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HomeMy WebLinkAbout116 N Race St - BuildingElectrical Permit 116 N Race St 13 -064 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN iii 7 i !I FINAL 4 1 1, '4' 1 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Low voltage security system Owner LYDIARD HARRY L 164 WALKER RANCH RD PORT ANGELES WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date Qty 1.00 1.00 Fee summary Charged Permit Fee Total Plan Check Total Grand Total Unit Charge Per 96.0000 ECH 5.0000 ECH ELECTRICAL ALTER COMMERCIAL 101.00 1/16/13 7/15/13 101.00 .00 101.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000064 962368 116 N RACE ST 06-30-00-5-1- 2300 -0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ADT LLC 11824 N CREEK PARKWAY, N STE 105 BOTHELL (206) 719 -0347 101.00 .00 101.00 Plan Check Fee Valuation EL- LIMITED 1ST 1500 SQ FT EL -ADDNT LIMITED 1500 SQ FT .00 .00 .00 Date 1/16/13 Paid Credited Due WA 98011 .00 0 Extension 96.00 5.00 .00 .00 .00 Date: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 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: 01/15/2013 *ADT LLC Owner Information Name: Port Angeles Liquor Wine Mailing Address: 116 N Race St City: Port Angeles State: WA Phone:36 Fax: License Exp. Zip: 98362 Item Unit Charge Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Mufti-Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Jennifer t Digitally signed by Jennifer Burgess DN: cn= Jennifer Burgess, ij ,o= NORTHWEST PERMIT, X ou=NORTHWEST PERMIT, Dated: '131/15/2013 Burg V V V Da e: 2013.01. 13:53:14 08'00' e t u.cWI•1z,L INSPECT,ONS 131 2 Single Family Dwelling D Multi Family or Commercial* _Ell Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 116 N Race St Building Square Footage: 2500 Description of above INSTALLING LOW VOLTAGE SECURITY SYSTEM Contractor Information Name: ADT LLC Mailing Address: 11824 N CREEK PKWY N, SUITE #105 City: BOTHELL State: WA Zip: 98011 Phone: 774 -9499 Fax: 888-400 -0383 License Exp.ADTLLL *881 DO Q�t Total (Qty Multiplied by Unit Charge) Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrica permit is finalized. 2 r is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months o pec ion. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash OK.ga At k 1.. y4t) 5 rdrri �a Electrical Permit 116 N Race St 12 -1578 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE q III* fi 4 ROUGH -IN 1 ('?J 411? li h A FINAL 0 43--• ,s. i COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service and 15 circuits Owner LYDIARD HARRY L 164 WALKER RANCH RD PORT ANGELES WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER COMMERCIAL 207.00 12/04/12 6/02/13 207.00 .00 207.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 12- 00001578 740678 116 N RACE ST 06-30-00-5-1- 2300 -0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 207.00 .00 207.00 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 -1764 Plan Check Fee Valuation Qty Unit Charge Per 15.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER Special Notes and Comments December 4, 2012 9:00:18 AM Tamiot. meter must be moved out of alley. elevation of strike need to be high enough to give 16ft clear over alley. Paid Credited Due ..00 .00 .00 Date 12/04/12 .00 .00 .00 .0 0 Extension 75.00 132.00 1 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: CITY OF PORT ANGELES PERMLT 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: .!Multi Family or Commercial* Plan Review May Hired, Please Comple l ectrical Plan Review Information Sheet Job Address: 119 N.d r o1c_e. Building Square Footage: Description of above aorm �`M v C_ Owner kCation`� Q S Name: O Mailing A..ress: o City: G State: Zip: Phone: A Fax License Exp. poR T��, J Contractor Inf o Name: Vi S -P\ V---\ C 4.– Mailing Add• ni�� ��)r I tw- Y 1c•- City: Li State: .P p: VW° Phone: Wril Fax License Exp. Item Unit Charge Service/Feeder 200 Amp. 132.00 Service/Feeder 201 -400 Amp. 160.00 Service/Feeder 401-600 An 225.00 Service/Feeder 601 -1000 Amp. 288.00 Service/Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 5 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Temp. Service/Feeder 201-400 Amp. 121.00 Temp. Service/Feeder 401-600 Amp. 164.00 Temp. Service/Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign/Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 Note: $5.00 for each additional T-Stat c.9,- oZo •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. 1 am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: cash Check Total (Qtv Multiplied by Unit Charnel 1 :3 S creaa cab ©1 lSL r1 Iv 1 oataa: mom 74 Electrical Permit 116 N Race St 12 -1521 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN I 1 101) 3 A FINAL i a 1 13 AT COMMENTS: Application Number o Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Move sign Owner LYDIARD HARRY L 164 WALKER RANCH RD PORT ANGELES WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date 88.00 11/20/12 5/19/13 Qty Unit Charge Per 1.00 88.0000 ECH EL -COMM -SIGN Fee summary Charged Permit Fee Total Plan Check Total Grand Total 88.00 .00 88.00 12- 00001521 363172 116 N RACE ST 06-30-00-5-1- 2300 -0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRICAL ALTER COMMERCIAL 88.00 .00 88.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 BLACK DIAMOND ELECTRICAL CONTR 502 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 565 -1035 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 11/20/12 .00 .00 .00 .00 0 Extension 88.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 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: 13 'a Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: (t (p R�c� Building Square Footage: Description of above M.c c S t (,-1J •N1ulti•Family or Commercial* ?OR f'[‘' 2 0 2 ELECTRICkL INSPECTIONS Owner Information Contract 9s Information Name: 4 Ss& Name: i fC Mailing Address: Mailing Address: 5 rea ^�o City: State: Zip: City: State: w Zip: 726> C. Phone: Fax: Phone: Fax: License Exp. License Exp. LjkhAe..K E c A VO 2 Item Unit Charge Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. $132.00 Service /Feeder 201 -400 Amp. 160.00 Service /Feeder 401 -600 Amp 225.00 Service /Feeder 601 -1000 Amp. 288.00 Service /Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Temp. Service /Feeder 201 -400 Amp. 121.00 Temp. Service/Feeder 401-600 Amp. 164.00 Temp. Service /Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 p Sign/Out!' Li hting 18/0D_ e9c9 ignal 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 $±121 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal ode, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ow ctrical contractor or electrical administrator: Cash Check Credit Card t_0-12._ Dated: 0110112012 *533 o Building Permit 116 N Race St 12-1459. Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T•Fnrmc /Riiilriinn nivisinn /Riiildino Permit Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 44 sq ft WALL MOUNTED SIGN LYDIARD HARRY L 164 WALKER RANCH RD ,PORT ANGELES WA 98363 Permit SIGN Additional desc WALL MOUNTED-SIGN Permit Fee 85.00 Issue Date 11/16/12 Expiration Date 5/15/13 Fee summary 26 2 IY T:Forms /Building Division /Building Permit 12- 00001459 227119 116 N RACE ST 06-30-00-5-1- 2300 -0000- SIGNS COMMERCIAL ARTERIAL 700 Contractor ASM SIGNS 1327 E. 1ST ST. PORT ANGELES (360) 452 -7785 Plan Check Valuation Qty Unit Charge Per 1.00 85.0000 PER S -WALL SIGN OR MARQUEE 25 SF Special Notes and Comments November 15, 2012 4:55:03 PM sroberds. The proposal will result in a building mounted sign of 44 sq.ft. in area. No other signs are on the site no land use issues anticipated. Charged Paid Credited Permit Fee Total 85.00 85.00 .00 Plan Check Total .00 .00 .00 Grand Total 85.00 85.00 .00 Fee Date 11/16/12 WA 98362 Due 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be co i ith whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th ovisions of any s local law regulating construction or the performance of construction. .00 0 Extension 85.00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Property Owner o r zc Property Owner's Address C i4:4 0 2c ni z Contractor /Engineer 0--51-.A s Contractor /Engineer's Address vz 2.Z Q._SZ License T:Forms /Building Division /Sign Permit Application.doc 1 Project Address Business Name t--- Parcel Number v (.3 0 ca a 2.11 For City Use Only: Date Received S /•Y Permit# 12` Date Approved Lot 1 2 z 2 Zoning Phone 5 1 aS Phone Phone q 77 &S Expires Ci Submit two sets of plans a site plan that includes: Type of sign (wall- mounted, projecting, freestanding, illuminated, other...) Placement and sq: ft. area How the -sign will be securely attached (Engineering specs may be required for freestanding signs) Separation „distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code” of the City of Port Angeles Municipal Code for sign requirements. Sign Type Brief Description: (Type, location, sq. ft.) Sign #1 Sign #2 Sign #3 Sign #4 0 u e•-7 e1„ w fA ti oo Totals (Unit charges Unit Charge Quantity multiplied by quantities) Type of Sign $47.00 x $85.00 x k $115.00 x All signs less than 25 sq. ft. Wall or marquees, over 25 sq. ft. Freestanding and projecting, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted Total sign area 4 4 E- sq. ft. Maximum allowed sign are sq. ft. I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine w its are required, and to obtain permits prior to working on projects. Date 1. 5�. t Print Name --L-4 Signature ct cf FILE CITY OF PORT ANGELES Construction The Issuance of this permit used upon these plans, cations and other data shall not prevent the building o from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Date l J2- By Ali W Dd k— SubNet-4 Fte-i60 C1.-o tti^ Liquor Store 116 N Race Street Port Angeles WA 98362 I' 7, 2' PREPARED 4/01/13, 10:1009 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 12 00001459 000 000 116 N RACE ST SIGN 00 SIGN INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 06-30-00-5-1-2300-0000- BL99 0001 BLDG FINAL 1/11/13 APPROVED REQ COMM: January 11, 2013 9,0853 AM jlierly. RES COMM: January 11, 2013 12:46:01 PM jlierly. PAGE 1 RESULT DATE/STATUS INSPECTOR JLL PREPARED 6/16/09 9 25 22 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 116 N RACE ST SUBDIV TENANT NBR NAPA AUTO PARTS CONTRACTOR SIGN TECH ELECTRIC LLC PHONE (253) 922 2146 OWNER HARRY L LYDIARD PHONE PARCEL 06 30 00 5 1 2300 0000 APPL NUMBER 09 00000429 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/16/09 I LL y BLDG FINAL n k..f June 16 2009 9 17 19 AM 1pangrle JASON 253 922 2146 BLDG FINAL SIGN COMMENTS AND NOTES PAGE 7 DATE 6/16/09 0 C K 'ORKS Z ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE is (c), PERMIT 6 3 O INSPECTOR OWNER/CONTRACTOR S l (.9a.1 ADDRESS 1 6 K1 CA PC- ST APPROVED 0 OLYMPIC PRINTERS, INC. (360) 452 -1381 DITCH ROUGH IN /COVER SERVICE FINAL NOT APPROVED 0 0 CORRECTIONS NEEDED 5160 P1 /E cTs R k)tfLf`G17 VIE>Z AIitc 400 CALL s<&i4. 7 4161 J c 5f Z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE :7 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000429 562379 116 N RACE ST 06 30 00 5 1 2300 0000 NAPA AUTO PARTS SIGNS COMMERCIAL ARTERIAL 5450 Application desc 96 9 SQ FT WALL SIGN REFACE FREESTANDING SIGN Owner Contractor HARRY L LYDIARD SIGN TECH ELECTRIC LLC C/O 3618 SW ORCHARD ST 5113 PACIFIC HWY E #12 SEATTLE WA 98126 TACOMA WA 98424 (253) 922 2146 Permit SIGN Additional desc 96 9 SF WALL SIGN Permit pin number 145797 Permit Fee 85 00 Plan Check Fee 00 Issue Date 5/20/09 Valuation 5450 Expiration Date 11/16/09 Qty Unit Charge Per Extension 1 00 85 0000 PER S WALL SIGN OR MARQUEE 25 SF 85 00 Special Notes and Comments May 20 2009 10 38 00 AM sroberds Reface of existing sign and lettering on structure in the CA zone No land use issues anticipated Fee summary Charged Paid Credited Date 5/20/09 Due Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 Grand Total 85 00 85 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance o Date Print Name :"ignature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit eoate_d Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING FINAL Date Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 6-16-09 Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 6-16-09 1-1-- PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 4/ 21 O iii FINAL 6l(, ��v e— iq V1 j/ COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Sign permit Owner Vanhorn Randy 8441 south 180 street KENT WA 98032 Permit Additional desc Permit pin number 145722 Permit Fee 69 00 Issue Date 5/13/09 Expiration Date 11/09/09 Qty Unit Charge Per 1 00 69 0000 ECH EL COMM SIGN Fee summary Charged Permit Fee Total Plan Check Total Grand Total 69 00 00 69 00 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000430 621770 116 N RACE ST 06 30 00 5 1 2300 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRICAL ALTER COMMERCIAL Date 5/13/09 SIGN TECH ELECTRIC LLC 5113 PACIFIC HWY E #12 TACOMA WA 98424 (254) 922 2146 69 00 00 69 00 Plan Check Fee Valuation Paid Credited Due s 00 00 00 00 0 Extension 69 00 00 00 00 Date e bSiie `Ihe.a usin2lr i t F /AA". s ?or Co ui' VJ Nwrrj L L -d, g SW arc -kaiak S+ Seed wA gSiz6 PORTA SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 For City Use Only ate Received -12._-6 ermit ate Approved Applicant or Agent jck so v1 k, (vim Phon 253-922-2_1(4(., Property Owner ol� Vu„ V Phone kJ fq Property Owner's Address JJ 5 I got 1-- St 14,,,1- L.) A Rao Z Contractor /Engineer STS, 74- 4 s-4 I I- Ec7 c Phone 2 3 -q 22 Z i (-f 6 Contractor /Engineer's Address 5113 Pa,, F 4 E F LJA e`ise-(2 L- 1 License 5C6 jr 1 9r' Expires oi/o7/2oic) Project Address 116 Ave. 51 Avrgeles, c,✓A ge 2 Business Name lu A 4,,, -*4 Parcel Number Lot Zoning —A Submit an 8 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted, projecting, freestanding, illuminated, other L A Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See `Chapter 14.36 Sign Code' of the City of Port Angeles Municipal Code for sign requirements. Sian Type 8 Brief Description. (Type, location, sq. ft.) P► Sign #1 6 1'6,9 s f-1- Wait s 5rN Sign #2 Fx st-,'�y FreC_ i Sry Sign #3 Sign #4 Totals (Unit charges Unit Charge Quantity multiplied by quantities) Signs) `Per Phone wf ?aSoh Type of Sian Valuation k 5) 4 So 00 $47 00 x All signs less than or equal to 25 sq. ft. $85 00 x I 1(C-i.06 Wall sign or marquees, over 25 sq. ft. $115 00 x Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL $5 00 Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area RC sq. ft. Proposed sign(s) area 1 sq. ft. Total sign(s) area 2.1 sq. ft. I II k Building facade area (height a2 ft. X width 51 1 ft) 7 G sq. ft. (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. Date /va? /Ool Print Name jASo✓.. 1 Gj l o�— Signature T: FormsBuilding Division /Sign Permit Application.doc Owner Information Name: pc a a(, Mailing Address: City Ke.wt- Phone: d y 2, License Exp. Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 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 cIN Signature of owner, electrical contractor or electrical administrator v�� rr vti. Inc <5 ei-t ti i .5 l g O tL 5i- State: t-./A Zip: 6'a 3 2- Fax: Date: .57o RECEIVED MAY 1 2 2009 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: C A >'8/O l 1 2 Single Family Dwelling Multi Family or Commercial* L. Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, PI ase Complete Electrical Plan Review Information Sheet Job Address: 1 1 b 1J t ce— i d e i Po*- Ar.5 r/e l -a 9834, Z Building Square Footage: Description of above (c;1414 c -1 or tr O d v-c L.) LIGHT DEPT ¢D e?«,s't/ 7 1 20./ des.y;.ted ccA. 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 W/ Service Feeder Branch Circuit W/O Service Feeder 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 070° 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 Thermostat G9 !9 Total Contractor Information Name: S ci,L Elec. 't Mailing Address: si r3 b! E City F. fie State: W A Zip g?7c/Zte Phone: 2C'3 422-2/Yt Fax: 2s Z License Exp. S G/1 6L VJT 86 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. d Cash Check Credit Card# * TY OF PORT ANGELES ConstructIon Meng e issuance of this permit based upon these plans, specifi- ions and other data shall not prevent the building official m thereafter requiring the correction of errors in said r specifications and other data, or from preventing !ding operations being carried on thereunder when in Ption of all codes and ordinances of this jurisdiction. i prove! Date i 7 C A1 c R ifYiD SIGN DETAIL SCALE. 3/8 =1 TOTAL SO/FT= 96.9 PIPELINE Aluminum Fabricated Internal Lit Blue Trim Blue PMS 288 Returns Yellow Plex Face PAN CHANNEL LETTERS Aluminum Fabricated Internal Lit Blue Trim Blue PMS 288 Returns White Plex Face Yellow 3630 -125 Vinyl Graphics Blue 3630 -137 Vinyl Graphics Red 3630 -33 Vinyl Graphics RACE WAY Aluminum Fabricated Painted To Match Fascia 30MA NEON GLASS PLEXIGLAS FACE TRIM CAP_ 1/8' SHEET META11 SHEET METAL RACEWA BRASS BASE TUBE SUPPORT SCREWS CHANNEL LETTER BUILDING WALL 15 WOOD 35" X 3/8' LAG BOLTS FIVE ACROSS THE TOP EXISTING POWER ON ROOF TOP TYPICAL INSTALLATION DRAWING NOT TO SCALE FRONT ELEVATION SCALE: 3/16 =1' 14' -9" 32'7" 5Q/FT =48.2 5Q/FT =48 7 SIGN DETAIL EXISTING SIGN REFACE REPLACEMENT FACES White Poly Carb Face Yellow 3630 -125 Vinyl Graphics Blue 3630 -137 Vinyl Graphics Red 3630 -33 Vinyl Graphics EXISTING SIGN AS IS EXISTING SIGN WITH PROPOSED FACE CHANGE oaAr CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 07- 00000316 Date 3/28/07 Application pin number 435644 Property Address 116 N RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 2300 -0000- Application type description COMM REMODEL Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 15000 Owner Contractor LYDIARD HARRY L 164 WALKER RANCH RD PORT ANGELES WA 98363 L P HANNA CONSTRUCTION INC. 332 GROUSE DR. PORT ANGELES WA 98362 (360) 452 -1572 Permit BUILDING PERMIT COMMERCIAL Additional desc REPAIR SIGN WIND DAMAGE Permit pin number 98202 Permit Fee 277.75 Plan Check Fee 180.54 Issue Date 3/28/07 Valuation 15000 Expiration Date 9/24/07 Qty Unit Charge Per Extension BASE FEE 95.75 13.00 14.0000 THOU BL- 2001 -25K (14 PER K) 182.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 277.75 277.75 .00 .00 Plan Check Total 180.54 180.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 462.79 462.79 .00 .00 T: \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 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. z F Ignature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date z INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.I PLUMBING FINAL DATE ACCEPTED BY: UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY: ROUGH IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SEPA: ESA: SHORELINE: SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING G t 'W J w 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 IA'SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. TAPolicies \1102 15 building permit inspection record05.wpd [1/4/2005] N N 0 0 0 CO U'F as q a DI CD rri E M o H ww co as H 0 1 0 Z 0 00 U H a I w z 00 0 o 0 H 0 U I RS O 0 Ea lnX H z N N O to 00 H 0 0 I 10 r o R W p F C C o zq o0 0 o-1m lG a 4 I I H-I a 1 0 0 co E. z U F n H O E. 80)0 0 p w F ti L Z CO p 0 a M 00 o a op 00 WO aaU w F a< CO a Ai H 0 0 0 0 aq 0J a 0 4 U ro 0 Ja z .a ti 'l. a 0 CO 0 ri 0 cn W 0 0 r W ri Q 0 r F5 141 Z N m a 0 0 H ;4 W 4' C 7.. DI N 11 I-1 0 W 0 3 C4 Ha0W a (0 a 0 h riS CCI a 0 0 0 wwrou 0 E 0 0 m /'3 w 0) ri O W ul N E_.0 N 1 O In a43 .n 00 0.4 0m z 0 0 U 1tl 0 I GI W N ..:r 0 U N O .4J z N cr. z U W H eI I-I0 0 W .i>1 0 r1 p 0 p; 3 0 r-it as-10 Q l 01.11 o Raam4 poo WHo U W WOa0q h Q r t- o o N to 0 0 0 H 0 0 0 H N 0W as q U a 0 H O F o U a O o F a o0 E. (0 N 0 U a w U x z 0 0 z q 0 0 a rl 00 H ry 0 In a 0 H N N a a O o zx a 0 F• U) U 6 U) az a E W U a q 4a U 0 a 4 up z W z0 U O F HF 0 U 0 0 cn A a ,4 F a P4 b U H W Z P W W W E F m w 0 o a 0 a a 0 w z N a a F 0 H 1 0 a w -5' 4 f j oH f \n Zd WdZZ:ZT LOW 0T 'upt 6308 3St' 092 SNO 1 S WSd WRJJ ;4) 7 2 /j $‘90/Wt RAct S A4 Pia H /l /.0 W d,h /PA r a /1/0 IQ Om l Dp S�yM .drA ptap P "p P nnn Cons /rod Tr7c 332 Grays* D /pat f �y e k/Al. `73( pf fro mi �►loili. rrs/ 74 ts- PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: Fes: ESA/Wetland(s): Yes No Checklist Yes No Other: SEPA required? OTAFR• Applicant or Agent: L 1 h EA. C!1 r3S /r Gc e Phone: Z/SZ Owner: S»�-7 O -4 1 Phone: Address: 1 fl A C SJ City: Pa r .7 i5,0 Zip: Architect/Engineer: Phone: Contractor L p /Y4 ce 46Z 7,, State License L/4.0yc Mg? i is/f Exp: 5" Phone: ziS 2 Address: 33 rs vs, Dr City: 1 "ar 7 et."4 Zip: I �X 2 PROJECT ADDRESS: /1 4/ RAC ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: Si7,E/VALUATION: Residential 0 New Constr. Re roof Stove SF. /SF. l s, 0-... Multi family Addition Move Garage SF. /SF. ID Commercial Remodel Demolition Deck SF. /SF. Repair lik Sign Other Q TOTAL V ATION BRIEF DESCRIPTION OF THE PROJECT: W 4 u 1 Imo" �A e a v/ L y P 44, S ty ,6 Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 BUILDING PERMIT APPLICATION COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EIRATION 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 R105.3.2 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 responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. f a- Date: 7 /9/ D TAFORMS\B1dgPermitform.wpd Applicant: Proposed Sq. Ft. FOR OFFICIAL USE ONLY: Date Rec.: Permit ate Approved: ate Issued: TOTAL Sq. Ft. RECEIVEj) L CITY OF PORT .(1,NGELFS PE1ZM1iT API'I.ICA'iipN �� � ��� � f� Building Division/Electrical Inspections � 321 East Fi'fl:h Street -- P.O. Box 1L1501 Port Angeles Wnshingtoln, 98362 ELECTRICAL Pia. (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date- a I— f Multi- Family or Commercial* " Plan Review May Be Required, Please Cotpplete Electrical Plan Review Information Sheet Job Add ress; Building Square Footage, - - - Description of above Owner Informatio ll Name: Y1 r „� Melling d�SS; , City: 5fate: j zip: hone: Fax: Licen m # !4 A 5) Lem Unit Charge ServlcelFeeder 7.00 Amp, $132.00 Service /Feeder 201 -400 Amp, $160,00 Service)Feeder 401 -600 Amp $ 225.00 SorvioelFeeder 601.1000 Amp, $ 288,00 ServlcelFeeder over 1000 Amp. $ 41100 branch Circuit WI Service Feeder S 5.04 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. ServlcelFeeder 241 -400 Amp, $121.00 Temp, SeOcall`aader401 -600 Amp, $164.00 Temp. ServlcelFeeder 601 -1000 Amp . $ 195,00 Portal to Portal Hourly $ 96.00 SlgnlOufline lighting 88.00 Signal Crrcull/ Limited Energy, Multi- Family $ 64,00 Signal Circuill Llmlied Energy I First 1600 sf - Commercial $ g6,00 Note: $5,00 for each additional 1500 9f Renewable Electrical Energy - 5KVA System or Less $ 113.00 Thermostat $ 56.00 Note; $5.00 for oath addlllonal T -Stat Contractor IrForrn9 1 �_ GCY °�L `�, [ Name: City; state, jjjj5 Zip;,, Phone: ra F x; tO l lcense l Sxp.- d t sr rr, pscnn 6' Wc d_0' otal h0tv Multi 'p }led 6 Unit Char e $�3�"a,� $Y_k- Q e 1. Total Owner as defined by RCW. 19, 28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (21 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 corn ractor. I am making the electrical installation or alteration in compiiance with the electrical laws, N,E.C., RCW. Chapter 19.28, WAC, Chapter 2964E B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.45,050 regarding Electrical Permit Applications, Sign" of owner, electrical contra for or electric:W administrator; ❑ cash ❑i Check Credlt Card # ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 14- 00001002 Date 8/25/14 Application pin number , . . 378464 Property Address 116 N RACE ST ASSESSOR PARCEL NUMBER; 06-30-00--5-1- 2300 -0000- Application type,desGription ELECTRICAL ONLY Subdivision Name Property Use . . . . . . Property Zoning . . . . COMMERCIAL ARTERIAL Application Valuation : , 0 -- - --- ------------ - - ---- Application desc Ductless heat pumps Owner Contractor LYDIARD IJARRY L SIMPSON ELECTRIC - -- - 1611 WALKER RANCH RD 243036 W HWY 101 PORT ANGELES WA 96363 PORT ANGELES WA 96363 (360) 457 -9270 --- --- - - - - -- Permit . . . , , . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4. CIRCUITS Permit Pee 86.00 Plan CheclC Fee 00 Issue Date . . . . 8/25/14 Valuation , , . . 0 Expiration Date , . 2/21/15 Qty Unit Charge Per Extension SASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 00 - 00 Plan Check Total .00 .00 00 .00 Grand Total 86.00 86.00 00 OQ REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING iW