HomeMy WebLinkAbout330 E 1st St #1 - Building
-
ROUTING SLIP ,.OR'.",
oy- foIL.- ,,,,O~C<,,
'y.:..; J:ertificate of Occupancy '.0:--:0-'<<;
;S~4'
'"'..~
~
$47.00 Certificate/Inspection Fee -
"'u,;"cw",",'f.~
DATE ')-IIl.-O\./ New Business ................. ........... ( ~
Ad~ress o!J'roposed~~sinessD fdl Transfer of Business location. . . . . . . . . . . . . . . . ( )
~ 0 F--" 1 ';- I .")~ ,l.t- ' Change of Ownership. . . ....... ............ ( )
'A '7
Applicant --i l5.c~ r /1 _1' ,) 0 New Building .......... ....... ...,......,. ( )
Address ~y / U,..) iJ rf t;.. ,/lL) Remodel. . . . . . . . . . . . . . . .. . .... ........... ( )
..(( ~ VI ^" l ft) " c; e,~ b Z- Temporary Business .. .......... .. ...... .. ( )
Phone: business 1.($2--1 'Zt 0 home (18;. -, 7J 0 Change of Use. . ... ... .. .... -.... , ,....... ( )
Brief description of proposed business: (2 f t:J , 4~<;c
legal Description: lot -1- S , Block 2 (1 Subdivision $.{-,^,-J..lo)
Current Use of Property: d F' (C\ tF--
Zoning Classification of Property: (It
WILL THERE BE ANY OF THE FOLLOWING? YES 7' 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 7- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . -7 4) Mechanical 4) Pawn Broker
New septic tanks. . .. .... -'7: 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? -tT 8) Curb installation 8) Ambulance
Excavation of filling of lots ...... .......... - -':T 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot-way . ......... Z- 10) Water meter installation 10) Other
Is there sufficient off-street parking? ...... ......... -~ 11) Fire
New driveway openings. . . . ... 12) Occupancy
A grading plan tor site drainage. -2 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. ..... II
........ -- I I
I hereby apply for a Certificate of Occupancy and acknowl- /,-,;~l!';
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my "---
knowledge. Signed:
~~'''ECTE' Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
1 h<:
) c..(.~ ~~u..\ [,.,to...{e. Co,
ocr 010'1
c.re-"'- sept- I SI
\j,
\JI
~
tt-
t
\
'-
,")_.. A 1/
4~zP
~Iectrical Contractor
o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential [J Residential Maint. .,a'Signs 0 Thermostat 0 Telecom.
ELECTRICAL WORK PERMIT APPLICATION
)8) Request Inspection
.
Job wired by
101>'\. e~tL.{...
o Electrical Contractor 0 Owner
'2ffe(",
Installation description
--Flv:;'-' lV'-oLl..A S\~;,
-to ~L\ 1'\
\-'\OOIC..-vp rpo~('
Electrical contractor name
-r-c. 1\X)R.,""We~""\ .:!:IV(.
Purchaser's mailing address
2?. yY\.;1l ReO
License number
,C.HOIU.-I< 7"8\02
City
S<::7oJ,........
Telephone number
3~" - b"DS -"(,S5"
State ZIP
W"\
?&'321Z
FAX number
3(.o-C.~(,,~''r"
Premises owner's name
::r "'C.E' R"'(J>.I E:::A" -k c.. 0 .
Address of inspectiOD_ . I r
330 G.. h <5+ ~ 'svl t-<
City \"')
rOr \. A",--<. \.., s L-v"-\ '10'36
j;"N St S
J ,
iLrlO icheck #
I hereby certify that I am the owner of the above named property or a icensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the eleetricallaw, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
Signature of owner, electrical contractor or electrical administrator
-
Expiration Date
of card
x . --..
/ WALLS
Insulation Only
Dale Approved By
Cover
Date Approved B>'
"
/ CEILING
Insulation Only
Dale Approved By
Cover
Dale Approved By
"
/ THERMOSTAT
Dale Approved By
DITCH
Dale Approved By
SERVICE
Date Approved By
FEEDER
Date Approved By ./
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseDtD3
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
r D,t~ Inspector
I1,Jo<' !J~ Itf"'l.'..w )
//.,,'h~ (, / A/ L -' ~~- d_O
-, ~
J;,/J
/ - JJ -/J!J'
Application Number . . . . . 22-00000631 Date 5/31/22
Application pin number . . . 628241
Property Address . . . . . . 330 E 1ST ST 1
ASSESSOR PARCEL NUMBER: 06-30-00-5-9-2900-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERICKSON FAMILY PROPERTIES LLC BLACK DIAMOND ELECTRICAL CONTR
30 PERCH DRIVE 502 BLACK DIAMOND RD
SEQUIM PORT ANGELES WA 98363
SEQUIM WA 98382 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 74.00 Plan Check Fee . . .00
Issue Date . . . . 5/31/22 Valuation . . . . 0
Expiration Date . . 11/27/22
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
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:--------------------------------------â–¡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