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HomeMy WebLinkAbout212 S Peabody St - Building CITY OF PORT ANGELES *M PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000723 Date 7/18/11 Application pin number 717636 Property Address 212 S PEABODY ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -6 -5 -0006 -0000- on your State excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc abandon sewer pump reconnect to gavity RCP #11 -25 Owner Contractor GUNDERSON, JEFFREY LINDA OWNER 235307 HWY 101 PORT ANGELES WA 98363 Permit RIGHT OF WAY Additional desc RECONNECT TO GRAVITY MAIN Permit pin number 189167 A 4 Permit Fee 150.00 Plan Check Fee .00 Issue Date 7/18/11 Valuation 0 r Expiration Date 1/14/12 Qty Unit Charge Per Extension 1 v 1.00 150.0000 ECH RIGHT OF WAY PERMIT 150.00 Special Notes and Comments Q /1 Traffic control per attached plan. Call City inspector prior to start of work 417 -4831 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 V\ 1 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 presum to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru ti n. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES '(Engineering Division) WATERLINE SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK s•: CURB GUTTER DRIVEWAY APPROACH ;BACK -FLOW DEVICE'," t k. w _k f 'i r i 4 r v 4 FINAL INSPECTIONS. REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL, DATE'' YES NO COMMERCIAL DATE `.ACCEPTED YES NO CONSTRUCTION R.W. P.W/ CONSTRUCTION: R.W ENGINEERING "h' 417 -4807 •PW ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. -417-4750 PLANNING DEPT. BUILDING 417 (BUILDING 4815 T Forms /Buildin Divtsron /Public Wo g ks Permu ApiSlication'Niimber Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits Lighting change Owner Gunderson Jeffrey/Lind& 235307 HWY 101 .PORT ANGELES Permit ELECTRICAL Addi:tion&I-dese- Permit pin number 159020 Permit Fee 76. 10 Issue Date 1/05/10 Expiration Date 7/04/10 Qty Unit Charge Per 1 00 73 5000 ECU ---1 00- 2. 6000 ECH Fee summary Charged Permit Fee .Total 76 10. _76.10 Check :Total ===00 00 Grand Total 76 .10 76 10 INSPECTION TYPE WA 98363 DITCH SERVICE .ROUGH fINAL _COMMENTS._ EL .EL out ELECTRICAL. PERMIT CITY OF PORT ANGELES 360-417-4735 Date 1/05/10 10 00000002 168818 212 S PEABODY ST 06 30 00 6 5 0006 0000 ELECTRICAL ONLY COMMERCIAL-ARTERIAL 0 Contractor -NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 17-64 BRANCH CIRCUIT WO/FEEDER, ECH.ADDNT BRANCH CIRCUIT Paid Credited DATE Plan Check Fee Valuation 00 00- 00 111'o RESULTS 00 0 Extension 7 3 50 2 60 Due 00 00 00 _Signature of owner or EleCtrical Gonfractor X Date INSPECTOR. 2010 -01 -01 16:07 Description of above NORTH PENINSULA ELEC 3609289409 3604174711 City of Port Angeles Permit Application Building DMsImYEbdrlcsI Inspections 321 East Mb Street P.O. Box 1190 Port Angeles Washington, 98362 Ph: (380) 417 -4735 Fax: (380) 417{711 Date: 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be R I ced, Please gomplete Etgal Pir R&M Informatio Sheet Job Address: Vr' ')C �•'\`C` c_e_.\ Building Square Footage: 1 te c\ L v C ►P. 1/1 a 0 Owner Informs Contrada Ireton on Name: �C� Name: C Y\ LS- \-A Ae G. Melling A fit: Mailing Address: t Lc"C N r L City State: P Zp Y.,'7�,c`Z- City V 11� State: Zip: 3 Phone: Fax: Phone: Fax: 1..-t C:� License Exp. license Exp. _QC) 'Pr' c- 3. ,CY∎ Unit Ching gh( Total (Xitlyitiplied by Unit Charge] 93.75 Service/Feeder 200 Amp. 5113.15 Service/Feeder 201.400 Amp. .5160.00 Service/Feeder 401600 Amp. 5205.00 ServioeJFeeder 601 -1000 Amp. 5291.25 Service/Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder 57.50 1 S `1 Branch Circuit WIC Service Feeder Y.00 1 t;:' Each Additional Branch Circuit 72.50 'Temp. SeMce1 Feeder 200 Amp. 86.25 Temp. Service/Feeder 201 400 Amp. 5116.25 Temp. ServicelFeeder 401-600 Amp. $131.25 Temp. Service/Feeder 601 -1000 Amp. 75.00 Portal to Portal Hourly 69,00 Sign/Outline Lighting 75.00 Signal CirauiU Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 18 2 Family Dwelling 50.00 Signal Circuit/ limited Energy Multi-Family Dwelling 93.75 Manufactured Home Connection 80.00 '5 Renewable Electrical Energy SKVA System or Less 86.25 Frost 1300 Square Ft. 27.50 Each Additional 500 Square FL or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat OSSZE Total 7L. (z Owners. defined by RCW.19.28.261: (f) Owner wlfl occupy the seater, for tiro years after Ude electrical pemdt is finalized. (2) owner is requhed. tabby .n electrical contractor N above said properly Is for soy, rent or base. After reading the above statement, I hereby tardy that I am Um owner of the above named Property or a licensed electrical aaRract9c l am making the 0401011. Installation or efteratlon In compliance wkh the eleclrkal laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City o1 POrt Angels. Municipal Cod., and. Utility SpecMelione. Signature of owner, electrical contractor or electrical administrator 0 Cash O Check x (c\ o.t,: Credit Cord It PERMIT INSPECTOR 6a 11101 ct 3co OWNER/CONT(IACTOR _t111,-/4 /A ADDRESS DATE ELECTRICAL INSPECTION WIRING REPORT 417 -4735 APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED: Watoir 4 C.%)D,P VAC o.2,z v !Ng c®t.m o Tbf? S J p Cori WIT' )4 7* #k VP T1O I 15 Q,g.Dt9C -th �t s i4 r (4.96p )2\ R>� 5 1ou_c 7 1a 1 TH 1A -ei b'e (O AC 360 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New electric hot water tanks Owner Gunderson Jeffrey /Linda 235307 HWY 101 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98363 143917 57 50 4/08/09 10/05/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000300 573500 212 S PEABODY ST 06 30 00 6 5 0006 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Charged Paid Credited 57 50 57 50 00 00 00 00 57 50 57 50 00 v Date 4/08/09 WA 98362 DATE RESULTS 00 0 Extension 57 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 04/07/2009 09 01 FAX 360 452 9265 City of Port Angeles. Permit Application BulldingDlvislonfEiectrical Inspections 321 East Street P.O. Box 1150 Pori Angeles Was1rington, 96362 Ph:;(380)417.4733 f ax: 60) 417.4711 Date: 14 2 Single Family Dwelling amity or Commercial* !�o mmerdal Addition /Alteration I Remodel Repair' X Plan: Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2/2 f,g±/4Qpy Building Square Footage: 2 Description of above /lbD eiyuie F i L4w a Owner Infor sorr1yy Name: /W feNtA Elie -Se»US Mailing. ddress: 4i9 City: ..i, a it s- s State: J)/) Zip: 3b Phone: °�/o 04' 9,-s License Exp. Unit Charge (Q yt Total (Qty Multiplied bv Unit Chan 93.75 $113.75 $160.00 $205.00 $29125 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 86.25 27.50 57.50 8625 43.75 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after trite electrical permit fs finalized. (2) Owner Is requiredio hire en electrical conbadorff above said property is for sale, rent or lase. After reading the above statement, I hereby certify that 1 am the owner of the above named properly or a licensed electrical contractor. l am making the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29646B, The City of Port Angeles i Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Angeles Electric APR 7 2009 Thermostat 7!5kLToW LIGHT DEPT £Le 141,M' 4/ .FF l Meuil.ran/ 4/41/— 616-Y Contractor In tion Name: Mailing Address: City: Phone: License Exp. State: Zip: Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder 1=7SfJ Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401600 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 Outbuiding or Detached Garage Each Swimming Pool or Hot Tub I?j 0001/0001 .p. .ppiicacion Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Gunderson Jeffrey /Linda 235307 HWY 101 PORT ANGELES WA 98363 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total 61 30 00 61 30 COMMENTS /ACTION NEEDED -CITY PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121'EAST STH:STREET, PORT ANGELES. WA'98362 06 00000149 381737 212 S PEABODY ST SEWER 06 30 00 6 5 0006 0000 ELECTRICAL ONLY UNKNOWN 0 Contractor BOB S ELECTRIC INC 2293 DEER PARK RD PORT ANGELES (360) 457 6887 ELECTRICAL ALTER COMMERCIAL BOB S/ SEWER PUMP STATION 70961 BOB S ELECTRIC INC 61 30 Plan Check Fee 2/17/06 Valuation 8/16/06 Date 2/17/06 Qty Unit Charge Per Extension 1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS 61 30 Fee summary Charged Paid Credited Due 61 30 00 61 30 00 00 00 WA 98362 00 00 00 00 0 ■LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24. HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORF.BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DI t'C;H ROUGH -IN COVER SERVICE FINAL I A _f I 1 I I 1 1 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW- 1102.15 14196) PORT,. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Gunderson Jeffrey /Linda 235307 HWY 101 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary T \Policies \1102.15R [1/05] WA 98363 69302 40 00 1/24/06 7/23/06 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000068 908084 212 S PEABODY ST 06 30 00 6 5 0006 0000 PUBLIC WORKS UTILITES COMMERCIAL ARTERIAL 0 Contractor OWNER SANITARY SEWER HOOK UP Qty Unit Charge Per 1 00 40 0000 EA SAN SEW REPAIR Plan Check Fee Valuation Charged Paid Credited Permit Fee Total 40 00 40 00 00 Plan Check Total 00 00 00 Grand Total 40 00 40 00 00 Date 1/24/06 Due 00 0 Extension 40 00 00 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 and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION Ij KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \I102.15R [1/05] PERMIT INSPECTION RECORD' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING SEP-04-2007 12:05 PM E.JANSSEN 368 452 2982 P.81 .. S ~trlclll Contractor a Owner ~"'i;j~y ..:J AnnUMI I~ermit C Alarm Q Cllrnlv:tl ~ COmDlel'duf ELECTRICAL WORK PERMIT API'LICATION I o Request Inspection CJ Residential lJ RelSid('ntlal Mainc. 0 Signs 0 Tbermo.ItQt t:I Telrcoln. Job ",ired "J a Electrical ContraNor 0 Owner Il'~tllllalion dcs~'ripllon to.c.uJ Eh~'lriClll C:Unllll~ft)r numc l,iccnsc number - ExffuJ: m 1~~e:/~clmc"'ll 1"""::W8h",;n~..:~ 1?4a' 'ST. I,,? ~ s,,,, ZIP : ..~_ "" d~~__~_ 4f3'l'o2. " Telcphnllc llllnllH~r FAX "lImber '''O-~~i- $".;3;1~ "':lG.D- ro c.. (.c..u.if OtJ~ . ,r " l'rcmJ.eJi O"'ner11 n.me ~I...L "~"''''....L.u.J!!L 0"Nk..~o.v "ddre~rlon --"~ ,~/;J../2.'/.l!._ S'~..Q~__ ~"oLl- A....~~teAwvt-- '\ t" b : I hereby cel'lify thaI J IUn the owner of the abDve named pmpC"Jty HI" i1 Jicmscd . dectricilll'onlrnctor (or the finn's Juthj}riz~u IlgcnO anrl :un Illaking the cl(,'ctl'ir.:;al Imt4dhuioll or nhenllinn in comrli;\nce with lhl: dc{'trical fllW, ('harteI' J9..:!x HCW. o Cash o Cheek I' o Credil Card Vi5.1. Mas1ercard Discover Card # "--- --0_- ___, trulnr or elcC'lrlcal ;ut",iniHr:lIl(lr n --~ E~piration DalC of caru \\AI.LS Inu,liltiCllI Ollly CEII.(f\;G In!iul!ltiOrl Olllr IJftlC ^1'1,,~.v...d Or ---r;;;;--- " - '\rrn,'c.I ~y TIIERMos-rNf1 1l~1. A~) C~~c~,J SERVICE n"lf ^JlIlm~~ "y FEF-Dr,.a O"lt -- Af'lDrVved Ay ./ I. I ~ [)~IC -;;ppro;-....{'ij-y- l'OVll't ~"i\ .'\)1f1I'"v""i"i'i'l"" (" 11 "-~'r ~IDClrIC81I,o.All.Alldl!!Qj]UllKtaraubtr;CIIQ!!J! J NO LOAD CHANGES ~J Baslboard KW .J Furnace ~(W .J Heot Pump ___ Ton __ tAR .J FllI1-Well __KW ----- - -- ._- StrvlCA Informl!ltlan C,) Overhead Sal\iit:p. o Temp Service U Underground Service Voltage Ph...O,03 Servlco Size: __ Feeder Size: InlOp....\hln Dah' Area. BuildinB or Equipment Inspected ACliun Taken F:h:crrieal Irupcctor --0_- ___ _ '-~/o2 ~N,+t..,_- 4" ~ - -RECEI --- -sf- 7--- - -----.- ""-------- UGHT -~------ o Electrical Contractor CJ ADDual Permit I:' Alarm S=-- .. ~~. DOwner ........? o Carnival j:l(connnereia. . ELECTRICAL WORKPERMlT APPLICATION' o Request Inspection . o Residential 0 Residential MaiDt. 0 Sigp-s 0 Thermostat 0 Telecom. Job wired by o Electrical Contractor Cl Owner hlStallation d~e,iption D2- z. r!~~/n~ ,. Pr.mi,., ~.r's n.m. tl. ~ A'~~ Address of inspection ~ CI.y of owner. electrical c.ontractor or electrical admJnlsrruor o Cash 1:1 Check # I(C",;<c.ro @ ""-7iL ~ Ciird# ----Ct& _-____ I hereby t:ertify that 1 am the owner of Lhe abovt named property or a licensed elecU'ical contractor (or the firm's authOrl7.ed asent) and am making the cl~trical installation or alteration in compliance with the eleclrical1aw, Chapter 19.28 RCW. WALLS lnsulation Only Expiration Date of card CEILING Insulation Only THERMOSTAT SERVICE 0.' "PflfOlleG By OM. .'Ppr\wodDy D.' Ailproved By OllIe Apllf'OYtd By DITCH FEEDER Cover Cover Dale "~"'I'''l;IWCCl. By 011\1: Apl"O"W Ry D..,e A.E'l'foved By O"to AmIl'O>'Cd By Elf!etrical Load Additions and or subtractions 1:1 NO LOAD CHANGES 1:1 Baseboard IW>I (J Furnace _ KW Q Heat Pump _ Ton ~ LAR o Fan.Wall KW Service Information [J Overhead Service a Temp Service o Underground Service Voltage Phase 0 1 03 Service Size: _ Feeder Siz;e; Inspection Area. Building or Equipment Inspected Action Taken Electrical Date h'Sp~~lOt ?h?'0h ~/NAt- rIP ~r) / , . -- /lrJf ) .2//o/nt:. I / Gd WdOG:G1 900G 01 'qd~ :;:t;>55 GSt;> 09[ 1 'ON XI:J~ ~ t..l+~d13 S ,aoa WO<l~ ~ical Contractor CJ Annual Permit 0 Alarm ; e ELECTRICAL WORK PERMIT APPLICATION ~ ~. ! ~st Inspection · o Owner ~1ifJ'\/ o Ca1"Dh.al ~mmercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired hy a Owner Inst3l1atinn description (.. ~ /.t?C) *1' S~VH:€-, ?fM '$;xiQ 77 Nf;-, urchascr's mailing addre::is ,52-'1 E. fik!5T Sr:" Cij)A-. w'1-'c ZIP ...; 'Ibl-l>6~ Hu';Z; M1't.i"'\ rBlfSl Hte- (Jl;FF I hereby certify at I am the.: OWTlcr of the above nartled property or a hccnscd electrical Coutr.Jctor (or the Citm.'s authol'ized agent) and am making the electrical insL.lllation or alteration in compliance with the clecmcallaw, Chapu.T 19.28 RCW. a Cash a Check # ~rd VISa Mastercard Discover Card# ____-_L2d_..E./LjE::._~__ r or electl'i~al 3dministntor Expiration Date of card 7l) x WALLS ln~;ulali()n Only D3lt Appn:lvcd Sy Cover O;o'D All......'~''>:I By CFJLING IMulation Only D~It.: "'ppro~CCl I:ly Cover O.:ltc At>t>fOV'Cd fly TIIERMOST..\T '- O~le AllpRlVC<! t1y /' Drrrn 0.. AIll!l"lW\'<J 6y SERVICE - I)~'e Approved By FEEDER [la.e Appm'O'ad 1)'0' ~lIical Load Additions and or subtractions NO LOAD CHANGES CJ Baseboard KW Q Furnace KW CJ Heat Pump _ Ton _LAA o Fan.Wall KW o Ov~rhQad Service Q Temp SelVice o Underground Service ~u.t9rmation voltage ~fI'i' ~ Phase 0 1 Service Size: ~ . Feeder Size: .-#---Z. C. t.{ Insp":Clion Area, Building or equipment Inspected Action Taken Electrical Dale Inspector qlz-~/~ /TP/;fL AY ,4Q::) / . .. I . t/:z-/jvs S9G6 GSV 09E JNI JI~~J313 S313~N~ ~O~~ ~~SS' l L S0G-LG-V ,.4CtO L .d d'O'''~ .s(i~ D!I "'-r..Ii'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ EAST 5TH STREET. PORT ANGELES. WA 91B62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000279 Date 629060 212 S PEABODY ST 06-30-00-6-5-0006-0000- ELECTRICAL ONLY 4/22/05 COMMERCIAL ARTERIAL o Owner Contractor JOHN N/APOLINE R WATSON TRUST 8837 FAIRCREST DR LAS VEGAS NV 891348575 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES/ 100A ALTER SVC. 47753 ANGELES ELECTRIC 78.70 Plan Check Fee 4/22/05 Valuation . . 10/19/05 .00 o l\) f"J Qty 1. 00 unit Charge Per 78.7000 ECH EL-COM ALT 0-200 SRV FDR Extension 78.70 (I) ----------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 \j ~ r' OJ "I r--; V ,.(. V\ -~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEgJON RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.l~ (4'96] I I af{o FEE RE.CEIPT NUMBER . CITY Q.F PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ,07 PERMIT NUMBER I /. 'TOTAL FEE' /6,00 v(U'v.-,(.Jtc ,J7u./- CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT SI.te Address ::2 / 2 J, ,De., b<~ . CORRECT ADDRESS IS RES NSIBlllTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner . f4L-~ Wd.ron Installation By . /!1,.!:1? ~ ~~",(,'r7 Owner'sAddress ,j..J'3 V"tfhnn . Installers Address tf?r. U -r.;"g.",;~ ?e/A- ) , Day Phone 47..z.- 9'ppr.:> Installers Phone' &97- 4//r3 Application is hereby mage for.Perm.i~ to ~nstal! Electrical Equipment as follows: :z... Flhr. F; v~... _-" ~(/"':rho.~j' /J~Jfi;/-e FnJ"/ /J,M!'" U;/ /%,r/;; r<?~/ ~ r-ero..,..r", r:,v/flin;t e/<!!ol: r__yn Wiring Method /IA neU/ r~~ /;/J./ r . AMP 24QV NUMBER AMP 120V- 24QV USE OF CIRCUIT NUMBER PEA o 120V 100R FEE USE OF CIRCUIT PEA 10'OR FEE CIRCUITS CIA 10 30 CIRCUITS CIA '0 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS MOTOR .. .. CONVENIENCE CONVENIENCE MOTOR " APPLIANCE. " MOTOR DISHWAStiER . FIRE ALARMS , DISPOSAL BUAGLAA ALAAM .. RANGE:: MISC. OVEN WATER HEATER LAUNDRY .. . REINSTALLATION LIGHT FIXTURE # .. DRYER FURNACE . -. SUB TOTAL FEE GAS--OIL FURNACE ENERGY FEE ELECTRIC - , .. BASIC FEE ELECTRIC HEAT - /~/ 00 TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER ... -- A.C.UI'JIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS . SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and In conformance with the N.E.C. Electrical Code. Date Application m'ade "--;/naLe./.. ..:?fR." . ,19 Ji~ By /1' CONTRACTOR OR OWNER (OR AUTHO AGENT) Permission Is hereby given to do the above,described,work, according to the conditions hereon and aC90rding to the proved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City _of Port Angeles. ... ",:1:"' '.' ,.' ( DIRE ;fOR OF CITY LIGHT . .;. .';P~/;; WARNING I Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector In Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANAAY. Duplicate PINK. Triplicate WHITE CAAD . Inspector's Report OLYMPIC PAINTEAS, INC. , \ ..... :.,~ REPORT OF INSPECTOR ~. \ , DATE OF VISIT MADE BY REMARKS . \ \ .~ .. "- . '. , . . - ,\ '\ " '. . , '. 0 " 0' , I . , .. , - . . .- , \ , , . .. . . , . , " , . - . . . " . . .. , . , . '\ , .. ., . . . , . .. .. . . , , , , , .. 0 " ,- ~. \ . . '.. " I ../' , , J I' . ; '2/-z-t'/fl? /fJd\-- O.K. FOR COVERING , ! / , , " 1:-o-<-~H1!C:SCRvttt , . , , .. , ,. --- .. . FI~O.K.~ -. -~ . ., f , , , 0 . . . . z CJ a: '" ~ !!.! :I: I- Z W l- . I- o Z o C . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'! 16859 . :>1' Port Angeles, Washlngtonm......m6:._=.;;Jm~m...moo.oo..moom, 19.00.0000 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address .~.~~~-tl~.oo.moommoom.-... ocCUpanCy.n..,:?-?:4.-'-_hmnoooo.m..oooo ~::~ ~~~~~~~:~..::.::?):fi;:::::~451:?::f:oo..~~:~~~;~::::::::::::~:...~::::::::::=::::=::::::::::=::::::::::=::::::::: Light Outlets..............................._.._..... Service. volts /..f?.fL-:?Y..O"... t ~- Type of Wiring: Receptacle OutIets....__..___.................... No. wires .....'Y...~...... ~ Armored Cable ..........--.................. SI I 9 "'-0 Me AA -= Non.Metallic ................................. Dryer, KW.....__......___..............._.......... ze w res..r;:m./.m...I.:..'Z.. ._L:.j_.. ~ Main fuse~.(2Ii.~................... Knob & Tube__................m..__......._ Enclosure ..c...l.0............... RIgid Conduit ............................... Metslllc Tubing ........................... Range, KW..............__..........._......... Water Heater: KW......h.mm.....hmm.oo.. Type of wiring: Entrance Cable m__m..........m........ .' Rigid Conduit ......h............__m...... Metallic TUbing ____m______... Current transformers: No. & Size....=.~..:..m......__......__........ Raceway ............................._._.__._ CIrcuits, Llght.........................m......._.. Utlilty............................................. ~ '- ~ t'" Heat: KW.h.__..._...........m..___.........c........... Motors: size, volts.and 'phase: 1-.....;)..$'........1./!....~Y!.f... I -:.,j!j/-/.h.3.~..~.~..t... Ser. No....................................----.--.... I-Ieat ........._._..........._.............._.._ Range ............................................. Water Heater ..__........................... Motor ..._........................................ Ser. No. ..n..n____.____....__.............__....... Dryer....________..................____.______......._ Furnace ..n.....................'w__n______....... Ser. No.............__.'............______.__.......... Remark:~ta:oo,~:..;;t~;:.:~~.nhrlL-s~':.~Z:~I!...~..:2.::~..d.q,/e.~:~=::iJ;;;:~e- ......_..._._m....__I/.._m_..._.,::___......_.51______.m___oo.....m..m...m______m.lmm.m___m_.........m....._..............._......m.___.m.. ,. m;oo___.-<m___mmoomoo;:.-._...;.._mmmoom..m_._..m_m..m..nh___m___.m___moo.moooo..m----.m---oom;7/;...7/---.m..m---.'.... m___... Permit Fee : . Treas. Receipt I/],{ f tJlcJ/J...t:. ~ ~ $m...___.___....m.mm..___.___.. NO..m..m..._..m.......__ By 7~.L::':oo.r..-.........:?f!::~m..~.f."-'.. NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16859 Address..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_......... Owner ..n..............................._......_.__......_......_.._.......un................................................ Tenant..........nn........................................._.......... Wjr~ Contractor ..........................................................._............................................................. By .............................................................. ~TICE-CUrrent must n()t be turned on unUl Certlflcate of Inspection has been issued. If work Is to be con- cealed~ue notice must be given the Inspector so that work may be inspected betore concealment.. ~I~ Olympic Printers, Inc. . / '" Cam' ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 15- 00001389 Date 11 /03/15 Application pin number 546503 Property Address , , . 212 S PEABODY ST ASSESSOR PARCEL NUMBER: 06-30-00-6-5- 0006 -0000- Application type description ELECTRICAL ONLY Subdivision Name , , , . , , Property Use Property Zoning , . . , , , . COMMERCIAL ARTERIAL Application valuation , , , , 0 -------------------------------------- --------------------------------------- Application desc Main breaker replace Owner Contractor G;UNCDERSON, JEFFREY & LINDA a0TERO & SON ELECTRICAL 235307 HWY 101 940 TAMARACK WAY PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 -4766 Permit . . . . . , ELECTRTCAL ALTER COMMERCIAL Additional desc , . Permit Fee . , . . 132,00 Plan Check Fee 00 Issue Date , . . . 11/03/15 Valuation 0 Expiration Date . . 5101116 Qty Unit Charge Per Extension 1,00 132.0000 ECH -EL -COM 0 -200 SRV FEEDER 132.00 Fee summary Charged Paid Credited Due Permit Fee Total 1$2,00 132,00 .00 .00 Plan Check Total OD .00 .00 00 Grand Total 132.00 132,00 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 -&EI CE� � 1! FINAL COMMENTS: PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: O:IEXCIIANGETUILDING 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 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check (_q �7 Credit Card #�` - X Dated: G— 01/0112012 CITY OF PORT ANGELES PERMIT APPLICATION'�""�.� Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: Multi - Family or Commercial* _ * Plan Review May Be Required lease Complete Electrical Plan Review Information Sheet Job Address: Z C' ckbci d. Building Square Footage: Description of above --e �k?� V. y„"_tyj �wrr y � sti Owner Information ContractQ nformatio Name: Name; Q_ C� e Q. Mailing Address: Mailing Address: _C, 6W 20 ' City: State: zip: City: a r iS b E✓E State: L- Zip: Phone: Fax: Phone: Fax: License # 1 Exp. License # I Exp, Item Unit Charge fit Total (Qty Multiplied by Unit Charnel Service/Feeder 200 Amp. $ 132.00 $ Service/Feeder 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 WI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201 -400 Amp. $121,00 $ Temp, Service/Feeder 401 -600 Amp. $164.00 $ Temp. ServicelFeeder 601 -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ &gnlOutline Lighting $ 88.00 $ Signal Circuit/ Limited Energy— Multi - Family $ 64.00 $ Signal Circuit/ Limited Energy First 1500 sf — Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ 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 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check (_q �7 Credit Card #�` - X Dated: G— 01/0112012