HomeMy WebLinkAbout1246 W Hwy 101 - Building "g*
CITY OF PORT .ANGELES
DEPARTMEN OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
3 21 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000136 Date 2/09/12
Application pin number 861120
Property Address 1246 W HWY 101 r
ASSESSOR PARCEL NUMBER: 06- 30- 08 -4 -3 -0030 -0000- REPORT SALES TAY.
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation 1700
Application desc
REPLACE WATER LINE METER TO BLDG
Owner Contractor
F RONALD BETTY J RICHMOND TT ANGELES PLUMBING INC
19310 226TH AVE NE PO BOX 1151
WOODINVILLE WA 98077 PORT ANGELES WA 98362
(360) 452 -8525
Permit PLUMBING PERMIT
Additional desc WATER LINE, METER TO BLDG
Permit Fee 57.00 Plan Check Fee .00
Issue Date 2/09/12 Valuation 0
Expiration Date 8/07/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00.
Grand Total 57.00 57.00 .00 .00
FI Inca 2.1 D'I2--
Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit be
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
lit 1' 41/
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
1..
BUILDING PERMIT INSPECTION RECORD c
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.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rouoh -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date VI I D I (ccepted
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
D all (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Roue h -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 its 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
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02/07/2012 10:50 3604528583 ANGELESPLUMBING PAGE 02/02
r•-. BUILDING PERMIT APPLICATION Print in ink
f CITY OF PORT ANGELES
o f,ftr.:' For City Use Only:
Attn: Building Permit Technician Date Received ,2-
321 E. Fifth St., Port Angeles, WA 98362 Perms y
(360) 417 -4815 fax (360) 417 -4711 pate Approved Ap
Applicant or Agent ANGELES PLUMBING, INC. Phone 452 -8525
Property Owner RANnY RTC:uMOND Phone 206 -498 -7985
Property Owner's Address 19310 -226th Ave NE, Woodinville, WA 98077
Contractor /Engineer ANGg rES PLUMBING_, INC: Phone 452 -8525
Contractor/Engineer's s Address P .o. BOX 1151, Port Angeles, WA 98362
License ANGELPI077KP Expires 5 -15 -2012
PROJECT ADDRESS 1246 W HWY 101 (Richmond 2 -Way Radio)
Parcel Number Lot Zoning
Prooiect Type B Brief Description: o Residential XCommercfal 0 Mufti family Industrial
Check all that apply
o New Construction
o Addition
Remodel
o Repair
Re -roof
Demolition
o Heat System Heat pump a wood- burning stove a gas fireplace 0 pellet stove other
*Other REPLACE WATER SERVIC
Floor Areas Existinc (so. ft) Proposed (so_ fit)
Basement a per sq. ft_
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 1.700.00
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
IAN a lawn sprinkler system be installed? Occupant load of full baths
VWI a fire sprinkler system be installed? Construction type of half baths
i have read and completed this application and know it to be true and correct. 1 am autfrorfied 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 2 17. Print Name DALE BRUNTZ Signature /akg
T_Forms/8uilding QIvlslerVBldg Permit Appl. -2006 Ccde.doc
't
PREPARED 12/20/10 9 23 05 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/20/10
ADDRESS 1246 W HWY 101 SUBDIV
TENANT NBR RICHMOND RADIO
CONTRACTOR ACE MICHAELS INC PHONE (360) 460 6172
OWNER F RONALD BETTY J RICHMOND TT PHONE
PARCEL 06 30 08 4 3 0030 0000
APPL NUMBER 10 00001416 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 12/17/10 JLL BLDG FINAL
12/17/10 DA December 17 2010 8 18 25 AM 1pangrle
MIKE 460 6172
BUILDING FINAL RE ROOF
December 17 2010 4 07 57 PM jlierly
hand rail required per code sliding glass door that has no
second floor landing has been secured by mechanical
fasteners /j11
BL99 02 12/2c/10 JLL BLDG FINAL
December 20 2010 9 18 33 AM 1pangrle
MIKE 460 6172
BUILDING FINAL
AND NOTES
Job Located at
u
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
a L) l�/ b
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
pi`e- a.KAZ 12/4,
F V 2
a
rc
L
These corrections must be made and are not to be
covered until reinspection is made When corrections
have been made, please call
for inspection
Date
'Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 12/17/10 8 19 51 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1246 W HWY 101 SUBDIV
RICHMOND RADIO
ACE MICHAELS INC PHONE (360) 460 6172
F RONALD BETTY J RICHMOND TT PHONE
06 30 08 4 3 0030 0000
10 00001416 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 12/17/10
BLDG FINAL
December 17 2010 8 18 25 AM 1pangrle
MIKE 460 6172
BUILDING FINAL RE ROOF
COMMENTS AND NOTES
s cam
Rat CDOe
INSPECTOR JAMES LIERLY
0 k_
nLL
PAGE 5
DATE 12/17/10
Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
eipp.L .Lau,v11 1vumUer 10 00001416
Application pin number 481120
Property Address 1246 W HWY 101
ASSESSOR PARCEL NUMBER 06 30 08 4 3 0030 0000
Tenant nbr name RICHMOND RADIO
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
RE ROOF LAY OVER ONE LAYER
Owner
F RONALD BETTY J RICHMOND TT
19310 226TH AVE NE
WOODINVILLE WA 98077
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
3 00
Other Fees
Fee summary
Print Name
T Forms /Building Division /Building Permit
COMMUNITY SHOPPING DISTR
4500
RE ROOF LAY OVER ONE
178434
137 75
12/02/10
5/31/11
Contractor
ACE MICHAELS INC
1329 W 10TH ST
PORT ANGELES
(360) 460 6172
RE ROOF LAY OVER ONE LAYER
BUILDING PERMIT NO PR FEE
LAYER
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Charged Paid Credited
Plan Check Fee 00
Valuation 4500
Permit Fee Total 137 75 137 75 00
Plan Check Total 00 00 00
Other Fee Total 4 50 4 50 00
Grand Total 142 25 142 25 00
Date 12/02/10
WA 98363
STATE SURCHARGE 4 50
Due
Extension
95 75
42 00
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
construction
frQ Civ.1 c
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
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
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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
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
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
,r PQ1c coun F Rondo\ 4 Be-A49 mond 19310 2_20 Ave. "E
Wooc∎l nviIle i WP
BUILDING PERMIT APPLICATION Print in ink R fso77
Applicant 1r Ace I ,G L S
A Property Owner &rL, tviav
Property Owner's Address
Contractor L\ p [IA
Contractor's Address l3 ,�9 (A)e5
License Expires
PROJECT ADDRESS
Floor Areas
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
e-P e -roof
Heat System
Other
Basement
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
a
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Date 1 d/c2 /i 0 Print Name
T Forms /Building Division /Building permit application
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Residential
r� rn a `c- N l
House garage other tear off re -roof Klay over one layer
Heat pump wood burning stove gas fireplace pellet stove °frier
Existing (sg. ft.) Proposed (sa. ft)
1 per sq ft.
Total footprint of structures '.sq if
Site Coverage the amount of impervious surfs, e on
and other impervious surfaces (see PAMC 17
I v--
i2o.c1
0/2) 1n i I.J.
Occupancy group
Occupant toad
onstruction type
Signature
Phone
Phone
Phone
E -ma11
uJes
Lot Zoning C5b
Multi- family tsmmercial Industrial
TOTAL VALUATION
size sq ft. Lot coverage
parcel including structures, paved d eways Sidewalks
35 for exemptions) Site coverage
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 fo wo kiggon project
For City Use Only
Date Received I- -z
Permit j (l —1. L-E 1
Date Approved
of bedrooms
of full baths
of half baths
patios
Clallam County Assessor Treasurer Property Details 63839 F RONALD AND BET Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 63839 F RONALD AND BETTY J RICHMOND TTES for Year 2011
2012
Property
Account
Property ID
63839
Geographic ID 0630084300300000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 64
Open Space N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Township Section
Range
Location
Address. 1246 W HWY 101 Mapsco
PORT ANGELES WA 98362
Neighborhood: Cycle 4 Comm Map ID 3
Neighborhood CD 20950140
Owner
Name. F RONALD AND BETTY J RICHMOND TTES Owner ID 48618
Mailing Address: 19310 226TH AVE NE Ownership 100 0000000000%
WOODENVILLE, WA 98077
Taxes and Assessment Details
Property Tax Information as of 12/02/2010
Amount Due if Paid on. RM.-
Legal Description
Exemptions.
TAX #S 6166 AND
1070 SUR V1 PG31
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid
2010 46248 ST SCH STATE SCHOOL $308 74 $308 73 $0 00 $0 00 $617 47
2010 46248 CC -GEN COUNTY CLALLAM $164.30 $164 30 $0 00 $0 00 $328 60
2010 46248 PORT PORT OF PORT ANGELES $23 09 $23 09 $0 00 $0 00 $46 18
2010 46248 PORT ANG CITY OF PORT ANGELES $380 41 $380 40 $0 00 $0 00 $760 81
2010 46248 SD #121 SCHOOL DISTRICT #121 $399 90 $399 89 $0 00 $0 00 $799 79
2010 46248 NTH OLY LIB NORTH OLYMPIC LIBRARY $47 74 $47 74 $0 00 $0 00 $95 48
2010 46248 HOSP #2 HOSPITAL #2 $67 40 $67 40 $0 00 $0 00 $134 80
2010 46248 WSMET PK DIST WILLIAM SHORE NTE PARK DIST $21 44 $21 45 $0 00 $0 00 $42.89
2010 46248 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00
2010 46248 FIRE_PATROL FIRE PATROL $8 70 $8 70 $0 00 $0 00 $17 40
2010 46248 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63
2010 46248 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0 00 $0 00 $0 50
2010 46248 TOTAL. $1458.79 $1458.76 $0.00 $0.00 $2917.55
2009 638392008 ST SCH STATE SCHOOL $322.38 $322.37 $0 00 $0 00 $644 75
2009 638392008 CC -GEN COUNTY CLALLAM $163 15 $163 15 $0 00 $0 00 $326 30
http. /vpn.clallam.net 8084 propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =63 12/2/2010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
WUGA water service /connection fee
Owner
F RONALD RICHMOND FAMILY TRUST
1246 W HIGHWAY 101
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
T 1Policies11102.15 [10/08]
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983639423
163055
00
3/30/10
9/26/10
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000160
066240
1246 W HWY 101
06 30 08 4 3 0030 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
OWNER
PUBLIC WORKS COMM WATER SERV
Plan Check Fee
Valuation
Date 3/30/10
WUGA WATER CONNECTION 7500 00
Charged Paid Credited Due
00 00 00 00
00 00 00 00
7500 00 7500 00 00 00
7500 00 7500 00 00 00
00
0
Separate Permits are required for electrical work, SEPA, 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 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 Authorized Agent Date Signature of Owner (if owner is builder) Date
-R3
CALL 417 -4831 FOR UTILITY INSPECTIONS. 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
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102 15 [10/08]
INSPECTION TYPE DATE ACCEPTED
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
I BUILDING
COMMENTS
Jan 29 2014 12:21PM Olympic Electric Co., Inc 3604523498
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Strut —P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (364) 417 -4711
Date. �L
Z Multi- Family or Commercial*
page 1
NMI, 03,
JAN 3 0 201;
FLECTRICAL
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above_
Owner Iniormatio
Name:
Maili Addres : i �'i
City: r State: Zlp:
_ _
Phone: 6 %-Z � Far
License 91Exp,
Item
Unit Charge
Service)Feeder 200 Amp.
$132.00
Service /Feeder 2DIA00 Amp,
$160.00
Service /Feeder 401 -600 Amp
$ 225.00
ServicelFeeder 601 -1000 Amp.
$ 288.0Q
SarvicWPeeder over 1000 Amp.
$ 410.00
Branch Circuit WY Service Feeder
$ 5,00
Branch Circuit VV/0 Service Feeder
$ 74,00
Each Additional Branch Circuit
$ 5.00
Branch Circuits bd
$ 86,00
Temp. Service/ Feeder 200 Amp.
$102.00
Temp, Service/Feeder 201 -400 Amp,
$121.00
Temp, Service/Feeder 401 -600 Amp,
$164.00
Temp, ServicelFeedar 601 -1000 Amp .
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline Lighting
$ 88,00
Signal Drcu!U Limited Energy — Mulffamiiy
$ 64.00
Signal Clrcuitl Limited Energy 1 First 1500,9f — Commercial
$ 96,00
i+Jo1e: $5.00 for each additional 1500sf
Renewable Electrical Energy - 5KVA System or Lm
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T -Slat
Contractor Information
Name: OLYMPIC ELECTRIC
Mailing Addresa: 4230 TUMWATER
City: PORTAIVCeLES State: VJA Zip: "363
Phone:3eo -0s7 -5303 Fex� 360-062 -3498
License }# / EXp OLYMPECMD1
]I Total Multiplied by Unit Cha e
$
$
$
$
$
$ Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electricai 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, WAG. 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- 12 Cash ❑ Chock
3 Crodd CarI p
ZX , d:
01/0112012
d
Ao. .j ?flRrq��� ELECTRICAL INSPECTION
�r �N
WIRING REPORT
RKS 417-4735
DATE 2_3 J�
FIERIM11
V
INSPECTOR
OWNER
CONTRACTOR
ADDRESS
;'Z-t4
/01
APPROVED NOT APPROVED
® .... - - ..... ......DITCH ....................
0......... , ...... ROUGH IN /COVER ...............
0 ............... .....SERVICE..................
El ........... FINAL ....................
J CORRECTIONS NEEDED: Srz i �0� -rbe) K Rw'4JZT-
2 ! �� W i'�'rL.. IJ�7 L i..� � � , i� t 5c�..o �•J u � � ��
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
& 417-4735 5
ELECTRICAL INSPECTION
WIRING REPORT
��RKS
DAT PERMIT H INSPECTOR
OWNER /CONTRACTOR
ADDRESS
1-�LL4 ( tl) �tWO loJ
APPROVED NOT APPROVED
❑
.................... DITCH ............. ....... ❑
D.. . ............. ROUGH IN /COVER . , ............. ❑
❑ ................ ....SERVICE.................. Ir
El., . . ...... .......... FINAL .................... ❑
CORRECTIONS NEEDED:
Z� c -l- sod_ °Tc, A- u--o Lj 17$ z
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
OLYMPIC PRINTERS, INC. {366} 452 -1331
rte
INSPECTION TYPE
DATE:
411_--
INSPECTOR:
ELECTRICAL PERMIT
SERVICE
ROUGH -IN
2 [-3))
CITY OF PORT ANGELES
C7
360 -417 -4735
C7
Application Number , . ,
14- 00000104 Date 1/30/14
Application pin number , . ,
836712
Property Address , . , . , ,
1246 W HWY 101
REPORT .SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-08-4-3- 0030 -0000-
Application type description
ELECTRICAL . ONLY
on your excise tax form
Subdivision Name , .
to the City Of Port Angeles
Property Use ,
Property Zoning , , , ,
COMMUNITY SHOPPING DISTR
(Location Cade 0502)
Application valuation , . , .
0
Application desc
Service repair
Owner
Contractor
s
F RONALD & BETTY J RICHMOND TT
OLYMPIC ELECTRIC CO INC
19310 226TH AVE NE
4230 TUMWATER
("
WOODINVILLE WA 98077
PORT ANGELES WA 98363
r1�
--- - - - - -- - ------- ---- ---- - - - - --
(360) 437 -3303
-
Permit , , . , , , ELECTRICAL
ALTER COMMERCIAL
Additional desc .
Permit Fee. 166.00
Plan Check Fee .00
Issue Date 1/30/14
Valuation . . . . 0
Expiration Date 7/29/14
Qty Unit Charge Per
Extension
1.00 160.0000 ECH EL -COM
201 -400 SRV FEEDER 1,60.00
Fee summary Charged
Paid Credited Due
----------------- ---- - - - - --
---------- ---------- - - -� -- - - - - --
Permit Fee Total 160,00
160,00 ,00 .00
Plan Check Total 00
.00 .00 .00
Grand Total 160.00
1.60.00 ,00 0D
rte
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
2 [-3))
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIB U ILDING
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
GAEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
--s
Application Number . , , .
15- 00001579 Date 12/17/15
Application pin number . , .
684349
Property Address
1246 W HWY 101
ASSESSOR PARCEL NUMBER;
06- 30- 08 -4 -3 -0030 -0000-
Syr
REPORT SALES TAX
Application type description
ELECTRICAL ONLY
ony your excise tax form
subppev7tyzUs Name
Pro ert Use
to the City of Port Angeles
Property Zoning . , . , . . .
COMMUNITY SHOPPING DISTR
�r net
(Location Mode 0502)
Application valuation ... . .
0
Application desc
Septic sewer grinder system
Owner
Contractor
------------------------
F RONALD & SETTY J RICHMOND TT
------------------------
EXTRA MILE TECH & ELECT., LLC
19310 226TH AVE NE
418 N. RACE ST,
WOODINVILLE WA 96077
PORT ANGELES WA 98362
------------- -- _--------- _- -- _--- _- _-- -
- (360) 457 -5222
- - - -- -- ��`'+��111���h►.t'c7�
Permit . . I . . . ELECTRICAL
ALTER COMMERCIAL
Additional desc , .
Permit Fee 79.00
Plan Check Fee 0p
72ry e ❑ate 12/17/15
Valuation 0
Expiration Date 6/14/16
Qty Unit Charge Per
Extension
1,00 74.0000 ECH -EL -COMM
BRANCH CIR WO/ S/E 74.00
1100 5.0000 ECH EL -ECH
ADDNT BRANCH CIRCUIT 5.p0
-------------------------------------------------
Fee summary Charged
:-- -- --- --------------- -.....
Paid Credited Due
- ----- ---- - --- --- -- -- - - - - --
Permi.t Fee Total 79.00
---- - - - - -- ---- - - ---- ---- - - - - --
79,00 00 .00
Plan Check Total 00
.00 00 .00
Grand Total 79.00
79,00 QO 00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.
GAEXCHANGEIBUILDING
* Plan Review May Be Required, Please omplefe lectrical Plan Revfew Information Sheet
Job Address:
Building Square Fwt�ge:
Description of above =-L—
Omer n 0
Name, e;F L
Marm
City:_ V�
ftne: 0 L 14- Far,
Ucensew/ET-
Item
2GO Amp,
$132-00
ServicelFeeder 201.400 Amp.
$ 16D,00
Sorvi Amp
$226.00
SWICO/Feader 601 -1000 AMP,
$268,00
ServIce/Fesder over 10(1) Amp.
$410.0
Branch Circuit WI'Wice Feeder
5.00
Branch Circuit W/O Sorvloa Feeder
74.00
Each Additional' l3nmuh Circuit
5.00
Branch Circuits 14
BUD
Temp. Servicel Feedat 200 Amp.
$102,00
Temp, ServlwiFeeder 201-40D Amp.
$121.00
Tbrnp. ServWFeeder 401-600 Amp,
$164.00
Temp. Sorvirmjk:oor G01 -1000 Amp
$ 185.W
Portal to Portal Hourly
$ 90.00
Sigri/) 0uia Lighting
$ 68 a
Signal CircLff Limilod Ennygy — Mulf-Family
$ e4,u
Signal C!qVd Umited Energy I Firist 1500 sf — Coiniverdal
$ 913M
Note: $5,00 foreach addr9onal 1500 of
Renewable EloGtriced Energy - 6KVA System or LesS
$113,00
Thermostat
$ 56,0D
lqoiT $5.00 for earth additional T-W
1Vao in r Informann
Z Kt'11611 M. L'F
C-
yotai UY M—U&Ii 404b �Uch nr
Total
Owner as defined by ROW 9,28.261, (1) Ownurwili spy the structure for two years after this electrical permit is finalized. (2) Omer is required
to hire an elacbicRt contractor if above said property is for sale, rentor lease. Permit expires after* manft of 18stinspectlan,
After rea(fing th a above statement, I hereby certify that I am the owner of the above named property or a 11mrased electrical mntraflor. I am malting
the electrical instaff4on or alteration in romp la iMth the electrical faros, KE.C., RCW. Chapter 19-28, WAQ Chapter 296468, The City of Port
Angeles Municipal Code, and UH4 Specifications and PAMG 14.05.05.0 regarding Electrical Permit Applications.
Wqnstwe of owner, .et cot contmetos, or ejectilical 0 cash E) chcdt