HomeMy WebLinkAbout501 Marine Dr - Building
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ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee-PD ~4-GrOO .:#- ~ =3 '3
,
DATE q - C; -1)0
Address of Proposed Business Z)
5'~/ /J1/l.e//I/~ . ~
Applicant ~~
Address . ~ 4- - - - -- ~- O.FA/~Al
Phone: business home 7'-5~
Brief description of proposed business:
-#7) ~fi-r/ALG:;--
legal Description: lot
Current Use of Property:
Zoning Classification of Property:
New Business............................ ~
Transfer of Business location. . . . . . . . . . . . . . .. ( )
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building ............................. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
.-r-=
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&6 -2),.2-1 V~ 77/,eQ- CJJFE
Block
~kre'S':5()
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 of filling of lots .......................
Work done in City right-of-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
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it
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.
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
REJECTED
WI {7 ~R-
f\J 7 0 100
I
~
Subdivision
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) PI
Electrical
ec anical
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
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.12\ EAST 5TH STREET, PORT ANGELES, WA 98362
I
ELECTRICtL PERMIT Issued: 2/20/98 Permit No: 6230
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
PETTITloIL 501 MARINE DR
523 MARINE DR Lot: 18,19,20 .
I . .
Port Angeles, WA 98362 Bloek: 36 Long Legal:
,
360/45~-3353 Sub: TPA
cO~~i~lR;~;;;;~;-------------"------D::::N::'-::::::DD:::::::________________
P.O. BgX 2914
I
PORT ANGELES, WA 98362 ,
360/45B-9104 000/000-0000
PROJECT ~NFO--------------------------------------------------------------------
prj T pe: COML.REMODEL prj Value: $0.00
Oee T pe: Cnstr Type: SERVICE INSTALL
Oee 'rp: Occ Load: Land Use: LI
Eleetr'cal Heat
Ba eboard KW:
Fu nace KW:
He'lt Pump KW:
Fa~/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
320 AMPS
DAMPS
PROJECT OTES-------------------------------------------------------------------
320 AM SERVICE FOR CARD LOCK FUEL STATION
PROJECT
EES ASSESSMENT----------------------------------------------------~----
Service: $156.00
Ad itiona1 Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
TOTAL FEE:
Amount Paid:
$156.00
$156.00
Misc
====-~================~==========
TOTAL FEE:
$156.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. n'ls UNLA WFUL TO COI'ER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPItCTION TYPE DATE I ACCEPTED COMMENTS
1 YES 1 NO
1Jll\;tt "s/bf,b
II :rfIltCUVhK -.Q /'z.(" ~ :
,
SERVICE '>, I{i) / .t'
/ /
1.::;/IQ/'11[ I ~ 1 .
GENERAL COMMENTS:
rw.II02.15!.w6J
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
ELECTRICtL PERMIT Issued: 1/09/98 Permit No: 6178
OWNER/APiLICANT------------------------PROPERTY LOCATION------------------------
PETTIT OIL 501 MARINE DR
523 MAfINE DR Lot: 18,19,20 ,
Port A~geles, WA 98362 Block: 36 Long Legal: , '
360/45r-3353 Sub: TPA '
CO::RACT R---------------------:~------D::::N::~-:::::::::::::::-~--------------
OLYMPlf ELECTRIC
1805 TlIJMWATER
PORT ANGELES, WA 98362
360/45'-5303
,
000/000-0000
PROJECT NFO--------------------------------------------------------------------
prj T pe: TEMPORARY SVC. prj Value: $0.00
Occ ~ pe: Cnstr Type:
Occ rp: Occ Load: Land Use: LI
E1ectr~ca1 Heat Service Type
Bareboard KW: 0 Riser
Fu nace KW: 0 X Overhead Service
He t Pump KW: 0 Underground Service
Fa /Wall KW: 0 X Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PROJECT OTES-------------------------------------------------------------------
PROJECT EES ASSESSMENT---------------------------------------------------------
Service: $0.00
Ad itional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $41.00 TOTAL FEE: $41.00
Misc $0.00 Amount Paid: $41.00
----------------------------
----------------------------
TOTAL FEE:
$41.00
Balance Due:
$0.00
COMME ITS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. n'IS UNLA WFUL TO COJlER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFJ'ED,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATE ACCEPTED COMMENI'S
YES I NO
unCH
I SEw,moIN I //6/t?9{
.-
I I I
GENERAL COMMENTS:
PW-II02.J514196l
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.12\ EAST 5TH STREET. PORT ANGELES. WA 98J62
ELECTRICAL PERMIT
I
OWNER/APRLICANT------------------------PROPERTY LOCATION------------------------
PETTIT/OIL 501 MARINE DR
523 MARINE DR Lot: 18,19,20
I
Port Angeles, WA 98362 Block: 36 Long Legal: .
360/45~-3353 Sub: TPA
T: I S: Parc No: 063000003680000
CONTRACTOR-----------------------------DESIGNER---------------------------------
,
LIVEWIRE ELECTRIC
,
P.o.B01 335
MANCHE:rTER, WA 98353
360/87~-3283
I
PROJECT fNFO--------------------------------------------------------------------
prj T~pe: COML.NEW prj Value: $6,000.00
Occ Type: Cnstr Type:
Occ l;rp: Occ Load: Land Use: LI
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 0
I
FU!naCe KW: 0 Overhead Service Diameter: "-I -3
He, t Pump KW: 0 Underground Service Service Size: 0 AMPS
Fa II/wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT ~IOTES-------------------------------------------------------------------
CANOPY I AND PUMPS ..
Issued:
2/23/97
Permit No:
6231
,
000/000-0000
PROJECT 'EES ASSESSMENT---------------------------------------------------------
Service: $0.00
Addlitional Feeders: $0.00
I Circuit Wiring: $75.00
Temp Service: $0.00
~~:=1_______________________:~.:.~~
----r---;~;~~-;~~~--------$;~~~~
,
--------------------------
$75.00
$75.00
TOTAL FEE:
Amount Paid:
Balance Due:
$0.00
COMMEJNTS/ACTION NEEDED
,
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ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES I NO
-IN I :Jtf, zt/ f cf ~ -'" s-Ilf-b
ICE
~AL ,
rr//9/Y,r I rz!"-<-.. I
,
GENERAL COMMENTS:
pW-1102.U(4196]
~
DetailslDescriplion:
I
~
~
-1
-1
wl No. Service
Cap~city: 0 O.K. 0 Not O.K.
~9itch inspection O.K.
o Flough-in/cover O.K.
. ~ c?K. to connect service
~lina'o.K.
Si'r$O
Ins aller:
-.
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.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. e:2 719/
~~Z)
, w
ELECTRICAL PERMIT
DATE
Site .Address:
o READY FOR
INSPECTION
License Number:
)CWILL CALL FOR
INSPECTION
Phone:
..sOt
Inst lied By:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
~ Commercial/Industrial load
I j Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voitage
o 1.0' 03.0'
Service size
o Temporary
Amps
MAdd/alter circuits
(0- Auxiliary power
(list below)
o Special equipment
(list below)
t(J/~_L
CtA1ttI p. Cdelu~.
/1/ew-
Size
Comments
Date Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
r;2
New Meters
~
Not1ify the e rtment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electricaily energized before inspection and O.K. for covering or service has been given
b, r '''p'''''' " W""09 "0 <h' W"'09 R'p", '" <h' '"""09 Po",,,. 'HON' m.,,", 'XL ". '" m. '"
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c:;:;O '!!!-
Inspector Amount paid
WH'[E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV':fIC PRINTERS. INC,
.
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FEE RErPT NUMBER
I
TO[AL FEE 2 (p
.. t ELECTRICAL PERMIT ONLY )JO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT.
SitB Address .~ L()~ !.-. 3 <G ~k' A-e.l MO e I If:-,
" 1 . - . CORRECT ADDRESS IS A PO~SIBILlTY OF APPLICANT PERMITS WITH WRON ADDRESSES ARE CAN~ELLED
Owner C:It<L 0 , I Installation By IJ
6wner'stddress ()II.- ~.kr <:..0. 0S~ MMI~O~lnstallersAddress f'
Day Phone 7- 4'1 b I Installers Phone -2 - 3.2.24-
APPlicailrn i~ hereby made for Permit to install Electrical Equipment as follows: .::::: i C...-tJ
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A~
PERMIT NUMBER
~
61-J
TIME TO COMPLETE
NO. STORI ES
LEGAL OCCUPANCY
Wiring Method r f.l)/'...) 0 J I ~
e:
USEiOF CIRCUIT NUMBER AMP 120V 240V NUMBER AMP 120V 240V
CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT I SIGN I 7(P ^ I?L'"
LIGHT) . . 50 VOLTS
OR LESS
CONvENIENCE - . MOTOR
I
CONvENIENCE MOTOR
I
APpu4NCE MOTOR
, FIRE ALARMS
DISHWASHER -
I
, BURGLAR ALARM
DISPOSAL
,
, MISC.
RANGE
I
OVEN
WAlE HEATER
LAUN~AY
DRYE~ . REINSTALLATION LIGHT FIXTURE #
FURNt.,CE SUB TOTAL FEE
GAS - OIL
FUR[:!i~CE ENERGY FEE
ELEC RIC BASIC FEE
ELEC RIC HEAT ,. 2-(p=-
TOTAL FEE
ELEC RIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. ~NIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
,
SERVICE A.W.G.
I
.1 SUB- TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
I
; ~~r.tifr that the w~rk to be perf~rm~d under ~hiS7mit will be done by the installer and;z;)..or'Ft"J/" ~ith the N.E .' Electrical Code.
Date Application made I -z....- I c;, .19 S:;;-~BY ~~
) - - - I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permlss!on is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specilcations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
- .. DIRECTOR OF CITY LIGHT
By f3 ~ \. .
I PLANS APPROVED . ..' .. "'.~
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
Date. rmlt Issued be covered or current turned on before inspection and O.K. for covering or service has been given by inspector in
1 Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158.
WtRNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
. n, vul PRINTERS. INC.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
,
REPORT OF INSPECTOR
,
DATE OF VISIT MADE BY REMARKS
-
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O.K. FOR COVERING
J O.K. TO CONNECT SERVICE
-
foI {oj Ifl /IllY ,
FINAL O.K.
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CITY OF PORT ANGELES PEPIVIIT 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
Data - - /
* Plan Review May Be Required, Please
Job Address i. ua r»
Building Square Footage:-- 200" _
Description of above — C -d °ft1
ulti- Family or Commercial*
Electrical Plan Review Information
Owner Information
Name:
Mailing Address: P, 0. 13, q 3
City: _ 41c�erAerg State: $ tl7ct. Zip: f .� QCs
Phone: Fax:
License # 1 Exp. 0 I X S-2 7 Y
Item
Unit Charge
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
ServicelFesder over 1000 Amp,
$ 410.00
Branch Circuit W1 Service Feeder
$ 5,00
Branch Circuit W/O Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5,00
Branch Circuits 1.4
$ 86.00
Temp. Service/ Feeder 204 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 1 First 1500 sf- Commercial
$ 96.00
Note: $5,00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA Sys lem or Less
$ 113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T -Scat
-I
NOV 0
W
�'.LECI IGU�
�WSPF.G(IDNS
Sheet
96 !!7—k
Contractor Information
Name: M s IL
Mailing Address: to
City: cg .+I e— State: o zip: '
Phone: Fax:
License # /Exp,
#"- "e: 2elG- 76`3t °- 79 C's -7
Total-(Qty Multiolled by Unit Charge)
$
$
$
$—
$
$
$
$
$
$ O 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, l hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation OF 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 PAW 14,05.050 regarding Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check
c X Credit Card It
X dtZl Dated:
etr01r2012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Numbez . . . , . 14- 00001352 pate 11/05/14
Application pin number . . . 558664
Property Address , . . , . . 50I MARINE DR
ASSESSOR PARCEL NUMBER: 0$-30-00-0-0- 3680 -p000-
Application type description ELECTRLCAL ONLY
Subdivision Name . , , . . .
Property Use
Property Zoning . , . , , . INDUSTRIAL HEAVY
Application valuation 0
Application desc
Card reader fuel pumps
Owner
Contractor
RESULTS:
PETTIT OIL COMPANY
WASH CORP
MASCOTT EQUIPMENT
CO.INC
638 MARINE DR
435 NE HANCOCK ST
PORT ANGELES
WA 983632263
PORTLAND
OR 97212
} f
[ 1
(503) 282 -2587
Permit-- . . . . . .
ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee
74.00
Plan Check Fee
00
ZSsue Date
11/05/14
Valuation , , .
. 0
Expiration Date
5/04/15
Qty Unit Charge Per
Extension
1.00 74.0000 ECH EL -COMM BRANCH CIR WOW S/F
74,00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
74.00
74.00 .00
.00
Plan Check Total
.00
,00 .00
,00
Grand Total
74.00
74.00 ..00
.00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
} f
[ 1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GAEXCHANG&BUILDING
CITY OF PORT ANGELES PEPUVIIT APPLICATION
Building UivisionlEiectrical Inspections
321 East ]Fifth Street— P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (360) 417 -4711
�.� Multi-Family or Commercial*
k Plan RevieqMay Be Required, Please Complete Electrical Plan Review information Sheet
Job Address .) 4 2@1111IM111111111116 mqc'6&�nri� c 3 (o, 3
Building Square Footage:
Description of above Cc y% oflL,,
Owner Information i Cont r for Informati in f� n i
Name: CC5 f i [,1 1 Name; f ° 0 ��lA �-
Mailin Addres i ¢- MaTrig Address: a
City; State: W i Zip; n!Sc; a ] Ci ;
tY State; nor F_ Zip;
Phone; 360 _ C--,3;z -9:! ax; '3G n 4 °j_ Phone; - 11-7(, Fax:
License # / Exp. License # I Ex - t%
p ° t-- `1 �i � � � 'i7 4 � � �j
Item
UnIt Charge
Qtyt Total [Qty Multiplied 6y unit C_�
ServicelFeeder 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 Circuit W1 Service Feeder
$ 5,00
$
Branch Circuit WIO Service Feeder
$ 14,00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1.4
$ 86.00
�_ $_
Temp. Service/ Feeder 200 Amp.
$ 102.00
$
Temp, Service /Feeder 201400 Amp,
$121.00
$
Temp. Serv!celFeeder401.600 Amp.
$164.00
$
Temp. ServicelFeeder 601 -1000 Amp ,
$185,00
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.Q0
$
Signal Circuit/ Limited Energy - Multi - Family
$ 64.00
$
Signal Circu!V Limited Energy / 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 TStat
$ a ®® 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 wilh the electrical laws, N.E.C., RCW, Chapter 19,28, WAC, Chapter 296.468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator; ❑ Cash ❑ Check ��
61tt; V,I ZIP q%bi -D,
DO ck 5 G, 1?Dur4on
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15- 00000505 Date 5/12/15
Application pin number . . . 891795
Property Address . . . . 501 MARINE DR
ASSESSOR PARCEL NUMBER: 06- 30-00 -0 -0- 3680 -0000-
Application type description ELECTRICAL QNLY
Subdivision Name , , , . . .
Property Use
Property Zoning . , . , . . . INDUSTRIAL HEAVY
Application valuation . , , , 0
Application desc
Canopy lighting retro
Owner Contractor
PETTIT OIL COMPANY WASH CORP D && ELECTRIC LLC
638 MARINE PR PO BOX 522
PORT ANGELES WA 983632263 UNION WA 98592
(360) 588 -3169
Permit . , . . , , ELECTRICAL ALTER COMMERCTAL
Additional desc 1 -9 CIRCUITS
Permit Fee 86,00 Plan Check Fee •00
Issue bate 5/12/15 valuation , . , , 0
Expiration Pate 11/08/15
Qty unit Charge Per Extension
.SASE FEE 86.00
Pee summary Charged Paid Credited Dus
Permit Fee Total 86.00 86.00 •00 .00
Plan Check Total 00 •00 .00 .00
Grand Total B6.00 86,00 .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
}
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCEIANGEIBUILDING
a