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Home My WebLink About1010 C St - BuildingS 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 following: Use Classification: Business Building Permit No.: 06 -1092 Business Name: Roots FinishinL Mill Work Group: B Type of Construction: V -N Use Zone: CN Port Aneeles. WA. 98382 Port Aneeles. WA. 98362 October 30. 2006 Date Owner of Business: Sean A Root Address: 1010 S. C Street B�ilding Address: 1010 S C Street Plann0 Manager Post on the premises in a conspicuous place. No. 139 Shall not be removed except by Building Official. 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 following: Use Classification: Business Building Permit No.: 06-773 Business Name C J I S. Group: B Type of Construction: V -N Use Zone: CN Owner of Business: Terry Hoch Address: 1010 S. C Street Port Angeles. WA. 98382 Building Address: 1010 S. C Street Port Angeles. WA. 98362 October 30. 2006 Planir n Manager Date Post on the premises in a conspicuous place. No. 135 Shall not be removed except by Building Official. f I 1 0 iml, c7,�j Ws htil5m'i, M1U, wxk-- ROUTING SLIP ��POHigNQE C� Certificate of Occupancy $50.00 Certificate /Inspection Fee DATE 10-- 3 2-0o 6 New Business Address of Proposed Business Transfer of Business Location 10 10 4r. L S+ Change of Ownership Applicant Se_'O"' R.30 New Building Address .1010 S- Remodel Pow AK ,ee_)cs, wA zmio Temporary Business Phone: business 'YS Z -SS 76 home i�6/ Change of Use Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: �ra Zoning Classification of Property: 1 WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons L 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop Work done in City right -of -way 10) Water meter installation 10) Other Is there sufficient off street parking? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter 17) Other Other. 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. AP REJECTED L PROV IV- 0-6L Sk, k0b to -3-K% -(a Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Date: 10-3-2-006 Signed: 1 Comments Conditions '3 �u ROUTING SLIP e icate of Occupancy $50.00 rtificate /Inspection Fee DATE 1JP1C)6 Address of Proposed Business Applicant S Address Phone: business ys a -.SS '7- home New Business Transfer of Business Location Change of Ownership New Building Remodel. Temporary Business Change of Use Brief description of proposed business: {�fj /It ¢-J Mgt A ..r Z i A cam. a Y Legal Description: Lot /�ij9 dE Block Subdivision Current Use of Property: Zoning Classification of Property: LLW r, 0 WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes 1) k Electrical changes Plumbing 2) Mechanical (heating, cooling, stoves) 3) Y Plumbing changes 2nd Hand Dealer 4) New or relocated signs 4) 5C New septic tanks Sewer X New sewer service 6) Y Admission charged to patrons Hotel Motel 7) Is this a home occupation? 7) Fireworks Excavation of filling of lots Curb installation V Work done in City right -of -way 9) Sidewalk obstruction Is there sufficient off street parking? X 10) New driveway openings 10) X A grading plan for site drainage Fire X (parking lots, downspouts, etc.) 12) Y Are the existing streets paved? X 13) Are there existing sidewalks? V Is there curb and gutter X Other......... 15) Home occupation 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 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. AP R VE REJECTED Building Section Public Works Department I9 cite Planning Department Fire Department $-ol. bL City Clerk P.B.I.A. Date: Signed: Comments Conditions OP POFi 1N cX CITY OF PORT ANGELES $0.00 Misc Fee 2: DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 4 a 321 EAST 5TH STREET, PORT ANGELES, WA 98362 $0.00 ISSUED: 9/12/2002 PERMIT NO: 13708 OWNERIAPPLICANT ROGER PIERCE 2303 NW 69 TH ST. VANCOUVER, WA 98665 360/695 -1446 T: CONTRACTOR PETTIT OIL 638 MARINE DR PA, WA 98363 -0000 800/972 -7002 PROJECTINFO PROPERTY LOCATION 1010 CST S Lot: N 60' OF 19 20 Block: 318 Long Legal Subdivision: TPA S: Parcel No: 063000031882000 ARCHITECT N/A 98360 -0000 360/000 -0000 Project Value: $700.00 SFD Units: Project Type: PROPANE TANK SFD SQ FT: Occupancy Type: COMMERCIAL Occupancy Group: MFD Units: Construction Type: MFD SQ FT: Zoning Use: CN PROJECT NOTES INSTALL PROPANE 2 -120 GAL TANKS AND LINES RECEIPT#9685 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 Misc Fee 1: $0.00 $0.00 Misc Fee 2: $0.00 $0.00 Misc Fee 3: $0.00 $0.00 $0.00 $0.00 TOTAL FEE: $35.00 $35.00 AMOUNT PAID: $35.00 $0.00 BALANCE DUE: $0.00 $0.00 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 fora 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 0 Commercial: 0 0 Industrial: 0 Garage: 0 0 0 0 G l" J\ I TAPLANNING \F0RMS \1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED VES I NO FOUNDATION: FOOTINGS I I WALLS FOUNDATION DRAINAGE I I I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:4 ROUGH -IN I I I PLUMBING UNDERFLOOR /SLAB I I I ROUGH -IN I I I WATERLINE I I I GAS LINE 11 I L ��Z �Z I t—lzW I BACK FLOW WATER AIR SEAL WALLS CEILING I I I I FRAMING JOISTS GIRDERS I I I I SHEAR WALL WALLS /ROOF /CEILING I I I I DRYWALL T -BAR I I I I INSULATION SLAB I I I I WALL FLOOR CEILING I I I I MECHANICAL HEATPUMP I I I I WOOD STOVE /PELLET /CHIMNEY I I I I HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT 4's: WATERLINE METER I I I I SEWER CONNECTION I I I I SANITARY I I I I STORM I I I I PLANNING DEPT. SEPARATE PERMIT 4's I SEPA: LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT. CONSTRUCTION R.W. PW/ ENGINEERING FIRE PLANNING DEPT. BUILDING I I I I ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE I DATE I YES I NO I COMMERCIAL 417 -4735 417 -4807 417 -4653 417 -4750 417 -4815 ELECTRICAL LIGHT DEPT CONSTRUCTION KW. PW ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING COMMENTS DATE I ACCEPTED YES I NO I T: \PLANNING \FORMS \1102.15 [4/2002) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: `7 Date 1 Z �J Time Received by I✓ (phone, person) Location of Work to be inspected G in Jrh Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney INSPECTION NOTES: Inspected: Date Remarks: C ST Phone No. p Permit No. L3 7 QSL Plumbing o tsewer Excay. Other Time g� r RESTORATION REQUIRED YES NO I SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Asphalt PCC Repaired by City Repaired by Permittee ❑I No Damage Found Work Order COMPLETE INCOMPLETE Other (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES r DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 as ISSUED: 7/19/2002 PERMIT NO: 13577 OWNER/APPLICANT ROGER PIERCE 2303 NW 69 TH ST. VANCOUVER, WA 98665 360/695 -1446 T: CONTRACTOR PENINSULA HEAT 502 W. 8th Street Port Angeles, WA 98363 360/457 -2775 PROJECTINFO PROPERTY LOCATION 1010 CST S Lot: N 60' OF 19 20 Block: 318 Long Legal Subdivision: TPA S: Parcel No: 063000031882000 ARCHITECT N/A 98360 -0000 360/000 -0000 Project Value: $3,150.00 SFD Units: Project Type: LP- GAS /STOVE SFD SO FT: Occupancy Type: Occupancy Group: MFD Units: Construction Type: MFD SO FT: Zoning Use: CN PROJECT NOTES INSTALL PL HEATING UNIT, LOW VOLTAGE THERMOSTAT RECEIPT#9459 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 Misc Fee 1: THERMOSTAT $34.40 $0.00 Misc Fee 2: $0.00 $0.00 Misc Fee 3: $0.00 $0.00 $0.00 $0.00 TOTAL FEE: $72.70 $0.00 AMOUNT PAID: $72.70 $38.30 BALANCE DUE: $0.00 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 0 Commercial: 0 0 Industrial: 0 Garage: 0 0 0 TAPLANNING\FORMSU 102.15 14/20021 rORT FOR O Ot'tte Dds Rx BUILDING PERMIT PREAP'PLICATION PraAp Camp1A87 The Building Permit Pnapplieatton must befdled out CO tpletely. Ora Appmvet Please typ or print in hilt. If you have any questions, please call 417 -4815 Applicant and/or Agent: e %17ai -1D r krS[.Y0 Phone: 7 -�3 77S Owner: R1 o"'j- Phone: Address: NPL/ h Sf City: L� Cc %u hG� �Z�`� Zip: CIinl.S� Architect/Engineer: Phone: Contractor Peli l t Szi Id lk4 ,vii License #AMiuFLUjA5 WP: Phone:ll �"7 775 Address:, LAI C P) City: �Qf �Q v Cam. Zip: PROJECT ADDRESS: 10 i C) C c 4— LEGAL DESCRIPTION: Lot: Block: Subdivision: TYPE OF WORK: SIZFJVALUATION: Residential New Constr. o Rc=f o Woodstove SF. S /SF. S C Multi- family Addition o Move Garage SF. S /SF. S NCornmercial Remodel o Demolition o Deck SF. Qa S /SF. S o Repair o Sign TOTAL VALUATION 3tB B REEF DESCRIPTIONOF THE PROJECT- lxtr, t, 1_� kDCt+1vire �y'itn t /n 'VVLYtVI (Ik,$s LW� 11ni+ 3/`2 50 f rntt. �r� n, t�'•; 1-1��¢� 0 COMMERCIAIIRESIDENTTAL. Occupancy Group: Occupant toad: Construction Type: No. of Stories: Lot Size: Lot Coverage: °h Existing Lot Coverage: Isq. R Proposed Lot Coverage: /sq. R TOTAL LOT COVERAGE: /sq$ PLANNING USE ONLY: APPROVALS: PLAN Permits Required: Notes: BLDG Max. Height: Setbacks: Zoning: DPW Site Plan and Use Approved by: Date: FIRE ESA/Wedand(s): o Yes No SEPA Checklist required? Yes o No Other: OTHER PREAPPLICATION SUBMITTAL• Your application and site plan must bojWed out compldely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building coasWetion Plans are to be submitted to the Building Division. Any addition larger than 500 sq. M will need a Preapplication Review. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Pcnait Coordinator at 417-4815 for assistance. ?LkN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans arc submitted All other ermit fees are due at the time of permit issuance. sXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by imitatietms The Building Official can «wand the time for scuon by the applicant up to 180 days, on written request by the applicant (see Seddon 104(d) of the Uniform Building Code, current edition). No application can be extended more than once. hereby certify that I have read and examined this application and know the some to be true and cornet, and I am authorized to apply for his permit. I understand it is not the City's legal respauibiliry io determine what permirr required; it remains the applicant's esponsibility to determine what permits are required and to obtain such. Applicant fit 1( Date: 1 r :C:tDATA1W1'mKEEPgRSmaIDAPP.FRM ~�071mr.7N61 CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A n004_3-- PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT O E1 -ECTSI TOTAL FEE -34 OC3 I I I I CO Y�1 (hCrEta CONT. LIC. NO. I TIME TO COMPLETE I NO. STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address N In C COR ADD 1 RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner r T rtt "AK Installation By 1 0 Ear r. w �P V V r sn7,hc. (w 11 Owner's Address 1 S C_ Installers Address j I (nR tq+ 1 t1 lt2aht' 1— Day Phone Installers Phone I 4 1 Application is hereby made for Permit to install Electrical Equipment as follows: VI I r to c 't S O 1 '1 A h n13Lh_ Wiring MethoH USE CIRCUIT LIGHT' LIGHT CONVENIENCE I CONVENIENCE APPLI�NCE DISHWASHER DISPOSAL RANGE OVENI WATER HEATER LAUNIPRY DRYER FURNACE GAS; OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE NUMBER AMP CIflCUITSI PER CIR I I I I I I I I I _I I I I I I I I I I I I I I I I I -I I I I I I I I I I I 120V 10 SUB -TOTAL 240V 1 0 OR 30 FEE I USE OF CIRCUIT Cl TS SIGN OR LESS ESS I I MOTOR MOTOR I I MOTOR FIREALARMS BURGLARALARM MISC. I I I II I I II I I REINSTALLATION LIGHT FIXTURE 0 I I SUB TOTAL FEE I I ENERGY FEE BASIC FEE AMP PER CIR 20 120V 10 240V 100R FEE 30 I I I I X W V I I TOTAL FEE 00 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. 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. Electrical Code. Date'Application made `I 19 R By CO TRACTOR OR 04NNER (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. .1 CTO F CITY LIG-H�T!�, Date Permit Issued By PLANS APPROVED r/ 10- -I.- l WARNING I I PIC PRINTERS, INC. 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report RE I DATEOFVISIT I MADEBY 111 I I I I I I I I I I I 1 I I I I i I j I I I� PORT OF INSPECTOR REMARKS I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I 12 I A I O.K. FOR COVERING /D, /IS /A1 O. K.40 CONNECT SERVICE /�r�'71' •U I FINALO.K. 1 I 1 1 1 1 Z Coe 1 1 Z i W I 1� Z 0 0 1 t 1 I 1 I 1C' i 1 4 0 CITY OF PORT ANGELES A 00 FEE RECEIPT NUMBER DEPARTMENT OF LIGHT PERMIT NUMBER I APPLICATION AND ELECTRICAL PERMIT I Et IL M TOTAL-FEE of GL FCTSI J,4111 1 I I I r `r 7 CONT. LIC. NO. I TIMETOCOMPLETE I NO. STORIES I LEGAL OCCUPANCY t ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address I --n CORRECT ADD A SS IS RESPONSIBIL OF APPLICANT PERMITS WITH WRONG ADD ESSES ARE CANCELLED Owner I h�S t n 6lnt+g 1 nx, I��y �.r�Installation By ��FCi'riL SerVue- 1 11 Owner's Address 1010 S. C Installers Address T1i4 Ylrn ca.-:t Q Day Phone r I S Z -7 1.42 Installers Phones /.t S 2 4 1 Application is hereby made for Permit to install Electrical Equipment as follows: �nnK �To P Q u ornenl /r N Of Y eC¢ 0j 4Ck5 y r Wiring Method CorLd".1 USE OF CIRCUIT LIGHT LIGHT CONVENIENCE CONVENIENCE APPLIANCE DISHWASHER DISPOSAL RANGE I OVENI WATER HEATER LAUNDRY DRYER FURNACE GAS a OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE NUMBER AMP CIRCUITS PER CIR I I I I I I I I I I I I- I I I I I I I I I I I I I 120V 240V 0 1 0 OR 30 I I SUB -TOTAL SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. I I 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 wi the N.E.C. Electrical Code, Date Application made X11 ?I-t IT 19� B Lt Y I 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 speciflcatlons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. By n T CITY LIGHT A Date Permit Issued PLANSSAAAPPP /ROVED I r s r,5--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 vuov.RRiNTERS.INC. 1 20 FEE USE OF CIRCUIT ICIRCU RER I 1 0 FEE TS CIR SIGN I I I I I OR LESS I I ESS I I I I I I I MOTOR I I I I I MOTOR MOTOR I I I I I FIREALARMS I I I I I IIBURGLAR ALARM MISC. II I I I I I II I I I I REINSTALLATION LIGHT FIXTURE N I i SUB TOTAL FEE I i ENERGY FEE BASIC FEE TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. I I 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 wi the N.E.C. Electrical Code, Date Application made X11 ?I-t IT 19� B Lt Y I 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 speciflcatlons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. By n T CITY LIGHT A Date Permit Issued PLANSSAAAPPP /ROVED I r s r,5--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 vuov.RRiNTERS.INC. REPORT OF INSPECTOR DATE OF VISIT I MADEBV I REMARKS 17 sw/POlt T eo Wo r7 rb m aP i C L I I I /ivsr .2;1,d Ou I I I I I I I I I I I I I I I I I I I I I I O.K. FOR COVERING L O_ .K. TO CONNECT SERVICE I FINAL O.K. 1 C i dl-A //Kr CITY OF PORT ANGELES LIGHT DEPARTMRHT ELECTRICAL PERMIT 41 Nl) 16636 Port Angeles, W ashington F.- A .5' 19- In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do algtrical work as listed below. Address Occupancy Owner .C- 4 t Wiring Contractor 1/se/ Light Outlets Receptacle Out lets Dryer, KW Range, KW Water Heater: KW- A S "Heat: KW Motors: size, volts and phase: Total Remarks: By.. Service, volts l05.. No wires Size Main fuse Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No..-------------------------------......----- Ser. No Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility................ Heat.. Range.............. Water Heater Motor..._ Dryer.............................................. Furnace Total Permit Fee Tress. Receipt No.- By NOTICE— Current must not be turned on until Certificate of Inspection has been issued. Il work is to be con- cealed due notice must be given the inspector so that work may be inspected before concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address Owner N? 16636 Wiring Contractor................................... By NOTIC1rCurrent must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. v" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC 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 Application desc RE ROOF LAY OVER ONE LAYER 10 00000142 Date 2/10/10 102376 1010 C ST 06 30 00 0 3 1882 0000 C J CABINETS RE ROOF COMMERCIAL NEIGHBORHOOD 7470 Owner Contractor ROGER ANITA PIERCE LARRY S ROOFING 1010 S C ST 352 AVIS ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 5576 (360) 452 2215 Structure Information 000 000 RE ROOF LAY OVER ONE LAYER Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF LAY OVER ONE LAYER Permit pin number 160796 Permit Fee 179 75 Plan Check Fee 00 Issue Date 2/10/10 Valuation 7470 Expiration Date 8/09/10 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 179 75 179 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 184 25 184 25 00 00 t YY 22 i o 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. rovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a e it do not resume to give authority to violate or cancel the provisions of any state or local law regulatin ction o he performance of cons ction. rb 21 10- 10 m Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Fonns/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD G r 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By I Comments FOUNDATION Footings I I I Stemwall I I I Foundation Drainage Downspouts I I I Piers I I I Post Holes (Pole Bldgs) I I I PLUMBING Under Floor Slab I I I Rough -In I I I Water Line (Meter to Bldg) I I I Gas Line I I Back Flow Water I I I FINAL Date Accepted by AIR SEAL. Walls I I Ceiling I I I Q FRAMING Joists Girders Under Floor I I I Shear Wall Hold Downs I I I Walls Roof Ceiling I I I Drywall (Interior Braced Panel Only) I I I T -Bar I I I INSULATION- Slab I I I Wall Floor Ceiling I I I V) MECHANICAL. Heat Pump Furnace FAU Ducts I I I Rough -In I I I Gas Line I I I Wood Stove Pellet Chimney I I I Commercial Hood Ducts I I I FINAL Date Accepted by MANUFACTURED HOMES Footing Slab I I I Blocking Hold Downs I I I Skirting I I I PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Cb Fire 417 -4653 Planning 417 -4750 Building 417 -4815 C X 0 rN fll H j-Z- 10 T:Forms /Building Division /Building Permit 11 °xr 44r BUILDING PERMIT APPLICATION 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 Property Owner viefa Property Owner's Addresh p Contractor 64'f ,aoi1"+ Contractor's Address 35Z TCU+S St Y1' License Expires V PROJECT ADDRESS Parcel Number Proiect Tvpe Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition For City Use. Only Date Received Z-.I 0 l0 Permit 10 1 1 Date Approved Phone 40- a6 Phone q g2 557 (p Phone Z2,6 E -mail Lot Zoning Residential Multi- family X Commercial Industrial .V Re -roof House garage other tear off re -roof ),I lay over one layer Heat System Heat pump wood burning stove gas fireplace pellef stove other Other Floor Areas Existin (sq, ft.) Posed (gp. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other per sq ft. TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will 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. I am ,Nthoriz to apply,for is permit and understand that it is my re,�po nsibility to determine wherm,t., e req fired, and to obtain permits pt for t orkirg o jects Date Z/ 10 -10 Print Name 1 6'0 Signature CO-tz:. T Fu ns!Building Division /Building pernit appl6_a 3E> 1 1 0 1 it -jr, i 4 w f Clallam County Assessor Treasurer Property Details 59173 ROGER/ANITA PIERC Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 59173 ROGER /ANITA PIERCE for Year 2010 2011 Property Account Property ID 59173 Legal Description N 60' LOTS 19 20 BL 318 Geographic ID 0630000318820000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 63 Open Space N DFL N Historic Property N Remodel Property N Multi-Family Redevelopment: N Location Address: 1010 S C ST Mapsco PORT ANGELES Neighborhood Cycle 5 Comm Map ID Neighborhood CD 20953140 Owner Name ROGER /ANITA PIERCE Owner ID 46385 Mailing Address. 1010 S C ST Ownership 100 0000000000% PORT ANGELES WA 98362 Exemptions. Taxes and Assessments Due Property Tax Information as of 02/10/2010 Amount Due if Paid on. Statement Year ID Taxing Jurisdiction 2009 591732008 ST SCH STATE SCHOOL 2009 591732008 CC -GEN COUNTY 2009 591732008 PORT PORT 2009 591732008 PORT ANG PORT ANGELES 2009 591732008 SD #121 SCHOOL DISTRICT #121 2009 591732008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 591732008 HOSP #2 HOSPITAL #2 2009 591732008 CITY_STORMWATER CITY STORMWATER 2009 591732008 WEED WEED CONTROL 2009 591732008 TOTAL. First Second Half Half Base Base Due Due Penalty $15027 $150.26 $000 $7606 $7603 $000 $1077 $1077 $000 $16681 $16680 $000 $18581 $18586 $000 $22.10 $22.09 $000 $31 19 $31 19 $000 $4700 $4700 $000 $081 $082 $000 $690.82 $690.82 $0.00 Base Amount Interest Paid Due $000 $30053 $0 00 $000 $152.09 $0 00 $000 $21 54 $000 $000 $33361 $000 $000 $371 67 $000 $000 $4419 $000 $000 $62.38 $0 00 $000 $9400 $000 $000 $1 63 $000 $0.00 $1381.64 $0.00 NOTE If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE to obtain the correct total amount due. Values Improvement Homesite Value N/A Improvement Non Homesite Value N/A Land Homesite Value N/A Land Non Homesite Value N/A Ag Timber Use Value Curr Use (HS) N/A N/A Curr Use (NHS) N/A N/A http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =59 2/10/2010 Noith Peninsula Electric 928 -9409 p 1 PO' F,1... CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Elcctrical lnspections 321 East filth Street — P.O. Sox 1150 /Port Angeles Washington �8�b pp��,� ® 2014 Ph: (360) 417 -4735 Fax: (360) 417 -4711 {*,, ELECTRICAL pate; ` I �`4 u 4 ffe Multi - Family or Commet RCTION 'Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address Building -- Square Footage: Descriptbn of above Owner lrlforrnatlon Name:' Y C_ Mal! Addrem: U Phone; Fax; u License #! Exp. Item Servica Feede•200 Amp. ServicNFeeda-201-400 Amp, ServicelFeeder 401 -60C Amp Service/Feeder 601 -1000 Amp. ServicelFeeder over 1000 Arnp. Branch Circull W/ Service Feeder Branch Clrcult W10 Service Feeder Each Additional Branch Circuit B; anal Clrcults 14 Temp. Servicel Feeder 200 Amp. Temp, ServiceiFeeder201- 00 Amp. Tarp. ServJmFeeder401400Amp. Tamp, Service/Feeder 601 -1000 Amp . Pa-tat to Portal Hourly Signloull ne Lighting Signal Circuit/ Limited Energy - Mulli -FamE y Signal Clrcult! Llmlted Energy 1 Firs] 1500 sf - Commercial Note: $5.04 for each additi 1504 sf Renelvake Electrical Energy • 5KVA System or Lass Thermostat Note: $5.00 for each additional T -Scat Unit Charge $132,00 $160,00 $ 225.00 $ 288.00 $ 410.00 $ 3.04 $ AM $ 5.00 $ 96,00 $ 102,00 $121100 164,00 $185.00 $ 96.00 $ 86.00 $ 64.00 $ 96.00 $113.00 $ 56.00 Contractor In o atlon Name: "� Mailing iddr . 'iJ '~' I r ,n Ar P, City: State Zi phcne:" -1 Fax' r 7— LU Lfcerse # 1 £xp, rK ,%r e_ == Qtv Total Multi lied by Unit Charnel $ $ $ $ $ $ S S Total Owner as defined by RCW.19.28,261: (1) Owner will oc mpy the structure For two years after this electrical permit Is finalized. (2) Owner is required to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of {ast inspecw.. After reading the above statement, I hereby certify that I am the owner of the abova named property or a licensed electrical contractor. I am making the electrical installation or alteration in complianoe with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296.46B, The City of Fort Angeles Municipal Code, and Utility Spedtftcatlons and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ CMCk / �a'c`rQatf caro CJ 1'! -_ _ L( X `'� -�"I Oated: r Cf — 1�- 01/0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , . , . 14- 00000561 Date 5/21/14 DATE: Application pin number . . . 675612 INSPECTOR: DITCH Property Address . : . . . . 1010 C ST REPORT SALES TAX _ASSESSOR... PARCEL NUMBER, 06-30-00-0-3- 1882- 0000 - Application type description ELECTRICAL ONLY ROUGH -IN on your excise tax form Subdivision Name . . . . . . FINAL to the City of Port Angeles Property Use Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502) Application valuation . . . , 0 Application desc 600 amp service -----------------°_ _ °_.__-- ____------------- - - - - -- - - ------- � �z�� zn� 3 � Z5 12- - - - - -- Owner Contractor ROGER / ANITA PIERCE NORTH PENINSULA ELECTRIC 1010 S C ST 761 FRESHWATER PARK Rb ® °� PORT ANGELES WA 98362 PORT ANGELES WA 98363 f/� �/ (360) 452 -5576 �r�, 1zt qL (360) 977 -1764 --------- -- - - - - -- yo-- -----___---_°_---------- _------------ -- -- - - -- Permit ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . , . . 4a9.00 Plan Check Fee 00 Issue Date . . . . 5/21/14 Valuation . . . . 0 Expiration Date 11/17/14 Qty Unit Charge Per Extension 2.00 132,0000 ECH EL -COM 0 -240 SRV FEEDER 264,00 1100 225.0000 ECH EL -COM 401 -600 SRV FEEDER 225.00 Fee Summary Charged Paid Credited Due Permit Fee Total 489.00 489,00 .00 .00 Plan Check Total .00 ,00 .00 .00 Grand Total 489.00 489.00 .00 00 P_A,u u9r7 i'FB0_r,e- 2%i /, /-- J n,4 "cif r_1 [ham &," -,�u &,L4- INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE t f } ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE\BVILDING C� ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , . . . 15-00000402 Date 4/20/15 Application pin number . , . 434466 Property Address . . , . . . 1010 C ST ASSESSOR PARCEL NUMBER: 06- 30- 00 °0 -3 °1882 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning , . , , . , , COMMERCIAL NEIGHBORHOOD Application valuation , , . , 0 ---------------------------------------------------------------------------- Application ctesc Adding lights to main roam ---------------------------------------------- -------------- - - ---- Owner Contractor --------- --------- - - - - -- ------------------------ PETERSON, GEORGE D OWNER .3317 S PEABODY ST PORT A.NGELBS WA 98352 (206) 348 -2592 Permit . . , . . ELECTRICAL ALTER COMMERCIAL Additional desc , , . Permit Fee 74,00 Plan Check Fee 00 Iasue Date 4/20/15 Valuation . . . . 0 Expiration Date 10/17/15 Qty unit Charge Per Extension 1.00 74,0000 ECH EL-CCMM BRANCH CIR WO/ S" /F 74,00 Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 ,00 00 Plan Check Total ,00 ,00 .00 00 Grand Total 74,00 74.00 .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 Contra_ ctor X Date: G:TEXCHANGE\13UILDING 'C- CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 MUM Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date. 'Ie •zmi Z4!40 Multi- Family or Commercial* * Plan Review May Be Required, Please Complete EI ctrical Plan Review Information Sheet Job Address: le Building Square Footage: Description of above -i .5_ _e Owner Info ation Contractor Information Name; ° Name: Mailing ress: % Mailing Address: City fate: zip; City: State: zip: Phon Fax: Phone: Fax: License # 1 Exp, License # 1 Exp, Item Unit Charge mil Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ ServicelFeeder 201 -400 Amp. $160.00 $ Service/Feeder 401 -600 Amp $ 225.00 $ Service/Feeder 601 -1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp, $410,00 $ Branch Circuit VVI Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74.00 �_ $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1 -4 $ 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. Service/Feeder 601 -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign /Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Multi - Family $ 64,00 $ Signal Circuit! Limited Energy 1 First 1500 sf- Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ 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, VVAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electri 1 Permit Applications. Signature of owner, electrical contractor or electrical administrator: cash ❑ Check ❑ Credit Card # Dated: "�'�' za`� 01/0112092 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15-00001.497 Date 12/01/1.5 Application pint number 325532 Property Address . . , , 1010 C ST ASSESSOR. PARCEL NUMBER: 06 .30 00 -0 -3 -1.882 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Plan Check Property Use . 00 Property Zoning . . . . COMMERCIAL, NEIGHBORHOOD Application valuation . . 0 Application desc Expiration Date Circuits for renovation Owner Contractor SHADOW/1,INCOL,N ST LLC OWNER PO BOX 231.9 PORT ANGELES WA 98:362 Permit ELECTRICAL, ALTER COMMERCIAL Additional desc 1.-4 CIRCUITS Permit Fee 86.00 Plan Check Fee . 00 Issue Date 12/0.1/1.5 Valuation 0 Expiration Date . 5/29/16 Qty Unit Charge Pee Extension BASE FEE 636.00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 86.00 00 .00 Plan Check Total. .00 .00 ,00 .00 Grand Total 86.00 86,00 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:\EXCHANGE\BUILDING V` jifa �CITY OF PORT ANGELES PERMIT APPLICATION Buildin; Division/Electrical Inspections `L 321 East Fifth Street— P.O. Bos 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: /r Multi -Family or Commercial' ' Plan Review May Job Address: Be�Requiirred Please ornplete Electrical Plan Review Information Sheet Owner Information Contractor Information Name „„r haw .� "" ,(� Name: MaiIa dress: f Mailing Address; Ci • Stale: Phone.. ax; Asd2 Zip; Phone: State: Zip: Fone ax: License # l Exp, License # / Exp. Item Service/Feeder 200 Amp, ilfnit Charge $132.00 y Totalf0tv Multi fled b tlnit Chargel Service/Feeder 201400 Amp. $160.00 $ Service/Feeder 401-600 Amp $ 225.00 $, Service/Feeder 601.1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $ 410,00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit WIO Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 Temp. Service/ $ 86.00 Feeder 200 Amp. $102,00 $ Temp. Service/Feeder 201400 Amp. $121,00 $ Temp. Service/Feeder 401-600 Amp. $ 164,00 Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.,00 $ Signal Circuit/ Limited Energy — Multi -Family $ 64.00 Signal Circuit/ Limited Energy / First 1500 sf— Commercial $ 96.00 Note: $5,00 for each additional 1500 sf -, Renewable Electrical Energy - SKVA System or Less $ 113.00 Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat 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 electricalcontractor. 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 Specifications and PANIC 14.05.060 regarding ElectricalPermit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ cash Cback ❑ Credit Card k 0110112012