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Home My WebLink About507 N Liberty St - BuildingWashingtJn Stat Departm9nt of Early Learning July 28, 2010 TO Building Inspector Clallam County 223 East Fourth Street Port Angeles, WA 98362 FROM. DEL, PORT ANGELES SOUTHWEST SERVICE AREA 201 W 1St Street, Suite 2 Port Angeles, WA 98362 SUBJECT RECEIPT OF APPLICATION TO PROVIDE CHILD CARE This is to inform your office that we have received from: Comfort Cozy Childcare Learning Center 507 N Liberty Port Angeles, WA 98362 an application to establish a C and C Kids Franklin Elementary TYPE OF FACILITY At: 2505 S Washington St Port Angeles, WA 98362 We will be acting on this application within 90 days of receipt. for 30 children AK9e (t° RECEIVED AUG 0 2 2010 CITY OF PORT ANGELES BUILDING DIVISION While this department does not assume any responsibility for the enforcement of local ordinances, including those pertaining to zoning, land use permits, etc. we have advised the applicant to contact your agency regarding your requirements. If your office is not responsible for zoning, land use permits, building codes, etc. please forward this notice to the appropriate agency o 2 NT- ELECTRICAL PERMIT AlVD INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . Application valuation Application desc Security system Owner AMUNDSON, MARY LEE 1308 SO. A STREET PORT ANGELES ( 36) 452-8082 WA 98363 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 08-00001509 Date 12/10/08 010195 507 N LIBERTY ST 06-30-00-7-8-0210-0000- ELECTRICAL ONLY o Contractor SECURITY SERVICES NW PO BOX 660 PORT TOWNSEND WA 98368 (800) 859-3463 ELECTRICAL ALTER COMMERCIAL 138792 40.00 12/10/08 6/08/09 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 40.0000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.00 Fee summary Charged Paid Credited Due ----------------- -----~---- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 40:00 40.00 .00 .00 ,= .- .~ ~ z [ ~ ~ "-C ~, l SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE. OUGH - IN FINAL OMMENTS: . 6~-/S01 RECEIVi:n ~- ~' ~CTRICAL WORK PERMIT APPLICATION DEe 9 2008 Job wired by State ZIP VJ~ 1>?:3G3 FAX number SfL;{) rlt1 S~i!/fY' / C) ~ \ <S\ o -J4 Premises owner's name (' L' I' . rn W\ Fdr-f ~ UJ""Z>./ C nJ C LCtfe Address of inspection ,.II I t) ~ .\ 60, r~ l-J tlP/(~'i ~ a IT- PtACiJ ~ Phone number to schedule ~pection3 ~O -L;S 7- (;:;;"7'7 City Owner as defined by RCW19.28.261:(J) 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. o Cash ~heck # I ~ '-f I C; o Credit Card Visa Mastercard Discover Card # ctrical cor:ractor o\t~t:~~: Y~:g~~ Expiration Date of card It' A iti D NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton D Fan-Wall KW Service Information LAR D Overhead Service D Temp Service D Underground Service Voltage Phase D 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ._ ',......k FINAL ~ 0f:IJ Date Approved By THERMOSTAT SERVICE ROUGH-IN 12.)r6'/~ ~ Date Approved By Date Approved By Date Approved By DITCH FEEDER Date Approved By Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector CERTIFIC =F~O~Q CUPANCY _,,-;-,;, ~.rd~': ~~~~~:':~.' '. . .',\ ~- ~~~,.~:. _.:<~:.- q /..CitjhQf:P,9f:fN~gele , BuildiItg:~:OiVniiQi.:i':}~~'j>. ...,. . ~., :~':. ;p".>-:~. This c~t.f:ifi9'i'P;iss"Yf4 pursuant to the requirements of Sectio . 109 of the UnifornlBy~liJJ.~~:~B}4~;(;~~Mli:k~p,{!pN~!~he t,i,'1!:e::p~~s,~,lf~fif! this st~ucture was in cQ'mpliirncg:Mih'ihe1YariQltS'drainlii:li;e~ ofJJirtCify ):e,gUl(lting liuilding v~ C]~,;fi~ti"". D.( ~!j~1\'~:::::~!:t'~~,~{~?~~f1:i2~iir\ Cozy <mrup E- 3 \ \;::~~fi;6""n"ri"n ''It;,;~ ;;,:..r;;:,,;;;;ji~j;:i J RS- 7 Owner of Business/Residence: Mai,y7Amundson Addr<:ss~,.?07North Liberty~.tree!..P~f,t Angeles. W A. 98362 \ '; <; , <"': "'H.,,'H ..\:;,~1;:/ I Building Address: "~07:N-orth Libert:,,'t'1; "Poft,An' 'eigs!LW.~';98~362 ,,).:' > OUS place. . uilding Official. ........ " Cb~r+ Q <1D'2- ROUTING SLIP Certificate of Occupancy JII "",,,Q,Certificate/lnspection Fee :pc:; r V\f\. ,1+ .41=:- Is8S7 DATE [0 \ q \ ()~ Address of Proposed Business Applicant ffio,<'::::Jl€-o.... Pt-mu"dsof\ Address r{~~ ~~e'\~~;~2B Phone: business t.t<S1-{P'L II home LJS2 -'6D2~ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building .. . . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed business: \)::....'j~U-S\..O ~ Q (\~\ ~ m ~~ ~\1; \ ~~ n legal Description: lot \~- ~\+\I.../ -I ~ Current Use of Property: '€ i J f) n~ Q Zoning Classification of Property: 'Res,-J 0 nW Will THERE BE ANY OF THE FOllOWING? Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . Plumbing changes ............................. New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service ............................. Admission charged to patrons. . . . . . . . . . . . . . . . . . . . Is this a home occupation? ...................... Excavation ot tilling ot lots ....................... Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings. . . . . . . . . . . . . . . . . . . . . . . . . A grading plan tor site drainage. . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? ................... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ O~~......................................... Block L~ _/ Z~ --L- - ---L..- -~ ~- _-L- -~ --L- -L_ -;.L; - -L_ ---L _ -L- _/ -L_ / ~ ?OAT "1", r}~O~Q~t ~~ 'i-,,~ ~ ~ -<>Ueuc wo""-+-":> t-/)' ) ) ) ) ) ) d-.. Subdivision CO-.vn J( ~ c')~ ~~~ THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: ~D ~SfL ~03 ~\U;\a? Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. REJECTED is> I q I 03 Comments / Conditions C LA.. P affftfJeJ) ~r ~k. if\ -fl Rs - 7 Z7:>f"\-L. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000219 Date 3/10/03 Property Address ...... 507 N LIBERTY ST Additional desc . . Expiration Date . . 9/06/03 Separate Permits are required fore/ectdcal work, SEPA, Shoreline, ESA, utilities, pdvate 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. Ali provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING~FORM$\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNI~ W'FUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERM1T IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DIL~INAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION S:~L / FLOOR/ CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PEKMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERIVDT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL ELECTRICAL - LIGHT DEPT. 417-4735 ~-~/~'~/~') ~ A~ LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERYNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417~48}5 BUILDING T:\PLANNING\FORMS\ I ]02.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/04/2002 PERMIT NO: 13837 OWNER/APPLICANT PROPERTY LOCATION 507 LIBERTY N MARY LEA AMUNDSON 1308 SO. A STREET Lot: 10 - 13 &14 - 19, VAC ALL Port Angeles, WA 98363 Block: 2 [] Long Legal 360/452-8028 Subdivision: CAIN SUD OF LT 36 T: S: Parcel No: 063000780210000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $400.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE/CONVER. SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES CONVERT GARAGE TO LIVING SPACE RECEIPTff-'9893 FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $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 f required inspections have not been requested within 180 days from the last inspection, hereby certify that I have read and examined this application and know the same to be true and correct. ,~,11 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 reg~ating construction or the performance of construction. Signature of Go,tractor or Authorized A~t Dat~ 8~gnatur~ ~n~ (~f owner ~s build,r) Dat~ T:~PLA~G~FO~Sk1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUgH-IN & - 6 '-O '~ ,)--/..._ t WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING ~ ~ .ff~..q) ~ ~.. ¢~.~ DRY~VALL WALL/FLOOR/CEILING ~r'~ - Z'~)~I BUILDING 417-4815 ¢"~6 ' 0.'~ ~.- BUILDING pORTANGELES WASHINGTON, U.S.A. OF COMMUNITY DEVELOPMENT DEPARTMENT August 7, 2002 TO: Trf~ia Funston, Public Works and Utilities ~dou Haehnlen, Building Division DCD Ken Dubuc, Fire Department FROM: Sue Roberds, Assistant Planner SUBJ: CONDITIONAL USE PERMIT - CLIP 02-10 AMUNDSON - 507 North Liberty Attached is an application to establish a day care center in the RS-7, Residential Single Family zone Please review the application and return your comments no later than August 30, 2002. Thank you. t~ Attachments , ., ~/~. ~.__ _ / _ APP'ICA.TIOW.ER .FORMATIO.: r- Address: [3~ ~ SO~ ~ ~4 ~o{~ ~o[~Dagime phone ~: *Applicant's representative (if other than appli~nt): -- DEVELOPMENT Address: Daytime phone ~: Prope~y owner (if other than appli~nt): Address: Daytime phone ~: PROPERTy INFORMATION: Street address: 50"'~ ~'X~o~-k-x~c~ Legal description: ~-,..,~-'~ ~ ~ ~ ~.~ ~ ~ ) ,L ~s oning: t~~ Comprehensive Plan designation: Prope~ dimensions: Prope~ area (total square feet): Physical characteristi~ (i.e., fiat, sloped, vaunt, developed, etc.): PROPOSED USE INFORMATION: Please describe the proposed use: Number of employees: ._~ Hours of operation: "l '.Q (3 o..~-. ~ Number of on-site parking spaces: I O .~ \"g--.- Number of off-site parking spaces: ~¢.~- Building area (total square feet of floor area for the proposed activity): SIGNATURES: Applicant: I certify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of infcrmafion will terminate this permit application. I have read this application in its entirety and understand my that submittal will be reviewed for completeness and, if found to be complete, will be scheduled for the next available Planning Commission meeting. Applicant's Signature 'T~,r~ ~ ~¢'<-.~-,¢-~.~... Date ~-~ Owner's Signature (if other than applicant)L Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date !~ i,~ l ~'~> Time ~/'~ Received by ,~' {phone, person) Location of Work to be inspected , (~ ~ ,~ Name of person requesting inspection Address of person requesting inspection Phone No. Permit NO. Type of Inspection (circle appropriate one~~ ig ~ Sewer Excav. Sewer Foundation Framing Chimne~ Plumbing.. ~inal Other INSPECTION NOTES~, . Remarks: %~ ~ -- ~ ~/ ~ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~]Other ~-I Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ..... -~ ........ Date ,, Time Received by (J' ' (phone, person) Location of Work to be inspected~-~) ~~/--~'~/'/'-< $ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle a~p, propriate one): Permit No. Sewer Foundation ('Frarnin~ Chimney Plumbing Final Sewer Excav. Other~-~'; INSPECTION NOTES: Inspected: Date / ~-~- ~- ~ ~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel r~Asphalt []PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ,.,,,' pORTANGE:LES S07 AI I.; 18 W ?1~b WAS H I N G TON, U. S. A. Public Works & Utilities Department September 5, 2007 'ol' Mary L. Lindstrom 114 North Evergreen Drive Port Angeles, W A 98362 " RE: alley closure i' Dear Ms. Lindstrom: This letter is in regards to the closure of the City's alley north of your property at 507 N Liberty Street. It has been brought to the City's attention that there has been a wire or rope placed across the alley to keep trespassers away from the ravine area. The use of the wire or rope is not an accepted or permitted activity and could lead to a potential liability issue for both you and the City. If you feel that there is a need to close off the alley right of way for safety purposes, then I suggest that you apply for a street closure through the Right of Way Use Permit applicatiun. Public Works and Utilities needs to have 24 hour access to the existing utilities within this alley right of way. If you want to continue closing off access to the. alley due to safety issues, please state so on the enclosed right of way use permit application. You will also need to propose some means of closure other than the use of a wire or rope. Please remove the wire / rope from the alley immediately. If you have questions feel free to contact me at 417-4807 or e-mail tfunston@cityofpa.us. Sincerely, J~~~ Trenia Funston Engineering Specialist Phone: 360-417-4805 I Fax: 360-417-4542 Website: www.cityofpa.us I Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150 I Port Angeles, WA 98362-0217 '-' -..; -'0-".... d.... ...:."'_.., .....1 I, .....,-...., _1.l..,:j~I.....t:..::,. ; ;:.~U..... I )'..>-7, I ti '1 \ ELECTRICAL. PERMIT APPLICATION / .\}J1<'J C; ~ TM E1_ Ponnh AWIICS1iOfl mUI' bo 11'* CllIt comDIe_. . I \./ PIe-. '- or ..~nll" Ink. a you line ""Y Q_.... plea" cell (3I!Q. .17-4735 l?' Fo nu......" (38GJ .174711 0lI/n0f or E""'. conInlc1w ~.nt Olympic Electric Co., Inc. PI<lpetlyOwne,-, /7u/v .~, II ;4,nU.,WLJ.5DIV Addr8aIi: 130[; j 'j] I' s+- city, hd /1",//"';> . , &1_ Cocr1lt!ldDr Olympic Electric Co. I Inc. Ur;u/lllG J; OL YMPEC28~; ~, 4230 Tumwater ~; Port Angeles, WA PM""' 457-5303 P""",,, 3/31/03 INSTALlATION WIRED BY: DOWNER CnId/t C.rd HDh;Jer~: Char les i2l ELECTRICAL CC>NTl'ACTOA T. 8urkhordt, Olympic Electric Co . , I nc . S",/Itg ItJdll- : Credit Card NlImber. Same CIty: I!xp. 08t&. PIIOJECT ADORE8$, TYPE OF WORK: ~elildentaJ )07 IV L.J!Jc/i y , Chec~ .Ill that apply: 0 New o AlterationJAdditlon o Mum-family o CommercIal o MObIle Home Sq. F't. ~ ,/ __~USl.~'r "......, ""'"" D:II~ ^fP"".......u: ~\-. F"" 452-3498 Z-8oZ-t> Zip, ""'""': 457-5303 98363 lip; ZIp: VlSA:~MC:_ o Remote'Meter DDeIBchttd garage 0 Hot Tub OSwim.Pool 0 Septic Pump 0 low Vollage 0 Telecom. 0 Sigr Number or Cln:ulla IIddlId or .,_: (/1ti'1 ))1//1) r ftlt./w" DESCRlPT10N OF THe.1I.LJ[CTRICAL PROJECT: 3S,.;l-O elflctrle8l HeIIt LotId AddttJone $ I/o rGtf'r41f.. 1'1/\.f;Tl'~ B~. ~ I Serv~ fnronn.tkin Lorn::J C~6,t. ~""rtread Servkle CJ TBIl1p SeMat CJ Uncle rground Setvico #-'t-- o Baseboalll o Fumaoo o HAst Pump o Fen-Wall _KW _KW _KW _KW Vollage; j,~/, /~Zt> Pha..., 'g 1 /0 3 Servtc:G Size: z.{..~ F_r Size: PAMC 1~_OS.OGO(B), For InduatrlaJ. ",,",rn&rclal. & ~ntIa1 proj_ Iarg.... thM A dUt>IAlt. e OM - line _ng or lhlI Eleetrleal Se4'Ylel! & F-.m, Widing llU ("'I. tt.), loe<! calQJlationa, arod 1he '- &. 01 condUClO<1S and/or .-alway Is requu'" and ."aUlICCOmpany !he EI8C\rioal Permh application. I hereby certify that I have read aOO examined ttJls application BIld know that same 10 be true anc1 COrreCT, and I an avtlJortZsd to apply for t ermit. I undBrstand It is not the Citys legal responslbillty 10 demrmln8 what permits _ requirsd; if remains ths &ppIicsntS res.pcrl8IbJllty to determln8 what permits ane required and to oblSfn such. Credit C.11I Holder's Slan.tu...: ow... or Elec, eo",. SIgn.tlln: PW-9019 is (0;3 7Kt 6Iz- A~ ~ ()ic~ ~"< 3-'-1-0'$ 10~ JIHLJa1a JldWK10 COCSLSv09C xv" 1C' 11 coouco/co 0._ 0at8: 3/1A> I Application Number . . . . . 22-00001271 Date 10/11/22 Application pin number . . . 535155 Property Address . . . . . . 507 N LIBERTY ST ASSESSOR PARCEL NUMBER: 06-30-00-7-8-0210-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MARY L LINDSTROM JOHNSON ELECTRIC COMPANY 114 N EVERGREEN DR 3129 S REGENT PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 912-4464 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 132.00 Plan Check Fee . . .00 Issue Date . . . . 10/11/22 Valuation . . . . 0 Expiration Date . . 4/09/23 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 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 10/10/22, 7:31:29 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001271 507 N LIBERTY ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 132.00 TOTAL DUE 132.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Service NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/4/2022 22-1271 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 517 N Liberty St