein mentioned.
Given under my hand and official seal the day and year in this certificate first above written.
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NOTARY PUBLIC in and for the State
Of Washington, residing at Port Angeles,
Washington.
Notary PublIc
SlaIe oIWashfng1on
MICHELE M ANDERSON
Mv~,h,_lIEJipbrlaJul20. 2009
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BUILDING PERMIT- APPLICATION
Fill out COM]'LETEL Y and in INK Your application and site plan MUST B
COlvIPLETE to be Olccerleu lUi' j't:vievt". If you h::ive any questions: c~H
]'ERMITS (360) 417-4815 FAX(360)417-4711
Applica11\ or Agent: M J k-t>_ P-mO-l'd - R,"">",~"Ln_ il/.d,l!AtJg
Owner: MJ k"" F/V)rd,J '
Address: 4/0 Co."LdlO"~ R.d
Architect/Engineer: HI k'€ ; f!
P . ~r-1,,JfI 0 3 ' 1",
Contractor "fJ-NJ,),( uLo. AlJJrvtNj5 State Llcense Ii' J Ie, L \J
Address: (C;Af11'0- ~c;_fl~o\J e....
PROJECT ADDRESS_/ q ~. /6r
LEGAL DESCRIPTION: Lot: Block:
City: ::; 4q v i (\ry
Phone 360 - ,'19: 2. -C) L ~ 4
Phone: .<A/l1~
Zip q~H~ Z-
Phone:
Exp: S -01;,
Phone:
CiG;,
s; \ e;'
~
-\0. . rY\
Zip:
ZOJ\'ING:
~
Snbdivision:
CLALLAM COUNTY PARCEL NUMIlER:
TYl'E OF WORK:
o Residential 0 New COliStr.
o Multi-family 0 Addition
~ Commercial 0' Remodel
o Repair
ORe-roof
o Move
o Stove
o Garage
/SF. ~ $
/SF. =$
o Sign
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
& Proposed Sq. Ft
%
APPRO~~f .
PLAN:~
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCT] ON: In all cases, a valuation amount must be entered by the applicaut. 111is figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance.
PLA.N CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pemut application and construction plans are
submitted. All other pennit fees are due at the time of pemnt issuance.
EXPIRAT]ON OF PLAN REVIEW: If no pennit is issued within ]80 days of the date of application, the application will expire. The
Building Official can extend the tin" for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2
of the lntemational BuildinglResidential Code, 2003), No application can be extended more than once,
I hereby certify thai I have read and examined this application and know the same to be true and correct. I am aulhorized to apply for this permit and
understand thai il is my responsibility to dete'Jr,e 7/'at 7!!:;fJuired ,not the City's, an~ th~ ~must obtain such permits prior to work. .
TlPolic;esIBL-1I02_13,wpd Applicant: ~ Date: I { I ~ OS
~
0,._
L --
""<~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
OWNER/APPLICANT
RON DIMMEL
128 DIAMOND VIEW DR
Port Angeles, WA 98360
360/452-0226
T:
ISSUED: 8/08/2002 PERMIT NO: 13608
PROPERTY LOCATION
619 1ST ST E
Lot: 14 & 15
Block: 21 ~ Long Legal
Subdivision: NR SMITH
Parcel No: 063000512180
S:
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $5,280.00
Project Type: SHED
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD SQ FT: 0
MFD Units: 0
MFD SQ FT: 0
Commercial:
Industrial:
Garage:
o
o
o
~
~
...D
ITI
PROJECT NOTES
NEW 528 SQ. FT. SHED
RECEIPT~ qSz..,;
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$125.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
-
v
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$129.75
$129.75
$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
fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or th erformance of
construction. --L . 1/7""
/..... . ~ &-8-(
Signature of Contractor or Authorized Agent
T:\PLANNrNG\FORMS\II02.15 [412002J
Date
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 T ACCEPTED COMMENTS
r YES T NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT; #
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I T
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I T
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPAM TE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE 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 I CONSTRUCTION - R. W.
ENGINEERING 417A807 PW / ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT. "'"I->P [.!-
Ci.l-.,-..L
BUILDING 417-4815 BUILDING ~-J7-o5 n..v
T:\PLANNING\FORMS\II02.15 [412002]
W
&,.~
~~
'l<ii:1C~
BUILDING PERMIT - APPLICATION
FOR OFFICJ4I; USE.?NL y,
Date Rec.:{)- 2' --(: 2-
Permit #, / 3 t, 0<'
Date Approved:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Phone: ,A.q-oSOl
Phone: A-c::,"l-d=
Zip: "tfBi,Io't.
Phone: A..t 1-0'5'0 I
Phone:
Applicant or Agent: ~~" L<...
Owner: \2...v- DII \\ALII! ~......k!; P......oI\
Address: 1,1"1.. e. h_...+'":n-
Architect/Engineer: ~""o-.11... '" J--- .
.
City: P...-+ ~'~J lOA
I we..
Contractor 0"""""",
License #:
Exp:
Address: City:
PROJECT ADDRESS: (",\"1 e, 1=\~..+-~.
LEGAL DESCRIPTION: Lot: I 4- ~ IOS Block: 71 Subdivision: -r-,> A
CLALLAM COUNTY PARCEL NUMBER: - S I Zl S'O Credit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. Date:
Zip:
ZONING:
f'..d
VISA
MC
--v1~~rl (
'SI"2e.O ~
TYPE OF WORK:
o Residential 0 New Constr. 0
o Multi-family [!("Addition 0
.rCommercial 0 Remodel 0
o Repair 0
Re-roof
Move
Demolition
Sign
o Wood-stove
o Garage
o Deck
o
SIZEN ALUATION:
Sz.e SF. @ $ to /SF. =.$
SF. @ $ /SF. ~ $
SF. @ $ ISF. = $'
TOTAL VALUATION $
$,2..BO
BRIEF DESCRIPTION OF THE PROJECT: D"",~,.;.~....e>h..,....", {pd" (__~~vI-....\ J;,~ o".u.,.".. s-h:.-c.'f'-
of t;....ppll.a,J4",V'...~{..J......IlUt.-bvy
COMMERCIALIRESIDENTIAL: Occupancy Group: -:. - ~
No. of Stories: I Lot Size: 10\-,000 ':1l2 % Lot Coyerage:
Existing Lot Coyerage: I.-~s 'Z. /sq. ft. + Proposed Lot Coverage:
PLAN~ING USE ONLY:
Notes:
Occupant Load:
"2-
Construction Type: \J. "-l
04.1 %
~ /sq. ft. = TOTAL LOT COVERAGE: .\-b~o /sq. ft.
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BillLDING PERMIT APPLICATION SUBMITI AL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to tbe Building Division.
VALUATION OF CONSTRUCTION: In all cases, a yaluation 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: 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 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 I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are requzred and to Ob~tin su h.
Applicant: p2 #,., l2..... l)11"'.....\. Date: 'F'l/1(O"'2-
T \FORMS\APPS\Bulldmgpenmt
e
DEPARTMENT OF PUBLIC WORKS. BUILDING DIVISION
APPLICANT: 1); \ '^'" wV, \ J Av.~~ +>............ ~lo ~Vl L. PHONE: A-ll-o SOl
PROJECT/DEVELOPMENT ADDRESS: Ce>\4 e:;:. ;:;~1- <:.t-.
See Page 4 for instructions on completing the site plan. For more information, call 417-4815.
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CITY OF PORT "'NGEIES - con,,,uction Plaos
10'- ISSuance 01 thIS 9""'1\t based upon these plans. soeclli.
eallone, and otl1er data ,l1all not pre"nt lhe building otllC,,1
~l0rn thereall" re~uiring the COlrectlOn ot enOlS in said
plans, speellieatlons and other data, or Irom preventing
buildmg opera\iOns bemg "nied on Ihereunder _hen in
,lOIatlOn 01 all codes and ordmances ot this iurisdlCllon.
ISfClION 303\c) . Umlorm Brnldil1g Code.) '(
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PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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 I ACCEPTED COMMENTS
! I YES I NO
PW UTILITIES (Engmeering DIVISIon) I
WATERLINE / METER I
SEWER CONNECTION
SANITARY I
,
STORM
SITE DRAINAGE I
SITE EROSION CONTROL :
:
PARKING
SIDEWALK I
CURB & GUTTER
!
DRIVEWAY APPROACH
BACK-FLOW DEVICE ! I I
,
I
I
,
i
I
I
I
,
I
I
I
I
I
,
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-48q7 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-47~0 PLANNING DEPT
BUILDING 417-4815 BUILDING -
"
\
t i
.",
T:\Policies\1102.15R [1I05J
d'~'~.
~
-Y6!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
ELECTRICAL PERMIT
Issued: 12/30/98
Permit No:
6521
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
RON DIMMEL 619 1ST ST E
128 DIAMOND VIEW DR. Lot: 13&14
Port Angeles, WA 98360 Block: 21 Long Legal:
360/452-0226 Sub: NR SMITH
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER-------~-------------------------
APS ELECTRIC
546 BENSON RD.
PORT ANGELES, WA 98362
360/452-6753
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: TEMPORARY SVC. prj Value: $0.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use:
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
Furnace KW: 0 X Overhead Service Diameter: X-1 -3
Heat Pump KW: 0 Underground Service Service Size: 100 AMPS
Fan/Wall KW: 0 X Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
TEMP FOR PAWN SHOP CONSTUCTION
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit wiring: $0.00
Temp Service: $42.50
$0.00
Misc
TOTAL FEE:
Amount Paid:
$42.50
$42.50
---------------------------------
---------------------------------
TOTAL FEE:
$42.50
Balance Due:
$0.00
('01\1 MX~NTSI ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONC&lL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATI: ACCEPTED COMMENTS
YES I NO
liUlJt10lN I .- .
'IlVlf'P 11 t'l,OlaV
I
I I I
GENERAL COMMENTS:
PW-II02.U(4'96]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001053 Date 7/13/18
Application pin number . . . 137102
Property Address . . . . . . 619 E 1ST ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -2180 -0000 -
Application type description ELECTRICAL ONLY.
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Ductless heat -pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RONALD & LESLIE DIIMMEL TIES EXTRA MILE TECH & ELECT., LLC
128 DIAMOND VIEW DR 418 N. RACE ST.
PORT ANGELES WA 983639437 PORT ANGELES WA 98362
(360) 457-4000 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 74.00 Plan Check Fee .00
Issue Date . . . . 7/13/18 Valuation 0
Expiration Date . . 1/09/19
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIP 74.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
--------------------------- -------------------- ----------
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
I INSPECTION TYPE
DITCH
ISERVICE
ROUGH -IN
FINAL
ICOMMENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
I'll
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
Date.
MULTI -FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417-4735 1 www cityofpaus I eiectricalpem*s@cityofp&as
Project Address: 671 q CA -_S r 1 5 }- S J�
Project Description: � t"'AA -e-.i it -}-
0 Multi -Family Residential &-lCommercial I Industrial I Pulft Bui�ding Square itiotagic.
Narnw. MM -C
Mang Address: f
NaMw. XE_Xeft* #0;(-e -rftW r Ell -fix f"
Mailing Address: ?. 6 - S 4me 2,119,
Email: ex k -L4- on ' 4, r-> 6 1 v k" 9-o S - d -f
SerAcaF*eder2OOAnvL
SerivicefFeeder 201-400 Amp-
Service/Feeder 401 -SW Amp.
ServicalFeederG01400DAnip.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Ckwk WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. ServiceIFeeder 200 Amp.
Teffq) Service(Feeder 201.4W Amp.
Temp. Service�br 401-600 Amp.
Temp. ServicwTiwderW14000Amp.
Portal to Portal Hourly
Signal CWcuitil-knited Energy - Mtj&Fwiffy
Signal CircuKATtiled EneWffift 1500 of - Corrimrdal
(Noce: $5.00 for each additional 15W 3f)
Renewable Elm Energy- 5KVA System or less
Thermostat (Note: $5 for each addiliorial)
Email:
Phone: -? (-(j —46U - 5-& 3 d
r License: —EX brit P1 r- T7 !; 9 L
`U3&Z_Expiration Dale: A2--;L&-2a11
Phone: 3 6 - &4 r. ( -13 ? 5z
Unit CharcM Ouanft
DO (Quarift x Unit Charge)
$132-00
$
$160.00
$
$n5 -w
$
$288.00
$
$410.00
$
$5.00
$
$74.00 1
s 71/. ef-
$5.00
$
$86-00
$
$102.00
$
$121.00
$
$164.00
$
$185.00
$
$96-w
$
$88.00
$
$96-w
$
$11&W
$
$56-00
$
$ 'TOTAL
Omer as defined by ROW.1920261: (1) Ownerwill occupy the stucture fbrtwo years afterthis electrical permit is finalized. (2) Owner is
required to hire an electrical contractor W above said property is for sale, rent or Wase. Permit expires after six months of We inspection.
After reading the above stalarneM I hereby cw* that I am the owner of the above ranted property or a licensed electrical contractor. I
am malting the electrical installation or alteration in .. "; . " with the electrical WAs, N.E.C., RCK Chapter 19.28, VMC. Chapter 296-
468, The City of Pod Angeles Municipal Code, and Utility 5, -7.4% .j, and FAW 14.05.050 regarft Electrical Permit Applications.
Date i Print Name' Signature (0 Owner ff Electrical Contractor I Adminish*w)
[Electrical PermitApplications may be submitted to City Hag or electrica1pennits@cftyofpa.us; or laxed to 360.417.4711]
I 'K
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
' COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 18-00000854 Date 6/06/18
Application pin number . . . 508496
Property Address . . . . . . 619 E 1ST ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -2180 -0000 -
Application type description ELECTRICAL ONLY
on your excise tax farm
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
(Location Code 0542)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Circuits for dance studio
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RONALD & LESLIE DIIMMEL TIES ANGELES ELECTRIC
128 DIAMOND VIEW DR 524 E. IST ST.
PORT ANGELES WA 983639437 PORT ANGELES, WA 98362
(360) 457-4000 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 6/06/18 valuation 0
Expiration Date 12/03/18
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
' COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
06/04/2018 19:34 FAX 360 452 9265 Angeles Electric
MULTI -FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Forks and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 j ww-w.cityofpa.us j electricalpennits@cityof1mus
Project Address: /q_ �'.
Project Description: �i.�� e kSL /{)" &Alee
❑ Multi -Family Residential ❑ Commercial / Industrial / Public Building Square footage:
Name:
Mailing Address: _ l
Name: ANGELES ELECTRIC, INC.
Mailing Address: 524 E, FIRST STREET
Email: ksimpson@olyrXip[ri .;Qp
Jlkln
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/Feect"41�BQ��
Temp. Service/Feed0 Amp.
Portal to Portal Hourly µ;
Sign / Outline Lighting
Signal Circuit/Limited EnergNSYS
Signal Circuit/Limited Energ
(Note: $5.00 fo
Renewable Elec. Energy: 5
Thermostat (Note: $5 for each additional)
IM 0001/0001
Phone: __36D, yalZJ 77 -
License: ANGELE1460RS
Expiration Date: 02/0112019
Phone: 360-452-9264
:(Wand tp i"UhIt 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-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (❑ Owner lectrical Contractor ! Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
$169.00
$
$225.00
$288.00
$
$41.0.00
$
$5.00::: _
$
$74.00.
$
$5,00
$
- S8l%OIj' I
$,
$11.00.
$ � 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-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (❑ Owner lectrical Contractor ! Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
Application Number . . . . . 23-00001213 Date 11/15/23
Application pin number . . . 106729
Property Address . . . . . . 619 E 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2180-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MANDY GALLACCI / CHRIS HENDRY UPPER LEFT ELECTRIC LLC
128 DIAMOND VIEW DR 1306 ROOK DR
PORT ANGELES WA 983639437 PORT ANGELES WA 98362
(360) 477-1809 (360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 161.00 Plan Check Fee . . .00
Issue Date . . . . 11/15/23 Valuation . . . . 0
Expiration Date . . 5/13/24
Qty Unit Charge Per Extension
1.00 86.0000 ECH EL-COMM BRANCH CIR 1-4 86.00
15.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 161.00 161.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 161.00 161.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/15/2023 23-1213
TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
619 E 1st St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
OK to move in tanning beds.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/4/2024 23-1213
TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
619 E 1st St
Application Number . . . . . 23-00001212 Date 11/15/23
Application pin number . . . 030796
Property Address . . . . . . 619 E 1ST ST ELEC
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2180-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
3 phase service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MANDY GALLACCI / CHRIS HENDRY UPPER LEFT ELECTRIC LLC
128 DIAMOND VIEW DR 1306 ROOK DR
PORT ANGELES WA 983639437 PORT ANGELES WA 98362
(360) 477-1809 (360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 225.00 Plan Check Fee . . .00
Issue Date . . . . 11/15/23 Valuation . . . . 0
Expiration Date . . 5/13/24
Qty Unit Charge Per Extension
1.00 225.0000 ECH EL-COM 401-600 SRV FEEDER 225.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 225.00 225.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 225.00 225.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/3/2024 23-1212
TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
619 E 1st ELEC
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
Available Fault current label on equipment. NEC 110.24 (A)
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/6/2024 23-1212 TMC
OWNER
Contractor
Upper Left Electric
ADDRESS
619 ½ E 1st St