HomeMy WebLinkAbout1940 E 1st St Ste 170 - Building
Use Classification:
Group: M
Owner of Business:
Building Address:
CERTI FICk"fE"'C)'F-eCCU P ANCY
4it~- ~f Po~t A~geles
L'" Building Divisiop.;,
This C~rti{!~~t!e'r~~~ue'1!!.u'.suant to the requir:'!!:~ts of Sectio'V/. 09 of the
UniformJBg!lc!~ql!;5i,se'!icf,!if];.'r:g,"'FUY!he !tfl1;~(}fj'~~;:f!:!f,':,thlS st~ucture was
In coml}la'1,~f' w~fh, the \y~[lf!liSOI;f!HJ.l}!,cesot !.~f,Cl ty~!;fjg,:,0t'/'l.!f l!ulldmg
I /~,)t <.(ti~~~ ,;ionstr~c,#o,! ifrdlse:!F,'oJj.th~ fq!l6Wtng.?~~:;::';- \
Retail ~~~j~ldi~g:'~~~t No.: ~~~+ ~>.:..t..~-'~~ji'~~'~~a;'e~~' 'I?~i.!if"S~fii~.}'.;~, f;l
I :\Tf~~~~o"'truct;on. \~~:"~1>i~:. ,:",:~,;;, ;~~i{~~fJ":X;t!D
, ~.::..:.""~~.:>I iJ~~~:;'''":..~-;t.- .:f.:-'::~r.,;-.~'C!x,,;,t~~><,:- ;:,:~"::.;:/ I
Liquidation'Dutlet Add,essP~ 0.. BmC'3962, Lak:ewood~-,WA. .98499
170 po~;;j~~l~s Plaza ", ;~\;:::'.~. ~-: Port Ah~rti'\~ 198362
"'~=' b/7 2003
~':;""""'" ,~ ~~a~lace.
y"Building Official.
v
11- 4-02; 10:56AM:CITY PORT ANGELES
; 3604174711
# ,/
ROUTING SLIP ,"lLiO e t s.,. ~~
~ Certificate of Occupancy
'7'" 47.00 Certificate/Inspection Fee ""."""
DATE /I.*-O~ New Business ......,................. .... ( vJ
Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( )
1 '10 POI(T AN6.0EL.E:5 'LA LA Change of8 .~I.ip !.~N.ItNT.. .,....... (...... )
Applicant /.lql.lIOATIO~ I)tJTl....FT New Building . . . . .. . . . .. . . ... . .. . . . . .. . .. . ( )
Address f. C. 8o~ ,3Qb;J"O Remodel. . . . . . . . .. . . . . .. . . . . . .. . . . . . .. . .. ( )
l.AKeWOOD. 'fA: 'ia*i~ Temporary Business ....................... ( )
Phone: bU~ 568 ."'II.;l home Change of Use. . . . . . . . . . . . . . .............. ( )
Brief description of proposed business: 001 I AR :STORti: - R€llI\olL.
Legal Description: Lot &'-/0 Block ,C; '" ~ Subdivision PSCC I IUS,,;\-
Current Use of Property: 01.0 $AF'G.INA'I (e.L.Ofle; 0
Zoning Classification of Property:
WILL TllERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes..... ....... .... .......... _ oN PERMITS BUSINESS LICENSE
Bectrlcal changes. . ......,.... ....... ...... ... ~ 1) Building 1) Taxi
Mechanical (heating, cooling, stoves). -V/ 2) Plumbing 2) Peddlers
Plumbing changes ...... ....... ......... ....... -V/ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs . ........ ..... ... ... ..... z= 4) Mechanical 4) . Pawn Broker
New septic tanks. . . . . ....... .... ............ .,,;r 5) Sewer 5) Dance
New sewer service . ........... .... .......... ... -~ 6) Sidewalk installation 6) Hotel - Motel
- v':
Admission charged to patro~s . . -~ 7) Driveway installation 7) Fireworks
Is this a home occupation? '~".' . . . . . . . . . . . . . . . -. _ v:'/ - .. 6) Curt, lnstallatlon 6) Ambulance
Excavation of filling of lots ......... .... .......... -~ 9) Sidewalk obstruction 9) Tattoo shop
Work done In City right-of-way.'. . .......... ... -~ 10) Water meter installation 10) Other
Is there sufficient off-street parking? ... ....... .... L-._ 11) Fire
New driveway openings . ........ ........ .... _L 12) Occupancy
A gra~ing plan for site drainage. .......... ... ..... -~ 13) Sign
(parking lots, downspouts, etc.) .. .. . . . . . . . . . . . -~ 14) Shoreline
Are the existing streets paved? .... ........ ~- 15) Home occupatIon
Are there existing sidewalks? . . . . , . . ..... ... ..... ~- 16) Conditional use
Is there curb and gutter? .. ..... . . . . . . . . . .... ~- 17) Other
Other... .... ..... .... ... ............ ....
I hereby apply for a Certificate of Occupancy and acknowl- II. "lo .O~
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ci~ O~..t...J
knowledge. Signed:
AP~9YED REJECTED Comments I CondRlons
.3-8-63 Building Section
Public Works Department
Planning Department
{Dr Fire Department
-1\-l-ol e,V City Clenk
P.B.I.A.
. .
11- 4-02; 10:56AM;CITY PORT ANGELES
;3604174711
# U
.
ROUTING SLIP 1"'1'16 E- rST S
. .
, , Certificate of Occupancy
?~."1;47.00 Certificate/Inspection Fee "'......
DATE Jl~ *-0,2 New Business ....................... ..... ( ./J
Address 01 Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( )
1 'To fOR.T AIJ&>ELS:S 'LA ZA Change of.e .~I.jp i.~NflJ:ofT.. . ..... ... ( V'" )
Applicant /.IQ()I[}AT1D~ t)uTL.F?:T' New Building. . .. . . . . . . . .. .. . .. . . . . . . . . . . . ( )
Address fl. (). Bo'Y- .3 'I/o .1.D Remodel. , . . . . . . . _ _ . _ . . . . . ' . . . . . . . . . . _ . _ . ( )
LAKeWOOD. IJA '1~ Temporary Business --..... ................ ( )
Phone: bu~~ S5fiH:.11.;l home Change of Use. . . , . . . . . . . . . . ........... -.. ( )
Brief description 01 proposed business: DOu. AA. :STOR~ ~ RerA I L.
Legal Description: Lot (e) - ~6 Block ..s- -+- ~ Subdivision ~. I w."t
Current Use of Property: 04, ~AF'6WA'I Cet.O$e:o)
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Constructfon changes. .... .. .. .. . .. ......... - ,/: PERMITS BUSINESS LICENSE
Bectrical changes... '. ... ... . .. .. .. . ...... ..... vr 1) Building 1) Taxi
Mechanical (heating, ooolJng, stoves) . _ _ . ........ -V_ 2) Plumbing 2) Peddlers
Plumbing changes ...... ...... .... ......". -~. 3) Electrical 3) 2nd Hand Dealer
New or refocated signs. . . ........... . . . - . . . . . --- z= 4) Mechanical 4) Pawn Broker
New septic tanks. ......... .... ..-.... .. .. ./ s) Sewer 5) Dance
New sewer service .... ....... .... ..... ...... - -----;;; 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. . _ -..-. -,/. 7) Driveway installation 7) Fireworks
Is thIs a home occupation? . .-.. . . . . . . . . . . . = v'" 8) Curb Installation 8) Ambulance
Excavation of filling of lots .. . . . . ......- . . . . . . . . . . -~ 9) Sidewalk obstruction 9) Tattoo shop
Work done In Ctty right-of-way. . -.. ..- . . . . . . . . . . - . -~ 10) Water meter installation 10) Other
Is there sufficient off-street parking? ....... ........ ~- 11) F:;re
New driveway openings . . .... . . . . . . . . . . -~ 12) Occupancy
A gra~ing plan for site drainage. ...... .........- -~ 13) Sign
(parking lots. downspouts. etc.) ...... ...'..... _..L 14) Shoreline
Are the existing streets paved? ... . . . . . . . . . . . ~- 15) Home occupation
Are there existing sidewalks? . .. ........... ..... ~- 16) Condilional use
Is there curb and gutter? ............ -.. ......... ..z 17) Other
Other. . ..... . . . . . . . . . . . . ............. .....
I hereby apply for a Certificate of Occupancy and acknowl- II. /.l. .0 ~
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ct~ ~~~
knowledge. Signed:
APPROVED REJECTED Comments / Conditions I.A~' _A (').1 d_,
Building Section /?}"nnj, .J j '^+ ^^,) - ~
j
Public Works Department /fJo,.JJo
n/;;~ VI( Planning Department M J~O:2-/03 V.-\
Fire Department (J '" ;I
/
City Clerk
P.B.I.A.
s
"'....."
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 98,62
ELECTRICAL PERMIT
PERMIT NO 6788
ISSUED: 11/02/1999
OWNER/APPLICANT
PORT ANGELES PLAZA ASSOC.
2005 8TH AVE.
SEATTLE, WA 98121
360/000-0000
TSAFEWAY STORE S:
CONTRACTOR
SPARTAN ELECTRICAL SRVC INC.
6263 ELLIS AVE. SO.
SEATTLE, WA 98108-0000
206/763-1144
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
D Baseboard
o Furnace
o Heat Pump
o Fan Wall
COML. MISC.
o KW
o KW
o KW
o KW
PROPERTY LOCATION
170 p'1'l. 'pM zA
Lot:
Block: 6 IZJ Long Legal
Subdivision: PSCC
Parcel No: 06301250061600
ARCHITECT
N/A
, 98360-0000
360/000-0000
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use:
D Riser IZJ
D Overhead Service
D Temp Service
Underground Service
Voltage: 120,208
Phase: 0 1 IZJ 3
Service Size: 0
Feeder Size: 0
PROJECT NOTES
TWO CIRCUITS FOR AIR CURTAIN
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
I
COMMENTS/ACTION NEEDED
$54.00
$0.00
$0.00
$0.00
$0.00
$54.00
$54.00
$0.00
-I gJ'l~ 7
~. If III 'If
-t4~/4,?
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECnON TYPE DATE I ACCEPTED COMMENTS
I YES I NO
UllCtl
Il -iN I CUV~K
~VIl'F
J
I ///7..3/9'71 7 0'k1 I
GENERAL COMMENTS:
PW.II02.UI4'9lS)
.
II
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
o Residential 0 New Construction
Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler ~ Service update/alter/repair
[J Heatpump 0 Other
o Commercialflndustrial load 0 Addfalter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
Details/Description:
PERMIT NO. .;26 P /'
~//ShO
# '
DATE
D READY FOR
INSPECTION
ILL CALL FOR
INSPECTION
License Number:
Phone:
19.:3 P3J -3'("
Phone:
Sq. Ft.
o Overhead
o Undergr~~
Voltage :/.
o 10 % 0
Service size /k'&C/Amps
.
o Temporary
.
rA
~k
r /?c /f;c/
(-
Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-infcover O.K.
/lIM.. 'r/J O.K. to connect service
~ Final O.K.
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
'.
Permit/Receipt No.
~?7
New Meters
Notify the Department of City Light by Street Address and Permit Number when ready for nsp clion. Work
must not be covered or electrically energized be\ore inspection and O.K. for covering or service has been given
byt~ctor in Writing on the Wiring Report or the Building Permit. PHONE 451-0411, EXT.158 o.r EXT. 224.
. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :I ~ t) .f!!2 .'
Inspector Amount~dLc..t
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC PRINTERS. INC.
~'
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ~
<:2 // S- Af,9
. ,
DATE
Site Address:
,
(C
o READY FOR 0 WI LL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
~ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
0113 03.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
.
Detai I s/Descri ption:
/)IcI ~Of)!7-wj
trcf~;;, /{;'i-c1 ~ 7 ~ ~
! c!1YM&f1 - L *Z(f~J0Rr;
/11EP?/- ~ ole.
~I
(
~b
If) r1-t1 [. /
I
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
JI,\l-I\I'\.~RoUgh'in/cover O.K.
~ 0 O.K. to connect service
1: Final O.K.
Jt~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
'f.trz,or~
PermitfReceipt No.
;;:2060
New Meters
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 Insllilctor in Writing on the Wiring Report or the Building Permi!. PHONE 457.0411, EXT. 158 or EXT. 224.
--r<9'l~ 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 Halt
OLV,,""'lC "RINTERS, INC.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /7i/'1
DATE t/d2Y'/Ift1
Site Address:
Installed By:
READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
OwnerfBusiness:
Phone:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
r)( Add/alter circuits
6 Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
01003.0
Service size
o Temporary
Amps
Details/Description:
/;;20 Ut1!f cJ/;
~~ 7'l,uJ-/Pfd<
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
.D.J)__iJ~.-'.D.spec tion-G.K,..
~ no~gh inleever O.K.
~ 0 O.K. to conneGl SCI v;,-,e
,\J\g..- Minai O.K.
,
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
s
IMM
New Meters
o
Site Address:
.
Notify the Depa me t 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 f /6 qJZ-
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
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,
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check
® Credit Card #
x Kylene Knapp, Shoreline Sign & Awning Dated: 4110115 0116112012
RECEIVED
CITY OF PORT ANGELES PERMIT
APPLICATION
APR I - � 1�
Building Division /Electrical Inspections.
321 East Fifth Street — P.O. Box 1150 I Port
Angeles Washington, 98362 FlECTRfCAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 4110115
_X Multi - Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet
Job Address; 1940 E. FIRST STREET STE 170
Building Square Footage:
Description of above Connect sign to dedicated circuit by others
Owner Information
Contractor Information
Name: Port Angeles Plaza
Name; Shoreline Sign & Awning
Mailing Address:
Mailing Address 1 *2 101 Hlocklp0iirw lane
City: Seattle Rate: Ti p: O8
City: Arlington State: L zip; —.98223
Phone: ax:
Phone'.36n- 435- 20 13Fax: _N1A
Licenseff/ xp
License # 1 Exp.
Item
Unit Charge
Qty _Total (Qty Multiplied by Unit Charge)
ServicelFeeder 200 Amp.
$132,00
$
ServicelFeeder 201 -400 Amp.
$ 160.00
$
ServicelFeeder 401 -600 Amp
$ 225,00
$
ServicelFeeder 601 -1000 Amp.
$ 288,00
$
ServicelFeeder over 1000 Amp.
$ 410.00
$
Branch Circuit W1 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. ServicelFeeder 201 -400 Amp.
$121.00
$
Temp. ServicelFeeder 401 -600 Amp,
$164.00
$
Temp. ServicelFeeder 601 -1000 Amp .
$185,00
$
Portal to Portal Hourly
$ 96.00
$
Sign /Outline Lighting
$ 88.00
1 $ 88.00
Signal Circuit/ Limited Energy — Multi - Family
$ 64.00
$
Signal Circuit/ Limited Energy 1 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
$ 88.00 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,
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check
® Credit Card #
x Kylene Knapp, Shoreline Sign & Awning Dated: 4110115 0116112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , , . . 15- 00000372 Date A/14/15
Application pin number . . . 011680
Property Address . . . . 1940 E 1ST ST 170
ASSESSOR PARCEL NUMBER, 06- 30- 12- 5- 0- 70DO -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
Sign installation
Owner Contractor
-- ----- -- --- --- --- - - - --- ------------------ - - - - --
PORT ANGELES PLAZA SHORELINE SIGN & AWNING
ASSOCIATES LLC 12101 HUCKLEBERRY LANE
650 S ORCAS ST, STE 210 ARLINGTON WA 98223
SEATTLE WA 98108
(205) 658 -3104
Permit . . . . . , ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 88.00 Plan Check Fee 00
Issue Date 4/14/15 Valuation . . . . 0
Expiration Date 10/11/15
Qty Unit Charge Per ' Extension
.1.00 88.0000 ECH EL -COMM -SIGN 88,00
Fee summary Charged Paid Credited Due
Permit Fee Total 88.00 88.00 OQ .00
Plan Check Total. 00 .DO 00 .00
Grand Total 88,00 88,OD .00 .00
INSPECTION TYPE
t
,gy�pp
RESULTS.:
INSPECTOR:
DITCH
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
t
FINAL
' {�
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
Crry oif Poiu, ANGELES RE-RA-I rr AP1,1uCA-1.-l0N
Buildlug Divisioza/Elleeftical lFispections
321 11'aNt Fifth Stg-eelt -11.0. Box 11501 Port Angeles Washin.gtoa, 98,162
111h; (360) 4174735 1360) 4174711
Date: 4. 3-2015
x muiti-ramuy or Commercial'
APR - 6 2015
FLECIN➢UAL
IMSPECTIONS
' Plan Revies y Be Required, Please Complete Electrical Plan Review Information Sheet
jobj Avast I &I S - k
I FILe 11A[FR rids JAYAgg e 11
-g�YAL -A
Owner Information Contractor Information
Name: Name:- -------
kfa*qAddfas�: IM East isl6l tjajg)� Addfe&&�. 723 East Front 31
... . . .......
Q: v:�rLftwles,— StaleY ZQ; W -NuAitte-4— stale:IN8- LX ------ Q0
P ow 452- .727 _..__Fax: _4 �Uf-DD
Page I of 1
—V
Item
gag shm
% jg_tAl My Multiolled by Unit Charge)
Saw-ialFeedotMAmp,
$ 13130
b_._....._..__
Bert/ iwffieadei 201-400 Amp,
$160.00
Seri ioelFeedar 401-170 Amp
$2-25.00
Samiwffieedw 611 -1000 Amp.
S 29B4O0
SepiinalFucbr over 100 Amp.
S 410M
-- --------
Brwidi aicuit W/ 81'ervim Feder
$ 5M
Branch Ofoud WO Saivi6e Fender
5 74.00
Eadi Addi lional Bia:Vi Citwit
S 500
Brand Qxtib 14
S 86.00
Temp. BetVral FeWef 200 Amp.
$102.00
Temp. ServkWFeader201-400 Amp.
$ 121 M
TeflV. Service/Feedw4l,W() Amp,
$16400
S
Tamp. Servk.WF"Jet 601 - 1000 Amp
$18590
. ..... . ... .
. . . . ... ........
poltal b for lal MTV
$ 96.00
Nnf0u[he UqhM9
8 nal C�wAl LW1lW En-sigy - klulli-Fanf-,�j
S WO
Signal Clr 041 Lrmtod Efle rgy I Fiat 1504 sf - Carrimetbal
S 96DO
Nbte: 5.00 for eadl additwmj 1 NO Sf
Penav&a Efedwal Energy - 5KVA System of Lm
5113-06
Themiaglat
56.00
testa: $ 5.00 for each -;ddIbnal T-Scat
$--�6-00 Total
Owner as Wsnad by RCW,1 A 26,261: (1) Oviner will occupy M Structure for two years after this electrical permit is fimlized. (2) Owaer is reqtded
to hire an electrical oo n1ractor if ukve sakj Property is for sale, rent or lease, Permit
expires after six months of last iftspection,
After reap inq the a bove statement, I hereby cerhly Nit I am the owpar of the above named properly or a hcamf�l elactri:al cDntraclor, I am rnakhg
the electrical installation or afte rabon in complance with the alt t€ kwig, N.E. C.,
RGIM Chapter 19.28, WAG, Chapter 296-46B. The City of Port
Angelim Municipal Code, and Utilky Specifrations afld PMAC 14 MOW regarding
Eleclkal PVrmit Applicafbi�s,
Signature of owner, electrical contraotot or electrical adm inistrator; D Ca8h D Vwck
Q Cm4gCaM# , onfiflu..
,j Mike Shirley 1)ata! 4420-15
http://www.pdfcscape.com/openlRadPdf.axd?rt=c&dlc--04324A67oUtTRauLEOZWzbYZnY-63... 4/3/2015
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , , . 15- 00000337 Date 4/07/15
Application pin number . . . 005737
Property Address . , . . 1940 E 1ST ST 170
ASSESSOR PARCEL NUMBER; 06-30--12-5-0- 7000 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . , , , , .
Property Use
Property Zoning UNKNOWN
Application valuation 0
-- ---- ---------------------------------------------------------------
Applicataon desc
Fire & Security conneCtion,3
Owner Contractor
PORT ANGELES PLAZA Hi TECH SECURITY INC
ASSOCIATES LLC 723 E FRONT ST
650 S ORCAS ST, STE 210 PORT ANGELES WA 98362
SEATTLE WA 9810.8 (360) 452 -2727
(206) 658 -3104
Permit . . . . , . ELECTRICAL ALTER COMMERCTAL
Additional desc , .
Permit Fee , . . . 96.00 Plan Check Fee 0p
Issue Date . . , . 4107115 Valuation , , , , 0
Expiration Date , . 10/04/15
Qty Unit Charge Per ' Extension
1100 56,0000 ECH EL- LIMTTED 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 DO
Grand Total 96.00 96,00 Op ,DO
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:
Pr-RMtT WILL EXPIRE SIX (6) MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: IEXCHANGEWILDING
c
CIW
Signaturo of owner electrical contractor or electrical administrator; ❑ cash ❑ Check
stL cradf card #
X , t7RW;
0110112012
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
ELECTRICAL PERMIT
SERVICE-
ROUGH-IN
CITY OF PORT ANGELES
FINAI,
360 -417 -4735
Application Number
15- 00000437 Date 4/24/15
Application pin number . . .
858174
Property Address . . . . . .
1940 E 1ST ST 170
ASSESSOR PARCEL NUMBER;
06- 30- 12 -5 -0- 7000 -0000-
REPORT SALES TAX
Application type description
ELECTRICAL ONLY
on your exclse tax form
Subdivision Name . . , . . .
Property Use . . . . . . . .
to the City of Port Angeles
Property Zoning . . . . . . .
UNKNOWN
(Location Code 0502)
Application valuation . . . .
0
Application desc
Low voltage
Owner
Contractor
PORT ANGELES PLAZA
CUSTOM DEFENSE SYSTEMS INC
ASSOCIATES LLC
3503 236TH ST SW
650 S ORCAS ST, STE 214
MT LAKE TERRACE WA 98043
SEATTLE WA 96108
(425) 967 -3469
1206} 658 -3104
Permit . . . . ELECTRICAL
ALT$R COMMERCIAL
Additional desc .
Permit Fee , . . . 116.00
Plan Check Fee 00
Issue Date 4/24/15
Valuation , , . , 0
Expiration Date 10/23/15
Qty Unit Charge Per
Extension
1.00 96.0000 ECH EL-LIMITED
1ST 1500 SQ FT 96.00
4,00 5.0000 ECH EL -ADDNT LIMITED 1500 SQ FT 20,00
Fee summary Charged
Paid Credited Due
Permit Fee Total 116.00
116.00
Plan Check Total .00
.00 .00 .00
Grand Total 116,00
116.00 ,00 00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE-
ROUGH-IN
Z
FINAI,
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15- 00000445 bate 4/27/15
Application pin number , . , 4522BD
Property Address , . , , , , 1940 E 1ST ST 170
ASSESSOR PARCEL NUMRRR2 06- 30- 12 -5 -0 Application type type description ELECTRICAL ONLY
Subdivision Name . . . . ,
Property Use .
Property Zoning , , . , . . . UNKNOWN
Application valuaticn . , . . 0
Owner Contractor
PORT ANGELES PLAZA OWNER
ASSOCIATES LLC
650 S ORCAS ST, STE 210
SEATTLE WA 98108
(206) 658 -3104
--------------------------_--___-_--------------------------------•-----------
Permit , . , , . ELECTRICAL ALTER COMMERCIAL
Additional desc , , FAR WEST TECHNOLOGIES
Permit Fee . . . . 136,00 Plan Check Fee .00
Issue Date 4/27/15 Valuation . . , . 0
Expiration Date 10/24/15
Qty Unit Charge Per Extension
1100 96,0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00
8,00 5,0000 ECH EL -ADDNT LIMITED 1500 SQ FT 40.00
Fee summary Charged . Paid Credited DUE
Hermit Fee Total 136.00 136.00 DO .00
Plan Check Total .00 .00 .00 .00
Grand 'Total 136.00 "136,00 .00 .00
0.,
a
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 EXPIRES IX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGETUILDING
\titi ��i
1
CITY OF PORT ANGELES PERtYIIT APPLICATIOir 4112— 1
Building Division /Electrical Inspections IV ~�
321 East Fifth Street - P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 15 _ Multi - Family or Commercial*
* Plan Review May e Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage: _
Description of above own e -P +Q-
Owner Information
Name: r-n
Mall Address:. -,k (`7'b
City: Stale: -N Zip:
Phone: Fax:
License # I Exp. .
Item
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 Wl Service Feeder
Branch Circuit W!0 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- Comrrercial
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T,Stat
UnitCharae
$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
Contractor Inform ' ti
Name: c {Q3�'CV °�1 J
s'
Mailin Address: c� s n '
City: P u Vn State, 'A- Zip: Icy,
Phone o - 3y ax:
License # 1 Exp._j r „T Fs M 3
CLty Total (Qty Multiplied by Unit Charnel
$
$
$
$
$
$
$
$ 113.00 $
$ 56.00 $ 156,0-0
� -Total •���
Owneras defined by RCVV.19.28,261: (1) OWnerwlll occupy the structure for two years after this electrical permit is finalized, (2) Owneris required
to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of last inspection,
After reading the above statement, I hereby certify that I am the owner of the above named properly 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 Specifcations and PANIC 14.05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ cast, ❑ Check
X Credit Card#
X Daled: L� �< o�reuzor2
Application Number
Application pin number
Property Addxese
ASSESSOR PARCEL, NUMBED,
Application type description
Subdivision Name
Property Use
Property Zoning . . . . ,
Application valuation . ,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
15- 00000445 Date 4/30/15
452280
1940 E 1ST ST 170
06-30-12-5-0- 7000 -0000-
ELECTRICAL ONLY
UNKNOWN
0
Owner
Contractor
DATE:
PORT ANGELES PLAZA
FAR WEST TECHNOLOGIES
INC
ASSOCIATES LLC
606 EAST MAIN
650 S ORCAS ST, .STE 210
EDGEWOOD
WA 98372
SEATTLE WA 9BI00
(253) 604 -4341
(206) 658 -3104
Permit . . . ELECTRICAL,
ALTER COMMERCIAL
FINAL
Additional desc FAR WEST TECHNOLOGIES
)f2ll
Permit Fee 136.00
Plan Check Fee
,00
Issue Date . . . , 4/27/15
Valuation
0
Expiration Date 10/24/15
Qty Unit Charge Per
Extension
1100 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT
96,00
8.00 5,0000 ECH EL- ADIJNT LIMITED 1500 SQ FT
40.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 136.00
136,00 .00
00
Plan Check Total 00
,00 .00
.00
Grand Total 136.00
136,00 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
)f2ll
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAF- XCffANGEIE3UILDING
a
aO*POPoTgA, ELECTRICAL RICAL INSPECTION
% �
WIRING REPORT
lb RKH 417 -47M
u ................ ROUGH IN /COVER ............. .
® ............. ....... SERVICE ................... 0
®
..................... F'I�NAL .............. I..... El
d p CORRECTIONS NEEDED: ��`� S Irl �i C"� L)
v O qL G+GI rL I A Z
1�7 cJ 5 o-{ tKL4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
.,;..
Application Number . . . . . 22-00001526 Date 12/08/22
Application pin number . . . 672632
Property Address . . . . . . 1940 E 1ST ST 170
ASSESSOR PARCEL NUMBER: 06-30-12-5-0-7000-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Alarm circuit
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PORT ANGELES PLAZA JOHNSON ELECTRIC COMPANY
ASSOCIATES LLC 3129 S REGENT
650 S ORCAS ST, STE 210 PORT ANGELES WA 98362
SEATTLE WA 98108 (360) 728-4327
(206) 658-3104
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 12/08/22 Valuation . . . . 0
Expiration Date . . 6/06/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 12/07/22,14:38:41 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001526 1940 E 1ST ST 170
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment