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HomeMy WebLinkAbout708 S Race St - Building ROUTING SLIP /~.,% Certificate of Occupancy /~.~_~/ "~alllll~C e rtificate/I ns pectic n Fee DATE .~'- ,3- 3 ~ ~) ~ New Business ............................ Address of Proposed Business Transfer of Business Location ................ '~' 7¢'~"A ~'~, ~a.¢,~ ,f~ Change of Ownership ...................... Applicant / ~ ~ $~ (~,~7~- j ,~ C New Building ............................. Address ,";r ~ y £ [~-~,~/, ,~ Remodel ................................. Temporary Business ....................... Phone: business Y'J' ~r ~ ~'~o home_F£'~-g4/~ Change of Use ............................ Brief descriDtion of proposed business: ¢~'~, s. e //.~, ~ f'; ¢ Legal Description: Lot .,..2. Block ~ ~, ~ . Subdivision Current Use of Property: ,~,~,, ~"/'/~/'-¢ Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ........................... PERMITS BUSINESS LICENSE Electrical changes ............................... 1) Building 1) Taxi MechAnical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes ............................. X 3) Electrical 3) 2nd Hand Dealer New or relocated signs .......................... ~'~ 4) Mechanical 4) Pawn Broker New septic tanks ................................ 5} Sewer 5) Dance New sewer service .............................. 6) Sidewalk installation 6) Hotel - Motel charged patrons .................... 7) Driveway 7) Admission to installation Fireworks Is this a home occupation? ....................... 8) Curb installation 8) Ambulance Excavation of filling of lots ....................... 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way .................... _ 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... ~1~ 11) Fire New driveway openings ...... 12) Occupancy A grading plan for site drainage.. 13) Sign (parking lots, downspouts, etc.) ... 14) Shoreline Are the existing streets paved? ................... ~' 15) Home occupation Are there existing sidewalks?.. 16) Conditional use Is there curb and gutter? ......................... 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: ~'" ~ ~'~ ~ information I have supplied is correct to the best of my .,~ knowledge. Signed: REJECTED / Conditions . Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. CERTIFICATE :CUPANCY This Certification is~ued pursuant to the requirements of Section 109 of the Uniform Building Code certt.,~ing that at the time, Of i,~.*~ance this xtructure was in compliance with the various ordi~ances of thc ,ON regulating Building Use Classification: Officc Clinic o,oup: B CO Owne~ofBusiness/eesidenc¢: ~acobson, DC ~ 93~E: Front; ~9~:~ngeles, WA 98363 nuildin~~ ~ An eles WA 98362 ~ ~' . -~'~ .... '-~Au-ust I 2002 Post on the ~lcUous place. Shall not be removed except by Building Official. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I;:3kllLgll~l[,~ P't"P(MI I ISSUED: 4/22/2002 PERMIT NO: 13373 OWNER/APPLICANT PROPERTY LOCATION 708 RACE S LYNDA WlLLIAMSON 708 S. RACE STREET, SUITE #C Lot: SPACE #C Pod Angeles, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: RACE OLYMPIC VIEW OFFICES T: S: Parcel No: 063001720000320 CONTRACTOR ARCHITECT ADVERTISING SALES 8, MORE N/A 1327 E. 1ST ST Port Angeles, WA 98362 , 98360-0000 360/452-7785 360/000-0000 PROJECT INFO Project Value: $600.00 SFD Units: 0 Commercial: 0 Project Type: SIGN/WALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 V Zoning Use: PROJECT NOTES INSTALL 21.75 SQ. FT WALL MOUNTED SIGN REC EIPT;~S976 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 (~, Plan Check: $0.00 Misc Fee 2: $0.00 ? State Surcharge: $0.00 Misc Fee 3: $0.00 ._. House Moving: $0.00 Manufactured Home: $0.00 {/3 Sign: $30.00 TOTAL FEE: $30.00 Plumbing: $0.00 AMOUNT PAID: $30.00 Mechanical: $o.o0 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electricalwork, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certi~ that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to~q~,ze.-~t~,~,or',:y-te-~:~e or cancel the provisions of any state or local law regulating construction or the performance of Ic°nstru~:~h' Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS~ 1102.15 [4/2002 ] BUILDING PERMIT INSPECTION RECORD " CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PWUTILITIES/ SITEWORK (EngineeringDivis~on) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STOKM PLANNING DEPT. SEPARATE PERIvlIT #'$ SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R..W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815. ~' ~//t3g~l~ ~--t~ BUILDING T:~P L ANN ING\FORJViS\ 1102.15 [4/2002] I FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION P~it~:~ Dam Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 -~ ~ Phone: ~ ~- Applicant or Agent: ~ % ~ c .... Owner: ~ ~ ~ ~ ~ ~. ~x~:~ Phone: Address: ~O ~ ~., ~e City: ~.>o~ ~ c ~, Zip: ~chitecffEngineer: ~ %~ ~' kG:o ~ Phone: Contractor ~ License g: O~ ~,~ Exp: Phone: Address: City: Zip: PROJECT~D~SS: ~O~ ~k ~ ~c,~ Q ZONING: LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ CO~TY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City:. Credit Card ~: Exp. Date: ~SA MC TYPE OF WO~: SIZEW~UATION: D Residential ~ NewCom~. ~ Re-roof ~ Wood-stove ~ i .~ SF. ~ $ /SF. =$ ~ Multi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = g ~ Repair ~ Sign ~ TOTAL VALUATION $ ~ B~EF DESC~PTION OF THE PROJECT: o~ ~ ~ ~ ~ ~ ~ ~ c~' o ~,~ C>.~,~ ~"~ X%.~~ COMMERCI~SIDENTIAL: Occupancy Group: Occupant Load: ~ Cons~ction T~e: No. of Stories: ~ Lot S~e: % Lot Coverage: % Existing Lot Coverage: /sq. ff. + Proposed Lot Coverage: /sq. ff. = TOTAL LOT COVE~GE: PL~NINGUSE ONLY~ · ,A~ APPROVES: ESMW~tland(s): ~ Y~s ~ No SEPA Checklist required? ~ Y~s ~ No Other: OTHER BUILDING PE~IT ~PLICATIO~ S~MITT~: EourappHcationandsiteplanmustbe~lledoutcompletelytobeaecepted~or re~ie~. ~e Building Division can provid~ you ~vith mom d~tailed inFo~ation on the application and plan sub~ttal requirements. Your completed application, sit~ plan (tot additions) and building cons~ction plans ar~ to b~ subdued to th~ Building Division. V~UATION OF CONSTRUCTION: In all c~ses, ~ wluation amount must be entered by the applicant. ~is figure will be revi~v~d and ~y b~ r~vised by th~ Building Division to comply with cu~ent t~ schedules. Contact th~ P~t Coordinator at 417-4815 for assistance. PL~ CHECK FEE: Yo~ plan check t~e is du~ at &~ time ~e building p~t application and cons~ction plans ar~ sub~d. All other 'p~t t~es am due at ~ t~e otp~t issuance. EXPIATION OF PL~ ~V1EW: If no p~t is issued within 180 days ot~ date o~application, this application will expire. Bulldog Official can ~xt~nd ~e tim~ for action by ~ applicant up to 180 d~ys upon ~i~en mqu~st by ~e applicant (s~e S~ction 107.4 ot ~ Unifo~ Building Cod~, cu~nt ~dition). No application can b~ ~xtended mor~ than once. I hereby cert~ that I have read and examined this application and know the same to be true and correct, and [ am authorized to applyfor this permit. I understand it is not the Ci~'s legal responsibility to determine what permits are required; it remains the applicant's responsibili~ to determine whatpermits are required and to obtain such. ~ Applicant:~~~ Dat~: ~. k~, T:~O ~ S~PPS~B~ildin~e~it CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... RE T: · ~"~, ~. ~ Date ~ ~ '~ Time Received by ' .(phone, person) Location of Work to be inspected ~ ~-~ ~, / Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~- ~ Permit No. Sewer Foundation Framing Chimney Plumbing' Final -Sewer Excav. Other INSPECTIONNO~E~:, .~'~ . , ., Inspected: Date '~ .Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [~PCC [~Other [] Repaired by City Work Order # ~.~---~ {--] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ...... Instnlled By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ~ .;2{.O ? y~oAO , . ELECTRICAL PERMIT DATE Site Address: o READY FOR INSPECTION License Number: o L CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. C Residential Heat KW C Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01121 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) f(Special equipment (list below) Amps Details/Description: turd K-~ ~~I . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ,/t)P\ 1fJ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Installer: ~ Permit/Receipt No. cQ,bIJf () , New Meters . Notify the Department 01 City Light by Street Address and Permit Number when ready 1 r inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~o ~ .# Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLY~I"IC PRINTERS. INC. .... CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17754 ELECTRICAL PERMIT /" - ,) E""\ Port Angeles, Washlngton..__..m..mmm_.._.......mmm..mm__.mm.... 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- ::: "JJ:,:~:~~if;:;::'~_~:'=:::::::_~:~_:= Owner 000- 000.000 . "-''''j;~ ~ r.1A <:v c:-. Wiring Contractor ~LC..~.~.m.m:t:--..-------m By..________m.m__m...........____.__.__.....n..m............m LIght Outlet....................:..........._.._..... ServIce, VOlts/.p.-;jL?..t:.~......._. Typ. of WIring: Receptacle Outlets............................... NS'IO. Wlrles .---;./d~..~-y.-..- ::_:::al~~bl.~..~~~~::::~:::::::::~~::::::::~ Dryer, KW nnuu.___.........__......___h__.._._. ze W resu_...Z.._~....._..._:........._.. MaIn fu.e ?;-f.:.."..t.'.A.......... S- Enclosure ..._...00.._....__..................... Knob & Tube.mm___.....m___..........._ Range, KW _.......____....._______._..___.._...__... VVater Ileater~ c9;A- KW .n.c?.-~krz--... - dJA'" Heat' KW."/.'~T"'-:0.......... Motors: ~ze'/fJlts~nd phase: dlA'" ..-d.g~r''-VJ..... ~ft,"."'-7;f;:;""'" ,r,~:::::::::::::::::f..~::::: RIgid Conduit ............m._._.___........ Metalllc TubIng m_._.___._m._....._.._. Type of wIrIng: Entrance Cable ..............mm....u... Raceway ..............................._......_ RigId ConduIt m_mm_._._. MetalUc TubIng ......... CIrcuIts. Llght.._.__..._......____....._............. Utillty .._......._..............._...m_....._m._ Heat ..._..........._.._........._._........_.._. Current transformers: Ser. No....._...__..._................................ Range ._____.___................................... Water Heater m.m......___............... Motor ..._........h......................_...~... No. & Size..........._........................... Ser. No. ..............................._...._...._... Dryer...._.____.......____......._________............. Furnace _.._.....................'___......_.___..._.. Ser. No.........._......................_ Total ~~_._:..._......... Ser. NO.................._..........___m__.....__ Total ...m___m........................... ~:=~.~~~~--~::Z!::=:~:=:::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .~~~;~n;~~....n..mmnmm.nm.;~~~~.__~~~~;~~n.m___._____.m.m__m..m'Jf;P~1~2:-- $______..mm..___.m.._____m____. NO.__m______.....m..m.... By ..___:_______...__.000___000......000__000.____.._000.000.__.....000__ NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. It work Is to be con. cealed due notice mU8t be gIven the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 77 5 4 ELECTRICAL PERMIT Address........_________.................____._._..._....._.........___.._..__.............._._.___._.................-.----...................Date..._......_.._.__.._.................._......____...... Owner ....-.............................._.........._.....____...._.._...........__.........._................._...........00.... Tenantu................._..uu_........._..............._..__..uuu... r \ , \" V.rIring Contractor...._......_............._._._..........._..._____................................_...____......__...._......_.._......___ By ....._____....................._..._................._...___.. NOTICE-Current must not be turned on until Cert1flcate of Inspection has been Issued. It work 18 to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. JPE, LLC 360- 975 -3314 p.1 RElCITY OF PORT ANGELES PERMIT APPLICATION t V Building Division/Electrical Inspections 321 East Fifth Street — P.O. ]Box 11501 Port Angeles Washington, 98362 MAR 2 ® 2011 Ph: (360) 497 -4735 Fax: (360) 417 -4711 ELECTRICAL � Date: ��g �� Z Multi-Family or Commercial* INSPECTIONS * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: i 0, is . 2 �: la, Building Square Footage; Description of above _ _lam r 14 eL - (' rr I- ' Owner Information Contractor information Name: Zy�da ,4 (11 Name: JP45)LL-i. u Mailing Address: G,P`C S'. e:-o 6 4- Mailing Address; 3 . ._ _ . ,,. �l wciZ 9 _ City: ;Or,f— State. ji Zip: 31. "L city: Se : ` StatB Zip: Phone: 'fta-P�Fax; `t.12 -Z �-W` Phone:. L,: -7 31 i5i � Fax: Sf - 5175 3� / Licensa�IExp. License #!> xp. - J k i S Item Unit Charge Qty Total (Oty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $132.00 $ ServicelFeeder 201400 Amp. $ 160A0 $ SerricelFeeder 401.600 Amp $ 225,00 $ ServicelFeeder 601-1ODD Amp. $ 288.00 $ ServicelFeeder over 1000 Amp, $ 410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit 00 Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1.4 $ 86.00 r $_ Temp. Serkal Feeder 200 Amp, $102.00 $ Temp. SerAcelFeeder 201400 Amp. $121.00 $ Temp. ServicelFeeder 401500 Amp. $164.00 $ Temp. Ser AcelFeeder 601 -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ 5lgnl0u%ne Lighting $ 88.00 $ Signal Circuit! Limited Energy- MuNkFamily $ 64.00 $ Signal Circuit! Limited Energy/ First 1500 sf- Cemmercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical (Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ (C•�f) Total Owner as defined by RCW.1 8.28.261: (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 thal I am the owner of the above named property or a licensed electrical contractor. I am making It1e electrical installation or alteration in compliance wifh the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash IJ cheek <CrealtCard# 45"V"- �—'IG _ f Dated: J I �f l _ _ 01N114a92 r ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . 14- 00000347 Date 3/21/14 Application pin number 688063 Property Address 708 S RACE ST A ASSESSOR PARCEL NUMBER; Q6-30-01-7-2-0000-3100- Application type description ELECTRICAL ONLY Subdivision Name . , . , . . Property Use Property Zoning . , . , , , . UNKNOWN Application valuation , . , , D Application dose Hot water tank Owner Contractor RESULTS: STRAIT EXERCISE AND WELLNESS C JPE ( JERRY PETERSON 7 708 S RACE ST A -S 73 EAST LOMA VISTA RD PORT ANGELES WA 98362 SEQUIM WA 98382 ------- ------- (360) 731 -8994 y ------- --- - - - - -- -° - "✓ -------------------------- Permit , , . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS COMMENTS: Permit Pee 66,00 Plan Check Fee 00 Issue Date 3/21/14 valuation 0 Expiration Date 9/17/14 Qty Unit Charge Per Extension BASE VRE 86.00 - --- ---- --- -- -------- --- Fee oummary -- --- - -- - Charged - Paid ,Credited Due -- Permit Fee Total 86,00 86,.00 .00 .00 Plan Check Total .00 .00 'Co ,00 Grand Total 86,00 86.00 'Co .0o 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 -TN l FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:TXCHANGEISUILDING C7' JPE, LLC 360 -975 -3314 p.1 REcEIVE4 CITY OF PORT ANGELES PERMIT APPLICATION S 2 2014 ��`• Building IDiVnion/Electrical InWetions ELECTRICAL � INSPECTIONS 321 East Fifth 5tre�et — P.O. Boa 1150 /Fort ales Was oa, 93 ELECTRICAL Ph: (364) 417 -4735 Fax: (3611) 4174711 Date: — i � _ f & 2 Single Family Dwelling " Plan Review M Be Required, Please Complete Electrical Plan Review Information Sheet dob Address; Budding Square Footage: DeacipWn of above Owner Irh ma 'on Contractor Information N me: l Name: J99. LL4- Maiirrg,Address: 7r �A-^ eC_2 ._V'-.U4- Ma1bVAddn�s_ '7 e'xrF+� City: Yu, Srate t.JA Zip. %�" — State: U cry: �� Phmw ` - ,7r,' Fax Pltate �'; 7` Fax License 9 f F.vp License #! &rp. ir�eYa* !!j era Uri# Chm Total M Multi fied by Unit Cha as Semice&eder 200 Amp. $120.00 $ ServicelF'eedar 2014OO Amp. $146.00 $ ServiceiFeeder 4014M Amp $ 205,00 $ Servio Feeder 601-IOM Amp. $ 2&200 $ ServiceFeeder over 1000 Amp. $ 373.00 S Branch Cirmrit W1 Service Feeder $ 5.00 $ Branch Circuit WIG Service Feeder $ 63.00 $ Each Additional Branch Ucuh $ 5.00 $ Branch Circuits 14 S 75.00 5—C —U Temp. Senticel Feeder 200 Amp. S 93,00 $ Temp. ServicdFeedar 201400 Ante. $110.00 $ Temp. ServioelFeeder 401 -600 Amp, $149.00 S Temp, ServicafFeeder BD1 -1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal ClrcuiV Limited Energy -1 & 2 Family Dwelling $ 64.00 $ ManufaAred ttome Connection $120.00 $. Renew" Electrical Energy - 5KVA System or Less $102.00 $ Themmstat $ 56.00 $ Note: $5.00 for each additional TSt+at NEW CONSTRUCTION ONLY: Fast 1300 Square Ft $12D,OD $ Each Additional 500 Square Ft. or Portion of $ 40,0D $ Each Outbuilding or Detached Garage $ 74,M $ Each Swimming Pool or Hot Tub $110,00 $ ' 75. arc) Total Owner as defined by RCW.19.28.261: (1) Owrrer will occupy the stn ucttue for two years after this electrical permit is frrWized. (2) Owner is required to hire an electrical contractor 4 above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above siatament, l hereby Gratify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical'rn"atkm or alteration in awnplianoe with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29646B, The City of Part Angeles Muni ipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications_ Vgnature of owner, electrical conlracior or electrical ada dnistratnr: ❑ rasa ❑ check cr&ranra 41161rE042 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , , , 1.4- 00000159 Date 2/12/14 Application pin number , . , 034673 Property Address , . , . . , 708 S RACE ST B ASSESSOR PARCEL NUMBER: D6-30-D1-7-2- 0000 -3100- Application type description ELECTRICAL ONLY Subdivision Name property Use Property Zoning . , , , . . . UNKNOWN Application valuation . , , , 0 Application desc 1 -4 circuits Owner Contractor JACOBSON LEE /CHRISTINE JPE ( JERRY PETERSON ) 3822 CANYON EDGE DR 73 EAST LOMA VISTA RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 731 -8994 Permit , . , , ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 2/12/14 Valuation . , , . 0 Expiration Date 6/11/14 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged 'Paid Credited Due Permit Fee Total. 86.00 86,00 00 00 Plan Check Total ,00 00 ,00 00 Cxand Total 86.00 86.00 ,00 a0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: 1NSPECTOR: DITCH SERVICE ROUGH -IN va ot FINAL COMMENTS: PERMIT WILL EXPaE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date Q%EXCHANGRBUILDING �C 1 J)