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Home My WebLink About120 N Laurel St - Building Oct 29 2013 10:38AM Olympic Electric Co., Inc 3604523498 page 1 ��y pupaq,V V� CITY OF PORT ANGELES PERMIT APPLICATION REQ-1 Building Division/Electrical Inspections 321 East Fifth Street—P.Q.Box 1150/Port Angeles Washington,98362 Ph: (360) 417-4735 Fax: (360) 417.4711 OCT 2 9 2M / ® Multi•Famity or Commercial" ELECTRICAL Oate JINSP;OfIONS Plan Review Ma Be equine , Please Complete Electrical Plan Review Information Sheet @ Jcb Address; f F/ _. _"1 Z Y 8 U Building Square Footage: Description of above t .fir ° Owner Information p �p Contractor Information Name: /Y,/7 .Zjt '<z"- - \lame: OLYMPIC ELEC7RIC Mailing Address: Mailing Address: 423C 7UV%V.ATER City: State, Zip: City: PORTANCELES She: WA zip; mo Phone: Fax Phone:s6";a esos Fw W0462-3498 License k l Exp. License#I Exp.aLr'+pac205❑, Item Unit Charge {qty Total(Qty Multiplied by Unit Charge) ServicelFeader 20D Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ ServlcelFeeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp, $410,00 $ Branch Circuit VV/Service Feeder $ 5.00 $ Branch Circuit VVIO Service Feeder $ 74,00 Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1-4 $ 86.00 $ Temp,Service!Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.ServioelFeeder 401.600 Amp. $164.00 $ Temp.ServicelFeeder601.1000 Amp. $1&5.00 $ Portal to Portal Hourly $ 96.00 $ Sign)OuHine Lighting $ 68.00 $ Signal C rcultl Limned Energy--Mufii•Family $ 64,00 $ Signal Circu.V Limited Energy I First 1500 sf—Commercial $ 96 00 $ Note; $5,00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5,00 for each additional T-Stat $—Z�`f '� Total Owner as defined by RCW.19.28.261:(1)Owner will OCCUPY the structure for two years after this electrical permit is finalized. (2)Owner Is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.2$,WAC,Chapter 29646B, The City of Port Angeles Municipal Code,and Utility Spedfications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ check r � Credit Card e Dated: !.,.T fri T� 814112017 f ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00001265 Date 10/30/13 Application pin number . , . 239795 Property Address . .. . . . 120 N LAUREL ST REPORT SALES TAX ASSESSOR PARCEL ;NUMBER; 06-3D-00-0-D-150D 0000 Application type description ELECTRICAL ONLY On your excise faX form Subdivision Name . . . . . . to the City of Pori Angeles Property Use . . . . . . . . Property Zoning . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 1 0 Application desc microwave circuits Owner Contractor ------------------------ ------------------------ e,1 TURCO DARLENE RAE OLYMPIC ELECTRIC CC INC PO BOX 87 4230 TUMWATER JOYCE WA 98343 PORT ANGELES WA 96363 ( 36) 417-2220 (360) 457-5303 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc , Permit Fee 74..00 Plan Check Fee 00 Issue Date 10/30/13 Valuation . . . . ❑ Expiration Date 4/28/14 Qty Unit Charge Per Extension 1.00 74.00.00 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 Fee summary Charged - Paid Credited Due WUW Permit Fee Total 74,00 74.00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 74.00 74,00 00 .0❑ INSPECTION TYPE JDATE: 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: GAEXCHANGRB lILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . 13-00001265 Date 10/30/13 Application pin number 239795 Property Address • . 120 N LAUREL ST DEPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-0-1500-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name • . • . . . to the City of Port Angeles Property Use Property Zoning . • • . • CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . • . • 0 Application desC microwave circuits Owner Contractor TURCO DARLENE RAE OLYMPIC ELEC'T'RIC CD INC PO BOX 87 4230 TUMWATER JOYCE WA 96343 PORT ANGELES WA 98363 ( 36) 417-2220 (360) 457-5303 Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 74.00 Plan Check Fee .00 Issue Date 10/30/13 Valuation . • • . 0 Expiration Date 4/28/14 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR-WO/ S/F 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid CreditA Due Permit Eee Total, 74.00 74.00 .00 .00 Plan Check Total .00 00 00 .00 Grand Total 74,00 74.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date:_ G:IEXCHANGEIBUILDING ..,.,.. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification lssued pursuant to the requirements of Section 30] of the InternatIOnal Buildmg Code certlfymg that at the tlme of lssuance this structure was in compliance with the various ordinances of the City regulatmg Budding wnsu uctlOn or use For the followmg Use Cla~~IficatlOn Business BUlldmg Permit No 04-752 Group ~ Type of ConstructIOn' V-N Owner of Busmes~ Ernst Schafer Addre~~ 120 N. Laurel St. BUlldmg Addres~ 120 N. Laurel St. .,' ^ ^- , _ '1- ~-I'~ .', Busmess Name Ernst Fine Art Photography Use Zone:- CA Port Angeles, W A. 98362 Port Angeles, W A. 98362 November 21. 2005 . ., -, Date ~, ~> Post on the prEiHnises in a conspicuous place. Shall not be removed except by Building Official. .. ,~. .. OLD JtCO_ D3~t41 -;- [YZ4-~!7 ~&>, _" _ ;) ,1 , ROUTING SLIP tJ~.-1 J !-INt'r BR I ti,;7;' Ifr~k':...certificate of Occupancy 1t~t!1 "' ~ Certificate/Inspection Fee -n1(~ .4PP ft7/l. /2eto-c.afl . t~/l$1 s ~~~Iib 1 ~~i ~r~ Phone:. busine-:1 Q ~ _ - .t, - e t __1 r;. 7- New Business ............................ Transfer of Business Location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ...... . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed busmess: JJo Legal Description: Lot Current Use of Property: Zoning Classification of Property: Block (~eb 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 rlght-ot-way Is there sufficient off-street parking? . New driveway openings A grading plan tor site drainage. (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other YES N~ --1L- - ----IL" _ _ -LL" -~ ==;:::; - --LL' --1L --1L. - t/ l/ ~ SubdivIsion 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 1 0) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed. REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. R.~-{~-~ 1h l18-0S'~U X -~- =FE-~r'l CUPANCY cay -'~f Po~t"Al1gele r.:';' Buildin~: l?hrisiOll '" . ~'/ , This c~ tifi~ailQtJ)~suef! p"!:rsuant to the requirements of Sectio 109 of the Unifor'7:B~lijing, Pi1;< c~rtifyihg thaI E/ !he ti'!l': of!s~}~!Jce this stiucture was in c?mfli(lnc;e,witYthe~vdri.o.us ordinahCl;s ofthl! pi~ r:egiilatins 1{uilding K ~ c' 'c':' . :constructwn or us{t.: For the following: ' . " _\ Use ClassIficatIOn ReWir ~,~ui!di.?~ Perrrnt No: . ,', Busm~s N~'., rTh€ Spotted f2jPCken Group M ~l : "..T; ~f ConstructIon . VN ' . ,'. . " ',: ..' Use ZoL. :: CBD i~ -< ~. r ~ I ~', . '." ' Owner of BusineSSlReslden~~! Rob€rta L. Campbell Address:. 215 Frederickson Road. Fort Angeles Wa. 98363 'lt1 ' -- , l ~ .",', " Bulldmg Address .120 N. -Laurel Street Port Angeles..W A,98362 /11/2/ L /6r c::1/J ~ 3 =t /4' ROUTING SLIP rtificate of Occupancy $470 Certificate/Inspection Fee " rc..' mE .$POffE/) {l#/&I:?N DATE d - /~ - (l:3 Address of Proposed Business /P. 0 It), LA-l/ILEL .sf. ~FLE5 Applicant ,; , 111- L __ 'F{ C J\9J.:lress eXIt; r/!FlJEf!-lc~e-[;j2jJ. ,l2.iJ, tDitl fl/lJb'GLE:S J1/A /'JQ..3l-3 Phone: business home 1f57--ljfs1 ./ New Business . . .. ............ ( V"") Transfer of Business location. . . . . . . . . . . . . . .. ( ) Change of Ownership. .................... ( ) New BUilding ........ . . . . . . . . . . . . . . . . . . . .. ( ) Remodel. . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ... .. ................ ( ) Change of Use . . . . . . . .. ....... .... ... . ( ) Brief description of proposed business: L-!JL)NTJ:2Y 6/ FT ..5lft;jJ legal Description: lot I Current Use of Property. Zoning Classification of Property: Block 15 Cfij) Will THERE BE ANY OF THE FOllOWING? YES NO ,/ -- -~ -~ --L v'" == ,/ -~ ,/ , == ----;;r --L- -~ v -- V -- Y - / -- v -- - :~ -- v Construction changes Electncal 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 of filling of lots Work done In City nght-of-way Is there suffiCient off-street parking? New dnveway 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 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. ~REJECTED ~to'D36~ K'lJ(> J kf/;P8 , Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. SubdiVISion I 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 Dale d-/cJ- (}3~ Signed:,fi!t~t-it- '. - -l#!j!l~d!/ Comments / Conditions j 0~. CITY OF PORT ANGELES , DEPARTMENT OF COMMI. TNITY DEVELOPMENT - BUILDING DIVISION ~"',,o~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~,:,,':'- D:,":C .'"E."'f..'.f:T ...... ._.~, .... ,-,, ,,,.,,,,,.,,..,,.,,.,., PERMIT NO: 13905 OWNER/APPLICANT PROPERTY LOCATION ~ LAUREL N DARLENE TURCO i~O Lot: 1 114 N LAUREL Port Angeles, WA 98362 Block: 15 [] Long Legal 360/000-0000 Subdivision: NR SMITH T:120 NORTH LAUREL S: Parcel No: 063000001500000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $2,000.00 SFD Units: 0 Commercial: 0 Project Type: ADA CONVERSION SFD SQ FT: 0 Industrial: 0 [NJ ~_... Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: CBD ~ PROJECT NOTES ADD ADA RESTROOMS ~'- RECEIPT#9008 (.~ FEES ASSESSMENT ~ Building Permit: $69.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $107.75 Plumbing: $34.00 AMOUNT PAID: $107.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within t 80 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 ~)f Ortner (if owner is builder) Date T:\PLANNI?qG\FORMS\] 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SlTE INSPECTION TYPE I DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB WATER LINE GAS LINE BACK PLOW / WATER MR SEAL WALLS CEILENG FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-DAR INSULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (EnglnecrlngDivlsion) SEPARATE PERMIT #'s: WATEILLYNE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPAKATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTKICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417 4807 PW / ENGINEERANG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDYNG T:\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date i '~ Time Received by~~/' (phone. person) Location of Work to be inspected ~/ /__4::::~t~.~ w~_. ~ Name of person requesting inspection ~'~; %~:~ ]I~L~J,,' :~ '-' ~)C~l~ Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one):__ . -- Sewer Foundation Framing Chimney(~um~n~ Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) ~),..~c~ _ ROUTING SLIP ~'~'- ,~.~rtificate of Occupancy ~-,//-~--_ ~',~2~7./~:-~) ~/~ ~$47~ Cedificate/Inspection Fee DATE ~-/~' ~ New Business ............................ Address of Proposed Business Transfer of Business Location ................ /~ ~/' /~6~ ~'~' / ~ ~ Change of Ownership ...................... Applicant ~~ / ~~C New Building ............................. A r, s .. ode ................................. Phon : busi,, hom Ch .a, of ............................ Brief description of proposed business: ~¢[~ E /~F Legal Description: Lot J Block I.~ Subdivision Current Use of Prope~: Zoning Classification of Prope~y: ~ ~ ~ WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: / PERMITS SUSlNESS LICENSE Construction changes ............................ Electricalchanges ............................ ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. ~ 2) Plumbing 2) Peddlers Plumbing changes ............................ i~ 3) Ele~rical 3) 2nd Hand Dealer New or relocated signs ....................... ~ 4) Mechanical 4) Pawn Broker New septic tanks .............................. ~ 5) Sewer 5) Dance New sewer so.ice ............................. ~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons .................... 1/ 7) Driveway installation 7) Fireworks Is this a home occupation? ................... - ~ 8) Curb installation 8) Ambulance Excavation of filling of lots .................. ~ 9) Sidewalk obstru~ion 9) TaEoo shop Work done in Ci~ right-of-way .................. i/ 10) Water meter installation 10) Other Is there sufficient off-street parking? ~ 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? ................... ~ 15) Home occupation Are there existing sidewalks? ..................... ~ 16) Conditional use Is there curb and gu~e~ ...................... ~/-- 17) Other Other ......................................... I hereby apply for a Certificate of Occupancy and acknowl- _) edge that I have read this application and state that the Date: ~ /,~' ~',--~ ,' in fo rm at ion I have supplied is ¢o rrect to the best of my ~d~.2Z~. knowledge. Signed:, ,- Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. CERTIFII CUPANCY City of Port An Building Division This he requirements, ' the Code Certifying that at the time of issuance this was in c e various Ordinances of the City regulating ~' Construction or use. For the following: Use Classification: Retail , Building Permit No.: __ Business N~u~: The $ Group: M ¢ Type of Construction: VN u~ zon CBD OwncrofBusincs~m*sid¢,;~;, Roberta L. Campbell ^ad,ess: 215 Frederickson ROad. Port Angeles Wa. 98363 Building Address: ]20 N. Laurel Street 2003 Date Po place. Sh~ rot be g Official. o, .... CITY OF PORT ANGELES °~ DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000282 Date 3/17/03 Property Address ...... 120 N LAUREL ST ASSESSOR PARCEL NUMBER: 0630000015000000 Tenant nbr, name ...... SPOTTED CHICKEN Application description . . . SIGNS Property Zoning ....... Application valuation .... 300 Owner Contractor TURCO DARLENE P~AE OWNER PO BOX 87 JOYCE WA 98343 Permit ...... SIGN Additional desc . . Permit Fee .... 30.00 Plan Check Fee . . .00 Issue Date .... 3/17/03 Valuation .... 300 Expiration Date . . 9/13/03 Qty Unit Charge Per Extension 1.00 30.0000 PER S- SIGN LES T~AN 25 SF 30.00 Fee summary Charged Paid Credited Due Permit Fee Total 30.00 30.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 30.00 .00 .00 Separate Permits are required for electrical work, SE PA, 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 cedify 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 Qonstruction or the performance of construction. ~ ' Signature of Contractor or Authorized Agent Date Signature of OwneF'~if owne~' is 6uilder) Date &~.o~ ?oRr 4&~.~ FOR OFFICIAL USE ONLY: I Date Rec.:_~- i ~ ~ BUILDING PERMIT - APPLICATION Date Approved: Date Issued: The Building Permit Application must be fiBed out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applic~t or Agent: ~0~ ~, ~[fl~LC mhone:¢~) ~'- Owner: Phone: Address: City:. Zip: ~chitecffEngineer: ~//~L.~ O/&AL~ Phone: ~. _ ~ Contractor J [/~ ~. 5/~ License ~: Exp: Phone: Address:~0 C~{L~ ~W~ City: .~'[)1~ Zip: LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City:_ Credit Card ~: Exp. Date: VISA MC T~E OF WO~: SIZE~UATION: ~ Residential ~ New Consff. ~ Re-roof ~ Wood-stove /~ SF. ~$ /SF. ~3 ~ Multi-f~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial D Remodel ~ Demolition ~ Deck SF. ~ $ /SF. ~ $ ~ R~ak ~Sign ~ TOTAL V~UATION $ ~/). B~EFDESCmPTIONOFTHEPROJECT: ~E ~ ~ ~ Lt ~fl~T/ ~6 COMMERCIAL/RESIDENTIAL: Occupancy Group:_ Occupant Load: Construction Type:. No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. t~. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: ~/sq. ft. PLANNING USE ONLY: APPROV~LLS: PLAI~.~?/d~ ' / J ' / / /' DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on thc application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon whtten request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that [ have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: Date: T:\FORM S~APPS\B uildingpermit . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. / ~..37' r' ~y ,k8' DATE o READY FOR tJ WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. [J Residential Heat KW o Baseboard 0 Furnace/Boiler [J Heatpump 0 Other [J Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction ~ Remodel r. ~ Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground; Voltage /~/.:lt/D ]fi3 10 030 Service size qOO Amps o Temporary Urt M UrA... M frV-l Yuz>.t.. '~ 40~ c;2 c90 '\ / . /', ,;:J cpO .- // " ./ W.S No. Service Size Cap,city: 0 O.K. 0 Not O.K. Comments Deitch inspection O.K. fAP--}Zl Fough-in/cover O.K. jNr )<? O.K. to connect service i3=f'inal 0.1<. '\ \, " ~ F'NAL (M.7 6M1'^-7) C ~ Site Address: ~ 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 Permit/Receipt No. /63 . Notify the De rtm nt 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 Buiiding Permit. PHONE 457-0411, EXT, 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT l) 0 ~ 7'.;2.- Ins'pector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLV"'P:C PRINTERS. INC. . . . . '.-. o '~. . (J-J.J n ~o 11 0 0"10 ~ .5 \ ~ JI J) tJ :Jl() 717("1 111M n /rvns # 0~1 tv<=) y1fl) "",' - ~ 1 ~ ri}-,g ---------- -->.- ur/-vr"2 .-, 7 r-v J!~7; r ~l'1 '7 -(t, 1 - ) "oJ I .<1-,1'7 . Y. J1;I;-# t!J('/ 1J <>-<>i-J ~~i) ~~/ ~i/ oj s ..J ,?J~p.-- ---y;Y Jvv .~ L 5'!3 FEE R ,CEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 11f) ? PERMIT NUMBER . TOTAL FEE /b~ fJ>/ft0T CO NT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Add'ess /2.0 AJ, (jhJ(([L- CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERM!TS WITH WRONG A'3Q.RESSES ARE)iANCELLED Owner _ Installation By U(fl/Yl~{_ f( [Nt c Owner's Address Installers Address Day Ph01e 15'2- - ~ 70., Installers Phone R;=:'~;E'~""'::1;';""'6:,~,"m'f't ~. . I ~ ~~ ~. . I -!o~ SVLu I () ,IV '-'Lu I ~~. Wiring Method o1f . NUMBER AMP 240V NUMBER AMP 120V 24QV USE OF CIRCUIT PEA 12QV 100A FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 e--- LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVI NIENCE MOTOR CONVI'NIENCE MOTOR ~- APPLl;.NCE MOTOR ~ D1SHV\ ASHER FIRE ALARMS e--. DISPO :;AL BURGLAR ALARM I-- RANG' MISC. ~ OVEN ~ WATEI HEATER ~ LAUNlHY ~ DRYEF REINSTALLATION LIGHT FIXTURE # ~CE SUB TOTAL FEE ~)IL ENERGY FEE FURNJ CE ~~IC BASIC FEE ELECT :::lIC HEAT f-.--. TOTAL FEE ELECT ~IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.U JIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certif) that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date A~ plication made ,19 By . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT} Pe: mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and speCifications pertaining thereto, subject to compliance with the Ordinances of t e Ity of Port Ange s. ! D CT~C YLIGHT Date Permit Issued 1 /l7 17 NLf: Department of City Light by Stree;~:N:ressR:nd Opermlt Number when ready for mspectlon Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST SE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , , - . . .- -., . . I t /IA 6..." _.~ _.... _. - ~ If '21/37 ;/tr: O{K. Ti nil i. \ I '/ 'V' , ~rJ LB.I;: . z c:J a:: <t ::!! ~ :r I- Z W . I- o Z o C . ~ I I tl#'Y1J FEE RrEIPT NUMBER . . CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 339 PERMIT NUMBER .. . I - ~. . - Ie{,. CJ CJ c TOTAL FEE .- I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY _ ElECTRIC~ERMIT ONLY :, NO OCpUPA~CY OR USE ESTABLlSHEO~R THIS PERMIT .. c.. /,;;o#" va T DRESS IS RESPOt-lSIBILlTY OF APPLICANT .... PERMITS WITH WRONG ADORES Installation By Installers Address :'lrisiall~r~'Pt;one" '69R'- 6t:)J? tp '. " l ."\ ,. " 1..', Wiring Method " us~ 1~F ~'I~CUIT" ,: \I'\AMP' ""l~OV)'~ 2'40V ~ . ). l ~ }.-\ " AMP 24QV NUMBER PEA 100R FEE USE OF CIRCUIT NUMBER PEA 120V 100R FEE " 1...... I ~ ~ ' CIRCUITS _CIA 10 ; ;30'A . -". . - , ,.. CIRCUITS CIA H" 30 .\ ~ J ......\>0.>;\ < '; " ~ ... I LIGHT I - SIGN . I LIGHT I 50 VOLTS .. - .. . ., <-, -- T ..OR LESS. " CONvdNIENCE " -.." . - .. . , MOT_OR - - .J I \ . CONV~NIENCE - . MOTOR APPLl1NCE .- MOTOR PISH~iAStj.ER FIAE ALAAMS . DISPOfAL BURGLAR ALARM AANGil- ,..-. h -- - .. --- MISC. OVEN I WA TE-ffHEA TEA LAUN(~RY DRYEFr REINSTALLATION LIGHT FIXTURE # FUAN~CE .. .. SUB TOTAL FEE. - GAS-OIL FUA':l~E ENERGY FEE 'ELECTFIIC BASIC FEE ELECTfUC HEAT . . - - TOTAL FEE f--iFl ELECT IC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A'C'U111T AMP PHASE FEEDEf SIZE OF SERVICE ENTRANCE CONDUCTORS SERVl9E AW.G. " I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH . I certif~j that the work to I Date A~Plication made erformed under this permit will be done by the installer and in c r-- ,19<56 By al Code. ER (OR AUTHORIZED AGENT) Petmission is hereby given to do the above describe_d work, according to the conditions hereon and according to the approved plans and specifiqations pertaining thereto, SUbJect to compliance WIth the Ordinances of thfi City of Port Angeles. ... .' . I - DIREC::r OF CITY LIGHT Date P1rm1t IS~ ~C.N~~~C /;1'/4 + . -ry YiVg-.:5 Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not // j be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in I UIA'; " Writing on Permit Placard, A,. Permits Phone: 457.0411 Ext. 158. ~.;RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ I I WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD, Inspector's Report I : OLYMPlq PRINTERS. INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS "!-7-'b.J #;:./ /,6-,( r IN 1/ glL SII L.L ;vor I/)/' 1- /3- ,(') '1Iil ~ If 1f.4- TrAV 1347TK~ J) uP ,e~ If' LI re.1. I N'~~ () !\Ie wi" t3 tJ c: J( CJN /II cJ'{r1. oJ/-f:. ".. q- J& - '1'S: df-J b:>Z.i'l:oflO Feep,,(L S'" TJ.. 8/95e 1>1'R;vr f=LO.,P"c<,u7,?AH. l-t,n '-'",'D ". " ~o'N/ "p 7/"0..., L FL"." MH7 /? Rel'LIHdJ 1</( TA ('cNth", ;4 Ne'w w'~e m ~CMe "" C""""",/ "L uA$celt'7<'~ 5<-",,7,1.,/<, !:,,,,/Ulc;.,. R"I> IMUST (Je P.ePL,,<~o w,rJ... <!o/'/P",,'4 Nt'w w,/{e STi>"'''tJ ( fl..,...", e:Lo,u?Sc..",71 Mvs 7 11.'11',," I'op...j(f oi/~R. fJ 1/ LL/J..:rI -I tk' ,A t!' (JoN'.NI"c 711>Nr ~ AIL F"tnT .:r4'x~T,o'" IRo/( ~ ^".. < 7 MIIP':: ,..,.~ J:! S /111/7//1,,11 7- '1- ~5" "/In O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. I " 'Pi o oJ<. z a a:: <C :E ~ ::t: I- Z W l- . l- e z e c . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl! 16782 / - .,,.- .' CP' Port Angeles. Washlngtoll..__.._____..___.._....:::..r.:.___..__...___...____._________. 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 dl1lelectrlcal work as listed below. Add;ress ___i!!J&2.d..~oo!!.;;'~:1-:.~_oo_____________....___.._oo__ ocCUpanCy__._r/~J:__~::_!.____hoo____..___..___ ~::~~.~~~~~~~~~~??:::::::::.h.~~~~~~;:::::::::::::::.:_._~::::::::::~::::::::::::::::~=::::::::::::::::::: LIgj.t Outlets.m....m.....__........................ Service, volts .....mmm......................... Type ot Wiring: Receptacle Outletsm............................ No. wires ....................................... Drr~r, KW..nn.....nn.n...n.n....._..... Ran~e, KW........................ ...........n.... Water Heater: Size wiresm.....m......mmm........._.. Main fuse ....................................... Enclosure ....................................h. KW.mhmm____.......mh._hm Type of wIring: Entrance Cable ............................. Heal: KW................................................... Motors: sIze, volts and phase: /:2-~-d------?:Jo....fI!2c4~~ ....__..__/~-&!I!!=.~.......__.__..__... Rigid Conduit ..__..______ Metallic Tubing ....... Current transtormers: No. & Size........................h..........h. Ser. NO.....................................h....... Ser. NO....................h........................ Ser. No. ..........h..............................h. Armored Cable m.....m.h..h............ Non.Metallic ................................. Knob & Tube........................h......_ RIgid Conduit ............................_.. MetaIllc Tubing ..__....................... Raceway ......................._....._.__._ Circuits, Llght................................._.... Utlllty..............____...._.................... I]eat ............................................... Range ............................................. Water Heater ....h......................... Motor ............................................. Drrer h.....h......................................._ Furnace ..........................w................... Remark:~ta:__:~~___~::____~~._::~.:::6?-~:~e~~:__~~:~_:..._.._~_..___:~__::.__..__________________~.~~~:__~::.____:_~_:~___._:__~..~::~.._:. .........~.........................................n...__...........................................................................................n......................... _____.h__......___...__h__...oo_oo..........._____hoooo.__.....__...h.___h..m............______........007]........ -----------.--.---......--.-------------.-..---...--... Permit Fee Treas. Receipt i" '.: ~ 71. /J /) '. r: )x/ /. /,;. . $.------------------_.___..____________ No.._..._______.________..._... By ..__..._~__!.___!'..___.__Y:.ntJ!d.~_'f!.'~..?!rZ~L______ ".. ~ .,. NOTICE-Current must not be turned on until CertifIcate ot Inspection has been issued. It work Is to be eon. cealed due notice must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16782 Address..................._...................................................................................................................Date..._.........._.._.._.........._......_................. Owner..........................................._.._.................._...........................................................Tenant.................................................................... Wiring Contractor .......................................................................................................................... By .............................................................. , '...~l NOTICE-Current must not be turned on untll Certificate ot Inspection has been issued. It work Is to be con. y cealed due notice must be given the Inspector 80 that work may be inspected betore concealment. . . 1M Olympic Printers, Inc:. 11/18/2013 17:26 FAX 360 452 9265 Angeles Electric RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION Nt)y 19 2013 Milding.DlvisioNElectricsl Inspections t.1 GT IIsA 321 East. Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 I Et-ECT I WAL Ph: (360) 417-4735 Fax: (360) 417 -4711 Date:, _yMulti- Famiiiy or Commercial* Plan. Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square - Footage: Description of above Owner Information Name: Mailing Address: _ Clty: State: Zip: Phone: Fax: d license #1Ex 773--5—,T79? 77 'vim 6 DIM -t.Ghujo Service/Feeder 200 Amp. $132.00 Service/Feeder 201400 Amp. $160.00 Service/Feeder 401.600 Amp $ 225.00 Service/Feeder 601.1000 Amp. $ 288.00 Service/Feeder over 1000 Amp. $ 410.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W/0 Service Feeder $ 74.00 Each Additional Branch Clrcu4 $ 5.00 Branch Circuits 1.4 S 86.00 Temp. Servi ce/ Feeder 200 Amp. $102.00 Temp. Service/Feeder 201-400 Amp, $121.00 Temp. Service/Feeder401 -WAmp, $164.00 Temp, $.arvice/Feeder601- 1000Amp . $185.00 Portal W Portal Howdy $ 96.00 Sign /Outline Lighting $ 88.00 Signal Circuit/ Limited Energy- Multi- Family $ 64,00 Signal Circultl Limited Energy / First 1500 sf - Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Ete Wcal Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 Note: $5.00 for each additional T-Stat U0001/0001 Contract r tnfonnat10 Name' d "'aping d as: Y Gty State: Zip: Phone: ~ Fax .: License # / Exp. L Q Total ft Char $ S $ S s s $ $ a s $ $ S $ $ Owner as defined by RCW.19.28.261: (1) Canner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required, to hire an electrical contractor it 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: O Cub ❑ Chock Credit Crd 1 r ortea: PM MOW 11 Al ELECTRICAL INSPECTION WIRING REPORT O)PKS 1' 417-4735 CATE: PERM�� INSPECTOR ,ro/-Z.-3__b-_7 OWNER - Y2 .€a g=, CONTRACTOR 5T APPROVED NOT APPROVED ❑ ............... .... DITCH ..... ........ ❑ ❑ ............. — ROUGH IN/COVER ............... ❑ ❑ .................... SERVICE ................... ❑ ❑ ..................... FINAL .................... ❑ CORRECTIONS NEEDED: 16, 17— �.yz- gm-7 S No-C, .3t) Smrr dpp,?wf4& c-O&I.6 6klPd-L WAr- 4— & -IJ mp IF Y' c C2 hl ---- —4— NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — of p(1 R7',t4,,Q < ELECTRICAL INSPECTION 1p WIRING REPORT O�KS 417-4735 DATE: PERMIT P INSPECTOR -ez 12, OW FR 14 ;Zp "vL- =v ve-A-- o CONTRACTOR ADDRESS - )2,( )4 APPROVED :Nj0'T APPROVED J ....................DITCH ... ....... I ...... ❑ ... ........... ROUGH IN/COVER ............... ❑ ❑ .................... SERVICE ................... ❑ ❑ .................... . FINAL .................... ❑ 7) CORRECTIONS NEEDED: ��v MCC- �u v �Z- m I • NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE ELECTRICAL PERMIT DATE: CITY OF PORT ANGELES INSPECTOR: 360- 417 -4735 Application Number . . . , . 13- 00001339 Date 11/20/13 .Application pin number 386442 Property Address , . . 120 N LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 7500 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . , . Property Use Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 Application desc COMMENTS: Electrical repairs Owner Contractor . ------------------------ TURCO DARLENE :RAE ANGELES ELECTRIC PO BOX 87 524 B. 1ST ST, JOYCE WA 98343 PORT ANGELES WA 98.362 ( 36) 417 -2220 (360) 452 -9264 --------------- -- -- - - -- - Permit . , . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Dare 11/20/13 Valuation . . . , 0 Expiration Date 5/19/14 Qty Unit Charge Per Extension BASE BEE 86,00 -------------------------------------- ----------------------- -- - --- Fee summary Char -- g ed -Paid Credited Due Permit. Fee Total 86.00 86.00 .04 .00 .Flan. Check Total .00 00 .00 .00 Grand Total 56.40 86.00 .40 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN } FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GM- XCHANGEBUILDING ! V c r