HomeMy WebLinkAbout901 E Front St - BuildingApplication Number 06 00000534
Application pin number 532554
Property Address 901 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 6 1 0316 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Owner Contractor
WELLS FARGO BANK NA
525 MARKET ST' 18TH FLOOR
CHICAGO IL 00005
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
OWNER
Date 5/23/06
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc STONER/ 1 5 CIR ELE DEPT
Permit pin number 78071
Sub Contractor STONER ELECTRIC
Permit Fee 61 30 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 11/19/06
Qty Unit Charge Per Extension
1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS 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
FINAL
INSPECTION TYPE
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
f INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES I NO
DITCH I I I
ROUGH I I I
SERVICE I I I
I A -1 s'-a6 I ..4 -r5)
I I I
I I I
I I I
I I I
COMMENTS
PW -1 102.15 (496]
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
05 00000092
964784
901 E FRONT ST
06 30 00 6 1 0316 0000
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
0
Owner Contractor
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES, WA 98362
WELLS FARGO BANK, NA OLYMPIC WIRING INC
525 MARKET ST 18TH FLOOR 9601 PROVOST ROAD NW
CHICAGO IL 00005 SILVERDALE
(360) 692 0134
Permit ELECTRICAL ALTE13 COMMERCIAL
Additional desc ALARM CIIRCUIT/ OLYMPIC WIRING
Sub Contractor OLYMPIC WIRING INC
Permit Fee 61 30 Plan Check Fee 00
Issue Date 2/08/05 Valuation 0
Expiration Date 8/07/05
Qty Unit Charge Per Extension
1 00 61 3000 ECH EL -COMM ALT <5 CIRCUITS 61 30
Fee summary Charged Paid Credited Due
Date 2/08/05
WA 98383
Permit Fee Total 61 30 61 30 00 00
Plan Check Total 00 00 00 00
Grand Total 61 30 61 30 00 00
COMMENTS /ACTION NEEDED
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 ACCEPTED COMMENTS
YES I NO
DITCH
ROUGH -IN COVER
SERVICE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
I I I
I I I
I I I
FINAL I Pf /5 -f 1.-4-t f) I
I I I
I I I
I I
I
PW1102.13 (496)
CERTIFICATE OP
4'. C of Port Angeles
Building Division
This Certif cation issued pursuant to the requirements of Sectioii 109 of the
Uniform Building Code certifying_that at the time of issuance this structure was
in c mpliances_with the various ordinanceslof the` City_ regulating Building
_Construction or use:.For'ilie followifig
Use Classification. Bank Building Permit No. ;Business Name: Wells -.Fargo. Bank c,
Type of Construction. V -S1
Group B
Owner of Business: Wells Faro Bank Address: 901 East Front Street. Port Angeles. WA 98362
Building Address: 901 East Street
Bullding¢Offcial _r_
Use.Zone: CA.
rr
.tom
Port Angeles. WA 98362
August 27, 2004
Post on the premises in place
Shall not be removedYexcepte,byBuilding Official
DATE 4
I I
d0l sPro sed Business
Applicant h 112
Address 'A-r
Phone business 7 --1 44 home
Brief description of proposed business. a
Legal Description Lot
Current Use of Property. 1
Zoning Classification of Property
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
Admission charged to patrons
Is this a home occupation?
Excavation of filling of lots
Work done in City right -of -way
Is there sufficient off street parking?
New driveway openings
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the existing streets paved?
Are there existing sidewalks?
Is there curb and gutter?
Other
ROUTING SLIP
Certificate of Occupancy
ANEd Certificate /Inspection Fee
Block
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date
information I have supplied is correct to the best of my
knowledge Signe
t���CI 1 REJECTED
VI
i43-0y-9
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
YES NO THE FOLLOWING WILL BE REQUIRED
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
Comments Conditio s
Subdivision
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
r-',
ROUTING SLIP
Certificate of Occupancy
;~_ Certificate/Inspection Fee
DATE A/~/i?+
Address fl1: P~d Business
gQ( --t::- :.nr 51
Applicant JIJr:1 -1>> ~ ~l{__
Address ~\~
Phone: . bUSiness !!j:t;;7--! 1M home
Bnef descnptlon of proposed bUSiness' _~k--
legal Descnption: lot
Current Use of Property:
Zoning Classification of Property:
Block
eft
New BUSiness ........ ...... ............
Transfer of BUSiness location. . . . .... . . . . .
Change of Ownership. ..... .. ...........
New Building ... . . . . . . . . . . .. ...........
Remodel . . . . . . . . . . . .. .... .........
Temporary BUSiness .... .. . . . . . . . . . . .
Change of Use. . . . . ., ...... ... . . . . . . . .
Subdivision
~ I'OAr ~'"
~O~G~(f'
c~~.
'- -=-"
'=-
.~;
U8ucwO"''f.
)
~
)
)
)
)
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
Admission charged to patrons
Is this a home occupation? .
Excavation of filling of lots
Work done In City rlght-ot-way
Is there sufficient off-street parking?
New driveway openings
A grading plan tor site drainage
(parking lots, downspouts, etc)
Are the eXisting streets paved?
Are there eXisting Sidewalks?
Is there curb and gutter?
Other
YES NO THE FOllOWING Will BE REQUIRED:
-- PERMITS BUSINESS LICENSE
-- 1) BUilding 1 ) TaXI
-- 2) Plumbing 2) Peddlers '-Q
7== 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 shop
-- 10) Water meter Installation 10) Other
-- 11) Fire 'j1
-- 12) Occupancy
-- 13) Sign ~
-- 14) Shoreline '-{..
-- 15) Home occupation
-- 16) Conditional use ~
-- 17) Other
--
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date
Information I have supplied IS correct to the best of my
knowledge.
~~REJECTED
BUilding Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Use ClassIficatIOn
Group B
.~.
~
C ERTI FIC,A~TEO'OF~O;CCU PAN CY
~~",,;r ~~.....
L~ -~
.41'""- City of Port Angeles":>"""
~:{i ... . . ;v"
Ai" BuIlding DIvIsion '\~
d,;~7 (t1.\
- "
TIllS Certification issued pursuant to the reqUlrements of SectwlV 09 of the
Unzfom(Building Code certifying that at the time of issuance this structure was
111 cQJnplia_nc,e with the various ordi1JCfncesofthe, Cityregulat}ng lJuilding
,i ';~' ;', " construction or use: for-tile f611owiFig" ~
Ba4 :~UlI91ng PermIt No Busmess Name Wells Fargo Bank: ~
(.
1'1
if
V-N
Use Zone'
Type of Conso uctlOn
Owner of Busmess Wells Rargo Bank:
~
BUlldmg Address
,:<;
CA::
~
901 East:Front Street
Address 901 East Front Street, Port Angeles, W A 98362
/P
!,'
" _"., p,?~ ~~el_~~_,,~A ?8362
- - ~~ '. ~ '
'I ~
, ~-~ ."
, ,
;'.," -, " ':+, ::~, ',; ~ ,',:,<,~ '.':' August'27, 2004
BUitdiiIg,QfficlaL:, :~. ','" ' " ~ ' " ,;{'Date
~'h -;_:. ,..... -.:: -." .~ ~ ' .- -, ~:-/ ,,;:.'/
'''{c _ -- , ., -.,' _:
Post on' th~. 'premises.,inC:l' conspl~uous place.
Shall not be r'emQ,'{g~'exceJ~(b-y!Efuilding Official.
~ .;;, ~~ "'rw?~-s::""1- :~,-; ~ t
o~ pORT """-
~,,~~""
C~~
1!:. --
""~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Zoning . . .
Application valuation
03-00001151 Date 12/09/03
901 E FRONT ST
06-30-00-6-1-0316-0000-
SIGNS
COMMERCIAL ARTERIAL
3720
Owner
Contractor
WELLS FARGO BANK, NA
525 MARKET ST 18TH FLOOR
CHICAGO IL 00005
DWINELLS VISUAL SYSTEMS
814 6TH AVE SOUTH
SEATTLE WA 98133
(206) 292-8865
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SIGN
175.00
12/09/03
6/07/04
Plan Check Fee
Valuation
.00
3720
Qty
2.00
1.00
Unit Charge Per
30.0000 PER S- SIGN LES THAN 25 SF
115.0000 PER S- SIGN FREE OR PROJ 25+
Extension
60.00
115.00
j)
o
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 175.00 175.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 175.00 175.00 .00 .00
-
~\ ft\
~
r
-J{
d
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\1102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFOJUJ
INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS ~ /n f~. .J J L ~'OY) IO'Oii" IVJSp.ecfto-1 :) f hole...
WALLS ", v -, .
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s.
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE-
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417.4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PWI CONSTRUCTION - R.W
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 I-f) , I} q' I () I-{ j.k BUILDING
T \PLANNING\FORMS\1102 15 [11/14/2003]
PREPARED 5/28/04, 13 00 43
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
5/28/04
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
901 E FRONT ST
DWINELLS VISUAL SYSTEMS
WELLS FARGO BANK, NA
06-30-00-6-1-0316-0000-
03-00001151 SIGNS
SUBDIV
PHONE
PHONE
(206) 292-8865
------------------------------------------------------------------------------------------------
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
-----------------------------------------------------------------------~------------------------
BL1
01
3/26/04
3/26/04
JLL
AP
BUILDING FOUNDATION FOOTING
206 292-8865 OR CELL #206 715-4589
FRI 8 OOAM
SIGN POST HOLE INSPECTION
BUILDING FINAL
KEVIN 206-715-4589
BL99 01
~tw-
COMMENTS AND NOTES
PREPARED 3/26/04, 12 57 23
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
3/26/04
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
901 E FRONT ST
DWINELLS VISUAL SYSTEMS
WELLS FARGO BANK, NA
06-30-00-6-1-0316-0000-
03-00001151 SIGNS
SUBDIV
PHONE
PHONE
(206) 292-8865
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
BLl
01
~~
BUILDING FOUNDATION FOOTING
206 292-8865 OR CELL #206 715-4589
FRI 8 OOAM
SIGN POST HOLE INSPECTION
-------------------------------------- COMMENTS AND NOTES --------------------------------------
11- 6-03; 9'41AM,CITY PORT ANGELES
;3604174711
# 2/ 2
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USF. ONLY
Date Rec. (l.. - I .. D"3
Permil#' tIs ~
Dale Approved./~"'" ~
Date Issued
Fill out COMPLETELY and in INK. Your application and site plan MU
COMPLETE to be accepted for review. If you have any questions, ca
(360) 417-4815
Phone:
r) c... . Phone: ~J) C&(o r -'5'10u
, i M
IV\I(\ne~ ,S } Zip: s5LrT~
Phone:
LIcense #:DWINE:\JS"lTo~~: 7/;)S/Q5 PhoneC?0..2q~- ~~
City: ~ ~ I \JA- Zip: ~l6 Y
PROJECT ADDRESS: 901 f! fuv-\.t- st ZONING: CA
LEGAL DESCRIPTION: Lot: 10,11,1 l.., I? B1ock:~ Subdivision: ~ lAnd Co..
CLALLAMCOUNTYPARCELNUMBER: V\J~ not ~ ~ .-t\<'ci eN\. (Jl)~ ~rk,
~
Architect/Engineer: \\) I
Contractor Dwi n e..,ll ~ \SU
Address: %\y La~ A'<'"e S
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-fanuly 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 1Ji.<,Sign
BRIEF DESCRIPTIO OF THE PROJECT:
O~ (I \) &~
~/~
MC
City:
#
Exp. Date:
SIZE/VALUATION: . _ao
o Stove 1-. 8:1...5 L SF. @$ .3];::t(/SF. = $~?1O'O., _
o Garage'! ~- .:OCSF.@$ .:B.~~ /SF.=$ alOCk.1 J-~w~
o Deck' ~ ~. SF. @ $ &j 1.2.4 ISF. = $ a 5..0 w 1 soo 00
o Other - TOTAL VALUATION $......:.. - -~ $372;2) <22..
PLANNING USE ONLY:
~
APPROV
PLAN: ~
BLDG:
DPWU:
FIRE:
OTHER:_
VlO/\~; ll~
v1:~
-n~
~
V
,i-
~
~
Q
~
)
t~
Occupant Load.
No. of Stories: L Lot Size: Existing Sq. Ft LI, D4 1-:. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% '= Total lot coverage
Construction Type:
~/A
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you WIth information on the application and
plan submittal requirements If you have questions.
VALVA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tune the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is Issued within 180 days ofthe date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section t 07.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this applicatIon and know the same to be true and correct. I am authorized to apply for this permit and
_00 thsll is my respom;ib/lily 10 deIemlin. what pe1Tllits are required .not f1Je 'y~. d that I mu Db in such _ p~
$;~RM;~UI:in;~WPd d-AppliO..': \ ' o~, II (Date:. II SA ~
C. ....J.. ot 'P erSO C\ ~ J..... \ L u-w-e. WI n e ))
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Official Use Only
Assem.#
Reeei ved
Backflow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
NAME OF PREMISES:
SERVICE ADDRESS:
LOeA TION OF DEVICE:
ASSEMBLY: I/O rJl k"
Manufacturer
lJ)r"i
Co i
" I' ,
f-~+I~(16
I"~
/) /} 11 f.r
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s./.-
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(.,.-t) 01.1- r I-'11e .t,... .....
'7"'-
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,/o~>'Ot.
{;07111/ &T
Model
Size
Serial No.
IS THIS AN APPROVED ASSEMBLY? YES ~ NO 0
IS ASSEMBLY INSTALLED CORRECTLY? YES III NO 0
DATE OF INST ALLA nON
UNKNOWN,n
REDUCED PRESSURE PRINCIPLE ASSEMBLY
DOUBLE CHECK VALVE ASSEMBLY
RP 0
DC ;e...
PVB 0
SVB 0
RPDA 0
DCDA 0
Air Gap 0
AVB 0
~
~
-
\\\
~
~
~
-\-
pSI ~
CHECK VALVE #1
CHECK VALVE#2
RELIEF VALVE
PVB;SVB
Initial
Leaked 0
Leaked
o
Did Not Open 0
AIR INLET
Test
Held at;L.O psi
Closed Tight ~
Held at ~ psi
Did Not Open 0
Opened at _ psi
Opened at ___ psi
Details
,/
//\
3 psi Buffer YES 0
./'CHECK VAIl,VE
./ J
,[eaked 0 ,fk1d at
,.\ -'
.( REPAIRS
\ ,.
:v tleaned ,P
/:)
Repairs
Cleaned 0
Cleaned
o
Cleaned 0
Replaced 0
Replaced
o
Replaced 0
,-
/
. i,
\.
~'
,....,
NO.D""
"
Replaced 0
)
COMMENTS
Closed Tight 0
Held at ~_f.i
AIR GAP INSPECTION: ~~\.\ \\:: /,', " ~-:.J' -(~ )
REQUIRED MINIMUM SEPARATION:.YES 0 ,
"
" '/",01 '?
ii'l./
~i-\ \)(,"
\ \' ~
Test
Held at _ pSI
.Opened at _ psi
AIR INLET Opened at __ psi
CHECK VALVE Held al__ pSI
BACK PRESSURE NO 0 YES 0
Final
TYPE OF HAZARD 1--/1/115;;';' ~.
Line Pressure/ ((\ psi
Held Backpressure
YES 0 NO 0
#2 Shutoff Held
YES~ NO 0
Relief Valve Exercised YES 0 NO 0
DatcTime
Tester
Signature
Cert.#
Test Kit
Passed
Failed
Initial
Test
I ,/ ('~)-7
"1 14ft> <) (~:/ () Jill t"rl7yw"r
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e Y1ft{,
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Final
Test
o
o
WHITE - CUSTOMER COPY
YELLOW - PURVEYOR COPY
PINK - TESTER COpy
,-'~__,...............~._~c....
,
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO. Ao .,5
DATE ':Ii -~- ".13
, .
.
ELECTRICAL PERMIT
Site Address: 001 c. FR.OJ.JT .s+. o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed BY:S bu N, D EUd(G1 L. t:o. I SMt,NE'lE. 2-1' Of::, Phone:
. ~'7IT (;"1~-4-443
Owner/Business: I JJTf;i2.wff.:;?T :SA VI t-..lb~ DANk- Phone:
Owner/Business Ad~SS: FF2-0NT ~ Sq. Ft.
01 e;.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
~ TEMPORARY SERVICE
o PERMANENT SERVICE
gNEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND S.ERVICE
VOpAGE: / Ul / 7jfV
.l2K SINGLE PHASE
o THREE PHASE
SERVICE SIZE -zoo AMPS
DetailslDescription:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
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.
Site Address: Permit/Receipt No.
001 e;... FeoNT ~+ 1-D';I8
Installer: ISl-AIJ [J e~L Co. I New Meters I I ~~i--')3
St::k6IT
.
Notify Port Angeles 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.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT <1i t: c; {)O ~
$ L --
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, BOllom, 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. W p,s-
DATE ~~ff3
,
.
ELECTRICAL PERMIT
I nstalled By:
o READY FOR
INSPECTION
License Number:
j&'WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
~ COMMERCIAL
o BASEBOARD KW
o FURNACE KW
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
~ PERMANENT SERVICE
''tl!1 NEW CONSTRUCTION
tJ REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(UST BELOW)
ff'()VERHEAD SERVICE
o UNDERGJlOUNll SERVICE
VOLTAGE: L'c:20 /o:?yi?'
o SINGLE PHASE
~. THREE PHASI;.I.
SERVICE SIZE y'&O AMPS
DetailslDescription:
/\Iew
8/tVl1:
.z /eJq,
o
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
1J'Vv'\'rfJ Rough-in/cover O.K.
18>'^1fJ.O.K. to connect service
-1uJ'~'$J Final O.K.
Site Address:
.
Notify Port Angeles 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.
~
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
ii/yo ~
EleclricallnspeClor
Permit Fee
WHITE - File by address
YELLOW - file by number
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
,
ELECTRICAL PERMIT
Site Address:
PERMIT NO. f/:? () f
'7koh3
,
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW ~
o FURNACE KW ~
o FAN/WALL KW ~
o HEAT PUMP KW
'Ff SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
;]~~
- f\J-A.1.1' ~.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~t\ lSJ. Final O.K.
.
Site Address:
.~
Installer:
New Meters
Notify Port Angeles City Light by reet 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 eitherthe Wiring Report
or on theJluilding Permit. PHONE 457-0411, EXT. 224.
I rf}AA/\ < NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
Electrical Inspector
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
~c/L.I _ ~
I' 70 -
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
05/19/06 FRI 14:45 FAX 5036594968
THE STONER GROUP
~001
s
Jub win:d by
Ii!l:Eleetrical CODtractor Q OWDer
Elcclricul eontr:lctoT name
S-kw F12 G"'E'cri< 1"-
Purcbaser's mailing addreSS
I q ,,4- $oE: e>cJ..", <;.0
City
M,/..c.<.>"hJI<'~
Tele.phone numt-.~r
:)<>5-1/1-2 ~50o
preml5les owner1s name
~(ED
License number
S1z>.olc€c3ZZ Pt;,
Da~ Expires
8f3~/o::z.
StLte ZrP
'17~Z2...-
""
o
PItOJle llU
Owner Q.... defined by RCW-/9.28.26141) Owner will o~cllJ1)' 1M JInIClure for twq
years aftf!r this ttltctriaJl permit is fUlalizr:rl. (2) OwIJO is requVed to lUre Dn /:,"Iricat
contractof' if above SIlid prqpt!k"ry Lf" for .fal~ rent or lc:ase.
After ccading: Ihc above SWI.CDImL, 1 bereby certifY 1hllt I am tlle owner oftbc _bove
D31iacd propertY or 3 liccosed electrical contractor. 1 D:lTl making the elcctt1c#1 iutal-
latioh or s.Itcrsnon in (;ontj'lli:ulce with tbe e1cclrieal laws.,. N.E.C.. RCW. Chapter
19."1.8. WAC. C......plcr 296-46B. The City of Port Angeles MllDicipal Code, :md
Utility Spcc:jfjcarinns.
Sl(!h3tun .r OWller, ell!f:trical l:Olm'".ct~T .n' electric-oil adPllnlstrator
~ te: S 19/6
x
Electrical Load Addltio s and Or subtractions
1:1 NO LOAD CHANGES
tl Baseboard KW
a FumaGe KW
o Heat Pump _ Ton_ LAR
o Fan..Wall KW
ELECTRICAL WORKPERMIT APPLICATION
In:rtallatiOJ\ description
1St. CommerauJ. 0 Resldeatlsl
eN."
~redlAdditi.D
~I
;'0 "::"1>:.:
~ r-- r:;> ~L"
~Ciy .
IJZl:15U)~_ I'D LAf'
LJo;e:r L-/5 ~$ ~J-
~C,AN
Q Cosh 0 Check#
~dilCllld VISa ~""'rcard-=:::> Disc/JVor
clIld#
&pirnli0ll Date
ofoaid &>
~tionfec
$61.32)
Service tnfolTl'lHtlon
VoIlage
phasaD,Da
Servica SJze:_
Feeder Size:
o Ovel"head Service
Q Temp Service
o Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN nlERMOSTAT
"."
AI'tWlI~t'd Dr
DD"
DJI'aI
Dfl'
Inspc:ctioD
nate:
Area, Bw1dins Dr Equil""tnllospeoted
;ItQ
o/J.2/0~
SERVICE
~=dD)'
..~
Awnwco1 By
. FEEDER
;
A,~f'OlIecl By
DII=
AWlOvedliy
Action Taken
Elcctrl.c:al
IDll;PCClOT
,
~iElectrical Contractor
o Annual Permit 0 Alarm
~.~~
';':'="'1
'\ .
DOwner t'''OiiOi.....::!'
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
.
I:) Carnival
Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
o Electrical Contractor 0 Owner
Installation description
Electrical contractor name License number
OLYMPIC WIRING, INC. OLYMPWI310RU
Purchaser's mailing address
9601 PROVOST RD. N.W. #207
City State 21 P
SILVERDALE WA 98383
Telephone number FAX number
692-0134 692-3680
C(?l'1fr'1e..rc..t'4/ c,rc.v/I-
10 ft/Y} 1\ /t;.r it/ArM
I'
Premises ,o~~cr'sl name ,...,
We, _Is c.l1.r"c)
Address of inspection "::J
:1'0 I E I Fro I) + <;:frp;>. f
Cily A tl-- I.
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 Cash )II Check #
o Credit Card Visa
Card #
Mastercard
Discover
Signatur~ owner, electrical contractor or electrical administrator
X 'H-
Expiration Date
of card
Dale
Approved By
/' CEILING
Insulation Only
Date Appro\'ed By
Cover
Dale Approved By
"
/' THERMOSTAT "-
Date Approved By
DITCH
" Date Approved By
/' SERVICE
Date Approved By
FEEDER
Dale Approved By
WALLS
Insulation Only
Cover
Dale
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
Phase0103
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
% -/5 ~tJt. ~U-J~ AP ~
,
7llrJ/ .,;\/~-4-5
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 - Family or Commercial*
a�
FF8 2 0 2014
ELECTRICAk
'NSPECT NS
Plan Review May Be Rerpired, Plea e Complete Electrical Plan Review Information Sheet
Job Address: atol s Co.�.'r T-
Building Square Footage:
6 criptlon of ab ve
1tt� V• u e SL "-k H R-c- 1, 1 A c-e 1Z W (j to S lu-worlc I t�itr. k.5
Owner Informaqip
LO-�.U►� F�%
Contract pr Information+
Name:
Name:
Mailin Addss: °�U, I ;Ys�^ --� Si`
Maili Address: of3 4*+ nos Uk
city: C> f '4State: W Zip: 3.k-
�fZtl
City: aU-V_ "LState: Zip:
t32s
Phone: Uo -42� 25--Fax: -gam
Phone: Fax: b- q14---
License # I Exp.
License # 1 Exp. gip- SCa t C 4 z - 2 $=15 --
Item
Unit Charge
(Qty Total (Qty Multi lied b Unit Charge)
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 W1 Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 86.00
$
Ternp. Service/ Feeder 200 Amp.
$102.00
$
Temp. Service /Feeder 201 -400 Amp.
$121.00
$
Temp. ServicelFeeder401.600Amp.
$164.00
$
Temp. Service /Feeder 601 -1000 Amp .
$185.00
$
Portal to Portal Hourly
$ 96.00
$
SlgnlOutline 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
�
$___. �otal
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: ❑ Cash ❑ check
2 f( ❑ Credlt Card #
X Z4A DAd; ' "� �l 0110112092
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . , ,
14- 00000188 Date
4/16/14
Application pin number , . ,
23178B
DITCH
Property Address , , . . .
901 E FRONT ST
to the City of Port Angeles
ASSESSOR PARCEI, NUMBER;
06-30-00-6-1- 0316 -0000-
Application type description
ELECTRICAL ONLY
subdivision Name . , . , . .
Property Use
FINAL
Property Zoning . , . , , . .
COMMERCIAL ARTERIAL
Application valuation . . , ,
0
Application desc
3 signs
Owner
Contractor
WELLS FARGO BANK, NA
MEYER SIGN /ADVERTISING
CO INC
525 MARKET ST 18TH FLOOR
2608 HWY 99 SOUTH
CHICAGO IL 00005
MT VERNON WA
98273
(360) 424 -1325
Permit . , . ELECTRICAL
AFTER COMMERCIAL
Additional desc ADDITIONAL
SIGNS $5:00
Permit Fee . . , . 98.00
Plan Check Fee
00
Issue Date . . , 4/16/14
Valuation
j' 0
Expiration Date , 10/13/14
Qty Unit Charge Per
Extension
BASE
FEE
10.00
1100 88.0000 ECH EL -COMM
-SIGN
88.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 96.00
98.00 .00
.00
Plan Check Total 00
p0 .00
.00
Grand Total 98.00
98,00 .00
.00
}
0
DATE:
RESULTS:
REPORT SALES TAX
DITCH
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
P
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00000918 Date 6/22/16
Application pin number. 330090
Property Address . 901. E FRONT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06 30-00-6 1-031.6 0000 -
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning COMMERCIAL ARTERIAL, (Location Code 0502)
Application valuation 0
Application desc
Pleating, and cooling
Owner
Contractor.
RESULTS-
WE.LLS FARCO BANK,
NA
AC ELECTRIC SERVICE,
INC.
525 MARKET Sr.P .1 8TH FLOOR.
804 W MEEKER ST SUITE
102
CHICAGO
Il, 00005
KENT
WA 98032
-2 1N%
FINAL
(253) 652-0225
lib
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc .
-
Permit Fee . .
. 289,00
Plan Check Fee
00
Issue Date
6/22/16
Valuation
0
Expiration Date
12/19/16
Qty Unit Charge
Per.
Extension
5.00 5.0000
ECH EL -BRANCH CIRCUIT W/FEEDER
2S 00
2.00 132.0000
ECH EL,
COM 0 200 SR.V FEEDER
2Ei4 , 00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
289.00
289.00 .00
_00
Plan Check Tota 1.
.00
.00 00
00
Grand Total
289-00
289.00 .00
00
INSPECTION TYPE
...... - ----------------
DATE:
RESULTS-
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
-2 1N%
FINAL
lib
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor Date:
GAEXCHANGE\BUILDfNG
V
JUN -21-2016 15:39 FROM -AC ELECTRIC 2538135817 T-477 P.001/001 F-851
s 9
CITY OF ,PORT ANGELES PERMIT APPLICATION ;" ��
Building Division/ElectricatInspections
321 East Fifth Street — P.O. Boz 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax- (360) 417-4711
pate- '2i _ Multi -Family of Commercial*
Owner Informatio
Contractor Information
Name:
Name:
: c
Address
ePeM
C�it
Lai.
Stl
Ptraie, 10&
PNnQM��V
�tloense#/FXp
Lcns9# /
Item
Total
f0tv MoltiatildtC'a
ServioelFaedsr 200 Amp.
$132,00
ServicelFooder 201-AOO Amp,
$160.00
$
ServicWFeeder 401.600 Amp
$ 225.00
Service/Feeder 601-1000 Amp.
$ 288.00
Ser'vicell'Wer 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 t
Branctl Circuits 1-4
$ 86,00
Temp. Service/ Feeder 200 Amp.
$102,00 _..
$
Temp. Service/Feeder 201.400 Amp.
$121,00
$
Temp. ServicelFesder401-600 Amp.
$164.00
Temp. 8ervice/Feader6Q1-1000 Amp.
$185.00
.
$�
Portal to Portal Ficurly
$ 96.00
$
Sigl10uUine 4111ing
$ 88.00 ^
$
Signal Circuit/ Limited Energy--MuIG-Family
$ 64.00
$
Signal Circuit/ Limited Energy / First 1500 sf — Commercial
$ 96.00
Note: $6.00 for each additional 1500 sf
Renewable Electrical Energy - SKVA Syslarn or Less
$113.00
$
Thermostat
$ 56.00
Nate, $5.00 for each additional T-Stat
UgEL—Total
Owner as defined by RC ,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, l hereby codify that I amu the owner of the above named property or a licenseo
electrical controor, I am making
Ilia eloctrical installation or altero4on in compliance with
the electrical laws, N.E.C., RC'K Chapter 18.28, WAC. Chapter 296.468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,0 ,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator; 0 caoh Q check
?4adlt Card v
R1atw d: !:g �up
0118112012
ELECTRICAL, PERMIT
CITY OF PORT ANGELES
360-41.7-4735
Application Number 16-00000993 Date 7/01/16
Application pin number . . . 718383
Property Address . . . 901 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -1 -0316 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . 0
Application desc
Heating control
Owner
Contractor
RESULTS:
WELLS F'ARGO BANK, NA
DITCH
COMFORT MECHANICAL
INC
525 MARKET ST 18TH FLOOR
3202 C ST NE
ROUGH -IN
CHICAGO
IL 00005
KENT
WA 98032
COMMENTS:
(425) 251-9840
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc , .
Permit Fee
96.00
Plan Check Fee
00
Issue Date . . . .
7/01/16
valuation . . .
.. 0
Expiration Date . ,
1.2/28/16
Qty Dfit Charge
Per
Extension
1.00 96.0000
ECH --EL-LIMITED
1ST 1500 SQ FT
96.00
Fee summary Ch.a:r:.gc
d.
Paid Credited
Due
Permit Fee Total
96.00
96.00 00
,00
Plan C .eck '.r'ota1.
.00
.00 00
, 00
Gaa.ad Total.
96.00
96.00 00
e00
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
M
-"
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM
LAST
INSPECTION
Signature of owner UILDINElectrical Contractor X - Date:
Signature
W
If
CITY OF PORT ANGELES PERMIT APPLICATION u ,
9111 , o
Building Division/Electrical Inspections �
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 9830;_,
Ph: (360)417-4735 1" �/s (3 60) 17-471
Date.t4 MultidFamily or Commercial*
Plan Review Sheet
Building Square Footage:__ Y
rn@etelectncal Plan Review Information
a L e
Aiii .. _ ._..,...._ .. we.
f ti e �� _ :
eserp�oo .........
Owner InformationContractor information
Name: � + a. i _ Name: � � f" ..� 1. 4"(
City Gaitin Ad reqs' ,_....
twtainirp Address
M�m. ,._.wt Staff. _Zip:
PFcense fit! E p `krtatcr " + Zip PhW1e- # /11 � '�'�.. .: ...
g/fig
Item
Unit Charge
TotaN Q� _Mttltlplld.y tfrIt 1arg
ServicelFeeder 200 Amp.
$132.00
_ $.._________
Service/Feeder 201-400 Amp.
$160.00
_ $....... .._._
Service/Feeder 401600 Amp
$ 225.00
$ .ww . _
Service/Feeder 601-1000 Amp,
$ 288.00
$______.,µ,m., ...,_..m
Service/Feeder over 1000 Amp.
$ 410.00
$ ... .... ..................................... ___M
Branch Circuit W! Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 74.00
$___.,._____ _ ---
„Each
EachAdditional Branch Circuit
$ 5,00
$
Branch Circuits 1-4
$ 86.00
$_...—__.................
Temp, Service/ Feeder 200 Amp.
$102.00
_ $
Temp. Service/Feeder 201400 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 t1
Signal) ircuLimitedEnergy i First1600sf —Commercial
$ 96.00
$„ .
5,00 for additional
Renewable Electrical Energy - 5KVA System or Less
$113.00
$.
Thermostat
Note: $5.00 for each additional T-Stat
$ 56.00
” ..._ $
__--Total°r
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 296-468, 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: ❑ cash ❑ co�n _
.2rCred1l 01101 .
CA V7 ICIq