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HomeMy WebLinkAbout923 Georgiana St - Buildingi Job wired by Purchaser's mailing address Telephone number T Co r2 64 Premises owner's name Address of inspection 923 a Inspection Date CEIVED *Electrical Contractor Owner Electrical contractor n me License number Date Expires ht /2 /A /=casfi li.v /0( Caa- W=k2 Cily State ZIP n rf' 4- z l., s 6_) A- el' Z FAX number 3� e> gS'7 oS'•3 \(installation description Commercial Residential New Altered /Addition City Phone number to schedule inspection Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner electrical contractor or electrical administrator X L2 —J Date Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW .ofcard Overhead Service Temp Service Underground Service Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION 02 a CJI Cash Check /c.r Credit Card isa Mastercard Discover Car Expiration Date Voltage Phase 1 3 Service Size. Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360-417-4735 ROUGH -IN THERMOSTAT SERVICE Date Appr ed By Date Approved By Date Appr ed By FINAL DITCH FEEDER D ate` p pr ed By Date Appr ed By Date Appr ved By Action Taken Inspection fee 7 Service Information Electrical Inspector 05/05/08 Re-issue date be removed except by the Building Official. ... .--0 ~ VJ G\ ~ cJ -- ; ~ ~ e" ELECT/RICAL PERMIT Ai">> INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001060 Date 10/23/07 274640 923 GEORGIANA ST 06-30-00-5-8-0170-0000- ELECTRICAL ONLY COMMERCIAL OFFICE o Owner Contractor VIRGINIA MASON MEDICAL CENTER ATTN: LISA TAN SEATTLE .WA 98111 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANG. EL./ NURSE CALL SYSTEM 110957 ANGELES ELECTRIC 51.00 10/23/07 4/20/08 Plan Check Fee Valuation .00 o '---D ~ IN Qty Unit Charge 1.00 40,0000 1.00 11.0000 EL-LOW VOLT SYS <=2500 SQFT EL-.LOW VOLT SYS >2500 SQFT Extension 40.00 11.00 Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51.00 51.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 51.00 51.00 .00 .00 ~ ~ () ~ ~ '-. ~ -<: ~ ( '11\ . INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN 1-/2--07 A P (J {<-(pit t> M-~ FINAL COMMENTS: ELECTRlCAL PERMIT A1VD INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001059 Date 10/23/07 200796 923 GEORGIANA ST 06-30-00-5-8-0170-0000- ELECTRICAL ONLY COMMERCIAL OFFICE o Owner Contractor VIRGINIA MASON MEDICAL CENTER ATTN: LISA TAN SEATTLE WA 98111 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER ANGELES EL./ CIR 110940 ANGELES ELECTRIC 116.00 10/23/07 4/20/08 COMMERCIAL FROM 2 PNL Plan Check Fee Valuation .00 o Qty 2.00 Unit Charge Per 58.0000 ECH EL-COMM ALT <5 CIRCUITS Extension 116.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 116.00 116.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 116.00 116.00 .00 .00 ~ }J C~ ~ ~ ~ ~ ~ ......... t ~ V\ ~, INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH " " .. , I " - SERVICE ; ROUGH - IN q ~/J, - 1/7 .A-fJ ;? fa; (;IE{) ,.fz,Q FINAL COMMENTS: . 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O"l E-< ~ 0. o en , 0. >< E-< r< o co ..:1 <Q 01 ..:1 ~ 19 ~ 0. ..:1 :<: 0. en E-< Z 01 :<: z:<: 00 HU E-<' o.en HE-< ~..:1 U::> en en 0101 Cl~ Zo G ~~ ~ :r:N O"l gO~f3 o "'..:1 O::r--O~ 0' (,90r--Z ZNr-H H...........'<;3'1 O"lCO :r: ~~~g HI..D~O Olo:EO:: E-< H ~o.~ 0. en::> zen ClH01 :z: ~ H ~ClCl ..:10101 0.E-<E-< enOl 001..:1 0::>0. 0:<: 010 ~U >-< 0. , , , , , , , , , , , [~ ~i E-< ~ 0. r< o o en , 0. >< E-< N ..:1 0. 01 E-< o Z Cl :'i! en E-< Z 01 :<: :<: o U ~'PORr~ $'.J.O~~~ ha ...~ ~ 'tS(" ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001299 Date 972 974 923 GEORGIANA ST 06-30-00-5-8-0170-0000- OLYMPIC MEDICAL COMM REMODEL 4/04/07 ~ ~ cy .-.0 ---0 COMMERCIAL OFFICE 319000 Owner \ It" I Contractor ----t'(f~~~-~)(1j~ <:G3~+e~------------------------ VTRnTN SON MEDICAL CENTER OWNER ATTH. bHi". 'I''\fI ~ Q rn\J\AJ,\\I\,~ SEATTLE <Cj5 I 'WA~SlTL . Construction Type . . Occupancy Type Structure Information 000 000 TYPE V NON-RATED BU~INESS:OFF/PRO/MED/REST Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 91876 2246.65 4/04/07 10/01/07 Plan Check Fee Valuation 1460.32 319000 ~ Qty Unit Charge Per Extension 1020.25 1226.40 BASE FEE 219.00 5.~000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 92866 Permit Fee 94.10 Plan Check Fee .00 Issue Date 4/04/07 Valuation 0 Expiration Date 10/01/07 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 14.7000 ECH ME- INSTALL 100- FAU 44.10 ~ ~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 92874 71.00 4/04/07 10/01/07 Plan Check Fee Valuation .00 o ~ ~ ,9 YL" .:.;:-, ~ ~. .:3 -0 (\l ~ a; ~ ~ 5:l Qty Unit Charge Per 2.00 1. 00 7.0000 ECH 7.0000 ECH BASE FEE PL- EA. FIXTURE ON ONE TRAP PL- EA. INSTALL WATER PIPE Extension 50.00 14.00 7.00 Special Notes and Comments The Fire Department has reviewed has no comments Electrical load calculations and the project application and CI) -r , elctrical permits are Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void ifwork or construction authorized is not commenced within 180 days, if construction or work is suspended or aDandoned 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 governing this type of work will be complied with whether specified herein or not. The granting of a perrylit does n9t 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 T:IPoliciesIII02_15 building pennit inspection rccord05.wpd [1/4/2005] t... BUILDING PERMIT INSl~ECTJON RECORD CALL 4] 7-48] 5 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRJCAL INSPECTJONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINlJ'vlUM 24 HOUR NOTJCE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' JFORK BEFORE Ii'i'SPECTEDANDACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATJON. IZEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOllNIlA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA T10N DRAINAGE/ DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) . GAS LlNE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING .. FRAMING JOISTS / GIRJ)ERS SHEAR W ALLlHOLD DOViNS WALLS / ROOF / CEILING DRYW ALL (lNTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL ROUGH-IN tffiATPUMY I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET I CHIMNEY . MANUFACTURED HOMES FOOTING / SLAB BLOC)~ING &. HOLD DOWNS SKIRTING PLANNING \}EPT. SEPARATE PEI\MIT II's SEPA: P ARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 rw / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102 15 buildmg pcom! )IlSpectlon rccord05.wpd [1/412005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00001299 Application pin number 972974 Page 2. Date 4/04/07 Special Notes and Comments required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2411.75 2411.75 .00 .00 Plan Check Total 1460.32 1460.32 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3876.57 3876.57 .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 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 per.mit does n9t 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 T:IPoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTJONRECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTR1CA.L INSPECTJONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEt.,SE PROVIDE A MIN1MUM 24 HOUR NOTJCE. IT IS UN LA WFUL TO COVLJ~, INSULATE OR CONCEAL A.NY 1VORK BEFORE DVSPECTED AiVlJ ACCEPTElJ. POST PERMIT IN A CONSPIClIOUSLOCATJON. KEEP PERMJT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOLTNDA T10N DRAINAGE 1 DOWN Sl'OLJTS PIERS I I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN Co/Il I O~ JL\.. WATER LINE (METER TO BLDG) GAS LINE FINAL 9113/01 DATE :ILL- ACCEPTED BY: , I BACK FLOW 1 WATER AIR SEAL WALLS CEIUNG I FRAMING CLOSE;"T VJ/\\ lo=r - JOISTS 1 GIRDERS ::fU- SHEAR W ALL/HOLD DOV,'NS WALLS 1 ROOF 1 CEILING DRYW ALL (fNTERJOR BRACED PANEL ONLY) I T-BAR I INSULATION SLAB WALL 1 FLOOR 1 CElLING MECHANICAL ROUGH-IN flliAT PUMY I FURNACE 1 DUCTS GAS LINE FINAL 01/{3!D7 DATE T~'- ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEI'T. SEPARATE PERMlT#'s SEPA: I' ARKING/LIGHTING ESA: LANDSCAPING SHQRELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE .yES. NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LlGHT DEPT. 417-4735 ELECTR1CAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. _I BUTLDING 417-4815 BUILDING ~1T3/()7 :"\L-L.-- T:\Po1icies\] ] 02 15 bUlldlflg permJl II1spectlOll Tecorcl05. wpd [1/4/2005] BUILDING PERMIT - APPLICATION Fill, out COMPLETELY and in INK. Your application and site plan MVST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: G r-a~ t ~~+ Phone: ~ - .. 2..0 2.9 Owner: Oll1~ pre... IM.eJ\cc.,.\ {B1.+er ~ ~~W\. ~~\::e. Phone:' 3~ .taB/ - '1'130 Address:_ '1S'f. CA,ro{o,.e Sr. _ City: P"rJ- ~ Zip: Q83G,Z- ArchitectlEngineer: (~o l \ ~~ 11) 0 e y-W\A V\.. ~ . (9 ((' Phone: 2JX,. z4$" - "2.D'l-q &r~ reo t State License #: Exp: Phone: Contractor~ Address: PROJECT ADDRESS: q27> City: Cj e.. C!? r >1--' C{, r7 A:' "c, ;r;-: - I'-:~. Bloc't: SubdlVlSlOn: (9(0 ~l) (9 CO St? Zip: ZONING: GO LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: (!)/70 . TYPE OF WORK: o Residential 0 New ConstI'. 0 Re-roof 0 Stove o Multi-family. 0 Addition 0 Move 0 Garage )(.Commercial )( Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~("Vlle tb ~t- Q :kc~ C COMMERCIALfRESIDE lJAL: Occupancy Group: 13 Occupant Load: 40 Construction Type: No. of Stories: L Lot Size: .f) p.. . Existing Sq.Ft. -5?W & Proposed Sq. Ft. N k = TOTAL Sq. Ft.A J Sf.? b Total lot coverage 'fJ A % APPROVALS: I PLAN: BLDG: . DPWU:_ FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetlanct(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other. . . VALVA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. . . PLAN CHECK FEE: IF 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The . Building Offidal can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International BuildingfResidential Code, 2003). No application can be extended more than once. thereby certify that I have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and understand that it iS~YI e~ onsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. .T:\FORMS\BldgPermitAppJ..wpd Applicant: Date: 12. - I - OtJ::; .~. :June 20, 2006 Date CERTIFICATE OF OCCUPANCY .' "Clty of 'Port Angeles' Building Division Use Classification: This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulatingBuilding construction or use. For the following: . Buil~i;;g"p;;;;;;'it';No.: 06-394 ,Busi11eSS!Nfim~:~[eMC Women's Clinic Type :f c:~~:t~:;,:?',~~;i~1':";.~)f:~~"~:";"" .,,::.,,~~;,<~~~~ CO " .'< ,..: .'; ';";",.: :'.'""~,"""";;":':"~!J.::', ":'>';\'~~E~~~S(3<:~~;E~)~:!f:'I' Add;esf:"923:'Gebrgian~"StreeF;~;;'Pory.Angeles, W A. 98362 Business Group: -L -"_.,.~-.n::,,.:,~~,;,~ r~:i::,:~:i{?j:~8.~~,~lt~?S ~::'::')';;"'f~::1f." Owner of Business: Olympic Me'ai'6al Center Building Address: 923 Georgiana~!:,~~t . .P'?rt Angeles, W A. 98363 '\'" "'n,." ~~h'J Post on flie.,p '., ..._.,._".~~,,^;;a:;c(jnspicuous place. . Shall not be rem'oved:excepfoy Building Official. j 't;r ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 911362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000551 Date 879993 923 GEORGIANA ST 06-30-00-5-8-0170-0000- ELECTRICAL ONLY 6/01/06 COMMERCIAL OFFICE o Owner Contractor VIRGINIA MASON MEDICAL CENTER ATTN: LISA TAJ'I SEATTLE WA 98111 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Da,te Expiration Date ELECTRICAL ALTER COMMERCIAL ANG. EL./ FA SYSTEM 78394 ANGELES ELECTRIC 53.60 Plan Check Fee 5/26/06 Valuation 11/22/06 .00' o ~ ~ ~ EL-LOW VOLT SYS <=2500 SQFT EL-LOW VOLT SYS >2500 SQFT Extension 42.20 11.40 Qty Unit Charge 1.00 42.2000 1.00 11.4000 Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 53.60 53.60 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 53.60 53.60 .00 .00 ~ ~ \J ~ ~ "- ~ c:. ~ V\ '\ COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECflON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO'COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES 1 NO IJI I.H KIIIII iH-lN I CUVER :ShK Y lCh FINAL 15" -;1S- -Db ktD 1 GENERAL COMMENTS: PW-II02.JS 14'961 ( .. ROUTING SLIP ~ pORT "'.l,< u~o~G'~~ Certificate of Occupancy ~ v..... c:z:::::::..X1 =- $50.00 Certificate/Inspection Fee ~ "1t8LICWO~+-'" DATE '-/ .- 2..:t - 2Q~~ New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . . . ( ) 9L~ (SEe::, (( & \ A(\~ Change of Ownership . . ... . . . ... . ... . ... . . ( J ) Applicant ~ ('1\ L. New Building . . ..... ... . ..... . .... .... . .. ( ) Address --3~\ CA.U ~\'l\.L ~>t- Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ~ . Wt\. q ~3"'L Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business L.1,.1-~ Ob~ home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: W t'lAt%J \ CLt.iJ( U legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES N~ THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . - ----v'" PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............. V 2) Plumbing 2) Peddlers Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -V- 3) Electrical 3) 2nd Hand Dealer -~ New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . -- 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v""'" 5) Sewer 5) Dance -- New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . V' 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ................... ---V 7) Driveway installation 7) Fireworks --V Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . - V 8) Curb installation 8) Ambulance Excavation of filling of lots. . . . . . . . . . . . . . . . . . . . . . . -- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way .. . . . . . . . . . . . . . . . . . V 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . - V 11 ) Fire New driveway openings ........................ -\:7 12) Occupancy - V A grading plan for site drainage . . . . . . . . . . . . . . . . . . -- 13) Sign (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . --* 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . . . . . . . . - V 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . - V 17) Other - -V Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- Date: ~~:6~ edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Signed: . /~ ;p.~ REJECTED Comments / Conditions Building Section Public Works Department ~ilP-DIo - J~ Planning Department kJJD Fire Department 9~2g-fip -t3U City Clerk P.B.I.A. tFo~ - .?q 4',,:, .#- P 1 J~ ""'......-,. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :'21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000192 Date .879104 923 GEORGIANA ST 06-30-00-5-8-0170-0000- PLUMBING REPAIR 3/22/05 COMMERCIAL OFFICE 6000 Owner Contractor VIRGINIA MASON MEDICAL CENTER ATTN: LISA TAN SEATTLE WA 98111 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES/ 1-5 CI~UITS ANGELES ELECTRIC 61.30 Plan Check Fee 3/22/05 Valuation 9/18/05 .00 o ~ ~ U\ Qty 1. 00 Unit Charge Per 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61.30 ~ ~ } ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 ~ , COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPE<;fJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO --i GENERAL COMMENTS: f>t~ rr t.Y" I ~ dr.L) PW-II02.1S (4196) ~ f'ORT ~ I.,.J..O~~ C1r't1ifj~ ~ --- "l.<i:-;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00000192 Date .879104 923 GEORGIANA ST 06-30-00-5-8-0170-0000- PLUMBING REPAIR 3/18/05 COMMERCIAL OFFICE 6000 ~.rtAt1 Exf?( e-~O ~/(01l)~( Owner Contractor VIRGINIA MASON MEDICAL CENTER ATTN: LISA TAN SEATTLE WA 98111 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 WA 98363 ---------------------------------------------------------------------------- permi t . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT ADD/MOVE LAVITORY 96.00 Plan Check Fee 3/18/05 Valuation 9/14/05 .00 o Qty Unit Charge Per Extension 47.00 49.00 BASE FEE 7.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 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 -Q ~ V~ ~ (t \) ~ p ....;.:.. ? ~ ~ 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 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. .2 Date Signature of Owner (if owner is builder) Date T:\PoJicies\J 102_15 building permit inspection record05.wpd [1/4/2005] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIQNS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN S -~/-o S- ._1 ;.../ _ WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / G1RDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULA T10N SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BU1LDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] '1:1 I .., 'd ;J>'Oon;J> n'O I Ie' I ><: ~ 'O;J>:E:OO H:O I '-, I '0 'O:OZZO ..,OJ I I , t<nOj..,:o ><:'0 UJ H OJ:O:OOj ;J> I 0 I 0 ..; Zt< ;J>UJ 0:0 I r' I @. nUl ,,,OJ I .., 0 I I 'd to 0 '0 't I t< OJ. :0' 0 I n:o :0 :ow I OOj .." I _ I 3:0 '" , '" I 'OCO ~~:5~~ ~(, I 1-' I t<OjO I ,_ I OjUl I I :OGlw Glo , , ","''d owQtJ::l OjVl I U' I OjOjt< OOHL'G) t<- I I oOi 0 I ZOjOj OJ I OOH(f)O Ull-' I I oo;J> :0 w :1" I H I-' I 'OGl I :0 IZi 1.DLT1~~H 0 , t~ I OjH!;l "'';'UJ@~ .. , t~ I UJZ I CUl'd tt;l1 Otx:l~ w I I ~~; t"ioZH " I I ~~3:a~ I H tooOj , I ..; H' 0 I I ZOH I 3:'0 I :00 Glon I ~ t~ I OJ OJ o;J> I 'i (~ I UJUl :oot< I ~ :~ , cn OJ I I to I t<:O '0 n I "H I ..,H ~ OJ ....] ~~ I UJ'O Z n -: (j) I ,.., :0 .., 0 I nH OJ H 3: 0::0 I 00 :0 HZ 3: a-O 3:Z ZUl OJ N c::: I 3: Ul'O Z lJ\(j) I OJ '0 OJ .., :I: Z Ojn UJ I I .., n.., H I Ul ..,H ~ :z: I 00 I :oz 0 I I ,-,.., Z 'cl I ;J>H 0 H 'O'OUJ 3:n .., 3: 55~ OJ:>: OJ OJ I UJOj Ul I zzo .., I OjOjH t< I-' I <: " I t< .. I H 0 , OJ 0 I '" :0 I a- t< I 0 ><: I I I .. I Vl I '" I I I CD Vl '" Vl 0'0 ;J>;J> ..,Gl OJ OJ w , '" I-' , o I-' VlO ~ J :;,.....' . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 5',;z? t DATE /l9k~5 Installed By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW o FAN/WALL KW o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1fD D3fD SERVICE SIZE o TEMPORARY SERVICE FEEDER SIZE C~) 1jr1?~! J1cc~ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR AMPS AMPS DetailslDescription: ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER "",0 Ditch Inspection O.K. 16 ~Rough-in/cover O.K. .0 O.K. to conn~ice . ~"''' ~Final O.K. \X~ 'Site Address: ;:;23 < Permi~fZ New Meters ~ . 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 or on the Building . rmit. PHONE 457-0411, EXT. 224. N'SU NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT fi' $ Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15187 'j (. -7 Port Angeles, Wash1ngton.n~,mn:::m.L..mm.::.mm..mmm...m.__m, 19.0'.05. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. I" --. ",~1 " . Address hn!{m.'2.;...~um~m;;~:,=!t..,::!~ Occupancy. .nn......m..n__m...mm.......n...n Owner n.r+~.:.:!;ji't'!C:~~.... 'napL.m.m...mn.m.uu..nn..nmm....nnm..m....mmn.. Wiring Ch'ntractor ...n\";:nj!~r:p.1'4~L..m;:~..d:t.J. Bynmnn.m...n..n...num..u.m...un....___..n.m.....h. Light Outlets..._m___m..........m.________.____.. Service, volts n/..1:-:..(J....":.m..7b..'i_..O Type of Wiring: Receptacle Outletsmnm..._.._.__m__m..... ", No. wires ......_.n__:.~_.._._.__._........_.___ Size wires__.l_.:...:.'_n=.___~Z_:~~._.___... Drye" K>l1..mn....nn.nnh.nm.....n....... Range, KW _mnm Water Heater: Main fuse _m...im_~~:~n..!.3:~m.. -' Enclosure m_~_._:_:mmmnm___m__m._ Type of wiring: Entrance Cable ____nm_mm_.m..nn.. KWmnznz.;;;. nnnn..m..nm Heat' RW.n...tL~.m j"{.~"-!..Ot:? Motors: size, volts and phase: Rigid Conduit _._._.._____m__mm...m.. Metallic TUbing __mm__mmmmm.. Current transformers: No. & Size....m.m____.....nmm.m......_ Ser. NO._____n..mn...._....._.._......._......... Ser. NO........_......._.......________...__.__n__... Ser. No.....__.....__._.._.._..___..___....___....... Total Loadn_m..mn.mmm____.. Ser. NO.____..n....__........_.n......_........._.. Armored Cable mmm__.. Non-Metallic mmmn._m_____..mmm_ Knob & '.ruben.._ Rigid Conduit ....mnmm..........n.... Metallic Tubing ._ Raceway .___m..m. Circuits, Light.___mm___m...___..._m__.m__.. Utility 00__.........._....._.__.._._,_......._...... Heat Range .__n__....._......n.n....."....____n.... 'Vater Heater ____n__nn....m___m...... Motor Dryp.r. Furnace ....dn......_,.._n..._'_ Total ....00..____...__,...._,..._.......".. Remarks: ..nUn.Uu___unnmmnm.nnnnn.m.nmm...nmn....nmm.n.__..m__...mnm.mn.Um.mmn.__nnm___m..n...nmm. ___nn_____nd_u_n~~~nnn_nnhn~_nu..._d__~_n.n_n~~nn_nn__d___U~un.._u._nhhu__nuu..~~..H_.U~_~n__UU~_h_u____~~u__..__~____.~~~n~~n~__~. Permit Fee Treas. Receipt $......._.........................000.. NO.....m......ooo.......__... By ................m~___"...:_,""'_.---....m........---............... NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '.J '. V..>{/U.M...~1 ELECTRICAL PERMIT '-;, ) N? ae 15187 t" , , ' Dotte, called1o\inJ~ct~n.......m;j.;~A~7I:.{..~~......................mn..........mmm.:!....~....!.....3..~.::......nm/m:./ ::::==-~~~~=:~~=-~;:;-~-== 1M 3-72 Olympic Printers, Inc. .) 9-12-207 1,1 9PM FROM ANGELES ELECTRIC INC 360 452 9265 P.2 Job wired by ~ ~ -..:... ELECTRICAL WORK PERMIT APPLICATION ... DOwner Inst<tl~- description [Jo"toml'lercial Cl Residential Purchaser \; mailing \\durci:;.:> License number Date P.xpircs ~Nr;FI FS ELECTl?lC, INC. 524 EIIS1 FIRS\ pnRT IINGELES. WA 98362 State ZIP ONe..- ~ed/Additlon EleClrical contractor name Telephone number FAX nunlber ('Jp(1~ n~g -t~ r/7 ~ ~-'"":4 ,~ ~Y" 2 ~ 1/ l' CilY prC'DiSC'[jWm'~rne Address of inSploction r?,~ Gw~A- elfY . tY It- pb-on.c number tu sC:hc~uh: insp~~ Owm'r as d(!firH~iI by RCW f9.1S,2M:(I) Owner will occupy the structure for ~wo ycuni after this i.dcctri('1/! p(~rm" is finalized, (2) OW;,!!,' is yequlred In hi,e an electrical (.'f'mlr'(J(:lQr tf ahow said property is jor sale, rent Dr leau. After tcjding the abovo stiltcmcnt. I hereby certify that I am the owner of the above nalllod property or a IicCf!sed electrical contractor. I am m;1king lhe electrical ins.tal. lation or alteration in compliance.: with the elecffica\ laws, N. E,C., RCW. Chapter 19.28, WAC, Ch.3ptcr 296-4()B, The City of Port Angdt:Jl MUfli\.:ipal Codr;;, and Utility Specitlcations. Signature or own 1', eJectr cat ~ontnctllf" f)r electrical udministrator o Cash 0 Check # ~:aTd Visa Card# _.___-_/IN _----Ei~_-____ Mastcrcard DiSCOVl.-r x Date; Expiration Date of card ~ead Service U Temp Service o Underground Service 7' ?-- Service Information VOltage~to.h9"t7 Phase 1 0 3 Service Size: .".~~ Feeder Size: ~ Electrical Load Additions and or s o NO LOAD CHANGES o Baseboard KW Cl Furnace KW Cl Heat Pump _ Ton _ LAR o Fan.Wall KW tra~ SAME DAY INSPECTION. CALL BEFOIU: 7:00 AM 360-417-4735 ROUGH-IN TIlERMOSTAT O;llt. I\ppr~vl,':d Dr D3.U AwrovcllBy FlNALkD DITCH o , ^pprov"d 9y Dale Approved By SERVICE 0:1111 Ap(\r(>\I~<:l liy FEEDER lhlc ^prrt>ved Hy Inspection Date Area. Building or Equipment Inspected Action T.aken F..lcctric;l.\ inspcct(lT . .. URHTDf" ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 )('. . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDE(Z)/ H~ P~/D ~ fl::;~"~,~::H1 nr-",q' (.,,31 {h.b...",,,,.e.A7../I'L .;:2t: Ou / /Ur -tJ j ~Vt= -7/7 - 7"7.3<' -kN'N ~fi...vy:J/~~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 3-18-2052,13PM FROM ANGELES ELECTRIC INC 360 d52 9265 P.l ~i JLECTRICAL WORKPERMlT APPLICATION /' ".. ~quest Iuspection ~Iectdcal Cont~acto~ 0 Owne~ ;...;~~ D Anou;tl Permit 0 Alarnl D Ca.rnival iB"Commercial 0 Residential D Residential Maiot. Q Signs 0 Thermostat 0 Telecom. ./"' Ill".!I'lioll d~!:pliOll _.# ~ Job wired by IB'Elect~ical Contraclo~ 0 Owner ~ a"/ . State:: ZIP tU/f ?f3tz NtllHb1J5 r:;Eoffh'AA/A S~ Ci'AJ/C'! :+ o Cash 0 Check # I hereby certify that I am the owner ()f tbe above naml;'d property or a licensed 0 ~ Credit Card lS Mastercard Discover electrical contractor (or the firm '5 aUlhori7.cd agent) and d.nl making the electrical . installation OIOllte1'3tion in cOJTIpt'lanc,=with the electrical law, Cbapter 19.28 RCW, Card #4 _~.!...-_w-E2L~~____-____ ;gnarure Or7~?IOr or elec. leal .dmlnlsrr..., Expiration Date of card ~ ,,- CEILING Insulation Only D~~~ ^~t-ll~1 ~ ~ver4d<2 11)nl~ ^l'JIro~ed Cy '- ,,- THERMOSTAT D:'IC Awro\f~(1 By OUCH Oll(e Ar>Provctl By SERVlCE D;itc ArJlIl,h'ml By FEEDER Dille Appr..wcdBy WALLS Insulation Only ~\<.: A9Q.f(\V~d~y -/ov" ~ 'u: ,Ilprovcl! By Electrical Load Additions a.mLor subtractions o NO LOAD CHANGES o Baseboard KW D Furnace KW CJ Heat Pump _ Ton _ LAR Q Fan.Wall KW Service Information o Overhead Service o Temp Service o Underground SeNice Voltage Pnase0103 Service Size: Feeder Size; Inspection Area., Building or Eq1.l.ipmenllnspected Actioll Takell Electrical Date I^,p.~ '1//<' /" ~ #J, "__If) LhI- / ~ / f , -- . /7r7./ ./ "{ // <!P /,.,.,..-' 9-12-207 1, 18PM FROM ANGELES ELECTRIC INC 360 452 9265 P.l '5"'" , 'i ~~00ll;t''''' ELEClRICAL WORK PERMIT APPLTCATION Job wired by Electrical Contractor 0 Owner ElCClrical .controdor name LiceJlse flumbCT Dale Ex;pires aNew a Residential ~.edlAddJtion Purdu_<;cr'!> mailing uddn:ss ANGELE~*WRIG. ING. 52,1 EAST FIRST PORT .\ ~1~qtS, iliA 9SJG2 State rP ;1J~t::.. 6:J<L ,q1f.Of~ /J . ~$&~,' Ciry Telephone number FAX numbc-r DC~ DCheckf! ~edjl Card Visa Mastercard Discover C'.ardff ____-~__-f!~_-____. x Expiration nate of card InsllcctiOl1 fJ? ~ $ , Service Information vo"age~~~ Phase a 3 SOfVice Size; ~ Feeder Size: . Elect' n " 0 LOAD CHANGES n I Q Baseboard KW a Furnace =Kw"7; 13 .0 Heat PU"'!'lP _ Ton ~R a Fan-Wall _ K,W ..LJo, nd or btraction $;1!. #3 7; 13 6;/0 1- lor '1z.1..t ~~d S9/Vice a Temp Service o UndefgfOlJnd Ser",icQ SAME DAY INSPECTION. CALL .BEFORE 7:00 AM 360-417-4735 . ROUGIl-lN ') THERMOSTAT SERVICE ~.,..~')~ ^ppmvc~ By D..'e ^1,provL'd H)I D~\\. ApprOVL'1l My 'INAL ~ DITCH ~DDER t)~,.. ApJ,rovC\1liy D;ol<.: Approvcll Ky hl$pcctiQTl Due Are.a, Building or Equipment Tnspocted Action Taken Electrical In!lpCC10r 5-25-206 l' .23AM FROM ANGELES ELECTRIC INC 360 d52 9265 P_ 1 5' I; c. '\. -/ ...... ; ELECTRICAL WORK PERMIT APPLICATIOK- Job wired by lettrieal Contractor 0 Owner Insta]l~dcscriptj()n ~mtnerc:ial 0 Residential Electrical contractor name License number Ds.te Expires C1New CI Altered/Addition . Purchaser's mailing address ANGELES ELECTRIC. INC. C;tY :lZ4 tA~1 rlRST SI'IC ZIP PORT ANGELES, WA 98362 f1&.- St ;fbn IVe_- CLJJJj( .. Telephone number FAX Dumber 2$CO , +wi-- g1 Uttt f tv:2~ !//;!:&- Addn'ss or inil:peCfiO'a - 113 City f?4, Phone nUlDbt:r lu schedule iospection: ('~pr/~ Owner as rkjincd b)! RCW.J9.28.26/:(I) Owm:r will uc~P)' (he srrJl,Cltlrt':lor two years after thi.... cledriaJ/ p(~,.mit is fina1i:zed. (2) Owner is required to hire an deCll'iCfJI t,;onlractOr if above .faid property i.f fm' sal.:, rf~nt c,.r l~rJ$(~, After "te-..1diog the above !'.tatcmcnt, I hereby certify thut J am the owner of the above named propeny or II Iieensed e1cclric.al commetor. I $m making the eleen-leal inst..l- lation or alteration in compliance with thc electrical taws, N.E..C., RCW. Chapter 19.28" WAC. Chapter 296-46B, The City of Port 1\"ngeles Municipal Codc, and Utility Spcdticalions. S!gnarure ner, e1e Ticlll cOntrac o C~_..erCheck # l!r'6"edit Card Visa Mastercard Discover Card# ____-_D-^L_-B~-____ x ~ or electrical adrnlnl$t Date: S; Expiration Date of card s"SPcC!' t.~ Service Information Voltage J !t>/:wO Phase 13'1'"C1 3 Service Size: -~ r I Feeder Size; ~ 1ft; EI c I Load Addlti o LOAD CHANGES CI Baseboard KW 0. Furn-ac:e KW Q Heat Pump Ton o Fan-Wall KW LAR Q Overhead Service U Temp Service CI Underground SSrviC9 SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ,.- ROUGH-IN J ,.- THERMOSTAT SERVICE D~IC Approv(;l.] By \. Dlu~ AJlprc~~d By O~l" ^rprnvcd B)'. FINAL ,.- mrCH / FEEDER '5-;S -Ob kt.S:> DMQ N>pn.lVell ~.y "" ^Jlpn:lVedBy Ill\!," Arrmwed illy Inspection Area. Building Qr Equipment ]n~pected Action Talcen Electrical DOlle h1spcctor . -- -- /-rY/O) '.<-s'" ), L . "' / CITY OF Ropa ANGELES PERMT APPLICA.11ON � V Building AiivisionfEiecMcall Inspections rp , 321 bast Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711. OCT. 4 20A, Date—Mufti—Family or Comte menial *fit CTi9 NN�P��il�fJ� * Plan Review M y Be quire Pie e C m to Electrica Ian e ' w Information Sheet JobAdtlrass: t^ _. _ 1j', r`C Building Square Footage, Description of above r Ovmer ly�fpre�Ion Cont racto fort t� Name, tern j U fS ;" rs-Pi Name, 1'h _ C LC'- Ma{in ddress; Maliin Address: 12� City, Cr i tat clty, State: l�, 9 ZlpI Pho,a,.j Fax; E'hone; 7QFeix: .rS F_ =- --- Llcense License l Sxp- r I - Item Ifni C a e { Total (QtYA ultlpI1ed.banLtS range). ServicelFeeder200Amp. $132.00 $- Service/Feeder 201400 Amp. $160,00 SenricelFeeder 401 -600 Amp $ 225,00 $ - ServicelFeeder 601.10D0 Amp. $ 288.00 $ Servi 0eeder over 1000 Amp. $ 410.00 — Branch Circuit Wl Sorvice Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 74.00 �—.- Bach Additional Branch Clrcult $ 5.00 $ Branch Circuits 1.4 $ 86.00 Temp, Service! Feeder 200 Amp. $102,00 $- -_ Temp. ServicelFeeder 201.400 Amp. $121.00 w $--- Temp, ServicelFeeder 401 -600 Amp. $164.00 $�- Temp. ServlceJFeeder 601 -1000 Amp . $185.00 — r $�� . .. Portal to Portal Hourly 3 96.00 .-- Sigrnl0u0ine Lighting $ 88,00 — $ Signal Circuit! Limped Energy -- Multi - Family $ 84 -00 S3gnat CirculU 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 j $ — Thermostat $ - Note: $5.00 for each additional T -Stat $6_ -.c Total Owner as defined by RCW.19.28.261.(1) Owner wili occupy the structure for two years after this electrical liermit is finelized. (2) Owner Is required to hire an electrical contractor If above said property is for sale, rent or lease. Permit expires after sIx montd s of last inspectloi i. After reading the above statement, I hereby certify that I am the owner of the above named property or a li used electrical a mhctor. i am making the electrical Installation or alteration in compliance with the electrical laws, N -E.C., RCW. Chapter 19.28, V�IAC. Chapter 296 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrifcal Permit Appliol�fions. Signs of owner, electrical co etor or electrical administrator: © Cnsh ❑ check CredR Card 4 I ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , . . 14- 00001250 Date 10/15/19 Application pin number , . . 155000 DITCH Property Address 923 GEOPGTANA ST ASSESSOR PARCEL NUMBER: D6 30 -00 °5 8- D170 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . & 1 Property Use . . . . . . . . FINAL Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 Application desc Fan circuits --------------- ----------------------- ---- -- - ------------------_----------- Owner Contractor VIRGINIA MASON MEDICAL CENTER SIMPSON ELEC'T'RIC ATTN: LISA TAN 243036 W HWY 101 SEATTLE WA 98111 PORT ANGELES WA 98363 (360) 457 -9270 Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 10/15/14 valuation , , . . 0 Expiration Date 4/13/15 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged ---- ----- - - - Paid Credited Due - - - - -- --- - - - - -- Permit Fee Total 86,06 ---- - - - - -- - --- -- - - -- 86.00 .00 ---- - - - - -- .00 Plan Check Total 00 .00 ,00 .00 Grand Total 86.00 56, OD 00 ,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN & 1 FINAL d COMMENTS: - PERMIT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORTANGELES 360-417-4735 Application Number . . . . . 16-00000643 Date 5/05/16 Application pin number 475905 Property Address 923 GEORGIANA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0170-0000- Appiication type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . COMMERCIAL OFFICE Application valuation . . . . 0 Application desc New service feed Owner Contractor. OLYMPIC MEMORIAL HOSPITAL OLYMPIC ELECTRIC CO :I:Nr.' 939 CAROLINE ST 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457--5303 Pez,mit ELECTRICAL ALTER COMMERCIAL Additional. desc . . Permit Fee . . . 225.00 Plan Check Fee 00 Issue Date 5/05/16 valuation 0 Expiration Date 12/01./16 Qty Ait Charge Per Eaten .cm. 1.00 225.0000 ECH 'E.I.-COM 401 600 SRV FEEDER 225,00 Fee summary Cha:r(,ged Paid Credited 1::)Uo Permit Fee Total 225.00 225.00 .00 00 Plan Check. Total .00 .00 00 00 Grand Total 225.00 225.00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICEs q 16 ROUGH -IN FINAL COMMENTS: F I PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date:— GAEXCHANGMIJILDfNG May 03 2016 02:08PM HP Fax page 2 CITY OF PORTN'O'ELES PERMIT APPLICATION Building Division/ � ectrical Inspections 321 East Fifth Stree —P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (364) 417-4735 ax: (360) 417-4711 bate:.5 ,75 W Plan Reviews May Be equirred, Please Job Address: -- Building Square Fo Description of above Owner Ivifonnation Name: '�DVII - M61ing Andress: City, Perone: F License ft I Exo. ©. Multi -Family or Commercial' Sktricai Plan Review information Sheet . , Contractor Information CLJ/% 3/ f_ Name: Wmmc EG C1MO �. S.Y.— Mailing Address: °MOTUMWATER City; rORTANGELEs State: WA 21p: sno Phone: Or4W3 Fax: -3498 License # / Exp. 0LYMPECMD1 Hem Unit Chem gty TO) MY MONO bX Wet 9harS ServicelFeeder 200 Amp. $132.00 ; Service/Feeder 201 400 A $160.00 $ Servioe/Feeder 401-600 Arn $ 225.00 1 0-- ServicelFeeder 601-1000 An i p. $ 288.00 $ .. Service/Feeder over 1000 A p„ $ 410.00 Branch Circuit Wl Service F der $ 5.00 $ Branch Circuit W/0 Service Feeder $ 74.00 $ Each Additional Branch Circ it $ 5.00 $ Branch Circuits 14 $ 86.00 Temp. Service/ Feeder 200 mp. $102.00 $r Temp. Service/Feeder 2014 Amp. $121.00 Temp, ServicefFeeder 401 Amp. $164.00 Temp" ServioefFeeder 601-140 Amp, $165.00 $ Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Enarg — Multi -Family $ 64.00 $ Signal Circuit! Limited Energy/First 1500 sf —Commercial $ 96.00 $ Note: $5.00 for eachVtignal 1500 sf Renewable Electdcal Energ . 5KVA System or less $113.00 $, Thermostat $ 56.00 �, Note: $5.00 for each ditionall T-Stat $ Total Owner as defined by RC 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 contra or if above said property is for sale: rent or lease. Permit expires after six months of last inspection. After reading the above st temuent, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am malting the electrical installation o alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29&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: O Caah LJ check 15 Credit Card At 5 '— 0110112012 Appi.i.cation Numbe.r.: 15-00001611 Date 12/24/15 Application pin number 723097 Property Address . .. 1 1 923 GEORGIANA ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -5 -8 -0170 -0000 - Application type desci.iption ELECTRICAL ONLY Subdivision Name Propexfty Use Property Zoning . . . . COMMERCIAE, OFFICE Applit:,at.ion valuation . . . 0 Apf..Alca�..Iori desc Radio transmitter e xi s i n 9 fire alam Owner (.:'ontractox. VIRGINIA MASON MEDICA1, CF.NrVjjjZ PERFORMANCE' SYSTEMS Arrrn.�T LISA TAN 7324 SW DURHAM RD Sh�ATTLE WA 9 8 111 PORTLAND OR 97224 (360) GBI 8971 Permit ELECTRICAL ALITR COMM ERCI Al., Additional d e s. c Pe:ratit Fec... 96.00 Plan Check Fee 00 Issue Date .1.2/24/.1.5 Va 1. u a ti on Q Expl.x. a t i on Da e G121.11.6 Qty Uni t Charge Per ExLension 1.00 9 6 0 0 0 0 ECH 'EL LIMI.'.1'ED 1ST 1.500 SQ FT 96.00 Fee summary Chargcd Paid C2:r d.J. t e d 1)u<, Permit Fee 96 00 96 00 '00 00 Plan Check Toi'wal 00 a0 .00 00 Grand Total 96.00 96.00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_ . . ...... . ....... Date:- GAEXCHANGMBUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: _\ ti11�1 Multi -Family or Commercial" Ree uired, Please Complete El etrtrail Plan Review Inform ation Sheet JobAd_ Be� ,l P Plan Review f�1a BuildingSquarei �T_Cb c ..m Ces rspCx� ofabwe T"v i1 t " l 1 bias .1.. � � ." _tlylel11 t ar Lu a i:,t t.m..rll.1 -.. Owner Information Contractor Information Nam 1 i'( � d G f , Name r" b rYt Ci state �i� zip�r ��.. City f.f b.. , M1�lare Add y � dc;Fxx �. Phone .�ek� 0 i k o]'� C" Mania Address I Slat f 1 rr: t ase # I Exp .......... m....., ,m.... License # I Exp _.. TM. ,:.. . e ' .," Service/Feeder 200 Amp. $132, $_ ServicelFeeder201-400 Amp. $160. _.... 6 Service/Feeder 401-600 Amp $ 225.00 $ ..,, Service/Feeder 601-1000 Amp. $ 288.00 o,. ServicatFceder over 1000 Amp. $ 410.00 Branch Circuit W1 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 201400 Amp. $121.00 f 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 Circuitl Limited Ene Signal Circuit/ Limited Energy l First t1500 sf - Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 . m_...... $ Thermostat $ 56.00 $ �..� Note: $5.00 for each additional T-Stat $ (1i 10 CQ 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 9 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 Credd Card # _, Dated: 01101@012