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Home My WebLink About105 W 6th St - BuildingINSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN Z 0 I) h.A FINAL l ti W COMMENTS VS LAni k AYR-. 6 NrgoL1- 1-1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 circuits lights recept Owner Contractor FIRST BAPTIST CHURCH 105 W 6TH ST PORT ANGELES (360) 457 313 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 180836 Permit Fee 78 70 Plan Check Fee Issue Date 1/27/11 Valuation Expiration Date 7/26/11 Qty 1 00 2 00 Unit Charge 73 5000 2 6000 Fee summary Charged Permit Fee Total Plan Check Total Grand Total 1 12 k 4k1 b WA 983626034 Per ECH EL BRANCH CIRCUIT WO /FEEDER ECH EL ECH ADDNT BRANCH CIRCUIT 78 70 00 78 70 11 00000086 459632 105 W 6TH ST 06 30 00 0 0 9157 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSIT' 0 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Paid Credited 78 70 00 78 70 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 00 00 00 Date 1/27/11 WA 98363 Due 00 00 00 00 0 Extension 73- 50 5 20 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G \EXCHANGE \BUILDING 0 00 '67 U` CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 Fast Fifth Street P O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417 -4711 Date: J 9 /J 1 2 Single Family Dwelling Plan Review May Be Re uired Plea e Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description o,:bove Owner In! rmItio A Name: 4 Mailing Ad ss: City r /4 State:104 Zip: Phone License Exp. Item Unit Charge Service /Feeder 200 Amp, 119.90 Service/Feeder 201-400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Servlce/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73,50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp, 92.70 Temp, Service/Feeder 201.400 Amp. 110.30 Temp. Service/Feeder 401-600 Amp. 148.70 Temp. Service/Feeder 601.1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90 Manufactured Home Connection 119,90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110,30 Each Additional 500 Square Ft or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 in lig Credit Card Dated: 1 RECEIVED JAN 262011 ELECTRICAL INSPECTIONS 010112010 Multi-Family or Commercial" X Commercial Addition Alteratior Remodel Repair" Contractor Inf I t 9 I g Name: 5 Z,LC'o Mailing Ads A Name City; State: ZII Phone: Fax: O Fax: L. License Up, 5'T)r S E-L. 'Y 75 K. Total (Qtv Mul )plied by Unit Charge) 7 j, ro Owner as defined by RCW_19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. 42) 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 inspectiol After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical ct ntractor I am making the electrical Installation or alteration In compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296. The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign of owner, electrical c 'tj actor or electrical administrator' CI cash Check PREPARED 1/20/11 9 00 58 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/20/11 ADDRESS 105 W 6TH ST SUBDIV TENANT NBR FIRST BAPTIST CHURCH CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901 OWNER FIRST BAPTIST CHURCH PHONE (360) 457 3313 PARCEL 06 30 00 0 0 9157 0000 APPL NUMBER 10 00000792 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1/19/11 JLL MECHANICAL FINAL TIME 01 00 1/19/11 CA January 13 2011 11 39 38 AM 1pangrle SHELLY 457 3313 MECHANICAL FINAL INSTALLED TWO HEAT PUMPS TO REPLACE OIL HEATING PLEASE INSPECT WHEN THE OFFICE IS OPEN BETWEEN 9 30 AM 2 30 PM PER SUE ROBERDS CALL AL AT 457 4269 WHEN YOU ARE HEADING OVER TO THE CHURCH SO AL CAN MEET YOU THERE January 19 2011 4 51 29 PM jlierly owner wanted to wait till all balancing of system was complete /j11 ME99 02 1/20/11 JLL JanuarICA0 FINAL January 20 2011 8 51 34 AM 1pangrle SANDY (FROM AIR FLO HEATING 683 3901 EXT 2) MECHANICAL FINAL INSTALLED TWO HEAT PUMPS TO REPLACE OIL HEATING COMMENTS AND NOTES PREPARED 1/19/11 8 40 41 CITY OF PORT ANGELES ADDRESS 105 W 6TH ST SUBDIV TENANT NBR FIRST BAPTIST CHURCH CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901 OWNER FIRST BAPTIST CHURCH PHONE (360) 457 3313 PARCEL 06 30 00 0 0 9157 0000 APPL NUMBER 10 00000792 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1/19/11 2+� INSPECTION TICKET INSPECTOR JAMES LIERLY MECHANICAL FINAL TIME 01 00 January 13 2011 11 39 38 AM 1pangrle SHELLY 457 3313 MECHANICAL FINAL INSTALLED TWO HEAT PUMPS TO REPLACE OIL HEATING PLEASE INSPECT WHEN THE OFFICE IS OPEN BETWEEN 9 30 AM 2 30 PM PER SUE ROBERDS CALL AL AT 457 4269 WHEN YOU ARE HEADING OVER TO THE CHURCH SO AL CAN MEET YOU THERE COMMENTS AND NOTES t 1' ca-i It 1 ealoittc, kJ a PAGE 4 DATE 1/19/11 40' 0 2 \r' Permit 16 -7 111 Date 1 -13 PROJECT STATUS UPDATE I phoned the Applicant at Property Owner at I (left a phone message o The permit .(has expired •r will expire soon). What is the status of this project? Please call and schedule a final inspection Or Submit a "permit extension request" letter Or Let me know if the project is abandoned 3 1 1.a-Ya_ 3-kW Q c QQ VAivvv BNQJYY) ,Azi,d&EL..,__GL.Ln___eLr2actaktha (:13 -1 sQ!v egidaclet 4 50 1,9, Mai& aevi,e9, .d 1 1. loot CO T Forms /Building Division/Project Status Update Fm-el L15^1- 3313 1 a f y, 1 1 tc1- l I v a114,0 fii. C E RTI F t O° �C4T`E OF ��C-tU PA N CY City of_ Port Angeles--':BtO d'irng�, ®iuision Z This certificate is issuedfpursuant to the requirements' of Section 171 otthe 2009 International Building Code certifying that at�;the =timeaofissuance this structure was i ncompliance with the various ordinances of the City regulating building .ruction orµuse for the folloiving- Business name Business address:' Property owner Property owner sa Automatic fire c sprin Use occupancy Occupant load. J Building permit numbe Type of construction. Post on the premises in a conspicuous place TheAChildren=s Montesson!School'(N,o n�Proft: °Organization) :105:yW 6th St': lLL First Baptisf.AChurc dress 105 W 6th =:St:, WAi9.8:3624 kler .system. Per =GBC R=4 assifcation. Educatiortaf Per 20:0 :931=B1C: Table;t1> 11/04/10 er Date his,certificate,shail not be removed except by the Building Official. miu (k4-o 1 PREPARED 10/21/10 9 48 37 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/21/10 ADDRESS 105 W 6TH ST SUBDIV TENANT NBR THE CHILDREN S MONTESSORI CONTRACTOR PHONE OWNER FIRST BAPTIST CHURCH PHONE (360) 457 3313 PARCEL 06 30 00 0 0 9157 0000 APPL NUMBER 10 00001219 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 10/21/10 J BLDG BLDG C/0 FINAL TIME 09 00 L/ OVERRIDE TAKEN BY LPANGRLE DATE 10/20/10 TIME 16 47 40 October 20 2010 4 46 04 PM 1pangrle PAULA BECKER 417 1945 C OF 0 FINAL THE CHILDREN S MONTESSORI SCHOOL ROOM 11 INSIDE THE CHURCH SHE REQUESTED A MORNING INSPECTION AFTER 9 00 AM COMMENTS AND NOTES INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 02 1 2 lr t c FINAL a I zt Jl D d COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Add 15 ton heat pump Owner FIRST BAPTIST CHURCH 105 W 6TH ST PORT ANGELES (360) 457 3313 Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983626034 Permit Additional desc Permit pin number 170316 Permit Fee 112 00 Issue Date 7/29/10 Expiration Date 1/25/11 112 00 00 112 00 10 00000794 061250 105 W 6TH ST 06 30 00 0 0 9157 0000 ELECTRICAL ONLY Contractor 2 00 56 0000 ECH EL LVT THERMOSTAT Paid 112 00 00 112 00 AIR FLO HEATING 221 W CEDAR SEQUIM (360) 683 3901 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Credited 00 00 00 Date 7/29/10 CO INC WA 98382 b$ 3r7 Due 00 00 00 00 0 Extension 112 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000792 Application pin number 182976 Property Address 105 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 9157 0000 Tenant nbr name FIRST BAPTIST CHURCH Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 52496 Application desc INSTALL TWO HEAT PUMPS TO REPLACE OIL HEATING Owner Contractor FIRST BAPTIST CHURCH 105 W 6TH ST PORT ANGELES (360) 457 3313 Fee summary 14 8000 EA 18 2000 EA T:Forms /Building Division /Building Permit' WA 983626034 AIR FLO HEATING CO INC 221 W CEDAR SEQUIM (360) 683 3901 Qty Unit Charge Per BASE FEE 1 00 ME FURN /HP /FAU OR 5 TON 1 00 ME FURN /HP /FAU 5 TON Charged Paid Credited Permit Fee Total 83 00 83 00 Plan Check Total 00 00 Grand Total 83 00 83 00 00 00 00 Date 7/28/10 WA 98382 Permit MECHANICAL PERMIT Additional desc INSTALL TWO HEAT PUMPS Permit pin number 170290 Permit Fee 83 00 Plan Check Fee 00 Issue Date 7/28/10 Valuation 0 Expiration Date 1/24/11 Extension 50 00 14 80 18 20 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 0 0 CA 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 SAho G /1.L+J grnr -c Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Accepted By Electrical Footings 417 -4735 Stemwall Construction R.W Foundation Drainage Downspouts 417 -4831 Piers Fire 417 -4653 Post Holes (Pole Bldgs.) Planning PLUMBING FINAL Date Accepted by 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. FINAL Date 0 1 1 Accepted by r 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping 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 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. T /Building Division /Building Permit Applicant or Agent 4\1 td K AN\ N 1 Owner Ft R5f cwit kk Owner's Address 16 S W b d' 1l2EET Contractor /Engineer 1\1 FL-0 H o4'S't N 4- Contractor /Engineer's Address a►){ License# Jk g. ft-14 Cobeiel PROJECT ADDRESS Proiect Type 8 Brief Description. Check all that apply New Construction a Residential X Commercial o Multi- family Industrial Addition CEP 1 0 k 0 I J 6- 01 L k P 1 N b- 11J rvlt E ()OAP 5NSTc_f4AS o Pt^FIo( wdk 4.2.,11 Remodel Repair 10 -r h Re -roof Demolition Sign 5 -4-o n C h uv-cAn o of errn ►t'+v 0- bahrkovr a.vk on v►K if he -0-et o projecting eestanding o awning o other sq. ft. Maximum allowed sign area sq ft. o wall- mounted Total sign area )(Heat pump wood burning stove o gas fireplace o pellet stove o other Heat System Other Floor Areas Parcel Number Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant Toad Will a fire sprinkler system be installed? Construction type r have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and obtain permits prior to working on project I Date g 0 Print Name CAA -EGN N�G"(L tF--S Signature T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc i d 1L66 689 096 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 Existing (sq. ft.) Proposed (sq. ft.) 105 *J 6, $tt 3 a Phone 34,o- L4S'1- 3313 Phone For City Use Only Date Received 1- 2'3 Permit to Date Approved Phone 360-443 39 01 SE6m M kkOr clic 5T Expires Lot Zoning per sq. ft. TOTAL VALUATION `T l (Q 0"D r sq ft. Lot coverage of bedrooms of full baths of half baths 01d mId Wd02 6 0102 82 Inc' City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98382 Ph: (360) 4174735 Fax: (380) 417 4711 Date: it 1 o 1 2 Single Family Dwelling Multi- Family or Commercial' iI Commercial Addition /Alteration Remodel 1 Repair' Plan Review May Be Required, Please Complete Elgstrical Ian Review Information Sheet Job Address: 165 W it s& 5 Building Square Footage: Description of above eLel.AG 0 rn Ott fisvc W lZ rlt 'CWo K£t#CT POMP 5Y4'f.M 5 Owner Information Name: FIRST 31tPTA5r C HIV RCM Mailing Address: 10 5 W t6 S City Poor kNipc.LE S State: W k Z p: 4 183 en z. Phone: 360 45, 33p License I Exp. Unit Change 93.75 $113.75 $160.00 $205,00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 8625 27.50 57.50 86.2 $4 2 .it Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for Iwo years after this electrical permit Is finalized. (2) Owner is required to him an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications. d tune owner electrical contractor or electrical administrator ow:'04I it) RECEMO JUL 2 2009 ELECTRICAL INSPECTIONS Total fQty Multiplied by Unit Charnel Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit! Limited Energy Multi -Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Swimming Pool or Hot Tub. J III Thermostat 0 Total /12 Cont lion Name: l� 01 1N G' Mailing Address: 7. e,e.D kW City SE v State W k Zip: t 175 SSC Phone: 3t. b— 11:1451 License /Exp. At Q f L- �-1 t^ o b qc( I LGE E89 09E 01.d ?MIA IA Wd02 E 0 T 02 82 I mC WILL THERE BE ANY OF THE FOLLOWING? NO YES/ IF YES CONTACT Electrical changes 1/ 2 1 Electrical Dept. at 417 -4735 New or relocated signs we d% SCvf fed per r i s Opening date 7hh bolo Fire Building Div at 417 -4815 Construction changes r/ yes PBIA Mechanical changes (ventilation, heating, cooling, etc.) 1 9 66) S c a C.LJ0.1.2 Plumbing changes 1 City Clerk Fire sprinkler system changes 96 -,E, 7 e z- -,��Q, Fire alarm system changes v a. A T J i anc-r ,,iJL-4n,, T i Win -L Llf New or relocated sewer or water service t/ Public Works at 417 -4807 Excavation or filling of lots c Work done in the City right -of -way New driveway openings i Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Water Dept. at 41' -4886 Is this a home occupation? i/ Planning Div at 417 -4750 Is this a second-hand dealer or pawnbroker business? ity Clerk at 417 -4634 Is there off- street parking for this business? How many spaces? S 0 Is the street in front of this business paved? i/"' .S ox'es4 W ■+t-, is there a sidewalk in front of this business? +h e c uv -r_I^ Is there a curb gutter in front of this business? Department Approv d I itial a e Rejected Initials date Comments Conditions BUSINESS ADDRE S 10 s L 6 5 J �or' Building 2 1 I 9'0 9 Po,.*- 19 /i.s ui 9 c FChone #36 Type of construction Occupant Load Opening date 7hh bolo Fire 1e1 110 Wpb Washington State Tax I D Automatic fire sprinkler system required no yes PBIA 9 66) S c a C.LJ0.1.2 Planning City Clerk t' o 96 -,E, 7 e z- -,��Q, Public Works a il 10-21-to a. A T J i anc-r ,,iJL-4n,, T i Win -L Llf .4 -��`�C BUSINESS A, >^e.ri, S 114044 e 55 >e/ JG 0 v NAME h e_ Gil BUSINESS ADDRE S 10 s L 6 5 J �or' Zon in g H D Business mailing address P (Sdx I 9'0 9 Po,.*- 19 /i.s ui 9 c FChone #36 9/7 9 'S Opening date 7hh bolo Days hours of operation c,/cy s ct k p- Mon— Fri Washington State Tax I D If known list the name of the previous business at this location Change of ownership Brief description of proposed business Orjoilt.. nn Q 1j �J s )ioa 1 Q� ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location t/ Change of ownership Remodel Temporary business Change of use CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Print in ink Phone #20 9/ �9ys— Business owner's name yln> if rr' 0 LOP)1 P Business owner's home addres 4 siA SSL— r z/ PLEASE NOTE. C 5$2- 4 91 A Business License is also required for the following businesses Taxi, Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. T:Forms /Building Division /Certificate of Occupancy Application Permit $1100 00 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Peru It 11 ye. kci Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy l acknowledge that I have read this a nd state that the information I have supplied is correct to the best of nowledge Date6 Print Name p AA 13 per' keS Signature For Cityuseonly on hold un4 1JO. t' t 614.'6i on IQ 2 -I o1k.1 Please sign up for utility services at the cashier counter Clallam County Assessor Treasurer Property Details 56331 FIRST BAPTIST CHU Page 1 of 4 Claltam County Assessor Treasurer Property Search Results 56331 FIRST BAPTIST CHURCH for Year 2010 2011 Property Account Property ID Geographic ID Type' Tax Area: Open Space Historic Property' N Multi Family Redevelopment: N Township Range Location Address. W SIXTH ST PORT ANGELES WA Neighborhood: Exempt Ref Region 5 Neighborhood CD 50985200 Owner Name. N Taxes and Assessment Details 56331 0630000091600000 Real 0010 PA 121 PORT ST CNTY H2 L Land Use Code 69 FIRST BAPTIST CHURCH Mailing Address. 105 W 6TH ST PORT ANGELES WA 98362 -6034 Property Tax Information as of 10/20/2010 Legal Description: Agent Code. DFL Remodel Pr Section Mapsco Map ID Owner ID Ownershil Exemptions. LTS 17 20 BL91 cpA C1 e\sk- NO2--t\ncQn 6S(1 /4 le -Sees v\ cu--t aC-6)-r■ 7u1 t w t CVY' Yt 0 vt -@m --vrQn b I/vtvl I? j-enav\�3 P_accl p eer Cb-1- I► eA-avq). PrictM Cer-e)''►r5 Rat) GP ._t_. Amount Due if Paid on. E. 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 AVl-` Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest, Base Paid t 2010 39378 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 $0 00 2010 39378 CC-GEN COUNTY $0 0 $0 00 $0 00 $0 00 $0 00 2010 39378 PORT PORT $0 00 $0 00 $0 00 $0 00 $0 00 2010 39378 PORT ANG PORT ANGELES $0 00 $0 00 $0 00 $0 00 $0 00 0 2010 39378 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 $0 00 k 2010 39378 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 00 $0 00 $0 00 $0 00 $0 00 ('Cl 2010 39378 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0 00 $0 00 $0 00 JJ 2010 39378 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0 00 $0 00 $0 00 $0 00 $0 00 i 2010 39378 CITY_STORMWATER CITY STORMWATER $157 38 $157 38 $0 00 $0 00 $314 76 2010 39378 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 $0 00 $1 63 2010 39378 TOTAL. m $158._20 $158.19 $0.00 $0.00 $316.39 1 2009 563312008 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 $0 00 2009 563312008 CC-GEN COUNTY $0 00 $0 00 $0 00 $0 00 $0 00 2009 563312008 PORT PORT $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 TM V $0 00 $0 00 $0 00 $0 00 $0 00 2009 563312008 PORT ANG PORT ANGELES 2009 563312008 SD #121 SCHOOL DISTRICT #121 12009 563312008 NTH OLY LIB NORTH OLYMPIC LIBRARY http. /vpn.clallam. net :8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop td =5 10/20/2010 '1 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE 127)10 ROUGH/IN 1 FINAL 1 zi7S i 4c COMMENTS Application Number 10 00000449 Date 5/07/10 Application pin number 558709 Property Address 105 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 9157 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 225 amp feeder 12 circuits Owner Contractor FIRST BAPTIST CHURCH 105 W 6TH ST PORT ANGELES WA 983626034 Special Notes and Comments May 7 2010 10 41 31 AM Brian 417 4708 OK Permit Fee Total Plan Check Total Grand Total 176 70 00 176 70 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 176 70 00 176 70 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 164921 Permit Fee 176 70 Plan Check Fee 00 Issue Date 5/07/10 Valuation 0 Expiration Date 11/03/10 Qty Unit Charge Per Extension 12 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 31 20 1 00 145 5000 ECH EL 201 400 SRV FEEDER 145 50 Fee summary Charged Paid Credited Due 00 00 00 00 00 00 Date ff CITY OF PORT ANGELES PERMIT APPLICATION j Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417 -4711 ELECtCAI. Date:. 5161./T> INSPEI>oTc ONS 1 2 Single Family Dwelling Multi Family or Commercial* X._ Commercial Addition 1 Alteratior r Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 Q 511.(1_40-,C11-' Building Square Footage: Description of above Owner 1 Name: Melling Add City: Phone,'— ?3 j3 Fax: License fk Exp. Item Service /Feeder 200 Amp. Service/Feeder 201.400 Amp. Service/Feeder 401 -600 Amp SeMce/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401.800 Amp. Temp. Service/Feeder 601.1000 Amp Portal to Portal Hourly Sign/Outline Lighting Unit Charge 119,80 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Clrcuft/ Limited Energy 1 It 2 Family Dwelling 63,90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermo:est 56.00 NgW CONSTR ON ONI t, First 1300 Square Ft. 110.30 Each Additional 500 Square FI. or Portion of 35.20 Each Outbuilding or Detached Garage 73.60 Each Swimming Pool or tiol Tub 110.30 Sign re f owner, electri I c ry ctor or electrical administrator mast .-51140 Contractor In!ntmali t LL e_ -D o. Stag: t LIP Fax: Name: Melling Add City Phone:, License Exp, ,S eite S L c —1.— ID Cash Check m e s a sacsota 01/01/201n Total IQty Muni U Gharrle) $..1 ,So I'- t Total Owner as defined by RCW 19,28.261: (1 Owner will occupy the structure for two years after this electrical permit is finalized, 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 Inspectlor After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical co •r actor I am making the electrical installation or alteration In compliance with the electrical taws, N.E,C,, RCW Chapter 19.28, WAG, Chapter 298- 3, The City of Port Angeles unldpal Code. and Utility pecificalions and PAMC 14.05.050 regarding Electrical Permit Applicfu1ions. d Application Number 03- 00000641 Property Address 105 W 6TH ST BLDG ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 9160 -0000- Application description RE -ROOF Subdivision Name Property Zoning Application valuation 17930 Owner FIRST BAPTIST CHURCH 105 W 6TH ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Other Fees Fee summary Pern{it Fee Total Plaq Check Total Other Fee Total Grand Total T: \PLANNING \FORMS\ 1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983626034. BUILDING PERMIT TEAR OFF, SHEET, 316.75 7/07/03 1/04/04 Per Charged Paid 316.75 316.75 .00 .00 4.50 4.50 321.25 321.25 Contractor BASE FEE 16.00 14.0000 THOU BL- 2001 -25K (14 PER K) Date 7/07/03 EMERALD ROOFING 114 MT PLEASENT CREST PORT. ANGELES WA 98362 _(360) 452 -8173 NO PR FEE FELT, COMP Plan Check Fee .00 Valuation 17930 STATE SURCHARGE Credited .00 .00 .00 .00 Due Extension 92.75 224.00' 4.50 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and 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 authori to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. --Z 7-7-03 ature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT.. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCV/IISE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ;YES NO ELECTRICAL LIGHT DEPT. 417-4735 LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUC"I'ION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. .417.4750 PLANNING DEPT. BUILDING 417 -4815 f a. j t L BUILDING BUILDING PERMIT INSPECTION RECORD 0 3- 6 14 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 T:\PLANNING\FORMS\1102.15 (4/2002) REQUEST: Date (D) Inspected: Date Remarks: CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Location of Work to be inspected Time s Received by ,C INSPECTION NOTES: 7/ Repaired by City Repaired by Permittee No Damage Found Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No 6 4 Sewer Foundation Framing Chimney Plumbing' Final Sewer Excay. Other e -(oo C (Continue on reverse side if necessary) r' ng_ Lk) 6 Time BY j RESTORATION REQUIRED YES NO SURFACE RESTORATION: SURFACE TYPE: Unimproved Gravel Asphalt PCC Other Work Order COMPLETE INCOMPLETE (phone, person) STREET SUPERINTENDENT (DATE) Site Address: �S (...4 READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: n Li s t License Number: Phone: Owner /Business: L 1 Phone: Owner /Business Address: Sq. Ft. ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW Details/Description WS No SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. OVERHEAD SERVICE APPROVED ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER Ditch Inspection O K Rough -in /cover O K A O.K. to connect service i a Final 0 K Site Address: 1oC Gc/ (gPi Installer: LL S Permit /Receipt No. New Meters Date? /6 Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT WHITE File by address OLYMPIC PRINTERS INC. actrEl ical Inspector CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE bu /Yet el.,2,t+3-Q F, PERMIT NO. GOO q DATE T/// y RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE 1 O 3 SERVICE SIZE AMPS FEEDER SIZE AMPS Permit Fee PINK Top: Eng, Bottom. Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: w READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: a S 5 n I /L,CXIYJ License Number: Phone: Owner /Business: 72,479 Sf n /I Phone: Owner /Business Address: New Meters Sq. Ft. Site Address: DS CO. n I /L,CXIYJ Permit /Receipt No. i/a Installer jao ‘5 t1 -c New Meters Date: 7/4 s RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN SPECIAL EQUIPMENT (LIST BELOW) Details /Description AiPGlf ek904 W.S. No. SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER Ditch Inspection O K Rough -in /cover 0 K O.K. to connect service Final O K Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 -0411, EXT. 224. Electrical Ihspector WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR Al) t PERMIT NO. 14,2,7/ DATE 7 6 /7 i 7 OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE SINGLE PHASE THREE PHASE SERVICE SIZE AMPS NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: l ,/v G wf n G /��n 1 O C c READY FOR INSPECTION License Number: XW ILL CALL FOR INSPECTION Phone: Installed By: n I l}xi� L ,S d i Owner/Business: k %V- j Phone: Owner /Business Address: Sq. Ft. f PORT \44 ,,L�. U4/PW•SellN IL- CM d Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) W.S. No. Service Capacity: O.K. Not O.K. Ditch inspection O.K. `gi Rough -in /cover O.K. 4 3 O.K. to connect service Final O.K. Site Address: 64 F Lemli Installer: A OLYMPIC PRINTERS. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT New Meters PERMIT NO a4710 DATE SVIQ New Construction Overhead Remodel Underground Service update /alter /repair Voltage 10 3 Add /alter circuits Service size Amps Auxiliary power Temporary (list below) pecial equipment (list below) Details /Description: W/Lt Q c -rj d Size Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Permit /Receipt No. c Date: Notify the Department of City Light by Street Address and Permi Number when ready for inspection. Wo k must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Vj sting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT nspectbr Amount paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall ELECTRICAL PERMIT CITY OF TORT ANGELES 360 -417 -4735 Application Number , . , . . 15- 00001424 Date 11/05/15 Application pin number 792208 Property Address , , . 105 W 6TH ST ASSESSOR PARCEh NUMBER: 06-30-00-0-0- 9157- -0000- Ap.plication type description ELECTRICAL ONLY Subdivision Name Property Use . . . . , Property Zoning . . , . . , , RESIDENTIAL HIGH DENSITY Application valuation , . , , 0 Application desc - - - - -- Replace baseboard heat with in wall units Owner Contractor FIRST BAPTIST CHURCH SIMPSON ELECTRIC 105 W 6TH ST 243036 W HWY 101 PORT ANGEIES WA 983626034 PORT ANGELES WA 98363 (360) 957 -3313 (.360) 457 -9270 Permit ELECTRICAL ALTER CQMMERCIAL Additional desc 1 -4 CIRCUITS Permit. Fee 96.00 Plan Check Fee 00 Issue Rate 11/05/15 valuation , , D Expiration Date 5/03/16 Qty Unit Charge Per Extension BASE FEE 86,90 2,00 5.0000 BCH EL -ECH ADIDNT BRANCH CIRCUIT 10.00 Fee summary Charged Paid 'Credited Due Permit Fee Total 96.00 96,00 .00 ,00 Plan Check Total .00 00 00 .00 Crand Total 95,00 96.00 00 .00 REPORT SALES T on your excise x form to the City p ort Angeles (Loco j n Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FRONT LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Data G:IEXCHANGEIB UILDiNG 1 CITY OF FORT ANGELES .PERMIT APPL.T.CATION I3uil�i>n Divfsion/Elech ical Ipspections 321 East."th Street .- JP,O.1iox 1150/Port Angele.9 Washington, 98362 Ph: (360) 417 -4735 Vnx: (360) 417 -4711 Sate: //- * Plan Review May Bc Job Addreas. __,_ --'Q, 8uifding Square Footag • Rescdpllon of above X Multi - Family or Comte rcpal* Electrical Plan Review information Sheet Owner` formatio ` r Name: CSC Mailing d ss: Phone: State; �/f ZIP: FaM; License # I Exp.- ,c�'"� ^+ Ite�r Service /Feeder 200 Amp, Servlce/Peeder 201.100 Amp. SenricWFeeder 401.600 Amp SenricelFeedor 601 -1000 Amp, ServlcelFeeder over 1000 Amp, Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Cirrult Branch Circuits 1-4 Temp, Service! Feeder 200 Amp, Temp. SenricWFeeder201 -400 Amp, Temmp. Ser%ice/Feeder401 -600 Amp. Temp, Senrice/Fooder 6011000 Amp . Portal to Portal hourly Sign /Outlfne Lighting Signal Circuit! Limited Energy– Multi,Famify 519ml Clmuitl Limited Energy I First 1500 sf – Commercial Note: $5.00 for sach addfifonat 1500 sf genewabfe Electrical Energy - SKVA System or Less Thermostat Note: $5.00 for each additional T -Stal 11n_lt Gh w $ 132.00 $ 160,00 $ 225,00 $ 268.00 $ 410,00 $ 5.00 $ 74.00 $ 5.00 $ 86,00 $ 102,00 $ 121,00 $164,00 $185,00 $ 96,00 $ 60,00 $ 64.40 $ 96.00 $113.00 $ 56.00 l I f f '�k l I,�l)N . Contractor information N9me: �f/f ^ ! a e L Mailing d s' U ,�,,�,� p C11y:, State,i.F% lip: Nia, Phone. 7.6 Fax: . Llr-anse 00 P To Mu -led b Unit Chafe $— Owner as defined by RCVV,19.28,261: (1) Owner will occupy the structure for two years after this electrical $ atal to hlra an electrical contractor' if above said property is for sale, rent or lease. permit expires after six months o fast inspection, finalized. t ►wrier is required After reading the Strove statement, I hereby certify that I am the owner of the above named property or a licensed elerctrlcal contra :;tor. I am making the electrical lnstallalian or alteration incompliance with the eiac#rical laws, N.E,C„ RCW, Chapter 19 „28, WAC. Chapter 296 -4613, The City of Pork Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sig re of owner electrk — ica con ctor or elactdcal administrator: d Cash f� Chetk ` Credit CAN 0 � . �f��,Q✓ 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . . . . 17-00001638 Date 11/07/17 Application pin number . . . 557520 Property Address . . . . . . 105 W 6TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -9157 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0. ---------------------------------------------------------------------------- Application desc Wall heater replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ FIRST BAPTIST CHURCH ------------------------ SIMPSON 'ELECTRIC 105 W 6TH ST 243036 W HWY 101 PORT ANGELES WA 983626034 PORT ANGELES WA 98363 (360) 457-3313 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee . . . . 146.00 Plan Check Fee .00 Issue Date . . . . 11/07/17 Valuation 0 Expiration Date . . 5/06/18 Qty Unit Charge Per Extension BASE FEE 86.00 12.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 60.00 Fee summary Charged ---------------------------- Paid Credited ---------- Due Permit Fee Total ---------- 146.00 ---------- 146.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 146.00 146.00 .00 00 INSPECTION TYPE DITCH DATE: RESULTS: SERVICE ROUGH -IN Z zfZf17 4V FINAL 11 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Locaifon Code 0502) INSPECTOR: Date: CITY OF PORT ANGELES PERmrr APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O Boa 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 11-6-17 ,— Multi -Family or Co nmerciar Plan Review May B'�, Rem plete Eie bxW Flan Review inition shw Job Address: LJIr=r c sf�f t S` tilt r Building Square Footage: Desarptionofabove ��r� a-� i6&!Se46 L)rt(( I4,-aICL4 C,Ij<c ke co,. S ru 0a-cj d f-4' cV i Y 0, i Owner information Contractor ktlennallon Name: Address l res v t;,-tyj MaimAddress: U a �/U f t 1-1 I state: I LM_ zip: b;L-city state: its~ zip: CJ 0 Fax Phone: - Z)Fex%� b0) 4157- r1�7 0 License #k 1 Exp. l Lbmise 4/ Exp. S Cp !tent Unit Chame QtV TObd fQty MUNDRed by Unit Charael ServicelFeeder 2!10 Amp. $132.00 S ServicelFeeder 201-400 Amp. $160.00 $ Service/Feeder 401-500 Amp $ 225.00 $ ServicelFeeder 601-1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W/ Service Feder $ 5.00 $ Branch Circe W/O Service Feeder $ 74.00 8 Each Additional Branch Circuit $ 5.00 i 2, $ Branch Ckults 1.4 $ 86.00 -'-( $__ Temp. Service/ Feeder 200 Amp. $102.00 3 Terre. ServicalFeeder 201-400 Amp. $121.00 $ Term. Service/Feeder 401-600 Amp. $164.00 $ Term. Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ SigntOutlina Lighting $ 88.00 $ Signal CtraW Laded Energy - Multi -Family $ 64.00 $ Signed Circutil Umited Energy /First 1500 sf — Commardal $ 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 $�otal Owner as defined by RCW.19.28.261: (1) Owner wall occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an el dnCal contractor I above said property is for sale, rent or lease. Permit expm atter six months of last inspection. After reading the above statement, l hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am malting the electrical installation or alteration in c ornpliance with the electrical Paws, N.E.C., RCW. Chapter 1928, WAC. Chapter 296468, The City of Port Angeles WH is o Code, and Utility Speaficatians and PANIC 14.05.050 regarding Bechcal Patau! Applmat ons. Signature of owner, electrirai L.; or electrical adminMalor: ❑ cash A Chad creacilrds v 1