HomeMy WebLinkAbout104 W 1st St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuit for door alarm
Owner
MAURICES
C/O LAURETTA SHRAKE
105 W SUPERIOR STREET
DULUTH MN 55802
Permit
Additional desc
Permit pin number 188185
Permit Fee 73 50
Issue Date 6/23/11
Expiration Date 12/20/11
Qty Unit Charge Per
1 00 73 5000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
ELECTRICAL ALTER COMMERCIAL
73 50
00
73 50
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
11 00000646
776222
104 W 1ST ST
06 30 00 0 0 3200 0000
ELECTRICAL ONLY
0
Contractor
SONNENFELD ELECTRIC LLC
21504 107TH AVE E
GRAHAM
(25 847 6170
Plan Check Fee
Valuation
EL BRANCH CIRCUIT WO /FEEDER.
Paid
73 50
00
73 50
Credited
00
00
00
Date 6/30/11
RESULTS
bJ o AV
bOo ►I 44?
WA 98338
00
0
Extension
73 50
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type desc_iption
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Door alarm low voltage
Owner
MAURICES
C/O LAURETTA SHRAKE
105 W SUPERIOR STREET
DULUTH MN 55802
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summer
Permit Fee Total
Plan Check Total
Grand Total
188433
95 90
6/29/11
12/26/11
Charged
95 90
00
95 90
Signature of owner or Electrical Contractor X
G \EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITh OF PORT ANGELES
360- 417 -4735
11 00000666
503110
104 W 1ST ST
06 30 00 0 0 3 00 0000
ELECTRICAL ONL
0
Contractor
ELECTRICAL ALTER COMMERCIAU
Qty Unit Charge Per
1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT
Paid Credited
95 90 00
00 00
95 90 00
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
PACIFIC FIRE JECURITY
828 POPLAR PLACi SOUTH
SEATTLE WA 8144
(206) 96 1293
DATE.
Plan Check Fee
Valuat on
Date 5/29/11
RESULTS
t1' 0.2
Due
E:
95 90
00
00
00
00
0
0
F
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
w
Date
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: 6/28/11
1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 104 First Street
Building Square Footage:
Description of above
Owner Information
Name: M Y2-.t C
Mailing Address:
City State: Zip:
Phone: Fax:
License Exp.
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
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 First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
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 P C 14.05.050 regarding Electrical Permit Applications.
Signature of owner electri I cod
2G o-- 7'-'"''--- V
Unit Charae
$119.90
145.50
204.60
262.20
372.50
2.60
73,50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90,
63.90
63.90
$119.90
$102.30
56.00
$110.30
35.20
73.50
110.30
X Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Contractor Information
Name: Pacific Fire Securit Inc
Mailing Address: 828 Poplar P1. S
City: Seattle State: WA Zip: 98144
Phone: 206 957 -0907 Fax: 206 726 -8160
License# /Exp. PACIFFS914MF 7/1/13
ECEV
?JUN 2 9 2011
ELECTRICAL
INSPECTIONS
cal administrator cash Check
Credit Card
Dated: p 01/01/2010
Total r Multiplied by Unit Charge)
9S y' i
S 1 Total
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date --1(
1 2 Single Family Dwelling
Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: /O (A/ /S7 Pet' -E 4- viceler
r V
Building Square Footage:
Description of above Adol r. 2 cs t4 I -I- an c Q
Owner Infort�tig�
Name. �L. LiT�i
Mailing Addre s
City: State
Phone: Fax:
License 1 xp
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 WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
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 First 1500 sf
Note: $5 00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Multi Family or Commercial* s/ Commercial Addition I Alteration Remodel I Repair*
Unit Charge
119.90
145 50
204 60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
14870
$167.90
95.90
88.20
Commercial 95.90
63.90
63.90
119.90
102.30
56 00
110.30
35.20
73.50
110 30
Signature of owner electrical contractor or ele ;trical administrator
Dated: 6 2
Contractor Information l Tf t
Name: c iptei- i 6. /eC l e- L,L�--
Mailing Address: 7. r7 `1 0
City' _(:._traiyaprit State: L✓ Zip c
Phone: c?- ,k. fax:.25.?-1"f -.t S/ql
License Exp. Srnv1 n coe (-9 .2 Sf BA'
Qty
E CEI
JUN 23 2011
ELECTRICAL
INSPECTIONS
Total (Qty Multiplied by Unit Charge)
qc
73 5 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.0 ROW 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.
Cash Check
E Credit Card
0110112010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuits roof top repairs
Owner
MAURICES
C/O LAURETTA SHRAKE
105 W SUPERIOR STREET 1
DULUTH MN 55802
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
1 00
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Unit Charge Per
73 5000 ECH
2 6000 ECH
Charged
11 00000119
225432
104 W 1ST ST
06 30 00 0 0 3200
ELECTRICAL ONLY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
EL ALTER COMMERCIAL
18
214
76 10
2/09/11
8/08/11
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Plan Check Fee
Valuation
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
76 10 76 10 00
00 00 00
76 10 76 10 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 2/09/11
REPORT SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESULTS
WA 98362
00
0
Extension
73 50
2 60
Due
00
00
00
INSPECTOR.
Date.
PREPARED 2/03/11 8 13 47 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/03/11
ADDRESS 104 W 1ST ST SUBDIV
TENANT NBR MAURICES
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901
OWNER MAURICES PHONE (360) 452 2266
PARCEL 06 30 00 0 0 3200 0000
APPL NUMBER 10 00000843 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESUA RESULTS /COMMENTS
ME99 01 2/03/11
�r
e
MECHANICAL FINAL TIME 01 00
February 2 2011 4 49 19 PM 1pangrle
SANDY (AIR FLO HTG 683 3901)
MECHANICAL FINAL HEAT PUMP REPLACEMENT AND
AIR HANDLER REPLACEMENT
AFTERNOON
COMMENTS AND NOTES
02/07/2011 15 53 FAX 360!452 9265
9116,ClerriO
41960
1
1204.60
.1262.20
4372.60.
1 _260
4 1340
.1 .2.60
8. $2.70
1•110.$0
1148,70
'407,90
11560
11120
1.95.30
;Om
1
11910
$1j0
141020
3. 15.20
73.50
Angeles Electric .20001/0002
4
E El VED
FEB 8 2011
ELECTRICAL
INSPECTIONS
,City.gfort Angeles Pend Application
ii
Vitnalbtiltriii4.0iiis
PO4004,1111010.5.
phfillsoglr4110 074711
Paw
1 42 kyle RindlyDweRng
OrCiinteiddir
Minden /Alteration 1 Remodel Repair'
planRedee day Reddied, Please Complete Electdcal Plan Way informs* Sheet
JobAdditisc .10 V At> _i_sr" ...sr
frOlkAtirefoOtille 'loco
Dedxlption dab* &pee ef Koh Peg. rtzepirs ei
0 "13Wlinnirto ---7. 1
:Name: 1 Name
iMallagAddrong
ei
Clit: A __-...t. Matt 13 t U 9 S -,--4Nrer M Arldreu 52.4'
3 p: s3-001 abe- Sr-
Riatm J A- DP: r_iiinfot
Phone do 442. ye: Phone. ci4C2--P2 0 V p.m Aitc2.-rAile t_
li E t2-244,, LIAA/Af Licensed OA Aa/641-E.r wogs r _t
Ilk
1
Total Ots Multiplied by Unit Charnel
SsrAmfiadrit 20 ArrO.'
filski/Foadar 201.400 Awn.
Ihrstoffaeam401014mp.
1 liavicafFoolsr 601-1003 Arrip.
1 SerrieriFseder air loop Amp.
Brandt Ciallii7 SaMco Feeder
'S__Z Bra*,
,L doe Vilailinlorfaador
1 PO Each Addlonal Mika Clank
1 1 Tans. Ow/adloads 200 Amp.
1 Tamp. thoto/Fasdar 20140.66P.
1 Two. 8ariagfordar401400:Mo.
1 Torp.Eattricoffookr$01-1050AMp.
1
Patti to Portalitourt■
SkstrOsins Whilig
It eqnsi arm& WPM Energy Commit Addrikoni Ilite $6.00
Mond Maar Undid Emily 1 A 2 Candy Dosing
1 Mond MINI LIrdadirmay 11115Fmrdpmerar
1 mitarhairea Horns COMitolon
1 Ranswatris Enda* ns* -"KVA %om or Lass
1 Ron 1300 &we R.
1 Each ArMilkod 600111moo Ft. a Portion ti
1 Each OraddIng sr Oilothad Gasp
Elm eammorp0Sorlignm
Thanntstst
Tab!
1
47t.ip
e.t.d. triReltlurat Maim" IdifoccuPy Of samba far hp pass Owl* Odds' waft &dad la Dow ht ouguir#1 I to Mean Wean! cennetor ff
4141iniialdiAlfirrifOr 1816 Anew kola h.* atigra after ifs monis of Infirupoeffin. i
1
-Affritrading Mir Oro ladenont: I *sky codify Mat I ant Ms owner of Its above named properly ors Ilesnsad *Wel cookootor. I sin 664 the alsolladiotallstion or
**lila miaptlaiO41101tooMeldeillion,11EX, liCW. Chapter 19.21,WAtemiiiva$44 lb/ aid Pet ARPIN SimMIPM-Coisillid WNW 11 1•Macdone
I
Ihnirturoof own% olastrical conasstor or olactdoal administrator 0 lisde
DATE'
2 ltl
OWNER
CONTRACTOR
SC 9 f._ IL&crnetc, 'd 1JFic Al c
ADDRESS
ID k) 1
APPROVED
CORRECTIONS NEEDED: LF t C
174 4, v 1
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT I INSPECTOR
NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL [7
S N p -L. 61" 'gf
_.1a1 c 250 ;18
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Heat pump Furnace
Owner
MAURICES
C/O LAURETTA SHRAKE
105 W SUPERIOR STREET
DULUTH MN 55802
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELE
180
76 10
11 /26/11
7/25/11
Qty Unit Charge Per
1 00 73 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL -ECH ADDNT BRANCH CIRCUIT
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
76 10
00
176 10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000087
534744
104 W 1ST ST
06 30 00 0 0 3200
ELECTRICAL ONLY
0
Contractor
CASCADE ELECTRIC VAC INC
PO BOX 369
PORT HADLOCK
(360) 379 5347
ALTER COMMERCIAL
Plan Check Fee
Valuation
Paid Credited
76 10
00
76 10
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
.44(
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
00
00
00
Date 1/26/11
RESULTS
WA 98339
00
00
00
00
0
Extension
73 50
2 60
Due
INSPECTOR.
al 3) ivr
Date. /2-
2011 -01 -26 07:33 CASCADE ELECTRIC 13603799043» 360 417 4711
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.U. Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax: (360) 417 -4711
Date: t/2 Sib/
Owner Info lion
Name:
Mailing Address:
City'
Phone
License 4 Exp.
State: ZIP:
Fax:
DDEIN CONSTRICTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 00 Square Ft, or Potion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming .)ool or Hot Tub 110.30
Signature of owner, electrical contractor or electrical administrator'
000,t, 1 2
Sing g Famil y Dwelling Multi- Family or Commercial' Commercial A i, i i+'iTiRIBRrhration Remodel Repair
INSPECTIONS
Plan Review M Be Required Plea o o t el e Ele N* at Plan Review Information Shee:
Job Adorers. L
D Square of a Dotage: F 404 C P RM P G 4,/, e e y 1
Description of a e r �i
Contractor Informal I
Name: C 41 C E 1 f /I b /C .4 l./4 C
Mailing •d Or 267
City: i State: j -ZIP:
Phone: ex: T
license I Exp. 4•L Gilts 1 /3
Total (qty Multiplied by Link Charae1
Item Unit Charge
Service/Feeder: 00 Amp. 119.90
Service/Feeder '01 -400 Amp. 145.50
Service/Feeder X01 -600 Amp 204.60
ServicelFeeder 01 -1000 Amp. 262,20
Servlce/Feeder aer 1000 Amp. 372,50
Branch Circuit 1/ I Service Feeder 2.60
Branch Circuit N 10 Service Feeder i 73,50 __1— Iv
Each Additional 3anch Circuit 5 2.60 -._.L__.. .Z. 'A
Temp. Service/ I seder 200 Amp. 92.70
Temp. ServicelF der 201400 Amp. 110.30
Temp, Servl der 401-600 Amp: 148.70
Temp. ServiceIF der 601 -1000 Amp $167,90
Portal to Portal ourly 95.90
Sign /Outline Lig ling 88.20
Signal Circuit/ Li filed Energy First 1500 sf Commercial 95,90
Note: $5, for each additional 1500 sf
Signal Circuit/ Li lied Energy 1 2 Family Dwelling 63.90
Signal Circuit/ L' i ted Energy Multi Family Dwelling 63,90
Manufactured H Connection $119.90
Renewable Elec I Energy 5KVA'System or Less 5102.30 5
Thermostat 56.00
5
76 dTotai
P 1/1
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 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical in ;foliation or alteration in compliance with the electrical laws. N.E.C. RCW Chapter 19.28. WAG, Chapter 296-46B, The City of Port
Angeles Munlcl )al Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Cam Check
frewi cud ?
swim
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Like and kind heat pump furnace
Owner
MAURICES
C/O LAURETTA SHRAKE
105 W SUPERIOR STREET
DULUTH MN 55802
(360) 452 2266
Permit
Additional desc
Permit pin number 171199
Permit Fee 56 00
Issue Date 8/11/10
Expiration Date 2/07/11
Qty Unit Charge Per
1 00 56 0000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
10 00000841
048443
104 W 1ST ST
06 30 00 0 0 3200 0000
ELECTRICAL ONLY
0
56 00
00
56 00
Contractor
ELECTRICAL ALTER COMMERCIAL
EL LVT THERMOSTAT
Paid Credited
56 00
00
56 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM
(360) 683 3901
Plan Check Fee
Valuation
00
00
00
RESULTS
2l�lc�
2.316) AV
Date 8/11/10
WA 98382
6$3 3(2
0
0
Extension
56 00
Due
00
00
00
INSPECTOR.
Date
ti
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
02
.L
2
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:
l0
1 2 Single Family Dwelling
Multi Family or Commercial'
X Commercial Addition 1 Alteration Remodel Repair'
Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: 1 4 tiJ. I Ft RSt ot-t s ET
Building Square Footage:
Description of above
Owner Information
Name: M14 &t\CE t 5
Mailiz Address: _0)' vJ F1 CAT $Z ET
CityVO t �1t eLES State: %LI* Zip: 4 trMo
Phone: 3LA 41 F'S to
License Exp.
Unit Charon
93 75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
5116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
$80.00
86.25
27.50
57.50
86.25
43.75
QC
1
Owner es defined by RCW.1A28.261: (1 Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to lire art
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, t 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 298468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signatu of owner, electrical contractor or electrical administrator
x Val—late: *tit
C)
d
1L66 689 096
ECETI/ED
AUG 10 2009
ELECTRICAL
INSPECTIONS
Contractor Information
Name: t 1 IQ PLO E) t t N i'r
Mailing Address: '.la 1 C �D $i kEt
Cit SE(ku1 M State: _WA Zip: q $3$?—
Phone: la O (o$}- ri
License 1 Exp. Al a FL I:0n9e B
Total (Qty Multiplied by Unit Charcel
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
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 Commercial
Signal CircuiV Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
5 Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Game
Each Swimming Pool or Hot Tub
ii Thermostat
4 3 1 C Total
01.d NUJ WdS2 2 0102 01 2md
0
Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
HEAT PUMP REPLACEMENT AND AIR HANDLER REPLACEMENT
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
MAURICES
C/O LAURETTA SHRAKE
105 W SUPERIOR STREET
DULUTH MN 55802
(360) 452 2266
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
1 00
14 8000 EA
10 6500 EA
Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
31/4 /t o ("Ai y, 41:+41-26
T'Forms /Building Division /Building Permit
75 45
00
75 45
10 00000843
685065
104 W 1ST ST
06 30 00 0 0 3200 0000
MAURICES
MECHANICAL APPL PERMIT
13855
I
MECHANICAL PERMIT
HEAT PUMP AIR HANDLER
171223
75 45
8/10/10
2/06/11
BASE FEE
ME FURN /HP /FAU OR 5 TON
ME AIR HAND <OR =10 000 CFM
Paid Credited
75 45 00
00 00
75 45 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
Contractor
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM
(360) 683 3901
Date 8/10/10
WA 98382
Plan Check Fee 00
Valuation 0
V
Print Name Signature of Contractor or Authorized Agent
Extension
50 00
14 80
10 65
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
\.\(\eL°
pZ b 311
Signature of Owner (if owner is builder)
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By
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 1 FINAL Date
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 Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
T Forms /Building Division /Building Permit
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
kk
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
Comments
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by
Date Accepted By
FAX(TX)
DATE (START
01 'AUG /10117 45
MECHANICAL PERMIT
T I I RECEIVER
96833971
PREPARED 8/10/10 '16 24 28
CITY OF PORT ANGELES
City of Port Angeles OnePoint PoS
321 E'5th St
Port Angeles R0_98362
Telephone. 36457 -0411
44* SALES SLIP e4*
Oper• PERMITS Type. OP Drawer; I
Date. 8/11/10 02 Receipt no. 82293
Seq no. 979194
March ID A: 0001
Cross ref*. 71874
Card no: e3443
Card type: VISA CARD
Auth code 559659
Date 8/10/10 Time. 16:31:26
Payment total 175.45
CARDHLLDER ACKEI*.ED6ES RECEIPT OF GOODS
AND /OR SERVICES IN THE AMOUNT OF THE
TO11. SHOWN HEREON AND AGREES TO PERFORM
THE OBLIGATIONS SET FORTH IN THE CARD-
HOLDER'S AGREEMENT WITH THE ISSUER.
Signature:
3DEL
CUSTOMER COPY
TRANSACTION REPORT
2010 /AUG /10 /TUE 17 46
TOTAL DUE
ICOM TIMEIPAGEI TYPE /NOTE
0 00 171 1 1 OK
Ai r Flo
APPLICATION NUMBER' 10 00000843 104 W 1ST ST
FEE DESCRIPTION 1 AMOUNT DUE
75 45
75 45
Please present this receipt to the cashier with full payment
0
COr
Desewtjpt Quantity
BP 280 BUILDING PERMITS
1.08
Trans number.
BERSON, JOEL
HST ST
Tender detail
OP CREDIT CARD
Total tendered
Total payment
toy-
PAYMENTS DUE RECEIPT
PROGRAM BP820L
CITY OF PORT ANGELES
44* CUSTOMER RECEIPT
Oper. PERMITS Type: OP Drawer: 1
Date' 8/11/10 82 Receipt no: 82293
Trans date: 8/10/10 Time: 16:31:26
THANK YOU FOR YOUR PAYMENT ate
FOR INQUIRIES 360 457 -8411 PRESS ZERO
WWW.CITYOFPA.U5
P 01 /01
Amount
175.45
1183448
175.45
175.45
175.45
A, +0
1FILE1
SG3'20521
c% L&w-e+ -1 Slln <e. 105 Su fek-to S f u 1u t4 J OIN 55802.
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Build Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
t
a
Applicant or Agent Rik Fuo G-
Owner U R •c el S
Owner's Address (VA UJ pi KS
Contractor /Engineer .totip, FL t .l. kit J
Contractor /Engineer's Address ail y,) c_EDk1Z STtC
License Al L-140 O OaC
�ctu H ces
PROJECT ADDRESS to4
Parcel Number
Proiect Type Brief Descriotion.
Check all that apply
o New Construction
a Addition
a Remodel
a Repair
Re -roof
Demolition
Sign
{Heat System
Other
Floor Areas Existing (sq. ft.) Posed (sq. ft.)
Basement
1 Floor
2 Floor
3'" Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
UtkE
L_t
1
o wall- mounted projecting o freestanding a awning other
Total sign area sq ft. Maximum allowed sign area sq ft.
X Heat pump wood burning stove o gas fireplace pellet stove a other
ft.
Occupancy group
Occupant load
Construction type
projects 1
Date ��t0 Print Name U.-C {4\c"i EQ.e-, Signature
T:Forms /Building Division/Bldg Permit Appl -2006 Code.doc
T d TL6E E89 09E
For City Use Only
Date Received SS- 10 10
Permit 10 84
Date Approved
Phone 3(QO lcg3 -316
Phone 3 (c,0 4S) 4 fo
Phone $3— 9p 1
E chi SE.? UN %kik q iS 3�a--
xpires
Lot
Zoning
a Residential X Commercial o Multi family Industrial
tr4 e- PV 4, t-ik- -EC AkoN-r
ICI Pi) AIR- A-NDt -E& ct= >MENT
per sq. ft.
TOTAL VALUATION 13 SSS
o 6
Total footprint of structures I sq. ft. T Lot size
Max. height of proposed structures 1
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
l have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, an obtain •ermits prior to working on
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
Old N I E J WdS2 2 0102 01 2nd
1 �F�
NiLIC V13
Application Number 08 00000834
Application pin number 757156
Property Address 104 W 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 3200 0000
Tenant nbr name MATTHEW FIERRO
Application type description PUBLIC WORKS-UTILITES
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
RIGHT OF WAY USE PERMIT #08 22
Owner Contractor
VINCENT TTE DARRELL
711 E FRONT ST
PORT ANGELES
T\Policies \1102.15R [1/05]
WA 983623610
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Date 7/14/08
Permit RIGHT OF WAY
Additional desc RUP #08 22
Permit pin number 130021
Permit Fee 70 00 Plan Check Fee 00
Issue Date 7/14/08' Valuation 0
Expiration Date 1/10/09
Qty Unit Charge Per Extension
BASE FEE 20 00
1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00
Fee summary Charged Paid Credited Due
Permit Fee Total 70 00 70 00 00 00
Plan Check Total 00 00 00 00
Grand Total 70 00 70 00 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
fora 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.
oif sir0 0 7//4/0'
Signature of Contractor or Authorized Agent t'ate Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY INSPECTIONS. 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
-kn
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING.
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies\1 102.15R [1/05]
RESIDENTIAL
CONSTRUCTION R.W 4 PW/
ENGINEERING 417 -4807
FIRE' 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE'
DATE4 YES NO COMMERCIAL DATE` I ?ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT.
I PLANNING DEPT
I BUILDING
e
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 4/08/97
Permit No:
5882
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
MAURICES 104 1ST ST W
104 W 1ST Lot: 2
Port Angeles, WA 99362 Block: 82 Long Legal:
218/720-2199 Sub: NR SMITH
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
HANSON SIGN CO
1533 SHOREWOOD DR
BREMERTON, WA 98312
360/373-6015
,
000/000-0000
PROJECT INFO--------------------------------------------------------------______
prj Type: SIGN prj Value: $0.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use: C B D
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
Service Type
o Riser
o Overhead Service
o Underground Service
o Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
APPROX 12 AMPS FOR 2 CANOPY SIGNS
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc SIGNS $45.00
TOTAL FEE:
Amount Paid:
$45.00
$45.00
---------------------------------
---------------------------------
TOTAL FEE:
$45.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M1NIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH
-iN I \-v v nK .
SERVICE
,.
FINAl I ;//2)"1r,;;;l ~ I
f/
GENERAL COMMENTS:
PW-II02.U(4I96]
o~
"', .,..
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 3/21/97
Permit No:
5869
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
MAURICES 104 1ST ST W
104 W 1ST Lot: 2
Port Angeles, WA 99362 Block: 82 Long Legal:
218/720-2199 Sub: NR SMITH
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
STRAITS ELECTRIC
P.O. BOX 2914
PORT ANGELES, WA 98362
360/452-9104
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: COML.REMODEL prj Value: $0.00
Occ Type: Cnstr Type: ALTER SERVICE
Occ Grp: Occ Load: Land Use: C B D
Electrical Heat
. Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,208
-1 X-3
400 AMPS
o AMPS
PROJECT NOTES----------------------------------------___________________________
old US BANK REMODEL FOR MAURICES
ADD CIRCUITS, REPLACE 200 AMP PANEL
NO NEW HEAT LOAD, ADDING 35AMP 3-PHASE AIR CONDITIONING
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $65.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$65.00
$65.00
=================================
TOTAL FEE:
$65.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735'FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSUL4TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPK
DATE
ACCKPTD>
COMMF.NTS
YES NO
Ot~cLYJ 0tf-(.J
GENERAL COMMENTS,
rw-ll02.l'14l961
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 4- Z;15
DATE t}-zo-C'J3
ELECTRICAL PERMIT
Site Address:
I esT" ~.
6u:.L,
o READY FOR
INSPECTION
License Number:
CbutfZ.lif088Yj;,
o WILL CALL FOR
INSPECTION
Phone: 'ZCb
~"7- It:'. DO
Phone:
h~+ 5+.
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
)&:..ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: no /zAO
~ SINGLE' PHASE
o THREE PHASE
SERVICE SIZE AMPS
o SIGN 0 SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription: c:/ e.cu ir 6x. "f'ti;NbIDN feR- Al../T'u J'-lA-Ttc- iJed2.- CJfbt-lf:;J2..S
.
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
)~~ Final O.K.
Site Address:
/ f.) + W. Ft lZ6 -t 'S+.
In~4teAN 6~,
Date:
tJ-ZO-'J3
.
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 Buil ing Permit. PHONE 457-0411, EXT. 224. ~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ '30 ~ 'p~
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - fire by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
,;;; 1.:( 7
~//y/3c;
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o Nyw Construction
lLrllemodel
o Service update/alter/repair
[}Y1(dd/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 03.0'
Service size
o Temporary
Amps
Detai I s/Descri ption:
,4-/d
~~I:
.,J- G; 'j h ~ ~
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
,;;lbfJJ?/ Final O.K. COI'..... ,'",""t<<r<-5
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
/0
t-J
/~
Permit/Receipt No.
Installer:
New Meters
.
/t ~J
Notify the Departm nt 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.
I c, .gf'
6.7~
g-
~
Inspector
WHITE - file by address YELLOW - file by number
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.
.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
LIGHT DEPARTMENT
DATE
/600
.
3-f'j-Jo
PERMIT NO.
Site Address: 101- 1sT D READY FOR D WI LL CALL FOR
k fA} INSPECTION INSPECTION
knstalled By: Co CIfIAJ lL [c. 'Title tho l)<!cC~e('~~l~ ~5 08K Phone:
'J;IJC.
~wner/BUSiness: Phone:
Owner/Business Address: Sq. Ft.
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
'1l1f Commercial/Industrial load
f "Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D New Construction
D Remodel
D Service update/alter/repair
~ Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
DetailslDescription:
If Do Ie-
Overhead
Underground
tage
D Ii!J D 30
Servl e size
D Te orary
Amps
cJ~
,
S/1,v Q
~
1/. S. 'EA-N fL
@ 4Rbu\:..
5/6N. (f(tat/'J
-
.
r"'s-T'M-l
DIsc IL/ t [
/.+ouJ CIa.. "'-'A"
yJ~vJ
CliL
S/?N
(<v r-J 'TlO
A-ilID IttS'>
I/.J II#r P'Mlf L)
W.S. No. Service Size
Capacity: D OK D Not O.K. Comments
D Ditch inspection OK
D Rough-in/cover O.K.
D O.K. to connect service
~ Final O.K.
Date
Hold for: 0 Easement D letter
D Signed up for service/meter
D Meter Department notified for installation
o Fire Department notified of inspection
D Plan Review approved/pending
fA) ( sr
;staller: CtJCH I2ArJ a [C 1/!-fL 8. Ale 0 New M~ D~_(8_n
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
,>y the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.04 ,EXT.158 or EXT. 224.
\ tit I- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ' ...~
\ Inspector Amount paid
TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
\
Site Address:
'f 104-
.___.de PRINTERS. INC.
Permit/Receipt No.
I
/
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
Site Address:
/0
Installed By:
Owner/Business:
OWnerfBusiness Address:
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
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
~ Special equipment
(list below)
Details/Description:
PERMIT NO.
/S-0 ()
3- ;; lerJ
DATE
o READY FOR
INSPECTION
License Number:
~ILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
010" 03.0"
Service size
o Temporary
Amps
JIUJlnll
rSt~1J
,
~
!o/4w
.
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.
o Rough.in/cover O.K.
o O.K. to connect service
". Final O.K.
<fB""^--
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Site Add/Of (j). fa
SiM S
Permit/Receipt No.
/3700
New Meters
U
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 ~ b t!:f!
I Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspecto'r, Bottom: City Hall
.
OlYMPIC PRINTERS, INC.
/095
FEE RECEIPT NUMBER
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND. ELECTRICAL PERMIT
A
r; I z-A
PERMIT NUMBEA
.
TOTAL FEE /6 O.!!-
CONT. Lie. NO. rIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /04. W ;::I/? J"r-
. . CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner (1/ f 1>kv I <; .
Owner'sAddres~ . U)..vl<<. i 1'l:'lliS .
\
Day Phone
Application Is hereby made for,Permit to lnstalll;lectrlcal Equipment.as follows:
'T#F~/' fv .tf.4I-M
TN;;-,/-A-l{ tJ~.... I'Z-G V R,f<.r-f ;,v
.
NUMBER AMP 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V 100R FEE USE OF CIRCUIT PER 10'OA FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 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 .~
DRYER - REINSTALLATION LIGHT FIXTURE # .
FURNACE I. . sue TOTAL FEE
GAS - OIL
FURNACE . ENERGY FEE
ELECTRIC -
BASIC FEE
ELECTRIC H!=AT - . TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-
, A.C. UNIT PHASE
.AMP
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB.TOTAL -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
I certify that the work to be performed under this permit will be done by the Installer and in conformance with the N.E.C. Electrical Code.
DateA'pp;,catlonmade . '5'"'/'2-1; / f{. ,19 BY/X~~~~
/ 1_, CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
,
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ,
DIRECTOR OF CITY.LIGHT
! 1(7/ By vf. >-=
Date Permit Issued & 2.A; ".h
J .' . _ PLANS ~PPRO EO .
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work'must not
be covered or current turned on before inspection and'O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC,
'.\
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
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.
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-O;K:'POR'COVERING
O.IeT'O'CONNECT'SI!RYtCE
""FIMAI:O;K.
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J~ Ditch Inspection O.K.
.~ "fj Rough-in/cover O.K.
o O.K. to connect service
H Final O.K.
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. tjl"76"7
9 ~ / .y(
. .
DATE
ELECTRICAL PERMIT
Site Address:
Sq, Ft.
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
~DD/ALTER CIRCUITS
([] SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0,1 rf> 03 rf>
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
~Lp/1~ ~~-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
ai.
Permit/Receipt No.
. Lf76 7
New Meters
~
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;;' ing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~O
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Boltom: City Hall
OLYMPIC PRINTERS INC
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17881
. 3-P-- F3
Port Angeles, Washlngtonh..____.u___...u....__________..._..________.___.____m, 19.__..__.
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 do electrical work as listed below.
Address ___/~.r.:uu~.0:{,-.---mm---uuuumu.....----.u..u OCCUpanCy.u.,..!f:'F:_C6?m_m.n___m._____....
~::~ ~~~::d:~::::e~;r:4;:~~~;:::::::::::::::....:~~~::::::::=::::::::::::::::=:::::::::::::::::::::
Light Outlet........................~......_..~... Service, volt. ./'?n':!/.?::!.:c;,...... Type of Wiring:
Receptacle Outlets......._...___mmm._.n... No. wires ..__m~__.~.........mmmn__ Armored Cable ...m.....................__.
?M~
SIze wlres_......_...................n_.....___
c?0.... Main fu.e ./)~9..A.__......
C!'. 7/
Enclosure ..nmm_mm._.4.....__...m__
Dryer, KW..........._u..u....__....___.._..__....
Range, K\V _......h___h_____n___h___
Water Heater:
KW.....___....________n.....__.___
Type of wIring:
Entrance Cable ..___.n..........m_.......
Heat: KW..............n...hu..................__uu....
Motors: size, volts and phase:
,Ce.t:f--:t"ut" ..__.f.::::d_____...?.r.'!._.~..t..__.
: J L0-' J 3!J/I J Y Co 3,p-'-
I-..ur;- '1 .__.._......_.___.............___..__.......
Rigid Conduit .m_.mn_m........
Metallic Tubing m_.............
Current transformers:
No. & Size.__.........n........__.__..__....__..
'"
Ser. No.u...........................................
Ser. No. n........................n._._....._.._....
Ser. NO.nn..n..._..............n._...............
Total Load.....nn....._..........._..
Ser. No. .........00___...................0000_...;...
Non-Metallic ........._................00...._
Knob & Tu be.......................___....._..
Rigid Conduit ._____n____.._.........___
Metallic TUbing .._................_m_.n
Raceway ............__._n_...................._
Circuits, Light...m........n....n....n._....____
Utility .._________.........._.....______.______
I-Ieat .__.______.....................................
Range __________....................__...._.______.
Water Heater nn._......._.................
Motor .....0000.....__._____00.__........00..._....
Dryer ....................00._..0000_.__.............._
Furnace ._...._..................'___.__._._._..._.._.
Total .........._n_n__..n.................
/- "3 r;f' ,:;JOe? /f
Remarks : uuuu.--...u___uuu..___mm.uu.n_UhUU..UU.uu.___.___um.u..mhu___.m__.mhumm__.mmum.u__.mmuum____u_____
.---um.-___u__mmu____mummL::O__mu___u/m~.______..__,:2.?:.q__mAuu__.mum__mmuum_____uumu__.mumuuuum.m.
---n....U.n___...nuuuuUh__.n._n___n..nu.n.nn.__..nuuuuuu._h..--u...n...un..nn.n.._uunn.uu____nhnbnu..uhh___nu.uuu...n._.
Permit Fee
$:00.......___000000..__.___.___....__.
Treas. Receipt
NO..........___..___........m
B:i:..:L../..~;:;.~?g~,:L__.__,
r"
NOTICE-Current must not be turned on until CerUf1cate of Inspection has been issued. It work 18 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~ 1 7 8 8 1.
Address._..._...........____...................._......................._...._..............._................................_................Date..._.........._______.........._.__..._._...._.....__..
Owner ....nn.........._.n___n____...._......_.._nn_._...n._.._.............._..................._...n__un....n__..u Tenantnn_.......n_......n_...nn__........n_____n__.......nn.nn
WiringContractor............_______.._....................................._.................._..___.__.......__.._..............__......By___......_______.._..........._..__...........................
NOTICE-Current must not be turned on until Certtflcate 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. .
, -.
-,
~ .\
1M
Olympic Printers, Inc.
~' .~i
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel, Circuits only
Tenant can move inventory, but service upgrade required before opening.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/26/2022 21-1250 TAP
OWNER
CONTRACTOR
North Peninsula Electric
PROJECT ADDRESS
104 W 1st St
Application Number . . . . . 23-00000354 Date 4/13/23
Application pin number . . . 591772
Property Address . . . . . . 104 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3200-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Lighting
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OOT PROPERTIES LLC KIRSCH ELECTRIC INC.
PO BOX 2047 P. O. BOX 3396
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 683-6819
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 4/13/23 Valuation . . . . 0
Expiration Date . . 10/10/23
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 86.00 86.00 .00 .00
PREPARED 4/12/23, 7:57:06 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000354 104 W 1ST ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/20/2023 23-354
TAP
OWNER
CONTRACTOR
Kirsch Electric
PROJECT ADDRESS
104 W 1st St