HomeMy WebLinkAbout1120 Columbia St - BuildingElectrical Permit
1120 Columbia St
12 -1596
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
12N1iZ I
ROUGH -IN
1 2- 111% Jill
l og r
FINAL
t z/ 1 L1
c
°tFv�C
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Generator, Feeder panel 8 circuits Garage
Owner
ANTHONY SCOTT ROGERS
1120 COLUMBIA ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty
8.00
2.00
Unit Charge
5.0000
120.0000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
12- 00001596
154168
1120 COLUMBIA ST
06-30-00-5-3- 0520 -0000-
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 -9270
ELECTRICAL ALTER RESIDENTIAL
280.00
12/06/12
6/04/13
Per
ECH EL- BRANCH CIRCUIT W /FEEDER
ECH EL -0 -200 SRV FEEDER
280.00
.00
280.00
280.00
.00
280.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Valuation
Paid Credited Due
.00
.00
.00
Date 12/06/12
WA 98363
.00
.00
.00
.00
0
Extension
40.00
240.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
5•J
0
a
Owner info ti
Name:
MalMg A dr
Ci _State:IL,)& Zip:
Prone: Fax:
li e#1 Exp.
q) b4 Y y 13
Item Unit Charge
Service/Feeder 200 Amp. $120.00
Servlce&Feeder 201400 Amp. $146.00
Service/Feeder 401 -600 Amp 70.0
Service/Feeder 601-1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373.00
Branch Clmuits 1 4 75.00
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Temp. Service/Feeder 201 Temp. Service/ Feeder 200 Amp. 93.00
�400 Amp. $110.00
Temp. ServiceIFeeder401- 6 149 0
Temp. Service/Feeder 601-1000 Amp $168.0
Portal to Portal Hourly 96.00
Signal CirCuitl limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Elecldcal Energy 510/A System or Less $102.0
Thermostat
NEW CONSTRUCTION ONLY: $120,00
First 1300 Square Ft
Each Additional 500 Square Ft. or Portion of 4° 74. 0 0 0 0
Each Outbuilding or Detached Garage $110.00
Each Swimming Pool or Hot Tub
oX
Contra
Name:
Melling
City.
Phone:
License l
L
CITY OF PORT ,ANGELES PERMIT APPLICATION
Beading Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 3.
1 2 Single Family Dwelling
Plan Review May Be Required, Hose Compl n Electrical Plan Review Information Sheet
Job Address:
Building Square Foo e:
Description of abov
01101)2012
..200 pa.taa- 4 9_ !e e l ars h
State:
7 7 -7 Fax:
S
/Sim» S evr rt 11r' R er1,
Total (ultl ed by Unit Charnel
raJ
Owner as defined by RCW.19.28,261: (1) Owner will occupy the structure For two years after this electrical permit Is finalized. l 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 corrector. I am making
the electrical installation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296- V6B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sign of owner, electrical contra ;l j• r electrical administrator Cash Check
Cn 6ItCarda
PREPARED 9/23/08 11 21 00 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/23/08
ADDRESS 1120 COLUMBIA ST SUBDIV
TENANT NBR JAMES /KIMBERLY CIACIUCH
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER JAMES /KIMBERLY CIACIUCH TRUST PHONE (360) 477 0865
PARCEL 06 30 00 5 3 0520 0000
APPL NUMBER 08 00000764 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 7/30/08 PB BLDG FRAMING TIME 01 00
7/30/08 AP July 30 2008 8 37 10 AM 1pangrle
RYAN 460 0979
FRAMING
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
Jury 3 0 2008 4 3 43 PM pbarthol
BLI 01 8/01/08 JLL BLDG INSULATION
8/05/08 AP August 1 2008 8 30 01 AM 1pangrle
RYAN 460 0979
INSULATION
AS EARLY AS POSSIBLE
August 5 2008 8 46 19 AM jlierly
BL99 01 9/23/08 JLL BLDG FINAL TIME 01 00
September 23 2008 8 52 59 AM 1pangrle
RYAN 460 0979
BLDG FINAL
AFTERNOON
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9/23/08
JLL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MECHANICAL FINAL TIME 01 00
September 23 2008 8 53 32 AM 1pangrle
RYAN 460 0979
MECHANICAL FINAL
AFTERNOON
PL2 01 7/15/08 PB PLUMBING ROUGH IN TIME 01 00
7/15/08 AP July 15 2008 8 47 28 AM 1pangrle
JOHN 460 6902
ROUGH IN PLUMBING
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
July 15 2008 4 32 25 PM pbarthol
PL99 01 9/2 /08 JLL PLUMBING FINAL TIME 01 00
September 23 2008 8 53 56 AM 1pangrle
RYAN 460 0979
PLUMBING FINAL
AFTERNOON
COMMENTS AND NOTES
11 25 07 INSPECTION TICKET
PREPARED 8/01/08 PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/01/08
ADDRESS 1120 COLUMBIA ST SUBDIV
TENANT NBR JAMES /KIMBERLY CIACIUCH
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER JAMES /KIMBERLY CIACIUCH TRUST PHONE (360) 477 0865
PARCEL 06 30 00 5 3 0520 0000
APPL NUMBER 08 00000764 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 7/30/08 PB
7/30/08 AP
BLI 01 8/01/08
1
BLDG FRAMING TIME 01 00
July 30 2008 8 37 10 AM 1pangrle
RYAN 460 0979
FRAMING
AFTERNOON
PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE
July 307- 2008-4 36 43- PM— pbar-thol
BLDG INSULATION
August 1 2008 8 30 01 AM 1pangrle
RYAN 460 0979
INSULATION
AS EARLY AS POSSIBLE
COMMENTS AND NOTES
PREPARED 7/30/08 14 20 39 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/30/08
ADDRESS 1120 COLUMBIA ST SUBDIV
TENANT NBR JAMES /KIMBERLY CIACIUCH
CONTRACTOR R N BUILDERS PHONE (360) 460 0979
OWNER JAMES /KIMBERLY CIACIUCH TRUST PHONE (360) 477 0865
PARCEL 06 30 00 5 3 0520 0000
APPL NUMBER 08 00000764 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 7/30/08 ,JLL BLDG FRAMING TIME 01 00
July 30 2008 8 37 10 AM 1pangrle
RYAN 460 0979
FRAMING
AFTERNOON
PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
Application Number 08 00000844
Application pin number 731004
Property Address 1120 COLUMBIA ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 0520 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 0
Application desc
Fire damage
Owner Contractor
Jackson Ryan
1120 Columbia st
PORT ANGELES
WA 98362
Date 7/21/08
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452 1689
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 130146
Permit Fee 113 00 Plan Check Fee 00
Issue Date 7/21/08 Valuation 0
Expiration Date 1/17/09
Qty Unit Charge Per Extension
1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00
2 00 22 0000 5C EL R SQFT ADDITIONAL 500 44 00
Fee summary Charged Paid Credited Due
Permit Fee Total 113 00 113 00 00 00
Plan Check Total 00 00 00 00
Grand Total 113 00 113 00 00 00
IN
SPECTIOI1
TYPE
DITCH
SERVICE
ROUGH II\
FINAL
COMMENTS
DATE
7 :z
kfi
RESULTS
c
ELECTRICAL
INSPECTOR
PREPARED 7/15/08 10 51 22
CITY OF PORT ANGELES
ADDRESS 1120 COLUMBIA ST
TENANT NBR JAMES /KIMBERLY CIACIUCH
CONTRACTOR R N BUILDERS
OWNER JAMES /KIMBERLY CIACIUCH TRUST
PARCEL 06 30 00 5 3 0520 0000
APPL NUMBER 08 00000764 RES REPAIR
PL2 01 7/15/08
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
JLL
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE
PLUMBING ROUGH IN TIME 01 00
July 15 2008 8 47 28 AM 1pangrle
JOHN 460 6902
ROUGH IN PLUMBING
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
(360) 460 0979
(360) 477 0865
PAGE 3
DATE 7/15/08
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 17617
Application desc
REPAIR FIRE DAMAGE ADD TWO VENT FANS
Owner
Qty Unit Charge Per
BASE FEE
16 00 14 0000 THOU BL -2001 25K (14 PER K)
Permit MECHANICAL PERMIT
Additional desc TWO VENT FANS
Permit pin number 128967
Permit Fee 64 50
Issue Date 6/30/08 Valuation
Expiration Date 12/27/08
Qty Unit Charge Per
BASE FEE
2 00 7 2500 ECH ME VENT FAN
Permit PLUMBING PERMIT
Additional desc REPLACE WATER LINE
Permit pin number 128975
Permit Fee 57 00
Issue Date 6/30/08
Expiration Date 12/27/08
Other Fees
T.Forms /Building Division/Building Permit (05 /13 /08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000764 Date 6/30/08
371508
1120 COLUMBIA ST
06 30 00 5 3 0520 0000
JAMES /KIMBERLY CIACIUCH
RES REPAIR
Contractor
JAMES /KIMBERLY CIACIUCH TRUST R N BUILDERS
367 LITTLE LOOP DR I 171 CEDAR GLEN
PORT ANGELES WA 98362 PORT ANGELES
(360) 477 0865 1 (360) 460 0979
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPAIR FIRE DAMAGE
Permit pin number 128959
Permit Fee 3;19 75 Plan Check Fee 00
Issue Date 6/30/08 Valuation 17617
Expiration Date 12427/08
Valuation
Qty Unit Charge Per
BASE FEE
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE
STATE SURCHARGE
WA 98362
Extension
95 75
224 00
Plan Check Fee 00
0
Extension
50 00
14 50
Plan Check Fee 00
0
Extension
50 00
7 00
4 50
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
(9-30 0� RMO" laLkS Oh U( l
Date Print Name Signature d Con actor or Authorized Agent Signature of Owner (if owner is builder)
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
FINAL DATE ACCEPTED BY.
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
FINAL DATE ACCEPTED BY.
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
SEPA.
ESA.
SHORELINE.
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
ELECTRICAL LIGHT DEPT 417 -4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
CONSTRUCTION R.W
PW ENGINEERING
FIRE 417 -4E53
FIRE DEPT
PLANNING DEPT 417-4'50
PLANNING DEPT
BUILDING 417-4E15
BUILDING
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
T•17 c/111 l n. ra deli Pe it (05/13/081.wnd
6
Application Number
T.Porms /Building Division/ Building Permit (05 /13 /08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000764
Application pin number 371508
Fee summary Charged Paid Credited Due
Permit Fee Total 441 25 441 25 00 00
Plan Check Total 1 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 445 75 445 75 00 00
u
Page 2
Date 6/30/08
Separate Permits are required for electr'ical 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)
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
YES I NO
FOUNDATION
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS
PLUMBING
2
FINAL' Z3 08 DATE 1 ACCEPTED BY.
UNDER FLOOR SLAB
ROUGH -IN
1- i5 -o$
ell
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
p p
j 30 -08 1 e
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
6._ar-93 �L-�
SLAB
I
WALL FLOOR CEILING
MECHANICAL
FINAL DATE ACCEPTED BY.
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
SEPA.
ESA.
SHORELINE.
PLANNING DEPT SEPARATE PERMIT /Ps
PARKING/LIGHTING
LANDSCAPING
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEI'TED
YES
NO
ELECTRICAL LIGHT DEPT 4 f 7 -4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
CONSTRUCTION R.W
PW ENGINEERING
FIRE 417 -4653
FIRE DEPT
PLANNING DEPT 417 -4750
PLANNING DEPT
BUILDING 417 -4815
7 q
C t z (fi g
p(�
f 1?7
BUILDING
T r. drz ititi n,vi n/R fId, Permit (05/13/081.wod
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
0 9
j
O
0
73
Applicant or Agent
Property Owner
Property Owner's Address
Contractor /Engineer
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E.Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
I
Phone 4/6Z 04/0c/
Contractor /Engineer's Address 11 Cedar fi\er\ of arT Ano l ele5 .Wo qv13
Expires 11- Qc1
∎i�`. fv 4- q, G.C' o&cV
Ilan coliA.1.4,33o■
License 'g1.ai Tiub 943 R9
k.rS� C
PROJECT ADDRESS Cp /o7Z4
Parcel Number
For City Use Only
Date Received b� 30 -0$
j ;tr` S Permit# -76Y
Date Approved
a
a c u ss t,, ptans Nrs v�e�e�e�
y V 7 46'3 hone 440 0979
Phone 4/77- OB6 5
Lot
Zoning
Project Type Brief Description.
Check all that apply
New Construction
fIS Residential
Commercial Multi family Industrial
11 Rtrnockeiki,r1 s V v,ctvice 4-1) Ye.roa- 61-ck
Addition
)Kck ±c 4Va t W4\15 be140\ clW\ ck V■pgro4t. bcr1 jo car,
Remodel
�0 code 1 iCtttklr\ Co. n+019 1O D cshn, v. oro.de qlectr cA\ jooryc.\
,q Repair
Cie
.1sd Re -roof
/ay.
�or 1�4t..
e gas fireplace pellet stove other fir naCt a�-
Demolition
fre
Heat System
Heat pump wood burning
'RjOther
projects
Date (p 30 OS Print Name giCk n TgC\«
T Forms /Building Division/Bldg Permit App;. 2006 Code doc
Existing (sq. ft.) Proposed (sq. ft.)
TOTAL VALUATION
Signature
per sq ft.
Total footprint of structures 900 sq ft. Lot size
Max height of proposed structures s ft Occupancy group of bedrooms
Will a lawn sprinkler system be installed? /YU Occupant load of full baths
Will a fire sprinkler system be Installed? I VO Construction type of half baths
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on
sq ft. Lot coverage
OA
SaIR.s. Tai
Teal
I 1dL t �J
(D 533
COST ESTIMATE
1
O 13UILDERS
All Phases of
rsi
Construction
OWNER.Jim And Kim Ciaciuch
MAILING ADDRESS 387 Little Loop
PROPERTY ADDRESS 1120
Columbia
PHONE 477 -0865
BUILDER:Ryan Jackson
ITEM
Material
Labor
Sub Contractor
Sales Tax
Total
1.Acoustical Treatments
0
2. Appliances
0
3. Cabinetry
0
4 Cleaning
1000
84
1084
5 General Demolition
3912.2
8160
1014 07
13086.27
6 Doors
3355 51
281 87
3637 38
7 Drywall
7250
609
C782
8 Electrical
4606
386 91
4992.91
9 Floor Covering- Carpet
3000
252
3252
10 Floor Covering- Vinyl
1064 91
89 46
1154 37
11 Floor Covering -Wood
0
12. Permits and Fees
1497 3
125 78
1623 08
13 Finish Carpentry/Trim Work
1856 35
5440
155 94
7452.29
14 Finish Hardware
772.13
64 86
836 99
15 Fireplaces (time material
2040
255 36
0
32
C329 Z
16 Framing Rough Carpentry
1000
17 Heat, Vent Air Conditioning
4185
351 54
4536 54
18 Insulation
t 00 0
19 Light Fixtures
9
800
67.2
'867.2
20 Mirrors Shower Doors
250
21
271
21 Plumbing
4900
411 6
5311 6
22. Paneling Wood Wall Finishes
23 Painting
0
24 Roofing
3963
332.9
4295 9
25 Soffit, Fascia, Gutters
905 58
76 07
981 65
26 Toilet Bath Accessories
200
16 8
216 8
27 Tile
1500
126
1626
28 Temporary Repairs Sanikan)
400
33 6
433 6
29 Windows- Aluminum
Q
30 Window Treatment
0
31 Windows- Vinyl
4169
350.2
4519.2
32 Windows- Wood
0
33 General Contractor Overhead
6 622.70
556 31
7179 01
34 General Contractor Profit
6622 7
556 31
8020 99
Total
86533 14
nr
SaIR.s. Tai
Teal
I 1dL t �J
(D 533
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Temp service using existing
Owner
Ciaciuch Jim
1120 Columbia st
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 98362
ELECTRICAL TEMPORARY SERVICE
127910
58 00
6/09/08
12/06/08
Qty Unit Charge Per
1 00 58 0000 ECH EL TEMP SRV
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid
08 00000684
906788
1120 COLUMBIA ST
06 30 00 5 3 0520 0000
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
58 00 58 00
00 00
58 00 58 00
Contractor
JEDI ELECTRIC
331 FORS RD
PORT ANGELES
(360) 460 0556
Plan Check Fee
Valuation
101 200 SRV FDR
Credited
00
00
00
Date 6/09/08
WA 98362
00
0
Extension
58 00
Due
00
00
00
DATE
RESULTS
ELECTRICAL
IN SPECTOR
N4,4>
SPECTION
TYPE
OMMENTS:
CITY OF PORT ANGELES
LIG(3T DEPARTMENT
Port Angeles, Washington
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
triciLl equipment in, on, or about any building or other structure in the City of Port Angeles, per
misaion is hereby granted to do electrical work as listed below.
Address
Owner
0
Wiring Contractor
Light Outlets
Receptacle Outlets
Dryer, KW
Rams, KW
Water Heater:
KW
Heat: KW
Remarks:
Motors: size, volts and phase:
Total Load
Permit Fee
IM Olympic Printers, Inc.
C c4 -C's t d y Tenant
e By
rjf
U
ELECTRICAL PERMIT N 16930
c7 19/'f
Service, volts A 0 2 rte
e9oA
S
Treas. Receipt
No. wires
Size wires
Main fuse
Enclosure
Type of wiring:
Entrance Cable
Rigid Conduit
Metallic Tubing
Current transformers:
No. Size
Ser. No
Ser. No
Ser. No
Ser. No r
No
Occupancy
Type of Wiring:
Armored Cable
Non Metallic
Knob Tube
Rigid Conduit
Metallic Tubing
Raceway
Circuits, Light
Utility
Heat
Range
Water Heater
Motor
Dryer
Furnace
11 ft
t
Total
NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N? 16930
Address Date..._
Owner Tenant
Wiring Contractor By
NOTICE— Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con
S
coaled due notice must be given the Inspector so that work may be inspected before concealment.
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
ROUGH -IN
Date Approved By
FINAL
NEW
Date Appa„ed By
Inspection
Date
Overhead Service
O Temp Service
O Underground Service
S AME DAY INSPECTION, C I BEFQRE 7 AM 360- 417 -4735
1 THERMOSTAT
Date
DITCH
ELECTRICAL WORK PERMIT APPLICATION
Job wired by $Electrical Contractor Owner
Electrical contractor name
9Z E lecTr
Purchaser's mailing address
P'o. Box `ASR
Telephone number
o- oSs
License number Date Expires
EDIE1 4S7cZ
City State ZIP
Po rT An 6736a
FAX number
9
Prem owner's name
Address of inspection
(1a0 Colurph ,1.
City
Port Any lei
Phone number to sche ule inspection:
1
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.
After reading the above statement, 1 hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation 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.
/Signature of o eq electrica contractor or electrical administrator
X Date: 6 -5 -o,
nstallation description
Commercial Residential
New Altered /Addition
e//n? dLk' r
Cash Check
Credit Card
Card
Inspection fee
Expiration Date
of card
Visa Mastercard Discover
Date
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
Approved By
SERVICE
6 -os
Approved By Date Approved By
FEEDER
Ser-vicelnfonnation
Approved By
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
1
Inspection
Date
Area, Building orEquipment lns erred
6 P
Action Taken
Electrical
Inspector
7- 17 -OS
L\\ iinew
S
1r E i>Ale. A Cor FAnlrral
REWEwc=d
CICARANct o Segvkc cor.,�ucZgps To
a ARAgp R000T MOST 4 e- I tut RCASJ r 0
RP.ulp/u
U 3 i f Re coMAMCNI IIt T pelt AT All
e
Job wired by
Electrical Contractor Owner
El c rieaI con zeros n;,mi tr e se u be p i[ 3 T
r A 1 1 l1 L h v lh 1 (`-YS 31- 0 New
Ppraq se/v o
in k_ck ‘Nt‘to k cts ti3 State
Telephone num e I number
t P nl wear's me
Wi t+ .�(�Ct�it/��rn(bl��yro c- u �'').��ye /�,2-
C i
Pc) 1 i- 4�v 1V,Y t �"'r a%0
J
`ho number t4 yChedu inspectiudlwftil 44" Nt
Owner as defined by RCW19.38.J6/:(1) Owner will occupy the structure for ova
years (Vier this electrical perm is finalized (2) Owner is required to hire an electrical
Contractor If above said prop try is for sale, rep' or !ease.
After reading the above statement, 1 hereby certify char I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.38, WAC. Chapter 296 The City of Port Angeles Municipal Code, and
Utility Specifications.
/'Sig tore of owner. electrical contractor or electrical adm istr or Expiration Date
Date:� y of rd
Electrical Load Additions and or subtractions
O NO LOAD CHANGES
O Baseboard KW
O Furnace KW
0 Heat Pump Ton LAR
0 Fen -Wall KW
O Overhead Service
O Temp Service
O Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735
100 /100
Ets ROUGH -IN
D am AAproved ay
FINAL
n vrov Ny
ate
R E C E 1 VEURICALWORK PERMJTA.PPC IC4T1ON
nsrA Ilati on description
0 Commercial O Residential
0 Altered /Addition
DM S- 1ttse,
Rovu
Cash Check#
0 Credit Card Visa Mastercard Discover
Card
Service Information
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size
(II t1\
lnslc'tio1, fet
3
K 2172 1. 800Z/9l/Lo
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DAT
PERMIT
og DO
INSPECTOR
OWNER/CONTRACTOR
Ski frer-CR L r< rzl L
ADDRESS
/1 20 Co v."3 IPt Sn
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
'Fzx *tslora R, 5 2t -A0 Tz�D \(srtSE:L
N\CrcoLx PI Jt NJEc- 31y 2()
0.ZC VMOCT 7ec E1-Q")o4 orz P/
a0Ti TS tai Lo1.3ac y'tzzc
N zit .1
Tat FPS Rs .447 Fri 2KtRCar
nlr 110
OLYMPIC PRINTERS. INC. (360) 452 -1381
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE
r 2--4o€
OWNER /CONTRACTOR
PERMIT
INSPECT
Sl-f r\1
Cc *c_ 2 LC
ADDRESS
b 1 2 0
APPROVED
NOT APPROVED
DITCH
l--- ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED
r0R* 9- so t` otzt t4K 114 taTC'1L
lC 33L/ 3e
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS. INC. (360) 452 -1381