HomeMy WebLinkAbout114 W 1st St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Security system
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983626710
ELECTRICAL
desc
number 163485
95 90
4/12/10
10/09/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000341
235023
114 W 1ST ST
06 30 00 0 0 3205 0000
ELECTRICAL ONLY
CENTRAL BUSINESS DISTRICT
0
Contractor
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES
(360) 452 2727
ALTER COMMERCIAL
Plan Check Fee
Valuation
Charged Paid Credited Due
Date 4/12/10
WA 98362
gs445
00
0
Extension
95 9000 ECH EL LIMITED 1ST 1500 SQ FT 95 90
95 90 95 90 00 00
00 00 00 00
95 90 95 90 00 00
DATE RESULTS
Signature of owner or Electrical Contractor X Date
INSPECTOR.
0
0
W
FROM HI —TECH ELECTRONICS
C 1'F Y OF PORT ANGELES PERMIT APPLICATION
Ruildint; Oixision/Elcctrical Insl)ectinns
321 East Fifth Street P.0 Box 11.50 Pori Angeles Wacltingion, 98,362
Ph. (360) 417 -4735 Tax. (360) 417 -4711
Date. w —Zp►c�
1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
.lob Aoares5
8 .siding Square Footage
Description of above 3.weVrPt_er Sffryp,.lC.
Owner Information
Name: Milt Address 1,14 ',I-
City QAat.A! tg State. `.asp. Zip ?Ai 36
Phone 4 4S7 T 17 I Fax
License ff cv^
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 WI Service Feeder
Branch Circuit W/O Service Feeder
Each Addition! Branch Circuit
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 First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ limited Energy 1 2 Fancily Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft
Each Additional 500 Square Ft, or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
x LI
Unit Charge
119.90
145.50
5 204.60
26220
$372.50
2,60
73.50
5 2.60
92.70
110.30
148,70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
$102.30
5 56.00
110.30
35.20
73.50
110.30
Dated: ft1 6 tC
FAX NO. 360 452 8560 Apr 08 2010 03 47PM P4
Contractor Information
Name. !,I T'reb Ja -l.' t x�
Mailing Address: _:."7;
City Poo" AVEI tS Slate: •A Zip. _112 36 Z
Phone 5'2 72 Z Fax: '3e-- �.a 8,s-(,
License I 9 67.5' EILS
cat
REILiKE)
APR 12 206
ELECTRICAL
INSPECTIONS
Total (Qtv Muttiolied by Unit Charoel
3
01101/2010
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 stx 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 Cheek
0 Credit Card#
This certificate is issue
Code c~rtifYing that a
of the City regulatin
Business name.:
Business address
Property owner:
Property owner'
Automatic fire spr(n
Use & occupancy ~
Building permit nu ~
Type of construction.
Occupant load:
6 International Building
the various ordinances
62-6710
01/15/09
Date
. . .
. .
. Post on the premises in a..conspicuous place.
t be removed except by the Building Official.
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Permit #
0<6- 9.31
CERTIFICA TE OF OCCUPANCY APPLICA TION
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
~
Print in ink
Business owner's name
Business owner's home address
FEES
Certificate! Inspection
rking Business Improvement Area (PBIA)
fee charged for downtown locations
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
. AC:T-ION.... ..... .,/....... .
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non-PBIA location
Change of ownership V
Remodel
Temporary business
Change of use
_.. ._\NII,J..Jt/l;R(;..e.f.:6N'yQETtU;EQ~LQWING.? .
YESV' IF YES, CONTACT
Electrical Dept. at 417-4735
Buildin Div. at 417-4815
Public Works at 417-4807
Please sign up for utility services
at the cashier counter.
I hereby apply for a Certificate of Occupancy. I acknowledge hat I have read this application and state that the information I have
supplied is correct to the best of my ~Wle~ge. ~. ~~' ~ /
Date fi', QI 0 ul t56 Print Name _ ~..e4\, \ c..L--- ,~l^ ()./vJ Signature 'A.<: ~
~ {
For Cil use onl .
PBIA
I Planning r-- ,
I C,ly CI,,' j ~D~IL=-==~_~-'
I Public VVOI i'=-_ _ i _____ .._ .1__ __ ____ _. ____
Department
Approved
Initials & date
Building
Fire
Rejected
Initials & date
Comments I Conditions
Type of construction
Occupant Load
Automatic fire sprinkler system required
no
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T:Form5IBL;::~,;ing D~'/i.'?:,:: ;~;;-;rtiflcate o~ ,'jC~;;H);~r:(~y Il,ppii':'clipn
_.on_ ~L~..m..:J~<I- 03__
Print in ink
CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # O~ - q?>1
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
FEES
Certificate I Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
."
Business owner's name
Business owner's home address
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
AG::r-IGN.... ~~._.,~ --.,/..,.--
New'business
Transfer of business
location from a
PBIA location
Transfer of.business
location from a
non-PBIA location
Change of ownership V
Remodel
Temporary business
Change of use
YESv' IF YES, CONTACT
Electrical De t. at 417-4735
Buildin Div. at 417-4815
Public Works at 417-4807
.
Call for Certificate
Please sign up for utility services
at the cashier counter.
I hereby apply for a Certificate of Occupancy. I acknowledge hat I have' read this application and state that the information I have
supplied is correct to the best of my ~wte~ge. ~-R' ~
Date~ Print Name . ~-.0V\, \ cJl-/ ,sl^ n~ Signature ('
FOr Cit use onl
Building
Rejected
Initials & date
Comments / Conditions
Type of construction
Occupant Load
Fire
Automatic fire sprinkler system required
no
yes
PBIA
Planning
City Clerk
Public Works
TForms/Building Oivisio! :.'Certificate o~ JC : ;p2nc:: :'\ppliGatipn
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CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362
(360)417-4815 fax'(360) 417-4711
CERTlFICA TE OF OCCUPANCY APPLlCA TlON Permit # eJ~r Ob~
;JP RE .
$'50.vv Certificate I Inspection
$TOO.OO~Parking Business Improvement Area (PBIA)
- fee charged for downtown locations
FEES
Print in ink
BUSINESS NAME C
BUSINESS ADDRESS
Business owner's name
Business owner's home address
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
ACTION .,f
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non-PBlA location
Change of ownership V
Remodel
Temporary business
Change of use
Will THERE BE ANY OF THE FOllOWING? NO/ YES/ IF YES, CONTACT
Electrical channes ,/ Electrical Dept. at 417~4735
New or relocated si ns v Buildina Division at 417-4815
Construction chanaes V "
Mechanical chanaes.fheatinQ, coolinq, stoves) V' "
Plumbina chanaes 0/ "
Fire sprinkler svstem chances V-- "
Fire alarm system chan es ...--- "
Is this a home occunation? ~ Plannin Division at 417-4750
Second-hand dealer ornawn broker? ......- Cltv Clerk at 417-4634
New or relocated sewer or water service V-- Public Works at 417-4807
Excavation or fillina of lots .......-- "
Work done in the Citv ri hl-of-wav t./' "
New driveway openirlOS ...--- "
Gradinn site drainaae (parkinq lots, downspouts, etc.) ,~ "
Landscape irriaation system (backflow devices) ......-- Water Dept. at 417-4886
Off-street-oarkinn ......--
Existina streets naved ......--
Existinn sidewalks ......--
Curb and utter ......--
Call for Certificate of Occupancv inspections before openinq business:
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please provide a minimum 24-hour notice for inspections
I hereby appty for a Certificate ot Occupancy I acknowledge that I have read this application and state that the information I have
supplied is correct to the best of my knowledge. V, nL
Date 1)I..10!r Print Name7R.A";C'c\J Ih. PAt....M Signature ~\,.- IJ/7 . M~
f
For Cil use onl .
Department
Rejected
Initials & date
Comments I Conditions
Building
Type of construction
Occupant Load
Fire
Automatic fire sprinkler system required
no
yes
PBIA
Planning
City Clerk
Public Works
-
T:Forms/8uilding Division/Certificate 01 Occupancy Application
CE RTI FICA,:fE"'C')'F"'G1CCU P ANCY
.t't#t'~"'. ._";<~~
#,"1'" City of Port Angelesq,~;~
ii" Building Division '\~
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This Cefr0cation issued pursuant to the requirements of Sectij'ii.:301 of the
Internatio!i~l Building Code certifying that at the time of issuance thi1jpructure was
in co}npliance with the various ordinances of the City regulating 13uilding
iff construction or lIse. For the following: ~l
Use Classification; Buginess Building Permit No.: 04-1005 Business Name: Chique Antiques
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Group: ~ ~ Type of Construction: VN Use Zone: CA ~
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Owne' of Busines" Chiqiie Antiques Add,ess: 114 West First Street Port Ang:eles. ,W A. 98362
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Building Address: 114 West First Street Port Ang:eles. W A. 98362
f)jl
aJi-', -u,,~j~; 8.2005
Post ~~~;~:~JJ~~~~lf~'~t~:6~s ;;~ce.
''''!~:',,,, ....""'~~'~tf.'?'w!:t';.;!~~~}~~'.~I\,."'......- "IF"'.. . .
Shall not be rem~x~d'lexceI?Lby'8U1ldmg OffiCial.
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.~ Certificate of Occupancy 04"- G~~l'"
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'11"$47.00 Certificate/Inspection Fee =-
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DATE $\D'-l \ S"" :th
'Ro.01 New Business ....... . ...... ...... ........ ( X- l
Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( )
-.114 IV. \1:>' S~. Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( l
Applicant 0 hi '1 \...L~ A-R\. c;,....\...U' S. New Building ............................. ( )
Address 11'f L.u. 1ST 6~ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
-:rtvt CL,,-~(Jo ~. W(^- q I( ?-,i? 2- Temporary Business ....................... ( )
Phone: business '/S'1!- 7 77/ home Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( l
Brief description of proposed business: f+-rt.. ""H lM". I ~ .J,t S cJ 0. <i:.
I
legal Description: lot Block Subdivision
Current Use of Property:
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES ~ THE FOllOWING Will BE REQUIRED:
Construction changes. . . . . . . . . ............... PERMITS BUSINESS LICENSE
Electrical changes. . . . . ... ...... 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . .... -~ 2) Plumbing 2) Peddlers
Plumbing changes ...... ....... -- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. ..... ..... .. ..... =\7 4) Mechanical 4) Pawn Broker
New septic tanks. ....... ..... ...... ......... 5) Sewer 5) Dance
New sewer service ....... - -iL 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. . ..... - ...L 7) Driveway installation ?) Fireworks
Is this a home occupation? ..... ......... _JL 8) Curb installation 8) Ambulance
Excavation of tilling of lots .. ..... ....... ...... ---7- 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot-way . . ...... ........... 10) Water meter installation 10) Other
Is there sufficient off-street parking? .............. =z -:- 11) Fire
New driveway openings ........... .. .... =~ 12) Occupancy
A grading plan for site drainage. . . . . .............. 13) Sign
(parking lots, downspouts, etc.) .... ....... ....... 14) Shoreline
Are the existing streets paved? .. ............ ... 3:.- 15) Home occupation
Are there existing sidewalks? . . . . .. .......... ;7- 16) Conditional use
Is there curb and gutter? ...... ...... ...... ...... -- 17) Other
Other...., , ........ .. .................
I hereby apply for a Certificate of Occupancy and acknowl. D." IJ/tI}Li .
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge. Signed: 5/J11;;fl(
~ ""=D Comments / Conditions
Building Section
Public Works Department
11-2.- ()Lf ~ Planning Department
kDD Fire Department
~I-I-a-! -AJ City Clerk
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE -1- 10 - 0 r
Address of Proposed Business
114 {fl. I Sf 5"
Applicant &'(;(,( Et A-r/<:-4<!!
Address J.r/o:i ,Y..b ,,J
(iLoI'-I"-
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Phone:
business 4-~"1- 75.37 home 452-43/ 7
New Business ............................
Transfer of Business Location. . . . . . . . . . . . . . . .
Change of Ownership. . . . . . . . . . . . . . . . . . . . . .
New Building ....... . . . . .. ...............
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business ... . . . . . . . . . . . . . . . . . . .
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Brief description of proposed business: /-,qJI'~' CoN S'7'-'/ 1'1.L.vt l' /<>~ ;,v"J "",<I'lel
/)'-'r<::.,~C^ri~~
Legal Description: Lot .3 "t- L; Block g 2 Subdivision 71>A
Current Use of Property:
Zoning Ciassification of Property: CB J)
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . .
Electrical changes. .... . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) .
Plumbing changes ..........................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . .
Is this a home occupation? ...............
Excavation ot tilling ot lots .
Work done in City right-ot-way . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . .
New driveway openings. . . . . . . . . . . . . . . .
A grading plan for site drainage. . . . . . . . . . . . . . .
(parking lots, downspouts, etc.)
Are the existing streets paved? . . . . . .
Are there existing sidewalks? .. .....
Is there curb and gutter? ...............
Other.
YES NO
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THE FOLLOWING WILL BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
I hereby apply for a Certificate of Occupancy and acknowl. ~~
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge. :i::ed:,4 30 D ( ~
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REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
J<1)d)
..P- :J
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Comments / Conditions
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DATE -1- 10 - 0 r
Address of Proposed Business
114 u.J, 1ST 51.
Applicant Er I 'c ~ it A.r 1-e-A1~
Address IlNJ ~ .5..i. ,,./
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
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Phone:
business 4~""1-75.J7 home 4S2-43 /7
New Business .........,.................. ( ~ )
Transfer of Business location. . . . . . . . . . . . . . .. ( )
Change of Ownership . . . . . . . . . , . . . . . . . . . . .. ( )
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use. . . . . . . . . . . . , . . . . . . . . . . . . . .. ( )
Brief description of ~roposed business: /.,q"','~ CoAlS'j,J 1'fJ...I 1- r IQ~ ;""1 Clt I'1c.
I~
legal Description: lot .s ".. Block g Z Subdivision 7 :4
Current Use of Property:
Zoning Classification of Property: eE J)
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes............... '.'......
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, coaling, stoves) . . . . . . . . . . . . . .
Plumbing changes .........................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . .
New sewer service .... ...............
Admission charged to patrons. . . .
Is this a home occupation? .......
Excavation of filling of lots ......... .. . . . . . . . . . .
Work done in City right-ot-way . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . .
New driveway openings . . . . . . . .
A graqing plan for site drainage. . . .
(parking lots, downspouts, etc.) .......
Are the existing streets paved? ........
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other........................................ .
YES NO
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THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
. ., 2) Plumbing
3) Electrical
- 4) Mechanical
5) Sewer
. 6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel. Motel
7) Firewo(ks.
8) Ambulance
9) Tattoo shop
10) Other
I hereby apply for a Certificate of Occupancy and acknowl- ~~
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge. :i:t:ed:.4 30 I> ( .~
APPROVED
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.IA
~J
Comments / Conditions
. .
ROUTING SLIP ~ .Q", ~>\<
/"~o;.",,,
Certificate of Occupancy ~~'"
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$47.00 Certificate/Inspection Fee '-'
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DATE .?!--10-0( New Business .......................... , . ( ~)
Address of Proposed Business Transfer of Business Location. . . . . . . . . . , ' . . . . ( )
/(A v.I. I Sr Sf. Change of Ownership .. ....' . . . , . .... ...... ( )
Applicant Er ,'c i<: l't k l.e Ale {{LUM"- New Building . . . . . . . . . . . . . . . . . . . .......... ( )
Address J;r 'f"T -;;r -:f ~ .,J .c::j AM</!. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ( )
Temporary Business ................ ....... ( )
Phone: business +5"1-1~f7 home 4{2-43/7 Change of Use, ...... ...", ............ " , ( )
Brief description of proposed business: kJ/u CoN.$', ~# 11-' ,./t (/",/~;",,'1 ~ f"1C I
Clrr.t'''; <;()r ,'t!''!f ,
Legal Description: Lot 3 "'6-'1 Block S'2 Subdivision 7?A
Current Use of Property: C:B J)
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. X PERMITS BUSINESS LICENSE
Electrical changes. ..... ........ =y 1) Building 1) Taxi
. -~
Mechanical (heating, cooling, stoves) . ............. 2) Plumbing 2) Peddlers
Plumbing changes . y 3) Electrical 3) 2nd Hand Oealer
New or relocated signs. ......... )(' - 4) Mechanical 4) Pawn Broker
---,,-- -
New septic tanks. -~ 5) Sewer 5) Dance
New sewer service ..... ........ ... _ --k.. 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. ........... .. ... -~ 7) Driveway installation 7) Fireworks
Is this a home occupation? ..... '.. _X 8) Curb installation 8) Ambulance
Excavation of filling of lots . .... _-X- 9) Sid"ewalk obstruction 9) Tattoo shop
Work done in City right-ot-way . _ -X.. 10) Water meter installation 10) Other
Is there sufficient off-street parking? . K" _ 11) Fire
New driveway openings ..... X.. ~) Occupancy
A grading plan for site drainage. . ................. = 'X' '--~ :?
(parking lots, downspouts, etc.) ............ -./ 14) Shoreline
Are the existing streets paved? .. '. ... X-= \ 15) Home occupation
Are there existing sidewalks? . .. d. X-_ 16) Conditional use
Is there curb and gutter? ..... .......... '><<':"- 17) Other
Other. .............. .
--
I hereby apply for a Certificate of Occupancy and acknowl- A-!3o!o( ,
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my Signed: ~r~
knowledge.
'-" ,
APPROVED REJECTED Comments / Conditions A+~ '/J \~ A ), G
Building Section Oil 'n \, ~ _A' 7 j Iv '.~ -/--tJ, "
Public Works Department /' J2. ij ;. / \ /''''1...' ,~, ~~ \/1',^~/ .I
;: Io/~ -t- ~ .IA +A I PA//J: /
Planning Department 0
I Fire Department
Cit~
~.A.
/
Nov 18 2014 08:26AM Olympic Electric Co,, Inc 3604523498 page 1
REC AVEN
E k. ),
CITY OF PORT ANGELES PERNIIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Box 11501 fort Angeles Washington, 98362 ' INV VION
Ph: (360) 417-4735 Fax: (360) 417 -4711
bate: Multi- Family or Commercial"
Plan Review M e Required Plea le Co plate Electrical Plan Review Information Sheet
Jah Address:
Building Square Footage:
Description of above
Owner Inf rme ian
Contractor information
Name:
/
Name: OLYMPIC ELECTRIC
Mailin dreg :
Mailing Address: Q3o TUMWAT£R
+/�
City; State: /Lip;
Clty� POR TANOELES State; wa Zip; 98341
Phone-Y3_ Fax;
Phone: Fax: 3804524498
Llcense f xp'
License 41 Exp. OLYWEC28801
Item
Unit C.harae
0y Total (QN Mukiplied by knit 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
$
SanricalFeeder over 1000 Amp
$ 410.00
$
Branch Circuit WllService Feeder
Branch Circuit WIC Service Feeder
$ 5.00
$ 7400
$
$
Each Additional Branch Circuit
$ 5.00
$ `�
Branch Circuits 14
$ 86.00
$
Temp. Service) Feeder 200 Amp
$102.00
$
Tamp. ServicelFeeder 201400 Amp,
$121.00
$
Temp. Service /Feeder 401 -600 Amp.
$164.00
$
Temp, Service /Feeder 601 -1000 Amp .
$185.00
Portal to Portal Hourly
$ 96.00
$
SignfOutline Lighting
$ 88.00
$
Signal Circuill Limited Energy- Multi- Family
$ 64.00
$
Signal Circuit/ Limited Energy; First 1500 A - Commercial
S 96,00
$
Note: $5.00 foreach additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$ 113.00
$
Thermostat
Note; $5,00 for each addilional T-Stat
00
$ f 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 contraclor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C„
RCW. Chapter 19.28, V11AC. 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
®CrediECrrrdk
X _—Dated: ! 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . . 14- 00001406 Date 11/19/14
Application pin number . . . 523042
Property Address . . . . 114 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30 -00-0- 0-3205 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . , . . . .
Property Use
Property Zoning . . , . . . . CENTRAL BUSINESS DISTRICT
Application valuation , . . . 0
Application desc
Relocate furnace into new service panel
Owner
Contractor
RESULTS:
HOUSING AUTHORITY OF
CLALLAM
OLYMPIC ELECTRIC CO
INC
2603 S FRANCIS ST
4230 TUMWATER
PORT ANGELES
WA 983626710
FORT ANGELES
WA 98363
(360) 457 -7785
{360 457 -5303
Permit . . , , , .
ELECTRICAL
ALTER COMMERCIAL
Additional desc . ,
COMMENTS:
Permit Fee . . , .
79,00
Plan Check Fee
.00
Issue Date , , . .
11/19/14
Valuation
0
Expiration Date . .
5/18/15
Qty Unit Charge
Per
Extension
7.,00 74,0000
ECH . EL -COMM
BRANCH CIR W01 S/F
74.00
1100 5,0000
ECH RL -ECH
ADDNT 3RANCH CIRCUIT
S100
Fee summary Charged
Paid Credited
Due
Permit Fee Total
79,00
79.00 .00
.00
Plan Check Total
00
,00 .00
00
Crand Total.
79.00
79.00 ,00
00
F]
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
N
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:
GAEXCI3ANGEIBUII DING
1