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HomeMy WebLinkAbout216 E 4th St - Building..,.�. ��'TANGELES' ';EL ES No.AN DACE MM Boo ANDERSON ® Director ofMcrirrterrcttrte `I■`J Maintencowet DepartrneW nduceC4por'tantieletisclu�ols.org � �� crR1C r v 360.457 0949 2912 ,South Peabody Street r 3b0.d57.U94) 'c)12 South Peabody 5h'eet "360.477.2887 Port Angeles, 'Washington 98362 e 360.477.2893 Pcii•t Ang les. WashinVon 98362 ■ ROII f 360.452.0267 www.portangelessehools org f 360.452.0267 www.porticigelesschuols crrg D4 NOT— CONCEA'L DES1, i'R®Y- Job Name Permit No. Owner Electical Contractor Location Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector Z COAT) {ate S 0() G two Lp Page_of ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , . , 12-00001585 Date 1/22/13 Application pin number 288550 Property Address . , , . , . 216 E 4TH ST ASSESSOR PARCEL NUMBER; 06-30-00 0-1-6905 OD00- Applicatien type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . , , , , , , Application valuation . , , , 0 ---------------------------------------------------------------------------- Application desc Block permit Jan, 1 — June 30 $1154,50 ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT #721 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit , . , . . , ELECTRICAL ALTER COMMERCIAL RESULTS: INSPECTOR: j Additional desc BLOCK PERMIT JAN. 1 - JUNE 30 SERVICE Permit Fee 1154.159 Plan Check Fee .00 lssue Date 1/22/13 Valuation . , , . 0 Expiration Date 7/21/13 COMMENTS: Qty Unit Charge Per Extension BASE FEE 1154.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 1154,50 1154.50 .00 00 Plan Check Total 0p .00 .00 OD Grand Total 1154.60 1154.50 ,00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Coale 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: j DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X _ � Date: G:IEXCHANORBUILDING ',,.NM-G,ELES P �Ar-! W A S I-1 I N GTO N, U.S.A. Public Works & Utilities Department December 7, 2012 Nolan Duce School District #121 216 East Fourth Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PAMC 14.05.1403 Dear Nolan, The School District's annual electrical block permit, issued by the City of Port Angeles, expires December 31, 2012, The Port Angeles Municipal Code (PAMC) addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a $1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requ&seed under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18, 2011, the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for fiall cost recovery of service. The billing cycle for 2013 is as follows: Vt billing cycle: January 1 through June 30 2"a billing cycle: July i through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector P.O. Box 1150 Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questioas may be answered by calling 360-417-4735. 1- look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Jim Klarr, Operations Manager Phone: 360-417-4800 / Fax: 360-417-4542 Website: www.dtyofpa.us / Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150 / Port Angeles, WA 98362-0217 PREPARED 12/05/12, 7:55:09 CITY OF PORT ANGELES PAYMENTS DUE RECEIPT PROGRAM BP820L APPLICATION NUMBER: 12-00001585 21G E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 1154,50 TOTAL DUE 1154.50 Please present this receipt to the cashier with full payment. WASH I N O T O N, U.S.A. Public Works & Utilities Department June 5, 2013 Nolan Duce School District #121 216 East FOLlrth Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PAMC 14.05.140.B Dear Nolan, The School District's annual electrical block permit, issued by the City of Port Angeles, expires Rune 30, 2011 The Port Angeles Municipal Code (PAM C) addressing electrical block permits states that; A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a $1.154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18, 2011, the City Co[lncil adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. The billing cycle for 2013 is as follows: 1" billing cycle: January I through June 30 2"d billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector P.O. Box 1150 Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where YOU wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. 1 look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Jim Klarr, Operations Manager Phone: 360-417-48001 Fax: 360-417-4542 Website: www.cityofpa.us / Email: pubiicworks@cityofpa.us 321 East Fifth Street - P.O, Box 1150 / Dort Angeles, WA 98362-0217 PREPARED 6/06/13, 8:48:11 PAYMENTS DUE RECEIPT CITY OF PORT ANGELES PROGRAM BP820L _�------.---------------------------------------------------------------- APPLICATION NUMBER: 13-00000618 216 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 1154.50 TOTAL DUE 1.154.50 Please present this receipt to the cashier with full payment. .-.. ._..C]AOT�l,IC.CI.C.C. Cf'LJAlII nIC TCtl�T a ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-OOQ00618 Date 7/01/13 Application pin number . . . 77Q630 Property Address ... . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , , . , . . Property Use . . , . . Property Zoning . , , . , . . Application valuation . 0 --------------------------------------------------------------------------- Application desc BLOCK PERMIT JULY 1 - DEC, 31 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES' WA 963623200 ---------------------------------------------------------------------------- Permit . , , , ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT JULY 1 - DEC. 31 Permit Fee . . . . 1154.50 Plan Checks Fee .00 Issue Date , . . . 7/41/13 Valuation . . . , 0 Expiration Date . , 12/26/13 Oty Unit Charge Per Extension BASE FEB .1154.50 -------------- ----- - m Fee summary Charged Paid Credited Due Permit Fee Total 1154.50 1154,50 ,00 .00 Plan Check Total .00 ,00 00 00 Grand Total 1154,50 1154,50 .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. I COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING Electrical Permit 216 E 4 th St 12-726 ELECTRICAL PERMIT CITY OF PORT ANGELE Owner ------------------------ SCHOOL DISTRICT #121 216 E 4TH ST PORT ANGELES WA 983623200 Contractor ------------------------ OWNER -------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BLOCK PERMIT JULY 1 - DEC. 31 Permit Fee . . . . 1154.50 Plan Check Fee .. Issue Date . . . . 7/03/12 Valuation . . . . Expiration Date . . 12/30/12 Qty Unit Charge Per E BASE FEE -------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------------------------------------------------ Permit Fee Total 1154.50 1154.50 .00 Plan Check Total .00 .00 .00 Grand Total 1154.50 1154.50 .00 cx_ /03/12 .00 0 xlltension 11154.50 °00 00 00 t. ,.�6 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) ■L ir7_r�111W INSPECTION TYPE 360-417-4735 Application Number . . . . . 12-00000726 Date Application pin number . . . 675358 Property Address . . . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 -------------------------------------------------------------------- Application desc Block Permit July 1 - Dec. 31 --------------------------------------------------------------------- Owner ------------------------ SCHOOL DISTRICT #121 216 E 4TH ST PORT ANGELES WA 983623200 Contractor ------------------------ OWNER -------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BLOCK PERMIT JULY 1 - DEC. 31 Permit Fee . . . . 1154.50 Plan Check Fee .. Issue Date . . . . 7/03/12 Valuation . . . . Expiration Date . . 12/30/12 Qty Unit Charge Per E BASE FEE -------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------------------------------------------------ Permit Fee Total 1154.50 1154.50 .00 Plan Check Total .00 .00 .00 Grand Total 1154.50 1154.50 .00 cx_ /03/12 .00 0 xlltension 11154.50 °00 00 00 t. ,.�6 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) ■L ir7_r�111W INSPECTION TYPE DATE: RESULTSI: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL ! IZv�lj COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING II 0 M ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00001360 Date 1/13/12 Application pin number . . . 402480 Property Address . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -176905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 -- -'------------------- — ------ — -------------------------------------------- Application desc Block Permit Jan. 1 - June 30. $1154.50 ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL RESULTS: INSPECTOR: Additional desc . . BLOCK PERMIT JAN. 1 - JUNE 30. SERVICE Permit Fee . . . . 1154.50 Plan Check Fee .00 Issue Date . . . . 1/13/12 Valuation . . . . 0 Expiration Date . . 7/11/12 COMMENTS: Qty Unit Charge Per Extension BASE FEE 1154.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 .00 �r�,0W.-� 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 a Z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING N nom... ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00000531 Date 7/06/11 Application pin number . . . 098-165 Property Address . . . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . - . . Property Zoning . . . . . . . Application valuation . . . . 0 ----------------------------------------------------------------------------- Application debt Block Permit July 1.- Dec.31 $639.45 Owner Contractor ------------------------ ------------------------ SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL RESULTS: Additional desc . . BLOCK PERMIT JULY 1- DEC.31 $6 Permit pin number . 196627 Permit Fee . . . . 639.45 Plan Check Fey .00 Issue Date . . . . 7/06/11 Valuation . . . . 0 Expiration Date . . 1/02/1' Qty Unit Charge Per Extension BASE FEE 639.45 Fee summary Charged Paid Credited Due Permit Fee Total 639.45 639.45 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 639.45 639.45 .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:\EXCI-IANGE\BU I LD I NG ELECTRICAL PERMIT CITl OF PORT ANGELES 360-417-4735 Application Number 10 00001406 Application pin number 152132 Property Address 216 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6905 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc BLOCK PERMIT JAN 1 JUNE 31 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT JAN 1 JUNE 31 Permit pin number 178335 Permit Fee 639 45 Plan Check Fee Issue Date 1/10/11 valuation Expiration Date 7/09/11 Qty Unit Charge Per BASE FEE Fee summary Charged Paid Credited Permit Fee Total 639 45 639 45 00 Plan Check Total 00 00 00 Grand Total 639 45 639 45 00 Date 1/10/11 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 00 0 Extension 639 45 Due 00 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIN 161 MONTI-IS FROM LAST INSPECTION �i,_nature of owner or Electrical Contractor % Date h9L ti��� PQRT�C .PORT GELI SCHOOL DISTRI( BOB ANDERSON Maintenance Department ® GELES SCHOOL DISTRICT NOLAN DUCE Director of Maintenance i nduce@portan,elesschools.or �y. r 360.457.0949 2912 South Peabod 360.457.0949 2912 South Peabody Street c 360.477 2387 Port Angeles, Wash (. 360 477.259' Port Angeles. Washington 98362 crR��oP R40 f 360452.0267 www.portangelessc / 360.452.0267 wwW.port aitgelesschools.or_- PROGRESSIVE: �NSPEc�r.�vnr TEPORT--- -r DO. NO-T'CONCEAL OR DESTROY - = ; )b Name Permit No% wner Electical Contractor Inspection Area,'Building or Equipment Inspected Action Taken Electrical Date Inspector f 1tvraiz (:Gi o v -i4 �. A2 '�• :L ! f � SAL �( •?. I � �. S`o t2� . �aA R►l � , .. I�'9nd1) �►�I. �� _ �.i' _ Fl!�►1' Page --of pOR74"�s ELECTRICAL INSPECTION y WIRING REPORT Ks & "F 417-4735 ck'OR� DATjE� PERMIT # INSPECTOR VL q / 1s� 1 �' f vVZJ OWNE CONTRACTORc ��jj ��qq -f– R► ILV� ADDRESS 4)(o APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE 0-1 ❑ FINAL ❑ CORRECTIONS NEEDED: --,R L— 1p^ 14f— L C- t V—tli IYGi NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc subpanel to reduce main panel O ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360-417-4735 h 10 00001006 Date 9/13/10 933670 216 E 4TH ST REPORT STATE SALES TAX 06 30 00 0 1 6905 0000 on your excise tax form ELECTRICAL ONLY to the City of Port Angeles (Location Code 0502) 0 Owner Contractor RESULTS INSPECTOR. SCHOOL DISTRICT #121 BOTERO & SON ELECTRICAL 216 E 4TH ST SERVICE 940 TAMARACK WAY PORT ANGELES WA 983623200 PORT ANGELES WA 98362 FINAL -!55z 10k 2 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 173211 Permit Fee 119 90 Plan Check Fee 00 Issue Date 9/13/10 Valuation 0 Expiration Date 3/12/11 Qty Unit Charge Per Extension 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Fee summary Charged Paid Credited Due Permit Fee Total 119 90 119 90 00 00 Plan Check Total 00 00 00 00 Grand Total 119 90 119 90 00 00 Goll, C. 16be1l1) . 1kill 0 1� INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL 2 COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date �- • ape ti•ux, q G Ift—_ CITY OF PORT ANGELES PERMIT APPLICATIONr`'�.'r'� Building Division/Electrical Inspections SES' 10 2009 321 East Fifth Street — P O Box 110 / Port Angeles Washington, 98362 Ph (360) 417-4735 Fax: (360) 417-4711 ELECTRICAL INSPECTIONS Date. - j 1 & 2 Single Family Dwelling _ Multi -Family or Commercial* _ Commercial Addition / Alteration / Remodel / Repair* * Plan Review May Job Address: Building Square Footage: Description oflaboge Required, tease Complete Ele. ical Plan Revj w Information Sheet Owner Inform tion f Name: �c�v� r/�' dP t,rliP ✓� Mailing Address: City State: Zip: Phone: Fax: License # / Exp. Item Unit Charge Service/Feeder 200 Amp. $119.90 Service/Feeder 201-400 Amp. $145.50 Service/Feeder 401-600 Amp $ 204.60 Service/Feeder 601 1000 Amp. $ 262.20 Service/Feeder over 1000 Amp. $ 372.50 Branch Circuit W/ Service Feeder $ 2.60 Branch Circuit W/0 Service Feeder $ 73.50 Each Additional Branch Circuit $ 2.60 Temp. Service/ Feeder 200 Amp. $ 92.70 Temp, Service/Feeder 201-400 Amp. $110.30 Temp. Service/Feeder 401-600 Amp. $148.70 Temp. Service/Feeder 601 1000 Amp $167.90 Portal to Portal Hourly $ 95.90 Sign/Outline Lighting $ 88.20 Signal Circuit/ Limited Energy / First 1500 sf — Commercial $ 95.90 Note. $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 & 2 Family Dwelling $ 63.90 Signal Circuit/ Limited Energy Multi -Family Dwelling $ 63.90 Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less $ 102.30 Thermostat $ 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of $ 35.20 Each Outbuilding or Detached Garage $ 73.50 Each Swimming Pool or Hot Tub $110.30 Contrarforttion, ) Name: ! Sd )'l/ Mailinggddress: City. ) 'A State Zip: Phone. r " ax: y�� �'� Licens xp. Qt Total Qtr Multiplied by Unit Charge) $ 1 `� $ $ $ $ /&W-- 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.0 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, ❑ crash El Check a1 Credit Card # Dated: &2 ovo12010 O�pORrgNC� ELECTRICAL INSPECTION WIRING REPORT eh aK S 417-4735 'og.Sc DATE PERMIT k INSPECTOR o -z-7 109 cq -650 3 o R, A t. L —2cCr- ADDRESS � S! APPROVED NOT APPROVED ❑ DITCH ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED- �Aht Qit_BOA R D dv�2 2tztz T Dt� U C iZ. !Ym 61 h IZWA kE7— nlsr- 4 9 (-2c)o t4 D t nl (o no tst p o NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 Lm ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000566 Date 7/22/10 Application pin number 185678 Property Address 216 E 4TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 1 6905 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning Application valuation 0 Application desc Block Permit July 1 Dec 31 2010 Owner Contractor RESULTS INSPECTOR. DITCH SCHOOL DISTRICT #121 OWNER SERVICE 216 E 4TH ST ROUGH IN PORT ANGELES WA 983623200 FINAL 1 D e- COMMENTS V Permit ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT JULY 1 DEC 31 Permit pin number 167023 Permit Fee 639 45 Plan Check Fee 00 Issue Date 7/22/10 Valuation 0 Expiration Date 1/18/11 Qty Unit Charge Per Extension BASE FEE 639 45 Fee summary Charged Paid Credited Due Permit Fee Total 639 45 639 45 00 00 Plan Check Total 00 00 00 00 Grand Total 639 45 639 45 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL 1 D COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: .t ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00001300 Date 1/29/10 Application pin number 547800 Property Address 216 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6905 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Block permit Jan 1 June 30 2010 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit ELECTRICAL ALTER COMMERCIAL RESULTS Additional desc BLOCK PERMIT JAN 1 JUNE 30 20 Permit pin number 158089 Permit Fee 639 45 Plan Check Fee 00 Issue Date 1/29/10 Valuation 0 Expiration Date 7/28/10 Qty Unit Charge Per Extension BASE FEE 639 45 Fee summary Charged Paid Credited Due Permit Fee Total 639 45 639 45 00 00 Plan Check Total 00 00 00 00 Grand Total 639 45 639 45 00 00 -,�- lye A SFE) Z, I INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date 0 ofPoRrgVQkleqj GDr�!(�h tp CITY OF ® c OFFICE OFA 321 EAST FIFTH ST, P.O. BOX 1151, C�rY LIGVO PHONE — PROGRESSIVE INSPE DO NOT CONCEAL lob Name Cor rarr.�w�. nrJ r� Yl►�Y_r ��J �� i vocation ,2j L A!�� 7- 5 i TORT ANGELES SCHOOL D RS E NOLAN DUCE Director of MaintenMce nduce@ portangeiesschools.orl v 360 457 0949 391 -) South Peabody Street c Port Aneeles. Washing -101199 -)62 3 6 4 7 3S9 ,60 45 .0367 www.portan,elesscitonls.or� f � - -- ORT ANGELES SC1400L DIS'TRIC'T BOB ANDERSON Maintenance Deportment 7360 457.0949 2912 South Peabody Street nspection )ate I Area Building or Equipment Inspected c 360.477 2897 Port Angeles, waunu g f 360 45?.0267 www.portangelesschools.org zsy5 z. ys' ( G+�c.k s ��iA Kt4iZ._S 1 ii41, L�� LL14c� IJ r, �7 U-) kib LO\ 1-.� `-) LK G SGHii>C-- itYc� 121+ 12 y,5' �1 1� ftL Aly K1 'TAKRGfZCI 'raa C-o©W - iJ ?A�0 STvp�►a a I?. ►� tS 'r'i" 5'Cc�y 12 a 2 L 0 Seo t OJRc_ 3) 1b i 11 -TO K b4VA LI Z, AP 51131(0L. �— �t4v� (o � 4W(o �C- COOL -1 4 e -!n-- 2C cv, INSPECTION TYPE ELECTRICAL PERMIT RESULTS CITY OF PORT ANGELES DITCH 360-417-4735 Application Number 09 00000503 Date 6/26/09 Application pin number 655945 Property Address 216 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6905 0000 ROUGH IN Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 COMMENTS Application desc BLOCK PERMIT 500 00 A Owner Contractor ^ (V1 SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT 500 00 Permit pin number 146910 Permit Fee 500 00 Plan Check Fee 00 Issue Date 6/26/09 Valuation 0 Expiration Date 12/23/09 I Qty Unit Charge Per Extension BASE FEE _I 500 00 n Fee summary Charged Paid Credited Due V Permit Fee Total 500 00 500 00 00 � 00 Plan Check Total 00 00 00 00 Grand Total 500 00 500 00 00 00 cv, INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL d set !(� COMMENTS Signature of owner or Electrical Contractor X I Date ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000007 Date 2/03/09 Application pin number 583926 Property Address 216 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6905 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Block Permit 1/1/09 6/1/09 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT 1/1/09 6/1/09 Permit pin number 139758 Permit Fee 500 00 Plan Check Fee Issue Date 2/03/09 valuation Expiration Date 8/02/09 Qty Unit Charge Per BASE FEE Fee summary Charged Paid Credited Permit Fee Total 500 00 500 00 00 Plan Check Total 00 00 00 Grand Total 500 00 500 00 00 00 0 Extension 500 00 Due 00 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL 126 COMMENTS 2y„, 1/1/0? ^ -71116C7- Signature of owner or Electrical Contractor X Date NM u I -1 ELECTRICAL PERMIT AAD INSPECTION RECORD CITE' OF 1" ®RT ANGELES 360-417-4735 Application Number 08 00000646 Date 12/17/08 Application pin number 990734 Property Address 216 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6905 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Block Permit july Dec 2008 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT JULY DEC 2008 Permit pin number 127480 n Permit Fee 250 00 Plan Check Fee 00 II v Issue Date 12/17/08 Valuation 0 Expiration Date 6/15/09 �y l�►y Qty Unit Charge Per Extension v BASE FEE 250 00 Fee summary Charged Paid Credited Due Permit Fee Total 250 00 250 00 00 00 (�\ Plan Check Total 00 00 00 00 I ' Grand Total 250 00 250 00 00 00 1 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH - IN FINAL COMMENTS: In Go r1 O I I � I I tp I I of 1 I r1 I I I I I I I I aa' I I ' aql I I kl I u 1 H I w W w U O In H o o r w F r In w z nW O O 1 a' r Ln I i G1 W w I �, �, 1 I 1-1 x E Gl W o z H F o o ro H Q In%D N a F z w ro H co P I W r fA W I •• •• I I W� q H W W i i H E £ F FI q{� z z I I E. nl z z a H W i s x x j I NI U a z O H i W a s i N u] W O H H h I I I O .. g W r z I I H m W x N Pi " O i W W o R: E r' Cz'J a F F I I zFz l a o H µ' m H W W W i sW i z N w x u] o m W F as I zLy I ~ ONF H NN z W U) I 1 F� ppy� Iz-11zi I "U IroNn Oz IE -I I I F� I CQ Hr W Oiz rzul u) 1 am E. .0ma��aaw rowwm i u] x C7 7 H (� Ha o I Wy I q U!L'WFWq gall I q o I W W I I.1 p1W w x a ro x a a .7 C9No i qa MM IX HRl h aaa o I 0�G Is 7k ul WI I 6-H H I mzuIfH aha I N I (h H fn I (!1 I F u]Hp4 M' W.W7 U)H Ln i Ha i .1 a1Q h o FC9�go� i I ti W I wZz oo I'l i „WW 12 i 1••1 W W I nn m co Wj PQUO0o1noo 1 NEE - a z iHO� 6 wo i o W 0 i cc m I Nah[A 00 I o a I NN o O az I �� ai z 0 W i Co q E- W WO vWi E Q a 1 F OI i o 0 rC W H W W I M N I FWUrI I S I H m W F I qq z z 1 �a a I a l a o� W U I gFU0N4 I L4 H i m M CO W E- 0 z F,z W 0 O o I \ � I o I I N I I \ 1 I I N 1 I I rl I I I I I 1 I I I I I I 1 I I a q I I I I I I I I I I I 1 , I 1 I I I W I I I u O r W r m W M � m I p I I 1 LnLnr v W p 0 dl -0 x I 1 ll F o m I l o q z o o I I •• ro N p n n o r X u] Ix W H I �• .. .. i � i� q a H w w N F F I La z z E+ rn z z uw a Qxow i °a H h 1 1 I p .. 3 W H m ow x W i Ur 'Z F H O I F 1 W 0 Ha 4 UUI z I u]Nm W W W W l z m x W as H •m E- U) m I z 0 0 f� N P F N H I M u : f r Q z M I E\ I MI N4 0 Q I co a w I w,q0 P `-'zo Ew i a.E-1 aE0fL Wz'P (nx U 0wH W 1-Ia1� o I mm I q U xmE W qP4 rlo qa : wgUaaF I a U N O I r I I pQ Is 4-tIf) W I x o U\o z 1 F cID � Ill ) z u N I a ,rj) 1.] E(nMH W.H I zm r w W In Hw In a rn o r a MWCo I m I m 1 E-40 ga14 1 CD 1 dl z 0 0 W I O a 1 0 1 q q a I W u) o o o I H w W Ir r W I EA40In0 I VIES 0 00 1 IDa u x I I I (n W I\ \Z HOU'or 10[ .4 o o a a h U) 0 o I 0 7 a N ry �y pl i 1 \ H 0 I m w W 1 H p0, a l z 0 I (n rC WO W Fy W' a W I M Ua1 P4 1 P4 FCEWua I \ I r W E I q q z z 2 n 4 a 1 a l (>4 aa,U I gHUUOaK I a H I Pao ED w E- 0 z W E 0 U CITY OF PORT ANGELES F DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00001375 Date 12/06/07 135375 216 E 4TH ST 06 -30 -00 -0 -1 -6905 -0000 - PORT ANGELES SCHOOL DIST. SIGNS 2500 Owner Contractor SCHOOL DISTRICT #121 JACKSON'S SIGNS & GRAPHICS 216 E 4TH ST 472 MOUNT PLEASENT RD PORT ANGELES WA 983623200 PORT ANGELES WA 98362 (360) 457-8575 (360) 457 -3703 ---------- Permit . . . . . . SIGN Additional desc . . 16 SF 2 -SIDED FIS SIGN Permit pin number . 116186 Permit Fee . . . . 115.00 Plan Check Fee .00 Issue Date . . . . 12/06/07 Valuation . . . . 2500 Expiration Date . . 6/03/08 Qty Unit Charge Per Extension 1.00 115.0000 PER S- SIGN FREE OR PROJ 25+ 115.00 ---------------------------------------------------------------------------- Special Notes and Comments December 3, 2007 12:31:01 PM sroberds. Proposal is a 32 sq.ft.double sided free standing sign in the CSD zone. Site allows for 62.5 sq.ft. No land use issues anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .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 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. Id Dat46 Print Name Signat re of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit(10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: Rebar lZ-Zp —0--7 T —L— FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE/ DOWNSPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY: UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL FINAL DATE ACCEPTED BY: HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT N's PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417-4807 CONSTRUCTION - R.W. PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING —00-7 yl� S T Qz T:Forms/Building Division/BuiIding Permit (10/01/07).wpd \ Kot pOR7,jAte! BUILDING PERMIT - APPLICATION �'� Fill out COMPLETELY and in INK. Your application, prescriptive energy �.�,,,� ,� form, plans, specs, and a 8 r/2" x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Applicant or Agent M -a t SC hero L Phone Owner i Owner's Phone ,f FOR OFFICIAL USE ONLY: Date Rec.: 11-11—C-7 Permit #: 37 Date Approved: D Pate Issued: Contractor/Engineer rvA.2 State License # ) / e- /c Js Expires / y - Contractor/Engineer's Address Gi/ 7 &,E p s/f "— -1-0'a- Phone 4,�S 7- .3'%e) PROJECT ADDRESS:_ t ZONING: f LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Stove ❑ Multi -family ❑ Addition ❑ Move ❑ Garage ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck ❑ Repair A Sign ❑ Other BRIEF DESCRIPTION OF THE PROJECT: SIZE/VALUATION SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ L ENTIAL:/Occupancy Group: Occupant Load: Construction Type: Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. 151 floor Sq. Ft. & 151 floor Sq. Ft. 2"d floor Sq. Ft. & 2"d floor Sq. Ft. 3rd floor Sq. Ft. & 3`d floor Sq. Ft. Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft. TOTAL of existing & proposed structures Sq. Ft. LOT COVERAGE Maximum Height of Proposed Structure(s) Ft. Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Are you planning to install a lawn sprinkler system? Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) 1 hereby certify that / have read and examined this application and know the same to be true and correct / am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that 1 must obtain such permits prior to work. Date //'' Z I - b T Applicant T:\FORMS\BUILDING DIVISIOMBIdgPermitAppl.-2006 CODE - backup.wpd ViKS P Vertical Datmn = NA VD V Hamm nal Datums = NAD NJ, I so Feet It ty 1z: IB 4 m sy r (j i Ti .�. Ys 228 \ This map is not intended to be used as a legal de roption. Nus wap/drmving is produced by the Cily tjport Angeles for as ouva use and purposes. Any other ase of ihis map 'drm mg shall not he the re,pansihility of1h, City. Legend CITY OF PORT ANGELES — Tho Issuance of this permit based upon ',h,se cations and other data shall not prevent th,; 1)11; official from thereafter requiring the cor--,:!- in said specifications am� o-, praventirq, building operatiorF b- ;jer when in LIJS jurisdiction. z C -- IMF Un - 2 -72. C_ t is'.). 6-1 *pp 0-4e%.� ( PORT ANGELES SCHOOL DISTRICT C-10%frRAII.- SERVICES B"LIMINCA 2 24�'x 96" o/o 3/4" MDO plywood ciono Mounted to custom bracket Custom S18n Proposal Jackson's SWs - 472 Mount Plcdsdnt Rd - Port nn8cles. Wn 300-457-3703 Port Angeles School District Central Services Building 216 E. Eighth St 3l0 36" x " Concrete base -I Vt d vo•i Tom` CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 96362 Application Number . . Application pin number . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00000283 Date 5/17/07 727945 216 E 4TH ST 06 -30 -00 -0 -1 -6905 -0000 - ELECTRICAL ONLY 0 Owner Contractor ------------------------ ------------------------ SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BLOCK PERMIT JAN. JUNE 2007 Permit pin number . 97436 Permit Fee . . . . 250.00 Plan Check Fee .00 Issue Date . . . . 5/17/07 Valuation . . . . 0 Expiration Date 11/13/07 Qty Unit Charge Per Extension BASE FEE 250.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- ---------- 250.00 ---------- 250.00 ---------- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .00 .00 COMMENTS/ACTION NEEDED 0 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MRM" 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL. COMMENTS: Pw-1102.1 S 14%) Application Number . . . . . Application pin number . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES. WA 98362 06-00000005 Date 1/26/06 375725 216 E 4TH ST 06 -30 -00 -0 -1 -6905 -0000 - ELECTRICAL ONLY 0 Owner Contractor ------------------------ ------------------------ SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BLOCK PERMIT JAN. -JULY 2006 Permit pin number . 68189 Permit Fee . . . . 250.00 Plan Check Fee .00 Issue Date . . . . 1/26/06 Valuation . . . . 0 Expiration Date . . 7/25/06 Qty Unit Charge Per Extension BASE FEE 250.00 ---------------------------------------------------------------------------- Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- ---------- 250.00 ---------- 250.00 ---------- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A N 411" 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERNGT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE ■zell[c):e164FIL 1 cl W0ALVA GENERAL COMMENTS: -PW-1102.15[4(%j CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 HAST 5TH STREET. PORT ANGELES. WA 98362 � Application Number . . . . . 05-00000547 Date 7/27/05 Application pin number . . . 568015 Property Address . . . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SCHOOL DISTRICT #121 ..OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BLOCK PERMIT/ JULY -DEC. 2005 Permit pin number . 53660 Permit Fee . . . . 250.00 Plan Check Fee .00 Issue Date . . . . 7/27/05 Valuation . . . . 0 Expiration Date . . 1/23/06 Qty Unit Charge Per Extension BASE FEE 250.00 ---------------------------------------------------------------------------- Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 250.00 -------------------- 250.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A mRAmIJM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW -1102.1514" I.I] GENERAL COMMENTS: PW -1102.1514" I CITY OF PORT ANGELES ' PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST 5TH STREET, PORT ANGELES. WA 98362 L�„RI Application Number . . . . . 04-00001172 Date 1/19/05 Pin number . . . . . . .497832 Property Address . . . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application description . . . ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . JAN. -JULY 2005 BLOCK PERMIT Permit Fee . . . . 250.00 Plan Check Fee .00 Issue Date . . . . 1/19/05 Valuation . . . . 0 Expiration Date . . 7/18/05 Qty Unit Charge Per BASE FEE Fee summary Charged Paid ----------------- ---------- ---------- Permit Fee Total 250.00 250.00 Plan Check Total .00 .00 Grand Total 250.00 250.00 COMMENTS/ACTION NEEDED Extension 250.00 Credited Due ---------- ---------- .00 .00 .00 .00 .00 .00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A NUNIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: 102.1514%1 0 Ilgal Moll Ri: aI ILK�>i� MOWN -- Ew Lim GENERAL COMMENTS: 102.1514%1 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STRF.FT. PORT ANGELES. WA 98162 ELECTRICAL PERMIT ISSUED: 1/02/2003 PERMIT NO 7946 OWNER/APPLICANT PA SCHOOL DISTRICT 216 E. 4TH STREET Port Angeles, WA 98362 206/457-0949 T: S: CONTRACTOR SCHOOL DISTRICT 121 216 E 4TH PORT ANGELES, WA 98362-0000 360/000-0000 PROJECTINFO Project Type: BLOCK PERMIT Occupancy Type: Occupancy Group: Electrical Heat: Baseboard 0 KW Furnace 0 KW Heat Pump 0 KW Fan Wall 0 KW PROPERTY LOCATION 216 4TH ST E Lot: 4 Block: 87 Subdivision: TPA Parcel No: ARCHITECT N/A , 98360-0000 360/000-0000 Project Value: Construction Type: Zoning Use: PBP X Long Legal $0.00 Riser ] Underground Service Overhead Service Voltage: 0 Temp Service Phase: 1 3 Service Size: 0 Feeder Size: 0 PROJECT NOTES BLOCK PERMIT FOR THE MONTHS OF JAN- JUNE, 2003. BILLED THROUGH FINANCE FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: BLOCK PERMIT TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED $0.00 $0.00 $0.00 $0.00 $240.00 $240.00 $240.00 �Pv.vv ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE / �4 fo INSPECTION�. GENERAL COMMENTS: -PW-1102.15(4W] GENERAL COMMENTS: -PW-1102.15(4W] CITY OF PORT ANGELES PUBLIC WORKS -ELECTRICAL DIVISION 721 EAST 5TH STREET, PORT ANGELES, WA 98.362 L -r•^ ELECTRICAL PERMIT ISSUED: 9/25/2001 PERMIT NO 7409 OWNER/APPLICANT PA SCHOOL DISTRICT 216 E. 4TH STREET Port Angeles, WA 98362 206/457-0949 T: S: PROPERTY LOCATION 216 4TH ST E Lot: 4 Block: 87 Subdivision: TPA Parcel No: CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 98360-0000 360/452-9104 360/000-0000 ® Long Legal PROJECTINFO Project Type: SCHOOL BUILDING Project Value: $0.00 Occupancy Type: $74.30 Construction Type: SERVICE INSTALL Occupancy Group: $0.00 Temp Service: Zoning Use: PBP $0.00 Electrical Heat: $74.30 AMOUNT PAID: $74.30 ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ® Overhead Service Voltage: 120,240 ❑ Heat Pump 0 KW ❑ Temp Service Phase: ® 1 ❑ ❑ Fan Wall 0 KW Service Size: 100 Feeder Size: 0 PROJECT NOTES FEES ASSESSMENT Service: $74.30 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $74.30 AMOUNT PAID: $74.30 BALANCE DUE $0.00 CONIM1_NTS/ACTION NEEDED 3 ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE / 7D 1 GENERAL COMMENTS: OWNERIAPPLICA PA YMHV 216 E. 4TH 2457#094 T. - 1fOI ITI M MINMION 6'.�' .`��a: P©°�'ai�y4lT.i+�Gh�s WA 1 t CMCi'�CT WN NIA, I. VARIOUS Port Angeles; WA M 2061000-0000 �,y�$,yam -ASS' I y� ryag� "'S, -FD 'Unfts.l '41 LC Fly 60 FT: tndustrisl. p RCIAL t Fee=2: $Q?� ft "Sur + .' Milk Fria` . .iii House, hWi ag $04' Monufacturad Home. $0.00 TOTAL FEE: $28.00 . TRAILER FOR TtACHEl BREAK FROOM s USSMENT Building Ponnit; $23M Mledf6s, 1: p .Flea Chi: t Fee=2: $Q?� ft "Sur + .' Milk Fria` . .iii House, hWi ag $04' Monufacturad Home. $0.00 TOTAL FEE: $28.00 . PlurnbiV.'' kJN s - 111Lsnl�enan�l+ Atli All -" _ _ _. ✓ BuELDINO PERMIT "INSPECTION RECORD C:W'PL.WPD .. FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN`. WATER LINE GAS LINE BACK FLOW ! WATER li AIR SEAL WALLS , CEILING FRAMING JOISTS I ,GIRDERS SHEAR WALL WALLS J ROOF / CEILING DRYWALL T -BAR INSULATION SLAB '. WALL / FLOOR I CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY./ INSERT HOOD/DUCTS PW UTILITIES / SITE WORK '(E;tigineefing Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING ESA: LANDSCAPING _ SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/IISE ,RESIDENTIAL .DATR , YES NO ' COIlLMI3RCIAL,- ' DALE . ACf'EP'ITr+D ELECTRICAL Iri7iT'DEPT. 4114, S ELEC1RiCAL`Y DEPT CONS f RUC 17dN Rw / PW/` ENGINEERING 417-4807 CONSIRUCR w: `' PwlENCiITdE �- FIRE 417-4653 FIRE DEPT. . " PLANNINGDEPT. 417-4750 PLANNING DEPT: 7 - BUILDING 417-4815 t :- BUILDING C:W'PL.WPD .. OF Pyr t '�rcwcJce's Applicant and/or Owner: Address: BUILDING PERMIT - APPLICATION The Building Permit - Pre -application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Architect/Engineer: Phone: FOR OFFICJ41, USE ONLY: Date Rec.: cf-0 f Permit #: I 2 Date Approved: Date Issued:___ Contractor License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC Li% TYPE OF WORK: SIZENALUATION: ❑ Residential ❑ New Constr. o Re -roof ❑ Woodstove SF. @ $ /SF. = $ ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF. @ $ /SF. = $ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @ $ /SF. = $ ❑ Repair ❑ Sign ❑ TOTAL V UATION $ BRIEF DESCRIPTION OF THE PROJECT: CONEMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: % Lot Coverage: % Existing;Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE /sq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? 13 Yes Yes ❑ No Other: OTHER BUILDING APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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 Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due 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, this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. PW-1102_13[rev51011 Applicant: Date: FRANKLIN SCHOOL FRANKLIN SCHOOL 20 LWNW 19 16 17 14 GYM 21 22 uBRARr Music 161513 1 �' NINi1R Ilm i c e ou w mrt. p* a 23 24 25 12 11 10 9 I COVERED 8 7 PLAYSHEAD ❑ 6 5 f CL I w sma mu 4 3 27 2 , 26 29 b 28 I \ 40' 80' SCALE: TIMOTHY R. HALEY ARCHITECT AIA PS 106'A E. FIRST PORT ANGELES WA. 1 SYGANN N aC1FORhIS11 IO2.15 i4r^21 CITY O PORT ANGELES DEPARTMENT OF GOA I)EVELOPiVIENT • BUILDING DIVISION -'" 21 EAST 5TH STREETPORT ANGELM WA 98362 j Applicstfon Nu0ber ` , . 03-00000911 date 11/93%03 Property Address . . . . . 1617,8 4TH ST ASSESSOR PARCEL`NUMM. 06-30-00-6-9-9020-60960 Application description '.., PM NEW SFR Subdivision Rama Propatrtx ialg R39 X51 SIMLE Fmni Wicatiant valuation 101077 OwvatContractor ___._'_.,.__<� ---------- ------r..___--- t listmcnMWF TERi1M CUSTM BONES 614 8 7TH ST'. P © BOX 97 PORT MMLRS Imo, 983628216 POULM WA 98370 1360) 697-7000 -__- - Structure Ihformatiam 22448F SPR W/ATTACHED 4808E OARA=..... Construction Type TYPE V NON -RATED l Occupancy Type SINGLE FAM A CONGREGATES OtherstruFt 3tfc8 . ' . OF /?NITS 1.00 Permit-SMSID»'TM Additional d0 . Permit, 'F 1476.45 : Plan Check Fee . S90.58 ' 186 Date . 11/03/03 Valuation a 161077 >'tpirationt tate $/42/04 Qty:unit oar" Par Extension EASE "E 1©17.2/ 2.00 S.$000 TWO BL -1001001_500R M60 PER X) -PVSrrt.�k- r��' - - __- - - --- - y�+4.NYt * PUMIT IMMO Additional desc Permit Pee .' . 108.60: plan check Bee . .00 Issue Date . 11/43/03 valuation 0 Mtpirattii m, rate . S/02/04 f3t1+ t fir_ -Extension BASS FU 47.00 1.00 14.7000 ME- INSTALL 100- FAD 14.70 S.007.2500 NCH, M -VENT FAR 36.2$ 1.00 1d. mo ECE M -GAS PIPE 1 TOS 10.65 :.. -Permit- -,_.y-PUMING PERI= Additional .4400 Permit-' Fa3e 67.00 Pian Check Fee .00 ` 3ssUe , Dnte 11/03/'03 Valuation - . 0. expiration Date S/02/04 City clot alarge Per . Extension BASB F1IE 47.0.0' 13.OQ 7.0000 SM PL- YAMMER MER ,tiN ONE TRAP 91.00' 1.00 1.0000 Btu.' PL- EA. ]1r STALL WATERPZPz 7.00 1,00 15.0000 EM PL- EA., BMG SMM 13.00 1.00 7.0000 SM PL-:*A.IIATER'SEATERR 7.00 - Spi"A41 Bo As004 its-- -Addressdress aumbeis shell be plainly visible from the street. Address utw6ers shall be`a minimum of six inches high and be is Contrast in calor of there background. -Other Bees- STATE MMCHARGE 4.50 Separate Perl,Iits airs required for electrical work, SEPA, Shoreline; ESA, utilities, private and public improvements. 'Chls permitbec.9nle1#: ; null aril void if work or construction auftu►rized is not commenced within 1$© days, itconstruction orwork is suspertdeii or aiiandonec! " for a period of 180 clays after t1>d work as cmntenced, ori# requiredinspections have not been requested within 1>I0 days from tl�e last inspection 1 iereby. certify that I have read and examined this application and know% the same to be true and correct Ali provisions, of I aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a "pemit does not presurne to give authority to violets or cancel the provisions of any site or locat law regulating instruction or the`pe6rrrlance of . cbristructiorY., 3-03 Signature of. contraCtOr,or Authorized Agent Date Signature of Owner (if owner is builder) late 1 SYGANN N aC1FORhIS11 IO2.15 i4r^21 777 BRING PERMIT" INSPEMON CORD ' CALL 417-4815 POR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ltlSUNLAWFUL .,lV C0VBA XNSUiATE OR CONCEAL ANY WO KBEPO E INSPECTED AND ACCEPTED. POST PERmff IN A CONSPICUOUS Lt)CATIUiY, KEEP PERMIT CARD AND APPROVED PI,ANS.AT JOB SITE INI~PEcnoN TYPE DATE ACCEPTED COli4MBNTS YES ' N4 FOUNDATION:: :- FOOTINGS WALLS CATION DRAINAGE I CTRICAL : (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN PLUMING UNDER FLOOR/ SLAB ROUGH -IN WATERLINE is am LII — BACK FLOW J WATER,. AIR SEAL - WALLS f -CRILING JOISTS I GIRDERS i > SHEARWALL WALLS J ROOF J CEiL@*ICi DRYWALL T -BAR INSULATION SLAB -_ WALL /FLOOR/ CEILING MECHANICAL MEAT PUMP 4 WOOD STOVE J PEuXTJ Ci Y MOOD J DUCTS mum— PW UTnmE3 i FITS woom Division) ,SBPAR_ ATE PERMIT # WATERLJNE /METER SEWED: CO NUMON :SANITARY ,. STORM K ANNMG DEPT. SBPAP:ATIi PFsRMTi !�'s SEPA: PAR"GJLIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTI" REQUIRIED PRI(?R'TO OCCUPANCYJIJSE RR$Ii1UMAL DATE YES NO COMMERCIAL,,,, `,. DATE ACCEPT$D YES ; ELECTRICAL- LIGHT DEPT. 4174735LIGHT b PT GnTRUCTION R W, J PWJ 417-4807 CONSTRUCTION -r. PW / HNOINEERIN GiNEEPtING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. ' 417-4750 PLANNING ICT DEPT, - I3UILDANO 417.4$15 BUHlX NG T:IPLANNINCAFORWI142 3 (4*2I pOflT 4410toF 00CITY OF PORT ANGELES LIGHT DEPARTMENT License Number: 09 1 321 E. Fifth Street Owner/Business: /i /t O r l -t , Port Angeles, WA 98362 ,T�t (206) 457-0411 FURNACE KW �S , /❑ ELECTRICAL PERMIT PERMIT NO. ; - / Cf ? DATE 2/r1/ Site Address: / L/ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: License Number: 09 1 Phone: Owner/Business: /i /t O r l -t , Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL 7C?% RD KW New Meters Date: K FURNACE KW �S , /❑ NEW CONSTRUCTION nAL a@ HEAT PUMP KW ❑ REMODEL ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ SERVICE UPGRADE/REPAIR ❑ TEMPORARY SERVICE Details/Description: ❑ RISER OVERHEAD SERVICE ❑ UNDERGROUND/SERVICE VOLTAGE: - 1401 -Wo ,0 ❑30 SERVICE SIZE `�S� AMPS FEEDER SIZE AMPS W.S. No. SERVICE SIZE CAPACITY: ❑ O.K. ❑ NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE ❑ Ditch Inspection O.K. I� Rough-in/cover O.K. ❑ O.K. to connect service xo�x Final O.K. DATE ENGR. ❑ OVERHEAD SERVICE APPROVED ❑ CHANGE SERVICE WIRE ❑ OTHER Site Address: a/b Permit/Receipt No. 7C?% Installer: New Meters Date: __� �r Notify Port Angeledity Light by Street Address and Permit Number when ready for inspection. Work must not be covered ® before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildin mit. PHONE 457-0411, EXT. 224. / p NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT @�^ W /, v E ctrical Inspector Permit Fee WHITE — File by address OLYMPIC PRINTERS INC. PINK—Top: Eng, Bottom, Customer GREEN — Top: Meter Dept., Bottom: City Hall OF NORr 4NC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 o,T�, (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. r 71 Z DATE Site Address: 1-1READY FOR 11 WILL CALL FOR INSPECTION INSPECTION Installed By: ©/ License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ BASEBOARD KW ❑ FURNACE KW , , - X HEAT PUMP KW Zf 8K49 / ❑ FAN/WALL KW a - daf A,L e skcUewd ❑ RESIDENTIAL ❑ COMMERCIAL ❑ NEW CONSTRUCTION ❑ REMODEL ❑ ADD/ALTER CIRCUITS K SERVICE UPGRADE/REPAIR ❑ RISER OVERHEAD SERVICE ❑ UNDERGROUNP SERVICE VOLTAGE: O [2 X 1 0 ❑ 3 0 SERVICE SIZE =5.SO AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS vv.S. NO. SEHVIGE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. _ ,/4^)i1NO.K. to connect service ❑ Final O.K. ❑ OVERHEAD SERVICE APPROVED ❑ CHANGE SERVICE WIRE ❑ OTHER Site Address: Permit/Receipt No. Installer: New Meters Date: Notify PortAngles City Light by Street Address and Permit N umber when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. 77 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector Permit Fee WHITE — File by address PINK— Top: Eng, Bottom, Customer GREEN —Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 .Application Number , . . . , 13-00001411 Date 1/17/14 Application pin numher 023153 Property Address , , . 216 E 4TH ST ASSESSOR PARCEL N'UMRER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . , . . . Property Use , . . . . . . , Property Zoning , Application valuation , , , , 0 Application desc Bloch Permit .Tan, I - June 30 2014 ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . , . . ELECTRICAL ALTER COMMERCIAL DATE: RESULTS: Additional desc BLOCK. PERMIT SAN, 1 - JUNE 30 Permit Fee 1154.50 Plan Check Fee .00 Issue Date . . . 1/17/14 Valuation 0 Expiration Pate . , 7/16/14 Qty Unit Charge Per Extension BASE FEE 1154,50 Fee summary Charged Paid Credited Due Permit Fee Total 1154,50 1154,50 .00 .00 Plan Check, Total 00 .00 .00 00 Grand Total 1154.50 1154,50 .00 .00 REPORT SALE'S TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\I3UILI7ING PREPARED 6/02/14, 8:32:49 PAYMENTS DUE RECEIPT CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:' 14-00000639 216 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 1154,50 TOTAL DUE 1154.50 Please present this receipt to the cashier with full payment. ELECTRICAL PERMIT CITY_ OF PORT ANGELES 360-417-4735 Application Number . . . , 14-00000639 Date 7/17/14 Application pin number . . , 038243 Property Address . . , , . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property zoning , . . . . , . Application valuation . . . . 0 Application deet r July 1 Dec. 31 block permit ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT 4121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ----------------------------------------------------------------------------- Permit . , . . . . ELECTRICAL ALTER COMMERCIAL RESULTS: Additional desc JULY 1 - DEC. 31 BLOCK PERMIT Permit Fee 1154.50 Plan Check Fee 00 Issue Date 7/17/14 Valuation 0 Expiration Date 1/13/.15 Qty Unit Charga Per Extension. BASE FEE 1154.50 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total. 1154.$0 1154.50 .00 .00 Plan Check Total .00 DO Go 100 Grand Total 1154.50 7.154.50 .00 .00 REPORT SALES TAX on your excise fax 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:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , . . 14-00001413 Date 12/22/14 Application pin number 451591 Property Addrees , . . 216 E 4TH ST ASSRSSOR PARCRL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , . , . . Property Use Property Zoning . . . . . . . Application valuation , , . , 0 ---------------------------------------------------------------------------- Application desc Annual Electrical Block Permit Jan 1 - Tune 30 ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT 0121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . , . . . ELECTRICAL ALTER COMMERCIAL RESULTS: Additional desc ANNUAL ELECTRICAL BLOCK PERMIT Permit Fee 1154.50 Plan Check Fee 00 Issue Date . , . 12/22/14 Valuation , . . . 0 Expiration Date . . 6/20/15 Qty unit Charge Per Extension .BASE FEE 1154.50 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- ---------- 1154.50 ---------- .__-_-_-__ 1.154.50 .00 .00 Plan Checic Total 00 .00 ,00 .00 Grand Total 1154.50 1154,50 ,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 � l� COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAFXCIIANGEIBUILDING WASH l N GTO N, U . S. A. Public Works & Utilities Department December 1, 2014 Nolaal Duce School District 4121 . 216 East Fourth Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PAMC 14.05.140.B Dear Nolan, The School District's annual electrical block permit, issued by the City of Port Angeles, expires December 31, 2014. The Port Angeles Municipal Code {PAMC} addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a $1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18, 2011, the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. The billing cycle for 2014 is as follows: 151 billing cycle: January 1 through June 30 2"d billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector P.O. Box 11.50 Port .Angeles, WA 98362 Please include a copy of the enclosed pa ments due receipt with your remittance, along; with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. 1 look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: George Drake, Operations Manager Phone. 360-4-17-4800 Fax: 360-417-4542 Website: www.cityofpa.us I Email: pub1icworks@cityofpa.us 321 East Fifth Street - P.O. Box 11501 Port Angeles, WA 98362-0217 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 14-00001413 Date 12/22/14 Application pin number . . . 451591 Property Address . . . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . Application valuation . . 0 __------------------------------------------------------------------- --.._ Application desc Annual Electrical Bloch Permit ;Tan i - June 30 ---------------------------------------------------------------------------- Owner Contractor ------------------------- ------------------------ SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ATTER COMMERCIAL INSPECTOR: Additional desc ANNUAL ELECTRICAL BLOCK PERMIT Permit Fee 1154.50 Plan Chec% Fee .00 Issue Date . . . . 12/22/14 Valuation . . . . 0 Expiration Date . . 6/20/15 Qty Unit Charge Per Extension HASH FEE 1154.50 - Fee summary Charged Paid Credited Du'e Permit Pee Total 1154.50 1154.50 .00 .00 Plan Checic Total .00 .00 .00 .00 Grand Total 17.54.50 1154.50 .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 1`ROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . , . . 15-00000624 ]late 7/06/15 Application pin number , . . 143824 Property Address , , , 216 E 4TH $T ASSESSOR PARCEL, NUMBER: 06 30 -00 -0 -1 -6945 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , , , , , Property Use Property Zoning , . , , . . . Application valuation . , . . 0 Application desc Bi -annual electrical work permit Duly 1 - Dec. 31 ------------------------------------------------------------- _-___----- Owner Contractor SCHOOL LII STRICT # 121 OWNER 216 E 4TH ST PORT ANGELES WA 953623200 Permit , . . I EL4ECTRICAL ALTER COMMERCIAL RESULTS: Additional desc BI -ANNUAL ELECTRICAL WORK PERM Permit Fee 1154.50 Plan Check Pee OD Issue Date. 7/06/15 Valuation . , . . D Expiration Date 1/02/16 Qty Unit Charge Per Extension BASE FEE 7154,50 ----------------------------------------------------------------------------- Fee summary Charged ---------- ---------- Paid Credited ---------- ---------__ Due ----------------- Permit Fee Total 1154.50 7.154.50 .00 ,00 Plan Check Total .00 .00 .00 ..00 Grand Total 1154.50 1154.50 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DITCH DATE: RESULTS: INSPECTOR: SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILT, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILD[NG ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . , , 16-00000467 Date 4/05/16 Application pin numher 979234 DITCH Property Address 1 1. . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . , . . . . , . FINAL Property zoning . . . . . . , Application valuation , , . , 0 Application desc Heat pump & Gfci ---------------------------------------------------------------------------- Owner Contractoz SCHOOL DISTRICT 4121 EXTRA MILE TECH & ELECT., LLC 216 E 4TH ST 418 N. RACE ST, .PORT ANGELES WA 983623200 PORT ANGELES AIA 98362 (360) 457-5222 Permit . . . . , , ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . , 79.00 Plan Check Fee .0.0 Issue Date 4/05/16 Valuation , , . , 0 Expiration Date 10/02/16 Qty Unit Charge. Per Extension 1.00 74,0000 ECH ''EL -COMM BRANCH CIR WO/ S/F 74.00 1,00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 79.00 79.00 .00 .00 Plan Check 'fatal 00 DO 00 00 Grand Total 79.00 79,00 .00 00 REPORT SALES TAX on your excise tax form to the City of Pori 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 Data: G:IEXCHANGE1Bi7ILDING Crry oF PoRT ANGEuRs PERmff APPLIcATION APR 4 2016 Bunding DivisionMectirical Inspections 321 East Fifth Stmet—P-0- Box 1150 1 Port Angeles Washington, 983% Ph: (360) 4174735 Fa= (360) 4174711 INSPEcTIONS - Multi -Family or Commercial* * Plan Review May Be Required, Please Complete rWrical Plan R v w Information Sheet Job Address: . . - — (� r—a5r_L 4L f�=V' Building Square Footage: Oescdption of above x or_ i Lze—hL Ommer InformatiQn C- rA D i 'S. �/z i t' Contmactor Infonudon A47. LE T& -,f+ Namf-Pvy-V a As'r Ag�A� WifagAddmss- Aft :�� ciV. Phope:_I�J��Fsx- U(conswEv— Ucense#/EW ftem Unfft _QharQa -Q!Y Total SmicelFeeder 200 Amp- $132.00 $— ServiceFeedef 201-400 Arrip. $160.00 SeNlceFeeder401-600 Amp $M.CO ServicelFeader601-1009 Amp. $288.00 SeMWIFeedlerovor 1000Amp. $ 410.CO Bmnch Circuft W1 Swice Feeder $ 6Z $ Branch airmfft W10 Service Feeder 74.00 Each Addillional Bwch Circult 5.00 )i Branch ClWds 1-4 suo Ternp. Servicef Feedef 20D Amp. $102.00 Temp. GerkelFeeder2al-400 Amp. $121.00 Temp, %Mce/Fesder 401-600 Amp� $164.00 Temp. SarvicaFeeder(301400 Amp, $165.uo Fortal 10 Portal HoUrlY $ 96.00 Sign/OiAline Lighting $ 88.00 Signal arcou u1mited Energy — mu'&Fadly $ 64.01) Si_Mal QrGU19 U171111ted EfiRroy I FIrSt 1 Boo Sf — Commercial $ 98-00 Note: �5.00 for each adftnal 1500 sf Renewable Electdcd Fhergy - 6KVA Splem or Lew $113-00 Thermostat $ 56.00 Note, $5.01) for each WOonal T-Glat Total Owneras definudby RCW.19-28,261: (1) OvvnervAl occupy the stracture for two years after this ejectricW permit is linaliZed. (2) Owneris required to hirean electricEd contractor if above said pmpertyls fbirsale, rentorlease. Permitexpires afterskmoriftaf lastinspeolon. AAerreadingthe aboves�tatement, I herabyce*thatl aratheownerof the above named property ora licensedelectrical contmotor. I orn making the electrical installation or afteration in compliance with the elecftical laws, N.E.C, RGW. Chapter 19.28, WAC. Chapter 2964168, The City of Part Angeles Municipal Code, and Uffity Specifications and PAMG 14.05.050 regarding Elecldcal Permit ApplicaUons, SignaWre of omer, elechrilml cor4ractor or electrical adafinishator. 0 Cwh 0 chatik X 01101012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , , , 16-00000469 Date 4/04/16 Application pin number . , . 686704 DITCH Property Address , , , , 216 R 4TH ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use FINAL. COMMENTS: Properly Zoning . , , , . , Application valuation . . . , 0 Application desc Replace ducted heat pump system ----------------------------------------------------------------------------- Owner Contractor SCHOOL DTSTRICT #121 DAVE'S HTG & COOLING SRVC INC 216 E 4TH ST PO 30X 413 PORT ANGELES WA 983623.200 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------- ----------------------------------------------------------- -----13-Z(------------ Permit , , . , , , ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 55,00 Plan Checic Fee .00 Issue Date 4/04/1.6 Valuation 0 Expiration Date 14/01/16 . Qty Unit Change Per. Extension 1,00 56.0000 ECH EL-LVT-THERMOSTAT 56,00 Fee summary Charged Paid Credited Due ---------------- ---------- Permit Fee Total 56,00 ---------- ---------- 56.00 .00 ---------- .00 Plan Check Total 00 .00 .00 .00 Grand Total 56.00 56.00 ,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: QTXCHANGEIBUILDING 04/01/2016 11:29AM FAX 3604524376 QAVES HEATING & COOLING GIT OF PORT ANGELES PERTVJUT APPLICATION NEC ry� � Emilrling Divisilon/Elect�-lcal Inspections 321 East Fifth StRet--P,O, Box 1150 / Port Angeles Washington, 98SI � Ph: (3650) 4174 35 Fax. (360) 4117-4711 . SNS bete. 1 1 & 2 Single Family Dwelling irCifQi 1; 80001/0002 �' 'gyp ��,{'.„� �`�g ✓f• Y M1'rf' i�nr. af Y Plan Review May Be Required` Please Complete Electrical Plan Re few iTormatiorr Sleet .tab Address; Buildinfl Squarefaoiaga--._.... Description otabove __.,.�cCz..►-..xLr.��,,,���— ���_,�� w -�-- owner formation Nallle' rO3 �� LS Contractor lnformati�f n l+icme Gtr i"{-sf vCr h4airlrgiddrea ��'�., City' dry Slate ' GJf Zi_P•� luEailir dregs b�,, �{ ” C 1 0 Phone:_ r�r=— t a.i1J 7_10 — '�Y phone _ : Fax :ate- � " License 91 Exp Item SurviC(dF2rdar ?UO Amp Unit Char a $120.00 [1t1 Total {AV Multiplied by Unit CltarLl � SenricelFeaaer 201-4UO Amp. $ 146.00 _ - ServicWFeeder 401.600 Amp $ 205.00 $� ervicell-eeder 601-1000 Amp $ M 00 ..� ___• 5ervicelFeeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder " 6•00 Branch cinxnl W10 sorvlce l eeder 663.00 Each Additional Branch Circuit $ 5,00 $ Branch Circuity 14 S 75.00 $ Temp. Servicel Faudar 200 Amp $ 9300 �^ $ Temp. SarvicalFeeder 201400 Amp. $111100 _ S� Temp "Srarwceiroeder401 600 Amts. $14h,0[1 -- S..._... Temp, 601-1000 Amp . $16$ 00 - POW to Portal Houdy $ 96.00 Signal Circuit! Limited Prier�y • 1 & 2 Family Dwciting $ 6400 $ Manalactured Home Connection $120.00 _ � — Renevnble Electrical Energy - 5KVA System or Less S 102,00 S -- Thermo3tal $ 56.00 dole $6.00 for each 2d(lilionaf T -Sial NEW CONS R CTION ONLY: Firal 1,100 Square FL $12000 — $ Each Additional 500 Square Ft. or Portion of 6 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming t'col or Mot To $114.00 _ T 1 rd5 1 ota1 Owner as defined by RCVV 10.28.261: (1) Owner will occupy the structure for No years after this electrical permit is fipaliZed. (2) Owner is requirec 1 to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six rhonths of last inspection. I Afler reading Me above staternept. l hereby certify that I am the ovvnrrrof the above named property or a licensed c.ic ntncal conlrartor I am rnakin g the electrical installation or alteraturn in compliance with the eleciriaol lawns, N.E.C., RCW. Chapter 19.28, WAC. Chaptcr 29646b, The City of Por 1 Angeles !Municipal Code, and Utility Specifications and PAMC 14.05.060 regarding Electrical Permit Applications. Signature of owner, aleotrical oontraetor or electrical administrator, 0 cash ❑ check credit Caw a-...— Oatcd: — 0=121112 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 17-00001754 Date 1/30/18 Application pin number . . . 329358 Property Address . . . . . . 216 E 4TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6905 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name - to the_C#Y Of Pod Angeles Property un . . . . . . . . Zoning . (Location Code 0502)..Property Application valuation . . . . 0 -- -- - ----- -- Application desc Annual electric block permit Jan.l - June 30 ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . ANNUAL ELECTRIC BLOCK PERMIT J Permit Fee . . . 1154.50 Plan Check Fee . .00 Issue 'Date' . . . 1/30/18 Valuation 0 Expiration Date 7/29/18 Oty unit Charge Per Extension BASE FEE 1154.50 1 ---------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- -- Permit Fee 'total 1154.50 1154.50 .00 .00 Permit Plan Check Total :00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH ; SERVICE ` ROUGH -IN FINALL31 PERMff, V"ME" LE. 0j1v[QNM FROM LAST INSPEMON Si€tturef c�r,ax Elrical Contractor X Date:- JORT NGELES .A WASH I N GTO N, U. S. A. Public Works & Utilities Department December 1, 2017 Nolan Duce School District#121 216 East Fourth Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PANIC 14.05.140.13 Dear Nolan, The School District's annual electrical block permit, issued by the City of Port Angeles, expires December 31, 2017. The Port Angeles Municipal Code (PAMC) addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a $1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18, 2011, the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. Billing cycles are as follows: I" billing cycle: January 1 through June 30 2nd billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector 321 E Fifth St. Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. I look forward to working with you in this matter. Sincerely, Trent Peppard' Senior Electrical Inspector cc: Michael Cyr, Operations Manager Light Operations Division Phone: 360-417-4800 / Fax: 360-417-4542 Website: www.cityofpa.us / Email: publicworks@cityofpa.us 321 East Fifth Street / Port Angeles, WA 98362-0217 ELECTRICAL PERMIT CITY OF PORT ANGELES 3644174735 Application Number 17-00000755 Date 7/14/17 Application pin number 599710 Property Address . . . . 216 E 4TH ST REPORT StA` S' TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6905-0000- Application type description ELECTRICAL ONLY on your eX:; tex ifll Subdivision Name t© the City of�+Porrl'/gngeleS Property use . . . . (L©cadon Coote 0502) Property Zoning . Application valuation . . 0 Application desc Bi -annual electrical block permit July 1 - Dec.31 ---------------------------------------------------------------------------- Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc BI -ANNUAL ELECTRICAL BLOCK PER Permit Fee 1154.50 Plan Check Fee .00 Issue Date- . . . . 7/14/17 Valuation . . . . 0 Expiration Date 1/10/18 Qty Unit Charge Per Extension - BASE FEE 1154.50 % ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- -------- -- ---------- ---------- Permit Fee Total 1154.50 1154.SO .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 1154.50 1154.50 .00 .00 PxEeAXED b/UJ/ 1/, /:b/ Id rll i.I ZINI iJUM CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 17-00000755 216 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 1154.50 TOTAL DUE 1154.50 Please present this receipt to the cashier with full payment. Application Number . . . . . 22-00000805 Date 9/22/22 Application pin number . . . 508395 Property Address . . . . . . 905 W 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-5900-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bi-annual Electrical Block Permit July 1 - Dec. 31 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 (360) 457-0949 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BI-ANNUAL ELECTRICAL BLOCK Permit Fee . . . . 1154.50 Plan Check Fee . . .00 Issue Date . . . . 9/22/22 Valuation . . . . 0 Expiration Date . . 3/21/23 Qty Unit Charge Per Extension BASE FEE 1154.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 .00 Application Number . . . . . 22-00000926 Date 7/26/22 Application pin number . . . 607100 Property Address . . . . . . 216 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6905-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Outside lights ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM COUNTY PUBLIC HOSPITAL SIMPSON ELECTRIC DBA OLYMPIC MEDICAL CENTER 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 91.00 Plan Check Fee . . .00 Issue Date . . . . 7/26/22 Valuation . . . . 0 Expiration Date . . 1/22/23 Qty Unit Charge Per Extension BASE FEE 86.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 91.00 91.00 .00 .00 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 PREPARED 7/25/22,11:32:32 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000926 216 E 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 91.00 TOTAL DUE 91.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Exterior lighting 358.42 Couplings and Connectors. Couplings and connectors used with EMT shall be made up tight. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/19/2022 22-926 TAP OWNER CONTRACTOR Simpson Electric PROJECT ADDRESS 216 E 4th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Exterior lights NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/24/2022 22-926 TAP OWNER CONTRACTOR Simpson Electric PROJECT ADDRESS 216 E 4th St