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CITY Olp PORT ANGELES PERMIT APPLIC.A,'TJ.ON RECE (01
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Building Aivision/Electrical Inspections ,�- �...�
321 .East Fifth Street-P.O. Box 11.501 Port;AApgeles Washington,98362
Ph:(360)41.7-4735 Fax: (360)417-4711 r6 Y ] 2013 n
Date-5 /..-J3.._� Multi-Family'or Commercial dIUS C�RICAt
1"�'�'IOIyS
Plan Review May Be e3ui ed,Ploase C nlpl to Elecrtc I Plan Review Information Sheet
Job Add rass: n (?
Building Square Footage; .
oesorlptlan of a5ovo —.2
Owner information / Contractor Information Name; d-/1 ,41
Malling dares, Mailln Address 0
City: State:,rc�$._21p: City, Stale: Zlp,. �3
Ph❑nc: ' Fax: P hone
#1 Exp, —. License#1 IFxp. �T-IJ'�i�.2 i'
s r7s/ fin',1t il, o rr�
#e Unit Charge Totat f taty Multi(plied Unit Char e
ServicelFccder 200 Amp, $132.00 $
ServloelFeeder 201.400 Amp, $160,00 $
ServiralFeeder401.600 Amp $225,00 _ $
ServicelFeederW-1000Amp. $268,00 $-- -••-
ServlcelFeeder over 1000 Amp, $410.00 $ _ —
Branch Ckcu€t W/Service Feeder $ 5,00 -
Branch Circuit WIO Service Feeder $ 74,00 $ -Each Additional Branch Circuit $ 50 $
Branch Orcuit8ld $ 86.00
Temp,Servioel Feeder 200 Amp. $102.00 $
Temp,ServlcelFeeder201.400 Amp. $121,00 �.-
Temp,senrice/Feeder401-600 Amp. $164.00 $
Temp,ServicelFeeder 601-1000 Amp. $185.00 $ —
Portal to Portal Hourly $ 96,00 $ —
SignlOulline Lighting $ 88.00 _ —
Signal Circuitl Limited Energy--Multi-Family $ 64.00 —
Signal Circuit/Limited Energy I First 1500 sf--Commercial $ 96.00 _-- $—.—
Note; $50 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $ -
Thermostat $ 56,00 $ .-
Note:$5.00 for each additional T-Sta1
$_F(—v-6'0 Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.112)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 inspectiol 1,
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical ct intractor,I am making
the electrical installation or alteration In compliance with the electrical laws,KE.C.,RCW.Chapter 19,28,WAC,Chapter 296,468,The City of Port
Angeles Municipal Code,and Utility SpeclficaVons and PAMC 14,05,050 regarding Electrical permit Applications.
Sign ure owner,electrical httactor or electrical administrator: U cash ❑ Check
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Credit Wd 1< —
Dated;,5�7/� 61101f2t11�
ELECTRICAL PERMIT
I
CITY OF PORT ANGELES a''
360-417-4735
Application Number 13-00000458 Date 5/01/13
Application pin number . . . 004210
Property Address . . . . 606 S VINE ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7100-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . ,
Property Use . . . . . . . . (Location Cade 0502)
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . , . , 0
Application deec
1-4 circuits remodel
Owner Contractor -
CALLIS STEPHEN L SIMPSON ELECTRIC
1215 E 6TH ST 243036 W HWY 101y�
PORT' ANGELES WA 983626622 PORT ANGELES WA 98363 40d1�`J✓�
(---) 457-9270
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4-CIRCUITS p�
Permit Fee 86.00 Plan Check Fee
I.asue. Date E/01/13 Valuation . . . . 0
Expiration Date 10/28/13
Qty Unit Charge Per Extension
- 86.00
------- ---BASE FEE' -------_ ---------
- - summary - Paid--- -- --
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 85.00 ,00 .00
Plan Check Total .00 .00 CO. .00
Grand Total 66,00 56.00 .0o .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRH SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_ T _ Date:
GAEXCHANGMUILDING
"J;.;. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000537 Date 5/31/11
Application pin number 383403
Property Address 806 S VINE ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 7100 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD (Location Code 0502)
Application valuation 7000
Application desc
TEAR OFF INSTALL COMP
Owner Contractor
CALLIS STEPHEN L EMERALD ROOFING INC
1215 E 6TH ST P. O. BOX 879
PORT ANGELES WA 983626622 PORT ANGELES WA 98362
(360) 452 -4681
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL COMP
Permit pin number 186759
Permit Fee 165.75 Plan Check Fee .00
Issue Date 5/31/11 Valuation 7000
Expiration Date 11/27/11
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 165.75 165.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 170.25 170.25 .00 .00
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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 has 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 provisiorys of any state or local law regulating construction or the performance of
construction.
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Date Print Name Signae of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. n
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. V
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 7 1 1 TEA/
T:Forms /Building Division /Building Permit
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CITY OF PO_RT ANGELES
- DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
.
TOtr AL FEE
-30~
Jft/t1.
CONT. lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
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-- -
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Nf- fa $'. VINE
ORR~DDRESS IS RESPO SIBIUTY OF APPLICANT
IS- 'LN5u/LAA/LL, --
-
PERMITS WITH WRONG A~SSES A~E CArr-ED .
Installation By C'1, (.1 G1YLc L
Installers Address. .
Site Addn.ss ~ n
Owner ~ C-4-/1
Owner's Address
Day Phorle Installers Phone
ApplicaW:m is hereby made for Permit to install Electrical Equipment as follows:
LJl r Off1 d~t~ --
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Wiring Method.
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
USE IOF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA '0 30 CIRCUITS CIA '0 30
LIGHT , SIGN
~-< _A /J ( ~ 1\ 50 VOLTS
LIGHT J ~ OR LESS
CONVaNIENCE Cl '(7 (- CT T -; MOTOR - -
.^
CONVaNIENCE / 1/'/< /7''1/ MOTOR
APPLI.t1NCE I MOTOR -
-- ---
DISHW~SHER "'::<:'S:- J",.J 'J. ., """ FIRE ALARMS -
DISPO$AL 1/vPJ . /l / BURGLAR ALARM
AANGa tIw: 7J'i; /' 07.t; "" . MISC_
OVEN --I 1/
WATE~ HEATER
LAur~~RY -
,
DRYER] -C- REINSTALLATION LIGHT FIXTURE #
FURN' CE - SUB TOTAL FEE
GAS- lIL
FUAN CE ENERGY FEE
ELECT IC -
BASIC FEE
ELECTRIC HEAT _ - - TOTAL FEE
ELECTAIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. U~1i ,
AMP PHASE
FEEDE~ SIZE OF SERVICE ENTRANCE CONDUCTORS ,
SEAVI<:fE A.W.G.
-1 SUB-TOTAL I
SIZE OF GROUND SIZE OF ENTRANCE SW"ITCH
- --
I certify 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 I,he above dl?scribed work, according to the conditions hereon and accQrding to the approved plans and
specifi~alions pertaining there0to. SUbV1Ject to compliance with the Ordinances f he City ofl:or\Angel -
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By . , ,. 1
Date P~rmlt Issued 1 17 PLAN AP OVED . ~ .~.,-J(l - \ (, ;": ,i\
No fy Department of City Light by Street Address and Permit Number when ready for InspectIon. Work must not
. be covered or curren~ 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
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WAllNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIClPRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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~ O.K. FOR COVERING
R dO P-:' ~~ O.K. TO CONNECT SERVICE \ ,
10 r I '/ ('t7 47.. ^_ FINAL O.K.
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FEE R~CEIPT NUMBER
CITY,OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
17 J G
PERMIT NUMBER
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TOifAl FEE / b lf3-- (0 M""'-
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Addless C;-.,J S
I CORRECT ADDRESS IS RESPONSIBIUTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner 'SITV't. eM 11'<; Installation By 0 (</ t 'i'cruLI C
owner.s1ddress Installers Address
Day Pho~e Installers Phone
ApPlicatipn is herl?by made for Permit to install Electrical Equipment as follows:
-nJ-~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT 91RCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT; 50 VOLTS .
OR LESS
CONV~NIENCE . . MOTOR
CONV~NIENCE MOTOR
APPU~NCE - / MOTOR
OISH~HE~ 7 FIRE ALARMS
DISPO$AL V/ ~ BURGLAR ALARM
RANG~ 7 C V \ ~SC
OVEN ( I L--
WATER HEATER - ....__1---
LAUNQRY - ~ V
DRYE~ / REINSTALLATION LIGHT FIXTURE # ..
FURN CE SUB TOTAL fE~
GAS- IL
FURN CE ENERGY FEE
ELECT IC BASIC FEE
ELECT~IC HEAT . . TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C_ U~lIT AMP PHASE
FEEDE~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIq;E 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.~.C. Electrical Code.
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission IS hereby given to.do the above described work, according to the conditions hereon and accordlr'!g to the approved plans and
speclfilatlons pertalnln9 thereto, subject to compliance with the O:dinances th J=pJ"tY'lIGHT \ ,",',. '.
Date P~rmlt Issued ---10./&117 Bp Y s' I
I j LAN APPROVED
No ify Department of City Light by Street Address and Permit Number when ready for inspection Work must not
be covered or current twned on before Inspection and O.K. for coyerlng or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WA.RNING
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
()I V~APlrl PRIf\lT>=R<:: INr.
...
REPORT OF INSPECTOR
DA"fEOFVISIT MADE BY REMARKS
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------~ VO.K. TO CONNECT SERVICE)
FINAL O.K.
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number • , , • . 15-- 00000226 Date 3/10/15
Application pin number , . • 46317D
Property Address • . . . . 806 S VINE ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 7100 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , . . .
Property Use
Property Zoning . . , . . , . COMMERCIAL NEIGHEORHOOD
Application valuation . , , . 0
----------------------------------------------------------------------------
Application desc
add four motion det,
--- -_------- _- -- ___._.__ _...__ _____-._.------------------------------------
Owner Contractor
---- -------------- - - -- -- - ----- ----- --- ---- - - - - --
CALLIS STEPHEN L SECURITY SERVICES NW
1215 E 6TH ST PO aox 660
PORT ANGELFS WA 983626622 PORT TOWNSEND WA 98368
(800) B59 -3463
----------------------------------------------------------------------------
Permit . . , , • ELECTRICAL ALTER COMMERCIAL
Additional desc , ,
Permit Fee 96.00 Plan Check Fee OR
Issue Date . . . . 3/10/15 Valuation , . . 0
Expiration Date . , 9/06/15
Qty Uznit Charge Per Extension
1.00 96.0000 ECH 'EL- LIMITED 1ST 1.500 SQ FT 96.00
----------------------------------------------------------------------------
Fee Summary Charged Paid Credited Due
--- ----- --- - - -- -- ---- - -- - -- ---- - - - - -- ---- - - - --- ---- - - - - --
Permit Fee TO:tal 96.00 96,00 00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 96.00 96.00 •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 Date:
G:IEXCHANGEWILDING
03/0912015 16:10 3607978482 SECURITY SERVICES NW
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CITY OF PORT AN'GIMES PE RZi1>1XT APPLICATION MAR � � � ,
Building Division /Electrical Ingpectioins
321. ,East Fifth Street —P.O. Box 1150 /Port Angeles Washington, 98362 F'j EC,[Rj �
Ph: (360) 417 -4735 Fax.- (360) 4 .1.7 -4711 ��CA
gate: XMulti- Family ommercial4
* Plan Revlew
Job Address;
Building Square Foo
Oescriptlan or above
Owner Information
Name: C-Af_-145
Mallin Addn3ss: KiaN Sr
Clty.�,%
Phone: *rz-° Fax,
Malin Add 99; o
City: Stater
License Of Exp.
Phone-2?�!— S�Fw Fax
Item
Unit Char e
ServicelFeeder 200 A mp,
$182,00
ServicelFeeder201 -400 Amp
$160.00
ServicefFeeder401 -600 Amp
$ 225.00
9ervicelFeeder 501 -1000 Amp.
$ 288,00
ServloWFeeder over 1000 Amp.
$ 410,00
Branch Circuit W1 Service Feeder
$ 5100
Branch Clrcult WO Service Feeder
$ 74,00
Each Additional Branch Circuit
$ 5.00
Branch Clrcults 1-4
$ 8640
Temp, Serylce/ Feeder 200 Amp,
$102.00
Temp. SerVice/Feeder 201400 Amp.
$121.00
Temp. Service/Feedar401 -600 Amp.
$164.00
Temp. Service/Feeder M-10100 Amp ,
$185.00
Portal to Portal Hourly
$ 96,00
Sign /Outline Lighting
$ 88100
Signal Circuit/ Limited Energy-Mutti-Fa miry
$ 64,OC
Signal Circuit/ Limited Energy / First 1500 sf - Commercial
$ 96,OC
(Vote; $5,00 far each additional 1500 sf
Renewable Electrical Energy • 5KVA System or Less
$ 113.00
Thermostat
$ 56.00
Note; $540 for each additional Tstat
Review Information Sheet
PAGE 01
01 p'QR''q &
Contractor Information
Name;
r ��
Malin Add 99; o
City: Stater
Zip;
Phone-2?�!— S�Fw Fax
r
License #I Exp.
b
Total fQty_Multiollad by Wfilt_C-hargef
$
96 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) Oarner 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 properly or a licensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, KE.C„ ROW. Chapter 19„28, WAC. Chapter 296 M, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electnosl Permit Applications,
Signature ner, a rica contractor or alectrical administrator: ❑ cash O check
Cra dk care