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Home My WebLink About128 W 1st St - Building ELECTRICAL PERMIT d CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000028 Date 1/12/10 Application pin number 064132 Property Address 128 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3220 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Security system Owner Contractor SMITH WILLIAM F SECURITY SERVICES NW PO BOX 967 PO BOX 660 ` PORT ANGELES WA 98362 PORT TOWNSEND WA 98368 ) v (360) 457 4737 (800) 859 3463 Permit ELECTRICAL ALTER COMMERCIAL Additional desc (^ Permit pin number 159343 (JJ Permit Fee 95 90 Plan Check Fee 00 Issue Date 1/12/10 Valuation 0 Expiration Date 7/11/10 Qty Unit Charge Per Extension 1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT 95 90 Fee summary Charged Paid Credited Due n Permit Fee Total 95 90 95 90 00 00 UJ Plan Check Total 00 00 00 00 Grand Total 95 90 95 90 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL l O COMMENTS Signature of owner or Electrical Contractor X Date 01/08/2010 12 27 3607978482 SSNW � � PAGE 401 VED REJAN 11 200940 � <f CITY OF PORT ANGELES PERmrr APPLICATION ELECTRICAL Q Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street—P.O. Bog 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fag: (360)417-4711 Date: os o N 1 &2 Single Family Dwelling MultWamily or Commercial* —Commercial Addition/Alteration/Remodel/Repair* *Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet Job Address: 12tQS t d, EJ 1281'- ,t�e,2a' Ai►�(o�, "94-- Building Square Footage: fan D Description of above 6�N dLA trcJ Owner In on Contractor Information Name: W bl-l.l A ft L`C Name: S yZceS �✓ tT Mail' Address: BOK `16? Mail dress: Phone, — fax : aw Zip: 8 +N,> �$2 P aie�97T-elf Far �zip: License#1 Exp. License#I Exp. .56tyt c2.SAJQQQ GT Item Unit Chame 9b[ Total(Qty Multiplied by Unit Chamel Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 40140 Amp $204.60 $ ServicafFeeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W1 Service Feeder $ 2.60 $ Branch Circuit W10 Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp $167.90 $ Portal to Portal Hourly $ 95.90 $ Signloulrne Lighting $ 88.20 $ Signal Circuit!Limited Energy 1 First 1500 sf-Commercial $ 95.90 $ � Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy 1&2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy Multi-Famlly laurelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Eled cal Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $�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. Signature of owner,electrical contractor or electrical administrator. ❑ Cash ❑ Check Xcradn c,d# 4 1 t zznk CERTIFICATE O City`of Port Angeles - Building Division This certificate is issued Pursuant to the requirements of Section IO;6f the A.06 International Building Code certifying thatath timeof issuance this structure was in compliance with the various ordinances of the City regulating bualdzngcorislr<uctzonyor use for the folloi CERTIFICATE OF OCCUPANCY APPLICATION Permit# 0 — IZ C~v' �dK/ter CITY OF PORT ANGELES FEES Attn Building Permit Technician / 321 E. Fifth St. Port Angeles WA 98362 $5000 ertlficate Inspection (360) 417-4815 fax (360)417-4711 $100 00 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME BUSINESS ADDRESS 7 Z 6�- w /S j�rl;,�� lis 4,J.9- S fs3CZ Zoning C D Businesss-mailin address e- Phone# OpemngAate /-%-o9' fs 1 Das & hours of operation //A^t - ?tel Washington State Tax I D # If known list the name of the previous 6 business at this location -:2;vk 72,focl Brief description of proposed business Zae' / 16 /L�/L�7Gs c /�e�so-✓c/ .� ri7� Business owner's name r �`� 4✓ 1,+4 o Gl,I Phone# Business owner's home address "zZZ PLEASE NOTE. A Business License is also required for the following businesses.Taxi, Peddlers, Second-hand dealer Pawnbroker Dance Hotel- Motel, Fireworks,Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE,BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT Electrical changes Electrical Dept. at 417-4735 New business New or relocated signs Building Div at 417-4815 Construction changes Transfer of business Mechanical changes ventilation,heating,cooling,etc. c/ location from a Plumbing changes t/ PBIA location Firesprinkler system changes ✓' Fire alarms stem changes Transfer of business New or relocated sewer or water service t/ Public Works at 417-4807 location from a Excavation or filling of lots >� non-PBIA location Work done in the City right-of-way New driveway openings +/ Change of ownership Grading site drainage(parking lots,downspouts,etc.) Landscape irrigation system backflow devices Water Dept.at 417-4886 Remodel Is this a home occupation? Planning Div at.417-4750 Is this a second-hand dealer or pawnbroker business? f_ City Clerk at 4174634 Temporary business Is there off-street parking for.this business? F How many spaces? Is the street in front of this businesspaved? Change of use Is there a sidewalk in front of this business? ✓ Is there a curb&gutter in front of this business? Call for Certificate Of Occupancy inspections before Opening business. Please sign up for utility services Building Departm6nt Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have.read this application and state that the information I have supplied is correct to the best of my knowl�e / Date -2�-O� Print Name / , C ``(ook%r Signaturecvt - For City use only- Department, Approve Rejected Comments I Conditions Initials&d Initials&date Building fell Type of construction Occupant Load Fire 'Q_ g-oq Automatic fire sprinkler system required no yes PBIA Jo 2-1—6l Planning —7,6—oqI City Clerk Public Works 11-2-1-09 V T.Forms/Building Division/Certificate of Occupancy Application 207 201 107141 r 139 135 129 ; . 200 { 125 ' ,•3S 123 119 117 I � 4 138 ` d El 104 y � �, 122 a''�. •� . 139 133 frn"a� 131 127 � r .':�aye 427 {.' � .,'�> .�✓'':.. `�` 138 ~;tr. '�: }�;.,. -.� " t�g A� � Fl, O t CERTIF k.'. M _ O . 'UPA111CY Cio.1FPort Angeles Btirld.ing. r ision This certificate is issue ursuant to the reyuiremenfs of Section I O off"the '106 International Building ART'Vn-N— Code certifying that a he time of4ss:uance this structure was in compliance wr the various ordinances of the City.regulatin utldtng;;,cotistructtonMruseQfor the fo6lowrn` Business name pEt M ld{'Rose ('Owners S:adGrana i ; ix .. Business address s. 1f8W 1 St h Property owner William F SMit, Property owner address:= PO Box 967Part,Angel2s;WA983°62-01 9 Automatic fire sp inkier ystem PeFl! Use & occupancys ��Atr' lastf�ation. BusPtless Building permit nu b1 09-6'50 t Type of construction. Occupant load. 07/22/09 kn�t?g�ctna r Date Post on the premises in a conspicuousplace. s _ is fbe removed except.by the Building Official. 1 '7- Z9 -6� V\ 'j, J&, N 2 8 1nJ S� 5-�-- CERTIFICATE OF OCCUPANCY APPLICATION Permit# W 50 ``v CK�fs CITY OF PORT ANGELES � FEES Attn Building Permit Technician cam' 321 E. Fifth St. Port Angeles WA 98362 $50 00 Certificate / Inspection Par (360)417-4815 fax (360) 417-4711 $100 00 king Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME BUSINESS ADDRESS Zoning Gg Business mailing address 7 y q_— Phone# (oo z - Z/ O ening date G Das & hours of operation L ,, Y o ov► — Z ht Washington State Tax PD # If known list the name of the previous business at this location SUe-k x-ftk Brief description of proposed business Za. kou ID t✓L,'Y, Business owner's name �f Phone# Business owner's home address I y wt rE ,je7, 0036-a PLEASE NOTE. A Business License is also required for the following businesses Taxi, Peddlers Second-hand dealer Pawnbroker Dance Hotel- Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information. ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NO✓ YES✓ IF YES CONTACT Electrical changes i Electrical Dept. at 417-4735 New business New or relocated signs ' { D Building Div at 417-4815 Construction changes Transfer of business Mechanical changes(ventilation, heating,cooling,etc. location from a Plumbing changes PBIA location Firesprinkler system changes Fire alarms stem changes Transfer of business New or relocated sewer or water service Public Works at 417-4807 location from a Excavation or filling of lots non-PBIA location Work done in the City right-of-way New driveway openings Change of ownership Grading site drainage(parking lots,downspouts,etc.) Landscape irrigation system(backflow devices) V Water Dept.at 417-4886 Remodel Is this a home occupation? V Planning Div at 417-4750 Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 Temporary business Is there off-street parking for this business? How many spaces?1pow Ui1 Is the street in front of this business paved? Change of use Is there a sidewalk in front of this business? Is there a curb&gutter in front of this business? Call for Certificate of Occupancy inspections before opening business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct toithe bgst of my knowledge Date 1SPht Name ` )O�� 'r0� SignatureLC /7, For City use o De artm Approved Rejected p Ini ials date Initials&date Comments/Conditions BuildingW-7/29 Type of construction Occupant Load Fire D 716/01Automatic fire sprinkler system required no yes PBIA —, PlanningSR City Clerk —7 I Q t t Public Works L 111 T:Forms1Bu;.ainy Qi ision/CertiricaI of Occupancy Application -�-rx`�-•.�-�-R,.�,.`s "�' V�, e�*.;�� ' W,;+y. �n7l u 5. zolt �a7 14'1 139 129, •260 125' rt• '• � :��%pti ., 4 !°"�� -: 199, .� re13, q. Al `• �` �`� ��'�� „�, '` �`� �tsf � ` 'fir ` �v Yd, a 4 126. `' •"" ': kf 44 12' i ;a 1334 j 131 2• e ,{ a'r Y"4: s 'r ,�r� "127 ��`!* .� s;x ,i'� '��`°� •?�:L "z;°oiva°,� '` .G."a..�,"l ._. ...�.., ,.. ..i�uyss>ii• wt'.w " a.� +Y,�«c-,"i."�•::^i`'�',k�.`� :,.is:iriJ..t S'�r9..�1.`f..:^..ee..E� E�,La.v ^3L,aL`sd` �e ry CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 =M Application Number . . . . . 07-00001069 Date 9/20/07 Application pin number . . . 463442 Property Address . . . . . . 128 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3220-0000- Tenant nbr, name . . . . . . SUCK INK PRODUCTIONS Application type description COMM REMODEL Subdivision Name Property Use . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 100 Owner Contractor ------------------------ ----------------------- WILLIAM F SMITH OWNER PO BOX 967 PORT ANGELES WA 98362 (360) 457-4737 --- Structure Information 000 000 TEN. IMPR. - ADDED 3 WALLS AND A SINK --- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST _ -------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . TENANT IMPRVMT-3 WALLS & SINK Permit pin number . 111070 Permit Fee . . . . 50.00 Plan Check Fee 32.50 Issue Date 9/20/07 Valuation . . . . 100 Expiration Date 3/18/08 Qty Unit Charge Per Extension BASE FEE 50.00 ___ ____ __-------- Permit . . . . . PLUMBING PERMIT Additional desc . . ADDED A SINK Permit pin number . 111088 Permit Fee . . . . 79.00 Plan Check Fee .00 Issue Date . . . . 9/20/07 Valuation . . . . 0 Expiration Date . . 3/18/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 ---------------------------------------------'__-------------------__------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------"' ---------- Permit Fee Total 129.00 129.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 / Other Fee Total 4.50 4.50 .00 .00 Grand Total 166.00 166.00 .00 .00 j\J Separate Permits are required forelectrical 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ol Signature of Contractor or Authorized Agent Date Signef re of Owner(if owner is builder) Date's r:\Policies\1102_15 building permit inspection recnrd05.wpd(1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4515 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSI'ECfIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES � PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. lT IS UA'LAII'FUL TO C'OI-ER,DYSL//ATE OR CONCE.-iL AA'I' If OlCli IIEFORE LA'SI'ECTEDAADACCEPTED. POST'I'ERMII'IN.ACONSf'IC000SLOCATION. 0 KEEP PERMIT CARD AND AI'PROVED PLANS AT JOB SITE, INSI'EC'I'ION''I'VI'll UA'P8 AC'CEI"FED COMMENTS 1'ES NO FOUNDATION: FOO'I'I NGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS I'IGILS POST HOLES(POLE 131,DGS.1 PLUMBING UNDERFLOOR/SLAB ROUGI M N WATER LINE(METER TO BLDG) p - GAS LINE FINAL U II7-1,ODATE " —v ACCEPTED BY- BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WA.LUHOLD DOWNS N WALLS/ROOF/CEILING nV/11_ DRYWALL(INTERIOR BRACED PANEL ONLY) rr� T-BAR INSULATION _ SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-IN - ' HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCK]NG&HOLD DOWNS SKIRTING PLANiNINGDEPT. SEPARATEPERMIT x's SERA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE F7�RESIDENTIAL DATE VES NO CUM MERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTIDN R.W./P W/ CONSTRUCTION-R.W. ENONEEIUNG 417-4807 PW/ENGINEERING FIRE - 417-4653 FIRE DEM. PLANNING DEPT. 4174750 PLANNING DEPT. o BUILDING 41i-4815 BUR.DING O Z-7Tc T:\Po6cics11102 I S building permil inspeaiun recnrt705.wpd[I I42D05] PREPARED 9/27/07, 12:24:27 INSPECTION TICKET PAGE 19 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/2]/0] ------------------------' ------------------------------------------------------------- ADDRESS : 128 W IST ST SUBDIV: TENANT, NBR: SUCK INK PRODUCTIONS CONTRACTOR : PHONE OWNER WILLIAM F SMITH PHONE (360) 457-4737 PARCEL 06-30-00-0-0-3220-0000- APPL NUMBER: 07-00001069 COMM REMODEL --------------- __---__---------__--__--------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -'--------------------- BL99 01 9/24/07 JLL BLDG FINAL TIME: 01:00 9/24/07 DA - OVERRIDE TAKEN BY LPANGRLE DATE: 09/14/07 TIME: 13:40:06 09/14/2007 01:39 PM LPANGRLE RAY 452-4218 BLDG FINAL - THREE INTERIOR WALLS (TENANT IMPROVEMENT FOR THE SUCK INK PRODUCTIONS TATTOO BUSINESS) AFTERNOON INSPECTION - CALL FIRST (THE BUSINESS IS CLOSED MONDAYS) 09/24/2007 04:29 PM JLIERLY ---- �/ this for a frame inspection and is approved/jll BL99 02 9/2]/0] BLDGFINAL TIME: 01:00 09/2 09/27/2007 08:55 AM LPANGRLE RAY 452-4218 BLDG FINAL AFTERNOON ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL99 01 9/24/07 JLL PLUMBING FINAL TIME: 01:00 9/24/07 DA ` OVERRIDE TAKEN BY LPANGRLE DATE: 09/14/07 TIME: 13:41:56 09/24/2007 02:50 PM LPANGRLE RAY 452-4218 PLUMBING FINAL - ADDED A SINK (TENANT IMPROVEMENT FOR THE SUCK INK PRODUCTIONS TATTOO BUSINESS) AFTERNOON INSPECTION - CALL FIRST (THE BUSINESS IS CLOSED MONDAYS) 09/24/2007 04:30 PM JLIERLY vent sinks or aav/jll PL99 02 9/27/07 JB PLUMBING FINAL TIME: 01:00 09/27/2007 08:56 AM LPANGRLE RAY 452-4218 PLUMBING FINAL AFTERNOON ------------------------ -- ---------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/24/07, 10:35:23 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/24/07 ------------------------------------------------------------------------------------------------ ADDRESS : 128 W IST ST SUBDIV: TENANT, NBR: SUCK INK PRODUCTIONS CONTRACTOR : PHONE OWNER WILLIAM F SMITH PHONE (360) 45]-4]37 PARCEL 06-30-00-0-0-3220-0000- APPL NUMBER: 07-00001069 COMM REMODEL ________________________________________________________________________________________________ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS IS _______________________ __A_________________ _____ BL99 01 9/24/0] .T�rII 9GDG-Pi-N*b-AIME: 1:0 _________- -i OVERRIDE TAKEN BY LPANGRLE DATE: 09/14/07 TIME: 13:40:06 Y 09/14/2007 01:39 PM LPANGRLE RAY 452-4218 BLDG FINAL - THREE INTERIOR WALLS (TENANT IMPROVEMENT FOR THE SUCK INK PRODUCTIONS TATTOO BUSINESS) AFTERNOON INSPECTION - CALL FIRST (THE BUSINESS IS CLOSED �I MONDAYS) PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS _____________________________________________________________________________________ PL99 01 9/24/0] PLUMBING FINAL TIME: 01:00 OVERRIDE TAKEN BY LPANGRLE DATE: 09/14/07 TIME: 13:41:56 09/14/2007 01:41 PM LPANGRLE RAY 452-4218 PLUMBING FINAL - ADDED A SINK (TENANT IMPROVEMENT FOR SUCK INK PRODUCTIONS TATTOO BUSINESS) AFTERNOON INSPECTION - CALL FIRST (THE BUSINESS IS CLOSED MONDAYS) ______________________________________ COMMENTS AND NOTES -------------------------------------- Vleo ew IL V UV pp CITY OF PORT ANGELES—Construction Plans `5\ The Issuance of this permit based upon these plans,specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in 6 violation of all codes and ordinances of this jurisdiction. roval 0By °�G � � 07 CCL a Q P gQ�� Tn� t9 5� Si nJ�� ci'4e 6a`N-om CI(� ovi cehleve BUILDING PERMIT - APPLICATIONFOROFFICIAL USE ONLY: o �s 6 Date Rec._� Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans,specs,and a 8 %:" x 11" site plan MUST BE COMPLETE to be p accepted for review. (360)417-4815 FAX (360)417-4711 ate Apprproved: Date Issued: Residential projects: submit two sets of plans /Commercial projects: submit three sets of plans Applicant or Agent ��/ l�eZ''�.Ly�e'h e'� Phone �/S� Owner t, Smi'fiN Phone Owner's Address Contractor/Engineer State License # Expires Contractor/Engineer's Address Phone PROJECT ADDRESS: 12' OV Gtj 11T ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE'OF WORK SIZENALUATION ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ SF._ $ ❑ Multi-family ❑ Addition ❑ Move. ❑ Garage SF. @$ /SF._ $ - ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ SF. _ $ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ 161) BRIEF DESCRIPTION OF THE PROJECT: ' �yv6e /dC, vje w lS JW Sr HK l2i,ra�e.4 ' -T-C- Suc� --PhlL Pm(4ui: l,`OI ,� Iat+ar�\ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type. S(1AD J Existing Structure(s)basement Sq.Ft. & Proposed Structure(s) basement Sq. Ft. V floor Sq. Ft. & 1"floor Sq. Ft. 2nd floor Sq.Ft. & 2"d floor Sq. Ft. 3rd floor Sq. Ft. & 3'd floor Sq. Ft. Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. Existing Structure(s)TOTAL Sq. Ft. & Proposed Structure(s)TOTAL Sq-Ft. TOTAL of existing& proposed structures Sq. Ft. LOT COVERAGE Maximum Height of Proposed Structure(s) Ft. Lot size Sq. Ft. - Existing Structure(s)Sq.Ft. Footprint Are.you-planning to install a lawn sprinkler system? Proposed Structure(s)Sq.Ft.Footprint TOTAL Structure(s) Sq. Ft. Footprint - Total Lot Coverage % (Divide Total Structure(s) Sq.Ft. Footprint by Lot Size Sq.Ft.) VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects)each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) 1 hereby certify that I have read and.examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain such permits prior to work. Date /� �� Applicant ell T:\FORMS\BUILDING DIVISION\BldgPermitAppl:2006 CODE-backup.wpd ME Al City of Port Ange1 �Bu1lding Dw,ision This certificate is issue rpurstivant�to the requirements of Section 110 of the 20 International Building Corte 1 � ' certifying that at the t le of trsuance thr structure was in cunaplzancc with the v riozis ordinances of the City regulating building coo nstr.-uchonr use fot rthe followzng:�, Business none: SuckUn,k Productions Business address E12 W 1�` St k s Owner ofbusiness RayVeenstra Owner's address 5:a 6E. 12`� St., Port y4ngelesWfP98362� " Automatic fire .rpt i Hesiem: Not Required We & occupancy c1m,f ealion. Business. Building permit num r 7s1F06 Type afconstruetton B : Occupant load. Per I a 09-26-07 UIcrrgM ager Date Post on the premises in a conspicuous place. This ce I e 'ha I not be removed except by the Building Official. SUGk Tr,k PrvduAons it-o-7 - 106 \50'00 ROUTING SLIP ry P QV' Certificate of Occupancy ' ! \\ $ 6 Certificate/Inspection Fee , O� DATES efCJ� / 0 ( ) New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . Address of Proposed,Business fQUAIve5 06\ Transfer of Business Location . . . . . . . . . . . . . . . ( X ) j ag W P "e Change of Ownership . . . . . . . . . . . . . . . . . . Applicant �► 1% Vee�S �/Z�? New Building (. ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address /fp e-= a /' Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) P 983 (oz- Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business y,S a yoli� home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: ��t� Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: SOY ula S WILL THERE BE ANY OF THE FOLLOWING? d Q" YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes . �r. >l!�.7�r�s.•F . . !� V, + Irica BUSINESS LICENSE (� Electrical changes . . . . . . .. . . . . . ... . . . . .. . . . . . . . �� 1 B �e' y�:�1C 1) Taxi Mechanical (heating,coolinpr,sjOvesI . . . .. . . . . ✓ 2) P6u 21 �godlers Plumbing changes. . .tr��l�.'1'. .Sh.h..... . . . .�K) ✓ 3) bs\S �rQ1,o 3') '2rsd Hand Dealer New or relocated signs . . . ... . . . ..e. .r, �.�7\r" 4) Mechanical Q\ $4. 4) Pawn Broker New septic tanks .. .. . . . . ... . . .n.r7„�e.Q.... . . . .. . V 5) Sewer -��' Q�c�,� 5) Dance lJ^ ova New sewer service. . . . ... . . . . . .. . . . . . .. . . . ... . . Y 6) Sidewalk installation ko'\6) Hotel-Motel U7 Admission charged to patrons . ... . . . . .. . . . . ... . . 7) Driveway installation 0A 7) Fireworks Is this a home occupation? . . . . . . .. . . . ... . . . . .. . . 8) Curb installation 8) Ambulance n Excavation of filling of lots. . . . . ... . . . .... . . . .. . . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way .. . . . . . . . . . . . . .. . . . 10) Water meter installation 10) Other Is there sufficient off-street parking?. . . .. . . . . .. . . . . V 11) Fire New driveway openings . . . . .... . . . . ... . . . . .. . . . 12) Occupancy A grading plan for site drainage . . . . . . . . . . . . ... . . . V 13) Sign QY � nO w (parking lots,downspouts,etc.) ... . . . . . . . . . ... . . . L 14) Shoreline 1 Are the existing streets paved?. ... . . . . . . . . . . .. . . . VL 15) Home occupation Are there existing sidewalks? . . . ... . . . ... . . . .. . . . y 16) Conditional use -T—SA Is there curb and gutter? .. . . . . . ... . . . ... . . . ... . . ✓ 17) Other Other.. . . . . . .... . . . . ... . . . . . .. . . . . .. . . . . .. . . . 9 I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: ¢�p � a�i.�� information I have supplied is correct to the best of my v �( knowledge. yFSigned: ;ie p 21 o-7 rrnrJea Blc\ P1 rYll1- 07- IObci AG�D REJECTED Comments/ Conditions _ Building Section C Public Works Department NI �4IbZS� Planning Department O t{yD / hu'Ic� Fire Department J 1/z51�7 City Clerk RH P.B.I.A. PREPARED 9/24/07, 10:35:23 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/24/07 -----------------------------------------------------------------------------------""----_----- ADDRESS : 128 W IST ST SUBDIV: TENANT, NRR: 452-4218 RAY VEENSTRA CONTRACTOR : PHONE OWNER WILLIAM F SMITH PHONE : (360) 459-4737 PARCEL 06-30-00-0-0-3220-0000- APPL NUMBER: 07-00001066 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 GRANGE OF OCCUP/USE REQUESTED ZNSP DESCRIPTION TYP/SQ COMPLETED �RREEESSUULLT/ � RESULTS/COMMENTS C099 01 9/24/07 V BLDG C/O FINAL TIME: 01:00 OVERRIDE TAKEN BY LPANGR00 DATE: 09/20/07 TIME: 16:29:13 09/13/2007 04:25 PM LPANGRLE RAY 452-4218 C OF 0 FINAL - SUCK INK PRODUCTIONS (TATTOO BUSINESS) MON AFTERNOON - CALL FIRST (BUSINESS IS CLOSED ON MONDAYS) -------------------------------------- COMMENTS AND NOTES -------------------------------------- OF pORT,iNC CITY OF PORT ANGELES FIRE DEPARTMENT 102 E. 5th St., Port Angeles, WA 98362 (360) 417-4655 'rte FAX (360) 417-4659 �ttttt�r INSPECTION NOTICE OEPAPt� a ' Page of S�G� lrr� �Yro:.J Date 3395 Busi. M Addr. 128 W IST Struct. Cit /St2 y/State Phone w�18 Mail Addr. 4 670 - Owner/Occupant/Manager J� � No 1/e�yty�ra Phone No 431.1 Occ Code Alarm NO HazlMat NO Spk Knox 449" X16 o Phone Emrg. Contact , °herd- ��k� 230 Comments Last Inspected 4/30/2004 Alarm Tested Inspectors Test 2" Drain Test Date Static Residual A Reasonable Degree of Fire/Life Safety Exists at This Time ❑ DATE VIOLATION - NOTED FIRE CODE VIOLATIONS CLEARED # 0 01(11-Al vi& ,""i t Measures shall be taken forthwith to correct all of the violations listed. RECEIVED BY X DATE REINSPECTION DATE y By: Fre Inspecior(s) Our goal is to work cooperatively with the community to provide a fire safe environment. Shift r FIRST NOTICE 5vC- Fro `ons \50'00 ROUTING SLIP �' Certificate of Occupancy w U _ 58�Q6 Certificate/Inspection Fee DATE s�pT la? . UQ New Business. . . . . . . . . . . . . . . . . . . . . . . . . . I Address of Propos. . . . . . . Businessv�S MY� Transfer of Business Location . . . . . . . . . . . . . . . ( X ) ? w I Change of Ownership . . . . . . . . I . . ( ) Applicant pa ephNew Building . . . . . . . . . ... . . . . . . . . . . . . Address lr—zu o'--ii Remodel . . . . . . . . . . . . . . . ( ) . . . . . . . . . . . . . . . . . r R 983 (oz- Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business 'q, a ydib home Change of Use . . . . .. . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: �C7� Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes . .".�.1� !�,{r'?{'1 a,, ✓ ITS BUSINESS LICENSE �0t . Electrical changes . . . . . . . . . . . . . . . .. . . . .. . . . . . . . �c 1 uildin �a( 1) Taxi Mechanical (heating, coolin ;stoves) . . . . . . . . . . . . . ✓ 2) Plumbing `\ �j�W 21 .Pe dlers nn�� r� mb.n Plumbing changes. . .tr'J� �( ,f�,�j'p.K.. . . ✓ 7Me ec nca \ DS �1& L� 3) 2 d Hand Dealer New or relocated signs . . . . . . . . ..... . . . . . .. . . . . . chanical \J.� 4) Pawn Broker New septic tanks .. . . . . . . . .. . ... . . . . ... . . '1/ ewer Qycm� 5) Dance New sewer service. . . . . . . . . . .... . . . . . . .. . . .. . . . ✓ 6) Sidewalk installation OV, 5) �6) Hotel-Motel Admission charged to patrons . . . . . .. . . . . .. . . . . . . 7) Driveway installation 0\ 1 7) Fireworks Is this a home occupation? . ..... . . . . ... . . . . . . . . . 8) Curb installation 8) Ambulance Excavation of filling of lots.. . . . . . . . . . . . ... . . ... . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way . . . . .. . . . . . . . . . . . . 10) Water meter installation 10) Other Is there sufficient off-street parking?. . .. . . . . .. . . . . . V 11) Fire New driveway openings . . . . . . ... ... . . .. . . ... . . . ✓ 12) Occupancy A grading plan for site drainage . . . . . .. . . .. . . . . . . . V 13) Sign Q� na w (parking lots, downspouts,etc.) .. . . . . .. . . . .. . . . .. v 14) Shoreline 1 Are the existing streets paved?. . . . .. . . . .. . . . .. . . . _jam 15) Home occupation ��++ Are there existing sidewalks? .... . . . . . . . . . .. . . . .. ✓ 16) Conditional use —J IV ODhI g(�n'1 Is there curb and gutter? . . . . . . . . . . . . . . .. . . ... . . . ✓ 17) Other 1 Other. . . . . . . . . . . . . . . . . . . . .. . . . ... . . . . .. . . . . . . I hereby apply for r Certificate pl Occupancy and that the edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: �� APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department _ ,CY.I City Clerk P.B.I.A. CERTIFIC,ATE"O'FvOCCUPANCY lyra° City of Port Angeles`,',,,; v Building Division This Ce'tification issued pursuant to the requirements of Sectio n,301 of the International Building Code certifying that at the time of issuance th ststructure was in compliance with the various ordinances of the City regulating Building ♦ (` construction or use.For the foUowing: Use Classification: Business Building Permit No.: 04-1183 Business Name: Mouse Tran Gmup: B _ �V. Type of Construction: V-Tl Use Zone: CA j 1 D� oavoof Barsiness: Randi'Cooner Address: 61 Josephine Pl. Sequim. WA. 9`8382 1?zc" Building Address:_lx1 Wesffirst Street Port Anoeless MA 98362 47 Septe b r 29. 2005 Buildm ofticml.r S + t'ifal:Y'!�;rsve"rY3'a v tllb "�mt4 f9Ua[e Post on he" place. place. Shall not be removed sept„by'Building Official. ROUTING SLIP ��L e Certificate of Occupancy I11t9U�(� I $47.00 Certificate/Inspection Fee �6 DATE L - 0`F New Business Address of Proposed B si Asd Transfer of Business Location . . . . . . . . . . . . . . . . ( ) O �� Change of Ownership Applicant N)I O C ./�_ New Building ( ) . . . . . . . . . . Address lD I _ . . . . . . . . . . . . . . . . . . . .SC-7?�_9_lAt (— Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) U 1 M 4 q rr39 D_ Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) I�� '{S'I /� �3 64 693 '7&J Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: b'' i s Brief description of proposed business: /7n N 7•( C D (_ '4 S6 000aD /-{/4n%I3 :5-rnxE Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: C�J WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . ........... . . . . . . . .. ..... ✓ PERMITS BUSINESS LICENSE Electrical changes. . . ......... .. . . . . . . . . 1) Building 1) Taxi Mechanical (heating, cooling, stoves). . . . ..... . . . . . 2) Plumbing 2) Peddlers Plumbing changes .... . . . . . . . . . . . . ... ..... . . . . . 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . .. .. .... .. . . . . . . . . . 4) Mechanical 4) Pawn Broker New septic tanks.... . . . . .. . ......... . . . . . . . . . .. ✓ 5) Sewer 5) Dance New sewer service . . . . . . .......... .. . . . . . ...... 1L 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons...... . . . . . . . ....... ✓ 7) Driveway installation 7) Fireworks Is this a home occupation? ... . . . . . . . . . ...... ✓ 8) Curb installation 8) Ambulance Excavation of filling of lots .... . . . . . . . .. ..... . . . . . _V 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . ...... .. . . . . . . 10) Water meter installation 10) Other Is there sufficient off-street parking? ...... . . . . . . . _]/ 11) Fire New driveway openings .. . . . . . ....... .. . . . . . .... 12) Occupancy A grading plan for site drainage....... . . . . . . _�,L 13) Sign (parking lots, downspouts, etc.) ... . . . . . . . ...... . . ✓ 14) Shoreline Are the existing streets paved? ... . . . . . ......... . . 15) Home occupation Are there existing sidewalks?..... . . . . . ......... . . 16) Conditional use Is there curb and gutter? . . .... . . . . . ....... . . . . . . 17) Other Other. . . . . . .... . . . . . ..... . . . .. ...... .. . . . . -� I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: �` ao-y 4 information I have supplied is correct to the best of my knowledge. Signed: APP OVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department I2'L o RJ City Clerk 5� P.B.I.A. `+OF PORT 4,yCF CITY OF PORT ANGELES LIGHT DEPARTMENT J S PERMIT NO. 00 ELECTRICAL PERMIT DATE < FInstalled ss: � 7 � y: / /0A - s �� fU /J/ READY FOR ❑ WILL CALL FOR ` 1. INSPECTION INSPECTION C5. License Number: Phone: Own SS: Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction Heat KW F-1 Remodel ❑ Overhead ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair �Voltage Underground Heatpump ❑ Other ❑ Commercial/Industrial load ❑ 1 F-130 Total Connected load Add/alter circuits Service size ❑ Auxiliary power Amps (attach breakdown) (list below) Ll Temporary Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: zy A0 mac%-i4'�'t W.S. No.__Service Size Capacity: ❑ O.K. ElNot O.K. Comments Date�Hold for: L1 Easement ❑ Letter ZJ Ditch josoection Q K. D Bough_ /rnvPr O K ❑ Signed up for service/meter Ce 11Meter Department notified for installation P— I O.K. ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: fs Permit/Receipt No. Installer: — J �. New Meters Date: / U Notify the Departiffientlof City Light by Street Address and Permit Number when ready for inspection. Work 1' must not be covered or electrically energized before inspection and O.K. for covering or service has been given ty theFrrs7far in Writing on the Wiring Report or the Building Permit. PHONE 457.0411 XT. 158 or EXT.224. ' gl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J L } 1 Inspector i I;TE—file by address YELLOW—file by numberPINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall 1'C PpINTEPS. INC. RECEIVED CITY OR PORT ANGELES PERNIIT APPLICATION �� Building Division/Electrical Inspections 2013 321 East fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417-4735 Fax: (360) 417-4711 � ISt;ii�9N , I /Date: - � _Multi-Family or Commercial* * Plan Review May B quired, Please Complete Electrical Plan Review Information Sheet Job Address Building Square Footage: Description of above ze2o S4) Owner Information Contractor Infgrmation Name: Name: Mailing Address: Mailing Address: City: State: Zip: City y State. Zip: Phone: Fax: Phone: Fax License#l Exp. License#/Exp. 1 (� Item Unit Charge Total t Multi lied by Unit Charge) ServicelFeeder 200 Amp. $132.00 $ f� Service/Feeder 201-400 Amp. $160,00 $ ServicelFeeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit VVI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp,Service/Feeder 200 Amp. $102.00 $ Temp.ServicelFeeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 60 1-1000 Amp. $185,00 $ Portal to Portal Hourly $ 96.00 $ SignlOutiine Lighting $ &8.00 $ Signal Cireuitl Limited Energy w Multi-Family $ 64.00 $ Signal Circuit/Limited Energy 1 First 1500 sf—Commercial $ 96.00 $ Nate: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56,00 $ Note:$5.00 for each additional T-Stat $ 117— 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 296-4613,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrL'gjali contractor or electrical administrator: ❑ cash 17 Check _ w 14 Credit Card# x Dated: es[` / 0'0112012 r ELECTRICAL INSPECTION WIRING REPORT 417-4735 ATElog INSPECTOR N ADDRESS APPROVED NOT APPROVED D . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . - - . . . . - o ROUGH IN/COVER . . . . . . . . . . . . . . . El . . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . - 11 . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . 11 CORRECTIONS NEEDED: LL NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE r ELECTRICAL PERMIT 1 CITY OF PORT ANGELES ►-- 360-417-4735 Application Number 13-00001043 pate 9/12/13 p Application pin number , . . 772717 I�JA`J Property Address . , . . . , 128 W IST ST �+ ASSESSOR PARCEL NUMBER : 06-30-00-0-0-3220-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form SubdProperty Us Name to the City of Port Angeles Property Use Property Zoning , , , . , . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation , , 0 ----------------------------------------------------------------------------- Application desc TI improvement Owner Contractor SMITH, WILLIAM F ROTERO & SON ELECTRICAL PO SOX 967 940 TAMARACK WAY PORT ANGELES WA 98362 PORT ANGELES WA 98352 (.360) 457-4737 (360) 452-4766 ------------------- -- -------------------`------------------------ Permit , . , . , , ELECTRICAI, ALTER COMMERCIAL Additional desc . , Permit Fee 192,00 Plan Check Fee Issue Date 9/12/13 Valuation , . . . 0 Expiration Date 3/11/14 Qty Unit Charge Per Extension 12.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 60.00 1 --------------------------------- - -- -- -00 ----132.0000 ECH`fuEL`COM 0-204 SRV FEEDER132,00 A'T- _-___- Fee summary Charged Paid Credited Due permit Fee Total - 192.00 192,00 ,00 .00 Plan Check Total .00 .00 00 .00 Grand Total. 192.00 192,00 ,00 ,0.0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN f ; FINAL COMMENTS: PERMIT WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING