HomeMy WebLinkAbout210 Tumwater Truck Rt - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 Heater and rcpt
Owner
JONES WASH STEVEDORING COMPANY
PO BOX 3736
SEATTLE
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 981243736
10 00000310
711740
210 TUMWATER TRUCK RT
06 30 00 0 0 4830 0000
ELECTRICAL ONLY
INDUSTRIAL LIGHT
0
Contractor
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES
(360) 452 9104
ELECTRICAL ALTER COMMERCIAL
163121
73 50
4/01/10
9/28/10
Charged
73 50
00
73 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
73 50
00
73 50
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
Paid Credited
00
00
00
Date 4/01/10
WA 98362
DATE RESULTS
qhJ c
QJ-> it
00
0
Extension
73 50
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
1-13409
°loD
Mar 31 10 01 Christie Tucker
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
Date :3 -1
Owner Informal o c
l�
Name:
Mailing Address:
City'
Phone:
License Exp,
Unit Charae
S 119.90
145.50
204.60
S 262.20
S 372.50
2.60
73.50
5 2.60
5 92.70
5110.30
148.70
167.90
5 95.90
88.20
95.90
63,90
5 63.90
S 119.90
S 102.30
S 110.30
S 35.20
73.50
5110.30
56.00
Siggfature
U
Stale: Zip:
Fax:
O Check 1
Date: �f'li" 1, f 0
r
EttMED
HAR 31 2009
ELECTRICAL
INSPECTIONS
eg. 1St;
360- 452 -0741
Con�ac Mahon tion
Name: ,C t" 5 L LiC Ie G
Mailing4tess: }'C :1-46X p:
City State' Zip: X (G�/
Phone: 1 F x:
License l Exp. L `1 7 r 1
Total (ON Multiplied by Unil Charae)
Service/Feeder 200 Amp
Service/Feeder 201.400 Amp.
Service/Feeder 401.00 Amp.
Service/Feeder 6C1-100D Amp
Service'Feeder over 1000 Amp.
Branch Circuit Wi Service Feeder
inch Circuit WO Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Te-rp. Service /Feeder 201.400 Amp.
Temp. Service /Feeder 401 -6D0 Amp.
Temp. Service/Feeder 601 1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
S51nat Circuit/ Limited Energy- Commercial. Additional 1500 $5.00
Signal Circuit/ Limited Energy 18 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Squar= Ft.
Each Additional 500 Square Ft. cr Porton of
Each Outbuilding or Detached Garage
Each Swimming Poo! or Hot Tub
5 -,,Thermostat
4; •\Total
O Credit Card p
ownJ, el ctrical contractor or electrical administrator C Cash
1
JJ�
p1
1 2 Sincle Family Dwelling
Multi Family or Commercial'
Commercial Addition Alteration Remode:1 Repair
Plan Review May 1.3e,equired, Please L Complete l 1
Review lutgrm f o l n Shot
Job Address: L ((�J �I t C/
Bulding Square Footage:
r'� try h em
Oescnp[an of above �`'t S 1`
t v
Owner es defined by RCW.19. 28.261 (1) Owner wilt occupy the structure for Iwo years after this electrical permit is finalised. (27 Owner is required to hue an electrical contractor N
above said property Is for safe, 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 ora 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.
qx-rlquJ+
to
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c
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MARINE SPILL RESPONCE CORP
210 TUMWATER
PORT ANGELES
(360) 417 9288
WA 98363
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc SIMPSON/ 3 EXHAUST FANS
Permit pin number 80283
Sub Contractor SIMPSON ELECTRIC
Permit Fee 61 30
Issue Date 7/05/06
Expiration Date 1/01/07
Qty Unit Charge Per
1 00 61 3000 ECH EL -COMM ALT <5 CIRCUITS
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
61 30
00
61 30
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000638
832036
210 TUMWATER TRUCK RT
06 30 00 0 0 4830 0000
ELECTRICAL ONLY
INDUSTRIAL LIGHT
0
Contractor
OWNER
Paid Credited
61 30
00
61 30
Plan Check Fee
Valuation
00
00
00
Date 7/05/06
00
0
Extension
61 30
Due
00
00
00
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 ACCEPTED
YES NO
DITCIH 1 1
ROUGH -IN COVER I I
SERVICE 1 1
FINAL 1 7 S- o &,1
1 1 1
1 1 1
1 1
1 1
COMMENTS
PW- 1102.151+ 1
Uf PORT,
v
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000632 Date 6/13/06
Application pin number 653624
Property Address 210 TUMWATER TRUCK RT
ASSESSOR PARCEL NUMBER 06 30 00 0 0 4830 0000
Tenant nbr name MARINE SPILL RESPONSE
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning INDUSTRIAL LIGHT
Application valuation 4795
Owner Contractor
JONES WASH STEVEDORING COMPANY ALL WEATHER HTG COOLING INC
PO BOX 3736 302 KEMP ST
SEATTLE WA 981243736 PORT ANGELES WA 98362
(360) 452 9813
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 80184
Permit Fee 71 75 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 12/10/06
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 2500 ECH ME VENT FAN 21 75
Fee summary Charged Paid Credited Due
Permit Fee Total 71 75 71 75 00 00
Plan Check Total 00 00 00 00
Grand Total 71 75 71 75 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 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 Auth sized Agent
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
3
Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARK/NG/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
nermIt Inspection record05.wpd (1/412005]
BUILDING PERMIT INSPECTION RECORD
1 1
1 1
I 1
1 1
1 1
1 1
1 1
I I
1 1
I 1
1 I 1
1 1 1
1 1
1 1 1 .►V
I 1 1
I I 1 y
1 1 1 P
1 I 1
I 1 I
I 1 1 FINAL DATE ACCEPTED BY.
I I 1
1 1 1
1 I I N
I 1 1
FINAL
SEPA.
ESA.
SHORELINE.
FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT.
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
1 1
I .I^. _t r 1 ..1
I L r "t -3 10
L
JUN -13 -2006 02 50 PM ALL WEATHER H-C Inc
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: 4 1l/J0 y
_4I
Owner
Address: 2. b 7) 114i411 City• 414 4914r1 s
Architect/Engineer. Phone:
-Contractor 4/1 lamittir 11RS n f State License #:ffialfiC6jgdExp Ojai
Address: D 2_ Kianir 5911917+ City.
PROJECT ADDRESS: 2j 0 'raw u► iev r )7i
LEGAL DESCRIPTION. Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK.
O Residential 0 New Constr.
O Multi- family 0 Addition
11 Commercial 0 Remodel
0 Repair
BRIEF DESCRIPTION OF THE
PLANNING USE ONLY
MC
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other.
T•1RVESSIBLD -fomm• brochure sl20o4- Buildingperndt.wpd Applica
City:
360 4 5177
Phone: k,, 2 -9 1.
Phone: 314 1 117 gag
Zip:_114 7 i
C
Subdivision.
Esp. Date:
SIZE/VALUATION
SF S /SF m
SF /SF
SF /SF
O Re -roof 0 Stove
O Move 0 Garage
O Demolition 0 Deck
O Sign 0 Other TOTA VALUATION 4I7t7' of)
PROJECT 0154 3 cfch et r r_,S'
COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load. Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq Ft.
Total Iot coverage
Date:
-P 01-
FOR OFFIC E 0 LY
Data Rec, :b/ /r r ot p
Permit
Date Approved
Date Issued:4 Oa)
Phone:Z f 2 f// 3
Zip: 9aD 2-
ZONING*
APPROVALS.
PLAN
BLDG:
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted 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, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Ri 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read end examined this application and know the same to be true end correct. 1 em authorized to apply for this permit and
understand that if is my responsibility to determine what permits ere required ,no! the City's, and that I must o,,btaln such permits prior to work.
Group: B
Owner of Business: Kr1S Caivin-°
No. 82
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 301 of the
International Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the followinng
Classification: Business Building Permit No 05 -1074 Business :Name..'Marine Spill Response Corp.
Building Address: 210 S. Tumwater Truck Road
2:I
Building jficial
Type of Construction: V 1■1
Address: 210 S. Tumwater Truck Road Port.AnQeles_ WA. 98362
;Use Zone: CA
Port An2e1es. WA. 98362
January 31. 2006
Date
Vt'
Post on the premises in :a conspicuous place
1 I e 11 I 1
4)
U
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
JONES WASH STEVEDORING COMPANY
PO BOX 3736
SEATTLE
Other struct info
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
WA 981243736
05 00001179 Date 1/06/06
974208
210 TUMWATER TRUCK RT
06 30 00 0 0 4830 0000
MARINE SPILL RESPONSE
COMM ADDITION
INDUSTRIAL LIGHT
17000
Contractor
GREAT IMPROVEMENTS
P 0 BOX 726
PORT ANGELES
(360) 417 2960
TOTAL LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ELECTRICAL ALTER COMMERCIAL
SHAMP/ 5 CIRCUITS PNL
67892
SHAMP ELECTRICAL CONTRACTING
140 00 Plan Check Fee
1/06/06 Valuation
7/05/06
Qty Unit Charge Per
1 00 78 7000 ECH EL COM ALT 0 200 SRV FDR
1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
140 00
00
4 50
144 50
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
STATE SURCHARGE
Paid Credited
140 00
00
4 50
144 50
00
00
00
00
WA 98362
1 00
1 00
1 00
1 00
1 00
1 00
1 00
Due
00
0
Extension
78 70
61 30
4 50
00
00
00
00
w
DITCH
ROUGH -IN COVER
SERVIC$
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 ACCEPTED COMMENTS
YES 1 NO
FINAL M 1-3- 610 1 -re,
PW- 1102.15 [ass]
12/20/ 16 18 FAX
J
Job wired by
Electrical contractor name License number
aS u tr
ata fifJla t
Purchaser'. mailing address
P.n. Rex
City
r0r+ fttAS
e \e
Telephone n her
,CP,66) y —t6$
Premises owner's name
e
l/orA C 14,4 gem
Address of inspeb�tton T� f
g,\p TI1m t.tr171r r►I cY, Rn►1T2`.
City
Pori AvApc., Wl '11�VA
c ',i !+t>alL0, d
Owner ay defined by RCW 19.18.161 (U Own r 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 it 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 instal•
lation or alteration in compliance with the electrical lawn, N E.C. RCW Chapter
19,25, WAC. Chapter 296 -468 The City of Port Angeles Municipal Code, and
Utility Specifications.
/Signature of owner, electrical contractor or electrical administrator ExpirationDate
ate card
Pone numbe o schedule Inspr tlon
2 L 41'1 (o
Date*
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
O Baseboard KW
O Furnace KW
D Heat Pump Ton LAR
0 Fan -Wall _KW
SAME DAY INSPECTION. CALL BEFORE
ROUGH IN
Date Approved By
FINAL
Inspection
Date
Pt _ee
ore
/74efc7 A.frWO
/4/21/6e
Sets
'Electrical Contractor Owner
State ZIP
VOA
FAX number
Dale
App ed By DnR
Date Expires
Overhead Service
O Temp Service
IlikUnderground Service
7.00 AM 360 -417 -4735
THERMOSTAT
Approved By
DITCH
Arca, Building or Equipment Inspected
ELECTRICAL WORK PE
N /"Inst nation description
Commercial Residential
New
O Gash O Check
(Credit Card Visa Master
Card#
Approved By
Po—rt e r i•Q 7L7A
A,ldA r rcu■� 61.2.t)
Delo
a 002/002
Altered/Addi
Dale
K ok..
Voltage
Phase
Service
Feeder
YIC
S
Action Ta
TAPPLICATION
ction fee
0,00
Information
t tn
t
ed Hy
Discover
Electrical
Inspector
1 a
4VW:vie S r
DATE I 16 5
Address of Proposed Business
2I O M U M W Al LR_ 1 c if R
1Mp fd►NC 5R t SFONse Cities
Applicant
Address
Phone business home
5 4, v ti I'1 ,mot
Brief description of proposed business
Legal Description Lot
Current Use of Property A t\
Zoning Classification of Property
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
APPR VEd REJECTED
ROUTING SLIP
Certificate of Occupancy
$50 00 Certificate /Inspection Fee
SP1L_L_ sf 603e, 1
Block
YES NO
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
Date
Signed
Comments Conditions
Subdivision
THE FOLLOWING WILL BE REQUIRED
PERMITS BUSINESS LICENSE
1) Building 1) Taxi
2) Plumbing 2) Peddlers
3) Electrical 3) 2nd Hand Dealer
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk installation 6) Hotel Motel
7) Driveway installation 7) Fireworks
8) Curb installation 8) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
H Io5
v 14I2IS CALVIN-
e
ELECTRICAL WORK PERMIT APPLICATI~'~:..
Job wired by
)f Electrical Contractor IJ Owner
Imit<lllntion dC:;lll<dp~'Vfl
14 Commercial IJ Resideali.l
Electrical coutractor n:JCn~
,'", OS (Jh G led'~ t <:.
Purclu&er's mailin!;; addres5"
.2'1303/,p HWljlOf
C;ty /J I
;- ()~ f fJrv;.....,,$
LiCl:OSC number
,'\"'; mOSeL. <1';- R.ft
I
"J
Date Exput:S
o New
o Alteredl AdditiUD
St.te ZIP f "
W Po- '1 .v":3
/~ ~/r
_-1 r Y-h1 S'
f'rl.~
Tdcphonc number
4S'l-"~?0
PAX numbel' -L.
S~ "Q"
Pr....I... .....r'. ..me $,P /J /l .
17)411 f~ ,"/ / l(eg~Jse. LCr f
Addnsli uf.io!:lpoction "'i.,_ _ ~. rr-'!-"... ,-b. _ _ i 0/
210 ~f~'~~
Rpe} ~-eI~
l~bOne kkudlber (0 Sl:-7d~C -. ~~~
Owner as defi'j~d by RCWJ9.28.J61:()) Owne,. will utcupy tJn: ~.tnlc;lun' fur fwu
yefJrs afier Ihi,)i ele.c:tric;a{ pemlit is finuJizi1cl. (2) OWller j:)' required to hire all electrical
(~(mt"ucl"r If ubGIVC ~'"jd prupc;;"'Y ;,)i' fur sulc:. n:nl OJ' few...:.
After rC<.llling the above ::;Lalement, I hereby certify that 1 urn lhe owner of the above
named Inoperty or 3. licensed clectl'ical cOluractor. I am making the dectrical inslal-
lalion or altc:ration in complisnce with the electrical laws. N,E,C., RCW, Chapter
19.28. WAC, Chapter 296.46B. The City 0 0(( Angeles Munit;ipal Code, and
Utility Spccitica ' n .
SiglllltUI'e of
City
ntr- for or....c:leclricOlI adll~i,.idroH,.
ate: ~II 'i / 06
IJ Cash IJ Check #
IJ Credit Card @ Masttrcard Discover
C~#___~~~____
Expiration Date
of card ~
x
Electrical Load Additions and or sub ractions
o NO LOAD CHANGES
o Baseboard KW
IJ Furnace I'JN
Q Heal Pump _ Ton _ LAA
o Fan-Wall _ KW
Service Information
o Overhead Service
CJ Temp Service
CJ Underground Service
Voltage
Phase IJ 1 IJ 3
Service Size:
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417~
ROUGH-IN THERMOSTKf
SERVICE
Dille
App.ovcl.l Dy
O;lLt
AJlllNYt.lKy
011.11:
^P9l\1v~Ll By
FlNAL
7-~-Ob ,ho
D:lLU Appl'Ov~d.Q~
DffCH
FEEDER
D~lf AI~II",,)"'<:\1 e)'
Dill; ApploYold By
II
l:a, Building or Equipment Inspl.:ctcd
AcliQn Tllken
Electric.d
IllspliI..tor
Dste
oL
18 39\1d
8Id183l3 NOSdWIS
8LG6LSP
9S:61 988G/P1/98
3604172733
,
,
,
,;-.
i' 'J'
j~ '~f~
(i
5T OF WA L&I
6/9
09:07:59 am 06-23-2006
.
\
,/
CITY OF PORT ANGELES
LIGHT DIVISION
FA)( TRANSMISSION COVER SHEET
Dele:
To:
Fax:
Re:
Sender:
6/19/06
Labor & Industries
417-2733
Inspections
KlIthy irelnor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE. INCLUDING THIS COVER SHEET.
IF YOU DO NOi RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please Inspect for Simpson Electric:
Marine Spill Response Corp. a
210 Tumwater Truck Rt
417-9288 i
Exhaust Fen InstalletiOl'l
Contact:
Thank you,
Debbie
Simpson Electric
457-9270
'll'lIt**-*............................_*...........****'*_.................._*-**'fr****__
Kathy ~~.~)"'i
fI;;?3-C~~ P !ff/W? r'7'~/
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
05-00001179 Date
974208
210 TUMWATER TRUCK RD
06-30-00-0-0-4830-0000-
MARINE SPILL RESPONSE
COMM ADDITION
12/05/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
INDUSTRIAL LIGHT
17000
Owner
Contractor
JONES WASH STEVEDORING COMPANY
PO BOX 3736
SEATTLE
Other struct info .
GREAT IMPROVEMENTS
POBOX 72 6
PORT ANGELES
(360) 417-2960
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
1.00
1.00
1.00
1. 00
1. 00
1. 00
WA 981243736
WA 98362
Permit BUILDING PERMIT - COMMERCIAL
Additional desc
Permit pin number 66662
Permit Fee 305.75 Plan Check Fee 198.74
Issue Date 12/05/05 valuation 17000
Expiration Date 6/03/06
Qty Unit Charge Per Extension
BASE FEE 95.75
15.00 14.0000 THOU BL-2001-25K (14 PER K) 210.00
Other Fees
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 305.75 305.75 .00 .00
Plan Check Total 198.74 198.74 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 508.99 508.99 .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 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 aut ity to vio te 0 ncel the provisions of any state or local law regulating construction or the performance of
constructio .
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS I t- /13 I c. -; 'JL-L-
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING T11~ lo~ .n\..
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT. J J / -'
BUILDING 417-4815 BUILDING W?/f)(; JVU
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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U10
BUILDING PERMIT - APPLICATION
,
"
.'\.::.~~
'~'
Fill out COMPLETELY and in INK. Your application and site plan MUST BE. ,:
COMPLETE to bp ~ccp.pted for review. If you have any questions. call ';(Iii..,
PERMITS (360) 417-4815 FAX(360)417-4711 I
Applicant or Agent: tffP/<.,btJ/l/ E M.t:>P.Pb Phone: 5~tl.- ,1f/7-,.2 t i/ '7'
Owner: m:{:. 1:1< (:" 1 Phone:
Address: ..:? / tJ 7i//7/'~#J77!,e ~K JkCity: f}.RT 4NIf/tc5;/f/#, Zip: fl:? /t ~
A,chitect/Engineer If; .I'~)t' N ~.€J) JC1g Phone;;; /l- YI ,7 d~ iJ'
Contracto'i;?, ~ 1> p-'" J) State License #: &A'h1T.r.. 96''B~4' 'tk V Phone: S.IlLl/f:
Address: t: {).I?IJ,X 7-2t~ City: HRI:/Jvvcl-~f ,)//;;. Zip: f!? ~ r;-2
PROJECT ADDRESS: ~){J 7;;/?J'J/I/l1?.R ki/CyJ;nlf' ZONING: (;;,~~.f:R.c'/~
LEGAl DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK: SIZEN ALUATION:
o Residential 0 New COnstL 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
1'-- Commercial )( Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ "
o Repair 0 Sign D~ther TOTAL VALUATION $ / 7~
BRIEF DESCRIPTION OF THE PROJECT: :;l ~ fl" 1'Y7T1/V If? 1/ e /#A'u J 9' /' . AI.fZ.
/YFll/,R'/'c//?> //1/ f/<r5LZ__->TRj/m/.RE- APifA'p~/u#/7/Y#;4.0L)/#P
//-f,/lTrRO/' tPf/n.-tET$. \'{o flun1b~YLj
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load:
I / ""il!i1 /
No. of Stories: 2- Lot Siz~! n lI' Existing Sq. Ft.
Total lot coverage %
Construction Type:
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIlls 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: IF a plan check fee is due it must be submitted at the tinle 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, the application will expire. The
Building Official can extend tlle time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
ofthe Intemational Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to deter~:~~h.c;JFrmit~ ired t the City's, and that I mus obtain such permits prior to work.
T:\Policies\BL-ll02_13.wpd Applicant: /::>., . Date:
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General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License GREATI*9870Q
Licensee Name GREAT IMPROVEMENTS
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602234889 VertfyWQrkersComp Premium
Status
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 153 BLUE JAY PL
Address 2
City PORT ANGELES
County CLALLAM
State WA
Zip 98362
Phone 3604172969
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 9/1812002
Expiration Date 9/1812006
Suspend Date
Separation Date
Parent Company
Previous License
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https://fortress.wa.gov/lnilbbip/Detail. aspx?License=GREA TI*987 OQ
11/28/05
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Business Owner Information
Name Role Effective Date Expiration Date
HADDAD, GORDON E OWNER 09/18/2002
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
Until
#1 CBIC SE6157 08/29/2002 Cancelled $12,000.00 09/18/2002
Savings Information
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
#1 CBIC INSSE6157 08/29/2002 08/29/2006 $300,000.00 08/10/2005
Summons / Complaints Information
No Matching Information
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1-800-547-8367 .
Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the /;:. ;.. ~shlnutOll
state of Washington.
Access Agreement I Privacy and security statement I Intended use/external content pollcy I Visit access. wa.gov
Staff only link
https://fortress.wa.gov/lni/bbip/Detail.aspx ?License=GREA TI* 98 7 OQ
11/28/05
~
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES _
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000202
PERMIT NUMBEA
~
"
~b.oo .. --
TOTAL FEE - 1 OL.J'MPIV' 'konl , . '. " , I C!. oM M
-
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES . LEGAL OCCUPANCY .
. ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address "F~~""- R-, cot ~AIa;r'';; 'DR..' :L 10 -ritNfLJIt-TefZ.- T/(ucir 1fT
CORAECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Je~ Wf'I':.t+INfo1J S1""e-V<<>oteW61 Instaliation By- . (j/..('J'IlPtLe'/~C.Ti<JL ,
Owner's Address ' " . -,... ;~stallersAddr~~s 50S S, J.1NUJc..V-
Day Phone 4S':L-4-f!s:> Instaliers Phone /fJ"i._ -:>'3D3 -
Application JS hereby made for Permit to install Electrical Equipment as follows:
. ,
Wiring Method C~f)
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE - MOTOR
CONVENIENCE MOTOR
APPlI,A :\ICE MOTOR
--
'DISHW"SHER FIAE ALAAMS -
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
.DRYER REINSTALLATION LIGHT FIXTURE #
FURNP,CE SUB TOTAL FEE -
GAS - OIL
FURNACE ENERGY FEE
~~IC - -
t,Ki )- BASIC FEE
ELECTRIC HEAT TOTAL FEE r.:J ao~o"O
'---
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR-CIRCUIT BREAKER
~- Ot/'Jo,/J.
A.C. U:'IIT '2-eO AMP PHASE
-.
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
..
SERVICE AW.G.
I SUB-TOTAL- SIZE OF GROUND SIZE OF ENTRANCE SWITCH
,198'5
I certlf~, that the work to be performed under this permit will be done by the installer and in con ormance with
Date Application made ..3 /6/
. I I'.
By
.
Date Permit Issued
CONTRACTOR OR .OWNER (OR AUTHORIZED"AGENT)
. Permission 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 the City of Port Angeles: .. (" '.
6-- ?) By dJdIflT:V=ITYlIGHT" . ' ..
3 - PLANS~VED" ~ '
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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
3-{~ 'iT
3-;t{, - 'IS-
MADE BY
l1f'Y
lI/Y
REPORT OF INSPECTOR
REMARKS
. tPK >t~13 C!Ol'iPtll"'-:.1:l..d'IS sc-,<. '1-0
of( I(oc./?/ 1/'1 Nt!)"r/... -f-' /;;jS r NiLt"
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tr )... 6- g-~ ---;;;/?..,y ,
fil---:Z - 17
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-4f'?..P
tJJ. t' /,
~f' ~
/YI t.{ srl,lf.( pd y:. '.5 u~ ;9J-J\i€ L
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAl. O.K.
.
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000156
FEE RECEIPT NUMBER
PERMIT NUMBER
TOTAL FEE
""}2,OO
('oMM
CONT.lIe. NO.
TIME TO COMPLETE
NO. STORIES
lEGALDCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
_TIN~ /he F /I1f;e.,vli z:~ :J./O /CfIY(e-Jrl-iC'R....
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner JOI>JE~ WIt!.IfINfoIO~ S-r~"'OOR.INt'::, Installation By OJ..l'MP/~ Elc'-r/?JC-
Owner's Address Installers Address 5tH So ~IAll4LAJ
Day Phone '1S?-- -l/115'3 Installers Phone 1/57-5.303
Application is hereby made for Per~nit to install ~Iectrical Equipment as follows: -rernp, seellu.~
Site Address
Wiring Method
("~Nt? .
USe OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
--12DV
10
240V
100R
30
FEE
USE"OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
'0
240V
100R
30
FEE
LIGHT
SIGN
50 VOLTS
OR LESS
MOT6A
LIGHT
CONVENIENCE
-.
CONVENIENCE
DISPOSAL
(\
MOTOR ,- <.:::,..\"
FIRE ALARM( )), \)
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MOTOR
APPLIANCE
f-----
DISHWASHER
.'
RANGE~
OVEN
WArEn HEATER
LAUNDRY
DRYER
FURNACE
GAS-Oil
FURNACE
ELECTRIC
ELEcn~IC HEAT
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
ELECTRIC HEAT
BASIC FEE "
TOTAL FEE ,11 ~.2 ~
SIZE OF SERVICE SWITCH OR CIRc:lJif BREAKER
A.C. UNIT
FEEDER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE.
SERVICE
AW.G.
I SUB- TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
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. Electrrcal Code.
Date Application made Ijis ,1985 By /J.<>> r{j~
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is here~y given to do the above described work, according to the conditions hereon and a~cordlng to the approved plans and
specifl.:ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
,?CTOR OF'CITY LIGHT
~C.NS1L~Oe,~ " Y~:r-
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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 Permit Issued
.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - O,lglnal CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
Ol1.MP1C P~!E_RS,INC.
f.
",',. 'i,;J."
REPORT OFINSP.ECTOR
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DATE OF VISIT MADE BY REMARKS
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Q .n '!7 O.K. FOR COVERING
^S I'i, , q.K. TO CONNECT SERVICE
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FINAL O.K.
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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
GAEXCHANGEWILDING
ELECTRICAL PERMIT'
CITY OF PORT ANGELES
-417-4735
Application Number
15-00001597 Date 12/22/15
Application pin number
656059
�J
Property Address
210 TUMWATER TRUCK RT
REPORT SALES TA
ASSESSOR PARCEL NUMBER:
06-30-00-0-0-4830-0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Name
SubdProperty .
to the City of Port Angeles
Pro ert Use . . . . .
Property Zoning . . .
INDUSTRIAL LIGHT
(Location Code 0502)
Application valuation
0
Application desc
Circuits gear lockers
Owner
Contractor
JONES WASH STEVEDORING COMPANY
APS ELECTRIC
PO BOX 3736
546 BENSON RD.
SEATTLE WA 981243736
PORT ANGELES WA 9836.3
(360) 452-6753
Permit . . . . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc 1-4 CIIRCUITS
Permit Fee 86.00
Plan Check Fee 00
Issue Date 12/22/15
Valuation 0
Expiration Date 6/19/16
Qty Unit Charge Per
Extension
BASE
FEE 86.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 86.00
86.00 .00 .00
Plan Check Total. .00
.00 .00 00
Grand Total. 86.00
86.00 .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
GAEXCHANGEWILDING
12/21/2015 09:07AM 3604526753 A.P.S. ELECTRICAL PAGE 01/01
After reading the aboverndat, I hereby car* Brat 1 an the owner of the above narned property or a tioensed ` racrrtra*r.. I am making
the " of . inwith theelectrical laws, N.E.C., RMChapter 19.2.8, WAC. Chapter 296-468, The City of Port
Angeles Munidpat Cade, and Mty S . and RAMC 14 .05.050 Electrical Permit Appliaabon
ftnabw of owner, decbrfcal cowactar orelechical adrMAkdor 0 roe o ChWk
WESrl$%G' ouou
CIITY OF PORT ANGELES PERwT
APPLId0xnoN
�
Building Division/ElectricsF Tns ' ns
�
321 East Fifth S —P.O. Nex 1150 t Pork Angeles waswognoia, 98362
'V
Ph: () 4174735 Faxt ) 1�74711
"
Dalo: a ��5
_V- MuWamly Cornml*
" Plan Review Be qfKWkw, P C" Plan evi vu Infarrrotion Sheet
Job A N i vt
F,_
of above "k ,-1 eco r lcycrlke, t —'
Owner kd
CoMrador
—
W .d1.�--.-
gMv
4'
7C:
irOa *-4
bm
tlrult �
1'ntat f II1nIt C
SeMmFeeft 200 Arrp.
$132.00
' 201400 Amp.
$160.00
SwMeFeeft 401-600 Amp
$ 225.00
*601-1000 Amp.
$288.00
$�
Swvke row 1000 Amp.
$ 410.00
Bram Cre(tt WI SwAm Feeder
$ 5.00
$
Bram Cund W/o Savlce Feeder
$ 74.00
'$
Each AddWW Cl wX
$ 5.00
$
Branch 0Wft CI"14
s 88.00 �
$�
Temp. Servtoei Feeder 200 Amp.
$10200
S
Temp. 2014MAmp.
$121.00
$�
Teprp 4o1�t90Amp.
$164.00
$
Temp. " eeoter 601-1000 Amp .
$.185.00
pbru tostn"
$ 88o
�.
Sinal CUVAU Limited Energy - MWx*
$64.00
$�,
Signal OmW Limited EwW r Fist 1500 sf — Comrnen;W
S 96.00
$, „
Note: XOO for each . 1500 sf
RenewaWe Sedikell Energy - SKVA System or Le_sa
$113,00
3
7hermoft
56.00
$
Note: WOO for each aWAkxW T-Stat
$ Total
Owner as defined by RCW.19.28.261: (1) Owner WD occupy the structure for two years aft this
peffl t Is fudbmd. (2) Owner Is mquked
to hire an electrieW mdraft.9 above said property Is sale, rent or lease. Perm #Vko atter * months of last lA .'
After reading the aboverndat, I hereby car* Brat 1 an the owner of the above narned property or a tioensed ` racrrtra*r.. I am making
the " of . inwith theelectrical laws, N.E.C., RMChapter 19.2.8, WAC. Chapter 296-468, The City of Port
Angeles Munidpat Cade, and Mty S . and RAMC 14 .05.050 Electrical Permit Appliaabon
ftnabw of owner, decbrfcal cowactar orelechical adrMAkdor 0 roe o ChWk
WESrl$%G' ouou