Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1940 E 1st St Ste 110 - Building
Building Permit 1940 E 1St St # 110 14- 324 OR z Vii= ANGELES For City Use l A N 1 N T N . U . Permit# 1 �`- " 321 East S°' Street Date Received: 3 11- 14 Port Angeles, WA 98362 Date Approved 3/Zri 14 P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: MIA, 4. i .. , ,"/er : //0 Main Contact: wad r' ,4:_. -r-rC.'rq Phone # ,i-2,r--- 27.E-. Ice 7..r- E-Mail: Property Name '"�w fftlo �',,.v/r7 r1,.r, r;`. I� �,7 Phone a� /�CjML1Yc� Owner • r a, fe'-. Mailing Address Email City ' ' ' State Zip 's Contractor Name ` ' Phone --T.:,, Mailing Address Email City State Zip Contractor License # Expiration: Project Value: Zoning: Tax Parcel# Lot# $ _ . - ..,3-,- -.... . .. ,= ,- 0 C; :.e-..._ Type of Residential 0 Commercial ❑ Industrial 0 Public 0 Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0 For the following, fill out both pages of permit application: New Construction 0 Remodel 0 Addition 0 Tenant Improvement 0 Mechanical 0 Plumbing 0 Other 0 Existing Fire Sprinkler System? I Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 0 No 0 Project -- n . 'x,'14 , ..),,,., L,,e.-_ ,Ji Description "1 1 .r' 7r'e'- " Cons"e'.✓i3;7"a ie-e,".27 A-4 r -"" w i r ei i;vv-- e`. . -., lam!.�i'r ?.. „.301,./.7-..4 y -A.1.0 $r' I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature , It-74201,00V"zr' K-/�?+r te r-- -.0;,, xfr Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals 174.:" Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping #of Outlets. Appliance Vent # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance.,g/ g pP # repair/alteration /4::e 72477 Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct Furnace/Heat Pump/ Size: # Ventilation System Forced Air Unit Plumbin. Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line re/o€. /it"61✓c'lale-rfesw # l Vent piping Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX H.G. KIMURA AP( 11111(-7. 1' k. Howard G.Kimura,Principal Date: March 13,2014 To: Mr.Pat Bartholick Building Department City of Port Angeles 321 E.5th Street Port Angeles,WA 98362 360.417.4817 From: Howard G.Kimura,AIA HG Kimura Architect PLLC 18012 W.Lake Desire Dr.SE Renton,WA 98058 Tel.425-271-1875 Fax 425-271-2383 RE: Rite Aid 5258-Port Angeles,WA-Tenant Improvement Project 1940 E.1st Street Port Angeles,WA 98362 Transmitting: Dear Pat: Thank you for your assistance over the telephone yesterday. Please find attached the following for a tenant improvement building permit submittal. Refer to front cover sheet of the drawing set for the main scope of work for this interior remodel. Attached: • 2 sets of plans • 1 building permit application • Check for$337.19 based on a valuation of$35000 Please call me if you need any further information to get this project in the queue for the tenant improvement permit review. Thank you. 18012 W.Lake Desire Dr. SE•Renton,WA 98058•425.766.5000•Fax:425.271.2383 •email:hgkimuraaa comcast.net r,q171 - CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY t&ECONOMIC DEVELOPMENT-BUILDING DIVISI€ rI t 321 EAST 5114 STREET, PORT ANGELES,WA 98362 1 1 'Application Number 14-00000324 Date 5/13/14 Application pin number . . 510160 Y CEL NUMBER: 06-30-1940 E 25-0-7 ST 00= 000- ' ��- *SAC'S TAX Application type description COMM REMODEL - 5t8 excise Subdivision Naive'- . On your Property Use to the City of Port Angeles Property Zoning . . . . .. UNKNOWN Application valuation 0%, . 35000 atieatthrl9ll!- oie 050 Application desc CONSULTATION ROOMS BY-- hCT/SOFFET/STEEL RACKS.. . Owner -Contracti)r -._` PORT ANGELES PLAZA OWNER ASSOCIATES LLC 650' S ORCAS ST, STE 210 --- SEATTLE WA 98108 . (206) 658-3104 \�i� Permit BUILDING PERMIT - COMMERCIALV Additional desc . INTERIOR REMODEL - . Permit Fee . . . - 518.75 Plan Check Fee . . 337.19 Issue Date . . . 5/13/14 - Valuation . . . . 35000 Expiration Date . 11/01/14 - - Qty Unit Charge Per Extension `'+s BASE FEE 417.75 10.00 10.1000 THOU BL-25,401-50K (10.10 PER K} 101.00 Permit MECHANICAL PERMIT q Additional test SUPPLY/RETURNR CONSULT AREA Permit Fee . . . . 63.70 Plan Check Fee . . .00 Issue Date . . . . 5/13/14 ValuatiOn . . . 0 Expiration Date . . 11/09/14 Qty Unit—Charge Per Extension BASE FEE 50.00 . 1.00 13:7000 EA ME-HT OE COOL APP. RPR/ALTER 13.70 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 57.00 Plan Check Fee . . .00 • Issue Date . . . 5/13/14 Valuation . . 0 Expiration Date . 11/09/14 Qty Unit Charge Per Extension • BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due - Separate Permits are required for e�lwork,SEPA,Shoreline, ESA,utilities,private and publickrtvements.This permit becomes " null and void if work or constrtmlbrtauttodzed a not commencedhin 180 days,.g;obstruction dr.twatk issuenended or abandoned . tor a period of 180 days `tee work has commenced,orif taituliedlitepectirma have not been•reguested within 180 dayslibm 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 cannel the provisions any state or local law regulating Construdiorifior the performance of construction. . �y/y/z/ At,e S�ie..e/a 4/t/ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(d owner is builder) T:FormslBuilding DivisioNButidin9 Permit : , ,,•'`',.' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY$4,ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5Th STREET, PORT ANGELES,WA 98362 Page 2 Application Number 14-00000324 Date 5/13/14 APPliCation pin number , . 510160 P t 1 i•'se x i-r.' SALES TAX Permit Fee Total 639.45 639.45 .00 Plan rbeck Total 337.19 137.19 .00 .00 on your state excise tax ittnn Other Fee Total 4.50 4.50 .00 - .00 to the City of Port Angeles Grand Total 981.14 981.14 .00 .00 Location Code 0502) ,-.:- „ --.. Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements.This pennitbecotnes null and void if work or construdim authodzedis not commenced will*I180 days,if construction or work Issuspended or abandoned' for a period of 180 days after the workhas commenced,or if required hlePeetierie have not been requested 1•i4bin 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 previsions 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 violets 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 owners builder) T:Forrns/Building Disision/Buikring Permit ro ( .3 ro 3 H ro (0 0 H ( y'd O n?+ n ro C C K i t1 k IM 0 0 ro Ctl 'rod Xf Z z 00 H Lt1 10 N \ � ro % 0 \ X C n c1 a K ti 0 0 H 0 00 0 0 H 0 0 ?N O H H ., H .. H H •. C n to '-7(T3 H C7 ro m (0 0 ti 0 nzn L. z nzrr z z•z0, o, u,ul 0 0, 0 t o, (7(0 0L1 H� 3 0 � 3 0 " "" 3 i0 H H• N N ro C O r .17W0 H HO (000 H0'0 H ..,.,.-1J N N C L1 O J C M O J 10 10 C L1 OA 01 0 10 (0 \\ MM \ MM \ \\ [1[n 1 1 (0 A OH H HH H H'U H H H 3 H H r H H 0 003 o (0 0 4P 00 t'i('1 ' 0 MMM 0 00 L1 VI 00 MCI OHM rnr 000 H w D,O Pi xA x/ H S 4 70 H N N C' H 0 ro0 (wn Z� t(nz ror tn 0 (0 ZC 0VVI N0(0( 0 w 0 03 0 0 ' H N Hrogyro(0 Hro;U (00r H0r�- py 3 (0 o(0 H I-3 ( y (o( 0 3H MO 0ro333ro 50 U 343 (00.3 34W333b7 (0C1 i 30 N-G W r-N C mm I-'- 1') MMH-G CAI H W C L1 Vi 0 0 7cG xKto w (0 0 0cn K0 dK xK Cy NO(] MO mm3 m 3 00 to0 (0 00 to m0 L1 0 Cr)0 t1 (0N mw C(0 C(0 H H C,h7 C HHN NH HH r HH H 0 1O 10") H H W---3M• (0• (. (0'U U1-.JH m ro In J Liz• N' MM Cl o• L) 0 0 \H o• n "H 0- H 0 \H Ld O 1O 0,00 n H (0 (0 n H lOMO a) 0H(] HH i N O O 10( 0 0 I NC 00 I N H O i O H O O (0 N ,OOHr1OrO 3Z WO 3(0 (0070H(OHZ 3z • (OH(001O0C 3 'OH"] 3 (OHOOI0a0 3 (ro (0 (00(0 w L) M w O H L1 w 0 w w Z n n to 0 CO C.a 0 1O x H O(0(0 H a w(.. 0 .. H H H m- HNOH U] NWN 0 U7 (0 . 00(00 U1 0 H (0 0 0 0 I 0 0 CO A M W o to MO OW ow .. o.. " Z CyIQ A al H o N w w w 4 H 0 3 3 3 3 (0 3 (0 (0(0 C [31 (0 (zC �H 0 ,Ey C1L1H C 'O co. LY '0 'U H 0- < H 0' r- (11 LY 0' � n. . .. N m '1 A' N Fi hi ht 'i Fi F( Cr — C G' ' 0 0' G' '< 0 00 •G < p • r 0 0 • H 01 H H H 01 01 Co w H 0 e g>„c;7"' V !(C L:p. T- E._ gm F.. r` m H H vH 0 r ;11\ A ,,,,...mt, ;r V s ti ro ro N H ro Nro00p4 n ro r r r 'C i ro>N0X HZ L N N C n N y N k N 0 0 0 0 y NCS NN ON N H Hn CD 3• • H 0 pro+ N 00 O 00too nO bN7 . . .. . �4.---2°:: \\ \\ N 0 H H HN N "CI 00 romi r coJJNN rNO .NalO N0 \\\ \\ N I l Z1 A 0 r a ,p H H LH*]II ro o w H o N a. p' 00 r- 0 iiio I y L17 L=7 W3 0HZ CDH 0 N C1 H w i�� UCC" NC LN*JHxG) NU1 Lam" H w I r r r ((I N 4, 1 (NA N NN, LC-'ro p�rodl Oaro H 0 H 3 3 0> H H o N o 5 z1 , > 3Oro4 0.0434ro333N NO 30 H.C r r O O G H.G r N H.N r NM 0. 7s'G C r O N 0 7c•0 3< 7c''t C N W L7 o CD m N m 3 rr O N ID 3 C n N l H to • N H HCH N N HH y H r to Co z C -.1 N J z- U1` z to ro n o• 0 (D00) 0 0 \H 0 l0 v0 N l0 N n H H H N 1 Nhd N N N'i]O 0 00 z z N t0 O H a O 10 O H H N0 H O 3 Z CO N M N0 H'N N H\0 H z 0 l0.N C. N ro KJ z w a> ,p w.P> w C) N (s]N ( a,V r H•4, 4,OJ C.. ‘oI 5 n n N•• H H 0 •• W•• H 111 O H (/1 No 7c'w co 4, co co N'z N O O w -1 0 N •• O•• 0 H •• 0 N _ N O H N A ON O H N -1 Co J A H • 3 " '3 3 3 3 00 NN1 W ((ON W H z z O H '0 \ '0 H N [= 1 [s7 H C 0' G'H tf H. N .. .. C H N N H- N N () y7. rt 0.1) (T H 0' N k 0 N'S 0 . 0 N H rt . H m m N vl G 0 P.• Lo ad H H 0 O ,P C H. P. m N O 0 LX N C p > H. H 0 tN)N ti N N H 0, 0 H CO \ a,H Building Permit 1940 E 1st St # 11O 14- 556 /1 �cc c o TA SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: 141141 Attn: Building Permit Technician Date Received --- - _:...; 321 E. Fifth St., Port Angeles,WA 98362 /j ermit# . 11111.11V (360)417-4815 fax(360)417-4711 ate Approved �rr1 Applicant or Agent SignArt, Inc Ph ne ; 800-423030 Property Owner Port Angeles Plaza c/o Eliat Management Phone Property Owner's Address 650 S Orcas St., Suite 210; Seattle WA 98108 206-624-5205 Contractor ASM SIGN -info on tile Phone 360.452.7785 Contractor's Address 1327 E 1ST STREET PORT ANGELES WA 98362 License # QN FILF Expires Project Address 110 Port Angeles Plaza Business Name Rite Aid Pharmacy Parcel Number Lot Zoning CA Submit an 8 %"x 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 Type&Brief Description: (Type, location,sq. ft.) Sign #1 new 48" channel letters on side elevation 92 sq ft; re face attribute . Sign #2 new 48"channel letters on front elevation -92 sq ft; re face attribute Sign #3 replace face on front Drive Thru Pharmacy sign -33 sq ft& Drive thru canopy sign 21 sq ft Sign #4 replace face on existing freestanding sign Totals(Unit charges Sign(s) p'3 Unit Charae Quantity multiplied by quantities) Type of Sian Valuation$ $47.00 x = $ All signs less than or equal to 25 sq.ft. $85.00 x 2 = $ 170.00 Wall sign or marquees,over 25 sq.ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq.ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ 170.00 Credit Cards(Except American Express)are accepted Existing sign(s)area sq. ft. +Proposed sign(s)area 393 sq. ft. = Total sign(s)area 393 sq. ft. Building façade 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 façade 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 5/8/ILI Print Name ,NO.P \ 6-5 Signature T:Forms/Building Division/Sign Permit Application.doc \\,, • 111 1 C,7 ? - .. vS T O C C> rA • t a_ � = c I 7- 0TI0 N `�\ aj a y Oo x n R ) Teri \ .A� tii ,N ' ''_ ft 4 F i I ti I.j co is -o .1 uin 5ca -., 5-„ :1 moa tD IV ca. ritr_jiU:FU ! °q vs ' , C 3 N Di2 N tu -...... ID t_ R 4 C `4 N ,F? ;... (c..C 1 a 1 5 R c till I \ Z`2;,— a 3 3 W ro 3"I . Ng. 1,1 t n Li t _,3. .i i N llj! - < C r • om^ HI- n O 1. ),_ 077, 6_ CAI 0 A C n y lI o E I • RcII' it I ^ -- 4k G/) v A t41(ie w -. Z 6.a s Q° a e- Ln tri w Z.0 •fb O =r) II N .1 to cr C * T T1 T O y,� G R !•' r, r-• a Po ag N a N 07 V 00 0 31 I- C) P m PI: X ., v Ncri STI .1. ,svii _,_ ,.. ., e , i, . A i o sv •AN I rt FD- 4'el , 2. : i 3 D o cn C I O - < n . 0 n O 3 - Q b F) 4 y A n i w ato N .. g Zi V1 D N O ,i w O i H v F. Q m m F F. $ O' r. 3 R �m ..:5 S' m � 3 nom _ o Cl nm ENUM cro � v N -co p 20 N ig N n ° fcr D o0 v •• _ Z Re rrl a cn rri cro O. * cr O O CI 3 (/) ov' N 0 d N V CO O n T • rt 3 • 0 e0 ® © • . . b w. ;', it FJ Q .p T co M r c,,- che I O H :a F -, rt. A 4 . m p ERA rt -a• c rt A' a - N _ -s co O 5 rtI r Om ,D5 rt / I\ II .. O 4 D _ c _. s UC \ t -` j_ • fp o a i W O © e V e 0 0001 ©© 0 0 2 N 0 c H 3 o 07 V V, A W N ® ®®® 000 000 z7 cD Z X trD N C N n m O A 'c co CO O O C7 T rD O = r x 5 F a o W N ccr'o N' c o < cit -o D 8• a o < 9,- < • o o N _ y (D n S 2 », Q Q. E O x H 'D N VQ C ry O ,.. S FD C 3 3 ' c = Z c� `` c°0u = Oh o a �- a d EC 4 3 0' ,c-° , I I co C a o co - — ` Cr a c C y 3 c ry,� n s 3 y x d Z O Q n N ? c = c7D VC < c' d O N N O n' r w 3 $ DJ n Lo n c • Cr ° 3 A. a s 70 TT CIPD 17)'-.< s - m r•-; ocT co `D n n a C r o E. C 3 ' ^ c m c aa, w 0 a nN< cr) s 3 D o -o v O 8fD S c n !D ra. a , s w ° m * p'CD Co . Nc F pn � � . w QT > > w ,+ s O n K fin 9 < o T v !L N p N C ° m O Q ' s-0m 7OnQ F * C• D 76 " c- _ o Du 0 -I T C C a 0 0 c oo a G n [D X (D M — n S -e a' O Oo 0 cr 3 eD Ort rD 3 0' C co • a �' m * 3 `z O i N rD S n Z R. 7 )`•) c-, 0)+ O O S C Cox T v * a o r ro " ii Q O �'. ,�1,7 • ' GcYi S o O C s ic- RI • A y CO 7 ',^ 7c' �• C Q S X �° 1- n C. N o Q n n U P) Q_ C fD c °- vi 0Ci a cII m c a = ,.....74 V� N - y• M Q. N co 1- C N • O 0 C Q. 8 V^.. 5 T1 7 el: 7 T N (� O to a pcs, S�\F' l r VAT+ l' UQ " co "IF Cn 3 c)7 3 r j C v OQ n W T S W ul T 72 D L r a I n•<w v I A a o o cD m K w P co ac c I w c O nom O �,. .� I'T7 C `n CD N o a. • co a� . co r« >1. aAa .111:1 Cil •a rt 3 sm O O Q,a �. O = ' —. ....1 y :t f Y 0 Q?r':' rD p 04 ' n s= �' „kB -Eli 'nom e mi cy C5 ml 7 Nw uW 3 Aa N y c)-�' ,i rit <m Z s _Q Ncn CA w F w N W a W v to II O 3 .Q .11 - g_ 0 w �" O o /xs< CD ns ill QaC < T-51. Hyy - rtK O d J 3 <` OS C* 3 o e o g .o ca- A+ z —I »q O P> 'p rq- fD a Z DJ*n a IlY o W til VI N CO N V CO O nQi 8 37 v0.74� 3.7 a w; Cl. N b ' rill r g w W X a rt bCID v a �' —■ pa rt C. tA , iii arow Co A° m-» g. rt m Mt w' D 2 UQ a oz ' 0 �! x N z 0 o c n • - lik, 3 I z o-1)72_:-,ov O n rn x. Fe R A // CD Da. -0 to 6 3 4. • "< -4: D rw•r O�7 rD O..r+ rD 7 "' Q 174 7, r y O n •a.`<o N=' w = T j 0 w n f N p-p n II m-o w ' < ch II pCDa 3CD O ,.- :n r- o N r o 2. 1 • 0 = y N rD O o it p3 O ti ( Q o .-1 ,..11-Z'''.i.'"_-.1*.,‘: y O 4'. 41. ',# . o ii , � frtD r.. w z jt a is CO O N 0 ,__ ;_,. 70.^ l ,,,. ri. N 1 a w � .. d 0 * m • � ea Ca ) U,nc, R� ....,..,..-*Alig,.., , eta n �' ',:. 13 rD a 4 �i3., (a fiy.. g vci k€ f.fD . rs. � ;7: �i F. ' � &� '', .,,,,,,.-,.:,.' ',,I-li: ' ' '''-.1111.1_ I-1-;,-,_,t,,i:4.',,f--' ,N s, . 4'WI:' 1,1 ii, , : _t',...,,0, yy 3. t. 8. CC/ 74- F; _ c 1 r # o ? {; sus ` C t 3 ,,16L ,,,,,., w isi N '° - 1 rri O .� O w • fl. 4 r aC') .1:. Z N tgl Vi ul OD O <OA101 = to vZ 33 s ci y Vi- ion 1111 *On' 3 A Er VI 1cn r. 3coQ fD o ...7 '5 N D N % rt e D Q c fD v n 1�O a fD wn HA •� 'o d o g, w O 0 cn <c V) L Fri MI g E> , z ,-,.. Z 5- cro < ' 111 D- 0 > M �n1111 "c5'4.. - a _ f0—D w N ilaNiell D � N n moo4n> loo, , I rD f N Q N � ,� n p- O O C s 2:1 3 7 N Ii CrQ CL P DJ C)- __ `-y a j Qc Z P> N c = ••• D N N D WMM C' W O MI `�. 7 O Q II 0 N II Vf re O CO O C v o T rn f C c rt `^ O m g Ill ,.: '-'''l '1 :' ...>° ,tt-, ,- 7. 3. N ' r ; Zr"' ' Zt-",C z lzh VI < n Z Vl N N W V1 V _ CO O CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION _ 321 EAST 5Th STREET, PORT ANGELES,WA 98362 1 Application Number 14-00000556 Date 5/23/14 Application pin number . . 366112 • Property Address 1940 E 1ST ST 110 • �V ASSESSOR PARCEL NUMBER: 06-30-12-5-0-7000-0000- REPORT SALES TA Application type description SIGNS Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning UNKNOWN Application valuation . . . 6500 (Location Code 0502) Application desc REPLACE CHANNEL LETTER SIGNS ON FRONT/SIDE BLEVATI Owner Contractor - PORT ANGELES PLAZA HANSON SIGN CO INC - ASSOCIATES LLC PO BOX 928 ` 650 S ORCAS ST, STE 210 SILVERDALE . WA 98383 SEATTLE WA 98108 (360) 613.-9550 (206) 658-3104 Permit SIGN Additional desc . Permit Fee . . . 170.00. Plan Check Fee . . .00 ` Issue Date . . . 5/23/14 . Valuation' . . . . 6500 ` Expiration Date 11/19/14 A Qty Unit Charge Per Extension 2.00 85.0000 PER S-WALL SIGNOR MARQUEE > 25 SF 170.00 Special Notes and Comments May 19, 2014 9:32:34 AM sroberds. _` r Sign change is cosmetic only. No increase in sign area. Fee summary Charged Paid Credited Due Permit Fee Total 170.0,0 170.00 .00 .00 Plan Check Total .09 .00 .00 .00 Grand Total 170.00 170.00 .00 .00 . Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements.This permit becomes -null and void work or construction authorized 4.noteernmenoed within 1110 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. lied inspection. I hereby certify that I hake read and examined this application ;,•• know the same to be true and correct. AU provisions of laws and ordinances governing this type of work will be .• . c(77.' with. ,. - -,•: • herein or not. The granting of a pennit does not presume to give authority to violate or cancel the provl , •-'any 'f' •- I law regulating construction or the performance of construction. w,w '�,rr A&Mar, cAsimilf , 'Mimi ......d' i Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Buifding Division/Building Permit U) "CI ;U) ro�zozd yM U) H r PJPr/�1[ ro 0 10 H z r y U) O U) H C fl mLI 3• • H l7 y bJ 0 ro H CI• • U• 0 CA O LTWJUU xJ.. .. .. .. Z1 a, 3 b H roCbo ao HUYo8UF' ya, hJ cn Piz rP O H H HHeh 0 ] U)0 tam Ch UJ H o o 0 r• 0 0 OOHz z UU]H o N Q UJ H N to 1 C.] H CII 4 xl tntnrQH r C.7 H al i hJ 7. N U)'L o U] UJ ✓J✓'T\ Hro 0000 H 1/1 �'- Z O>H H U1 o N z 0 r) W 4 W ;U U 0 o r C)P7 0 o a U U )!) o m Q C m r Ub H H U+7 H H W a1 H U1 O O• z o U) H O ',I) O H H H X mor a°z mm LJ o H 3 ro ro tri ai p N y Cr) ZZ H. •• Z 0 0 'WU] 3n '1700W uUiM zzd H CTJU)H r < H H H r D N W G J O a1 H al o a)a1 N H W W W l0 oo ..�. o - O W H Q Ctl[+J m H m H N NOTE TO PLAN SUBMITTER. All plan comments require written response and/or correction for permit issuance. permit igsa.nnr. 0 Concept Review 0 Preliminary Review 0 Final Review COMMENT NO PW-1104_04 [12/93] SENT FOR DEPARTMENT REVIEW ON 7- 6- 6 71" REVIEWING DEPARTMENT uilding PW Engineering [1 Wastewater Water Street Solid Waste Light Fire DEPARTMENT COMMENTS RETURNED74 VCOMMENTS TO SUBMITTER. SUBMITTER RESPONSE DATE. o Revision 0 DRAWING OR SPEC REF 1577 IS& P--/ 426/7 Pz PROJECT NAME. k'ie -.45 )10ot approved. other 0 Reviewed by etLee by 1 6 V 10 E s+ Su4e) HO PLAN REVIEW COMMENTS returned to submitter for response and or correction REVIEWING DEPARTMENT FINAL APPROVAL. Date COMMENTS 11 //-00,(-1 F 0%6r- F 99 ca7 1 :p keit/6 7e-c ,4eoet4D tez--4/ OA) /9A 7/4I€2 o- lee-47 -43,e Azz_e_ LOCATION iqvd s,.)/7-a 70 Return response with plan resubminal. Approval of Au reviewing departments required prior to AF4 01****W ZS•a$' BACK CHECK BY/DATE: STATUS CODES. A COMMENT ACCEPTED C CORRECTION MADE N NO RESPONSE RE,Q'D PERMIT /6)S—Sr "\.~. '. Application Number Application pin number Property Address. ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use Property Zoning Application valuation 08-00000726 Date 031016 110 PORT ANGELES PLAZA 06-30-12-5-0-7000-0000- ELECTRICAL ONLY 6/19/08 COMMERCIAL ARTERIAL o Application desc kEYPAD SECURITY SYSTEM Owner Contractor P A PLAZA ASSOCIATES 2005 8TH AVE SEATTLE WA 981212603 ADT SECURITY SERVICES INC. 11824 NORTH CREEK PKWY BOTHELL WA 98011 (425) 489-3668 -.' Permi t Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL -D .J: o Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permi t Fee Total 40 .00 40 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40. 00 40 .00 .00 .00 'J) -T 128447 40.00 6/19/08 12/16/08 Plan Check Fee valuation .00 o m Qty 1. 00 Unit Charge Per 40.0000 EL-LOW VOLT SYS <~2500 SQFT Extension 40.00 - i - o " ." ..,. SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL b-'l:A)~ OMMENTS: 1 ~pO"T~ lO~<'(~ ~ L~ ~ "'C;;;;p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning Application valuation 04-00000963 .902157 -J,..1G P9RT lJ:TCELDO FLl,:l1\ 06-30~12-5-0-7015-0000- RE-ROOF Date 10/19/04 . \'2-jZJ\OI COr r-e ~t o..&J,re. s s \;; 1"'\ Lj Cl E, (S+ Si) si-€, 1\ () COMMERCIAL ARTERIAL 79000 Owner Contractor P A PLAZA ASSOCIATES 2005 8TH AVE SEATTLE WA 981212603 B R ROOFING INC. 18040 DES MOINES MEM DR BURIEN WA 98148 (206) 248-2250 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TWO PLAY COLD PROCESS 870.25 Plan Check Fee 10/19/04 valuation 4/18/05 .00 79000 Qty Unit Charge Per 29.00 BASE FEE 7.0000 THOU BL-5D,OOl-lOOK (7.00 PER K) Extension 667.25 203.00 Other Fees STATE SURCHARGE 4.50 ~ .-9 .J; o Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total 870.25 .00 4.50 874.75 Paid Credited Due ---------- -------- ---------- 870 .25 .00 .00 .00 .00 .00 4 .50 .00 .00 874 .75 .00 .00 Yl\ T C:A + , ~ f'-+:. @;/J(~ 0,-/ ;; ~() :s- o 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 alter the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governin Ihis type of work will be complied with whelher specified herein or not. The granting of a permit does not presume to give author to' iolate or cancel the provisions of any slate or local law regulating construction or the performance of canst etJon. Signature of Owner (if owner is builder) Date T:\PLANN1NG\FORMS\110Z.15 [11!14n003] ~ ') BIDLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAfNAGE/DQ\VN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-iN 1 I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN W f\ TER LINE (METER TO SLOG) GAS LINE BACK FLOW I WATER AIR 'SEAL WALLS I CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR iNSULATION SLAB I WALL I FLOOR I CElUNG I I I MECHANICAL BEAT PUMP GAS LINE . WOOD STOVE / PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT !i's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARA IE PERJvtlT #'5 SEPA: PARKINGrUGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COJ\.'1MERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNfNG\FORMS\1102.15 [1111412003] C\\-")H<,-I\ \ ~'L\ SO\-~ S.."l st. PJ.\-- PW'\')~.h_S I wD. -6/2b , S-. JJ" ~ -= ~ ~........ ELECTRICAL WORK PERMIT APPLICATION Job wired by tit Electrical Contractor 0 Owner Installation description ~ Commercial 0 Residential o New ~lteredlAddition o Cfi. \ C Premises owner's name P A- ?\o-..'ZA A":>SGlC-\""--\e..-S Address of Inspection \ \ 0 Po(-+- AV\,\eJe-s. PI "'-.7 "l Cil)' J 170 I\- /.\V\r>L\~ <;", I \-J p.. Phone I}Umber 0 sc~Jule inspection: (: lpO <S Owner a~ defined by RCIY.J9.28.26/:(l) Owner will occupy the sfruclun? for two years after this electrical permit is finalized. (2) Owner ;,~ requirell to hire an electrical con/racfor if above said property i.~ for sale, renl or lease. After reading the above statement, I hereby certify that I am the owner of the above named properly or a licensed electrical contractor. I am making the electrical instal~ lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chilpter 19.28, WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, cl C!:IT(. ~~A-o S~c..u..r"~ ~s.-\-ew\ / ~ '2-'SCXJ _ a . . AI") \;!'ilib~1Z:. ~ . -I/O"'] . t':lI.\<:;"'+-~ ~ TV\ <:.toJ \ WA. Telephone number FAX number _____.0::.:.--- JUN 1 8 2008 o Cash ~ Check tIGHT DEPT. o Credit Card Card # Visa Mastercard Discover x - Date: {p Expiration Date of card d or ubtr tions KW Ton KW LAR o Overhead SelVice o Temp Service o Underground Service Voltage L- ovJ PhaseD 1 03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ( ROUGH-IN r THERMOSTAT ( SERVICE \ "-~;:-Cf3 ~,"Y D31~ Al'rrov~d lIy "- llalc Approved Oy FINAL DITCH /' FEEDER " V3/J&:> :t~ Dale "- Dale Approved By Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 06/09/2014 03:11 FAX 3606139515 HANSON SIGN CO CITY OF PORT ,ANGELES PERMIT APPLICATION Building Dhision/Electriad Inspections 321 East Fifth Street — F.O. Box 1150 / Fort Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 , hate; _Y Multi- Family or Commercial* JUN 10 2014 ELECTRICAL MSPECTICN * Plan Review M y Be Required, Please Complete Electrical Plan Review information Sheet ,lob address: ! q0 1Z Building Square Footage.: Description of lbre i A Imo, owne0information Name: Mailing Add r City: C. Slate:. W lei Zip: Phone:. ^IF: ax; License # I Exp, Item UnK Charge Service/Feeder 200 Amp. $132.00 Service/Feeder 201400 Amp_ $160.00 Serk&Feeder 401 -600 Amp $ 225.00 Service/Feeder 6011000 Amp, $.288.00 Service/Feeder over 1000 Amp, $ 410,00 Branch Circuit Wl Service Feeder $ 5.00 Branch Circuit Wr0 Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 66.00 Temp_ Service! Feeder 200 Amp. $102.00 Temp. ServicelFeeder 201.400 Amp, $121,00 Temp, Service/Feeder 401 -600 Amp. $164.00 Temp. SepkelFeeder 601 -1000 Amp . $185,00 Portal to Portal dourly $ 96.00 Sign/Outline Lighting $ 88.00 Signal Circuit/ Limited Energy - Multi - Family $ 64.00 Signal CircuiU Limited Energy ! First 1500 sf - Commercial $ 96_00 Note: $5.00 far each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Themlastat $ 56,00 Note: $5.00 for each additional TStat Contmdor Information 16002 Name: '�__ Mang Address O es City: 5 " Iy e,rcla IQ Scale: 4•l )h lip: Phone; ax: 1 License 4 It p. _ 4 Rat Total Multi lied by Unit Char o $1 yip .00 Total Owner as defined by RCW.19.28.261: (t) 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 allerafion in complkance with the electrical laws, N.E,C., RCW. Chapter 19.28, WAC. Chapter 2964613, The City of Port Angeles. Municipal Code, and Llfility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: © Cast, 0 Check 0 Credit card # X elated; , o1101J012 Application Number , . , , , Application pin number . , . Property Address , , , ASSESSOR PARCEL NUMBER; Application type description Subdivision Name , . . , . Property Use Property Zoning , . , . , . . Application valuation , . . . ELECTRICAL PERMIT CITE' OF PORT ANGELES 360 -417 -4735 14- 00000685 Date 6/11/14 47.9480 1940 E 18T ST 110 06-30-12-5- 0-7000 -D000- ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Owner Contractor RESULTS: PORT ANGELES PLAZA DITCH HANSON ELECTRIC ASSOCIATES LLC PO BOX 173 650 S ORCAS ST, STE 210 PORT TOWNSEND WA 98368 SEATTLE WA 98108 (206) 658 -3104 ib ! Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc HANSON SIGN Permit Fee . . , , 176,00 Plan Check Fee DO Issue Date . . , , 6/11/14 valuation . , . , 0 Expiration Date . . 12/08/14 Qty Unit Charge Per Extension 2.00 88.0000 ECH EL -COMM -SIGN 176,00 Fee summary Charged Paid Credited Due Permit Fee Total 176.00 - 176.OD .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 176,00 176.00 ,00 .00 a REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPEC'T'OR; DITCH SERVICE ROUGH -IN FINAL ib ! COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST WSPECTION Signature of owner or Electrical Contractor X Date: G:T- XCHANGEIBUILDING 1 c� we..,. LJ fi fi 011'017 P011Ti%_N!G ELESPERA-Irr APPLICATION Building Division/Electdcall Inspect oim 321 Eastf,'Ifth Fitt -P.O. Box I I M/Port An geles Waslfin g tort, 98362 RECEI I'll. (160) 4174735 Fax- $360) 417-1711 Date: 6-23,14 , muftwarnoy or Commarclall 'Plan Review kby Be Required, Please Conilaleta Electrical Plan Review information Sheet Job Address: R it e Aid 1940 East �st# 110 DMN ftmro FoDbge: Dasa#= of Page I of I MAY 2 7 2014 ELECTRICAL MSPECTIONS Owner Information ContrBetor Information Marv: Name:_ . ........ 8, 0rr9sSt,. STS _ZjQ_____ -- ----- VVA Malirg A.dd;,3:s.: 723 East Front St State: cily� -'seaute., ZV: Dly:_F�Uj't& Phone: -no4jax: P SOM n ._46Z�& ------ Ueme 0 1 Up_ F o-a.���.-�-�.��,e-.,-.-....-...— QT[$19,a i - 10-tAl QIX&ItWfqdUnit ar g) Sar 200 Amp. $132.00 $........._e._...._..._..__._ Sere lmiFeeder 201-400 Amp. S160,00 . . ........ SeNhTeedsf 401 600 Amp $22600 $ ------- _,_..._.m._.. Amp. $288,00 ... . ...... __ - SeMoe/FeedaT ovw 1TJO Amp. $410,04 t.. ......._..... ..... ......... . ... Branch UWOWSor6m Feedgr $ 500 Branch Circuit WO SiWca Feeder $ 74,00 .Eadl Addftaal BfmrJICirwit $ 500 :Bra ndi Qivib 14 $ 86.00 $ ...... ............................... Tamp. Sere ,+ FawJer203 AnV, $102.00 S _ Temp. SiarVke/FeWat 201.00 Amp. $ 121.00 $ Temp. ServicWF+Mof 401- 00 Mip, $ 16400 t — Temp. Servim/Feeder601-100GAmp . $ 183,00 $ RM b porw Ituol $ 96,00 $ ........ .... S rvovikle uylung $ 88.00 S Si nal UmiW LiOted Drutgy - Huik-Rmfi� S 64.00 S rd CIrcWY Ljflfjted Enetly I FiNst 15M sf - Commardal $ 96.00 Note: ""Uo lot 6W1 addiftflal 1500 Sr RmnimWe Elec[*4 Energy - 5K'VA Sysleinor Lsss $ 113.00 Thigmastal 56.00 5.00 far wdi nddilbn9l T-Stal 7otal Ownw as def iried by ROPI, 1 9,28,261: (1) Owner %il I of cupy the structure for Wo years after this electrical pernit is finaliz ad. (2) Owner is required to hirea n ele cl. 6tal co ntractor if a bo)e said prope dy is. forsole, re nt or Jeaso. Perm it ey pires a fter six months of las 1: ins pecticQ, After f oa&q the above sta [amen t, I herebycerlifi/ that I am the owner of the above named property or lic emed eledrlaal contractor, i am making the olectrical instaliation or altiDra-lbain compkaRce wAh theebdri4lal laws,ME.C., RCY). C11apter 19.28, VIA G, Chapter 29&46B. 'iii bityof Port Angeles Municipal Code, and Utilb/ Specifical.lons and PAMC 14.05,050 reg8rding EleclCical Permit Applicalbiis, Si.gnatum of owner, aleGtrival conlradvr or eloarlral adrn lnlistraWr� D Ush D Oatk X Mike Shirley 5-23.14 http:llwww.pdf.escape.comlopenlRadPdfaxd?rt—c&dk 035625IACIE4N285FTHOMLZA2U... 5/23/2014 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH ELECTRICAL PERMIT SERVICE ROUGH -IN CITY PORT ANGELES FINAL .OF 360 -417 -4735 Q9 Application Number . . , , , 14- 00000606 Date 5/27/14 Application pin number , , , 053060 Property Address , , , , , , 1.940 E 1ST ST 110 �1 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-12-5-0- 7000 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . , , property use to the City of Port Angeles Property Zoning , , , . . . , UNKNOWN (Location Code 0502) Application valuation . . . . 0 l Application desc Move horn strobe, Add new during remodel Owner Contractor PORT ANGELES PLAZA H1 TECH SECURITY INC ASSOCIATES LLC 723 E FRONT ST Z 650 S QRCAS ST, STE 210 PORT ANGELES WA 98362 � SEATTLE WA 98108 (360) 452 -2727 C (206) 658 -3104 --__----------------------------------------- - ---- ------------------- - - -- - -- tJ Permit . . . , , . ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 96.00 Plan Checl� Fee 00 Issue Date 6/27/14 Expiration Date 11/23/14 Valuation . . , . 0 Qty Unit Charge per Extension 1,00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96,00 00 .00 Plan Check Total .00 .00 ,00 00 Grand Total 96.00 96.00 00 .04 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of ow-aer or Electrical Contractor X Date: G:IEXCRANG0BUILDING 41^ V CITY OF PORT ANGELES PERMIT APPLICATION B REMPOIVED uilding Division /]Electrical Inspections it 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 4174711 MAY 13 2014 Date; - —/ Y Multi - Family or Commercial* ELECTRICAL WSPECTIONS * Plan Review �a,Y e Required, P ease Comple e Elec rical Plan R view Infgrmation Sheet Job Address: _� 61 'r' �-� �{ S ma Building Square Footage: Descr[ptlQn of above T"-e (A ca l S //� L� ,iii !4 Owner InWation s� Contractor .lnforr�t at! o _ Name: -- X r T� 14 �/� Name; ` �-1-1� I��� r Q ��._ '.�..1le- Mailing Address: jV .L Mailing Address: L__ City State: Zip: City: _ State: D1/4._._ zip; q8n : Phone_ Fax: Phone, &—, j a_Fax: License # 1 Exp. License # / Exp, u"; - ? O' Item Unit Charge Qty Total (gt - Multiplied by Unit Charge) Service /Feeder 200 Amp, $132.00 $ ServicelFeeder 201 -400 Amp. $160.00 $ Corvic:l�^ 150D Amp $ 225.00 $ Service/Feeder 601 -1000 Amp. $ 288.06 $ Service/Feeder over 1000 Amp. $ 410.00 $ _ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ '� Each Additional Branch Circuit $ 5.00 [_C7 $_ S0 . o o r Branch Circuits 1 -4 $ 86.00 _ $ -a {i 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 60 1 -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign /Outline lighting $ 88.00 $_�^ Signal Circuit/ Limited Energy• Multi- Family $ 64.00 $ Signal Circuit] Limited Energy l 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 additionai T -Stat $ 136 •0 Total �f Owner as defined by RCW,19,28.261: (1) Owner will occupy the structure for two years after this electrical permit is finafized. (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, WAG. Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, eiectri� co ractor or electrical administrator, ❑ cash ❑ check r-,) � ❑ Credit Card # X Dated: 0110112012 So t)Tm GP''T*_ u rte` r f,<<� /A YORi'tiV Vctrlcal Information Form MAY cS 2 Pubiic Works & Utilities epa rtment {360) 417 -4700 FbFJRf,S F V ELECTRICAL City EI®ctrical Inspector (360) 4174735 Please comulete and return to Public Works & Uti heh s&elt finent MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 - 417 -4711 WS WF Revvdnfoarm at one Form per Trent CD n 0. W CD 1 lr,®e_j Project Address: Owner: Street Address / S c'4 z4n 91 �i City /Efate /Zip: Cell Phone; Phone Number: Company Name:C3GLi� J Contact Name: Phone Number: U� . � Y �P Cell Phone: , �? �,� /�� • xisting ❑New ❑ Single - family residence ❑ Multi - family residence; # of units %Commercial ❑ Subdivision ❑ Overhead service. ❑ General service ❑ Underground service ❑ Other: 0 - q ,� / �� ° ! �0 / ,p/o 1 Detailed description of work: (Oil to Gas Conversion, Gas to �,G� G rr C tfi g ,� / (0 `� W I Electric, New Heat Pump, / / Rko r o etc.) ' Main Disconnec ize Select Voltage: ❑120/240 1 ph 0/208 3ph E1277/480 3ph Amps: /g ('� 7 fN 0120/240 3ph ❑480 3W 3ph Check all that apply: Ll Standard residential loads (Lighting, refri erator, dishwasher, washer) El A/C ( _ton) El Range /Oven Hot Tub ❑ Clothes Dryer ❑ Heating ❑ Pumps (_Hp) ❑ Water Heater ❑ Elevator (_Hp) ❑ Other Load Increase (kW) & Load Decrease (kW) @T#1 ° Please provide a copy of the following: *Detailed plot plan (.dwg or ,dxf format mandatory for subdivisions). *Electrical one -line drawing showing the servi entrance panel and location. *Connected load data. *Size and locked rotor am II m or ver 50h p. Applicant's Signatu Date: r MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 - 417 -4711 WS WF Revvdnfoarm at one Form per Trent CD n 0. W CD 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 14- 00000550 Date 5/13/14 Application pin number , . . 555900 Property Address , . . . . . 1940 E 1ST ST 110 REPORT SALES TAX A8S48SOR PARCEL NUMBER; 06-30-12-5-0- 7000 -0000- Application type description ELECTRICAL ONLY on your excise tax Dorm Subdivision Name to the City of Port Angeles Property Use g . . . . . . (Location Code 0502) Property Zoning UNKNOWN UNKNON Application valuation , . . , 0 Application desc Nurse consult room Owner Contractor yr PORT ANGELES PLAZA SOUTHGATE ELECTRIC INC. � n �,� ASSOCIATES LLC 23444 30TH AVE S, #101 650 8 ORCAS ST, STE 210 RENT WA 98032 SEATTLE WA 9B108 (206) 878 -2866 (206) 658 -3104 Permit . , . . . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Pee , . , , 139,00 Plan Check Fee .00 Iesue Date 5/13/14 Valuation . . . . 0 Expiration Date 11/09/14 Qty Unit Charge Per Extension 1,00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.00 13.00 5,0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 65,00 Fee Summary Charged paid Credited nue Permit Fee Total 139.00 139.00 .00 .00 Plan Check Total ,QQ .00 .00 .00 Grand Total 139,00 139.00 100 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENT'S: PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION , Signature of owner or Electrical Contra_ ctor X Date: G:IEXCHANGRIBUILDING 0 A Tqvo ELECTRICAL INSPECTION ci 10 WIRING REPORT 417-4735 DAW/.,Z PERMIT A lNSPEC 0W AR CONTRACTCH 5oo-n-j ADDArSS /9 q 1-4k APPROVED -f, NOT APPROVED .................. - DITCH ............ ....... ROUGH IN/COVER ............... ................ SERVICE .............. I .... ..................... FINAL ............ ....... ORRECTIONS NEEDED: WALL- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ELECTRICAL INSPECTION WIRING REPORT 1W 417-4735 *oRK5 liL PER VIT 0 ) Li —i CONTRACTOR ADDRESS C, NOT APP .................... DITCH .... ...... ROUGH IN/COVER. ......... ...... ............. SERVICE .... ............ 11 0 ..................... FINAL .................... 0� CORRECTIONS NEEDED: L..�] mg lZom 1404 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE o 1qpBTq� ELECTRICAL INSPECTION h WIRING REPORT 417 -4735 KS DATE: PERMIT 9 INSPECTOR t9 OWNER CONTRACTOR ��yy ADDRESS �z Ll APPROVED NOT APPROVED ❑ .o ............ ......DITCH.................... ❑ . ............... ROUGH IN /COVER ............... ❑ ❑ ............... .....SERVICE................... ❑ ❑ ............... ......FINAL......,............. 1 jCORRECTIONS NEEDED: _c:i.l coy&gz -Fog, 1=1 �,wp t�l,a ice¢ n •�'.I - NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — PORT AH ELECTRICAL INSPECTION vd�C�f� �_� WIRING REPORT tl d y `'h® �`�� `F 41 T -4735 c�rtres �� DATE: PERMIT 9 INSPECTOR OWNER f` r CONTRACTOR ADDRESS APPROVED �APPROV .............. ......DITCH........ ® ..... . .......... ROUGH IN /COVER ............... 0 0 ....... ....... .....SERVICE................... LI 0 ............... ......FINAL.................... 0 CORRECTIONS NEEDED: Tj,,16T(N4v NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS -- DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 16- 00000045 Date 1/13/16 Application pin number . , . 301020 INSPECTOR: Property Address 1940 E 1ST ST 110 ASSESSOR PARCEL NUMBER,; 06-30-12-5-0- 7000 -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name . , . , . . ROUGH -IN Property Use Property Zoning . . , . , . . COMMERCIAL ARTERIAL Application valuation , . , . 0 COMMENTS: ---------------------------------------------------------------------------- Application desc Lighting control contactor Owner Contractor PORT ANGELES PLAZA SEA TAC ELECTRIC INC ASSOCIATES LLC 7056 S 220TH ST 650 S ORCAS ST, STE 210 KENT WA 98032 SEATTLE WA 98108 (253) 872 -5553 {206) - 658 -3104 -------- rr lE Permit , , . , ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Pee ,., B6.00 Plan Check Fee .00 issue Date . . . . 1/13/16 Valuation , . , , 0 Expiration Date . . 7/11/16 Qty Unit Charge Per - Extension BASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total. 86.00 66,00 ,00 00 Plan Check Total .00 .00 .00 00 Grand Total 86.00 86.00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN E]NAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date.- GAEXCHAN00BUrLDING t CITY OF PORT ANGELES PER ET APPLICATIOti Building Division/Electrical Inspections 321 East Fifth Street— P.Q. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ft Date: i Multi- Family or Commercial' ' Plan Revieny May Be a u ed Please Complete Electrical Pla Review Information Sheet Id Building Square Footage; Description of above Owner information Name: , 'T'&- — A � Mailing Address: City: State: Zip: Phone: Fax: License # l Exp. Contractor Information Name; Mailing Address: 7 o City: _ K&I T _ State, A- Zip; 2 Phan e:ZS Fax: 2S3 e.f License # l Exp. T d!:- / a Item Service /Feeder 200 Amp, Unit Charge $132.00 Q�t Total fQty Multiplied by Unit Charge) Service /Feeder 201.400 Amp. $160.00 $ $ Service /Feeder 401.600 Amp $ 225,00 $ ServicelFeeder 601.1000 Amp, $ 288.00 $ Service /Feeder over 1000 Amp, $ 410,00 $ Branch Circuit W1 Service Feeder $ Ho $ Branch Circuit W10 Service Feeder $ 14.00 $ Each Additional Branch Circuit Branch Circuits 14 $ 5,00 Temp. Service/ Feeder 200 Amp.. $ 86.00 $102.00 $ Temp. ServicelFeedar 201400 Amp. $121,00 $ Temp. ServicelFeeder4oi -BOO Amp, $164.00 $"`^ Temp, Service/Feeder 601.1000 Amp , $185,00 $ Portal to Portal Ficurly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit / Limited Energy - MuN.Family $ 64.00 $ Signal CircuiV Limited Energy l First 1500 sf - Comrrercial $ 96.00 $ Note: $5.00 for each additional 1500 sf : ,-' Renewable Electrical Energy - 5KVA System or Less $ 113.00 $ Thermostat $ 56,00 $ Nate; $5.00 for each additional T -Stal NOZaotaf Owner as defined by RCW,19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owneris required to hire an electrical contractor if above said property is for sale, cantor lease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC, Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAIMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor ar electrical administrator ❑ cash ❑ Check f❑ Credit Card0 0 Ito 1120tI