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621 S Lincoln St - Building
ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001432 Date 12/22/11 Application pin number 678584 Property Address 621 S LINCOLN ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0100-0000- On your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 1 circuit glacier water despensor Owner Contractor SECOND REDDING ASSOC A+ ELECTRIC SERVICE PO BOX 260765 7225 PACIFIC AVE SE ENCINO CA 914260765 LACEY WA 98503 (360) 491 -2900 Permit- ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 73.50 Plan Check Fee .00 Issue Date 12/22/11 Valuation 0 Expiration Date 6/19/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 v Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 0 r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 12./2,210 FINAL J2122) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING l ht A :r ,1 g Z6 J 3 CITY. .OF PORT ANGELES PERMIT APPLICATION L J 'tea 7\,,,i, l E Buil Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Dr -Tr 2011 Ph: (360) 417 -473 Fax: (360) 417 -4711 ELECTRICAL I v INSPECTIONS Date: /wg 1 2 Single Family Dwelling Multi Family or Commercial* Commercia Addition Alteration Remodel Repair* Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above l 142Gv-r (012 .Lpt Owner Information Contractor)nformatio Name: )t wce S Name: Mailing Address: r ve 3 Mailing Address: Z/ S L /�/C�"� City CA D/ State: 1t Zip: 975 g Cit City: State: Zip Phone: 60 -ZLiFa G Liens: Fax: License 1 Exp. �7 G C 1 Lcense I Exp. Unit Charge Qty �e otal (Qty Multiplied by Unit Charge) Item Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. $145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. $.262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W /Service Feeder 5 .2.60 Branch Circuit W/0 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 5 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 10 2. 0 0 Thermostat NEW CONSTRUCTION ONLY: 110.30 First 1300`Square Ft. 35.20 Each Additional 500 Square Ft. or Portion of Each Outbuilding orDetached Garage 73.50 Each Swimming Pod or Hot Tub 110.30 rota) 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 E C e named Chapter a,lIWACeCelectri electrical c nt I am of Po making the electrcal installation or alteration in compliance with the electrical laws, N P er Angeles Municipal. Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 1:1 Cash ~ .~il~- ~ pORT A".!,: A....J"O~~ (;~<<:, .... -=-- ~ '4i;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000621 Date .349072 621 S LINCOLN ST 06-30-00-0-2-0100-0000- MECHANICAL PERMIT 8/03/04 COMMUNITY SHOPPING DISTR 33000 Owner Contractor SECOND REDDING ASSOC PO BOX 260765 ENCINO CA 914260765 COMFORT MECHANICAL INC 6830 SO. 220TH KENT WA 98032 (425) 251-9840 -------------------.--------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc ELECTRICAL PERMIT NOT INCLUED Permit Fee 87.05 Plan Check Fee .00 Issue Date 8/03/04 Valuation 0 Expiration Dat:e 1/31/05 Qty Unit: Charge Per Extension BASE FEE 47.00 2.00 14.7000 ECH ME- INSTALL 100- FAU 29.40 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87.05 87.05 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 87.05 87.05 .00 .00 " -.... Z 1> r-- , \SJ ~ ~ "P - ~ f\ ~ )- "- .,. ..... r\ C --. ~ 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. (!) IV F/ j.. ;;; Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Date T:\PLANNING\FORMS\1102.15 [11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE I<t; -~ -w-I ,J, ).., WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS 'f~t --O~ 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 OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION. R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1<;(..... t.~ .- OJ-I rL )..,. BUILDING T:IPLANNINGIFORMSII 102.15 [1 11I412003J 07/15/2004 20:30 4252519840 COMFORT MECHANICAL PAGE 01 FOR'OFFlCIAL USE ONLY: ., . J Date R::ec.: ? - j (- c ,.., P~Olith( L/_ .6 2/ Dllte Ap()ved: '\. Dale Iss\lc4'< r";'1. BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou bave any questions, call PERMITS (360) 417-4815 FAX.(360)417-4711 . "~"'. Phone: ~B~ ,'" Owner: Phone: 1-- - (0;)0 Address:.wJ ."-n . ,,,,- U> Ci1y:' Zi~~ ' AI<hiteCt/Engin~~~' Ii Phon;:.~1t.O -- 1<{ contracto,c, . ftll IlIA-Stale Licen;C>~:::LP: ~~ .. Phone: 'I:l>PsI- 98Y'Q '~k... Address;tDB3\)~1 .-UO.sJ. City:' Zlp:~~d' , PROJECT ADDRESS:~ So. u""<.Oh LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: ZONING: Block: OVJ3 0-00 O~ f)()()OOQ Subdivision: No. of Stories: ENTlAL: OccupaIlcy Group: Lot Size: Existing Sq. Ft. Tota11ot coverage o Stove o Garage o Deck () Il.-k ,T ;-'Other~ ;v- ~O 0A~~ty: . u4 SIZEN ALUATION: SF.@$ SF.@$ SF.@$ TOTAL VAL '1~c.Q Exp. Date: ~/ /SF. == $ /SF,=>$ /SF, == $ ATION $ <~\ \. CndltCardH't'(~: ~' ~ Billing Address: ~ . ;::.+. Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. CI Re-roof t:I Multi-family 0 Addition 0 Move ~ Commercial 0 Remodel 0 Demolition o Repair 0 Sign DESCR,lll ON OF THE PRO CT: ~ ~ tiVl OCC11paIlt Load: & Proposed Sq. Ft. = TOTAL Sq. Ft. % APPROVALS: PLAN: llLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 Division to comply with current fee schedules. Contact the Permit Coordil:lator at417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit applicatio nd construction plaIls are submitted. AlJ other pemrit fees are due at the time of permit issuaIlce. EXPIRATION OF PLAN REVIEW: If no permit is issued within 18{) days oitbe date cifapplication, the appljcation will e:1.'pire. The Building Otficial can extend the time for action by the app1icilDt up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, cunent edition), No application can be extended morc than once. J hereby certify that J halle read and Bxamined this application and know the SElme to be true and correct, J am authorized to apply for this permit and understand that it is my responsibility to d9termine what permits are required ~~ the ~'S, ~d, that I must obtain such permits prior to work. T:\FORMS\APPS\BuiJdiogpcrmil.wpd Applicant: ~ ~\tv Date: ?-n\Dlt1i . ,~"., ';! p-- --4- :r\ (,' r -- t:l r.: \f" ~ -p -0 -u cr ~ t:- " ((\ d <t:: +- 0'\) :;: >el '" t'l >< ~ '" 'U ...... (J) .... 0 10 "l >-' ~ ():<l Ot'l :;:10 ~[iJg t'l{J) t;JtH if tjtj~ :<l .... t'l....~ {J)Z ~f(J >el '" , ~ , , .... , tj:;: :<ltj"l , III t'l t'lt'l , ::l () (J){J) , ~ ~Q , , >el.... ,.... {J)'U () 9 ......>el 0 ().... ~ I:" 00 N :;:z t'l 00;) :;: Z "';.0 t'l >el '(J) Z (J) '" >el "'I:" (J) ~ lWH 'Z lWt'l '" Z V1 0 '" >el t'l (J) ;.o'UO()E; :gi:;~@tj I:"()t'l>el:<l ~l'l:<l~~ (){J) . . >el IJj 0 t'l. :<l. :<l OQ(f)(')O'\ +J:>.mtl:lOtv I I ():s::.... QWOI'1j gc;'S~Ul 00 r-it"' OO~ H 0'\ I tI1:S:: Z !\JotjtJj() .... I 0 () 0 NH::I:t"' ~~~5::z ()f-l H(f) eg&;9>el ZIOOt"' HOO ()O()H ;.00 Z 1:"0 () , 'U t'l :<l i'S >el ()'U H:<l >elt'l ><'U ;.0 O:<l ''It'l tj 'U o :<l'" >el...... ~~ 0;)0 t'lol> 1:"- t'l (J)>-' N lW -.J lW '" 'U'U{J) ssfiJ zztj t'lt'lH <: H HZ Z{J) (J)'U 'Ut'l t'l() ()>el >elH 00 :<lZ '-<>el ~n t'l:><l (J)t'l >el I:" I:" H t'l :<l I:" >< 01> N V1 N V1 >-' , '" '" 01> o tj'U ;.0;.0 >elo;) t'lt'l '" ...... o '" ...... o 01>'" of ,ORT ~Q ~~~~<., c},.~ L -=... ~ 't&i:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000221. 621. S LINCOLN ST 0630000201.000000 ELECTRICAL ONLY Date 3/1.6/03 o Owner Contractor SECOND REDDING ASSOC PO BOX 260765 ENCINO CA 91.4260765 ANGELES ELECTRIC 524 E. 1.ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS ANGELES ELECTRIC 35.30 Plan Check Fee 3/1.6/03 Valuation 9/1.2/03 .00 o Qty Unit Charge Per 1.00 35.3000 ECH EL-COMM-1.ST SIGN , Extension 35.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.30 35.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.30 35.30 .00 .00 ......... C1\ CI\ ,"i Separate Permits are required forelectncal 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 Authonzed Agent Date Signature of Owner (If owner is builder) Date T IPLANNlNGIFORMSI] 102 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, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 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 HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng 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 OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ,,~t:Jt ~ () ELECTRlCAL LIGHT DEPT CONSTRUCTION R W / PW/ V CONSTRUCTION - R W ENGINEERlNG , 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [412002] ~ pORT ~ A.....J"O~~ "".'" .... -=-- ---=- '4i;1C~ Application Numbp.r Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation Property owner Owner address , . . . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 n1. nnnnnn"1C: T'\~""'""" "11"1 r. In... 621 S LINCOLN ST 0630000201000000 SIGNS 400 REDDING ASSOC 260765 SECOND PO BOX ENCINO ( ) ADVERTISING SALES & MORE CA 91426076!} Contractor --------------------------------------------------~------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date SIGN 30.00 1/16/03 7/15/03 Plan Check Fee Valuation .00 400 Qty Unit Charge Per 1,00 30.0000 PER S- SIGN ALL 25- Extension 30,00 Fee swmnary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 30,00 30.00 ,00 .00 Plan Check Total ,00 ,00 ,00 ,00 Grand Total 30.00 30.00 .00 .00 ~ y - l/) CI )- o \) '"""--- -3 ~ 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 authori to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. \, \~, 0'] Date Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent T:\PLANNINGIFORMSII 102.15 [4/2002] Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES ' I NO FOUNDATION: FOOTINGS WALLS . FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE , GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS , CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA; P ARKING/LlGHTlNG ESA; LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\I 102.15 [4/20021 tll ..., 'll ;;~~8t;jEi n'O r< >< ~ H7' '" '0 '07'ZZZtJ ...,t'l '" , ~Q~~~~ ><'0 [J] H ;>> 0 10 >-l Zr< ;>>...,[J] 07' f-' !j1. n- [J] ''It'l ..., tJ 8 tll oz '0 ~ t'l. 7' tll . 0 n7' 7' 7' 7''' Ot'l ..." 3:10 f-' ~~~ 00[J] r<'" 1;;~ lll"'t'l H"-' t'l[J] , , n Zf-' <;:>0 ...,...,~ oWO tJ t'llll t'lt'l ooz ;>>[J] r<- tJtJ 0 tJ t'l 00 3:r< [J]f-' ~ 007' OH w ~ '" , t'l "lZ 7' ootJ ''In 0 t'lHO III , tJ HO ", [J]Z"l "-'H ...,r< C[J] n , Z Z III r<'00 00<;:> " ..., ('l , f-' [J] ~ 0;>> ..., nO[J] :I: , [J] , 1;;00 r<otll 7'tJc::: on H"C t'lt'l[J] <;:>0 Z'H [J][J]t>j t'lo tJf-'r< cn , ;>>wtJ r<7' 0 'H ...,H "l "-'Z [J]'O n 0<;:> ,..., 0 , 0 0 nH n , ZZ 3: lll"l 00 n 3: Z 3:Z '0 [J][J] t'l ", 3: , '0'0 Z 1ll0;>> t'l C , t'lt'l ..., "",r< Z [J] , nn [J] , .. ..., t'l , ...,..., OJ 0 [J] , OH 1;; "-'f-' , , 7'0 "-' ..., , .. Z tJ "-' H , , '03: , , c..,..., Z 3:t'l , , !\:8 0 .. , '0'0 [J] , ..., , :I::I: Iii , t'l~ t'l tJf-' , 00 , [J]t'l [J] ><" , ZZ tJ , ..., ;>> .. , t'lt'l H , r< [J]O , < , !j10 , .. , r< , , H ~ , t'l , , 7' , r< , , >< , , , , , , , , , , , , , , , , , , tJ'O , ;>>;>> , ...,<;:> , t'lt'l , , , , , " , , , f-' , ", , 0 lll'" BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: -1'1-0 Permit #: Date Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 A-s.- ('""\ ~ t"l J.....J$. Applicant or Agent: ,. , ~ " "C Owner: <;;.e C.c::.-..:)C"'-,. ~~~N6- @..s;s:.oc,..,. Address: p. D, (21;> ~ ~boltS" City: e-~ Cl NO. r Phone: If-~ 2- - -, IS-~ Phone: C-+). Zip: 9 J4-:1.'=> Architect/Engineer: Phone: Contractor ON ,-. r. ~..:!! License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: {;,;L \ Q, '\..-, .~ CD ......-..i ~ A- . ZONING: LEGAL DESCRIPTION: Lot: 1- C} ",c:>c:6'7-Block:/2--'g... ~o, Subdivision: ~c....QCCc... ~O, CLALLAM COUNTY PARCEL NUMBER: 0 b'3. C> 000'2...0 ID" Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: o Residential 0 New Constr. o Multi-family 0 Addition o Commercial 0 Remodel o Repair ORe-roof o Move o Demolition % Sign o Wood-stove o Garage o Deck o SIZEN ALUA TION: \~. ~<t SF. @ $ /SF, =.$ SF. @ $ /SF. = $ SF. @ $ /SF. = $' TOTAL VALUATION $ -4 0 t!). 0 ~~ BRIEF DESCRIPTION OF THE PROJECT: ~ .~S:..., _o~ q-.J ~..,..J G ~ c...... Q.:!. ~~..,..~____ .€',.....~..,""c:.. ClCl..-,J IF,4e~6t 7'-rPot) & \ c-l ~.s,,< Q.z <-0--.) . COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Existing Lot Coverage: PLANNING USE ONLY: Notes: , % /sq. ft. = TOTAL LOT COVERAGE: /sq. ft. APPROV S: PLAN 'Ii,:) //1 :")~ BLDG.' I DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BillLDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted/or review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. Lot Size: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: V ALUA TION 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 Division to comply with current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance, PLAN CHECK FEE: Your plan check fee is due at the time the building pennit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certifY that J have read and examined this application and know the same to be true and correct, and J am authorized to apply for this permit. J understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. ~ Applicant: '-----'-- ~ ~ Date: \. '4-. 03 T:\FO RMS\APPS\Bui Idingpermit SIGNS PENINSULA'S FINEST 1327 E. FIRST ST. PORT ANGELES, WA. 98362 PHONE (360) 452-7785 FAX (360) 452-8029 . ). /4.0'3. Kl-r.t ~Q .US-;l.~7 (;2 ( ~. L',~C~~~ roa....-z ~C~ ~..1-S ~~ ~n~L ~ ~ ~ s..~u .-...--. -- ~C("?'Q...J to@- 0,,1 d- "....j ...2.. -./ ~ i <J.N -- e >'- ~ ,.~c c\.~, \ I <1" '" ,,' :2-" _ \ ~ . c;;:"'i- ~q . F-r ;x. 2... =- "l ""l . 0 Il ~Q~ ,c-, ::. \ "" _ <;:""4- s:. Q... ~7. N .6' .....J ~ ... ~ -r ;;?7 .Q(.... s; \3. 6.2 ,&>.-F-l A-I...'- #V"'~.c:.JQ~ ~s; ~ I-C O~.....) P)~ A-?" ~C"""'oI-~. k L , ~ ,... 2, () \) r L I I I 1 I I ~ ~\\ \ V\ -, () fI) .\ \" ~ i }J ~ _.._-~" z. ~ ! (? z..,. ~ 2., ~ L u i ~ I / ") ~ I ' () . I ~~ \ \() ~ (. V' \ ~ ~ , . \.. \ L tI) p ~ l. ): 1 '\) : f\ C, ) ~ 1> Vl (\1 ~ ~ i 1- -E-- G' ~ ~--~~ ~ () ~ ~ t:::) ....P '1\ ~ ~, (i' , I') f 7\J , ..1 G'. ~. }J ~ .:p o r ~ It V\ lJ V\ -0 .. t () o r (.., ,...... - /.- ..J) ~ j),t 1 -. -.---,.-- ~ ..... ~' (,.) I co I t ~ ~ , ~ , ~ I Z 'f I VI 7\J i - Cn ,..,. 0\ -\ ,I L 4 0 }J 'f ~ - ~ 1- /' l. 0 ]) - - ~ s Y) /'" iD - I fI1 l 0 ~ r ~ ,.- tv P L. GJ ~ ~ ~ J: (,) ~ z- ('/J ~\ fJ ((I ..J) I' r ,- &t\ (l. 2.- ~ () u) fJ If\ . L- ff' ..J (\J (--- ~ ----.---- ltJ , . I - JAN-13-03 MON 01:56 PM S:GNART JIII:l Z ~ ~ Q' ;-- ~ :: ~ t ~ 1: Li f 'I ~ I ~" ~ J > !~ :f ~. ~ @ j ~ .. ":i ! j ..... i ~ t g ... t-.J I ... Y' c t-.J .~ ~ -i" ~~f . ." a :: i~ e'! ~ I ~ [' ~ i ;;' ~ I ~ I ~' !Ii ~ ~ ,. .. i. . I Q, f~\ ~ ~ "$ ~~ :l' ~ ti~ ~t l ,~ fl~ c 6' ![ g [ 55 ~. fr e,;.iS [c ~ i: G a ~s ,.~ . 0 ""0 Q, ~ " .~ .~ FAX NO. 5036740154 ~ ~~ ~ i 5"1:'> ~ i"8 ~ ! ~ rig T [ [~~ ~ r:> ..::.,r+ lE ;: ~OQl = .,.~5.. C o ~~ 3 ~~Q er ~... [ ~~l. t:: .:l.._ og-!! ~;t.o ~ ;:.13 I" f~~ f p?~~ =- 1;i~ ~ .::.. (,.,~ 9! :I ~ ' :r ~ ~ ~ r.::.....~ 15fl ' ii I ?- J i ,"1 I I . I' Ir~ i ... "/ ,-= I ~ I IJ' i I ~ I l_____._.J I ~ r""'- ~ - "'I I I ~ ~ . II .... ,- =. p, 03/03 -....-...-..1- I I ! ... ... ,. "il .-.--.....-. .._.L CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nunlber ..... 05-00000605 Date 7/13/05 Application pin number . . . 853865 Property Address ...... 621 S LINCOLN ST ASSESSOR PARCEL NL~BER: 06-30-00-0-2-0100-0000- Tenant nbr, name ...... LINDA MOFFIT Application type description CO- CHANGE OF OCCP/USE Subdivision Name ...... Property Use ........ Property Zoning ....... COMMUNITY SROPPING DISTR Application valuation .... 100 Owner Contractor SECOND REDDING ASSOC OWNER PO BOX 260765 ENCINO CA 914260765 ~' --- Structure Information 000 000 FLOWER STAND --- ~ ~--~ Construction Type ..... TYPE V NON-RATED Occupancy Type ...... BUSINESS:OFF/PRO/MED/REST ~~ ~ Permit ...... CFOKNGE OF OCCUP/USE %~ Additional desc . . FLOWER STAND ~ Permit pin number . 54346 ~-~ Permit Fee .... 23.50 Plan Check Fee . . .00 Issue Date .... 7/13/05 Valuation .... 0 Expiration Date . 1/09/06 ~ ~ Qty Unit Charge Per extension BASE FEE 23.50 ~-~ ~~ Fee s%unmary Charged Paid credited Due \~ ......................................................... PezWnit Fee Total 23.50 23.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 23.50 23.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within '180 days from the last inspection. I hereby certify that I have read end examined this application and know the same to be true end 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. C2,V F, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102 15 building permit inspection record05.swpd [ I/4/20051 BUILDING PERMIT- APPLICATION Fill out COMPLETELY and in ~K. Your npplieation nnd site plan MUST BE CO~PLET~ to be accepted for review. If you lmve ~ny questions, call PE~TS (360) 417-4815 F_~(360)417-4711 Date .~ch/tect~ng~eer: ., Phone: Con, actor State License ~: I~ ~ O~'L I ] ~ Exp: ~/O ~ Phone: Address: CiV: ': ' Zip: LBS~ DESC~iON: Lot} ?o~ ,. Subdivision: CL~L~CO~P~CEL~ER: ~/~hO ~ ~ ~/oc) ~r>oO Credit Card Holder Name: L~ ~& ~, ~ ¢¢i'~ Credit Card Type ~SA__MC ~ ~ hq~ i'505 ~UgO t'B.~A o Exp. Date: ~E OF WO~: S ~ Residential ~ New Com:. D Re-roof ~ Stove SF. ~ D M~5-family m Ad~fion D Move ~ Garage SF. ~ $. /SF. = D Commercial D Remodel D DemoSfion D Deck SF. ~ D Repak m Si~ D O~er__ TOT~ V~UATION , - ' ,d,~ ' ' CO~C~S~EN~: Occupancy ~oup: uccup~ ~oaa: co~cuon No. of Stories: ~ Loi S~e: E~s~g Sq. Ft. & Proposed Sq. Tot~ lot coverage. % rx . ~PROV~S: BLDG: ~ / gS~Wefland(s): D Yes ~No S~A Chec~st requked? D Yes ~o Other: OT~R: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e apphcant. This figure w~ be reviewed ~dmayberevisedby~e Buil~g Division to comply with c~ent ~ee schedules. Contact the Pm~t Coord~tor at 417-4815 for assistance. PL.~ C~CK FEE: ~ a p]~ check fee is due it must be subdued at ~e ~e ~e bufld~g pe~t app~cation ~d co~cfio~ plum are subdued. ~1 othe~ pemi fees are due ai the t~e of psat issuance. E~TION OF PL~ ~W: If no pe~t is issued wit~ 180 d~ys of the date of a~ ~ ~pplieation wi~ expire. The Building Official can extend ~e ~e for action by the applic~t up to 180 d~ys upon ~en request by ~e ~pphcant (~ 'S~cti~ ~105.3.2 of~e ~tematio~I Buildmg~esidenfiaI Code, 2003). No apphcafion can be extended more ~an once: i hereby ceflify thai I hove read and exomined this opplication and know the same to be true and correct. I am authorized to opply for this permil and understand that i~ is my responsibility to determine what permits are required ,n¢~ the City's, and that / must obtain such permits prior t~ work. ,.11 .' \ I \ I I \ \ . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .;2SSs DATE ~/ ,/.EO ELECTRICAL PERMIT o READY FOR ILL CALL FOR INSPECTION INSPECTION Phone: Sit Address: I Phone: Sq. Ft. o Residential I Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other ~ommercialllndustrial load I ~otal Connected load I (attach breakdown) i Total Motor load I (attach breakdown) Detai IslDescription: , o New Construction ~ Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary Amps ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~u. /J/U~ ~) W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. I o Rough.in/cover O.K. o OIK. to connect service pal O.K. I Site tddress: I t..;2 Installer: , Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pendi ng New MeteD , Notif.y the Departme City Light by Street Address and Permit Number when ready for inspection. Work mustl not be covered or e ctrically energized before inspection and O.K. for covering or service has been given by th!3 Insp r in Writing on the Wiring Report or the Building Permit. PHONE 457~04 1, EXT.158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ) 6-0 . ~O- Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall I OLYMPIC; PRINTERS. INC. 3-03-203 12,50PM FROM ANGELES ELECTRIC INC 360 d52 9265 P.l o~~ /)_0 III'~ 1'1 ELECTRICAL PERMIT APPLICATION rOR OrnnAI. tlS~ ONLY l)~ldnt<:: ""rmh_: V,k Aprm"~tI: l,)~'~bwc"': Pleas~ type or reprh~lln Ink. If YOll have any questions. please call (360. 417-4735 ~a)' numbel: (360) 417-4711 # Z-z ( ~ \ ~ )3 Ttle Elcctf;c<il Permil Applic3lion musl be..l!!J~r!otlt completelv. - Owner or Elec, Conlractor Ag.nt:-----ANGELE5-E.LECTll1 C Propcrty'Owne" _ f?tTE-- d1!2 Address 1,,'2..J.5, t/NttJW Sr City: (ffi't-T -4->~1.-i..S I\NGEUU460RS license #: Exp; Phone: / / / Address: 524 EAST FIRST City: PORT ANGELES. WA / / / / / / / Zip: /j:r.162 / Phone' 4t;7_q71i4 / /Zlp:-2B31i2 Electrical Conlraclor~ ANGELES ELECTRIC I.NC. INSTALLATION WIRED BY: [i OWNER x!ElEC'TRICAl CONTRACTOR Credit Card Holder Name: 1'" (1._Simpso.n Billing Address: Credit Card Number: ,~ ExfLP -~ Zip: VISA:_MC: ~ PROJECT ADDRESS: TYPE OF WORK: Check alllhal apply:', U New o Residental 0 Multi-family 0' Commercial Sq,Ft. o Low Voltage' o Telecom. ~ I~~'," o Remote Meter 0 Detached garage 0 Hol Tub Number of Circuils added or altered: ._____..~ ,,$ 161.)" "w '. etflSl7Nb DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions /~ 51b/d Service Information fl ss- ~ o Baseboard o Furnace o Heal Pump o Fan-Wall _KW, __KW _KW _KW Voliage:__ Phase: 0 1 0 3 /0 mp Service Service Size: LI Underground ServIce Feeder Size: ,ca~~fr lal,,& residential projects larger than a duplex, a one. line drawIng or the Electrlcal Service & CJ at ons, and the type & of conduclors and/or raceway Is required and shall accompany the PAMC 14.05,060(8): F~r indu n Feeders, building size (sq. H,), 10 Electrical Permit application. , hereby cer1ify that I have re d and /!xamined this application and know that same to be true and correct, and I am 3uthorized to apply for Ihis erlnil, I understand 111$ not the City's legal responsibi/ily 10 delermine whal permits ore ~r{:; il;(a/~bP::nt; :S~O:;;~ to de/ermme what permits are required and to oblain such. Credit Card Holder's Signature: 'W-9019 ~ Owner or E"!c. Cont. 'Signature; Date: -----.;-;;-z;;- Date:-+?- c~ 3/J/03 , ~..o.;:'" 'f';...-r,=.-'1 "~~"... ....... ELECTRICAL WORK PERMIT APPLICATION . Job wired by ~Electrical Contractor 0 Owner Electrical contractor name License number Date Ex.pires -El".:I(,;"/ SQ(V,\-c.t)~", ELf=CfJ: 1: 1~16T1') Purchaser's mailing address \1 01... V"'l J 82 Ora-pL" r4LIt.""'f ~ CilYVl ~ State ZIP -D! rl- -I. 'S" IN 11 Telephone number FAX number "i Installation description o Commercial III Residential o New o Altered! Addition "1 a 3 ~-'L- ? -to ~"2- l f)" 4 ""'f/ .fUII7 VI. 4/I.J.....J Premises OrJI~':..n8m~O . ~.'" ,< bl.::tS Address of insp:cction 1rJ 3 S. Lif"'Co)" CHy e.,t\ _ Phone num.ter to schedule Inspection: .0'10 Ow"er (IS defined by R<:WI9.28.26/:(l) OWller will occupy Jlle .f/rlle/we for two y~nrs afler this electrical permit is fi/lalized. (2) Owller is requ;rt?d /0 hire UII eJeC'trical contractur if above said property is Jor su/e. rent or tease. After reading (he above st81Cmcm. J hereby ccniry that I am Ihe owner of the above named properly or a licensed cleclTical contractor, I am making the eleclrical instal- lation or alteration in compliance with lhc electrical laws. N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-46B. The City of Port Angelcs Municipal Code, and Utility Specificillions. Signature or owner, electrical controctor or electrical adml A p t L 03 Q Cash 0 Check# _ 0 ' o Credit Card Visa ~'{'clr:d\....- Discover Card# __.D:'O-____,____-____ Date: 11 Expiration Date of card tr ct Q Overhead Service Q Temp Service (J Underground Service Vollag. J::>, /').'-/v Pha..lI 1 0 3 Service Size: --1.l.l.Jt I Feeder Size: I b () It SAME DAY INSPECTION CALL BEFORE 7-00 AM 360-417-4735 , ROUGH-IN THERMOSTAT " /' SERVICE Dale ApprovetllJy "- Dill" Approved 0)' "- Dille Approved By 11!Cf/otrAL <>'f~/ " /' V D1TCI:I FEEDER 00< proVed By../ ,- Dille AJlPrDVCd By Dille AppmW:dOy./ Inspecrion Area, Building or Equipment Inspected Electrical Date Action Token Inspector //-Z8-o7 AI '.;:fL. . .....,." -...;: ..", ,,~'-" ., '. 2/2'd !EbLTb:01 b2b92Sb 3Jln~3S JI~lJ3l3:WO~j ~9b:80 b002-2!-N~f ELECTRICAL INSPECTION WIRING REPORT 417-4735 SPE R I OWNERlC ~~ ADDRESS 703 \1....\.C- S L.JNCOt...>-( s~ APPROVED NOT APPROVED o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . .X D.. . .. . . . . . . . .. . . . .. . . FINAL. . ... . . . . .. . . . . .. . . . 0 CORRECTIONS NEEDED: at>EN 0" -gc~ 'g-l's.b'i.J\.:~.N_""'-'-- L"''&~L- ?AN~L LovE.~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (36D) 452-1381 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 10 u — Multi - Family or Commercial* OCT RECEIVE za% * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: ' of 5- 44 neo1 S4 . &1jat. wA (P 7n Building Square Footage: Description of above RECIRICAL INSPECTIONS T\ owner Information Contractor Infprmlvion Name: R.% k /A' J � a Name: p C -hV Mailing Address: Mailing Address: 7_7M40 ylw-e " City: State: - Zip: City: state: �Zip: TKU3 2, Phone: Fax: Phone: I Fax; vau 'aa License # / Exp, License # 1 Exp. Item Unit Char�c ee Q�t Total (Qtv Multiplied by Unit Charge) Service /Feeder 20C 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 W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 $ — $ Each Additional Branch Circuit $ 5.00 — $— Branch Circuits 1-4 $ 86.00 – $ Temp. Service/ Feeder 200 Amp. $102.00 Temp, ServicelFoeder 201 -400 Amp. $121,00 $ $ Temp. ServicolFeeder 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 $- -gyp - -- 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 rX� $__�_ 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 malting the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatu caner, electrical contractor or elecWcal-ad min istrator: ❑ cash Check I ❑ Credit Card # x Dated: 10 ` 0110112612 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , , . . 14- 00001195 Date 10/03/14 Application pin number 140595 Property Address 621 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-0-0-0-2- 0100- -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING D26TR Application valuation . . . . 0 Application desc Relocate motion sensor (Alarm) Owner Contractor RESULTS: SECOND REDDING ASSOC DITCH PROTECTION ONE PO BOX 260765 6844 SO, 220TH STREET ENCINO CA 914260765 RENT WA 98032 (425) 656 -7132 Permit , , , . , , ELECTRICAL ALTER COMMERCIAL Additional desc . . COMMENTS: Permit Fee 96.00 Plan Check Fee 00 Issue Date 10/03/14 Valuation . . . . 0 Expiration Date 4/01/15 Qty Unit Charge Per Extension 1,00 96,0000 ECH EL- LIMITED 1S7 1500 $Q 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 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:IEXCHANGEIBUILDING 1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East FMb Street --P.O. Boat I150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417 -4711 - fiat PDAeNM9y BE REagdred, PleaseCkxVete JobAdci - _L21 f) ®.11dlrg ��Fao�: DMMp60nof4u&2u,f i L.2i+e -% r t - r Milti- Family or Commercial- Owner Information IVm s &bfirgAJJM _L- _4_ S 5te�e: wjA 7R9s�-36"2- Item Unit ChMg 93)oio Tbeder200Arrp- $13200 Se VaYFeeder20140DArrp, $160.04 SeM�A0140 Amp $ 225.00 9eMolFAeder601.1COOArrp. $ �9,Q0 ,%r,Ao9Tveder over 1004AT $ 410.00 av h armA W Service Feeder $ 5.00 D-rrrtt Graft WD Semos Feeder $ 74.00 Each Ad:OdonalDar&QrnA $ 5.00 DWO QXL* 1-4 $86.00 7errp SBMCal FMW200Arrp. $10200 Tamp, SmelaelFeeder 20140DAnp, $121.00 Terp. S®rvlM7eedet401,600ArrR $16400 Temp. SemmFeedsr601 -1000 Amp . $185.40 Porn to POW HoLdy $98,00 - 9- VahliroUg ng $ 88,00 S19rmal arL M United EreW- hUd -Fmjy $ 64.04 Signal arak Limited Energy ! Hrst 1500 sf- Cam-erdal $96,00 Note, $5.00 for e8& a if iore11500 sf RmaNaUaE]adnc4 Fmw - 6KVAay'tanorLess $113.00 Thmnostd $ 55.00 Note: $5.001br each ac d bord T-Stj RECEIVE Ran P,-,Ae,,v IT#bm cn Sheet FtECTRICAL INSHCTIONS Contr n m3rra 1 YA rnS Ntaifrg,ack#ess b vtY W. : 3 " a ia4 Tap: ff sO6 uoase #1E3q0. I ch Total LCU MAdied b y Wit Charge) $ $ $ $ $ $ l ©Total Cmmer as deftred by F Cvvi9- 28.2B1: (1) CMnerwill oocrpy ttte S4 WLM forNm years after this eiechical pm* is iirWimd. (2) DAIW is raWred to *0 an electrid contractor if abo* said property is fbr sale, rent ar leases Pemit Orm aU six rrrnft of last inspection. After readng the above Aatermterlt, l hereby oer* that 1 m ft mow of the above named aoperty cr a 110vised electrical oontt adcr. I am Ma ng ttte decWcal irisWe ion or dtff�on in oormplia veWth the eledrIcN IaAr,� 9EC , RON Chapter 19,28, WI C. Chapter' 29taAfB, The City of Fort Angeles Wippd Cads, and utility Wc da is and PAID 14.05.050 repdng Beftal Pa-aft Applictcm Signature of awns, el td&4 contractor or electrical administrator: ❑ Qmh ❑ Che& r` a:. :. !''. _ ELECTRICAL PERMIT CITY OF PORT ANGELES . 360 -417 -4735 Application Number . , . . . 14- 00001369 Date 11/10/14 Application pin number 713853 DITCH Property Address , . , 621 S LINCOLN ST ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 0100 -0004- Application type description ELECTRICAL ONLY Subdivision Name . . , . , , �® Property Use . . . , , , , , FINAL Property Zoning . . . . , . , COMMUNITY SHOPPING DISTR Application valuation , . , 0 ----------__.-----------------------------------------------------------°__- AppliCatioa desc Camera system Owner Contractor SECOND REDDING ASSOC FROULA ALARM SYSTEMS INC PO BOX 260765 861 INDUSTRY DR. ENCINO CA 914260765 TUKWILA SEATTLE WA 98168 ----- - ----- -------- ---- ----------- (206.) 575 -1962 - -- - -- -- --- --- -- - - Q - s � ) ---------- Permit . . . , , . ELECTRICAL ALTER COMMERCIAL Additional desc , . DOULBE FEE WORK W /OUT PERMIT Permit Fee . , . . 202.00 Plan Check Fee 00 Issue Date . . , . 11/10/14 Valuation 0 Expiration Date , . 5109115 Qty Unit Charge Per Extension BASE FEE 101,00 1.00 96,0400 ECH EL- LIMITED 1ST 1500 SQ FT 96,00 1.00 5,0000 ECH EL -AD)NT LIMITE6 1500 SQ FT 5.00 Fee summary Charged Paid Credited Due Permit Fee Total 202.00 202,00 .00 ,00 Plan Check Total .00 ,00 .00 .04 Grand Total 202.00 202.00 .00 04 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 COMMEN'T'S: PERMIT WILT, EXPIRE SIX (6) MONTHS FROM LAST WSPECTION Signature of owner or Electrical Contra_ ctor X Date: G:IEXCRANGE1BUILDING I IN l OR A4, CITY OF PORT ANGELES PRU P ' URRION Building Division/Electrical lns a ons 321 East Fifth Street — P.O.1 s191t11 P A 1s Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -471 MTRICA iN'�'�C7i(��p,4 Date: 10/13/14 _ Multi - Family or (ommercial* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address 62'1 South Lincoln St Building Square Footage: Description of above. Rite Aid pharmacy. Connect new "Rite Aid" sign to existing electrical, Owner Information Name: Rite Aid Pharmac Mailing Address: PO Box 3165 city: Harrisburg state: PA zip: 17105 Phone: 717- 761 -2633 Fax: License # 1 Exp. Contractor Information Name:. To be determined ...- H.P!+�ak 169 Mailing Address: City: State: Zip: Phone: Fax: License # 1 Exr) Item Unit Charge Qty Total (Qtv Multiplied by Unit Charge) ServicelFeeder 200 Amp. $ 132.00 $ ServicelFeeder 201.400 Amp. $ 160.00 $ ServicelFeeder 401 -600 Amp $ 225.00 $ ServicelFeeder 601.1000 Amp. $ 288.00 $ ServicelFeeder over 1000 Arnp. $410.00 $ Branch Circuit Wl Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 86.00 $ Temp. Service/ f=eeder 200 Amp. $102.00 $ Temp. ServicelFeeder 201 -400 Amp. $121.00 $ Temp. ServicelFeeder 401 -600 Amp, $164.00 $ Temp. ServicelFeeder 601 -1000 Amp . $185.00 $ - Portal to Portal Hourly $ 96.00 $ Sign /Outline Lighting $ 88.00 �_ $ 88.00 _ Signa€ 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 $ 88.00 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, WAC. Chapter 296 -4613, The City of Part Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash Vcheck ' ❑ Credit Card # � f � X Dated: `0 Ab 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . , . 14- 00001243 Date 11/20/14 Application pin number . . . 899949 DITCH Property Address . . . . 621 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06- 30- 40-0 -2- 0100 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . , . . . . . . FINAL Property Zoning , . . . . . , COMMUNITY SHOPPING DISTR Application valuation . . . , 0 ---------------------------------------------------------------------------- Appl.ication desc Sign circuits Owner Contractor SECOND RE]JDZNG ASSOC HANSON SIGN CO, PO BOX 260765 PO BOX 928 ENCINQ CA 914260'165 SILVERDALE, WA. SILVFRDALE WA 98383 (360) 613 -9550 Permit I I , . . , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 88.00 Plan Check Fee ,00 zssue Date 11/06/14 Valuation 0 Expiration Date 5/05/15 Qty Unit Charge Per Extension 1.00 88,0000 ECH EL -COMM -SIGN 88.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited - ------ -- -- - -- - -- Due --- - - -- -- - ---------- -- - - -- -- -- -- - --- Permit Fee Total 85.00 --- 88.00 .00 - .00 Plan Check Total .00 00 .00 .00 Grancd Total 88.00 88.00 .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 -1N FINAL I ! Z COMMENTS: PERMIT WELL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GACEXCHANGEIBUCLDING S 5 N OCT /08/2014/WED 01,12 PM KR FAX No,360- 786-6943 P,001/001 RECE1, X t s=aRr,1 RSS CITY, OF PORT ANGELES PEI RMIT APPLICATION, . - Iiufldxng DivfsionlElectrica] Inspections ' ' : • . ' '. 321 East Fffth Street- P.O'. Sox 1150 /Port Angeles stshirigton; 98362 t RICA " : , :� ;.'. Ph: (360) 419 -4735 Fax: (360) 417-4711: �pW,13�PC�MS :'... Mul f -Fa Y t rnil ar.,Commercial" * Plan. Ravlsw Ma y Be Required, please Camplets �`rct'rlcal Pla IRevfe rinforrgatlorl Sheet' ''< ;',,, Joti Address:. Building' Square Footage• r .. ... ' .Descdptlon of above OwnerinF rmation tontra66 lnformatlom ::.., Name: Name: LZ , Wpl in dr 5; '' CII Matling Address; rr� sY - phone late: �7�p; Clty: I- eA State:, &44 zip; ! (d ' k Phone, o822Fax:' r a.. Ltense#1E License #'l EXp.4iU� f �3' DT- Item Unit r e .. L�yt Total f�lultk ifed b Unit Cha e Service(Peedar 200 Amp'. $ 73 '• SelvicelFeeder 201 -400 Amp::. $160.00 -- $ $ Ser4e)Feeder 401 -600 Am 225.00 '. $ S@rvicelFeedor 601.1000 Am o, f?, $ 288.00 $ ' +Service /Feeder over 1000 Amp: • $4 16.00 g. Branch Circuit WJ $0r0ce Feeder, • $ . 5.00 $_ 7. Branch Circuit W/O Service Felder ' $ 74,00 Each Additional Branch Circuit, Branch Circuits 1 ' -4. $:88.00 7ernp; 5e(vicel Feeder 204 Amp, :. $102.00 :: $ Temp. SgMca /Feeder 201400 Amp, $121.00 - $ Temp ;SerutcelFeeder401.600Ampr.', $.164,00. $ Temp. ServicelFaeder'601 1000,Amp .. $195.OD $ ` ', '' 'Portal to portal hfoudy. $-.96M $� Signfoulline t_ightfng . $ 88,D0. Sigoal Circuit/ Limited Energy ulti -Famil $- 9Y - Y 64 D0 ,Slghal, Circuit Limned Energy/ Fint 1500 sr- Commercial, $: 96.00' Nd te: • $5.00 for esch'additfoaak 1500 sf Renewable Electrfcal'Energy - SKVA System ar Less . ' $113.00 $_ ' > Thermostat $' 56.00. $ Na1e:.$5.00 for each adtlhfonaf 7 -Slat :5 /:auTotal Owner as defined, by RCW.19.28.261, (1) Owner uaill occupy khe.'str•ucture for two years after this efeckricai permit is firi9llzed, (2) Owner is to hire rQquired an electrleal contractor if above said propeYty. Is; fqr sale; rent or lease:: Permit expires aftersiz monkiis of last inspection.::, er reading the above siaterneht, l hereb c�rti r,that l'am the owner of the above *red 'ro erf "or a tic Aft y ,,. •, p., P , y ensed electrical conlractor, l am making the installatlon eieckrical or'alleratiotl. in campllance with the'electlicailaws,, N.E.C., RCW Chapter 19.28; WAC, Ghapter 296.468 The City of Aort Angeles Mumclpal Code,''snd Utility Specifications and PAMG 14;05:050 regarding Electrlcal PermiEApplications..' Signature of owner, electrical contra,1 p0 ctor or eleckrical administrator [] Ccredit card# X Dated ^ .,, , U1r0'f12812 r, r , r 0. I?Onrq* Q. ELECTRICAL INSPECTION WIRING REPORT FrKs 417-4735 DATE: PERMIT9 INSPECTOR I1 /;3 OWNER CONTRACTOR L) 15 ADDRESS —6Z 1 1 P4 L. 0 L— Ki gr APPROVED NOT APPROVED Cl .................... DITCH... . ................ 11 0 ........... - - ROUGH IN/COVER ............... )OL, 0 ................ ... SERVICE ......... - I ...... 0 0 ..................... FINAL .... ........... - . - 11 CORRECTIONS NEEDED: ffgr-- earl - -Q) 10 F3, Y7-lr,- k AI e;,'FKt---r ,0 P4 I- I , tg NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS milolffro]W,Ts - ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , . , . 14= 00001222 Date 11/20/14 Application pin number . . . 143708 DITCH Property Address , , . . . , 621 8 LINCOLN ST ASSESSOR PARCEL NUMBER; 06- 30- g0 -0 -2- 0100 -g000- Application type description ELECTRICAL ONLY Subdivision Name , , . , , , Property Use FINAL Property Zoning . . , . . , . COMMUNITY SHOPPING DISTR Application valuation . , , , 0 Application desa Low voltage --_----_°----------------------_-------------------------------------------- Owner Contractor SECOND REDDING ASSOC US COMM SOLUTIONS PO BOX 260765 4815 SOTH AVE SE ENCINO CA .914260765 LACEY WA 98503 (727) 348 -0822 Permit , . . . , . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee 197.00 Plan Check Fee 00 Issue Pate 10/08/14 Valuation o Expiration Date 5/05/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH .- EL-VIOLATION INSPECTION 56.00 1.00 96,0000 ECH EL- LIMITED I'ST 1500 SQ FT 96.00 9.00 5.0000 ECH EL -ADDNT LIMITED 1500 SQ FT 45,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---- - - - - -- -- -- - - - - -- Per= t Fee Total 197,00, ---- - -- - -- - --- -- - - -- 197.00 00 ---- - - - - -- 00 Plan Check Total .00 .00 .00 .00 Grand Total 197,00 197,00 ,00 QO T' REPORT SALES TAXr on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL j COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street -- P.O. Sox 11501 Port Angeles Washington, 95362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date; 9/17/2014 Multi- Family Commercial. * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet JobAddre5s: 621 S LINCOLN ST. (BITE AID) Building Square Footage: Descriptionof above TFNNANT IMPBOVRaT, . SEP 23 RECTRIC INSPEGrICNS Owner Information Contractor Information Name: Name; SEA -TAG ELECTRIC, INC. Mailing Address: Mailing Address: 7056 S.220TH ST City: State. Zip: City: KENT state: WA Zip; 98032 Phone: Fax: Phone: (253) 872 -5553 Fax; 253 872 -4112 License # I Exp. License # / Exp. SEATAE1077RW Item Unit Charge ON Total (Qiy Multiplied by Unit Char gel ServicelFeeder 200 Amp, $132,00 $ Service/Feeder 201 -400 Amp. $160.00 $ ServicalFeeder 401.600 Amp $ 225.00 $ ServicalFeeder 601 -1000 Amp. $ 288,00 ServicalFeeder over 1000 Amp. $ 410.00 $ Branch Circuit WI Service Feeder Branch Circuit W/O $ 5.00 $ Service Feeder $ 74.00 $� Each Additional Branch Circuit $ 5,00 $ i Branch Circuits 1.4 $ 86.00 $ Temp, Service] Feeder 200 Amp. $102.00 $ Temp. ServicelFeeder 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 $ SignlOutline 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 sJOIC 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, WAC, Chapter 296 - 4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, a ter al contractor or electrical administrator: ❑ Cash ❑ Chock ❑ Credif Card # x Dated: 9/17/2014 011011120112 yi f-�Z � - 2o(� .- � -y - - O�pL)FlTq�,�� ELECTRICAL INSPECTION WIRING REPORT 417 -4735 RKppS 6` P1 112 If2j DATE' PERMITIl4 INSPECTOR yy OWNER CCNTRACTOR s►tJ>, 7-A, c_ 'Ot c ADDRESS 62 S ,.;! 9c NOT APPROVED L� ............ .... DITCH .................... � .......... ......ROUGH IN/COVER .............. • ® ............... .....SERVICE......,,........... { ................ .....FINAL.................... CORRECTIONS NEEDED: _�1� -Jy 1co �- P d a!p*_ rz_ 1cgL2 CO NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 CLAYS — DO NOT REMOVE — oF%'°"4"e� ELECTRICAL INSPECTION �a f� WIRING REPORT u� 417 -4735 ARKS & DATF PERMIT # INSPECTOR OWNER -- CONTRACTOR y n ADDRESS -r— APPROVED NOT APPROVED 0 .................... DITCH .................... C'7 0 .... . ........... ROUGH IN /COVED ............... — El ............... .....SERVICE................... El ............... ......FINAL.................... CORRECTIONS NEEDED: _n'j -- 4L-,-LL f5 � �?d Z) - i'>.L r, F--A ri b NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOVE 41 0,fl?0FlT4,V Q. ELECTRICAL INSPECTION WIRING REPORT RIKS 417-4735 DAT" PEWT4 JNSPECTOH ) zaky CINNER CONTRACTOR & '_7 ADDRESS _j —&Z APPROVED NOT APPROVED ED .... ............... DITCH .... ............... 0 E) ................ ROUGH IN/COVER... . ........... 0 ...... ............. SERVICE, . ................. C3 ........... ...... ... FINAL. ........... CORRECTIONS NEEDED' v, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 211-110111 reld j0#11 DITAM ■ ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , . 14- 00001138 Date 11 /17/14 Application pin number . , , 132340 Property Address . , 621 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06- 30-00 -0 -2- 0100 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , , . , Property Use , , . , . . , . Property 'zoning , . , . , , . COMMUNITY SHOPPING DISTR Application valuation . , , , 0 Application desc TI 20 circuits Owner Contractor RESULTS: SECOND REDDING ASSOC DITCH SEA TAC ELECTRIC INC PO BOX 260765 ' 7056 S 220TA ST ENCINO CA 914260765 KENT WA 96032 (253) B72 -5553 Permit . . . . . , ELECTRICAL ALTER COMMERCIAL Additional desc . . COMMENTS: Permit Fee 225,00 Plan Check Fee .00 Issue Date 9/23/14 Valuation 0 Expiration Date 5/0.5/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH . FL- VIOLATION INSPECTION 56.00 1.00 74,0000 BCH FL -COMM BRANCH CIR W0/ S/F 74.00 19.00 5.0000 ECH EL --ECH ADDNT BRANCH CIRCUIT 95.00 Fee Summary Cba.rged Paid Credited Due Permit Pee Total 225,00 225.00 00 .00 Plan Checic Total .00 p0 .00 .00 Grand Total 225,00 225.00 .04 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 p Z H�q, COMMENTS: PERMIT WILL EXPIRE S[X (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor G =CHANGEIBUILDING i Date: c .IN ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 14- 00001490 pate 12/11/14 Application pin number . . . 419430 DTTCH Property Address . . . . 621 S LINCOLN ST ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 0100 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . FINAL Property Zoning , , , . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Application desc Security system ---------------------------------------------------------------------------- Owner Contractor SECOND PEDDING ASSOC PROTECTION ONE PO BOX 260765 6844 SO, 220TH STREET ENCINO CA 914260765 KENT WA 98032 (425) 656 -7132 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional dear , Permit Fee . . . . 176,00 Plan Check Fee 00 Issue pate . . , . 12/11/14 Valuation 0 Expiration Date , , 6/09/15 Qty Unit Charge Per Extension 1100 96,0000 ECH EL- LIMITED 1ST 1500 SQ FT 96100 16.00 5.0000 ECH EL -ADDNT LIMITED 1500 SQ FT 80,00 Fee summary Charged Paid Credited Due Permit Fee Total 176,00 I76,00 .00 .00 Plan Check Total 00 a0 .00 .00 Grand Total 176,00 176.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DTTCH SERVICE ROUGH -IN FINAL COMMENTS: �- PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date- G:IEXCHANGEIBUILDrN G Dec, 10. 2014 11:09AM Protection One 4z,t,-� CITY OF PORT ANGEILEs PERMT APPLI CATIOIV Building Division/Electlricai Inspections 321 ]East Fifth Street —P -0. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711 Date; 10 — Plan Review May Be Job Address: _ sullding SgvW6 Foolpp,: DeWIPLIon of aboye owner Informs� jtop Namo: V-1-W. told. i!F rj MailingAddreaa: 0 Gl<y w "11 slam; ap; Phone' is 7 y�ax; License #1 Exp. Mulll- Famlly or COmmerelal* Item SenricelFeeder 200 Amp, Unft Char $ 132.00 Service/Feeder 201 -,400 Amp. $160,00 SeMO& Feeder 401-6W Amp $ 24.00 %%MOelF6WOr 601 -1000 Amp. $ 298.00 Sere mFeeder dyer 1000 Amp. $ 410,00 branch Circuit Wi Senrlca Feeder $ 6.00 Branch Circuit WIO Servioe Feeder $ 74.00 Each Additional Branch Circuit $ 5,00 13rarich Circuits 1-4 Temp, $erviW Feeder 200 Amp. $ 86.00 Temp, 5ervlo F%der 20140 Amp, $102.00 $121.00 Ternp..%fvl&Feeder 401.600 Amp. $164.00 Temp, ServlWFeeder 601 -1000 Amp, $185.00 P091 to Portal Wourfy Slgniouuine Lighting $ 96.00 Signal Circull! Llmtled Energy -14 UIN- Famtfy $ 88.00 $ 64,00 Signal Grcuil! Limited Energy) First 1500 sf,Carnmerciel $ 96.00 Nola; $5.00 fdr each addlOonal f 500 sf Renewabia t leoldcal E'nerV - 6KVA System or less Theanostal $113,00 Note: $5,00 for each additional T -Slat $ No, 3921 P, 1 L) Plan PeVlew Information Sheet contractor Ir}[�rm tips Nerve: T' W`t Melling Address; � ,•�, cAy Lj rL• �1- 8I61a: Zip: Phone: Fax: Lkensts # I Exp, °0 F} 1ON fQty Muitlolled by Unit Chars ®f ..� $ "0 Owner as defined by RCW 19,28,281; (1) owner will occupy the $tractors for two years after this electrical ermlt Is fi Total to hire an eirrab cal contractor if abava said property Is for safe, rent or lease, Permit expires after six months of last Ir1 pedon 2) chimer is required After reading the abode statement, I hereby oerbYy IhOt I am the owner ofthe above named property or a go9nsed electrical contractor. I am snaking sirs) e1e01cal Installollon or afteration In compliance with the electrtoal laws, N.E.C., POW, Chapter 18.28, WAC, Chapter 298 -48B, The City of port Angeles Municipal Code, and Udllty Speolficallons and pAMC 14.05.060 regarding Electrical Permit Applications, Slgnat owns 4 l t I r cal contractor or electrical admthistirgtor; p Ceah 4 Check J Credh Card k Application Number . . . . . 22-00001105 Date 9/07/22 Application pin number . . . 782155 Property Address . . . . . . 621 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Coolercircuit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALBERTSONS 60045 ANGELES ELECTRIC PO BOX 990 REAL ESTATE 524 E. 1ST ST. MINNEAPOLIS MN 554400990 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 9/07/22 Valuation . . . . 0 Expiration Date . . 3/06/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MU LTI.FAMIL / COMMERCIAL TR IT APP CATIO , Public Wcrrks and Utilities Department 32,1 E.5th Sn'ect, Port ALigeles, WA 98362 '3 60 .4 t 7, 47 35 l rvr,vrv, cityofpa,u s l el ect:ri c alp erm its (gi)ci ty ofira.u s _-t !o 3;+s Project Address: Project Description: fl Multi-Family Residential n Commercial /ustrial / Public Building Square Tootage; Name Email Mailing Address u€ -fr w- =-.'uj'l Name:Anoeles Electric. lnc Mailing Address 524 E. First Pod,Anoeles. WA 96362 License :AN GELE146ORS Expiration Date:21112020 Email , ksimpson@olympus,net Phone:360.452-9264 Item Service/Feeder 200 Amp. servlce/Feeder 201 400 Amp, Service/Feeder 401 -600 AmP, Seruice/Feeder 601 -1 000 Amp, Service/Feeder over 1000 AmP. Branch Circuit W/ Service Feeder Bianch Circuit WO Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp, Service/Feeder 200 AmP' Temp, Service/Feeder 201'400 Amp, Temp. Service/Feeder 401-600 Amp' Temp, Service/Feeder 601 -1 000 AmP, Portal to Portal HourlY Sign / Outline Lighting Signal CircuiULimited Energy - Multi"Family Sional Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5,00 foi'each addltlonal 1500 sf) Renewable Elec. Energy: SKVA System or less Thermostat (Note: $5 for each additional) Quantity Iglid (Quantity x Unit Charge)UOI!Charoe $132,00 ' $160,00 $225,00 $288,00 $410,00 $5,00 $74.00 $5,00 .$86,00 $ t oz.oo $121,00 $164.00 $185,00 $96,00 '$8aroo $88,00 $96i00 T :# Gt6ob o + $ $ $ $ oI o.l, $ $ $ a a $ $ o.l) o.P $ $ $113;00 $56;00 owner as defined by RCW.19,2B .261: (1)Owner will occupy tho structure for two years after this electrical permit ls flnalized' (2) Owner is required to hire an elecirical contractor il abovo said propuity is for sale, rent or lease. Permlt expiros afler six months of last inspection' After reading the above statement, I hereby cerlify that I am the owner of the above named property or a licensed electrical coniractor' I am making the electrical installation or alteiation in "ompri"n"" wirh the "t".trrcul tawt, ru.r,i,, RcW. cnapter 19'28' WAC' chapter 296- 468, The cityof portAngeles Municipal code, unu utiriiyspeciflcations ano pnrvrc 14.05,050 regardlng Electrical PermitApplications' q TOTALl# Ken Sim son Print Name Signature (fl Owner a Contractor / Administrator) [Electrical permit Applications may be submitted to city Hall or electricalpermits@cityofpa'us or faxed to 360'417 '4711] PREPARED 9/06/22, 8:05:26 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001105 621 S LINCOLN ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment