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Home My WebLink About1502 Bldg J E Lauridsen Blvd - Cafeteria - Building ..~ ~ ~~ .~ ~~ ~~ ~ ~ "- ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number ""'Property Address ASSESSOR PARCEL NUMBER: ,"~~p~fcation type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000775 Date 519025 1502 E LAURIDSEN BLVD CAFTR 06-30-14-1-2-0000-0000- COMM REMODEL 9/09/05 UNKNOWN 3000 Owner Contractor STATE OF WASHINGTON GEN ADMIN " bLYMPIA WA 985041000 OWNER Construction Type , . Occupancy Type Structure Information 000 000 TYPE I FIRE RESISTIVE ASSEMBLY >300 W/O STAGE Permit . . . . . Additional desc . Permit pin number '''---PE!rlni t Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 59022 106.75 9/09/05 3/08/06 Plan Check Fee Valuation 69.39 3000 ._ ,'_ Qty Unit Charge Per Extension 92.75 14.00 BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Spec1al Notes and Comments 08/24/2005 12:21 PM KDUBUC ----------------------------- The Fire Department w111 require separate plans for review for this project. 08/29/2005 12:10 PM SROBERDS --- Construction will ".'.. .gl:}ange entrnce to kitchen and create a storage room in the PBP zone for peninsula College. No land use issues are noted. $0 Connect 08/24/2005 . Electrical required. 08/24/2005 11:54 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Fee. 11:54 AM JHEBNER ---------------------------- load calculations and electrical permits are Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pa1d Credited Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 106.75 106.75 .00 .00 Plan Check Total 69.39 69.39 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 180.64 180.64 .00 .00 Separate Permits are required for electrical work, SEP A, 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 penod 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 ~ c~~ tJrlor}r Signature of Contractor or Authorized Agent / Date Signature of Owner (If owner is builder) Date T \PohCles\1102_15 bUlldmg permit mspectlOn record05 wpd [114/2005] (~ (II rORT'I,,, ~~ ~~___ G((,... C/~~~'J' ~ ~ -- BUILDING PERMIT - APPUCA TION Fill out COMPLETELY and in INK. Your applicatlOI:: and site plan MUST B CO:MPLETE to be accepted for review. If you have any qnestions, call PEI',JvIITS (360) 417-4815 FAX(360)417-4711 Appllcan1. D1 Agent M~~ L: ~E-<; Owner: -p~) ~ Cy{) ~ <- Address.lS OL [;. L~v( ;.LS'<..,.-. (\ \V~Clty.PI:) ~+ Phone 3 feO' L( ( 7* r; 5'S'O Phone' A.... iJ-e- s Zlp 'If? Co"J- Arcllltect/El1gmeer Contractor ') ~ State Llcense #, Exp' Address: ISb2- -. L~y("J.-f~ 73 Ivat. , CitY' ,fo,+ I4..'jJ~s PROJECT ADDRESS: I SO 7-- ~. Lw.. f/ ~ ~5 -e- P I v,(. 13 (it I J ' ZONING: Phone: Phone' Zlp: I J'J " 'L.. LEGAL DESCRIPTION: Lot Block CLALLAM COUNTY PARCEL NUMBER: SubdIVlsIOn: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC _ # Exp. Date: TiTE OF WORK: SIZEN ALUATION: o ResIdential 0 New Constr. 0 Re-roof 0 Stove SF @$ ISF. = $ o Multi-family 0 Addltion 0 Move 0 Garage SF @ $ ISF. = $ ~Commerclal ?Remodel 0 Demolition 0 Deck SF. @$ ISF. = $ . !; o Reparr 0 Sign pOther --=- TOTAL Vi>J..,UATION .- $-.2....bDD~ BRIEFDESClUPTIONOF THE:PROJECT: Ck""'^-ii.- ~d--It-e.i fz> ~~~ (~l~ - @Ar<-a-i-e.- :L...{." r Cc;6- \c; '" ~, ",,-VII€.. ~-hr( ~ ~ (~. I COl\1MERCIALIRESIDENTIAL: Occupancy Group: Occupant Load. ConstructlOn Type: No. of Stones: _ Lot SIZe: EXlStmg Sq. Ft. & Proposed Sq Ft. = TOTAL Sq. Ft Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s). 0 Yes 0 No SEPA Checlchst required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION In all cases, a valuation amount mnst be entered by the applicant TIris figure will be reviewed and may be revised by the Buildln.g DivlSlon to comply wIth current fee schedules. Contact the Permit Coordmator at 417-4815 for aSSIstance. :PLAN CHECRFEE: IF a plan clieckfee is due rtmusLhe subnutted at the tune the buildingpemnt application and construCTIon plans are subIDltted. All other pernut fees are due at the tune of permit issuance. EXPIRATION OF :PLAN REVIEW: lfno permit is Issued withm 180 days ofllie date of application, the application will expire. The Buildmg OffiCIal can extend the time for aCTIon by the apphcant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the Internanonal BuildmglResIdential Co de, 2003). No applicatlOn 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 responmbiiiy to dete""fe whal:r'ts ~ Ciy5. and that i must obtain such penn"s pnorto work T:\Pohc]es\BL-110U3wpd ApplIcant: ~ ate: ~ Jell/OS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000181 153464 1502 BLDG J E LAURIDSEN 06-30-14-1-2-0000-0000- ELECTRICAL ONLY Date 2/15/08 BLVD CAFTR UNKNOWN o Application desc 400 amp panel Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA WA 985041000 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL 120840 175.00 2/15/08 8/13/08 Plan Check Fee Valuation .00 o ~ \S'\ (j N r ~ c J\l - V ~ 7 Qty 1. 00 Unit Charge Per 175.0000 ECH EL-COM ALT 201-600 SRV FDR Extension 175.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175.00 175.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 175.00 175.00 .00 .00 \P [ \J \ld v ~ ~ Q- ~ ~ S LA I · SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: ffi/ A"P . .-./ ..J j -.::> .-' -J!. ~ .j "2 .J .? , v\ ~ ~ .) u ~ -- - ~- -'r- \l a ~ . I;) -' '\ <.... .) Cl \. ~ \, ~0 "' J ,s .,J~ ."' '- .i T \"J:\ "- ~i '"-"' -::::. ~ 0:::>' { ~ ::) '-.) .- :;; l.- ID ..) Qt-~ L1~~ \!'~ ~ U ~ ~I 6li....GG.~ ~ lS'~ ~ ',.,' . ~ , . .' . .' : . .' I . '. .'l...~ ; ~ . y ,N . . l~~E' ~'Il:< t/1.', f" J;s:::9....~..'~a~~.c.~ ~ 2' . . ..... ", Q: ~ QI .'. ;.. 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(.) . ~. ~ ~~ ~ ~~~.~~ ~.~ ~.~ ~.~~~~ ~'~~5~ 55e ~~~~ ~~5 :.,- , ~ ~ -< R ~ h:!l~! ~ ~ E g!;; ~ 0; III :rll~: ~ ~ U ~ ~U ~ ill lillil ~ ~~~ . ~ i t~~= .~~. n ~~~I~~~. ; ~I i~;::;!~ ~ ~ III ~;;; 1.'I::l ~llllll f;; 111 ~ i ~!;! ~ ~ ~ h ~ h ~ ~S:;;:it::!;l; ill:81;; ~ I 1-1 Zi - ::- -------.. .- -T.] :J I ..- .-....... . __. o-J :0 I ~ I u:1 -<l' II ~ ~. :01 31 = ~ ~I ~I ~I ffiJ ,,,"i , ',~- c. d; ".;: ..\~ ';~~~ 'i ,. .. ' \"'''' B I "'("' .B ~ ~ . I ". . .~ ~ .~ ~' ~ ~ . L ~. ~ ~ s ~ ;:t, eft ~ORT ~G ~~~~"" ~,.~ L~ ~ "l.otc~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application description Property Zoning . . . Application valuation Property owner Owner address . . . . 03~00000068 Date 1/29/03 1502 E LAURIDSEN BLVD 0630142100000000 BLDG. J ELECTRICAL ONLY Contractor o STATE OF 'WASHINGTON I, GEN ADMIN OLYMPIA WA 985041000 ( ) OLYMPIC ELECTRIC Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL 40.90 1/29/03 7/28/03 Plan Check Fee Valuation .00 o Permit Fee Total Plan Check Total Grand Total 40.90 .00 40.90 40.90 .00 .00 .00 40.90'" .00 .00 .00 .00 " V') C). ~ Qty Unit Charge Per 1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.90 Fee summary Charged Paid Credited Due ~ t & .~ G\ ~ 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:\PLANNING\FORMS\1102.15 [4/2002] In BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE 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 I 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 I .,.'iJtft; FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'S SEPA: E>OPf ~CJ Lf~~,o8 PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. / ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\l102.15 [4/2002] "'-.;.,,-....:.; ''-';.:.~....lo1,'-; I, -.......' -1.r'-"t::L...~':=O t.i ELECTRICAL PERMIT APPLICATION tlC<<~N.U5E.~\..Y ~'! -~ tw.~ -'- Tho EleeIIIcoI Po___ my_' bo "11eCI "'" ....--tv. Plaau type or ...pnf'llll1lrdc... n Y'J*o' ft..hI!l any q~", .,..... ull (:sea. .17"'&735 Fu number: (360)411 ~711 tJ3 - &13 o..nororEIeC.c..>lIllC1lll'Agent 01 m ic Electric Co., Inc. Prq8\y o.<e: P' -eN IN t31v( If -.s: ~tU1DbAJ7 ...:;:;- /tMPG) CIty: Fbtvr~ Eilll::llladCl:lr07ftdllr Olympic Electric Co. I Inc. Uco_t; OLYMPEC2B~: 3131/03 _: 4230 Tumwater CIly: Port Angeles, WA INSTAU..ATION WIRED BY: 0 OWNER t:'l ELECTRICAL CONTRACTOR CnldItOmlHa/dfJrNsm,,: Charles T, Burkhardt, Olympic Electric Co., Inc. Phone: 1157-5303 Fa.: 452-3498 Phaw: Zip: _: 457-5303 lip: 96363 Billing A~: Same City: Credit CetT1 Number: Exp, DIIt8. PHOJECTAllONSS' \:(7CF2---G-'/;/;-7b?~/?p :r\ TYPE OF WORk: Cheek .IlIlhat apply. p(New 0 AlleraoonfAddillon o Re5ldental 0 Mulll-famlly 1i CommarelaJ 0 Mobile Home Sq. Ft o Remote Mete' 0 Detached gamge 0 Hot Tub 0 Swim Pool 0 Septic Pump )ilaw YOll8ge 0 Telecom. 0 Slgr ZIp: VJSA:~MC:_ Numbe, or Cln:u1tS _ 0' 11I_: DESCRIPT10N OF lliE 1i!L..EC'm1CAL PROJECT, ff1I~ ~;fJ7MI~ Electrlcl" Heat Load Addition. .$ltJ/jO Service lnf0rm8t1on o Baseboard OFutT'lBOfl o Heat Pump OF_Well _KW _KW _KW _KW o OYemorad SQrvlce o Temp SQrvIce o Unde'!l"1und Servillo VoI\49<I; Phase: 0' 0 3 Sttrvl.c:a Size: FlllldG' SiQ: PAMC 14.05.080(8): For Indualrial, eomrnercJ8I, & .....Id&nllal projllCl9 ~1IIIIn a duplex. e """ .11"" drawing of lhe Eklelrleal Senice & FlOellem, bOlldlng olZe (oq. n.),ICl8(I ca!CUI8Uana. """ lhe ~ II o'condUdOfS "noIo,receway Is requl""j and """II _pel'l)' \llII EI""'<Io8I Pwmn applleellon. J hereby certify tflat I havs f'98(j and 8xamlneo this application and know too same ro be true sncf comJCf, and I an alJtllort.zBc1 to apply for this pennlt. I unaerstana ;r is not the City's /egBI rssponslbillly to dfltllrm/ne wna r psrmtts a,. rrlqulred; it remaIns the sppf/CBnl8 f'9SpOflBiblllty to derormlntil what pemlits are r&qUired and to CJbtaln such. CI'IIdIt Card Holder'. Slgnlltu,.; Date: DIIt8: 1//7k~ / )17;b3 / , OWner or e~. Co"'. SIlInIltU,.; D I. P)~ ~,o~ ~)G V(-r tU C D~ PW-901B /-/7- tJ3 TO~ JIHIJ~d JldNX10 COCSLSt09C lrd ST:CT COOZ/LT/TO ~-"'''''-'''''"; .......:."'_J'''';.~L I J ..........." .-'.""c.......... t.i ELECTRICAL PERMIT APPLICATlON FOCl 0PftCt1\1. USE ON!.. Y -~ ='" [) "..,- The Elec::t'DcaI p~nnn .j:f,41.",a&woj mUM bIi flBtId aut ~~ , I ~ EI/It ~Agem; Olympic Electl'ic Co., Inc. .,.-:~ rpVJJIIV~u.-fA- U?//~G --= /5't/7- e t3/Vp CIty: &I_CO'........... Olympic Electl'ic Co., Inc. ~: 4230 Tumwatel' __ _ 0\' roprtnt In InlL W.,.,.. """- eny q-..a, p..... coli (lIllO. .17..135 Fu numllr. (a8O) tl1..71\ Prve, Far 452-3498 .f-'? -;2. - :7'2. 7 7 Prlon.: 457-5303 CIIy: INSTALLAT1QII WIRED BY: 0 OWNEfI i2!I El..ECTl'IICAL CON1RACTOR ClwrJJlCan/Hok/(r~ Charles 1. Burkhardt, Olympic Electl'ic Co. , rfr Ucll_ I; CL YMPEC28~: Port Angeles, WA Zll" 3(31(03 ~: 457-5303 ~: 98363 Inc. BllllngAdG Same CIty: 1-/ /05/ , ZIp: 1/7SA;~MC:_ I CIedII Can! Number. I ~..Dllte. PR~_..s; C'~Q2-~/~~ ?AI1eralionlAddhion -r o Commart:lal 0 MobIIeHome Sq, Ft V /1-:7- ~- I ' o Aemob! Me18r 0 Oelached 9111'11ge 0 Hot Tub 0 Swim Pool D Sllptt~ Pump XLOW Voltage 0 Telecom. Number 01 Cln:u/la IIdll8d or ..~: . / DESCRIPT1ONOFTIIULK'rlllCAl. PRO.J!CT: ~ ~ i-G ~::'13 4?/ AlpG- JlVA-1'/ t~AJ'f'1!"I!Jt- ~f _ _ 0_~ 70 . Check .ill tltal apply; ON_ TYPE OF WORK: o RtIsldentaJ 0 III ulll-famUy OSlgr ;1.'3 l:3U.fLOfH45 eIA. I.lual Hoat laecI Addition. -1,/ tJ, '10 T &, 9'3 ,8t>:;;. 6$ 'I. 7r:f . (5"8'/C ~=-o) 1I,.ox'S12>::- 6'13.80 D AA..hnIIl'd _K'N o Fomaow -ICN DH8oJl~ _KW DFBMVaU _KW s.mc. InfomIatlon o OYeIINlsd SIorvlao o T~ SeNlcs o Un:lllrglOund ScIrvic!t v~: Phase: 0 1 0 3 Se~ 812&: Fwder Sia, PAM(: 14.05.060(8); For indu8ltlaJ, eomrriOldal. & realdBnll8l pltlj9dlllatgM 1l1Bn a dupklx. 8 ona - line .",...ng 01 ltl9 EIAClIleaI SGnIte8 & F--., bulking ~ (oq. 11.), o.t_lati_ _ ll'lO type " aI c:onduclors endIor, llC6-.4y IS requl.-d and lII1allllCCOlllpllny \he EI8c11tcaI P....~ 1Ippi1c81lO71. I hereby cat1ity tlrst I have !Gad aoo examJne9/tlIs application snd know that same ICl tie true snrJ corrBCt, and I an a~ to lIpp/y for fftls pennIt. I undIJr8W1d It is nor the CIty's legal rssponsibi1Jry ID determfrre whar perm/rs 8fIt r9qUinJd.- It remains thtl ~fCtU/t1I ~11ty to detsrmJne what permit>> ~ 19qUf18d ~ to otmIftJ SUCh. PW-!I019 ! o.n.r Of s.c. .COfrt, 81~,.: OIl. CndIt Card Holdr. S1gn8luR: Data: \) {V ~'F'C? \ C\,O ~/v TO lEi JIH~J313 JldNX10 COCSLSt09C XY~ ZS:9T COOZ/Co/to Jul 15 2013 10 :32AM Olympic Electric Co., Inc 3604523498 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 Fax: (360) 417.4711 ❑ate: n Multi- Family or Commercial* Plan Review May Be Re aired, Please Complete Job Address: Building Square Fcclage' Description of Owner (piJormation Name: Mailin Adiire Dty /1��' State ' zip: Phone_t218 _T Fax: License! Exo. Item Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service /Feeder 401.604 Amp Service/Feeder 601 -1000 Amp. Servicelseeder over 1000 Amp, Branch Circuit W/ Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Servicel Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp, Temp. ServicelFeeder 4101.600 Amp. Temp. ServicelFeeder601.1000 Amp , Portal to Portal Hourly Sign /Ou6ne Lighting Signal Circuit/ Limited Energy - Multi-Family Signal Circuit/ Limited Energy 1 First 15W sf - Commercial Note: $5,00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less Thermostat Nola: $5.00 for each additional T -Rat Unit Charge $132.00 $160.00 $ 225.00 $288,00 $410,00 $ 5.00 $ 74.00 $ 5.00 $ 86.00 $102.00 $121,00 $16400 $185.00 $ 96.00 $ 88.00 $ 64.00 $ 98,00 $ 113.00 $ 56.00 page 3 s� JUL 15 201 RP"iew Information Sheet ELEGTRICAL INSPECTION Contractor information Name', QLYMFIC ELECTRIC Malling Address: 4230 TUMVVATER City. PORTANGELES State: WA Zip: 96163 Phone: 350- 457.5909 Fax; 3U452.949e License #IExp OLYMPE02MJ Total Mly Mufti lied by Unit Charge $ $ $ $ $ $ Total Owner as defined by RCW.19.28.261: (1) Owner vuifl 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 instaliatian or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: 0 Cash ❑ Check Credit Card a X Dated: / D110110 12 F'(7- c 0 OR 1.Arl�R� i� W 1 LIN --- - - - - - - - ION I i ---------- Hill 100 ii 0 1 � a 1 1 R g ;' BEN I ARRIlix r E Me IT RIM] olmn, j Ala pugg*m 21 mi 9P i TR9 � HEIM Hill 100 ii URI 0 1 � a 1 1 R g ;' BEN I ARRIlix r E Me RIM] olmn, j Ala pugg*m 21 mi 9P i TR9 � HEIM URI 7 1, 2 5 R g ;' HM ARRIlix r Me RIM] olmn, I m 21 mi 9P i TR9 � HEIM 7 1, AMP �E PENINSULA COI I � g ;' ;: J - BVILDNO hVPWYWENTB 1W2 E LAURCOEN KVD, PORT A LES, WA r Me RIM] 21 mi 9P i TR9 PENINSULA COI I � g ;' ;: J - BVILDNO hVPWYWENTB 1W2 E LAURCOEN KVD, PORT A LES, WA r 0 �1?oFlr -,qvol 16 ELECTRICAL INSPECTION WIRING REPORT 417-4735 4,0A o5, b, DA6/jj OVVNEh RE CONTRACTOR ADDRESS 4L,i!�DZ APPROVED No,r APPROVED . . ...... ....... . . , . DITCH .................... CJ . ?R.19MPp .... ROUGH IN/COVER ............... 0 El. ...... L.. 1. 1... 1 ... SERVICE ............. — - - 11 ........... ......... FINAL .............. CORRECTIONS NEEDED: P;134 R-C�yn j4jM?�p --rV f 7=,- NOTRWY INSPECTOR WHEN CORRECTIO14S ARE COMPLETED WITHW 15 DAYS — DO NOT REMOVE — A 0 1 ?Of;rAV,, I ELECTRICAL INSPECTION v low mN WIRING REPORT Ks t, 417-4735 DAg) INSPECTOR 7f?-7 OWN CONTRACTOR ol-ep--ift L, ADDRESS 1 5;,7o APPROVED NOT APPROVED ................ ... DITCH ...... ...... ...... El ROUGH IN/COVER ............... 11 ❑ ..... ...... ....... SERVICE ................... El D. ..... .............. FINAI ......... ........... 0 CORHE'-'TIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHNN 15 DAYS - DO NOT REMOVE -- -ko, I voRrq4, Q.- ELECTRICAL INSPECTION 0.1 WIRING REPORT KS& 417-4735 DATE: A I PFRIAIT It INSPECTOR OWWC CONTFIACTOR ADDRE:j APPROVED NOT APPROVED 0 ............ ... -, DITCH .... ...... ..... 0 0, . TPi rZ�RW- ROUGH I N/COVER .............. 0 ............. SERVICE ................... 0 0 ..................... FINAL ... ........ ....... 0 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHM 15 DAYS - DO 140T REMOVE - a . P0Rr,4,, 4' ELECTRICAL INSPECTION WIRING REPORT 4 kORKS t, 17-4735 DATE � ] PERMIT 0 INSPECTOR o\NTTiqE ADDRESS F-ILTOJOITTloym NOT APPqOVED .................... DITCH. ...... M ROUGH IN/COVER ............... 0 LJ .............. - ... SERVICE.. . ................ 11 0 ..................... FINAL .................... 13 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITH 15 DAYS -- DO NOT REMOVE - 0. *p AV ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: PERMIT 4 INSPECTOR QWNEP CONTRACTOR ADDRESS APPROVED NOT APPROVED El ................. - DITCH ............ ....... IJ r-1 ................ ROUGH IN/COVER.. . ............ 0 0 .................... SERVICE ................... 11 0. . ................... FINAL .............. ..... 11 CORRECTIONS NEEDED: mil/ 15HC)T C ) L-IU-Lt, Cbj-%� 140TIF-Y INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL INSPECTION WIRING REPORT KS 417-4735 DATE: PERMIT ff JNSPE C�TOA t 3, -7 OWNEV F ' CONTRACTOR mp-1 c- ADDRESS I ig)� APPROVED NOT APPROVED El .... .... .......... DITCH ........ ........... I-] g-'PAgTipot, , ROUGH IN/COVER... . ........... 0 [1 ................... SERVICE ................... 1:1 ®< ...... ......... FINAL .................... 11 CORRECTIONS NEEDED: _IPV W. �� Va 1, V NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITPIIN 15 DAYS 39 ELECTRICAL INSPECTION WIRING REPORT C, KS 417-4735 DATF• AA PERMITS INSPECTOR _77 OWNER CONTRACTOR jr -- ADDRESS NOT APPROVED ............ .. DITCH ....... ............ 0 ....... I - ROUGH IN/COVER ............... 0 ❑ ............. ...... SERVICE..... . .... ........ 0 ❑ ..................... FINAL .................... 0 00HRECTIONS NEEDED: - VAO - NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHBN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 4174735 Application Number , . , , . 13- 00000774 Date 7/16/13 Application pin number . . . 245048 DITCH Property Address . , . . 1502 BLDG J H LAURTDSEN BLVD PIRAT ASSESSOR PARCEL NUM13HR: 06-30-14-1-2- 0000 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , . , . . Property Use , ... . . . , . FINAL Property Zoning , , . . , , . UNKNOWN A2 Application valuation , . . . 0 Application desc Remodel Owner Contractor WA PENINSULA COLLEGE OLYMPIC ELECTRIC CO INC 1502 E LAURIDSEN BLVD 4230 TUMWATER PORT ANGELES WA 90362 PORT ANGELES WA 98363 (360) 417 -6553 (360) 457--5303 Permit . , , . , . ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 60e.00 Plan Check Fee 00 Issue Date . . . 7/16/13 Valuation , . . . 0 Expiration Date 1/12/14 Qty Unit Charge Per Extension 12,00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 60,00 1,00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96,00 1,00 132.0000 ECH EL -COM 0 -200 5,RV FEEDER 132,00 2.00 160.0000 ECH EL -COM 201 -400 SRV FEEDER 320.00 Fee summary Charged Paid Credited Due Permit Fee Total 608.00 608,00 .00 .00 .Plan Check Total 00 ,00 .00 ,00 Grand Total- 608,00 608.00 .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 to A2 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X G:IEXCIIANGI 1BUILDING Date: \P1 �7 0 S O a