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120 W 8th St - Building
Aug 13 2013 C822AM Olympic Electric Co,, Inc 3604523498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 l Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 ✓Q Multl•Family or Commercial' page 1 01: VOR7�t. V" *Plan Review May Be Re rePlease Complete Electrical Plan Review Information Sheet Job Address: ?.12111:1 !. A Building Square Footage: Description of above lra�t�,/ Owner Informationr Contractor Information r ' �/ Name: r��� Name: OLYMPIC ELSGTRIC Mailing Address / 97-t Mailing Address: 42307UMWATEli City: State:4Zip: 244:<9 City: PORTArrGeLES State: WA Zip: �eM3 Phone: r!5-"y-/'K/L/'Fax: Phone: 380467-633s FBS: asaasz3aea License ! Exp, License # 1 Exp aLrMP�csesoi Item Unit Charge(�. yt Total (t3ty Multiolied by Unit Charae) Service/Feeder 200 Amp. $13200 $ Service/Feeder 201400 Amp, $16000 $ Service/Feeder 401-600 Amp $225,00 $ Service/Feeder 601-t 000 Amp. $ 288 00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W! Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 Q Branch Circuits 1.4 $ 86.00 $ Temp Service! Feeder 200 Amp. $102.00 $ Temp ServicelFeeder 201.400 Amp, $121.00 $ Temp, Servicelreeder 401.500 Amp $164.00 $ Tamp. ServicefFeeder 601.1000 Amp . $165.00 $ Portal to Portal Hourly $ 96.00 $ 7t-/ SignlOulline Lighting $ 88,00 $ Signal Circuifl Limited Energy— Multl-Family $ 154,100 $ Signal Circuit! Limned Energy First 1500 sf — Commercial $ 96.00 $ Nate: 55.00 for each add'rional 150D sf Renewable Eiectrical Energy - 5KVA System or Less $113,00 $ Thermostat $ 5600 $ Note: $5.00 for each add'tlonal T-Stat a ' Total ;$ ,f� Owner as defined by RCIN,19,28.261: (1) Owner will occupy the 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 safe, 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 narned property or a licensed eleciricai contractor. I ant making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19-28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: o Cash 0 Check I! Credit Card # ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-D0000913 Date 8/14/13 Application pin number . . . 370241 Property Address . . . . . . 120 W 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -6718 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . Property Zoning . . , . . . . COMMUNITY SHOPPING DTSTR Application valuation . . . . 0 ------------------------------- .------------------------------------------- Application. desc Portal / Portal ---------------------.._____-__---------------------------__---------------- Owner Contractor WESTERN WASHINGTON CORP OF OLYMPIC ELECTRIC CO INC SEVENTH DAY ADVENTTSTS 4230 TOMWATER 32229 WEYERHAEUSER WAY SOUTH PORT ANGELES WA 98363 FEDERAL WAY WA 980019347 (360) 457-5303 (360) 808-1400 ---------------------------------------------------------------------------- Permit . . , , . . ELECTRICAL ALTER COMMERCIAL Additional desc . . HOURLY , GROUNDING FOR SERVICE Permit Fee . . . . 96.00 Plan Check Fee 00 Issue Date , , . . 8/13/13 Valuation . . . . 0 Expiration Date . , 2/10/14 Qty Unit Charge Per Extension 3ASE FEE 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 SERVICE ROUGH -IN FINAL COMMENTS: i DATE: RESULTS: 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) INSPECTOR: Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING M5 11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . • . 13--00000913 pate 8%14/13 Application pin number 370241 Property Address . . • . • . 120 W 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -6718 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . • • . Property Use Property Zoning • • . • . . • COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Portal / Portal Owner Contractor WESTERN WASHINGTON CORP OF OLYMPIC ELECTRIC CO INC SEVENTH DAY ADVENTISTS 4230 TUMWATER 32229 WEYERHAEUSER WAY SOUTH PORT ANGELES WA 98363 FEDERAL WAY WA 980019347 (360) 457-5303 (360) 808-1400 ------------------------------------------------------------------ Permit • . . . ELECTRICAL ALTER COMMERCIAL Additional desc HOURLY , GROUNDING FOR SERVICE Permit Fee 96.00 Plan Check Fee .00 Issue Date 8/13/13 Valuation • . . . 0 Expiration Date 2/10/14 Qty Unit Charge Per Extension SASE FEE 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 o0 .00 Plan Check Total .00 .00 •00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCHANGEIIWILDWO RESULTS: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Date: Nol-th Peninsula Electric 928-9409 p'1 RECEIVED' CITY OF PORT ANGELES PERMIT AFFUCK)ITON SEP Building DivisionMectrical Inspections 321 East Fifth Street — P.O.Box 1150 f PortAngeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 4174711 Date: -7 - L3 -1 & 2 Single Family Dwelling Pian Review Lby Be Required, Pie4se CV Ile Re&'Gal Plan Review Infos-afion Sheet Job Address BufAing Squats Foolage: Description of dmp Comm Inf Contractor Info an Name; 04 A - Tl ' V—" *Y �)I' Mahing n� —�L� Mailing A .-F �� Y--- Ci State: SUft4 atll 7JP: a —��Z'% FarFw,- GYTI) : Icense # I Exp. item Unit Charge t f Total (QW Multiplied by Unit Charge) 8arAQeiFeeder2G0Arm. $124.00 $ ServiceiFeader 201409 Arris. $146.00 Ser Ace;Feeder 401-649 krip $205.00 8aiviWFeeder 601 -IDDO Amp. $262.00 Servica Feeder over IOW Amp. $373.00 8 ranch Circi* VVI Service Feeder $ 5.00 Branch C"t W10 Service Feeder $ 63.00 Each Adoiganal Branch Circuit S M $ Branch Circus IA $ 75.00 jq) Temp. Servicel Feeder 200 Arg. Temp. SeivioefFeeder 201-41W Anrp, Temp. ServioeJFeeder 401-6W Aap- 1;149.00 Temp, Ser AcefFeWer601-1000Amp - S166.00 Porta! to Flonal Hourly t 96.00 S Signal Circuit/ Urniled Energy -1 & 2 Fan ily Dweiiing $ 64.00 S Manufactured Home Connection $1200 $ Renewable Elacbim Energy - WVA Systerr. or Less $102.40 S Themosm S 5U0 S Note* 55.00foreach additional T-Stat NEW CONSTRUCTION ONLr- First 130O Square Ft. $129.00 Each Aijdfionat SW Squa-e FL or Porten of $ 40.0 Each Oulbuildirtg, or Detached Garage $ 74.00 Each Swimming Pod or Hot Tub .;`I Total Z— Oviner as defined by RCIN.19.28251: (1) Owner Will occupy the strum ire for ivofears alter this electrical pertift is finalized. (2) Ownerisrequired to hire an electrical contractor it above Said property is for sale, rentor lease. Pen -nit expires after six months of last inspection, After reading the aloove statement, I hereby certify that I am the owner of t; le above named property or a licensed electrical corl I am rnWrig the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCVV. Chapter 19.28, WAC. Chapter 29646B, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05,050 regarding FJ ectrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 Dzh 0 Check a--i�—redt Ca#d # r—)/) - , b- a—I, -? 011010612 Pxted: _'o ELECTRICAL ,PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00001036 Date 9/12/13 Application pin number . . . 604360 Property Address . . . . . . 120 W 8TH ST ASSESSOR PARCEL NUMBLR: 06-3p-40-0-2'-6718-0000 Application type description ELECTRICAL ONLY Subdivision Name . . , . . . Property Use Property Zoning . . . , . . . COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor WESTERN WASHINGTON CORP OF NORTH PENINSULA ELECTRIC SEVENTH DAY ADVENTISTS 761 FRESHWATER PARK RD 32229 WEYERHAEUSER WAY SOUTH PORT ANGELES WA 98363 FEDERAL WAY WA 980019347 (366) 477-1764 (360) 808-1400 ---------------------------------------- ---------------__-___----_--------- Permit . . . . . . ELECTRICAL TEMPORARY SERVICE Additional desc . Permit Fee . . . . 102.00 Plan Check Fee ,00 Issue Date . . . , 9/12/13 Valuation 0 Expiration Date , 3/11/14 Qty Unit Charge Per Extension BASE FEE 102,00 -_------------------------------------------------------------------------ - Fee summary Charged Paid Credited Due Permit Fee Total 102.00 102,00 .00 00 Plan Check Total .00 00 .00 .60 Grand Total 102.00 102,00 00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH a SERVICE ROUGH -IN FINAL I COMMENTS: PERMIT WILL EXPRE SIX (6) MONT14S FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:T-MIANGRBUILDING Date: 1. 0 °Fp°R'A",F ELECTRICAL INSPECTION WIRING REPORT KS h 417-4735 �R DA3:,' 61 y 1 I PERMIT _O I INSPECTOR OWNER r) 2 S -11 - CONTRACTOR 1CONTRACTOR DL.v ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL CORRECTIONS NEEDED: :I - TJ Olh 0-k V ST Bm- ACs�S l f� Lam_ W 1 r�"i-E i�► �T TZ����L L -n t VJ- Kcr- 314f NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000195 Date 3/07/11 Application pin number 844530 Property Address 120 W 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6716 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 1 circuit repair Owner Contractor FIRST CHURCH OF CHRIST SCIENTI OLYMPIC ELECTRIC CO INC 210 MASSACHUSETTS AVE 4230 TUMWATER BOSTON MA 02115 PORT ANGELES WA 98363 (360) 457 53032 3�gLZ Q Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 182113 Permit Fee 73 50 Plan Check Fee 00 Issue Date 3/07/11 Valuation 0 Expiration Date 9/03/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 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 Date: G•\EXCHANGE\BUILDING PREPARED 3/04/11 8 12 45 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/04/11 ADDRESS 120 W 8TH ST SUBDIV TENANT NBR FIRST CHURCH OF CHRIST CONTRACTOR LOU S CREW PHONE (360) 808 0304 OWNER FIRST CHURCH OF CHRIST SCIENTI PHONE PARCEL 06 30 00 0 2 6716 0000 APPL NUMBER 11 00000108 COMM REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 3/04/11LL BLDG FRAMING TIME 01 00 March 3 2011 1 28 50 PM 1pangrle V LOU 808 0304 FRAMING AFTERNOON COMMENTS AND NOTES C 03/04/2011 08 54 FAX 360 452 3498 City of Pon Angeles Permit Application Building DlvlslonlElectrical Incpecdons 321 Ea@t Fifth Street -P.O. Box 1150 Port Angeles Washington, 96362 Ph: (390)417.4735 Fax: 1360) 4174711 Date: 1 & 2 Single Family Dwelling Multi-Famlly or Commercial" ✓Commercial Addftlon / Alteration I Remodel 1 Repair Olympic Electric Co MAR - 4 2011 ELECTRICAL INSPECTIONS + PA CITY INSPECT 16001/001 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: —142-A/11 Building Square Footage: �L�G�LCElI� Description of above.y':2� Owner Informallon Conlractor Informal Name: f nf-CI%�-h r Name: Mailing Address; lam/! ii f Melling, d ,y City' State: l�Z ZIP' IAr?X 2 City; , Stale: Zip; Phone: Fax: Phone 'r Fax: Ucense # / Exp. License 1 Exp. Unit Chords g(y Total 10ty Multinlled by Unit Cheroel, $119.90 S Service/Feeder 200 Amp. $145.50 $ Service/Feeder 201.400 Amp, $ 204.60 $ SeMcefFeeder 401-600 Amp. $ 262.20 $ Servlce/Feader 601.1000 Amp. $ 372.50 $ Service/Feeder over 1000 Amp, $ 2.60 $ Branch Circuit WI Service Feeder $ 73.50 �_ S W. L Branch Chcult WIO Service Feeder $ 2.60 $ Each Addltionel Branch Circuit $ 82.70 $ Temp. Servicel Feeder 200 Amp. S 110.30 $ Temp, Service/Feeder 201400 Amp, $148.70 S Temp. Service/Feeder 401.600 Amp, $107.80 S Temp. Service/Feeder 601-1000 Amp. $ 95.90 S Ponal to Panel Hourly $ 8820 S Sign/Outline Lighting $ 95.90 S Signal ClrculU Limned Energy- Commercial. Additional 1500 $5.00 $ 5190 5 Signal Clrcultl Limited Energy 1 8 2 Family Dwelling $ 83.90 S Signal Clrcultl Limned Energy MuIINFamlly Dwelling $119.90 $ Manufacwred Home Connection $102.30 S Renewable Electrical Energy 5KVA System or Less $110.30 $ First 1300 Square Ft. $ 35.20 $ Each Additional 500 Square FL or Portion or $ 73.50 _ _ , $ Each Oulbuilding or Detached Garage $ 110.30 $ Each Swimming Pool or Hol Tub S 56.00 $ Thermostat $�7_Z- O=Total ,F s Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit i6 finaliled. (2) Owner Is required to hire an electrical contractor if @Dove said properly Is for Selo, rent or lasso. Permit expires after eDr months of lest Inspection. After reading the above statement, I hereby certify that I em the owner at the above named property ora licensed electrical contractor. I am making the electrlceI installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.469, The City of Port Angeles Municipal Code, and Utility Speelflestlone. Signature of owner, electrical contractor or elecMcal adminletrstor ❑ check 5 -S ya ._719'I/ Crsdit Card 0 ❑ Cosh Gary R. Colley Stephen C. Moriarty David H. ,Neupert 'Patrick M. Irwin Simon.B"arnhart Christopher J Riffle (Also licensed in Nebraska and Iowa) Stephen.E..Oliver-.Of,�Counsel , Bart G Irwin (Retired) Frank B. Platt (1926-2009) Stanley A. Taylor (1911 2001) r February'25, 20.11 J Sue Robefds Planning Mandger Community and Economic Development PO -Box 1150 Port Angeles,, WA 98362 U Zoning Lot Covenant First Church .of Christ, .Scientist, 120 W Eighth St. Dear Sue N 9 Sequim Office -495 West Alder Street (360) 681 5000 1 "Port.Townsend Office s 91.4' Washin ton Street (360T385-4399 Pleas_ e address all mail to the Port Angeles Office QU'HYE D MAR - 12011 CITYOFPORTANGELCS ,Dept. of Community Development With regard, to First- Church of Christ, Scieritist's'building permit application enclosed please find a copy of the recorded Zoning Lot Covenan'tfor the property located 120 W Eighth Street.,, _f . Please contact me if you have any question'sor if any additional documents are•needed. Y Very truly yours, - GRC •tkd Enclosure cc Tina.8ammers PLATTVIN LAW FIRM 0 I r 2011-1263244 When recorded return to Page 1 of 1 Protot Covenant Platt Irwin Law Firm � ZY COQ � Clallam� County Washington 02/24/2011 03 36 09 ;M 403 SO PEABODY o 00 PORT ANGELES, TSTA 90362 ' V ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property - (insert legal description, address if available, and Assessor s Parcel IV n ber) //- 'PV d/- cnc/ AV` 7rLA//-)—,/-/ 57-e0<6 //z rec��af C�ffd/ 7 Township of Port Angeles, situate in Clallam County, Washington do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 130 "T of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58 17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No 2222, as amended) This covenant shall be binding on the owner(s) heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office This covenant is for the mutual benefit of said owner(s) heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of anv damages resulting from non compliance DATED this 1��`day of FA -b -y" 20 ff Print Name —96P �.(i%l � �- - l7 � I �� Print Name (Owner Signature) 3 (Owner Signature) ip--ihe rtr5f Cal c h oS C1,1V- s ) 5c��rL7 Phone Phone �en�rncrl rm�'ertLth, L 1 V IL1.ScCT9 hLi ss COUNTY OF 9;,AT=bA:A4 5LLPPM-L )C�> r Q. i�Ctrl�'�1i:vLLt,t?Ci. /,4�wi65CiC1Zii,1eXD C—q6 I. J� 4Q a-VYLVY-4, kA) Notary Public in and for the S o hereby certify that on this�1 day of Ft' -Ut n . 20J, personally appeared before me ct�0t✓l>a,l L L1fiC")/ known to me to be the individual(k) described in and who executed the within instrument and acknowledged that signed the same as 6L- free and voluntary act and deed for the purposes herein mentioned. GIVEN UNDER MY HAND AND OFFICIAL SEAL this15 day of rhe- hUW `L _ 20 1 r IM HAMMM Notary COMMONWEAL l�iC Myr April 4, 20.14 NOTARY PUBLIC in and for the 9$f Lcr rt��2c .'CLC% �� �I�IGl�G1C1'yLL1F,1,•1,_'3 C�i, N O WS I CITY OF PORT ANGELES to"1``� 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 00000108 Date 2/22/11 725832 120 W 8TH ST 06 30 00 0 2 6716 0000 FIRST CHURCH OF CHRIST COMM P94AI REPAIR COMMUNITY SHOPPING DISTR 3542 Application desc RE FRAME/RE ROOF 112 SQ FT PORCH COVERING Owner Contractor FIRST CHURCH OF CHRIST SCIENTI LOU S CREW 210 MASSACHUSETTS AVE 209 ORCAS AVE BOSTON MA 02115 PORT ANGELES WA 98362 (360) 808 0304 Structure Information 000 000 RE FRAME/RE ROOF PORCH CVRNG Permit BUILDING PERMIT COMMERCIAL Additional desc RE FRAME/RE ROOF PORCH CVRNG Permit pin number 181099 Permit Fee 123 75 Plan Check Fee 80 44 Issue Date 2/22/11 Valuation 3542 Expiration Date 8/21/11 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL 2001 25K (14 PER K) 28 00 Special Notes and Comments February 9 2011 9 03 52 AM 1pangrle A ZONING LOT COVENANT IS NEEDED TO TIE TOGETHER THE TWO PARCELS THAT THE BUILDING SITS ON RECORD THE DOCUMENT AT THE COUNTY AND SUBMIT A RECORDED COPY TO THE CITY OF PORT ANGELES BUILDING PERMIT TECHNICIAN Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 80 44 80 44 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 208 69 208 69 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 Sig turgof C_—ontractor or Authorized Agent Signature of Owner (if owner is builder) T:For s/Building Division/Building Permit V BUILDING PERMIT INSPECTION RECORD 1 G� 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. s, 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 n } Back Flow / Water FINAL Date Accepted by \ " AIR SEAL. 0 Walls Ceiling FRAMING- 7j 4 r I ( 7vLZ/ Joists / Girders / Under Floor Shear Wall/ Hold Downs Walls / Roof / Ceiling V� 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 Skirting (PLANNING DEPT Separate Permit#s SEPA. Parking / Lighting I I ESA. 11-andscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE ^ �J Inspection Type Date Accepted By Electrical 417-4735 /) Construction R.W PW / Engineering 417-4831 7U Fire 417-4653 f Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit V tC,'PONfAA BUILDING PERMIT APPLICAI TION Print in ink CITY OF PORT ANGELES ty Attn Building Permit Technician For City Use Only Date Received OZ 0`3-1 321 E Fifth St. Port Angeles WA 98362 Permit # ll- (360) 417-4815 fax (360) 417-4711 ate A roved pp pU _ ApplicantGi e2 L SE�L�E Phope 3&,,9 FOS> 030 Y Property Owner ek,�,ec4 .s7 Phone Property Owner's Address 710 �'�¢ss�c°t��ess� r ,��� ` `� ``s��s:�vr , ��� o z« Contractor Za L4S eee �.��t�; �,,,� c , Phone Contractor's Address ,2a S /.7,,,_,, E License # oecscc 52S-1. 3 Expires �1111e- E-mail PROJECT ADDRESS Parcel Number (V0.can+ @hurt%) Lot Zoning Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family Commercial ❑ Industrial Check all that apply ❑ New Construction Re-, ;1 c__ k,71 -.W f ,eC.A ❑ Addition 4-1�1, -,,-x T 2 I f♦ S �- I ❑ Remodel (� Repair �a G(f10.Y��j� h S►'Z� ❑ Demolition J )(Re -roof ❑ House ' ❑ garage ❑ other ' tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existinq (sq. ft.) Proposed (sq. ft.) Basement @ $ per sq ft. = $ 1 st Floor 2nd Floor 3rd Floor / Garage / Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 35 yZ ©o Total footprint of structures / l Z-- 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 6 2 ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? 01A Occupant load # of full baths Will a fire sprinkler system be installed? H_ Construction type # of half baths /have read and completed this application and know it to be true and correct. /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 2-.131// Print Name(.�p��6 �a f° L�R-f t l Signature T Forms/Building Division/Building permit application 4 NOTES r '- Permit # M e, e- A, s, a, - o n 'I (n - lo-�- covwcaA4. j 0,ve, 141 e -,r vw a Fav -tel � v,\fi-Vo S Q -e I k4�. ► 4 ,p = e w Su -e, Rof s� 2U. y �- C Stk 44 C T Forms/Building Division/Notes 0 Clallam County Assessor & Treasurer - Property Details - 58444 FIRST CHURCH OF C Clallam County Assessor & Treasurer Property Search Results > 58444 FIRST CHURCH OF CHRIST SCIENTI for Year 2011 2012 Property Account Property ID: 58444 Legal Description: LOT 7 AND THE EASTERLY 1 1/2 �r CGI # FEETOF LOT 8 BL Geographic ID: 0630000267240000 ) Agent Code: Type: Real �� Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 69 Open Space: N DFL N Historic Property: N Remodel Property N Multi -Family Redevelopment: N Township: Section: Range: Location Address: 120 W EIGHTH ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: Exempt & Ref Region 5 Map ID: 2 Neighborhood CD: 50985200 Owner Name: FIRST CHURCH OF CHRIST SCIENTI Owner ID: 98792 Mailing Address: 210 MASSACHUSETTS AVE % Ownership: 100.0000000000% BOSTON, MA 02115 Exemptions: EX Taxes and Assessment Details Property Tax Information as of 02/03/2011 Amount Due if Paid on: 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. First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt Penalty Interest- Base Paid Amount Due 2010 41391 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 CIN PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41391 CITY_STORMWATER CITY STORMWATER $48.79 $48.79 $0.00 $0.00 $97.58 $0.00 2010 41391 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 41391 TOTAL. $49,61 $49.60 $0.00 $0.00 $99.21 $0.00 2009 584442008 STSCH STATESCHOOL $0.00 $0.00 $0.00 $000 $0.00 $000 2009 584442008 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584442008 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584442008 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 '$0.00 $0.00 $0.00 $0.00 2009 584442008 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584442008 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584442008 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584442008 CITY STORMWATER CITY STORMWATER $48.79 $48.79 $0.00 $0.00 $97.58 $0.00 2009 584442008 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 '$1.63 $0.00 2009 584442008 TOTAL. $49.61 $49.60 $0.00 $0.00 $99.21 $0.00 Values (+) Improvement Homesite Value: + N/A (+) Improvement Non-Homesite Value: + N/A (+) Land Homesite Value: + N/A (+) Land Non-Homesite Value: + N/A Ag / Timber Use Value (+) Curr Use (HS): + N/A N/A (+) Curr Use (NHS): N/A N/A (_) Market Value: N/A (-) Productivity Loss: - N/A (_) Subtotal: N/A ,(+) Senior Appraised Value: + N/A (+) Non -Senior Appraised Value: + N/A Page 1 of 3 l,ffn /AmphcrxiR �lallam net/nrnnPrtvar(-Pec/PrnnPrtzr 5icnv7P1rl-(1Rwaar-')01 1 R7r, n- I-GQAAA 7/'2/')/11 1 Clallarn County Assessor & Treasurer - Property Details - 58443 FIRST CHURCH OF C Page 1 of 3 `f Clallam County Assessor & Treasurer Property Search Results > 58443 FIRST CHURCH OF CHRIST SCIENTI for Year 2011 2012 Property Account (�'y+p Property In; 58443 ' "-' Legal Description: LTS 586 BL267 Geographic ID: 0630000267160000 gent Code: Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 69 Open Space. N DFL N Historic Property N Remodel Property N Multi -Family Redevelopment: N Township: Section: Range: Location Address: 120 WE IGHTH ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: Exempt 8 Ref Region 5 Map ID: 2 Neighborhood CD: 50985200 Owner Name, FIRST CHURCH OF CHRIST SCIENTI Owner ID 98792 Mailing Address: 210 MASSACHUSETTS AVE % Ownership. 100.0000000000% BOSTON, MA 02115 Exemptions: EX Taxes and Assessment Details Property Tax Information as of 02/03/2011 Amount Due if Paid on: 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. First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2010 41390 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $000 $0.00 .2010 41390 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 r $0.00 $0.00 $0.00 $0.00 $0.00 2010 41390 CITY_STORMWATER CITY STORMWATER $86.34 $86.34 $0.00 $0.00 $172.68 $0.00 2010 41390 WEED -CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 41390 TOTAL. $8716 $8715 $0.00 $0.00 $174.31 $0.00 2009 584432008 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00, $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2009 584432008 CITY_STORMWATER CITY STORMWATER $86.34 $86.34 $0.00 $000 $172.68 $0.00 2009 ,584432008 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $000 2009 584432008 TOTAL. $8716 $8715 $0.00 $0.00 $174.31 $0.00 Values (+) Improvement Homesite Value: + N/A (+) Improvement Non-Homesite Value: + N/A (+) Land Homesite Value: + N/A (+) Land Non-Homesite Value: + N/A Ag / Timber Use Value (+) Curr Use (HS): + N/A N/A (+) Curr Use (NHS): + N/A N/A (_) Market, Value: N/A (-) Productivity Loss: - N/A (_) Subtotal: N/A (+) Senior Appraised Value: +- N/A (+) Non -Senior Appraised Value: + N/A (_) Total Appraised Value: N/A httn //WP,hCTVR olnllnm nPi/nrnnP1'tVnC:(`.P.C.Q/PrnnPrty 1 R7nrnn ir1=GS2AA 2 7/"2/')()1 1 -110 III&a "I ti 7.qs' If! 44 Cl) 4k- f I I►l!� I I III' II I it Jill III !l lila! I(I I II J I� I all �+ 'W %9oa ,q o9p nolt s- P.Y-- j I --,— A�,�—off 7-c- � 1 I t FI 4v — I-- /QO'CC%1 �oJe2Jftj_ tOoMet I ; ,ip ,, ki oo'iIir 10� a x �� el c '— I Of I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMITT' _N? 17006 Port Angeles, Washington.--------/--- -------••-------------------- 19.ey 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 the City of Port Angeles, per- mission is hereby granto to do electrical work as listed bel ao(GT ' Address - /....................... Occupancy---------------------------------------------- Owner "=� - ----------------- --= ---- ----- - ---- Owner -� , "_X---- - - -- enant---- ------------------- ------ ----- -------_--------------- ---------. Wiring Contractor _ - - -- - .... - - ----- ---- ------- By----------- - Light Outlets ................................ ... ..... Receptacle Outlets ............................... Dryer. KW .......................................... Range, KW ----------------------------------------- Water Heater: Heart KW.._V.rLL../...._!... 0 fra si�zevolts d phaee Total Load ............................. Remarks: Service, volts ... No. wires ....._3 ................ . //'' Size wtrea...�..5.�............ Main fuse .----- a Q� .Q�/�-�-� Enclosure....... '`ate Type of wiring: Entrance Cable Rigid Conduit ....... Metallic Tubing ... Current transformers: No. & Size ............... Ser. No ...................... Ser. No. Ser. No .............................................. Ser. No .................._------------------......-. Type of Wiring: Armored Cable . Non -Metallic ..... Knob & Tube..... Rigid Conduit ... Metallic Tubing Raceway ............. Circuits, Light........... Utility ----------------- Heat------------------ Range ................. Water Heater ... Motor ................ Dryer................................................- Furnace......................... -.................. Total --------------- ------------------------------- Permit Fee Treas. Receipt $ ------------------------------------- No ------------------------- --- By -----•- ------------------------------------------------------------- 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 ELECTRICAL PERMIT N° 17006 Address................... _................................................................................................................... Date .............................. ...................... Owner................................ .......... _.-........ ...... _... ........................................................... Tenant.........................................................--......... WiringContractor.......................................................................................................................... By.............................................................. �-�- NOTICFrCurrent must not be turned on until Certificate of Inspection has been issued. If work is to be con - due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. 01/30/2014 2:43PM FAX City of Port Angeles Permit Application flullding DlvlslontEtactrlcat Inspections 321 East Fifth Street - P.O. Box 1150 Portkaalea Waehinglon, 98392 Ph: (360) 417 [735 Fox- {350} 41 7.4711 Data: � _� � b _,•,1 & 2 Single Family Dwelling — M01 -Family or Commercial* A Commercial Addition 1 Alteration 1 Remodel / Repair* IRAN 31 20% INSPECTIONS 'Plan Review May Be Requir@d, Please Complete Electrical Pan Revi w Information Sli at Job Address; 1bf— Bullding Square Footage: Descrr''`�p ion of above l 190001/0002 t<n _-T,+ex_� Ll� r `0. .^�61i�..• f71 :�.9_oy- Pc�ry��0 S S"��,t" Owner I ormati❑u C )ntractcr Info r tion , Name: 10V�V1* a� Advehkisf C-�u.L" Name: �tV2. 5 ` �0.�s, h , Mailing dares Cfiyi 5 fiy�eQ Mailin Addy O Clly, Ci[y, D late. Zip: Phone: Phono: sl?pax' License #! Exp, License 016p•::I 4 P95S iirc,q 4 21 Q--, Unit Charge 912 Total (Qtv Mttklolled by [ lit Cher -go) $119.80 $. 5ervfcsiFoader 200 Ardp $145.50 $ ,__5ervice(Feeder201-40 imp. $204.60$—. _ $ _ ServicelFeeder 401-60 'amp. $ 262.20 $ ServlcelFeeder 603.10 ( Amp. $ 372.50$__, _ 5enricerfeeder over 10) ) Amp, S 2,60 $ Branch Circuit W1 Servi) Feeder $ 73 50_ _ $ ©ranch Circuit WIC Seril;a Feeder $ 2,60 _ $._ Each Additional Branch ( Ircuk $ 92.70 $_._ Temp. Servlcal Feeder,:( 0 Amp, $110.30 $ Temp, Servic0aodor' C1-400 Amp. $148.70_ $ _Temp, ServicelFeaderr C1-600 Amp, $167.90 _ ._ $ _Temp, ServlcelFeador601-1000Amp• $ '}5.90 $ Portal to Portal Hcuriy $ 98,20 $ SlgnIoutline Lighting $ 95.90 $_ 54gnal ClrcWd Limited En ;rgy -Commercial. Additional 1500 $5.00 $ 63.90 $ __ Signal Circuit/ Limited En wgy -1 & 2 Family Dwelling $ 63.90 _ Signal Circuit( Limited !✓n ;rgy - Multi -Family Dwelling $119.90 _ $ Manufactured Home CO rection $102.30 S_ _ Renewable Electrical E ergy • 5KVA System or Less $110.30 $ _ First 1300 Square Ft. $ 35.20 $ Eaoh A� onal 54D Square FL or Portion of $ 73.50 $ Eaeti✓Cutbuilding or Dell3:hed Garage $110.30$_. Each immtng Pool of Y DtTub 56.00 $ emrostat ot91 Owner as defined by RCW,19,28.261: (1) Owner whf occupy the structure fir Avc years after rhl; eracWool pormit is RnaNEed (2) Owner is required to hire art electrlcal contractor if above saldprop arty Is for sale, rent or lease, permit expires after 34 months of lastfnspoction• After reading the above statement, I hereby certify that I am the owner of the above named p I perty or a Iiconsed electrical contractor, t am making the electrlcal Installatlan or alteration In compliance with the elaotrical laws, N,E,C„ ROW, Chapter 19.28, WAC. Chapter 299 498, The City of Part AnQeles Munlclpal Coda, and Utility Speciflcatlons• Signature of owner, electrical contractor or oMotrNal adminlstratar ❑ cash PlAa-Al.- ❑ Che k . Dato, 'l/CraditCard#__ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000113 Date 2/03/14 Application pin number . . , 828312 Property Address . . . . 120 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0,2-6718-0000- AppliCation type de9cripticTI ELECTRICAT, ONLY Subdivision Name • , , • . . Property Use Property Zoning . . , , . , . COMMUNITY SHOPPING DISTR Application valuation , • , . 0 -_--------------------------------------------------------------------------- Application de_sc Three t-tsat --------------------------------------------------------------------------- Owner Contractor I RESULTS: WESTERN WASHINGTON CORP OF DAVE'S ETU & COOLING SRVC INC SEVENTH DAY ADVENTISTS PO BOX 413 SERVICE 32229 WEYERHAEUSER WAX SOUTH PORT ANGELES WA 98362- 8362FEDERAL FEDERALWAY WA 980019347 (360) 452-0939 {360} 808-1400 FINAL ---------------------------------------------------------------------------- Permit . . ELECTRICAL ALTER COMMERCIAL COMMENTS: Additional deHc , Permit Fee 66.00 Plan Check Fee .00 Issue Date 2/03/14 Valuation . , • , 0 Expiration Date 8/02/14 Qty Unit Charge Per Extension I.00 56,0000 HCH EL-LVT-THERMOSTAT 56,00 2,00 5.0000 RCH E7-LVT-AADIT20NL THERMOSTAT 10.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Czedited Due Permit Fee Total 56.00 66,00 .00 ,00 Plan Check Total .00 00 00 00 Grand Total 66,00 66.00 00 .00 REPORT SALES TAX on your excise tax foram to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: I RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL 02IRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: QTXCIIANGEIBUILDING North Peninsula Electric CITY OF PORT ANGELES PERma APPLiCAnON Buildiug DiAsion/Electrical Inspections 321 East Fifth Street —P.O. Box 1150 / Port Angeles Washington, 98362 Pit: (360) 417-4735 Fax: (360) 417-4711 Date: 0 — q-1, 13 ult!,Family or Commercial' p2 ELECTUAL INSPECTICINS ft Plan Review May Be R Wed, Please)ConrlVelle Electrical Plan Review inbrmation Sheet Job Aoklrass; Building Square Footage; 0=Pron of *oVe Owner foar3lion Contractir Info S4'r Ac te Mai" Addr Q Ci��r A61 Zip: Name Phone: r"i Fa F ax, license VExp- Luense I Exp. r I Vy- ILM Unit Charae _Qht Total tQty Muftlied by Unit Charcial, ServIcOFeeder 200 Amp. $ 132.CO $ - ScrvWFeeler 2C -40C Amp. $160.00 $ ServfcetFee der 401-600 Amp $ 225.00 SerVWFeederG31-1000ATp. $28800 Servic0eader over 1000 Amp, $410.00 Btandn Circuit W/ Service, Feeder 5.00 $ Brami Circult W10 Service Feeder $ 74.00 $ Each Addition ai Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Seirvicel Feeder 200 Amp, $102.00 $ Ternp. Servlce/Feodar 201-400 Amp, $121.00 $ Temp. Sev'i� Feeder 401-600 Amp. $ 160D $ Temp. ServlcWFeedet MAW Amp. $165.00 6 Portal to Portal Hourly $ 9640 $ Signlcuillir e 1.1ghWg $ U00 $ 'igr,ai C�'rouit(Urnitea Energy $ S - M011 -Family 3 64,00 Sigral CiT.0 Umiled Energy I First 15CO af - Conover" $ 96,00 Mole: $53 for each adli lion W 1500 st -CPO 0 Renewable Electrical Energy - 6KVA System or Lm $ 113 -OC 11 7hefinostat $ 56.00 dote: $5,00 for each additional T-Stat $ otal Ovin e r as defined by RCW, J 9.28.26 1: (1 } Owner will occupy the structure for two years after this electrical permit, Is finalized. (2) Owner's required to *e an electrical contractor I` above said property is for sale, rent or lease. Permit expires atter six months of last Inspection, After reading tl�s above statement, I hereby ceffy that I am ft owner of the above named property or a licensed electrical conyactor. I am making the electrical Installation or alteration in compliance with the electrical laws, N,E,r,,, RGAt, Chapter 19.28, WAC, Chapter 296-46B, Tibe C4 of Port Angeles Municipal Code, and Utility Specifications and PAWC 14.05,050 regarding Electrical Permit Applications, Sign iNstrator 0 cash 13 mck X Ivortn Heninsula Electric 928-9409 p.4 `-IGHTING: 6,000sf X 1w/sf = 6,000 6,000 @ 125% = 7,500 OUTLETS: 18 100 outlets x 180 =15,000 10,000 @ 100% = 10,C00 8,000 @ 50% = 4,000 HEAT 91 20,000 HEAT #2 20,000 HEAT #3 20,000 60,000 @ 100% = 60,000 HEAT PUMP #1 10,000 HEAT PUMP #2 10,000 HEAT PUMP #3 10,000 30,000 @ 100%= 30,000 HOT W ATE -R #1 5,500 HOT WATER #2 5,500 11,000 @ 70% = 7,700 10,000 @ 70% = 7,000 MICROWAVE 1,500 DISHWASHER 1,500 DRYER 5,00c 5,000 @ 100! = 5,000 WASHER 1500 1500 @ 100% = 1,5c0 LARGEST MOTOR 1.SHP 1119 @ 25% = 135,080 563AMP5 cl� 0- CY) 0 Lj C)C) L,o L -24 co North Peninsula Electric 928-9409 p,1 Z), - W44944 111C 4774764 FAX C'OY'ER ' VER PA GE. DATE 12-09-2013 ATTENTION: Trent Peppard NUMBER OF PAGES [NCLUDING THIS FORM: 4 Seventh Day Adventist Church dPORT,%N ELECTRICAL INSPECTION WIRING REPORT RKS � 6 s 417-4735 -4735 A DATE. PERMIT # INSPEC -113 )tN I 13 -t OWNER 4 I CONTRACTCR ADDRESS Z �O ,- APPROVED NOT APPROVED ® ..... DITCH .................... Cl I ................ ROUGH IN/COVER .............. . ❑.................... SERVICE................... ❑ ❑ .....................FINAL................... CORRECTIONS NEEDED: � i �i R�••6�1'��'T k crr_HVA -Z) ?-07,V-5, �,OiAw, -V*- vi�o-,H To SurzF'pc.r t4 t -G 3111 • -zD t�r�G 300. Z) A<l-x6s V-c3P't" nLN-c. 12D- 2 4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES .360-417-4735 Application Number . , , . 13-00001441 Date 12/13/13 Application pin number , , , 291582 Property Address . , , , . , 220 W 8TH ST ASSESSOR PARCEL NUMEtR: 06-30-00 0-2-6738-0000 Application type description ELECTRICAL ONLY Subdivision Name . . . , . . Property Use Property Zoning . . . . . , . CCMMUNITY SHOPPING DISTR Application valuation . . . , 0 ---------------------------------------------------------------------------- Applicat.ion desc Service circuit remodel ---------------------------------------------------------------------------- Owner -- Contractor INSPECTOR.: ------- --------------- WESTERN WASHINGTON CORP OF ------------------------ NORTH PENINSULA ELECTRIC SEVENTH DAY ADVENTISTS 757. FRESHWATER PARK RD 32229 WEYERHAEUSER WAY SOUTH PORT ANGELES WA 96363 FEDERAL WAY WA 980019347 (360) 477-1764 (360) 808-1400 ---------------------------------------------------------------------------- Permit .'. . , , , ELECTRICAL ALTER COMMERCIAL Additional desc . , FROM LAST INSPECTION, Permit Fee 591,00 Plan Check Fee .00 Issue Date 12/13/13 Valuation . . . , 0 Expiration Date 6/11/14 Qty Unit Charge Per 8rtension 50.00 5,0000 ECH EL -BRANCH CIRCUIT W/FEEDER 250.00 1.00 95.0000 ECH EL -LIMITED IST 1.500 SQ FT 96,00 4.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 20.00 1.00 225.0000 ECH .EL -COM 401-600 SRV FEEDER 225,00 ---------------------------------------------------------------------------- Fee aummary Charged Paid Credited Due Permit Fee Total 591,00 591.00 .00 ,00 Plan Check Total C:0 .00 00 .00 Grand Total 591,00 591,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE I DATE: RESULTS: INSPECTOR.: DITCH I 1 J 1 SERVICE � �!-� � � � �j�y +• ROUGH -IN FINAL _ COMNIENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION, Signature of owner or Electrical Contractor X G:IEXCHANGE; BUILDING Date: CITY OF PORT ANGELES PERTMIT APPLICATION Building Divislon/Eleetrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Data: t & �jS ngle-Pamily Dwelling * Plan Review May Be Required, Please Complete Elec ric I Plan Review Information Sheet .57 A A,--4 Job Address: I i9 VU Building Square Footage: :?Axn, Description of above ..� riA h�'h 5 r _ 1044 Qfpl�a Owner Information CA10 v c k F Contractor Information Name: Name: _ Mailin Add ass; " rls� Mailing Address City:` tate, �- Zip: City: State: Zip: Phone: Fax; Phone: Fax: License # I Exp. License # ! Exp, Item Unit Charge 2-ty Total (Otv Multiolied by Unit Charae) Service/Feeder 200 Amp. $ 120.00 $ ServicelFeeder 201.400 Amp, $146.00 $ ServicelFeeder 401-600 Amp $ 205.00 $ ServicelFeeder 601-1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp, $ 373,00 $ Branch Circuit W! Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp, Service/ Feeder 200 Amp, $ 93,00 $ Temp. Service/Feeder 201.400 Amp. $110.00 $ Temp. Service/Feeder 401.600 Amp, $149.00 $ Temp. ServicelFeeder601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ $ Signal Circuit/ Limited Energy -- Fi151t�-Bwelllnaj64A0 �� �® Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ 120.00 $ �' Each Additional 500 Square Ft or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hol Tub $ 110.00 $ i �oail 1(101 - Owner as defined by RCW.19,28.261: (1) Owner will occupy the structure for two years after this electrical permit is ized (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 owner, electrical contractor or electrical administrator: hated: .J(!! J4 F ❑ Cash ❑ Check ❑ Credit Card # �►,'(_ � � �' f:`�� ter - rl�rs otlr � .�_ � .. Ii 0,* e 0 R T Q. ELECTRICAL INSPECTION WIRING REPORT -4735 /b RKS 1' 417 DATE PERMIT A I Lt CONTRACTOR ADDRESS APPROVED NOT APPROVED [I ........... ... DITCH .................... 11 0 ................ ROUGH IN/COVER.. . ............ 0 C ... ............... . SERVICE ................... 0 0 .... ...... ......... FINAL ..................... CORRtCTIONS NEEDED: -S OLAI- T--,fZ4-WALL-'5- Lase P4 mc— 30D - z 1 2) -15cc-o iz,pj- To c-- co n)17u L T- 'Fr rz- 7, 6-Z, - -_;qo a� �, Low] �byTAL G4$u��i 4 -*14L" tSti Vv PvLr,- 3521-V-) OhJ i.94"e, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000291 Date 3/12/14 Application pin number . . . 297222 Property Address . , . . 120 W 8TH ST ASSESSOR PARCFL NUMBER; 06 -30 -00 -0 -2 -6718 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low voltage wiring ---------------------------------------------------------------------------- Owner Contractor INSPECTOR: DITCH WESTERN WASHINGTON CORP OF OWNER SERVICE SEVENTH DAY ADVENTISTS ROUGH -IN 32229 WEYERHAEUSER WAY SOUTH COMMENTS: EEDERAT, WAY WA 980019347 (360) 808-1400 ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 106.00 Plan Check Fee 00 Issue Date 3/12/14 Valuation . . . . 0 Expiration Date 9/08/14 Qty Unit Charge Per Extension I,00 96,0000 HCH EL -LIMITED IST 1500 SQ FT 96.00 2,00 5,0000 ECH EL-ADDNT LIMITED 1500 SQ FT 10.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 106.00 106.00 .00 .00 Plan Check Total '00 .00 .00 .00 Grand Total 106.00 106.00 .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: I ` PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPHCTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING Page 1 of 1 RECEIVED ��t�� 5gta1?T,1.1{i ("I"11`0 F SORT NxcxELES PER:1 rr A13rLKAi'10N JUL 2 8 2034 Building DivisionlEleedic-a1 Inspections 321 East Fifth Street --1".0. Box 1.150 i Port Angeles Washington, 98362 ELECTRICAL 1'1t:(360) 4:1747:3; Fax- (360) 4.174711 INSPECTJC S Crate: ,25.14 11 Minti-Family or Commercial' \A ' Plan Review May Be Required, Blease Compiete Electrical Plan Review Information Sheet Job su.,twg Sfax::... ..... _ _ _........_..__.._.. _.._.. _ _ __.._ ..........r........__ ___._._......._.._........ �t crpt;uidnove._.....toritiLi aatat at i rn��l.vtair� .�M ti. r ..... -..._.............. ..__.._......... ....._. _..._..._. _.n. __....—___ ____..._._...._.._ Owner Information Contractor Information yyy yyy ame:rg@ L#.�1M taut ���11r"^S �C1I Naraier:_H! Tech i i��Y 3. ..._.._.._.__ tiVJs vsgrth Fror� St Ciiy:r1ltriles..._,_m.2, ._... .... ........_....._ $s.......... PhonejkQ-' Z5.-4464 Fac: .Phone: . -.= 452-2727 X Uceroot'ir.xT,.._.....__H _E 'r9955BS Its Unit Oharra t Total fQty Muftiol"ted by Unit Charo_�. Serviu F"dar 2,20 Aaifi. S132.00 Servir r; Faadar 201-400 Ate. $160.00 SeNkyalFaedef 401-6W AnV S225,00 ServicarFaec6r601-11130 p. $288.00 _........_....__.._ SeNkWFeederovet 1000 ftp. S 4100 _.. ....... _. Branca ilkuil Wi Service Fi det S 5.00 Ea;:hAdditiomi BrafrctlCitu4 5M) Bia nch Q fcu its 14 86.00 _......._.. 5 Tem. Siwvkel Fades 201 Arty. 1-32.00 Tara. Serv�Dr7Feeder201-4,30AW_ 121 __._.__._._. S .........._._. Tarrap. SaniWFeedet 401 -WO fianp, 5164.00 Terrtp. $195.01 110(4 io Portal tes ty $ 96.00 _..._...._.... .. __._.. sIsfontlina lighting $ 83.0 _ S: mii Cifuiilf L�Ttted Eft f – to la-fiad..tyy�,.�kr�Trr $ ;34. J _—.__...__.._._..._._. __. S �irIMO &jwil ouill Lmvl J Efe—jy f Ft-! 1 }ti st – Cie �, S �$.at� _ _._....__......_ _.__... � ..___._ � _.r• hit=?: $5.40 rof eacta addliona[ 1503 sf Rnnm0e Eledital Ene#gy - 5KVA Seim of L S113.00 S,_._..__.__.._._........__.. Tiennastat S 56.00 S — - — �— Pdcste: 55.00 for eacta a.Idlb T-Stat S 90 -no Total Ovmer as defined by RC'Ar.19.2 .261, (1) Ovine will owupy the strLTture for two ye ars after this electrical parmi .rs firr rzeds (2) Gemer is required to Faire an electii ual contractor if above saxt party is for sole, rent or Wase. Pusrnit expires after six months of Last inspection After readirig the abovie sta tement, I h webcertify that I arra the owne r of the above named property or a licemed eleutrirA conhactrar, I am making the electrical kastaliatii ora:fteralbn i r r.omp9anm k«ft the etectdcaI Wis, N,E.C., RGIN, Cnapier I a28, WAC. ampter 29&0 B. Tt ityf of Port kigetas Muniappal Code. and U114 Specificalbns aM PAMC 14.05.056 regarenc Ek driral Pcr€nit Appicatiows Signature of owner, elee triical contractor or electrical administrator: C -i Cath 12 C ACA Cmdg. Gardai on ii€e X Mike Shirley . tai7-�,.� aa14 - _ t3S1iit12°1t3 http:I/www.pdfeseape-com/open/RadPdf.axd?rt=c&dk=037DOBCF5VWKO 197M3DOY2X-U6... 7/25/2014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000883 Date 7/28/14 Application pin number 470918 Property Address . . , , , , 120 W 8TH ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -2 -671a -0000 - Application type description ELECTRICAL ONLY Subdivision Name , , , , . , Property Use .., , , , , . , Property Zoning , . . . . . , COMMUNITY SHOPPING DISTR Application Valuation 0 -- ------------------------------------- Application desc Alarm'system. Device install only ---------------------------------------------------------------------------- Owner Contractor ------------------------ WESTERN WASHINGTON CORP OF ------------------------ HI TECH SECURITY INC SEVENTH DAY ADVENTISTS 723 E FRONT ST 32229 WEYERHAEUSER WAY SOUTH PORT ANGELES WA 98362 FEDERAL WAY WA 980019347 (360) 452-2727 (360) 808-1400 ----------------------------------------------------------------------- Permit . . . , . , ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee 96.00 Plan Check Fee 00 Issue Date 7/28/14 Valuation . , . . 0 Expiration Date 1/24/15 Qty Unit Charge Per Extension 1,00 9G,0000 ECH EL -LIMITED IST 1500 SO 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 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Cade 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL, COMMENTS: h l� PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING mN 'M1 CITY OF PoRT A-NGr(,i,-r.,s PER3,11T AppmcA�rioN DtlilditAg J)jVjSj0jk/j4,leCtrjCjjj In-jpCCtj()AjN 321 East Fifth Street — P.ORox 1150 �Poi-t Angeles Wasbington, 98362 Ph- (360) 417-4735 Fax: (360) 417-4711 Dato: or Commercial' * Plan, Review May Be Required, Please Ccinplete, sectrical Plan Review Information Sheet Job Aldfzss: 30ding square Footogo: Desulption of above Owner (iformationContractor Infor tlon -:7 kQ Willing LL^— tip: cay: 5tme; Zip: �3 Phona:N-\ L Phc --I, License V to Unit Charge Qty Total (QtV Multiollod bV Unit Champl Sefvloe/Feedfar 200 Amp, $132.00 SeivIce/Feeder 201-40'' Amp, $160,00 Servii,elFeedor401-600 Amp $ 225,06) SeNic,-/FeWerW-11300 Amp, 4288,00 ServlceffWer over 1000 Amp. $410.00 Branch Gin ult W1 Service Feeder $ 6.00 Branch Ci=ll 0#0 Service Feeder $ 74,00 Each Addidonal Branch Cirmit 5.00 - Bran& Circuits 14 86,00 $ Te.,np. Servicel Feeder 200 Amp, $102,00 $ Temp. Serviceffeeder 2C 1400 Amp, $ 1211M Temp. GervicelFoader 41-6W Amp $ iv -,00 Temp. 8ervlv*1FeedPr61314Q00 Amp. Portal to Portal Hourly Sign/Gut!.'rte Lightirg Signei 01rcultY Limited Energy - Molfl-Famlly .$ 81grai ChcultiLlmlled Eriargy /First 4,600 sf- Ccmrrerdai $ G&W Flute: $5,00 for each addiUmal 15M sf movable 2ecl,"Ical Energy - 5KVA Systern or Less $ 113.00 Ttrprrrsostat $ 56-00 Note: $6,00 for each additional T -Shat Total Owner as defined by RM 19,28,261: (1) Owner will occupy the structure for W years after this electrical perjTiit is litlalized. (21 Owner Is reqWred to hire an electrical contractor if above said property Is for sale, rent or lease. Permit explrafter six mointlis of fast �168pecuon, After reading the above statement, I hereby certify that I am the mimer of the above named property or a flven6ed elq'ctricai contractor. I are making the electrical Installation or alteration in compliance with the electrical laws, KE.G., RCW. Chapter %28, WAC, Chatter 296-466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.060 regarding Electrical Permit Applicaflo , hs, Signature of owner, electrical contractor or electzicat administratoc 0 cast, 0 chock x Ohi— LZ�AA K—wted,- ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , , . 15-00001144 Date 9/7.4/1.5 Apnlicatian pin Number 819592 Property Address , . . 120 W 8TH OT ASSESSOR PARCEL NUMBER: 06-30-00-0-2-671.8-0000- Appli at' -on type 6escr'_pticn SLECTRTCAL 0141,x Subdivision Name Property Use Property 'Zoning COVDJU'JTTY yEOPPIEG DISTR Application valuation . , , , 0 _ _ .______________--__ App1'_catior_ dvsr.-----__...__..__._ 8i.gn circuit Owner Contractor WESTERN CORP OF :NOR'T'H PEElNSUT_A EIECTRT" SIZVENTH DAY ADVENTTST�; 761 FRESHWATER PARK RD 32229 W4YERRAEUSER WAY SOUTH PCR', "GELES WA 9$363 F'E'DEILU ?.'AY WA 980019:34'1 (360; 477-176q (360) 808-1400 Perm41- . . . . . -- - ------------ - F'T_ECTR'1CAL ALTER COMMERCIAL -----------.. Aiiditional desc . , Permit Fee , , . , 83,00 Plan Check Fee OD I'suP pate 9/14/15 valuatior_ 0 Expiration Date 3/12/3,6 Qtv Unit Charge Per RKtension 1100 88'.0000 ECF EI. -COMM SIGN . 88,00 Fee summary ---------------------------------------- Churged Paid Credited 77uF: Permit ?e : To-na-- 88 .00 _ - OD 8510D . GU Plan Check Total 00 .00 00 .00 Grand '.Fatal $8.00 88,00 00 CO INSPECTION TYPE DATE: 1 ( RESULTS: DITCH SERVICE i ROUGH—IN IaENAIl COM—MENTS: PERMiI' WILL EXPIRE STX (6) ItIONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:E-XCHANGEIBUI LDING REPORT SALES TAX on your excise tax farm to the City of Port Angeles (Location Code 0502) Date: