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HomeMy WebLinkAbout130 E 6th St - Building Certificate of Occupancy 130 E 6th St 13 -718 • .- -.4•- 14) f t CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2609 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulatingbuilding construction or use for the following: Business name: Westside Pizza Business address:; 130 E:6th Street §' • Business owner: ' Tanner Stephens Business owner's address: 10125 Old Olympic Hwy. Sequim WA 98382 Automatic fire sprinkler system: N/A Use &occupancy classification: Business Occupant load: Per 2012 IBC, Table 1004.1.1 Type of construction R, �/.S-"`�"� , .� # , -,,-,743-2-7,,, a , ,, .%�'':✓ _ 11/22S/2013 S'tiex ti j , ._. e s '.:--r.oager' Date .��gam=� ��:. .:' Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. 4 4 1voti poer.i,v. CERTIFICATE OF OCCUPANCY APPLICATION Permit# /3 ` ' L� �F1 ir�1�� CITY OF PORT ANGELES FEES $50 Certificate/Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? oning BUSINESS NAME tAies-k O 22,,‘ Business address 13 O P 614-‘ Mailing address l ol2c o[ 014-1.„/i- l Phone number 266 -769 - I2$3' Opening date Y/11rj Days &hours of operation t(-(0 r.‘ " Business owner's name 1-0,"-^(4 Contact phone Business owner's address tot 21- oil_ of ./V 1-I� Sou co description of business Property owner's name re cContact phone Si u • -7(a - (q?Y Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yesc No ❑ Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking Business Improvement Area-Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes ❑ No ❑ CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No ❑ Will there be dancing at this business? Yes ❑ No ❑ A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs?(wall-mounted,freestanding, projecting, awning,A-frame, etc?) Signs planned: PLEASE NOTE: NO flashing,intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT-ENGINEERING phone 417-4812 Is site work planned(new or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No ❑ Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ❑ If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. jj�� Dateq, �3 Print Name ��'^"'L f V"-- Signature T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 DEC-19-2013 06:37 FROM:BOBS ELECTRIC 3604529943 TO:4174711 RECEIVE 4,0 Oi {F� CITY OF:PORT ANC)ELES PERMIT APPLICATION DEC 19 2013 Building Diviston/Electrical Inspections Q " .,. � 321. East Fif'tte Street—P.A.Boy 11.50/Part Angeles Washington,98362 ELECTRICAL Ph.- (360)41.7-4735 Fax: (360)41.7-4711 INSPECTIONS q�ff-w Date:-42—j 9--ke ^Multl•Famiiy or Cemmerclal* "Plan Review May Be Required, Please Co late Electrical Plan Ravlew Information Sheet Job Address: r' Building Square Fog e;� ©escrlpllon of above NCwner Into tion Contracts Information _ Name:�_ Mailing Add re �- %� Mailing Add City: State: _ZIP: Phone: Fax:�.-- Phono: ex; License 01 Exp, . ...., License 0l p„A!FA�K,exot. Unit Charge Total MIl�ed-¢±ctlnitCCharstei 5er0oelFeeder 200 Amp. $132.00 Servicell"wder 201-400 Amp, $160.00 $ ServicolFoeder401-600Amp $225,00 $�__- _. Servl*Feeder 601-1000 Amp. $288.00 S S®McelFeeder over 1000 Amp $410.00 $ Branch Circuit Wl Service Feeder $ 5.00 g Branch Circuit W/O Service Feeder $ 74.00 g Each Addlgonel Branch Circuit $ 5.00 $ Branch Circuits 14 $ 86100 $ Temp.Service!Feeder 200 Amp. $102.00 $�- Tomp.ServlcalPeeder201.400 Amp. $121,00 $ Temp.ServioelFeedar 401-600 Amp. $164.00 $ Temp,ServicelFeader601-1000 Amp- $185.00 $ Portal to Portal Hourly $ 98.00 g� Signlpulfine Lighting S 88.00 $ Signal CITC0 Limited Energy-Mulll•Family $ 64.00 S^..... Signal Circuit/Limited Energy f First 1500 sf-Gommereial $ 96.00 $ Note: $5.00 for each additional 1600 e Renewable Electrical Energy-5KVA System or Less $113.00 ,_ $ Thermostat S 56.00 $— Rote:$5,00 for each additional T-Stat Sf 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 i6 required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after sIK months of last inspection, After reading the above statement,I hereby cenily 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 efoctrical laws,N,E,C.,RCW.Chapter 19.28,WAG.Chapter 296.4613,The City of Port Angeles Municipal Cade,and Utlllty Specifications and PAMC 14.05,050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrisai administrator: o cash o Check V—Cmdlt Card# Dated;,� piltlif2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . 13 00001460 Date 12/19/13 Application pin number . . . 649040 Property Address , , , . , 130 E 6TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: Q6 3p-00 0-1-6600-0000- Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name to the City of Port Angeles Property Use Property Zoning , , , . . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . . 0 Application desc Meter base and mast repair ---------------------------------------------------------------------------- Owner Contractor JAMES/SHIRLEY MACKROW LLC BOB'S ELECTRIC INC r� 612 S LINCOLN ST 2293 DEER PARK RA. ! _� PORT ANGELES WA 98362 PORT ANGELES WA 98362 �JV -----(360) 808-0937 ----------------------- ---- ---- 87 -- Permit . . . . . . ELECTRICAL ALTER C.OMMERC.IAL Additional desc , Permit Fee 132.00 Plan Check Fee Issue Date . . 12/19/13 Valuation . . . . 0 Expiration Date , , 6/17/14 Qty Unite Charge Per Extension 1.00 132..0000 ECH EL-COM 0-200 SRV FEEDER 132.00 +, Fee summary Charged Paid Credited Due iU1 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 132,00 132.00 00 00 Plan Check Total ,00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 INSPECTION TYPE DATE: RESULTS:. INSPECTOR: DITCH SERVICE IIJ d ! ROUGH-IN FINAL Intl qNW> COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDTNG ,;,.; CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 . . Site Address: v Z. r;, PERMIT NO. 9'~~/ / ~~3 h.3 , DATE o READY FOR INSPECTION LIcense Number: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS (/(j ~ A fJUI'- -S..trJ . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Notify Port An eles ity 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. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .~..-. $ EI ctr;callnspector Installer: Site Address: . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC New Meters Permit/Receipt ~o/ ~LIW JtfI t9C) IT,~s- Permit Fee GREEN - Top: Meier Dept., Bottom: City Hall .. .' "- . / ' Site Address: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN DetailslDescription: .- ~.~ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E, Fifth Street Port Angeles, WA 98362 (206) 457-0411 5,.UA. (VJ o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR ~ SPECIAL EQUIPMENT i'- (LIST BELOW) PERMIT NO. <;/ ~J 7 /.:< J ZI/7~ , ' DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS . ~/~ aJ~ ~ WS. No, SERVICE SIZE CAPACITY: o O,K, NOT O,K, ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection OK D Rough-in/cover OK D O,K, to connect service D Final OK Site Address: Installer: IJ ,() 'J /~ permjt/R4~t 50'1 New Meters -- 15 Notify Port Angeles City Light by Street dress a d 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 th~permit. PHONE 457-0411, EXT. 224. ot1 CH::J ./Jt1l1,t NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ft ~6"-- Electrical Inspector Permit Fee . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. GREEN - Top: Meter Dept., Bottom: City Hall . " - ...- r- , , CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ... ECTRICAL PERMIT PERMIT NO. "f(,;i> 77' /~ ?/?-? . Installed By: DATE ~, D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: OwnerfBusiness Address: Sq. Ft. D RESIDENTIAL 1;>l COMMERCIAL tJ BASEBOARD KW _ D FURNACE KW _ D FAN/WALL KW _ ~ HEAT PUMP KW->30- D SIGN D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL ~ ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) CI'J: OVERHEAD SERVICE b UNDERG~~aVICE VOLTAGE: ;.2 V D SINGLE PHA E ~ THREE PHASE SERVICE SIZE ,~ AMPS Details/Description: l?~Y &fd -.S,~ .4P--r.~ ';;0 ~l() bI- 14, . WS. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. )r''FfJ Rough-in/cover OK ).ff,"1fJ-O.K. to connect service p:f. Final O.K. Site Address: . Notify Port An eles ity 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: dO ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /I' 7/J ~- , $ ,- Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC CITY OF PORT ANGELES PERMIT APPLICATION RECEIVEo Bali iding Division /Electrical Inspections 321 East Fifth Street —]P.O. Box 1150 f Port Angeles Washington, 98362 JUL: ( 8 2913 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: ELECTRICAL MuItWamlly or Commercial* POPECnoNs * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet ,fob Address: .f" Building Square Faatade: gescriptlan of abvue sk , �,� Owner Information Name: 4_0 EAailirsg A dress, /l ! �, ,� City: 6 ezlft State: AA Zip: Phone:z_ 11 Fax: License 01 Exp. Itam Service/Feeder 200 Amp. ServicelFeeder 201 -400 Amp. Service/Feeder 401-600 Amp ServicelFeeder 601 -1 C00 Amp. Servico(Feeder over 10f10 Arnp_ Branch Circuit W1 Service Feeder Brandt Circuit WIO Service Feeder Each Additional Branch Circuit Branch Circuits i-4 Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp, Service/Feeder 401 -60 Atop, Temp. ServfcelFesder601 -1000 Amp . Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy— Multi- Family Signal Circuit( Limited Energy I First 1500 sf — Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less Thormmiat Note: $5.00 for each additional T -Scat Unit 9harge $132.00 $160.00 $ 225.00 $ 208.(10 $ 410.00 $ 5.00 $ 74.00 $ 5.00 $ 66.00 $ 902.00 $ 921.00 $164.00 $185.00 $ 06.00 $ 88.00 $ 64.00 $ 96.00 Contractor l formalio� Name: ��� Mailing Ad rem. -- - -Zip: e: City- 3tat� lr�Te Phone: ax: License #i Exp_ fl�.y Pl y �3 i"7 N oty Total Mult! Iled by Unit Cba, e ..__'.p $ -- to $113.00 $ $ 10��. /ate_ Total Owner as defined by ROW. 19.2€3.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire on 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 aryl making the electrical installation or alteration in compliance with Pie electrical laws, N.E.C., RCW. Chapter 10.28, WAC. Chapter 290 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or aleoldeal administrator: © casts I?i check 0 Credit Card # x atraa12012 ?OR'r AV. I ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: L! omn CONTRACTOR �-?QA-V—l> AD1)RrzSS -Z x) APPROVED NOT APPROVED 0 ................DITCH ...... ........ 12 OL �-44q—JAL._- ROUGH IN/COVER ............... IJ 13 .................... SERVICE ............ ...... 0 0 ..................... FNAL .................... 11 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS r 0 Fl T ELECTRICAL INSPECTION '101 WIRING REPORT 417-4735 DATE: PERMIT 9 INSPL T OWNER CONTRACTOR TLv--'2ov% ADDRESS APPROVED NOT APPROVED ❑ .................... DITCH ............... .... ❑ 0 ................ ROUGH IN/COVER.. . . ........... ❑ ❑ ......... ........ .. SERVICE ............ I ...... ❑ El ............. .... ... FINAL ................... 00HRECTIONS NEEDED: Mc. Rog- tj\ A4_f NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS M g• l il relid -.],:I jyj [4171 �m ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , , , . 13- 00000735 Date 7/08/13 Application pin number 601280 DITCH Property Address , , 130 E 6TH ST ASSESSOR PARCEL NUMBER; 06-3D-00-0-1- 6600 -0000- AppliCation type description ELECTRICAL ONLY Subdivision Name . . . . , . vy Property use Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . , . 0 Application desc 8 circuits remodel westside pizza Owner Contractor Yother Trust STARBOARD TECH P.O. Box 2319 PO BOX 8.92 Port Angeles, WA PORT TOWNSEND WA 98368 PORT ANGELES WA 98362 (360) 385 -3514 (510) 710 -1974 Permit. , , , , . , ELECTRICAL ALTER COMMERCIAL Additional desc . . . Permit Fee 109,00 Plan Check Fee OQ Issue Date . . . . 7/08/13 valuation 0 Expiration Date . . 1/04/14 Qty. Unit Charge Per Extension 1.00 74.0000 ECH FL -COMM BRANCH CIR WO/ S/F 74.00 7.00 51D000 ECH EL -ECH ADDNT BRANCH CIRCUIT 35,00 Fee summary Charged Paid Credited Due Permit Fee Total 169.40 109.00 .00 .00 Plan Check Total ,00 ,Q0 .00 00 Grand Total 109.00 109.00 .00 00 Z REPORT SALES TAX on your excise tax form to the Clty of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: vy PERMIT WILL SIRE SIX (6) MONTHS FROM LAST INSPEMC N Signature of owner or Electrical Contractor X Date: G:T--XCHANGMBUILDING c� 1 W a 6 08/14/2013 19:26 FAX 3606139515 HANSON SIGN CO ELECTRICAL CITY OF PORT ANGELES PERMIT APFLICATION INSPEVYIONS Building Division/El lectricall Inspectiolas 321 East Fiftb Street — P.O, Box 1150 / Port Angellcs Washington, 98362 Pb: (360) 417 -4735 Fax. (360) 417-477.1 pats; Multi - Family or Commercial' " Plan Review May Be Required, Please Com lete Electrical Plan Review Informalion Sheet Job Address; Building Square Footage: 44A 1A bescrlotion of above . U 001 /001 i� w�lr v Ion Contra or Information Owner I Name: 1 1 q Nerve: Mailing d s; Mailln Address: city. Stats: City: State: J � Zip: ly Phone: - ax � Phone; Fax _ Jr> License # I Exp. License # 1 Exp- Rem Unit. Charge -C& Total Multi lied by, Unit Charge) ServiceJFeeder 200 Amp, $132.00 $ - $ ServioelFeedar 201.400 Amp. $160.00 $-- ServicelFeeder 401 -600 Amp $ 225.00 — $ ServicelFeeder 601 -1000 Amp. $ 288.00 Service /Feeder over 1000 Amp, $ 410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch circuit W10 Service Feeder $ 742 - $- Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1.4 $ 86.00 $ Temp, Service! Feeder 200 Amp, $ 902.00 ---- -- $--- Temp. ServicelFeeder 201 -400 Amp. $121.00 -� $�-- Temp. Servl*Feeder 401 -600 Amp, $164.00 $J-- Tamp. ServicelF"oeder 601 -1000 Amp . $185.00 $ 96.00 Portal to Portal Hourly SignlOutlineLighting $ 88.00 $ Signal Clrcuill Limited Energy _ Multi- Family $ 64,00 $ Signal Circuit! limited Energy l First 1500 sf — Commercial $ 96,00 Note: $5.00 for each add'+tional 1500 M $ Renewable Electrical Energy - SKVA System or Less $113,00 $ Thermostat $ 56.00 Note: $5,00 for each additional T -Scat $ Total owner as defined by RCW.18.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAC, Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: C] Caeh C7 Za CredltCoi3Oc i2-9�1 -- oawd: � �� �_.��_ — all 12012 x 11�-7w ('PV(j- p! `N ELECTRICAL INSPECTION v— am=:--M WIRING REPORT ORKS 51 NV 417-4735 [SAT MPFU -9 CONTRACTOR ADDRESS Aye> r- APPROVED NOT APPROVED ....... -- ...... - DITCH. .......... ....... 11 ............. ROUOH IN/COVER ............... El ................... SERVICE ....... ........... 0 ❑ ...... ...... ........ FINAL ......... ......... CORRECTIONS NEEJ�-04,jf S "� lz-Z-A 44C cz At I-A—&- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS m: 1-11411 � .1 re-1 A 6.1 # I -Iri [OITA I ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , . 13- 00000926 Date 8/15/13 Application pin number . , . .748092 Property Address . . . 130 E 6TH ST ASSESSOR PARCEL NUMEER: 06-30-00-0-1-6600 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Application desc Sign permit Owner Contractor RESULTS: Yother Trust DITCH HANSON SIGN CO. P.O. Hox 2319 PO BOX 928 Port Angeles, WA SILVERDALE, WA. ROUGH -IN PORT ANGELES WA 98362 SILVERDALE WA 98383 - -- -(510) 710 -1974 ---- --------- ----- - - - - -- - -- - - - - -- - (3601 61349550 -- -.._ -. ll - - — -_ -_ -_ Permit . . . , . . ELECTRICAL ALTER COMMERCIAL COMMENTS: Additional desc . . Permit Fee 88.00 Plan Check Fee ,00 Issue .Date . . . . 8/1S/13 Valuation 0 Expiration Date 2/11/14 Qty Unit Charge Per• Extension 1.00 88,0000 ECH ELWCOMM -SIGN 88,00 Fee summary Charged Paid Credited Due Permit Fee Total 88.00 88.00 ,00 .00 Plan Check Total .00 OD ,00 .00 Grand Total 88,00 88.00 ,00 .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 EXPW SiX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING I�