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HomeMy WebLinkAbout223 E 4th St - Building08/01/2013 15:04 FAX 360 452 9265 Angeles Electric
LO 0001/0001
RECEIVED .. ' r;
CITY OF PORT ANGELES PERMIT APPLICATION Au 2, 201
Building Division/Electrical Inspections l L CYI{ICM.
321;East Fifth Street P.U. Box 1150 /Port Angeles Washington, 91362li�SP(;7lO�iS
A.
.Ph: (360) 417-4735 Fax: (360) 4174711 //'
Date: 713-111-3 k<lti-Farrtily_or Commercial*
DPcFfex
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet .Z lie, x'26
Job Address:
Building Square Footage,
Descriptionof above AL
Owner lnforma on contractgr information
Name; Nome.•
' L
Mailing,A res,: Mailing s
Citi: State ip: Citi: State ' gyp: 6
Phone: ex' Phone:~ ax:
License .# l Exp. Llcertae p l Exp. dB
0
I emn har fly j gtal
Uv Muftiolle4 b-4 iln t Earn
Service/Feeder.200 Amp, $132.00
$
ServicelFeeder 201400 Amp. $160.00
$
Sarvioe/Feedet 401.800 Amp $ 225.00
$
Service/Feeder 601.1000 Amp, $ 286.00
$
Sefvice/Fesder over 1ODD Amp. $ 410.00
$
Branch Circuit W! Service Feeder $ 5.00
S
Branch Clrwil W10 Service Feeder $ 74.00
$
Each Additional Branch Circuit $ 5.00
Branch Circuits 1.4 $ 88.00 1
$
$
Temp. Servlce/Feader 200 Amp. $102;00
$
Temp. Service/Feeder 201.400 Amp. $121,00
S
Temp. ServloofFeeder 401.600 Amp. $164.00
$
Tamp. ServicelFeeder 601.1000 Amp. $165.00
$
Portal to Portal Hourly $ 96.00
S
SignlOudine Lighting $ 66.00
$
Signal We& Limited Energy— Multi -Family $ 64.00
S
Signal Circuli/ Llmhw Energy/ 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
i 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 llcensed
electrical contractor. I -am making •.
the electrical in6tallallon or alteration In compliance with the eleWcal laws, M.E.C., RCW. Chapter 19.28, WAC. Chapter 296.466, The City of Port
Angeles Municipal Code, and Utility Specifcadons and PAMC 14:05.050 regarding Electrical Permit Applice5ons,
Signature of owner, electrical contractor or electrical administrator: l3 Ca/�h Ci chalk
��✓
LT1 reditcudo
UAW: 7 �
�`/L�
otrolnataVIV
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . . , .
13-00000873
Date 8/02/13
Application pin number . . .
368909
DITCH
Property Address . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER;
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . , . . ,
FINAL
Property Zoning , . . . . , ,
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
-------------------------------------`-------------------------------_-_----
Application desc
New counter circuits
----------------------------------------------------------------------------
owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E. IST ST.
PORT ANGELES WA 98362
PORT.' ANGELES
4'A 98362
(360). 417-2429
(360) 452-9264
Permit . . . . . . ELECTRICAL,
ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00
Plan Check Fee
00
Issue Date . . . . 8/02/13
Valuation
0
Expiration Date . . 1/2.9/14
Qty Unit Charge Per
Extension
BASE
FEE
66.00
----------- --------------------
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
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) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGMBUILDING
I
N
U4
11/1J/LU1J 1V:VU VAA ODU 406 UZ00 Angeies hiectric
CITY OF PORT ANGELES PERMIT APPLICATION
BerildilOg•Division/Electrical Inspections
321,East� Fifth Street — P.O. Bos 11501 Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date:. ,,.•.t' Munwamiiy or Commercial*
R E IC i ,
NOV I
INSPECTI(
to 0001/0001
* Plan Review. May Be Required, Please Complete Electrical Plan .Review Information Sheet �-
Job Address: _
Building Square Footage: _ ,i-2..
DeWptlon of ebove
Owner Info anon
Name: (r,�1Ai
Mailing Address;
City: Stete:� L
r
Phone: Fax:
License ,41 Exp.
Mom: ex:
)& ,w 0-
License 41 Exp.
Im
Unit Chafge
Service/Feeder 200 Amp.
$13200
Service/Feeder 201 +400 Amp.
$1$0.00
ServicatroWer401.6DQ Amp
$ 225.00
SarvicelFeeder 601-1000 Amp.
$ 288.00
Service/Feeder over 1000 Arm.
$ 41000
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additional Branch Circuli
$ 5.00
Branch Circuits 1.4
$ 88.00
Temp. Service! Feeder 200 Amp.
$102.D0
Temp, SgrvicelFeeder 201.400 Amp.
$121.00
Temp. Service/Feeder 401.800 Amp.
$164.00
Temp. Serdce/Feeder 601.1000 Amp
$185.00
Portal to Portal+Hourly
$ 96.00
SignlOutilna Lighting
$ 88.00
Signal ClrcuN Limited Energy — Mulll-Family
$ 64.00
Signal Circuit/ Limited Energy I First 1500 af— Commercial
$ 96.00
Note: $5.00 for each additional 1500 sr
Renewable Elect lcal Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Contmctgr Information
Name:
r
Mailing
City kState' ' rip!
Mom: ex:
License 41 Exp.
0
M( Total
(Otv Multiplied by Unit Charge)
$
$
$
f•
$
$
$
$
$
$
$
$
s
s
$
$ 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 tf above said property is for sale; rent or lease. Permit expires after six months of last inspection.
Atter 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 Applicatlons.
Signature of owner, electrical contractor or electrical administrator: 0 cash. 0 t:hKk
Ilr-cndit card a_
IL Dated: AXS 01101012
W
W
W
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , , .
13-00001333
Date 11/18/13
Application pin number , . ,
793124
Property Address . , . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER;
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . , . . .
PUBLIC BUILDINGS & PARKS
Application valuation , , .
0
Application desc
- ---------------------
---_----------
TT room outlets'
-----------------------------------------------------------------------------
Owner
-------------------------
Contractor
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST,
PORT ANGELES WA 98362
PORT ANGELS$
WA 98362
(360) 417-2429
(360) 452-9264
Permit . . . . , , ELECTRICAL
ALTER COMMERCIAL-
_ __________
Additional desc , . 1--4 CIRCUITS
Permit Fee . . , . B6.00
Plan Check Fee
.00
Issue Date . . , . 11/18/13
valuation
0
Expiration Date . , 5/17/14
Qty Unit Charge Per
Extension
BASE
----------------------------------------------------------------------------
FEE
86.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 86.00
B6.00 .00
.00
Plan Checl� Total .00
,00 ,00
00
Grand Total 66.00
86,00 ,00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSP2MON
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIB[ JILDING
Fi
vJ
W
Electical Permit
223 E 4 t" St
13-179
INSPECTION TYPE
9
"T
INSPECTOR:
DITCH
W
ELECTRICAL PERMIT
SERVICE
ROUGH -IN
CITY OF PORT ANGELES
FINAL
360-417-4735
2 1
Application Number . . . . .
13-00000179 Date 2/20/13
Application pin number . . .
624658
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-6-4-6700-0000-
REPORT SALES TAX
Application type description
ELECTRICAL ONLY
on your excise tax form
SubProperty
Name . . . . . .
Pro ert Use
to the City of Port Angeles
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
(Location Code 0502)
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
1-4 circuits fixtures hooking
----------------------------------------------------------------------------
area
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES WA 98362
417-2429
-64
---
1
-----(360)
------------- --------(360)
Permit . . . . . . ELECTRICAL
--
ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS\V1
Permit Fee . . . . 86.00
Plan Check Fee .00
Issue Date . . . . 2/20/13
valuation . . . . 0
t
Expiration Date 8/19/13
(vN
Qty Unit Charge Per
Extension
BASE
FEE 86.00
---------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
Permit Fee Total 86.00
86.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 86.00
86.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
3 ('?,
FINAL
2 1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
02/19/2013 11:31 FAX 360 452 9265 Angeles Electric
CITY OF.PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O.. Box 1150 / Port Angeles Washington, 98362
Ph; (360) 417-4735 Fax: (360) 4174711
Date: Z
Multi -Family or Commercial'
' Plan Review May
Job Address:
Building Square Footage:
Description of above _
lQ 0001/0002
d goRi
ECT,i1CAL
INSPECT!ONS 'j
-,D
kt�m' mercial Addition / Alteration / Remodel / Repair*
Be Required, Please Complete Electrical Plan Review Information Sheet
Owner Info ation
,
Name:
Mailing Address:
&X9–
WR' Zi
City: tfl/t— State: Zip:
Phone: Fax:
License # / Exp.
s'r�v Y/ 7 -,-3Y
Item `
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 Circuits 1-4
$ 86.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Servioe Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Temp. Service/ Feeder 200 Amp.
$102.00
Temp. Service/Feeder 201.400 Amp.
$121.00
Temp. Servioe/Feeder401-600 Amp.
$164.00 .
Temp. Servioe/Feeder 601-1000 Amp.
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline lighting
$ 88.00
Signal Circuit/ Limited Energy – Mufti -Family
$ 64.00
Signal Circuit/ Limited Energy / First 1500 sf – Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Sr
Contractor Information
Name:
Maili Address
City State:
&X9–
WR' Zi
Phone: X162 – A!y Fax:
Lloense # / Exp
Qty Total (Qty Multiplied by Unit Charge)
$
$
$
$
$
$
$
$
$
$ ea 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. Permft 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 296468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding ElecZ'',
4 Applications.
Signature of owner, electrical contractor or electrical administrator: ❑coeur
rd>t OIJ F'lL�.
Electical Permit
223 E 4t'' St
13-180
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 13-00000180 Date 2/20/13
Application pin number . . . 706360
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1-4 circuits exterior lighting jail receiving
----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 2/20/13 Valuation . . . . 0
Expiration Date . . 8/19/13
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
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
3
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEIBUILDING
W
02/19/2013 11:31 FAX 360 452 9265 Angeles Electric
CITY OF.PORT ANGELES PERMIT APPLICATION
10 0002/0002
Building Division/Electricall Inspections .� ,,,�,
321 East Fifth Street — P.O.. Boat 1150 / Port Angeles Washington, 98362 � Sp ` �' V'i�
Ph; (360) 417-4735 Fag: (360) 417-4711 filS�ECT{i)�1S
Date:. is ,
�
_ Multi -Family or Commercial* 'Commercial Addition / Alteration / Remodel / Repair*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Informptio
Name:
Mailing Ad rens: �
City.. State: Gem ip:
Phone: Fax:
License N / Exp.
sr/vt' -qtr-7-z.3yo
Item Unit Charae
Service/Feeder 200 Amp.
$132.00
Servioe/Feeder 201400 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 Circuits 1.4
$ 86.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 14.00
Each Additional Branch Circuit
$ 5.00
Temp. Service/ Feeder 200 Amp.
$102.00
Temp. Service/Feeder 201400 Amp.
$121.00
Temp. Service/Feeder 401 -600 Amp.
$164.00
Temp. ServicelFeeder 601-1000 Amp .
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline Lighting
$ 88.00
Signal Circuit/ Limited Energy - Mufti -Family
$ 64.00
Signal Circuit) Limfted Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Contractor Information
Name: AA4WaK I
Meili Add S %r`rr
City: VV State:
S7 s7y
.4- Zip:
Phone: - q,2,41V Fax
_ —
License #! Exp.
(�,Yt Total My Multiplied by Unit Charnel
$
$
$
$
$
$
$
$
$
$
s� 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. l 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 Per it Applications.
Signature of owner, electrical contractor or electrical administrator:❑ ❑ Check
Crud@ Card M W f'l L E_
x D&W: / 01/01/2012
Electical Permit
223 E 4 `" St
12-1618
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00001618
Date 12/13/12
Application pin number . . .
134068
DITCH
Property Address . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
3
Property Use . . . . . . . .
FINAL
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
HVAC power from emergency panel
----------------------------------------------------------------------------
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00
Plan Check Fee
.00
Issue Date . . . . 12/13/12
valuation . .
. . 0
Expiration Date . . 6/11/13
Qty Unit Charge Per
Extension
BASE
FEE
86.00
Fee summary Charged
Paid Credited.
Due
Permit Fee Total 86.00
86.00 .00
.00
Plan Check Total ,.00
.00 .00
.00
Grand Total 86.00
86.00 .00
.00
SJ
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
3
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
\ GAEXCHANGEWILDING
N
w
12/11/2012 09:12 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICA'
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Bos 1150 / Port Angeles
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: f Z '/
Multi -Family or Commercial" _Commercial Adc
* Plan Review May Be Required, Please Complete Electrical I
Job Address:
Building Square Footage:
Description of above _
Owner Info mation
Name: trh rl/V
Mailing Ad rens:
City: State: Ip: :;—F
Phone: Fax:
License #? Exp.
Item
Unit Charne
Service/Fesder 200 Amp.
$132.00
Servioe/Feeder 201.400 Amp.
$160.00
Service/Feeder 40100 Amp
$ 225.00
Service/Feeder 601-1000 Amp.
$ 288.00
Service/Feeder over 1000 Amp.
$ 410.00
Branch Circuits 14
$ 86.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Temp. Servicel Feeder 200 Amp.
$102.00
Temp. Service/Feeder 201 400 Amp.
$121.00
Temp. Servioe/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
$ 64.00
Signal Circuill Limited Energy / 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
is ,cif -
98362 _
ELEC.,,7jC iL
NSPtiCTlOitrS
/ Alteration / Remodel / Repair'
Review Information Sheet
to 0001/0001
Contractor Information
Name: Ah9m&&I �LlCTX1c. ING
Maill Address• R1stSr
CityaCr ,4M. State: WA– ZIP: _ `a
Phone: – 4V6Y Fax: MKY-- Z9451
License # / Exp.
Qty Total (Qtv Multiolied by Unit Charnel
$
$
$
$
$
$
$
s��tal
Owner as defined by RCW.19.28.261: (1) Owner will occupy the struch re 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 ase. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner pf the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance wfth the electrical I*, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.040 regarding Electrical Pergit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ ❑ chaak
cedec.rdtr aV FltrF_
Dated: 01IM 012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00001506 Date
11/16/12
Application pin number . . .
403322
DITCH
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
L 7�
Property Use . . . . . . . .
FINAL
Property Zoning . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
e
----------------------------------------------------------------------------
Application desc
1-4 circuits floor RCPT court
----------------------------------------------------------------------------
room
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00
Plan Check Fee
.00
Issue Date . . . . 11/16/12
Valuation . . . .
0
Expiration Date . . 5/15/13
Qty Unit Charge Per
Extension
BASE
FEE
86.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 86.00
86.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 86.00
86.00 .00
.00
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
L 7�
FINAL
z)
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X _ Date:
G:\EXCHANGE\BUILDING
N
W
11/15/2012 15:28 FAX 360 452 9265 Angeles Electric 100001/0002
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Bog 1150 / Port Angeles V ashington, 98362 LiL07 r.ii
Ph: (360) 417-4735 Fax: (360) 417-4711 II ;f�!S?ECi iCi\o
i
Date:/ %5 /
Multi- amity or Commercial' Y Commercial Additi¢n / Alteration / Remodel / Repair'
'.Plan Review May Be Required, Please Complete Electrical Plaln Review Information Sheet
Job Address: 2Z3
Building Square Footage:
Description of above
Owner Inforyation Contractor Information
Name: �u Neme: Amwiias iL�CTXJC. /NG
MailingA s: Meili Address: Q1XST
City: State: Zip; City "r State: it— ZI a
Phone: y Fax: Phone: — Fax:
License # / Exp. License $ I Exp.y- __ __ _ uts��_
Item Unit Charge (�yt Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201.400 Amp. $160.00 $
Servioe/Feeder 401-600 Amp $ 225.00 $
Service/Feeder 601.1000 Amp. $ 288.00 $
Service/Feeder over 1000 Amp. $ 410.00 $
Branch Circuits 14 $ 86.00_ $
Branch Circuit W/ Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Temp. Service/ Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201A00 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 Circuil/ Limited Energy — Multi -Family $ 64.00 $
Signal Circuit/ limited Energy / First 1500 sf — Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00 $
Thermostat $ 56.00 $
s 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 pf the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical Wws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.0$0 regarding Electrical Permit Applications.
Signature of.owner, electrical contractor or electrical administrator:❑ ❑ check
B Cndh Grd 3 c�V FI L
A -i
ELECTRICAL PERMIT
CITY OF PORT ANGELES '
360-417-4735
Application Number . . . . . 12-00001373 Date 10/17/12
Application pin number . . . 383733
Property Address . . . . . . 223 E 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- 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 . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Cameras for kitchen warehouse
----------------------------------------------------------------------------
Owner
Contractor
RESULTS:
CLALLAM COUNTY
DITCH
HI TECH SECURITY
INC
223 E 4TH ST
723 E FRONT ST
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
-----(360) 417-2429------------------------(360)
q)-,7
452-2727
....
--
1'Z--SZoQ ---
Permit . . . . .
. ELECTRICAL
ALTER COMMERCIAL
Additional desc .
.
Permit Fee . . .
. 96.00
Plan Check Fee
.00
Issue Date . . .
. 10/17/12
valuation . .
. . 0
Expiration Date .
. 4/15/13
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
q1-7 -Zgo9
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
q)-,7
FINAL
�p
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
CITY' O Po RT:°°td�C�,Lf S PE I.fT ��e: l'I TC�lTItJ"�'
Bitildin tDivLsiottlilectric.t►i InspectionstC1r�IC,4L
�:1.
ELECTRICAL
INSPECTION"), r
3 East Fifth Street– I'.O. Box 1.1511 1 Pram .Y [Melts Washington,
33t�
v"
Ph: (360) 41.7-4735 Fax: (300) 417-4711
Date: it 1-2 ®, Multi-Farnily or Commercial'
'Plan Review May Be Required, Please Complete Electrical Man Review Information Sheet
Desai; tu2n Ct G SCVC e7a c5c d4rdm tin c kv? v[olG m) SC.
Owner Information
Contractor information
tsxncd Ctlj-rse ct,-* Jag .� _
wane: tS Tah se.n*t Ira
VW1ng Address; M E_ _ . a
Wiling Adidre5s: 723 Sant From st
City: Fa roe Ste 9: as Zip: 08"*2
citf- Pal Ar xr spice::tie Zip; =142
phone. sy-xis F
Phoneu.sa-
L-cense # / Exp..
€ f Gi4a£' it l EX.c. NtTEt"rS85.`isS
Item unit. Charge
Total (Qty Multiplied by Unit Charm
ServiceiFeader 290 Aanp. 5132.00
S
Service/Feeder 201.490 Amp. $160.00
__ S
Service/Feeder 401.600 Amp $ 225.00
$
SeMce/Fead 601-1000 Amp. $ 288.00
S
S sic e er 4wer 1000 Arnp. $ 410.00
$--
—Branch
Branch Circuit WI Service Feeder S 5.00
$
Branch Circuit VV O Service Feeder $ 74.00
$
Each Additonal finch Circuit $ 5.90
_ S
Branch Circuits 1.4 $ 86.00
$
Temp. Servos! Feeder 200 Anp. $ 192.99
Temp. Service/Feeder 291406 Amp. $121.0.0
$
Temp. Service/Feeder 401-600 Amp. $ 164.00
5-
Temp- Sa vic eeder 609-10N Amp. 5185-00
$-
-Porus to poed H wrly S 95.00
S
SigntOuOlne Lighting S 88.00
$
Signal Circuit/ Limited Energy - Multi-Family S 64.00
_ S
Signal CircLW L mAted End/ / First 1500 sf - Commercial $ 96A
$ .
(dote. 55.99 tdreach additional 2500 sf
Renewable Electrical Energy - 5KVA, System or Less $113.00
$
Thermostat S 56.00
S
Note: $5.90+ for each add T-Stat
SMCD 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 l am the owner of the above named property or a licensed etectrical contractor. ; am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C.,
RCM. Chapter 19.28, !NAC. Chapter 296.468, The City of fort
Angeles Municipal Cede, and Utility Specifications and PMIC 14.05.050 ragardtng
Electrical Permit Applications.
Signature of inivner, electrical contractor or electrical administrator:
0 cash n cim a
0 Credit Card l Fra
Mike Shirley I Gary Politika
X 03tet- ,W,5n2
01101rac12.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00001214
Date 9/17/12
Application pin number . . .
737666
DITCH
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
%Z
Property Use . . . . .
FINAL
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
COMMENTS:
----------------------------------------------------------------------------
Application desc
1-4 circuits. corrections dated
----------------------------------------------------------------------------
9/14/12 repair rep
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
-------------------------------
(360) 452-9264
-------45_Z_
9 ---
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00
Plan Check Fee
.00
Issue Date . . . . 9/17/12
Valuation . .
. . 0
Expiration Date 3/16/13
Qty Unit Charge Per
Extension
BASE
FEE
86.00
----------------------------------------------------------------------------
Fee summary Charged
---------------------------
Paid Credited
--------------------
Due
----------
Permit Fee Total 86.00
86.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 86.00
86.00 .00
.00
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
%Z
FINAL
1b Z4/Z
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
09/14/2012 12:20 FAX 360 452 9265 Angeles Electric
gip- 7rz� _.r � ��[S
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections EI LCTRICAL
321 East Fifth Street — P.O. Bog 1150 / Port Angeles Washington, 98362 NSPECTIONS
Ph: (360) 417-4735 Fag: (360) 417-4711
Date: �. �
_ Multi- amity or Commercial" Commercial Addition / Alteration / Remodel / Repair'
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
10 0001/0001
Owner Infona 'on
Contractor Information
Name:
Name: l:i �L2tSTX1t".
ING
Mailing Add
City: Stale: t/ _ Zip:
Mail' Add ress:
City: State:
A�ae<7r -
WA— Zi : dig
Phone, Fax:
Phone: tJ�j'bt�xi Fax:
—
License # / Exp.
JD4vV— 7—ATF
License # / Exp.
Item
Unit Charoe
aty Total J%y Multiplied.by Unit Charnel
ServicelFeeder 200 Amp.
$132.00
$
Service/Feeder 201A00 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 Circuits 1-4
$ 66.00
$
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
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 Circuill Limited Energy — Multi -Family
$ 64.00
$
Signal Circuill Limited Energy / First 1500 sf — Commercial
$ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 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 296-06B, 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: ❑ ash ❑ cheat
l i . t;l-15.dtt Card 0 cam! FlL
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ELECTRICAL PERMIT
A
CITY OF PORT ANGELES
FINAL
360-417-4735
Z
3 Z
Application Number . . ....
12-00001211 Date 9/17/12
Application pin number . . .
515909
Property Address . . . . . .
223 E 4TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
tax form
Application type description
ELECTRICAL ONLY
on your excise
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use
(Location Code 0502)
Property Zoning
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
----------------------------------------------------------------------------
0
Application desc
6 T -stats Boiler upgrade replace
----------------------------------------------------------------------------
pneumatic
Owner
------------------------
Contractor
CLALLAM COUNTY
------------------------
ANDGAR CORPORATION
223 E 4TH ST
PO BOX 2708
PORT ANGELES WA 98362
FERNDALE WA 98248
(360) 417-2429
(360) 366-9900
------------------------------------
Permit ELECTRICAL
------------------------------------
ALTER COMMERCIAL
�,
1
Additional desc .
Permit Fee . . . . 81.00
Plan Check Fee . .0,0
�`b
Issue Date . . . . 9/17/12
Valuation . . . . 0
Expiration Date . . 3/16/13
Qty Unit Charge Per
Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT
56.00
5.00 5.0000 ECH EL-LVT-ADDITIONL
THERMOSTAT 25.00
------------------------ ---
Fee summary Charged
---- -----------------------
Paid Credited Due
Permit Fee Total 81.00
81.00 .00 .00
Plan Check Total. .00
.00 .00 .00
Grand Total 81.00
81.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
Z
3 Z
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor 0,71 Date:
0AE•XCPANGE\13UILDING '
oFpOR7Ay�FLLf ICL INSPECTION
WIRING REPORT.
417-4735
CwORKS 6�
DAT
PERMIT #
INSPECTOR
jj�J l �
12 iZ-I
OW ER
CLrA t L.A rX coui!iL
CONTRACTOR
&L. Wi 1 c, V-u�LT \c- W GS to�1T 1�1R�1 �}L
ADDRESS
APPROVED
NOT APPROVED
❑ ....................DITCH.................... ❑
❑ . . . . . . ......... ROUGH IN/COVER ..............
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
t, CORRECTIONS NEEDED:lZ'lE.&V 1TZ V2D Fob V F
1)1,SGa w lr-- C N- 5 --.[mac, 1 [Q ZZ -
x) S"L- U r4A)S1iy 90 us= 1 $14 t o +�� requo URy
glE- ICO. I? -
3)
Z
3> c'RLClt)-L
17Ar (- 14 -05--
(0" -ro
05-
(0"��z,�,-ro tz_. )ZOOM
h1 � ll0
!?rzpVre-rZ
Krz/- 110 -*""NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OF pORT4,,, ELECTRICAL INSPECTION
N
WIRING EPT
--®
�l�cNORKs &,�� 417-4735
DATE:
PERMIT #
INSPECTOR
3 Z
IZ�t6o 12 - 20
OWNER
L.
T
CONTRACTOR
cx-YA� (_
ADDRESS
fJ
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
C) CORRECTIONS NEEDED: Q,ax-oc.AT 1- L16HT' AU);N-Y -F140 W&
LoMi3U5TI VF7l-l5- MA --r -X) AL A!*- c, J�40 d/
CQ/a..rl7 KDUS1��
-7) Ac 15 t(6�lHlZ� C.oym-�,Z— )'OW- L,)Lt1l 16J
�,�.ar►-t.oy s rte.. �I.�. c� b �0 • (Z la-
�� 90,a ,LT fZ!F=Q0liz>,> T-bV-' GoN�TIzuGTw7,i
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OF pORT44' � ELECTRICAL INSPECTION _
�l i� �F
y WIRING REPORT
RKS 417-4735 j01'L
2-b L S I I
DATE:
PERMIT a
INSPECTOR
OWNER
CONTRACTOR
ADDRESS
366 36[9 5800
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑......::........ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
1 CORRECTIONS NEEDED:
f
i
1. 2 2 -.. Mw 61, WL7
Core
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
V'` , 0-0 L-[ L *t V
qk-,YT—o
C,2 K) v
O�VORT 4jI, ELECTRICAL INSY ECTIO■,9
WIRING POT
KS &�
417-4735
DATE:
PERMIT N
INSPECTOR
6� "Z-
1-2-
OWNER
CONTRACTOR
jk b4 !/
ADDRESS
22`3
'�-
APPROVEDNOT APPROVED
❑ ....................DITCH....................
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED: iy"IOV `Teas �b
`�>�, C-LgrZ ..z Ie,. c— -i- "mac- 9c L-2 ) -r -( t,W
2,
04--- j?;&yCZ-4, Kc- 31f�
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
CITY OF PORT ANGELES PERINIIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Bos 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: q' 1z -12,
Multi•Farn �-6 Commercial'
¢URf 11�(
t , Y -
it
* Plan Review May Be Reauired, Please Complete Electrical Plan Review Information Sheet
Job Address: 2-2-3 C • r`� u ClS [ P't" LES
Building Square Footage:
Descripti rl of above iz t-- a p t T t-1 W i>ve `rN TA-rS '-0 E t -a G a (c'i'1 uG
Owner Information
Name: LA t LA -T--
Mailin Address: 2.23
City: JIP4,36P State: r -)b._ Zip:
Phone:!!j1�2 c>2 -Fax: I
License/ Exp p.
Item
Unit Charge
Service/Feeder 200 Amp.
$132.00
Service/Feeder 201400 Amp,
$160.00
Service/Feeder 401-600 Amp
$ 225.00
Serr'carFeeder 601-1000 Amp,
$ 288.00
Service/Feeder over 1000 Amp,
S410.00
Branch Circuit WI Service Feeder
S 5.00
Branch Circuit W/O Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 86.00
Temp. Servicel Feeder 200 Amp.
$102.00
Temp. ServicerFeeder 201-400 Amp.
$ 121.00
Temp. ServicelFeeder 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 CircuiV Limited Energy - Multi -Family
$ 64.00
Signal Circuit( Limited Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Contractor Information
Name: A"t- Ga e—Pa GP -'n 2'"
Mailing Address: 2 '12. 'Q4 t..AS "-dam F w �'
City: 1J0A E State: wA. Zip: B 2 B
Phone:3 o-24,-( t480Fax:_ be 66• goa
License #/ Exp. N a L� * O t I t-- L7 r I 191 ! /
r 3
Total (Qty Multiplied by Unit Charge)
$
$
$
$ ( C" 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 296468. 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: E, cash Check
Credit Card 4
X °�..,-�•�...---• �" Dated: ClI�� i Z ___._____ 0110112012 .
CITY OF PORT ANGELES PERMIT APPLICATION
Buildin; Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: q' i Z
?� Multi•Fam�l -6(Commercial'
CI g e o� t
rt�ur %r
ao
Yf
ELECRICR'_►�.�►—
INSPECTION'S
` Plan Review May Be R uired, Please Complete Electrical Plan Review information Sheet
Job Address: �L;-S C - au s'r e -t-- D,nio"E:LES
Building Square Footage:
Descxiptii n of above C� t�-a d T N 6 try t>C�G 'Ct l c� CA'> S "lD LAG � t . ►-tom
Owner Information
Name: <�,,,_LA l.A-T
Mailing Address: X223
City: ktP4'& �J 6f State: —ra tam. Zip:
Phone: Pi.. Fax: Gar Z 9S7 _
—
License 4 1 Exp.
Item
Unit Charge
ServicelFeeder 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 WI Service Feeder
$ 5.00
Branch Circuit W10 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. ServicelFeeder 601-1000 Amp .
$185.00
Portal to Portal Hourly
$ 96.00
Sig<)utline Lighting
$ 88.00
Signal Circuit/ Limited Energy - Multi -Family
$ 64.00
Signal Circuitl Limited Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: 35.00 for each additional T-Stat
Contractor Information
Name: A"t>4 A'L
Mailing Address:? 920 Sac -A5 "'OltJ P 6c -`-"y
City: Wc>4 LC State: wp, Zip; fT S Z It8
Phone:3 0 A4eoFax: bo • �6�• gc,�
License # 1 Exp. AW o�* o t C V S f r 3
Total (Qtv Multiplied by Unit Charge)
$
$
$
$
.'5.
$ C3I C-1 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 taws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: 0 cash ,Check
/} Credit Card
x 1 t� Dated; `t� j �— _—_ 0110112012
1 LC l Y
C-_ IE -E
. ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00001203 Date 9/14/12
Application pin number . . . 638939
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1-4 circuits control power / HVAC control
----------------------------------------------------------------------------
Owner
Contractor
RESULTS:
INSPECTOR:
------------------------
CLALLAM COUNTY
------------------------
WPCS INTL INC SEA OP
223 E 4TH ST
18538 142ND AVE NE
PORT ANGELES
WA 98362
WOODINVILLE
WA 98072
(360) 417-2429
------------------------
------------------------
(425) 483-2677 -2 -U
-------
-9--
Permit . . . . .
. ELECTRICAL ALTER
COMMERCIAL
Additional desc .
. 1-4 CIRCUITS
Permit Fee . . .
. 197.00
Plan Check Fee
.00
Issue Date
9/14/12
Valuation . . . .
0
Expiration Date
3/13/13
Qty Unit Charge
Per
Extension
BASE
FEE
86.00
1.00 96.0000
ECH EL -LIMITED
1ST 1500 SQ FT
96.00
3.00 5.0000
ECH EL-ADDNT
LIMITED 1500 SQ FT
15.00
Fee summary
Charged
----------
Paid Credited
---------- ----------
Due
Permit Fee Total
197.00
197.00 .00
.00
Plan Check Total
00
.00 .00
.00
Grand Total
197.00
197.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
/O <0 i
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
N
N
SEP/13/2012/THU 02:00 PM
FAX No,425-402-9708
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections F..,
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362%,-, � 3 2 •?
'Ph: (360) 417-4735 Fax: (360)417-4711
Date: 9113 11 2
ELEC r RICA,' -
X Multi -Family orCommercial* INSPECTIUi13
P. 001/001
,16
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 223 East 4th Street
Building Square Footage: 5 0 4 -Arpa
9f Work
Description of above Low o to e HVAC Controls
in Pent ou e and Boiler Room. Alsin
includes (2) 120-vo t power circuits
to control panels.
Owner Information
Contractor Information
Name: Cl al 1 aro Count. CrnirthrnlsP
Name: WPCS International
Mailing Address: 223 East 4th Street
Mailing Address: 15241 NE 90t
city: Pt.Ancf1es Stale: W_Zip:
City: Redmon State: WA zip: 98052
Phone: Fax:
Phone: 425-483-2:662-42S-4029708
License # / Exp.
License # / Exp. WPCSIT1919MI - 3
Item Unit Charce
Qt ( Total (Qty MultIRIled by 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 Wl0 Service Feeder $ 74.00
$
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 1-4 $ 86.00
1 $
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 $ 64.00
$
Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00
4 $
Note: $5.00 for each additional 1500 sf�
Renewable Electrical Energy - 5KVA System or Less $113.00
$
Thermostat $ 56.00
$
Note: $5.00 for each additional T-Stat
�q�7O0
$� Tota I
Owner as defined by RCW,19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is. required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050
regarding Electrical Permit Applications.
Signature of oymer, electrical contractor or electrical administrator: ❑ cash ❑ Check
(. Credlt Cara #
Dated: elalzw 0110112012
�1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00001207
Date 9/14/12
Application pin number . . .
220233
Property Address . . . . . .
223 E 4TH ST
SERVICE
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Gj
Subdivision Name . . . . . .
FINAL`�
Property Use . . . . . . . .
COMMENTS:
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
1-4 circuits lighting and outlets
----------------------------------------------------------------------------
Mech. room
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00
Plan Check Fee
.00
Issue Date . . . . 9/14/12
valuation . .
. . 0
Expiration Date . . 3/13/13
Qty Unit Charge Per
Extension
BASE
FEE
86.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 86.00
86.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 86.00
86.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Pon` Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
Gj
FINAL`�
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDfNG
09/13/2012 17:04 FAX 360 452 9265 Angeles Electric
U0001/0001
L '
"T \
<Z N
CITY OF PORT ANGELES PERMIT APPLICATION ELEUFli;ta,_
Building Division/Electrical Inspections INSPECTIONS
321 East.Fifth Street - P.O. Bog 1150 / Port Angeles Washington, 98362
Ph: ,(360) 4V,47 5 Fax: (360) 417-4711
Date: lD�,(�
Multi- amily or Commercial* Zmmercial Addition / Alteration / Remodel / Repair*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage: ,Dd
Description of above ��'ilril�il/l�
Owner I r a(ion / _
Contractor Information
Name:
Name:
Mailing
Maili Addresis: _ Rf S7T
City: Stale: -711)-
clty: rr� Stale: A- Zip:
Phone: ax:
Phone: 602 - UAY Fax: —
License # Exp.
License i1/ Exp.
Unit
Item
Charas
qty Total (Qtv Multiptled by Unit Charge)
Service/Feeder 200 Amp.
$132.00
$
Service/Feeder201A00Amp.
$160.00
$
Service/Feeder 401.600 Amp
$ 225.00
$
Service/Feeder 601-1000 Amp.
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuits 1-4.
$ 86.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp. Service/Feeder 201-400 Amp.
$121.00
$
Temp. Service/Feeder 401-6W Amp.
$164.00
S
Temp. Service/Feeder 601-1000 Amp .
$185.00
$
Portal to Poral Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.00
$
Signal Circuit/ Limited Energy - MullWamily
$ 64.00
$
Signal Circuit/ Umited Energy! First 1500 sf - Commercial
$ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
$__l0 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 29646B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of.o�wJ-ier, el�ectdcal contractor or electrical administrator: O Cash O chock
// .,5ct%7 / , i i O Credit Card 0 oV FAL
Dated: /�/� 01/0112012
V' ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00000960 Date
8/01/12
Application pin number . . .
232960
DITCH
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Zc�
Property Use . . . . . . . .
FINAL
COMMENTS:
Property Zoning . . , . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
7 circuits for chiller and fans
-----------------------------------------------------------------------------
Owner
Contractor
CLALLAM COUNTY
OLYMPIC ELECTRIC CO INC
223 E 4TH ST
4230 TUMWATER
PORT ANGELES WA 98362
PORT ANGELES WA
98363
--- -(360) 417-2429-- -------------
-------(360) 457-5303
---- 17,7_
`� --
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 104.00
Plan Check Fee
.00
Issue Date . . . . 8/01/12
Valuation . . . .
0
Expiration Date 1/28/13
Qty Unit -Charge Per
Extension
1.00 74.0000 ECH EL -COMM
BRANCH CIR WO/ S/F
74.00
6.00 5.0000 ECH EL-ECH
ADDNT BRANCH CIRCUIT
30.00
-----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
Permit Fee Total 104.00
104.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 104.00
104.00 .00
.00
:r_ - . 1-i
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
Zc�
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
07/30/2012 09:20 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT
CITY OF PORT ANGELES PERMIT .A.PPLICATION
Building Division/Electrical Inspectioins 12,EC" k�
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 . JUL a Q 25'112
Date:
Plan Review h
Job Address:
Building Square Foo
Description of above
Owner�ormaj�on
Name: �7���,7/�
Zulti-Family or Commercial* E1.ECIMCAt
AICPE0TION.
Be Required, Please Complete Electrical Plan Review Information Sheet
F '-i i� rr
Mailin ddress: Ltf'
City State: Zip:
Phone: Fax:
License # / Exp.
Item
Unit Charge
Service/Feeder 200 Amp.
$132.00
Service/Feeder 201400 Amp.
$160.00
Service/Feeder 401-600 Amp
$ 225.00
Service/Feeder 601.1000 Amp.
$ 288.00
Servlce/Feeder over 1000 Amp.
$ 410.00
Branch Circuit WI 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 A00 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
$ 64.00
Signal CircuiV Limited Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$ 113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Contractor Information
19001/001
Name:
Mailing Add ss
City: ir State: 1&/77 Zip:
Phone: — -Fex:. 5: �z - ?- !/fes
License # I Exp. —
f3ty. Total (Qty Multiplied by
Unit Charge
$
$
��
$
$
$
$�uTotal lbq oD
Owner as defined by RCW•19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N,E.C., RCW- Chapter 19.28, WAC. Chapter 296-4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: O Cash ❑ Check
® Credit Card #
X Dated; 7����
01/0112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00000030
Date 1/11/12
Application pin number . . .
247510
DITCH
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
FINAL
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Demand, response boiler
----------------------------------------------------------------------------
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E. IST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
-----(360) 417-2429------------------------(360)
452-9264 ----
pp 'r
��7
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 170.00
Plan Check Fee
.00
Issue Date . . . . 1/11/12
Valuation . .
. . 0
Expiration Date 7/09/12
Qty Unit Charge Per
Extension
1.00 74.0000 ECH EL -COMM
BRANCH CIR WO/ S/F
74.00
1.00 96.0000 ECH EL -LIMITED
1ST 1500 SQ FT
96.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 170.00
170.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 170.00
170.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
t
O
G
W
a
N
N
IN
01/10/2012 09:43 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections j�F,j
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 n
Ph: (360) 417-4735 Fax: (360) 417-4711 ELECT /t� u
Date: ` < Multi -Family or Commercial" INSPECTIa;,,;.
Im 0001/0001
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet ZZ3 j6.
4
Job Address:
Building Square Footage: 1
Description of above L
Owner Inf r ion 1 Contra or, Inf matin
Name: Name:
Mailing rens; Mailing Ad cess:
City: State: Zip; City: State: Zip:
Phone: Fax: Phone: Fax:
License i I Lp. License # / Exp.
Item
Unit Charge
(fit t Total (Otv Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$ 132.00
$
Service/Feeder 201-400 Amp.
$160.00
$
ServicelFeeder 401.600 Amp
$ 225.00
$
Service/Feeder 601-1000 Amp.
$ 288.00.
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit 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 Circuilf Limited Energy – Multi -Family
$ 64.00
$
Signal Circuit/ Limited Energy / 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
$� 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 296-466, 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: 0 cash 0 check :7
redit card 0 U�v / /'� sir -
x Dated: L 0110112012
Prepared 12/11/12,10:43:44 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history
User ID PBARTHOL Application 12-00000959
------------------------------------------------------------------------------------------------------------------------------------
Property Information
Address: 223 E 4TH ST
PORT ANGELES, WA 98362
Location ID: 98716
Owner name: CLALLAM COUNTY
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
ALTERNATE ID: 063000646700
Zoning: PBP PUBLIC BUILDINGS & PARKS
Subdivision:
Application Information
Application desc: REROOF AND REPAIRS TO HISTORICAL COURT HOUSE
Application status: COMPLETE
Status Date: 11/01/2012
Application type: COMM REPAIR
Application date: 7/30/2012
Valuation: 194000
Square footage: 0
Public building: NO
Reviewed by: HKC HEATHER CATUZO
Pin number: 580934
Entered by: PERMITS
Contractor Information
Contractor Name: JOHN LUPO CONSTRUCTION INC
Contractor Number: 875
Type: GENERAL
Status: ACTIVE
Contractor Requirements Doc Number Exp Date
---------- --------------- ----------
STATE LICENSE JOHNLCIO99NL 5/04/2013
BOND 5/04/2013
LIABILITY INSURANCE 5/04/2013
Outstanding Inspections
Insp Schedule Confirmation Permit Pmt
Type ID Date Number Description Seq Min Max
---- ---------- ------------ -------- --- ----- -----
No outstanding inspections exist
Work Description
Code Description Quantity
------------------------------- --------
CO Information
CO Issue
Str/seq Date Status Description
------- ---------- --------------------------
Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date
Confirmation Nbr
000 000 BPC 00 BLDG FINAL 0001 JLL 10/12/2012 AP 10/12/2012
382473
M` CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
- J 321 EAST 5TH STREET, PORT ANGELES, WA 98362
�e
Application Number . . . . . 12-00000959 Date 8/14/12
Application pin number . . . 580934
Property Address . . . . . . 223 E 4TH ST /�
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- REPORT SALES TM -AX
Application type description COMM REPAIR
Subdivision Name . . . . . . onyour state excise tax form
Property Use . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS to the City of Port Angeles
Application valuation . . . . 194000 /A r,^ala rls:n'21
Application desc
REROOF AND REPAIRS TO HISTORICAL COURT HOUSE
----------------------------------------------------------------------------
Owner
------------------------
Contractor
CLALLAM COUNTY
------------------------
JOHN LUPO CONSTRUCTION
INC
223 E 4TH ST
PO BOX 1926
PORT ANGELES
WA 98362 FRIDAY HARBOR
WA 98250
(360) 417-2429
----------------------------------------------------------------------------
(360) 533-8422
Permit . . . . .
. BUILDING PERMIT - COMMERCIAL
Additional desc
REROOF/REPAIRS TO ROOF
Permit Fee
1546.65 Plan Check Fee
1005.32
Issue Date . . .
. 8/14/12 Valuation . . .
. 194000
Expiration Date
2/10/13
Qty Unit Charge
Per
Extension
BASE FEE
1020.25
94.00 5.6000
-_---------------------------------------------------------------------------
THOUBL-100,001-500K (5.60 PER K)
526.40
Other Fees .
----------------------------------------------------------------------------
. . . . . . STATE SURCHARGE
4.50
Fee summary
-----------------
Charged Paid Credited
Due
Permit Fee Total
----------------------------------------
1546.65 1546.65 .00
.00
Plan Check Total
1005.32 1005.32 .00
.00
Other Fee Total
4.50 4.50 .00
.00
Grand Total
2556.47 2556.47 .00
.00
Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction 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. A N
k.
C9
Date Print Name Signature of Contractor or Authorited Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735,
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK. BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
inspection Type
Date
Accepted By
Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted by
Under Floor / Slab
Rough -in
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists I Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Onl )
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted b
Heat Pump / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blockin &Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Of
Building 417-4815�'�--
J
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ITS T
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CITY l'�GELES
OF '
W A S H I N G+M T O N, U. S.
321 East 5`h Street
Port Angeles, WA 98362
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
For City Use
Z Z'S f- '6i
Main Contact:
Phone #
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CLALLAM COUNTY COURTHOUSE I N
Prepared 11/30/12,10:46:16 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history
User ID PBARTHOL Application 10-00001117
------------------------------------------------------------------------------------------------------------------------------------
Property Information
Address: 223 E 4TH ST
PORT ANGELES, WA 98362
Location ID: 98716
Owner name: CLALLAM COUNTY
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
ALTERNATE ID: 063000646700
Zoning: PBP PUBLIC BUILDINGS & PARKS
Subdivision:
Application Information
Application desc: HVAC UPGRADES FOR THE COURTHOUSE / JAIL
Application status: PERMIT ISSUED
Status Date: 10/04/2011
Application type: COMM REMODEL
Application date: 10/04/2010
Tenant name/number: CLALLAM COUNTY
Valuation: 600000
Square footage: 0
Public building: NO
Reviewed by: LP LINDA PANGRLE
Pin number: 459206
Entered by: LPANGRLE
Contractor Information
Contractor Name: ANDGAR CORPORATION
Contractor Number: 463
Type: GENERAL
Status: ACTIVE
Contractor Requirements Doc Number Exp Date
-------- -------------------------
STATE LICENSE ANDGAC*19102 7/11/2013
BOND 7/11/2013
LIABILITY INSURANCE 7/11/2013
Outstanding Inspections
Insp Schedule Confirmation Permit Pmt
Type ID Date Number Description Seq Min Max
--------------- ------ - --- --------------- --- ----- -----
No outstanding inspections exist
Work Description
Code Description Quantity
------ ------------------------- --------
CO Information
CO Issue
Str/seq Date Status Description
Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date
Confirmation Nbr
000 000 BPC 00 BLDG FRAMING 0001 JLL 3/20/2012 AP 3/21/2012
355628
000 000 BPC 00 BLDG FINAL 0001 JLL 11/29/2012 AP 11/29/2012
Prepared 11/30/12,10:46:16
Application Inquiry-(BPN200I001)
Page 2
Program HTDFTAL
Screen detail for Program: BP BPN200I, Inspection
history
User ID PBARTHOL
------------------------------------------------------------------------------------------------------------------------------------
Application 10-00001117
Str/Seq Permit/Seq
Inspection
type
Insp Seq Inspector
Schedule date
Results
Results date
Confirmation Nbr
(Continued)
387506
000 000 ME 00
MECHANICAL
ROUGH-IN
0001 JLL
3/20/2012
AP
3/21/2012
355610
000 000 ME 00
MECHANICAL
ROUGH-IN
0002 JLL
6/27/2012
AP
6/27/2012
368563
000 000 ME 00
MECHANICAL
FINAL
0001 JLL
11/29/2012
AP
11/29/2012
387514
Linda Pangrie
From: Joel Winborn Uwinborn@co.clallam.wa.us]
Sent: Thursday, May 26, 2011 11:23 AM
To: Linda Pangrle
Subject: Permit #10-00001117
I would like to request a permit extension for the above referenced permit for HVAC work at the courthouse.
This project is being re -bid and will be advertised this weekend. The bid opening is scheduled for June 21, 2011 and at
that time I will know the successful low bidder and can get you the contractor's name, etc.
Is there anything else I need to do?
Thanks for your help,
Joel
Joel G. Winborn, Director
Clallam County Parks, Fair & Facilities
PH: 360.417.2429
94z, 2011: r4r "a N-21, "Rod 7Vd We Stack"'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
10-00001117 Date 10/04/11
Application pin number . . .
459206
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Tenant nbr, name . . . . . .
CLALLAM COUNTY
Application type description
COMM REMODEL
Subdivision Name . . . . . .
(360) 366-9900
Property Use . . . . . . . .
--- Structure Information
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
600000
----------------------------------------------------------------------------
Application desc
Occupancy Type . . .
----------------------------------------------------------------------
HVAC UPGRADES FOR THE COURTHOUSE / JAIL
----------------------------------------------------------------------------
OwnerContractor
-----------
�►, r
vv
CLALLAM COUNTY
-----------------------�
ANDGAR CORPORATION
223 E 4TH ST
PO BOX 2708
PORT ANGELES
WA 98362 FERNDALE
WA 98248
(360) 417-2429
(360) 366-9900
--- Structure Information
000 000 HVAC UPGRADES -COURTHOUSE /
JAIL
Construction Type . .
. . . UNKNOWN
Occupancy Type . . .
----------------------------------------------------------------------
. . . JAILS, RESTRAINED PERSONS
Permit . . . . . .
BUILDING PERMIT - COMMERCIAL
Additional desc . .
HVAC UPGRADES-COURTHOUSE/JAIL
Permit pin number .
174631
Permit Fee . . . .
3735.25 Plan Check Fee
2427.91
Issue Date . . . .
10/14/10 Valuation . . .
. 600000
Expiration Date . .
4/04/12
Qty Unit Charge
Per
Extension
BASE FEE
3260.25
100.00 4.7500
----------------------------------------------------------------------------
THOU BL -500,001-1M (4.75 PER K)
475.00
Permit . . . . . .
MECHANICAL PERMIT
Additional desc . .
HVAC UPGRADES-COURTHOUSE/JAIL
Permit pin number .
174649
Permit Fee . . . .
188.45 Plan Check Fee
.00
Issue Date . . . .
10/14/10 Valuation . . .
. 0
Expiration Date
4/04/12
Qty Unit Charge
Per
Extension
BASE FEE
50.00
13.00 10.6500
----------------------------------------------------------------------------
EA ME-STOVE/FIREPLACE/MISC. APP.
138.45
Other Fees . . . . .
----------------------------------------------------------------------------
. . . . STATE SURCHARGE
4.50
Fee summary Charged Paid Credited
-----------------
Due
----------
Permit Fee Total
------------------------------
3923.70 3923.70 .00
.00
Plan Check Total
2427.91 2427.91 .00
.00
Other Fee Total
4.50 4.50 .00
.00
Grand Total
6356.11 6356.11 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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�pf any state or local law regulating construction or the performance of
construction. I
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
r:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Landscaping
Comments
FOUNDATION:
Construction - R.W. PW / Engineering 417-4831
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Planning 417-4750
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date
Accepted b
Under Floor / Slab
Rough -in
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
3 2Q' 12. -),ee ! a,5 k--5
�y 2� . �� V1 �-Y"-i y-
C�l� �Ip�. P tVok
.J
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rou h -In 1
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
M
-V
R -=
;a- CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
10-00001117 Date 10/14/10
Application pin number . . .
459206
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Tenant nbr, name . . . . . .
CLALLAM COUNTY
Application type description
COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Occupancy Type .
----------------------------------------------------------------------------
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
600000
----------------------------------------------------------------------------
Application desc
HVAC UPGRADES FOR THE COURTHOUSE / JAIL
----------------------------------------------------------------------------
Owner
-----------
Contractor
------------------------
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
a�
CLALLAM COUNTY OWNERQ�
223 E 4TH ST \ \N `1� E\r \\
rV�\ '\(10 .11k
PORT ANGELES
WA 98362
(360) 417-2429
--- Structure Information 000 000 HVAC UPGRADES -COURTHOUSE /
JAIL
Construction Type
. . . . . UNKNOWN
Occupancy Type .
----------------------------------------------------------------------------
. . . . . JAILS, RESTRAINED PERSONS
Permit . . . . .
. BUILDING PERMIT - COMMERCIAL
Additional desc .
. HVAC UPGRADES-COURTHOUSE/JAIL
Permit pin number
. 174631
Permit Fee . . .
. 3735.25 Plan Check Fee
2427.91
Issue Date . . .
. 10/14/10 Valuation . . .
. 600000
Expiration Date .
. 4/12/11
Qty Unit Charge Per
Extension
BASE FEE
3260.25
100.00 4.7500
THOU BL -500,001-1M (4.75 PER K)
475.00
----------------------------------------------------------------------------
Permit . . . . .
. MECHANICAL PERMIT
Additional desc .
. HVAC UPGRADES-COURTHOUSE/JAIL
Permit pin number
. 174649
Permit Fee . . .
. 188.45 Plan Check Fee
.00
Issue Date . . .
. 10/14/10 Valuation . . .
.
0
Expiration Date .
. 4/12/11
Qty Unit Charge Per
Extension
BASE FEE
50.00
13.00 10.6500
EA ME-STOVE/FIREPLACE/MISC. APP.
138.45
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary
-----------------
Charged Paid Credited
----------------------------------------
Due
Permit Fee Total
3923.70 3923.70 .00
.00
Plan Check Total
2427.91 2427.91 .00
.00
Other Fee Total
4.50 4.50 .00
.00
Grand Total
6356.11 6356.11 .00
.00
n�\
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.
1
I D/! 91 L N ISO v� rJ L -
Date Print Name Signature of Contractor or Authorized/Agen Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
-- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND AC EPTED.
POST PERMIT IN CONSPICUOUS -LOCATION. KEEP PERMIT AND APPROVED PLANS A TIJOB SITE.
Inspection Type
Date
Accepted By
C ments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
ZINALDate Accepted by
Under Floor / Slab
Rough -in
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL:
Walls
Ceiling
I.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:
FINAL Date Accepted by
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footin / Slab
Blocking & Hold Downs
Skirting
r
PLANNING DEPT. Separate Pe it #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construct' n - R.W. PW / Engineering 417-4831
Fire 417-4653
Plan ng 417-4750
By/ding 417-4815
T:Forms/Building Division/Building Permit
d
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant CAP4y en Gvk�" FIN f=
Property Owner c (x(l ftn.. ec-;u �
Property Owner's Address Z 2 3 64,cr.—, +NA 1
Contractor T eac)-
Contractor's Address
License # Expires
`For City Use Only:
Date Received 1®- q i0
EPermit # 10-
Date Approved .
Phone
Phone
E-mail
PROJECT ADDRESS ZZ3 bpr-T Att* y1. ,
Parcel Number Lot Zoning
Project Type & Brief Description: ❑ Residential
Check all that apply
❑ New Construction-h,�c� ��� �01L1 i
❑ Addition or -fid
--�,t
Remodel , -T (� �,� e_
❑ Repair UI
demolition
❑ Multi -family
❑ Re -roof ❑ House ❑ garage ❑ other
�dHeat System ❑ Heat pump ❑ wood -burning stove ❑ gas fi
❑ Other
Floor Areas
Basement
1 st Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing Ism ft.) Proposed Ism ft.)
t
`commercial
❑ tear off & re -roof ❑
❑ pellet stove _V other
❑ Industrial
KE
ay over one la
per sq. ft. = $
TOTAL VALUATION $ G 00,, OL50 , OD
Total footprint of structures sq. ft. - Lot size sq. ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site 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
1 have read and completed this application and know it to be true and correct. I am authorized t apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to wgrking on projects.
Date o 1� Print Name Jo L4.� OL J&aal&�\ Signature
T:Forms/Building Division/Bldg Permit.doc
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
11-00001382 Date
12/08/11
Application pin number . . .
665676
DITCH
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
FINAL
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Alter existing circuits
----------------------------------------------------------------------
Owner
Contractor
------------------------
CLALLAM COUNTY
-- ---------------------
APS ELECTRIC
223 E 4TH ST
546 BENSON RD.
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 417-2429
(360) 452-6753
---------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 73.50
Plan Check Fee
.00
Issue Date . . . . 12/08/11
Valuation . . . .
0
Expiration Date . . 6/05/12
Qty Unit Charge Per
Extension
1.00 73.5000 ECH EL -BRANCH
CIRCUIT WO/FEEDER
73.50
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 73.50
73.50 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 73.50
73.50 .00
.00
i
V
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGFI-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature_of owner or Electrical Contractor X _ Date:
G:\EXCI-iANGE\BUILD!NG
FROM : A.P.S. ELECTRICAL CONTRACTOR
FAX NO. : 360 452 6753 Dec. 06 2011 03+:30PN P1
R E C W Iz_ 1pi
PREPARED 7/06/11 8 23 47 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/06/11
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY JAIL
CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381
OWNER CLALLAM COUNTY PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00000983 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 11/03/10 JLL BLDG FRAMING TIME 01 00
11/04/10 AP November 3 2010 8 13 42 AM permits
ELI 460 3988
FRAMING
AFTERNOON
November 4 2010 4 37 15 PM jlierly
BL99 01 7/06/11 BLDG FINAL TIME 01 00
July 5 2011 2 56 56 PM 1pangrle
ELI 460 3988
BUILDING FINAL JAIL UPGRADES
- COMMENTS AND NOTES
ELECTRICAL PERMIT ti
CITY OF PORT ANGELES
360-417-4735
Application Number 11 00000586
Application pin number 876078
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Application type description ELECTRICAL ONL
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARS
Application valuation 0
Application desc
2 circuits for kitchen equipment
Owner Contractor
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E IST ST
PORT ANGELES WA 98362 PORT ANGELES
(360) 417 2429 (360) 452 9264
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 187385
Permit Fee 76 10 Plan Check Fee
Issue Date 6/13/1 valuation
Expiration Date 12/10/11
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCU-T
Fee summar Charged Paid Credited
Permit Fe, Total 76 10 76 10 00
Plan Check Total 00 00 00
Grand Total 76 10 76 10 00
Date 6/13/11 REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
WA c)8 62
00
0
E:;tens ion
73 50
2 60
Due
00
00
00
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date•
G \EXCI-IANGE\BUILDING
06/10/2011 10 36 FAX 360 452 9265 Angeles Electric Ia0001/0002
• 11
City;;of:PoRrhldAngel ae Pirmft Appgcdon
8alldlM binlEl tdltp1.119iNctI0a9
Apd*iipell�I�iillUi�toA� 9�ib2
Phj300)�t1TfC 417711
Date: fd
_-1 it 2 SJnglb Femlly-OwWft
amlycrCominengai'
-kfAmn%rdWAddMm*1Atteradoe / Remodel / ROW
ELECTRICAL
INSPECTIONS
• Plan -,% w May Of Requlred, Please Complete Elecblcal Pian R&W w lftm adon Sheat4p t
$26220S
&MMFeeder001=1000Mp.
–�
:3372.60
S SwAmFeederorer1000Amp.
$ ..zoo
S .73.60
$ enuchamaw.SwJmFeeder
S -" W Branch Ckpdt141O SeMce feeder
.$ 160
1_ t�� �h AdMW lt"CkM
S• 52.70
$ Temp. Se WFeedw=kM. i
4.110.30.
! Temp. SarkaelF9e6er7014MMp.
:1.148.70
S Temp. SeMoFlFeedK401�000Anp.
.i167:90
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S 95:90
$Porml b poomm*
I :silo
1. SlpnrOuoln.tJdrMiq
;.95.10
i 8r pradtltiNmdF�uDp-Ogmnadel.AddlOoAtl16001600
$1.83.90
S_ Craml LtAdOed EnaiDr-1 a 2 Ferny Dwsfrm
S - 3$0
$ SOW C" Umbd:6nM - Md0•Fx* Doeft
$ 119A0
$ h�ondeeheed.ttant Com 1 n
$10230
S Ra mab EI9wWEm C -BWA &obm or Leu
$110:30'
$ I -W 1300 Squire FL
3-35.26
1 Each AddaW WD Som FL or Paeon of
-'$ .73.50
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aTaiSpdeidotim{r0toneviilhinelKtrledleeat.N.EC,PXMClupbw192kWAC.Cheyhr980.MTMUyofPatAnpelaWmJe1De1Code idu�b�
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Linda Pangrle
From Inc Hoch Construction [hoch@olympus net]
Sent: Wednesday May 18 2011 11 56 AM
To Linda Pangrle
Subject: Request for Extension
Attachments Mai10614 PDF
Linda,
Here is the request for the extension on permit # 10-983
Thank you,
Carrie Priest
Hoch Construction
4201 Tumwater Truck Rt.
Port Angeles WA 98363
Ph 360 452 5381
Fax 360 452 5382
May 18th, 2011
City of Port Angeles
c/o Building Permit Dept.
Koch construction, inc.
4201 TumwaterTruck Route
Port Angeles, Washington 98363
Re Clallam County Jail Upgrades
Permit # 10-983
Dear Linda,
Due to circumstances out of our control, we will not be able to request Final Inspection prior to
the permit expiration date for the Clallam County Jail Upgrades project. Therefore, we would
like to request an extension for building permit #10-983
Sincerely,
Carrie Priest
Hoch Construction, Inc.
Pb 360 452.5381 Fax 360 452.5382 a -mail hocli@olympus.net
licensed - bonded insured
Permit # W— q 93
Date 5-11— 1
I phoned the Applicant
Property Owner.
PROJECT STATUS UPDATE
at
at
Contractor. Hoc, k C©hS4vv C+ o Y1 at 9
I (left a phone message ordiscussed)
The permit as expi�ed will expire soon) What is the status of this project?
Please call and schedule a final inspection
Or
��( � Submit a permit extension request" tette .,
Let me know if the project is abandoned
iAMEM, 24 111, 111111111 All F-G-W-5wMllll
T.Forms/Building Division/Project Status Update
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
3 circuits walk in freezer
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
11 00000100 Date 2/02/11
495600
223 E 4TH ST
06 30 00 6 4 6700 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Owner Contractor
i
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E 1ST ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 2429 (360) 452 9264
Permit ELECTRICAL ALTER COMMERCIAL DRIi>� b z Z3
Additional desc
Permit pin number 181008
Permit Fee 78 70 Plan Check Fee 00
Issue Date 2/02/11 Valuation 0
Expiration Date 8/01/11
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20
Fee summary Charged Paid Credited Due
Permit Fee Total 78 70 78 70 00 00
Plan Check Total 00 00 00 00
Grand Total 78 70 78 70 00 00
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
toZqJ
FINAL
2
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
01/31/2011 18 33 FAX 360 452 9265
:CW..gf.PortAngmhm "RAppkdon
VtEfi
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Angeles Electric
• Plan Jtev�w #lel! �R abed,. Pleeee Elactrlcel In(ortneUon Sheat
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A �
ELECTRICAL
INSPECTIONS
lijoo01/0002
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V
p�.rannn,e�acw.ra�urt:hl o.n.►rm«gra,.�ti�cap.b►n.+oya�.parr►a.�eaKdw�b�►�kbne.,u.�erb.►oe�naee�ra
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V,,. l'InebmAt(�llaiJ�Ih M , N.!'.C, RCW. CA�pter 1421.WAC, Chtpl�r7iN6B. Tb� Cib of PortAipdu MuNolOd Codb ► �
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sjonipia:dolma ddrfaloontr�o- crdicWW1eninldreeW
nmcc.b: ow A6e
PREPARED 11/03/10 8 20 56 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/10
ADDRESS 223 E 4TH ST
TENANT NBR CLALLAM COUNTY JAIL
CONTRACTOR HOCH CONSTRUCTION
OWNER CLALLAM COUNTY
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00000983 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
BL3 01 11/03/10 L
ll�
COMMERCIAL
DESCRIPTION
RESULTS/COMMENTS
SUBDIV
PHONE (360) 452 5381
PHONE (360) 417 2429
BLDG FRAMING TIME 01 00
November 3 2010 8 13 42 AM permits
ELI 460 3988
FRAMING
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00001263 Date 10/29/10
612435
223 E 4TH ST
06 30 00 6 4 6700 0000
PUBLIC WORKS UTILITES
PUBLIC BUILDINGS & PARKS
0
Application desc
RCP # 10 36 Temporary sidewalk closure
Owner
Contractor
CLALLAM COUNTY ADVANCED CONSTRUCTION INC
223 E 4TH ST 4640 CAMPUS PL STE 150
PORT ANGELES WA 98362 MUKILTEO WA 98275
(360) 417 2429 (425) 493 1826
Permit RIGHT OF WAY
Additional desc RCP # 10 36 SIDEWALK CLOSURE
Permit pin number 176420
Permit Fee 75 00 Plan Check Fee 00
Issue Date 10/29/10 Valuation 0
Expiration Date 4/27/11
Qty Unit Charge Per Extension
1 00 75 0000 ECH RIGHT OF WAY PERMIT 75 00
Special Notes and Comments
Applicant to provide and utilize signs and barricades
appropriate for sidewalk closure No debris allowd to enter
the City storm drain system
Fee summary Charged Paid Credited Due
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Grand Total 75 00 75 00 00 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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. i
Signature of Contractor or Authorized Agent Date
T-\Policies\1102 15 [10/081
Signature of Owner (if owner is builder) Date
R)
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W /PW/
ENGINEERING 417-48"1
CONSTRUCTION R.W
PW / ENGINEERING
FIRE 417-465=
FIRE DEPT
PLANNING DEPT 417-4750
PLANNING DEPT
BUILDING 417-4815
BUILDING
T \Policies`110' 1 [10/08]
CITY OF PORT ANGELES
(;a
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
" 321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
10 00000983 Date 9/22/10
287107
223 E 4TH ST
06 30 00 6 4 6700 0000
CLALLAM COUNTY JAIL
COMM REMODEL
PUBLIC BUILDINGS & PARKS
100000
Application desc
REPAIR KITCHEN WALLS NEW EXT DOOR TO BRTHLZR ROOM
Owner
Contractor
CLALLAM COUNTY HOCH CONSTRUCTION
223 E 4TH ST 4201 TUMWATER TRUCK RT
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 417 2429 (360) 452 5381
Structure Information 000 000 REPAIR WALLS NEW EXT DOOR
Construction Type UNKNOWN
Occupancy Type INSTITUTIONAL
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Permit BUILDING PERMIT COMMERCIAL
Additional desc REPAIR WALLS NEW EXT DOOR
Permit pin number 172965
Permit Fee 1020 25 Plan Check Fee 663 16
Issue Date 9/16/10 Valuation 100000
Expiration Date 3/15/11
Qty Unit Charge Per Extension \�
BASE FEE 670 25
50 00 7 0000 THOU BL 50 001 100K (7 00 PER K) 350 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Other Fees STATE SURCHARGE 4 50 /
Fee summary Charged Paid Credited Due
Permit Fee Total 1020 25 1020 25 00 00
Plan Check Total 663 16 663 16 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 1687 91 1687 91 00 00
Separate Permits are required for electrical work SEPA, Shoreline, ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. if t,
Date Print Name Signature of Contractor or
I rorms/buuaing uivisionibunamg rermii
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS --
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
FINAL Date Accepted b
Under Floor / Slab
Rough -in
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall / Floor/ Ceiling
MECHANICAL.
Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts IFINAL
MANUFACTURED HOMES.
Footing / Slab
NO
x
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R W PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T.Forms/Building Division/Building Permit
H064 Coy)q- wcAion 15 'tNe. by Phare.
ya`ra"rA1' BUILDING PERMIT APPLICATION Print in ink
1m;4 CITY OF PORT ANGELES
�� Attn. Building Permit Technician For City Use Only
321 E. Fifth St. Port Angeles, WA 98362 pDate Received q � 1 (�
(360) 417-4815 fax (360) 417-4711 Zf_ e # —., -A 10- qa Ili i
Applicant GIP4lp%,C.,_�-k
Property Owner ., (,,� 1,
Property Owner's Address
A --w Poa.TV t k— .. -i LAS _ tw. k -1 B Z, L Z
Project Tme & Brief Description. ❑ Residential
Check all that apply
❑ New Construction�py�
❑ Addition
XRemodel pr
epair A& kdo or in irke
�'eemolition
❑ Multi -family ❑ Commercial
A
❑ Industrial
❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer
❑ Heat System �[ ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑Other NO PIUMk�v,a AV- MPC -k Ck&0610,<
Floor Areas
Basement
1 st Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sa. ft.) Proposed (sg. ft.)
@ $ per sq. ft. = $
TOTAL VALUATION $ 11 Ion, Doo
Total footprint of structures - sq. ft. - Lot size _ sq ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site 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
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is -1� myresponsibility to determine what permits are required, and to obtain permits prio o wq ting o projects.
Date 't l J10 Print Name � � L� v.) Iha C14 Signature
T:Forms/Bu-il�di�n1g Division/Bldg Permit.doc
W
W
H
Z
J
O
V
Z
J
4TH STREET
CLALLAM COUNTY COURTHOUSE IN
Owner Contractor
CLALLAM COUNTY
ELECTRICAL PERMIT
ANGELES ELECTRIC
RESULTS
223 E 4TH ST
CITY OF PORT ANGELES
524 E IST ST
$
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 417 2429
360-417-4735
(360) 452 9264
ROUGH IN
Permit
ELECTRICAL
ALTER COMMERCIAL
Application Number
11 00000549 Date 6/02/11
REPORT SALES TAX
--�0
Application pin number
505790
Permit Fee
73 50
Property Address
223 E 4TH ST
Issue Date
on your excise tax form
Valuation
ASSESSOR PARCEL NUMBER
06 30 00 6 4 6700 0000
11/29/11
to the City of Port Angeles
Application type description
ELECTRICAL ONLY
Extension
1 00 73
5000 ECH EL
Subdivision Name
73 50
Fee summary
(Location Code 0502)
Paid Credited
Property Use
Permit Fee Total
73 50
73 50 00
00
Property Zoning
PUBLIC BUILDINGS & PARKS
00 00
00
Application valuation
0
73 50 00
00
Application desc
1 circuit power for projectors
Owner Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
RESULTS
223 E 4TH ST
DITCH
524 E IST ST
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 417 2429
(360) 452 9264
ROUGH IN
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc
Permit pin number
186924
Permit Fee
73 50
Plan Check Fee
00
Issue Date
6/02/11
Valuation
0
Expiration Date
11/29/11
Qty Unit Charge Per
Extension
1 00 73
5000 ECH EL
BRANCH CIRCUIT WO/FEEDER
73 50
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
73 50
73 50 00
00
Plan ChecY Total
00
00 00
00
Grand Total
73 50
73 50 00
00
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date-
G,\EXCFIANGE\BUILDING
06/01/2011 11 54 FAX 360 452 9265
.Cftyhf.IPodAngpinPftkAp0cdcn
lift "Uml
.qR 41r4mimm�mm
i
jl p 417-47.11
Date:..'
x.162 00 Fv*DvMIn0
ML40ameyve cammir
;d&1A1.Wdon1Remodel 1R@pW
Angeles Electric 20001/0002
11'
ME
SUN 2 2011
ELECTRICAL
INSPECTIONS
'Plan-fWowMayS@Ro*dIKPlease Complete EMOWPlea ROWBWMmd.MSheet I
JbbAddiik 2j .3 45. Ik
"unit Chemo
Total 10tv Magor by upff cmmel
4.11RAW
$-$W*WFNWWMAMIL
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"*~ 2914M AM.
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Van
$_9wAmF@WK6D140WAnV.
43700-
$-SWWwFqWffWW1M0Anq-
$ 200
Z
$ M" Qm*W SWAN FOWK
f I CkAWDSbMNFGWW
.73AO
I .2AD
S-EAMAM"WIMMM
$_anp.Qm- FOW20OAnp.
$--TTmqLlwftF-- 20I40AW
$_Twk% BmWeWW401400MV.
ftBTAO
I Too. GoWNWrOOMMANS.
1.9590
$:.13.90
$-ftnduff CmwLkdW ErAW: I A 2 FW* Witt
CA
$_VVWQUrME=v • MWN*DwWM
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f 11910
$_MwAWAiWHMCMMdMn
$ . _y-5WA&jMwwLmm&
$-Fkd13D08*"91:
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.'$ �35.20
-*$ 73AD
$-Exh0wkftjwDdm:hWG"p
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$_7hwnnW
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ftwrosda, AfAMMUM: M OWWWROMW 088ftuo", fdrb.w� Arab owbwpwmNh man& 4v 0"Wh
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F-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 11 00000395 Date 4/29/11
Application pin number 725355
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Application desc
Low voltage
Owner Contractor
CLALLAM COUNTY HI TECH SECURIT` INC
223 E 4TH ST 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 2429 (360) 452 2727 452- S SL -p
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 184754
Permit Fee 95 90 Plan Check Fee 00
Issue Date 4/29/11 valuation 0
Expiration Date 10/26/11
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
L
Q
DATE.
W
REPORT SALES TAX
1
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
n
FINAL
2
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
Z71G \EXCFIANGE\BUILDING
FROM HI -TECH ELECTRONICS FAX NO. 360 452 6560 Apr 28 2011 09 01AM P1
�. lz,, cr k�ol:i �:nir�I;l. t.5 f'Lt:`lt�l' _�f')'1_!c. A'tic..>�v ;`�a�.-•,.
RECEIVED
Lurluiu; t�llI�IUI:1/1.1C4I1'IC)ll III-spuVii6go,
9 1:
3__11 I=lut 1 Sti
ifttl -ett - t' U lips 1150 / 1'Ui t kugl:ir5 4VatiLirlt,tiui, :)ti3t;'2Alg� 2 � 2Q 11
Pn. t.>od) 417-.173 Fax. (366)) 417-.1711 II �•� „
W 2$ ^ 20 I I ELECTRICAL
-_-_~ 1 & 2 Sirigl2 Fal i y D•vel ir!3 --2�Niulb Family or Cornme,ual' :,ornrnffipmwg / A arabori I Remodel / Repair'
P.in Rcv;ew hazy Be Requ,red, Please CumploL- Electrical Plaut Raviow Innffooll4iron ahe6l
_, Z� J.;
f T ?N - £ MfiGoe[+t x � - �t;EP_fr 1f�y C_`L►N' i ` Z
Owner mforinat1o11
7 Ort AnQei�s
=1• K. N17^ 254^ -=tc - ----
Lxp
Contractor Information
N,g1j,, Hi Tech Secur'itX, Inc.
h'talht�yids
As 723 East Front St_.
;!ty Port A4gele8klte WA ? :_99362
Ph:,:rV, 452-2727 rax' -452-8560
ocama'gl'cxp. HITECTS955ES
Item
Unit Charge
Total (Qty Multiplied by Unit Chargaj
S.,,rixe;f•eader 2$u A:,lo.
$ I'i 8.90
St,rvicelFacder 20144 Amp,
314556 —
SE. w ciLkedw 409.600 Amp
$ 204.60$__--
�erv�oelFaedvr 6014000 Amp.
$ 262.20
5
attivtcaJ�ea3er truer 100Si Ail'y�_
5 372.5G
5,
3r;nch Circuit'VVI aerjice FL"dder
5 2.60
3x61; h Circuit *10 Service Feader
$ 73.50
EaOi ddltionsl branch Circuit
$ 2-60
zmp. Service/ Feadder 20i1 Amp.
S K.70
Te- np, NI -400 Amp.
$110:30 -�---
$
T:;mp, Ssry copeedw 401-6GO Ani,.
Tamp. Szc aalr'eederWI-1000 Pam)
>'o,t-4 iz Porml Hourly
$ 95 90
813n10utiine Lighting
$ 89.20
Sgnel CirculU Limited Ertzrg) I F!s11600 sf- Convuarciol S :5.90
Note. 5x00 fu Each addiironr� 15GO of
al Cireutt Lrmied Energy 1 & 2 Family D%aIUug
$ E^aAo
Signal Cicuid Limited Energy hfulti Fomity Dwelling
$ 63.90
S
Manutactured Home Ccnncctton
$119190 -
$
♦ZEnENGr.7lB E1eL6fCd En£tyy SWA Sy9tem or Less
`P 1Z30 -_
S--.
i171in=az
NEW CONSTRUCTION ONLY,
i7irst 130E Squar6 Ft.
$ 110.30
EEC,- Anda Tonal 507 Squarc R. or Paoun of
S 55.20_---
Eech OutuuJding or Detncrea Grunge
$ 73.60-
Eaah :war tinning Pool or Fitz Tub
$110.30
5� _
b�_. - R Total
0,,u;:r.r as defined by RC7V 13 28.261 (1) Owner will occupy the structure for two years after this electrical peanit is finalized. (2) Owner is relquired
iv nice un eb3ctncal contractor if above said proparly is for sale, = 4 or lease. Parmrt axpires , r sk months ci last rrrspection.
11tTc. reading t}ie above statement, I hereby ceriity
that 1 atr! the owner of the above named property or a licensed electrical contractor I am making
-ria eieetrical !nsrdliason oraltereG:n ur cor:lpliernce with the eleohicKl lags, VNSW, Chapter -19.20, WAC. Chapter 2%-46B, The City of Port
; 1g;a6s lulunit:ips: Code, and Wiit_v Spet ificauen:,•
and PAMC 14.05.050 regarding Electrical Permit Applicafrons,
Signature of owner electrical contractor or electrical administrator, CI Gash D
th ak
CX Credit Cad tl
1Jatea; - N — 26_ �iJ I 1 _ ___.
01101010
INSPECTION TYPE
DATE
RESULTS
ELECTRICAL PERMIT
x * t
CIT'Y OF PORT ANGELES
360-417-4735
Application Number
11 00000343 Date 4/19/11
Application pin number
833078
Property Address
223 E 4TH ST
z (�YAP
REPORT SALES TAX
ASSESSOR PARCEL NUMBER
06 30 00 6 4 6700 0000
on excise tax form
Application type description
ELECTRICAL ONLY
your
Subdivision Name
to the City of Port Angeles
Property Use
(Location Code 0502)
Property Zoning
PUBLIC BUILDINGS & PARKS
Application valuation
0
Application desc
1 circuit clock tower lights
Owner
Cont-ractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E IST ST
PORT ANGELES FIA 98362
PORT ANGELES WA 98362
(360) 417 2429
(360) 452 9264
`
Permit ELECTRICAL
Additional desc
ALTER COMMERCIAL
Permit pin number 183988
Permit Fee 73 50
Issue Date 4/19/11
Plan Check Fee 00
Valuati3n 0
Expiration Date 10/16/11.
IVI�J
Qt, Unit Charge Per
Extension
1 00 73 5000 ECH EL
BRANCH CIRCUIT W0/FEEDER 73 50
Fee summary Charged
Paid Credited Due
Permit Fee Total 73 50
73 50 00 00
Plan Chec), Total 00
00 00 00
Grand Total 73 50
73 50 00 00
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
z (�YAP
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
G \EXCHANGE\BUILDING
04/19/2011 08 02 FAX 360 452 9265
Af-oi PodAnooles himItAppikdon
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Angeles Electric
APR 19 2011
ELECTRICAL.
INSPECTIONS
rr ReWw Inkmallo-Sheat -
Z0001/0006
i
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S— E@dh AM" Dutch Chlit
S Two.8ow FN&X0M$6
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PREPARED 11/23/10 9 28 57 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/23/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY
CONTRACTOR ALDERGROVE CONSTRUCTION INC PHONE (360) 457 2067
OWNER CLALLAM COUNTY PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00001065 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT CON903RCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 10/05/10 JLL BLDG FRAMING TIME 01 00
10/05/10 AP October 5 2010 8 56 36 AM 1pangrle
DAVID 417 2340
FRAMING OFFICE CONVERSION FOR I T & H R
AFTERNOON
THE DOOR TO THE AREA IS UNLOCKED
October 5 2010 4 45 30 PM jlierly
BL99 01 11/22/10 PB BLDG FINAL
11/23/10 CA November 19 2010 4 21 07 PM 1pangrle
DAVE 417 2340
BUILDING FINAL OFFICE CONVERSION FOR I T & H R
CALL HIM 10 MINUTES OR MORE AHEAD SO HE CAN MEET YOU THERE
unable to inspect because of snow reschedule inspection
November 23 2010 9 21 43 AM pbarthol
BL99 02 11/23/10 JLL BLDG FINAL
November 23 2010 9 22 11 AM pbarthol
COMMENTS (AN/D NOTES
\�(�`� Ito
11
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
5 circuit office remodel
Owner
DATE.
ELECTRICAL PERMIT
INSPECTOR.
CLALLAM COUNTY
CITY OF PORT ANGELES
K
OLYMPIC ELECTRIC
360-417-473
223 E 4TH ST
_1
4230 TUMWATER
10 00001375 Date 11/23/10
WA 98362
742500
REPORT STATE SALES TAX
(360) 417 2429
223 E 4TH ST
`
(360) 457 5303
06 30 00 6 4 6700 0000
on your excise tax form
ELECTRICAL ONLY
to the City of Port Angeles
11,67- l�
l
Permit
(Location Code 0502)
ALTER
PUBLIC BUILDINGS & PARKS
Additional desc
0
Owner
DATE.
Contractor
INSPECTOR.
CLALLAM COUNTY
OLYMPIC ELECTRIC
CO INC
223 E 4TH ST
4230 TUMWATER
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
(360) 417 2429
`
(360) 457 5303
COMMENTS
11,67- l�
l
Permit
ELECTRICAL
ALTER
COMMERCIAL
Additional desc
Permit pin number
177873
Permit Fee
83 90
Plan Check Fee
00
Issue Date
11/23/10
Valuation
0
Expiration Date
5/22/11
Qty Unit Charge
Per
Extension
1 00 73
5000 ECH EL
BRANCH
CIRCUIT WO/FEEDER
73 50
4 00 2
6000 ECH EL
ECH ADDNT
BRANCH CIRCUIT
10 40
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
83 90
83
90 00
00
Plan Check Total
00
00 00
00
Grand Total
83 90
83
90 00
00
„—
INSPECTION
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
`
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
19
PREPARED 11/22/10 8 26 38 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/22/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NSR CLALLAM COUNTY
CONTRACTOR ALDERGROVE CONSTRUCTION INC PHONE (360) 457 2067
OWNER CLALLAM COUNTY PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00001065 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 10/05/10 JLL BLDG FRAMING TIME O1 00
10/05/10 AP October 5 2010 8 56 36 AM 1pangrle
DAVID 417 2340
FRAMING OFFICE CONVERSION FOR I T & H R
AFTERNOON
THE DOOR TO THE AREA IS UNLOCKED
October 5 2010 4 45 30 PM jlierly
BL99 01 11/22/10 JLL BLDG FINAL
November 19 2010 4 21 07 PM 1pangrle
DAVE 417 2340
BUILDING FINAL OFFICE CONVERSION FOR I T & H R
CALL HIM 10 MINUTES OR MORE AHEAD SO HE CAN MEET YOU THERE
COMMENTS AND NOTES
L" 'U
Cal
11/19/2010 10 07 FAX 360 452 3498
City of Port Angeles Permit Application
Building DlvlslontElectrical Inspections
321 East Flftfl Street - P.O, 801 1150
Port Angeles Washington, 98302
Ph: (360)417.4735 Fax; (360) 417.4711
Date: 11 1!
1 & 2 Single Family Dwelling
_ Multi -Family or Commercial'
7zCommerclal Addition I Alteration I Remodel / Repair*
Olympic Electric Co + PA CITY INSPECT a 001/001
ELEC'I'�jICAi
INSPECTIONS
Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above &?otic 49_1461 '4__S4 11�/�
Owner Informatio
Name: 1-'1511
Mallin Address:
Clly o Slale:&&Z Zip: �
Phone; Fax;
License # I Exp,
Co�,,
Name. /Mailln Add I
City:�.,(f1= State, �_ Zip:
Phcne; j1z_' C44 z: Fax;
License # I Exp.f�
Unit Charge
Total IOIy Mulllolled by Unit Chame_ I
$119.90
S Service/Feeder 200 Amp.
$145.50
$ SeNlce/Feeder 201.400 Amp,
S204.60
E ServlcelFeeder 401.600 Amp.
S262.20
$ Service/Feeder 601.1000 Amp.
$ 372.50
$ Servlce/Faeder over 1000 Amp,
$ 2.50
$ 73,50
S 2,60_
$ Branch Circuli W/ Service Feeder
$ Branch Circuit W/O Service Feeder
AO Each Additional Branch Circuit
S 92.70
E 110.30
S Temp. Service/ Feeder 200 Amp,
$ Temp, Service/Feeder 201-400 Amp,
S148.70
S Temp, Service/Feeder401.600 Amp,
S 167,90
i Tamp. Service/Feeder 801.1000 Amp,
$ 95.90
$ Portal to Portal Hourly
S 88.20
$Sign/Oulline Llghdng
S 95.90
$ Signal CirculU Limped Energy — Commercial. Addldonal 1500 $5.00
5 63.90
$ Signal Orculil Limped Energy 1 & 2 Famdy Dwelling
S 63.90
S Signal Circuill Limned Energy MulikFamlly Dwelling
$119.90
$ManulaClured Home Conneedorl
S102.30
$ Renewable Electdcal Energy 5KVA System or Les5
S 110,30
$ First 1300 Square Ft
$ 35,20
S 73.50
E Each A(ldldonal 500 Square Ft. or Portion of
S Each Outbuliding or Detached Garage
$ 110.30
$ 56.00
$ Each SWlmming Pool or Hot Tub
$ Thermostat
S Total
`1�eJt i1c)Rr.L.tirY,
Owner as defined by RCW.19.20.261 (1) Owner will occupy the structure for two years after this elactrlcof permit /s finalized, (2) Owner Is (spurred to hlrs an electrical contractor H
above sold property to for sols, rent or leeee. Permit expires alter alt months of lost Inspection.
After reading the above statement, I hereby certify that I am the owner or the above named property or a Ilesnood electrical contractor I am making the elactrleal Installation or
alteration In compliance with the electrical laws, KE.C, RCW. Chapter 1926, WAC. Chooter298468, The City or Port Angeles Municipal Code, and Utility Specifications.
Signature of owner, electrical contractor or electrical administrator ❑ Cash
U Check
CredltCard4
a
PREPARED 10/19/10 8 51 18 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/19/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY JAIL
CONTRACTOR PHONE
OWNER CLALLAM COUNTY PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00000867 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 8/31/10 JLL BLDG FRAMING
8/31/10 AP August 31 2010 2 12 38 PM 1pangrle
JON 460 8761
FRAMING
August 31 2010 4 10 30 PM jlierly
BL99 01 10/19/10 LL BLDG FINAL TIME 04 00
K October 19 2010 8 48 46 AM 1pangrle
JOHN 460 8761
BUILDING FINAL CONVERTED A STORAGE ROOM INTO A SINGLE
OFFICE (EAST PARKING LOT AREA)
4 00 PM INSPECTION
COMMENTS AND NOTES
p°
OF PORT gNC
+
NAME OF PREMISES
SERVICE ADDRESS
Official Use Only
Assem.# I /".
Backflow Assembly Test Report Received %
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
14 /7 Cfi1/A/ 17' C u'i Hpf,�
3 L- � .''< 5' r 6,Ei
LOCATION OF DEVICE. 11 L. i? C a f//? i Aw a Y.SG R / / C C � R
ASSEMBLY 1,4Z/4` t 75' _0 C2 II Z! 3 r 2 %/4-
Manufacturer Model Size Serial No
IS THIS AN APPROVED ASSEMBLY? YES ®W050 IS ASSEMBLY INSTALLED CORRECTLY') YES &qVO ❑
0 GT—
DATE OF INSTALLATION — X" t UNKNOWN❑
WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY
REDUCED PRESSURE PRINCIPLE ASSEMBLY
RP RPDA ❑
DC ❑ DCDA ❑
DOUBLE CHECK VALVE ASSEMBLY
PVB ❑ Air Gap ❑PVB
❑ AVB ❑
CHECK VALVE #1
CHECK VALVE #2
RELIEF VALVE
PVB/SVB
Initial
Leaked ❑
Leaked ,z 1 ❑
Did Not Open ❑
AIR INLET
Held �
Closed Tight MI-01
Openedj`
Opened
Not Open E3Test
at r%psi
Held at psi
at t/ psi
Opened at psi
Repairs
Cleaned ❑
Cleaned ❑
Cleaned ❑
CHECK VALVE
Leaked ❑ Held at psi
Replaced ❑
Replaced ❑
Replaced ❑
REPAIRS
Cleaned ❑
Details
Replaced ❑
3 psi Buffer YES ❑ NO ❑
Final
Closed Tight
AIR INLET Opened at psi
Test
�J
Held +`psi
Held
CHECK VALVE Held at psi
at
at psi
Opened at�-Asi
BACK PRESSURE NO ❑ YES ❑
AIR GAP INSPECTION
REQUIRED MINIMUM SEPARATION
YES ❑ NO ❑/
TYPE OF HAZARD r
Line Pressure 6(/ psi
COMMENTS
V 1 C T& !
'
Held Backpressure YES LI.-'qO ❑
#2 Shutoff Held YES ❑—NO ❑
Relief Valve Exercised YES EL, -NO ❑
Date -'rime Tester
e
Signature
Cert. # Test Kit Passed Failed
Initial
Test
MI"
'' C3
Repairs
❑ ❑
Final
Test
? �r
�G l f/
�y% 13
l� _ f It �: /\ : a' =� r "log war
WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY
PREPARED 10/05/10 9 02 42 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/05/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY
CONTRACTOR ALDERGROVE CONSTRUCTION INC PHONE (360) 457 2067
OWNER CLALLAM COUNTY PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00001065 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 10/05/10 L BLDG FRAMING TIME 01 00
October 5 2010 8 56 36 AM 1pangrle
DAVID 417 2340
FRAMING OFFICE CONVERSION FOR I T & H R
AFTERNOON
THE DOOR TO THE AREA IS UNLOCKED
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
6 circuits remodel TI
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
10 00001115 Date 10/04/10
194455 REPORT STATE SALES TAX
223 E 4TH ST
06 30 00 6 4 6700 0000 on your excise tax form
ELECTRICAL ONLY to the City of Port Angeles
(Location Code 0502)
PUBLIC BUILDINGS & PARKS
0
Owner Contractor
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E 1ST ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 2429 (360) 452 9264
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc p
Permit pin number 174607 1 1
Permit Fee 86 50 Plan Check Fee 00 1v►v
Issue Date 10/04/10 Valuation 0
Expiration Date 4/02/11
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50
5 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 13 00
Fee summary Charged Paid Credited Due
Permit Fee Total 86 50 86 50 00 00
Plan Check Total 00 00 00 00
Grand Total 86 50 86 50 00 00
INSPECTION TYPE
DATE.
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
Z
FINAL
COMMENTS,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor.X . Date:
10/01/2010 14 45 FAX 360 452 9265
Cllyof-Po",- dm Pi mltAppticetton
9li0dlnp. Dtyhbnl�Mofflesl fmpeglona
32tEislf FMh'SirWA1g P.O.taooc 1130
PArt-�ipeUf-wanhl�on3ri9Q2
Pn:,�360j61T�FeCI:. j3e0)�174711
Date:-
._ 1 & 2 Slnple Fm*-Dwellt
_ MulWad1y or Commerdar
&mesal Addit / Atteret m / Remodel / Repair'
Angeles Electric
'CII -0-1 � ZIJUJ
ELECTRICAL.
INSPECTIONS
• Plan•ReuiOW May 8e Required, IDIOM Complete Eieftloan Review lnbmdm Sheet
JOb Addrasa: AF
tai 00% 40re Fo*p.'
:De6Wpdonofebove Z", fes°-e'�
.Name:. Name:
-Mal4nd �Addreax 2� - MaUbg Addreu:
Stab 21p: _ mr. PoIr State:
Phone' Fax Phone: — ex
l,ber>se o'I F.I. Lberlse alp / t.xp
z3 - ��
..Unit C 670 haras � Total /Qhs Mu>Ilalied by Unit Charnel
s t11 i SewbelFaedor 200 Amp.
1145.50 s 6~"der 201400 Amp.
$204.50 $ Safvloe "der4014WArM.
:29220 $ fie b Feeaer 80140M Amp.
-4372.50 s SwAcdFeederow1000Amp.
$ -Loa Brexh araALiW/S■Am Feeder
• s 73.50 4 s B mch Ckai& VWO Sella Feeder
.$ S � s Each Addl9ald Branch m =t
S 162.70 $ Temp.Sew"Fads200Anp.
4.110.30 S Tamp. B■ModFoo*201400Anp.
$148.70 $ TmM.Servbs oder4014WAmp.
S .107.90 f Temp. ftv1mF9adar 6014000 Amp.
95:110 S Patel b Paldmvsy
$
95 D
9$lSpml Cka/V Uneed Emrgy— C9rnk>ereid. AM6m d 1500 s5A0
S 63.90 s mg d Ckallf Um bd Bwgy 1 d 2 Fw* MvWg rg
s 63 Ah i god C1muW Umeed•Enwgy • MAtfx* oweeklg
S 119.10 i Mended" Home emrsd m
$102.30 $RanmMb Beebiee! Enerpp • 5WA byskem or Lem
•1.110:30 S Flat 1300 SWAm FL
$ 35.20 S Each Addeb W W agar Ft or Pallor of
s 73.50 $ Each Oulbulft orDatachad Getups
j i E MSwimi Pdblawl*
S' `58710 = Thor mebl
Tofal
IM 0001/0002
it— e"—Awlle— &<
UAS- "Fivr—
O►n►ardsdiftnadbrA'CW.I&U�86I:t1)4nsWWN0muff"sant&"fWtmyaws& ab@bcmwloermRisff ltsdlR)owv"►le"quh�dmhh..anaraehfealeanbaetorM
abovr�Pl�rb�skraJltb Iantwhaaa, Paravlt■gs!"a afb/shrerond4a olNsfhupacllan.
-uhlr eaillnO tM aboys afsfan■K l hsmby m* fhst I am fna owmr of fM above nomad pMerb ora Ikemed alsehfral -, h &for: I om ma" fl■ olsebleaW■Wlaaon or
aibrsdonlrieompV&m wb ft slaehieel lacca, H.E.C, RCW. Chopw 19.26, WAC. Chapbr 899480, The Cry of PortAngela MunWpsl Cods, Id UNIV Spaahedaa■.
Stgndun of wmr, dnbtd anhaetor or oliet W adminbUd w
■
0 , �i.
%
.Gs � _ 7' ,
13 Cash
Q
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
10 00001065 Date 10/04/10
829560
223 E 4TH ST
06 30 00 6 4 6700 0000
CLALLAM COUNTY
COMM REMODEL
PUBLIC BUILDINGS & PARKS
9000
Application desc
OFFICE CONVERSION FOR I T & H R
Owner Contractor
CLALLAM COUNTY
ALDERGROVE CONSTRUCTION INC
223 E 4TH ST
336 BENSON RD
PORT ANGELES
WA 98362 PORT ANGELES
WA 98363
(360) 417 2429
(360) 457 2067
Structure Information
000 000 RR
Construction Type
UNKNOWN
Occupancy Type
BUSINESS OFF/PRO/MED/REST
Permit
BUILDING PERMIT COMMERCIAL
Additional desc
I T & H R OFFICE CONVERSION
Permit pin number
173971
Permit Fee
193 75 Plan Check Fee
125 94
Issue Date
10/04/10 Valuation
9000
Expiration Date
4/02/11
Qty Unit Charge Per
Extension
BASE FEE
95 75
7 00 14
0000 THOU BL -2001 25K (14 PER K)
98 00
Other Fees
STATE SURCHARGE
4 50
Fee summary
Charged Paid Credited
Due
Permit Fee Total
193 75 193 75 00
00
Plan Check Total
125 94 125 94 00
00
Other Fee Total
4 50 4 50 00
00
Grand Total
324 19 324 19 00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
FINAL Date Accepted b
Under Floor I Slab
Rough -In
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL.
Walls
Ceiling
FRAMING -
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall / Floor / Ceiling
MECHANICAL.
FINAL Date Accepted by
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
`
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY! USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R W PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
-- to
p
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BUILDING PERMIT APPLI
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant cloyl+rov. Chu P,�. .Fai�z ��,tu�c%cr"5
Property Owner
Property Owner's Address 22. 2
Contractor
Contractor's Address
License # Expires
I
00 -qi yc�3
1
q1-2 - 7-:14c)
A TION Print in ink
For City Use Only -
Date Received 9
{hermit # 10-100.
bbate Approved
ne � ,.,T 2q Zq
ne
Phone zbo !}5j 2 oCo�-
E-mail
PROJECT ADDRESS 7- , ctT14 45('
Parcel Number Lot Zoning
Project Type & Brief Description. ❑ Residential
Check all that apply
❑ New Construction - uu All <n5f2jZtaXt �r
❑ Additions���CA3T����
tcRemodel
❑ Repair
❑ Demolition
❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ ay over one layer
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑Other K%f� .P(trev,W,. 11 ^V-1
❑ Multi -family 1111commercial ❑ Industrial
e
Floor Areas
Basement
1 st Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (s4. ft.) Proposed (s4. ft.)
@ $ per sq. ft. = $
TOTAL VALUATION_ $ 5 1 000
Total footprint of structures sq ft. _ Lot size sq ft. = Lot coverage --7 %
Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site 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
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to w ' go projects.
Date S n Print Name JpE��u, o -sand Signature
T.Forms/ ilding Division/Building permit application
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i.
NOTES
Permit # 6
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SEE
315 S. LINCOLN ST.
NOT 223 E. 4TH ST. N
FOR THE CLALLAM s
COUNTY HISTORIC �
COURTHOUSE UPGRADE
PROJECT PERMIT #10-959
SUBMITTED 09-01-10
PREPARED 8/31/10 14 13 35 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/31/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY JAIL
CONTRACTOR PHONE
OWNER CLALLAM COUNTY PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 10 00000867 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 8/31/10vil
BLDG FRAMING
August 31 2010 2 12 38 PM 1pangrle
JON 460 8761
FRAMING
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
(.97
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
10 00000867 Date 8/23/10
099180
223 E 4TH ST
06 30 00 6 4 6700 0000
CLALLAM COUNTY JAIL
COMM REMODEL
PUBLIC BUILDINGS & PARKS
3000
Application desc
CONVERT A STORAGE ROOM INTO A SINGLE OFFICE
Owner
Contractor
CLALLAM COUNTY OWNER
223 E 4TH ST
PORT ANGELES WA 98362
(360) 417 2429
Structure Information 000 000 CONVERT STORAGE ROOM TO OFFICE
Construction Type UNKNOWN
Occupancy Type BUSINESS OFF/PRO/MED/REST
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Permit BUILDING PERMIT COMMERCIAL
Additional desc CONVERT STORAGE ROOM TO OFFICE
Permit pin number 171496
Permit Fee 109 75 Plan Check Fee
71 34
Issue Date 8/23/10 Valuation
3000
Expiration Date 2/19/11
Qty Unit Charge Per
Extension
J
BASE FEE
95 75
1 00 14 0000 THOU BL 2001 25K (14 PER K)
14 00
no'�
Special Notes and Comments
The Fire Department has reviewed the project application
and
/
has no comments
v
Other Fees STATE SURCHARGE
4 50
Fee summary Charged Paid Credited
Due
Permit Fee Total 109 75 109 75 00
00
Plan Check Total 71 34 71 34 00
00
Other Fee Total 4 50 4 50 00
00
Grand Total 185 59 185 59 00
00
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
-Q3-/0 /- O/t
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
FINAL Date Accepted b
Under Floor / Slab
Rough -In
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL.
Walls
Ceiling
FRAMING -
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Onl
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL.
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R.W PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
1 10— 0
T Forms/Building Division/Building Permit
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BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant !Av , t-, 1 A7� P
Property Owner p//R Ph
Property Owner's Address 77 3 E. L k y�A ,
Contractor C/A/1,4.,P, C'y"2 6, Phone
Contractor's Address 223 YYea
License # Expires E-mail
Print in ink
For City Use Only -
Date Received `[) -11—
it # 1a
Approved_J
LI 1-7 -Z3tlo
I'M -ZVZg
PROJECT ADDRESS 22,3 r- q�L� S-F4jr-< Part of +ke, Tai
Parcel Number No 36 r'?00 Lot Zoning
Proiect Type & Brief Description. ❑ Residential ❑ Multi -family
Check all that apply
❑ New Construction
Remodel �g1�9o�y
❑ Repair 5
❑ Demolition wo re
X Commercial ❑ Industrial
e ml ins ems . ('5 t!231e.-c
❑ Re -roof ❑ House ;d garage ❑ other V ❑ tear off & re -roof ❑ lay over one
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑Other m, .r
Floor Areas
Basement
1" Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sq. ft.) Proposed (sq. ft.)
@ $ per sq ft. = $
LabO Y-
TOTAL VALUATION
HE
Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel, including structures paved driveways sidewalks patios
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site 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. / am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date -3- I 20 t o Print Name IbA\1 I t> (A 37E' rt
Signature -Xy 16 �e
T.Forms/Building Division/Bldg Permit.doc
Id
Permit #-�L, �
1 For r s'Building Division/Notes
NOTES
A
C" OF PORT ANGELES — Co ?�ix�eiciBorr t�fines�
The Issuance of this permit basedgpori these plans, spe ;,,I.
cations and other data shall,aet {event the building official
fmgr thereafter regquarrg the
Pilo 's correction of errors in,xld specifir,,a;ip�s and other data, or from prdentin�
r p' building.-Oirations being carried ,CA thereVd`er When in
violation of ail codes and oroinanks elhis jurisdictio .
Approval Dat :� u a By . Li—,�•�
Ila
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Clallam County Assessor & Treasurer - Property Details - 62216 CLALLAM COUNTY f. Page 1 of 4
Clallam County Assessor & Treasurer
Property Search Results > 62216 CLALLAM COUNTY for Year 2010 2011
Property
Account
Property ID- 62216 Legal Description. TAYLOR'S JOHN H
SUBDIVISION LTS4-
15BL67<1-6&13-18BL68
Geographic ID- 0630006467000000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 89
Open Space N DFL N
Historic Property- N Remodel Property- N
Multi -Family Redevelopment: N
Township Section
Range
Location
Address. 223 E FOURTH ST Mapsco
PORT ANGELES WA 98362
Neighborhood: Exempt & Ref Region 5 Map ID -
Neighborhood CD- 50985200
Owner
Name CLALLAM COUNTY Owner ID -
Mailing Address. 223 E 4TH ST % Ownership
PORT ANGELES WA 98362
Exemptions.
Taxes and Assessment Due
6
Property Tax Information as of 08/17/2010
Amount Due if Paid on ®.
Year ! Statement IDITaxing Jurisdiction
2010_ 44867
ST SCH STATE SCHOOL
2010 44867
CC -GEN COUNTY
2010 44867
PORT PORT_
12010-44867
_
PORT ANG PORT ANGELES _
2010 44867
SD #121 SCHOOL DISTRICT #121
2010 44867
NTH O_LY LIB NORTH OLYMPIC LIBRARY
2010 44867
HOSP #2 HOSPITAL #2
2010 44867 -
WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 44867
CITY STORMWATER CITY STORMWATER
2010 44867 _
-_ �,.._
WEED CONTROL WEED CONTROL _
----- --
2010 44867 TOTAL.
12009 622162008
ST SCH STATE SCHOOL
T00-9622-16200-8,--Cc-,—GEN
COUNTY w �
[2009 622162008
_ PORT PORT _
2009 622162008
PORT ANG PORT ANGELES
22009 622162008
SD #121 SCHOOL_ DISTRICT #121
F2009 622162008
I
_ NTH OLY LIB NORTH OLYMPIC LIBRARY
y�
2
18273 _.
100 0000000000%
EX
First Half
i Second Half (T
Base Due
I Base Due{
Penalty
Interest
I Base
$000
$000
$000
$000
1
$000
$000
$000
$000
1
$000
$000
$000---
$0
90--
1
$000
$000
$000
$0_00
1
$000
_ $000
_
$000
$000
9
$000
$000
$000
$000
9
$000
$000
$000
$000
_
9
$000
_ $000
$000
$000
_ 9
$9000
$9000
$000
$000
$1f
$082
$081
$0_00
$000
9
$90.82
$90.81
$0.00
$0.00
_
$1E
$000
T $000
$0_00
$000
9
- v
$000
$000
$000
_ $000
1
$000
$000
$000
$000
1
$000
$000
$000
$000
1
$000
$000
$000
1
__$000
$000
$000
$000
$000
1
http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_td=62 8/17/2010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
RUP # 10 20 TREE REMOVAL
Owner
CLALLAM COUNTY
PORT ANGELES WA 98362
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000739
648533
223 E 4TH ST
06 30 00 6 4 6700 0000
PUBLIC WORKS UTILITES
PUBLIC BUILDINGS & PARKS
0
Contractor
OWNER
Permit RIGHT OF WAY
Additional desc RUP #10 20 TREE REMOVAL
Permit pin number 169557
Permit Fee 75 00 Plan Check Fee
Issue Date 7/15/10 Valuation
Expiration Date 1/11/11
Qty Unit Charge Per
1 00 75 0000 ECH RIGHT OF WAY PERMIT
Date 7/15/10
00
0
Extension
75 00
Special Notes and Comments
Sidewalk closure to be signed appropriately Work zones to
be delineated with cones
Fee summary Charged Paid Credited Due
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Grand Total 75 00 75 00 00 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 he
granting of a permit does not
presume to give authority to violate or cancel the provisions of an local law regulating nstruction or the perform nce of
construction.
:2
�s-r i�
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies\1102.15 (10/081
(P
P
w
R1
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W /PW/
ENGINEERING 417-4831
CONSTRUCTION R.W
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT
PLANNING DEPT 417-4750
PLANNING DEPT
BUILDING 417-4815
BUILDING
T \Policies\1102 15 [10/08]
L
CITY OF PORT ANGELES
223 E 4TH ST
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
PORT ANGELES
321 EAST 5TH STREET PORT ANGELES WA 98362
(360) 417 2429
C>
Application Number
09 00000479 Date 6/04/09
PERMI
Application pin number
783345
Property Address
223 E 4TH ST
ASSESSOR PARCEL NUMBER
06 30 00 6 4 6700 0000
Plan Check Fee
Tenant nbr name
CLALLAM CNTY COURTHOUSE
Valuation
Application type description
PLUMBING REPAIR
Subdivision Name
Per
Property Use
BASE
.�
Property Zoning
PUBLIC BUILDINGS & PARKS +
1 00 50 0000
Application valuation
11000
Application desc
PLUMBING & MECHANICAL CHANGES FOR THE NEW ,BOILER
Owner
ctor
CLALLAM COUNTY COURTHOUSE
223 E 4TH ST
PORT ANGELES
WA 98362
(360) 417 2429
Permit.
MECHANICAL
PERMI
Additional desc
Permit pin number
146589
Permit Fee
110 65
Plan Check Fee
Issue Date
6/04/09
Valuation
Expiration Date
12/01/09
Qty Unit Charge
Per
BASE
FEE
1 00 10 6500
EA ME VENT SYSTEM (NON HVAC)
1 00 50 0000
HR ME ADDITIONAL PLAN REVIEW
ALDERGROVE CONSTRUCTION INC
336 BENSON RD
PORT ANGELES WA 98363
(360) 457 2067
Permit PLUMBING PERMIT
Additional desc
Permit pin number 146571
Permit Fee 157 00 Plan Check Fee
Issue Date 6/04/09 Valuation
Expiration Date 12/01/09
Qty Unit Charge Per
BASE FEE
3 00 7 0000 EA PL -PLUMBING TRAP
1 00 7 0000 EA PL -WATER LINE
1 00 7 0000 EA PL -BACKFLOW PROTECTION <OR=2
1 00 15 0000 EA PL -SEWER LINE
1 00 50 0000 HR PL-ADDITIONAL.PLAN REVIEW
1 00 7 0000 EA PL -WATER HEATER
I
Fee summary Charged Paid Credited
Permit;Fee Total 267 65 267 65 00
Plan Check Total 00 00 00
Grand Total 267 65 267 65 00
00
0
Extension
50 00
10 65 v
50 00
00
0
'Extension
50 00
21 00
7 00
7 00
15 00 �7J�
50 00 11
7 00
Due
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 has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that 1 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 perm.t 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.
Date Print Name Signature of Contractor or Author zed Agent Signature t_)wner (if � ,Amer is builder)
T:Forms.Bu; mg Division/Dailding Permit
0
F)
N
PREPARED 3/24/10 16 29 19 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY COURTHOUSE
CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 09 00000582 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FSE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 3/23/10 JLL BLDG FINAL
3/23/10 DA March 23 2010 8 10 44 AM 1pangrle
CARRIE 452 5381
BLDG FINAL RE ROOFED COURTHOUSE
March 23 2010 4 26 57 PM jlierly
schedule for next day to accomodate maintanance crew
BL99 02 3/24/10 ,ALL BLDG FINAL
March 24 2010 4 28 13 PM 1pangrle
BLDG FINAL RE ROOF
COMMENTS AND NOTES
PREPARED 3/23/10 8 14 19 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY COURTHOUSE
CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 09 00000582 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 3/23/10 .. L� BLDG FINAL
March 23 2010 8 10 44 AM 1pangrle
CARRIE 452 5381
BLDG FINAL RE ROOFED COURTHOUSE
COMMENTS AND NOTES
PAGE 1
DATE 3/23/10
00 A'\Y S�d t -A— 0 �_j
vAock G4-;
�rl����-
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
09 00000582 Date 7/01/09
518192
223 E 4TH ST
06 30 00 6 4 6700 0000
CLALLAM COUNTY COURTHOUSE
RE ROOF
PUBLIC BUILDINGS & PARKS
357000
Application desc
REMOVE & REPLACE EXISTING NEW COURTHOUSE ROOF
Owner Contractor
CLALLAM COUNTY COURTHOUSE
HOCH CONSTRUCTION INC
223 E 4TH ST
4201TUMWATER TRUCK RT
PORT ANGELES
WA 98362
PORT ANGELES WA
98363
(360) 417 2429
(360) 452 5381
Structure Information
000 000 REMOVE
& REPLACE NEW COURTHOUSE
ROOF
Permit
BUILDING PERMIT
NO PR FEE
Additional desc
RE ROOF NEW COURTHOUSE
Permit pin number
148403
Permit Fee
2459 45
Plan Check Fee
50 00
Issue Date
7/01/09
Valuation
357000
Expiration Date
12/28/09
Qty Unit Charge Per
Extension
BASE FEE
1020 25
257 00 5
6000 THOU BL 100 001
500K (5 60 PER K)
1439 20
Other Fees
STATE SURCHARGE
4 50
Fee summary
Charged Paid
Credited Due
Permit Fee Total
2459 45 2459
45 00
00
Plan Check Total
50 00 50
00 00
00
Other Fee Total
4 50 4
50 00
00
Grand Total
2513 95 2513
95 00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Date Print Name S i6ature 4 Contracto or A orized Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
-- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs)
PLUMBING
FINAL Date Accepted by
Under Floor / Slab
Rough -in
Water Line Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall / Floor/ Ceiling
MECHANICAL.
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parking / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R W PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T.Forms/Building Division/Building Permit
LT(
oQ
(b
I
(6/15/2009) Linda Pangrle Permit #09-582 for removing and replacing the roof on the existing new courthouse Page 1
From Linda Pangrle
To jwinborn@co.clallam wa us
Date: 6/15/2009 1146 AM
Subject: Permit #09-582 for removing and replacing the roof on the existing new courthouse
Hi Joel,
The total fee due for permit #09-582 (for removing and replacing the roof on the existing new courthouse) is $2,513.95
You can pay it when you pick up your permit.
After you decide who will be the contractor please let me know so I can enter the information in the computer We need
the contractor information before we can issue your permit.
Jim Lierly is reviewing the plans.
I'll call you when your permit is ready
Thanks,
Linda Pangrle
Permit Technician
City of Port Angeles
321 E. 5th St.
Port Angeles, WA 98362
360-417-4815
360-417-4711 FAX
Ipangrle@cityofpa.us
Y, r>
- PPirGoun 0M �ll�o� Per Blruce Giddens
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant c 1,d
Property Owner G �p
Property Owner's Address Z z
4 -Contractor H
Contractor's Address
License # "(10140 1 1 [,A t
A
APPLI CA TION Print in ink
1 For City Use Only-
Date
nlyDate Received !o— I I -
1 Permit #
Date Approved
Phdne' 'S,0. At j ."Z42.491
Phone t r
(;o 1115{ -ter "v f4X Phone
fie
TrifC4- �+ , PA , VJA, 9 8363
res
E-mail
PROJECT ADDRESS 22 " 6a -rates Ori
Parcel Number a,0 3y oo (o_jov 600o Lot Zoning
Project Type & Brief Description. ❑ Residential ❑ Multi -family ❑ Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑ Addition c ¢ o
❑ Remodel
❑ Repair
❑ Demolition
XRe-roof ❑ House ❑ garage Xother C[su fix. tear off & re -roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wo d -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existing Ism ft.) Proposed (sq. ft.)
Basement @ $
1st Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other Z $,vex, 5-1F tyu c
per sq. ft. = $
TOTAL VALUATION $ *'B
Total footprint of structures 2 $,� SF sq ft. - Lot size sq. ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site 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 authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date (v O Print Name `jv_`� �p� Signature
T:Forms/Building Division/Bldg Permit.doc
PREPARED 1/27/10 8 44 37 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/27/10
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY COURTHOUSE
CONTRACTOR C M U CONSTRUCTION PHONE (360) 452 1771
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 09 00000649 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMBRCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFO O1 7/14/09 JLL BLDG FOUNDATION TIME 02 00
7/14/09 AP July 14 2009 8 58 32 AM 1pangrle
CHUCK 460 0114
FOUNDATION STRUCTURAL STEEL PLACEMENT
PLEASE INSPECT AT 2 00 2 30 PM
July 14 2009 4 37 30 PM lierly
steel foundation for roller cabne-s in file storage in
probation area /jll
BL99 01 1/27/10 JLL /'� BLDG FINAL TIME O1 00
January 26 2010 11 26 53 AM 1pangrle
JOEL 417 2429
BLDG FINAL OLD COURTHOUSE STEEL SUBFLOOR
AFTERNOON
PLEASE CALL JOEL 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PREPARED 1/27/10 8 44 37
INSPECTION TICKET
PAGE 2
CITY OF
PORT ANGELES
NSPECTOR JAMES LIERLY
DATE 1/27/10
ADDRESS
223 E 4TH ST
SUBDIV
TENANT
NBR CLALLAM CNTY COURTHOUSE
CONTRACTOR ALDERGROVE CONSTRUCTION
INC PHONE (360) 457
2067
OWNER
CLALLAM COUNTY 'COURTHOUSE
PHONE (360) 417
2429
PARCEL
06 30 00 6 4 6700
0000
APPL NUMBER 09 00000479 PLUMBING
REPAIR
PERMIT
ME 00 MECHANICAL PERMIT
REQUESTED INSP
DESCRIPTION
TYP/SQ
COMPLETED RESULT
RESULTS/COMMENTS
ME99 0
1/27/10 JLL
MECHANICAL FINAL TIME O1 00
January 26 2010 2 54 PM 1pangrle
V
DAVE TATE 417 2340 OR CELL 670 9423
CE
MECHANICAL FINAL BOILER PROJECT
AFTERNOON
PLEASE CALL DAVE TATE SO YOU CAN GAIN
ACCESS TO THE BOILER
AREA
PERMIT
PL 00 PLUMBING PERMIT
REQUESTED INSP
DESCRIPTION
TYP/SQ
COMPLETED RESULT
RESULTS/COMMENTS
PL1 01
9/03/09 PB
PLUMBING UNDER SLAB TIME 09 00
9/04/09 AP
September 2 009 1 25 30 PM 1pangrle
BILL 457 2067 OR 477 0057
UNDERSL:AB PLJMBING DOWNSTAIRS AT THE
COURTHOUSE
HE REQUESTED A MORNING INSPECTION
September 4 2009 8 31 14 AM pbarthol
PL2 01
10/13/09 JLL
PLUMBING ROUGH IN
10/13/09 AP
October 3 2 09 8 21 02 AM 1pangrle
HANS 206 5 0 9662
ROUGH IN PLUMBING (IN THE BASEMENT BOILER
ROOM)
October 13 2009 4 46 09 PM jlierly
PL99 01
1/27/10 J L
PLUMBING FINAL TIME 01 00
January 26 20 0 2 58 28 PM 1pangrle
T—
DAVE TATE 4 1 2340 OR CELL 670 9423
PLUMBING F -NAL BOILER PROJECT
AFTERNOON
PLEASE CALL DAVE TATE SO YOU CAN GAIN
ACCESS TO THE BOILER
AREA
COMMENTS AND NOTES
(1/26/2010) Linda Pangrle 223'E. 4th St. (Ciallam'County Boiler Replacement Phase 11 Permit #09-479) Page 1 .
From Linda Pangrle
To Ken Dubuc
Date: 1/26/2010 2 43 PM
Subject: 223 E. 4th St. (Clallam County Boiler Replacement Phase 11 Permit #09-479)
Attachments: 223 E. 4th St. pdf
Hi Ken,
Please see the 3 -page attachment below I thought you might want it for your records.
A 3,000 gallon underground diesel tank was removed from the Clallam County Courthouse site. They didn't get a permit
from us, but I thought you'd want to know about it anyway
Linda
JAN -26-2010 TUE 02 50 PM ALDERGROVE
FAX NO. 360 457 6765 P 01
336 Benson Road
Port Angeles,. WA .98363
Bus: (360) 4574067 Fax: (360) 457=6765
License No. ALDERCI042CS
FAX COVER SIJFFT
bate:---hnu� 26, 2010
To: _ CI of fort An eles ,
.Attn: _, Linda Pale
Pax Number. (360) 417-4711
Iarom. Rev
Number of Pages Including Cover Page- 3
RE Clallam County Boiler Replacement —Phase 11 Permit #09-479
Linda, please let me know if you're in need of anything tunher
Thanks again,
Bev
JAN -26-2010 TUE 02 50 PM ALDERGROVE
A 2006
OL.YMPXC VIEW TRANSFER rATION
BILL OF LADING/WEIGH TICKET
Generator Name & Address:
� U
, I V
Billing PO. /// #.
Contact parson:��
Telephone #'��
Acknowledgement oLo Loading
Name (piease pnnt)
cl�
51[If7.-ftl m�
Deliver To
Olympic View Transfer Station
9300 SW Barney Wl-lite Road
Port Orchard, WA 98367
Telf/• (360) 674-2297
Monday -Friday 8.00ar -5 nn —
Transporter Name,
74///-6)
Truck #f•-� ___
.Container#
giver's name (please Prim)
Wiv ., 's S �'
FAX NO. 360 457 6765 P 02
OLY 1PIC VI -E -W
TRANSFER. STATION
AA
M �^
(�
1.J'J c � Dale.
7b:
o�'Z
LF��ny
Disposal Facility-
Columbia
acilityColumbia Ridge Landfill & Recycling Facility
181.77 Cedar Springs Lane
Arlington, Oregon 97812
Tel# (541,)459-2030
Waste Profileaf�
Waste Type 0-
Fx iration Date— r GJ
,� ate,.,_......._
JAN -26-2010 TUE 02 51 PM ALDERGROVE
DLH CNVIRONMENTAL CONSULTING
2400 NW 80'" STREET PMB #114
SEATTLE, WASHINGON 9819.7
September 15 2009
Tom Carroll
PESCO
P O Box 2049
Port Townsend, Washington 98368
RE: UST Removal Activities
Clallam County Court House
223 E. 4" Street.
Port Angeles, Washington 98362
Mr Carroll,
FAX NO. 360 457 6765 P 03
Attached are the labbratory data sheets for the removal of one underground diesel lank from the
Clallam County Court House located in Port Angeles, Washington,
One emergency backup generator diesel tank was removed from the property DI.H was not present
during tank removal activities After the tank and a total of 7.82 tons of impacted soil was removed
from the site Donna Hewitt of DLH Environmental Consulting (DLH) was retained to collect
confirmational soil samples to confirm that all impacted soil was removed from the tank excavation
area.
A total of 7 soil samples were collected. However due to the scope of the project only three of the
samples were analyzed for NWTPH-Dx for diesel and heavy oil. No hydrocarbon (diesel) .was found
in the confirmational samples.
The samples that were analyzed were collected from the bottom of the excavation and -the north and
south side of the excavation. The additional samples were collected and archived in the event that
contamination was found in the other three samples.
The impacted soil (7,82 tons) was taken to the Olympic View Transfer Station in Dort Orchard for
Waste Management Waste Profile # 102749WA and final d
Landfill & Recycling Facility in Arlington, Oregon. isposal was at the Columbia Ridge
The 3000 gallon tank was -pumped rinsed and disposed of by Marvac of Seattle Washington
This letter report summarizes the decommissioning of the tank only It is not intended to be an
assessment of the entire property
If you have any questions ploase call me at (206) 632 3123
Sincerely,
DI.H Environmental Cons R' g
fJon a I-tewi`�.G.
ICC Certified W shington State UST Site Assessor (111044716-U7)
and ICC Cer( Pied UST Decommissioning supervisor (411044716-U2)
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
6 circuits replace roof fans
0
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
09 00001119 Date 10/28/09
006765 e;a
223 E 4TH ST
06 30 00 6 4 6700 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Owner Contractor
CLALLAM COUNTY ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 9264
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 155754
Permit Fee 67 50 Plan Check Fee 00
Issue Date 10/28/09 Valuation 0
Expiration Date 4/26/10
Qty Unit Charge Per Extension
1 00 57 5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 57 50
5 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 10 00
Fee summary Charged Paid Credited Due
Permit Fee Total 67 50 67 50 00 00
Plan Check Total 00 00 00 00
Grand Total 67 50 67 50 00 00
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
a
FINAL
7-17-41
COMMENTS
Signature of owner or Electrical Contractor X Date
~ 01,°0Rr4., ELECTRICAL INSPECTION
WIRING REPORT
°ORIKS &�"F 417-4735
DATE PERMIT k INSPECTOR
/I X310; I05-1�1�
OWNER/CONTRACTOR
C
ADDRESS
APPROVED NOT APPROVED
❑ DITCH ❑
❑ ROUGH IN/COVER
❑. SERVICE ❑
❑ FINAL ❑
CORRECTIONS NEEDED: U ,,I U S 6 D.1 I dJ S
1 r.�
I e.1 Q.��w�� 12K�w� ��TRtc AL �G l 10 1 Z F
'P
r
it
GvNa.! �. �� Iti�i C ME It-, S
IZ*-Q l) I v v)xE C 1-1 -56 7 �.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
10/27/2009 12 53 FAX 360 452 9265 Angeles Electric 100001/0001
RECEIVED
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4174735 F•(360)417.4711
Date:�OVf O
1 & 2 Single Family Dwelling
_ MWIWamily or Commercial*
mmercial Addition ! Alteration / Remodel / Repair*
* Plan Review May Be RE
Job Address: _ 2.
Building Square Footage:
Descripticn of above
Owner In ti
Name:
Mailing A r s:�
City- State: 'p.
Phone: Fax:
License # / Exp.
OCT 2 8 2009
ELECTRICAL
INSPECTIONS
Electrical Plan Review Information Sheet
Contractor =�m
Name:
Mailing Address:
City State:
Phone: Fax: _
License # 1 Exp.
Unit Charge QtV
Total (Qty
Multiplied by Unit Charge)
$ 93.75
$
Service/Feeder 200 Amp.
$113.75
$
Service/Feeder 201.400 Amp.
$160.00
$
Service/Feeder 401-600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$291.25
$
Service/Feeder over 1000 Amp.
$ 2.00
$
Branch Circuit W/ Service Feeder
$ 57.50 �—
$ Branch Circuit W/0 Service Feeder
$ 2.00
$
Each Additional Branch Circuit
$ 72.50
$
Temp. Service! Feeder 200 Amp.
$ 86.25
$
Temp. Service/Feeder 201-400 Amp.
$116.25
$
Temp. Service/Feeder401-600 Amp.
$131.25
$
Temp. Service/Feeder 601-1000 Amp.
$ 75.00
$
Portal to Portal Hourly
$ 69.00
$
Sign/Outline Lighting
$ 75.00
$
Signal Circuit/ Limited Energy Commercial
$ 50.00
$
Signal Circuit/ Limited Energy 1 & 2 Family Dwelling
$ 50.00
$
Signal Circuit/ Limited Energy Multi -Family Dwelling
$ 93.75
$
Manufactured Home Connection
$ 80.00
$
Renewable Electrical Energy 5KVA System or Less
$ 86.25
$
First 1300 Square Ft.
$ 27.50
$
Each Additional 500 Square FL or Portion of
$ 57.50
$
Each Outbuilding or Detached Garage
$ 86.25
$
Each Swimming Pool or Hot Tub
$ 43.75
$ Thermostat
$
notal
Zip:
Owner as defined by RCW.18.2&261: (f) Owner will occupy the sbucture for two years after this elecMcal permit is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, vent or lease.
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 194 WAC. Chapter 29646B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
40
Date:
❑ Cash
❑ Check
Credit Card # 60 ��L�
PREPARED 10/13/09 8 30 47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/13/09
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM CNTY COURTHOUSE
CONTRACTOR ALDERGROVE CONSTRUCTION INC PHONE (360) 457 2067
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 09 00000479 PLUMBING REPAIR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL1 01 9/03/09 PB PLUMBING UNDER SLAB TIME 09 00
9/04/09 AP September 2 2009 1 25 30 PM 1pangrle
BILL 457 2067 OR 477 0057
UNDERSLAB PLUMBING DOWNSTAIRS AT THE COURTHOUSE
HE REQUESTED A MORNING INSPECTION
September 4 2009 8 31 14 AM pbarthol
PL2 01 10/13/09 PLUMBING ROUGH IN
October 13 2009 8 21 02 AM 1pangrle
HANS 206 510 9662
ROUGH IN PLUMBING (IN THE BASEMENT BOILER ROOM)
COMMENTS AND NOTES
PREPARED 9/03/09 8 18 40 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/03/09
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM CNTY COURTHOUSE
CONTRACTOR ALDERGROVE CONSTRUCTION INC PHONE (360) 457 2067
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 09 00000479 PLUMBING REPAIR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL1 01 9/0 /09 JLL PLUMBING UNDER SLAB TIME 09 00
s September 2 2009 1 25 30 PM 1pangrle
BILL 457 2067 OR 477 0057
UNDERSLAB PLUMBING DOWNSTAIRS AT THE COURTHOUSE
HE REQUESTED A MORNING INSPECTION
COMMENTS AND NOTES
July 23 2009
s
Angeles Electric
Ken Simpson
524 E 1 st St
;T Port Angeles WA. 98362
:a>
Subject: After hours work for Clallam County boiler upgrade
•i.
Dear Mr Simpson
The non-firm estimated cost of labor and materials supplied by the City for three
employees and truck #153 for 4 hours on a Saturday and 4 pad -mount transformer
secondary paddles is $1,472.00
The City will be responsible for the following
:s
1) Providing personnel as requested
2) Providing equipment as needed for City work only
3) Providing transformer hardware as needed
4) Make all connections in the transformer
5) Billing for all expenses incurred by the City regardless of estimate
The owner(s)/contractor will be responsible for the following
1) All dirt work, if any
2) Provide all customer -owned hardware including connectors
3) All required permits if any
4) Reimbursement to the City for all costs incurred
The actual closing cost or the Light Utility Service Fees listed in PAMC 3 70 105
whichever is greater will be billed upon the completion of the work requested
If you have any questions or concerns feel free to contact me at the phone number or
e-mail listed directly below my name
Sincerely
Bob Larson
Electrical Engineering Specialist II
rlarson cDcityofpa.us
360 417 4706
Cc: File
Trent Peppard, Electrical Inspector
N ,P�P]Kz, Ll ,ri ENC=P;BC)3tE!ectr ca!'.EsttrrtatBS r _)unty F :t[Ar_7 2-09 d�c
Phone. 360-417-4800 /Fax 360-417-4542
Website wwwcityofpa.us/ Email publicworks@cityofpa.us
321 East Fifth Street P 0 Box 1150 / Port Angeles WA 98362-0217
PREPARED 7/14/09 9 02 47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/14/09
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY COURTHOUSE
CONTRACTOR C M U CONSTRUCTION PHONE (360) 452 1771
OWNER CLALLAM COUNTY'COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 09 00000649 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCTAT•
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFO 01 7/14/09 L BLDG FOUNDATION TIME 02 00
L/ July 14 2009 8 58 32 AM 1pangrle
-""t- CHUCK 460 0114
FOUNDATION STRUCTURAL STEEL PLACEMENT
PLEASE INSPECT AT 2 00 2 30 PM
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
09 00000649 Date 7/07/09
724978
223 E 4TH ST
06 30 00 6 4 6700 0000
CLALLAM COUNTY COURTHOUSE
COMM REMODEL
PUBLIC BUILDINGS & PARKS
12243
Application desc
STEEL SUBFLOOR FOR ROLLING FILES IN VAULT
Owner Contractor
CLALLAM COUNTY COURTHOUSE C M U CONSTRUCTION
223 E 4TH ST 1695 BAGLEY CREEK RD S
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417 2429 (360) 452 1771
Structure Information 000 000 STEEL SUBFLOOR FOR ROLLING FILES
Construction Type UNKNOWN
Occupancy Type BUSINESS OFF/PRO/MED/REST
Permit BUILDING PERMIT COMMERCIAL
Additional desc STEEL SUBFLOOR IN VAULT
Permit pin number 149468
Permit Fee 249 75 Plan Check Fee 162 34
Issue Date 7/07/09 Valuation 12243
Expiration Date 1/03/10
Qty Unit Charge Per Extension
BASE FEE 95 75
11 00 14 0000 THOU BL 2001 25K (14 PER K) 154 00
Other Fees STATE SURCHARGE 4 50
n
Fee summary Charged Paid Credited Due
Permit Fee Total 249 75 249 75 00 00 Vl`
Plan Check Total 162 34 162 34 00 00 /
Other Fee Total 4 50 4 50 00 00
Grand Total 416 59 416 59 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the perfoprnance of constructiop.
Date Print Name
T:FormsBuilding Division/Building Permit
r
Signature of Contractor or Auth
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION 7-14-0q L S+nawod
Gfeet P"Lcoay1f
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING
FINAL Date Accepted b
Under Floor / Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow/ Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall / Floor / Ceiling
MECHANICAL.
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R.W PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T.Forms/Building Division/Building Permit
N
Vv
R)
11
Q
kA C
E
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant -lIDA !rn , k&� np
Property Owner G�,y� CCNJIS ,,,
Property Owner's Address
Contractor G rev GouS�Zvcttor�l
Contractor's Address
License # r, fn v r, r *o zz m r� Expires
For City Use Only -
Date Received >-bi—Oen
Permit #
Date Approved XC
Phone 6.& . 4,Vt 14 L!
Phone ..
3(.0 ASL . L >r:�l
PROJECT ADDRESS i2 vu c,- . CLr>
Parcel Number Lot Zoning
Proiect Tvpe & Brief Description. ❑ Residential
Check all that apply
❑ New Construction
!11C4ddition Lo►Ah�J�ttor,, o�- �tEet.
❑ Remodel
❑ Repair
❑ Demolition
❑ Re -roof ❑ House ❑ garage ❑ other
❑ Multi -family commercial ❑ Industrial
❑ tear off & re -roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas
Basement
1 St Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
5
Existing (sp. ft) Proposed (sp. ft)
82 `7F
per sq. ft. = $
TOTAL VALUATION $ #? 12-12A3 -d:z,
Total footprint of structures sq ft. T Lot size sq. ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage %
Max. height of proposed structures Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installe Construction type # of half baths
I have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to wort ' g on projects.
Date 25 Print Name 3 011151 (,? . tAL4OoZ-a Signature
TIorms/Building Division/Bldg Permit.doc
I -
Lu
W
H
Z
i
0
V
Z
CLALLAM COUNTY COURTHOUSE IN
AREA OF
NIMIAI
OLD COURTHOUSE SECOND FLOOR
NORTH
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 09 00000654 Date 7/02/09
Application pin number 043468
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Application desc
New electric boiler service and circuits
R
11
Owner Contractor
CLALLAM COUNTY OLYMPIC ELECTRIC
4230 TUMWATER ^ `
PORT ANGELES WA 98362 PORT ANGELES WA 98363 1 v
(360) 457 5303 TSze�$
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 149526
Permit Fee 168 00 Plan Check Fee 00
Issue Date 7/02/09 Valuation 0
Expiration Date 12/29/09
Qty Unit Charge Per Extension
4 00 2 0000 ECH EL BRANCH CIRCUIT W/FEEDER 8 00
1 00 160 0000 ECH EL 401 600 SRV FEEDER 160 00
Fee summary Charged Paid Credited Due
Permit Fee Total 168 00 168 00 00 00
Plan Check Total 00 00 00 00
Grand Total 168 00 168 00 00 00
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
Azi q /0 dy
+V
FINAL
12,11q
COMMENTS
Signature of owner or Electrical Contractor X Date
06/30/2009 13 57 FAX 360 452 3498 Olympic Electric Co + PA CITY INSPECT 16001/001
City of Port Angeles Permit Application
Bullding Olvl6ion/Electrical Inspections
321 East Flph Street - P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 617-4735 Fax: (360) 4174711
Date: 30 June 2009
1 & 2 Single Family Dwelling
Multi -Family or Commercial'
x Commercial Addition I Alteratlon / Remodel / Repair'
RECEIVED
JUL 12009
ELECTRICAL
INSPECTIONS
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 223 East 4th St Port Angeles wa
Building Square Footage;
Description of above Clallam County corthouse old bldg
We are replacing old fuel 0 11 Doiler with new electric
\���� rortrgNr�
Owner Information
Contractor Information
Name: Clallam Co
Name: Olympic Electric
Mailing Address: 223 East 4th4230
Mailing Address: Tutnwater Tr
City' port angeles State: wa
Zip: 98363
City Port Angeles State: WA Zip: 98363
Phone: 417-2291 Fax;
Phone: 457 5303 Fax: 452 3499
Ucense # I Exp.
License # / Exp. OLYMPEC2 9 5D1
1Ln1t CharQa (�,yt
Total (CQty
Multiplied by Unit Charges)
$ 93.75
$
Service/Feeder 200 Amp,
$113,75
$
ServicelFeeder 201-400 Amp.
$160,00 T
$
Service/Feeder 401.600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp,
$291.25_T
$
Service/Feeder over 1000 Amp.
$ 2.00
$ e
00 Branch Circuit W/ Service Feeder
$ 57.50
$
Branch Circuit W/0 Service Feeder
$ 2.00
$
Each AddlOonal Branch Circuit
$ 72.50
$
Temp. Service/ Feeder 200 Amp,
$ 86.25
$
Temp, Servlce/Feeder 201.400 Amp,
$116.25
$
Temp. Service/Feeder 401-600 Amp.
$131.25
$
Temp, Service/Feeder 601.1000 Amp,
$ 75.00
$
Portal to Portal Hourly
$ 69.00
$
Sign/Oultine Lighting
$ 75.00
$
Signal Circuttl Llmlted Energy Commercial
$ 50.00
$
Signal Circuit/ Limited Energy 1 & 2 Family Dwelling
S 50:00
$
Signal Circuit/Limited Energy Multi-Famlly Dwelling
$.93,75
$
Manufactured Home Connection
$ 80.00
$
Renewable Electrical Energy 5KVA System or Lose
$ 86.25
$
First 1300 Square Ft.
$ 27.50
$
Each Additional 500 Square Ft, or Portion of
$ 57.50
$
Each Outbuilding or Detached Garage
$ 85.25
$
Each Swimming Pool or Hot Tub
$ 43,75
$
Thermostat
$ 16 8
00 Total
Owners defined by RCW, 7926.267. (1) Owner wr71 occupy rhe swcture for beo years after this electrical permit is Anaresd. (1) Owner is required to hire an
electrical contractor //above sale propeay /s /or sale, rent or lease.
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 Iowa, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Slgnature at owner electrical contractor or electrical administrator ❑ Cash
❑ Check
X Date_ 3,0 Jurne 09 91 Credit Card S
ter• CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000479 Date 6/04/09
Application pin number 783345
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Tenant nbr name CLALLAM CNTY COURTHOUSE
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 11000
Application desc
PLUMBING & MECHANICAL CHANGES FOR THE NEW BOILER
Owner
Contractor
CLALLAM COUNTY COURTHOUSE
ALDERGROVE CONSTRUCTION INC
223 E 4TH ST
336 BENSON RD
PORT ANGELES
WA 98362 PORT ANGELES
WA 98363
(360) 417 2429
(360) 457 2067
Permit
MECHANICAL PERMIT
Additional desc
Permit pin number
146589
Permit Fee
110 65 Plan Check Fee
00
Issue Date
6/04/09 Valuation
0
Expiration Date
12/01/09
Qty Unit Charge
Per
Extension
BASE FEE
50
00
1 00 10 6500
EA ME VENT SYSTEM (NON HVAC)
10
65
1 00 50 0000
HR ME ADDITIONAL PLAN REVIEW
50
00
Permit
PLUMBING PERMIT
Additional desc
Permit pin number
146571
Permit Fee
157 00 Plan Check Fee
00
Issue Date
6/04/09 Valuation
0
Expiration Date
12/01/09
Qty Unit Charge
Per
Extension
BASE FEE
50
00
3 00 7 0000
EA PL -PLUMBING TRAP
21
00
1 00 7 0000
EA PL -WATER LINE
7
00
1 00 7 0000
EA PL -BACKFLOW PROTECTION <OR=2
7
00
1 00 15 0000
EA PL -SEWER LINE
15
00
1 00 50 0000
HR PL -ADDITIONAL PLAN REVIEW
50
00
1 00 7 0000
EA PL -WATER HEATER
7
00
Fee summary Charged Paid Credited
Due
Permit Fee Total
267 65 267 65 00
00
Plan Check Total
00 00 00
00
Grand Total
267 65 267 65 00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced. or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the perfQtmance of constructionk
Date Print Name
T:Forms/Building Division/Building Permit
�� u
of Contractor or
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
FINAL Date Accepted by
Under Floor / Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall interior Braced Panel ONYL
T -Bar
INSULATION
Slab
Wall / Floor/ Ceiling
MECHANICAL.
j ��� +0 �u,
FINAL Date IJ Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction R.W PW / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
P
j
®,
V"
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
600 amp 480 service for boiler
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
09 00000521 Date 6/01/09
374834
223 E 4TH ST
06 30 00 6 4 6700 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Owner
Contractor
RESULTS
CLALLAM COUNTY
DITCH
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
-
(360) 452 9264
�+, ✓
15� L Z%SI
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc
COMMENTS
Permit pin number
147181
Permit Fee
160 00
Plan Check Fee
00
Issue Date
6/01/09
Valuation
0
Expiration Date
11/28/09
Qty Unit Charge Per
Extension
1 00 160
0000 ECH EL
401 600 SRV FEEDER
160 00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
160 00
160 00 00
00
Plan Check Total
00
00 00
00
Grand Total
160 00
160 00 00
00
r 4b'
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
8 ZDto
ROUGH IN
-
FINAL
COMMENTS
Signature of owner or Electrical Contractor X
Date
R11
MEN
NI
05/29/2009 09 00 FAX 360 452 9265 Angeles Electric Q0001/0001
RECEIVE®
City.of Port Angeles Permit Application
BrifldlrrgDtviliorrlElecirlCal Inspections
321 F.ast-F�th`$troet-P.O. Box y1S0
Por►�Ingelee.WaehMgtar; 99362
Ph:190) 4111-47110ax: (388) 4174711
Date:
_ 1 &2 Single Family Dwelling
M ' amity or Commercial'
�Ptommercial,Addition 1 Alteration / Remodel I Repair'
Plan Review May BeRe
Job Address:
Building. Square Footage:
DescriDtion of above
MAY 2 g 2009
LIGHT DEPT
Plan Review Information Sheet
Owner Information
Contractor Inflo Mon
Name: %'TAIL
A)VA/9Wyy
Name: --� � •�
Mailing Address:
Mailing Address:
City.
State:
Zip:
City. State: tip:
Phone:
Phone:
License # / Exp.
License # / Exp.
Unit Charge
Qty
Total (Qtv
Multiplied by Unit Chanel
.$ 93.75
$
Service/Feeder 200 Amp.
$113.75
$
Service/Feeder 201.400 Amp.
$160.00
_��
$iService/Feeder 401.600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$291.25
$
Service/Feeder over 1000 Amp.
$ 2.00
$
Branch Circuit W/ Service Feeder
$ 57.50
$
Branch Circuit W/O Service Feeder
$ 2.00
$
Each Additional Branch Circuit
$ 72.50
$
Temp. Service/ Feeder 200 Amp.
$ 86.25
$
Temp. Service/Feeder 201400 Amp.
$116.25
$
Temp. Servk*JFeeder 401-600 Amp.
$131.25
$
Temp. Service/Feeder 601-1000 Amp.
$ 75.00
$
Portal to Portal Hourly
.$69.00
$
Sign/Oulline Lighting
$ 75.00
$
Signal Circuit/ Limited Energy Commercial
,$50.00
$
Signal Circuit/ Limited Energy I & 2 Family Dwelling
$ 50:00
$
Signal C'ucuW Limited Energy Multi -Family Dwelling
$ 93.75
.$
Manufactured Home Connection
$ 80.00
$
Renewable Electrical Energy SKVA System or Less
S 86.25
$
Fest 1300 Square Ft
$ 27.50
$
Each Additional 500 Square Ft. or Portion of
$ 57.50
$
Each Outbuilding or Detached Garage
S 6625
$
Each SwanmhV Pool or Hot Tub
$ 43.75
$
Thermostat
$ anotal
Owner as defined by RCW.1128.281: (1) Oaser wig occupy the structure for two !wars after M eleeblca/permu IS I Wkw. (2) Owner is"qulrad to Aire an
ellac&W contractor NaWve said properly /s for sale, neat or lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am malting the electrical
Installadon'or efterstion in complWm with the electrical laws, N.E.C, RCW. Chapter 18.28, WAC. Chapter 296-468, The City of Pow Angeles Municipal Code, and
Utility Speclecatlons.
Signature of owner, electrical contractor or electrical administrator
L1�QYpOWr,4
6/q/©1
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant
Property Owner
Property Owner's Address
Contractor ens,c, �,
APPLICATION Print in ink
0 For City Use Only
Date Received
Permit # 0
Phl5ne' Yo Al'i Z A zn
Phone It
JA1vJt_1t,W- Phone' Spot
,*Contractor's Address(C e*-,eraA Coi
License # Expires E-mail
PROJECT ADDRESS
223
eK5g A -,K
C[01aM
❑ Addition
Parcel Number pCo -
-pp - -
- oo - oe>o0
❑ Repair
Lot Zonln
Demolition
Carport
Covered Porch
Proiect Tvpe & Brief Description.
Check all that apply
Existing Isg. ft.) Proposed Iso. ft.)
❑ New Construction
V b
❑ Addition
Y ✓►S 1c�
❑ Remodel
❑ Repair
Demolition
❑ Residential ❑ Multi -family commercial
Madkkhtuk rhanAes
ivet0 len a ter- L u, a 11
❑ Re -roof ❑ House ❑ garage ❑ other
Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas
Floor Areas
Existing Isg. ft.) Proposed Iso. ft.)
Basement
q S tZ @ $
1 s` Floor
�-
2"d Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
❑ Industrial
❑ tear off & re -roof ❑ lay over one layer
❑ pellet stove ik other t<tEL �1ie�c e!* -
- Z crDD
per sq. ft. = $
TOTAL VALUATION $ 11) 000
Total footprint of structures sq ft. T Lot size sq. ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site 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 und'e'rstand
that it is my responsibility to determine what permits are required, and to obtain permits prior to wor �. g n projects.
Date Print Name __13A [� . \, i�.l ('t Signature
T:Forms/Building Division/Bldg Permit.doc
�` c>at get a seraVe �er-ln' �lr `Nni s ����� 1® See 3-P e a G,avf �
3,c9so r�ak1th crbuhddte5el nK
"-yftVal
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\ L a+ "-Q�- r go� �•s- ego-f�
EI
fQ,Q o ren
Exln�uS�'
c lom R�,;ieua
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w WOP 516y,
fl1 CA
L4 8>0 ZIP 3 ao
ori
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2—jz-60 1165
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4TH STREET
PARTIAL SITE PLAN
SCALE: NTS
OLD COURTHOUSE BASEMENT
NORTH'
UNDERGROUND
FUEL TANK
\- PARKINO LOT
BOILER ROOM
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 09 00000293 Date 4/06/09
Application pin number 538155
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Application desc
Low voltage security camers
Owner
Contractor
CLALLAM COUNTY
INSPECTOR.
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
WA 98362
PORT ANGELES
(360) 452 9264
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc
FINAL
Permit pin number
143826
Permit Fee
75 00
Plan Check Fee
Issue Date
4/06/09
Valuation
Expiration Date
10/03/09
Qty Unit Charge Per
1 00 75
0000 ECH EL
LIMITED 1ST 1500 SQ FT
Fee summary
Charged
Paid Credited
Permit Fee Total
75 00
75 00 00
Plan Check Total
00
00 00
Grand Total
75 00
75 00 00
WA 98362
00
0
Extension
75 00
Due
00
00
00
V IV
ci
INSPECTION TYPE
DATE
RESULTS
INSPECTOR.
DITCH
SERVICE
ROUGH IN
16h-7105
FINAL
-7 k
COMMENTS
Signature of owner or Electrical Contractor X Date
04/05/2009 16 06 FAX 360 452 9265 Rekn(0 00001/0001
City of Port AnBelea.Penri t ApplIcaation
:guildirtgO�cal tnmiperxtane
3 tfast`.F.iRti Street - P.O. Box 1130
•PortAngetes.Waihington, 98382
Ph -136'e') 4174133 (380)417.4711
Date: �.GQ
1 -.-& 2 Single•Family Dwelling
Family or Commercial`
✓Cbmmenial Addition / Alteration / Remodel / Repair'
. Plan: Review May Be Required, Please
Job Address: - AZ3
Building Square Footage:
Description of above
APR 6 2009
Plan Review Information Sheet
Owner info
10ow
L
Contractor Information
Name:
Name:N
'Mailing Ad
_ Mailing ress: Z
City:
State:
Zip: Aftjcgr
city. State: k/ Zip:
Phone:
— —
Phone. Z—
Ucense # / Exp.
Ucense # I Exp.
.Unit Charge
Qty
Total
(Qty Multiplied by Unit Chame)
T-93.75
$
Service/Feeder 200 Amp.
$113.75
$
Service/Feeder 201.400 Amp.
.$160.00
$
Service/Feeder 401-M Amp.
$205.00
$
ServicelfFeeder 601-1000 Amp.
.$291.25
$
ServlcelFeeder over 1000 Amp.
$ 2.00
$
Brandt Circuit W/ Service Feeder
'$ 57.50
$
Branch Circuit W/0 Service Feeder
$ 2.00
$
Each Additional Branch Circuit
$ 72.50
$
Temp. Senricel Feeder 200 Amp.
$ -8625
$.
Temp. ServioelFeeder 201.400 Amp.
$1.16.25
$
Temp. SerAcelFeeder 401.600 Amp.
$131.25
$
Temp. Service/Feader 601-1000 Amp.
$ 75.00
$
Portal to Portal Hourly
$ 69.00
$
SOVOufte lighting
$ 75.00
$ Signal CkwW Limited Energy Commercial
$ 50.00
$
Signal Circuit/ limited Energy 18 2 Family Dwelling
$ 50.00
-$
Signal Circuit/Limited Energy Multi -Family Dwelling
$ 93.75
$
Manufactured Home Connection
$ 80:00
$
Renewable Electrical Energy 5KVA System or Less
$ 86.25
$
Fust 1300 Square Ft.
$ 27.50
$
Each Additional 500 Square FL or Portion of
$ 57.50
$
Each Outbuilding or Detached Garage
$ 8625
$
Each Swimming Pool or Hot Tub
$ 43.75
$ Thermostat
-C-7-7—XF: Total
Owneras definsdbyRCW.19.28.281: (1) Owner w!U occupy the structure lortwo years alterthls ehttrtrfealperritls rnalked. (2).Owneris regakedib hhe an
electrkal contractor H above said property is for sale, rent or leasa
A1ter reading the above statement, I hereby certify that t am the owner of the above named property or a licensed electrical contractor. l am making the electrical
atstallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 18.28, WAC. Chapter 29$4B. The City of Port Angelee�Munlcipal Cods, and
tt8111y Specifications.
Sfanalon of owner, electdW contractor or eleaUical administrator
X Dato: S
ELECTRICAL PERMIT AAD INSPECTION RECO
360-417-4735
Application Number 08 00001545 Date 12/19/08
Application pin number 978130
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Application desc
West wing lower level Office TI lights switches
Owner
Contractor
CLALLAM COUNTY
SHAMP ELECTRICAL
CONTRACTING
PO BOX 383
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452 1689
Permit
Additional desc
ELECTRICAL
ALTER COMMERCIAL
Permit pin number
139253
Permit Fee
58 00
Plan Check Fee
00
Issue Date
12/19/08
Valuation
0
Expiration Date
6/17/09
Qty Unit Charge Per
Extension
1 00 58
0000 ECH EL
COMM ALT <5 CIRCUITS
58 00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
58 00
58 00 00
00
Plan Check Total
00
00 00
00
Grand Total
58 00
58 00 00
00
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH - IN
3 3C
e
FINAL
33
COMMENTS:
oFp°RTgN ELECTRICAL INSPECTION
C
WIRING REPORT
KS & 417-4735
DATE PERMIT # ' I INSPECTOR
Z iv b - Z
OWNER/CO RACTOR
514 k';) g�L
ADDRESS
3 -Y:—; - `i
APPROVED NOT APPROVED
❑ DITCH ❑
❑ ROUGH IN/COVER X
❑ SERVICE ❑
❑ FINAL ❑
CORRECTIONS NEEDED '3 rLArC- ALL -L- Vr4osr.b L5plizJ3IkL5
A(IIzG 's N 1-7
5c9 �t Kc, �� IT14 11 S`i 'b S I LVDP
Su°P'Pa�,T L'9LF-lT5 �'v LQr12 �rLV S—T¢c9c ¢�L
1�iti-c 3lY 23
ll�- AD0K 12 ALL hm-- j41- fi3�trz-s 4196 3H Lrb
r.Qao KLI) euo 1-r i ws t4.r�G yaq- J
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OLYMPIC PRINTERS, INC. (360) 452-1381
12/17/2008 11 55 FAX @ 002/002
R5� 'VE® c,'+r va rt+ r'�r
�x 4NS�c�'tN y�s
DEC 19 2008R ERMITAPPLIC Al R^
� ELECTR.TC AL WORK P
Job wired by O Electrical Contractor D Owner
ecommt;rcial ❑ Residentisil
C3 Neww C1YAItered/Atldirlott -- - --
I _
Electrical contractor ndmd License number Date L'xplres
� �1��-(�( f�L SEf�/►?PEGy.Z3 33_ _
Purchascr s mailing address
r' Stale Z11"
por-� 113Pt
r lephun number h/,k number
C7
--
A..1.1 r cn&rril n
--
Phone number to schedule n9pection
Ownor my defined by RCW l9 28 'Gl (1) Owncr will occupy the strucrurc! for Iwo
year+ o/irr Mir rlecrekat peer?! Isftnrili- .1 (7) Owner is required to hire an e•lrc(rical
is for de, rent tense
Q Cash D Chcck # aN Ft
c•onrrpt Ior If ahoy raid properry or
L�1
After rtuJiub the ^,bovc statement, I heresy ceiziry that I am the uwncl of'the above
named properry or a licensed eleolrlcal eulitractor. I am making the electrical Instal-
D Credit Card Visa Mastercard J)j',QM
lation ur alUnal.on 1n cumplianeo with l..e electrical lel s, N.E.( RCW ('hapter
19 28 WAC Chapter 296-46U The City or Port Angeles Municipal Code and
Card # — — — — — --
Utility Spclhcehons
Signa a of owner electrical con raelor or electrical administrator
Expiration Date
Y n (t 1, v7� n^ \! Y. n t�..r%> il�tu
of card
Electrical Load Additions end or subtractions
W NO LOAD CHANGES
O Baseboard _ KW
❑ Furnace _ KW ❑ Overhead Service
❑ Haw Pump .— Ton — LAR O Temp Service
❑ Fan -Wall _ KW ❑ Underground Service
SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360-417-4_735
Lir?'INAL
E
HERMOSTAT ,; a cd By� - —nnr•��
L)1TCH prrovad V. An�rorcd Dy
Illstlectlull
Dare
Arco, Building or Equipment Inspected
�napcl;lltn� ler � L� --•
Service Inlorruuoo
Voltage 2 7 7. --
Phase ❑ 1 Qr3
Service Size
Feeder Size —.
SERVICE
FEWER
� n1 511 . _•+I Flt
A 11.11 •rllA •n
I
I
' r:l+ •illi i�l
II 111 I` 'u.
PREPARED 12/18/08 14 06 48 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/18/08
ADDRESS 223 E 4TH ST SUBDIV
TENANT NBR CLALLAM COUNTY COURTHOUSE
CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417 2429
PARCEL 06 30 00 6 4 6700 0000
APPL NUMBER 08 00000587 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 12/18/08J BLDG FINAL TIME O1 00
December 17 2008 4 56 11 PM 1pangrle
ly KYLE 461 0043
BLDG FINAL
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 12/18/08 L MECHANICAL FINAL TIME O1 00
December 17 2008 4 57 19 PM 1pangrle
KYLE 461 0043
MECHANICAL FINAL
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
RECEIVED
-
o
OCT 1 .5 MCTRICAL WORKPERNUTAPPLICAT'ION
UaHT Mall n description
Job wired by Electrical Contractor ❑ Owner ommercial ' I
:L3;Reside
Electrical contractor name ANi� [?§ ELECTRICte Expires ❑New
INC.C
t ddition
Purchaser's mailing address 524 EA8T FIRST
PORT ANGELES, WA 98362le
City State ZIP
4
�ftj
Telephone number FAX number �^
A�
��
Premia wser's same
K
Address of inspection
City
Y
Phone number to schedulei cti
Owner as defined by RCW]9.28.261 (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. ❑ C L3 Check #
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 instal- Credit Card Visa
Mastercard ` Discover
lation 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 Card #
Utility Specifications.
Signahtre of ner, elec icsl contract or electrical administrator Expiration Date
Of of card
X Date: �4 /cS" A�
Electrical Load Additions and
"� w
Inspection fee ,N
$ 6
Service Information
❑ Baseboard KW Aftfr 646"4
❑ Furnace _ KW ❑ Overhead Service
❑ Heat Pump _ Ton _ LAR C❑ Tem Service
❑ Fan -Wall _ KW id <;rground Service
SAME DAY INSPECTION, CALL BEFORFF. 7:00 AM 360-4174735
F)=?J_akbv
GI�IlV THERMOSTAT
Approved Ay Dale Approved ByFIKAL
DITCH790
' ate' Aooroved By Dale Aoeroved By
Voltage
Phase ❑ 1n 0�
Service Size: h
Feeder Size: ;P
SERVICE
Date Approved By
FEEDER
InspectionI Area, Building or Equipment Inspected I Action Taken I Electrical
Date Inspector
T000/T000 a 0Ta108TH 93T03UV
9926 M 099 %V3 99 £T 9002/9T/0T
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
50 amp sub panel
08 00001319
054195
223 E 4TH ST
06 30 00 6 4 6700 0000
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Date 10/17/08
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
524 E IST ST
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452 9264
Permit
ELECTRICAL
ALTER
COMMERCIAL
` w
Additional desc
J�v\
Permit pin number
136440
Permit Fee
75 00
Plan Check Fee
00
Issue Date
10/17/08
Valuation
0
Expiration Date
4/15/09
{
Qty Unit Charge
Per
Extension
W
1 00 75
0000 ECH EL
COM ALT
0 200 SRV FDR
75 00
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
75 00
75
00 00
00
Plan Check Total
00
00 00
00
Grand Total
75 00
75
00 00
00
OWN
SPECTION
TYPE
DATE RESULTS
ELECTRICAL
INSPECTOR
DITCH
SERVICE
ROUGH - IN
FINAL
�2
COMMENTS:
Application Miscellaneous Information,Maintenance - CITY OF PORT ANGELES
$W#QAFWP',BUC SECTOR ij
OK
x Fsa
Carvel,
Add
Application Miscellaneous Information Maintenance
Application number' 08 00000778
ASSESSOR PARCEL NUMBER: 08 -30 -00 -8 -4 -0700 -0000 -
Address: 223 E 4TH
®
7/23/08
7/23/08
7/23/08
7/23/08
7/23/08
7/23/08
7/23/06
7/23/08
;July 23 2008 8 47 45 AM 1pangrle
JOEL,WINBORN CALLED AND SAID THIS
PROJECT IS ON HOLD UNTIL THE SUMMER OF
,2009 HE'LL'COME•PICK UP THE PLANS AND
1RESUBMIT THEM NEXT SUMMER THE PLANS
,NEVER WENT THROUGH PLAN REVIEW, BECAUSE
'WE WERE WAITING ON A PLAN CHECK FEE
:PAYMENT 'I, -REVOKED THE PERMITS, ZEROED
OUT THE FEES AND MADE THE STATUS OF
jIffmiVA&M !/zj/UU THIS PERMIT "PLANS:WITHDRAWN'
I Highlighted Code' field indicates the line is not available
� ffi\011
N/—
U
P 01/01
TRANSACTION REPORT
JUL/03/2008/THU 07 56 AM
FAX (TX)
# I DATE START T RECEIVER COM TIME PAGE TYPE/NOTE FILE
0011JUL/031 07 55AM 94172395 1 0 00 361 2 1 OK ECM 3137
WASH ING TON,
Department of Community Development
Building Division
321 East Fifth Street, Port Angeles, Washington 98362
Phone. (360) 417-4815 FAX. (360) 417-4711
TO G
FROM �
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Company C lall.o-M Coun YA
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(including transmittal page)
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07/01/08 TUE 16 37 FAX 3604172395 CLALLAM CO PARKS
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07/01/08 TUE 16 38 FAX 3604172395 CLALLAM CO PARKS
01
MECHANICAL SUBMITTAL FORM
Fill in the specific quantity of each item that will be installed or relocated at your building project.
Submit this form with the Building Permit Application.
lib 002
QUANTITY DESCRIPTION
Furnace:5 5 Ton, 100,000 Btu/h (29.3 kW)
Furnace > 5 Ton, 100,000 Btu/h 29.3 kW)
Floor Furnace
Heater (suspended, recessed wall, floor -mounted)
Boiler, compressor, absorption system.
5 3 hp, 100,000 Btu/h 29.3kW)
> 3 h - 15 h 2.24 - 11 19 k >.I 00,000 - 500,000 Btu/h 29.3 - 146 48 kW
ST t6 > 15 h - 30 h 11 19 - 22.37 k > 500,000 - 1,000,000 Btu/h (146 48 - 292 95 kW)
> 30 h - 50 h (22.37 - 37.3 k > 1,000,000 - 1,750,000 Btu/h (292.95 — 512.66 kW)
>50 h 37.3 kW > 1,750,000 Btu/h (512.66 kW
Air handler <— 10,000 cfm 4 72m'/S)
Air handler > 10,000 cfm 4 72m'/S)
Evaporative cooler (attached, notportable)
Ventilation fan connected to a single duct
Ventilations stem (not part of a heating or air conditioning system)
Hood served by mechanical exhaust, including ducts
Incinerator - commercial or industrial
Incinerator - domestic -type
Solid -fuel burning appliance
Fuel gas piping, one to five outlets
Fuel gas piping, each additional outlet over five
Hazardous process piping system, one to four outlets
Hazardous process 2iping system, each additional outlet over four
Nonhazardous process piping system, one to four outlets
Nonhazardous process piping system, each additional outlet over four
Miscellaneous appliance vent orequipment not otherwise listed on this form
Specify how many repairs, alterations, or additions (not otherwise listed on this form) will
be done regarding heating appliances, refrigeration units, cooling units, evaporative
cooling systems, absorption units, or other mechanical appliances, including installation of
controls, at this building project.
T:FormsBuilding Division/Mechanical Submittal Form.doc
CouY,%c)us_e__ SoJer
�' 'V_C�
p0"r,1 BUILDING PERMIT
APPLICATION Print in kk
CITY OF PORT ANGELES
Attn. Building Permit Technician
co`f� For City U Only-
s
321 E. Fifth St. Port Angeles, WA 98362
L'�'� Date Receive �j�21-I-6g
e"'
Permit # $ —
(360) 417-4815 fax (360) 417-4711\pct
Date App ved
Applicant or Agent -dor; � C� �I.1 t,S[ ,_l
�' Phone 3 - Q :k- 7 -
Property
Property Owner��,,���
Phone
Property Owner's Address Z 2 CFAf 7-rt� ST' S,,
A.Q Ova S4. 2.
Contractor/Engineer Mt=Ut�it��..,c,�-„�c�
Phon
Contractor/Engineer's Address
License #
E fires
PROJECT ADDRESS 2222 c—P,,tr tEt tii
Parcel Number o(� - �5o - co (.. - - ( , qoo - r,> O Lot Zoning
Proiect Type & Brief Description. ❑ ResidentialCom ercial ❑ Multi -family ❑ Industrial
Check all that apply
❑ New Construction
\
❑ Addition
❑ Remodel
❑ Repair
❑ Re -roof
eat System
Floor Areas
Basement
1 St Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of
ri
Existino (so. ftJ
AC
res
sq ft. _ Lot size
et stove
er
A 50-V `'`"il"1[ h � O b}ai heA
@ $ t per sq. ft. = $
r e,"vir jite Ricl 4ail K
.vao bat
Pte”
Fermi
amen v4ua
TOTAL VALUATION $ Zoo, bop. o0
sq ft. = Lot coverage — %
Max. height of pr posed structures ft. Occupancy group # of bedrooms
Will a lawn spri kler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
1 have read'and completed this application and know it to be true and correct i am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date Co 2Print Name 3c-W� Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
I --
LU W
W
H
z
.I
O
V
z
4TH STREET
PARTIAL SITE PLAN
SCALE: NTS
�o n��� 1 o
e
w
o a omo SF
OMV-E 51602"57C=
OLD COURTHOUSE BASEMENT
UNDERGROUND
FUEL TANK
\- PARKING LOT
BOILER ROOM
204 SF
�o n��� 1 o
e
w
o a omo SF
OMV-E 51602"57C=
OLD COURTHOUSE BASEMENT
UNDERGROUND
FUEL TANK
\- PARKING LOT
BOILER ROOM
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
v 321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
08 00000587 Date 6/20/08
418124
223 E 4TH ST
06 30 00 6 4 6700 0000
CLALLAM COUNTY COURTHOUSE
COMM REMODEL
PUBLIC BUILDINGS & PARKS
75000
Application desc
BASEMENT AREA MOVE BREAKROOM DOORS WALLS ETC
Owner
Contractor
CLALLAM COUNTY COURTHOUSE
OWNER
223 E 4TH ST
PORT ANGELES
WA 98362
(360) 417 2429
Structure Information 000 000 BASEMENT MOVE BRKRM DOORS
WALLS
Construction Type
UNKNOWN
Occupancy Type
BUSINESS
OFF/PRO/MED/REST
Permit
BUILDING PERMIT
COMMERCIAL
Additional desc
BASEMENT REMODEL
Permit pin number
126730
Permit Fee
845 25
Plan Check Fee
549 41
Issue Date
6/20/08
Valuation
75000
Expiration Date
12/17/08
Qty Unit Charge
Per
Extension
BASE FEE
670 25
25 00 7 0000
THOU BL -50 001
100K (7 00 PER K)
175 00
Permit
MECHANICAL PERMIT
Additional desc
NEW VENT IN STAFF
BREAKROOM
Permit pin number
126755
Permit Fee
57 25
Plan Check Fee
00
Issue Date
6/20/08
Valuation
0
Expiration Date
12/17/08
Qty Unit Charge
Per
Extension
BASE FEE
50 00
1 00 7 2500
ECH ME VENT FAN
7 25
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
May 28 2008 2 09 26 PM sroberds
Remodel does not involve additional floor area so no land
use issues are anticipated
Electrical load calculations and electrical permits are
required
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 he provisions of a y state or local law regulating construction or the performance of
construction
Wo`$ AL/A �0 V% Ir" O
ate Print Name ignature of Contractor or Au rized Ag n Signature of Owner (if owner is builder)
T.Forms/Building Div ision/Budding Penn it (05/13/08).wpd
BUILDING PERMIT INSPECTION RECORD
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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE _7DATE 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
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT H'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/
ENGINEERING 417-4807
CONSTRUCTION R.W
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT
PLANNING DEPT 417-4750
PLANNING DEPT
BUILDING 417-4815
BUILDING
T r. dR' il'li T) nlR, ds' ger it f05/13/081.wod
CITY OF PORT ANGELES
J
��� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
G� 321 EAST 5TH STREET PORT ANGELES, WA 98362
�a�
Page
Application Number 08 00000587 Date
Application pin number 418124
Special Notes and Comments
May 22 2008 1 47 52 PM rlarson Bob Larson 360 417 4706
The primary underground cables entering the courthouse are
privately owned it is the owners responsibility to insure
proper sizing per NEC requirements
May 22 2008 1 53 55 PM rlarson
Any modifications to the City s electrical facilities will
be at the customer s expense
Plans are approved with the following condition
(-the City will allow the County to delay implementing the
(requirement to replace the sidewalk approaches and three
driveways along 4th Street to meet City of Port Angeles
Urban Services Standards and Guidelines and Federal ADA
Accessibility requirements until the forthcoming Clallam
County,Jail..Zmprovements are submitted for permit approval
Pr any other County building permit for work on County
property between Lincoln and Peabody north of 4th Street
whichever comes first
Other Fees STATE SURCHARGE
2
6/20/08
Fee summary Charged Paid Credited Due
4 50
Permit Fee Total 902 50 902 50 00 00
Plan Check Total 549 41 549 41 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 1456 41 1456 41 00 00
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct, All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
"r.Porms/Budding DivisimVBLid ding Permit (05/13/08).wpd
BUILDING PERMIT INSPECTION RECORD
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. ITIS 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 -7DATE 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
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE -�
WOOD STOVE / PELLET / CHIMNEY FINAL 1 Z- I O DATE �J l�� ACCEPTED BY.
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT H'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/
ENGINEERING 417-4807
CONSTRUCTION R.W
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT
PLANNING DEPT 417-4750
PLANNING DEPT
BUILDING 417-4815
BUILDING
T P d/P' ild, T),- ,dR Ui PP mit (05/13/08).wod
Application Number
08 00000636
Date 5/29/08
Application pin number
635972
Property Address
223 E 4TH ST
ASSESSOR PARCEL NUMBER
06 30 00 6 4 6700 0000
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
PUBLIC BUILDINGS & PARKS
Application valuation
0
Application desc
Voice Data
Owner
Contractor
CLALLAM COUNTY
ANGELES COMMUNICATIONS INC
102 ROSS LN
PORT ANGELES WA 98362
PORT ANGELES WA
PORT ANGELES
WA 98362
(360) 457 4375
Permit ELECTRICAL
ALTER COMMERCIAL
Additional desc
Permit pin number 127373
Permit Fee 40 00
Plan Check Fee
00
Issue Date 5/29/08
Valuation
0
Expiration Date 11/25/08
Qty Unit Charge Per
Extension
1 00 40 0000 EL
LOW VOLT SYS <=2500 SQFT
40 00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 40 00
40 00 00
00
Plan Check Total 00
00 00
00
Grand Total 40 00
40 00 00
00
N
N
s
INSPECTION
TYPE
DATE
RESULTS
ELECTRICAL
INSPECTOR.
DITCH
SERVICE
OUCH - IN
FINAL
COMMENTS:
Application Number 08 00000628 Date 5/28/08
Application pin number 503132
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Owner Contractor
CLALLAM COUNTY
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
(360) 457 9270
Permit
ELECTRICAL ALTER COMMERCIAL
Additional desc
SIMPSON/ SEE
NOTES
Permit pin number
127233
Permit Fee
58 00
Plan Check Fee
00
Issue Date
5/28/08
Valuation
0
Expiration Date
11/24/08
Qty Unit Charge Per
Extension
1 00 58
0000 ECH EL COMM ALT <5 CIRCUITS
58 00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
58 00
58 00 00
00
Plan Check Total
00
00 00
00
Grand Total
58 00
58 00 00
00
SPECTION
TYPE DATE RESULTS
ELECTRICAL
INSPECTOR
DITCH
SERVICE
ROUGH - IN
FINAL
6
COMMENTS:
pORTA,k,
F
�ef 4,4 C—_21; �Levc j
BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant or Agent
Property Owner
Property Owner's Address Zy
Contractor/Engineer
Contractor/Engineer's Address _
License #
I Rermo"
Print in ink
For City Use Only
Date Received 5 — 6--0 $
Per it # o
y a Approved
Pho e �� , ZAt�►
Ph e
Phone
Expires
PROJECT ADDRESS pF, p� Se�.�� Not s. l+e.-7)
Parcel Number Lot Zoning
Proiect Type & Brief Description. ❑ Residential ❑ Commercial ❑ Multi -family ❑ Industrial
Check all that apply
❑ New Construction
❑ Addition
y�Remodel
❑ Repair
❑ Re -roof
r XDemolition —PPVAANL4b11 t( z C64 W.1 u4 _k -k
❑ Heat System ❑ Heat pump ❑ wood -bur ing stove ❑ gas fireplace ❑ peMt stove ❑ other
❑ Other
Floor Areas Existing Ism ft.) Proposed Isa. ft.)
Basement @ $ per sq. ft. _ $
1 st Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ 5^ o o
Total footprint of structures sq ft. T 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
1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. _
Date 5 � 0 Print Name --� ��t,t b6f� ,J Signature � 4kL==7
T:Forms/Bwlding Division/Bldg Permit Appl.-2006 Code.doc
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PREPARED 9/11/08, 10:12:12 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/11/08
------ ---------------------------------------------------------------
ADDRESS . : 223 E 4TH ST SUBDIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
MECHANICAL FINAL - JAIL
-------------------------------------------------------------------------- ------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------- —------------------ ---- ---- ------------------------
PL1 01 1/09/08 JLL PLUMBING UNDER SLAB
1/09/08 DA January 9, 2008 8:33:47 AM 1pangrle.
MARK 477-0626
UNDERSLAB PLUMBING
January 9, 2008 3:32:31 PM jlierly.
sand around dwv regd/jll
PL1 02 1/10/08 JLL PLUMBING UNDER SLAB TIME: 01:00
1/10/08 AP January 9, 2008 3:43:57 PM 1pangrle.
RON 340-6408
"UNDERGROUND PLUMBING"
January 10, 2008 4:40:11 PM jlierly.
PL1 03 1/15/08 JLL PLUMBING UNDER SLAB TIME: 01:00
1/15/08 AP January 15, 2008 8:40:44 AM 1pangrle.
RON 360-340-6408
UNDERSLAB PLUMBING
PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE.
AFTERNOON
January 15, 2008 4:56:34 PM jlierly.
PL99 01 9/11/08 LL PLUMBING FINAL
KXLZ September 11, 2008 8:52:32 AM 1pangrle.
JEFF 340-4502
PLUMBING FINAL - JAIL
---------------------T- COMMENTS AND NOTES --
Application Number . . . . .
08-00000896
Date 7/25/08
Application pin number . . .
620288
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
replace two 100 amp services
----------------------------------------------------------------------------
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc .
Permit pin number 130765
Permit Fee 150.00
Plan Check Fee
.00
Issue Date 7/25/08
Valuation . .
. . 0
Expiration Date 1/21/09
Qty Unit Charge Per
Extension
2.00 75.0000 ECH EL -COM
ALT 0-200 SRV FDR
150.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 150.00
150.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 150.00
150.00 .00
.00
INSPECTION
TYPE
DATE:
RESULTS:
ELECTRICAL
INSPECTOR:
DITCH
SERVICE
OUCH - IN
FINAL
COMMENTS:
Application Number . . . . .
08-00000873
Date 7/24/08
Application pin number. . . .
519523
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
3000 amp breaker replacement
----------------------------------------------------------------------------
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit pin number . 130468
Permit Fee . . . . 239.00
Plan Check Fee
.00
Issue Date . . . . 7/24/08
Valuation . .
. . 0
Expiration Date . . 1/20/09
Qty Unit Charge Per
Extension
1.00 239.0000 ECH EL -COM ALT 1001 -UP SRV FDR
239.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 239.00
239.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 239.00
239.00 .00
.00
N
N
111'
INSPECTION
TYPE
DATE:
RESULTS:
ELECTRICAL
INSPECTOR:
DITCH
SERVICE
OUCH - IN
FINAL
2
OMMENTS :
PREPARED 7/24/08, 10:17:36 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/24/08
------------------------------------------------------------------------------------------------
ADDRESS . : 223 E 4TH ST SUBDIV:
TENANT, NBR: CLALLAM COUNTY COURTHOUSE
CONTRACTOR ALDERGROVE CONSTRUCTION INC. PHONE (360) 457-2067
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 08-00000588 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMM MCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 6/25/08 PB BLDG FRAMING
6/26/08 AP June 25, 2008 8:37:33 AM 1pangrle.
BILL 477-0057 OR 457-2067
FRAMING
PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE.
June 26, 2008 8:12:25 AM pbarthol.
BL99 01 7/24/08J f BLDG FINAL TIME: 01:00
July 24, 2008 9:06:15 AM 1pangrle.
JV BILL 477-0057
BLDG FINAL - COUNTY COMMISSIONER'S MEETING ROOM PROJECT
AFTERNOON
PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE.
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 7/24/08 JL MECHANICAL FINAL TIME: 01:00
July 24, 2008 9:07:47 AM 1pangrle.
BILL 477-0057
MECHANICAL FINAL - COUNTY COMMISSIONER'S MEETING
ROOM PROJECT
AFTERNOON
PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE.
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------- ------------------------------------------------------
PL2 01 6/25/08 PB PLUMBING ROUGH-IN
6/26/08 AP June 25, 2008 8:38:43 AM 1pangrle.
BILL 477-0057 OR 457-2067
"PLUMBING" (ROUGH-IN?)
PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE.
June 26, 2008 8:12:25 AM pbarthol.
PL99 01 7/24/08 JL PLUMBING FINAL TIME: 01:00
July 24, 2008 9:08:40 AM 1pangrle.
• BILL 477-0057
PLUMBING FINAL - COUNTY COMMISSIONER'S MEETING ROOM PROJECT
AFTERNOON
PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Application Number . . . . .
08-00000857
Date 7/21/08
Application pin number . . .
783939
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E. IST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
-------------------------------------------(----
Permit . . . . . . ELECTRICAL
Additional desc . .
- ------4
-----------------------
ALTER COMMERCIAL
/ A Q
Permit pin number . 130252
U
Permit Fee . . . . 58.00
Plan Check Fee
.00
Issue Date . . . . 7/21/08
Valuation . .
. . 0
Expiration Date . . 1/17/09
Qty Unit Charge Per
Extension
1.00 58.0000 ECH EL -COMM
ALT <5 CIRCUITS
58.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 58.00
58.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 58.00
58.00 .00
.00
n
U\�I
INSPECTION
TYPE
DATE:
RESULTS:
ELECTRICAL
INSPECTOR:
DITCH
SERVICE
OUCH - IN
--
FINAL
COMMENTS:
PREPARED 6/25/08, 11:28:49 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/25/08
'---
ADDRESS . : 223 E 4TH ST SUBDIV:
TENANT, NBR: CLALLAM COUNTY COURTHOUSE
CONTRACTOR ALDERGROVE CONSTRUCTION INC. PHONE (360) 457-2067
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 08-00000588 COMM REMODEL
----- -------------------------------------------------------- -
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------------------------------------------------------------- ---------------------
BL3 01 6/ 5/=8 JL/ /• BLDG FRAMING
June 25, 2008 8:37:33 AM 1pangrle.
S BILL 477-0057 OR 457-2067
FRAMING
PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE.
--- ---- ----------------------------- --- ----------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-----------------------------------
PL2 016/25/ 8 JLL PLUMBING ROUGH -IN
��June 25, 2008 8:38:43 AM 1pangrle.
BILL 477-0057 OR 457-2067
"PLUMBING" (ROUGH -IN?)
PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE.
-------------------------------------- COMMENTS AND NOTES---------
`r1 F PO�'FFN CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 08-00000588
Date 6/20/08
Application pin number . . . 532976
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Tenant nbr, name . . . . . . CLALLAM COUNTY COURTHOUSE
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 82000
----------------------------------------------------------------------------
Application desc
REMODEL COMMISSIONERS' MTG RM/RSTRMS, ADD RESTROOM
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CLALLAM COUNTY COURTHOUSE ALDERGROVE CONSTRUCTION INC.
223 E. 4TH ST. 336 BENSON RD.
PORT ANGELES WA 98362 PORT ANGELES
WA 98363
(360) 417-2429 (360) 457-2067
--- Structure Information 000 000 REMODEL COMMISSIONERS' MTG RM/RSTRMS,
Construction Type . . . . . UNKNOWN
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . COMMISSIONER'S MTG RM/RSTRMS
Permit pin number . 126763
Permit Fee . . . . 894.25 Plan Check Fee
581.26
Issue Date . . . . 6/20/08 Valuation . .
. . 82000
Expiration Date . . 12/17/08
Qty Unit Charge Per
Extension
BASE FEE
670.25
32.00 7.0000 THOU BL -50,001-100K (7.00 PER K)
----------------------------------------------------------------------------
224.00
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . VENT IN NEW BATHROOM
Permit pin number . 126789
Permit Fee . . . . 57.25 Plan Check Fee
.00
Issue Date . . . . 6/20/08 Valuation . .
. . 0
Expiration Date 12/17/08
Qty Unit Charge Per
Extension
BASE FEE
50.00
1.00 7.2500 ECH ME -VENT FAN
7,25
-------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . ADD A JUDGE'S RESTROOM
Permit pin number . 126771
Permit Fee . . , . 86,00 Plan Check Fee
.00
Issue Date . . . . 6/20/08 Valuation . .
. . 0
Expiration Date , . 12/17/08
Qty Unit Charge Per
Extension
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.
s
U7409 C94L-IA bb,4AlrS
Date Print Name'Signature of Contractor or uZiz d Agent Signature of Owner (if owner is builder)
n;. ;,i /R,,dd;o P—,;1 !OS/11/0RI --i
BUILDING PERMIT INSPECTION RECORD
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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KF.RP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE/ DOWNSPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
FINAL DATE ACCEPTED BY:
UNDERFLOOR/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
FINAL DATE ACCEPTED BY:
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
SEPA:
ESA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT N's
PARKING/LIGHTING
LANDSCAPING
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/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T-rc/Rnildinv nivi6nn/Ruildinv Permit (05/131081.wod
OF pORi M,C CITY OF PORT ANGELES
TeN
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 08-00000588 Date 6/20/08
Application pin number . . . 532976
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 14.00
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00
----------------------------------------------------------------------------
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
May 28, 2008 11:57:05 AM sroberds.
Remodel of the meeting room does not pose any land use
concerns as it does not add floor area to the site.
Electrical load calculations and electrical permits are
required if any electrical work is done.
Plans are approved with the following condition:
The City will allow the County to delay implementing the
requirement to replace the sidewalk approaches and three
driveways along 4th Street, to meet City of Port Angeles )IA 1,,,D
Urban Services Standards and Guidelines and Federal ADA
Accessibility requirements, until the forthcoming Clallam OT
County Jail Improvements are submitted for permit approval,
or any other County building permit for work on County
property between Lincoln and Peabody north of 4th Street,
whichever comes first.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 1037.50 1037.50 .00 .00
Plan Check Total 581.26 581.26 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1623.26 1623.26 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit (05/13/08).wpd
BUILDING PERMIT INSPECTION RECORD
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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE C
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. OQ
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS 00
YES NO dQ
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE/ DOWNSPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / 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/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT N's
PARKING/LIGHTING
I ..w Cnc ornic
-%_ri'69
FINAL -7-2* 8 DATE_y& ACCEPTED BY:
FINAL -7 2-`l-0" DATE —S""L* ACCEPTED BY:
SEPA:
ESA:
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/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING�-
�7 p
T I ..c.nc/Rnil�iinn (iivicinn/Rnildinn Permit (05/13/08).wod
'OLIC M1091,
TO: FIRE D�SPA�INT
p PIS mum DEPT
p PUBLIC NOR1C8%EIIGIG DIVISION
❑ LIGBT DRT
a
p ffi�GIHSSxING
C] POLICE rwvxi=KZXr
❑ oN - -
p CITY aum-
a RISK►cr S
CD S
FROM: PUBLIC WORKS/BUILDING DIVISION
RE: ADDRESS 22-3 2E
-, S
NAME/CONTACTU�I
PSM: -Li 1-7 -ZH Z 1
PERMIT NUMBER c 9- 5 g 8
PROJECT DESCRIPTION_ e
-UPC[ E'__ e,�<I,S-7 hG �-er, %frrl/
0
0
RrvT,rw / RETURN FIT.L
�� "� 1
PREPARED 6/11/08, 9:32:58 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/11/08
---------------------------------------------------------------------------------- — ------------
ADDRESS . : 223 E 4TH ST SUBDIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
---- ---
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BLI O1 1/10/08 JLL BLDG FOUNDATION FOOTING TIME: 01:00
1/10/08 AP January 9, 2008 3:44:39 PM 1pangrle.
RON 340-6408
FOOTING
AFTERNOON
January 10, 2008 4:40:11 PM jlierly.
BLRI O1 2/25/08 JLL BLDG REBAR INSPECTION TIME: 09:00
2/25/08 AP February 25, 2008 9:10:12 AM 1pangrle.
RON 360-340-6408
"STEEL REINFORCEMENT OF CMU WALLS UP TO THE FOUR FEET BOND
BEAM"
MORNING - CONCRETE POUR AT 11:00 AM
February 25, 2008 4:39:52 PM jlierly.
BLRI 02 2/28/08 JLL BLDG REBAR INSPECTION
2/28/08 AP February 28, 2008 9:45:52 AM 1pangrle.
RON 360-340-6408
"CMU WALL REINFORCEMENT"
February 28, 2008 4:37:03 PM jlierly.
BLRI 03 3/12/08 JLL BLDG REBAR INSPECTION TIME: 01:00
3/13/08 AP March 12, 2008 8:26:34 AM 1pangrle.
RON 360-340-6408
CMU WALL REINFORCEMENT
AFTERNOON
March 13, 2008 4:17:35 PM jlierly.
BLTB O1 6/11 08 JLL BLDG T -BAR
June 11, 2008 8:29:29 AM 1pangrle.
RON 360-340-6408
T -BAR AT THE JAIL
------------------------------ ------- COMMENTS AND NOTES --------------------------------------
(p
---- ------------------
0* PMrqA,-
xq�7_P000
C0 mw.l"IV Lx,: JXc,
BUILDING PERMIT
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant or Agent
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Add
License #
PROJECT ADDRESS
Parcel Number
Prosect Type & Brief Description:
Check all that apply
❑ New Construction
❑ Addition
;Remodel �T
❑ Repair
❑ Re -roof
- Demolition ��IF
❑ Heat System ❑ Heat
❑ Other
Floor Areas
Basement
1" Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
4
APPUCA TION Print in ink
❑ Residential ❑ Commercial
I For City Use Only:
Date Received
Permit # —
te Approved
onell AG . Zq LC�
hone /►
PhoneS�
Expires
Lot Zoning
❑ Multi -family ❑ Industrial
3LA-L - --co P . -tout 1, ���ram.,,A
pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
Existing (sq. ft.) Proposed (sq. ft.)
sq. ft. T Lot size
per sq. ft. = $
TOTAL VALUATION $ gZ, 00 0
sq. ft. = Lot coverage %
Max. height of proposed structures _ A 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
1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date C& Print Name Jp�` G • IL�NAPv� Signature
T:Forms/Buildin Division/Bldg Permit Appl.-2006 Code.doc
4TH STREET
2 HOUR 579.IET PARKING
COURTHOUSE PARKING LOT PLAN N
SCALE WS
COMMISSIONER MEETING ROOM REMODEL
MAIN LEVEL
PREPARED 5/01/08, 9:09:52 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/01/08
------------------------------------------------------------------------------------------------
ADDRESS . : 223 E 4TH ST SUBDIV:
TENANT, NBR: CLALLAM COUNTY JAIL
CONTRACTOR : PHONE
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 08-00000357 COMM REMODEL
-------------------------- ----------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 5/01/08 JLL BLDG FINAL
April 30, 2008 9:25:31 AM 1pangrle.
TOM 417-2409
BLDG FINAL - MEZZANINE
-------------------------- B-- COMMENTS AND NOTES
{0,� "Q'I CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
v 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 08-00000357 Date 4/17/08
Application pin number . . . 342183
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Tenant nbr, name . . . . . . CLALLAM COUNTY JAIL
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 12150
----------------------------------------------------------------------------
Application desc
MEZZANINE FOR JAIL STORAGE IN EXISTING WAREHOUSE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY COURTHOUSE OWNER
PORT ANGELES
WA 98362
(360) 417-2429
--- Structure Information
000 000 TI - MEZZANINE FOR JAIL STORAGE
Construction Type
. . . . . TYPE V NON -RATED
Occupancy Type .
. . . . . JAILS, RESTRAINED PERSONS
----------------------------------------------------------------------------
Permit . . . . .
. BUILDING PERMIT - COMMERCIAL
Additional desc .
. MEZZANINE FOR JAIL STORAGE
Permit pin number
. 123372
Permit Fee . . .
. 249.75 Plan Check Fee
162.34
Issue Date . . .
. 4/17/08 Valuation . . . .
12150
Expiration Date .
. 10/14/08
Qty Unit Charge Per
Extension
BASE FEE
95.75
11.00 14.0000
THOU BL -2001-25K (14 PER K)
154.00
----------------------------------------------------------------------------
Special Notes and
Comments
The Fire Department
has reviewed the project application
and
has no comments
-----------------------------------------------------------------------------
Other Fees . . .
. . . . . . STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary
Charged Paid Credited
Due
Permit Fee Total
249.75 249.75 .00
.00
Plan Check Total
162.34 162.34 .00
.00
Other Fee Total
4.50 4.50 .00
.00
Grand Total
416.59 416.59 .00
.00
1
N
O
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.
Print Name
T: Farms/Building Division/Building Permit (10/01 /07).wpd
Signature of Contractor or Authorized Agent Signature of Owner (if owner
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. O
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE OQ
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. 1
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE/ DOWNSPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
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
I NO
ELECTRICAL - LIGHT DEPT. 417-4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T Forms/Building Division/Building Permit (10/01/07).wpd
l't
T_
08-357
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Clallam County Jail Kitchen Storage Mezzanine
Address: 223 East 4th
Plan # 08-14 Com ® Residential ❑ Date: 4.14.2008
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by:Date: `l • 14 • o $
® Building Department Copy
❑ Contractor/ Owner Copy
❑ Fire Department Copy
PREPARED 3/12/08, 9:35:44 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/12/08
------------------------------------------------------------------------------------------------
ADDRESS . : 223 E 4TH ST SUBDIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------- --------------- -----------------------------
BL1 01 1/10/08 JLL BLDG FOUNDATION FOOTING TIME: 01:00
1/10/08 AP January 9, 2008 3:44:39 PM 1pangrle.
RON 340-6408
FOOTING
AFTERNOON
January 10, 2008 4:40:11 PM jlierly.
BLRI O1 2/25/08 JLL BLDG REBAR INSPECTION TIME: 09:00
2/25/08 AP February 25, 2008 9:10:12 AM 1pangrle.
RON 360-340-6408
"STEEL REINFORCEMENT OF CMU WALLS UP TO THE FOUR FEET BOND
BEAM"
MORNING - CONCRETE POUR AT 11:00 AM
February 25, 2008 4:39:52 PM jlierly.
BLRI 02 2/28/08 JLL BLDG REBAR INSPECTION
2/28/08 AP February 28, 2008 9:45:52 AM 1pangrle.
RON 360-340-6408
"CMU WALL REINFORCEMENT"
February 28, 2008 4:37:03 PM jlierly.
BLRI 03<S*BLDG REBAR INSPECTION TIME: 01:00
March 12, 2008 8:26:34 AM 1pangrle.
RON 360-340-6408
CMU WALL REINFORCEMENT
AFTERNOON
---------- COMMENTS AND NOTES --------------------------------------
PORT BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
i Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 Date Received � 1 l 0 g
(360) 417-4815 fax (360) 417-4711 Permit # 0>'b
Date Approved
Applicant or Agent GI�(b,� �„��, ^ �,� 61. Phone 3
Property Owner kL�. CPhone
Property Owner's Address Z 2 rt( � P
Contractor/Engineer Phone
Contractor/Engineer's Address
License #
Expires
PROJECT ADDRESS Z2?i��,- se %. PW_
Parcel Number Q(o3O6D(ASoIpd LotA.(5� Zoning
Proiect Type & Brief Description:
Check all that apply
❑ New Construction
Addition
❑ Remodel L
❑ Repair
❑ Re -roof
❑ Demolition
❑ Residential XCommercial ❑ Multi -family
❑ Industrial
❑ Sign ❑ wall -mounted ❑ projecting ❑ freestanding ❑ awning
Total sign area sq. ft. Maximum allowed sign area sq. ft.
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
❑ other
Floor Areas Existing (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 $ I Z 1 So , 00
Total footprint of structures 2 d% X 2,0 sq. ft.
QUO S.f
Max. height of proposed structures q'- (% ft.
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T Lot size r------- sq. ft. = Lot coverage ---9`0
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to o tain ermits prior to working on
projects.
Date 2 2 Print Name L-Au.) lei Signature --
Website Version / Dec. 2007
11V-0
so
J L- Ply
tN op.7k
C—
10
10
11
I
M
NEW
MEZZANINE
�J
rim IC
z
�\ r ANGELES -- ron ^trtictinn r'tav?�
�e :�s perm' Q6Qi on e a -
JAIL cations and other data shall not prevent the building officiaf
from thereafter requiring the correction of errors in said
K I TGHEN olf' s, specifications and other data, or from preventing
Irling operations being carried on thereunder when in
STORAGE i tion of all codes and ordinances of this jurisdiction.
Approval Date By
OL
PARKING LOT
MEZZAN NE PIAN
SCALE: V5"=1'-0"
STORAGE
%'3 C.
RECEIVED
APR 1 1 2008
CITYBUILDING GOF RDIVISION ES
NOT
1.0'
2.0
3.0,
4.0'
5.0'
9 e
7.0
8.0
9.0,
"Y!
B
R-5 IV
HR-5
L #3
6, ---(AUL. iib HR -4 IDOL #5
OPENING
SLIDING GATE
A 10' 10' A
EL01 EL01
CORNER COLUMN SIDE COLUMN #2 & #8 (AS SHOWN)
ES #1, #3, #5, & #7 #4 & #6 (OPPOSITE HAND)
FOR ELEVATION VIEWS, SEE DRAWING 07-2600-EL01
FOR COLUMN DETAILS, SEE DRAWING 07-2600-D01 THRU 07-2600-D03
FOR CHANNEL BEAM DETAILS, SEE DRAWING 07-2600-D04 THRU 07-2600-D05
FOR DECK BOARD LAYOUT, SEE DRAWING 07-2600-L02
COLUMNS TO BE 6" SQUARE TUBE WITH 12" x 12" ANCHOR PLATES (UNLESS OTHERWISE NOTED)
MAIN DECK SUPPORT BEAMS TO BE 12" FORMED CHANNELS.
DECKING TO BE 1 1/8" POLYLAM T & G DECK, GRAY TOP / WHITE UNDERSIDE, 9'-1 1/8" TOP OF DECK
PAINT COLOR FOR ALL MEZZANINE STEEL COMPONENTS: CASCADE GRAY
MEZZANINE DESIGNED FOR 125 PSF LIVE LOAD. - - -
CENTER COLUMN #9
SGL. BEAM CROSS—SECTION
DBL. BEAM CROSS—SECTION
3
1
T
11 GA
6
1"
T
11 GA
1'
1'
42" GUARDRAIL & KICKPLATE
TAG
QTY.
LENGTH
# OF POSTS
KICKPLATE
HR -1
4
10'-0"
8 TOTAL
(4) — 10'-0"
HR -2
1
9'-10 1/2'
2
(1) — 9'-10 1/2 -
HR -3
1
6'-0"
2
(1) — 6'-0"
HR -4
1
3'-4 1/2"
2
(1) — 3'-4 1/2 -
HR -5
2
4'-0"
4 TOTAL
(2) — 4'-0"
HR -6
1
GATE RECUR
2 / EA
(1) — 2'-6"
HR -7
1
GATE POCKET
3 / EA
(1) — 7'-6"
HR -8
1
GATE PANEL
(2) CASTERS
(1) — 6'-0"
MATERIAL FLOW & CONVEYOR SYSTEMS, INC
TomtkORgrM
�\,,,,T..W.QmW"FW.4
MM OW8131 MM Uf 1382 4 FAX 101 M"113
a�ertm;wwwnmwwnoa.00m 1 wwm fa�.00m
TO[ ERANCES
uaa yam ano.�
NOME
ne aAo a ft MPOW OF wnwr
MEZZANINE
Ra a 0pi4�a umm W- No s "wo
GENERAL LAYOUT
o�0a i n°1aa
a A a„om„ ma nc vate o
FOR INSTALLATION
,o,°0M,`U9 ,"1°,°olD,�;,,R
0o NOT SC&E DRAWNG
— ~ RSC p'
~`
0 �� CIALLAM SHERRIFF S DEPT
DS
rorty woRI r
REIAOVE ALL SHARP
EDAND CORNERS
02-12-08 1/2"-1'
o MF07-2600
07-2600—LD1 M
�—
3'-4 1/2"
7'-6"
GATE PANEL
FRONT ELEVATION VIEW - SECTION A -A
20'
16'
OPENING
6' 10'
4 _ 42' HIGH GUARDRAIL
GUARDRAIL ON
LANDING
311
\ 6' TOP OF DECK
CLEAR
OSHA 936F14 STAIRS: 36' WIDE
STEPS, 42 HIGH GUARDRAIL
10'-6 1/2" 9'-5 1/2"
SIDE ELEVATION VIEW - SECTION B -B
M ERANCES J>tOTICE
NMa lolm NIIIO� Da DRAMO O u* PIIOPIR" OF M7EIUL
m . m FDR • OM'fm F=m NL no o am=
0a0 . Caa ON NE OONOI„ m 7w M Kom omn
ma0 • 1oa MO OOCEM PAWM t IHD OMPOOMIL
nvcmNa k I ANO 6 S0e"T m PET,1N ON DEM4m
NNNNI • I r e M RSC
00 NOT SCALE ORAWWG
DS
REMOVE ALL SHARP
o[ t G Il i r r I o N r EDGES AND CORNERS 02-12-081— 1/2-l'
ZIMATERIAL FLOW & CONVEYOR SYSTEMS, INC
n„2 NLW. a +G N0. E row. OR 9r
PH: PXIO 88-613/ MM SWINZ E FAX OM DBa l
WEe NViEB. ww.mwr�rnow.mm t .,Y..mn y-p'm—
20' X 20' MEZZANINE
ELEVATION VIEWS
07-2600-LO1 CLALLAM SHERRIFF'S DEPT
pm ANGELES, WA
MF07-2600 1 07-2600-EL01 M �-
M � ,
D-1 cl D-1 D-1 D-1 D-1
MATERIAL. FLOW & CONVEYOR SYSTEMS, INC
D-1
'i
D-1
D-1
D-1
D-1
\ I`
�^
wEB BrtEB: +.w.mE.hlnow.aan 1 �'.�*+rQo�.�
D-1 cl D-1 D-1 D-1 D-1
4 4' —� -- 4' —�-- 4' —� 4-
20'
20'
8'
4
NOTES
1.0) FOR BEAM STRUCTURE LAYOUT, SEE DRAWING 07-2600-1-01
2.0) DECKING TO BE 1 1/8" POLYLAM T & G DECK, GRAY TOP / WHITE UNDERSIDE
GROOVE
4 D_1 4'-0" x 8'-0" x 1 1/8" POLYLAM
e T & G DECK, GRAY TOP / WHITE UNDERSIDE
(10) REQ'D
TONGUE
GROOVE
4'-0" x 4'-0" x 1 1/8" POLYLAM
4 D-2 T & G DECK, GRAY TOP / WHITE UNDERSIDE
4 (6) REQ'D FOR STAIR LANDING (CUT 8' LONG
PANEL TO MAKE (2) 4' X 4' PIECES)
TONGUE
MATERIAL. FLOW & CONVEYOR SYSTEMS, INC
D-2 9
D-2
D -2c
D-2 D-2
4 4' —� -- 4' —�-- 4' —� 4-
20'
20'
8'
4
NOTES
1.0) FOR BEAM STRUCTURE LAYOUT, SEE DRAWING 07-2600-1-01
2.0) DECKING TO BE 1 1/8" POLYLAM T & G DECK, GRAY TOP / WHITE UNDERSIDE
GROOVE
4 D_1 4'-0" x 8'-0" x 1 1/8" POLYLAM
e T & G DECK, GRAY TOP / WHITE UNDERSIDE
(10) REQ'D
TONGUE
GROOVE
4'-0" x 4'-0" x 1 1/8" POLYLAM
4 D-2 T & G DECK, GRAY TOP / WHITE UNDERSIDE
4 (6) REQ'D FOR STAIR LANDING (CUT 8' LONG
PANEL TO MAKE (2) 4' X 4' PIECES)
TONGUE
MATERIAL. FLOW & CONVEYOR SYSTEMS, INC
1i117B.W.(Mw"Rd. / T0W,0R9=
PH. �8Q1) !841!19 / �� 8961982 � FAX (6�f) 88461 S7
\ I`
�^
wEB BrtEB: +.w.mE.hlnow.aan 1 �'.�*+rQo�.�
u �
NOTICE
na maw a ncc FRWE r or MM&
�
20' X 20' MEZZANINE
FM 0°101&=W NGD 6 MM
DECK
+o u
am oae
8R 11a ommm AYV nc KA -t%
PANEL LAYOUT
RK,OMI
am
10 RETURNDo o� OMFUUMIL
FOR INSTALLATION
RSC p' "`
�°' " °'0
""O1p CLAUAM SHERRIFF'S DEPT.
DO NOT SCALE DRAWNG
pw ANomm VA
DS
- REMOVE Atl. SHARP
0c a R,.,,,, p EDGES AND CORNERS
" "'
MF07-ze00
00°
07-2600—L02 R7 -
—
A7
02-12-08 1/2-1'
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
08-00000041 Date 1/11/08
219105
223 E 4TH ST
06 -30 -00 -6 -4 -6700 -0000 -
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit pin number .
118893
Permit Fee . . . .
93.00
Plan Check Fee
.00
Issue Date . . . .
1/11/08
Valuation . . .
. 0
Expiration Date . .
7/09/08
Qty Unit Charge
Per
Extension
1.00 58.0000
ECH EL -COMM ALT <5 CIRCUITS
58.00
7.00 5.0000
ECH EL -COMM ALT-ADDTNL CIRCUITS
35.00
----------------------------------------------------------------------------
Fee summary Charged
----------
Paid Credited
------------------------------
Due
-----------------
Permit Fee Total
93.00
93.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
93.00
93.00 .00
.00
11
SPECTION
ELECTRICAL
TYPE
DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
HUGH - IN
a
FINAL
1a
��
'TV
COMMENTS:
PREPARED 2/25/08, 9:50:37 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/25/08
-- --- -----------------------------------------
ADDRESS . : 223 E 4TH ST SU13DIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
----------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------- ----- --- ------ -----------------
BL1 01 1/10/08 JLL BLDG FOUNDATION FOOTING TIME: 01:00
1/10/08 AP January 9, 2008 3:44:39 PM 1pangrle.
RON 340-6408
FOOTING
AFTERNOON
January 10, 2008 4:40:11 PM jlierly.
BLRI 01 2/25/08 L BLDG REBAR INSPECTION TIME: 09:00
February 25, 2008 9:10:12 AM 1pangrle.
RON 360-340-6408
"STEEL REINFORCEMENT OF CMU WALLS UP TO THE FOUR FEET BOND
BEAM"
MORNING - CONCRETE POUR AT 11:00 AM
-------------------------------------- COMMENTS AND NOTES-------
PREPARED 1/15/08, 9:16:01 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/15/08
-------- ----------------------------------
ADDRESS . : 223 E 4TH ST SU13DIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
--------------------------- ----- -------------- -
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL1 01 1/09/08 JLL PLUMBING UNDER SLAB
1/09/08 DA January 9, 2008 8:33:47 AM 1pangrle.
MARK 477-0626
UNDERSLAB PLUMBING
January 9, 2008 3:32:31 PM jlierly.
sand around dwv regd/jll
PL1 02 1/10/08 JLL PLUMBING UNDER SLAB TIME: 01:00
1/10/08 AP January 9, 2008 3:43:57 PM 1pangrle.
RON 340-6408
1-7 "UNDERGROUND PLUMBING"
January 10, 2008 4:40:11 PM jlierly.
PL1 03 1/15/08 PLUMBING UNDER SLAB TIME: 01:00
January 15, 2008 8:40:44 AM 1pangrle.
RON 360-340-6408
UNDERSLAB PLUMBING
PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE.
AFTERNOON
-------------------------------------- COMMENTS AND NOTES--------------------------------------
PREPARED 1/10/08, 8:43:37 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/10/08
----------------------------------- ------------------------------------------------------------
ADDRESS . : 223 E 4TH ST SUBDIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
----------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - LX)MMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RES RESULTS/COMMENTS
----------------------- ------------------------------------------ -------------
BL1 01 1/10/08 BLDG FOUNDATION FOOTING TIME: 01:00
January 9, 2008 3:44:39 PM 1pangrle.
RON 340-6408
FOOTING
AFTERNOON
--------- ------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------- --------------- --------------------------------------------------
PL1 01 1/09/08 JLL PLUMBING UNDER SLAB
1/09/08 DA January 9, 2008 8:33:47 AM 1pangrle.
MARK 477-0626
UNDERSLAB PLUMBING
January 9, 2008 3:32:31 PM jlierly.
sand around dwv regd/jll
PL1 02 1/10/08 L PLUMBING UNDER SLAB TIME: 01:00
January 9, 2008 3:43:57 PM 1pangrle.
RON 340-6408
"UNDERGROUND PLUMBING"
--------------------------------------COMMENTS AND NOTES--------------------------------------
PREPARED 1/09/08, 9:41:48 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/09/08
------------------------------------------------------------------------------------------------
ADDRESS . : 223 E 4TH ST SUBDIV:
CONTRACTOR FISCHER GENERAL CONTRG INC PHONE (360) 697-5402
OWNER CLALLAM COUNTY COURTHOUSE PHONE (360) 417-2429
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 07-00001177 COMM REMODEL
---------------------------------------------------------------------------
PERMIT: PL 00 PLUMBnfG PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL1 01 1/09/08 JLL PLUMBING UNDER SLAB
January 9, 2008 8:33:47 AM 1pangrle.
MARK 477-0626
UNDERSLAB PLUMBING
-------------------------------------- COMMENTS AND NOTES
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Tenant nbr, name . . . . . .
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5`h Street, Port Angeles, WA 98362
07-00001485 Date 12/21/07
625630
223 E 4TH ST
06-30-00-6-4-6700-0000-
CLALLAM COUNTY JAIL
FIRE ALARM SYSTEM
PUBLIC BUILDINGS & PARKS
6250
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY COURTHOUSE ACCESS UNLMTD & SECURITY
INC
223 E. FOURTH ST. 2615 N CINCINNATI
PORT ANGELES WA 98362 SUITE 101
(360) 417-2429 SPOKANE WA
99207
(509) 241-0563
----------------------------------------------------------------------------
Permit . . . . . . FIRE ALARM SYSTEM
Additional desc . . FIRE ALARM SYSTEM
Permit pin number . 117630
Permit Fee . . . . 150.00 Plan Check Fee
.00
Issue Date . . . . 12/21/07 Valuation . . . .
0
Expiration Date 6/18/08
Qty Unit Charge Per Extension
1.00 100.0000 ECH FIRE INSPECTION & TESTING
100.00
1.00 50.0000 ECH FIRE ALARM PLAN REVIEW
----------------------------------------------------------------------------
50.00
Special Notes and Comments
Owner is responsible for ongoing fire alarm system
inspection and maintenance per the current addition of NFPA
72.
Call for cover inspection for all sprinkler installations. A
full acceptance test will be required for all fire alarm
systems.
----------------------------------------------------------------------------
Fee summaty Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 150.00 150.00 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 150.00 150.00 .00
.00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
O
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate Q9
or conceal any work before inspected and accepted. Post permit in a conspicuous location. UR
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type
Date Passed
Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Completed by Contractor:
Test #1
Piping pressure test psi
Time initiated
Test #2
Piping pressure test psi
Time initiated
Underground piping inspection/pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP -gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
GENERAL COMMENTS:
V)
R
N
2/15/00 � 3
PORT ANGELES FIRE DEPARTMENT
FIRE ALARM SYSTEM PLAN REVIEW
O
Project Name: Clallam County Jail Renovation
Address: 223 East 4th
Plan # 07-14 Installer: Access Unlimited Date: 12.21.2007
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances, with the following comments:
The following comments apply to all systems:
1. All systems shall be installed per NFPA 72.
2. A final field acceptance test will be conducted before final approval. The field
acceptance test will be a test of ALL system components.
3. Owner is responsible for all ongoing inspection, testing and maintenance required per the
current edition of the International Fire Code.
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by: Date: JZ- 21.0 7
Building Department Copy
❑ Contractor/ Owner Copy
❑ Fire Department Copy
❑ Light Department
TO:
DATE:
FIRE DEPARTMENT
. ❑ PLANNING DEPARTMENT
❑ PUBLIC WORKS/ENGINEERING DIVISION
❑ LIGHT DIVISION
❑ ENERGY
❑ ENGINEERING
❑ POLICE DEPARTMENT
❑ ADMINISTRATION
❑ CITY CLERK
❑ RISK MANAGEMENT
FROM: PUBLIC WORKS/BUILDING DIVISION
RE: ADDRESS:
1 I
NAME/CONTACT: K,ekl t i`L Kc -o
PHONE: -509 - 2 -Li I- G s6 3
PERMIT NUMBER:_
PROJECT DESCRIPTION:
❑ NEW CONSTRUCTION
ADDITION/ALTER*ATION
COMMENTS/CONDITIONS:
REVIEW/RETURN
❑ FILE
a7 -1 `(
C)VA
BUILDING PERMIT APPLICATION Print in ink
I*�•.'�- CITY OF PORT ANGELES
I9 1� Attn: Building Permit Technician For City Use Only:
Date Received
321 E. Fifth St., Port Angeles, WA 98362 Permit # L 7 -
(360) 417-4815 fax (360) 417-4711 Date Approved^a
Applicant or Agent T1Ce,E-,,jS Phone 509-,-411-0563
Owner e Lg 1 f p nn C Durr N Phone 3 (ob - y/7-2 VZ 9
Owner's Address 2 Z 3 E �!i tze� Pv2T A -,q ele s, W 14 9 8 3 6 2
Contractor/Engineer ,q CCE-sS u n l ,mites! A-0 Sc cu►2,ry Phone :509-2q1-0563
Contractor/Engineer's Address 2-&15 N . C, N e,, ti.va r, t4- 10 1 S P6164 m e , t,,i +4 9 r ELI -7
License# ACC ESu�,:,9-14 V7 Expires S/2c./zoo9
PROJECT ADDRESS Z Z 3 E E-ou�rt+ ST. _8o,?_r Arn Pd,-) uia
Parcel Number Lot Zoning
Proiect Type & Brief Description: ❑ Residential Commercial ❑ Multi -family ❑ Industrial
Check all that apply
❑ New Construction
❑ Addition
❑ Remodel
❑ Repair
❑ Re -roof
❑ Demolition
❑ Sign ❑ wall -mounted ❑ projecting ❑ freestanding ❑ awning ❑ other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
Floor Areas
Basement
1s' Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
'V lee u, e. w
Existing (sq. ft.) Proposed (sq. ft.)
@ $ per sq. ft. = $
z COW
TOTAL VALUATION $
6" Z56- 40
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
1 have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. ,,//
Date /Z w a 7 Print Name K icJ2�r Signature
Web Version 10-01-07
Ken Pickens
From:
Ken Pickens
Sent:
Monday, December 10, 2007 12:51 PM
To:
permits@cityofpa. us'
Cc:
'kenp@ausecurity.net'
Subject:
Fire Alarm Permits
Linda,
I am sending you off 5 sets of Fire Alarm Submittals for the Clallam County Jail Renovation Project, I met with Ken last
week on site and we discussed what he wanted.
I am Mailing them to:
City of Port Angeles
Building Permits
321 E. 5th Street
Port Angeles, WA 98362
This is an addressable Fire Alarm Circuit, This is also an add to the existing system, the number of zones per Ken is (1).
Do I need to send a check with the plans and if so how much? I am sending 5 sets and would like 3 sets back with Ken's
approval stamp, is this all do able?
Thank you,
Ken Pickens
Vice President
Access Unlimited & Security, Inc.
2615 N. Cincinnati Suite 101
Spokane, WA 99207
(509) 241-0563
(509) 499-7450
2615 N Cincinnati, Suite 101
Spokane, WA 99207
Securit
y Phone: (509) 141-056 Fax: (509) 141-04612
Cell: (509) 499-7450
kenp@ausecurity.net
Ken Pickens
Vice President
Installation & Service
Access Control • CCTV • Network Cabling • Phone Cabling • Fiber
Home Security • Business Security • Storage Unit Security
24-hour paging: (509) 880-0074
(11/30/2007) Sue Roberds - Re: Fwd: Clallam County Correctional Facility Renovations Page 1 i
From: Steve Sperr
To: Roberds, Sue
Date: 11/29/2007 8:53 AM
Subject: Re: Fwd: Clallam County Correctional Facility Renovations
CC: Funston, Trenia
Sue,
The comments that we previously provided were based on earlier discussions with the County, where the City was
attempting to have the County correct some existing ADA problems along 4th Street - including the driveway entryway
work that should have been done as part of another County project that occurred a number of years ago . However, I do
not believe that the City should be insisting on this work at this time, as Joel states below.
*******************
Stephen Sperr, P.E.
City Engineer
City of Port Angeles
P.O. Box 1150
321 E 5th Street
Port Angeles, WA 98362
phone: 360-417-4803
fax: 360-417-4709
(11/30/2007) Sue Roberds-RE Clallam County Correctional Facility Renovations_ T_- Page 1
From: Sue Roberds
Iv
To: Joel Winborn
(�}
Subject: RE: Clallam County Correctional Facility Renovations
D
Dear Joel:
T
Getting back to you regarding your earlier e-mail. The two conditions of building permit approval requiring
r.
on site improvements will not be required at this time. The conditions were attached to earlier reviews
where the City was addressing correction to some existing ADA problems that exist on County property
along 4th Street - including driveway entryway work that should have been done as part of another County
project that occurred a number of years ago. While it is strongly suggested that public agencies always
endeavor to maintain site development to at least minimal requirements, particularly with regard to ADA
provisions, your statement that the interior remodel of the County structure does not in itself allow us to
4.
compel adherance to all other standards is correct. It is also correct that placement of postal structures
are in accordance with Post Office (PO) regulations, however, ADA standards are separate and above
any regulations for placement that the PO imposes.
Please understand that the deficiencies exist and we strongly suggest the County address them sooner
than later.
If you have any more questions, please let us know.
Sue Roberds
Iv
Planning Manager
(�}
>>> "Winborn, Joel" <iwinborn (c)co.clallam.wa.us> 11/26/2007 10:12 AM >>>
Thanks Sue.
T
-----Original Message-----
r.
From: Sue Roberds fmaiIto: Sroberds(a-cityofpa.usl
Sent: Monday, November 26, 2007 9:40 AM
To: Winborn, Joel
Subject: Re: Clallam County Correctional Facility Renovations
4.
Good morning Joel:
I am looking into the background of this issue. Give me a few days.
We need to confer with engineering and Gary Kenworthy, who required the
improvements originally. Although Gary is retired, we are still in
contact for pending issues and their history.
will get back to you later this week.
Sue Roberds
>>> "Winborn, Joel" <jwinborn 0)co.clallam.wa.us> 11/14/2007 9:15 AM >>>
Sue:
I'm not sure if you are the person I need to be sending this to (your
name was on the comments section) but I am writing this in response to a
couple of comments we received regarding the Jail alteration.
1. City comment: "All three driveway approaches on 4th Street will be
replaced to meet current ADA and City Standards."
(11/30/2007) Sue Roberds - RE: Clallam County Correctional Facility Renovations Page 2'
This issue was discussed during our first attempt at a jail expansion
earlier this year. It was finally determined by City engineering that
only one of the crosswalk areas needed to be brought up to current
standards because there was only one area that was being altered and
that was the eastern most driveway entry off of 4th Street. The
original plan called for excavation and the installation of underground
piping which this scaled down project does not.
The current jail project has been greatly reduced in scope and there is
no work to occur in the parking lot or beyond the existing footprint.
The existing crosswalks will not be altered in any way in association
with the work going on in the jail and should not be a requirement of
this project.
2. City Comment: "Postal Mail boxes on 4th Street will be relocated to
allow for ADA access along sidewalk."
This issue was also discussed earlier in the year and, again, has no
bearing on the current jail project. The existing mail boxes are
located within the City ROW, e.g., on the sidewalk. Any approval or
authorization to move them must come from the USPS.
Both of these requirements by the City appear to be beyond the scope of
work for this project. I respectfully request that these requirements
be removed from the comments section of our permit with the
understanding that any future work in the parking area or crosswalks
will include an upgrade which will meet current, or current at the time,
City standards.
If you would like to discuss this issue further please feel free to call
me at 417.2429, or email at jwinborn(abco.clallam.wa.us.
Thank you,
Joel
Joel G. Winborn, Division Manager
Clallam County Parks, Fair & Facilities
360-417-2429
CC: James Lierly; Linda Pangrle
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00001177 Date 11/08/07
Application pin number . . . 210957
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 862500
Owner Contractor
CLALLAM COUNTY COURTHOUSE FISCHER GENERAL CONTRG INC
223 E. 4TH ST PO BOX 661
PORT ANGELES WA 98362 POULSBO WA 98370
(360) 417-2429 (360) 697-5402
--- Structure Information 000 000 JAIL (SDU) ---
Construction Type . . . . . TYPE I FIRE RESISTIVE
Occupancy Type . . . . . . JAILS, RESTRAINED PERSONS
----------------------------------------------------------------------------
Permit . . . . . . RIGHT OF WAY
Additional desc . . REPLACE DRIVEWAY APPROACHES
Permit pin number . 114819
Permit Fee . . . . 50.00 Plan Check Fee .00
Issue Date . . 11/08/07 Valuation . . . . 862500
Expiration Date 5/06/08
Qty Unit Charge Per Extension
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
----------------------------------------------------------------------------
Special Notes and Comments
October 15, 2007 5:49:46 PM kdubuc.
Doors 2430A, 2421A, 2433A and 2416A swing open into the path
of egress travel for occupants of the two main sleeping
areas. If the hinge side of the doors was simply reversed,
the doors would still lay flat against the wall when opened,
but they would open in the direction of emergency egress
travel, making them less likely to impede emergency egress. 1
This project will require a seperate permit and fire alarm
plans for review.
October 26, 2007 1:05:07 PM sroberds.
Proposal is for remodel of existing area within structure in d 4v
the PBP zone. No increase in usable area. n \\I� S'eA ('J\ON �
Electrical load calculations and elctrical permits are C� , "
required. 5eR, 5j e- 14)P
GD P
All three drivewaay approaches on 4th Street will be /!_„ W
replaced to meet current ADA and City Standards. Postal mail �,
boxes on 4th Street will be relocated to allow for ADA
access along sidewalk. No concrete with exposed aggregate
allowed in the City road right of way. An inspection by /On
Public Works Engineering is required prior to pouring
concrete.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check 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
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
nature �f Contractor or Authorized Agent
T:\Policies\l 102.15R [ 1/05)
Signature of Owner (if owner is builder) Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - RW.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T:\Policies\l 102.15R [1/05]
lipOnr" F
v
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 07-00001177 Date 11/08/07
Application pin number . . . 210957
Other Fee Total 4.50 4.50 .00 .00
Grand Total 54.50 54.50 .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
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:\Policies\1102.15R [1/051
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAIFFUL TO COVER,,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATA ION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW I ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T:\Policies\l 102.15R [1/05]
0
pOR7
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00001177 Date 11/08/07
Application pin number . . . 210957
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 862500
Owner Contractor
CLALLAM COUNTY COURTHOUSE FISCHER GENERAL CONTRG INC
223 E. 4TH ST PO BOX 661
PORT ANGELES WA 98362 POULSBO WA 98370
(360) 417-2429 (360) 697-5402
--- Structure Information 000 000 JAIL (SDU)
Construction Type . . . . . TYPE I FIRE RESISTIVE
Occupancy Type . . . . . . JAILS, RESTRAINED PERSONS
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . JAIL REMODEL (SDU)
Permit pin number . 113068
Permit Fee . . . . 4984.50 Plan Check Fee 3239.93
Issue Date . . . . 11/08/07 Valuation . . . . 862500
Expiration Date . . 5/06/08
Qty Unit Charge Per Extension
BASE FEE 3260.25
363.00 4.7500 THOU BL -500,001-1M (4.75 PER K) 1724.25
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit pin number 114066
Permit Fee 145.85 Plan Check Fee .00
Issue Date . . . . 11/08/07 Valuation . . . . 0
Expiration Date . . 5/06/08
Qty Unit Charge Per Extension
BASE FEE 50.00
9.00 10.6500 ECH ME-HOOD/DUCT SYSTEM 95.85
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit pin number . 114074
Permit Fee . . . . 218.00 Plan Check Fee .00
Issue Date . . . . 11/08/07 Valuation . . . . 0
Expiration Date . . 5/06/08
Qty Unit Charge Per Extension
BASE FEE 50.00
22.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 154.00
2.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 14.00
------ --
Special Notes and Comments
October 15, 2007 5:49:46 PM kdubuc.
Doors 2430A, 2421A, 2433A and 2416A swing open into the path
of egress travel for occupants of the two main sleeping
areas. If the hinge side of the doors was simply reversed,
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 provisiols of any state or local law regulating construction or the performance of
construction. \ 1 M
Print Name ' ` Signature of contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit (10/01/07).wpd
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. 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
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
FINAL DATE ACCEPTED BY:
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / 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
FINAL DATE ACCEPTED BY:
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
SEPA:
ESA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
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/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT,
BUILDING 417-4815
BUILDING
T: Forms/Building Division/Building Permit (10/0 1 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
•
Page 2
Application Number . . . . . 07-00001177 Date 11/08/07
Application pin number . . . 210957
----------------------------------------------------------------------------
Special Notes and Comments
the doors would still lay flat against the wall when opened,
but they would open in the direction of emergency egress
travel, making them less likely to impede emergency egress.
This project will require a seperate permit and fire alarm
plans for review.
October 26, 2007 1:05:07 PM sroberds. 2 Q101
Proposal is for remodel of existing area within structure in 1 e J
the PBP zone. No increase in usable area. �` 1 r,,.�Dp� `
Electrical load calculations and elctrical permits are froo 7 vv
required. \\, J
All three drivewaay approaches on 4th Street will be A
replaced to meet current ADA and City Standards. Postal mail pi �, �•��,
boxes on 4th Street will be relocated to allow for ADA
access along sidewalk. No concrete with exposed aggregate �[7
allowed in the City road right of way. An inspection by inn e'se
Public Works Engineering is required prior to pouring '�``
concrete.`�>
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 5348.35 5348.35 .00 .00
Plan Check Total 3239.93 3239.93 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 8592.78 8592.78 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit (10/01/07).wpd
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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE •
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. O
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS )
YES NO �11
FOUNDATION: J
f26%a" ►h � Perho � �`F I,�iat(5 2/250 8 TL � .---�
FOOTINGS 31 314-
SHEAR
1LSHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / 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/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT ft's
PARKING/LIGHTING
LANDSCAPING
4/151C)g TSL unJer&(" r(urnfotrn9
FINAL -lam I I — () R DATE -J -1-L- ACCEPTED BY:
FINAL —I I _ O O DATE 731-L- ACCEPTED BY:
SEPA:
ESA:
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
I NO
ELECTRICAL - LIGHT DEPT. 417-4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
AAp,p
1 : f orms/Bui ltlmg Ulvlslon/Buticling Permit ( I U/U I/U7). wpd
(10/25/2007) James Lierly - Clallam Correctional Facility Exhaust Page 1J
From: "mark kartchner" <mark@meulinkengr.com>
To: <jlierly@cityofpa.us>
Date: 10/25/2007 9:17 AM
Subject: Clallam Correctional Facility Exhaust
Attachments: 07-32M-4.1.pdf
I have attached M4.1 as requested for the Clallam Correctional Facility
exhaust system. This portion of the facility has no return air as it is
considered a wet facility, and every room is considered a restroom. All the
air is exhausted and the supply air is 100% outside air.
Please let me know if you need more information.
Mark
Mark Kartchner P.E., LEED
Project Engineer
FILE
ol- R17
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Clallam County Jail Remodel
Address: 223 East Fourth Street
Plan # 07-28 1 Com ® Residential ❑ Date: 10. 15.2007
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances. We have the following comments:
1) Doors 2430A, 2421A, 2433A and 2416A swing open into the path of egress travel for
occupants of the two main sleeping areas. If the hinge side of the doors was simply reversed, the
doors would still lay flat against the wall when opened, but they would open in the direction of
emergency egress travel, making them less likely to impede emergency egress.
2) Separate fire alarm plans are required. Full acceptance test of all fire alarm components to be
required.
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by: LQ Date: L b • t 5 -L)7
® Building Department Copy
❑ Contractor/ Owner Copy
❑ Fire Department Copy
TO:
DATE: 10-0-07
Q 0 _0
FIRE DEPARTMENT
❑ PLANNING DEPARTMENT
❑ PUBLIC WORKS/ENGINEERING DIVISION
❑ LIGHT DIVISION
❑ ENERGY
❑ ENGINEERING
❑ POLICE DEPARTMENT
❑ ADMINISTRATION
❑ CITY CLERK
❑ RISK MANAGEMENT
FROM: PUBLIC WORKS/BUILDING DIVISION
RE: ADDRESS: 2Z 3 E qti' S C c� l ppm l�(�UI'1
NAME/CONTACT:�,� (� i n kc r -v-.\
PHONE: H l 7—H 2,9
PERMIT NUMBER:_ Q -n - (1-7 :Zj
PROJECT DESCRIPTION: R e�Q A O v� ek 1 S� n i Cl
❑ NEW CONSTRUCTION
ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
AREVIEW/RETURN ❑ FILE
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
11 DJDe
t ec.: L0-/0-07
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 Y:" x 11" site plan MUST BE COMPLETE to be it a: ©�—/7T
accepted for review. (360) 417-4815 FAX (360) 417-4711 Approved:�con$raC*0ir �Sf—'� ' Issued:
tll� Residential projects: submit two ofplans
mom Commercial projects: submit thre sets ofplans FO ()I
Applicant or Agent In l
Phone 3(00• 411. 2 Agn
Owner G Ac PM
Phone S rvc-
Owner's Address L?7lit-016211(071
Contractor/Engineer
State License # i t ' —1 � tirs
Contractor/Engineer's Address ^'
Phone
PROJECT ADDRESS: <yptiZ PAP
ZONING:
—1
LEGAL DESCRIPTION: Lot:( -(v hC.Z(o Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER: �(p?jG�Dyj pZt'pt'rj opc�
TYPE OF WORK
❑ Residential ❑ New Constr. ❑ Re -roof ❑ Stove
SIZE/VALUATION
SF. @ $ 011> /SF. _ $ S(pZ'660. OEC
❑ Multi -family ❑ Addition ❑ Move ❑ Garage
SF. @ $ /SF. - $r
D141Commercial Remodel ❑ Demolition ❑ Deck
SF. @ $ /SF. _ $
❑ Repair ❑ Sign ❑ Other
TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT:
F,45! tL ocn,
#A Cr
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: ?27` Construction Type:
G�►.aA. A�hu l,�d.�
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement _ Sq. Ft.
I" floor ����_ Sq. Ft.
& V floor ---------- Sq. Ft.
2"d floor __________ Sq. Ft.
& 2"d floor --- Sq. Ft.
3rd floor _________ Sq. Ft.
& 3`d floor ---- — ---- Sq. Ft.
Accessory Structures ___ _ Sq. Ft.
& Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL __________ Sq. Ft.
& Proposed Structure(s) TOTAL —f'D "' Sq. Ft.
TOTAL
of existing & proposed structures Sq. Ft.
LOT COVERAGE
Maximum Height of Proposed Structure(s)__Ft.
Lot size Sq. Ft ------- ------
Existing Structure(s) Sq. Ft. Footprint �
Are you planning to install a lawn sprinkler system?_._..
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint 1220- L95
Total Lot Coverage (..��. % (Divtttc Total Structure(s)
Sq. Ft. Footprint by Lot Size Sq. Ft.)
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
I hereby certify that I have read and examined this application and know the same to be true and correct. / am authorized to
apply for this permit and understand that it is my responsibility t etermine what permits are required, and that / must obtain
such permi s prior fo work.
Date ii O Applicant
Web Version 8/14/2007
ff
lWAIMINWAiiii,
c
so
a
arx Smiff
COURTHOUSE PARKING LOT PLAN rn
ACMD wo
1%" TYP. ALL AROUND
114" HARDENED STAINLESS STEEL FLATHEAD
SECURITY SCREWS. SECURE IN WALL WITH
HEAVY DUTY DRILL ANCHORS, SET IN
SECURITY SEALANT: ALL FOUR CORNERS.
11 GA. STAINLESS STEEL BLANK SECURITY
PLATE. SET IN PLACE WITH SECURITY
SEALANT. ALL WALL IMPERFECTION VOIDS
SHALL BE COMPLETELY FILLED.
EXISTING ABANDONED JUNCTION BOX TO
REMAIN
INMATE AREA SECURITY OUTLET COVER
IL
TITLE: ADDENDUM 1
DATE: 1a-4-07
cr
—
rch
PROJECT: CXALLAM COUNTY
JOB No: 62060CH
ROBERT GL/GLASSdo ASSOCIATES
Beaman Arciftecture,
Ltd.
P.O. BOX
COFF-CT04AL FACILITY
SHEET NO:
P.O. Box 28097
Poraana,OrW 97286
PHASE 1- FENOVATION
SPOKANE, WA 99228
to.: (503) 236-3309
R A2.-1
5n0 ARA A'i7n
in 15031239-9191
_
a,--e
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number . . , . . 07-00000644 Date 6/07/07
Application pin number -. . . 305944
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
(360) 457-5303
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL
ALTER COMMERCIAL
Additional desc .
. OLY. EL./
AUDITORS OFF. 1-5CIR
Permit pin number
103697
Sub Contractor
OLYMPIC ELECTRIC
Permit Fee . . .
. 58.00
Plan Check Fee
.00
Issue Date . . .
. 6/07/07
valuation . . .
. 0
Expiration Date .
. 12/04/07
Qty Unit Charge
Per
Extension
1.00 58.0000
ECH EL -COMM
ALT <5 CIRCUITS
58.00
----------------------------------------------------------------------------
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
58.00
58.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
58.00
58.00 .00
.00
COMMENTS/ACTION NEEDED
N
ELECTRICAL. PERMIT INSPECTION RECORD
CALL 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
•
=- -m
•
o: i%Iy
�o
GENERAL COMMENTS:
514%]
COMMERCIAL/RESIDENTIAL: Occupancy Group: — Occupant Load: 2 a Construction Type:
No. of Stories: Lot Size: ASL Existing Sq. 5 &Proposed Sq. Ft. 4,�t5 =TOTAL Sq. Ft. &v
Total lot coverage % .1
PLANNING USE ONLY:yv
APPROVALS:
PLAN:
BLDG:
`� '�'
OFFICIAL USE ONLY:
-'Permit#:
BUILDING PERMIT -
t5vcFOR
APPLICATION
DateRec.:I
ESA/Wetland(s): ❑ Yes ❑ No SEP Checklist required? ❑ Yes ❑ No Other:
FIRE:
OTHER:
n 7
Fill out COMPLETELY and in INK. Your application and site pla UST BE
Date Approved:
COMPLETE to be accepted for review.
If you have any ques ' ns, call
Date Issued:
PERMITS (360) 417-4815 FAX(360)417-4711 LQ`fl S
©q D% - e,1 Svbry)its new Flan
Applicant or Agent: JQcA L2
Phone:
Id (abs,
b
Owner: r cslkNy\ �• r -Z t
Phone: s Pzv �
o fJ
Address: ZZ'� iS PHS ALTA �•r S� a' city: �a�-1
Ani c -e Le -12, �A- Zip:
P� Z.- o oeI
I m>°
ArowaR
Architect/Engineer: �. Com, . A� - ��ts¢�' f� �fi `�
A45 . Phone:
Contractor`t"o t� fJ L►Mtvl� State License #:
�� Exp/NING:
hone: �--' �
00
Address: �—�' City:
---r (0. n
s�
PROJECT ADDRESS: Z 2 R- i '� �i�
C �kSLEGAL
DESCRIPTION: Lot: Block: (D� T>�MuaR- Subdivision:
e [ ,
1(�
CLALLAM COUNTY PARCEL NUMBER: onot
o t &P C>15-0 D o
�o
TYPE OF WORK:
SIZE/VAL ATION:
I d
❑ Residential ❑ New Constr. ❑ Re -roof ❑ Stove
SF. /SF. = $
❑ Multi -family � Addition ❑ Move ❑ Garage
SF. $ /SF. = $
Commercial �C Remodel ❑ Demolition ❑ Deck
. A $ /SF. = $
1K ❑ Repair ❑ Sign ❑ Other
T AL VALUATION $ Z�Z
tM.%
BRIEF DESCRIPTION OF THE PROJECT:
Goj-k
+t
i2tevt.enet _ r -.)4p- a
COMMERCIAL/RESIDENTIAL: Occupancy Group: — Occupant Load: 2 a Construction Type:
No. of Stories: Lot Size: ASL Existing Sq. 5 &Proposed Sq. Ft. 4,�t5 =TOTAL Sq. Ft. &v
Total lot coverage % .1
PLANNING USE ONLY:yv
APPROVALS:
PLAN:
BLDG:
DPWU:
ESA/Wetland(s): ❑ Yes ❑ No SEP Checklist required? ❑ Yes ❑ No Other:
FIRE:
OTHER:
VALUATION OF CONSTR TION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed d may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 f assistance.
PLAN CHECK FEE: I a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other eArN
it fees are due at the time of permit issuance.
EXPIRATION OF REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the ternational Building/Residential Code, 2003). No application can be extended more than once.
I hereby ce tfy that I have read and examined this application and know the same to be true and correct. 1 am authorized to
apply for "s permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must ob in such permits prior to work.
T:\FORMS\B1dgPermitAppl..wpd Applicant: Date: L
M
d v.on
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST STH STREET. PORT ANGELES. WA 98.362
Application Number . . . . 05-00001229 Date 12/19/05
Application pin number _. .'. 205000
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES COMMUNICATIONS
INC.
102 ROSS LN.
PORT ANGELES
WA 98362
PORT ANGELES, WA
PORT ANGELES
WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc .
. ANGELES COMM/
VOICE DATA
Permit pin number
67249
Sub Contractor
ANGELES ELECTRIC
Permit Fee . . .
. 65.00
Plan Check Fee
.00
Issue Date . . .
. 12/19/05
Valuation . . .
. 0
Expiration Date .
. 6/17/06
Qty Unit Charge
Per
Extension
1.00 42.2000
EL -LOW
VOLT SYS <=2500 SQFT
42.20
2.00 11.4000
,EL -LOW
VOLT SYS >2500 SQFT
22.80
----------------------------------------------------------------------------
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
65.00
65.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
65.00
65.00 .00
.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
102.15 14%]
i --
Its)
�mollic):e1imuK•liin:
ciao
GENERAL COMMENTS:
102.15 14%]
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 FAST 5TH STREET. PORT ANGELES. WA 98362
Application Number . . . . . 05-00000579 Date 7/12/05
Application pin number . . . 551585
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2605 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
Owner
Contractor
------------------------
COURTHOUSE CLALLAM CO
------------------------
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . ANGELES/ 1-5
CIRCUITS
Permit pin number . 54072
Permit Fee . . . . 61.30
Plan Check Fee
.00
Issue Date . . . . 7/12/05
Valuation . . .
. 0
Expiration Date 1/08/06
Qty Unit Charge Per
Extension
1.00 61.3000 ECH EL -COMM ALT <5 CIRCUITS
61.30
Fee summary Charged
Paid Credited
Due
----------- --------------------------
----- --------------
(�
Permit Fee Total 61.30
61.30 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 61.30
61.30 .00
.00
51
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
1102.15141
dew'` CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION �asere
•,■i 321 FAST 5TH STREET, PORT ANGELES, WA 98362 CEO
Application Number 07-00000303 Date 4/27/07
Application pin number 014365
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06-30-00-6-4-6700-0000- 0
Application type description ELECTRICAL ONLY
Subdivision Name ( A�
Property Use . . . V�
Property Zoning . . . . PUBLIC BUILDINGS & PARKS
Application valuation . 0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc
ANGELES EL
/ WALK-IN CIRCUIT
Permit pin number
97873
Sub Contractor
ANGELES ELECTRIC
1
Permit Fee
58 00
Plan Check Fee
00
iV
Issue Date
4/27/07
Valuation . . .
. 0
jv
Expiration Date
10/24/07
11
Qty Unit Charge Per
Extension
1 00 58
0000 ECH EL -COMM
ALT <5 CIRCUITS
58 00
----------------------------------------------------------------------------
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
----------
58 00
---------- ---------- ----------
58 00 00
00
Plan Check Total
.00
00 00
.00
Grand Total
58 00
58 00 00
00
y
I�
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
15[4%1
dew'`
CITY OF PORT ANGELES
Lasered
PUBLIC WORKS - ELECTRICAL DIVISION
CED
321 FAST 5TH STREET, PORT ANGELES. WA 98.362
Application Number
06-00001194 Date 11/06/06
Application pin number . . .
462838
Property Address . . ... . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . .
Property Use
Property Zoning . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES WA 98362
PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . ELECTRICAL
ALTER COMMERCIAL
Additional desc ANGELES EL/ PWR. NEW TOASTER
Permit pin number 90092
Sub Contractor ANGELES ELECTRIC
Permit Fee 61 30
Plan Check Fee 00
Issue Date . . . 11/06/06
Valuation . . . . 0
Expiration Date 5/05/07
Qty Unit Charge Per
Extension
1 00 61 3000 ECH EL -COMM
ALT <5 CIRCUITS 61.30
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
---------------------------
Permit Fee Total 61.30
------------------------------
61.30 .00 .00
Plan Check Total 00
.00 .00 .00
Grand Total 61.30
61.30 00 .00
Tit _f"O1
s
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
�0
�'
GENERAL COMMENTS:
vw•i ioz.is (�
CITY OF PORT ANGELES Lasered
PUBLIC WORKS - ELECTRICAL DIVISION CED
121 FAST STH STREET. PORT ANGELES. WA 98362
Application Number 06-00000987 Date 9/13/06
Application pin number . . . 667159
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . .
ELECTRICAL
ALTER COMMERCIAL
Additional desc
ANGELES EL
/ PLANING DEPT REM
Permit pin number
86637
Sub Contractor
ANGELES ELECTRIC
Permit Fee
61 30
Plan Check Fee
.00
Issue Date
9/13/06
Valuation . . .
. 0
Expiration Date
3/12/07
Qty Unit Charge
Per
Extension
1 00 61
3000 ECH EL -COMM ALT <5 CIRCUITS
61.30
----------------------------------------------------------------------------
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
61.30
61 30 00
00
Plan Check Total
00
00 .00
00
Grand Total
61 30
61 30 00
.00
COMMENTS/ACTION NEEDED
[A
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A NGNV" 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMff CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
FW -1 102.1514"
®�0
III : ---
GENERAL COMMENTS:
FW -1 102.1514"
CITY OF PORT ANGELES Lasered
PUBLIC WORKS - ELECTRICAL DIVISION CFD
321 EAST STH STREET, PORT ANGELES. WA 98362
Application Number 06-00000353 Date 4/25/06
Application pin number 665914
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . .
ELECTRICAL
ALTER
COMMERCIAL
Additional desc .
ANGELES EL
/ 1-5
CIR JAIL LTS
Permit pin number
. 74922
Sub Contractor
ANGELES ELECTRIC
Permit Fee
61 30
Plan Check Fee
00
Issue Date
4/19/06
Valuation . .
. 0
Expiration Date
10/16/06
Qty Unit Charge
Per
Extension
1 00 61
3000 ECH EL -COMM ALT
<5 CIRCUITS
61.30
----------------------------------------------------------------------------
Fee summary
Charged
Paid
Credited
--------------------
Due
-----------------
Permit Fee Total
--------------------
61 30
61
30 .00
00
Plan Check Total
.00
.00 .00
00
Grand Total
61 30
61
30 00
00
COMMENTS/ACTION NEEDED
1�
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTEDD,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
ww1102.1514"
�iagvo:e2FLKII'ri
GENERAL COMMENTS:
ww1102.1514"
CITY OF PORT ANGELES Lasered
PUBLIC WORKS - ELECTRICAL DIVISION GED
121 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number 06-00000275 4Date 3/24/06
Application pin number 780950
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
524 E. 1ST ST
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit
ELECTRICAL
ALTER COMMERCIAL
Additional desc
ANG EL /
ELECT CTR CIR
Permit pin number
73429
Sub Contractor
ANGELES ELECTRIC
Permit Fee
61 30
Plan Check Fee
00
Issue Date . . .
3/24/06
valuation
0
Expiration Date
9/20/06
Qty Unit Charge Per
Extension
1 00 61
3000 ECH EL -COMM ALT <5 CIRCUITS
61 30
Fee summary
-------------------------------
Charged
Paid Credited
--
Due
Permit Fee Total
61 30
61 30 00
00
Plan Check Total
00
00 00
00
Grand Total
61 30
61 30 00
00
COMMENTS/ACTION NEEDED
51
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW -1102.15 [tel
RyaIlk, tile)
WOW
GENERAL COMMENTS:
PW -1102.15 [tel
CITY OF PORT ANGELES LRSerec(
4J ��cN
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION CED
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Tenant nbr, name . . . . . .
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
06-00000265 Date 3/22/06
886945
223 E 4TH ST
06 -30 -00 -6 -4 -6700 -0000 -
COUNTY COURTHOUSE
MECHANICAL PERMIT
PUBLIC BUILDINGS & PARKS
6800
�i�At�o
� �; 1 1n6
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY BEL-AIRE USA, INC.
2172 DIVISION ST.
PORT ANGELES WA 98362 BELLINGHAM, WA
BELLINGHAM WA 98226
(360) 733-4652
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit pin number . 73254
Permit Fee . . . . 79.40 Plan Check Fee .00
Issue Date . . . . 3/22/06 Valuation . . . . 0
Expiration Date . . 9/18/06
Qty Unit Charge
Per
Extension
BASE
FEE
50.00
2.00 14.7000
ECH ME-
INSTALL 100- FAU
29.40
----------------------------------------------------------------------------
Other Fees . . . . .
. . . .
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
---------------------------
Permit Fee Total
79.40
--------------------
79.40
----------
.00
.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
4.50
4.50
.00
.00
Grand Total
83.90
83.90
.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 orwork is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
Signoture of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policres\1102_15 budding permit inspection record05.wpd [1/4/20051
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 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
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
FINAL DATE ACCEPTED BY
UNDER FLOOR / 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
/
FINAL 3 `6 DATE ACCEPTED BY:
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMIsRCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
SEPA-
ESA.
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
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/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 4174653
FIRE DEPT
PLANNING DEPT. 4174750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T.\Pobcies\1102_15 braiding permit inspection record05 wpd [1/4/2005]
4
0
T_
PREPARED 3/31/06, 13 12 55 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 3/31/06
---- ---- ------------------ -------------
ADDRESS . : 223 E 4TH ST SUBDIV-
TENANT, NBR• COUNTY COURTHOUSE
CONTRACTOR BEL-AIRE USA, INC PHONE (360) 733-4652
OWNER CLALLAM COUNTY PHONE
PARCEL 06-30-00-6-4-6700-0000-
APPL NUMBER: 06-00000265 MECHANICAL PERMIT
er
----------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT Lased
REQUESTED INSP DESCRIPTION CEO TYP/SQ COMPLETED RESULT RESULTS/COMMENTS li
---- — ---------------------------- — -- —
ME99 01 /31/06 MECHANICAL FINAL TIME• 13 00
03/29/2006 01:58 PM DYASUMUR
MATT
COURTHOUSE
03/31/2006 12:09 PM JLIERLY
360-305-1708 tad
-------------------------------------- COMMENTS AND NOTES--------------------------------------
Lasered
CED
www.cityofpa.us
Print out form and fill out COMPLETELY in INK. Your application and
plan MUST BE COMPLETE to be accepted for review.
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
FOR OFFIC-yy USE ONLY
Date Rec.
Perrmt #•_ — b
Date Approved:
Date Issued: 3 �2
Applicant or Agent: ?SE L A t R-£ U$ A Phone: 340. '14 3 •'44Q -
Owner: Phone:36o. 4 i'j • 22.30 2 -
Address:
Address: 2;X3 15. 4,;O u #AST. City:r. Ortj C'+ VL. Ls Zip
Architect/Engineer: is (A Phone:
'g L3
Contractor 9 F Lo -t f-4 LgA- ( w, State License #: Exp: (01-.0 d6
`'i s3 4"1
Phone:14p .I R .
Address: Z. t7L V t V 15 f ai-/ F -t-, City: f L1, i ej 4+4A. I -t Zip: '1L31tb
PROJECT ADDRESS: ;.Z5 C, IA -Dy Rpt+* S. ZONING:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
Credit Card Holder Name:
Billing Address:
City:
Credit Card Type 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
❑ Deck
SF. @ $
/SF. = $
❑ Repair ❑ Sign
❑ Other
TOTAL VALUATION $
61 000 —
BRIEF DESCRIPTION OF THE
PROJECT:
ADpITioN
OF t'TS 4 �tsp{t • Q(rG't C.e6� SPLIT"
GooL1 1.14 L. -Per V�01-•
E��+-► c��rr�l��
aFf G
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Total lot coverage %
PLANNING USE ONLY:
ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other:
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU•
FIRE-
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 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 permit application and construction plans are
submitted. All other permit 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 R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that t have read and examined this application and know the 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 required, n t the City's, and t at must obtain such permits prior to work
www cityofpaus Applicant: �• Date: 322-(�fe
kalv IN. PV45
CITY OF PORT ANGELES
s®
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT Issued: 6/15/99 Permit No: 6665
OWNER/APPLICANT------------------------PROPERTY LOCATION ------------------------
CLALLAM COUNTY 223 4TH ST E
223 E. 4TH STREET Lot: 1-6SL26 13-18 BL55 TAYLOR
Port Angeles, WA 98362 Block: Long Legal:
206/452-7831 Sub: 4-15 BL 67 TAYLOR
T: OLD COURTHOUSE S: Parc No: 063000102605000
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264 000/000-0000
PROJECT INFO-------
Prj Type: COUNTY
Occ Type:
iOcc Grp:
iI
5
BLDG.
Occ Load:
Prj Value:
Cnstr Type:
Land Use:
---------------
$0.00
ADD CIRCUITS
PBP
Electrical Heat
$86.25
Service Type
$54.00
Circuit Wiring:
Baseboard
KW:
0
Riser
Voltage:
120,208
Furnace
KW:
0
Overhead Service
Diameter:
-1 X-3
Heat Pump
KW:
0
X Underground Service
Service Size:
0 AMPS
Fan/Wall
KW:
0
Temp Service
Feeder Size:
125 AMPS
OJECT NOTES -------------------------------------------------------------------
INSTALL 2, 125 AMP FEEDER PANELS, ONE ON THIRD FLOOR AND ONE ON 2ND
FLOOR. WIRE NEW OFFICE FLOOR.
ECT FEES ASSESSMENT --------------
Service:
$86.25
Additional Feeders:
$54.00
Circuit Wiring:
$0.00
Temp Service:
$0.00
Misc
$0.00
TOTAL FEE: $140.25
COMMENTS/ACTION NEEDED
I
TOTAL FEE:
Amount Paid:
------------------
Balance Due:
$140.25
$140.25
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
�,
/K�11Lei:Dl./LK��•/�I;a�m6�l��i
GENERAL COMMENTS:
CITY OF PORT ANGELES
u PUBLIC WORKS - ELECTRICAL DIVISION
321 FAST STH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT Issued: ///30/9 Permit No: 6491
OWNER/APPLICANT------------------------
CLALLAM COUNTY
223 E. 4TH STREET
Port Angeles, WA 98362
206/452-7831
T: S:
-PROPERTY LOCATION ------------------------
223 4TH ST E
Lot: 1-6SL26 13-18 BL55 TAYLOR
Block: Long Legal:'
Sub: 4-15 BL 67 TAYLOR
Parc No: 063000102605000
CONTRACTOR-----------------------------DESIGNER------
OLYMPIC ELECTRIC
1805 TUMWATER
PORT ANGELES, WA 98362 ,
360/457-5303 000/000-0000
PROJECTINFO ------------------------ --------------------------------------------
Prj Type: COML. MISC. Prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: PBP
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 0
Furnace KW: 0 Overhead Service Diameter: -1 -3
Heat Pump KW: 0 Underground Service Service Size: 0 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECTNOTES -------------------------------------------------------------------
ADD CIRCUITS IN JAIL CONTROL ROOM
PROJECT FEES ASSESSMENT -------------------
Service:
$0.00
Additional Feeders:
$0.00
Circuit Wiring:
$54.00
Temp Service:
$0.00
Misc
$0.00
TOTAL FEE: $54.00
COMMENTS/ACTION NEEDED
TOTAL FEE: $54.00
Amount Paid: $54.00
Balance Due: $0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIND" 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
Igoilta:eIeaKwig,i���
tsy�:avcy ���
GENERAL COMMENTS:
CITY OF PORT ANGELES
'
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
V�I
ELECTRICAL PERMIT Issued: 7/23/98 Permit No: 6392
OWNER/APPLICANT------------------
CLALLAM COUNTY
223 E. 4TH STREET
Port Angeles, WA 98362
206/452-7831
T: S:
-PROPERTY LOCATION ------------------------
223 4TH ST E
Lot: 1-6SL26 13-18 BL55 TAYLOR
Block: Long Legal:
Sub: 4-15 BL 67 TAYLOR
Parc No: 063000102605000
CONTRACTOR-----------------------------DESIGNER-----------------------------`-----
ANGELES ELECTRIC -
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264 000/000-0000
PROJECTINFO --------------------------------------------------------------------
Prj Type: COML.
MISC.
Additional Feeders:
Prj Value:
$0.00
Occ Type:
Temp Service:
$0.00
Cnstr Type: ADD HEAT
$0.00
Occ Grp:
Occ Load:
Land Use: PBP
Electrical Heat
Service Type
Baseboard KW:
0
Riser
Voltage:
120,208
Furnace KW:
0
OverheadService
Diameter:
-1 X-3
X Heat Pump KW:
0
X Underground
Service Service Size:
0 AMPS
Fan/Wall KW:
0
Temp Service
Feeder Size:
0 AMPS
PROJECT NOTES --------------------------------
WIRE TWO NEW HEAT PUMPS FOR DISPATCH CENTER
PROJECT FEES ASSESSMENT --------------
Service:
$0.00
Additional Feeders:
$0.00
Circuit Wiring:
$54.00
Temp Service:
$0.00
Misc
$0.00
TOTAL FEE: $54.00
COMMI_N'TS/ACTION NEEDED
TOTAL FEE: $54.00
Amount Paid: $54.00
--------------------------
Balance Due: $0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
rw-1102-1514 l
CITY PORT ANGELES
PUBLIC WORKS
- ELECTRICAL DIVISION
721 PAST 5TH STREET. PORT ANGELES. WA 99362
oar
ELECTRICAL PERMIT Issued: 12/10/97 Permit No: 6150
OWNER/APPLICANT ------------------------
CLALLAM COUNTY
223 E. 4TH STREET
Port Angeles, WA 98362
206/452-7831
T: PROSECUTORS OFFICE S:
CONTRACTOR ------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264
PROJECT INFO ----------------
Prj Type: COML.REMODEL
Occ Type:
Occ Grp: Occ Load:
-PROPERTY LOCATION ------------------------
223 4TH ST E
Lot: 1-6,13-18,4-15
Block: Long Legal:
Sub: SL 26
Parc No:
000/000-0000
Prj Value:
Cnstr Type:
Land Use:
---------------
$0.00
ADD CIRCUITS
PBP
Electrical Heat
$0.00
Service Type
$0.00
Circuit Wiring:
Baseboard
KW:
0
Riser
Voltage:
0
Furnace
KW:
0
Overhead Service
Diameter:
-1 -3
Heat Pump
KW:
0
Underground Service
Service Size:
0 AMPS
Fan/Wall
KW:
0
Temp Service
Feeder Size:
0 AMPS
PROJECTNOTES ------------ =---------------- -----------------------------
WIRE SMALL OFFICE IN PROSECUTORS OFFICE
PROJECT FEES ASSESSMENT ------------------------
. Service:
$0.00
Additional Feeders:
$0.00
Circuit Wiring:
$52.00
Temp Service:
$0.00
Misc
$0.00
-- ------------------------------
TOTAL FEE:
$52.00
COMMENTS/ACTION NEEDED
TOTAL FEE: $52.00
Amount Paid: $52.00
--------------------------
Balance Due: $0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINUA M 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT ]OB SITE
GENERAL COMMENTS:
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT Issued: 8/04/97 Permit No: 6007
OWNER/APPLICANT ------------------------
CLALLAM COUNTY
223 E. 4TH STREET
Port Angeles, WA 98362
206/452-7831
T: DIST. COURT S:
-PROPERTY LOCATION ------------------------
223 4TH ST E
Lot: 1-6,13-18,4-15
Block: Long Legal:
Sub: SL 26
Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264 000/000-0000
PROJECTINFO ------------------------ --------------------------------------------
Prj Type: COML.REMODEL Prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: PBP
Electrical Heat
$0.00
Service Type
$0.00
Circuit Wiring:
Baseboard
KW:
0
Riser
Voltage:
0
Furnace
KW:
0
Overhead Service
Diameter:
-1 -3
Heat Pump
KW:
0
Underground Service
Service Size:
0 AMPS
Fan/Wall
KW:
0
Temp Service
Feeder Size:
0 AMPS
PROJECT NOTES-------------- -,------------------
REMODEL IN DIST. COURT 0 -i -.t -I
PROJECT FEES ASSESSMENT --------------
Service:
$0.00
Additional Feeders:
$0.00
Circuit Wiring:
$52.00
Temp Service:
$0.00
Misc
$0.00
TOTAL FEE: $52.00
COMMENTS/ACTION NEEDED
TOTAL FEE:
Amount Paid:
------------
Balance Due:
$52.00
$52.00
$0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-0735 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
tNSPECnONTYPE
■.9�I:i+iLy -��
GENERAL COMMENTS:
14W1
•
•
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. C=24a�
DATE -3 1F19
Site Address:
22311
L/
f . 7
READY FOR 11WILL CALL FOR
INSPECTION INSPECTION
Installed By:
OXWM
c yc,
License Number:
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
❑ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Descripti
W.S. No. Service
Capacity: ❑ O.K. ❑ Not O.K.
❑ Ditch inspection O.K.
❑ Rough-in/cover O.K.
❑ O.K. to connect service
Final O.K.
❑ New Construction
❑ Remodel
❑ Service update/alter/repair
Add/alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
❑ Overhead
❑ Underground
Voltage
❑ 10 1130
Service size
❑ Temporary
Amps
old for: ❑ Easement ❑ Letter
❑ Signed up for service/meter
❑ Meter Department notified for installation
❑ Fire Department notified of inspection
❑ Plan Review approved/pending
Site Address: Permit/Receipt No.
a� 3 1 a ia
Installer: / n New Meters I I Date: / r
®Notify thi Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Inspector Amount paid
WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
11
•
L
qT�t
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO.
DATE _ 3
Site Address: C /
L2.2 3 � J
El READY FOR ❑ WILL CALL FOR
INSPECTION INSPECTION
Installed By: r
f i C-
License Number:
Phone:
Owner/Business' !/
G`
/7
C�
Phone:
OwnerlBusiness Address:
Sq. Ft.
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
C -Com merci al/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
e'New Construction
❑ Remodel
❑ Service update/alter/repair
❑ Add/alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
❑ Overhead
❑ Underground
Voltage -Z7 7�s«�
❑ 10 �3 RJ
Service size Amps
❑ Temporary
W.S. No. Service Size—Date—Hold for: ❑ Easement ❑ Letter
Capacity: ❑ O.K. ❑ Not O.K. Comments
❑ Ditch inspection O.K.nr� ElSigned up for service/meter
Rough-in/cover O.K. �Ctrag!4' ❑ Meter Department notified for installation
O.K. to connect service ❑ Fire Department notified of inspection
Final O.K. ❑ Plan Review approved/pending
Site Address:t I Permit/Receipt No.
3/e/e 9
Notify 1He Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
^ / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Inspector Amount paid
WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall
OLYMPIC PPINTER5. INC.
is
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. ld'Sb
DATE 8 //'F0 /kp
Site Address: z /
,a-3 l7
❑ READY FOR ❑ WILL CALL FOR
INSPECTION INSPECTION
Installed By:
License Number:
Phone:
Owner/Business: Cl� /
`
Phone:
Owner/Business Address:
Sq. Ft.
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
❑ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
❑ New Construction
❑ Remodel
❑ Service update/alter/repair
❑ Add/alter circuits
❑ Auxiliary power
(list below)
Special equipment
(list below)
❑ Overhead
❑ Underground
Voltage
❑ 10 ❑ 3Z
Service size
❑ Temporary
Amps
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
Q O.K. to connect service ❑ Fire Department notified of inspection
FFiinal O.K. ❑ Plan Review approved/pending
Ap
Site Address:�^/� Com-�-P Permit/Receipt No.
�aZ CE, yr` I M,. _5
New
®Notify theVDepartment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (J�
Inspector Amount paid
WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.
of
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /� V
DATE / 2 —�
Site Address:j7p,
SL El READY FOR ILL CALL FOR
INSPECTION INSPECTION
Installed By:
License Number:
Phone:
f e I tI&
Owner/Business:
Phone:
A.
Owner/Business Address:
ISq.
Ft.
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
❑ New Construction
❑ Remodel
❑ Service update/alter/repair
Add/alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
❑ Overhead
, ] Underground
❑ \0 ❑ 3 0
ServiN size
❑ Tem
Amps
W.S. No. Service
Capacity: ❑ O.K. ❑ Not O.K.
❑ Ditch inspection O.K.
❑ Rough-in/cover O.K.
❑ O.K. to connect service
❑ADaioK� 9 4
Site Address:
d for: ❑ Easement ❑ Letter
Comment
❑ Signed up for service/meter
❑ Meter Department notified for installation
❑ Fire Department notified of inspection
❑ Plan Review approved/pending
/i T VS Permit/Receipt No.
U/T-_ &I OCX "-- New Meters Date:
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
//i NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / Lb[]te
O/IInss eYtor /V//•AmYoun
—
ct paid
WHITE — file by address YELLOW — file by number PINK — Top: Eng, Bottom: Customer GREEN — Top: Inspector, Bottom: City Hall
OLYMPIf PPINTE RS. INf`
DF PORT Sti,C
�i�=FAN CITY OF PORT ANGELES /� 77
,`_ LIGHT DEPARTMENT
�� PERMIT NO.
CrT 4
ELECTRICAL PERMIT DATE %' '0 —�
Site Address:���
�� �jxixr AUS E
� READY FOR EDWILL CALL FOR
INSPECTION INSPECTION
d
Installed By: / IN z
{f s
License Number:
Phone:
Owner/Business: ///J'�,�u &
l�O
J S p
Phone:
Owner/Business Address:
Sq. Ft.
❑ Residential
Heat KW
❑ Baseboard ❑ Furnace/Boiler
❑ Heatpump ❑ Other
'Commercial/Industrial load
I Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Detai Is/Descri otion:
❑ New Construction
❑ Remodel
❑ Service updatelalter/repair
/Add/alter circuits
/❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
Overhead
Underground
❑ 1 3 P!
Servic Ize Amps
ElTemDo v
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 conn ct svice El Fire Department notified of inspection
ElFinal O.IS.❑ Plan Review approved/pending
X1,0 ("ic'_
Site Address: CI� c+ u2T j>ous'6 Permit/Receipt No.
Insta ler: New Meters Date:
O Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, E/XT. 158 or EXT. 224.
t/ 'J%1__ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /
//!'Al'Inspector IAmount paid
WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall
11
LIJ
FEE RECEIPT NUMBER
CITY OF. PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A 000327
PERMIT NUMBER
TOTAL FEE- -
�
HAL 1/OG
l/
L�
00/vim
CONT. LIC. NO.
TIMETOCOMPLETE
I NO.STORIES
I LEGALOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address G[A41_19M 69ZIAI%Y CnL[� t%OL1SF_
Owner Installation By
Owner's Address — 22-3 AF@O':$-�/% '`% 1 - - Installers Address 1-121,1-121, WEA /%;
-'9
Day Phone z-�i934
2_ Installers Phone 7f30,3
Application is hereby made for Permit to install Electrical Equipment as follows: N10!/4rK I E fiTr' ,5-p/ 4", J Aw
Ail i7JllAA/A/ Bu7i/'T Glif/O,Z AVAA14I L_
Wiring Method. 6W1)11%T
USE OFCIRCUIT
NUMBER
CIRCUITS
AMP
PER -
CIA
120V
10
240V
100R
30
FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP _
PER
CIA
120V
10
240V
10 OR
30
FEE
LIGHT
SIGN
,LIGHT -
-'
50VOLTS -
OR LESS
--
-
CONVENIENCE+�o
Li
MOTOR -
CONVENIENCE
- -
MOTOR
-
APPLIANCE
MOTOR
DISHWASHER
FIREALARMS
DISPOSAL
BURGLAR ALARM
RANGE
MISC.
OVEN
WATER HEATER
LAUNDRY
-
DRYER -
-
REINSTALLATION LIGHT FIXTURE k
FURNACE
GAS - OIL
SUB TOTAL FEE - -
FURNACE
ELECTRIC
-
ENERGYFEE
-
BASIC FEE
ELECTRIC HEAT
-
_
TOTAL FEE 00
ELECTRIC HEAT
- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP PHASE
SIZE OF SERVICE ENTRANCE CONDUCTORS .
A.C. UNIT
FEEDER
SERVICE-
A.W.G.
-SUB-TOTAL
�� Or7
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 tT64ALE �/ , 1g�?� By t�
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. - , \,,
.- - - - DDIREC R 0 ITY LIGHT
Date Permit Issued By �Fl—� �
PLANS A108119OVED Ll
WARNING
OLYMPIC PRINTERS, INC.
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 4570411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER —
WHITE -Original CANARY Duplicate PINK -Triplicate WHITE CARD- Inspector's Report
REPORT OF INSPECTOR .`
DATE OF VISIT
MADEBY
REMARKS
I
c
o-.
i
—�—g�
O.K.FORCOVERINO
O.K. TO CONNECT SERVICE
FINALO.K.
10
CITY OF PORT ANGELES 000048
FEE RECEIPT TNNu BER DEPARTMENT OF LIGHT A
PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
TOTAL FEE
/D p
AMP
PER
CIR
.120V
10
y
FEE
CONT. LIC. NO.
ITIME TO COMPLETE
NO. STORIES
LEGALOCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
i U STR��T
I1NC JrVNY I M I LI IT U� A IfLIVAN I YLMM I I J W I IM WMVNU AUUMtbI tJ A Mt UANUEl_LLU I l�./
Owner C/ 11�n �ce„--iA Installation By Fllb i .a./ C444
Owner's Address Cid. Installers Address -TTI
Da Phone `/$-2. - .} 8' 3. f —� JUST
Day Installers Phone �'
Application is hereby made for
�Permit
pto install Electrical Equipment as follows:
/ Wiring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
.120V
10
240V
1 00R
300
FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V.
10
240V
1 OOR
30
FEE
LIGHT
SIGN
LIGHT
_
-
50 VOLTS
OR LESS
CONVENIENCE
MOTOR
CONVENIENCE
MOTOR
APPLIANCE .
...
MOTOR
_
DISHWASHER
FIREALARMS
DISPOSAL
BURGLAR ALARM
RANGE
MISC.
OVEN
WATER HEATER
LAUNDRY
-
-
-
DRYER
-
REINSTALLATION LIGHT FIXTURE N
FURNACE
GAS - OIL
SUB TOTAL FEE
FURNACE
ELECTRIC
ENERGY FEE
BASIC FEE
ELECTRIC HEAT
-
TOTAL FEE Q� d0
ELECTRIC HEAT
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP PHASE
SIZE OF SERVICE ENTRANCE CONDUCTORS
A.C. UNIT
FEEDER
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 theinstaller and in conformance with the N.E.C. lectrical Code.
Date Application made 19 zp -/ By c
CONT&Cf5RO�05WNER(OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT
B /7��
Date Permit Issued y .�G '� T
PL�APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER —
nI V"0Irt ORINTFRF. I NC_
WHITE -Original CANARY Duplicate PINK -Triplicate WHITE CARD- Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADEBY REMARKS
O.K. FOR COVERING
O.K.TO CONNECT SERVICE
41- If - FINAL O.K.
a�o
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
s
ISSUED: 4/25/2002 —Pt:KMl I NO: 13382
OWNER/APPLICANT PROPERTY LOCATION
CLALLAM COUNTY 223 4TH ST E
223 E. 4TH STREET Lot: 1-6SL26 13-18 BL55 TAYLOR
Port Angeles, WA 98362 Block: ® Long Legal
206/452-7831 Subdivision: 4-15 BL 67 TAYLOR
T: S: Parcel No: 063000102605000
CONTRACTOR
ARCHITECT
OWNER
N/A
VARIOUS
Port Angeles, WA 99360
98360-0000
206/000-0000
360/000-0000
PROJECTINFO
Project Value:
$500.00
SFD Units: 0
Commercial: 0
Project Type:
RELOC. INT DOOR
SFD SQ FT: 0
Industrial: 0
Occupancy Type:
COMMERCIAL
Garage: 0
Occupancy Group:
MFD Units: 0
Construction Type:
MFD SQ FT: 0
Zoning Use:
PBP
PROJECT NOTES
RELOCATE INTERIOR
DOOR (90 DEGREES)
RECEIPT#8995
FEES ASSESSMENT
Building Permit:
$23.50 Mise 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:
$28.00
Plumbing:
$0.00
AMOUNT PAID:
$28.00
Mechanical:
$0.00
BALANCE DUE:
$0.00
Radon:
$0.00
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
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. /1� ' N
Signature of Contractor or Authorized Agent Date
of Owner (if owner
Date
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMIJM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. �J
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ( ��
GENERAL COMMENTS:
im.151aroa7
Applicant and/or
Owner:
BUILDING PERMIT - PREAPPLICATION
The Building Permit - Preapplication must befilled out completely.
Please type or print in WL If you Gave any questions, please call 4174815
FOR OFFICIAL USE ONLY:
Pate Rm.: y— ZsZ
Pemtit e:
Pr Ap Co nplele7
Date Appmved:
Phone: Ate -7,A4
Phone:
Address: 2Z3 r� hyt'�- 14it - City: 1�0_qrc LttF e4-;'! Its Pc Zip:
Architect/Engineer:
Phone:
Contractor- FeAtal 6-N AVy6awJ License #: Enp: Phone:
City: Zip:
PROJECT ADDRESS: _'�PkPOS t4 &ie- ZONING
LEGAL DESCRIPTION: Lot: Block: Subdivision:
TYPE OF WORK:
SIZFNALUATION:
❑ Residential ❑ New Constr.
❑ Reroof
❑ Woodstove
SF. @ $ /SF. = S 3 SoA ID)
:1 Multi -family ❑ Addition
❑ Move
❑ Garage
SF. @ S /SF. = S
oA.Commetcial ❑ Remodel
❑ Demolition
❑ Deck
SF. @ S /SF. = S
❑ Repair
❑ Sign
❑ ?I s_+..�\
TOTAL VALUATION S
BRIEF DESCRIPTION OF THE PROJECT:
to vu.\ of
e�2
.OMMERCIAL/RESIDENTIAL: Occupancy Group:
Jo. of Stories: Lot Size: % Lot Coverage: _
Aisting Lot Coverage: /sq. ft. + Proposed Lot Coverage: _
'LANNING USE ONLY:
totes:
Occupant Load: Construction Type: i
SA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other:
/sq. ft. = TOTAL LOT COVERAGE: /sq.ft
APPROVALS:
PLAN
BLDG
DPW
FIRE
OTHER
'REAPPLICATION SU NITTTAL: Your app6aadon and wire p/mr mud befi0ed out comple(y to be accepted for review. The Building
)ivision can provide you with more detailed information on the application and plan submittal requirements.
iUrLDING PERMrr APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction
dans are to be submitted to the Building Division.
ALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and
.ay be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
LAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
_Tmit fees are due at the time of permit issuance.
XPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by
nutations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section
)4(d) of the Uniform Building Code, current edition). No application can be extended more than once.
iereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
is permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
sponsibility to determine what permits are required and to obtain such.
Applicant Date: ® Z V 2
V. 1102_ 13[mv.2/96]
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 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
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH -N
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T -BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEATPUMP
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SEPA:
ESA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
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/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT,
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
D �-
BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002] / /
Clallam County Public Works Department
223 E. Fourth St., P.O. Box 863
Port Angeles, WA 98362-0149
February 5, 2002
Lou Haehnlen, Building Official
P.O. Box 1150
Building Division
Port Angeles, WA 98362
Dear Lou:
As you may recall, we are in the process of changing a few of the interior doors in the
courthouse because of new courthouse hours and heightened security concerns.
You and I met twice on site and discussed several options for the double doors that lead from
the jail to the courthouse which are currently the only magnetically locked doors we have at the
courthouse. Of the three options we discussed, we have chosen to remove the existing double
doors and keep the six-foot opening and construct a new 1 -hr rated wall in the jail hallway and
install a 3'-6" door (see attachment #1).
This has always been our preferred option. It case was helped this past Monday when we met
with security specialist because we are looking at the possibility of adding a few cameras at the
doors that remain unlocked during the day. He pointed out that if we were to keep the door in
its present location that there is a dead corner that the camera cannot pick-up.
You and I also discussed another door modification at the Commissioners meeting room. Our
plan is to restrict after hours courthouse access to one area, and the meeting room is best
suited for this.
The magnetic locks that will be removed from the door listed above will be added to the existing
doors at the meeting room. These doors will be locked when the courthouse is closed so that
access from the meeting room is not possible. However, the magnetic locks are connected
directly to the courthouse fire panel and release when the alarm is sounded; whether activated
manually or by sensor. At no time during an emergency will the door remain locked because it
is automatically released. Access to the meeting room will be from one of the two 4a' street
doors (see attachment #2). We will also connect a keyed switch that will release the doors so
individuals needing to access an accessible restroom may do so.
Based on our concerns and conversations with you, we will be moving forward with our
upgrades. It was my understanding that a permit was not required but if that is not the case
please let me know and I will proceed accordingly.
Parks, Fair &
Building Maintenance Division
360-417-2291
Fax: 360-417-2395
,:adninVmj_mghi rdeMpaMwt.1,4 mt03-0uildi, maim names dtyWtyofpa.dm parks@co.clallam.wa.us
02/05/02
Page 2 of 2
Thank you for taking the time to meet with me a helping to narrow down our options. This
saved a lot of time for me and made it possible to get things going sooner.
Again, if a permit is required let me know. If not, once everything is completed I will notify you
anyway so that we can walk-through it together so you know exactly what was done.
JoAl G. Winborn,
D' Sion Manager
I;tabnintproj_mgA3-iMwdpa=n li pfbm\034xAlcing mantwanc curityt ty of pa.dw
NEW 31-61, DOOR
IN 1 -HR RATED WALL
L�
-HALLWAY
ATTAGHMENT #1
ATTAGHMENT #2
EXI5TINC-7 DOORS TO
REMAIN BUT ADD
MACNETIG LOCKS
AND BY-PASS KEY LOCK
FOR ADA RESTROOM
AGGE55 DOWN HALLWAY
AFTER HOUR MEETING
AGGE55 DOORS
0
w
April 4, 2002
DEPARTMENT OF COMMUNITY DEVELOPMENT
TO: Trenia Funston, Public Works and Utilities �1
,,Lou Haehnlen, Building Division DCD
Ken Dubuc, Fire Department �\
FROM: Sue Roberds, Assistant Planner l/
SUBJ: EXTENSION of Conditional Use Permit - CUP O1-02
PA Farmer's Market
The Port Angeles Farmer's Market group is requesting an extension of the conditional use permit issued
to them to operate in the Courthouse parking area in 2001. Please review the application and any
concerns you have collected during the past year regarding the use and return voypemygients no later
than April 15.2002.
136- /vo
Thank you.
Attachments
1
Address:
'Applicant's representative (if other than
Address:
Property
Address:
Street
Legal
File #
Recpt#
phone #: (9 85
a
II
-1W Eye
Zoning: Comprehensive Plan designation: CS�VN�c ¢Simtir\(�0�¢Y\
Property dimensions: 540 W I o /Property area (total square feet): ��MK- 1 .4, COO 5a , �+
Physical characteristics (i.e., flat, sloped, vacant, developed, etc.): ��at �� r
Please describe the proposed
Number of employees: 50-4\VCZ pCS
Number of on-site parking spaces: aA C)
v
�JOO� S
C-OQVJ
Hours of operation: 'AA 7SA1 � u �
Number of off-site parking
Building area (total square feet of floor area for the proposed activity):
RI
ECEE VE
SIGNATURES:
D
MAR 2 1 2002
Applicant: 1 certify that all of the above statements are true and comple a to he best of m know) dgi
acknowledge that wilful misrepresentation of information will terminate this ermit a MWIMNIEtfave real
application in its entirety and understand my that submittal will be review r
be complete, will be scheduled for the next available Planning Commission meeting.
Applicant's
to
Date r—�\— 01�;—
Owner's Signature (if other than applicant): Date
17fO 3o �
.
a.��, sa,�,.. ?gyp -�
lit
Nb
11111 111
w t
•va �1
lasatl5 µh �-
z sl 'vcn 1-,-Woslw•1bod � ......�,m
It��l fAWF"s *rh •i lLwc ^Aw
�.., nluw 1W 9n•ro1F,Ki ,3SQ0}1L71P0J NI'In�i Vl�.ry-I�. _ 1'�----
WASH ING TON,
DEPARTMENT OF COMMUNITY DEVELOPMENT
May 21, 2001
TO: Public Works Utilities
Fire Department
Building Division
FROM: Planning Department
SUBJ: CONDITIONAL USE PERMIT - CUP O1-03
PA FARMER'S MARKET Activity - 223 East Fourth Street
Attached is an application for a conditional use permit to allow a more or less permanent Farmer's Market
activity to be located in the County's parking area. Please review the proposal and forward your
requirements, concerns, or proposed special conditions to this department by May 25, 2001
Attachments
N
N
kA
1 t
ISL t VOR 0 FA ROM
Applicant:
PC j 2 1A
J torp
J 1
J d V
Address: 5l (7 C n�� e e 1 ne P A Daytime phone It:
Applicant's representative (if other than applicant): Li�
Address: SYS � t'W P� Daytime phone #:
Property owner (if other than applicant):C19 nn ^ ou �t�,
Address: as L(+� �ol* /1Daytimephone#: iI -a06o
Street address: �a 5
C
Legal description: �6'�ion of �a�� f3 I��(% U46A--j
Zoning: PDP Comprehensive Plan designation: CoMftLap/KS�� Q /v(�en CPaCc
Property dimensions: `��(6' k v ' Property area (total square feet): toy -
Physical characteristics (i.e., flat, sloped, vacant, developed, etc.): -0",a
t o�
Please describe the proposed use:
cluAoc"
Number of employees: ,�O - YO VuJor Hours of operation:
Number of on-site parking spaces: 2'10 Number of off-site parking spaces:
Building area (total square feet of floor area for the proposed activity): NIA
� t
i
Cr h� COU14
44.
5 oTP sET OUSE
poRr ryN6Ett-'s, wn. "342 -
.Nb
IsT d I
CoutzrHooyg Pkaw�6 LeY- - .. - -� i I, 1 1 1 1 1
o°
Suac I �= 4 e nq,w;.utls
ysets 11 /
tt sTl�Ef i' `E'
P.A. � �Peslq✓�o�es
DucP< NA 1'tj KAT
CITY OF PORT ANGELES
°® PUBLIC WORKS - ELECTRICAL DIVISION
721 EAST STH STREET, PORT ANGELES. WA 98762
ELECTRICAL PERMIT
ISSUED: 9/17/2001 PERMIT NO 7400
OWNER/APPLICANT PROPERTY LOCATION
223 4TH ST E
CLALLAM COUNTY Lot: 1-6SL26 13-18 BL55 TAYLOR
223 E. 4TH STREET al
Port Angeles, WA 98362 Block: ® Long Legal
206/452-7831 Subdivision: 4-15 BL 67 TAYLOR
T: S: Parcel No: 063000102605000
__J_
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 98360-0000
360/452-9264 360/000-0000
PROJECTINFO
Project Type: COUNTY BLDG.
Occupancy Type:
Occupancy Group:
Electrical Heat:
❑ Baseboard
❑ Furnace
❑ Heat Pump
❑ Fan Wall
Project Value: $0.00
Construction Type: ALTER CIRCUITS
Zoning Use: PBP
0 KW
❑
Riser ❑
Underground Service
0 KW
❑
Overhead Service
Voltage: 0
0 KW
❑
Temp Service
Phase: 1
❑
0 KW
$0.00
BALANCE DUE
Service Size:
COMMENDS/ACTION NEEDED
Feeder Size: 0
PROJECT NOTES
recpt. low voltage. telecomm. for addition to family court
FEES ASSESSMENT Service:
$0.00
Additional Feeders:
$0.00
Circuit Wiring:
$57.80
Temp Service:
$0.00
Misc Fee: low voltage
$39.80
TOTAL FEE:
$97.60
AMOUNT PAID:
$0.00
BALANCE DUE
$97.60
COMMENDS/ACTION NEEDED
N
N
W
n
❑
3
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
M-1102.1514961
1
®
I J
'rye;ancy
<r��
33112►_A
GENERAL COMMENTS:
M-1102.1514961
;} t�
'_ ..
z t.. . , .., ,- y
BUII.DING PERMrr INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER,;
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•
CQ�fI1ZEN TS ;' ,
YES NO"'
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT.. #
ROUGH -IN
PLUMBING
_
UNDER FLOOR ! SLAB
ROUGH -IN
WATER LINE
GAS LME
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T -BAR
INSULATION
-
SLAB
WALL ! FLOOR / CEILING
MECHANICAL
-�
HEAT PUMP
WOOD STOVE / PELLET ! CHIMNEY
HOOD/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT N's:
WATERLINE! METER
SEWER CONNECTION
SANITARY
STORM
SEPA:
ESA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT N's
PARKING/LIGHTING
LANDSCAPING
FINALNSPEC'TIONS REQUIRED PRIOR-TOUPANGN(USP� ,
RESiDEN"I1'AL
DATE'
VES
NO
C`(�IOBNERCiAL
-DATE
At�CBPTED "-
ES" NO
ELECTRICAL, -LIGHT DEFT. 417-4735:
ELEHT CFRICADEPT'L
LIG"
(_ /
CONSTRUCTION R.W.lPW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750•
"::;
'
PLANNINGDEPT.
BUILDING _ 417-4815.
_ ... -
BUILDING
TAPLANNNGIFORMSV 102.15 (4/2002]
CITY OF FORT mamm
DEPARTMENT OF COMMUNITY DEVELOPmENT - BUILDING DM ION
321EAST5TH STREET, PORT ANdELES, WA 9$362
BUILDINGPiGRNIT ISSUED: 8/13/2602 PERMIT NO: 13618
iWN RJ�1PPi1.1�1T. ' PROPERTY LOcAVON
228 4TH $T
CLALLAM COUNTY
2231=. 4TH STREET Lot: 1-6SL2613-18 BL55 TAYLOR
.. t
Port Angeles, WA 18362 Block; Long Leggy
. -
2 06(452-x'831 Subdivision: 4-�15 BL 6� TAR
T. S: Parcel No: 063000102605000 :-
CONTRACTOR AR, ITECT :
OWNER NIA
VARIOUS
Dort Angeles, WA 99M 118360.0000
0000Of000-oo0v
PR©JECTINFQ
Proj t VaI4e_ $15,0013.00 SFP Units: 0 Com . 0
Project Type: INT. REMODEL SFR SQ FT: 0 IndusIbial: 0
Occupancy Type: COMMERCIAL Garage: 0
;
66upario G`r`oup: MFD Units: 0
jJ
Construc ion Type: MFD SO FT: t?
Zoning Use: PBP
PROACT NOTES
`'
t . CABNI=TS
RECEIPTS
ws _
FEES /ASSESSMENT
Building Permit:" $251.26 Misc Fee 1; $0.00
Plan'Check: $0.00 Misc Fee 2: ' $0.00
we-sures arge: $4.50 .. Misc Fee 3:
House Moving $0.00
Man ctured Horne: $0.00
Sjgn: ' $0.00 TOTAL_ FEE: $25.95
Plumbing: $0.00 AMOUNT PAIL): `` $255.76
Machenical.' $0.00
SCE CLUE:.. $0.1)0
Radon: $1D.00
separate f r its werequired for eler trioei wwark, SEPA, ^ r�ii € F ig►,°anilides, prior to and pubfic improv
null and void Rif work or construction authorized is not commenca.4*►ithin 1801 days,`lf construction orwork Is i�,lii
Itohde e r at indorsed
;
for a penod"of 18s days after the work as commenced, or if required' inspections have not been requested wrtttin 18ti days from tine last
inspection: I' heieby certify that l Have fead:irad �*amined tIhis aorp011 M -n and know the same to be true end correct. Ali;pre-visaons Qf
laws and ottdinances governing this type of= o* will be oornplied frith wtethe}r specified herein or not. Thei,done int
presume to ve autho to violate or cancel the provisions of an state or local law r uleti : corissict oiiori Q the _
9i P y'. $9 p�arlc0 of
cOnStTUctIor1 , ..
x
Signature of.Contra r 4r AuNaorazsei a rat Gate a e,of Omer il' 6Wner.is er .
9 !gn . I I ` ,bats
TAPLAW NWOR)m mm l4saoM
BUILDING PERMIT I.MWECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS: PLEASE PROVIDE>A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO I ,
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
DA
ACCEPTED
COMMENTS
o YES NO
FOUNDATION:
t
FOOTINGS
WALLS
FOUNDATION DRAINAGE 4-_
ELECTRICAL. (LIGHT DEPT) SEPARATE PERMIT;
ROUGH -IN
PLUMBING
_.
;.
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACKFLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING ;
,
JOISTS/ GIRDERS
SHEAR WALL -
WALLS / ROOF / CEILING
DRYWALL
T -BAR
INSULATION
SLAB
•
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIK"my
HOOD! DUCTS
PW UTILITIES / SITE WORK (Enginxring Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM ;
SEPA:
BSA:
SHORELINE:
PLANNING DEPT. SEPARATE PERMIT Dl's
PARKING/LIGHTING
LANDSCAPING
_.. _ FINAL INSP' SREQ
_, - , ., UIRED PRIOR TO OCCUPANCYL[JSE
- ..,,:
RESIDENTIAL
: ,DATE
YES NO
COMMERCIAL
DATE,
ACCEPTED
ni"ES7 NO
ELECTRICAL -LIGHT DEPT. 417-4735
ELtRIL
LIGHT
CONSTRUCTION R.W. L PW/
ENGINEERING 417-4807
µ
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
^,
FIRE DEPT.
- .
PLANNING DEPT. j 477-4750:,PLANNING
1
:.
DEP 1.
'
;
BUILDING 417-4815
BUILDING
T:\PLANNINGIFORMS1110 j 15 I4/2002)
` BUILDING PERMIT - PREAPPLICATION
X
' The Building Permit - Preapplication must be felled out completely.
Pkase type or print In iok U you have any questions, please call 417-4815
FUK OFFICL USE ONLY:
Date Ra ; IA - - a 2-
Pumit a: f
Pre Ap C«nplctc?�_
Datc Approved: p'
II o�Lce a) ccs t 1—SZ__
Applicant and/or gent efts l � , tlJ i t2 r� �v fL �J 1�l`C � Phone:4(4 - 2-A 7_1
Owner
Phone -
Address: L 2 City:�ti7`�Zip:
chit ngineer: tynr 4 Phone:�-�-
Contractor 0 N fi=t' , Y-. License #:
Exp: Phone:
Address:
City:
Zip.-
ip:PROJECT
PROJECTADDRESS: `:CIF,-
ZONING
1–(0SLL24_
LEGAL DESCRIPTION: Loc it j I At,S"S Block
_
Subdivision:
-TA�(1012_
—ear. wdt_.
TYPE OF WORK:
SIZEIVALUATION:
® Residential ❑ New Constr. ❑ Reroof
o Woodstove
SF. @ $
/SF. = S
o Multi -family o Addition ❑ Move
❑ Garage
SF. @ S
/SF_ = S_
Commercial Remodel ❑ Demolition
❑ Deck
SF- @ S /SF. = S
❑ Repair ❑ Sign
o
TOTAL VALUATION
$
BRIEF DESCRIPTION OF TIE PROJECT:
E�fST1�
►n
I SiP.r 1 A�r1 i LgtF— Ar -"n_ n t C::7:-
i4 ,.�Q�
COMMERCIAIIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:_ ;
No. of Stones: Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. R + Proposed Lot Coverage: /sq, ft. = TOTAL LOT COVERAGE:_
PLANNING USE ONLY: APPROVALS: PLAN
Vtxes: BLDG —
DPW m
FIRE
FSA/Wedand(s): ❑ Yes ❑ No SEPA Checklist required? o Yes ❑ No Other: OTHER
P REAPPLICATION SUBMIT'T'AL: Your VpEcadon mrd sate plms must be films oed ciongdef y to be accepted for review. The B _
Division can provide you with more detailed information on the application and plan submittal requirements.
SMDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construct th "
Plans are to be submitted to the Building Division -
VALUATION OF CONSTRUMON: In all cases, a valuation amount must be entered by the applicant_ This figure will be rrviewed and
:nay be revised by the Building Div. to comply with current fee schedules_ Contact the Permit Coordinator at 417-4815 for assistance -
PLAN CHECK FLEE.- Your plan chock fee is due at the time the building permit application and construction plans are submitted. All other
,crtnit 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, this application will expire by
unitabons. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (sec Section
�04(d) of the Uniform Building Code, current edition). No application can be extended more than once,
hereby certify that I have read and examined this application and know the some to be true and correct, and I am authorized to apply for
°us permit. I understand it is not the City's legal responsibility to determine what permits are required,- it remains the applicants
esponsibility to determine what permits are required and to obtain such.
W -1 102 _ 131rcv.2P96f
r
Applicant: Date: 2*9f os--
SUE PIAN
DEPARTMEPfTOFPOBIIC WORK. BUIMINGDIVMON
l6L
FIUOi0R RECORD AT THE REQUEST D5,(p/a/d3
r
OF �.
3ECGRDtC tM t?EC4:�nt;�cr.t.1.! e.H co.
2003 MAY -8 AM 9: 02
IIIIIIII IIIIIIII{IIII{IIIIIIIII{IIII{I{IIII{ III IIIIiIIIIIII Ill
2003 1107771 Clallam
County
City of Port Angeles
Q p
Public Works and Utility Engineering
321 E 5TH ST.
`
Project# 9382
`N�)
RIGHT OF WAY EASEMENT
v'
Grantor(s): CLALLAM COUNTY
Grantee(s): City of Port Angeles, Washington
For good and valuable consideration, receipt of which is hereby acknowledged, Clallam County as owners of the
land below described, hereby grant so the City of Port Angeles, a municipal corporation, an easement to place,
locate, construct, operate, repair, maintain, replace and keep clear thereon an underground electric distribution line
or system serving the courthouse facility. Providing that Clallam County shall not erect or place any structure, I
building on the land below described without the express written permission of the City of Port Angeles.
The land referred to is in Section _10_, Township TPA 30 N, Range 6 WWM, Clallam County, Washington,
and the easement is more specifically described as follows:
An easement ten (10') feet in width commencing one hundred fifty (150') feet easterly of the easterly two hundred
twenty (220') feet of the southerly three hundred thirty five (335) feet Suburban Lot 26E, continuing southeasterly
approximately one hundred seventy (170'+/-) feet to one hundred ninety (190'+/-) feet, following the path of the
installed underground electrical line and including/terminating at the transformer location of said lot.
Tax Parcel# 0630001026050000
S335' of E220' SUBURBAN LOT26 Described in V100 P295, of Records of Clallam Co., Washington.
The installed electrical cable will be the center of the easement.
When the easement is no longer used for the distribution of electrical service, the rights conveyed to the City of Port
Angeles by this easement will cease, any and all rights of the city shall terminate, and this easement shall be void.
Grantee shall at all times have the right to full and free ingress to and egress from such said property for all
purposes herein mentioned and to remove at any time all of the cables, conduit and other articles constituting such
electrical system.
The right herein granted shall inure to the benefit of the grantee's successors and assigns, including any party which
it may_ grant'co'ntact, joint user or other similar rights.
.'Stgr�Q, Ag ent,Yol i'into this U day of% 2003.
BOARD OF CLALLA 0 NTY COMMISSIONERS
Ve&,s Atfe'st-, ; Steph P. Thannger, Chai
fx �`dsGlo�'' C.` GSC�u.S2c2 1SeiVtce—
'f 4tc f L $ t MichChapman
' �
Howard V. Doherty, Jr.
STATE OF WASHINGTON }
} ss.
COUNTY OF CLALLAM }
On thisday of -t�0-:2003, before me, the undersigned, a Notary Public in and for the State
of Washington, duly commissionednra d sworn, personally appeared before me P. ",�-v � r g C.-_,
--- �, and known to be the Clallam County Commissioners,
of the public entity that executed the foregoing instrument, ari6l acknowledged the said instrument to be free and
voluntary act and deed of said public entity, for the uses and purpose therein mentioned and on oath stated they are
authorized to execute the said instrument and that the seal affixed is the corporate seal of said public entity.
Witness my hand and official seal hereto affixed the day and year first above written.
NNI
Notary Public in and for the State of Washi d 90�,
Port Angeles.
APPROVED AS TO FORMAT: I Exp. 1.11-05
�111/AL10 X02
Chief Deputy Prosecuting Att6irhey
S . LECTRICAL DIVISION
00*, CITY OF PORT ANGELES
a'i 321 DUST SVTN ST�REETEI�ORT ANGELES. WA 98362
Date
11/05'/05
05-00001078
Application Number • • ' 722944
Application pin number .
ST
223 E 4TH06-30-00-1-0-2605-0000-
Property . .
Address .
ASSESSOR PARCEL NUMBER:
description ELECTRICAL ONLY
Application type
Subdivision Name . • • • • •
Property Use . • • PUBLIC BUILDINGS & PARKS
Property Zoning . • • • • 0
Application valuation . . • •
Contractor
Owner------------------------
------- _____ ANGELES ELECTRIC
COURTHOUSE CLALLAM CO 524 E. 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES WA 98362
(360) 452-9264
---------
ELECTRICAL ALTER COMMERCIAL
Permit
ANGELES/ ATM MACHINE
Additional desc
Permit pin number 64485
ANGELES ELECTRIC
Sub Contractor plan Check Fee
61.30
.00
0
Permit Fee . . ' . 11/05/05 Valuation . • • .
Issue Date � 5/04/06
Expiration Date .
Extension
Qty Unit Charge Per LT <5 CIRCUITS
EL -COMM A
61.30
1.00 61.3000 ECH --
------
------------------------------ PaidCredi
Charged Credited
Due
Fee summary
------1.3
- -------- ------ 61.30 61.30
Permit Fee Total
00 .00
.00
.00
00
Plan Check Total 61.30 .00
.00
Grand Total 61.30
C.'OMMI�NTS/ACTION NEEDED
�N
N
ELECTRICAL PERMIT INSPEC'TIONRECORD
i
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A I*MDd M 24 HOUR NOTICE. ITIS UNLAWFUL To C '
INSUL4 FE OR CONCEAL ANY WORK BEmREIT IS INSPECTED AND ACCEPTED. —mow
XEEP PERMIT CARD AND APPROVED PIANS AT JOB SITE
U12ILRAL COMMEM S:
` nv-iws.�s�y
d voa
mow" CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES. WA 98362
Application Number . . . . . 05-00001068 Date 11/03/05
Application pin number . . . 338552
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -0 -2605 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
Owner
Contractor
COURTHOUSE CLALLAM CO
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
ANGELES/ 1-5
CIRCUITS
Permit pin number
64071
Sub Contractor
ANGELES ELECTRIC
Permit Fee . . . .
66.60
Plan Check Fee
.00
Issue Date . . . .
11/03/05
Valuation . . .
. 0
Expiration Date . .
5/02/06
Qty Unit Charge
Per
Extension
1.00 61.3000
ECH EL -COMM
ALT <5 CIRCUITS
61.30
1.00 5.3000
ECH EL -COMM
ALT-ADDTNL CIRCUITS
5.30
Fee summary Charged
---------------
Paid Credited
Due
Permit Fee Total
66.60
66.60 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
66.60
66.60 .00
.00
CONIMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
Icz.1I[c) a r[em,VV
s.,30:L•jlei
GENERAL COMMENTS:
CITY OF PORT ANGELES
Uy � ^��F•.P
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
o� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
Owner
------------------------
COURTHOUSE CLALLAM CO
PORT ANGELES WA 98362
05-00000438 Date 6/28/05
105218
223 E 4TH ST
06 -30 -00 -1 -0 -2605 -0000 -
COMM REMODEL
PUBLIC BUILDINGS & PARKS
20000
Contractor
------------------------
OWNER
-------------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE II ONE HOUR
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
---------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . .
Permit pin number . 52043
Permit Fee . . . . 344.75 Plan Check Fee 224.09
Issue Date . . . . 6/28/05 valuation . . . . 20000
Expiration Date . . 12/25/05
Qty Unit Charge Per Extension
BASE FEE 92.75
18.00 14.0000 THOU BL -2001-25K (14 PER K)-- --- 252.00
-- -
-----------
Special Notes and Comments
06/14/2005 04:31 PM SROBERDS ---------------------------
The proposal will result in remodel of a public building.
NO land use issues are expected.
Asphalt drive way entrance to parking lots on 4th
street(3-places) to be replaced to City starndard of 6"
concrete.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
-----------------------
Fee summaryCharged Paid Credited Due
-- - ,
Permit Fee Total 344.75 344.75 .00 .00
Plan Check Total 224.09 224.09 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 573.34 573.34 .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
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 o tractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
5 building permit inspection record05.wpd [ 1/0./20051
BUILDING PERMIT INSPECTION RECORD 06-- 1l3 e
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. 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
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS 7 l
SHEAR WALL/HOLD DOWNS
WALLS / ROOF /CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL / FL EILNG
MECHANICAL, 410
HEAT PUMP / FURNACE CTS
GAS LINE a
WOOD STOVE / PELLET / CHI
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
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/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDNG 417-4815
— Y—OK
BUILDING
T:APolicies\1102 15 buildingpermit inspection record05.wpd [1/4/2005)
PREPARED 11/09/05, 13:28:40
CITY OF PORT ANGELES INSPECTION TICKET
_ INSPECTOR: JAMES L LIERLY PAGE
ADDRESS__--. 223 E 4TH ST
. ------II-IIIDATE-_-ll/09/0`
CONTRACTOR : SUBDIV: -----
OWNER COURTHOUSE CLALLAM CO PHONE
PARCEL 06-30-00-1-0-2605-0000- PHONE
APPL NUMBER: 05-00000438 COMM REMODEL
ERMIT: BPC 00 BUILDING PERMIT - COMMERCIALREQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------------
BL3 01 7/11/05 JLL -- - TIME-- -----
BUILDING ------------------- —------------
7/12/05 pp FRAMING TIME: 17:00
07/11/2005 01:18 PM JLIERLY-----____
Say 477-0060
07/12/2005 08:15 AM JLIERLY____________
BL99 01 1 /09 0� JL v partial inspectionM_____
BUILDING FINAL TIME: 17:00
11/08/2005 03:30 PM PBARTHOL
Office space in Courthouse
COMMENTS AND NOTES ------______
----------------
PREPARED 7/11/05, 13:26:31
CITY OF PORT ANGELES INSPECTION TICKET
---------------------------
___ ____ INSPECTOR: J
ADDRESS - _________ JAMES L LIERLY PAGE
223 E 4TH ST 7
DATE
CONTRACTOR ---' — 7/11/05
-------------
OWNER SUBDIV: --- -----____
PARCEL COURTHOUSE CLALLAM CO PHONE
06-30-00-1-0-2605-0000- PHONE
APPL NUMBER: OS-00000438 COMM REMODEL
------------------ _
PERMIT: BPC 00 BUILDING PERMIT ------ _
REQ 00 TEDBUILDING
- COMMERCIAL -- ---
INSP ----
Y-- COMPLETED DESCRIPTION ---- ----------
TION --
__ RESULT RESULTS/COMMENTS
BL3 01---------- ;;-,--
7/11/ 5 ----------------------------------
JLL ---
BUILDING FRAMING TIME: 17:00
------------------------------
---------- ---
07/11/2005
01:18 PM JLIERLY------- ----
JaY 477-0060
----- COMMENTS
AND NOTES
J BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY:
r_ www.cityofpa.us ate Rec.: �G�
Print out form and fill out COMPLETELY in INK. Your application and site
L-� Permit #: Ll
Plan MUST BE COMPLETE to be accepted for review. Date Approved:
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Date Lssued:�_
Applicant or Agent: JDA 41 W (,.kf5c)?Q
L
el- .w i ;<C, a or --i Phone: �4 1 � - Z L4, L.
Phone:
Z 2a ,T 4 �T� �r City: (��z (timet `�
Engineer: p , �, Zip: 018 3
1_`C� a
— Phone:
State License #:
_ Exp:_ Phone:
City:
ADDRESS: 'sj Zip: _
ZONING:
ESCRIPTION: Lot: �oSLZso 13-18 P_t2j�
Block:_.92L_ S �°`1L° Subdivision:
COUNTY PARCEL NUMBER: D (c,3 1 �L' l2 } TAS( Log -
Credit
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA -- MC # City:
TYPE OF WORK:
❑ Residential ❑ SIZE/VALUATION; Exp. Date: _
New Constr. ❑ Re -roof ❑ �—
❑ Multi-famil ❑ Stove
Y Addition ❑Move— SF. @ $—/SF. _ $
Commercial ❑ Garage
Remodel ❑ Demolition ❑ Deck _SF. @ $--/SF. = $
❑ Repair ❑ Sin ther__ SF. @ $__/SF. _ $ ----
BRIEF DESCRIPTION OF THE PROJECT: TOTAL VALUAT ON —
$
(U�
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories:Occupant Load: Construction T
Lot Size: Existing Sq. Ft. Type:
& Proposed Sq. Ft.
Total lot coverage o �
/o =TOTAL Sq. Ft.
PLANNING USE ONLY: A
PPROVALS:
AN:
DG:
ESA/Wetland(s): ❑Yes ❑ No SEPA Checklist required? ❑ Yes ❑ WU.
No Other: RE:
'HER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This fi ure willberve and
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the buildingg 1 be reviewed
submitted. All other permit fees are due at the time of permit issuance. assistance.
EXPIRATION OF PLAN REVIEW; If no permit is issued within 180 days of the date of application application and construction plans are
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
of the International Building/Residential Code, 2003 application will expire. The
). No application can be extended more than once. R105.3.2
I hereby certify that l have read and examined this application and know the same to be true and correct. l am authorized to apply i for this permit and
understand that it is my responsibility to determine what permits are required, not the City's, and that l must obtain such permits prior to w
www.cityofpa.us ork.
Applican,-
Date: � �1,,,-_'2 Z DO`S
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . 05-00000536
Application pin number . . 113128 Date 7/03/05
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER:
Application type description ELECTRICAL OONLYS-0000-
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
Owner
------------------------
COURTHOUSE CLALLAM CO
PORT ANGELES WA 98362
Contractor
------------------------
OWNER
-----------------------------------------------------
Permit ELECTRICAL NEW COMMERICAL
Additional desc SPOKANE SECURITY/ SECURITY SYS
Permit pin number . 53546
Sub Contractor . . SPOKANE SECURITY SYSTEMS
Permit Fee . . . . 236.00 Plan Check Fee .
Issue Date . . Valuation 0
7/03 05 .00
/
Expiration Date 12/30/05
Qty Unit Charge Per
1.00 42.2000
17.00 11.4000
---------------------------------
------------------------------------------------------
summary Char ed
---------------- -
------
EL -LOW VOLT SYS
EL -LOW VOLT SYS
Paid
<=2500 S FT
>2500 S FT
Q
Credited
Extension
42.20
193.80
--193.80
----
Due
j.
PermitFee Total 236.00
Plan
Plan Check Total .00
Grand Total 236.00
----------
------
236.00
00
236.00
_____ __ _____
----------
.00
•00
.00
.00
.00
.00
CO1IME-NTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
CI ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
INSULATE OR C
vr,n DrDk iT rARn AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS: Pw-1102.15 lel
CITY OF PORT ANGELES i N0- 1 8 0 1 7
LIGHT DEPARTMENT ELECTRICAL PERMIT
Port Angeles, Washington ------- _---- Z/ 19Z
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of PQrt Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address __ G ---------------------------oy –"U.47- _ -- -AIJ�/ Occ c
--- ------ ---------------
Owner --- Ga; A ---------------------- ------- Tenant ............... Z ..... ...... --- -
Wiring Contractor -_E<c e a'.'�, ' tss --F .y f /,V By �z ( _/Jl cy rx.�. :...
Light Out]
Receptacle
Dryer, KW
Range, KW........
water Heater:
Heat: KW ..........................................
Motors: size, volts and phase
Remarks:
Load.............................
Vii.. F c.
--------------
/t i ,. i>_
Service, volts
No. wires
Size wire
Main fuse
Enclosure .........
Type of wiring:
Entrance Cable
Rigid Conduit ...............................
Metallic Tubing .....
Current transformers:
No. & Size .......................................
Ser. No ...............................................
Ser. No ..............................................
o�
Type of Wiring:
Armored Cable .............................
Non -Metallic .................................
Knob & Tube._ ............... -----...---
Rigid Conduit ...............................
Metallic Tubing ...........................
Raceway ....................... _......
__..._
Circuits, Light .......................................
Utility.............................................
Heat....................... _.............. .......
Range.............................................
Water Heater ...............................
Motor_-- ........................................
Furnace
Total
Permit Fee Treas. Receipt
AA qAg .. ,..
v� LJ Z .�... B l ��-
$- 3 4 No.- y b_e --- ------- -- --------
NOTICE--Current must not be turned on until Certificate of Inspection has been Issued. If work'is to be con-
cealed due notice must be given the inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
¢¢ V
ELECTRICAL PERMIT
Address
Owner
N° 18017
Wiring Contractor ------ L------.i_±.._'----_%...!C!.✓.!.a...t...................................
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
CITY OF PORT ANGIMES NO" 1 7 7 7 2
WGHT DEPARTEIM ELECTRICAL PERMIT
Port Angeles, Washington ------- - - - 3 ..--------- 19 C
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in tthheZ�y of Poli Angeles, per-
mission is hereby, granted to do electrical work as listed below. y
Address ----------------- -
Owner ..--�.. :.._.
Wiring Contractor
Light Outlets ................................ ... .....
Receptacle Outlets ...............................
Dryer, KW -------- ----------------------------------
Range, KW ------------------------------------------
Water Heater:
KW..................../..-........-..............
Heat: KW....'t)o/
........................
Motors: size, volts and phase
Total
Remarks:
°L
Service. volts .......................................
No. wires ......�.. .....- ........
Size wires..!.'2..r'J...........
Main fuse .._ Z, � d :.
Enclosure ........
Type of wiring:
Entrance Cable
Rigid Conduit ......
Metallic Tubing ..
Current transformers:
No. & Size ...............
Ser. No ......................
Ser. No ..................... ..
Type of Wiring:
Armored Cable ..............................
Non -Metallic .................................
Knob & Tube ..................................
Rigid Conduit ...............................
Metallic Tubing ...........................
Raceway ............................... _.__.—
Circuits, Light.._ ..............................._..
Utility.............................................
Heat ................
Range.............................................
Water Heater ...............................
Motor--._ ........................................
Furnace
Total
Permit Fee A Tress. Receipt
--------------------------- No ----------------------------- BY
+.--' r
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
Owner
N° 17972
WiringContractor........................................................... _............................................................. By ..............................................................
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
IM Olympic Printers, Inc.
CITY OFPORT ANGELES
LIGHT
DEPAAThIENT ELECTRICAL PERMIT N° 15944
HT EPA
Port Angeles, Washington-------- / -S - -•--•---- 19`-A�.
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby. granted. to do electrical work as listed below.
Address
Owner
Wiring
Light Outlets ................................ ... ... -
Receptacle Outlets ...............................
Dryer, KW ..........................................
Range, KW ------ .:......._------------------------.
Water Heater:
KW------/-------------------------------_------_.
Heal: KW.1q.. �.
�(!-/....V. ... - ...
t7 5
Motor: size, �/olts an phase:
........................... Z ---- --
Total
Remarks:
Occupancy--- ---------------------------------- --------
Service, volts -60/;{ 2y�
No. wires ..J ---- ......._..............
..... 1......
Size wiregS�.....�..........!CL...I.... !
Main fuse
Enclosure ..�..%
Type of wiring:
Entrance Cable
Rigid Conduit -------------------------------
Metallic Tubing -------------_-----------
Current transformers:
No. & Size .......................................
Ser. No ----------------------------------------------
Set. No ..............................................
Ser. No ..............................................
Type of Wiring:
Armored Cable ..............................
Non -Metallic ................ — -----_-------
Knob
---- ------_Knob & Tube ..................................
Rigid Conduit ...............................
Metallic Tubing ...........................
Raceway .........................................
Circuits. Light .......................................
Utility.............................................
Heat................................................
Range.............................................
Water Heater ...............................
Motor..............................................
Dryer------------------- __-------_----------------
Furnace ......................... .....................
Tota] ..�v .
................... ......
Permit Fee Treas. Receipt
$..... ........------ No .................... _..... _ By.
7' 7----
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY�FOR INSPECTION
ELECTRICAL PERMIT
Address
Owner
I N° 15944
Date......................................................
WiringContractor------------------------------------------------------------------------------------------------- By..............................................................
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
1M Olympic Printers, Inc.
CITY Cr PORT ANCIT
LiCHT DEPARTM1ffiNY ELECTRICAL PERMIT NQ 16492
Port Angeles. Washington ---------------z --------•---•-----------•-•-----••-----------1 19-----:,
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address ----------
------- o------------------------------------_ y, - Occupancy f yn-
I
WiringContractor-------------------------------------------- ---------- ------ By ---------------------------------- --------_----- --------------
Light Outlets ..............: ice?............. -.....
N
Receptacle Outlets._ ......................
Dryer, KW ---------------------
Range, KW -------.
Water Heater:
KW .............
Heat: KW ...........................................
Motors: size, volts and phase:
e
Total
Remarks:
Service, volts
No. wires
Size wire
Main fuse
Enclosure --------
Type of wiring:
Entrance Cable
Rigid Conduit .......
Metallic Tubing ---
Current transformers:
No. & Size ...............
Ser. No ...............................................
Ser. No ..............................................
Ser. No ..............................................
Ser. No.....j.............._..........................
Type of Wiring:
Armored Cable ..............................
Non -Metallic .................................
Knob & Tube .................................
Rigid Cmdult...............................
Metallic Tubing ...........................
Raceway...................................... -
Circuits, Light .......................................
Utility.............................................
Heat...............................................
Range.............................................
Water Heater ...............................
Motor.-._........................................
Dryer............................................... _
Furnace-------_--- ...................._...........
Total
Permit Fee Treas. Receipt
$ - No............................. By - -- -`------- ----- -----------------------------
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
Owner
N? 16492
Date......................................................
WiringContractor....................... _.......... _...... ............... .................... ............................. ............ By .............................................................. _
NOTICE=Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
�1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
In accordance with the
trical equipment in, on, or a
mission is hereby anted
Address-----------'� '__
Owner l : _-- ---------
r�
Wiring Contractor-.- -.-- y...-.
s
ELECTRICAL PERMIT N° 15012
1
Port Angeles, Washington ------- -.'---------------------- ...,
ity Ordinance to regulate the installation, extension, or repair of elec-
)ut any building or other structure in the City of Port Angeles, per -
do electrical work as listed below.
`----'_`- ------------------------------- ---- Occupancy
j7
Light Outlets ---------- ``.n ...................... -.....
ti
Receptacle Outlets... ..................
Dryer, KV4 ------------------------------------------
Range, KW._ ----------------- ------------ ---- ---
Water Heater:
KW------------------ --- -_------------------_
Heal: RW --------------------------------------- ---- ._...
Motors: size, volts and phase:
Total
Remarks:
,-y
Service, volts --------------
No. wires --------------
Size wires .............
Main fuse ......
Enclosure --------------
Type of wiring:
Entrance Cable ----
Rigid Conduit ......
Metallic Tubing ..
Current transformers:
No. & Size......... .....
Ser. No ......................
Ser. No--------------------.
Set. No .....................
Ser. No - --------------------
a
Type of Wiring:
Armored Cable -----------------------------
Non-Metallic .._..._------._--------------
Knob & Tube .................................
Rigid Conduit ..............................
Metallic Tubing ---------------------------
Raceway ..---------------------------------------
Circuits,
...........__......................Circuits, Light .......................................
Utility---- ----------------------------------------
Heat... -------------------- -_---_--------_---
Range.............................................
Water Heater .------_......................
Motor... ------------------------ ................
Dryer--------------------------------------------------
Furnace-._......._----_-------- ..............
Total---------------------------------------
Per mit Fee Tress. Receipt
$------------------------------------- No ------------------------ ---- By --------------------------------- ----------------------------
VOTICEr-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
ceal ld due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N° 15012
Date called for inspection ------------------------_-.
Preliminary inspection dates ......................
Inspection completed..._.-_ ..............-...........
TotalLoad -------------------------------------------------------
IM 3-72 Olympic Printers, Inc.
Job wired by ,2;lectrical Contractor O Owner
Elec 'cal contractor aamSl� Lice,�se numhar Daro E. i[es
Purehsce�r'a�l�.Kai1%��.�jaaa[ILL�LZ�.v✓/G�
CitynA Sfate 71: "ef. A Stat n�I ter— -
FAX
of inspection
City 2.23
Phone rnbhr to schedule iq{pection: ter, ) 1, i 1/.
Owner or defined by kCW..Jo28.d61r(1) Owner will occwpv he. .stmrcrure for two
years afler ihu electrical permit is finalized, (2) Owner is required 1v hire an electrical
contrarlor if aheve said property !s for sale. rent or lcas'e..
After reading the above slatement. I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. 1 am making the electrical instal-
lation or aiterution in compliance with the electrical laws, N.R.C., RCW, Chapter
19.28, WAC. Chapter 396-46B, The City of Part Angeles Municipal Code. and
Utility Specifications.
r
ELECTRICAL W ORI{ PERMPTAPPLICATION
❑ Residential
❑ New U-,'Vt,,ed/Addidml
0 Cash 0 Check #
Yd Credit Card Visa Mastercard Discover
Card # _-� --- ____
rSignature o ownc-ela trical co
ratter or electrical administ ato
Expiration Date
of card
$tspcci exp
r
IX
Date• /����
Elqgtrirpj Load AddiflonsaiNd orsubtrat:tions
2
.90mace Information
G NO LOAD CHANGES
11 Baseboard
%jot
voltage.—
oltage,❑
_KW
ElFurnace KW
❑ Overhead Service
Phase O 1 0 3
_
❑ Heat Pump _ Ton LAR
0 Temp Service
Service Size:
❑ Fan -Wall _KW
O Underground Service
Feeder Size:
SAME DAY INSPECTION.
CALL BEFORE 7:00 AM 360-417-4735
L "d S9Z6 ZSV 09E ONI OI2i10373 S373ONV NO2i3 "VoV ° 0 L SOZ-90—O L
M -- p /03"� MW
Job wired by electrical Contractor ❑ Owner
EI meal otnator me sense number Date Expires
Pumh fling \s \ Q1"r
City P•//�r $talc ZIP r
Tclephop�;umbe; .7� FAX num, K-1412,1
Prc?3T;own r7 o. e/mte
Address of Inspection /1�+OJP•N�11
21 1 r
City 9 `
Phone number to schedule inspection: t `7A_(a 7
Owner as defined by RCW.19.2$,261;(1) (Tuner will occupy the structure ,for tura
year$ after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor 1f ahove said property is for sale, rent or lease.
After reading the above statement, I hereby certify, that I am the ovmm of the above
named property or o licensed electrical contractor. I am making the electrical instal-
lation or attention in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAG Chapter 296-46B, The City of Port Angeles Municipal Code, and
U NO LOAD MANGES
O Baseboard
_ KW
O Furnace
—KW
O Heat Pump
Ton LAR
❑ Fan -Wall
_ KW
or electrical administrator
Date: S'4*7-trp-09
ELECTRICAL WORK PERMIT APPLICATION
PCommercial O Reeidentlal
❑ New P(,Altered/Addhion CY
CunN con 4om6— Rold
0�ee Ae IWO
MAY 9 3 2008
3 Cash 0 Check #
yatipeditCudYLsa rMI 15iscover
Card # _ U�+_t�Y�''�
Expiration Date Inspection fee
of card a t1nd�—
Q Ovettmaed Service
O Temp Service
❑ Underground Service
SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735
Voltage ______
Phase O 1 O 3
Service Size: _
Feeder Size: —
05/26/2006
19:07 4579270
SIMPSON ELECTRIC PAGE 01
Q
�f
ELECTRICALWORKPERMITAPPLiCAITON
i�
P
,rob wired by
#lectrlcal Contractor ❑ Owner
installation dmeription
�. Commerdsl ❑ Residential
,
lcerrienl contractor name License number Da1e, Eaprrra
❑ New AAlte�/Adilmon
pcbucr! mailing address
I.J
/�•7///1
,,
'S7 �c Jr l.� e/^/ A4"
43 0
ty
W,o f
slam ZIP
slephanc tinmbor
FAX number
�p1r' /<�.Pe�/fYlb
rn�eE. 91vi1 �er's Pam .... . - -t: _ % .....¢" �'��MI�rJ-�
n� �iiGGr��SY.vu✓'r.-
J r
-574r
Phone number to schedule
Owner as defined by RCW,19-25.261:(/) Owner will occupy the structum for two
years"mer'thLr-eleeKiari"permlrYsylwlrzed.-(2)'Owner'te.reptdrcd-ro.hire.an.clensicd._ Q1.1��✓"/"�t
contractor 1f above said pmperry irJbr rale, rent or hare. ❑ Cash ❑ Check#
After reading the above statement. I hereby certify that 1 stn the owner of the above 1?iscwei
named property or am m
a licensed electrical contractor. 1 aking the clectricil 'nate]- Credit Card Vim Mastercard
lation or alley tion in compliance with the electrical laws. N.E.C.. RCW. Chapter
19.26. WAC. Chapter 296.46B, The City of Pon Angeles Municipal Code, and Card i_ --=—
Utility Specifications. _
Slgnnt r of owner, eleetrcontractor or electrical admlplstrat r� y'Fj pirptionDate nspection fee
of card eC0 t
Cl NO LOAD CHANGES
O Baseboard —KW
❑ Furnace _KW O Overhead Service
Cl Heat Pump _-Ton — LAR ❑ Temp Servide
❑ Fan -Wall —KW Cl Underground Service
SAME DAY INSPECTION CALL SF.FORE 7.00 AM_ 360-417-4735
.r ROUGEt-IN TO9TAT
f_ Ar n111e _ IyMMVM By.
FINAL 1 ( DTIC I1
sarvlr.e lnformatlon
Voltage
Phase P 10 3
Service Size:
Feader Size:
Inspcetlnn Arca, Building or Equipment InspectedI Action Taken I Eleotrical
Date IaaPCCLar
�W
ELECTRICAL INS
PECT
ION
i�k WIRING REPORT
wRK56 417-4735
APPROVED
NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED:
NOR
_ -1 - -*- •
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRIMERS, INC. (360) 452-1381
ELECTRICALWORKPERMITAPPLI-CATION
RECEIVE® -
JUL 2 5Z�
by lectrical Contractor ❑ Owner
Instal on description
Action Taken
Job wired
Commercial ❑ Resid atial
Ll New Altered Addifioa
Electrical contractor name License number Date Expires
ANGELES ELECTRIC, INC. LIOHTDE
Purchaser's mailing address
PORT ANGELES, WA 98362
135/f
Js sts
City State ZIP
�L�
�N LAIN 6e*46
Telephone number FAX number
Premia is
-s
X4
_
Address of inspection_
City
Phone number to schedule inspection:
Owner as defined by RCW. 19.28.161: (1) Owner will occupy the structure for two
years after this electrical permit is frnaliaed (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease
❑ Cash Check #
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 instal-
redit Card Visa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
__II //
y
je`vL
19.26, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Card # _ _ _ _ _ LVV -_
or electrical administrator Y Expiration Date
t
ftYNO LOAD CHANGES
U Baseboard _ KW
❑ Furnace _ KW ❑ Overhead Service
❑ Heat Pump — Ton _ LAR @❑�TSD� Service
I7 Fan -Wall _ KW 'underground Service
SAME DAY INSPECTION, A BEFORE 7:00 AM 360-41747
p )� TROUGH -IN TBERMCKrAT
Detc Approved By Date ApywvcA By
Cl J�111 � ( DITCH
E&
Service Info,�r�/
Voltage � O
Phase ❑ 3 AO
Service Size: ��s%
Feeder Size: _w1jr-
SERVICE "
Inspection
Date
Area, Budding or Equipment Inspected
Action Taken
Electrical
Inspector
7-;5-()?'
1 ()IV
/�p
135/f
T000/T000 O OTa200T3 SaTaaaV 99Z6 ZSP 099 XVd 8E:8T 800Z/bZ/LO
l
07/17/2008 16:33 FAX 360 452 9265 Angeles Electric 00001/OCsJl
6pn
ELECTRICAL WORK PERMITAPPLICATION
Job wired by WElectrical Contractor ❑ Owner a -Commercial ❑ Residential
Electrical contractor name License number Date Expires
❑ New tered/Addition r�
Purchaser's mailing address ANGELES ELECTRIC, INC. V
aOz90
City 4-E FORTME WA 98362
jstq-/il/ /d�4ll�[ Q
Telephone number FAX number M/
Premises
Address of inspection
223 qze
City 'P*
Phone number to schedule.ieseertion: n .�
/ /T/11— to IU —
Owner as defined by RCW.19.28.261: (I) Owner will occupy the structure for two
years after this electrical permit iv finaltred. (2) Owner u required to hire an electrical
contractor if above said property is for sale, rent nr lease. ❑ Cash E)Check 9
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 instal- edit Card Visa Mastercard Discover
lotion 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 Card # - — — - //r. -_ _
Signature of o 7cq clectriep
contractor or electrical administrator Expiration Date
'—
X
ate:
Inspection fee
O LOAD CHANGES
Service Information
❑ Baseboard _
KW
Voltage
❑ Furnace _
KW
- ❑ Overhead Service
Phase O 1
❑ Heat Pump _
Ton _
LAR ❑ Temp Service
Service Size:
❑ Fan -Wall _KW
SAME DAY INSPECTION,
❑ Underground Service
CALL BEFORE 360417-4775
Feeder Size: P.M4t/A4
7.00 AM
THERMOSTAT
SERVICE
7 z6 YW
Dore Appovcd By
a
Dao Appm By
DITCH
FEEDER
7
Date Approved By
Dao Apprm By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
(7)22/208) Trent Peppard -Courthouse Outage for Main Breaker Repair Page 1
From: "Ken Simpson" <ksimpson@olympus.net>
To: 'Trent Peppard" <Tpeppard@cityofpa.us>
Date: 7/15/2008 12:25 PM
Subject: Courthouse Outage for Main Breaker Repair
CC: "Winborn, Joel' <jwinborn@co.clallam.wa.us>, 'Tate, Dave" <dtate@co.clal...
Trent,
We would like to formally request an outage of the Clallam County Courthouse so that we may replace the
the 3000 -amp main breaker. The date that fits the County's schedule is Saturday July 26th. I anticipate an
8:00 a.m. disconnect time. We are hopeful that the breaker can be changed in a few hours and be
re -energized.
Please let me know if this date and time works with the Light Department crew.
Thank you,
Ken Simpson
Angeles Electric, Inc
360-452-9264
alp'
Job wired by t Iectrical Contractor ❑ Owner
Electrical contractor name License number Date Expires
ANGELES ELECTRIC, INC.
Purchaser's mailing address
PORT ANGELES, WA 98362
City State ZIP
Telephone number FAX number
owner's name
ELECTRICAL WORK PERMIT APPLICATION
'Installatl escnptton
ommercial ��D Residential
D New
�gd'Allererl/Additiun
O Furnace KW
❑ Overhead Service
a
vl
D Fan -Wall _KW
CAME DAY INSPECTION CALL BEFORE.
Uktrriderground Service
7:00 AM 36041747
Address of inspection �jy
Z? ���, 4�j
City [L .
Phone number
�7-4:y /a tV -77L.5
Owner as defined by RCW.19.28.261:(1) Owner will occupy the structurefor two
yews after this electrical permit it finalroad. (2) Owner is required to hire on electrical
contractor if above raid property is for sale, rent or lease.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296.46A, The City of Port Angeles Municipal Code, and
Utility Specifications.
SignatureDoff weer, electrical contractor or electrical administrator
X Ile i7', %/_.r_ Date: 7/t/fes
❑ Cash ❑ Check #
redit Card Visa Mastercard Discover
Card#-----�f _--- ----
Expiration Date
of card $
D NO LOAD CHANGES
D Baseboard _ KW
O Furnace KW
❑ Overhead Service
D Heat Pump :7-jon _ LAR
❑ Tem Ice
D Fan -Wall _KW
CAME DAY INSPECTION CALL BEFORE.
Uktrriderground Service
7:00 AM 36041747
ROUGH -IN
THERMOSTAT
Apy� Dae
FWAL DITCH
Service Informatlan
VoltaZD
Phasege ❑ 1
Service Size: ^to
Feeder Size: LAaGCi -
SERVICE
InspectionI Area, Building or Equipment Inspected I Action Taken I Electrical
Date Inspector
Z000/ZooO in oialooTq SaTasav 99Z6 99V 09£ XVd LT:£T 900Z/LT/L0
PREPARED 7/18/08 ACCOUNT CONSUMPTION HISTORY
PROGRAM UT4756
CITY OF PORT ANGELES FINANCE DEPARTMENT
CUSTOMER: 63871 CLALLAM COUNTY COURTHOUSE
223 E 4TH ST 47
PORT ANGELES
LOCATION: 98716 223 E 4TH ST
CYCI,E/ROUTE:"01-00
STATUS: A
ELECTRIC METER NUMBER: E1055C
READING BILLING
DATE TYPE DAYS PERIOD/DATE
--------------------- ---------- -------"______.'--
7/01/08 REG 32 7/08 7/03/08
5/30/08 REG 29 6/08 6/05/08
5/01/08 REG 30 5/08 5/08/08
4/01/08 REG 29 4/08 4/03/08
3/03/08 REG 31 3/08 3/06/08 ..
2/01/08 REG 32 2/08 2/07/08
12/31/07 REG 31 1/08 1/03/08
11/30/07 REG 30 12/07 12/03/07
10/31/07 REG 30 11/07 11/01/07
10/01/07 SET 11/07 11/01/07
10/01/07 OUT 31 10/07 10/04/07
8/31/07 REG 31 9/07 9/06/07
7/31/07 REG 32 8/07 8/02/07
WA 98362
PAGE: 1
METER SIZE:
ACTUAL
ACTUAL ORIGINAL ORIGINAL
CONSUMPTION
-------------------------------------------------'______--
DEMAND CONSUMPTION DEMAND
272100.00
597.00
262200.00
597.00
322800.00
654.00
357300.00
702.00
310200.00
753.00
376500.00
819.00
346800.00
828.00
322800.00
747.00
305700.00
663.00
.00
.00
287400.00
615.00
271800.00
549.00
276000.00
585.00
TOTALS: 368 3711600.00
AVERAGE DAILY USAGE: 10085.86
CONSUMPTION PARAMETERS FOR ELECTRIC
EXCEPTION REPORT FLAG . . . . .
CONSUMPTION ESTIMATE
.00
DEMAND CONSUMPTION ESTIMATE ..
.00
AVERAGE CONSUMPTION
10870.69
AVERAGE DEMAND CONSUMPTION
23.78
TOTAL CONSUMPTION
63571800.00
TOTAL DEMAND CONSUMPTION
139059.00
TOTAL READING DAYS
5848
8109.00
22.03
)000 KVA Z-n1Lfq cv Xr-m2
3-22-207 9:17PM
FRf1M GNr;FI FC FI Fr.TRTr. TN(` 360 452 9265
it
Joh wired by CKlectrical Contractor ❑ Owner
Electrical contractor name Uiccme number Dale Expires
Purchaser's mailing address 524 EAST FIRST
PORT ANCFI EC. WA 42789
city —. �. state ZIP
Telephone number FAX number
Address of
City f if P�362
Phone number to schedule }taapectiun: , J
Owner as defined by RCW 19.28.26C(I) Owner will occupy the structure far two
year,, after Mir electrical permit is finalized. (2) Owner is required to hire an electrical
contraaor if above said property u fior .rule, rant or /ease.
After reading the above statement. I hereby cenifv that I am the owner of the above
named properly or a licensed electrical contractor. I am making the electrical instal-
lation or alreratioo in compliance with the electrical laws. N.E,C„ RCW. Chapter
1919, WAC. Chapter 296-46A, The City of Port Angeles Municipal Code. and
Utility Specifications.
Signatare of 0 aer, electrical contractor or electrical administrator/
X A����AZ Date: 3�7 /�
P.
ELECTRICAL WORKPERMIT APPLICATIOI!ii
rinstall n description
Cntntnercial
❑ Residential
❑ NewItered/Addition
Voltage
U Furnace KW
❑ Overhead Service
Phase 3
!]✓T U
I�iL
d✓A� �u�
❑ Cash U Check #
52, reditCard Visa Mastercard Discover
Card# —__= Od°✓
Expiration Date
of card $nspecli ` 60
FJ�cle¢a1 Lo idAddif ons anifof subtroetlons
Service Inlorm�tjQq
U NO LOAD CHANGES
❑ Baseboard KW �� K W �
Voltage
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_
• Heat Pump _ Ton LAR
i
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❑ Fan -Wall _ KW
nderground Service
Feeder Size:
SAME DAV INSPECTION- CALL BEFORE 7:00 AM 360-417-4735
ROITGii-Ili' -
T1IERMOSI:4T
SERVICE
pare Approved ay
Dal, Allivvcd Ay
FD.11�
"NAL
DITCH
Il"ER
S1-07
_�T�Dnrc wnnrnvea civ
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AOCNvod-nv
htspection I Area, Buildin or Equipment In cited I Electrical
Date SInspected Action Token Inspector
�f PORT 4NCF! ELECTRICAL INSPECTION
�J /w
WIRING REPORT
417-4735
�HKS 6
DAT PERMIT a INSPECTO
7 o
OWNER/CONTRACTOR y� r�—//T 1
ADDRESS
zg
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL....................
CORRECTIONS NEEDED:
C &c F55 ^LL- U o.LUS7F-f7 pT79-nl I r4 c s
n145- <�I- /In•I'za
"-:�?P . "J1Z F-; / B-1) Um'T-PLA: C.J 1 S
Fo- F-- 6^t, -A1C-/\ 0W7 P'K-E:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OLYMPIC PRINTERS, INC. (360) 452-1381
ORT, ELECTRICAL INSPECTION
WIRING REPORT
417-4735
RKS 6
PERMIT #
ADDRESS
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ..............
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED: STEAL_ lJ PA U S rz-[�> cp6 A) N t' S
SNf.L_Lo-til T-,%_ L 110-12- Pte
DoDtz- -IVB C_ 31 L4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OLYMPIC PRINTERS. INC. (360) 452-1381
1-10-288 11:12AM FROM ANGELES ELECTRIC INC 360 452 9265 P..1
ELECTRICAL WORK PERNIITAPPLICATION
Job wired by 2'91ectrieal Contractor ❑ Owner �mmereiai ❑ Residential
Electrical contractor name License number Date Expires
ANGELES ELECTRIC, INC. O New /�i,r It/e7�rryAedIlAddition
Purchaser's mailing address EA:T -_ ��-J ��'�—'�7l
PORT ANGELES, WA 98362 —/Z
sty state ZIP
Teluphont number FAX nut 4ey�
Premi/spsi,owner's name 'TAIL—
of of
City
Phone number to selt*lq 5pectlon:
Owner as defined by RCW.19.A.261; (l) Owner will occupy the structure for two
Year, after IAir elecbical Parni l is finalized. (2) Owner- it required to hire an elecirieal
contractor if above said properly A for sale, rent nr lease. ❑ Caeh Check if
After reading the above statement. 1 hereby etrtify that I am the owner of the above
named property or, a licensed electrical contractor. I am making the electrical instal- redit Card Visa Mastercard Discover
lation or alteration in compliance with the elcctrical laws, N,&C., RCW. Chapter
19.25, WAC. Chapter 296-46B, The City of Pott Angeles Municipal Code, and Card N
Utility spcci(caticos. C;'7
Fq
13 NO LOAD CHANGES
❑ Baseboard
KW
❑ Furnace
_ KW
❑ Heat Pump
_ Ton ._„-- LAR
❑ Fan-N/all
_KW
rr or electricnl adminis ator Expiration Date
rh
Date: //7
of card I
ROUGH -IN n
r`F Uxr: d
� npprewd 27
-
1 FINAL
Voltage
U Overhead Service Phase O 11#
❑ TeP�RR Service Service Size:
A'Ondergrountl Service Feeder Size:
'MERMOSTAT SGRN ICIr
Approved Cy ,
DrFCH ' / FEEDER
Inspection Area. Building or Bquiptrrwt Inspected Action Taken I Rlcctrical
Date Inspector
RA217 L1. -J C--,
c
ECTRICALWORK PERMITAPPLICATION
eauest Inspection
lectrical Contractor O Owner �'e,...•-
O Annual Permit 0 Alarm 0 Carl ommercial O Residential 0 Residential Maint. O Signs 0 Thermostat 0 Telecom.
Installation dcscap ion
Jab wired byUe lectrical Contractor ❑ Owner JA
V �
Elec ital Contractor nyme License number
99;gc t�rYl�iC'S
Purchaser's mailing address
,S2cj �. 4e _
Cityi7 - State ZIP _
owner's name
City
FAX
0 Cash Check #
I hereby certify that I am the owner of the above named property or a licensed reditCard Visa Mastercard Discover
electrical contractor (or the firm's authoriacd agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chaptcr 19.28 RCW Card #
Signature of electrx'21—contra9tor or administratory Expiration Date
J{ of card Inspection fcc
s /1 W_
WALLS
Insulation Only
Ji A .p w By
vtr
nppmvM By
CEu.nvc
Insulation Only
Data nppmved By
Covcr
Ono Apv.pv d By /
Electrical Load Additions and or subtractLons
0 NO LOAD CHANGES SAPV— jJ6WW6 tT
40, �!✓_
0 Baseboard _-KW
0 Furnace _ KW 0 Overhead Service
0 Heat Pump _ Ton _ LAR 0 Temp Service
Cl Fan -Wall —KW 0 Underground Service
SERVICE
A11M0 0y
FMER
Service Information
Voltage
Phase 0 t 0 3
Service Size: _
Feeder Size:
Inspection
Date
Arca. Building cr Equipmentlnspected
Action Taken
Electrical
Inspector
3 �s
H- w
2 -
J "'o
/ i� -/, Cl/ —.
l d S9Z6 ZSV 096 ONI OIdd10313 S3730NV 1,102IS NdOZ'S S0Z—L0—L
05/31/2007 16:07 3604523498 OLYMPIC ELECTRIC PAGE 01
ELECTRICALwORK pERMITAP.PLICATION
instal n description
Job wired by WElectrlcalcontractor OOwner �ComtaereW OResidential
Electrical contractor name License, number Date ExpiresO Now g2�Altered/Addldoo
'• port er mailing addroa
/�2 3i� Tirr�wa�� ��SGiicdif3 i/)
C'Slats 21P
y /J
�� //,>7
Telepbone numbef PAX number
Premlles owner's name
Address of Idapectloa _
clq
r
Phone number to ehedule Inspection:
!Toner err defined by RCW19.18.261:(1) Owner will oeeupY the rnverare for two
yaws tiller thisefertrlml Aerndr 4 flnolCed. R1 Owner is reeuitvd rt, 41, IialrtrtY6a1 0 Cash O Cheek:
tontrnrtor tf oboes laid proper& 1r for cors, M1 or lmara .
After reading the above.$Miemmk 1 hereby eertiq that I am the owner of tM above Discover
named property m a licensed alecaieel contraemto t. t omalleins the electrical Instal. llf Credit Card Visa Mastercard
ladon or alteration In. compliment, with the electrical laws, NALC.. RCW. Chapter
19.25. WAC. Chapter 296 -MR, The City of PartAngelesMunicipal Code, and-Cerdfl .�—.-
9lgneture of ewaer, aleetrted contractor or electrical administrator Expiration Date
of am
O NO LOAD CHANGES
O Baseboard —KW O Overhead Service
O Heat P
O eat pump = on LAR 0 Temp Service
O FamWdl —KW _ D Underground Service
ROU& -m THERMOSUT
no M
Voltage
Phvm01O9
Service Size: ,
Foeder Size:
t
I
Inspection Area, Building at Equipment Inspected
Date
Action Taken
Elaatrfcel
Inspeotor
y
.nen v�nr-nT
10-31-206 5:44PM FROM ANGELES ELECTRIC INC 360 dS2 9265 P-1
Job wired by
Contractor © Owner
Electrical contractor name License number Dule Expires
ANGELES ELECTRIC, INC_
Purchaser's mailing address 5'' AST FIRST
PORT ANGELES, WA 98.362
City State ZIP
'fcicphone number
FAX number
Addressof inspection, ✓ - x
. .zz�3 9
Phone nutaber to
Owner as defined by RCIC19.28.2611(l) Owner will occupy the xtructure for two
year' after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor tf.abova said property is for salt, rent or lease.
After reading the above statement, 1 hereby certify that I am the owner of the above
named property or a licensed electrical contractor. 1 am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.F.C., RCW. Chapter
17.26, WAC, Chapter 296-461i, The City of Port Angeles Municipal Code, and
ELECTRICAL WORKPERMITAPPLICATION
Q'Commercial O Reside tial
O New AIS [eyed/Addition
ICA 4- ZW K /0
O �Cash . O Check #
C� rcditCard Visa Mastercard Discover
Card # O A/-
- -
Signature t nor, • ct ical coutraetor or electrical adminI rater Expiration Date
X Date: card of card $ Dp"t�lr 12
❑ NO LOAD CHANGES (i. IDtts
G Baseboard _ KW
❑ Furnace KW O Overhead Service
a Heat Pump _ Ton _ LAR C1 Temp Service
O fan -Wall _KW O Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH -IN
THERMOSTAT
Service information
Voltage
Phase O 3 �t
Service Size,y-'
Feeder Size: 1llD
PtZl 100
nate nvrro.W ex J Dab � ADf*D�ca nY J �>^w •rrro�ro nr
F7NA.L{¢� j�^/ DITCH FEN -DER
Gp- prvTtl Uy Dab nppmacu ey Dntc Avrro+c0 tly
inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
9-07-206 8:14AM FROM ANGELES ELECTRIC INC 360 452 9265
P. 1 ,
ELECTRICAL WORK PERMIT APPLICATION
Iton description
Job wired by lectrical Contractor (3nsta Owner Commercial ❑ Residential
Electrical contractor name License number Date Expires
NewteretUAddition
ANGELES ELECTRIC. INC -
Purchaser's
Purchaser's mailing address 524 EAST FIRST
!o
PORT ANGELES_ WA_9$362 %iip t�a✓D
City State ZIP /j
t
Telephone number FAX number
Premix $ owner's name
Address of 22 tuna ��
City
Phone number tos hedule
owner ar defined by RCW.19.28.261:(I) Owner will occupy the structure for two
years after this electrical permit is frnalccd. RJ Ow wr it required to hire an electrical
contractor if above said property is for salerent ar lease. ❑ Cash 0 Check #
After reading the above statement. I hereby certify that 1 am the owner of the above
named Propcm' or a licensed electrical contractor. I am making the electrical instal- redlt Card Visa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.F..C.. RCW. Chapter 'I
19.28, .WAC. Chapter 296.46B, The City of Port AngcleS Municipal Code, and Card #
r'Signaturc of owner, electrical contractor or electrical administrator Expiration Date
of card lnspec
X Date: $ "-
ElectriefrLoad AddljjQnE jindrsulitractions Se"iceInformation
Ea,<O LOAD CHANGES
Cl Baseboard _ KW _ Voltage �.
❑ Furnace —KW O Overhead Service Phase O 1
O Heat Pump _ Ton LAR ❑Temp Service Service Size: 6SD
❑ Fan -Nall _ KW O Underground Service Feeder Size: _.�/�L
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360417-4735
r ROUGH -&I LZ THERMOSTAT SERVICE,
.yMTV&d By Pero Awmvd sy nem
FINAL nrrCH FEM
Inspection Ara, BuildingorEquipment Inspected Action Taken Electrical
Date
.Inspector
3604172733 ST OF WA L&I 07:32:25 a _ 06-31-2006 314
08/28/200o 11:21 3604174729 PORT ANGELES CITY LT PAGE 01
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date: 8/28/06
To: Labor & Industries
Fax: 417-2733
Re: Inspections
Sender: Kathy Trainor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 4174724.
Please inspect for:
Ken —Angeles Electric
452-9264
Courthouse, Planning Office — Cover inspection (open walls)
Thank you,
Kathy
Job wired by
Contractor 0 Owner
Electrical contract., name License number Date Expires
Purchaser's alailWR08tB ELECTRIC, INC,
U4 FACT FIRST
City PORT ANGELES, WA 9TIM2 zlp
Telephone nombcr FAX number
name
Address o�'Inspc� n
City
Phone number to schedule inspection:
Owner as deffned by RCW.19.2d.2dlr(0 Owner will o ropy the sbucture jar Iwo
years ajlcr this electrical permit k finalised. (2) Owner is reyuiry l iv hire an elm rieai
contractor if shove said property is jor rale, rcnr or lease.
After reading the above statement, 1 hereby certify that I am the owner of the above
named property or a licensed electrical contractor. 1 am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E-C.. RCW, Chapter
19.25, WAC. Chapter 296-4611, The City of Port Angeles Municipal Code, And
X
or electrical
Date:
ELECTRICAL WORK PERMITAPPLICATION
@'Commerdnl' .0 Residential
3 New, aid; red/Addition
N9A.1 )5 Wb !.-1b,qr1Nb r
0 Cash Check #
rcdttC.ard Visa Mastercard Discover
Card# —.. --- ��Zeo_----
Expiration Date
of card Ingpcction f
ElectricalLoad A dition end orsu¢�Cactions. $ervicelnformation
El NO LOAD CHANGES � s,, _�� ��
0 Baseboard _ KW Z��Q '.".'." 116nr _� J4«" W9'&W0-'t page ZI%jJ
❑ Furnace _ KW ❑ Overhead Service, / Phase 1 ❑
0 Heat Pump _ Ton _ LAS Cl Temp Service Service Size: SiJr.,,s
0 Fan -Wall _KW O Underground Service Feeder Size:
SAME DAY INSPECTION, CAT..I, BEFORE 7:00 AM 360-4774735
ROU:SE:RVICE
D.=ApprnvcA ay
FINAL DI7Y'Fi FEEDER
Apavvcd Br
Approved 9,
Inspection
Date
Area, Bui Iding or :9ul lucnt Inspected
Action Taken
Electrical
Inspector
r
Ilfle6 =6 ZSV 09£ ONI OI2i10313 S3730NV HU:Ll NdLO:9 9OZ-6 L—V
f
3-23-206 12:06PM FROM ANGELES ELECTRIC INC 360 452 9265 P_1 t
ROUGH -IN \ / 11:11ERMOS'LAT' \ / SERVICE
Wm
3 -2Duw7 -06 Apjpm
Dsm Avumry by ate
FINAL DITCHAppm�M N
App- rCDERA
A
Inspection
Date
i
ELECTRICAL WORK PERMITAPPLICATION
�a
Electrical
Inspector
3 -27 -rib
installall description
Job wired by lectrical Contractor ❑ Owner
=rcial ❑ Residential
Electrical contractor name Licanm number Date Expires
D New O Altered/Addition
purchaser's mailing address
ANGELES ELECTRIC INC,_
NUJ
City 5 W $T State ZIP
A /1
LES,
PORT ANGELES, WA 98362
.�`�'/C � 4/- �� �
Telephone number pAX number
Yre��ryyjlIccs owner's
Address of ins eotion
2
�
City /7 f
n
Phonc,�VmUer to sc ole inspection: C//A7 -2217
+�nG.•es.l7ifL-
Owner as dejjrfed by RC'W.19.28.261:(I) Owner will occupy the strucluro jor two
years yfter this electrical permit is QAaI&ed (2) Owner it required to hire an electrical
contractor if above .cald property iv for so(e. rent or !fuse.
❑ Cxsh 0 Check #
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 instal-
LTC:redit Card Visa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter
19,28, WAC. Chapter 296-46E, The City of Part Angeles Municipal Code, and
Card # �L%'�
Utility Specifications.—
----��------
signature of owner, electrical contractor or electrical advilni trator
Expiration Date
X Date: j 27 ��
of card $Inspect io9 fey 30
Electrical Load Additions nor subtraOMMS-
Service Information
❑ NO LOAD CHANGES � � / A
❑ Baseboard _ KW
Voltage*�G�
❑ e
Furnace KW O Overhead Service Phase 1 ❑ 3
_
❑ Heat Pump Ton _Z4!4 AR ❑ Temp Service
Service Size: 3�J
O Fan -Wall _ KW O Underground
Service Feeder Size: fL�
ROUGH -IN \ / 11:11ERMOS'LAT' \ / SERVICE
Wm
3 -2Duw7 -06 Apjpm
Dsm Avumry by ate
FINAL DITCHAppm�M N
App- rCDERA
A
Inspection
Date
Area, BuildingorEquipment Inspected
Action Taken
Electrical
Inspector
3 -27 -rib
C i e-_0
1
eb
ELECTRICAL WORK PERMIT APPLICATION
U Request Inspection
,4Electrical Contractor 17 Owner k
Ci Annual Permit ❑ Alarm O Carnival ❑ Commercial O Residential ❑ Residential Malnt. Q Signs ❑ Thermostat v Word.
Installation description 1
Job wired by LY imrical Contractor ❑ Owner
E cuicel ontractor n e t License number
Q NO LOAD CHANGES
Patch is mailing eddreas
1
& to rrh t —
city stale ZIP
Telepbonc nuer FAX number
g !3 S ti 7-oz� z -
Premises
wne 's name ,y y -. • ' `
to /�
P Addiees o6 t`o$ eetion-
Zz 5 y
City PA-
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
Si na lectriesl contractor or electrical administrator
WALIS
Insulation Only
Dnp Appravre sy
Cover
Dam App W uy
CIIIING
Insulation Only
Duo Avpro+art aY
Cover
par nep.cvea or /
Electrical Load
Additions and or subtmctlonfl
Q NO LOAD CHANGES
❑ Baseboard
_KW
❑ Furnace
_ KW
❑ Heat Pump
_ Ton _ LAR
❑ Fan -Wall
—KW
❑ Cash ❑ Check#
Visa
Card rr#�r__��•_
dl
Expiration Aare
of card
THERMOSTAT
❑ Overhead Service
0 Temp Service
❑ Underground Service
AI•ICH
Mastercard Discover
SERVICE
BM i7 0131
Vt>tlage
Phase O 1 O 3
Service Size: _
Feeder Size: _
0
0
I
<' ELECTRICALWORKPERMITAPPLICATIOIN
Installation description
Job wired by� lectrical Contractor ❑ Owner Cl Commercial O Residential
ectrical contractor name License number Datc R:pires
lf7N.n` ❑ New ClAltered/Addition e
mh-aser's mailing addrez
City State ZIP
Telephone number FAX number nom,/f
pro owner's m e
nbWffY
JOW—
Addrespection
223 -r, N= sr
City
Phone number to schedule inspection: ///-y—
Owner- as defined by ACW.19.18.161:(!) Owner will occupy the srrw;turo fUr two
Worn, after Mir electrical pernal is finalized. (2) Owner is required to hire art rleoviwl
contractor if above said property isfav cele. rent or lease. CIC ash ❑ Cheek #
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 instal- 0<redit&d Visa Mastercard Discover
ladon or alteration in compliance with the electrical laws, N.E.(7., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Card #
Signature of Wl�ler e ccrtr%lcal t000 rr..)cttor or cicetrical admiuist ator Expiration Date /�j�
V�hk'!/V//Tf
�� InspectGlG
X Date` $/ oCcard $
:lectrical Load Additions an or subtractions Service Information
Cl NO LOAD CHANGES
Cl Baseboard _.,_KW
O Furnace —KW
❑ Overhead Service
O Heat Pump _ Ton _ LAR
❑ Temp Service
❑ Fan -Wall _._ KW
❑ Underground Service
SAME DAY INSPECTION,
CALL BEFORE 7:00 AM 360-417-4735
ROUGH -LN % THERMOSTAT
voltage
Phase O 1 O 3.
Service Size:
Feeder Size: .
SFRVTCE
Da�c nppnvM by oa -- n"'ovM 9y cern A",ru Id BY
FINAL =MER
nap' oao noom•cn ey
Inspection Arca, Building orE ui meth las eeted Electrical
Date M q P p Action Taken lospector
L 'd S9Z6 ZSV 09£ ONI OI2dlO373 S37EDNV H02id
HdSI'ZL SOZ—L£-0L
s
ELECTRICAL WORK PERMITAPPLICATION
Service Information
❑ NO LOAD CHANGES
Job wired by Electrical Contractor ❑ Owner `
Installation description
Commercial El Residential
Electrical contractor name License number ate Expires
❑New ❑Altered/Addition
p p
SpDK_A►1G. ,Sa cJ. tti t[l. ScL--E-.5 R:,r-A
Phase ❑ 1 ❑ 3
Purchaser's mailing address
❑ Temp Service
1gZ0 R Pf L16
❑ Underground Service
Feeder Size:
City Stale ZIP
/
-5pr-) KAL6- , II. k 9'12oc,
S '—
Telephone number FAX number
So`S - z -z
Premises owner's name
LA"Am r C- Cil
Address of inspection
4t`
?I;_;,3 � :
City
Paz„- Al4brtc Lx ! Ci (--I-
Phone number ttoo schedule inspection: q /
Owner as defined by RC[V 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
C
contractor if above .said properly is j[r .sale, rent or lease.
❑ Cash ❑ Check # J
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 instal-
❑ Credit Card Vi Mastercard Discover
lation 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
/
Card #
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
Expiration Date
X �Fj (i{�wDate: sD p�
Inspection e
ofcard ��(� $ eQG
Electrical Load Additions and or subtractions
Service Information
❑ NO LOAD CHANGES
❑ Baseboard _KW
Voltage
❑ Furnace _KW
❑ Overhead Service
Phase ❑ 1 ❑ 3
❑ Heat Pump _ Ton LAR
❑ Temp Service
Service Size:
❑ Fan -Wall _KW
❑ Underground Service
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH -IN THERMOSTAT SERVICE
Dale ApprofdBy Dem Approved By Date Approved by
FINAL DITCH FEEDER
n ..
Inspection Area, Buildingor Equipment Ins ected Action Taken Electrical
Date I
Inspector
JUN -29-2005 01:13 PM
Application number
Permit type
Electrical contractor name
License number
Telephone number
Premises owner's name
Address of Inspection
city
County
Power company
Installation description
Inspection fee
Date
WALLS
Insulation Only ----
Cover
CEILING
Insulation only ---
Cover---•---
Inspection
bate
FILE COPY
ELECTRICAL WORK PERMIT
268349E
LOW Voltage Permit
SPOKANE SECURITY SYSTEMS INC
SPOKASS180MP
5095354123
CLALLAM COUNTY COURTHOUSE
223 E. FOURTH AVE
CLALLAM
JEFFERSON
LOW VOLTAGE SECURITY INSTALLATION
$42.20
Approved By
Date
P.02
Pagel of 2
r
,144�9 ._ L4z-20
Lf 25D/- 0 0 eo te-,W
26c)o 1'7 x II - ZD
110-
N2.z
o L0
Approved gy23�r �l
<
O' KV
SERVICE _....-...—� ..-....._--.__.—..-- Gb- 1
FEEDER .__..-.__,.._ .._.--,-----..._ `t ,A N11
--- - — THERMOSTAT
v-_------,_.._ DITCH
Area, Building or Equipment Inspected Action Electrical
Taken Inspector
I hereby certify that I am the owner of the above named property or a licensed electrical Contractor C or the firm's authorized
agent) and em making the electrical Installation or alteration In Compliance with the electrical law, Chapter 19.28 RCW. I agree
that my contractor's account established with the Department of Labor and Industries for the purpose of paying for such permits be
charged for this service,
https://wws2.wa.govMi/ipep/scripts/ipep.dl]/Permit 6/27/2005
ELECTRICAL PERMIT APPLICATION
r>or yr.n�et
'T'he E10CMcal Pennn ADDliCefron must ow flllad out com pl Wv
p lease type or reprint In Int tryou have any quesihma, please cell (360) ln�730
Far npmher; (300) 4174717 Com(
Oe`WwElse.ConhacturAgmI- 01ympic Electric Co. Inc. Pnone: 457-5303 Fsr: 452-349a
property Oenw: eldita'm i
11/13/2005 09:55 FAX 3604523498
Fax Cover This is a
strictly pr(
person. or
To
City of P,
Atte
Al Oman
No:
417-4711
From
Melanie /
Date
11/13/03
Subject
Permits
Pages I, including
There are two I
you tell me the
Clallam County
4230 7umwater
Port Angeles,
WA 98363
(360) 457-5303
(360) 452-3498
OLYMPIC ELECTRIC
[a 01
ienual message, intended solely for the person to whom it is addressed,
distribution or copying except by the person for whom its intended, is
ed. If you receive this message in error, please forward it to the correct
it back to us. Thank you.
Angeles
erson-McCaughan
his one
G948 - 10997
charges on 10/6/03 (Ref Nbr 6376 and 6384) for $59.40. Could
sses for these permits? I have one permit on this date for the
ouse - is this one of them? Thanks for the help.
FOR OFFICIAL USE ONLY:
ELECTRICAL PERMIT APPLICATION
Date N.
Dam Appmved:
The Electrical Permit Application must be filled out completely. Dau Issued:
Please type or print in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 4174711
Oeltoor-KN m,,is4yak a grJl�eS
Applicant and/or Agent: Mari 1j a1 AvAt+nr(s PhonelI: 360 - ie1 93Fax #3&o - (,k3 -35k 1
Property Owner: C, I a Ila rn (6 Lt mfg CCU& Phone: 41-7 - �qpj
Address:�Z3 G City: Zip: xv
Contractor Mff4-10 t'kACtt�in SfttcFlon _ tikSLicense#:KtWOASDo'fLf1Fx 0 3(0e -b83-
p: -R' Phone: 359 3
Address: a33 Tirn�e✓lyre �f City:�M , WA Zip: 993S'�'
Credit Card Holder Name:
RillingAddress: City Zip:
Credit Card Number Exp. Date: VISA_ MC�
Permit Fee•
PROJECT
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK•
q Residential ❑ Multi -family '( Commercial ❑ Mobile Home
Electrical Permit fees are based on WAC 296-46-910 / e /�
BRIEF DESCRIPTION OF THE PROJECT: Tr S ty-
Electrical Heat Load Additions
q Baseboard
_KW
4 Furnace
_ KW
❑ Heat Pump
'KW
q Fan -Wall
KW
Comments
/-/"7 ea lyy3s
-�'�Service information
❑ Riser
❑ Overhead Service
❑ Temp Service
0 Underground Service
Voltage:
Phase: 0 1 ❑ 3
Service Size:
Feeder Size:
I hereby certify that 1 have read and examined this application and know the same to be true and correct, and I am authorized to apply
for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such.
PW -1 10223 [rev3t.00] Credit Card Holder's Signature: Ma4 Date: 7-/I p a
08/06/2014 09:25 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
16 0001/0001
S
Building, Division/Electrical Inspections
321 East Fifth Street—P.O. Boz 11501 Port Angeles Washington, 98362 Ei.KYRICAL
Ph: (360) 4174735 Fax: (360) 417-4711
Date A0 _.�Nlultifaanily, or Commercial'
Plan Review. May Be Required, Please Complete Electrical Plan Review information Sheet
Job Address:
Building Square Footage:
Description of above
Owner.lnforntatio
Name;�
e1%L
Malling-Ad
State: Z?p'
City State: Ay"p: jwcz—
ax:
Phone: Fax:
IC Q
License # 1 Exp.
10A[ fgn Multiplied tsy Unit Charael
U
?34O
Item
i Cha
5ervicelFeeder200'Amp.
$132.00
ServicelFeeder 201400 Amp.
$160.00
ServicelFeeder401-600 Amp
$ 225.00
SeMcelFeeder 601-1000 Amp.
$ 288.00
ServicelFaeder over 1000 Amp,
$ 410.00
Branch Circuit Wl Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 14
$ 86.00
Temp, Service/ Feeder 200 Amp.
$102.00
Temp. Service/Feeder 201.400 Amp.
$121,00
Temp. SoMoo/Feedar401-800 Amp.
$164.00
Temp. Service/Feeder 601-1000 Amp .
$185.00
Portal to Portal Hourly
$ 98,00
SlgnJ0utlfne Lighting
$ 88.00
Signal Circultl LfmltW Energy - Multi -Family
$ 64.00
Signal Circuit! Limited Energy) First 1500 sf--Commercial $ 96.00
Note: $5.00 for each additional 1500 of
Renewable Maebical anergy -SKVA System or Less $113.00
Thermostat $ 56.00
Note: $5.00 for each additional T-Stat
Contractor information
4
Nam®:
Melling d s:
Cityr, Ad.
State: Z?p'
Phone:~
ax:
Umnse rf 1 Exp.
IC Q
Llty
10A[ fgn Multiplied tsy Unit Charael
s
s
#
S'
#
#
#
s
s
s
s
s
$
#
#
s
s�2: 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; rgnt or lease. Permft 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, l am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: �❑ Onh, 11 Check
MCndtt Card / ®/✓ 4 /5 .0_
x -fid! Mod; otirotrmta
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 14-00000937 Date 8/07/14
Appli•cat,ion pin number . , , 062522
Property Address . . . . . , 223 E 4TH ST
ASSESSOR PARCEL NUMBER! 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . , . . . .
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation 0
----------------------------------------------------------------------------
Application desc
Extend'circuit for copier
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. IST ST.
PORT ANGELES WA 96362 PORT ANGELES WA 98362
(360) 417-2429 (36C) 452-9264
--------------------------------------------------------------------. __ _ -
Permit , . . . . .. ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
.Permit Fee 66.00 Plan Check Fee oa
Issue Date B/07/14 Valuation . , . . 0
Expiration Date 2/03/15
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- ----------
Permit Fee Total 86.00 86.00 00 00
Plan Check Total. .00 ,00 .00 .00.
Grand Total 86.00 86.00 .00 .00
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0$02)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G;IEXCHANGE\BUILDING
Note: $5,00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $ 120,00 $
Each Additional 500 Square Ft. or Portion of $ 40.00 $
Each outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $ 110 00 $ro
$ Total —74 Owner as defined by RCW,19.28,261: (1) Owner will occupy the structure for two years after this electrical permi is finalized, (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, N,E,C., RCW, Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check
+ L�
IJ CreditCard#
X Dated: t' r ` ` 0110112012
� ,
CITY OF PORT ANGELES PERMIT APPLICATION
--
- --
Building Division/Electrical Inspections6.
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
CC ((z /,
��tw� �9lIlAP��L
L
llFILIE
Date: ()Ly
_�& Sin le Fa ' y-nreSing r
* Plan Revle aBe ,equlred, .lease Complete electrical Plan Review Information Sheet
Job Address _
Building Square Footage: '
Description of above
CLit A'1'
Owner Information
Contractor lnform tea
Narne:
Name;
Mailing Address:
Malli*d..
City State Zip:City;Phone:
Fax:
Phon"72
License # 1 Exp.
License # 1 Sxp, jm :^mac
1.
t I
Item
Unit Charge Qty Total
(Qtv
Multiplied by Unit Change
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp,
$373,00
$
Branch Cfrcuit W1 Service Feeder
Branch Circuit W10 Service Feeder
$ 5,00
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
$
Temp. Service( Feeder 200 Amp.
$ 9100
$
Temp, ServicelFeeder201-400 Amp.
$110.00
$
Temp. ServicelFeeder401-600 Amp.,
$ 149,00
$
Temp, Service/Feeder 60 1 -1000 Amp .
$ 168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit) Limited Energy - 1 & 2 Family Dwelfng
$ 64.00
$
Manufactured Home Connection
$120,00
$
Renewable Electrical Energy - 5KVA System or Less
$102,00
$
Thermostat
$ 56,00
$
Note: $5,00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $ 120,00 $
Each Additional 500 Square Ft. or Portion of $ 40.00 $
Each outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $ 110 00 $ro
$ Total —74 Owner as defined by RCW,19.28,261: (1) Owner will occupy the structure for two years after this electrical permi is finalized, (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, N,E,C., RCW, Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check
+ L�
IJ CreditCard#
X Dated: t' r ` ` 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , . . .
14-00001512
Date 12/17/14
Application pin number
542320
DITCH
Property Address . . . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-6 4-6700
Application type type description
ELECTRICAL, ONLY
Subdivision Name
2�
Property Use
FINAL
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Overfill alarm gas pumps
----------------------------------------------------------------------------
Owner
Contractor
CLALLAM COUNTY
SME SOLUTIONS
223 E 4TH ST
2302 A STRE$T
FORT ANGELES WA 98362
TACOMA
WA 98402
(360) 417-2429
(253) 572-3822
----------------------------------------------------------------------------
Permit , , , . , . ELECTRICAL
ALTER COMMERCIAL
Additional desc , .
Permit Fee 74.00
Plan Check Fee
,00
Issue Date 12/17/14
Valuation , ,
. . 0
Expiration mate 6/15/15
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
Permit Fee Total 74.OD
74,00 00
00
Play CheClc Total. 00
.00 00
,00
Grand 'Total. 74.00
74,00 .00
.00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
2�
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGRBUILDING
03/26/2014 17:15 FAX 360 452 9265 Angeles Electric
W0001/0001
CITY OF PORT ANGELES PERMIT APPLICATION MAR 2 8 2014
Building Dtvision/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 ELLE RICAL
Ph: (360) 417-4735 Fax: (360) 417-4711 WSPeCTIONS
Date:� /'
Multi -Family o Commercial _ Commerclal Addition I Alteration I Remodel ! Repair'
' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above AL=
Owner Infor Ions
C
Name;
Phoma;
Mailing Add s:
License fA 1 Exp,
City: State: --AV-iip: JE&3AZ
�(
Phone; Fax:
License # I Exp.
�! �j c�
Item ��Pe / ! /360unit orae
ServicelFeeder 200 Amp.
$132.00
ServicalFeeder 2D1A00 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 Circuits 1-4
$ 86.00
Branch Circuit W1 Service Feeder
$ 5.00
Branch Circuit Wl0 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Temp. Service! Feeder 200 Amp.
$102.00
Temp. Service/Feeder 201.400 Amp.
$121.00
Temp. ServicelFeedor 401.600 Amp
$164.00
Temp. Service/Feeder 601-1000 Amp •
$185.00
Portal to Portal Hourly
$ 96.00
SigniOutline Lighting
$ 88.00
Signal Circuit/ Limited Energy - Multi -Family
$ 64.00
Signal Circuit/ Limited Energy 1 First 1500 of - Commercial
$ 96.00
Note; $5.00 for each additional 1500 sf
3�_ ictal
Renewable Elact6cal Energy - WA System or Less
$113,00
Thermostat
$ 56.00
Contractor Information
&- Y14E
Name
C
Maili Add s•
City celLX g State: ZI ;
Phoma;
ax; W —940
License fA 1 Exp,
�(
Total (Otv Multiplied by Unit Charge]
$
$
---—
$—--
$
$
$
a
$
$
$
$
$
$
3�_ ictal
owner as defined by RCW.19.28,261; (1) Owner will occupy the structure for two years after this eleacal 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 EleczCMdKC*rd#
it Applications.
Signature of owner, electrical contractor or electrical administrator: © Chole
A, W
Dated: _ c) f F= / I-> --- 0114112012
ELECTRICAL INSPECTION
WIRING REPORT
/0 pti417-4735
lr�
RKS &
OAT
PERMIT
OW ER
CONTRACTOA
ADDRESS
-77- 4
APPROVED e--�NOT AFP �ROVSD
0 ............... .... DITCH .....
0 ................ ROUGH IN/COVER..... ...... 0
0 .................... SERVICE ....
................ . FINAL .................... 0
P) CORRECTIONS NEEDED: �r-
Z) f2rr-IrK19-1 6- f Z-11-2 Kn-- 1-114
--fin vo- -9��—
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 16 DAYS
M-1114JIL1141190.1-C �*�
. ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
14-00000385
Date 3/28/14
Application pin number . . .
158130
DITCH
Property Add-ress , . , . . .
223 E 4TH ST
ASSESSOR'PARCE'L NUMBER:
06-30-00-6--4-6700-0000-
Application type description
ELECTRICAL ONLY
Subdivision Name , . . , , ,
1
Property Use
FINAL
Property Zoning . , , , , , ,
PUBLIC BUILDINGS & PARKS
Application valuation , ,
0
----------------------------------------------------------------------------
Application desc
VAV valve circuits above ceiling
-------------------------------------------------------------------I--------
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 E, IST ST.
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
{360} 417-2429
(360) 452-9264
----------------------------------------------------------------------------
Permit , , . . , , ELECTRICAL
ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . , 86.00
Plan Check Fee
00
Issue Date 3/26/14
Valuation
0
Expiration Date 9/24/14
Qty Unit Charge Per
Extension
BASE FEE
86.00
------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
---------------------------
Permit Fee Total 86.00
--------------------
86.00 .00
----------
.00
Plan Check Total ,00
00 .00
00
Grand Total 86,00
86.00 ,00
,00
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
1
FINAL
# 2
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE1I3UILDrNNG
p
Ct
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , , .
15-00400821
Date 7/14/15
Application pin number
966441
DITCH
SERVICE
Property Address , .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . , ,
Property Use . . . . , . .
COMMENTS:
Property Zoning . . . , . .
PUBLIC BUILDINGS & PARKS
Application valuation . . , .
0
----------------------------------------------------------------------------
Application desc
Power pole office and Kitchen
----------------------------------------------------------------------------
circuits
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES ELECTRIC
223 E 9TH ST
524 E, QST ST,
PORT ANGELES WA 98362
PORT ANGELES
WA 58362
(360) 417-2429
(360) 452-9264
-----------------------------------------
Permit . , . , , . ELECTRICAL
-----------------------
ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86,00
Plan Check Fee
00
Issue Date 7/19/15
Valuation
0
Expiration Date 1/10/16
Qty Unit Charge Per
Extension
BASE
FEE
86,00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 86,00
86.00 .00
p0
Plan Check Total 00
.00 .00
.00
Grand Total 86.00
86,00 ,00
,00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
�A'J5,�
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
.FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGMBUILDING
o�
N
07/10/2015 14:41 FAX 360 452 9265 Angeles Electric 10001/0001
CITY OF PORT ANGELES PERMIT Al
Building.DivisionMectrical Inspections
321 Pkst Fifth Sheet -- P.O. Box 1150 / Port
Ph: (360) 41747 S k°mt: (360) 4174711
Date: D /
* Plan Review.May Be Required, Please Complete
1.1, AAA-.
Building SquareFoolage:
Descriptlon. of above
Owner.inf atlon
Name:
Mailing.Ad
W. Stata:J*L--21p: " rdGA6
Z
Phone: Fax
Licanse•q r F.up
state:Zip;
Phone; VKa MY FAX—
I
tkeme#/Fxp
Service/Feeder 200 Amp.
$13:
Sarvfce/Feader 201.400 Amp.
$ let
Servic0eeder401-600 Amp
$ 22:
Servfce/Feeder 601.1000 Amp.
$ 28t
Servlo0eeder over 1000 Amp.
$ 41C
Branch Circuit-W/Santa Feeder
$ 1.
8ranch.Clrcult W/0 SaMW Forder
$ 74
Each Additional branch Circuit
$ t
Branch Circuits 1.4
$ at
Temp. Servical Feeder 200 Amp.
$102
Tamp. ServicOsgder 201400 Amp.
$121
Tamp, ServlcelFeeder 401$00 Amp.
$104
Temp. Service/Faeder 001-100G Amp.
$169
Portal to Portal Hourly
$ 9e
5lgrdovolne ughung
$ 86
Signal CfraulflLlmltad Energy --MuIO-Family
S 64
Slgnai ClrculUrUmited Energy/ First 1500 sf — Commercial
3 W
Nota $5.00 for each sddi fforrsl 1500 of
Renewable Electrical energy • SKVA System or Leas
$113
Thegnostat •
$ 66
Note: $5.00 for each Additional T-Stat
a
JUL 13 )015
Washington, 9t3 CTRICAL
�i MONS
or Commercial"
Plan Review Information Sheet
Contract r Inforrma0on
Name/
Memclay: tt
state:Zip;
Phone; VKa MY FAX—
tkeme#/Fxp
91 'total
MMu1001120y unit chiml
S
$
$
00
$
i
$ TOO
Owner as defined by RGW.19.26.261: (1) Ownerwill eoeupy structure for two years after this electrical permit is finalized. (2) Omer Is required
to hire air electrical contractor If above said property is for as rent or lease. Permit-anpires after sin n►ontihs of last inspection.
After reading the above statement, I hereby certify that I am owner of the above named property or a licensed electrical eorttractor.l am making
the electrical installation or alteration in oompiiance with the s ctrical Wawa, NA.Q, RCW. Chapter 19.28, WAC. Map* 286-488, The Ci r of Port
Angeles Municipal Cade, and /Utility Specifications and PARNMAC 4.05.050 regarding Soctriicai Permit Applieatons.
Signature of owner, eloctrlcal contractor or, electrical ad F Istrator. D ca.n pl.atc
cIMIRCsrd/ ®��--
r
Datadt �� s•3 41101r�S2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , . .
15-00000336
Date A/07/75
Application pin number . . .
931.536
DITCH
Property Address . . , .
223 E 47H ST
ASSESSOR PARCEL NUMBER;
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
FINAL
Property Zorning . . . . . . .
PU.BLTC BUTLDTNGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Applicati4n desc
VAV valves
----------------------------------------------------------------------------
owner
Contractor
CLALT,AM COUNTY
ANGELES ELECTRIC
223 E 4TH $T
$24 E, 1ST BT.
PORT ANGELES WA 98362
PORT ANGELES
WA 98962
(360) 417-2429
(360) 452-9264
----------------------------------------•------------------------------------
Permit . , . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 66.00
Plan Check Fee
.00
Issue Date 4/07/15
Valuation . .
. . 0
Expiration Date 10/04/15
Qty Unit Charge Per
Extension
'BASE
FEE
86.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 86.00
86.00 X00
,00
Plan Check Total 00
.00 .00
.00
Grand 'Total 66.00
86.00 00
.00
e
DEPORT 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) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAIEXCHANGE\BUILDING
04/03/2015 09:09 FAX 360 452 9265
CITY OF PORT ANGELES PERMIT A9
Building-Division/Electrical Inspections
321 East -Fifth Stireet — P.O. Box 1150 / Port
Ph: (360) 4174735 Fan: (360) 4174711
Date: 2
* Plan Review May Be Required, Please Complete
Job Address:
Building Square Footage;
Description of above
t)wner.l on
Name: L.I�t
Mailing Address:..! 2
City: - State: _4Lf:--Zp:
Phone: ax:
License.# 1 Exp,
bill
ServicelFeeder 200 Amp,
ServicelFeeder 201400 Amp.
SsnricelFeeder 401-600 Amp
SONICelFeadar 601.1000 Amp.
ServicalFeeder over 1000 Amp,
Branch Circuit -W/ Service Feeder
Branch.Circuit WIO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1.4
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp, ServlcelFeeder401-600 Amp,
Temp. $ervicelFeeder601.1DOC Amp ,
Portal to Portal Hourly
SignlOudine Lighting
Signal Cireultl Limlted Energy — Multi -Family
Signal Circuit/ Limited Energy I First 1500 sf—Commercial
Note: $5.00 for each additional 1500 sf
Renewable Ele*cal Energy , 5KVA System or Less
Thermostat
Nate: $5.00 for each additional T-Stat
121
$1
S
Angeles Electric
TION .
Washington, 98362
'amity or Commercial*
10001/0001
Pian Review information Sheet
Contract r information
Name;
L
Mailing d "'�
�
City Stale:Ip
6
Phone.• Fax:
Llrense#1t xp.~ B
GQ
ft TWAL(xtt►
Multi fled y alt Chmid
S
5
s
a
a
s
s
5
S
i
S
s
$ °"Total
Owner as defined 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 sal rent or lease. Permit expires after sk months of lasl inspection.
After reading the above statement, I hereby certify that I am' owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the a ricai laws, N.E.C., RCW. Chapter 19.25, WAC, Chapter 296.469, The City of port
Angeles Municipal Code, and Utility Specifications and PAT; 4.05.050 regarding Electrical Permit Applications.
Signature of awnsr, eleWcal contractor or electrical ad istrator: ❑ �cub ❑ astir
016dir Card 0 d Ir —
X� Daled:l' 0110112012
1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , . . .
15-00000313
Date 3/31/15
Application pin number . . ,
119541
DITCH
Property Address . . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER!
06-30-00-6-4-6700-0000-
AppiiCation type description
ELECTRICAT, ONLY
Subdivision Name . , . , . ,
S
Property Use
FINAL
Property Zoning , , . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation , . . ,
0
----------------------------------------------------------------------------
Application desc
Bath remodel
----------------------------------------------------------------------------
Owner
Contractor
CLALLAM COUNTY
ANGELES ELECTRIC
223 E 4TH ST
524 R. IST ST,
PORT ANGELES WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
(360) 452-9264
-.___..----------------------------------------------------------------._m--
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . B(;.Qo
Plan) Check Fee
,00
ISSue pate 3/31/15
valuation . .
. , 0
Expiration Date 9/27/15
- Qty Unit Charge Per
Extension
BASE
FEE
86.00
-----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total. 86.00
86,00 00
.00
Plan Check Total 100
00 oa
.00
Grand Total 86.00
86.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
S
FINAL
l
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTES FROM LAST INSPECTION
Signature of owner or EIectrical Contractor X
G:IEXCI IANORBUILDING
i
03/30/2015 11:04 FAX 360 452 9265
Angeles Electric
40001/0001
1
i
}
RECEIVED
CITY OF PORT ANGELES PERMIT
APP
CATION
Building Division/Electrical Inspections
k
321 East Fifth Street -- P.O. Boa 1150 / Port
An:
lea Washington, "362
ELECTRICAL
Ph: (360) 4174735 Fax: (360) 4174711
INSPECTIONS
Date: a
_
ltl-Family or Commercial'
*Plan Review, May Be Required, Please Cornoete Eie j
Ica[ Plan Review Information Sheet�-
Job Address:
Building Square Footage:
Description of above
y.
a
0►yner.l forrnation
Contractgr
Information
Name;_
Name;
Mailing. s: ie 6OLS71
MailA#/
;
my: State: p:
Crit'
State: Zip:
Phone: Fax:
Pho
~ ex
License # I Exp.
Lice G
Item
3114ty
Total 1Qty Multiplied
by unit Chamel
ServicelFeeder.200 Amp,
$132.
$
ServlcelFeedw 201.400 Amp.
$160.
$
SendoelFeeder 401.600 Amp
$ 225.0
$
ServicelFeeder 601.1000 Amp.
$ 288.0
$
SarvicelFeeder over 1000 Amp,
$ 410.q
$
Branch Qrculf-W! Service Feeder
$ 5..
$
Branch Circuit WI0 Service Feeder
$ 74. ;
$
Each Additional Branch Circuit
$ 5.
$
Branch Circuits 14
$ 86.
Z
S
Temp. Service! Feeder 200 Amp.
$102, ;
$
Temp. Service/Feeder 201.400 Amp.
$121,
$
Temp. Servlcaseder 401.600 Amp,
$164,
S
Temp. ServicefFeeder 601.1000 Amp .
Sias,
S
Poria) to Portal Hourly
S 96,
$
SignlOutiine Lighling
$ 88.:
$
Signal CirwWLlmltod Energy—Multi-Family
$ 64.
$
Signal Circultl Limited Energy 1 First 1500 of — Commercial
$ 96.
S
Note: $5.00 for each addittonal 1500 sf
t
Renewable Mechical Energy - 5KVA System or Less
$113.
3
Thermostat
$ 56,
$
Note: $5.00 for each additional T-Stat
f
e�
Total
Owner as defined by RCW.1918,261: (1) Owner will occupy t" 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 sal: rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am ,t owner of the above named property or a licensed electrical contractor. f am making
the electrical installation or alteration in compliance with the a rical laws, N.E,C., RCW. Chapter 19.28, WAG. Chapter 296.468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAM 4.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical ad ` Istrator: 13�cash Q chm*
i i9 i—Credit CarEl
# 0�4-jO—
alrolnst2
ELECTRICAL INSPECTION
WIRING REPORT
KS 417-4735
DAT
11 -2-(&114�
PE; !l T 4
� ;!� -313
OWNER
... A" 416-C-
7DDRrmss —>
-*--
APPROVED eN8�T�APPROV�Q
0 DITCH ...........
0 .......... ROUGH IN/COVER ............... El
[3- ............ SERVICE.. . ................ 0
0 ........... . FINAL ... ......
'GtRA�ECT�l0,NoSN,E,ED-ED:
r>
'?'(3 0 Lo) tnt, ki M=or: tz in
-114 pf- F
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
Ufl-1 #F PORT AIGEL
360-417-4735
Application monbez . . . . .
zs-onoozosx
Date zo/zr/zs
Application ouu number
370892
Property Address . . .
zzs o «ro ST
ASoEoaon PAococ NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
s zn no a « amu onooopplioadoo
Applicationtype description
oLmcrorcAz ONLY
Subdivision Name
Property Use
Property Zoning . . . .
eooLzc aozLozmno a rAnnu
Application valuation
u
--- ------ ------------------'-----------^-
Apoaoat1oo ueao
-- ---------------------
Parking lot lights
�
Owner
Contractor
-`-----
'-'-------------------
cLALLmm Coomry
-----------
oLrmezc ELmcrazc
co INC
zzs E oro ar
ozao ronmArEa
eoar ANGELES wu sozaz
Poar ANGELES
wn eosas
(ssu) 417-2429
(aao) 457 -5303
-'--.--'----------- -- '---.----'.'--'-'----'-'-----'-1,621�����-
-----
eermit ELECTRICAL
ALTER commmoczAL
Additional ueac . 1-4 czacozTo
Permit Fee 86,00
Plan Check Fee
.ou
Issue Date . . ' 10/27/15
Valuation . .
. . u
Expiration Date . . o/a«/ze
Qty Unit Charge Per
o^teoaiuo
'BASE
FEE
86.00
------''---'---------- --'------'-----''---''------^^
Fee summary cuazeeu
-''-------
Paid Credited
^---^-~^^- ~---------
-- -----~-------
ooe
----------
-'-^ ------------
eezmit Fee Total os�oo
86.00 on
.00
Plan Check Total .on
.on .on
.nn
' Grand Total as�oo
86.00 �oo
.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
FINAL
PERMIT WILL EXPIRE SIX (DMONTHS FROM LAST INSPECTION
Signature ofowner ocElectrical Contractor
WR
Oct 26 2015 09:11AM HIP Fax
page 1
-�
_\
CITY OF PORT ANGELES PERMIT APPLICATION
--�=���
-��
Building Division/Electrical Inspections
321 East Fifth Street —P'O. Box 1150 /Port Angeles Washington, 9W362
Ph: (360) 417-4735 Fax: (36O)417-47D8Date" jwlk�
F,(l Multi -y or/N5PEC?/O�S
Plan Review Complete Electrical Plan Review Information Sheet
Job Address:
Building SquareFootagal
Des ' ti f above 4t
Owner Information Contractor Information
womo
City: City: PORTANGEas- State: wA Zip: -t—
Phone:__Fac Phone: 4�467-6SO3 'Fax: .300452-2490
U��#/�
�u�: #/Ex� p
Item ���� ��10191
19V Multipligo
Service/Feeder 2OOAmp $1S2.OV
Service/Feeder 2D14VOAmp $180.00
Service/Feeder 40|-6VVAmp $225�U0
Service/Feeder V0'1N0Amp, $288.00
8omioelFwedorover 10O0Amp, $41000
Branch Circuit m8Service Feeder 3 5.00
Branch Circuit mADService Feeder $ 74,00
Each Additional Branch C|rCL|t $ 5,00
Branch Circuits 14 $80,OV -_��---
Temp. Semiwel Feeder 2V0Amp. $10200
Temp. Service/Feeder 2V14DOAmp. $121.00 _---_--
Temp. Service/Feeder 4o1'OOVAmp, $184.00 --__
m_______
Temp, Service/Feeder 0O14OOOAmp . $105.00
Portal toPortal Hourly $ 86.00
Gi8n/0uV|neLightioq $ 88.00
Signo|Qomill Limited Energy -Mu||i'Fomily $ 64-00
Signal Circuit/ Limited Energy / First 15DDnf-Commercial $ 9OV0
Note: $5.VVfor each additional i5VVsf
Renewable Electrical Energy '5xVnSystem o,Less $118.00 _---
$_______
Tho,moi|at $ 50.00
Note: $5.0Ofor each additional T-Stat
* Total
Owner uodefined hyRCVV.1828.281: (UOwner will occupy the structure for two years after this electrical permit
iofinalized. (2)Owner iorequired
tohire onelectrical contractor |fabove said property iofor sale, rent orlease. Permit expires after six months nflast inspection,
After reading the above statement, I hereby certilly that I am the owner of the above named propertyora|ioonoedn|ectrico|nonbao{or.
|nmmaking
the electrical installation or alteration in compliance with the electrical laws, N.E2,RCW.Chapter 10.20.VVAC.Chupte'20G'488.The City ofPort
Angeles Municipal Code, and Utility Specifications and PAMC 14;06.050 regarding Electrical Permit Applications.
Signature mfowner, electrical contractor wrelectrical administrator: []Cash O Cwox
M mmoxcwmw
Application pin number 829482
Property Address 223 E 4TH ST
ASSESSOR PARCEL NUMBER; 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property Use .
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation-. . . 0,
----------------------------------------------------------------------------
Application desc
' Boiler control
Owner Contractor
----=------------------- ---- — ------------------
CLALLAM COUNTY BUILDING CONTROL SYSTEMS INC
223 E 4TH ST 21218 66TH AVE W
PORT ANGELES WA 98362 BRIER WA 980367304
(360) 417-2429
----------(425)-774'_1680-
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 131.00 Plan Check Fee .00
Issue Date . . 9/21/17 Valuation 0
Expiration Date 3/20/18
Qty Unit Charge Per Extension
1.00 96.0000 BCH EL -LIMITED 1ST 1500 SO FT 96.00
7.00 5.0000 BCH EL-ADDNT LIMITED 1500 SQ FT 35.00
Fee summary Charged Paid Credited Due -
Permit Fee Total 131.00 131,.00, .00 .00
Plan Check Total .00 00 .60 .0'6
Grand Total 131.00 131.00 .00 .00
I%tSi'E T ION TYPE = DATE: RESULTS:
INSPECTOR.
SRYICE'
ROUGWIN,
)Jt list
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Si at4re Of owner Far Meaft1caI:-C©ntractof ' '
Doti:
t
4,
kbAxs b
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE'
D:
PERMIT #
INSPECTO
l8
1-7-t L�
Ow R
CONTRACTOR
ADDRESS
2-2—:
i
APPROVED
❑ ............. ......DITCH............0 ....
❑................ ROUGH IN/COVER ............'�
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED:
`J p'to x j& 4:34LA- mow; eyroaW�r�io�L �1�
5 r 4, L�c A LL- cdv WL ry—
A tA-
7%�� c �-� ice--�►�l .�+to cacs-'
I ami
45F
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
09/13/2017 11:54AN FAX 4257764911 BCS BUILDING CONTROL SYS
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Sox 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Oats. 9-13.17
MuIt1•Family or Commercial"
Plan Review M y E Be
Job Address: 22 4th S RS uired, Please Complete Electrical Plan Review Information Sheet
Bullding Square Footage: 12.QQQ
Des0ption of above CIallam County, (ail
Owner Information
Contractor Information
Name: Clallam County
fie: utldi2q Control Systems, Inc
Mefto Address: 223 E 4th St
A
Mallin Address:
City: P Anetgy0 State' Zip; 98362
City: Lynnwo Smte Zip: 980-3�L
Phone ,� � /l ax:
Phone: 425:7741680Fax
License # / Exp.
Cleanse # / E p. Still nC:S066PF
Item
n e
Total ft Mualoiled by Unit Charge)
ServicelFeeder 200 Amp.
$132.00
$
Service/Feeder 201-400 Amp.
$160.00
$
Service/Feeder 4014M Amp
$ 225.00
$
ServicefFeeder 601.1000 Amp.
$ 286.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Brand Circuits 1-4
$ 86.00
$�
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp. Service/Feoder 201-400 Amp.
$121.00
$
Temp. 5ervicelFeeder401-SW Amp.
$164.00
$
Temp. Service/Feeder 601-1000 Amp.
$185.00
$
Portal to Portal Hourly
$ 96.00
8 $_ 131.00
Sign/Oudine Lighting
$ 88.00
$
Signal Circuit/ Urnited Energy - Multi -Family
$ 64.00
S
Signal Circuit/ Umited Energy/ First 1500sf-Commercial $ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
$ 131.00 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 N above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify
that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port
Angeles Municipal Code, and Utility Specifications
and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner el cal contractor or electrical administrator:
❑ Cash pLh6a
❑ cradle cud
odmt 2 ha—
olrolrmis
�¢
ELECTRICAL PERMIT
CITY VF PART ANGELES
60 17-4735
Application Number 17a-00001233 Date 8/30/17
'Application pin number 033586°
Property Address . 223 E 4TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00=6-4-=6709-0000-
on exdse tax form
Applicaticn type description ELECTRICAL ONLY ,
your
Subdivision Name
to the City of Port Angeles
Property Use ' . .
(Locafion Cade g�,
Property Zoning PUBLIC HUiLDIN�3s' &PARKS
Application valuation 0,
Application dere `
Boiler upgrade
Owner Contractor
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. IST ST.
PORT ANGELES- WA 98362 PORT ANGELES WA 98362
(31$0) 417-2429 (360) 442-9.264
PermitELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS X 2
Permit Fee . . 652.00 Plan Check Fee .00
issue Date ' 8/30/17 Valuation 0-
Expiration Date 2/26/18-
Oty Unit Charge Per Extension
BASE FEE 172.04
12.00• N5.0000 BCH EL-BRANCH'CIRCUIT W/FEEDER 60.00
1.00 133.0000 BCH EL -COM 0-200 SRV FEWER 132.00
?y. 1.00 288.00 ECH EL-CQM 601-1000' SRV`FEEDER 288.00
�
---------------------------------------------- ------------------
Fee summary Crged' Paid Credited, Due
-
------------------ - r
Permit Fee Total 652.OQ. 652:00 .00 .00
Hlan Check Total 00 .00 00 00
Grand Total 652.,00 652;00 .00 ' .00
INSPECTION TYPE DATE: RESULTS::
IIPWPR: `
DTTCH
SERVICE
ROUGH -IN
FINAL
IV
PFItMti 1 G�MANttiM LAST INSPECTION
= ; tyre of 0u t�tr. e i Clwmtor X
Date:
US/ZU/ZU17 15:58 FAX 360 452 9265 Angeles Electric Q0001/0001
i
CITY OF PORT ANGELES PERNIIT APPLICATION
Building Division/Electrical Inspections . .
321 East Fifth Street — P.O. Boa 1180 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: —"U amily or Commenclat*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
.lob Address:
ItemitUn
CIEW
Total 10ty MMIUDJ hX unit Charge)
Service/Feeder 200 Amp.
$132.00
$
Service/Feeder 201.400.Amp.
$160.00
$
SenricelFeeder 401-600 Amp
ServicWFeeder 601-1000 Amp.
$ 225.00
$ 288.00
$
$
ServiaelFeeder over 1000 Amp.
$ 410.00
$
Branch Circuit W1 Service Feeder
$ 5.00
;
Branch Circuit W/0 Service Feeder
Each hCicAdditional Branch Circuit
Brands Circuits 1.4
$ 74.00
$ 5.00
$ 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 601-10W Amp.
$185.00
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline lighting
$ 88.00
$
Slgnel Greet/ Limited Energy — Muni -Family
$ 64.00
$
Signal Carcuit/ Limited Energy / First 1500 of — Commercial
$ 96.00
$
Note: $5.00 for each additional 1500 of
Renewable Electrical Energy - SWWA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T -Stat
-2
s 65 -Total. -Totai.
Owner as defined by RCW.19.28.2$1: (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 sate, rent or lease. Permit -expires after six mcnft of last inspection.
After reading the above statement, I hereby car* that I am the owner of the above named property or a Ihmsed eleCWA contractor. I am malting
the electrical' installation or alteration in compGam with the elect cal laws, N.E.C., RCW. Chapter 1928, WAC. Chapter 29640, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit App;Catons.
Signature of owner, electrical contractor or electrical administrator: ❑ . CCwh ❑ Chw*
x o ad: M14112012
ELECTRICAL PERMIT
t
CITY OF PART ANGELES
�,.
- 360-417-4736
Application Number . . . . . 16-00001691 Date 11/14/16
Application pin number . . 029777
-
Property Address . . . . . . 223 E 4TH ST
R
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-T�,
Application type description ELECTRICAL ONLY
on your excise tax f4
Subdivision Name . .
to the (;fy of Pod Angeles
Property Use .
Property: zoning . . PUBLIC BUILDINGS & PARKS
Location bode 0502)
Application valuation .: 0
-----Application deac
Controls
Owner Contractor
---^
---------------------- -------
CLALLAM COUNTY -- BUILDING CONTROL SYSTEMS INC
223 E 4TH ST 21218 66TH AVE W
_
PORT ANGELES WA 98362 BRIER WA 980367504
(360) 417-2429 (425)`774-1680
'. . . --
-----` . . .ELECTRICAL
PermitALTER COMMERCIAL
Additional deac .
Permit Fee . . 131.00 Plan Check Fee.00
Fssue Date 11/14/16 Valuation . • . • 0
Expiration Date . 5/13/17
Qty Unit Charge Per Extension
1.00 46.0000 ECH --EL-LIMITED IST 1500 SQ FT 96.00
7.00 5.0000 BCH EL-ADDNT LIMITED 1500 SQ FT 35.00
— -_-__^
=------------------ ---------�------------------
Fee summary Charged Paid; Credited Due
------
-------------------------------------
Permit Fee Total 131.00 131.00 100 .00
Plan Check Total .00 .00 .00 .00
Grand Total 131.00 131.00 .00 .00
INSPECTION TYPE
DATE.
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH-IN
rP _
FINAL
COMMENTS:
PERMrT WILL EXPIRE SIX (6) MOINMS FROM LAST INSPBCTI4M .;
Signature of ow= or F.,Iectxical Contractor X
Date:
GAEXCHANGE1BIIiE. Wri
..;
Signature of owner, 7erical contractor or electrical administrator: [1 cash i7 check
Credit card u __--
x Dated:
_-_ __ _ _— _ _ _ _ 01/0112012
- � psi S'<}bif igrfi
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 I Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 11/9/2016 _ Mufti -Family or Commercial*
* Plan Review Mary Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address' 223 ast 4th Street
_
Building Square Footage: 12,000
Description of above Clallam County Jail
Owner Information Contractor Information
Name; Clallam County Name: Building Control Systems, Inc.
Mailing Address: 223 East 4th Street Mailing Address: 21718 66th Avenup
Wast
City: Port An les State: WA Zip: - 98362 __ City: Lynnwood State:
WA Zip: –38036
Phone 360 41 - 4 Fax Phone 425 774-1680 Fax:
Z2_5776-491 1
License # ! Exp. license# Exp. BUILDCS066PF
Item Unit Charge (1ty Total (Qty Multiplied by Unit Charge)
Service'Feeder 200 Amp. $ 132-00
ServicelFeeder 201-400 Amp $160.00
$
Service/Feeder 401-600 Amp $ 225,00
ServicelFeeder 601-1000 Amp $ 288.00
$
Service/Feeder over 1000 Amp S 41000
Branch Circuit Wf Service Feeder $ 5.00
Branch Circuit W!0 Service Feeder $ 7400
$
Each Additional Branch Circuit $ 5.00
---
Branch Circuits 1-4 $ 86.00
Temp. Service! Feeder 200 Amp. $102.00
$_ _
Temp ServiceiFeeder 201-400 Amp- $ 121.00 _
$
Temp. ServicerFeeder 401-600 Amp. S 164.00
Temp. Service/Feeder601-100O Amp $185.00
Portal to Portal Hourly $ 9600
$_-------___._.--
SignlOuttine Lighting $ 88.00 __.
$_—
Signal Circuit/ Limited Energy – Multi -Family $ 64.00 _
$--,--
—_Signal
Signal Circuit/ Limited Energy I First 1500 sf – Commercial $ 96.00 8
$_13i 00
Note $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $ 113.00
Thermostat $ 56-00 _
$
Note: $5.00 for each additional T-Stat
$ 131.00 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, WAG. Chapter
296.466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, 7erical contractor or electrical administrator: [1 cash i7 check
Credit card u __--
x Dated:
_-_ __ _ _— _ _ _ _ 01/0112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
"D
360-417-4735
' Application Number . . . . . 17-00001797 Date 12/06/17
App*4rAtion pin number 522552
w ~'
.
_ 223 E 4TH ST
REPORT STA S TAX
ASSEaa 06 -34 -90 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
on your @Xcmb,W form
_ Subdivision Name . . . .
to fhB CFy Of P6tkwlas
Property Use
Property Zoning . . . . . . PUBLIC BUILDINGS & PARKS
(Local n (rode 0502)
Application valuation . . . . ' 0
-------------------------------------- --- -- ---------- - - -
Application,deac
SOC grounding and switchgear
Owner Contractor
----------------------- ------------------------
CLALLAM €OUNTY MCCOY ELECTRIC CO INC
223 E 4TH ST P. 0. BOX 1550
PORT ANGELES WA 98362: NORTH PLAINS OR 97133
(360) 417-2429 (503) 234-7521
- - - - - -- - - ---------------
Permit ELECTRICAL ALTER COMMERCIAi,
Additional desc 14 `CIRCUITS X 7
Permit Fee 3340.00 Plan Check; Fee .00
Issue Date . . . , 12/66/17 valuation 0
'Expiration Date 6/64/15
Qty Unit Charge Per Extension
BASE FEE 518.00
1,00 102,0000 HCH EL- COMM 0-200 TEMP SRV / FDR 102.00
5.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/`FDR 605.00
2,00 164.0000: -ECH, EL-: COMM 401-600 TEMP SRV/FDR 32$:00
5,00@5.0000 ECI'- EL - COMM 601 -UP TEMP SRV/FDR 52:.90
1.40 132.0000 BCH, EL -COM 0-200 SRV FEEDER 132.`08.-
2'.00 160.6000 XPH EL- OM 2011-,400 SRV FEEDER 320
ca
.. x,00 410.0000 ECH EL -COM 1001 -UP SRV FEEDER 410 pit
- - - - - - - - -- - - --------- ---- -
Fee summary, Charged Paid Credited Due �µ>
, .{
-- ------------------ ---- ------------------------------
Permit Pee 'Total3340.00 3340.00 .00 .00
,.
Plan Check Total .00 .00 .00 00
Grand Total 3340.00> 3340.00 .00 ,00
W,;>,`
'MV is,
DATE:
RESULTS:
INSPECTOR:
DnVH
SERVICE
iI l
ROUGH -1N
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elictrical Contractor X
Date:
Nk '-rar&
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Bog 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fag: (360) 417-4711
Date: 11/29/2017 x Multi -Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 223 East 4th street Port Angeles, WA 98362
Building Square Footage:
Description of above FQ(' Grounding and Switchgear Renovation
Owner Information
Name: Clallam County Courthouse
Mailing Address:
City: _- - State:
Phone: -Fax:-
License
ax:_License # / Exp.
Zip. _-_-_
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy - Multi -Family
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
Unit Charge
$132.00
$160.00
$ 225.00
$ 288.00
$ 410.00
$ 5.00
$ 74.00
$ 5.00
$ 86.00
$102.00
$121.00
$164.00
$185.00
$ 96.00
$ 88.00
$ 64.00
$ 96.00
$113.00
$ 56.00
Contractor Information
Name: McCoy Electric Co., Inc
Mailing Address: P0gox
15.5n
City: North Plains
State: PR zip: 97133
Phone: 206-2713-6342
Fax: 503-234-9473
License # / Exp.
mccoyec38iji
Total (Qty Multiplied by Unit Charge)
1
$ 132.00
_2�
$ 320.00
1
$ 410.00
7
$ 518.00
$
1
$ 102.00
5
$ 605.00
2
$ 328.00
5
$ 925.00
$ 3340.00 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.
Signature of ow lectrical contractor or electrical administrator: ❑ Cash Check
❑ Credit 6ard 4
_Dated: 1=0 0110112012
V -W7 fi�-
Application pin number . . . 262174
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use .
Property Zoning . . PUBLIC BUILDINGS & PARKS
Application valuation . 0
Application desc
-
Door access -commissioner roam -
----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY ACCESS UNLMTD &
SECURITY INC
223 E 4TH ST 2615 N CINCINNATI
PORT ANGELES WA 98362 SUITE 101
(360) 417-2429 SPOKANE
WA 99207
(509) 241-0563
----------------------------------------------------------------------------
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 96.00 Plan Check Fee . .00
Issue Date 5/07/18'- valuation
0
Expiration Date 11/43/1$
Qty Unit Charge Per
Extension
1.00 96.0000 ECH EL -LIMITED IST 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
�r
INSPECTION TYPE DATE:
RESULTS; INSPECTOR
DITCH .
-
f
SERVICE'
ROUGH -IN
AS—
CIO
FINAL
COMMENTS:
PERM WILL EXPUtE SIX (6) MOS FROM LAST INSPFCMN
Signature of oom or Electrical Contractor X
Date:
MULTI -FAMILY /COMMERCIAL L
ELECTRICAL PERMIT APPLICATIOI`1
Public Works and Utilities Department
v;A".
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 , www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: Clallam County Court House, 223 E 4th St, Port Angeles, WA 98362
Project Description: Adding door control for Commissioner's room
❑ Multi -Family Residential LI Commercial / Industrial / Public Building Square footage: 1500
Name: Clallum County Email: jw--@co.Gallam.wa. s
Mailing Address: 223 E 4th St, Port Angeles, WA 98362 Phone: (360) 417-2000
ELECTRiCAL CONTRACTOR IN•' •
Name: Access Unlimited and Security, Inc. License: Accesus974N7
Mailing Address: 2615 N Cincinnati, STE 101, Spokane, WA 99207 Expiration Date: 8/26/2019
Email: kenp@ausecurity.net Phone: 509-241-0563
Item
Unit Char
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
$96.00
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
$113.00
Thermostat (Note: $5 for each additional)
$56.00
Total (Quantity x Unit Charge)
1 $ 96.00
$ 96.00 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.
5/3/2018 Douglas Lee
Date
Print Name
Signature (❑ Owner
Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
„
3
Application pin number 220888
Property Address . . . . . . 223 E 4TH ST
REPORTSM SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . .
to the Cfty
Property Use
(LocadOC1 ode 0
.Property Zoning = PUBLIC BUILDINGS &PARKS
,
Application valuation 0
- - - - - --
Application desc
Smoke detectors in Jail
Owner Contractor
CLALLAM COUNTY PERFORMANCE SYSTEMS
223 E 4TH ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 98362 BOTHELL WA 98011
(360) 417-2429 (425) 368-4201
Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee96.00 Plan Check -Fee .00
.
Issue mate . . 12/12/17 Valuation . . . . 0
Expiration Date 6/10%18
Qty Unit Charge Per •Extension
i
1.00 96.0000 ECHEL-LIMITED IST 1500 SQ FT 96.00
- - - ------ -------.-.--------- - -J_•--------------"--------
' _-- -Fee
Feesummary Charged Paid Credited Due
Permi+t'Fee Total 96,00 96_00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00 ,
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SER.`VICE
ROUGH -IN''!
FINAL
COMMENTS:
PEWrr WILL EXPIRE SIX (6) MON`I"fiS FROM LAST INSPECTION
Signature of 6wb r or Electrical Contractor X
Date:
J wCITY OF PORT ANGELES PERMIT APPLICATION ���Iwo—.
Building Division/Electrical Inspections lam
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 12/5/17 — Multi -Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 223 E. 4th Street Port Angeles. WA 98362
Building Square Footage: _
Description of above Terminations at main fire alarm panel for cross -trip of new system for wireless smoke detectors,
in the sights.
Owner Information Contractor Information
Name: Clallam County Jail _ Name: Performance._ Systems Integration
Mail' Address: 223 E. 4th Street Ma�1"mg Address: 1931Dl�t_.1pg___�
City7ort Angio a Stat— e�VA Zips City: Bothell _ Stat __ Zip: 98011
Phone:M Fax: Phone: 42S_38 - Fax: 425-369-42(]R
License # / Exp. _ __ ___. - _ _-- License # / Exp. PE F S'98OM4 7127718
Item Unit Charge QRyt Total (Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp, $132.00
Service/Feeder201-400 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 14 $ 86.00 $ _
Temp. Service/ Feeder 200 Amp, $102.00
Temp. Service/Feeder 201400 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 $ 64.00
Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
Thermostat $ 56.00
Note: $5.00 for each additional T-Stat
$ 96.00 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 PANIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash 11 Check
® Credit Card 0 _
X pew: 12/5/2017 `__ ____ __ 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
.._
Application Number . .,. . . -17-00001637
Date 11/07/17
Application pin number
Property Address . . .
423480
223 E 4TH ST
r
REPORT STATE SALEES TAX
ASSESSOR PARCEL NUMBER:
06-30-00-6-4-6700-0000-
excise tax form
Application type description
ELECTRICAL ONLY
on your
Subdivision Name . . .
to the City of Port Angeles
Property Use . . . .
(Location Code 0542)
Property Zoning . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . .. '. .
0,
Application.desc
4
Intercom station switches and
-----------------------------------------------------------------------------
outlets
Owner
Contractor
CLALLAM COUNTY
SIMPSON ELECTRIC
223 E 4TW ST
243036 W HWY 101
PORT ANGELES WA 98362
PORT ANGELES WA 98363
(360) 417-2429
(360) 457-9270
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 101.00
Plan Check Fee .00
;-
Issue Date . . . . 11/07/17
Valuation 0
Expiration Date 5/06/18
Qty Unit Charge Per
Extension
BASE FEE 86.00
i
;
3.00 5.0000 ECH EL-ECH
ADDNT BRANCH CIRCUIT 15.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited Due
Permit Fee Total 101.00
101.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 101.00
101.00' .00 .00
INSPECTION TYPE
INSPECTOR:
DATE:
RESULTS:
nrrM
p0flr �a ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE:
PERMIT
# PERMIT
#
INSPECTO
OWNER
CONTRACTOR
ADDRESS
.�
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
o90FIT ELECTRICAL INSPECTION
WIRING REPORT
& 417-4735
:
3
J
PERMIT #
PERMIT
iN PEC
OWNER
CONTRACTOR
ADDRE 5
zz
APPROVED NOT APPROVED
❑ .. ..............DITCH.................... ❑
g OUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
x
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
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INSPECTION TYPE
DATE:
ELECTRICAL PERMIT
DITCH
CITY OF PORT ANGELES
•...
360417-4735
Application Number . . . . . 17-0000,1549 Date 2/08/18
w.
Application pin number . . . 158062
FINAL
Property Address . . . . . . 223 E 4TH ST
REPORT STATE SALES TAX
COMMENTS:
ASSESSOR PARCEL NUMRERi 06 -30 -00 -6 -4 -6700 -0000 -
tax form
Application type description ELECTRICAL ONLY
on your excise
Subdivision Name . . . . .
to the City of Pat Angeles
Property Use . . . .
Property Zoning . . . . . '. . PUBLIC BUILDINGS & PARKS
(Location: Code 0502)
Application valuation . . . 0
----------------------------------------------------------------------------
Application desa
Plan review EOC GRD and switchgear
----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY OWNER
223 B 4TH ST
PORT ANGELES WA 98362
(360) 417-2429
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PLAN REVIEW
Additional desc . . BALANCE DUE
Permit Fee . . . . 516.33 Plan Check Fee .00
Issue Date . . . . 11/01/17 Valuation . . . . 0
Expiration Date .
Qty Unit ChargePer Extension
BASE FEE 16.33
1
500-.00 1.0000 BCH- EL -PLAN REVIEW 500.00
Fee summary Charged Paid Credited Due
Permit Fee Total 516.33 516.33 00 .00
'Plarn.Check Total .00 .00 .00 .00
GX "'Tokdl 516.13 516.33 .00 00
INSPECTION TYPE
DATE:
RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
NI
t
10/23/17
Clallam County
Attn: Joel Windborn
223 E 0 St
Port Angeles WA 98362
Subject: Electrical Plan Review. EOC Grounding/ Electrical Switchboard
Joel
The estimated cost for your electrical plan review is $500.00 this estimate is good for 180 days
from the date of this letter. The City requires that you deposit an amount equal to the estimate
with the City as part of your permit application. The actual fee will be the City's labor and
material cost plus a 15% administrative fee.
If the actual cost exceeds the deposit amount, the City will bill you for the overage. If the
actual cost is less than the deposit, the difference will be refunded.
If you have any questions or concerns, feel free to contact me at the phone number, or e-mail,
listed below.
Sincerely,
Trent Peppard
Senior Electrical Inspector
tpeppard@citvofpa.us
Wk 360 417 4735
Cell 360 808 2613
1/24/18
To
Clallam County
Joel Windborn
223 E 411 Street
Port Angeles WA 98362
Electrical plan review final fee
EOC GRD. / Switchboard
Invoice No. 17-1549
Quantity
Description
Unit Price
Total
2
BHC consultant fee
148.05
296.10
1
BHC Postage
22.23
22.23
1
City shipping FedEx ground
14.64
14.64
1
Labor City of Port Angles
83.49
83.49
1
Penprint copies
32.52
32.52
15% Administrative fee
67.53
Sub Total
516.33
Cost estimate deposit
500.00
Balance Total
16.33
City of Port Angeles
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711
Due upon receipt
Thank you for your business!
PREPARED 1/24/18, 14:50:48
CITY OF PORT ANGELES
PAYMENT DUE
PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 17-00001549 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
ELECTRICAL PLAN REVIEW
TOTAL DUE
1
16.33
16.33
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
`Application Number . . . . 18-00000257 Date 2/27/18
Application pin number 947582
Property Address . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property Use . . . . .
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation _ 0
----------------------------------------------------------------------------
Application desc
DATE:
RESULTS:
Load bank
----------------------------------------------------------------------------
DITCH
Owner
Contractor
CLALLAM COUNTY
LEGACY TELECOMMUNICATIONS INC
223 E 4TH ST
PO BOX 360
PORT ANGELES
WA 98362
BURLEY
WA 98322
(360) 417-2429
(253) 858-0214
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL
ALTER COMMERCIAL
Additional'desc .
.
Permit Pee . .
. 121.00
Plan Check Fee
.00
Issue Date
2/27/18
valuation . . .
0
Expiration Date
8/26/18
Qty Unit Charge
Per
Extension
1.00 121.0000
ECH EL-
COMM 201-400 TEMP SRV/FDR
121.00
----------------------------------------------------------------------------
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
121.00
121.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
121.00
121.00 .00
.00
REPORT STATE 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
3
FINALlit)
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: 2/22/18
I Multi•Famity or Commercial*
' Plan Review lvlgijge RLegncdlnt :mplete Electrical Plan Review Information Sheet
Job Address:
Bing Square Footage. ri a
Desa"on of above load bank 175kW standby generator at
Mer'Mallam County Parks
OrLeega"acy Telecommunications
Mailing Address:
WIN BOX
1
City: State: Zip:
City: u r State: Zip:
phone Fax:
per: 2538580214 Fax: 2538580215
License #/ Exp.
License # t Exp. T j R G A CT T A 9. ,T 9
Item
Unit Cham
9!1 Total My Muhiolied by Unit game)
Service/Feeder 200 Amp.
$132.00
S
Servmf eeder 201.400 Amp.
$160.00
$
Service/Feeder 401-600 Amp
$ 225.00
$
ServkWFeeder 601-1000 Amp.
$ 288.00
$
ServiceJFeeder 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 14
$ 86.00
$
Temp. Service/ Feeder 200 Amp.
$102.00
�— $
�— i��- o
Temp. Servicefeeder 201.400 Amp.
$121.00
Term. ServicelFeeder 401.600 Amp.
$164.00
$
Temp. Service/Feeder 601-1000 Amp
$185.00
$
Portal to Portal Hourly
$ 96.00
$
SigNQutlire Lighting
$ 88.00
$
Signal Circuit/ U dted Energy - MultWamily
$ 64.00
$
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
$ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note $5.00 for each additional T-Stat
$_L2 1 . 0 %tal
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 sic months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical adminiatrator.
L��
.
2/22/18
X �%
nub:
ELECTRICAL PERMIT`
�
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00001797 Date 12/06/17
i 'App kation pin number . . . 522552
5
$$ 223 $ -4TH ST,
REMRT TAV UEs TAX
ASEES3_� s �'. 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
on your QX€�^�?
Subdivision Name
to the, q4ty ofP� s
Property Use . . . . . . . .
Code 0502)
e. Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
(Location
Application valuation 0
----- ----------------------------------------------------------------------
Application desc
EOC grounding and switchgear
Owner Contractor
------------------------- --
CLALLAM 0€SUNTY MCCOY ELECTRIC CO INC
223 E 4TH ST P. 0. BOX 1550
PORT ANGELES WA 98362 NORTH PLAINS OR 97133
(360) 417-2429 (503) 234-7521
----------------- ---------------------------------------------------------
` Permit ELECTRICAL ALTER COMMERCIAL
Additional dere 1-4 0ACUITS X 7
Permit Fee .. , 3340.40 Plan Check Fee .00
Issue Date . . . . 12/06/12 Valuation 0
Expiration Date 6/04/18
Qty Unit Charge Per Extension
BASE FEE 518.00
1.00 102.0004 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00
5.00 121.00,00 ECH EL- COMM 201-400 TEMP.SRV/FDR 605.00
2.00 164.0004 ECH EL- COMM 401-600 TEMP SRV/FDR 32$.00
5.00 5.85.0000 ECH EL- COMM 601-UP'TEMP SRV/FDR 925:OU
1.0q 132:0004 ECH EL -COM 0.200 SRV FEEDER 132 QO
4 i
t 2:00 160:0000 ECH, EL -COM 201-400 SRV FEEDER 324
1.00 410.0004 ECHi EL OM 1001 -UP SRV FEEDER 410.011 ,.
----------------------------------------------------------------------
TFee
summary Charged . Paid Credited Due
Permit Fee Total 3340.00 3340.00 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 3340.00 3340.00 .00 00
�EGwiIC�N TYPE
DATE:
RESULTS:
INSPECTOR:
`f
,.
DnrH
�
SERVICE
qm lit
I
ROUGH -IN
FINAL
tJ
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elictrical Contractor X
Date:
k'.7�eryr
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Boz 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 11/29/2017
x Multi -Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 223 East 4th Street Port Angeles, WA 98362
Building Square Footage:
Description of above FOC Grounding and ;witrh9Par RPnovatinn
Owner Information
Name: Clallam County Courthouse
Mailing Address:
City: ---- - State: - _ - Zip:
Phone: Fax:
License # / Exp.
Item
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
$ 64.00
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
$ 925.00
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Contractor Information
Name: McCoy Electric Co., Inc
Mailing Address: Pn Ro�L55p
City. North Plains
State:OR Zip: _ 97133
Phone: 2n6 -276-624a
Fax: 503-234-9473
License # / Exp.
mccoyec3bijt
Q_yt
Total (Qty Multiplied by Unit Charge)
1
$ 132.00
2
$ 320.00
1
$ 410.00
7
$ 518.00
1
$ 102.00
5
$ 605.00
9
$ 328.00
5
$ 925.00
$
$ 3340.00 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.
Signature of ow , lectrical contractor or electrical administrator: El Cash Check
ElCredit and #
1.1^41 MIR I
X Dated: it- �Klli
01/01/2012
ELECTRICAL PERMIT
CITY OF PORT ANGLES _
360-417-4735
D t'11/14/16
Application Number 16-00001691 a,e
Application pin number 029777
Property Address 228,E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000
A,plication`type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . PUBLIC BUILDINGS & PARKS
Application valuation 0
-- Application desc
Controls
-------------
Owner:`'
Contractor
CLALLAM-COUNTY---------
BUILDING CONTROL
SYSTEMS INC
223 E 4TH ST
21218 66TH AVE W
,PORT ANGELES WA 96362
BRIER
WA 980367304
(360) 411-2429.
(425) 774-1680
- _----^�-�.------------ -
Permit' > . . . ELECTRICAL
ALTER COMMERCIAL
'
'Additional,desc s
;Permit Fee 131.00
Plan Check Fee
.00
Issue Date` 11/14/16
Valuation
. . 0
Expiration Date 5/13/17
Qty Unit Charge. Per
Extension
�
56. 00Q0 BCH ' EL-L'SNFITED_ 1ST 1 00 _Sid FT
96.00
"'j" 0,01", 5.0000 ECH'EL-,ADDNT LIMITED, 150-0 tO FT 35.00
See ,stimipaxy Charged
Paid Credited
----131.00
Due
Peridia Fee -'total ----131.00
.00
00
p'1Ln Check Total x.00
.00 QO
,00
Oraad'--Total'' 131.00,
131.00 90
.00
INSPECTIbN'TYPE
RESULTS: INSPECTOR
DATE:
DrF
SEI�VT
Application Number . . . . . 23-00001140 Date 10/24/23
Application pin number . . . 184220
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Auditor counter
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES COMMUNICATIONS INC.
223 E 4TH ST 102 ROSS LN.
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 417-2429 PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee . . .00
Issue Date . . . . 10/24/23 Valuation . . . . 0
Expiration Date . . 4/21/24
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
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I 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
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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 (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
223 E 4th Street Port Angeles, WA 98362
Low voltage Cat 6 in new Auditor counter
1000
Clallam County mike@angelescommunications.com
223 E 4th Street Port Angeles, WA 98362 360-417-2000
601386512
102 Ross Lane 04/30/2024
3606707494
1
10/20/2023 Mike Jensen Mike Jensen
4
Angeles Communications
mike@angelecommunications.com
4
96.00
96.00
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
10/26/2023 23-1140
TAP
OWNER
CONTRACTOR
Angeles Com.
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 23-00001128 Date 10/18/23
Application pin number . . . 493448
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Counter circuits
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 101.00 Plan Check Fee . . .00
Issue Date . . . . 10/18/23 Valuation . . . . 0
Expiration Date . . 4/15/24
Qty Unit Charge Per Extension
1.00 86.0000 ECH EL-COMM BRANCH CIR 1-4 86.00
3.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 15.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 101.00 101.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 101.00 101.00 .00 .00
U TI-FAM / COMMERCIA
ELEC TR CAL P ITAPP ICATION
Pr"rblic \\br"ks ancl Utilitics Department
32,1. E,5th S1r'eet, Porr Angeles, WA 98.362
'160,4.17,4'135
| r.vrvw,city fp a, u.s I el ect:ri c n Ip elm.it s (ti)ci ty o fp a . u s
Project Address
Project Description
! Multi-Family Residential n Commercial / tndustrial / Public Building Square Tootage
Name:
Mailing Address:Phone;
rJo4:J;+{
Name Anoeles E lectric lnc
Mailing Address 524 E, First Street, Port Anqel es. WA 96362
License : ANGELEI460RS
Expiration Date:2t112020
Email ksimpson@olympus,net Phone:360,452-9264
Ite!0
Servlce/Feeder 200 Amp,
Service/Feeder 20 1 -400 Amp,
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
$ervice/Feeder over 1000 Amp,
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp, Service/Feeder 200 Amp,
Temp, Service/Feeder 201 -400 Atnp,
Temp, Service/Feeder 401-600 Amp.
Temp, Service/Feeder 601 -1 000 AmP,
Porlal to Portal HourlY
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi"Family
Signal Circuit/Llmited Energy/First :l'500 sf - Commetcjal
(Note: $5,00 for each additional 1500.sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Unlt Charqe
$'132.00
$160,00
fi225,00
$288,00
$410,00
$5.00
$74,00
$5,00
,$86,00
$ 1 02,00
$121.00
$ 1 64,00
$1'05,00
$96,00
$BB:00
$88,00
$ed00
Quantlty
$
o
'1,
/5-?
$ 11 3;00
$56;00
$
$
$/n'-e -rorAL
owner as defined by RCW,19,2s ,261: (1) owner will occupy the struoture for two years after thls electrlcal permlt is finalized, (2) owner is
requireo to hire an electrical contractorilabove said propeity is for sale, rent or lease, Permlt expireo afler slx months of last inspection'
After reading [he 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 ln comrllance with the electrical laws, N.E,C,, RCW, Chapter 19'28, WAC' Chapter 296-
468, The Cityof portAngeles Munlcipal Code, and Utiliiy Specifications and PAMC 14.05.050 regarding Electrical PermitApplications'
Ken Sim son
Print Name Signature Electrical Contractor / Administrator)
[Electrical permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us or faxed lo 360'417 '47111
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
10/19/2023 23-1128
TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 23-00000173 Date 2/22/23
Application pin number . . . 475722
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Outlets
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 2/22/23 Valuation . . . . 0
Expiration Date . . 8/21/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MU LTI-FAMI LY / COMMERCIAL
ELEC TR CAL PERM IT APP ICATION
Public Wcrrl<s and Utilities Department
32,1 E,5th St.r'cct, Port Angeles, WA 983(;2
3 60,4 .I 7, 47 35 | wi.vtr cityofp a.u s I el ectri calpeLm its(ti)ci tyofir a .u s
Project Address:/3 (^ J-
->T"/lzl
Project Description
n Multi-Family Residential Commercial i lndustrial / Public Building Square Tootage
Name Email:
Mailing Address:Phone;
To-3
;+-s
Name:Anqeles Electric, lnc,
Mailing Address 524 E, First Street, Port Anqeles, WA 96362
License:ANGELE146O
Expiration Date:2t112020
Email;ksimpson@olympus,net Phone:360,452-9264
Item
Service/Feeder 200 Amp,
Service/Feeder 20 1 -a00 Amp,
Service/Feeder 40 1 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO S-'rvice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp, ServiceiFeeder 201-400 AmP.
Temp. Service/Feeder 401-600 Amp,
Temp, Service/Feeder 601-1000 Amp'
Portal to Portal HourlY
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi"Family
Signal Circuil/Limited Energy/First :l'500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Quantity ]glAl (Quantity x Unlt ChargeUnlt Char$l
$132,00
.$160,00
$225,00
$288,00
$410,00
$5.00
$74.00
$5.00
.$86,00
$t oz,oo
$121,00
$164,00
$185.00
$96,00
$,88;00
$88,00
$e6i00
-7**-ffid-.
o
$
$
$
$
$
o
+,
$
$
$
$
o
av
$
$
o
+J
$
$ 113;00
$56;00
$
,lj
$I r'eDla TOTAL
owner as deflned by RCW.19,2B .261: (iI owner will occupy the structure for two years after this electrical permit is finalized. (2) owner is
required io hire an electrical contractor if above said propeity is for sale, rent or lease, Permit expires after six months of last inspection'
After reading lhe above stalement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor' I
am making the electrica, installation or alteration ln compliance with the electrical laws, N.E,C,, RCW. Chapter 19'28, WAC' Chapter 296-
468, The City of port Angeles Municlpal Code, and Utiliiy Speciflcations and PAMC 14,05.050 regarding Electrical Permit Applications'
L7 Ken Sim son
Print Name Signatu p Electrical Contractor / Administrator)ta
[Electrical permitAprlications may be submitted to City Hallor electricalpermits@cityofpa.us or faxed Io 360'417'47111
PREPARED 2/21/23, 8:11:11 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000173 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
Application Number . . . . . 23-00000088 Date 1/31/23
Application pin number . . . 810800
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Floor plugs
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 1/31/23 Valuation . . . . 0
Expiration Date . . 7/30/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MULT I-FAMILY / COM M ERCIAL
ELEC TR CAL PER.MIT APPI -ICATION
Public Wc.rrlrs and Utiiities Department
32,1 E,5th Slr'cct, Porr ALrgclcs, WA 98362
.l 60, 4 t 7 . 47 35 | wrvrv. citycifp a, ns I el ecrri c aiper.m its (/i)ci tyofi ra. u s
Toa
3
s
Project Address:zXs E qd Srvzzf
Project Description:Htor! flt,^n<frra (rruzfr r?*zrn <
! Multi-Family Residentia t ffim^ercial / lndustrial I Public Building Square footage:
Name:Email:
Mailing Address Phone
Name ,A,noeles E lectric lnc,
Mailing Address: 524 E. First Street, Poft Anqeles, WA 96362
gpsil; ksimpson@olympus,net
License:ANGELE146ORS
Expiration Date 21112020
Phone 360.452-9264
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp,
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp,
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp,
Temp, ServicelFeeder 201-400 Amp,
Temp. Service/Feeder 401-600 Amp,
Temp. Service/Feeder 601 -1 000 Amp,
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi.Family
Signal Circuit/Limited Energy/First 1,500 sf - Commercial
(Note: $5,00 for each additional 1500 sf)
Renewable Elec, Energy: 5KVA System or less
Thermostat (Note: $5 for each additlonal)
Quantlty lglel (Quantlty x Unlt Charge)Unit Charae
$132.00
' $160,00
$225,00
$288,00
$410 00
$5.00
$74,00
$5.00
.$86,00
$t oz.oo
$121,00
$164,00
$1q5,00
$96,00
$88;oo
$88,00
$96:00
ry_i- .
$
s
$
o,{,
o
s
iD
0
$
@
$
$
$
o.t,
o,t
$
$
$$ 113;00
$56;00 $
$t6 * rorAl
Owner as deflned by RCW.19,2B .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 expiros after six months of lasi 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 ihe electrical installation or alteration in compliance with the electrical laws, N.E,C., RCW Chapter 19.28, WAC' Chapter 296-
468, The -ity of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Sim son
Print Name Signature (fl Owner Electrical Contractor / Administrator)
[Electrical permit Appiications may be submitted to City Hall or electricalpermits@cityofpa,us or faxed to 36a.417 '47111
PREPARED 1/28/23,12:50:31 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000088 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/19/2023 23-88
TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 22-00001153 Date 9/14/22
Application pin number . . . 457762
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Cameras / Access control
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 296.00 Plan Check Fee . . .00
Issue Date . . . . 9/14/22 Valuation . . . . 0
Expiration Date . . 3/13/23
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
40.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 200.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 296.00 296.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 296.00 296.00 .00 .00
MU TI.FA IVII V / COM N/ trRCIAI
ELECT RIC AI P ITAP P LIC ATION
, Pnblic Worlcs ancl Utilities Department
32.1 E,5th Shect, PortAngeles, WA 98362
'1 60, 4 1 7 . 47 35 | lvrvr.v. cityo fp a, us I el ectli c nlp erm its (qi)ci ty ofi:a.u s
Project Address
Project Description
n Multi-Family Residential Commercial / lndustrial / Public Building Square footage:
Name Email:
I
!o
:l
='+*
Mailing Address:Phone: SAK' 7Z z -t{3??
License: ANGELE1460RS
Expiration Date :21112020
Fhone:64
Name:Anoeles Eleciric, I
Mailing Address:524 E. First Port An oeles.W A,96362
Email: ksim us,net
--ta- ^1
Item
Service/Feeder 200 AmP,
service/Feeder 201 400 AmP,
Service/Feeder 401 -600 AmP,
Service/Feeder 601 -1 000 AmP.
Service/Feeder over 1000 AmP'
Branch Circuit W/ Service Feeder
Bianch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 AmP'
Temp. Service/Feeder 201'400 Amp'
Temp. Service/Feeder 401'600 Amp'
Temp, Service/Feeder 601 -1 000 Amp'
Portal to Portal HourlY
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi"Family
Sional CircuiliLimited Energy/First 1500 sf ' Commercialv'urrsr v'!r -liloiti
S5 oo foi'each additlonal 1500 sf)
Renewable Elec, Energyl SKVA System or less
Thermostat (Note: $5 for each additlonal)
guellly Iglal (QuantltY x Unit Ch arge)[Jnit Charoe
$132,00
.$160,00
$225.00
$288,00
$410,00
$5,00
$74,00
$5,00
.$86,00
$102.00
$121,00
$ 1 64,00
$195,00
$96,00
'$88:00
$88.00
$96i00
$
$
$
o
$
$
$
$
a,t,
$
ov
$
s
o.l,
$
:7"
1o !ffi
$11 3;00
$56;00 $
o+
qL e rorAL
Ken Sim son
Signature o r p Electrical Contractor / Administrator)
Print Name
ownerasdefinedbyRCW,lg,2B.261:(1)Ownerwjll occupythestructurefor.twoyearsafterthiselectrlcal permitisflnalized'(2) owneris
required to hire an etectricai contiu"toiiiaoovu ,"ii pi.p[itv is for sare, ,.rnt oil6u.", Permit expires after six months of last inspection'
After reading lhe above statement, I hereby certify that I am the owner of the above named properly or a licensed electrical contractor' I
am making the electriear instailation or arteration i' ""rpr-r".." *itn tr'" "l""triJil"*., N.;.i,, ncw' cnapter 19'28' wAC' chapter 296'
468, The ciryof portAng"i", M;;i"iparcode, ""0 uiirjivEp".in""tion, "no
pnrric r+.o6.oso regarding ElectricalPermitApplications'
[Erectricar permit Apprications may be submitted to city Hall or erectricarpermits@cityofpa,us or faxed Io 36o'417 '47111
PREPARED 9/13/22,12:37:12 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001153 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 296.00
TOTAL DUE 296.00
Please present reciept to the cashier with full payment
Application Number . . . . . 23-00000913 Date 8/29/23
Application pin number . . . 120081
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Landscape project
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY NORTH PENINSULA ELECTRIC
223 E 4TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 417-2429 (360) 477-1764
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 94.00 Plan Check Fee . . .00
Issue Date . . . . 8/29/23 Valuation . . . . 0
Expiration Date . . 2/25/24
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
4.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 20.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 94.00 94.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 94.00 94.00 .00 .00
319 Lincoln Street
Landscape Project
X
Clallam County Court House
319 Lincoln Street
North Peninsula Electric NORTHPE930MZ
PO Box 1506 Port Angeles WA 98362northpeninsulaelectric@yahoo.com 360 477-1764
August 28, 2023 Kimberly Rae Walker
X
1 74.00420.00
94.00
223 E 4th 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
8/31/2023 23-913 TAP
OWNER
CONTRACTOR
North Peninsula Electric
PROJECT ADDRESS
223 E 4th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Seal underground connections.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/7/2023 23-913
TAP
OWNER
CONTRACTOR
North Peninsula Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 22-00001349 Date 10/26/22
Application pin number . . . 403099
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Fire alarm
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY NORTH PENINSULA ELECTRIC
223 E 4TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 417-2429 (360) 477-1764
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 146.00 Plan Check Fee . . .00
Issue Date . . . . 10/26/22 Valuation . . . . 0
Expiration Date . . 4/24/23
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
10.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 50.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 146.00 146.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 146.00 146.00 .00 .00
MULTI-FAMILY/ COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ! www.cityofpa.us i electricalpermits@cityofpa.us
Project Address--------------------------------------------------------------------------------------------------------- -
Project Description:
□ Multi-Family Residential□ Commercial/ Industrial/ Public BuildingSq(J!u{(ia:}'.r/e;:;fol}J;o:{t"aiJg\j:e ;:;f:fffffi:BTsfif:f{ff{;. -::--
Email:
Name: License:
$
$
$ ---- $
$
$
_$
$
$
$
$
$
$
$
$
_$
_$
$
$ 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 (0 ·Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711J
Expiration Date:
Tom! (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/0 Service Feeder $7400
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
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
xx
North Peninsula Electric northpe930mz
northpeninsulaelectric@yahoo.com 360 477-1764
Kimberly Rae Walker
x
PREPARED 10/25/22,11:09:22 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001349 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 146.00
TOTAL DUE 146.00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Smoke detectors
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/31/2022 22-1349 TAP
OWNER
CONTRACTOR
North Peninsula Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 22-00001349 Date 10/26/22
Application pin number . . . 403099
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Fire alarm
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY NORTH PENINSULA ELECTRIC
223 E 4TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 417-2429 (360) 477-1764
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 146.00 Plan Check Fee . . .00
Issue Date . . . . 10/26/22 Valuation . . . . 0
Expiration Date . . 4/24/23
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
10.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 50.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 146.00 146.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 146.00 146.00 .00 .00
MULTI-FAMILY/ COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ! www.cityofpa.us i electricalpermits@cityofpa.us
Project Address--------------------------------------------------------------------------------------------------------- -
Project Description:
□ Multi-Family Residential□ Commercial/ Industrial/ Public BuildingSq(J!u{(ia:}'.r/e;:;fol}J;o:{t"aiJg\j:e ;:;f:fffffi:BTsfif:f{ff{;. -::--
Email:
Name: License:
$
$
$ ---- $
$
$
_$
$
$
$
$
$
$
$
$
_$
_$
$
$ 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 (0 ·Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711J
Expiration Date:
Tom! (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/0 Service Feeder $7400
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
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
xx
North Peninsula Electric northpe930mz
northpeninsulaelectric@yahoo.com 360 477-1764
Kimberly Rae Walker
x
PREPARED 10/25/22,11:09:22 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001349 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 146.00
TOTAL DUE 146.00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Smoke detectors
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/31/2022 22-1349 TAP
OWNER
CONTRACTOR
North Peninsula Electric
PROJECT ADDRESS
223 E 4th St
2M •xfi :#*; ,„.
ELECAL PERMIT
CITY€ Pt?RT ANGELES'
c 50
36.0417-4735
Application Number . . 19-00001869 Date , 11/26/19
Application pin number . . 539280 REPORT STATE SALES TAX
Property Address , . . . . 223 E 4TH ST on our excise tax form
ASSESSOR PARCEL; NUMBER; 06-30-00-6-4-6700-0000 y
Application type description ELECTRICAL ONLY to the City of Port Angeles.
Subdivision Name . . . . . .Property Use {Location Code 0502)
�
Property Zoning . . . . PUBLIC BUILDINGS & PARKS
Application valuation 0
Application dead
Copper and fiber between city and county
---- ------------------------------------ - --- -------------- -- -
Owner Contractor
CLALLAM COUNTY ANGELES COMMUNICATIONS INC.
223 E 4TH-ST 102 ROSS LN.
PORT'ANGELES WA 98362 PORT ANGELES, WA
(360) 417-2429 PORT ANGELES WA 98362
(360), 457-4375
Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc ,
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date<' . . 11/26/19 Valuation . . . 0
Expiration Date 5/24/20
Oty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SO FT 96.00 {
------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total -46.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL, .
COMMENTS:
pERMTf` ��+)MC�t�1TH5 FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
�� >. ..
a- n
„�.
_i 3
�;
�� .
,r
.'
' ~ \
|
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION 3 .
Poh/ic Work'S 8Dd []ti!itieS []ep8[ OOeD!
321 [ 5\hSornL Port /\n�uhs, \VA983b" �
360� ' | 7'473� | p�` w�i��of�ouo | docoicu|pcnniin6�ui��b��ux
Project Address: 223E 4thSt Port Angeles, WA 98362
Project Description: Install Cooper Mbar telephone b| between Courthouse d PA Police Dept
0 Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage: LINK
MM
Name: Clallam County Email: GHelWiCk@Co.Clallarn.Wa.Us
Mailing Address. 223 E.4th St Port Angeles,WA
Phone: 3604172000
Name: Angeles Communications License: 601386512
Mailing Address: 102 Ross Ln. Port Angeles,WA 98363 Expiration Date: 4/30/2O2O
Email: don@angelescommunications.com Phone: 3604574375
Quantity JQW(Quantity x Unit Charge)
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.08 ' _ $_______--~ ^
Branch Circuits 1-4 $8l00 ___---- $_---__-_--_
Temp. Service/Feeder 2VOAmp, $102.00 __ ., , $
Temp. Semime/Feoder201-4OOAmp s12100 n________
TempSomioe/Fooder 01-600Amp. � 64.00
Temp. Service/Feeder 0O1'10OOAmp. , $185.00 ^ $ -
� �m
Portal to Portal Hourly - $9O�U0 �� �
~.
Sign/Outline Lighting ~ $88.00 ��
Signal C mu m»gE
Signal Ci U/L| %eUEnergy/First | 1 u 96
���__-___.
,vote:$a.vv for each additional 1500 sf)��
RanmwoUleEleo Energy: 5�\4\�ya�m o
-�-_- .�
Thermostat(Noto: $5 for each additional) ' " � " $56.00 $_---------_
~ ^^' $�6,0J_----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 0o hire ao 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,TheCityofPortAngalesMunicipa|Codo. ondUtiU\YGpecifioadonaondPAK4C14D5.O5OnaQanjingBeddca|Pennit Applications.
11/2��/2D1�� Donald | Simpson Donald U ��'�� mg/�nyn/nnouuvoonam�m/mpsmnn
Dote Print Name Signa|une(F1 Owner Eimothoa| Contractor//\dm|niutodor)
,�
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
r �
ELEC MCAL PERMIT
CITY OF
1'CT ANGELS-41"7�735
Application Number . . . . 20-00000055 Date 1/21/20
Application pin number . . . 026880 REPORT STATE SALES TAX
Property Address 223 E 4TH ST on your excise tax form
PARCEL NUMBER: " 06-30-00-6-4-6700-0000- y
Application type description" ELECTRICAL ONLY to the City"of Port Angeles
Subdivision Name . . . . . . (Lowdon Code 0502)
Property Use . . . . . . .
Property Zoning . . . PUBLIC BUILDINGS & PARKS
Application valuation 0
----------------------------------------------------------------------------
Application desc
Load bank
----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY LEGACY TELECOMMUNICATIONS INC
223 E 4TH ST PO .BO% 360
PORT ANGELES WA 98362 BURLEY WA`98322
(360) :417-2429 (253) 858-0214
----------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . . 121.00 Plan Check Fee .00
Issue Date . . . . 1/21/20 Valuation °` 0
Expiration Date 7/19/20
Oty Unit Charge Per Extension
1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00
Fee summary Charged Paid Credited Due
----------------- - - -------- - ---- -- ----------
Permit Fee Total 121:00 121.00 .00 00
Plan Check Total ` .00 00 .00 00
Grand Total 121.00' 121.00" .00 .00
' i
j
i
i
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
-COMMENTS:
PERMIT WILL EXPIRE StKj6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
I -
WAS
x:.
It
v ..
`
^�u �
IWO ow
MULTI-FAMILY COMMERCIAL
VORT /xu 3
ELECTRICAL PERMIT APPLICATI
ON
Public Works and Utilities Department
3Z| E �th �tm��. Po�&n��kc� \��9�362
3604174735 | wwv/.cityofpauu | n|cctbon\ptnnitsCci1yo6no.us
PnojectAddnnon: �
Project Description:
[] Multi-Family Residential %Q Commencie|/|ndustha|/Pub|ic Building Square footage:
OWNER INFORMATION
Name: Email:
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Unit Charcie Quantity JQW(Quantity x Unit Charge)
Service/Feeder 2VVAmp. $132.00 $____-__—_.
Service/Feeder 2O1-0OAmp. $180.00 $______---_
Service/Feeder 4O1'O0OAmp. $225.00 *
Service/Feeder 0O1'1OOOAmp. *288.00 ____--- $_____----'
Service/Feeder over 1800Amp. *410.00 ____--- $—____-----
Branch Circuit wW Service Feeder $5.00 *
Branch Circuit W/O Service Feeder $74.00 $--____--_—
Each Additional Branch Circuit $5.00 $--___-----
Branch Circuits 1-4 08&00 $_____
Temp.Service/Feeder 2OOAmp, $102.00 $
Temp.Service/Feeder 2814OOAmp. *121.00 $
Temp.Service/Feeder 4D1-gOUAmp. $164.00 $________
Temp. Service/Feeder 8O1'1000Amp. $185.00 $_--------_
Portal to Portal Hourly *9000 $_----_-----
Sign/Outline Lighting $88.00 $__________
Signal Circuit/Limited Energy-Multi-Family $08D0 *____----_
Signal Circuit/Limited Energy/First 15OOof'Commercial $90.00 $----__---_
(Note: $5,00 for each additional 1500 eV
Renewable Elec. Energy:5KVA System o,less *113.00 $__________
Thermostat(Nuoe: $5 for each additional) $56.00 $
*_ _TOTAL
Owner as defined by RCW19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire on electrical contractor ifabove said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, |hereby certify that|mm the owner cf the above named property uro licensed electrical contractor. |
am making the electrical installation or afteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,TheChyofPortxoge|esK8unidpo|Codo.ondUd|hyGpacificahonsandFAIVIC14.U5.U5Oregandin0Becthco|PennhApp||umVons.
Date Print Name Signature(M Owner OEL'Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL PERMIT
Application Number : , 2i-00000726 Date 6/15/21
Application pin number . 944276
Property Address . . . . . . 223 E 4TH ST
ASSESSOR-PARCEL 'NUMBER: 06-30-06-6-4-67:00-0000-
Application type description ELECTRICAL ONLY
Subdivision Name .
Property Use . . . ,
Property Zoning . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation , 0
----------------------------------------------------------------------------
Application desc
HRv
-----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY CASCADE ELECTRIC & VAC INC
223 E 4TH ST' PO BOX 369
PORT ANGELES WA 98362 PORT HADLOCK WA 98339
(360) 417-2429 (360) 379-5347
--------------------------------------------------------------------------
Permit . .. . . ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee , 86.00 Plan Check Fee .00
.Issue Date . . . 6/15/21 valuation - 0
Expiration Date . 12/12/21
Oty Unit Charge Per Extension
BASE FEE 86.00
---- Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 00 .00 00
Grand Total 86.00 86.00 .00 .00
REPORT SALES TAX
on your excise tax Am
to the City of Port ArV0168,
(Locad'on Code 0502)
INSPECTION TYPE DATE: RESULTS:', INSPECTOR:
DITCH
SERVICE
ROUGH-IN 2f
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIC(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANG"UILDING
s.f
�. s � y
�,�-� .
�'
R
fI
I
l
I
1
MULTI-FAMILY / COMMERCIAL . .
ELECTRICAL PERMIT APPLICATION
Public
and utilities Department
321 |C. 5dh3Luec� Port Angeles, \�,-kY8382
360.417.4735 } vvr/v/cityo6pxuu ' cluo1 icuipconkm6�ci n6)u.uo
Project Address: 223 E 4th St ._
Project Description: Power for hry
[1 Multi-Family Residential GM Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Clallam County CourtHouse Jail Email:
ELECTRICAL CONTRACTOR INFORMATION
Name: Cascade Electric&Vac License: cascaevdm934
Mailing Address: po box 369 Expiration Date: 1/1/22
PROJECT DETAIL&I
Unit ChaEge QuantllX�- JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp.' $132.00
Branch Circuit W/Service Feeder $5,00 $
Branch Circuit WIO Service Feeder $74,00 $
Each Additional Branch Circuit $5.00 $
Temp. Service/Feeder 4008mp, u
Temp. Service/Feeder . °
Portal tnPortal Hourly ��� �' � � ":� � `�� � ��� ' ������ "
Sign/Outline Lighting ~ �� �� �� �� � $88,00
Signal Circuit/Limited Energy-Multi-Family -$8&00
Signal Circuit/Limited Energy/First 1500 sf-Commercial "t96.00
(Note:$5.00 for each additional 15W�s�
Renewable Elec, Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00,
s�16'00TOTAL
Owner as defined by RCW19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.C0 Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months uf 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.
6/14/2021 Robert Nordberg
Doda Print Name Gignotun*(n Owner Fl Electrical Contractor/Adminiotrator)
[Electrical Permit Applications maybe submitted toCity Ho|| orm|eotrion|pe,m\ts@cih/nfpm.uonr faxed bo 360.417.4711]
EL '!' .PE Mrr
CITY a PRE'ANGELES
3�17'4735
Application Number 21-00000485 Date 4/21/21
Application: pin number S63960
Property Address . 223 E 4TE ST
ASSESSOR PARCEL, NUMBER: 06-30-00-6-4-6700-0000-EM Application type description ELICAL ONLY
Subdivision Name .
Property Use . . .
Property Zoning . . . . . . PUBLIC SUILDINGS'& PARKS
Application valuation . . . 0
Application desc
Plan review
Owner Contractor
CLALLAM COUNTY OWNER
223 E-4TH ST
PORT ANGELES WA 98362
(360) 417-2429
----------------------------------------------------------------------------
Permi-t . : . . . . ELECTRICAL PLAN REVIEW
Additional desc . .
Permit Fee . . . 400.00 Plan Check Fee .00
Issue'J3ate 4/21/21 valuation 0
Qty Unit Charge Per Extension
400.00 1.0000 ECH EL-PW REVIEW 400.00
----- ---- ----- -------- ------- -----------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 490.00 400.00 .00 .00
Plan Check Total 00,,./ .00 .00 00
Grand Total p 400.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Pat Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
...yam ...
RMff
WILY:' ME'S1X-(6)M0NTHS,FROM LAST INSPEMOx
Signature of or Electrical Contractor X Date:
G MHANGSBUI :DING
d.:. y
�41
4 _
0
y
i
• IJ ORT INGELES
.A
WASH I N G T O N, U. S. A.
Public Works & Utilities Department
4/20/2021
Hunt Engineering
Attn: John Hunt
9560 Moran Rd Bainbridge IS. WA 98110
Subject: Electrical Plan Review. Clallam County VAV
w,
John,
The estimated cost for your electrical plan review is $400.00 this estimate is good for
� a a
180 days from the date of this letter. The City requires that you deposit an amount
equal to the estimate with the City as part of your permit application. The actual fee
will be the City's labor and material cost plus a 15% administrative fee.
If the actual cost exceeds the deposit amount,the City will bill you for the overage. If
the actual cost is less than the deposit,the difference will be refunded.
v {. If you have any questions or concerns,feel free to contact me at the phone number, or
a-mail, listed below.
Sincerely,
� � Y
r
Trent Peppard
Senior Electrical Inspector
ttpeppard cityofpa.us
Wk 360 417 4735
� Cell 360 808 2613
Phone:360-417-4800!Fax:360-417-4542
Website:www.cityofpa.us!Email: publicworks@cityofpa.us
321 East Fifth Street!Port Angeles, WA 98362-0217
3/31/2021 Invoice No. 21 -485
To
Hunt Engineering
Attn:John Hunt
9560 Moran Rd
Bainbridge IS.WA 98110
Electrical plan review final fee.
Clallam County VAV
Quantity Description Unit Price Total
1 WC3 consultant fee 330.00 330.00
1 WC3 Postage 7.70 7.70
1 City shipping Fed Ex ground 11.93 11.93
1 Labor City of Port Angles 71.00 71.00
1 Penprint copies 5.71 5.71
15% Administrative fee 63.95
Sub Total 490.29
Cost estimate deposit 400.00
Balance Total 90.29
Due upon receipt
Thank you for your business!
}
City of Port Angeles ��,, Okr.,,�f
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711
PREPARED 5/05/21, 8 : 03 :35 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 21-00000485 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL PLAN REVIEW 90 .29
TOTAL DUE 90 .29
Please present reciept to the cashier with full payment
403 S. Lincoln St., Suite 4
Port Angeles, WA 98362
(360) 457-4343
www.lincolnstation.us
Shipment----------------------
USPS Priority Mail
Ship To:
Attn: Katy
West Coast Code Consultants
19109 36TH AVE W STE 207
LYNNWOOD, WA 98036--5767
Package ID: 210428 11.93
Tracking #: 9405511108274805923673
Actual Wt: 0 lbs 4.6 ozs
Rating Wt: 0.5 lbs
Pkg Dims: 36.00 x 6.00 x 6.00
SUBTOTAL 11.93
TAX 0.00
TOTAL 11.93
TEND Acct - Credit 11.93
Credit account: Account 3
Open balance: 10.85
Total shipments: I
City of PA Public Works
04/21/2021
#188832 09:32 AM
Workstation: 0 - Master Workstation
Signature
All shipments are subject to the terms
and conditions posted in the store at the front
counter.
**pp/lss__ THIS ADDRESSS HAS BEEN
VERIFIED BY YOU.**
For the safety of our customers
and carriers, we reserve the
right to open, inspect, and
West Coast Code Consultants,Inc.
19109 36th Ave W,Suite 207
Lynnwood,WA 98036
(425)582-1719
tl Federal Tax ID#20-4707579
Trent Peppard,Senior Electrical Inspector Aril 29 2021
City of Port Angeles 2021-PA. -APR
321 E 5th St. Net 30
Port Angeles,WA 98362
Project: Plan Review
WC3 Employee: William Tracey,Katie Conrad
Type of Service: Plan Review
Begin Date: April 1,2021
End Date: April 29,2021
WC-3 Plan City Plan Check Name and Type of Project Address of Project Amount Billed
Check Number Number
Clallam County Court House VAV Replacement-William Tracey,Katie Conrad-3
221-FAN-003 21-485 } 223E 4th St. $ 330.00
! t hours @$I I O/hr._._»._._.. i
...........................r..._..._..._.»_...._..._.._.«.«... ...__......«......._.._....._..._._..._.._.__._..._..._........«.»«.»............«»._..._.._._._..._._ ....._..._..»..._.»..».»».•......_..._. .� .».......»..........._..._..............
j 221-PAN-003 21-485 Clallam County Court House VAV+Replacement-Shipping Cost(Plan Return) � _ 223 E 4th St. $ 7.70
>........_..,............................ .............._....._..._. .. .. .. ;....
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S 337.70
w � ✓i� Invoice
� enpr "int
Date Invoice#
230 A E First Street-Port Angeles,WA 98362 4/29/2021 38647
360.457.3404-info@penprintinc.com
Bill To
Accounts Payable
City of Port Angeles Finance Dept.
321 E. Fifth Street
Port Angeles WA 98362
P.O. No. Terms
Trent upon receipt
Quantity Description Rate Amount
3 Clallam Courthouse VAV replacement 1.75 5.25T
Sales Tax 8.80% 0.46
TERMS-PAYABLE IN FULL AND DUE UPON RECEIPT. Total $5.71
Customer agrees to pay a$25 per month late fee on all invoices over 30 days from the date of service,in addition to a
1.5%per month finance charge on outstanding balances. In the event that collection proceedings become necessary,
customer agrees to pay ALL collection costs,legal fees,and any other costs associated with collecting the debt.The lack
of a customer signature on the invoice DOES NOT waive these terms in full or in part. Balance Due 5 71
PREPARED 4/20/21, 13 : 19 : 33 PAYMENT DUE
CITY OP PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 21-00000485 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL PLAN REVIEW 400 . 00
TOTAL DUE 400 . 00
Please present reciept to the cashier with full payment
E
m T
g
ELECIIWAL PERMIT-
MY OF FORT ANGELES
360-417-4735
Application Number . . . . . 21-00000005 Date 1/06/21
Application pin number . . . 369215
Property Address . . . 223 E ATH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . . . . .
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation . . 0
----------------------------------------------------------------------------
Application desc
Load bank
----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY LEGACY TELECOMMUNICATIONS INC
223 E 4TH ST PO BOX.360
PORT ANGELES WA 98362 BURLEY WA 98322
(360) 417-2429 (253) 858-0214
j
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 121.00 Plan Check Fee .00
Issue Date . . . . 1/06/21 Valuation 0
Expiration Date . . 7/05/21
Qty Unit Charge Per Extension
1.00 121.0000 ECH EL- COMM 201-400 TEMP-SRV/FDR 121.00
----------------------------------------------------------------------------
Fee summary Charged _ Paid Credited Due
Permit Fee Total 121.00 121.00 .00 .00
Plan Check Total .00 1 .00 .00 00
Grand Total 121.00 121.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN b Z
FINAL fiR
CONIIVIENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGSBUIL DING
;� .:
,�.. - _ w
i
i
MULTI-FAMILY / COMMERCIAL
�
ELECTRICAL PERMIT APPLICATION
Public Works
OOJ Utilities Department
�J
32i El. 5db Street, Port Ange|cs, WA98382
360'417'4735 | v/*«w.cityofpo.um | c|oot icu|pconitsoo ua
pnojeoAddreoo: Courthouse Generator
Project Description: Load Bank
[] Multi-Family Residential B] Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Clallum County Parks Email:
Mailing Address: 223 E 4th St Phone:
Name: Legacy Power Systems License: ELLEGACTL821 LJ
Mailing Address: 8102 SKANSIE AVE GIG HARBOR,WA 98332 Expiration Date:
Email: RLUNDIN@LEGACYPOWER.COM Phone: 2538580214
PROJECT DETAILS
Unit Charae Quantity JQW(Quantity x Unit Charge)
Branch Circuit W1 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 01-800Am ' �' �'�
Temp. Service/Feeder
Portal to Portal Hourly
~�
Sign/Outline Lighting ~���������'���� o � a�������*88.0,
Signal Circuit/Limited Energy $
Signal Circuit/Limited Energy/First 1500 sf,-Commercial -$96,00
(Note: $5.00 for each additional 1500 so
Renewable Elec. Energy: 5KVA System or less $113.00, $
Thermostat(Note:$5 for each additional) $56,00, $
$ 121. 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., RCVK Chapter 19.28.VVAC.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 ElectricalC�ontuactor/Adm|niotnoto�
��
(Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to3G0.417.4711)
j a
ELEII T'RICAL PERMTf t
CITY op FORT ANGELES r, 4
360-417-4735 --
Application Number . . . . 21-00000004 Date 1/05/21
Application pin number . . . 528156
Property Address . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . .
Property Zoning . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . , 0
-- - -Application deac
Elevator modernization
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY 16D LLC
223 E 4TH ST PO BOX 804
PORT ANGELES WA 98362 vASHON WA 98070
-----(360) 417-2429 (206)-354-0876--- qq �t l
----------------------------- _C�_,74---
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Pee . . . . 228.00 Plan Check Fee .00
Issue Date . . . 1/05/21 valuation . 0
Expiration Date 7/04/21
Qty Unit Charge Per Extension
BASE FEE 86.00
2.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 10.00
1.00 132.0000 ECK EL-COM 0-200 SRv FEEDER 132.00
Fee summary Charged - Paid Credited Due
- ---------- ---------- ---------- ---------- ----------
Permit Fee Total 228.00 228.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 228.00 228.00 .00 .00
I
I
IMPORT SALES TAX �
on your excise tax form
to the City of Port Angeles
(Locaftn Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH i
i
SERVICE
ROUGH-IN 1,
FINAL
COMMENTS.
Patmir WILL E cpw SIX(6)WoNTHs Mo—m LASFIlVSPEcnoN
i
Signature of owner or Elecwcal Contractor X Date:
G:\EXCHANGSBUILDING
i
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MULTI-FAMILY 1 COMMERCIALCD
ELECTRICAL PERMIT API'LICATIC�N
Public Works and.Utilities Department
32'1 Ei, Sth Street, Port Angeles, XVA 9 362
C
i0. 17. 735 j �vwiv.cityarpa.us electricalpermits ci;�i?cityorpa.us
Project Address: 223 E 4th St, Fort An eles, WA 98362
Project Description. Electrical for Elevator Modernization for Clallum Courthouse
600
0 Multi-Family Residential El Commercial t Industrial!Public Building Square footage:
.Name: CLALLUM COUNTY COURTHOUSE Email: rue
Mailing Address: NIA Phone: NIA
Name: 18dilc License. 16dlll*882it
Mailing Address; PO BQx 804 Vashon.WA 98070 Expiration Date: 05/1512022
Email. danie#Q16dllO-Com< phone: '253-2 9-8825
MANo
,a tt C brae Quand uanttty x tJrYtt Chari
tL�t
ServicelFeeder Z��i 432. 00 ,�
13
imp,
Servi
ServicefFeeder 40 t-E300 lap. $225,00
Service/Feedeffij# t t0 Amp. $288 00 $ �.
Service/Feeder over-1OOO:Amp. 4 t}.00
Branch Circuit W%Se tct Feeder �5.00
�:.
Branch-+Circuit dIQ�Seivtce Feeder
Ctrcult
Each:Addri2�1� $B.ttQ
Brar►e�i Clr�sits'l-4 $88;Q0� ,� � u.�....
Temp. e3cll=el 2OO Amp. 60 ,.
Temp,Seri oo r 201-0t?0 Ainp ua�"^.' $121 00 $
00mp Tam .5ervic lFe® 18 ,OD€
�..
Ternp SeriVlcetFeede 00 Am
p5 _.
' 9 &� a
:0
Sign„1 trwe S.lir aP'
Slgr►at Circult/Lirtttted Energ
Sig yHch
�ty
not Circult/Llrme d otetll .
Rene,"bte Etec te�y 5KUA Syste"1 te8 .
77-1
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yam. n . ttii;t'b . lt�rs UI ld � elegy t I Lewis, G, Cti iter 19.28 � r29rs-
as
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ELECTRICAL PERMiT s
CITY OF PORT ANGELES
364-417-4735
Application Number . . 21-00000265 Date 4/01/21
Application pin number 730680
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
subdivision Name . . . . . .
Property Use . . . . . .
Property Zoning . . PUBLIC BUILDINGS & PARKS
Application valuation . 0
Application desc
Plan review
----------------------------------------------------------------------------
Owner Contractor
CLALLAM COUNTY 16D LLC
223 E 4TH ST PO BOX 804
PORT ANGELES WA 98362 VASHON WA 98070
(360) 417-2429 (206) 354-0876
Permit . . . ELECTRICAL PLAN REVIEW
Additional desc . . PLAN REVIEW FINAL FEE
Permit Fee . . . . 613.55 Plaza Check Fee .00
Issue.Date . . 3/04/21 valuation . . 0
Expiration Date . .
Qty Unit Charge Per Extension
BASE FEE 213.55
400.00 1.0000 BCH EL-PLAN REVIEW 400.00
------------------- -- -------------- -- -- -
Fee summary Charged Paid Credited Due
Permit Fee Total 613.55 613.55 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 613.55 613.55 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL ' )2-)
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\FXCHANGEIBUILDING
I
` '
I
0,Rv-,T
GEL
'
�►►�+► WAS H I N G T$ O N, U. S. A.
Public Works & Utilities Department
3/2/21
Attn: Evan Robbins
P O Box 804 Vashon WA 98070
Subject: Electrical Plan Review. Clallam County Elevator
Evan
The estimated cost for your electrical plan review is $400.00 this estimate is good for
r
180 days from the date of this letter. The City requires that you deposit an amount
equal to the estimate with the City as part of your permit application. The actual fee
4
will be the City's labor and material cost plus a 15%administrative fee.
If the actual cost exceeds the deposit amount,the City will bill you for the overage. If
the actual cost is less than the deposit, the difference will be refunded.
If you have any questions or concerns, feel free to contact me at the phone number, or
m e-mail, listed below.
�� rt
� w Sincerely,
Trent Peppard
Senior Electrical Inspector
tpeppard[@cityofpa.us
Wk 360 417 4735
Cell 360 808 2613
Phone: 360-417-4800/Fax: 360-417-4542
Website: www.cityofpa.us/Email: publicworks@cityofpa.us
321 East Fifth Street/Port Angeles, WA 98362-0217
3/31/2021 Invoice No. 21 -265
To
16D LLC
Attn: Evan Robbins
PO Box 804
Vashon WA 98070
Electrical plan review final fee.
Clallarn County Elevator
Quantity Description Unit Price Total
I WC3 consultant fee 440.00 440.00
1 WC3 Postage 7.70 7.70
1 City shipping FedEx ground 14.82 14.82
1 Labor City of Port Angles 71.00 71.00
1 Penprint copies 0.00 0.00
15% Administrative fee 80.03
Sub Total 613.55
Cost estimate deposit 400.00
Balance Total 213.55
Due upon receipt
Thank you for your business!
City of Port Angeles VORf
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711
Lincoln Street Station
403 S. L1nC0\O 3t.,, Suite 4
Port Angeles, WA 98362
(360) 457-4343 '
WNN.l1nco}notat1VO'U3
Sh1pm8Ot-------------
F8UEx Ground
Sk1V TO:
Attn: Katy
West Coast Code Consultants
19109 36TH AVE N STE 207
LYNNW0OU, NA 98036-5767
Package ID: 207944 14.82
Tracking #' 784360734375.
EXp8Ct8U arrival: Fri 03/05 11:59 PM
~� Actual Nt: 0 lUS 6.6 OZs
R8t1D0 0t: 8 ibS
PkK Dims: 38.00 X 6.00 K 6.00
SUBTOTAL 14.82
TAX 0.00
TOTAL 14.82
TEND ACCt - Credit 14.82
Credit aCCOUDt: ACCOUDt 3
0p8D balance: 37.71
Total sUlVmgDtS: l
City of PA PUbi1C Works
O3/U4/2O2I
#186959 09:33 4M
Workstation: O - Master Workstation
Signature
All SU1p08Ot3 are SUU]eCt to the terms
GOU CoOU1t1oDS VOSteU in the store at the front
COUntor'
**pp/ISn__ THIS N]D8ESSS HAS BEEN
VERIFIED BY YOU.**
For the safety Of our CU5t00Rr8
and carriers, we reserve the
right to open, 1DSp8ct. HOU
refuse any package
t8OUSr8U'
IDS0-8nCe:
First $50.80 is covered N/US9S
Priority Mail.
First *180.80 19 Covm'oU '
W/Fe0Ex or UPS.
AUU1tlODal 1O8Ur8Dc9 NUnt
be purchased W/LSS
before shipping.
West Coast Cade Consultants,Inc.
w 19109 36th Ave W,Suite 207
Lynnwood,WA 98036
rl (425)582-1719
r" Federal Tax ID#20-4707579
Trent Peppard,Senior Electrical Inspector March 26 2021
City of Port Angeles 1-PAN-MAR
321 E 5th St. Net 30
Port Angeles,WA 98362
Project: Plan Review
WC3 Employee: William Tracey,Katie Conrad
Type of Service: Plan Review
Begin Date: March 1,2021
End Date: March 26,2021
WC-3 Plan City Plan Check Name and Type of Project Address of Project Amount Billed
Check Number Number
221-PAN-002 21-265 ;Clallam County Elevator-William Tracey,Katie Conrad-4 hours n@$110/hr. 223 E 4th St. $ 440.0W:
............................. ......_.._._..._._..........................«_..._................................................................«.,«,..............._..............................._.._..._._..........................._p«..._..._........................................i......
....
...................»...................
1
221-PAN-002 21-265 ;Clallam County Elevator-Shipping Cost(Plan Return) 223 E 4th St. $ 7.70 1 .
I
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................................
_..._.._.....{._........................................._.;_...................«..................._.........................................._............................................................._......«........................._.. ............_......._..._..............................2 ........_......
_.............................
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i...._.._...«......_.._......._._.._e._..._._.................................
«..._..._«.„.«.............._.............«.«««...._.._. ._.«_._«.....««.._.............................................................._......_.__.........«...................................... d ................_......................
s
_._..._._.._.«««....,...»............... ....._._._.._._._.._.._..�.�.___.....«.»«.«.».�.«._._.._._«._.__.. r._.�._.d—.«..«.....«..._.._................._..._......
I
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_.......................... ....._..._..._........._................. ....................................._........«.............._............_.«..._..........._.................._...»........._..._..._..._..._..........._..._..._......... ....«.«.................._......_.............«.......i............_..._...................................."'
.._m... .... ._.e«..
---------------
1
i + I
i I i i i
S 447.70
1:1RST REVIENN
ij Port Anloeles'.: 211-265
March 11, 2021 FINAL REVIEW
WC3 Project#: 221-PAN-002
Port Angeles Project#: 21-265
City of Port Angeles
321 E 5th St.
Port Angeles, WA 98362
Attention: Trent Peppard
Subject: Clallam County Elevator—Final Plan Review Comments
Mr. Peppard:
West Coast Code Consultants, Inc. (WC3) has completed the final review of the proposed Clallam County
Elevator project located in Port Angeles, WA. Please consider our review in regards to this project to be
complete. This review was based upon the following:
1. Electrical drawings dated 2/8/2021 by 16D, LLC.
The 2018 International Codes, 2020 NEC, as adopted by the State of Washington, were used as the basis of
our review. If you have any questions regarding this review, please contact me.
Sincerely,
William Tracey ,
Plans Examiner
Clallam CountN HeNator 223 F 4th St. 1"we I of I
u
ELECT1bdAL PERMrr
CITY OF 'ANGELES ,
36f= 17735 1
I3plication Number . . .18-00001934 Date 3/05/19
'Alication pin number . . 148368 REPORT STA
ppE SAi S'7"AdC
Property Deas . . . 223 8 4TH ST On your exc se tax
"ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
ftin
AppTicatioA,type description ELECTRICAL ONLY, to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502) ,
Property Zoning . . . . PUBLIC BUILDINGS k PARRS
Application valuation . . 0
Owner Contractor
-------------------
CLALLAM COUNTY OWNER
223 E 4TH ST
PORT ANGELES WA 98362
(360) 417-2429
- -- ---- ---- ----------------------------- ------ ----------------
Permit ELECTRICAL PLAN REVIEW
Additional deac ,
Permit Fee 500.00 Plan Check Fee .00
Issue Date 1/23/19 Valuation . . . . 0
Nxpiratipaa.Date
Qty 'Emit Charge Per Extension
500.00 1.0000 BCH EL-PLAN REVIEW 500.00
----------- - ----- -----
Fee summary Charged Paid Credited Due
-- ------- - ------
'Permit Fee Total 500.00 500.00 .00 .00
Plan Check Total :00 .00 100 .00
Grand Total 500.00 500.00 .00 .00
i
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
i
DITCH
SERVICE
ROUGH-IN
C©MM&r :
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION`
Signature of owner or Electrical ContractorX, Dater
_. .
.,
'f
� ..
;.
ELECTRICALPERMIT
CITY OF PORTfi ANGELES
364411-4735
Appligation Number 19-00000268 Date 3/04/19
REPORT STATE SALES TAX �
. ApplirC���n �f3Tl,number 319092 � i
Property Address 1936 W 18TH 3T on your excise.tax form
PARCEL NUMBER: 06-3'0-00-1-1-1900-1000-
Application type description ELECTRICAL ONLY to the City of Pott Angeles
Subdivision-Name (Location Code 05 02) -
Property Use
Property Zoning INDUSTRIAL HEAVY .
Application valuation 0
----------- -- ------------ - -------------- -------------- ------
Application desc
Truckwash pump station
Owner Contractor
PORT OF PORT ANGELES OLYMPIC ELECTRIC CO INC
PO BOX 1350 4230 TUMWATER
PORT ANGELES WA 983620251 PORT ANGELES WA 98363
(360) 457-5303
---------------------- ------ -----------_
Permit' . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . 79.00 Plan Check Fee .00
Issue Date . . . . 2/28/19 valuation . . . . 0
Expiration Date 8/21/19
Qty Unit Charge Per Extension
1.00 74.0000 ECH; EL-COMM BRANCH CIR WO/ S/F 74.00
1.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 5.00
- - -------------------------------------
Fee summary Charged Paid Credited Due
------ --- ------ ----------
Permit Fee Total 79.00 79.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 79.00 79.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH 1AS hq 1p
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrf WILL EXPIRE SIX(6}MOMRS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF,PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000878 Date 6/13/18
Application pin number 712834
Property Address . . . . . . 223 E 4TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Audio system install
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY HI TECH SECURITY INC
223 E 4TH ST 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA §8362
(360) 417-2429 (360) 452-2727
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . -
, Permit Fee . . . . 96'00 Plan Check Fee .00
Issue Date . . . . 6/13/18 Valuation 0
Expiration Date 12/10/18
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED IST 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
INSPECTION TYPE DATE: RESULTS: INSPECTOR-
DITCH
SERVICE
ROUGH-IN
FINAL
CONIME'NTS:
PERMrF WILL EXPIRE SIX(6)MONITIS FROM LAST IN$PEcn0N
Signature of owner or Electrical Contractor X Date:
0*go"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
R
PERMIT#
AP3
CONUR
CONT)��
i� "J YA
ADDRESS
.9-7;7;?
APPROVED NOT APPROVED
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . RWGH IWCOI�R . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . SEMACE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FlNjl!�L . . . . . . . . . . . . . . . . . . . . 0
CORREC'nONS NEEDED: �2�kVZ, X4lfZ-rP--
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- 00 NOT REMOVE-
M
ELcO
MULTI-FAMILY COMMERCIAL M
0 VORTiV 3
CEIVED
ELECTRICAL PERMIT APPLICATIO
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98')62
360.417.4735 1 www.cityofpaA1S I electricalpermitsCa),cityofpa.us /A!�.�L
Project Address: 223 E 4th St Ste 7
Project Description: Distributed audio install
El Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
L
Name: Clallarn County-Courthouse Email: tsullenger@co.dallamma.us
Mailing Address: 223 E 4th Street Ste 7 Phone: 360-417-2340
ELECTRICAL CONTRACTOR INFORMATION
Name: Hi Tech Security,Inc License: HITECTS955BS
Mailing Address: 723 East Front St Expiration Date: 1/10/2019
Email: hitech@olypen.com Phone: 360-452-2727
PROJECT DETAILS
1tain Unit Charae Quantity JQ1W(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 W1 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 $96.00 s 96.00
(Note:$5.00 for each additional 1500 sf�l
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 96.00 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.
Digitally signed by Mike Shirley
6/11/18 Mike Shirley Date:2018.05.31 14:52:42-07'00'_
Date Print Name Signature([:] Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001458 Date 9/18/18
Application pin number . . , 322946
Property Address . . . . . . 223 E 4TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ' ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
-------------------------------------------0--------------------------------
Application desc
Replce I.T. UPS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 9/18/18 valuation . . . . 0
Expiration Date 3/17/19
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid credited Due
------------ ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86-00 .00 .00
Plan Chee k Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTWi4:TYPE DATE. RESULTS: INSPECTOR-
DITCH
S-VMqCM
ROUM-IN
FINAL
COMAENTS:
PERMIT WILL EXPfftE SIX(6)MONTHS FROM IAST INSPECTION
4Fi
Signawre of owner or Electrical Contractor X Date:
09/17/2018 12:46 FAX 360 452 9265 Angeles Electric Q0001/0001
M
MULTI-FAMILY I .COMMERCIA
ELECTRICAL PERMIT APPLICATION XV
Public Works and Utilities Department
321 E. 5th Stmet, Port Angeles,WA 98362
360.417.4735 1 www.cityofpa.LL,; I clectricalpemiits(�a)cityo�)aus
Project Address: IF
QP
Project Description: #A5 z.*,z 912N.Ae
0 Multi-Family Residential lie'COmmarceal/Industrial Public Building Square footage:—,16*04M)
OWNER INFORMATION
Name: Email:
Mailing Address:—,= Phonei
ELECTRICAL CONTRACTOR INFORMATION
Name: ANGELES ELECTRIC, INC. License: ANGELE1460RS
-F T
Mailing Address: 524.E.,�IR-S STREET Expiration Date: 02/01/2019
Phone: 360-452-9264
Email: ksimpson
PROJECT DETAILS
Service/Feeder 200 Amp. tf,3&
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp. sm.00 $
Service/Feeder 601,71000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/Service Feeder
$
Branch Circuit W/O Service Feeder V4.-00 $
Each Additional Branch Circuit K00 $
Branch Circuits 1-4 $86-.00. $
Temp.Service/Feeder 200 Amp. SIOZ00 $
Temp.Service/Feeder 201-400 Amp. $
Temp.Service/Fee 1,11-NOW. ,
Temp.Service/Fe - 000 Amp.
Portal to Portal Ho rly
Sign/Outline Ligh ing
Signal ClircuittUrnited Energ -
Signal Circuit/Umfted Energ
(Note:$5.00 for
Renewable Elec.Energy:5KVA Syste $
Thermostat(Note:$5 for each additional) $
$ 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 maldng the electrical installation or alteration in compliance with the elealrical 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 SlecWcal Permit Applications.
[A ite Print Name Signature(E] Owner 10"bectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . 18-00001934 Date 1/23/19
Application pin number — 1,48368 REPORT STATE SALES TAX
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the,City of Port Angeles
SubdivisionName . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
'Application valuation 0
Owner Contractor
------------------------ -------------------------
CLALLAM COUNTY OWNER
223 E 4TH ST
PORT ANGELES WA M62
(360) 417-242�9
-------------------------------------------------------- ----------- -------
Permit . . . . . . ELECTRICAL PLAN REVIEW
Additional desc
Permit Fee . . . . 500.00 Plan Check Fee .00
Issue Date w . . . 1/23/19 valuation . . . . 0
Qty Unit Charge Per Extension
500.00 1.00-00 ECH EL-PLAN REVIEW 500.00
-----------7----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total. 500.00 500.00 .00 .00
'Plan Check Total .00 ."00 .00
Grand Total 500.00 500.00 '.00 .00
INSPECTION TYPE DATE� RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL AU OP11A#4
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
OKI A NIULLES
W A S H I N G T 0 N, U. S. A.
Nor—
Public Works & Utilities Department
1/3/2019
Clallam County
Hunt Engineering
Attn: Joel Windburn
223 E4 th Street
Port Angeles WA 98362
Subject: Electrical Plan Review. Data room HVAC
Joel,
The estimated cost for your electrical plan review is $500.00 this estimate is good for
180 days from the date of this letter. The City requires that you deposit an amount
equal to the estimate with the City as part of your permit application. The actual fee
will be the City's labor and material cost plus a 15% administrative fee.
If the actual cost exceeds the deposit amount, the City will bill you for the overage. If
the actual cost is less than the deposit, the difference will be refunded.
If you have any questions or concerns, feel free to contact me at the phone number, or
e-mail, listed below.
0
Sincerely,
"A
0
Trent Peppard
Senior Electrical Inspector
tPePPardCa)cityofPa.us
Wk 360 417 4735
Cell 360 808 2613
Phone: 360-417-4800 Fax: 360-417-4542
Website: www.cityofpa.us Email: publicworks@cityofpa.us
321 East Fifth Street/Port Angeles, WA 98362-0217
MULTI-FAMILY / COMMERCIALRECEIVED
3
ELECTRICAL PERMIT APPLIC
T 2018
P-,_1'0'. c Works and �J`_Jllities Department
3 2 E. 5th St-.-,,-+, Port Angeles, IWA 98')62 ELM"
,,Vvvw.-;�
3 6 C),4 17�41-7--,5 _-yofflpa.us
0
Project Address: 7-Z"I V-AO91
Project Description: 1144LAw e*4.-,,LL e_t#Pe%0Li4#A_ r-ar pwo- rpoo ob... Ave 0%
Commerc 't
0 Multi-Family Residential ial/ Industrial/Public Build g SqDare footage.-
OWNER, INFORMATION ,
Name: �,) ,60L W I*J 0 siwv-5 Email:3 W t90004 eO
Mailing Address'. 7-7-3 Z&VT q t6- rrevel., vIF, Phone: 340 40V'7- 2.VZ?
RMATION:
ELECTRIcAL C"'T" 3
Name: License:
Mailing Address: 0 6*4%4.J" 0,4 1 W ftt Expiration Date:
Email:-,Ib 14 9% 101 U-N-1 Q kW VC1 JA ---- Phone: 20 r. Ib-9/'x A
P ' GT,DETAIL'S
ROJE
item V44-7 Unif Mae: 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 $96.00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ TOTAL
Owner as defined by RCW.1 9.28.261:(1)Ownerwill 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 PAM 14.05.050 regarding Electrical Permit Applications.
Date Print Name
,Vgnature(EJ Owner F-1 Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICALIPERMtr
MY 01F PMT ANGELES
166417-4735
.Application Number . . . . . 19-00000377 Date 3/15/19
Application pin number . . . 331204 REPORT STATE SALES TAX
Property Address . . . . . . 223 E 4TWST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Polt Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
---------------------------------------------------- -----------------------
Application desc
Data room modifications
----------------------------------------------------------------------------
Owner Contractor
------------------ ------------------------
CLALLAM COUNTY MCCOY ELECTRIC CO INC
223 E .4TH ST P. 0. BOX 1550
PORT ANGELES WA 98362 NORTH PLAINS OR 97133
(360) 417-2429 (503) 234-7521
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . . 232.00 Plan Check Fee .00
Issue Date . . . . 3/15/19 Valuation . . . . 0
Expiration Date 9/ii/19
oty Unit Charge Per Extension
20.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 100.00
1.00 132.0000 BCH RL-COM 0-200 SRV FREI?RR 132.00
-------------------------------------------------------------- -------------
Fee summary Charged Paid Credited Due
- - ----------------- ---------- ---------- ---------- -----------
Permit Fee Total 232.00 232.00 .00, .00
Plan Check Total .00 .00 .00 .00
Grand Total 232.00 232.00 .00 .00
INSPF)CTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
i,4 1-7 11
FINAL
kw )R
COb04ENTS:
"-3)$RMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
of owner or Electrical Contractor X— Vol Date:
A-
MULTI-FAMILY / COMMERCIAL
RECEIVED 3
ELECTRICAL PERMIT APPLICATION MAR 14 2019
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417,4735 1 www.cityofipa.us I electricall)et-i-nits@cityo-fpa.its
Project Address: .223 E 4th ST Port Angeles, WA 98362 Lower Level Data Room
Project Description: Clallam Co Courthouse - Data Room Modifications
El Multi-Family Residential 9 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INF,ORMATibN
Name: McCoy El ctric Co., Inc. License: mccoyec381it
Mailing Address: 29191 NW West Union Rd. North Plains, OR 97133 Expiration Date: 7/30/2019
Email: janah@mccoyelectric.com Phone:
PROJECt btfAILS
Unit Charae Quantity JQJW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $ f
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 W1 Service Feeder $5.00 17 $
Branch Circuit WIO Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.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 $96.00 $
(Note:$5,00 for each additional 1500 sf)
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ A9—3Z 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.
12/20/2018 Zack Armstrong Im
Date Print Name V Signature([:] Owner V Electrical Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711
MIC k, --rD& -77/ -3 ZL-5-
poor ELECTRICAL INSPECTION
&- WIRING REPORT
116 RKS 417-4735
PERMIT# lNgPECTOR
I'l -EZ7 imw
OWNAR
CONTRACTOR
M.CCQ�e C-f-
ADDRESS
. 27-72
APPROVED NOT APPROVED
. . . . . . . . . 0
'5;t . . . . . . . . . . . .
13. . . . . . . . . . . . . . . . 11011GI INICOVER . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 13
CORRECTIONS NEEDED: Zd:ir e-,)12f.= V021)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 16 DAYS
- DO NOT REMOVE-
cs?o"Z\\ ELECTRICAL INSPECTION
a� =
.6-f9fral WIRING REPORT
417-4735
DATE: PERMIT# INSPECTOR
1;-Z-hF2
OWMER
CONTRACTOR
M C-C-0
ADDRESS
APPROVED �OTAPPI /EE
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 13 1
CORREC'nONS NEEDED: UV?612:7f-
v—st-r-,"vg;-- L Tvd%'ji
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 16 DAYS
- DO NOT REMOVE-
TIM
C"� "
74'735
Application Number . . . . . 19-00006928 Date 6/17/19
Application pin.number 142432 RLEPORT STATE SALESrAX
Property Address . . . . . . 223 B 4TH ST
ASSESSOR PARtSL NUMBER: 06-30-00-6-4-674Q-6000-, on your excise tax form
to the City of Port Angeles
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . . K)ELIC BIVILDINGS & PAM
Application valuation . . . . 0
- -----------;------------------------------------------------ ------------------
Application desc
Fire alarm space
---------------------------------------------------------------------------
Owner Contractor
------------------------ ----------------------- -
CLALLAM COUNTY FIRE CHIEF B=FNM CO INC
223 E 4THST 14214 10-:21ST ST
PORT ANGELES , WA 98162 11-ELUMA' WA 98007
(360) 417-21429 (425) 641-2127
---------------------------------------------------------- -----------------
Permit, ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 96.00 Plan Check Fee .00
Issue Date 6/17/19 Valuation 0
Expiration Date '12/14/19
Qty Unit Charge Per Extension
1.00 96.0000 ECK EL-LIMITED 1ST 15QO SO-FT 96.00
---------------------------------------------- ------- --------------
Fee summary Charged Paid Credited Due
------------ ------ ------- ---------- ----------
Permit Foe Total 96.*00 %6�00 .00 .00.
Plan Check Total .00 :.60 Go .00
Grand Total 96.00 96.00 00* .()Q-,
WSPEMON TYPE INSPECTOR:
DATE. RESULTS:
DUCH
SERVICE
ROUGH-IN
FINAL
_4
CONOAENTS-
PERMIT WILL MOIRE SIX(6)MONTHS-Akom -,Dwsq"
-LASt
Signabiri of owner or Electrical Contractor X Date:
AM
MULTI-FAMILY / COMMERCIAL RECC-r�ED (D
ELECTRICAL PERMIT APPLICATION
Ptiblic Works and Unlittes DepartiTient
I_ 5th Street. Port Ain' ,e 1 c,,, A 4)8';6 2
3 N� C':t o I Pl.I 1'� !; k:I C C t! c a I pe rn I i I i,C 1 N�)I'pa' 'Lf
Project Address: 223 East 4th Street, Port Anueles, WA 98362
Project Description: Replace Clow Agent Fire Alarm Release Panel in Data Center and install New clean Agent Fire Alarm Release Panel In Electrical Room Both In Basement
El Multi-Family Residential Commercial/Industrial I Public Building Square footage: 1200
777—
OWNER INFORMATION
Name: Ciallarn 6_oun_� Email: park3coD.clallam.wa.us
Mailing Address: 223 East 4th Street,Port Angeles,WA 98362 Phone: 360-417-2291
Name: Fire Chief Equipment Co. License: FIRECCE93620
Mailing Address: 14214 NE 21 st Street,Bellevue,WA 98007 Expiration Date: 5-18-2021
Email: patd@fire-chief.com Phone: 425-522-1236
-71
PROJECT DET�ILS
1WM Ouantity TaW(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 W1 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 $96.00 s 96.00
(Note:$5.00 for each additional 1500 so
Renewable Elec.Energy: 5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
s 96.00 TOTAL
Owner as defined by RCW 19.28.261:(1)Owner%vill 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 14.0&050 regarding Electrical Permit Applications.
6-14-2019 Pat Dillon 91, Z %1.
Date Print Name Signature(J Owner V Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
ELECTAX-A ,PERMIT ACITY 4F PI ANGELES ,1
3 x,74735
Application Number . . . . . 19-00001179 Date 8/06/19
Application pin number . . . 170960 REPORT STATE SALES TAX
Property Address . . . 223 E 4TH ST OUI'eXC/Se tax form
PARCEL NUMBER: 06-30-00*6-4-6700-0000- Ott y
Application type description ELECTRICAL ONLY t0 the City Of Port Angeles
Subdivision Name .
Property Use (L©CStion Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS &-PARKS
Application valuation . . 0
- --------------------
Application desc
Sheriff's Dept. improvement
----------------------------------------------------------------------------
Owner Contractor.
CLALLAM COUNTY SIMPSON ELECTRIC
223 E 4TH ST 243036 W MY 101
PORT ANGELESWA 98,162 PORT ANGELES WA 98363
(360) 417-2429 (360) 451-9270
----------------------------------------------------------------------------
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIR&JITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date 8/06/19 Valuation 0
Expiration Date 2/02/20
Qty Unit Charge Per - Extension
BASE FEE 86.00
Fee summary Charged Paid Credited` Due
Permit Fee Total - 86.00 86.00 .00 .00-
Plan Check Total .00 .00 :00 .00
Grand Total 86.00 86.00 .00 : .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS MOM LAST INSPECTION
Signature of owtw or Electrical Contractor X Date:
k-
i
ELcOm MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street,Port Angeles,WA 98362 1
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 223 E 4th St Courthouse >Sheriffs Department CIB Improvements
Project Description: Demo Outlets,Remove and reinstall lights plus add 1-light&switchs
❑ Multi-Family Residential ® Commercial/Industrial/Public Building Square footage:
OVJNER INFORMATION
Name: Clallam County Courthouee Email: - —
Mailing Address: 223 E 4th St Port Angeles,WA 98362 Phone: ra"7121XID--
ELECTRICAL
CONTRACTOR •
Name: Simpson Electric LLC License: SIMPSEL973RO
Mailing Address: P.O.Box, Port Angeles,WA 98362 Expiration Date: 12/112019
Email: dlsimpson5110mail.com Phone: 360457-9270
PROJECTDETAILS
(Quay ty x Urdt Charge)
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp. 3160.00 $
Service/Feeder 401-800 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00-, $
Service/Feeder over 1000 Amp.
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 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. $104.00 $
Temp. Service/Feeder 601-1000 Amp. ;(185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-FemHy -WIM $
Signal Circuit/Limited Energy/First 1600 If-Comrneroial $W;00, $
(Note:$5.00 for each addkkwW 1500 sf)
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $58 0, $
$ 86.00 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-
468,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8/4/19 Andrew P Simpson 4xd"4c-10
Date Print Name Signature(❑ Owner;I Electrical Contractor/Administrator)
ELECTAX-A ,PERMIT ACITY 4F PI ANGELES ,1
3 x,74735
Application Number . . . . . 19-00001179 Date 8/06/19
Application pin number . . . 170960 REPORT STATE SALES TAX
Property Address . . . 223 E 4TH ST OUI'eXC/Se tax form
PARCEL NUMBER: 06-30-00*6-4-6700-0000- Ott y
Application type description ELECTRICAL ONLY t0 the City Of Port Angeles
Subdivision Name .
Property Use (L©CStion Code 0502)
Property Zoning . . . . . . . PUBLIC BUILDINGS &-PARKS
Application valuation . . 0
- --------------------
Application desc
Sheriff's Dept. improvement
----------------------------------------------------------------------------
Owner Contractor.
CLALLAM COUNTY SIMPSON ELECTRIC
223 E 4TH ST 243036 W MY 101
PORT ANGELESWA 98,162 PORT ANGELES WA 98363
(360) 417-2429 (360) 451-9270
----------------------------------------------------------------------------
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIR&JITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date 8/06/19 Valuation 0
Expiration Date 2/02/20
Qty Unit Charge Per - Extension
BASE FEE 86.00
Fee summary Charged Paid Credited` Due
Permit Fee Total - 86.00 86.00 .00 .00-
Plan Check Total .00 .00 :00 .00
Grand Total 86.00 86.00 .00 : .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS MOM LAST INSPECTION
Signature of owtw or Electrical Contractor X Date:
k-
i
ELcOm MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street,Port Angeles,WA 98362 1
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 223 E 4th St Courthouse >Sheriffs Department CIB Improvements
Project Description: Demo Outlets,Remove and reinstall lights plus add 1-light&switchs
❑ Multi-Family Residential ® Commercial/Industrial/Public Building Square footage:
OVJNER INFORMATION
Name: Clallam County Courthouee Email: - —
Mailing Address: 223 E 4th St Port Angeles,WA 98362 Phone: ra"7121XID--
ELECTRICAL
CONTRACTOR •
Name: Simpson Electric LLC License: SIMPSEL973RO
Mailing Address: P.O.Box, Port Angeles,WA 98362 Expiration Date: 12/112019
Email: dlsimpson5110mail.com Phone: 360457-9270
PROJECTDETAILS
(Quay ty x Urdt Charge)
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp. 3160.00 $
Service/Feeder 401-800 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00-, $
Service/Feeder over 1000 Amp.
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 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. $104.00 $
Temp. Service/Feeder 601-1000 Amp. ;(185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-FemHy -WIM $
Signal Circuit/Limited Energy/First 1600 If-Comrneroial $W;00, $
(Note:$5.00 for each addkkwW 1500 sf)
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $58 0, $
$ 86.00 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-
468,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8/4/19 Andrew P Simpson 4xd"4c-10
Date Print Name Signature(❑ Owner;I Electrical Contractor/Administrator)
Application Number . . . . . 24-00000852 Date 9/25/24
Application pin number . . . 572304
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Low voltage data
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES COMMUNICATIONS INC.
223 E 4TH ST 102 ROSS LN.
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 417-2429 PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 190.20 Plan Check Fee . . .00
Issue Date . . . . 9/25/24 Valuation . . . . 0
Expiration Date . . 3/24/25
Qty Unit Charge Per Extension
1.00 190.2000 ECH EL-LIMITED 1ST 1500 SQ FT 190.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.20 190.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 190.20 190.20 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
Angeles Communications Inc.
mike@angelescommunications.com
102 Ross Lane, Port Angeles, WA, 98363
EC-ANGELCI005LH
360-457-4375
06/08/2026
Mike Jensen
- 417-2000
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/26/2024 24-852 TMC
OWNER
Contractor
Angeles Communications Inc
ADDRESS
223 East 4th St
ELECTRICAL PERMIT
CY OF PORT ANGELES
360-417-4735
Application Number . . . . .
16-00001200 Date 8/11/16
Application pin number . . .
262800
Property Address . . . . .
223 8 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
ts.b
Property Use . . . . . . . .
WA 98362
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------- -----------------------------------------------------------------
Application desC
q 1-7
UPS and low voltage cable
----------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL
1
SK
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0542)
Owner
M II
Contractor
s
------------------------
CLALLAM COUNTY
------------------------
CTS
223 E 4TH ST
2720 S ASH ST
ts.b
PORT ANGELES
WA 98362
TACOMA
WA 98409
(360) 417-2429
(206) 686-2000
q 1-7
----------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . .
101.00
Plan Check Fee
.00
Issue Date . . . .
8/11/16
Valuation . . .
. 0
Expiration Date . .
2/07/17
Qty Unit Charge
Per_
Extension
1.00 96.0000
ECH EL -LIMITED 1ST 1500 SQ FT
96.00
1.00 5.0000
BCH EL-ADDNT LIMITED 1500 SQ FT
5.00
Fee summary Charged
-------------------------------------
-
Paid Credited
-
Due
Permit Fee Total
101.00
--------------------
101.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
101.00
101.00 .00
.00
N,
INSPFLMON TYPE
111111 1■-,�����II��
M II
I I 1 •'
s
,
! ;4�i Cllr'
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
G\EXCHANGEIBUILDING
Signature of owner, electrical contractor or etectrical administrator: El Cash El Chock
'5w?'4t4X& -'> 15, 1, "T�' , 4,0 A"I
� Crodlt Card #
6001
01101012
17 A(0_6g(('1_2600 260
4-V
o
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: Muffi-Farnilly or4orrtntercla
Plan Review May Be RAquired, Please Complete Electrical Plan Review Information Sheet
Pbr� Anwfq�
Job Address: 22-3 E q 3 WA 98-1&;L
Building Square Foo e:
Description of above I A0,2 IM!,S ' on A 2. Caj han 0-MARV -In 13,0rver
Caim
Owner Information Contac offnation
Name: Nams!r
Mair, I 'i
in Address.-- P-2) F _LA 5V- Mallin Address: 2120
City... State: Mffl_ zip: ciftv! Tnrn ryi (X State:
I I j Zip: Q'WL1061
Phone; ax: Phone:_ax
License # / Exp. License# /Exp.
Item Unit Charge Total (gly Multiplied by Unit Change)
Serv!WFeeder 200 Amp. $132,00
$
Service/Feeder 201-400 Amp, $ '160Z
Service/Feeder 401-600 Amp $225,00
Servloe/Feeder601-11000 Amp, $288.00
ServicelFeeder 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 2C I 4W Amp. $121.00
$___
Temp, Service/Feeder 401 -fM Amp. $164,00
Temp. Sen4ce/Feeder 601 -1000 Amp $185,00
Portal to Portal Hourly $ 96,00
Sign/Outline Lighting $ 88.00
Signal Circuit/ Limited Energy- Mufti -Family $ 64.00
Pf
$
Signal Circuit/ Limited Energy I First 1500 sf - Commercial $ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113,00
$_
Thermostat $ 56,00
for T-Stat
$_
Note: $5,00 each additional
'.tal JD1
$44W
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
29646B, 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 etectrical administrator: El Cash El Chock
'5w?'4t4X& -'> 15, 1, "T�' , 4,0 A"I
� Crodlt Card #
6001
01101012
17 A(0_6g(('1_2600 260
4-V
ELECTRICAL PERMrF _ b�
CITY OF PORT ANGELES
360-4174735
Application Number . . . . . 16-00001286 Date 8/29/16
Application pin number . . . 456636
Property Address . ... . . . 223 E 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
on our excise tax form
Application type description ELECTRICAL ONLY .y
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Ceiling heat units
----------------------------------------------------------------------------
Owner
Contractor
------------------------
RESULTS:
------------------------
CLALLAM COUNTY
DITCH
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
1
(360) 452-9264
— ----
-----------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
-
Additional desc .
. 1-4 CIRCUITS
COMMENTS:
Permit Fee . . .
. 86.00
Plan Check Fee
.00
Issue Date . . .
. 8/29/16
Valuation . . .
. 0
Expiration Date .
. 2/25/17
Qty Unit Charge
Per
Extension
BASE
FEE
86.00
- ----------------------------------------------------------------------------
Fee summary
Charged
----------
Paid Credited
---------- ----------
Due
-----------------
Permit Fee Total
----------
86.00
86.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
86.00
86.00 .00
.00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPUtE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEWILDING
08/29/2016 07:45 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT .APPLICATION
BuildlintDivislonMectdw Luspadons
321 East Fifth Street — P.U. Boz 1150 /port Angeles Wasbi gW#, M62
Ph: (350) 411-4735 Fax: (360) 417-4711
.,
Date:
u!>a-ii+aNt or Commprotal"
IA 0002/0002
*'Plan Review May Be Requkw, Please Complete ElecWCV Plan Review hWmat%n Sheet
Job Add=
BcnWq 4mM Footage .
Desmiptl4n
Ownerin" 0
Norms
MofMg.
Gly: Slate:
Phone:. F�
t�cerasa It/Ecgk.
It
SerVIefFeeder.200 Amp.
t 132.00
SeMaIFeedsr201400 Amp.
$160.00
SoMoolFaadet4014M Amp
$ 22500
SorWC0Fesder 601.1000 Amp.
$ 288.00
SaMc WF90orover 1000 Amp.
$410A
Branch Chua W/ Servos Feeder
$ 500
Branch Cl=k W/O Service Feeder
$ 7400
Each Addl l Brafich CkM
; 5.00
Branch Chwlts 14
86.00
Temp. Sarvicel Feeder 200 Amp.
$ 10200
Temp. ServftFoedor2014WAmp.
$121.00
Temp. SoMoolFaedsr 40144 Amp.
$164.00
Temp. SavlcodFesder 601-1000 Amp.
3185.00
Portal to Portal Hvily
$ 6600
Sign/Oufm Wh6ng
$ 8800
4nel CkmW United Energy —Muld-FsmBy
$ 6400
St nal Chcltl Limbd F.netgyl Fust 1StMi sf—Commer"
$ 9600
Note: ;5.00 for each additional 1500 of
Renewable Becatcal Energy - SKVA System or Less
$ 1 `1300
Thermostat
t 56.00
Nots: $&00 for aaeh adManal T-Stat
bion
Nome.
s�
s
Owner as defined by RCW.19.28.261: (1) the w will occupy the structure for tort years ar[Dar # t daddad p eent is Inalked. {21 P- wor is lequked
to hire an electrical conhactor 9 above said property is far sale; rent or feasor. Permit -expires atter six monft of Dalt lotion.
After reading the above stator nsK I "y certify ft am the omer of the above mod property or a kertaed electrical omt . I an matdng.
the electrical hstallation or alterWm In compliance with the electrical Ora, N.EC., RCW. Chapter 192% WAC. ChWW 29640, The CRY of Port
Angeles Municipal Code, and U ty Spedtications and PAMC 14.05.050 regarding Becttical PurnkAppSes#tons.
Signature of owner, slacWcai contractor or. tleetrieat admtnktrator: ❑ coon ❑ Chock
---- %�
etaotM=
PERMIT WILL'MME SIX (6) MONTHS FROM LAST Dwktm
Signature downs`& ae0tri+e tmtractor X
GAEXCHAlriGEil3M'DING
Date:
ELEC'r'R.ICAL PERMIT
-
CITY OF ANGELES
N
-PORT
.
360-417-4735
OO
Application Number . . . . . 16-00001287 Date 8/29/16
,J
Application pin number . . . 537862
Property Address . . . . 223 E 4TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
(Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Camera's meeting room
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 - (360) 452-9264
-------------------------------------------
--------------------------------I
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date . . . . 8/29/16 Valuation . . . . 0
Expiration Date 2/25/17
Qty Unit Charge Per Extension
1.00 96.0000 BCH '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
PERMIT WILL'MME SIX (6) MONTHS FROM LAST Dwktm
Signature downs`& ae0tri+e tmtractor X
GAEXCHAlriGEil3M'DING
Date:
WEI
PERMIT WILL'MME SIX (6) MONTHS FROM LAST Dwktm
Signature downs`& ae0tri+e tmtractor X
GAEXCHAlriGEil3M'DING
Date:
08/29/2016 07:44 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
BiiUdlingMvIsion/FlectldW Inspections
321 East Fifth Street —P.O. Boz 1150 /Port Angeles Wasbingten, 98362
. Ph: (360)XZ
Fax: (360) 417-4711
Date: * V Ilduttt-E nor Comm4rNai"
4Mhf.
IA 0001/0002
'Plan Review. May Be Required, Please Complete Electrics Klan Review Irrlormetion Sheet .
Job Address: 2 Y
Buikfq SquarefoohW.
Description of ireJ—
_ ff r
me.w.
Ownerlat do
Name
CIV.
Mallfng. des
'�Y Zlp;
Llamas /911
o Fax
License 01 Exp.
. ' rd Z
e
3
SeMw1Feeder 200 Amp.
$132.00
Service,feeder 201400 Amp.
$160.00
Servios/Feeder 401-600 Amp
$225.00
Servimfeeder 601.1000 Amp.
$ 288.00
SaWlce/Feeder over 1000 Amp.
0
$410.00
Branch Cimpdt W/ Service Feeder
$ 500
Bmnch.CjmA WJO Service Feeder
f 74.00
Each AddPtlonal BW#ch Omuit
f 5.00
Branch Cirmbs 14
f moo
Temp. Service/ Fender 200 Amp.
$102.00
Temp. Sav WFaeder 201400 Amp.
$121.00
Temp. Servics/Fsedsr4014W Amp.
$154A
Temp. Ssrvkx/Fssder 601-1000 Amp .
$185.00
Petal to Portal Hourly
f 96.00
SigrdOudbte Lighdng
f 88.00
Signal ClmxrWtlmhed Energy–Mull-Fan*
f 54.00
Signal CkwW Whed Energy / First 1 S00 sf – Commardai
f 9600
Note: 05.00 for each sddifl MW 1500 of
oa:
Renewable Seckloal Energy - MA System or Leas
S 156.00
Thermostat
Nota $500 for each odddond T-Stat
me.w.
�—
CIV.
Llamas /911
TOW ((my MukWHed by Unit Cbo!d1
3
f'
s
f
f�
i -
f�.� .
f
f.
Z
f
oa:
Owner as defined. by RCW.19.28.261: (1) Owner w9 occupy fhe smtdm for two years afterthis slec" pong is kolzed. (2)Owneris MOW .
to hire an eki&W contractor• if above said property is for sate, rentor Issas. Permk v pkes after stx monft of last stspOCUM.
After madutg the above statement, I herby CW* that 1 am ftte owner of the above reared property or a kw*W eieetrlcal oontrUW- I am rte
the elechical Instagation or alteration in compliance +wi h the electrical hw% N.EC., RCW. Chapter 1918, WAC. Chapter 29"S, The City of Port
Angeles MuNdpal Coda, and tililily SpNM=f * and PAMC 14.05.050 roparding 89WW PWA APOWAUM-
Signatun of owner, alwWcd contractor or eled"- adMOSM010 cubes ❑ Cheek
J3'gr %Card# �'�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 16-00001790 Date 12/02/16
Application pin number . . . 252600
Property.Address . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
------------7---------------------------------------------------------------
Application desc
Low volt data
----------------------------------------------------------------------------
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES�COMMUNICATIONS INC.
223 E 4TH ST
102 ROSS IN.
PORT ANGELES
WA 98362
PORT ANGELES, WA
(360) 417-2429
PORT ANGELES
WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc .
.
Permit Fee . . .
. 96.00
Plan Check Fee
.00
Issue Date . . .
. 12/02/16
valuation . . .
. 0
Expiration Date .
. 5/31/17
Qty Unit Charge
Per--
Extension
1:00 96.0006
ECH EL -LIMITED IST 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
M
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE MI)ING
rri
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE MI)ING
�Xr
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ,*
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: / Zt-'/ _ Multi -Family rCommercial`
" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
1..6 AAA.-..-
er In ormatl� o
'Name.
r
Contra rtq�r Infory�aUon,
o CSC».m t/4
A dress:
�[fl/
Meiliny��ffss:
u 4fi•�.
Cil' Slate. j,�� Zp.
City trr► /'
Stale: Cv/i- Zip.
Phone. Fax.
Phone.,UX i
Fax. Wo 13 -7 -412J7 --
License M / Exp.
License N / Exp.
Rem
Unit ChameQ
Yt
Total (Qty MuRioRed by Unit Chame)
Service/Feeder 200 Amp.
$132.00
$
Service/Feeder 201400 Amp.
$160.00
$
ServicalFeeder 401-600 Amp
$225.00
$
ServicefFeeder 601-1000 Amp.
$288.00
$
ServicelFeeder over 1000 Amp.
$410.00
E
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
E 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 86.00
$
Temp. Service/ Feeder 200 Amp.
$102.00
$
Tamp. Service/Feeder 201400 Amp.
$121.00
S
Temp. Sermce/Feeder 401-600 Amp.
$164.00
$
Tamp. Service/Feeder 601-1000 Amp.
$195.00
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.00
$
Signal Circuit/ Limited Energy - Mutti-Family
$ 64.00
$
S5.
Signal Circuit/ Linuled Energy / First 1500 sf - Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
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 reg4ed
to hue an electrical contractor it above said property is for sate, 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 krstal ation or alteration in complanoe with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Pat
Angeles MunidWC6dA and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
sidnature owner, electrical contractor or electrical administrator: ❑ Cwh ❑ Chm* _
1 3K—CWN Cards l J r) t L
t //--
x Dated: �i���J 01101M2
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use. . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
ELECTS PERMIT
CITY OF PORT ANGELES
360-417-4735
16-00001749 Date 11/22/16
684276
223 E 4TH ST
06 -30 -00 -6 -.4 -6700 -0000 -
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Owner
Contractor
RESULTS:
------------------------
CLALLAM COUNTY
DITCH
------------------------
ANGELES COMMUNICATIONS INC.
223 E 4TH ST
102 ROSS IN.
SERVICE
PORT ANGELES
WA 98362
PORT ANGELES, WA
(360) 417-2429
PORT ANGELES
WA 98362
FINAL
(360) 457-4375
-------------------------------------------------•--------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
COMMENTS:
Additional desc -
-
Permit Fee . . ,
. 96.00
Plan Check Fee
.00
Issue Date . . .
. 11/22/16
Valuation . . .
. 0
Expiration Date .
. 5/21/17
Qty Unit Charge
Per
Extension
1.00 96.0000
ECH EL -LIMITED 1ST 1500 SQ FT
96.00
------`---------------------------------------------------------------------
Fee su ry
--------------
-Fee
Charged ---Paid---
----------
Credited --
----------
-Due- -
Permit Total
96.00
96.00 .00
.00
Plan Check Total
.00
.00 .00
..00
Grand Total
96.00
96.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SDC (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEBUILDING
yokrr 1�(N
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: / Zo/ _ Multi-Fsmily Commercial'
' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
erIContra�j
CLLName:
r::
InfoTdJ
✓T)�
A ss:
Main} u C
City Stile: ye�� z,p.
Cit I r++ State. /�(� zip.
Phone. Fax:
Phone. j�_Fax: 3L• Y�'7
License N / Exp.
License # / Exp. —
Item
Unit Chame
21 Total (Qty Multiplied by Unit Charge►
Serv" Feeder 200 Amp.
$132.00
5
Service/Feeder 201400 Amp.
$160.00
5
ServicelFeeder 401-600 Amp
$225.00
b
Service/Feeder 601-1000 Amp.
$ 288.00
E
ServicelFeeder over 1000 Amp.
$ 410.00
$
Branch Circuit W/ Service Feeder
S 5.00
$
Brandt Circuit W/0 Service Feeder
S 74.00
$
Each Additional Branca Circuit
$ 5.00
b
Branch Circuits 14
$ 86.00
b
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
5
Portal to Portal Hourly
$ 96.00
S
Sign/Oulline Lighting
$ 88.00
5
Signal Circuit/ limited Energy — MullWamily
$ 64.00
$
Signal Circuit/ Limited Energy / First 1500 sf — Commercial
$ 96.00
S .
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
5
Thermostat
$ 56.00
$
Note- $5.00 for each additional T-Stat
t_i� Total
Owner as defined by RCW.19.28.261: (1) Owner wil occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor 9 above said property is for sale, rent or base. 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 kensed electrical contractor. 1 am making
the electrical installation or alteration in compliance with the eleciticai laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 298-46B, The City of Port
Angeles WniciatEode; and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Siinature owner, elecMcal contractor or electrical administrator: ❑ CaA ❑ Chwk L C -
98"k Card a l J Ate%
X144 1
x Dared: O1/OtrlM2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 16-00000390 Date 3/18/16
Application pin number . . . 250090
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES COMMUNICATIONS INC.
223 E 4TH ST 102 ROSS IN.
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 417-2429 PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date . . . . 3/18/16 valuation . . . . 0
Expiration Date . . 9/14/16
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL -LIMITED IST 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
m
REPORT STATE 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) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
h
y
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections -.....M.
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 rF`
Date:.` y, 1L f (, Mufti -Family or ommercial`
Plan Review May Be Required, Please�omplete Electrical Plan Review Information Sheet
Job Address 'Z -1 7, C • y tH 5 1 - o -C r F4
t
— V
_
Building Square Footage �,ti' K -' C,J N
Desoripbon of above C L 4-1 t A m c' 0, ,V i� - r L
-- -
s r re Roe- ; r -qj 7- - -- --- -
-- -
Owner Information Contractor Information
Name'.—__L.1�19_./''..—� )—'� r7% _ _ Name
Mellingc ddress Z-2- tdni6ng dd ess _ /'ice_ s L r7.--�_
City: r r f ��,fZe S State �� Zip Js j p
Phone. Fax Phone 56,c yy3
# / Exp
License # I Exp. License -0 .__3�
Item Unit Charge QtV Total (Qty Multiplied by Unit Charge;
Service/Feeder 200 Amp. $132.00
Service(Feeder 201-40C Amp. $160.00
Service/Feeder 401-600 Amp $ 225.00
Service/Feeder 601-1000 Amp. $ 288.00
ServiceiFeeder over 1000 Amp. $ 410.00
Branch Circuit W/ Service Feeder $ 5.00 $
Branch Circuit W/O Service Feedw $ 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/f eeder 601-1000 Amp . $185.00 _--. - -- --
Portal to Portal Hourly $ 96.00
Sign/Outline Lighting $ 88.00 $ __
Signal Circuit/ Limited Energy - Multi -Family $ 64.00
Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00
Note: $5.00 for each aoditimal 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
Thermostat $ 56.00
Note. $5.00 for each additional T-Stat
9C:=Total
$
Owner as defined by RCWA9.28.261: (1) Owner wiN occupy the structure for two years after this electrical pF rmit is finalized, (2) Limier is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six mondrs 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 mal.,ng
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.24 WAC. Chapter 296-46B The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appbcatrons.
Signature of er, electrical contractor or electrical administrator: . ; rash . _
4 Dated: 111 4 ���� OV011,2012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
36D417-4735
Application Number . . . • . 16-00000260 Date 2/25/16
Application pin number . . . 126560
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Low volt wire basment office IT depart.
----------------------------------------------------------------------------
Owner
Contractor
RESULTS:
------------------------
CLALLAM COUNTY
DITCH
------------------------
ANGELES COMMUNICATIONS
INC.
223 E 4TH ST
102 ROSS IN.
PORT ANGELES
WA 98362
PORT ANGELES,,WA
ROUGH -IN
(360) 417-2429
PORT ANGELES WA 98362
----------------------------------------------------------------------------
FINAL
(360) 457-4375 021?-
Permit . . . . .
. ELECTRICAL
ALTER COMMERCIAL
Additional desc .
.
Permit Fee . . .
. 96.00
Plan Check Fee
.00
Issue Date . . .
. 2/25/16
Valuation . . . .
0
Expiration Date .
. 8/23/16
Qty Unit Charge
Per •
Extension
1.00 96.0000
ECH EL -LIMITED 1ST 1500 SQ FT
• 96.00
---------------------------------------------------
Fee summary
Charged
----------
I------------------------
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 .Ob
.00
REPORT SALES TAX
on your excise tax form .
to the City of Pout Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
CON04EM:
PERMrr WILL EXPIRE SDC (6) MONTES FROM LAST VMPBCIYON
Signature of owner or Electrical Contractor X Date: .
CMEXCRANCOBUILDENG
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Dap. Z ) rE6 t";l G _IWlti-FamilyCon'rne�aal,)
• Ran Review M3N Be Regtired Please Cawete Be¢rical Ran Fte���a�r om�atan Sheet
JobAdchm Z - Z --)C q4- S t o- h � a ES , uA ,( L
9cift Sqm FadW Lj tj N O &,;tJ
l�esaiEim of � h, Rrr� o, -,+, r r3 v ; � ni c { S � 1G� -
[. ��w :/„c r t.�, /Z �.✓G— /a' Z. �' is c S � 5
S7 I'le
Omw Information 4"- UQ c2 /1 6t. Li i c r-
Contractor �tf0(il1ation
Plays C LAt,t...A-kn ��'-,.J _ V, `�' �-255�
Nm. T741 czr� C� r �. .a, c.Q Po�, S
hft Adinaas 7- v3 C t$ K ru, f
Wlaiiry i rJ c =
W. A biz �f �—
Oty .-v ��S1are: � zR _
Pla Fac
Pho 3G a v�7 y31jFac: ?& y;'7
License s/
Ucerm / e i-01 3Y(, S/ Z- y 1 13-110
Item Lht Charas
gy Taal (Cly Multiplied by Unit Qiam)
Sere w*deder200A-% $132.00
$
Se *&Veeder201A00Arm $160.00
$
S w*WFeeder 401-600 Mp $ 225.00
$
Sa4aWmder6o1-1000Arrp. $ 288.00
$
S v oWFeeder over 1000 Anp $ 410.00
$
Bad h CSruit w Service Feeder $ 5.00
$
Bad Gtech WOService Feeder $ 74.00
$
Each AdMord Elrandh C kaA $ 5.00
$
Doha,Chuft u $ 88.00
$
Twp Samoa Feeder 200 Arrp. $1a2.0o
$
Temp Sec4mfeeder201A00Anp. $121.00
$
Temp ServiaWeeder40t-600Ayp. $164.00
$
Tenp Sw4awFeeder 601-1000 MP . $185.00
$
Pcrtd to Portal Hxoy $ 98.00
$
39v0Afine Ug" $ 88.00
$
Signal CiruiV Uffned Enemy - MA -Fa* $ 64.00
$
Sscwi CAWV United Energy / First 1500 sf - Cxrrnxdd $ 9600
Noor. $5.00 far each addt1500 sf
Rananable Electrical E nffW - 5KVA Sysiancr Lass $113.00
$
Thwn)stat $ 56.00
$
We: $5.00 for each adcf coal T-Stat
$ Total
(1mw as defined by RDN19.28.281: (1) Cannier vWl occupy the gructLm for two
years ager this electrical permit is findiwd (2) OArw is rec}imd
to fire an electrical oontractor if above said property is for sale, rent or lease Pemit expires after six ,, a 111 s d last inspection.
Ager readng the above statement, I hereby certify that I am the oww d the above naned property or a licei electric ca iracfor. I am malting
the electrical uteta Mm or alteration in ocrtpia'ne with the electrical laws, K EC, RL)N Chapter 19.28. VW- Chapter 2%45R The City d Port
Angeles Mridpd Code, and Unity Spedfimbcns and PANIC 14.05.050 regardng Bedrical Permit AoiicMcns.
Signature of owner, electrical contractor or electrical administrator:
❑ Cash ❑ Check
//'�
❑ Credtcardr
,J� Dated Z3 r,,;
�,GiLt
u / C 01A,2
c -^e-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
16-00000260 Date
2/25/16
Application pin number . . .
126560
DITCH
Property Address. . . .
223 E 4TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -6 -4 -6700 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
FINAL
Property Zoning . . . . . . .
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Low volt wire basment office IT
----------------------------------------------------------------------------
depart.
Owner
Contractor
------------------------
CLALLAM COUNTY
------------------------
ANGELES COMMUNICATIONS
INC.
223 E 4TH ST
102 ROSS LN.
PORT ANGELES WA 98362
PORT ANGELES, WA
(360) 417-2429
PORT ANGELES WA
98362
----------------------------------------------------------------------------
(360) 457-4375 e>21Z
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00
Plan Check Fee
.00
Issue Date . . . . 2/25/16
Valuation . . . .
0
Expiration Date . . 8/23/16
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
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) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF `PORT ANGELES
360-417-4735
Application Number . . . . . 17-00000651 Date 5/19/17
Application pin number . . . 000183
Property Address . . . . 820 W 11TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5116 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service change
-------------------------------------'---------------------------------------
Owner Contractor
------------------------ ------------- ----------
gerald stangle CASCADE ELECTRIC & VAC INC
820 W 11TH ST PO BOX 369
PORT ANGELES WA 98363 PORT HADLOCK WA 98339
(360) 461-1790 (360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check -Fee .00
Issue Date . . . . 5/19/17 Valuation . . . . 0
Expiration Date . . 11/15/17
Qty Unit Charge Per Extension
1.00 120.0000 BCH EL -0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- -------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total -120.00 120.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
If
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COb04ENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST IMSPWrI0N
Signature of owner or Electrical Contractor
GAEXCHANGMUILDING
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00000550 Date 8/25/16
Application pin number . . . 494750
Property Address . . . . 223 E 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . . 0
---------------------- -----------------------------------------------------
Application desc
Plan review
----------------------------------------------------------------------------
Owner
Contractor
RESULTS:
INSPECTOR
------------------------
CLALLAM COUNTY
------------------------
OWNER
223 E 4TH ST
PORT ANGELES
WA 98362
(360) 417-2429
----------------------------------
Permit . . . . .
-----------------------------------------
. ELECTRICAL PLAN REVIEW
Additional deac .
. PLAN REVIEW
FINAL FEE
Permit Fee . . .
. 346.82
Plan Check
Fee
.00
issue Date . . .
. 5/06/16
Valuation
. . .
. 0
Qty Unit Charge
Per
Extension
BASE
FEE
96.82
250.00 1.0000
ECH *EL -PLAN REVIEW
250.00
---------------------------------------------------------------------------
Fee summary
Charged
--------------------
Paid Credited
----------
----------
Due
-----------------
Permit Fee Total
346.82
346.82
.00
.00
Plan Check Total
.00
.00
.00
.00
Grand Total
346.82
346.82
.00
.00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COA+tl1 ENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST WSPEMON
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
4/19/16 COPI
Clallam County
Attn: Joel Windborn
223 E 4th
Port Angeles WA 98362
Subject: Electrical Plan Review. Courthouse grounding project
Joel
The estimated cost for your electrical plan review is $250.00 this estimate is good for 180 days
from the date of this letter. The City requires that you deposit an amount equal to the estimate
with the City as part of your permit application. The actual fee will be the City's labor and
material cost plus a 15% administrative fee.
If the actual cost exceeds the deposit amount, the City will bill you for the overage. If the
actual cost is less than the deposit, the difference will be refunded.
If you have any questions or concerns, feel free to contact me at the phone number, or e-mail,
listed below.
Sincerely,
Trent Peppard
Senior Electrical Inspector
tpeppard@citvofpa.us
Wk 360 417 4735
Cell 360 808 2613
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001697 Date 11/14/16
Application pin number . . . 696323
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -6 -4 -6700 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Jail low voltage
----------------------------------------------------------------------------
Owner
Contractor
------------------------
RESULTS: INSPECTOR:
------------------------
CLALLAM COUNTY
NORTH PENINSULA ELECTRIC
223 E 4TH ST
SERVICE
761 FRESHWATER PARK
RD
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 417-2429
(360) 477-1764
---------------------------------------------------------------------------
Permit . . . . . .
ELECTRICAL ALTER COMMERCIAL
COMMENTS:
Additional desc . .
Permit Fee . . . .
161.00
Plan Check Fee
.00
Issue Date . . . .
11/14/16
Valuation . . . ..
0
Expiration Date . .
5/13/17
Qty Unit Charge
Per
Extension
1.00 96.0000
ECH -.EL-LIMITED 1ST 1500 SQ FT
96.00
13.00 5.0000
ECH EL-ADDNT LIMITED 1500 SQ FT
.65.00
~--Y--_-__ _
Feesummary Charged
----------
----------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
161.00
161.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
161.00
161.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
3 3a 17
FINAL
3 ND
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAFXCHANGE\BUILDING
-4
Item
Unit Charge
Qty Total MuWpg
Se-vice/Feeder 200 Amp.
$132.00
�_ _-_
Service,Feeder 201-400 Amp.
Uti gc1Rr,14 .
'�
CITY OF PORT ANGELES PERMIT APPLICATION
O1►"�►•�
_S
Building Division/Electrical Inspections
�
S
321 East Fifth Street - P.O. Box 11501 Port Angeles Washington, 98362
$ 410,00
_z000�$
$
Ph: (360) 417-471135 Fax: (360) 4174711
$ 5.00
�_
Date-; / /c �? _. Multi -Family or Commercial
$ 74.00
* Plan Review May Be Required; Please Cofnplete Electrical Plan Review Information Sheet
$ 5.00
$
Job Address: _ ._ � -� a 3_ --------------------- - ------
$ 86.00
$
Budding Square Footage:
Description of above C.
$102.00
Temp. Service/Feeder 201400 Amp.
------------------- —
$
Owner Information tt Contracjor Info nation
Name:c'.I{;iICIYl1 C`_l.t Ltl ll _Cly Name: " `1�`-
$'64.00
Mailirg Address _ Mailing Address:._
Temp. Service/Feeder 601-1000 Amo .
City:
State: VA
$ 96.00
Phone:.. Fax
Phone:.
License#,Exp.____________ __. License#,Exp, n -Cf'(
-
$ 88.00
Item
Unit Charge
Qty Total MuWpg
Se-vice/Feeder 200 Amp.
$132.00
�_ _-_
Service,Feeder 201-400 Amp.
$160.00_._
Service/Feeder 401-600 Amp
$ 225.00
_S
Service/Feeder 601 -1000 Amp.
$ 288.00
S
Service/Feeder over 1000 Amp.
$ 410,00
_z000�$
$
Branch Circuit W/ Service Feeder
$ 5.00
�_
Brancn Circuit 1N10 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 201400 Amp.
$121.00
$
Temp. Service/Feeder401-600Amp.
$'64.00
Temp. Service/Feeder 601-1000 Amo .
$ '85.00
Portal to Portal Hourly
$ 96.00
_ $
Sign/Outl;ne =fighting
$ 88.00
Signa: Circuit/ Limited Energy - Multi-Fami:y
$ 64.00
$_
Signal Circuit/ United Energy/ First 1500 sf
- Commercial $ 96.00
Note Cr 00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113 00— $
rm_
Theostat $ 5600 _ $
Note: $5.00 for each additional T-Stat
$__. - o I 0;;�
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) er is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ cash C check l
`—"`—
� ff / ty. 1 J
X � `�l � L` l 3 . �. Dated: — �/ .�" 1 4X — 0114112012
Application NUW.Ier:
Application pin ii"r`
Property Address .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuation . . . .
17-00000573 Date 5/04/17
795647
223 E 4TH ST
06 -30 -00 -6 -4 -6700 -0000 -
ELECTRICAL ONLY
PUBLIC BUILDINGS & PARKS
0
Owner
------------------------
Contractor
RESULTS:
CLALLAM COUNTY
DITCH
------------------------
ANGELES ELECTRIC
223 E 4TH ST
524 E. 1ST ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(360) 417-2429
(360) 452-9264
----------------------------------------------------------------------------
Permit . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc
UPS AND PANEL
IN BASEMENT PHON
Permit Fee . . .
. 132.00
Plan Check Fee
.00
Issue Date . . .
. 5/04/17
Valuation . . .
. 0
:;Expiration Date
10/31/17
Qty Unit Charge
Per
Extension
1.00 132.0000
-----------------------------------------------------------------------------
ECH EL -COM
0-200 SRV FEEDER
132.00
Fee summary
Charged Paid Credited
Due
-----------------
Permit Fee Total
---------- ---
132:00
------ ---------------
132.00 .00
- ----
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
132.00
132.00 .00
.00
b.
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) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING -
05/04/2017 07:54 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELIr±S PERMIT APPLICATION
Building • DivisionMedrical Inspatdiont
321 East Fifth Street - P.O. Boz 1150 / Port Angeles Washington, 9062
Ph: (360) 4.11-4735 Fax: (360) 417-4711
Date. MukWamlly, or Commercial"
`Plan Review.May Be Required, Pkaft Compete EWCWW Fps Review Wattla M Sheet
M ems,,....
8U#ft Square Footage:
i' OwerInformadon
Name;
n.Addra
UutRAM
SavicelFeeder200Amp. (j' c1mail,
knome
$1
Savice/Feeder 201400 Amp.
Servicel oo* 401.600 Amp
$ 225.00
Savtcefndef 601-1000 Amp.
$288.0D
Savlce *0er aver 1000 Amp.
$410.00
Branch CircuitW/Savior Feeder
$ 5,00
Branch.Circuit W/O Savio Feeder
S 74.00
Each AddWonat Braleh Cka4t
$ 5,00
Branch Circub 14
$ 88,00
T=ip. Savlcal Feeder200ArM
$ lam
Temp. SoMcatFeeder 201.400 Amp.
$121.00
Temp. SavicelFeeder 401-- Amp.
$184.00
Tens. SeMcciFeeder 601-1000 Amp,
$ 985.00
Portal to Portal liaudy
S 98M
Si nlOvft Ughft
S 88.00
Slpnal Ch=id Wad Energy—Melt-Fv*
$ 64.00
Stgnd Ckcattt Cknbd Energy! Fkat 9600 orf—CommomW
$ 86.00
Note: $5.00 far each SLIM ral 1500 at
RenewsUe Mectdcd Energy . 5KVA System or Less
$113M
Thermostat
$ 66A
Note: 55.00 for each add ftW T-Stat
90001/0001
r
Owner as defined by RCW.19.2MI: (1 ) OoNw wit oocM the struokn for two years ager Otic electrl W permit Is i wbmd. (2) Owrw is mgr W
to hire an electrical contractor I above said properly is for sale; rent or Iease. PwntRexoft alter sk monft of leaf IrapMdlon.
After reading the above statement, I hereby ou* that I am the owner of the above named prnpwiy or a =ftcl r. I am mWft
the elsob oral installation or aberatlon in oompliance with the electrical laws, N.E.C., RCW. Chapter 19.2% WAC. C vow 298.468; TM Chy of Port
Angeles Municipal Code, and titi9ty Spedltcadons and PANIC 14.05.050 regarding EkkW PaTak Appkdone.
-Signature,of owner, electrical contractor or electrical admhdstrator: Cl cote O pier
L: ?
-r
i►_,/. //
f�L
'A •. •t1 I '.{ �' 'A t.l .l . I•
Owner as defined by RCW.19.2MI: (1 ) OoNw wit oocM the struokn for two years ager Otic electrl W permit Is i wbmd. (2) Owrw is mgr W
to hire an electrical contractor I above said properly is for sale; rent or Iease. PwntRexoft alter sk monft of leaf IrapMdlon.
After reading the above statement, I hereby ou* that I am the owner of the above named prnpwiy or a =ftcl r. I am mWft
the elsob oral installation or aberatlon in oompliance with the electrical laws, N.E.C., RCW. Chapter 19.2% WAC. C vow 298.468; TM Chy of Port
Angeles Municipal Code, and titi9ty Spedltcadons and PANIC 14.05.050 regarding EkkW PaTak Appkdone.
-Signature,of owner, electrical contractor or electrical admhdstrator: Cl cote O pier
L: ?
-r
i►_,/. //
Application Number . . . . . 23-00000006 Date 1/05/23
Application pin number . . . 503526
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Add exterior lighting
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 1/05/23 Valuation . . . . 0
Expiration Date . . 7/04/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MULT I-FAMI / COM M ERCIAL
CT AL PE LICATIO
, Public Wcrrks and Utilities Department
32,1 E,5th Slrect, PortAngclcs, W'A gB3(;2
360,4t7.1735 |r.vr.vrv.cityofpa,irs Ieleci:ricalpelmits(1_i)cityofpa.us
&
ercial I lndustrial / Public Building Square footage
Email:
Phone
-U
oa
3
+t
Project Address:
Project Description
I Multi-Family Residential
Name:
Mailing Address:
Name:Anoeles Ele ctric lnc
Mailing Address:524 E. First Street, Port Anqeles , wA 96362
License:ANGELE146ORS
Exp iration Date: 21112020
Email:ksimpson@olvmous,net Phone:360.452-9264
Item
Service/Feeder 200 Amp,
Service/Feeder Z0 1 400 Amp.
Service/Feeder 40 1 -600 Amp,
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp,
Temp, Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp,
Temp. Service/Feeder 601 -1 000 Amp,
Porlal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi"Family
Signal Circuit/Limited Energy/First 1,500 sf - Commercial
(Note: $5.00 for each additional 1500.sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
$'l32.oo
$160,00
$225,00
$288,00
$410,00
$5.00
$74.00
$5,00
.$86.00
$t oz,oo
$121.00
$164,00
$185.00
$96,00
$88;00
$88.00
$edoo
Ietgl (Quantity x Unlt Charge)
o
0
$
$
o{,
$
$
$
$
$
oI
$
$
$
$
v
$
$
$
-WT'
=
$ 113;00
$56;00
$ 86? rorAl
Owner as defined by RCW,19,2B .261: (1) Owner will occupy the structure for two years after this electrlcal permit is finalized, (2) Owner is
required to hire an electrical contractor if above said propeity 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 ln compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC' Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Speciflcations and PAMC 14,05.050 regarding Electrical Permit Applications.
I Ken Sim son
Date Print Name Signature ([ Own Contractor I Administrator)
[Electrical permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360'417 '4711]
ULTI-MI
LE ALP
Public Worl<s and Ut.ilities Department
32,1 E,Sth Stlcct, Porr Angcles, WA g83(t2
'3 60, 4 .t 7, 47 35 | wivur cityofp a,u.s I el eclri c alpeLm its(Ci)ci tyofira . u s
Project Address
Project Description:
! Multi-Family Residential mmercial / lndustrial / Public Building Square Tootage;
Name:Email
Mailing Address:Phone;
-0
o-3
$
Name ,A,noeles Electric.lnc
Mailing Address: 524 E. First Street, Porl Anqeles, WA 96362
E j1sil; ksimpson@olympus,net
License: ANGELEI460RS
Expiration Dale: 2l I 12020
Phone : 360'452-9264
Item
Service/Feeder 200 Amp.
5ervice/Feeder 201 -400 Amp,
Service/Feeder 401 -600 Amp,
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp,
Temp, Service/Feeder 601 -'l 000 Amp,
Porlal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi'Family
Signal Circuit/Limited EnergyiFirst 1'500 sf - Commercial
(Note: $5.00 for each additional '1500 sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Unit ChaJoe
$132.00
$160,00
$225,00
$288,00
$410,00
$5.00
$74.00
$5,00
.$86,00
$t oz,oo
$121,00
$ 1 64,00
$135,00
$e6,00
$88.00
$88.00
$e6i00
Quantltv
T
-
Islgl (Quantity x Unlt Charg
$
s
$
oll)
$
o.{,
o
oI
$
$
o{
$
ov
$
$
o*,
$
$ 113;00
$56;00
$-._-----_
$-...-...-----.-
$ 7A'/ rorAl
Owner as defined by RCW.19,2B .261: (1) Owner will occupy the structure for two years after thls electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said propeity is for sale, rent or lease, Permit expiros afler 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 ln compllance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC, Chapier 296-
468, The -ity of port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Sim son
Print Name Signature (Electrical Contractor / Administrator)
[Electrical permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 36a.417 .4711]
PREPARED 1/04/23, 8:40:46 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000006 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Exterior lighting
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/10/2023 22-6 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 22-00001109 Date 9/07/22
Application pin number . . . 671880
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Parking lot lights
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 9/07/22 Valuation . . . . 0
Expiration Date . . 3/06/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MUL I-FAMI /co M MERCIAL
ELECTRICAL P IT APPLICATION
, Pubiic Wcrrks ancl Utilities Department
32,1 E.5th Slleet, Port Angeles, WA 983(t2
S 60, 4 t T, 4l S5 l wrvrv, cityofpa, n.s l el ectri c aip elm.its (g_Doi tyo{lra. u.s
223 -fry*f
]J
(D
I
3;+'
$
Project Address
Project Descriptionr
I Multi-Family Residential ! Commerciali lndustrial/ Public Bu ding Square Tootage:
Name:Email:
Mailing Address:Phone
D2-
Nam e: Anqeles Electric, lnc
Mailing Address: 524 E, First Street, Poft Anseles, WA 96362
License ,ANGELEI46ORS
Expiration Date:211
Email:ksimpson@olympus,net Phone '360.452-5264
Item
Service/Feeder 200 Amp.
servlce/Feeder 201 400 Amp,
Service/Feeder 401 -600 Amp,
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Bianch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp, Service/Feeder 200 Amp,
Temp, Service/Feeder 201-400 AmP.
Temp, Service/Feeder 401-600 AmP,
Temp, Service/Feeder 60:1 -1 000 Amp'
Portal io Portal HoudY
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi"Family
Signal Circuit/Llmited Energy/First 1500 sf - Commercial
(Note: $5,00 for each additional 1500 sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for oach additlonal)
Qugntitv Totel uantlty x Unlt Charge)
$132,00
$160,00
$225,00
$2B8,oo
$410.00
$5.00
$74,00
$5.00
.$86.00
$t oz.oo
$121,00
$164.00
$1€5.00
$s6,00
$88:oo
$88,00
$96;00
T"w
a
D
$
$
cv
$
o
\lJ
$
$
$
$
$
$
$
$
$
$
$
$
$11 3;00
$56;00 ' $ NL4L rorAL
owner as defined by RCW,19,2B .261: (1) owner will occupy the structure for trivo years after this electrlcal permit is flnalized, (2) owner ls
required to hire an electrical contractor iiabove said propeity is for sale, rent or lease. Permlt explres after six months of last inspection'
After reading the above statement, I hereby certify that I arn the owner of the above named property or a licensed electrical contracior' I
am making the electrical installation or alteiation in compliance with the electrical laws, N.E,i,, RCW. Chapter 19.28, WAC' Chapter 296-
468, The City of port Angeles Municipal Code, and Utiliiy Speciflcations ancl PAMC 14,05,050 regarding Electrical Permit Applications'
Ken Sim son
Print Name Signature ([ Owner B Ele ca / Administrator)
[Electrical permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us or faxed to 36a'417 '47111
PREPARED 9/06/22,11:38:13 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001109 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Parking lot lights / Camera power
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/13/2022 22-1109 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 22-00001108 Date 9/07/22
Application pin number . . . 558560
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Water Heater
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES ELECTRIC
223 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2429 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 9/07/22 Valuation . . . . 0
Expiration Date . . 3/06/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MU I.FAMI / COMMERCIAL
ELEC TR CAL PER,M ITAPP ICATION
, Public Wcrrks ancl Utilities DepartmeLrt
32,1 E.5th Stleet, Port Arigeles, WA 9ti3(t2
360,4.t7,1735 | wrvw,a,us I el e<.:l:ri calpelm its(iDci tyofila.u s
Project Address:
Project Description:
I Multi-Family Residential n Commercial / lndustrial / Public Building Square To
Name Email:
Mailing Address:Phone
!oI
3
$
Name:Anoeles Electric. lnc.
Mailing Address 524 E. First Street. Port Anqel wA 96362
License:AN GELE1460RS
Expiration Date 21112020
Email ksimpson@olympus,net Phone:360.452-9264
Item
Service/Feeder 200 Amp,
Service/Feeder 201 400 Amp,
Service/Feeder 401 -600 Amp,
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Bianch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp, Service/Feeder 200 AmP.
Temp, Service/Feeder 201-400 Amp,
Temp. Service/Feeder 401-600 Amp'
Temp, Service/Feeder 601 -'1 000 Amp,
Portal io Portal HourlY
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi"Family
Signal Circuil/Limited Energy/First 1500 sf - Commercial
(Notei $5.00 for each additional 1500 sf)
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 for each additlonal)
SqBntitY (QuantltY x Unit Charge)
$132,00
$160,00
$225,00
$288,00
$410,00
$5.00
$74,00
$5.00
.$86,00
$t oz,oo
$ 121 .00
$164,00
$185,00
$96,00
$88r00
$88,00
$96:oo
o
$
$
$
$
a
$
$
$
o
$
$
$
s
$
$
$
$
$
+
rc+
$113;00
$56;00
owner as defined by RCW,1 9,28 ,261: (l) owner will occupy the structure for hvo years after this electrlcal permlt is finalized ' (2) owner is
required to hire an electrical oontractorilabovo said propeity is for sale, rent or lease. Permit expires after six months of last inspection'
Afler reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical conlractor' I
am making the electrical installation or alteration in compltance with the electrical laws, N.E,i., ncW' cnapter 19'28' WAC' Chapter 296-
468, The city of port Angeles Municipal code, and Utiliiy Speciflcations and PAMC t+,os,oso regarding Electrical Permit Applications'
v TOTAL
I Ken Sim son
Electrical Contractor / Administrator)
te Print Name Signature
[Electrical permit Applications may be submitted to city Hall or electricalpermits@cityofpa,us or faxed to 36o'417 '47111
PREPARED 9/06/22,11:36:42 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001108 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Water heater
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/13/2022 22-1108 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 23-00000357 Date 4/17/23
Application pin number . . . 817126
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Load bank
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY LEGACY TELECOMMUNICATIONS INC
223 E 4TH ST PO BOX 360
PORT ANGELES WA 98362 BURLEY WA 98322
(360) 417-2429 (253) 858-0214
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 121.00 Plan Check Fee . . .00
Issue Date . . . . 4/17/23 Valuation . . . . 0
Expiration Date . . 10/14/23
Qty Unit Charge Per Extension
1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 121.00 121.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 121.00 121.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I 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
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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 (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 4/12/23, 9:20:53 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000357 223 E 4TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 121.00
TOTAL DUE 121.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/17/2023 23-357 TAP
OWNER
CONTRACTOR
Legacy Telecommunications
PROJECT ADDRESS
223 E 4th St
Application Number . . . . . 24-00000433 Date 5/13/24
Application pin number . . . 446625
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Load bank
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY LEGACY TELECOMMUNICATIONS INC
223 E 4TH ST PO BOX 360
PORT ANGELES WA 98362 BURLEY WA 98322
(360) 417-2429 (253) 858-0214
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 237.75 Plan Check Fee . . .00
Issue Date . . . . 5/13/24 Valuation . . . . 0
Expiration Date . . 11/09/24
Qty Unit Charge Per Extension
1.00 237.7500 ECH EL- COMM 201-400 TEMP SRV/FDR 237.75
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 237.75 237.75 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 237.75 237.75 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/13/24 24-433 TAP
OWNER
Contractor
Legacy Telecom.
ADDRESS
223 E 4th St
Application Number . . . . . 24-00001286 Date 11/25/24
Application pin number . . . 675384
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Data cables
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY ANGELES COMMUNICATIONS INC.
223 E 4TH ST 102 ROSS LN.
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 417-2429 PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 190.20 Plan Check Fee . . .00
Issue Date . . . . 11/25/24 Valuation . . . . 0
Expiration Date . . 5/24/25
Qty Unit Charge Per Extension
1.00 190.2000 ECH EL-LIMITED 1ST 1500 SQ FT 190.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.20 190.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 190.20 190.20 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/27/2024 24-1286 TMC
OWNER
Contractor
Angeles Communication
ADDRESS
223 E 4th St
Application Number . . . . . 24-00001099 Date 10/21/24
Application pin number . . . 336000
Property Address . . . . . . 223 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Installing access control to existing system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY SECURITY SOLUTIONS NW LLC
223 E 4TH ST 1619 N STATE ST
PORT ANGELES WA 98362 BELLINGHAM WA 98225
(360) 417-2429 (360) 734-4940
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 190.20 Plan Check Fee . . .00
Issue Date . . . . 10/21/24 Valuation . . . . 0
Expiration Date . . 4/19/25
Qty Unit Charge Per Extension
1.00 190.2000 ECH EL-LIMITED 1ST 1500 SQ FT 190.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.20 190.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 190.20 190.20 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/22/25 24-1099 TAP
OWNER
CONTRACTOR
Security Solutions
PROJECT ADDRESS
223 E 4th St