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110 E 7th St - Building
Electrical Permit 1 10 E 7th S t 12-1454 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001454 Date 11/06/12 Application pin number . . . 412398 Property Address . . . . . . 110 E 7TH ST SERVICE ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name FINAL Property Use . . . . . . . . COMMENTS. Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 circuits remodel ---------------------------------------------------------------------------- Owner Contractor' ------------------------ FIRST UNITED METHODIST CHURCH ------------------------ OLYMPIC ELECTRIC CO INC OF PORT ANGELES 4230 TUMWATER 110 E 7TH STREET PORT ANGELES WA 98363 PORT ANGELES WA 983626127 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 84.00 Plan Check Fee 00 Issue Date . . . 11/06/12 Valuation . . . . 0 Expiration Date . 5/05/13 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIF 74.00 2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total 84.00 -------------------- 84.00 .00 ---------- .00 Plan Check Total .00 .00 .00 .00 Grand Total 84.00 84.00 .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 EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING Date: J Nov 05 2012 03:36PM Olympic Electric Co., Inc 3604523498 CITY OF PORT ANGELES PERMIT APPLICATION page 1 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./44- 9/& _V�ulti-Famlly or Commercial* 14 .Ji ELECTRICAL NSPECTIOK- " Pian Review May Be Required, PI ase Complete Electrical Plan Review Information Sheet Job Address: _1r2 dg Square Cescr pbon of 2bovFootage:lS'.7r.- Owner Information /// J yet Name 11-ofr s f' j.1,�; Mailing Address. Csty.State: Zip: iZ,4Z— Phone.j Z-Zj .77/ Fax: License # 1 Exp. Item 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 WO 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/ L mited Energy - Mult -Family Signal Circuit/ Limited Energy / First 1500 sf - Commercial Note $5 00 for each additional 1500 sf Renewable Electrcal Energy • 5KVA System or Less Thermostat Note: $5.00 'or each additional T-Stat Unit Charqe $ 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 $ 64.00 $ 96.00 $ 113.00 $ 56.00 Contractor Information rR Name; /"?%,�/F�~ Ma ting Adees s: 41 Z 3,-2 77 0,4 ' `.;> 7 City:r/?h'i r f� State: t / Zip:: ' :'; T . Phone: A/s-? y3,- 23 Fax: License # / Exp. Qty Total (Qtv Multlolied by Unit Charge $ $ $ $ $ / $ 7V..�n Z- $ l�?. J�- f oo 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 tt e 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 insta:lation or alteration in compliance with the electrical laws, N.E.0 , RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of part Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: t.��,.-Cash Cl Check 11,07— f tt7 Credit Card # 1�;7 -= tc 111-3 / /� 01101/2012 PREPARED 6/21/11 8 30 34 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/21/11 ADDRESS 110 E 7TH ST SUBDIV TENANT NBR FIRST UNITED METHODIST CONTRACTOR ANGELES HEATING INC PHONE (360) 457 0111 OWNER FIRST UNITED METHODIST CHURCH PHONE PARCEL 06 30 00 0 2 3120 0000 APPL NUMBER 11 00000365 MECHANICAL APPL PERMIT ----- --- --- -- -- ----- PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 6/21/11 L MECHANICAL FINAL TIME O1 00 June 20 2011 3 23 28 PM 1pangrle BOB 460 2314 MECHANICAL FINAL 500 GAL ABOVE GROUND HEATING OIL TANK SET AFTERNOON THE PERMIT IS IN THE OFFICE COMMENTS AND NOTES ti CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`h Street, Port Angeles, WA 98362 Application Number 11 00000364 Date 4/22/11 Application pin number 593648 Property Address 110 E 7TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 3120 0000 Tenant nbr name 1ST UNITED METHODIST Application type description FIRE ABANDON TANK INSPECTION Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 2500 Application desc SLURRY FILL IN PLACE 1 000 GAL HTG OIL TANK Owner Contractor FIRST UNITED METHODIST CHURCH ANGELES HEATING INC OF PORT ANGELES 2114 W 8TH ST 110 E 7TH STREET PORT ANGELES WA 98363 PORT ANGELES WA 983626127 (360) 457 0111 Permit UNDERGROUND TANK COMM Additional desc SLURRY FILL IN PLACE Permit pin number 184309 Permit Fee 100 00 Plan Check Fee 00 Issue Date 4/22/11 Valuation 2500 Expiration Date 10/19/11 Qty Unit Charge Per Extension BASE FEE 100 00 Fee summary Charged Paid Credited Due Permit Fee Total 100 00 100 00 00 00 Plan Check Total 00 00 00 00 Grand Total 100 00 100 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision any state or local law regulating the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is budder) Date FIRE PERMIT INSPECTION RECORD C)J Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice It is unlawful to cover insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed I Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection IAlarm final ®, LP -GAS Completed by Contractor - Underground piping inspection/pressure test l Test #I Above ground piping inspection/pressure test Piping pressure test psi Tank (container) inspection Time initiatedTest #2 Appliance inspection Piping pressure test psi I LP -gas final Time initiated I UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids ITank appropriately abandoned UST abandonment final I Ob 5 -2-- PERMIT OTHER (specify) permit final S I GENERAL COMMENTS 2/15/00 .r' PORT ANGELES FIRE DEPARTMENT Abandonment or Removal of Commercial Underground Tanks 4�l— 3 �� Permit Attachment Date Initial Section I - Information Required U7� Applicant is required to furnish the following information before a permit may be �Cprocessed. 01 K�&-'%n5 1 Size and number of tanks to be removed. /0DC';> y 2. Fill out tank closure work sheet (attached) 3 Submit diagram of tank location. Section II - Requirements and Limitations Issuance of permit subject to compliance with recognized standards, listed requirements and approval by a field inspection from the Port Angeles Fire Department. 4" 1 Provide one fire extinguisher with a minimum rating of 40 -B -C 2 There shall be no welding or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tank requires a permit from the Port Angeles Fire Department. 1� 3 Removal of all flammable or combustible liquid from the tank and all connecting lines shall be pumped out. Use a hand pump or other means to remove remaining flammable liquid as far as practical Liquid shall 'J be placed in a tank truck or suitable containers for removal. 7t 4 Disconnect the suction, inlet, gauge, and vent lines. Cap or plug open ends of lines which are being removed and those which are not to be used any further FP 25 (Revised 2/22/00) Page 1 of 2 Date / Initial 5 When capping or plugging all tank openings, use screwed plugs and / leave 1/8 inch vent hole in one plug to allow for temperature expansion. y11 p 6 Tanks should be conditioned and flammable vapors removed by adding dry ice in the amount of 1 5 pounds per 100 gallons of tank capacity The dry ice should be crushed and distributed evenly over the greatest possible area to secure rapid evaporation. NOTE Removal of ignition sources from the vicinity of the tank or container before venting operations are started shall be considered including all electrical equipment in the vicinity y/ ? 7 This process does not ensure a gas free tank and the tank shall not be welded upon unless certified by a qualified engineer after a test. 8 If the tank must be stored on site, the tank shall be placed in a secure location and blocked to prevent movement. The tank would also be required to be merted a second time before being allowed to be transported. y _ 9 Refill hole with suitable material (earth, sand, etc ) 10 Tank is to be inspected by a Fire Department inspector prior to being transported. 11 If the tank is to be abandon in place, remove all flammable and combustible liquids, fill the tank completely with an inert solid material. Cap remaining underground piping Additional comments and/or requirements I have read and understand the requirements of this application. Applicant's signature: Date: To be completed by City of Port Angeles Ll / ;)16-t f Permit # FP 25 (Revised 2/22/00) Page 2 of 2 It A. 9r TANK CLOSURE WORKSHEET Tank Owner j_�� DW l I e -A �%1 e�'� tD el Address / / f > Cr- -� 1�.� r�-✓�, �. AA_) Phone No 3&6 —D-3 / y Regulating Agency(ies) Notified Permit Issued Department of Ecology 1-800-826-7716 Port Angeles Fire Department 360-417-4653 [ ] [ ] P A. Public Works Dept. 360-417-4803 [ ] [ ] Contractor name(s) Job _,/ � U.,,v I -)-e /4z� zc ,- R, i' �JG A" (/v (excavation, de -gassing, sludge disposal, tank disposal, cleanup transport, other - descri e ) Tank closure start date /-�--}- Tank closure completion date TANK CLOSURE INITIAL PROCEDURES. Follow safety measures [ ] Obtain recommended safety equipment [ ] Avoid contact with product [ ] Bond or ground equipment [ ] Drain product from piping [ ] Disconnect, then cap or remove piping [ ] Remove product and residuals from tank [ ] Excavate to tank top [ ] Remove drop tube, fill pipe, gauge pipe, vapor recovery tank connections, submersible pumps and other tank fixtures [ ] Temporarily plug all other tank openings except the vent line Purge tank of flammable vapors ABANDONMENT IN-PLACE (see below if tank is removed [ ] Cut holes in tank top if necessary [ ] Clean and inspect tank [ ] Fill tank as full as possible with inert mixture until filling overflows tank opening [ ] Plug or cap all openings [ ] Disconnect and cap or remove vent line [ ] Diagram of tank location Site specific requirements OATH I certify that the information concerning the removal or abandonment of tank(s) is true to the best of my belief and knowledge. Name Date if Clallam County Assessor & Treasurer - Property Details - 58019 FIRST UNITED METH Pagel of 2 Clallam County Assessor & Treasurer Property Search Results > 58019 FIRST UNITED METHODIST CHURCH OF PORT ANGELES for Year 2011 2012 Property Account Property ID- 58019 Geographic ID- 0630000231200000 Type: Real Tax Area, 0010 PA 121 PORT ST CNTY H2 L WMP Open Space: N Historic Property- N Multi -Family Redevelopment: N Township: 152704 Range: 2011 Location Address: Neighborhood: Neighborhood CD - Owner Name: Mailing Address: S LAUREL ST PORT ANGELES WA Exempt & Ref Region 5 50985200 Legal Description: LOTS 5-9 BL 231 TPA Agent Code: Land Use Code 69 DFL N Remodel Property, N Section: Mapsco Map ID- 2 FIRST UNITED METHODIST CHURCH OF PORT ANGELES Owner ID - 110 E 7TH ST % Ownership PORT ANGELES WA 98362-6127 Exemptions Taxes and Assessment Details 24499 100.0000000000% EX Property Tax Information as of 04/22/2011 Amount Due if Paid on. gM, NOTE. If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Year Statement ID Taxing Jurisdiction 2011 152704 ST SCH STATE SCHOOL 2011 152704 CC -GEN COUNTY CLALLAM 2011 152704 SD #121 SCHOOL DISTRICT #121 2011 152704 CITY PORT ANG CITY OF PORT ANGELES 2011 152704 PORT PORT OF PORT ANGELES 2011 152704 NTH OLY LIB NORTH OLYMPIC LIBRARY 2011 152704 HOSP #2 HOSPITAL #2 2011 152704 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2011 152704 CITY-STORMWATER CITY STORMWATER 2011 152704 WEED CONTROL WEED CONTROL $0.00 $0.00 2011 152704 TOTAL. 2010 40995 ST_SCH STATE SCHOOL 12010 40995 CC -GEN COUNTY CLALLAM 12010 40995 SD #121 SCHOOL DISTRICT #121 2010 40995 CITY PORT ANG CITY OF PORT ANGELES _ 2010 40_995 PORT PORT OF PORT ANGELES 2010 40995 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 40995 HOSP #2 HOSPITAL #2 2010 40995 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 40995 CITY-STORMWATER CITY STORMWATER First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid Amount Due $0.00 $000 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $000 $000 $0.00 $0.00 $000 $0.00 $000 $000 $000 $000 $000 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23403 $234.03 $000 $0.00 $234.03 $23403 $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 $234.85 $234.84 $0.00 $0.0_0 $234.85 _ $234.84 $0.00_ $0.00 -$0.00 $0.0_0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00! $0.00 $0.00 _$0.00 $0.00 _$0.00 $0.00 $0.00 _ $0.001 $0.00 $0.00 $0.00 $0.00 _ $0.00 $0.0011 $0.00 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $000 $0.00 $0.00 $000 $000 $0.00 $0.00 $0.00 $0.00 $000 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $23403 $234.03 $0.00 $0.00 $468.06 $000 http.//websrv8 clallam net/propertyaccess/Property aspx?cid=0&year=2011 &prop Id=58019 4/22/2011 jk 7a A Vr lAr. 4A 41 tlk P5 / T 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 11 00000365 Date 4/22/11 946760 110 E 7TH ST 06 30 00 0 2 3120 0000 FIRST UNITED METHODIST MECHANICAL APPL PERMIT COMMUNITY SHOPPING DISTR 2500 Application desc 500 GAL ABOVE GROUND HEATING OIL TANK SET Owner Contractor REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) FIRST UNITED METHODIST CHURCH ANGELES HEATING INC OF PORT ANGELES 2114 W 8TH ST 110 E 7TH STREET PORT ANGELES WA 98363 PORT ANGELES WA 983626127 (360) 457 0111 Permit MECHANICAL PERMIT Additional desc 500 GAL HTG OIL TANK SET Permit pin number 184317 Permit Fee 50 00 Plan Check Fee 00 Issue Date 4/22/11 Valuation 0 Expiration Date 10/19/11 Qty Unit Charge Per Extension BASE FEE 50 00 Fee summary Charged Paid Credited Due /►\ Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 ►11 'lJli Grand Total 50 00 50 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. 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 �N - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 , R Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 v IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT /N CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I 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 I I 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 (j^� INSULATION: t Slab Wall / Floor / Ceiling J MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line I Wood Stove / Pellet / Chimney'j / f — VO Commercial Hood / Ducts FINAL Date �Z r Accepted by V'� MANUFACTURED HOMES. Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting 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 Engineering 417-4831 Q Fire 417-4653 Planning 417-4750 Building 417-4815 7KT:Forms/Building Division/Building Permit BUILDING PERMIT APPLICATION Print In ink '"�•-"'� CITY OF PORT ANGELES � � For City Use Only ,-- Attn Building Permit Technician � 321 E. Fifth St. Port Angeles WA 98362 :\105\%_ Received Permit Date Ree (360) 417-4815 fax (360) 417-4711 N° Date Approved ROY Applicant iW l rJ �_ Phone �o �3� Property Owntr s�' it,y +c �ititv7 , s�-- .tL�ii�- Phone Property Owner's Address _ Contractor Phone Contractor's Addr6ss — I j.j P;,7 -n, r , i,-vz) _ 9 r 3 License # L_ Expires C/ E-mail lv PROJECT ADDRESS HO C %i4r\ ) 5+ Mei6alll* G6j" Parcel Number Qb 36 0007— 3120 Lot Zoning Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family U QoTnmercial ❑ Industrial Check all that apply ❑ New Construction _ .� , iV O -e, j,L ❑Addition {...o/ TH- A Gig/ M_ �6►t r� Gid— 4AJ611 `t"00 CO, 1, .i22I(/3t e- ❑ Remodel �I /� L �. l,l, _n. T .o -V fair ❑ Demolition -T to _ An lu hr, new hrww-hr) Su 54ekr\ ❑ Re -roof ❑ House ❑ garage ❑ oth& ❑ teaf off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existinq (sq. ft.) Proposed (sq. ft.) @ $ per sq ft. = $ TOTAL VALUATION $ �- Total footprint of structures sq ft. . Lot size sq ft. = Lot coverage % 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 % Max. height of proposed structures ft. Occupancy group # of bedrooms 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 that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date /Print Name 1.fid) r �I C� Signature T Forms/Building Division/Building permit application Z%X % 8 9 10 r I I I I 73 PriMary Tan!; I 85 Secondary Tani- - rInTES I Al' II 01 .I E'dTl I I' L — T y N I 1," ,I IF ilry .l rlh 1 ^.I I,I+ F 11 TP TI, IN It 1 h Ir ,t J ry ^li I: i r I-14 J -II i dF r 3,7 Cf -:E7' ENO \ iEW UL 142 Saddle 438 MCFIT DO V EW FITTING SCHEDULE in Df.s• riptii 1 ? Stct'r/i'iui 2 4 - -i-t tr:e1 Tcjrii EI -Ii ,!� f c S�:c, r s'I'v Eti .r'lpnk:t Vent 3 _ 15t1jf mercli-mt L uphl-i't tk v M. n7tur k _ - -lst -�teeI Tnink Flnrt-!e !st '-teel Tar)k Flnrine _ ast Steel Tank Fin lcle 1'7 -F ust Steel Tal7r Fl:irlae for Pria-Iory En-iei aeric,, \ent 0 2 ; ust Steel Taub Fi mQe 9 ? „cast ,[_el Tall, Flo, ri :e 110 4 : ist Steel Tuitk Flan -it f_r Fill I, ly if U ;t -1 1, GRE-'E�11 Steel, Inc. r ! TYPICAL 500 GALLON U.L.-142 DOUBLE WALL ON CRADLES (1• IC, _3/tU. / G Job Plc . ;r b R I I :f I I Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STN STREET. PORT ANGELES. WA 98362 05-00000293 Date 4/28/05 884490 110 E 7TH ST 06 -30 -00 -2 -3 -1000 -0000 - ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Owner Contractor ------------------------ FIRST UNITED METHODIST CHURCH ------------------------ ANGELES ELECTRIC 110 EAST 7TH STREET 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . ANGELES/ 20A CIR. ELEVATOR Permit pin number 48058 Sub Contractor ANGELES ELECTRIC Permit Fee . . . . 61.30 Plan Check Fee .00 Issue Date . . . . 4/28/05 Valuation 0 Expiration Date . . 10/25/05 Qty Unit. Charge Per Extension 1.00 61.3000 ---------------------------------------------------------------------------- ECH EL -COMM ALT <5 CIRCUITS 61.30 Fee summary Charged Paid Credited Due Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 C0J ME-NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MRM"24 HOUR NOTICE. ITIS UNLAWFUL TO COVEg INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED C=OMMENTS YES 1 No DITCH RODUH-IN / COVER SERVICE FINAJ. r l GENERAL COMMENTS: ,PW -1 102.15 [4" ..,.. ,. , A .,ti?k' A'%{" n� -' "'4 •i%,yesa '"a�ii- h iiia .'4.r...�R.v'e ...Yisw:`iu;4d>Vr'.nk:d'"..1`d� su.:ix.. . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000900 Date 10/04/04 Pin number . . . . . . .043600 Property Address . . . . . . 110 E 7TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -2 -3 -1000 -0000 - Application description . . . RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 47800 Owner Contractor ------------------------ ------------------------ FIRST UNITED METHODIST CHURCH DIAMOND ROOFING ENTERPRISES 110 EAST 7TH STREET P. O. BOX 2963 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9518 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . 1" POLY, OSB, METAL Permit Fee . . . . 647.05 Plan Check Fee .00 Issue Date . . . . 10/04/04 Valuation . . . . 47800 Expiration Date 4/03/05 Qty Unit Charge Per Extension BASE FEE 414.75 23.00 10.1000 THOU BL -25,001-50K (10.10 PER K) 232.30 rj - ---- ----------------------------------------------------- Other Fees STATE SURCHARGE 4.50 1 vv Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 647.05 647.05 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 651.55 651.55 .00 .00 F 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 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 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. Signatu a of Contractor or Authorized Agent I 06te Signature of Owner (if owner is builder) Date \ T:\PLANNING\FORMS\1102.15 [11/14/2003) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN 1 PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION t` SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGH LANDSCAPING TING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 746-53 FIRE DEPT. PLANNING DEPT. 1 47-4750 PLANNING DEPT. BUILDING 417-4815 ( ' BUILDING T.IPLANNING\FORI\4S\ 1102.15111 /14/20031 ACCEPTED YES NO up PREPARED 3/22/05, 13:09:17 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/22/05 ---------------------------------------------------------------------- -- ------ --- ---------- ADDRESS . : 110 E 7TH ST SUBDIV: CONTRACTOR DIAMOND ROOFING ENTERPRISES PHONE (360) 452-9518 OWNER FIRST UNITED METHODIST CHURCH PHONE PARCEL 06-30-00-2-3-1000-0000- APPL NUMBER: 04-00000900 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 3/22/05 JLL� BUILDING FINAL TIME: 17:00 '\��r, hJ-. Duffy COMMENTS AND NOTES *?0'T4,1,�CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 a LiUILUIIVl� PER1D1%% ISSUED: 8/12/2002 PERMIT NO: 13623 OWNER/APPLICANT FIRST UNITED METHODIST CHURCH 110 E. 7TH Port Angeles, WA 98362 360/000-0000 T: S: CONTRACTOR DIAMOND ROOFING P.O. BOX 2963 Port Angeles, WA 98362 206/452-9518 PROJECTINFO Project Value: $9,200.00 Project Type: RE -ROOF Occupancy Type: Occupancy Group: Construction Type: Zoning Use: PROJECT NOTES TEAR OFF, TORCH DOWN RECEIPT#9531 FEES ASSESSMENT Building Permit: $181.25 Plan Check: $0.00 State Surcharge: $4.50 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: $0.00 PROPERTY LOCATION 110 7TH ST E Lot: Block: Subdivision: Parcel No: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SQ FT: 0 MFD Units: MFD SQ FT: Misc Fee 1: Misc Fee 2: Misc Fee 3: 0 TOTAL FEE: AMOUNT PAID: BALANCE DUE: ® Long Legal Commercial: 0 Industrial: 0 Garage: 0 $0.00 $0.00 $0.00 $185.75 $185.75 $0.00 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 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 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 c struction. 61w2JZA__ Signatur of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date TAPLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO I FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN ' WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR I INSULATION SLA WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION It SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: LANDSCAPING PARKING/LIGHTING LAND I I I SHORELINE: RESIDENTIAL ELECTRICAL - LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING IFIRE PLANNING DEPT. BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417-4735 417-4807 417-4653 417-4750 417-4815 . /�j—f2S kv ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING DATE ACCEPTED YES NO CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST 5TH STREET. PORT ANGELES. WA 99362 ELECTRICAL PERMIT Issued: 1/19/99 Permit No: OWNER/APPLICANT------------------------PROPERTY LOCATION ---------------- FIRST UNITED METHODIST CHURCH 110 7TH ST E 110 E. 7TH Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 000/000-0000 6538 PROJECTINFO -------------------------------------------------------------------- Prj Type: CHURCH Additional Feeders: Prj Value: $0.00 Circuit Wiring: Occ Type: Temp Service: Cnstr Type: ADD CIRCUITS Misc Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES ----------- ADD CIRCUITS IN CHURCH PROJECT FEES ASSESSMENT -------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $54.00 Temp Service: $0.00 Misc $0.00 TOTAL FEE: $54.00 CONIMLNTS/ACTION NEEDED TOTAL FEE: $54.00 Amount Paid: $54.00 -------------------------- Balance Due: $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE 1ACCEPTED COMMENTS YES 1 NO DITCH ROUGH -IN / COVER SERVICE FINAL GENERAL COMMENTS: L M-1102.1314 ] Ll Of PORT 4NC wi�=m�N CITY OF PORT ANGELES LIGHT DEPARTMENT 1% �_ 321 E. Fifth Street ❑ OVERHEAD SERVICE Port Angeles, WA 98862 . o'>t (206) 457-0411 Site Address: j ` 0 Installed By: Owner/Business: / f� Owner/Business Address: ELECTRICAL PERMIT 2-4 PERMIT NO. �10�2e DATE -3/1611 0 i ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. ❑ RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE ❑ COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROUND SERVICE ❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE: ❑ FURNACE KW REMODEL ❑ SINGLE PHASE ❑ FAN/WALL KW ADD/ALTER CIRCUITS ❑ THREE PHASE ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ SIGN Details/ Description: ❑ SPECIAL EQUIPMENT (LIST BELOW) W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE ❑ CHANGE SERVICE WIRE ❑ OTHER ❑ Ditch Inspection O.K. .,Rough-in/cover O.K. ❑ O.K. to connect services �A* Final O.K. �i Site Address: Permit/Receipt No 0012 rP Installer: New MetersDate Notify Port AngAles 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. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 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 11K CITY OF PORT ANGELES 971 FEE R' CEIPT NUMBER DEPARTMENT OF LIGHT A PERMITNUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE N /"A4AACONT. LIC. O METO COMPLETE NO STOflIES LEGALOCCUPANCY LECTRICAL PERMIT ONLY NO OC UPANCY OR U TABIL SHED UNDER THIS PERMIT Site Address 4 J�C_ORR T AD RESS IS/gE.S/ NSIBIUTY OFF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED { Owner /'I f I�"� -S� ` "E U Itc, �I Installation By C� � Y %%! �/� C X1 (f 1(f Owner's kddress Installers Address - - - Day Phone - - - Installers Phone - Appli atlon is hereby made for Permit to install Electrical Equipment as follows - 44. A, L) -I- 4- � w � � . ati � S 3 t -A E JcoC&J- L -UI + A- ,J I,u.r�+-U 2- tJA- , FAJJ (}i,4 -IVU -ON fx"!377 OI & r- 1QfG,,04. 10Wiring Method NUMBER AMP l USE OF CIRCUIT CIRCUITS CSR t1 0 t 0 OR FEE USE OF CIRCUIT CIRCUITS PPERR 20V .240V NUMBER AMP 1P� ' 1 000R FEE Ij LIGHT I I SIGN ! I, LIGHT 150 VOLTS OR LESS Ii Ii CONVENIENCE I -/ L I MOTOR CONVENIENCE- /- U b y ��� / O I I MOTOR APPLIANCE �. LI MOTOR DISHiFIREALARIAS DISPOf A _ - I BURGLAR ALARM RANGE I i MISC. OVENI I I WATER HEATER ILAUNDW I! DRYER '-- '" I I REINSTALLATION LIGHT FIXTURE #' FURNAE I SUB TOTAL FEE _ GAS- IL FURNA:E I ENERGY FEE ELECTric - - I f ELECTlIIC MEAT BASIC FEE _ _ I TOTALFEE ELEC7F,IC HEAT _ SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.0 UNIT AMP PHASE' FEEDEF I I SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE -- - II - -- AWG SU8-TOTAL I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made 19 By - -- CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. D/I/jgElyC/T/gyp OF I_/Y LIGHT Date Permit Issued N / r PLANgVAPPR&ED ® Ot fy Department of City Light by Street Address and Permit Number when ready for inspection. Work'must not - - be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. IWAF NING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY Duplicate PINK Triphcate WHITE CARD - Inspector's Report OLYMPIC RINTERS,INC _ DATE OF VISIT REPORT OF INSPECTOR MADEBY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE Z a cr Q W S H Z_ W 0 • • CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMITNO /P/-5 DATE R1i1A7 Site Add, r�sg:�a s �� /✓� C� S o ❑ INSPECTON E)INSPECTION LL CALL R READY FOR Ins alledbhjumber: Phone: /� y'6 Ow ter/Business: Phone: Ow ter/Business Address: R Residential Heat KW Baseboard ❑ Furnace/Boiler Heatpump ❑ Other E Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: /�C4/ i ❑ New Construction ❑ Remodel ❑ Service update/alter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) y/T , W.S. No Service S17P Cap city: ❑ O.K. ❑ Not O.K. Comment - 0 DVtch inspection O.K. ElRbbugh-in/cover O.K. ❑ O.K. to connect service X Final O.K. IDatP Sq. Ft. ❑ Overhead ❑ Underground Voltage ❑ 10 ❑ 3Z Service size Amps ❑ Temporary Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Siteddress: /p ( IIIA`? � F/ f �Permit/Receipt No. �uu-/i Insteller: / New Meters Date: Notilly the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by this Inspin Writin on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. I5EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMITCge �spactor Amount paid WHITE— file b ddress YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall OLYMP14 PRINTERS INC 4-27-205 3:SOPM FROM ANGELES ELECTRIC INC 360 452 9265 P.1 ELECTRICAL WORKPERMIT APPLICATION equestlnspection Zrical Contractor ❑ Owner 0 Anmtal Permit O Alarm ❑ Carnival ❑ Commercial ❑ Residential ❑ Residential Maim ❑ Signs ❑ Thermostat ❑ Telecom. f /'Installation description IN Job wired by 0-flectrical Contractor 0 Owner �j� / 12D ✓e��— EI na cal contractor License number —4! \ ��a�'�u Puichnser's mailing addre �. City � Sure ZIP TC)CPho5c number fAX number 3 o yS2-9z�y ys-Z2z -Pre es owner's name �i�i�l,�rtlol�s7""� �v6fe - Address of inspection 1 %n 7 Sy City r--1 4 ❑ Cash ❑ Check # I hereby certify that 1 am the owner of the above named property or a licensed [7t/�, ciccrocal contracr (or the firmm 's authorized agent) and amaking the electrical """""'t Card Visa Mastercard Discover m installation or zltraation in compliance with the ciccnical law, Chapta 19.28 RCW Card # _ � � G -- /Signature of owner electriccal�o/tr':ctor or ectrical administrator \ Expiration Date ♦ s '�`�yZ/ J"'t�}� of cud / Inspection je4 3� , X —�_ \s / v WALLS N 11 C'ERdNG THERMOSTAT Ineulalloo Only Insulation Only Uale ApMovM H)' U.I. Ap --d BY Dna npp.ovep ay Cover Cover DITCH Dale Appmv<E HY DaIG AppmvW By Unm AppuvM NY � Eleotrlca ,WAgLAdditions and or subtractions O NO LOAD CHANGES ❑ Baseboard KW ❑ Furnace KW Cl Overhead Service ❑ Heal Pump _ Ton _ LAR ❑ Temp Service ❑ Fan -Wall —KW ❑ Underground Service Inspcaion Area, Building or Equipment Inspcctod Date Giy2flIC5- f lmeL- C- - SERt'ICE l D+I. Appmvice NY J CUnm �� ptlrnvM HY / Service IntormatLQn Voltage Phase ❑ 1 ❑ 3 Service Size: Feeder Sae: Action Taken Electrical Inspector /fYo Ai219 I V`J/L'//GV13 1L:IZ PAX 3UU 4bG �)Gtlb AngeieS Electric 100001/0001 RECEIVED - SEP 2 7 21,E `.:.. CITY OF PORT ANGELS$ PERMIT APPLICATION Bulldling-Didision/ElectricalInspe'etioas Ei L"'if�lCAl 321 East Fifth Street—P.O. Bog 11501 Port Angeles Washington, 9$362 INVECTIONS Ph: (360) 4)7-4735 Fag: (360) 4174711 Date;A —NuIEi-Family or Commercial' " Plan Review. May Be Required, Please Complete Electrical Plan .Review Inionnation Sheet ����� Job Address; Building Square Footage: . DGS Description of above ,4-t�f T //V& rJOL5Vz) � 6 clen. L!' .. ka tom` a Owner Info aUon.y� � Name; /�1 �Q % /1z��dfS'f Contrae r information Ifta,! Mailirg.Ad�r ., � +r 11����P Name: Mailing1�Qdress; , �F� Clty Stale; p: k.7 City: State: Zip: Phone.: . ax: Phone: Y52 -g965! Fax; License # p. License #! Exp .4 W&g 4Z4 Item Unit Charctg 9bt Toi f0ty Mul#inlled by Unit Charad ServicelFeeder.200 Amp, $ 432.00 $ Service/Feeder2014400 Amp. $160.00 $ ServiWFeoder401.600 Amp $ 225.00 $ ServlWFeeder 601=1000 Amp. $ 288.00 $ Senrice/Feader over 1000 Amp. $ 410A0 $ Branch Clrcuit W1 Service Feeder $ 5.00 $ Branch.Circuil WIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ branch Clrcults 1.4 $ 86,00 �_ $ Temp. Service! Feeder 200 Amp. $102.00 $ Temp. ServicefFeeder 201.400 Amp. $121.00 $ Temp. Service[Fseder 401-MAmp. $164.00 $ Temp. SerricOFesder 601.1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOulline Ughdng $ 88.00 $ Signal Circuit! Limited Energy— Multi -Family $ 64.00 $ Signal arcultl Llrnked Energy/First 1500 sf--Commercial $ 96.00 $ Note: $5.00 (or each additional 1500 st. Renewable Electrical Energy • SKVA System or Less $113.00 $ Thermostat $ 56.00 $ Note; $5.00 for each additional T-Stat $, TM , iota! 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 fast inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. l am making •. the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 2964613, 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. © cw. ❑ chea a nditCardA 494If .0/La- x I oaten, / ��3 COMM ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00001120 Date 9/30/13 Application pin number 055040 Property Address . . . . . , 110 E 7TH ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -2 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . , . . Property Use Property Zoning , , , . , , , COMMUNITY SHOPPING DISTR Application valuation , , . . 0 _--- - ------------------------------ Application desc Hallway lighting repair Corrections ---------------------------------------------------------------------------- Owner Contractor FIRST UNITED METHODIST CHURCH ANGELES ELECTRIC OF PORT ANGELES 524 E. IST ST. 110 E 7TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 983626127 (360) 452-9264 __ ---------------- Permit . , . , ELECTRICAT, ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 9/30/13 Valuation , , , . 0 Expiration Date 3/29/14 Qty Unit Charge Per Extension BASE FEE 86.00 ------------ Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 00 .00 Plan Check Total .00 .00 DO 00 Grand Total, B6,0D 86.00 00 .00 l REPCRT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) I INSPECTION TYPE DATE: ! RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN I FINAL COMMENTS: V o p -7, F IV I` Or PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION r Signature of owner or Electrical Contractor X Date: GAEXCHANGEWILDING 01/09/2015 08:57 FAX 360 452 9265 Angeles Electric X11 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Eleetrical Inspections EL CTRIU.. 321 East Fifth Street — P.O. Boz 11501 Port Angeles Washington, 98362 INSPSCTIoNs Ph: (360) 4 7-4735 Fax: (360) 4174711 Zmal-Family Date: l� or Commercial* La 0001/0001 R Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet- -- Job Address: • r Building Square Footage: , /r� tihdl to 0esatpGon,4f above 1W O Owner lnf rnlatlon , / �N DiP S T Contract r Information Name: / 72J9 Name: r Mailing As(dress:. /!J Mailing �_ City: /+fi State: iUl Zip:. i� Cl4y state; gyp: Phone: Fax: _ Phone; –YFax:-. JjLISM License .# l Exp. License if l Exp. aB L s/G 71 Item • Unit Charae Total QtvMuftlpllad by Unit Chi SerAcelFeeder.200 Amp. $132.00 $ ServicelFeeder 201-400 Amp. $160.00 $ Service/Feeder 401 -BOO Amp $ 225.00 $ SerAcelFeeder 601-1000 Amp. $ 286.00 $ SerAcelFeWer over 1000 Amp. $ 410.00 $ Branch Circuli W1 Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1.4 $ 86.00 $ _ �. $ Temp, Servicel Feeder 200 Amp. $102.00 $ Temp. ServicelFeeder 201400 Amp, $121.00 $ Temp. SeMce/Feeder401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Slgn/OuSline Lighting. $ S9.00 $ SignalCircuirlLimitedEnergy– Multi -Family $ 64,00 $ Signal-Circull/LimitedEnergy/First 1500sf–Commercial $ 96.00 $ ' Note: $5.00 for each additional 1500 sf Renewable Electrical Energy . 5KVA System or Less $113.00 S Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat a% $ 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 I 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 29646B, The City of Port Angeles Municipal Code, and Utility Spea cations and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ ❑ OVA �cash. L-Cred1I Card #®� /G x_ A Dared: I� 01012012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , , . 15-00000026 Date 1/12/15 Application pan number 53431.0 Property Address , . . . 110 E 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3120-000Q Application type deaCription ELECTRICAL ONLY Subdivision Name . . , , , Property Use . . . . Property Zoning . , , , , . . COMMUNITY SHOPPING ➢ISTR Application valuation . , . . 0 f ----`________________ Application desc Replace heaters in 203,204,205,212,213 ---------------------------------------------------------------------------- Owner Contractor FIRST UNITED METHODIST CHURCH ANGELES ELECTRIC OF PORT ANGELES 524 R. IST ST, 110 S 7TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 983626127 (360) 452-9264 ----------------------------------------------------------------------------- Permit , , , , , . ELECTRICAL ALTER, COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee .00 Issue gate 1/12/15 Valuation . , , . 0 Expiration Date 7/11/15 Qty Unit Charge Per Extension BASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86.00 .Q0 .00 Plan Check Total 00 .00 .00 00 Grand Total 86.00 86.00 .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: J PERMIT WILT. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\I3UILD)NG IK� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . . . . 15-00001581 Date 12/1'7/15 Application pin number 829611 Property Address 110 E 7TH ST ASSESSOR PARCEL NUMBER: 05 -30 -00 -0 -2 -37.20 -0000 - Application type description ELECTRICAL ONLY subdivision Name , . . . . Property Use Property Zoning . . , . , , , COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Security and video system ---------------------------------------------------------------------------- Owner Contractor ------------------------ FIRST UNITED METHODIST CHURCH ------------------------ HI TECH SECURITY INC OF PORT ANGELES 723 E FRONT ST 110 E 7TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 983626127 (360) 452-2727 ----------------------------------- ---------------------- s Abo------------- Permit . . . . , . ELECTRICAL ALTER CQMMERCIAL, Additional desc , . Permit Fee . . , . 96,00 Plan Check Fee CO Issue Date . , . . 12/17/15 Valuation 0 Expiration Date . . 6/14/16 Qty Unit Charge Per - Erten$ion 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.OD Fee summary Charged Paid Credited Duo Perm].t Fee Total 96,00 96.00 .00 00 Plan Check Total 00 .00 100 .00 Grand Total 96.00 96,00 ,00 QO REPORT SALES TAX on your excise tax form to the City of Pori Angeles (Location Code 0502) INSPECTION TYPE I DATE: RESULTS: INSPECTOR; DITCH SERVICE ROUGH -IN 1 FINAL COMMENTS. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: IEXCHANGMBUILDING Building D[v[siordElectrieRl fuspecdorts 32:1 Ewst Fifth Street Box 1150 / Port.Angple% Waghingjou, 98362 111t: (360) 41.7-47.15 Fax, (360) 417-4711 Date; 1207/15 " M.uRi-Fa.MRY:OrcOmmrcd.1* page I of I ' Plun Raview Wy Be RaqumdL, Rbo-e Complete Elactrlcal Plan Review 1!nfbrmaVcIi She,W JOD AddFess: .., .-- - , "-", "' ............ ............... . ........ .................... ..... ............ ..... . i��ufltv nd�ideouirv�III A nD. ...... . .. . ...... ....... .. . ... . ........... . .. ...... .. Ownor lnformaV4om ...... Contractor [nf Ormation UnIted Methodisl ChLI;Ch ....... . ........ Mi � Ya Adj�w�� il.` I' E FO FTI 3 t C iT 'Tr Ilcj," i F-�, f) d�u 2 c 0 A i np, f 132.00 .. ... .... .. . . ..... ........ rvi&Fted&i 20 1-MYJ Amp, Smk�e/Fee6r:f 40 1-6' W Amp S t, i -. mm' F-3 9,J 8 t E ki 1, 1 W �� h . ... . ... . .. .. .. .. .... .... .. .. .... om IOMA-r�p. $410,00 Bmi)d QW1 WSerk� Foeihs $ 5,00 Umiidi CiNxj;l VOCI Sem�. $ 74,010 Eadi Addi Ional Brk3.wt Sac Ofcoits 1-4 N ori - . . ...... . ... ...... . ........ Tei' Setvbej .2M hmp2 .O c ...................... `,•.••,••.,•.•..........,_.,,...,... a iv - Sivm�oiFmdai 201.4 -DO Amp, 121.00 . ....... Il- I �Ip, slfv6FHbdi��, 401-M-0 kltp. $ 164. W ......y...•. T�rqp. Selvk�,E'Rovk, -L) 01 - 1000 AA,,l p . U 413 . 3 ...•....•....•....•.....,. NI;td b pTia] Fk)-dr�j NO Ejy-trj ila C�W W L -m ,J118 r�y I F i m 1155-0,0 f C,&MrUT*,j: , S 90,00 Nbtc $5�00 R)w-qdl lddl&w 11,50,j 9 Raewxr'%VA Sp�SIamo:; s 113 '10,11 Tjq4�.�rj:ICT!�I,,jj $ M.00 t 1 5 Q 0 1 1, U.) d1 4 1 T1 1 yj � ival 7 - 3� I I tol1ir all 4ICA?,° [ I i c A co r trac t of if a, W �, e E il ir� :p "Ope r y i s [or 8 a4a, ra rml o �r 19 a s e. Pearl ax p 1 rw^ s -a � lw 11 Q Ix t h 4 b5f i 1" �' p" d tk-edecWuul !cLstallaffin or Aemkm ila,fornplapm vp4h tk+� f15vys, WE C,, R01Y, Cjapter 1 D..2b: VVAC. � ; apt,r 211."mfi-.?,T.'5B, ril� City -,f AnqDles Miumid:01 Cc6t-,, �:41 Utility Sprvt.m*ws art PANIC 14,06,OaO, tutiarcrim., Eadri,m; Perfnill Appkztbris, Signature of owor, eactd:Gal mntraclor Qr *dri:ral adm1:nfatratQr. rl Cw. ['2, ct�u� X Mike shirlev frac d: 2� IE, Q I m t �,a 12 ........... .. https://www,pdfoseape.c.om/open/RadPdf.axd?rt=c&dk=0536C73 5s817XTiiAOGS—X3xPKOE... 1 2/17/2 0 1 ') ELECTRICAL PERMIT CITY OF PORT ANGELES 360-917-4735 Application Number . . . . . 16-00000077 Date 1/20/16 Application pin number . . . 184948 Property Address . . . 110 E 7TH ST ASSESSOR PARCEL NUMHER: 06 -30 -00 -0 -2 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . Prpperty Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . , . 0 --------------------------------------------------------------------------- Application desc Keypad entry door prying ---------------------------------------------------------------------------- Owner Contractor FIRST UNITED METHODIST CHURCH HI TECH SECURITY INC OF PORT ANGELES FINAL 723 E FRONT ST COMMENTS: 110 E 7TH STREET PERMIT WILL EXPIRE SIX (6) MONTHS FnOM LAST INSPECTION PORT ANGELES WA 98362 PORT ANGELES WA 983626127 (360) 452-2727 ---------------------------------------------------------------------------- Permit , . . . , . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee , . . . 96,00 Plan Check: Fee 00 Issue Date 1/20/16 Valuation . . . 0 Expiration Date 7/18/16 Qty Unit Charge Per - Extension 1.00 96,0000 ECH EL -LIMITED IST 1500 SQ FT 96.00 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 INSPECTION TYPE - DITCH DATE: RESULTS: SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FnOM LAST INSPECTION Signature of owner or EIectr-ical Contractor X G.IEXCHANGEIBUILD1NG 0IR REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: Page 1 of 1 RECEIVED OTY OF Po icer ANl::L++"LES PLat.'1I n' APPLICATION JAN 19 291b 11LI Iding Division/EleL't leaf Insimcdon.4 321 1= 4tueet Bnx 1150 d Port Angeles wasltlt'it;ton, 98ELCTRUL est rfth —P.O. Ph: (360)417-47 5 Fax: (360) 417-471'I Date: t4ltrftl-FarrltlY 0r C0r n10rC18I* -'Plan eview May Be Required, Please Complete Electrical Plan Review Information Sheat JobAddrms:_7tt7 .......... ....... - 4 ..............................., .._,..._......._.............. _�. - €�1jM4 Square F''nb e:..........._ _ .. _. _._ . Descipionul Owner Information Contractor Information Nary First United Metfodlat Churcl)._........_.............. _......_._ Name: HI lech 5ec€ari thfmA�Orms 723 East Front St C4Y-...OXt.Zip: _ Fhma: 452�Ya: ..._�._8._�.6...2 ......_.. _ ..............I,.!Slrlti:V. -A' Lcense I . Item UnIt. Ch.arcie ,W Tot. [ t uflfolledherUr1fiCharoje - Sas e9Feedei 200 rump, $ 132.00 _._............_ ..� _ _ _ SesvWlTeeder201.400 Amp $ 160:00 SeMtelFeeder 4014000 Amp $ 22.5.04 $ Seri Teeder001-1000Amp, $ 288.00 SeN i=Feeder aver Ma Anip. $ 410..00 Branch C'iro : WIService Feeder $ 0.00 $ Bund% Cimuil W10 Saivice Feeder $ 74.00 Each Add$oi l Bramh Ckuit $ 5.00 Branch Owi€ts 14 $ 86.00 Temp, Semi Feeder200 Amp. $102N Temp. Sanas /Fee ler 201-400 Amp. $ 121.00 Teri;;. Se icelFaediqf 401-500 Amp, $154.Ot1 Te€rip. 5..MceToWer601.1000Amp . $ 15540 $ Portal kt Penal lb:urly 96,00 ,$ Sign{C€sl ria Lighting $ 8109 SfgrwalCarcuittLiriiledEixrrgy-.klulti-Famity $ 04.00 Surra! Quill tari3it€d Eimr0yf Flist 1510,1- Commoii;ial $ 00,00 � � ._ � 96.00 t•#.rle: $5.00 for each additional 1500 sf Renett,al Eecubal Energy - 5I(VA System or Less $ 113.00 � $ Themiastrat $ 50.tr4 $ 1,trsle: $540 fcr each adriitlaral T -•Stat $ 08..04 Tota; Owner as defined by RGW,19.2&MI : I,1 a Owner will occupy the str€rr:tiza rorM3 ears after tf�,fs electrical permit is fi€kilized, (2) Owner isrequired to hire an electrical contractor If above saidproperty is for safe, rentor tease. Perml expires after six months of last Iropeciion, defter reading the abGva statement, I dere%/ cartif that I am the usurer of the above named properly or a R.'ensed electrical oontr eto r, f am making the ralectrical installation oralteration In compliance vaith the el trial Saws, WE, C., IRCK Chapter 10.25, WAC. Chapter 29&46 B, The Gityof Port Angeles lig unidpal Com, and Utility S pecificati€ iss arAl PAMC 14.05.050 regarding Eladrical Permit Appltcatbm. Signature of owner, afactrtcal contraeor or etectri.cal a dmfni,sfrator» 0 cAth 0 clwz CA& With - X hike Shirley Dhtad, iJig12C110. https:/Iwww.pdfescape.comlopen/RadPdf.axd?rt=c&dk=055 85805CMOSnGHv3netjvOkCS4XO... 1/19/2016 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , , , 16-00000465 Date 4/94/16 Application pin number 774240 Property Address 110 E 7TH ST ASSESSOR PARCEL NUMBER, 06 -30 -00 -0 -2 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . , . . , Property Use . , . . . , . Property Zoning , . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Stair lift power ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------__---------- FIRST UNITED METHODIST CHURCH ANGELES ELECTRIC OF PORT ANGELES 524 E, IST ST, 110 E 7TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 983626127 (360} 452-9264 r -------------------------------------------------------------------------- Permit . , , ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . , , , 86.00 Plan Check Fee 00 Issue Date 4/04/16 Valuation 0 Expiration #ate 10/01/16 Qty Unit Charge Per Extension RASE FEE 86,00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------- --------- ---------- ---------- ---------- Permit Fee Total 86.00 85.00 00 ,00 Plan Check Total. 00 ,00 00 00 Grand Total 86.00 86.00 00 00 REPORT SALES TAX on your excise fax form to the City of Pott Angeles (Location Code 0502) INSPECTION TYPE I DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN �� � } I b 96Y FINAL L k] Com/ J COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor X Date: G:IEXCHANGEI}3UILDING 04/01/2016 13:40 FAX 360 452 3265 Angeles Electric REC" F J Lh ill CITY of PoRT ANGELES PEmT APpucA noN i s C lid 1M Bt1i14ingJP1vk1on/Eladda i Inapecdons 321 East F1fitlk Street �- P.Q. Boar 1150 / Port: Angeles Washington, 98362 Ph: (360)4V-535 Fax: (360) 417-4711 Date: ZMAI-Family. or Commernial* IM 0001/0001 *Plan Review, May Be Required, Please fi mPli�te fectricaI Plan Review Infolination Sheet Jab Address: Building SquareFootage - 000*10n of adore O.wnerinforprration Contraek r Irrformetiep Name: !" / �i 9&, to Norrie: Mallin g ss: p Mailing City Statd p: city:State: Zip: Phone: Fax: U Make License 4 ! F.xp. MA -10 AS Item _' H -71 $ervieelFeeder.200 Amp. SeMce/Feeder 201-400 Amp, ServicefFeede'r 401.800 Amp Servloe Feeder 801 1000 Amp, ServicelFeeder over 1000 Amp, Branch rwlrcutt Wl Service Feeder Branch Vroult WO Service Feeder Each Additional Branch Circult Branch Grculte 14 Temp. SaMoel Feeder= Amp. Temp. SoMmfeeder 201.400 Amp, Temp SerAmfeader401.800Amp, "temp SerAce/Feeder 601-1000 Amp. Portal to Portal Hourly SlgrVoulllne Ughdng Signal Circuit! Umited Energy– Multi -Family Signal CI=W E. mPW Energy! First 1600 sf– Commercial Nota: $5.00 #preach additional 9500 of Renewable Electrical Energy - SKVA System or Less Thermostat nota: $5,00 for each additional T-Stat Unit Marge L $ 932.00 $ $ 9$0.00 $ $ 225.00 _ $ $ 286.00 �.� $ $ 410.00 # $ 5.00 $ $ 74.00 $ $ 5100 $ $ 86,00 $102.00 �- $ $121.00 $ $164.00 -�__ _ ... $ $185.00 $ # 96.00 $ $ $8.00 $ $ 64.00 $ $ 88.00 �... $ $113.00 $ 58.00 $y Totaf owner es defined by RCW.19.28.261: (9) Owner will occupy the struoture for two years after this electrical permit Is finalized. (21 Owner is haquired to hire an electrical coniraclor. if above said property is for sale; rent or lease. Permit-explres atter six months of lasUnsp"on. After reading the above statement, I hereby cerbiy, that I am the owner of the above named property or a lirrerteed electrical oontraclxu: I am making. the electrical instagation .or alteration In compliants with the electrical laws, N.B.C., RCW. Chapter 19.28, WAC. Chapter 296.466, The City of Port Angeles Muniafpat Code, and Utility Specifications and PAMC 14.05.050 regarding Blectt'ical PermitApplicatfons. Signature of Owner, electrical contractor or electrical administrMort ® �cath' 0 Cho* A T I "CreOitcwraa tONe �— '� Dated: f f oilalrtel2 Application Number . . . . . 22-00001227 Date 9/28/22 Application pin number . . . 253462 Property Address . . . . . . 110 E 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3120-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FIRST UNITED METHODIST CHURCH EXTRA MILE TECH & ELECT., LLC OF PORT ANGELES 418 N. RACE ST. 110 E 7TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 983626127 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 79.00 Plan Check Fee . . .00 Issue Date . . . . 9/28/22 Valuation . . . . 0 Expiration Date . . 3/27/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .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 9/27/22,13:35:20 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001227 110 E 7TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 79.00 TOTAL DUE 79.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/28/2022 22-1227 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 110 E 7th St