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Home My WebLink About129 W 1st St - BuildingCERTIFICATE OCCUPANCY •-c City of 'Port Angeles. 'Bijilding'Divosion H. This certificate is issued/pursuant to the requirements of Section 110. ofthe 200International Building Code 4U`g,.7'177R IV certifying that at the tzme‘oftssuaneethmstiTicture was in compliance with the various ordinances of the City kol regulating building consti240FOlvusefor Business name r 12411bVs l(O:Wri' e'.' r ort2611 •Npw Toc Business address 129 1s St. .t 0,45tV'', Property owner i Trudy Haversat Sresdhini. -1---„„.. Property owner s address :41 PO Box 10801k ..„eli.i3)el':gQp9'390z Automatic fire sprznkler,system. Per BO* Use occupancy classi :Cation Mercantile e' „1,, ,kt.,.. sti, ,zoiri- 1.1&_, ,a`4.- Building permit numI 09 9 kr: 57 i "i Type of construction. VAIENC' VW Occupant load Pet-Nit:A.: Post on the premises in a conspicuous place. Thiet not be removed except by the Building Official. IY aiwyc 10 2:7 0 PREPARED 9/18/09 8 25 33 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/18/09 ADDRESS 129 W 1ST ST SUBDIV CONTRACTOR PHONE OWNER TRUDY HAVERSAT GARY BRESCHIN PHONE PARCEL 06 30 00 0 0 1545 0000 APPL NUMBER 09 00000957 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 9/18/09 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 09/18/09 TIME 08 16 24 September 18 2009 8 15 21 AM 1pangrle DON 477 4913 C OF 0 FINAL ZELLER S ANTIQUES AFTERNOON COMMENTS AND NOTES Print in ink ACTION v New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use I hereby apply for a Certificate of Occupancy supplied is correct to the best of my knowledge For City use only: Department Building Fire PBIA Planning City Clerk [Public Works Date /7/ �I T -orms,r g 'livision /Cerlifi ale of Occup cy P CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. PortAngeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUSINESS NAME ZE LLB 5 /-I-1v j (QuE S BUSINESS ADDRESS y of w 6 /RST T (4-re&F- (e,, d no+ b enn;yt Business mailing address Phone Opening date /0// /o q Days hours of operation CI —6 '1 .I c,, s Washington State Tax I D 6 3 71 3 1 If known list the name of the previous business at this location Cent'k rrBGLT°i Se1I 'na r Phone# 4 or q17- 114'(3 I. Business owner's home address 6 ri Nun A44,o% PLEASE NOTE. Ft -Y1SOtn A Business License is also required for the following businesses. Taxi Peddlers, Second -hand dealer Pawnbroker Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. Brief description of proposed business il-tvr l ¢u FS 1 Business owner's name Vow 2e_lk.r r Approved Rejected Initials dat f Initials date Vidal It itcgCfl 11 /4)1h 9-0 -09 kill 1q 7- 09_3_ii WILL THERE BE ANY OF THE FOLLOWING? I NO/ I YES/ 1 IF YES Electrical changes New orrelocated signs biscosS be Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off- street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Call for Certificate of Occupancv inspections before opening business Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections Print Name 4703,, Z e (.er al;on Signature Comments Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes Permit 1 9 5 7 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Zoning C 'D Dance Hotel- CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up for utility services at the cashier counter I acknowledge that I have read this application and state that the information I have 1 e ion Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Freight Elevator Owner TRUDY HAVERSAT GARY BRESCHIN 2328 DEER PARK RD SALINAS Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 Fee summary ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 Permit Fee Total Plan Check Total Grand Total CA 939127881 ELECTRICAL ALTER COMMERCIAL 125195 58 00 4/24/08 10/21/08 08 00000484 873912 129 W 1ST ST 06 30 00 0 0 1545 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 58 0000 ECH EL COMM ALT <5 CIRCUITS Charged Paid Credited 58 00 58 00 00 00 00 00 58 00 58 00 00 Date 4/24/08 WA 98363 Plan Check Fee 00 Valuation 0 Due Extension 58 00 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH Ili FINAL COMMENTS: -7/21 /Q9 04/23/2008 19 37 Job wired by l Electrical Contractor ia Owner Ele ri cal lc contractor tam License number Date Expires Pt,te per go, l d 2,r�d cl t��"�'1 Pi 9'7 3 /Z _9 y.3 03 i o/ /4.) City �m,�f les SuttiDZA_IP ef3b3 Telephone number PAX number -9 .2 -7 0 549-> Premises owner's natl1 /T e Address of inspection City Li 9 cut 00- An.r4 ices 4579270 Phone rube to s hed Inspection: Owner as defined by RCW19.28.26117) Owner will occupy the structure for two year after this electrical permit Is finalized. (2) Owner R,s regnlred fo hire an electrical eontroctor if above said property Is J,r salt renl or lease. After reading the above slatcmcnt, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the eleetricti instal- lation or alteration in compliance with the electrical Taws, N.E.C. RCW Chapter 19.28, WAG. Chapter 296 -46B, The Ci of Port Angeles Municipal Code, an Utility Specifications, 7-/ and "Slgnntnr of •veneer, electrical •o. rector or electrical Electrical •AdditionsandgL NO LOAD CHANGES O Baseboard KW Fumace KW O Heat Pump Ton LAIR 0 Fan -Wall KW l0. Inspection Date Dote FINAL Date: Lactlaks. ADrtr•vcd By Date Approved By administrator Area, Building or Equipment Inspected SIMPSON ELECTRIC ELECTRICAL WORK PERMIT APPLI CATION /Installation description Commercial D Residential 0 New d(9 ,o Ou- IL .v p gliig1ci p as,✓ f Q Overhead Service O Temp Service O Underground Service SAME DAY INSPECTION. CALL BEFORE 7 :00 AM 360 417 4735 ROUGH -1N T1EERMOSTAT Date Approved By J DITCH Date Approved Hy 3:0Altered/Addldon PAGE 01 4( t /n 4 i Oa 4>C n) i5 L r Cash O Check Credit Card Card Expiration Date 0 g. J <feara Mastercard Voltage Phase)t 1 S Servi Slze_ Feeder Size: SERVICE Date ADpreved By Date Aperfoved Dy Action Taken /Inspection fcc O Sarylkeintoctuttm Discover Electrical Inspector ~..ORT~ ...O~<'O ?~~ L~ ~ '0:.- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 07-00001051 Date 9/11/07 561358 129 W 1ST ST 06-30-00-0-0-1545-0000- TRUDY HAVERSAT & GARY B. RE-ROQF CENTRAL BUSINESS DISTRICT 34000 Owner Contractor TRUDY HAVERSAT&GARY BRESCHINI PO BOX 10881 SALINAS CA 939127881 (831) 241-1861 STRAIT WAVE SERVICES 2020 W. 5TH STREET PORT ANGELES WA 98362 (3601 452-5962 Permit BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF & RE-ROOF Permit pin number 110817 Permit Fee 508.65 Plan Check Fee Issue Date 9/11/07 Valuation Expiration Date 3/09/08 Qty Unit Charge Per BASE FEE 9.00 10.1000 THOU BL-25,001-50K (10.10 PER K) .00 34000 Extension 417.75 90.90 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 508. 65 508 .65 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4 .50 4 .50 .00 .00 Grand Total 513 . 15 513 .15 .00 .00 ~ /' '0 2"[ ~~ "- ~ 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pecmit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con:2tn Signature Signature of Owner (if owner is builder) Date T:\Policics\1102 15 b\l11dmg penml inspectIon rccordO~ \\pd f1/4/200S] BU~DING PERMIT INSPECTlON RECORD o --J 1 WOIU( fJEFORE.- o \ll CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A !vlI)\,llivlUM 24 HOUR NOT1CE. jT is UNLA H'FUL TO COVER, iNSULATE OR CONCEAL AN}' INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE lNSl'ECTJ08 T\'I'E I>ATE I ACCEI'TE/J COMMENT~ I YES NO FOUNDATION, FOOTINGS I SHEAR WALLS I WALLS FOUNDA TiOt.: DftAU\I'/lGE / rX1WN SI'OllTS I PIERS I I POST HOLES (POLE SLDGS.) I I'LUI\'111ING UNDER FLOOR I SLAB RQUGH-fN .-. WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACKFLOV,'/WATER AIR SEAL WALLS I CEILING I I FRAMING {GISTS / GIRDERS SHEAR W ALl1HOLD DOWNS WALLS I ROOF I CEILING DR'{\V.A..LL (fNTERJOR BAACED PAJ'\TEL ONLY) T~BAR INSULATION . SLAB WALL! FLOOR I CEILING I I J\lECHAN1CAL ROUGH-IN HEATPUNIT/FURNACE/DUCTS GASLTNE FiNAL DATE ACCEPTED 13Y: WOOD STOVE / PELLET / CH1JvlNEY MANUFACTURED HOMES FOOTrNG j SLAB BLOCKJNG & HOLD DOWNS SKlRTING J'LANNING DEl'T. SEPARATE PERMIT#'s SErA: T'ARKING/LlGHTING ESA: LANnSCAPING SHORELINE: FINAL INSI'ECT]~NS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTIUCAL - UGHT DErT. .:117-4735 ELECTRICAL LlGHT DEPT CONSTRUCTION R.W./PWI CONSTRUCTION - R.W. ENGINEERrNG 417-4807 PW I ENGINEERrNG FIRE 417-4653 FIRE DEPT. PLAtfNTNG DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING \ 2-- Z-7--f\- "p, ~ z \f\ T V) + I\:) (D I T:\Polici(:s\I1U2 15 building pcmllllllopeetlOn reeonW5.wpd [J/4f2fJQ5J d o --t) ~ a' "a , , N , N " ww ~e << '" N" ow moo 0" N" o. .N ~ ~ ~ W ~ e woo ~W U~ H< eo z 0" HO ee uu ww " woo 3~ a" WH MOO > 8 ro o 00 ww zz 00 "" " 00 a ~ " U 00 ill ('1 "0 ~ wo "00 0 <l.;w:;...or<. 0U~ 10 H.o;LIlQ clI:>0-:r!l': ""0 f-<W!-<r-IW <tCl}-t'~ ....w UlO Ull:%:rLlO::'.-I W:>WOLIl E-<:><t> '0 Ul<t3:<tOrl .-;::r: :too e '0 :3:><H:><OO O1g6i8~'7 NO::E-<O::ID[,- .-4!-<CDE-<OO H N o "00 W - "' 'w o~ ;::~ N ,e N" "0 , " we "0 < ,~ we "H 'u " w w .~ UlE-<<( ,..:rz ~~~~1':J,..:r (:1zzzo::p< P"'O;;:<'l;P< .o.:E-<UOp.,.o:: " . ro" zo e 00 -u 00 e z w ~ wz~ ~oo "HU e, "'00 'He ""' ouo Zww ww '"" " - ~ " "'"' cwo ZOO ~HW Z " - ~ _0" OWW wee ww ow", 00' a~ cwo O"U m " ~ " , o o >< " w w ~ W H " m " ~ ~ H ~~ uo "0 "" w oz 00 o -0 w~ > HW ~w ~< <u oz OH ~ " "" "" 0" e< w~ w < ~ , H 0" o .. 0 " a o e . ow OWW WI" P::!-<:> Z 0 I::> <t 1-10 wz::r: !-<N\j)O::H o ~~ _I'- 'H \Dr-< 0- ...elN ...'1<<1W <t r-I<t ::r:z ZIY\DZ:S 0 HO!~HH 0 ~ iLiJ ~::r: r<i i2 <.'J QJ Z (,),...:11'''; i:i1 ClU><O,..:rWE-< ,..:r0!<t...:l<t::r:~ rIlClSIIlUE-<<:C ~~ ~ I~ ~f-- '--- a w , , >< " " o m m "' w w w " o z " ~ w e z w ~ o u :f~ :~ , , , , , , , , BUILDING PERMIT - APPLICATION Fill out COMPLETELY aud iu INK. Your applicatiou, prescriptive euergy form, plansl,specs, and a 8 ~l! x 11" site plan MUST BE COMPLETE to be acceptedIor review. (360) 417-4815 FAX (360) 417-4711 FOR OFFICIAL USE ONL V: Date Reo.:---.S -1(- 07 Penn;t# (), - 1051 DateAppcoved 0'1-[ {-07 Date Issued: (I Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Applicant or Agent Owner Tali; Owner's Address ContractorlEngineer ContractorlEngineer's Address [)../) ;)0 PROJECT ADDRESS: /ol-f W IA/l( / ~ I I/t(v 0- S" I Phone Phone 300 '63/ c;6/ ,.,1..;// /7ht, ;U/ 'f- Gc'-.n/ tJre ~c..A;'}/1(' sl (j) jsl ,- State License # SIt< 11.7 UJ$ '1 W;;tf!xpires 5^/lU .:U'bf !)fr't S -/ Phone .5'6J c; _b ''::,7''( 2- ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPKOFWORK o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition f. Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE P,RO~CT: f/. rf.'eiY/f1I!e, 6Xrc,-!jJ1Cj rOO 'S rof^re;.. v / --me 0\0.. ggq. s+o IJ . OLU e he" COMMERCIALfRESIDENTIAL: ccupancy Group: Occupant Load: Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement 1" floor Sq. FI. & 1" floor 2" floor Sq. FI. & 2" floor 3" floor Sq. Ft & 3" floor Accessory Structures Sq. FI. & Accessory Structures Existing Structure(s) TOTAL Sq. Ft & Proposed Structure(s) TOTAL TOTAL of existing & proposed structures Maximum Height of Proposed Structure(s) o Stove o Garage o Deck SIZENALUATION SF.@$ /SF.~$ SF. @ $ /SF. ~ $ SF. @ $ /SF. ~ $ TOTAL VALUATION $ ~~ tJUJ Sq. Ft. Sq. Ft Sq. Ft Sq.Ft. Sq.Ft Sq..Ft. Sq. Ft FI. Are you planning to install a lawn sprinkler system? (Divide Total Structure(s) Sq. FI. Footprint by Lot Size Sq. Ft) V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be eutered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRe/IBC 2006 105.3.2) f hereby certify that f have read and examined this application and know the same to be true and correct. f am authorized to apply for this permit and understand that it is my responsibility to determine what permit~ and that f must obtain such permits prior to work. Date ~/ 1/ / ;2,jJ 7 Applicant Ii ) Il~ .-J.~""":'" f T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd" j rl y : . .' ROUTING SLIP ,.0"'.." ~ lO~o",<;. ~-"' . Certificate of Occupancy r1.~ ~~ . ~ $47.00 Certificate/Inspection Fee ".." , ~'C;;;O\,.:" DATE New Business ............................ ( ) Address of Wosed Business Transfer of Business location. . . . . . . . . . . . . . . . ( :::::-:;-r --l 29' . I "S.~ ~+ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant MAVV rI2-EDEf"'IC./,<- New Building ............................. ( ) Address {D?p,f=-, , -s -t- '5'T Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) f< . Temporary Business .............. ... .. ", ( ) Phone: business home .4-/7 - 1%3 Change of Use. . . . . . . . . . . . . . . . . .. .. ... .. ( ) Brief description of proposed business: N.ev-l -t U5EP GIFTS I A"nIQuE:$"' , legal Description: lot Block Subdivision Current Use of Property: RE7AIL 5A-LES Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. ....... ..... . . . . . . . . . ... .. - ./ PERMITS BUSINESS LICENSE Electrical changes. ....................... .... .. -~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . ,/ 2) Plumbing 2) Peddlers ............ -- Plumbing changes -- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ........ ......... ....L... 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. _.....L.... 7) Driveway installation 7) Fireworks Is this a home occupation? ............... - /' 8) Curb installation 8) Ambulance Excavation of filling of lots . - -- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. ............ ..L.. 10) Water meter installation 10) Other Is there sufficient off-street parking? . ./ 11) Fire New driveway openings. .... - ,/ 12) Occupancy - A grading plan for site drainage. ......... ./ 13) Sign (parking lots, downspouts, etc.) ... =/ 14) Shoreline Are the existing streets paved? . ..L_ 15) Home occupation Are there existing sidewalks? . ........... -L-_ 16) Conditional use Is there curb and gutter? .... .......... /- 17) Other Other. ...... .............. ..... Da~bc'AL // I hereby apply for a Certificate of Occupancy and acknowl. ~~J/A~;L edge that I have read this application and state that the information I have supplied is correct to the best of my q- LD --cD knowledge. Signed: ~P~J6 REJECTED Comments / Conditions '~// -, Building Section jl Public Works Department ~;~ Planning Department Fire Department - . -{Xl City Clerk . ~~ PB.IA W~ '(i "'.;;;0' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 ELECTRICAL PERMIT Issued: 1/20/98 Permit No: 6188 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DARREL VINCENT 129 1ST ST W 129 W. 1ST ST Lot: 13 El/2 & 14 Wl/2 Port Angeles, WA 98362 Block: 15 Long Legal: 360/457-3213 Sub: TPA T: OLD 88 CENT STORE S: Pare No: CONTRACTOR-----------------------------DESIGNER--------------------------------- DAVIS ELECTRIC 453 WILLIAMSON RD. SEQUIM, WA 98382 360/683-3842 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: FEEDER Occ Grp: Occ Load: Land Use: CBD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 o AMPS 60 AMPS PROJECT NOTES------------------------------------------------------------------- 60 AMP FEEDER AND WIRE CIRCUITS PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $67.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $67.00 $67.00 --------------------------------- --------------------------------- TOTAL FEE: $67.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COI'ER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATI< I ACCKP'I'ED COMMENTS I YES INO UnUi n~ -IN / CUVER / /UJfqf ~ SERVICE ~ . 1.2../.2S7 vK"1 GENERAL COMMENTS: rw.lI01.ISI4'96l ~ j,F;' S- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF'L1GHT' APPLICATION AND ELECTRICAL PERMIT A / 1J3eJ . PERMIT NUMBER . TOTAL FEE d(,,'OCJ 'Htl'r Nasi 5'z NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT QNL Y NO OCCUPANCY OR' USE ESTABLISHED UNDER THIS PERMIT ~eA+- IS+- ADDRESS ~S ~.ESPONSIBIUT~ ?F APPLlCA~T J,. p~~ ~ITH WRONG AD~R~SSES AR.E C:NCElLED ._ Owner I\"'.-:F+j eR e...",.j.. -t..-.l).otlf1>,.. ~stallationBY 'R.~.^bo,-,-, t'\eOA. Owner's Address , ~'., ...., ,s.... ... "lnstallersAddress:2. ':1..<:"1 f''''-,\ 'e, 'RJ. Day Phone '-I ~ 7 Lf q I ::l.. I nstallers Phone "I s:- :l - ';\ ;)..:;). '-l Appli.cati~n is hereby.made for Pe~m.it to install Electrical.Equipment as follows: -n {~ ^ c...-l.r~ \ l",,~""-o f-t : ( }...- "-~ Site Address s: \1 VI ?<"'~""'-.....rj Wiring Method ( t> Art",,:-I::.- .' NUMBER AMP 120V 240V NUMBER AMP 120V 240V - USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 1'00R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT "L SIGN C>Ni... 1../ X' lf~'!:!. LIGHT .. . - 50 VOLTS . . , OR lESS CONVENIENCE . MOTOR . CONVENIENCE MOTOR APPLIANCE . MOTOR , .. - DISHWASHER .. .' FIR.E ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN - WATER HEATER LAUNDRY . DRYER REINSTALLATION LIGHT FIXTURE # FURNACE .. . SUB TOTAL. FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC - - .- BASIC FEE ELECTRIC HEAT .I?/~.t!>" 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 ~IZE OF ENTRANCE SWITCH I certify that the, work to be perfo~~er_lhi;;-p"rmrill be d'cne by the instailer an,4~~ #~~ with ~Xctrical Code. Date Application made .A.2;/ ,19<(7 By' 'u. ~ - CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Perm!_ssion is hereby given to dg the abov~ describeq w9rk, accqrdilJg tq the conditions hereon and accordjng to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances f t e City of Port Angeles. . --:11t AU.-L .' ,.1~DIRECTOR OF. ~ITY LIGHT ,'. . ,.... . Date Permit Issued I~:':';j ......... '.... . . \. " . . Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be .c~vered or current turned.o~ before.insp~ction and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Tripiicate WHITE CARD - Inspector's Report rll vuolr OOI"IT!:OC;: Il\Jr REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , . O.K. FOR COVERING , -=:#f O.K. TO CONNECT SERVICE ~//f. If'? FINAL O.K. { v , . z o a: <C ::E ~ ::t: I- Z w ;. l- e z e Q . Application Number . . . . . 23-00000811 Date 8/01/23 Application pin number . . . 992951 Property Address . . . . . . 129 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1545-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Lighting retrofit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TRUDY HAVERSAT / GARY BRESCHIN JOHNSON ELECTRIC COMPANY 2328 DEER PARK RD 3129 S REGENT SALINAS CA 939127881 PORT ANGELES WA 98362 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 96.00 Plan Check Fee . . .00 Issue Date . . . . 8/01/23 Valuation . . . . 0 Expiration Date . . 1/28/24 Qty Unit Charge Per Extension BASE FEE 86.00 2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 7/31/23, 7:39:14 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000811 129 W 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 96.00 TOTAL DUE 96.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/14/2023 23-811 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 129 W 1st St