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1720 W Ediz Hook Rd - Building
Electrical Permit 1720 Ediz Hook Rd B 13 -433 a W ELECTRICAL PERMIT Vb CITY OF PORT ANGELES 360-417-4735 `W Application Number . . . . . 13-00000433 Date 4/29/13 Application pin number 040525 Property Address . . . . . 1720 EDIZ HOOK RD B REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-31-00-0-0-0000-0000- onour excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name . . . . . . (; to the City of Port Angeles Property Use . . . . . . . (Location Code 0502) Property Zoning UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 200 amp meter base replacement ---------------------------------------------------------------------------- 0 Owner Contractor CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC PO BOX 1150 4230 TUMWATER PORT ANGELES WA 983620217 PORT ANGELES WA 98363 (360) 457-5303 ------ ------------------------------------ ------------------ N Permit . . . . . . ELECTRICAL ALTER COMMERCIAL ^, Additional desc v Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 4/29/13 Valuation . . . . 0 Expiration Date 10/26/13 Qty Unit Charge Per Extension Q 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00 ---------------------------------------------------------------------------- t Fee summary ICharged Paid Credited Due Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 Q x� t INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ' ROUGH-IN FINAL 1 _04P COMNIENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE\BUILDING CITY OF PORT ANGELES PERKIT APPLICATION RECEIVED D Building Division/Electrical Inspections ,. X �. 4.aww.,R• � - 321 East Fifth Street—P.O.Bog 1150/Port Angeles Washington,98362 APR 2 6 2013 14 Ph: (360)417-4735 Fag:(360)417-4711 ELECTRICAL V3 Date: y LS !3 _Multi-Family or Commercial* INSPECTIONS Plan Review May Be Required,Please Co ete€lectrical Plan eview Information Sheet Job Address: /7Z0 0 ",tA �yoc Zd 19 Building Square Footage: Description of above 1L 0 v Owner Informatiot� Contractor I 9rmabon Name: ffO�a Name: .. _ ! of ( Ll�tt��lic Mairmg ddress: �J7a G,J !!�I vp� ! Mailing dd Q��i�"40 City State:f-_Zip: gAJ&7- City: N��A i tate: Zip: Phone: Fax: Phone: Fax: License#I Exp. license I< Exp. n r V." Item Unit ChargeTotal t Mul bleed by Unit Charge) Service/Feeder 200 Amp. $132.00 T $ 13Z-� Service/Feeder 201A00 Amp. $160.00 $ Servioe/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 S 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circufts 1-4 S 86.00 S Temp.Service/Feeder 200 Amp. $102.00 S Temp.Service/Feeder 201400 Amp. $121.00 $ Temp.Service/Feeder401-600 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 Circuitl Limited Energy I First 1500 sf—Commercial $ 96.00 $ Note: $5.00 for each additional 150D sf Renewable Electrical Energy-5KVA System or less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat o $M r 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 29646B,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 ❑ pash O cheek creat card u X t»ea: y L 0"> otio1/Al2 L abed 864£Z9b09£ DuI "off :)1-4:)913 DidwX10 Wd9V;?0 £I.OZ 5Z jd`d ELECTRICAL PERMIT L. CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000433 Date 4/29/13 Application pin number . . . 040525 Property Address . . . . . 1720 EDIZ HOOK RD B REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-31-00-0-0-0000-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . to the City of Port Angeles Property Use . (Location Code 0502) Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0' -------------------------------------7-------------------------------------- Application desc 200 amp meter base replacement ----------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC PO BOX 1150 4230 TUMWATER PORT ANGELES WA 983620217 PORT ANGELES WA 98363 (360) 457-5303 45; -3 1 -- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL S lP Additional desc . . Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 4/29/13 Valuation . . . . 0 Expiration Date . . 10/26/13 Qty Unit Charge Per Extension 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER . 132.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE�BUILDING CITY OF PORT ANGELES � 1 DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 •� Application Number . . . . . 12-00000929 Date 7/23/12 Application pin number . . . 703570 Property Address 1720 EDIZ HOOK RD REPORT SALES TAX j ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4600-5001- Application type description RE-ROOF on your state excise tax form SubProperty Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . . . . . (Location Code 0502)y. Application valuation . . . . 6367 Application desc TEAR OFF & REROOF —---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TESORO MARINE SERVICES, INC EMERALD.ROOFING INC ^, C/O L B WALKER & ASSO INC P. 0. BOX 879 /'n' I� HOUSTON TX 77222 PORT ANGELES WA 98362 "l H/� •••---aaarrr (360) 452-4681 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF & REROOF Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 7/23/12 Valuation . . . . 6367 Expiration Date 1/19/13 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .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 law's end 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 constnSe"tion. Date Print Name Signature of Con actor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By 1` Electrical 417-4735 ® —Z Construction- R.W. PW /Engineering 417-4831 Fire - 417-4653 Planning 417-4750 Building 417-4815 ju" T-Fnrmc/Ri ilrlinn nivicinn/Ruildinn Permit r N 1 1 H 1 \ I � I N I \ I r 1 I I i 1 w w U' F 4 � 1 a q I i I 1 I I I H I I � I � I � I 1 � � ry I to I cN I I I O I O l0 I N ] U a 1 R} W I U H I I H W w I F Q z 2 U w �oo Id w H� ; cnwa i o z E+Fj I q z • M O W M .0 I Vj uU U z r F W W W P. i 1 2n z 1 77 z0 1 0 . E z1 Iwoolaryo � z I ar a P H N H a H F 1 W N ff] Q U 1 w14zwW 1 qH o I w w 1 a �:s U o I I g a 1 a h F U H w z > 1o1F 1QHaoo1H w w o 0. r+i 1 0 H W 1 N 1 a V7 Q 1 0 H ;4m 1 a x 0 H o t�Hw 1 o a o N x a I N a � 1 m i 1••I w o o I q V1 � Q q o o I r7 W w a p 1 0 1 H Q Q1�1 l N W 1 0 O t`l O W F EW, 1 H H(J 1 N W U] I I Cn W 1 l0 1 H W F O H I O Q w 1 N.- N a 0 \ \F •• •• .. a W 0 1 r r a t a 1 Q O 1 w' W X a I p a 1 cG 1 W w i VJ U 1 ri a O z I F O1 1 0 wh gzzawi atm w' H , 1 21 1 W r 1 a o.0 1 auoag l a F l a THENGELES CITY OFP-0 A For City Use 0 Permit # �� " �a� �� M W AS H I N C T 0 N , U . S . z' E C' Date Received: �•a3' 1"� 00 = 321 East 5"' Street rn z N Port Angeles, WA 98362 Date Approved: �' ' �� z� o M M P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application Project Address: �2 o C Z. flDC� 20 Main Contact: �' Phone # ol5 q T Z-lq? Property Name © l Phone C�, r S2 q Owner MailingA dress Email o. look IKO City 0 State,,114 Zip �0�2- Contractor Contractor Nam e!"1X141,1 V967 ytt, Phone L16 611 Mang Address Email Mailing .9. -)-�o k �7 City \ P Stat W /'^ Zip ,,,,2— Contractor License # � � � f p� Expiration:s _ t Project Value Zoning: Tax Parcel # Lot# Type of Residential ❑ Commercial J9L Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair J& Reroof tear of lay over) [� For the following,fill out both pages of permit application: New Construction .❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project Description I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior to working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the a lication will be considered abandoned,and the fees forfeit. Date Prin ame Signature r12 vt5 `�-23 &(EILI ELECTRICAL PERMIT CITY OF PORT ANGELES ; t 360-417-4735 Q W Application Number . . . 12-00000325 Date 3/22/12 Application pin number . . . 570325 Property Address . . . . . . 1720 EDIZ HOOK RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4600-5001- on your excise tax four) Application type description ELECTRICAL ONLY Subdivision Name . . . to the City of Port Angeles Property Use . . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . Application valuation . . 0 ----------------------------------------------------------------------------- Application desc 3 circuits camera security system ---------------------------------------------------------------------------- Owner_ o Contractor ------------------------ ------------------------ TESORO MARINE SERVICES, INC OLYMPIC ELECTRIC CO INC C/O L B WALKER & ASSO INC 4230 TUMWATER HOUSTON TX 77222 PORT ANGELES WA 98363 (360) 457-5303 } ---------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . 153.00 Plan Check Fee .00 Issue Date . . . . 3/22/12 Valuation . . . . 0 Expiration Date 9/18/12 Qty Unit Charge Per Extension (� 2.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 148.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- f Fee summary Charged Paid Credited Due ---------------- ---------- ---------- Permit Fee Total 153.00 153.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 153.00 153.00 .00 .00 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: . G:\EXCHANGE\BUILDING 03/21/2012 15:45 FAX 360 452 3498 Olympic Electric Co. + .PA CITY INSPECT [6001/001 �Qoatq,t CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections i , , � U..=1111111 / (� 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ", � v Ph: (360)417-4735 Fax: (360)417-4711 Date: caul 13813 II Multi-Family or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1120 W EOIZ HOOK RD Building Square Footage: Description of above 3 CIRCURS FOR A CAMERA SECURITY SYSTEM IN THE TANK FARM AND THE WARP I Owner Information Contractor Information Name: TEGORo Name: OLYMPICt:LECTRIC Melling Address: 12111 NW FREEWAY STE 120 Melling Address: 4230 TUMwATER City HOUSTON State: Tk Zip: 770AM321 City. PORTANOELES State: WA Zip: 08303 Phone: Fax: Phone:300407.430; Fax: 300482-3498 License#I Exp. License#1 Exp.OLYMPEc20s01 Item Unit Charge Qty Total(Qty Multiplied by_Un_It Charge) Service/Feeder 200 Amp. $132,00 $ $ervice/Feeder 201-400 Amp, $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feader over 1000 Amp. $410,00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/0 Service Feeder $ 74.00 2 $148.00 Each Additional Branch Circuit $ 5.00 1 $0•Q0 Branch Circuits 1-4 $ 86.00 $ Temp,Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Servlce/Feeder 401.600 Amp, $164.00 $ Temp.Seryice/Feeder 601.1000 Amp. $185.00 $ Portal to Portal Hourly $ 95.00 $ Sign/Oudlne Lighting $ 89.00 $ Signal Circuil/LimitedEnergy—Multi.Family $ 64.00 $ Signal Clrcult/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 $ 153.00 Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit Is finalized.(2)Owner is required to hire an electrical contractor if above said property Is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor,I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC. Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator: ❑ cash D check credit Cud 0 03121 X2019 (11/01/2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000499 Date 4/26/12 Application pin number . . . 241368 Property Address . . . . . . 1720 EDIZ HOOK RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4600-5001- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . . (Location Code 0502) Property Zoning . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Camera wiring and fiber on poles ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TESORO MARINE SERVICES, INC ANGELES COMMUNICATIONS INC. C/O L B WALKER & ASSO INC 102 ROSS LN. HOUSTON TX 77222 PORT ANGELES, WA PORT ANGELES WA 98362 (360) 457-4375 ------------------ �� ---- Permit . . . . ELECTRICAL ALTER COMMERCIAL 1 / Additional desc �/ Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 4/26/12 Valuation . . . . 0 Expiration Date '. 10/23/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 ------------------------------------------------_--------------------------- e— 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 ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING 1 - N r �7 CITY OF PORT ANGELES PERMIT APPI,ICATI0N APR -� Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 ELECTRICAL Ph: (360)417-4735 Fax: (360) 417-4711 INSPECTIONS Date: aS-Is-— Multi-Family or Commercial' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet — Job Address:. -...— Building Square Footage: Oescripllon of above -----•---- -----......-.,--•-......_--_.—__ Owner Information Contractor Information il Name: !+ TiOvt y, Name Tc'.�QC� PL�`4� Mallin Addre s -IMOD r/ Mallin Address' I�,�..S�.Edk� __..._...._._ City State:W�_Zip:�„B,3/r'L city_ , , —state lam__-alPe- — rhon�: - =Fax: 7�°�(� Phone y License#/Ex . #1 Exp.--.—_.—_...__..—._,,-.__..__.,—.__.....--...__.,- P--- License ---- —.—., Unit Char e Qty Total Multi lied )y Unit Charge) Item $132 service/Feeder 200 Amp. .00 ___-.__._..— $160.00 _ $ Service/Feeder:01.400 Amp. $225.00 $--- — ServicelFeeder 401.600 Amp $288,.00 $-- ServicelFeeder 601-1000 Amp. $410.00 $ Service/Feeder over 1000 Amp. - Branch Circuit wl 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. $107.00 --- 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 I First 1500 sf-Commercial $ 96.00 $--------- Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-SKVA System or Less $113.00 -. 5--- $ 56.00 $ _ Thermostat •--••- Now$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 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: C] Cash 0 check Credit Card tr•,___�h_ �".�C. _-- X Dated: �'�C� V..... ......_............. -- 0110112012 s N ELECTRICAL PERMIT t N d CITY OF PORT ANGELES 360-417-4735- Application Number . . . . . 12-00000455 Date 4/23/12 Application pin number . . . 693660 Property Address . . . . . 1720 EDIZ HOOK RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4600-5001- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Camera install ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TESORO MARINE SERVICES, INC CONVERGINT TECHNOLOGIES LLC C/0 L B WALKER & ASSO INC 450 SHATTUCK AVE S STE 100 HOUSTON TX 77222 RENTON WA 98057 (425) 272-2250 N ----------------------------------------- ------ J Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc /y Permit Fee 96.00 Plan Check Fee .00 (v' Issue Date . . . . 4/23/12 Valuation . . . . 0 Expiration Date . . 10/20/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----------- ---------- Permit Fee Total 96.00 96.00 .00 00 •"� Plan Check Total .00 .00 .00 .00 ^ t Grand Total 96.00 96.00 .00 .00 \vl INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-INJij 17— FINAL ZFINAL AV 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 APS Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 INSPECTIONS " 1 Ph: (360)417-4735 Fax: (360)417-4711 Date: 1 2- ✓Multi-Fam' or Commercial` "Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: =�jO`Lp 112.0 LLj EDIZ 1y 0ifK_ 2.0 Building Square Footage: Descriptionpf above W U / 5-,'C- Owner Pc vvi towner Information //` Contractor Information Name: TCxuc ;Qer-7 44 Name: Vj41k.e4e-Giw)T 14F Mailing Address: 0 Mailing Address: 415 O SrA 4'rT k C a41/V S City: Stale: I_X_Zip: 2 City: 4ekjnPj Stale:Wry Zip c4 5�n-i 7 Phone:Ss77$2/07Lf7Fax: Phone:EtLS2-727_75 ax: 4zri - LsI-o9Y'f -6isease#f�Cp• License#/Exp.(Drj VFTL !6qZ— Item Unit Charge (3yt TotaI_(Qty 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 WI 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 I First 1500 sf-Commercial $ 96.00 ( $ 1&.00 , Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-SKVA 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 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 ctcicaLcia tractor or electrical administrator: ❑ cash ❑ Check P!�-Credlt Card 0 X Dated: 0110112012 X779 �U.I V I vl. ' ��I Lt7f��� �^' �p�✓ev i✓�ta �f�n' \ 9 T T a6 pd TTLt7LTb092:T6:ol 6t760TS2S2t7 xed 1u16.aanu0D:w0ad 6t7:2T 2T02-6T-6d1J Cr"TY OF PORT ANGELES DEPARTMENT OF CO1V1A+.ft1NITY DEVELOPMENT BUILDING DIMION 321 EAST 5TH STREET, FORT ANrjaEs,WA 98342 AppliCatibn Number 04-00600633 Date 8(02/04 Pin number. .537111 Property Address 1720 W EDIR HOOK RD . ASSESSOR PARCEL NMW=t 06-30-00-0-1-4600-5001- Application description .' ELECTRICAL OILY Subdivision_Name Property Use Property Zoning Application valuati M , 0 . Owner Contractor TESO'RQ MARIb S SSRVICBS, I= OJATNPIC ELECTRIC C/O L-B NAXJ= 4 AMO INC 4330 TUNIMTER HOUSTON TX 97222 PORT ANGELES WA "363 i360y 487-5.303 --.-.._-_ _ _ -- __ _« Wfi__ -----.._ Permit . . . . RLEC'7"RIM NEW C006PACAL Additional desc '. OLYWIC ar CT./60AS8 10fl0ER Permit Pee 126.80 Plan Check Fes .00 Issue Bate 802/fl4 Valuation 0 Expiration tate 1/30/0S Qty Unit CtArgo per Extension � . 78.7000 SM RL-CON 0-100 NEW SRV FEEDER 2.00 +48.1$00 ECK JW- M 0-100 NEW ADD SRV FDR Fee summary Paid Credited. bm ----------------- .......... --------- -_«------ Permit -- -.Permit Fee Total 129.40 8188,.fl0 00 .0 Plan Check Total Ofl .00 .00 .0fl Grand Total 120.00 120.00 .90 Ssparmteftrrn ft are required for elegy work,SEPA,Shoreline,ESA,utilities,private and public improvements,This permit becomes rayll and void N work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned fora period of 1804"after the work as commenced,or if required inspections have not been requested within 180 days from the last Inspection. t hereby cartifyr that I have read and,w anhined this application and know the same to be true and..correct: All provisions of laws and ordinances governing this type of work will be complied with whether specked herein or not. The granting of apermit does not presume to give authority to violate or canal the provisions of any state or local,law regulating construction or the performance of oonstruction, Signal of Contra it or Aulhorked Agent Data Signature of towner(d owner is builder) Date hh�.ri lrt�f�si BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELEC'T'RICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE ON,CO�CEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCArON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATIONr EOOTINd3 `( WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL' (LIGHT DEPT) SEPARATE PERMIT:#` ROUGH-IN,? . PLUMBING UNDER'FLOORISLAB R,OUGIt 1N Vi�41'PLR Ln9VMETER TO BLDd) GA�LINE' Bel IC FLOC',WATER AIRltnir I CEILING FRAMING r0 (GIRDERS SH$AR WALLMOLD DOWNS L WALLS/RkIOF/CEIi:II4G x DRjWAi.Ii(INTERIOR BRACED PANEL ONLY) T-B I, INSULATION. SLAB vVALL 1 PLOOR/CEII:.ING MECHANICAL HEAT PUMP GAS LINE.; WOOD STOVEI PELLET/CHIMNEY HOOD/DUCTS ' PW:UTILITISS/SITE woRK (Engineering Division) SEPARATE PERMIT#'s WATERLINE 7 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: j PARKING/LIGHTING ESA LANDSCAPING SHORELINE: " FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL " DATE •:ACCEPTED YES NO ELECTRICAL=LIGHT DEPT. 417-4735 ELECTRIC DAL LT CONSTRUCTION R.W.`!P W! CONSTRUCTION=R.W. ENGINEERING417-4807 PW/ENGINEERING FIRE 417-483 f FIRE DEPT. PLANNINGDEPIP 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING TAPLANNINGWORMS\1102:15[11/14/2003] ;' CITY OF PORT.ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 ELECTRICAL PERMIT Issued: 6/18/97 Permit No: 5958 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BP NORTH AMERICAN PETROLEUM 1720 EDIZ HOOK 1720 W. EDIZ HOOK Lot: Port Angeles, WA 98362 Block: Long Legal: 206/000-0000 Sub: PORTIONOUTLETIPO.BLK26TDL T: S: Parg No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 , 360/452-9264 000/000-0000 PROJECT INFO-------------------------------------------------------------------- Prj Type: COML. MISC. Prj Value: $0. 00 Occ Type: Cnstr Type: SERVICE INSTALL Occ Grp: Occ Load: Land Use: M-2 Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120, 208 Furnace KW: 0 X Overhead Service Diameter: -1 X-3 . Heat Pump KW: 0 Underground Service Service Size: 100 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECTNOTES------------------------------------------------------------------- NEW OVERHEAD SERVICE AND DISCONNECT TO FEED SHORE POWER TO DUNLAP TOWING TUG BOAT (MOORED AT BP PIER) PROJECT FEES ASSESSMENT--------------------------------------------------------- service: $65. 00 Additional Feeders: $0. 00 Circuit Wiring: $0. 00 Temp Service: $0. 00 TOTAL FEE: $65. 00 Misc $0. 00 Amount Paid: $65. 00 - ------------------------- -------------------------- TOTAL FEE: $65. 00 Balance Due: $0. 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL.INSPECTIONS. PLEASE PROVIDE A MINI?"24 HOUR NOTICE. IT IS UNIA WFUL TO COVER, INSULATE OR CONCF,AL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE [NSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH-IN / COVER SERVICE FINAL GENERAL COMMENTS: PW-11U.15141961 dvwr s CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES,WA 98362 ELECTRICAL PERMIT Issued: 1/31/97 Permit No: 5821 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BP NORTH AMERICAN PETROLEUM 1720 EDIZ HOOK 1720 W. EDIZ HOOK Lot: Port Angeles, WA 98362 Block: Long Legal: 206/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 , 360/457-5303 000/000-0000 PROJECTINFO------------------------ -------------------------------------------- Prj Type: COML. MISC. Prj Value: $0. 00 Occ Type: Cnstr Type: ADD MOTOR Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 X-3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECTNOTES------------------------------------------------------------------- ADD 40 HP MOTOR IN TANK FARM 3 PHASE PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0. 00 Additional Feeders: $0. 00 Circuit Wiring: $50. 00 Temp Service: $0. 00 TOTAL FEE: $50. 00 Misc $0. 00 Amount Paid: $50. 00 ---------------------- -------------------------- TOTAL FEE: $50. 00 Balance Due: $0. 00 COMMENTS/ACTION NEEDED 1 ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A NUNIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS EVSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH E FfNAL GENERAL COMMENTS: Pw-1102.151a 1 _ �vw. imk CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 v � - ELECTRICAL PERMIT Issued: 11/25/96 Permit No: 5738 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BP NORTH AMERICAN PETROLEUM 1720 EDIZ HOOK 1720 W. EDIZ HOOK Lot: Port Angeles, WA 98362 Block: Long Legal: 206/000-0000 Sub: T: S: Parc No: CONTRACTOR------------------------------DESIGNER--------------------------------- APS ELECTRIC 546 BENSON RD. PORT ANGELES, WA 98362 360/452-6753 000/000-0000 PROJECT INFO-------------------------------------------------------------------- Prj Type: COML.REMODEL Prj Value: $0. 00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT140TES------------------------------------------------------------------- WIRE REMODEL PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0. 00 Additional Feeders: $0. 00 Circuit Wiring: $50. 00 Temp Service: $0. 00 TOTAL FEE: $50. 00 Misc $0. 00 Amount Paid: $50. 00 ----------------------- -------------------------- TOTAL FEE: $50. 00 Balance Due: $0. 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMIIM 24 HOUR NOTICE. ITIS 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 COMM1OiNTS YES NO DITCH R E FINAL z GENERAL COMMENTS: Pw-uoz.islays� GF IVORY ��cFN CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ,TOt (206) 457-0411 PERMIT NO. —5"'2%570 LIG DATE ELECTRICAL PERMIT Site Address: ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION 16 1 By: O ` t _ License Number: Phone: Owner/Business: l c Phone: P Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ev ADD/ALTER CIRCUITS 1-11 1-13 ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: �✓ ? S� n <� 't/1 V0 42 r � ® s W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ 'Ditch Inspection O.K. ❑ 'Rough-in/cover O.K. ❑ O.K. to connect service Final O.K. \Site Address: Permit/Receipt No. Installer: ® New Meters Date _ �— w �' Notify Port Angel s City fight 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 or on the Building P PHONE 457-0411, EXT. 224. 169 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT QV W 7O Electri al Inspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. 44,Q,, CITY CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street e Port Angeles, WA 98362 ® oTea (206) 457-0411 PERMIT NO. 8l�'f1,r ELECTRICAL PERMIT DATE Site Address: / 20 �[/- - {� ❑ INSPECTION READY FOR 1-1NISPECTIONOR Installed By: ©/� 6 ` License Number: Phone: Owner/Business: — Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW �< ADD/ALTER CIRCUITS El 1 El 3 ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE 1 FEEDER SIZE AMPS Details/Description: � � U7 7fl 0017 je Gr r /li CC�2.Q P e W.S. No. `SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. Atl ❑ O.K. to connect service -_ )kFinalO.K. Site Address: Permit/Receipt No� ` JS i Installer: © / New Meters ems- Da e:6 l 7 Notify Port Angelis City ight 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 or on the Building Permit. PHONE 457-0411, EXT. 224. Tom` NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 43 Electrical Inspector Permit Fee WHITE—File by address PINK—Top.Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. OF PORT qNC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street e Port Angeles, WA 98362 c TOt (206) 457-0411 PERMIT NO. j DATE ELECTRICAL PERMIT Site Address: / Q Wr ❑ READY FOR El WILL CALL FOR L INSPECTION INSPECTION Installed By: d� , License Number: Phone: Owner/Business: n Phone: r Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW 9 ADD/ALTER CIRCUITS ❑ SERVICE UPGRADE/REPAIR ❑ 1 ❑ 3 SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: ® 414'e4 W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. 1-1O.K. to connect service IWs Final O.K. 6 Site Address: — Permit/Receipt No. r � Installer: D� New Meters Date:// N 5� Notify Port An eles ity 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 or on the Building Permit. PHONE 457-0411, EXT. 224. 7�— NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Q W Electrical Inspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMM PRINTERS INC. GE PGRT 9N4' CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. T C" ELECTRICAL PERMIT DATE TY LIGH Site Address: — ❑ READY FOR WILLCALL FOR fDlH53 IL INSPECTION 4 INSPECTION Installed By: `G/ C f 1.TI/lC License Number: hone: OwnerlBusiness: // ( ' Phone: I �h I j M Owner/Business Address: Sq. Ft. ❑ Residential New Construction ❑ Overhead Heat KW ❑ RemodelUnderground EJ Baseboard ElFurnace/Boiler 11 Service update/alter/repair Voltage /� 'Zyfl El Heatpump ❑ Other 1 (1 0 ❑ 30 7if load LlAdd/alter circuits Service size 2-00 Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: /C S L6 K In/ FATJ F6( C f✓s Ad 2 -tt-tN V 1C 3D IS A7 C`uL 60(l 17 E 2wo J E9 ? to a-a 2fn4.6 d z d, W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter Rough-in/cover O.K. ❑ Meter Department notified for installation O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending Site Address: r� Permit/Receipt No. Installer: New M Date: h racmic I I I /- - ® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT.224. kvNO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 0 E Io Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. / 0 9 CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT 4•. '® TOTALFEE - CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY EJ ELECTRICAL�PEERMITONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address EJ 2 /Tb111 CO RECT AD RET55 IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDR SES ARE CANCELLED` }- Owner : -1.]r iit S e..1 rAI e.fA I� Installation By PiLe;6 el Owner's Address Installers Address r�Z �/ 64_ ,l fxS l Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: I r �r &con let. Cr_ - Wiring Method NUMBER AMP .120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 00R FEE USE OF CIRCUIT CIRCUITS PER 1 0 1 0OR FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE -- - MOTOR APPLIANCE - MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLAR ALARM RANGE MISC. ® OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE It FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE 4t5� ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE -�� Lz A.W.G. SUB-TOTAL 2 SIZE OF GROUND SIZE OF ENTRANCE SWITCH I Certify that the work to be performed under this permit will be done by the installer and in conformance n/- withAfte N.E.C. Electrical Code.(� Date Application made ��'" 2 �� ,19 By w. .yl / \..L ,hog\-- CONTRACTOR OR OWNER(OR AU HORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. - DIRECTOR OF CITY LIGHT Date Permit Issued By c/„ O( <fe�1� 2 � �� PLANS APPROVED p Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR OATEOFVISIT MADEBV REMARKS S-3NCcfOS ,)�- zAo No To P4 el-. z r z_ W r r O z O D -'-�S T O.K.FOR COVERING S JJJ O.K.TO CONNECT SERVICE S - 7FINALO.K. _ CITY OF PORT ANGELES OS 6 DEPARTMENT OF LIGHT A 000258 FEE RECEIPT NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT iA TOTALFEE 1,CONT,LIC.NO. I TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY / ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address .LCORREC ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner r�-* tT �`c3 W R+I,b 1 dam+' cc�� Installation By Owner's Address 7- - 5 .FSS -..,"Ael-I ,asea- Installers Address Day Phone `� � - Installers Phone . Application is hereby made for Permit to install Electrical Equipment as follows: W iri ng Method+'" ^- AMP 240V AMP 240V NUMBERUSE OF CIRCUIT CIRCUITS PER t 0 loop FEE USE OF CIRCUIT CIRCUITS PER t�0 1 3 0R FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE -- MOTOR APPLIANCE _ MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. ® OVEN WATER HEATER LAUNDRY DRYER - - REINSTALLATION LIGHT FIXTURE N FURNACE -_ SUB TOTAL FEE - GAS-OIL FURNACE ENERGY FEE _ ELECTRIC BASIC FEE ELECTRIC HEAT - TOTALFEEp w ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A .UNIT I®D AMP - PHASE FEEDER ,./ / SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE IOO v O, t;6& a./ yA.W.G. SUB-TOTAL .� SIZE OF GROUND C/, SIZE OF ENTRANCE SWITCH 1104 I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ` ,19 By ~ CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions,hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. D RECT F CITY LIGHT Date Permit Issued �� ) Q J By PLANS A P OVED Notify Department of City Light by Street Address and Permit Number when ready for inspection,Work must not _ be covered or,current turned on before inspection and O.K.for covering or.service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY-Duplicate PINK Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR c -s [ DATE OF VISIT MADE BV REMARKS Aga _ Q _ Q - Z W F F O Z O _ D �- 7, - O.K.FOR COVERING s O.K.TO CONNECT SERVICE 5 - 7 FINAL O.K. •�l `'+\, i © 3q � CITY OF PORT ANGELES A 000144 FEE RECRPT NUMBER DEPARTMENT OF LIGHT PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT �/� • TOTAL FEE pq(/ � R de-) Wo NT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address o ' ) CORRECT ADDRESS Is RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDp/RESSES ARE CANCELLED Owner h � '�'1 f�;�., �� er, tt Installation By +` I6A!9!- - ' W/�_-OtrYe— Owner'sAddress' _l ia�`�•dcS'7" etil'�avtil-S wO�hysltallers Address S�ot,Y Day Phone #S'),- /7/-T 3 Ca Installers Phone Y�oZ 1241V Application is hereby made for Permit to install Electrical Equipment as follows: 4!�:)) Sendr c-d?_ Equ ,rloel 7 -/ i�� 7G. Wiring Method NUMBER AMP' 120V 240V NUMBER AMP .120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 00R FEE FUSE OF CIRCUIT CIRCUITS PER 1 0 1 0OR FEE CIR 30 CIR 30 LIGHT SIGN. S L 1 LIGHT 50 VOLTS OR LESS CONVENIENCE - MOTOR CONVENIENCE - MOTOR APPLIANCE MOTOR - DISHWASHER FIRE ALARMS ' DISPOSAL BURGLARALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE a - FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT CCO AMP 3 PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE `3 - 350 /�✓!P'l Qar- 4has-� A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH rjDO I certify that the work to be performed under Cthis permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made / / ��7 �19By��i�'�J - I 7I CONTRACTOR OR NER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT Date Permit Issued / — /S U By.. PLAINS A PROVED u \ Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not f be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. \ WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — \ WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD-Inspector's Report MPIC PRINTERS,INC. 1 REPORT OF INSPECTOR DATE OF VISIT MAOEBY REMARKS 3 -zy-,�.r ; L Sfo/fro Loo �d sj�./IBeO ®a r //fie Li T S% ytC owv > -17- STeff&lo P Le lk R u P/.c' 70 Q z BLoI— ��s< 5e44, 01CP'j �9 �/Q/9n/,ff=e R AIJ7- H9v A d o c7 Aler auNOc61 T Y Sc 9L oFF' .v T w r Q u T SeA( oFjC3 f -7- AZT AZT Mo'TO N Keo F z_ W F r O Z - o O.K.FOR COVERING O.K.TO CONNECT SERVICE 8• y. ���• - FINAL O.K. �'. ` ,i ,• 1 1 4 ly � [.;.. PDR 01'nCLLL fl5a OHLV ' ELECTRICAL PERMIT APPLICATION �■- Pegy.. w.m.� The Electrical Pannir ApDllcarion must Oe elletl out cons da41v. P lease type or reprint In Ink. Iryou have any questions,please call(360)417.4735 Fax num bar:(360)417.4711 / Owneror Elec.Contrsctor Agent: Olympic Electric Co . , Inc . phone: 457-5303 Fax 452-3498 Property Owner: r5(i �G/41 /t Phone: Address: /71O 4/ 4Q1 L I-lo city: Zlp: ElacalwlContractor Olympic Electric Co. , Inc. Llcenseft O-Y1+fQ 5D1Exp: 3131/03 Phone: 457-5303 Address: 4230 Tumtvater City. Port Angeles -ZIP: 98363 INSTALLATION WIRED BY: 0 OWNER t4 ELECTRICAL CONTRACTOR CrsdifCard Holder Name: Charles T. Burkhardt, Olympic Electric Co. , Inc. Billing Address: Same City., Zip: Credit Card Number. ` �/ L EXP.. Daft: VISA: X MC: PROJECT ADDRESS: / 7Z O W FdI L / l ooG TYPE OF WORK: Check gill that appy:: ❑New O AlteretloriiAddition O Residential O Mulo-famity /H Commercial 0 Mobile Home Sq. Ft. O Remote Meter O Detached garageO Hot Tub O Swim Pod G Septic Pump (I Low Voltage O Telaoom. O SIg Number of Circuits added or altered: U y DESCRIPTION OF THE ELECTRICAL PROJECT: 7 80 V 7 lan5 10101401, V S u6eQ.1 a /ZO 17d9 SLf! r4 vf� 143 tt// W 51c 11/,1A Oo�l �r /05 Q4 SLRwaI/ 60 A -S&4e";IC-#, 5�) Electrical Load Addltlons and or subtractions M O A i,' f%4 Service Information ❑Baseboard —KW Voltage: 0 Furnace KW O Overhead Service Phase: ❑ t ❑ 3 ❑Meet Pump —TON_LAR U Temp Service Service Size: O Fan-Wall —KW L7 Underground Service Feeder Size: PAMC 14.05.080(8): For industrial, commercial,&residential projects larger than a duplex,a one- line drawing of the Electrical Sarwce 8 Feeders,btAding size(sq.ft.), load calculations, and the y pe 8 of conductors and/or raceway is required and shall accom perry the ElecMcal Pe1ntt application. l hereby certify that l have read and examined this application and know that same to be true and correct, and/at authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. a•an and Holder's Signature: r4 Date: V Jw A \ Owner or Elec.Cont.signature: pau; PW-SOIWTM \\V PERMIT FEE. $ e�5 61 _,rc- -47 i0 nTN,T..'1'a'I4 nT.Twz'Tn pnh47ebnor vva nc:aT bnn7/77//01