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HomeMy WebLinkAbout307 S Race St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000425 Date 5/17/11 Application pin number 365425 Property Address 307 S RACE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-7-3- 0270 -0000- Tenant nbr, name CIVIC FIELD SCORE BOOTH on your state excise tax form Application type description COMM REMODEL to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning PUBLIC BUILDINGS PARKS Application valuation 19567 Application desc ENLARGE THE BASEBALL SCORE BOOTH TO 180 SQ. FT. Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 (360) 417 -4566 Structure Information 000 000 ENLARGE SCORE BOOTH TO 180 SF. Construction Type TYPE V NON -RATED Occupancy Type ASSEMBLY Permit BUILDING PERMIT COMMERCIAL Additional desc ENLARGE SCORE BOOTH TO 180 SF Permit pin number 185108 Permit Fee 347.75 Plan Check Fee 226.04 Issue Date 5/17/11 Valuation 19567 Expiration Date 11/13/11 Qty Unit Charge Per Extension BASE FEE 95.75 18.00 14.0000 THOU BL- 2001 -25K (14 PER K) 252.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments MAINTAIN CLEARANCES FROM POWER LINES. Electrical load calculations and electrical permits are required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due n Permit Fee Total 347.75 347.75 .00 .00 e j JJ s 14. I may' Plan Check Total 226.04 226.04 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 578.29 578.29 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS N Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line t ,l Back Flow Water FINAL Date Accepted by W AIR SEAL: Q Walls -►.1 Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor !Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts G s Gas Line a Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 r I N'• (a ill— T:Forms /Building Division /Building Permit �d Q N N r H H n 0 H N W W 0 F a Q N a q m It H H 1 v C1 n C Cr i (i O r U H u r v 0 0 '/3A 0 7 C W U •.i H I b FA O zz K d .0 m H w U' o 0 H C./ I cn a z 0 H O i H O z F h t H m PI 0 HO 0 H X B °Hm H o 0 0 i z O N H E 2 ti c a n vas gazF. aN z P,I 1 H i UOOU Z •v 0 V� Z F� 0 rAl N u 0 cn 00 0 H F 0 U a a a W 0 0 0 0 0 0 H F oq Ucncn CI -1H 0 o0 00 .1 11 13 0 000 1 00 al£U q 0 wow a a F w 4.10 H m c r..< o 0 waa N I F cn u a 00 U F n 0 2 0 0 0 0 0 U' H W U W 00 Os iv 2i a 0 a 0 a H M H o 0 qq 0 �w 0 H O o 0 0 0 N W N H N 00 000 N HC7 r> E■ coW "...Z 1 o H 00.0. 0[4.- ON w Kt I n U 000. 000 H H 1 Oi 0 0.F I W O n 0 0 •X .w aau O a i Z O 0. 0 0' 0 U 0 H 0 1 0 E- a2 E a o W a KG k-+ w u a H w F• 0 Z Z Z OO a H Pi a U I F U Oa KG 0 F 0. PROJECT STATUS UPDATE Permit t 11 Date: 1 2' 1 I phoned the: Applicant et r P el at (4 1 4P(P Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. p S+cth s ,p vo jeGr c&m p& Ji rn -G4 (1 Co r to/beef, CeI) g 2 YP T:Forms /Building Division/Project Status Update 4'' ?OH79A BUILDING PERMIT APPLICATION Print in ink d',--‘,7 AA, .b.. CITY OF PORT ANGELES 3,k,.::!n4 For City Use Only: Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 r .Date Received 5 ermit# (360) 417 -4815 fax (360) 417 -4711 I 1► -te Approved Applicant -�:�r. n P 6a.e- <<-2•1-cs6 Property p Y Owner C :iy 1. K �k�N Phone 360• _co Property Owner's Address 3 c s', -4N,. lZ, 5. N c Contractor J (Z��� I,,� /(`;l��p Phone Contractor's Address ti= /h, License WA Expires E -mail PROJECT .ADDRESS 'S c�-? 5 0,,,.-, e_ C iv il- Reil a Parcel Number C,�C,3(.3c0 Lot Zoning Project Type Brief Description: Residential Multi family x Industrial Check all that apply New Construction <4- aAdt14 tni Keninve, cindeielol_ Y 6u1' (C& ovf a f [(f j Addition M l .J J XRemodel uok,_,.ae_,e w �e 1� S,. yes \w� Z., „f,c,r t,,,,,_ 1 Repair Demolition s-- 1,� a��N \s,�r. S 1,,, c_o_ s if Re -roof House garage Cother ytear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other No Pt rar mock ail c elln a;r)9-e-S Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement Der sq. ft. 1 Floor ang -<'xcl =1$0t SOS. -1I .5(b'7._ 2nd Floor -41 3 Floor Garage 16 b` Carport V-r AO)) S Covered Porch A e Deck Shed Other TOTAL VALUATION CS) 19 56 7• So Total footprint of structures [TO sq. ft. T Lot size N 3eg g7o sq. ft. Lot coverage P ocoS• Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage F Max. height of proposed structures °5 (G ft. Occupancy group A' 3 of bedrooms Will a lawn sprinkler system be installed? Vv Occupant load of full baths Will a fire sprinkler system be installed? l) e Construction type V5 of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine at permits are required, and to obtain permits prior to orking on projects. Date S k1 Print Name C v_<- L.... Signature .N- T:Forms /Building Division /Building permit application NOTES Permit Z e-rna U I ed. Co i( `try 2. ,01 m eh She 4o 'frZLI')S Teo- r►- ►,oVLe bI 4 ill KeAnk 56V of h e Aceisn n e .s- tsei T:Forms /Building Division /Notes ,7,/e-'-'. 'N-27 CV il 4\-.--- L A t '''''''''.f;.. '''',,,j-IVARAOMPOWtk,*th_ M.a «;3 V w w n =C;•: r� t l ie M co f. s^ f. a a q v 'y e Ye N„,„ :ili. 4 4j A is t i +lsj' 711111111114 0 eta .Q CO y ti V. mo o so C 1: l z, d �S 0 O p h h 0 r or 21)\•-#1( 01:<./ C V N N ,Q ry, s y 4 p p s s I ►gyp h O .Z °D f v nj N. �O M y7 1 P\ Ads{+ O fi' 0 glii *4 a.. '9C M b. rt l..............'" 2 GQ' .1) -,,,,,--.7 e,_, w t 4„. ,,,..c._,- t.'-_,), )C- C IS 2 1 v'-., yy P z „iiiiiiiiiiii a Y Application Number Application, pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application-valuation.- Application desc Connect CB to sewer main inside Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 150 0000 ECH Fee summary Charged T' \Policies \1102.15 [10/08] WA 983620217 Permit Fee Total 150 00 Plan Check Total 00 Grand Total 150 00 Signature 6f Contractor or_Authorized Agent RIGHT' OF WAY CONNECT CB TO SEWER 160762 150 00 3/11/10 .9/07/10 CITY OF PORE' ;ANGELES PUBLIC WORKS UTILI'TIES 321. EAST 5TH STREET PORT ANGELES WA 98362 10 00000141 366715 307 S RACE ST 06 30 00 7 3 0270 0000 PUBLIC WORKS UTILITES PUBLIC BUILDINGS PARKS 0 drop Contractor OWNER 150 00 00 150 00 Plan Check Fee Valuation PW RW CONST EXCAVTION OTHER Paid Credited 00 00 00 Date 3/11/10 Due Extension 150 00 00 00 00 00 0 Separate;Permits,are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements This permit becomes null and void work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned•' fora periodof 180Ed'ays -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 workwillbe._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 stater local law regulating construction or the performance of constructio cs f� Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies\ 1102 15 10 /08] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I 1 I I PLANNING DEPT BUILDING 417 -4815 I I I BUILDING I I. I I. I I I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Parking lot lighting panel NW Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number 156.620 Permit Fee 93 75 Issue Date 11/18/09 Expiration Date 5/17/10 Qty Unit Charge Per 1 00 93 7500 ECH EL 0 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983620217 Charged 93 75 00 93 75 09 00001187 551933 307 S RACE ST 06 30 00 7 3 0270 0000 ELECTRICAL ONLY PUBLIC BUILDINGS PARKS 0 corner ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Contractor OWNER ELECTRICAL ALTER COMMERCIAL 93 75 00 93 75 Plan Check Fee Valuation 200 SRV FEEDER Paid Credited Due 00 00 00 Date 11/18/09 DATE RESULTS 3 bZ( k m7 ,to 4 00 00 00 00 0 Extension 93 75 Signature of owner or Electrical Contractor X Date INSPECTOR. `r' City of Port Angeles Permit Application R EC El 1ED 43 004T1 Building Division /Electrical Inspections 6 1 321 East Fifth Street P.O. Box 1150 NOV 12 2009 Ph. (360) 4174745 Fax: (360) 417-4711 SN Port Angeles Washington, 98362 c� ELECTRICAL IL_ 1111111T 11P Date: /i� INSPECTIONS NOW 1 2 Single Family Dwelling ulti- Family or Commercial* Commercial Addition I Alteration I Remodel Repair* 3 g1\ C.,. s Plan Review May,Be Required ease Complete Electrical Plan Review Information Sheet Job Address: j o_ /e /5' 5. Aged,/ L f n fly —2 O _5 N W GoRAGe4 Building Square Footage: 4//¢ Q 1QKIti6 tor DeNiption of above )Q f�C 9'E. l f9�J7G1 Ale- ic: 9rzd Ar Owner Infopnation Contractor information Name. t7 m z1 may- Name Mailing Ad re f4 Mailing Address: City A-r ate Zip y 4j7_ City /State. Zip. Phone. 4A'"7_ Fax: Pho Fax: License 1 Exp Icense Exp Unit Charge Caty 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75 00 69.00 75.00 50 50.00 93 75 80.00 86.25 27 50 57.50 86,25 43.75 Signature owner electrical n or or electrical administrator Date. /did ci Cash Check Credit Card 4 Total_(Qty Multiplied by Unit Charael 7'2.75 Service /Feeder 200 Amp. (v 54.-/z Service /Feeder 201 -400 Amp. No .i? Ei/ 12 Service /Feeder 401 600 Amp. Service /Feeder 601 1000 Amp. ,72. Service /Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft, Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat $4-4 7' 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. 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. -T ~~c;,~<,. ~" ..- 'l.. .-.::::.::...lJ 1.\~i "t>~"" _.. . ELECTRICAL WORK PERMIT APPLICATIOl~ \J l\X) Job wired by o Electrical Contractor )1!f. Owner Installation description ~ Commercial 0 Residential Electrical contractor name ----13 cJi?, f,'v-rr;,r Purchaser's mailing address' if, (), J3aX ;/~F'} Ci?,4. i,JA- License number Date Expires o New Sf Altered/Addition , ~ '-(J State ZIP t;'?J 71:..2- Jfo f tJ /J>T )1:.,( rl)AJ J::. IN.f! 11u j[f) ,r:;~ C-'/t/C;:L("9 "AI STItr'P , , t Telephone number 'I r .~ -S'l'bJ' Premises owner's name, A C '0 f...- Address of inspection , :1 e)'7 ,<; ~ ;4cf:. <; J City f). '. Phone number to schedble inspection: FAX number ;. ,.,'","" OWI/er as defined by,RCWJ9.28.26/:(l) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical colllractor If above said property is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation 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. Signature of owner, electrical contractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date:;- _00 Expiration Date of card Electrical Load Addi!" ns a d or subtractions D NO LOAD CHANG o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan.Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 D 3 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 " ROUGH-IN / THERMOSTAT SERVICE 2/; 510'(', ~8J Date Approved By , Dale' \ Date Approved By FINAL DITCH FEEDER :;!I5I~ ~ " Approved By / Dale Approved By Approved By Dale Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector , RECEI1 ED .... n n n 'M: 0J1' m-z:: n;;{'J' . J - . ),. I ; ,.....-- c;/ ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR OWNER/CONTRACTOR c... V 0 T'" ADDRESS APPROVED NOT APPROVED 13 .................... DITCH . . . . . . . . . . . . . . . . . . . . 0 D.. . . . . . . . .. . . . . . ROUGH IN/COVER. . . . . . . . .. . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: ... rcD"", N~/JJ(z'I9L.. II'! GOb :J?AN~L.. N~ Zc;D. Zl..,} 1:(2..D1) l D1Z- l- 0 (;, o,z.., 'tSA12: FO/z.. 'o.),sTo.'.Jl... bl2.D o~.l t> <; , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ------- Application Number 08-00000119 Date 2/07/08 Application pin number 838900 . Property Address 307 S RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-7-3-0270-0000- Application type description ELECTRICAL ONLY , Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc OWNER/ HOT WTR HEAT \}J Permit pin number 119958 Permit Fee 58.00 Plan Check Fee .00 0 Issue Date 2/07/08 Valuation 0 Expiration Date 8/05/08 -1 Qty Unit Charge Per Extension 1. 00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- \j\ Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 7\J ]I (\. ~ 0\) 1-- -------- , SPEC'l10N ELECTRlCAL 'lYPE DA'lb: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN 2//5/CJ8 flf7 ~ FINAL ~!16/0?1 Pr'V ~ OMMENTS: ---- - - Cf VORT ........0 CITY OF PORT ANGELES ~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~ 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number 08-00000038 Date 1/14/08 Application pin number 606884 Property Address 307 S RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-7-3-0270-0000- Tenant nbr, name CITY OF PA CIVIC FIELD Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning . UNKNOWN Application valuation 350 Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . 52 GAL. HOT WATER HEATER Permit pin number 118869 Permit Fee 64.00 plan Check Fee .00 Issue Date 1/14/08 Valuation 350 Expiration Date 7/12/08 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 7.0000 ECH PL- EA. WATER HEATER 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 o X\o.-\~ lJ)/og 07,- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. i-It -eJ8 M nt.rl J..IVvzUA / /111 / ,1& . "\V1-- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T: Forms/Building DivisionlBuilding Permit (1010 1/07). wpd BUILDING PERMIT INSPECTION RECORD 0 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. oQ CALL 417-4807 FOR PUBLIC WORKS UTILITIES I PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE W INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. oq KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE I ACCEPTED I COMMENTS I YES I NO FOUNDATION: I I FOOTINGS I I SHEAR WALLS I WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS I I PIERS I I POST HOLES (POLE BLDGS.) I PLUMBING I I UNDER FLOOR I SLAB I I ROUGH-IN I I WATER LINE (METER TO BLDG) I I GAS LINE I FINALc2-2.0 -o&ATE -:JLL ACCEPTED BY: I BACK FLOW I WATER I I ~ AU^, WALLS I I I CEILING W . FRAMING I G JOISTS I GIRDERS I -J SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) CJ) T-BAR '\ I INSULATION I SLAB I I I 7J W ALL I FLOOR I CEILING I S MECHANICAL HEAT PUMP I FURNACE I DUCTS ~ I GAS LINE I WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: I COMMERCIAL HOOD I DUCTS I I I MANUFACTURED HOMES I FOOTING I SLAB BLOCKING & HOLD DOWNS I I SKIRTING I PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTlNG I I I ESA: LANDSCAPING SHORELINE: I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE I I RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED YES NO I --0 ELECTRICAL - LIGHT DEPT. ELECTRICAL -- 417-4735 C LIGHT DEPT CONSTRUCTION R.W.I PWI I I CONSTRUCTION - R.W. I ~ ENGINEERING 4 I 7-4807 PW I ENGINEERING ~ I FIRE 417-4653 I I I I FIRE DEPT. I I \ --- I PLANNING DEPT. 417-4750 I I I I PLANNING DEPT. 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Uo. 0. , 0 H '" ;h 00 ~oo 00 "'00 f>l 0 o ' 0 "H t CJ) 00 ...:If>lf>l 00 oof>l' >< ><""0 ~E-<E-< 0 ot!>lr---E; E-<' , (J)f>l , ::;-~:~0 H"'OO OPl...:l "" UOO O~o. .-< , .-< , 0:>: , , 'E-<' ., " .. .. .. .. f>l0 '" , "'~, <>: ~ ~U , 0' '1Il ~ 'f>l ...:I , 0.' ZO 1Il 0. , 0 , E-< 'is , ~ ~ I U) -u ,.-< , ~o:gjE-<;;i~r;1z E-< 0'0 , H 00' , 0.><' ~:i!E-<PlU..:l ; " '" , ~~: O~~~~g: 0. , '" , >< , ..:l , o.U' ~E-<UOo..o: 0. E-< , 0. , BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received \ -I () - (j 8. 321 E. Fifth St., Port Angeles, WA 98362 Permit # If?;-?.<6 (360) 417-4815 fax (360) 417-4711 Date Approved Applicant or Agent 8<v/3 fe ft'-) Phone J..j~/- S-r'6> Property Owner r ;';""J ~ r ~/I, Phone Property Owner's Address' . (" /1/ /~ -F'" ~ / d Contractor/Engineer Phone Contractor/Engineer's Address License # Expires PROJECT ADDRESS , -f,oe ( d 307 So, ~ OLee. <: I Vie Parcel Number Lot Zoning Proiect Tvpe & Brief Description: o Residential o Commercial o Multi-family o Industrial Check all that apply qt:(/, /1,;-; -ht/1 k - e!-/~~-I-, o New Construction Add 5") tA../{;{ -Ie- v o Addition (' 0/1 C c- 55"'/'lf jr1 v ..5 -lei( YI <;:j , . -Fi; lei . u"+ ~t't//c o Remodel o Repair oRe-roof o Demolition o Sign o wall-mounted o projecting o freestanding Dawning o other Total siQn area SQ. ft. Maximum allowed sign area SQ. ft. o Heat System o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other )( Other Floor Areas Existina (sq. ft.) Proposed (Sq. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA TlON $ 35(j~ Total footprint of structures sq. ft. -:- Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths I have read and completed this application and know it 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, and to obtain permits prior to working on projects. r'? /:::. rr Y p., ~ Date /-/tJ- 0 r Print Name b~tJ Signature T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc 1/ <:J''''''~ CITY OF PORT ANGELES UJ PUBLIC WORKS - ELECTRICAL DIVISION ~..;;*", 12\ EAST 5TH STREET. PORT ANOELES. WA 9R162 ELECTRICAL PERMIT ISSUED: 8/07/2001 PERMIT NO 7361 OWNER/APPLICANT PROPERTY LOCATION CITY OF PORT ANGELES 307 RACE S 321 E.5TH ST Lot: CIVIC FIELD BLK 2 L 21-40 Port Angeles, WA 98362 Block: 3 ~ Long Legal 360/417-4815 Subdivision: DOYLES T: S: Parcel No: 0630007302700 CONTRACTOR / .... :> ARCHITECT OWNER A 16- '" .> -2." l.. N/A VARIOUS < &0 ~ + Port Angeles, WA 99360 I 7 '5 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: CARNIVAL Project Value: $0.00 V Occupancy Type: Construction Type: CARNIVAL RIDES C Occupancy Group: Zoning Use: PBP , Electrical Heat: D Baseboard o KW 0 Riser 0 Underground Service C 0 Furnace o KW 0 Overhead Service Voltage: 0 0 Heat Pump o KW 0 Temp Service Phase: D 1 D 3 ( 0 Fan Wall o KW Service Size: 0 Feeder Size: 0 ~ PROJECT NOTES I t Circus Chimera at civic field ( ( FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: carnival $86.60 TOTAL FEE: $86.60 AMOUNT PAID: $86.60 BALANCE DUE $0.00 (~mlMJ:NTS/ACTJON NEEDED - -. -.---- ~ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED I COMMENTS I YES I NO I DITCH I ROUGH-IN / COVER 7A-- I I SERVICE ~/ 11M I l FINAL I I I I I I I I GENERAL COMMENTS: PW-II02.1514'96] : //IL CITY OF PORT ANGELES hb8 DEPARTMENT OF LIGHT A FEE RECEIPT NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT . TOTAL FEE 21o~ I 6,41,4// I CONT. Lie. NO. rlMETOCOMPlETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site-Addres~ (1/0// hr!1 >.4 ri/f1rrJ . (lth, fRA:;/ ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WI!H WRONG AOreS AkANCELLE~ k Owner o .,4. Installation By q f [J h f:c rL , 7,t) I '5> {2~ , Owner's Address Installers Addresc:: Day Phone Installers Phone Application is hereby made for Permit to Install Electrical Equipment as follows: A-b~. /z,- If-~tI ;1 AN,>I rUff (''''' JVI -If, I 'i)C( ,-fi /h, /~ If- /11 tt7 /A~[{(31d- k..IIA 7?t.ANS"-r.ol/>1l~ IlJs779U #fw elLS '17> 7t1'// f J((D t J./o.J J J:.,,(.( , '- ~ s "hes <r"".,.J s~JJrM. . Wiring Method ----/'I L , ,- NUMBER AMP 120V 240V II I~~- AMP 120V 24QV USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 _ CIRCUITS CIR 10 30 LIGHT I SIGN LIGHT I 5 ~(n TS n.,B-,. I/o LESS CONVENIENCE MOTOR I I I CONVENIENCE MOTOR I I I APPLIANCE MOTOR I , ~ 1/6' 2 so/. , I ;,- DISHWASHER FIRE ALARMS I I I I DISPOSAL BURGLAR ALARM I I I I . RANGE I MISC. I I I I OVEN I I I I I I WATER HEATER I I I I I I LAUNDRY I I I I I DRYER I I REINSTALLATION LIGHT FIXTURE # -- FURNACE I I SUB TOTAL FEE GAS - OIL FURNACE I I ENERGY FEE ELECTRIC I I BASIC FEE ELECTRIC HEAT TOTAL FEE I ~LECTRtC ~EAT I I SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER . IA.C.UNIT I PHASE . AMP FEEDER I I SIZE OF SERVICE ENTRANCE CONDUCTORS I SERVICE I I A.W.G. I SUB-TOTAL I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ;;/>/f't .10 By .A..(_ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to dq the above de:s.cr[bed work, according to the conditions hereon and according to the approved plans and ~oo""..,,". ~".."'~ '"~" ~"oo'" ~."."" .,," ,", O"'''~'27~y Date Permit Issued 11 Ij'/t ~CANS ~f>PRbVEO _.____ -. ,.. ,.'. . Notify Department of City Ught by Street'Addres~ and Permit Number when ready far inspection'. wolr~ ~ust not be cover~d or 9urrent tu.road on before inspection and O.K. for covering or service has beengiven.by Inspector in I I Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER- WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. - -. - ~--- . ! CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 16506 2.-~1 . LF Port Angeles, Washlngton..___.___ _________.._._....___..______...___..___..______._, 19 ___.... In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- == "h~;':";i'~~".no,-k~-,----- =:: ~~~~:::T:~==:=:=:==::=::::::::::::= Light Outlets......:........................_.._..... Service, volts &'.?~5;,'?[.iJ. Type of Wiring: Rece;)tacle Outlets__.._m.___m_............... No. wires .._~ ______h._...__ ....__.. Armored Cable .............-..----......-.- Dryer. KW.......................................... 3.X SIze wlres...3...~./.t..c.)1....t._.l Non.Metallic ................................. Y()O A Knob & Tube..............................._ Range, KW.__..mhn..._.h...________h......___. Main fUse.. .......___._ __ n.hum....... . Co TJ-o RIgid Conduit ............................... Water Heater. Enclosure .___.m........h...h................ M t III Tub! 5/it" e s c ng ........................... KW.nha.. _ _ _~.____________.__. Type of Wiring: Raceway ...............................__..._ Heat: KW...I-.:r:.:l.~..1;[tf't.Lr."'... Entrance Cable .~.......................... CIrcuits, LlghL............................_.._.. Motors: size, volts and phase: Rigid Conduit ....__hm.........______..... Utility ......................._.................... Metallic Tubing ..hu..................... Heat -.---....-...__..__............ .-....-..----...---------...--.................-.-..-----.. Current transformers: Range ................................___...__..._. .-...................__.._--------..-------............... No. & Size....._n_...._..____................... Water Heater .......n....___..__..__n..... ................-..............----..---.----............. Motor ..........._.........._..____..___..._._..... Ser. NO..._..............._n......___.___....__..n. ----......-----...........................--..-----........ Dryer__..._._.._____.__..._....___.____....______..__ Ser. N o. ......~.........................__....__..... ._...___.___n.____...__..._..................._...._n.._ Furnace .........................._......_.__....... Ser. NO.................................n....____... Total ~~d...__...____................. Ser. No. .......__...._............................_n Total __/,3..3.................... " Re:narks: .u__nuuu.uuuuh..._nnnn_.n_...nu.nnnuu...nuuhunu__uuu__u..u.u....._....hu...u.hn.__..nun____.__n.unu.n__.h.. .._.__...n.....n.....n......__......._...nn...n__.n...__.._..__............n........n...n.........................._n.....__......__..n..__......................... ___._unu...hUnu..__nn.nn__.nnnn.un.....h._nnu.uu..__....._nh.....nn_nn.uuuun__..nu..__.u........_nn__n.u.......n...n.unnnn.n_. Permit Fee Treas. Receipt By ---f){;---i/....Pfdt~~ L32~ No............................. $........."-. ...--------.......---.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD. cealed' due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PE~MIT NUMBER WHEN READY FOR INSPECTION I, i , f'.. I . -- ~~ I ," I N? 16506 " '.,,-~,,;;,~;:. ELECTRICAL PERMIT '. -\.~, \ Address......___...___...._................__....___............__........_~...____................._____.._._....___..._..................Date..._.....__.._.___._......_..._._...._......_n_...._ ~ Owner ........__..__....___..........n.._...n....._...._._:~d~.___.:..._........__...____...__..__..._..........__..__.__....... Tenant.___.._.....................__.......____.............._....._..... ~ Wiring Contractor__..___.__..................... ...............-----................._____............._____...__....__...__. By__....__.................................___..............__.. .,0T1C~nrrent must not be turned on nntll CertIficate of Inspection has been tssned. If work Is to be con. ceal due notice must be given the Inspector so that work may be inspected before concealment. . _ 1M Olympic Printers, Inc. Oct 27 2014 09:36AM Olympic Electric Co., Inc 3604523498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street —P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date; ✓Z Multi - Family or Commercial" page 1 F r1sk I V l I- ) py pa+rrq its OCT 2 8 2014 *Plan Review May Be Required, Please Complete Electrical Plan Ravlew Information Sheet Job Address; C--►iI [t Wit: O `3Gi se,-v_� WPQ G e4" _ Building Square Footage; F l_GGIl3l(,t. INSPECTIONS Description of above 11 lDV r4 8 Qfh Owner Information Contractor Information y� Name; r-L (L/ b�" r—Gr yQh7(L Name: OLYMPICELECTFIG Mailing Address: SI1 ts' STr14 r Mailing Address; 4 0orUMWATER City_ t State; \ ,V A. Zlp: n City' PanTAMMLes State: WA Zip; ga�ms Phone: 194 1 FaK: 41-7 y'1 c, Ail Phone: �L-sr 5'03 Pali: 2W- 452-US License # 1 Exp. License # I Exp. O— PEC2801 item Unit Charge fy Total M ultil led by i ServicelFeeder 200 Amp. $132-00 3 Service/Feeder 201400 Amp. $160.00 S Service /Feeder 401.600 Amp $ 225.00 $ Servicf Feeder 601 -1000 Amp. $ 288.00 $ SeMcelFeeder over IC DO Amp. $ 410.00 $ Branch Circuit Wf Service Feeder $ 5.00 $ BMnch Circuit WO Service feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 8600 Temp. ServieW Feeder 200 Amp. $102.00 $ Temp. ServicelFeeder 201400 Amp. $121.00 $ Temp. SarvicelF'eeder 401.600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96,00 $ Sigel line Lighting $ 88.00 $ Signal Circuit! Limited Energy - Multi- Famlly $ 64.00 $ Signal Circuitl Limited Energy I First 1500 sf - Commercial $ 96.00 $ Nola: $5,00 for each additional 1500 sf Renowable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56,00 $ Note: $5.00 for each additional T- StataTotal 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, l hereby certify that I am the owner of the above named property or a licensed electrical contractor, l am making the electrfeal installation or aiteration in compliance wlth the electrical laws, l C„ RCW, Chapter 19,28, WAC, Chapter 296.468, The City of Part Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash O Check _ - - -s z 15 Credit Cord 0 Dated: 1 Z1 " 7-1:-. ®A 0170112012 ff4 V- rl 0, -k * V-ORT.4� Q- ELECTRICAL INSPECTION WIRING REPORT 417-4735 FrK5 DATE PERMIT 4 INSPECTOR 11 OINN17R CONTRACTCH - 0 LA- ADDRESS APPROVED DITCH 11�APPROV D M ..... ............. — ., ........;........ 11 0. e ........... . - . ROUGH IN/COVER. o ........... >d-- EL ................... SERVICE .... ....... .... El 11 .............. FINAL ..... 11 CORRECTIONS NEEDED: (wsT'o*fw-T;Q NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 14- 00001310 Date 10/28/14 Application pin number . . . 217890 Property Address . , . , 307 S RAGE ST ASSESSOR PARCRL NUMBER; 06-30-00-7-3- 0270 -0000- Application type description ELECTRICAL ONLY Subdivision Name , , . . . Property Use . . . . Property Zoning . , , , . , , PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ------------------------------- Application desc Boiler replace Owner Contractor CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC PQ SOX 1150 4230 TUMWATFR PORT ANGELES WA 983620217 PORT ANGELES TRA 98363 (360) 457 -5303 - ------------ -- ---- -- - - -- Permit , . , . . . ELECTRICAL, ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86,00 Plan Check Pee .00 Issue Date . . . 10/28/14 Valuation 0 .Expiration Date . 4/26/15 Qty Unat Charge Per Extension BASE FEE 86.00 -------.------- --- ---- - - - - -- Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86,00 .00 00 Plan Check Total 00 100 .00 .00 Grand Total 86.00 86.00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEMON y Signature of owner or Electrical Contractor X C' :IEXCHANGBB U ILDINCr Date: dFza s- v r CITY OF PORT ANGELES PERMIT APPLICATION k Bui kling Division /Electrical Inspections �` 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362Ph: (360) 417 -4735 Fax: (360) 417 -4711 ' 1 WS'p,�t;��io D ate l b/- — Mufti - Family or Commercial* * Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: — () Building Square Footage: - Description of above u -,LPL _ 8_� r. _ G L_-b C_ A)o 12 15' U, I -r/ hi _ 1--& 0 001 t4E1-_ Owner Information Contractor Information Name: t rY 0F Name: Mailing Address jW 4 -YZ.a4,G.1_ Mailing Address: City: State: 24-Zip:... City State: Zip: Phone Fax: Phone: Fax: License # I Exp. License # I Exp. Item Unit Charge Q�(t Total Qy Multiplied by Unit Charge Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201 -400 Amp. $ 160.00 $ ServicelFeeder 401 -600 Amp $ 225.00 $ Service/Feeder 601 -1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $ 410,00 $ Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5,00 l $ Branch Circuits 1 -4 $ 86,00 $ Temp. Service/ Feeder 200 Amp. $ 102.00 $ Temp Service/Feeder 201 -400 Amp. $121.00 $ Tamp. Service/Feeder 401 -600 Amp. $164.00 $ Temp, ServicelFeeder 601 -1000 Amp . $185,00 $ Portal to Portal Hourly $ 96,00 $ Sign/Outline Lighting $ 88,00 $ Signal Clrcuit/ Limited Energy— Multi - Family $ 64,00 $ Signal Circuit/ Limited Energy/ First 1500 sf— Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5,00 for each additional T -Staff $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., i Chapter 19.28, WAC, Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utiiity Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash © Check ❑ Credit Card # X Dated: f r )7 d 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . , , , 14- 00001376 Date 11/12/14 Application pin number . , . 972960 Property Address , . , . 307 S RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-7-3- 0270 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . , . , . . . Property 4oaing , . , , , . , PUBLIC BUILDINGS & PARKS Application valuation , . , . 0 Application dese Move time clock and switches ----------- --- -- -.---- _- _- .- __._____ - -___- .-- __.- - -___- __.- _- _ - -_ - -- - - - -- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES 100. 983620217 Permit . . . , , . ELECTRICAL ALTER COMMERCIAL RESULTS: INSPECTOR: Additional desc , , Permit Fee 79,00 Plan Check Fee 00 Issue Date 11/12/14 valuation , , , , 0 Expiration Date S/11/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.06 1.00 5,0000 ECH EL -E-CH 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 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:1ExCHANGE\I3Uf .DING W