The URL can be used to link to this page

Home My WebLink About516 Tumwater Truck Rt - Building Apr IS 2006 S:OOAM ALLIED ELECTRIC 360-456-8036 p. I" 2005/AFR/19/WED 07:46 AM CITY OF PA BLDG DEPT FAX No. 360417 4711 P 002 ."" r . ELECTRICAL WORK PERMIT APPLIC~TION JDb ..Iud by )(Electric., Cou!l"lctor I;;l Ow.ex D.,tall'IUt. de!ttipliDD }l(. C..........I.1 . a Rald.utlll Electrical t100UlctOI: ~mD LtOQlK humber ' D_1o EIlpnt5 . . All iu &\;'C:\.i(. Sex"Ui(J1 ALa\X;S\l.I'Sf;,(.. V'D ]hlMr" .-itUlC. ,dOna I' I / _Qf1o't. 3'6'5'5. y<3t 0,"'> . I City .. Sa. ZIP a l8..l]...j; . wA- q'b SO , .'~'O~.....t ....oS IS PAXnu ""O-u. St9 ~Zb~lp . "PI;_01i.e' o,....r'. ....e ~....' _. , ffi:D. "-LD f€..~ ~ VV\ Acldru, 0' IPtp~eJiDD S\V 'lu.V"Y>.(..<lo.~ '\,<'^-C.-k .tbu..-k' CU)~rr<~ ~\...Q..S P..... "... r to ub.4JlI. lasputtCln: C '-t';:) -OS"""1 ~ Owner a 4Ifhtu.'" RCW:19.1..:J6J:fl) OwItll'r will oct:IIp1 rh, strwelwt for two years tJjt"tltU ,Ult.trlut prmrit is jinDlU'd. (')) o..mr tr rsgui,1Jd to ft/rt 011 "Ktric41 ttMfracrrw if crbOW' IlIid fJl'T1Frty is for Hie. rell' "r ffrlZS& AfWr fOldiD) Ole .bo.... $IItcmcn1, I hereby eert.ity thai) am the ()WI\f.lI' of .41c .hove named. JlIOPeRy or a Ii;a:r.nd electri:al con~~Ol, J 1m malciag \be &lc~triGlI ill&till~ luion or Al:terMioo 10 ccimpTieo<< \l!itb the electrical laws. N.e.C., RCW. Chllplq 19.,21, WAC. C~IJI'et Z'6:...4/$Jt, 'tbr; City 'Of Per! ABBellls MIl1riicfp-.l Cadc, Dad tJ1i1i.ty Spedf....cadou5. 8'181 r f 0 o New a AltendJAddIli... It, ~, . , ~, 0',\ ~ -t-__ r CI Cuh IJ Ch..k# .. ... ~ClcditCanl v... MBlittn;.td. Discover Card~ ' ~ tor ... elutrieel tHl"..IIoj,tntlll' r" Date: Lf-/9-aG Expiration Dot< ofc,.,<1 :. IGspeCllon tee $ /..Q to ..(pD Service information I .. NO 0 CHANG&s C Baseboard _ ~ Q FurnaDe ~ o Hea1Pump _1'00_ LAR a Fa.oW" _ ~W '0 . a O..rhAad SllrVIce o Tamp Service lJ UnderOmund SaMC8 Voltage Phs.. a 1 lJ 3 SIIrvlceS/le:_ Fnder $;ze; SAME DAY INSPECTION CALL BEFORt ?IiO.AM 360-~17-4735 i l. , . - ROUGH-IN \ 1BERMOS'IAT SERVICE .... "~""'.l lh\t 19J'1'M4 8y p.t, ~PJII'O"'.-1'" I ~J6(. ~1!f1 ~) DrrCII !'a;uu( tlw. 4p1"O-'lI)o "". ".y la.Jpe~1ion- ^"*. Bui1dlnc or Eqwpmc., ""peeled A,cttOD 1ll ten electrioal note lns:poctor ". -,~. -. ._~.._,- .. - .-- - - ..~....._.__..._---, - .- -'''- -. --. .-- ._- .... ~ <f/1/o {. ~ .... CITY OF PORT ANGELES °~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/11/2002 PERMIT NO: 13873 OWNER/APPLICANT PROPERTY LOCATION JIM MASON 516 TUMWATER TRUCK RTE P. O. BOX 43 Lot: ~'~-~"~' ABERDEEN, WA 98520 ~, Block; /~:~ [] Long Legal 360/572-9380 Subdivision: T: S: Parcel No: ~5)~'~Lo~-L'TLO~/~2.~-~ CONTRACTOR ARCHITECT .,d/z~'~, OWNER N/A Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $105,000.00 SFD Units: 0 Commercial: 0 Project Type: FUELING STATION, SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES NEW FUEL NG STATION "/--,/(~C//~/,,,~z~~ ,'~/UZ~ FEESASSESS.E.T '-· Building Permit: $1,021.75 Misc Fee 1: $0.00 Plan Check: $613.05 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,639.30 Plumbing: $0.00 AMOUNT PAID: $1,639.30 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned [or a period of 180 days after the work as commenced, or if requFred 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 authori~ 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 T:\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, 1NSULATE 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 I DATE I YES ACCETEDNo COMMENTS FOUNDATION: POUNDATION O~AGE j'~o~t~ ~i~h ~ 4~'-~ a' T~. ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~ WATER LINE GAS LINE BACK FLOW / WATER WALLS JOISTS / GI~ERS WALLS / ROOF / CEIL~G DRYWALL T-BAR WOOD STOVE / PELLET [ CHIVY FINAL INSPECTIONS REQUIRED PRIOR TO ~CUPANCY/USE RESIDENTIAL DATE YES NO COMM[RCIAL DATE ACCEDED YES NO ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL LIGHT DEPT I FOR OFFICIAL USE DNLY: BUILDING PERMIT - APPLICATION P~it~:~ Date Approved: Date ~sued: The Building Permit dpplication must be filled out completely. Please type or print in in~ If you have any questions, please call 417-4815 Applic~t or Agent: ~ c~o ~C o ~ ~ ~ ~c~ Phone:~ ~0~ ~ ~ Owner: ~chitecff : /~Oc~t~~ {~C(~Cm~ Phone: ¢~ Z -~ 7~ [ Contractor License ~: Exp: Phone: Address: City:. Zip: LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ COUNTY P~CEL N~BER: Credit Card Holder Name: Billing Address: City: Credit Card ~: Exp. Date: VISA MC T~E OF WO~: SI~N~UATION: z Residential ~ New Consff. = Re-roof ~ Wood-stove SF. ~ $. /SF. =$ ~ Multi-f~ly ~ Addition ~ Move ~ G~age SF. ~ $. /SF. = $ ~ Co~crcial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = $ ~ Repair ~ Sign ~ TOTAL VALUATION $ [O.~ B~EFDESC~PTIONOFTHEPRO~CT: ~6,~ C (:~ ~C~lo ~ ~C; {,~ COMMERCI~IDENTI~: Occup~cy Group: Occupant Load: Cons~ction T~e: No. of Stories: ~ Lot Size: % Lot Coverage: Existing Lot Coverage: /sq. R. + Proposed Lot Coverage: /sq. R. ~ TOTAL LOT COVE~GE: /sq. PLYING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW FI~ ES~etland(s): g Yes ~ No SEPA Checklist required? m Yes u No Other: OTHER BUDDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for re~iew. ~e Building Division can provide you with more detailed i~o~tion on ~e application and pl~ subm~l requkements. Yo~ completed application, site plan (for additions) and building cons~ction plans are to be sub,Red to the Bulldog Division. V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by ~e applicant. ~s fig~e ~11 be reviewed and ~y be revised by ~e Building Division to co~ly M~ c~ent fee schedules. Contact the Pe~t Coordinator at 4174815 for assis~ce. PL~ CHECK FEE: Your plan check fee is due at ~e t~e ~e building pe~t application ~d cons~ction pla~ ~e sub,Red. All other pe~t fees are due at the t~e ofpe~t issuance. EXPIATION OF PL~ ~EW: If no pe~t is issued wit~n 180 days of the date of application, this application will expire. ~e Building Official can extend the time for action by ~e applicant up to 180 days upon ~inen request by ~e applic~t (see Section 107.4 of the Unifom Building Code, c~ent edition). No application can be extended more ~n once. I hereby cert~ that 1 have read and examined this application and know the same to be true and correct, and I am authorized to apply for this pemit. 1 understand it is not the Ci~'s legal responMbili~ to detemine what permits are required; it remains the applicanFs responsibili~ to determine what permits are required and to obtain such. NO. 1009 CITY OF PORT ANGELES DETERMINATION OF NON SIGNIFICANCE RCW Chapter 197-11-340 Description of Proposal: Application to allow a self service, card access fuel station on a currently undeveloped site in the Industrial, Light (IL) zone. Location of Proposal (including street address, if any): 516 Tumwater Street (SR117) APPLICANT: Masco Petroleum Lead Agency: CITY OF PORT ANGELES The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review ora completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. [XX] This DNS is issued under WAC 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date of issuance. Comments must be submitted by November 29, 2002 at which time the DNS may be retained, modified, or withdrawn. [ ] There is no comment period for this DNS. [ ] This DNS is issued per WAC 197-11-355. There is no further coml;nent period. November 13, 2002 l ~~~ ,~'~E_ Date Brad Collins,u/nrector Department of Community Development Responsible Official: Brad Collins, Director, Port Angetes Department of Community Development, 321 East Fifth Slreet, Port Angeles, WA 98362, phone (360) 417 - 4750~ Pub; November 17, 2002 Post: November 13, 2002 Mail; November 13, 2002 WDFW OAPCA CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date -~'- /~7/ ~-(--~-~ Time Received by /~' (phone, person) Location of Work ,o be inspected ~/~ ~-J't~/-~J-Z~v~ ~ Name of person requesting inspection ,//~./ - Address of person requesting inspection Phone No. ~ Type of Inspection (circle appropriate one): Permit No. / Sewer ~~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date :"- ,~ ~ / ' ~ r Time ,'? i By 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~- ~- --~-~ Time Received by ___~)~/' {phone, person) Location of Work to be inspected 8/~(~ r_/~.~.~. [,~)d_~ Name of person requesting inspection ~-~;' ~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. / Foundation Framing Chimney Plumbing ~ Sewer Excav. Other Sewer INSPECTION NOTES: ~ Inspected: Date ZT?" 2 ~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACETYPE: ~ Unimproved []Gravel ~--1Asphalt ~--~PCC []Other [~ Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ *- [ ~' -- (~)~ Time Received by /~[// (phone, person) Location of Work to be inspected ~ I ~ '7'/.~.~.t~J~_~l~/' ~k ~ Name of person requesting inspection r I Address of person requesting inspection Phone No. ~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Other INSPECTION NOTES: ~ _/ Inspected: Date ._~__/d_~.~'__~ 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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '~- 1~_.--(:2~.~ Time Received by ~'f (phone. person) Location of Work to be inspected ~/~ ~-~L.4.~. ~~ ~ Name of person requesting inspection Address of person requesting inspection Phone No~ Type of Inspection (circle appropriate one): Permit No. Sewe ing Chimney Plumbing Final Sewer Excav. Other INSPEC~ Inspected: Date ~' ~ Time ~t/~ By Remarks: ~,~.~ ~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel E~]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) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS \/ ........... INSPECTION REPORT ........... REQUEST: / ~0n~e~, p ~-~ Date ~'~/~ ~,//~ '~ Time //. ~-~%/ /1/I~ Received by ~ ~ rson) Location of Work to be inspected'~/,~,,~, ,~:/~ ~ ~, J~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. *~/;~ ~ ~ ~ Type o~.[rcle appropriate one): Permit No. / ~ ~2~ Sewer FoHndation ~raming Chimney Plumbing Final Sewer Excav. Other__ 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) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000209 Date 3/03/03 Property Address ...... 516 S TUMWATER TRUCK RTE ASSESSOR PARCEL NUMBER: 0630000096250000 Application description . . . SIG~S Property Zoning ....... Application valuation .... 864 Owner Contractor 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 hove 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 O~ner (if owner is builder) 6ate BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK REFORE INSPECTED ~!ND ~!CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Oat,, Permit #: Fill out COMPLETELY and in INK. Your application and site plan MUST BE Dat~ Approved: COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Issued: Applicant or Agent: ~Jo--~CO g~(bl(c-vv~ ~'-q, Phone:~0) Ad&ess:~O d6~ Y3 Ciw:~h~~ Zip: Mchitec~ngineer: / Phone: Con.actor 3)~ ~Xk ~,NS~, SmteLicense~:~y0~C~xp: ? Phone~-T?2-~/ Ad&ess: / D l ? 5 Ci : P O CX n SS: 5-/6 ,5q 3 ZOla: LEG~ DESC~TION: Lot: Block: Subdihsion: CL~L~ CO~Y P~CEL ~ER: CreditCard~pe~SA ~' MC~O T~E OF WO~: Residential ~ New Com~. u Re-roof ~ Stove ~ SF. ~ $ ~g ~ /SF. = $ ~ l, ~ o Multi-h~ly u Adffifion ~ Move ~ Garage . SF, ~ $ /SF, = $ Co~rcial ~ Remodel ~ Demolition = Deck SF. ~ $ /SF. = $ ~ R~ak ~ Si~ ~ O~cr /OTAL~ALUATION $ COMMERCI~S~EN~: Occupancy Group: Occup~t Load: ~ Cons~ction T~e: No. of Stories: Lot S~e: Existing Sq. ~. & Proposed Sq. Ft. = TOTAL Sq. Ft. Exis~g lot coverage ~ % & Proposed lot coverage % = Total lot covemge~ ~PROV~S: ES~etland(s): D Yes ~o SEPA Chec~ist OT~R: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator 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 application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that 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 ~at I must obtain such permits p. dor to work. T:WORMS~APPSXBuildingpermit.wpd Applicant:Z~/ ../.~/'/c'~nZ-~-'- Date: ~j~/~ ~° SITE PLAN APPLICANT: ?1~'--.5 ~o /~J~c~,J~ '"~'~"4. , PHONE: /-~77 _j',.,37- "7 )~ ~ PROJECT/DEVELOPMENTADDRESS: z)-/~. ~.~_~.~ ~-/c~JC, See Page 4 for instructions on completing the site plan. For more information, call 4 ~ 7-4815. ~R-04-2003 89:33 P.03 TOTRL P.03 '~ YI! 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: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000354 Date 805176 516 TUMWATER TRUCK RT 06-30-00-0-0-9625-0000- ELECTRICAL ONLY 4/20/06 INDUSTRIAL LIGHT o Owner Contractor MASCO PETROLEUM INC PO BOX 43 ABERDEEN WA 985200040 OWNER Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ALLIED/ 1-5 CIRCUITS OIL DIS. 74930 ALLIED ELECTRIC 66.60 Plan Check Fee 4/19/06 valuation 10/16/06 .00 o ~ ...... ~ Qty 1. 00 1. 00 Unit Charge Per 61.3000 ECH EL-COMM ALT <5 CIRCUITS 5.3000 ECH EL-COMM ALT-ADDTNL CIRCUITS Extension 61.30 5.30 Fee summary Charged Paid Credited Due --------~-------- ---------- ---------- ---------- ---------- Permi t Fee Total 66.60 66.60 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.60 66.60 .00 .00 ;\ ~ ~ ~ '{\ ~ ~. ~ ~. ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION 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 INSPEC'IlON TYPE DATE ACCEPTED COMMENTS I YES I NO UITCl1. IU11ICTH_lN !t.-JV,hK ~~K VICE FINAl I ej-/9-C>6 IA?,) I GENERAL COMMENTS: PW.1102.lS 14196\ Owner as defined by RCW.19.28.261; (1) Ownerwiii occupy the structure for Iwo 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, RE.C., RCW, Chapter 19,28, WAC, Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check X Dated: Credit Card 9 otrouzatz ``111 ti. {1{rr �tl ,F F, 1 CITY OF PORT ANGELES PEkMIT APPLICATION Building Division /Electrical Inspections,x ' �� N 32 L East Fifth Street— P.O. Box 11501 Port Angeles 'Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 NOV Date; — 5 P H /Mu Iti-Family or Commercial* �1ti1t�tCA�, V" 111i�i'FC110�S Plan Review May Be Required, Please Corn lete Electrical Plan Review Information Sheet Job Address; � o f W:3 C. 2.- Building Square Footage: V00 Description of abcve Owner Information Contractor Information Name; Ma,; ,C- Name, Ara Mailing Address; 4" 4,S73 Mailing Address; P. n q 3 City: A et er.A State: lL2& Zip; E!_5 City: _cif t C —Fax: State: lt?R . Zip: �r � Phone; Phone: Fax: License # I Exp, _ f,C3 t_1 g- 2 2 � i _ ®�- License # 1 Exp. S s � /�kehe_ 77- 5- 37 -97g4A Item ServicelFeeder 200 Amp, Unit Charge OtX $132,00 Tota$ Qty Multiplied by Unit Charge/ ServicelFeeder 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 W1 Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1.4 $ 88 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 CircuitJ Limited Energy - Multi - Family $ 64.00 $ Signal Circuit/ Limited Energy I First 1500 sf- Commercial $ 96,00 $ Note: $5,00 for each additional 1500 sf Renewable Electrlca{Energy -5KVA System or Less $ 113.00 $ Thermostat $ 56,00 $ Note: $5.00 for each additional T -Stat $ ota] Owner as defined by RCW.19.28.261; (1) Ownerwiii occupy the structure for Iwo 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, RE.C., RCW, Chapter 19,28, WAC, Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check X Dated: Credit Card 9 otrouzatz ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14- 00001353 Date 11/05/14 Application pin number . . , 634.521 Property Address . . , 516 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER; 06-30-00-0-0- 9625 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use Property Zoning , . . , , . . INDUSTRIAL LIGHT Application valuation . , . . 0 Application desc ' Card reader fuel pumps ---------------------------------------------------------------------------- Owner Contractor MASCO PETROLEUM INC MASCOTT EQUIPMENT CO INC PO .BOX 43 435 NE HANCOCK ST ABERDEEN WA 9852.00040 PORTLAND OR 97212 (503) 28.2 -2587 Permit . , , , . . ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 74.00 Plan Check Fee ,00 Issue Date . . . . 11/05/14 Valuation . , . , 0 Expiration Date . . 5/04/15 Qty Unit Charge Per Extension 1.00 74,0000 ECH - EL -COMM 13RALVCH CYR WO/ S/F 74,00 --- ---- -- -----------------------------------------------------------'-------- Fee summary Charged Paid Credited Dde Permit Fee Total 74,00 74.00 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 74.00 74,00 c0 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS; INSPECTOR: DI'T'CH SERVICE ROUGH -IN Z� FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor X Date: GAEXCHANGEIBUILDING 1 W CITY OF PORT ANGELES PEFUVIIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street— P.O. Box 1150 / Port Angeles Washington, 93362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Oale; G"f 11— 15 ' Plan Review May Be Job Address; 5 1 L Building Square Foote e; ` Description of above Owner nformation Name I YG c_ OA- MaXn Address: City: Stale: J Zip: Phone'' _ -h � Fax; A60-165,T- License 91 Exp. Item Service /Feeder 200 Amp, ServicalFeeder 201.400 Amp. ServicelFeeder 401 -600 Amp ServicelFeeder 601 -1000 Amp Service /Feeder over 1000 Amp, Branch Circuit W1 Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 14 Temp, Service/ Feeder 200 Amp, Temp, Service/Feeder 201 4C Amp. Temp. ServicelFeeder 401.600Amp, Temp, Service/Feeder 601 -1000 Amp . Portal to Portal Hcurfy SigrlOutline Lighting Signal Circuit! Limited Energy — Multi - Family Signal Circuit) Limited Energy / First 1500 sf— Commercial Note: $5.00 for each additional 1500 sf :t Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stat Mufti - Family or Commercial' ete �lectrirgl Plaq Review Information Sheet Unit Charge $ 132.00 $160.00 $ 225.00 $ 288.00 $ 410.CC $ 5.00 $ 74.00 $ 5.00 $ 86.00 $ 102.00 $121,00 $164.00 $185.00 $ 96.00 $ 88,00 $ 64.00 $ 96.00 $ 113.00 $ 56.00 Contractor lnforma ion Name: u� 3 1' [ # r . �� C_ Mailing Address: City: U', owv _ State: VA Zip: Phone;±1]U :3A r-1 Fax: License # 1 Exp -%, u u Total Multi lied b Unit Char e $ $ $ $ $ $ $ $ $ $ $ 2 6 e P b 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) Owneris 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 properly or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, RE.C., RCW, Chapter 19.28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility SpeciFcations and PAMC 14.05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check yy 11 Credit Card g x _ Gated: 4 �� 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , . , , 15- 00000507 Date 5/12/15 Application pin number . , . 156713 Property Address , , . , 516 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER; 06-30-00-0-0- 9625 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . , . Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc Canopy lighting retrc --------------------------------------- -._..___- __ °__--____ -_ - -- ------ - - - - -- Owner Contractor MASCO PETROLEUM INC D &B ELECTRIC LLC PO BOX 43 PO BOX 522 ABERDEEN WA 985200040 UNION WA 98592 (360) 588 -3169 Permit , , , , . , ELECTRTCAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue ]bate 5/12/15 Valuation , . , , 0 Expiration Date 11/08/15 Qty Unit Charge Per Extension 'BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86100 .00 .00 Plan Check Total 00 ,00 .00 .00 Grand Total. 56.00 86,00 .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: PERMET WILL EXPIRE SIX (6) MONTIIS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING