HomeMy WebLinkAbout1601 E Front St - BuildingApplication Number 05 00001274
Application pin number 667034
Property Address 1601 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 1 0 2725 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Owner
CAPITOL DEV CO
PO BOX 3487
LACEY
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 985093487
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Contractor
Date 12/28/05
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES
(360) 452 1689
ELECTRICAL ALTER COMMERCIAL
SHAMP/ 11 CIRCUITS
67819
SHAMP ELECTRICAL CONTRACTING
93 10 Plan Check Fee
12/28/05 Valuation
6/26/06
Qty Unit Charge Per
1 00 61 3000 ECH EL -COMM ALT <5 CIRCUITS
6 00 5 3000 ECH EL -COMM ALT ADDTNL CIRCUITS
Charged Paid Credited
93 10 93 10 00
00 00 00
93 10 93 10 00
WA 98362
Due
00
00
00
00
0
Extension
61 30
31 80
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
:*CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER
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
;J t io 6
e t-- 19 Av ID 20 oS`
PW- 1102.1314'961
12/27/2005 10 25 FAX
Job wired by
Electrical contractor name
.4ri,ltt4 E\C tCrX
Purchasef's mailing address
C ,n. t1r1x 9%Z
ity State ZIP
Palk fk ..S cAJ 6 91, ?(a9.
Telephone tfttatber FAX number
c IbAq e'
Premises owner's name
Pr t )W► r_s1414.1 e
Address of inspeetiola
1e E Frptn S4
city
nr• Y1ac' IPS
Phone numbe' schedule inspection
owner as defined by RCW 19.28, 261 P) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an elecriical
contractor if above said property is for .vale, rent or lease. Cash Check
After reading the above statement, I hcrcby certify that 1 am the owner of the above
named property or a licensed electrical contractor. 1 am making the electrical instal- l 'Crcdit Visa Masterc Discover
lation or alteration in compliance with the electrical laws, N.E.0 RCS' Chapter
19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card Q £tl�
93.ib
Utility Specifications.
on fee
/Signature of owner electrical contractor or electrical administrator
4 441 7Z9 Date.
flectris Loa Itlons ant �subtractlon
NO LOAD CHANGES
Baseboard KW
Fumace KW
Heat Pump Ton LAR
Fan -Wall KW
Inspection
Date
/a2 >4- e'S
Electrical Contractor Owner
/r�.Nrrt�
License number
Date Expires
of card
Overhead Service
Temp Service
Underground Service
ELECTRICAL WORK PE a TAPPLICATION
\,Installation description
I ./Commercial Residential
New Altcrcd /Adds
I 1 CTA/vrAATZ 1
1!l,
6
Expiration Date
Voltage
Phase
Service
Feeder
SAME DAY INSPECTION, CALL BEFORE 7,00 AM 360- 417 -4735
ROUGH-IN T HERMOSTAT SE RV'
d
Om j aUProvaI AY DAie gPpruvcd By
FINAL DITCH
J /7 c AID
Dale Appmwd Dy Dale Appr ved By J
Arca, Building or Equipment Inspected
Dale
FEED
Dale ad By
Action Ta
Information
ed By
002/002 I
Electrical
Inspector
This Certification issued pursuant to the requirements of Section 301 of the
International Building Code certifying that at the tune of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use For the following
Use Classification: Business Building Permit No. 05-833 Business Name'CaDlt01 Development Co.
Group B Type of Construction: V-N Use Zoile: CA
Owner of Building: Capitol Development CO. Address. 1601 E. Front Street. Port Angeles. WA. 98382
No. 40
CERTIFICATE OF OCCUPANCY
City of Port Angeles Max Occupancy
Building Division 35
Building Address: 1601 E. Front ;Street,
`v4
"Fr
Nomember 2. 2005
Buildin
Date
;Ct
Post on the premises'm 'a place
Shall not be removed except by Building Official
Port Angeles, WA. 98362
IFICATVOreCPU Als1C1
City of Port Aogeles
liaildirtg Division
This CerificatiOn issued pursuant w the requirements of Sectione9 of the
UniforrrAuildin t
g (ode certifying that at the time of issuance this s*acture -was
in compliance with the various ordinances of the City regula ting Belding
construction or use. For he stat
following
Paladin 1)6rroit No. 03-1220 BUSITleSS awe. „21 aerleas Best 'Rea Ee Es luciation Cot- pe of Construction: V -1', Use Zone: CA
Ti
Address: 953 Aqaa P
b 1,(C.------I- S.----q 3----%.11.519
Av
I
Port Artgeles. 98362
0
Set 15. 2004_
4. 15ate
1 #9b,
tquous place
Shall not be reragt .-=‘exte t'''':. y1E:Wilding Official
l
DATE 3t�
Address of Proposed Business
/60/ CF %,B
Applicant 5 .6i1t- 50 5 PA/ Pf1Ui.4
Address g4" /�f -fPtihP ,P,4
A icte 9,7
Phone business, —fie 6 z home 68/ re gl e
Brief description of proposed business
Legal Description Lot
Current Use of Property*
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
APPROVE REJECTED
1,
to -oy -Ck
ri'
I 'ectL 1t e 14 ca C
ROUTING SLIP
Certificate of Occupancy
'x`'"$47 00 Certificate /Inspection Fee
YES
Block
NO
V
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge
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
Subdivision
THE FOLLOWING W
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
ILL BE REQUIRED
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
Date 664-' v 3
Signed stO 00 1 "-th
Comments Conditions
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
05-00000833 Date
815363
1601 E FRONT ST
06-30-00-1-0-2725-0000-
COMM REMODEL
9/29/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
COMMERCIAL ARTERIAL
24950
Owner
Contractor
CAPITOL DEV CO
PO BOX 3487
LACEY
OWNER
WA 985093487
Construction Type . .
Occupancy Type
Structure Information 000 000 ----------------------
TYPE II FIRE RESISTIVE
BUSINESS:OFF/PRO/MED/REST
Permit BUILDING PERMIT - COMMERCIAL
Additional desc
Permit pin number 61341
Permit Fee 414.75 Plan Check Fee 269.59
Issue Date 9/29/05 Valuation 24950
Expiration Date 3/28/06
Qty Unit Charge Per Extension
BASE FEE 92.75
23.00 14.0000 THOU BL-2001-25K (14 PER K) 322.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 414.75 414.75 .00 .00
Plan Check Total 269.59 269.59 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 688.84 688.84 .00 .00
1,-7
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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 ays the work as commenced, or if required inspections have not been requested within 180 days from the last
inspecti . I hereby certify t I have read and examined this application and know the same to be true and correct. All provisions of
laws a ordinances governing his type of work will be complied with whether specified herein or not. The granting of a permit does not
presu e to give uthority to vi late or cancel the provisions of any state or local law regulating construction or the performance of
cons ruction.
Date
Signature of Owner (if owner is builder)
T:IPoliciesll 102_15 building permit inspection record05.wpd (1/4/2005]
Date
BUILDING PERMIT INSPECTION RECORD
05- 833
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING ... << I I
FRAMING f!,~ Icel""~~ 6ielD 10- ;If;-(!) 5 1'13 Af'
'",
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING JO-Ji- CJS J Ll.
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING va.. ?-O~ 1_\ l..l
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 , PLANNING DEPT.
BUILDING 417-4815 /CJlde/ ,1)/ ~. j{ L/ BUILDING
buildin ermit ins ection record05. d 1/4/20~J
T.\Pol1cle5\J 102_15
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Address:
T-::{ C.i701-1t(
I
lA,,~
Phone: 2--5, - s- d 5- - (41 e Ext k~1
'Z,Li3 - -j-t;s- - i1-1 pi
Zip: 784,: z...
Phone:ZC'lt-, -- ".n;' t~ - () 8ft<
BUILDING PERMIT. APPLICATION
www.cityofpa.us
Print out form and fill out COMPLETELY in INK. Your application and sit
plan MUST BE COMPLETE to be accepted for review.
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Applicant or Agent: 1;~, !..) 5:()I./)' , I (}(),(
Owner: Fn I/t w., j)~.l/'G- / 0 rVI1 e ..1 t C~
B u,> If Stre(;j-/ Sir / /<. :X10 City:
Architect/Engineer: 8c'cd ,,\"/(,1 AV'Ct7/fc?i.tr
Contractor ON.. Ii e~ State License #:. ,
. -
CO U/ It 5fy"~t , '5" l.( ; 'k ~(/c City: . / ct C.".: :/11 ~1
,
PROJECT ADDRESS: /00 / IE, r;rz'o1! Sfrel!f
LEGAL DESCRIPTION: Lot: (.t -t'-itt.ci--tit, ) Block:
CLALLAM COUNTY PARCEL NUMBER:
Phone:
Address:
~xp:
lA-'iI
Phone:
Zip: ??4Cii.-
ZONING:
Subdivision:
O'>7;;O()[J.- i 0 '2- 1- Z 5- ill) 00
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
]:I' Commercial )( Remodel 0 Demolition
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
~;'l/'ff-,) ~ UVl1W!/1V1 hctlfv,/tifJ ((17(-"",& >"VFi-).
@MMERCIALjRESIDENTIAL: Occupancy Group: 13 Occupant Load: '=75
No. of Stories: ---1- Lot Size: ~; 7'(" Sf Existing Sq. Ft. & Proposed Sq. Ft.
Totallot coverage i >nV't
City:
MC
#
Exp. Date:
o Stove
o Garage
o
'1
Construction Type:
V-B
= TOTAL Sq. Ft.
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION 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 time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRA TION OF PLAN REVIEW: If no permit is issued within 180 days of the 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 Rl 05.3.2
of the International BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the sa
understand that it is my responsibility to determine what permits are required ot th
o be and correct. I am authorized to apply for this permit and
s and that I must obtain such permits prior to work.
www.cityofpa.us
Date: 7 - (; -OS-
Applicant:
Fire Department Plan Review Comments
Permit # 05-833 Address -1601 East Front Street
In reviewing the Building Permit Application, and conducting a walk-through, the Fire
Department has identified the following items:
1. A master key for the building shall be placed in the Knox Box (security key box)
prior to occupancy. Contact the Fire Marshal to place a master key in the Knox Box.
2. A fire extinguisher shall be placed within 75' travel distance of all interior portions of
the building. Check with the Fire Marshal for recommended location(s).
3. Place permanent signage on all exterior exit doors that states "This door shall remain
unlocked during business hours."
4. The building shall be provided with address numbers that contrast with their
background, and are plainly visible from the address side of the street.
5. The Fire Department recommends a fire alarm system, which is monitored by a
central receiving station.
Submitted By: O.
Date: C11 ~ e } 0 os-
Parcel Lookup
Page 1 of 1
Parcel Number 0630001027250000
Site Address: 1601 E FRONT ST PA
Taxpayer:
COC PROPERTIES II LLC
820 A STREET
TACOMA, WA 98402
820 A STREET
TACOMA, WA 98402
Title Owner:
COC PROPERTIES II LLC
Description:
TX#8197 SUB LOT 27E
(SURVEY V2 P37)
Value Summary:
Note: Listed values do not reflect adjustments made for exemption programs such as
SeniorlDisabled or Current Use programs (except Commercial Forestland properties).
Land Value: 341,515
Improvements Value: 596,280
Total Assessed Value: 937,795
Property Characteristics:
Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or
building departments for Zoning and allowable usage of property..
Use Code: 6300 BUSINESS SER
Land Size (acreage): .92
Note: Acreage is not listed for all properties in the
Assessor's records. More information about land size.
Tax Status: Taxable
Tax Code Area:: 0010
Zoning Code: P _CA
Note: Zoning and zoning codes change constantly. Verify all
zoning with the appropriate planning or building department.
Building Characteristics: (Click on Bldg. # for more details)
L Bldg. Type Bldg. Style Total S.F. BD BA
01 One Story 9560
Tax History
Sales History
i_
I".",*...:".;
11568,75911
http://65.161.1 0.164/website/sitis--'p.pgm?parcel=0630001 027250000
9/6/05
Structural Calculations For:
Prium Office Building
Port Angeles Washington
Client:
Goodwin Architects
2 September, 2005
Index:
RF-
Roof Framing
, E~PIRES 01/07/ c 7
Swenson Say Faget, Inc.
Structural Engineering
2124 Third Avenue, Suite 100, Seattle WA 98121
Ph: (206) 443-6212 Fax: (206) 4434-870
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~. SWENSON SAY FAGET
II. A STRUCTURAL ENGINEERING CORPORATION
212'1 Third Avenue'Suite 100, Seattle. WA 98121
Office: 206. '1'13, 6212 Fax: 206. '1'13, '1870
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II. A STRUCTURAL ENGINEERING CORPORATION
212'1 Third Avenue' Suite 100 'Seattle' WA 98121
Office: 206. '1'13 . 6212 Fax: 206. '1'13 . '1870
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LEGAL DESCRIPTION:
That portion of Suburban Lot 27 East, Townsite of Port Angeles, Clallarn County,
Washington, described as follows:
Beginning at the Southwest comer of said Suburban Lot 27 East; thence South 580 31' 40" East
along the South line thereof a distance of 150 feet to the most Southerly comer of that certain
tract of land conveyed to Clarence M. Anderson and Marguerite K. Anderson, his wife, by
instrument dated February 2, 1969, recorded March 12, 1970, under Auditor's File No. 395218,
the true point of beginning of this description; thence continuing South 580 31' 40" East along
the South line of said Suburban Lot 27 East for a distance of 150 feet; thence North 31027' 05"
East a distance of 267.85 feet; thence North 580 31' 40" West for a distance of 150 feet, to the
most Easterly comer of said Anderson Tract; thence South 31027' 05" West along the Easterly
line of said Anderson Tract for a distance of267.85 feet to the point of beginning.
Situate in Clallarn County, State of Washington.
TAX ID NO.:
063000-102725-0000
ADDRESS:
1601 E. Front Street
1994 Washin ton State Nonresidential Energy Code Compliance Form
1994 Washington State Nonresidential Energy Code Compliance Fonns
Project Info Project Address 1601 EAST FRONT STREET Date 9/1/2005
PT. ANGELES, WASHINGTON For Building Department Use
U.S.D.A. OFFICE TENANT IMPROVEMENTS
Applicant Name: GOODWIN ARCHITECTS
Applicant Address: 3121 W. GOVERNMENT WAY, '1, SEATTLE, WA
Applicant Phone: 206-568-0818
Project Description
o New Building 0 Addition
o Alteration
Compliance Option
o Prescriptive @ Lighting Power Allowance 0 Systems Analysis
(See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.)
o No changes are being made to the lighting
o Less than 60% of the fixtures are new, and installed lighting wattage is not being increased
Alteration Exceptions
(check appropriate box)
M
All
dL' h .
W
(I t
)
axImum owe IgJ tin~ attage n enor
Location Allowed
(floor/room no.) Occupancy Description Watts per tf ** Area in tf Allowed x Area
OFFICES 1.20 2814.0 3376.8
STORAGE 0.50 633.0 316.5
c~ AREAS - HALLWAY. VESTIBULE ONLY 0.80 537.0 429.6
EXISTING TOILETS AND JANITOR TO REMAIN
** From Table 15-1 (over) - document all exceptions on fonn L TG-LPA Total Allowed Watts 4122.9
Pr
d L' h .
W
(I
)
opose IJ tIng attage ntenor (May not exceed Total Allowed Watts for Interior)
Location Number of Watts! Watts
(floor/room no.) Fixture Description Fixtures Fixture Proposed
TYPE "A2" 2x4 FT. (2-F32T8) FLUORESCENT TROFFER w/ E.B. 5 62.0 310.0
TYPE "A3" 2x4 FT. (3-F32T8) FLUORESCENT TROFFER w/ E.B. 36 93.0 3348.0
TYPE "B" 26W QUAD CQfilACT FLUORESENT DOWNLIGHT 12 37.0 444.0
TYPE "XY" EXEMPT EXIT/EGRESS w/ BATTERY POWER
TYPE ny" EXEMPT EGRESS SPOTS w/ BATTERY POWER
Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 4102.0
Maximum Allowed Lighting Wattage (Exterior)
Allowed Watts Area in ft'! Allowed Watts
Location Description per tf or per If (or If for perimeter) xtf (or x If)
Covered Parking 0.2 wlff
Open Parking 0.2 wlff
Outdoor Areas 0.2 wlff
Bldg. (by facade) 0.25 wlff
Bldg. (by perim) 7.5 WIIf
Note: for building exterior, choose either the facade area or the perimeter method, but not both) Total Allowed Watts
Pr
d L' h .
W
(
)
opose i~ ting attage Exterior (May not exceed Total Allowed Watts for Exterior)
Number of Watts! Watts
Location Fixture Description Fixtures Fixture Proposed
Lighting Summary (back) LTG-SUM
1994 Washington State Nonresidential Energy Code Compliance Form
Prescriptive Spaces Occupancy: o Warehouses, storage areas or aircraft storage hangers @ Other
Qualification Checklist Lighting Fixtures: D Check here if at least 95% of fixtures in the space meet all four criteria:
Note: If occupancy type is "Other" and fixture
answer is checked, the number of fixtures in 1. Fixtures are fluorescent, non-lensed, with only one or two lamps, and
the space is not limited by Code. Clearly 2. Lamps are T-5, T -6, T-8 or PL, and 3. Lamps are 5-50 Watts, and
indicate these spaces on plans. If not
qualified, do LPA Calculations. 4. Ballasts are electronic ballasts
Table 15-1 Unit Lighting Power Allowance (LPA) for Interior Lighting
LPA2 LPA2
Use' (Wnr) Use' (Wnr)
Painting, welding, carpentry, machine shops 2.3 Police and fire stations8 1.2
Barber shops, beauty shops 2 Atria (atriums) 1
Hotel banQuet/conference/exhibition hall3.4 2 Assemblv spaces9, auditoriums, avnmasia9, theaters 1
Laboratories 2 Process plants 1
Aircraft repair hangars 1.5 Restaurantslbars5 1
Cafeterias, fast food establishments5 1.5 Retail A 10 1
Factories, workshops, handling areas 1.5 Retail B'o, Retail bankina 1.5
Gas stations, auto reoair shOPs6 1.5 Locker and/or shower facilities 0.8
Institutions 1.5 Warehouses ", storaae areas 0.5
Libraries 5 1.5 Aircraft storage hangars 0.4
Nursing homes 1.5 Parking garages See Section 1532
Wholesale stores (pallet rack shelving) 1.5
Mall concourses 1.4 Plans Submitted for Common Areas Only7
Schools buildings, school classrooms, day care centers 1.35 Common area, corridors, lobbies (except mall concourse) 0.8
Laundries 1.3 Toilet facilities and washrooms 0.8
Office buildings, office/administrative areas in facilities of
other use types (including but not limited to schools, 1.2
hospitals, institutions, museums, banks, churches)5.7.11
Footnotes for Table 15-1
1. In cases in which a use is not mentioned specifically, the Unit Power Al/owam:e shall be determined by the building official. This
determination shall be based upon the most comparable use specified in the table. See Section 1512 for exempt areas.
2. The watts per square foot may be increased, by two percent per foot of ceiling height above twenty feet, unless specifically directed
otherwise by subsequent footnotes.
3. Watts per square foot of room may be increased by two percent per foot of ceiling height above twelve feet.
4. For all other spaces, such as seating and common areas, use the Unit Light Power Allowance for assembly.
5. Watts per square foot of room may be increased by two percent per foot of ceiling height above nine feet.
6. Includes pump area under canopy.
7. In cases in which a lighting plan is submitted for only a portion of a floor, a Unit Lighting Power Allowance of 1.35 may be used for
usable office floor area and 0.80 watts per square foot shall be used for the common areas, which may include elevator space, lobby area
and rest rooms. Common areas, as herein defined do not include mall concourses.
8. For the fire engine room, the Unit Lighting Power Allowance is 1.0 watts per square foot.
9. For indoor sport tournament courts with adjacent spectator seating, the Unit Lighting Power Allowance for the court area is 2.6 watts per
square foot.
10. For both Retail A and Retail B, light for free-standing display, building showcase illumination and display window illumination installed
within two feet of the window are exempt.
Retail A allows a Unit Lighting Power Allowance of 1.0 watts per square foot. Ceiling mounted adjustable tungsten halogen and HID
merchandise display illuminaries are exempt.
Retail B allows a Unit Lighting Power Allowance of 1.5 watts per square foot, including all ceiling mounted merchandise display
luminaries.
11. Provided that a tloor plan, indicating rack location and height, is submitted, the square footage for a warehouse may be defined, for
computing the interior Unit Lighting Power Allowance, as the floor area not covered by racks plus the vertical face area (access side only)
of the racks. The height allowance defined in footnote 2 applies only to the floor area not covered by racks.
. . .
Lighting Permit Plans Checklist L TG-CHK
1994 Washington State Energy Code Compliance Forms June, 1995
Project Address 1601 EAST FRONT STREET Date 9/1/2005
The following information is necessary to check a lighting permit application for compliance with the lighting requirements in the
1994 Washington State Nonresidential Energy Code.
Applicability Code Location Building Department
(yes, no, n.a.) Section Component Information Required on Plans Notes
LIGHTING CONTROLS (Section 1513)
yes 1513.1 Local controVaccess Schedule with type, indicate locations
yes 1513.2 Area controls Maximum limit per switch
1513.3 Daylight zone control Schedule with type and features, indicate locations
yes vertical glazing Indicate vertical glazing on plans
~.a. overhead glazing Indicate overhead glazing on plans
~.a. 1513.4 Display/exhib/special Indicate separate controls
1513.5 Exterior shut-off Schedule with type and features, indicate location
n.a. (a) timer w/backup Indicate location
n.a. (b) photocell. Indicate location
1513.6 Inter. auto shut-off Indicate location
n.a. 1513.6,1 (a) occup. sensors Schedule with type and locations
n.a. 1513.6.2 (b) auto. switches Schedule with type and features (back-up, override capability);
Indicate size of zone on plans
yes Lighting Sum. Form Completed and attached.
Schedule with fixture types,
lamps, ballasts, watts per fixture
Elec motor efficiency MECH-MOT or Equipment Schedule with hp, rpm, efficiency
1994 W h'
St t N
If "no" is circled for any question, provide explanation:
'd r IE
C d C
r
F
Lighting - General Requirements
1513 Lighting Controls
1513.1 Local Control and Accessibility: Each space, enclosed by walls
or ceiling-height partitions, shall be provided with lighting controls located
within that space. The lighting controls, whether one or more, shall be
capable of turning off all lights within the space. The controls shall be
readily accessible, at the point of entry/exit, to personnel occupying or
using the space.
Exceptions: The following lighting controls may be centralized in
remote locations:
1. Lighting controls for spaces which must be used as a whole.
2. Automatic controls.
3. Controls requiring trained operators.
4. Controls for safety hazards and security.
1513.2 Area Controls: The maximum lighting power that may be
controlled from a single switch or automatic control shall not exceed that
which is provided by a twenty ampere circuit loaded to not more than
eighty percent. A master control may be installed provided the individual
switches retain their capability to function independently. Circuit breakers
may not be used as the sole means of switching.
Exceptions:
1. Industrial or manufacturing process areas, as may be required
for production.
2. Areas less than five percent of the building footprint for
footprints over 100,000 tf.
1513.3 Daylight Zone Control: All dayfighted zones, as defined in
Chapter 12, both under overhead glazing and adjacent to vertical glazing,
shall be provided with individual controls, or dayfight- or occupant-sensing
automatic controls, which control the lights independent of general area
lighting.
1513.4 Display, Exhibition, and Specialty Lighting Controls: All
display, exhibition. or specialty lighting shall be controlled independently of
general area lighting.
1513.5 Automatic Shut-off Controls, Exterior: Exterior lighting not
intended for 24-hour continuous use shall be automatically switched by
timer, photocell, or a combination of timer and photocell. Automatic time
switches shall also have program back-up capabilities, which prevent the
loss of program and time settings for at least 10 hours, if power is
interrupted .
1513.6 Automatic Shut-Off Controls, Interior: Office buildings greater
than 25,000 tf and all school classrooms shall be equipped with separate
automatic controls to shut off the lighting during unoccupied hours.
Automatic controls may be an occupancy sensor, time switch, or other
device capable of automatically shutting off lighting.
Exceptions:
1. Areas that must be continuously illuminated, or illuminated in a
manner requiring manual operation of the lighting.
Emergency lighting systems.
Switching for industrial or manufacturing process facilities as
may be required for production.
1513.6.1 Occupancy Sensors: Occupancy sensors shall be capable of
automatically turning off all the lights in an area, no more than 30 minutes
after the area has been vacated.
1513.6.2 Automatic Tima Switches: Automatic time switches shall have
a minimum 7 day clock and be capable of being set for 7 different day
types per week and incorporate an automatic holiday "shut-off' feature,
which turns off all loads for at least 24 hours and then resumes normally
scheduled operations. Automatic time switches shall also have program
back-up capabilities, which prevent the loss of program and time settings
for at least 1 0 hours, if power is interrupted.
Automatic time switches shall incorporate an over-ride switching device
which:
a.
b.
2.
3.
c.
d.
is readily accessible;
is located so that a person using the device can see the lights
or the areas controlled by the switch, or so that the
area being illuminated is annunciated:
is manually operated;
allows the lighting to remain on for no more than two hours
when an over-ride is initiated; and
controls an area not exceeding 5,000 tf or 5 percent of
footprint for footprints over 100,000 tf, whichever is
greater.
e.
cJ'''''~
$~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000967 Date 10/17/05
246373
1601 E FRONT ST
06-30-00-1-0-2725-0000-
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
o
Owner
Contractor
CAPITOL DEV CO
PO BOX 3487
LACEY
OWNER
WA 985093487
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- - -- - -- - - - - - - - - - - - - - --
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SHAMP/ 18 CIRCUITS
61523
SHAMP ELECTRICAL
122.30
10/17/05
4/15/06
CONTRACTING
plan Check Fee
Valuation
.00
o
~
\}
'"
Qty
1. 00
14.00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
5.3000 ECH EL-R OR RM ALT ADDNT CIRCUITS
Extension
48.10
74.20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 122.30 122.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 122.30 122.30 .00 .00
~
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"
~
~
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COMMENTS/ ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE 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{?,~(- os- A-cD
GENERAL COMMENTS:
PW.II02.1~ 14I96J
......-'J
4 'VI €.r .\:.0. ~ Ees+
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+ - \ Ji C
1::::..5 to- <. /::=. 0' ~ ~Q 11 a -'\.. '.C ~/ j)
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11
ROUTING SLIP
-:1..~~ Certificate of Occupancy
-"'"""$47.00 Certificate/Inspection Fee
/)-30-03
I
DATE
Ad?ress <;Jf Prgposed Busines~ ;
jt,O! C F~- ;3J)c;' d.-,A
Applicant/1m Z f /(1 4. 5 &h - 511!; AN L?Au ;3
Addz: >.:7~ ,/}~:;~~h~1(ji-:
't) / J: .A / oJ (;-1 r,;-,
Phone: busmess(<?(./ ~-lj tv '-IV home [9,..1 - a c 'f Cl
'-
Bnef description of proposed busmess:
legal Description: lot
Current Use of Property:
Zoning Classification of Property:
Block
WILL THERE BE ANY OF THE FOLLOWING?
YES NO
-~
-~
-~
--7-
~--L
--L
~2
--L
-4-
~-"-
~~
_-L
-f7--
~~
Construction changes
Electncal 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 nght-of-way
Is there sufficient off-street parking?
New dnveway openings,
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the eXisting streets paved?
Are there eXisting sidewalks? ... ....
Is there curb and gutter?
Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge
A;r~1f~EJECTED
BUlldmg Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
~ i'l20
New Business .... . . . . . . . . . . . . . . .
Transfer of Busmess location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . .. ..... . . . . . .
New BUlldmg ... .... . .. .. . . . . . .
Remodel. ..... ... . . . . .. ... .. ......
Temporary Busmess .. ....... ... . . . . . .
Change of Use. . . . . . .. ... .. .. ........
SubdiVIsion
THE FOllOWING Will BE REQUIRED:
PERMITS
1) BUilding
2) Plumbing
3) Electncal
4) Mechanical
5) Sewer
6) Sidewalk Installation
7) Dnveway 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
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
Date. 'f..- f~ 30 I 'J-ov.3
Signed. y.... Su.-D0/rL d 0 0/IL0
Comments / Conditions
r
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BUlldmg Address'
CERTI FIC,krl~;o"F~e,CCU P ANCY
rl" "IJ"l
1J,:1!1> City of Port Angel~~';:'
Building Division,.,
Af ~
This Cl}Ttification issued pursuant to the requirements of Sectidii't"l 09 of the
UniforrrJ/fBuilding Code certifying that at the time of issuance this liff-cture was
in co'1npliance with the various ordinances of the City regulating B"uilding
I construction or use. For the followi~g: . . 11 .
Office~l BUIlding Perrmt No. 03-1220 Busmess Name Amencas Best ReaI Estate EducatIOn Corp.
,- !
. Type of ConstructIon V - N Use :Jne. CA
i i
. I
Susan\navis Address. 953 Atterberry Rd. Sequifu. W A 98382
\ J
1601 East',Front Street. Port Angeles. W A 98362
"tJ~ ~~!'. ,lr 15 2004
-'f;~:r' ~~..... f~5t-'y "-
~~'{\;;~CA,.:;."~~Jfe:jc;~I~~<l~lSI?J>9" OUS place.
'~Qve'affexteRt:by.~Building Official.
~~~!:f1~~~L~'~
Use Classlficatton
Group ~
Owner of Business
y
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
r,c Remodel
o Service update/alter/repair
! Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
PERMIT NO. .;;?/~r
~ -.;1S-?1
DATE
'5(READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
0113 03.0
Service size
o Temporary
Amps
.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
If,JY'^ --iJ Rough-in/cover O.K.
b O.K. to connect service
~"f Final O.K.
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
!?cv.e.ttd tJ
Co
Permit/Receipt No.
3/S-..r-
New Meters
-
Date:
'-~-91
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c:;:<: 0 ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GRE~N - Top: Inspector, Bottom: City Hall
,
.
"
.
i:
l
[
!
t
L
....- ..,.... ".,.. "'-"-'--''"'lJ''1
ElECTRICAllNSPIECTION
WIRING REPORT
417-4735~
PERMIT 1/
INSPECTOR
rr-...o
ov ~/~
~('-
L ~~//r
.57-;
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER. ... .... .... .. 0
o .................. SERVICE .................. 0
o .................... FINAL.. . . . . . . . . . . . . . . . . . X
CORRECTIONS NEEDED: @ ~r./ /fA7PK.~a-'?7 S
@
(!~U ~
,
~t!--"Nb
J...t// /2.F <;
~ _ ~A!R~,.) t7-c
:/..€:..-'E ~ ~~
_:5.r"'/,."..--r:. Z- "'-.<:J.--:At7d/Y
?/X771d~ C. 7?J
//1/
~~U7Z4qz.r
t!J..q.D/ C.-:,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
OLYMPiC PRINTERS, INC. (360) 452-1381
10/03/2005 14:09 FAX
~ 002/002
~
/C:/i I t25'
$
f3uotC€.- (-looN
ELECTRICAL WORK PERMIT APPLICAT.lON
Job wired by
o Electrical Cont.-actor 0 OWDer
In;;~lI.tion dtscdption
weommerclal )(ResideDtial
~;~',O'I
'''mha,.,' maHin. ~ '~
City
_POY'1- Al;J""e~
T;1ephol\c n\lm '
\. l, _
License number Due: Expires
c; lJ-(.I III Dr=-rn;;t:'-5 '3
DNew
i:J Alteredl Addltlon
Statt: ZIP
W 1\ 9i,~ \?:J
FAX number
-Etl+ f'l/'e ~
I B ~ Tf"t-
1-4 c;: '-18.\0
ILl X;f 5,30
. .~
C'w("')l 'C;
Premises owner's name
\""'011'4 G'K\,~",,,,i<,,~
Add..... orln.peetlop' -\
(loOI E wcmt'5
:l'
11.,.1- A~e\e.s
Phone number ro hedule IDspet:tlon:
..$ tf'6 .10
.$ '74. w
~ I :;t 2. . 3"'>
O\~rle.r as d('frrted by RCw'/9.18.26/:(t) 0w,le,. will occupy fhe ,SlrflC'[l,u"cjor rwo
years after this elecrricaf permit is ftnu.{j;et!, (2) Owlle,. L~ required If) hire all electn'('CJJ
con/.-actor if c,bove said prope,.ty is for .~(J[e, "tIU nr lease.
Afler n~ading the above Statement, 1 hereby Certify that I am the owner of the: above
named propcny or B licensed electrical contnl.Ctor. I am making the electrical instal~
lation Or i:ll1cr3.[ion in compliance with the electrical law", N.E.C., RCW. Chapler
19.28, WAC. Chapter 296-46B, The Cily of Port ^n~elcs Municipal Code, and
Utility Specificil.tions.
Stgnature of owner. electrical contractor or electrical sclmillistrnlor
Cl Cash
o Check #
Cl Credit Card
visa
Mastercard
Discover
Card# -o.n-.f..;le---------____
x
Date:
Expiration Date
of card
h
Electrical load Additions snd or subtractions
Q NO LOAD CHANGES
I:) Bast/board KW
I:J Fumace _ KW
o Heat Pump _ Ton _ LAA
i:J F'an.Wa'l KW
CJ Overhead Service
o Tamp Service
o Underground Service
Voltage
Phasoi:J1i:J3
Service Si2:e:
Feeder Size:
SAME DAY INSPECTION. CAU_ BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN '\ THERMOSTAT SERVICE
/0.-10'<" ^P~dfJ D.lIe ....P~"'.~~ By Oll.le AfIpl'O\'~;j Ilr
\.... / Ou
/' nNAL DITCH /' FEEDER
/tJ/!'A4,:r Ad)
UAle Allrmwe~ My D~le Approv,mB>/ pale A1'prowed 9y
Inspection Area. Building or Equipment Inspected Aclion Takc-n ElectriCi:l}
Date Inspectot
~$j /.t? ~/k>~
, /
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00000625 Date 5/03/16
Application pi.n riumber 755000
Property Address . . . 1601 E FRONT ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2725 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Application desc
T t a t
Owner Contractor
BIG PICTURE PROPERTIES LLC PENINSULA HEAT' INC
11626 7TH AVE SW 782 KITCHEN -DICK RD
SEATTLE WA 98146 SEQUIM WA 98382
(206) 419-7616 (360) 681-3333
...........
Pex mit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 56.00 Plan Check Fee .00
Issue Date 5/03/15 Valuation . . .
Expiration Date 10/30/16
Qty al it Charge Per Z' X t en. S 1 (.) 11
1.00 56.0000 ECH -,EL LVT THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 ,00 .00
Grand Total. 56.00 56.00 , 00 00
OR
Lfti
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ji
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
CITY OF PORT ANGELES ,PERNHT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-473/5 Fax: (360) 417-4711
of(L), Date:�µ�`„ ,// Multi -Family or Commercial*
* Plan Review May
Job Address: -_
Building Square F'ootag-,
Description of above
Required, P ase Corn lete Electrical Plan Review Information Sheet
Af,
Owner Information
Name:
Marlr.
rg dress A
Contractor Information
Name: CQ
Ci State:? Zi ? L
l h�oa�e: -
_.
ci o'1` 1 State: �� ZP
—
License # /Exp.
_.
phone: -_fes Fexx .-
...._ .... ...-.� ...__.--w..,-- ...—......-.
License # / Lxp.,J-.,'. _
Item
Service/Feeder 200 Amp.
Unit trarp
$132.00
Sty Total tit r Multiolled by Unit Char e
Service/Feeder 201 400 Amp.
$160.00
$ —
Service/Feeder 401-600 Amp
$ 225.00
$"
Service/Feeder 601-1000 Amp.
$ 288.00
$�-
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit W/ Service Feeder-
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
$�
Branch Circuits 1-4
$ 86.00
$�m
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp. Service/Feeder 201-400 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
$ 88,00IT""-
Signal Circuit/ Limited Energy - Multi -Family
$ 64.00
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
$ 96.00
$�""""'
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
Thermostat$
$113.00
$56.00
Note: $5.00 for each additional T-Stat
$
Total
Owner as defined by RCW.19.28,261: (1) Owner will occupy the structure for two years alter this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if alcove 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.
Signatu of owner, electr contractor or electrical administrator: ❑ castr Check
Credit Card #
X. Dat:
�' 01101/2012........... ......�__. � ��
_ p