HomeMy WebLinkAbout715 E 1st St - Building
CERTIFICATE OF OCCUPANCY
City of PortAngeJes'
Building Divis!O}l,.
This Cert((ication issued pursuant to the requirements of Seer ion 301 afthe
International Building Code certUj1ing that at the time of iSSI{aJ1CC this structure was
in c~mpliance with the various ordinances of t~e City regulating Building
construction or IIse. For TheIallowing"
Use Classification: Business Building Permit No.: 06-548 BusiJ\cSS t:l~mc Suotlight Video & Tan
......
Group: ~
.,., ,,'.-
Type of Construction: '-V~N' Q;.('t:l8~'e';=''''" dSD
.,
Addccs~et '-'-:;:~P?rtA!i~e~es. W A. 98382
1/5 E (sf 5+, Port Angeles, WA.98362
."August 74. 2006
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Owner of Business: Sarah Eaton~'::7
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Date
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Post on ther.R!emi~~!ti,'Jl~a;c'ofi~'piCuous place.
Shall not be removed. except by Building Official.
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ROUTING SLIP ._O"T.."
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~"""~",,"T .Certificate of Occupancy u'~_j
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$50.00 Certificate/Inspection Fee '-'
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DATEffiuIA af),~co(.Q New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
, Transfer of Business location . . . . ( )
Address of Proposed B~iness t ...., ......
\\17 E-Jr;t itree ~es Change of Ownership " . ..... .. ... . '..... ( X )
Applic~nt 9trQh U toh '< S~ 10 Q0t:r New Building .... ...... ..... ...... ..... .. ( )
Address q~ I AJ. 410'1 ~ creeK la I'1f... Remodel . . . . . . . . . . . . . . . . . . . . . . . . . ....... ( )
S'e~ UIIl\ 'vA C?l3 'J. Temporary Business. . . . . . . . . . ..., ...... ... ( )
Phone: business1Jj).'-II5;;l~'11\')home (t1~Lb9) Change of Use . . . . . . . . . . . . . . . . . ..... ..... ( )
Brief description of proposed business: :1annl nq (Wd V,de.D 1--en ta Is :
~PotI19l1t V,deo ~'fan inc. I
legal Description: lot Block Subdivision
Current Use of Property: ~mf'~
Zoning Classification of Property: C A
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes ....... .... ....... ........ 'i' PERMITS BUSINESS LICENSE
--
Electrical changes. -~ 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) ... -~ 2) Plumbing 2) Peddlers
Plumbing changes. ...... ........ - --X- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs . .... .... -~ 4) Mechanical 4) Pawn Broker
New septic tanks . . . .. .. .... ... - --X- 5) Sewer 5) Dance
New sewer service. . . . . ..... ....... -~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons .. -4- 7) Driveway installation 7) Fireworks
Is this a home occupation? . ... ........ .... ).:.. 8) Curb installation 8) Ambulance
- ----x-
Excavation ot tilling ot lots. ... ...... ... - ----,:: 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot-way ..... 10) Water meter installation 10) Other
Is there sufficient off-street parking? . ... ... -y- 11) Fire
New driveway openings .... ...... = ')( 12) Occupancy
A grading plan for site drainage .............. .... ~- 13) Sign
(parking lots, downspouts, etc.) . X 14) Shoreline
Are the existing streets paved? . . . . ..... ..... ~- 15) Home occupation
Are there existing sidewalks? . X-- 16) Conditional use
Is there curb and gutter? . ... ... )("" - 17) Other
Other. .. ......... ....... ..... - ---:;c
I hereby apply for a Certificate of Occupancy and acknowl- Date: JYlQAJI J0, JCCi.fl
edge that I have read fhis application and state that the
information i have supplied is correct to the best of my Signed: JW1ab {wtc5n
knowledge.
i;;r;~ """,,0 Comments / Conditions
Building Section
Public Works Department
Planning Department
/1 ()fJ Fire Department
g'2;;-DIo2>O City Clerk
PB.I.A.
/n1e>. "74, tJG,
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ROUTING SLIP ,.O"T ~"
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--:::'1='0't.,.,I11 J.. '-10 Certificate of Occupancy ~~"'
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$50.00 Certificate/Inspection Fee "veucwo"~S
DATEffi(\{ A QIj i coev New Business. . . . . . . . . . . . . . . . . . ..... . .,.. ( )
I . Transfer of Business location . . . . ( )
Address of Proposed Business ~ ..... .. ....
\ \I] E. :1,s-1- SI-r ee t f'lW ~ Al Y\I! leS Change of Ownership ..... ..... . .... .. .... ( l<. )
.. (' lr....--'
Applicant. "aral'l fc, teh 'Z c tel (('lA \,J)raC!1-r- New Building '. ..... ...... ... .. .... . ..... ( )
~ AJ I I Remodel. . . . . . . . . . . . ( )
Address \ \ . UII'YI n (rfPI( 1(1(1('.. .... .. .... . . . . . , . ".
~r(1 LlIIl'1 IvA Cfl3'i.:J. Temporary Business. . . . . . . . ..... ...... . ... ( )
Phone: bU~iness~ Ii' -4fJ:;1 ~ '\ W) home {c fr.:r / (., <1/ Change of Use . . . . . . . . . . . . . .... ....... ... ( )
.
Brie~ description of proposed business: --1rr /111'1 j(\ Gild Ihrle 0 t.-e/l to IS :
JI)nflICihr Video ;~-rCin Inc. I I
I' ,
legal Description: lot Block Subdivision
'"
Current Use of Property: ."Imp_
Zoning Classification of Property: (A
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. .... ......... _ --.L 3) Electrical 3) 2nd Hand Dealer
New or relocated signs ............ _..l 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? .......... .... X 8) Curb installation 8) Ambulance
- ----,r-
Excavation of filling of lots. ................ ='1-... 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 ........ _-'L 12) Occupancy
A grading plan for site drainage ...... ..x.. _ 13) Sign
(parking lots, downspouts, etc.) .................. "X 14) Shoreline
--
Are the existing streets paved? . X 15) Home occupation
--
Are there existing sidewalks? . . . ........ X 16) Conditional use
Is there curb and gutter? . ')<.= 17) Other
Other. -
........................
I hereby apply for a Certificate of Occupancy and acknowl- 1l1rlAA 10 iCCif1
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my 111 rtlh (mf7'5I,\
knowledge. Signed:
"
APPROVED REJECTED Comments / Conditiony9~.k" "I,~ .' /0 IL ",I
Building Section \,-.", "~~I 0 ./\ A .- ,\'("'-',~
Public Works Department (lu ),,'. \~ ad.- IvuJ.. ^ ~
~311(1 t:....f.-. Planning Department
I
K/l[) Fire Department
"
City Clerk
PB.I.A.
-
"
CERTIFICA TEOFOC,CUP ANCY
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cC' City of Port Angeles'""
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l,i Building Division i,\,
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This CePtification issued pursuant to the requirements of SectiondO 1 of the
Intemation'gl Building Code certifying that at the time of issuance thi!i'structure was
in co'fnpliance with the various ordinances of the City regulating Building
I construction or IIse. For the fallowing: '.~
Use Classification: Busiri~ss Building Permit No.: 05-277 Business Name: Suot Light ~Video & Tan
~ ~
" ~
Group: ~ i11 Type of Construction: V-N UseZone:f4'CA
~ i
Ownec of Business: Dason~Leffers Addeoss: 1012 West 10th Street Port Angeles, '>if A 98382
\ j
715 East'First Street naeles iW A, 98362
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z-'", ':11 "11' '" """">' ,U usti8 2005
B'~ildi _..-, ,.<._,,-"~~,.<- '. ,)1Date
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Post onth~,:'premls c,a!JseJ.cuous place.
Shall not be remov,e 'excep,t,by'Building Official.
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
<9 ~ rJ I (l45.s--
OJ.! 41)- 1;-r7
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DATE ~-13-DS
Address of Proposed Business
.,\5 Et\st 1..g- ,sf-red
Applicant do..Son ~Qcff'f' t <.,. .
Attess _ \5t~ lAJQ:~ 10th ~ -An~elp/~
t bh\(\ .n .
Phone: business("O) '(51- iJ715(;,'1JI& ~
New Business ......................
Transfer of Business Location. . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building ..... . . . . . . . . . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .....................
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Of.O"T,,,.
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Brief description of proposed business:T:-\ 1,)\\\ \p a ~\\) \1\\<- r<\t\'J"LE ~c~ T"\l S.\l>R~.:CI ",-\J:Ll..-
At-<:..,o l-\AIJE A \A~~.:t.~ '~t~ :Z:~~~D.'E.
Legal Description: Lot Block Subdivision
Current Use of Property:
Zoning Classification of Property:
Will THERE BE ANY OF THE FOllOWING?
Y~S K
1.-_
X
=-2L
X_
!
X
--
-~
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--X- _
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+-
X=
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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.. ................. ................
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have suppiied is correct to the best of my
knowledge. I
~N~?
-q
.
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
---Mlli-
1/-11-05 &J
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 ~op I
10) Water meter installation ).0) Other ~Q\lI...\R-.. \<..i":'l.-f./<J
11) Fire 'j'i\K-;\<1\' 1O"'le""'l<
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other vTlrEO RE..TI\J.,. 5,01l.';
Date: Ot.J- \,)'-0':)
C\ ..0" n 0 1.11 /
Sig ned: ' ., '( . "!---<-VI---"'"
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Comments / Conditions
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ROUTING SLIP.
S PC) t I, ffl T V I V l,: v, c.tY 14 N Certific~te of Oc'cupancy
-$47.00 Certificate/Inspection Fee
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DATE '~'i- 13- D .;
Address of Proposed Business +
_,\1") Fo.:;t i.g S~t('e
. ft.-.pplicant Lb SOl.'" Loffp I "-
Address . In \ 1- tA,e",f. loth
It )Cl"-h ((\0-\01'1'"
Phone: b~ihes~'~' ",1' 'i7IJ(~rRj 4\1- 1%4
/
~1 .f\()aelp\
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...If'':....i..,
o P:: :g~I&S' '71
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New Business . . . . . . . . . . . . . . . . . . . . .
Transfer of Business Location. . . . . . . . . . . . . . .
Change o(Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building ..........................
Remodel. . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use. . . '. . . . . . .. . . . . . . . . . . . . . . . . .
.j
,.
Briefdescriptionofproposedbusiness:\"4 1''';'\\ 'd? () t'>.\'\'l \1\-\<, r.\,,;J~E ~!"';"T"" i.l'IlI<.l='.:I:T' \,\1:.LL
Al.<"() \-IAVr: A 'TA~~:r.~ ?E~ :r",,<,~ '>:>"E.
Legal Descrip.tion: L.ot Block Subdivision
Current Use o'f Property:
(\ -.1"-
.-:., }oning Classification of Property: --TI
,.
,
WILl\THERE BE ANY OF THE FOllOWING?
\ '
Construction changes.
'Co.
Electrical changes. . . . . .
Mechanical (heating, cooling, stoves) . . . . .
Plumbing changes
. -~~~.,.,r",,_
New or relocated signs . ~".~..
New septic tanks.
New sewer service
Admission charged to patrons. . . . . . . . . .
Is this a home occupation?
Excavation of filling of Jots .
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.
--L_
...2L _
-f..
,.
YES NO
--""- i<...
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_X-
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--X
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=X
'X
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I hereby appiy 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.
APPROVED
REJECTED
.'
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB.IA
,
.,'
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THE FOLLOWING WILL BE REQUIRED:
PERMITS BUSINESS LICENSE
1) Building 1)
2) Plumbing 2)
3) Electrical 3)
4) Mechanical 4)
5) Sewer 5)
6) Sidewalk installation 6)
7) Driveway installation 7)
8) Curb installation 8)
9) Sidewalk obstruction 9)
10) Water meter installation ).0)
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other V1nt:O Rb'l", j, "loR"
Taxi
Peddlers
2nd Hand Dealer.
Pawn Broker
Dance
Hotel - Motel
Fireworks
Ambulance
Tattoo shop
Other I:.'
"
Date: ()l.j- \-j-O':)
"\ \..Y ~
Signed: ~. ' .JWl ? lJ~,y r.----/
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BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at '~/
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
1
These corrections must be made and are not to be
covered until reinspection is m~When oor[ections
have been made, please call
for inspection. ,/~
DO NOT R~VE THIS TAG
ELECTRICAL PERMIT APPLICATION
FOR O!7FIC1.".L USE ONLY
Daldltec
-.
I'ellnitll:
The Electrical Permit Application must be filled out completely.
Date Approved
OatelS5ued
,
Please type or reprint in ink. If you have any questions. please call (360) 417-4735
Fax number: (360) 417-4711
Property Owner:
hone: 4.r.2 - <( J S 3 Fax:
"
Address:
Phone:
7 JS'-
uM
Zip 0JJ'6 L
Exp:
Phone:
Electrical Contractor:
City:
Zip:
Address:
Credit Card Holder Name:
)roWNER
que;
o ELECTRICAL CONTRACTOR
INSTAllATION WIRED BY:
1401)
z.oo V
City:~k
I/01--Exp_ Date:
1)0"")/
l-~ WolfY<<u__
t?
WA Zip: 9q. 367
vs;- IOf
,
VISA:X Me:_
Billing Address: IOS(V-,f t:=: { ~~4
Credit Card Number: 't U"1 l q {l1J UJ02-
PROJECT ADDRESS: 7 /S" - ~
rflq
E,~
TYPE OF WORK:
Check !ill that apply 0 New
o AlterationlAddition
o Residential 0 Multi-family
XCommercial 0 Mobile Home
Sq. Ft ..j UO
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 TEllecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: /" ,l<-OvJ 4- t I
w .. -vi, '" e<-v- 'tx+; ,..; Al Q. -v /A N e./ -
vIP w,-~,,~y A-J ;(;....Jt.C-{~?
, , /
.4--Jl N,jJe_ L /~,.../ )
Electrical Heat Load Additions and or Subtractions
Service Information
o Baseboard
o Furnace
o Heat Pump
)ltI'an-Wall
_KW
KW
TON_ lRA
KW
o Overhead Service
o Temp SelVice
o Underground Service
Voltage: .)..;J.. 0
Phase: 0 1 .I!;i' 3
Service Size: .:l 00
Feeder Size: /.;2.,
IJ. X /7-S--0 .0
I hereby certify that I have read and examined this application and that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the Cit Ie responsibility to determine what permits
are required; it remains the applicants responsibility to deter- in at per
Credit Card Holder's Signatur .
Date: t. - /'1- 0 ~
Date: b -21- 0 'f-
Owner or Elec_ ConI. Sign
C:/ELECTRICALPERMIT APPLICATION
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000399 Date 3/30/18
Application pin number . . . 304156
Property Address . . . . . . 715 E IST ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -2260 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
security system
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Owner Contractor
------------------------ ------------------------
LANE J. WOLFLEY HI TECH SECURITY INC
713 E 1ST ST 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-2794 (360) 452-2727
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date . . . . 3/30/18 Valuation . . . . 0
Expiration Date . . 9/24/18
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL -LIMITED IST 1500SQFT 96.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
'J
COMMENTS:
7
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
1
i
MULTI -FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works aria, Utilities cities Departmii nt
321 E. 5th Street, Port Angeles, WA 98362
360.417,473 . www.cityofpa.us etectricalpermitstcJ ityofpa.us
Project Address. 715 E 1 ST Street
Project Description: Burglar Alarm Install
❑ Multi -Family Residential LI Commercial / Industrial / Public Building Square footage:
Name: Mandy Gallacci
Email:
"0
3
RECEIVED,
NIA 2
ELECTRWAI 1
Ilit^.��rT10PI4� W'
Mailing Address: 715 E 1 st Street Phone: 360-477-1809
ELECTRICAL 41 * O.T _
Name: Hi Tech Security, Inc License: HITECTS955BS
Mailing Address: 723 East Front St Expiration Date: 1/10/2019
Email: hitech@olypen.com Phone: 360-452-2727
Item
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 Charae 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
1
Total (Quantity x Unit Charge)
$ 96.00
s96.00 TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Mike Shirley
Date 3/21/18 Print Name
Signature (❑ Owner V Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3E0-417-4735
Application Number . . . . . 15-00001271 Date 10/09/15
Application pin number . . -. 426126
Property Address . . . . . . 715 B, -IST ST
ASSESSOR PARCEL NUMBER 06 -30 -60 -5 -1 -2260 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
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Application desc
400 amp three phase service
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Owner Contractor
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LANE J. WOLFLSY BOTSRO, & SON ELECTRICAL
713 E 1ST ST 940 TAMARACK WAY
PORT ANGELES W4 98362 PORT ANGELES WA 98362
(360) 457-2794 (360) 452-4766
-----Permit . . . . . . ELECTRICAL ALTER COMMERCIAL.
Additional desc
Permit Fee 160.00 Plan Check Fee 00
Issue Date 10/09/15 Valuation
Expiration Date 4/06/16
Qty Unit Charge Per Extension
1.00 160,0000 ECH -EL-COM 201-40'0 SRV Fgou, 1'60.00
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Fee summary C14r- gid Paid . Credited Due
--------------------- ---------- ---------- ----------
Permit Fee Total T 160.00 160.00 .00 .00
Plan Check Total .00 .00 .00 DO
..�Grand Total 160.00 160.00 .00 .00
DAM
RESULTS:
t1Vr*UV1=,4Jt b: V111-- -
PERMIT WILL EXPIRE SIX (6) MOMHS FROM LAST INSPWMN
Signatare, of owner or Electrical Coamptof X
CMEXMMMSUILDING j
REPORT W.ES 7AX:
on your 404 -tax forni, -
to the, City offer Angeles
(Location Code -0502)
Date.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections _�-
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date;/ / _ Multi•Famil or Commercial`
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City: State. Zip: I,
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' Plan Review May Be Required, Please Complete Electrical Plan Review Irlk=tioa3he
Job Address: 7y � '57 -
Building
Building Square Footage: _
Description of above 4L"-
Owner Information
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Name,
Pi
Mailing Address:
City: State. Zip: I,
Phone: Fax:
License # / Exp.
Item
UnitCharae
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.
$ 410.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 14.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 14
$ 86.00
Temp. Service/ Feeder 200 Amp.
$102.00
Temp. Service/Feeder201 400 Amp.
$121.00
Temp. Service/Feeder401800 Amp.
$164.00
Temp. Service/Feeder 601 .1000 Amp.
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline 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 - SKVA System or Less
$ 113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Contractor I f rmation p�
Name: - G
Mailing Address: 7-p Z,& h
City Stated_ Zip:
Phone: Se&4 F
License # / Exp.
Total (0tv Multiplied v Unit Charge)
$
$
$
$
$
$
$
$
16b 60 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.
Signature of owner, electrical contractor or electrical administrator:
Dated: ll) JP
11 Cash 11 Check
—� c dit Card #
01 112012