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303 W 8th St - Building
MAR/27/2014/THU 09, 00 AM WKS Int' l - Seattle FAX No• 425-419-2121 P, 001 CITY OF PORT ANGELES PVl APPLICAT r Building DiwisionXlectlrical Inspections �I 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,95362 MAR 8 20 Ph; (360)417-4735 Fax,(360)417-4711 Date; L —Multl-Farrilly or Corninercial* � �p 'Plan Review May Be Rewired,Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage; S,OO „ Descril lion of above Vin v Y 11 Owner Information Contractor Information Name:�� w. r Name: a It Mailing Address; I a. G i Mailing Address; F_ ; 4 p: _----___ City:• �Ncr,�,t. State:�_Zip: City; �:,�. .o r� 5tate: 4.rf�1. Zi Phone:3441• Sjt�•giri&3 Fax; Phone: wl����' 3��c�1Fax; •rI License#)Exp._ „ License#1 Exp, 11191171 Unit Char tile Total(QtY Multiplied by Unit Char e Service/Feeder 200 Amp. $13200 $ Service)Feeder 201.400 Amp. $160.00 $ ServicelFeeder 401-600 Amp $225.00 _ $ ServicelFeeder 601-1000 Amp. $286.00 $ ServlcelFeeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ aoo $ Branch Circuit WfO Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1-4 $ 86.00 $ Temp,Service]Feeder 200 Amp, $102,00 $ Temp.Se6celFeeder 201-400 Amp. $121.00 $ Temp.ServlcelFeeder401-600 Amp, $164.00 $ Temp.SorvicelF'eeder601-1000Amp. $185.00 $ Portal to Portal dourly $ 9G.00 $ Sign/Outline Lighting $ 88.00 $ Signal CircuitIl lmifed Energy-Multi-f=amily $ 64.00 $� Signal Circuill Umited Energy)First 1500 sf-Commercial $ 96.00 $ Note; $5,00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $112.00 $ Thermostat $ 56,00 ► Note;$5.00 for each additional T-Slat $��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 inspsetion. 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 slectri ' fellation oralteration in compliance with the electrical laws,N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296-4613,The Cily of Port Ange urn ' al Code,and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. S' n ture of ner,ele ical contractor or electrical administrator: ❑ Caeh ❑ check / credlccard � N ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 tl� Application Number 14-00000387 Date 3/28/14 Application pin number . . . 304406 - Property Address 303 W 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-2-3470-0000- Application type description ELECTRICAL ONLY On your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502) Application valuation . . • . 0 ____-Application desc Control for VAV boxes Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL WPCS INTL INC SEA OP DISTRICT 2 DBA OMC 15241 NE 90TH ST 939 CAROLINE ST WOODINVILLE WA 98072 PORT ANGELES WA 983623909 (425) 483-2677 H�'� ------------------ (360) 417-7170 - Permit . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 71.00 Plan Check Fee 00 Issue Date 3/2B/14 Valuation . . . . 0 Expiration Date . . 9/24/14 qty Unit Charge Per Extension T.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 3.00 5.0000 ECH EL-LVT-ADPITIONL THERMOSTAT 15.00 Y Fee summary Charged Paid Credited Due ---------- ---------- --- Permit Fee Total 71.00 71.00 Q0 00 Plan Check Total .00 Do 00 00 Grand Total 71.00 71.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN ! FINAL j COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date; G:IEXCI-IANGEIEUILDING perRr. CITY OF PORT ANGE>L>CS P ERMrr,A.1 TLZCA,TZOPF f Building 1)iivfsfont9Rectiticalt Inspecogns 321 Eact;Mft1r Si7reOt--]P.O.BOX 1150/Port Ames Washington,98362 �;: . , •, 1 Ph,.(360)417-4735 Fax;(360)417-4711 RECEIVED Dale; 11 MAR 6 20A Multi-Family or Commercial« Commercial Addition i Alteration/Re` model.l Reps[te7RICAL *plan Review May R ui Ple m t Ell l Plan Review I farmaho Q :P Jab Address: y Building Square Foalage: 1 f P� _ t_(��f - ftcrlptiorr of aboye Owner lr&rm rr Contractor IrrFo Maaiing " Nam2: C�4 --��. Ph (eIa Zip.� h m4 A "L License#jExp, Phone We_ LiC8n5e l�xP 'z p5A�_�- _Unit Chame /St G 2.0 e7 9enficafFeeder 20D Amp. $192.00 �1��'! U O-Char" SMICelFeeder 209.400 Amp. $160AD Serfte/FeWw 40,-600 Amp $225.00 $" �- Semledr'beder 601-100DAmp, $288.DD - T- ServlCelFeerlar over 1000 Amp. $410.00 -- Branch Cimdtq 1.4 $ 86.00 $ Branch Circuit W1 SeMw Feeder $ 5.00 Branch Clrrxrit W/o Service Feeder $ 74.00 Each Additional arano Circuit $ 5.00 $-- '- Temp.Service!Feeder=Amp. $102.00 $-- --- Temp.5erftfeeder201400Amp. $121.00 TeMP•BgvWFeeder401-600 Amp. $164.00 $— - Temp.ServicelFeeder 601-10M Amp• $185,00 $-- - Portal to Portal Hourly $ 96.00 - SlgrJCrrtline Lighting $ 88.00 - SignatCir;cuWUmW Energy-Multi-Family $ 64.00. $,-°--- - $081 Ckrx lV Limited Energy f First 1500 st--Commercial $ 56.00 $ - Note: $5.00 for e90 addillonal 1500 sf -. RRene st a Efeeftl Energy-5KVA System or Lew $113.00 $ Therm $ ?Total Owner as defined by RCW,19,28.261:(1)Owner will occupy the siructrrre for two years alter this electrical psrtnit is finalized.( F)Owner Is required to We an elecficat contractor W above said property is for sale,rent or lease.Permit exifts after six months of last inspection. After reading ille above statement I hereby certify that I am the owner of the above named.properfy or a licensed electrical con Tractor.I am malting the electrical installation or alteration in comprianc a with the elechical laws,N.F,C.,RCW.Chapter 19.28,WAG.Chapter 2964 6,The City of fort Angeles Municipal Code,and Utility Specifications and PAMC 14,D5.050 ri'gaMing ElecWmj permit Applications. of owner,elecWcal co ctor or electrical adminisfr8tor: 0 Cm;, 0 Check Credit card it r/ a,101r2D,2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application .Number . . . . 14-00000265 Date 3/06/14 Application pin number . . . 652090 Property Address . . , . 303 W 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-3Q-00-0-2-3470 Application type type description ELECTRICAL ONLY on your excise fax form Subdivision Name to the City of Port Angeles Property Use . , , , . . . . Property Zoning . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502) Application valuation. . . , 0 Application desc Basement work Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL SIMPSON ELECTRIC DISTRICT 2 DBA OMC 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457-9270 917-7170 --- q Permit ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . , . 109.00 Plan Check Fee .00 Issue Date . , , , 3/06/14 Valuation 0 Expiration Date . , 9/02/14 Qty Unit. Cha'zge Per Extension 1.00 '74.0000 BCH EL-COMM BRANCH CIR WO/ S/F 74,00 --------------- --- -----5,D0 9 DNT BRANCH CZRC IT 7,00 5.0000 E H EL- Fee summar y Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.00 109,00 .00 .00 Plan Check Total .00 .00 00 DO Grand Total 109.00 109,00 00 00 INSPECTION TYPE DATE: RESULTS: .INSPECTOR: DITCH SERVICE ROUGH-IN FINAL 1 COMMENTS: PERMIT WILL EXPCRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE13UILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001461 Date 1/05/12 Application pin number 681740 Property Address 303 W 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 3470 -0000 Application type description SIGNS on your state excise tax form Subdivision Name Property Use t the Cit y 9 of Port Angeles Property Zoning COMMERCIAL NEIGHBORHOOD (Location Code 0502) Application valuation 0 Application desc FREE STANDING SIGN Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL OWNER DISTRICT 2 DBA OMC 939 CAROLINE ST PORT ANGELES WA 983623909 (360) 417 -7170 Permit SIGN Additional desc FREE STANDING SIGN Permit Fee 115.00 Plan Check Fee .00 Issue Date 1/05/12 Valuation 0 Expiration Date 7/03/12 Qty Unit Charge Per Extension 1.00 115.0000 PER S -F /S OR PROJ SIGN 25 SF 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 F 4 1 7 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void ifwork 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. .1 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. sCC,t 614L /A.) 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. 7A Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling CID/wall (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 ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE F Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 �i Building 417 -4815 T:Forms /Building Division /Building Permit N N m w w 0 F as a r H 0 0 to N a 0 ,J w b H H U F a Q C.1 2 w m [42 200 w w H£ maa 0 0 F i0 o 0 z•• a z H0 N FF F cn U U 2 m F w w w 2 a s X N 0 2 2 0 0 a 0 0 X H H H U N H 0 F 2 U F a n H -o H H F a m 1/40 a 0 m u o v 0 0 n m 0 C 0 o w w a 0 o q a Pa O U o r- o t!1 0 a 0H aa O 0 0 0 0 UI F N H w M UD 0 2 0 0 a 0 m U w 9 F 0 O CO X o 0 0 0 0 q N P 3 a 0 0 O F ti H 0 FC I I vlw z 0 D 0 041,-1 CO O 0 uo.-0 00a o 0 oS �F z w0 ID 0 0 000 O a .41 H a o 2 y O F a 0 u a z E 0 0 w F 0222aw 0 a m a H go a F w HtIEIVED DEC 27 2011 SIGN PERMIT APPLICATION •_y ;!c -ca CITY OF PORT ANGELES i a For City Use Only: t� acr Attn: Building Permit Technician if' NC D• to Rec ®ind 321 E. Fifth St., Port Angeles, WA 98362 Op P r it (360) 417 -4815 fax (360) 417 -4711 D to Applicant or Agent ,ate gy p Pk) Phone 4/1 Property Owner ('}LyMP/c NE/)r cAe- C&.i7 Phone Property Owner's Address 23 C,4/z avo,r 4AC G3'4 Contractor ,5 LF Phone Contractor's Address License Expires Project Address ,3 B Business Name 6LY,w' /C ME7) /c4L C&\ T N /7// 44,402y C t et/ ,k) tC Parcel Number 6G3 600 oZ3470 Lot Zoning CM Submit an 8 2 11' site plan three sets of plans that include: Type of sign (wall- mounted, projecting, freestanding, illuminated, other...) Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Sian Tvpe Brief Description: (Type, location, sq. ft.) Sign m 5 77 -'I1)t //Q 6,1 ZC) $F x 2 6 Q Sign #2 Sign #3 Sign#4 Totals (Unit charges Sign(s) Unit Charge Quantity multiplied by quantities) Type of Sian Valuation $47.00 x All signs less than or equal to 25 sq. ft. $85.00 x Wall sign or marquees, over 25 sq. ft. $115.00 x //5 Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. Proposed sign(s) area 4.0 sq. ft. Total sign(s) area C� sq. ft. Cju41 6e cde�,++olcs e Building fade area (height ft. X width ft.) sq. ft. (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) 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 /2, /2, Print Name Z6e �/Mt E Signature qt,6 T:Forms /Building Division /Sign Permit Application.doc v o. E E c a Z `5 c m a 3 E c i- m b m v m E 0 2 43E m g E v w 0 w e O an S d s c Y. E c 21 2 N :0, O o E l° V Q d: Q E Z m o r o E 3 E w v 3 '-„o' d o w 3 Z o Z OLI N <„,,7, V U o V m U m 3 uu cc i ci go O E 2 o o o 3 Q L `o b 1 v 3 U" o o c 3 d s Y P 3 -s% `o —O O v z o l'- P.1 o o x s_va o P? o a e,, O aU =U c U U wQ o 0o x�n b K a a c U L W u d w .›.c ;o r;-: d W O Y L r` v UQ L L a 1 CC a T. O a C O b 0 O V' O Q_ b C O• T O N N N p 7 J t <E,.-13- 011 W N –<_1 m N –Q vmEUm _,m m O m t ILE CITY OF PORT ANGELES Construct 'ion Plans The Issuance of this permit based upon these plans, specifi- 0—MM.'" cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Date y e y 1 I By alt )P& s ea (.0 T; 1 :3 if -Opp f‘429-A-d---I L. i•h M ~d M Pp 't1SK'.., a y j i ,y„ Z t„n.'� y+. a i� ::,,,,,,;,,,,,,..%...1, t ,.�a:.•. a Via± ,1 a �i N 4 4i M�'Y. ra y 1 A, W t' 'y Q I W v y wt' a' V� risen i;'-iiik>ir .;:i 4 e z t/J ra 1 8 t' T N T ',-4,n2, f rTy s 'E 1'St A s oo by c N 4 1m ,r' r \V ii m f m l z' a r.... h� 00 M to �C o ,,;,.cif 0,1'4 i I 4 z -4...1 5 1a' 2 o r^ K�"' t o ace u �k` e O t 4 1 1'x i m r xc F t ligr to X its K w j �a S,t a "f N `V '�b t m F 2,6. 4 1 in I H ti D C 4 a•" '5 b E U _T a� or._. Qd e 114" Thick aluminum top cap mechanically secured with 12996" Raise 4 panel non corrosive countersunk (Ref) (Qt 2) screws 291,4" 130" R .1 PLAN VIEW Raised panel Scale: 3/8"=1'-0" (Q 2} ir...,.... 66 (Ref) -w- j '.F- 48" Sign panel width -.-0..i i BACK VIEW A tie Scale: 1 /8 =1' -0" See Sheet A F48T12 /D /HO I ,L— —J —r— Flourescent larnp j i r mr (Qty. 11) t_. t i Rai sed panel SPCT200 Contour..- --te i aluminum support 1 8 post (Qty. 4) I Raised l I J 3 pane I (Typ.. 4) f I If r I F �aa,3�s i Caginet B i I hei ht Pos cut See I Ien.th Sheet B c �c' 1 I I i i 172_ A TBD l l I: i. -t 1 6 "x 2.034 "x .314" O.C. I I j Raised Structural panel (Ref) I aluminum channel I I T insert (1 per post) r r 1,4. r te i l Concrete "rnow 6" Grade j (Ref) curb` by others l r l E External disconnect 339536 switch cover 11.._..,_, i y I I Ref) i Concrete footings by l installer (See Note 3) 585 ts" O.C. 18" Dia. (Min) 6" PVC Conduit preassambled (Ref) to inside of post (Electrical FRONT VIEW others, See Note �2)i by END VIEW Scale: 3/8 =1' -0" Scale: 3/8 =1' -0" NOTES: Location: 1. Refer to presentation drawing and /or work order for colors, graphics specifications and 6 sign panel size and location. 2. 110V Electrical supply, associated conduit and connection by certified electrician. Ihstaller to increase footing size as required to route condiut. APPROVAL BY: 3. Footings are shown for reference only. Actual design and installation by certified REQUIRED DATE: persons based on local codes and geographic practices. Atlanta, Georgia USA Phone: (404) 688 -9000 Web: www.apcosigns.com All Design Rights Reserved APCO Customer: Graphic Systems, Inc. Date: 03/16/10 Project: Olympic Medical Center, Sequim Campus, Sequim, WA Drawn: WWD Location 6 Elevation Views Scale: As Shown 6 apcosigns.com Product: 4420CP MutliPanel PolySign Coord.: JN Double Post Mount, Illuminated W.O. 406702 Sheet a i 9 r) 0 1 cn 1 ir �0 4 X11 D o III 1 —III D '1 i De 11 I I I D ‘t'a Z 8 I 1 o z I z 1"x"1 8 li 1 N II o 1 (J\- 2 0 I z c) I Q I z� Z cn i i 0 I D xI 1 CONC. WALKy I 1 I z m 1 a I I t 1 i "—Z PLANTER cn I p I I Q� o z 0. t i 11 p R a 'D%- doer a L I m L 1J Iv 4 op to AA t _s, C7 "r or o I 0ti to Y 1M II4 0 441 V ate i Ax 11. 1� N 1''' 1 P a tt� mi aka I :-.0.1 444,:own 4 I o L �C z 01:14 -4 i I N Ja N ii 3' 5 11 1 1117- A 2�1 b1M cn I I 1 u I s 8 ei i 1 0 iP &l I Y 0;1F Fk.? OH O HF OHP& i JHP 8 jw I I A l I 7J 73 s 1 I I 1 1 ti %11 \._4„,--1 CITY OF PORT ANGELES v. DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000438 Date 6/23/11 Application pin number 514816 Property Address 303 W 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 3470 -0000- Tenant nbr, name OMC 8TH ST PRIMARY CARE on your state excise tax form Application type description COMM REMODEL to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 248900 Application desc NON STRUCTURAL REMODEL Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL OWNER DISTRICT 2 DBA OMC 939 CAROLINE ST PORT ANGELES WA 983623909 (360) 417 -7170 Structure Information 000 000 NON- STRUCTURAL REMODEL Construction Type UNKNOWN Occupancy Type BUSINESS:OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc NON STRUCTURAL REMODEL Permit pin number 185306 Permit Fee 1854.65 Plan Check Fee 1205.52 Issue Date 6/23/11 Valuation 248900 Expiration Date 12/20/11 Qty Unit Charge Per Extension BASE FEE 1020.25 149.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 834.40 Permit MECHANICAL PERMIT Additional desc Permit pin number 185686 Permit Fee 185.55 Plan Check Fee .00 Issue Date 6/23/11 Valuation 0 Expiration Date 12/20/11 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 103.60 2.00 10.6500 EA ME -AIR HAND <OR= 10,000 CFM 21.30 1.00 10.6500 EA ME -VENT SYSTEM (NON -HVAC) 10.65 vat 2_' t q- 1 a' Permit PLUMBING PERMIT Additional desc Permit pin number 185694 Permit Fee 107.00 Plan Check Fee .00 Issue Date 6/23/11 Valuation 0 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. 21, 20/( F C11- -L) N Date Print Name Signature of Contractor o 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump 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 ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspec:tion Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000438 Date 6/23/11 Application pin number 514816 REPORT SALES TAX Expiration Date 12/20/11 on your state excise tax form Qty Unit Charge Per Extension to the City of Port Angeles BASE FEE 50.00 Y y 4.00 7.0000 EA PL- PLUMBING TRAP 28.00 (Location Code 0502) 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments May 31, 2011 10:52:55 AM kdubuc. The IBC summary on page CS.01 shows that this is a fully sprinklered building. It is not, however this does not change the Fire Department comment of "no requirements." May 25, 2011 4:36:36 PM sroberds. The proposal will result in significant remodel to an existing commercial /medical building. The site is intended to serve 4 doctors and has 31 off street parking spaces. No land use issues anticipated. Electrical load calculations and electrical permits are required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 2147.20 2147.20 .00 .00 Plan Check Total 1205.52 1205.52 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3357.22 3357.22 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 1 Building Inspections 417 4815 Electrical Inspections 417 4735 Vv Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 S` 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 Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: P4,04 Sfi%._ 1 Lts Under Floor Slab Rough -In I1 o-tt_ Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date2JI Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling 1( /J x 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 2 1 f 1cepted by a Lt. MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: 0 Parking Lighting ESA: Landscaping SHORELINE: U\ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE C: v' Inspec:tion Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 '24141 12. 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HI H Cr) W W I W O N M X 2 a e w hib zX O Q F\ a,n H E u 174 a cn rn 0 Q W 0 0 QM aOX tx 2 U o W H I a H M a o H a RI r H at MQ W W 1-1 t.41 a u a E a N' N z m acl o I Ul Z Z H a h MCI) U I a' H m I E o o �q U7 m x g rr�� o o D E 3 ,..loo tit H H 0 I M U a M 0 (11 N W t.n KC I M O U G H 0004 N N O' X O 4 W a Mu o Hi at Z ro w Q t E ao E aZ H a o 0,(.„) l q O E-I U O 4 a, W H PORT CITY OF PORT ANGELES BUILDING DIVISION O TRANSMITTAL ID 6 0 To: Fire Department Other Department Date b Project Address 303 \,\J S Sf Contact ReG J er E rill Phone number(s) 4lr7 s6 Permit number I 43 Project Description T civil+ p Ve1r?1Ayn;- S New Construction AAddition 1 Alteration Please review return to the Building Division, Permit Technician. T:Forms /Building Division/Transmittal s.0 mi Pty 5_ t2- I I y�r P HrA BUILDING PERMIT APPLICATION Print in ink I■■■■ CITY OF PORT ANGELES Attn: Building Permit Technician 9 For City Use Only: IA: Date Received 5 6 -II 321 E. Fifth St., Port Angeles, WA 98362 �j Vt�j Permit (360) 417 -4815 fax (360) 417 -4711 Rt)Se S Date Approved g Applicant Owner: Olympic Medical Center Phone Scott Bower, OMC, 360- 417 -7170 Property Owner Olympic Medial Center (OMC) Phone Eric Lewis OMC 390 417 -7000 Property Owner's Address 939 Caroline ST, Port Angeles, WA 98362 (Architect: John Scherer, 360- 943 -1995) Contractor OMC In house contractor, Rob Gale Phone (360) 460 -1284 cell Contractor's Address License Expires E -mail PROJECT ADDRESS 303 W 8th Street, Port Angeles, WA 98362 Parcel Number 063000 023470 Lot NA Zoning Medical /H Project Type Brief Description: Residential Multi family xi Commercial Industrial Check all that apply New Construction A non structural remodel of the existing OMC 8th Street Primary Care Clinic. Work includes Addition an upgrade to architectural finishes and improvements to the building's existing HVAC, Remodel plumbing and electrical systems. Repair Demolition 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 Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 1,144 1,144 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION I$248,900.00 I Total footprint of structures Unchanged sq. ft. Lot size sq. ft. Lot coverage NA 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 CIE u 5e Gl`iaci tf e Q l &n Max. hei ht of ro osed structures Unchanged ft. Occ anc ya ro up P NA g p p p y g p of bedrooms Will a lawn sprinkler system be installed? No Occupant load *33 of full baths NA Will a fire sprinkler system be installed? Existing Construction type V 5 of half baths NA 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 permit rere required, and to obtain permits prior to working on projects. Date .l Z .Z,CGt Print Name later, Plan O perations kb= Signature 6)...ka/4: T:Forms /Building Division /Bldg Permit.doc NOT E So h Z1�, Permit# (I Li 56 2 J� 1- e i rI OU U 0 czy r-a.c U a T Yte 0 1�t= i ;0Vl 1 R ..1--P— Ek e-ci i i n S e) e alt 'T1o1/4 r a, A' (Arn dv n-ts wcuni 6 c-x‘ v" lk 3 A P so ali________-___LL-eire.,_ j re___ 7 _____L_,e- a r_247, 665 A S. T:Forms /Building Division/Notes qD cb 1 4„, ,.,,,,;',,:•:,ii.:',44:;:t'tt:',.',,.11,:,,l',''''.."!:,.4;,--!.:1:-,-::,:..:,;,,,,,;;.it.','.1';,;:'' la!: 4, th.. ,..1 t 1 I ii 1 1 I I I ir! i ii ii li' f7 ;4 :i e i i c F1 ..:1 1,1 ,,i 0:,, i„ii ft: ,,E::: :0 s 0 P°K�A FIRE RELATED PERMIT APPLICATION CITY OF PORT ANGELES For City Use Only: a Attn: Building Permit Technician Date Received NNW 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417 -4815 fax (360) 417 -4711 Applicant Owner Phone Property Owner Olympic Medical Center (OMC) Phone Property Owner's Address 939 Caroline ST, Port Angeles, WA 98362 Contractor General Rob Gale for OMC, Phone Contractor's Address License Expires E -mail PROJECT ADDRESS 303 W. 8th Street, Port Angeles, WA 98362 Project Business Name Fire Alarm System Residential Multi- family X Commercial Industrial Check all that apply Briefly describe the project: One addressable loop No fire alarm system, not required in Group B One zone Additional zones List quantity of additional zones PROJECT VALUATION (labor materials) Fire Sprinkler System Residential Multi- family XCommercial Industrial Check all that apply Briefly describe the project: Installing backflow protection device(s)? No fire sprinkler system yes no <2 inch water line (list quantity of devices) >2 inch water line (list quantity of devices) PROJECT VALUATION (labor materials) Hood Duct Fire Suppression System f Commercial Residential Multi Industrial amily Check all that apply Briefly describe the project: Will only the fire suppression system be installed or altered? yes no Not applicable Will a hood and/or ductwork be installed or altered? yes* no If yes, a mechanical permit will also be needed. PROJECT VALUATION (labor materials) 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 what permits are required, and to obtain permits prior to working on pr iec Date c.,[2.Zbb( Print Name e06 �.H -SZ /K3 Signature Je._ Cr �c',�l T:Forms/Building Division/Fire- related permit application Linda Pangrle From: Linda Pangrle Sent: Friday, May 06, 2011 3:44 PM To: 'Cameo Sorensen' Subject: RE: Request for Review Fee and Permit Fee Calculations Thanks You too. From: Cameo Sorensen f mailto:csorenser aolvmpicmedical.orgl Sent: Friday, May 06, 2011 3:31 PM To: Linda Pangrle Subject: FW: Request for Review Fee and Permit Fee Calculations Linda, My boss, Scott Bower, just told me that I should clarify to you that we will be getting schematic design drawings on Monday (rather than finished plans) and that is why it will take two to three weeks. Thanks have a great weekend. Cameo From: Linda Pangrle fmailto:Lpangrle ©cityofpa.usl Sent: Friday, May 06, 2011 3:07 PM To: Cameo F. Sorensen Subject: RE: Request for Review Fee and Permit Fee Calculations Yes. When do you anticipate remodel plans will be submitted to us? From: Cameo Sorensen Finailto:csorenser aolvmpicmedical.orqJ Sent: Friday, May 06, 2011 2:49 PM To: Linda Pangrle Subject: RE: Request for Review Fee and Permit Fee Calculations Linda, Thanks very much for getting back to me so quickly. May I combine the plan check fee, building permit fee and state surcharge into one check to the City ($3,064.67)? I haven't gotten any response on the mechanical and plumbing yet, but I know they want to get the building permit as soon as possible. Cameo From: Linda Pangrle fmailto:Lpangrle(acityofpa.usl Sent: Friday, May 06, 2011 2:03 PM To: Cameo F. Sorensen Subject: RE: Request for Review Fee and Permit Fee Calculations 1 Hi Cameo, Apology accepted On a valuation of $248,900 the plan check fee is $1,205.52. Please make the check payable to "City of Port Angeles Checks are accepted: Mon -Thurs 8:30 am 4:00 pm Friday 8:30 am 12:30 pm The building permit fee is $1,854.65 The state surcharge is $4.50 I don't know the amount yet for the mechanical and plumbing permits, since I'm not sure what remodel changes will be made. Have a great weekend. Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles, WA 98362 360- 417 -4815 360- 417 -4711 fax Ipangrlec cityofpa.us From: Cameo Sorensen fmailto :coorensen @olvmpicmedical.orgl Sent: Friday, May 06, 2011 1:24 PM To: Linda Pangrle Cc: Roger A. Easling; Scott Bower Subject: FW: Request for Review Fee and Permit Fee Calculations Linda, My apologies; I just found out that you have not gotten any details on this. The total estimated cost of the project is $248,900 and the application form is attached. Thanks again, in advance. Cameo From: Cameo F. Sorensen Sent: Friday, May 06, 2011 1:15 PM To: 'Ipangrle @cityofpa.us' Cc: Roger A. Easling; Scott Bower Subject: Request for Review Fee and Permit Fee Calculations Linda, 2 Roger Easling spoke with you earlier today, and I am just following up on that conversation. We are looking for the amount of the review fee and permit fee for our construction at 303 W. 8 Street. If you need the details again, please let me know and I will email back the permit application we intend to file with the City and anything else you might require. Thanks very much. Cameo Sorensen Administrative Assistant Plant Operations and Construction Olympic Medical Center (360) 417 -7479 3 Clallam County Assessor Treasurer Property Details 58068 CLALLAM COUNTY Page 1 of 2 Menem County Assessor Treasurer Property Search Results 58068 CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2 for Year 2011 2012 Property Account Property ID: 58068 Legal Description: LOTS 18 -20 BLOCK 234 Geographic ID: 0630000234700000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 89 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 303 W EIGHTH ST Mapsco: )5 i 6 ��r Y� PORT ANGELES, WA Neighborhood: Exempt Ref Region 5 Map ID: 2 2) Neighborhood CD: 50985200 *\e„/ ,.9"C" Owner Name: CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2 Owner ID: 18291 Mailing Address: DBA OLYMPIC MEDICAL CENTER Ownership: 100.0000000000% 939 CAROLINE ST PORT ANGELES, WA 98362 -3909 Exemptions: EX Taxes and Assessment Details Property Tax Information as of 05/06/2011 Amount Due if Paid on: M, 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. 1 I First Second i Half i Half I ;Base IBase i Year Statement ID Taxing Jurisdiction Amt. Paid I Amt. Penalty Interest I Base Pd Amount Due 2011 152750 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00' 2011 152750 CC -GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 12011 152750 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00? 2011 152750 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 i 2011 152750 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 152750 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 152750 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2011 152750 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I 2011 152750 CITY_STORMWATER CITY STORMWATER $126.53 $126.53 $0.00 $0.00 $253.06 $0.00 2011 152750 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 0.00 0 2011 152750 TOTAL: T $127.35 $127.34 $0 $0.00 $254.69 $0.00 2010 41041 ST SCH STATE SCHOOL $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41041 CC-GEN COUNTY CLALLAM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00; 2010 41041 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41041 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00: 2010 41041 PORT PORT OF PORT ANGELES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41041 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2010 41041 HOSP #2 HOSPITAL #2 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 `2010 41041 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 2010 41041 CITY_STORMWATER CITY STORMWATER $126.54 $126.53 $0.00 $0.00 $253.07 $0.00; http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =58068 5/6/2011 TRANSMITTAL SCHERER ASSOCIATES Date May 9, 2011 To Linda City Of Port Angeles Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 Re 303 W. 8th Street Clinic (Olympic Medical Center) Scherer Associates Project 10 -12 -29 For Distribution For approval For your records FYI For your review comment Enclosures Dated Description 1 page Current May 2011 Building Permit Application 1 page Current May 2011 Fire Related Permit Application 1 Current May 2011 Check for plan check fee 4 Copies 05 -6 -11 Drawings for Plan review and permitting (one wet stamped and three Linda This transmittal provides a list of the items being submitted for plan review of a new project titled '303 W. 8th Street Clinic Tenant Improvement'. Please track this information and distribute it to the appropriate personnel for their review and record. Project description: A non structural remodel of the existing OMC 8th Street Primary Care Clinic. Work includes an upgrade to architectural finishes and improvements to the building's existing HVAC, plumbing and electrical systems. Thank you for your time and attention with this material. If there are any questions regarding the project, please contact Amos Callender at Scherer Associates. Sincerely, Anna Scherer Office Administrator File: t:112 olympic110 -12 -48 303 w. 8th st. cliniclgeneralVurisdictionlport angelesVn- out105 -09 -11 8th city.doc ARCHITECTURE AND PLANNING 209 WASHINGTON ST NE OLYMPIA, WA 98501 -1142 TEL: 360.943.1995 FAX: 360.943.1887 i NOTES Permit t 4 3 Fiopo 41 V A 5-1 \05 EFAMIIIIIMENT se E7. V Irr 3 outdtecl 2 ►'l e• air CL o 1 eArs 6t) (_:"1-uur) \I MC 7-7 I N,,6 T:Forms /Building Division/Notes I S ue 5-25 -I1 •x '-c� Can Rar E, C syov.ni -�he BYtA/c9 ter "we,."^ �e Qa, c 4 unAQ 06 ft/LQ tk ai�& a ne:w 4 pl(-Nv IALAJ-e- r faa:1 Ap JP\icA2, e zelj\( r&t,ei A_ i �.1,aJh Sf ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001152 Date 10/13/11 Application pin number 630400 REPORT SALES TAX Property Address 303 W 8TH ST I ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 3470 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Clinic remodel service circuits Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL OLYMPIC ELECTRIC CO INC 4►2 O �Q DISTRICT 2 DBA OMC 4230 TUMWATER 4"0-7 84 Zp 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457 -5303 (360) 417 -7170 9I Z i1q$ Permit ELECTRICAL ALTER COMMERCIAL 11 Additional desc Permit pin number 194530 Permit Fee 820.50 Plan Check Fee .00 Issue Date 10/13/11 Valuation 0 W Expiration Date 4/10/12 Qty Unit Charge Per Extension 69.00 2.6000 ECH EL- BRANCH CIRCUIT.W /FEEDER 179.40 c 3.00 .145.5000 ECH EL -201 -400 SRV FEEDER 436.50 1.00 204.6000 ECH EL -401 -600 SRV FEEDER 204.60 Fee summary Charged Paid Credited Due f1e Permit Fee Total 820.50 820.50 .00 .00 Plan Check Total .00 .00 .00 .00 1 Grand Total 820.50 820.50 .00 .00 10 1 Ai' P' Tc c i r o o 7 &c 5 4 N AP P/1-0 veil) 17- 12. i i 1 NP INSPECTION TYPE DATE: RESULTS: INSPECTOR: r DITCH 0 61 I pp SERVICE (t1 1 to. ff ROUGH IN /1 -I D- it FxA-rn 2" w A Ai frc- FINAL 9- 11 3 z ap V7( COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING v oFPORTaN ox ELECTRICAL INSPECTION U ��N y WIRING REPORT tOy 417 -4735 DATE PERMIT INSPE TOR z L/— OW R/CON ACTOR ADDRESS 3o APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: C L /L L/ t ic��u 1T rt Lv CAL Ake., NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 OFpORTgN ELECTRICAL INSPECTION lhall C N WIRING REPORT t■�o�y 417 -4735 DATE PERMIT INSPECTO OWNER /CONTR CTOR n-I_Y 1-AP G C ADDRESS 303 t,3 g APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: fl �o ii 3 /Z I NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 oF pORT A, ELECTRICAL INSPECTION N N WIRING REPORT tow 417 -4735 DAT 1 PERMIT INSPECTOR 11-' OWNER/CONTRACTOR nL 1 G 1 LT21 L ADDRESS APPROVED NOT APPROVED DITCH 0.\RT14.'r.L.-ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: L.L _.j R c51 H S QL GSA, I\ 0-, rZ401-%- L1-1 1-06 i 10 t\1 A D Ct-1 Q J=3°7`1 o J i aiZ r 3 /Mhz NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 �*?ORT4 ELECTRICAL INSPECTION U N WIRING REPORT 417 -4735 DATE I PERMIT INSPECTOR 7-- 110J I) OWNER/CONTRACTOR ADDRESS 303 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: Q 45 ?C)I- t•2,1T`! C t Pa. At 2c9 C u te n. ?SAT A L RCPT V, 2 )40 voorz,k 1 b.L t.ob 54_ c-o Pfa-- 2q NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 10/12/2011 13:42 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT Q 001/005 s R FF� fir ii i f L��F�t J rt PCNtrgn �J CITY OF PORT ANGELES PERMIT APPLICATION OCT Building Division/Electrical inspections 3Q�' 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 a-... Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL INSPECTIONS Date: /.2-/// 1 2 Single Family Dwelling Multi- Family or Commercial' ,Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address Y27 AZ, ""_57' Bulldog Squats Footage: Desoription ofebove I.4' Owner Information Contractor Information Name: Nerve: oLYMPrc ELECTRIC Melling Address: >I �f rill /cer� rr McIIIng Address: 4230 TEMt/ATER Cdy. -7> f $letec'I.T 71p �2 4 90363 Phone: y/Z *lxli Fox; eFTI pQRT AHQ$LE3 state: P License /Exp. h one' 457-5303 Fax: 452 -3499 License Exp. OL.XMPEc2 85D2 Item Unit Charlie A( Total l Muw w b U t C Service/Feeder 200 Amp. 119.90 �....-e.3 ServicelFeeder 145.50 /4 3 ServicerFeeder401 -00Amp 204,60 _____L_ 6 Li Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. S 372.50 Li D Branch Clrcull W/ Service Feeder 2.60 69' 1 7 9. io Branch Circu t W/O Service Feeder 73 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp, Service/Feeder 201-400 Amp. 110.30 Temp. Service/Feeder 401-600 Amp. 148.70 Temp. Service/Feeder W 1 -1000 Amp 167.90 Portal to Portal Hourly 9$ Sign/Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf- Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal CirculU Limited Energy -18.2 Fare y Dwelling 63.90 Signal Circuit/ Limited Energy Multi-Fwniy Dwelling 63.90 Manufactured Home Cm/lectim 119.90 Renewable Bectrical Energy 5KVA System or Less 102.30 Them oetat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft, 110.30 Each Additional 500 Square Ft or Portion of 35.20 Each Outbuilding or Detached Garage 73,50 Each Swimming Pool or Hot Tub 110.30 <0 Total 8 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after Chia 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 ab statement, ment, 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 oomphence with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 298 -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 edmfnlatrator, Cosh p Check Crsdlt Cord N ��i� 01e112oto ELECTRICAL PERMIT a 4 CITY OF PORT ANGELES 0 360 417 -4735 Application Number 12- 00000220 Date 2/29/12 O Application pin number 488560 Property Address 303 W 8TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 3470 -0000- on your excise tax form Application. type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Relocate sign circuit Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL OLYMPIC ELECTRIC CO INC DISTRICT 2 DBA OMC 4230 TUMWATER 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457 -5303 (360) 417-7170 "5 3 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 88.00 Plan Check Fee .00 Issue Date 2/29/12 Valuation 0 Expiration Date 8/27/12 Qty Unit Charge Per Extension 1.00 88.0000 ECH EL -COMM -SIGN 88.00 Fee summary Charged Paid Credited Due Permit Fee Total 88.00 88.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 88.00 88.00 .00 .00 O© INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN v!I: 7 FINAL 22117 ACP COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING 02/28/2012 14:32 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT d002 /002 ut ,�A 1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections t, grihr: ,,..,'1N 0 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 WSPECTIONS Ph: (360) 417 -4735 Fax: (360) 417 -4711- Date: 02/28/2012 0 Multi•Family or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 303 W im Building Square Footage: Description of above RELOCATE OUTDOOR 8ION AND EXTEND CIRCUIT Owner Information Contractor Information Name: OLYMPIC MEDICAL CENTER Name: OLYMPIC ELECTRIC Mailing Address: 93S CAROLINE ST Mailing Address: 42 TUMWATER City: PORT ANGELES State: WA Zip: 98363 City: ROATANGELES State; W A Zip: 08363 Phone: 360.07-7000 Fax: Phone: no-iv-5303 Fax: 350- 463.3498 License Exp.. License 4 Exp, OLYMPCC2eeol Item Unit Charge fg,yt Total (Qty 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 Branch Circuits 1.4 86.00 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 1 ee.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 66.00 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 -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: Cash Check El Credit Card x Dated: 02/38 01/0112012 ELECTRICAL PERMIT i CITY OF PORT ANGELES 360- 417 -473 1 Application Number 11- 00001233 Date 11 /01 /11 \1 Application pin number 247721 REPORT SALES TAX Property Address 303 W 8TH ST our excise tax form Vu ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 3470 -0000 on your Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Low voltage communication Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL ANGELES COMMUNICATIONS INC. DISTRICT 2 DBA OMC 102 ROSS LN. 939 CAROLINE ST PORT ANGELES, WA PORT ANGELES WA 983623909 PORT ANGELES WA 98362 (360) 417 -7170 (360) 457 -4375 A/5 7 0 t 1Z- Permit ELECTRICAL ALTER COMMERCIAL Additional desc $5.00 FOR EACH ADDITIONAL 1500 Permit Fee 110.90 Plan Check Fee.. .00 Issue Date 11 /01 /11 Valuation 0 Expiration Date 4/29/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90 Fee summary Charged Paid Credited Due Permit Fee Total 110.90 110.90 .00 .00 CP Plan Check Total .00 .00 .00 .00 Grand Total 110.90 110.90 .00 .00 limb 0 re lA 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 19 i 47 ..44.e FINAL Z� �I�) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCLIANGE'\BUILDING N'EnE:WED), OCT 31 2011 t ELECTRICAL oi ecncr q, INSPECTIONS ee v CITY OF PORT ANGELES PERMIT APPLICATION a►1►N Building Division /Electrical Inspections te 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 L Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: f 0•-31 -f/ 1 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair* Plan Review Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 303 t3 8 S.t Building Square Footage: ____,k,OO Description of above r r l A. r n5 fit? r Rz�! s 1 Owner Information Contractor Information 1 Name: _lax rn L i ..1 l,� Name: /9n) c ti .,2+/f!a r,' rte S Maitin Adtlress: .6O' (4) i'‘ c e..r S Mallin ddress 1 4/0,7 6' b- f q r City: .0 'Lrr f7ir e, State: R Z ip: ,to kT t,'._... p 4�;:1 t City: %¢/7 r�4-.r Stale: aJ/' Zip: Phone: '1 7- 2j 3 Fax: Phone:�7a 4 15, Fax:'/ -7 •7- vta1 License #i Exp. License it Exp. Item Unit Charge CAy Total (Qtv Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service/Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp, 372.50 Branch Circuit W/ Service Feeder 2.60 y Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 97.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401-600 Amp. $146.70 Temp. Service /Feeder 601.1000 Amp 167.90 Portal to Portal Hourly 95 Sign /Outline Lighting 58.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 �j Note: $5.00 for each additional 1500 e y Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 $14 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. S 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 1 J) b I Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical, permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 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: 0 Cash 0 Check j Credit Card 0 ft 0110112010 ELECTRICAL PERMIT CITY OF PORT ANGELES 1 360 -417 -4735 V Application Number 11- 00001368 Date 12/01/11 Application pin number 046024 REPORT SALES TAX Property Address 303 W 8TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 3470 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Low voltage control Owner Contractor CLALLAM CNTY PUBLIC HOSPITAL WPCS INTL INC SEA OP DISTRICT 2 DBA OMC 18538 142ND AVE NE 939 CAROLINE ST WOODINVILLE WA 98072 PORT ANGELES WA 983623909 (425) 483 -2677 (360) 417 -7170 V V Permit ELECTRICAL ALTER COMMERCIAL Additional desc EACH ADDITIONAL 1500 SQFT $5 r Permit Fee 120.90 Plan Check Fee .00 \J Issue Date 12/01/11 Valuation 0 Expiration Date 5/29/12 Qty Unit Charge Per Extension BASE FEE 25.00 1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90 Fee summary Charged Paid Credited Due CA 'Permit Fee Total 120.90 120.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.90 120.90 .00 .00 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-1N i il I i 2. .1i:' FINAL 0 h V 4 7 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X t Date: G: \EXCHANGEIBUILDING a RECEUEN K 0 RORT01,1, DEC 1 2011 CITY OF PORT ANGELES PERMIT APPLICATION n'v --1 Building Division/Electrical Inspections ELECTRICAL itt 111011111 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS M Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: vZ l t 1 2IS gIe Family Dwelling Multi Family or Commercial* Aommercial Addition Alteration Remodel Repair* Plan Rev 'myr; fay,Se5 r�d P ease Complete Electrical Plan Review Information Sheet Job Address: �1'7 W Building Square Foot..:: Description of above 1 :lirdirLalt11tIfkli'ntiSLT i,' i �e 4 1. a A Ii_ Owner Information Contractor info a on Name: 0 .:01 i 1 4: G Name: W �t..L t 11 1 Mails, Ad. 1� A i Mailing Add ss: I: !r`i',i'1 I_ City: h Q .2: r State:: t. Zip: City: k'A. A State: ►A...:• Zip: #i ti Phone; Fax: Phone: ones f 1_. ,11 Fax: !I i9l12M1 License Exp, Exp. Item Unit Charge at Total (Qty Multiplied by Unit Chargel Service /Feeder 200 Amp. 119.90 Service/Feeder 201 -400 Amp. 145.50 Service /Feeder 401-600 Amp 204.60 Service/Feeder 601 -1000 Amp. 282.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.60 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp, 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp. Service/Feeder 401 -600 Amp, 148.70 Temp. Service/Feeder 601-1000 Amp 167.90 OD Portal to Portal Hourly 95.90 j Sign /Outline Lighting 88.20 l Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 t Y a o Note: $5.00 for each additional 1600 sf ,l Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy- Multi-Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Total f zo 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 -488, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature o o ner, electrical contractor or electrical administrator: Cash Check Credit Card 0 Dated: a 1 1' 01/01/2010 d'O"'~_ Jfi~~ D8 "-'r;'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ;\2\ EAST 5TH STREET. PORT ANGELES. WA 9RJ62 .M.lJtJ.J..l.(';d.L~Un Numoer Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000434 Date 182404 303 W 8TH ST 06-30-00-0-2-3470-0000- ELECTRICAL ONLY 6/07/05 COMMERCIAL NEIGHBORHOOD o Owner Contractor STAN GARLICK/W HENNESSEY ET UX 303 W 8TH ST PORT ANGELES WA 983625904 ANGELES ELECTRIC '"524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Pe rmi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES/ 1-5 CIRCUITS 50419 ANGELES ELECTRIC 61.30 plan Check Fee 6/07/05 valuation 12/04/05 .00 o ~ ~ tA Qty Unit Charge Per 1.00 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- . Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 t .. ~ ,~ ~ .. COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECf.lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: 1!Jo,P/~ ~"'~~-o~ PW-II02.I' [~ ~"~... 1." ELEC~~AL PERMIT CITY OF PORT ANGELES PUBLIC WORKS" ELECTRICAL DIVISION .'21 EAST 5TH STREET. PORT ANGELES. WA 98362 Issued: 5/06/98 Permit No: 6302 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ FAMILY MEDICINE CLINIC 303 8TH ST W 303 W.8TH ST Lot: 19, 20 Port Angeles, WA 98360 Block: 234 Long Legal: 360/452-7891 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER---------------~----------------- EVERGREEN ELECTRIC 402 JAMESTOWN RD. SEQUIM, WA 98382 360/683-4193 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS X Fan/Wall KW: 6 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- REMODEL DOCTORS OFFICES ADD 6KW FAN HEAT PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $52.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 ---- - - - - - - - - - -.::: 7;. ~ - - - - - - - -- Balance Due: $0.00 COM1\1LNTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPF. DATE COMMENTS NO FINAL , \ #~ GEl'iERAL COMMENTS, PW-II02.l5[4f96] Site Address: , .,.,";""'" '.. CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .;) ? foB // It. 190 f , ,. ELECTRICAL PERMIT DATE Installed By: D READY FOR D WILL CALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commerciai/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary DetallslDescription: o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~k- .a jl,,~ Amps / "2'o~e-; , !.. W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. /1}IIM.lld Rough-in/cover O.K. o O.K. to connect service Jt( ~ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters Site Address: ~ 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 Inspector In iting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. In WHITE - file by aadress YELLOW - file by number PINK - Top: Eng, Bottom: Customer NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;20, (;) 0 Amount paid GREEN - Top: Inspector, Bottom: City Halt OLYMPIC PRINTERS. INC. ~ ~rieal Contractor ~_. l ~<;o; ,~ \ 'I o Owner '~y o Alarm 0 Caruiv3J ~ommerciaJ o Request Inspection ELECTRICAL WORK PERMIT APPLICATION , o Annual Permit CJ Residential 0 Residential M.int. CJ Signs Q Thermostat a Telecom. Job wired by ~'trical Contractor a Owner Installation description 4fJD I~ / 0~ EIC:Clrical contractor name ,;-- license number ~~..9.I?~J(! ~ /fN~tLlf..:~VkJlC "\ ~I~~s ~ailing address ' 5':2-'f ~ Fi~S/ 8']": Cit~ A . S~tf; ZIP rd1lr ~6~ W/f 7Y:3(;2 Telephone number FAX number - Zc,. 'SL-'JU~ ftletJiWlJE ~oL .sr~ I hereby certuy tbat I am the owner oC the abov~ named property or a licensed electrical COntractor (or the finn\ author!7.cd agent) and am making the electrical installation or aJterdbon in compliance with the clcctricallaw. Chapter 19.2H RCW. a Cash 0 Check # ~C.rd Visa Mastercard Discover Card# ____-_~N _-fL~-____ Ont actor or electrical admini!ltrator Expiration Date of card x / WALLS Insulation Only D;,le Aplmlvcd B~ Cover OtiC ^PllrD\lcd Ii)' \. / CEILING Insulation Only Dal(: Appl'D\led lJy Cov~r n.lc - App,ovcd By \. / THERMOSTAT D..le A~vt'<lBr / DITCH '- O..IC AoPTllvcd By SERVICE Ull.te Apptaved IJ)' FEEDER Dlle .\ppI'tlYedYy Electrical L()Illl&!.clL!!lm~_'!.{lc:l..9..u;.!!btraetl()ns CI NO LOAD CHANGeS Cl Baseboard KW Cl Fu~ce KVV Cl Heat Pump _ Ton _ LAR Cl Fan-Wall KW o Overhead Service Cl Tamp Service CJ Underground Service S@rvle@ Inform-.j19.0' Voltage /.2.8/2 Y() ? Phase 0 , Cl 3 ServiCe Size: _ FeQder Size: ~ InspeClion ..\rea. Building or Equipment inspected Action Taken Elc.cuical Date In~pcctor ,z..-z.... '09. ~~-~I A^ ~~CJ ;#0 ~/7/oS' l "d S9G6 GSV 09S JNI JI~lJ313 S313~N~ NO~~ N~80'6 S0G-G0-9 CITY OF Popu .ANGELES PERMIT APPLICATTON Building Division/Electrical, Inspections 321 'bust Fifth Street —P.O. Box 1.1501 Port Angeles 'Vi nshingtoa, 98362 Ph: (360) 417 -4735 Fans: (360) 417 -4711 Date:. — rP Plan Review May � Reggulred, Plea�s,g Jab Address:Q3.. _7 Building Square Footage; Description of above . 41,seX 7 Multi - Family or CoML owner I Name:.. Malling ddr i7 ) 7 S ss, .,2� City: I State, I 'dam_ Zip: z:- Phone:,,,.5�j3� Fax: License # 1 Exp. I e t Unit Charge ServlcelFseder 200 Amp $132.00 ServlcelFeeder 201 -400 Amp. $160.00 Service /Feeder 401.600 Amp $ 225.00 Service/Feader 601 -1000 Amp. $ 288.00 ServlcelFeeder over 1000 Amp. $ 410.00 Branch Circuit Wl Service Feeder $ 5.00 $ranch Circuit WIO Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 66,00 Temp. Servicel Feeder 200 Amp, $102.00 Temp. ServicelFeedw 201.400 Amp, $121.00 Temp, ServlcelFeeder 401 -600 Amp, $164.00 Tamp. Service/Feeder 601 -1000 Amp . $185.00 Portal to Portal Maury $ 96.00 SignlOutllne Lighting $ 88,00 Signal' ClrcoW Limited Energy - Muld-Famlly $ 84.00 Signal Clrcuiti Umlted Energy/First 1500 sf , Commerclal $ 96.00 Note: $5.00 for each additional 1500 s( Renewable Electricel Energy - 51NA System or Less $113,00 Thermostat $ 58.00 Note: $5.00 for each additional T -Stat RECEIVED MAY 7 2014 EIECTRICA, 6NVECT'fCN Sheet 1 � tF pokrIA R a i�r�s Vj Contractorj.nforr ation Name; ly1 t'SD Malling dress: City, - ' State; Zip; Phone;' Fa Llcertise # I Fxp,S . QtV Total 10ty Multipliad bar Unit Charclel $ s. 9' $ $ $ 81 $ Owner as defined by RCW.19.28,2e1; (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 mading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contr. ictor, I am making the electrical ipstallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG Chapter 256-461 I, The City of Port Angeles Municipal Code, and Utility Speclflcatlons and PAMC 14.05.050 regarding Electrical Permit Applications. Signature owner, electrical c4 ra or or electrical adminlstrator, D cash © Check $ Cradrt card it t19A bated; �` 1* 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . 14- 00000537 Date 5/08/14 Application pin number , . . 684307 Property Address . . . , 303 W 8TH ST ASSESSOR PARCEL NUMBER: QE-3Q-00-0-2-3470-0D00- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . , , . . . COMMERCIAL NEIGHBORHOOD Application valuation , . . . 0 Application desc Duct heaters Owner k Contractor 4�f? CLALLAM CNTY PUBLIC HOSPITAL SIMPSON ELECTRIC DISTRICT 2 DBA OMC 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457 -9270 (360) 417 -7170 -__ -- Permit , . . , , . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Pee 00 Issue .Date 5/08/14 valuation 0 Expiration Date 11/04/14 Qty Unit Charge Per Extension BASE FEE 86.00 ------------------------------------------------ Fee summary Charged 7 --------------------------- Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Chec]c Total ,00 .00 .00 .00 Grand Total 86.00 86.00 .00 00 vw- INSPECTION TYPE k DATE: 4�f? INSPECTOR: V 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) MONT14S FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: GAIEXCHANGEIBUILDING