HomeMy WebLinkAbout1033 W Lauridsen Blvd - BuildingPREPARED 12/06/06 10 03 31 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/06/06
ADDRESS 1033 W LAURIDSEN BLVD SUBDIV
TENANT NBA CLALLAM COUNTY PUB WRKS
CONTRACTOR PHONE
OWNER CLALLAM COUNTY PHONE
PARCEL 06 30 00 0 4 5480 0000
APPL NUMBER 06 00000609 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 12/06/06 JLL
BUILDING FINAL TIME 13 00
BILL 457 2067 THIS IS A FINAL I THINK AL SIGNED OFF
HOWEVER OWNER DOES NOT HAVE A COPY OF ELECTRICAL PERMIT
12/05/2006 11 05 AM PERMITS
COMMENTS AND NOTES
Application Number 06 00000609 Date 12/05/06
Application pin number 521899
Property Address 1033 W LAURIDSEN BLVD gt5 issue
TenantOR PARCEL NUMBER 06 30 00 0 4 5480 0000 r
Tenant nbr C name LALLAM COUNTY UNTY PUB WRKS O V�V
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 144000
Owner
CLALLAM COUNTY
PORT ANGELES
Construction Type
Occupancy Type
WA 98362
Permit BUILDING PERMIT COMMERCIAL
Additional desc FOR FINAL INSPECTION
Permit pin number 79889
Permit Fee 1266 65 Plan Check Fee 823 32
Issue Date 8/07/06 Valuation 144000
Expiration Date 2/03/07
Qty Unit Charge Per Extension
BASE FEE 1020 25
44 00 5 6000 THOU BL 100 001 500K (5 60 PER K) 246 40
Special Notes and Comments
Electrical load calculations and elctrical permits are
required
Fee summary
Permit Fee Total 1266 65 1266 65 00 00
Plan Check Total 823 32 823 32 00 00
Grand Total 2089 97 2089 97 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
T \Policies \1 102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
OWNER
Structure Information 000 000
TYPE V NON RATED
GARAGES CARPORTS SHEDS
Charged Paid Credited Due
ate
Signature of Owner (if owner is builder)
Date
I
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
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 ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
SHOWER PAN
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BA R
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL FLOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT /i's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
417 -4807 I
FIRE
PLANNING DEPT 417 -4750
BUILDING 417 -4815
417 -4653
BUILDING PERMIT INSPECTION RECORD
T \Policies \I 102_I5 building permit inspection record05.wpd [1/4/2005]
YES I NO
FINAL DATE ACCEPTED BY.
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS 'REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE I ACCEPTED
I YES I NO
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CLALLAM COUNTY
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001223
789861
1033 W LAURIDSEN BLVD
06 30 00 0 4 5480 0000
ELECTRICAL ONLY
UNKNOWN
0
Contractor
OWNER
ELECTRICAL ALTER COMMERCIAL
OWNER/ 1 5 CIRCUITS
90464
61 30
11/14/96
5/13/07
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS
Charged Paid Credited
61 30 61 30 00
00 00 00
61 30 61 30 00
L
Date 11/14/06
Extension
61 30
Due
00
00
00
00
0
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 COMMENTS
YES I NO
ELECTRICAL PERMIT INSPECTION RECORD
DITC}1 I I I
ROUGH -IN COVEk I I I
SERVICE I I I
FINAL I -J -i7 I t /I
GENERAL COMMENTS:
I I I
I I I
I I I
I I I
pw -I 1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CLALLAM COUNTY
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00 42 2000
1 00 11 4000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
Per
53 60
00
53 60
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001023
982127
1033 W LAURIDSEN BLVD
06 30 00 0 4 5480 0000
ELECTRICAL ONLY
UNKNOWN
0
EL -LOW VOLT
EL -LOW VOLT
Paid
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
ELECTRICAL NEW COMMERICAL
ANGELES EL FA SYSTEM
87148
ANGELES ELECTRIC
53 60 Plan Check Fee
9/26%06 Valuation
3/25/07
53 60
00
53 60
SYS
SYS
=2500 SQFT
>2500 SQFT
Credited
00
00
00
a. C_,eck.Ee
Date 9/26/06
WA 98362
Due
00
00
00
00
0
Extension
42 20
11 40
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 COMMENTS
YES I NO
DITCI} I I
ROUGH-IN COVER I I
SERVICE I I
FINAL
GENERAL COMMENTS:
PW- 1102.15I4/96]
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CLALLAM COUNTY
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
COMMENTS/ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
ELECTRICAL ALTER
ANGELES ELECTRIC/
87130
ANGELES ELECTRIC
78 70
9/26/06
3/25/07
06 00001022
898078
1033 W LAURIDSEN BLVD
06 30 00 0 4 5480 0000
ELECTRICAL ONLY
UNKNOWN
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
COMMERCIAL
100A PNL +CIR
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 78 7000 ECH EL -COM ALT 0 200 SRV FDR
Charged Paid Credited
78 70 78 70 00
00 00 00
78 70 78 70 00
{I.
tit. it
Date 9/26/06
WA 98362
Due
Extension
78 70
00
00
00
0 0
0
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 COMMENTS
YES I NO
DITCI-1 I I I
ROUGH -IN COVEk I I I
SERVIC, I I I
FINAL I Y-Le L
GENERAL COMMENTS:
I I I
I I I
I I
I I I
PW -I 102.15 R961
Application Number 06 00000609 Date 9/11/06
Application pin number 521899
Property Address 1033 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER 06 30 00 0 4 5480 0000
Tenant nbr name CLALLAM COUNTY PUB WRKS
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 144000
Owner
CLALLAM COUNTY
PORT ANGELES
Construction Type
Occupancy Type
WA 98362
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 FAST 5TH STREET PORT ANGELES. WA 98362
Contractor
OWNER
Structure Information 000 000
TYPE V NON RATED
GARAGES CARPORTS SHEDS
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc ANGELES COMM VOICE DATA
Permit pin number 86181
Sub Contractor ANGELES COMMUNICATIONS INC
Permit Fee 65 00 Plan Check Fee
Issue Date 9/11/06 Valuation
Expiration Date 3/10/07
Qty Unit Charge Per Extension
1 00 42 2000 EL LOW VOLT SYS =2500 SQFT 42 20
2 00 11 4000 EL -LOW VOLT SYS >2500 SQFT 22 80
Special Notes and Comments
Electrical load calculations and elctrical permits are
required
Fee summary
COMMENTS /ACTION NEEDED
Charged Paid Credited Due
Permit Fee Total 65 00 65 00 00 00
Plan Check Total 00 00 00 00
Grand Total 65 00 65 00 00 00
o
00
0
GENERAL COMMENTS:
L
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 COMMENTS
YES I NO
DITCH I I
ROUGH -IN COVEk I I
SERVICE I I
ELECTRICAL PERMIT INSPECTION RECORD
FINAL I (1- L at, I--1
PW- 11 02.151 1
Application Number 06 00000609 Date 8/07/06
Application pin number 521899
Property Address 1033 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER 06 30 00 0 4 5480 0000
Tenant nbr name CLALLAM COUNTY PUB WRKS
Application type description COMM REMODEL
Subdivision Name /]C o
Property Use
Property Zoning UNKNOWN
144000 /OA' A Application valuation
Owner Contractor (Q
CLALLAM COUNTY OWNER
PORT ANGELES WA 98362
Construction Type
Occupancy Type
Qty Unit Charge Per
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T-\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Structure Information 000 000
TYPE V NON RATED
GARAGES CARPORTS SHEDS
Permit BUILDING PERMIT COMMERCIAL
Additional desc
Permit pin number 79889
Permit Fee 1266 65 Plan Check Fee 823 32
Issue Date 8/07/06 Valuation 144000
Expiration Date 2/03/07
BASE FEE
44 00 5 6000 THOU BL -100 001 500K (5 60 PER K)
Special Notes and Comments
Electrical load calculations and elctrical permits are
required
Charged Paid Credited
Due
1266 65 1266 65 00 00
823 32 823 32 00 00
2089 97 2089 97 00 00
Extension
1020 25
246 40
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 orwork 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 ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constructi
a\ L,
Sign re of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
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 ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS 1
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
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
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
FINAL DATE ACCEPTED BY.
W
ti
YES I NO
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 4653 I I I I FIRE DEPT I I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I
BUILDING 417 -4815 I 1 7i` /�iL/ I I BUILDING
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
PLANNING USE ONLY
T \FORMS\BIdgPetxnitfotm.wpd Applicant
BUILDING PERMIT APPLICATION
Fill out COMPLETED and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions. call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: C.Z4L 4w" a0,4/9Y 8 c c tAidzlsc 6 AZ i2J< ii Phone: rUl.4c iY
n -ls�o
Owner e�4IL eDuti�Y P03C+c. £f/ Phone. 417 -2 3 76
Address: 223 /14S1 ,`f �F .S1uz- City 6 n2 r 4r cS Zip 9836 2-
Architect/Engineer ?1.)JtG sf �SSoc, 7 Phone. -N 7- C1S c) I
Contractor a1 f:rur,,,A1 State License Exp Phone:
Address: City Zip
PROJECT ADDRESS Jr S 1J tid 41154,0 /gQ 0 c' ZONING
LEGAL DESCRIPTION Lot: Block. A 04 64-65 ys Su division.
CLALLAM COUNTY PARCEL NUMBER. (V-13 n Qor) Srx N
TYPE OF WORK. STZF/VALUATION
Residential New Constr Re -roof Stove 5 SF _26 /SF yy ,e)ov
lti- family Addition Move Garage SF /SF
'Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION /W, OD 0
BRIEF Q L4 /I-LAC DESCRIPTION OF THE PROJECT 4 /.577, t.)4 -Ti,�k, .59z 2 ¢Gf 5*( .44u 44(4. fay A2i,
C 14i cf4L, IC�f•'r Aet %.9..J d Sf-*..GT., 4 NACU 7i &ccr- .it-Q4 c sp,...,,
Pc P �j /h 6lc /-1 h-
.S�JG'(J�VIC A� Q /t P
COMMERCIAL/RESIDENTIAL. Occupancy Group I Occupant Load. I Z Construction Type 1/- j
No. of Stones: I Lot Size: j; 2.04 Existing Sq. Ft. F'7 o Proposed Sq Ft. TOTAL Sq Ft. 574 c)
Total lot coverage IS
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION hi 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 -4315 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 If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my respo si f/ity to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
Date: VW()
r
FOR OFF.ICIA
Dat.. Rec.:
Permit
Dat. Appro »ed
Date Issued.
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
.~
'-ii....i' I
I
ELECTRIC~L PERMIT Issued: 6/11/98 Permit No: 6337
oWNER/ApJ)LICANT------~-----------------PROPERTY LOCATION------------------------
CLALLM1 CO ROAD DEPT 1033 LAURIDSEN BLVD W
1033 W LAURIDSEN BLVD Lot: 1-5/16-20
Port A~geles, WA 98362 Block: 454 Long Legal:
360/411-2000 Sub: TPA
T: BLDG. 202 S: Parc No:
CONTRACT~R-----------------------~-----DESIGNER------------------~------n"T-----
OWNER i
VARIOU~
Port Amgeles, WA 99360 ,
206/000-0000 OOO/OOO~OOOO
PROJECT tNFO--------------------------------------------------------------------
prj T~'pe: COML. MISC. prj Value: $0.00
Occ T'pe: Cnstr Type: ADD CIRCUITS
Oce "rp: Occ Load: Land Use: LI
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANGELES. WA 98]62
Electrlcal Heat
Baq;eboard KW:
Furnace KW:
He~lt Pump KW:
Fa(l/Wall KW:
Service Type
o Riser
o Overhead Service
o Underground Service
o Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PR~i~iTLr~~~s;~~;~;;~-~~~-~~;-~~~;;;~~~;-~~;~~~;-~~-;;~~;-~;~~~;---------------
BLDG. ~02
I
I
PROJECT fEES ASSESSMENT-------------~--------------------------~----------------
, Service: $0.00
Ad?itional Feeders: $0.00
, circuit Wiring: $52.00
t Temp Service: $0.00
Misc : $0.00
==== ============================
TOTAL FEE: $52.00
TOTAL FEE:
Amount Paid:
$52.00
$52.00
Balance Due:
$0.00
COMMErTS/ACTION NEEDED
,
,
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER,
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 ACCEl'TEll COMMENTS
r YES INO
IHlIIGH-1N I COVER
]g!VICE .
, ,
F.INAI 1'7B~/QYI 7fIK'-< I .
GENERAL COMMENTS:
PW.II02.I~(4'96]
.~'~
.~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98162
ELECTRICtL PERMIT _ Issued: 2/05/98 Permit No: 6217
OW~~~{~~L~~A~;~~-~;;;---------------__PROP~~~; L~~t~ig~;~-;~~~-;---------------
1033 W LAURIDSEN BLVD Lot: 1-5/16-20
Port Argeles, WA 98362 Block: 454 Long Legal:
360/41'-2000 Sub: TPA
T: S: Parco No:
CONTRACT R-----------------------------DESIGNER-------------____________________
OWNER
VARIOU'
Port Argeles, WA 99360
206/00(-0000 000/000-0000
PROJECT JNFO---------------------_______________________________________________
prj T)pe: COML.REMODEL prj Value: $0.00
Occ T}' pe: Cnstr Type: ADD CIRCUITS
Occ Crp: Occ Load: Land Use: LI
Electrjcal Heat
Ba~eboard KW:
Furnace KW:
He-t Pump KW:
Far/Wall KW:
Service Type
o Riser
o Overhead Service
o X Underground Service
o Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
-1
o
-3
o AMPS
o AMPS
PROJECT OTES---------------------______________________________________________
BUILD ND WIRE NEW OFFICE LOCATED IN PARTS AREA OF MAIN SHOP BLDG.
NO ADDED HEAT LOAD
PROJECT FEES ASSESSMENT-------------___________________________________~________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $52.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$52.00
$0.00
----- ---------------------------
----- ---------------------------
--------------------------
TOTAL FEE:
$52.00
Balance Due:
$52.00
COMMUHS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. n" IS UNLA WFUL TO COJlER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEP'rED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
ACCEPTIW
nslNO
COMMENTS
KUUUH-IN7I'
:ShKVICh
-- /
z/l)/lf8 l""v-,
'" /
I L./"/9K I
-.-
~ A.Jl~ ~~
GENERAL COMMENTS:
PW.I 101.15 14"961
Site' Address:
I
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. '$~ '?i
S //7 /"l/
. , .
DATE
Insi, lied BY:-:p-u.
Ow er/Business:
D READY FOR
INSPECTION
License Number:
XWILL CALL FOR
INSPECTION
Phone:
Phone:
OWr er/Business Address:
Sq. Ft.
1
[) Residential
Heat KW
9 Baseboard D Furnace/Boiler
L; Heatpump D Other
C; Commercial/Industrial load jg[ Add/alter circuits
Total Connected load D Auxiliary power
(attach breakdown) (I ist below)
Total Motor load D Special equipment
(attach breakdown) (I ist below)
/~AZJ/
,
D New Construction
D Remodel
~ Service update/alter/repair
D Overhead
D Underground
Voltage
D 10 D 30
Service size
D Temporary
Amps
Detlj.llslDescription:
/
L!/~hh..l
,
-j
-j
. -I
-I
,
I
w.s.1 No. Service
Cap~city: D O.K. D Not O.K.
~fjJ ditch inspection O.K.
D ~ough.in/cover O.K.
D Q.K. to connect service
~ Fiinal O.K.
,
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
SiteiAddress:
~u.wt- 'I S DP
se/.:J
Permit/Receipt No.
New Meters
.
,
I
Not fy the Department of City Light by Street Address and Permil Number when ready lor inspection. Work
mu* not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e Inspector i 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 _~, 0 CJ
I spector Amount paid
WHItE - file b address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYM~IC PRINTERS, INC.
Site ddress:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
ed26t'3
Y~-ryCJ
'.
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
. INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Own r/Business:
Phone:
Owner/Business Address:
I
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
, Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
"'Xl; Remodel
(0 Service update/alter/repair
'Jd'"Add/alter circuits
fDAuxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
Amps
Det ils/Description:
.
l0
WtJI-
W.S.: No. Service
Cap city: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
feR ugh.in/cover O.K.
-:?'.AL. O.K. to connect service
V'~~F nal O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Inst Iler:
'k/
Permit/Receipt No.
~61'3
New Meters Date:
Site IAddress:
/() J
.
Notl'ly the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu~li not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e Inspe . Writing on the Wiring Report or the Building Permit. PHONE 457:~1, EXT. 15~ EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,!r c;;L 0 ...----
Inspector Amount paid
WHI E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OlYM C PRINTERS. INC.
/ 2~
, CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
,APPLICATION AND,ELECTRICAL PERMIT
A
7'3Cf
FEE A CEIPT NUMBER
PERMIT NUMBER
.
TO AL FEE
!0~
~ p.;,{lf~/r
,4AM.
CO NT. lie. NO. TIME TO COMPLETE
NO. STORIES'
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UND~A THIS PERMIT
Site Add, ess 1/)33 1/.), J-Ac.tIl,.IS/!'P I?lvd
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner e.fJt.L,e". D -r Installation By OWN e
Owner's ddress /033 W. L ..."./dSI!',v 'I?/vol. Installers Address
DayPho e ''is:J..-ryS7, I elCT 3u."/ Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows'
.
17: J 1/ 70 AJ'iA.J , (' U~0L e:. u t ( '),,\.41
JIIfw ~f/( 'S c 7l1H'1
~ ;/r,'f aG.. 4='ffDLA. ::...1
Wiring Method 4J1vpv, f "--
-
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE . USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT Ilfu II h l rI'i/2 . III )~ .po IV8i!sS A Ku I /. I '-fr,
OR L IlL.,
CONY NIENCE I .,,..L ~ -Ii fI-, 7 ~\<&Ut. /
CONY NIENCE MOTOR
APPlI NCE MOTOR
DISH'A SHER FIRE ALARMS
DISPQ AL BURGLAR ALARM
RANG MISC.
OVEN
WATEr HEATER
LAUN[ RY
DRYE' REINSTALLATION LIGHT FIXTURE #
fURNf CE SUB TOTAL FEE
GAS-l IL
FURNf CE ENERGY FEE
ELECl IC BASIC FEE
ElECl Ie HEAT
TOTAL FEE
ELECT Ie HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UI IT PHASE"
AMP
FEEDE SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVI E AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certif 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.
DateA plication made f/ul '''' , 19 BY,A'(!A,,/,iJ, A 9l::J
1 CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe mission is here,by given to do the above describ.ed work, according to the conditions hereon and according to the approveq,plans and
speclfi ..,,", '''''"". 'M~. ....oc, " ~"."."~ .", ... O"":~l ""l?f!!l~ "'"
Date Pe rmlt Issued f ( "lA> /16 ~CANS APPROV 0 c; y
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned of! before inspection and O.K. for covering or service has been given by Inspector in
RNING I Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
WA PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
. .
, / ./ A
12.. Ils/?! !/l.r O.K. FOR COVERING
I I / o.K-..fe"Ct1NNt;.l,,;1 ;:>l;.nvrCI!!
,
.
z
Cl
a:
<I:
:!:
~
J:
I-
Z
W
~.
l-
e
z
e
c
.
,
tf7t
FEE ~EIPT NUMBER
,
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000308
PERMIT NUMBER
.
, ..
J ,~ - "r'OMM,
If, (J,D , ~ L:-- "
, " I \
T~rAL FEE "
I I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
,
I
I
Site Address
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/03,'1 W. LAu.e..,dc,eiV ~/vd
CORRECT ADDRESS \5 RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner A/I' ',e Inslallation By tJw/JelZ.
Owner's ~ddress It) 33 {,/J. L/ltt~ ,dse-v ;5 /vd. Installers Address SAme..
DayPho~e. #,'::;,;;I.-79"l1 exT -3{p7 InstallersPhone' 5-4-me..
APPlicat~o.n is hereby made for Permit to install Electrical Equipmen! as follows:
WirJng Method
.:
, NUMBER AMP 240V NUMBER AMP . 120V . 24QV
USE:OF CIRCUIT PER 120V 10QR FEE USE OF CIRCUIT PER 100R FEE
, CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT' SIGN
.. 50 VOLTS
LIGHT: OR LESS
CONV~NIENCE MOTOR
CONV~NIENCE - MOTOR .
APPLl4NCE MOTOR
DISH~ ASHER FIRE ALARMS
DJSPO AL BURGLAR ALARM
RANG$ MISC.
OVEN
WATE~-HEATER
U\UN[ Ry
DRYEF REINSTALLATION LIGHT FIXTURE #
FURN CE - SUB TOTAL FEE
GAS- IL
FURN CE ENERGY FEE
ElEGl RIC ..
BASIC FEE
ELE~l1RIC HEAT TOTAL FEE Ih Ol!
ELEdRIC HEAT . SIZE OF SERVICE SWITCH OR CIRCUIT, BREAKER
A.C.U m AMP PHASE
FEEDEiR ...-- y- ft, tJ-<> SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVlf.E A.W.G.
~ I SUB-TOTAL If {, DO SIZE OF GROUND SIZE OF ENTRANCE SWITCH
-,
-.
,. .
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date A~Pli-cation made t' - '1 ',19 ct' ~.-., By c1 J"t /?~ I I
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Petmission is here~y given todo the above. described work, according to the conditions hereon and according to the approved plans and
specifi*ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.' '-l- .
: I ~' ,DIRECTOR Off'TY LIGHT
By df:~~
Date P~rmit Issued PLANS A OVED ' ,
16 ' ! - r- ~. ,.,," ~.."m."' " '''' u,,, ~ ,,_, M'...""",,,,, "mO..." _" ,.""..,"~. W~ mo" ""
be covered or current turned on before inspection and O,K. 10r covering or service has been given by lflspectorln
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158,
W~RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
I
WHITE. Original
CANARY. Duplicate
PINK. Triplicate
WHITE CARD. Inspector's Report
!
OLYMPIC PRINTEAS.INC
"
\.: :1
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
7/30 I~>, A f) l:: .fo ~ ~JIil,~n
1 I I
.
t::Z-75 1/1/ P O.K. FOR COVERING
O.K. TO CONNECT SERVICE
q-S-(r- 11/'.d' FINAl. O.K.
.
z
Cl
a:
<
::E
~
:J:
I-
Z
w
l-
.
I-
o
Z
o
c
.
,",
CIT~ OF PORT ANGELES
LIjaHT DEPARTMENT
"
ELECTRICAL PERMIT
N::
18367
s // ~/ 'g' c.;
Port Angeles. Washlngton.......n___.....L....n..................................... 19......__
/ /
In accordance with the City Ordinance to regulate the installation. extension, or repair ot elec-
trlcal equipment in, on. or about any building or other structure in the City ot Port Angeles. per-
mlpsion is hereby granted to do' electrical work as listed below.
Mdress /t2..3..:'J...&2...?.4f.-!.r..dLS.f;..'!d....:8.!.t,d......._____....__.... occupancy__..~~~...____............
Owner ..Cj,g./J1fbx)./0/.!.t!dV-.!.1t.iJ.b.c...!JJxLs. TenanL...~~2.~..._____.............__
WIring Contractor mje.LfJ."::"~'..-:=::.__...__n___ B~{fL'Z~fd:c;&~r:;;.:...___.....____
Ll$'ht Outlets..............................._.._....,
Re::ceptacle Outlets...._.__......__..__...........
Drier, KW...................._.................nn
Rn~lge, KW..h._...________mhn._
Wtlter Heater:
Service. volts .....___hun.m..._.................
No. wires ........................_______._____..
Size wlres...............hd..........n_..._..
Main fuse .........n.__...____._...__.....__....
Enclosure ____nnn_...................._.......
KW....________.......___..___........
Type of wiring:
Entrance Cable ..___.mmnm_....'......
Heal: KW._...................n...__.__.._n............n.
Mr:>tors: sIze, volts and phase:
Rigid Conduit .........................____..
Metallic Tubing .....m....____
Current transformers:
No. & SIze..__.._......_..........__..._____..__.
Ser. No........_.._____.................__...........,
Ser. No.__.._.___.____...............................
Ser. No. .......___._....................____._____...
Type of Wiring:
Armored Cable ..._.___________.._...._.____.
Non.Metalllc ............___.........._...____
Knob & Tube..................._..............
RIgid Conduit m.....................mm.
Metallic Tubing .._____________________....
Raceway ....._._....................__........._
Circuits, Light..............................__.......
Utlllty........_______.__..........___...........___
Heat .__..__.__._............._..h........._.._..
Range .......________________._______.._._...___._.
Water Heater ............________..._..._._.
Motor ........................._...................
Dryer_______...._.._................._..............._
Furnace .........................._.___............._.
Total l..oad.........____.___n.......... Ser. NO...____...........__._____n...............__ Total _....__.___............................
Rq,marks: ..--.--t2.f.!.~.'::;....---/.O---h..~~n__..n.---.---..h--...__...mm------h.h__.m__n---..m..__.....___m__n___m___
.u~._._uuuunn_un.....____nnnnn_uh___.d._.._nn_un_..n.n...nnn_nnuuu_n._nn___nnn_nn_._un_n__nn.huU...nn__n_n._n_hn.nnn_n
__.'________nnn_nu_h_n_________nnnn.u.h___._nn__u_nu.________u_n_-n_ununn__________unn_u_____..nnn_n_h_n______nnhuU.n_nnnnunnn
PlJrmlt Fee Treas. Receipt m ~
$..G1L.,!~q....m---n---. No..f22...2.~=.. By /p;;t2~~.d.A..-~{
NOTICE-Current must not be turned on until Certiflca.te of Inspection has been issued. If work~ to be con-
ce~led 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
N:: 1 8 3 6 7
ELECTRICAL PERMIT
J) .
A4dress Il)..3.J......w...:....0...(}....!......YI..!.4.!::!d.......6g,.r.::-:r1............D.te...Q~..::...!.::..?:.._..:::::..:.f.:>..S?.
Ojvner ..g.f...t--.f~..~"'_t..~6i"-.:..v.~-tJ..22tb....l..d~. Ten.nt...m___.......m___.._.........___...........___..........
WIrIng Contr.ctor.........0.{,L~~~.?.!.:I_..m___..............................--......................___.............. By....~<::.<4?6...---mm.m.m....
NOTIC~urrent 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.
1M OlympJc PrintarB, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17686
j_ / ')- ,v..:?..
Port Angeles, Washlngtonm.....__m.__m..............m__m.............m..m. 19._______
,
I 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 d6 electrical work as listed belo~. A
~ Y
Mdress ______h./~__.~__~___.?Y.m__~_I6,_~.~.. '. ccupancy.nnm.:l.~:_~_:.2_m__.._m________n
Owner __!:n':1:L!t,~;;(jdm___f{~!~:~:.':o::':.....nn... Tenant..__________n....m_______._______nnnnmmm...mmmmn__
(J-
Wiring Contractor .m.!.l-:-.~_-::__:,.g~.....=__nn___nnnnn_... By..nn......mm_m.m.__....__....n...nnn__m___m.....nn
Lfight Outlets........______...____________________...
Rltceptacle Outlets____...........................
Dr)'er, KW.....n...................................
R&lige, KW..........................
~~ater Heater:
KW.._________m________m__.m__
H~at: K W.......................................h..........
Motors: size, volts and phase:
/
{~~::i~:::~:.ki:;~::i)~
I
Service, volts ..h..__...............................
No. wIres .................n....................
Size wires...............h.................._..
Main fuse .h..h................................
Enclosure .........h..
Type of wIrIng:
Entrance Cable ........................
RigId ConduIt ............__.......
MetalUc Tubing .................
Current transformers:
No. & Size...............................
Ser. NO.......................................h__...
Ser. No..............................................
Ser. No. ..............h.............................
Type of Wiring:
Armored Cable ............................_
Non.MetalUc .................................
Knob & Tube................................~
RIgid Conduit .............________...____...
Metallic Tubing ..___......................
Raceway ......................._......_._..._
CIrcuits. Light.......................................
UtiUty ..................nh..........__...........
I'leat ......................................._.._..
Range ......................h....h...............
Water Heater ...............................
Motor .............................h.h...h......
Dryer..................................................
Furnace .........................'_...................
T~tal Lo;=l------:2ef L:.=------C~...~--~.--;{ ~d;hO;{T--....--.--.....--.--.......--
~~=.~.:t__:::~:::::::::::::::::::z:::::::::::::::?::::::::::::::::::::::::::~Z::;:~:.::;:~:=:::::::::=::::::::::::::::::::::::::::s::::::::::::::::::::::
/~t)-,-'P '-C---/7 /J...-ul--/,A---tt..([? I..~,--,,";r:;.,fc (~-",?"~<---,,,","e---<-..J
-;~:i;~~mh--.?i--m..7m..--~;~~~...~~~:~~..........m-h.mm~:-.....m3;~~;;:~;~V:--'~7-m-"'--;1h...m..
$.,.......!...:?..<2.mm.m...... NO......m.m_...........m. By _<m.i.,:.:Lmm:~::'-:....:..,:__~..:.~.{~:..~_:::'_~::____~
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
j
"
..---.
..:.n :,'i
/<
ELECTRICAL PERMIT
/
A~d~ess.l..m......._..................................\.......m_...__......___m______...m..__..__..__......__m..........
N~
176,86
,I
i
Date..._....h_.._.._.._.................._......_.........
.~
Owner ....h..............h............._.........._......_......_.._....................h.............hh..................,. Tenant....h..........h..................................nn.n.........
v.,"iring Contractor .................n........................................_.................h.......................h......h......... By..............................................................
NOTICE-Current must not be turned on until Certlficate of Inspection has been issued. If work Is to be con-
c~aled,.due notice must be given the Inspector so that work may be Inspected before concealment.
,.
,.
"-.......
1M Olympic PrInters, Inc.
, ..
'.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17676
"
Port Angeles, washlngton....//=...}...~..m.____...__...______........____., 19:r:::.
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-
mi~sion is hereby granted to do electrical work as listed below.
Address __.Jf)__3...L.!__.r::m..::__~td~.:.:dL'!d?::.~.nnl:?/:b!? OCCUpanCy...~~...9='~.mnn...____m...__
O,mer .\~~:~~;.jk~".:.~..[:;~..~.,.&.../r..L,:m'.(. Tenant.m__..........__.....mm.m_.m.m.m.m........m..__mm__
.~'j (:.~ . 'V
Wiling Contractor m.C.koLi:..,.::.c.-::.<;2C/m.:-::.:::.m__.__m.m Byn..__.m...........__m.__mm__.m..mm......m____m.....
Llrht outlets.....l..O"r...Cdtr:......... Service, volts i!l..~/..<!.... Type at Wiring:
Re,eptacle outlets....lz.!...i:& No. wires ..,7':...............................
D'l ". KW......nm.m........................... Size wjres....L('~/I<!.f.r4r>-l
Main tuse ../l).cJ..CI./l.d:.'<..r.J
Enclosure ....(::~,:.&....mu.....__
RaT ge, KW nn....nnUUhn.
Water Heater:
KW..............m..........................m
He..: Kw......./.I2:...$.c:............
Type of wiring:
Entrance Cable m.m',,'
Motor~: sIze, volts and p~
ft/"-<14'?......:?...5...t.!..2.'/ur.....
Rigid Conduit .................uu
Metallic Tubing ...............
Current transformers:
No. & Size............mm...m..mu..
r -.............................................................
U........e /5'? A/,,-
................-L...........J/..U"...............
Ser. No.u...........................................
Ser. No. u...un............n........__....u......
~ored Cable ..............mm.........
O!!: INon-Metallic .................mmm......_
Knob & Tube.......n......................._
RIgid Conduit ...............................
Metallic TUbing .mmm.................
Raceway ..............................._......_
Circuits, Light.......................................
Utility.............................................
I-Ieat ......................................._.._..
Range .............................................
Water Heater ..___mm....................
Motor ..._n._.._..........._.....h..............
Dryer....................................._............
........:~~~l...:~~~::;.;=;;;.~.:f.~~ :::: ~:::::::::::::::::~:::::::::::::::.:::::::: Fum:::~l......:./:;~..q:=:::
Remarks: .n...hn.~hc:..::.C?-..~.?'.'f-~n=hnnhn.h....u.UU__m...uum.mmmmummummuummmm.m...................
Permit Fee
/5- GO
$.../......./.....m.mm.m__m..
Treas. Receipt
No......__..........__.........
By .,t:i!!t~,k:k"'d...::~.-'..,"..:..h.
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon-
cef: led due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 6 7 6
Address........................................................................................._..............................................Date..._......_.._.._.._.................._......_.........
Owner ..................................._.........._......_....................................................................... Tenant....................................................................
Wi ring Contractor ........h......h...........................................................h............n_............................ By..............................................................
I
NOTICE-Current must not be turned on untn CertUlcate of Inspection has been issued. It work 115 to be con.
. ",,~e[Jed due notice must be giv~n the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
.-.,. ~
S.
.li
L . 'I
~""'...
ELECTRICAL WORK PERMIT APPLICATION
Electrical cOntr;\ctol:' n"mc
License number
Da.to.Ex.pires
aNew
Job wired by
lec.trical Contractor 0 Owner
Pllfch3.~a'... mailing addn:ss
Yr.,niS[!~me~
Add(l Ron W
,.i' ietD~J
City J! .rf.
~
~ Fi.ee ~~R
~/~~.
f~
/0.3~ AJ ~~~ hv/.)
City
State ZIP
Telephone num1Jcr
FAX number
rhOlle n bel' to schedule in$p 'd'u 77 _ 37ff'"
()wna a:::,' di:tini'd by RCw'J9.28. ..61:(J) OwtllY' wiil OCClIPY rhl! stnlctU/"(' fur two
years after this electrical pt!rmir is finaJb:d, (2) 0""r.(11' is l'equi,ed (0 hire an eli'elrical
cnnC"f'rJctIJr if above said prop~r(y rs [o!' .;,'I'lle. !',,?fIt or iea.ve.
After reading the above st~temt=nl. 1 hereby (;cftify that I am the owner of the <:&bove
named property or <l licensed clectTical CQntraetor. I am making the clectrkal in.st.'\I-
laliun 01' alletMiorl ill coml'li.ancc with the clceml:ullaws. N,E.C., RCW. Chapter
19.28., WAC. Chapter 296.46D. The City <.If Pori Angeles Municipal Cod~. and
Utility Spccificalions..
o C>sh 0 Check #
~ Card Visa
Card# ____-_CY.J(_-rit.E-_-___~
Mastercard
Discover
X
EI c I L d
o LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan.Wall KW
I ...tmt.r o~ ele":;;;~ .~n~ ~6
tr etl n
Expiration Date
of card
LAR
Q Overhead S$l"Vica
a T e9'" Service
~erground SefVice
'7$: -za-
Service Inform.mll
Voltage I~
pnas. ~O 3
Service Size; ~
~eeder Size: .,~
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN . TIlERMOSTAT ,.- SERVICE "
D:>'lC . ~~pl(>~"d l\y D~lc Aprr"'''<'::d Hy -:;:-. n",~ . Approve,] By
q,l, FINAL r DITCH FEEDER
. ..J. ~ -4Af/
OM~ ApPTIWCU By -
O'lt "- D;!,tc "ppr"vNl Hy
ItlSpcc:tion Area, Building 01: Equipment Inspected Action Taken electrical
lJate Insp~ctor
.,
Lfro<f) ~ ~t, -
,
? ~
c'd
59c6 C5V 09E 8NI 8I~~8313 S313~N~ NO~~
Nd8V'c 90c-VI-6
fa
~
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
lectricaJ Contractor 0 Owner
description
ommen:ial D Residential
CJ New ~~Addition
.Electrical contTactor name
l.icense number
Dale Expires
Purchaser's mailing address
City
SI:.ate ZIP
;::it€- J~:t1!&l;~
~W VuV1~..
,~ Ssf 'uf
.
Telephone number
FAX number
iAu.J!!IIUd
/t?3_3
ftJ LAu"A/J-<J#A1 I?~
Uwner dS d~:firr,,'d by RCW; /9 ,){jl:(l) Owner will occupy Ihf:,' S(ru('tfl((~ for tWI)
years ajf~r Uli.f electrical perm is fimJljzed. (2) OwflU is l'equil'ad to hire an decrri.:.:al
contractor if ahovt, said prup('rty ,'s for Sa./I!, refit or lease.
After rcsdi.ng the above statement, I hereby emify that 1 :un the owner of the above
named property or a licensed electrical cQuo-actor, 1 am making (he decr&'ical instal-
lalioJl or alteratjo~ in compliance with the electrical h\ws. N.E,C., RCW, Chapte1'
19.28, WAC. Chapter 296.468. The City of Pon Angeles Municipal Code. I\od
Utility Specific:l.tions.
o Cash 0 Check #
~Card Visa
Mastercard
Discover
Card # - ~ / .=v- -
_~__~_._.L..../~_____
x.
Elecu:lCli1 Load A. r
&-No LOAD CHANGES
lJ Baseboard KW
a Furnace. KW
Q Heat Pump _ Ton _LAA
o Fan-Wall KW
Date:
~/
~
Expiration Date
of card
Ins .tion fee~
$ 'S .----
Service Inlormatlon
VOltage~ytJ
Phase 3
Service Size: ~
Feedet Size~~.
tractions
u Overhead Servica
~ T~ Service
~nderground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/~
ROUGH-IN THERMOSTAT SERVICE
n"", Approved 8y D.l!C Approveli By J)(jle Appoo'V<;<.I By
OJ.. FINAL 91i~ DITCH FEEDER
/' ~ >/oh *0
0;&1 AWJ'('>\I;<1 BY.) 0;&1 At)pfOVe(\By / D1\11:: ^M>rav<:"d Dr
Inspection Area.. Building or 'Equipment Inspected Act10n T3kcll Elec.trical
Oate . InspcctQT
.
.--
.......'--
p.~/! .,/. /
:r ".
l'd
59G6 G5V 09E 8NI 8I~~8313 S313~NV ~O~~
~dLV'G 90G-Vl-6
.
ELEcrRIcAL WORKPERMlT APPLICATION I
Job ,.,i,ed by
(J EIe<<r1cal <lookador (J Owner
Inatllllatioo de!j:c:ri~iotl
)( Commerdal 0 Resldeutial
Electric:~1 contractQr name License number ~ E){pire!l
QI1~F' pB ('o"''''I4I'I;rA'lI/)~'i
PurchaSF:r'g mJiliog address ~
1'/0711 t:4i(/(hild. _ III _1L""t
CW' te ZIP
YOit.""t Aol'(e.le"i tU4.. ~t3(o3
Telephone number FAXlnumbel'
.3/PO- ~"311 r '51~ OU?-
P"Wl$f'S owner'l name .
LI r. \ \ 0-"", r 1)u..,,-\-~
Address or In,ptdllHI d-
i033 lV, lAoIJ._l:!hJ A/lid
Clln (\
-'(;lit.\- t\~"'1",1e.'"
P"OOI: number 10 sc::hedule Inspedh.1p:
l(New
o A1tered1Addldou
"01 ~<L .oIL. \:) p.. ~ 0.- <:'0. 'oL\N ~
$00 5;'1 ~"t
Owner as de.nrled by RCW./9.18.261:(1) o;..1ft>,. wi/1 occupy the SfTUctu~e.IQr two
years after tllis elec.trical permit is fltl(Jli2ed. ~ Owlle" is required to hire an electrical
CQntractor if above .raid properly is for sale;, ,.em 0" 1~t1$e.
Aller reading the above statement,. I hereby dertify that I lUll the owner of tbe above
named property or a Hcen$01 electrical contn.C':or. I am making the ch:ctrb::131 instal-
lation or alteration in compliance: wittl the i:leclrical laws. N.E.C.. RCW. Chapter
19.28, WAC. Chapter 296-46a, The City Of Port Angeles Municipal Code. and
Utility Specifications.
SIe. to or owner, electrical c,;nitru.or or eledrlul admlnbtrttqr
W Date: '?,31-Q(o
'I'
o Cash 0 Chlltk #
J( Credit Card :: Va Master=d Discover
Card# __.Ju.l_~~L.t:r___,____
x
Expimtion Date
of card
IDSJ?CCtion fee
$ G5.00
Servlea Infanna'lon
I triG I Loa
o NO LOAD CHANGES
o BOlsaboard K'N
o Furnace KW
t.J Heat F\lInp Ton
o Fan.Wall KW
rac
n
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phaset:l1 03
Se1Vlce SIze'
~eeder Size:
SAME DAY INSPECTION, C~LL BEFORE 7:00 AM 360-417-4735
ROUGH-IN ,,- THERMOSTAT " /'! SERVICE
,
i
!
"ale API'ro.,k" 6~ "- D.l~ APf>(Qve" 9y '..1, 0'" Awroved By
;' ANAL ,,- DITCH '1 FEEDER
Ln
It... (.,'010
DlIt~ "'" dll:y./ 1;;.10 Approved By 'I' "".. .. 0,
In::ilpection Area. Bllilding or Equipment Inspected , Electrical
Oate ; Action Taken Inspector
i.
:
i:
i,
I
:.
/
I , II;
,
q /:>/06
;JcO
1
i
l--
I
I
I
I
,
i
I
~
r----
I
_I
2CD6/0CT/30/MON 12:27 PM
CITY OF PA BLDG DEPT
FAX No. 360 417 4711
P. 002
~~ p~ -~
1i;1L _;.0/
.
ELECTIUCAL WORK PERMIT APPLICATION -
CNu.-.- 4n - 23 C::o
Job wired by
Q Electrical Conb:actor jJl Own~r -
Im;tallatlon ..description
~' Commen=ial IJ ResideDtial
E1ectrieal c.antractor Dame=:
. Vcense DUn'iber .
Dat~J>>;plrns-
o New
-- JIll A1terediAddlti"..
Purt;baser'$ mailing a-dd{l:ss
-City
"__~.5t11t~. ZlP.__
&> nm L.-c.i6.-t;d!;/lCuT5
- --:1A;:i~I--fi~:tr!tfjd- ~--
f.v17c/47Z>L ~/'" IS - n
Telephone number
-FAXnnml=
"~~~.~=o-...=----~--=-...,....~=_ :::-...;;=:':::
Premises owner's Dame
l!. Itl/ll-'lIo1'\ (!oulUi'i DefT: P"-b hL Wt>f2.}LS
AddrEss ()f JnSpectioD
It? 33 tJ...2. i-AUl2..idSGt-J PI-v;./,
Cltv A - .
- p .
Pl:1on& aumh.- to schedult: iDspeetlOQ: .
t.?o-417- :;L3IP7
Owner as de[md by RCW'.19.28.261;(I) OWl1e,. will DCCUPY th.-z $lTUdu~f()" two
yeoys after this dedric:al ptrmil is fmalUe4, (1) Owmt Is reqrJired 10 hire an dearlCQ.l
Cl)lItrar:ttJt if above said property is for ~ale, renr or lase.
Aft~ reading thl; above staterotut, I hereby certifY that I am the OWD~r Qf the abovt
named propc:rty or a licCP$ed e~~ctrical contrBctor. I MI m.ll.king the electrical instal-
latio.n or ~lteT8.tioo in cc;)):npii:ani::~ wilh the. .electrical laws, N.E.C.~ RCW. Chapter
19.28, WAC. ChapteI 296-46B, The City of Port Angeles. Municipal Code. arId
Utility StJecifications.
Slgnat re of OlT.nCI'"1 e1edri
o Cash
o Check #
Mastercard
Discover
o Credit Card
Card #
VISa
------------------
Expiration Dare
of card
lnspeclioD f~_
S Ul i ...-.
Service Infonnation
lrical Addl
jaJ-JO LOAD C~ANGES
o BasebOard _ KW
o Fumace JtYlI
o Hsat Pump _ Ton _ LAR
CI Fan-Wall KW
btradlo
Voltage
PhBseO 1 0 3
$ervlce Size:
Feeder Size;
.0 OvBrheao Service
o Temp Service
o Und9rground SoE!Nice
_ SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360'417-4735
ROUGH-IN TBERIII0STAr / SERVICE
"''' APi!I'll'lliB,. "- 0'" Apprm'!'lI By "- 0... ApprovnlBy
FINAL DITCH ""'\ FEEDER
/-//-07 -~
Dill'!: ~y/ "- 0.. Mpnl"edBy Dilt~ AJlPfDvzd.9y
Inspection Area. Building or Equipment lnspected Action Taken Electrical
Date IftBp~;;:to:r
------------ ---- --------- ----------------------------------
------------ -----.-.---.-.
~ /03)llb
01
....t_q; ,1_
0
g,_:. 31:11 T
r
..i
,I[
rCITV TiF'1 5 01117 ANGEL:ES donstruetiorUplan
t 1
The-Issuance-ofthit-pefitilhased,"opo1lth4e,plans,tpeciti- i
cations and other data i hall not preverit the buildirit official
.from thereafter requiring the correctionOkerfors-in said
plan; specifications d other data, or ifromi preventing
boding operations beink on therpundOr when in
...1., yiolation 6f all
codee,and cirdinancee-ot=thie.A ittioii;
ISECT,10100314-1),nifo;114ilding e.)
Approvirdite
R_0 t 4.
Vesspvriv7 (ri
g 8,4
4'A 04 k*
',/4 _0 c72
A.4--a- 71??1
1 -1
e 1/4' -5-1.
A -7414- 1 1
OZ
tem
g 0 Z' 2-1/4
oz
-a o4 y•
sQ/ _1
A•14
.00.4
'(L2 //4 /Oki
21-9 1
L
1 20•"Vb-et) 1,12
ti4e- I "if Iv el,
xott l/
Carr-calf tr
•L'
/q7 USC
1'1? H 6:79, 11 ,9
-5€'t s
fq,.‘f "0-e gie71.47
C,
4
OPt-9.
V —AL! f
1
8)
4 T
(e)
f'
c4_ c
t
r 7
4..
J-/
2_ 5 9'y
Td 7-7
7
C /4 'eV(
ev) 7' 050,
2-
16
L
6
l'ffin po 5 4) AC
'isi9,,
.9,F,F.4,
-Ittn.
40i
Li
ZOO
trna
ivi-
k` /y
f t e o'
ANN i
I
8 815 I A 3
1 4
C 5 ket-A:* e-
At_ tin rl
57c 6 I f
r
5e tt 19o-
•.Adt :1
z-6
7-,p,,Oef
:11/"- C_
V 0 Ir
Afes0-40; fc?
erq 02- 2--
6 7 ,•8 1 4-g
44-
iD
1
i4 rro
i
I y CA10.696
[I
i 0 f .0.1.14p
i ;e, .t
7
t 1
I
i i-
......„4,.;... 4 t
t C_ keiit :;/41
4____ ....4. i f /...(1 f(et i• I e. I
I
r i5)4 1
f r-
ttl
4,- C iii eri GI* i c-.
1 t Or s
i.
NI=
f
1-
f
.t
.4..
•e# 0.
ir
1 I
1 1 I
i 1
i .I„
L pL-L,
i
r
7 t_
i
4 7.
71
,.....f;
f .____L__.t._. 19 4_74_4 cell sti.orp
r
I
....r.
-4- -.1- --L---I- 1
1 4 i
1 I
i
_..i...
•i r .......___r_..
.1 1' 1
i 1 A
4.
i.
3
9
I
1
t
t
4. i
1
1
1. c .1 1
1 i 4.i e
Ii i ....1_ i
-1
4'm i. U
1-
-4 -,tt."4"'"-'-',.—
■1-
1—.. T
-.1' ...4 .„...-:.r.,,,...,-.
4.1 d
t--
T 1
C l t l ea-pt
6 At i.44 4P PI 1 01 t 0-14
I i
i_
fr 5 L;
ii kt i-1.(. gi 3)
1 t
4
1 t
If ,..,Ze tA 4-lots. o v Cei-ty..-8, 4 I
6- H
„pi
n e09
r
117/4 jo-e0^
-e (z)
t a
7z-1 t
f, t
j
Screws
I
t
/51 /A/
rf 54 e.ge
'4_ 30 2 110
S''f
r- '97
'70
A's,
A ig
ty- f
foe/ /0 tee
17 b
.2
17geo
WWWWWW
AAA—
�wWwWW
LFNNJJ
ss §8§
t i
/�.e..� 7 r 0 6, Hr G1,
hil
412 h
9
L'o let K as� 1
ereNr t0 OwG,
/V- �•-Hc r€
7
r
6 &X 3 /6 4uini
-i.
/3"
�i
�.-._✓r i c i t es 4N
/Z O er r
F (J
cti
Cie'
._....k i
.1 El tJd, O'K
t ''tai/ Q 7
6
Th
1
14
t•
1
9 V
it
1
•t•-
4
r j
L rr
t
reef
r
Ar.e—r I
I et 0
411?-tsi
't
t.
7
O
-L7Ai
j-7'.AY 9
T
f
loy
1.4 iy arn
Xyd
-1 A
0
5 ?-1 2 1 0/
1 -v
1 144 )-7
4 9 .X5
t--- t-----
i 4. .-1--
4--
t-
7,1 1 404.4 /40,
41-1
.4 r‘V
;I-
4
9
k
4 00 a .0
1 Z $4/
G 4 4 .6
--7 z
Ji Jo
z
t
I
4v ,41-4
47..
0
-4-
-I--;
§§§§8
0055,4
11 E'
cccccc
r lN p s•e
/l�eCrl d u
Sir a y
S cy� c-ti's i475
o a f
tg do
�-s Pu r 1 ih
Y
3X �L
�2)- /D fcr�✓s r
G.- PA
GAS
e /D Sere uie
e 6 D c, d /co r
i t
s
0? o i
770/0 T1 t
Z. Off oaf Feefot e
4
elope) -e-Pe
3/' xz.e'
pa/
EQUIPMENT
SHED
CONCRETE SLAB
MA INTENANCE
SHOP
X
)1*
X
CONCRETE SLAB
CONC
SLAB
EXISTING 6 In. STORM
SEWER LINES
x
CATCHBASINS
CONC SLAB TO
BE REMOVED BY
OTHERS
,>7
cNTFre
o p t
G sHOP
z EXISTIN
EQU!PM
ED,
TING 8 In. STORM
ER LINE
SL p,6
\S
N I�
EXIST.W/4
WATERLINE
C, G A RAGE
CATCHBASIN7
O al
EXISTING 3/4 0
WATERLINE TO BE
MOVED OR REBURIE
BY OTHERS
p,UR
\O
X X Z
ROUTE 6 0 FLOOR DRAIN
APPX 125 AND TERMINATE
AS DIRECTED
Not
55
P y
0o ,\40.5)
0
V
NEW STORM SEWER LINE
TO BE CONSTRUCTED BY OTHERS
Go BC
St_A
30' 0 30 60
SCALE I 30
MANHOLE
A
GENE UNGER, P.E
IN GENERAL ONLY THOSE UTILITIES
TO BE RELOCATED REBURIED TIED
INTO OR OTHERWISE DIRECTLY AFFECTED
BY THIS PROJECT ARE SHOWN ON THIS
SHEET NUMEROUS OTHER UNDERGROUND
UTILITIES ARE LOCATED THROUGHOUT
THE MAINTENANCE FACILITY COMPOUND
WITH SOME IN THE VICINITY OF THIS
PROJECT SITE THE CONTRACTOR SHALL
FOLLOW THE PROCEDURES IN THE
SPECIAL PROVISIONS BEFORE BEGINNING
ANY EXCAVATION BIDDERS DESIRING
MORE INFORMATION ARE ADVISED TO
CONSULT THE "PORT ANGELES SHOP SITE
PLAN'AVAILABLE FOR INSPECTION A T
THE COUNTY ENG INEER'S OFFICE (REQUEST
DOCUMENT 517, DRAWER 231 UNDER-
GROUND UTILITY LOCATIONS SHOWN. ON
THIS SHEET AND THE "SITE PLAWARE
APPROXIMATE OTHER UT IL I TES NOT
SHOWN MAY EXIST IN THE VICINITY AND
UTIL SHOWN MAY HAVE BEEN
RELOCATED PRIOR TO THE BEGINNING
OF WORK ON THIS PROJECT
x
X X X
C_A__AV COUNY
EQUIPMENT SHED
SITE PLAN
PORT ANGELES SHOP
SHEET I of 3
PLANS PREPARED BY
COUNTY ENGINEER D HANNA I988
7 -27-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . . 15- 00001490 Date 11/23/15
Application pin number . , , 99929C 0P 0- 1
Property Address , . . . , �j
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4 -4900 -0000 L�
Application type description ELECTRICAL ONLY
Subdivision. Name , . , , , , sq
Property Use C�
Property ZQninq . . , , , , INDUSTRIAL HEAVY
Application valuation . , . . 0
Application desc
Septic pump
Owner Contractor
STATE OF WASHINGTON ANGELES ELECTRIC
GEN ADMI.N 524 E. 1ST ST.
OLYMPIA WA 985041QDQ PORT ANGELES WA 9B362
{360} 452 -9264
Permit , , , . . , ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 86.00 Plan Chock Fee .00
Issue Date 11/23/15 Valuation . . . 0
Expiration Date 5/21/16
Qty Unit Charge Per Extension
-BASE FEE 86.00
Fee summary Charged Paid Credited Due
Hermit Fee Total 86.00 86,00 QO .00
Plan Check Total .00 .00 ,00 ,00
Grand Total 86,00 86.00 ,00 CO
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPRW SIX (6) MONTHS FKOM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CrAEXCHANGMBUILDING
11/20/2015 13:54 FAX 360 452 9265 , Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building- DivisioafElectrical inspections
321 East Fifth Street — P.O. Box 1150 / Part Angeles Washington, 98362
Ph: (360) 417 735 = (360) 4174711
Date: % i +'Multi - Family or Commercial*
Plan Review.May Be Required, Please Complete Electrical Plan Review
Job Address:
Building Square Footage:.
Description of above
0000110001
Contractor Information
Name: /VW!lp
Owner.Info ti
Mallinfl ess;
Name:
Oily
Mailing Address:
Phone. ~
City: state: Zip:
Lioe�pse # 1 Exp.
Phone:_ �T Fax:
�](
License # I Exp.
Item
Unit Charge
ServlcatFeeder 200 Amp.
$132.00
ServlcelFeeder 201400 Amp.
$160.00
Service/Feeder 4DI -ODD Amp
$ 2.25.00
ServlcelFeeder 601.1000 Amp.
$ 288.00
S ervicelFeeder over 1000 Amp.
$ 410.00
Branch Circuit W1 Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additional Branch Circuit
S 5.00
Branch Circuits 1.4
$ 86.00
Temp. Service! Feeder 200 Amp.
$102.00
Temp. ServicelFeeder 201400 Amp.
$121.00
Temp. Servimfeeder401 -600 Amp.
$164,00
Temp. $ervicelFeeder 601 -1000 Amp.
$185,00
Portal to Portal Hourly
$ 96.00
SignlOutllne fighting
$ 88.00
Signal Circuit/ Limited Energy -- Multi - Family
$ 64.00
Signal Ci=!V Limited Energy! First 1500 sf -- Commercial
$ 96.00
Note: $5.00 for each addi&onal 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $6.00 for each additional TStat
0000110001
Contractor Information
Name: /VW!lp
S s
Mallinfl ess;
"
Oily
State:
Phone. ~
Fax
Lioe�pse # 1 Exp.
S 1s a
�](
Total 19ty Multiplied by Unit Charge)
$
$
$
$
$
s
$
$
$
S
S
S
S
S
S
[ go
$ F1 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit-expires after six months of last inspection.
After.reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 29646B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ �Cash ❑ Check
i�redit card a O•1/IL. -
fed: / 01101012
`1
--D