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Home My WebLink About111 N Oak St - BuildingCERTIFICATE-OF -OCCUPANCY CityTofT Angeles k BuildingDwision: This C�rttfcationissued pursuant to the requirements of Section .109 of the UniformBuilding "Code. cei°tifying that at the time of issuance this structure was in ca pliance witl rfhe various ord nances.of the City.regulating Building ♦ '' co nstructior;or, use. For the fo "Mowing .�. `., _ ;,F Use Classification: Retail Permit No. Name: °wilted Strait Bu idng }.: =Bus . / � .,� M of Group: r. .Tyke Construction: �..rCBD Owner of Business: Krist eo>rnne ` Address: 1597 eer_ 1?ark Road,Port Angeles, WA 98362 NO Building Address: 111 N O Sget, Port- °�ri��les�W� 98382 RUCIhArl,2003 Date P "theme Ic us place. Shall not bed p Building Official V F ROUTING SLIP Certificate of Occupancy 72 $47 00 Certificate /Inspection Fee DATE 1 Z�Zb IC)Z New Business ( ) Address of Proposed Business Transfer of Business Location ( ) l I I N o ox Change of Ownership New Building ( ) ( ) Applicant K Q O Address lI env y knc' Remodel ( ) Q6-kl- Al2A1nn ; Lt-A `1(n(n2-- Temporary Business ( ) Phone business Lit 4-13 -S home 45-1- -ESS9I Change of Use ( ) Brief description of proposed business. s-ho I^e� Legal Description Lot t1 EXC Se. 9-73 Block 1 Subdivision Current Use of Property- is m. ri e- Zoning Classification of Property- C- b WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4), Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons �_ 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots /11 9) Sidewalk obstruction 9) Tattoo shop Work done in City right -of -way ✓ 10) Water meter installation 10) Other Is there sufficient off - street parking? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage '� 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? '� 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter? '� 17) Other Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date 6't -�2O Io•2- information I have supplied is correct to the best of my knowledge Signed PP REJECTED Comments / Conditions Building Section Public Works Department Planning Department z 2d 07- K_6 Fire Department j7.. Zo (>2_,6V- City Clerk PB I.A. V F �l Q` � \♦lam �Q C E RTI FICATE:,'9 -F -OACC U PAN CY r ' ' of Port, A00. ele } This Certafcation ssued pursuant to the requirements of Sectio'7,109 of the UniformBucldmg Code;certifyng that.gt the time of issuance this structure was in compllance:wathfthe varaous o dinances':of tlie_Ctty r_eguliiting B ilding ,construe 'o use. For'thefoII6Wi" ;t i n Use Classification. Ret311'S6S i3indingxPeiinefTSiay 3 -r �'�aR,• ems r, Group: M otConstruction: NOV, M Q Owner of Business/Residence: ,gffie -Baker Address: °2903 est 18`� t "reet PairtAneeles. WA 98362 111 NoAh - Esftet - ( µ' �3 62` Building Address: 'Date Post on the ,p L a Q pI uous place Shall not be reriioved exc ®pt try Building Official M VN ROUTING SLIP Certificate of Occupancyvm $47 00 Certificate /Inspection Fee DATE " i - 7" f New Business ( ) Address of Proposed Business Transfer of Business Location ( ) /// A) /_% le Change of Ownership New Building ( ) ( ) Applicant _�.� LL I Address b 9y ?) % �fl c7 %` Remodel ( ) Temporary Business Change of Use ( ) ( ) Phone business ome 7- V9377- Brief description of proposed business. Legal Description Lot Block 12�;_ Subdivision Current Use of Property- 142a 'zz L6_m' -Lt J Zoning Classification of Property- C •jam WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes v PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) " 2) Plumbing 2) Peddlers Plumbing changes +i 3) Electrical 3) 2nd Hand Dealer New or relocated signs Y 4) Mechanical 4) Pawn Broker New septic tanks New sewer service 5) Sewer 6) Sidewalk installation 5) Dance 6) Hotel Motel Admission charged to patrons ✓ 7) Driveway installation 7) Fireworks Is this a home occupation? L 8) Curb installation 8) Ambulance Excavation of filling of lots v 9) Sidewalk obstruction 9) Tattoo shop Work done in City right -of -way 10) Water meter installation 10) Other Is there sufficient off - street parking? 11) Fire New driveway openings Y L2L Occupancy A grading plan for site drainage 13 Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? v 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter? v 17) Other Other I hereby apply for a Certificate of Occupancy and acknowl- c� Z edge that I have read this application and state that the Date —O f information I have supplied is correct to the best of my , knowledge Signed APP D REJECTED Comments / Conditions Building Section Public Works Department 3 0� Sly Planning Department f6G� Fire Department 2 0 rS �A- City Clerk PB I.A. v t4 M ROUTING SLIP J T 4 \ Certificate of Occupancy 7e $47.00 Certificate /Inspection Fee DATE 12-1 7-0 Le, New Business ............................ Transfer of Business Location ( ) ................ ( ) Address of Proposed Business I I I N OOX Change of Ownership ...................... Building ............................. (� ) ( ) Applicant I< ./�New Address 0. Remodel .. ............................... ( ) Qa\F Nno -Lisa 4LX-A n"(02- Temporary Business ....................... Change of Use ............................ ( ) ( ) Phone: business q5' - 477+-3_3 home '+5y`) K� ddb' C- S1ey� Brief description of proposed business: Legal Description: Lot LIL Pxe S33 9 Block IS Subdivision PA Current Use of Property: G 3 D Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ..................... � PERMITS BUSINESS LICENSE Electrical changes .............................. / 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. 2) Plumbing 2) Peddlers Plumbing changes ............................. 3) Electrical 3) 2nd Hand Dealer New or relocated signs .......................... X 4) Mechanical 4) Pawn Broker New septic tanks .......... - - . .. .... 5) Sewer 5) Dance _ New sewer service ............................. '/ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons .................... 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... 8) Curb installation 8) Ambulance Excavation of filling of lots ..................... .i 9) Sidewalk obstruction 9) Tattoo shop Work done in City right - of-way .................... ✓ 10) Water meter installation 10) Other Is there sufficient off - street parking? ............... '� ✓ 11) Fire ' New driveway openings ......................... "� 12) Occupancy A grading plan for site drainage ................... 13) Sign (parking lots, downspouts, etc.) .................. '� 14) Shoreline Are the existing streets paved? ................... '� 15) Home occupation Are there existing sidewalks? ..................... 16) Conditional use Is there curb and gutter? ........................ 17) Other Other.......... ............................... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: f2 information I have supplied is correct to the best of my �- knowledge. Signed: — -J AZL I 1 APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date _ d� Time ENl'ER6 Received by V (phone, person) Location of Work to be inspected i t Z io , n (n.. S-} Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date 2 g °� Time �M BY Remarks: eb " - v RESTORATION REQUIRED ...... YES NO c� V" �o r 1\V �5 OC C. u-P C:>--`" '5. P SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel [—]Repaired by City ❑ Repaired by Permittee ❑ No Damage Found ❑ Asphalt ❑ PCC Work Order # _ ❑ COMPLETE ❑ INCOMPLETE ❑ Other r r CERTIFICATE OF OCCUPANCY City of Port Antes Buildint Divis oil: This Cgrtificatton issued pursuant to the requirements of Section 109 of the Uniform Buiddi »g Code certtfytng that at the time of issuance this structure was in cgi?Oiance with the various ordinances of the City regulating Building /♦'� �±y' const ,use For the fvllowtn Use Classification: Ret" Boadmg Permit No.. �` x 'BD Group: Maq Constmc[ion: >yr , x'n g� ".. '' Owner of Business: Kiisl a Address: 159 Oil A 98362 Building Address: 111 N 9t r c `14 2003 Date p ous place. Shall not be r Official. Use Classification: Group: M CERTIFICATE F_OCCUPANCY City of . s BuildinjMvidon Owner of Business /Residence: Building Address: rpicuous place. Building Official. DATE 4 - -" vN ROUTING SLIPP Certificate of Occupancy $47.00 Certificate /Inspection Fee Address of Proposed Business a nlirant ' 1% " Address 2 96 3 -(-� Phone: business 157" 7J�� iome Brief description of proposed business: Legal Description: Lot ; I Current Use of Property: lid %, Zoning Classification of Property: Block WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes ........................... ✓ Electrical changes .............................. Y Mechanical (heating, cooling, stoves) .............. - Plumbing changes ............................. ✓ New or relocated signs ......................... . v — New septic tanks ............................... v New sewer service ............................. -- — Admission charged to patrons ..... ....... � ....... �L Is this a home occupation? ...................... --- — Excavation of filling of lots ....................... --- — Work done in City right -of -way .................... Dance Is there sufficient off - street parking? ............... Sidewalk installation New driveway openings ......................... — A grading plan for site drainage ................... — (parking lots, downspouts, etc.) .................. — Are the existing streets paved? ................... Are there existing sidewalks?. Ambulance Is there curb and gutter? ........................ v — Other.......... ............................... — New Business ............................ ( ✓) Transfer of Business Location ................ ( ) Change of Ownership ...................... ( ) New Building ............................. ( ) Remodel.. ............................... ( ) Temporary Business ....................... ( ) Change of Use ............................ ( ) Subdivision ,7hrW I hereby apply for a Certificate of Occupancy and acknowl- Z_0 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signed /// knowledge. REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 1g„ Occupancy 1 3L Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other I hereby apply for a Certificate of Occupancy and acknowl- Z_0 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signed /// knowledge. REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions d w�� O® CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST STU STREET. PORT ANGELES. WA 99362 ELECTRICAL PERMIT Issued: 12/22/98 Permit No: 6514 OWNER / APPLICANT------------------ - - - - -- PROPERTY VIRGINIA FRIZZEL 111 111 N. OAK Lot: Port Angeles, WA 98362 Block: 360/000 -0000 Sub: T: S: Parc No: LOCATION------------------ - - - - -- OAK N 11 15 Long Legal: TPA CONTRACTOR----------------------------- DESIGNER------ - - - - -- COLEMAN ELECTRIC PO BOX 1326 PORT ANGELES, WA 98362 , 360/452 -7194 000 /000 -0000 PROJECTINFO ------------------------ -------------------------------------------- Prj Type: COML.REMODEL Prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: CBD Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan /Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- ADD CIRCUITS TO REMODEL BUILDING PROJECT FEES ASSESSMENT ---------------------- =------------ ------------------ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $54.00 Temp Service: $0.00 TOTAL FEE: $54.00 Misc --------------------------------- --------------------------------- $0.00 Amount Paid: $54.00 -------------------------- TOTAL FEE: $54.00 Balance Due: $0.00 COMMENTS /ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MR&" 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: CITY OF PORT ANGELES PERMIT APPLICATION RECHVED w Building Division /Electrical Inspections APR 0 2 1f j � 321 East Fifth Street — P.O. Sox 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax:: 60) 417 -4711 b fiiF l � N1 Date: 7 ` _ Multi - Family or Commercial* * Plan Review May Be R uired, Please CQQ nplete Electrical lan Y ul x nfor ation S eet JohAddress;__ ��a �� °9/�IC' t C,% e) LL �r'[__`_...._._..�.1 0%c��a -� Building Square Footage: Description of above Owner Information Contractor Information Cl Name: C i 1 el It IZA, Name:. � _ � r.111, I so'i- Mailin Address: Cite Zip; Ca Mailin Addr ess City e r State: (,e Zip: Phone: Fax: Phone: 'W-1 cfr Fax: Y 7� License # 1 Exp. License # 1 Ex p. 'r, p S c: _Cj c7 CID Item Unit Charge 9iy Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132,00 $ Service/Feeder 201 -400 Amp. $160.00 $ Service/Feeder 401 -600 Amp $ 225.00 $ Service/Feeder 601 -1000 Amp. $ 288,00 $ Service/Feeder over 1000 Amp, $ 4100 $ Branch Circuit W1 Service Feeder $ 5.00 $8� Branch Circuit WO Service Feeder $ 74.00 $ - - -, Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86,00 $ Temp, Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201 -400 Amp. $121.00 $ Temp. Service/Feeder 401 -600 Amp. $ 164,00 $ Temp. Service/Feeder 601 -1000 Amp $ 185.00 $ Portal to Portal Hourly $ 96,00 $ SignlOuEne Lighting $ 88,00 $ Signal Circuit] Limited Energy - Multi - Family $ 64.00 $ Signal Circuit] Limited Energy! First 1500 sf- Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Scat }� $ G 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 mire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19,28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature gf- ner, electricq contractor or electrical administrator: ❑ Cash ❑ Check Credit Card # �t X cr Dated: 01IO112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . 15- 00000361 Date 4/10/15 Application pin number 965888 Property Address 1I1 N OAK ST ASSESSOR PARCEL NUMBER! 06-30-00-0-0- 1530 -2001- Application type description ELECTRICAL ONLY Subdivision Name . , , Property Use . . . , , . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . , . . 0 Application desc Hot water tank -------------------------------------------------- ------ -- ------------ - - - - -- Owner Contractor RIAN ANDERSON BOTERO & SON ELECTRICAL 12 GREEN VAL7,FY LN 940 TAMARACK WAY SEQUIM WA 98362 PORT ANGELES WA 98362 (360) 457 -4491 (360) 452 --4766 Permit . . . . . , ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 74.00 Plan Check, Fee 00 Issue pate . . , . 4/10/15 Valuation , . , . 0 Expiration Date . . 10/07/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH .EL -COMM BRANCH CIR WO/ S/F 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 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 10 FINAL i COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: GAEXCI{ANGRBUILDING cF� 9 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 1 15- 00000467 Date 5 /01/15 Application pin number . . . 9 935336 Property Address . . . . . . I III N OAK ST ASSESSOR PARCEL NUMBER: 0 06-30-00-0-0- 1530 -2001- Application type description E ELECTRICAL ONLY Subdivision Name . . . . . . Property use . . . . . Property Zoning . . . . . . C CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 0 Application deeC Lighting requirementr8 for basement -------------------------------------------- - ----------------- -- --- -- - -- -- -- REPORT SALES TAX on your excise tax form to the City of Fort Angeles (Location Code 0502) f RIAN ANDERSON EOTERO & SON ELECTRICAL 12 GREEN VALLEY LN 940 TAMARACK WAY SEQUIM WA 98382 PORT ANGELES WA 98362 (350) 45'7 -4491 (360) 452 -4766 PerLL t . . . . , . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 74.00 Flan Check Fee 00 Issue Date 5/01/15 valuation 0 Expiration Date 10/28/15 Qty Unit Charge Per Extension 1.00 74,0000 ECH EL -COMM BRANCH C1R WO/ S/6 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN l FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Cozltractor X Date: G:IEXCHANGDBUIL [NG INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN l FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Cozltractor X Date: G:IEXCHANGDBUIL [NG PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Cozltractor X Date: G:IEXCHANGDBUIL [NG CITY OF PORT ANGELES PERNUT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street— P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: ` Multi - Family or C� e i ciir } Pfan Review May Be Please Complete Electrical Plan Review Information Shee Job Address: r p, Building Square Footage: Descdptlor of above °° titet � t 9iy8pt'60A's Owner Information Contrac r Information / Name: Name: t'.rC1 .p Mailing Address: Mailing Address: E6 '- a�y-7— City; Stale: Zip: City: s c State: �A zip: Phone: Fax: Phone: Fax: License # l Exp. License # 1 Exp. Item Unit Chant e 2y Total (Qty Multiplied by Unit ChargJ, ServlcelFeeder 200 Amp, $132.00 $ Service /Feeder 201.440 Amp, $160.00 $ ServicelFeeder 401 -600 Amp $ 225.00 $ ServicalFeeder 601.1000 Amp, $ 2gg.gq $ ServicelFeeder over 1000 Amp, $ 410.00 $ Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 74.00 $� Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 86.00 $ Temp. Servicel Feeder 200 Amp, $102,00 $ Temp, ServlcelFeeder 201 400 Amp. $121.00 $ Temp, SerAcelFeeder401.600Amp. $164,00 $ Temp. ServicelFeeder 60f -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutline Lighting $ 88,00 $ Signal Circuit) Limited Energy – Multi. Family $ 64.00 $ Signal CtrcuiU Limited Energy 1 First 1500 sf – Commercial' $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $ f 1100 $ Thermostat $ 58,00 $ Note: $5,00 for each additional T -Slat $ tai 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 safe, 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 contraclo% I am making the electrical installation or alteration in compliance with the electrical laws, NZIS., RCW, Chapter 19.28, WAC, Chapter 296 -463, The Cityof Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator, 0 Cash IJ check C7 Credit Card# C X ---- -- Oated: � 0 1101124f2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . , . 15- 00000351 Date 4/06/13 Application pin number . , , 537707 Property Address , . , . III N OAK ST ASSESSOR PARCEL NUMBER; 06-30-00-0-0- 1530 -2001- Application type description ELECTRICAL ONLY Subdivision Name . . . . , . Property Use . , , . . . . . Property Zoning . . . . . , , CENTRAL BUSINESS DISTRICT Application valuation , , , . 0 Application desc Wall addition ---------------------------------------------- ------ -- ---------------- - - - - -- Owner Contractor RIAN ANDERSON NORTH PENINSULA ELECTRIC 12 GREEN VALLEY LN 761 FRESHWATER PARK RD SEQUIM WA 98382 PORT ANGELES WA 98363 (360) 457 --4491 (360) 477 -1764 - V - Permit ... , . . , ELECTRICAL ALTER RESTDENTIAL Additional desc , , Permit Pee 58,00 Plan Check )'ee OD Issue Date 4/08/15 Valuation 0 Expiration Date 10/05/7.5 Qty Unit Charge Per Extension 1.00 5.0000 ECH 'EL -ECH ADI)NT BRANCH CIRCUIT 5.00 1,00 63.0000 BCH ETA -R- BRANCH CIR WO/ SEE FEED 63,00 Fee summary Charged Paid Credited Due Permit Fee Total 68,00 68.00 00 .00 Plan Check Total 00 .00 .00 00 Grand Total 68,00 68.00 DO 00 O „ W 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 WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G :T_XCHANGE\BUILDING CrY Y OR PORT' ArvGEL-Es pa,&HT I" , bical InspeTfloUg 321.291' Fifth Sjreat — p o. Box 1150 j p Ph� (3150) 4174,17-3-5,F 2X: (360) 417-4711 art Angelles 'VVashlnghm, -98362 JS - 'Plan Review Njay Job Address: Building Square —Fowage: QOMinlion of above P- 2 S1111919 Famffy Dwellinn RECEIV ED AN ELECTRICAL . .. .. .... Bactdcd Plan Review Informagon Sheet owner Info • n Hama. C, Bailing Addfess- City: phone:— L Umnsp 91 EXP, &M Servim'Feeder213DArnp, —Unftuc—harma Selvic&FeSder 201 A 00 Amp- $120.00 Se1VlWJF8eder4G1-6W Amp S146.00 3WV!&Feed8r6014=Amp. $205.00 S efVICHIFeEder over I X0 Amp. $262.00 373,01) Branch Circuit W1 Service Feeder Branch Circuit W/0,qervirs reede, 5,00 Each Additional Branch Circuilt. 63,00 Br6x'h Ci9xilis 14 -00 Tamp. Servir,-i ceder 200 Amp, 75.00 Temp GerviO,rMEd er'201 400 Amp, S 83,00 EOM, TOM, -S MMFeedar 401-600 Arnp, $149,00 TeMP. SeT*etFeEder 601 -1000 Af np , POW to Portal Hourly 168.00 8*61 CfFM-IV limited BiaW 2 Family Dwelling ManufaGUYed Horns- Connecd()n 96.00 S 64.00 9en""'able FjwMmt ErlergY - SKVA System or Leas $120.00 S 102-CO Themostat i NOte -55-00 Or OSCh addiftai T-Stat 56-W CONST U&L—Y. MOO Square Pt Contractor inform t! Nam"` al fig -11k M Slate, V P" License Each Additional a)Dgauam Ft of portion of S 12D.00 Faa CiUlbui(dirlD or Detached Garage Z 40.00 IndP0010rHoMb SI M00 W Fach %WmaF TUG Owner as defined by RCW. 19.24.261: (1) Owner mfill occupy he structure for two year. 3 afte f0 Wean electrical cantrsctor if above said property is for sale, rent or lease. 'T this Olectriml pamlit �na . UzOd- (2) Owneris required Pannitaxpires after SLX Morih$ Of] ast hasp iron. After reading the above statement, 1 hereby certify that, am the 0 vn oftheeb enamedp Pa the alsoicai: installaVon or altmkn in er 0V W TiYOTaiicmsedele�hice)coDtractor.lammaldng corriPl'anca Kdth the elet�trfcel law,% N-EC, RM Chapter I9 28, WAG . Chap ter 29640B, The City of pon Angeles Municipal Code, and Utility Specirications and PAMG 14.05-050 regarckirig 0- emiew p8rffjtApprjG gon 31griature of ommer, alecWcal c0niT$CtOr or electrical administmier. Y Itd. r ° , ELECTRICAL INSPECTION WIRING REPORT `'ARKS 417 -4735 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETE® WITHIN 15 DAYS APPROVED NOT APPROVED .................... DITCH .................... 13 ................ ROUGH IN /COVER ®. ...... . ....... ............SERVICE............ ® ..............e. ..... FlIWgL.................... CORRECTIONS NEEDED; V4 r W 1, TL.i I Az�- r i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETE® WITHIN 15 DAYS Application Number . . . . . 22-00000882 Date 7/19/22 Application pin number . . . 974670 Property Address . . . . . . 111 N OAK ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1530-2001- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RIAN ANDERSON CASCADE ELECTRIC & VAC INC 12 GREEN VALLEY LN PO BOX 369 SEQUIM WA 98382 PORT HADLOCK WA 98339 (360) 457-4491 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 7/19/22 Valuation . . . . 0 Expiration Date . . 1/15/23 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 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 7/15/22, 8:00:47 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000882 111 N OAK ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment