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HomeMy WebLinkAbout1137 W Hwy 101 - BuildingINSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN Gl g,39 FINAL 'JI //5 _d l AF IV COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Tank monitor Owner DULAI PAL SINGH 1137 HWY 101 W PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 98363 09 00000322 699274 1137 W HWY 101 06 30 08 5 8 2010 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor SME SOLUTIONS 2302 A, STREET TACOMA (253) 572 3822 ELECTRICAL ALTER COMMERCIAL 144170 59 50 4/13/09 10/10/09 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 59 50 00 59 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Paid Credited Due 59 50 00 59 50 Plan Check Fee Valuation 00 00 00 Date 4/13/09 WA 98402 00 0 Extension 57 50 2 00 00 00 00 Date City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711 Date. q 13 o `j Signature of owner electrical contractor or electrical administrator RECEIVED APR 13 2009 A 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review Informati� Sheet Job Address: 113 11.3. 16 l ec9 C'Ar%AcA Building Square Footage: Description of above L ►.4..a es S C35 G 6 t N 9A Owner InXiatio9, A Contractor Information Name: ...1..3a a i. ut ,A_„r Name: 5 \MI6. 50'-U 1 014 Maili oe A O I 0 Mailing Address: a3 .c.1.. A S city. l State. UJc Zia' cl 153G 3 City' o. State: W o.- Zip: �l�c.le Phone.360- 1r Fax: Phone.) -'71 3 -Fax: License Exp License Exp W Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 L. 72.50 86.25 $116.25 $131.25 75,00 69.00 75.00 50.00 50.00 93.75 80,00 86.25 27.50 57.50 86,25 43.75 Thermostat t (,d Total Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp Branch Circuit WI Service Feeder 1 3° Branch Circuit W/O Service Feeder A oo Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 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 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. Cash Check Credit Card P{■ tR- MvC 1,) L_ O t•- 4OOL (o Loo 0 (80 ©60- r !SG CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division 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 regulating Building construction or use. For the following: 41st Classification: Business Building Permit No.: 04 -683 Business Name: Mocha Madness Group: B Building address: 1137 W. Highway 101 Type of Construction: VN Use Zone: CA Owner of Business: Jenny Jeff Henke Address: 1529 W. 13 Street. Port Angeles, WA. 98362 Port Angeles, WA. 98362 September 29, 2005 Building Offi ial Date Post on the premises in a conspicuous place. Shall not be removed except by Building Official. A 0 ROUTING SLIP �F v b.44 Certificate of Occupancy 0 a IL C-111 ii $47.00 Certificate /Inspection Fee NEW DATE 03. y "d New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Address of Proposed Business 1 \37 U3. Hwy 1 Applicant Pnn a�� iNe lAe Address I6r9:`N L3, 13 1 Ancer.�J t_.319 983(03 Phone: business home '417 -aR3LI C:e-1\ '441 Brief description of proposed business Legal Description: Lot Block Subdivision Current Use of Property Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes v-----'. New or relocated signs New septic tanks New sewer service k Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? 11) Fire New driveway openings 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage tc (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? J Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date (>93 -q -0(-1 information I have is supplied correct to the best of my [5 knowledge. Signed' Q vni ..e_. PROVED REJECTED 11105 Building Section Comments Conditions Public Works Department 2.23 -05 "SA Planning Department 1,21B-09 Fire Department City Clerk P..B.I.A. tk a-c) x/05 3� sIt-u A t 0 Use Classification Gas Station Store CERTI FIC.ATE``OF OCCUPANCY City of Port Angeles Building Division 4 This Cert Ctt�trOn uefIpursuant to the requirements of Sectiork 09 of the Uniform 'Building Code tenor` ing #hat at the time4Usuance this structure was in cpmpliance with the various ordina, ti of the Cif r lta l 1 wilding construction or use. For the fotArtg: Address 1137 Hwy. 101 West, PA. WA 98363 Jf A-ri1 2 2001 Building Off dal Ste Post ors the premises in a conspIcuo is place. Shall not be removed xc ►t by Building Official. ROUTING SLIP Certificate of Occupancy $47.00 Certificate /Inspection Fee P �"►Fm DATE 3 el— 0 i New Business Transfer of Business Location Change of Ownership (X New Building Remodel Temporary Business Change of Use Address of Proposed Business s Applicant 1 S L A 7 F Lµo vNI 4,A.oG o re Address 5 'v∎ -'-e- '.S fi. Phone: business L/SZ. /0-7 home Brief description of proposed business* 4 0 G A/ w S Toft_r cit /y Legal Description: Lot 6 �S 7 rt t i c� t /1 /5 Block 2 CJ Subdivision Pew/icy/ vcti iG i4r a Current Use of Property ems Zoning Classification of Property CS 17 WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes X THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5 Dance 6) Sidewalk installation 6) Hotel of 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other Electrical changes Mechanical (heating, cooling, stoves) X Plumbing changes X New or relocated signs X New septic tanks X New sewer service X Admission charged to patrons X Is this a home occupation? X Excavation of filling of lots Work done in City right -of -way X Is there sufficient off street parking? 11) Fire New driveway openings X 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage X (parking lots, downspouts, etc.) Are the existing streets paved? X Are there existing sidewalks? X Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- 3 edge that I have read this application and state that the Date y d J information I have supplied is correct to the best of my knowledge. Signed P�P� I REJECTED t� Building Section Comments Conditions �4�_ _✓L_ .cy /'+C�GSJtSS e s Public Works Department 4. r 3 i v.) c'>1 CCyyr� G� Planning Department JJ fi ,,r u.-a wT Mvt 1 4 1 R3 1Qi Wk._ K Dn Fire Department ktLaj3lj City Clerk P.B.I.A. t fr f ce_ CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 Application Number 05- 00001220 Date 12/16/05 Application pin number 698560 Property Address 1137 W HWY 101 ASSESSOR PARCEL NUMBER: 06-30-08-5-8- 2010 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor DULAI PAL SINGH 1137 HWY 101 W PORT ANGELES Permit Fee Total Plan Check Total Grand Total WA 98363 61.30 .00 61.30 COMMENTS /ACTION NEEDED SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc SIMPSON/ 1 -5 CIRCUITS Permit pin number 67066 Sub Contractor SIMPSON ELECTRIC Permit Fee 61.30 Plan Check Fee .00 Issue Date 12/16/05 Valuation 0 Expiration Date 6/14/06 Qty Unit Charge Per 1.00 61.3000 ECH EL -COMM ALT <5 CIRCUITS Fee summary Charged Paid Credited Due 61.30 .00 61.30 .00 .00 .00 WA 98363 Extension 61.30 .00 .00 .00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCH ROUGH-IN COVER SERVICE FINAL 1102 /b d J1-01 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.131 1 ELECTRICAL PERMIT OWNER /APPLICANT DON LOGHRY 1137 W HWY 101 Port Angeles, WA 98363 360/000 -0000 T: CONTRACTOR OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457 -5303 PROJECT INFO Prj Type: COML. MISC. Occ Type: Occ Grp: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan /Wall KW: PROJECT NOTES Occ Load: PROJECT FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc TOTAL FEE: COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET. PORT ANGELES. WA 98362 S: $0.00 $0.00 $41.00 $0.00 $0.00 $41.00 Issued: 1/09/98 DESIGNER INSTAL NEW GAS DISPENSERS AT FAIRMOUNT TEXACO PROPERTY LOCATION 1137 HWY 101 W Lot: 11 &12 Block: 20 Long Legal: Sub: PENN PARK Parc No: 000 /000 -0000 Service Type O Riser O X Overhead Service O Underground Service O Temp Service Prj Value: Cnstr Type: Land Use: CSD -C2 Voltage: 0 Diameter: -1 -3 Service Size: 0 AMPS Feeder Size: 0 AMPS TOTAL FEE: Amount Paid: Balance Due: Permit No: 6177 $0.00 $41.00 $41.00 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A minimum 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO DITCH ROUGH IN COVER SERVICE FINAL COMMENTS GENERAL COMMENTS: PW- 1102151061 Site Address: /47'7 al WILL CALL FOR INSPECTION READY FOR INSPECTION �D� Installed By: OC 6 g License Number: Phone: Owner /Business: G �nel LLG(' Phone: Owner /Business Address: Sq. Ft. VHITE File by address MPY' PRINTERS INC W S No SERVICE SIZE CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW ELECTRICAL PERMIT RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE Details /Description r .n2.mk. PERMIT NO. 47 e— DATE `J/9,1' RISER Ri OVERHEAD SERVICE /0 UNDERGROUND SER CE VOLTAGE 1 93 3 SERVICE SIZE aSZ.O AMPS FEEDER SIZE AMPS DATE ENGR OVERHEAD SERVICE APPROVED CHANGE SERVICE WIRE OTHER Ditch Inspection O K A Lsf Rough -in /cover O K O.K. to connect service ‘S Final O K Site Address: //3 7 /o( ui.e) 07 acit- Installer: New Meters Permit /Receipt No. Sra- 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 Buildin emit. PHONE 457 -0411, EXT. 224. n NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT El ctrical Inspector Do ,20 Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: 3 7 U 1 G )o,,a l READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: "q tt'/ )n, License Number: Phone: Owner /Busi ness: 1(2/. 1. 21€4 ii- 9/ �Lrrz Phone: Owner /Business Address: y Sq. Ft. Site Address: 0/ L 2d. Permit /Receipt No. /v Installer: )n, New Meters Date: q RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW X SIGN Detai Is /Description W.S. No. CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 Electrial Inspector WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. ELECTRICAL PERMIT PERMIT NO. "JO /v DATE TEMPORARY SERVICE OVERHEAD SERVICE PERMANENT SERVICE UNDERGROUND SERVICE NEW CONSTRUCTION VOLTAGE. REMODEL SINGLE PHASE ADD /ALTER CIRCUITS THREE PHASE SERVICE UPGRADE /REPAIR SERVICE SIZE AMPS SPECIAL EQUIPMENT (LIST BELOW) e /I SERVICE SIZE DATE ENGR CHANGE SERVICE WIRE OTHER Ditch Inspection O.K Rough -in /cover O K O.K. to connect service &Final OK 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 Pmik PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT W h is Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: //3 7 READY FOR WILL CALL FOR /0/ tel. INSPECTION INSPECTION Installed By: /[IL t I/E /C- License Number: Phone: Owner /Business: 75 7/ MPC.W/ /cirA Phone: Owner /Business Address: Sq. Ft. Site Address: Permit /Receipt No. //37 /o/ Gv c7 Installer: r A New Meters Date: SIGN RESIDENTIAL COMMERCIAL BASEBOARD KW FURNACE KW FAN /WALL KW HEAT PUMP KW Details /Description W.S. No. SERVICE SIZE CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE Ditch Inspection O.K. Rough -in /cover O K O.K. to connect service fp Final O K 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 Permit. PHONE 457 -0411, EXT. 224. Electrical Inspector WHITE File by address YELLOW file by number OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ,X ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR SPECIAL EQUIPMENT (LIST BELOW) DATE NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. ZS DATE y /7/ Z- OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: SINGLE PHASE THREE PHASE SERVICE SIZE AMPS ENGR CHANGE SERVICE WIRE OTHER r2 Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall Site Address: Permit /Receipt No. Js 6 z Installer: r Q_ D. /0 W READY FOR 17 WILL CALL FOR INSPECTION INSPECTION Installed By: 7 4 3,_ fr,A rrc✓"�� trr<aW' (/v�i��' It An £4,1 1 License Number: Phone: Owner /Business: T P f Phone: ACA-47-C-0 Owner /Business Address: Sq. Ft. Site Address: //3 /0 w, Permit /Receipt No. Js 6 z Installer: r Q_ New Meters Date 4 /7/0% L trr<aW' (/v�i��' It An £4,1 1 RESIDENTIAL 'V) COMMERCIAL BASEBOARD KW FURNACE KW C FAN /WALL KW HEAT PUMP KW SIGN Details /Description: A W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: O.K. NOT O.K. 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 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 Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /190 tool WHITE File by address YELLOW file by number PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. Electrical Inspector CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR X SPECIAL EQUIPMENT (LIST BELOW) k( s(' &/S PERMIT NO. DATE rAi7AL S4 OVERHEAD SERVICE UNDERGR,OUN S ICE VOLTAGE: /e2.0 0 2 N V SINGLE PHA E THREE PHASE SERVICE SIZE o�20 AMPS Permit Fee Site Address: 4 D READY FOR WILL CALL FOR INSPECTION INSPECTION ,i .Are Phone: Owner /Business: i a Phone: Owner /Business Address: Sq. Ft. Residential Heat KW Baseboard Furnace /Boiler Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) W.S. No Service Size TA Inspector OLYMPIC PRINTERS, INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT roc SD 17 4)p /057"; A PERMIT NO 79 DATE 1/ 02 ,P4P D New Construction Overhead Remodel Underground Service update /alter /repair Voltage 1 0 3.0 Add /alter circuits Service size Amps Auxiliary power Temporary (list below) Special equipment (list below) Details /Description Date Hold for: Easement Letter Capacity: O.K. Not O.K. Comments Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service Final O.K. Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Site Addres 14-; tevige Gee Installer: l i,Y44.l 44 Q Permit /Receipt No. 77/ New Meters O ark 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. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Amount paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0 0 SERVICE 0 FINAL CORRECTIONS NEEDED: am ELECTRICAL INSPECTION WIRING REPORT 457 -0411 Ext. 158 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 'RINTERS, INC. 12061452.1351 Site Address: j FOR [kecNILL CALL FOR NJ INSPECTION INSPECTION Installed By: License Number: Phone: Owner /Business: f mzm 04) f c 7 Phone: Owner /Business Address: Sq. Ft. OF PORT ANC U \N Q TY LIG IG" Residential Heat KW Baseboard Furnace /Boiler Heatpump Other fK'Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT New Construction Remodel Service update /alter /repair Add /alter circuits Auxiliary power (list below) Special equipment (list below) Details /Description W.S. No Service Capacity: O.K. Not O.K. Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service Final O.K. lS c_.. _.AIW PERMIT NO /74;2 9 DATE 6// /O Overhead Underground Voltage 10 30 Service size Amps Temporary Size Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending /0/ Site Address: Installer:_ n Permit /Receipt No. /7a New Me ers Date: Notify the Department of City Light by Street Address and Permi 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 In ctor in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. Inspector NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Amount paid WHITE ile by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. TOTAL FEE C S 3 t CONT. LIC. NO. 1 Y TIMETO COMPLETE NO. STORIES i LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 1 0 OR 30 FEE USE OF CIRCUIT NUMBER CI RCUITS AMP PER CIA 120V 10 240V 1 0 OR 30 FEE 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 FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCU REAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB -TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Scr IL *tits- urn) roe 7wrs CITY OF PORT ANGELES FEE RECEIPT NUMBER pI;R.NYLT DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT_ i l iTi HwV O.I'Ai CORRECT ADDRESS '.IS RES ONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner 1 No I ¢t Installation By Eke- +rv. Se r n( v lct- Tin v Owner's Address I31__ Hwy (0'1 W Installers Address 11 (a 9 m U� -E4tan it' Day Phone 7— led I.3 1 Installers Phone- 45 -(o424 Application is hereby made for Permit to install Electrical Equipment as follows C 6 n 0 n7 I 1 ±-1-, 1 c t q Site Address Wiring Method 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. �y _I� 19 V' By i Lt41 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. DIRE /F OST LIGHT Date Application made Date Permit Issued WARNING OLYMPIC PRINTERS, INC. ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT.; S /iZ WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report 60 7' PERMIT NUMBER By PLANSAPPROV D 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER DATE OF VISIT MADE BY REMARKS S Ir 5 /(6 ilkh E ltd 4a1Cs Qbit g M‘� 1 L Nair j urT £o u,,,,.. ti+� P1Y7v 2 q15/6 /I I 1( VVV O.K. FOR COVERING Otl&FE OOUNECLGiAVtee' 'rINALO K REPORT OF INSPECTOR 1 TOTAL FEE I 00 `IIIJJJ AMP PER CIA 120V 10 '(,�/�'f /s� e CONT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIA 120V 10 240V 1 0 OR 3 0 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 1 0 O 30 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVI NIENCE MOTOR APPLb NCE MOTOR DISHV1 ASHER FIRE ALARMS DISPO3AL BURGLAR ALARM RANGE: MISC. OVEN WATEF HEATER LAWN( RY DRYEF REINSTALLATION LIGHT FIXTURE N FURNI CE GAS- )IL SUB TOTAL FEE ENERGY FEE FURNFCE ELECT 3IC BASIC FEE ELECT 3IC HEAT TOTAL FEE ELECT 31C HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. U ,IT FEEDE 3 SIZE OF SERVICE ENTRANCE CONDUCTORS SERVIC E A.W.G. SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH FEE P ECEIPT NUMBER ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,4c Site Address 137 /0/ GOES% rr CORREC ADDR I RESPONSIBILITY OF APPLICAN PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner FAte A IN CSC Owner's Address Day Phoie Applicat'on is hereby made for Permit to install Electrical Equipment as follows' EINS4Y}(( /u/K 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 Date Pe mit Issued WA INING OI VMPIC 'RINTFRS. INC.. Ati IRA) `c fr CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT Installation By Installers Address Installers Phone ,19 By PLANS APP VED By fit Wiring Method WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report A 6 79 PERMIT NUMBER ,O C Y4vba? p fCFc tic QE. o 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. DIA CTORMF 0(TM LIGHT N otify 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER DATE OF VISIT MADE SY REMARKS S Q Sb CO NoV sIAtin f /Df r,,,-, O(J/`. .I bv44 /0 baijs. 0PELLL.O K :-l4 -f S. MCI 'tau L cliiifrC fup ()Aid DAL,,,i o kt smict -4e,,, w a- a-/( At-plt --&J S5 at o44 5 EP -(c4. (I Y (r6Y U PPP O.K. FOR COVERING I` �1 REPORT OF INSPECTOR CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST Date l0 Cr °C Location of Work to be inspected f I� W 7 5� f C I Name of person requesting inspection Ike PI let E Address of person requesting inspection £or p ywra 17 F a Phone No `en -4.R Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth INSPECTION NOTES Inspected Date /0 ..Ot Time LSO r' frt B I C ct vt Remarks Q e/Jlace 3 /d" Colorer her v.ct w,t�. PE.. 'Tr c.K t�ua .,y..0 v�ete r t RESTORATION REQUIRED YES NO /tot ot)L1 Time 7 A t't'A acir (Continue on reverse side if necessary) Iq5 Received by Dal h s E (phone, person S" A -c 4 creep SURFACE RESTORATION Z mee:r meter b�K SURFACE TYPE Unimproved ❑Gravel VAsphalt PCC Other E] Repaired by City Work Order 30 3 qt 0 7 3 y� Repaired by Permittee COMPLETE 2 1 No Damage Found INCOMPLETE J 0 ta+er 3 34-rq -1 STREET SUPERINTENDENT (DATE) 12/01/2005 19:56 4579270 Job faired by Electrical contractor nomc S ilrJ� C iccit .F Purchase s mailing address FtElectrical Contractor Owner License number Date Expires lvt r ise t s.7_5 q City •fate ZIP Pon+ 4nye lag 4>A- G Telephone number FAX number 457 9‘;-70 Aine� Premises owner's name t tvOd. Mkt r Address Inspection Wily A/2 City L INN 4 ie /es 4 Phone number to schedule inspection: l/" Owner as defined by RCW.19.2N.261:(1) Owner will occupy the stracuke for two vears after this electrical pern Lt finalized. (2) Owner is required to hire alt electrical contractor If above said property is for sale. rem or lease. After reading the above statement, I hereby certify that I am the owner tithe above named property or a licensed electrical contnictOr. I am making the clect, instal- lation or alteration in compliance with the electrical laws, N.Q.C., RCW. Chapter 19.28, WAC, Chapter 296-46B, The City of Port Angeles Municipal Code. and Utility Specifications. /Signntor ,r owner. electrical o tractor or electrical administrator X, Date: _D 2.295 inspection Date nee Clair THERM 3W, DITCH SIMPSON ELECTRIC /Age. Ele;trica Load Ad and or a actions NO LOAD CHANGES Baseboard KW Furnace KW Overhead Service Heal Pump Ton LAR Temp Service Fan -Wall KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 ELECTRICAL WORK PERMIT APPLICATION) Installation description 1t7 Commercial Residential 0 New 91 Altered /AddltIon az. j 0eMt zistoe Cash Check it Credit Card Card Expiration Date of card App,val ay unto Dnic Mastercard Discover Voltage Phase 1 3 Service Size: Feeder Size. SERVICE FEEDER Approve( ey AOernved ny PAGE 01 Inspection the Service Information Area, Building or Equipment Inspected Action Taken Electrical Inspector W-9019 7 -16 -203 10:55AM FROM ANGELES ELECTRIC INC 360 d52 9265 DESCRIPTION OF THE ELECTRICAL PROJECT: pr- 7((S/0 3 The Elec:nical Pennil Application must be filled oUt completely. e type or reprint in ink, If you nave any questions, please call (36o. 4174735 Fax number: (36() 417 -4711 REQUEST INSPECTION Ownei Agenk _Ablf;ELES FLEC'rRT r 1 N('_ Phone -9764 rat 4 S2 -97ES Propeny'Ow r F0444n11.1t TEmI b PISINCI MART Aach e s s 41371 W rtt 101 City M Electrical Conlraclor: ANGELES ELECTRIC INC_ ANGEL1.146ORS License t Exp Address: 524 EAST FIRST Cily PORT ANGELES, WA INSTALLATION WIRED BY:. Li OWNER Rii,ELECTRICAL CONTRACTOR Credit Card Holder Name: Ted Ci-mrico 1 Credi Card Holder's Signature: Owner or Elec. Cont. Signature: 4135. 30 Phone Electrical Heat Load Additions w Service Information O Baseboard KW Voltage: D Heat Pump KW t Overhead Service Phase: rT 1 n a D Fan-Wall 0 Temp Service Service Size: —KW 1 U'Underground Service Feeder Size: P. 1 I r nib I 1),Ir Artu"fr or It 687 Phone 457.-q764 Zip 98362 Billing Address: 5d9 E Ji `'r City: PoeT AWJ6Ul of RI362- Exp y VISA. MC: 4_ Credit Card Number PROJECT ADDRESS: 137 w 1-4k).. t 1 ll V I TYPE OF WORK: Check all that apply: New o Residental 0 Multi-family .Commercial M..il- Horne °4 Ft O Remote Meter Delached garage Hot Tub Swi .•..l. 0 Septic Pump 0 Low Voltage 0 Telecom. ❑Sign Number of Circuits added or altered: RAMC 14,05.060(8): For industrial, Sommer e" I residential projects larger than a duplex, a one line drawing of the Electrical Service Feeders, building size (sq. 11.), load calcJlation and the type of conductors and /or raceway Is required and shall accompany the Electrical Permit application. hereby certify that 1 have read an examined this application and know that same to be true and correct, and I am authorized to apply for this permit l understand it is not the City's legal responsibility to determine what permits are required; it remains the appl' ants responsibility to determine what permits are required and to obtain such. 35,3 rA CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03- 00000687 Date 7/18/03 Property Address 1137 W HWY 101 ASSESSOR PARCEL NUMBER: 06-30-08-5-8- 2010 -0000- Application description ELECTRICAL ONLY Subdivision Name Property Zoning Application valuation 0 Owner DULAI PAL SINGH 1137 HWY 101 W PORT ANGELES WA 98363 Contractor ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452 -9264 Permit ELECTRICAL SIGN PERMITS Additional desc Sub Contractor ANGELES ELECTRIC Permit Fee 35.30 Plan Check Fee Issue Date 7/18/03 Valuation Expiration Date 1/15/04 Qty Unit Charge Per Extension 1.00 35.3000 ECH EL -COMM -1ST SIGN 35.30 Fee summary Charged Paid Credited Due Permit Fee Total 35.30 35.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.30 35.30 .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 permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner Of owner is builder) Date T: \PLANNING \FORMS\ 1102.15 [4/2002) WA 98362 .00 0 ELECTRICAL PERMIT 1137 WHWY1O1 12 -1358 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN f o /i /(2— AF VVVV ��1 ��1�) FINAL b' (1 11 2_ ‘ti./ ‘ti./ 7"" _,1C""" COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 5 circuits for cooler lighting Owner DULAI PAL SINGH 1137 HWY 101 W PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 98363 Fee summary Charged 94.00 10/15/12 4/13/13 94.00 .00 94.00 12- 00001358 291016 1137 W HWY 101 06-30-08-5-8- 2010 -0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor ELECTRICAL ALTER COMMERCIAL Qty Unit Charge Per 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 4.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 94.00 .00 94.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 10/15/12 ENERGY MANAGEMENT SERVICES INC 15008 35TH AVE W STE C LYNNWOOD WA 98087 (425) 741 -3526 .00 0 Extension 74.00 20.00 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING O 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: 0/1>_/1.1- Plan Review May Be Re Job Address: Building Square Footage: Description of above Owner formatIon Name: �krv..ptn.+ I� S�Q�I Mallin Addres City: Phone License Exp. State: U aye A 2 ip' Item Service/Feeder 200 Amp. Service /Feeder 201400 Amp. Service/Feeder 401 -600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch ClrcultW /0 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service! Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy- Multi Family Signal Circuit/ Limited Energy First 1500 sf— Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 For each additional T -Stat Multi-Family or Commercial* 'red, Please C piete Oeotric Plan Review Information Sheet Unit Charge 132.00 160.00 225.00 288.00 410.00 5.00 74.00 5.00 86.00 102.00 121.00 164.00 185.00 96.00 88.00 64.00 96.00 113.00 56.00 Dated: 1.0/11/01.1... Contra Name; Mai0n City: Phon License ocT 1 2 2O1' ELECTRICAL INSPECTIONS or Information 01101/2012 9tjC Total (Qtv Multiplied by Unit Chargel pu /7� 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 properly 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: 0 cub 0 check 0 Credit Card Se Rook 1.6. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST Date D S RESTORATION REQUIRED YES NO SURFACE RESTORATION cke ocir (Continue on reverse side if necessary) Time Repaired by City Repaired by Permittee El No Damage Found 7 A Kik Its Received by De-k .5 t (phone, person) Location of Work to be inspected /137 0 Name of person requesting inspection De K r S E Address of person requesting inspection (-v.— F 'cti✓cL 1 7 i Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth g" A_c L peep COMPLETE INCOMPLETE Phone No qf -q.}3 INSPECTION NOTES Inspected Date v7 Time 1 0 P i'"t By 0 -K C Remarks IQ f lare 3 /y Cotp 1 R 4'r c .ti tea.. 0-t r Z mea,r v�eter D SURFACE TYPE 1 I Unimproved Gravel Asphalt PCC Other Work Order S a 3 `t 0/ 3 1 -2 g V- 2Y (11 0//1/ /0er 3 3 q-,a f STREET SUPERINTENDENT (DATE) ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . . , 15 00001612 Date 12/24/15 Application pin number , . , 8Q6724 Property Address . , , , 1137 W HWY 101 ASSESSOR PARCEL NUM5ZR: 06 -30 -DB 5- 8 -2D10 000D- AppliCation type description ELECTRICAL ONLY Subdivision Name , , , , , Property Use Property Zoning . , . . . . COMMUNITY SHOPPING DISTR Application valuation . . , . 0 Application dose Ceiling outlet reader board Owner Contractor RESULTS: DULAI PAL SINGH DITCH SIMPSON RLTCTRIC 1137 HWY 101 W 243036 w HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 957 -9270 Permit , . , . . , ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86100 Plan Check Fee 00 Issue Date 12/24/15 Valuation 0 Expiration Date 6/21/16 Qty Unit Charge Per Extension .BASE FEE 86,00 Fee summary -- --- -- - - Charged Paid -- -- - - --- Credited --- - --- - Due ---- - - -- Permit Fee Total - ---- --- 86 00 86.00 -- - -- ---- DO - -- - -- 00 Plan Check Total 00 .00 .00 .00 Grand Total 86,00 86.00 'Co DU 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 Dater GIEXCHANGETUILDING 9 4 CrIT OF PORT ANGEUS PERMIT APPLICATION Building AivisionlElmtrical 11nspeeSons 321 East l~'iifitlr ;a net- -.P.O. Box 1150 /]Port AlnVks Washington, 98362 Pb: (360) 417 -4735 Fax: (360) 417-4711 Dater Plan review May Be Required, Job Address: 6ulcrmg Square Footage: pesalption of above 7X Muld- Family or Cornitl emlal* Owner lnfbtMation "(- 6 C..� Name: rt n Malang Address; 1, Zhc tl City: A /i-r _ State: ,. zip: Phonw, Faoc License #lF�ep. — —. - - - - -� -„ Kern Unit Chase Servibpffeeder200 Amp, $132.00 SenricWFeader,201400 Amp. $160.00 $er AceJFeeder 401 -600 Amp $ 2250 SerVWFeeder6t MMO Amp. $ 288.00 ServlcelFeederover 1000 Amp_ $ 410.00 9ranch OravO W1 Service Feeder $ 5100 Branch Circuit W10 Service Felder $ 74.00 Each Additional Brandt Cirarit $ 5.00 Smnch ararlis 1.4 $ 86.00 Temp. Servica! F*ar 200 Amp. $102.00 Temp. Sarvim/reeder 201-400 Amp, $121.00 Temp. ServlcelFeeder401.600 Amp. $164.00 Temp. Servioe/FFwdear 601.1000 Amp _ $185.60 Portal tD Portal hourly $ 98.00 Si WUulllrte Ughling $ 88.00 Sigrel arcu ! Limited Energy-- Mul4- Farmly $ 54.00 Signal Ctrsuld Limited Energy ! First 1500 sf— Commercial $ 96,00 Note: $5.00 for each addilknol 15000 Renewable Electrical Energy - 5KllA System or less $113.00 Ttt "astat $ 56100 Note; $S.ODtor each addlfsonal T-5tat - Plan Review IrrIbrmatibn $]teat Contractor I rmatiap_ n Nand: 2 t!�G. %1 �� t✓ Nh iling Ad4re9s: U Phone: a1 flu tailed by unit Charla®l S 0 $ $ ,T $ F6 ° Total Owner as defined by 8=19.28261: (1) CvrrlervAll occupy the structure Tor two years after this eiec6ical permit is finalized. (2) Owner is required to hire an electrical contractor It ahmre said property is for sale, vent or Ime, Permit expires after six morphs of last Inspectio i. After reading the above statement, I hereby certify that I am the owner of the above named propedy or a licensed electrical a lutist m. I am mafdrtg the electrical installation or alteration In compliance with the electrical laws, N.E.C., RCW, Chapter 19,28, WAC Chapter 296.4613, The City of Port Angeles Municipal Cade, and Utility Speci ic;atiuns and PAMC 14.05.050 regarding Electrical Permit Applications. Sign owner, electrical cq r or electrical administrator: C] camh © Clock ELECT/MAL PERMIT 7 CITY OF PORT ANGELES tb 360-417-4735 A Application Number 16-00000968 Date 6/29/16 Application pin number . . 899224 Property Address 1137 W HWY 101 ASSESSOR PARCEL NUMBER: 06-30-08-5-8-2010-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . 0 Application desc Lighting retrofit Owner Contractor 1137 W HIGHWAY 101 LLC WILSON ELECTRICAL ENT INC 1137 W HWY 101 1419 ARNOLD ST PORT ANGELES WA 98362 ABERDEEN WA 98520 (360) 590-4300 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . 1-4 CIRCUITS Permit Fee . . . 86.00 Plan Check Fee . .00 Issue Date 6/29/16 Valuation . . . 0 Expiration Date . . 12/26/16 Qty Unit Charge Per Extension ' BASE FEE 86.00 Fee summary Charged Paid ,Ciedited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00. - .00 . ; .00 - " .00 • Grand Total 86.00 86.00 .00 .00 • , . • • • • INSPECTION TYPEDATE: RESULTS: INSPECTOR • DITCH SI3RVICE r - ROUGH-1N 7/045k 4:ke _ 4 FINAL sofvf COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGSBUILDTNO CITY OF PORT ANGELES PERMIT APPLICATION4444 .'4 ''. 4 Bonding Divts�IEIe trip 1 Iaipecdsbas ,' + '" : 32l East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 *,-, PI:(360)417-4735 Fax (360)417-4711 , ‘,� , Plate'___44924110 _111810,faintly or Coalm _ *Plan Review May Be Required,Please Complete Eledrical Plan Review Information Sheet Job Address N c.�V !a l Deaa>pG n Sgtialeof abovh� , Owner I - _ information Name: !,' ♦' !kr/PM / 4111 far.ii &S!--14 A e 014-1 (• biettr II P fl dd 2+f t - .4. I. Mabig ,��:...• ■f!P.M I .6 �' Maig Addrhbss: f City /p Ai lika.t../�1,� „is Z%r ys'ti 4..1. • i ' a SIate _ ,, r Phone: ... • . ..�.�r_. r License II/Exp. tkerna#(Exp. -.• •y. ' i1R- "4 17 tbrim ServicelFeatler 200 Amp. COYTotal(f v]MlttpClad by Unit Ct�aroel $ Service/Feeder 201-400 Amp_ $160.00 $ Service/Feeder 401.600 Anp $225.00 = Service/Feeder 601-1000 Amp- $288.00 $ ServicelFeeder over 1000 Amp. $410,00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit WINO Service Feeder $ 74.00 _ $ Each Addtronal Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86,00 $ g 4„tlo Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.ServicelFeeder401.600 Amp. $164.00 $ Temp.Senice/Feeder601-1000 Map. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Wilkie Lighting $ 88.00 $ SignalCircuit(LimitedEnemy—1h FartilY $ 64.00 $ Wei Omit/Limited Energy/Fist 1500 sf—Commercial $ 96.00 $ Notes $5.00 for each additional 1500 sf Renewable Eec4ical Energy-5KVA Sysbvm or Less $113.00 _ $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat SA• Total Owner as defined by RCW.1928261:(1)Owner vall occupy the structure for two}sears alter ibis electrical ical permit is firraked.(2)Omer is required to hire an electrical contractor if above said property is for sale,rentor lease.Permit expires after six months of last irispeclion. Atter reading the above staternent,I hereby certify that I am the owner of the above named property or a licensed elecirical contractor.i am making the electrical installation or afteraikin in compfiance with the electrical laws,REC.,RCW.Chapter 19.28.WAC.Chapter 296.468,The City of Port Angeles Municipal Code,and Unity Specifications and PAMC 14.05.050 regarding Electrical Permit Applcations. Signature of owner,electrical contractor or electrical administrator: 0 cash 0 `' X . anti if.28/- 10 JR/0411042 t..s©tel tO•CI,=i 0&c o LOt\Senelec.c1 cal 4.nts m r c..crn t 12b1-`0 3'r ELECTRICAL PERMIT ' CITY OF PORT ANGELES 4.. " ' ,.*7--:-4 -:'-',-,,,,, 360-417-41S5 z 4 Applieatioo�Number . . . 26-00001149 Date 0/03/16 Application pin number . . 18995 Property Address 1137 W HWY 101 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-08-5-8-2010-0000- excise type description ELECTRICAL ONLY on your tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . 0 - Application desc " New sign t :Owner Contractor 1137 W HIGHWAY 101 LLC PHOENIX SIGN COMPANY INC 101-1c106'.201 Po 1p$ 497 -; =.$ ,: Pt#RT'` G _ WA 983.62 ABM00qt1 WA 98520 (360):2'1111 Permit . . . ;;_r: . DiACTRICAL ALTER COMMERCI7# , Additional desC=' "__.. TIONAL SIGN Jgt+ermit Fee . . . . 133.00 Plan Check Fee . .00 oue Date - 8/03/16 Valuation . . . . 0 ation Date . . 1/30/17 ; Qty; Unit Charge Per " -` Extension 'OME FEE 45.00 ' 1.00 88.0000 ECH EL-COMM-SIgN _, .-- 88.00 - Fee Summary Charged -"Paid Cm+d ed Due SOMit Fee Total 133.00 133.00 .00 .00 ' .Plan Check Total - ~" 00 .00 .00 .06 't rand otaa 133.00 133.00 .00 .00 i INSPECTION TYPE DATE: RESULTS: INSPECTOR: • DITCH SERVICE ROOT-IN 3 -'71► —� FINAL " ,► ` � 7 COMMENTS: _ PERMIT WILL EXPIRE=(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date:" , G:IEXCHANGEIBUILDING i _ CITY OF PORT ANGELES PERMIT APPLICATION ��'��►- Building Division/Electrical Inspections - •. • 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 t. Ph:(360)417-4735 Fax: (360)417-4711 Date:S L'i- �lti-Family or Commercial* *Plan ReviewRequjred Please Complete Electrical Plan Review Information Sheet Job Address: t y lO l Building Square Foote p Description of above vv. S k(,4-h tAn Owner Information2Contractor Information Name: Ad � �►�V ,LLQ Name: Otis: t Stay. fit Mallin Address: 1► 1 Mallin Address: ►V r:jnh (,ax►t City yt-0 4 Atr�t,,t.tl State:yttta 3td Z City. State:tA zip:G227.b Phone. , Fax' Phone - Fax: L5 400241- 1 License#/Exp. License#/Exp.Pt4DeNSL123TE1 r Z.-1-lir Item Unit Charge qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $_ ServicelFeeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ • Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Oudine Lighting $ 88.00 /O $ 133 Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $ 133 Total Owner as defined by RCW.19.28.261:(1)Owner 41 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: 0 cash ❑ check 0 Credit card s X . Dated: g/2f 01/0112012 110 . , 1( ULU r 4114 Cxi PFJ m