HomeMy WebLinkAbout1302 W 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY 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
05-00000943 Date 12/13/05
429191
1302 W 6TH ST
06-30-00-0-1-5300-0000-
COMM ADDITION
PUBLIC BUILDINGS & PARKS
12000
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
61283
232.75
12/13/05
6/11/06
Plan Check Fee
Valuation
151.29
12000
Qty Unit Charge Per
Extension
92.75
140.00
BASE FEE
10.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 61291
Permit Fee 66.90 Plan Check Fee .00
Issue Date 12/13/05 Valuation 0
Expiration Date 6/11/06
Qty Unit Charge Per Extension
1.00 66.9000 ECH EL-COMM ALT- REPAIR METER/MAST 66.90
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 299.65 299.65 .00 .00
Plan Check Total 151.29 151.29 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 455.44 455.44 .00 .00
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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.
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Signature of Contractor o(Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\11 02_15 building permit inspection record05. wpd [114/20051
BillLDING 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 UNLA WFUL TO COVER, INSULA TE 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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB ....
WALL / FLQOR:l.~~QJ .r I
MECHANICAL. . ,.. '..
.' ~~ - . ,./
HEAT PUMP I FURNACE i DUCT;>-' '1J
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGlLIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYlUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL 7-/1~1' ~
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING 17-/-.,- tJG JJ..v
T:\Policie5\1102_15 building pennit inspection record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
www.cityofpa.us
Print out form and fill out COMPLETELY in INK. Your application and sit
plan MUST BE COMPLETE to be accepted for review.
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Applicant ~c Agent: \tJ ~ I aap.J ~ ~t.ltvL.idJIP' eJ.g,c;, Phnne:;I 0 Co, - '5 7LI- to 30 ;;;
owner:~ D~ PDv-1- ~e..sJ-~ikJj adSb:.'{l Phone: ,3 &0- 4/? - 42o(j
Address: 3~ 1 E 5th 5-t City: {h r+ 4-n~ e ;; Zip: q~ 3 &> ;(
ArchitectlEngineer:-T< lJ c.. 4rch d-e- c.~ -7 (J.9Vl eQ. r- S Phone: Lf' J.5 - (p 70 - g 05 J
Contractor Its V State License #: Exp: Phone:
Address: City: Zip:
PROJECT ADDRESS:_ '?D2 VII, tit.f-h St J P D r+ A1'\~.eJ ec, L1 r 3 ~ 3 ZONING: 2ubJl~ bldj-
LEGAL DESCRIPTION: Lot: - Block: - Subdivision: - a;ykS
CLALLAM COUNTY PARCEL NUMBER: C,/t-U\ 0 -\2- -f..Q..L+ r+wj eJes
D - OD - 0 - ~ ~DO - 0000
1- S3
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Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZE/VALUATION:
o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $ /..;J-/600
BRIEF DESCRIPTION OF THE PROJECT: re.VYI0ue I Vep/Cj(l e.. 2-L, 15.#';5 eLNl +<~l) WI;? Y\.UV ~
0JJ.rJ.. 4- r ~ 1M ~ s.J..WL:J lee; s c:-d a..v ~ .
COMMERCIAL/RESIDENTIAL: Occupancy Group: Ai / t1 Occupant Load:un rYl2W1&Jonstruction Type: W C. ~
No. of Stories: ~ot Size: Existing Sq. Ft. ' . & Proposed Sq. Ft. = TOTAL Sq. Ft.
Total lot coverage %
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APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRA TION OF PLAN REVIEW: Ifno 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 Rl 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 t same
understand that it is my responsibility to determine what permits are requir, d, not
be true and correct. I am authorized to apply for this permit and
ty's, and that I must obtain such permits prior to work.
www.cityofpa.us
Applicant:
Date:
LII1d4 L . /;;2otk
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Wireless Facilities, Inc.
575 Andover Park West
Suite 201
Tukwila, WA 98188
Telephone: (206) 574-6302
Fax: (206) 574-6333
9/16/2005
City of Port Angeles
321 E 5th St
Port Angeles, W A 98362
RE: Request for modification on an existin~ Wireless Communication Facility at
1303 W 8th St. Port An~eles. W A 98363 - P A0825 West Port An~eles. W A 718
To Whom It May Concern:
On behalf of my client, Cingular Wireless enclosed please find a completed Commercial
Application for Wireless Communications (antenna), and associated documents and
drawings for a proposed modification on the existing Wireless Communications Facility
at 1303 W 8th St, Port Angeles, W A 98363.
Applicant proposes to replace three (3) existing antennas with three (3) new DBDP
antennas. Also add four (4) new Nokia Ultra Site cabinets within the existing lease area.
Thank you for your assistance with this matter. If you have any questions or require
additional information, please feel free to contact me at 206-574-6302 (office) or 206-
909-7307 (cell) or bye-mail atlinda.brock@wfinet.com
Linda L. Brock
Site Acquisition Specialist
Working for General Dynamics
Representing
New Cingular Wireless PCS, LLC
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
Property Address
ASSESSOR PARCEL .NUMBER:
Tenant nbr. name
Application description
Property Zoning . . .
Application valUation
03-00000489 Date 5/20/03
1302 W 6THf?T
0630000153000000
CINGULARWIRELESS
ELECTRICAL NEW COMMERCIAL
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
EXPERT '..ELECTRJ;C INC
4619 PACIFIC AVE
TACOMA WA 98408
(253) 4?1-1009
----------------------------------------------------------------------------
Pe.rmit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
59.40
5/20/03
11/16/03
.00
o
Qty Unit Charge Per
1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS
Extension
59.40
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.40 59.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 59.40 59.40 .00 .00
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Separate Permits are. required for electrical work, SEPA,'Shoreline,'ESA, utilities, private and public improvements. This permit becol1'l8a
null and.voldifwork or construction authorized is not commenced within 180 dayS, if construction or work Is suspended o.raballd(m~d
for a period ot189 days after the work as commenced, or if required Inspections have notbeen req~~stedwithin1~~ daYSfr()mthe I.ast
Ins. p.e.c. tl...O.. n. .........'. he;.. ~eJtifY. that I have read and examined thiS. ap. p..licatlon. and kno. w the same to be true and correct All. Pro.\/.iSiOrS.O.......f
laws and~[l .' ~~ng this type of work will be complied with whether specified herein or not. The granting ota permit does not
presume. to. giv authority to violate or cancel the provisions of any state or local law regulating' construction or the performance of
constru
-x
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.1S (412002)
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BUILDING PERMIT INSPECTION RECORD
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CALL 417-4815 FOR BUILDING INSP. ECTIONS.' PLEASE PROVIDE, A MIr-;/IMlJMi24 HOU, R NOTICE.. IT IS ,UN. 'LAWl"U. 'L. .Tob.....Qr,E.:.. ...R.,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PE~IT <:;ARD AtlD APPROVED PLANS AT JOB SITE
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INSPECTION TYPE DATE ACCEPTED ., .' . COMMENTS iV,V, ,. ..
YES . 'NO" . ,
FOUNDATION: \
FOOTINGS
WALLS
FOUNDATION DRAINAGE . , ..... .; , .... ,
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN '. I "
PLVM~ING .
UNDER FLOOR / SLAB
ROUGH-IN .
WATER LINE
GAS LINE .
BACK FLOW /WATER """" ,
AIR SEAL ,.
WALLS .'
CEILING I I
FRAMING '.' ,
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR .'. .
INSULATION
SLAB I
WALL / FLOOR / CEILING .'
MECHANICAL .
HEAT PUMP . I
WOOD STOVE / PELLET / CmMNEY .
HOOD / DUCTS ,
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
W A TE~INE / METER
SEWER CONNECTION .
SANITARY
.
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNGILIGHTING ESA:
LANDSCAPING , SHORELINE:
" , .; . FIr;~INSPEc:TIOl'l,l!,REQUIRED PktORT();OCCUP.-\N9Y/USE ---ce". ,
RESIDENTIAL . ,DATE, YEs NO , COMMERCIAL DATE, ACCEPTED
. ;-,.,"
,.' C" "" " .' " .,;. :' , '>; ,'. YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 , ELEcTIuCAL '~p?~h.D
c, '. LIGHT DEPT .', ' ,.
-, 'CONSTRUCTION- R. W:
CONSTRUCTION R. W./ PW/
ENGINEERING 417-4807 ,PW / ENGINEERING . ,
FIRE 417-4653 . FIRE DEPT.
PLANNING DEPT. " 417-4750 PLANNING DEPT. .
. '.
BUILDING 417-4815 , BUILDING
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T:\PLANNING\FORMS\1102.15 [412002]
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CITY OEPORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING'DMSION
321 EAST 5TH STREET,PORT ANGELES, WA98362
AppliCation Number
Property Address,
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
p~~petty Zoning. .. ,',
Application valuation
03-00000475 Date 5/16/03
1302 W 6TH ST
0630000153000000
CINGULARWIRELESS
COMMFOUNDATION ONLY"
85000
OWner
Contractor
,HIGHLANDCO,r,n.rom:CATIONS ,
20384 ALGER CCC LANE
SEDRO WOOLLEY WA 98284
(360) 708-6857
Structure Information WIRELESS CELL TOWER
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . FENCES, TOWERS
CITY .OF PORT ANGELES
PO BOX 1150
PORT ANGELES
SJi
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WA 983620217
--------------------------------------------~-------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
, Expiration Date
BUILDING PERMIT - COMMERCIAL
912.25
5/16/03
11/12/03
Plan Check Fee
Valuation,
592.96'
85000
Qty Unit Charge Per
Extension
667.25
245.00
BASE FEE
. 35.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
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Other Fees
STATE SURCHARGE
4.50
Fee SUII1IlIllry Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 912.25 912.25 .00 .00
Plan Check Total 592.96 592.96 .00 .00
Other Fee Total 4.50 4.?0 .00 .00'
Grand Total 1509.71 1509.71 .00 .00
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Signature of Owner (if owner is builder)
~ _,_ :: .'_ _ .'>" , _'_:_ _, _ ~. -'- ~-_-:_,_-_,_,.n__ ..,_~~~-_.-'-"-~-0~..-..
Sepa~~te ftermlts. are r~quired for electrical work, SEPA"St'lo'relire; ESA; utilities, private and public improvements., This permit ~e~o",es
nun ~n~y~ia~ Wi)rk or construction authorized is not ,commenced within 180 days,. If construction or work issuspeni:f;a(fpH.b~.ncrone.d
for a peQ,w~t~~U,8Q.fJ~ysafter the ,work Cis ~rnmenced~or,ifr~CI~lre~ Inspe~tlons have not been requested within 180dil,~ fnJrr) mel~st
Il1s~CtI~n.1 ~ereby certify that I have, read, and exari1ined ttil~ application and kt\Ow the same to be true, and,con-ect,l\ilpri)~sio~s()f
laVJs~nd'ordil'l~n9~s governing thi pe fwork will be cqrnplied with wheth,er ~p~cified herein or not. The grantlngof,.ap~I1J1It't16es.npt
presumelO give authority to viol el the provisions"of any state or 10caHaw regulating construction orthe.peiformance of
constructi. '
--:::03
T:\PLANNING\FORMS\1102.1S [412002]
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BUlLDIN~PERMITINSPEOTIONRECORD () D -J./?S
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CALL 417-4815 FOR.BUlLDINGINSPECTIQNS:PLEASE PROVIDE NMINIMUM 24 ,ijOUR NOTICE. IT IS. UNLAWFUL TO CQipR. '
INSULATEJ!.!'J;OIYCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LoCATION,
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KEEP PERMIT CARD AND APPROVED PLANSA T JOB SITE
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INSPECTION TYPE DATE ACCEPTED .' , " COMMENTS'" "', .:/C
YES r NO ~ ,~. ",\
FOUNDATION: , J-e.:~ ~d.ct-~, O.L ,:".,' ,I ~
"'iC"'J:,fj -,
FOOTINGS , :s fA&... \ 1 '".
WALLS
FOUNDATION DRAINAGE , I , ",
EL~€+L '\, (liGHT DEPT) SEPARATE PERMIT: # ,
ROUGH-IN I I ,.. .
\ '
PLUMBING .; ,),
.
UNDER FL9QR / SLAB
ROUGH-IN, .
WATER LINE J
GAS LINE ,
i. -
BACKFLOW/WATER " " " e
AIR SEAL "
WALLS ..
CEILING ! ~7: '" " I
FRAMING --~..",
r
JOISTS / GlROERS
SHEAR WALL,
WALLS/ ROOF rtEILING ,
,
DRYWALL ,
. ,
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING I I
MECHANICAL ,
HEAT PUMP ,
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS '.
PW UTILITIES / SITE WORK (E~gi~ng Division) SEPARATE PERMIT#'s: I
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM '.
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING 'I , ESA:
LANDSCAPING SHORELINE:
" "d'~~,UYSP~CTIONS REQU}~PRlO,R W OC :u~~c.y!l;t~!:,o ....., .>; ",T', ';,; , .,'
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I,., , RESIDENTIACi I, , ';., ,:,h'DA TE, YES ,NO COMME~9~~ (.! ' .DAn: J:.",~~f;rili:D, '., ,., ;
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ELECTRIC~ - LI9Jrr pEP)!'. 417-4735, I',. "
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CONSTRUCTION R. W./ PW/
ENGINEERING 417-4807 ' PW / ENGINEE~G "
FIRE 417-4653 , FIRE DEPT.
PLANNING DEPT. .417-4750 ,0" Pt.ANN!NG DEPT. "'" ~ ;, ' I',
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BUILDING 417-4815 BUILDING ;::.LJ .
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T:\PLANNING\FORMS\1102.15 {412002]
4- 2-03; 1 1 :33AM;CITY PORT ANGELES
;3604174711
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BUILDING PERMIT - APPLICATION
'S
Fill out COMPLETELY and in INK. Your application and site plan M
COMPLETE to be accepted fOT review. If you have any questions,
(360) 417-4815
Applicant or Agent: c.~".~ L.~f'1t{J lbr C!..'~ule:r L),\re-kU
Owner: c../-y ~ ~rf /.)"'~ek5 P..ds 4-R..t.I&A... . /:),.~r
Address: 3:2/ t: Pfl( sl City: ~,.f 41,,/,r
ArchitectlEngineer: I-::/~pcl.,.r,r:. dell q.. A"(Je.'~;"J
Phone: (~,,~ ~ ') 0 l./l/ ]
Phone: 3"" I{I7 t{s-S-I
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Zip: '7?J";2
Phone: ",s- "'J~ t:> 7 Y{,
Contractor T ~ i:)
State License #:
Exp:
Address: City: .p.,.
PROJECT ADDRESS: /'503 LJe(,f <?~ Slr4,f-
LEGAL DESCRIPTION: Lot: /1 Block: I s-c{
CLALLAM COUNTY PARCEL NUMBER: ~(; 3 0000 / >J~~ I
o () O() ~c.{ rJ {/
Phone:
Zip:
ZONING: PB P
Subdivision: IOIJ"',!',,( ~r r 4"5' /, j
~ c, ~ 6()()(!J I ')q ()() J ~~ 3 ()O (J 0 /c.( 3tJ(;J
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK: S~/V ALUATION:
o Residential ~ New Constr. 0 Re-roof 0 Stove SF. @$ ISF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ ISF. = $
~ Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ ISF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $ "l~CieJO
BRIEF DESCRIPTION OF THE PROJECT: /!,f1/c" (,\ ~f'/,) 1~J.f 1.4/ AJ~.J {>tilt. !. ~t-/()e4,k lisAh q. c:-""Ir.(
U^1r.ilv- u.'('f (,'O'; kk 4....,.,.tll1;e.c k~s lit. I, I- y ~r pie;", ~.
COMMERCIALIRESIDENTlAL: Occupancy Group: Vi.. '). Occupant Load:
No. of Stories: ~ Lot Size: 1t..1/ J'/.. eel' ~ Existing Sq. Ft. AlA- & Proposed Sq. Ft. ,!/h
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
City:
Exp. Date:
Construction Type:
,vA-
APPROVALS:
PLAN: 71i7f-
BLDG:~
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered bytbe applicant. TIris 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. Ail other pennit fees are due at!he tlmeqt; Pt?roU:! issuance.
EXPIRATION OF PLAN REVIEW: Ifno perinit is iSsued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for. a,ction by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the l1iiifoj:rri.Building Code, current edition). No application can beextendedmore 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 ;s my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
. (H . Date: ()~~I(!cJ
~ ~"",Io. v.'tr ~'f
Applicant:
T:\FO RMS\APPSIBuild ingpenni l. wpd
j
(
t
r,
Parb., Recreation Ie Beautification Commlt.ion
March 20, 2005
Minute.
I. Call to O.cle.:
The March 20, 2003 meeting of the ParRs, Recreation & Beautification Commission was
called to order at 7:04 in the Vern Burton Community Center meeting room by Diana
Tschimperle, Chair.
II. Roll Calla
Those Present: Damaris Rodriguez, Diana Tschimperle, ChucR Whidden and Pat Deja
Those Absent: Larry Little
Staff Present: Marc Connelly, Director, and Mari A. Bilsborrow
III. ADD.oval of Minute. anel Aucllo laDe DitDodtion.
ChucR Whidden moved to accept the minutes of February 20, 2003. Pat Deja
seconded the motion. Upon call for the question, motion carried unanimously.
IV. Item. f.om the Auclience not on the Agencla.
None
v. Legitlation.
{Cingula",Wi.eleTfite"clii;~~~'J
Cingular Wireless is again requesting a lease to install a wireless antenna facility within
Shane ParR. City Telecommunications policies encourage use of public property for the
siting of these facilities.
This lease is modeled after a similar agreement entered into between the City and
Voice Stream in 2000. The impact on Shane ParR as a result of the construction will be
the replacement of the existing timber light pole with a steel pole and the installation of
a communications cabinet and its associated security enclosure. All site worR will
require Cingular Wireless to coordinate with ParRs & Recreation staff to not interfere
with scheduled activities and ensure that the site is restored promptly.
Staff explained that the Real Estate Committee recently reviewed and approved the
conditions for the lease They are the same as those previously approved by the
Commission in May, 2002. The marRet value for the lease is established and increased
annually based upon Seattle area cost of living projections.
ChucR Whidden as Red why this antenna could not be attached to the current
antenna. Staff responded that the existing pole is not tall enough; the existing pole is
eighty-five feet tall and Cingular requires the new one to be ninety-five feet. Staff
informed the Commission that Cingular will be under grounding all the wires and
relocate the existing field lights to the new pole.
. '
"
(
ParR Board
March 20, 2003
2
Diana Tschimperle aSRed if there is a limit on the number of cell towers on public
property. Staff replied that currently there is no restriction. Staff did note that if the
Commission chooses, they can review and decide whether they wish to limit the number
of poles in the parR.
Pat Deja moved to accept the Cingular Wireless antenna pole, lease, and forward it to
City Council. ChucR Whidden seconded the motion. Upon call for the question the
motion carried unanimously.
Par'lt Commbdon Member ADDointment Recommenclation..
This item was tabled until April 3, 2003.
Art Feiro Marine Life Centera
The operations of the Art Feiro Marine Life Center are managed through the
administration of an annual operating agreement between the City and Peninsula
College.
The 2003 general fund budget includes $45,000 to be utilized for recreation, education
and interpretive programming, building repair and maintenance, as well as minor
capital improvements. This represents a $5,000 reduction in funding from the previous
contract.
A Significant change to the contract this year is a revenue sharing plan between the
College and the City. This agreement is meant to encourage investment by the College
in marReting, promotion and capital improvement. Previously, the City received 100%
of the admissions revenues generated by the operations of the Marine Life Center. On
average the annual admissions generated approximately $15,000 for the City General
Fund. The revised contract allows for the City to continue receiving its customary
collection of the first $15,000 generated by admissions. The contract also provides a
mechanism whereby the College can recoup the $5,000 of operating capital lost due to
a reduction in City funding by increasing attendance and admissions collection. The
contract consequently provides for the College to retain the next $5,000 of revenue
from admissions collected. The City and the College then will then benefit jointly for
any revenues collected over and above $20,000 by sharing those revenues 50/50.
Staff feels that revenue sharing is a positive action especially when the College taRes a
more direct and active role in managing the future of the Marine Life Center.
Damaris Rodriguez moved to accept the Art Feiro Marine Life Center Contract. Pat
Deja seconded. Upon call for the question, motion passed unanimously.
VI. Other Condcleration..
Parh Commiuion ADDlicant Interview..
This item was tabled until April 3, 2003
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORks
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: n I
Date 5- 2.6 -OS Time Received by K V (phone, person)
Location of Work to be inspected I S6 Z
Name of person requesting inspection /{('-\lS
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
~
Framing Chimney Plumbing Final Sewer Excav. Other
lJJ
b --I-h
Sko~~ ~,- k
Phone No."?'<:1 661 '1st{8
~7S
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED . . . . .. YES NO
q:DOALAA
w~~
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
r-m
. '
./'
BUIl..DI~G DIVISION
/
..
CITY OF PORT ANGELES
~
~l~
* *
.
G(L,I 0
, /2-r4s,:r{L
.
sp~c-.
If-v
These corrections must be made and are not to be
covered until reinspection is madqe hen rrections
have been made, please call I
for Inspectln" { '3,
Date s-J iff V '
DO NOT REMOVE THIS TAG
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . ... . . .
REQUEST:
Date S-2.9-0:5
)
Time.
Received by
1<\/
(phone, person)
I _~.L
W \0 v,
~VLe :J>a.J/ K
Phone No~ 1::61 q-S96
Permit No. ns-
/302.
.
Final Sewer Excav. Other
Inspected: Date OTE*'2.."
Remarks:
Time--AV\
By :-t L --'
o-rL~
RESTORATION REQUIRED . . . . .. YES.
T,^, ...d. 1b.V'~ /"tspecfcw"-
NO
6 l-1.... silk
SURFACERESTqRA TION:
SURFACE TYPE: .0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
. D Repaired by Permittee
D No Damage Foun,d
Work Order #
o COMPLETE
o INCOMPLETE
. _',_ /;"-11~i- .
I' ~ ,- ,." -,,-~
ICol1tinue on reverse ~id "necessary)
I:> ,,- ,"iii','- _r~''''_-;::':_"~' :'.>>:...,.-,'
STREET~l)~EI:UNJENOl;tJT
IDA TE)
'-L__
!.--
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date . (!/to.~o/05
~f7
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation. Framing Chimney Plumbing S Sewer Excav. Other
Ce II 10 we y- .
INSPECTION NOTES. ("'rY~ I _. ~
Inspected: Date ~~ Time VVl By..:.J ~
Remarks:
Lb. 6'rih
Time
~!06
(s), aA~
Phone No. 6~/ -If51/9
. J..J7S
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel OAsphalt OPCC
o Other
o Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
.JDA TE)
.',
~~".
.~, ~
.CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT ;.BUlliPINGDMSION
321 EAST 5TI-ISTREET. PORTANGELES. WA 98362
.00
6/14/03
12/11/03
Plan C4ec.k Fee
Valuation . .
.co
o
Appl!cation N~er
'P:rop~x-t:yAddress .
ASSESSOR PARCEL NUMBER:
Application.desc.dption
Subdivision'Name
Property Zoning .. .
Applicationvaltiation
03-00000580 Date 6/14/03
130.2 W 6THST " ..... .,.
06-30-00-0-1-5300;'0000-
ELECTRICAL ONLY
o
owner. ,
Contractor.
------~'--~--------------
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
MAJOR ELECTRIC
18538 142~ AVE,NE
WOODINVILLE ~WA 98072
---------------------------------~--------~---~------~-----~----------------.
Permit . . . .
,Additional desc
Permit Fee
Issue pate
Expiration Date
ELECTRICAL ALTER COMMERCIAL
Fee s~ry Charged
Paid
credited Due
---------- ~---------
Permit Fe~ Total .00
Plan Check Total .00
Grand Total, .00
.00
.00
.00
;00 :00
.00.00
.00 .00
G'\.
T~:\
.<v1
'1
Date
. Signature of Owner (if owner is builder)
~,
',.
,-:
..-'\.....-"'"
Separate perrnitsare required for electrical work, SEPA, Shorehnt ESA:utilities;pri\iate and pubiicimprovemel'ltS:f?Is:P~'h11r.fbeccimGs
null and void if work or construction authorized is not c(;lmmencedwithin 180 days,if construction or work Issqs~'ti~d'orabllndoned
for a peri?d of;180 days after the work ascom~enced, or if requlr~d Inspections have not beenrequElsted wittliQ1~()"(f~ysJ..ornth~la!it
Inspectlon~J tlerel:)y c;:~~fy. that I have read and examinedthis~application and know the same to be true andcorrecLAILprovi~ions of
l~ws.a!1d\or~in:a~~gpverning this type of work will be complied with whether specified herein or not. The granti.ngof apermitdoes not
presume; to. give authdrity to violate or. can<;ellhepmvisioris 'otany state' or local law,. regulating constructioll..Qrthep.erforrn~nceof
construction." .
T:\PLANNING\FORMS\II02.15 [412002]
BUILDING PERMIT'INSPECTION RECORD C?"3 ~SrJO
{C'!.,:."~
; "-,-',,' ,...~rr<,
1,'-_'_' ,_., ...,l.' ... '.':" ,_ '-.. -.'....;.
CALL 417-4815 FOR BUILDING INSPECTIONS. ,PLEASE PROVIDE A MINlMUtyf 24:HOlJR NOTICE:: ITISVNLAWFULTQ COl'.E1I:,
INSULATE ORqO/tfG.EAL ANY WORK BEFORE INSPECTED ANDACCEPTED.POST PERMIT IN A CONSPICUOUS LdcA.TId~;.:
:~;;7i:ti,;:;;;;,;,-:':_:,'::.-;.._
KEEP PERMIT CARDAND APPROVED PLANS AT JOB SITE
': . ,. .' '. '. . , /' .: ;
I INSPECTION TYPE DATE ACCEPTED " <. COMMENTS :'! ,:". :,..:~.~i'i:l"
., .,
. ": YES NO'.: i.,'. " .,~:. "
", . '. ..,.1
FOUNDATION: .' I .: /':i
FOOTINGS
WALLS Ie",
. FOUNDATION DRAINAGE . .
ELECTRICAL (LIGHTDEP1) SEPARATEPERMlT:.1i . ',' ,-,' -",,'" ""'. .i '-'
. ': "
ROUGH-IN ' . I ,. i'l " <s ,.' '; ......r"
,. ".',.
.
PLUMBING
UNDER FLOOR' SLAB ....
ROUGH-IN
-' )'~j
WATER LINE
GAS LINE '.'
BACK FLOW 'WATER , .:1 ','c'l:
.:. ' .', ""0.:",
. , ,,'
AIR SEAL .. In
WALLS " I 1<. ' .
'-',
I I
CEILING ,
. ..
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.
JOISTS' GIRDERS '.'
.'
',' SHEAR WALL
WALLS' ROOF' CEILING .
"'? DRYWALL ..,
,., T-BAR . .
INSULATION' . .
..... I '. .
SLAB
! WALL' FLOOR' CEILING I I '.
.~,.
,..04 MECHANICAL , ....,.
"f
HEAT PUMP.
WOOD STOVE' PELLET' CHIMNEY
HOOD I DUCTS '.
Pw UTILITIES' SITE WORK .' ,
(Engineering Division) SEPARATE PERMIT #'5:
WATERLINE'METER
SEWER CONNECTION ,
, .'
SANITARY '.
'.
STORM JI 't ~ r?~
PLANNING DEPT. SEPARATE PERMIT #'5 .', .... ?rt. ..5~~ --
SEP . ...
, P~RKINGILIGHTING .ESA: /Ct,~vJee .~V~
LANDSS~PING, , .
I.. '.' , . SHORELINE: . ':,"'i" . .'
'\i ):i..I '",1'-':; ,'. . . ~ ..),":, fJN;,L.IN~PEC1'IONS ~qI~D PRIOR TO o<:CYI'AN'groSE'~' '...... "'." '. ..' ....". ..:;
, RESIDENTiAL . '.' '" .,' . DATE 'YE;S. NO COf,fMERCI.AL ,..-~ DATE"; ACCEPTED . '.
~ .~
I,.',.. .' "'I..;,.,",!-',
" ~I ~ " .
'fff " .: : eh'. .",YES) , NO
, . ,. , e,.e ". r,'.., ". ", .. ~ht~f
ELECTRICAL - LIGHT DEPT. 417-4735 'c'; 'ELECTRICAL ' . · '/:J ' 1 ~.--;
( .. " " . LlGHT.DEPT ," ..; '; ",.',
CONSTRUCTION R. W.' PW' 'C6N'STRUcTION ~ iv". . ",rt "- ,."
ENGINEERING 417-4807 PW 'ENGINEERING '. ..', ,. "
.. FIRE 417-4653 FIRE DEPT. .
. ~
PLANNING DEPT. 417-4750 /,' PLANNING DEPT;
,.,
BuiLDING " -. '.. ~
BUILDING " .. 411~4815 I'
. , "... .' ...."
T:\PLANNING\FORMS\I102.15 [412002]
~6i
VII
.Cll'Y(i)FPQI\'I:. ~G. B;LES
DEPARTMENT. O. Fe.o.. .MMUNITY..... .D. EVEI..OP... ME. ..'NT..- BUlL. DING DIVISION
"321 EAST 5TH~JRE~!,PORT ANGI;L~S, WA 98362
6/18/03
Application Numb~r , ,
Property Address.. '"
ASSESSOR PARCEL.NUMBER:
Applieationd~scription
. SUbdiyision Name, "
Property zoniiig, , ,',
Application:wluation .
03-00000580 Date
1302 W EiTH ST .
06-30-00-0-1':'5300~oooo':
ELECTRrCALN ONLY'~
"
Owner: '
--~------~----------~-~-
CITY OF. PORT ANGELES
,PO BOX 1150
. PORT ANGELES WA 983620217
MM'O~ul!:~s:m9.,,,
18538' 142ND AVE NE
W06DINVILLE WA.98072
, , - .
- - - - -: - - - - - ~ ~ - -.- ,- - - -'- - "':'--'" - - '. -. - -'- - - -'- ~ - - ... -....... :".~,':'~'; :';j~ - - - - - ~ ~'~~-~ -':'; _.:. ~ - - -..;; --- - -"'
Permit . , , ,
Additional desc
Sub Contractor
Permit. Fee . ,
Issue bate ,'.
Expiration Date
,',,'- -,.J -.
.' .-." ",",1or- -~ .
Fee.summary
Charged
Paid
Permit.. Fee .Total ,00
Plan Check 'l'otal ,00 .
Grand .Total . .00
I.
-":;;:s'
;--:~_:t"?:':--0",~~-;r<i'-':~~:;~i\~
"_~~.1j":;<-:'itt;; '~;1::;-;,t~!~L"?:/
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BUll,DING'PERMITINSPECTIONRECORD
>:.;,',t;',' ',' _ .. _ ,,'"', .. " ",', .." ___ .. ,.." r _ '~-i:~'- ___}~_,- -', "::<--:c-, '-..'>:j.--'-.-::";,
CALL 417-4815 FORBUILDlNG INSP~CTIONS.ptEASE'PROVID~ A MINIMUM;.24jI:{OUR~OTICKfri$ UNMJff'lTfrTR.cqI'P/l,
INSULATEOR.GONCEALANY;WQRKl}ElfOIiEllV~efJJ.I1fl!*MD:ACCEPTED. POST PERl\fIT INA<:{)NSPICtJ(jtJSLO~TtON.'"
"~-',;;<- ;:;,:.:;~;;::;~:"-
. .
FOUNDATION: ~"..
FooTINGSm .'
WALLS
FOUNDATION DMINAGE
. .' ELECTRICAL (LIGHT DEPT)
ROUGH-IN . .....
PLUMBING' '.
UNDER FLOOR I SLAB
ROUGH-IN
.
.
: <-~'j.
. .
'. '; ;:" . .
. " {.. .
:' . ..~:': .
KEEP pERMIT CARD AND APPROVED PLANS AT JOB SITE
. ',' . '<< ~_; ';, v:.~ _. .. " " ' ~_., c' <: ,(_ ',J,
INSpECTION TYPE' ".
DATE
I
ACCEPTED'.
YES I NO"
". .J '''.
.' .
.. <' .
CeMMENlrS'" .'
.
.
.
. .\.
. .
.
~
j' ".
SEPARATE PERMIT: #
I
. .
.j
....... '0 .... .
,r,;. .... >. '.'
.., . .'. ..,<
I .
.'~
.' .
.
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GAS LINE,
.
" ..
. .
.
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.... .
.
: ....".;.. .... ';',') "f; .... ." ":"" ....
... .. .' .' .'
'.' . :.' .
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.. ..
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...... . AIR SEAL .,
>\, WALLS..
, ,. CEILING
. . FRAMING
JOISTS / GIRDERS
SHEAR WALL
.
.'
WALLS / ROOF I CEILING
DRYWALL
,
T.BAR
'a INSULATION
. SLAB
.
.
,
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-c-
WALL I FLOOR I CEILING
\t MECHANICAL
l- HEAT PUMP
I
.
.' .
.
.
".
.
I
..'
WOOD STOVE IPELLET I CIDMNEY
HOOD I DUCTS ,..
,
"
.
PW UTILITIES / SITE WORK' (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION
.
" '
.
.
"
.
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5
.
.
,
....
I
.
SEPA:
ESA:
CONSTRUCTION R. W./ PW/
ENGINEERING . .',
417-4807
CONSTRUCTION-R.W.
PW I ENGINEERING
.
,. " ... _" , ", ,. . -.c
J.":1~~ I~:!!!~~
. ~. J/i:{i" .~.:;
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LANDSCAPING" '.
.
,
.... ......~... .' SHORELINE:
.., . ";f f1NALIJI!SPECTIONS REQUIRED PRIOR'rO,Qc;CUJ>,ANCYIUSE. ...,. .....
.'f'" .:<. DATE YES NO '.; rr,COMMERCIAI;/
..... ..... I. v., .... ,,<..
417-47355 , ELEcTIuCAL
. ..' ..... ,., LIGHT.DEPT ",
.
, . ...0 .
ELEcTRICAL - LIGHT DEPr: .. .. w
, ..
.
PLANNING DEPT.
BUILDING'"
.
,
FIRE DEPT. .'
,..., ..,
PLANNIN.GDEP'I;'., .;
'BUILDING
"
'. ..
... .
". 417-4653 . .,'
4r7-475o'" ';'1:
'"'''' "417-4815'" ..
"'. ..
'. .
,
,
. ..
FIRE
,
,
.
-
T:\PLANNING\FORMS\1102.15 [412002]
t~
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CITYOF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number
Property ,Address
ASSESSOR PARCEL NUMBER :
Application description
property Zoning . . .
Application valuation
Date 5/27/03
03-00000487
1302W 6TH ST
0630000153000000
ELECTRICAL ONLY
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
MAJOR ELECTRIC
18538 142ND AVE NE
WOODINVILLE WA 98072
-,~ - - ~,,-,7 - - - - - -.- ._,- ---............. -'-_... --... --...... ~.;..... ...'_...... --....................................... --- ~................................................
permit . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
MAJOR ELECTRIC
76.30
5/27/03
11/23/03
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1000 76.3000 ECH EL-COM 0-100 NEW SRV FEEDER
Extension
76.30
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 .76.30 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within ,180 days, if construction or work Is suspended or abandone,d
for a. period of 180 days after the work as commenced, or if required Inspec!ions have not been requested withi~ 180 days from the last
Inspection. I hereby certify that I have read and examined this application and know the same to be true an'd correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ofa permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1102,15 [412002]
-
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t
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Ct)
-:-t
Date
. BUD..DINGPERMIT INSPECTION RECORD (!) ~ -J.l87
CALL 417-4815 FOR BUILDING INSPECTIONS. . PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
. YES NO ..
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE .. .. ....
ELECTRICAL (LIGHT DEPT) SEPARATEPE~T:#
ROUGH-IN I
PLUMBING .
UNDER FLOOR I SLAB
ROUGH.IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING . . I I .
FRAMING .
JOISTS I GIRDERS
SHEAR WALL .
.
W ALLS'/ ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB .
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP ..
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS .
PW UTILITIES I SITE WORK (Engineering Division) SEPARA TE PE~T #'s: .
. WATERLINE I METER .
.
SEWER CONNECTION
SANITARY .
STORM
PLANNING DEPT. SEPARATE PE~T #'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
. . YES NO
. J
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL ~
c' LIGHT DEPT 5)/$/1'5 '.
. ". . CONSTRUCTION. R. W. /
CONSTRUCTl8N R. W. I PWI
ENGINEERIN 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
.
BUILDING 417-4815 BUILDING
'.'.,.'
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Wood Creek Business Pork
12810 N.E. 17ath Slreet
Suite 2J4
Woodinville. WA 98072
ph' ('25) 415-0746
fox: (425) 415-0799
DATE: 04-10-03
DRAWN BY: JBK
CHECKED BY: RBH
REVISIONS
Il<rE DESCRIPllON -
4/22 REVIEI/ SET
IS-m FINAL CO'S ".K
SITE NUMBER
WA-718-05
W. PORT ANGELES
lJOJ w. srn smUT
PORT ANGEtES WA 98J6
a-1.1
8-1 1-03;10~O~A~;CITY PORT ANG~LES
flfT/J i Jao6 Wi yY1A:r~ ~C-
ti~-:-. ELECTRICAL PERMIT APPLICATION
Th. EleclrIcaI PBmlit A/lllI- mUOllllllll1od out comp_lY.
IIN:-It' 5$0
/I - '- or _10'10 Ittll. n \'011..... any qu_ plaN 011I1 (sao. 417-4725
/l ~ l ' Fa 0_ (3eDl417-4111 Lf::::;2
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_._~~IC ~l'- _,Yz0!W2&77_LIZ,"ID 'Th^
ProperlyOwnor. t/o/:~,{-~e.::, PIle...:
_..: \30~ \ue~ gt:'::'-' 'CIty: P0.<27 Mbc;;t..t=::. Z;p '7'1?;$~''3
Electriesleontnlcto<: MA:ro;e.rz:J~/L Lbn...f:~""""'" Exp: ~/~:s. Ph0n9:
Addreos:J(()"3'i! I tf2-% f1.J #8 CIty: JAiDAlv'G ^"N ZIp: Cf2v7'Z--
INSTALLATION WIRED BY: 0 OWNER ~CTAICAL CONTRACTOR
Credll CtJrd Holder Name: ~IC- /0A-u/~
, ~ '
BllllngAddre88:/r;55~ lc..(Z.~ Au NI6 City: WONi/L
CrudJr Card Number:
PR~fCTADDqESS:~3~sZ.3W .~!:10~~ f3~ g..-I ~7deo
TYPE OF WORK: Check IlI1lhat apply: 0 New ~1tern'ionlAddltlon
o Residenlal 0 Multi-family ~ommercial 0 Mobile Home Sq. Ft
/06(0 ~
; .:ISO" \ 7-1.7'1
. ,/
POItOf'nC1A1.USLONLY
",""""
.....~
OJIcAflilll'Wl.l.
~11IlIN:
Zip: ~to72..
VJSA:_MC:~
o Remote Meter 0 DatiU;hed garage 0 Hot Tub 0 Swim Pool '0 Septic Pump 0 Low Vo~age 0 Telecom., 0 Sign.
Number of Circuits added or altered: -==--
o Baseboard
o Fumac:e
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
_KW
D OverhAad SeMCB
CJ Tamp Service
o UodBrground 5eNk;.,
WA/VtO ' p.tJ;L P/lrL-KS
.. " ' Service Intonnatlon
Voltage: L/ '60
Phue: ~ 1 0 3
S.rvIce e:
F_er Size: '7
-
51.~ 0
Electrical Heat Load Addition.
.
N/~
Ft'€5
PAMC 14.05,060(9): For industrial, comma",lal, & resldentisl proJeclB Iarggr then a duplex. a one -Ilna drawing of the Eleclr1col Service &
Feede",. building Biz. (sq. It). loed calculations, Bnd the type & of conduCIO'" andlor raceway I. "'<I"ired am shell accompanyth..
Electrical Pennit application.
I herebY'Certify that I have read and examined this appllcstfon and know that same to be true and correct, snd I am
avthorized to apply for /his pennft. I underslanri It is not the CIty's legal responsibility to detennlns what pennits
are requirerJ; it remains the apprlC8nts responsibility to detennine, what pennits ere required and to obtain such.
Credit Card Holder's SlgnlltU
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FOR. OFFICIAl. usE Of\l'L';
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baR ~wd:
D:lrcl......:
The Electrical Pennl' Ai>P- mull! be f11'-d out COftIDletIIlv. />
PI- type Of reprln,ln Ink. "you have any qU8alio"", p_ call (3&ll. 417-4735 . /~ .;;? 1.
"""numbet:(360)417-4711 ('# </87)
~ K.e,'i,IJIq~ PIlone.4-zs1B-2477F~ 4-2s40z.-'11Q3
Owner or Else. ContlllClor Aglll'l\' . '. 4
Properly Ownor. ~ ~ ~ ~s. Phone?JOO - \1- 4-So
Addre..: 2>~ ~+- ~.:::k ' . . . CIty: t:b.+ CJ..,~s tJ ZIp: ~~?ip::J-
ElectrlCalConlrlR:tor.M~Y2-~G Ir./G Uc.nse.:h,l'troaiSo~i~' ,-0.,3 Phone: ~'6=!,.2(p'
AddIllSll: I'O'S:,y 14'l-t.dfl'trt, vJ{5 Clty:\0:lo&;'1v'IIfe. Wl'T ZI~87)1;;-
INSTALLATION WIRED BY: 0 OWNER )(fLECTRICAL CONTRACTOR .
Credit ClItd Holder Name: ~ro ~"'TS . M ,o,.:mtL- ~ <:-
Billing Addrns: 1~5;>;.rl4~ ~ N~ C1fy:Wa:;t9.I'l'Wllie- \,0 (A Z1p<J.Fo7';L
Credit CmdNumber: Exp. Oats. VISA:~
PROJECTADDRESS:~~~Z:~~ ld:b*~~~ 'W~~
TYPE OF WORI(: Chock .BIllhal apply: ~N_ 0 Alteration/Addition
o Resldentsl 0 Multi-famIly lJ\ Commercial 0 Mobile Home Sq. Ft.
o Remote MeIer 0 Detached garage 0 Hot Tub 0 SWIm Pool 0 Septic Pump 0 Low Voltage DTalecam, 0
..I.,
ELECTRICAL. PERMIT APPLICATION
J
.
Number of Clrcullo added or allunod:
DESCRIPTION OF THE ELECTRICAL PRO..ECT:
4:8-0
" c:n.--r I [()t.l f>rr.r'.p. ~\ U-
(
Electrical Heat Load Additions
.$ ?C, .30. 0 - 100
<!D"""""" .
ServIce lnlormatllln
o Baseboard
o Fumace
o Heal Pump
o Fan-Wall
_KW
_KW
-KW
-KW
o Overhead Senllce
o Tamp Service
o Undergruund Service
VOI~ "f'W
Phase: 1 0 3
Servi ze: If!J
Feeder Size:
PAMC 14_05.060(6): For industrial, commercial, & resldentiel prol_larger Ihan a duplex, a one -line drawtng of the EIllCtr1cal Service
Feeder., building size (sq. Il), load calculations. and !he 1ype & 01 conduclDl1l and/or raceway is required and shall accompany the
Electrical Pennl! applicaUon.
I hereby-Certffy that I have read and examined this application and know that same to be true and conect, and I
authorized to apply for this permit. I understand it is not the Cily's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to Obtain Such.
end.............. _a': &. .d" o.r.P'7'-o:>
Owner or Elec. Cont., Slgna~~I-0I';.Q~12 ~ Date: 'S. q-D:!;,
PW.9019 I
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