HomeMy WebLinkAbout139 W 1st St - Building 10/01/2013 08:48 FAX 360 452 9265 Angeles Electric 1$n0001/0002
CITY OF PORT ANGELES PERMIT APPLICATION IIJiii't'
Building-DivisionlElectrical Inspections lflC Alfli'd':,
321:East Fifth Street—P.O.Box 1150.1 Port Angeles Washington,98362
.Ph:(360)4174735 Fax:(360)417-4711
Date: +'IGIuEti-Farnliy.or Commercial"
'Pian Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Ownerinfo alion Contract r information --
Name:
Name: Mallin0 d es
Meiling. roea'
state: State; ZIP:
Gny; �zip..
PlWe: Fax: Phone: ax: 6
Wcense,#1 Exp. License#1 Exp.
/--7ZJa UnlUhere qty Tolal ty MuRlpliedby 1t Ch e
$
Sen $132.00ricelFeeder 200 Amp. $
ServicelFeWer 201.400 Amp. $160.00 $
SaraicelFaedee401.600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
ServicalFeader over iODD Amp. $410.00 $
Branch Circuit W!Service Feeder $ 5.00 $
Branch Circuit W1O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 40
Branch Orcuits 14 $ 86.00
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201�4DD Amp. $121.00 $
Temp.Ser AcelFeeder 401-600 Amp. $164.00 $
Temp.SeMoe/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 86.00 $
Signioutllne Lighting $ 88.00 $
Signal Circuit/Limited Energy—MuM-Family $ 64.00 $_
Signal Cireuttl Limited Energy f First 1500 sf—Commercial $ 96.00
Note: $5.00 for each additional 1500 of $
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermoslat $ 66.00
Note:$5.00 for each additional T-Stat $ 96'a�Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two year&after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor it above said property is for sale;rent or lease.Permit expires after six months of.last Inspection.
After reading the above statement;l hereby certify that 1 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 296168,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 ❑ Cluck
cnenc�ae
x
PEW: 0114+riotx
ELECTRICAL PERMIT V�
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00001131 Date 10/02/13
Application pin number . . . 605589
Property Address . . • . . . 139 W IST ST a
ASSESSOR PARCEL NUMBER, 06-30-00-0-0-1533-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use to the City of Port Angeles
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Coda 0502)
Application valuation . . . . 0
Application desc
New lighting
-----------------------------------------------------------------------------
Owner Contractor
NORTH OLYMPIC .PENINSULA SVCS ANGELES ELECTRIC
PO BOX 351 524 E. IST ST.
PORT .ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7210 (360} 452-9264 r `
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL .ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86,00 Plan Check Fee .00
Issue Date . , . . 10/02/13 valuation 0
Expiration pate , . 3/31/14
Qty Unit Charge Per Extension
SASH 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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN it t?
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING
Page I of I
C ov PoinPERINlut,AivLICA1,10N RECEIVED
13t.diding Divislon/E'lectrical.IFISIXTIJORS
Ell,-.I j-,M sj,,tej -11.0.Box 1150/Port Angelus Wasihington,W62 SEP 2 7 2013
Pli (360)417-4735 Fax, :(360)4.17-4711.
Data: W27113 Multi-Farrifly or Commercial*
' Plan Review lky Be Required,Please Complete Electrical Plan Review Information Sheet
Job Addfels: ...............
Building Squore, ....... ............
li)escription of ahwe
OwnerIvfolia ation Contracfor Inifoarta tfon
WallingAddram: til M Ing Addra$V 7_21EMLF—Ig�n,St ...............
city: .............. City.-Earl-Anc e'leS�r ;' Zjp: --9B215.2
Phone,A-17,11,n-.................F6x:--- Phore:.-A5Z-117.27...........
LicenwIl License 4 1
Item Unit charn -Gt z Toi,al(Cit'Mullig[led by Unit ChalriLaj
SDirviep-Teeder.200 Amp. $132.00 51 T111
Sarvice&edsr.201-409 Amp. $161100 .........
SaMcWFeecler 41-0'03 Amp $225M
SmIce)Fodar 00'1-1000 Arnp, $MCI) ................
SefYicPJFeedqt crier 1001 Amp. $410-00 ...........
Branch Circuit W;Service Feeder $ 5.00 _ $._..............._.........._..._
Branch Circuit 1A90 Sep;lca Feeder $ 74.00 ...........
Each Addillon9l Branch Circuit $ 5.00
Branch Circuits 1.4 $ M6.00 ..........
Temp.Seroics.(Feefler 200 Amp. $102,00 ...........
Temp.Senlcefeeder201-400 Amp.
Temp.SaMcaf eeder 401-M Amp. $133.co
Temp.SehiceiFeeder 601-1 COO Amp $185,00
Portal to Portal Hourly $ KOO ----- .....................
SignlOulline Lighling $ W.00
Signet ClrculY Limited Enargy-Multi-Family $ 64.00 ....................
Signed Cl rculU Lim lted Ene rp)I Firs 11600 sr-Commercial $ 96.00
Note: $5.00 rorpach additional 1500 sf
Renewable Elocirical Energy-5KVA System or Less $113.0)
Thermostat 50.00 ..........................
Nola$5.00 for each additional T-Stat $--23,00 Total
Lamer as defined by RM19.28261:(1)Owilal,will occupy the structure fortwo years after this electrical permitisfinalized,(2)Owner Is required
to hire all electrical contractor Habove,said property is for sale,rentor'lease.Permit expires after six months of last inspection.
After reading the above sts)tejnent,I hereby certify that I @l-n the oxnarof the above named prupertyor a licensed electrical contra,dor.I am making
the electrical jIjrt,,jIIatIon or alteration in compliance With the electrical laves,KEG,RM.Chapter 19.28,WAG Chapter 296-4613,The City of Port
Angeles MIL111UP-21 Code,and Utility Specifications and PAM C 14,05,050 regarding Elactilc@] Parnill:Applir@tlons.
Sign.al.itye of owner,electrical contractor or electrical administrator. EJ Cash El GM0
............
http://www.pdfose,ape,com/open/RadPdf.axd?rt—c&dk=02SD78E5NM07KT99KNOLP3HX2BYZDTSZV&pc=l.., 9/27/2013
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-60001119 Date 9/30/13
Application pin number 979098
Property Address . , • , , 139 W IST ST REPORT SALES TAX
ASSESSOR PP.RCEL NUMBER : 06-30-00-0-0-1533-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City Of Port Angeles
Property Use
Property Zoning . , . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation . . • . 0
-----------------------------------------------------------------------------
Application desc
Security
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
NORTH OLYMPIC PENINSULA SVCS HI TECH SECURITY INC
PO BOX 351 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7210 (360) 452-2727
__ ____ ------ ------
Permit . . . ELECTRICAL ALTER COMMERCIAL-__-____
Additional desc .
Permit Fee 96.00 Plan Check Fee 00
Issue Date , . . , 9/30/13 Valuation . . , , 0 ,
Expiration Date 3/29/14
Qty Unit Charge Pex - - Extension
1100 96.0000 MCH EL-LTMITED IST 1500 S4 FT 96.00
----_-- ------`-------------------- -
Fee summary Charged Paid Credited Due
---- -- ----------
Permit Fee Total 96.00 96.00 .00
Plan Chec]c Total .00 .00 ,00 .00
Grand Total 96,00 96.00 .00 OQ r
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL ,
COMMENTS:
PERMIT WILL F-XPHW SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXC HANGEIB U I LD INC
ELECTRICAL PERMIT r d
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 11-00000691 Date 7/07/11
Application pin number . . . 150537
Property Address . . . . . . 139 w 1sT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000- on your excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 circuit roof fan
----------------------------------------------------------------------------
Owner Contractor
NORTH OLYMPIC PENINSULA SVCS ANGELES ELECTRIC
PO BOX 351 524 E. 1ST ST. p
PORT ANGELES WA 98362 PORT ANGELES WA 98362 W
(360) 461-7210 (360) 452-9264 (�
-----------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit pin number . 188722
Permit Fee . . . . 73.50 Plan Check Fee .00
Issue Date 7/07/11 Valuation . . . . 0
Expiration Date 1/03/12
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50
-----------------------------------------------7----------------------------
Fee
--------------------------------------------------------------------------
Fee summary Charged Paid Credited Due T_
-
---------------- ---------- ---------- ---------- ---------- V
Permit Fee Total 73.50 73.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.50 73.50 .00 .00 '�1J
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: -2
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
07/06/2011 13:41 FAX 360 452 9265 Angeles Electric Z0001/0002
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:S 2dt>30 i SeMoWoodeM01400 Amp.
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3 37250 i BwvkefFeedecpw 1000 Amp.
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S :2:80 . i Ex*AddNanel bwmb CW
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aiat✓edd�S bcpOmpOAnr tAlh`0w.aYetrleal:t+ere,N.1�.C.RcW.Chapter 19.28.WAC.Chtpfe2$40�TM Ctr of PwtAnP'n mwd*d Coded�b !'
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 11-00000538 Date 6/07/11
Application pin number . . . 876934
Property Address . . . . . . 139 w 1sT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000-
Tenant nbr, name . . . . . . FIRST FEDERAL SAVINGS & L on your state excise tax form
Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 1766
----------------------------------------------------------------------------
Application desc
INSTALL VENT FAN ON ROOF
----------------------------------------------------------------------------
OwnerContractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS AIR FLO HEATING CO INC
PO BOX 351 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 461-7210 (360) 683-3901
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . INSTALL VENT FAN ON ROOF
Permit pin number . 186767
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . 6/07/11 Valuation . . . . 0
Expiration Date . 12/04/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-VENT SYSTEM (NON-HVAC) 10.65
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
s,l
V
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. /]
J e-7 r` 2011 J G ( (�-, l '3 a—, A&I
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDIING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735 V�
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date F Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls �n
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date(! Accepted b lJ�--
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin I Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /En ineerin 417-4831 �.
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Buildinq Permit
PREPARED 6/13/11, 10:45:17 INSPECTION TICKET - PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/13/11
--------------------------------------- ---
ADDRESS . : 139 W 1ST ST SUBDIV:
TENANT, NBR: FIRST FEDERAL SAVINGS & L
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER NORTH OLYMPIC PENINSULA SVCS PHONE (360) 461-7210
PARCEL 06-30-00-0-0-1533-0000-
APPL NUMBER: 11-00000536 MECHANICAL APPL. PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------— - -------------------------------------------------------------------
ME99 01 6/13/11 L MECHANICAL FINAL
_ June 13, 2011 8:59:37 AM pbarthol.
Sandy 683-3901 x 2
------------------------- COMMENTS AND NOTES
coutl- we,64 , Nort. Otyiic, Pentnsu to Svcs
GWv�� -. Po Box 35 l P p l W( 18-2
AA, BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES For Cit Use Only-
321
-- r Attn: Building Permit Technician y y-
321 E. Fifth St. Port Angeles, WA 98362 Date Received -3
(360)417-4815 fax (360) 417-4711 Permit#_�1-538
Date Approved
Applicant or Agent FW KA'`' Phon3 90 /
Owner t F 195-F E L S 41e7 A LO A Phone
� 44 t -,A4 0
Owner's Address
o5 'tk S- o2i A-N46ELes IT3(0 �-
Contractor/Engineer At k FLb HE AT t N G- Phone 390
Contractor/Engineer's Address J��1 W. CC bh 51: , 5EGQ V1 A WA 483`6
License # A%F- FL+ coocic t Expires
PROJECT ADDRESS 13ci U�I✓St tZS; Si�EE
Parcel Number Lot Zoning
Project Type & Brief Description: ❑ Residential (Commercial ❑ Multi-family ❑ Industrial
Check all that apply
❑ New Construction
o Addition
❑ Remodel
o Repair
❑ Re-roof
❑ Demolition
❑ Sign o wall-mounted ❑ projecting ❑freestanding ❑ awning o other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
❑ Heat System ❑ Heat pump o wood-burning stove ❑ gas fireplace o pellet stove a other
Other I W 60Thi- - . V 12�N'1 \ % p
Floor Areas Existina(sa. ft.} Proposed(s4. ft.)
Basement
1 Floor @ $ per sq. ft. _$
2"d Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ rp ,
Total footprint of structures -.sq. ft. Lot size sq. ft. = Lot coverage_%
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load *,of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
'have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
:/nderstand that it is my responsibility to determine what permits are required, and obtain ermits prior to working on
projects C�
)ate 1 Print Name N ►•V�� E��j. Signature
Forms/Bu Iding Division/Bldg Permit Appl—2006 Code.doc
I -d IL66 689 096' 01J dI.b Wdto =Zi. floe 16 ;;eW
Clallam County Assessor& Treasurer - Property Details - 81509 NORTH OLYMPIC PE... Page 1 of 2
Clallann County Assessor & Treasurer
Property Search Results > 81509 NORTH OLYMPIC PENINSULA SVCS for Year 2011 -2012
I Property
Account
Property ID: 81509 Legal Description: S 83.9 OF LOT 11 S
83.9 OF W2 LOT 12
BLK 15;
Geographic ID: 0630000015280000 Agent Code:
Type: . Real
Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 59
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township:- Section:
Range:
Location
Address: 139&141.W FIRST ST Map sco: nn I
PORT ANGELES,WA 98362 \V
Neighborhood: Cycle 5 Comm Map ID:
Neighborhood CD: 20953140
Owner
Name: NORTH OLYMPIC PENINSULA SVCS Owner ID: 43565
Mailing Address: PO BOX 351 %Ownership: 100.0000000000%
PORT ANGELES,WA 98362
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 05/31/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
First Second `
Half Half
!Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. PenaltyInterests Base Paid Amount Due:
2011 170299 ST SCH-STATE SCHOOL $937.23 $937.23 $0.00 $0.00 $937.23 $937.23!
2011 170299 CC-GEN-COUNTY CLALLAM $517.39 $517.38 $0.00 $0.00 $517.39 $517.38
2011 170299 SD#121 -SCHOOL DISTRICT#121 $1225.12 $1225.11 $0.00 $0.00 $1225.12 $1225,11 i
2011 170299 CITY PORT ANG-CITY OF PORT ANGELES $1194.43 $1194.42 $0.00 $0.00 $1194.43 $1194.42
...._._... _....... _...._.... _.__._,.
2011 170299 PORT-PORT OF PORT ANGELES $72.82 $72.82 $0.00 $0.00 $72.82 $72.82
i2011 170299 NTH OILY LIB-NORTH OLYMPIC LIBRARY $216.99 $216.98 $0.00 $0.00 $216.99 $216.981
i 2011 170299 HOSP#2-HOSPITAL#2 $212.39 $212.39 $0.00 $0.00 $212.39 $212.39
2011 170299 WSMET PK DIST-WILLIAM SHORE MET PARK DIST $64.56 $_64.55 $0.00 $0.00 $64.56 $64.55 i
12011 170299 CITY STORMWATER-CITY STORMWATER $55.99 $55.98 $0.00 $0.00 $55.99 $55.98:
2011 170299 WEED CONTROL-WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81'
2011 -170299 TOTAL: $4497.74 $4497.67 $0.00 $0.00 $4497.74 $4497.67
Values
Taxing Jurisdiction M
Improvement/Building
Sketch
_ . _
Property Image
Land
`Roll Value History
Deed and Sales History
http://websrv8.c lal lam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=81509 5/31/2011
r
i
ELECTRICAL PERMIT
CITY OF PORT ANGELES p
360-417-4735
L
Application Number 11 00000243 Date 3/22/11
Application pin number 50079
Property Address 1.39 W 1ST ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER. 06 30 00 0 0 1533 0000 on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning I CENTRAL BUSINESS DISTRICT
Application valuation I 0
Application desc
2 circuits server room)
Owner Contractor
FIRST FEDERAL SAVINGS & LOAN ANGELES ELECTRIC
PO BOX 351 524 E 1ST ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362 /
(360) 417 111 (360) 4 2 9264 +5Z q26� 1 I
Permit ELECTRICAL ALTER COMMERCIAL ! (1vv
Additional desc �J
Permit pin number 182774
Permit Fee 76 10 Plan Check Fee 00
Issue Date 3/22/11 Valuat on 0
Expiration Date 9/18/11
Qty Unit Charge Pier Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 w/
1 00 2 6000 EC 14 EL ECH ADDNT BRANCH CIRCUIT 2 60
I
Special Notes and Comments
March 21 2011 3 53 29 !PM Brian 417 4708 OK
I- \
Fee summary Charged Paid Credited Due
Permit Fee Total I76 10 76 10 00 00
Plan Checl, Total 00 00 00 00 \I
Grand Total 76 10 76 10 00 00 V
INSPECTION TYPE DATE. RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL I 2 l
COMMENTS
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date•
G-\EXCHANGE\BUILDING
03/19/2011 14 07 FAX 360 452 9265 Angeles Electric Q0001/0002
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 d
Application Number 10 00000573 Date 6/07/10
Application pin number 707409 1�
Property Address 139 W 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1533 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
Data Phone system
Owner Contractor
FIRST FEDERAL SAVINGS & LOAN DIMENSIONAL COMMUNICATIONS INC
PO BOX 351 1220 ANDERSON RD
PORT ANGELES WA 98362 MOUNT VERNON WA 98274 f
(360) 417 3111 (360) 424 6164 \vN_
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 167114
Permit Fee 95 90 Plan Check Fee 00
Issue Date 6/07/10 Valuation 0
Expiration Date 12/04/10
Qty Unit Charge Per Extension
1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT 95 90
Fee summary Charged Paid Credited Due
Permit Fee Total 95 90 95 90 00 00 F
Plan Check Total 00 00 00 00
Grand Total 95 90 95 90 00 00
INSPECTION TYPE DATE RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH IN ! b
FINAL .7
COMMENTS
Signature of owner or Electrical Contractor X Date
yOy.paRr
CITY OF PORT ANGELES PERMIT APPLICATION �'1r
Building Division/Electrical Inspections
321 East Fifth Street-P O Box 1150/Port Angeles Washington,98362
Ph (360)417-4735 Fax. (360) 417-4711 `'Jt
Date o w
1 &2 Single Family Dwelling _Multi-Family or Commercial* _�Commercial Addition/Alteration/Remodel/Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 13!2 W � 67 (hoz-( A0,-(F$
Building Square Footage: (0 10-L--
Description of above
Owner Information Contractor Information nn
Name: Name: IHtn]StQuAI l'® 4lUUlr1Da _
Mailioa Address: S te{—3 Mailing Address: 422o A&TD>%pSoN Eb
City•• o SState: cam, ►_4 Zip:-Nn a City' M QTa C ieZ> )6NState: WA Zip: 0I$M _
Phone: _Fax: 1.4.5;1-- Phone:Z�Q=420-Olod Fax: 3foO-4-4-H7
License#/Exp. License#I Exp. 6rL F
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $119.90 $
Service/Feeder 201-400 Amp. $145.50 $
Service/Feeder 401-600 Amp $204 60 $
Service/Feeder 601 1000 Amp. $262.20 $
Service/Feeder over 1000 Amp. $372.50 $
Branch Circuit W/Service Feeder $ 2.60 $
Branch Circuit W/O 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 $
Sign/Outline Lighting $ 88.20 $
Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 95.90 1 $ IgI .qo
Note: $5.00 for each additional 1500 sf
Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 63.90 $
Signal Circuit/Limited Energy Multi-Family Dwelling $ 6390 $
Manufactured Home Connection $119.90 $
Renewable Electrical 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 $
$ 15,`to 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.
a
Signature of owner electrical contractor or electrical administrator ❑ Cash ❑ Ch
Credit C
X Dated: io / ! Q i
1 -
8
n;
Y
OxpORT4t,, ELECTRICAL INSPECTION
WIRING REPORT
G L r W
KS 417-4735
DATE PERMIT# INSPECTQa
6-3-10
OWNER/CONTRACTOR
r� e7c-'1i UZ 1 <--
ADDRESS ADDRESS \
APPROVED NOT APPROVED
❑ DITCH ❑
❑ ROUGH IN/COVER ❑
X t�/.�Rt�lr `CIL?Itl�-- SERVICE ❑
❑ FINAL ❑
CORRECTIONS NEEDED- C6nrib L (opbt)uotPl6 *-L4" r9-pV W-
F�
Rtj-0uta*-Q nn- 136-TPI 5*.2y1cJ95 A)Ec 256.Q*-
�VS� zS0 to��
5r-AyI cy- 1)t5 L 5H tau. 94—r LlAbl-l_rD Ta !tt
tsc- - rlgc 230 2-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OLYMPIC PRINTERS,INC.(360)452-1381
ELECTRICAL PERMIT Q
CITY OF PORT ANGELES
360-417-4735
Application Number 10 00000431 Date 4/30/10
Application pin number 297847 �6
Property Address 139 W 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1533 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
Security system
Owner Contractor
FIRST FEDERAL SAVINGS & LOAN HI TECH SECURITY INC
PO BOX 351 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 3111 (360) 452 2727 \(�)
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 164665
Permit Fee 95 90 Plan Check Fee 00
Issue Date 4/30/10 Valuation 0
Expiration Date 10/27/10
Qty Unit Charge Per Extension
1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT 95 90
Fee summary Charged Paid Credited Due
Permit Fee Total 95 90 95 90 00 00
Plan Check Total 00 00 00 00
Grand Total 95 90 95 90 00 00
INSPECTION TYPE DATE RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH IN ,� y�
FINAL , 7 L�
COMMENTS
Signature of owner or Electrical Contractor X Date
P 01 /01
TRANSACTION REPORT
2010/APR/30/FRI 10 18
FAX ( TX )
# I DATE START T RECEIVER COM TIME PAGE TYPE/NOTE FILE
01 APR/30 10 17 94529265 1 0 00 571 6 1 OK SG3 0857
OR -G _1ES
A_
*.►. WAS H I N G T O N, U S A.
FAX TRANSMITTAL
Department of Public Works/Utilities
! 321 East Fifth Street, Port Angeles, Washington
-Phone (360)417-4735 -FAX. (3.60) 417-4711
ITO FROM,
COMPANY PORTANGELES
WASHINGTON, U.S.A.
FAX# �Z � Public Works&Utilities Department
NUMBER OF PAGES INCLUDING
COVER_ Trent Peppard
Senlor.Electrical inspector/Traffic Signal Technician
Phone:•360-417-4735
Email: tpeppard@cityofpa.us
Website: WW.W,cltyofpa.us 'Fax: 360-417-4711
321 East Flf th Sweet P.O.BOX 1160 Pon Angeles,WA 98362-0217
Hi Ken
Please show conductor size on service diagram. e
Labels will be a requirement prior to service being energized.
Thanks Trent
WAC 296-466-230
040 Service conductors two-family and multiple-occupancy buildings.
(5)Two-family and multiple-occupancy buildings.A second or additional service drop or lateral to a
building having more than one occupancy will be permitted to be installed at a location separate from other
service drops or laterals to the building provided that all the following conditions are complied with.
(a)Each service drop or lateral must be sized in accordance with the NEC for the calculated load to be
served by the conductors;
(b)Each service drop or lateral must terminate in listed metering/service equipment;
(c)Each occupant must have access to the occupant's service disconnecting means;
(d)No more than six service disconnects may be supplied from a single transformer-
(e)
ransformer(e)All service drops or laterals supplying a building must originate at the same transformer or power
supply-
(f)A permanent identification plate must be placed at each service disconnect location that identifies all
other service disconnect locations in or on the building,the area or units served by each,the total number of
service disconnecting means on the building/structure and the area or units served. If a structure consists of
multiple buildings(i.e. by virtue of fire separation),all service disconnects in or on the entire structure must
be labeled to identify all service disconnects in or on the structure,and
(g)A permanent identification plate must be placed at each feeder disconnecting means identifying the
area or units served if the feeder disconnecting means is remote from the area or unit served.
CHAPTER 8 - ELECTRIC UTILITY
be manufactured meter clusters Any main breakers or unmetered raceways must
have provisions for seals on access panels
D SELF-CONTAINED METER SOCKETS
1 The PA Light Utility requires a self-contained ring or ringless socket type
meter installation on the line side of single-phase service equipment when the
ampacity of the service entrance conductors is 200 amperes or less. The PA
Light Utility does not accept 400 amp self-contained meter sockets. PA Light
Utility will accept a 400 amp service (two 200 amp panels not 225 amp) on a
320 amp 120/240V single-phase direct-metered service with locking
jaws/bypass (manually operated) and not a bolt-in type socket. Non-
residential installations must provide panel schedule(s) demonstrating less
than 320 amperes of connected load
2. Three-phase services of 200 amperes or less also require a self-contained
ring or ringless socket-type meter The meter socket, complete with terminal
lugs meter jaws and sealing means shall be provided by the customer
Services of 480Y/277 V or 240/480 V will require a safety socket with
provisions to de-energize socket jaws for meter exchange
TYPE OF SERVICE NUMBER OF TERMINALS
Three wire single phase 4
Three wire 120/208 volts single phase 5
Four wire three phase grounded 7
3 Lever and block or shunt type bypasses are required for all non-residential
self-contained meter installations Automatic bypasses are not allowed
Provisions shall be made for a test switch when current transformer metering
is installed When a meter socket is replaced for any reason the new socket
must meet current standards
4 No more than one conductor may be connected to an individual load side
terminal of a meter socket, except for 320 amp class meter socket.
E MOUNTING OF METER SOCKETS
1 Sockets must be plumb in all directions and securely mounted to a rigid
surface Conductors must be securely fastened to their respective terminals
and must be arranged in a manner which will not interfere with the installation
of the meter or cover or with the operation of a jaw-clamp device
2. PA Light Utility does not allow the use of enclosures over meters Meters
shall be located to be visible and accessible to PA Light Utility personnel 24
hours a day unless permission is granted in advance by PW&U Engineering
for special conditions
NAUrban Services Standards\Ch8\ page 13 of 22
June 4 2009
CHAPTER 8 - ELECTRIC UTILITY
F CURRENT TRANSFORMER METERING
1 Current transformer metering is required where the service entrance
ampacity of three-phase service entrances exceeds 200 amperes, or the
service entrance ampacity of single-phase entrances exceeds 320 amperes
Single-phase 120/240V entrances between 200 amperes and 320 amperes
will be metered with a self-contained meter and meter socket rated for 320
continuous amperes
2 The current transformers are to be provided and installed by PA Light Utility
in a customer-owned sealable steel cabinet with transformer mounting
provisions and current transformer (CT) landing pads securely mounted on a
rigid surface (2 x 4 stud or equivalent) C T enclosures shall be mounted
such that the bottom of the enclosure is no higher than 3 feet above finished
grade and the bottom of the enclosure is no less than 6 inches above finished
grade
3 This cabinet is to contain only the service conductors current transformer
landing pads and PA Light Utility equipment, and is to be mounted in a
readily-accessible outdoor location The cover of the CT enclosure shall be
free of meters or other equipment. Meter sockets and current transformers
shall not be mounted in or on PA Light Utility poles pad-mounted
transformers or other equipment.
4 Minimum acceptable sizes for the current transformer cabinets are
Service Size Enclosure Size
400 Amperes Single Phase 24 x 36' x 11
800 Amperes Single Phase 36' x 36' x 11
400 Amperes Three Phase 36' x 36 x 11
800 Amperes Three Phase 36' x 48' x 11 with hinged cover
Service Entrance over 800 Amps Switchboard Section
5 For service entrances of over 800 Amperes the CT enclosures shall be part
of the Customer's service panels or switchgear Service equipment
showing compartment size shall be submitted to PW&U Engineering for
review prior to purchasing and installing equipment. The CT space shall
have bus bars through the CT's that are removable from within the CT
window The CT's shall be furnished and installed by PA Light Utility Cables
shall not be brought through the CT window
6 Current transformers shall be installed in such a manner as to be readily
accessible after all bussing is in place Neutral connections for metering shall
be readily accessible and sealable All sections of the switchgear that
contain metering equipment or unmetered conductors shall have provisions
for sealing compartment doors or covers
7 Current transformer cabinets or switchgear with built-in meter sockets are not
allowed The customer is to provide and install the meter socket and a rigid
steel conduit with a non-conductive pull line between the current transformer
NAUrban Services Standards\Ch8\ page 14 of 22
June 4 2009
CHAPTER 8 - ELECTRIC UTILITY
cabinet and meter socket, along with bonding by code-approved methods
Conduit will normally be limited to runs of 50 feet or less with not over 270
degrees in bends (consult PW&U Engineering if over 270 degrees in bends
are required) and shall have a diameter of one (1) inch Removable conduit
cover fittings are not allowed
8 Conduit runs longer than 50 feet in length must have PW&U Engineering
approval prior to installation and will be granted only if in the opinion of
PW&U Engineering a satisfactory meter location is unattainable within the
normal length Conduit sizing will be specified by PW&U Engineering for
each extra-length run based on the total length and number of bends
g The meter socket for current transformer metering is to have space below the
socket for a PA Light Utility test switch The minimum width of the enclosure
is to be 11 inches. The enclosure is to contain a perch drilled and tapped
for a test switch The test switch will be furnished and installed by PA Light
Utility Meter sockets with circuit closures by pass-clips will not be approved
for new installations or for modifications of existing service Meter socket
shall be installed outdoors in an accessible location even where CT's are
mounted in indoor switchboards
10 The number of terminals required in the meter socket are
a. Three wire single phase service 6 Terminals
b Four wire three phase grounded wye service 13 Terminals
G kVA METERING
Commercial load metering for services larger than 400 amps at 120/208-240V or
200A at 240-277/480V utilize kilovolt-ampere (kVA) demands This method of
metering inherently incorporates the impacts of power factor No separate penalty or
metering is applied to monitor for poor power factor It is the customer's
responsibility to monitor their power factor and implement corrections as required to
reduce their billing
H INSTRUMENT TRANSFORMER INSTALLATIONS OVER 600 VOLTS
High-voltage instrument transformers and transformer-type meters may be required
for large customers taking service at primary voltage PW&U Engineering should be
consulted before construction begins to establish a mutually satisfactory location for
the point of delivery and metering details.
I METERING ON A POLE OR IN A CITY ENCLOSURE
Meters will not be permitted on transformers or pedestals except when in PW&U
Engineering's opinion a satisfactory location for the installation of metering cannot be
found Meters may not be mounted on PA Light Utility poles City-designated
underground non-residential districts may require pedestal-mounted metering
Contact PW&U Engineering for details
N:\Urban Services Standards\Ch8\ page 15 of 22
June 4 2009
y
AN rte.. 1 A,
GENERATOR OPTIONS
Option #1
The minimum required to get the building operating as planned.
These devices would be on the Generator-Annex Network Rack
and Annex Floor
Qty Description Per Item Total
ouite
Voice" ai Se e ,., 5-1
Poweredge personal UPS power
8 bricks 3.2 25.6
1 Fujitsu Scanner 1.1 1.1
1 Canon ImageRunner 15 15
8 Computers 2.5 20
957 AMPS
OZ
Option #2 7D ar
This option includes everything in Option#1 plus,the 9 PC's and
2 printers on the 3rd floor of the DT branch for IT and OPS.
Qty Description Per Item Total
9 Computers 2.5 22.5
1 Canon ImageRunner 5.2 5.2
1 HP 4700 Color Printer 3 3
+ 30 7 AMPS
126 4 AMPS
Adjusted 04-22-10 Created by Suzette Reinke
901 oo .41 `?'r rte. 4.4? 4 W14
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14 x 3 j� 2ao
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FROMH I-TECH ELECTRONICS FAX N0. 360 452 8568 , `Apr,* ",2'9 2010 11 12AM P1
`'.y ffi/• Lam;V; - r
APR 2 d 1009
ELECTRICAL ' Q
C Cry OF PORT ANGELES PERMIT APPLICATIONINSPECTIONS N
t� °�`�-, t
.,r.��a; ;,�„
HU R(ling Division/Electrical Inslr �
ections "''�� I
321 East Fifth Sto•eet-P.0 Box 1150/Port Angeles Washington,98362 x
Ph. (360)417-4735 Fax. (360)417-4711
Date; 20 t cv
1 &2 tingle"Family Dwelling Multi-Family or Commercial' _Commercial Addition/Alteration/Remodel/Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address.--L%4 LL...z.
Building Square Footage: _
Description of above p,nuia l!"< e9fiU� l p.�� «l 11i� New
...-.. ...—
Owner Information Contractor Information
Name. =nos;' �1F�reP� -- Name W YFtss S�C�1f3.A� 1�C
Mailing Address: i w y- .te_ IT � Mailing Address: '72
City Stale: .+ Zip, 4C3lkGZ- City:AWertAgifiec- State:whb Zip Qh 3F2
Phone:.�.S'7b4it Fax: Phone.alS'2-2!A7Fax: t1S'2--&540
License#/Exp License#/Exp, i4i rfG.0 r S f 5'S IQ
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Ser ice/Feeder 200 Amp. $119.90 $
Service/Feeder 201-400 Amp. $145.50 $
Service/Feeder 401-600 Amp $204.60
ServicalFeeder 601.1000 Amp. $262.20 $
Service0eeder over 1000 Amp. $372.50 $
Branch Circuit W/Service Feeder $ 2,60
Branch Circuit W/O 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 $
Sign/00ine Lighting $ 88.20 $
Signal Circuit/Limited Energy 1 First 1500 sf-Commercial $ 95.90 _, $ 4 S.9 O.
Note: $5.00 foreach additional 1500 of
Signal Circuit/Limited Energy 1&2 Family Dwelling $ 63.90 $
Signal Circuit/Limited Energy Multi-Family DwaOing $ 63.90
Manufactured Home Connection $119,90 _ _ $
Renewable Electrical Energy SKVA System or Less $102.30 $___
Thermostat
..._—
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.19.28261 (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 1928,WAC.Chapter 296466,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
❑ credit Cardtl
x J `Dated: ''E Z-01 O _ 011/010110
i --
..s
ELECTRICAL PERMIT k
CITY OF PORT ANGELES a
360-417-4735 0
CI
Application Number 10 00000400 Date 4/26/10
Application pin number 182400
Property Address 139 W 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1533 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
400 amp service 80 amp heater 2 circuits T stat
Owner Contractor ' t
NORTH OLYMPIC PENINSULA SVCS ANGELES ELECTRIC
139 W 1ST ST 524 E 1ST ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 3111 (360) 452 9264
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 164228
Permit Fee 326 60 Plan Check Fee 00
Issue Date 4/26/10 Valuation 0
Expiration Date 10/23/10
c�
Qty Unit Charge Per Extension
2 00 2 6000 ECH EL BRANCH CIRCUIT W/FEEDER 5 20
1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 N
1 00 145 5000 ECH EL 201 400 SRV FEEDER 145 50 U 1
1 00 56 0000 ECH EL LVT THERMOSTAT 56 00
Fee summary Charged Paid Credited Due
Permit Fee Total 326 60 326 60 00 00
Plan Check Total 00 00 00 00
Grand Total 326 60 326 60 00 00
IFA-9-r 1 ht, Qov N '��Z$ lv 1ke�v oRFrc RP
INSPECTION TYPE DATE RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH IN 7 a
FINAL
COMMENTS
Signature of owner or Electrical Contractor X Date
04/23/2010 08 37 FAX 360 452 9265 Angeles Electric 0201/0002
r'
�D
ClgroiPortArtgelesPermltAppAoatlon ' 2 G 2009 Pmq�,
`kE
:$adding oftloalElocm inspsdloes L} �,
32l:raacF6nra)daet=PA,:Bex 1150 ELECTRICAL
PertilnpslellNeahington,98362 INSPECTIONS
pir1 )40 f'.nc.(360)4174711
Da19: �Z li
18 2 Strtgle Famly Dwelling
_M amUy or Cammerdal'
mmorr:lal Addit/AUemtlon/Remodel 1 Repalr
Plan'Review May BeRemilled,Please� EleGdcel n Review IMomtation Sheet
Job Address: t ,
b0ding Square Footage:
De6aiptlon of above .24511 1L{ YIIriPrT U>,&
Name: .. �@'S Name:
Mall1n8 A.$ Mailing
Cy
ip
State: -Ztp:
FNone: Fax Phone: Fax —
.l-kense /Exp UMw0#/t;xp.
UAR he e T tel M Iffolled by Unit Char-go)
$119A0 / $ SeMcelFeeder 200 Amp.
S145.51) S tieMcel aft201d00Amp.
S 204.80 5 W*9/Feedsr 0-600 Amp.
$26220 S ServlaelFeeder 601-1000 Amp.
3
372.50 i %McefFeedar over 1000 Amp.
>; 2.60 Branch Cku6 W1 Service Feeder
S 73.50 $ &vnch Cku@ W10 SeMce Feeder
S 2.60 i Each Adddiaral Branch Gook
S. 82.70 = TOM.Swvloal Feeder 2D0 Amp.
$110.30 S Temp.Sento oxer 201400 Amp.
5149.70 S Temp.SeMoalFeedw 40144 Amp.
5167.90 S Temp.S~w*6014000Amp.
_ 95.90 ; PWW 10 PorwAtiury
S 11020 S Blgnl0ul6ne Loling
$ .96.90 S Signal CkuN t.WW Energy-Commercial.Addiliona11SM$5.00
$ 63JO i Signal Ck W Wiled Energy 16 2 Farn9y Dwellng
S 63.90 S Sgnal M=W Urnited Energy MullWamdy Dwdit
5.119:90 $ MarrdacWW Home Connection
'Slam I Renewable Eledrical Energy 5KVA Syslenr or Laos
4110.30 i First 1300 Square Ft
$ 3520 i Each Addili&W 500 Square Ft.or Poreon or
$ 73M S Each 0ulbuliding orDetadrad Garage
r315P „� S Each SwlrnmYidPa&wHotTub
$, S5.a � S Thernasfat
: Tetel �
.Owner&#ddbmdW RCW..1#J#.M:M Ow w wW oawpy the s for two yeah dW tbl&obebkal permit la tiha9:od.(2)Ownerls required to Nm an&Aable#1 contractor H
a6cvie tdtdpropar0r la kraN,rent or hen.PenMt oxplrae afbr moness of last Mspeeft.
AMr. Wing Bn above Klherebywrilythallamilhoev wrofewebwn.namedpropoityoralconudebehialcontmetor.lmmaidng#wslocbtalinstabdmor
aN&ralbn 1n eomp0tna rMh:lho drefrfeal Isws,N.E.C.,RCN-Cho ter 1929,WAC.Chap1er29646B,The Clan of PoR Angola Municipal Code,and Utility Spse111clilm.
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ELECT ICAL
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PREPARED 4/09/10 8 46 57 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/09/10
ADDRESS 139 W 1ST ST SUBDIV
TENANT NBR FIRST FEDERAL SAVINGS
CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215
OWNER NORTH OLYMPIC PENINSULA SVCS PHONE (360) 417 3111
PARCEL 06 30 00 0 0 1533 0000
APPL NUMBER 08 00001154 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 4/09/10 JBLDG FINAL
A
April 6 2010 4 42 20 PM le
KENT @ FIRST FEDERAL SAVINGSGS417417 3111 SAID THE PART THAT GOT
RE ROOFED IS THE CANOPY FOR THE QUILTED STRAIT STORE
BUILDING FINAL RE ROOF
COMMENTS AND NOTES�p F/-/�)A-V
CITY OF PORT ANGELES
�`TEFF
h�N DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00001154 Date 9/12/08
Application pin number 725454
Property Address 139 W IST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1533 0000
Tenant nbr name FIRST FEDERAL SAVINGS
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 2000
Application desc
TEAR OFF & RE ROOF CANOPY
Owner Contractor
NORTH OLYMPIC PENINSULA SVCS LARRY S ROOFING
PO BOX 351 352 AVIS ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 3111 (360) 452 2215
Structure Information 000 000 TEAR OFF & RE ROOF CANOPY
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF & RE ROOF CANOPY
Permit pin number 134353
Permit Fee 95 75 Plan Check Fee 00
Issue Date 9/12/08 Valuation 2000
Expiration Date 3/11/09
Qty Unit Charge Per Extension
BASE FEE 50 00
15 00 3 0500 HND BL-501 2K (3 05 PER C) 45 75
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
t
Permit Fee Total 95 75 95 75 00 00
Plan Check Total 00 00 00 00 f -ej
Other Fee Total 4 50 4 50 00 00 r
Grand Total 100 25 100 25 00 00
qJ9
1
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 comp(e)i with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the p vision any state or local law regulating construction or the performance of
construction O)fD a42K
Ct 12-0TOD om
k*'-,
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T.Forms/Building Division Budding Permit(05/13/08).wpd
BUILDING PERMIT INSPECTION RECORD Q
09
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS +
CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION 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
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. — -
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY.
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS ,A�
SHEAR WALL/HOLD DOWNS
WALLS/ROOF J CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS ((V�tl
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. 11
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT N's SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT y
CONSTRUCTION R.W /PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT {
BUILDING 417-4815 BUILDING
TT-_ na t,r n— ./M 1rli Pi mit(O5/13/O8).wod `�
LN PC)RI qh. BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only-
Attn Building Permit Technician Date Received (Z
` 321 E. Fifth St. Port Angeles WA 98362 Permit# _ 6 -I(,7 V
(360)417-4815 fax (360)417-4711 Date Approved -T-
Applicant or Agent GM �� Phone RSI
Property Owner i(S o iNs Phone
Property Owner's Address
Contractor/Engineer Phone S -
Contractor/Enginee�' �AddreskZ i5SLicense # rtAg kiffiLn Expires 11- 01
PROJECT ADDRESS
Parcel Number Lot Zoning
Project Type & Brief Description. ❑ Residential Commercial ❑ Multi-family ❑ Industrial
Check all that apply
❑ New Construction
❑Addition
❑ Remodel p Qmb WT V `1*(rMqtA
[3 Repair
N�Re-roof
❑ Demolition
❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existin_g(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq ft. _ $
1s' Floor
2"d Floor
3'd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ �
Total footprint of structures sq ft. _ Lot size sq ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
!have read and completed this application and know it to be true and correct. 1 am authorizedply for this permit and
understand that it is my responsibility to determine what permits are required, and ob rm s prior to working on
projects.
Date 1Print Name IOIn CYC Signature
T r3rms/Build .q Division/Bldg Permit Appi � '06 Code d-c
xx 8v`.f
9
d { 1
i 1
7
i ULM
4—
M
WOO
t
1 7o-
-
� I
.;, gra'• � ,Y i(• � �,`-`•,
�1-
�%A6.:�So-f`.F�:iv�°>v-'e�Y:;^.w,k.yi.��:'" .:3r'.•J� - - -
,�fFN CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION s
qv 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 04-00000248 Date 3/30/04
Pin number . . . . . . .730664
Property Address . . . . . . 139 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1527-0000-
Application description . . . ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS HI TECH ELECTRONICS
P. O. BOX 351 723 E. FRONT STREET
PORT ANGELES WA 983628473 PORT ANGELES
PORT ANGELES WA 98362
(360) 452-2727
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc INSTALL THREE CAMERAS
Sub Contractor HI TECH ELECTRONICS
Permit Fee . . . . 40.90 Plan Check Fee .00
Issue Date . . . . 3/30/04 Valuation . . . . 0
Expiration Date . . 9/26/04
Qty Unit Charge Per Extension 1J
1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT 40.90
Feesummary - Charged Paid Credited - Due
---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.90 40.90 .00 .00 R�
v\
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15[11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACKFLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY y„
STORM P�F_M LT 1, cP c
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15[11/14/20031
,y FROM HI—TECH ELECTRONICS FAX NO. 360 452 8560 Mar. 26 2004 11:20AM P2
OF �LU� DE1,T
I1E!
�l Ft OMCU—I USS ONLY
ELECTRICAL PERMIT APPLICATION r" _
kr,r,
Dat.APP- V-d.P�,W
pair I"Ucd —.
The EJOWC31 Perrt:it AppllcalJOA muni ba C leds�t��mDl ! Iv.
L9V-OZ
Please type orrepr;nt In ink- itFo nhsvcurnb62nyr: qua25D)417 711 ASO rail 13613)417 736
Owner or Eiec ConCaotor Agent:
� l �Q��c5 PhoAa: 5�' �1a1 Fax. S -- SG�
SV 1n Phone:
Progeny Owner. 2 r0. Zip. 16 3
Address: � .
P, IC-S . Llcensa-t:N ITECI 9-nC&Ezp;oZ 100 5 Phone: 5 I"--1.1
E]ectrical ConlreclDe -
1 Zip:
Address:
INSTALLATION WIRED EY: O OWNER V ELECTRICAL CONTRACTOR
Credit Card Holder Name; V
Billing Address: e�3 E 1 5�, C/(y; r �� zlA: 3 6 a�
credit Card Numb®r. �4 r-r� �� `�Exp.Date, VISA: MC:
PROJEGTADDRE33: 3 5 % (.�
IYPE)F ,WORK: Check j!1;hat apply: 0 New %Alteration/Addition
0 Residential C Mutti-f8rnily z Commercial O Mobile Home Sq. Put
O Remote Meter 0 Defathed garaga O Hot Tub 0 Swim PCO) C Septic Pump 9 Low Voltage C Telecom. 0 SJgn
Number of Circuits added or faltered:r,
DESCRJPTION OF,THE ELECTRICAL PROJECT: Ca M P r0. 1 is W A%
3 d,o� r . lo�q,T lc n5
El,qcEr1Ml Heat load Additions and or_Subtractionlz. Service information
0 Baseboard KW Voltage-
0 Furnace KW C Overhead Service Phase: 01 L 3
0 Heat Pump TON LRA OTamp Service Service Size:
0 Fan-Wall _y"VY iJ Uneerground Service Facder SlZe-
1 hereby Certify that i have read and examined this 9ppliC8tion and know that same to be free and Correct, and I am
authorized to apply for this pennit I understand.it is not tl;e City's legal responsWify to determine what permlM
are required;if remains the appiicants responsibi*to deterlrnin what permits are required and to obtain such.
Credit Card Holder's Signa tur -
Owner or EI®e-Cont.Slanawr ' Dater z6 143
PERMIT FEE. $ 4 d
:!ELECTRI CALPERMITAPPLICATI ON
-O
r CERTIFICATE-OF-OCCUPANCY
City of Port Angeles" 6�
Building-Division
{ `<°e
This CeYhficat on issue t,pursuant to the requirements of Section109 of the
Unifornti building Code,cet'tifying that at the time*o issuance this s%iicture was
in compliance with the.variotis o"rdina`n'ces of the City regulating Baildiug
cmistruction or use For the fallowing.'
-' Business Name: Quilted .Strait
Use Classification:
Retail' =, Budding Permit No. - U
Type of Construction: V=1Q Use Zone:
CAV,
Group: B
Ott
Ownerof Business: Kris Cornell Address: 1597 Deer Park Road port Angeles. WA 98362
,,
Port AnPeles WA 983`62
Building Address. 139 Wesj\lst Street_ e
F -r ` %AUVUiO,27 2004
'^Dale
➢uildmg 0C17ctel.t '✓
Post on the premises�ln a conspicu6us place.
Shall not be `removed`excepfby Building official.
ROUTING SLIP
Certificate of Occupancy °
D Certificate/Inspection Fee
DATE ?�A/Oy New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business 57t Transfer of Business Location . . . . . . . . . . . . . . . . ( X )
Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address 159a bi tA( RiwL 12�-O _ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
pwFl- Arpq4leS, I A)A q fs3ta 2 Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business 451-4433 home L459—`-6 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: A'I,'i< sga's
Legal Description: Lot Block Subdivision
Current Use of Property: iZ�'�Cir
Zoning Classification of Property: C��
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. . ... . . . . . . . . .......... . . . X 4) Mechanical 4) Pawn Broker
New septic tanks.... . . . . . ...... . . . . . ...... . . . . . 5) Sewer 5) Dance
New sewer service ..... . . . . ..... . . . . . .. ........ y 6) Sidewalk installation 6) Hotel-Motel
Admission charged to patrons...... . . . . . ......... X/ 7) Driveway installation 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? ...... . . . . . . . .. �_ 11) Fire
New driveway openings . . ...... . . . ..... . . . . . . . .. 12) Occupancy
A grading plan for site drainage.. . . ....... . . . . . . . . 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:
information I have supplied is correct to the best of my )
knowledge. Signed: z,M yf JC
APD REJECTED Comments / Conditions
Building Section
Public Works Department
Uroy_sp Planning Department
Fire Department
v City Clerk
P.B.I.A.
°meq CITY OF PORT ANGELES
� 20 DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
41
Application Number . . . . . 04-00000187 Date 3/10/04
Pin number . . . . . . .469435
Property Address . . . . . . 139 W IST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1527-0000-
Application description . . . ELECTRICAL ONLY
Subdivision Name . .
Property Use . . . . . . .
•• Property zoning . . . . . . . CENTRAL BUSINESS DISTRICT
•.1. Application valuation . . . . 0
Owner Contractor
_____________ ------__________________
1ST FEDERAL S&L OWNER
1ST & OAK
PORT ANGELES WA 983628473
____________________________ __-______ _-_________
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc NEW LIGHTING
Sub. Contractor ELECTRIC SERVICE
Permit Fee . . . . 59.40 Plan Check Fee .00 t`..
Issue Date . . . . 3/10/04 Valuation . . . . 0 W
Expiration Date . . 9/06/04 r�
Qty Unit Charge Per Extension AL1
1.00 59.4000 ECH EL-COMM ALT e5 CIRCUITS 59.40
Fee summary Charged Paid Credited Due
_------_---_-----
----- __________
Permit Fee Total 59.40 59.40 .00 .00
,P1an.Check Total .00 .00 .00 .00
Grand Total 59.40 59.40 .00 .00
_ \y
1 I
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15[11/14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY IFORKBEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWNSPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:p
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LME(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALWHOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
GAS LME
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT Ws:
WATERLINE/METER
SEWER CONNECTION
SAMTARY
STORM
PLANNING DEPT. SEPARATE PERMIT p's SEPA: PJ/(J//yI�
PARKING/LIGHTING ESA: Y_ `J
LANDSCAPING SHORELINE:✓ `
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./P W/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT- 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\I 102.15[11/14/2003]
µF�
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
O
Application Number . . . . . 04-00000182 Date 3/09/04
Pin number . . . . . . .194714
Property Address . . . . . . 139 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1527-0000-
Application description . . . ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
-
Application valuation . . . . 0
Owner Contractor
________________________ ________________________
FIRST FEDERAL SAVINGS AND LOAN OWNER
139 W IST ST
PORT ANGELES WA 983628473
(360) 457-0461
____________________________________ ________________________________
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc # OF CIRCUITS = PANEL FEE
Sub Contractor OLYMPIC ELECTRIC
Permit Fee . . . . 76.30 Plan Check Fee .00
Issue Date . . . . 3/09/04 Valuation . . . . 0
Expiration Date . . 9/05/04
Qty Unit Charge Per Extension
1.00 76.3000 ECH EL-COM ALT 0-200 SRV FDR 76.30
Fee summary Charged Paid Credited Due
Permit Fee Total 76.30 76.30 .00 .00
-Plan-Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
�y
I 1
vl
y
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\I 10215[1[/14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:0
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALLMOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEATPUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS ELI
PW UTILITIES/ SITE WORK (Engineenng Division) SEPARATE PERMIT Ws:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT H's SEPA: �f ///���
PARKING/LIGHTING ESA: p(/.4.pj Ago
LANDSCAPING SHORELINE: ���QJ
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./P W/ CONSTRUCTION-R W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15[11/14/2003)
C�u, 1AZ-fd ')+CIL _ n N �qt L 26itil
ROUTING SLIP OF
Certificate of Occupancy
$il#IF Certificate/Inspection Fee
DATE ?j'W0` New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business S+ Transfer of Business Location . . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant CDWfjj New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address KrA-_ bPU/ yL $Z-0 Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Qh t-PIES, 104 Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business '454--443,_,% homeL1
53- 45 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: -Pn hiric Sams
Legal Description: Lot Block Subdivision
Current Use of Property: her l
Zoning Classification of Property: C 1S
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. . .... ... . . . . . . .. .. . . . . . . . . _-Z PERMITS BUSINESS LICENSE
Electrical changes. . . .... .. ... . . . . . . .. . . . . . . . . . . 1( 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) _ 2) Plumbing 2) Peddlers
Plumbing changes . ..... .. ... . . . . . . .. .. . . . . . . . _ 3) Electrical 3) 2nd Hand Dealer n,\
New or relocated signs..... ... . . . . . ... .. . . . . . . . . X 4) Mechanical 4) Pawn Broker V`r
New septic tanks . . . . . ... .. .. . . . . . . ... . . . . . . . . . . _ 5) Sewer 5) Dance S
New sewer service . ..... ..... . . . .. ... . . . . . . . . . . 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 . . . . . . . .... . . . .. . . .. .. . 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. . . . .. . . . . . . .. .. . .. 13) Sign (N
(parking lots, downspouts, etc.) . . . . ... . . . . . . .. .. . 14) Shoreline 1
Are the existing streets paved? . . . ... . . . . .. ... ... . 15) Home occupation
Are there existing sidewalks?. . . . ..... . . . ......... 16) Conditional use �I
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: /
information I have supplied is correct to the best of my g ( A4—,j
M
knowledge. Signed: � 1 ' I
REJECTED Comments / Conditions
770
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certifieationvissued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following:
Retail Building Permit No.: Business Name: Quilted Strait
Use Classification: �
� B Type of Construction: V-1�1 Use Zone:
CA
Group:
Owner of Business: Kris Comell Address: 1597 Deer Park Road Port Angeles. WA 98362
Port Angeles
Building Address: 139 West 1st Street,
WA 98362
August 27, 2004
Date
Building Official _
Post on the premises in a conspicuous place.
Shall not be removed except by Building Official.
y%PAftiµCFlN CITY OF PORT ANGELES
{Sss 't
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362 +
Application Number . . . . . 04-00000198 Date 3/15/04
Pin number . . . . . . .753556
Property Address . . . . . . 139 W IST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1527-0000-
Tenant nbr, name . . . . . . FIRST FEDERAL-BASEMENT
Application description . . . COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT �y
Application valuation . . . . 7061 (�
Owner Contractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS CMU CONSTRUCTION
P. 0. BOX 351 1695 S. BAGLEY CREEK
PORT ANGELES WA 983628473 PORT ANGELES WA 98362
(360) 452-1771
------ Structure Information BASEMENT REMODEL -----
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc .
Permit Fee . . . . 176.75 Plan Check Fee 114.89 rA)
Issue Date . . . . 3/15/04 Valuation . . . . 7061 VVI"
Expiration Date . . 9/11/04
Qty Unit Charge Per Extension
BASE FEE 92.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
-
---------------- ---------- ---------- ---------- ----------
Permit Fee Total 176.75 176.75 .00 .00
Plan Check Total 114.89 114.89 .00 .00 �� -
Other Fee Total 4.50 4.50 .00 .00
Grand Total _ 296.14 296.14 .00 .00 �/
Separate-Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last
inspection. -1 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
12hn� 1
n)-CV
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T-\PLANNING\F0RMS\1162 15[11/14/'2003]
ti
i
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. '
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION.
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS a
WALLS/ROOF/CEILIMG
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engmeenng Division) SEPARATE PERMIT#'s
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT#'s SEPA.
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W /PW/ CONSTRUCTION-R.W
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T\PLANNING\FORMS\1102 15[11/14/20031
r 1.
v'RI tier FOR OFFICIAL USE ONLY
BUILDING PERMIT — APPLICATION Date Rec 3 q
j
Permit# 0
Fill out COMPLETELY and in INK.Your application and site plan MUST
Date Approved COMPLETE to be accepted for review. If you have any questions,call
(360)417-4815 Date Issued
Applicant or Agent: "j-kj t.co �t Q ona.cJF+ Phone: '461-1-7-Li - C_U q6Q-01 y
Owner: f_';jXAj CPQ 11CLnj` Phone:
Address: 1� F ✓4� City:--P w C(A d a-'j Zip:_ CCS 3 Co3
Architect/Engineer: Phone:
C u e O -Y -zz M(tr
Contractor CM U_ Q'0_11A State License#: Exp:7-7-ZCQS Phone: 1ISZ-/-1-1/
Address: 3 T ,t 1 City: L� (�xn.w„ ,�,.4 Zip: �'(� �C 2
PROJECT ADDRESS: �nl �' f S TrZ ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp.Date:
TYPE OF WORK: SIZE/VALUATION:
❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF._$
❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF @$ /SF._$
WL Commercial Z Remodel ❑ Demolition ❑ Deck SF. @$ /SF. _$
❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ D
BRIEF DESCRIPTION OF THE PROJECT: -- it
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load. Construction Type-
No. of Stories:_ Lot Size: Existing Sq Ft. &Proposed Sq.Ft =TOTAL Sq.Ft
Existing lot coverage %&Proposed lot coverage %=Total lot coverage %
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required9 13 Yes Yes ❑ No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with mformation on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION. In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building perrmt application and construction plans are
submitted All other perrmt fees are due at the tune of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107 4 of
the Uniform Building Code,current edition). No application can be extended more than once
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authonzed to apply for this permit and
understand that it is my responsibility to determine what permits are required,not the City's, and that��1 must obtain such permits prior to work.
T TORWAPPS\Buildmgpermrt wpd Applicant. OW J � 1� J1 Date-
VV/ V1/N.;VVY -LUAU rein aoV 40! 01114 rIN31 khD LUAN bERV LIQ 002
FROi�� t CMU CONST. PHONE NO, : 3604521771 Feb. 29 2004 09:15PM P1
2-
CMU CONSTRUCTION INC;
F I L E0
1695 S. Bagley Ck. Rd,
Port Angeles WA 98362 CITY OF PORT ANGELES—Construction Plans
360-452-1771 The Issuance of this permit based upon these plans,specifi.
Fax 360-457-3663 cations and other data shall not prevent the building official
Lica CMUCOI*022MG from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
budding operations being carried on thereunder when in
First Federal Savings&Loan February 24,2004 violation of all codes and ordinances of this jurisdiction.
Kent Sommerfeld (SECTION 303(c)-Unitin B (ding Code.)
105 W. 9th street Approval Date -3L/4 D4�7 By
Port Angeles, WA 98362
360417-3111. fax 457-5194 Bid
Work to be performed at 1 St&Oak
Scope of the project cotes
IteM#2 &3 $ 11240
Item#4 Remove door&jamb.
Hang 2layers of 5%8 drywall.
Install prehung fire door &jamb with deadbolt $ 706.80
New double door's to pit store room low sill,trim one side
Key to matcb new door. sing bore Remove old door, framing
sheathing as need. $ 839.16
Building department said
Fire door at top of stairs
Remove door&jamb,install prehun$fire door&jamb,
this has a storage lockset. $ 531,06
Strap hot water tank&pop off valve to floor $ '75.00
Concrete cutting ] - 3'6" x 7' x 9"door in concrete wall
I 2' x 2' x 9" Drop box in concrete wall $1,035.00
If work is done after hours add$200.00 No Sundays *$ 200.00
C.M,0 Construction will also need an additonal$148.00 and this is *$ 148.00
figured on 4 hours, if concrete work is done after hours
Labor and materials to install drop box. $ 298.00
New door between bank& storage.Prehuug Hard board door
3'6"x6'8"with 22"x 36"window,wood jamb, keyed locks,additions
framing&trim. $ 779.96
Labor and materials to paint doors,janab and trim to finish job $ 463.32
Building permit $- 24994
*Add for after hours $ 348.00
Subtotal $5,438.24
This entire bid has been figured on working Profit 100/0 $ 543.82
Monday-Friday 8:00-5:00 O.H. 10% $ 543.82
S.T.8.2% $ :535.12
To be paid in full upon completion Total $ 7,061.00
There may be electrical inside the wall on the bank side,we won't know
until we open up the wall. _
President Date
Acc a Owner 15 days to accept
First federal Savings & Lo n Assoc.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 04-00000208 Date 3/18/04
Pin number . . . . . . .869472
Property Address . . . . . . 139 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1527-0000-
Tenant nbr, name . . . . . . FIRST FEDERAL BASEMENT
Application description . . . FIRE SPRINKLER SYSTEM
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 4516
Owner Contractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS KNIGHT FIRE PROTECTION INC
P. O. BOX 351 2509 WEST 19TH STREET
PORT ANGELES WA 983628473 OLYMPIA WA 98512
(360) 417-0505
------ Structure Information FIRST FEDERAL BASEMENT ONLY -----
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
----------------------------------------------------------------------------
Permit . . . . . . FIRE SPRINKLER COMM
Additional desc . . FEE'S WAVED BY FIRE DEPT.
Permit Fee . . . . .00 Plan Check Fee .00
Issue Date . . . . 3/18/04 Valuation . . . . 4516
Expiration Date 9/14/04
Qty Unit Charge Per Extension
1.00 .0000 THOU BL-2001-25K (14 PER K) .00
1.00 .0000 ECH FIRE INSPECTION & TESTING .00
Fee summaryCharged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .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
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
presu t give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons tr ti n
Signat re ?C��o=ntractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T\PLANNING\FORMS\1102 15[11/14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT#'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W /PW/ CONSTRUCTION-R.W
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING �v
T\PLANNING\FORMS\1102 15[11/14/2003]
PORT ANGELES FIRE DEPARTMENT
102 East 5th, Port Angeles, WA 98362
360-417-4653
Fire Sprinkler System Plan Review
Project Name: First Federal Basement Address: 139 W 1st
Installer: Knight Fire Protection Telephone: 417-0505
Type of System: Wet R-3 ❑ R-1 ❑ Com El
Date: March 15, 2004 Permit#04-02
We have checked this plan and find that it conforms to the requirements of our ordinance.
Additionally:
1. Systems shall be installed by a state licensed and certified company and the system shall
be installed as per applicable NFPA 13.
2. The extinguishing system shall cause a water flow indication in conjunction with zone of
origin.
3. System will require hydrostatic test by the Port Angeles Fire Department prior to being
covered.
4. Before final acceptance of the system, an inspection will conducted by the Port Angeles
Fire Department to ensure the system installation complies with NFPA 13.
❑ Contractor Reviewed by �-�-
® Building Department
❑ Fire Copy Date 3 l 5yD
FP - 9 Page 1 of 1
o�pakr,t,yr FOR OFFICIAL USE ONLY
Z�'�� BUILDING PERMIT - APPLICATION Date Rec x'11-0
Permit# d y Zbp
Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved
. +. COMPLETE to be accepted for review. If you have any questions,call Date Issued
(360)417-4815
Applicant or Agent: <iftai i12 �1�` +:�+� �1r�L Phone: 31.0 141q-6563r
Owner: F)')-S Cp esGi �rVif � � Phone:
Address: /v 9 �_5r 0 City: _PevT Adbeto l )'_ Zip: lids Z
Architect/Engineer: Phone:
Contractor kfi�/G.•!7,r I.Pd 7�6fr State License#: f<+y/G F. 44XXExp: Phone:-4/
Address: City: Zip:
PROJECT ADDRESS: t ZONING:
LEGAL DESCRIPTION: Lot: Block Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp.Date:
TYPE OF WORK: SIZE/VALUATION:
❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF @$ /SF._$
❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF._$
Commercial ❑ Remodel ❑ Demolition ❑ Derek SF. @$ /SF._$
13Repair 11Sign ®/Other TOTAL VALUATION $ S�j.S L
BRIEF DESCRIPTION OF THE PROJECT-
F/__.__ S /ACS— 4_ F091 *f _ E54srolc�rt--'
COMMERCLAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type-
No. of Stories-_ Lot Size- Existing Sq.Ft &Proposed Sq.Ft. =TOTAL Sq.Ft.
Existing lot coverage %&Proposed lot coverage %=Total lot coverage %
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed
and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance
PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted All other pernut fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that 1 have read and examined this application and knout t same 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 req of the Cit 's, and t ust obtain such permits pnor to work.
T TORMS�APPS\Burldmgpermrt wpd Applicant Date:
I
+Of PORT 4,yCF
�°m CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
o� Port Angeles, WA 98362
(206)457-0411 � C}�1
PERMIT NO._
ELECTRICAL PERMIT DATE
Site Address: I ❑ READY FOR ❑ WILL CALL FOR
Installed By: INSPECTION INSPECTION
License Number: Phone:
1 Owner/Business:
APhone:
Owner/Business Address:
Sq. Ft.
❑ RESIDENTIAL ❑ TEMPORARY SERVICE )19 OVERHEAD SERVICE
COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDER OU JD EB
BASEBOARD KW 11 NEW CONSTRUCTION VOLTAGE: FVICE
❑ FURNACE KW 11 REMODEL
PHASE
SINGLE
❑ FAN/WALL KW f8, ADD/ALTER CIRCUITS THREE PHASE_
❑ HEAT PUMP KW X SERVICE UPGRADE/REPAIR SERVICE SIZE
AMPS
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
F Cole (-C/;7
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
❑ Rough-in/cover O.K.
O.K. to connect service
Final O.K.
Site Address:
.� -jl"- µ^ Permit/Receipt No.
Installer:
New Meters Date:
Notify PortAng sCityLightbyStreetAddressandPermitNumberwhenreadyforinspection.Workmu�o be covered
• before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
� �/�(�/���J���� NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT �D
tleotnoal Inspector —(--�
Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall '
OLYMPIC PRINTERS INC.
OF PORT qNC
=FN CITY OF PORT ANGELES
LIGHT DEPARTMENT PERMIT NO. 8��
ELECTRICAL PERMIT DATE_��/��R
® Site Address: / ../� ❑ READY FOR ❑ WILL CALL FOR
o� INSPECTION INSPECTION
Installed By: License Number: Phone:
Owner/Business: ^ Phone:
Owner/Business Address: Sq. Ft.
❑ Residential ❑ New Construction ❑ Overhead
Heat KW ❑ Remodel ❑ Underground
❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage
❑ Heatpump ❑ Other ❑ 1e ❑ 30
❑ Commercial/Industrial load ❑ Add/alter circuits Service size Amps
Total Connected load ❑ Auxiliary power ❑ Temporary
(attach breakdown) (list below)
Total Motor load ❑ Special equipment
(attach breakdown) (list below)
Details/Description:
W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter
Capacity: ❑ O.K. ❑ Not O.K. Comments
❑ Ditch inspection O.K. ❑ Signed up for service/meter
❑ Rough-in/cover O.K. ❑ Meter Department notified for installation
❑ O.K. to connect service ❑ Fire Department notified of inspection
-111 Final O.K. ❑ Plan Review approved/pending
Site Address: Permit/Receipt No.
OV
Installer: f New Meters Da
t
e.
7 /.7/9/
1 Notify the Department of City Light gy 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.
S NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
J O r
nspect r Amount paid
WHITE—file by address YELLOW—file by number PINK—Top: Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall
OLYMPIC PRINTERS, INC.
573 CITY OF PORT ANGELES A 9 If p
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
.�' TOTALFEE 395-1"M -
CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address �3 W
CO�R/PECT DDRESS IS ESPONSIBILI V OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner /T" Installation By N—O <<
Owner's Address - - Installers Address '
Day Phone Installers Phone L I/e. Niau
Application ereebbyymade
�for Permit to install Electrical Equipment as ffO011 wS:
{tet ` I1. /'lo.. s� �l .
3 SAN
Wiring ethod
NUMBER AMP .120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 10OR FEE USE OF CIRCUIT PE 10OR FEE
CIRCUITS CIR 10 30 CIRCUITS CI 10 30
LIGHT SIGN
LIGHT - 50 V0 TS -
OR LE
CONVENIENCE* MOTOR -
CONVENIENCE - MOTOR
APPLIANCE .. _ MOTOR. . -
DISHWASHER FIREALARMS
DISPOSAL BURGLAR ALARM
RANGE misc.
_ \ OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE#
FURNACE _ SUB TOTAL FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC -
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UNIT
`AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
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.
Date Application made ,19 By
- 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 Jinerity of Port Angeles.
Q "j DI TO F.0 IGHT
Date Permit Issued I By
PLANSA PROVED
Notify Department of City Light by Street Address and Permit Number when ready for in pection.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.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER —
WHITE Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report
\\` OLYMPIC PRINTERS.INC.._.____
REPORT OF INSPECTOR
DATE OF VISIT MADE BV REMARKS
1
Z
Q
Q
N
2
F
2
W
H�
H
O
2
O
D
O.K.FOO COVERING L C
O.K.TO CONNECT SERVICE ,
FINALO.K. /
/ A
FROM FAX NO. Jul. 27 2003 06:50AM P1
ills omcr.u.use au
ELECTRICAL PERMIT APPLICATION
IM om�m:
The E lettAcsl Permit Application must 6a RIM out ear olabb,
P loess Mo or reprint M ink k you have any questions.Pismo cell(300)417-4736
1— Fm number 1360)417-4711
Owner orElec.Contractor Agent; 1t� Q'rt_Vi Pham: Ig j2:L 2`f '/
Fax x5 2- G, 'I
Properly Owner: I ) y_a n� r CA cT _Phone: tq 7_r...L
Address: -- Gtr. 01 114 4A,lkr zip: CLeR
Eleehlool Contactor. ELV-C-Ir-LL �iir�. ld1G.�--- Liar+»wS 13? e�h EuD: 7 D Phone:yg2-4-r-4-r
Address: s -zl- Vel J.0city: [�d Zip:
INSTALLATION WIRED BY;—"OVOWNER ❑ELECTRICAL CONTRACTOR d
Credit Card Holder Name:
Billing Addnaa: 1 Chi. Zip:
Credit Card Number: 1 L Exp. Data: WSA:
PRDJECT ADDR�: f 3 1. e,5--T
TYPE
OF WORK, Check lid that apply. 0 New �terittioNAdditlan
s
0 Reldendal o Multlr-tatly 12A Commercial C3 /Mobile Home Sq. Ft.
o Remota Meter ❑Detached garage ONot Tub..0 Swlm Pool 0 Septic Pump r: °0 L•ow Voltage 0 Telecom.
Number of Otrcutta added or atiered: 0 l
DESCRIPTION OF THE ELECTRICAL PROJECT: 44i j-2 I • 0.FN &k r
Elaawall L n eervto6 lrMolrtnetion
0 Baseboard KW Voltage:
❑Furnace _KW0 Overhead Service Phase: 0 1 0 3
❑Meat Pump 'TON LA 0 Temp Service Service Size:
O Fan—Wall W 0 Underground Service Feeder Size:
PAMC 14.05.060(B : r industrial, com merclal, &residential projects larger than a dupleX, a one-line drawing of the Electrical San
Feadara, building a sq.ft.). bad calculations, and the type&of conductors and/or raceway Is required and shall accompany the
Elea 1 Permit apph on.
l he fy that I have read and examined this application and know that same to be true and correct, and
author* d to apply for this permit. i understand Jt is not the City's legal responsibility to determine what per
are req ; " remains the applicants responsibility to determine what permits are required and to obtain suc
�.
Yk
to`�Credit Card Nolder'a Slanetun: HI?4,WW �Dsb:
/
,��� ` Owner or EIeG.Gard.SlBnstwrr � .^2A ,� Oats: 3 Q 0 y
14?ir /fuo/p 7 PERMIT FEE:
. -c..-u.♦ c.�u�M �r r l.11lll �NLiELtS aFnat J�1 r s 2/ �
ELECTRICAL PERMIT AI PLICATION
The ElecaPamir Appli®uon 12u11 ba filled 1111 opo 1r
Plaaaa"M or repAet rn btt Ifyeu have ery queelkans,please=11(3W)A17r4725
Paw nwn ban(!811)117-4711 1
OwnssElcoCx*miWAgat: OlyMP1C Electric Co . , Inc. Prone: 457-5303 Fsa 64>5349
5 - 8 2
Proverb Owner, r/x�J - �[.�(i�/L�/ -ft4f/ l� �Q/ Phone:
ENkkIwlCaninsolor. Olympic Electric Co. , Inc. ucenseC [LttrtB:�f1Mle,p; 3/31/03 Phone: 457-5303
Address: 4230 Tumwater aty: Port Anqeles ap: 98363
INSTALLATION WIRED BY: ❑OWNER b ELECTRICAL CONTRACTOR
010caCord Holder NAma: Charles T. Burkhardt, Olympic Electric Co. , Inc.
Billing Address: Same t;/ry•. Zlp:
Credit Cant Number. Fury pato. VESA: X AIC;
Piltminar AtDOREss:
TYPE OF WORK: Check ad that apply: 0 New �AMe SUWVAddrdon
❑Reatdentlel 0 Mu"mily Comrrwkiel ❑ Mobile Homo Sq, PL
O Remote Mellor 17 Detached garage p Hot Tub O Swim Pod O Septle Pump 0 low Voltage 0 Telecom. p Sig
Number of Circuits added or aitered: 107 25;1_
OESCRIFMON OF THE ELECTRICAL PROJECT: /
Elecildcod L M-AddMono end or subtraotiong 8antce Information
It UAPIr IHR
❑BasebFumac end f0 KW PharVoltage: /JVD
O Furneea KW ❑Overhead Servlet Phase: 'IStr1 3
❑Heat Pump TON—LAR O Temp Service Service Site:
O PWwas —KW 0 Underground Service Feeder Slee: ,��
PAMC 14.05.090(B): For Indusvlal,eom meroal,6 reddendel pm)ek:ts layer than a duplex,a One-line draWi g of the Electrical San ice 9
- Feedae,bldlding alze(sq.R.), bed Calculations,and the type 8 o(conductors and/or raceway Is requited and shell acrampary,the
Electrical Permit application.
I hereby certify that 1 have reed and examined BTIa application and know that same to be trug and Correa, and i of
aW+orhed to apply for this permit I understand it is not the City's legal responsibility to determine what pem is
ere regvfre0,•It/emains the applicants responsibility to determine what permits ere required and to obtain such.
/ C
Cndlt Card Noldaeo S%injjUwe: Data:: 7
Wmr or E,.o Cam argn.kure Data: % y
rnaoltvrA�s PERMIT FEE: $ 7
AV 3/310 �'`P
ELECTRICAL PERMIT
CI
CITY OF PORT ANGELES
350-417-4735
Application Number 15-00000385 Date 4/15/15
Application pin number . . 694200
Property Address . . . . . . 139 W IST ST ^v
ASSESSOR PARCEL NUMBF,R: 06-30-00-0-0-1533-0000- REPORT SALES TA
Application type description ELECTRICAL ONLY
Subdivision Name . . . . on your excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502}
Application valuatiol) 0
Application desc
Dropped ceiling and work station
----------------------------------------------------------------------------
Owner Contractor
NORTH OLYMPIC PENINSULA SVCS ANGELES ELECTRIC
PO BOX 351 524 'E, IST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7210 {360} 452-9264
----------------------------------------------------------------------------
PerRit . . . . . . ELECTRICAL ALTER. COMMERCIAL
Additional desc . . u
Permit Fee 109.00 Plan Check Fee 00
Issue Pate 4/15/15 Valuation . . . 0
Expiration Date 10/12/15
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
7,00 5.0000 ECH EL-ECB ADDNT BRANCH CIRCUIT 35.00
----------------------------------------------------------------------------
Fee summary Charged Paid -Credited Due
Permit Fee Total. 109.00 109.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 109.00 109.00 .00 .00
INSPECTION TYPE. DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-1N 2 t
FINAL 4
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IFXCfIANGEIBUILDING
04/15/2015 08: 46 FAX 360 452 9265 Angeles Electric 160001/0001
i
RECEIV
t
CITY OF PORT ANGELES PERmrr API' CATIONAPR jR
Building•Dfvisioo/Eiectriod Iospectiions
321 East- iifth Street-P.O.Box 1150/port Ani lea-Washington,98362
Ph:(360)417 735 ax:(360) 4174711
INSPRTIONS
Date: r Iti-Family or Commercial'
"Plan Review May Be Required,Please Complete Ele Cal Plan Review information Sheet
Jo6.Address: i
Building SquareFoctage:
Dascriptlon of agave
Ownerin ation Contract r infarrnatian
Name:
Mailing, ss; Maning 1 mu
City State: 2JF CKy Slate: 21p:
Phone: Fax. Phone: -UAV a:
XREZ-
Ucense.#/Exp. b License 8! 040
Item Lae— Ma"hirae fatal(Aty Muliiulied'by Unit ChLr9
ServicelFeeder 290 Amp. $132. $
Service/Feeder 201.400 Amp. $160. $
SenricelFeader 401.600 Amp $225.} $
ServicOeadar601-1000 Amp. $288. $
Servi*Fee'dar over 1000 Amp. $410. $
Branch Circuit W/Service Feeder $ 5. S 0 0
Branch.Cl=h W/0 Service Feeder $ 74. $
Each Addinanal Branch Circuit $ 5. $
Branch Circults 14 $ 06. _ $
Temp.Service/Feeder 200 Amp. $102. $
Temp.•Sorvicall's0er 201.400 Amp. $121.0 $
Temp.ServioelFeeder 401.600 Amp. S 184, $
Temp.Servi*Feeder 601-1000 Amp. $185, $
Portal to Portal Hourly $ 96.0 $
Sign/Ounlne Ughting $ 88. $
Signal 0=111 Limited Energy–Multi-Famlly $ 84. $
Signal Clrcultl Limited Energy!First 1500 sf–Commercial $ 96. $
Note: $5.00 for each additional 1600 of
Renowable Electrical Energy-6KVA System or Less $113. S
Thermostat • $ 56. $
Note:$6.00 for each additional T-Stat !i $ Total
owner as deflnad by RCW,19.28.261:(1)Owner will occupy 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 rent or lease,Permit,t)0res after six months of last inspection.
After reading the above statement,I hereby certify that I am I p owner of the above named property or a licensed electrical contraotar.I am making
the electrical Installation or alteration in Compliance with the a 'cal laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296.468,The City of Pant
Angeles Municipal Code,and UWlly Specifications and PAMQ 14,05.050 regarding ElacUical Permit Applications.
signature of owner,electrical contractor or electrical ada ilstraitor: 0 Cuh 0 agar
L—cr.an cud• 0AZ eLA!t
Dtisd:j1 / ,� 01101=2
i
i
I
ELECTRICAL INSPECTION
WIRING REPORT
RKS 417-4735
DATE:
=RMIT 4 INSP
OWNER
CONTRACTOR
ADDRESS
f c)
APPROVED NOT APPROVED
. . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . 0
LOUGH IN/COVER . . . . . . . . . . . . . 0
CJ. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . 11
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . - 173
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application Number . . . . . 23-00000353 Date 4/17/23
Application pin number . . . 516654
Property Address . . . . . . 139 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Access control
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FIRST FEDERAL SAVINGS & LOAN COOK SECURITY GROUP INC
PO BOX 351 5841 SE INTERNATIONAL WAY
PORT ANGELES WA 98362 MILWAUKEE OR 97222
(360) 461-7210 (503) 786-5173
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee . . .00
Issue Date . . . . 4/17/23 Valuation . . . . 0
Expiration Date . . 10/14/23
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.$132.00 $
Service/Feeder 201-400 Amp.$160.00 $
Service/Feeder 401-600 Amp.$225.00 $
Service/Feeder 601-1000 Amp.$288.00 $
Service/Feeder over 1000 Amp.$410.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp. Service/Feeder 200 Amp.$102.00 $
Temp. Service/Feeder 201-400 Amp.$121.00 $
Temp. Service/Feeder 401-600 Amp.$164.00 $
Temp. Service/Feeder 601-1000 Amp.$185.00 $
Portal to Portal Hourly $96.00 $
Sign / Outline Lighting $88.00 $
Signal Circuit/Limited Energy - Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
$96.00 $
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat (Note: $5 for each additional)$56.00 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 4/12/23, 7:55:39 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000353 139 W 1ST ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 96.00
TOTAL DUE 96.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
1. Boxes shall be listed for wet location. NEC 314.15
2. Wiring shall be installed in a neat and workmanlike manner. NEC 725.24
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/15/2023 23-353 TAP
OWNER
CONTRACTOR
Cook Security
PROJECT ADDRESS
139 W 1st St
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
6/28/2023 23-353 TAP
OWNER
CONTRACTOR
Cook Security
PROJECT ADDRESS
139 W 1st St