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HomeMy WebLinkAbout625 E Front St - Building VO/L4/LV io IV,Vr rnA t�J VV !/VUI REICEIVED �O y� r O� CITY OF PORT 1�NGEIr1t:S PERMIT APPLICATION y Building DivisioWEleeirical Inspections �Y ��1 321 East Fifth Street-P-0, Box 1150/Port Angeles Washington, 98962 ELECTRICAL Ph: (300) 417-4735 Fox: (360;'4'1'7-4711 I P C7ICNS Date C- � &2 Single Family Dwelling Plan Review May.Be? . 1red, P a Complet ectrical P 1 Review Information het don Address �`� `T ..,��-' -- • 7- r .5�. Building SquareFOOlag Descript on of above n i �72—Ir�l/A Owner ArnContra or I farmatlon C� �`�Goy S51ale Zip' Cily, State;l Zip' Pho a FaK „� Phan rax: i . L,censetlr.Kp--- _ LleensaP Exp Item Unit Charge Qty Total-0ty Mt1ll1plied by Unit Charge) Service/Feeder 200 Amp $120 00 $ ServicaTeeder 201.400 Amp. $146,00 $ Seryice/Faeder 401.600 Amp $205.00 Service/Feeder 601.1000 Amp $262.00 $ SeruiOe/Feeder over 1000 Amp $373 00 $ Branch Circuil*f Service Feeder $ 500 $ SrarCh Clrcuis WIC Service Feeder $ 63,00 4_ $ + Eaol1 Addlbonel Branca C+tcuii S 500 Branch Circuii 14 $ 7500-- Temp 5aryice!Feeder 2C0 Amp $ 9300 $ Temp.Service/Feeder 201-400 krrp $110 00 Term) Service/Feeeer 401-60C Amp $14900 $ Temp, Service/Faaeer 601.1000 Arrp $168,00 ;s ?octal to Ponal Hou,ly $ R 00 Signal Grcuill L Nied Energy-1 &2 Farr iiy Dwelling $ 64 00 $ Manufacwred Home Connection S 120.00 $ Renewable Electrical Energy-5KVA System or Less $102 00 Tharrnostal $ 56 00 Note.$5,00 for eaor additlo%T-Star NLW-99115TRUCTION ONLY; c,rsl 1300 Square Fl $12000 $ Each Add;nonal 500 Square FI,or Polion or $ 40.00 $ Eacn Durbudamg or Detached Garage 5 74100 $ Each Swimming Pool or Hot Tub 5 11000 $ $ Total Owner as defined by KW 19.28,261 (1)Owner will occupy the structure for two years after this electrical p9rmit is finalized.(2)Owner is required to hire an eleclncal conlraclor If above said property is for sale,i oi Iea,N Permit expires after six months of last inspection, After reading the above statement,I hereby certify that I am the owner of th,e ibove named property or a licensed electrical Contractor,I am making the electri ai Installation or alleralion in complfance with the electrical laws,N F,C.,RCW,Chapter 19.26,WAC,Chapter 29S-4613,The Clty of Port Angeles nlcipal Code,a 11ity Specfficallons and PAW 14 05,050 regarding Eieclrical Permit Appllcatlors, 5ignatu of ow er,oleo rica contractor I ctrical administrator ❑ Ceon ❑ Cli �J 4 Dated; ����t%1J�,, ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000568 Date 6/04/13 Application pin number , , . 895536 Property Address 625 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-4075-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . , , to the City of Port Angeles Property Use Property Zoning . , , . , , , COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . , , , 0 ---------------------------------------------------------------------------- Application dese 3 BRANCH CIRCUITS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PIERCE TTE BURTON S/ROSA M. SHAMP ELECTRICAL CONTRACTING 108A N LAKE DR PO BOX 383 JESUP GA 315461919 PORT ANGELES WA 98362 -- ----(360) ----1689 Permit . . . . .. . ELECTRICAL ALTER RESIDENTIAL (� t Additional desc , . Permit Fee , , . , 73.00 Plan Check Fee Issue Date . . . . 5/29/13 Valuation 0 Expiration Date , , 11/25/13 Qty Unit Charge Per Extension ' _ 2.00 50000 ECH EL-BRANCH CIRCUIT W/FEEDER- - - 10.00 1 1,00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- ---------- Permit Fee Total 73.00 73.00 .00 .00 Plan Check Total .00 00. .00 .00 Grand Total 73.00 73.00 .00 00 INSPECTION,TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN f FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEISUILDING CITY OF PORT ANGELES DEPART NT OF COMMUNITY DEVELOPMEN 3UILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000441 Application pin number 409076 Property Address 625 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 4075 0000 Application type description SIDING Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor Other Fees Fee summary Charged Paid Credited Due T \Policies \I 102_15 building permit inspection record05.wpd [I/4/2005] Date 4/25/07 PIERCE TTE BURTON B /ROSA M CMU CONSTRUCTION 108A N LAKE DR 1695 S BAGLEY CREEK JESUP GA 315461919 PORT ANGELES WA 98362 (360) 452 1771 Permit BUILDING PERMIT NO PR FEE Additional desc REPLACE- SIDING Permit pin number 100313 Permit Fee 50 00 Plan Check Fee 00 Issue Date 4/25/07 Valuation 0 Expiration Date 10/22/07 Qty Unit Charge Per Extension BASE FEE 50 00 STATE SURCHARGE 4 50 Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 50 00 00 0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned (.1) 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 3 construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLUGS.) 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 W ALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY B DING PERMIT INSPECTION R E CORD CALL 41 -481D FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELES. -RICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 FLOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORT BEFORE LA'SPECTED 4ND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT .LOB SITE. INSPECTION TYPE DATE MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #1's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 PLANMNG DEPT 417 -4750 BUILDING 417 -4815 1 T \Policies \l 102 15 building permit inspection record05.wpd [1/4/2005) ACCEPTED YES 1 NO FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT FINAL DATE ACCEPTED BY. CONSTRUCTION R.W PW /ENGINEERING I FIRE DEPT. PLANNING DEPT 1 BUILDING COMMENTS DATE ACCEPTED BY, DATE I ACCEPTED 1 YES 1 NO I I I. .)(1 I ICe% -1 -1 D I Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: C rn Ul C' Owner 1 PI E2eJS Address: 2 5 E F 2o,vT Architect/Engineer Contractor 0'126,_U 7i State License #!'W. tie at*" ZZMtExplj- 0'1 -0? Phone: 45 Address: ICA S. PN4 9 2 /C /?/.city. PO R. f AAJ& L LES Zip el I '3 G'Z PROJECT ADDRESS (02. F ST2 LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Re roof Stove Multi family Addition Move Garage )d Commercial Xi Remodel Demolition Deck is( Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT AI E. S tD /mac X 72. FROM?" COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stones. Lot Size. Existing Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION a, Mut IC. Phone: Phone. City PO Al C7- L Phone: ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Subdivision. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION "ft�rt eJ./ r of iA/f 1 $^14 LL Occupant Load. Proposed Sq. Ft. 25 61 f FOR OFFICIAL USE ONLY I l �r Date Rec.07 q yt7� Permit ti ‘157...-M I 4(C -01 I V 9 5500 Zip C 1 3Co'l. ZONING S? 5.O ?.0 C�c $S,pa -s �c 1 �i 4,5 eAtletcr Date Approved Date Issued: Construction Type TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FIRE 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 If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 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 determine what permits are required not the City's, and that 1 must obtain such permits prior to work. T•\ FORMS \B1dgPermitform.wpd Applicant: li U111 Date: L/- Z 5 -07 PREPARED 5/16/07 12 25 24 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/16/07 ADDRESS 625 E FRONT ST SUBDIV CONTRACTOR CMU CONSTRUCTION PHONE (360) 452 1771 OWNER PIERCE TTE BURTON B /ROSA M PHONE PARCEL 06 30 00 5 1 4075 0000 APPL NUMBER 07 00000440 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/16/07 JLL BLDG FINAL RE ROOF FINAL CHUCK 460 0014 COMMENTS AND NOTES w CITY OF PORT ANGELES o „I' DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION ,J 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000440 Date 4/25/07 0 Application pin number 303840 Property Address 625 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 4075 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 5020 Owner Contractor PIERCE TTE BURTON B /ROSA M CMU CONSTRUCTION 108A N LAKE DR 1695 S BAGLEY CREEK JESUP GA 315461919 PORT ANGELES WA 98362 (360) 452 1771 Permit BUILDING PERMIT NO PR FEE Additional desc HOTMOP Permit pin number 100305 Permit Fee 151 75 Plan Check Fee 00 Issue Date 4/25/07 Valuation 5020 Expiration Date 10/22/07 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 151 75 151 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 156 25 156 25 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 okiLek -1_ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1 102_15 building pennit inspection record05 wpd [1/4/2005] I rig o CALL 417 -481 FOR BUILDING INSPECTIONS. CALL 417 -473 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE k 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 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 W 4LLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #Ps PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I I I47 I SU T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] NO F IN A L FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE YES ACCEPTED NO I I I I 1 1 1 1 I I 3 BUILDING PERMIT APPLICATION Fill out COMPLETED and in INk. X our application and site plan MUST BE COMPLETE to be accepted for review If you have any questions. call PERMITS (360) 417 -4815 FAX(360 -4 711 Applicant or Agent: (Th Ul L' CT1 AIiL 1-kn. IL Phone: 67_ 11~1 1 t-1 01 I yd Owner (U R P1 cee.../5.1 Phone. ll rj'1- s 5 C5 O Address:1., 2. 5 E F 2o4'T s '2 Cit Po'z7 4,0 C a.0 Zip 4i. 3Cp'L Architect/Engineer. Phone: Contractor 0'W /1.)S 7r State License #01 t Ue b1 *OZAt (xp9- 01 -d7 Phone. 46 Z- 711 Address: lUIR S. P I 0 -LEY elm y2liity Pa 6 I AI U L Les Zip C=1 i PROJECT ADDRESS F�O� S 7 t ZONIN G VS LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr 1K Re roof Stove Multi family Addition Move Garage Y Commercial X Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT It C. J O /A.) S1,12 ReePur COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checldist required? Yes No Other SIZE/VALUATION SF /SF 7 (AS ,53 SF /SF $.s r,cvr 5 .02 ei. SF /SF $5,iD�� k i Z,,$ TOTAL VALUATION -ro2 /Ze>c i.:vr 1 C/VOLE- QR. C Occupant Load. Construction Type Proposed Sq. Ft. TOTAL Sq Ft. FOR OFFICIAL USE ONL' DateRee.�) C /f.. //9:/ Permit Dat.. p ppro•,ed( r `--L L f r2 I Date Issued: J APPROVALS PLAN BLDG DPWU FIRE. 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 Buildmg 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 apphcation and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW Eno permit is issued within 180 days of the date of apphcation, 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that 1 must obtain such permits prior to work. s p, T �FORMS1B1dgPermitformwpd Applicant: U Date: Li- Z 6-07 U 0 Use Classification: Retail CERTIFICATE OF-OCCUPANCY fifi f 4..s,.,,. R city Ang eles Bu�ldlnz,Diwislon This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building constructiotiiii use. For the following Building Permit No BusinessNatne: ..Kai s fr me'Center ype;Of Construction: Building Address: 625EEast Front Street Group: M Use Zne: CA Owner of Business /Residence: Karon Nichols Address: 7. 15.SOuth•:.Lincoln Street,FVort Anee1es. WA 98362 ftrialilelat ecember 20. 2002 "Built" (ii"Ai� s- �a D ate Post on =r c:o s icI:uou the ;;�g�sft;nr:a.:� p� s place. Shall not be remoe bygauilding Official 1 DATE O Address of proposed Business a 5 F/20 NT 5 7r Applicant kA PON C f itQAW C C NT Address 1 -1 X)CQL11) S 1 New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Phone business 15 -63) 30f home 1- 16 6931 Change of Use BCief description of proposed business. CI.I O Q`C1 l'. RE FR R YY\ I Legal Description Lot _Lk Block Current Use of Property' V ACA v +there Stuop Zoning Classification of Property' 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.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other REJECTED ROUTING SLIP Certificate of Occupancy .Certificate /Inspection Fee CA YES NO v /G 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Date Signed THE FOLLOWING PERMITS 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 Comments Conditions Subdivision P SAA, WILL BE REQUIRED BUSINESS LICENSE 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 DATE I Address of Proposed Business Applicant .(/1 1 )N i p,i \V-1A E C. Address 1 L. 1 Phone business 'C- home 4 6 Brief description of proposed business .a SI,) I '"e Legal Description Lot 1 4 Block 4 /0 Current Use of Property li- t_ A 1r It" b t %46 tg 5 Zoning Classification of Property 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.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other APPROVED REJECTED ROUTING SLIP Certificate of Occupancy Certificate /Inspection Fee C YES NO j 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 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 THE FOLLOWING WILL PERMITS BU 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 O DO Subdivision u R. s,,,t .1r-V4 BE REQUIRED SINESS LICENSE 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 1 Comments Conditions L _A ,✓Y7.. rLY 7 T 1/Z11 VD__, rc�J ,d .n f~ORT~ A.......O~~ iJ~'" "-~ ~ 'toi:~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 '. Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000379 Date .938290 625 E FRONT ST 06-30-00-5-1-4075-0000- KARON'S FRAME CENTER COMM ADDITION 5/17/04 COMMERCIAL ARTERIAL 5000 Ftt,\~ lt10 &/(ttJ /u4 Owner Contractor GA 315461919 PENINSULA SIGNS 755 LEMMON RD PORT ANGELES (360) 417-9548 ADD SIGN & AWNING TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS & AWNINGS PIERCE TTE BURTON B/ROSA M 108A N LAKE DR JESUP WA 98362 Structure Information Construction Type Occupancy Type Other struct info 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 ~ 'P cY\ ---------------------------------------------------------------------------- permi t Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL INSTALL NEW AWNING 134.75 Plan Check Fee 5/14/04 Valuation 11/10/04 87.59 5000 ~) 3.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 92.75 42.00 1\ ct Qty Unit Charge Per ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date SIGN 60 SQ. FT. 85.00 5/17/04 11/13/04 ~ WALL MOUNTED SIGN Plan Check Fee Valuation .00 5000 -{ Qty 1. 00 Unit Charge Per 85.0000 PER S- SIGN WALL 25 SF+ Extension 85.00 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 219.75 219.75 .00 .00 Plan Check Total 87.59 87.59 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 311.84 311.84 .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. oltJ FILE Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\II02.15 [111]4/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 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 FOUND A TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 J 7-4750 PLANNING DEPT. BUILDING 417-4815 S_/</-o -4 N.V BUILDING T:\PLANNING\FORMS\l ] 02.15 [11/14/2003 ] tJ:I , >-3 '1:1 ::;:;;~8tHi n'O t"' , >< ~ H;o '" , '1:1 'O;oZZZO >-3t<J '" , '- t"' fHJ;;J ~ Gl ><'0 , '" >-< )> 0 , 0 ... 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I'm 0", CQM!'antL Y and \oINK. Yo'" '1',...'10. ... ... p'" ><UST COMPLrrE 10 lie ucepUd for n1'inl', 11 you ba'" any CJuestlolU. clI1I. ; P~L~ (360) 417....815 FAX<3l10)417.....,11 -- - Ac34rees: nomer AD LEGAL DBSC CI...ALLAM CO Al'J'LtCATION SUBMITI'.u.: ~ BuiJ~ Divi.= c~ providl! you with =111:11: OD the applicationlDli uyw ban quo,tiou, ONSTaUCTION: 111 .n calli. . ..aluation amout mUlt be enterecl by !he 9pllCllD.t. tbc ElllildmiDi"fDmta ClOmplYwiIh 1:lmeD1t= tc.hJOllet, Co::.act~PemJit Com4iDalOr . IF l plD obeck ~ is duc it IDUIlt 'be ~bml*ci ~ me time the "tluildmIpeuolt applca1ioJl. crmLt fIn.1lft, dIlC It the am. ofpenlllt ~e. ; ''''''':'''' '" . . ~-1-iO.ft,.uftbe'..'Qf..Iflpl.(l_ ~'IJ' &:a. .TI.. eJdud a. time fOr =021 by the IpJaUGI).rt up ttl.180 clay. upon wriUOIl rllCj1l&llt 'by 1b, app . lilt (Ice SCCtiOll 107.4 of Coda, ClUnat odltillJl.). No 1p1'1lC8lioa CaJl be !lXtcIIQod mole than OD.cI, ' .,. INd and lX.mintci thlr ,~"f;etiCn ,mi MOW the StJm8 m be true .nd c;otI'ect, r am authorl%e fHPMslblly fo rJst.rmine whit permits er. "qlJ/fld ,lIot thll CNy'5, end t/J.t i millf ob1a/n SUM p T:~1iI\alI pT1lIit~ . App"1Eant.~ ~' Dato: to epp~ for this ".nnI 'fJd ", prior to werle. -~-O S/LttJ PC:::>RT ANc;:;.E LES. ,^,AS INGTC>N Phone 360.417.9548 Fax 0.452.6778 ; fa~ ~OVeT Sliee-t C (1"\ ti>f f1t '6Ut L-DI "KL PErr, To: C: I ~ I 0 VI Qill.@ Attn Phone No: jJj 17-l1 ~ J 5 _QLI L, Fax No: , --- - From: ~~ Lv.- Regarding: I I Number of Jl>ages (including Cover Sheet): 1 UJf- W\L-L ~~ 8ANDl--I A4tCitimuJIC R.emar~: f~(l(Y\ IT PO (L 'KIT(l.ON' ; ~ I e~ l et fY'-'L f:-vurus- " 6 \ 'S ~ () ~ ' r-tv r YV\ 03;-, ur-. l' 'oJ.- ~~. r+ ~ ')') c~~\~ ~/~Y ~ ~ ~ \J..K S l.V'-l o--uretJ(~ \. T. (~& ~& \Y \fj - .fa\ Z ,- -a--'~ <~ )Li_ e. ~ - a-~ !-- -+~ ~~E o o ~ ,~~\I\ .1 _ ..t' ~ -1 ~ ~ " )J S. :l> \A "2- i ~f ~l~ .$\~~ ~~Vt m ..x ~\)' -"", ~ .r: fIJ Ii ~) 'z d 'I 5- II -:10' L 1\ l--' V La ~T' 4400 c:.!- I LA9 I..r~ ~~ wflOci Wu 8"A-r~ o IV f3; LJ ~ f.,t.J "-n.. '2. i6 ck".'r~ , ..~ - ~ ., - ]' , , H'9~ o~F .5 ;a~ WAL#c' -(J II F ,,,A-ne- -I Sqv~1' weLJe) srell. CO\Jt.t' ~ .5u~ !'-ell n"TeN~L' J FilE , K A f\ d Fl'o..I-' fl.., -ref' 'cl':J ~, FI'~T 6 P, fr, dbt) -S65--0 oZJ .. ..~." . ,,; r'1 t..... M ROUTING SLIP Certificate of Occupancy ~Certificate/Inspection Fee DATE ~':2q - ~- (~"'~ New Business ............................ ) Address of Proposed Business Transfer of Business Location ................ (~ ~' ~'~ ~-~"/'~ ~ ~ ~ Change of Ownership ...................... ) Applicant /~"~N~ F~AWICk' ~-----~'[" ~-"~' New Building ............................. ) Address "1 I ~ LI IOC_~)(.._/~) ~ ~ Remodel ................................. /..,'"~) Temporary Business ....................... ) Phone: business ~ ~ '~--P'JOc~ home/---~-,,Q.-~9~ "~ Change of Use ............................ ) Brief descrip_tion of proposed business_.' COct:~"~)~"x ,~\C'~(~ ~_ F~~', ~-~ YY~ ~ ~,~' Legal Description: Lot J,~ Block ~-/O Subdivision ~/~, Current Use of Property: [.) .'_J~/~ _~'~' "~ Zoning Classification of Property: ~-- ~)~ WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ............................ PERMITS BUSINESS LICENSE Electrical changes .............................. ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. ~ 2) Plumbing 2) Peddlers Plumbing changes ............................. ~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs .......................... /'"'"" -- 4) Mechanical 4) Pawn Broker New septic tanks ............................... ~ 5) Sewer 5) Dance New sewer service ............................. ~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons .................... ~ 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... ~ 8) Curb installation 8) Ambulance Excavation of filling of lots ....................... ~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way .................... ~ 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... /~-' 11) Fire New driveway openings ......................... ~ 12) Occupancy A grading plan for site drainage ................... L-/ 13) Sign (parking lots, downspouts, etc.) ................. ~ 14) Shoreline Are the existing streets paved? ................... L~ __ 15) Home occupation Are there existing sidewalks? ..................... ~__ 16) Conditional use Is there curb and gutter? ........................ ~ -- 17) Other Other .......................................... I hereby apply for a Certificate of Occupancy and acknowl- (~. ~,~- edge that I have read this application and state that the Date' ~ -,~ knowledge.inf°rmati°n l have supplied is c°rrect t° the best °f mYSign2 F~ ~t~(--~ _/~D REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. 17272 , -/::L @ Port Angeles. Washlngton.__m._.m.m..................mm.mmm.....m.... 19. L.. In aocordance 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 Angeies. per- mission is hereby granted to dZical work as listed below. Address ..--.m.r;.if.~~..r::---..--~....-------mm.------. Occupancy__.__.m.m______..m________._mm__m__ O~~er ~:L/.C----{,{ff--d.~::.~;.;.,.----.m ~nanL-----.m..--....-...------.-.--mm.--m.-m.--m.-mm--. WIrIng Contractor ooo71---.'!1(f-'.-,(!L--...--.--..--m.~. :;__;,.-;;;...__.__.__.m____mmmm__.:__.m._.______m_____... Light Outlet..............................___.._..... ServIce, volt. .._.......]........................ Type ot Wiring. Receptacle Outlets............................... No. wires ...m~_....____.................... Armored Cable .____..___...___nnn__...._ SI I t://";A Non-MetalUc ............---..........__.._... ze w re.....L>..U................_.. / ~.""'tJ + Main fuse ...~~....!................ Enclosure .......:~........h...nn____...__ CITY OF PORT ANGELES LIGHT DEPARTMENT /"'. ELECTRICAL PERMIT Dryer, KW........u.............__....__.hn.__... Range, KW....__.hun.h________._ Water Heater: Heat~;~::::2~2t8..::..::::.: Type of wiring: Entrance Cable .......___................... Motors: size, volts and phase: Rigid ConduIt .....m.___m....__n__.__... Metallic Tubing __......................... Current transformers: No. & Slze........_.............................. Ser. No.............................................. Ser. No.............................................. Ser. No. ............................................. Total wad............................. Ser. No. ................._.......................... Remarks: __..'.____mm.m____.__.._________.______.___.___ooo__m..m.__.______.m_____________________.____m____m.__...__..._____mm__..____.____...__. Total....................................... N'? Knob & Tube....................._........._ RIgid Conduit ___...________.__........______ Metallie Tubing m.m........m..m.... Raceway n....._....._.................___._ CIrcuits. Light....................................... Utillty ........00..........___...................___ Heat ......................._.............._.._. Range ................................_............ Water Heater ....h_.............h......... Motor ..._........................................ Dryer ..............................................__ Furnace .........................._......_........... ..............................-................-.....................-...................._.............................._........h........__...................._............ ..uuu.__.._nnnuuu.n.h_u.nnnn......n.nnun.u.nn.unn.nuu.__dh_U'_'UU'__uu....nnuun..uuuuu..___n.n.nu.n_ununu.n....Un.n Permit Fee $.'.__....__mmooo________________... Treas. Receipt NO.__m...__....m_______m By __________.____m__m__..m_mmm______..m.mmm__..____ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon. cealed due notIee must be given the Inspector so that work may be inspected before eODcealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17272 , Addf~s.................................................................................................._................_....................Date..._......_.._.._.._.........._.__.._......_......._ Owner...................................___........_......_.n..._.._.............._.........................................Tenant.................................................................... Wiring.Contractor..................................._......_.............._.............................................................By.............n......................................_....... " NOTICE--Current must not be turned on until Certificate of Inspection has been Issued. If work fs to be con. cealed due notice must be given the Inspector so that work may be Inspeeted before concealment. . \ \ 1M" \ Olympic Printers, Inc. --- CITY OF PORT ANGELES LIGHT DEPARTMENT 'ELECTRICAL PERMIT N? 17226 1" -:;:2 Y .YU Port Angeles, Washlngton______________mm_...___.__._m.__...____..m_______m_, 19..__._.. .. Dryer, KW n.n___.....n..__.______._______.__.____ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, 01)., or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address ____r;;.__.i?.m~____E_._.(/'t:~_<_~'f.~.__.____________________ occupancy__k_________m________._______ ~:~:~ ~.~:~~~~~~-::::~:::~;.~:;::::::~~:~..~l::~~;::::::::::::::-:_-_-_~::::::::::=::::::::::::::::::=::::::::=::::::::: ~ V Light Outlets...._________.h..................._n... Service, volts ______-!:.~":'_~..tJ...~....f1.!.h.~ Type of Wiring: No. wires ....~_.____..~.h.______._.__... Armored Cable ................_...nm_.._ Receptacle Outletsnmm....................... Size wlres..._.~4.....~e.._.. .y 7~ /f- MaIn fuse ____(..h.h.d....................... Enclosure ______:~....h_..._......_......... Non-Metallic ............................,.._. -- Knob & Tube..._.............._..._._____.... Range, KW n____nm_mu__muu Water Heater: RIgid Conduit ___..........._........._...... MetalIlc Tubing ............___._____...... KW...._..n___m___n___mm_n___m_..nm. Type of wiring: Heat' KW.m.I()..lk.,r...t!!..~fl4.?- e,.zf~utrance Cable _.................m........ Motors: size, volts and phase: Rigid Conduit ........-...---. Raceway ____.______..__........_.....__..._ Circuits. LigbL..m___m......_m........_.m__ Utility .......mm._.___...................mm. Metallic Tubing _mnm Current transformers: Heat .__________...................._......._...... Ser. No........___._____________...____________....__ Range ...................._______..,__............. Water Heater ............._....______....... Motor ........................__...........__...... No. & Size............._............... Ser. NO....____....__........__.............h........ Dryer............._____.____....______.............__ Furnace .--.......................R.___.._._._........ Ser. N o...._._.._..._..............._....~............ Total wad_____._______.__............. Sec. No. ................._........__................ Total ........____....__.____.n__.__.____... Remarks: .._.0~;O',.l.A!~:c'=_!!':________A_~::___...~!f.__::t,:r~~="?:_~'-..e.._~..__...<f..:,,_.d~..tL:!:.'=:!?:=.__ 'lr~~1I: If. /" .' ... , , ...t /" . " t", ,. c. .,.,. . ,#,~." By ____t______.J_Z_______::(.t!,:._,.<:.[.____?~__,:"::_,,_?._:'-J ;- NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. Permit Fee Treas. Receipt $_.___...._________mm_______.___.... No._______.__.____....._._..___ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ; , ELECTRICAL PERMIT N? 17226 \", ..".JIIt1">..F' Address.........._.....n____._.______....................................................____n__........._.___......_.......................Date._____.________.__._...._..__._.__.._......_...__.._ Owner........_......._..._._.....___...._......_.._......_......_.._..........n...............................................Tenant........_..........................._............................... Wiring. Contractor..................................... ......................_............................._..........n...................By........._n........___......................__............... ~OTICE-Current must not, be turned on until CertifIcate of Inspection has been issued. If work is to be con- ceale4 due notice must be given the Inspector so that work may be inspected before concealment. , ,. HK (",\1..__,_ ",-,_<___ T__ . " ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . • • .. . 15- 00QQ1489 Date 11/23/15 Application pin number . • . 916069 Property Address • • • • . 625 E FRONT ST ASSESSOR PARCEL NUMBE'1�; 06-34-00-5-1- 4075 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . • . . . . • Property Zoning . . . • • . . COMMERCIAL ARTERIAL Application valuation • • . • 0 Application desc Ductless heat pump Owner Contractor PIERCE TIE BURTON B /ROSA M BLACK DIAMOND ELECTRICAL CONTR 10BA N LAKE DR 502 SLACK DIAMOND RD JESUP GA 315461919 PORT ANGELES WA 98363 (360) 565 -1035 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . • Permit Fee 74.00 Plan Check Fee .00 Issue Date 11/23/15 Valuation 0 Expiration Date 5/21/16 Qty Unit Charge Per Extension 1.0D 74.0000 BCH -EL -COMM pRANCH CIE WO/ 51F 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 0D REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING vi CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362° Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: r Z Z�Vulti- Family or Commercial* * Plan Review May Be Required, Pleas Cam,—plete Electrical Plan Review Information Sheet Job Address: 2 t-- Building Square Footage: Description of above Owner Information Name: anra.e 3", Mailing Address: City: -0 Zip: Phone: of a Fax: State: Zip: License # 1 Exp. Fax: ��MA--; —) ybS —b3a 8 G Item Unit Charge ServicelFeeder 200 Amp. $ 132.00 Service/Feeder 201 -400 Amp. $ 160.00 Service/Feeder 401 -600 Amp $ 225.00 ServicelFeeder 601 -1000 Amp. $ 288.00 Service/Feeder over 1000 Amp. $ 410.00 Branch Circuit W! Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 742 Each Additional Branch Circuit $ 5.00 Branch Circuits 1 -4 $ 86.00 Temp. Service/ Feeder 200 Amp. $102.00 Temp, Service/Feeder 201 -400 Amp. $121 .00 Temp. SorvicelFeeder401 -600 Amp, $ 164.00 Temp. Service/Feeder 801 -1000 Amp . $ 185,00 Portal to Portal Hourly $ 96.00 Sign /Outline Lighting $ 88.00 Signal Circuit/ Limited Energy — Multi - Family $ 64.00 Signal Circuit/ Limited Energy 1 First 1500 sf -- Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 Note: $5.00 for each additional T -Stat Contractor Inf �tion Name; Mailing Address: City: State: Zip: Phone: Fax: License # 1 Exp, G Qty Total (Qty Multiplied by Unit Charge) $ $ $ �f $ 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 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature wn r eltricalcontractororelectricaladministrator: El cash check © Credit Card # 0110112012 lb 2