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109 W 1st St - Building
ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 10- 00000981 Date 9/08/10 Application pin number 530855 Property Address 109 W 1ST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 1563 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 1 circuit clean up electrical hazzards Owner Contractor VINCENT, TTE DARREL SIMPSON ELECTRIC 711 E FRONT ST 243036 W HWY 101 PORT ANGELES WA 983623610 PORT ANGELES WA 98363 (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 172940 Permit Fee 73.50 Plan Check Fee .00 Issue Date 9/08/10 Valuation 0 Expiration Date 3/07/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 V 1b/it it Cnugp INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: /4724// 17 10 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: RECENE1 SEP 7 200D CITY OF PORT ANGELES ,ERR .C4 T '�'p ELECTRICAL 7 Building Division/Electrical Inspections dl u 32.1 E ast Fifth Street SPECTIONS 0 P.O. a'.O Boaz 1150 inn, 98362 Washington, 1, ,C) Ph: (360) 417 -4735 Fax (360) 417 -47 I 1 2 Single Family Dwelling _Multi Family or Crnrtmetoial" C "Plan Review t�I antmercial,a,�ition AlteratlLi !Remodel /Repair* Job Addmss: R8 L Please Com late I deal Plan Review Info�Ttltlan Sheet Building Square Footage: J Q� I Desr�lpllon of ahpvg owner Information ,t�l h orName: Contractor Information Malting A dress: City: State; Name; t C- �r2 i `G C.Lt� l i icon e ,Fsx .11 M yltng Addle 7� IQ LN 1 Ci License Phone Stare 7-111 i I,Icorise Exp. ?',Itil�l f'- 3 Service/Feeder 200 Amp. Service/Feeder 201.400 Amp. 1 9 Total iatII Mlle *ON halt Char�� Service/Feeder 401 -800 Amp f 46.50 Service Amp. ZD4.6D Servic Feeder over 1000 Amp. 7 B2' 0 brranch Circuit Wf Service Feeder 372.50 Val Branch Clrr ult W/O Service Feeder 2.60 Each Additional Branch Circuit 73.60 Temp, Service/ Feeder 200 Amp, 2,60 Temp. Service/Feeder 201 -400 Amp. 92.70 Temp. Service/Feeder 401 Amp. 110.30 Temp. Seirvira /Feeder 601-1000 Amp $146.70 Portal to Portal Hourly $167.90 Sign /Oulllne Lighting A5,90 Signal Omit/ Limited Energy First 1500 at- Commercial 95 90 Note: $5.00 for each additional 1500 sf s___ Signal Circuit/ Unified Energy 7 2 family Dwelling 63 Signer Circuit/ Limbed Energy MuItI- family Dwelling Manufactured Homo Connection 63.90 RAr►ewaWP Electrical Energy 5KVA System of Less Thermostat The C-- .�$T_i3 pN CY 56,00 T Firer 1300 S FL Each Additional 500 Square Ft or Portion of $1 Each Outbuilding or Detached Garage .2D w Each Swimming Pool or Not Tub 7 733•,t0 $11Q30 R Owner as defined by CW ;19.213.261: (1) Owner wit) occu I 'ftal to O hire an rdec by C If above said m py the structure for two years after this electrical pennrt is finalized. (2 10 Tuner is required P party 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 the electrical installation or (Aeration In compliance with the electrical laws, N.E.C., RCW, Chapter Angeles Municipal Code and r hapt or a licensed electrical 4 f E lc on I am making A n Angeles Utility Sp ecifications and PAMC 14.05.050 regarding EI P 1 Appli Chapter 246.4 E 'he City of Port lure o owner, a cal Electrical Permit Applications. ens, ctor or electrical administrator; CI can► D ch,ra< j p Clef* CAM a_ ai mroirzom 8 1-' 2 c ki‘ To z m i A z c- .1 P c i C" 0 M •••4 v P 7 WI i c% 1•■ P 33 m 1 4 91 4 6 4 IV 1 o 2' c 8 C IA TI r M 9.6(ile'S 464\:11 1 0 74 0 13 13 0 N 4 C 1 r 0 —4 0 C V W 6 C enzEI ‘=3 m g i 71 M 1 CD 7 4 i OE= 0 r•00I 4 01 E -I F m r r 1 Z. 33 to 4, Cln 0 ...1 2, q 0 V w v.\ '7 T. o 4, I 0 -Fo r ,1 z RA NN o w )4 IS 0 ---1 0 "T‘ 0 0 1 poop") 8 0 z 1 "M CD c- O 3 A N 0 o oCA G 0 n 6 a O m W 7 ^0 co). D n O N e q N 6 a Z n G r •,E sl a te v„ 0 A Q N i V' M 10 z C r r O m a! 1 G m xi 1 rn m=. -1 4 Z n z m I m C, I N L .4 m 0 12U Z D r, r a: 4 cn a- o ii Y F ,e /j Port Angeles Fire Department "Life Safet y- Fire Hazard" R...uE_ F E R L Location of Referral IOa W I C vJ; U E MAU. Date. Flit la Reporting Party's Name: 5i 1 Phone: knn FS (pp. F��� 66 41 Reporting Party's Address: 102_ Information Received by: ed o Fire Prevention Building Dept. f:i Referred to: et- -1 Light Dept. Public Works Nature of 'Referral t ct- rbu i-'� i'7°i viS:PeCt �D✓\ a ccdckv`c S 5 atid 1 11 -f�oo A 50ein .0. •f0��►'1nZi., bP eitec'�-✓'; CC 0 1 /j'6. °'1`f3y'ls` zs FP 18 (Revised 10/28/98) Page 1 of 2 rA4 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Security system Owner VINCENT TTE DARREL 711 E FRONT ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983623610 ELECTRICAL ALTER COMMERCIAL 155903 75 00 10/30/09 4/28/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00001132 257712 109 W 1ST ST 06 30 00 0 0 1563 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor SECURITY SERVICES NW PO BOX 660 PORT TOWNSEND (800) 859 3463 Plan Check Fee Valuation Qty Unit Charge Per 1 00 75 0000 ECH EL LIMITED 1ST 1500 SQ FT Charged Paid Credited 75 00 75 00 00 00 00 00 75 00 75 00 00 Date 10/30/09 WA 98368 Due DATE RESULTS 1 io5 it 11/01 00 0 Extension 75 00 00 00 00 Signatu re of owner or Electrical Contractor X Date INSPECTOR. 10/29/2009 09 54 3607978482 City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417 -4711 Date: dbf L9 �D� t 1 2 Single Family Dwelling Multi Family or Commercial* X Commercial Addition Alteration Remodel Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /p9 a&�� 6/4 Building Square Footage: Description of above P. 4. 4-/✓'I'I C9t)E ,Yl L_ Owner information A Name: /Lb /E/e OW 4.15A -6 Mailin Address: :joy' pi. f City State. (443 Zip: _98'3 Phone.9 3 Fax: License Exp Unit Charae 93.75 $113,75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93,75 80.00 86.25 27.50 57.50 86.25 43.75 Total fQty Multiplied by Unit Charael r Service /Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp. Portal tol Portal Hourly SignlOutline Lighting "73i0 0 Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 00 Total SSN ECE=VE D OCT 2 9 2009 ELECTRICAL INSPECTIONS Lim/14 s PAGE 02 ft Contractor Information I e Name: 5.'u.4g. Sel2vWCa t11 Mailirtg Address: PO. Apse. (the? City• 6ts1/66/b State 1444- Zip: 9(36 Phone 91--- 0 1 Fax: 7q7 $4'e 2 License i Exp. sAf 00007 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. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator Cash Check Credit Card# ti CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001441 Date 11/13/08 081466 109 W 1ST ST 06-30-00-0-0-1563-0000- PA ANTIQUE MALL RE-ROOF CENTRAL BUSINESS DISTRICT 21588 Application desc RE-ROOF: TORCHDOWN OVER ONE LAYER OF HOT MOP Owner Contractor DARREL VINCENT, TTE EMERALD ROOFING INC 711 E FRONT ST P. O. BOX 879 PORT ANGELES WA 983623610 PORT ANGELES WA 98362 (360) 477-9121 (360) 452-4681 Structure Information 000 000 RE-ROOF: TORCHDOWN OVER ONE LAYER Permit BUILDING PERMIT - NO PR FEE Additional desc RE-ROOF: OVER ONE LAYER Permit pin number 137885 Permit Fee 375.75 Plan Check Fee Issue Date 11/13/08 Valuation Expiration Date 5/12/09 Qty Unit Charge Per BASE FEE 20.00 14.0000 THOU BL-2001-25K (14 PER K) .00 21588 Extension 95.75 280.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 375.75 375.75 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 380.25 380.25 .00 .00 Fl /1C{1cv /1- / i --OJ>' Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction 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 Signature of Owner (if owner is builder) /1-/3-[$ T:FonnslBuilding DivisionIBuilding Pennit 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 IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: FootinQs Stemwall Foundation Drainage I Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor I Slab Rouah-In Water Line (Meter to Bldo) Gas Line Back Flow / Water FINAL Date Accepted bv AIR SEAL: Walls I Ceiling I I FRAMING: Joists / Girders / Under Floor Shear Wall I Hold Downs Walls / Roof / CeilinQ Drvwall (Interior Braced Panel Only) T-Bar INSULATION: Slab I I Wall/ Floor / Ceiling I MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rouah-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: FootirlO I Slab Blockina & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parkina / LiahtinQ I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineerino 417-4831 Fire 417-4653 Planninq 417-4750 Building 417-4815 \ \- \4 -()~ ~LL- T:Forms/Building Division/Building Permit o 00 I - --C .-C - o ~ ~ V\ -r l/) T ~ , ~ v M<Xl 0 , <t .-< , .-< .-< "'''' elE-< ..;..; 0.r:1 .-<.-< <XlN \D'-< <ta- , , Qi N<- .-< "'<- >< .., <t<t OJ .., C ~ '" 00 0- \D\D rl '" :>< MM ::0 '" 0 I>: ~ H '" E-< H :> ~ .., H "'''' <Xl E-< r:1 ZZ '" Ul "'Ul gl 00 ..; '" :.:'" :I::I: 0 0. E-< ;::~ Ul 0.0. N 0 Z E-<'" 0 '" .-< 0 r:1 Z .. 0 ~ 01>: I>: HO Ul 0 , E-<E-< E-< 0.-<'" Ul UU Z N<Xl1>: E-< "'''' '" \D Z 0.0. :E . <t , '" UlUl "'Z:E M , :E ~~ "'00 .4rlNH :E l'.HU .0: "'.0: 0 E-<' Z}...lo;;t'~ U 1>:00Ul H Qi H "'HE-< ~~~~ 1>:.., , OU::O elQi:>el 0 li!:UlUl r:1>.o:r:1 0 "'''' HOll::H 0 'r:11>: "'ZE-<'" UWO~ ZE-< '0 !-< Hf-4r<iO H \DI>: ~o.~ "'el .", , <t "'ZE-<.-<'" .-< ~ HZ' I>: "'Ul::O f-4 ~WO ZUl \D Ul OU ,.-< elHr>l '" ~OZO-cr Ii!: I>: E-i::J 0:::: H Io;;t' H <Xl UlO :>0'-< ~ Ul '-<Hr:1 00 01 E-<..,.., , 0 Hr:1r:1 ..., ~~~~~~ ::>"'''' <Xl <Xl 01 <XlE-<E-< 0 oel a- "'I>: , , Ul'" , ~~ O<::E'<I.DCO 001'" <t rl~W~OO 0::00. .-< .-< O:E , 'E-< 0.010 .-< .-<1>: I>: I>: OI>:U .-< .-<0 . '" I>: .01 ~ 0. ZO '" r:1 E-< .?5 01'" Ul .U .-< 1>:0 UlE-<.o: "'Z !-< 0 0 .0: l:l~~fHJ.., H Ul 0.:>< ~ , a- OlE-< r:1ZZZl>:o. 0. a- I>:H ~r>lO~";o. :>< .., o.U E-< uo 0."; '" E-< 1Il rI &~ ;;;:~, 1~, . :~~ ~~~e:'O~ ~7:8362 PH: 360-452-4681 - FX: 360 452-4429 www.emeraldroofing.20m.com Proposal Date Quote # 8/1/2008 1341 TO MIKE V AN AUSDLE ANTIQUE MALL BUILDING PORT ANGELES WA Job Name/Location JOB PHONE 477-9121 Description RECOVER HOT TAR CAP SHEET ROOF IN TORCHDOWN SWEEP CLEAN AND MAKE SURE ROOF IS DRY INSTALL 501 MINERIAL SURF ACED BASE SHEET TO ROOF AREA ROOF IN DRAINS AND SEAL TO NEW ROOF INSTALL SMOOTH TORCHDOWN TO ROOF AREA AS PER SPECS INSTALL WALLS IN TORCH DOWN FLASHINGS (MATCH ROOF) FLASH ALL BOXS WITH TORCHDOWN FLASHINGS INSTALL NEW LEAD FLASHERS TO ALL PIPE VENTS INSTALL PRESSURE TREATED LUMBER TO THE TOP OFF WALLS FOR METAL CAP TO ANCOR TO ANS TO PREVENT WALLS FROM SAGGING INSTALL NEW METAL WALL CAP METAL TO ALL WALLS INSTALL METAL ON WEST SIDE OF BUILDING THE SAME AND SEAL TO CONCRETE WALL (METAL THAT FASTENS TO CONCRETE USEING ROUL PINS CLEAN UP AND REMOVE ALL ROOFING DEBRIS FROM JOBSlTE $21588.00 + TAX 1813.39 = $23401.39 BID DOES NOT IN CLUDE PERMIT ST AX LOC 0502 ALL WORK NOT ABOVE TO BE A CHANGE ORDER (TIME AND MATL) MANUFACTURERS WARRANTY ON MATERIAL, 5YR LABOR WARRANTY WE PROPOSE hereby to furnish material and labor - complete in accordance with the above specifications. Please choose an item where required, sign & return to the above address. Payment is due upon completion unless other arrangements have been made. All material is guaranteed 10 be as specified. All work 10 be completed in a professional manner according 10 standard practices. Any alteration or deviation from above specifications involving extra costs will be e><eculed only upon written or veJbaI OIdon, and will become an extra charge over and above lhe estimate. All agreements contingenl upon strikes, accidents or delays beyond our control. Owner 10 cony fire, lornado, and other necessary insurance. Our work"" are fully covered by Worker's Compensation insurance. Authorized Signature NOle: This proposal mal' be lfilhdr01l'J1 by liS if 1101 accepled withill 60 dal's. ACCEPTANCE OF PROPOSAL - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment wiII be made as outlined above. Signature Signature Date of Acceptance: BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use OnlY: Date Received 11- I j - a 8' Permit # (\ ~- \L\,-\ '. Date Approved Applicant or Agent [/ria flL- D f?-OOhN0 {NC, _ Ph.9f1e Property Owner f1ltt.f V,?1AJ f1H5'OLIi /~ v'INwAlone Property Owner's Address /O~ ~I / Sf' ~ Contractor/Engineer . Phone Contractor/Engineer's Address License # E f'1FfMP0: PI 711 pP Expires 10-/7- d1 E-mail 457-'1t '6( ,-/77- cr/2/ PROJECT ADDRESS ~R Parcel Number Lot Zonin Proiect Tvpe & Brief Description: 0 Residential 0 Industrial Check all that apply o New Construction o Addition o Remodel o Repair ~Re-roof o Demolition o Heat System 0 Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o Other Floor Areas ExistinQ (SQ. ft.) Proposed (SQ. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ :z..IS~.ee- Total footprint of structures sq. ft. -:- Lot size sq. ft. = Lot coverage % Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths I have read and completed this 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 working on projects. e ~ ~ Dalell-(3-0't Pf;ntNamr ~12 f2('(frVISignaIU~ ~ ~ ~ <1?ORr~ of~ L ~- "'<~ ".' "" 'CITY.0F PORT.ANGEI;ES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES; W A 98362 .{ i", < , ~ " .' '-;..~'I 'f" .,--... Application Number 'Appiication'pin~nuffiber Property Address ..,.- hs.~~~~g~ .rf>R~.E.~...~BER: ~_~~~. Tenant nbr, name Application type description Subdivision Name property Use Property zoning CENTRAL BUSINESS DISTRICT .,___._~...?JPP:!.i.s:_?:,t.ic;I?- _\[.aJ~.:'o!.e t.~qn_,_.~. "~_'~"'__~A_...~~_"_?..;t5_"... ~ _.____..' ......._~ ~_~,,_.~_.-'__~__ _'_.. 07-00000245 '689265~' . 109 w 1ST ST 06 - 3.9 - .09.:..9:.0.-::L 5}5 J",~Q.O 9.':'.., MJ;KE VANAUSDLE COMM REMODEL Date 3!.~~/07 " Owner Contractor "'- '-"'VI'NCENT;'TTE-DARREi."-- '~o.' ~--- ._'.'-~". owNE'R'--- -"-- ~- --"--'~ w 711 E FRONT ST PORT ANGELES WA 983623610 Permit Additional desc ,permit- pin number Permit Fee ~----Tssiie"'Date" -:. -:-:--:" Expiration Date BUILDING PERMIT - REBUILD STAIRCASE 96917 53.05 '-'-3'11"4"/07--'-' 9/10/07 COMMERCIAL -plan Check Fee - -+. 34.48 .. . -:VarG:aYicin-~~:--.-- ~:~..-:-.. "-'-'~"53 5"'~ _._-....-~_......-......,'.-.....---- '" Qty Unit Charge Per -Extension-..----. '_~*_*'___...._~......-_._~ _~,~.~ __~__ ",. _._~_BASE. FEE _ _______~...._ _ "'~ __~~~_'-...... j",,, o,~__531.~_Q-..;".....____._ ~ ..~... .; 1.00 3.0500 HND BL-501-2K (3.05 PER C) 3.05 - --- --..--.,.,..---- ,.,'/., Oth~r Fees STATE SUR~~.~~^_~.____. ~ ~__._~~~~. _~ .;.____. :::-nyl ---------------------------------------------------------------------------- . " Fee summary Charged Paid :~- .^~Credited--.. - --..-Due . "'," " ......,.,. , -1-, Permit Fee Total plan Check Total Other Fee Total' G"Y:i'"ncf' Total 53.05 34.48 _.1.50 92.03 53.05 ,00 34,48 .00. 4.50 .00 . ---92~r~-'-'~-~"~60"" .00 .00 .00 ........-'..'.-:00"'.. -"~--"-'~~--- .... .~.--.," ~,'- ........". "'~'-'~--". r~'''' ,._".,.."._-~.,.--~--- ,--,,- .-. -.- -.-- __c_....._...... :~,c:~'_~~ '__~_ ~~'- --~ OS\y,_~ " ", -..... ~ -"-"'-~-'" . ~.-. 0' *~ -..-. . 6". -~"=-" ----, " ."i 0' 00 ...'....,-"- Separate Permits are required for electrical work;SEPA, Shoreline, ESA, utilities, private and public im'provements. This permit becomes nUlland void ifw6rk orcon-stiuction"uthoriiedisnot c6rrimencect wllhir\1'SO (Jays: Ifconstiuclion orwa.ki. sus'pended or abaiido,fe'd fqrap.e,r!~g:ot1S0 days ~~\'r Ihe\'Vork as ~o!1fmenced, or if re,quired inspections have not beenrequested witr,ir;J,~,?~~~Ys from the last irys;>ection.-I hereby certify Ihat i have read and examined this application and know the same to be true and correct. ' All provisions of liiws'ahd ordinance~ governing this type of.workwilLbe complied with whether specified,he~ein.o~not.._The.g@JlljD9.of a Rermit does not presume to give autho~ity to violate or canceUhe provisions of any state or local law regulating construction or the performance of , ., - .~ , :::#6j~/:: ~e~ - ~3'-!q_~~7 ,--- - -- '-- - -~ ~i9<Jat~re Qf Contrac;t9L9cAuthorized Agent Qate SJg~~tur,,- '!.f Qwn!'r (if oW,ner is _~uilder) Date .'~--'- T:\Policics\1 !()2_IS -building permil inspection record05.wpd !I74120~5] . \ BUILDING PERMIT INSPECTION RECORD \ \n CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRlCAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANI' WORl': BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE ~l "'-.. INSPECTION TYPE OATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TJON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TOBLDG) GAS LTNE . FINAL DATE ACCEPTED BY; BACK FLOW I WATER AIR SEAL WALLS I I CEILING I I FRAMING 1-1 - I 't -DB' JOISTS / GIRDERS SHEAR W ALllHOLD DOWNS W ALL5 I ROOF / CEILIN"G DR'{WAl..L (INTERIOR BRACED PANEL aNL Y) T-BAR INSULATION SLAB . I I WALL I FLOOR I CEILING I I MECHAN1CAL ROUGH-IN . HEAT PU1{P I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED-BY: WOOD STOVE I PELLET I CmMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKlRTfNG . PLANNING DEPT. SEPARATE PERMIT#'s SErA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANC-YIUSE RESlDENrIAL DATE ..YES. NO COMMERCIAL DATE ACCEPTED YES NO ELECTIUCAL - LlGHT DEPT. 417-4735. ELECTRICAL LIGHT DEFT CONSTRUCTION R. W./ PW/ . CONSTRUCTION - R.W. ENGINEERING 4J7-4807 PW / ENGINEERING . FIRE . 411-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT_ BUILDING 417-4815 BUILDING 5+1\& ~u T:\Po1icies\1 ]02 15 bu1ldmg penTll! mspectJon Tecord05.wpd []/4/2005] " .:;1 Q--., ~ ~ ci \ ~ ~ Nro 0 ~ ~ 0 ~ ~ 00 ~;< ~~ ~O '0 . ~ ~ 0 , " 0 " W '0 ~ U .. " ~ ~.o ~ 0 0 .Q .Q 0 ;< ~ ~~ . W '" " " ~ " 0 0'0 " " " .0 .0. m " 0 '" "'. " ~ ~ > " 0 " H 00 '" W ;< 0 Zz ~ ~;:: ~ 0 WW ~ 00 ~ W ~W XX ." ;:I ;< ~~ W ~~ ~ W , ~ 0 N 0 ;< Z ;<~ " ~ 0 ~ " " ~ Z H M ." 0 0" 0 HO W 0\,...,0'1-1-1 ~ ~ ;<;< ;< ro " H W UU " ro~ro ~ ;< WW W 0.-10'1-1 roM Z ~~ ~Z~ ~O . 0 0 ro . W WW ZNNN ro~ ~ 3~ HOO H l() <lI....:l O........:l ~ UHU ~ '<3' _'0 <<l: 0 I <l; 0 r~ <Xl .-1..-1 Z N N Z U ~W ..... NUl..... 1.0..... H;< " " .~ " " "" H H " ~ .W 8U~ t)'rl W.rl <lI 0 W~ 00 WW Cl l><::':: H"Cl Q >,::.:; Q 00 WW ...:l P,H AI:...:J <U H...:I 0' . 0" 0l<(~<(::l1Xl::;:::;:1Xl "OW ~ W ." "M H ~: ~~' i~~ ~, " W OHO N " .U ;<0 wo zw ro ww ;< .~ ~HW OO~ M ~ ;<o~ . 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Th-e.... r'€CL50n +ov rJ,'$ ,''5 r/JA1- fY1y ~or1'5' h.u,jrJ, h(A 5 beeVl &cfl Ccl1cJ X ha lie beeV1 +-v-Lr11 care:- 0(:' l'y./f. --rJU:lf7!c ,/0'-"- -HJ-r you r Cent; :/erco, t-f~Vl I f?eJC'Jt~ I d/ LiVl~' I be{eJj~ +hat- J Con cOl"fple+e- {V1;ke- VC<f1ALiSJ!e-- +h:<; plojec.1 ,/'1 <A S /'V10r1.;A 171"1e--Y(J"'1~ d-I~o,[o~ O\~ J~~ (~~L) ~ ~roVj~ ei-VX' '7/\ r oct, o :5rv I RECE~VED -, : ,.FEB,2 92008 CITY OF PORT ANGELES BUILDING DIVISION II: ZO(\./Yj d-f I \ l \ \ I \ ... I \ \ , \, 'I "\ I; \ i I \,\ t I\.\ 1,'>.\ \ \ .~ '. i'~ll \ \ ~ \, '" I '\\\ I , . I \ \', "":::: : , , ~ ; \ \, ,--,:~ i , .. --... I \ .. ""' \ \ ~ II \ \, I i \~::) Ii \ \, i '\ \, Ii\, \, \ '. . i I \\' : i \Sl\~ II ______ . .._ _~~\ ___. . ----U---.------ ~,\ I i- \ \ i I \ \ ' I \ \ ' i \ \ ' \\ : \ \ , \ ' \ \ ' , \ .\ i , \ , i . \ , ; I \ ; \ : I I I . I i I I ! i , , I ; , : \. " \ \ \\ \\ \ " \ \ \'" \ \ I, I I I ! i I I I I ' i I i ! , , ! 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L \. \, .. \ \ \. \ \ \ \ i \, I \ I ' I \\ I \ I \\L \ , r i , I i I I I I J - ~' ,-t;;~ ....~.-;,.. ~-\51 ~ \ ' \\, \\----" , ~- ~A \ \' , CJ \ \ \\ .~ ~ - - X \ \'\ =s \\\, ~ '\ "'N ~ _ '* ~ ~ '\ - \, ~~(.i ~ ~ _ \ " , , i I I I i , I I i , I 'I i ! i I 1 i I II I I i ; I -~ \;0 ~ 0'" ......~1I\'i':. &~li~~(s ~~ t.;_".~M~ 't" ~~.'__ ~ BUILDING PERMIT - APPLICATION ~ Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Appli'caut or Agent: fill; ke...- \1.>'1 !1u~d I'L--- . 5" vlll e---- Address: I ()tl (.J, / ~ f <; +. Architect/Eugineer: Sf 14- seif Address 1M i). I',J- Sf: PROJECT ADDRESS: 10 q 0. Phou::"l!5"). - J~ q.~ /0110 * Owner: Phone: S a.V"'1-e...- Zip: qq34>2 4,,>:;, -/&Cf3 CityJ).,ff RYlee. Ie!. Contractor State License #: City Pdt #r7~e/e..s I~ 9. Phdpe: Exp: Phone: Zip: 9 g .s{~ '2 ZONlNG: P-c..B[) ('lT1 Bus D.if. LEGAL DESCRIPTION: Lot: CLALLAMCOUNTYPARCELNUMBER: O(o7,OO() t?O/L:j(P7, 0(')00 Block: Subdivision: T\'1'E OF WORK: o Residential. 0 New Constr. 0 Re-roof 0 StDve o ].v1ulti-family 0 .~ddition 0 Move 0 Garage rfI' Commercial c:V'Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~ SIZEN ALUA nON: SF. @$ /SF. ~ $ SF. @ $ /SE = $ SF. @ $ /SF. = $ T9T1;tlALUATION $ <S35.oD . Ri?hu: c,.f(1':(,CCiS~ /1'1 MM-r 0+ <;fo(e COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: No. Df Stories: Lot Size: . Totallot,cbveiage . Existing Sq. Ft. ~ TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 ND Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amonnt mnst be entered by the applicant. This figure will be reviewed and may be revised by the Building Division tD comply with current fee schedules. CDntact the Permit Coordinator'at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit applicatiDn and construction plans are submitted. All other permit fees are due at the time of permit issuance. . . EXl'IRA.TION OF PLAN REVIEW: Ifno permit is issued witl1ln 180 days of the date Dfapplication, the application. will expire. The Building Official can exteud the time for action by the applicant up to 180 days upon Written request by the applicant (see Section Rl 05.3.2 of the ]utemationaI'BuildingIResidential Code, 2003). No applicatiDn can be extended more than once_ I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wO~d /J . /'! If.,- T\FORMSlBldgPenmtfOnn'WPdAPPhcant:&L{,6rr~ Date: 3-q - 07 - .' .. " ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee '1- s - Or Phone: business4t;;;)-/(p93 home It!1-lq74 Brief description of proposed business: e~~ ( c,all:s legal Description: lot J B Current Use of Property: Zoning Classification of Property: Block I 5" eEl) WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . Electrical changes. . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . Plumbing changes ................... New or relocated signs. . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . . New sewer service .................. Admission charged to patrons. Is this a home occupation? ............... Excavation of filling of lots . Work done in City right-of-way. Is there sufficient off-street parking? . . . . New driveway openings. . A grading plan for site drainage. (parking lots, downspouts, etc.) Are the existing streets paved? .. Are there existing sidewalks? . Is there curb and gutter? Other. . YES N8.-'" I hereby apply for a Certificate of Occupancy and acknowl- edge that J have read this application and state that the information I have supplied is correct to the best of my knowledge. 2!!1tD REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. kDU! If+lJl - /JU New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . . . . . . New Building ... . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....... . . . . . . . . . . . Change of Use. . . . . . . . . . . . . Subdivision IPA i." THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 1 0) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other ~_al Date: ) Signed: ~ ~ Comments / Conditions BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop to) Other ~ ) ) )() ) ) ) ) ;~; ",,:.. Y. ..?;"~,....:...' ,;~... -.....; ~ - ~ ,"!.,. ..., J .~ .. .. , ..-"""'~~ , , . . .. -'" ,"0"' ~'" ':"..J~ ROUTING SLIP tO~;...~?<:-" ~-"' ~ Certiiicate of Occupancy .- ~~ ~ $47.00 C,ertificate/lnspection Fee - , "'r.;,'C'~ t/- SA 01 "- DATE New Business . ........................... ( ) Address i:JProposed Business;1 Transfer of Business location. . . . . . .......... ( ) . J(J Cf .,"" {1,(/. V1Cj P (p~ Change of Ownership . . . . . . . . . . . .... ....... ( )( ) Applicant I.LI' k \. (ft '-'//<1' j1-L-- New Building . . . . . .. .. ......... . .......... ( ) Addr~ss g-;;. Ti.J:Y\. Pf S E<"{M_~ 01. Remodel. . . .. .. .. . .. .. ... ..... . .......... ( ) business LV;;) ~ /(p 9 3 home /.{r7-/Q74 Temporary Business ....... ............... ( ) Phone: Change of Use. . . . . . . . ........... . . . . . . . . . ( ) . , .--' Ke f-'\; ( set! 1:<; Brief description of proposed business: : legal Description: lot IB Block 15" Subdivision lP/t Current Use of Property: cC}) Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES Nt( THE FOllOWING Will BE REQUIRED: Construction changes. ... .... ............. PERMITS BUSINESS LICENSE -~ Electric'af'changes . ...... ..... .......... -- I) Building 1) Taxi Mechanical (heating, coofing, stoves) . ....... -- 2) Plumbing . ( ... 22...Peddlers Plumbing changes ......... - ---r- 3) Electrical ~''';') ....: ~ o . "..)3) -(2nd Hand Dealer New or relocated signs ... . 4) Mechanical 4) Pawn Broker New septic tanks. . . . -~ 5) Sewer 5) Dance -~ New sewer service ........... ... .............." --, 6) Sidewalk installation 6) Hotel. Motel Admission charged to patrons. .. 7) Driveway installation 7) Fireworks JSithi( a home occupation? .... = I 8) Curb installation 8) Ambulance Excavation of filling of lots . .... J 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . ....... ... --, 10) Water meter installation (0) Other Is there sufficient off-street parking? ......... - ""I 11) Fire New driveway openings. - ""I (2) Occupancy A grading plan for site drainage. - ""I (3) Sign (parking lots, downspouts, etc.) .... -~ (4) Shoreline Are the existing streets paved? .......... -~ (5) Home occupation " Are there existing sidewalks? . ....... --r (6) Conditional use Is there curb and' gutter? ......... .............. -~ (7) Other ; Other. ................... --r - ---.- _<0 <0, I hereby apply for a Certificate of Occupancy and acknowl- '-/ - ') -0 I edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signed: 4L-( U""'- &ivl'/;( knowledge. APPROVED REJECTED Comments / Conditions 1 ~ " fl .vJ,d <'- Y1'V'\ . Building Section Ob ~~), );)"", All h : / Public Works Department ' ~ ' ~ cA[) ?Gh/u",f 'r Q A ----J~'-A ..( -47 Planning Department l;j~ttp~~.A-L~S TO ^--l1U l a riD} Fire Department 1.~ 'Of. /Ju City Clerk .. . "P.B.IA ,... ',. "~:,;.:' ..--' .~. = -+t~ ~ HALLMARK MARKETING CORPORATION KANSAS CITY. MISSOURI MlOX "1685 MacArthur Court Suite 200 Newport Beach. CA 92560 714 476-2406 October 30, 1984 Mr. Walter Campbell Electrical Inspector City of Port Angeles 240 West Front Street P.O. Box 1150 Port Angeles, WA 98362 RE: Phillip's Hallmark Shop: Port Angeles ) tJ.9 l0 \ Dear Mr. Campbell: Regarding your letter dated October 11, 1984 concerning our light fixtures being UL approved. All of our light units are uniform nationally and have not been altered for several years. Two UL labels can be found on each unit; one indicating the manufacturer and the other indicating the producer's UL number. The location of these lables are on the housing of each unit, adjacent to the lamps. Concerning the compliance of our light units with Article 410 of the National Electrical Code, enclosed is a response from our fixture Quality Control Manager, George Jenkins. Should you require any additional information, please feel free to contact me. ~~ Michael R. Funakoshi Senior Store Planner if<,<'\I'\:V I,..'>~~. \ . "" .P \', ("'\ " , , ; .P" .~.,..~ Y." ,~, {-" ""..... " ~ cc: Mike Phillips, Owner Lee Madison Bob Meyer eeJ \ (;',"0--"-v'" ",""~ ,"'~;\<\ > 0'\ . ,,' ,... 'i;" \ . 0\- '.'" \ \'........ .,.{ ..\ '\ . r~ \ \ \\~." ~.....~ v \ <}\' '-~ --------- MRF:ceb rTTOOO (jOA.fJ5 TAi\iA CetL.I(\/!;.. "'7/flL.I4LCI(oo.S' f!aell/)c(e. ff!,O-r!"~I'M /FL 'r /.' 0'1\ NU iJ!tJ.,j! , - ~ ~ .... -.. ~ . - DATE: OCOTOBER 19,1984 . ":"""."-'".~~~~"":':ry;t_-_ -:_""''- ~ TO: "MR. .Ml.CHAEI;;dF,UNJ.fKOS'HI~ . ._,..k____~,... ........~, FROM: GEORGE JENKINS SUBJECT: COMPLAINT ON LIGHTS FROM PORT ANGELES, WASHINGTON - On 10/17/84 you called me and informed me that an electrical inspector had questioned whether or not our lights violated Article 410 of the National Electrical code under N, special provisions for flush and recessed fixtures. This part of Article 410 states that fixtures installed in recessed cavities in walls or ceiling shall comply with sections 410-65 through 410-72. Our lights are not installed in recessed cavities in wall~,~r ceilings, therefore we do not feel they violate Article 410, however as stated in the National Electrical code, this is left to 'the interpretation of the authority having Jurisdiction of enforcement of the code. Our lights are V.L. liBted as follows: 1. H001C - Valance light H015C - tube light U.L. rated as florescent lighting fixtures Code - IETR Standard - V.L. 1570 2 . HSL48 - Starter light HSW48 - Low valance light HSC48 - Valance light RECEIVED [",,\/1 "jCi84 \-1U'l.l. v U.L. rated as electrical signs CITY OF F'ORT ANGELES LIGHT DEPT. Code - VXYT Standard - V.L. 48 ., As I stated before the interpretation of the National Electrical code is up to the local inspector, so it is up to each account to comply with this or work with the inspector to be in compliance. GEORGE JENKINS cc: Jim Sorenson ~~ GJ/nr CITY or PORT ANGELES LIGHT DEPARTMENT N~ 18075 ELECTRICAL PERMIT hi (: i~ ...., 19 Port Angeles, Was ngton......._.........._._.,..........................._._...., ........ In accordance with the City Ordinance to regulate the lnsta1latlon, extension, or repair of elec- trical equipment ln, 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. I'Co 0 l,_n j ,.'-"--- , -- _.. A d dress ._'._h _._.:__..L_.nn.n::..~.!..n__.___ .__:::n~'..nn.nn. .nn......_ ...h....n. Oee u pane)' _ .._~...__ _~_.Y-_!__.~__n..__ __.h.hn.".. Owner .LJ..l~1,.....S;?:.l.:.f.L~fS........................ Tenant.i-.b.dJf.~p_';;-..,h?!.!i/.J.)..W:..k................ Wiring Contractor ..d)j_~.f;~.l.~.:':l..'X.l.e."-:Lc.:.\-........... By--.....7~~-..~-..:;,~:~"'"...-.................. " Light Outlets_n.u__n.........._......_.__...__.... Receptacle Outlets.._m........__............... ServIce, volts ".____m 1\0. wires ....______................__.___.__.... Type of Wiring: Armored Cable ...n:.....~...._h.......... Non.Metalllc ..___m..._.__m..___.__..____ Knob & Tube....______....m.........._...._ Rigid Conduit .._____.___nh______n___..__ Metallic Tubing .__.h._......___.....___. Dryer. KW......u Size wlres............_....._._.._.u__......_.. Range, K\'r.... Main tuse _...mnn_.m...........n.......... v.'ater Heater: Enclosure m_.m__......... KW.__n_n_h.nnnn..___ Type of wirIng: Entrance Cable .____. Raceway ....h_...hh____...__.....___._ Circuits, Llght.....___m.mm__...........___.. Utlllty.._....._...___........_........_._.______.. Heat: K \\' ......._........................____............_.. Motors: size, volta and phase: RigId Conduit .n___......... Metallic Tubing ........ '- . Current transformers: J~eat _.........._.........._.__.___._....__ No. & Size_.____._...._........._____ Range .............._.............__...__.____... V,1ater Heater ....____...._................. Ser. No.................__.___..........__.......__.. Motor ..._....._...._...____._............__.... Ser. Nu._........_................_.._......_._...... Dryer ...................n__.____u.n............__ Furnace .................._...._........__u_...__. Ser. No. ...n...._______..............._u ._........ Total wad.......______..__._........ Ser. No..................__..__.._.._.........__.. Total _....._..._...................___.___ Remarks: ....~......i.....~_h_~......~..~.~~..../!..'!/~.~.........._. ~: , .-n._n.n~._..nun__._.nn.__uu_.._.nn...un....n.'un.u~u..._..nnnuu~....n.....nu..u__n....__........h_.U.....Uh..___...__u_n_..__....._. .......-n-._.uu...n_.....n..u___.uuu......uun.n..nu...........uu.........-n....uu...._._......u......._...u._u.u.U.UU.h.uu__,UU.._UUUUU.._. Permit Fee $___!:i.Q.-,....~......... Treas. Receipt No...................._.._... By ......................._......__.............................._.._. NOTICE-Current must not be turned on until Certiffcate ot Inspection bas been issued. It work is to be con. cealed due DoUce must be given the Inspector so that work may be inspected betore concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 80 7 5 ELECTRICAL PERMIT Ad dress .......l_l/::1.....~:~....~~~.=...m_.J...;:.'~.~=.~....m._........._......_..............,.._..._........_....... Date..._.k____4:_._I.:.~n_......_.._.._n_..._ -'- . ~ . ~ ,<: II ::::: ~~~:.:~.:;:~:l?)::;~~J.~;:~;:~::~t~!.:,:::.-:.,:~~::~::::.::___::-::-_.::.:.:::-::::n~~~.~~L~;:I~;t~:...~::f~:::.~~::::: , , NOTICE--Current must Dl)t be turned on until Certtrlcate ot Inspection bas been issued. It work is to be con. cealed due noUce must be given the Inspector 80 that work may be inspected before concealment. 1M QlympJc Printers. Inc. ... CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18075 . C It:.-/ ((''I Port Angeles, Washlngtoll.__m_____m.___....._...__._m_____.m___.m__m__m, 19m__.__ , ( 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 _____._i.Q_']_____w.sT.nn._L,~T__nn_______mnn_n____m_ occupancy___S_:{::-QI_~______n____n___n_____ Owner _D_"NL_...Eh,LLpSn______________.__n___ Tenant.}?hj.!k.~B~.__-#_?_I!(}:j-f)c..k.-n----.----.-- Wiring Contractor n8.1l.~I-e.Le.S,n~.t.?.-~.-rf'.-tkm---.m By....---7~-e.n~~--n.----------------- Light OutletB.....___m...__..____m__nm____n... Service, volts h..mm___.......................... Type of Wiring: Receptacle Outlets............................... No. wires .....................m___.._...__._.. Armored Cable .............................. Dryer, KW.....h...._...n_..____....'.._..n' Size wires....................._.h.__n.nu___ Range, KW h....hn______________. Main fuse .........nhn.___nm.nnu........ Water Heater: Enclosure .'.__mm_..__............___.. KW._____________________________________ Type of wiring: Entrance Cable __.nnn___n______.____.._. Heat: KW..._.........................................m... Motors: size, volts and phase: Rigid Conduit ............m.....m........ Metallic Tubing ....mm..... Current transformers: No. & Size........m...m...................... Ser. No.............................................. Set. No. ............................................. Set. No............................................... Total Loadm.mm................... Set. No. .....................................__....n Remarks: _.___n_____________n_______m________n_nn_n_______nmm______n.___..__nm_m________.n...__m_________.______.___.....________m__m______ Total....................................... Non.Metallic m.....m........m.......m. Knob & Tubem....................m......~ RIgid Conduit .h________________h________n MetalUc TUbing ........................... Raceway ..............................._......_ Circuits, Light.............m.mm.m..m....... DliIlly _________________________________n__________ Heat ............................................... Range ............................................. Water Heater .....................;......... Motor ............................................. Dryer ..................n.............................. Furnace .........................'_................... .._..__...___.___~_._._u_.___._.____uuu_u.__._n___.____u_._..___.....__...__.___~___uu___.__._.n._____.._.u_......__uu_u_.__....___..uu______.__..__n.....__n_ PeI'Il1lt Fee . t-!O G9- $_______________'________m_________. Treas. Receipt NO..__.__________.m_____..... By __________.....__.m______.__m__m____m___.m_______m_____n_ 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~ 1 80 7 5 Address..___...!nO'3._____{,,:t?5.z::___n.J:ST:.:__.__.__.______n___________.____h__________.______h__h__nn Dale__j;/.~n!.g_(L____.n______n.______n Owner h__S_:-::J..!.~~L___21.1.:~.!.i.t.DS_______.___n____n_______.__nn_______h__________._h__ Tenan5il_:lL",:~___H;)/!fr1!2Lk_ Wiring Contractor..fi..l~.0.-..5~.L;~t..6.....~.!.E':;;:.f!..r.........._............................................ By....:-g;....~..:.~d......... V v NOTICE-Current must not be turned on until Cert1!lcate 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. ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number 14- 00001431 Late 11/25/14 Application pin number 216041 Property Address . , . , , , 109 W 1ST ST ASSESSOR PARCEL NUMBER; 0b-30--00-0-0- 1563 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . , . . Property Use . , . , , , , . Property zoning , . . , . . , CENTRAI, BUSINESS DISTRICT Application valuation . . . . 0 Application desc New Circuits Owner Contractor RESULTS:' ---- -------------- - - - - -- VAN AUSDLE INVESTMENT'S LLC ------------------ EXTRA MILE TECH & - - -- -- ELECT., LLC 109 W FIRST ST 418 N, RACE ST, SERVICE PORT ANGELES WA 96362 PORT ANGELES WA 98362 ROUGH -IN (360) 457 -5222 ---------------------------------------------------------------------------- Permit , , , . , . ELECTRICAL ALTER COMMERCIAL Additional. desc 1 -4 CIRCUITS COMMENTS: Permit Fee 66,00 Plan Check Fee ,00 Issue Date 11/25/14 Valuation 0 Expiration. Pate 5/24/15 Qty Unit Charge Per Extension RASH FER 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- Permit Fee Total ---- - - - - -- ---- 85.00 - - - - -- ---------- ---------- 86,00 .00 .00 Plan Check Total 00 .00 00 .00 Grand Total 86.00 86,00 OD .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS:' INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPFRE SIX (b) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: QTXCHANGEIBUILDING QA f � ' �?: R +I�rry OF Poor ANGELES PERMIT APPLICATI€'ll`�f � �� � Building Division/Electrical Inspections. 321 East Fifth Street-P.O. Box 1150 i Port Angeles Washington, 98362 NOV 2 5 Ph: (360) 417-4735 Fax: (3691) 417 -47111 ELECTRICAL Bate:, VMulti•Family or Commercial* NSFIRTIONS 'Plan Review May Be Requed, P #ease Corglete Electrical Plan Review Information Sheet .Job Address: c ,.. /.s -'% _ .. Wlding Squara Footage -�� Description of above r „�� -�i� W .�� w�• Z v Owner-Infor ration Contra or Information Name: c� 1 _( _�c Name: !i .�9-���19 Mailing Rd s: "eta °/. ry r s mail in Address: tYQl �L�..... 5 City: _ Slate::+✓6�- fp zi $' C - _. city: 4 ' c ts' F hone:. / ? Fax: f�hane: aax: _. License fllExP .-._ _ License #l�cp.- Item Unit C ar P T I Muni lied i G ar c Servic:OFeader 200 Amp, $132.00 $ - Serv9celF'eeder201-400Amp. $160,00 Service/Feeder 401 -600 Amp $ 225.00 $_.._...�_..�_.__• SeruicelFeWar 601 -1000 Amp. $ 288.00 $ _ SenrlcalFeeder over 1000 Amp, $ 410.00 $ _ Branch Circuit WI Service Feeder $ 5.00 $ -- - Branch Circuit W10 Sarvlce f=eeder $ 74,00 $_ Earh Additional Branch Circuit $ 5100 Branch Circuits 14 $ 66.00 Temp, Service! Feeder 200 Amp, $ IM00 $ _ Temp. Service /Feeder201 -400 Amp. $121.00 - -- $ Temp. Serviceireeder 401.600 Amp. $164.00 Temp. 8arvlcelFeederB01-1000 Amp . $186.00 Portal to Portai Hourly $ 96.00 &gnlpulline Lighting $ 88.00 $ -_ Signal Circuit! Urnited Energy - Multi- Family $ 64,00 $- Signal Circulil Limited Energy I First -1500 sf - Cornmerdai $ 96,00 g� Mote: $5.00 for each additional 1500 s€ Renewable Electrical Energy - 5JfVA System or less $113,00 Thermoslal Note: $5,00 for each additional T-Stat 1 C� Total Owner as defined by RCW.10.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) fawner is required to hire an electrical contractor if alcove said property Is for sale, rent or lease. Permit expires after six ntonths of last inspection. After reacting the alcove statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am making the electricat Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG, Chapter 296A613, The City of Fart Angeles Municipal Code, and Utility Specifications and PAMC 14,06,050 regarding Electrical Permit Applications, Signature of owner, eleclAcarl contractor or electrical administrator: 0 Call © Check f% C7 Credit CardJs_.