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Home My WebLink About210 E 4th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 06 00001147 120003 210 E 4TH ST 06 30 00 0 1 6910 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR Owner Contractor PRUSS JOHN F /JULIANNE 3011 S REGENT ST PORT ANGELES WA 983626949 Qty Unit Charge Per 1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS CITY OF PORT ANGELES PUBLIC WORK. ELECTRICAL DIVISION 321EAST:STH:ST00, PORT.ANGELES. WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc SIMPSON/ 1 5CIR LIGHTING Permit pin number 89219 Sub Contractor SIMPSON ELECTRIC Permit Fee 61 30 Plan Check Fee 00 Issue Date 11/27/06 Valuation 0 Expiration Date 5/26/07 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total COMMENTS /ACTION NEEDED 61 30 61 30 00 00 00 00 00 00 61 30 1 •u 61 30 i' 00 oo 3u 00 .0 1 6 910- .0-040. P I 'A.:. ONLY 1 CIK♦ S i d ,Credited I •ar. SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 1 0R I, ADIGy:LE$ (360) •IM I 41. ,..0 4 0 Date 11/27/06 WA 98363 Extension 61 30 eALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCIH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMA YES NO 1 1 1 1 1 1 1 1 M 1 1 bc,o/ re J-6 Z 1 1 1 1 1 1 1 1 1 1 1 PW- I102.15140961 10/17/2006 23 53 4579270 SIMPSON ELECTRIC Job wired by Electrical contractor name Lice number Date Expires S•M /tom ,�c_ i ThFSeL 97341? Purchaser's mailing address aLI 3 liefJ01 c." City pow- l9r6e /es st •P '83 h3 Telephone number C15 7 -9.2.7 Premises owner's name 77—.4c Address or inspection al O L c f- S4 Q City 121 /4-rtgt0ley Phone number to schedule inspection 'f5 7— 7' X Electrical Contractor Owner N ElactrleaLomaddalons and oesubtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW FAX number SJ Fri rill J. e r .5 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 in required to him an electrical contractor if above said properly 1.% for sale. rent or lease After reading the above statement, T hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.C.C. l C:W Chapter 19.28, WAC Chapter 296.4613, The City of Port Angeles Municipal Code, and Utility Specifications. /Signattyl'pf owner. electrical/(e ntractnr or electrical administrator Expiration Date Date. D 18 -0 4, of card Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALI BEFORE 7:00 AM 360 417 -4735 ROUGH -IN TEIERMOSTAT Inspection Date 1)010 Appmvvd By FINAL 40/12,_.a Approved Sy IL-6/ 6 Bete DU CH Hy DITCH new Arca, Building or Equipment Inspected PAGE 01 ELECTRICAL WORK PER MITAPPLICATIQN, \(installation description Commercial Residential New Cash Check #1 Credit Card Visa Mastercard Discover Card Approved By 4 H do /-2 t5hfe r Altered/Addition Onto Voltage Phase 1 3 Service Size: Feeder Size: SERVICE FEEDER Action Taken Inspection foe 6 z Service Information Appmved ny Approved By Electrical Inspector N 1 fflOAT~ 8~o~~ rea ~ -- "ItlC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENf - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CED Appl~cat~oh Number Appl~cat~on p~n number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cat~on type descr~pt~on Subd~v~s~on Name Property Use Property Zoning . . . Application valuation 06-00000647 Date 578626 210 E 4TH ST 06-30-00-0-1-6910-0000- TRACY SMITH COMM REMODEL 6/21/06 COMMUNITY SHOPPING DISTR 3206 plN~ 7/10 /t~ Owner Contractor PRUSS JOHN F/JULIANNE 3011 S REGENT ST PORT ANGELES CMU CONSTRUCTION 1695 S. BAGLEY CREEK WA 983626949 PORT ANGELES WA 98362 (360) 452-1771 Structure Information 000 000 ---------------------- TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST Construct~on Type . . Occupancy Type Permit . . . . . Add~tional desc . Permit pin number Perm~t Fee Issue Date E~piration Date BUILDING PERMIT - COMMERCIAL 80440 123.75 6/21/06 12/18/06 Plan Check Fee Valuation 80.44 3206 Qty Unit Charge Per Extens~on 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 123.75 123.75 .00 00 Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 208.69 208.69 .00 .00 ~ - ~ Tt, ~ ~ 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 requ~sted 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. 0~ ~ <O-cl-O(~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Pohcles\1102_15 building permit inspection record05.wpd [1/412005] , \ I, ....... BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO -, ' . , , . FOUNDATION: ,- J '... ' , .. - . FOOTINGS . . . . , . . WALLS '\ FOUNDATION DRMNAGE/DOWNSPOVTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL , WALLS 7/10/ tJ(, i./7- CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS . WALLS 1 ROOF / CEILING '7A()/~~ l./t-V DRYWALL (INTERIOR BRACED pANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR / CEILING 17/(o/lJ&r Iv" I MECHANICAL , HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CmMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING 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.I PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 / / PLANNING DEPT. BUILDING 417-4815 7/leJ /O~ Vk/ BUILDING ~ , ' ~ ~ ~ l ~ ~ U1 ~. ~~ ~~ ~. ~ ~ ~.'n_,,_.__\11M 1 < h..aA,na nPT111.1 ,""""chon record05 wpd [1/4/2005] PREPARED 7/11/06, 12 30 51 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 7/11/06 ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER 210 E 4TH ST TRACY SMITH CMU CONSTRUCTION PRUSS JOHN F/JULIANNE 06-30-00-0-1-6910-0000- 06-00000647 COMM REMODEL SUBDIV PHONE PHONE (360) 452-1771 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 7/10/06 JLL BUILDING FRAMING TIME' 13 00 7/10/06 AP CHUCK 07/07/2006 09,47 AM DYASUMUR --------------------------- 07/10/2006 04 12 PM JLIERLY ---------------------------- BL99 01 + W?: BUILDING FINAL TIME 13 00 CHUCK 460-0114 07/11/2006 07 57 AM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- Lasered CEO PREPARED 7/10/06, 10 59 27 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 7/10/06 ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER: 210 E 4TH ST TRACY SMITH CMU CONSTRUCTION PRUSS JOHN F/JULIANNE 06-30-00-0-1-6910-0000- 06-00000647 COMM REMODEL SUBDIV: PHONE PHONE (360) 452-1771 Lasere, CEO - PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 ~101.06 +fJLL BUILDING FRAMING TIME 13:00 CHUCK 07/07/2006 09 47 AM DYASUMUR ------ -------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- (( ~(- I\IL ~~\ ~~t> l...\~oJ It F'f ." eMU Construction, Inc. I Chuck Ulbrich, Owner 1695 South Bagley Creek Road . Port Angeles, Washington 98362 360/452-1771 Lie. CMUCOI*022MG Lasered CEO June 15 2006 Julie's Shear Elegance 210 East 4th. Str. Port Angeles Wa 98362 360~457-7993 W Tracy Smith 360-452-7195 H 360-461-9255 C Quote Removing Front windows To quota with Mathews glass replacing front windows C.M.U. constr. ~ Remove lower panels. FraJ. e in new pony walls 44" Hi{ 2x4 16" O.C.{ 7/16 OSB. Sheathing, Insulation, Interior wall fin sh white melamine. Rap windows to match existing trim. Exterior wall finish Hardip ank. and new trim Paint All Labor & Materials J Electrical Remove three baseboard haters and ilistall tow new pic-a-watt heaters $ 1,916.67 $ 575.00 Furnish rough print for building department $ 110.00 BUILDING PERMIT $ 254.89 Clean up ( broom dean) Haul debris to landfill and dump fee Subtotal O.H.I0% Profit 10% S.T. 8.3% Total $ 350.00 $ 3,206.56 $ 320.67 $ 320.67 $ 319.37 $ 4{167.25 atf~ President 15 days to acceptance. Acceptance Owner Date 'CJ Q) '--0 IDW g;u -.I r I I :) I I X i ')- I '" ~ .. ,oJ I ~ ~ I C .) - :.:> t IQ ~ I) ~ Q Iw 12 ...) ~ .Q ~ '" c S :L <' ~ - to-: , V' ... ..,.. \0 .. ~ ~ ~ ~ <! "l -S "- 3 '3 4:) UJ -i ~J ~ - -Q :>~ <q' -...J 3 ~ 2~ .. ~ ::~ ::r (r . t! i I I ! i ! i t [ 1 3. _.______ ____ ~ ~ ""t: -.. ::>> -..... 41'1 ...... . ~ "~ _ C:!.~ '.. -J ..; :,1 d! ~ ~ I ''l. III .' II! I'll d \jf" f: '>'- t' t l, ....,,; It! ; i ~ \ ; ~ 1H i Ii . ,>l , I ; ~ ! 1'. IIi i ! I I I i "" :r ,'" - t" \U ..J Q, :) o " .) uJ 2.. 1 "1\ I I 1 I I I t -; III ~ !II ~ ~ ili ~~ ..J 3 11' <! \ I 1 r 1'1 o 0 I a.. 1\~ ~ ~ ~~ I *'~ 3 ~o ,:f;. _.A!-~(1 ~., ,~,,, ~ _ ......i''''- ~'l; 4- t: 0- ~~.,~ ~ ~ "&;~<10 Ilk ~ / ..?,,~ ~~'<S <l- 'f,\~<:f. ~~ qp ~,,<tJ /::;~ ~ ~ ~ ' I <;f ~~~<:;. ~~. ct ~(j , '<;,~.,~ ~,,~.:;.~ 1<..,r;,<:;' '" ~~" .'!S-<:? ~ \" ~~ ~ "~".~,, ;S-'" O~ 'f:, ~v. ~~ ~ !/, ~r;," ~l8-'b' ~ ~.,y ~<l ~:~ ~~., ~!/,,, ~~ i V~ 0 >>~~~~ <::J$~" ~~J~~~ ~~~"'~~<:;.~~~~1 );\ f/,'"'' ~~~ ~~ ~<::J<:;''' R,~<1o ~" , '\~ ,~., ~~'1; ,,/iiI f:,'<S ~~~ ~ ~~ 'S-~ !/,~ ~~~ "rto 'l;~'" r'\ ~'IS ~':>' 'IS ~ V; ~~" ~<:;.% ~ ~~ "&;<::J~ .:;.'<}'b -r-J ~ ....... ..... ~% I I f- 1 ~ ,~ \JJ v')" ...,J d I ~ I :S~ J ~' I F~ { ~o atU \1..< ~ 0 . ...J 0 Q '* 3 ~~ ~ )- ~, r' ""I- -.,. rJ a ~ ~. 1 ~ b ~ \k~ ~..- I j i i I I I 1 , ~ l ...... \"' t 2. "t) ",'" _ I '" <'l ~~ ~-~_~---l~~ ~ ~ 5',fJ 6 :I' r# t'"" <r o ' X^ tA" ~ ~ - tlIf cO '""\-: e.I' ~ ~ C) =- ~ ~ - .,,<O~ ~ '-.iI en r ::t v4H ::1Q qa 3~ v ~ -j a.,i) <! a => '! ] ~ \tl .., < 1t ~ ,JI v "'U ...!. a 141 ::t '" CIt """ ..;~ ":)n~ \'1 .....: ~, ~ .j,.' t-- ~, :r <, ~ ~: -\(I en ~ <<J 0 ~ .0 - a.... ~ ~ ' -,~(q t;.,~ ,A~:\'ilU",~.',-I'j' - - 'ioE.f.n' w43::"\ ~--~ 1S'~1 \":,... ~_,;'li'/ , ~ ~~ BUILDING PERMIT - APPLICATION LaserprI CEO' Fill om COMPLETELY and in INK. Your application and site plan MUST B < COMPLETE to be accepted for review, IfYOll have allr questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent <: ""n\ u.. ~().AJS7 Owner' r R4 ~y ~ttI ,71./ Address 'LID IE:. t..{TII sr/Z. Q huJL Phone: '-t S '"Z..- II, I lf~,--" 19~ 4 ZIp: q ~3 C't... Phone: CIty: Po,e1 4AJ6-&LCS Archltect/Engmeer Phone. Contractor C Thll ~~T State LIcense # ~'rt\U e..O , ~ 2Wixp: '4-07 Phone: 1I6'2-/7Jl Address:jfJ1S~. Mt.lJY (!eR L/J CIty: /Jon KJAJ6-CLCS. Zip: 9~~e( PROJECT ADDRESS 2/0 E. <.f11l~?7l. Ibtrd.Q~?r ZONING: LEGAL DESCRJPTIOn Lot. Block SubdIVision' CLALLAM COUNTY PARCEL NUMBER: TYPE OF WO:RK: o Resldentml 0 New Consrr, 0 Re-roof 0 Stove o MultJ- family 0 AddItIOn 0 Move 0 Garage o CommercIal KRemode1 0 DemohtlOn 0 Deck o Reparr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT Q JlLlA.l5r jJf..w V/NVl? INsutAfJdJ W tAttLJO w AN (J SlZENA..LUATION: SF. @ $ /SF = $ SF. @ $ /SF. = $ SF @ $ /SF. = $ TOTAL VALUATION $ "7:>ZOC,.,5,t;.. DlJ~ 17eO#T' WIAJ(JOW"7S . D ()AJ'I W AU- l../ V~" ~/f I COMMERCIAL/RESIDENTlAL: Occupancy Group Occupant Load: & Proposed Sq Ft ConstructIon Type' = TOTAL Sq. Ft. No. of Stories' Lot Size: Total lot coverage Existmg Sq Ft. % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DP'\VU: ESAlWetland(s). 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: FIRE: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Th1s figure will be reVIewed and may be reVIsed by the Buildmg DIvision to comply with current fee schedules. Contact the Permlt Coordmator at 417-4815 fOT asslstance. I PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building penmt apphcatlOn and constructlOn plans are ' subnntted All other penmt fees are due at the tlille of permit Issuance. EXPIRATION OF PLAN REVIEW: If no perrnitls lssued wltmn 180 days ofthe date of apphcatlOn, the application will expire. The BUlldmg OffiCIal can extend the tllDe for actlOn by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International BuildmglResidential Code, 2003). No application can be extended more than once. 'X T'\FORMS\BldgPennitform wpd Applicant: C~ I hereby certify that J have read and examined this application and know the same to be true and correct. J am authorized to I apply for this permit and understand that it is my responsibjJjty to determine what permits are required ,not the City's, and that J I' must obtain such permits prior to work. I I I ~ ,,/-Date: Co~ l Co ~ 0 b . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. soti? '1 /IJ/i~/Ff DATE Site Address: s:t; o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW _ o RESIDENTIAL "6l COMMERCIAL 1J NEW CONSTRUCTION ~ REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1rD D3rD SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: 1iJ~~ (J ~+ ~~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. r~OUgh-in/cover OX DO.K.toco~L Ar'P Final O.K. .sfl permlt/~~g r New Meters Installer: . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. //tft; NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ # 3D Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall ~, OLYMPIC PRINTERS INC CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 2/14/2002 PERMIT NO: 13234 OWNER/APPLICANT PROPERTY LOCATION 210 4TH ST E JULIE & ,JOHN PRUSS 210 E4TH STREET Lot: 7 PORT ANGELES, WA 98362 Block: 169 [] Long Legal 360/452-9851 Subdivision: TOWNSITE T: S: Parcel No: 063000016910000 CONTRACTOR ARCHITECT GREAT NORTHWEST ENTERPRISES N/A PO BOX 2963 Port Angeles, WA 98362 , 98360-0000 206/452-9518 360/000-0000 PROJECT INFO Project Value: $1,500.00 SFD Units: 0 Commercial: 0 Project Type: REROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 ~,,.j' Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 C~ Zoning Use: CSD PROJECT NOTES TEAROFF/BASE SHEET / TORCHDOWN RECEIPT #8763 -'~ FEES ASSESSMENT Building Permit: $54.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0,00 Manufactured Home: $0,00 Sign: $0.00 TOTAL FEE: $58,50 Plumbing: $0.00 AMOUNT PAID: $58.50 Mechanical: $0.00 BALANCE DUE: $0,00 Radon: $0.00 Separate Permits am required for electdcal work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod 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 ~~resume.to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED ,4ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE [ DATE [yEsACCEPTEDI NO COMMENTS FOUNDATION: I I BUILDING 417~4815 / ////3//0 ~~'~ BIJ~LDING W.S. No. Service Capacity: 0 O.K. 0 Not O.K. ....(,..9 Ditch inspection O.K. W"! pi Rough-in/cover O.K. o O.K. to connect service ~ ~ Final O.K. . . ~; . I / j Ii CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. Zt3 "f5 DATE 10- t€J -"'70 ELECTRICAL PERMIT Site AddressZ I D E:. Fourz...-r H 5-t: o READY FOR o WILL CALL FOR INSPECTION INSPECTION Installed By: J f-foAI2.t:: I License Number: Phone: AMES OwnerfBusiness: '5f't7Yl6 Phone: tk>...... e: ~Z-llwB owner/B/~jn;S Address: 5-t: Sq. Ft. e/ 6, C;; -r r+ o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other )i([ Commercial/lndustriai load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction .l'<I. Remodel o Service update/alter/repair o Overhead o Underground Voltage /=/'V'fO ~10 03.0 Service size '2..00 o Temporary Amps t& Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai Is/Description: Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. 2.10 e. 4'TH &z-t za +3 Installer: J.-1oA~ I New M~ I Date: ....)AM e.~ 10-/(3-90 Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before Inspection and O.K. for covering or service has been given by th~ Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~Wlf!5? p~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRI"-ITERS. I"-IC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. /9t?/ 1i2/0l/~? . , DATE Site Address: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other 111 Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) .0 New Construction ~ Remodel . o Service update/alter/repair ~ Add/alter circuits o Auxiiiary power (list below) o Special equipment (list below) o Overhead o UndergrOun~ 0 Voltage 7:::;;/7 . l/, ~ 10 '030 Service size ~ Amps o Temporary Detai I slDescri plion: C /((CUJ Ii /Iun I;M4 , . IO~ / c~t{q Ii9*J .s (p KIA.) W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~'Kl Rough-in/cover O.K. / . o O.K. to connect service ~Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending t Lj-P- Permit/Receipt No. /9' I o .'.f New Meters . Notify the epartment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. .30 t?;!! NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .T~ Inspector WHITE - file by address YELLOW - file by number Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. CITY OF ]PORT ANGELES PrORMIT APPLICATION Building Aiivisiort/Fiectriral llespedions 321 East Fi€i'h Street —P,O. BOX 1150 /.Port Angeles Wasbington, 98362 Ph: (360) 417 -4735 Fax: (360) 4,17 -4711. loofa: --t - Multi•(=amlly or Camn�as�6ala * Platt Review May E Job Addmsa; T,_•, c Building Square Foatacfe:. 002rxtiptlon of above Mete Flectriral Plan Review fnformalion Sheet Owner 1 at on H me: Conkracb Mailing ddrns8: Name; City: a. SI§te, alp; 1r. Walling da 0ily:I s thane; ,. FqK. LtcenSe 1g! Exp,�„ ,.. - Fhnna:�� — Lieense # Itf�rt nit Ch e � SON100eeder 200 Amp $132.00 Sor WFeedsr201400Amp. $ 160.00 ServIce/Feeder401.600 Amp $ P25100 ServlcelFeader 6011000 Amp, $ 398.00 Service/Feederover 1000 Amp. $ 410,00 Branch Circuit W1 Service Feeder $ 5,00 Branch Circuit W10 Servico Feeder $ 14.00 � Each Additional srnoh Circuit $ 5.00 —" Sran0 Circuits 1-1 $ 85.00 Tamp. 3erviml Feeder 200 Amp. $10200 ' Temp. ServirelFeEder 201 -400 Amp, $ 121.00 Temp, Service/Feeder 101-600 Amp, $ 164,00 Temp. 8erriNdReder 601 -1000 Amp, $185.00 Portal 10 Portal Hourly 1 moo _ -.. . Slgn(Oulline bighting $ 88A0 Signal Circultl Limlted Energy - Multi- Family $ 84.00 Signal Circuill Wited Energy Firat 16600 sf- Commercial $ 96.00 -'—` Nate: $540 for each additional 1500 9 Renwrable 1116*1cal Energy - WA System or Less $113.00 Thermostat $ 56.00 Nate: $5.00 for each addiilorel TStal MAR .1 2015 E'LECT'RICAL INSPECTIONS Owner as defined by RCW.19.28.261: (1) Owner will occupy the shw1urn for two years alter this electrical permit is final) to hire an elechicai contractor If above said property is for sale, rent or lease. Permit expires after six months of last inspr I' Y r I OW"er is required After reading the above statement, I hereby certify that 19m the owner of the above named property or a licensed eleetdra cr, n,ractor. I am making the electrical installation or alteration in compliance with the electrical laws, NkC., RCW. Chapter 19.28, WAC. Chapter 296-4113, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05,050 regarding I lec*Al Permit Applications. Sl 911 re uk O mar, electrical contra r or electrical admlolstrator, ❑ cash 0 cheek ' � CreCRCnrdlT L� 4 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , , . 15- 00000270 Date 3/19/15 Application pin number 273860 Property Address . . . . 210 E 4TH ST ASSESSOR PARCEL NUMBER; 06- 39- 00- 0- 1- 691Q -0000- Application type description ELECTRICAL ONLY Subdivision Name , , , , Property Use Property Zoning , , , . , . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application dose Sign lighting retrofit _ . _.._- .- __ -__. - ----__°___....------------------------------------ -- - - --- Owner Contractor --- -- ------------ - -- - - -- ------------------------ PRUSS JOHN F /JULIANNE SIMPSON ELECTRIC 3011 S REGENT ST 243036 W HWY 101 PORT ANGELES WA 983626949 PORT ANGELES WA 98363 (360) 457 -927Q ---------------------------------------------------------------------------- Permit . . . , , , ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 88.00 Plan Check Fee ,00 Issue Date 3/19/15 Valuation . . . , 0 Lxpiration Date 9/1S/15 Qty Unit Charge Per Extension 1.00 88.0000 ECH EL -COMM -SIGN 88,00 Fee summary Charged Paid Credited Due Permit Fee Total 88,00 88,00 00 .00 Plan Check Total .00 .00 00 .00 Grand Total 8B.00 88,00 DO 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEII3UILDING /:lf_ -c2 7 ® 124ch,.a -r-- &rA 6,4 CITY OF PORT ANGELES PER-NIIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street— P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax. (360) 417-4711 Date: -,_,— Multi - Family or Commercial' " Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: f_ Ll Building Square Footage: Description of above V IfN A•� 6 i� lr� Y .� Owner Information Contractor Information Name: _.5r, d Name, 49AF— Mailing Address: 2 j o y v+4 Mailing Address: City: State, Zip: City: State; Zip: Phone. Fax: Phone: Fax; License #I Exp. License # l Exp, - Item Unit Charge Qty Total10ty Multiplied by llnit_Chargel Service/Feeder 200 Amp, $132.00 $ ServicelFeeder 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 W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 14.00 $" Each Additional Branch Cimuil $ 8.00 _ Branch Circuits 1.4 $ 86.00 $ Temp. Service! Feeder 200 Amp, $ 102.00 $ Temp, Service/Feeder201.400Amp, $_121.00 $ Temp. Service[Feeder 401.600 Amp, $164.00 $ Temp, ServicelFeeder601.1000 Amp. $ 185,00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit] Limited Energy - Multi - Family $ 64.Q0 $ Signal Circuit! Limited Energy l First 1500 sf - Commercial $ 96.00 $ Note: $5,00 for each additional 1500 sf -= Renewable Electrical Energy - SKVA System or Less $113.00 Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat �® $ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for Iwo years after this electrical permit is finalized. (2) owner is required to hire an electrical contractor if above said properly 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 installalion or alteration in compliance with the electrical laws, N.E,C., RCW. Chapter 19,28, WAC. Chapter 296.468, The City of Port Angeles Municipa de, and Utility Specifications and PAMG 14.05.050 regarding Electrical Permit A plicalions. Signature of ner ele ical contractor or electrical administrator: ❑ Cash check ❑ CreditCardl 1 -t &, f J 0110112012 zoo 3 t vsr(�L/vd INSPECTIONTYPE ELECTRICAL PERMIT DATE: RESULTS: INSPECTOR: DITCH CITY OF PORT ANGELES SERVICE 360- 417 -4735 1 Application Number . . . , . 15- 00001188 Date .9/23/15 Application pin number 043848 Property Address , . • . • , 210 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 6910 -0000- on excise fax form Application type description ELECTRICAL ONLY your Subdivision Name , , , , . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY 5HOPPING DTSTR Application valuation . . . . 0 Owner Contractor HONEYCUTT SMITH PROPERTIES LLC SLACK DIAMOND ELECTRICAL CONTR 1112 COLUMBIA ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98353 (360) 461 -9255 (360) 565 -1035 Permit , . , , , . ELECTRICAL ALTER COMMERCIAL Addatiornal desc , Permit Fee 74,00 Plan Check Fee .00 Issue Date 9/23/15 valuation 0 Expiration Date 3/21/16 Qty Unit Charge per Extension 1,00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.00 Fee Summary Charged paid Credited Due Pe.rmit Fee Total 74 00 74.00 00 ,00 Plan Check Total 00 .00 00 00 Grand Total 74.04 74.00 00 00 INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X bate: G:IEXCHANGEIBU1LD1NG �i