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Home My WebLink About214 E Lauridsen Blvd - Building 0 ELECTRICAL PERMIT .1 a o CITY OF PORT ANGELES O 360 417 -4735 Application Number 10- 00001004 Date 9/13/10 Application pin number 214924 P REPORT STATE SALES TAX Property Address 214 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 2316 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc Rewire 4 panels and 24 circuits Owner Contractor HUTT, TRACY JERNIGAN, JEFF BOTERO SON ELECTRICAL 214 E LAURIDSEN BLVD 940 TAMARACK WAY PORT ANGELES WA 983627821 PORT ANGELES WA 98362 (360) Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 173187 Permit Fee 542.00 Plan Check Fee .00 Issue Date 9/13/10 Valuation 0 Expiration Date 3/12/11 Qty Unit Charge Per Extension 24.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 62.40 4.00 119.9000 ECH EL-0-200 SRV FEEDER 479.60 Fee summary Charged Paid Credited Due Permit Fee Total 542.00 542.00 .00 .00 G Plan Check Total .00 .00 .00 .00 Grand Total 542.00 542.00 .00 .00 \q!) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN l eN i ON CW FINAL W 11J, COMMENTS: y r -t- 1/pi 15 1(7 17 l$ lc). 9/2o PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: p•axr1 Q CITY OF PORT ANGELES PERMIT APPLICATION U I r� �f ED Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Ang eles Washington, 98362 1 1 0 2• Oo� F Ph: (360) 417-4735 Fax: (360) 417 -4711 ELECTRICAL W Date: INSPECTIONS 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Z, I `1 Ira_ 1_.,P 21 QS_ Building Square Footage Description of above A_ t Owner Information Contractoria m on Name: .1 .1 Name: i f d AD Mailing Andress: 2i I-} dr LJA tJ t21 S .4 M i ing4ddress: 9 (1p j 4144 )2.4' c City: State: Zip: City: A State:CA, Zip: Phone: Fax: Phone: 4 /6i- 9/ Fax: 9r 9''74-6 License Exp. License Exp. Item Unit Charge Qty Total (Qty Multi by Unit Charge) Service /Feeder 200 Amp. 119.90 ___1_ t4 7g Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 2 GZ Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/.Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 (9 Each Swimming Pool or Hot Tub 110.30 'CH 2` 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 l 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 electricallaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical c. tractor or electrical administrator: 0 Cash 0 Check �/7 P Card X 1 Dated: 7 0 112010 Application Number 08 00000043 Application pin number 424915 Property Address 214 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 2316 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Owner Contractor HUTT TRACY JERNIGAN JEFF 214 E LAURIDSEN BLVD PORT ANGELES WA 983627821 (360) OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Qty Unit Charge Per 1 00 75 0000 ECH EL COM ALT 0 200 SRV FDR Fee summary Charged Paid Credited Due Date 1 /11 /08 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 118927 Permit Fee 75 00 Plan Check Fee 00 Issue Date 1/11/08 Valuation 0 Expiration Date 7/09/08 Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 Extension 75 00 uN SP F,CTION TYPE DATE DITCH SERVICE ROUGH IN FI1\ AL ELECTRICAL RESULTS INSPECTOR iksi 'RAP Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HUTT TRACY JERNIGAN JEFF 214 E LAURIDSEN BLVD PORT ANGELES WA 983627821 (360) Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 ELECTRICAL ALTER OLY EL/ 100A PNL 114405 OLYMPIC ELECTRIC 64 00 11/01/07 4/29/08 07 00001265 568625 214 E LAURIDSEN BLVD 06 30 10 5 0 2316 0000 ELECTRICAL ONLY COMMERCIAL OFFICE 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 64 0000 ECH EL -R OR RM 0 200 ALT SRV FDR Fee summary Charged Paid Credited Due 64 00 64 00 00 00 00 00 64 00 64 00 00 Date 11/01/07 WA 98363 00 00 00 00 0 Extension 64 00 III SPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL albg 41 4 0• CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section,301 of the Internatiorial Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following Use Classification: Business Building Permit No. 04-969 Business Name: All View Motel Li Type of Construction. V-N Owner of Business: Traci clutt. Address: 214 East Laundsen Blvd. Laurklsein Blvd Building Address7 Group: B Use Zone: CA Port AnaeleS. WA. 98382 PortAn2eles. WA. 98362 8. 2005 Buildi 7 r7 'Date Post on the premiseS:ThI'a'conspicuous place Shall not be removed except by Building Official A �e1 u l N DATE Address of Pro osed Busines Applicant a CA Address 61A 1(' f\ \\d 1no Ae 1\i [qua 1, `(Ac.1 Phone business APPROVED REJECTED Brief description of proposed business Legal Description Lot Current Use of Property Zoning Classification of Property 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 of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other mktc) ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee YES Block zft /1Wc- 21 NO I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 23 Date C Signed Comments Conditions Subdivision THE FOLLOWING 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 6) 7) 8) 9) 10) A WILL BE REQUIRED BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance Hotel Motel Fireworks Ambulance Tattoo shop Other 4 Mu 34- J7_ c o n S v 11 r n r I 1 Get) Se i S r) b 1-f'af rCf2 1P ri~"ORT "-'10 ~ 0,._ L -=-- ~ ....."*" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000520 214 E LAURIDSEN BLVD 0630105023160000 RE-ROOF Date 5/28/03 8521 Owner Contractor PETERS RAY L 214 E LAURIDSEN BLVD PORT ANGELES WA 983627821 OWNER Perrnit Additional desc Permi t Fee Issue Date Expiration Date BUILDING PERMIT TEAR OFF, FELT, 190.75 5/28/03 11/24/03 - NO PR FEE METAL ROOFING Plan Check Valuation Fee ,00 8521 Qty Unit Charge Per Extension 92.75 98.00 BASE FEE 7.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 190.75 190.75 .00 .00 plan Check Total ,00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 195.25 195.25 .00 .00 '9 - ..:L. Yt'J . J- g ~ - f;- ~ :s OJ - c.. (.L Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of iaws 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. Date 6'-.28" ~3 Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\] 102.]5 [4/2002] BillLDING PERMIT INSPECTION RECORD CALL 417,4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, fNSULATE 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAl.. (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN '1 I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I I I CEILING I T FRAMING JOISTS J GIRDERS SHEAR WALL WALLS / ROOF I CEILING DRYWALL T-BAR INSULATION SLAB I T I WALL I FLOOR I CEILING I I I MECHANICAl.. HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARA IE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1'7/<//03 ,IL BUILDING , T:\PLANNING\FORMS\1102.15 [4/2002] 2 12/04/03 PAGE DATE PREPARED 12/04/03, 12:40;43 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY - - - - - ~ ---------- ADDRESS 214 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER PETERS RAY L PHONE PARCEL 06-30-10-5-0-2316-0000 APPL NUMBER: 03-00000520 RE-ROOF -----._----------------------- .---- -------- PERMIT, BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------ -------- .., BL99 01 12/04/03 ~, BUILDING FINAL COMMENTS AND NOTES CITY OF PORT ANGELES LIGIin' DEPARTMENT ~,.-,.I';t. ELECTRICAL PERMIT Nl! 17137 Port Angeles, washlngton....L~?....-=-~~...........,...'.'.....n..... 192,:: In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles. per- mission is hersby granted to do electrical work as listed below. iJj L Address ,~lL~~~~:.'Yi;,f.h['..".."m.z1.~n.J? oc~;;ncy,..",,,,~,f~~,'-....n,....,.......,.. " clRJ. . lA" . '2' l:x. Owner .......,"f,..,....c..t::;:.~.;:,~,~/(4'!:,;e..,~..., TenanL.................._m......._......,...,..........,.....,_.....,... Wiring Contractor .}!J/(:?~,?Lt::-':,-:5;-r.:~~~,:.~:?.c:.,.., By,"nn.........'.....'...m...................'_mm...m....... Light Outleh..............................,_.._..... Service, voits ..i~,~..t.r.~... Type ot Wiring: Receptacle Outlets....hn............____....... No. wires .-:!:f:.j-:-O-//c;I;/$ tfl Armored Cable ........h__.h_............_ Drye;r, KW...uun___...___..___.....__..hn..____ Size wlres__._n..____...__.n_...nn_......1.c Non.Metalllc ................................- ~'j::r .4- Knob & Tuben............h......._........_ Main tuse ........-....''Y.....:............. (.7 / ~;, Rigid Conduit '...................,......,.., Enclosure ._......:"__...h..n~___..___..n..m Ran@:e, K\V n__..___________...___.n_._.._____ Wat:~~.~;~~~;ruu Hea1: KW.h....................nA_.._:_.........__n. Metallic Tubing h_..h.____............... Type of wiring: Entrance Cable ......_____....h..........._ Raceway ___.._.___.._...._............._._..._ CIrcuits. Ligbt....____.._...n..n_n.h_.._.__.__.. Ullllty ......................._.................... Mo~ors: size. volts and phase: Rigid Conduit ..n...___.........______.___.. Metallic Tubing .h_____.._____ Current transformers: No. & Sizenn..h..nn_._..........._.......... Heat __._..........._.._...........__._._._..__ Ser. NO..._.....__...h__.n.n__nn................. Range ._____...________..____.___________._....____ Water Heater ....._m...._....._____m_h. Motor ..._........................................ Ser. NO....h.h......_n.__...n_n..._......_...... Dryer........__....................................__ Ser. No. .n....._...................__n__....nn... Furnace ........hh..........._.._n...._n......._. Total wad:..__...........nn.nnn.. Ser. NO.._.....::-:....nn__..n__n._._............ Total ....h....._nnnn_n_...___..._.____ Remarks: ..n.r'~/.,!"-::(,,,L,.,,~t.,q=.L,..~.....k::<.~":::t:..,...........'......m....................................................., --..~~.uu__U____..n.n__n_n___n.u...nn.u__.nn....___u_n..u.n__.u__.--...nnn.nu.nnu_...nn__.n_nnu..hnnn____unn_u...n.nnn__nnnnn n____.nh_hn___unu.__Uhnh.nnnn.u._n...nnnuU.n___n.__n.un.u_________.nn..__Uh_n..u.nuunh_.___n.nuun.h__.n__n_______..d._...._n.. PElrmit Fee Treas. Receipt No............................. By Y!..i!.~:;l;Qf,,~,..&,"',..,...., $....................,................. NOTICE-Current must not be turned on until Certificate of Inspection bas been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION J ELECTRICAL PERMIT N? 17137 A~dress.......-------................--............................._..._....__.............______.._.............-------.-.............___....Date..._........_._.._.._..........__....._......__........ ! Owner ........n_._n..........n_...._____........._...._._......__..........._........................_...............n_....... Tenant._._....hn__..n_n........:n.._h._.nn........................ WlringContractor............______........._......._....h___..__.____...._.................._..___...._..............___....._.........By._.................._............__......................___.. NOTICFr-Current must not. be turned on until Certltlcate of Inspection bas been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ~, / \ I eI?, OF PORT ANGELES tIGHT DEPARTMENT I I ,. ,","",.00 .<<h... c::,,':: :::::~=:::.::~::-:;: :'9?:~ tri!lal equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to do electrical work as listed below, Address J{:;:<c~~,:=...r j3e..~ rt..i?~,~~,.... occupancy,<..~~,,4..''''',..,m..m:'m O~ner ..;2;!'.7J..tZ:<,,:~'Y.,'t,'i~t!.t~.l2ffJ~ Tenant..,!.J~d.:r!.-;kJ.:,-:'....",-~....:=....,....., Wiring Contractor Ci1g,'...jd.lk,~"..,e..(rk...:::i:::,......,....,..... By..,..,....,.,.....,....,...........................,....,..,....,..,.. V jjrJ / "}JJ p- Lfg~t Outlets....__...._.....-..............._.._..... Service, volts ........m."!......?............... Type of Wiring: No, wIres ..;t'4~t"'''''~3"''C ~ c../"IArmored Cable ............,................. SIze wires'0!:o(d'OJ'I:if_':::'lj';<;<-" ~ Non,Metalllc .................,.........,..... l> IT"" Knob & Tube...................,............. ~~use.Jt..~~~= E~ ....n..._...---::_=_.::=~.V Type of wiring: Entrance Cable _.___m_mnm__m ELECTRICAL PERMIT N9 16263 ReQeptacle Outlets._m__...__................... Dry~r, KW....,..................................... Ran$e, KW....,..,........,................. RIgid Conduit ,..........................,.., Water Heater: K D ,,, G3 rlw B../J "W................................., ........... )</5',(,'( . Heall KW........:<<..,"...':L"d...,.A.P........ r. . __ Metallic Tubing h....n............_._.._. Motors: size, volts and phase: Rigid Conduit .......--........-............. :::zJ..::z..::::~~:!(E?k; I curr~::~~::s::::eg~;................ No. & Size.....................__................ Raceway ,...................,",....._....._ j- "'. ~ "" CIrcuits, Lighl..~...........,.........,..... IllY Ulllity "'f''''';'i'~'''''''''+ft' .: ~-;L. Heat ...."....,Jt.,;!."............_...,.. Range ......,~...............,............ j~ .;J. Water Heater :-::7b-......................_. ,:) .;;. ..................-..........-...--..........--..-....-.... Ser. No................__..._............_..._...._... Motor ...__....~..__...._......................... Dryer........;)................................ .> ~ Ser. No. .._.......................................... Furnace .........................._.....::=-.......... , -J'b r; Remark:~ta:..~~~..,~..,,:,...:~:::':::.::;,..,....,m....s~r:,:~:..,.:,:,~:.:...:~..~,..':..',..:..,~..,:.....,......,........~,~~....,..:':;.::,~::~::r +....n...._..........................................._ Ser. NO.......n..................................... .__nn.oInnnnnnnnnnn.nnn...nn.n__.._n..nn.nnnnn.n._n.n.n_n.nnnnonn.unnnnnnnnnnn.__nnn.u.nnnnnnnun__h_uhn__.nu. P~rm.it Fa $,...$..,h..:...C?......m'mm Treas. Receipt No...............,.......,..... By ",1{t2~~I..~~~~~f:~~d.,,:.., " NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed', due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16263 Address..................._.................................................................................._...................._...........Date..._......_.._......_.........._......_......_......... Owner ..................................._..........__....__......_.__..........__.........._..._................................ Tenant...................................._....................__......... Wiring Contractor ........................................_........_........_..............................._....._....................... By..............................__.................___..._......_ w ~ . . NOrrICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con- cealed c,\ue notice must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Prlntars, Inc. ,i'. I' ','1' '.1" ;:1' "I :'1 "1' :.i. " .1.. ..I ::1. .'1 " .i 01/09/2008 15:16 3604523498 OLYMPIC ELECTRIC PAGE 01 , "..,.. C8~ . . ELECTRICAL WORK PERMIT APPLICATION 3> Inll~.tion d.e.m;ptian VCollUll...doI Q Re.lde.tlal Job ",ired by urflmrlcal Contractor C Owner LlcCD$e ~umbe' Dale !l:plJ'es :::f;:.,'?}(I~ a/~~~;- I?LY/l!P~C.M'}L7/ . mllUhlJ addnlaa tJ2Jn r;:"-~.w'Ar.b? c~ St&le z~p ,..-r- ~/'?f U7. '/rJb'.2 Telephone number FAX !lumber - &:/ 7... .Prcmlsc, oWDcrl, a.me ...L / 1f I VU'" /Ie? rr " dr... or 100pecllo. ~ U'f ~ Lc?~rl ,./1 CI~.K'f- A ~ ~~ ..- r Pilon: aUJDber 1 ,dlll~dul;-IIl'P6C.1I0D: Electrical contnr.cUlr namo aNew o AlI.rodfAddltto. /~.7? ~/t ~/?~/ I t? IJ~/lrr /l ~/T) !lIP'! "t:, Ow." lIS dlj/..d by /lCW.Jg.2B.161:(I) Owrl" will <<c.py ,h. """<I.IT/.' I.... J'ClU" qfW 11IIs .I~rl"" pormJllI jI..1Ized. (2) Own.,. is rev"'''' to hv. co r/"""CGl ",rUI"a.d'DI' 1/ obrow J41d pro/H"'" Is for !tde, rent or 'GtDL After :readiftl the above ttateml!:nt, J bcroby cmtil'y tMI I am the OWfter or the above namd proper!)' or . lieenled electrical conlractoT. t 1m maleina the elcmcal instal.. lation or aheration in com,liaaee with lhe elcctrical IIW', N.E.C.. RCW. Chapter I P.2I. WAC, Chapter 296-468, The City or Port Anlolea Municipal Cod.<. and Utllll)' sp.cir...ri.... SICauure or ow>>et.' tloctrlC1l1 contraUor or electrical .dmhtlllntor a Qlsb C Oleck # ~il Card VL\ll MllStcrcard Discover Card # . . .. , ---------------'"'"'"':"'" ExpiIation Date of card x Date: I SIIrvlc8.lnformA1lan , o NO LOAO CHANGES o Bueboald _ K!II O. Fu""", . K!II o Ii..t Pump _ Ton _ LAR o F....Wall _ K!II SAME DAY INSPECTION o a..mead Se~ a Tomp SeIYlCll a Undergroond Servlce CALL BEFORE 7'00 AM 360-4174735 Vollago Phasa0103 ServlcG Sb:e: _ F.edsr SI28; IOe? . / ROUGH,lN r THERMOSTAT '" r SERVICE ..... _0, D.. ~~ ~W4 B1 D_ "Witt, r FINAL r DITCH 1 r' FEEDER ) ~~-I .... IafVmta, nail AppIVftil B1 . . Jnlpeetles . Area, Buildi.S or I!qulprncnt Inspected Action Takea tnl!lctrical Date Jnspe~~or J It/lop, ~ ~\2..\I(L ~ "Dlf:t "'1\P . .. . ~ ~.' ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR 'i"3> 'D1"~ L.-AulZl 't>t.-V D APPROVED NOT APPROVED o ...,..............,. DITCH. . . . . , . . . . , . . . . . . . . . 0 D. . . . . . , . . . . ' , . . . ROUGH IN/COVER. . . . . . . . . , . . . , , 0 D. . . . . ' . . . . . . . . . . . . . . SERVICE. . , . . . ' . . . . ' . . . . . . . ~ D...................,. FINAL.....,....,...."... 0 CORRECTIONS NEEDED: ,I S \)~ '?A.N'1Z...L ~ F"~ N~T~L N.-E,c:..p~ , R.,z:.'YA IR VL-Uc:' W \ )Z.. 1 N'= -=F"o IZ- W Ii( E12. 8J'Z.OIlN'D 1f1'Y LAN O}J ~]d~.J 0)::: &'iZD'\) N 'V 'YJ\N 18- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 -- ,. ,/ 'I.' I , 'I I "I: .., .' < :! i i ,I i 1 .::>: 'I , ., '1 ! ,i'" '-I" , . . ., .' , i ; . -,"t. 10/30/2007 08:31 OLYMPIC ELECTRIC PAGE 01. 3504523498 .... . . ELECTRICAL WORKPERMI'I' APPLICATION Job wired hi lD'f.ec:trlCaJ Cootractor 0 Owocr (mnlllatian dn;riplion -.L o COIllDIerdal lIirluoldtlltJal Eleclricll ~ntl1lctD' name License number 01'" ~pll'es r?t.."lf"//- ;:::7,.." In". (?L)/#1 Rr/: 28'S-/? j P';i;d;;iietplIDOllIllll Ill""''' ij..z?/? /L/17?t./~ ;?,..- CilyO .d4 / t:i:!Z./T. ~/I"'J Telepbone number ON.,. o Alt.redlAddIU.. Jg;{;t /~~1) Stale ZlP W,l. V?d'f FAX number P?/.P iA";~;:m~ f,..( "d}j' .r ~~'II..~ ~ . ,{ /.. '//11. ....-1 'Cl''J&',..-r ~ ,,,h-f Pbo.e ..robe, to "bo~e lnlp,c,lon, f. Own" 11$ d~,..,d by R.CJf.J9.2&.161 :(I) Ow"" will oa:uP}' ,Jr.t s.rvdllrt Jor 'wo ,.... qfIu ,Al< .1<<Iri<<1l pm~' It jlM',.... (1) Own... It l'f9ul",J ,. ~irf .. 01_1 ct)lIl1'tJCtDr If abow =4 profN'l'/ fJ for Jell, rent or leASe. Aftr:r RlMIin. the above .taLemen", I b..ftby cordr)' mall_ d\c. 0WMf or tha above auned p",pert)' or I liccnaed. el<<tric~ C1JnUaClClt'. . am making the eleetrlc:al Instill- l.don Of allera1iop (II ~m'pliIA~ willi. lhe electricall.wl, H.e.c.. RCW. ChApter I '.28, WAC. Chap'" 296-468, The Ci.y of Port Alliel.. MUnl,lpal Code. and tJtUity SpeolficatioD3. SICDlfUrl! or ClWllel', electrical (.ontr-actor or (!Ieetrh:al admlnlslralor ffk.-/ Cl Cash Cl Check /I ~ditCard VI98 Mastercard Discover Card # . . . ---- ---------"--- ExpizationDBIe ofelltd x Vol1aQG .2 ytJ Phuel1l1 0 3 Servtce SIze: _ Feeder Size: IA~ Date:,{?? g.rvlce InformAtion NO LOAD CHANGES o _1lI'd _KW CJ Funw:e _ KW 0 Overh..d Servtc:e CJ ~81 Pump _ Ton _ LAR a Temp Servlal o Fan-Wall _ KW Q Underground $ervt"" SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 .WJ . ROtJGH-1N r THERMOSTAT SERVICE '/IlLo"O ~Sy 0.. -"' '" .... AppnlYWdlli,. , . r FINAL DITCH / FEEDER $~. ... ilj!!!ft . ~ "'" ml1 In.pec:IIClG Blectri..t Dale AJea, Building or Bqulpmcntlnspectcd Ac:lion r..... Jnspel:tOf ~~~U""LGI Q) . nf'T '1 1 ~nn., I' - .. ;; " '. .. :f ~ORT ~ ~-l..o:;;;'.."iii{~ (J,___-. ~ r- 'EiiI -oL...~CIJ c&' t (''''''~~Y IfuRKS&o ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR 0... ?\ L i7 c~ 1 <:.. ADDRESS 2.,1 l'Z:. LA-()1Z.. APPROVED NOT APPROVED o ,.....,....,........ DITCH. . . . . . . . . . . . . , , . . . . . 0 D. . . . , . . . . . . . ' . . . ROUGH IN/COVER, , , , . . . . , . . . . , , 0 ./ 0, . . , , . . . . . ' , . . . . . , , . SERVICE. . . . , , . . . . . . . . . . . . , ~ D.. . . .. . . . . '" . . . . . " . FINAL. . . . . . , . . . . ." . . . . . . 0 CORRECTIONS NEEDED: S\t?roRT C .0 N,. V l) C'\", , ??AUN(~ A12..AVN.J) ThN.~( 32:)1) X 30,'1 \4T-'Y.J>.,. \ rz. SeR\J Lc...'l;:' ~U ~ W ~~ g,.,TH ,sID&'7 ?L~ S 1FOR-- <?Jt...;,J, 00 S~ , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Application Number . . . . . 22-00000031 Date 10/19/22 Application pin number . . . 633233 Property Address . . . . . . 214 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-2316-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service / Remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PENINSULA BEHAVIORAL HEALTH BLACK DIAMOND ELECTRICAL CONTR 118 E 8TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 477-3753 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 488.00 Plan Check Fee . . .00 Issue Date . . . . 1/13/22 Valuation . . . . 0 Expiration Date . . 4/17/23 Qty Unit Charge Per Extension 40.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 200.00 1.00 288.0000 ECH EL-COM 601-1000 SRV FEEDER 288.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 488.00 488.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 488.00 488.00 .00 .00 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Remodel NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/19/2022 22-31 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 214 E Lauridsen Blvd 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 1. GFCI protect oven outlets within 6 feet of sink. NEC 210.8 2. Arc fault protection required for micro hoods. NEC 210.12 3. GFCI protect all receptacles within 6 feet of sink. NEC 210.8.A.7 4. Install smoke detectors per instructions unit 6. NEC 110.3.B 5. Install receptacles over kitchen cabinets. NEC 210.52 6. No power in laundry and storage units. 7. Smoke detector not working in unit 10. 8. Install service guy wire kit. WAC 296.46B.230 9. Repair panel cover in unit 16. DATE PERMIT # INSPECTOR 4/7/2023 22-31 TAP OWNER CONTRACTOR Black Diamond Electrical PROJECT ADDRESS 214 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT 10. Install smoke detector in bedroom unit 22. 11. GFCI protect Bath & Kit receptacles in units 25, 26. NEC 210.8 12. Install exterior outlet on front of building. Wire stubbed out. 13. Replace broken DHP covers. 14. All conduit fittings shall be made tight. NEC 258.42 15. Identify disconnecting means. NEC 230.72 16. Remove all unused electrical equipment. PAMC 14.05 17. Breaker blanks required. NEC 408.7 18. Provide lock and identify fire alarm circuit. NEC 760.41.B 19. Label circuit directory in panels. NEC 408.4 20. Install maintenance receptacles for DHP’s. NEC 210.63 NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 4/12/2023 22-31 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 214 E Lauridsen Blvd