HomeMy WebLinkAbout524 E 8th St - Building • PORT ANGELES
I`- WASH I N G T O N, U. S. A.
Community & Economic Development Department
November 14, 2014
Mr.Vernell Baker
524 East 8th Street
Port Angeles,WA 98362
RE: 524 East 8'"Street
Dear Mr. Baker:
You currently have a certificate of occupancy to conduct a business use at the above address.
The City understands you may be engaged in an operation you believe is authorized by the
provisions of Chapter 69.53A RCW, Medical Cannabis(formerly medical marijuana). This letter
is to inform you the City is currently analyzing.whether such business operations are consistent
with the City's zoning code and state law. If it is determined such operations are not in
compliance with the City's zoning laws,we will contact you at a later date to describe what
action you must take.
If you have any information or documents that you believe may assist in our analysis,please
provide them to us. Otherwise,you are not required to take any particular action at this time.
This letter is simply to inform you that the City is conducting an analysis that may require you to
take future action.
Sincerely,
Nathan A.West, Director William Bloor
Community&Economic Development City Attorney
Phone:360-417-4750/Fax:360-417-4711
Website:www.cityofpa.us/Email: smartgrowth@cityofpa.us
321 East Fifth Street-P.O. Box 1150/Port Angeles, WA 98362-0217
C�
t t
CE RTI FIC ATE a);`: U PA N CY
Citi/o.f; Port Angeles= Buiil:di.ng ®iision
This certificate is issueo�iursuant to the requirementsXofSection 1`ll,6j e.2009 International Building
Code certifyingthat a the;tiine<o`:r.ssuanee this structure was in com liance ith the various ordinances
o the Ci regulatin 1 f �" P
f City g uul yng,construclion or use fgr the following, .
3`
Business name ;' Mil hi 16R, ged0E-dge:{
i� Business address �0,A E` 8th Sty rc `
♦ Property owner $ Vernon DPefers�aniLorraineC:Daltons
�. w.
Property owner s addre s f 1 4 E the
„ ,s, 03 8 $tP.ortnAngeles�.:V11A;98362 ,
Automatic fire pr s" y ; �q U
s ruler s• stem. Notr
e ini"
Use &occupancy
p y l asscation.
Building permit numher . 11-848
Occupant load.
Type of construction. a
09/13/11
h�` er Date
Post on the remises in a conspicuous lace. certific to shaii�not be removed except p p p li .,S by the Building Official.
� 1
CIA
1 - 167- 11 Qq
PREPARED 9/08/11 8 43 47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/08/11
ADDRESS 524 E 8TH ST SUBDIV
TENANT NBR THE RAGGED EDGE
CONTRACTOR PHONE
OWNER VERNON D PETERS & PHONE (360) 477 5586
PARCEL 06 30 00 0 2 7216 0000
APPL NUMBER 11 00000848 CO CHANGE OF OCCP/USE
-- -- - - --- ----
PERMIT CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
C099 01 9/08/11 h,L BLDG C/O FINAL TIME 01 00
_ OVERRIDE TAKEN BY LPANGRLE DATE 09/02/11 TIME 13 58 45
September 2 2011 1 57 26 PM 1pangrle
DEBBIE 460 2168 (I CALLED HER TO FINAL THIS PERMIT )
C OF O FINAL THE RAGGED EDGE
AFTERNOON
COMMENTS AND NOTES
Vp0RT,jcVVCERTIFICATE OF OCCUPA NC Y A PPLICA TION Permit#
. s
FEES
CITY OF PORT ANGELES $50 Certificate /Inspection
Attn Permit Technician
321 E. Fifth St. Port Angeles WA 98362 $�Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360) 417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Chech one New businessinP".A.?❑ Change of ownership only? ❑ Moving location from within P.A.? Zoning
BUSINESS NAME
Business address 5'�y 8 ti Mailing address .5�e 4, f. F
Phone number For-'/Wa - " Opening date 4r /I Days & hours of operation ;4- fru
Business owner's name LahL e-1 r.(z'ILcii Contact phone
Business owner's address sC)j-, , 83(,2
Brief description of businessjv
E
y owner's name I/eP �� Contact phone / 7 —y owner's address/contact
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X
Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work,
adding/altering stairways ramps, bathrooms electrical heating/cooling/ventilation systems etc)
Work planned
FIRE DEPARTMENT phone 417-4653 Fire approval by Qf![ on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business? /.1 a. PBIA notified on
Is business moving within the PBIA? Yes ❑ No IX'
CITY CLERK phone 417-4634
City Clerk approval by on
Second-hand dealer/pawnbroker business? Yes, No ❑
Will there be dancing at this business? Yes ❑ No1,
A City of Port Angeles Business License is required
"for
Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance,
Hotel-Motel, Fireworks, Ambulance and Tattoo Businesses.
Page 1 of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers? 5
(A parking plan may be required.)
Signs? (wall-mounted freestanding projecting, awning A-frame etc?)
Signs planned
'f E—S %Y\ 2 x L S r\ SOY)
V)
PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval by on
PUBLIC. WORkS DEPARTMENT E%VliWE RING phone4i7-48-iz
Is site work planned (new or re-located sewer or water service
excavation grading or filling work in City right-of-way
new driveway openings site drainage parking lots downspouts
irrigation system backflow devices etc ) Yes ❑ No
Work planned
PUBLIC WORKS WASTEWATER phone 417-4845 FPww approval by on
Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No
If yes what will be discharged
Call for Certificate of Occupancy inspections BEFORE openin_p business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information mayres It in revocation of
permit.
Date / Print Name 40 i'� U!!j/lG(J Signature \
T,TormslBuilding DivisionlCertiricate of Occupancy Application(2010).doc
Page 2 of 2
To go le, -
`���,soa7,,�cF`F CERTIFICATE OF OCCUPANCY APPLICATION Permit#
L � s
CITY OF PORT ANGELES FEES
,_ $5
Attn Permit Technician Certificate / Inspection
321 E. Fifth St. Port Angeles WA 98362 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360)417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK n
Check one New business in P.A.?[] Change of ownership only? ❑ Moving location from within P.A.? X Zoning C
BUSINESS NAMEBusinessaddress �/ ''� Mailing address S"�,! f J?,5�(o
Phone number L7ko-4-1ka — 41 k Opening date 9' It Days & hours of operation
Business owner's name .c/Ilc�i�f k�� Contact phone ,;54o—4//,,n
Business owner's address /--4 lzf/ ST Z)f^. . pil9 AW A R83G2
Brief description of business P ._"—:5 ile
Property owner's name ✓�� �� s Contact phone
Property owner's address/contact
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X
Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work,
adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc)
Work planned
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business? /a. PBIA notified on
Is business moving within the PBIA? Yes ❑ No I
CITY CLERK phone 417-4634
City Clerk approval by on
Second-hand dealer/pawnbroker business? Yes, No ❑
Will there be dancing at this business? Yes ❑ o1,
A City of Pori Angeles Business License is required
"for
Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers? 5'
(A parking plan may be required.)
Signs? (wall-mounted freestanding projecting awning A-frame etc?)
Signs planned
re--SKIv-� extS n St k1
PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval byRK on —IZ— I
PUBLIC WORKS DEPARTMENT CIVGHVEERiING phone 4i7-488.12 MD C:444M-4--^.f
Is site work planned (new or re-located sewer or water service, l
excavation grading or filling work in City right-of-way
new driveway openings, site drainage parking lots downspouts
irrigation system backflow devices etc.) Yes ❑ NoIPI
Work planned
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on
Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No
If yes what will be discharged
Call for Certificate of OccupancV inspections BEFORE openin_g business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may res n in revocation of
permit.
Date / Print Name1a sol. A2Ak= Signature `
T Tortnsl8uilding DivisionlCertiricate of Occupancy Application(2010).doc
Page 2 .of 2
CERTIFICATE OF OCCUPANCY APPLICATION Permit# y k 2-1
CITY OF PORT ANGELES FEES
$50 Certificate /Inspection
Attn. Permit Technician
321 E. Fifth St. Port Angeles WA 98362 $-kCr07- Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360) 417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK n
Check one New businessinP_.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? 'tel Zoning (�
BUSINESS NAME ��-
Business address f '=ti Mailing address
Phone number 7kr 4�a - 4� Opening date i Days & hours of operation
Business owner's name! i��lc/'IIWI A kI-� Contact phone
Business owner's address P0 WA 4?83b2
Brief description of business 6L 'T---5 r!e
Property owner's name ✓c?,� �� S Contact phone !!/ 7 — /DS
Property owner's address/contact
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X
Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work,
adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc)
Work planned
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ NoiK
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business? � � PBIA notified on
Is business moving within the PBIA? Yes ❑ No
CITY CLERK phone 417-4634
City Clerk approval by on
Second-hand dealer/pawnbroker business? Yes No ❑
Will there be dancing at this business?Yes ❑ �o` l
A City of Porl Angeles Business License is required for'
Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUMTY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
t
Number of off-street parking spaces available for employees and f _
customers? 5, r
(A parking plan may be required.) /I
Signs? (wall-mounted freestanding projecting, awning A-frame etc?)
Signs planned
re— SO ki
PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles
PWE approval by on
rUtSLIC: VVURhS UEPAR MIENI E/VG EERiNG phone 4i7-48—ilz
Is site work planned (new or re-located sewer or water service
excavation grading or filling work in City right-of-way
new driveway openings site drainage parking lots downspouts,
irrigation system backflow devices etc ) Yes ❑ No
Work planned
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by ort
Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No `
If yes what will be discharged
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information mIresIt in revocation of
permit.
Date / Print Name Signature `
T-WormslBuilding DivisionlCertificale of Occupancy Application(2010).doc
Page 2 of 2
C T.�,vc� CERTIFICATE OF OCCUPANCY APPLICATION Permit# I k gy�
�_. al CITY OF PORT ANGELES S
Attn Permit Technician $50 Certificate /Inspection
�s
321 E. Fifth St. Port Angeles WA 98362 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360) 417-4711 fee charged for Downtown locations
PLEASE PRINT IA/INK l
Check one New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? X Zoning Iy
BUSINESS NAME__ � IIGI�PQO G}�_
Business address _$�2�/ "7 Mailing address 5�94e F. FIK(
Phone number 360—446a :44 4,k Opening date 9 / Days & hours of operation ;4 rli pa
Business owner's name '� x Contact phone 3, ^41 0 -,-lb Y
Business owner's address S WR R$3raZ
Brief description of business P r �.
Property owner's name S Contact phone
Property owner's address/contact
BUILDING DEPARTMENT phone 417-4815 Bldg approval by te 0,1w_
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No
Construction changes planned (moving walls, adding/enlarging windows or doors roofing siding foundation work,
adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc)
Work planned
FIRE DEPARTMENT phone 417-4653 Fire approval by Z on I
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No
Work planned IK
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business? � PBIA notified
Is business moving within the PBIA? Yes ❑ No l
CITY CLERK phone 417-4634 p
City Clerk approval by on O q
Second-hand dealer/pawnbroker business? Yes, No ❑
Will there be dancing at this business? Yes ❑ 4.
A City of Pon Angeles Business License is required for
Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
� U
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by sK on
k
Number of off-street parking spaces available for employees and t
customers? 5
(A parking plan may be required.)
Signs? (wall-mounted freestanding projecting awning A-frame etc?)
Signs planned
re-SK.vl e X1 Sil rxq s t
PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval by on_�2-(1
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812
Is site work planned (new or;re-located sewer or water service,
excavation grading or filling, work in City right-of-way
new driveway openings, site drainage parking lots downspouts
irrigation system backflow devices etc.) Yes ❑ No
Work planned
I ) Y
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on
Will waste other than domestic household waste be discharged into the sewer sy,em? YesN No l
If yes what will be discharged
Call for Certificate of Occupancy inspections BEFORE openin_g business.
,Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter
I i i
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information maIres Itin revocation of
permit.
Date / Print Namee—baAAle dl!l�js1J Signature ` —
T'Tormslauilding DivisionlCertificate of Occupancy Application(2010).doc
Page 2 of 2
., �� Sufi •.s%?� ��
544 .Y� _� _
, ' , . z :5 y ¢,r, �,
° 525
.' 531
Via, rr Vii?"` ` ,' a '
a , ai a
52 t
.522
524 ps ;;_ d•
z eat _ 7
41
a,., r jar _ y �,�;t �;, \•'^3
�,.. • ��' � ew }r t'_'��s{i, "t�:``,�,�sx'v�'��k'yy'wy .. 'ga'. ;?� ays"�- - y,ti `�•f .�^
:>` � "—
540'
�.
' T . tr= 630, 4t
526
515
'810 �k7
-A"
Me-
r
Off-Street Parking Plan
Business Name
Business Address f�
Property Line
�1
i�
Show the dimensions of all parking stalls (widths&lengths),arrangement of spaces aisle width, bumper
stops (where required*),the means of ingress and egress, label streets and alleys, etc.
If you have any questions, please contact Roger Vess in the Public Works Department at (360)417-4812
*Bumper stops are required when a parking stall meets a walking area
T Forms/Building Division/off-street parking
��04 pOR7AArCco
N STANDARD DETAIL
4° A -DESIGN FORMULAS-
STANDARD PARKING LOTS
WALL OR PROPERTY LINES PARKING
ANGLE Min. Min. MW. AISLE WIDTH
C D C---� STALL STALL
WIDTH DEPTH 1-Way 2-Way
X
PARALLEL 22'-O"* 8'-0" W-0, 20'-0'
8W R 45 12'-C' 18'-6' 11'-3' 20=0'
`SJ
B 50 11-1 78-6' 12'-3' ZD-0'
B A 2.5 55 10'-5' 18=B' 13'-3' 20-0'
L
01 S 60 9,_10, 18'-8' W-4" 20'-0"
65 9=5" W-0, 15'-6" 20'-D'
z 70 9'-1" 18'-9' 16-9, 20'-D'
TA = Parking Angle 75 6=10" W-6" 18'-D" 20'-0'
B = Stall Layout Width
C = Stall Layyoout Depth 90 8=6' 17-0' 22-0' 22'-0"
D = Aisle Idth
L = StallLength (78.0')
W= Stall Width (8.5)
HANDICAP STALL WIDTHS A 8 C D D
Consult with Building Official *ADD 2=0' FOR PARALLEL END SPACES. ~
for Current Standards
NOTES.
1 Number of spaces shall be in accordance with Citys off-street parking requirements.
2. Handicap parking spaces shall meet Citys requirements.
J. Parking area and aisles shall be paved with asphalt or concrete.
4 Spaces shall be delineated by 4' white striping or buttons.
5. Construction shall be in accordance with Citys Clearing, Grading, Filling and Drainage
requirements. Catch basins with oil separation 'T"' are required
6. Overhangs of 2=6' maximum may be permitted if walkways (3=0' minimum) are not
obstructed and curb or fastened curb stops are provided.
7 Fire Department may require 20'-D' minimum fire lone when necessary.
6. A site plan (7"=50' or 1"--20') showing all spaces, property lines and dimensions
is required for review and approval prior to construction.
FORMULAS. C = W cos(A) - L sin(A) X = W sin(A)
D = 15 tan ( F AI 2);sin A)] f 7 B = W/sin(A) R = (W/2) sin(A)
Z = L cos(A) S = 2.5 sin(A)
APPROVED BY DATE 3/13/09 PARKING LOT
CITY ENGINEER MINIMUM DESIGN REQUIREMENTS
FILE NAME. PARK/NGLOTOWG
7-
ELEMUCAL PERMIT
CITY OF ORT ANGELES
360-417-4735
Application Number . . . . . 17-00000340 Date 3/21/17
Application pin number . . . 892760
Property Address . . . . . . 524 E STH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7216-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
-----------I----------------------------------------------------------------
Application desc
Water heater
----------------------------------------------------------------------------
owner Contractor
------------------------ ------------------------
VERNON D PETERS & STRAITS ELECTRIC
LORRAINE C DALTON PO BOX 2914
1034 B STH ST PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452-9104
(360) 477-5586
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc , . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 3/21/17 Valuation . . . . 0
Expiration Date 9/17/17
Qty Unit Charge Per Extension
BASE FES 86.00
---------------------------------------------------------------------7------
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 5;2Mh-z A7
COMMENTS:
PERMIT WILL EXPIRE SVC(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_ Date:
Mar 1717 01:06p Straits Electric 3604520741 p.1
I i
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisionfEllectrical Inspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,99362
Ph:(360)417-4735 Fax:(360)4174711
Date: 3-17--17 4 Multi-Family or Commercial'
*Plan Review May Be Reauked,Wase Complete Electrical Plan Review Information Sheet
Job Address:
BulliAng Square Footage:
Descripton of above
LAY_k_1C,4! C4 YC111-4-14
Dwner Informati Contractor Information
a" C-10 ID hy) 'Fie CM C
IN fr1a �� zevr R-t6 Narw.
Mailing Add 40_4_ �i Wiling Address:
City:' State: zi,. f3 z CRY. state.—zip:
Phone: Fax: Phone: Fax,
License V Exp. License#I Exp.
Item Unit Charge oty jotjJA0tv Multiollied by Unit Charge)
Servicefteder 200 Amp. $132.00 $_
ServicelFeeder 201-400 Amp. $160.00 S
ServicelFeeder 401-600 Amp $225.00 $_-
Service/Feeder 601-1000 Amp. $288.00
Seivice/Feeder over 1000Amp. $410.00 $_
Branch Circuit WIService,Feeder $ 5.00 $_
Branch Circuit W/O Service Feeder $ 74.00 $'
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 96.00
Temp.Service!Feeder 200 Amp, S102.00 $
Temp.ServicelFeeder 201-400 Amp. $121-00 $
Tamp.amp,Service/Feeder 401-600 Amp, S1164.00 $
"remp.ServlcelFeeder601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $_
SigntOulline Lig)%Ing $ 88,00 $
Signal Circuit!Limited Energy-Mulffarnfly S 64,00 $
Signal Circuit!Limited Energy f first 1500 st-Commercial $ 96.00
Note: $5.00 for each additional 11500 sf
Renewable Electrical Energy-5KYA System or Less $113.00 $
Thermostat $ 56.00 $_
Note:$5.00 for each additional T-Stat &Z-0, Il'otal
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 ellectr' at installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port
the
Sr* naes' unicipal Code,and Utility Specifications and PAMG 14.05.050 regarding Electrical Permit Applications.
t
owner,electrical contractor or electrical administrator: 0 cash 0 che&
Credit Card
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 TIN
ApplicationNumber . . . . . 17-00000461 Date - 4/11/17
Application pin number . . . 495338
Property Address . . . . . . 524 9 8TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7216-0000-
Application type description ELECTRICAL ONLY on your excise fax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Security and cameras
----------------------------------------------------------------------------
Owner Contractor
------------------------ --------_---------------
VERNON
------- -------- --
VERNON D PETERS & SECURITY SERVICES NW
LORRAINE C DALTON PO BOX 660
1034 E 8TH ST PORT TOWNSEND WA 98368
PORT ANGELES WA 98362 (800) 859-3463
(360) 477-5586
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Pee . . . . 96.00 Plan Check Fee .00
Issue Date 4/11/17 Valuation . . . . 0
Expiration Date 10/08/17
Qty Unit Charge Per Extension Ir
1.00 96.0000 BCH EL-LIMITED IST 1500 SO FT 96.00
-------------------- -------------------------------------------------------
Fee summary charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN q/P7/1 7
FINAL -44
CONflvffiNTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPBCMN
Signature of owner or Electrical Contractor X Date:
04/10/2017 MON 16: 36 FAX 360 797 8482 SOCUrity SerViCeffi N W X001
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: -o--/-7 -KIVIU111:11-Familyq(--EQM—�M—Qrol8r
*Plan Review MMe Vulred Please Complete Electrical Plan Review Information Sheet
Job Addrm:
Building Scpmre Foo
01scrIption of above
Owner jr0r%1j9p Contractor lnforqMqp
Nam: L Name:—%P4"er
C1W. 4TW State:&4091- ZIP- q411130 Cl State:AM Zip-!gU&
PhoneW-4-77-V7W Fax: TSO Fax:
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Item IdtlltCharae gty
Total(Qty Mufflolled by Unit Charge)
S@M*Foo&200 Amp. $132.00 $
SorvfoeTeeder 201.400 Amp. $160.00 $—
ServiceFooder 401400 Amp $MOD
ServicelFeeder 601-1000 Amp. $288.00
Servio0eader over 1000 Amp. $410.00
Branch Circuit W1 Service Feeder $ 5.00
Branch Circuit W10 Service FeWer $ 74.00
Each Addillonal Branch Circuit $ 5.00
Branch Circuits 1.4 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00
Temp.Servtce*oW@r 201A00 Amp, $121,00
Temp.Servic0seder 401-WO Amp. $164.00 $
Temp.ServIcWIFeeder 601-1000 Amp $185.00 $
Portal to Portal Hourly $ 96,00 $
SigniOullne Llghtlng 3 88.00 $
Signal C1rcdV UmW Energy—MultiFFamlly 3 84.00 $
Signal Circull!Llmlied Energy/Flrst 1500 af—Commercial $ 98.00
Note; $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA Syslem or Lose $113.00 S
Thermostat $ 58.00 $—
Nole:$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 okKMcal contractor if above said property Is for sale,rent or[one.Permit soms after six months of lost inspection.
After reading the above statement,I hereby oar*that I am the owner of the above named property or a licensed electrical contractor.I am malting
the electrical installation or Werstlon In compliance with the electrical lam,N,E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The 04 of Port
j
Angeles Mun' - I Cc j, a de,and Utility Specifications and PAMC 14.05.050 regarding electrical Permit Applications-
S197n:o. of Wn e r I tractor or electrical administrator: 11 COA KChck
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