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HomeMy WebLinkAbout214 E 1st St - Building Building Permit 214 E. 1st St. 15 - 850 THE G n For City Use CITY OF IELES Permit# e WASHINGTON , U . S. ' D to Received: ']--! -/S _ 321E 5th Street Eate Approved J 7 I ( S� Port Angeles,WA 9836 \\; P:360-417-4817 F:360-417-4711 Y ►' Email:permits@cityofpa.us BUILDING PERMIT AI PLICATION �+- Project Address:Ai 1 I Phone: sieo -Ljfaa-I S-5-7 Primary Contact: gc ay\ a'L9.p. ' Email: Name rJ / Phone Property Mailing Address6 Email r', Owner h I1 1 City �O fV� t � , /S State tip__ -1 c•�" ]1 Zip yvi Nameea \-arA L.L Phone (31:0) '/ev Address ' Email Information Cit State 44.m._ Cit'Tort Ali l�s" W Zip ?M, Contractor License#/�� L CJ'V( { Exp.Date: /f) _gat Legal Description: Zoning: Tax Parcel t#I Project V4ue: (materials and labor) G�rJ $ IS'1OOC) Residential 0 Commercial Industrial 0 Public 0 Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0 �--� Classification For the following.fill out both pages of permit application: (check New Construction gi Exterior Remodel 0 Addition 0 Tenant Improvement 0 appropriate) Mechanical 0 Plumbing 0 Other 0 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 0 No 0 Existing? Yes 0 No D In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater@cityofpa.us \\ Project Description ge/vl p u-e_ O Ck deck . l .pl (.�,E k P�u41 Sr 7� ,�1✓ti k/i 6 LA-4 T7iJ yr— 1.1. o-e 1 Is project in a Flood Zone: Yes 0 No❑ Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. 7-10- 15" gclAtA 0'1,ettil OF' Date Print Name Signature / Residential Structures Existing Proposed Construction For Office Use Area Descriptions'(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 3o"or znd floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? 1.Other work(describe) w'� 37-0? Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot coy_lot size) Max Bldg Height all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coy_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(S ented,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not Pellet Stove/Wood-burning/Gas # portable) ireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping / #of Outlets: Ven . 'on Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Water Healer-- # Plumbing Vent piping • Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line Indus '.1 waste pretreatment intercepto rease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx l'jk 1'OF'PORT ANGELES:. DEPARTMENT OF COM ' OMICDEVELOPI NT-BUILDING DIVISION 321 E..____-'-g,,,-,,, - - , PORT ANGELES,WA 5362 Ni _ i Application Number 15-00000850 2 Date 7/22/15 Application pin number . . 843500 Property Addres$ . . 214E 1ST ST ., - '"r•—"`.7"-tk w V ASSESSOR PARCEL NUMBER: 0613-.40-f-3-3-048,0000- T SALES A ., ' Application t criptis COMM REPAIR , Subdivision . . . '. - onlatitir qty excise tax i1T11 Property Dee . . . . . to ' t O M A�7 S Property zpe4w.' Ibmin@flow • • t • Application *cut r .1�4` - k .0502) Application desc rebuild axisni escod-framed deck,- -. _ ,:, ., Owner ' Contractor • • VIVtAN S GSLLOR PAN LTD O'LEARY`G LLC =- 306 'E FRONT ST 2920 3. PEABODY ST.- PORT S WA 983623126 -PORT ANGELES ----Wk_98362 -_ .-_. _ -_ . - • -. - . • - (360) 460-1557 - Permit - BUILDING PERMIT - OtitteACIAL REBUILD.'EXISTING DECK ' Additional desc Permit Fee . . . . 319.75 • Plain Cheok"Fee . . = = 207;84- les* pate . . . . 7/22/15 Va1uatioii . . - - I80'06' - - - • bgpiration Date- . . 1/18/16. - _ - -Qty- Unit € ege'.-Per--1:- . - Extension •- - .". BASE FEE 95.75 - , 16.00 14,0000 THOU--BL-2061-25K (14'- '-�C)':. _ . 224.00 Other Fees • . STATE..SURCHAR+OE. 4.50 Fee -summary Charged Paid .,Ctedited T } Permit Fee Total 319.75 319.75 - . - ,00 „00_ - 4 _ f, Plan Check Total 207.04 207.84 .00, p0. 4, a, '7s - Other Fee Total 4.50 • 4.50 .00 00 Grand Total 53'2:'9 ' _. 532.09 .00 .00 t � r+ ie , t /ESA, � ' �7at fl 1 `P ! -0:00$61'. fle nu fora o€eed e erg - : + �" � 'll{1 i :tt Ins 1 a- 1 art# '¢ '' tNs a bs true and corrsict.• AA proiSsloas Chars M* O ing t e *Ikea be-= d vAth wt spe _oreot, 'heofa�does at rity 4o vitiate cane this p many a tock l it. or the of -. ` iis ►. 7-22e:-.15:...:..,,. gcla-k‘ . CII4..:cp.,.,cy . _,, '..././ , - - , • Date Frit#Nti . ,« , , ,,: . -. of 't1F trtb uftder) T:Fonnsrama DiMlyice BuN Peenft . . i - ;r 3n _ y,.... _,E:.. '''''7F.'''C; ♦RUING PEINNITIOPECTIM RECO M _, ' • _ 7 PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417.4831 Backflow Preaiention inspe Cdons 417-4886 N. IT tS VN.AWFUL,TO.COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POLO PERNEritstONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLAN AT JOB SITr. InspectionType Date Accepted By Comments kiettigii POuts PL '= ' .�dg►.? i fas Lirie toles Baclf Flaw/Water FINAL Date Accedted by .• visit - Fes: ; .a *Oats I Giude a I Underfloor �' ;,Wdti//C Hold Y° Braced Panel©ray) y_s ` : : :._I FAL//Ducts ,r FINAL Date Acce d, I ,xES: t-Slido PLAN DEPT Se Permit#e SEPA _parking ILigtdIng ESA: ming. SHORELINE: rr“..�7,�1:. "•re°'-" f , r° 0 -3 -,-...,.0 t ,,..44 �,. N :+ +r X ""!x dds` Ph.t =. Y..644.00(e ,> fsjM , Ic,,.316 s - t .1.',1*-,,,'.. ,. --/-,-,�!.J'. 'V h -. -L( ,`(-_jl � 1- .. io '_:a.4 ., \•,•,i- gi?+ 64-- rn 5 Vii:. - ;, - c- 417-4738 - . .:, c,:, :: 1 #4 ; �."{ Cis ce•R.W. PW /Engineering 4174831 "' Fire : - 41753- '- 417-47550 f m,.,-.,,,.... : ". . ., ''v4- "_ - - 417-4815 T:Farms/Building DivisionIBuiWfig Permit PREPARED 10/07/15, 10:08:14 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/07/15 ADDRESS . : 214 E 1ST ST SUBDIV: CONTRACTOR : O'LEARY GENERAL LLC PHONE : (360) 460-1557 OWNER . . : VIVIAN E GELLOR FAM LTD PHONE : PARCEL . . : 06-30-00-6-3-3030-0000- APPL NUMBER: 15-00000850 COMM REPAIR PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/07/15 J 1 L BLDG FINAL 16:: October 7, 2015 10:04:55 AM jlierly. Brian 460-1557 COMMENTS AND NOTES ~ Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT '. ELECTRICAL PERMIT PERMIT NO. ~ / /0 ;:J /..'7/ /'?9 . , DATE Site Address: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: G-I!I/O~ J4/eJ, Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai I slDescri ption: ell c/L~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. --11f"'\.~ Rough-in/cover O.K. o O.K. to connect service ~ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: . ;;;;). / '-/ [ Installer: New Meters CJ . Notify the Dep m nt 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 457.04Jb EXT. 158 or EXT. 224. ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT jib I b !!P Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall F!E ~EC~JUMBER CITY OF PORT ANGELES DEPARTMENT OF liGHT APPLICATION AND.ELECTRICAL PERMIT. A 1/ l- PERMIT NUMBER . TOTAL FEE b~ 1'11'1 CONT. Lie. NO. TIMETOCQMPlETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 2/1- E. fr,(ST CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT (,;f.U oR. TIJSu~AkJC~ Owner's Address Installation By Installers Address PERMITS WITH WRONG ADDRESSES ARE CANCELLED f)U(lnl/f" E(tGUIC Owner Day Phone Installers Phone ARplication is hereby made for Permit to install Electrical Equipment as follows: Abh('<Jj A "Dr~/( II%J) t!JJlIo1f'i/TO~ tY~. ,.Itvj) WIll ( . IC/N~"I ~111.P. " Wiring'Method . NUMBER AMP 120V 24QV NUMBER AMP 120V 240V USE OF CIRCUIT PEA l00R FEE USE OF CIRCUIT PEA l00R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE . MOTOR CONVENIENCE - MOTOR .. APPLIANCE MOTOR ,. DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC, OVEN WATER HEATER LAUNDRY DRYER ., REINSTALLATION LIGHT FIXTURE # FURNACE Sl}B TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT -c- .. - . TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB-TOTAL . SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be perform er this permit will be done by the installer and in, conformance with the N,E.C, Electrical Code: Date Application made ,19 By X )6/1,.) . Date Permit Issued CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permlssion is hereby given to do the above describet;j work, ac~ording to t~e conditions hereon and according to the'approved plans and' specifications pertaining thereto, subject to compliance with the Ordinances qt the. City Lot Port Angeles, -10( 11/. BY-- ,-: '_-J~IRfCJ:,. CITY LIGHT ," I( ~,P PLANS APPROVED --~. _ ' :. Notify Department of City light by Street Address and Permit Number when ready for inspection, Work must not be covered or current turned on before inspection and O,K, tor covering or service has been given by Inspector in . Writing on Permit Placard, A. - Permits Phone: 457-0411 Ext. 158, WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY. Duplicate PINK, Triplicate WHITE CARD. Inspector's Report \. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , , , , , , , , , .. j " ". " \ .., \. . .. . , . . jr.r... ....UH ~..n .rlINt;; . .. ({. r Iq~ !d" __O.K. I , , , . z Cl II: <r: :::!! !!! J: I- Z W l- . I- o Z o C . CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17659 ELECTRICAL PERMIT Port Angeles, Washlngton./O.:::..h9.:...1.:m..mm.m.mmnmnm. 19_~.L 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 .2.l-?_;/$.__nL~nooo.ooon.nn:--ooo--ooonooonh.n o~upancy-n--:::l02:?-,tn~---~-nn Owner ng,1..JiLt../.J..'-ooo'.ooooooooo.oooooo~.. TenanLn.J.q,..uu_",.M_-'hh.l&. -...000. nnn__ nooo '. Wirlng ContractoaA~!,.L~.Zd?..".cooo.nn.--nn--ooo By...n___._n_nhh_____n_ooo__mooon._n.h___h___nhn_.ooonn Light outletsnnu__mu___m._mu_mq_____n Service, volts .,Id,..\J:_nJ.Yu9m Type 01 Wiring: . '? Armored Cable m_m.mnmm_m______. No. wires ..h.......~...h..h..__......__.... ~~ Size wires.___-.."":.:j'<._:tc:.._'.::m.::_...._.. . ,,) --7"'-..A- Main fuse ':::7'..!Lm:..m~m.m..m... Receptacle Outlets.........................m... Dryer, KW _...hu.........__.u.................... Non.Metalllc ____m__n_n_____mu__mm. Knob & Tube................................_ Range, KW...............__....___...n....n. Water Heater: Enclosure ............................______...__ Rigid Conduit nnmmnnm._m.mm_. Metalllc Tubing h_mmh.nm..n.mn KW.nnhmmmmm_n_n.nn._ Heat' KWh_n~m1.LXJd..'nJ3n.B... Type of wiring: Entrance Cable mm____ Motors: size, volts and phase: Rigid Conduit ____................m........ Metallic Tubing ____m........... Current transformers: No. & Size.....__.............._______. Raceway ..............._............._......_ CIrcuits, Light....................................... Utllily _u.mmum.___mum.m.m__mum Heat ............................................... Ser. No...__....._..__._....__........................ Range ............................................. Water Heater ............................... Motor ............................................. Ser. No........__....................._.__.__........ Dryer ..____........____........____....__.......__..... Furnace .........................._................... Ser. No..____.......____...........................__. Total :Load_____.__..................... Ser. No. ...................______...__............... Total....................................... /::J. A"'- C Remarks: .nv::r..d!..d~n.n--ooonn/~O:::O'ooo61..nn6.~n,).(/."C.r.f-d.~.9ooon:n::~.}!.L:n'n.._,'''000 ~___.n_..___..u__..___.__.__________._____...____..._______..__..__.._._.___.______...___...._..__.___.____.___.______________n__.n..__...._____.....__._____.-_____.....___ __nn______nnnuuuu.dUhUh________nuuuUhUhnn_n______n...__..__.__nnu.j"h_n_._.._.nuuu.nhhhn__n_nouuu._____nn.nunu.___u_......__ Permit Fee Treas. Receipt NO.n....______oooooon___..... C' By (.!d,~n___.~~e,~'n $.___.___.......__.___n___ooo.______.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 17659 ELECTRICAL PERMIT Address........................................................................................................................................Date..._.............._.._.........._._...._......_......... Owner .....nnn........................_........U....nn_......_.._.................._........................................ Tenantnn........_nn.nnnn..............hunn...nn............. 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? 16435 "1- 3 \~ Port Angeles, WashlngtOnmm__~umm_____mmm_m_mmmm___mm_, l~m__ 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 u__h__ui?/X_lim_{::~9!..u_mu~uoooooo___n___n___n_ooooooooo_ ocCUPanCYh~"'~muuu_OOO_______h_ Owner _.:~f!J:_~!!.~-:'!.~_~u';'u~_-:~_":.~l_".!!!!..:_~:".-:<:'b,::!2__...m Tenant_______m_mmm_m___m._u.umunm__.m.hOU....n...__ - - (,>0 -/.-'0 WirIng Contractor mt2_e.-'L_,_?.t-i,"_!:_;.__J,~!;,_<_______ooo_ooo___ By_____um__h____uum__ummum_uu__________ooo____m_uu -/ - V /~~/,9~O Light Outlets...................._.........._.._..... Service, volts ......._......................._....... . ?' , No. wires ...-.................................. I .'; <:O)j c.J1 SIze wires....'1.....~.......-................7 ~'o(;J A Main fuse ....................................... .......4/ Enclosure ......~......!.~................ Type ot Wiring: Receptacle Outlets.........................._.... Armored Cable .._..............._._........., Non-MetalUc ............___......._........._ Dryer, KW...n.nn__d__n......__............__.. Runge, KW.__....__.__.....____...__.......... Knob & Tube.................................. RIgid Conduit ______m__m_m_m_m__m Water Heater: Metallic TUbing .................__...._... KW.h_____n____n__hnmnmnnn____ Type of wiring: Entrance Cable ...__..... Raceway ............_.........................._ Circuits, LlghL.................__:..........._._... Utility......__..................................... Heat: KW..__........................._............ Motors: sIze, volts and phase: Rigid Conduit ................ d ~?g!.7!:.t~~nm../i;_;(.4e.. y'/l/!Metalllc Tubing _m_mnn .fJ po.4--r~~--m-_--f!.-~--I.fj-!!.-4 ,i Current transtormers: No. & Size..........................__ Heat ..........................................._.. Ser. No............................................... Range ................................_............. Water Heater .....:......._...........___... Motor ..._........._.............................. Ser. No. .....................__...____._............. Dryer ....____....._n__........__...................._ Furnace .........................'_......___.____.._.. Ser. No. ....._.......n._..__....__.................. Total I..oad................n.._....._.. Ser. NO..._.....n__....._......................__n Total .............._.___..._................ Remarks: h_u..~'L._!?_::'!_".._:_.~-';::c..~__.u.uu.u..u...uu..__u_.uu__nun._u_.uunnn....._h.____uunn.nuuuuuuuuun.h..hu , _u..._._nn.unu.uun.n.._nnnn_n.uuu_u._....nn.nu__.u.u.nuuuUhnn_.nn.nnnu.............._nnn_nn..h__UUU....nun_nnuu_uuu.u ~..:;~~;~--;~~____---n--------n---m----;~:~~.--~:::;~~n---nn---n----n-m-----nnn-7?ZJl:~-a-----m7!mm- $___________000000000______000_000000_. NO.m____________m__________ By ---,-,_------r,---'n--T.'!.L<:,,-:.,,'.f..e~t,,"',,---!f:="'-,'"'-_..... 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 N~ 16435 Address.._.__.____..__.._____......................_____........................_.._____...___........__..................._._.__.............Date..._......_.._.__.._......._______..._......___.__.... Owner ._..............__.....__....____.._......_.._......_......_.._.............._..............._n...__......__n...__..... Tenant.....n........_...................................n..__......... WiringContractor.________..____............_........__......................._................____.__..........................._.___.____By..........__._.__...___.__...n.......n..........._.__.._..__ NOTICE-Current must n()j; be turned on untn Certificate of Inspection has been issued. If work is to be COD- cealed due notice must be given the Inspector. so that work may be inspected before concealment.. \ . '" . 1M __Olvmnl,.. Pr;nf",r.. Tn.... CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15263 // <;2/ _ .);.' Port Angeles. Washington__________________n___nn__n_______________________________. 19n____'_ In aC<)ordance 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 d~cal work as listed below. ~:::sn::.~d:~~::::~:~=~:~~~:::::--n;~=:=~:::_n~::~:~_n:_~:::~:~:-:~~:~::::::::::::::::::::::::::::: ~ :2 '?4 ryJ Wiring Contractor n____L_nn__'l9,~~___~_~_::__c._:_________n_n_______ By_____n______________n_n____n__________n______n___n_____________ v Light Outlets........................._................ Service, volts ..mnnnn______..............n.... No. wires nnn_.nn...nn...........n.nnn Receptacle Outlets.....n___n___.__.___m...... Drye" KWI_hmn______n____hn____________nnn Size wires....n.. Range, KW Main fuse nm..........mnm........_____... Water Heater: Enclosure mmnn..___._.............n.m.n Type of wiring: Entrance Cable _'nn___mn........nn... Hea,~:-:::X::JjJl:::_::n_n--- Rigid Conduit _n__h__hnmnnnm______ Metallic Tubing ___.______m.............. Current transformers: No. & Size______nn___________u___..un....... Motors: size, volts and phase: cr"^"u~-_::1;;___/.';'''''____:!.j)_~,;,-i?-''- Ser. NO..._.........n..............n..nn.._nn__ Ser. NO....n__..n..n__n_nnn_nn........_.._... Ser. NO..___n__nnn_n___.nn__nn___.........__ Total Loadnnnmn_________h___n_ Ser. NO.n_unnnn....._....._._........nnnnn Type of Wiring: Armored Cable ................___.m._____. Non-Metalllc ....uun..nn___n...___n____ Knob & Tube Rigid Conduit ..m___________.._h...._..... Metallic Tubing Raceway .....nn..n... Circuits, LighL....n..___nnmn...nn....______ Utility nnn..nn_...nnnnnn_nn_n""",,, Heat Range nnunnn_nnnn.nnnnn___"n..nn Water Heater u............................. Motor ........_....__..............___..._._......_ Dryer...._____._..________..__......___......_.......__ Furnace ................................ Total nnnnn.........................._n Remarks: nn___nnnnnn_____n____n__n__________________________n____h________n_nn_____________________n____n______________________________n___nn_n .____._____._____.___._.__.n__..____.______.____....n_.._.___________..._._..____________.._______.______._______._____.._.___u_________...___.._.______n_.._____._.,_.__.__ _n.....uu..un_._nuun___unuuu_UU_____n_____n___nnn_nnnw_n_nn___n_..nnh__d_h______nnu_._.nh_h___n__n.n___n__n__u__hn.n__n~_______ Permit Fee Treas. Receipt $__000000______000000__________________ No.._______________________ooo By ___n__moooooo_____n___________ooonnn_________ooo_ooo___________ NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15263 Date called for inspection.....n.............n.n...................nnnn_.n_nn__..n...._n.n__._n.........nn_nu.hn.nn.......nn_nu..n_n.nnn......__n._.___nn............. Inspection cOInpleted____.._m....nmd_m____..._____.u____m...n.............u...n.........nm............_ Preliminaryinspectiondates..........................._....._.._______..._.__.___._..........____.._........._.___._......__._.___._.,...._____........________.........__...__....__............._ Total Load n_nn.nnnnnn_..nnnn.n____.n...._n..........._._...._n 1M 3-72 Olympic Print8rs, Inc. ...--....---------.....................-...---..-..................._-_._-.-.-.. ..........n...nn_........_n.nn_.....n......nn....._........._......_ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00000849 Date 6/28/17 Application pin number . . . 186825 Property Address . . . . . . 214 E IST ST ASSESSOR PARCEL NUMBER: 06-30-00-6-3-3030-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pumps ---------------------------------------------------------------------------- Owner Contractor VIVIAN E GELLOR FAM LTD BLACK DIAMOND ELECTRICAL CONTR 306 E FRONT ST 502 BLACK DIAMOND RD PORT ANGELES WA 983623126 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 6/28/17 Valuation . . . . 0 Expiration Date 12/25/17 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------------------------------------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .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 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: Multi -Family or Commercial* KCommercial Addition / Alteration / Remodel / Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of work Q J Owner Information Contractor Int 'on Name: ___C94_ L ,C) �1�%S . . Name: �a Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: *S'2 43dr,� —Fax: Phone: F 6 ��F YU License # / Exp. License # I Exp. Item Unit Charge (Qty Total (Qtv Multiplied by Unit Charqe) 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 Circuits 1-4 $ 86.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ 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 / First 1500 sf — Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $113.00 $ Thermostat $ 56.00 $ � $ O Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal C e, nd Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signaturer�rical contractor or electrical administrator: ❑ cash check ❑ Credit Card # x ffl( Dated: !/l -Z — � ? 0110112012 30e-3