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1023 E Front St - Building
CITY OF PORT.ANGELES PERMIT APPLICATION � Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 JAN 2 a 20% Ph: (360) 417-4735 Fax: (360)417-4711 Y � E�CTRICAI� Date: -3 �Multi-Family ommercial ze of QINSPECTICNS *Plan Review Ma.y Be ulred, Please Complete Electrical Plan Review Information Sheet Job Address: 10)•3 � �t 0 Bui[ding Square Footag Description of above L- 41. L-1 Ownero for a I n Contractor Information TW Name: 1N C.V' Z Name: ` �Ia �_« Mailin ddres t� Maillrn Address. City: 0 cjS State: Zip: �` City: State: W Zip: Phone a Fax: c, — �l� Phone: a Fax: d ,1 License#1 Exp. License#1 Exp. t s Item Unit Charge Qty Total(Qty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $132.00 $ ServicelFeeder 201.400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ 5,00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 86.00 $ Temp.Servlcel Feeder 200 Amp. $102.00 $ Temp.ServicelFeeder201-400 Amp, $121,40"'' aprkl a° $ Temp.Service/Feeder 401-6C0 Amp. $164.00 $ Temp.Service/Feeder 601-1COD Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88,00 $ Signal Circuitl 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-Stal $ —Total Owner as defined by RCKII9.28.261: (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 of owner,electrical contractor or electrical administrator: ❑ cash 9 check \�_ f ❑ Credit Card# Dated s 0110112012 6 j Z-Z � ` r ELECTRICAL PERMIT CITY OF PORT ANGELES , 360-417-4735 �--- Application Number 14-00000091 Date 1/23/14 Applicat.ion pin number , . . 864949 Property Address , . . . 1023 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0335-0000- 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 desc. Lighting retro Owner Contractor LOVELL REAL ESTATE HOLDINGS ENERGY MANAGEMENT SERVICES INC 229 W 10TH 15008 35TH AVE W STE C PORT ANGELES WA 98362 LYNNWOCD WA 98087 (425) 741-3526 ------------------ ----------------------------------- -------•--------------- Permit . . , ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 1/23/14 Valuation . . 0 Expiration Date 7/22/14 Qty. Unit Charge Per Extension {i BASE FEE 86.60 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 66.00 . .40 .00 Plan Check. Total 00 OQ 00 00 Grand Total 86.00 86.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 FINAL Ty COMMENTS: PERMIT WILL EXPIRE SIX(6).MONTHS FROM LAST INSPECTION y Signature of owner or Electrical Contractor X ate: GAEXCHANGMBUILDING ELECTRICAL PERMIT 1023 E FRONT ST 12 -1125 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN .IP FINAL /O -W.,. 0 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 5 circuits lighting retrofit Owner LOVELL REAL ESTATE HOLDINGS 229 W 10TH PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date WA 98362 Fee summary Charged Permit Fee Total Plan Check Total Grand Total COMMERCIAL ARTERIAL 0 12- 00001125 152750 1023 E FRONT ST 06-30-00-8-1- 0335 -0000- ELECTRICAL ONLY Contractor ELECTRICAL ALTER COMMERCIAL 94.00 8/30/12 2/26/13 94.00 .00 94.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Date 8/30/12 ENERGY MANAGEMENT SERVICES INC 15008 35TH AVE W STE C LYNNWOOD WA 98087 (425) 741 -3526 Qty Unit Charge Per 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 4.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT Paid Credited Due 94.00 .00 94.00 Plan Check Fee Valuation .00 .00 .00 Extension 74.00 20.00 '.00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 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 "Multi- Family or Commercial* Date: 8" 9 /I i Plan Review May Be Re Pleas Co plate Ejectricql Plan ReNjew Inform Sheet t� 3ele5 �J ctR3 Job Address: 1 Q� 3 E f) N{ i 0v N Building Square Footage: Description ofabove IT�1lll7t►�» Owne ttforr Name: vc u ktiterr� Mailing Address: City: Phone: License Exp. Item 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/ Limped Energy Multi- Family Signal Circuit/ Limited Energy First 1500 6f- Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stet State: Zip: Fax: "rook L iaC 7 9 l 35 Unit Charge 132.00 160.00 225.00 288.00 410.00 5.00 74.00 L 5.00 86.00 102.00 121.00 164.00 165.00 96.00 88.00 64.00 96.00 $113.00 56.00 DaWd: g1L 0 7 `o n� dL AUG 29 2i2 ELEC INSPECTIONS 6 1 I ContrptorInfor. -tion Name.•CV4 Malll gAddres City: State: Zip' Phone: 4})S -14j -3 /fax: 4-)5 S2 License Exp. N C 4 h 1 S 'j 13 Rd 1 1 o 1 3 Total (Qtv Multiplied by Unit Charge) T.,91-100 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. Signature of owner, electrical contractor or electrical administrator: d casr, cne Noc�N t Credh Ca 1 Y /1 c( a— 4444+241:` I°/ I 4r A Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner LOVELL REAL ESTATE HOLDINGS 229 W 10TH PORT ANGELES Permit ELECTRICAL SIGN PERMITS Additional desc SIGN INSTALL PHOENIX SING Permit Fee 71 00 e Plan Check Fee Issue Date 4/08/05 Valuation Expiration Date 10/05/05 Qty Unit Charge 1 00 2 00 Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 Per 36 4000 ECH EL -COMM 1ST SIGN 17 3000 ECH EL COMM ADD SIGN Charged 71 00 00 71 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000249 812882 1023 E FRONT ST 06 30 00 8 1 0335 0000 SIGNS COMMERCIAL ARTERIAL 0 Contractor PHOENIX SIGN CO LLC 112 CLEMONS RD MONTESANO (360) 532 1111 Paid Credited 71 00 00 71 00 00 00 00 Date 4/08/05 WA 98563 00 0 Extension 36 40 34 60 Due 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSULATE OR CONCEAL ANY WORK BEFORE IT I INSPECTED AND ACCEPTED. UNLAWFUL TO COVER, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 NSPECT1ON TYPE 1 DATE DITCH ROUGH -IN COVER SERVICE ACCEPTED I YES I NO FINAL 1 1 1 COMMENTS Ex20 /a 07 GENERAL COMMENTS: PW- 1102.13 (4961 Job wiretdby 0 Electrical Contractor 0 Owner Elertntal tcontractor-name- License- txtttber p lu .c S P1-10 L-"Ngc 9 007 Puuhaser's Meiling addrest rl O L i 5 7 City State ZIP P\ be,c)e,eh RJ i .0 Telephone number FAX number C:i 32-- S Premises owner's names 1 !^Q...0 e I j C E z1+ 9+f'_ AU`Ct1Jige, Address of inspection �1 to Z3 e F "0 r Sr City r r- o Ic .0 hereby certify that 1 am the OtWer of the above sawed property or a licensed electrical contractor (or the fun's authorized agent) and an mating the electrical installation or alteration in compliance with the electrical Iaw, Chapter 19.28 RCW Signature of owner, electrical contractor or electrical administrator X =0 ._0 Inspection Date Building �T or Equipment tit Tnspacttzd Action Takeo Erotical Inspector ��V; 9 E, /2E4 v� `T;i i 1 i 1 PM C J T Y UP PA BLDG DEPT :1 Electrical C.untractor 0 Owner e Annual Permit O Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maim. )(Signs 0 Thermostat O Telecoot. WAIJ S Insulation Only Date Appeeved Be Covet Insulation Only Date Approved lay Cover two App vet ar Date Approved 0y Ele_cirkalload Additions and co stAttreetprtj O NO LOAD CHANGES O Baseboard —KW O Pomace KW U Heat Pump Tor, LAR 0 Fan -Well KW ELECTRICAL WORK PERMIT APPLICATION Request Inspection. pate Overhead Service 0 Temp Service O Uncergrotind Service FP/ No i F 7 .Uation description ExpirationDate of card T'RFOSTAT DITCH S 3 n 0 Casb 0 Ctieck 0 Credit Card Visa Mastercard Discover Card ate Approved ay Appro:ad By ",f Inspection fee 7/ 0 Date Voltage Phase 0 1 0 3 Service Size: Feeder Size; SERVICE Approved By FEEDER Du" Approved By 1 Servic J t yjnation 1 Application Number 07 00001529 Application pin number 839724 Property Address 1023 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 8 1 0335 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor LOVELL REAL ESTATE HOLDINGS INNOVATIVE ELECTRIC 229 W 10TH PO BOX 6783 PORT ANGELES WA 98362 LYNNWOOD Qty Unit Charge Per 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS Fee summary Charged Paid Credited Due Date 12/27/07 WA 98036 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 118141 Permit Fee 58 00 Plan Check Fee 00 Issue Date 12/27/07 Valuation 0 Expiration Date 6/24/08 Permit Fee Total 58 00 58 00 00 00 Plan Check Total 00 00 00 00 Grand Total 58 00 58 00 00 00 Extension 58 00 TSPECTION TYPE DATE RESULTS fl 21/ dai3 ELECTRICAL INSPECTOR t aty of Port Arigele Bu ilding,Divlsion This Ce ti i i cafo s issued Y Unc is f Pursuant to the re f m`Buildin r equirements o d ....g Code Cerz g hat at the tim 0; s of Section c of the Zz tfyin t P ance With .the ,variou's ordiiiQizc_ es�o .,t lssuan iz ce this structure was cn com C •or use. f he� 1 regiilatin R alf' -,y 'Btiildirtg Per No. FO r follotivin 8 wilding tlie; 8 Business,Naiiie: .;Titter l Uroup Bt Type Construction: Owner of Business/Residen Derek Greu] Address Building Address: 1023 y East Front Street 7 :37+ 1 eV )c >rn DATE 0 `f D ,3 f•4• ti-elk, Address of Proposed Business 073 n/)47 51. Applicant Dcvdc. elre.0 Address 7/6 5'. C St 983 6 3 -Z:7 s ROUTING SLIP Certificate of Occupancy IFIRIgiol Certificate /Inspection Fee New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use APP V D REJECTED Ka 2JB --off =8 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Comments Conditions edge that I have reau- m..- ter information I have supplied is correct to the best or-11t knowledge Signed 7 �L 4 CERTIFICATE OF OCCUPANCY City of Port Angeles Building: Division 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 construction or. use. For the following Use Classification: Esspresso Stand Building Permit No. Business Name: Java -a -Latte Group: M Type.,of Construction: VN Owner of Business /Residence: Ted Phyllis Byers Address. 1644 Deer Park Rd., Port Angeles, WA 98362 Building Address: 1023 East Front, Use'Zone: CA Port Angeles WA 98362 October 18, 2002 Date Post on the` ~prem'i;sestin ayco n`spicuous place Shall not be remoVedgexcept "by Building Official 0 i ROUTING SLIP �:Fc Certificate of Occupancy IL- TIC-31 Q e` $47 00 Certificate /Inspection Fee DATE 9 2 Z New Business Transfer of Business Location Change of Ownership L"---r- New Building Remodel Temporary Business Change of Use Address of Proposed Business 0 2 3 6 FR0A/ T Applicant D s `e, /r: tf$ 3 Ji/25 Address l 1 P Z=4 fAR K Ro A U Po R 7` A A, '5Z E,S' L -"A Phone business 95 2- 5 .22 ahome q52 2/ 4 .f:5 Brief description of proposed business 1% Si., pic:71 I `d /7/c414 f Csx) Legal Description Lot r Z 7. 1 Block Subdivision 6 Current Use of Property. C Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes 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 Electrical changes Mechanical (heating, cooling, stoves) V Plumbing changes New or relocated signs New septic tanks t/-- New sewer service Admission charged to patrons Is this a home occupation? 1----' Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? t/ 11) Fire New driveway openings 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage 1./ (parking lots, downspouts, etc.) I� Are the existing streets paved? Are there existing sidewalks? �j Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- C 21 0 y. edge that I have read this application and state that the Date I information I have supplied is correct to the best of my knowledge Sig ned .i AP /-4/ D REJECTED 'f el Building Section Comments Conditions Public Works Department 9 -Zy—v2 So7 Planning Department p 3o O2, Fire Department p l 7 -Zy OZ 6 City Clerk PB I.A. Group: M Building Address: 1023 CERTIFICAT CUPANCY kef BuildineDMsid 7of Construction: Jaws. This Cfrtifica it, ssuedAruant to the requirements of Sectioii 109 of the Uniform .111 iling'6 e certifting-thatat the tip: nce o is this structure was in campianoe.W t -the iii egrofithe eityreguLtt ng 13‘ uilding .v- onst .1. Use Classification: Retail BuiI 1 4 2Permit No. 0 et ".76" Owner of Business/Residence: 13iJblEove11 Addr 710237 WA 98362 4 362 1 Date Post on the .•1ft, picimus place Shall not be rentoved except by Building Official ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee 1,.... 0� NI.. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use DATE Address of Proposed Business /0 Z3 e- Applicant e' G Address S,157.--vf Phone business home .157 9 5 S Brief description of proposed business CO n e it V A._ `e M re Legal Description Lot `sA Block Q Subdivision j4»rf -c)a L't Current Use of Property c3 -e,--1 p‘.4 P S e ef G A-4.— Zoning Classification of Property _//4 WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes 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 Electrical changes X Mechanical (heating, cooling, stoves) x Plumbing changes y� New or relocated signs New septic tanks x New sewer service Admission charged to patrons X Is this a home occupation? x Excavation of filling of lots X Work done in City right -of -way x Is there sufficient off- street parking? 11) Fire New driveway openings x 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage X (parking lots, downspouts, etc.) X Are the existing streets paved? K Are there existing sidewalks? .X 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 r Date /6 veil Signed 4 APR D REJECTED 0 Iri" 1 Building Section Comments Conditions Public Works Department --07 Planning Department OD Fire Department n J -22 0243 0 City Clerk PB I.A. ROUTING SLIP Certificate of Occupancy Certificate /Inspection Fee 4 i V �j(n IC_ DATE 0 3 New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Address of Proposed Business t 0 Z 3 L= F 51. Applicant Dcv^zJc E rc.u) Address 7/6 S. C T. n -t G-W s (AJ4 983 3 rf Phone: business 7 070 f home '757- `/57O Brief description of proposed business •v c i i Legal Description: Lot3 4S L AC/fla ie Block Subdivision iictri (<x)ke S c 0—tc Current Use of Property G fccf'u Zoning Classification of Property C_4 WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes 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 Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs V New septic tanks New sewer service V 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? k/ 11) Fire New driveway openings i„, 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage V (parking lots, downspouts, etc) r 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 Date. /9- 0 information I have supplied is correct to the best of my knowledge. Signe. APP V D REJECTED 2{l IX? Building Section Comments Conditions Public Works Department Planning Department Fire Department City Clerk P.B.I.A. TE U PAN CY City of Port Angeles Building Division This Cer ificat issued pursuant to the requirements of Section,109 of the UniformBuilding 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: Reta Building Permit No Business Name Jitter Junky Owner of Busmess/Residence. Derek Greul Address. 916 South C Street, Port Angeles, WA. 98363 Building Address 4023 East Front Street Pn, r A n nclno �x� w no c� Date Po 1 e premisesflin a conspicuous place. Shall not be removed except by Building Official. BUILDING PERMIT OWNER/APPLICANT ROBERT LOVELL 1023 E FRONT Port Angeles, WA 98362 360/000 -0000 T: CONTRACTOR PETTIT OIL 638 MARINE DR PA, WA 98363 -0000 800/972 -7002 PROJECT INFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE TANK SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: ACD PROJECT NOTES INSTALL 500 GAL PROPANE TANK OF REFILL STATION FEES ASSESSMENT Building Permit: $0.00 Plan Check: $0.00 State Surcharge: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned 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 presu e give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co !rucf Signature of ontra for or Authorized Agent Signature of Owner (if owner is builder) Date T: \PLANNING \FORMS \1102.15 [4/20021 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 S: ISSUED: 5/08/2002 ARCHITECT N/A 98360 -0000 360/000 -0000 Misc Fee 1: PROPANE TANK Misc Fee 2: Misc Fee 3: TOTAL FEE: AMOUNT PAID: BALANCE DUE: PERMIT NO: 13408 PROPERTY LOCATION 1023 FRONT E Lot: 17 -18 Block: 3 Long Legal Subdivision: HART /COOK Parcel No: 06300081033500 $35.00 $0 $0 $35.00 $35.00 $0 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 4 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 Divisio SEPARATE PERMIT k's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING /-3�Zi �/J� 17 J fd 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 T:\PLANNING \FORMSV 102.15 [4/2002] PORT q ce tm ��U tt eLICWOO e BUILDING PERMIT APPLICATION The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417 -4815 Applicant or Agent:l �f 21/4 Phone: JJo SFS /e/0 Owner: 86a r 1,n VAC, L f Phone: Address: /4) 3 5 ft-an z City: ifeiz /9,E.Gfs Zip: 711le� Phone: FOR OFFICIAL USE ONLY: Date Rec.: 5 7 02- Permit Date Approved: Date Issued: Architect/Engineer: �p i�Tr/ d c Contractor /t?7 6 /c- ne, License /,F8 Exp: CS /5' Phone:50 C 1 ci Address 3 S'r =Tdw et/ City: i,21 QZ'JS Zip: 9ell5'GJ PROJECT ADDRESS: /dd. if #tit St ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: £.i 7< Zfr 15 7` /l' 4OI4 /6 le i CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: Residential New Constr. Re -roof Wood -stove SF. /SF. Multi family Addition Move Garage SF. /SF. )(Commercial Remodel Demolition Deck SF. /SF. Repair Sign .04 TOTAL VALUATION S t BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type. No. of Stories: Lot Size: Lot Coverage: Existing Lot Coverage: /sq. ft. Proposed Lot Coverage: /sq. ft. TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Dr'dision can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. 4 PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at Me time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certj that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtai uch. --77 Applica 14_ Date: S Aole T:\FORMS APPS\Buildingpermit ELECTRICAL PERMIT OWNER/APPLICANT ROAD RUNNER 1023 E FRONT Port Angeles, WA 98362 360/000 -0000 T: CONTRACTOR STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/452 -9104 PROJECT INFO Project Type: COML. MISC. Project Value: $0.00 Occupancy Type: COMMERCIAL Construction Type: Occupancy Group: Zoning Use: ACD Electrical Heat: Baseboard 0 KW I Riser Underground Service Furnace 0 KW Overhead Service Voltage: 0 Heat Pump 0 KW n Temp Service Phase: n 1 n 3 Fan Wall 0 KW Service Size: 0 Feeder Size: 0 II S: PROJECT NOTES CIRCUIT WIRING TO PROPANE DISPENSER RECEIPT #9132 FEES ASSESSMENT COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5T11 STREET. PORT ANGELES. WA 98362 ISSUED: 7/01/2002 ARCHITECT N/A 98360 -0000 360/000 -0000 Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $57.80 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $57.80 AMOUNT PAID: $57.80 BALANCE DUE $0.00 PROPERTY LOCATION 1023 FRONT E Lot: 17 -18 Block: 3 Long Legal Subdivision: HART /COOK Parcel No: 06300081033500 PERMIT NO 7720 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO FINAL COMMENTS GENERAL COMMENTS: PW -I IO2.I5 f061 Scv M I 0 ROUTING SLIP Certificate of Occupancy r $47.00 Certificate /Inspection Fee," J DATE 9 Z e/- 0 Z New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use t- Address of Proposed Business 0 2 3 5, [-Rom T Applicant 7k P 4 1 9 09yLL /5 ,3 9.6125 Address .99' PEA PARK ,PO PO Al N WA 2522 Zhome 952 2/ Phone: business f Brief description of proposed I business' �seo S7 pia 4 1C f Legal Description: Lot Current Use of Property Zoning Classification of Z Block `5 Subdivision Property- CO} 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 sidewalks9 Is there curb and gutter? Other YES NO THE FOLLOWING WILL PERMITS BUSINESS 1) Building 1) 2) Plumbing 2) 3) Electrical 3) 4) Mechanical 4) 5) Sewer 5) 6) Sidewalk installation 6) 7) Driveway installation 7) 8) Curb installation 8) 9) Sidewalk obstruction 9) 10) 'Water meter installation 10) 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BE REQUIRED: LICENSE Taxi Peddlers 2nd Hand Dealer Pawn Broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Other 1.----- 1.---- 1...---- 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. U o y Date Signed ,pl AP 4/ D REJECTED itte t Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments Conditions Scv M I 0 o -o CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division 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 construction or use. For the following: Use Classification: Esspresso Stand Building Permit No.: Business Name: Java -a -Latte Group: M Type of Construction: VN Building Address: 1023 East Front Use Zone: CA Owner of Business /Residence: Ted Phyllis Byers Address: 1644 Deer Park Rd., Port Angeles, WA 98362 Port Angeles, WA 98362 ctober 18, 2002 Buildfn .E Date Post on the picuous place. Shall not be removtl`t± by Building Official. O- CITY OF PORT ANGELES LIGHT DEPARTMENT 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 do electrical work as listed below. Address Occupancy v Owner o v =�*�enant Wiring Contractor c t o °C --til r t1— By Light Outlets 6 Receptacle Outlets...ft' Dryer. KW Range, KW Water Heater: KW Heat: KW Motors: size, volts and phase: Total Load Remarks: �N�., :nth? y _P ELECTRICAL PERMIT Port Angeles, Washington. 3 19 Service, volts No. wires Size wires Main fuse Enclosure Permit Fee Treas. Receipt No Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size N 4 Ser. No Ser. No Ser. No Ser. No. By ELECTRICAL PERMIT Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor Dryer Furnace 17684 Total 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N_ 17684 Address Date Owner Tenant Wiring Contractor B NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con c cealed due notice must be given the Inspector ao that work may be inspected before concealment. t 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT 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 do electrical work as listed below. Address 0 3 6 t"' r o f 5 t Occupancy S ,01 S' f r7 7 071 Owner J C I/ 0 Tenant Wiring Contractor G U C t 11 .-C r f a ;1 0 rtA N it ,T 3 7 0 boar ki "Z37/ Light Outlets Service, volts Type of Wiring: Receptacle Outlets No. wires Armored Cable Dryer, KW Size wires Non Metallic Range, KW Main fuse Knob Tube Rigid Conduit Water Heater: Enclosure Metallic Tubing KW Type of wiring: Raceway Heat: KW Entrance Cable Circuits, Light Motors: size, volts and phase: Rigid Conduit Utility Metallic Tubing Beal Current transformers: Range No. Size Water Heater Motor Dryer Furnace Total Load Remarks: J 6' 4 .4_Y Permit Fee $_.1 t c O 1M Olympic Pcintere, Inc. ELECTRICAL PERMIT Port Angeles, Washington....! P 19 1 Treas Receipt No Ser. No Ser. N Ser. No Ser. No. ELECTRICAL PERMIT Total By /J cw 17674 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N_ 17674 Address Date..._ Owner Tenant Wiring Contractor By 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. Site READY FOR WILL CALL FOR INSPECTION INSPECTION Address: /042 %e Installed By: C S BSI 4_c, -�-t'. /t/ License Number: Phone: Owner /Business: 11 w^ n I N l�l"_ .V Phone: Owner /Business Address: Sq. Ft. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW W S No CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE WHITE File by address OLYMPIC PRINTERS INC. SERVICE SIZE RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE PERMIT NO. 7:57 AT G DA Y1 zl cf RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE 1 0 3 O SERVICE SIZE AMPS FEEDER SIZE AMPS Details /Description DATE ENGR OVERHEAD SERVICE APPROVED CHANGE SERVICE WIRE OTHER Ditch Inspection O K Rough -in /cover O.K O.K. to connect service Final O.K Site Address /0n 3 E Installer: Permitr j New Meters Datey j YY� 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 Building Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Ere trice! Inspector Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: /01:71.5, /4p3 READY FOR KNILL CALL FOR INSPECTION INSPECTION C 7: sent Installed By: e y t �O y L V�f License Number: Phone: Owner/Business 6 /N. 4 Phone: Owner /Business Address: Sq. Ft. Site Address: /4p3 C 7�/a Permit /Receipt No. ¥ID/ Date: de q Installer: e A New Meters RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN Details/ Description: WS No. SERVICE SIZE CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE Ditch Inspection O K Rough -in /cover O K O.K. to connect service Final O K 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 Building Pert. ONE 457 -0411, EXT. 224. WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. d rlc Electric Inspector CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL 2 ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) DATE NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. 41/0 p 4 DATE if' 1 7 OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: SINGLE PHASE THREE PHASE SERVICE SIZE AMPS ENGR CHANGE SERVICE WIRE OTHER t® a Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: r /oa3 C, 2 READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: /4(4)t7C.C' 4) Sts:/ yo 0 License Number: Phone: Owner /Business: yt yes/ �cl `J a 19 Phone: Phone: Owner /Business Address: Da Sq. Ft. Site Address: x©73 e. C8k SO Permit/Receipt yo 0 e. Installer: fr G L 6 n W .1 t /G New Meters Da 9 RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW X SIGN SPECIAL EQUIPMENT (LIST BELOW) Details /Description 02— JryNs W.S. No. SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER Ditch Inspection O.K Rough -in /cover O K O.K. to connect service 404 tp Final OK Notify Port Angeles City Light b treet 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 ing Permit. PHONE 457 -0411, EXT. 224. y r Electrical Inspector WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. 3/t3/9C DATE OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE SINGLE PHASE THREE PHASE SERVICE SIZE AMPS so Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: Oa3 READY FOR WILL CALL FOR INSPECTION INSPECTION C u i s v License Number: Phone: Owner /Business: 0 i, 7 j e Phone: Owner /Business Address: Sq. Ft. r). RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW SIGN WS No CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 cs„,,a Liyk ELECTRICAL PERMIT TEMPORARY SERVICE OVERHEAD SERVICE PERMANENT SERVICE UNDERGROUND SERVICE NEW CONSTRUCTION VOLTAGE REMODEL SINGLE PHASE ADD /ALTER CIRCUITS THREE PHASE SERVICE UPGRADE /REPAIR SERVICE SIZE AMPS SPECIAL EQUIPMENT (LIST BELOW) Details /Description: SERVICE SIZE DATE Ditch Inspection O.K. Rough -in /cover O K O.K. to connect service Zr Final O.K. Site Addr /o9 3 Installer: C New Meters CHANGE SERVICE WIRE OTHER Notify Port Angel; s C' y Light by Street Address and Permit Number when ready for inspection. Work must not be covere before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Repor or on the Building P rmit. PHONE 457 -0411, EXT. 224. l' A NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector Permit Fee PERMIT NO. 4 DATE ENGR. Permit /Receipt No. 070 PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Site Address: READY FOR )S WILL CALL FOR G f 0/ INSPECTION INSPECTION Installed By: License Number: Phone: Owner /Business: Phone: Owner /Business Address: Sq. Ft. OF PORT 4,v m 7 TY LION CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) W.S. No. Service Capacity: O.K. Not O.K. Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service 0( s titG Final O.K. Site Address: /00 f InstalleC1 OLYMPIC PRINTERS, INC. New Construction Overhead Remodel Underground Service update /alter /repair Voltage 1 0 3.0 X Add /alter circuits Service size Amps Auxiliary power Temporary (list below) Special equipment (list below) &At /f't l) 0 New Meters PERMIT NO �a DATE 7 Details /Descriptio• Size Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Permit /Receipt No 3agt Date: Notify the De artment of City Light by Street Address and Permi Number when ready for inspection. Work must not se covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ______Cr NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT e Inspector Amount paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall Site Address: /2Q 3 r C, O,u t t/ a READY FOR INSPECTION License Number: C WILL CALL FOR INSPECTION Phone: Installed By. Owner /Business: r Phone: Owner /Business Address: Sq. Ft. Site Address: Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Installer: nspector CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT New Meters PERMIT NO. 3'/2 DATE CO d New Construction Overhead Remodel Underground Service update /alterlrepair Voltage 10 3 e' (V Add /alter circuits Service size Amps Auxiliary power Temporary (list below) Special equipment (list below) Details/Description: W.S. No. Service Size Date Hold for: Easement Letter Capacity: O.K. Not O.K. Comments Ditch inspection O.K. Signed up for service /meter Rough -in /cover O.K. Meter Department notified for installation O.K. to connect service Fire Department notified of inspection Final O.K. Plan Review approved /pending Permit /Receipt No./ 0/Z Date: -fi L/ Notify the ipapfinent of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspect° Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158o EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMITOCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT a0 Amount paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall Site Address: Q C Installed By: Cc E t d' READY FOR WILL CALL FOR INSPECTION INSPECTION r License Number: Phone: Owner /Business: nn t Phone: Owner /Business Address: Sq. Ft. OLYMPIC PRINTERS, INC. Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) W.S. No Service Capacity: O.K. Not O.K. Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service F inal O.K. Inspector CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT 4 (yad NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NOa /7 4 7 DATE New Construction Overhead Remodel Underground Service update /alter /repair Voltage 1 30 Add /alter circuits Service size Amps Auxiliary power Temporary (list below) Special equipment (list below) Details /Description Size Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Site Address' Installer: Permit /Receipt No eg New Meters Date: Wile? Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457. 411, EXT. 158pr EXT. 224. 23 Amount paid vo c WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall Site Address: /too 3 G READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: !-j7 1 C I C License Number: Phone: Owner/Business: D IO R V/ V ,t' T J/J L Phone: Owner /Business Address: Sq. Ft. Site Address 1/4* PORT 4NCs U N t T c Y LI& Q Y LIGN Residential Heat KW Baseboard Furnace /Boiler Heatpump Other ,I Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) W.S. No. Service Capacity: O.K. Not O.K. Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service 1$ Final O.K. r U►JNg2 5//ILt Inspector CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT New Construction Remodel Service update /alter /repair Add /alter circuits Auxiliary power (list below) Special equipment (list below) PERMIT NO /O 38 DATE 1 Hill Overhead Underground Voltage 10 ❑30 Service size Amps Temporary Details /Descriptio• Size Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Permit /Receipt No. CEskri Installer: New Meters A —4 Date: S /c �f /ly��tf Notify the Department of City Light by Street Address and Permi Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector jn Writing on the Wiring Report or the Building Permit. PHONE 457-0 4j1, EXT. 158 or EXT. 224. 7 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Amount paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall TOTAL FEE /6 AMP PER 120V 1 0 7 CONT. LIG NO. TIME TO COMPLETE Na STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER 120V 1 0 240V 10 OR 30 'FEE" USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIA 120V 10 240V 1 0 OR 3 0 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR .APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A W.G SUB -TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 16 FEE RECEIPT NUMBER Site Address p p CO ECT AD RESS RESPONSI ILITY OF APPLICANT PERMITS WITH WRONG DD ESSES ARE NCEL 0 Owner 6 AILY g N N kit— Installation By -f-L- I G Owner% Address Installers Address Installers Phone Day Phone Application is hereby made for Permit to install Electrical Equipment as follows* /r, 2- /l4cwt I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made 19 By CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances ojthyCity of P rt Angeles. C T OF C LIGHT Date Permit Issued WARNING ELE TRICAL PERMIT ONLY 6 OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 10 Z3 -U Z?—e c( /1 -F=' f. €!L CUL 1 1 41 ,fl q ii mi J CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT By PLANS APPROVED WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report 1147 PERMIT NUMBER NGus 4/6 3 1 u7 a t' Frx 7 71/LE f Wiring Method jA Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing Permit Placard. A. Permits Phone: 457 -0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER REPORT OF INSPECTOR DATE OF VISIT J MADE BY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE q fit' P c' j a.l FINAL O.K. A z 0 Q Q 2 (n F z W F S 3 0 z 0 0 TOTAL FEE /6 v 0 111 lIIJJJ I 4 1 .�1 CONT. LIG. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 10 OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 1 0 240V 10OR 30 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR' CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY 'DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A. W.G. SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 1368 FEE RECEIPT NUMBER ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address Z 3 f --rtD CORRECT 0 DRESS IS R:-PONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDR S ARE CANCELL C y Swan Installation By r ran Owner Owner's Address Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows' Fu-F (Ai ,4e. um,* C I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances p9 thg City of Port Angeles. g tCTOR 9f7C1]Y HT Date Permit Issued WARNING CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT Installers Address 19 WHITE. Original CANARY Duplicate PINK. Triplicate WHITE CARD. Inspector's Report A PERMIT NUMBER C� r UN r94 Nom Wiring Method By By PLANS APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. Permits Phone: 457 -0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER REPORT OF INSPECTOR DATE OF VISIT Sir f �1 7 MADE BY REMARKS `,B:E QRDOVERI ta:K-TO NNEC pTS VIL !1) t: O.K. TOTAL FEE V 0 00 AMP PER CIR 120V 10 240V 1 0OR 30 &/041 CONT. LIC.NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 1 0OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 1 0 OR 30 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH FEE RECEIPT NUMBER ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address /!J 3 E F2.0 Al A n n 0 0 �gR RECT ADDRESS 15 RESS IBILIT OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED C Owner �C A0 LAI Nu it Installation By 7'1 /iC CZ{ 71Z /C Owner's Address Installers Address Day Phone 4s2 766 2- Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows A ct/ v_ea A!"'Q ,-cf c� /Y]I 5 c. A6rcn c12. 's I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. /V 74 Date Application made Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DWEeft OF IT LIGHT Date Permit Issued WARNING hl vMPlf. PGINTFRR INC 7//4/TA CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT By PLANS APPROVED WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report A (,BB PERMIT NUMBER Wiring Method LIOAJbO 1 T 19 By T/Y/r1 CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. Permits Phone: 457 -0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER DATE OF VISIT MADE BY REMARKS J fJ 114'4,ft afro %oo L'Co31. 7a U f So i4.4 s Y wiLc. ix 1 To s' 6tyow.0 vtN 7 /7C118LO /1464 .o bit 1aornr sIs /oar /zo /z ,ro 3y' z 1 4 4 174 LEu t dr -6. b E. o& f 't4_ m l,7' is Mice 3 U0- v�LA -^-7L 1)4 o£ ,oN k t �yLtnf' S �7t■ Ir. Wick Gut l S ,S4a., rc I"] tic cis C J 0 IP A p 'pc p fin.,..- R VICE ti L l O.K.TOCOMME REPORT OF INSPECTOR TOTAL FEE o e 2,6 QM tie 4S 17 101 120V. 10 240V 1 0 OR 3 0 6 i CONT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V. 10 240V 1 0 OR 3 0 FEE USE OF CIRCUIT NUMBER CIRCUITS _AMP PER CIA 120V 10 240V 1 0 OR 3 0 FEE LIGHT SIGN 1' '7 O 2614 LIGHT 50 VOLTS OR LESS 'CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC' BASIC FEE ELECTRIC HEAT TOTAL FEE b"` ELECTRIC HEAT Z SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 078 FE:"E RECEIPT NUMBER Site Address O Z Owner's Address 1 02.3 _s 'rgot-kr Installers Address `,..74 'I QA i R!? A-t Day Phone /t7i tc�Z Installers Phone /•57-37.2 Application is hereby made for Permit to install Electrical Equipment as follows' 1 1 61 61.3 CORRECT .DRESS IS RESPO IBILITY OF APPLIC NT PERMITS WITH WRONG ADDRESSES ARE CANCELLE Owner S1•11 allationB By efrisiezia Wiring Method W1A U 11 I certify that the work to be performed under this, permit will be done by the installer and in con f., nce with Date Application made Permission is hereby specifications pertaining ate Permit Issued WARNING CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT "1 Ni 19 g By CONTRACTOR OR OWNER (OR AUTHORIZE.-' GENT) given to do the above described work, according to the conditions hereon and according to the approved plans and thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT- PLANS APPROVED WHITE Original CANARY- Duplicate PINK Triplicate WHITE CARD Inspector's Report A 637 PERMIT NUMBER 2-/t, C. Electrical Code. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. Dec 26 07 11:57a Job wired by 4tElectrical Contractor Owner Electrical contractor came License number Dow Espies$ In novet 4 Sv0- E\ I 4r& lfl En,iy Purchaser's moiling addre o box. (&Th9,3 CIIy Lt. reseed c l.J Tele number L A 2 state ZIP VAX number S bliss e iremises Addreu of InnorctIon 10 r vroo* el A a \y phone number to schedo a Inspection: 4. V 7) ;,moo Oweer as drfvned by HCW. 19.211,26trft Owner will occupy the .sMxlare (err two years alter Odv electrical prone Is finalized. (2) Owner a rryuircd on hire m, decedent cunwuelor iJ above said properly is fee sale. real or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a Iiconeed olcmricel contractor I am molting the electrical instal. lotion or niteration in eornplimtee with the eleelricnl Taws, N.I...C., IICW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Codo, and Utility Specification tare or owner. electrical tante' <tor nr electrtr•I sdminbtnt y Date: Innalhttion description el Commercial 0 Residential U New Altered /Addition I nsA r.1` _\n t ny n c c 61r v1 selr P 7 vt _Dell alt (1LL~ r y nrk 1 cv-tzo.: Ck.Cke \n:1c, kalrlrj Pca CI(o A Cash O Chuck 1t C:editCard Visa Mastercard Discover CardN Expiration Date of card Innpoa fpSy� Elccltic?'Load. dditions_ or.subtrt\ctlon? U NO LOAD CHANGES U Baseboard _KW U Furnace KW Q Haat Pump Ton LAR O Fan -Wall KW SAME DAY INSPECTION RO11C11 -114 Inspection Date FINAL J Innovative Electric, Inc. 425- 355 -1965 O Overhead Service Tomp Service U Underground Service CALL BEFORE 7:00 AM 360- 417 -4735 marrow THERMOSTAT n., »rtcii Arcs, Building or Equipment inspected EI.EC IRICAL WORK PERMIT APPLICATION 0.11 Voltage Phase O 1 U 3 Service Sire: Fooddr Silo: SERVICE 14 H)E1t Action Taken $eras:! infQffi1LQn cue wprvvnl n1 Electrical Inspector p. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . , , 15-00000644 Date 6/08/15 Application pin number 262928 Property Address 1023 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0335-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the Cit of Port Angeles Property Use Property Zoning . . . COMMERCIAL ARTERIAL (Location Code 0502) App.lication valuation 0 Application desc COOLER CIRCUIT Owner Contractor LOVELI, REAL ESTATE HOLDINGS APS ELECTRIC 229 W 10TH 546 BENSON RD. PORT ANGELES WA 98.362 PORT ANGELES WA 98363 (360) 452-6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 74.00 Plan Check Fee 00 Issue Date 6/08/15 Valuation 0 Expiration Date 12/05/15 Qty Unit Charge Per Extension 1.00 74,0000 ECH EL. -COMM BRANCH CIR WO/ SIF 74.00 Fee summary Charged Paid Credited Due Permit Fee Total. `74.00 74,00 .00 Plan Check Total. '00 .00 Do 00 Grand Totai '74.00 74.00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date; G:\EXCHANGE\BUILDING FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Jun. 05 2015 11:39AM P2 IJA CITY Oh' PORT ANGELES PERMIT APPLICA1 KON Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150 /Port Angeles Washington, 98362 VV,Sf1kt1����P�� Ph: (360) 417-4735 Fax: (360) 417-4711 Date: t,.- 6 ',AD) -5 - Multi-FamilyOCC? Ee lal" IOU - Plan, Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Ad qu retFootage w . , Description of above 1 71 Owner Information Name: Stn Mailing Aoress:.-I � City: Y A State: Zip; Mailing Address: Phone: Fax: cily: .State: Ocerse # I Exp, Phoneme _ Lem- it Chame Service/Feeder 200 Amp, $132.00 Service/Feeder 201A00 Amp. $160.00 Service/Feeder401.600 Amp $ 225.00 Serax a/Feeder 601-1000 Amp. $ 268.00 Service/Feeder over 1000 Amp, $ 410.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 5,00 Branch Circuits 1.4 $ 86.00 Temp. Service! Feeder 200 Amp. $102.00 Temp. ServicetFeader 201-400 Amp, $121.00 Temp. Ssrvice/Feeder 401-600 Amp. $164,00 Temp. ServicelFeeder 601-1000 Amp , $185.00 Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.00 Signal Circuit/ Limited Energy -MultiFamily $ 64.00 Signal Circuit/ Umted Energy / 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 Contractpr inforrnatlott Name:,- I. . ,, " . Mailing Address: cily: .State: Phoneme _ Fax: - L'ioerse # I Ex p. 9�Y Latal tL& t 'lined MLqaft $ $ Vs $ $ $ $ ? 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 29646B, 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 X CrR Card B r �° Oarkda � — � � �„, ���� 0110112012.