HomeMy WebLinkAbout1004 Caroline St - BuildingElectical Permit
1004 Caroline St
13 -289
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH IN
14511?)
�:�7
FINAL
I
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 -4 circuits lights outlets phone room
Owner
GOUGE DIRK A /KELLY
1004 CAROLINE
PORT ANGELES
WA 98362
Permit ELECTRICAL ALTER
Additional desc 1 -4 CIRCUITS
Permit Fee 86.00
Issue Date 3/27/13
Expiration Date 9/23/13
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
86.00
.00
86.00
13- 00000289
571249
1004 CAROLINE ST
06-30-00-5-8- 0010 -0000-
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
BASE FEE
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 -9270
COMMERCIAL
Paid Credited Due
86.00
.00
86.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
.00
.00
.00
Date 3/27/13
WA 98363
.00
.00
.00
.0
0
Extension
86.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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) 417 -4735 Fax: (360) 417 -471
Multi- Family or Commercial* .4 Commercial Addition I Alteration I Remodel 1 Repair*
Plan Review May, Be Re i PI ,omplete Electrical Plan Review Information Sheet
Job Address: D
Building Square Footage:
Description of above _1
Owner Inf frmatlon G
Name:
Mailing A
City:
Phone:
License Exp.
'7. -7' :tom
Item Unit Charqe
Service/Feeder 200 Amp. 132.00
Service /Feeder 201-400 Amp, 160.00
Service /Feeder 401.600 Amp 225.00
Service/Feeder 601-1000 Amp, 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuits 1-4 86.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 201 -400 Amp. 121.00
Temp. Service /Feeder 401 -600 Amp. 164.00
Temp. Service /Feeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 88,00
Signal 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 $153,00
Thermostat
RECEIVE
MAR 2 7 2013
ELECTRICAL
INSPECTIONS
pc1Rr.�
J
Contractor Information
Name: ,SLM12
Mailing A res _RP
0 17
City: State: Zip:
Phone: O�ax:
License Exp_...
gti Total (Qty Mult iplied by Unit Chattel
$3
atcd: F�L• 0110112012
g6 .,.CA Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalizes I. (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 Inspect ion.
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.G., RCW. Chapter 19.28, WAC. Chapter 6 -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: o cash Check
.51 Credit Card
8'1'4 76-)r-a2
Electical Permit
1004 Caroline St
13 -084
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
i j
FINAL
t' 3 t 5
I ✓l
y
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 -4 circuits move exterior lights
Owner
GOUGE DIRK A /KELLY
1004 CAROLINE
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
ELECTRICAL ALTER
1 -4 CIRCUITS
86.00
1/23/13
7/22/13
Charged Paid
86.00
.00
86.00
Signature of owner or Electrical, Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
13- 00000084
895996
1004 CAROLINE ST
06-30-00-5-8- 0010 -0000-
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
BASE FEE
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 -927
COMMERCIAL
86.00
.00
86.00
Plan Check Fee
Valuation
Credited
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
.00
.00
.00
Date 1/23/13
WA 98363
Due
.00
.00
.00
.0
0
Extension
86.00
4
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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) 417 -4735 Fax: (360) 417-4711
Date: l
Multi Family or Commercial*
Plan Review May Be Required, Plea Compl; a Electrical an Review Information Sheet
Job Address: 1 Q i
Building Square Footage. AI ,r
Description of above 111114...01
Yz 1— R
fir! I �i w
Owner Information
Name: 'e
Meiling A n:ss:
City: r,_
Phone: 1 -/.57 /S
L S
cJ�IiLJ
Commercial Addition Alteration Remodel Repair*
E! LCI.tiCAL
INSPECTIONS
License Exp.
gem Unit C
Service/Feeder 200 Amp. $132.00
Service/Feeder 201 -400 Amp. 160.00
Servlce!Feeder401 -600 Amp 225,00
Service/Feeder 601 -1000 Amp, 268.00
Service/Feeder over 1000 Amp. 410.00
Branch Circuits 1-4 86.00
Branch Circuit WI 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 401.600 Amp. 164.00
Temp. ServlcelFeeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 86.00
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
Thermostat 56,00
Contractor Info
Mama:
Mailing d
City.
Phone: l5
License Exp_
c a
State: id
Fax:
Zip:
ation
:errl 4= l ac_
0110112012
i
1717.37
dorraMiNir
Total (Qty Multipl ned by Unit Charge)
g4- 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 i 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 ofthe above named.property or a licensed electrical con ractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -4ti8, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sign. Hof owner, electrical co ractor or electrical administrator: 0 Cash 'Check
Cradf Card 1571
J oared:
0•-
4
CERTIF UPANCY
,..4c
N,
Cit onoft Anoelres,T 11 ision
-e--
This certificate is issue. o rsuant to the requirements of Section 10. 2 11,16 International Building
Code certifiiing that ail': hpiiiitiellof*suance this structure was in compliance wi.ii the various ordinances
of the City regulatin bu'irdrif ZaiiisVirlii the ollo1
vv 4r,
Business name :ti ii hop r rrn lc iVibdic I, Center)
Bu,siness address TYkid arolint
r, V
Property owner Dirk A Kelly, Ourdee z
Property owner a eliCepr;:, 1004 CargfikeT
Automatic fire spi t'kter4pstem Pe ititeda*
Use occupancy kkiPeation. Busiiess
v .:-N.-*h
Bui/dingpermit numbId: 08-52104,
Type of constructionN Per 1 KC
Occupant load. Re
Post on the premises in a conspicuous place.
05/05/08
Date
be removed except by the Building Official.
joLve_ tke_ C 0
o %e 1-kosf`riv,.1 nnetnecii24--
scolf filfZe oh osiosiog
0
WILL THERE BE ANY OF THE FOLLOWING?
NO/
YES/
IF YES, CONTACT
Electrical changes
it-'-
Building
Electrical Dept. at 417 -4735
New or relocated signs
I‹;
Type of construction
Building Division at 417 -4815
Construction changes
1
5/ 9 ag
KL
Mechanical changes (heating, cooling, stoves)
Automatic fire sprinkler system required
no
yes
Plumbing changes
Fire sprinkler system changes
Planning
Fire alarm system changes
1/
Planning Division at 417 -4750
Is this a home occupation?
Second -hand dealer or pawn broker?
Public Works
City Clerk at 417 -4634
New or relocated sewer or water service
t✓
Public Works at 417 -4807
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Water Dept. at 417 -4886
Off street parking
Existing streets paved
Existing sidewalks
Curb and gutter
Department
Approve
Initials
to
Rejected
Initials date
Comments Conditions
Business mailing address �l Phone
Building
d12,10Z
Opening date Days hours of operation
457-1500
Type of construction
Occupant Load
Change of ownership
Fire
5/ 9 ag
KL
Temporary business
Automatic fire sprinkler system required
no
yes
PBIA
Planning
City Clerk
Public Works
BUSINESS NAME 0 O oy- f hn,prke4 C( i htC
BUSINESS ADDRESS 10 (34 C& -p (t v)€. Si__ Po ht A.Yiiej e, 1 R q S3(Q
Zoning
Business mailing address �l Phone
Transfer of business
location from a
57..
Opening date Days hours of operation
457-1500
Brief description of proposed business (Y .p C,L&.& C lin)L
Change of ownership
Remodel
ACTION
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non -PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Business owner's name
Business owner's home address
Date s__
Print in ink
For City use only
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
T. Forms /Building Division /Cerlificale of Occupancy Application
$100 00
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Phone
Permit g 2 _O
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.
Call for Certificate of Occupancy inspections before opening business
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
Signature
Please sign up for utility
services at the cashier counter
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this app 'cation and state t the information have
supplied is correct to the best of my knowledge
Print Name JCS WI &V.AJr
Application Number 07 00001460
Application pin number 756440
Property Address 1004 CAROLINE ST
ASSESSOR PARCEL NUMBER 06 30 00 5 8 0010 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 0
Owner Contractor
GOUGE DIRK A /KELLY
1004 CAROLINE
PORT ANGELES
WA 98362
OLYMPIC ELECTRIC
4230 TUMWATER•
PORT ANGELES
(360) 457 5303
Date 12/10/07
WA 98363
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 117333
Permit Fee 75 00 Plan Check Fee 00
Issue Date 12/10/07 Valuation 0
Expiration Date 6/07/08
Qty Unit Charge Per Extension
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
INSPECTION
TYPE
DATE
RESULTS
ELECTRICAL
INSPECTOR
DITCH
SERVICE
ROUGH IN
(z/17/0
FE\ AL
-7108
COMMENTS:
ELECTRICAL PERMIT
OWNER /APPLICANT
DR.SAM BAKER
1004 CAROLINE
Port Angeles, WA 98362
360/000 -0000
T:
CONTRACTOR
COLEMAN ELECTRIC
522 W. 16TH
PORT ANGELES, WA 98362
360/452 -7194
PROJECT INFO
Prj Type: COML.(MISC.
Occ Type:
Occ Grp:
Electrical Heat
Baseboard KW:
X Furnace KW:
X Heat Pump KW:
Fan /Wall KW:
Occ Load:
PROJECT FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc
TOTAL FEE:
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
S:
$50.00
$0.00
$0.00
$0.00
$0.00
$50.00
Issued: 2/11/97
PROPERTY LOCATION
1004 CAROLINE
Lot:
Block:
Sub:
Parc No:
DESIGNER
000 /000 -0000
Service Type
0 Riser
20 X Overhead Service
8 Underground Service
0 Temp Service
Long Legal:
Permit No: 5831
Prj Value: $0.00
Cnstr Type: ADD HEAT
Land Use:
Voltage: 120,240
Diameter: -1 X -3
Service Size: 200 AMPS
Feeder Size: 0 AMPS
PROJECT NOTES
REMOVE 3 PHASE HEAT, USE 200 AMP 3 PHASE BREAKER TO FEED 200 AMP
SINGLE PHASE PANEL. FEED 20KW FURNACE AND 8KW HEAT PUMP FROM 200
AMP SINGLE PHASE PANEL.
TOTAL FEE:
Amount Paid:
Balance Due:
$50.00
$50.00
$0.00
INSPECTION TYPE
DATE
ACCEPTED.
COMMENTS
YES I NO
DITCH
ROUGH -IN COVER
SERVICE
FINAL z// 8197 I I
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 WORE BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
GENERAL COMMENTS:
PW- 1102.1514/961
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT N? 16247
V
Port Angeles, Washington_ ,C 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 0° f l "d`' r -C Occupancy..
Art MC. /l)4 -4r l.-Tenant
Owner
Wiring Contractor
Light Outlets
Permit Fee
S' m
67 a
L 1M Olympic Printers, Inc.
.4 A
r1
1
i
By
J
Service, volts
No. wires
Size wires
Main fuse t 1
/d
Enclosure
Receptacle Outlets
Dryer. KW
Range, KW
Water Heater:
GG i
KW 1� 5 Type of wiring:
Heat: KW Entrance Cable
Motors: size, volts and phase: Rigid Conduit
..>4 Metallic Tubing
Current transformers:
No. Size
Ser. No
Ser. No
Ser. No
Total Load Ser. No
Remarks: n -2�
Treas. Receipt
No
By
ELECTRICAL PERMIT
Type of Wiring:
Armored Cable
lost-
on-
Knob Tube
Rigid Conduit
Metallic Tubing
Raceway
Circuits, Light.. Ai 49
id
Utility i ed.
r
Heat
Range
Water Heater
Motor
Dryer
Fu rn ace
e Total f
Coe se
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
N° 16247
Address Date
Owner Tenant
Wiring Contractor 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.
C 3 FINAL
J
DITCH
J
L _ngp
Dam .a By
gape
a m�
Inspection
Date
Area, Building or Equipment inspected
Action Taken
Electrical
El epecror
-7 0 7
MILS pm s 5EC 15 A cc earTo•"•ER 04 A1CC Peeve 3
AP
B.
12
12/06/2007 13:38 3604523498
Job wired by w(iectrical Contractor Owner
Electrical contractor name
Uceme number lute Eapires
e n f t b7k. �‘s�iIn soy
en V.2-3.0 y /00 A New feeder
mailing eadaddress n TU,s�idflTS� ZIP
2 -Far f1& X-ray sjsfo
Telephone number FAX number
145'7 -S3o7 952 3ys."
Premises owner's Dame
nL m y ir idcdvca/ ('2fIkr
Add or Impudent
/004 rRrnd;ne sr
CIty ?old- A-nieles
Phone number to schedule Iaspectlot:
or
Owner al defined by RCW.19.26.261:( Owner will occupy rth to the st rue ruct ur rm two
for t t wo
years alter MU electrical penN+ Is finalized R)
contractor If above said propery it for sale, rent or lease.
named After scamps r h i el
censed electrical contractor. I the electrical Instaa
I pm or s
1 .28, or WAC. CheP er 29 compliance 6-46 electrical The City of Pori Angels Municipal Code, 19.21, .nd
Utiligr Specifieotions.
"Signature o owner, electrical can ctor or electrical adml 1tr for
Date:
1
0
OLYMPIC ELECTRIC
Card
BxpitationDate
of card
x
O NO LOAD CHANGES
0 Baseboard _KW
O Furnace _KW
0 Heal Pump Ten_. 1-AP
0 F6mWall KW
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 -4735
THERMOSTAT
0 Overhead Service
0 Temp Service
O Underground Service
Duo
ELECTRICAL WORK PERMIT APPLICATION
Installation description
).Commercial 0 Residential
0 New ,Ahered/Addldod
O Cash Check
O Credit Card Visa
Mastercard Discover
Luspecdcn fe
Service information
Vonags rib v
Phase 0 t'r'i
Service Size:
Feeder Size;
PAGE 01
Of 'CRT./
NN
if la
_S N
c F
O NKS
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DAT ����'`(II(���"'') /�/������)Jj
OWNER/CO TRACTOR
PERMIT
6 7 1 4 )60
INSPECTOR
OL YrVIG Ec_Ec-
ADDRESS
/Dog CA 201 -z Al 1 5
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
ectF r c r J i 1 f2_ I kt P f N ^(,T,,
Ft P+x> %AN K %rz 'gp+t4Cc
'E 3o"
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381