Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
201 E Front St - Building
PREPARED 11/09/10 8 27 22 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/09/10 ADDRESS 201 E FRONT ST TENANT NBR PARKER PAINT CONTRACTOR HOCH CONSTRUCTION OWNER WILLIAM C BORK PARCEL 06 30 00 5 0 0193 0000 APPL NUMBER 10 00000964 COMM REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 9/17/10 JLL BLDG FRAMING TIME 01 00 9/17/10 AP October 7 2010 10 14 25 AM 1pangrle FRAMING October 7 2010 10 14 51 AM 1pangrle BL99 01 11/09/10 JLL BLDG FINAL TIME 02 30 /J November 8 2010 4 24 58 PM 1pangrle ELI 460 3988 BUILDING FINAL PLEASE INSPECT AFTER 2 30 PM PL99 01 11/09/10 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS JLL PLUMBING FINAL TIME 02 30 November 8 2010 4 25 43 PM 1pangrle ELI 460 3988 PLUMBING FINAL PLEASE INSPECT AFTER 2 30 PM COMMENT D NOTES SUBDIV PHONE (360) 452 5381 PHONE (360) 457 9161 Owner 1 00 1 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total p2'' 5r T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC 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 Application desc FIRE DAMAGED JOIST REPAIR WILLIAM C BORK 518 VASHON ST PORT ANGELES (360) 457 9161 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 7 0000 EA 7 0000 EA WA 983626315 Per SINK 10 00000964 573380 201 E FRONT ST 06 30 00 5 0 0193 0000 PARKER PAINT COMM REPAIR CENTRAL BUSINESS DISTRICT 37000 Contractor HOCH CONSTRUCTION 4201 TUMWATER TRUCK RT PORT ANGELES WA 98363 (360) 452 5381 FIRE DAMAGED JOIST REPAIR PLUMBING PERMIT NEW SINK 175299 64 00 Plan Check Fee 11 /01 /10 Valuation 4/30/11 BASE FEE PL- PLUMBING TRAP PL -WATER LINE STATE SURCHARGE Charged Paid Credited 64 00 64 00 00 00 00 00 4 50 4 50 00 68 50 68 50 00 Date 11 /01 /10 Due 4 50 00 00 00 00 00 0 Extension 50 00 7 00 7 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) b 5 ,e., S Sv Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Inspection Type FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 I Planning 417 -4750 I Building 417 -4815 I Date Accepted By PREPARED 9/17/10 8 14 19 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/17/10 ADDRESS 201 E FRONT ST SUBDIV TENANT NBR PARKER PAINT CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER WILLIAM C BORK PHONE (360) 457 9161 PARCEL 06 30 00 5 0 0193 0000 APPL NUMBER 10 00000964 COMM REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/17/10 J. BLDG FT�T' Septe er 17 2010 8 04 17 AM 1pangrle KYLE 461 0043 BUILDING FINAL FIRE DAMAGED JOIST REPAIR COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC 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 Application desc FIRE DAMAGED JOIST REPAIR Owner WILLIAM C BORK 518 VASHON ST PORT ANGELES (360) 457 9161 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 12 00 10 1000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total /'Y Date Print Name TForms /Building Division /Building Permit. WA 983626315 538 95 350 32 4 50 893 77 10 00000964 573380 201 E FRONT ST 06 30 00 5 0 0193 0000 PARKER PAINT COMM REPAIR CENTRAL BUSINESS DISTRICT 37000 538 95 350 32 4 50 893 77 Contractor HOCH CONSTRUCTION 4201 TUMWATER TRUCK RT PORT ANGELES WA 98363 (360) 452 5381 FIRE DAMAGED JOIST REPAIR BUILDING PERMIT COMMERCIAL FIRE DAMAGED JOIST REPAIR 172726 538 95 9/09/10 Valuation 3/08/11 Plan Check Fee Date BASE FEE BL -25 001 50K (10 10 PER K) STATE SURCHARGE Paid Credited Due 00 00 00 00 9/09/10 350 32 37000 Extension 417 75 121 20 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) O ki\Ct° 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 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING. Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 9- 1'l -ID PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date FINAL Date Accepted by Date 1l -coq to Accepted by Accepted By P B Applicant or Agent ealthnlavhn Ph f SQ Property Owner Phone 45 I Property Owner's Address 5 slum ae 18'3 6o.1. Contracto eer 1 �y7,«,}, Phone 3(00 45D .3S1 Contractor /mss Address 4-- `o c-k__ 10- q q License j- }1)e{i (a,KL( Expires 1901L E- mail tch@6( c. }le+ PROJECT ADDRESS Parcel Number p•iect Throe Brief Description. Check all that apply New Construction o Addition Floor Areas Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Q o Residential ACommercial o Multi- family o Industrial ParKe► o Remodel nor P5"" lut ►�t tv Repair ",t; f) ,.05 5 Il(1di n a 2. S ��r\ k Re -roof o Demolition Heat System 4¢Other 2c_.Y.•__ Heat pump wood burning stove o gas fireplace o pellet stove o other a. SM-etP Existinnq (sq. ft.) proposed (sq. ft.) 0.13 6an .e 1,30 per sq. ft. E c5D ,S ac r Q 1 �5�" G A2.120 SDL,.6C Total footprint of structures sq. ft. Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will afire sprinkler system be installed? Construction type A PPLICATION Print in ink For City UsA 3y• Date Received P: mit IO te Approve Lot Zoning J J 1 u rte.(r,ina or t�'1 r_h4�iCa TOTAL VALUATION '3? (.7,X) C11 sq. ft. Lot coverage ok I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior) working on projects. Date 9 1 /d Print Name ��(,f I,P E Signature/ s of bedrooms of full baths of half baths Clallam County Assessor Treasurer Property Details 61293 WILLIAM C BORK for Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 61293 WILLIAM C BORK for Year 2010 2011 Property Account Property ID Taxes and Assessment Due Property Tax Information as of 09/03/2010 Amount Due if Paid on 61293 Legal Description TIDELANDS EAST S144 LT 9 BL 2 Geographic ID 0630005001930000 Agent Code Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 59 Open Space: N DFL N Historic Property' N Remodel Property N Multi- Family Redevelopment: N Township Section Range. Location Address: 201 E FRONT ST -203 Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Comm Map ID 2 Neighborhood CD: 20953140 Owner Name WILLIAM C BORK Owner ID 14744 Mailing Address. 518 VASHON ST Ownership 100 0000000000% PORT ANGELES WA 98362 -6315 Exemptions. First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base 2010 44016 ST SCH STATE SCHOOL $303 80 $303 80 $0 00 $0 00 $3C 2010 44016 CC -GEN COUNTY $161 67 $161 67 $0 00 $0 00 $1€ 2010 44016 PORT PORT $22.72 $22.73 $0 00 $0 00 $2 2010 44016 PORT ANG PORT ANGELES $374 31 $374 32 $0 00 $0 00 $37 2010 44016 SD #121 SCHOOL DISTRICT #121 $393 50 $393 50 $0 00 $0 00 $3f 2010 44016 NTH OLY LIB NORTH OLYMPIC LIBRARY $46 98 $46 98 $0 00 $0 00 $4 2010 44016 HOSP #2 HOSPITAL #2 $66 32 $66 32 $0 00 $0 00 $E 2010 44016 WSMET PK DIST WILLIAM SHORE MET PARK DIST $21 10 $21 11 $0 00 $0 00 $2 2010 44016 CITY STORMWATER CITY STORMWATER $64 74 $64 73 $0 00 $0 00 5€ 2010 44016 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9 2010 44016 TOTAL. $1455.96 $1455.97 $0.00 $0.00 $14'. 2009 612932008 ST SCH STATE SCHOOL $354 54 $354 54 $0 00 $0 00 $7C 2009 612932008 CC -GEN COUNTY $179 43 $179 42 $0 00 $0 00 $3E 2009 612932008 PORT PORT $25 42 $25 41 $0 00 $0 00 $E 2009 612932008 PORT ANG PORT ANGELES $393_57 $393 55 $0 00 $0 00 $7E 2009 612932008 SD #121 SCHOOL DISTRICT #121 $438 42 $438 48 $0 00 $0 00 $87 2009 612932008 NTH OLY LIB NORTH OLYMPIC LIBRARY $52.14 $52.13 $0 00 $0 00 $1( 2009 612932008 HOSP #2 HOSPITAL #2 $73 59 $73 58 $0 00 $0 00 $14 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =61293 9/3/2010 r LINDBE A R C H I 31 9 s. peabody, suite b, port angeles, wa 98362 360 .452.6116/ fax 360.452.7064 P r ot Protect: �'i4�K� ect F ^rJ' 'g Protect No Date. j of `y,T'S By: �D 1 is> Sheet of ISGk.. z 7-5 E3XIhri Are., ,,l Jo /sTG .2'05" J°7-, i tw Jp/g17"5 W GIIAlte.rjyy) i id Oaks— PrZOW 1 OW N& 3'4 1+&' L Ate, ALvNG 5Z 77 15X /4n tL A, Id l Vt5 L -oar, I,oaa CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall net prevent the building official from thereafter requiring the correction of errors in said plar specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinanpes of this jurisdiction. 4LOPP/1/AAt Approval Date 10 By Vol, rJ Ltss -mP P w r ,q Project: Location. Floor Joist 1 Fti'oor Joist NOTES [2009 International Building Code(2005 NDS)] 1 75INx140INx24.OFT @16 Versa -Lam 2800 Fb DF Boise Cascade Section Adequate By 7.2% Controlling Factor Deflection DEFLECTIONS Center Live Load 0.56 IN L/515 Dead Load 0.09 in Total Load 0.65 IN 0441 Live Load Deflection Criteria: L/480 REACTIONS Live Load Dead Load Total Load Bearing Length A B 720 lb 720 lb 120 lb 120 lb 840 lb 840 lb 0.64 in 0.64 in Center BEAM DATA Span Length 24 ft Unbraced Length -Top 0 ft Unbraced Length- Bottom 0 ft Comparisons with required sections: Section Modulus: Area (Shear): Moment of Inertia (deflection): Moment: Shear Total Load Deflection Criteria: L/360 Floor sheathing applied to top of joists -top of joists fully braced. Floor Duration Factor 1.00 MATERIAL PROPERTIES Versa -Lam 2800 Fb DF Boise Cascade Base Values 1Adiusted Bending Stress: Fb 2800 psi Fb' 2752 psi Cd =1 00 CF =0.98 Shear Stress: Fv 285 psi Fv' 285 psi Cd =1 00 Modulus of Elasticity E 2000 ksi E' 2000 ksi Comp. -L to Grain: Fc -L 750 psi Fc 750 psi Controlling Moment: 5040 ft-lb 12.0 Ft from left support of span 2 (Center Span) Created by combining all dead loads and live loads on span(s) 2 Controlling Shear 773 lb At a distance d from left support of span 2 (Center Span) Created by combining all dead loads and live loads on span(s) 2 Read Provided 21.97 in3 57 17 in3 4.07 in2 24.5 in2 373.19 in4 400.17 in4 5040 ft -lb 13112 ft-lb 773 lb 4655 lb StruCalc Version 8.0.100 0 LOADING DIAGRAM JOIST LOADI)Q Uniform Floor Loading Center Live Load LL 45 psf Dead Load DL 7.5 psf Total Load TL 52.5 psf TL Adj. For Joist Spacing wT 70 plf 8/31/2010 1:33:02 PM page /of Project: Location: Floor Joist 1 Fjoor Joist [2009 International Building Code(2005 NDS)] 1 51Nx15.0INx24.OFT @160C #2 Douglas- Fir -Larch Dry Use Section Adequate By 21.3% Controlling Factor Moment DEFLECTIONS Center Live Load 0 44 IN L/651 Dead Load 0 11 in Total Load 0.55 IN L/521 Live Load Deflection Criteria: L/480 REACTIONS A Live Load 480 lb 480 lb Dead Load 120 lb 120 lb Total Load 600 lb 600 lb Bearing Length 0.64 in 0.64 in )SEAM DATA Center Span Length 24 ft Unbraced Length -Top 0 ft Unbraced Length- Bottom 0 ft Floor sheathing applied to top of joists -top of joists fully braced. Floor Duration Factor 1 00 MATERIAL PROPERTIES #2 Douglas- Fir -Larch )C1axflt Ja terr Total Load Deflection Criteria: L/360 Base Values tsgiusted Bending Stress: Fb 900 psi Fb' 931 psi Cd =1 00 CF =0.90 Cr -1 15 Shear Stress: Fv 180 psi Fv' 180 psi Cd =1 00 Modulus of Elasticity E 1600 ksi E' 1600 ksi Min. Mod. of Elasticity E_min 580 ksi E_min' 580 ksi Comp. to Grain: Fc 625 psi Fc L 625 psi Controlling Moment: 3600 ft 12.0 Ft from left support of span 2 (Center Span) Created by combining all dead loads and live loads on span(s) 2 Controlling Shear 540 lb At a distance d from left support of span 2 (Center Span) Created by combining all dead loads and live loads on span(s) 2 Comparisons with required sections: Section Modulus: Area (Shear): Moment of Inertia (deflection): Moment: Shear NOTES Read Provided 46.38 in3 56.25 in3 4.5 in2 22.5 in2 310.99 in4 421.88 in4 3600 ft -lb 4366 ft -lb 540 lb 2700 lb StruCalc Version 8.0.100.0, L DIAGRAM 8/31/2010 1:33:53 PM page o f JOIST LOADING Uniform Floor Loading Center Live Load LL 30 psf Dead Load DL 7.5 psf Total Load TL 37.5 psf TL Adj. For Joist Spacing wT 50 plf Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 20 circuits repair after fire Owner BORK WILLIAM C 518 VASHON ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 73 5000 ECH 19 00 2 6000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total WA 983626315 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000803 135345 201 E FRONT ST 06 30 00 5 0 0193 0000 ELECTRICAL ONLY Contractor NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES Date 7/30/10 WA 98363 (360) 477 1764 9.L1 ci11�� ELECTRICAL ALTER COMMERCIAL 'C 170415 122 90 7/30/10 1/26/11 EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 122 90 122 90 00 00 00 00 122 90 122 90 00 $11 -1(0 DATE. INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee 00 Valuation 0 Extension 73 50 49 40 Due 00 00 00 fly RESULTS -9 -ia i� 9- to .A° REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) c"caNd.) 11.2 INSPEC6R. Au° v Date 3 N Crt 0 2010 -07 -29 22 :08 NORTH PENINSULA ELEC City of Port Angeles Permit Application Building DlvlalonlElectrlcai Inspections 321 East Fifth Street P.O, Box 1150 Port Angeles Washington, 96362 Ph: 1360) 417.4735 Fax: (360)417.4711 3--2, Date: 1 2 Single Family Dwelling Multi Family or Commercial /ommercial Addition Alteration 1 Remodel Repair' Plan Review May be R@quire Please m etc.FlectricaLPJan Raw Informs i on Sheet Job Address: 0/ C c '5 L� t'`rC. n 1 Yt Building Square Footage: Description of above Unit Charge 119.90 145.50 204 60 262.20 372.50 2.60 S 73.50 S 2.60 S 92.70 S 110.30 148 70 S 167 90 95.90 88.20 S 95.90 63.90 63.90 119.90 102.30 110.30 3520 S 73.50 5 110.30 S 56.00 Owner Into/whop Name. .I \\I f ..M 'f l (A: r'\ C Mailing Address: City State. Zip: Phone: Fax License T$ Exp. gY 4 ghemwstat Sr 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 tease. Permit oxplres after six months of last Inspection. After reading the above statement, t hereby certify that I am the owner of the above named property ora licensed electrical contractor I em malting the electrical Installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 1926, WAC. Chapter 29646B. The City of Pori Angeles Municipal Code, and Utility Specifications. Signature of nor electrical contractor or electrical administrator C Check X 1' Dater l I 0 3609289409 Contrac Name k Y Mailing ddress: City: f Phone: 11- License /Exp. J1 Total (Oty Multiplied by Unit Charog) SeNice!Feeder 200 Amp 5 Service/Feeder 201 -400 Amp Service/Feeder 401 -600 Amp. S Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit Wi Service Feeder *Branch Circuit W/O Service Feeder 4 L 1 14 Each Addilional Branch Circuit Temp. Service/ Feeder 200 Amp Temp Service/Feeder 201-400 Amp. Temp. Service/Feeder 401.600 Amp. Temp Service/Feeder 601 -1000 Amp. r Information rr i 1-1 u 1 it LA-. �L. State: Lt_ti Zip' Cl Y St -f Faze l 7 Y• t i `-t a C l Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial. Additionai 1500 S5 00 Signal Circuit, Limned Energy 1 8 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Nome Connection Renewable Electrical Energy SKVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 360 417 4711 UNITED JUL 3 0 2000 ELECTRICAL INSPECTIONS U Cash P 1/1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 000001,3 Date 2/19/08 Application pin number 213930 Property Address 201 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0193 0000 Tenant nbr name BILL BORK Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 12000 Application desc RE ROOF OVER ONE LAYER TORCHDOWN Owner Contractor WILLIAM C BORK QUALITY PLUS ROOFING 518 VASHON ST PO BOX 610 PORT ANGELES WA 983626315 SEQUIM WA 98382 (360) 457 9161 (360) 683 1483 Structure Information 000 000 RE ROOF TORCHDOWN OVER ONE LAYER Permit BUILDING PERMIT NO PR FEE Additional desc TORCHDOWN OVER ONE LAYER Permit pin number 121079 Permit Fee 235 75 Plan Check Fee 00 Issue Date 2/19/08 Valuation 12000 Expiration Date 8/17/08 Qty Unit Charge Per 10 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Charged STATE SURCHARGE 4 50 Paid Credited Due 235 75 235 75 00 00 00 00 00 00 4 50 4 50 00 00 240 25 240 25 00 00 Extension 95 75 140 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days•from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent S" nature 2'I y Ce c)®f�Ar T.Forms /Building Division/Building Permit (10 /01 /07).wpd ner is builder) 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 IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 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 HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET./ CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 1/'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T Forms /Building Division/Building Permit (10 /0l /07).wpd BUILDING PERMIT INSPECTION RECORD FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 1 FINAL DATE ACCEPTED BY. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES I NO Exp I I(0-7-16I I I 0 0 09 r 0 171 PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair XRe -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 LJAA. Applicant or Agent Property Owner 0 Property Owner's Address Contractor /Engineer Contractor /Engineer's Address fP License cription. Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 1104c G. to Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. Lot size ft. Occupancy group Occupant load Construction type Phone 1 r',? Phone 5S7— 9/6 Phone A— Expires 60 3 >'t rr? Lot Zoning Residential KCommercial Multi family wall- mounted projecting freestanding awning other Total sign area sa ft. Maximum allowed sign area sa ft. Heat pump wood- burning stove gas fireplace pellet stove other per sq ft. TOTAL VALUATION For City Use Onl Date Received a Ac -D g Permit 18- 11 3 Date Approved sq ft. Lot coverage of bedrooms of full baths of half baths Industrial OA I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain /De* prio to working on projects. Date 1. -L9-- c9 k Print Name 0 D /1 el- Signature 4 iht T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc PROPOSAL SUBMITTED TO� ""`,r' STREET Quality Plus Roofing Post Office Box 610 Sequim, WA 98382 -0610 mod( 1/X, CITY STATE AND ZIP CQDE y I w ti J i mte)--eP WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR. P Awiv., ,.rte PAYMENT TO BE MADE AS FOLLOWS. Sequins, Wasingtnn JOB NAME JOB LOCATION JOB PHONE t9 ri1.z1 ellteL41 4 U c-rutirn e a 0 ,cam, 424.0 4.1... PHONE 3 '1 '7 i DATE ittAlf,k al c .e ms -41 /aka .410 etir o 446 e_ L 6 fie) e7A. c 74t aietdd w(C( t or J IC CM 8 td e�ks L p are GUARANTEE Said roof camel a guaran for years against I only We not liable for any foot traffic, wind damage, or acts of God, or damage resulting from work performed by other trades. All materials are guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimates. All agreements contingent upon strikes, accidents or delays beyond our control. ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. To are authorized to do the work as specified. Payment will be made as outlined above. In the event this agreement is not paid as agreed, then reasonable attorney's fees and collection costs even though no suit or action is filed will be paid. If a suit or action is filed, the amount of such reasonable attorney's fees shall be fixed by the Court of courts in which the suit or action, including any appeals therein, is tried, heard or decided. If proposal is cancelled by homeowners alter acceptance, a 25% charge will be made of this contract prices. We reserve hen rights. QUALITY PLUS ROOFING is not responsible for any debris accumulated in the attic due to tear off or damage due to vibration Dollars: AUTHORIZED I SIGNATURE NOTE. THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN P.'"? ®}DAYS. (i14 e) Yat i7V -J a5 �.r-64 SIGNATURE SIGNATURE DATE OF ACCEPTANCE (360) 683 -1483 gi 0 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East yh Street, Port Angeles, WA 98362 <0 ---..:J ( Application Number Application pin number Property Address, ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000122 Date 285366 201 E FRONT ST 06-30-00-5-0-0193-0000- PARKER PAINT FIRE ABANDON TANK INSPECTION 2/05/07 - ~ ~ COMMUNITY SHOPPING DISTR 1000 Owner Contractor BORK WILLIAM C 518 VASHON ST PORT ANGELES WA 983626315 PETTIT OIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457-9404 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date UNDERGROUND TANK COMM ABANDON IN PLACE, SLURRY FILL 94664 100.00 Plan Check Fee 2/05/07 Valuation 8/04/07 .00 1000 Qty Unit' Charge' Per' BASE FEE 'Extension 100.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total . .00 .00 .00 .00 Grand Total 100.00 ioo.oO .00 .00 ~ -...... ~) JI ~ d '" ..... O~ ~<(L:' 't ~ 0/ ., ~ 0- > This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examine:! this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does n6t presume to give authority to violate or cancel th?fTDViSi9". s ,Of 'lny state or/jallaw regulating the work specified in the permit. ;J4tI(}dJIjA~) ~",G'~7 Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date . . '" ;,,~. ,1,:*,,,,,"'- ," r .'" ~1r~<' " ".. ~' --I' -~t:/t-t . ;.',,~,J',~ , FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulafe or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test . pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP~gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final C2-U>-(f7 K{)t PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. OZS-6 / 02 /~ '/90 , #- DATE Site Address: o READY FOR INSPECTION License Number: AWILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps DetailslDescription: ~ /1J~ 1; - . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~Final O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Receipt No. ~~~/ Site Address: New Meters - . Notify the Department 01 City Lig by Str t Address and Permit Number when ready lor inspec ion. Work must not be covered or electrically energlz d before inspection and O.K. for covering or service has been given by the Inspec~Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or I;.XT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c;20 !!:3!- Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. -' ... CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 . ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL ~ COMMERCIAL tJ BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE g PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS )ii! SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: SCANNED .'. ~~~::J ~ ~ ~ ?~~ DATE j/2(,-/1'-.3 o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ~ OVERHEAD SERVICE o UNDERGRQU~D SB3VICE VOLTAGE: 90/ 2.l/U ~ SINGLE PHAsE . o THREEPHASE~_O-~ SERVICE SIZE ~ AMPS ('~€ J.v. A~ -/-0 ~~' . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~O.K. to connect service ~ pFinalo.K. Site Address: ,.-,- Installer: ~ :&6'5 Notify Port Angeles City 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 BuildiQQ-Permil. PHONE 457-0411, EXT. 224. t!);O f ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 10 --- E!lectricallnspector Permit Fee . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer Ie OLYMPIC PRINTERS INC. GREEN - Top: Meier Dept., Bottom: City Hall r/ /1.19 .... FEE REl;EfPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A iTf'r PERMIT NUMBER .f. . , TOTAL FEE -~ cU' .S'1 CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUP~NCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address '201 .~. ~i.}- ~~6'DiJ fJ &otUtc- ' CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT .PERMITS WITH WRO~ ~DDAESSES A,RE CAN~,LlED . \. Owner ~" /..-L- fC,Oe...t<::::" ' Installation By ~~gllw 'bJ~ $1 hl Owner's Address 2-0 'j V. ~;J <j'" Installers Address '2-7.-0" .pA6-t=.> f<P. Day Phone Lf..<:J'7- 63:33 Installers Phone ~..,.- ~2-~ L- Applicati~," is hereby made for Permit to install Electrical Equipmentas follows: 11J::'~1 A ~ 51 r-...} , <A-i.\ D, '(' 6J ~~ ./ ~ ""'-It ~..-\(; <:. or. 51 f.~ C A 2-f ill 'I . Wiring Met~od . NUMBER AMP 120V 240V NUMBER AMP 120V 240V - USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT - PER ,0QR FEE CIRCUITS CIR '0 30 CIRCUITS CIR '0 30 LIGHT SIGN .If-IJ k I'Z{;:,(~ LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR , , APP.L1ANCE MOTOR DISHWASHER FIRE ALARMS . DISPOSAL BURGLAR ALARM ., RANGE MISC, OVEN ,. WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC - . BASIC FEE ELECTRIC HEAT ?A"'_/~ TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER ., A,C. UNIT PHASE AMP FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I suEi- TOTAL ., SIZE OF GROUND SIZE OF ENTRANCE SWITCH I Cer~'fY that the work to be performed ~nd~thiirmit W:'i be done by the installer and in C~7}1. ~ ~ltrP~'ect"cal Cod~, Date Application made 1 ~ 0 ' 19 % By '1 ~ f)~_ - .' . · . C~NTRACTOR OR OWNER (OR AUTHORIZED AG6lT) . . P~rmission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and sp~~iflpatlans pertaining thereto, subject to compliance with the Ordinances 9f.th~.City of Port Angeles. By , ~;;~./' DIRE~"; OF\~'TY LIGHT" Date~rmitlssued ~~~ /:d, /~..;;> / 'tk Notify Department of City Light by stree;~dNdsr:::R::;Dpermit '~umber when 'r~~:dY for inspection, ~or~ must not -1/; /. I , be covered or current turned on before inspection and O.K. for covering or service has been given by In'spector in I Writing on Perr:nit Placard. A. - Per'mits Phone: '457-0411 Ext.158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE - OrIginal CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report DATE OF VISIT - -- ..."'. / I qj/3/f/ 'I I MADE BY - -- flA ~~r// , REPORT OF INSPECTOR ., -- REMARKS NG o.~~-rJrJ__. ",c;nll'l\,,;t; FtIIilL O.K. . z Cl a: <I: :IE ~ J: I- Z W l- . I- o Z o C . II 5-15-203 9,55AM FROM ANGELES ELECTRIC INC 360 d52 9265 P.l I~Y \~~~; OJ .- r Owner or Elec. Con,raclor Age"! --M0ELES_.El.E.CTIULlNC-_ r"on~;A 5? _ q] (,L- Fax: 4 C;") _ q] (, <; ProPertY'own.,,_11 gjl...L- &1?Y .. Phone; lIn- 916/ Address ,J/i" V4Smy -4vEE:--- City. Prer~...R .It/A-- Zip: mw II . l\NGELJU4 60RS / Elecleic.1 Conrrac'ft" ANGELES ELECTrUc INC. licen." .. Exp: Address: 5241 EAST FIRST City: POR1~JlGF;LES. WA Ii INSTALlATION WltED BY, CIOWNER Credit Card HOI'der Name:_Ypn s.; '1lp",nn I Billing Address: II Credit C"rd Number: S'cIII1SJo 630'1/'11/ II PROJECT ADDRESS: TYPE OF WORjj I o Residental 0 Multi-family I o Remole Meier 0 Detached garage [I Hol Tub [J Swim Pool 0 Septic Pump , I Number of Circuit1; added or altered: 2- DESCRIPTION 1rTHE ELECTRICAL PROJECT: / 1~.hAvI. I?ZJirYJlPI"-- II ELECTRICAL PERMIT APPLICATION i~f)R OI"F!("IAL I)~l, QNLY tl~'r'R~\': _----.:...:...._.. rrrn,ilJl: . Dllt'.A."rl''''Il:<.I: D~'1l: lu,urd: Thl? Electrical Pel/nil AppliCJliOr1 Itlusl ~~~!I'cd out c.omDJ2telv. ~ L177 ~ \ Please type or reprint:IrUnk. 'If you have any qu€!:stJons. please enll (360~ 417-4735 r-a:x number: (360) 417-4711 REaUEST INSPECTION 0 ~ --J r-.J Phone: At;,?_Q?h4 Zip: 98362 xle':LECTRIC^L CONTRACTOR City: ~&'. (p~~ Zip: .VISA:_MC: V. Exp. Date: Check illl that apply: [JNew LJ Alteration/Addition P41~ ) 201 ~ ~Sr. rYC"ommercial . 0 Mobile Home Sq. Fl. o Low Voltage 0 Telecom. 0 Sign -(!~t)M.j Electrical Heat oad Additions ~~~ LKW LKW II . JAMC 14.05.060(El): For-Induslrial, commercial, & residential projecls larger th,;tn a duplex, a one -line drawing of the Electrical ServIce & ~eeders, building size (sq, ft.), load c(:lIC'JlaUons, and the type & of conductors and/or raceway Is required and shaH accompany the :lectrical Permll applicalion. hereby certify [hat I have read and examined this application and know that same to be true and correct, and f am luthor/zed to apply for this permit. I understand it is not the Cify's legal responsibility to determine what permits 're ~7quled: It ~emams the applicants responsibility to determine what permits are required and to obtain such. ~~/o3 ~ J ,f/- o~ A-$ '''' - ~~ ..$:1--. · 1-- kk ::::::;"::.:::::::::::~)4'" :::: ~,% Service Information $ 59.~ :J Baseboard =' Furnace :J Heat Pump J Fan-Wall {J Overhead Service o Temp Service o Underground Service Vollage: Phase: 0 1 Service Size: Feeder Size: 03 W.9019 ~IC:~ I S/17!03 pORT If u Application Number 03 00000477 Date 5/20/03 Property Address 201 E FRONT ST ASSESSOR PARCEL NUMBER 0630005001930000 Application description ELECTRICAL ONLY Property Zoning Application valuation 0 Owner Contractor BORK WILLIAM C ANGELES ELECTRIC 518 VASHON ST 524 E 1ST ST PORT ANGELES WA 983626315 PORT ANGELES WA 98362 (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Sub Contractor ANGELES ELECTRIC Permit Fee 59 40 Plan Check Fee 00 Issue Date 5/20/03 Valuation 0 Expiration Date 11/16/03 Qty Unit Charge Per 1 00 59 4000 ECH EL -COMM ALT <5 CIRCUITS Fee summary Charged Paid Credited Due Permit Fee Total 59 40 59 40 00 00 Plan Check Total 00 00 00 00 Grand Total 59 40 59 40 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 T \PLANNING \FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Extension 59 40 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\PLANNING \FORMS \1102.15 [4/2002] YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 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 I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I I I I I ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , . . 15- 00000461 Date 4/30/15 Application pin number 576844 Property Address . , . . . . 20.1 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-0.0-5-0- 0193 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . , . . . Property Use . , , , , . . , Property Zoning , , . • , . . CENTRAL BUSINESS DISTRICT Application valuation , . , , 0 -•--------------------------------------------------------------------------- Application desc New service 600 amp Owner KOKOPELLI GRILL 2/0 CANDY MCQUAX 203 E FRONT ST PORT ANGELES WA 98362 Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452 -1689 Permit . . . . . , ELECTRICAL ALTER COMMERCIAL DATE: Additional desc . INSPECTOR: DITCH Permit Fee 489.00 Plan Check Fee 0❑ Issue Date 4/30/15 Valuation ❑ Expiration Date 10/27/15 Qty Unit Charge Per - Extension 2.00 132.0000 ECH EL -COM 0-200 SRV FEEDER -264.00 1.00 225,0000 ECH EL -COM 401 -600 SRW FEEDER 225.00 Fee summary Charged paid Credited Due Permit Fee Total 489.00 489,00 .00 .00 Plan Check Total 00 Op 00 .00 Grand Total 489.00 489,00 .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 EXPH;�F, SIX (6) MONTHS FROM LAST INSPECTION r a , Signature of owner or Electrical Contra_ ctor X GAFXCHANGEWILDING , Date: O'n., ov Pojz,j* ANG'FLE,'S PFAMn- At)m,i(,?vrlON Bululing Ouspeclions 321 P'wst Fifth Sti'vet - P.O( Rox 11501 NO Allgvl", Ww"-fifilg(oll, 983Q., I'll b (360) 4174735 Flax: (361)) .117 -1711 1) a 11 K: 7/ APR P 015 ELEMICAL WSPECTIONS 'Phan Review I a 1,�e p1pase O�ipl` to El ctricr�la AO �q� -ir�rp-11Qn Ohow Jc "Tj Dc-w ) vv c Owner 11kifoimption Coiitq Informa N njy '2 r dirg"If Nix I vvinei'Pcodix 2W Amp, --- &.1nAr x;#-w,1R%r 201-400A p $160,00 Servicffeoder 401•600 Amp $ 24.110 MIAOW Amp. ovrt'1003 Amp, 1'1ranch PA�(OAN Frieft fi.OG Onan,h Cirrajjl WO S&,;iu- ftii&,, $ 74,r) F.arh Afthnnid Wkinch Or�,,,W $ 5,01 Bl"111d) QlcuirS,l 4 "1 WDO Tf ocxto,�, ZCO Amp� S 102W I -nil", rwn/if'ol F -- 20,14M Amp, b g21 Di rrnij Wvicoif,'owlor 4016W Amp S 1 6'4.1.0 Femp SmiceiFooder 6011 OM Amp Portal 1 1'0 Pofull Howly 00,00 Signal . . . ........... ... Signal NrAl ;500sf - Corjtrrqe(,,iJ %,,ffl ... . .............. kldo $15SO for n cl) addlona€ 15M 3f Renewab!n Ela atj(;m) Swly W'VA Sygir.-ai of LoTi.4 11 ax)o 56,00 C2 Nnr,o: WOO for P,10.1 orAdilior; of T-S W, T 4 '� " . , I , I v � $ A— Otal ZG�vricr as Minor] by RrU011 UB� 2.61 , (1) Ownorwl 11 occupV [hu strUcturo for Noo year after this olficid(wil ppn�-6 tinalNed, (t2) Owner is reqWrcd to hi ro "'In dectflcal conim(lur if above,, said Property is for �,L*A. roast or lease, Perm it eypireG after six months of h,t inso, 0,1on After f f3ading tfic above slate--inon 1, 1 We by ,p jllf that I am tiro oviner of ft move rurted propof ty or a licertued P, fectr1c,@1 c4nMactor. I r,irr making 1415fte with the eleWIM caws, N,E.CL, RUN, Chaplov 19,28, Vffie. Chapter 296-466, The City of Port Anp fit] Mtmidpa Ciodlua�i, tililySpc ficatimni and PAW, 14. 0. 060 rog rd ing Deddral Peirn it AppficaUons. r of cl I !a - &ijnat a of ow or, cl[021 Cont a for or ctrical administrator. cgsh Ll Ghod 0 4t cam S� rL ELECTRICAL INSPECTION WIRING REPORT 417-4735 RKS WE PEHMIT4 IN: SPECT09 -se&, t I O ER CONTRACTOR yy ADDRESS LL APPROVED NOT APPROVED [3 ............... .... DITCH ............. .... ❑ ❑ ................ ROUGH IN/COVER ............... ❑ .................... SERVICE ................... ❑ ..................... FINAL ... ..... I ........ - ❑ CORRECTIONS NEEDED: zA"w-ao- oz! NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS A 0 RT ELECTRICAL INSPECTION WIRING REPORT Fm 417-4735 GATE: 4L - /, 15- PERMIT 4f ff 1 INSPECTOR O ER VX . CONTRACTOR ADDRESS APPROVED NOT APPROVED D ................ DITCH . ........ 0 El ................ ROUGH IN/COVER ............... D 0 ...... ............. SERVICE ............ ...... 11 ............... ..... FINAL ................... ,13 (;ORPEtTIONS NEEDED: e.1 hs, 42 ?06& As NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE -0 _*Q ELECTRICAL INSPECTION WIRING REPORT 417 -4735 RKS DATE, ERMIT 4 -- INSPECTOR 7 OWNER Ao !So JoitL c- j L L� _6,10-4 CONTRACTOR - r- ,�A ADDRESS I 2-01 APPROVED NOT APPROVED El....... ........ -.. DITCH ..... ............ 0 0 ................ F4000H IN /COVER ............... 0 Cl ................. ... SERVICE ................... 0 [I ................... p . FINAL ..P9 l4j�>OVAX ....... El CORRECTIONS �49#6�� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS Emil ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . . . , 15- 00000461 Date 4/30/15 Application pin number . , . 576844 Property Address . , . . . . 201 E FRONT ST ASSESSOR PARCEL NUM13ft; 06-30-00-5-0- 0293 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . . . . Issue Date Property Use Valuation . . . Property Zoning . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . , 0 ------------------------------------------ Application desc -- ------------ ----------- - - - - -- -- New service 600 amp --------------------------------------------------------- ------------------ Owner KOKOPELLI GRILL C/O CANDY MCQUAY 203 E FRONT ST PORT ANGELES WA 98362 Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452 -1689 Permit . , . . . . ELECTRICAL ALTER COMMERCIAL DATE: Additional desc , . INSPECTOR: DITCH Permit Fee 489.00 Plan Check Fee 0p Issue Date 4/30/15 Valuation . . . . 0 Expiration Date 10/27/15 Qty Unit Charge Per - Extension 2.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 264.00 1.00 225.0000 ECH EL -COM 401 -600 SRV'FEEDER 225.00 Fee summary Charged Paid Credited Due ------- -- -- - - - - -- --- Permit Fee Total - - - - --- ---- 489,00 -- ---- ---- - - - - -- ---------- 489,00 .00 .00 Plan Check Total .00 .00 .00 ,00 Grand Total 489.00 489.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 05o2) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMU WILL EXPP-E SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGETUILDING r CITY OF PORT ANGELES PER—NUT APPLICATIOI4 �� t Building Division /Electrical Inspections 321 East Fitch Street - P.O. Box 11501 Port Angeles Washington, 983,., Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date; r' ���N Multi - amilyorComment / Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Information Contractor €nformat €on --- - Name; .1 C ,�i,�Pi' Mailing Address: Mailing ddres ; -L e of City; State: Zip; CrEy: State: Zi ; 6-- Phone: Fax: Phone: Fax; M_ S, License # 1 Exp. License # 1 Exp, G Item Unit Charge gty Total e]ty Multiolled by Unit CharQel Service /Feeder 200 Amp, $132.00 $ Service /Feeder 201.400 Amp. $160.00 $ Service /Feeder 401 -600 Amp $ 2P5.00 $ Service /Feeder 601 -1000 Amp, $ 268.00 $ Service /Feeder over 1040 Arnp, $ 410,00 $ Branch Circuit Wl Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 14.00 $ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1.4 $ 98.00 $ Temp, Service/ Feeder 2C0 Amp. $ Temp, Service/Feeder 201 400 Amp. $121,00 $ Temp. ServicelFeeder 40l -600 Amp." $164.00 $ Temp. Service/Feeder 601.1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ SigiWutline Lighting $ 98.00 $ Signal CircultlLimited Energy - Mull!-Family $ 64.00 $ Signal Circuit! Limited Energy I First 1500 sf- Commercial $ 96,00 Note: $5.00 for each additonal 1500 sf Renewable Electrical Energy -5KVA System or Less $113.00 Thermostat $ 56,00 — �' $ Note; $5,00 for each additional T -Stal $ Total Owner as defined by RCVV. 19,28.251 , (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 ce�ify that I am the owner of the above named properly or a licensed electrical contractor. I am making the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296.458, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check Cp/'Credlt Card 9 X - Hated; 1a11e112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , , 15- 00000898 Date 7/21/15 Application pin number , , , 505380 Property Address , . . , 201 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-5-0-- 0193 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . . . . Property Use . , . , , . . Property Zoning . . , , , . , CENTRAL BUSINESS DISTRICT Application valuation , . . . 0 Application desc T -stat Owner KOKOPETiLT GRILL C/O CANDY MCQUAY 203 E FRONT ST PORT ANGELES WA 98362 Contractor ANGHT,ES SEATING 2114 W. STH ST. PORT ANGELES WA 98362 (360) 457 -0111 - -- - - Permit . . , ELECTRICAL ALT17R CQMMI'RCIAL Additional desc . . Permit Fee 56.00 Plan Check Fee 00 Issue Date 7/21/15 Valuation 0 Expiration Date 1/17/36 Qty Unit Charge Per 0.__CH.. Fee summary Charged ----------------- ---------- Permit Fee Total. 56.00 Plan Check Total .00 Grand Total 56,00 Extension -LVT-THERMOSTAT 56.00 Paid Credited Due 56.00 .00 .00 .00 .00 .00 56,00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 050 2) 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 Contra_ ctor X G:IEXCHANGEIBUIL©ING Date: Page 1 of 2 A Plan Review May Be Required, Please Complete Electfical Plan Review information Cheat Jcb AdJress', __�O I.East Front St BuArg SqLmre ra)tao'Q: De,ricnpbw) ol ab)ye Owner I nformiftion ContractorInformation ..M._ W4m� Adtess: gL3 EaM Front St Nm_ e:-Hi .. ....... .. LL .. .. ..................... .. . . hia" Adtjrar:,s� 723 East Fror CITY O�F Powr ANGELES PER.Mrr.A 111"LICATI O.'s' RECEIVED None: Builditig ffivision/Electfleall 111sperflon, JUL, Nib 08.362 fteffl. ljnitCharge Tptal. Glut MultfjplfqdbyAUnit C� roa) 321. East 17ift h Stj�eet —P.O. Box 11 i1 /Port An getes Washington, .Ph: (360) 4174,735 Fax: (360) 4174711 Sep' efFbedar201-400 Anip. $ VOW SeMk&Feedef 401-600 Amp $225.00 Ser+r €Feeder Q1 10 Amp, $288.00 - Date: 7-12015 x Muki-FamllyorCammerdal' Bfancb 0=4 M SeNice Feeder $ 500 A Plan Review May Be Required, Please Complete Electfical Plan Review information Cheat Jcb AdJress', __�O I.East Front St BuArg SqLmre ra)tao'Q: De,ricnpbw) ol ab)ye Owner I nformiftion ContractorInformation ..M._ W4m� Adtess: gL3 EaM Front St Nm_ e:-Hi .. ....... .. LL .. .. ..................... .. . . hia" Adtjrar:,s� 723 East Fror zo: None: Lnetse P I Exp . . ......... . ....... . Liceme it I fteffl. ljnitCharge Tptal. Glut MultfjplfqdbyAUnit C� roa) SWJWFoedor 200 Amp 13.2.00 Sep' efFbedar201-400 Anip. $ VOW SeMk&Feedef 401-600 Amp $225.00 Ser+r €Feeder Q1 10 Amp, $288.00 - Se ModFeedot over 1000 Amp, $410.00 Bfancb 0=4 M SeNice Feeder $ 500 Bligndl Circuit W10 SeNlta Feeder $ 74.00 Each Addikonal B mnob Ciruil 5.00 arafla0fu'0 14 86.00 Temp, Serval � Feeder 2W Amp $102.00 $ Sere SeefFaeder 201-400 Amp. $ 121,00. Temp, SiafvjoaIFa&Ier 401400 Amp. $164.00 Tomp. ServW� FeWer Gol - 1000 Amp . $185,00 Portal b porw Haurfy 96.00 4riOtillne Li ling 8800 Si flal C4mitf LIN led .Energy- Mulli-FaM $ 64.W Signal Circaiti LWW:Energy I Rml 1 EOO s[- COMMefeiS 96.00 _00. W- to: $5.00 foresch add"finnal 1500 sl RanvvaNe Electftal Eriwgy - jrKVA Sr, [am of Less $ 113.00 Thermostat $ 56.00 Kbt.e: $5.00 for eatIl aid Dinal 7-Star Ownef as d e ft - & d by RM19.26,261 ; ( 1 ) OwDer v i i l l occupy the structure for IMyear8,1fter this electrical permit is f i r elized. (2) Owner is muimd to dire an aktftal wr5tractur if above said property is [6( sale, rant or lease. Parmit expires alter six moral z of Imt ihspdion, After reading the abuvestatement, I hereby tertify that I am the owner of the above nin-ad property or a licensed elecftal contractor. I am MaRing the electric-al loslallation or aleratlo ii incompllanca %'All he electrical laws, NE G., RGW. Chapter 1928, WAG, 0 apte r 296-46 B. The City of Port Angeles MunicipalGodo, and Wity SpecificaGwis and PAK 14.05.050 re-garding Ele&ital Permil, AppkaUbm. Vignatura of owner, elartrical contractorore[ectrical admInIstrator: 0 Cash 0 CNA (R Mika Shirley 010=2 https://www.pdfescape.com/open/RadPdf axd?rt=c&dl,,,--04811343JjsRPJJ7-Hsj3cHstlGlcL5AT... 7/1/2015 INSPECTION TYPE DATE: RESULTS: INSPECTOR.: DITCH ELECTRICAL PERMIT SERVICE S ROUGH -IN CITY OF PORT ANGELES FINAL 360 -417 -4735 COMMENTS: Application Number , . , . , 15- 00000772 Date 7/02/15 Application pin number 481576 Property Address . . . 20f E FRONT ST REPORT SALE'S TAX ASSESSOR PARCEL, NUMBER; 06-30-00-5-0- 0193 -0000- Application type desci iption ELECTRICAL ONLY on your excise tax form Subdivision Name , , , . . . to the City/ of Port Angeles Property Use . , . . . , , . Property Zoning , , , . . , , CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation , , , . 0 AppliC.ation desc Audio system Owner Contractor KOKOPELLT GRILL HI TECH SECURITY INC C/0 CANDY MCQUAY 723 E FRONT ST 203 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 9B362 (360) 452 -2727 ` Permit . . I , , , ELECTRICAL ALTER COMMERCIAL Additional. desc . . Permit Fee 96.00 Plan Check Fee 00 Issue Hate 7/02/15 Valuation , , . , 0 Expiration Date 12/29/15 Qty Unit Charge Per - Extension. 1.00 9 6.0000 ECH EL- T,IMITEF IST 1_500_8Q_ 7T _....._ -- �6 _0.0.... _ Fee summary Charged Paid Credited Due -`l- " Permit Fee Total 4J 96.00 96,00 .00 .00 Plan Check Total ,00 .00 .0.0 00 Grand Total. 96.00 96.00 ,00 ,00 INSPECTION TYPE DATE: RESULTS: INSPECTOR.: DITCH SERVICE ROUGH -IN -7 Z FINAL COMMENTS: . - PERMIT WILL 1;XPIRE SIX (6) MONTHS FROM VAST €NSPF-CTION __ . Signature of owner or Electrical Contractor X Date: G_1EXCHANGEIB UILDING ELECTRICAL PERMIT CiTY OF PORT ANGELES 360- 417 -4735 Application Number . , . . . 15- 00000906 Date 7/23/15 Application pin number 5359$8 Property Address 201 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-5-0- 0193 -0000- Application type description ELECTRICAL ONLY Subdivision Name , , . . , Property Use Property Zoning , , , , . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ------------------------_-__-----_------------------------------------------- Application desc Feeder and 12 circuits Owner KOKOPELLi GRILL CIQ CANDY MCQUAY 203 E FRONT ST PORT ANGELES WA 98362 Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452 -1689 ---------------------------------------------------------------------------- Permit . . • , • . ELECTRICAL ALTER COMMERCIAL RESULTS: Additional desc , . DITCH Permit Fee . , . • 192,00 Plan Check Fee .00 Issue Date 7/23/15 Valuation 0 Expiration pate 1119116 Qty Unit Charge Per ' Extension 12.00 5.0009 ECH EL- BRANCH CIRCUIT W /FEEDER 60.00 1,00 132.0000 ECH EL -COM 0 -200 9RV•FEEiDER 132.00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Put! Permit Fee Total 192.00 192,00 .00 .00 Plan Check Total 00 .00 00 .00 Grand Total 192.00 192.00 C0 .00 REPORT SALES TAX 'on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH —IN .FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FPOM LAST INSPECTION Signature of owner or Electrical Contractor X Date: C rAEXGHANGEIBUILDrNG " 1 a JO 41 M { llrh 4P.r r£z€s i�3v�,> r� # #s 1=�t t @���rt� �t'�L ='� €" ?i,g5 mt ,un S-' rq, vr +t}w r 9r rrrsaE om .. I I � i 1 lv1�E' n f3 a +9sr� i ''d ' � '�i��ld' t.�i'1 =ar �1 xp ,.l.. klr',P IrN 19i.� REKEW I.d r„.f !! yy ¢p j`�✓ }k Erg } ItYFr � Unil Phaw Tplal { Y f4hjI0.pjI d by Qrrrk !7wn€ r,) ija 1 i g9t 5i• sJlVat: L�E�etiWr;�=7f��alfi(�P'6ff8 ;8 2p itt �sirty,:xtoi�ssr tpr d111 Q)ll A6 Ii7 M € `E'[ °4' ��� €' � �iil' ANGELUS E ;S � C.E''41:11 KM ACA R.4�'.� l UK ' Etltx =, tiff! I1a(P dlrop. ;. ",: N: 1 e4r alrli{ ?ter rntr Vic., l! M 1-no Fik'rlr'Nttcet 1',(). B0% 11;0 :'Pork Ora >seld� k�;f�ttirte�.iftrl. °�1�da? l,srIf l4titlawral Srs14)ch f itcml 10 f�;.3er� ��' � . � I'�iuC�i•F�r�,i����r ��rr;rk #�r•�;��C" loGREvt c lumb JO 41 M { llrh 4P.r r£z€s i�3v�,> r� # #s 1=�t t @���rt� �t'�L ='� €" ?i,g5 mt ,un S-' rq, vr +t}w r 9r rrrsaE om .. I I � i 1 lv1�E' n f3 a +9sr� i ''d ' � '�i��ld' t.�i'1 =ar �1 xp ,.l.. klr',P IrN 19i.� I.d r„.f !! yy ¢p j`�✓ }k Erg } ItYFr � Unil Phaw Tplal { Y f4hjI0.pjI d by Qrrrk !7wn€ r,) „ t:f'vaf;d`kw€ir•,P2G;tAmp 1 i g9t 5i• sJlVat: L�E�etiWr;�=7f��alfi(�P'6ff8 ;8 � 9�1,: . �' �sirty,:xtoi�ssr tpr d111 Q)ll A6 Ii7 on Etltx =, tiff! I1a(P dlrop. ;. ",: N: � 13.r,atwh >Mar €gal Oh atcmkv Fz;aWr :f l,srIf l4titlawral Srs14)ch f itcml 10 € ' loGREvt c lumb I€:r37t€ fl3ftilr lac °fk� ^.G;rF�' :��rr�lll # %ttt�rY #; c �?t 3„ 4.1 tuft. ;lnrarwfh&aia r N1,1010 Amp. BY" I'M la:i ON Hrrrarly ' Slgw'Ouft1t Ug3tr nq 1 RAI, irgrEC�1 le;ia€,°l�rkf 1.3r:1�k%?is ( » €ii:Ptii tb�t�la F�atrut� %; °: °:. � _ $500 Peal C- .:drat; tjtjdOfcrnai T dint' Qmr wtG $ued by 1R(0Yk?,19,28 261 IV, IO'e' n f %'fl -§ me a;r1J•:me or ;lr #' yens Ou Itay tabu; pi'srPP3ii is Opalized Owol. ; i .(JlJrorl u) III re ate G1( (.�k ical t:.)rt Cleo IT to a SMO pr pwy fsir SO Pt:r,, rt ? a 3E. PE Nn , r; yw-s, arti- t months �j 1,.i �i n.sp %(ton . After rp�dgrig theabovo �l�f� °.k, I f� rr�4 �.�r1 I € al I Me ��' al �' MS BOB P;�°��K� ,,^Ppea�cpx! ilcf5�,nsed �i��tr I1am rvl flmrj #3r��:r the decIfrr.�4 �# ;�1�ttaiml (fir NI0.r.M n Its m #lan r.� ; Ii }am h ( l ° 1 !E C i� i5 ray �i}�,(Atry�arr�€ot. '' aC 6 hapte., 9 Y®� Ids AC' i'hn '.er 296 - 6381 E 5Ip 0ty CFI Port Aq dA 10uglcipal *WPA tiOf NNW uiiws arr1 FXYC 115 -.q F1.c c-i' Li�, m"L Appl>t akms, too Al -koo,0AT4,V Q ELECTRICAL INSPECTION WIRING REPORT ter, 14,RKS 417-4735 DATE (� �-i L� PERMIT 4f NSPEGTgR---n OWNER CONTRACTOR -�20b-MV ADDRESS APPROVED NOT APPROVE ........ ........... DITCH ................ ❑ ................ ROUGH IN/COVER ......... - - - ❑ .................... SERVICE ... ............. 1:1 .................. FINAL..... . .............. CORRECTIONS NEEDED: Lll4/crTt%U- f0gV2 Wjo,-ff- A�61LQ"St r>Kl vdAl4,*s-.- hov cp 0 ct> i-l's Q$T Is ur_- A-0V NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - , A VORrq* Q. ELECTRICAL INSPECTION 1, ; *to: 0�1: WIRING REPORT 417-4735 RK5 DA-7 TF: PERMIT # - ovvNn CONTRACTOR tlll� hh — ADDRESS ZOL-- P47- APPROVED NOT APPROVED .................. - DITCH .................... 13 ............ ROUGH IN/COVER ............. 0 ............ SERVICE .................. . El ❑ ...... ............. . FINAL .................... 0. ORRECTIONS NEEDED; C-- S- -fir :21 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , . . . 15- 00000871 Date 7/17/15 Application pin number . . . 439285 Property Addreea . . . . 201 E FRONT ST ASSESSOR PARCTIL NUMBER; 06- 30-80 -5 -0- 0193 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . 111.00 Property Use Fee Property Zoning . . . . . . . CENTRAL BUSINESS DIS'T'RICT Application valuation . . . . 0 Application d.esc . 0 Security system -----------------------------------_--_---------- ---------- ----------- - - - --- Owner KOKOPELLI GRILL C/O CANDY MC4UAY 203 E FRONT ST PORT ANGELES 'CIA 98362 Contractor SECURITY SERVICES NW PO HOX 660 PORT TOWNSEND WA 98368 (800) 859 -3463 Permit . . . . ELECTRICAL ALTER COMMERCIAL RESULTS: INSPECTOR: Additional deac • . Permit Fee 111.00 Plan Check Fee 00 Issue pate . . . 7/17/15 Valuation . . . . 0 Expiration Date 1/13/16 r j Qty Unit Charge Per Extensioa7 1.00 96.0000 ECH EL- LTMITED 1ST 1500 SQ FT 96.00 3,00 5.0000 ECH ET4 -ADDNT LIMI'T'ED 1500 S4 FT 15.00 Fee summary Charged Paid Credited Due Permit Fee Total '111,00 111.00 .00 .00 Plana Check Total 00 00 00 .00 Grand Total 111.00 111.00 .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 `•Z S,� FINAL r j COMMENTS: PERMIT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical 'Contractor X Date: Cr;TXCIiANGE\B UILDING 07/16/2015 10:27 3607978482 SECURITY SERVICES NW PAGE 01 CITY OF PORT ANGELES ,QEMT APPLICATION Building Division,/Electrical Inspections 1. 1 6 2���� 321 Fast Fi h Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 wm(;AL Date: 07, 4, --f � /IMulti- Family o ommernialk 114sn ems k Plan Review May Be Job Address: —W - Building Square Footage: Descrlptlon of above owner (►fotmatlo /,`.r Name: 5,or�..'� 11f/lS-LCj Mailin ddres City: T State; Zip: 073 a- Phone; 57— G d4 Fax: -- License # 1 Exp, Cily: Item Unit Charge ServicelFeeder 200 Amp. $132,00 ServicelFeeder 201400 Amp, $160.00 ServlcelFeeder 401,600 Amp $ 225,00 ServlcelFeeder 601.1000 Amp. $ 266,00 SenrlcelFeeder over 1000 Amp, $ 410.00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 74,00 Each Additional Branch Clrcult $ 5,00 Branch Circuits 1A $ B6,00 Temp. Service/ Feeder 200 Amp. $102,00 Temp, ServicalFeader 201 -400 Amp. $121,00 Temp, ServloelFeeder 401.600 Amp. $1640 Temp, ServicaFeeder 601.1000 Amp . $1850 Portal to Portal Hourly $ 96,00 Sigrt)Wlina Lighting $ 68,00 Signal Circuit! limited Energy - Multi -Faml ly $ 64.00 Signal Circultl Limited Energy 1 First 1500 sf- Commercial $ 96.00 Note: $5,00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $119.00 Thermostat $ 56.00 Nate: $5,00 for each additional TStat Review Information Sheet wra�arA WI Contractor Information Name; Malll Address; 0 Cily: Stater zip Phone: ax: 7 S -Z_ t_Icense>#IExp, v ©Od 0 ty Total, Qty (Multiplied by Unit Charnel $ $01 Total Owner as defined by RCW,19.28.261. (1) Owner will occupy the shucture for two years after this electrical permit Is finalized. (2) Owner is required to Kira an electrical contractor V 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 19,26, WAC, Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specift;udons and PANIC 14.05,050 regarding Electrical Permit Applications, 8ignat�ra,0 NWner, e1Wdca1AvntWctororelectrfcaladministrator, o CW © check grz ilr P P I