HomeMy WebLinkAbout712 E Front St - Building
/020
FEE RECEIPT NUMBER
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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. TOT L FEE .
CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGALQCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Site Address (/ L ~q~ ,eo"",-'- ---L tI"
1\ . CORRECT ADD1SS IS ESPONSIBILlTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner l.--'" ();;VI Ce:.r" Installation By 51/6 t?~ ,er~ E= L6 C. .
OWner's Address ~ Installi"s Address PO' e \L 7R-"S' 5""(,
Day Phone Installers Phone b~ S 4/,,,/..5
Application,is hereby m~de for Perm,it to in~tall Electrical ~quipment as follows:. --re- n-. ,0- C. Ie L J ~Y'J
Wi~ing Methqd
. USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
FEE
240V
100R
30
~ 12QV
'0
LIGHT
, LIGHT
CONVENIENCE
CONVENIENCE
, APPLIANCE
DISHWASHER
DISPOSAL
.' RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS ~ OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
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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
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- NUMBER AMP 120V 240V -
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30
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MOTOR
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'R'&jTALLATION LIGHT FIXTURE #
'-" SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKEA
. AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
AW.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinanc~s of the City of Port Angeles.
DIRECTOR OF CITY LIGHT
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By
PLANS APPROVED
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Notify Department of City Light by Street Address and Permit Number when ready 10r inspection, Work must not
be covered or current turned 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.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. DuplIcate PINK. Triplicate WHITE CARD - Inspector's Report
nl YMPIf': PI=IINTI"R.c:: IN/":
DATE OF VISIT
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REMARKS
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O.K. FOR COVERING
FINAL O.K.
O.K. TO CONNECT SERVICE
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REVIEWER: 4014
DATE.
DEPT REVIEW
DATE.
COMMENT DRAWING SLIT
NO- and/or
SPEC. PARA.
,01
7 1 1
0)1
ISir (i
Fv
REVIEW COMMENTS SHEET OF
CONCEPT REVIEW 0
PREUIA. REVIEW 0
FINAL REVIEW 0
REVISION 0
PROJECT 1
COMMENTS
9z ,/4 F' 7
,4 1 7 2 0ifri 1 --i
doe 6 .0 p_o ie-rai,c5kei,e,
Foraiber 4)01(2.e4_ d‘i "IR,qpo. AA, 06 vitfif0
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ACTION TAKEN ON COMMENT
COMMENT STATUS
A=CommenI accepted
Correction made
List DWG or pentgrapit number
where conection made
p)
BACK
CHECK
BY/DATE:
LOCAT)ON: 7/6 6 Fiao
PEFWI
4 2 c io.54
PREPARED 10/01/08 8 58 47 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10 /01 /08
ADDRESS 716 E FRONT ST SUBDIV
TENANT NBR KITSAP BANK
CONTRACTOR HANLEY CONSTRUCTION INC PHONE (360) 876 0870
OWNER KITSAP BANK PHONE
PARCEL 06 30 00 5 1 2220 0000
APPL NUMBER 08 00001252 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 10/01/08
BLDG FINAL
September 30 2008 4 35 59 PM 1pangrle
OLIVER 360 876 0870
BLDG FINAL RE ROOF
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF
Owner
KITSAP BANK HANLEY CONSTRUCTION INC
PO BOX 9 PO BOX 865
PORT ORCHARD WA 983660009 PORT ORCHARD WA 98366
(360) 876 0870
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 135590
Permit Fee 207 75 Plan Check Fee 00
Issue Date 9/30/08 Valuation 9500
Expiration Date 3/29/09
Qty Unit Charge Per Extension
BASE FEE 95 75
8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 135608
Permit Fee 207 75 Plan Check Fee 00
Issue Date 9/30/08 Valuation 9500
Expiration Date 3/29/09
Qty Unit Charge Per
8 00
Other Fees
Fee summary
Date 1 Print Name
T.FormsBuilding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001252
298912
716 E FRONT ST
06 30 00 5 1 2220 0000
KITSAP BANK
RE ROOF
COMMERCIAL OFFICE
9500
Contractor
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Charged
Paid Credited Due
Date 9/30/08
Permit Fee Total 415 50 415 50 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 420 00 420 00 00 00
Extension
95 75
112 00
STATE SURCHARGE 4 50
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This perm it 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 has 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 laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presur a to give authority to violate or cancel the provisions of any state or local law r gulating construction or the performance of
76b 7C1 fouvg2___
constructi n
Signature of Contractor or Auth iz d Agent Signature of Owner (if owner is builder)
Octi
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace Ducts
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T.Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4807 Backflow Prevention Inspections 417 4886
Date Accepted By
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping i SHORELINE.
Comments
FINAL Date: Accepted by
FINAL Date: Accepted by'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
RESIDENTIAL DATE Accepted By Commercial Date Accepted By
Electrical 417 -4735 I I I Electrical I I
Construction R.W Construction R.W
PW Engineering 417 -4807 PW Engineering
Fire 417 -4653 I I I Fire I I
Planning 417 -4750 I I Planning I I
Building 417 -4815 I IBuilding 116 -01.- I J L L_—
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BUILDING PERMIT APPLICATION Print i ska
10 e'ailK Po Box 9 Port Orolna4 WA 9$366 -0309
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
I x (360) 417 -4815 fax (360) 417 -4711 l
Applicant or Agent 1 AW �L'��ON
Property Owner
Property Owner's Address (b rz2 N 1
Contractor /Engineer „Phone
Contractor /Engine is ddres <Jv �l'c��f 1 l7 L, e
License b .p i Expires O pgE-mail
t� c, to u- D
PROJECT ADDRESS 1 (4 S�
Parcel Number O(930 0 22.rzo
Proiect Tyne Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
e-roof
Demolition
Heat System
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Residential
Heat pump wood burning stove gas fireplace pellet stove other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
sq. ft. T Lot size
ft. Occupancy group
Occupant load
Construction type
have read and.completed this application and know it to be true and correct. I am authorized to apply for this permit and
understa, d that it is my responsibility to determine what permits are required, and
prol r..
Date k Print Name
Commercial
Phone
Phone
Signature
Lot
0
For City Use Only�"
Date Received '1-30 -0 R Q
Permit O$- 1152-
Date Approved
to P ttt._�
d?�
Multi- family
Z oning
per sq. ft.
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
Industrial
TOTAL VALUATION
obtain permits prior to working on
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 91l~62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER
Appllcation descrlption
Subdivision Name
Property Use
Property Zoning . .
Application valuation
04-00001152 Date
995200
716 E FRONT ST
06-30-00-5-1-2220-0000-
ELECTRICAL ONLY
2/24/05
COMMERCIAL OFFICE
o
Owner
Contractor
OLYMPIC BANK
716 E FRONT
PORT ANGELES
OWNER
WA 98362
Permit
Additlonal desc
Sub Contractor
Permlt Fee
Issue Date
Explration Date .
ELECTRICAL SIGN PERMITS
HANSON / R&R 2--SIGNS
HANSON SIGN CO
53 70 Plan Check Fee
2/24/05 Valuation
8/23/05
00
o
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~
Qty
1 00
1 00
Unit Charge Per
36 4000 ECH EL-COMM-1ST SIGN
17 3000 ECH EL-COMM-ADD SIGN
Extension
36.40
17.30
\"
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 53 70 53 70 00 .00
Plan Check Total 00 00 00 .00
Grand Total 53.70 53 70 00 .00
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COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPE(rrJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
I HTCI:1
ROllGH.IN I CUVbK
SERVICE
. .
..INAI ~/ J~/I'J"\ ~J JI
I I
I
GENERAL COMMENTS:
PW.Il02.U (4'96)
S
""r;"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 91B62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zonlng .
Application valuation
04-00001152 Date
995200
716 E FRONT ST
06-30-00-5-1-2220-0000-
ELECTRICAL ONLY
12/13/04
COMMERCIAL OFFICE
o
Owner
Contractor
OLYMPIC BANK
716 E FRONT
PORT ANGELES
OWNER
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTEE COMMERCIAL
RECEPT FOR X-MAS LTS
ANGELES ELECTRIC
61 30 Plan Check Fee
12/13/04 Valuation
6/12/05
00
o
~
~
Qty Unit Charge Per
1 00 61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.30 61.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61 30 61 30 .00 00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECT,ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
.........I
GENERAL COMMENTS:
PW.II02 IS (4'96]
f pORT ~
$~O~~~
,.
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'l.&i1C~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
property Address .
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application descript~on
Subd~vision Name
property Use
Property Zoning . . .
Appl~cation valuation
05-00000136 Date
.245984
716 E FRONT ST
06-30-00-5-1-2220-0000-
OLYMPIC BANK
3/14/05
SIGNS
Owner
Contractor
AHAL-&LJ J
.....1. tL
~~aG"
COMMERCIAL OFFICE
6200
OLYMPIC BANK
716 E FRONT
PORT ANGELES
WA 98362
HANSON SIGN CO.
POBOX 92 8
SILVERDALE
SILVERDALE
(360) 613-9550
WA 98383
Permit
Additional desc
Permit Fee
Issue Date
Exp~ration Date
SIGN
2-13.67 SQ.
94.00
3/14/05
9/10/05
FT. WALL MOUNTED
Plan Check Fee .00
Valuation 6200
Qty Unit Charge Per
2.00 47.0000 PER S- SIGN LES THAN 25 SF
Extension
94.00
Fee summary Charged Paid Credited Due
--------------- ---------- ---------- ---------- ----------
Permit Fee Total 94.00 94.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 94.00 94.00 .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 penod 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
laws and ord~'nanc s)govermn type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give uthority. I ate or cancel the provisions of any state or local law regulating construction or the performance of
construction. I .
~ r
/'- ~
Signature of on ractor or Authorized Agent Date Signature of Owner (if owner is builder)
T'\Pohcles\1102_15 bUlldmg penmt mspecllon record05 wpd [1/4/2005]
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 ACCEPTED COMMENTS
YES NO
FOUNDATION: ,
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CmMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s 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 I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT.
BUILDING 417-4815 .~_ f\tl ,,~ ~J.L. BUILDING
T.\Pohcles\1102_15 bUlldmg penmt mspectlOn record05.wpd [1/412005]
PREPARED 3/23/05, 12 55 11
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
13
3/23/05
ADDRESS
TENANT, NBR'
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
716 E FRONT ST
OLYMPIC BANK
HANSON SIGN CO
OLYMPIC BANK
06-30-00-5-1-2220-0000-
05-00000136 SIGNS
SUBDIV
PHONE
PHONE
(360) 613-9550
PERMIT: SIGN 00 SIGN
REQUESTED artN P DESCRIPTION
TYP/SQ COMPLETED E LT RESULTS/COMMENTS
--------------------- -- ----------------------------------------------------------------------
BL99 01 ~3 05 J BUILDING FINAL TIME 17 00
. Nancy - 360-613-9550
--------------- ------ --- ---------- COMMENTS AND NOTES --------------------------------------
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BUILDING PERMIT. APPLICATION
FOR OFFICIAL USE ONLY.
DateRcc. 2.-2.~~S-
~=~~roVed' ~ PI~/~
Date Issued:
The Budding Pennie Application must be filled out completely.
Please type or print in ink. Ifyoll havtl any questions, please caU 417-4815
Applicant or Agent:ilP.~SCN S.\e,~ c.o Phone: ?JJ:)
Owner:1<\t5AP EAN~ (~\.\ ~T_~ P~e:
Address:~ S~ Clty:fUtt ~ U)A.
Col3 qsso
87(0 lBl'
Zip: Q8'3lob
Architect/Engineer: Phone:
Contractor+'~~ S\6NCo. License #:AA~~lI~\Exp:OS-()'O.Ob Phone: ~ 'l3 q65b
Address:}b ~ q2.2> Cjty:~\)~()~ ~. Zip~~
PROJECT ADDRESS: ttY~ic.. eAN~ 71(D E, ~~ s.,- ZONING:
LEGAL DESCRIPTION7'Gt Block Subdivision:
CLALLAM COUNTY PARCEL NUMBER; Credit Card Hulder Name:YA~ S\C;tJ Co INC..
DUling Address: Ptl BOt 92..8' $illlerdqle WA ~~ity: .
Credit Card 1#: 41fD" '78tt> eoa:o "L' I (p' Exp. Date: OCI( I) 5" VISA -- Me
TYPE OF WORK: SIZEN ALUATION:
o Residential 0 New Constr. Cl Re-roof [J Wood-stove SF. @ $ ISF. =..$
[J Multi-family [J Addrtion Cl Move [J Garage SF. @ $ ISF. - $
o Commercial 0 Remodel CJ Demolition CJ Deck SF. @ $ ISF. = $' Qa
o Repair )( Sign 0 TOTAL VALVA nON $ "'''1'V"\-
BRIEF DESCRIPTION OF THE PROJl:CT: 'RetiACE.. Et\~,b~ chA~~~ Ol\ Nf)~ ~ So~
SlOES ci- ~~ NAME CM~ ~c:. O\"~\(") foI)C~ \('~~~l'-
COMMERClALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
.No. of Stories: ~ Lot SIZe: % Lot CO'Jerage: %
Emtmg Lot Cov",," 1'0. ft. + Propo,ro Lol COv.....' 1"1 ft. = TOT ALLOT COVERAGE' ~ I!,!:
PL~GUSEONLY' APfROVALS: PL __,~
~~~-r~~~ ~~~1>" ",^--, ^-"-'p~M''''''o~~ ~
\. . FIRE
ESAlWetland(s): 0 Yes Cl No SEPA Checklist required? [J Yes [J No Other: OTHER
BUll.J)ING PERMIT APPLICA nON SUBMITTAL: You, application and site plait must be filled out completely to be accepted lor
rel'iew. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additIons) aod buildi:o.g construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a nluation amount must be entered by the apphcant. This figme Wlll be reviewed
and may be revised by the Bwlding DIVISion to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construchon plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this application will expire. The
Bwldmg Official can extend the time for achon by the applicant up to 180 days upon written request by the applicant (see Section l07.4 of
the Umform Buildmg Code, current edition). No application can be extended more than once
I hereby certifl that I have read and examzned this applict1tion and know the same to be true and correct, and J am authorized to apply for
this permit J Wlderstcll.d it is not the City's legal responsibility to dete me what permits are required; it remams the applicant's
responsibillty to determine what permits are required and to obtai ch
T:\FORMS\APPS'B~lld mgpermit
Appli
Date: z... 7...05
/2'22--
DbScco5
,.
11'-103/4"
-
N
N
[R1 !E~!E~Wl!E 0
I FEB 23 2005 ]
CITY OF PORT ANGELES
Dept. of Community Development
IllUMINATED RACEWAY-MOUNTED CHANNEL lETTERS & CHANNEL WRAP lOGO
PROPOSED ~NSTALLATION ip
ELEVATION DRAWINGS ARE TO INDICATE "or~ ~.r~~ of Nt SICf'" @ \~.bl
GENERAL SIZE & PLACEMENT OF SIGNAGE.
SCALE ACCURACY IS NOT IMPLIED.
~ILE
LED MODULES
CITY OF PORT ANGELES - Construction Plans
Th~ Issuance of this permit based upon these plans, spec/fl-
calions and other data shall not prevent the bUilding offiCial
from thereafter reQUlnng the correctIOn of errors In said
plans, specifications and other data, or from preventing
bUilding oper~tlons being carned on thereunder when In
VIOlatIOn of ail codes and ordmances of thiS JUrisdictIOn
(SECTION 303(c) - Unl! rm BUll 109 Code.) .
ISOMETRIC VIEW OF Approval Date 2 OJ -- (f71,
TYPICAL CHANNEL LETTER By
~~, ~i~o/es
uq~l~~\
~1\)\)~ - NI\..:l (i, ~~.
I
TRANSFORMER D 1\') ~\~ Q:\\>'k.w~h+ t\S UP )
EXISTING INSTALLATION
SECTION VIEW OF TYPICAL INSTALLATION
(NOT TO SCALE)
Des- ~Sales I P.O. BOX 928 I I I
Iln~ 9438 W1LLAMETTE MERIDIAN RD. NW PHONE (360) 61 3-9550 SALES: RANDY HANSON
o E PAR , MEN , SILVERDALEWA98383 FAX(360)613-9515 DESIGN: FORREST MILLER
@2005
THIS SIGN DESIGN IS THE PROPERTY OF HANSON SIGNS INC. & IS NOT TO BE REPRODUCED IN ANY WAY WITHOUT PERMISSION OR TRANSFER BY SAlE
CUSTOMER KITSAP BANK-PT ANGELES
SKETCH
SCALE
JOB ORDER #
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
ELECTRICAL PERMIT
/ 2-. nON!-
4itJ bOtU wiU
01 ItvJK
~
PERMIT NO. ~53 3 Z-
DATE 11/01-1 /9.s
,
D READY FOR
INSPECTION
License Number:
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW
D HEAT PUMP KW_
D FAN/WALL KW
D RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
Details/Description:
MJ:
&
fS-
S /~.v So
/Vtlu
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
D RISER
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D1~ D3~
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
1JIIA ~ Final O.K.
Notify Port Angeles City Light by Street Address and Permit Number when 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 Buildin9j:eJ;mit. PHONE 457-0411, EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
I $
Electrical Inspector
Site Address:
7/6
(. ~I-
UbtJt{) r:hJ
New Meters
Installer:
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS ING
Permit/Receipt No.
S-3:5 L..
'I '7..s rt!?
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
DATE
~/gJ
7!Li;/n/
Site Address:
ELECTRICAL PERMIT
DAlt
LF;'c,RIC
.Ill WILL CALL FOR
INSPECTION
Phone:
7/'J"t.... 3t>0 618'7:1. 0
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
~~o
ELECTRIC HEAT
o BASEBOARD KW _
BA-tk~Ps FURNACE KW ~O,O
B HEAT PUMP KW ~
o FAN/WALL KW _
o RESIDENTIAL
~ COMMERCIAL
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
1(. UNDERGROUND SERVICE
VOLTAGE: lJ...ola.Og
o 1111 ,:! 3 ~
SERVICE SIZE 300
FEEDER SIZE 100
AMPS
AMPS
.
DetailslDescription: fJev,J Com",,/, ICh<-i & Il/k 13/17 '- .
(I) .;le>oA iV/qjN P'//Jd I (I) /oiJA sf.!lopt//IId (Dl) ed-. luted bVnlP CklS
~ . d I I )
\J;.d;r'b(ovfVd c:r .C;pnHc.fI.. w.-.,..h .R,di'rtol:. irlJ.x..Cj fs-CONNl'df~
of a. () ~"J 100 11/1'11'3. pa.I"'1/{e./ 2" PlfC Sf'YI~;"-'1 ,-,v-f../hYNc.<
~ t?^rst :ft1" {!,.{UK ON o,,/e. 111/ "hAle/< V.1;r~ iN PtJe, 0;:'
EM' ~a,~.v''J f/e~c< ~' -rtkcl-RcI to,,1 /;\111,
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
. ~ Ditch Inspection O.K.
'ff- Rough-in/cover O.K.
'(>I O.K. to connect service
u1Pill , Final O.K.
Site Address: ((& ~.
Installer:
~
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work mus not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either ttte W@ng,Beport ':J-
or on the Buil~-Permit. PHONE 457-0411, EXT. 224. C}--L'-" -=:{1-/~.2 S. -
r; . 1'l ;:" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I':> r- () 0 fwt'
0'-'\/\ $ f;}.O+I5'" v.;:) ~A^-
EfebtrjCallnspect~r Permit Fee __/ 1jv -,
WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN _ Top: Meter Dept., Bottom: City Hall
~
OLYMPIC PRINTERS INC
/;
.
.
.
~
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. s /1.3
7//3hr
. r
DATE
ELECTRICAL PERMIT
Site Address:
Sq. Ft.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
7/
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
V TEMPORARY SERVICE
o RISER
"t)t OVERHEAD SERVICE
tJ UNDERGROUND E VICE
VOLTAGE: CC? e
fl(1rp D3rp
SERVICE SIZE /t)9
FEEDER SIZE
AMPS
AMPS
DetaiislDescription:
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
Permit/Receipt No.
$/73
New Meters
-
Installer:
Notify Port Angeles City Light by Street Address and Permit Number when 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 pelDJil.. PHONE 457-0411, EXT. 224. ...~
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;r "- --r 0
, .
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
~'
/18~
CITY OF PORT.ANGELES,
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
9ilMBER
FEE RECEIPT NUMBER
.
TOTAL FEE /t~ .. t'~J
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OC.CUPANCY
. .. ..
Site Address 7 I (,.
c,re.~G co
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
f.r:~01J'f
.CT ADDRESS IS RESrONSIBI.L1~Y OF AP~L1CANT
fi/Ujl,>/V
PERMITS ~ITH WRONG ADDRES~ES ARE CANCE~lED); II
Installation By EflfJ?/tlC ~ [,e Ice
Installers Address
Owner
Owner's Address .
Day Phone Installers Phone
Applicatio.n ~s hereby m~de for Permit ~o insta.11 Ele~trical Eq':Jipment as follows:
l'iIN'l.!'i..
. Un.. IIVSld'i P~'i {
. . . ,
.
NUMBER AMP . -120V . 240V NUMBER AMP . 120V 240V
USE OF CIRCUIT . .. PER "100R . FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT 111-11-' SIGN
/ ;f. :~ !h IvL I 'I "- 50 VOLTS .. ..
LIGHT OR LESS
CONVENIENCE ( LtIl ov I \ MOTOR - :
!'-'v I
CONVENIENCE I. I ! j'J II ;.- R .-/
APPLIANCE - L ~ )-MoTOR .. .. -.
(~)IS.HWASHER /: V / FI RE ~LARMS ,
DISPOSAL BURGLAR ALARM
RANGE MISC.
,
OVEN
WATER HEATER
LAUNDRY .. I. ,
DRYER . REINSTALLATION LIGHT FIXTURE #
FURNACE .. . SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC . - .
BASIC FEE
ELECTRIC HEAT TOTAL FEE .
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
..
A.C. UNIT AMP PHASE
FEEDER . SIZE OF SERVICE ENTRANCE CONDUCTORS
- ..
SERVICE AW.G.
I SUB. nit AL . . - ..
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
/00 ~ Fvot
-k tL S} t? c/l..So'" ,
't>o/'
H...,1'1
,
~~ '(,"_(-frotl- ~ j
Wiring Meth_od"
I certify that the work to be perfo.rmed under this permit will-be dOl;e-by the instaiier and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
~ermission is hereby giv~n to_do the above described work, ac.cording to the cond[tions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t City .of rt Angeles.
I CT 0 CI Y LIGHT
Date Permit Issued ;1; L/'1 '~&NS RO' " .
~f: DZr~ent of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE - Original CANARY. Duplicate PINK" Triplicate WHITE CARD" Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
..
, r /J /1 0.1.( Sf _.......,."".....
/ / 1?-1'7 #l(t--- O.K. TO CONNECT SERVICE
I { I till La.1I
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o Electrical Contractor
.~
..-
~ ..-c=..n..
"\'t-~.J-";-"
DOwner "'iiKi.....
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
o Annual Permit 0 Alarm 0 Carnival ~ Com'mercia) 0 Residential 0 Residential Maint. l:l Signs 0 Thermostat 0 Telecom.
/ Installation description ,
Job wired by ~ Electrical Contractor DOwner
"
ElectJ:ical contractor name - ..p License number ~f"A< (:;
+11H1~""AJ <}.:1" (1_ .
. ~.\<:nS ("~9!1''''1 {S}.J. ,1t"7t~.
Purchaser's mailing ad~ss gA>~ <),~
. ~ f-<'o,>< Q7S? /)/tJ,I'I"'"
City . State ZIP I I V
- +!"""#W! ;],-".,1-
\';1 \It:ilI (\,4..1 ~ lOA. '7f...R"'t /a-nf:. J'!)EW
- I
Telephone number FAX number
-=?u" /d"'._ q~~..... 360-/"r:-". an" ~A)"
Premises owner's name
=K,r...,fJ1l flr....k
Address of i~spection'--:"-- 0:- ct4"'''IS::,- (/'€D /.. .:frnf:)
'"lIb G _ -rlUlnr ~
CitlHn AN-r. - '-
lie
'-'
o Cash o Check #
I hereby ,c~rtify that I am the owner of the above named property or a licensed o Credit Card Visa Mastercard Discover
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Card # - - -
----------------
^
VSignature nf 7'/ilalocnntractor or electrical administrator Expiration Date (~nSpection fee
,X t _/ ' of card
"-
I
,,- WALLS
Insulation Only
Date Approved By
Cover
Date Approved By
"-
,,- CEIUNG
Insulation Only
Dale Approved By
Cover
Date Approved By
,,- THERMOSTAT
Date Approved By
DITCH
"- Datc 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
o Fan-Wall KW
Service Information
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action TaKen Electrical
J Date . Inspector
g/tl!lo~ ,,2 - ':sIb;;" / . -5",;tif'~ ;'nr-) ~ ~
/ " '- ..-
,
Aug-23-0G 08:01 Port Angeles P~bl;c Works
P.Ol
.Jo
e
ELECTRICAL PERMIT APPLICATION
FOR OPFICIAT.l r~E ClNL '.'.
1~lcRtt.;
Ptnnit#:
Dah: Approved: .
I l)ateiRUe<!; --
i
,,,1.-
1-1
o Applicant lWdlor~. S:.jt1J Phon~btl'6'/3-~Fax#.JroC'~13 - 'i",J-/j-
Property Owner: .~,(.) .:::Blh9'K Phone:
Address:~19 eA~ Si . City: ~ ~~ ~.
Contractor~/I.) SI(J.) Co. License #:tIAr&SOSCIOS",7 Exp: 7.17.0,"
Address:fb &:JX Q2.B City:Sl.bJ~M<Ii. I.N~.
1'/" E/<clrioal Permit Applicatioll mu.,( be filled oul completely.
Plea!e type or print III ink. If you have any question., pi...., call (361l) 417-473~
Fu number: (~60) 417.4711
Zip:q~~
Phone~kD G.13-QSS"O
zlp:~B!e3
Credil Card fl"ld(r Nam(:.//~/oI561t S,Ut. ~. :rAIL
" I
BiUillg ArJlirt!.~,'" Ib 60X QZe, St/erd..le
Credit Ca,d Numbe,
Pennit Feel53 .70
PROJECT .o\DDRESS:Dl'r'MPldrutSA-P BNJ'K lJIo_E,~ ~T.
I
LEGAL DESCRIPTION: Lo'.: Block: Subdivision:
_ ZONTNG
CLALLAM COUNTY PARCEL NUMBER.:
TYPE OF WORK:
o Residential D Multi.family I""CommerciaJ 0 Mobile Home
Electrical Permit feel....e baled OD WAC 296-46-910
BRIU DESCRIPTION OFTHE PROJECT: ~~_ 2. ~~ ~1\lfU.. ~ S,~
~ lI\oR+k ~-.",.,,~'"' ElIitlM._S l'Ie""Ufl-I5ll. Low II"I~" LEDs
Eleetri~al H~t Load Addltioal Service Infarm1tian
o Bs.<thoord
o Furnace
o Heal Pwnp
o Fan-Wall.
KW
K.W
KW
KW
o Rj""
o Overhead Service
C Temp Service
o -Jnderground Ser.ice
Vollage: tlC
Ph..,c: 0 1 0 ]
Service Size,_
Feeder Size:
Comraents:
'hereby Ctrtify that J have ~ud and c.xumined :Mf appUcatiolI and know rhe same (0 be t,"ur. arid carre(/, and lam author;rrd (0 l1.nrf"
forthLr permif. 1 wtden:a,.d it is not lire City's l~.~a{ respoftsihllily to de/am' e ",*at permits are required: it remair.s fh~ ap,rJ/:'cl1nt:~
~.fl'om(b1!try If) rkrermlni! \ltihOf perm/I] are rtqufred a.o,d fO ob/ofn 3:.1dt
rW-1I02_2~ (JToI~/,oOl
Credit Card Holde.', Si~nature:
nate,2-;o.o5"
:j 5"3,70
o Electrical Contractor 0 Owner
o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. Q Signs 0 Thermostat 0 Telecom.
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
Job wired by
}Q Electrical Contractor 0 Owner
Installation description
CJ
City State ZIP
. S/L.VRIl. 0 /H.S IAJ~.
Telephone number FAX number
-'~ 360-
pre:K~wner's &vi<
Address of tpection.--
'7/10 g. -t7I.Dnr c;:t
Cit,
q83&3
~".
~;;L ~:p ~t
/d ;1)ew t<m.<If If_I:
B-w'
d4<JN<?:<.; ~ f.!:eo t.jmtJ-
o Cash 0 Check #
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
ontractor or electrical administrator
Expiration Date
of card
Inspection fee
$
x
/' WALLS
Insulation Only
Date Approved By
Cover
Dale Approved By
"-
CEILING
Insulation Only
Dale Approved By
Cover
Dale Approved By
"-
TIlERMOSTAT
Dale Approved By
DITOI
Dale Approved By
/' SERVICE
"- Dale Approved By
/' FEEDER
"- Dale Approved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
o Fan-Wall KW
Service Information
D Overhead Service
D Temp Service
D Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
r
r
','
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Page 1 oq ,
lABOR AND
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ELECTRICAL WORK PERMIT
I~DUsrRJES
License number
184505E
Signs Permit
HANSON SIGN CO INC
HANSOSC108M7
3606139550
Olympic Bank
G1' - -If
.7.16.E_F-ront-St----"
rY-or.t.Angeles.}
JEFFERSON
Application number
Permit type
Electrical contractor name
Telephone number
Premises owner's name
Address of inspection
City
County
Power company
Installation description Two
Inspection fee $52.10
Date
Approved By
Date
Approved By
WALLS
Insulation Only
SERVICE
FEEDER
Cover
CEILING
Insulation Only
THERMOSTAT
DITCH
Cover
Inspection
Date
Area, Building or Equipment Inspected
Action
Taken
Electrical
Inspector
/
I hereby certify that I am the owner of the above named property or a licensed electrical contractor ( or the firm's authorized
agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. I agree
that my contractor's account established with the Department of Labor and Industries for the purpose of paying for such permits be
charged for this service.
https:llwws2.wa.goy/lni/ipep/scripts/ipep.dlllPermit
6/28/2004
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DEPARTMENT OF L},BOR AND INDUSTRJES
CERTIFIED AS PROVIDED BY LAW AS
MSTR ELEC SIGN
, 'CER'T";'#",",
ME04 "HANS~~*~62NC
EFFECTIVE DATE
EX.p. DATE
08/09/2007
08/03/2004
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PO BOX 928
SILVERDALE WA 98383
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DEPARTMENT OF LABOR AND E,DUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR SIGN
LICENSE #
EC04 HANSOSC108M7
EFFECTIVE DATE
EXP. DATE
07/27/2006
07/27/1990
HANSON SIGN CO INC
PO BOX 928
SILVERDALE WA 98383
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REGISTERED AS PROVIDED BY LAW AS
CONST CaNT GENERAL
REGIST. #
CC01 HANSOI*221J1
EFFECTIVE DATE
EXP. DATE
05/08/2006
04/21/1978
HANsoN SIGN co INC
Po BOX 928
SILVERDALE WA 98383
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~CTRJCAL WORK PERMIT APPLICATION
~uest Inspection
,
D Annual Permit
o Residential CJ Residenti:Il1\1aint. Cl Signs 0 TbcrJnu$ta.t 0 Telecom.
Electrical contractor name
License numb(:l'
:"'~~~ J:::
Job wired hy'
'lectrkal Contractor 0 Owner
PUl6'~S m:J.iling ;'lddress
'f E- Ht!Sj
City p.. St..1te
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Premises o~Lm~K ~J€
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CHy
I hereby cenify that I am the owner of the above named property or 3 licen~d
electrical contractOr (or the tirm's authorized agent) and llm making the electrical
installation or altcr.dion in compliance witl1 the clcctricallaw. Chapter 19.28 RCW.
o Cash 0 Check #
I!I"Credit Card Visa ~terc~.i'::' Discover
c~#
x
Expiration Date
of card
,r WALLS
InslIliilion Only
lhle A"~lIovcd By
Cover
DM<;; - ^Ilrrov~d 9)1
" /
CEILING
Insulalion Only
Il~le ADDl\lyo:1l By
Cover
D~l~ Approve<:! f!,)I
. THERMOSTAT
0*'<: .\]lproV~&y ./
,r DITal
\: n.t.le Approved B)I
SERVICE
D:r.tc" AVp(ovc<,l. H)'
FEEDER
D~(e Afll11'Ovcd ~)'
Electrical Load Addi~lons and or subtractions
(J NO LOAD CHANGES
(J Baseboard KW
o Furnace KW
o Heat Pump _ Ton _ LAR
o Fan-Wall ~
o Overhead SSNicQ
o Temp Service
o Underground Service
Service Information
Vollage /~P
Phase Er"1'"" 0
SeMe<> Size: ~
Feeder Si~e; ~
rnspcction .f\rca. Building or Equipment Inspected ACtiOn Ta\(c,.. Electric::!.l
D:ltc In!lpcctor
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , . . 15- 00001340 Date 10/22/15
Application pin number 205560
Property Address . . , 716 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 2220 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . , . .
Property Use . . . . . . , .
Property Zoning , , . , , . . COMMERCIAL OFFICE
Application valuation . . . . 0
Application desc
Heat pump installation
Owner Contractor
KITSAP BANK AIR PLO HEATING. CO INC
PO BOX 9 221 W. CEDAR
PORT ORCHARD WA .983660009 SEQUIM WA 98382
(360) 683 -390.1
_ .. .. .. _ ., ______
-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-- - - - - - - - - - -- - - - �
Permit . . . . . , ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee 56,00 Phan Check Fee 00
Issue Date 10/22/15 Valuation 0
Expiration Date 4/19/16
Qty Unit Charge Per
1,00 56,0000 ECH 'E
Fee summary Charged
Permit Fee Total 56.,00
Plan Check Total .DO
Grand Total 56.00
Extension
-LVT- THERMOSTAT 56,00
Paid Credited Due
56.D0 .00 ,00
,00 .0O 00
56.00 .00 00
ll�
R `1
REPORT SALES TAX
on your excise tax form
to the City of port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTIOM
Signature of owner or Electrical Contractor X Date
GAfEXCHANGE\BUILDING
10/21/2015 WED 16:55 FAX 360 683 3971 Airflo Heating copier
CITY OF PORT ANGELES PERMIT 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: 10 -,41 !
0002/004
k� z tee Y� j ?bkr)
OCT
W
,_.-. Multi - Family or Commercial*
* Plan Review M Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Y't V\- —St
Building Square Footage:
Description of above
owner information
Name:
Mailin Address: S
City; ' fate: Zip:
Phone:" ax:
License # I ExpV
Item Unit Charge
ServicelFeeder 200 Amp. $132.00
Service/Feeder 201 -400 Amp, $160.00
Service /Feeder 401 -600 Amp $ 225.00
ServicelFeeder601 -1000 Amp. $ 288,00
Service /Feeder over 1000 Amp. $ 410.00
Branch Circuit W/ Service Feeder $ 5,00
Branch Circuit W/O Service Feeder $ 74.00
Each Additional Branch Circuit $ 5,00
Branch Circuits 14 $ 86.00
Temp. Servicel Feeder 200 Amp. $102.00
Temp, Service /Feeder2DIA00 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
Sign /Outline Lighting $ 88.00
Signal Circuit! Limited Energy - Multi - Family $ 64,00
Signal Circuit/ Limited Enorgy I 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, $540 for each additional T -Stat
Contra orinformafon
Name,
Mailin ddress:
City: State:
Zips
Phone:
-
License # l Exp.
fyt Total i0ty Multiolled by Unit Chanel
$
$
$
5 fig
$ • _VV
$ 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, REC., RCW. Chapter 19.28, WAC. Chapter 296466, 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: El cash ❑ cheat
fd Credit Card #.,lrik „k�:--- ��t >�__.�
Dated: to -11 9114112012
v`
-d—
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 15- 00001351 Date 10/26/15
Application pixn number 967607
Property Address 716 E FRONT ST
ASSESSOR PARCEL NUMBER; 06-30-00-5-1- 2220 -4000-
Applicatien type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . , ,
Property Zoning , , , , . , . COMMERCIAL OFFICE
Application valuation , , . . 0
Application desc
AR./HP retro
___-_._.-__.__-_______.-.---------------------------------------------------
Owner Contractor
KITSAP BANK BLACK DIAMOND ELECTRICAL CONTR
PO BOX 9 502 BLACK DIAMOND RD
PORT ORCHARD WA 983660009 PORT ANGELES WA 98363
(360) 565 -1035
------------------------------------------------ --------------- ---- ---- - - - --
Permit . . . , ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 86.00 Plan Check Fee 00
Issue Date 10/26/15 Valuation . . . . 0
Expiration Date 4/23/26
Qty Unit Charge Per Extension
'BASE FEE 86,00
Fee summary Charged Paid Credited Due
Permit Fee Total. 66,00 86.00 00 -.00
Plan Check Total ,00 .00 .00 00
Grand Total 86,00 86100 .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
FINAI.
�-� �✓
COMMENTS:
PERMIT WILL EXPaE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GAIEXCHANGEIEUILDING
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: & Z `t
rV
ulti- Family or Commercial*
or, a
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: '� /(p 6. F""T _
Building Square Footage:
Description of above
Owner lnfor !to
:
NameA iiS bL
State: Zip:
Mailing _ "a G Flb- -- —
r
Fax:
City: State: Zip:
94 L
Phone: Ni' Fax:
Total Multiplied by Unit Charge
License # 1 Exp,
Item
Unit Charge
ServicelFeeder 200 Amp,
$132.00
ServicelFeeder 201 -4C0 Amp.
$160.00
ServicelFeeder 401 -600 Amp
$ 225.00
ServicelFeeder 601 -1000 Amp,
$ 288.00
ServicelFeeder over 1000 Amp,
$ 410.00
Branch Circuit W1 Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1 -4
$ 86.00
Temp. Service/ Feeder 200 Amp.
$ 102.00
Temp. ServicelFeeder 201 -400 Amp.
$121.00
Temp. ServicelFeeder 401 -600 Amp.
$164.00
Temp. ServicelFeeder 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 - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T -Stat
Contractor Irprun aeon
Name:
Mailing Address:
City:
State: Zip:
Phone:
Fax:
License # 1 Exp,
94 L
City
Total Multiplied by Unit Charge
$
$
$ Total
Owner as defined by RCW.19.2&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 C a Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature ne , e ri al contractor or electrical administrator: ❑ cash Check
r ❑ Credit Card #
x 1. I. Dated: / eq r'7 6 — fl— 0110112012