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HomeMy WebLinkAbout403 S Peabody St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor PICO -A WASHINGTON PARTNERSHIP 403 S PEABODY ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 23 00 14 0000 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T• \PLANNING\FORMS\ 1102.15 [11/14/2003) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983623210 BUILDING PERMIT NO PR FEE TEAR OFF FELT WOOD SHINGLES 414 75 Plan Check Fee 5/27/04 Valuation 11/23/04 Per 04 00000462 228158 403 S PEABODY ST 06 30 00 0 1 7125 0000 RE ROOF BASE FEE THOU BL -2001 25K Charged Paid 414 75 00 4 50 419 25 COMMERCIAL OFFICE 24316 LEGACY ROOFING INC 19330 NE UNION HILL RD REDMOND WA 98053 (206) 999 7663 (14 PER K) STATE SURCHARGE 414 75 00 4 50 419 25 Credited 00 00 00 00 Date 5/27/04 00 24316 Extension 92 75 322 00 4 50 Due 00 00 00 00 /QA ,(1,2 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. (?)!'l L i L- L Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 1 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION FOOTINGS I WALLS I I I FOUNDATION DRAINAGE/DOWN SPOUTS I I I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I I I PLUMBING UNDER FLOOR SLAB I I I ROUGH -IN I I WATER LINE (METER TO BLDG) I I I GAS LINE I I I BACK FLOW WATER I I I AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I I I WALLS ROOF CEILING I I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I I T -BAR I I I INSULATION SLAB I I I WALL FLOOR CEILING I I I MECHANICAL HEAT PUMP I I I GAS LINE I I I WOOD STOVE PELLET CHIMNEY I I I HOOD DUCTS I I I I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: I WATERLINE METER I I I SEWER CONNECTION I I I SANITARY I I I STORM I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I I ESA. LANDSCAPING I I I SHORELINE. RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 TA P1 a NNTNl;1fillR MC11 109 1 5 6 1 /14/20031 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE i DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Sent By Legacy Roofing Inc, 1 A,vrL i -}i¢ rs Phone: a t O q -7( j p h o n e (R(6(1 S 7 q q,?'N Zip: c R. da No Phone: ii State License auk Exp :A� Phone: address: 1. tL ry tl 4 S i trity y t l c� Zap` 5 PROTECT ADDRESS. 4br� 'Pe tLICW1a A ZONING: LEGAL DESCRIPTION Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER. AAlicant or Agent: Leo A f Owner P1 o. -ik Address: LlO PPa. k City- Y ("sic Architect/Engineer. Co at:rector \.-e oNKc No. of Stones: Lot Size: PLANNING USE ONLY T v i 1 Vi 425 836 2634, May 26 04 2 55PM, oil& iitrf FAX No 360 417 4711 BUtLbtNG 1 APPLICATION Fin out CO M LETZLY and in INK. Your application and site plan MUST Blg COMPLETE to be accepted for review If you have any questions, call MIMS (360) 4174815 FAX(360)417 4711 Existing Sq. Pt. Total lot covelge ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes Q No Other: L �e c+ bo-Pr In c Y■ )scs. t 4 1 s� ETD. NU: SIZE/VALUATION- qtOegF /SF Credit Card Holder Name: p, Bil{iog Address: ckS5s0 kik,„ Credit CardType VISA MC E OF WORK. �1 Residential New Constr. Id Re 0 Stove D Multi family o Addition, d Move Cl Garage 0 Commercial 0 Remodel D Demolition D Deck Repair A Sign Other BRIEF DESCRIPTION OF THE PROJECT. COMMERCL&1 ESID dTIAL. °ccupancy 4'iratxp 9 of Occupant Load: SF g) S !SF TOTAL VALiUATIt)N Proposed Sq. Pt, Construction. Type: TOTAL Sq Ft. Page 2/3 P 001/001 •FOtt•OFFICCA L- LISE-ONLY Oita Z Peimh N:�„y 7�� One Approved: Date issoo: Date: b! 05 APPROVALS: PLAN: BLDG: DPW: FIRZ. 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 maybe revised by the Building Division to comply with cwrent fee schedules. Contact therermit Coordinator at 4174815 for assistance. TLAK.CREatai IE a plan check fee is due it mist be submitted at the time the building permit application and construction plans are submitted_ All other pea oil fees are due at the time oipetmtit issuance. EXPIRATION OF PLAN REVIEW- Yu* permit is issued within ISO days of the date of application, the 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 t have mad and examined this epptitation and know the same to be true and correct t am authorized to apply for this perms` and understand Met it is my responst:Sikty to detenninne whet permits ,f)011110 s, t trust- obtain such permits Or fa Bork, App f. a t a`� Sent By Legacy Rooting Inc, Mailing address. If Win PICO Partnership 403 South Peabody Port Angeles, Washington 98362 425 836 2634 (9 LEGr'CY ROOFING .4 T)uclittcrrr of Quality AGREEMENT FOR ROOFING SERVICES A SCOPE OF WORK. Legacy Roofing, Inc.. (Contractor) ogrees to perform the supply and installation work indicated here and in the separate Specifications Work not specifically stated below will be performed pursuant to Paragraph 2 of the Generat Conditions. The following are FIXED AGREED PRICES *Questions about this agreement? Call Clef at 206.949 1708. OPTIONS No. 1 30 -year Codas Shtngtes $24.31670.0 Cerii '.Graded `The Authority Since 1915' 2/5 Thick X 16' Long High Quality Old Growth Price subject to change without notice Special Order 50% Deposit Required Work to be performed al. Remove Dispose and Replace Roofing Materials at 403 South Peabody Port Angeles, Washington 98362 /ifis l N Uritorw c(116 I j SALES TAX. Above prices do not include applicable Washington State Sales Tax. :6 SCHEDULE OF PAYMENTS. Customer agrees to pay for the supply and installation work at the indicated agreed price as follows: Initial investment of ten percent due on signing Balance to be paid in full to Contractor on its final inspection of job Zero down payment Financing is available on approval of credit The amounts listed above can be financed with monthly payments os low as: S289 per month. C ACCEPTANCE OF AGREEMENT The included prices, specifications and conditions are satisfactory and ore hereby accepted. Contractor is auttaorizdd to do the work as specified. Payment will be made as outlined above Customer may accept this Agreement (including all the terms and provisions on the reverse sides) for roofing services Or the Customer may accept this Agreement (including all the terms and provisions on the reverse sides) for roofing services by giving oral or written directions to Contractor to proceed with the work a staled in Section k above and accompanying Specifications. )NOTE. Customer has read the reverse sides of this Agreement and agrees to its terms. PICO Partnership L.EGACY No ING, INC. 0y— 8y Nome J Clifford E. f n, CEO 30 Apr 2004 Pucie 1 May 26 04 2 57PM, Page 3/3 plto 425 443 ROOF 17b&3) ftrx 42'.836.2634 19380 NS. Ut :n Rd Redmond, WA 96053 wwvv.legotyroufi ny.uym 1 S ~lC~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT PERMIT NO: 13080 OWNER/APPLICANT PICO INC. 519 SO. PEABODY STREET Port Angeles, W A 98362 360/457-3327 T: S: ISSUED: 11/07/2001 PROPERTY LOCATION 403 PEABODY S Lot: 6-9 Block: 171 Subdivision: TPA Parcel No: ~ Long Legal CONTRACTOR HENDRICKS CONSTRUCTION INC. 1125 W. 5TH STREET Port Angeles, W A 98363 360/452-1641 PROJECT INFO Project Value: $10,500.00 Project Type: REMODEL Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: OC ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Commercial: Industrial: Garage: o o o ~ ~ l0 PROJECT NOTES INSTALL PARTITION WALL AND HANDICAP RAMP RECEIPT # 8234 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $195.25 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mise Fee 1: Mise Fee 2: Mise Fee 3: ~ ~ ~ C/ -\ $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $199.75 $199.75 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of ~ ~~nzed A9~( 7 ~ :':e Slgnatu'" of Owne,(lf owne' Is bullde') Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LrNE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #' s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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 BUILDING C:IAPPL.WPD d "ORT ~ '{if ~-- ~~ BUILDING PERMIT - APPLICATION FOR omclAL USE ONLY: Date Rec.: Pennit #: Date Approved: Date Issued: Applicant and/or Agent: #-rlVd j/. {(-..s CONS! ~C Owner: ;(.<j IN p; r "'1 ,j /lt1 rr -/.-1- W,' '\/1 f/'r,dt""/ <.J/, 'V-U; (.17//"'- ,Y Address: '-I 0 ~ ..s /l~1 60 / -/ city:;lo (' r-- A^-? 1/"'S ~ , oLA/~/ The Building Permit - Pre-application must be fdled out completely. Please type or print in ink. Hyou bave any questions, please caD 417-4815 Phone: 360 -7' .r-;z - / t C:/ / Phone: License #: Exp: City: /tJr'(- ~N~ 71"'5 WI7- SC"l'!L, /?'~b{JcI'-/ Block: ' Subdivision: Credit Card Holder Name: City: Exp. Date: Zip: 7c9.3C C Phone:tV5'?/i3~ ? Phone: 7".>::;?-1 b 4"/ Zip: p~:>~ ~ ZONING: Architect/Engineer: Contractor H7rvd r " (/-5 (o/V,>;-- -7""( Address: J.:< 7 r= 10>-" PROJECT ADDRESS: AI 03 LEGAL DESCRIPI'lON: Lot: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: VISA MC TYPE OF WORK: o Residential 0 New Constl'. 0 Re-roof ~ Multi-family. 0 ,Addition 0 Move ^ Commercial J{' Remodel 0 Demolition /0 Repair 0 Sign BRIEF DESCRIPTION OF mE PROJECI': o Woodstove o Garage o Deck o ~.u;"r SIZElVALUATION: p. SF.@$ ISF.=$ /0/:> Co SF.@$ ISF.=$ SF.@$ ISF.=$ TOTAL VALUATION $ ;! .<J n I () tV . rJ.. IIIIIvtJ I c 1/",;:7"( XIV "-r P "c/ -- COMMERCIAIJRESIDENTIAL: Occupancy Group: Occupant Loila: No. of Stories: Lot siZe: % Lot Coverage: Existing Lot Coverage:; . ./sq. ft. + Proposed Lot Coverage: ...'" Construction Type: % Isq.ft;;=.= tOTAL LOT COVERAGE: "; .;;-- Isq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING APPLICATION SUBMI'lTAL: Your application ad site pia must bej1Jled out completely to be lICCeptedfor review. The Building Division can provide you with more detai1ed information on the application and plan submittal requirements. BUD..DING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation aniount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE; Your plan check fee is due at the time the building permit application and construction plans are'submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application wiD expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on 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 I have read and examined this application and know the same to be true and co"ect. and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what perm'ts are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. W PW-II02_13[revSJOI] APPlicant~:1 /~/ Date: 11/7 ~ I In aooordance 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 g;anted.to d6 electrical work as listed below. ~:::s..::::zt~'71~::~~:f::i~~~~~'~:~L...~::~~~.~~.~:::::::~~~~:::::::::::::::::::::: Wiring Contractor ..!..!2e):~{!..'.:9.mt/fi?~t;.y"~..___......... By...h.____...h.m.__.h.h.....__.......mm......mmm....... LIght Outletsuuumu!.:.:-:Lt;?m_u_m_ Service, volts uu/?u?L~u~mt Type of WIring; Receptacle outlets,/..././.Z....m___... No. wires .....E~....................... Armored Cable ...m..h..h................ Dryer. KW..m__.m..'mmm.m__m____mu. Size wiresuu~d.~"'~..._u Non.Metallic mmumum__'u"__'m'U' '#' - :;.tJ :;- A7' ~"-,,,~b & Tubem__u.muum.m..m..m. Range, KW hhUh____U..h..h______.. Main fuse ....---.....mT_---.......:.m./ - (' / I I Rigid Conduit mu.mm____mmUhum Water Heater: Enclosure ....____~_____...::~.___..___m. M t IIi T bl e a c u ng h......................... Type of wiring: Entrance Cable om_.____ ..___00....___.._. CITY OF PORT ANGELES LIGHT DEPARTMENT ""').1' f7( . KW.__mm.hu..u.hmmu___m__m He'L Kw.Jf./u..,.i':.,.u!.t.,.e......,. J I Motors: size. volts and phase: ~ k,'1A7 /1i1.:.:2:;~;g:::::2~::: (!.ffJ,,!.l-~1'~.~..:...u.uu..u.u__ Total Load....____nm.___u.......... N~ 17873 ELECTRICAL PERMIT fJ- r- 73 Port Angeles, Washlngtonm........................................__...........h..... 19...:.m Raceway ............._.._._............_......_ Rigid Conduit ______mm........__ MetalUc Tubing ___m..mm............. Current tTanstorm_ers:~ No. & Size.ur.-(.?::'..,......R~... Ser. NOm..3~~J?-4'!.,e Circuits, Light......u......__uu..............m.. Utllity..__..mm.u.......__..............m.... / I-Ieat .d.___........................................ Range ........................___....___........... Water Heater ............._.......___.___... Motor ..........___...________..................... Ser. No...................................:.......... Dryer nnnn...___________.____....................._ Sec. No.__........______._..______...___....__....... Furnace ..n.h..__..............'____n._h._n..... ". " ", See. No. ....n..........._.........._.h........_n Total ._.___.......__..._______.__........... . d---/fC Remarks, ........................'....um..___.....m..........m.__.~..--..m'.mm...........m..mmm."'.F...----................................ /di. t;:;: ~ / I iT" /4-m h Y, 51'/t<.r :::::::::::::::::::::::::::::::J2'::::::::::::::::::::~::i;'::::i:::2E:::::z:::::::::::::::::::::~::r~.;;::::::::::::::::::::::::::::::::::: By ...'~;KL~.:~~I~L,__ - . . Pel'lIlit Fee '47~ $....n........mm.mnnm.m... Treas. Receipt NO.nmn.nmmnmn..... NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cen.led due notice mUBt be given the Inspector so tbat work may be Inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 7873 ELECTRICAL PERMIT Address..................._.............................___....____.................__......__h__....._____..........____....................Date..._......_.._.._.._.................._....___...__.... Owner ..__nn_nnn_nnnn____......._.....__.._......_......_.._................._un_n........_......._.........____.... Tenant............nnnnnn_.......__n...........................n.n Wiring Contractor........................................................................_..__./....__.._.___...........................u By .__.................__............................._....._~:.. . , NOTICE-Current must not; be turned on until Cert1flcate ot' Inspection has been issued. If work is to be COD- ~ cealed due notice must be,\ven the Inspector so that work may be Inspected before concealment, . .- . 1M Olympic Prinlers~ Inc. ~ \ "\ 11111 12/12/2014 13:13 13604525177 ALL WEATHER HEATING CITY OF PORT ANGELES PERMIT APPLICATION 12, 8uiitding Mvisiion /Ellectrical Inspections 321 East Fifi:h'Sbreet — P.O. Box 11,50 / Port Angeles Washington, 9$362 Ph: (360) 4174 735 Fax: (360) 417-4711 INS t'isCMOS Date: ,L Multi-Family or Commercial* ' Plan Review Mgy Be Required, Please Complete Electrical Plan Review Information Sheet JobAddrass: 403 South. peabnd Building square Footage: Description of above M_.,_ T,�,�a11 �ut.door u{�° l7e�t pumrs Owner Information Name: -K t,t Irwin Law Firm Mailing Address9 t J?eabody Street C*Port Ancre],eBStata: WA Zip; 92362 _ Phone: 457 3327 ^Pax; Lroens5 /EKp, _. Item Service /Fender 200 Amp. Service /Feeder 201.400 Amp, ServicetFeeder 401 -600 Amp Service /Feeder 801.1000 Amp. Service /Feeder over 1000 Amp, Branch Circuit W1 SerVloe Feeder Branch Circuit W10 Sarvios Feeder Each Additional Sranclt Circuit Branch Circuits 1.4 Tomp, Service/ Feeder 20C Amp. Temp, ServicefFeeder 201 -400 Amp, Tamp, Service /Feader401 -600 Amp. Temp, ServicelFeeder 601.1000 Amp . Portal to Portal Hourly $ign/Outiine bighting Signal Circuit/ Umited Energy - Multi- Family Signal Circuit/ Limited Energy 1 First 1500 sf - Commerclal Note: $5.00 for each additional 1500 sf Renewable Eleovical Energy - SKVA System or Less Thermostat Note; $5,00 for each additional T -Scat U 't Char e $132.00 $150,00 $ 225,00 $ 288,00 $ 4T0,00 $ 5,00 $ 74,00 $ 5.00 $ 86,00 $102.00 $121.00 $164.00 $165,00 $ 96.00 $ 88,00 $ 64A0 $ 96.00 $113,00 $ 56,00 PAGE 03104 vaRrq - c�,r�".4c�. � Contractor Information Name; A l_ wpa trier Ike ing Coo Mailing address; 3 07 ICemo� City;Port Stete;._WA Zip;�9 362 Phone,�52 -9513 Fax; 452 5.77 License 1pli2xp, A_r,r,urFwx�3,annrr g�in_F fJt Total(_ Multiplied by_Unft Chamey a_- $ $ $ $ 56.00 $ 5600 Total Owner as defined bylRCW,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 rea09 the above statement, I hereby certify that I am the owner of the above named property or a licensed alecVcal contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C„ RCW, Chapter 19.28, WAC Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specif +cations and PAMC 14.05,050 regarding Siectrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: 0 Cash Q Chock f l� rl Crodtt Csrc! # , x Ualed; 12/12 I, 9; 01lD112012 ELECTRICAL PERMIT CITY OF PORT ANGELES - -- - -- -- -- - - _ _ -- - - --360-417-4735-- - -- - Application Number 14- 00001497 Date 12115114 Application pin number 538476 Property Address . . , . 403 S PEABODY ST ASSESSOR PARCEL NUMBERr 06-30-00-0-1-7125-0000- Application type description ELECTRICAL ONLY subdivision Name . . , . , Property Use . . . . . . , . Property Zoning COMMERCIAL OFFICE Application valuation . , , . 0 Application desc Heat Pump Owner Contractor PICO-A WASHINGTON PARTNERSHIP ALL WEATHER HTG &_COOLING INC 403 S PFASODY ST 302 KEMP ST PORT ANGELES ,j9A 983623210 PORT ANGELES WA 9B362 (360) 452 -9813 ��2 .�� Permit , , , , . , ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 56.00 Plan Check Fee OD Issue Date 12/15/14 Valuation . . . . 0 Expiration Date 6/13/15 Qty Unit Charge Per Extension 1,00 55,0000 $CH EL-LVT- THERMQSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 00 Plan Check Total 00 .00 00 .00 Grand Total 56.00 56,00 00 .00 - 1D__ -_ -.1 - 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 WILT, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: G :\rXCHANGBIBUILDING