HomeMy WebLinkAbout520 E 1st St - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 11 00000097
Application pin number 017244
Property Address 520 E 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 2720 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Application desc
Add exit signs
Owner
SERENITY HOUSE OF CLALLAM CO
PO BOX 4047
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
180976
78 70
2/01/11
7/31/11
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
78 70 78 70 00
00 00 00
78 70 78 70 00
INSPECTION TYPE 1 DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 2/01/11
WA 98362
Due
RESULTS
2_1z2/1) 47
00
00
00
00
0
Extension
73 50
5 20
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
MAR -19 -2007 09 26A FROM ELECTRIC SERVICE 4526424
LULU /111/v/ 1, /YYbll 11 J4 nta tit ry r tainiting IJOIJI.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/.Elcctrfcal Inepeetiione I
321 East Fifth Street —P.A. Boa 1150 Port Angeles Wasbing+'1 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 i INSPECTIONS
Date; 1' Zy' t t
1 2,8ingle F Dwelling. '�IUul6-Famlly or Commercial' 1 mmerciai Addition 1 Alteration Remodel /Repair*
Plan Review May Wit' expired, o Ple9e Complete Electrical Plan Review i lormetion Sheet
Job Address: tt
beecrip Square Rotor: ge: c' Pro r t f I'
bescriptibn of above I
';Contractor Infor on G ;t
tveme
OWnortAfOritldtlO' r p V s
Name' •J� 'y1
Mari dres 2- -E-'
City: r" f• Stare: 1. Zip; cl V s 6 2
Phone' N ax:
License /Ester
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Servic&JFeeder 401.600 Amp
ServIceJFeeder 601 -1000 Amp.
.Service Feeder over 1000 Amp.
Branch Circuit Wt Service Feeder
Branch Circuit W/0 Service Feeder
Each Addidenal Branch Circuit
Temp. Serei e/ Feeder 200 Amp_
Temp, Servie&Feeder 201 -000 Amp.
Temp. ServioeFeeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp
Portal to Portal Hourly
Stgn/Outfine lighting
Signal Circuit/ Limited Energy/ First 1500 of Commerdal
Note: $5.00 for each additional 1500 sf'
Signal Circuit/ Urrvled Energy 1 2 Family Oweling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System or Lass
Thennostal
VIEW coNSTRUCTiDN ONLY;
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portico or
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
X
Unit Charge
3119.90
145.50
204.60
26220
372.60
3 2.80
73.60
2.60
92.70
5110.30
148,70
167.90
95.90
9820
$95.90
5 83.90
63.90
5119.90
5102.30
66.00
$110.30
35.20
73.60
5 110.30
rr
V
TO 4174711
JUU ?l! 2111
Mailing 4dress: {'rL V. KV
City: "r e _State: Zip: 9 b ?b i
Phone' T 1- t0y1.4 Fa •cc
I License I Exp. Ft- -T eft' S1 1 q.}-0
RECEIVE
JAN 2 8 2011
5
Total (Qty Multiplied by Unit Charge]
'13. S`-o
4'.2.0
5
-15
Owner as defined by RCW.19.28.261 (1) Mater will occupy the structure for t, n ]rears after this electrical permit is finalized. (2) Owner is required
to °hire an electrical contra:63r If above sold property is for sale, rent or lease. 1 J a Olt expires after six months of lest inspection.
After reading the above statement, I hereby certify that 1 am the owner of the etri de named property or a licensed electrical contractor. I am making
the electrical installation or alteration In compliance with the electrical laws, ist RCM/. Chapter 19.28, WAG. Chapter 296465, The City of Pat
Angeles Municipal Code, and Utility Specifications and PAMC 1406.050 rege ti 9 Electrical Permit Applications.
Signature of ov}p Er` delete c*tontractoror electrical administrator. O Cash Chad
baled: 1
0 CredilCarde
0110112010
ELECTRICAL PERMIT MID 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
08-00001525 Date 12/17/08
676550
520 E 1ST ST
06-30-00-5-1-2720-0000-
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
o
Application desc
Heater for office
Owner
Contractor
SERENITY HOUSE OF CLALLAM CO
PO BOX 4047
PORT ANGELES WA 98362
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 138990
Permit Fee 58.00 plan Check Fee .00
Issue Date 12/17/08 Valuation 0
Expiration Date 6/15/09
Qty Unit Charge Per Extension
1. 00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
.OMMENTS:
- WtP
JAN-31-2005 12:31P FROM:ELECTRIC
......
SERVlFi E c4~lV E D
TO: 4174711
P.1/1
DEe 15 2008 ELEcTRrCALWORKPERMITAPPLIC~TIO~
V8 -t72-~
Installation description
~Commcrclal CJ Residential
CJ New ~ Altered/Addition
Job wired by
Electrical Contractor Q Owner
E~rical contractor name License number Datc Expires
~Le.c....~,,- rA...r"'':~ [n C- 1:1 EC1 S (~.:?2.Jll1)'t
Purchaser's mailing address ~ .
City 8r?-f)~J4 "" . ~ St~/~4
r j) ,..t ~u..el lAJ A q..i'=\~:1.-
Telephone number 1/ FAX number
-~4~
~U~D-
fZ:.. Ls-l-
) - C. l\.,L.U d-
~.-L.Cl -I-.u-
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.,.......,.
<S\
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City
Owner as dejine,1 by RCW.J9.28.26J:(I) OW/ler will OCCI/py tlte structllre for two
years after this electrical pem,iI ;s jil/Glued. (2) Owner is reqlliretlto hire an electrical
COn/mclor if above said properly is fur sale, renT or lease.
After reading the ahove ~latement. I hereby eerti ry that I am the owner or the above
named properly or a licensed electrical contractor. I am making Ihe electrical instal-
lation or ulleralion in compliance with the elcclrienl laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of PorI Angeles Municipal Code, and
Utility Specifications.
Signature of owner,elec:trlcBI contrnctor or electrical admlnl5trator
o Cash lJ Check #
CI CreditCard Visa
car~#. --D vtf[-!i,-------~-
ExptratiOn Date [' ,
f d ' nspecllon ,eiN"')
o ear $ ~
Service Information
Mastercard
Discover
e tr ca 0 d ddl 0
IJ NO LOAD CHANGES
CJ Baseboard _ KW
CJ Furnace _ KW CJ Overhead Service
CJ Heat Pump -r:: Ton _ LAR lJ Temp Service
~ Fan-Wall ..)e KW lJ Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Voltage
Phase CJ , CJ 3
Service Size: _
Feeder Size:
I~UGH-]N ' '\ /'
I THERMOSIA1' I
(2ro~ ~ I
'\. Oute Ajlrrovcd By ./ D~l1e Aprroved lIy ./ "- Ost.
/ '" / '\ /
I FINAL 1 I DITaI
12-/'?/UO ~
\:: OU'e Approved By ./ Dole Approved Oy ./ '\. DAte
SERVICE ']
Approved By ./
')
APllro..d By ./
FEEDER
Inspection
Date
Area, Building or Equipment Inspected
Action Takcn
Electrical
Inspector
-~
c!VORr".
t-"'~
",~"",,~
. f' '\i!iI
. --
'Ioic"""
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . .
Application valuation
05-00000171
.929863
520 E 1ST ST
06-30-00-5-1-2720-0000-
RE-ROOF
Date
3/14/05
COMMERCIAL ARTERIAL
16790
Owner
Contractor
WANDA MjFRANK J MARVELLE JR
229 1/2 E 1ST ST
PORT ANGELES WA 983622930
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM WA 98382
(360) 683-9619
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
302.75
3/14/05
9/10/05
- NO PR FEE
BASE, TORCHDOWN
Plan Check Fee
valuation
.00
16790
Qty Unit Charge Per
Extension
92.75
210.00
BASE FEE
15.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
--------------- ---------- ------- ---------- ----------
Permit Fee Total 302.75 302.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 307.25 307.25 .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 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 wilhin 180days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. AIi provisions of
laws and ordinances governing this type of work wili 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.
6N FIL-c-
Signature of Owner (if owner is builder)
Signature of Contractor or Authorized Agenl
Date
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
v
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE SLDGS.)
PLUl\tBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BlDO)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEIUNG I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL QNL Y)
T-BAR
INSULATION
SLAB I I I .
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP I FURNACE / DUCTS
G~S LINE
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARA IE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL
LlGHT 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 "1101/01 '0lL
T:\Policies\1 102_]5 building permit inspection record05.wpd [I/4I2oo5}
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FROM' : AFFORDABLE SERlJ ICES
FAX NO. :3605829029
Mar. 11 2005 08:12AM P3
FROM :MARV~LLE DISTRIBUTORS
FAX NO. :3604525273
Sep; 032004 11:10AM Pi
AUC-~e-20e4 ea;o0 PM 2~67oA~~_7XTe42~7
_1111I eez !nI2~
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Affordable Services
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(360161339619 (360)3802724 (360) l.!,;).Q940 ji
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'.... .............._... .........u.._........:~~.:.~..~~~.~~~.I.IPC'~~:__:::::___::::~.::. .::::::::::__::._:::::::.......
.QJJ Tor. hQuse perimeter \0 F""." l.nd~"nrin~ _____.. .... . '''" _... _ .... .._._...__..____ _'_'"
~ll.e~Qve olel rQolinl Mullo landfill ........_ . '_"'___" .. _._ .__. ..,,___.__.__.._.._._,,_.
IlIslal; _ Plywood '---ilSB .::::~..:....===--=~:...__~.._..:.:=:.. . ::.:::"-:-.::=---=~=::~~::'. ...
___.111&1011 ._._ Roof Fell .___ 1l1ll\ll1l '0' ()ripf;d~cMtlnl...__ ...._____.__....__.
_"._ In.ltall _ Pi~o Flalhmg __ In!llall _. "... Me\III\i.Vlne~..__. . _ .__..___.__........._. .. .....
!nSlall. Exhaul! V,lllll IlIltan Roof\(~ Wall Plashing ..__...... .
..--- [n"oll'= Rldee Venl$ .:= In.'lall .::.:..::. Roof \<I w.n $Iql r:lashi;;~:'~:::=. _"___'" .
INla11 Attie VOMo ._N... (;ulln ........ Cltimnoy Counter FJlBhin~ . ..........__......___._...... .
10...1[_ Sun Tube ......_ In.tall . n Cltlolney Slep n.,hing _._ '"_,_,.""___,___,,,,,
tnl~a\! _ Skylighh .. .... lnllall .__ Skylight Flu.,h;n~ ..._~. .. _____..____. ....
Inltlll
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.-..- Soa;ure/t'utOle Septk. Drain FieldT;;C-iiiTon~:::=':"'.. _::':':.:::':'.:.. __.-==--=---=::~=.
.11- .f&lpriec Includei Duildin. Purmil_._._....___.__..._._,_... ." . ""'--'" ..... _"_"_'___0___._',_
_ CUllomer10 SCl:urc BuilJing Pe""l! __.___ ."...._..__....... .__..... "___'_0_____...... .
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Aid pric.c' .,. '''Df.~ ta ,,,.8..6.1. ".1:...... d~. m ."~ ".tellory .n.patlo,,_. IIOdltlon.,lncre.... 11'1 materia t Inti !~'"
1100' to cg",pleee WO.k. HD",.ew"., win ""Cltif'.~ CS, 1ft, neclft"lIry cPtitnOH, \JrIIIltlc"l "'1".fIea: co.,.
:. ~LJ':_,......_. yu~._COI'..,M.__C'\lJtl,)lI~r' ~Hhll',.,....,.......,_..,."..,_..".AfI'.,~.'~II!'.I' ';P.~C~3 !.Ditilll._.....
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M11lrrl~ble !!oll'Vic",,' Representati''f' -.-=~k ....._.. Ollk ...,~-y.....
I' 1\'I"mel" I ~Rnalure Or AC\'cp!Snl't ....~'/!JiiIJJJ1". _" . Upt" ~3-...t!1.-.. .. .
FROM' : AFFORDABLE SERVICES
FAX NO. :3605829029
Mar. 11 2005 08:11AM P2
. >'t,;~:,y:.t~~;::~,~:'>,~~'V~;1~;ff~~1r~~::..,;.~:;~:"-""
s
BUILDING PERMIT. APPLICATION
fOil Ol'l'lClALUSB OIlW,
Da"l<<<.,~-l/ ~ <J
P,nni." 05 - /7 I
OIl.Appn..aj:
llo..Lwod;
Fl1I out COIlULETItLY IDd ID INK. Your appllcatiao IDllalll plllll MUST BE
COMPLETE to bo leccp~ Car mi..., U roo bavc lilY qiu:st1oa., call
(360) 41'''''15
App)icantorA~t: A-l:r=,.:JY?fcaJ::>ifJ $Jnll(CS Phone, 3IPOc'fJ.S-C{ hlCl
Owner, W(~.t~ rYI~ '(\If' no€..- 0r. ' 0' Phone: ~S 'l-Cf7(b?7
Addre..:~'rz. [3, f.ft=S+.A:ptd:f-Lcity:]?rrr+~d11c; IArfLZip:.R05~Z
Archi~gin=: 0 0 ' 0 Phone: 0
Contractor..JC-,,'1 [;, /(.f',kh..u ~l.-I_ State Licen,!~t:''''OfZ..~~13!r..t=i fhone:~jqz,,/f1
AdilreSS:7-~~2.,I-I~t/J;w, . City: k'M lOA- Zip:q9'P~'-11./2r;:,
PROJECT ADDRESS: __ e. F, tc."5t- _ei:: ZONING:
LEGAL DESCRIPTION: Lot: Block Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
C....utcor"HOlderN~:g~~. *1-rifJ / \ tAlA
Billlnc Addr"", Z SQ,(p(p:z, If'lll\ ( I (), t.V ,City: ;')~ (u' iU
CrcdJtCordTypeVISA.....l:::::::::MC_.. Ol'\ F"'.IP_
TYPltorwo.R:K: lL SlZ&IVALUAUON,
o Ruidential 0 NowCotlStr. I!TRo-rooi 0 Stov, , SF.@S 1Sl'.-S
o MuIti-bmIJy 0 Addition 0 Move 0 Gange SF. @ S ISP. _ $
o~ DRmwdoI DDomolitioa D'Deck:. SF,@S 1S1'.."'S'
Dhpw DSigI> DOtha: TOTAL VALUATION S,//",jqOCU
BRIEF DESCRIPTION OF TIlE PROJECT: 0: 0'
/f',4y~!t?JI-~ /7?JrCh 1f/lLYJ
CO~mENTlAL: oCCUP...:y Group; Ooeuplllll !.oed:
No. of Stories: _ Lot Size: &l.tlDg Sq. JlL &: l'ropoaed Sq. Fl
Existing lot emge % &: Propooed lot cov....g. % - Tolallot covonge
WA- Q'I'J 3"'? -7(/ :?c..
E~. Dale: 0<; I 0'
o t
coy - -
APPROVALS:
PLANNlNG USE ONLY. PUN,
BLDG:
Dl'Wu,_
SEPA Cbocldiat req~d? 0 Y.. 0 No 011=: 1IlRJt:
ESAlWetland(.): 0 Yes Cl No OTHER:_
ComitnlCtiOIl Type:
-TOTALSqJ't.
%
BUlLDING PERMIT APPLICATION SUBMITTAL; The BuildiIij: Division C1llI prt>vide you with infOtllllltioa CD tho application. ond
plan.- requll_ if you have queo1lons.
V ALUA nON OF CONSTRUCTION; In all euos, a valuaUon amouut InbJt be entered by the BppliCIDL This figure will b. reviewed
andmoybc revlsecl bylbe IluiIdiniDivisioo to comply with cwrent fee scbcduJ". CoDllWtthe Permit Coolllimlllr It417 -481 S for assistance.
PLAN CHECK FEE: Il' . plan cha:k fee is due it must be .ubmitt,d illho ~ Ibe builcling permit applieatiott ODd COMtructian plans are
submitted. An other p"",;1 fOeol are em.. atthc timo ofpermitiuuaace.
EXPlRAUOlf OP PLAN REVIEW: If DO penll1t .. Wued Wltbin J 80 day. oilbo dale of .pplic.lion, tho opplk:atlOD >rill uplre. The
Builcling Official c....xle:lld thetimt foractioa by tho opplicantup to 180 <lar.1lpOA wrillett~l by the appliclllt (BOO Section I07A of
the Uoifonn lluUdlag COIk, current ed1tioo). No application C1lll b, "'tended lI1llte thaa OlICe.
I helf!by celtffy tl'at I hew ~ eM eXiJrliled this app/iea6on ."d /vIow the ~ame 10 b. fIlIe and conwct. f am "Iihorlz.d III epp;,. 'or tiiJo pSrmif and
lLloorstMd /hot I is mllVS/101lSiblilly to de"'rminolll11a1 pelmfts lW fIqIll1lld ,not fha c.l)Is, .M 1I1/l1 f must oblaln such petmRs prior 10 Irot1t
l:Ii'tJIlMSWPS'&JIId"'.-.LWpd Applicllllt ;/L7&-(tL Dale, 3-//-05
?
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. -:? 73~
DATE 7-.B/-9'-
ELECTRICAL PERMIT
Site Address:
'b(REAOY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Instalied By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D RESIDENTIAL
% COMMERCIAL
D BASEBOARD KW _
D FURNACE KW
D FAN/WALL KW
D HEAT PUMP KW_
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
}j{ ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE
SERVICE SIZE AMPS
D SIGN D SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:,M..k. ~,~/'.;A;h..l r-./ ~A~k~$;J.
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
ir- 'fJ Final O.K.
Installer:
Permit/Receipt No.
New Meters
Date:
7..g/-tt:;..
.
Notify Port Ange es City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered~
before inspection and O.K. for covering has been given by the electrical inspector In writing on either the Wiring Report "
or on the Building Permit. PHONE 457-0411, EXT. 224. \
'1Ji & NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 0, DC) //
!ifectnc Inspector / Permit Fee /
/ /
WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Custo'mer GREEN - Top: Meter Dept., Bottom: City Hall
/
/
OLYMPIC PAINTERS INC /
/
/
.1
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. ':J '73/
7/7-72)
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
OwnerfBusiness:
Phone:
Sq. Ft.
D New Construction
Jif Remodel
D Service update/alter/repair
)<( Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list beiow)
adj / dhtA.
I -
D Overhead
D Underground
Voltage
D 10 D 3.0'
Service size
D Temporary
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commerciai/lndustrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Amps
DetailslDescription:
~Jz%&AD
,
1/ tU>l~
.
W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
~t.18. Rough-in/cover O.K.
e b' O.K. to connect service
D Final O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Installer:
r
Permit/Receipt No.
;;) 73 /
New Meters
o
Date:
:1-/7- 90
Eld
.
Notify the Oep rtment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writ' g on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
~.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
::2(7,00
Insp. tor Amount paid /
WHITE - file by ~ress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City ~
OLYMPIC PRINTERS.' INC. I
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
c2t.;< 3
~r /?t?
.
ELECTRICAL PERMIT
DATE
Site Address:
\'0EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
O(Remodel
ti Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(iist below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
Detai IsfDescription:
IJ~# ;4~~
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
E,
~
Permit/Receipt No.
Site Address:
.
,
, ~
Q "0 / j
Notify the Dep m t 01 City Light by Street Address and Permit Number when ready 1 r inspection. Wor~
must not be covered or electrically energized before inspection and O.K. for covering or service has been givf!
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 2"
b NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~fl fJJ.fZ . /
I spector Amount paid I
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: (0
/
:2b .,2
New Meters
~
OLYMPIC PRINTERS. Ii'JC.
Vi 70
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT 'oF LIGHT
APPLICATION AND ELECTRICAL PERMIT.
A
91-3
PERMJT NUMBER
.
TOTAL FEE (&~ /j;:, .M-
CaNT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
.
Site Address
520
'L
Owner d,,/{FA.-
Day-Phone
Application'
Installation By
Installers Address
Installers Phone
hereby made for ~~r_mit to ins.tap Electrical Equipment as follows;.
S A-SL
Owner's Address
A",
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE.
CIRCUITS CIR 10 30 Q1RCUITS CIR ,'0 30
LIGHT C. /u L'~ /1,. r' SIGN( 1/7 11/ /~ A. /) 4-5!
LIGHT 'J C( fl'-' / ,...-v -c- 50 VO~r
OR LES
MOTOR .... -
CONVENIENCE
CONVENIENCE MOTOR'
APPLIANCE . /I I/U' :.-- MOTOR
DISHWASHER I.J V,...- -/OJ FIRE ~LARMS _
DISPOSAL ) .'7 v:: - BURGLAR ALARM
'"
RANGE ../ V", ~ MISC.
OVEN ~ V/ I~ ,...- ,J I
WATER HEATER / 110 ",fJ 7
LAUNDRY I .A~ ~ 1//
DRYER / { I,JIFtt' // REINSTALLATION LIGHT FIXTURE #
FURNACE I\!j ./ - SUB TOTAL FEE
GAS - OIL
FURNACE ,/ ENERGY FEE
ELECTRIC 0...
-\. / BASIC FEE
ELECTRIC ':lE~T TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERvICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby giv~n to do the aboye t;jescribed work, according to the c.onditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance With the Ordinances of h CII'~. of Port Angeles.
/~!/r/ft ~CANS Jr;!
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turr)ed on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
,
I
J
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,
,
"
,
.- ,
----- ~
-
~ERING-
I. . ~+.T. ~rE6T BI!A"ICE
I i\~~l; M )t\ FINAL O.K.
'\ ,
.
z
Cl
a:
<(
:::!!
!!1
:r
I-
Z
w
l-
.
l-
e
z
e
c
.
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
721 EAST 5TH ,STREET. PORT ANGELES, WA 98362
ELECTRICAL PERMIT ISSUED: 9/13/2001 PERMIT NO 7398
OWNER/APPLICANT PROPERTY LOCATION
united dist, 520 1ST ST E
520e. 1st Lot: 5
Port Angeles, WA 98360 Block: 27 [] Long Legal
360/000-0000 Subdivision: NR SMITH
T: S: Parcel No:
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-9264 360/000-0000
PROJECT INFO
Project Type: COML. MISC. Project Value: $0.00
Occupancy Type: Construction Type: ALTER LIGHTING
Occupancy Group: Zoning Use: CA v
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 0
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 0 ,,%
Feeder Size: 0
PROJECT NOTES
update lighting in beer & wine warehouse.
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: new lighting $57.80
TOTAL FEE: $57.80
AMOUNT PAID: $57.80
BALANCE DUE $0.00
(~OMMI'dxl]'S/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 ! 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA W'FUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH-IN / COVER
SERVICE
FINAL I T//,Ye~l ~.+ I
GENERAL COMMENTS: