HomeMy WebLinkAbout930 Marine Dr - BuildingApplication Number 10 00000408
Application pin number 826048
Property Address 930 MARINE DR
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0500 5002
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
2 circuits shop
Owner Contractor
SHADOW /MARINE DRIVE LLC
PO BOX 2319
PORT ANGELES WA 98362
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
THE ELECTRIC COMPANY
PO BOX 1471
PORT ANGELES
(360) 457 7120
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 164319
Permit Fee 76 10 Plan Check Fee 00
Issue Date 4/27/10 Valuation 0
Expiration Date 10/24/10
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60
Fee summary Charged Paid Credited Due
Permit Fee Total 76 10 76 10 00 00
Plan Check Total 00 00 00 00
Grand Total 76 10 76 10 00 00
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
DATE RESULTS
t /2, /ro
mho( 16
Date 4/27/10
WA 98362
Signature of owner or Electrical Contractor X Date
INSPECTOR.
.4
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
Dater' l 1 1-26-1 0
1 2 Single Family Dwelling Multi- Family or Commercial*
Plan Review 4a Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: 9 V ma1'lvWe_. C)(
Building Square Footage:
Description of above ca.c3lok d C 4 r CAA T
Owner Information
Name: I r .0 m Tk
Mailing Address:
City State: Zip:
Phone: Fax:
License 1 Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
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 tire 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 19.28, WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator Cash C Check
Unit Charge
$119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
$102.30
56.00
$110.30
35.20
73.50
$110.30
Dated: D
Commercial Addition Alteration Remodel Repair*
Contractor Information
Name: Tile_ rt c— C.-
Mailin Address: D.o. Rox 35S'
City A State: L,.-. Zip: 9c� a
Phone: 1 160 (SO7 Fax: W57- 71..20
License Exp. t tee-Tc_ 90 N l 2
Qty Total gly Multiplied by Unit Charge]
l
7L Total
Cl Credit Card
Aai En
6 2O
E r �CTRICAt
qNgPECTIoNS
0110112010
fir
7•So
pORI.1
Ate
Application Number 09 00001150
Application pin number 454600
Property Address 930 MARINE DR
ASSESSOR PARCEL NUMBER 06 30 00 0 1 0500 5002
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
200 amp 3 phase service
Owner Contractor
Yother Cecil
P 0 Box 2319
PORT ANGELES
(510) 710 1974
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
DATE
Date 11/13/09
WA 98363
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 156588
Permit Fee 77 75 Plan Check Fee 00
Issue Date 11/13/09 Valuation 0
Expiration Date 5/12/10
Qty Unit Charge Per Extension
17 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER 34 00
1 00 43 7500 ECH EL LVT THERMOSTAT 43 75
Fee summary Charged Paid Credited Due
Permit Fee Total 77 75 77 75 00 00
Plan Check Total 00 00 00 00
Grand Total 77 75 77 75 00 00
RESULTS INSPECTOR.
Signature of owner or Electrical Contractor X Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp 3 phase service
Owner
Yother Cecil
P 0 Box 2319
PORT ANGELES
(510) 710 1974
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
Permit ELECTRICAL
Additional desc
Permit pin number 156125
Permit Fee 93 75
Issue Date 11/05/09
Expiration Date 5/04/10
Qty Unit Charge Per
1 00 93 7500 ECH EL 0
Fee summary Charged
93 75
00
93 75
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00001150
454600
930 MARINE DR
06 30 00 0 1 0500 5002
ELECTRICAL ONLY
0
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
ALTER COMMERCIAL
Plan Check Fee
Valuation
200 SRV FEEDER
Paid Credited
93 75
00
93 75
DATE
00
00
00
1 CL 2
Date 11/05/09
WA 98363
Extension
93 75
Due
00
00
00
RESULTS
0 0
0
it rz(oci AA?
)vbsio,
)2>2i /la
12)1,9,107 S oft LT S AP
Signature of owner or Electrical Contractor X Date
INSPECTOR.
7)1P
4
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.Q. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417-4711
Date: )1 2 4 1
1 2 Single Ferny Dwelling
Multi Family o Commercial*
Commercial Addition 1 Al eration Remodel Repair*
Plan Review May a R� Please Complete Electrical Plan Review
Job Address* '1 3Q rn LC A
Building Square Footage.
Description of above f i c."
call h k VD 1\a. i b t' �v �t 1
Unit Charae
93.75
$113.75
$160 00
$205.00
$291.25
2.00
57.50
2.00
72.50
86,25
$116.25
$131.25
75.00
69.00
75.00
50.00
50 00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
LA
Signature of owner electrical contractor or electrical administrator
RECE VED
NOV 0 4 2009
ELECTRICAL
INSPECTIONS
t o f=t 6t4 r a iii
J
r I e 4 I C cf. C ;l 11t i t c to r r ei C_
Owner Information R Contractor Inf rmation
Name: C C. i I V s 1 E C hotd 3 k ylct i l n E,- Name A v
Mailing Address: 1. 'PN X 3 i 9' Mailing Address.
City' P State' -Al A, Zip c 'S-C7 City
Phone'ci/ o 710 i Fax: Phone:
License Exp 1A.` A. License Exp
Total (Qty Multiplied by Unit Charae)
q Z 6 Service/Feeder 200 Amp
Service/Feeder 201 400 Amp
Service /Feeder 401 -600 Amp.
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp Service/ Feeder 200 Amp
Temp Service/Feeder 201 -400 Amp
Temp. Service/Feeder 401 -600 Amp
Temp. Service /Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
3 ?S 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.
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.
(alt 1 I e 4 A rltct q
State 3 j Zip
Fax:
Cash
Check
Credit Card 1\- 'G CV) L1.
S 6/ c d Hca(
9_3
134
c 3L
A 04 a r i AO
P
a Vl/L�r r n 1
P i b Gl i'' G{ M z° 5 Y■
(I) 0n arn- S4)J vic_e, L f rn +e ok
YYIcC i n tj re aka N
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TD Q,
`134 M,,, P(
31 w
oo a 41...Q5e
n Do akNp n i c fe S�
i P
new 34 ace_ 00aMp n'an
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This certificate is issued ursuant to the requirements of Section 110 of the 20 ds ,International Building Code
certifting that at the nmeloftcsuancelln&structurewas in compliance with the various ordinances of the City
regulating building construction oeuse far yollowing-
:',(C
Business name ig ,jS,z',....
1110tRaYlobile7itine ;Aciwner arZsmitt
i l
Business address f; **Marine Dr :3,
Property owner '1:(:: Port of PoritAiVelei.
Property owner s addife;0:4: PO Box 1 3O, Port WAo'fi'362::,
Automatic fire sprznkler:system. Per 1,13G-,v,Tn"
N,
Use occupancy classifiCation. Business 1, '1 'Tz
a t e
Occupant load.
1
Building permit number 0
Type of construction.
Post on the premises in a conspicuous place. Thiraiiiffeatiii7i' li not be removed except by the Building Official.
PREPARED 5/11/10 8 32 50 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/11/10
ADDRESS 930 MARINE DR SUBDIV
CONTRACTOR PHONE
OWNER SHADOW /MARINE DRIVE LLC PHONE
PARCEL 06 30 00 0 1 0500 5002
APPL NUMBER 10 00000462 CO- CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
CO99 01 5/11/10
BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 05/11/10 TIME 08 31 40
May 11 2010 8 29 10 AM 1pangrle
MARK 452 1704
C OF 0 FINAL MARK S MOBILE TUNE
AFTERNOON
HE IS WORKING CURRENTLY AT 934 MARINE DR PLEASE GO GET HIM
THERE AND HE LL OPEN UP 930 MARINE DR FOR YOU TO DO YOUR
INSPECTION
COMMENTS AND NOTES
Print in ink
BUSINESS NAME
Business owner's name
Business owner's home address
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
For City use only:
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
T:Forms /Building Division /Certificate of Occupancy Application
I
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
Approved Rejected
Initials date Initials date
6 22� I0KlD
5ZI -ID 5R
525 -(o
5-1 R,v
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
ri) c k' ,I b; i g `ro
BUSINESS ADDRESS Ci 3 a l c t, i` -,e_ Q0 M ..4 Zoning Pe, f'
Business mailing address 't' 4A- ,y?,' Phone (/r.. (765 4
Opening date ASAP Days hours of operation
Washington State Tax I D If known list the name of the previous
C c o 6 3 y 4 Z business at this location
Brief description of proposed business
/4u i o tee_ fio t1 s kex-p
ork., K nrn i d' i Phone
6)/4 rK J-I fr Po �•f-
PLEASE NOTE.
A Business License is also required for the following businesses. Taxi, Peddlers, Second -hand dealer Pawnbroker Dance Hotel
Motel, Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information.
WILL THERE BE ANY OF THE FOLLOWING? NO/
Electrical changes yse_ t m q et p� t
New or relocated signs W i4+ d S,tq J
Construction changes I
Mechanical changes (ventilation, heating, cooling, etc.) i
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
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)
Is this a home occupation? 17
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
Is the street in front of this business paved? /f
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
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
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application a
supplied is correct to the best of my knowledge
Date t v w Print Name (�cA+- S/Y► r74-. Signature
YES✓] IF YES CONTACT
Electrical Dept. at 417 -4735
f Building Div at 417 -4815
Please sign up for utility services
at the cashier counter
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
Comments Conditions
Type of construction Occupant Load
Automatic fire sprinkler system required no
360 Ursa c
Public Works at 417 -4807
d slat at the information I have
\7
yes
Permit 76
Clallam County Assessor Treasurer Property Details 56522 SHADOW /MARINE D Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 56522 SHADOW /MARINE DRIVE LLC for Year 2010 2011
Property
Account
Property ID
Geographic ID
Type.
Tax Area.
Open Space.
Historic Property
Multi Family Redevelopment:
Location
Address.
Neighborhood:
Neighborhood CD
Owner
Name.
Mailing Address:
Statement
Year ID
2010 39561
2010 39561
2010 39561
'2010 39561
12010 39561
2010 39561
2010 39561
2010 39561
2010 39561
2009 565222008
2009 56522200_8
2009 565222008
2009 565222008
2009
2009 565222008
2009 565222008
2009 565222008
56522
Taxes and Assessments Due
Property Tax Information as of 05/10/2010
Amount Due if Paid on. E.
0630000105005002
Real
0010
N
N
N
Taxing Jurisdiction
ST SCH STATE SCHOOL
CC -GEN __COUNTY
PORT PORT
PA 121 PORT ST CNTY H2 L Land Use Code
DFL
Remodel Property
930 MARINE DR
PORT ANGELES WA 98362
Exempt All Exmpt Reference
50110030
Mapsco
Map ID
SHADOW /MARINE DRIVE LLC Owner ID 51774
PO BOX 2319 Ownership. 100 0000000000%
PORT ANGELES WA 98362
Exemptions.
PORT ANG PORT ANGELES
SD SC
#121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
WSMET PK DIST WILLIAM SHORE MET PARK DIST
CITY STORMWATER CITY STORMWATER
2010 39561 TOTAL.
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
CITY STORMWATER CITY STORMWATER
Legal Description.
Agent Code.
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$51 43
$51.43
$0 00
$0 00
$0 00
$0 00
$0 00
$0.00
$0 00
$51 43
BLDG ON EXEMPT LAND
BL 105- SEE PP #2296000
FOR VALUE
11
N
N
First Second
Half Half
Base Base Base Amoun
Due Due Penalty Interest Paid Due
$0 00 $0 00 $0 00 $0 00 $0 00 $0 O(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$51 43 $0 00 $0 00 $51 43 $51 4,
$5143 $0.00 $0.00 $51 43 $51 4,
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $000 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$0 00 $0 00 $0 00 $0 00 $0 0(
$51 43 $0 00 $0 00 $102.86 $0 0(
http. /vpn.clallam. net: 8084/ property access /Property.aspx ?cid =0 &year= 2010 &prop_id =56 5/10/2010
Clallam County Assessor Treasurer Property Details 56526 PORT OF PORT ANG Page 1 of 3
Clallam County Assessor Treasurer
Property Search Results 56526 PORT OF PORT ANGELES for Year 2010 2011
Property
Property ID
56526 Legal Description N 123X125' EXC N23' LT10
BL105 PTN VAC C ST
Geographic ID 0630000105360000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 97
Open Space N DFL N
Historic Property N Remodel Property N
Multi Family Redevelopment: N
Location
Address: 0
PORT ANGELES WA
Neighborhood: Exempt All Exmpt Reference
Neighborhood CD 50110030
Owner
Name. PORT OF PORT ANGELES
Mailing Address: PO BOX 1350
PORT ANGELES WA 98362 -0251
Taxes and Assessments Due
Property Tax Information as of 05/14/2010
Amount Due if Paid on E.
Statement I
Year ID Taxing Jurisdiction
2010 39565 ST SCH STATE SCHOOL
2010 39565 CC -GEN COUNTY
2010 39565 PORT PORT
Exemptions: EX
Mapsco•
Map ID- Pc2
Owner ID 46786
Ownership 100 0000000000%
First Second
Half Half
Base Base Base !Amount
Due Due Penalty Interest Paid Due
$0 00 $0 00 $0 00 $0 00 $0 00 $0 00
$0 00 $0 00 $0 00 $0 00 $0 00 $0 00
$0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2010 39565 PORT ANG PORT ANGELES__ $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2010 39565 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2010 39565 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2010 39565 HOSP #2 HOSPITAL #2 $0 00 $0 OD $0 00 $0 00 $0 00 $0 00
2010 39565 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2010 39565 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00
2010 39565 WEED CONTROL WEED CONTROL $7i8 $0 81 $0 00 $0 00 $1 63 $0 00
2010 39565 TOTAL. $36.82 $36.81 $0.00 $0.00 $73 63 $0.00
2009_ 565262008 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2009 565262008 CC -GEN COUNTY $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2009 565262008 PORT PORT $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2009 565262008 PORT ANG PORT ANGELES $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2009 565262008 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2009 565262008 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 00 $0 00 $0 $0 00 $0 00 $0 00
2009 565262008 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00
2009 565262008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00
http. /vpn.clallam.net:8084 /propertyaccess/Property aspx ?cid =0 &year =2010 &prop id =56 5/14/2010
ti
Awl-
41.06
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Temp service
Owner
FRIZZELL DONALD D
4016 OLD MILL RD
PORT ANGELES
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc TEMP POLE
Permit pin number 141820
Permit Fee 72 50
Issue Date 2/19/09 Valuation
Expiration Date 8/18/09
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983621905
09 00000159
879844
930 MARINE DR WA
06 30 00 0 1 0500 5001
ELECTRICAL ONLY
UNKNOWN
0
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
hgleo
Plan Check Fee
Qty Unit Charge Per
1 00 72 5000 ECH EL TEMP SRV 0 200 SRV FDR
Special Notes and Comments
February 19 2009 8 19 14 AM banders Brian 417 4708
Temporary services only permanent service to be designed by
contractor and approved by engineering and electrical
inspector
Charged Paid Credited
72 50 72 50 00
00 00 00
72 50 72 50 00
Date 2/23/09
DATE RESULTS
WA 98363
Due
00
00
00
0 0
0
Extension
72 50
Signature of owner or Electrical Contractor X Date
INSPECTOR.
FROM A. P S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753
City of Pod Angeles Permit Application
Building Meston&Electrical inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98382
Ph: (360) 417 -4735 Fax: (360) 4174711
Date r ag '7
1 2 Single Family Dwelling
x_ Multi-Family or Commercial`
Commercial Addition Alteration Remodel Repair•
Plan Review Ma Be Required Please Complete Electrical Plan Review Information Sheet
Jab Address: 3 AWIL YYI B`, P i h U'�--
Building Square Footage:
Desaiplt above 1 e MIL) .moo ry A� -Y cti i-
Owner Informapon
Name: S halotni Mari nQ1 LL
Mailing Address: 4 23 19
City 28 State: t.OPc M31, Z
Phone ''1Q 710 Vii-r9 Fax
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
S 69.00
75.00
50.00
50.00
93.75
80.00
8625
27.50
57.50
8625
43.75
RECEIVED
FEB 1 9 2009
UGHT DEPT
Signature of owner, electrical contractor or electrical administrator El Cash
Contractor Information
Name: _6
Mailing Address:
Phone:
License #189.
Total (Qty Mult®5ed by Unit Change
ServicefFeeder200 Amp.
ServioelFeeder201-400 Amp.
Servioe&Feeder401-600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
JQTemp. Service/ Feeder 200 Amp.
Temp. Setvice!Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. ServicelFeeder 601 -1000 Amp.
Portal to Portal Hourly
SigriOulfrne Lighting
Signal Cherie/ Limited Energy Commercial
Signal Circuit( Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 9KVA System or Less
Fist 1300 Square Ft
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
S Total
its°
Feb. 19 20135 07 01AM P1
,1 ec1 -1 e.4 Con tod1-ri,T,
State Zip:
Fax: r �o
Owner as defined by RCw.1 &28.1161: (V O merellocpyyee structure for cue=after ads etectricalpemt/tistfeatfred (2) Owner Isrequired to hire an
electricafcontrector if above said property is fersale, renter lease.
After reading the above statement, I hereby artily that lam the owner of the above named property or a licensed electrical contractor. lam making the electrical
installation or alteration in compliance with the electrical laws, N.E.0 RCW. Chapter 19.28, WAC. Chapter 2984116, The City of Port Angeles Municipal Code, and
Utility SpecUkatIons.
Check x 4 11 e f s l g i e l e a /R. 5 mart Card ti
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FEE AEC PT NUMBER
CITY OF PORT'ANGELES ,
, DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A C).d7 2-'
PERMIT NUMBER
.
I (/ O~ ELECTSI340B I CAv";"'<./V/ ~'
TOTAL FEE Irs
, CO NT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
I
" . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
ELECTRICAL PERMIT ONLY
S;t~ Adci~ess " ' , -?t .' c..J ~
I I RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner .;"e '"1.t..- Installation By Electric Service Inc.
owner's~ddress ?'30 7?/i9/i..,,,,(!' lJ,i<,'{./ <e..-'nstallersAddress 1168 Ht. Pleasant Rd;
Day Phone (1fC'7 _ ("),70'7 . Installers Phone 457-5010
Application IS hereb~ made for Permit to install Electrical Equipment as follows: /fJ c.e-u) ~~
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(V~"'-""_";.~z."r-~..l-/I.-A..~ . '.~ ~
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Wirir:-g Method
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, AMP .' 240V NUMBER AMP 120V 240V
USE; OF CIRCUIT NUMBER PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIA 10 -30 _ , CIRCUITS CIR 10 30
+
UGHT SIGN
+ , . , 50 VOLTS
LIGHT OR LESS
CONV~NIENCE .
MOTOR
CONV';:NIENCE MOTOR
APPlI!\NCE .. , MOTOR
DISHWAS~~R , FIRE ALARMS
+
DISPO~JAL BURGLAR ALARM
+
RANG$ MISC.
-+
OVEN
WATE~ HEATER
+
LAUNllRY
. f---.+ .
DRYE'I REINSTALLATION LIGHT FIXTURE #
FUR~1CE SUB TOTAL FEE ,
GAS- HL .. '. .
FURN~CE ENERGY FEE
ELECifi,C BASIC FEE
ELEC1:FIIC HEAT
TOTAL FEE
, ELECTRIC HEAT
, SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UUltJIT AMP PHASE
FEEDER / 'l()(J", I If" e:.- SIZE OF SERVj..CE'ENTRANCE CONDUCTORS
+ ./
SERVI",E AW.G.
, I SUB.TOTA'L' J$;.:!< SIZE OF GRoGND
SIZE OF ENTRANCE SWITCH
.
Date P€:rmit Issued
I certif)-l 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.
By ~ ~~~.eA
/ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
_ P,ertmission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifi~ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles:. ~\ " " '. \ _ \
/J.d, DIRECTOR OF CITY LIGHT,' .'
~c.t2:!v~1' 9J" (~~#/ /
Notify Department of City Light by Street Address and Permit Number when ready for inspection. 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.
Date AjJplication made
/tJ - 'f
,19 ?7"
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PI,NK . Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
REPORT OF INSPECTOR
DATEOFVISIT MADE BY REMARKS
.
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(- (0-'7S- /?/ /'J? O.K. FOR COVERING
O.K. TO CONNECT SERVICE
1- to-ffS IJ/GR FINAL O.K.
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C:TY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15919
Port Angeles, washlngton.__m.___Lm.:::::~mmm..__.......__..m.m, l~.tf
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.
S:.:;~~~~;~=~:.:;i;:=":':?::~=~::==
Light Outlet....................___..__....._.........
Service. volts ............................._____.....
F.eceptacle Outlets...............................
No. wires ..........._..........................
Dryer, KW....h...n...............................
SIze wires..................____............._..
R.Ulge, KW.........................,.....__......__.
Main fuse ..__.___....___.__.....................
'"later Heater:
Enclosure __.........__........__.............__.
KW...........______.....____~-------------'
Heat' KW.......t.!-){/..U.r",1,~~'F"'.....
Motors: size. volts and phase:
Type of wirIng:
Entrance Cable ...............__............
Rigid ConduIt ...............____
Meta1l1c Tubing ...__......................
Current transformers:
No. & Size............__...__................___.
Ser. No.............................__...............
Ser. No. __...........................................
Ser. NO.........________........__.h........____....
Type of Wiring:
Armored Cable ............................_
Non-Metallic ..........h....._..............
Knob & Tube..................................
Rigid Conduit ..___........................._
MetalIl. Tubing ................._..___....
Raceway ..............................._......._
Circuits. LIght__....................__...............
Utillty........__............._....................
Heat .......................................-......
Range ........................__.................u
Water Heater ........____...................
Motor ..._u.............____......__...........u
Dryer..........................----....................
Furnace .........................._......_...........
Total wad....________................. Ser. No........__.______._.........u......__....... Total h...__.....h......h.................
Remarks: ._n____...____.(f~&-;t....h::=n:lt..n....'.~.~__.mmm__m.______mmm__m__..__mm.....
_..._...u....un...un.....U.4uu___nn.nn..n.nn.nn.nnnn_nnnnn.......n_.nnnn....._nn_n._n__n_nnn_n.n.nnn.nn........._.._u.n......n
---.n-.nmn---.---n---mn----------..------m.----------m-n-------..--...--n-----------......---------;...ir~}:J.-----...-m------.m--mm.mmmmm--
Permit Fee Treas. Receipt ';<,/, P LL
$____............____....m...____m. NO.__...__.m................. By _m____:..\m~mlf!:~.__mmm.__.f.:X?_:.?'~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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
ELECTRICAL PERMIT
N?
15919
Address........................................................................................................................................Date..._......_.._.._.............._......_......_.........
Owner ................h................._......_.._......_......_.._.............h...................................h....... Tenant......................................................._...........
Wiring Contractor .......................................................................................................................... By..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M nl....."'l... o..;"I",..~ T"",