HomeMy WebLinkAbout115 E Railroad Ave #211 - Building
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CERT~~&A~~~~~~PANCY
. y~f~port Angel~~J~BUilding~DI:S" .sion
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..,..." nt~to$the requirements of Section 110 of the 20 '6(nternational Building Code
~,'~ 'If '(lire was in com liance with the various ordinances of the City
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12-19-08
Date
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNlSION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
property Use
Property Zoning . . . CENTRAL BUSINESS DISTRICT
Application valuation 50400
------~--------------------------------------------------------------------
Application desc
TI - HAIR SALON, STE. #211
Owner
08-00001286
367632
115 E RAILROAD AVE
06-30-00-5-0-0065-0000-
HAIR SALON AT THE
COMM REMODEL
10/30/08
Date
LANDING
Contractor
PORT ANGELES LANDING, LLC
PO BOX 282
PORT ANGELES WA 98362
(360) 457-6891
Structure Information 000 000
Construction Type . .
Occupancy Type
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
C CRONAUER
19318 SE 243RD PL
COVINGTON
(425) 306-1666
TI - HAIR SALON, STE. #211
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
WA 98042
BUILDING PERMIT - COMMERCIAL
TI - HAIR SALON, STE. #211
136028
677.25 Plan Check Fee
10/30/08 Valuation
4/28/09
440.21
50400
Qty Unit Charge Per
Extension
670.25
7.00
BASE FEE
1.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
136036
75.15 Plan Check Fee
10/30/08 Valuation
4/28/09
.00
o
Qty Unit Charge Per
BASE FEE
2.00 7.2500 ECH ME-VENT FAN
1.00 10.6500 ECH ME-OTHER APPL. N/R
Extension
50.00
14.50
10.65
01
/;7q~
/2'0'
'-0
<f
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
13 6044
100.00
10/30/08
4/28/09
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
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 aba'ndoned
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 provisions of any state or local law regulating construction or the performance of
construction. (J ,
IO/~/615 JL'~C.~ Su /'JILJt. /~
I Dare I Print ame Sign~J of C'ohtractor or Authorized Agent Signature of Owner (it owner is builder)
T:Fo!"l"f:s/Building Lli'.';sjvi1/T~l!ilr!ing Permit
-~
1
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4807 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE.
Inspection Type Date Accepted By: Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor / Slab
RouClh-ln
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water FINAL Date: Accepted by:
AIR SEAL:
Walls I
Ceiling I
FRAMING:
Joists / Girders
Shear Wall / Hold Downs
Walls / Roof / Ceilina
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab I I
Wall / Floor / Ceiling I I
MECHANICAL:
Heat Pump / Furnace / Ducts
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts FINAL Date: Accepted bv:
MANUFACTURED HOMES:
FootinQ / Slab
BlocklnQ & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
ParklnQ / L1QhtinQ I I ESA:
Landscaping I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE
RESIDENTIAL DATE Accepted By: Commercial Date Accepted By:
Electrical 417-4735 Electrical
Construction. R.W. Construction - R.W,
PW / EnqlneerlnQ 417-4807 PW / Engineerinq
Fire 417-4653 Fire
Plannlnq 417-4750 Planninq
Bljilding 417-4815 Buildinq
T:Forms/Building DivisionlBuilding Permit
f ,ORT Nt;
tO~<(
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 08-00001286 Date 10/30/08
Application pin number 367632
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 28.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
Special Notes and Comments
October 8, 2008 3:12:10 PM kdubuc.
Modifications to the existing sprinkler system must be made
if new construction results in obstructions.
October 30, 2008 12:50:59 PM permits.
The personal service use is permitted through a SMA CUP
approved by DOE 10/28/08. Parking is provided, per the
applicant, on site.
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 852 .40 852.40 .00 .00
Plan Check Total 440.21 440.21 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1297.11 1297.11 .00 .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 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 provisions of any state or local law regulating construction or the performance of
constructioll.
Date
Print Name
Siqnature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:Forms/Building Division/Budding Pern~i\
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTlONS-
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4807 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCA TION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE.
Inspection Type Date Accepted By: Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor I Slab
Rough-In k).-~I- 0,," l.:rl-L
Water Line (Meter to Blda)
Gas Line Date: 12- 5-0&AccePted by: 'J"LL-
Back Flow I Water FINAL
AIR SEAL:
Walls
Ceiling
FRAMING: Ib'31-o8" ~LL
Joists / Girders
Shear Wall / Hold Downs
Walls / Roof / Ceilina
Drywall (Interior Braced Panel Only)
T-Bar
INSULATION:
Slab I
Wall I Floor / Ceiling
MECHANICAL: /'I'\Lc.l... f"1)v\.Jh - i.... 10-'3\,0' :SL.L
Heat Pump I Furnace I Ducts
Gas Line
Wood Stove I Pellet I Chimney FINAL DateYZr s: 08 Acceoted bv: J"L- L
Commercial Hood I Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #6 SEPA:
Parking / Lighting I I ESA:
Landscaping I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE
RESIDENTIAL DATE Accepted By: Commercial Date Accepted By:
Electrical 417-4735 Electrical
Construction - R.W. Construction - R.W.
PW / Enqineerinq 417-4807 PW I Enaineerina
Fire 417-4653 Fire
Piannina 417-4750 Plannina
Building 417-4815 Build/no 12-5-08- JLL-
T:Forms/Building DivlSio!liBllilding Permit
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CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # Og--}~7:i
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
,.
Print in ink
FEES
Certificate I Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Brief description of proposed business
Business owner's nameu
Business owner's home address
Phone # L
v
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.
Call for Certificate of Occupancy inspections before openinq 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 and state that the infonnation I have
supplied is correct to the best of my. kno..Wledge. /J fl . A I '?\1 /' _ J {J _ _ .
Datellk~)V'25 Print Name ehe1to:- ()J'QLLCiC ~ Signature ~ UV ~
I
ACTION ./
New business V
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
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
WILL THERE BE ANY OF THE FOLLOWING?
NO-/' YES-/' IF YES, CONTACT
Electrical De t. at 417-4735
Buildin Div.at417-4815
Public Works at 417-4807
.
Please sign up for utility services
at the cashier counter.
Comments / Conditions
Occupant Load
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
OB-00001286 Date 10/30/0B
367632
115 E RAILROAD AVE
06-30-00-5-0-0065-0000-
HAIR SALON AT THE LANDING
COMM REMODEL
CENTRAL BUSINESS DISTRICT
50400
Application desc
TI - HAIR SALON, STE. #211
Owner
Contractor
PORT ANGELES LANDING, LLC
PO BOX 2B2
PORT ANGELES WA 98362
(360) 457-6891
Structure Information 000 000
Construction Type . .
Occupancy Type
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
C CRONAUER
19318 SE 243RD PL
COVINGTON
(425) 306-1666
TI - HAIR SALON, STE. #211
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
WA 9B042
BUILDING PERMIT - COMMERCIAL
TI - HAIR SALON, STE. #211
13602B
677.25 Plan Check Fee
10/30/08 Valuation
4/2B/09
440.21
50400
Qty Unit Charge Per
Extension
670.25
7.00
BASE FEE
1.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
136036
75.15 plan Check Fee
10/30/08 Valuation
4/28/09
.00
o
Qty Unit Charge Per
BASE FEE
2.00 7.2500 ECH ME-VENT FAN
1.00 10.6500 ECH ME-OTHER APPL. N/R
Extension
50.00
14.50
10.65
/)1
"lqv
/<'s
'0
~
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
136044
100.00
10/30/08
4/28/09
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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 provisions of any state or local law regulating construction or the performance of
construction. ;
T:FonnsfBuilding Division/Building Penn it
Signature of Owner (if owner is builder)
}
BUILDING PERMIT INSPECTION RECORD
1
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4807 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE.
Inspection Type Date Accepted By: Comments
FOUNDATION:
Footinas
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor / Slab
RouClh-ln
Water Line (Meter to Blda)
Gas Line
Back Flow / Water FINAL Date: Accepted by:
AIR SEAL:
Walls I I
Ceiling I
FRAMING:
Joists / Girders
Shear Wall/ Hold Downs
Walls / Roof / CeilinCl
Drywall (Interior Braced Panel Only)
T-Bar
INSULATION:
Slab I I
Wall/ Floor / Ceiling I I
MECHANICAL:
Heat Pumo / Furnace / Ducts
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts FINAL Date: Accepted bv:
MANUFACTURED HOMES:
Footina / Slab
Blockina & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parkina / Liahtina I I ESA:
Landscaping I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE Accepted By: Commercial Date Accepted By:
Electrical 417-4735 Electrical
Construction - R.W. Construction - R:W.
PW I Enoineerino 417-4807 PW / Enqineerinq
Fire 417-4653 Fire
Plannina 417-4750 Plannina
Buildino 417-4815 BuildinQ
T:Forms/Building Division/Building Permit
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 08-00001286 Date 10/30/08
Application pin number 367632
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 28.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
Special Notes and Comments
October 8, 2008 3:12:10 PM kdubuc.
Modifications to the existing sprinkler system must be made
if new construction results in obstructions.
October 30, 2008 12:50:59 PM permits.
The personal service use is permitted through a SMA CUP
approved by DOE 10/28/08. Parking is provided, per the
applicant, on site.
public Works Utility Engineering has no requirements for
this plan review.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 852.40 852.40 .00 .00
Plan Check Total 440.21 440.21 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1297.11 1297.11 .00 .00
Separate Perm its are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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 provisions of any state or local law regulating construction or the performance of
construction.
Date
Print Name
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:FormsfBuilding 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 417-4807 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE.
Inspection Type Date Accepted By: Comments
FOUNDATION:
Footinas
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor / Slab
RouQh-ln to-~'- 0,," l.:n...L
Water Line (Meter to BldQ)
Gas Line Date: 12- 5-0& Accepted by: 'J'"t....L-
Back Flow / Water FINAL
AIR SEAL:
Walls
Ceiling
FRAMING: Ib<31-od'" ~LL
Joists / Girders
Shear Wall/ Hold Downs
Walls / Roof / Ceilina
Drywall (Interior Braced Panel Only)
T-Bar
INSULATION:
Slab I
Wall / Floor I Ceiling I
MECHANICAL: I'V\L (..I.... N>\I. J \., - i 1"\ \0-"3\' oW :su.
Heat Pumo I Furnace I Ducts
Gas Line
Wood Stoye / Pellet / Chimney DaterZ.- s: 08 Accepted by: J"t.. L
Commercial Hood / Ducts FINAL
MANUFACTURED HOMES:
Footina / Slab
Blockina & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parkina I Liahtina I I ESA:
Landscaping I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE
RESIDENTIAL DATE Accepted By: Commercial Date Accepted By:
Electrical 417-4735 Electrical
Construction - R.W. Construction - R:W.
PW / Enoineerino 417-4807 PW / Engineering
Fire 417-4653 Fire
Plannina 417-4750 Planninq
Buildino 417-4815 Building \2-5-08 J"LL-
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant or Agent YP\V\.\ -p (j2DN&=4\J\.-<2. (C potS e
Property Owner iA-~1~S [[ c.... P~one
Property Owner's Address L ) {;2 ~L-1~oRd
Contractor/Engineer / eN ~ e. . Phone
Contractor/Engineer's Address . Cj2D'/t.JQeJ..Q~~ ~c}V\s +--
License # C C ~o N k~ ~ 3(,; J'f Expires E-mail
LlGO- 3/r1
I LS- ((.~1 L R~d ~ d fl
{~~( R. S Alol0
Parcel Number
PROJECT ADDRESS
Lot
Zoning L. IS C-
Proiect Tvpe & Brief Description: 0 Residential ~mmercial 0 Multi-family 0 Industrial
Check all that apply
o New Construction
o Addition
~emodel N
o Repair
oRe-roof
o Demolition
o Heat System 0 Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove other
o Other
Floor Areas
Basement
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existinq (Sq. ft.) Proposed (Sq. ft.)
@$
per sq. ft. = $
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~ . ~ ~. 1 ~ . r' . . L) per~.
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I ...." l _ I IS:> "" 10 ct,.... Ie/A v ~\ ).... QX' ~'-
~l{h~:tv~ C- TOTAL VALU1ITION $
Total footprint of structures '7 'f:-t S \.
sq. ft. -:- Lot size sq. ft. = Lot coverage %
Fi X-tVUA. '"
Max. height of proposed structures Z 'N.S+ ft. Occupancy group --B-- # of bedrooms L1
Will a lawn sprinkler system be installed? ~ Occupant load # of full baths 0
Will a fire sprinkler system be installed? ~ Construction typo.xi. K>PlMJL # of half baths 0
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date~ Print Nam~YR lA L Y CQI:J1-.JOv...e.\2-.
Signature~ \L----
--
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STORAGE
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Application Number . . . . . 25-00000361 Date 3/27/25
Application pin number . . . 587952
Property Address . . . . . . 115 E RAILROAD AVE 211
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-0065-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service for Bakery.
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THE LANDING & WHARF LLC JOHNSON ELECTRIC COMPANY
2255 HARBOR AVE SW STE 203 3129 S REGENT ST
SEATTLE WA 98126 PORT ANGELES WA 98362
(360) 477-4594
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 237.75 Plan Check Fee . . .00
Issue Date . . . . 3/27/25 Valuation . . . . 0
Expiration Date . . 9/23/25
Qty Unit Charge Per Extension
1.00 237.7500 ECH EL-COM 0-200 SRV FEEDER 237.75
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 237.75 237.75 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 237.75 237.75 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
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
Branch Circuits 1-4
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 - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/4/25 25-361
TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
115 E Railroad Ave 211