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105 E 1st St - Building
Cityyof,Por't' Angeles ,Building ®iw,ision y d.' i�rsuant to the requirement's rSection I1 " This certzffcate is issue .,pf 1.•of the 2009 International Building Code certifying that at -,'M im.e,,'ofissuance this structure was in compliance with the various ordinances of the City regulatingrbu'aldtng constriictaon or use for the following $% Business name: Kat Salon Business address' 105 E'°1St Street° Property owner: " "Janee & Lyle Lyster ' ° r Property owner'saddress < 105 E 1st Street;:Port Angeles,- 9636 A Automatic fire sp ankles system: Not Required - - M, w_ - Use & occupancy cicissifcation. Business`.;` e t Building permit nuAber:11 363 - Occupant load.- Pe'r,;20,0'TIBC:;-Table tl ,^^n A * '4• .% C f 115 ' i Type of construction: �V B, 10- ° V,, -, M Fe 6-19-12 ty' ieS`ie RoberdsPlaritnq,Fllrlanager Date Post on the premises in a conspicuous"place..gThis certificate shall not be removed except by the Building Official., `w h O;CERTIFICATE CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES W111 g FEES Certificate,/ Inspection - - Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) \� �o (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?❑ Chang//e of ownershiponly? Moving location from within P.A.? LX zoning C b> BUSINESS NAME �.� �r�' ,� eQY1 i�,0-/ Business address_ 10.5 (S�` Mailing address_. lo c7 ,r / r Phone number UI I— U R Opening date Days & hours of operation Business owner's name / Contact phone Lln OTE Business owner's address Brief description of business! ((AA rd --NOW C)6+1 Q S 'HuCv' Property owner's name �cntact phone , L -% Property owner's address contact — (_ �r BUILDING DEPARTMENT phone 417-4815 I Bldg approval by r on k' G d Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlargingwindows or doors, roofing, siding, foundation work, adding/altering st irways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, s, etc). \ Work planned: // I_ FI Dori ri4 ( sur+o,(P 1 S9r,Ke, j - IL-11 G bOOAN oV_V1%aAA tr►ell gei- n. I P�v r►►i-�- I. ,FIRE DEPARTMENT phone 417-4653 sinK 4 +0( 1"- Fire approval by on Iav4'lck a 4 NZO i -i_- Changes to a fire sprinkler system or fire alarm system? Yes ❑ 1\10\1� Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? 3S_z�c� Is business moving within the PBIA? Yef X CITY CLERK phone 417-4634 PBIA notified or. City Clerk approval b}c 1 f"l lb\� 4.2- 6 ` i II Second-hand dealer/pawnbroker business? Yes ❑ No Will there be dancing at this business? Yes ❑ No_12 A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. . Page Iof2 Q COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by "JiL on `jJ' �l Number of off-street parking spaces available for employees and customers? [�J (A parking.plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Sig s planned: V x,11 1'Y1tM*_,d \M ll let c, EW." r,n i'+ 3 PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 a Is site work planned (new or re -located sewer or water service, excavation, grading cir,fillirlg, work in City right-of-way, new driveway.openings, site drainage, parking lots, d w spouts, ..,..irrigation system backflow devices, etc.). Yes ❑ No f Work planned: +Y• PWE approvalby kV V)0 t,vUr,.rr12V1+e, PUBLIC WORKS WASTEWATER phone 417-4845 I PWWapprov lby '1 "lk on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No If yes, what will be discharged: Call ,for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. �1zDate Print Name(--Signatur 7 v V T'\Forms\Building Division\Certifcate of Occupancy Application (2010) doc _77 Page 2 of 2 r, al All I an % ON mb �r� 'T, sf- Mr— qW, AMU, KI•M tu, 7.j NIN ry W a IT Per 1 ng _e -wo lot 1 An RM Ax >N !fir r .1 j 01 "T Q. 14 ,7 wyyAlto 1 fi W MIA Q Y J. xe O ti uhf d. rr tJ fwko W if:d�•'s. linkattre nk Cl 70 ON O. Y4 t As w i7 w. 0 amps 'UT A,? 40 wwwo iL Clallam County Assessor & Treasurer - Property Details - 61413 DOUGLAS G HENDRI... Page 1 of 2 Clallam County Assessor & Treasurer Property Search Results > 61413 DOUGLAS G HENDRICKS for Year 2011 - 2012 Property Account_ Property ID: 61413 -- Legal Description: SMITH, NORMAN R LOT 11 BL 16 Geographic ID: 0630005116360000 Agent Code: ... }- Fiirst. Type: Real 4. . � Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code 56 Open Space: N DFL N Historic Property: N Remodel Property: N Multi -Family Redevelopment: N Base Amt. i Penalty i Interest! F Base Paid; Amount Due ; Township: 155850 Section: $379.59 Range: $0.00 $0.00 $0.00 Location 2011 155850 CC -GEN - COUNTY CLALLAM Address: 105 E FIRST ST Mapsco: $0.00 $0.00 PORT ANGELES, WA 98362 2011 155850 Neighborhood: Cycle 5 Comm Map ID: 2 Neighborhood CD: 20953140 $992.37' 2011 Owner CITY PORT ANG - CITY OF PORT ANGELES $483.75 $483.75 Name: DOUGLAS G HENDRICKS Owner ID: 30013 Mailing Address: 1024 W 6TH ST % Ownership: 100.0000000000% $29.49 PORT ANGELES, WA 98363-2121 $0.00 $0.00 Exemptions: Taxes and Assessment Details i Property Tax Information as of 04/22/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011 &prop_id=61413 4/22/2011 _ ... ..... ... }- Fiirst. n Secod t 4. . � w ; Half . Half i Year Statement ID, Taxing Jurisdiction _ Base Amt. Base Amt. i Penalty i Interest! F Base Paid; Amount Due ; 2011 155850 ST SCH - STATE SCHOOL $379.59 $379.58 $0.00 $0.00 $0.00 $759.17' 2011 155850 CC -GEN - COUNTY CLALLAM $209.56 $209.53 $0.00 $0.00 $0.00 $419.09 2011 155850 SD #121 - SCHOOL DISTRICT #121 $496.19 $496.18 $0.00 $0.00 $0.00 $992.37' 2011 155850 CITY PORT ANG - CITY OF PORT ANGELES $483.75 $483.75 $0.00 $0.00 $0.00 $967.50 2011 155850 PORT - PORT OF PORT ANGELES $29.49 $29.49 $0.00 $0.00 $0.00 $58.98 ? 2011 155850 NTH OLY LIB - NORTH OLYMPIC LIBRARY $87.88 $87.88 $0.00 $0.00 $0.00 $175.76' 2011 155850 HOSP #2 - HOSPITAL #2 $86.02 $86.02 $0.00 $0.00 $0.00 $172.04 2011 155850 WSMET PK DIST - WILLIAM SHORE MET PARK DIST $26.15 $26.14 $0.00 $0.00 $0.00 $52.29 . i 2011 155850 CITY STORMWATER - CITY STORMWATER $62.89 $62.88 $0.00 $0.00 $0.00 $125.77 : 2011 155850 WEED -CONTROL - WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63 - . _.. ... 2011-1558 50 TOTAL: $1862.34 $1862.26 $0.00 --------- $0.00 --- $0.00 - $3724.60 j i 2010 44126 ST SCH - STATE SCHOOL $392.91 $392.91 $0.00 $0.00 - $785.82 $0.00 2010 44126 CC -GEN - COUNTY CLALLAM $209.09 $209.09 $0.00 $0.00 $418.18 $0.00 j 2010 44126 SD #121 -SCHOOL DISTRICT #121 $508.92 $508.93 $0.00 $0.00 $1017.85 2010 44126 CITY PORT ANG - CITY OF PORT ANGELES $484.12 $484.13 $0.00 $0.00 $968.25 _$0.001 $0.001 2010 44126 PORT - PORT OF PORT ANGELES $29.39 $29.39 $0.00 $0.00 $58.78 $0.001 2010 44126 NTH OLY LIB - NORTH OLYMPIC LIBRARY $60.76 $60.76 $0.00 $0.00 $121.52 $0.00 2010 44126 HOSP #2 - HOSPITAL #2 $85.78 $85.77 $0.00 $0.00 $171.55 $0.00 12010 44126 WSMET PK DIST - WILLIAM SHORE MET PARK DIST $27.30 $27.29 $0.00 $0.00 $54.59 $0.001 i2010 44126 CITY STORMWATER -CITY STORMWATER $62.88 $62.89 $0.00 $0.00 $125.77 $0.00 i 2010 44126 WEED_CONTROL - WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.001 --.--_-- --------_--_______. _- 2010 - 44126 TOTAL: $1861.97 $1861:97 $0.00 $0.00 $3723.94 $0.00 http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011 &prop_id=61413 4/22/2011 PREPARED 9/07/11, 9:11:38 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/07/11 -------------------------------------------------------- — -------------------- ADDRESS . : 105 E IST ST SUBDIV: ---------- ----- TENANT, NBR: SASSYKAT SALON & BOUTIQUE CONTRACTOR : PHONE OWNER HENDRICKS DOUGLAS G PHONE PARCEL 06-30-00-5-1-1636-0000- APPL NUMBER: 11-00000363 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE -------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- --- --------------------- ------------------------- ----------------- — 0099 01 9/07/11 BLDG C/O FINAL TIME: 01:00 ;l ' OVERRIDE TAKEN BY LPANGRLE DATE: 09/02/11 TIME: 14:08:29 September 2, 2011 2:05:37 PM 1pangrle. HALEY 417-0800 (I CALLED HER TO FINAL THIS PERMIT.) C OF O FINAL - SASSYKAT SALON & BOUTIQUE AFTERNOON ------------------ k------------ COMMENTS AND NOTES ---- — - ---- ----- ------ ----------- NOTES Permit # H-3 (o3 -5 1 l — q Z� c v�, 67 - 26, 11 '4z L J 4�v 0--Uj wn . ns- /L1�n� oQo `J UJZ.Pz — L4 2,1 U T:Forms/Building Division/Notes COMMUNITY &ECONOMIC DEVELOPMENT phone 417-4750 CED approval by al� Number -of off-streef parking spaces available for employees and customers? (A -parking -plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Sig s planned: PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re-located located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, dQwnspouts, \A irrigation system backflow devices, etc.). Yes 0 No �N Work planned: PUBLIC .WORKS WASTEWATER, phone 417-4845 PWF aInInm1ya! h; PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes L1 No if yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE oDenina business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of 2 permit. DatePrint Name, Signatur( lei I T:TormMBuilding Division\Certificate of Occupancy Application (201 0).doc Page 2 of 2 CERTIFICATE OF OCCUPANCY APPLICA TION Permit # FEES CI"T"Y OF PORT ANGELES .- 0 Certificate / Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) \S �o (360) 417-4815 fax (360) 417-4711 fee charged for-bowntown locations PLEASE PRINT IN INK Check one: New busir���ss in P.A.?[]Change of ownership onlay? Moving location from within P.A.? [ Zoning C p> BUSINESS NAME.Il?`%v�G�fiii(v1 Business address_ 105 �i Mailing address_ Phone number b 11 — 0 �,(J Opening date Days & hours of operation Business owner's name , s' Contact phone Business owner's address �% i .ill o ►rte P/f OP7Ute. Brief description of business <,4 Ica, �,rl�-ll (til %7%h,l� ► %/l/(�7�+ n T�Iew G161+kC;S Property owner's name ��JrI (>� P 0 ,v� K.�` _ �icntact phone Lj C� aj Property owner's address contact _ j 1�U SSP Jr' J BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No XL Construction changes planned (moving walls, adding/enlargingwindows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems_ s, etc). Work planned: %1.6)/1 I�11' :�/��7>"/� G, / ,'Y/!i'i� FI cor-; n� r,u, �i�G- s4A r„ "a4k ,r-a®w. t>Je�1 9e� �. j�Px �`i-4- FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ NDVI Work planned: / PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? I PBIA notified Is business moving within the PBIA? Yes No A CITY CLERK phone 417-4634 City Clerk approval by Second-hand dealer/pawnbroker business? Yes ❑ No� Will there be dancing at this business? Yes ❑ Nol A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. . Page I of 2 /j on V / PTA COMMUNITY &.ECONOMIC DEVELOPMENT phone 417-4750 CED approval by Number of off-street parking spaces available for employees and customers? (�} (A parking.plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Sig s planned: kJL, //mom .-?I�_ d W tt get- e, v,r.m i -t - PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned.(new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes -❑ No j Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 on PWF ann_ rnval h� �{V �� 2,n.� I r PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No_ If yes, what will be discharged: le Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation. of permit. 11 F x Date I�/' PrintNam U U/ A i Signatur Al T:TormsMuilding DivisionlCertificate of Occupancy Application (2010).doc Page 2 of 2 S CER TIFICA TE OF 0 CCUPA NC Y A PPLICA TION Permit# CITY OF PORT ANGELES Attn.- Permit Technician 321 E Fifth St., Port Angeles, WA 98362 (360))417-4815 fax (360) 417-4711 I PI -EASE PRINT IAI IA X Check one: New busi s in P.A.?D Change of ownership only? Moving location from within P.A.?Zoning C 0>> X kill AIL. - BUSINESS NAME Business address 105- 1 Yt- Mailing address_ 106 tf %r Phone number �;/ -) - o �-,(To Opening date Days & hours of operation q-644-74--Irw'q-w, Business owner's name , - )a 14 Contact phone Business owner's address Brief description of business' 01) 1 , Q -W C L6�- S & u0i11 FEES 0 Certificate / Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations Property owner's name,� s contact, (V L)A�4t4' vs' ef- ) , - _ �ontact phone Property owner's address contact_ BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes D N%/X— Construction 5/X— Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering s1girways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: ty-- f, v t), mf- rRAa, v P VA A r- zt +�, V -OT, boitk lei- ex FA24—vh'14- FIRE DEPARTMENT phone 4174653 Fire approval by.,14,01L. on 7112111 Changes to a fire sprinkler system or fire alarm system? Yes El N Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes No CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes L1 No Will there be dancing at this business? Yes EJ No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 1\ ~�1�~� CERTIFICATE OF�� OCCUPANCY p��# \\~��L�^� CITY OF PORT ANGELES -FEES --- Certificate /Inspection At��PenndTeuhnio�an 321 E. Fifth St., Port Angeles, VVA 98362 ` Parking Business Improvement Area (PBZA) (36D) 417-4815 fax (3OO)417'4711 fee charged for'bowntownlocations fZ.EASEPRINT ININK Checkone: Newbusi ss in P.A.? ' /` 1-7 Change of ownership only? - Movin- location from within P.A.? ��Business address 105 Sl- Mailin-addressPhone number L41 Opening date Days & hours of pperationBusiness owner's name f/ I lj,,,(4TContact phoneBusiness owner's address iq P7 _`72. Property owner's n \ f~ phone Property owner's eddnsa,��n�nt --��c'���' �^ / \�� ( ---- / — —' BUILDING DEPARTMENT phone 417-4815 Bldg approval »y on / /athe business arestaurant orbar that will seat 5Oormore people? Yes LJ No �3 Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation -work, adding/altering stpirways,o|i Work planned: xv co 4 \ FIRE DEPA R TMEIVT phone 417-4653 Fire approval by on , Changes haa fire sprinkler system orfire alarm system? Yea F� N Work planned: PBIA (Parking Business Inporven»entAnea-Downtown) phone 417-4623 Square footage ofbusiness? pBnAnoonev |sbusiness moving within the PB|A? Yes No Nk CITY CLERK phone 417-4634 I _Z111 City Clark approval Second-hand dealer/pawnbroker business? Yes El N Will there be dancing at this business? Yes F] No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. on on ` ' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000421 Date 5/13/11 Application pin number . . . 031515 Property Address . . . . . . 105 E 1ST ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1636 -0000 - Tenant nbr, name . . . . . . SASSY KAT SALON Application type description COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 10300 ---------------------------------------------------------------------------- Application desc T I WORK FOR 9 STATION SALON ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HENDRICKS DOUGLAS G OWNER 1024 W 6TH ST PORT ANGELES WA 983632121 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . UNKNOWN Occupancy ---------------------------------------------------------------------------- Type . . . . . . BUSINESS:OFF/PRO/MED/REST Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . TI WORK FOR 9 STATION SALON Permit pin number . 185033 Permit Fee . . . . 221.75 Plan Check Fee 144.14 Issue Date . . . . 5/13/11 Valuation . . . . 10300 Expiration Date . . 11/09/11 Qty Unit Charge Per Extension BASE FEE 95.75 9.00 14.0000 THOU BL -2001-25K (14 PER K) 126.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 185058 Permit Fee . . . . 85.80 Plan Check Fee .00 Issue Date . . . . 5/13/11 Valuation . . . . 0 Expiration Date . . 11/09/11 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 14.50 1.00 10.6500 EA ME -VENT SYSTEM (NON -HVAC) 10.65 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 185066 Permit Fee . . . . 149.00 Plan Check Fee .00 Issue Date . . . . 5/13/11 Valuation . . . . 0 Expiration Date . . 11/09/11 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any s ate or local law regulating construction or the performance of construction. Efr Date Print Name S/nature CorrCractor AuthorizedAgent Signature of Owner (if owner is builder) Date Print Name S Cor Yractor T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow/ Water AIR SEAL: Walls Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling ME.CiHANICAL:; . • .,_tc;�+ Hedt Pump/, Fsurir'aceri/ MU /Ducts Rough''-'InR c:r: Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab J Blocking & Hold Downs j Skirting PLANNING DEPT. Separate Permit #s Parking / Lighting Landscaping Date Accepted By I I I FINAL Date 1 I I FINAL Date SEPA: ESA: SHORELINE: Comments Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical Construction - R.W. PW / E=ngineering Fire Planning Building T:Forms/Building Division/Building Permit 417-4735 417-4831 417-4653 417-4750 417-4815 Date Accepted By I a tt"' ,CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00000421 Date 5/13/11 Application pin number . . . 031515 Qty Unit Charge Per Extension BASE FEE 50.00 10.00 7.0000 EA PL -PLUMBING TRAP 70.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 ---------------------------------------------------------------------------- Special Notes and Comments A minimum 2A-10BC fire exinguisher is required. Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adjacent to an exit. May 6, 2011 12:05:02 PM kdubuc. It is strongly suggested that an approved, monitored fire alarm system be provided throughout the structure. It is also strongly recommended that the basement floor/ceiling assembly over the storage areas be protected with at least one layer of 5/8" type "X" sheetrock. May 11, 2011 8:59:04 AM sroberds. Conversion to a personal service use changes parking requiremenets. The applicant will need to work closely with the PBIA to provide adequate parking for the site. Electrical load calculations and electrical permits are required. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 456.55 456.55 .00 .00 Plan Check Total 144.14 144.14 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 605.19 605.19 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) r BUILDING PERMIT INSPECTION RECORD i - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - _ —� Building Inspections 417-4815 Electrical Inspections 417-4735 \ - Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By I Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough-InWater Line Line (Meter to Bldg) Gas Line Back Flow !Water FINAL Date 1 Accepted by AIR SEAL: SEAL: Walls —y Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs I Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall /Floor /Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line I _ \ Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date a Accepted by MANUFACTURED HOMES: Footing / Slab I �� Blocking & Hold Downs (� Skirting ct7� PLANNING DEPT. Separate Permit #s SEPA: v Parking / Lighting ESA. Landscaping SHORELINE: q< FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE `ter Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 , Fire 417-4653 Planning 417-4750 l_� I Building 417-4815 T.Forms/Building Division/Building Permit NOTES Permit # ( t- -i 2-1 LjSka- A tj t1 o W NTiny s h v- a lel h� `S'P�e �Y1 Q -F .e . C`�1U IVA N o: 11e GL o �rr� ►rn e �� rr�w,+n-t- �i �u in Q,4. S h�= ► Ji si-o ��{ �1rIA4C, K -FC— nto neo -sk1� uAevx MtO, Y-le�(ve �mJ— 6-f- ru"d-se_ T:Forms/Building Division/Notes April 19, 2012 PORTANGELES W A S H I N G T O N, U. S. A COMMUNITY & ECONOMIC DEVELOPMENT Janee Lyster 105 E 1" Street Port Angeles, WA 98362 RE: Expired Building Permit 411-421 and Certificate of Occupancy Application #11-363 Dear Ms. Lyster: I am writing this letter to inform you of the status of the above permit. The permit expired on March 7, 2011. Our last inspection was performed on September 7, 2011, but there were some corrections that needed to be done prior to the final. If the work is complete, please let us know so that we can inspect and final the building permit. We are also holding the Certificate of Occupancy because of the building permit status. Once we final the permit, we can issue your Certificate of Occupancy. If I haven't heard from you by May 4 2012, we will assume that you no longer wish to pursue the permit or Occupancy application. If you have any questions, do not hesitate to contact US. Sincerely, Heather Catuzo Building Permit Technician 321 E 5`h Street Port Angeles, WA 98362 hcatuzoa,,cityofaa.us 360-417-4817 PREPARED 9/07/11, 9:11:38 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/07/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 105 E 1ST ST SUBDIV: TENANT, NBR: SASSY KAT SALON CONTRACTOR : PHONE OWNER HENDRICKS DOUGLAS G PHONE PARCEL 06-30-00-5-1-1636-0000- APPL NUMBER: 11-00000421 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 5/25/11 JLL BLDG FRAMING 5/26/11 AP May 25, 2011 8:29:52 AM 1pangrle. LYLE 460-2709 FRAMING May 26, 2011 8:50:25 AM jlierly. BL99 01 9/07/11L BLDG FINAL TIME: 01:00 September 2, 2011 2:08:57 PM 1pangrle. HALEY 417-0800 (I CALLED HER TO FINAL THIS PER #t- BUILDING FINAL - SASSYKAT SALON & BOUTIQUE AFTERNOON ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------- ----- — — ----- -- ------------------------- — -------- — ------ ME99 01 9/07/11 JL MECHANICAL FINAL TIME: 01:00 September 2, 2011 2:09:57 PM 1pangrle. HALEY 417-0800 (I CALLED HER TO FINAL THIS PERMIT.) MECHANICAL FINAL - SASSYKAT SALON & BOUTIQUE AFTERNOON PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 5/25/11 JLL PLUMBING ROUGH -IN 5/26/11 AP May 25, 2011 8:30:39 AM 1pangrle. LYLE 460-2709 PLUMBING ROUGH -IN May 26, 2011 8:50:38 AM jlierly. PL99 01 9/07/11 JLL PLUMBING FINAL TIME: 01:00 September 2, 2011 2:10:23 PM 1pangrle. HALEY 417-0800 (I CALLED HER TO FINAL THIS PERMIT.) PLUMBING FINAL - SASSYKAT SALON & BOUTIQUE AFTERNOON ------------------ COMMENTS AND NOTES X2,1 k PREPARED 5/25/11, 8:39:44 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/25/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 105 E IST ST SUBDIV: TENANT, NBR: SASSY KAT SALON CONTRACTOR : PHONE OWNER _ HENDRICKS DOUGLAS G PHONE PARCEL 06-30-00-5-1-1636-0000- APPL NUMBER: 11-00000421 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------ 7 -------------------------- — ------ BL3 01 5/25/11 BLDG FRAMING / May 25, 2011 8:29:52 AM 1pangrle. LYLE 460-2709 FRAMING ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- --'— - PL2 01 5/25/11 JLL PLUMBING ROUGH -IN May 25, 2011 8:30:39 AM 1pangrle. LYLE 460-2709 PLUMBING ROUGH -IN -------------------------------------- COMMENTS AND NOTES -------------------------------------- °Hrq�. BUILDING PERMIT APPLICATION Print in ink L CJ 1 CITY OF PORT ANGELES � ` For City Use Only: Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 ' Date Received (360) 417-4815 fax (360) 417-4711 Permit # r I� Date Approved Zn (Applicant L %� L�,SI-�;�..'Tr/STSs �� S�.I �1 Phonr e 5Z- //St7 Property�wner/ o`'c�`�s c�'4r�'°t4c or `L..�. Ie- r T. 1� o o - L r,s% r 4(, 0 270 I � Property Owner's Address' jo I5'r 51 Contractor LL l7 11• Phone 36v x/60 2701 Contractor's A4ess Si l c1Xe. Nr 9) P-1-Alip%e s f1A)A 'LiS_6Z License # Expires E-mail PROJECT ADDRESS /0 5 skss j Kai _130doh Parcel Number Lot Zoning Proiect Tvpe & Brief Description: ❑ Residential ❑ Multi -family 5eCommercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition�L��� L•/�7sti,�D/),ir �i7ov ���F �i1i' s,Remodel ❑ Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existinq (sq. ft.) . Proposed (sq. ft.) Basement _ @ $ per sq. ft. _ $ 1 S' Floor 2nd Floor 3rd Floor ^ Garage J Carport j Covered Porch Deck Shed S%ccf ociL / 1v a Other 3 500 b1c,011-s6o0 TOTAL VALUATION $ /V/ _� 0 Total footprint of structures sq. ft. - Lot sizeAsc sq. ft. =As, e % Site Coverage = the amount of imperv* surface on a parcel, includins, paved drivwalks, patios, and other impervious surfaces. (s PAM 17.94.135 for exemptions ge % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths / have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior toworkingon rojects Date 5-3-Z0l r /Print Name L , %� h Li/S �f Y, .� r Signature l� � T:Forms/Building Division/Building permit application " ' „ r� x.;. . J. w •wi A� ;� ,a.♦,. °r am.r�-rte"','^paMe$'� �'+'jf,•' N �• '^i.. "t "'" ':;"`',. .�",,, IV WOO fr A,' '^oM`4'+7,i• ^� �;x.i�.�' c,:. ''y»;i a: ��s: ,'„ ". 1 ,4.'' ."j4w ,,t "a `•axe •`� v •,' "s$ •" •, ', .b w Off h`'AiA.: Awk i r B 'Y Y ,• S a�, ♦ , „ " �& .�%':"`"° ;� �"fit � �/`.::",:' ♦ :.a'� b , ' 4 ;" '.w< �'d"`;�`°' '�' .i '� � "�~ �'%'V _ wee ,•E:". ' h.. .." v� Al CIL r " a. g f , ten,'"ry • Sc%- k, f� o� � c�i� Y S' A-11 4 AAJ ho wader �Zc� r } v XSrS �lil�r� foo �n A4A Vcyvb �c,-u o h.e,10 � a, 4\ rO owt A o+G( 3' o z> 0 car- �o N k) 1,-A r o-am AdJ U wq+ 'cw -i-o m-vi w a-S k ✓ &am 'Y-'& 541L VC) Raw wo"Skroom RTC 3 wask bowls I rawm.. wwllSSC e r�c-,t 3° Gfs ')Ov r�vwL 2 TOMS 2'X4.w�11s Fe,r �\c vj i 5'Gc � Y oc% off �od� Ao j 300 � vw i��,`v,er Eos �,` �',�'� �e5 , vewlt- A-o �-oc� S's 5 y )�a 1- (�,, N Ob I � I -,"\— T, _� E V� v14- Clallam County Assessor & Treasurer - Property Details - 61413 DOUGLAS G HENDRI... Page 1 of 1 • Clallam County Assessor & Treasurer Property Search Results > 61413 DOUGLAS G HENDRICKS for Year 2010 - 2011 Property Account Property ID: 61413 Legal Description: SMITH, NORMAN R LOT 11 BL 16 Geographic ID: 0630005116360000 Agent Code: Type: Real Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code 56 Open Space: N DFL N Historic Property: N Remodel Property: N Multi -Family Redevelopment: N Township: Section: Range: Location Address: 105 E FIRST ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Comm Map ID: 2 Neighborhood CD: Owner ✓`' .. -- ��``1 . Name: DOUGLAS G HENDRICKS Owner ID: 30013 Mailing Address: 1024 W 6TH ST % Ownership: 100.0000000000% PORT ANGELES, WA 98363-2121 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement / Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.30.1013 Database last updated on: 5/3/2011 3:50 © 2011 True Automation, Inc. All Rights AM Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=61413 5/3/2011 Memo : City of Port Angeles Building Dept. From: D.G. Jerry Hendricks Date: May 4, 2011 Subject: Sassy Kat remodel I am the owner of the Aldwell Building located at 105 E. First, Port Angeles. I have leased the space formerly occupied by The Toggery to Janee and Lyle Lyster owners of the Sassy Kat. I have approved their remodel plans. We also have an agreement for their purchase of the Aldwell Building that will close on June 6, 2011./ 01 D.G. Jerry H dr' Owner Aldwell Building 105 E. First Port Angeles, WA 360 452 2253 MAY 0 4 2011 CITY OF PORT ANGELES BUILDING DIVISION ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000467 Date 5/16/11 Application pin number 569216 Property Address 105 E 1ST ST A ASSESSOR PARCEL NUMBER 06 30 00 5 1 16 6 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc 200 amp service and feeder top floor Owner RESULTS Contractor DITCH HENDRICKS DOUGLAS G SIMPSON ELECTRIC -VP 1024 W 6TH ST 4 ROUGH 1N 243036 W HWY 101 PORT ANGELES WA 983632121 PORT ANGELES WA 9836 (360) 457 9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 185744 Permit Fee 239 80 Plan Check Fee 00 Issue Date 5/16/11 Valuation 0 Expiration Date 11/12/11 Qty Unit Charge Per Extension 2 00 119 9000 ECH EL 0 200 SRV FEEDER 239 80 Fee summary Charged Paid Credited Due Permit Fee Total 239 80 239 80 00 00 Plan Check Total 00 00 00 00 Grand Total 239 80 239 80 00 00 P. I REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE shi it -VP l I 4 ROUGH 1N FINAL D3'12 3 J1 COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G \EXCI-IANGE\BUILDING 3 J 0 N 0,,*pORT,4, ELECTRICAL INSPECTION WIRING REPORT °woS,s�"`� 417-4735 DATE: t OWNER CONTRACTOR l ,,l►'�� i ADDRESS L I 0 S� APPROVED ❑ PERMIT # INSPECTOR I t-0,403 I `�' `,�/ DITCH ROUGH IN/COVER SERVICE FINAL NOT APPROVED CORRECTIONS NEEDED- i�>� („r f v 6 U g f- C -6v -I D1%) -T- I-r4 I'r4 r60,%) ( L I'pr--, Eq 1 . L.t�>}'L.� i� 6 5C . �S�Ir�� � c,� 1:f�V1�!'►Ei1li 7129 112 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — oFVOAT,4, ELECTRICAL INSPECTION 4 ��N y WIRING REPORT �m W RKS b 41 7-4735 � PERMIT# � � I INA5PECTOP, OWNER CONTRACTOR � t w1� SQ ►� �. r � � f OZl � ADDRESS /Cl - ! 5 APPROVED ❑ DITCH 0`— y4r-tV R C -ROUGH IN/COVER ❑ SERVICE ❑ FINAL CORRECTIONS NEEDED: Rc�ow�- NOT APPROVED fs -P, C_ k---, w rr—s L S 1I;;,, r - NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - RECEIVED'i��rpat,ry�� CITY UT PORT ANGELES PERMIT APPLICATION MAY 16 2011 Building Division/Eleetrical Inspections A V 321 East Fifth Street— P.O. Box 1150 /Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417-4735 Fax: ('360) 417-4711 INSPECTIONS Date; _ /14. - / _ 1 & 2 Single Family Dwelling Multi -Family or Commercial' -/-< Commercial Addition / Alteration Remodel / Repair' Plan Review May 13 equired, Ple , e Complete Electrical Pla Review information Sheet Job Address: l / J Building Square Footage: to w ��� Yrze Description of above Owner Information 4N) E &,Si Contractor nfo ati - Ivame;..,_ GK- Name: t � C, `ty iwaaing Ad s; Mallin i—Z ddres City State: Zip: W.3 A '� City: ^State: _Zip: 3 Phone 6 $3 -Fax: Phone: Fax: -- License # / Exp.Lleense / Exp.''>w ,$ — Item Unit Chance Total (Qtv MulbiAled by Unit Chancel Servlce/Feeder 200 Amp. $119.90 _� $J 14, I OX 2__7 Service/Feeder 201.400 Amp, $145.50 $ Service/Feeder 401-600 Amp $ 204.60 Service/Feeder 601-1000 Amp. $ 262.20 $ _ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W/ Service Feeder $ 2.60 Brandi Circuit W/O Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp, Service/ Feeder 200 Amp, $ 92.70 $ Temp. Service/Feeder 201.400 Amp. $110.30 $ _ Temp. Servlce/Feeder 401.600 Amp. $148.70 $ 'Temp, ServiceiFeeder 601-1000 Amp $167.90 S _ Portal to Portal Hourly $ 95.90 $ _ Sign/Outline Lighting $ 88.7.0 $ _ Signal Clrcult/ Limited Energy / First 1500 sf - Commercial $ 95.90 $ _ Note: $5.00 for each additional 1500 sf Signal CirCulY Limited Energy 1 & 2 Family Dwelling $ 63.90 % _ Signal Circulil Limited Energy Multi-Famlly Dwelling $ 63.90 S Manufactured Home Connection $119.90 $ _ Renewable Electrical Energy 5KVA System or less $102.30 $ Thermostat $ 56,00 S _ NEW CONSTRUCTION ONLY: First 1300 Square Ft, $110.30 $ Each Additional 500 Square Ft or Portion of $ 35,20 Each Outbuilding or Detached Garage $ 73.50 R Each Swimming Pool or Hot Tub $110.30 R Owner as defined by RCW 19,28.261 (1) towner 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 coral actor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.78, WAC. Chapter 296-4& t, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Siratur of owner, electrical ntractor or electrical administrator- ❑ crab ❑ ow* Credit Card $ Jz.' 7l .� Ntcd: °F°°R'A", ELECTRICAL INSPECTION 4 ��N y WIRING REPORT 417-4735 RKS b ATE D�ilV I I I PERMIT # I INSPECTOR OWNER CONTRA Tb 1'f v- t GK __,;IN,�yo9 irL-15—; C-r>zc c� ADDRESS _ APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE )3. ❑ FINAL ❑ CORRECTIONS NEEDED: 1= Ll. Bi�IJ�G� cc k- --Q c- ;� Wt�"N N1msG f[� j Aflf> �� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS cjT PIZT t;31T 1114 - DO NOT REMOVE - I\ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000403 Date 5/03/11 Application pin number 609321 Property Address 105 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1636 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc SP, Y,4r,L-';:;, 2 200 amp s ce 17 circuits Owner SRS` e,qT Contractor HENDRICKS DOUGLAS G SIMPSON ELECTRIC 1024 W 6TH ST 243036 W HWY 101 PORT ANGELES WA 983632121 PORT ANGELES (360) 457 9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 184846 Permit Fee 284 00 Plan Check Fee Issue Date 5/03/11 Valuation Expiration Date 10/30/11 Qty Unit Charge Per 17 00 2 6000 ECH EL BRANCH CIRCUIT W/FEEDER 2 00 119 9000 ECH EL 0 200 SRV FEEDER Fee summary Charged Paid Credited Permit Fee Total 2B4 00 284 00 00 Plan Check Total 00 00 00 Grand Total 284 00 284 00 00 WA 98363 00 0 Extension 44 20 239 80 Due 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) a�- Rolzt.C-c 5-I2c)1►I INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN -71 Z4'1 J I ;Z) FINAL I ' COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor h p Date - G \EXCHANGE\BUILDING REMYED r �A MAY 2 2011 `' V almli cm OF PORT A4NGMEs P1tWr AMIC.k MON ELECTRICAL � � -J-- Baitidiag >crt�itstore!),leclrriw! Ieelrectione INSPECTIONS r ` C' 321< Ego sant--P.Q. So:1 SO / Yw l Angdes wsehin"on, 9933 ' 1 Ph: (36% 417-4735 Fa= (360) 417-4711 TOWJ�1 9 & 2 Single Family Dwaling _._ MaltWomly or Commerciar �L Commercial Addlion 1 Alterafhin Ammodel t Repair` Plan Review M Be Required, pComplete Sectrtai Plan Review Iniomatiom Sheet f .bb Addled 8ufift Square DowM06M !!f a110Y9 ftL, d(ci��( - C011trtlCbOr tl{l?01�idtt00 0"m tnionnauon MOMTa n e�e- � I,y) � Sir re. NMM- A MPR rma � -aa.' Fac Pttrme ?C? u*/E* tkenee#l64r .. oense item t hdt CftataeTotal LI t: W -JW tht0 Child !r'�0U Smvim Feeder 200 Amp. $119.90 - ServloelFeeder 201AM Amp. $ 445.50 SriroiceaIFoWer44M =Amp $204.60 3ervrmfRmder6M406QAntp. $2$220 SenricelFaedsr oar 1QW Amp. 5 37250 $ Bmnch CUcult W/SeMm Feeder $ 2.60 $ atanch Cftdt W/0 senom Feeder $ 73.50 - S Faat Atldltt al ftft Gimd $ 2.60 - Temp. Sen" Feader M Amp. $ 92.70 - Temp. Swine eeder2M-400 Amp. $19030 $ - - Temp, Smvlee/ vedor401-840 Amp. $146.70 $ - - Temp. SamtWFeeder601-tOt)t1Amp $16790 $ - portal to portal Homty $ 95.90 $ SlgNdugine t.wft $6820 $ .. S�WCirsuittLhIedEneig /RmtlMgs€--CmmamM $ 95.90 $ -- Hole: $5.00foreschaddltlonmis0osf S Signal Cicarkl Lhhd Energy -1 &2 Famly DwWng $ 63M - Signm Chart!/ IJmited Energy MuM*mrsy Dwettin9 $ 63.90 U nuiactured Home Connedlon $119.90 RenumMe Elecldcat Energy 5KVA SysMem or Less $102.30- {Thammm $ 56.00 $ - - pLW IRRU-c-mgOHLY; FM 1300 6WM FL $110.30 Each Add bnm 500 Square FL or Pa n►of $ 35.20Each Outbui dk g or Dukmt d Garage Each SwMW gl Pontor M Tub $ 73.50 $110.30 - Goner as dermed by RCW.192B.261: (1) OwnerwM oojpy the strndm for tan yew &der this electicel penitis fuer 2 OWwisf8qulW to hire an etecuicat aorrbadnr 9 etmve said pmp" is for sale; tent or lease. Peretti expires atter sire morrttts of fast Mq di a Atter mWmg the abmre statement, I Hereby ceft ttrat'l am the ownerof the above named proptoly ar a licensed dectrlcat x ng Idor. i am making the decticel installation or altmatton in oomph m© i dth Me etec ftl laws, N.E.Q. RCW. Chapter 19.28, WAC, Chapter X 3.16%. The CRY of Port Armes Mumbpal Cade, and Uft Spedk*ms acrd PAMG 14.05.050 regarding Ejec"Psm t Appil ti M oFoaxtter, deeNMat - ac+etec6tcsri ado»inlet xbw. _ 0 can Cl chain pd c,.&e■d,e 82i ''�- .4A2 - omen: =o�`f I 01rul me u BUILDING PERMIT OWNER/APPLICANT JERRY HENDRICKS 105 E 1ST STREET Port Angeles, WA 98362 360/4574303 T: CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 ;ia9141*e1l1l l;te. CITY OF PORT ANGELES PUBLIC WORKS - BURMING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ISSUED: 4/25/2000 PROPERTY LOCATION 105 1ST ST E Lot: 11 Block: 16 Subdivision: TPA S: Parcel No: Id:lei:I Y 11 x4 11 N/A , 98360-0000 360/000-0000 PERMIT NO: 11891 ® Long Legal Project Value: $3,000.00 SFD Units: 0 Commercial: 0 Project Type: FIRE ESCAPE SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: CBD PROJECT NOTES INSTALL FIRE ESCAPE STAIRS ON REAR WESTSIDE, WILL PROVIDE SECOND EXIT FROM SECOND FLOOR. FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $83.25 $54.11 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: TOTAL FEE: AMOUNT PAID BALANCE DUE $0.00 $0.00 $0.00 $141.86 $141.86 $0.00 RW SANITARY_ WATER DWY_ STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, it 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 coned AN provisio sof Ipws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a do not presu7toe authority to violate or cancel the provisions of any state or local law regulating construction or the performance -71 co struction Signature of Contractor or Authorized Agent Date ignatureer (if owner is budder) Date / Ll--� BUILDING PERNUT INSPECTION RECORD CALL 417.4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKREFOREINSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 'P) I ':K / INSPECTION TYPE DATE I ACCEPTED I YFs I No FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATERLINE BACKFLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL Cam -MY i WOODSTOVE/PELLET DUCTS PW UTELXnKS / SITE WORK (EronmmE D, i m) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTHER RESIDENTIAL ELECTRICAL -LIGHT DEPT CONSTRUCTIONRW /PW/ ENGINEERING FIRE (MULTI -FAM ONLY) [BUILDING GENERAL COMMENTS: 4C��I:I:iw I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE DATE YES NO COMMERCIAL DATE 4174746 4174807 4174654 417.4815 ////3/6 Z- ELECTRICAL LIGHT DEPT CONSTRUCTION -RW PW/ENGINEERING FIRE DEPT BUILDING Pw.1102 15 IN%] ACCEPTED YES NO rORT� Awa BUILDING PERMIT: PRE -APPLICATION The Building Permit - Preapplication must be filed out corvieteiy. Please type or print in ink. If you have any questions, please call 417-4815 Applicant and/ Agent: � O� wne (/Cs Address: Architect/Engineer. A Contractor ( t%Iron et FOR OFFICIAL. USE ONLY: Date Ree.: Permit #: Pre-Appl Complete: SHB1724: Y N Letter of Completeness:_ Bldg. Permit Appl: B.P. Issued, Pho Ph to d152- ..?5157wK- 7.42 i City:Sri e�lef zip: 8 5 6� Phone: License #: Exp: Phone: Address: �� City: Zip: 'PROJECT ADDRESS: /DJr F_ / 0 1 ZONINr COft9/ -� LEGAL DESCRIPTION: Lot: / ( Block: Subdivision:QYvino CLALLAM COUNTY PARCEL NUMBER: -;-TYPE OF WORK: ❑ Residential ❑ New Constr. ❑ Reroof ❑ Multi -family ❑ Addition ❑ Move ❑ Commercial ❑ Remodel ❑ Demolition ❑ Repair ❑ Sip - i• BRIEF DESCRIPTION OF THE PROJECT: -+/impv 'e -r-C..''.c —11�- SIZEIVALUATION: ❑ Woodstove SF. @$ lSF. = $ ❑ Garage SF. (a3 $ /SF. = $ ❑ Deck SF. Q $ /SF. = $ Cjr. _ a?,( -TOTAL VALUATION $ A'6 o O .n6 c..r-f -f-iri G rn PC -rrcr COMMERCIAL/RESIDENTIAL: Occupancy Group, Occupant Load: Construction Typ.- 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 Permits Required: Notes: BLDG Max. Height- Setbacks: Zoning: DPW Site Plan and Use Approved by: Date: FIRE ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER PRE -APPLICATION SUBMITTAL: Your application and site plan must be filed out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. f hereby certo 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 determitle what permits are required, it remains the applicant's responsibility to determine what permits are required an to obtain such. PW-1102_13[rev.3/001 --� /O — Date: SITE PLAN 4'qr DF PAR rMFNT OPPI; BLICWORKS• BUILDING DIVISION API'LICAN r-•S�?_t' �G(_Yr. �f� . _..— �rsohF PROJECI,LSB+IAJPNlENFr ADDRESS w'SEY I'18�-J ty_n.f^an*1J�{Q�p�,�#(Ig$,j(fE9iC-it�t0'-.�-Qr'itl�t�Y.'G�s?C9fIIB�C,�R._C�:�'rr-. (360) 417-4815 f i Y I 1 i I I 4 i i , ii rt - f (360) 417-4815 f i Y I 1 i I I 4 i i , ii City of Port Angeles Applicant Project Review Sheet Applicant: �Y/'y f�P/Z�ff�\\fU�S Property address: Owner: !ll�mP) Proposed use: Cd frt Zoning: Is the proposed use listed as a "permitted use" or an "accessory use in this zone? Wes: ok ❑ no: rewires PD Is this the only use (business, residence, etc.) on this site? dyes: ok review ❑ no: requires PD Has there ever been a subdivision, shorTlat, or PRD approved for this site, or has one been submitted and is pending appy al44. ❑ es: uires PD Y f'q, review no: ok Does the proposed use require a new buisness license? review ❑ yes: requires CC ,ono: ok Does the project extend into any required setbacks or cross any lot lines (interior or exterior}? review ❑ Yes: requires PD 9no: ok _ the _ the parent the alallow d ?ot ooverage in this zone? height allowance or cause the property to exceed review ❑ yes: requires PD Xno: ok Does project require any additional parking or special design/landscape improvements review ❑yes: requires PD 19no: ok Does the project eliminate any existing parking spaces? review ❑ yes: requires PD Jzno: ok Is the project located within 2110' of the shoreline? review ❑ yes: requites PD no: ok Are there any environmentally sensitive ares on or within 200' of the property, including: review ❑yes: requires PD 9no: ok • wetlands or areas of standing water (year round or seasonal); review • streams round or seasonal? • areas wi th a slope of 40% or greater, or • areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? 1AX Site Plan Construction Drawings yes: ❑ no: mark ❑ Pmking/Drainage Plan ❑ Civil Drawings item O Energy Cale O Supporting Engr. Calc ❑ Landscape/Lighting Plan O Otter LI Planning Department review is required, the processing time may be extended. If it is determined a separate Planning partment permit(s) is needed the PlamungDeparanent permit(s) must be approved prior to the issuance of any other permit. IrEP5�5 ded above tJ true ro the best rlJmylmrnvtedge, this :ntnrec; this jest wi/i be st etl gntil mpro ided dadaVd review p aPPurformation is provided and anyPprovals are ted and granted. Permit Category q (see reverse side) Building Permit k Waster Tracking q Route to: ❑ BD ❑ CC O FD ❑ LD D PD O PW ❑ File ❑ Other Staff Initials Date Completion o! this form is required for all category lb, 2 & 3 permits. Completion is not required fm category la permits unless they result in a potential change of use or occupancy. APRS 1(42Y9]tliY rev,) Issued at BD unless otherwise noted may be issued over the counter _- wile SEP* ; - A ... fuse 04" notngtMra� assembly, inspection 0 FD boiler buidkng, repair < 75% of bldg $ bum @ FD demolition, interior draft ddapa drywall electriew. electrical temp service - fireplecNdove foundation. repair furnace, of hood & duct Insulation marine fueft 90 FD pk#ydn9 rod, woof roof. skylight SUN siring doff F,jFse arKollar raaulrr� awryrglcanopy building, repel > 75% of bldg $ cartocc. exletire•2 Mo. had pump 1p on @ FD Path cover Porch stakslramps UST, rernovak (C FD) welding & cutting (@ FD) amt stn (625-97 mm suitor) CITY PERMITS BY CATEGORY Issued at BD urdess otherwise noted Issued at Building' d5 days rew"s 8&* reviewIssued at Planning Department reapprox. a nft ppn 30 - , 9mes vary requires a pubic, hearing, times vi reWns>Wra _ sEPi�a'rirlf tri/o`SEFkdrflY& .-: "1 :Ywle°SC•PA�ert72r antenna, roof (LD) building. addition• MD, LD & PM huldina. foundation only' (PW) buikilg, naw structure' (FD, LD & PW) building, remodel (FD, LD & PW) building or boat, move (FD, LD & PW) I can-(= new bldo (FD. LD. PD. B PW) chimney (LD) ckxrkg & grading` (LD & PW) deck (LD) I demoilbM (FD, LD & PW) demoibon. resid. chimnev (LO) I demolition. slim (LD1 I dumpster emwwre (FD, LD & PW) I ebvator (LD) I fire sprinkler (FD) I hood & dud, suppm. system (FD) I riQMof-waw, construction (PW) I right-of-way, use (FD & PW) I rockery(PW) I utilities (LD & PW) sign (PD) I UST, Installation* (FD) Iwait. retaining (PW) building, new sticture (FD, LD, PD & PW) clearing & grading (LD, PD & PW) rlen ition (FD, LD, PD & PW) M exam#tom SEPA per WAC 197-11-800 boundary line "pstment annexation minor deviation I street vacation I start plat variance temporary use or structure variance, parking zoning tit covenant I„n;didv6lh;+liitlii'7,•oli- 11M1MW.A,s'Asidlfn..'oSttl•IIi!i!idlclidllhiNil `.., '.W/SEPA' a °iTi,�='„"; ;, " {breakfast : 61 rezone, area -wide bed & I zoning code amendment I ESA approval I comprehensive plan amendment I hone occupation I retail stand wetlands it.-- ”. .•_:'.� I condtildnel use permit planned residential development rezone, site specific shoreline permft subdivision To qusiry as exempt the proposed project combined with any related pmjwfs or phases must: 1) not be located on a Property containing an ESA,• and 2) be one of the types of projects dowrrbed below and be equal to orsmaier Man the associated size "abon: - construction, legation, or demolition of fourresklantial units - conatwdion, location, or demolition of any non-resklendal or no"clushfd buidhg(s) with a total of I, 000 of of gross Boor area,, - construction of a parking lot designed for 20 automobNs; - Instabaon or removal of any underground storage tank(s) with a Mrd capacity of 10,000 gallons - gracing, excavation or Ailing of 1) 100 cubic yards ofmaisiak or 2) as part of an exempt project - construction, instaiadw, or demolition of commercial on -premise signs, and pubic signs and signals - additions, mocef sbanA or repairs M an existing exempt bulding or racily, except when such activity would kbrprerry ills exemption; V - insfabdon, repair, or relocation of utiles except for etechicalInes with more than 55,000 volts or substations or t— - open burning. "01#ble for phone-in by licensed contactors = issued at () = review required by CC = City Clerk, BD - Btd*a Division. FD = Fie Denartnent. LD = Licht DMsion. PD - Plennina Deoartment PW = Pubic Works Department Based on co -use of Applicant Project Review Sheet on reverse side tuft / tt� Fj„�sc � rwa� R- J aA2 � 71+•t'f cl re : kX..:� a `! 4 /D / `, v s v oft -slow. Al We e Y ce - oft ln Q" J 3 1 V V � �� WP -,-f ele�a. ion �.t,-A q 'j ice;, r uta( l- tii C, o. Lck r a; r'- ND�2- d Lgrt��r� r?s7 d1�► FrckSt�n Lartdih� �oLiD �P�,l �i�p�{cc� rror -Fere -6'm W(hd0,3 tc P;�q�d p"YnerS C.arjI A. b us e C.C.. ) G b 15+ M Uif,f e1Pup4 ton Lo Kc, ir�q or, C»t� hkac-E Land'r7 f 4rs4 eei � F-azten 1, L.rtd nY �ioLiD 4-rI SAs,�4,A r -Cg7re tram window �i�gid p.•,fs �j c.ovntrS 4 'ire Sccmpe A. `Am4itt e Tt� Jk yC c Wr.,f PIeJo i on Lor c�inR OPcn L.LvQ 5a«k t 7,,C,m LarA,- 44e.: Larne 1r7 toe's-( ori n F� t?eoF lend hID w,�do� R��q,d posfz �j �vnPrS . I � Wr.,f PIeJo i on Lor c�inR OPcn L.LvQ 5a«k t 7,,C,m LarA,- 44e.: Larne 1r7 toe's-( ori n F� t?eoF lend hID w,�do� R��q,d posfz �j �vnPrS KA Site Address: Installed By: r Owner/Business/ 1 Owner/Business Address: ❑ Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown). Details/Description: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. DATE---�� IVREADY FOR ❑ WILL CALL FOR INSPECTION INSPECTION License Number. Phone: ❑ New Construction ❑ Remodel ❑ Service updatelalter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) — /(90 >9 ver Phone. Sq. Ft. ❑ Overhead ❑ Underground Voltage ❑ 10 1130 Service size Amps ❑ Temporary /Un lied /e44A W.S. No. Service Size Capacity: ❑ O.K. ❑ Not O.K. CommentQ ❑ Ditch inspection O.K. Rough-in/cover O.K. ❑ O.K. to connect service ❑ Final O.K. C'6A 4 Viol -)ate Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Mete'r Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: Permit/Receipt No. /ds %Z Installer: New Meters Date: ® Notify the Departgent 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 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Z// &J III Inspector Amount paid WHITE —file by address YELLOW—file by number PINK—Top: Eng, Bottom: Customer GREEN—Top: Inspector, Bottom: City Hall iLYMPIC PRINTERS. INC. 11 C Ot 90 8 i 4HC n �' /•���mm CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT Nn / r�✓ c T ELECTRICAL PERMIT DATE Site Address: 0S 1 ❑READY FOR ❑ WILL CALL FOR 1/D✓�/�� ` �� I License Number: Phone: Installed By: Owner/Business: (/ Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ICYService update/alter/repair Voltage ❑ Heatpump ❑ Other ❑ 10 ❑ 30 Commercial/Industrial load Add/alter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: r W.S. No. Service Size Capacity: ❑ O.K. ❑ Not O.K. Commentq ❑ Ditch inspection O.K. ❑ Rough-in/cover O.K. AW❑ O.K. to connect service YAW Final O.K. natA Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address:K 7 (Permit/Re/�No YY Installer: j ��GJ - New Meters l Date: Notify the Departm�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 457.0411, EXT. 158 or EXT. 224. 5-/" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /� O^ / InpeZtoorr I Amount paid WHITE — file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. CITY OF PORT ANGELES N° 18211 LIGHT DEPARTMENT ELECTRICAL PERMIT / ^ Port Angeles, Washington...._�1�_--- -•.--=-3---------•.---------- 19. 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 o Port Angeles, per- mission is hereby granted to do electrical work as listed below. y� Address =/-QS - ---------------------------------------------- -a -------------- Occupancy - - Owner —7 JUG -'L•� _ i ------------ ......... Tenant - Wiring Contractor ---- = ==---------------- -- ----- - By -y- ------`---------V ----- Light Outlets ............................... ... ..... . Service, volts ....................................... Type of Wiring: Receptacle Outlets .......................'------ No. wires ....................................... Armored Cable ............................. Dryer.KW----------------------------------------- Size wires .... .------------------------------- Non -Metallic ........................--....- Knob & Tube ................................. Range. KW ----------------------------------- '-----. Main fuse ....................................... Rigid Conduit .......................... Water Heater: Enclosure --------------------------------------- Metallic Tubing ---------------------- -----------------....KW_-------------------------- KW --------------------------- Type of wiring: Raceway Heat: KW .................................................. Entrance Cable ----------- ................ Circuits, Light....................................... Motors: size, volts and phase: Rigid Conduit .............................. Utility ............................................. ........................................................... Metallic Tubing ......... Heat ....................... _.............. ... _.. Current transformers: Range ............................................. ........................................................... No. & Size ....................................... Water Heater ............................... .......................................................... Ser. No ............................................. Motor "'- ... ..................................... ........................................................... Dryer -------------------------------------------- --_ Ser. No ....... .-------------------------------------- ........................................................._ Furnace ......................... ................... Permit Fee Treas. Receipt 6 D - 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION NO- 18211 ELECTRICAL PERMIT Address /_! ...4. -a-...-----/--"_:......_...._................"---...................._....-----... Date--- _ .._... l`_......... Owner----- L -n---- 7z?. Tenant........'.....................-.._--...........----.......... Wiring Contractor ----- '.-.�.-'.-2:'.._t f...1F/......._............................................................. By....,.....c......_.,r..r-:.G.l..:._..-`:Y 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. 1M Olympic Printers, Inc. CITY OFPORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT T ` r U 16750 675O Port Angeles, Washington ------- ---- / -- - ----------------- 19ZY 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 lectrical work as listed below. � Address -=-......-- Occupancy----- -lam-yc :=`` = Owner .._� Tenant ---- Wiring Contractor .............`.... _ y LightOutlets ............................... .... ..... Receptacle Outlets ............................... Dryer. KW......... Range, KW........ Water Heater: Service, volts No. wires Size wire; Main fuse Enclosure r KW ....... ............:.�.......�---------- �(:2%pe of wiring: /i--- _& paw �c,t.t_,V- Entrance Cable Heat: KW...........`--..... ----' Motors: size, volts and Iphase: Rigid Conduit . Total Load ............. Remarks- -------------------- --------------------------------------- ---------------------------------------- Permit Fee $ ------------------------------------- ?Metallic Tubing ... Current transformers: No. & Size ....................................... Ser. No ---------------------------------------------- Ser. No. Sec No. Ser. No. Tress. Receipt No............................. Type of wiring: Armored Cable ............................. Non -Metallic ................................. Knob & Tube ................................. Rigid Conduit ............................... Metallic Tubing ....................... _.. Raceway ............................... __...- Circuits, Light ------- ......................... _... Utility.....--'---'-............................ 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 Address . Owner ........ 1 Wiring Coal NOTICE coaled due i ELECTRICAL PERMIT N° 16'750 Tenant.................................................................... By..................................................... ......... Tent must not be turned on until Certificate of Inspection has been issued. If work is to be con - must be given the Inspector so that work may be inspected before concealment. IM Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N° 16664 Port Angeles, Washington ---------_ ---_ Q-------------------------------- 19.. " 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 hereb anted to do electrical work as listed below. Address �- ----- - / ------------------- Occupancy--- c+ ---------- ---- -- ------------------------ Owner---_------------ --------------------------- Tenant_------.........._ .......... -....... ---_------------------------- ,e e� Wiring Contractor.L `-- tf x "'......—; ------ By--------------_-- --------- ----------------- -- --------------- Light Outlets ................................... _..... Receptacle Outlets ............................... Dryer. KW ------------------------------------------ Range, KW ------------------- ....._._...__._-- Water Heater: KW ... -----/--�''--------- - - ---- ----- Heat KW_------ Motors: size, volts and phase: Total Remarks: Service. volts ...................................... No. wires ...................................... Size wires ------------------------------------ . Main fuse -------------------------------------- Enclosure...................................... Type of wiring: Entrance Cable ....................... Rigid Conduit ------------------------------- Metallic . .Metallic Tubing ........................... Current transformers: No. & Size ...................................... Ser. No .............................................. Ser. No ............................................. Ser. No ............................................. Ser. No.............................................. Type of Wiring: Armored Cable Non -Metallic ... Knob & Tube ................................. Rigid Conduit ... Metallic Tubing Raceway ............. Circuits, Light........... Utility ................. Heat ----------_------ Range ................. Water Heater ... Motor ................. Dryer------------------- ..._-------------.-------- __ Furnace ............. Total Permit Fee Treas. Receipt r F $ --------------------------------------- No- --------------------------- By.....YXR!... ���� •...... � NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice most be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N° 16664 Address................... _.............................................................................. Owner ................................... _.......... ....... ... _..... -.............. ............ R --- WiringContractor ................................... _...................... ............................................................. H NOTICFr—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. 1M Olympic Printers, Inc. cirx or PORTANGELES LIGHT DEPAEPAHTMEttr jaif; 16660 ELECTRICAL PERMIT Nl�jj Port Angeles, Washington .......-.-f. ' 7 ..., 19........ 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. has � Address--------------- - - - - - - -- ; --•-------�-J'-- r---------------------- Occupancy---------------------------------------------- Owner<� G�t4a�.L+ a nt--....... ----- - - - - - --- -------- -- -- ('�/ Wiring Contractor ---- _ ---- - C'�9------------------------------------------------- - ------------------ Light Outlets ................................ .._..... Service, volts ....................................... Type of Wiring: ReceptacleOutlets ............................... No. wires ....................................... Armored Cable ..................... ..... -- Dryer, KW .......................................... Size wires .................................... .. Non -Metallic ................................. Range, KW ------------------------------------ Main fuse ----------------- ------....----.... Snob & Tube ................................. CC � Rigid Conduit ............................... Water Heater: Enclosure ....... .5...........� ' Metallic Tubing ........................... KW ...... .. .. .. Type of wiring: Raceway Heat: KW...... ------- Y/ Entrance ..�[J Entrance Cable ............................. .. ................ Circuits, Light .................................. Motors: size, volts and phase: Rigid Conduit ............................... Utility ....................... _.................... ---........_.----------- ............................ .. Metallic Tubing ----..................... Heat ....................................... ... _.. Current transformers: Range ............................................. No. & Size ....................................... Water Heater ............................... ........................................................... Ser. No .................... ............Z.---......... Motor .... ........................................ Ser. No---------------------------------------------- Dryer ..................... _........................ - .......................................................... Furnace ............................................ Ser. No .............................................. TotalLoad----------------------------- Ser. No...--......--_-._...._------------......-- Total ....................................... Remarks: Permit Fee Treas. Receipt $ -------------------------------------- No............................ By ----------------------......----------------------------...---------- NOTICIrCurrent 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 ELECTRICAL PERMIT Address N° 16660 Owner................................... _...... _......... ....... ... _...................................................... -.... Tenant ........................................................ -.......... � y 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. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N° 15825 Port Angeles, Washington ------- -------------------------------------- 19.A4 - 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. n, Address-------- _.----==-=--------------------------------------- O. cu ant - ------ ,�_------------------------------ Owner... -------------- --------------------------------- ---------- ............................. -If Wiring Contractor'v-W`V �� "�-----------/------- ---By-------------------------------------------------------------------- Light Outlets ............................... ... ...... Service, volts -r .'-----------r- - .... I.:.... Type of Wiring: Receptacle Outlets ............................... No. wires ....... 3 .................. -r,...... Armored Cable ............................. Dryer. KW ..............................._.- ------ Size wires .....r��... a � / - Non -Metallic ..............................._ _.............. _. �E.�� f) ,� Knob &Tube ................................. Range. KW ------------------------------------ ...... Main fuse.:....r........-/"-'-'.".,.5,.----...... Rigid Conduit ................_-.......... Water Heater: Enclosure ..._ r ........... ................ Metallic Tubing ........................... KW ---------------------------------------------- Type of wiring: Raceway ....................................... Heat: KW ................................................... Entrance Cable ........... Circuits, Light ....................................... Motors: size, volts and phase: Rigid Conduit ............................... Utility............................................. ........................................................... Metallic Tubing ......... - ............ .--- Heat ....................................... ... _.. Current transformers: Range ............................................. ..............................._.......................... No. & Size --------------------------------------- Water Heater ............................... ........................................................... Ser. No.. ....... .................................... Motor .... ....... ................................ ........................................................... Ser. No........................... Dryer ..................... _......................... _ ......................................................... Furnace ......................... ................... Ser. No .............................................. TotalLoad ............................ Ser. No ............................... .............. Total .... ....- . Remarks: tn - -�'� �%----_ �1__�?'_s__ Permit Fee Treas. Receipt /� ,�j(�%j� $-------•---------------------------- No ------------------------ ---- 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address Owner Wiring Contractor By N° 15825 NOT[CE--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. 1M Olympic Printers, Inc. CITY OF PORT ANGELES ` LIGHT DEPARTMENT ELECTRICAL PERMIT) N° 15808 Port Angeles, Washington --- rte__ = ... !_,(..------------------------ --------- 19 --- 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 -_1A --- � - f -'" `{-------- --- ---------------------- Occupancy -Z)_26 t�,YLt� � -� c� Owner.-`�'-e.----cli:-:3=�---- ------ -- --------------- Tenant --- -------------------•---------•----------------•----------------- �1 n Wiring Contractor-. % %� = � '- } ------------- ----- By----------------------•----- ---------------------------- Light Outlets ............................... _.._..... Service, volts1� U. -......4-a--....... Type of Wiring: Receptacle Outlets------------------------------- No. wires .... ''''r����� ..... ....................... Armored Cable ............................. Dryer. KW .......................................... Size wires. YY ....... ..6 ...... 6 Non -Metallic ................................. !I ]knob & Tube ................................ . Range. KN ------------ ........ ------------------- ' Main fuse ....... a....... ......... Riefd n„ndoit - _._._------------ Water Heater: KW ....-------------------------------------- Heat: KW ......... ......................................... Motors: size, volts and phase: Total Load ............................. $ Ramarlm- Enclosure....................................... Type of wiring: Entrance Cable ----------------------- ----- Rigid Conduit ............................... Metallic Tubing .....__................. Current transformers: No. & Size ....................................... Ser. No .............................................. Ser. No - --------------------------------------------- Ser. N. .............................................. Ser. No ................... .......................... Furnace Total -----------------------------------No--------------------------- - By ----------•-- ! - =-^4------------------------------------ NOTICE---Current must not be turned on until Certificate of Inspection hes 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 y 0 0 '�-� ELECTRICAL PERMIT N? 15808 Address ..f----- -..: ,j_..��,cl _ .. .....�9...t........................................... Date... --�._ �_../....'----- - T ---------- Owner...,. . ........................................................... Tenant....................... -............-------------------------------- WiringContractor..... :..?.-r.,[/y.........!w�iL..E-6..5.....----------------------------------------- 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. .., ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000621 Date 4/26/18 Application pin number . . . 344178 Property Address . . . . . . 105 E IST ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1636 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 Application desc Feeder panel and two outlets ----------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JANEE AND LYLE P LYSTER JR SIMPSON ELECTRIC 51 LONE PINE RD 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 460-2709 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 142.00 Plan Check Fee .00 Issue Date . . . . 4/26/18 Valuation . . . . 0 Expiration Date . . 10/23/18 Qty Unit Charge Per Extension 2.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 10.00 1.00 132.0000 ECH EL -COM 0-200 SRV FEEDER 132.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- --------------------- ---------- ---------- Permit Fee Total 142.00 142.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 142.00 142.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X REPoRrsweuw TAX on your exc to the City of h; (Location Gods INSPECTOR Date: MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 ; www.cityofpa.us j electricalpermits@.cityofpa.us Project Address: Sassy Kat Hair Salon upstairs apt Project Description: 12 space sub panel for 2 outlets circuits ❑ Multi -Family Residential LI Commercial / Industrial / Public Building Square footage: OWNER •' ' • Name: Janee Lyster Email: Mailing Address: 105 E 1 st St Phone: 360-417-0800 Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: PO Box 1086 Port Angeles, WA 98362 Expiration Date: 12/11/2019 Email: dlsimpson51@gmail.com Phone: 360-457-9270 item Unit Chargg Quantity Total (Quantity x Unit C Service/Feeder 200 Amp. $132.00 1 $ 132.00 Service/Feeder 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 W/ Service Feeder $5.00 2 $ 10.00 Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ J� Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi -Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $56.00 $ S 142.00 TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 4/24/2018 Andrew P Simpson Ail#2W T S*fifoit Date Print Name Signature([] Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] N ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 . Application Number 18-0000062% Date 4/26/18 Application pin number 344178 Property Address . . . . . . 105 E IST ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -.1 -1636 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation 0 ---------------------------------------------------------------------------- Application desc Feeder panel and two outlets ---------------------------------------------------------------------------- V REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Owner Contractor JANEE AND LYLE P LYSTER JR SIMPSON ELECTRIC 51 LONE PINE RD 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 460-2709 (3-60) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 142.00 Plan Check Fee 00 Issue Date . . . . 4/26/18 Valuation . . . . 0 Expiration Date_ . 10/23/18 Qty Unit Charge Per Extension 2.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 10.00 J 1.00 132.0000 ECH EL -COM 0-200 SRV FEEDER 132.00 --------------------- ------------------------------------------------------ Fee summary Charged Paid Credited Due r. Permit Fee Total 142.00 142.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 142.00 142.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN I FINAL COMMENTS: 1 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 1 Signature of owner or Electrical Contractor X Date: .y RMrr 174' . 7 Application Number . . 19-00001426 Date 9/1$f19 " Application:pin number 958610 - REPORT STATE SAL& TAX Property Address . . . 105 E 1ST 3T on J/OUP eXClse tax fCX/i? ASSES 06-30-00-,5-1-1636-0000- Appiicatie ,r des • $LEGTRIC I, ONLY . t6 the City of Port Angeles Propertsio�n.l�Tame (1.4kWion Code 0502) Property Use Property Zontng. , CENTRAL BUSINESS,DISTRICT Application valuation 0 Applicaticni dE�c - - ---- -- -- -- ----- ------- Remodel ----------- -- �^ - - - --- -- ------- --- ------ --------------- -Owner Coutraetor .n .. ------------------------ JA*E AND LYLE P LYSTER JR SZMPS€U CTRIC 51 ' PIN$ RD 24303-4 0 MWY 101 T� ANGELES WA 98363 PORT : WA 98363 (360) `460-2709 (360) 457-9270 --- - - + - ----- ---- -- Permit . . SLBCTRT ALTER.COMMERCIAb Addi.ti0i%al,.desa 1<4 CIRCU 'S Permit Fee- 6C.00 Plan CheckBee 00 iss1 - i1 �3§ Valuation 0 Expiration' ate 3/18/20 ' Qty Unit Charge Per Extension BASE FEB 86.00 16.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT` 80.00 ---------------------------- ------------------- Fee summary Charged Paid Credited Due ---- ---------- --= y` ---------- -- --- -- ----`------ Permit Fee;Total 166 00 166.00 00 .00 Plan Check Total .00 .00-' .00 .00 Grand Total 16451,00 166.00 .00 00 INSET ION DATE: RULTS: INSPECTOR D Rf)UGH-ll\ Poo FINAL RM ; MIT WELL E OME SIX(6)Wio V 'JS FROM LAST],,,. smok { `Signature of owner or.Eleotik fi Date: r w 1 MULTI-FAMILY / COMMERCIAL E� ELECTRICAL PERMIT APPLICATION 20rg Public `Yorks and Utilities Department 3:'1 E. 5th Street, fort.Angeles.. 98362 ,W 360.417.4735 I u;Aww_.cityofpa.Lis electi-icalperrrtitsL�cityofpa.tts ^� N Project Address: Sassy Kat Hair Salon> 105 E 1 st St Port Angeles Project Description: Extending circuits to replace Existing lighting &outlets ❑ Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage: OWNEk INFO"M&ION Name: Sassy Kat Hair Salon Email: Mailing Address: 105 E St Port Angeles, WA 98362 Phone: 360-417-0800 ELECTRICALCONTRACTOR INFORMATION Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: P.O. Box 1086 Port Angeles,WA 98362 Expiration Date: 12/11/19 Email: dlsimpson51@hotmail.com Phone: 360-457-9270 "PROJIECT DETAILS ltgm Unit Charge Quantity Tgta1(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 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 W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 16 $ 80.00 Branch Circuits 1-4 $86.00 1-4 $ 86.00 Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat(Note: $5 for each additional) $56.00 $ $ 166.00 TOTAL Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC. Chapter 296- 46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 9/17/19 Andrew P Simpson .A"td�'�o Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] TW y 77 ELECTRICAL PERMIT A s CITY OF PORT ANGELES 364-417-4735 - ) 6aftipn Number . . 19-00001775 Date 11/13 19 1 . / Application pin,number 409375 REPORT STA1'aALES TAX pre>pewty Address . . . . . . 1723 BUTLER ST ASSESSQR PARCEIr, ERm. '. 6,6-30-00-4-4-0130-0000- on-your excise tax form Application,typo description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . Property Use . . . . (Location Code 0502) Property"Zoning RS9 RESD14TL SINGLE FAMILY Application valuation . 0 -- ---------------------------------- Application dese PVsystem"service connection only ------ - Owner; Contractor + BRUCE R CARLSON SMART SNERGY TODAY,, INC 1723 S SUTLER ST 2120 STATE AVE NE STE 103 PORT ANGELES WA 98363 OLYMPIA WA 98506 (888) 405-8689 �k .,Ytu =s Permit . • ELECTRICAL ALTER R33SIDSNTIAL Additional desc . Permit Fee . . 102.00 Plan Check Fee .00 ' Issue Date 11/13/19 Valuation 0 Expiration Date 5/11/20 Qty Unit Charge Per Extension I.00 102.0000 ECH EL-RENEWABLE 5=KVA OR LESS 102.00 ----------------- Fee summary Charged Paid Credited: Due Permit Fee Total 102.00 102.00 0,0 00 . Plan Check Total .00 .00 .00 .00 Grand Total 102.06 102.00 .00 .00 INSPECTION'ME DATE: RESULTS: INSPECTOR: DITCH 9E VICE ROUGH IN 12. FINAL COMMENTS: PERmrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: a i , I u t' 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION + C: vk`orks and t !Iliiijc Departn,x1=( ' 1{)A I 7.47355 N.\v.,w,clt:N ofpa.tls CIEGTi"fCi3ihCiii?i[ i!'CiiA'C?f���t.US -.) Project Address: 1723 S Butler St Port Angeles, WA Project Description: rooftop PV solar array f�J Single-Family Residential ❑ Duplex/ARU Building Square footage: i i Name: Bruce Carlson Email: brutes@olypen.com Mailing Address: 1723 S Butler St Port Angeles,WA Phone: 360-460-7761 Name: Smart Energy Today License: SMARTET869RJ Mailing Address: 2500 Mottman Rd SW Olympia,WA 98512 Expiration Date: 12/18/2020 Email: jenni.b@smartenergytoday.net Phone: 360-637-4343 &M Unit Charae Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp; $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $' Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-1&2`DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ 102.00 Thermostat(Note: $5 for each additional) $56.00 $ First,1300 Square Feat $120 00 $ Each Adtlitionat'600,4qure fit $4 3g. 0 $ Eaph Oubuit�mg�;t ached a� icy �.'.V h= n S m rng'.P ool 7 i tot: ub " �0 0c Cas $ TOTAL $ Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC. Chapter 296- 46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 10/30/2019 Jenni Blankenship 9"0" a ryo' Date Print Name Signat a(❑ Owner 17 Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711] • MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION 3 1® Public Works and Utilities Department N 321 E. 5th Street, Port Angeles, lV%A 98362 � 360.417.4735 1 www.cityofpa.us electricalpermits a,cityofpa.us Project Address: 105 W 1 st Street Port Angeles, WA 98362 J Ryan Salon & Boutique Project Description: Extent Circuit for 2 Outlets v'-30-tab ❑ Multi-Family Residential ❑ Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: Janee Bates Email: Mailing Address: 105 W 1st St Phone: 360-912-4503 ELECTRICAL CONTRACTOR • • • Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: P.O. Box 1086 Port Angeles, WA 98362 Expiration Date: 12/11/2021 Email: dlsimpson51@gmail.com Phone: 360-452-9270 PROJECT DETAILS &M Unit Charge Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 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 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 1-4 $ 86.00 Temp. Service/Feeder200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $9600 $ Sign/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $06.00 $ (Note: $5.00 for each additional 1500.so Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat(Note: $5 for each additional) $5600 $ $ 86.00 TOTAL Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C., RCW.Chapter 19.28,WAC. Chapter 296- 46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 5/24/2021 Andrew P Simpson .Am-r'�P Date Print Name Signature(❑ Owner VI Electrical Contractor/Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]