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HomeMy WebLinkAbout118 E 8th St - BuildingRECE11YED CITY OF PORT ANGELES PERNUT APPLICATION Building Division/Electrical Inspections JUL 16 2 � 321 East Fifth Street— P.O. Box 1150 / Port Angeles Washington, 95362 Ph: (360) 417-4735 Fax: (360) 417-4711 ELECTRICAL Date: 7-16 -13 Multi-Family or Commercial* IIVSPEC'T1QN,S " Plan Review May Be Rgguuired, Please Complete Electrical Plan Review Information Sheet Job Address: I' Building Square Footage: Description of above Owner Information Contractor formation Name, '�.�/N�ZIL �t?i - �' i Name: _ Mailing Address: I'm E _ S� Mailing Address: City: State: Zip: City: State: Zip: Phoney Yr7-oH3t Fax: Phone: Fax: License # I Exp. License # I Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charcie) Service/Feeder 200 Amp. $ 132,00 $ ServicelFeeder 201-400 Amp. $160,00 $ Service/Feeder 401-600 Amp $ 225,00 $ Service/Feeder 601-1000 Amp. $ 288,00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $ -2 f Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp, $121.00 $ Temp Servico/Foodor 401-600 Amp. $164.00 $ Temp Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal CirculU Limited Energy — Multi-Family $ 64.00 $ Signal Circuit/ Limited Energy I First 1500 sf — Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat $ 7Total Owner as defined by RCW.19.25.261: (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. Signature of ow elggtrical contractor or electrical administrator: ❑ Cash Check � Ca Credit Gard # X Dated: 7-16 - U 01/0112012 4�ro VI 63 �3 1 0 20 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000784 Date 7/17/13 Application pin number . . . 215488 Property Address . . . . 118 E STH ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -2 -6608 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , . . . . . Property Use . . . . . . . , Property Zoning . . . . , . . COMMUNITY SHOPPING DISTR Application valuation , . , , 0 ---------------------------------------------------------------------------- Application desc 1 circuit hood fan Owner DATE: Contractor INSPECTOR: PENINSULA COMM MENTAL HLTH CTR BLACK DIAMOND ELECTRICAL CONTR 118 E 8TH ST SERVICE 502 BLACK DIAMOND RD PORT ANGELES wA 983626129 PORT ANGELES WA 98363 FINAL7 (360) 565-1035 ---------------------------------------------------------------------------- Permit . , , . . . ELECTRICAL ATTER COMMERCIAL ,{ Additional dese . , PERMIT WILL EXPIRE SIX (6) MONTHS FROM .CAST INSPECTION Permit Fee . . . . 74.00 Plan Check Fee 00 Issue Date 7/17/13 Valuation , . . . 4 Expiration Date 1/13/14 Qty Unit Charge Per Extension 1,00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIP 74.00 ----------------------------------------------------------------------------- Fee summary Charged paid ,Credited Due Permit Fee Total 74.00 74.00 .00 .00 Plan CheC}- Total .00 .00 .00 .00 Grand Total 74.00 74.00 .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 Z�� FINAL7 11-7 COMMENTS: ,{ PERMIT WILL EXPIRE SIX (6) MONTHS FROM .CAST INSPECTION Signature of owner or Electrical Contractgr X Date: G:IEXCHANGI BUILDING K7% 140 03/04/2014 09:01 FAX 360 452 9265 Angeles Electric s� G MAR 4 2014 CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building DlyWon/Ellectrical Inspections INSPECTIONS 321. East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360)4 7- 73S Fax: (360) 417-4711 Date; Mult(Tadly or Commercial" _- _ Commercial Addition 1 Alteration I Remodel I Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Joh Address; Building Square Footage, f o>, ,1(2L2_ Description of shove Owner I rmation Name; A•t_ t Mailing Addrres�s• yL }E Mailint Addre s City r State:b r!- Zip: . Phone: — ax: 54� �. Clty: Y/� State.:!. Zip: RV Phone: Fax: Total lnty Muftlolied by Unit Charge, License # 1 Exp. n t ,4e. 74 orpi wr 9.+0- f, 3nrCharoe Item ServicelFeeder 200 Amp. $132.00 Service/Feeder 2011400 Amp. $160,00 Service/Feeder 401-600 Amp .. $ 225.00 Service/Feeder 601.1000 Amp. $ 288.60 Service/Feeder over 1000 Amp. $ 410.00 Branch Circuits 1-4 $ 86.00 Branch Circuit W1 SeNce Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Temp. Servicel Feeder 200 Amp. $102,00 Temp, ServioelFeeder 201-400 Amp, $121:00 Temp. SeNcalFeeder 401.600 Amp: $164.00 Temp. Service/Feeder601-1000 Amp. $165:00 Portal to Portal Hourly $ 96.00 SignlOutline Lighting $ 88.00 Signal Circuit! Limited Energy — Multi -Family $ 64.00 Signal Circuld Limited Energy 1 First 1500 sf — Commercial $ 96.00 Note; $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $113.00 Thermostat $ 56.40 Contractor information to 0001/0001 Name; "e-jo, mg Mailint Addre s City r State:b r!- Zip: . Phone: — ax: 54� �. License #! Exp. RV City Total lnty Muftlolied by Unit Charge, $ $ —. $ $ $ $ $ $ $ t6 W6 00 otal Owner as defined by FtCW.19,28.261: (1) Owner will occupy Oe structure for two years atter 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 t 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 29614613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMG 14,05.050 regarding Electrical Per it Applications. Signature or owner, electrical contractor or electrical administrator: ❑ Check �l 01'Cmdit Card 0 _ G1+J FIL F— x ( pew; ���/ 011011Ia12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , , , 14-00000252 Date 4/02/14 Application pin number . . . 22500B Property Address . . , , , , 118 E 8TH ST REPORT SALES T/ ASSESSCR PARCEL NUMBER! 06-30-00-0-2-6808-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning , . , . , . , COMMUNITY SHOPPING DISTR (Location0502) Application valuation , , . . 0 .Code ---------------------------------------------------------------------------- Application desc 1-4 circuits ---------------------------------------------------------------------------- Owner Contractor PENINSULA COMM MENTAL HLTH CTR ANGELES ELECTRIC 116 E 8TH ST 524 E. IST ST, PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . , ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date . . . . 3/05/14 Valuation , . . . 0 Expiration Date . 9/17/14 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summaryChar ed g Paid Credited ---------- Due -------- -- Permit Fee Total 86.00 86.00 00 .00 Plan Check. Total .00 .00 C0 .DO Grand Total. 86,00 86.00 .CO 00 INSPECTION TYPE I DATE: RESULTS: INSPECTOR: DITCH SERVICE C ROUGH -IN �l ik 3hw .FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G_IEXCHANGEIBUILD1NG CITY OF PORT ANGELES o �1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001413 Date 12/30/11 Application pin number . . . 301007 Property Address . . . . . . 118 E 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6808-0000- Application type description COMM REMODEL on your state excise tax form Name SubdProperty . . . . . . Pro ert Use to the City of Port Angeles Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc EXPAND RECEPTION 1ST FLR / ADD OFFICE 2ND FLR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PENINSULA COMM MENTAL HLTH CTR HOCH CONSTRUCTION 118 E 8TH ST 4201 TUMWATER TRUCK RT PORT ANGELES WA 983626129 PORT ANGELES WA 98363 (360) 452-5381 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE V NON -RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . RECEPTION EXPANTION / OFFICE Permit Fee . . . . 417.75 Plan Check Fee 271.54 Issue Date . . . . 12/30/11 Valuation . . . . Expiration Date . . 6/27/12 25000 �1A V U TVA`�� p Qty Unit Charge Per Extension l BASE FEE 95.75 + ? 23.00 14.0000 THOU BL -2001-25K (14 PER K) 322.00 v ---------------------------------------------------------------------------- Special Notes and Comments December 30, 2011 11:41:26 AM pbarthol. Meet with the fire marshall to ensure proper function of fire sprinkler'and"fire alarm systems is maintained. December 30, 2011 11:52:52 AM pbarthol. This does not result in an expansion of the building or a change of use. SR ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 417.75 417.75 .00 .00 Plan Check Total 271.54 271.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 693.79 693.79 .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 T:Forms/Building Division/Building Permit Signature of Contractor or Authorized Agent Signature of Own r (if owner is builder) T:Forms/Buildinq Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — 1� Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. \v " Inspection Type Date Accepted By Comments FOUNDATION: Footings 1 Stemwall Foundation Drainage / Downspouts Piers I Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough-In Water Line (Meter to Bldg) I Gas Line ! Back Flow / Water 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 INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs 1 _..._. Ij Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting ESA: I Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE, Accepted By Inspection Type Date Electrical 417-4735 Construction R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Buildinq Division/Building Permit PREPARED 6/28/12, 8:59:47 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/28/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 118 E 8TH ST SUBDIV: CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06-30-00-0-2-6808-0000- APPL NUMBER: 11-00001413 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------- —--------- — ----- ---------------- ------------------------- BL3 01 1/17/12 JLL BLDG FRAMING 1/17/12 AP January 17, 2012 9:01:15 AM pbarthol. Elli 460-3988 January 17, 2012 3:37:26 PM jlierly. BL99 01 6/28/12BLDG FINAL ./ June 28, 2012 8:51:09 AM hcatuzo. ct LES 457-0431 X 183. ------------- — ------ -- ---- --------- COMMENTS AND NOTES------- PROJECTSTATUS UPDATE Permit # 143 119 �- p ' =' St Date: (p ' I r _ 4 l ----T-4tP — X M I phoned the: Applicant h/l c Ke/ �4 M m6'at�-'- 0¢3 m Cf,- Property Owner,( t Contractor at I (left a phone message,r discuss The permit (has expired,r will ex�soo�nWhat is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms/Building Division/Project Status Update PREPARED 1/17/12, 10:53:02 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/17/12 -------------' --- ADDRESS . : 118 E 8TH ST SUBDIV: CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06-30-00-0-2-6808-0000- APPL NUMBER: 11-00001413 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------- ---------------------- - -------------------------------------------- BL3 01 1/17/12 J L BLDG FRAMING 1 January 17, 2012 9:01:15 AM pbarthol. Elli 460-3988 - -----—--------------- ----- - -- -- COMMENTS AND NOTES---------------------------------- BUILDING /PLUMBING /MECHANICAL PERMIT APPLICATION -LONG FORM (To be used for projects that require plan review.) City of Port Angeles Attn: Building Permit Technician 321 E. 5" St., Port Angeles, WA 98362 360-417-4815 fax: 360-417-4711 Hours: Mon through Fri 8 - 5 pm Date Received 12-1cl -L,( Permit # - 3 Please print in ink, Date Approved Approved by Credit card payments are accepted Mon -Fri 8-5 pm (no Amerida xpress) Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person: MI �4r_ 7_1 mMAJL� Phone:,d,--7 Property owner: awaysLA Cay _ Phone:57-431 Property owner's mailing addres_ , Contractor's business name: ' ' I Phone: (or property owner's name if he/she is doing/overseeing the work) Contractor's mailing address: Contractor's L&I license number: Expiration date: Project Address: (18 >E . 53 ' A �.� Project Type: o Residential > C'Commercial ❑ Industrial o Multi -family Project Business Name: � mu //��lT�L�c� L, Zoning: (for commercial, industrial, or mu ti -family projects) Parcel # Lot # Complete only the portions of this permit that are relevant to your project. (✓) Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: (✓} Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (✓) Prescriptive Approach - Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (✓) Three sets of plans* (including engineering calcs, geotech reports, etc, if applicable) (✓) Paperwork confirming conformance to the Energy Code {✓} For large projects, a pre -construction meeting with various City department personnel is highly recommended. To schedule a pre -construction meeting, contact the Planning Manager at (360) 417-4750. (✓) Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing & proposed), curbs, sidewalks, storm water plan, etc. For Additions & New Structures also submit: (✓) Site plan (8 1/2" x 11") showing all structures (existing & proposed), setbacks, & new driveways * If an architect or engineer drew the plans or calculations, include at least one "wet�stamped" set of plans and/or calculations. T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application - Long Form (Revised 2011) Page 1 of 4 ,1 Repair I Solar Panels I Miscellaneous: (explain the oroiect) Project Valuation $ Remodel: (exolain the proiect. includina how the building space is currently being used and what the new,. remodeled use will bel JAJAIL, P2 AffJ24,14E.— ��� I*•o,tlnL �S�n o� fifGtoi�� {il/lZG� r -e r' Project Valuati� (✓) If the space will change from commercial to residential, submit: "Checklist – Converting Commercial Space into Residential Space" Addition: (exolain the proiect and complete & submit pace 3) Maximum height of the new addition feet Project Valuation $ New Structure: (exolain the oroiect and complete & submit oaae 31 Maximum height of the new structure feet Project Valuation $ PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: NoX_ Yes {✓) If yes, complete & submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No Yes (✓) If yes, complete & submit page 4 "Mechanical Changes" 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 V-A # of half baths *Homeowner; If you will be doing I overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 = Project Valuation $ 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 - 6 I I Signatur1 _,t _A Print Name I1�1 W Id_ I_ Page 2 of 4 no Floor Areas Basement 1 s' Floor 2n" Floor 3" Floor Garage Carport Covered Porch Deck (> 30" high)* Deck (s 30" high)* Shed Other Other Existina square New square footage footage * Walking surface of the deck above ground Price Per new square foot X $ Remodel project valuatio4A2516e:;��--- TOTAL VALUATION $ For residential building projects the minimum square foot valuation we accept is; Dwelling $85,00 per sq. ft. garage/utility/misc.structure $30.00 per sq. ft, porch/deck/carport $12.00 per sq. ft, LOT COVERAGE & SITE COVERAGE Lot coveraae is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30 -inches, uncovered decks or porches having walking surfaces higher than 30 -inches off the ground, etc. Total footprint of structures sq, ft. + lot size sq -ft. = Lot coverage % Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94,135 for exemptions) Does the project include a new driveway? m yes r� no If yes, what will the driveway be made of? o cement o asphalt o gravel o other (NOTE. 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? m yes r, no If yes, what will the parking pad be made of? c3 cement m asphalt n gravel n- other a) Total footprint of structures sq. ft. (existing & new) b) Total concrete, asphalt, & other impervious surfaces sq. ft. (existing & new) c) Add lines "a" & "b" above to get the total impervious sq, ft. (existing & new) Page 3 of 4 Total impervious sq. ft, -:. lot size sq. ft. = Site coverage % —0 3 "7 xi. ,�:'�r xr . ,,�'•,fX t:�." . , 'ep�:�� .; 6'�- 'rt"•'" ,�t'„+.,i'• p; � �.y „yp. "j` •F., ~-'*+ r,�,N,%fi".- tjor; h,d'° .. t. Y' �.;. ' �_, `rv' •,; e •k,,�,'Ta, uC, ti M '.i. ��;��. �,r,�� � . , ° = t^ ' 8"; . A� � S" „N.,, i. w ` tlit ^ ;'.Tl r' - .. ..,�,, „� °t:� '.P ya=. :'iv.• .:,'''�: �'•� 'a `�.ap.4. r:+',n; C14 I „,f n i� d� r �j• aa' a,M 'r .4 t • t. 'T` a iii,, 'a, .i, .' •'y'. �`-�. '. _ °'".. , �..ta #<r "'+.r J''�” •4,., t� "A• N :d�'r.' 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".,�x'�� � ,s,., a`.id � ;;f.t t�' .r: "C'`;:''„ ,",� � , n , • i , ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000571 Date 5/10/12 Application pin number . . . 318020 Property Address . . . . . . 118 E 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -6808 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Owner Contractor PENINSULA COMM MENTAL HLTH CTR BLACK DIAMOND ELECTRICAL CONTR 118 E 8TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983626129 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 5/10/12 Valuation . . . . 0 Expiration Date . . 11/06/12 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 .00 .00 Grand Total 86.00 86.00 .00 .00 0 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 �'1l(J"I z FINAL `� COMMENTS: ` PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING IT t CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417�-4735 Fax: (360) 417-4711 G Date: �- 1 — 12- —Multi—Family or Commercial* * Plan Review M y Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1/9 C !r7w- Building Square Footage: Description of above i' C©Nf` 1e -C--1- cor-O �x �-I -i- J� . /2- /� 3r L� - Owner Information Contractor Information Name: Pk—AX-1 L_ 7_W_A-V_)4- Name: Mailing Address: f19- E .5-774- Mailing Address: SZ Z-2— City: RA-- State: G -X - Zip: 9, 1'67 City: ?>A- State: Zip: `9 -?63 Phone: q2W-0765_ Fax: Phone: Fax: License # / Exp. License # I Exp. ACC,4 4C .q5 I/ 1�L Item Unit Charqe Qtv Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $ 225.00 $ Service/Feeder 601-1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 ✓ $ R6 " Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Multi -Family $ 64.00 $ Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat / _ ___ � $ 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 296-466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Perm& AAplications. Signature of ow er, ec cal contractor or electrical administrator: ❑ cash IAC Check ❑ Credit Carrd # J - � ) 'z x Dated: 0110112012 CA ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000501 Date 5/02/12 Application pin number . . . 975804 Property Address . . . . . . 118 E 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -6808 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T -stat No Load change heat pumps ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PENINSULA COMM MENTAL HLTH CTR ALL WEATHER HTG & COOLING INC 118 E 8TH ST 302 KEMP ST PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 61.00 Plan Check Fee .00 Issue Date . . . . 5/02/12 Valuation . . . . 0 Expiration Date . . 10/29/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 1.00 5.0000 ECH EL-LVT-ADDITIONL THERMOSTAT 5.00 ---------------------------------------------------------------------------- Special Notes and Comments Public works electrical engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 61.00 61.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.00 61.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: I INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 1J" j{ �''/►,� *� � J� COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING 0 IQ, ECENED APS 2 GTJ l.i 2J'52' �u1 1"t3Kr i'1�f { CITY OF PORT ANGELES PERMIT .APPLICATION ELECTRICAL .,�, U Building Division/Electrical inspections INSPECTIONS 'r 321 Eust Fifth Street —P.O. Box 11501 Port Angeles Washington, 98362 1r�.a uJiY� u p ir,r Ph:(36 411-4735 Fux: (360) 417-4711 pate: � __ 1 & 2 Single Family Dwelling Pian Revi�ay uir Please Complete Electrical Plan Review information Sheet Job Address: — -- Building Square Footage: Description of above , VIA 'IX jpr t�1fA[ t'on Name: _ e t HameContr Name: Name: f'R1 Maiiin Address: Mailingcess: .► —I s: City: State: Ip; L . City: l?r State: Zip: Phone W Fax: Phone:_ Fax: r License # ! Exp. License # / Exp. Item Unit Charge t„tyt Total {Qt1t Multiolled 6v unit Charge ServicelFeeder 200 Amp_ $120.00 $ Service/Feeder 201.400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feoder 601-1000 Amp, $ 262,00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Servicel Feeder 200 Amp. $ 93.00 $ Temp, Service/Feeder 201.400 Amp. $110,00 $ Temp. Service/Feeder 401.600 Amp. $149.00 $ Temp. ServicelFeeder 601.1000 Amp , $168,00 $ Portal to Portal Hourly $. 96.00 $ Signal Circuit! Limited Energy -1 & 2 Family Dwelling $ 64,00 - $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 $ f 00 $ 1 j L : -- Nate: $5.00 for each additional T-Stat do! NEW CONSTRUCTION ON„Y t First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Poition of $ 40.00 _ $ Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 $ $ /j (01 $ 1,j 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 1 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 Fort Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 cash 0 chock /�•��1 �� 10 Cradtt Card # );6111 x Dated: t. • FSC.. 0110112012 SO/SO 39vd 9NIIV3H 83Hit13M --iv ?LTSZSb09CT 6T:ST ZTOZ/SZ/vO ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000037 Date 1/12/12 Application pin number . . . 986677 Property Address . . . . . . 118 E STH ST ASSESSOR PARCEL.NUMBER: 06 -30 -00 -0 -2 -6808 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------'------------------------------------------------------------- Application desc 6 circuit entry remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PENINSULA COMM MENTAL HLTH CTR NORTH PENINSULA ELECTRIC 118 E 8TH ST 761 FRESHWATER PARK RD PORT ANGELES WA 983626129 PORT ANGELES WA 98363 -- ------------------------------ -------(360) 477-1764 ��--fib ---- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 99.00 Plan Check Fee .00 Issue Date . . . . 1/12/12 Valuation . . . . 0 Expiration Date . . 7/10/12 Qty Unit Charge Per Extension 5.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 25.00 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIF 74.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 99.00 99.00 .00 .00 .Plan Check Total .00 .00 .00 .00 Grand Total 99.00 99.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: o0lz_ PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Cc INSPECTOR: Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING 2012-01-11 18:16 NORTH PENINSULA. ELEC 3609289409 » 360 417 4711 P 1i 1 City of Port Angeles Permit Appiicatlon Building DivisionlEleclrical Inspections 321 East Fifth Street - P.O. Box 1150 Pon Angeles Washington, 98362 Ph: (760)411.4735 Fax; (360) W-4711 � r r Cate 1 8 2 Single Family Dwelling Multi -Family or Commercial' ,— ommercial Addition I Alteration I Remodel Repair' ELECTRICAL INSPECTIOIIJ; ' Pian Review May Required, Please Com tete "IeW I P)an R illwinforlypei _" �!� Job Address. ,�'1� moi. ? ' ,1� . •�,_! Buirding Square Footage --- .—._ Dpscnptionofabove Owner Iranrmation (t i Contra to inforrAanon !#A_S1 Name M� aifng Address I Mailing Ad;�re'5 t r t �_ ' City j _.__ State: Lp:- ,, �- t`l ��.•l ..__._ 5ta+.e 77.ipp. Phone,- �.1_y. i t FaX ...._ _ Pr4rP,�caY License c!Exp .._ License? Exp.�Lx] Wil^ Unit Charge Total iOiY Multiplied by + nttChamsl S 11990 -_ 5 _ Service!Feeder 2C0 Amp S 14550 S-__ - Serviceifeecef 20}-400 Amo a 204.$n S—, - _ Service/Feeder 401-60C Amp, 5 2162.20 - S_-- „ --_ _ ServicerFeeoer 601.1000 Arnp � � G 5 372 50 y S ervrcerpeeder over 1000 Amp s� S 2 50 — S Branch Circ'ud'A! Scarce ceder �� it 1 r-..�.. u ! S ?3.50 -,�`_ S Br9nt/1 Gruit'N.rC1 Service seeder S 2.60 �. , Each additional branch C,rcult S 9270 S._ Temp Service Feeder 700 Amp, S 110.30 S 7ernp SoNrce==aeder 201.401, Amc S IQ 10 S ", em0 Servlceii-eeoer 401 6CC Amo S 15790 S . , _ Ter -pr Serviceireeaer 601.1C00 Amp 5 9590 S - _ P mal to Porta+ Mow!Y 1 8820 -__-- S� _ SgniDudrne Lghllrg S 95 9C Signa Grant+ Unrited Energy - Camn>ercra;. AddNanal 1500 S5 OC 5 6390 S--_ Signal CncuiV Unilted Energy - t b 2 Family Dwelling 8.63.90 „-, S Signa Cucu t' , nlitea Energy Minn-Fam:.ry piling $ 119.90 $ Manufactured Norse Connection S 101. 30 _- S Renewable Electrical Energy - W/A S15ler^ or Less S t 1030 5 ._ First 1300 Square Ft S 3520 S _ Each Addl:iona1500 Square or Ponior of S 73.505 Each Outouiroing or Detached Garage S *1}0.30 S_. - — E ming Pod or leo, Tub i 'Tatar 'ter Owner as dermad by RCW 19.28.261: (t) Owner will occupy the structure for tiro years after this electrical permit Is finalized. (2) Owner is required to hire an electrical contractor if above void property is forsete, rent orlasse. Permit erpiras after sir months of last inspection, After reading the above statement, I hereby cedlfy that I am the owner of the above named property ora licensed electrical contractor, I am making the electrical installation or alteration in Compliance witt the electrical laws, N.E.C., ROW. Chapter 19.25, WAC. Chapter 296.4666, The City or Pon Angeles Municipal Code. and Utility Specifications. Signature of owner, electrical contractor or atectrical administrator rL / Check J ilk/~ Date!_ /Y C: cash s rd A M 1 ,..sloop PREPARED 6/22/09 9 00 14 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/09 ADDRESS 118 E 8TH ST SUBDIV TENANT NBR PENINSULA COMM MENTAL HLT CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06 30 00 0 2 6808 0000 APPL NUMBER 09 00000527 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL6 01 6/03/09 JLL PLUMBING WATER SUPPLY 6/03/09 AP June 3 2009 8 33 47 AM 1pangrle JIM L WATER SUPPLY LINE METER TO BLDG June 3 2009 8 54 38 AM 1pangrle PL99 01 6 22/09 JLL PLUMBING FINAL June 19 2009 3 30 27 PM 1pangrle BRIAN 457 8249 PER JIM L I CALLED BRIAN AND GOT HIS OK FOR JIM TO DO A PLUMBING FINAL TO CHECK TBE METER BOX '� COMMENTS AND NOTES PREPARED 6/03/09 8 35 13 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/03/09 ADDRESS 118 E 8TH ST SUBDIV TENANT NBR PENINSULA COMM MENTAL HLT CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06 30 00 0 2 6808 0000 APPL NUMBER 09 00000527 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL6 01 6/03/09 L PLUMBING WATER SUPPLY A June 3 2009 8 33 47 AM 1pangrle JIM L WATER SUPPLY LINE METER TO BLDG COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ffi- c 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 09 00000527 Date 6/01/09 077824 118 E STH ST 06 30 00 0 2 6808 0000 PENINSULA COMM MENTAL HLT PLUMBING REPAIR COMMUNITY SHOPPING DISTR 3500 Application desc REPLACE WATER LINE METER TO BLDG Owner Contractor PENINSULA COMM MENTAL HLTH CTR GARY S PLUMBING INC 118 E 8TH ST PO BOX 255 PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 457 8249 Permit PLUMBING PERMIT Additional desc REPLACE WATER LINE Permit pin number 147256 Permit Fee 57 00 Plan Check Fee Issue Date 6/01/09 Valuation Expiration Date 11/28/09 Qty Unit Charge Per BASE FEE 1 00 7 0000 EA PL WATER LINE Fee summary Charged Paid Permit Fee Total 57 00 57 00 Plan Check Total 00 00 Grand Total 57 00 57 00 00 0 Extension 50 00 7 00 Credited Due 00 00 00 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. EWN14/0 Cott,A)S 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 POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 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 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 / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking 8 Hold Downs Skirting Date I Accepted By (11 -7) -coq _\Lj__ PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping Comments I I I I 1 IFINAL Date tbJ'22p o ccepted by Pa I I I I I IFINAL Date Accepted by I I I SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Forms/Building Division/Building Permit S M Cr L1 O" pORTAN, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant 135 N I N.5 0 t A iMLN -AL lis v l �_ Phone Property Owner J/ Phone Property Owner's Address I kq �_ q -1-h Contractor G, 4R S Plum b, N c Phone Contractor's Address � 0 a,,55 License # ExpireA E-mail PROJECT ADDRESS d� For City Use Only, Date Received - 1- of Permit # O — -l-2 �J Date Approved Parcel Number Lot Zoning Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family Ncommercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System \tj�P ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other KOther � iln q w,3 Q A -i E �L S v_r v � C & �:AST QUA me ,ici t a l mckpXko U Y t Floor Areas Existin (sq. ft. Proposed (sq. ft.) Basement $ per sq ft. _ $ 1 st Floor / 2nd Floor 3 rd Floor G Garage Carport Covered Porch / Deck / Shed / Other o� �OTAL 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. 1 am authorized to apply for this permit and understand that it is my responsibility to determine w,4yt permits are req fired, and to t)btain pen -nits prior to working on projects. Date 6Oji Print' Name c Signature O r � AN) Co N S T Forms/Building Division/Bldg Permit.doc PREPARED 5/26/09 8 51 03 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 118 E STH ST SUBDIV TENANT NBR PENINSULA COMM MENTAL HLT CONTRACTOR ALL WEATHER HTG & COOLING INC PHONE (360) 452 9813 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06 30 00 0 2 6808 0000 APPL NUMBER 09 00000482 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 5/2F/09 MECHANICAL FINAL TIME 01 00 l�( May 22 2009 2 35 17 PM 1pangrle JEANNE 452 9813 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES fl-0 s Z> Is PAGE 5 DATE 5/26/09 s' 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 Application desc HEAT PUMP INSTALLATION Owner 09 00000482 Date 5/21/09 698056 118 E 8TH ST 06 30 00 0 2 6808 0000 PENINSULA COMM MENTAL HLT MECHANICAL APPL PERMIT COMMUNITY SHOPPING DISTR 7819 PENINSULA COMM MENTAL HLTH CTR 118 E 8TH ST PORT ANGELES WA 983626129 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT INSTALL HEAT PUMP 146647 64 80 5/21/09 11/17/09 Qty Unit Charge Per 1 00 Fee summary Contractor ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee 00 Valuation 0 BASE FEE 14 8000 EA ME FURN/HP/FAU < OR = 5 TON Permit Fee Total Plan Check Total Grand Total Charged Paid 64 80 64 80 00 00 64 80 64 80 Credited 00 00 00 Extension 50 00 14 80 Due 00 00 00 �67 63P 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 aw regulating construction or the performance of \-'4construction. Date Print Name Signature Contractor or A ed Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD S. oca PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- N Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By Comments FOUNDATION Footings Stemwall I Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs) PLUMBING Under Floor / Slab Rough -In Water Line (Meter to Bldg) I Gas Line --" Back Flow / Water I FINAL Date Accepted by AIR SEAL. Oct Walls Ceiling � FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) T -Bar INSULATION: vj 1 Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts I Rough -In Gas Line Wood Stove / Pellet / Chimney p _Ji I —2�'(} (Accepted _Jl%l Commercial Hood / Ducts I FINAL Date 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 I Accepted By Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 e T.Forms/Building Division/Building Permit ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000476 Date 5/20/09 Application pin number 747828 Property Address 118 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6808 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Like replacement of HP and furnace Owner Contractor PENINSULA COMM MENTAL HLTH CTR ALL WEATHER HEATING & COOLING 118 E 8TH ST 302 KEMP RD PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 452 9813 7 Permit ELECTRICAL ALTER COMMERCIAL �� Additional desc Permit pin number 146530 Permit Fee 43 75 Plan Check Fee 00 Issue Date 5/20/09 Valuation 0{. Expiration Date 11/16/09 Qty Unit Charge Per Extension 1 00 43 7500 ECH EL LVT THERMOSTAT 43 75 Fee Charged Paid Credited Due summary Permit Fee Total 43 75 43 75 00 00 Plan Check Total 00 00 00 00 Grand Total 43 75 43 75 00 00 V �1 INSPECTION TYPE DATE RESULTS I INSPECTOR. DITCH SERVICE ROUGH IN { A FINAL COMMENTS Signature of owner or Electrical Contractor X Date May 19 09 08'57a City of Port Angeles Permit Application Building Division/Eledricat inspections 321 East Fifth Street — P.O. Box 1150 Por! Angeles Washington, 98362 -Ph: (360) 417.4735 Fax: 1369) 417.4711 Oate: &� q ___ 1 & 2 Single Family Dwe( i -�Mutti-Family or mme ' Commercial Addition / Alteration / Remodel l Repair* • MAY 2 0 2009 PnHr,,,,,,�� UGHT DEPT Plan Review May Be Requi , Plea Complet -Electrical Plan Review lnforirtatiori Sheet Job Address: /J P t" i�, Building Square Footage: t Description of above ��CtGp6tiT y 'T+L.t fw �J Owner In tionr Apuho W t h Contractor.Intonn tion , Name: tz its' S e4' a ng bic Name: 1- Al) __Ah Mailing Address: 1 t 'fib S YSt . Mai6rig Address: a42_ K. M io .0.:, City k ' � State: J;$_ Zip: 4 to Z CityY State: Zip: y k'+tn Z -7-7 Phone: Fax: Phone: 13 Fax: �;Wf!),�- 54 License # 1 Exp. License -Unit Charae OY Total (Qty Multiplied by Una Charge)- $ 93.75 $ Service/Feeder.200 Amp. $113.75 $ Service/Feeder 201400 Amp. $160.00 $ Service/Feeder 401.600 Amp. $205,00 $ ServicelFeeder 601 1000 Amp. $291.25 $ ServiceT*eder over 1000 Amp. $ 2.00 $ Branch Circuit W! Service Feeder $ 57.50 $ Branch Circuit WIC Service Feeder `0 2.00 $ Each Additional Branch Circuit $ 72.50. $ . Temp. Service) Feeder 200 Amp- $ 86.25 $ Temp. ServicelFeeder 201400 Amp. $116.25 $ Temp. ServicerFeeder 401-600 Amp. $131.25 $ Temp. Service/Feeder 601-1000 Amp. $ 75.00 $ Portal to Portal dourly $ 69.00 S Sign/Outline Lighting $ 75.00 $, Signal CirwiU UmilJed Energy Commercial S 50.00 $ Signal Circuit/ Limited Energy 1 & 2 Family Dweiling $ 50.00 $ Signal Circuit/ Limited Energy Multi -Family Dwelling $ 93.75 $ Manulactured Hone Connection $ 80.00 $Renewable Electrical Energy 5KVA System or Less $ 86.25 $r First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft. or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ B6.25 $ Each Swimming Pool or Not Tub $ 4375 $ Lr -N;14 Thermostat $ Total Owner as dermed by RCW.19.28.261. (i) 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 sate, rent or tease. After reading the above statement, I hereby car* that, I am the owner of fire above named property or a licensed electrical contractor. t am making the electrical installation or alteration In compliance with the eiectrical lays, N.E.C. RCW. Chapter 1926, WAG. Chapter 296.466, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or tectricat administrator ❑ Cash ❑ Check � Vt !' r `) Date: ' ((� C/ 'Q! Credit Card # V d May 19 09 08:56a p1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417-4815 fax (350) 417-4711 llqllj�l �khwl �7,11. 1� 11/vIll Applicant or Agent L1 41. 1114 141-111111, 1 1 _1-11 16 41 Owner Owners Address r -y' �e4qe f Contractor/Engineer Af, Contractor/Engineer's Address Rej41SWe+ J License # A K I,t PROJECT ADDRESS Parcel Number 06 30 Proiect Tvae & Brief Description. Check all that apR,—Y • New CDnstruam • Addition o Remodel a Repair • Re -roof • Demolition r)(,)o ria o Residential il( Cortymercial For City Use Onlv* Date Received. (2&-f 09 Permit Date Approved Phone —9e)q.- ,72- 9dl 3 Phone Phone 2g;-_64 9ff,-3 Expires Cy. J. I Lot Zoning 0 Multi -family o Industrial c Sign in wall -mounted o projecting o freestanding o awning o other A. Heat System o Other Floor Areas Basement 1s` Floor 0' Floor 3fdFloor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Total sign area sq, ft. Maximum allowed sign area sq. ft, $,Heat pump o wood -burning stove o gas fireplace o pellet stove o other Existinq (Srl,'ft.) Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Proposed (sq. ft.) YE, sq. ft. Lot size per sq ft. =$ TOTAL VALUATION $-7g1q,,7& ft. Occupancy group Occupant load Construction type sq. ft. = Lot coverage % # of bedrooms of full baths of half baths have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and inderstand that it is my responsibility to determine what permits are required, and to obtain pe )rojectai I.- _V `�h rmp-pnor to e rking. on A h < I Signator 17 z & 4A A )ate q11q1W Print Narr, I JL AW r -g- - "U' :ForrnS/8LA1d/ir1g DivisionffiNg Permit Appi.-2005 Code.dociii (—Z PREPARED 3/15/06, 13:27:26 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 3/15/06 ------------------------------------------------------------------------------------------------ ADDRESS . : 118 E 8TH ST SUBDIV: TENANT, NBR: PENIN. COMM. MENT. HEALTH CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06-30-00-0-2-6808-0000- APPL NUMBER: 06-00000130 SIGNS -------------------------------------------------------------------- PERMIT. SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/ 5/0 LL BUILDING FOUNDATION FOOTING TIME: 13:00 03/15/2006 08:06 AM DYASUMUR --------------------------- eli 460-3988 -------------------------------------- COMMENTS AND NOTES--------------------------------- P@P* " ) b -u 51 it OF POFT,N,G �wFa CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY 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 . . . . 06-00000130 153770 118 E 8TH ST 06 -30 -00 -0 -2 -6808 -0000 - PENIN. COMM. MENT SIGNS UNKNOWN 3300 Date 2/15/06 HEALTH 11 oic ► 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. nature of Contractor or Authorized Agent Da e T:Tolicies\1102_15 building permit inspection record05.wpd [1/4/20051 Signature of Owner (if owner is builder) 0 ei Date \I ' Owner ContractorZ!L PENINSULA COMM MENTAL HLTH CTR HOCH CONSTRUCTION 118 E 8TH ST 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 983626129 PORT ANGELES WA 98363 (360) 452-5381 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . Permit pin number . 71241 Permit Fee . . . . 115.00 Plan Check Fee .00 Issue Date . . . . 2/15/06 Valuation . . . . 3300 Expiration Date . . 8/14/06 Qty Unit Charge Per Extension 1.00 115.0000 PER S- SIGN FREE OR PROJ 25+ 115.00 ---------------------------------------------------------------------------- Fee summary Charged -------------------- Paid Credited -------------------- Due ----------------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 11 oic ► 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. nature of Contractor or Authorized Agent Da e T:Tolicies\1102_15 building permit inspection record05.wpd [1/4/20051 Signature of Owner (if owner is builder) 0 ei Date \I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 TYPEI DATE I ACCEPTED COMMENTS I` YES I NO FOUNDATION: FOOTINGS 3� iSVQ(o WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING FINAL DATE ACCEPTED BY: FINAL DATE ACCEPTED BY: PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGH LANDSCAPING TING I I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT. 4174750 BUILDING 417-4815 T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] ELECTRICAL LIGHT DEPT CONSTRUCTION - R -W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING FOR OFFICIA USE DNLY: s BUILDING PERMIT - APPLICATION DateRec.:a18/va er nit #:>G�O- !�D _ Fill out COMPLETELY and in INK. Your application and site plan MUSTE ate Approved'_ 'o COMPLETE to be accepted for review. If you have any questions, call Date Issuedv (360) 417-4815 Applicant or Agent: 1 ,1 L-MiTH Asuli VE:;SPhone: Owner: F3WI9£=19 i A Co-t4mum 1 j 6j* kv4_ Phone: Address: 11,0-,_ City: &ee-,a%gs. Zip: clAi6Z/1V2�L_ Architect/Engineer: L to Phone: ContractorP6- 1 { Cc2f_A,&r- _ State License #: Exp: Phone: Address: 4-24)gar. ,,,�.,, .�.-�� City: e� � Zip: PROJECT ADDRESS: ig F b-� Si—_ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Multi -family ❑ Addition ❑ Move ❑ Commercial ❑ Remodel ❑ Demolitio ❑ Repair Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZE/VALUATION: sem_ ❑ _ Stove _ � SF. @ $ (E /SF. _ $ 3%tE2 ❑ Garage SF. @ $ /SF. _ $ n ❑ Deck SF. @ $ /SF. _ $ ❑ Other TOTAL VALUATION $ 1.1 M-kd t ezwa2Wg" u kEl i T S. td=, COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft. Existing lot coverage % & Proposed lot coverage % = Total lot coverage % APPRO PLANNING USE ONLY: /� , �,,� o (! � A � PLAN: C b \ DPWU• --n (} a 0 R ,. FIRE. kwetland(s): ❑ Yes Flo SEPA Checklist required? ❑ Yes No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. t am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant: L-wceaveomeLsmi t74 Date: 2 •� • Q� fR64 U,� INTER -OFFICE MEMO TO: Jim Lierly Sue Roberds RE: 118 E. 81" Street Permit # 06-130 2/8/06 oECEoVE� FEB - 9 2006 CITY OF PORT ANGELES Dept. of Community Development The attached new wood monument sign for Peninsula Community Mental Health at entrance to parking. Thanks ,l Dave FILE �' on- T ANGELES —Cori t•a cfio� i Ear -s �t- Is,,-.nrc: c` ihis oermit based upon these plans, speufi- ,P',on anc o#her data shall not prevent the building official ;rant theresf'ar requiring the correction of errors in said s[)mlicafions and other data, or from preventing br !ding operations being carried on thereuAder when in vi, lation of ail codes and ordinances of this jurisdiction. `ccrTln�i Approval Date Z By q, PENINSULA COMMUNITY' + MENTAL HEALTH r i I _ 4 t �• ,aIle 11111.i W1 1W nu a iii rivo i Ile v 4,j f • OE PORT qHC =eN CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT Nn ELECTRICAL PERMIT DATE Site Address:��� ElREADY FOR KWILL CALL FOR INSPECTION INSPECTION Installed By: P License Number: Ph ne:3/O� Owner/Business: Phone. OwnerlBusiness Address: ❑ Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) ❑ New Construction ❑ Remodel ❑ Service update/alter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) Details/Description: ✓1/� 5r 1C .dam/tf.Llti?Fo W.S. No. Service Size Capacity: ❑ O.K. ❑ Not O.K. Commentq ❑ Ditch inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service Final O.K. Sq. Ft ❑ Overhead ❑ Underground Voltage ❑ 10 ❑ 3D Service size ❑ Temporary Amps Data Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address. Permit/Receipt No. Inr: New Meters Date: lle: ® Notify 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 the Inspect r``iig Writitfy' g on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. �S J - Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /� Q / Inspector I\`] Amount paid WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. El Site Address: e. Installed By: Owner/Business: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT r ❑ New Construction Remodel Service update/alter/repair /rglrc << R?nh/ OwneriBusiness Addre�557 ❑ Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: 3 - Z�,e✓mce l/�4 � br4�nA�MA t�eca ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) W.S. Nn Service SizA Capacity: ❑ O.K. ❑ Not O.K. Commentq ❑ Ditch inspection O.K. ❑ Rough-in/cover O.K. q O.K. to connect service hIV`IaJ'y"��, Final O.K. El PERMIT NO.--Q,/C%J DATE 1.2-1171370 El READY FOR El WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone 73 k4j 7. s Ke1J 7. sKw Sq. Ft yOverhead ❑ Underground Voltage Z70�40 X10 Ll 3z Service size e'60 Amps ❑ Temporary 19,490 r�+.s ")atA Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: PermitlReceipt No. //8 (E_ 1 0903 Installer: / �- `� New Meters Date: Notify the 4epartment of City Light by Street Address and Permit Number when ready form pec ion. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspecto ' Writing on the Wiring Report or the Building Permit. PHONE 457.04.1111, EXT. 158 or EXT. 224. Ins /rte NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT bC�� Inspector /r Amount paid WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom. Customer GREEN —Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16709 Port Angeles, Washington -------- —/t' --------I 19�.'_._1_-I In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. C: AddreAddress r ss -------=---- r-.��'--- - ` '------------------ ---------_---------------- Occupancy ---------------------------- ------------------ Owner ------XlR.rt^�.................a Tenant - ....----------- - WinngContractor---(--"-� --=--- •----'�--...._: -�------.........v R------------------------------------------------------------------- Light Outlets ................................... _..... Service, volts � ----------------------------- Type of Wiring: Receptacle Outlets -------------------- .......... No. wires ............._.._......._ .......... Armored Cable ............................. Dryer. KW ..................................... Size wires ................................... Non -Metallic .-............................... Knob & Tube ................................. Range, KW ....___...._.__. Main fuse ....................................... Rigid Conduit ............................... Water Heater: Enclosure ....................................... Metallic Tubing ....................... _.. IiW..._._.....................:_.___.._.h ^Type of wiring: Raceway ....................... ....... _.__._ 7 �r G a p 'r ntrance Cable ....._...._.._............ Heat: KW ..... ....c.............._L.�......_.z. -..._ Circuits, Light.....-......-- Motors: size, volts and phase: Rigid Conduit ............................... Utility ........................................... ........................................................... Metallic Tubing ........................... Heat ............................................. Current transformers: Range ._.......------ -......_.._............ .......................................................... No. & Size ....................................... Water Heater ............................... .........................................................- Ser. No ----------- Motor ............................................. ........................................................... ,Ser. No..............................................Dryer ---------------------------------------------- __ .........................................................- Furnace ................................. Ser. No .............................................. TotalLoad ----------------------------- Ser. No.............................................. Total ....................................... Remarks :e`.s- '- ------------------------------------------------------------...---------------------------------- Permit Fee Tress. Receipt 1 f A / $ -------------------------------------- No ............................. B ,: . i . �. " •4 , By -----'--------- i. - ....._. -- _ `'--------- r NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Address Owner ELECTRICAL PERMIT N° 16709 Date..................................................... Tenant.................................................................... Wiing�ontractor.......................................................................................................................... By .............................................................. %ICE ---Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Dat- '9 —/D —CS Timp Received by (phone, person) Location of Work to be inspected 1 I ri C- Name of person requesting inspections 146 Goons Address of person requesting inspection Phone No. Y&O - 5753 Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other r=. Fm - 5jw eic INSPECTION NOTES: Arty -0—'^S ,1C Inspected: Date -i l - o S Time 10.'30 p� By IN` Remarks: 500ut5 C V7 CCNV SEwe'e- r 6 .95 \O rE".I l°.IJ w.0) Cc J-'+ RESTORATION REQUIRED ...... YES NO—,/K-- SURFACE OS_ SURFACE RESTORATION: SURFACETYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑ Repaired by City ❑ Repaired by Permittee ❑ No Damage Found Work Order # ❑ COMPLETE ❑ INCOMPLETE ❑ Other (Continue on reverse side if nerpssarvl 11,.11r ..-..- 1-11, (6/2/2009) Trenia Funston - 118 E 8th St San or Storm sewer? _ Page 1 From: Annette Owens To: Jeff Young Date: 6/2/2009 1:47 PM Subject: 118 E 8th St San. or Storm sewer? CC: Jay Divelbiss; Roger Vess Jeff, Roger and I worked with Gary's Plumbing, trying to figure out where the sewer went, since it goes out to the North, where there is no San. sewer. We were able to ascertain that it doesn't go to the 8/9 alley, where I'd suspected it tied into, as the UPS store leaves their building and heads South to the 8/9 alley (see City maps). The building at 118 E. 8th was without water when we were doing this testing as Gary's Plumbing was replacing their water line. The owner or person in charge of the business off of Lincoln St. that Gary's Plumbing had their hose hooked up to came out soon after we finished the initial testing and told him they didn't want him to continue to use their businesses water hose bib. As opposed to having any issue, Roger and I have decided to return to the site when Brian with Gary's Plumbing has the waterline replaced to 118 E. 8th St. At that time we can use their water to dye test and make sure their sewer f rom their toilet, etc. goes to City sanitary sewer. Thanks for your support, if you have any questions or comments on this subject, please let me know. Annette K. Owens Source Control Coordinator City of Port Angeles 360.417.4893 phone 360.417.0591 fax aowens@cityofpa.us US/ b/ZU14 IU:46 N'Ai JbU 4bZ UZtib Ang01e5 Eleotxlc Wj 0001/0001 AUG 18 2014 CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division/Electrical Inspections 321 East Fifth Street —P.O. Boa 1150 /Port Angeles Washington, 98362 Ph: (360) 41747�3�5 Fax: (360) 4174711 Date:. �/' _"Multl•Family, or Commercial" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Squara-Foolage: Description of aboys Owner1riffQ�mnation Ytrvin:'S4, ! ' 1,4 ir4 � Name: +y: S Mailing Add �g�s v/ b 4r— State: Zips City: Stale: IM 1p: Y& civ. i",' Z Phone: Far 6L �/fi C►93 License.#! Exp. �f y I,illtit ch faa ServioelFeeder.200 Amp. $132.00 ServicelFeeder 201400 Amp. $160.00 ServicelFeeder 401-600 Amp $ 225.00 SeMoafFWer 601-1000 Amp. $ 288.00 ServicelFeeder over 1000 Amp, $ 410.00 Branch Circuit WI Service Feeder $ 5.00 Branch Cirouil W/O Service Feeder $ 74.00 Each Additional Branch circuit $ 5.00 Branch Circuits 1.4 $ 86.00 Temp. Senrical Feeder 200 Amp. $102.00 Temp. Service/Feeder 201400 Amp. $121.00 Temp, ServicelFeeder 401-600 Amp. $164.00 Temp. ServirxlFeeder 801-1000 Amp . $185.00 Poral to Portal Hourly $ 96.00 SignlOutllne Lighting $ 86.00 SignalCircuittLimitedEnergy– Muhl -Family $ 64.00 Signal Cimuh! Limited Energy 1 First 1500 sf – Commercial $ 96.00 Note: $5.00 for each additional 1500 of Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 Note: $5.00 for each additional T-Stat Contract r Information Name; Mailing Vm8s: ;�fTotal 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; rentor lease. Permit expires after six months of last inspection. After reading the above statement, I hereby cerCdy that i am the owner of the above named property or a licensed electrical contractor. I -am making the elecUicai installation or alteration in complianoe with the electrical laws, N.E.C., RCW. Chapter 1918, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications. Signaturo of owner, electrical contractor or electrical administrator: ❑ cash ❑ tired* f 09_60 11 card: �•✓ �"/�•� x��+� _- Octad:I '� 011101012 r S City State: Zips Phone: –� Fax License # l Eft, 6L �/fi C►93 Qty Total i0y N hiolted by Unit Chao) 5 S $ 5 5 s� $ $ $ $ i s s S ;�fTotal 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; rentor lease. Permit expires after six months of last inspection. After reading the above statement, I hereby cerCdy that i am the owner of the above named property or a licensed electrical contractor. I -am making the elecUicai installation or alteration in complianoe with the electrical laws, N.E.C., RCW. Chapter 1918, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications. Signaturo of owner, electrical contractor or electrical administrator: ❑ cash ❑ tired* f 09_60 11 card: �•✓ �"/�•� x��+� _- Octad:I '� 011101012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000985 Date 8/19/14 Application pin numher . . , 114580 Property Address , , , . , . 118 E 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -6808 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . , , , Property Use Property zoning . . . . . COMMUNITY SHOPPING DISTR Application valuation . . , . 0 _..__-__---__--__------------------------------.._-_--_-__-__----------------- Applicataon desc Waitin4 area and office remodel ---------------------------------------------------------------------------- Owner Contractor PENINSULA COMM MENTAL HLTH CTR ANGELES ELECTRIC 118 E 8TH ST 524 E. IST ST, PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 452-9264 --------------------------------------------------------------------------- Permit , , . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee 00 Tssue Date 8/19/14 Valuation 0 Expiration Pate 2/15/15 Qty Unit Charge Per Extension BASE EEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check. Total Oa DO 00 .00 Grand Total B6.00 B6. DO 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��r �i q' FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGOBU1LDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00001323 Aare 10/30/14 Application pin number , , , 961535 Property Address . . . . , . 11.8 E 8TH ST ASSESSOR PARCEL NUMBL"R; 06 -30 -00 -0 -2 -6808 -0000 - Application type description ELECTRICAL ONLY Subdivision Name , . . . . . Property Use Property 40ning . , , , . , . COMMUNITY SHOPPING DISTR Application valuation , . , . 0 ----------------------------------------------------------------------__ Application desc Camera Sux'veillanae ---------------------------------------------------------------------------- Owner Contractor PENINSULA CCMM MENTAL HLTH CTR HI TECH SECURITY INC 118 E 8TH ST 723 E FRONT ST PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 452-2727 ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL ALTER. COMMERCIAL Additional desc . . Permit Fee 96.00 Plan Check Fee 00 Issue Date 10/30/14 Valuation . . . , 0 Expiration Date 4/28/15 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 I DATE: RESULTS: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCIANGEISUILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) iu Date: X_ CITY Y O 't.�1w'.ANGE1.,,ES PERMIT APPLICATION f3ttilding DivislorVulketrical Inspections 321 East Fifth Street --11.0. Box 11501 Port Angeles WastLington, 98.162 flu.060) 41747,15 Fax: (360) 4174711 Date: 10-28-14 Mufti -Family or Commercial* REC E I V E 1) Page 1 of 1 OCT 9 2014. ' "Plan Review May Be Required, Please Complete ElooVical Pian Review Information Sheet Job Address: _U8 Ea!a tti__ _........ _..__._..._ ._..._ .. _ .. BUM00 Sere Footi�p; Desaipten of eve „ fra t tLa tr o s r tl . uru ttl n o..sy l as Owner tnformatln n harm: ±ArriaswdjBahaviorml.H iE th t firgAd&ew J.J5.8th M .. . Qtt(: NAAttw�tl s _ State: '1 ._.y..�.._.e..--- em.e9fExp. Contractor Information Ata&QAcWres , 723 Eoiit Front at._._�. ynrE�ol Pt e: 452' . Fax; Uce e#IExp, HITS(;TUM3S it,_ m_ Unlit Charde Total f0ty ft U1031fed try unit Charciat SerkgM Feedur200AMp, $1.3204 $_..._........ _,,.._.,.� Server"Feer 201- Amp, $ 1604.__._.. SeiybqlFeqsdar401W600 Amp $ 225,00 SaMWFeeder60-1000 limp. $288.00 $ Serva/Fe� r ods 1000 Asap. $410.00 l; Brad,) 0=4)iy(Service reader $ 5 ftidh CkuVAIM Septi€ Feeder $ 74DO EacliAddltonnlWanchCkcuil $ 590 Brandt awaits 1-4 $ 8800 Tqmp.:S.,rVxa1. Feeter200 Amp., $102.00 Temp. Swvtef4eclat201-400 Amp, $12100 TerV,.5er fFekiet0l-600 Amp, $ 16400 � ti Teri1 S vkalNwlar601.1000 Amp . $ 18 A4 purw bPorw lttjty 9600 . _................_ S nti all ie if t3ting $ B&N. $ Si rm3 C t3lf Urtled Emig - hUH- atni $ 64,00 Sl mil kw?lf LWlod Erma y f R t 1 X0 sf . t omnierddl $ 96.00 Note: $5,00 rot each ndd Ibnal 1500 M RwewaA Deftoal Eriefgy - 5KVA4 System or i $ 113411 Tiii�m)mlat $ 5600 tale: 5.5.00 ra earl: addilbnal T -S tat 96.00 %fal Ovineir as t fir d by ROW,19,28. 1: (.1) owriorwiit occupy tN StrLWtUra for two years aftertis eloctrlcal pirmlt is ilr t.ix . (2) Owner isregi iTi +d 'to hire ars 41actrital walractor if above said property is for:salle, rentor lease. Permit expires after six r o.gths of test inspection. After reacfrig the above sta tement,1 herets/ cert€f� that I am the ovtr& r of the abate nand proporbI o r a livens e e&k- I cantractcr> t arm making l� tPlac:trkat installation or.alteration in compliance valith thteelactri l lakws,) ,E,C„.til J, Chapter 1 ,28, WAC, Chapter .296-466, T'te City 0f Prart ,Angeles, Munlcfpaf Com, and utility Specificatbns and PAMC 14.05,050 rWar0ing Etactdcal Persalt Appilcatio.n. Signature of owner,electrlcal contractor or etectricaladminis:trator. 0 Casty 0 CixtN X Mike Shirley .�m10-28-14 OVOUM2 littp ://www.pdfes cap e. c om/open/RadPdf. axd?rt=c &dk=03 B B C 1 CDDVT]KU7U I U3 6XYN UF... 10/28/2014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , , . . 15-00001197 Date 9/28/15 Application pin number . . , 867674 Property Address 116 E 8T2 ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -6808 -0000 - Application type description ELECTRICAL ONLX Subdivision Name . . . . . . Property Use , . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor PENINSULA COMM MENIAL HL,TH CTR ATL WEATHER HTG & COOLING INC 11B F 8TH ST 302 KEMP ST PORT ANGELES WA 983626129 PORT ANGELES WA 98362 (360) 4S2-9813 -5177 ---------------------------------------------------------------------------- Permit . . . , , , ELECTRICAL, ALTER COMMERCIAL Additional desc , . Permit Fee 112.00 Plan Check, Fee 00 Issue Date 9/28/15 Valuation . . . . 0 Expiration Date 3/26/16 Qty Unit Charge Per Extension 2.00 56,0000 ECH EL-LVT-THERMOSTAT 112,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- -------------------- ------ -- ---------- Permit Fee Total 112.00 112,00 .00 .00 Plan Check Total 00 DO 00 00 Grand Total 112,00 112.00 00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL DATE: RESULTS; s COMMENTS: i PERMIT WILL EXPIRE SIX (6) MONTHS FROM VAST INSPECTION REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: I l 1 1 l Signature of owner or Electdcal Contractor X Date: G:IEXC IANGEIBUILDING 09/22/2015 03:12 13604525177 0,06, P'k.e y-` ly- lu3 ALL WEATHER HEATING CTTY OF PORT ANGELES PERMIT A.PrLICATION Building p4vision/)Electrical Inspections 3.1. East 1Fifth Street — F.O. Box 11,501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax. (360) 41.7-471.1. Date: 9/22115 PAGE 02/03 x multi -Family or Commercialft SEP Ly 20M DIC l;WFtL INS'? t" (d, i 10rljt Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Addross; 119 E %111-S_tn°Pt Building Square Footage; - - - - i)escr pton of above in 112 haat puma systems Note: $5.00 for each addilional T-Stat $ 112.00 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 296.465, The City of Port Angeles Municipal Code, and Utility Specifications and PAMG 14,05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator Cl Cash CI Chock Q Crnd{t Card O - x '�/,/��/ �� ,,,,,Dated; 9122i7.5 011DW2012 t FnAr' Contractor Information Owner Information Infor Inforula Nama: Woatfie a In &,Coollna, Inn. Name: Behavioral hleaRh Mailing Address: 1 t8 East 8th Streat Mailing Address: rt1p ga352 City, Par] Angeles Stats: WA Zip; 98362 a �I�1_ Zip! , _ City, �ar�ogel9S....-- Stafe;te: Fax; q8f) 4,5ZW7 _ Phone,3Q457.6431 _ _Fac — Phono, 981% License # I Expp�ptP1NM9G3MU --91�F License 0I Exp. Unit Chargee f�yt Total (sty MultipUnit Charge) Item ServicelFeeder 200 Amp, $13200 $ % Service/Feeder 201-400 Amp, $ 460.00 - ServicelFeeder 401.600 Amp $ 225.00 $- Servico/Feeder 601-1000 Amp $ 298.00 Service)Feedor over 1000 Amp. $ 410,00 $ Branch Circuit WI Service Feedor $ 500 $ Branch Circuit W!0 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5,00 - Branch Circuits 1-4 $ 66,00 $ Tamp. Service! Feeder 200 Amp. $102.00 $ Temp, ServicelFeeder 204-400 Amp, $121.00 $ Temp, ServicelFeeder 401-600 Amp, $164.00 - - Temp, ServicelFoeder 601-1000 Amp, $16s.00 $ Portal to Portal Hourly $ 96,00 -- SignlOuttine Lighting $ 88.00 - $ Signal Circuit/ Limited Energy - Multi -Family $ 64.00 $ Signal Circuit! Limited Energy I First 1500 sf - Commercial $ 96,00 Note; $5,00 far each addltlonal 1500 sf $ Renewable Electrical Energy - 5KVA System or I,ess $113,00 $ 56,00 $'--jJ2 00 Thermostat Note: $5.00 for each addilional T-Stat $ 112.00 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 296.465, The City of Port Angeles Municipal Code, and Utility Specifications and PAMG 14,05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator Cl Cash CI Chock Q Crnd{t Card O - x '�/,/��/ �� ,,,,,Dated; 9122i7.5 011DW2012 t FnAr' INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH I SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X . . .......... Date: G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 16-00000762 Date 5/26/16 -Q Application Fin FlUmber . . . 087772 Property Address , . 118 E 8TH ST REPORT SALES ASSESSOR PARCEL NUMBSR� 06-30-00-0-2-680B-0000- T" Application type description ELECTRICAL ONLY on your excise tax form SUbdivision Name to the City of Port Angeles Property Uqe Property Zoning . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation Appiication de-sc security cametas Owner C Q n t.].,., a C t 0.1. - PENINSULA COMM MENTAL HLTH CTR HI TECH SP.,CURJTY INC 11.8 E 8TH ST 723 E FRONT ST PORT ANGI?LES WA 983626129 PORT ANGELES WA 98362 (360) 452-2727 Pe t --mi t ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 96.00 Plan Check Fee 00 Issue Date 16 Valuation 0 Expitation Oat( 11/22/16 Qty Ai t Charge. Per Extension 'I . 00 96.0000 I.X11 El, LIMITED 1ST 1500 SQ FT 96.00 Fee 'summary Charged Paid credited Due Pe.v.mit Fee Total 96.00 96.00 .00 .00 Plan ChecN� Total 00 .00 .00 .00 Grand Total. 96.00 96.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH I SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X . . .......... Date: G:\EXCHANGE\BUILDING Page I of I Ia�aripin ��t � CITY OF PORT ANGELES PERNIIT APPLICATION II Building Division/Electrical Inspections 11 . .. .. .. .. .. 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: 5/25116 X Multi -Family or Commercial' ' Plan Review May Be Required, Please Comiplete Electrical Plan Review information Sheet Jot) Address: 118 East 8th 8,joj rq scioafi", Famaqe� Add two mjWdtIfs stj I vo illU I l"'e, ca 1111ow s t,u exlsfilll�i systenrl. Ownerlinformal N,yne: —PonLDaLAa-f-vvtoral..Be.altb 712`1� Fronil �,;11: C Jy' Porl! N'lc elles Stale: WA 2,11jjl� LINN, NO, An elob Smli�: WA zg 9BS62 etN$5 7 4,3 1 F a, 9 IU� UWU 4 2 72 7 Fax Vu' v ell ill F;1� 1� ll::::: x 11), HI MO. .... ... ..... Ul ar e 11 11 -h_ � sw jy_ll T hqrge) Souce-Feeder 200 Amp. 132DO Sprviceff'eedpr 2014N Amp. $ 160DO S Se roceflFe-1 .40 1 -600 Anip b 225!30 S SewiceflFeedpr 601-1000 Amp. $288.00 $ ServicO:'A.edefover IWO Amp, S410.00 $ Branch Q nn.b d * Service Fp8der S 5.00 Btanct Cil VU0 Sepore. Fel 74.00 Each kfiJil Bral Gl4cil 5 Ho 8 ra ndCi rco Is 1-4 86,00 Te ml Feede r 2W Amp. 5 10.2 .00 Temp. Servo' Fey.Pir 201-400 Arrip, $ 121 DO C, Temp, S+.sivce/Feedef 401-600 Arl 5164,00 Tell S&vr�efFeeAer601-1000 Amp , 18 5.00 Portal Ill Po(tal 1.401.0y 96.00 S+qril Ughbrig SV@nai Corual Limiki Energy Mute-Famihj 5 64 DO Sig na I C imu V L mated El 1 Firm.. 154.10 sf - 4mmemal 5 96,00 1 5 9 tli, 99 M.ite: $5 00 for each akikinal 1500 sf R-nevivabile Eleawal Energy - 50A. System or L mms g 110.00 Thermasl.M 56,00 MAP-: $5.00 ru each ailedil.lonai T -Slat $ 96,0() Total Owner as defined by RCW,19.28.261: (1) Ow Twill occupy the structure for two years after this electrical perl is f (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. V. RNMOMMIMI-M =_=_l' the electrical installation or afteration in compliance wilm [he electrical laws, il AUVV. Uhapter I 9.26,-AVAU, Uhapter Z9l I he Ufty of Fort Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrilical administrator E Cath E: Check [T� Credl on -file X Mike Shirley D,Aed: 5125;16 ril https:llwww.pdfescape.com/openlRadPdf.axd?rt=c&dk=060A9CECucWV3rf5H8D-Atnbhycr4... 5/25/2016