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Home My WebLink About401 E Front St - Building RECEIVED P CITY OF PORT ANGELES PE[tmff APPLICATION [JUL 0 201 BroilclingDiv +Psion/ElectriaalLrspectiolus 321 East F1i['th fteet._..P CA.Boa 1150/Port Angeles Washington,9&362 ELECTRICAL Ph:(360)417-4735 Fax.-(360)417-4711 � INSPECTIONS a I late: -7-ef-1 3 `'Multi-FamilyarCommercial* i E "Plan Review May Be Required,Please Complete Electrical lien R view i&IMation Sheet Building Square FODWe: Description of above Owner lrif matiora �rsrrtract fnforenatiors Name....,� .P ty G:�i S S�a e ..a2 Alamo:Zip A4 a Le 1 EC hl � ed! �,e+9 fi lattuag Afrtvrs: o f fr�r - n Mair¢r9 Ad6rs: a d C T City i State i J dip: c Stele:�gyp: e§ Phones_ Fax: �� ° License#i Exp- €.irartsca't:l !tern Unit CLR[ge gtx Total Mufti fled b unit Oho e ServicefFeeder200 Amp. $132.013 $ ServicelFeeder 201.400 Amp. $16[1.0[1 $ry-..�.�.. . ServicWeeder401$00Amp $225.0fl $-- — 5erv3celFeeder 601-9000 Amp. $288.00 ServieWeeder ovr r1000 Amp. 3410.0€) $-�-- Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder 74.00 $ Each Additional Branch Circuit $ 5,00 Breach Circults 1-4 $ 88.00 Temp,Servicel Feeder 200 Amp. $10200 Temp.Service/Feeder 201ACO Amp. $121.(10 $ Temp.ServirelFeeder 401-600 Amp. $164. $ Temp-SonfoeiFeederSM-1000 Amp. $165.00 portal to Portal Hourly $ Jt3.00 $ Sign/Outline lighting $ 89.00 — _w Signal Circui!!Limited Energy-Muid-Fancily $ 64.00 � $ Signal Cirrr€d Limited Energy/First 1500 st-Comrnercial $ 98.00 )Nate: $5.00 for each additional 1600 sf Renewabie Electrical Energy-5KVA System or Less $113.00 `thermostat $ 58.00 � $ Note:$5.00 for each addllianal Tvtai Owner as defined by RCW.19.28.261:(1)Owner will ocGUpy the structure for two years after[tits efeWcal permit is finalized.(2)Owner is regrrireri to hire an electrical contractor if above said property is for safe,tt rFk car lease.f�ermit expires after six months of task inspection. After reading the above statement,f hereby certi€y that i are The owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration In compliance with the electrical laws,N-E.C.,RCW,Chapter 19.28,WAC.Chapter 29$-461:3,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.060 regarding F-lectrical PonnitApplications. Slanature of owner,efecticca!contractor or electrical atitni atrator: Q cash 0 am& eaasa: r'13 ©tro�rza�z ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , , , 13-00000752 . Date 7/10/13 _O Application pin number , . . 233.856 Property Address • , , . 401 E FRONT ST ASSESSOR PARCEL NUMBER; REPORT SALES TAX 06-30-00-5-1-4210 0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Nagle Property Use to the City of Pori Angeles Property Zoning . . . . . (Location Coale 0502) Application valuation , . . , 0 Application dese 1 circuit for range Owner Contractor KEENAN, LYNN EXTRA MLLE TECH & ELECT_ LLC 215 KLAHANE RIDGE DR. 418 N. RACE ST, PORT ANGELES WA 98362 PORT ANGELES WA 98362 36) .565-1196 (360) 457-019e ---------------------------------°________---------------------------------- Permit , . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 74,00 Plan Check Fee .00 Issue Date . . , . 7/10/13 Valuation Q Expiration Date 1/06/14 qlr Qty Unit Charge Per Extension 1.00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.04 Fee summary Charged Paid Credited Due Permit .Fee Total 74.00 74.00 ,00 .00 Plan Check Total .00 .00 00 ,00 Grand Total 74.00 74.00 .00 00 �+1 INSPECTION TYPE . DATE: RESULTS: INSPECTOR: DI'T'CH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL.EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ctor X Date: G:IEXCHANGEWILDING a. a' ELECTRICAL PERMIT CITY OF PORT ANGELES F 360- 417 -4735 Application Number 12- 00000669 Date 5/30/12 Application pin number 032095 Property Address 401 E 13T Sr Fr2,014`1' REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -9- 1940 -0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc 1 circuit for dishwasher Owner Contractor LOWER ELWHA KLALLAM TRIBE EXTRA MILE TECH ELECT., LLC 2851 LOWER ELWHA ROAD 418 N. RACE ST. PORT ANGELES WA 983638409 PORT ANGELES WA 98362 0 (360) 452 -8471 (360) 457 -0198 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 74.00 Plan Check Fee .00 Issue Date 5/30/12 Valuation 0 Expiration Date 11/26/12 flA Qty Unit Charge Per Extension 1. 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.00 1 .7)\ Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 Li c::) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 6_$ (2 v4P Az_::;) FINAL 6- I AP --y COMMENTS: 1 1 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE \BUILDING MAY -30 -2012 11:48 AM E.JANSSEN 360 452 2982 P.01 i �I Il c L \`Q(1Krtit,N,� CITY OF PORT ANGELES 1"FkMJT APPLICATION 66 I Building Division/Electrical Inspections r/,''''' 321 East Filth Street --P.O. Box 11_40 Port Angeles Wasbiugton, 98362 ii tf Ph: (360) 417 -4735 Fax: (360)417-4711 ELECTRICAL Date; 0 I MuItI- Family or Commercial^ INSPECTIONS Plan Review May Be Required, Ploasn Complete Electrical Plan Review Information She„i Job Address: 1 0/.___. 1 q. _.:zfi 7 4 -z sa uare Building �fle' Description of apove te r 4:._ t.... Owner Information Connecter Infommtion Name 'A/ r t tort.. Name: LS:�14 .4E Mailing 1 i S I< 1 -,11..174.... 0 1 A j:t.. _.1 c r.) t Mai Ad F} City; -1 State:. t'. Zr. $_5':..a'..i c City: -J rt_c e r none SL S /Lie. Fax=-- Phone:.. j 24 _Fax: License* Exp. _�S�— License (1 Fxp ,X T74-4 SIT 9...7.r R 4e.-- iitIM Un t_Chsrge Qty Total (Qty MultipygdM.Upitchamt Service/Feeder 200 Amp. 132.00 S._.,._,._......_._._._..._. Service/Feeder 201-400 Amp. $160.00 Service/Feeder 401600 Am P 22580 ServicelFeeder 801 -1000 Amp. 288,00 Service/Feeder over 1000 Amp. $410.00 t Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder ,r Each AddfUonai Branch Circuit 5.00 Brandt Circuits 1-4 8680 1- _....:.:4(_ Temp. Service) Feeder 200 Arnp. 102.00 Temp. Service/Feeder 201-400 Amp. $1'71.00 Temp. Service/Feeder 4014300 Amp. 164.00 Temp. 801 -1000 Amp 185.00 Petal to Penal Hourty 96,00 Sign /Outline Lighting 118.00 Signal Circuit! Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sl Commercial 96.00 Note: $5.00 hi each additional 1500 st Renewable Electrical Energy 5KVA System or ;.;Ass 13.00 Thennostal 1 56.00 Note: $5.(X) for each additional T -Filer i 'J Total Owner as defined by RCW.19.211.261: (1i Owner will occupy the structure for two years after this electrical permit is Ilnalized. (21 Owner is reeuired to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after sh r of fast inspection, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. f am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Por: Angeles Municipal Code, and Utility Specifications and 'AMC f 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: f cash t r.:hra_k t....d_...*" A I::7 Credh C;int I' w ELECTRICAL PERMIT CITY OF PORT ANGELES 41 360- 417 -4735 10 Application Number 11- 00001229 Date 11/01/11 Application pin number 912773 REPORT SALES TAX Property Address 401 E FRONT ST our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -1- 4210 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning Application valuation 0 Application desc 3 circuits cooking station Owner Contractor KEENAN, LYNN EXTRA MILE TECH ELECT., LLC 215 KLAHANE RIDGE DR. 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 36) 565 -1196 (360) 457 -0198 y S Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 78.70 Plan Check Fee .00 Issue Date 11/01/11 Valuation 0 (k I N Date 4/29/12 1 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20 Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 G INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGI -I -IN 1, AP FINAL Ar 4Q COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUlLDING OCT -30 -2011 10:29 PM E.JANSSEN 360 452 2982 •P.01 REcEi ?cliff .1,v CL'l'Y.OF PORT ANGELES PERMIT .APPI,LCATEON :OCT 2 i 2nri Duilding Division /Electrical Inspections 321 East fifth Street P.O. Roi. 1 1140 Port Angeles Washington, 98362 ELECTRICAL .Ph: (360) 417 -4735 Fax: (36(» .417-4711 INSPECTIONS Date: 0 1) .1 &,2 Single Fancily Dwollirlc Multi-Family or Commercial* Comrnerp al Addition Alteration Remodel Repair` Plan Revicw,440 Be Ro ulred, Phase Complete aectrical Plan Review Information Sheer Job Address: _L A `'rS 1� f Building Squartt Footage: tloscriptionofabove A�.e,..l f' rc i!,t !1.t. Owner InfopDation Contractor Information Name: I `1 ri 1 S S e t Nama: rTi1 l r i L r: r'FCi+ re, cef C- Mailing Aec reoa;: t et,y M ithn Address:. F� uo:�( C City: s r...... y Ja.✓} ty A 7.�...... State: I n' f Sj Ci _LL F` n� ch< dune: W iv Phone: 5 4 1( 4 -Fax: Phone /4' 7- !J a Fax: '✓S; y X SF, 5 License it 1 Exp License Exp. 3 Unit Charyo gY 1`,otel uta ky Unit Charge] Service /Foede•r 200 Amp. s 110.90 Y Service/Feeder 201.400 Amp, 5 145.50 Service Feeder 401 -600 Amp 5 204.60 ServiadFeedor 601 -1000 Amp. 262.20 Servlco /Feeder over 1000 Amp. F 372.50 Branch Circuit W/ Service Feeder 1: 2.60 Branch Circuit W/O Service Feedor S 73 50 Each Additional Branch Circuit 2 60 w ti zt% Temp. Service/ Feeder 200 Amp. 02./0 Temp. Service /Feeder 201.400 Amp $110.30 Temp. Service /Feeder 401 -600 Amp. 5 1'19 70 Temp, Service /Feeder 601 -1000 Amp 16/.90 Portal to Portal Hourly 95.90 Sign/Outline lighting 5 86.20 Signal Circuit/ Limited Energy First 1500 of Commercial 05.90 Note: $5 00 for each additional 1500,5..f Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Mufti- Family Dwelling 63.90 Manufactured Homo Connection 5 ''19 90 Renewable Electrical Energy SKVA Sy,Tian or Less 102.30 Thermostat 5 56.00 N Sc4N IR1LERID NEY- Finst 1300 Square Ft. 5 t 10.30 Each Additional 500 Square Ft. or Portion r! 35.20 Each Outbuilding or Detached Geroge 73.50 Each Swimming Pool or Hot Tub 30 :$..7 7U__Total Owner as de:tined (1) Cwner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is require:I to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. After reading the above statement, hereby certify that I am the owner of the above named property r)t a licensed electrical contractor. I am making the elrctrica installation •oralteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter'296.468. The City of Porgy Angeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature.& owner, electrical contractor or electrical administrator: CI Cash 0 ratecx Credit Curd tl x e,'7 rt.r¢c I 01/011201O o a 0 9 Use Classification: Group: B CERTIFICATE OF OCCUPANCY City of Port Angeles Building.Divisiori This Certification issued pursuant to the requirements bfSection 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following BuildiiigPermit No. 05 -639 Business Building Official „F3 ;t u Type of,Constructtion: V N' Owner of Business: Lvmi K eenan Address: °2 15;Klahhane.Ridge Building Address: 401 E. Street Business Name: Renaissance Date Post on the premises in,a c onspicuous place No. 66 Shall not be reinOk ',ex by Building Official tom J se Zone: CA ';Use ,ort Angeles, WA. 98362 Port Angeles, WA. 98362 January 24. 2006 DATE j L Address of Proposed Business L}DI r: Applicant K n1Q AcIsftss Phone business 67O 33`f home 5 Legal Description Lot Current Use of Property Zoning Classification of Property• I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) 11.0 .V�) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other APPROVED REJECTED 12- C5fi 1. Certificate of Occupancy q $47 00 Certificate /Inspection Fee Brief description of proposed business VIA IVZ,4cG a, Block YES NO V V Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. �6 b ROUTING SLIP p efil m g -14A1 SSA1 C New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed Lzc�J7il I I Subdivision THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Comments Conditions DATE i 1 (I Address of Proposed Business L 3D! f Applicant L Address 7 1 1 I., lnr. ,.1 rr ,q r r 'Jr t. i e• -Jk C 4.0Z Phone bu ?W1) 670- (-731home Brief description of proposed business Legal Description Lot Current Use of Property ROUTING SLIP p Certificate of Occupancy $47 00 Certificate /Inspection Fee 1 i a "/..2uck C --4Noi r-c Block ‘°7 r ca J' ✓�C� Zoning Classification of Prop f WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) i'I (.2.41-0 n Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge APPROVED REJECTED 8 ///e614( YES Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed o es Ihy l‘ Subdivision THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other 00 ra n._>Cl X.t1 0 h r !l 4\ 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Comments Conditions 7) Q o Y y6.'0 (I l~ . RII ~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 05-00001011 Date 068511 401 E FRONT ST 06-30-00-5-1-4210-0000- LYNN KEENAN COMM REMODEL 12/08/05 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use property Zoning . . . Application valuation Owner ------------------------ KEENAN, LYNN 215 KLAHANE RIDGE PORT ANGELES ( 36) 565-1196 -------------------------- Construction Type . . Occupancy Type ~l1P~ b;i07C0 55250 Contractor ------------------------ CMU CONSTRUCTION 1695 S. BAGLEY CREEK PORT ANGELES (360) 452-1771 Structure Information 000 000 ---------------------- TYPE I FIRE RESISTIVE BUSINESS:OFF/PRO/MED/REST ~ , ~ [; ~~ ~~ (j~' DR. WA 98362 WA 98362 ---------------------------------------------------------------------------- BUILDING PERMIT - COMMERCIAL Permit . . . . . Additional desc . Permit pin number permit Fee Issue Date Expiration Date 66886 712.25 12/08/05 6/06/06 Plan Check Fee Valuation 462.96 55250 Qty Unit Charge Per Extension 670.25 42.00 BASE FEE 6.00 7.0000 THOU BL-50,001-100K (7.00 PER K) ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 66894 57.25 plan Check Fee 12/08/05 valuation 6/06/06 .00 o Qty Unit charge Per Extension 50.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date PLUMBING PERMIT 66902 85.00 12/08/05 6/06/06 Plan Check Fee valuation .00 o Qty Unit Charge Per Extension 50.00 28.00 7.00 BASE FEE 4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA.WATER HEATER ---------------------------------------------------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments $0 Connect Fee. Separate Permits are required for electrical work, SEP A, 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 orwork 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. I) V / ~ 12~~--- Signature of Contractor or Authorized Agent Date Date T:\Policies\1102_15 building permit inspection TecoTd05.wpd [1/4/2005] 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 IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I r I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR . '" INSULATION SLAB ,..;. WALL 1 FLOOR 1 CEILING MECHANICAL . HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKiRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . 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ID.., , , 0 "'H , , 0 , , , , , , , , , I , , t:l'O , : ;J>;J> , >-lQ I , 0:10:1 , , , , , , I I , '" I , '- , H , 0 , '- , 0 , "'ID c1'PORT~ {i . &,..~ if --... ~ "l.&;;c~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 --------------------------------------------------------------------- Application Number . . . . . 05-00001011 Application pin number 068511 Page 2 Date 12/08/05 special Notes and Comments 10/18/2005 09:22 AM JHEBNER ---------------------------- Electrical permits are required. 10/18/2005 09:23 AM JHEBNER ---------------------------- Any modifications to the City's electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 854.50 854.50 .00 .00 Plan Check Total 462.96 462.96 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1321.96 1321..96 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection TecoTd05.wpd [1/412005] 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 UNLA WFUL TO COVER, INSULA TE 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING I UNDER FLOOR 1 SLAB V,11 0& 1~ ROUGH-IN ~h"1 I()e :JU" WATER LINE (METER TO BLDG) I GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. 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"'01 BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 4: 0 I E- ~ f- Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: *. tJ~O ~d au I 4'"' ~~I'{L~ ~f- f' I ~f ~~iL ~G~ AD~ w/c- . ~~ ~ p~1L Ilo~ ~o~ Dt-...{_ ~LO ~ Co...~~~-t ti"7L~ + eouJ,!.{,)OIlS +-.\ -4- ~ I 0 _~ : J J ~ .:J.:'LJ-kfLLDt\- ~~ '~-5. These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call H [ I - LJ at <;, - for inspection. 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Z '-<>-3 '0'0 Ul !i:8 :>::>: fiJ OJ~ 00 , UlOJ ZZ t:1 , >-3 OJ OJ ::: t< .. , t< , H , OJ W 10 w", t< "'0 >< , , Ill",. , "'Ill , Ill'" , , , , f-'f-' , f-'-..) , ID-") , "'f-' , , , , t:1'<1 :l':l' >-3Gl OJ OJ III '- 0 ID '- Of-' '" 0 BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at Correction Notice ~ i=;-~+- 40/ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: .z7K Jo AeL~-c-~ ~~~ These corrections must be made and are not to be covered until reinspection is made. 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Keenan 215 K1ahanne Ridge Drive Port Angeles, W A 98362-8226 RE: Parking spaces within Peabody Street right of way Dear Ms. Keenan: This letter is in regards to the $195.00 payment received yesterday for the parking spaces west of your building at 401 East Front. Per the right of way use agreement the $195.00 fee is for each space, therefore an additional $195.00 is due. A copy of your insurance policy with an endorsement naming the.City as an additional insurer is also required. Upon receipt of the parking fee and the endorsement, Public Works & Utilities will sign off on the building permit. If you have questions feel free to call me at 417-4807. Sincerely, J~~ Trenia Funston Engineering Specialist File: R!W Use cc: Building File pd,. ~;ic Phone: 360-417-4805 / Fax: 360-417-4542 Website: www.cityofpa.us / Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. 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Z tJ tJj ~~ , '-<>'l Z , ~n 0 Z '1J'1J C1} , >'l G'l >-l :r::r: C , 01;>: 01 tJH 00 tJj , C1}01 C1} 2><3: ZZ tJ , >-l :>>01 0101 H , t"' t::loo.. < , r;J~f-' " , t"' H ['3~::' , 01 w , ~ :>> 0 w'" , t"' tJj 0 '" 0 , >< , , Ul"" , "'Ul , Ul'" , , , f-' f-' , f-'..., "'..., , "'f-' , , , , , , , , tJ'1J , :>>:>> , >-lG'l , 0101 , , , , , f-' , "- , f-' , ..., , "- , 0 "'\0 , ~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST C'.! COMPLETE to be accepted for review. If you have any questions, call I... " PERMITS (360) 417-4815 FAX(360)417-4711 ! Applicant or Agent:~ '{ N./J t(~r;; NA~ Phone: ~ol (P10-"~~Lf Owner: ~~~, Address:~~ LLL..A&l-u.N.i'~,~ ~. City: ~IZ-r ~'-~UC5 Architect/Engineer: C#AJe~ S=M 1"1' fot Phone: C t-\ \. ,J State License #: C-M utI! I fm~g~ City: PROJECT ADDRESS:~ E. rf2.0NT" ~ I. Phone: Zip: q8~-z.. 1~o / If'5 2. - G.llG. Phone: ~7--1711 Zip: ZONING: Contractor Address: LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ VCommercial I!t"Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ ~~. 00 BRI.E. F DESCRIPTION OF THE PROJECT, 1tL~"f..J.. fI"",,;: ",..~:I, "f'j:::';~~ ~~~ ~6~/~~D\l~ cZJc::c=.h-ic.. ~(!_A &'i~ ~d-l-/rcl..:P_~__~__~ 7' ~~ Z '-'V'a,/Is I . ~'P~ <:+UlL'"y..t,fl h~~:AfI j~4riiJr \IlL-it., N.J M~CIOr ~. COMMERCIAL/RESIDENTIAL: Occupancy Group; Occupant Load; Construction Type: No. of Stories: L Lot Size: Existing Sq. Ft. li--5Z?'. & Proposed Sq. Ft. = TOTAL Sq. Ft. l~ Z"S' ) Total lot coverage % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s); 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE,;. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determ' e what p mits are required ,not the City's, and that I must obtain such permits prior to work. Date: 10 {I '-1/ (J~ T:\Policies\BL-1102_I3,wpd Applicant: ~Io~ T~~- ~ WJ1. I ~ M~. ~- tot{ tVr~l4W/.. -:- I .~ 1-_ V~ _ I Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Dnly Lot: Address: 101 c. 'F"~T >-r. City: ~~ ~t;:;J 121? State: WA Zip: ~8~bz... Contact---.L-:.'iNN ~e-,..j~ Phone: ~('70-~~~'-f.. Phone 2: ~ 40/ J5{gi5 - 111" Permit#: Notes: Fax: n umte azmg )J tlOn ny Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option Area 10 U- Ceiling2 Vaulted Above Int4 EAi4 FloorS On % of Floor Vertical Overhead] 1 factor Ceiling3 Grade Below Below Grade -- Grade Grade ill Unlimited Group R-3 OAO 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-I0 Occupancy Only Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,] FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (U r . d Gl . O' 0 I ) See the code text for footnote references This project complies with the following: ./ The project is a single family residence or duplex. ./ The project is wood frame OR all of the insulation is interior or exterior of the framing. ./ All building components meet the requirements listed in Table 6-1, Option III. ./ The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception Ty pr::. D F ~'GAt- Sou;;:"C.Z ( ~~ bA~l-bOtlV~ Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Forni - Climate Zone 1 7/26/2004 ~ ''''''', ......... /' f'rP~ ~llc ". Cj & :5:)0 0f'(j <z ~ Ol)t &t . N Area Map This map is not intended to be used as a legal description. . .'.c;,,'" This map/drawing is produced by the City of Port Angeles for its own use and purposes. I~ Any other use of this map/drawing shall not be the responsibility ~rthe City. ~_ Feet f l I J I I , i i I L I l' I' J I { r.o..~ I~~ I ~ i - I I . ! 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CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17889 In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission is hereby granted to.dp,electrlcal work as listed below. . e ~ V . Address .'i11 /...__ ...mm~~!__'::-:.:m._____..__.____.mm.____m__m Occupancy__....:.~.,_:.::.:?......______...m.____m... ~::~~:~~:!:i;~:1~:::e;.~~;::VZ~~;:.___~~::~~;:::::::::::::::......~..:::::::::=::::::::::::::::::::::::::::=::::::::: Light Outlet........___.___.........______.._.._..... Receptacle Outlets..........__m_____........... Dryer. KW nunu...............____.____.....__... Range, KW _U....h__un_....h____ Water Heater: KW.__.__.....___________.___________..___ Heat: KW.................................n.........n..... Moto~: ,,1;: volts and phase: /2:.___7k'.__~ Service. volts ....................................... No. wires ................................._..... Size wlres.................n................_.. Main fuse .h._nnn..........____.............. Enclosure ................__.........._____ Type of wiring: Entrance Cable ...........___m___......... Rigid Conduit .__._________________________. MetalUc Tubing ....hm...............___ Current transtormers: No. & Size....................................... Sec. No.............___..............__............... Ser. No. u...........h...__...........__..__........ Sec. No......______.__.............__............u... Type of WIring: Armored Cable ..h...n...................,. Non-Metallic .............._._____._.......... Knob & Tube__.______________..______________ Rigid Conduit _____.____________._____.______ MetalI1c Tubing ._._......nh......hn... Raceway __............................._......._ Circuits, Light..___................_________......... Utlllty _________________.____________.._____________ Ileat ..............._.__................._.._...... Range ..............................__......__..... Water Heater .....___n..._...............__ Motor ............._.._______...................... Dryer...______.___.................___................. Furnace .....h..................'_......_...u...... .._:::":~'~~-=-~~~'~ ..........m........................................../'.......__............__.........__.......____....................................____.........__m....__............. .nn...n..nn-nunh.u.nnnn.....n.n..uunun....nnn...nnnu...nnnnnn.un.huu......uun..n...nn_u..h..nu....nnnuu.....n...h.hun Permit Fee""", j.."" ~::.- " ',(.,1- $......r................------........ Treas. Receipt No............................. By..ZJ(~~ NOTICE-Current must not be turned on until Certificate at Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 8 8 9 Address..................._............................._....................................................................................Date..._......_.._.._.._.........._......_......_......._ Owner ..................................._...h....._......_......_.._..........h............................................... TenanLh.......................U.......hU....................h....... WiringContractor..................................._....................._.............................................................By.............................................................. NOTICE-Current must not be turned on until Certlticate at Inspection has been issued. If work fa to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc. Application Number . . . . . 22-00001274 Date 10/13/22 Application pin number . . . 878006 Property Address . . . . . . 401 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-4210-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat / DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OLD GROWTH INVESTMENTS LLC DAVE'S HTG & COOLING SRVC INC 444 GAGNON ROAD PO BOX 413 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 10/13/22 Valuation . . . . 0 Expiration Date . . 4/11/23 Qty Unit Charge 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 M ULTI-FAM ILY / CO M M E R C IA L ELECTR IC AL PER M IT APP LIC ATIO N Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 I www.cityofpa.us ' elcctricalpermusro.ciryofpn.us 1J CD 3 ;:;: :i!= 401 East Front Street Project Address:-------------------------------------- p . D . . low voltage thermostat wire for controller as part of ductless heat pump system installation reject escription: -------------------------------------- □ Multi-Family Residential 0 Commercial/ Industrial/ Public Building Square footage: _11_2_8 _ Name: Harbinger Wine Bar - Sara Gagnon Mailing Address: 401 East Front Street Email: sara@harbingerwinery.com Phone: 360-477-9863 Name: Dave's Heatinq & Cooling Service, Inc. Mailing Address: PO Box 413, Port Angeles, WA 98362 Email: davesheatina@wavecable.com License: DAVESHC9912C Expiration Date: _5/_2_02_3 _ Phone: 360-452-0939 lwn 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/0 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 CircuiULimited Energy - Multi-Family Signal CircuiULimited 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 $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 Quantity IQtal (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ --5fij)..._0 - $ 56.00 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 09/23/2022 Laci Williams Date Signature (0 Owner 12) Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] Print Name PREPARED 10/10/22,13:31:23 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001274 401 E FRONT ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: T-stat NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/10/2022 22-1274 TAP OWNER CONTRACTOR Dave’s Heating PROJECT ADDRESS 401 E Front St Application Number . . . . . 22-00001409 Date 11/08/22 Application pin number . . . 878425 Property Address . . . . . . 401 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-4210-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OLD GROWTH INVESTMENTS LLC EXTRA MILE TECH & ELECT., LLC 444 GAGNON ROAD 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 74.00 Plan Check Fee . . .00 Issue Date . . . . 11/08/22 Valuation . . . . 0 Expiration Date . . 5/07/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .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 11/07/22,12:50:10 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001409 401 E FRONT ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 74.00 TOTAL DUE 74.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/10/2022 22-1409 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 401 E Front St