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HomeMy WebLinkAbout323 E 2nd St - Building ELECTRICAL PERMIT t CITY OF PORT ANGELES 360 417 -4735 P Application Number 11- 00001051 Date 9/26/11 Application pin number 460250 REPORT SALES TAX Property Address 323 E 2ND ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 2940 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 f Application desc 410 d$S� 6 circuits Grid link 2466 sbZ.6 Owner Contractor HOUSING AUTHORITY OF'CLALLAM OLYMPIC ELECTRIC CO INC 2603 S FRANCIS ST 4230 TUMWATER PORT ANGELES WA 983626710 PORT ANGELES WA 98363 (360) 457 -5303 tic?, 3 ,44U Permit ELECTRICAL ALTER COMMERCIAL U Additional desc P N Permit pin n number 193144 Permit Fee 86.50 Plan Check Fee .00 Issue Date 9/26/11 Valuation 0 Expiration Date 3/24/12 V Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 5.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 13.00 Fee summary Charged Paid Credited Due O Permit Fee Total 86.50 86.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.50 86.50 .00. .00 N INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN �Jc�� FINAL 1,2.t.Iti 7 U i COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING o n D 0 E pp, i z�1 E�Tr H p J m D om_ s. l s cn 0 f 'v ,,,U�2 V m 0 0 r_ 'p m M o P r it 0 Z cc —I d -4mxi x „m N CJ 4 z z --1 m r- 0 0 m q z 1 1 m 0 V r 4, r- m i r M Z I v m E 0 0) 013 N 1) 0::: D 0 ❑0 z m 0 09/22/2011 07:59 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT Z001/001 t C i i Fp_ ��o�F Nr44,. O CITY OF PORT ANGELES PERMIT APPLICATION I 1 Building Division/Electrical Inspections ,1'--1-:---1--)....._ 1 321 Ea Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTR;fli1t Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIO VS 'L2 I l Date: y �t� z '1 A 2 Single Family Dwelling 1J Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair” Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: ?J Required,, Please Square Footage: Description of above '/d /I/ /rr /rig fw/ Owner Information Contractor Information Name: A. ,1 Name: OLYMPIC ELECTRIC Addre�s ...e_ Mailing Address: 4230 TUtMWATER Clty:YO tip rr¢,P .1 State: lA, zip: 3 le City: PORZ A 10EI�F9 State: WA Zip: 98363 Phone: tf Fax: Phone: 457 -5303 Fex: 452-3496 License 1 p License Exp. ol.'MPU2 8 SD 1 Item Unit Chame Total_IQtY Multiplied by Unit Charger Servica&Feeder 200 Amp. 119.90 Service/Feeder 201-400 Amp. 145.50 Service/Feeder 401.600 Amp $204.60 Servlce/Feeder 601 -1000 Amp, $262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 73 Each Additional Branch C$ouit 2.60 c LI Temp. Service/ Feeder 200 Amp. 92.70 Temp, ServioalFeeder 201 -400 Amp, 110.30 Temp. Service/Feeder 401-600 Amp. 148,70 Temp. Serve ?Feeder 601 -1000 Amp 167,90 Portal to Portal Hourly 95,90 Sign /OuUlne Lighting 88,20 Signal Circuit/ Limited Energy First 1500 art Commercial 95.90 Note: $5.00 for each addiponai 1500 st Signal CIrculV Umlted Ene -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy MuUi- Family Duelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY; First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 1. yam. Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two year 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 oomptiance 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 a In nletiator- Cash Check r 0 Credit Card ill X Paled: P110112010 Application Number 11 00000103 Application pin number 720468 Property Address 323 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2940 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Low voltage Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 983626710 ELECTRICAL ALTER COMMERCIAL 181040 63 90 2/02/11 8/01/11 Charged 63 90 00 63 90 Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Paid Contractor TEKNON CORPORATION 15443 NE 95TH REDMOND (425) 895 8535 63 90 00 63 90 Plan Check Fee Valuation Qty Unit Charge Per 1 00 63 9000 ECH EL SINGLE CIR LIMITED MULTI INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited 00 00 00 DATE. RESULTS Date 2/02/11 WA 98052 00 0 Extension 63 90 Due 00 00 00 INSPECTOR. Date: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RECEDED FEB -1 2011 CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division /Electrical Inspections INSPECTIONS 321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417 -4711 Date: d /r,? 011 184'2 Single Family Dwelling X Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: '3 Z l% ti h S T P p K T OA/6F C, C Itil A GI to Building Square Footage: ti, r„ 2 7 <z Description of above E- f (i c p, /4-u T 14 P4 r2 T yV r r gin L'r fdl [n pc }xrq, Owner Information Contractor Information Name: rf)'. /.r4„ A vn/o ,e /r x OG/" /_Aztt. /1? Name: '77= KAED4) 0 6 K Pok &T/r JV Mailing Address: a r .0 0 S F /Z/t 4"2 r r.. S y- Mailing Address: G el e-! it ft RN') r City' Pngr 4.tlrkLc 5State: GVA Zip: !4 :zrd2 City: R p- p,n State: IA!4 Zip: S O FT Phone: S to 0 u 5.2 Z )Fax: 3 n O 457 '7f,/ Phone: el.,.2 5 54 5.; S53'Fax: 41. 5 ci 1 3 3S License 1Exp. License I Exp. 7 (C Xl C- -34- 14 7 A1, Item Unit Charge Qty 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 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. $110.30 Temp. Service /Feeder 401 -600 Amp. $148.70 Temp. Service /Feeder 601 -1000 Amp $167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63,90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 10 3.9 C) Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 6 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. Total (Qtv Multiplied by Unit Charge) Signature of owner, electrical contractor or electrical administrator Cash Check Credit Card X X4441,0 ∎Icei rG Dated: Z D 0110112010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for auto doors Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626710 155077 59 50 10/14/09 4/12/10 Charged 59 50 00 59 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00001059 414614 323 E 2ND ST 06 30 00 5 1 2940 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 ELECTRICAL ALTER COMMERCIAL Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 59 50 00 59 50 Plan Check Fee Valuation 00 00 00 DATE. RESULTS if-44.l09 AP Date 10/14/09 WA 98363 Extension 57 50 2 00 Due 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. ti w N 10/13/2009 10 13 FAX 360 452 3490 City of Port Angeles Permit Application Building DlvlalenIElsctrlsel Inspection 321 East Fifth Sint P.O. Box 1150 Port Angeles Washington. 98302 Ph: 417-4735 Fax: (399) 417-4711 Data: 10 114/2 0 0 9 Description of above Wire 2 door owners Owner Information Name: Housing Author of Clallam Co Mailing Address 2f 03 Franc i q S1 City: Port Angel esState: Wa 21p: 98 3 62 Phone: Far License Exp. Unit Qharge, 93.75 3113.75 3160.00 3205.00 $291.25 2.00 57.50 2.00 72.50 96.25 $11625 3131.25 375.00 69.00 75.00 350.00 50.00 93,75 80.00 86.25 27.50 357.50 86.25 43.75 Monad= of owner, fleeted eoMtactlor or electrical administrator Olympic Electric IA RECE:VED OCT 13 2009 ELECTRICAL INSPECTIONS 1 2 Single Family Dwelling Multi Famlly or Commerclar x Commensal Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 32 3 E 2nd Building Square Footage: _ma, Contractor Irdormetion Name: O1vmAic Electric Meiling Address: 42 3 0 Tumwa t e r City:Port An eies Wa Zip: 98363 Phone: 457 -5303 Fax: 452 -3496 License Exp. OLYMPES72 18 5D 1 gt Tatter MuU i Ued by Unit Ch rgel Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401 -600 Amp. Selvk e/Feeder 601 1000 Amp. Service/Feeder aver 1000 Amp. Branch Circuit W/ Service Feeder 5 7. 5 0 Branch Circuit W/0 Service Feeder n n Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201.400 Amp. Temp. Service/Feeder 401 -600 Amp. 3 Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly 3 Sigr/Outtina Lighting Signal Ciroull/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling 3 Signal Circuit/ Limited Energy Multi Family Dwelling 3 Manufactured Home Connection 3 Renewable Electrical Energy SKVA System or Less First 1300 Square FL 3 Each AddlUonal 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 5 9 5 0 Total Cott Check nabs: 1 n/1 2/7n0 Di Clyde Card le Y rn V11 T .1.110I LL, +rr, v v Owner as defiled byRCW.1928.2111: (1) OWnar of occupy the structure for rwo yam Oar NNs electrfaelpermit is finalized (Z1 Ostlerls raga d to hbe are electrical contractor l/dbo se sold property IP lar.9ala mill orloas& After marina the ahem statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am rnaldn0 the electrical Inatallsdon or alteration In compliance with the electrical Iawe, N.E.C. RCM, Chapter 19.28, WAC. Chapter 29&468, The City of Pod Angeles Municipal Code, end Utility Specifications. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Security access control 2 doors Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES Qty Unit Charge Per 1 00 75 0000 ECH Fee summary Charged INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626710 Permit Additional desc Permit pin number 151324 Permit Fee 75 00 Issue Date 8/10/09 Expiration Date 2/06/10 Permit Fee Total 75 00 Plan Check Total 00 Grand Total 75 00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000792 867776 323 E 2ND ST 06 30 00 5 1 2940 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRICAL ALTER COMMERCIAL HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES (360) 452 2727 75 00 00 75 00 Date 8/10/09 Plan Check Fee 00 Valuation 0 Extension 75 00 Due 00 00 00 00 00 00 EL LIMITED 1ST 1500 SQ FT Paid Credited DATE. RESULTS etiV I %3/0 I' q I -Lib 3 WA 98362 Signature of owner or Electrical Contractor X Date INSPECTOR. FROM HI —TECH ELECTRONICS City of Port Angeles Permit Application Building DNIslon/Elettrical Inspections 321 East Fifth Street P.D. Box 1150 Port Angeles Washington, 99362 Ph: (360) 4174735 Fax: (360) 417 -4711 Dale: B r '2°09 FAX NO. RECE VED 360 452 8560 AUG 7 2009 ELECTRICAL INSPECTIONS 1 2 Single Family Dwelling ti Multi Family or Commercial' Commercial Addition Alteration Remodel Repair Plan Review May Be Required, Please Com le tectncal Ptan Review Information Sheet Job Address: 32 SoKr Building Square Footage: Description of above L,_6424 P e a f r S S C r OL— Pat& Owner Information Name: Gumtwe.% Cate 135..,1fp MA•-• Mailing Address: 3 2'3 ^'S City: P State: zjp: 49 3&2 Phone: 6452 7631 License /Exit Unit Charge S 93.75 5113.75 5160.00 5205.00 5291.25 5 2.00 5 57.50 5 2.00 72.50 5 86.25 5116.25 5131.25 S 75.00 5 69.00 5 75.00 5 50.00 50.00 5 93.75 580.00 586.25 5 27.50 5 57.50 586.25 43.75 Signature of owner,elegtrical contractor or electrical administrator x �11�1'v,9,� Dub: e I /"a9 Contractor Information Name: Hi Tech Security Inc Mailing Address: 723 East Front St City- Port Angeles State: WA Zip: Phone: 360 -452 2727 License #/axp, HITECTS955BS Total (aty Multiplit.c by Unit Chareel 5 Ser Ace/Feeder 200 Amp. 5 Set rice/Feeder 201-400 Amp. Ser T i ca1Faadar 401.600 Amp. 5 Ser ice/Feeder 601.1000 Amp. Sery efFeeder over 1000 Amp. Bra h Cimuit W /Service Feeder 5 Bra ch Circuit WIO Sei ice Feeder Eec t Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Ten. Service/Feeder 201.400 Amp. Tem i. Series/Feeder 401-600 Amp. Tom Service/Feeder 601 -1000 Amp. 5 P to Portal Hourly Sig wine Lighting 5 75.0o Sign Circuit/ Limited Energy Centmerciet 5 Sign Circuit Limited Energy 18 2 Family Duelling 5 Sig Cirouil/ Limited Energy MuIb- Famity Dweltin 5 Man seemed Home Connection S Re a Benin) Energy 5KVA System or Less Fest 300 Square Ft Each Mditianal 500 Square FI. or Portion of 5 Each )utbuildinp or Detached Garage 5 Each iwimrning Pool or Hot Tub 5 Them ostat Total Aug. 07 2009 01 16PM P1 98362 Owner as defined by RCW.19,2a261-1t) Owner will occupy the structure for nvo yc us after this electrical permit is finalized (2) Owner is required to hire an electrical coatraerorif above sold property is lotsale, rent or lease. After reading the above statentant, I hereby certify that I am the ownor of the above named property or a licensed electrical contractor. l am making the electrical Installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chafre r 18.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility SpectficaUons. PREPARED 11/15/06 12 06 46 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/15/06 ADDRESS 323 E 2ND ST SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR C M U CONSTRUCTION PHONE (360) 452 1771 OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 00 5 1 2940 0000 APPL NUMBER 06 00000656 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/26/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 9/26/06 AP CHUCK 460 0114 09/25/2006 01 47 PM DYASUMUR 09/26/2006 10 11 AM JLIERLY BL3 01 10/13/06 JLL BUILDING FRAMING TIME 13 00 10/13/06 AP CHUCK 460 0114 CALL BEFORE GOING SO HE CAN MEET YOU 10/12/2006 01 11 PM DYASUMUR 10/13/2006 04 27 PM- JLIERLY BL99 01 11/15/06 L BUILDING FINAL TIME 13 00 CHUCK 460 0114 11/14/2006 03 30 PM DYASUMUR COMMENTS AND NOTES AS61 -e- -C PREPARED 10/13/06 10 22 13 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/13/06 ADDRESS 323 E 2ND ST SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR C M U CONSTRUCTION PHONE (360) 452 1771 OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 00 5 1 2940 0000 APPL NUMBER 06 00000656 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/26/06 JLL 9/26/06 AP BL3 01 10/13/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 CHUCK 460 0114 09/25/2006 01 47 PM DYASUMUR 09/26/2006 10 11 AM JLIERLY BUILDING FRAMING TIME 13 00 CHUCK 460 0114 CALL BEFORE GOING SO HE CAN MEET YOU 10/12/2006 01 11 PM DYASUMUR COMMENTS AND NOTES PREPARED 9/26/06 10 08 49 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/26/06 ADDRESS 323 E 2ND ST SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR C M U CONSTRUCTION PHONE (360) 452 1771 OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 00 5 1 2940 0000 APPL NUMBER 06 00000656 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/26/06 BUILDING FOUNDATION FOOTING TIME 08 00 CHUCK 460 0114 09/25/2006 01 47 PM DYASUMUR COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000656 Date 9/19/06 Application pin number 006640 Property Address 323 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2940 0000 Tenant nbr name HOUSING AUTHORITY Application type description COMM ADDITION Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 9129 Owner Contractor HOUSING AUTHORITY OF CLALLAM C M U CONSTRUCTION 2603 S FRANCIS ST 1695 BAGLEY CREEK RD S PORT ANGELES WA 983626710 PORT ANGELES WA PORT ANGELES WA 98362 (360) 452 1771 Other struct info TOTAL s LOT COVERAGE 24 10 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 11566 00 LOT SIZE 48959 00 PROPOSED LOT COVERAGE 240 00 TOTAL LOT COVERAGE 11806 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT COMMERCIAL Additional desc Permit pin number 80663 Permit Fee 207 75 Plan Check Fee 135 04 Issue Date 9/19/06 Valuation 9129 Expiration Date 3/18/07 Qty Unit Charge Per BASE FEE 8 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/17/2006 05 15 PM SROBERDS The rear setback must be identified as 25 for residential development in the CA zone Proposal needs clarification to that effect This project will require seperate permit and fire sprinkler plans for review Call for cover inspection for all sprinkler installations A full acceptance test will be required for all fire alarm systems 06/27/2006 02 18 PM KDUBUC This is a fully swprinklered building Any additions to the building or additions attached to the building must also be sprinklered 07/17/2006 04 50 PM SROBERDS The proposal does not present any land use issues other than the rear setback MUST BE 25 from the rear property line in the CA zone for residential development 08/15/2006 03 05 PM SROBERDS This property is oriented north /south The setback for a covered patio needs to be 25 from rear A Zoning Lot Covenant would (kiwi H Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 9 t b( Date Extension 95 75 112 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 have -read -and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 1 NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROOROOF CEILING DRYWALL (4PERIO12 BRACED t ONLY) T -BAR -III a J. e INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \I 102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD I 1 1 1 1 1 1 1 I 1 1 1 I I 1 1 I 1 I 1 1 I 1 1 1 1 1 I I I 1 1 1 1 I 1 1 1 I 1 1 1 I 1 1 I I 1 I I 1 I I 1 I 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT 1 PLANNING DEPT 1 BUILDING 1 DATE ACCEPTED BY. DATE ACCEPTED BY. i Application Number Application pin number Special Notes and Comments change the orientation and would allow approval of the proposal Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000656 006640 Charged Paid Credited Page 2 Date 9/19/06 STATE SURCHARGE 4 50 Due Permit Fee Total 207 75 207 75 00 00 Plan Check Total 135 04 135 04 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 347 29 347 29 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes j ;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 ;a FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417-4815 T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 1 NO w II/IV 64° 11 v 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT I 111- 12.-04 ai 1 FINAL FINAL SEPA. ESA. SHORELINE. CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT I PLANNING DEPT 1 BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. Cli HOUSING AUTHORITlr OF CLALLAM COUNTY 280 SOUTH FRANC:'• Tr PET Po T j. iGELES WA 98362 I /WE the undersigned owner(S) of the following described property (Insert legal description here) R 5,,,,, 5 5 vdd,tito aF x'41 7 )..rs,�c ,L vY.S 13 4 14A41.o..+H. Lo 'r `1i .Qlac .2 9 r N,,Q,..,.� pF A 44.04,:, CC.i4 -'4' Coo,,i IUAS4,,.,G7'o ,s "tail �a .�t�ocasn i.� U ,C k DA AZIVIS 1 "46 ,2tcozos os S.4n Ccu•✓1�/ lc ,uS SvC3o� FAQ >•e w- tai /q, Au 6' Ler"' /S 14' 17 4'J /g, e itc Z4 d L. 8 .S7R,Fi 14.t f �..J 6, AR 44S L+ 4 u 4 C ou4.3 1 w �r/�..+Q >o.•/, AGtv�t,dl.JG ye /C4� R �fB VOLUsakA., OF PiA k P44'4 4 10 do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 032 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58 17 RCW (subdivision regulations) and /or the City of Port Angeles short subdivision regulations (Ordinance No 2222, as amended) This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. SATED this 1 Z day of _CevA1 642 +6 A-t fr( c W4_.0 6t0)1 o OJ/k (Ownet) (Owner) STATE OF WASHINGTON COUNTY OF CLALLAM ss za r e O&L S(S ZONING LOT COVENANT I, that, on this j day of citC p f e 11 i')e r TI efZ and �e known to be Wsribed in and who executed the within instrument and acknowledged that rle1 C�- ,4114 iht;►iiame as C. Di r, free and voluntary act and deed for the purposes herein mentioned. p ,,,2 :a Q ,O UNi rte_ Q AUDITOR S CERTIFICATE Filed for record at the request of 20 GIVEN ICIAL SEAL this 1w �o =z "j1% p� v 1"1 141111t 9 W% U P 2006 1187660 ct�ty ,20o� ll t) FOR.RECOS;, r THE EQuE57 ECORara (:u,:: Cr) r4 2006 SEP 14 H 0 45 (Owner) Notary Public in and for the State of Washington, do hereby certify 20 jpersonally appeared before me Pa rr'(% l By I U day of to 204 `41 nr\O ko S NOTARY PUBLIC in and for the State of Washington residing at Port Angeles. this day of CLALLAM COUNTY AUDITOR L— rtr Applicant or Agent: er`('f\u Owner. 1-laua Address: 2 3 F \1\0 Arclutect/En 2ineer 2 ,Srt\M Contractor _C'YIN. U (.ON Address: 01.6 PROJECT ADDRESS k" LEGAL DESCRIPTION Lot CT .AT .T .AM COUNTY P_ARCRT NUMBER. •K. New Constr WAddrnon Remodel Sip_ TYPE Residential Multi- family Commercial 0 Repair BRIEF DESCRIPTION OF THE PROJECT egyu Psi Piovy. COlVLMERCIAL/RESIDENTLAL. Occupancy Group. Occupant Load. No. of Stones: Lot Size: 4 Existing Sq Ft. t 1%26, Proposed Sq Ft. Total lot coverage 0. 4 PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELI and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have an} questions. call PERMITS (360) 417-4815 FAX(360)417 -4711 CR Phone: ,yiL 1, (ice,l� At4o e. A a City P Ovtt* klz4 State License #.fir t1 a,. 0I f L 7M 10 Exp Phone: -1`l1 City_COAT ei L 7 o 2� C S1LcaneP 77 0-- Block. Re -roof Stove Move Garage Demolition V Deck Other ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other' Subdivision. Phone. 4 S7_ c, Zip. A 3 C,2 Phone: y f 0 SO ST7.FJV ALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Z I Cons Zip M3 (o `Z ZONING FOR OFFIC Date r.ec Perrnii rate A.ppro•re at Issued. ction Type: TOTAL Sq Ft. SG, y( 01 /L/ APPROVALS PLAN BLDG DPWU FIRE. OTHER. 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 P ermit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit apphcation 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, 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 R105.3.2 of the International Building/Residential Code, 2003). No apphcauon can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work T1FORMS\BldgPermitform.wpd Applicant: oiik _91-56A1,31 _91-56A1,31 p h Date: (o Z� 0 230 e 11 303 301 301 4 230 60 Feet 305 314 j05 1 V NI al Milt NAVD 88 Nor zontal Dahl NAD 83/91 302. 1 206 3 323 4 4 202 Area Map 330 404 321 6 25\ 12r 0 i 0. e This map is not intended to be used as a legal description. This nap/drawing is produced by the City of Port Angele fo Its o) use and purpose Ant. °the, Ise of this map/drawing shall tot be th sponsibilitv of the City 333 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000855 Date 635085 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY 7/21/08 COMMERCIAL ARTERIAL o Application desc Security intercom cameras Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit ELECTRICAL NEW COMMERICAL eN Additional desc Permit pin number 130245 N Permit Fee 51.00 plan Check Fee .00 Issue Date 7/21/08 Valuation 0 Expiration Date 1/17/09 \jJ Qty Unit Charge Per Extension 1. 00 40.0000 EL-LOW VOLT SYS <=2500 SQFT 40.00 1. 00 11.0000 EL-LOW VOLT SYS >2500 SQFT 11.00 Fee summary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51.00 51.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 51.00 51.00 .00 .00 N (j) ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001378 Date 11/27/07 024134 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 116228 Permit Fee 73.00 Plan Check Fee Issue Date 11/27/07 Valuation Expiration Date 5/25/08 .00 o Qty 1. 00 3.00 Unit Charge Per 58.0000 ECH 5.0000 ECH EL-COMM ALT <5 CIRCUITS EL-COMM ALT-ADDTNL CIRCUITS Extension 58.00 15.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 73.00 73.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.00 73.00 .00 .00 vJ \'J vJ m ~ ~- ~ . . INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN ) /7 (1J~ 1'r'f> . ~ FINAL COMMENTS: ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001360 Date 11/20/07 626800 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 115907 Permit Fee 40.00 Plan Check Fee Issue Date 11/20/07 Valuation Expiration Date 5/18/08 .00 o Qty 1. 00 Unit Charge Per 40.0000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total' 40.00 40.00 .00 .00 vJ {'J \J0 rt\ N ~ ~ (J I · . [NSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE R-OUGH - IN 11~{O7 'I\V ~ FINAL COMMENTS: ~. ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001038 Date 10/23/07 273148 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL EL. SVC./ RESTROOM CIRCUITS 110635 ELECTRIC SERVICE 58.00 10/23/07 4/20/08 plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 58,0000 ECH EL-COMM ALT <5 CIRCUITS Extension 58.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58.00 58.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 uJ. ('J C)J Ill. N F ~ -~ I INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE q/16/~{ Ap- 1tL. ROUGH - IN f 2.(-zel tr) ~ ~ FINAL COMMENTS: st; ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 98J()2 '. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001178 Date 10/31/06 084626 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 . . .' ------------------------ HI TECH SECURITY INC 72 3 E FRONT ST PORT ANGELES " WA 98362 (360) 452-2727 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL HI-TECH/4TH FLR ADD 3 CAMERAS 89870 HI TECH SECURITY 42.20 10/31/06 4/29/07 INC Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 42.2000 EL-LOW VOLT SYS <=2500 SQFT Extension 42.20 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 \jJ .~ ~ [\\ ~ ~ l.....l:.I>JrL\L I"t ~ .L\'JP 3 ~;f1.MPPl\S ~ ~ 2.,' ,n .-1)(.. ''\1 COMMENTS/ ACTION NEEDED .f ELECfRICAL PERMIT INSPECfION.RECORD CALt 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTJON TYPE DATI!: COMMItNTS NO GENERAL COMMENTS: pw.U02.1514I96J Installation description "" Job wired by o ElectricaJ Contnlctor DOwner ..Q1:ommercilll o Residential Electrical Contractor name License number Dale Exprrc& o Altered! Addition I-J\-\""'~ S4r.''JO...* l"',~>S'1S's13S '/0"1 DNew -'::-.c. Pll[ch:lser'S mailing adun:,ss ST. 50IC.0lU \ \~ =1-23 ~T. ~~. , ,~(,"'-....C>t_ City Slate ZIP ~OQ.-'- ~~'!;-\g w"'. 98 "51/2-. ~~.,..",""- Aot>C :3 c~ '"_ Telephone number I FAX numbcr '3{,O - 'T!>').- 2.1':r; '3t.O - '-15:;2. - 85~ 0 '-I .,.,+ f\~1"L.. Tf) - Premi~c., owner's "a~e , c..lll-\\f\.l"W"t... UhJ..:iW i-l<lu~\..Ju -1"hL. ,...,~R... Address 01" inspection 2~ "3"2 '5 ~-.- C~y . A.,JU'Z:J",,- <:: ~, .- Phone number to SChed~l, inspection: <./-52 - 7~"'S OWllf'r Q.f defilled hy RCWI9.2<i'.261:(1) OW/H!/" will occu.py the structure/or JWo )WITS ((fie; this electrical pemJit i..fillaliud. (2) OWTler i.f n::quired to hire /VI elecJ,.ir.a1 0.) ~;\z... nmtruc(o; if ahove said rrmperry i~ for sale. rem or lease. Q Cash o Check # After reading the above s.lalerrlenL I hereby cerlify lhal I am Lhc owner of the above o Credit Card Mastercard Discover named prnpcrry or a lic...nsed electric<ll eOnlr.lCtOr. 1 <1m milking the c:leclrit:al instul- Visa lation OT ahcr11001l in eompli8nee with the elec1rieal laws, N.E.C., RCW. Chapter 19.21l, WAC. Chapter 296-46,B. The City of Port Ang.eles Municipal Code. and Card # - - - Utility Specificatiol1s, ---------------- ~;g:l~;el~~ .,W'i"tC;riC:1 c.."ac'o, ., d~'~;;; .l:~;~;'j~~ Expiration Date ( I nspcclion fcc \"f card $ '7:2,. '2.0 ElectrIcal Load Add~ions btractions Service Information a:~ 0-;'; ........ . ~~"'; 4oiiG>i'O"..... ELECTRICAL WORK PERMIT APPLlCATiqN .~ 'i U NO LOAD CHANGES U Baseboard KW o FurnacQ KW o Heat Pump T ~n CJ Fan-Wall ~ LAR a Overhead Service o Temp Service a Underground Service Vollage Phase [J 1 0 3 Service Size: _ Feeder Size: ( SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT DJIC ^p!'fC'~d &y D~le "PI"O\lc:.1I4y SERVICE Ollte ^pprn\led Ity / FEEDER IlQ.te ^Jlpr"ved y FINAL 12/~{)? ~, DITCH OM~ AIIPIOVe(l!:J)' Itlspel.:liut\ DalC Area, Building or Equipment Inspected Actiun Taken Electrical Inspector ~. . ""db'- .. v- t I, I I 1'--'. , .... .~' . f t 'tJ'!J~' ~ Wdt>~2" 882 a I o'~ ~{ .... / ! -j, ". .- 'PO , 89SB 2St> 89\: 'ON XI:j.:i SJINO~lJ3l3 HJ31-IH WO~.:i -, ELECTRICAL INSPECTION WIRING REPORT 417-4735 I PERMIT # 323 H lZ.. 2HP Fc...DOrL APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D.........._..........R~..................~ CORRECTIONS NEEDED: ~_" f>POt'; T Sf: r ,U 1Z.. --& UvLo. ') 0D uACoJ'i:. 01e.~ '? A8o'H~-- ):1JZ..b~t>~D <:::.EluNC, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 '(;f ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98362 .. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Appllcation type description Subdivision Name Property Use Property Zoning Application valuation 07-00000205 Date 356615 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY 3/02/07 COMMERCIAL ARTERIAL o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 ANGELES ELECTRIC 524 E 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 ~ \.) tA\ Permit Additional desc Permit pin number Sub Contractor Permlt Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ANGELES/ 600A SVC MUILTI FAM 96347 ANGELES ELECTRIC 128 00 Plan Check Fee . . 3/02/07 Valuation 8/29/07 00 o ~ .... ,... f ~ Qty Unlt Charge Per 1 00 128 0000 ECH EL-RM-401-600 1ST SRV FEEDER Extension 128 00 ~ Vi Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 128 00 128 00 .00 00 Plan Check Total .00 00 .00 00 Grand Total 128 00 128 00 00 00 \) ..... ~ ~ ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION 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 11' IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS r YES I NO UITCH IH lllnl-l.lN / (. I V....K '""'V' . ~A~ SERVICE FINAL I './3- /) ., ~1. }I .. GENERAL COMMENTS: PW.II02 U (41'96) /' . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. S-C If 3 8 /z.c. /pc, DATE ELECTRICAL PERMIT Installed By: .3;;2 3 O!C ~. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL !f COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE J?f UNDERGROUND SERVICE VOLTAGE: IZo /2oP ~1fl\ ~3~ SERVICE SIZE /0100 AMPS FEEDER SIZE /-7S AMPS . ~/(JfCt# c;;:20 II.;? dev~~ /I1tJt?1f! -30. //. /: P~~r 1n/l7/V ~ ~MO/~ 1,2C:;-4>y~dk. DetailslDescription: 21'/J1C.F w;~ W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service Jt"Finalo.K. Site Address: Installer: ~~3 D ~. 2J Permit/Receipt No. S~ '1..3 New Meters . Notify Port Angel s Cit Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. /t9uJ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;It 70 Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Soltam, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. f"([ / S /~/f#~ OATE Installed By: o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ ~RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~. ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 01/'1 03/'1 SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: ~ ~ ~f CuuL ./.,., /::f:~Av<V ~j/cA1f . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection 0. K. ~"'f:J Rough-in/cover O.K. b O.K. to connect service o Final O.K. Site Address: New Meters Installer: . Notify Port Ange s City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. Lt ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ 3. 0 Er.c~eC!or $ Perm;! Fee WHITE - File by address PINK - Top: Eng, Bottom. Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC 't;l ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Applicat~on pin number Property Address ASSESSOR PARCEL NUMBER Appl~cation type description Subdivision Name Property Use Property Zoning Appl~cation valuat~on 4/27/06 06-00000367 Date 843339 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 Perm~t Additional desc Permit p~n number Sub Contractor Permit Fee Issue Date Expiration Date Contractor HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 ELECTRICAL NEW RESIDENTIAL HI TECH/ SEC CAMERAS 3RD FLR 75119 HI TECH SECURITY 42 20 4/21/06 10/18/06 Qty 1 00 INC Plan Check Fee Valuation 00 o Un~t Charge Per 42 2000 EL-LOW VOLT SYS <=2500 SQFT Extens~on 42 20 Fee summary Charged Paid Cred~ted Due -------------~--- ---------- ---------- ---------- ---------- Permit Fee Total 42 20 42 20 00 .00 Plan Check Total 00 00 .00 00 Grand Total 42 20 42 20 00 00 COMMENTS/ACTION NEEDED ~ ~ w \).J lfl ('\ \\ \~ (;) \ \ ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 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 ACCEPTED COMMENTS . YES I NO urfCH IHlllfyH-lN I CUVhK ~~K VICE I 5"- 1- p ~ ArzD GENERAL COMMENTS: PW-II02.1S (4196) ~ ......r;; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 98:l62 App~lcatlon Number Appllcation pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zonlng Appllcation valuatlon 05-00000433 Date 967698 323 E 2ND ST 06-30-00-5-1-2940-0000- ELECTRICAL ONLY 6/06/05 COMMERCIAL ARTERIAL o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 HI TECH SECURITY 723 E FRONT ST PORT ANGELES (360) 452-2727 INC , WA 98362 Permit Addltional desc Permlt pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL HI TECH/ CAMERA & VIDEO 50385 HI TECH SECURITY 42 20 6/06/05 12/03/05 INC Plan Check Fee Valuation 00 o 1 ~ ~ ~ Qty Unit Charge Per 1 00 42.2000 EL-LOW VOLT SYS <;2500 SQFT Extension 42 20 Fee summary Charged Pald Credi'ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 20 42 20 00 00 Plan Check Total 00 00 00 00 Grand Total 42 20 42 20 00 00 ~ ~ ~ )'u " ~ I~ ~ ~ () Ci\ ~) COMMENTS! ACTION NEEDED \ "" ELECfRICAL PERMIT INSPE~.JON 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 t!t?9m~..,. VI O~ '/eDNr l.<9JI!P.S GENERAL COMMENTS: PW-II02 IS [4'96\ -- / FROM HI-TECH ELECTRONICS FAX NO. 360 452 8560 Nov. 14 2007 11: 13AM PL o Eleclrical Contracwr ~L[';t'''' ~~ oI~r.:D1 '~. DOwner \:S'~,;. ELECTRICAL WORK PERMIT APPLICATION o Request lnspectilln CJ Annu.~1 Permit U Ahlrm U Carnival ~ Conunel'chd CJ Residential 0 R.esidential Maint. Cl Signs Q Thennosta[ Q Telecom. Job wired by - ~lectric.l CDntractor 0 Owner \n!llullalirm Jr,:Scriptilln ElcctricI11 contractor name ~\ T~~ ~"'''''\''Y Purch:iSCI"s mailing: sddress +'2S ~, City ~t)R.' A~f.W:>s. Tch:phonc nu.mber : 34:0 .45?-~:t::ZT :z:>-JC... License number l-\I~~' '> ~sSI;S l ')f('~E.. ~f>."1:..>.1 \~ 2. >4 t:> 1= L.CZ> f? ;:::-~'7' s,. State ZIP u.)A _ 9~3~2.. FAX number '31,..0 ~4'5":;' - S 5"''''0 }lr~mis(!.~ OWDU'S name c.\-=-\\,;,."",- C"w'l"( \~.:t.\"'U .2'~ - 'i~f.... m.......,oR.. Addn~u of inspection' 32.3 ~~I (:il~1:l:\ ~L?'C..\ I':~ I;) Cash 0 Check # O..J l- II z.. I hereby certifY that I am the O\\llCI of the sbove: named property or a licellsed electrical contractor (or the firm. 's <Iuth!)Ji2ed agent) and am making the electrical installation or alteratioIl: in compliance wilh the electrical law, Chapter 19.28 RCW. o Credit Card Card # V1Sll Mastercard DiscDver x Expiration Date of card WALlS In!.'u1:l.licn Ol1ly lJ/7.,Vp? ~~ By COver CEILING InsulatiOn Only .~B' Cover THERMOSTAT SERVICE Dal\; AppNV~ B)' Dale AI'I"'(lv<<! I:l~ DITCH ~"EE1lER IJue ApproVQ! B1 ,,= Approwe~ By Dlll~ Al>p,,,v..dfl1 OalC Approved By Electrical Load AdditioIJ.sjmd or subtractions o NO LOAD CHANGES [J Baseboard KW Q Furnace KW o Heat Pump TOfl LAR CJ Fan-Wall KW h Y'...li/, L ~ Service Information '1 ~oltage CJ Overhead S9l'\1ice Phase 0 1 0 :3 Cl Temp Sel'\lice Service Size: _ Q Underground Service Feeder Size: _.,_ Inspection Date Area,. Building or Eqwpm~nlln$p(;cted A. ction Taken ElcclriclIl Illspeclor ~ IRl~CC_ -- ELECTRICAL INSPECTION WIRING REPORT 417-4735 DAT'h1 oc PC;7'-/OS?3 OWNER/CONTRACTOR ~18=.Tg1c.... ADDRESS 32 ~ Yz.,-z..Y t c 2.$1 APPROVED NOT APPROVED --------- o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . .9.'S-.- D. . . . . . . .. . . . .. . . . . . . SERVICE. . . . .. . . . . . . .. . . . . . 0 D. . . . . . .. . . .. . . . ... . . . FINAL. .. . . . . .. . . . . ... . . . . 0 CORRECTIONS NEEDED: Ii {;.tCTIU] K[)fr1B1~ gD1J,~ \ c.o1J~.JZ.S :t:or;., AU . o?~J-J 0 - ~~S. l<lU\tlUf: , J20Mf?'x" SlR'f'CJR, C.bt-l'DUL1 -r~<;. kO's t"N Ee:)~7 ,BbNV '6~IJEf;.J'j, . I Co'Y?~ "+- "ST~<"'" ISQLf't\()Z-c.,. ALL of" \}.If.h. NOTiFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC.j.3.6Ol 452-1381 I ELECTRICAL WORK PERMIT APPLICATION c1-T_~~ ~~~(~ ..- ,!--. r=J:.. 't-~"''''''' -.. I.) Job wired by ~Electrical Contractor DOn'ner Installation description .'" Commercial .v Residential Electrical cont~acto! nam~ r- , .License number Dale Expires --.E:lc ..c.;.\-...V...- ,dQ(""VIQ.-,]J..e- ELEcTSj i3.w..... Purchaser's mailing address V) - 2J 'c 0 J j'f'), o :L ''''-p-' Cl Uv _~ City'i)...J );1,' J State. z{p ----L--iU:l---L Vj g I- f { V1J f} Telephone. number J - -Co' 2 DNew Cf 'i?3 b .~ FAX number s' C-{ ,...u!/ Premises )o"ne~~ na~,c '" C1oC{.......- Addrc~ s:~ction E J "J City 0 A . -v Or'+ V'\~A. /...:..,- Phone numbE.~f? SCh~~UIC Msp . n: OVo'ller as defined by RCW/9.28.261 :(1) Owner will occupy the .\'frllcture for /wo years after Ihi.\" electrical permit is finalized. (2) Owner is required /0 hire un electrical contractor if ahove said p~operty is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29,6-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signalure wner',clecl1l~1 c Jaclor or electrical administrator X "..,.,) lJ, Date: '1 7 0 Electrical Load Additions and or subtractions :8!. NO LOAD CHANGES . 0 Baseboard _ KW o Furnace KW o Heat Pump _ Ton _ LAR o Fan-Wall KW o Altered/Addition J C I V' C Ul (" r -fJs. ft'oo",," h-I o Cash 0 Check # o Credit Card Card # Discover --OK Expiration Date of card o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN ~y ,,- THERMOSTAT "- Dale Approved By ./ ,,- Dffal "- Dale Approvcd By FINAL r4'1}J6J & Inspection Date Area, Building or Equipment Inspected Voltage Phase 0 1 0 3 Service Size: Feeder Size: / SERVICE "- Dale Approvcd By ,,- FEEDER Dale Approvcd By . " Action Takcn Electrical Inspector S ELECTRICAL WORKPERMlT APPLICATION ...... ,. Q Request Inspection o Electrical COnl(act~r 0 Owner ~~~;j'~ o AODual peJ'mit 0 AJarm a Carnival ~ommcre:i31 0 Residential 0 Residential Mainr. 0 Signs 0 Thcrmo'it:lt 0 Telecom. , Installation dc~cTiption Job wired by Q Elcctric.l Contractor CJ O...ner Eleclrical contractor nam~ LiCCn!iC number H \ -, fo.C.-\4. SE.<::I..l~,....y ~J:,..~-r ~ '75'5.\3S r....,~~LL- c."'''''8zA- PurChasCT'~ mailing addrcs's . "12:5 7.AST ~c.(l""'" ~....;lD \)1(,,___PoL '\.J \IbE.O C~ , Stl,te ZIP OR.. ~~~ u.:>~ . 9 B3~ 2- l\<. 'C.C.tll ~f\ 82- 'f"0 f:.~'<;'"M~ "rdcphone number I FA...'<.numbCT SdS.~e.~ 5~D - 452~ 21-21- - Premises owner's Dame <:.\l",............ t4e~t ,.... (:, (.::lV"1'~OR.,~'( I Addreu of inspection , 32'3 ~A~ '2....,p ! CitY~ ! - o~..;, f>.NU~\-e. <... o Cash o Check # 0,.) 1="1 \ L I hereby certify that I am the owner of the above named property or a licensed CJ Credit Card Visa Mastercard Discover electrical COJ1Cl':),ctor (Of ~\e firm's authorized ageut) aud am making the electrical ins14l~lion or alttralion i~ compliance with the eJectricallaw~ Chapter 19.28 RCW. C.ard # - - - ---------------- VSignOlture or owner, e.lectricaJ contuttor OT c1ectricalllldministntor Expirnrion Date X of card (~n'p~'Z. ~~ ~...::.- '-. ---- -- -'-----. - 1- " WALLS Insulation arily D~u; ~Pll'o"wijy Cover O;lle ApPnlv~d Ill' '- . -I CEILING Insul3tioll Only IlAte Appnlved By Cover nl'l~ .l.l'lltov~d P.y UffiRMOSTAT D~'e Aptlrtlved By DITOI Llllle "'PllrnVel! Ky " SERVICE D:l.le A(!Ilrtlved fty " FEEDER nMe A.I'I.rnve-llBy Electrical load Additions and or subtracJlo.o,~ I:] NO LOAD CHANGES o Baseboard _ KW o Furnace KW' o Heat Pump Ton LAR I:] Fan-Wall KW, Service Information o Ovemead Service o Temp Service o Underground SeNice Voltage Phasol:] 1 1:]3 SaMcs Size: Feeder Size: InspeCTion An..-a, Building Or Equipmenl {n~;peClcd Action Taken Eleclrical Dale Inspector 7/;/a 5 I7~Mt- AP d/n -- , ....'.._~, -'._---'._.'- .... ------- .- ..-. '" . ..'. .~' ... - . .. .. - n --- ---... - " .......... ~6~:s1~{unr 0958 G5~ 09[ 'ON XI:I-=l SJINO~lJ3l3 HJ31-IH WO~-=l FROM HI-TECH ELECTRONICS FAX NO. 360 452 8560 Jul. 17 2008 03:22PM Pi Ol6-o2G> o Elt.,c.ri..:,i! COllcr~c.:(Or 0 Owner f~ ~. .;J .~~~~ ELEC'rRIC!\L WmU( J'El{MlT i\.!':rLlCJ\TfON o Request IJ\SIl~Cli(l() '..) .'\'UllU;.lII'...,.mit 0 Alarm 0 C:.Iclliyal Q.co"I.Hih~rci;:al a Re!l;j(jo::-ulIal 0 R.:sitl",ulhtl )\hiul. 0 Sil;us 0 Tllcrmlhl;,U 0 '{dc:"uul. Jub )~'il"C:IJ by Q.EltctJ'ical Coufrlicror 0 Ownel' Insul.llllfi"n t1'::~":liV(IUU Stiue 1o,)F1. ZIP ~U'2- ~,-.,.~_\,c:;;,\;..ev14~ c!l. ro-.:>"1:~"" ~~ S~Q~\.~~~e.. ~""'~~c .~__ 9 \ ~ E~C':i.:!.::=.1 ":,Jntr~'::,Jr name 1ol1~~W:tJo.ll:.... License: nu.mbc:.. 1-l.1~~S. 'TsSBS PW".::l",:..~:.'" f':'9.il;,)g a.idies5. ""-- ;... 7Z.~ ~. Citv ~... fWo!.lQ;. TelC'ph~~e :'l.iJmb<:r I ::UO ->4S".:2' -:2727 ~~ F.:...X number 0 '3400 - 4./..:2 - B~ Pl'llmLllU uWDIU"S D.~me ~\\_ Ce<>o>'T'( ~fl""'\~ AdOl'cHS 01' inspection :37 3 ~~... ::z ,:,1:> CI~ta\ ~tJ04s.. T~~ H\,1l>>-:>01t, '152.- '7//S/ o Cash 0 Check # ~~ t=".Ii...- 1 hcrctly c~:tiiy tn!l.t I am the QWllei at the above nlln1c::d properry or a Iieensed el:-::ri..~l .:o.o.rra-=tor (6r !he iirrn's ~\Hh.ori:cd agent) :md am making Lhe r:1e(:tric~1 ins~ll:iilUn Jr lilleratio.o. in compliaace with the eleecricallaw, ChaptCT 19.28 RCW, o Credit Card Vis. Mastercard biscov.::r x Card # --------- 61~---- Expiration DOle (lnspeclion fee of card ,,$ ~ :SigQ....tur~ ut' l) vu~ ele~tric::011 ~ull.[r.:.lcto,. ur Clecl,.it:al I$dministr:loIol' DITCH ^ppto\.~~ B~ ~:,"?~~J (- ~ p~~~ Ap~r~\(~ fiy W...us D",77~ \ ---0;; Co.." ~-".,,",., CEILING ~~Oll Dilly ~....pproVedB.)' Cov~r TllERMOSTAT SERVICE D:lle FITEDER D;j.Ie ....pprov~" lh Dale D~l': '\p~,'cve~ Ill' Electric31 LORd Additions amt or subtractions Q NO LOAD CHANGES o 6as~b(Jc.(O KW Q fl.:rnace "'W o haa. PL:mp _ Ton _ LAR o Fs.n-wall KW .a~!yice Information a Overhead SQ('\{ice o Temp S~rvicEl CI Underground Service Voltage Phase 0 1 0 :3 Servic~ Size: _ ,,__ Feeder SiLe: !nsr:<:[i..:lU D.:.le Area, Buildil'l.g or .Bquipmcn[ Inspected Acrlnn '(akcll. Electrical 11l3pl':ctor "7 -:c- I J I \ -----r-- ===t \- ~--+. ~--'-. -. FROM HI-TECH ELECTRONICS FAX NO. 360 452 8560 Apr. 192006 06:14AM P1 ~ ~~ )3""Elcctl'ic.al Contruc,tor r:I Owner ....~....J'... o ADnulllll~rmit 0 Alarm 0 Carnivlll xrCommcrcilll ELECTRICAL WORKl'ERMIT APPLICATION. o RCQ ucst r nspcclion Inslallillion description Job wired by I::J Electrical Contraclor I::J Owner I Elcctric~1 conlruelor name License number Ill"'~"" S~~,+( :o-J<:'" ,",~"'f.=> 95'SBS, :r:,.....c..T~\' S..,~V"icl\'...~ Purcha~CT's mailing .u.hlress 3'~ ~\ ocR... 3.23 ~..,- "H.:.~'- ~s. - City State ZIP ~.,..- ,(4....J6VES w....... 983'-2.- Telephone number F.A.X Dumber 8S"bO 3UJ -<./52-2"'1::2':;- "3(..0 . 4'52 - Premisc~ owner'i: na'me ff'\Aa..loEt C.\-'\\A.fY"o... C.DJ..,.,..i l-\o.Js.o..(, - .,.....f. ..... ^ddre~s of inspcctio? 2- ~ g:zS ~~ Ci~l p".~6 ~s.. ~-r . I::J Cash o Check # 0""':> I=\\L , I hereby cerlify that 1 am the owner of the above; named property or a licensed o Crcdi l Card Vi!08 Ma"teTcard Di~cover electrical cnntmctor (or the flrm's authorized agent) and am making the electrical installation or .ll.lter.l.lio~ ill compliance with thc clcctricallaw, Chapter 19.1& RCW. Card # - - - ---------------- VSign:nurc of owner, electric>>1 coufrOlC{Or (lr elec;trtc;:al admiQinrator Expiration Date Xul\~.,~ ~\\l\.~.'~ ,of card C ~"pc~2 ~20 \. ~~ " WALLS ~ If CERING " /' THERMOSTAT " SRRVlCF. lnsulalion Only If'lsulation Only \. D;alll Approved Dy \. D~lC ^pl'rltv...! Dy (l~lc hppfOYcdDy D.l~ ,It'provcdHy /' " Cover; Cover DITrn FEEDER D;ate APf\mYed Hy O;ale A"pru'~ By " Date AWI'O~c>J By Ilarc Allllr(lV~ H~' o Residential (J Residential Maio I. U Signs CJ Thermo$rsr CJ Telecom. Electrical Load AddItions {I..!).c;tor subtractions o NO LOAD CHANGES o Baseboard ~ U Fumace KIN o Heat Pump - T~n LAR D Fan.Wall KW I Service Information o Overhead Service Q 'Temp Service o Underground Service Voltage Phase CJ , 0 3 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Elcctl"ical Date AClion Taken Imipcctor 5!J /Ob r:, 'f.iAt..- M AiD / I /-1{Yj ./ # b.1 /." / "' ~ . 2-28-207 2 ,,10PM FROM ANGELES ELECTRIC INC 360 452 9265 P. ~ W ELECTRICAL WORK PERMIT APPLICATION I . Job wired by lectrical Contrador 0 Owner c/;cription )Q Reside~~~a1 ~/AdditjOn 1::Iectrical contractor name, License number o-d.tt"E1.pires. Q New Purchaser's mailing "ddres~ /V6W Telephone nUlnber FAX numbel" ~1t , (deJ.+-f ~J~ )..$W &JdFJ6 City . Stale ZfP prem(fJ;7~am~ _ 4,~ \htL+ Addr.., Of~p.ctjon 'E ' :iff :2-3 ,2nD 61. Cily ;VA-, J'1r o...'IIcr a." defined by RCWJ9.18.J6/:(I) Owner ,will occupy the .~trlICll1.ri! 1m' two y(!Ors cper this eleclJ'ical permit is fifloli::..>d. (2) Owner lJ 1'((qu;rcd If! hirr: a" d("~/ri,:ul cOn!raClor.ij above said pr9perry is for .~(Jle. rent or lease. After reading the above statement, I hereby certify that I am Ihe owner of the above named property or II licensc:u electrical contractor. I am making the electrical in~tal- latio1\ or alteratioll in corripli.\Qcc with the cl\x!rical h\ws. N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296-46B. The City of Pori Angeles Municipal Code, and Utility Spf:cirications. I Siz:naturc ur o.wncr, cf dl'"ical coot o Cash 0 Check # ~ard Visa Card II Ma::;tcrcard Discover x Date: IJXpiralion Dale ofcllrd OD Electrical LQlld.AQ Q NO LOAO CHANGES Q Baseboard KW CJ Furnace KW Q Ho.t,Pump _ Toni_tAR Q Fan-Wall _ KIN ~:s~ o Overhea.d Service o Temp Service o Underground Service Service Information Voltage /2D~r Phase Q 1 i:l"3 Service Size: (pd;) Feeder Size~ ~ L" SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-Il\ THERMOSTAT SERVICE J)~~.. "PPN"...J5y D~t<. AP9f1J,,:tl IJ.y "- D;llc ^pp",vecl 0)' I , 3/; !n::'AL ~ DITCH FEEDER D~l" ^pprcvcd i;y D~I<: ApJlfOv~(l 9y In!'>pcctj()1"t I .A.rca. Building or Equipment Inspected Elcctrical Dilte Actiun Tilken rnspector ---._-- '- - ""-=""'=n ln~_ If ",1&;0 !:1Ls;lJd) ! MAR 0' 1 007 UGHT 08 i'T, J ELECTRICAL INSPECTION WIRING REPORT 417-4735 CI-I37-B PERMIT # Jl:. C- c-I€- ADDRESS 32 2 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . .... . SERVICE. . . . . . . . .. . . . . . . .. . 0 D. . . . . . . . . . .. . . . . .. ... FINAL. . . . .. . . . ... . . . . . . ..0 CORRECTIONS NEEDED: we,,,~,, ~IV~ 101, (OU!Ile1'2. lOY, '7"t>'r<,~llQ 1 . Bo"l'D 1 \\ . ~N.D 113 . 100~~ l~-r r:-LCDI2. ~ , 1 &:.t-.tT> L61.>~"" 6<:>1-\1) 31L.. \ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~ Li..,' S,j .". ,'# ...,'=~'if "'tii;;~" ELECTRICAL WORK PERMIT APPLICATION Job ..ired by ~ Electrical Contractor 0 Owner Installation description )( Commercial a Residential aNe,. 1'>1 (J Altered/Addition ~~3~"1.... ~Ct U~ Address or In3 lion ~ '20 F- City VI . ~ (II 1 ,- D Yi J Y-/ n ~ fl1~-r Phone number to 5tJ!-.,dt; 'lSP~C~s- ~ Owner o:c defined by RCW. /9.28.261:(1) Owner will occupy the .\'tmcture for 'WD years ufier this elr:clrical pcn'll" ;s finalizeJ. (1) Owner is rr:quif'(.'d to hira an electrical contractor if above said property is for sale!. rent or lease. Aner rC3ding the above ~latCnlenl. I hereby cerliry thot I am lhe owner of the above named propeny or a licensed dcctrical cORmelor. I am 1113king the electrical inslal. lation or alteration in c~mpliancc with the electrical laws, N.E.C., RCW. Chapler 19.28, WAC. Chapter 296-466, The City or port Angeles Municip:l.1 Code, and Utility Spccifications. ' ,electrical con -f Cl U Lnl me Date: o Cash 0 Check # ~a~:diICard _ v.~-!~~t:_~~sco:~_ E . . -F. 'n . Xp"allOn ~ of card lee nlLo dAd 0 - NO LOAD CHANGES a Baseboard KW Q Furnace KW o Heal Pump _ Ton __ LAR a Fan-Wall KW bt ctlons Service Information [J QverMad Service a Temp Service a Underground Service Voltage Phase a 1 (J 3 Service Size: _ Feeder SiZe: SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 . . ,,- ROUGH-IN '\ THERMOSTAT SERVICE 'N~p, ~ ,1110 Approy~d U)' D.I~ Approycd It)' DOlO AppfOYcd 8)' FINAL DITCH FEEDER !-ii% & "- DOlt AppfOYed a)' D:r.UI Approyrd By Inspcction Area, Building or Equipment Inspected Electrical Dale Action Taken Inspector ,2/ 1. ~/o" ~ t> '-' t..c4 D) A- Il'-z.JO? I ~o,)r.rl./ 't;>hA- , I - - 2d d H.!.l>LTl>:Ol l>2l>92Sl> 3)I~d3S )Idl)3l3:WOd~ ~Sl>:8B l>BB2-2,-N~f DATE b to It i APpLACATION' FOR BUILDING PERIVit,AND CERTIFICATE OF OCCUPANCY DEPARTMENT' OF •PUBLIC WOKKW'— C'jTY'.OF' PORT ANGELES, WASN_INGTON; 2 DING 'DIVIoIOM Appllront to 'fill In bitwtien heavy, floor Z s tiLS T CLASS 'OP WORK 4. NAM[ Moll Addr.M m Cty O NAMR Addiets j+ City ph. No. o HAM! Address Pr Ph. No. NAME Qyd tt .0-EkrusS Adams 300 d e.f'if h! g/S1 s rh. .:2r— 47L >.k R! J.y� Use** No. I'/4 i 4 S �L 201 PROFOSED O TING BUILDING COVSQIt4 Exhale, Walls Reef lat.rtet, Welk i Reroofing ''S Heats Wood Gas '04 rErect'rlel I .hereby acknowledge that I have real'Odrafillea on and state that the is correct and agree to comply, w th., all City Ordinarnrea and State Laws regulating building•c ei atruction, ti i' '!brisk, IaI or s 4%.-t$1.-.. 1 r LE AL DESCRIPTION Nny� y .,,b d O.mo!hh '1 Ahe►otlti sett 1 AdditIg.', I Mow I nv- Us. t vl1din fine ben /SY Ms $•Tr No. of r 3 NA of families xQ N.. .1 n.... 4. figs of lot' A Ne. of tilde. r ���rr Ufa No of en illdgt os New on tot J w le °rry1 i, 4F LCAIOQN 5 a `X uaDAnoa- Mateiol. [aferl.r pion i Width of Wadi' s a h 1 Material Beam g iq,, 4 ,4 i 4 2. nw "")K n.rn.i ffir ii Sts et Stn' Spode, es 40 Qg.g` Valuation 1r 0 1ui(dinb .permit hi. 44 Riau Chocking 'fetal Treasurer's Receipt No. m Life of Permit 9 re,s. Applleotlon token ?I y i Del.. /c e Total Floor Area 1 VI 41 7;iitit flpr 3 fa;, Area .f tat 4.t Om> Type Construction 1 t cA flag zone Occupancy. Group A it 't: D 1 i J Fire zone APPROVE 5, rider of Dept of wawa SPECiAL.and: UNUSUAL CO DMONS eiila si7�C1�� ,5.•bts re. y tJ.rGnl in t'S)•, r oire../1 Q f.bdioMleo l toe N. Sleek No. I' .G /Z� /4, If B 7 1044 /5; "VS'BlA21 13 564P* 4 fee. W_ur a r t 4 Ira. P CrrY 01,- 1301urANGE'LES PERMn, AvipuCUJON Building Diflsion/Electi-jeal Insilwetions 321 EEst Fifili SliTel — P.O. Box I IiO / Port Angeles Waslihigton, 9,9362 Pli: (360) 417-4735 Fax: (360) 417-•711 [)818' S " 1x Z Multi-Family or Corninerc!al° RFCE1VED,,�,',,, MAY 14 2013 4Vz ELECTRICAL INSPECTIONS * Plari Review May Be Re Ulred, Please Complete Elactrica[ Plan Review d lnfofrnalionSh,�et JcbAdd%�,z . ........ ...... B S r- Doscvat�on ...... ..... . ...... . Owner lnformal'mn Contract,or Information ......... .. Zip phone. un 4u, !21 11n Phone — bcense If I ryn P Dp 1 5, Item Unit D!Lrgr Taal Qty MktE!Ld hi ikt Lh �raa S sic(VFeeder 200 Amp. $ 132,00 201-403 Amp. $10.00 SorvicelFeeder Ql -SOO Amp $225,00 ServicalFaoder 601-1000 Atop. S 28A.94 aver 1000 Amp. $410,00 Branch Circuit VVI Service, Feeder $ 6,00 Smuh Circuit WO Service Fe�,der S 74,00 Each AM fional ftrtch Onuil $ 5M Branch DrrW.,1•41 S 66,00 Temp. Servicel Feeder 200 Amp, $ 102.00 Temp. GervicelFeeder 201-400 Amp. 5 121.00 Temp. SurvicalFeeder 40 f-600 Amp. S 164.00 Temp. Service/Feeder 691 -1004 Anip $1$5.00 Portal to Pod,, t Havdy $ 96-00 SigrilDudirie Lighgng $ 88-00 $i9nafMcuit/ UrrAW Energy -MuiG-Fually $ 64,00 1'ignd MciiiV Limited Energy i Rlrat 1540 sf -CommotdrA S q6L04 Noto; $5.00 for each oddltc(ml 1500 sf Reriewablo Elpcbias Energy -5KWOyslom of-Less S 113.40 hwmmtat $ 56,00 Note: N,OQ for w�h add&nM T-Sla t Total Owner as defined by RUVA9.28.261: (1) Owner W1 occupy the oiruQWra for two years after this electrical permit is finali7ed. (2) Owner is required to hire, an electrical contractor if above said pioparly is for sale, rent or lenao, Permit expirou attar six montlis of last inspection. After readiq the above sttitement, I hereby certify that I am the owner of the c1bove nallied pfapolty Cr a electrical Contractor. I am M-Hug the electrical installation or alteration in compliance with the olactdcal laws, NEG., RCW. Chaptar 19,28, WAC, Chapter 296-466, The City of Port Angeles Municipal Co4e, and Ufifity Specifications and PANIC 14,05,050 regarding Electrical Permit Appkations, Signatore of owner, electrical contractor or electrical administrator., FJ onsh 0 Check C1 Mike Shirley / Gary Politika aatnarzora X ON PONTqv Q. ELECTRICAL INSPECTION WIRING REPORT 41-1-4735 On KS APPROVED NOT APPROVED 0 ............ ..... DITCH .................... El 11. . ......... - ROUGH IN/COVER ........... , - ❑ ..... ............ . . SERVICE ................... D 0 ......... ...... - ... FINAL .................... 0 �COkECTJONS NEEDED: A Ll, C2 02 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS IN N Ili INSPECTION TYPE ELECTRICAL PERMIT DATE: t INSPECTOR: CITY OF PORT ANGELES a SERVICE U 360- 417 -4735 ROUGH -IN 1 31 ___.. tk' Application Number 13- 00000519 Date 5/15/13u Application pin number . . . 717090 Property Address . , , , . 323 E 2ND ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06- 30- 00 -5 -1- 2940 -0000- on excise tax form Application type description ELECTRICAL ONLY your y Subdivision Name to the City of Port Angeles Property Use {Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation . . , , 0 Application desc Eire alarm panel Owner Contractor ------------------ - - - - -- HOUSING AUTHORITY OF CLALLAM ------------------ - - - - -- HI TECH SECURITY INC 2603 S FRANCIS ST 723 E FRONT ST .PORT ANGELES WA 903626710 PORT ANGELES WA 98362 ----------- -------- ------- ^--------- (360)- 452 -2727 - - - - ^- ---------^-----^------ Permit , , . , . . ELECTRICAL Additional desc . . ALTER COMMERCIAL Permit .Fee 96.00 Plan Cheek Fee 00 Issue Date . . . . 5/15/13 Valuation 0 Expiration Date , . 11/11/13 Qty Unit Charge Per Extension 1100 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged -- -- -- -- -- ---- - - - - -- Paid I Credited Due ----- - ---- ---- - - - - -- ---- - - - - -- ---- -- - Permit Fee Total. 96.00 96,00 00 .00 Plan Check Total .00 .00 Grand Total 96,00 96,00 .00 .00 N Ili INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 31 ___.. tk' FINAL, COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION . Signature of owner or EIectrical Contra_ ctor X Date: G:IEXCHANOMBUILDING Application Number . . . . . 22-00001423 Date 11/14/22 Application pin number . . . 299315 Property Address . . . . . . 323 E 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2940-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Gate automation ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOUSING AUTHORITY OF CLALLAM SECURITY GATE AND ACCESS LLC 2603 S FRANCIS ST 5402 184TH ST E STE C PORT ANGELES WA 983626710 PUYALLUP WA 98375 (253) 375-2482 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . SIGNAL CIRCUIT Permit Fee . . . . 88.00 Plan Check Fee . . .00 Issue Date . . . . 11/14/22 Valuation . . . . 0 Expiration Date . . 5/13/23 Qty Unit Charge Per Extension BASE FEE 88.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 88.00 88.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 88.00 88.00 .00 .00 PREPARED 11/10/22,10:19:05 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001423 323 E 2ND ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 88.00 TOTAL DUE 88.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Gate access NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/6/2023 22-1423 TAP OWNER CONTRACTOR Security Gate & Access PROJECT ADDRESS 323 E 2nd ST Application Number . . . . . 22-00001515 Date 12/12/22 Application pin number . . . 550965 Property Address . . . . . . 323 E 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2940-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Gate power ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOUSING AUTHORITY OF CLALLAM OLYMPIC ELECTRIC CO INC 2603 S FRANCIS ST 4230 TUMWATER PORT ANGELES WA 983626710 PORT ANGELES WA 98363 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 79.00 Plan Check Fee . . .00 Issue Date . . . . 12/12/22 Valuation . . . . 0 Expiration Date . . 6/10/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) 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 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. Service/Feeder 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 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5.00 for each additional 1500 sf) $96.00 $ Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional)$56.00 $ $ 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- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator)Permit #: [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] PREPARED 12/05/22, 8:48:30 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001515 323 E 2ND ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 79.00 TOTAL DUE 79.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Gate access NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/6/2023 22-1515 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 323 E 2nd ST ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/17/2021 21-894 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 323 E 2nd St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 3/8/2023 21-1455 TAP OWNER CONTRACTOR Security Services NW PROJECT ADDRESS 323 E 2nd St