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223 E 4th St - Building
08/01/2013 15:04 FAX 360 452 9265 Angeles Electric LO0001/0001 RECEIVED .. ' ie CITY OF PORT ANGELES PERMIT APPLICATION Au 2, 201 Building Division/Electrical Inspections l L CYI{ICl�I. 321;East Fifth Street P.U. Box 1150 / Port Angeles Washington, 9ti362 li�SP(;7lO�iS A. .Ph: (360) 417-4735 Fax: (360) 4174711 Date: 7 3- 3 _k<lti-Farrtily_or Commercial* DPcFfex " Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet .Z lie, /'26 Job Address: Building Square Footage, Descriptionof above AL Owner lnforma on contract r information Name; Nome.• ' L Mailing,A ress: Mailing s City: State ip: City: State ' gyp: 6 Phone: ex' Phone: ~ Fax: License .#IExp. LlcertaeplExp.dB 0 Item n har fly j gtal Uv Muftiolle4 b-4 iln t Ea_rn Service/Feeder.200 Amp, $132.00 $ ServicelFeeder 201400 Amp. $160.00 $ Sarvioe/Feedet 4D1.600 Amp $ 225.00 $ Service/Feeder 601.1000 Amp, $ 280.00 $ 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. $102A00 $ Temp. Service/Feeder 201.400 Amp. $121,00 $ Temp. ServloofFeeder 401.600 Amp. $164.00 $ Tamp. ServicelFeeder 601.1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOudine Lighting $ 88.00 $ Signal We& Limited Energy- Multi -Family $ 64.00 $ Signal Circuit/ 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 $ 66.00 $ Note: $5.00 for each additional T-Star 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 296466, 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 360-4I7-4735 Application Number , . . , . 13-00000873 Date 8/02/13 Application pin number . . . 368909 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 counter circuits ---------------------------------------------------------------------------- owner Contractor CLALLAM COUNTY ANGELES ELECTRIC 223 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 93362 PORT.' ANGELES TA'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 Dtce 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 I N U4 Signature of owner or Electrical Contractor X Date: GAEXCHANGMBUILDING 11/1J/LU1J 1V:VU VAA ODU 404 UZ00 Angeies hiectric to 0001/0001 CITY OF PORT ANGIELES PERMIT APPLICATION BerildilOg•Division/Electrical Inspections 32I;East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date:. , .t• Munwamiiy or Commercial* R E IC i, NOV I INSPECTI( * 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 Phone: Fax: License ,41 Exp. )& ,w 0- Im Unit Chafge Service/Feeder 200 Amp. $132A0 Service/Feeder 201400 Amp. $160.00 ServicatroWeir401.6DQ Amp $ 225.00 SarvicelFeeder 601-1000 Amp. $ 288.00 Service/Feeder over 1000 Arm. $ 410.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 74.00 Each Additional Branch Orcult $ 5.00 Branch Circuits 1.4 $ 06.00 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 601.1D00 Amp $185.D0 Portal to Portal+Hourly $ 96.00 SignlOutilno 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 TStat Contmctgr Information Name: r Mailing City k State' ' rip! Mom: ex: License 4I 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. Aber 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; 06-30-00-6-4-6700-000D- Appliaarion 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 B6.00 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 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSP2MON REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Fi vJ W Signature of owner or Electrical Contractor X Date: GAEXCHANGEIB[ JILDING Electical Permit 223 E 4t" St 13-179 9 "T W ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 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 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 -- INSPICT!ONS 'j -,D kt�m' mercial Addition / Alteration / Remodel / Repair* Be Required, Please Complete Electrical Plan Review Information Sheet Sr a FZ700 ��, . . Owner Info ation rT + ►�L Contractor Information S54T a Name: % Name: Mailing Address: City:Rd—_ State: Zip: Maili Address City u1ttX State: J 1X9— WA— zip: Phone: Fax: Phone: �162 — S2L.5� Fax: �6 -- 1 License # / Exp. Lloense # / Exp V _9r �/7-,-3Y Item ` Unit Charge Qty Total (Qty Multiplied 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 Circuits 1-4 $ 86.00 —� $ Branch Circuit W/ Service Feeder $ 5-W $ Branch Circuit W/O Servioe Feeder $ 74.00 $ Each Additional Branch Circuit $ 5'W $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201.400 Amp. $121.00 $ Temp. Servioe/Feeder 401-600 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 $ $ 9 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: ❑cneur rd>t OIJ F'lLl=. Electical Permit 223 E 4th 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 W Signature of owner or Electrical Contractor X Date: G:\EXCHANGEIBUILDING 02/19/2013 11:31 FAX 360 452 9265 Angeles Electric 10 0002/0002 CITY OF.PORT ANGELES PERMIT APPLICATION 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 Informpdo Name: 14,11 L Mailing Ad Nss: AK_ City: State: Gem ip: Phone: Fax: License N / Exp. sr.ve' - %7-23yo Item Unit Charne 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 $ 74.00 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: 9 State: s7 s7y .4- Zip: Phone: Fax: AA5 A — 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. 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 Per it Applications. Signature of owner, electrical contractor or electrical administrator: ❑ ❑ check Crud@ Card / W f'l L E_ x Dated: / 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 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 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 N w Signature of owner or Electrical Contractor X Date: \ GAEXCHANGEWILDING 12/11/2012 09:12 FAX 360 452 9265 Angeles Electric to 0001/0001 CITY OF PORT ANGELES PERMIT APPLICA' Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 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 ress: City: State: Ip: :;—F Phone: Fax: License # / Exp. Item Unit Charne Service/Fesder 200 Amp. $132.D0 Servioe/Feeder 201.400 Amp. $160.00 Service/Feeder 40"00 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 201400 Amp. $121.00 Temp. Servioe/Feeder 401-M 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 - 9ti362 _ ELEC.,,7jC iL NSPtiCTlOitrS / Alteration / Remodel / Repair' Review Information Sheet Contractor Information Name: Ah9m&&I �LlCTX1c. ING Maill Address• R1stSr City aCr ,4M. State: WA— ZIP: _ `a Phone: — 4V6Y Fax: 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�ease. 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 Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ ❑ chICk cndec.rdtr oV FlL.F_ Doted: 01IM 012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001506 Date 11/16/12 Application pin number . . . 403322 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 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 N W Signature of owner or Electrical Contractor X _ Date: G:\EXCHANGE\BUILDING 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 I ;f�!S?ECi iCi\o i Date: / %5 / Multi- amity or Commercial' Y Commercial Additi¢n / Atteration / 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 14.05.010 regarding Electrical Permit Applications. Signature of.owner, electrical contractor or electrical administrator: ❑ ❑ Check B Cndh Grd g 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 CLALLAM COUNTY HI TECH SECURITY INC 223 E 4TH ST 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 -----(360) 417-2429------------------------(360) 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 ) Z FINAL �p COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING 'RNIIT A.PPLICATIONT LES PE CITY OF PoRTANCE ELECTRICAL g.D BitildinivLsiotilfi-lectric,it Inspections 3 2. East Fifth Street— 11.0. Box 1.1501 Pram A[Melts Washington, 9836)1 INSPECTION"), .1 Ph: (360) 417-4735 Fax: (300) 417-4711 Date: -1-2 F,/], Multi-Farnily or Commercial* 'yy Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Owner Information Contractor Information Nxnc� Ctlj-- ct,-* -1 wane: th T-h :--* Ira VW1ngAddress; ME. -40, Wiling Address: 723 Sint From st City: -SU9: ba Zip: C Itf- Pal AX,7-1*2 sWa: 'NA Zip. - =142 phone. 304v-z,'Ds Phone L-cence # I Exp. [:YD Item Unit Charge- Total (Qty Multiplied by Unit Charge) ServiceiFeader 200 Anp. 5132.00 S Service/Feeder 201-400 Amp. $160.00 Service/Feeder 401.600 Amp $225.00 $— SeMce/Feader 601-1000 Amp. $288.00 S�- 4wer 1000 Arnp. $410.00 $-- Branch Cjyrd W1 Service Feeder S 5.00 $ Branch Circuit VVO Service Feeder 74.00 $ Each Additonal Branch Circuit 5.00 S Branch Circuits 1-4 86.00 $ Temp. SeMcal Feeder 200 Arnp. $102,00 Temp. Service/Feeder 201400 Amp, $ 121M Temp. Service/Feeder 401-600 Amp. $164.00 $— Temp- Savicarreeder 601-10N Amp 5185.00 $-- Porus to poed Howly S 96,00 SiqnfOuOlne Lighting S 88.00 Signal Circuit/ Limited Energy - Multi -Family S 64.00 S Signal UrcLW UmAted En / First 1500 sf - Commercial $ 96A Note. S5.00for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat S 56.00 S No a: $5.00 for each additional T-Stat S MCD 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 etectfical contractor. ; am making the electrical installation or alteration in compliance with the electrical laws, N,E.C,. RCM. Chapter 19.28, WAC. Chapter 296-468, The City of Port Anodes Municipal Code, and Utility Specifications and PMIC 14.05,050 ragardiing Electrical Permit Applications. Signature of inivner, electrical contractor or electrical administrator: 0 cash 0 cima 0 Credit Card l O-Ra Mike Shirley I Gary Politika X —03tet- ,W,5n2 01101M12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001214 Date 9/17/12 Application pin number . . . 737666 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. 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 1]bZ4j/'7— 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 10 0001/0001 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections EI.I CTRICAL 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: Owner Infon a '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. 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.W/ 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 201400 Amp. $121.00 $ Temp. Service/Feeder 401.6W 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 ❑ cheek l i . t;l-15.dtt Card 0 cam! FlL ELECTRICAL PERMIT A CITY OF PORT ANGELES 360-417-4735 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 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 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor 0,71 — Date: 0AE•XCPANGE\13UILDING ' oFpOR7Ay�F ELECTRICAL INSPECTION WIRING C T. 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 N GN t o +�� requo URy 3> c'RLClt)-L 17Ar (- 14 - 05- w� I r�_(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.................... ❑ •o) CORRECTIONS NEEDED: Q,ax-oc.AT 1- L16HT' AU);N-Y -F140W& LoMi3U5TI VF7l-l5- MA--r*-X) AL /11*-G J�40 . / CQ/a..rl7 KDUS1�� -7) Ac 15 t(6�lHlZ� C.oym-�,Z— )'OW- L,)Lt1l 1 J �,�.ar►-t.oy s ram.. �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 I 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 — �,YT—o C,2 K) v O�VORT 4jI, ELECTRICAL INSPECTION WIRING POT KS &� 417-4735 DATE: PERMIT N INSPECTOR OWNER CONTRACTOR !/ ADDRESS 22`5 '�- APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: iy"IOV `Teas �b `�>�, C-LgrZ ..z I,. c- -i- "mac- 9c L-2 ) -r -( t,W 2, o 4--- j?;&yCZ-4, Krl-c- 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. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: q' 1 z - 1 2- ?� 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" LE S 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 vb. Zip: Phone:!!j1�2 c> 2-Fax: I License 4 / Ex p. Item Unit Charge Service/Feeder 200 Amp. $132.00 Service/Feeder 201 400 Amp, $160.00 Service/Feeder 401-600 Amp $ 225.00 Serr'carFeeder 601-1000 Amp, $ 288.00 Service/Feeder over 1000 Amp, S 410.00 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- Gs e—Pa GP-'n 2'" Mailing Address: 2 R 2a S'4 LAS u-60 F w �' City: 1QJ0A 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 (Oty 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 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 electrical administrator: E, cash Check Credit Card 4 X °�..---�,�..•^ �` Dated: Cl I�� 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 06 try t>C�G - T N 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: $5.00 for each additional T-Stat Contractor Information Name: A"t>4 A'L Mailing Address:? 92o Sac-A5 "'OltJ P 6c-`-"y City: rjQ:W c>4 LC State: wp, Zip; fT B 2 It8 Phone:3 0 A4eoFax: bo • �6�• gc,� License # 1 Exp. AW o�* o t l 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 E. I 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 ------------------------ 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 b2 ------ 5-------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 N N Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING SEP/13/2012/THU 02:00 PM FAX No,425-402-9708 ,16 P. 001/001 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: 9 / 1 311 2 ELEC i RICA,'- X Multi -Family orCommercial* INSPECTIUi13 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 223 East 4th Street Building Square Footage: 5 0 '; - Description of above Low o to e HVAC Controls in Pent ou e and Boiler Room. Alsin includes -vo t power circuits to control panels. Owner Information Contractor Information Name: Cl al 1 am 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-402-9708 License # / Exp. License # / Exp. WPCSIT1919MI - 3 Item Unit Charce Qt ( Total (Oty 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 O0 $ Tote 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 01/0112012 �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 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 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 U 0001/0001 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) 4 -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: - 71ip: clty: rr� Stale: A- Zip: Phone: ax: Phone: 602 — UAY Fax: — License # Exp. License # Exp. Unit Item Charge sty 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 Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - MullWamily $ 64.00 $ Signal Circuit/ Umited Energy! First 15M 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 0 chock // .,5ct%7 / , i i O Credit Card 0 oV F�L Dated: /�/� 0110112e12 :r_ - . 1-i V' ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000960 Date 8/01/12 Application pin number . . . 232960 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 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 30.06 ----------------------------------------------------------------------------- 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 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 [A001/001 CITY OF PORT A,.NGELES 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 25'1' 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� 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 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 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 Name: Mailing Add ss City: ir State: d&&7 Zip: Phone: — - Fex:. 5: �z - ?- !/f� License # I Exp. — f3ty. Total (Otv 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���� 01/01/2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000030 Date 1/11/12 Application pin number . . . 247510 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 Demand, response boiler ---------------------------------------------------------------------------- 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 ---- 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 t O G W a N N IN Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING 01/10/2012 09:43 FAX 360 452 9265 Angeles Electric Im 0001/0001 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 lt� u Date: ` < ✓ulti-Family or Commercial" INSPECTIa;,,;. * 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 matio Name: Name: Mailingfps; Mailing Ad Tess: 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 1A $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201.4DO 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. Chapter296-466, 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 TAX Application type description COMM REPAIR Subdivision Name . . . . . . on your state excise tax form Property Use . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS to the City of Port Angeles Application valuation . . . . 194000 /A /'`^A^ 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 ---------------------------------------- 1516.65 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 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�'�-- N C� Z J ITS T QfR- CITY l'�GELES OF ' W A S H I N G+M T O N, U. S. 321 East 51h Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application For City Use Permit # 1?= qc-- 1 n W :� GO �' t= 0 Date Received: mil'" -:,!V -1 v_ � o r M v� o Date Approved: v o Z T N e-5 Project Address: Z Z'S f- '6i Main Contact: Phone # Joel � 1�14�a�Rn1. 3bU • g l �. 24 7.1 Property Name G' �l Phone S� Owner Mailing Address Email 2 L 3j Ep�tiT �'t�4 Si . � ►� Jl K%rh® co.LUl j— • wa -v 5 City Pvr�T Fw t�el� �./A � State wa. Zip �i 3 ( 2 Contractor Name J a l l..vQt� Go►ti'3t�/c[�c�J� I N Phone 3 ivo • 5253 . Mailing Address Email ?•O b-otnkLu .Gcvr1. City A � State zip.J q 8 1' Z Contractor License # Expiration: 2c137 Project Value: Zoning: Tax Parcel # Lot # $ I of A OOC> PDP Type of Residential ❑ Commercial Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ �� -�� I �—• Project Description Tt -T o I have read and completed the 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signature --+2,v 1 z J 0tl cA -kL tIJe 00?— ( W W U) Z J 0 V _Z J 4TH STREET 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 . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 600000 ---------------------------------------------------------------------------- Application desc HVAC UPGRADES FOR THE COURTHOUSE / JAIL ---------------------------------------------------------------------------- Owner ----------- Contractor �►, 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 Comments FOUNDATION: 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: 3 2Q' 12. -),ee ! a,5 k--5 �y 2� . �� V1 �-Y"-i y- C�l� �Ip�. P tV ok .J FINAL Date Accepted b Heat Pump / 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: Parkin / Lighting ESA: Landscaping SHORELINE: 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 M -V R -= T:Forms/Building Division/Building Permit ;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 . . . . . . . . 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 OWNER Q� 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 417-40/6 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 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 Pump / 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�" j�p�zt�50 FINf=� Property Owner c (x(l ftn.. ec-;u � Property Owner's Address Z 2 3 64,c +NA 1 Contractor -7. eac)- Contractor's Address License # Expires `For City Use Only: Date Received 15- q i0 EPermit # 10 - Date Approved . Phone Phone E-mail PROJECT ADDRESS ZZ3 bpr-T Att* gq . , Parcel Number Lot Zoning Proiect Type & Brief Description: ❑ Residential Check all that apply ❑ New Construction -h,�c� ��� �01L1 i ❑ Addition or- --�,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 2"d 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 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 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 DEC 2011 CITY OF FORT ANCk;9 ES FT;RMT'I A PLICATIOr\ !iteileiin� I?.ivision/P_lectricat ?nst►ectiorzx ;, ELECTRICAL 321 East Fifth Street — P.O. Box 11a0/ Port Angeles Washington, 98. 362 INSPECTIONS Ph: (360) 417-4735 Fax: (360) 417-4711 �:, tF Date: I & 2 Single Family Dwelling , Multi -Family or Commercial "C Commercial Addition / Alteration / Remodel / Repair`' * Plan Review May Be RequirelLPlease Complete ElecIrical Plan Review Inforvaltion Sheet P h (i � K S aL c� S• Building Square Footage: Description of above CA Lt n ca ll ►�'�'� (' 'oaf-t' i rS i— i S ' (1 _ 'C4•Q . SC,Q.M_ f3 n 1,._.. � � � Q...,.. '4 J � i?�'" I 1 �'� u_,_,_� Owner Inf,,Qr�ma ipn ��' Name: �ITZ Pa ro- qc Contractor Information / Nana: � 5 15 I �. riCa� F'aC7'oC . Mailing Fjt7dresaa ., .,_ _ ` City: 6� State:—,.._ Zip - Mading Address: _ Vl Ci!Y�.,...�_ - State: ' Zip:_ T �_ ' l7�3 Phone: Phone. max:,.:.:., Lf.l.7..' o? �i_ � .... .�... Fax:.._...__- 1� , r I�� rY M' 1). License A / EXp, Item Unit Charge Total (tlty Multiplied by Unit Charge) Service/Feeder200 Amp. $119.90 S Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401.600 Amp $ 204.60 S Service/Feeder 601-1000 Amp. S 262,10 S Service/Feeder over 1000 Amp. $ 372.50 Branch Circuit W/ Service Feeder $ 2,60 __ $ Branch Circuit W/O Service Feeder S 73.50 �_ $ 3_ SC3 Each Additional Branch Circuit S 2.60 — S Temp. Service/ Feeder 200 Amp. $ 92.70 $ Temp, Service/Feeder 201400 Amp. $110.30 _ $ Temp. Service/Feeder401.600 Amp. $148.70 $ Temp. Service/Feeder 601-1000 Amp . $167.90 $ Portal to Portal Hourly $ 95.90 �_ _ _ $ Sign/Outline Lighting $ 98.20 $ Signal Circuit/ Limited Energy / First 1500 sf - Commercial S 95,90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit! Limited Energy - Mufti -Family Dwelling $ 63.90 _— $ Manufactured Home Connection $119.90 _ $___ Renewable Electrical Energy - 5KVA System or Less $102.30 _ _ $ Thermostat $ 56,00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft $110,30 $ �_ Each Additional 500 Square Ft. or Portion of S 35.20 _,_ „..-,,..__„ S Each Outbuilding or Detached Garage $ 73.50 _. $ Each Swimming Pool or Hot Tub $110.30 ------ — $ a j �7ota) 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. Pemtit expires after six months of last inspection. . After reading the above statement, I hereby oertify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW_ Chapter 1928, WAC. Chapter 296.469, 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: O cash O cheu�cp,n Credit Card # U � 1 dated: IQ "PD ' �G h amtnmo I W 0 N 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 1ST 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 CIRCUIT 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 Clty;;of:PoRrhldAngel ae Pirmft Appgcdon 8alldlM binlEl tdltp1.1191NCD0a9 Apd*iipell�I�iillUi�toA� 9�ib2 Ph j3o0)�t1T f C 417-01 Data: fd _-1 & 2 SJnglb Femlly-OwWft amlycrCominengai' —kfAmn%rdWAddMm*1Ab Ooe / Remodel / ROW ELECTRICAL INSPECTIONS • Plan-,R% w May Of Requlred, Please Complete Elecblcal Plan R&W w lftm adon Sheet 4p t S2v-n -� $ &MMFeeder401=1000Mp. :3372A0 S SwAmFeederorer1MDAmp. $ ..zoo 8 .73.50' � $ enuchamaw.SwJmFeeder S-" W Brauh CLVA WO Smice.Fadar .$ 160 1_ t�� Emeh AddOMW lt"CkM S• Wo $ Temp. Se WFoedw=kM. i 4-110.30. ! Top. ftvb lFeeder7014MMp. :i.148.70 S Tertp.SeMoFlFeedK101�o00Anp. 3 WAD T_ i Temp. SNAWFeeder.1014000 Amp: S 95:90 $Porml b poomm* I :silo s. SlpnrOuoln.tJdrMiq ;.95.10 i 8r CiradllLMlbd6Mrbr-Cpminaelet.AddlOonel1600i500 $1.03.90 S_ CYou1d LtrnDed EnaiDr-1 a 2 Fendy Dwefrm S - 3$0 $ SOW C" tlnmd:6nM - Md0•Fx* OMelw $ 119A0 $ h�ondeehaed.ttant Cow 1 n $10230 S EbwWEm C -BWA &obm or Lm $110:30' $I-W 1300 Squire FL :3 35.20 S Each AddaW WD Som FL or Paeon of -'$ .73.50 S EachOulhtddbgor0imdiedGere9e i Each ftmigMgd FWTO $Ttwnnabt S Tobl `10 oompriedoledby'RCW.U. LM:MOwmrwWooeopydheebirchrnfartbre0MWW#W.iNetrkaIPM0br16u0�rdMOMWARrpub�dlobie.eeeNet+tadeontraetorJf -iboM►itdpropl'!blfFibraNr7Mtar/MN.Permlt�hes rdbvstroranffnollutDrspefb�. ! AHit i�adlnp tlw ibove t hum aAUp Nat 1 em W owner of Ma ebwo mined p opmW ors Deemed abdrkW ooetraemr. tam 1ho obeb albobudba or aTaiStidillnoDn�DdliCeiilhindKtrledJen.N.EC,PXMClupbw192kWAC.Cheyhr980.MTMUyofPatAnplaeWmJe1De1Code idIltDlb� 1 I. .Slgai4ae:ofoenrrohebleetwnbaetororoleeble+le�nWotrator O Cab O k �% �redRCwd9 �N 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 1 Koch construction, inc. 4201 TumwaterTruck Route Port Angeles, Washington 98363 May 18th, 2011 City of Port Angeles c/o Building Permit Dept. 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 PROJECT STATUS UPDATE Permit # I U— q 93 Date 5'1 1— 1 I phoned the Applicant Property Owner. at at Contractor. Hoc, k C©hS4vv C+ o Y1 at 9 I (left a phone message or Cdiscus'sed) 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" lette ., Let me know if the project is abandoned 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 3 60-417-473 5 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 :BindCl-na�Ij�Nloiu�lldWgAtl,YapKUon� Piprt eti IfuhlM Ma D i v/ • n 1 S 2 Ongip Fm*.Dwd g �enipy fsf.COmtllort�!' mrilendaGAddidoci 1Altero>Jon / Remodel f Repair Angeles Electric • Plan Jte�w #laY laR abed,. Pleeee EJactrloel In(ortnoUon Sheet Jcb Addi - giiltdfr Squw.foolgpe: L5 o bAD A � ELECTRICAL INSPECTIONS 1ij0001/0002 e d ter( V p�.rannn,e�acw.rea:et:p1 o.n.►rm«era,.�ti�cap.b►n.+oya�.parr►a.�eaKdw�b�►�kbne.,u.�erb.►oanaee�ra :eon,.►aviga�o��+�r.+d�,.n�alYaw>+wm�r�ra.b.,brm�En. dw.ceupaean. . Ino 11M.bew n� t o�Mr�het 1 an dw awnrdlM diow ntmd popn4r en Gwlad Wd*d oonbuier. I ern ow d@ dW*wW w or V,,. l'InebmAt(�llaiJ�Ih M 4w , N.!'.C, RCW. CA�pter 14Z1. WAC, Chtpl�r7iN6B. Tb� Cib of PortAipdu MuNelOd Codb ► � I. sjonipia:dolma ddrfaloontr�o- crdicWW1en10bbeW 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 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 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 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 Signature of Owner (if owner is builder) Date R) T-\Policies\1102 15 [10/081 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 IN A 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 9116110 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 Signature of Owner (if owner is builder) I rorms/buuaing uivisionibunamg rermii 01 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 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 Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES. Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s 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 I x 4-1 T.Forms/Building Division/Building Permit H064 Coy)q- wcAion 15 'tNe. by Phone. 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 LDS _ tw. k -1 g Z, L 1, Project Tme & Brief Description. ❑ Residential Check all that apply ❑ New Construction�py� ❑ Addition XRemodel pr epair A& kdc>©r inirke �'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, 000 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 cing o projects. Date 't l ll l o 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 ELECTRICAL PERMIT CITY OF PORT ANGELES $ 360-417-4735 Application Number 11 00000549 Date 6/02/11 REPORT SALES TAX --�0 Application pin number 505790 Property Address 223 E 4TH ST on your excise tax form ASSESSOR PARCEL NUMBER 06 30 00 6 4 6700 0000 to the City of Port Angeles Application type description ELECTRICAL ONLY Subdivision Name (Location Code 0502) Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 0 Application desc 1 circuit power for projectors 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 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 Angeles Electric 20001/0002 .Cftyhf.IPodAngpinPftkAp0cdcn lift "Uml .qR 41r4mimm�mm i jl p 417-47.11 Date:..' 1 &2 00 Fv*DvMIn0 ML40ameyve cammir ;d&1A1.Wdon1Remodel 1R@pW 11 ' ME SUN 2 2011 ELECTRICAL INSPECTIONS 'Plan-fWowMayS@Ro*dIKPhase Complete EMOWPlan ROWBWMmd.MSheet Z�j I JbbAddiik .3 45. Ik "unit Cheer Total 10tv magm by upff cmmel 4.11RAW $-$W*WFNWWMAMIL *145A "*~ 2914M AM. Usio S_ 6v*WF4$*414W MqL Van $_9wAmF@WK6D140WAnV. 43700- $-SWWwFqWffWW1M0Anq- $ 200 Z $ M" Qm*W SWAN FOWK f I CkAWDSbMNFGWW .73AO I .2AD S-EAMAM"WIMMM $_Tanp.Qm- FOW20OAnp. $--TmqLlwftF-- 20I40AW $_Twk% BmWeWW401400MV. ftBTAO I Too. GoWNWrOOMMANS. t.9S90 $:.13.90 $-ftndCmwLkdW ErAW: I A 2 FW* Witt CA $_VVWQUrME=v • MWN*DwWM uff 7 $_MwAWAiWHMCMMdMn $ . _y-5WA&jMwwLmm& $-Fkd13D08*"91: S Eno AdmwW M lqmm FL or Pagm of .'$ �35.20 -*$ 73AD $-Exh0wkftjwDdm:hWG"p EKb $_7hwnnW Tdd 5D ftwrosda, AfAMMUM: M OWWWROMW 088ftuo", fdrb.w� Arab owbwpwmNh man& 4v 0"Wh I =*&Alamosew m sift abmammmd pffopw--qfwa ft"m Simemw Do, M oleebkaliwb0eaen of d8fi fir -AYWP PutAflodu *ago dd&dimM LLC. RM. Cho*r19AkWAt-ChWWTft C D"WRY d I. 13 Cob Chwk :010, 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 1 Q 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 �. 11,, 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/t.1C4i1'IC)ll III-spuVii6go, 9 1: 3__11 I=lut 1 Sti ifttl -ett - t' U lios 1150 / 1'Ui t kugl:ir5 4VatiLirlt,tiui, :)ti3t;'2Alg� 2 � 2Q 11 Pn. t.>od) 417-473� Fax. (36k)) 417-.(711 I �•� „ W 28 ^ 2tv I I ELECTRICAL -_-_~ 1 & 2 Sirigl2 Fai i y D•vel irt3 --2�Niulb Family or Cornme,ual' :,ornrnffipmwg / A arahorl I Remodel / Repair' P.in Rcv;ew hazy Be Requ,red, Please CumploL- Electrical Plan Raviow Innffooll4iron ahe6l _, Z� J.; f T ?N - £ MfiGoe[+t x � - �t;EP_fr 1f�y C_`L►N' i ` Z ----- Owner mforinatLol) 7 0rt An QeLxp i�s Ala a o Contractor Information N,g1j,, Hi Tech Secur'itX, Inc. h'talht�yids As 723 East Front St_. — ;try 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 2014W Amp, 1145.56 — SE. w ciLkedw 4 61-600 Amp $ 204.60$__-- �erv�oelFaedvr 6014000 Amp. $ 262.20 5 attivtcaJ�ea3er truer 100Si Atll,�_ 5 372.5G 5, 3r;nch Circuit'VVI aerjice FL"dder 5 2.60 3r61; h Circuit *10 Service Feader $ 711.50 EaOi dditionsl branch Circuit $ 2.60 zmp. Service/ Feadder 20i1 Amp. S K.70 Te- np, NI-400 Amp. $110,30 -�--- $ T:;mp, Ssrv;copeedw 401-6GO Atop. Tamp.S c aalr'eederWI-1000Pam) >'o,t-4 iz Porml Hourly $ 95 90 $13nl0utiine Lighting $ 89.20 Sgnel CircLAU Limited Ertzrg) I F!st 1600 sf- Convuarciol S .5.90 Note. 5a00frreach additronr� 15GO of at Cireutt Lmmted Energy 1 & 2 Family D%aIUug S E^aAo lgaral Cicuitf Limited Energy hfulti Fomity Dwelling $ 63.90 S Manutactured Home Ccnncctton $119190 - $ ♦ZEnENGt.7lB E1eL6fCd En£tyy SWA Sy9tem or Less `P 1Z30 -_ S--. i171in=az NEW CONSTRUCTION ONLY, i7irst 130E Squar6 Ft. $ 110.30 EEC,- Ands Tonal 5W Squarc R. or Paoun of S 35.20_--- Eech OutuuJding or Detncrea Garage $ 73.60- Eaah :war tinning Pool or Fitz Tub $110.30 5� _ b�_. - R Total O,rut:r.r as defined by RC7V 13 28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is relquired iv nice un eb3ctncal contractor if above said proparly is for sale, =4 or lease. Patmit axpires , r sk months ci last trrspection. 11tTc. reading t}ie above statement, I hereby ceriity that 1 atrt the owner of the above named property or a licensed electrical contractor I am making -oe eieetrical !nsrdliason oraltereG:n ur cor:lplierice with the eleohicKl lags, VNSW, Chapter -19.28, WAC. Chapter 2%-46B, The City of Port ;�tg;a6s lulunit:ips: Code, and Wiit_v Spet ificauen:,• and PAMC 14.05.050 regarding Electrical Permit Applicalions, Signature of owner electrical contractor or electrical administrator, CI Gash D th ak CX Credit Cad tl Jana; _ N — 26_ �iJ I 1 _ ___. 01101010 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 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 1ST ST PORT ANGELES VIA 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 Angeles Electric Z0001/0006 Af-oi PodAnooles himItAppikdon .01 ftl-.bv Mm Dft -...i UftliFamlytrwft ammvoipAft L-/Aawdon i Rwaw Repair *1 PlenftylewM0,11W RequIrod,'121me Jbb,Add*c APR 19 2011 ELECTRICAL. INSPECTIONS rr ReWw Inkmallo-Sheat - TOW (0tv Mu"W by PER Chermt) Ulm 37ZO $ -S .73.60 Dumb aWAW GrAce Fn& Z i botch QUAW10 Soft F@Ww 1 :2.60 S— E@dh AM" Dutch Chlit S Two.8ow FN&XOM$6 3—TWO. ftvkWFppWW4d0ft S_Tamp 3vAaF#Ww4Qi4Wft S -Tw*.30*WFppdKW140Mft S_ Pow 10 PwwjM* S SIX S 80MA"Up" 1 900 $—VVWC"Lidiodg"-40wdmLMdbWi6W$LOC S, L a." $ " Muff Uphol ftW - I A 2 Fw* DwW" .Sami RM I -lam MMM—Ved '1-110j0 $—Fkdi=SpnFL 'S AMS_&phAddftmdQ09pwpFL@rFw1x d I na —EwhDAtifftern tddwd GMP $—Thump" 11-TOW i -73A1tiNrjfaedl—5A— rogthe &bm.A1l1wwr4 I hwftw*Mdl an lhemwelftelimnaul Popoff Wit nomadebww P lam ftebebUdipplallilloper altiifdlodlndodipAi* " RM CkmpW122LWAC.Chjpl@rM41lLTlw UldhdAM81011 1111111110111 101111,111114111111wil" # ow 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 ELECTRICAL PERMIT CITY OF PORT ANGELES K 360-417-473 5 _1 10 00001375 Date 11/23/10 742500 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 OLYMPIC ELECTRIC CO INC 223 E 4TH ST 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417 2429 (360) 457 5303 11,67- 1�9 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 TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL ` COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 19 " „— Signature of owner or Electrical Contractor X Date 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 N3R 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 Olympic Electric Co + PA CITY INSPECT a 001/001 a City of Port Angeles Permit Application Building DlvlslontElectrical Inspections 321 Fast Flftfl Street - P.O, Box 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* ELEC'I'�jICAi INSPECTIONS Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above &2a1e11_ 49 a fig '4__S4 11�/� Owner Informatio Name: 1-'1511 Mallin Address: Clly o Slale:&&Z Zip: � Phone; Fax; License # I Exp, Contractor Informal I} Name. / / Mailln Add s: I City:�.,(f1= State, �_ Zip: Phone; 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/Feeder201.400Amp, S204.60 $ ServlcelFeeder401.600Amp. S 262.20 $ Service/Feeder 601.1000 Amp. $ 372.50 $Servlce/Faeder over 1000 Amp, $ 2.50 $ 73.50 S 2,60 $ Branch Clrmll 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, S 148.70 S Temp, Service/Feeder401-600 Amp, S 167,90 $ Tamp. Service/Feeder 601.1000 Amp, $ 95•90 E Portal to Portal Hourly S 88.20 $Sign/Oulline Llghdng S 95.90 $ Signal CirculU Limped Energy — Commercial. Addltlonel 1500 $5.00 S 63.90 $ Signal Orculil Limped Energy 1 & 2 Famiy Dwelling S 63.90 S Signal Circuill Limped Energy MulikFamlly Dwelling $119,90 $ManulaClured Home Conneedorl S 102.30 $ 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 N above sold property to for sale, rent or leeee. Permit expires alter eft 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 electrlcel 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 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 �G14/7 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 l Al/4 t % S _0 C2 II Z! 3 r2 %/4- Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES ®W050 IS ASSEMBLY INSTALLED CORRECTLY') YES &qVO ❑ 0 GT— DATE OF INSTALLATION — �" t UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA ❑ DC ❑ DCDA ❑ DOUBLE CHECK VALVE ASSEMBLY PVB ❑ Air ir Gap ❑ ❑ Air ❑ CHECK VALVE #1 CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Leaked ❑ Leaked ,z 1 ❑ Did Not Open ❑ AIR INLET Test Held � Closed Tight Ul% Opened j` Did Not Open ❑ 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 C ! ' Held Backpressure YES [I.-'qO ❑ #2 Shutoff Held YES ❑—NO ❑ Relief Valve Exercised YES EL, -NO ❑ Date -'rime Tester e Signature Cert. # Test Kit Passed Failed Initial TestMI" m' ❑ Repairs ❑ ❑ Final Test ? �r �G l f/ �y% ❑ l� _ f It �: /\ : a' =� r rat o/ 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 Angeles Electric IM 0001/0002 Q Cllyof-Po",- dm Pi mltAppftd*n 9dOdlnp. Dtyhbnl�MofNesl knepeglona 32tb fFMh'SirWA1gP.O.taooc1160 PArt-�ipeUf-wanhl�onl69Q2 Pn:,1360j61T�FrCr:. j3e0)�174711 Date:- ._ 1 & 2 Single Fm*-Dwellt _ MulWad1y or Commerdar mmemW Addit / Attere m / Remodel / Repair' CC 1 � ZIJUJ ELECTRICAL. INSPECTIONS • Plan•ReuiOW May 9e Required, IDIOM Complete Eieftloan Review lnbmdm Sheet Job Addrasa AF 9600% Sgoare Fo*p.' :De6Wpdon of above Z", G ,t oy .h4l A°-e'� 'Name:. me Na .Moon d �Addreog 2� MOV City Stab 21p: _ City State Phone' Fax Phone: — ex . tbense o'/ E LyF Lberme air / 61ip..4wK � r� .Unit Chame Total 10ty Mu>Ilolied by Unit Chamel s•112M s SewbelFaedor200Amp. 1145.50 $SerMOe "der20140DAmp. $204.50 $ Safyloe "der4014WAnp. $26220 $WARIFadera0 400oAMP. °S 372.50 S SeMoe order ow 1000 Anp. $ t" araALiW/S■AX Feeder ..Loa s 7330 4 s S mCh CkVA VWO SeMoe Feeder s IS s Each A*ftnd 9randr Gran t. 112.70 $ TOM. Ser" Feeder 200 Amp. 4.11030 i Temp. ftY,*Foo*201400Anp. 4148.70 $ Tmp. Servo mder 4014t00 Amp. S .107.90 f Temp. ServbdFaader O014000 Amp. 95:10 i POW b Paldmvsy $95 94 s Mond Cka/V Un bd Energy— CCMN*eid. Add IMW 15M s52 S 63.90 s Slpnd QUA UM bd BWgy 1 & 2 Fam11r Dwe®rrp s `63 A0 i Slgnd C1muW Umlbd•En■gy • Mu1fx* Dwelkg s 119.10 s Mwreded" Home emrad m $102.30 $ Renewable l3eebied Energy • 5WA byskem or Lem •1.110:30 s FM 13M SWAm FL i 35.20 $ Each AddmbW a00 aqua Ft. or Patron of s 73.50 $ Each oulbulft orDataolred Geroge j .._ s E MSMimi Pdblawl* s �5aw = Thor meted Tofel it— e"—Awlle— &< UAS- "Fivr— Orn►ardsdatfteadbrRCW.I&U�26t:MOrnarwN0muff"stnetmafWtmyaweelerdibabcm=lprfrnUlisff adlRlowvrarlrraquh�dmhhr.anateehkaleanhaeeo►M eboyr�P>�rb�skraJls, Iantwhaaa, ParAlltepolraa 1Aa/shreraflUla olNsthupecttan. -uhlreailina tM ataya ebierr■nf.l honby o■tfy fret I am fre owner of the show named pr�rerty ore Ueensed eMehlcal eonereeta: I am mel¢ng tlra aleeblealireblls6on or aibrsdoelrieompV&m wb fe alaehts! Terra, N.E.C, RCW. Chopw 19.2a, WAC. Chapter 2164811, The City of PortAngela MunWpal Code, Id Ua90r Spechcefae. Stgnehun of caner, dnbtd amwctor or otie W adminbUdw 13 Cseh 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 fO-S-/0 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 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 Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES ` Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s 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 O 3 T Forms/Building Division/Building Permit . AV i IE 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 ` 1-2 - 7-3 40 A TION Print in ink For City Use Only - Date Received 9 {hermit # 10-100. bbate Approved ne � A., 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, n ^V-1 Floor Areas Basement 1 st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other ❑ Multi -family 1111commercial ❑ Industrial Existing (s4. ft.) Proposed (s4. ft.) @ $ per sq. ft. = $ TOTAL VALUATION_ $ 5 1 000 e 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 G i. NOTES Permit # 6 �0 _ oy k& T Forms/Building Division/Notes 21 312 •�� :� y fi.� � �•= f.�4 •�-��-fit -�� ,.,��z 3 � Rl 2215, 2t .34A SEE 315 S. LINCOLN ST. NOT 223 E. 4TH ST49 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 8/31/10 vil 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 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 Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s 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 C> I -7) Q 3 Q- T Forms/Building Division/Building Permit �pf VORT,4Ar t� 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 VGA 81, Contractor C/A/1,4.,P, C'y"2 6, Phone Contractor's Address 223 YY � 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 2"d Floor Td Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft.) Proposed (sq. ft.) @ $ per sq ft. = $ LabO i" 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 l 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 e Permit #-�L, � NOTES 1 For r s'Building Division/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 correction of errors in,xld s specifir,,a;ip�s and other data, or from prdentin� ( 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 �z Fik 1 S 1rJC, ;� w 35►� k qL i Sir �0 1 2 / (,;�,r <---- r (GAQ.A(�fi E ,' t. S/ ac io 3, Z n C ll�Ar' OPcrl d-n p yeac%, %r., Pc 4e 0( ass 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 2009 622162008 CC-GEN COUNTY w � [2009 622162008 _ PORT PORT _ 2009 622162008 PORT ANG PORT ANGELES 2009 622162008 SD #121 SCHOOL_ DISTRICT #121 F 2009 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 _$0 00 $0 00 $0 00 $0 00 1 $0 00 $0 00 $0 00 $0 00 1 $0 00 $0 00 $0 00 $0 00 _ 1 $0 00 $0 00 $0 00 $0 00 1 $0 00 _ $0 00 _ $0 00 $0 00 9 $0 00 $0 00 $0 00 $0 00 9 $0 00 _ $0 00 $0 00 $0 00 _ _ 9 $0 00 $0 00 $0 00 $0 00 9 $90 00 $90 00 $0 00 $0 00 $1f $0 82 _$0 81 $0 00 00 9 $90.82 $90.81 $0.00 _$0 $0.00 _ $1E $0 00_T - v $0 00 $0 00 _ $0 00 9 $0 00 $0 00 $0 00 $0 00 1 $0 00 $0 00 $0 00 $0 00 1 $0 00 $0 00 $0 00 $0 00 1 $0 00 $0 00 $0 00 $0 00 1 $0 00 $0 00 $0 00 $0 00 1 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_td=62 8/17/2010 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 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 Application desc RUP # 10 20 TREE REMOVAL Owner CLALLAM COUNTY 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 (P P w R1 T \Policies\1102.15 (10/081 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 IN A 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 IPW/ 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] rL CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 C> 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 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 POR:57 GELES WA 98363 (362067 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. 0 m Date Print Name Signature of Contractor or Author zed Agent Signature t_)wner (if � ,Amer is builder) T:Forms.Bu; mg Division/Dailding Permit 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 0000OS82 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE 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 �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 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 Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s 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 LT( oQ T) (b I T.Forms/Building Division/Building Permit (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 # to M 0la 0 1 1 [,A t A APPLICATION Print in ink 1 For City Use Only - Date Received 0— I I - 1 Permit # Date Approved Phone' 'S,0. At j ."Z42.491 Phone t r (;o 1115{-ter "v f4 X Phone fie TrvclL �+ , PA , VJA, 9 8363 res E-mail PROJECT ADDRESS 22 " 6a-rates 4ri 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 a , 10 VtJpPCfW( Signature T:Forms/Building Division/Bldg Permit.doc PREPARED 1/27/10 8 44 37 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR DAMES 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 CELL 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 FINAL 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 .000 Bus: 060) 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 FAX NO. 360 457 6765 P 02 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 Tel f/• (360) 674-2297 Monday -Friday 8.00ar -5 nn — Transporter Name, 74////-6) Truck #f•-� ___ .Container# Driver's name (please Prim) Wiv ., 's S �' OLY 1PIC VI-E-W TRANSFER. STATION AA M �^ (� i„J'J c� Date. o�'Z C F ��ny Disposal Facility - Columbia Ridge Landfill & Recycling Facility 18177 Cedar Springs Lane Arlington, Oregon 97812 Tel# (541,)459-2030 L Waste Profileaf� Waste Type 0- Fx iration Date— r GJ ,� ate,.,_......._ JAN-26-2010 TUE 02 51 PM ALDERGROVE FAX N0, 360 457 6765 P 03 DLH CNVIRONMENTAL CONSULTING 2400 NW 80'" STREET PMB # 114 SEATTLE, WASHINGON 98117 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, 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 (# ; 04471G-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 7-7- COMMENTS Signature of owner or Electrical Contractor X Date ~ 01,°0Rr4., ELECTRICAL INSPECTION WIRING REPORT °ORIKS &�"F 417-4735 DATE PERMIT N INSPECTOR /I �310; 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 L 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:�Vf 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: ip. 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 # / Exp. Unit Charge QtV Total (Qty Multiplied by Unit Charge) $ 93.75 $ Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201.40C 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 $ Total Zip: Owner as defined by RCW.18.2&261: (1) 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 77 0057 UNDERSLABPLUMBING 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 :tLtr_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 r Signature of Contractor or Auth Signature of Owner (if owner is builder) T:FormsBuilding 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 _ _ L S+nawod Gfeet P"Lcoay1f 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. FINAL Date Accepted b Heat Pump / Furnace / FAU / Ducts Rough -in Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parkin / Lighting ESA. Landscaping SHORELINE. 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 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 Permit # Date Approved XC Phone 6.& . 4,Vt 14 L! Phone .. 3(.0 ASL . L >r:�l PROJECT ADDRESS 22 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) b2 `7F per sq. ft. = $ TOTAL VALUATION $ #? I Z t2A3 -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- W W H Z 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 S303 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) 417-4735 Fax: (360) 417-4711 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 4tii Mailing Address: 4230 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 3490 Ucense # I Exp. License # / Exp. OLYMPEC2 a 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 401.600Amp. $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 AddiOonal 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/Feeder601.1000 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 Famlly 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 the swcture for beo years after this electrical permit is Anaresd. (4 Owner is required to hire an electrical contractor //above sale propeay /s 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 Installation or alteration In compliance with the electrical Iowa, N.E.C. RCW. Chapter19.28, 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 Junne 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 �� u of Contractor or 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 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 Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s 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 ®Ij V" r 4b' 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 CLALLAM COUNTY ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 9264 �+, ✓ 15~Z L Z%SI Permit ELECTRICAL ALTER COMMERCIAL Additional desc 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 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 Q 0001/0001 RECEIVE® City.of Port Angeles Permit Application Brifldlrrg DtviliorrlElecirlCal Inspections 321 F.ast-F�th`$troet-P.O. Box y1S0 Por►�Ingelee.WaehMgtar; 99362 Ph:190) 417-4730ax: (M) 4174711 Date: _ 1 &2 Single Family Dwelling M ' amity or Commercial' �Ptommercial,Addition / Alteration / Remodel I Repair' Plan Review May BeRe Job Address: Building. Square Footage: DescriDtion of above MAY 2 g 2009 LIGHT DEPT Plan Review Information Sheet Owner Information Contractor Infoo Mon Name: %'TAIL A)VA/9Wyy Name: --� � •� Mailing Address: Mailing Address: City. State: Zip: City. State: tip: Phone: Phone: License # / Exp. License # / Exp. Unit Charge Qtty Total (Qtv Multiplied by Unit Chanel .$ 93.75 $ Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201.400 Amp. $160.00 _�� $iService/Feeder 401.600 Amp. $206.00 $ 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 201.400 Amp. $116.25 $ Temp. ServioelFeeder 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 $ First 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 eleeblcalpermu IS I Wkw. (2) Owner is ►equlrad 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. I am malting the electrical Installadon'or efterstion in complWm with the electrical laws, N.E.C, RCW. Chapter 18.28, WAC. Chapter 296d68, 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' p. ,*Contractor's Address (C e*-,eraA Coi License # Expires E-mail PROJECT ADDRESS Z23 eK5g A-,K C[01aM Parcel Number pCo - -pp - - - oo - oe>o0 Lot Zonln Proiect Tvpe & Brief Description. Check all that apply ❑ New Construction V b ❑ Addition Y ✓►S 1c� ❑ Remodel ❑ Repair Demolition ❑ Residential ❑ Multi -family commercial Madkkhtuk rhanAes ivet0 6n 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 Isg. 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 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 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 J 9 n t \ L a+ "-Q�- I go� �•s- ego-f� EI fQ,Q o ran Exln�uS�' c lom R�,;ieua NS WOP aid,-�►�e—�,�h fl1 CA L4 ors w� 2 j zGo 1165 v F.- W W H z .I O V z 4TH STREET PARTIAL SITE PLAN SCALE: NTS UNDERGROUND FUEL TANK \- PARKINO LOT BOILER ROOM OLD COURTHOUSE BASEMENT NORTH' 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 ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES WA 98362 PORT ANGELES (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 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 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 6 f7 FINAL -7 k COMMENTS Signature of owner or Electrical Contractor X Date ci 04/05/2009 16 06 FAX 360 452 9265 Rekn(0 Q0001/0001 APR 6 2009 City of Port AnBelea.Penri t ApplIcaation :guildirtgO�cel tnmiperntane 3 tfast`.F.iRti Street - P.O. Box 11s0 •PortAngetes.Waihington, 08M Ph: 16'e') 404133 (388) 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 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 Total (Qty Multiplied by Unit Chame) $ 93.75 $ Service/Feeder 200 Amp. $113.75 $ Service/Feeder 2DI 400 Amp. .$160.00 $ Service/Feeder 401-MAmp. $205.00 $ ServicelfFeeder 601-1000 Amp. . $291.25 $ ServlcelFeeder over 1000 Amp. $ 2.00 $ Brandt Circuit W/ Service Feeder '$ 57.50 $ Branch Circuit W10 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. 5131.25 $ Temp. Service/Feader 601-1000 Amp. $ 75.00 $ Portal to Portal Hourly $ 69.00 $ 75.00 $ SOVOufte lighting $ Signal CkwW Limited Energy Commercial $ 50.00 $ Signal Circuit/ limited Energy 1 li 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 $ Fit 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 I am the owner of the above named property or a licensed electrical contractor.) am making the electrical atstallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter %28, WAC. Chapter 29$ 46B, The City of Port Angelee�Munlcipal Cods, and tt8111y Specifications. Sfanalon of owner, electdW contractor or electrical administrator X Dato: S ELECTRICAL PERMIT AAD INSPECTION RECORD Cl2T OF P®11�JT A NGELES 360 4l7/ -4/ 35 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:—; - Li 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 LV�P 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 ► LI) euo 1-r i ws t4.r�G yaq- 2 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 R5tl E® c-r*r va rt+ r"r �x 4NS�c�'tN y�s DEC 19 200RR F.RMITAPPLA( Al 10-N � ELECTR.TC AL WORK P U014T DENT Installalion description Job wired by O Electrical Contractor ❑ Owner ecommcrcial ❑ Residenliol ❑ Neww C1YAItered/Atldirlott -- - -- I _ Electrical contractor ndmd License number Date L'xpirrs � �1��-(�( f�L SEf�/►?PEGy.Z3 33_ _ Purchascr s mailing address r' Stala Z111 por-� WA r lephun number t'/,k number ' b ,SAenr-- -- A..1.1 r cn&rtl n i t �t �� W 1� Gem t t R e rnc��•2. ( -. _ _ ___ ___ _ _ -- Phone number to schedule -9pecti1)11 Ownor my defined by RCW l9 28 'Gl (1) Owncr will occupy file struc/urn for Iwo year+ o/irr Mir rlectekat per'nn! Isftnnli- •1 (2) Owner is required to hire an e•lrc(rical is for real tense Q Cash D Chcck # aN Ft c'onrrpt tor If ahoy void property Ile, or L�1 After rtuJiub the ^,bovc statement, I heresy cetziry that I am the uwnci of' the above named property or a licensed eldelnCal eulitractor. I am nteklng, the eleeincal Instal- ❑ Credit Card Visa Mastercard 1)iwu latinn ur alUnat,on In cumplianeo with i..e cleclrieal let s, N.E.( RCW' ('h5pier 19 28 WAC Chapter 296-46U The (.Ily or Port Angeles Municipal Code and Card # — — — — — -- Ulilily 5p cilications Expiration Date -- -• 111�pe`I:IIV I� IC'l' Signs a of owner electrical con raetor or electrical administrator X �%✓ �'\ ( �� Date of card Electrical Load Additions end or subtractions W NO LOAD CHANGES O Baseboard _ KW ❑ Furnace _ KW ❑ Overhead Service ❑ Hew Pump .— Ton — LAR ❑ Temp Service ❑ Fan -Wall _ KW ❑ Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360-417-4735 Lir?'INAL E HERMOSTAT ,; erocd ny� nnr•�� L)1TCH prrovad Uy An�rorcd �y IIl$I1�CIIUII Dale Arco, Building or Equipment Inspected � �r Service Inlorruuoo Voltage 2 7 7. -- Phase ❑ 1 ta'3 Service Size Feeder Size —. SERVICE FC;E:Iri'jx � Ih SPA 7 A Ll-n lLA •n 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 12/18/08 J 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 xe 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 �� CTRICAL WORKPERNUTAPPLICAT'ION UaHT Mall n description Job wired by Electrical Contractor ❑ Owner ommercial ' I :L3;Reside Electrical contractor name ANi� [?§ ELECTRICte Expires ❑New INC.0 t ddition Purchaser's mailing address PORT ANGELES, WA 98362le City State ZIP 4 �ftj Telephone number FAX number �^ A� Premix wser's same K Address of inspection City Y Phone number to schedule i 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 ❑ 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❑ Temp -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 ❑ 1 n60w_� Service Size: h Feeder Size: ;P SERVICE Date Approved By FEEDER Inspection I Area, Building or Equipment Inspected I Action Taken I Electrical Date Inspector T000/T000 a 0Ta108TH 93T03UV 99Z6 M 099 %V3 99 £T 900Z/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 1ST 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 Application Miscellaneous Information Maintenance Application number' 08 00000776 ASSESSOR PARCEL NUMBER: 08-30-00-e-4-0700-0000- Address: 223 E 4TH 7/23/08 7/23/OB 7/23/08 7/23/0B 7/23/08 7/23/08 OK x Fsa Camel, Add ;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 j 7/23/08 THIS PERMIT "PLANS:WITHDRAWN' I Highlighted Code' field indicates the line is not available � ffi\011 l U7 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 � Pew. Company C lall.aM Coup YA M ` Fax: n -Z3 `f Number of pages, (including transmittal page) Gal ►n) �acler J a f �h�. �oS+S uj\,,vo Hie - Co - & r w l Ise. -� r NSot �eG�f� -fir, J uj%er1 you Q In " vs, 07/01/08 TUE 16 37 FAX 3604172395 CLALLAM CO PARKS 0001 i Nof S'inl,�- 1 Fl ao v— O Ira i way pw-k4U,-- - es Ba-� I aw Fy-e ve - vo n 3 t Yc5 ? �eA-se, T-Ox � fl� Con cv,&j or-K Q� --!®f e. vesp©n5e �OA er -J`� -7tz Jo S G S0. reynoval 4 0.11 a-- a zog Pull Okssout I G< * J 10-00 f}� �%a�uct`�►�O ,�nS i e W OU (:: E, - D? 6 V-&r -To V LDA- IPA t�61 ?L-e--� G i�� � � V�+ &Uv--tvOv se - goy � 07/01/08 TUE 16 38 FAX 3604172395 CLALLAM CO PARKS Cij002 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. 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 > I00,000 - 500,000 Btu/h 29.3 - 146 48 kW > 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:5 10,000 cfm 4 72m 3 /S Air handler > 10,000 cfm 4 72m3/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`� 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\pc� Date App ved Applicant or Agent -for; � C� �I.1 t,S[ ,_l �' Phone 3 - Q :k- 7- 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,"virjite Ricl 4ail K .vao bat Pam" 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 H W W H z .I O V z 4TH STREET PARTIAL SITE PLAN SCALE: NTS 204 SF 5= n--- 1 o el ww o a omo SF OMV-E STOR'__ C= 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 2 Wo`$ ALlA �0 V% i ate Print Name ignature of Contractor or Au rized Ag nt Signature of Owner (if owner is builder) T.Forms/Building Div ision/Budding 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE _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, W.' per 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 Fee summary Charged Paid Credited Due 2 6/20/08 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE -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 IPW/ 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), , ./M Ui PP mil (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 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE OUCH - 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 C64W.1 u4 _k-k ❑ Heat System ❑ Heat pump ❑ wood -bur ing stove ❑ gas fireplace ❑ pe t stove ❑ other ❑ Other Floor Areas Existing Ism ft.) Proposed Isa. ft.) Basement @ $ per sq. ft. _ $ 1 st Floor 2"d 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 .. W W H N z O V z J 2 HOUR STREET PARKINS 4TH STREET COURTHOUSE PARKING LOT PLAN N SCALE MS LOWER LEVEL REMODEL W W H CO) C O to Q W d O I 1 \ I I I I I I H I I I I I 1 1 H I 0\ I I Q z 1 I 1 � 0 1 I 1 I I W I I I I Ur H I W I I I IQ Q I W I I 1 a q I 1 w I 1 I I 1 O 1 I I W 1 1 ry D\ I W I I O N I x I I a w I E 1 1 u N O • a v r r I W E. 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F q W u Wryr; 0 i1 a I 0H rl ON 0 OH H OH OH I H Il 0H I U)WWH 'N W U a \ 1 aa Ea H H H PQ W E.q Z Z Rj a l a l H P: 7. 7 El a Z I F5 a a\ I Ix H 0 q 3 a l PPP777 it I a g a a a a w a 1 W W r w a U U O a IQ 1 a E I Q] CU OQ W q w w W 1 a F I£ I 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 ELECTRICAL TYPE DATE: RESULTS: 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' SPECTION TYPE DITCH SERVICE OUCH - IN FINAL OMMENTS DATE: RESULTS: ELECTRICAL INSPECTOR: 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 7/24/08 J 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. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 -------------------------------------------(---- Permit . . . . . . ELECTRICAL Additional desc . . -------4 ----------------------- ALTER COMMERCIAL A Permit pin number . 130252 UQ 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 SPECTION TYPE DITCH SERVICE OUCH - IN FINAL OMMENTS DATE: I RESULTS: 0 ELECTRICAL INSPECTOR: 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/ /• FRAMING June 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 Ol O8�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 U2 0g 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 wn 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. IT IS 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 H'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. IT IS 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 H's PARKING/LIGHTING r ..w Cnc ornic -%_ri'69 FINAL-7-2* 8 DATE_y& ACCEPTED BY: FINAL-7 2-` -og 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 DEPOT p PUBLIC NOR1C8%EIIGIG DIVISION ❑ LIGBT DRT a p ffi�GIHSSxING p POLICE rwvxi=KZXr ❑ oN - - p CITY aum- a RISK►cr S CD S FROM: PUBLIC WORKS/BUILDING DIVISION RE: ADDRESS 2 2-3 2E -, S NAME/CONTACT PSONE: `l 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, 200B 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 ----- --------------- — -- C0 mw.l"IV Lx,: JXc, 0* PMrqA,- xq�7_P000 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 Protect 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 t For City Use Only: Date Received Permit # — te Approved onell AG . Zq LC� hone i( 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 417-7-2409 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 Signature of Contractor or Authorized Agent Signature of Owner (if owner T: Farms/Building Division/Building Permit (10/01 /07).wpd 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 U'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 l't T_ T Forms/Building Division/Building Permit (10/01/07).wpd 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 3/12/08 J 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 2Art( � P Contractor/Engineer Phone Contractor/Engineer's Address License # Expires PROJECT ADDRESS Z22i ��,- 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. _ $ 1 sc Floor 2Id 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 C— J L- Ply tN op.7k 10 10 11 I M NEW MEZZANINE �J rim IC z �\ r ANGELES -- ron ^trtictinn r'1av?5" �e Js 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 Ition of all codes and ordinances of this jurisdiction. Approval Date By OL PARKING LOT MEZZAN NE PLAN SCALE: V5"=1'-0" a EPT STORAGE %'3 C. RECEIVED APR 1 1 2008 CITYBUILDING GOF RDIVISION ES NOT 1.0' 2.0 3.0, 4.0' 5.0' 9 ne 7.0 8.0 9.0, "Y! B R-5 IV HR-5 L #3 6, � (�UL. #fd HR-4 COL #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'—O" 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 i GATE POCKET 3 / EA (1) — 7'-6" HR-8 1 GATE PANEL (2) CASTERS (1) — 6'-0" MATERIAL FLOW & CONVEYOR SYSTEMS, INC ,,,,T..W.QmW"FW.4 TomtkORgrM �\ M M OW8131 MM Uf 1382 4 FAX 1O1 M"113 a�ertm;wwwnmwwnoa.00m 1 wwm fa�.00m uaa yam ano.� 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 �� CALLAM SHERRIFF S OEPT DS rortr woRI r ]C7—L?600-1_01 REIAOVE ALL SHARP ED AND CORNERS 02-12-08 1/2"—V o MF07-2600 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 u.a lolm onwi Da DMMO O nQ PIIOPIR" OF WUWL m . m FAR •OM'fmF=mNOA!6am= 0a0 . Caa ON NE 0O a m DpT 7K Kom D[]Ln ma0 • 1oa MO OOCEM PAWM t NRD OMPOOMIL nvcmNa k I AM 6 Sue T m MURN ON onum NNNNI • I r e & RSC 00 NUT SCALE ORAWWG DS REMOVE ALL SHARP o• o Il i r r I o N r. EDGES AND CORNERS 02— 1 2-06 1 /2- i ZIMATERIAL FLOW & CONVEYOR SYSTEMS, INC 11,17&W. f4..w0 na • row. OR 91 PH: �,l19/MM, WIN2 4 FAX OM IBa l WFE BfiEB'. ww.merlriMw.mm0 ww'—y -p'm— 20' X 20' MEZZANINE ELEVATION VIEWS 07-2600—LO1 CLALLAM SHERRIFF'S DEPT pm ANGME& WA MF07-2600 1 07-2600-EL01 M �- M � , D-1 'i D-1 D-1 D-1 D-1 D-1 cl D-1 D-1 D-1 D-1 D 2 9 D-2 0-2 c 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 \ I` �^ MATERIAL. FLOW & CONVEYOR SYSTEMS, INC 1i117B.W.oMw"Rd. / T0W,0R9= PH. �6Q1) lB41l19 / �� 796198� � FAX (6�f) lB�61 St wEB BrtEB: +.w.mE.hlnow.aan 1 www.mn+rQo�.c«n u � NOTICE na maw a ncc FRWE r or MM& fl° A 0WMW &=W NGvD 6 MM ON 1w oacma nw nc n a.m oe 10 Ram ETURNDON o� OMFUUMIL � 20' X 20' MEZZANINE DECK PANEL LAYOUT FOR INSTALLATION +o RK,OMI u DO NOT SCALE DRAWNG RSC p' "` �°' " °'0 ""O1p CLAUAM SHERRIFF'S DEPT. pw ANomm VA DS - REMOVE Atl. SHARP EDGES AND CORNERS 02-12-08 1/2-1' " "' MF07-2600 07-2600—L02 r M — 0c a R,.,,,, p 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 UGH - IN a FINAL 1a �� 'TV (OMMENTS: 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 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`h 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 . . . . 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. UZ 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 fianiniable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: l` 1 V) 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:LZ- 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: 0 9- 2-Li I- G s6 3 PERMIT NUMBER:_ PROJECT DESCRIPTION: ❑ NEW CONSTRUCTION ADDITION/ALTER*ATION COMMENTS/CONDITIONS: REVIEW/RETURN ❑ FILE a7 - 1 `( 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 504-Z y/ -D.S 63 Owner e Lg 1 f p nn CoL'nr N Phone 34ob - 41/7-2 VZ 9 Owner's Address 2 Z 3 E �!i tze� Pv2T A-,q ele s, W 14 9 8 3 6 Z Contractor/Engineer ,q CCE-sS u rn l ,mites! AN 0 Sc cur2,ry Phone 50 9 - 2 41- 0 s63 Contractor/Engineer's Address Z & l5 til . C, N e,, ti.va r, 44-10 1 S ,00 K4 N e , t,,i A 9 r z o -7 License# ACC ESu�,:,9-14 V7 Expires S/2c./zo©9 PROJECT ADDRESS Z Z 3 E E-ou�rt+ S-r _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 1 s` Floor 2"d 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) 141-0146 Fax: (509) 141-062 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 To: Joel Winborn Subject: RE: Clallam County Correctional Facility Renovations D Dear Joel: Getting back to you regarding your earlier e-mail. The two conditions of building permit approval requiring 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 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(a�co.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 %Uz GD P All three drivewaay approaches on 4th Street will be s, W replaced to meet current ADA and City Standards. Postal mail 1, 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 [1105) Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. 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" 6 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 [11051 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 LOCA : 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 [1/051 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 2.007.0000ECHPL- 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 provisions 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. 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 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 eletrical 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 IN A 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 2/25�0 8 TL � .---� FOOTINGS 31314- SHEAR 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 #'s PARKING/LIGHTING LANDSCAPING 4/151C)g TLL unJer&(" r(urnfotn9 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/U I). 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- R Z7 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: L,Q Date: L b • t 5 • L) 7 ® Building Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy TO: DATE: IQ 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: 21 3 E qti' S NAME/CONTACT:�,� (� i n kc r-v-.\ PHONE: H l 7 H 2,9 PERMIT NUMBER:_ Q -- (1 i : j PROJECT DESCRIPTION: R e�Q A O v� ek 1 S� r-,i Cl ❑ NEW CONSTRUCTION ADDITION/ALTERNATION COMMENTS/CONDITIONS : AREVIEW/RETURN ❑ FILE BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: 11 DJDe t ec.: LO �D -0% 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 Peit a: ©�-/7T accepted for review. (360) 417-4815 FAX (360) 417-4711 Approved:�con$raC*0ir �Sf—'� ' Issued: tll� Residential projects: submit two of plans mom Commercial projects: submit thre sets ofplans FO()I Applicant or Agent In l Phone ;54PP- 411. 2 Agn Owner C1 Ac PM Phone s rvc' Owner's Address L3, lit-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. OEM ❑ 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, 19#ACr 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 122Qf/-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: CXALLAMCOUNTY JOB No: 62060CH ROBERT GLASS do ASSOCIATES Beaman Arciftecture, Ltd. P.O. BOX es039 COFF-CT04AL FACILITY SHEET NO: P.O. Box 28097 Poraana,OrW 97286 PHASE 1- FENOVATION SPOKANE, WA 99228 tel.:(503)236-3300 R.A25-1 5n0 AAA A'i7n in t5031239-9191 _ 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 • �.low - • o: i%Iy �o GENERAL COMMENTS: 5 (a% 4`���y , .,.... �c �` FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION `� '�' DateRec.: I -'�-'e� ? ! Permit #: n 7 t5t 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 ' us, call Date Issued: PERMITS (360) 417-4815 FAX(360)417-4711 LQ`cl S ©q D% - e,1 Svbry)its new Flan Applicant or Agent: JQcA L2 Phone: o Id fJ (abs, Owner: r cslkNy\ �• r-Z t Phone: s Pzv � I b m>° ArowaR Address: ZZ'� iS PHA AtTA �•r S� a' city: �a Any c-e LeS , �A— o oeI Zip: P� Z.- Architect/Engineer: �. Cam, . A� - ��ts:z�' !� � `� A45 . Phone: Contractor`t"o t� f� L►Mtvl� State License #: Exp/NING: hone: � 00 Address: �—�' City: (OL 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>1 o 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 wt.% BRIEF DESCRIPTION OF THE PROJECT: Goj-k+t -a COMMERCIAL/RESIDENTIAL: Occupancy Group: — Occupant Load: 2 a Construction Type: No. of Stories: Lot Size: AFL Existing Sq. 5 & Proposed Sq. Ft. 4,�t5 =TOTAL Sq. Ft. �v Total lot coverage % .1 PLANNING USE ONLY: ESA/Wetland(s): ❑ Yes ❑ No SEP -V required? ❑ Yes ❑ No Other: APPROVALS: PLAN: BLDG: DPWU: 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 ify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for t is 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: I l `1 d v.on CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET. PORT ANGELES. WA 98362 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. 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 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 y 41 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: 1102.15 (4" 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 1 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 IT IS 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 CEO 321 FAST 5TH STREET, PORT ANGELES. WA 98362 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 417A735 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 DR UffA� 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 [A COMMENTS/ACTION NEEDED 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMff CARD AND APPROVED PLANS AT JOB SITE ®�0 III : --- GENERAL COMMENTS: PW-1102.1514" CITY OF PORT ANGELES Lasered PUBLIC WORKS - ELECTRICAL DIVISION CFp 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 1� 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 IT IS INSPECTED AND ACCEPTEDD, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE �iagvo:e2FLKII'ri GENERAL COMMENTS: ww1102.1514" CITY OF PORT ANGELES Layered 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. 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 RyaIlk, tile) WOW GENERAL COMMENTS: PW-1102.1514ft] 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 . . . . �i�At�o � �; 11n6 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 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 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 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policres\l 102_15 budding permit inspection record05.wpd [1/4/2005) 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 4 0 T_ T.\Pobcies\l 102_15 braiding permit inspection record05 wpd [1/4/2005] 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 ^D TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C ---- — ---------------------------- — -- — 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. 1 3 3 •'44Q- Owner: Phone:36o. 4 i'j • 2-S-0 2- Address: 2;X3 15. 4,;O u #Asit. 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: (o -.0 d6 `'i s3 4"1 Phone:14p .I R . Address: Z. t7L V ty 15 i ai-/ F-t-, City: f ut, i ej 4E 4A. I-t Zip: '1L31tb PROJECT ADDRESS: ;Z*X 5 C , IA-Dy Rat+* 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 I 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 wwwcityofpaus Applicant: �• Date: kalv IN. PV45 CITY OF PORT ANGELES s® PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH 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 Service Type 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. 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 �, /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/f,? 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 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIND" 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 1goilLtl:art/LKwig --� 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 600/000-0000 PROJECTINFO -------------------------------------------------------------------- Prj Type: COML. MISC. Prj Value: $0.00 Occ Type: Cnstr Type: ADD HEAT 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: rw-1102-1514 i CITY PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 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 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 ------------ =---------------- ----------------------------- 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. 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: CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 99362 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 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 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 417-4735 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 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: 223 L/ f . 7 ❑ READY FOR ❑ WILL 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� 31 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 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 ? 7 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� El Signed 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 le 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: / ,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: �^/� Cow-�-P Permit/Receipt No. �aZ � 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: 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: ❑ New Construction ❑ Remodel ❑ Service update/alter/repair Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) Comment ❑ Overhead , ] Underground ❑ \0 ❑ 3 0 ServiN size ❑ Tem Amps d for: ❑ Easement ❑ Letter ❑ 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. //— NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / Lb[]mo 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` Di 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 ❑ WILL 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 1' 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 s vice El Fire Department notified of inspection ElFinal O.IS.❑ Plan Review approved/pending P s 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/ � NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / / Inspector IAmount paid WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall FEE RECEIPT NUMBER CITY OF. PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000327 PERMIT NUMBER 11 LIJ TOTAL FEE- - � /JAL 1/OG l/ L� ` O/vi m 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 69ZIA/TY Ci�LC� t%OG1SF_ Owner Installation By Owner's Address — 22 3AF@O':$-�/% '`% 1 - - Installers Address /•%Z/e WEB /%; -'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:;/ 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. - , \,, .- - - - �•L�/UDIREC R 0 ITY LIGHT Date Permit Issued By �Fl—� � PLANS A108119OVED Ll WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — OLYMPIC PRINTERS, INC. 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 y 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 IN WMVNU AUUMtbI tJ A Mt UANUEl_LLU I l�. Owner C/ 11�n �ce„--iA Installation By Fllb i .a./ C444 Owner's Address Cif. Installers Address Da Phone `/$-2. - .} 8' 3. f —� JUST y 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 the installer 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 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 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $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. IT IS 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 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 Applicant and/or Owner: 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 t� TOTAL VALUATION S BREEF DESCRIPTIONOFTHE PROJECT: to vu.\ of era_. .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 SUBMITTAL: Your app6aadon and wire p/mr mud befi0ed out completely 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 Mans 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 rutations. 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 0 2 V. 1102_ 13[mv.2/96] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT 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\I 102.15 [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, '--,juiyision Manager I;tabnintproj_mgA3-iMwdpa=n li pfbm\034xAlcing mantwanc curityt ty of pa.dw NEW 3'-6" DOOR IN 1-HR RATED WALL L� -HALLWAY ATTAGHMENT # 1 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 ATTAGHMENT #2 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. 13 !C_ /vo Thank you. Attachments Address: 'Applicant's representative (if other than Address: Property Address: Street Legal File # Recpt# phone #: (9 85 a II �Wa 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� 5 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 knowl 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 11 1 1� 11 1 w t •va �1 lasatl5 µh �- z sl 'vcn �-,-Woslw•1bod � ......�,m It��l fAWF"s *rh •3 lLwc ^Aw �.., n�uw �... 9n•nY7ti ,3SQ0}1L71P0J i�111n0ii 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 ILL t O : 0 FA ROM Applicant: J Corp J / J v V Address: 5l (7 C n�� e e 1 ne P A Daytime phone It: Applicant's representative (if other than applicant): Li� Address: SY � 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 PC j Q 1A Legal description: �6'�ion of �a�� f3 I��(% v46A--j Zoning: P D P 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.): - t o� Please describe the proposed use: cluAoc" Number of employees: ,�O - YO VuJor Hours of operation: Number of on -site parking spaces: 2 yd Number of off -site parking spaces: Building area (total square feet of floor area for the proposed activity): NIA � 1 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 I I � 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 KIT CITY OF PORT ANGELES °® PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST STH STREET, PORT ANGELES. WA 98362 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 Service Size: 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 ❑ 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 rzi�ce�:eur�K•vi�:�i'1/�7alEL'!� 'rye;ancy <r�� 33112►_A GENERAL COMMENTS: M-1IO2.1514961 ;} t� '_ .. e t.. . , .., ,- y BUII.DING PERMrr INSPECTION RECORD CALL 417-48I 5 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,; INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT 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 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 -� 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� , DAT' ES O C�IONECiL A�CBPTEDRESiDEN1AL "- ES" NO ELECTRICAL, -LIGHT DEFT. 417-4735: ELEHT CTRICADEFT'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 _ 417-4915 . _ ... - BUILDING TAPLANNINGIFORMSV 102.15 (4/2002] CITY OF FORT mamm DEPARTMENT OF COMMUNITY DEVELOPmENT - BUILDING DM ION 321-EAST 5TH STREET, PORT ANdELES, WA 9$362 BUILDINGPiGRNIT ISSUED: 8/131ZD02 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 98362 Block; Long Leggy . - 206(452-7831 Subdivision: 4-�15 BL 6� TAR T. S: Parcel No: 063000102605000 :- CONTRACTOR AR, ITECT : OWNER NIA VARIOUS Dort Angeles, WA 99M 98360.0000 00000Of000-oo0v PR©JECTINFQ Proj t VaI4e_ $15,00.0.00 SFP Units: 0 Com . 6 Project Type: INT. REMODEL SFR SQ FT: 0 IndusIbial: 0 Occupancy Type: COMMERCIAL Garage: 0 ; 66upario G`r`aup: 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 -surcharge: U.W .. Misc Fee 3: House Moving $0.00 Man ctured Horne: $0.00 Sjgn: ' $0.00 TOTAL_ FEE: $:m.75 Plumbing: $0.00 AMOUNT PAIL): `` $266.76 Machenical.' $0.00 CLUE:.. �. Radon: $0.00SCE separate b its werequired for eler trioei wwark, SEPA, ^ r�ii € F ig►,°artilides, priar to and pubfic irnprov null and void Rif work or construction authorized is not commenca.4*►ithin 180days,`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 180 days from tine last inspection: I' heieby certify that l Have fead:Arad �*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,dont 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.Contractcsr 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 IN A 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 it's PARKING/LIGHTING LANDSCAPING _.. _ FINAL INSP' SREQ _, - , ., UIRED PRIOR TO OCCUPANCYL[JSE - ..,,: RESIDENTIAL : ,DATE YES NO COMMERCIAL DATE, ACCEPTED ni"ES7 NO ELECTRICAL PRICAL -LIGHT DEPT. 417-4735 ELtRIL LIGHT CONSTRUCTION R.W. L PW/ ENGINEERING 417-4807 µ CONSTRUCTION - R.W. PW / ENGINEERING FIRE 417-4653 ^, FIRE DEFT. - . PLANNI4GDEPT. j 417-4750., 1 :. I'LANNINGDEPI. ' ; BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS1110 j 15 I4/2002) ` BUILDING PERMIT - PREAPPLICATI®N X ' The Building Permit - Preapplication must be felled out completely. Pkase type or print In iok lUyou 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) cc� t 1—SZ__ Applicant and/or gent efts l � , tlJ i t2 r� �v fL �J 1�l`C � Phone:4(4 - Z A 7_1 Owner Phone - Address: L 2 City:�ti7`�Zip: chit ngineer.- tynr 4 Phone:�-�- Contractor 0 hJ �=t' , Y-. License #: Exp: Phone: Address: City: Zip. - PROJECT ADDRESS: `: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 ❑ Woodstove SF. @ $ /SF. = S o Multi -family ❑ Addition ❑ Move ❑ Garage SF. @ S /SF_ = S_ Commercial Remodel ❑ Demolition ❑ Deck SF- @ S /SF. = S ❑ Repair ❑ Sign ❑ TOTAL VALUATION S BRIEF DESCRIPTION OF TIE PROJECT: E�fST1� ►n I SiP.r t A�r1 i LgtF— A rya n t C::7:- i4 ,.�Q� COMMERCIAIIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:_ ; No. of Stones: Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + 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? ❑ Yes ❑ No Other: OTHER P REAPPLICATION SUBMITTAL: Your VpEcadon and sate plats 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. BUILDING PERMIT APPLICATION SUBMTITAL: 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. EXPERATION 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 -1102 _ 131rcv.2P961 r Applicant: Date: 2*9f os-- cW—Y a. SUE PLAN DEPARTMEPfTOFPOBIIC WORK. BUIMINGDIVMON l6 FIUOi0R RECORD AT THE REQUEST D5,(p/a/d3 r QE �. 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. 5;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 commissioned nra 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 �02 Chief Deputy Prosecuting Att6irhey 00*, CITY OF PORT ANGELES a'i 321 DUST WORKS ST�REETEI�ORT AWIELES. WA 98362 Date 1'1/05'/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 plan .00 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 -----61.3 - -------- ------ 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. ff IS UNLAWFUL To C ' INSUL4 FE OR CONCEAL ANY WORK BEmRErrIS INSPECTED AND ACCEPTED. —mow XEEP PERMIT CARD AND APPROVED PLANS 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 IcZ61I[cf:aI/Lem,V V s.,30:L•jlei GENERAL COMMENTS: 5 [41%] CITY OF PORT ANGELES 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 18.0014.0000THOU 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 summary Charged 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 [ 1/4/20051 BUILDING PERMIT INSPECTION RECORD O ` 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE 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 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 building permit inspection record05.wpd [1/4/20051 PREPARED 11/09/05, 13:28:40 CITY OF PORT ANGELES INSPECTION TICKET _ INSPECTOR: JAMES L LIERLY PAGE ADDRESS__--. 223 E 4TH ST . ------------DATE-_-ll/09/09 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 7/11/0 13:26:31 CITY OF PORT ANGELES INSPECTION TICKET ____ ____ INSPECTOR: J ADDRESS - _________ AMES L LIERLY PAGE 223 E 4TH ST 7 DATE CONTRACTOR ---' — 7/11/OS ------------- 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 ---- ---------- T ION -- __ RESULT RESULT S/COMMENTS BL3 01---------- ;;-,-- 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: JnA 41W (,.kf5c)?Q L el- .w i ;<C, a or--i Phone: �4 1 � - Z L4, L. Phone: Z 2a ,4 �T�r City:(et `�Engineer: p , �Zip: 018 31`C— Phone:State License #: _ Exp:Phone: City: ADDRESS: 'sj Zip: _ZONING:ESCRIPTION: Lot:oZso 13-18 P_t2jBlock:fh[_ S °`° Subdivision: COUNTY PARCEL NUMBER: D (c, 3 1 �L' l2 } 7A�f 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 ❑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/OS 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 Charged ----------------- ---------- - 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. Plan Fee Total 236.00 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, C ONCEAL 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-1102.15l4fM 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. op - y {u va �AIJ�/OcAddress p-' —_-- c c --- ------ --------------- Owner -_lGa; A ---------------------- ------- Tenant ............... Z..... ...... --- - Wiring Contractor -_E<c e a'.'�, s.f/,' -V y :... Light Out] Receptacle Dryer, KW Range, KW........ water Heater: Heat: KW .......................................... Motors: size, volts and phase Remarks: Load............................. �i/ F c. -------------- /t i ,. i 5_ 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 9 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 Polt 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/`-v:------------ .____. 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 ...................... Sec 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. ORT ANGEL CITY HT EPA TMMT S ELECTRICAL PERMIT N° 15944 LIGHT DEPAAThIENT 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 A-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 & Tube .................................. Rigid Conduit ............................... Metallic Tubing ........................... Raceway ......................................... Circuits. Light ....................................... Utility............................................. Heat................................................ Range............................................. Water Heater ............................... Motor.............................................. Dryer------------------- __-------_---------------- Furnace ......................... ..................... Tots] ..�v . ................... ...... 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 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 -----=i --' -' = l _� --- - 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. 0 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...-. 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 ...................... See. No--------------------. Set. No ..................... Ser. No - -------------------- a Type of Wiring: Armored Cable ----------------------------- Non-Metallic .._..._------._-------------- Knob & Tube ................................. Rigid Conduit .............................. Metallic Tubing --------------------------- Raceway ..--------------------------------------- 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. r ELECTRICAL W ORK PERMPTAPPLICATION Job wired by ,2;lectrical Contractor 0 Owner Elec 'cal contractor aamSl� Lice,�se numhar Daro E. i[es Purehsce�r'aCl�.Kai1%��.�jaaa[ILLeL�SZ.v✓/G� City en A Sfate 71I /ef. A Stau n�I ter— - FAX of inspection City �J6 '2 23 Phone rnbhr to schedule inspection: ter, ) 1, i 1/. Owner or defined by kCW..Jo28.d61r(1) Owner will occwpv the .stmrcrure for two years afler ihu electrical permit is finalized, (2) Owner is required 1v hire an electrical contractor 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 296-46B, The City of Part Angeles Municipal Code. and Utility Specifications. ❑ Residential ❑ New U-,'Vt,,ed/Addidml 0 Cash ❑ Check # Yd Credit Card Visa Mastercard Discover Card # _-� --- ____ r Signature o ownc-ela trical co ratter or electrical administ ato Expiration Date of card $tspcci e�p r IX Date• /���� Elqgtrirpj Load AddiflonsaiNd orsubtrat:tions 2 .90mace Information NO LOAD CHANGES ❑ Baseboard %jot voltage. — _KW El Furnace KW ❑ Overhead Service Phase 0 1 0 3 _ ❑ Heat Pump _ Ton LAR ❑ 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 El meal otnator me sense number Date Expires Pumh fling \s \ Q 1"r City P•//�r $talc ZIP Tclephop�;umbe; .7� FAX numbtt,K74A2,17, PremisT�own r7 o. e/mte Address of Inspectiiornl /1�+OJP•N�11 21 1 r City 9 ` Phone number to schedule inspection: t `7A_(a 7 Owner as defined by RCW.19.2$,261;(1) (Tuner will occupy the structure ,for two year$ after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor 1f above 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 f lectrie ontraetor or electrical administrator �f Iret llate: S'�S�D U NO LOAD MANOES O Baseboard _ KW O Furnace KW O Heat Pump Ton LAP ❑ Fan -Wall _ KW ELECTRICAL WORK PERMIT APPLICATION PCommercial O Reeidentlal ❑ New P(,Altered/Addhion CY CunN con 4om6— Rold CoU'( 0V'5't 0�ee Ae IWO MAY 9 3 2008 3 Cash 0 Check # ;KCreditCud YLsa rMI 15iscover Card # _ U�+_t�Y�''� Expiration Date Inspection fee of card a t1nd�— Q Overtmaed Service O Temp Service ❑ Underground Service SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 Vottage ______ 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 dmeriplion �. Commerdsl ❑ Residential , lcerrienl contractor name License number Da1e, Expos ❑ New AAlte�/Adilmon pcbucr! mailing address I.J /�•7///1 ,, 'S7 �c Jr l.� e/^/ A4" 43 D ty W,o f slam ZIP slephanc trumbor FAX number �p1r' /<�.Pe�/fYlb rn�eE. 91vi1 �er's Pam .... . - -t: _ % .....¢" �'��MI�rJ-� n� �iiGGr��SY.vu✓'r.— J r S4 r Phone number to schedule Owner as defined by RCW, 19.25.261:(/) Owner will occupy the structum for rwo years"der'thLr-eleeKiari"permlrYsylwlrzed.-(2)'Owner'te.reptdrcd-ro.hire.an.clenricd._ Q1.1��✓"/"�t contractor 1f above said pmperry irJbr rule, rent or hare. ❑ Cash ❑ Check# After reading the above statement. I hereby certify that 1 sin the owner of the above 1?iscwei named property or am a licensed electrical contractor. I making the clectricil 'Rate]- Credit Card Vim Mastercard lation or alley ticn 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 — LAF ❑ Temp Service ❑ Fan -Wall —KW Cl Underground Service SAME DAY INSPECTION CALL SF.FORE 7a00 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 Arco, Building or Equipment Inspected I Action Taken I Eleotrical Date 10aPCCLar Oqm�, ELECTRICAL IINSPECTION WIRIING REPORT w� 417-4735 RK56 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. (3W) 452-1381 ELECTRICALWORKPERMITAPPLI-CATION RECEIVE® — JUL 2 5 Z� by lectrical Contractor ❑ Owner Instal on description 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 J¢s sts City State ZIP �L� �N LAIN 6e*46 Telephone number FAX number Premia is X y -s _ Address of inspection_ City Phone number to schedule inspection: Owner as defined by RCW. 19,28.261:(I) 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 son 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 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card # _ _ _ _ _ LVV -_ or electrical administrator Y Expiration Date t J*NO LOAD CHANGES 0 Baseboard _ KW ❑ Furnace _ KW ❑ Overhead Service ❑ Heat Pump — Ton _ LAR ❑�TAD� Service ❑ @ Fan -Wall _ KW 'underground Service %OUGH1l r TEIERMOSTAT Approved By JJ Il\ Date Apo,, Cl)�111 DITCH E& ;(3 ;F7 VoltagePhase AO Service Size: ��s% Feeder Size: _4x.7 SERVICE " Inspection Date Area, Budding or Equipment Inspected Action Taken Electrical Inspector 7- a5 - v8 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 C�0001/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 mailtng address ANCELES ELECTRIC, INC. V aOz90 "' 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.ieseection: / /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 ❑ 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 360417-4735 Feeder Size: P.M4t/A4 7.00 AM THERMOSTAT SERVICE 7 z6 YW Dore Appoved By a Da4 Appm By DITCH FEEDER 7 Date Appo By D.W Apprm By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector (7)22/20�8) 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' ELECTRICAL WORK PERMIT APPLICATION 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 'Installatl escnptton ommercial ��❑ Residential ❑ New �gd'Allererl/Additiun a vl Address of inspection �jy Z? ���, 4�j City [L . Phone number �7-4:y /a tV —77L.5 Owner as defined by RCW 19.28.26t(/) Owner will occupy the structurefor two yews after this electrical permit is finalroad. (2) Owner is required to hire on electrical contractor if above raid property it 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. Signature Doff weer, electrical contractor or electrical administrator X 7le i7', %/_.r_ Date: ❑ Cash ❑ Check # redit Card Visa Mastercard Discover Card#-----�f _--- ---- Expiration Date of card $ ❑ NO LOAD CHANGES O Baseboard _ KW O Furnace KW ❑ Overhead Service ❑ Heal Pump :7-jon _ LAR ❑ T!T.QSMice ❑ Fan -Wall _KW 9k0nderground Service ROUGH-ININW�^yam THERMOSTAT A,i By Dete Appav FINAL DITCH Service Infortnatlatt Volta7.0 Phasege ❑ 1 Service Size: ^to Feeder Size: LAaGCi - SERVICE Inspection I Area, Building or Equipment Inspected I Action Taken I Electrical Date Inspector Z000/ZooO in oialooTq SaTastty 99Z6 99V 09£ XVd LT:£T 900Z/LT/Z0 PREPARED 7/18/08 ACCOUNT CONSUMPTION HISTORY PROGRAM UT4756 CITY OF PORT ANGELES FINANCE DEPARTMENT CUSTOMER: 63851 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/OS 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 10/09 10/04/07 8/31/07 REG 31 9/07 9/06/07 7/31/07 REG 32 8/09 8/02/07 WA 98362 PAGE: 1 METER SIZE: ACTUAL ACTUAL ORIGINAL ORIGINAL CONSUMPTION -------------------------------------------------'______-- DEMAND CONSUMPTION DEMAND T12100.00 597.00 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 23.98 TOTAL CONSUMPTION 63511800.00 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.TPTr. TN(` 360 452 9265 it Job wired by CKlectrical Contractor ❑ Owner Electrical contractor name Uiccme number Dale Expires Purchaser's mailing address 524 EAST FIRST PORT ANCFI EC. WA 427R9 city —. �. state ZIP Telephone number FAX number Address of City f if P�362 Phone number to schedule }taapectiun: r J Owner as defined by RCW 19.28.26C(I) Owner will occupy the structure far two year,, after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property u !or .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 alteration in compliance with the electrical laws. N.E,C„ RCW. Chapter 1929, 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 ❑ New Itered/Addition I�iL d✓A� �u� ❑ Cash ❑ Check # 52, reditCard Visa Mastercard Discover Card# —__= Od°✓ Expiration Date of card $nspecli ` 60 FJ�c1e¢a1 Lo idAddif ons anifof subtroetlons Service Inlorm�tjQq U NO LOAD CHANGES ❑ Baseboard KW �� K W � Voltage !]✓T U ❑ Furnace _ KW ❑ Overhead Service Phase 3 �p • Heat Pump _ Ton LAR D Ta Service Service Size: W O ❑ Fan -Wall _ KW i nderground Service Feeder Size: SAME DAV INSPECTION- CALL BEFORE 7:00 AM 360-417-4735 ROITGii-Ili' - T1IERMOSI:4T SERVICE pare Approved ay Dal, Annvvcd Ay FD.11� "NAL DITCH Il"ER S1—o� _�T�Dnrc wnnrnvea av D , Amnved Ev AOCNvod-nv htspection I Area, Btuldin or Equipment In cited I Electrical Date SInspected Action Token Inspector �f PORT4NCF! 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 DT19-nI I r4 c s n145- <�I- /In•I'za "-:�?P . "J1Z F-; / B-1) Um'T-PLA: C.J 1S Fo- F-- 6^t,-9:1C-/\ 1W 1PK-E: Ar k 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.E_Lo-v T-,%_ L 1 1 h- 1 Z Pc p DoDtz- -IVY C_ 31 L4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS. INC. (360) 452-1381 1-10-208 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 Umnsc number Date Expires ANGELES ELECTRIC, INC. O New /�i,r It/e7�rryAedIlAddition Purchaser's mailing address LY -_ ��-J ��'�—'�7l PORT ANOELLS, WA 98362 l L/Z City state ZIP Teluphont number FAX nm 4ey� Premi/spsi,owner's name 'TAIL — of City Phone number to selt*lq inspection: Owner as defined by RCW.19.A.261; (l) Owner will occupy the structure for two Year, after IAir elecbical Parotil is finalized. (2) Owner it required to hire an electrical contractor if above said properly Ae 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 cicctrical contractor. I am making the electrical instal- redit Card Visa Mastercard Discover lation or alteration in compliance with the elcctrical laws, N,E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Pon Angeles Municipal Code, and Card N Utility spcci(caticos. Q7 Fq 13 NO LOAD CHANGES ❑ Baseboard KW ❑ Furnace _ KW ❑ Heat Pump _ Ton ._„-- LAR ❑ Fan-N/all _KW rr or electrical adminis ator Expiration Date rh Date: l of card I ROUGH -IN n r`F Uxr: npprewd Cy t FINAL Voltage U Overhead Service Phase D 11# ❑ TeP�RR Service Service Size: A'Ondergrountl Service Feeder Size: 'MERMOSTAT SGRN ICI Approved Cy , DrFCH ' / FEEDER Inspection Area. Building or Bquiptrrwt Inspected Action Taken I Rlcctrical Date Inspector c ECTRICALWORK PERMITAPPLICATION eauest Inspection lectrical Contractor O Owner �'e,...•- O Annual Permit ❑ Alarm ❑ Card ommercial O Residential ❑ Residential Maint. O Signs ❑ Thermostat ❑ Telecom. Installation dcscap ion Jab wired by Ue 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 ❑ 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 ri m's authoriacd agent) and am making the electrical installation or alteration in compliance with the electrical law, Chaptcr 19.23 RCW Card # Signature of electrx'21—contra9tor or administrator y 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 ❑ NO LOAD CHANGES SAPV— jJ6WW6 tT 40, �!✓_ O Baseboard _-KW O Furnace _ KW ❑ Overhead Service ❑ Heat Pump _ Ton _ LAR ❑ Temp Service Cl Fan -Wall —KW ❑ Underground Service SERVICE A11M0 0y FMER Service Information Voltage Phase O t 0 3 Service Size: _ Feeder Size: Inspection Date Arca. Building cr Equipmentlnspected Action Taken Electrical Inspector 3 �s //- w 2 - J "'o / i� -/, Cl/ —. l d S9Z6 ZSV 096 ONI OIdd10313 S3730NV 1,102IS NdOZ'S S0Z—LO—L 05/31/2007 16:07 3604523498 OLYMPIC ELECTRIC PAGE 01 ELECTRICALwORK pERMITAPPLICATION instal n description Job wired by WElectrlcalcontractor OOwner �ComtaereW O Residential Electrical contractor name License, number Date Expires O Now gYAltered/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 laspectloa _ clq r Phone number to ehedule Inspection: !Toner err defined by RCW19.18.261:(1) Owner will oeeMAY the ""CIOre for two yaws tiller thisefertrlml Aerndr 4 flnolCed. R1 Owner is reeuitvd ro hlrr an .11 Y6a1 0 Cash O Cheek: tontrnrtor tf oboes saki PMPWd 11for tors, tvnr or lenra . After reading the abovc.$Miemmk 1 hereby eertiq that I am the owner of tM above Discover named property or licensed alecuieal contactom t. t amalkins the electrical Instal. llf Credit Card Visa Mastercard ladon or alteration In. compliment, with the electrical laws, NA LC.. RCW. Chapter 19.M 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 KW O Overhead Service O Heat P O eat pump = on LAR 0 Temp Service O FamWdl —KW _ D Underground Service ROUCII-IN TSERMOSW Voltage Phvm01O9 Service Size: , Foeder Size: SENVICE o.� • r s I FIIVAI DTFC rr r vcn Inspection Area, Building at Equipment Inspected Action Taken Electrical Date Inspeotor y a U%fit nWT. 10-31-206 5:44PM FROM ANGELES ELECTRIC INC 360 dS2 926S 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 98362 City State ZIP 'fcicphone number FAX number Address of 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.abowt 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 19.29, WAC, Chapter 296-461i, The City of Port Angeles Municipal Code, and ELECTRICAL WORKPERMITAPPLICATION Q'Commercial O Reside tial O New AID [eyed/Addition ICA 4- ZW K /0 O �Cash . O Check # C� rcditCard Visa Mastercard Discover Card # O A/- - - Signature f nor, • ct ical coutraetor or electrical adminI rater Expiration Date X ' { Date:/,O/� of card $ Dp"c/ lr l>2 ❑ NO LOAD CHANGES (i— IDtts G Baseboard _ KW ❑ Furnace KW O Overhead Service a Heat Pump _ Ton _ LAR C1 Temp Service ❑ 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 P Kul Date nvrro.W ex J Dab � ADf*D�ca nY J �>^w •rrro�ro nr F7NA.L{¢� j�^/ DITCH FEN -DER Gp- prvTtl Uy D.b 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 nsta Job wired by lectrical Contractor ❑ 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 Prcmis r owner's name Address of 22 tuna �� City Phone number to s hedule owner ar defined by RCW.19.28.261:(1) Owner will occupy the structure for two years after this electrical permit is frnalccd. (:) 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 t 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 r THERMOSTAT SERVICE, .yMTV&d By Pero Awmvd sy oem FINAL nrrCH FEM Inspection Area, BuildingorEquipment Ins ected Electrical Date P Action Taken .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 ELECTRICAL WORK PERMITAPPLICATION 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�'Inspt� n City Phone number to schedule inspection: Owner as deffned by RCW.19.2d.2dlr(0 Owner will ocmpy the sbucture jar Iwo years ajlcr this electrical permit it finalised. (2) Owner is rtyuiry l iv hire an elm%rieai contractor if shove said property is jor sale, 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. f am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C.. RCW, Chapter 19.28, WAC. Chapter 296-4611, The City of Port Angeles Municipal Code, And X or electrical Date: "install' ' n description ar Commercial ❑ Residential ❑ New . aid; red/Addition N9A.1 )5 aWb !-fib Nb r 0 Cash Check # rcdttC.ard Visa Mastercard Discover Card# —.. --- )r�V16----- Expiration Datt: of card Ingpcction f ' eleCttlCal Load-aaaitionff ana Or sgeZ(actions $ervit:e Information ❑ NO LOAD CHANGES ❑ Baseboard _ KW W9'-'tToltage ZI%lJ ❑ Furnace _ KW ❑ Overhead Service, / Phase 1 ❑ ❑ Heat Pump _ Ton _ LAS Cl Temp Service Service Size: SiJr.,,s 0 Fan -Wall _KW O Underground Service Feeder Size: SAME DAY INSPECTION, CAT1, BEFORE 7:00 AM 360-4T74735 ROUGH -IN ArmrevcJ ay � FINAL THERMOSTAT untt Mpr.vcJ ay � Dr" Apavvcd Br SERVICE Apprnvca ay FEEDER Approved ey Inspection n Date. Area, Bui ldin or l: ui lucnt Inspected g 9 p p Action Taken Electrical Inspector y Ilfle6 =6 ZSV 09C ONI OI`d10313 S3735NV NO2f3 NdLO:9 9OZ—OL—V 3-23-206 12:06PM FROM ANGELES ELECTRIC INC 360 452 926S P_1 t f i ELECTRICAL WORK PERMITAPPLICATION �a installall description Job wired by lectrical Contractor ❑ Owner =rcial ❑ Residential Electrical contractor name Licanm number Date Expires 0 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��ryyjlIcs owner's Address of ins eotion 2 � City /7 f n Phonc,�VmUer to sc nle inspection: ,/ c�H� 7//-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 sttbtraOMMS- Service Information ❑ NO LOAD CHANGES � � / A ❑ Baseboard _ KW Voltage*�G� ❑ 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 1�d Avum•ry arUateFINAL DITCHFEAppmrDalc Appm�M Ny Dam A Inspection Date Area, BuildingorEquipment In eted Action Taken Electrical Inspector 3-2i-rib C i e-_0 1 eb 0 ELECTRICAL WORK PERMIT APPLICATION U Request Inspection ,4Electrical Contractor ❑ Owner k a Annual Permit ❑ Alarm O Carnival ❑ Commercial O Residential ❑ Residential Malnt. Q Signs ❑ Thermostat v Want. V Installation description 1 Job wired 6y LTElectrical Contractor ❑ Owner :'�}yet�ncal Onnbactor n��I^^e License number `tf16�P� (Drr�rn,An t Cann S Z2t� Parch is mailingaddress 11� 1 �f]`rl'LJ-t- h fn i rrh t — city r7 Stele ZIP Telepbonc nunder FAX number z- Premiaes wnePa name �y �rrt�� -. • '` IAII/ Addieea _o;Z peetioe-�� ••� F9 2JPA-Las City I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the ri m's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Siena . lettrleal Contractor or electrical administrator X / x WALLS Insulation Only Dnr Ap 01M sy Cover Dam App W uy CIIIING Insulation Only Duo A:M d aY Cover p•ir nep .v.d By 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 # _ _ � �• �� Expiration Aare of card THERMOSTAT ❑ Overhead Service 0 Temp Service ❑ Underground Service AI•ICH Mastercard Discover SERVICE Votlage Phase O 1 O 3 Service Size: _ Feeder Size: _ 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 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) Owne, is required to hire art rleoviwl contractor if above said property is far sale. rent or lease. ❑ Cash ❑ 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 cc r%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 -IN % THERMOSTAT voltage Phase O 1 O 3. Service Size: Feeder Size: . SFRVTCE Da�c nppnvM by oa -- n"'ovM 9y omc A",ru Id BY FINAL =MER nap' oao noom•cn ey Inspection Arcs, Building orE ui meth lns eeted Electrical Date M q P p Action Txkcn lospector L 'd S9Z6 ZSV 09£ ONI OI2dlO373 S37EDNV H02id HdSI'ZL SOZ—L£—OL s ELECTRICAL WORK PERMITAPPLICATION Job wired by Electrical Contractor ❑ Ownerr.2`oal, /v/. 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 Purchaser's mailing address 1gZ0 R Pf L16 City Stale ZIP / Spr-) KML6- , II. k 9'12oc, S '— Telephone number FAX number So` S - z-z Premises owner's name LA"Am r C- C1l Address of inspection 4t` ?I;_;,3 � : City Paz„- NNhr.tcs L x ! 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 VfA (i{�wDate: sD p� Inspection e ofcard 490 ��(� $ 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 Dpm Approved By Date Approved by FINAL DITCH FEEDER Inspection Area, Buildingor Equipment Ins Inspected I Electrical Date P Action Taken 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 P.02 Pagel of 2 r ,144�9 ._ L4z-20 Lf 25D/- 0 0 eo te-,W 26c)o 1*7xII-ZD 110-Ll� N2.z o L0 Approved gy23�r �l < O' KV SERVICE Gb- 1 FEEDER .__..-.__,.._ .._-- -----..._ `t ,A N11 --- - — THERMOSTAT v-_------,_.._ DITCH Date 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 am 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 De flllad out com pl Wv p lease type or reprint In Ink- tryou have any quesihma, please cell (360) ln�730 Far npmher; (300) 4174741 Cam( Oe`WwElee.ConhacturAgmI- 01ympic Electric Co. Inc. Pnone: 457-5303 Ice.: 452-349a property Oenw: eldita'm ir1ntir Pnone:�/-1-2y ZI Addrese: ¢ilt` LlNt� N ciry . PA. ZIP: 983 6 Z '— ElecvtcalCOntractpr: Ulympic Electric Co., Inc. ucanselr. flYl✓'ET285DIExp, 3/31/03 Phone[ 1157-5303 Address; 4230 Tum�vater oily: Port Angeles ap: 98363 INSTALLATION WIRED By: . _ G OWNER 14 ELECTRICAL CDNTRAC TOA Credit Card Holder Name: Charles T. Burkhardt, Olympic Electric Co., Inc. Billing Address: Same City_ zip: Credit Card Number. 2209 Exp. Dare_ V/SA_ x lam/: PROJECT ADDRESS: �1a11'toi LodfHlzj Eo�u iokse �tirkak� �07� ;�2 4 S TYPE OF WORK: Chock all that apply: U Now JKAlterallorVAddRlon ZI Reslden W ❑ Multi -family 'Commercial Ll Mobile Home Sq. Ft. Remote Meter U Detached garage ❑ Hot Tub [I Swim Swim pool Septic Pump -n Low Voltage C Telaeom- ❑ SI0 Number of Circuits arided or altered: fin}- (*kfs' DESCRIPTION OF THE ELECTRICAL PROJECT:__,kelatRfe Z DCLt�yL� r Ei496CW Load AdtlWons and or A!1k an C4 j $afVlGe tDtp jOr1 GBaseboard KW G Furnace —� KW CI Overhead service Voltage: phase: ❑ t c 3 Heat pump TON LAA a temp Service Service Service Size: C' Fan -Wall T KW Unaerground Service _ Feeder Slze; PAMC 14.05-060(6): For indu507a1, com merCief, f4 reaidenaalpro(ects larger than a duplex, a one - I)ne drawing or the Electrical Santis & Feeders. building size (set. ft,), bad Calculations, and the ty De & of conductors andror raceway is required and shall accomparry, the ElacMcal Permit appllcation. 1 hereby certify that I have read and examined this application and know that same to be true and correct, and I at authorized to apply for this permif_ I understand it Is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. /D/� / Cradle Card Holders Slarmture: Done; O b 03 t� #PERMIT owner or Elec. Gant. s gnature!Date: 1� 6 0.�' FEE: $ 59- S O T0� OI2I,L0373 DId14A10 86VCZSb09C XHd 66:60 COOZ/90/01 11/13/2003 09:55 FAX 3604523498 OLYMPIC ELECTRIC [aO1 Fax Cover This is a strictly prc person. or To City of P, Attu 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 98463 (360) 457-5303 (360) 452-3498 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. Date Appmved: The Electrical Permit Application must be filled out completely. Date 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: Mani 1j a1 AvAt+nr(s PhonelI: 3b0 - ie1 93Fax #3&o - (,k3-35k 1 Property Owner: C, I a I I a rn (6 Lt A+� CCU& Phone: 41-7 - �qpj Address:�Z3 G City: Zip: xv Contractor Mff4-10 t'k ACtt�in SfttcFlon _ tikSLicense#:KtWOASDo'fLf1Fx 0 3(0e-b83- p: -R' Phone: 3593 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 16 0001/0001 S CITY OF PORT ANGELES PERMIT APPLICATION Building, Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150 / Port Angeles Washington, 98362 Ei.KYRICAL Ph: (360) 4174735 Fax: (360) 417-4711 Date d `_.�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 Melling -Ad City State: Ay"p: jwcz— Phone: Fax: License # 1 Exp. 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 $ 6.00 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 $ 68.00 Signal Circultl LfmltW Energy - Multi -Family $ 64.00 Signal Circuit! Limited Energy) First 1500 sf--Commercial $ 96.00 Note: $5.00 for each additional 1600 of Renewable Maebical Energy -SKVA System or Less $113.00 Thermostat $ 66.00 Note: $5,00 for each additional T-Stet Contractor information 4 Nam®: Melling d s: Cityr, Ad. State: Z?p' Phone: ~ Fax; 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,! 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 14.05.060 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: �❑ Onh, ❑ Check MCndtt Card / ®/✓ 4 /5 .0_ x -mod! 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 . . . . . , 222 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. 1ST ST. PORT ANGELES WA 96362 PORT ANGELES WA 98362 (360) 417-2429 (360) 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 . , . . p 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 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;IEXCHANGE\BUILDING � , 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 llFILIE Date: ()Ly _�& Sin le Fa ' y-nreSing r * Plan Revle a Be ,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: MaBi*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 Circuit 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, ServicelFeeder201-400Amp. $110.00 $ Temp. ServicelFeeder401-600Amp., $ 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 $ 56M $ 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 $ 4C.00 $ Each outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $ 110 00 $ ro $ Total �� 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� ❑ Credit Card # X Dated: t' r ` ` 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4I 7-4735 Application Number . , . . . 14-00001612 Date 12/17/14 Application pin number 542320 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 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/I5/15 4ty 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 W 0o01i0001 CITY OF PORT ANGELES PERMIT APPLICATION MAR 2 8 2014 Building Dtvision/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ELIE RICAL Ph: (360) 417-4735 Fax: (360) 417-4711 WSPeCTIONS Date; � /' Multi -Family o Commercial' _ Commerclal Addition / 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 Name; Mailing Add s: City: State: --AV-iip: JE&3AZ Phone; Fax: License # I Exp. �! �j c� Item ��Pe / ! /360unit jrae ServicelFeeder 200 Amp. $132.00 ServicalFeeder 201A00 Amp. $160,00 Service/Feeder 4DI.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 WIO 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 Signlflutline Lighting $ 80,00 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 Renewable Electrical Energy - WA System or Less $113,00 Thermostat $ 56.00 Contractor Information &- Y14E Name C Maili Add s• City cetLX g State: ZI ; Phi ma; ax; License fA 1 Exp. �( Total (Otv Multiplied by Unit Charge] $ $ ---— $—-- $ $ $ a $ $ $ $ $ $ 3�_ Total 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 296-468, 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: © Chok s W Dated: _ c) f F= / I-> --- 0110112012 ELECTRICAL INSPECTION WIRING REPORT /0 417-4735 lr� RKS & OAT PERMIT OW ER CONTRACTOA ADDRESS -77- 4 APPROVED e--�NOT APP�ROVE�D 0 ............... .... DITCH ..... 0 ................ ROUGH IN/COVER..... ...... 0 0 .................... SERVICE .... ................ . FINAL .................... 0 P) CORRECTIONS NEEDED: V Z7iZ�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 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 , . . , , , Property Use 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, 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 3/26/14 Valuation 0 Expiration Date 9/24/14 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 56,00 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 p Ct Signature of owner or Electrical Contractor X Date: G:IEXCHANGE1I3UILDrNNG ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4I7-4735 Application Number . . , , . 15-00000827 Date 7/14/15 Application pin number 966441 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 Power pole office and Kitchen circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ CLALLAM COUNTY ------------------------ ANGELES ELECTRIC 223 E 4TH ST 524 E, 18T ST, PORT ANGELES WA 98362 PORT ANGELES WA S8362 (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 o� N Signature of owner or Electrical Contractor X GAEXCHANGMBUILDING 07/10/2015 14:41 FAX 360 452 9265 Angeles Electric U 0001/0001 CITY OF PORT Mama PERMIT Al Building.DivisionMectrical Inspections 321 Pkst Fifth Sheet -- P.O. Box 1150 / Port Ph: (360) 417-47 S k°mt: (360) 4174711 Date: D / * Plan Review.May Be Required, Please Complete 1.1, AAA-. Building SquareFoolage: Descriprlon. of above Owner.inf atlon Name: Mailing.Ad W. Stata:J*L--21p: " rdGA6 Z Phone: Fax Licanse•q r F.up I Service/Feeder 200 Amp. $13: Servfce/Feader 201.400 Amp. $ let Servic0eeder401-e00 Amp $ 22: Servfce/Feeder 601.1000 Amp. $ 28t Servlo0eeder over 1000 Amp. S 41C Branch Circuit-W/Santa Feeder $ 1. 8ranch.Clrcult W/0 SaMW Feeder $ 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 $01-100G Amp. $181 Portal to Portal Hourly $ 9e 5lgrdovolne ughung $ 86 Signal CfraulflLlmltad Energy --MuIO-Family S 64 Slgnai ClrculUrUmited Energy/ First 1500 sf — Commercial 3 W Note $5.00 for each adds fforrsl 1500 of Renewable Electrical energy • SKVA System or Leas $113 Thegnostat • $ 66 Note: $5.00 for each Additional TStat 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 MMu100l120y unit chiml $ $ 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 certEiy 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* 296-468, The Ci�r of Port Angeles Municipal Cade, and Utility Specifications and PARNMAC 4.05.050 regarding Soctriicai Permit Applieatons. Signature of owner, electrical contractor or, electrical ad F Istrator. 0 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 . . . 931536 Property Address . . , . 223 E 47J ST ASSESSOR PARCEL NUMBER; 06-30-00-6-4-6700-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . 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 98362 (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 10/06/15 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 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 Angeles Electric U 0001/0001 1 CITY OF PORT ANGELES PERMIT AI 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:Fax: License.# I Exp, bill ServicelFeeder 200 Amp, ServicelFeeder 2DI400 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, ServlcelFeeder401-600Amp, Temp. $ervicelFeeder601.1000 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 Electrical Energy , 5KVA System or Less Thermostat Nate: $5.00 for each additional TStat 121 $1 S TION . Washington, 98362 'amity or Commercial* Plan Review information Sheet Contract r information Name; L Mailing d "'� � City Stale:Ip 6 Phone.• Fax: Llrense#1t xp.~ L GQ ft TWAL(xtt► Multi fled y alt Chmid S s s a a s s S 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 19.28, 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 ❑ clndr 016dit card 0 d Ir — X � Daled:l' 01/0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , . . . 15-00p00313 Date 3/31/15 Application pin number . . , 119541 Property Address . . . . 223 E 4TH ST ASSESSOR PARCEL NUMBER! 06-30-00-6-4-6700-0000- AppiiCation type description ELECTRICAT, ONLY Subdivision Name . , . , . Property Use 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 -.___..---------------------------------------------------------------------- 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 Off 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) MONTHS FROM LAST INSPECTION i Signature of owner or EIectrical Contractor X G:IEXCI IANORBUILDING 03/30/2015 11:04 FAX 360 452 9265 Angeles Electric 4 0001/0001 i } RECEIVED CITY OF PORT ANGELES PERMIT APP CATION Building Division/Electrlcal! 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: City 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.tY $ ServicelFeeder 601.1000 Amp. $ 288.0 $ SarvicelFeeder over 10W 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 Portal to Portal Hourly S 96, $ SignlOutiine Lighling $ 88. ; $ Signal CirwWLlmltod Energy —Multi -Family $ 64. $ Signal Circultl Limited Energy 1 First 1500 of — Commercial $ K S Note: $540 for each addittonal 1500 sf t Renewable Mechical Energy - 5KVA System or Less $113. 3 Thermostat $ 56, $ Note: $5.00 for each additional T-SW 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. I am making the electrical installation or alteration in compliance with the a rical laws, N.E,C., RCW. Chapter 19.28, WAG. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAM 4.06.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical ad ` Istrator: ❑ �cash Elchm* i i9 i—Credit Cu✓ d # 0�4-jO— alrolnst2 ELECTRICAL INSPECTION WIRING REPORT KS 417-4735 DAT 11 -2-(&114� PERMIT 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 360-417-4735 Application monbez . . . . . zs-onoozosx Date zo/zr/zs Application ouu number 370892 Property Address . . . zzs o «ro aT ASoEoaon PAococ NUMBER: os zn no a « amu onoo opplioadoo type 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 oNomLEa wu sozaz Poar »NoELEo wn eosas (ssu) 417xuz9 (aao) 457ssos -'--.--'----------- -- '---.----'.'--'-'----'-'-----'-1,621�����- ----- eermit ELECTRICAL ALTER commmoczAL Additional ueac . 1« czacozTo Permit Fee 86,00 Plan Check Fee .ou Issue Date . . ' 10/27/15 Valuation . . . . u Expiration Date . . o/a«/ze Otr 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 WR Signature ofowner ocElectrical Contractor page 1 -� _\ CITY OF PORT ANGE�S�R�T APPLICATION --�=��� -�� Building Division/Electrical Inspections 321 East Fifth Street —P'O. Box 1150/Pmnt Angeles Washington, 9W362 Ph: (360) 417-4735 Fax: (360)417-4718Date" jwlk� F,(l Multi-y or/N5PEC?/O�S Plan Review Complete Electrical Plan Review Information SheetJob Address: Building SquareFootagal Owner Information Contractor Information womo City: City: PORTANGEas- State: wA Zip: -t— U��#/� �u�: #/Ex� p Item ���� �� 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 7'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 4ty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SO PT 96.00 7.00 5.0000 ECH EL-ADDNT LIMITED 1500 SO 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 i at4re Of owner Far Meaft1caI:-C©ntractof ' ' Doti: t 4, kbAxs b ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE' PERMIT # INSPECTO f l8 1-7-t L� Ow R CONTRACTOR ADDRESS 2-2—: i APPROVED ❑ ............. ......DITCH............0 .... ❑................ ROUGH IN/COVER ............'� ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: SlElk� V t11Zrz_ ��i�a•i J 1.i� `J p'to x j& 4:34LA- mow; eyroaW�r�io�L �1� 5 r4, L�c ALL- CtvWLry— A tA- 7%�� c �-� ice--�►�l .�+to cacs-' I 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) 417-4735 Fax: (360) 417-4711 Oats. 9-13.17 MuIt1•Family or Commercial" Plan Review M y E 413e Job Address: �� th 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 Mallin Address: City: P Anetgy0 State' A Zip; 98362 City: Lynnwo Smte Zip: 980-3�L Phone ,� � /l ax: Phone: 425:7741680Fax License # / Exp. License # / 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 401. M Amp $ 225.00 $ ServicefFeeder 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 $ Brand Circuits 1-4 $ 86.00 $� Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feoder 201-400 Amp. $121.00 $ Temp. 5ervicelFeeder401SW Amp. $164.00 $ Temp. Service/Feeder 601-10W 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 TStat $ 131.00 Total Owner as defined by RCW.19.28.261: (1) Owner Wit 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 Application Number 17a-00001233 Date B/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 desc ` 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) 4S2-9.264 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 172.00 12.00 N5.0000 ECH EL-BRANCH'CIRCUIT W/FEEDER 60.00 1.00 133.0000 ECH EL-COM 0-260 SRV FEWER 132.00 ?y. 1.00 288.,(�000 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 C mtor X Date: US/ZU/ZU17 15:58 FAX 360 452 9265 Angeles Electric Q 0001/0001 i CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections . . 321 East Fifth Street — P.O. Boa 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: - Family or Commenclat* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet .lob Address: Item Unit CIEW Total 10ty MMIUDJ hX unit Charge) Service/Feeder200 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 Additional Branch Circuit Brands Circuits 1.4 $ 74.00 $ .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/Ousine lighting $ 88.00 $ Slgnel Greet/ Limited Energy — Muni -Family $ 64.00 $ Signal Circuit/ Limited Energy / First 1500 of — Commercial $ 96.00 $ Note: $5.00 for each additional 15M of Renewable Electrical Energy - SWWA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat dr® s 65-2- Total . 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 ANGE �,. - 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 4TFI ST 21218 66TH AVE W _ PORT ANGELES WA 98362 BRIER WA 980367304 (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 96.0000 ECH --EL-LIMITED 1ST 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 ofow= or F.,Iectxical Contractor X Date: GAEXCHANGE1BIIiE. Wri ..; - � 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: 11/9t2016 _ 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: 21218 66th Avenup Worst City: Port An eles State: WA Zip: - 98362 __ City: Lynnwood State: WA Zip: 98036 Phone 360 41 - 4 Fax Phone 425 774-1680 Fax: 425 776-4911 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!O 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. ServicelFeeder 601-1000 Amp $185.00 Portal to Portal Hourly $ 96.00 $_-------___._.-- SignlOutline Lighting $ 88.00 __. $_— Signal Circuit/ Limited Energy — Multi -Family $ 64.00 _ $--,-- Signal Circuit/ Limited Energy I First 1500 sf — Commercial $ 96.00 8 $ 131.00 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: _-_ __ _ _— _ _ _ _ 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES "D 360-417-4735 ' Application Number . . . . . 17-00001797 Date 12/06/17 App*4rAtion pin number 522552 w ~' . _ 23 E 4TH sT REPORT STA S TAX ASSEaa 06-34-00-6-4-6700-0000- 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 EOC 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 6/64/18 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@S.00Q0 ECI'- EL -COMM 601-UP TEMP SRV/FDR 52:.90 1.00 132.0000 BCH, EL-COM 0-200 SRV FEEDER 132 tH.- 2'.00 160.6000 XPH EL-t•OM 201 ,400 SRV FEEDER 320 ca ..,00 410.0000 ECH EL-GOM 1001-UP SRV FEEDER 410 pit - - - - - - - - -- - - --------- ---- - Fee summary, Charged Paid Credited Due � µ> , .{ -- -- ---------- ----a ---- ------------------------------ Permit Pee 'Total3340.00 3340.00 .00 .00 ,. Plan Check Total .00 .00 .00 00 Grand Total 3340.00> 3340.00 .00 ,00 W,;>,` T?E 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 Switchaear Renovation Owner Information Name: Clallam County Courthouse Mailing Address: City: _— — State: Phone: —Fax:- 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 1 ,Fn City: North Plains State: PR zip:__97133 Phone: '2n6-27a-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 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 �r INSPECTION TYPE DATE: RESULTS; INSPECTOR DITCH . - f SERVICE' ROUGH -IN AS— CIO FINAL COMMENTS: PERM WILL EXPUtE SIX (6) MOB 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 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 Smoke detectors in Jai 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 Fee 96.00 . Plan Check -Fee .00 Issue mate . . 12/12/17 Valuation . . . . 0 Expiration Date 6/10/18 Qty Unit Charge Per •Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.00 i --__ " _------.-.-_------_ _J-------------------------- 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 SER.`VICE ROUGH -IN''! FINAL COMMENTS: PEWrr WILL EXPIRE SIX (6) MON`I"fiS FROM LAST INSPECTION Signature of owner 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 Ang6 a Stet— e�VA Zips City: Bothell _ Stat—__ Zip: 98011 Phone:M Fax: Phone: 42S_36 - Fax: 425- -d2nR 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/Feeder401-600 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: 06-3Q-00-6-4-67QQ-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 i BASE FEE 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 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 : J3 PERMIT # PERMIT IN PEC OWNER CONTRACTOR ADDRE 5 zz APPROVED NOT APPROVED ❑ .. ..............DITCH.................... ❑ g OUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE -- CnTowPmwAncn=P=arAra i(aimif awmbalm -A 3�t B'�stl�lel9l�eat--r�or.'..�ILL�tl�ortA.�e�eswai:.alrr,SIM ate - 29' 7 XEdM■It er�sl...�a� .Fft 1.. 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Aftr adagbaboresiioa lMuabyaeu�yiotiauttrlaa�orcfi�abaieavaedprapa�Iraraiw�Miirii�l�iadwslarieas�iiq 111ededieli�Nili�arwarrpiaeeerifrae�aii�a�N.EC..i�Cf�urill�t��M•r9N w�.7irt�7yaftlerc AagaI Lud* iCakcaulUfttpodkdbwsdi'111 XK=lapftEbft lPI■nitllpt afawetieta�atcwAmMrareftd*dai13 ar* ELECTRICAL PERMIT CITY OF PORT ANGELES •... 360417-4735 Application Number . . . . . 17-0000,1549 Date 2/08/18 w. Application pin number . . . 158062 Property Address . . . . . . 223 E 4TH ST REPORT STATE SALES TAX 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 E 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 516.33 516.33 .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 GRID. / 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 Due upon receipt Thank you for your business! City of Port Angeles Tel 360 417 4735 tpeppard@cityofpa.us Fax 360 417 4711 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 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 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 Parkscol ati OrLeln gaccy Telecommunications Mailing Address: WIN BOX 1 City: State: Zip: City: u r State: Zip: phone Fax: per: 2538580214 Fax: 2538580215 License # / Exp. License # / Exp. T j R G A CT T A 9 . ,T 9 Item Unit Chame 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 401.6W 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 $121.0%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�� . x �% nub: 2/22/18 ELECTRICAL PERMIT` � CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001797 Date 12/06/17 Appication 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 06UNTY 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 dese 1-4 0ACUITS X 7 Permit Fee .. , 3340.00 Plan Check Fee .00 Issue Date . . . . 12/06/17 Valuation 0 Expiration Date 6/04/18 Qty Unit Charge Per Extension BASE FEE 518.00 1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00 5.00 121.0000 ECH EL- COMM 201-400 TEMP.SRV/FDR 605.00 2.00 164.0004 ECH EL- COMM 461-600 TEMP SRV/FDR 328.00 5.00 185.0000 ECH EL- COMM 601-UP'TEMP SRV/FDR 925:00 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 1.00 410.0000 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. Box 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 FOG 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 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 (Qtv 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 # 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 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 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) 411-242s9. (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 � 96 .0000 ECH ' EL-L'SNFITED_ 1ST 1 00 _Sid FT 96.00 "'j" 0,0 " 5.00�00 ECH'EL-,ADDNT LIMITED, 150-0 tO FT 35.00 See ,stimipaxy Charged Paid Credited ----131.00 Due Peridit Fee-'total----131.00 .00 00 p'1Sn Check Total �.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 Project Address: MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and'Utiljtics Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 ' wN.vN.v.citvofpa.us I el cctrical perm its;u-.cityofpa.Lis 223 E 4th Street Port Angeles, WA 98362 Project Description: Low voltage Cat 6 in new Auditor counter ❑ Multi -Family Residential ❑✓ Commercial / Industrial / Public Building Square footage: 1000 Name. Clallam County Email: mike@angelescommunications.com Mailing Address: 223 E 4th Street Port Angeles, WA 98362 Phone: 360-417-2000 Name: Angeles Communications Mailing Address: 102 Ross Lane Email: mike(a�angelecommunications.com Um 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 1 $88.00 $88.00 $96.00 $113.00 $56.00 License: 601386512 Expiration Date: 04/30/2024 Phone: 3606707494 Total (Quantity x Unit Charge) $ 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. 10/20/2023 Mike Jensen Date Print Name Mike Jensen Signature (❑✓ Owner ❑ Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.usI flw ¢r IV INSPECTION WIRING REPORT ��- DATE PERMIT # INSPECTOR 10/26/2023 23-1140 TAP OWNER CONTRACTOR Angeles Com. PROJECT ADDRESS 223 E 41" St APPROVED NOT APPROVED Q DITCH Q Q ROUGH IN/COVER O Q SERVICE Q Q FINAL 0 COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 101.00 Plan Check Fee . Issue Date . . . . 10/18/23 Valuation . . . . Expiration Date . . 4/15/24 Qty Unit Charge Per 1.00 86.0000 ECH EL-COMM BRANCH CIR 1-4 3.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT Fee summary Charged ----------------- ---------- Permit Fee Total 101.00 Plan Check Total .00 Grand Total 101.00 WA 98362 00 0 Extension 86.00 15.00 Paid Credited Due --------------------------- 101.00 .00 .00 .00 .00 .00 101.00 .00 .00 m ❑ Multi -Family Residential ❑ Commercial / Industrial / Public Building Square footage: Name: Angeles Electric, _ License: ANGELE1460RS v Mailing Address; 524 E, First Street, Port Angeles, WA 96362 Expiration Date: 2/1/2020 Email: ksimpson@olympus,net Phone: 3601452-9264 I i i item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp, $132.00 $ Service/Feeder 201-400 Amp, - $160,00 $ —.. -- Service/Feeder 401-600 Amp, $225.00 $ _ Service/Feeder 601-1000 Amp. $288,00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74,00 $ Each Additional Branch Circuit $6.00 $ ` - Branch Circuits 1-4 $86,00 OD $ - 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. $T".00 $ - Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88:00 $ Signal CircuitlLimited Energy - Multi -Family $88.00 $ Signal Circuit/Limited Energy/First 1-600 sf - Commercial $96:100 $ (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 $ $ _14nZ 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 com:)llance 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 14.05.060 regarding Electrical Permit Applications. AIW Ken Simpson Print Name Signature Qwne _ Electrical Contractor/Administrator) (Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa,us or faxed to 360.417.47111 nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 10/19/2023 23-1128 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 41" St APPROVED NOT APPROVED Q DITCH Q Q ROUGH IN/COVER O Q SERVICE Q Q FINAL Q COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . Issue Date . . . . 2/22/23 Valuation . . . . Expiration Date . . 8/21/23 Qty Unit Charge Per BASE FEE Fee summary Charged ----------------- ---------- Permit Fee Total 86.00 Plan Check Total .00 Grand Total 86.00 WA 98362 00 0 Extension 86.00 Paid Credited Due --------------------------- 86.00 .00 .00 .00 .00 .00 86.00 .00 .00 MULTI -FAMILY / COMMERCIAL ELECTRICAL APPLICATION Works and. Utilities Departme:at 321 E. 5th Street, fort Angeles, WA .98362 360,4.17.4735 1 w w,citydpa,us I electricatperm.its(4),cityol'pa.tis Multi -Family Residential Name: Angeles Electric, Inc, License: ANGELE146ORS Mailing Address: 524 E. First Street, Port Angeles, WA 96362_ Expiration Date: 2/1/2020 Email: ksim sp on@olympus.net _ Phone: 360452-9264 item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. Service/Feeder 201-00 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 201-400Amp. 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) $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 .$86.00 $102,00 $121.00 $164,00 $10.00 $96,00 $88.00 $88,00 $96s00 $113;00 $ $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 electrica 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 14,06.050 regarding Electrical Permit Applications. Ke_n Simpson41#3_ Print Name Signature (❑ 0 er V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . Issue Date . . . . 1/31/23 Valuation . . . . Expiration Date . . 7/30/23 Qty Unit Charge Per BASE FEE Fee summary Charged ----------------- ---------- Permit Fee Total 86.00 Plan Check Total .00 Grand Total 86.00 WA 98362 00 0 Extension 86.00 Paid Credited Due --------------------------- 86.00 .00 .00 .00 .00 .00 86.00 .00 .00 m m 3_ Project Description: A e_ 6 L,pr.( /2e►a 'f ❑ Multi -Family Residential Commercial / Industrial / Public Building Square footage: Name; Angeles Electric Inc, License: ANGELE1460RS Mailing Address: 524 E. First Street, Port Angeles, WA 96362 Expiration Date: 2/1/2020 Email: ksimpson@ol mpus,net Phone: 360-452-9264 item Unit Charge Quantity Tatal (Quantity x Unit Charge) 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 1,500 sf - Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec, Energy: 5KVA System or less Thermostat (Note; $5 for each additional) $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 .$86,00 $102,00 $121.00 $164, 00 $186.00 $96.00 - $88,00 $88.00 $96:00 $113;00 $ -$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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, :) Ken Simpson Print Name Signature (0-Owner& Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111 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 nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 10/19/2023 23-88 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 41" St APPROVED NOT APPROVED Q DITCH Q Q ROUGH IN/COVER O Q SERVICE Q Q FINAL Q COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 296.00 Plan Check Fee . Issue Date . . . . 9/14/22 Valuation . . . . Expiration Date . . 3/13/23 Qty Unit Charge Per 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 40.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total --------------------------- Charged Paid Credited 296.00 .00 296.00 WA 98362 .00 0 Extension 96.00 200.00 Due 296.00 .00 .00 .00 .00 .00 296.00 .00 .00 Name: Angeles Electric, Inc. License: ANGELE1460RS Mailing Address: 524 E. First Street Port Angeles, WA 96362 Expiration Date: 2/1/2020 Email: ksim son of m us,net Phone; 360452-9264 1Ii166S11f�43197i1�tl¢!]6N��usuuwvf�niutr�umsuyununu[vuwut+urxius�ir�nn��usaunusu�aaaueurnwusuuu«ww��n,µ.�„W,•w.•A.•�..w ....,.__._.... item Unit ChU9e Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ — -- $ Service/Feeder 7-01-400 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, Servlce/Feeder 601-1000 Amp, $1.85,00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88:00 $ Signal Circuit/Limited Energy - Multi-Famlty $88,00 ----� Signal Circuit/Limited Energy/First 1500 sf -Commercial 1500 sf) (Note; $5,00 for each addltlonal $ Renewable Elec. Energy: 5KVA System or less $113:00 $ Thermostat (Note: $5 for each additional) -$'56:00 $_ TOTAL Owner as defined by RCW,19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is after six months of last inspection. required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires licensed electrical contractor. I After reading the above statement, I hereby certify that I am in compliance the owner of the above named property with the electrical laws, N.E.C., or a RCW. Chapter 19.26, WAC, Chapter 296- am making the electrical installation or alteration Municipal Code, and Utility Speclfications and PAMC 14..05.050 regarding Electrical PermltAppiicatlans• 4613, The City of Port Angeles Ken Sim son Print Name Signature (❑ Ow r V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 ] 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 ----------------- ---------- Permit Fee Total 94.00 Plan Check Total .00 Grand Total 94.00 Paid Credited Due --------------------------- 94.00 .00 .00 .00 .00 .00 94.00 .00 .00 Project Address: _ MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and�itiiltie3 Department 321 t . 5th Street. Port Angeles, WA 98362 360.4 €.7.4735 1 www.cityofpa.us k eiectricalpermitsCalcityofpa.us 319 Lincoln Street 223 E 4th St Project Description: Landscape Project ServicelFeeder 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 $ ServicetFeeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $5.00 $ Branch Circuit WJO Service Feeder $74.00 1 _ $ 74.00 Each Additional Branch Circuit $5.00 4 $ 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 1600 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 $ $ 94.00 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. 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. Au ust 28 2023 Kimberly Rae Walker Date Print Name Signature ([ Owner Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hail or electricalpermits@cityofpa.us or faxed to 360.417.4711) nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 8/31 /2023 23-913 TAP OWNER CONTRACTOR North Peninsula Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED Q DITCH Q CD ROUGH IN/COVER O SERVICE 0 FINAL CD COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS flw ¢r IV INSPECTION WIRING REPORT ��- DATE PERMIT # INSPECTOR 11 /7/2023 23-913 TAP OWNER CONTRACTOR North Peninsula Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED Q DITCH Q Q ROUGH IN/COVER O SERVICE 0 0 FINAL 0 COMMENTS Seal underground connections. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 ----------------- Permit Fee Total Plan Check Total Grand Total --------------------------- Charged Paid Credited 146.00 .00 146.00 Due 146.00 .00 .00 .00 .00 .00 146.00 .00 .00 U 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 Addre s s--------- Project Description: Name: Mailing Address: }'.r/e;:;fol}J;o:{ aiJg\j:e;:;f:fffffi:BTsfif:f{ff�;s,:;:, .., ail Phone: Name..,...-. .. No... ,.. �.. _. ....-. . _ ....__. _ . rth Peninsula Electric License: Mailing Address: Expiration Date: Email: northpeninsulaelectric@yahoo.com Phone: 360 477-1764 Item _�. .,�.. .. ....�.. .. .. Unit Charge...:: _M.`_ ..�Torn i. (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 1000Amp. $410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $7400 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 IT. Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400Amp. $121.00 $ Temp. Service/Feeder401-600Amp. $164.00 $ Temp. Service/Feeder601-1000 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 $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 $ 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, rentor 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Kimberly Rae Walker Date Print Name Sig;2� (Q owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.4711J 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 nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 10/31 /2022 22-1349 TAP OWNER CONTRACTOR North Peninsula Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED D DITCH Q 0 ROUGH IN/COVER 0 F-1 SERVICE 0 CD FINAL O COMMENTS: ISmoke detectors NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 ----------------- Permit Fee Total Plan Check Total Grand Total --------------------------- Charged Paid Credited 146.00 .00 146.00 Due 146.00 .00 .00 .00 .00 .00 146.00 .00 .00 U 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 Addre s s--------- Project Description: Name: Mailing Address: }'.r/e;:;fol}J;o:{ aiJg\j:e;:;f:fffffi:BTsfif:f{ff�;s,:;:, .., ail Phone: Name..,...-. .. No... ,.. �.. _. ....-. . _ ....__. _ . rth Peninsula Electric License: Mailing Address: Expiration Date: Email: northpeninsulaelectric@yahoo.com Phone: 360 477-1764 Item _�. .,�.. .. ....�.. .. .. Unit Charge...:: _M.`_ ..�Torn i. (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 1000Amp. $410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $7400 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 IT. Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400Amp. $121.00 $ Temp. Service/Feeder401-600Amp. $164.00 $ Temp. Service/Feeder601-1000 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 $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 $ 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, rentor 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Kimberly Rae Walker Date Print Name Sig;2� (Q owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.4711J 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 nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 10/31 /2022 22-1349 TAP OWNER CONTRACTOR North Peninsula Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED D DITCH Q 0 ROUGH IN/COVER 0 F-1 SERVICE 0 CD FINAL O COMMENTS: ISmoke detectors NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -2M. ELECAL PERMIT �.A 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 y ASSESSOR PARCEL; NUMBER; 06-30-00-6-4-6700-0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . . (Location Code 0502) Property Use � 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 PERMf"f" � WMISIX (6) MOIL M FROM LAST INSPECTION Signature of owner or Electrical Contractor X RESULTS: IINSPECTOR. Date: MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION 3 PutHic Work'sand Utilities Departi-nent I F'. 5th SirceL Port Anl,!,chS. \VA 9U6" ,0 s. 0J 1 7.4'7385 1 w�,v\,,cit\ofpa.0 Project Address: 223 E. 4th St Port Angeles, WA 98362 Project Description: Install Cooper Mber telephone cable between Courthouse and PA Police Dept 0 Multi -Family Residential 0 Commercial / Industrial / Public Building Square footage: LINK 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: 4/30/2020 Email: don@angelescommunications.com Phone: 3604574375 1WM Unit Charae Quanlify JQW (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 $8&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-Famity $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $96.00 1 $ 96 (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 $ $ 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 Donald L Simpsoon 11/22/2019 Donald 1. Simpson Donald L Simpsoon Date: 2019.11.22 12:38:09 -08'00' Date Print Name Signature (F-1 Owner V Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] ELEC MCAL PERMIT CITY G0. PC"RT ANGELP-S. 3-411-4735 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 y PARCEL NUMBER:" Application type description 06-30-00-6-4-6700-0000- ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . (rLowdon 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 ANGFLES 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 ECK EL- COMM 201-400 TEMP Situ/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 PERMIT WILL EXPIRE StXjal MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ` ^�u @� MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E5thStreet, Port Angeles, WA98362 PnojectAddnnon: PmjectOescripUon: 0 Multi -Family Residential %Z—Commercial / Industrial / Public Building Square footage: Expiration Date: Phone: item UnitCharcie Quantily JQW (Quantity mUnit 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 wWService 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 $__\_A_ ---- Temp. Service/Feeder 4D1-gOUAmp. $164.00 $________ Temp. Service/Feeder 8O1'1000Amp. $185.00 $_--------_ Portal toPortal Hourly *9000 $_----_----- Sign / Outline Lighting $88.00 $__________ Signal Circuit/Limited Energy -Multi-Family $08D0 *____----_ Signal Circuit/Limited Energy/First 15OOof'Commercial $90.00 $----__---_ (Nota:$5,ODfor each additional 15OOeV Renewable Elec. Energy: 5KVASystem o,less *113.00 $__________ Thermostat (Nuoe:$5for each additional) $56.00 $ $ 171� -W 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 mhire onelectrical contractor ifabove said property is for sale, rent or lease. Permit expires after six months oflast inspection. After reading the mhuvo statement. | hereby certify that | am the owner of the above named property or 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 I Print Name Signature(M Owner OEL'Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or uem�����7.4711] ELECTRICAL PERMIT 3b I Application Number : , 2i-00000726 Date 6/15/21 Application pin number . 944276 :- Property Address . . . . . . 223 E 4TH ST ASSESSOR- PARCEL 'NUMBER: 06-30-00-6-4-67:00-0000- 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 Signature of owner or Electrical Contractor X Date: GAEXCHANG"UILDING ts.- , MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, W'A 98362 360.417.4735 ( www.cityofpa.us j electricalperrnitsL,cityofl)a..us Project Address: 223 E 4th St Project Description: Power for hry C] Multi -Family Residential U Commercial / Industrial / Public Building Square footage: Name: Clallam County CourtHouse Jail E Mailing Address: 223 E 4th St Mailing Address: po box 369 Expiration Date: 1/1/22 Email: blacktailelite@yahoo.com Phone: 360 531 0385 Phone: 360 417 32340 Alm 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 WIO 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 '$Koo $ Sign / Outline Lighting $8800 "$ Signal Circuit/Limited Energy - Multi -Family -$8&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 $ s 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- 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 Date Print Name Signature (❑ Owner ❑ Electrical Contractor /Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] -0 Application Numt Application: pin Property Addreae ASSESSOR PARCEL, Application type Subdivision Name Prnnerty UaA _ Application valuation . . . . 0 Application desc Planreview Owner Contractor CLALLAA COUNTY OWNER 223 E-4TH ST PORT ANGELES WA 98362 -(360)417-2429 ---------------------------------------------------------------------------- Permi-t . . ELEIM PLAN REVIEW CTR Additional -+desc - . Permit Fee . . . 400.40 Plan Check Fee .00 Issue Bate 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 400.00 .00 .00 p «.,F4 REPORT SALES TAX on your excise tax form to the City of Pori Angeles (Location Code 0502) Date: REP% IJ ORT INGELES .A WASH I NGTON, 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 John, The estimated cost for your electrical plan review is $400-00 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, OROZIA�pw_ Trent Peppard Senior Electrical Inspector ttpegpard �dt ofa.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 Thank you for your business! 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, WA98362 (360) 457-4343 HNN.l1DCOlnot8t1oO.US Shipment ---------------------- USPS Priority Mal] 011p TO: Attn: Katy 08St Coast CVU8 CuDoUlt3OtS 19109 36TH AVE W STE 207 LYNNN00D, 0A 98036-5767 Package l0: 210428 11.93 Tracking 8: 9405511108274805923673 ACtU8] 0t: 0 |bn 4.6 Vzo Rating Wt: 0.5 ib8 Pkg O10S: 36'00 X 6.00 h 6.00 SUBTOTAL 11.93 0X 0.00 TOTAL 11.93 TEND ACCi - Cr8U1f 11.93 Credit account: ACC0Un{ 3 Open balance: 10.85 Total shipments: l . City Of PA Public Works 04/2l/2O2l %188832 09:32AM Workstation: O - Master Workstation Signature — Al) 3h1p08OtG are SUb]8Ct to the terms and conditions posted in the Store at the front counter. **N)/)SS__ THIS ADDRESSS HAS BEEN VERIFIED BY YOU.** For the safety ofour customers and carriers, we reserve the right to Open, 1OSV8ct, GDU 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 April 29, 2021 City of Port Angeles 2021-PAN-APRI 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 Chec k Number Number Clallam County Court House VAV Replacement - William Tracey, Katie Conrad - 3 221 -PAN-003 21-485 $ 223 E 4th St, '00 hours @ $I I O/hr. .... . ........ ... . ..... ..................... . .. ............ . . . ........ ... ............. .......................................... . 110 .... ... .......... - ..................... T" 22 1 -PAN-003 21-485 Clallam County Court House VAV Replacement - Shipping Cost (Plan Return) 223 E 4th St. 7.70! ........ . . . .................... ....... . .... ............. .......... ............... . .... . .... ................ . ....... .......................... . ... ...... . . .................. ............ . ............... .... .... .. . .......... .. .... ..... .. ....... ..... ......... ..... ................... . ......... . .. . . . .... ....... .... ... ......... . ... .......... ....... .. ........ ................................ . ------- ---- ............... ........... ......... ........... ..... .................. .. ... . ...... . .............. ......... .. .. ........ ....... ... ........ . .............. ....... ....... ..... .... .... ........... .... .. . .. . ...................... ... .. ......... ... . ....... I ........................ ............. .. T ........... . ....... . .... ....... .... . ... . ........ . ................... .. .................. ... .... .... .... .............. .. ...... ................. ........ ...... .... ....... ... ........ ...... .......... . ......... ....... ...... ------ ... .......... .. . ......... .... .... .................. .. ............. — ---- --- --- ...... ........ ........................ ............ ......... ...... .... .......... . ...... . ....... .......... ... .... . ........ . ............. .......... ........... ................. ........ ..... .. ..... .... ........ ... .... ... ................................... ......... ....... ........ ................. . ......... ............ ............ .............. .......... ................. ........ ....... ...... ... 4 ................. .................... II .. ................. ............ . ... r ................... . .... ......... ...................................... ....... . .................... . . .............. . ........ . ... . . . ... ........................ ........ ... .... ......... ........ .... ............ .................................... ....... . ........ .......... ............... ... ..... ? ............. . .. .......... ...... ......... ............. .. ............. . .... ........................ . ...... . ..... ........... ........ .... . ............ 4 .................................... ....................... . ........ ........ ............ ...... ....... ....... .... . . . .. . . .............. .... .... ....... ... .... ............ ........ ........ ... .......................... .... ..... ................ .. ..... ... .... ...... .. .............. .... ......... ............................ . ......... .......... . .......... ......... ..... .. . . ............. . ....... .................................................. 337.70 Bill To Accounts Payable City of Port Angeles Finance Dept. 321 E. Fifth Street Port Angeles WA 98362 Invoice Date Invoice # 4/29/2021 38647 P.O. No. Terms Trent upon receipt Quantity Description Rate Amount 3 Clallam Courthouse VAV replacement Sales Tax 1.75 8.80% 5.25T 0.46 Total $5.71 TERMS - PAYABLE IN FULL AND DUE UPON RECEIPT. 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 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 . . . . 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 .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 CUNIIVIENTS: FERMrf WILL EXPIRE SIX (6) MUNTHS rRUM LAST INSPk%;TIUN Signature of owner or Electrical Contractor X Date: GAEXCHANGSBUILDING MULTI -FAMILY / COMMERCIAL -0 ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department lv 321 El. 5th Street, Port Angeles., WA 98362 360.417.4735 1 www.cityofpa.us 1 electricalperinitsoqcityofl)a.tis 1� Project Address: Courthouse Generator Project Description: Load Bank 13 Multi -Family Residential 0 Commercial / Industrial / Public Building Square footage: Name: Clallum County Parks Email: Mailing Address: 223 E 4th St Name: Legacy Power Mailing Address: 810 Email: RLUNDIN@L &M 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 W1 Service Feeder Branch Circuit W/O Service Feeder VE GIG WA 98332 Phone: License: ELLEGACTL821 LJ Expiration Date: Phone: 2538580214 Charge) $132.00 $ $160.00 $ $225.00 $ $288.00 $ $410.00 $ $5,00 $ $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 Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000,Amp. 0 $ Portal to Portal Hourly 'P&00 Sign / Outline Lighting $88.00 Signal Circuit/Limited Energy -MpIti-Family $88.00 $ 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, $ $ 121.00 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. 1/5/20 THOMAS DUNHAM Date Print Name Signature(E] Owner Electrical Contractor /Administrator) (Electrical Permit Applications maybe submitted to City Hall orelectricalpermits@cityofpa.us or faxed to 360.417.4711) ELECTRICAL PERMIT CITY of FORT ANGELES 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 tM�jI _C--------- Permit7. . . . . . 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 IMPORT SALES TAX on your excise tax form to the City of Port Angeles (Locaftn Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1, FINAL COMMENTS. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEMON Signature of owner or Elemcal Contractor X G:\EXCHANGE\BUILDING Date: ., , �.-4;, ��>, �, ,� �y I i I .-..,) _. .. _ _ I I -. t i ���pi �. ELECTRICAL PERmrr CITY OF PORT ANGELES 360-417-4735 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 Plan 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 COMMENTS: PhKMII WILL I AYIKE SLX (b) MUN ITIS 14KUM LAN 1 1NSrt ;:11VN Signature of owner or Electrical Contractor X Date: G:\FXCHANGEIBUILDING I ` ' 0, R-,-,T 'GELS - A-- W A S H I N G T O N, U. S. A. Public Works & Utilities Department 3/2/21 16D LLC Attn: Evan Robbins P O Box 804 Vashon WA 98070 Subject: Electrical Plan Review. Clallam County Elevator Eva n, The estimated cost for your electrical plan review is $400.00 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 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 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 Shipment FedEx Ground Sk1V TO: Attn: Katy West Coast Code Consultants 19109 36TH AVE N STE 207 LYNNWOOD,WA 98036-5767 Package ID: 207944 14.82 Tr���1n� �' 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: Account 3 0p8D balance: 37.71 Total shipments: l City of PA Public Works O3/U4/2O2I #186959 09:334M Workstation: O - Master Workstation Signature All SU1p08Ot3 are subject 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 customers and carriers, we reserve the right to open, 1DSp8ct. HOU refuse any package t8OUSr8U' Insurance: First $50.00 is covereUw/USPS Priority Mail. First *100.80 19 covered W/Fe0Ex or UPS. AUU1tlODal 1O8Ur8Dc9 NUnt be purchased W/LSS before shipping. West Coast Code Consultants, Inc. w 19109 36th Ave W, Suite 207 �J` Lynnwood, WA 98036 rl (425) 582-1719 r" Federal Tax ID # 20-4707579 Trent Peppard, Senior Electrical Inspector City of Port Angeles 321 E 5th St. Port Angeles, WA 98362 March 26 2021 1-PAN-MAR Net 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«..._..._................................... .....!...... .... ............. ......»................... 1 221-PAN-002 21-265 ;Clallam County Elevator - Shipping Cost (Plan Return) 223 E 4th St. $ 7.70 1 . I f 222t i + i i j j I ................................ _..._.._.....{._.......... ..... ........... ........ ....... _.;_.................. .«................... _.... .................................... .._.... .... ... ................... ............................... _...... «........ .......... ....... _.............._......._..._.......................... ....2........_...... _............................. _... ....?_.. .... I i i...._.._...«......_.._......._._.._e._..._._..................... ............ «..._..._«.„.«.............. _.............«.«««...._.._.._.«_._«.....««.._........................................................... ..._...... _. _ _.... .... .«...... .............................. .. d............... ._...... ................ s : _._..._._.._.«««....,...»............... ....._._ . _.._._._.._.._..�.�. __ _.....«.»«. ..». �. «. _. _.._._«._.__.. r._.�._.d—.«..«.....«..._.._....._..._..._..._..._...... # i x i i e e i _.......................... ....._..._..._........._.......................«......«......................._........«.............._............_.«..._.......«..._......_..........._...»...«....._..._..._..._..._..........._..._..._.............«.«.................._......_.............«.......i............_..._._.................................."' .._m....... ._.e«.. --------------- 1 i e ; i + I I i i i S 447.70 March 11, 2021 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: 1:1RST REVIENN Port Anloeles#: 21-265 \N ('' Project #: 22 1 -PI%N-002 FINAL REVIEW WC3 Project #: 221-PAN-002 Port Angeles Project#: 21-265 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 3 u ELECT1bdAL PERMrr CITY OF' ANGELES 36f=i7735 1 Ii plication Number . . .18-00001934 Date 3/05/19 'Alication pin number . . . pp 148368 REPORT STA E SAi S'f Property peas . . . "ASSESSOR 223 8 4TH ST Oh exc se tax ftin PARCEL NUMBER: 06-30-00-6-4-6760-0000- your ApplicatioA type description ELECTRICAL ONLY, t0 the City of PortAnge%S Subdivision Name . . . . . . (Location Code 0502), Property Use 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 Nxpirati;4aa. Date Qty biliit 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 ELECTRICALPERMIT (+ CITY OF PORT•ANGELES W-417-4735 Applination Number 19-00000268 Date 3/04/19 Apolica ion pin, number . -... 319092 REPORT STATE SALES TALC N) Property Address 1936 W 18TH ST on excise. tax form ASSESSOR PARCEL NUMBER: 0640-00-1-1-1900-1000- your Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision -Name Property Use (Location Code 0502) . - , 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 ECH 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 AP SERVICE ROUGH -IN FINAL COMMENTS: 77 PERMif WILL EXPIRE six ( } MON7'fiS FROM LAST INSPEMON Signature of owner or Electrical Contractor X Date:, a vQ 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 deac - 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 98362 (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 i 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 it 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: �go" ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: PERMIT # INSPECTO ONNUR CONTRA� ADDRESS 22 � APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ •-- •NEEDED:�� .__ L_ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE -- Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 223 E 4th St Ste 7 Project Description: Distributed audio install ❑ Multi -Family Residential 0 Commercial / Industrial / Public Building Square footage: iE CEIVED f1ECTR1 !�!4SpE C �13�1 Name: Clallam County -Courthouse Email: tsullenger@co.clallamma.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 1tain Unit Charae 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 $ 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 $ $ 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. 6/11 /18 Mike S h i rl a Digitally signed by Mike Shirley Y Date: 2018.05.31 14:52:42-07'00' Date Print Name Signature (❑ Owner V Electrical Contractor / Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL PERMIT CITY OF; FORT 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- OBI excise tax form Application type description 'ELECTRICAL ONLY your Subdivision Name . . . . . . t0 the City of Port Angeles Property use . . . . (Location Code 0502) Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS ' Application valuation . . . . 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 86.0.0 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ' ROUM-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 4Fi Signature of owner or Electrical Contractor X Date: �a 09/17/2018 12:46 FAX 360 452 9265 Angeles Electric Q 0001/0001 P R V —1/00 Name: ANGELES ELECTRIC, INC. License: ANGELE1460RS Mailing Address: 524E IR-S,STREET Expiration Date: 02/01/2019 Email: ksimpson@q) i` tiacPhone: 360-452-9264 lttim Service/Feeder 200:Amp. Service/Feeder201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601.71000 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/Fee t)FAAmp° Temp. Service/Feed - 000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal CircuittUmited Energ Signal CircuiVi_imited Energy/ (Note: $5.00 for each Renewable Elec. Energy: 5KVA Syste Thermostat (Note: $5 for each additional) tt?' arse, Quitntl ii tfr it Cl $1ti0.00. ' $ $225.00 ._ $ $28it.0Q $ 55 t)Ex $ V4' 00 $ $8&0Q $ $ SIO 00 $. $1'21:QO $ 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. Print Name Signature (❑ Contractor / Administrator) Permit Applications may be submitted to City Hall or electricaipermits@cityofpa.us or faxed to 360.417.4711 ] ELECTRICAL PERMIT CITY OF PORT ANGELES 364-417-4735 Application Number . . . 18-00001934 Date 1/23/19 Application pin number 148368 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 OWNER 223 E 4TH ST PORT ANGELES WA M 62 (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 Fee summary `' Charged Paid: Credited Due Permit Fee Total. 500.00 500.00 .00 .00 ;Plan Check Total -.00 .00 =00 .00 - Grand Total 500.00 500.00 .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: POKI NIULLES -A WASH I N G T O N, U.S.A. Public Works & Utilities Department 1/3/2019 Clallam County Hunt Engineering Attn: Joel Windburn 223 E 4th Street Port Angeles WA 98362 Subject: Electrical Plan Review. Data room HVAC Joel, The estimated cost for your electrical plan review is $500.00 this estimate is good for 180 days from the date of this letter. The City requires that you deposit an amount equal to the estimate with the City as part of your permit application. The actual fee will be the City's labor and material cost plus a 15% administrative fee. If the actual cost exceeds the deposit amount, the City will bill you for the overage. If the actual cost is less than the deposit, the difference will be refunded. If have any or concerns, feel free to contact me at the number, or you questions phone e-mail, listed below. Sincerely, } Trent Peppard Senior Electrical Inspector taeppardC@citvofoa.us Wk 360 417 4735 Cell 360 808 2613 Phone: 360-417-4800 / Fax: 360-417-4542 Website: www.cityofpa.us / Email: publicworks@cityofpa.us 321 East Fifth Street / Port Angeles; WA 98362-0217 MULTI -FAMILY / COMMERCIALI EUIVED ELECTRICAL PERMIT APPLICATIOPJ-� 2018 ,�'0'._c Works and �talltles Department 3 1 , E. 4 yroo4 � 1 i C )Z I �,. 5 �� S .,,�,�, Port Angeles, IWA 98.)62 36 41 7 -4a7j` `rVV'V . i - J'pa.us L ec*rlrva,Derm?`Ls�cityofpa.uSs 0N$ Project Address: 7-7-1 VA5 I Gl "'5- 4W 4c,+Cr . PA, Project Description: ►.stty Qdu•atL 4 ectrct owc*x_ ra"r Nw r,Ik'1 r+- A'000% 900rr- 11 Multi -Family Residential /L Commercial / Industrial / Public IA.)" 1, footage: rizi=l Name: yJ a 0L W t W 0 ekyeNJ Email:J W t99%V0!h4 tv G©. daft 2o" Wi Mailing Address: 27-3 fc&VT of t6- rreve't,yIF, + Phone: 340 40/'7- 2.Y29 Name: ..! a I,t«� uwlt License: Mailing Address: 0,41 w! Psr, 4 ft&__ :9-5 Expiration Date: Email: _.i a tA ,n � c� �-1 Q hu e K cam.... Phone: 20 r, lbyZ 6.2 y ..�... Service/Feeder 200 Amp. 6 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) $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 PAW 14.05.050 regarding Electrical Permit Applications. Date Print Name,Vgnature ([� Owner ❑ Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] 3 ELECTRICAL PERK'' CITY op PmT ANGELES 366 417-4735 Application Number 19- 00000377 Date 3/15/19 Application pin number . . 331204 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 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 -pate 9/ii/19 oty Unit Charge. Per Extension 20.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 100.00 1.00 - 132.0000 ECH EL-COM 0-200 SRV FEEDER 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 WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION t , REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) ie of owner or Electrical Contractor X Date: MULTI -FAMILY / COMMERCIAL RECEIVED ELECTRICAL PERMIT APPLICATION MAR 14 2019 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417,4735 1 www.cityotpa.us I electricalpet7nits a cityofpa.its Project Address: 223 E 4th ST Port Angeles, WA 98362 Lower Level Data Room Project Description: Clallam Co Courthouse - Data Room Modifications ❑ Multi -Family Residential ® Commercial / Industrial / Public Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: Name: McCoy Electric 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: Rom Unit Charge Quantity - Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 t $ 13 Z- o0 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 '? =11�1 $ 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 $ _ $ 2 3 Z 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 ► 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 — Date Print Name V Signature (❑ Owner V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711j m1c m 7_a6 -72/ 3ZL�5- or ELECTRICAL INSPECTION &- WIRING REPORT 417-4735 DATE: PERMIT # INSPECTOR Il- Z7 imw OWNAR CONTRACTOR C � ADDRESS 2 APPROVED NOT APPROVED ............. DITCH .. ............... ❑ ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: jr SJ12'f. Vogl _ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE -- ��cs?o" ELECTRICAL INSPECTION �;g WIRING REPORT 417-4735 DATE: PERMIT # INSPECTOR ZJ192 ' OW ER CONTRACTOR M LC-0 v ADDRESS J APPROVED OT APP ❑ ............. ......DITCH.................... ❑ ❑ ................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: S UV?6 12:7f- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - l ? -4. _ `IM ti rEMU n�7 735 Application Number . . . . . 19-00006928 Dane 6/17/19 Application pin.number 142432 Property Address . . . . 223 E 4TH ST ASSESSOR PAR L NUMB$R:06-30-00-6-4-6740-0000-, Application type description ELECTRICAL ONLY ':. Subdivision Name . Property Use . . Property Zoning P09LIC B(IILDINGS & PARRS REOMRT STATE SALES 7"A3f on your excise tax form to the City of Port Angeles (Location Code 0502) Application valuation . 0 Application desc Fire alarm space --------------------------------------------------------------------------- Owner Contractor CLALLAM COUNTY FIRE CHIRP Z=PMM CO INC. 223 B 4TH ST 14214 10 21ST ST PORT ANGELES` - WA 98162 B-ELLEVUS WA 98007 (360) 417-2429 _(425) 641-2127 Permit ;. . ELECTRICAL ALTER COMMERCIAL - Additional deae Permit Pee 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 1500'SO-FT 96.00 Fee summary Charged Paid Credited Due `r T Permit Fee Total96:00 96..00 .00 00 Plan Check Total .00 :.00 00 .00 Grand Total 96.00 96.00 .00 .()O. y a i . A -may"` 5�°Ri 4. �Si'.tsN'. . " �':T'.� MULTI —FAMILY / COMMERCIAL RECErvED ELECTRICAL PERMIT APPLICATION JUN � 7019 Ptihlic Works and utilities Depart:lrrent 5th Street. Port An, e1c,,, A 4)8i62 �tit7.41 i, 4 73�.carofj�t:.us(eotrrt:alperntit�'u-r;lNrl1'ha.u: Project Address: 223 East 4th Street, Port Angeles, WA 98362 Project Description: Replace Clean Agent Fire Alarm Release Panel in Data Center and Instal New Clean Agent Fire Alarm Release Panel In Electrical Roam Both In easement ❑ Multi -Family Residential C✓J Commercial / Industrial / Public Building Square footage: 1200 777— OWNER INFORMATION Name: Clallam County Email: parks®to.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 Ibm Unit Charas Q{apjjilty TgW (Quantity x Unl 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 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 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $l< 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 1 $ 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 $ $ 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 14.05050 regarding Electrical Permit Applications. 6-14-2019 Pat Dillon YA I,,,,,, f Y.,.r--- "` Date Print Name Signature (J Owner V cal Contractor / Administrator) (Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 ] Application Number . . . . . 19-00001179 Date 8/06/19 Application pin number . . . 170960 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 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Application desc Sheriff's Dept. ---------------------------------------------------------------------------- improvement Owner Contractor. CLALLAM COUNTY SIMPSON ELECTRIC 223 E 4TH ST 243036 W MY 101 PORT ANGELES WA 98362 PORT A_NGELES 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 8/66/19 Valuation 0 Expiration Date 2/02/20 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 PERMIT WILL EXPIRE SIX (6) MONTHS .FROM LAST INSPECTION Signature of ow1w or Electrical Contractor X ,r.� ,- >, MULTI -FAMILY / COMMERCIAL itCc/ ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us �D l Project Address: 223 E Mn 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 Courthouse Email: - — Mailing Address: 223 E 4th St Port Angeles,WA 98362 Phone: 36"7=21XID""' - Name: Simpson Electric LLC License: SIMPSEL973RO Mailing Address: P.O. Box, Port Angeles, WA 98362 Expiration Date: 12/112019 Email: disimpson5lamail.00m Phone: 360457-9270 1!� , 53 . r, I M (Quar ty x Urdt Charge) Service/Feeder 200 Amp. $132.00 „- _ $ , Service/Feeder 201-400 Amp. $160.OR $ Service/Feeder 401-8W Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder ;65 00 $ Branch Circuit W/O Service Feeder $14.06 $ 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. 3185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Famiy 388:00 $ Signal Circuit/Umited Energy/First 1600 If - Comrnercial $W00 . $ (Note: $5.00 for each addkkwW 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $ $ 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- 46B, 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 . . . . . 19-00001179 Date 8/06/19 Application pin number . . . 170960 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 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Application desc Sheriff's Dept. ---------------------------------------------------------------------------- improvement Owner Contractor. CLALLAM COUNTY SIMPSON ELECTRIC 223 E 4TH ST 243036 W MY 101 PORT ANGELES WA 98362 PORT A_NGELES 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 8/66/19 Valuation 0 Expiration Date 2/02/20 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 PERMIT WILL EXPIRE SIX (6) MONTHS .FROM LAST INSPECTION Signature of ow1w or Electrical Contractor X ,r.� ,- >, MULTI -FAMILY / COMMERCIAL itCc/ ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us �D l Project Address: 223 E Mn 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 Courthouse Email: - — Mailing Address: 223 E 4th St Port Angeles,WA 98362 Phone: 36"7=21XID""' - Name: Simpson Electric LLC License: SIMPSEL973RO Mailing Address: P.O. Box, Port Angeles, WA 98362 Expiration Date: 12/112019 Email: disimpson5lamail.00m Phone: 360457-9270 1!� , 53 . r, I M (Quar ty x Urdt Charge) Service/Feeder 200 Amp. $132.00 „- _ $ , Service/Feeder 201-400 Amp. $160.OR $ Service/Feeder 401-8W Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder ;65 00 $ Branch Circuit W/O Service Feeder $14.06 $ 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. 3185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Famiy 388:00 $ Signal Circuit/Umited Energy/First 1600 If - Comrnercial $W00 . $ (Note: $5.00 for each addkkwW 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $ $ 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- 46B, 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 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 . . . . 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 MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 223 East 4th Street, Port Angeles, WA, 98362 Project Description: Installation of 2 Cat 6 Plenum cables in HR Dept to Telephone Room in Basement, Existing Pathways ❑ Multi -Family Residential R1 Commercial / Industrial / Public Building Square footage: 1500 Sq Ft Impacted in project OWNER INFORMATION. Name: Clallam County, Attn: Josh, IT Email: joshua.budd@clallamcountywa.gov Mailing Address: 223 East 4th Street, Port Angeles, WA, 98362 Phone: 360- 417-2000 Name: Angeles Communications Inc. License: EC-ANGELCIO05LH Mailing Address: 102 Ross Lane, Port Angeles, WA, 98363 Expiration Date: 06/08/2026 Email: mike(cDangelescommunications.com Phone: 360-457-4375 PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $237.75 $ Service/Feeder 201-400 Amp. $237.75 $ Service/Feeder 401-600 Amp. $332.85 $ Service/Feeder 601-1000 Amp. $427.95 $ Service/Feeder over 1000 Amp. $523.05 $ Branch Circuit W/ Service Feeder $5.60 $ Branch Circuit W/O Service Feeder $95.10 $ Each Additional Branch Circuit $47.55 $ Branch Circuits 1-4 $95.10 $ Temp. Service/Feeder 200 Amp. $190.20 $ Temp. Service/Feeder 201-400 Amp. $237.75 $ Temp. Service/Feeder 401-600 Amp. $285.30 $ Temp. Service/Feeder 601-1000 Amp. $332.85 $ Portal to Portal Hourly $95.10 $ Sign / Outline Lighting $142.65 $ Signal Circuit/Limited Energy - Multi -Family $190.20 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $190.20 1 $ 190.20 (Note: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $190.20 $ Thermostat (Note: $5.60 for each additional) $95.10 $ $ 190.20 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. 08/17/2024 Mike Jensen Date Print Name Signature([:] Owner ❑✓ Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] Loot 4cwr i vG Fs I►w ELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 9/26/2024 24-852 TMC OWNER Contractor Angeles Communications Inc ADDRESS 223 East 4t" St APPROVED NOT APPROVED Q DITCH CD CD ROUGHIN/COVER 0 C) SERVICE 0 CD FINAL CD CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CY OF PORT ANGELES 360-4I7-4735 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 . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ----------- ----------------------------------------------------------------- Application desC UPS and low voltage cable ---------------------------------------------------------------------------- 1 SK REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0542) Owner Contractor ------------------------ 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 SO FT 96.00 1.00 5.0000 ECH 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 IIIIII 1■-,�����II�� M II I I 1 •' s , PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEMON Signature of owner or Electrical Contractor X Date: G\EXCHANGEIBUILDING 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 Job Address: 22-3 E q 3 Pbr� Anwfq� WA 98-1&;L Building Square Footaqe: Description of above I A0,2 IM!,S ' on A 2. Caj han 0-MARV -In 13,0rver Caim Owner Information Con!ra offnation Name: flame; - _ Mairn Address.MallinqAddress: 'i 2120 City... State: Mffl_ zip: ciftv! Tnrn ryi (X State: I I j Zip: Q'WL1061 Phone:WA0-14I7-.7V1i5Fax: 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 $ &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-Slat $_ Note: $5,C0 each additional $44W '.tal JD1 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 electrical administrator: El Cash El Chock � Crodlt Card # 6001 '5w?'4t4X& -'> 15, 1, "T' , 4,0 A"I 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 ------------------------ ------------------------ CLALLAM COUNTY 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 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 IA 0002/0002 CITY OF PORT ANGELES PERMIT .APPLICATION BuildlintDivislonMectdw Luspadons 321 East Fifth Street — P.U. Box 11-50 / Port Angeles Wasbd gW#, M62 Ph: (360) 411-4735 Fax: (360) 417-4711 ., Date: u!>a-ii+aNt or Commprotal" *'Plan Review May Be Requkw, Please Complete ElecWCV Plan Review hWmat%n Sheet Job Add= BcnWq 4mM Footage . Desmiptl4n Ownerin" 0 Norms MofMg. Gty: Slate: Phone:. F� t�cerasa It/Ecgk. It SerVIefFeeder.200 Amp. 1132.00 SeMaIFeedsr201400 Amp. $160.00 SoMoolFaadet4014M Amp $ 225.00 SorWC0Fesder 60l4000 Amp. $ 288.00 SaMc WF90orover 1000Amp. $410.00 Branch Chua W/ Servos Feeder $ 6.00 Branch Cl=k W/O Service Feeder $ 74A Each Addy! Brafich CkM ; 5.00 Branch Chwlts 14 86.00 Temp. Sarvicel Feeder 200 Amp. $ 102,00 Temp. ServftFoedor2014WAmp. $121.00 Temp. SoMos/Faedsr 4014M Amp. $164.00 Temp. SavlcodFesder 601-1000 Amp. $ fi8S.00 Portal to Portal Hvily $ 26.00 Sign/Oufm Wh6ng $ $8.00 4nel CkmW United Energy —Muld-FsmBy $ 64.00 St nai Chcltl Limbd F.netgyl First 1SM sf—Commer" $ 96.00 Note: $&00 for each additional 1500 of Renewable Becatcal Energy -SKVA System or Less $ 1 f3.00 Thermostat t 56.00 Note: $&00 for aaeh adManal T-Stat Nome. lion s� s Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for too years ar[Dar lhht daddad p eent is Inalked. (21 P- wor is lequked to hire an electrical conhactor 9 above said property is far sale; rent or bass. Permit -expires der six monft of Dart lotion. After reading the above stator nsK I her�aby certify #>:tt i am the owner 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 ---- %� e,ao,M= 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 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 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 IA 0001/0002 CITY OF PORT ANGELES PERMIT APPLICATION BiiUdlingMvIsion/FlectldW Inspections 321 East Fifth Street —P.O. Box 11-50 / Port Angeles Wasbingten, "362 . Ph: (360)XZ Fax: (360) 417-4711 Date: * V Ilduttt-E nor Comm4rNai" 4Mhf. 'Plan Review. May Be Required, Please Complete ElectiW Klan Review Irrlormetion Sheet . Job Address: 2 Y Buikfq SquarefoohW. Description of ireJ- _ ff r Ownerlat do Name Mallfng. des '�Y Zlp; o Fax License 01 Exp. . ' rd Z e SeMw1Feeder 200 Amp. f 132.00 Service,feeder2014M Amp. f 160.00 Servios/Feeder 401-6W Amp f 225.00 Servimfeeder 601.1000 Amp. f 288.00 SaWlce/Feeder over 1000 Amp. f 410.00 Branch Cimpdt W/ Service Feeder f &00 Bmnch.CjmA WJO Service Feeder f 74.00 Each AddPtlonal BW#ch Omuit $ 5.00 Branch Cirmbs 14 f moo Temp. Service/ Fender 200 Amp. $102.00 Temp. SavisalFaeder201-400 Amp. $121.00 Temp. Servics/Fsedsr4014W Amp. f 154.00 Temp. Ssrvkx/Fssder 601-1000 Amp . f 185.00 Petal to Portal Hourly f 06.00 SigrdOudbte Lighdng S 88•00 Signal ClmxrWtlmhad Energy -Mull -Fan* f 54A Signal CkwW Whed Energy / First 1 S00 sf - Commardai f 06.00 Note: 55.00 for each sddifl MW ISM of Renewable Seckloal Energy - MA System or Leas S 156.00 Thermostat Notes $5.00 for each odddond T-Stat me.w. �— CIV. Llamas /911 TOW ((my MukWHed by Unit Cbo!d f f s f f� i - f�.� . f f� Z f oa: Owner as defined. by RCW.19.28.261: (1) Owner wipoccupy fhe smtdm for two years afterthis slec" pong is kolzed. (2);Owneris MOW . to hire an eki&W contractor• if above said property is for sate, not or Issas. Permk v pkes after stx monft of last stspOCUM. After madutg the above statement, I herby CW* that 1 am ftte owner of the above reared property or a kw*W eieetrlcal oontrUW- I am rt eft the elechical Instagation or alteration in compliance+wi h the electrical leas, N.EC., RCW. Chapter 1918, WAC. Chapter 2$tl S, The City of Port Angeles MuNdpal Coda, and tililily SpNM=f * and PAMC 14.05.050 roparding 89WW PWAAPOWAUM- Signatun of owner, alwWcd contractor or eled"- adMOSM010 cubes ❑ Cheek J3'gr %Card# �'� 1 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 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) 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 r Commercial` " Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 1-k AAA.-..- er In ormatl� o 'Name. r Contra rtq�r Infory�aUon, l/ o CSC».m U4 A dress: �[f Meiliny� �ffss: u 4p< City 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 Chame Q Yt Total 1Qty MuRioRed by Unit Chamel Service/Feeder 200 Amp. $132.00 $ Service/Feeder 2014M Amp. $160.00 $ ServicalFeeder 401-6W Amp $225.00 $ ServicefFeeder 601-1000 Amp. $288.00 $ ServicelFeeder 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 $ Tamp. Service/Feeder 2014M 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/ Limiled 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 hire 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 Munid➢atC6dA and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. sidnature owner, electrical contractor or electrical administrator: ❑ Cash ❑ 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 ------------------------ 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 . . . . 11/22/16 Valuation . . . . 0 Expiration Date . . 5/21/17 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SO 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 SIX (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, 99362 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: Maim} 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 1Qty Multiplied by Unit Charge► Serv" Feeder 200 Amp. $132.00 b Service/Feeder 2014M Amp. $160.00 b ServicelFeeder 401-6W Amp b 225.00 b Service/Feeder 601-1000 Amp. b 288.00 E ServicelFeeder over 1000 Amp. b 410.00 b Branch Circuit W/ Service Feeder S 5.00 $ Brandt Circuit W/O Service Feeder S 74.00 b Each Additional Brandt Circuit $ 5.00 b Branch Circuits 14 $ 86.00 b Temp. Service/ Feeder 200 Amp. $ 102.00 $ Temp. service/Feeder 201-400 Amp. b 121.00 $ Temp. Service/Feeder 401-600 Amp. b 164.00 $ Temp. Service/Feeder 601-1000 Amp . $185.00 S Portal to Portal Hourly b 96.00 S Sign/Oulline Lighting b 88.00 b Signal Circuit/ limited Energy — MullWamily b 64.00 b Signal Circuit/ Limited Energy / First 1500 sf — Commercial b 96.00 S. Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 b Thermostat $ 56.00 b 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 licensed electrical contractor. 1 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 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% �144 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 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 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 t — V 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 Zz 7, C • y tH 5 1-o-C r F4 _ 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 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) Cimier 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 mal.,ng the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.2d 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: . ; Cash . _ 4 Dated: 1" 4 ���� OV011,2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 3 17-4735 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 ------------------------ 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 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 SO 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 .0b .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 SIC (6) MONTE S 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-Family Con'rne�aal,) • Ran Review M3N Be Regtired Please Cawete Be¢rical Ran Fu�mSheet a JobAdchm Z-L-) C qK St o-h aES L 9cift Sqm Fadhge: 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 Ct.W i G r- Contractor �tf0(il1ation Plays C LAh,t...A-kn ��'-,.J _ V, `�' �-255� Nm. T741 czr� C� r �. .a, c.Q Po�, S hftAdhem 7-L3 C t$K ru,f Wlaiiry irJ c = W. A biz �f �— Oty .-v ��S1are: � zR _ Pla FM Pho 3G a v�7 y31jFac: ;'7 Licenses/ Ucerm / e a o h 3Y(, S/ Z- y 1 13-110 Item Lht Charge gy Taal (Cly Multiplied by Unit Charge) Sere w*deder2Ll0A-% $132.00 $ Se *&Veeder201A00Arm $160.00 $ S w*WFeeder 4m-600 Anp $ 225.00 $ Sa4aWmder6o1-1000Arrp. $ 288.00 $ S v oWFeeder over 100o Anp $ 410.00 $ Bad h Ciruit W Service Feeder $ 5.00 $ Bad Clean WOService Feeder $ 74.00 $ Eac h AdMord aand, C k aA $ 5.00 $ Doha,Chuft u $ e6.00 $ Twp Samoa Feeder 200 Arrp. $102.00 $ Temp Ser4mfeeder201A00Anp. $ 0.00 $ Temp ServiaWeeder4DI-600Arrp $164.00 $ Tenp Sw4awFeeder 6M-1000 MP . $185.00 $ Portal to Paw H x y $ %.00 $ 99v0AkwUg" $ as.00 $ Signal CiruiV Uffned Enemy - MA -Fa* $ 64.00 $ Sigrwl CAWV United Energy / First 150o sf - Cbnrrerdd $ 9600 Nobr. $5.00 far each add6arrel 1500 sf Rananable Electrical E nffW - 5KVA Sysiancr Lass $113.00 $ Tlhwn)m $ 5s.00 $ We: $5.00 for each adcf coal TStat $ Total (1mw as defined by RDN19.28.281: (1) Cannier vWl Ooas7y the gructLm for two years after this electrical permit is finalised (2) OArw is rec}imd to fire an electrical oontractor if above said property is for sale, rent or lease Pemit expires after six moults d last inspection. After 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 irtstai 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 Spedfimbcrs and PANIC 14.05.050 regardng Bedrical Permit AoiicMcns. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check //'� ❑ Credtcardr ,J� Dated 2 3 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 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 ------------------------ 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 ECH 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 ------------------------ 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 ------------------------ --- -------------------- 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 . . . . 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 Uti gc1Rr,14 . '� CITY OF PORT ANGELES PERMIT APPLICATION O1►"�►•� Building Division/Electrical Inspections � 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362� Ph: (360) 417-471135 Fax: (360) 4174711 Date- ; / /c �? _. Multi -Family or Commercial * Plan Review May Be Required; Please Cofnplete Electrical Plan Review Information Sheet Job Address: _ ._ � -� a 3_ --------------------- - ------ Budding Square Footage: Description of above C. ------------------- - Owner Information tt Contracjor Info nation Name:( '.I{; i IclY! 1 Name: " `1�`- Mailirg Address _ Mailing Address:._ City: State: VA Phone:. Phone:.. Fax License # 1 Exp.___._______ __ __. License # f Exp, n-Cf - '( Item Unit Charge Qty Total MuWpg Se-vice/Feeder 200 Amp. $132.00 �_ _-_ ServicelFeeder 201-400 Amp. $160.00_._ Service/Feeder401-600 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 Arno . $ ' 85.00 Portal to Portal Hourly $ 96.00 _ $ Sign/Outl;ne =fighting $ 88.0C Signa: Circuit/ Limited Energy - Multi-Fami:y $ 64.00 $ _ Signal Circuit/ United Energy / First 1600 sf - Commercial $ 96.00 Note Cr 00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113 00 - $ rm_ Theostat $ 56 00 _ $ Note: $5.00 for each additional T-Slat $__. - 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 14,06.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash G check l `-"`- � ff / ty. 1 X `�%� L` l 3 . �. Dated: — �/ .� _,1 4X — 01141012 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 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 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 .60 .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 9 0001/0001 r CITY OF PORT ANGELIr±S PERMIT APPLICATION Building • DivisionMedrical Inspatdiont 321 East Fifth Street - P.O. Box IIN / Port Angeles Washington, 9062 Ph: (360) 4.11-4735 Fax: (360) 417-4711 Date. MukWamlly, or Commercial" `Plan Review.May Be Required, pkase Compete EWCWW Fpt Review Wattla M Sheet M ems,,.... 8U#ft Square Footage: Owner Informadon Name; n.Addra RAM SavicelFeeder200Amp. (j' c1mail, knome $1 Savice/Feeder 201'400 Amp. Servicel oo* 401.600 Amp $ 226.00 Savtcefndef 501-1000 Amp. $288.0D Savlce *0er aver 1000 Amp. $410.00 Branch CircuitW/Savior Feeder $ 3,00 Branch.Circuit W/O Savio Feeder S 74M Each AddWonat Braleh Cka4t $ a,00 Branch Circuhs 14 $ 88,00 T=ip. Savlcal Feeder200ArM $ lam Temp. SoMcatFeeder 201.400 Amp. $121.00 Temp. SavicelFeeder 401-M Amp. $184.00 Tens. SeMcciFeeder 601-1000 Amp, $ lam Portal to Portal liaudy S 98M Si nlOvft Ughft S 88.00 Slpnal Ckwitl Wad Energy— Muhl Fv* $ 64M Stgnd Ckcattt Cknbd Energy! Fkat 1500 sf — Condors $ ftm Note: $5.00 far each SLIM ral 1500 at RenewsUe Mectdcd Energy . 5KVA System or Less $113.00 Thermostat $ 58A Note: S6.00 for each add ftW T-Stat f�L 'A •. •t1 I '.{ �' 'A t.l .l . I• Owner as defined by RCW.19.2MI: (1) OoNw w1l oocM the stnu kn for two years after tk electrl W permit is fitwbmd. (2) Ownw is to hire an electrical contractor I above said properly is for sale; rent or Iease. PwntRexoft alter sk mon t of leaf IrapMdlon. After reading the above statement, I hereby ou* that I am the owner of the above named prnpwiy or a oortttac la. I am malttrtg the elsob oral installation or aberatlon in oompliance with the electrical laws, N.E.C., RCW. Chapter 19.2% WAZ, Chapter 296 4M TM Chy of Port Angeles Municipal Code, and titi9ty Spedltcadons and PANIC 14.05.050 regarding EkkW Perms AppO done. -Signature,of owner, electrical contractor or electrical admhdstrator: Cl cote O ale* 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . Issue Date . . . . 1/05/23 Valuation . . . . Expiration Date . . 7/04/23 Qty Unit Charge Per BASE FEE Fee summary Charged ----------------- ---------- Permit Fee Total 86.00 Plan Check Total .00 Grand Total 86.00 WA 98362 00 0 Extension 86.00 Paid Credited Due --------------------------- 86.00 .00 .00 .00 .00 .00 86.00 .00 .00 MULTI -FAMILY / COMMERCIAL ELECTRICAL APPLICATION and Utilities Department 321. E. 5th St:ree-t, fort Angeles, WA .98362 360A] 7.4735 1 ww"r.cityo fpa,us I elect:ricalpermit5@oRyofpa.us Building Square footage: M, Bill Name: An eles Electric Inc. License: ANGELE1460RS Mailing Address: 524 E. First Street, Port Angeles, WA 96362 Expiration Date: 2/1/2020 Email: ksim son@olym us.net Phone: 360452-9264 item U1111 Charae 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 $6.00 $ 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 1-500 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 $ AJ $ 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 Ken Simpson Print Name Signature (❑ Ownet" 2 Ele�.'td2al Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 ] 3 MULTI -FAMILY / COMMERCIAL CD ELECTRICAL PERMIT APPLICATION 3 Public Works and Utilities Departme:at 321 E. 5th Street, Port Angeles, WA .98362 360,4:17.4735 1 wwAA ,cityofpa,11:5 I ele:ct:ricatperm.it,5(4),cityofpa.us Project Address: !' _ _ 31 Project Description: LVpptl fArb_n6� Ake SY-4-6-' ❑ Multi -Family Residential Commercial / Industrial / Public Building Square footage: Name: Angeles Electric, Inc, _ License: ANGF-LE1460RS Mailing Address: 524 E. First Street, Port Angeles. WA 96362 _ Expiration Date: 21112020 Enp�ryryry{yymail: ksimpson@olympus,net JryI Phone: 360-452-9264 now M-0 y, item SI Unit Charae Quantity Total (Quantity x Unit Charge)�f�fs�l�A��{{�Ijj 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 188.00 $ 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 $ $ �ly 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 [ease. 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. Ken Simpson Print Name Signature (n _6_w_nq0J2 Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] 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 flw ¢r IV INSPECTION WIRING REPORT ��- DATE PERMIT # INSPECTOR 1 /10/2023 22-6 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED Q DITCH Q Q ROUGH IN/COVER Q Q SERVICE Q Q FINAL Q COMMENTS: Exterior lighting NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . Issue Date . . . . 9/07/22 Valuation . . . . Expiration Date . . 3/06/23 Qty Unit Charge Per BASE FEE Fee summary Charged ----------------- ---------- Permit Fee Total 86.00 Plan Check Total .00 Grand Total 86.00 WA 98362 00 0 Extension 86.00 Paid Credited Due --------------------------- 86.00 .00 .00 .00 .00 .00 86.00 .00 .00 I MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Departma t 32•1 E. 5th Street, Port Atio-eles, WA 98362 360,4:17.4735 I wtvtiv,cityofpa•z7s I electricatperm.its@'Cityof ]Da.us Project Address; Project Description: ❑ Multi -Family Residential Commercial / Industrial / Public Building Square footage; i l i n g Address: _ _ r 0-' _ ��IIlyJ�+III`jryWd�y�(jI _ _ _ _ _. _ _ _�+_p Phone: `j[IIInI_ .y��jl•1']gJS I�Myj,ylrn�rya L YtlfLf�l 1 04 �� IIIWi�l�us�l ryVlfiy� ': 4 w 3 p u�� ' NEW Name: Angeles Electric, Inc. _ -- License: ANGELE1460RS Mailing Address: 524 E. First Street, Port Angeles, WA 96362 Expiration Date: 2/1/2020 Email: ksimpso�}nnn}}@olympus,net _ Phone: 3601452-9264 WE YN�MIR E Y IN11 ' 0 SIIH A MR1115W item Wilt Chgrya Quantity IgtW(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 $6.00 Circuits 1-4 $86,00 $ _ $ Branch _ 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, $1'86.00 $ Portal to Portal Hourly $96,00 $ Sign / Outline Lighting $88,00 $ Signal Circuit/Limited Energy - Multi -Family $88100 $ Signal Circuit/Llmited Energy/First 1-500 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.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 Part Angeles Municipal Code, and utlilty Specifications and PAMC 14.05.050 regarding Electrical Permlt Applicatlons. ?4- Ken Simpson Print Name Signature ([•] Owner V cal Cogractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa•us or faxed to 360.417.47111 3 0 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 nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 9/13/2022 22-1109 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED 0 DITCH 0 0 ROUGH IN/COVER 0 0 SERVICE 0 0 FINAL 0 COMMENTS: Parking lot lights / Camera power NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 (360) 417-2429 (360) 452-9264 ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . Issue Date . . . . 9/07/22 Valuation . . . . Expiration Date . . 3/06/23 Qty Unit Charge Per BASE FEE Fee summary Charged ----------------- ---------- Permit Fee Total 86.00 Plan Check Total .00 Grand Total 86.00 WA 98362 00 0 Extension 86.00 Paid Credited Due --------------------------- 86.00 .00 .00 .00 .00 .00 86.00 .00 .00 -0 m 3 u Multi-1-amily Kesidential La Commercial / Industrial / Public Building Square footage: ame: Angeles Electric, Inc. _ N License: ANGELE1460RS N Mailing Address: 524 E. First Street Port Angeles, WA 96362 Expiration Date: 2/1/2020 Email: ksimpson@olym us,net Phone: 3601452-9264 item Unit Charaa Quantity Tct,7i (Quantity x Unit Charge) Service/Feeder 200 Amp, $132.00 $ _ Service/Feeder Z01-400 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. $1"65,00 $ Portal to Portal Hourly $96,00 $ Sign / Outline Lighting $88;00 $ Signal Circuit/Limited Energy - Multi -Family $.88,00 $ Signal Circuit/Limited Energfflrst 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 $ . n1% OTAL 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., ROW. Chapter 19.28, WAG, Chapter 296- 4613, The City of Port Angeles Municipal Code, and Utlllty Speclficatlons and PANIC 14.06.050 regarding Electrical Permit Applications. Ken Simpson ate Print Name Signature -] Owner Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa,us or faxed to 360.417.4711 ] 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 nELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 9/13/2022 22-1108 TAP OWNER CONTRACTOR Angeles Electric PROJECT ADDRESS 223 E 4t" St APPROVED NOT APPROVED 0 DITCH 0 0 ROUGH IN/COVER 0 0 SERVICE 0 0 FINAL 0 COMMENTS: I Water heater NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 Project Address: MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and'Utiljties Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 www.cllvofpa.us.I el cctrical perm its;u-.cityofpa.Lis 223 E 4 th St Port Angeles, WA 98362 Project Description: Load Bank standby gen 175kw ❑ Multi -Family Residential ❑✓ Commercial / Industrial / Public Building Square footage: Name. Legacy Power Systems Email: thomas.dunham@legacypower.com Mailing Address: Phone: Name: Legacy Power Systems License: LEGACTL821LJ Mailing Address: 8102 Skansie Ave Gig Harbor WA Expiration Date: 06/14/2022 Email: thomas.dunham(@IeaacVDower.com Phone: 850-341-9883 Um 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 1 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ 12TM— $ 121.00 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. 04/11/2023 Thomas Dunham Date Print Name Thomas Dunham Signature([:] Owner ❑✓ Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.usI 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 flw ¢r ■ ELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 4/17/2023 23-357 TAP OWNER CONTRACTOR Legacy Telecommunications PROJECT ADDRESS 223 E 41" St APPROVED NOT APPROVED Q DITCH Q Q ROUGH IN/COVER O CD SERVICE F-1 0 FINAL CD COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 223 E 4th ST Port Angeles Project Description: Load bank stand by gen. 175kw, 480y ❑ Multi -Family Residential R1 Commercial / Industrial / Public Building Square footage: Name: Clallam County parks/courthouse Email: Mailing Address: Phone: Name: Legacy Telecom mmunications License: LEGACTL821 LJ Mailing Address: 8102 Skansie Ave Gig Harbor Expiration Date: 6/14/26 Email: thomas.dunham@legacypower.com Phone: 253-858-0214 PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $237.75 $ Service/Feeder 201-400 Amp. $237.75 $ Service/Feeder 401-600 Amp. $332.85 $ Service/Feeder 601-1000 Amp. $427.95 $ Service/Feeder over 1000 Amp. $523.05 $ Branch Circuit W/ Service Feeder $5.60 $ Branch Circuit W/O Service Feeder $95.10 $ Each Additional Branch Circuit $47.55 $ Branch Circuits 1-4 $95.10 $ Temp. Service/Feeder 200 Amp. $190.20 $ Temp. Service/Feeder 201-400 Amp. $237.75 1 $ 237.75 Temp. Service/Feeder 401-600 Amp. $285.30 $ Temp. Service/Feeder 601-1000 Amp. $332.85 $ Portal to Portal Hourly $95.10 $ Sign / Outline Lighting $142.65 $ Signal Circuit/Limited Energy - Multi -Family $190.20 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $190.20 $ (Note: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $190.20 $ 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. 5/8/24 Thomas Dunham Date Print Name Signature (❑ Owner V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] t?�O4�iAry�`,r I►w ELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 5/13/24 24-433 TAP OWNER Contractor Legacy Telecom. ADDRESS 223 E 41" St APPROVED NOT APPROVED Q DITCH CD CD ROUGH IN/COVER 0 0 SERVICE 0 CD FINAL CD CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 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 . . . . 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 MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 223 E 4th Street Port Angeles, WA 98362 Project Description: New finance area, x20 data cables from 1 st floor to penthouse ❑ Multi -Family Residential R1 Commercial / Industrial / Public Building Square footage: Area impacted 1500 sf Name: Clallam County Email: joshua.budd@clallamcountywa.gov Mailing Address: 223 E 4th Street Port Angeles, WA 98362 Phone: 360-417-2000 Name: Mike Jensen License: EC-ANGELCIO05LH Mailing Address: 102 Ross Lane, Port Angeles, WA, 98363 Expiration Date: 06/08/2026 Email: mike@angelescommunications.com Phone: 360-457-4375 Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $237.75 $ Service/Feeder 201-400 Amp. $237.75 $ Service/Feeder 401-600 Amp. $332.85 $ Service/Feeder 601-1000 Amp. $427.95 $ Service/Feeder over 1000 Amp. $523.05 $ Branch Circuit W/ Service Feeder $5.60 $ Branch Circuit W/O Service Feeder $95.10 $ Each Additional Branch Circuit $47.55 $ Branch Circuits 1-4 $95.10 $ Temp. Service/Feeder 200 Amp. $190.20 $ Temp. Service/Feeder 201-400 Amp. $237.75 $ Temp. Service/Feeder 401-600 Amp. $285.30 $ Temp. Service/Feeder 601-1000 Amp. $332.85 $ Portal to Portal Hourly $95.10 $ Sign / Outline Lighting $142.65 $ Signal Circuit/Limited Energy - Multi -Family $190.20 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $190.20 1 $ 190.20 (Note: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $190.20 $ Thermostat (Note: $5.60 for each additional) $95.10 $ $ 190.20 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. 11/22/2024 Mike Jensen Date Print Name Signature (❑ Owner V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] t?�O4�iAry�`,r I►w ELECTRICAL INSPECTION WIRING REPORT DATE PERMIT # INSPECTOR 11 /27/2024 24-1286 TMC OWNER Contractor Angeles Communication ADDRESS 223 E 41" St APPROVED NOT APPROVED Q DITCH CD CD ROUGHIN/COVER 0 0 SERVICE 0 CD FINAL CD CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 223 E 4th St, Port Angeles, WA 98362 Project Description: Installing access control to existing system ❑ Multi -Family Residential R1 Commercial / Industrial / Public Building Square footage: Name: Clallam County / Mark Doten Email: Mailing Address: 223 E 4th St, Port Angeles WA 98362 Phone: 360-417-2345 Name: Security Solutions NW License: SECURSN776MS Mailing Address: 1619 N State St, Bellingham WA 98225 Expiration Date: 7/5/26 Email: madisons@ssnw.co Phone: 360-734-4940 Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $237.75 $ Service/Feeder 201-400 Amp. $237.75 $ Service/Feeder 401-600 Amp. $332.85 $ Service/Feeder 601-1000 Amp. $427.95 $ Service/Feeder over 1000 Amp. $523.05 $ Branch Circuit W/ Service Feeder $5.60 $ Branch Circuit W/O Service Feeder $95.10 $ Each Additional Branch Circuit $47.55 $ Branch Circuits 1-4 $95.10 $ Temp. Service/Feeder 200 Amp. $190.20 $ Temp. Service/Feeder 201-400 Amp. $237.75 $ Temp. Service/Feeder 401-600 Amp. $285.30 $ Temp. Service/Feeder 601-1000 Amp. $332.85 $ Portal to Portal Hourly $95.10 $ Sign / Outline Lighting $142.65 $ Signal Circuit/Limited Energy - Multi -Family $190.20 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $190.20 1 $ 190.20 (Note: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $190.20 $ Thermostat (Note: $5.60 for each additional) $95.10 $ $ 190.20 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. 10/15/24 Madison Stewart Date Print Name Signature (❑ Owner V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] 0- QoeTAA �10, ELECTRICAL INSPECTION WIRING REPORT n 1� r� DATE PERMIT # INSPECTOR 1 /22/25 24-1099 TAP OWNER CONTRACTOR Security Solutions PROJECT ADDRESS 223 E 4th St APPROVED NOT APPROVED 0 DITCH Q 0 ROUGH IN/COVER Q CD SERVICE Q ED FINAL 0 COMMENTS: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS Application Number . . . . . 25-00000432 Date 4/16/25 Application pin number . . . 015904 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 Generator 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 . . . . 4/16/25 Valuation . . . . 0 Expiration Date . . 10/13/25 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 MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: 223 E 4th St Project Description: Courthouse generator load bank ❑ Multi -Family Residential R1 Commercial / Industrial / Public Building Square footage: Name: Clallam County Parks Email: Mailing Address: Phone: ELECTRICAL• •' INFORMATION Name: Legacy Telecommunications License: EC LEGACTL821 LJ Mailing Address: 8102 Skansie Ave Gig Harbor, WA 98332 Expiration Date: 06/14/26 Email: tom.dunham@ontivity.com Phone: 253-858-0214 PROJECT Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp. $237.75 $ Service/Feeder 201-400 Amp. $265.75 $ Service/Feeder 401-600 Amp. $332.85 $ Service/Feeder 601-1000 Amp. $427.95 $ Service/Feeder over 1000 Amp. $523.05 $ Branch Circuit W/ Service Feeder $5.30 $ Branch Circuit W/O Service Feeder $95.10 $ Each Additional Branch Circuit $5.30 $ Branch Circuits 1-4 $95.10 $ Temp. Service/Feeder 200 Amp. $190.20 $ Temp. Service/Feeder 201-400 Amp. $237.75 1 $ 237.75 Temp. Service/Feeder 401-600 Amp. $285.30 $ Temp. Service/Feeder 601-1000 Amp. $332.85 $ Portal to Portal Hourly $95.10 $ Sign / Outline Lighting $142.65 $ Signal Circuit/Limited Energy - Multi -Family $190.20 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $190.20 $ (Note: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $190.20 $ 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. 04/14/25 Thomas Dunham -rhopnA4.- twthuw Date Print Name Signature (❑ Owner V Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] QoeTAA ELECTRICAL INSPECTION WIRING REPORT n DATE PERMIT # INSPECTOR 4/17/25 25-432 TAP OWNER CONTRACTOR Legacy PROJECT ADDRESS 223 E 4th St APPROVED NOT APPROVED 0 DITCH Q Q ROUGH IN/COVER Q ED SERVICE Q 0 FINAL 0 COMMENTS: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS Application Number . . . . . 25-00001183 Date 9/19/25 Application pin number . . . 426796 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 Receptacles for TV monitors ---------------------------------------------------------------------------- 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 . . . . 125.10 Plan Check Fee . . .00 Issue Date . . . . 9/19/25 Valuation . . . . 0 Expiration Date . . 3/18/26 Qty Unit Charge Per Extension 1.00 125.1000 ECH EL-COMM BRANCH CIR 1-4 125.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125.10 125.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.10 125.10 .00 .00 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 09/22/2025 25-1183 TMC OWNER Clallam County Courthouse Contractor Angeles Electric ADDRESS 223 E 4th St