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1509 Columbia St - Building
� r rr ••II RECEIVED CITY OF.PORT ANGELES PEI WMT APPLICATION MAR 2 8 2014. Building Divislon/Electrical Inspections ELLCTRICA$ 321. East Fifth Street P.O.Rax 11501 fort Angeles Washington,98362 INSPECTIONS Ph: (160)4x.'7-4735 Fax: (360)4"17-4711 Date: _j&Multi- arrtlty or Commercial 'Plan Review May Be Re uired, Please Complete Electrical Plan Review Inforrna#ion Sheet Job Address: Glu Sul)dingSquareFcatage: ..._......__.. _.�—.__�--- Desafptian of above s�§e.ll rr r _.._.... ca __� 4 E OwnerInPormati on Contractor information Name: 0 , –Ifl1 Mai#ingAddress: 1,7A1 Mallin Addreesss City: .L._State: r 9 �_. 36,I city:_ State; 2_533 1L-d t sL_ License V Exp,. License#f Exp,_X/6r"r R1. &j; OE:rL_ g-iQ,�_trr Item Unit Charge Total ultl lied by Unit Charge) Sorvioe/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 W1 Service Feeder $ 5,00 Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 5,00 $.......____ ...® Branch Circuits 1-4 $ 86.00 Temp,Service/Feeder 200 Amp. $102.00 $_ _ Temp,Service/Feeder 201.400 Amp. $121,00 _ Temp.ServicelFeeder 401.600 Amp. $164,00 $� Temp.Service/Feeder 601-1000 Amp, $185,00 Portal to Portal Hourly $ 96,00 $ __ SignlCutline Fighting $ 88.00 Signal Circuitl Limited Energy-Multi-Family $ 54.00 Signal Circuit/Limited Energy I First 1500 sf-Commercial $ 96.00 ° $ Note. $5,00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 _ $ _ Thermostat $ 56.00 _ $ Note:$5.00 for each additional T,Stat $ �Go Total Owner as defined by RCW.19,28.281 (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 296-468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator: ❑ Gash ❑ Check ( 9 Credit card it } X ,�%5- a0ted: E 01101012K� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . , 14-00.000390 Date 3/28/14 �} Application pin number , , . 523820 Property Address 1509 COLUMBIA $T REPORT SALES TALC ASSESSOR PARCEL DUMBER: 06-30-00-5-7-0100-0000- Application type. description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use . Property Zoning . . . . . . . PUBLTC BUTLDTNGS & PARKS (Location Code 0502) Application valuation 0 ---------------------------------------------------------------------------- Application desc Fiber between buildings ---------------------------------------------------------------------------- owner Contractor CITY OF PORT ANGELES INTRACOMMUNICATTON NTWK SYS IN PO BOX 1150 4922 N PEARS ST PORT ANGELES WA 983620217 TACOMA WA 98407 (� (253) 767.^0418 ---�g.yf] Permit , . . , ELECTRICAL ALTER COMMERCTA7, Additional desc Permit Fee 96,00 Plan Check Fee .00 Tssiue Date , . , 3/28/14 valuation , , , , 0 Expiration Date 9/24/.14 1Qt0y0 Unit Charge r Extension 56,0000 MCHEL- - - - --- LIMITED IST 00 FT -- , -- P� 00 Fee summary Charged Paid Credited Due ----------------- ------ ---- - ---------- ---------- Permit Fee Total 96,00 96,00 .00 .00 Plan Chec]: Total 00 .00 00 OQ Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of outlier or Electrical Contractor X Date: GAEXCHANGEIBUILDING May 09 2013 12:28PM Olympic Electric Co., Inc 3604523498 page 1 REVEIVED MAY 9 2013 CITY OF PORT ANGELES PERMIT APPLICATION �17lCA Building Division/Electrical Inspections INSPECTIONS W 321 East Fifth Street—P.O.Box 11.501 Port Angeles Washington,98362 � Ph: (360)417-4735 Fox, (360)417-4711 Date, q 13 Q Multi-Family or Commercial" "Plan Review May Be Required,Please Comiplete Electrical Plan Review Information Sheet Job Address:_ 1. -677 �'alfig aTi4- T - Building Square Footage( + Description of ahove V3 0 too a r l7 Q PP1 Owner information f� ` Contractor information Name: [.1 4 p��"���+� Name. oLVMwceLec,1uc Mailing Address: Mailing Address: 4230TUMOATER POATANGELE3 WA zip: 99353 City: Slate; Zip. City. tate: p; Phone,- Fax: Phone;8 4K-6309 Fax: M-457-1498 License#I Exp. License#I Exp.0-Y-2951), Item Unit Charge QtV Total Qty Multlalied Unit Charge) ServioefFeeder 200 Amp $132.00 $ ServlcelFeeder 201.400 Amp. $160.00 $ Service/Feeder 401.600 Amp $225.00 $ ServioelFeeder 601-1000 Amp. $286.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit 4VIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5,00 / $� Branch Circuits 1.4 $ 86.00 Temp.Servicel Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 2014DO Amp. $121,00 $ Temp,ServicelFeeder 441-600 Amp. $164.00 $ Temp.ServlcelFeeder601.1COO Amp $165.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Mullfamily $ 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. 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.G.,RCW.Chapter 19.28,WAC,Chapter 296469, The City of Port Angeles Municipal Code,and Utility Spedfications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor orelectrical administrator: ❑ Cash ❑ check Ch Credit Card rt X W ` 1dLm_ Dated; CIIOIIZO12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000494 Date 5/10/13 .Application pin number 631346 Property Address -• 1509 COLUMBIA ST REPORT SALES TAX Ass.ESSOR PARCEL NUMBER, 06-30-00-5-7-0100-0000-- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivisicn Name Property Use (Location Code 0502) Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation , , . . 0 Application desc 1-4 circuits for CSO project Owner Contractor - - ------------------------ --- ------- CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC PO BOX 1150 4230 TUMWATER PORT .ANGELEB WA 983520217. PORT ANGELES WA 98363 W (360) 457-5303 Permit - ,---, . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUTTS Permit Fee 86.00 Plan Check Fee 00 Issue Date 5/10/13 Valuation 0 Expiration Date 11/06/13 Qty Unit Charge Per Extension SASE FEE 86.00 �]-^-.-------------- Fee-summary^ Jy - Charged- - ---paidDue y - Credited f ----- Permit Fee Total 86.00 86.00 .00 ,00 Plan Check Total ,00 DO .00 .00 C;rand Total 66.00 86.00 .00 .00 tiJ INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 6 FINAL } COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING • P ORT NGELES WAS H I Pel G T O Pel, U. S. A. Public Works & Utilities Department June 5, 2013 Jeff Young City of Port Angeles, Wastewater Division 1509 Columbia Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PAMC 14.05.140.B Dear Jeff, The City of Port Angeles Wastewater Division's annual electrical block permit, issued by the City of Port Angeles, expires June 30, 2013, The Port Angeles Municipal Code(PAMC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a$1154.50 bi-annual electrical work permit for work done by iu-house electrical personnel rather than a work permit for each installation,or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested tincler the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published Fee schedule in Port Angeles Municipal Code 13.12.100. On October 18, 2011, the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. The billing cycle for 2013 is as follows: I"billing cycle: January 1 through June 30 2"d billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector P.O. Box 1 150 Port Angeles, WA 98352 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. 1 loot:forward to working with you in this matter, Sincerely, Trent Peppard Senior Electrical Inspector cc: Jim Klarr,Operations Manager Phone: 360-4174800/Fax: 360-417-4542 Website: www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street- P.O, Box 1150 I Port Angeles, WA 98362.0217 PREPARED 6/06/13 , 8 : 41 :49 PAYMENTS DUE RECEIPT CITY OF PORT ANGELES PROGRAM BP820L APPLICATION NUMBER: 13-00000613 1509 COLUMBIA ST ,FE DESCRIPTION AMOUNT DUE -------- ---- ----------- ------------------ ---------- ---------- -------------- ELECTRICAL ALTER COMMERCIAL 1154 . 50 TOTAL DUE 1154 . 50 Please present this receipt to the cashier with full payment . M1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000613 Date 7/01/13 Application pin number , . , 367955 Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER. 06-30-00-5-7-0300-0000 Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name . . . . . . IO the City of Port Angeles Property Use Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation , . . . 0 Application desc Block Permit July 1 - December 31 Owner Contractgr--------------------- CITY _CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 9836202/7---------------------------------------------------------------------------- Permit . , . , ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT JULY 1 - DEC, 31 Permit Fee 1154,50 Plan Check Fee .00 Issue Date . , . 7/01/13 Valuation . . . . 0 Expiration Date 12/28/13 . Qty Unit Charge Per Extension BASE FEE 1159,50 ------------------------------------------------------------------------------ Fee summary Charged Paid Credited Due —A Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total 0'0 00 p0 .00 Grand Total 1154,50 1154,50 .00 ti INSPECTION TYPE DATE: RESULTS; INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING Electrical Permit 1509 Columbia St 12 - 738 • f � ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 12-00000738 Date 6/12/12 Application pin number . . . 899092 Property Address . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- on your excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Block Permit July 1 - Dec. 31 1154.50 ---------------------------------------------------------------------------- Owner Contractor ( (� CITY OF PORT ANGELES OWNER PO BOX 1150 (� PORT ANGELES WA 983620217 �+f ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc .. . BLOCK PERMIT JULY 1 - DEC. 31 Permit Fee . . . . 1154.50 Plan Check Fee .00 Issue Date . . . . 6/12/12 Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension f" BASE FEE 1154.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total ,00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL CAP COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING RECVNE y %,oRr1-N CITY OF PORT ANGELES PERMIT APPLICATION JUN I I 2M Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 INSPECTIONSy Ph: (360) 417/7;Fax: (360)417-4711llDate: ,/-1 lti-Family or Commercial* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /,G76!? i i1'tt-5 1 -A J Building Square Footage: Description of above 12 1 4 1e 4--2 O� Owner Information Contractor Information Name: C-a)2 n7,-: Name: Mailing Ad 7— V05– Mailing Address: City:, State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#/Exp. License#/Exp. Item Unit Charge Qty Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp.. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ �� Note:$5.00 for each additional T-Stat 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 ❑ Credit Card# x Dated: 0110112012 p�PORT " i ' CITY: OF P.0RT ANGELES , I---_ mk' OFFICE OF THE ELECTRIC AL �y 321 EAST FIFTH ST: FORTANGELES,WASHINGTON 98362. 'CA OPERPO PHONE: .(360)417-4735 PROGRESSIV.E.INSPECTION REPORT DO NOT:CONCEAL.O.R' DESTROY Job..Name- Permit No. Owner Electical Contractor Ig Location InspectionElectrical, Date Area,Building"or Equipment-Inspected Action Taken Inspector n, 1zG C-arz(z-r i c)1,1S G' 12 �2.." .-�Q:,c.vs' •a�-::'.��rig: J�17 r�a `4rz.c rz- . Page-of Electrical Permit 1509 Columbia St 12- 627 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 12-00000627 Date 6/12/12 y � Application pin number . . . 791129 N Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1-4 circuits Grinder control De-water ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELESWA 983620217 - -------------------------------------- �(((���.^JJJ►►► Permit . . . . . . ELECTRICAL ALTER COMMERCIAL v J Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 6/12/12 Valuation . . . . 0 Expiration Date . . 12/09/12 ` Qty Unit Charge Per Extension BASE FEE 86.00 --- - --------------------------------- --------- --------------------------- Fee summary Charged Paid Credited DueV - ---------------- ---------- ---------- ---------- --- ----- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 e� X V ' INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN C.ANC. l/q//3 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION , Q Building Division/Electrical Inspections t� 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360)417-4711 i 21 _ ..1 Date: —2 l I 1C Multi-Family or Commercial* ELECTRICIai INSPECTIONS *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:—15769t.. JE_ sM LA)W Te Building Square Footage: Description of above fl 6 P l 0_ j �D ft� ��t i=S or `� I _�_ � >i3w►�&t!, , Owner InforApation Contractor Information Name: Ud al— Name: Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#/Exp. License#/Exp. Item Unit Charge Clty 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 $ 5.00 $ 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 $ 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 $ 84 "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 296-4613,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 C Dated: �_�� � �Z— 0110112012 Electrical Permit 1509 Columbia St 12- 626 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000626 Date 6/12/12 Application pin number . . . 716502 Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1-4 circuits VFD Sludge pump / Grinder ---------------------------------------------------------------------------- J� Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 (� ---------------------------------------------------------------------------- v J Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 6/12/12 Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension BASE FEE 86.00 (� -----—----------------------------------- ------------------------------- Fee summary Charged Paid Credited Due 3 Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .0o .00 .00 Grand Total 86.00 86.00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING �Y0� ?01tr+%ti �( CITY OF PORT ANGELES PERMIT APPLICATION Q� ' Building Division/Electrical Inspections �_i�;, ` rT� .31j 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 -- Ph: (360)417-4735 Fax: (360)417-4711 14H 2 `? Date: Multi-Family or Commercial* ELECTRICAL INSPECTIONS *Plan Review May Be Require¢, Please Complete Electrical Plan Review Information heet Job Address: WkIrp //��O �} ('�!t[,r�•1811� ��- Building Square Footage: Descrietionofabove AgekAC'61 40a A � V Owner Information Contractor Information Name:C!LI-LA ® i°' �� Name: Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#/Exp. License#I Exp. Item Unit Charge Qty 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 $ 5.00 $ 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 $ 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 $ 9&OAIG>Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C.,RCW. Chapter 19.28,WAC.Chapter 296-466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check E] Credit Card# X Dated: 5- L 0110112012 Electrical Permit 1509 Columbia St 12-226 N ELECTRICAL PERMIT d CITY OF PORT ANGELES �l 360-417-4735 rl Application Number . . . . . 12-00000226 Date 3/05/12 Application pin number . . . 069328 Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL-NUMBER: 06-30-00-5-7-0100-0000- on our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property use . . . . . . (Location Code 0502) Property Zoning PUBLIC,BUILDINGS & PARKS Application valuation . . . . 0 ---------=------------------------------------------------------------------ Application desc Low voltage PLC control ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ------------ --------------------------------------------- ----------------- \Y Permit ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 3/05/12 Valuation . . . . 0 ^ Expiration Date 9/01/12 n Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00- r ------------------------- V Fee summary Charged Paid Credited Due --------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 t INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: %�yIImp 6Z Z.0 PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor XDate: G:\EXCHANGE\BUILDING r _ voRr t ^ �'tj Jv �4,7 L'J S CITY OF PORT ANGELES PERMIT APPLICATION a n� f Building Division/Electrical Inspections '��a,� •� .� ���, � — 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 N ELECTRICAL►�'$PECTIC Ph: (360)417-4735 Fax: (360) 417-4711 ECTI0(t'3 Date: 2-- _Multi-Family or Commercial* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: ( Co L-v 1-\r S Building Square Footage: Description of above D L--V-P, Eo r'l-T 20 I-- Owner Owner Information Contractor Information Name: fl GtT`C D F Name: Mailing Addpgss: '32.\ Mailing Address: City: 1V A- State: Wfl% Zip: City: State: Zip: Phone: 41-7 X17 3S Fax: Phone: Fax: License#/Exp. Lice I Exp. Item Unit Charge Qty Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 �_ $ 9(o — 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 $ �6� 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 E) CreditCard# x Dated: 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES —� 360-417-4735 Application Number . . . . . 11-00001134 Date 10/12/11 Application pin number . . . 414548 REPORT SALES TAX Property Address . . . . . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- 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 . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Grinder pump control replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 194332 ^ Permit Fee . . . . 73.50 Plan Check Fee .00 (v�I Issue Date . . . . 10/12/11 Valuation . . . . 0 Expiration Date 4/09/12 1 1 Qty Unit Charge Per Extension / 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 Fee summary Charged Paid Credited Due ------- --------- - -------- ---------- ---------- ---------- O Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 3 V_ INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: 1V r PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGEIBUILDING RECE#Y6,�� ��, ;?c�wr.�,.�ff w _ `OCT 11 2011 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical InspectionsB�ESECTRICA` � PEOT10 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 �� 1 ` Ph: (360) 417-4735 Fax: (360) 4t7-4711 �� W Date: 1 D 11 1 &2 Single Family Dwelling _Multi-Family or Commercial* Commercial Addition/Alteration/Remodel / Repair* * Plan Review May Be Required, Please CompleteElectricalPlan Review Information Sheet Job Address: 65Dg Gds—t�Kg� F1 `✓'� Building Square Footage: Description of above &Mi N 12W-r2— 7JMQ -1- Owner Information Contractor Information Name: C—T j? Ot 1Q- 1,J�+_W4-1`V9E_k Name: Mailing A ss: Mailing Address: City: l4— State. ip: City: State: Zip: Phone: Fax: Phone: Fax: License#/Exp. License#I Exp. Item Unit Charge Qty Total(Qty 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 $ Branch Circuit W/O Service Feeder $ 73.50 / $ 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 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal CircuitJ Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf 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 $ � $ 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 / ❑ Credit Card# X Dated: O ! 0110112010 ELECTRICAL PERMIT ` CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000629 Date 6/12/12 Application pin number . . . 940383 Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- O17 our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Energy Management (PLC) ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ------------ -------------------------------------------------------------- Permit -- -- -------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc HOURLY INSPECTION �J\` Permit Fee 576.00 Plan Check Fee .00 Issue Date . . . . . 6/12/12 Valuation . . . . 0 Expiration Date 12/09/12 Qty Unit Charge Per Extension 6.00 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 576.00 --------------------------------------—------------------------ --- V' Fee summary Charged Paid Credited Due Permit Fee Total 576.00 576.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 576.00 576.00 .00 .00 V O r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 0-L 17 FINAL l2 COMMENTS: PERMIT WILT EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION F- d Building Division/Electrical Inspections LU, 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 �� r Ph: (360)417-4735 Fax: (360)417-4711 n ") Date: ' �0 Multi-Family or Commercial* ELECTRICA INSPECTIONS *Plan Review���M�a��y B jRequired, Pleas Com lete Electrical Plan Review Information Sheet Job Address: v�uu T - -- I' Building Square Footage: DgAcription of above - Owner Information Contractor Information Name:_�� o[� PA Name: Mailing Address:- Mailing Address: City: State: Zip: f City: State: Zip: Phone: Fax: Phone: Fax: License#I Exp. License#I Exp. Item Unit Charge Qty Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401.600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $440.00 $ Branch Circuit W/Service Feeder- $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly - $ 96.00 Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500'sf-Commercial $ 96.00 $ . Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ �y Note:$5.00 for each additional T-Stat $5_71.,_, 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 leage.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 PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check ❑ Credit Card# Ox Dated: y`'e2 [—J 2 0110112012 r— ELECTRICAL PERMIT + S d' CITY OF PORT ANGELES V,1 360-417-4735 v l Application Number . . . . . 11-00000385 Date 4/28/11 Application pin number . . . 273245 Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- O11 our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . Property Zoning . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 circuits for outlets ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 1� --------- ---- ------------------------------- ---- - --------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc . . n� Permit pin number . 184630 v Permit Fee . . . . 78.70 Plan Check Fee .00 (� Issue Date . . . . 4/28/11 Valuation . . . . 0 �V1) Expiration Date . . '10/25/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 (\ 2.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.20 �J ---------------------------------------- ------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 2 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING Lti��` l Cif V CITY OF PORT ANGELES PERMIT APPLICATION RECEVED Building Division/Electrical Inspections 'f 2011 00 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,9836►PR 2 Ph: (360)417-4735 Fax: (360) 417-4711 ELECTRICAL Date: INSPECTIONS _ 1 &2 Single Family Dwelling _Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel I Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /5-0 CO L I Building Square Footage: Description of above I P4 bQT L_F T Z,_ Owner Informationp Contractor Information Name: e_O Y 0 F 1 Name: Mailing Address: %21 -4- S Mailing Address: City: P14 State: W;�-Zip: 3 City: State: Zip: Phone: Fax: Phone: Fax: License#I Exp. License#I Exp. Item Unit Charpe Qjt Total(Qty 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 $_ � Branch Circuit W/O Service Feeder $ 73.50 1 $ ?� 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 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf 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 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 ❑ Credit Card# X Dated: 0110112010 f ELECTRICAL PERMIT d CITY OF PORT ANGELES ..D 360-417-4735 Application Number 09 00000991 Date 9/24/09 ; Application pin number 296847 Property Address 1509 COLUMBIA ST ELEC ASSESSOR PARCEL NUMBER 06 30 00 5 7 0100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc 2 new disconnects for cranes I Owner Contractor CITY OF PORT ANGELES OWNER ^ PO BOX 1150 v �\` PORT ANGELES WA 983620217 /1(� Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 154229 Permit Fee 59 50 Plan Check Fee 00 Issue Date 9/24/09 Valuation 0 Expiration Date 3/23/10 (� Qty Unit Charge Per Extension `� 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 C, 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 00 G Fee summary Charged Paid Credited Due Permit Fee Total 59 50 59 50 00 00 Plan Check Total 00 00 00 00 Grand Total 59 50 59 50 00 00 .'f—�7 ._ V `4 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date City of Port Angeles Permit Application RECEIVED SEP 2 4 2009 �`� ter Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150 ELECTRICAL Port Angeles Washington,98362 Ph.(360)417-47)5 Fax:(360)417.4711 INSPECTIONS04 Date: A 1 &2 Single Family Dwelling 0 Multi-Family or Commercial* Commercial Addition/Alteration 1 Remodel I Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: "4-1 T P --- Building Square Footage. Description of above ' AJ'� Owner Information (-,'Df � Contractor Information Name. i r<' c,r' L574 Name: Mailing Address: SSC Mailing Address: City- State. Zip 23621 City- State. Zip: Phone. Fax: Phone- Fax: License#/Exp License#/Exp Unit Charge Qty Total (Qty Multiplied by Unit Charge) $ 93.75 $ Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201-400 Amp. $160,00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601 1000 Amp. $291.25 $ Service/Feeder over 1000 Amp $ 2.00 $ Branch Circuit W/Service Feeder $ 57.50 Branch Circuit W/O Service Feeder $ 2.007`��0� $ Each Additional Branch Circuit $ 72.50 $ Temp Service/Feeder 200 Amp. $ 86.25 $ Temp.Service/Feeder 201-400 Amp $116.25 $ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp.Se(vice/Feeder 601 1000 Amp. $ 75.00 $ Portal to`Portal Hourly $ 6900 $ Sign/Outline Lighting $ 75.00 $ Signal Circuit/Limited Energy Commercial $ 50.00 $ Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 50.00 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 9375 I $ Manufactured Home Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 I $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75I $thermostat $ otal Owner as defined by RCW.19,28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(1)Owner is required to hire an electrical contractor ifabove said property is for sale,rent or lease. After reading the above statement,I hiereby 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. Signature of owner electrical contractor or electrical administrator ❑ Cash ❑ Check X Date. / — F>cf' ❑ Credit Card# PREPARED 10/02/08 9 23 30 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/02/08 ADDRESS 1509 COLUMBIA ST SUBDIV TENANT NBR WASTEWATER TRTMNT PLANT CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 7 0100 0000 APPL NUMBER 08 00000912 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 9/12/08 JLL BLDG FRAMING 9/12/08 AP September 12 2008 8 55 21 AM 1pangrle MARTY 460 4126 ROUGH IN FRAMING September 12, 2008 4.41.21—PM jlierly_ BLI 01 9/19/08 JLL BLDG INSULATION 9/19/08 AP September 19 2008 9 26 00 AM 1pangrle BOB 461 5465 INSULATION September 19 2008 2 30 05 PM jlierly BL99 01 10/02/08 BLDG FINAL October 2 2008 8 35 13 AM 1pangrle MARTY 460 4126 BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 10/02/08 JLL MECHANICAL FINAL October 2 2008 8 35 58 AM 1pangrle MARTY 460 4126 MECHANICAL FINAL COMMENTS AND NOTES PREPARED 9/12/08 10 04 09 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/12/08 ADDRESS 1509 COLUMBIA ST SUBDIV TENANT NBR WASTEWATER TRTMNT PLANT CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 7 0100 0000 APPL NUMBER 08 00000912 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 9/12 08 L BLDG FRAMING September 12 2008 8 55 21 AM 1pangrle i' MARTY 460 4126 ROUGH IN FRAMING COMMENTS AND NOTES Application Number 08 00000915 Date 8/13/08 Application pin number 463865 Property Address 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER 06 30 00 5 7 0100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 0 Application desc Office addition Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit ELECTRICAL ALTER COMMERCIAL \ 1 p Additional desc Permit ,pin number 131045 Permit Fee 58 00 Plan Check Fee 00 Issue Date 8/13/08 Valuation 0 Expiration Date 2/09/09 Qty Unit Charge Per Extension 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00 Fee summary Charged Paid Credited Due i I Permit Fee Total 58 00 58 00 00 00 Plan Check Total 00 00 00 00 Grand Total 58 00 58 00 00 00 r G� INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE OUCH - IN FINAL to zJ COMMENTS: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000912 Date 8/07/08 Application pin number 775264 Property Address 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER 06 30 00 5 7 0100 0000 Tenant nbr name WASTEWATER TRTMNT PLANT Application type description COMM REMODEL Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 5000 Application desc CONSTRUCT AN OFFICE MOVE BATHROOM WALL/DOOR Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Structure Information 000 000 ADD OFFICE MOVE BATHROOM WALL/DOOR Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc OFF�'ICE & BATHROOM Permit pin number 130971 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 8/07/08 Valuation 5000 Expiration Date 2/03/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL-2001 25K (14 PER K) 42 00 Permit MECHANICAL PERMIT Additional desc INSTALL PIC A WATT HEATER Permit pin number 130989 Permit Fee 64 80 Plan Check Fee 00 Issue Date 8/07/08 Valuation 0 Expiration Date 2/03/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL FLOOR/WALL FURNACE 14 80 Special Notes and Comments The Fire Department has reviewed the project application and has no comments Other Fees STATE SURCHARGE 4 50 j Fee summary Charged Paid Credited Due OV 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 I Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) "r forms/Building Division/Building Permit(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD �l 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. ITIS 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION. FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. 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 HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT il's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTIONR.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 'v 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 08 00000912 Date 8/07/08 Application pin number 775264 Permit Fee Total 202 55 202 55 00 00 Plan check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 296 59 296 59 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(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD ix CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. q CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 1� YES NO \ FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS (� CEILING ---� FRAMING JOISTS/ GIRDERS SHEAR WALLIHOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) J T-BAR (� INSULATION C SLAB 3 WALL/FLOOR/CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE ff hQ WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 11's SEPA. PARKING/LIGHTING ESA. d LANDSCAPING SHORELINE. 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/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT TBUILDING n n 417-4815 BUILDING 0-02'"h ILL- • 0A.SCINrq. f, BUILDING PERMIT APPLICATION Print In Ink - CITY OF PORT ANGELES LDate City Use Only Attn Building Permit Technician eived -2 ,09 321 E. Fifth St. Port Angeles WA 98362 {360 417-4815 fax {360) 417-4711 1\ roved Applicant or Agent /UIQ¢ � L,E M� Ph e no y/26 Property Owner c(T or P4 Ph e _ Property Owner's Address )AArz u)A--166 Ti�,� �Y��t1T- PILL C6444461.4 Contractor/Engineer C C) ;7 1P 14, Phone Contractor/Engineer's Address License # Expires i PROJECT ADDRESS [a L s hT4 �I �► Parcel Number 0b 3 0 G 1 d O Lot Zoning I i Project Type & Brief Description. ❑ Residential Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction (R � �emodel�l- (no L �(/ D �l7Cr3T/ C� r�i9rff �vNl �❑ epair Ri e -A) U.Ja, tS WA on i e S " g- � e ❑ Re-roof ❑ Demolition - �c��'2 Ly, d �L S tnK �`S l S`d e— ,9 Heat System ❑ Heat pump ❑ wood-burning stove ❑gas fireplace ❑ pellet stove Xother ❑ Other I _ -CJ k47— i Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1 St Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other -DFF�Ga�- 1 TOTAL VALUATION $ S CX)6,, CD Total footprint of structures I sq ft. T Lot size sq ft. = Lot coverage % Max height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be in stalled? Construction type #of half baths /have read and completed this application and know it to be true and correct tam 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. L' Date -d Print Name_ 4,C111, � Signature T Forms/Building Division/Bldg Permit Appl. 2006 Code.doc ir2�d A� ------ ......------- ------ 3rd-Av yfi�- s4le, ------ --4thAve----. \� I Aiif � I I -i � �,. 13 E7 CZEEA 171 'Keller C i ® E F I G H ' I sem' SII ICo 4" o BI 8d I 2 �i 5�4! 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X09 I4 . MEGN r1�oNAN I�A� X07 sTarz 4cE RAY51 co J I I--1�, r'1oISTUi� RE5I5'p°'NT O G oN GENT�12s 605 0IL/LUP3EA9EA CG N T NT cc G GiE�L COf�T �LAr1 M, L .INE IS 2 INCHES _ _ w��g 0�' �g�3 A--FULL SIZE 6` REGISTERED �J�'S L. H Fo II tl 9 3� 1'Yd 77 IIF vi 2'-SCALE ACCOfi0INGIYI ARGNIT�CT ��,PoY WASN FILEI— I Aa HUR G.FORNFS f aq f YL DRA>"JN �r4f.^.TE Of WASHI CTO++ y I /d — — -- WAS TEbRATEi SES, QEDF a ✓ Yb / �i ��ir'�T"cPE 2�If P A T EX CliECIiEL' JIK'__ I4� I ?yI, l EAG\ ,'p dE REV. DESCRIPIif. DATE APP r-^ {i CHECKED '�•=p° REVISIONS _ E F G H I I(o ¢ 3 roo. g I g a Ilo 100 P 5. EE ��jj 1 l005 �Jfff d S TO.I.Lam �- 2p -4 51 4' A,a. I, IG �a4 91 I (,���. d 12 I( Q S O tJIN�OW TYPE N I1 jERIOR Gr�LI Q 21 PA2�I"f10J W�LLS r„„�_ pj 1 ASE 8 NoMIIIAL ��I A I Noses JA*113s 9. -�- cOR.rlee5 wN 11,O14KEp �� � TYPE O MME�oI I O WII�1�W p> - M t1 6012 v M21�117/ `— I3' 4 zj�4, I 31 211 ST II =� -o MMECo015 57o 9,4\4'p- o�Ys to SHOPsj0RAGF- fLAtJ -o_ ,-/ 11- if -11 Op pORiAHCF! CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION Q 321 EAST 5TH STREET, PORT ANGELES,WA 98362 r Application Number . . . . . 07-00000315 Date 3/27/07 Application pin number . . . 018990 Property Address . . . . . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Tenant nbr, name . . . . . . SEWAGE TREATMENT PLANT Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 8780 Owner Contractor CITY OF PORT ANGELES PENINSULA HEAT PO BOX 1150 782 KITCHEN DICK RD PORT ANGELES WA 983620217 SEQUIM WA 98382 (360) 681-3333 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . INSTALL HEAT PUMP Permit pin number . 98160 Permit Fee . . . . 64.70 Plan Check Fee .00 Issue Date . . . . 3/27/07 Valuation . . . . 8780 Expiration Date . . 9/23/07r�a�1Z 01 Qty Unit Charge Per Extension ,1 �')Ll- � BASE FEE 50.00 `1 1 1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due vI ---- ---------- ---------- ---------- ---------- O Permit Fee Total 64.70 64.70 .00 .00 --Z Plan Check Total .00 .00 .00 .00 Grand Total 64.70 64.70 .00 .00 G c Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governin this type of work will be complied with whether specified herein or not. The granting of a permit does not presu e give authority iolate or cancel the provisions of any state or local law regulating construction or the performance of co tr ion. Signature of Contractor or Au horized Agent Date Signature of Owner(if owner is builder) Date T:APolicies\1102_15 building permit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 0 CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COKER,INSULATE OR CONCEAL ANY W'ORKDEFORE VQ I LAISPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD.AND APPROVED PLANS AT.JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR.WALLS/WALLS FOUNDATION DRAINAGE!DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.1 PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: tt ^^ BACK FLOW/WATER V AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS O SHEAR WALL/HOLD DOWNS C WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE 1 FINAL �I IO-7DATEy ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCYJNG&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: 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/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\l 102 15 building permit inspection record05.wpd[1/4/2005] CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000315 Date 5/11/07 Application pin number . . 018990 Property Address . . . . . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Tenant nbr, name . . . . . . SEWAGE TREATMENT PLANT Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 8780 Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES PENINSULA HEAT PO BOX 1150 782 KITCHEN DICK RD PORT ANGELES WA 983620217 SEQUIM WA 98382 -------------------------------------------(360) 681-3333 \ ---------------- -- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . OLY. EL. / HEAT PUMP Permit pin number 100289 Sub Contractor OLYMPIC ELECTRIC Permit Fee . . . . 58.00 Plan Check Fee .00 �y Issue Date . . . . 5/11/07 Valuation 0 Expiration Date . . 11/07/07 Qty Unit Charge Per Extension (� -- - -- 1.00 ----58.0000-ECH EL-COMM ALT <5 CIRCUITS-- - - - -----58.00 {�V -------------------------- v Fee summary Charged Paid Credited Due Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 COMMENTS/ACTION NEEDED i ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL GENERAL COMMENTS: Pw-1102.1514W d ro• CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 99,162 ' Application Number . . . . . 07-00000315 Date 5/11/07 Application pin number . . . . 018990 Property Address . . . . . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Tenant nbr, name . . . . . . SEWAGE TREATMENT PLANT Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 8780 Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES PENINSULA HEAT PO BOX 1150 782 KITCHEN DICK RD PORT ANGELES WA 983620217 SEQUIM WA 98382 (360) 681-3333 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . HEAT PUMP THERMO Permit pin number . 98178 Permit Fee . . . . 00 Plan Check Fee .00 Issue Date . . . . 5/11/07 Valuation . . . . 0 Expiration Date . . 10/21/07 Qty Unit Charge Per Extension 1.00 35.0000 ECH EL-LVT-FIRST THERMOSTAT 35.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD •CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MM"24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL 6 GENERAL COMMENTS: PREPARED 4/12/07, 11:25:25 INSPECTION TICKET PAGE 26 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/12/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 1509 COLUMBIA ST SUBDIV: TENANT, NBR: SEWAGE TREATMENT PLANT CONTRACTOR PENINSULA HEAT PHONE (360) 681-3333 OWNER CITY OF PORT ANGELES PHONE PARCEL 06-30-00-5-7-0100-0000- APPL NUMBER: 07-00000315 MECHANICAL APPL. PERMIT --------------------------------------------------------------------------- --- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------- ------------------------------ ME3 01 4/12/07 JLL MECHANICAL HEAT PUMP 04/11/2007 09:54 AM PERMITS tr - V JEFF 417-4845 CITY OF PA, WASTEWATER TREATMENT PLANT LAB -------------------------------------- COMMENTS AND NOTES ------ 07 � � � ELECTRICAL,WORK PERMITAPPLICATION installation description Job wired by Electrical Contractor ❑Owner Commercial C) Residential EI tical contractor name "crnse number Date Expires )1,h, �— & MDQ 0 New 0.Altered/Addition Purchaser's mailing adar a ss -99eW vo cSe vl State/ Wif, numb FA bet Pr le a owne e Ad re a of spe n ^ & I�� cityAa— Phone nu7j t 1 p ction: Owner as defined by RCW.19.28.261:(1) Owner will occupy the srrucrure Jnr rwo yeurs after this electrical permit is finalized_(2) Owner is required to hire an electrical contructor if above said property is for sale. rent or lease. ❑ Cash ❑ Check# After reading the above statement_I hereby certify that I am die owner of the above named property or a licensed electrical contractor. I am making the electrical instal- C3 Credit Card. Visa Mastercard Discover lation or alteration in compliance with The electrical luws, N.E.C., RCW Chapter ! / 19.28, WAC- Chapter 296-46B_ The City of Port Angeles Municipal Code. and Card Utility Spe 'fi ions_ ---"---------^-- Signa r owne ele c tra or or electrical administrator Expiration Date X ate: of card �r I 1 �sLor_ ubtrectlons Service Information 0 NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace _KW 0 Overhead Service Phase O 1 ❑ 3 Heat Pump _Ton_LAR 0 Temp Service Servlce Size: 0 Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAX INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN SERVICE D.1c App,o d By E5E 13— ApI11,1� 1 By FINAL FEWER Dole Approved 6y Ilmc Apl„,w,W By Inspection Area,Building or Equipment Inspected Action Taken Drte Electrical Inspector P, 01 213GH 1RTnSUTtlad 990ZT9909C IV3 f0:0T LO/LZ/CO FOR OPFi USE ONLY: BUILDING PERMIT - APPLICATION DateRec.; 3 0-7 Permit : tt� Fill out COMPLETELY and in INK Your application and site plan MUST BE COMPLETE to be accepted for review. If yon bave any questions,call Date Approved: O 7 (360)4174815 Date taeued: Applicant or Agent:l P1'971"5 la lli _—Phone: w --33 3 Owner: LOl5 Phone: Z//7 `-.57 Address: City: Zip: —/ 23 6,7. _— ArchitecVEn ' eer Phone: Contractor State Licenset �Jr ? � Phon _ Address: /c v�- �;1 - City: Zip: PROJECT ADDRESS: D ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC Exp.Date: TYPE OF WORK- ` SIZE/VALUATION: ❑ .Residential 0 New Constr- ❑ Re-roof ❑ Stove SF.@$_. /SF-_$ 0 Multi family O-Addition ❑ Move 0,Garage SF.@$ /SF-_$ Co=crcial 0 Remodel ❑ Demolition o'-Deck ' ' SF-@ O Repair. ❑ .Sign Other TOTAL VALUATION $. BRIEF DESCRIPTION OF THE PROJECT; COMMERCIAIJRESIDENTIAL: Occupancy Group- Occupant Load: Construction Type: No.of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Existing lot coverage %&Proposed lot coverage %=Total lot coverage APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESAAVedand(s): ❑Yes❑No SEPA Checklist required? ❑ Yes ❑ No Other: Fes: OTHER: BUILAING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 41711815 for assistance. PLAN CHECK FEE:EF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted—All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application;the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section'107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that I have mad and examined this application and know t e same to be t nd coma I am authorized to apply for this permit and understand that I is my responsibility to determine what permits are d,not t e a f t 1 must o Iain such permits rfor to w rk T:\FORMSWPPS\Buildingpermit.wpd Applic t Date: ZOO 113aH 9TnsuTuad 990ZT9909C YVA f0:0T LO/Lc'/CO 4<`".w""�." CTfY OF PORT ANGELES 1���/1PUBLIC WORKS -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 BUILDING PERMIT ISSUED: 1/05/2002 PERMIT NO: 13191 OWNER/APPLICANT PROPERTY LOCATION CITY OF PORT ANGELES 1509 COLUMBIA 321 E. 5TH ST Lot: TAX LOT 164 Port Angeles, WA 98362 Block: ® Long Legal 360/457-0411 Subdivision: FRANK CHAMBERS T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 98360-0000 206/000-0000 360/000-0000 PROJECTINFO Project Value: $1,500.00 SFD Units: 0 Commercial: 0 Project Type: FOUNDATION ONLY SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: M2 PROJECT NOTES ^ INSTALL ENGINEERED FOUNDATION FOR STANDBY GENERATOR `( I FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $0.00 Plumbing: $0.00 AMOUNT PAID: $0.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work,$EPA,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 fora period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATEACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP WOODSTOVE/PELLET/CHIMNEY/INSERT HOOD/DUCTS PW UTILITIES/SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. 2 BUILDING 417-4815 BUILDING 2 C\APPL W PD -- bed-��-e y� Fai •ei •s��b I®n01 Cralig R. Owen, P.E. ConsuINng smalural Engineer 220 E. r,ra[Sires-, Phone:4310) 452.5074 Fon Angeles, INA 98362 Fax: (960)467-WZO December 27, 2001 City of Fort Angeles Ddpariment of Public Works Attention: Stephen Sperr, P.E. 321 t?.. 5th Street Port Angeles, WA 98362 Dear Steve, Re, Generator support slab at waste water treatment facility. After site imspeetlon, discussions with equipment engineerS and suppliers, and review of literature regarding the generator unit. analysis was Wormed to determine reinforcement and verify adequacy of the proposed slab. The slab is adequate as proposed at IS"to 28"depth as allowed by the current excavation and required for the desired slope of slab. The reinforcement should be$4. at 12"o.c. 60 grade each way, 3" dear of the bottom and another mat 2' clear of tha top U40 grade bars are used, mess should be substitutued for the#4 bars, The outside bars, 3" clear of the edge top and bottom should have'L" bars 30" long on each lag to lap splice at outside corners. Do Mgt_ inSW these"L" xj�rg at Inside�rners-but continue to extend the bars beyond the inside comer across the slab to maintain 12" maximum spacing. Anchor the unit as advised by the equipment design engineers with the "Kwik bolts" embedded 8" minimum. To improve ductility in a severs seismic event, add (2) top bars, about 2 1x2" from each rove of bolts extending 30" beyond the est bolts in the row at 3 112"dear of the top. Please call if you have any questions. Respectfully submitted, o• aesga tit aA '7 'r I%r%j � •.. Craig R, Owen, P-E. A `eQ+arcaB° JJ fo cro a � i Ek 111191 war 1 TO 39bd S3139NV 1JOd d0 AiIO TV8VLTb09ET 9E:LT 966T/90/LO 12,312001 MON 09:29 FAA ra DEG720-01 FRI 01 :46 Pri P. 02 I � s @ 0C4+'4 N o � C�oRNt=.R i sop a�sryMo `1 17173 I! I Gede.P�-on .SIe,10 CMIG a. OWEN } eF PA Consulting 4trecturel E near 7 Z20 E, 1st St. Port Angeles,9/A 98362 (!i0) 492-8978 FAX (760) 867.4020 I i Z0 39t1d S3139NV id0d d0 AID 1b8bLLb09EI 96:LL 966i/90/L0 From: Ken Ridout To: LHAEHNLE Date: 1/18/02 3:38pm Subject: PERMIT FOR GENERATOR-Reply Lou: Please waive the permit fee for the foundation for the backup generator at the W WTP. Thanks Ken >>> Lou Haehnlen 01/18/02 11:43am>>> COULD YOU PLEASE WAIVE THE PERMIT FEES FOR THE INSTALLATION OF THE FOUNDATION FOR THE BACK-UP GENERATOR AT THE SEWAGE TREATMENT PLANT- PERMIT#13191 Filing Fee: *$150.00 PORTAT X-XX GfiL�S 7 (�� W A S H I N G T O N, U. S. A. �/ D CITY OF PORT ANGELES i ,Li,' FEB 2 6 2002 ENVIRONMENTAL CHECKLIST Purpose of Checklist: CITY OE PORT RNGEIES COMMUNITY DEVELOPMENT The State Environmental Policy Act (SEPA), Chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done)and to help the agency decide whether an EIS is required. Instructions for Applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurately and carefully to the best of your knowledge. In most cases you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or "does not apply" (N/A). Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems please ask the City Department of Community Development employees to assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. BACKGROUND 1. Name of proposed project: Wastewater Treatment Plant (WWTP) Generator installation. A. Address or general location of site:1509 East Columbia street, Port Angeles, WA. 98362 2. Name, address, and phone number of applicant: Jeff Young, Superintendent City of Port Angeles, 321 East Fifth St., Port Angeles, WA. 98362 ph# 360-417-4845 3. Name, address and phone number of contact person if other than applicant: N/A 4. Date checklist prepared: 02/22/02 5. Agency requesting checklist: CITY OF PORT ANGELES 6. Proposed timing or schedule (including phasing, if applicable): A. What is the long term objective of this proposal? To provide back up power for the WWTP. Environmental Checklist EVALUATION FOR Page 2 AGENCY USE B. How does this project relate to long-term plans? By providing back up power. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal: In 1963 and in 1992 when the plant was being built and upgraded. 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. No 10. List any government approvals or permits that will be needed for your AHe ff0 /J; proposal, if known. Olympic Air Pollution Control Authority gorkv Xa,vc e, 909 Sleq�er k-N"-e/P), 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this "CV, WA 9P5'03 checklist that ask you to describe certain aspects of your proposal. You do not need P to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) Installation of one 500 kW diesel powered generator in a sound insulated housing. Project will be installed with an automatic transfer switch at the incoming transformer area. Cost of installation and equipment not to exceed $120,000. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Please note the enclosed vicinity map, G-1. Environmental Checklist EVALUATION FOR Page 3 AGENCY USE PROJECT SPECIFIC ACTIONS: Complete this section if your proposal involves a project specific action such as a subdivision, new construction, a new or expanding business, a site specific rezone (not area-wide), a conditional use permit, a shoreline permit, or similar action: ENVIRONMENT 1. Earth A. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other B. What is the steepest slope on the site (approximate percent slope)? C. What general types of soils are found on the site (for example,clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. D.Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. E. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill: F. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. G. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? H. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 2. Air A. What types of emissions to the airwould result from the proposal(i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. The generator will be operated a maximum of 56 hours a year and use 37.3 gph of#2 diesel fuel that has a 0.5% sulfur content. B. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No C. Proposed measures to reduce or control emissions or other impacts to air, if any: It is installed with a muffler and a sound insulated housing. Environmental Checklist EVALUATION FOR Page 4 AGENCY USE 3. Water A. Surface: i.) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. Ennis Creek, it flows into the Port Angeles Harbor. ii.) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. iii.) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material: iv.) Will the proposal require surface water withdrawals or diversions?Give general description, purpose, and approximate quantities if known. v.) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. vi.) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. B. Ground: i.) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. ii.) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial,containing chemicals;agricultural wastes;etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. C. Water Runoff(including storm water): i.) Describe the source of runoff(including storm water) and method of collection and disposal, if any(include quantities, if known). Where will this water flow? Will the water flow into other waters? If so, describe. Environmental Checklist EVALUATION FOR Page 5 AGENCY USE ii.) Could waste materials enter ground or surface waters? If so, generally describe. D. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: 4. Plants A. Check or circle the type of vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, water plants: water lily, eelgrass, milfoil, other Other types of vegetation B. What kind and amount of vegetation will be removed or altered? Groundcover C. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any. 5. Animals A. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Birds: hawk, heron, eagle, songbirds, other Mammals: deer, bear, elk, beaver, other Fish: bass, salmon, trout, herring, shellfish, other B. Threatened or endangered species known to be on or near the site. C. Is the site part of a migration route? If so, explain. D. Proposed measures to preserve or enhance wildlife, if any. 6. Energy and Natural Resources A. What kinds of energy(electric, natural gas, oil,wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. B. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Environmental Checklist EVALUATION FOR Page 6 AGENCY USE C. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any. 7. Environmental Health A. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. i) Describe special emergency services that might be required. ii) Proposed measures to reduce or control environmental health hazards, if any. B. Noise i) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? ii) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis(for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. Due to the sound muffling features of the generator housing,the noise levels in operation will always be below 85db within 3 meters of the unit. It will be operated in emergencys. iii) Proposed measures to reduce or control noise impacts, if any: Sound insulating housing and a muffler. 8. Land and Shoreline Use A. What is the current use of the site and adjacent properties? B. Has the site been used for agriculture? If so, describe. C. Describe any structures on the site. WWTP structures, such as tanks, and buildings. Please note vicinity drawing G-1. D. Will any structures be demolished? If so, what? E. What is the current zoning classification of the site? F. What is the current Comprehensive Plan designation of the site? Environmental Checklist EVALUATION FOR Page 7 AGENCY USE G. What is the current Shoreline Master Program designation of the site? H. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. I. How many people would reside or work in the completed project? J. Approximately how many people would the completed project displace? K. Proposed measures to avoid or reduce displacement impacts, if any: L Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 9. Housing A. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. B. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. C. Proposed measures to reduce or control housing impacts, if any. 10. Aesthetics A. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? B. What views in the immediate vicinity would be altered or obstructed? C. Proposed measures to reduce or control aesthetic impacts, if any. 11. Light and Glare A. What type of light or glare will the proposal produce? What time of day would it mainly occur? B. Could light or glare from the finished project be a safety hazard or interfere with views? C. What existing off-site sources of light or glare may affect your Environmental Checklist EVALUATION FOR Page 8 AGENCY USE proposal? D. Proposed measuresto reduce orcontrol light and glare impacts, if any. 12. Recreation A. What designated and informal recreational opportunities are in the immediate vicinity? B. Would the proposed project displace any existing recreational uses? If so, describe. C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any. 13. Historic and Cultural Preservation A. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe: B. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. C. Proposed measures to reduce or control impacts, if any: 14. Transportation A. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show on site plans, if any. Please note on the vicinity map. B. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? C. How many parking spaces would the completed project have? Howmany would the project eliminate? D. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate ether public or private). E. Will the project use(or occur in the immediate vicinity of)water, rail, or air transportation? If so, generally describe. Environmental Checklist EVALUATION FOR Page 10 AGENCY USE E. Where will the materials, goods or services utilized by the proposal come from? F. Where will the goods or services produced by the proposal be utilized? G. Who will utilize the goods or services produced by the proposal? H. Will the proposal alter the tax assessments of the area? ENDANGERED SPECIES ACT (ESA) INFORMATION A. LISTED SPECIES If ESA listed species (salmon, trout, and chars, e.g. bull trout) are present or ever were present in the watershed where your project will be located, your project has the potential for affecting them, and you need to comply with the ESA. The questions in this section will help determine if the ESA listings will impact your project. (The Fish Program Manager at the Department of Fish and Wildlife regional office can provide information for the following two questions.) Are ESA listed salmonids currently present in the watershed in which your project will be: Yes X No Has there ever been an ESA listed salmonid stock present in this watershed: Yes X No Uncertain Please describe Puget Sound Chinook Salmon. Strait of Juan de Fuca summer chum salmon and bull trout are listed as threatened species in the Elwha River, Morse Creek, and the Strait of Juan de Fuca including Port Angeles Harbor. If you answered "yes" to either of the above questions, you should complete the remainder of this section. ff not,skip to Non Project Action Section Page 131 1. Name of watershed Port Angeles Regional Watershed (Elwha Morse). 2. Name of nearest waterbody Ennis Creek 3. What is the distance from this project to the nearest body of water? (Often a buffer between the project and a stream can reduce the chance of a negative impact to fish.) 250 feet 4. What is the current land use between the project and the potentially affected water body (parking lot, farmland, etc.)? Industry Environmental Checklist EVALUATION FOR Page 9 AGENCY USE F. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. G. Proposed measures to reduce or control transportation impacts, if any. 15. Public Services A. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. B. Proposed measures to reduce or control direct impacts on public services, if any. 16. Utilities A. Circle uAfties-cucWtly available at the site: a nci natural gas,qat refuse servic le ho anitary sewe , septic system, other. B. Describe the utilities that are proposed for the project,the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. 17. Economics A. If the proposal will result in expansion of an existing business, please describe the nature of the expansion: (e.g., additional land and/or buildings, new equipment, new employees). B. If the proposal is the creation of a new business, please describe (e.g., re-use of an existing building and site, construction of a new building). C. Describe if the proposal is the first of its type in the community, or what the similar uses are. D. How many people will the proposal provide employment for at its completion and what types of jobs will be created (e.g., sales clerks, factory workers, etc.)? (Jobs created by the construction of the proposal should be reported separately.) Environmental Checklist EVALUATION FOR Page 11 AGENCY USE 5. Is the project above a: ( ) natural permanent barrier(waterfall) natural temporary barrier (beaver pond); ( ) man made barrier (culvert, dam); ( ) other (explain) 6. If you checked any of the items listed in the above question #5, are there any resident salmonid populations above the blockage? Yes _ No Don't know 7. What percent of the project will be impervious surface(including pavement and roof area)? B. FISH MIGRATION: The following questions will help determine if this project could interfere with migration of adult and juvenile fish. (Both increases and decreases to water flow can affect fish migration.) 1. Does the project require the withdrawal of: Surface water? Name of surface water body Ground water? Amount From where? Depth of well 2. Will any water be rerouted? 3. Will there be retention ponds? If yes, will this be an infiltration pond or a surface discharge to either a municipal storm water system or a surface water body? If a surface water discharge, name of waterbody 4. Will new roads be required? (Increased road mileage may affect the timing of water reaching a stream and may impact fish habitat.) 5. Are culverts proposed as part of the project? 6. Will topography changes affect the duration/direction of runoff flows? If yes, describe: 7. Will the project involve any reduction of the floodway or floodplain by filling or other partial blockage of flows? If yes, how will the loss of flood storage be mitigated by your project? C. WATER QUALITY. 1. Do you know of any problems with water quality in any of the streams within this watershed? If so, describe 2. Will your project reduce or increase shade along or over a Environmental Checklist EVALUATION FOR Page 12 AGENCY USE waterbody? 3. Will the project increase nutrient loading or have the potential to increase nutrient loading or contaminants (fertilizers, other waste discharges, or runoff) to the waterbody? 4. Will turbidity be increased because of the project activities?_ 5. Will your project require long term maintenance, i.e., bridge cleaning, highway salting, chemical sprays for vegetation management, clearing of parking lots? D. VEGETATION 1. Will the project involve the removal of any vegetation from stream banks? 2. If any vegetation is removed, do you plan to replant? NON-PROJECT SPECIFIC ACTIONS: Complete this section only if your proposal involves a non-project speck action such as a Comprehensive Plan Amendment, Zoning Code Amendment, area-wide rezone (City-wide or large sub-area),or other similar action: When answering these questions be aware of to what extent the proposal or the types of activities likely to result from the proposal would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances;or production of noise? Proposed measures to avoid or reduce such increases: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources: Environmental Checklist EVALUATION FOR Page 13 AGENCY USE 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks,wilderness,wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreland and land use impacts: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s): 7. Identify, if possible,whetherthe proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. 1,the undersigned,state that to the best of my knowledge,the above information Is true and complete. It Is understood that the lead agency may withdraw any declaration of nonsignificance that It might issue in reliance upon this checklist should there be any willful misrepresentation or willful lack of full disclosure on my part. Environmental Checklist EVALUATION FOR Page 14 AGENCY USE SIGNED: DATE: 7472- PHONE: 360- 407-4e&4;5 UISTRIG 2rLa LOCATION. COORDINATES OF SURVEY CONTROL POINTS, FEET \ EXISTING Zr T 6 LOWS 6M�.n CONTROL WASHINGTON COORDINATE PUNT COORDINATE ORCE MAN QQ POINT S EM - NORTH ZONE $YSLEM NUMBER N ,3 Y X ITT RAYGNIER INC 1 416,093.17 1,372,36093 OW coo � ' ErMi 2 416,39231 1,372,590.96 37005 523 5 3 415,024.21 1,3]2,932.16 BOB 652 37 4 416,100.11 1.373,034.30 370.08 530.82 8 n NOTES: g THE WASHINGTON GRID LINES ON THIS DRAWING WE LASED D THE WASHINGTON ONLY. ALL URS - NORTH ZONE, AND ARE + - FOR REFERENCE ONLY. 911 COORDINATE CONTROL FOR THIS NG C2T elwmw� F BASED LA THE PIFM COORDINATE MTEM. SEE DRAWING C2 RD U z FOR SITE LAYOUT AND SURJEY CONTROL DATA I� C/5\G.�') I� 2.THE FOUR SUT CONTROL FONTS ARE THE EXISTING PROPERTY k� y E9TABLIRSM FOR HE PUNT %rA% I�S. CONTROL POINTS 1 AND 3S 11 Z O • CHI NG PROPERTY LINElI 1� •�, Ll VICINRY MAP 3,ASA MINIMUM, THE CONTRACTOR AND 3. ESTABLISH REFERENCE \�/> ] POINTS FOR CONTROL POINTS 1 AND 3., SEE SECTION 01050 `\ O 20� / NEW PROPERtt LINE C SCALE IN MILES / EASEMENT A CONSTRUCTION EAS _ ✓✓✓ a EMEMENT \, I � Q 7 ❑ \� 7 3 �� � ❑ ❑ LOCATION MAP O 4 _ LOGO 0 2000 4000 ENW❑S cREEk o —gym SCALE IN FEET ❑ IT 6 --- —� ; 15' ENT 6 CRY LANDFILL PERMANENT DRAINAGE EASEMENT - \' \ SITE / 15' PAL E EMENT PERMANENT ELECTRIC -<- - PUMPING STAIJON 4 SHE 30' CONSTRUCTION EASEMENT- � WASTEWATER TREATMENT 5 PLANT SITE 5 WASTEWATER TREATMENT y PLANT SITE. SEE MAP CONT AT RIGrrt_ - RACTOR'S '�Tf STAGING AREA � M+ Rp7 4 $h �Qy gb3`'falF - I� �� ,PUN,�v 2 101 t�ti T 'RO 101 r SITE MAP \ _ _+ SCALE 1"=100' f � TR�,r , �fB Brown and Caldwell - uu Consultants -- o�d �""F _ __ -� CITY OF PORT ANGELES r �r � A' Smttw, -- 08-10-91 ovwwiuc XuuOEx s"M' -- ,-o„T_ "'� -. R- ,,,.�5` _ _.- - WASTEWATER TREATMENT ,N - - VICINITY, LOCATION AND SITE MAPS G1 PLANT EXPANSION Y j ( +(Cu T n.Tc: cxccxm Re+swN6 _...._. ^J dzNb rry Rjv IOCOY fl 1 a CoA B C D E FTS G H J K L M J J N p sXp 0 c� �PRLE W /^�►1WAS H I N G T O N, U. S. A. � DEPARTMENT OF COMMUNITY DEVELOPMENT May 18, 2001 TO: wilding Division, DCD Public Works Utilities Fire Department Y) Q SUBJ: VARIANCE - VAR 01-03 \n CITY OF PORT ANGELES - 1509 East Columbia Street The applicant is requesting an INCREASE in height from 35' to 80' to allow the placement of a telecommunication antenna in the IL, Industrial Light zone. Please review the proposal for those issues that relate to your departmental concerns and respond to the Planning Department no later than C May 28, 2001. Don't hesitate to ask if you have any questions. Dv6�- 7z 7-;zlE APPLICATION FEE - FOR OFFICE USE . Total: $225 ONLY PORT ANGELES Date File Number:. VARIANCE Received by: APPLICATION **IMPORTANT * PLEASE READ #�k Only completed applications will be accepted.To be considered complete,an application must include all of the following information: ❑ A completed application signed by the applicant and the property owner(if different than the applicant). 0 A vicinity map showing the site in relation to surrounding uses and cross streets. ❑ A site plan drawn to a logical scale (1"=20' is good) with complete dimensions showing all property lines, existing and proposed structures,setbacks,and any significant vegetation. The site plan must be on 8 '/2"x 11" paper and prepared with a permanent marking instrument such as a black ballpoint or flair pen. (Pencil or colored pen will not do!) ❑ A building elevation identifying the proposed construction by cross hatching. ® Mailing labels(legibly typed or printed)containing the names and addresses of property owners within 300'of the proposed site. A list of the Property owners may be obtained from the County Assessor's Office. Supporting narrative information that you feel is needed. ❑ Application fee. It is important to be accurate and complete with the information regarding all aspects of your project. The Board of Adjustment's decision will be based on the information contained in this application,and,if approved,will be limited to the proposal as presented and potentially conditioned. Changes to the application or erroneous information may result in the delay of your project review. Don't hesitate to ask if you have any questions regarding the permit process, time periods, or restrictions of certain applications. Planning Department personnel may be reached at 417-4750 between the hours of 8 a.m. and 5 p.m. Monday through Friday. APPLICANT/OWNER INFORMATION: Applicant: City of Port Angeles Informations Technology Department Address: P.O. Box 1150, Port Angeles, WA 98362 Daytime phone #: 360-417-4631 *Representative if other than applicant: Gary Brooks Daytime phone # 360-417-4631 Address: Same as applicant Property owner (if other than applicant): Same Address: Daytime phone #: .PROPERTY INFORMATION: Street address: 1509 East Columbia Port Angeles WA 98362 Legal description: Portions of block 165 and all of block 166 in Frank Chambers subdivision of suburban lot 37 and suburban lot 38 to Townsite of Port Angeles, Zoning designation: IL Property area (total square feet): 6.142 acres 267.551 square feet. Physical characteristics and current improvements (i.e., flat, sloped, developed, vacant, etc.) The property is developed as the City's Waste Water Treatment Plant for City of Port Angeles. The site contains several large maintenance structures treatment tanks.and various office and storage areas. The site is completely fenced and is not accessible to the public outside of normal workinghours. VARIANCE INFORMATION: What standard are you requesting a variance from? State the variance you are requesting: Lot Coverage Setback (state front, side, rear) Increase to 80' Height Other(explain) State the unusual property characteristics(i.e.,slope,bluff,ravine,dense vegetation,other) that exist on your property that prevent you from observing the standard development regulations: Criteria #1: The site is located in a valley near the City's Northern coastal boundary. The property slopes from south to north The entire area at this location slopes from south to north at approximately a 3% grade to the City's shoreline from the foothills to the south There is an impeded view to the south at this location due to the Rayonier storage tank structure The restrictive topographical features of the site are the high valley slopes to the east west and south at the property's boundaries and the Rayonier tank structure to the north. A stand of evergreen/deciduous trees provides a significant buffer to residential properties to the east and the west of the various industrial and residential uses in the area. The proposed height increase to 80' from the maximum 35' is necessary in order to place the telecommunications facility (antenna) above the existing Ravonier storage tank so"line of sight"connection can be achieved Due to the topographical rise of the property at this location combined with the tank obstruction and surrounding industrial uses the site lends itself to the proposed antenna pole use In order to provide the desired wireless service a direct line of site must be obtained from the antenna pole to other towers within the City.thus the need for as much height as is feasible. Criteria#2:The site is zoned and developed consistent with industrial uses of a similar nature in the vicinity. Residential uses located to the east west and south are zoned residential and are buffered both by topography and the stand of tall trees Other industrial and residential uses in the area utilize antennas on top various buildings. Rayonier uses antennas for site communications and a residence to the south west of the site has an antenna tower. The proposed 80'height would not be taller than the existing hillsides. Criteria #3: The proposal is in the public interest as it will allow an efficient combination of services provided by the City. The proposal will enable the City's maintenance landfill. cemetery. Light operations. and City Hall services to more efficiently communicate electronically. It is also intended that the pole will provide a site where telecommunication providers can co-locate where such a use(pole)is not impactive to surrounding uses. Justification for the variance(attach additional pages if necessary): Due to the changing trends in wireless telecommunications technology and the desire to limit the number of antenna facilities necessary within the community to those needed to provide a quality service it is necessary to strategically locate telecommunications antennas in areas that will provide a broad coverage for users An exception to this need would be sites which are difficult provide service to due to various geographical constraints or other obstructing structures.The City's Waste Water Treatment Plant site is a location which requires exceptional consideration due to it's valley location and tank obstruction along the radio signal path The proposed installation and application would be located in an area where such uses are commonly found and intended byzoning. The location is largely view disturbed but is also a location where surrounding users are themselves operators of antennas for industrial(Rayonier),and private(residence S/W of site with tower)pumoses The need for a variance to 80'at this location is due to the topography of the site and the Rayonier tank structure In order to provide a functioning wireless telecommunications coverage at this location a pole/antenna needs to be taller than the tank structure The proposed single pole will have an directional grid antenna approximately 23"x39"at its top The pole proposed is to accommodate the effect of wind on a 80'antenna structure The City will actively encourage co-location with other users of the site. SIGNATURE: I certify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of information will terminate this permit application. I have read this application in its entirety and understand that my submittal will be reviewedfor completeness and, iffound to be complete, will be scheduled for the next available Board of Adjustment meeting per the "Meeting and Application Dates" handout available in the City's Planning Department. Signature /- Date S-40/11 411/ Owner(if other than applicant):I am the owner of the subject property identified herein and approve of this application. Signature Date Page 3 Of 3 WISTROJECTWARIANCEI.WI'D Tower a 1,\ '! "J� Af'. "�2., + `City Hall ti�r6�y*S WwTP N le MA I 4K AM h 04 NO 111 W- 2 lvw W4 WA ml- hmm FM irw-�Pjm 560"N' City of Port Angeles Area Map /\ City Hall to Tower 9970 ft/ 1.8 mi Tower to W WTP 13370 ft/2.5 mi W WTP to City Hall 6600 ft/ 1.3 mi +- 2000 0 2000 Feet Angle from Tower to City Hall /W WTP = 31 deg This map is not intended for use as a legal description.Locations of features are approximate only.Topographic features are t 5 feet of actual locations.This map/drawing is produced by the City of Port Angeles for its own use and purposes.Any other use of this map/drawing shall not be the responsibility of the City. .itr", - y31 two NO ♦ 'Sa.^�-'"*.-. yam. ,C* 10 s 6. r ,* -, Y`�fx+. .� Q ^� 'v,"'��j� ♦ :fir, ^' + ��• _ ,h S yS! ., tiVIL �. �f41. y � `Fit ++ v Si City of Port Angeles Area Map 00 0 200 Feet This map is not for use as a legal description.Locafions of fcaturvs are approximateonly., 1Topographic of actual locations. .1 1 _ produced of•11Angeles for its own use and purposes. of this map/drawing responsibilityshall not be the of the City. s Iw ',117, ly r �^ ti �CS�Ye w'I}7y Fyr�• •1 � City of Port Angeles Area Map 30 0 30 Feet -O n 6 This map is not intended for use as a legal description.Locations of features are approximate only.Topographic features are f 5 feet of actual locations.This map/drawing is produced by the City of Port Angeles for its own use and purposes.Any other use of this map/drawing shall not be the responsibility of the City. OP PORT 4ryC =s�N CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 crT � (206) 457-0411 PERMIT NO. DATE3Adpl L ELECTRICAL PERMIT Site Address: � �� El READY FOR El WILL CALL FOR JL INSPECTION INSPECTION Installed By: ` License Number: Phone: Owner/Business: C ` l , Phone: i O ner/Business Address: Sq. Ft. ❑ RESIDENTIAL TEMPORARY SERVICE ❑ OVERHEAD SERVICE ❑ COMMERCIAL ❑ PERMANENT SERVICE /N UNDERGROUUN ICE ❑ BASEBOARD KW El CONSTRUCTION V LTAGE: ZO El FURNACE KW El REMODEL SINGLE PHA91E ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS REE PHASE ❑ IHEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR ERVICE SIZE bG7 AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) Details/Description: pt W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ pitch Inspection O.K. ❑ dough-in/cover O.K. -p.K. to connect service /UIY ❑ Final O.K. Site Address: / Permit/Receipt No. J$J& Installer: New Meters Date �/' t. 3 zo e Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report 10 or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ^O Electrical Inspector Permit Fee WHILE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMOICi PRINTERS INC. 04/01/2007 10:24 3604523498 OLYMPIC ELECTRIC PAGE 01 e ELECTRICAL WORK PERMITAPPLICAnON Installation description Job wired by ®Electrical Contractor O Owner - )i( Commercial O Residential ! Electrical contractor name Lleente number DemEsptrea r O New A AlteredlAddltloo r9 dlin;atWmra - Cit State ZIP Tetepbose number FAX mambm .Premba owner's Dame If Por-' An G.efe r Addresso laspeetion G 19 co /UAts.t( city Po/f AA yr lei Pbone Dumber to sebeduls oapeetlon: Owner as defined by RCW.)P.26.261:(l) Owner will occupy the stractum for two years gfwr 1hL efMNea!pend:isJlnall:rd (2)Avner is nVuJW 10 hire on eleatrlopl contractor if above said properly L for rale, rent or leant ❑Cash O Check it .. Aller reading the above statement,I hereby cortlh that I am the owner or the above "need progeny or a licensed electrical contractor. I am making the electrical Instal' ❑Credit Card Visa Mastercard Discover Winn Of alteration In compliance with the electrical laws,N.B.C. RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card g th Iltr Specifications. ------ ------ Slgeature traey electrical contractor or electrical administrator Expftation Date v $Impes(lon e�O 7C Date: y y�o dfcard SS O NO LOAD CHIW6E9 Service Inrormetlon 0 Baseboartl —KW Voltage J2—d-2:1280 Ftrcnaw �--,,--....KW Cl Overhand Sellae Phase 0 1 M.3 iX Meat Pump R�Tan_LAR O Temp Service Service Ste: 0 Fant wall _KW � O Vnderproune Service Fooder Size: SAME DAY INSPECT1ON. CALL BEFORE 7:00 AM 360.417-4735 ROUGB-IIN •IHERMOSPAT SERVICE OW AYof Dne I ow Ap...d 0, FRYAL D171LII F»FIt 0 Dere Atneaeee ar Due ewae b Inspection D Action D Ates,Building or EquipmentlnepeetedT Elearrial Dale Takes Inspector APR 0 2 200 UGHT D I I ".... °F,c RECE! ICALWORKPERMIT APPLICATION �a 3 0 Installation description Job tvired by ❑Electrical Contractor ,Owner 1°Commercial ❑ Residential Electrical contractor name License number DMI&OTeMPT. ❑ New Altered/Addition Purchaser's mailing address o PF166 9 P On T-A)d l� s NvP City State ZIP AT- 6L)&rTX o4r6te -fXV-'eTMG1Jr Telephone number FAX number Premises �FrP, 4me - �/ F od r�i��tar�T/7.atry7GL.k5� c� Address of inspection /S00/ 'ff6T ('r W*-rc t,,AFC4 :0 4T/WeOr Pj—Ag) Ct9L-bi.r&A )4L� o Citv S��fla4 S �.f�c�at^S , Phone number to schedule inspection: Owner as defined by RCIt'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 elecn'ical contractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# 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 instal- ❑Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Code, and Card# - - Utility Specifications. Signature of owner, electeal contractor or electrical administrator Expiration Date / Inspection fee X d'v, Date: 7-Zy-O ff of card $ 8 Electrical_Lo Additions and or subtractions Sernice_Information ❑ NO LOAD CHANGES ❑ Baseboard KW Voltage ❑ Furnace _KW ❑ Overhead Service Phase ❑ 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAY NSPECTION,_CAL BEF RELAM360-417-47 5 ROUGH-IN THERMOSTAT SERVICE Dat np Dare ApprmN By Detu Approved It, FINAL DITCH FEEDER Dm"( npr ome Apnrrs b By Dale A,r.,d n, Inspection Electrical Date Area,Building or Equipment Inspected Action Taken Inspector 0F,ORT44,0!� ELECTRICAL INSPECTION WIRING REPORT 417-4735 AKS 6 PERMIT# INSPECTOR OWNER/CONTRACTOR G, of . A- ADDRESS 50 0 Go L L)h31 x� Lt� LJ APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . ..1$� ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: INSTALLW�VD �IN �S Lc71 1FfL►,4 IJ-4 cl (!!�,I&4 st) gl;-ACX_7 � _GPzzL)N ALL nk�n-,L- gax1� S . floss F x jr�`r s,1e) O2y3 )T Low-u. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 U 4 CITY OF PORT ANGELES PERmrr AYPLICATION RECEIVE Building Division/Electrical Inspections 321 East Fifth Sti-eet-PA'Box 1150/Port Angeles WaWingtclin,98362 +,SEP 2 Ph: (360)417-4735 Fax: (360)417-4711 Date: EUCIRICAL W so ) .. Ig /Muld-Family or Commercial* INSPECTIORR cz>tx tK Ir,I A Plan Review May Be Required, Ple omI t Electrical Plan Review I ormaCon Sheat JobAddfass: &rF Amge.lp< Qa0_ ��'P_= e-.qn pr�"1.0�v 06.0/ I'J&5.� kr. ' 7, R Building Square Footage: Z� ' 0) 1 1 -I n, DesCriplion of above Aq:l� /1 E'Ae 10 cx msr- 7-hpu4m em --t� LA Owner Infor ationContractor information Name: , � 6Kq-eJe.t-' &4L"L DeJ' Name:-a"' �e Mallinj Address: 04y: State: zip: City' 0 n n',0, State:155 I I)CA zip: Phona: Fw: Phbnq:2�8-1444-°� Fex: 25,;,�- r4j4 -55515 Uceneg#f Exp, Licengo#I Exp-1--7-T-NIT n'iC � Item Unit Charne 0 Total Qty Multiolled by Unit ChgEgej ServicelFeeder 200 Amp. $132.00 ServicalFeeder 201-400 Amp. $160.00 Sorvlo/Feeder 401.000 Amp $225,00 Service/Feeder 601-1000 Amp. $288.00 ServicelFeeder over 1000 Amp. $410,00 breinol'i 0 lrouR VVI Service Feeder $ 5,00 Branch Circuit VVIC Service Feeder 74.00 Each Additional Branch Circuit 15.00 Branch Circuits 14 $ 06.00 Temp.Service/Feeder 200 Amp. $102.00 Temp.Servlcel]Feeder 201-400 Amp, $1121,00 Tomp.Sorvice/Feeder 401-600 Amp. $164.00 'Camp.Service/Feeder 601-1000 Amp. $185.00 Portal to Portal Hourly $ ROD 81gin/OuVrie Lighting $ 88,00 Signal Circuit/Limited Energy-MuH-Family $ 64.00 $ —Signal Circuit/Limited Energy I First 1500 sf-Commercial $ 96.00 -,7,900 Note: $5,00for each additional lbOGel' RenawElble E{ectrlcal Energy-6KVA System or Less $113,00 Thermostat $ 56,00 Note,$5.00 for each additional T-Stat Owner as defined by RM119,28,2611!(1)Owner will occupy the structure for two years after this electical permit Is finalized.(2)Owner Is required to hire an electrical contractor if above said proparly Is for sale,rentor 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 prop"ora licensed electrical contractor, I am making the aleoftical installation or alteration in compliance with the electrical laws,KE.G.,RCW.Chapter 19,28,WAC.Chapter 296-46B,The City of Port Angeles IVILMICIP01 Code,and Utility Speoifications and PAIVIC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: EJ Coati KGheck El CreditCard# _dated: 0110112.012 boo ,�a'FC)r M )h r� ELECTRICAL PERMIT 4 CITY OF PORT ANGELES 360-417-4735 Application Number , . , 13-00000998 nate 10/15/13 Application pin number . . . 084490 Property Address . . , . , . 1509 COLUMBIA ST ASSESSOR PARCEL NUMS)R: 06-30-00-5-7-0.100-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name . . , , , , Property Use , to the City of Port Angeles Property Zoning . . . , , . , PUBLTC BUILDINGS & PARKS (Location Code 0502) Application valuation . . , 0 Application desc Fiber between buildings for CSO owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES E-Z INTERFACE f PO BOX 1150 2725 SOUTH HOSMER STREET PORT ANGELES WA 983620217 TACOMA WA 98409 (2535 444-5555 !1 - - ---- - ----- -- --- --------- Permit --- -- -- ------------------ - - Permit ELECTRICAL ALTER COMMERCIAL � Additional desc Permit Fee 96.00 Plan Check Fee .00 Issue Date 10/15/13 Valuation . . , , D 1� Expiration Date 4/13/14 Qty Unit Charge Per Extension y_ 1.100 96.0000 FCH EL-LIMITED IST 1500 SQ FT 96.00 �+ --------------------- .____----___-------------------------------- ---- Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE A ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCUANGE\BUILD1NG PORT Off` '�... CITY OF PORT ANGELES OFFICE OF THE ELECTRICAL INSPECTOR 321 EAST FIFTH ST. • PORTANGELES,WASHINGTON 98362 cT�il�`OPERP'��® PHONE: (360)417-4735 PROGRESSIVE INSPECTION REPORT DO NOT CONCEAL Job Name Permit No, Owner Electical Contractor Zy r Location gUek Inspection Area, Building or Equipment Ins ected Action Taken Electrical Date Inspector cb 1 V IF 7 i7 t Z A b r I� �• c � �� �•�,� e � �' �K��°t ,BSD . ..-� lull A2 ?age�of ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001589 Date 1/04/13 Application pin number . . . 587070 Property Address 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER; 06-34-00-5 7-0100-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desa Block permit Jan, 1 - June 30 $1154.50 ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ------------------"_-------------------------------------------------------- Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc BLOCK PERMIT JAN. 1 JUNE 30 Permit Fee 1154.50 Plan Check Fee 00 Issue Date 1/04/13 valuation 0 Expiration Date 7/03/13 Qty Unit Charge Pex: Extension BASE FEE 1154.50 ---------------------------------------------------------------------------- Pee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Pee Total 1154.50 1154.50 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 1.154,50 1154.50 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL 7d � 7 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGRBUILI)MG o� VoR ' c CITY OF PORT ANGELES OFFICE OF THE ELECTRICAL INSPECTOR -_r �� 321 EAST FIFTH ST, PORT ANGELES,WASHINGTON 98362 PHONE; (350)417-4735 PR0GRESS:1VE INSPECTION REFORT DO NOT CONCEAL- -ORIDESTROY ' Job Name Permit No. J91—7 Owner Electicai Contractor Location Inspection Electrical Area, Building or Equipment Inspected Action Taken Date. Inspector Z f 1Xf Z pD •} 1 Ixtla ►h.�U dR NI 02 G# ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , . . 13-00001417 Date 1/17/14 Application pin number . . . 465491 Preperty Address 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL, NUMBER: 05-30-00-5 7-0100 0000 Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name , . . , , . to the City of Port Angeles Property Use Property Zoning , , . , , . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . , . 0 ------------------------. ______ _. ___..___.-____..___ ._ _ - _ Application desc Block Permit Jan, 1 - June 30 2014 ---------------------------------------------------------------------------- Owner Contractor CITY OE' PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 a -- - _ _ Permit . . , ; .. F LECTRICA:, ALTER COMMERCIAL ~______ _ ______ ____ Additional desc , , BLOCK PERMIT JAN, 1 - JUNE 30 Permit Fee . . . 1154,50 Plan Check Fee 00 Issue Date 1/17/1.4 Valuation . , , . 0 _X) Expiration Date 7/16/14 Qty Unit Charge Per Extension SASE FEE 1154.50 ------------------- - - Fee summary Charged Paid Credited Due Q --- - --------- - ------- - ------- -- -- - -- - - Permit Fee Total 1154,50 1154,50 00 00 Plan Check Total p0 ,0o Q0 00 C' Grand Total 1154,50 1154,50 .00 .00 a INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(8)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEMUILDING RECEIVED . 'P. CITY OF PORT ANGELES PERMIT APPLICATION it Building Division/Electrical Inspections Ep 2013 321 East Fifth Street—P.O.Bax 1150/Port Angeles Washington,98362 FIYUMUL Ph: (360) 417-4735 Fax:(360)417-4711 1�1 � i 1: ' Date: S ?�c7 13 _ ✓Multi-Family or Commercial* *Plan Review Ma/ Beeq fed Please Complete Electrical Plan Revie Information Sheet Job Address: 5© m �U'rin +,O Building Square Footage: t OK) f Description of above�]��� C(A (ra P� 0 'L Owne Information Contractor Information Name:�yLov- .�n��ii A(Q �����, Name:�� ly)kd'C ck Mailing Address. 1 5u'L )E>ja Mailing Ad ress:.. r�y-� v" City: Sia#e:la ec Zip: G ( fn Z City: State: f� Zip: j�.. ..._, Phone: �i�r-�1135 Fax:3Loo 441`t- t-1�„ylPhaneZS3 `• Y4,5``` ax: `J0. License#i Exp. License /Exp. t;�'L NT 3 �1. �t)__d"_.__._....._ 2- '71 Item Unit Chante Gt�t rr '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 — __Service/Feeder over 1000 Amp. $410,00 _ — $___v__ Branch Circuit W/Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86.00 Temp.Servicel Feeder 200 Amp. $102.00 Temp.ServiceiFeeder 201-400 Amp. $121.00 Temp.ServiceiFeeder 401-600 Amp. $164.00 _ $_______ Temp.ServiceiFeeder 601-1000 Amp. $185.00 Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit)Limited Energy/First 1500 sf--Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $---J— Thermostat $ 56.00 $ _ Note:$5.00 for each additional T-Stat $ teTotal Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years atter this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for 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 296-4613,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 N check ❑ Credit Card# X Dated: 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 V44v Application Number , . . 13-00001034 Date 9/12/13 Application pin number 503446 Property Address . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-5-7-07.00-000a- Application type description ELECTRICAL ONLY on your excise tax form SubdProperty Name . . . . . to the City of Port Angeles Pro ext Use Property Zoning , . . , , , PUBLIC BUILDINGS & PARKS (Location Code 0542) Application valuation . . . . a Owner Contractor CITY OF PORT ANGELES E-Z INTERFACE 20 BOX 1150 c 2725 SOUTH HOSMER STREET PORT ANGELES WA 983620217 TACOMA WA 984x9 (253) 444-5555 ---------------------------------------------------------------------------- Permit . , , . . . ELECTRICAL ALTER COMMERCIAL Additional dese Permit Fee 96.00 Plan Check Fee .00 Issue Late 9/7.2/13 Valuation 0 (�} Expiration Date 3/1.1/14 �./ Qty Unit Charge Per Extension 1.00 96,0000 ECH EL--LIMITED IST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid - Credited Due ----------------- ---------- ---------- --_-- Permit Fee Total 96.00 96.60 .06 .00 d Plan Check Total 00 .00 .06 a0 Grand Total. 96,00 96.00 .00 .06 Cfi r— INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - ROUGH-IN FINAL COMMENTS: PERMIT WILL MIRE SIX(6)MONTHS.FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGE\13UILDING 08/18/2014 08:24 FAX 360 452 9265 Angeles Electric 1,60001/0001 RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION 18 Building, Building"Division/Electrical Inspections ' �! 321 East-Fifth Street—P.O.Boz 1150/Port Angeles Washington,983&,Z�CTMCAL Ph:(360)417-4735 Fax: (360)4174711 low Bate:. ,zz 4 ��� Mudti•Famlly or Commercial' Plan Review-May Be Required,Please Complete Electrical Plan Review Information Shoot L4'l 1 Job Address: Building SquareFootage: Description of above �7 Owner information Contractgr Information Name, Name, r Melling Address: 1z VMailing d as; City: State' 2'ip: City: State; 'Zip: Phone: ax: Phone: ax License 41 Exp License#! je G 0 Im Unit Charge Total(Multigiied by Unh Charge) Service/Feeder-200 Amp. $13200 $ Service/Feeder 201-400 Amp. $160,00 $ ServicalFeeder401.600 Amp $225.00 ;_ - ServioelFeeder 601.1000 Amp. 5 28800 $ ' SetvicelFeeder over 1000 Amp. $410,00 ; Branch Circult W1 Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5,00 $ Blanch Circuits 14 $ 86.00 I $� Temp.Service/Feeder 200 Amp. $102.00 $ Temp,ServicelFeader 201.400 Amp. $121.00 $ Temp.ServicelFeeder 401.800 Amp. $164.00 ; Temp.Serviceifeeder 801.1000 Amp, $185.00 ; Portal to Portal Hourly $ 96.00 ; SignlOutllne Lightlng $ 98.00 $ Slgnal CirwW Limited Energy—Multi-Family $ 64.00 $ Signal Clrmrld Limited Energy!First 1500 af—Commercial $ 96.00 3 Note: $5.04 for each additional MO sf Renewable Electrical energy-SKVA System or Less $113.00 ; Thermostat $ 56,00 ; Note:$5.00 for each additional T-Stat �� v Total Owner as defined by RCW.19,26.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor 9 above said property is for sale;rent or lease.Perntit-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 elecctriical installation or afleration in compliance with the electrical laws,N.E.C„RCW.Chapter 19:28,WAC.Chapter 296.466,The City of Port Angeles Municipal Code,and Utility Specifications and AAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ �each ❑ eh"k LCndR Card i 00✓ <L.Afo� X 1 � •at-' ®sled: 01101=12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 J Application Number 14-00000977 pate 6/18/14 Application pin number , , . 520756 Property Address , , , , . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER; 06-30-00-5-7-0100-0000- REPORT SALES TAX Application type desaripticn ELECTRICAL ONLY Subdivision Name , , . , 017 your excise tax form Property Use to the City of Port Angeles Property Zoning . , . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application Valuation 0 - --------------------------------------------------------------------------- Application desc 3700, 3600 control work -------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES ANCELE9 ELECTRIC PO BOX 1150 524 E. 15T ST, PORT ANGELES WA 983620217 PORT ANGELES WA 96362 (360) 452-9264 ------------------------------- ._ .__-_---__---__----------------------------- Permit . , . I ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee , . . , 86,00 Plan Check Fee pp Issue Date , . , . 6/18/14 Valuation , . , . 0 Expiration Date , , 2/14/15 Qty Unit Charge Per Extension BASE FEE86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86.OQ QQ .00 Plan Check Total 00 .00 ,00 .00 Grand Total 86.00 86.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL ® d COMMENTS: PERMIT WELL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING IZ- RECEIVED CYVY OF PORT ANG,ELES PFRMIT APPLACATION OCT - 9 20% Building DivisionfElectrical Inspection' 321 East Fifth Street—P.O.Box 1.150/Port Angeles Washington,98362 EWRICAL NWW.MWWW Ph s (360)417-4735 Fax, (360)417-4711 Date: jA0 ---hifulti-Family ol I Plan Review May Be Required,Please Complete,Electrical Plan Review Information Sheet Job Address: -r�vb� Building Square Foote DesorlpffoR of above V3 ATS Owner Information Contractor Information Nat: L,14 Name: Mullin Address: Address:s: Lj N2- E cjty:. State, Zip: City; Stem Z� U Phone: ax, Phone:15. License#/ ....... Item i—otaint,�Ultl lie�buducaharol ServiceiFeader 200 Amp. $132.00 $--,— Service;Feed&001-40OAmp, $160,00 $--- ServicelFeader 401-600 Amp $225,00 8__.__....._ ServicelFeeder 601-1000 Amp. $286.00 ServicetFeeder over 1000 Amp, $410M Brirch Circuit W1 SerWcO Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 — Branch circuits 1-4 $ 86.00 Temp,Service/Feeder 200 Amp. $10101) Temp,Service/Feeder 201-400 Amp. $121,00 Temp,Service/Feeder 401400 Amp. $164,00 Temp Servlce/Feeder601-1000 Amp $186,00 PON to Portal Hourly $ 96,00 Sign/ofilline lighting $ WOO Signal Circuit!Limited Energy--Multi-Family $ 64.00 Signal Circuit/Limited Energy I First 1500 of-Commercial $ 96,00 Note! $5.00 for each Wifional 1500 sr Renewable Electrical Energy-5KVA System or Less $113.00 Thermostat $ 56.00 Note:s5.00 for each additional T ��Total Owner as defined by RCW.19,28.26 1:(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 ir1SP8Ct10fl' After reading the above statement,I hereby certify that I am the owner of the above named property or a flGensed 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 2964613,The City of Port. Angeles Municipal Code,and Utility Specifications and PANIC 14.05-050 regarding Electrical Permit Applications. j-,f>fl Signature of owner,electrical contractor or electrical administrator. El cash U C ( Ljl.&ACLe T-6L If COkh vM ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00001229 Date 10/10/14 Application pin number 741580 Property Address 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use n Property Zoning . . . .. . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 --------------------------------------------------------------------- Application desc Generator load test ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES LEGACY TELECOMMUNICATIONS INC PO BOX 1150 PO SOX 360 PORT ANGELES WA 983620217 BURLEY WA 98322 (253) 856-0214 ----------------------------------------------------------------------------- Permit , , . , . , ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 185.00 Plan Checle Fee .00 Issue Date 10/10/14 Valuation , , . . 0 Expiration Date 4/08/15 Qty Unit -Charge Per Extension 1.00 185.0000 ECH EL- COMM 601.-CTP TEMP SRV/FDR 185.00 Vee summary Charged Paid Credited Due Permit Fee Total. 185.00 185,00 .00 .00 Plan Check Total 00 ;00 .00 .00 Grand Total 185.00 185.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-1N 10 0 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor_ X Date: G:IEXCHANGEWILQING RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION AN Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,95362 ELECTRICAL Ph: (360)4174735 Fax: (360)417-4711 / Dater ✓ Multi-Family or Commercial* *Plan Review Ma�Qee4equ'Id,Please Cam fete lectric 1 Plan Revie Inform on She t Job Address: �� 01 CLO ahLln Building Square Footage: Description of above Owner InformationContractor Information �.�_, �C Name:<=i Name: Malli Addres : S I Mailing Address: L7` pp City: ate: Zip: City:r~ Stater 25�fa7 PhonFax: Phone: �C :_� —13" License#1 Exp, License#I Exp. ea,3 63 0077 Item Unit Charge Total(Qtv Multiplied by Unit gbarELej ServicelFeeder 200 Amp. $132,00 $ ServicelFeeder 201-400 Amp. $160.00 $ ServicelFeeder 401-600 Amp $225,00 $ ServicWFeeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ 5.00 Branch Circuit WIO Service Feeder $ 74,00 Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1-4 $ 86.00 Temp.Service/Feeder 200 Amp. $102,00 Temp.Service/Feeder 201-400 Amp, $121,00 Temp,Service/Feeder 401-600 Amp. $164.00 Temp.Service/Feeder 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 Circuit(Limited Energy/First 1500 sf--Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56,00 $ Note:$5.00 for each additional T-Stat $ Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease, Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am malting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296-468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electricLntractor or electrical administrator: ❑ cash W, check G( I ❑ Credit Card# x — Hated: �( -- OV0112012 kr 101 1- L LE' .'&9'3 �6 ° �� ELECTRICAL INSPECTION WIRING REPORT �t. .� 417-4735 c aHKs 6 DATE �. KRMIT 8 INSPECTOR OWNER ii-- CONTRACTOR AbDrIESS APPROVED :NOT APPROVED Cl . . . . . . . . . . . . . . . . . . . . DITCH . . a . , . . . . . . . 0, . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 Ij. . . . . . . . . . . . . . . . . . . . SER=E . . . . . . . . . . . , . . , . . . . 0 Cl. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . CJ CORRFCTiONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES ] 360-417-4735 Application Number 14-00000939 Date 8/07/14 Application pin number . . . 209934 Property Address . , , , . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER; 06-30-00-5-7-0100-0000- REPORT SALES TAX Application type, description ELECTRICAL, ONLY on your excise tax form Subdivision Name . , , , . . Property Use to the City of Port Angeles Property Zoning , , . , PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation : , . . 0 ----------------------------------------------------------------------------- pplication desc Ccntroi wiring waste water ----------------------------------------------------------------------------- Owner Contractor CITY CF PORT ANGELES TECHNICAL SYSTEMS INC PO Box 1150 2303 196TH ST SW PORT ANGELES WA 983620217 LYNNWOOD WA 98036 49 1 ----------------------------------------------- 775-5696 -- ' # ?{ Permit . . . , , . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 1.70,00 Plan Check Fee 00 Issue pate . , . 8/07/14 Valuation . , . . 0 Expiration] Date 2/03/15 Qty Unit Charge Per Extension 1.00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.90 1.00 96.0000 ECH EL-LIMITED IST 1500 SQ FT 96,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 170,00 170.00 00 .00 Plan Check Total 00 .00 00 .00 Grand Total 170.00 170.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL 2 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: OaEXCHANGEIBUILDING PREPARED 6/02/14, 8 : 43 : 11 PAYMENTS DUE RECEIPT CITY OF PORT ANGELES PROGRAM BP820L ------- --- - ----- - ------ APPLICATION NUMBER: 14-00000544 1509 COLUMBIA ST FEE DESCRIPTION AMOUNT DUE - --- - - -- - --- ---- --- - -- ----- - -- -- - -- - - ----- - ----------- - -- - ----- - ----- --- - -- ELECTRICAL ALTER COMMERCIAL 1154 . 50 TOTAL DUE 1154 . 50 Please present this receipt to the cashier with full payment , ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 9.4-00000644 Date 6/19/14 Application pin number 445428 Property Address 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-34-04-5-7-0100-0000- Application type, description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . to the City of Port Angeles Property Use Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation : . 0 ---------------------------------------------------------------------------- Application desc July 1'- Dec. 31 block permit ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES OWNER PC BOX 1150 PORT ANGELES WA 983620217 --------------------------------- ---- ---------------- _- ------------------- Permit . . , , . . ELECTRICAL ALTER COMMERCIAL Additional desc JULY 1 - DEC. 31 BLOCK PERMIT Permit Fee 1154.50 Plan Check Fee 00 . Issue Date 6/19/14 Valuation . . . . 0 Expiration Date 12/16/14 . Qty Unit Charge Per Extension EASE FEE 1154.50 -.----- ------ Fee summary Charged Paid Credited Due Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 1.154.50 1154.50 .00 Oq INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL 12 i�— COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCI-IANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00001417 Date 12/22/14 Application pin number , . . 815219 Property Address . . , , . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER; os-ao-oo-5-7-0T o0 0000, REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name , , , , . . Property Use to the City of Port Angeles Property Zoning , , . , . , , PUBLIC BUILDINGS & PARKS Application valuation0 (Location Code 05Q2� Application deoc Annual Electrical Block Permit Jan 1 - June 30 ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit FTRCTRICAL AL'T'ER COMMERCIAL Additional desc ANNUAL ELBCTRICAT, BLOCK PERMIT Permit Fee . . . . 1154.50 Plan Check Fee ,00 Issue Date 12/22/14 Valuation . , . . 0 Expiration Date 6/20/15 Qty Unit Charge Per Extension . BASE FEE 1154,50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Pe.rmi.t Fee Total 1154,50 1154.50 ..00 .00 Plan Check Total ,00 00 .00 .00 Grand Total 1154,50 1154.50 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: -DITCH--- - - SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGEIBUILDING z 'ORT NGELES ■ ,�� W A S H I N G T 0 N, U. S. A. Public Works & Utilities Department December 1, 2014 71 Jeff Young City of Port Angeles, Wastewater Division 1509 Columbia Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PAMC 14.05.140.B Dear Jeff, The City of Port Angeles Wastewater Division's annual electrical block permit, issued by the City of Port Angeles, expires December 31, 2014, The Port Angeles Municipal Code(PAMC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, m which is exepted From the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a $1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011, the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. The billing cycle for 2014 is as follows: I"billing cycle; January 1 through June 30 2"`i billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector P.O. Box 1150 Port Angeles, WA 98362 -l-ease-i-n.Gl-�rde coU of th-e�n�lased-}�a rt�o��I -due r�eoipt with your rGanittanc e—alatsgwith the-fa-x-n-uiu-ber where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735, I look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical hlspector cc: George Drake, Operations Manager Phone: 360-417-48001 Fax: 360-417-4542 Website: www.cityofpa.us/ Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 11501 Port Angeles, WA 98362-0217 f (\ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . , . . 1.5-00001289 Date 10/13/.15 Application pin number , . . 029102 Property Address . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY on your eXclse tax form Subdivision Name . . . , . . Property Use to the City of Port Angeles Property Zoning . , . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . , . . 0 Application desc T-stat for water source ]seat pump ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES DAVE'S HTG & COOLING SRVC INC PO BOX 1150 PO BOX 413 PORT ANGELES WA 983620217 PORT .ANGELES WA 96362 {360) 452-0939 --------------------------------------------------------------`{-�7y-__---__-- Permit . . .. . . . SLFCTRICAL ALTER COMMERCIAL Additional desc , Permit Fee . . . . 56,00 Plan Check Fee 00 Issue Date 10/13/15 Valuation . . , . 0 Expiration Date 4/10/16 Qty Unit Charge Per Extension 1.00 56,0000 ECH 'EL-LVT-THERMOSTAT 56.00 Fee summary Charged Charged Paid Credited Duo Permit Fee Total 56,00 56.00 00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 56,00 56.00 .00 .00 INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGGIBIUILDING 10/12/2015 8: 18AM FAX 16000110002 4ECk0 F1 I WIT I IW6 CITY OF PORT ANGELES PIEIUVIIT APPLICATION ELEGIMIC4 Building Division/Electrical Inspections rod 321 East Fifth Street—P.O.Box 1150/Port Angeles Washing-ton,98362 Ph: (360)417-4735 Fax: (360) 417-4711 ► Dale. ....../6�(? (( S- __I &2 Single Family Dwelling Plan Review May Be Required, Plea w Com Djete Electrical Plan Review I nfornnatio*Sheet Job Address: k Building Square footage,_. DOSCriptiDA of above 0 PAJ Q—SJ29=jd� ,9w" ,I"fonation... Contractor lnfoTrndt1V,_,,-,,,,, .kt'n,_,S_rvc, Name 414- _,Or�4_A Name 3>aV ':5 PARiiinvftess, Willing dare"'s CityV!o ,talo: 41). city ' Phone. rax. Phone: 3jFax. Lice License#I Exp. Item Unit Charge Total( ft MultIP119 by Unit Charg Le SarvicelFeader 200 Amp $120.00 ------ Sorvice,'Feeder 201-400 Amp. $146,00 ServliceiFeeder dal-600 Amp $205,00 SeTviceir,eedor 601-1000 Amp $26200 SeryicalFeeder over 1000 Amp. $373,00 $ Branch Circuit INI Service Feeder 5.90 Branch Circuit W;O Service Feeder $ 63 00 $ Each Additional Branch Circuit 5-00 Branch Circuits 75,00 Temp Service[Feeder 200 Amp S 9100 Tomp,ServicelFeeder 201400 Amp. $110.00 Temp.SprvicefF eeder 401-600 Amp. S149.00 .......... Tewp,ServicelFeedet 601-1000 Amp. $168.00 Portal to Portal Hourly $ Signal Orcuill Limitod Enarq ,y-1 &2 Family LValling $ 6400 $ Manufactured Home Connection $120.00 S Renaw@ble Electrical Energy-5KVA Sy.iten)or Le3a $102.00 $ Thermostat v 58,00 Note $6.00 for each additional 1-Sial NEW CONSTRUCTION ONLY. Firsl 1300 Square R. $120.00 Each Addifional 500 Square Fl-or Portion of S 40.00 $ Each Outbuilding or Detached Garage $ 74,00 S__ Each Svmminq Pool or Hol Tub Total Owner os defined by RCW,19.28.201, (1)Owner will occupy the structure for two years after Ibis electrical permit is finalized-(2)Owner is require(J to hire an electrical contractor if above said properly is for sale,rent or lease. Permit expires after six months of last inspection, After romding Iho abovo tilatemont.I hereby certify that I vim the owner of the above named property or a Icarisedalecilrical contractor.I ann makin g the electrical imitollation ur alteration in compliance with the electric-,al laws, N.E.C., RCW.Chapter 19.26:,WAC.Chapter 290-41513,The City of Por 1 Angeles Municipal Code, and Utility Specifications and TAMC 14,05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or Aeotirloal administrator: El Cash E] Cifeck 11 credit card# Dotad; 0110112012 1 ELECTRICAL PERMIT CITY OF PORT ANGELES, 360-417-4735 (, Application Number . . . . 15-00001410 Date 11/06/35 Application pin number . . . 754740 Property Addre8s , . . . . , 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name Property Use to the City of Port Angeles Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation a --------------------------------------------------------------------------- Application desc Load bank generator ---------------------------------------------------------------------------- owner Contractor CITY OF PORT AN'GELE'S LEGACY TELECOMMUNICATIONS INC PO BOX 1150 PO BOX 360 PORT ANGELES WA 983620217 BURLEY WA 98322 (253) 858-0214 ---------------------------------------------------------------------- Permit , . . . , , ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 370 00 Plan Check Fee .00 Issue Date 11/06/15 valuation 0 Expiration Date 5/04/16 Qty Unit. Charge Per Extension 2.00 . 185.0000 ECK -EL- COMM 601-ITP TEMP SRV/FT)R 370.00 ---------------------------------------------------------------------------- Fee Summary Charged Paid Credited Due Permit Fee Total 370.00 370.00 .00 c0 Plan Check Total .00 00 ,00 .00 Grand Total 370,00 370,00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL �Z COMMENTS: PERMIT WILL EXPIRE SIX(G)MONTHS FROM LAST INSPECTION Signature of owner or Electrical.Contractor X Date.: G:\EXCRANGE\BUILDING Nov. 3 2015 2 58PM No. 6 158 P, 6 CITY oir PoRT ANGELES PERMIT APPLICATION Bauding Division/Electric2l.Inspections 321 Fest Ifift Street—p.()-Box 11501 Port Angeles WasbiinWcu,98362 Pb: (360)'417-4735 Fax., (360),1174711 Gate: O 27j L5_... Mufti-Family 0(;orrtmet'+Clalt� Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet Job Atldivw. E- C 0 1 mtkg_ ou"no Square Foo WW Te _t KptCW-+- C60 2e� �aa ossa of Owner Information Co "Information— Name: N=VIOLC4 Mai, Address 01 oX State—Zip: CAY, Phw Pham ax: A C UWM W Total(91y Mu!§pHed_kXgG&g_h_arj 0a Sere wf seder 200 Amp. $132,00 ServioeTeeder 201400 Amp. $160,00 ServicelFeeder-401.61M Amp $225.00 $ SeMoelTeeder601-1000 Amp. $288-00 SomicwFeeder over 1000 Amp. S411100 Bmnm cimA W1 Service Fowler $ 5.00 Mnch GTPA WAS Service Feeder $ 74.00 Each Additions Arartch Drouit $ 5.00 B=h Cimults 1-A $ 86,00 Temp.swvw Feeder 200 Amp. $i02.D0 Temp.ServiceF*der 201400 Amp. S 121.00 $_ Temp-SaMmVeeder401-0 Amp. $164,00 $_ — Tsmp,Servlm'Feeder 60-11000 Amp $185.00 PoNal to Portal Hourly S 96-00 SigWutlina Lighting 5 80.00 signal Undt/Lhlted Energy—Multi-Fam0y $ 6400 Signal CiTruW limaed Energy I First 1506 af—Commerdd $ 06-00 Note: $5,00 W each additional 10 e Renewable Electrical Energy-5KVA System or Less $113,00 TherMOM S 56100 Note:$6.00 far each additional T-Stat $ —a _00Total Owner asdefined by RM19.28,2611:(1)Owner will occupy the WoCtUrefor two years after this alecllicel permit is finalized.(2)Owner is required to We an eleWa contractorifabove said property is for sale,rent or lease.Permit expires after Six MOOS of last inspection- After reading the above statement I hereby certlfy that I am the owner of the above named properly or a kened electr�l contractor.I SM Malting the electrical inatallatlon or alterationincompliance with the electrical lam,RE.C.,RCW_Chapter 19.28,WAG.Chapter 296-468,The City Of Port Angeles Municipal Code,and Utility SWIflutions and PAMC 14.05.050 regarding Electrical Permit'. Signature of owner,electrical contimckoe or electrical admirl Mrdor: Li C X A Daud, 0 1 IMMW41 2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , . , , 15-00000628 Date 7/06/15 Application pin number , , . 446028 Property Address . , - . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY on your excise tax form subdivision Use On Name Property to the City of Port Angeles - Property 4-oning . . . , , . . PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bi-annual electrical work permit July I - Dec, 31 --------------------------------------- ---------------------=-------------- Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit . . , . . , ELECTRICAL ALTER COMMERCIAL Additional deaf BI-ANNUAL ELECTRICAL WORK PERM Permit Fee 1154.50 Plan Check Fee 00 Issue Date . , . . 7/06/15 Valuation . , , , 0 Expiration Date , , 1/02/16 Qty Unit Charge Per Extension BASE FEE 1154,50 --------------------------------------------------------------------`------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1154.50 1154,50 .00 .00 Plan Check Total ,00 .00 .00 .00 Grand Total 1154,50 1154.50 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL f COMMENTS: PERMIT WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: U\EXC[IANGEISUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 36(9-417-4735 Application Number . . . . . 16-00000826 Date 8/01/16 Application pin number . . . 671416 Property Address . . . . . . 1509 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City Of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARRS (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bi-annuual electrical permit Julyl - Dec31 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BI-ANNUUAL ELECTRICAL PERMIT J Permit Fee . . . 1154.50 Plan Check Fee .00 Issue Date . . . . 0/01/16 Valuation . . . . 0 Expiration Date . . 1/28/17 Qty Unit Charge Per. Extension BASE FEE 1154.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 .00 } INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH-IN FINAL / 1 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEBUILDING ORTANGELES WAS H I N GTO N, U. S. A. ar ��► Public Works & Utilities Department June 1, 2016 � z Jeff Young City of Port Angeles, Wastewater Division 1509 Columbia a Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PANIC 14.05,140.13 ✓' ' Dear Jeff; The City of Port Angeles Wastewater Division's annual electrical block permit, issued by the City of Port Angeles, expires June 30, 2016. The Port Angeles Municipal Code(PAMC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a$1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track"work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011,the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees, which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. The billing cycle for 2016 is as follows: I" billing cycle: January I through June 30 2°d billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector P.O. Box 1150 Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance,along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. 1 look forward to working with you in this matter. Sincerely, Trenf Pe and Senior Electrical Inspector cc: George Drake, Operations Manager Phone: 360-417-4800/Fax: 364-417-4542 Website: www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street- P.O. Sox 1150/Port Angeles, WA 98362-0217 Application Number . . . . . 22-00000809 Date 9/22/22 Application pin number . . . 794151 Property Address . . . . . . 1509 COLUMBIA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-7-0100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bi-annual Electrical Block Permit July 1 - Dec. 31 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER 321 E 5TH ST PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . BI-ANNUAL ELECTRICAL BLOCK Permit Fee . . . . 1154.50 Plan Check Fee . . .00 Issue Date . . . . 9/22/22 Valuation . . . . 0 Expiration Date . . 3/21/23 Qty Unit Charge Per Extension BASE FEE 1154.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1154.50 1154.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 .00