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Home My WebLink About2027 E 1st St - BuildingOF pOML. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Application desc Connect to City sewer JOKRIJO LLC 1826 GOLF COURSE RD PORT ANGELES WA 98362 T \Policies \1102 15 [10/08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000140 527740 2027 E 1ST ST 06 30 12 5 0 0436 0000 PUBLIC WORKS UTILITES Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor Date 9/18/09 JORDAN EXCAVATING INC 1826 GOLF COURSE RD PORT ANGELES WA 98362 (360) 452 3270 Permit SANITARY SEWER HOOK UP Additional desc 8 NEW CONNECTIONS Permit pin number 141549 Permit Fee 205 00 Plan Check Fee 00 Issue Date 9/18/09 Valuation 0 Expiration Date 3/17/10 Qty Unit Charge Per Extension 1 00 135 0000 EA SAN SEWER HOOKUP 135 00 7 00 10 0000 EA SAN SEW HOOKUP ADD /UT 70 00 Other Fees SEWER SYSTEM DELV CHARGE 7550 00 Fee summary Charged Paid Credited Due Permit Fee Total 205 00 205 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 7550 00 7550 00 00 00 Grand Total 7755 00 7755 00 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies\ 1 102.15 10/08] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED RESIDENTIAL YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED I. YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING COMMENTS I I I I I 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 Bore under road sewer pressure line Owner JOKRIJO LLC 1826 GOLF COURSE RD PORT ANGELES WA 98362 Permit Additional Permit pin Permit Fee Issue Date Expiration Date Fee summary T \Policies\ 1102 15 10/08] desc number Qty Unit Charge Per CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000131 217029 2027 E 1ST ST 06 30 12 5 0 0436 0000 PUBLIC WORKS UTILITES COMMERCIAL ARTERIAL 0 BASE FEE Signature of Contractor or Authorized Agent Date Contractor RIGHT OF WAY BORE SEWER PRESSURE LINE 141457 50 00 2/09/09 8/08/09 JORDAN EXCAVATING INC 1826 GOLF COURSE RD PORT ANGELES (360) 452 3270 Plan Check Fee Valuation Special Notes and Comments Provide safe walking route for pedestrians per approved plan Charged Paid Credited Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Grand Total 50 00 50 00 00 Date 2/09/09 4,. WA 98362 Due Extension 50 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 if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any ,state or local law regulating construction or the performance of construction. e of Owner (if owner is builder) 9 `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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T iPolicies \1102 1 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 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 I I I PLANNING DEPT BUILDING 417 -4815 I I I BUILDING I I I DATE ACCEPTED YES I NO I I I I I I I I I I I I I I .~o ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/03/2002 PERMIT NO: 13396 OWNER/APPLICANT PROPERTY LOCATION 2027 1ST ST E 12 EVERETT L. RIDER 2027 E. 1ST STREET, #12 Lot: SPACE #12 Port Angeles, WA 98362 Block: [] Long Legal 360/417-3724 Subdivision: PARK CEDAR HILLS T: S: Parcel No: 063012881260000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: PORCH ENCLOSURE SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD 8' X 12' ENCLOSED PORCH TP REAR OF MANUFACTURED HOME RECEIPT# C~0 t~-7 FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 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: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $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 required ins pections 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 cance~ the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date S~gnature of Owner (~f owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING 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 JOB SITE INSPECTION TYPE DATE I 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 PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R,W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIKE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. T:\PLANNING\FORMS\1102.15 [4/2002] ~ eORr~ FOR OFFIC, SE Y: ...~o ?~ Date Rec.: BUILDING PERMIT - APPLICATION Date Approv Date lssu The Building Permit application must be filled out completely. Please type or print in in~ If you have any questions, please call 41%4815 Applic~t or Agent: ~O~ ~. ~, ~q~ Phone: Owner: ~t2~f~ ~' ~l~ ~ Phone:~- Ad~ess:~ S 1~ ~/~ City: ~~p~ Zip:q~ ~chitecffEngineer: Phone: Contractor License ~: Exp:. Phone: Address: City:. Zip:. LEG~ DESC~PTION: Lot: Block: ~ Su~" ' ~' · · - : CL~L~ CO~TY P~CEL NUMBER: Credit Card HoLder Name: Billing Address: City:. Credit Card g: Exp. Date: ~SA MC T~E OF WO~: S~E~UA~ON: ~ Residential fl New Consm fl Re-roof D Wood-stove SF. ~ $ /SF. = $ ~ Multi-hmly ~ D Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel E Demolition ~ Deck SF. ~ $ /SF. = $ ~ R~air ~ Sign ~p ~ ~ C~ TOTAL VALUATION $ _~O~ COMMERCI~SIDENTI~: Occup~cy Group:. Occupant Load: ~ Com~ction T~e: No. of Stories: [ LotSize: ~OO ~ & ~ % Lot Coverage: /~ Exis~g Lot Coverage: q~ ~ ~sq. ft. + Proposed Lot Coverage: ~ /sq. ff. = tOt~ LOT COVE~GE: J~ ~ O /sq. fl. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW F~ ES~etland(s): ~ Yes,No SEPAChec~istrequired? ~ Yes D No O~er: OTHER B~LD~G PE~IT APPLICATION SUBMITT~: Your applicaffon and site plan must be filled out completely to be aJcepted for review. The Building Division can provide you wi~ more de~iled ~o~tion on ~e application and plan sub~al requkements. Yo~ completed application, site plan (for additions) ~d building cons~ction plato are to be subdued to ~e Build~g Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by &e applic~t. ~is fig~e will be reviewed and may be revised by the Building Division to comply M~ cu~ent fee schedules. Contact ~e Pe~t Coord~ator at 4174815 for assistance, PL~ CHECK FEE: Yo~ plan check fee is due at ~e t~e the building pe~t application and cons~ction plans are sub,Red. All o~er pe~t fees are due at the time ofpe~t issuance. EXPIATION OF PL~ ~EW: If no pe~t is issued within 180 days of the date of application, t~s~pplication will expire. The Bulldog Official c~ extend the time for action by the applicant up to 180 days upon ~itten request by ~e applicam (see Section 107.4 of ~e Unifo~ Building Code, cu~ent edition). No application can be extended more than once. I hereby cert~ that [ have read and examined this' application and know the same to be true and co,ecL and I am author&ed to apply for this permit. 1 understand it is not the Ci~'s legal responsibili~ to determine what permits are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. T:,FO RM S,AP PSmui,din~emi, Applican~~~ Date: ~; SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION PROJECT/DEVELOPMENT ADDRESS: c>~c~7 ~'- ~ -X~/~;L ~ ~- 7/- ~]-//~ ~/~.~' See Page 4 for instructions on completing the site plan~For more information, call 417-4815. J City of Port Angeles Applicant Project Review Sheet Applicant: ~, t~¢ re ~ ~ e C- Property Address: Owner: ~t Da o~_ Proposed Use: Zoning: __ Is the proposed use listed as a '~permitted use" or an "accessory use" in this zone? x~ yes: ok [] requires no: PD review Is this the only use (business, residence, etc.) on this site? "~yes: ok [] no: requires PD review Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one [] yes: requires PD [~o: ok been submitted and is pending approval? review Does the proposed use require a new buisiness license? [] yes: requires CC ~no: ok review Does the project extend into any required setbacks or cross any lot lines (interior or [] yes: requires PD xl~[.no: ok exterior)? review Does the project exceed the permitted height allowance or cause the property to exceed [] yes: requires PD ok the allowed lot coverage in this zone? review Does the project require any additional parking or special design/landscape improvements [] yes: requires PD ok in this zone? review Does the project eliminate any existing parking spaces? [] yes: requires PD ~o: ok review Is the project located within 200' of the shoreline? [] yes: requires PD ok review Are there any environmentally sensitive areas on or within 200' of the property, including: [] yes: requires PD '~no: ok · wetlands or areas of standing water (year round or seasonal); review · streams (year round or seasonal); · areas with a slope of 40% or greater; or · areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? [] yes: ok [] no: mark '~ Site Plap [] Construction Drawings required [] Parking/Drainage Plan [] Civil Drawings item(s) [] Energy Calc [] Supporting Engr. Calc [] Landscape/Lighting Plan [] Other If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Departrnent permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any subsequently required review and approvals are completed and granted. Applicant Date Permit Category # (see reverse side) Building Permit # Master Tracking # Route to: []BD []CC []FD []LD []PD []PW [3File []Other Staff Initials Date Completion of this form is required for all category lb, 2 & 3 permits. Completion is not required for category la permits unless they result in a potential change of use or occupancy. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~ ~ ~ ~'~-- Time Received by J'~ ~/' (phone, person) Location of Work to be inspected 2(~-~7 ~ j ~7~ 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 ~Sewer Excav. Other INSPECTION NOTES: '--...~' ' ~ Inspected: Date .~'~' 2. '~ "~-~ "~--. 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) CLALLAM COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT DIRECTOR, BOB MARTIN CLALLAM COUNTY COURTHOUSE BUILDING DIVISION / FIRE MARSHAL P.O. Box 863 /223 EAST FOURTH STREET ENVIORNMENTAL HEALTH DIVISION PAm 98362 0149 PLANNING DIVISION December 28, 2001 ORT NGELES, wASHINGTON - NATURAL RESOURCES DIVISION Certified Letter # 7000 1530 0002 2599 5947 (360) : ::lfjJ' F ~~.~:~)~4:21\4,,3 William Froude {.....tv 6;/1T Plf...J 226 Haven Crest Ct. SE Olympia WA 98513 <J'fh'J <] r--. RE: Cedar Hills Mobile Home Park, 2027 East 1st Street, Port Angeles WA 98362 Tax Parcel Number 063012-500408 ~ Dear Mr. Froude: ~ ~ ----J -~ ~ On December 28, 2001 Clallam County Environmental Health investigated a report of surfacing sewage at Cedar Hills Mobile Home Park, unit #4. The surfacing sewage was located underneath the trailer and had backed up into the home. According to county records, this system serves units #4, 5 and 6. Please be aware that the risks associated with the presence of surfacing sewage make it detrimental to public health. Sewage effluent contains high concentrations of infectious material that can cause serious illness. Clallam County Health Regulation (CCHR) 4.030 states "Sewage from any on-site system shall not be disCharged to surface water or upon the surface of the ground." Surfacing sewage is a sign of on-site sewage system failure. Washington State Administrative Code (WAC) 246-272-07001 states: "(1) When adequate public sewer services are available within two hundred feet of the residence or facility, the local health officer, upon the failure of an existing on-site sewage system may: a) Require hook-up to a public sewer system; or b) Permit the repair or replacement of the on-site sewage system only if a conforming system can be designed and installed." Upon researching the tax parcel file for your property it was noted that there is very limited area which you could use to install a repair septic system. Due to these site constraints and your close proximity to a city sewer line, Clallam County Environmental Health is requiring that the septic system serving units #4, 5, and 6 be abandoned and the homes hooked up to the city sewer. I have spoken to Trena Funston with the City of Port Angeles and she has agreed to allow connection to the city sewer. You may contact her at (360) 417-4807. Please contact me as soon as possible to discuss abandonment of the failing septic system. You may reach me at 417-2529. Please be aware that if you chose not to hook up to city sewer then the homes connected to the failing system will need to be vacated. sincerelY9::; Ii I 0_ n . cL Yl1 . ~ Janine M. eed, RS Environmental Health Specialist II cc: Tania Busch-Weak, Environmental Health Director Dr. lhomas Locke, Health Officer Bob Martin, Department of Community Development Director Trena Funston, City of Port Angeles Sewer Department Lou Haehnlen, City of Port Angeles Building Official Clallam County Board of Health Parcel file Correspondence file KEEP CONFIDENTIAl:! YES NO I 70 '/ 0 ~.. r\Dt- R(\cl 0 Parcel #: ~..::LJ_V . c,n~'ic;.,~/'I ') 0043 t,o 5<Xit;O '/ \, I ) Septic Permit #: _.___ :\', \ \', " 01 Complaint 1'10.'>'2..0 _ Date Received i ~')..1-o /.- By.2:k:QQ Previous Complaint? yes no Date: ~ 1\ ,II \ ',att!lam County Department of Community Developmenl \ ii, Environmental Health Division \\ 'ON-SITE VIOLATION/COMPLAINT ,. ADDREss OF COMPLAINT: !;.OJ' <r IS\' .51-1 SrJ(AC:f5 If /5/{p r city SPECIFICDIRECI10NSTOS~ '\ u...ic..t c4M~ )}.g... ~ into 5Vt\Cd~rDJLlc. . . , ~ . ,L . . . v zip ~ 2. Gn:y Water l No SSAS 4, Miscellaneous '1Cd 0 &\ / .L.--c-" " ,e. '\ BRIEF DESCRIPTION OF COMPLAIN'F', . J\ Tad fter ') Pbone: !i~ 12-: ""i"'. '~~D.. .VisitNoticeleft? , ale: / Pl.EASE SEE REVERSE "" PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIVISIOn) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE , RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING' 417-4815 BUILDING , { T \Pohcles\1102 15R [1/051 . , CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Site Address: ELECTRICAL PERMIT ,or #"9 o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE t .. PERMIT NO. 4h 97 ~;j&j/9<j DATE Phone: Sq. Ft. o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1!Z1 D3!Z1 SERVICE SIZE FEEDER SIZE c;2c9-D AMPS AMPS Details/Description: ~J ~L 7f:uL Up . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. ~,M-O.K. to connect service D Final O.K. Site Address: Instalter: Permit/Receipt No. f; New Meters Date: 7- IS- "1 #'1 . Notify Port Angeles Ci ight by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the.Jluilding Permi ..PHONE 457-0411, EXT. 224. //- l NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHITE - File by address PINK - Top: Eng, Bottom, Customer ~___u OLYMPIC PRINTERS INC. 8/J.{)O Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall --. __""_~_,c_.~. __ __. >, . ";.,q<'.. -~'":~~< !~-;'-'':.:''f';'":O:~;'!<::'F-'''';-j{(s-M:.';~-', ':~-;}{"F" -.",,:, ~' ,-" ;>_~?'~'-': c ""'~~-"'. .,..! ELECTRICAL INSPECTION" WIRING RE:PORT 457-0411 Ext. 224 i~_~1r.'~' PERMIT ,; 'tp7 f~ #Z- APP~~E~................ DITCH ...........0~A:R~ o .............. ROUGH IN/COVER. . . . . . . . . .. . .. 0 o .................. SERVICE ................ ~ o ................... . FINAL. . . . . . . .. . . .. . . . .. .. 0 , CORRECTIONS NEEDED(I) (~ol S-~t lex:> ~ (~'l :"5~';H~" f~ :~4);:;~'. :f::(f:~:/:;:1c C;;7'~ ,~f{~/ (J) 'rfMi~ MLl <I I.AVi fRuIr/ fa... . 8 r'7~ _ D ;, Application Number . . . . . 23-00000206 Date 4/13/23 Application pin number . . . 235912 Property Address . . . . . . 2021 E 1ST ST HSE ASSESSOR PARCEL NUMBER: 06-30-12-5-0-0440-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . COMMERICAL ARTERIAL Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ground sign ---------------------------------------------------------------------------- Owner Contractor ------------------------------------------------ 1485 OLNEY ST LLC PLUMB SIGNS INC 1201 PACIFIC AVE 909 S. 28TH ST SUITE 1400 TACOMA WA 98409 TACOMA WA 98402 (253) 473-3323 (253) 722-1410 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . ..00 Issue Date . . . . 3/01/23 Valuation . . . .0 Expiration Date . . 8/28/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 Application Number . . . . . 23-00000206 Date 3/01/23 Application pin number . . . 235912 Property Address . . . . . . 2027 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-12-5-0-0436-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ground sign ---------------------------------------------------------------------------- Owner Contractor ------------------------------------------------ 1485 OLNEY ST LLC PLUMB SIGNS INC 1201 PACIFIC AVE 909 S. 28TH ST SUITE 1400 TACOMA WA 98409 TACOMA WA 98402 (253) 473-3323 (253) 722-1410 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . ..00 Issue Date . . . . 3/01/23 Valuation . . . .0 Expiration Date . . 8/28/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 Wrong Addre s s MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 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 -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD 2021 E st St HSE PREPARED 2/28/23, 7:13:35 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000206 2027 E 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 96.00 TOTAL DUE 96.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/13/2023 23-206 TAP OWNER CONTRACTOR Plumb Signs PROJECT ADDRESS 2021 E 1st St HSE