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HomeMy WebLinkAbout531 E 5th St - Building CITY OF PORT ANGELES t DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000652 Date 5/25/12 Application pin number 907044 Property Address 531 E 5TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1 -7250 -0000- REPORT SALES TAX Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name Property Use to the City of. Port Angeles Property Zoning PUBLIC BUILDINGS PARKS (Location Code 0502) Application valuation 1500 Application desc REPLACE WATER SERVICE Owner Contractor HEALTHY FAMILIES OF CLALLM CO ANGELES. PLUMBING INC 1036 E FIRST ST PO BOX 1151 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -8525 Permit PLUMBING PERMIT Additional desc REPLACE WATER SERVICE Permit Fee 57.00 Plan Check Fee .00 Issue Date 5/25/12 Valuation 0 Expiration Date 11/21/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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. a5 N A4= cWf &41/ k -tm /Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS CTI Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVEER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments v FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) c5.2()+ 12r "Pi Gas Line W 1 ,rte Back Flow Water FINAL Date 5 ccepted by F �J AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 1C1) Inspection Type Date Accepted By N 1 Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 A�1 Fire 417 -4653 1" Planning 417 -4750 Building 417 -4815 T•Fnrmc /Ri iilriinn hivicinnlRi iilriinn Parmit r N H M I I I w H a q N 1 N I op N N I ar I u \0 1 N H M I O 0 x 1 u H H 1 C H w w 1 F o MOO O 1 m W W 0 0 0 w OF v 1 0 H H a I a N a z a m O a 1 a N H o m I m E E 1 E H cn uu z aH F w w W 1 W N 7. a a I H z N N w m m ,2 l a H H N X z z 0 0 0 1 3 w o o X H u 1 H u t N 1 0 E 1 F I (ry (ry N u X H I a U) I z 1-1 X 1 H F 1 H H Cr, •,1, a a. a a l M M N a oa c 0 0 >.a o w w I a a ro o (ry 1 q a I a a E q zwo H O I H O M H 1 7 m N m H H r 41 M a amp 1 .ti u) O N l Z H a a 1 0 X a w 1 H ,O co H 0 o 0 m N m> 0 0 w w o x 1 U a al 1 aww 1 1 e rl a c H n w o u S o 7 d 1 F 1 w O 1 u) 1.1§11 N a a l a U o •a •w a 0 M a F w w m u 0 H H a0 ■IX z Oro 0 a s a H w 0 a i g m w F g z z a a 1 a 1 LO m O. a 0 u 0 aai a H a 05/24/2012 16:43 3604528583 ANGELESPLUMBING PAGE 02/02 4 0,, cola 9t rd BUILDING PERMIT APPLICATION P rint in ink CITY OF PORT ANGELES I Attn: Building Permit Technician For City Use Only: P ere Received 17 321 E. Fifth St., Port Angeles, WA 98362 Permit la` p'} (360) 417 -4815 fax (360) 417 -4711 Date Approved 5 -7-5 tas" vt1tt'/ Applicant or Agent ANGELES PLUMBING, INC. Phone 452 -8525 Property Owner HEALTHY FAMILIES' OF CLALLAM co. Phone 452 -3811 Property Owner's Address 1210 E Front St Suite C, Port Angeles, WA 98362 Contractor /Engineer ANGELES PLUMBING, INC. Phone 452 -8525 Contractor /Engineer's Address P.O. BOX 1151, Port Angeles, WA 98362 License ANGELPI077KP Expires 5 -15 -2012 PROJECT ADDRESS 531 East 5th St Parcel Number Lot Zoning Profec1 Tvpe BriefDesc Res Commerc Multi-family Industrial Check all that apply r3 New Construction 0 Addition Remodel Repair Re-roof o Demolition Heat System Heat pump ca wood burning stove gas fireplace o pellet stove Q other Other Replace water service Floor Areas Existing (so- fL) Proposed CFI, ft) Basement per sy ft 1 9t Floor 2nd Floor 3' Floor Garage P Carport Covered Porch MI s. Deck II i Shed Other CITY OF POR ANGEL •G TOTAL VALUATION 1.500.00 Total footprint of structures sq. ft. Lot size sq. ft. Lot Coverage Max. height of proposed structures ft, Occupancy group of bedrooms Willa lawn sprinkler system be installed? Occupant load of full baths Mr a fire sprinkler system be installed? Construction type of half baths 1 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. Date 34 i Print Name DALE BRUNTZ Signature "A )4 T:Forms/Building Division/Bldg Permit App1. -2006 Code,doc Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L&tI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name ANGELES PLUMBING INC UBI No. 601454865 Phone 3604528525 Status Active Address Po Box 1151 License No. ANGELPI077KP Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 5/17/1993 State WA Expiration Date 5/15/2014 Zip 98362 Suspend Date County Clallam Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status SHAYSP *08464 SHAY'S Construction Plumbing Unused 1/24/1992 2/15/2005 Archived PLUMBING Contractor ANGELP *088BN ANGELES Construction Plumbing Unused 1/15/1992 1/15/1994 Archived PLUMBING Contractor ANGELP *223CH ANGELES Construction Plumbing Unused 2/8/1978 1/15/1992 Archived PLUMBING Contractor SHAYSPI964DK SHAY'S Construction Plumbing Unused 3/12/2004 3/12/2012 Expired PLUMBING INC Contractor Business Owner Information Name Role Effective Date Expiration Date BRUNTZ, DALE H President 05/17/1993 BRUNTZ, JOANNE KATHERINE Secretary 05/17/1993 Bond Information Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Name Number Date Date Date Date Amount Date OLD REPUBLIC YLI224006 05/15/2002 Until 3 $6,000.0002/16/2002 SURETY CO Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information I I Company I Policy I Effective I Expiration I Cancel I Impaired I I Received https: fortress .wa.gov /lni /bbip /Print.aspx 5/25/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Insurance Name Number Date Date Date Date Amount Date Liberty 20 Northwest Ins C20124453 05/15/2012 05/15/2013 $1,000,000.0004 /26/2012 Corp Liberty 19 Northwest Ins C19124453 05/15/2011 05/15/2012 $1,000,000.0004 /18/2011 Corp LIBERTY 18 NORTHWEST C18124453 05/15/2010 05/15/2011 $1,000,000.0004 /23/2010 INS CORP LIBERTY 17 NORTHWEST C17124453 05/15/2009 05/15/2010 $1,000,000.0004 /20/2009 INS CORP LIBERTY 16 NORTHWEST C16124453 05/15/2008 05/15/2009 $1,000,000.0005 /01/2008 INS CORP 15 LIBERTY C15124453 05/15/2007 05/15/2008 $1,000,000.0004 /25/2007 NORTHWEST 14 NORTH PACIFIC C1424453 05/15/2006 05/15/2007 $1,000,000.0004 /06/2006 INS CO Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni /bbip /Print.aspx 5/25/2012 Af CITY OF PORT ANGELES i�1® DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000468 Date 4/24/12 Application pin number 210780 Property Address 531 E 5TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 7250 -0000- REPORT SALES TAX Application type description RE -ROOF on your state excise tax fond Subdivision Name Property Use to the City of Port Angeles Property Zoning PUBLIC BUILDINGS PARKS (Location Code 0502) Application valuation 13370 Application desc TEAR OFF REROOF Owner Contractor HEALTHY FAMILIES OF CLALLM CO DIAMOND RFNG ENTERPRISES INC 1036 E FIRST ST 1295 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452 -9518 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF REROOF Permit Fee 263.75 Plan Check Fee .00 Issue Date 4/24/12 Valuation 13370 Expiration Date 10/21/12 Qty Unit Charge Per Extension BASE FEE 95.75 12.00 14.0000 THOU BL- 2001 -25K (14 PER K) 168.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 263.75 263.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 268.25 268.25 .00 .00 #f ►nak S. ii• id- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws'and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con ruction Lf L-9 (2___ Ck,<_-011\ C-9-i Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. 1 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall /Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction- R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417-4815 1 I a' �LL T•Fnrmc /P rilriinn flivicinn /Rrrilriinn Pormit M N 0 W W CA 4 4 a ca CO H 0 N O 0 Y M a W H H W W m 01 0 0 x 01 a x x E u E CZ Cc 0 F h 0 0x �d H 0 m F F F 0 C.) u Z F wW w z w w 01 w VI 0 0100 0 01 H H u 0 44 H u 4 0 H0 001 H a a H F w ma a 0 °z 0 H u o 01 01 a a 0 W a 0a w W o W 0 0 0 H FmNna Z oa a a a am N 0 F i z H H a d0 W co OJ O l0 x a' x a w 0 H 0 o H 0 C m n Z 0 •a W O F 0 H o ,7 W 0 H W H 01 M O 1/1 0 4 7. 00000 O W a H r+RC 1.00 0044 H 010 \F 0010 cn n 0 a o a 0 0 •01 z w 0 w ro w w m u 0 H a 0 m a z H 0 0 W F 0 z 2 a W a m W 0 /1 U O a D. W F 0 W o1.p°R r. 4,VGE BUILDING PERMIT APPLICATION Print in ink i CITY OF PORT ANGELES U).4 c, Attn: Building Permit Technician For City Use Only: Date Rece(ved_� 12' 1 r 321 E. Fifth St., Port Angeles, WA 93362 Permit �-{�-{�lo (360) 417 -4815 fax (360) 417-4711 Date Approved I+• a 1' Appl Phone L/Sa,,`� 1 Property Owner t*os'•v--- oLL, s 1- Ya,1-V1n'faro 1 l+ gne Property Owner's Address X31 E, Contractor ki Lct,r P ne Contractor's Address D S LC t4.1'vtorid /4-• License D M() Re,q,e4(p e xpires 41 v?-I i' E -mail PROJECT ADDRESS Parcel Number ©L9 00 0 11 1-- Lot Zoning F P Project Type Brief Description: Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition 'Re -roof House garage other Xtear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq, ft. 1 Floor 2 Floor 3 Floor Garage Carport R E 0 Covered Porch Deck Shed APR 2 4 2012 Other CITY op PORT ANGELES BUILD TOTAL VALUATION -13, Total footprint of structures sq. ft. T Lot size sq. ft, Lot coverage oh Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other Impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage N Max. height of proposed structures ft. Occupancy group of bedrooms t Will a lawn sprinkler system be Installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type 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 T that it is res .nsibility to determine what ermits are required and to obtain permits prior to working on projects. Date L L 1 -Print Name Signature PT T:Forms /B u'vision /Building permit application o,, tip' y p p o t ti r 4 :4 C: I` f E> J e 4i, o fit, C/ f i fry 1 ,uf C C„a f,i pr h C 7, o ,a V llopp.:. �\o w t�{ _c., W'' rl A F F. Yu Y 4 C s a '.7"..f,•°`*; 4 9 Y a r, N k s q Q t '9I:4;',.14. l i 5 4.,,'/ :2 7 c s�' K t 4 xa y l x 77" x �1,J Y K a. v ....,'A AL' `J A 'y1 w A'',_",',',-- �4 r bi' S t ,,t= 'x= a ,'e. ,a n 'h' F ,j ',4 4 .i M1 Q� `i:J I S C 1 `s` r ft— b... ,t 1 hk.c, TW ‹ij e 7 t;C lr \v .4 i' r' ice' f ,Y C3' x Y ',q- Ci y 4 L L 4 .4< r'E a 1 N C O .4,i t w, ..„'R, sc „^Y c •E' 1?s °'a r u y v 3` 'a,. q,' awk. e 1 0 4 .1 C. r, ,7•ti M�4 "14.44 r `Sr r .1 i 4fI re a _�1 w b ct' Cam` 3 a A R^, rt A. s •rr t} Q- 't aEV f.J A "�v. .k l r "r 8, n 4 z. f ''yt rS t co x 4 j L;, a ,:.,,I,....,.,,;:: 2 rr ,..-r,„ c (n a v�, 4 v'" ,51_,. y�,. y r ,ds rr ^'s i f 4 ,0,..,:t. "r' c t *.Kw Me f t Sp^"ss a w i3 6.,..c,- c+ -'-,-.2k,,,, c t f "a r S C 4 .A .F, i P ++t t r Ct �,R t r' T v y r tr r. ,`Y k 3 Alga, 4. .Y ";,.f" r A t 5 ,he C, A. .,./L* aa, 03/04/2011 08:37 360- •457 -6776 DIAMOND ROOFING 00• DIAMOND ROOFING Cliff Duffy Fors (360)452 -9518 1295 Bik. Diamond Rd. Port Angeles, WA 98363 2 2 q 7 6 9 CUSTOMERS N OER NO. JOE 'ARTMENT 'DATA NAMS« ADORES CITY STATE. 21v SOLO BY CASH: `''C.O:D CE•CARGE ON ACCT: MOS RETD PAD OUT QUAIVTTTY BESC91PTTON Pt1102 AF/JOtIFJP 1 11 11111111 1 1' .11IMMEnraMi MM. t il WILTIVA nlarsilli am I mmi s II 1 IN 8 III ti 13 v. .0 .k 1.- r 1741 i6 "t -16 IN 20 4 14 A! 4 3 RECED /ED SY q't'r KEEP THIS SLIP FOR REFERENCE &SOS ft Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name DIAMOND ROOFING ENT INC UBI No. 602569375 Phone 3604529518 Status Active Address 1295 Black Diamond Rd License No. DIAMORE946DZ Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 3/9/2006 State WA Expiration Date 4/12/2014 Zip 98363 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty Specialty 2 Effective Expiration Status 1 Date Date DIAMOE *132QL DIAMOND Construction General Unused 11/13/1987 5/11/1996 Archived ENTERPRISES Contractor DIAMOR *161OL DIAMOND Construction Roofing Carpentry/Framing 9/13/1984 6/4/1987 Archived ROOFING Contractor DIAMOR *172BE DIAMOND Construction General Unused 1/5/1983 6/4/1984 Archived ROOFING Contractor DIAMOND Construction DIAMORE010PLROOFING Contractor General Unused 10/13/1999 9/23/2006 Expired ENTERPRISES Business Owner Information Name Role Effective Date Expiration Date FORS, CLIFTON C President 03/09/2006 FORS, DONALD D Secretary 03/09/2006 JONES, DOUG Vice President 03/09/2006 JOHNSON, ALEC Treasurer 03/09/2006 04/12/2010 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 1 CBIC SG5893 03/07/2006 Until $12,000.0003/09 /2006 Cancelled https: fortress .wa.gov /lni /bbip/Print.aspx 4/24/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received Name Date Date Date Date Date American 7 Safety 10TSR GL3947 09/17/2011 09/17 /2012 $1,000,000.0009 /16/2011 Indemnity 00 Co AMERICAN SAFETY 6 10TSRGL256101 09/17/2010 09/17/2011 $1,000,000.0009 /17/2010 INDEMNITY CO AMERICAN 5 SAFETY 10TSRGL256100 09/17/2009 09/17/2010 $1,000,000.0004 /12/2010 INDEMNITY CO AMERICAN SAFETY 4 10TSRGL199200 09/17/2008 09/17/2009 $1,000,000.0009 /17/2008 INDEMNITY CO AMERICAN SAFETY 3 10TSRGL1385700 09/17/2007 09/17/2008 $1,000,000.0009 /11 /2007 INDEMNITY CO AMERICAN 2 10TSRGL08180 09/17/2006 09/17/2007 $1,000,000.0009 /21/2006 SAFETY INS AMERICAN 1 SAFETY 10 TSR GL0423 09/17/2005 09/17/2006 $1,000,000.0003 /09/2006 INDEMNITY 00 CO Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni /bbip /Print.aspx 4/24/2012 . 'oj CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. SCJ~D DATE y,/~ /9S" I Site Address: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW ~ FAN/WALL KW..-.;2.0 % RESIDENTIAL o COMMERCIAL ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE Ra,s~ ~b ~ ~ RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 120/2.. yo r;g1r/J D3r/J SERVICE SIZE ~ C7D AMPS FEEDER SIZE AMPS DetailslDescription: . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER AurJ'l;a,Ditch Inspection O.K. .1cr-'^ ~ Rough-in/cover O.K.' &.J~ dL...... ~ o O.K. to connect service / () )fr^Yp.Finalo.K. /!..lJ4 i I. ,w..a.e / , Site Address: .s:. ~ [/~ Permit/Receipt No. S&.5D Installer: New Meters . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. .I ----r-:- NO OCCUPANCY OR USE ESTABLlSHEO UNDER THIS PERMIT ,. ..;;;;0 _/~ $ - Electrrcallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS ING. . -.4 CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. SOS- / Y /Y ~.s- DATE Site Address: o READY FOR INSPECTION License Number; o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR Ft'Ilf...- o TEMPORARY SERVICE t~ o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1!11 D3!11 SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: r r I If/~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service MFinalo.K. perm;;~ / Installer: New Meters . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. "1"iw1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;I r:3D Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. 4'1 ~Y' / /17/1s . DATE s- o READV FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: OwnerfBusiness: Owner/Business Address. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR )(; TEMPORARY SERVICE Details/Description: Phone: Sq. Ft. o RISER ~ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: Dql D316 SERVICE SIZE FEEDER SIZE AMPS AMPS . /({1- W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service o Final O.K. Site Address: Installer: . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~tYW\. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ Electrical Inspector WHITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. r!Jo Permit Fee GREEN - Top: Meier Dept., Bottom: City Hall Dec, 27. 2013 2: 01PM Protection One No. 3066 P. 1 o+ PC'k r 44,„ V" CrT--Y of Po)rm ANGELES-pl Rmu,APPL1CAT.ION a.. � Building Division/Elect rical Inspections AC a o �� J 321 d t 1~ifth'3tri'eC— :0:BOY-1'1'50'/-Porf:'A-ngeles-Wgshlragtok>I,98362 CTRICAL Ph: (360)417-4735 Fax: (360)417-4711 INSPECTIONS � Date: /D? /3 Y,Mufti-Family or Commercial' 1 1 - 1"Plan Review May Be Required, Please,C''om Complete Electrical plan Review lnformat n Shlel p Jon Address;_�.,7 sl FASJ► � l,t ,wT L� ,-_�✓��� Building Square rootage: !O0c)o-- d9co Oescriptionorabove �' �� F/,dam es �.�+ ALAOni nAA/ ,� _ Owner Information /� 'J � Contraato Information J Napo: ,uur' I'p Neme: ; Mailln ddreas + ' '' 4000, "p" Melling A d ss; d City: Stele: rp: city Srate: — Phone: •5�7_`M) rek: Phon®',��.7e/-00 : �; License#/Exp. .0/Rr License#/Exp a Item UnIt Charge (Q ( Total{Qty Multiplied by-Unit Charnel Servioafeeder 200 Amp. $132.00 $ Senrioe/Feeder 201.400 Amp. $160.00 $ Servicen seder 401-600 Amp $225.00 $ ServiicelFeeder 601-1000 Amp, $288.00 $ ServlcelFeeder over 1000 Amp $410.00 $ Branch Grcuil WI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $ Each Addiliorial Branch Circuit $ 5.00 Branch Circuits 1-4 $ 96.00 $ Temp.SewkpJ Feeder 200 Amp, $102.00 $ Temp.ServlWFeeder 201400 Amp, $121.00 $ Temp.Servlce/Feeler 401-600 Amp, $164.00 $ T,3rrrp.StrvicefFeeder601-1000 Amp. $185,00 $_ Portal to Portal Houly $ 96.00 $ Sign/Outline Llghfing $ 68.00 $ Signal Ciroull/Limited Energy—Muld-Famiiy $ 64,00 $ 6ign8t Glrptliylimiled Fnpgy!Flrsl 1500,51--Gvmmercial .$ WOO C� • Note; $5.00loreach additional 1500 sf Renewabla Electrical Energy-5KVA System or Less $113.00 $ Thermostat Note:$5.00 for each additional T-Slat $ /11." 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 eleclricai contractor If above said property Is for sale,rent or lease.Permit expires after six months of last inspection. After rending1he above statement,I hereby s*i`tify that I am fire owner of the above named prooperty at a;innsed oloWdal 6entractor,I an faking the electrical ihstallation or alteration in compliance with the electrloal laws,KE,C.,RCW.Chapter 19.28,WAC.Chapter 296-+40B,The Cliy of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Flsatrical Pe it Applications. Signature of owner,alecirical contractor or electrical administrator: 0 ra,h check ❑ Crad ii Card b �1EOL y j, ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , . . 13-00001480 Date 12/30/13 Application pin number , . , 545320 Property Address . . . . , . 531 R 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER, 06-30-00-0-1 7250-p00D- Application type description ELECTRICAL ONLY on your excise tax form subdivision Name , . , . . , to the City of Port Angeles Property Uae , . . . . , . . Property Zoning , , . , PUBLIC BUILDINGS & PARKS (Location.Code 0502) Application valuation . , , , 0 Application deec Replace fire alarm panel Owner Contractor HEALTHY FAMILIES OF CLALLM CO PROTECTION ONE 1036 E FIRST ST 6844 50, 220TH STREET PORT ANGELES WA 98362 KENT WA 98032 (425) 656-7132 --------------------------- ---------------- ------------------------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 111,00 Plan Check Fee .00 Issue Date 12/.30/13 Valuation 0 Expiration Date 6/28/14 Qty Unit Charge Per Extension 1,00 96.0000 ECH EL-LIMITED 1ST 1500 S(2 ET 96,00 3.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 15,60 -- ---------- ------------ Fee summary Charged Paid Credited Due Permit Fee Total 111.00 111100 ,00 •00 �i Man Check Total ,00 .00 .00 .00 1 Grand Total 111,00 111,00 00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL rz COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGRBUILDING