HomeMy WebLinkAbout1611 E Front St - BuildingniW avf1
C E RTIFI,
OC
-44k
City AngeleS? Bidding ,Diy,ision
This certificate is issue*urStiant the requirements of Section 110 of the 200tintei-national Building Code
certifying that at the tige.'..0ii;Sita it74hiSFStructure was in compliance with the various ordinances of the City
0 .wr *:v
regulating building cbiiStritctionorlisef
orjthefdllOWing
w
i
1. B askin
Business name 4.Ro
Busipessv- `V4
06-8 tgV
A, v, ,1,,"01,44,1oAL
Post on the premises in a conspicuous plkeeThisKce
e removed except by the Building Official.
4k 161
Basr LID In�s
DATELL f)
Address of Proposed Business
k ,two,vi
Applicant C �242 L!- Ad
dress /t /i ,/7/1--
,g_Ady
Phone businer I 7 hat e& Yra /osa "1
Brief description of proposed business. PCISttA4 R 2hL41s
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
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
APPoR VP REJECTED
1
7-ZS —o6 S�
Kau•)
S-7-0 igU
ROUTING SLIP
t;ertif ate of Occupancy
$50. i ertificate /Inspection Fee
Block
YES NO
V
q./
V
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
Date
Signed
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 Conditions
c9 g 1 cl
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
Subdivision
THE FOLLOWING
PERMITS
WILL 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
to
ATHY( T H A W
Ary
,n,,C 0
0
City of Port Angeles
Public Works Departnlent
Water Distribution Repair Report
bw ~)..oo1-t8)O
DATE REPORTED'
/11:)0
LJ-- S---o (
I Crew'
'7/'1
IWork Order No:
CONDITION EMERGENCY D ROUTINE D CITIZEN COMPLAINT V'
LEAKAGE SURVEY D OTIffiR D
DATE OF REPAIR. Z; -11- () I TIME
J61 (
REP AIR LOCATION ADDRESS
E-
DA.M. DP.M.
FrcYl (-
TYPE OF MAIN
SIZE.
DEPTII OF MAIN
CLOSEST VALVE DEPTII.
COMPONENT REPAIRED:
MAIN JOINT D CIR. BREAK D SPLIT BELL. D LONG BREAK D
HOLE 0 CLAMP 0 OTIffiR
SERVICE. TAP 0 CORP STOP 0 PIPE D CURB STOP 0 FITTING 0
J\.1ETER SETTER 0 J\.1ETER 0
LINE VALVE. FLANGE NUTSIBOLTS 0 STEM D BONNET D
HYDRANT BRANCH 0 VALVE 0 BARREL D
OTIIER.
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTIIER
CYZe-e-/-ev- $-e'm Y
SITE CONDITION GRAVEL D ASPHALT D SIDEWALK D CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS. ASPHALT cur _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY cur _FT
MAIN CONDmON' INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CID...ORINE RESIDUAL SAMPLE ~P.P.M. I 5 7 L.') u-r
WATEROFF FROM I It M. TO q A M. I I3v1 ~J'\;h y (
FROM M. TO
M.
IYLYtt .e 11
5~ ff:e )-
APPARENT CAUSE OF LEAK.
o t.0 - 2-0" 1- - f Bb"O
CITY OF PORT ANGELES ~/
DEPARTMENT OF PUBLIC WORKS /~)_-,~---J
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST t I
Date b - 1 - D Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
)b II F wLty'\-f-
-re,n \' \ C 6-1
11 -H.t '&-6
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other U r ~_J-eV-
INSPECTION NOTES
Inspected Date
Remarks
TimE By
~ ~ ,Let C~ % ~t-<-'V 5-etf-<}--
av--€- _ l~C'Lk
RESTORATION REQUIRED
.6.\l /\r6Y\-t-
It\'
/
/
YES V NO
c
/67'< "
frKYl+ 5+
~
~
Q(~\
SURFACE RESTORATION /'
SURFACE TYPE 0 Unimproved 0 Gravel [:U(Sphalt
-;0 ,):.;-r.p-e I-
(Continue on reverse side if necessary)
Sm~11 t;fcA
6-//8"/0/
STREET SUPERINTENDENT
o Other
Work Order # / Y S-- 0
Pi COMPLETE ~ - ?- L.\ -0 (
o INCOMPLETE '-Dc:...
OPCC
o Repaired by City
[] Repaired by Permittee
CI No Damage Found
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT . . . . . . . .
REQUEST
..., 1,# - ..,
Date .7 - ,,- {/ ./
Time '7 "//# /J 11'7 Received by
tff/ ( L
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
) b / / t:.- r 1\ t',(/ T
PILL
/ 7 04!' <7 /f
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date 7 -1/ - t: :>
Remarks fI A IV P IJ fJ a cf
a-.,
Time 7 #~ t4 frl By
/l1 ,4 P t:
I? ~Ar
RESTORATION REQUIRED YES ~NO
I'f)
IV f r; II c F A'v,v ~-
X P7E TEl?
f)-1
<
~
f If ON 7"
~
flt
~
"<
.......
")
r
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o Other L Au {/
I rVI
o COMPLETE
[y---INCOMPLETE
A/ec.cf
lOr
5tilL )/I/t:'
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.
FAX '"/7;2-33,},3
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 17;1 7
8,//0 hi
DATE
Site Address:
~ 1611 Front Street
Installed BYp
Owner/Business:
o READY FOR
INSPECTION
~- License Number:
j., ;&u< PLUHBSI077QS
1"1 WILL CALL FOR
INSPECTION
Phone:
-f7:2- 33
Phone:
Owner/Business Address:
1611 Front Street
ELECTRIC HEAT
o BASEBOARD KW ~
o FURNACE KW
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
~ COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription: ApAi ;,
I'
1?o...S k I Jl/
,
1/1.. I~
l-b 'x. 1,-;) ~ .
"
Sq. Ft.
35
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
019\ 039\
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
j) //
,1\0 b b 111/ "
/I
.
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 O.K. to connect service
~~Final O.K.
Site Address:
New Meters
----
Notify Port Angeles City Light by treet 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.
'Installer:
.
~Inspector
Permit/Receipt No.
~127
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
Permit Fee
'1- T~eter Dept., Boltom: City Hall
--"/~
FUEL lUMBER
CITY OF PORT ANGELES.
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
7'5l--
PERMIT NUMBER
.>
.
TOTAL FEE
.~/0
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY- -NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
"-~}Jr.
PERMITS WITH WRONG AD
'--
'-
Owner
Owner's Address
\ 'L.-1-A.
Installation By
Installers Address
Installers Phone
~
C/
d/J~N. r c
Wiring Method . ~
,I"-
Wt.(.{~ jr>
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100A . FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
- . . - 50 VOLTS .
LIGHT OR lESS
CONVENIENCE . - MOTOR
CONVENIENCE MOTOR -
APPLIANCE - MOTOR
DISHWASHER .- FIRE ALARMS .-
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
-
WATER HEATER
LAUNDRY .. -cc.
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 A.W.G.
I SUB. TOTAL . .. 1
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
Date Permit Issued
By ~t-
- CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to. do t~e above ~~scribed work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances,oUh .CltY.,:of Port Angeles.
0. 51ft &; BY' . DIR OR ::i, IGHT .,
OJ I () PlANSAPP VEO . to' J' '~" -; , ; ~ .
Notify Department of City Light by Street Address and Permit Number when ready fctr 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.
's permit will be done by the -installer and in c.onfo~mance with the N.~.C. Electrical COd~,.
Date Application made
.19
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
,
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
I
.
v.'- (_.....~....
-i~. -.r8 Ba..,.I;....., ;)l:.l"IvlCl:
~ t.~ ~~ ~O.K.
\ .'
.
z
o
IX
<I:
:1l
!!1
J:
I-
Z
W
.
l-
e
z
e
o
.
16736
" I" - / per-
Port Angeles. WashlngtoIL............._.__..~.._........oo.__..........m......m.. 19'0000_-<
,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt.>
In accordance with the City Ordinance to regulate the Installation. extension, or repair of elec-
trical equipment In. on, or about any building or other structure In the City of Port Angeles. per-
:~:::s: i~._;~:;:yY..~=::~-I:~t-e:--~~.IO:~cupancy-.--k.~---._...__.__......00..
owner~~~~L,.........J.(a.\.L.9.-oo~ft21'~nt..oo..oo--oooo.oo....oo....oo....-...oo............oooooo----__.......m
Wiring Contracro~ _1!f.'q,~~IY..~.!.~oo.oo____n_...m By-noo--n....--..-----.....--oooo...--.oo...-...oo--....-----.oooooooo
/,9. cy"'""VZ:d
Service. volts ..................._..................
Light Outl.t................................_..___...
Receptacle Outlets________............____.......
Dryer, KW.....___._._....._.._______.____._________
No. wires un__...._..__..........__._____......
SIze wlres........n.......n..._....n......__.
Range, KW hnhh__nU_____________.__
Water Heater:
Main fUBe _nnn........____h..................
Enclosure h.....................__u............
KW.__...._________________.
n__n'':_____
Type of wIring:
Entrance Cable ...______nnnn______...._.
Heat: KW..............n....__n........nn........
Motors: sIze, volts a.nd phase:
Rigid Conduit ...............................
Metalllc TUbing ................
Current transformers:
No. & Size.............................
Ser. NO..........................................n...
Scr. No. 00.....00...................00...............
Ser. No. ...00...............00...............0000..00
Total Load.............................
Ser. NO.n....nn...n...........nn...............
Remarks: ________oo____________nn_nn....oooon__._____._________...____...__________..___________n...oo____________________.______.____________...______________
Type of Wiring:
Armored Cable ............................_
Non-Metallic .................................
Knob & Tube................nn............_
RIgid COOldult ..................__......_..
MetalUc Tubing ...........................
Raceway ........u..............._.:.~"':"..._
?1",'
Circuits, Light..................................._..
Utility ........mm....__..._n..n............."
l'leat ......................................._.._
Range .............................................
Water Heater ...............................
Motor ..........n__d.n.___nn...n.............
Dryer ....0000...00000000.......00...................._
Furnace ..........................~n.................
Total ...z.Pc.~;......
__nunuuuu_.nnn_n__n_n___uuu.Unhh___...._n..unn.n..nn..nuu_nn._hnn..nn.u.._nnnu.nnn.nu..___.n_n.....nnnnnuu_unu...u__
Pe=i1;.Fee
. fi C, CJ
$----."----.....----------------------.
Treas. Receipt
No..__.________________________
By__---m-------...---...---------__------.__----nm------.---__---__
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
l\fOT~f'lE.INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
:
j
'.
>
......~_.
...-.-"'.-:>"--
'\. .....--n..
ELECTRICAL PERMIT
N?
16736
Addre~s....................-...................................................................................................................Date..._......_.._.._.._.........._......_......_......._
Owner ........nnnnu.........................................n.._.._........._n...........0000............00.................. Tenant....n......................................n.nn.nn............
WiringContractor..................................._......................_.............................................................By..............................................................
~--.NOTICE-Current..must not be turned on until Cert1ftcate of InSpeCti~n has been issued. It work is to be COD-
\ cealed due notice must be given the Inspector so that work may be inspected before concealment. '
/ .
f
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
... ~-'ELECTRICAL PERMIT
N?
16737
L? '- / t-.. ~--:--
Port Angeles, Washlngtonmm ___~..::m..__'<...m.m__m.mmm...mm.., 19__!.~.,r
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to d6 electrical work as listed below.
Address __~~__Y..&~.mu__.uu__.um__m___m.____mm occupancy_______..k'5!...'.hh___mm__mu
Owner m(j;~:it._.~-&.0.~----um Tenant.m__U___.hm.......mh_m___.._..mmmu__.m.mum______
Wiring Contractor .~.~~""I!1e::~~:::~.______________h. By...._____.m.______h.hhh._____h___.mm__u..m.mmh____.
Light Outlets..._..._...._____._____.._____.....
Service, volts .......................................
No. wires .......................................
Receptacle Outlets...............................
Dryer, KW _______..n...nn..hn...n.......n....
SIze wires..................._.............._..
Range, KW........n........................
Water Heater:
Main fuse .......................................
Enclosure .......................................
KW.uuhmm__umuu.____....
Type of wiring:
Entrance Cable ___..........................
Heat: KW..................:.......nm....m.......
Motors: size, volts and phase:
Rigid Conduit .................
MetalUc Tubing ....m......
Current transformers:
No. & Size............................
Ser. No...............................................
Ser. No. .............................................
Ser. No................................................
Total Load.............................
Ser. No.................._..........................
Remarks: ..m__._______________m.____mh_u.h_______._.____.__..._u__.__m__mmu.m.m.mm__m.m.uh___._m.__mmummm__m__mmm
Type of Wiring:
Armored Cable ............................_
Non.Metalllc ......._........................
Knob & Tube.................................
Rigid Conduit __.............__..........
Metalllc_ Tubing ...........................
Raceway ......................._......__..._
Circuits, Light.......................................
Utility _...............__u............____..__.
Heat .........................................___
Range .............................................
Water Heater ...............................
Motor ..._......................................._
Dryer..................................................
Furnace ..............................................
<LtI .
Total _l__.'___.~~:-:L__....__
.__.._.__._--..-_...._._--_._-_._--------~_.__._.__._--.__.__...._...-.._.._...-._._-_._..._--_.._._....._-_...~~.__..~--_...__._.._--_._...~--_.-.~~.--_._-_..__.._--_.__.-...-
.__uuu.....______n__.U__Un~U__.n..n________________hn.n_n.u._....____.n_u_.___.nu______...u__u.____._u_n__n______u____n__...~.___..__.____n__nnoon
Permit Fee
$:mjt~__q__mm.m'h'
Treas. Receipt
NO.m__m.m__.m._.......
By m;~!:t!!...,9L~~~L~.,-
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,
ELECTRICAL PERMIT
N?
-/'
16737
'.~,.
"
(
!
Address.....:.............._.__................................................................................................................Date..._......_.._.._.._.........._......_......_.........
/{
Owner..................................._.........._......_.........._...........................................................Tenant....................................................................
Wiring Contractor.......................................................................................................................... By..............................................................
\ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
ctaled due notice must be given the Inspector so that work may be inspected before concealment. .
\
-
i'
1M Olympic Printers, Inc.
16738
Port Angeles, washlngton...m.L.;~oo_~L~.m..mm.mmm...m,m., 19.)../--
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
mission is he::J:.Y granted to d~ctrlCal work as listed below.
Address -f~/~ Y::lJ7"'v m'/!..~-:':~__hnoonnhn'.'oo occupancY.noo..L"-!;,{..~'5?.oom__"'oohm.oo
m1ft. ."<n":;?;(oo.oo 00
.rj;.~ ~tr:~-
~::;~'::~~:~~~':~:;?~~:f;:g;'::;J.L~L~~::~~;::::::::::::::':.':.~::::::::::=::::=::::::::::::::::::::::=:::::::::
V
Light Outlets........._.....n.............._.._..... Service, volts _..._mm..........__...___..___..... Type ot Wiring:
Receptacle Outlets....____________.._____........
No. wIres ................................._.....
Dryer, KW.................._.______..____.______.,.
SIze wires.................._................_..
Range, KW h__....un..______________h
MaIn fuse .......................................
Water Heater:
Enclosure __'''mnm___'''''___'',,___'''_____
KW.moohhhmmhumu..nuu
Type of wiring:
Entrance Cable .......m...'.___....
Heat: KW......._.__.......n........................
Motors: size. volts and phase:
Rigid Conduit UumuUUmUum.U.m'
Metallic Tubing __.............._.....__...
Current transformers:
No. & Size................_...__.._..__........_.
Ser. No....._........_......_....__........_..........
Ser. No.........................................__...
Armored Cable ..............................
Non-Metallic ..........._........_..........._
Knob & Tube.mu,u.uuuuuuu......u_
Rigid Conduit UUm"'U"'U"""'U"'U
Metallic TUbing ..._m_...m__....h__..
Raceway ...................._._......___._
Circuits, Llght............._....................._..
Utility uUUmUmU"'''''_Umuuuuuuu,
I-Ieat .__..____._......................_...._.._
Range ........................___...._____..___.__.
Water Heater ....._.........................
Motor .._..._......__..............................
Dryer ......._........._..__........____..___.....__.._
Furnace ..........................~...................
Ser. No. ...................___......__.._........__..
Remark:~ta:__:~~____.__..__,.~:~:~~~m::=:k::.~,..:.:::__:.::..__.mm.m___m___~~~::__:.::=~:~::.:~.
.-.-....------...--.....----------------------......---.---.----.--..----------------...--.....--..--....--.----.----------------------..--.-.-.-------------------------.------
';~.~~.~~~~'__~'___.__~.__~~..~---.m--.::~.~.~:__~.~.~.~:.~.~~...:.~~..~--moo-----oo----:~.__::__ir2?i?~:z:-
, .,
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed. due notice must be given the Inspector so that work may be inspected before concealment.
~
NOTIFY,THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'-
..!
-,\,,---
ELECTRICAL PERMIT
N?
16738
Address................_.._.....................__......_...__....._........_..............___..._.__..___________________....................Date.___h________.._.__...__....._.._.._......_......_..
(;
Owner._........._...._________....___...__....._.._......_......_.._....................._........._________.__._.___....._....Tenant.........__...__________..._........................____.__......_..
Wiring Contractor...____..__.__..___........_........................._.....___......_.....__....._....___.............___.....____._____. By ........._...____.................................._._....._..
.r--,
, -NOTICE---Current must not be turned on until Certificate of Inspection has been issued. It work Is to be COD-
fealed due notice must be g:;:en the Inspector s.o that work may be inspected before concealment. -
...
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
16739
I':) -j' ..,r
Port Angeles, Washlngtoll.n_________:::::___,______________________________________, 19/..0000_
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is he~,:by .,Xfd to d6 electrical work as listed below.
Address ,J[~~__n:______~jf!t_'!:~-oo-m---oooo------moom ocCUpanCy.n_;_A~~_oo....____m___n__
Owner n___3_._i)/gc::."'-.';;l"'_~(~_~~noo_.oo_.. Tenant.._____oo_____m__n__..oon.n__oo______nn___oo___________n______n
Wiring Contractor nC2._J!::;lf.:_e:i-t?.-d':.~r::..(~_"_~.:___ By.n_..._._______m_____m_____moo_.___n.____m____._n_.nn____
V
Light Outlets....__........._.._m...mm_.._..... Service, volts m...._____...__...___..._._m._..... Type ot Wiring:
Dryer, KW......_..___._...__.______..___________.__
Range, KW..._..______.._____________._______..
Water Heater:
Size wlres....__..m__m..__._..m_m_..._..
Armored Cable ..._........_...00__..........
Non-Metallic ._......m_.__.....mm_....._
Knob & Tube..................................
Rigid Conduit .m...m..__.__m__..___....
Metallic Tubing .mm...__.._............
Receptacle Outlets.......m______.m___........
No. wires ....___.._....._____........._......___
Main fuse _.m___..mm__......._._.m.._....
Enclosure __._.m_m.m___..__
KW.....__mn__'.n.....__
Type of wirIng:
Entrance Cable ....__m_
Ser. No. ......__._.....___...__._____.....__n.._.....
Raceway ._._._.___......._....._......___._
CIrcuits, LIght...........__.__.......................
UtllitY..........mm..m....mm.m.m......
I-Ieat __n........___n._......_............._....._
Range h._....____.__._.______......._.............
Water Heater ............___.._.____........
Motor ..._.............._._.................._....
Heat: KW..........................................__
Motors: sIze, volts and phase:
Rigid Conduit .....__nm..__
Metallic Tubing ..______...
Current transformers:
No. & SIze...____....._____.__..........
Ser. No. .......__..__...._......._n.................
Dryer _......___h..................................__
Furnace .........................'_......_...........
rjO
Total I..oad............____..__._____... Ser. NO.__________...___.__.___n.___.._._.._....... Total ..........._____.......................
, ;a
Iiemarks: mn___..n___n';..~~!..t:~_'!..~~:-_:nu~:-nnu~J~.~:~-:u____l....t._n___n.___.mnnmmn___...n.....______..............___m.___
Ser. No............_....................._...........
hn._..nnun_nnn_n.....__.n..nnnn.nu.nnn_n.__.n..n.nnnhn.nnnnnnn.......u.h..n__nnn__nnn_nu.h_..._...__n_nnn_nnnunnnnn
...nnn.n..n__n.nn.un.n___..nn..un..uunn.__.n.....nuu.nn...n...nnunn..nnn.n...nn__uunuunu....nn..n...nnun__uu.uu.u..u.__
Permit. Fee
. .3,60
$..___m___m____..______mm_m_.
Treas. Receipt
NO.m.._.____...__m_._____
By ~f::f:..qh..~Jt~_~d...~,~__
, i , ~
NOTICE-Current must not be turned on until Certificate of Inspection has been Jssued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
-. ,
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'1
_I
. -..\
"
.
ELECTRICAL PERMIT
N?
16739
.~
..( .~
Address
Date.___......____.._.._.........._......_..._._.....__..
Owner .__.......................n.......___........_......_......_.._........................................._..........__..... Tenant..........__n_n__..nm......n_..................___.....__..__.
~ - WirJng Contractor............................................._n_____......_............,.._............____...n._n..................__ Byn_..._...__._......____.........._...........................
.
NOTICE--Current . must not be turned on until Certificate ot Inspection has been Jssued. It work Is to be con.
cealed due notice musebe given the Inspector so that work may be Inspected before concealment. .
1M Olympic Printers, Inc.
2014 -07 -25 12:16 CASCADE ELECTRIC 3603799043»
P 111
16 ,�p� yukr ,rtrN'
;
R"CEIVED
~emu
CITY OF PART ANGIF1.1s5 PERM 1'1' APf iLIC'ATiUN
Building Division /Electrical Inspections
Fifth Street P.Q. Box 1 150 / Port Angeles Washington,
Orr
JUL 2 5 20h
98362
321 East --
Pit; (364) 4174735 Fax. (360)1417 -4711
FIRTRIC'AL
9NSP'CDORS
ply, 2 CV Muhl-Family or Commercial*
• Review May Be Requir Plea��GRm�lel�- ctrical Plan Review Intorma tion Sheet
JvPblAdd� J
� � J
Building SpVare F e
Description of above
Owner I { rmation
`i+� 3
Contra�r Inform lion
"el'
Name: 4
wit r1g A Q - f . �.-..
Name: 0
Meiling A d s' Q — is xC� �.
City; State: Zip;
City: �� L State: � Zlp:
Phone; Fax:
Phone: yl , r Fax:
Cii +tit
Dense # 1 Exp.
Licenx # 1 Exp, 4 S yy
Rom n' Cha a
,91Y Total Multiplied b UnKCha a
Servlcoeeder 2C0 Amp $132.00
__......... $_.,�,..... .......
Service/Feeder 201.400 Amp. $160.00
$
Semct0eeder 401.600 Amp $ 225.00
ServicelFeeder 601.1000 Amp $ 288.00
$
Servioe/Feeder over 1000 Amp. $ 410.00
$
Branch Circuit W1 Service Feeder $ 6.04
$.......�•
Branch Circuit W10 Service Feeder $ 74,00
Each Additional Branch Circuit $ 5.00
Branch Circuits 14 $ 86.00
$
$
Temp. Servioal Feeder 200 Amp. $102,00
__ -� $
Temp. Service(Feeder 201 -400 Amp. $111,00
$
Temp. Service/Feeder 401-- F00Amp, $164,00
„,,. „_, $.,—...- -..
Temp. ServicelFeeder 601 -1000 Amp . $185.00
$
Portal to Portal Hourly $ 96.00
$
Sign/Outline Lighting $ 89.00
_ $ .........
Signal Circuill Limited Energy _ Multi - Family $ 64.00
$
Signal Circuill Limited Energy 1 First 1500 sf - Commarelal $96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
$
Thermostat $ 66,00
`._ -, $,... - -- -•.- . --
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 after this electrical permit is finalized, (2) Owner is required
to hire an elecrical contrWor if above said property is for sale, rent or lease. Permit
expires after sir 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 electrleal 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.
$Ignatur o or, electrical ntractal or electrical administrator,
❑ Cash ❑ crwk
r crrdlt card
7
—
$
�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 14- 004008$2 Date 7/28/14
Application pin number . , . 022804
Property Address 1611 E FRONT ST
ASSESSOR PARCEL NUMBER; 06 -34 -00 1-0- 2740 -D000-
Application type description ELECTRICAL ONLY
Subdivision Name . , . , . .
Property Use . . . , . .
Property Zoning . . , , , . . COMMERCIAL ARTERIAL
Application taluation , . . 0
---------------------..._-
Application desc
HP replace
Owner
LADD FAMILY LMTD LIABILITY CO
3620 100TH ST SW #A
PO BOX 98922
LAKEWOOD WA 98498
Contractor
CASCADE ELECTRIC & VAC INC
PO BOX 369
PORT HADLOCK WA 98339
(360) 379 -5347
Y
Permit . . . , . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 85,00 Plan Check Fee .00
Issue Date 7/28/14 Valuation , . . , 0
Expiration Date 1/24/15
Qty. Unit Charge Per Extension
BASE FEE 86.00
Fee .summary Charged Paid Credited Due
Permit Fee Total 86,00 86.00 .00 00
Plan Check Total .00 .00 .00 .00
Grand Total 86,OQ 86,00 .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
FINAL
7
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G;IEXCHANGEIBUILDING
e
07/03/2014 THU 8:58 FAX 360 683 3971 Air Flo Heating Co.
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:.. '? 1
— Multi-Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
JUL
YlIjks
16001 /004
Job Address: _Ila_t_S_ U . P= r'n-T or-y" LC S. k= r1.) "i_Qf���Ikf
Building Square Footage::' '
Description of above
Owner for ation
Name: 4-
Mailing Address J
State: Zip: "'
City: Stale; Zlp,
Fax:
Phon _:2j 7 7Yar
License # 7/ Exp,
Total (Qty Multiplied by Unit Charge)
Item
Unit Charge
ServicelFeeder 200 Amp,
$132,00
ServicelFeeder 201400 Amp.
$160.00
Service /Feeder 401 -600 Amp
$ 225.00
Service /Feeder 601.1000 Amp.
$288,00
Service /Feeder over 1000 Amp.
$ 41000
Branch Circuit W/ Service Feeder
$ 5,00
Branch Circuit Wf0 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 86.00
Temp, Service/ Feeder 200 Amp.
$102.00
Temp. Service /Feeder 201.400 Amp.
$121.00
Temp. ServicelFooder 401 -600 Amp.
$164.00
Temp. ServicelFeeder 601 -1000 Amp.
$185.00
Portal to Portal Hourly
$ 96.00
SigniCutline Lighting
$ 88,00
Signal Circuit/ Limited Energy -- Multi- Family
$ 64,00
Signal Circuit/ Limited Energy/First 1500 st- Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113,00
Thermostat
$ 66,00
Note: $5.00 for each additional T -Stat
Contrar,jor Information
Name:..._ 1_tir_l.i
Mailing Address:
City:
State: Zip: "'
Phone:
Fax:
License ! p.
Total (Qty Multiplied by Unit Charge)
$
$
$
Owner as defined by RCW,19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owmer 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 11 Check
L�' Credit Card #
X � Dated: � 0110172012
:
• V
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 - 417 -4735
Application Number 14- 00000796 Date 7/07/14
Application pin number 283458
Property Address 1611 E FRONT ST
ASSESSOR PARCEL NUMDER; 06-30-00-1-0- 2740 -0000-
Application type,description ELECTRICAL ONLY
Subdivision Name . , . . , .
Property Use
Property Zoning . , . . . , . COMMERCIAL ARTERIAL
Application Valuation : , , . 0
Application deco
Replace heat pump
Owner
LADD FAMILY LMTD LIABILITY CO
3620 100TH ST SW 4A
PO BOX 98922
LAKEWOOD NIA 98498
Contractor
AIR FLO HEATING CO INC
221 W. CEDAR
SEQUIM WA 98382
{360} 683 -3901
Permit , , . . . . ELECTRICAL ALTER COMMERCIAL
Additional deaf . .
Permit Fee 56.00 Plan Check Fee .00
issue Date 7/07/14 Valuation . . . . 0
Expiration Date 1/03/15
Qty Unit Charge Per Extension
1.00 56,0000 ECH EL -I,VT- THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
Permit 'Fee Total .56,00 56,00 DO .00
Plan Checic Total .00 .00 00 .00
Grand Total 56.00 56.00 .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
12
FINAL
Z
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: IEXCHANGE\BUILDING
.,L
1
Address:
1611 E Front Street
1
PREPARED 12/24/14, 11:04:52 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/24/14
------------------------------------------------------------------------------------------------
ADDRESS . : 1611 E FRONT ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER LADD FAMILY LMTD LIABILITY CO PHONE
PARCEL 06-30-00-1-0-2740-0000-
APPL NUMBER: 14-00000799 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 12/24/14 JL MECHANICAL FINAL
December 24, 2014 8:43:14 AM pbarthol.
------------ -- COMMENTS AND NOTES
--------------------------------------
CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
a� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000799 Date 7/08/14
Application pin number . . . 700857
Property Address . . . . . . .1611 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-2740-0000- REPORT SALES TAX
Application type description COMM MECHANICAL PERMIT
Subdivision Name . . . . . . on your State excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 9980 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
REPLACE HEAT PUMP PACKAGE UNIT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LADD FAMILY LMTD LIABILITY CO AIR FLO HEATING CO INC
3620 100TH ST SW #A 221 W. CEDAR
PO BOX 98922 SEQUIM WA 98382 \
LAKEWOODWA9849.8 ---(360)-683-3901 ^\
------------------------ ®`
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . RPL HP PACKAGE UNIT
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 7/08/14. Valuation . . . . 0
Expiration Date . . 1/04/15
Qty Unit Charge Per Extension \`
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
---------------------------------------------------------------------------- \�
Fee summary Charged Paid Credited Due v_1
----------------- ---------- ---------- ---------- ---------- 1
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
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 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 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Y �
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
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 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
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 FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
07/03/2014 THU 8: 58 FAX 360 683 3971 Air Flo Heating Co. 10002/004
THE
CITY OF
CityUse
` Permit# 7 q
W A S H I N G T O Irl, U. S.
Date Received:
321 East 5'°Street
Port Angeles,WA 98362 Date Approved _
P. 360-417-4817 R 360-417-4711
permits@dtyofpa.us
Building Permit Application
Project Address:
Main Contact: Phone#
l OI , 22 - L9 Ito
�0 N �k'D - i2' 4�!�l,c,+ G�'�i2 E-Mail:
Property N e Phone
Owner Mailing Address Email
city staDe �P
Contractor Name Alk
1[A �
� o e AN ` Phone 693-
93- o i
MallingAd dress 1 Email "�
W. •
city staft vJ � °t$'3g a
Contractor License# k Z F LA�(e D & Expiration:
Project Value: 110Zoning: Tax Parcel# Lot#
Type of Residential ❑ Commercial Industrial ❑ Public ❑
Permit Demolition ❑ Fire ® Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other dt4.N6aE aUT M U It PT
Ousting hire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No
Project i(�talk e it i Im
Description
1
1 I have read and completed the application and lmow it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to worldng on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit
Date Print Name Signature
i
Application Number . . . . . 24-00001049 Date 10/03/24
Application pin number . . . 689105
Property Address . . . . . . 1611 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-2740-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Hood fan
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DHBP ENTERPRISES LLC OHM ELECTRICAL CONTRACTING LLC
10463 SE 14TH STREET 620 S ORCAS ST SUITE 80127
BELLEVUE WA 98004 SEATTLE WA 98108
(206) 973-9184
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 332.85 Plan Check Fee . . .00
Issue Date . . . . 10/03/24 Valuation . . . . 0
Expiration Date . . 4/01/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR WO/ S/F 95.10
5.00 47.5500 ECH EL-ECH ADDNT BRANCH CIRCUIT 237.75
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 332.85 332.85 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 332.85 332.85 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/24/2024 24-1049 TMC
OWNER
Contractor
Ohm Electrical Contracting
ADDRESS
1611 E Front St
Application Number . . . . . 24-00000258 Date 3/21/24
Application pin number . . . 925848
Property Address . . . . . . 1611 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-2740-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Donut shop
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DHBP ENTERPRISES LLC OHM ELECTRICAL CONTRACTING LLC
10463 SE 14TH STREET 620 S ORCAS ST SUITE 80127
BELLEVUE WA 98004 SEATTLE WA 98108
(206) 973-9184
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 285.30 Plan Check Fee . . .00
Issue Date . . . . 3/21/24 Valuation . . . . 0
Expiration Date . . 9/17/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR 1-4 95.10
4.00 47.5500 ECH EL-ECH ADDNT BRANCH CIRCUIT 190.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 285.30 285.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 285.30 285.30 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
3/29/24 24-258 TAP
OWNER
Contractor
Ohm Electric
ADDRESS
1611 E Front St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/20/2024 24-258 TMC
OWNER
Contractor
OHM Electrical Contracting
ADDRESS
1611 E Front St