HomeMy WebLinkAbout511 W 8th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES 1
360- 417 -4735 0
Application Number 12- 00000401' Date 4/09/12
Application pin number 314247
Property Address 511 W 8TH ST B REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2- 3610 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 0
Application desc
1 -4 circuits remodel
Owner Contractor
JASTMAR INC OWNER
511 W 8TH ST
PORT ANGELES WA 98363 j'N\
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS b
Permit Fee 86.00 Plan Check Fee .00
Issue Date 4/09/12 Valuation 0
Expiration Date 10/06/12
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due �M`r�
Permit' Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 61 i li oito
FINAL /17
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION 1 1 1 �r
Ns
Building Division/Electrical Inspections t
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 G r W f V
Ph: (360) 417 -4735 Fax: (360) 417 -4711 1111111Pr eat
ELECTRICAL
Date:CAI,2—._ Mufti- Family r Commercial* INSPECTIONS
mo
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 5'l 1 t, 9 S`t pa 2T A
Building Square Footage:
Description of above tt 1vt4 ice. 7 LO r
tt b i J\ 0 r- fro t 2.0 S `t -Pf-
Owner Information Contractor Information
Name: q flAJ N
-1 I L E k4. BRII) t Name:
Mailing Address: 5•1( Li 4T- 4 Mailing Address;
City: p. f State: j,. 1{- Zip: 63(mL City: State: Zip:
Phone: 1100->i t Fax: Phone: Fax:
License Exp. License Exp.
Item Unit Charge qty Total (Qty Mult� Unit Charge)
Service /Feeder 200 Amp. 132.00 .1 2.
Service/Feeder 201 -400 Amp. 160.00 J
Service/Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00 pict
Branch Circuit W/ Service Feeder 5.00 L P •..c
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 10 1 j I a0
Branch Circuits 1-4 86.00 �6
Temp. Service/ Feeder 200 Amp. 12.00 N
Temp. Service /Feeder 201 -400 Amp. 121.00 6,, 1•
Temp. Service /Feeder 401 -600 Amp. 164.00 a
Temp. Service/Feeder 601 -1000 Amp 185.00 b
Portal to Portal Hourly 96.00 g b
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
�C7 r tal
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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash 7 Check
Credit Card
x 4 f A. A. Dated: 4 5 Z.— 01101/2012
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Appl~cat~on Number
Application p~n number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application type description
Subd~v~s~on Name
Property Use
Property Zoning .
Application valuation
07-00001018 Date 9/04/07
100358
511 W 8TH ST C
06-30-99-0-2-3610-0000-
JASTMAR, INC / STEVEN B.
Lasered
CEO
SIGNS
UNKNOWN
800
Owner
Contractor
JASTMAR, INC.
511 W. 8TH ST
PORT ANGELES
(360) 808-2989
OWNER
WA 98363
Perm~t
Add~t~onal desc .
Permit p~n number
Perm~t Fee
Issue Date
Exp~rat~on Date
SIGN
64 SQ FT SIGN
110270
85 00
9/04/07
3/02/08
Plan Check Fee . .
Valuat~on
00
800
SO\
, -
......... -
V\ ~ ~
-..~ ...
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,~
~
Qty Un~t Charge Per
1.00 85 0000 PER S- SIGN WALL 25 SF+
Extension
85 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 85 00 85 00 00 .00
Plan Check Total 00 00 00 00
Grand Total 85.00 85.00 .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
construct;on. ~ I~ '?"r~O?
Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is buil~r) Date
T \Pohcles\l102 _15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
BUll,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICALINSPECTIONS 0
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVlDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSUL/,TE OR CONCEALANJ' WORK BEFORE ,-j
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON ,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYJ'E DATE ACCEPTED COMMENT!'
YE!, NO
FOUNOA nON
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA TION DRAINAGE I DOWN SPOUTS
PIERS I
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER UNE (METER TO BLDG)
GAS UNE FINAL DATE ACCEPTED BY
BACK FLOW I WATER
AIR SEAL
WALLS
CEIUNG
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (TNTERlOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
WALL I FLOOR I CElUNG
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACEIDUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE 1 PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMlT #'s SEPA
P ARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIUCAL - LIGHT DEPT 4] 7-4735 ELECTRlCAL
UGHTDEPT
CONSTRUCTION R W IPWI CONSTRUCTION - R W
ENGINEERING 4]7-4807 PW 1 ENGINEERING
FIRE 4J 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING io10(/(), -r1..L
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PREPARED 10/01/07, 9.59 52
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
511 W 8TH ST C
JASTMAR, INC./ STEVEN B
JASTMAR, INC.
06-30-99-0-2-3610-0000-
07-00001018 SIGNS
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
BL99 01
10/01/07
IIf
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE
(360) 808-2989
PAGE
DATE
10
10/01/07
TIME: 08:56 00
-------------------------------------- COMMENTS AND NOTES --------------------------------------
DESCRIPTION
RESULTS/COMMENTS
BLDG FINAL TIME 04 00
* OVERRIDE TAKEN BY LPANGRLE DATE 10/01/07
October 1, 2007 8 54 53 AM lpangrle
STEVEN 808-2989
BLDG FINAL - SIGN
LATE AFTERNOON
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Dustan Lloyd 808-0040
P.O. Box 2866
Port Angeles W A 98362
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
Applicant or Agent ~~J~~~~8N ?~iYlPhone 31dJ-)?O$?-2-1X'7
Owner S/2J'~~!d~{- Phone ~afJ' ~O~ ,.2<j ~I
Owner's Address ,,-Cl ( t..J. <6~ c;.rRe;.;:t~ - 't1)fC{ Mt;"eu~ I A.JI+- 9 g~~
.58--F
State License #
Contractor/Engineer
Expires
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Contractor/Engineer's Address
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Phone
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PROJECT ADDRESS: S:-I (W ~-.0 <Z~ l:.-
\PA. stfi-,~ ~~ ~t - 'Z... - 'V-{I 7 ~9:' ,9
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: or €' ~o q Cj 0 '-.:2, ~ { n
ZONING:
p N~1-.1- "Buc 2-3 Cc
<1110\01 ?er 5V~~7-\O
TYPE OF WORK "-11.. SIZEN ALUATION S-\eAleY' $~O'oo -fo~ ~
o Residential 0 New Constr. 0 Re-roof 0 Stove 0'1 SF. @ $ /SF. = $ """'1 ~ ef'.s~\"
o Multi-family 0 Addition 0 Move 0 Garage SF. @$ ISF. = $ \ stgn..4
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ uJo..\1 SI'gh
o Repair <.r:i Sign 0 Other TOTAL VALUATION $ <:g-llJ. (0 a.m~v~t
,- rJ.. ~ . -U . wc.s Ol"11Inr.,Il..
BRIEF DESCRIPTION OF THE PROJECT: "CU \ 5 C- -==.)'~ \~\<.o..:::,~ < C~e.4. ~7
~~i\i(fl n~~r~ <;L~ SlqJ{. ~LbAi tvA-.~kL l_\ l.;r.'.L.!.. A-t..u...~ pA-AU..:::t. (?\lL~)
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COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: ConstructlOn Type: /
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. 't-
1'\ floor Sq. Ft. & 1'\ floor Sq. Ft. p..
2nd floor Sq. Ft. & 2nd floor Sq. Ft. (' t-.
3Td floor Sq. Ft. & 3'd floor Sq. Ft. ~ ~
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. ;_' \\j
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft. :" fij
TOTAL of existing & proposed structures Sq. Ft. ~
Lot size Sq. Ft. LOT COVERAGE Maximum Height of Proposed Structure(s) Ft. . ~
17
Existing Structure(s) Sq. Ft. Footprint Are you planning to install a lawn sprinkler system? ~....
Proposed Structure(s) Sq. Ft. Footprint 1-:-
TOTAL Structure(s) Sq. Ft. Footprint __
Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
r[
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be It
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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRA nON OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
app y is permit and understand that it is my responsibility to determme w7ht ermits are required, and that I must obtain
Rd','~erml prior to work. ~ ~,
. a e - ~(:n - -1-67 Applicant t~. ~~
T:\FORMS\BUILDING DIVISION\BldgPermltAppl-2006 CODE - backup wpd
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WATER HEATER:
SEWER:' .' ,-.
WATER:
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MECHANICAL:
VENTS:
FURNACE:
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
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Dustan Lloyd 808-0040
PO Box 2866
Port Angeles W A 98362
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l~ BUILDING PERMIT - APPLICATION ;"S;; ·
~e> . 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 FA..X(360)417-4711
FOR OFFICIAL USE ONLY
DateRec Of -09-or I
Pel1D1i # (') - 8l
. u", AP"'"'7//:t>ry
ate Issued 1
Applicant or Agent: ::rIG r MNt. I 1 Jo-L. / S le{e----N ? ~~ ~u G Phone'
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Owner STL->V~ 7. '2:.'fLl[){7E Phone'
Address' .<)( ( Cd, ~ S~.:.-c City. ,?... A,
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ArchItect/Engmeer
Phone:
Contractor
S~F
State LIcense #.
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Exp:
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Address' c:;~
PROJECT ADDRESS:
f\:S 1\jZ:n..'-..r-<... City:
5 \\ W,~
\P~ SttUR-'L -pC-.fVr
LEGAL DESCRIPTION. Lot. Block.
CLALLAM COUNTY PARCEL NUMBER:
..----
ZIp: r--
ZONING:
'[<{ ~~~I BUc- 2%
St- Ur.it C.
"6 7 ~ }-Z... - 2.. '-It '7 ~
SubdIvISIOn:
()~ 30 79t) 2-3 G>(Q
TYPE OF WORK: SIZE/V ALUATION:
o ResIdentIal 0 New Constr. 0 Re-roof 0 Stove SF @ $ /SF. = $
o Multl-family 0 AdditlOll 0 MoveD Garage SF @ $ /SF = $
o Commerclal 0 Remodel 0 DemohtlOn 0 Deck SF. @ $ /SF. = $
o Reparr )(Slgn 0 Other TOTAL VALUATION $ ~O(j. ~
BRIEF DESCRiPTION OF THE PROJECT~~~" , " r.. $, I.. N. ~4'-< - (i) _)Jt\:<-L~
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slr,i4 eJr Lf )C~ . t---t?~ C:\c r.:>L\ <..1 ~t-.L .t-~ L1f;rf/L.Jt=lr....tf1 ~~ (A0lfl-'\' wi ~\(L
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COMMERCIALIRESIDENTIAL: Occupan y Group: Occupant Load Construction Type. .---
No.ofSton". Lot S=. Exi,tffig Sq Fi. & Pmpo,"d Sq. Ft ~ TOTAL Sq. Fi -,;j If: ~
Total lot coverage % -1 Sl'db
. 1::.-c:>'
V 1 &
APPROVALS: ~ G
PLAN: ~~ ~
BLDG: ~ 1: t:l>
DPWU: ). ,
FIRE: ~
OTHER: ~ f
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VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant. l~ '4
This figure will be reviewed and may be revlsed by the Buildmg DlvlSlOn to comply with current fee schedules. Contact the Pemut ~ ~ ()
Coordmator at 417-4815 for aSSIstance. ' r "-,j
PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the time the building permit apphcatlOn and constructIOn plans are ~
subl1lltted. All other permit fees are due at the time of permit Issuance. 0' \);I
EXPIRATION OF PLAN REVIEW: rfno pemut is issued within 180 days of the date of applicatlOn, the application will expire. The 01..J
BUlldmg Official can extend the tune for actlOn by the applicant up to 180 days upon vvntten request by the apphcant (see SectlOn a
RI05.3.2 of the IntematlOnal BUl1ding/Residential Code, 2003). No applicatlOn can be extended more than once.
PLANNING USE ONLY:
ESAJW etland( s): 0 Yes 0 No SEP A Checklist requrred? 0 Yes 0 No Other.
I hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 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. j}...
T.\FORMS\BldgPenmtform wpd Applicant: ~ ~ A.8~f Date: 7 - r r-[)7
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PLUMBING
TRAPS: .
WATER HEATER:
SEWER:
WATER:
MECHANICAL:
VENTS:
FURNACE:
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
I'
Applicatlon Number
Appllcatlon pln number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Applicatlon type description
Subdivislon Name
Property Use
Property Zoning
Appllcatlon valuation
07-00000757 Date 7/09/07
319265
511 W 8TH ST C
06-30-99-0-2-3610-0000-
8TH ST. BRIDGE'S GRILL
COMM NEW CONST
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
\
UNKNOWN
5000
Owner
Contractor
JASTMAR INC
511 W. 8TH ST
PORT ANGELES
(360) 808-2989
Structure Information
Other struct lnfo .
OWNER
WA 98362
000
000 952 SF MODULAR RESTAURANT & DECKS
TOTAL % LOT COVERAGE 23 00
CONSTRUCTION TYPE V-N
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1 00
3080 00
17500.00
952 00
4032.00
1 00
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Permit BUILDING PERMIT - COMMERCIAL
Additional desc DNG & ORDR DECK/RAMP
Permlt pln number 105627
Permit Fee 137 75 plan Check Fee 89.54
Issue Date 7/09/07 Valuatlon 5000
Expiration Date 1/05/08
Qty Unlt Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42 00
Permlt
Additional desc
Permit pln number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
105999
72 00
7/09/07
1/05/08
Plan Check Fee
Valuatlon
.00
o
Qty Unlt Charge Per
Extenslon
50 00
7.00
15 00
BASE FEE
1 00 7.0000 ECH PL- EA INSTALL WATER PIPE
1 00 15 0000 ECH PL- EA BLDG SEWER
Special Notes and Comments
Address numbers shall be plalnly vlslble from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A minimum 2A-I0BC flre exingulsher is required.
Extlnguishers must be mounted, wlth the top no more than 5'
off the floor Suggested extinguisher placement is
adjacent to an exit.
06/29/2007 05.11 PM SROBERDS - The proposal will result
\')
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 .3
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 Z
presume to give authority to violate or cancel the proviSions of any state or local law regulating construction or the performance of C?
construction. . t.,
~
~
Signature of Contractor or Authorized Agent
Date
T \Pohcles\II02_15 bulldmg penmt mspectlOn record05 wpd [1/4/2005]
,
BUILDING PERMIT INSPECTiON RECORD
,
CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSUL/,TE OR CONCEAL ANY J;VORE BEFORE'
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA T10N
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSI'ECTlON TYPE DATE ACCEPTED COMMENTS
I YE" NO
FOUNDA TlON
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TlON DRAfNAGE 1 DOWN SPOUTS 1
PIERS I
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LlNE FINAL DATE ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL
WALLS
CElLlNG
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CElLING I
MECHANlCAL
ROUGH-IN
HEATPUMY I FURNACE 1 DUCTS I
G AS LINE FINAL DATE ACCEPTED BY
WOOD STOVE 1 PELLET 1 CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCYJNG & HOLD DOWNS
SIURTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPlNG SHORELINE
'I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTlONR W IPWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUTLDING 417-4815 BUILDING
T \Po11c1es\1102 15 bUl1dmg penmt mspectlOll Tecord05 wpd [1/4/2005]
:f~ORT ""Y.
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Applicat10n Number
Applicat10n pin number
07-00000757
319265
Page
Date
2
7/09/07
Spec1al Notes and Comments
1n the placement of a modular build1ng for use as a food
estab11shment with outdoor seating in the CN zone No land
use 1ssues anticipated.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electr1cal load calculations and elctr1cal perm1ts are
required.
San1tary sewer connection 1nspection is required by
Public Works pr10r to back fill of ditch 24 hour advance
not1ce 1S required
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Cred1ted Due
----------------- ---------- ---------- ---------- ----------
Perm1t Fee Total 209.75 209.75 .00 00
Plan Check Total 89.54 89.54 00 00
Other Fee Total 4.50 4.50 00 .00
Grand Total 303.79 303.79 .00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (If owner IS bUilder)
Date
T \Pohcles\1102_15 bUlldlOg penmt inspectIOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
.
CALL 417-48] 5 FOR BU]LDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS 0
CALL 4] 7-4807 FOR PUBUC WORKS UTIUTIES - ~
PLEASE PROVIDE A MINHvlUlv124 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANI' WORE BEFORE' \
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON .,..j
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE U1
-J
INSPECTION TYPE DATE ACCEPTED COMME.NTE.
YEE. NO
FOUNDA nON
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA T10N DRAINAGE / DOWN SPOUTS
P1ERS I
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) ()7 J 30 /61 J"LL FINAL 1 0 ~I D1DA.TE
GAS LINE T " :fi-L
ACCEPTED BY
BACK FLOW / WATER
AIR SEAL
WALLS
CE1LING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (fNTERlOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CElLING I
MECHANICAL
ROUGH-IN
HEAT PUMY lFURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE / PELLET I CHIMNEY
1"\ 41) U vf\12.11 ~ i)O W N :t7 /f~ I u:r J\)...
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT SEP ARA TE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R W / PWI CONSTRUCT10N - R W
ENGINEERlNG 417-4807 PW I ENGINEERlNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BU1LDING 4] 7-48]5 BU1LDlNG I07CJlT01 :JU...,
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This certificate is issue
Code certifYzng that a
of the City regulatzn
Business name I
Business addressfJfl
Owner of busineSillll:
Owner's address .
Automatlc fire sp \'In
Use & occupancy \1.
Building permit nu
Type of construction
Occupant load
10/01/07
Date
be removed except by the Building Official.
,
If ?ORT' ~
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o
--1
~
V1
-J
Appl1cat1on Number
Application p1n number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Appl1cation type description
Subdivision Name
Property Use
Property Zon1ng
Appl1cat1on valuat10n
07-00000757 Date 7/09/07
319265
511 W 8TH ST C
06-30-99-0-2-3610-0000-
8TH ST BRIDGE'S GRILL
COMM NEW CONST
UNKNOWN
5000
Owner
Contractor
JASTMAR INC.
511 W 8TH ST
PORT ANGELES
(360) 808-2989
Structure Information
Other struct 1nfo
OWNER
WA 98362
000
000 952 SF MODULAR RESTAURANT & DECKS
TOTAL % LOT COVERAGE 23 00
CONSTRUCTION TYPE V-N
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
3080.00
17500 00
952.00
4032.00
1. 00
Permit
Additional
Perm1t pin
Perm1t Fee
Issue Date
Expiration
PUBLIC WORKS COMM WATER SERV
01
desc .
number
Date
106369
770.00
7/09/07
1/05/08
--
-
plan Check Fee
Valuation
.00
o
Qty
1. 00
Un1t Charge Per
770.0000 EA PW W/M I" SERV 5/8" METER
Extension
770 00
~
"
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a min1mum of S1X 1nches h1gh and be
of contrast1ng color from the background
A min1mum 2A-10BC f1re exingu1sher is requ1red.
Extingu1shers must be mounted, w1th the top no more than 5'
off the floor Suggested ext1nguisher placement 1S
adJacent to an eX1t
06/29/2007 05'11 PM SROBERDS - The proposal w111 result
1n the placement of a modular bU1ld1ng for use as a food
establ1shment with outdoor seat1ng 1n the CN zone No land
use issues ant1cipated.
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Permit SANITARY SEWER HOOK UP
Addit10nal desc ALTER EXISTING SEWER
Permit pin number 106377
Perm1t Fee 40 00 Plan Check Fee 00
Issue Date 7/09/07 Valuat10n 5000
Exp1ration Date 1/05/08
Qty Un1t Charge Per Extension
1. 00 40 0000 EA SAN SEW REPAIR 40.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180-days after the work as commenced, or if required inspections have nOt been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
S>tt~A~~
Signature of Owner (if owner IS i1der)
? -? ~O /
Date
T'\Pohcles\1102.15R [1105]
PERMIT INSPECTION RECORD
,...
CALL 417-4807 FOR UTILITY INSPECTIONS 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
YES NO
PW UTILITIES (Engmeenng DIvIsIon)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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
T'\Pohcles\1102.15R [1/05]
I
If ,CRT ~
lO~~~
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~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appl~cation pin number
07-00000757
319265
Page 2
Date 7/09/07
Special Notes and Comments
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculat~ons and elctr~cal permits are
requ~red.
Sanitary sewer connect~on ~nspection ~s required by
Public Works pr~or to back fill of d~tch. 24 hour advance
not~ce is required.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Pa~d Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 810 00 810 00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4 50 4 50' .00 .00
Grand Total 814 50 814.50 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'aays after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the prOVisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner IS builder)
Date
T'\Pohcles\II02.15R (1/05]
PERMIT INSPECTION RECORD
,.
CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, ,f
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
PW UTILITIES (Engmeenng DIvIsIOn)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W I PWI CONSTRUCTION - R. W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T.\Pohcies\1102 15R [1/05]
JASTMAR INC.
06-30-99-0-2-3610-0000-
07'-00000757 COMM NEW CONST
PREPARED 10/01/07, 9 59.52
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
511 W 8TH ST C
8TH ST BRIDGE'S GRILL
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE
(360) 808-2989
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLMH 01 7/18/07 JLL
7/18/07 AP
BL3 01 8/28/07 JLL
8/28/07 DA
BL99 01 10/01/07 #-
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL6 01
7/30/07
7/30/07
JLL
AP
PL99 01
10/01/07
If
PAGE
DATE
7
10/01/07
BLDG MFG HOME TIE DOWN
07/18/2007 10 13 AM LPANGRLE
STEVEN 808-2989
FOUNDATION - MODULAR TIE DOWNS
07/18/2007 04 46 PM JLIERLY ----------------------------
BLDG FRAMING
08/28/2007 08 33 AM LPANGRLE
STEVEN 808-2989
"HANDICAP RAILS"
08/28/2007 04:52 PM JLIERLY ----------------------------
f1n1sh hand ra11 and ada term1nat1on/Jll
BLDG FINAL TIME 04 00
October 1, 2007 8 41 53 AM Ipangrle
STEVEN 808-2989
BLDG FINAL
REQUESTED LATE AFTERNOON
DESCRIPTION
RESULTS/COMMENTS
PLUMBING WATER SUPPLY
07/26/2007 03.45 PM LPANGRLE
STEVEN 808-2989
WATER SUPPLY LINE
REQUESTED AN INSPECTION FOR MONDAY 07-30-07
07/30/2007 03.58 PM JLIERLY ----------------------------
PLUMBING FINAL TIME 04.00
October 1, 2007 8.42 33 AM Ipangrle
STEVEN 808-2989
PLUMBING FINAL
LATE AFTERNOON
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 8/28/07, 9 41 41
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
9
8/28/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER:
511 W 8TH ST C
8TH ST_ BRIDGE'S GRILL
SUBDIV
JASTMAR INC
06~30~99~0~2~3610~0000~
07~00000757 COMM NEW CONST
PHONE
PHONE
(360) 808~2989
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLMH 01
7/18/07
7/18/07
JLL
AP
BLDG MFG HOME TIE DOWN
07/18/2007 10-13 AM LPANGRLE
STEVEN 808~2989
FOUNDATION ~ MODULAR TIE DOWNS
07/18/2007 04 46 PM JLIERLY ~~~~~~~~~~~~~~~~~~~~~~~~~-~~
BLDG FRAMING
08/28/2007 08 33 AM LPANGRLE
STEVEN 808~2989
"HANDICAP RAILS"
BL3 01
8/28/07
9Jf
~17~
,"~Ol'~-~-------------------------------
PREPARED 7/30/07, 10 17 38
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
7
7/30/07
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
511 W 8TH ST C
8TH ST BRIDGE'S GRILL
SUBDIV
JASTMAR INC
06-30-99-0-2-3610-0000-
07-00000757 COMM NEW CONST
PHONE
PHONE
(360) 808-2989
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
;;;--;;----,i:;i;;---~---i!~:!!1:;:1:::;;::--:;:::;:;------.--------------------------
~- \:) REQUESTED AN INSPECTION FOR MONDAY 07-30-07.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/18/07, 10 27:46
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
511 W 8TH ST C
8TH ST BRIDGE'S GRILL
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE
JASTMAR INC
06-30-99-0-2-3610-0000-
07-00000757 COMM NEW CONST
(360) 808-2989
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLMH 01
7/18/07
t(
!f-
BLDG MFG HOME TIE DOWN
07/18/2007 10 13 AM LPANGRLE
STEVEN 808-2989
FOUNDATION - MODULAR TIE DOWNS
PAGE
DATE
9
7/18/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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I (7/16/~g97) Llnd~,Paf!g!~~ ~'Re New'3^e~ta^uranr ^"^"
:P~g~^Tll
From:
To:
Date:
Subject:
Jeff Young
Linda Pangrle
7/16/20072:37 PM
Re: New Restaurant
cc: Brian Richardson; Gary Richmond
Yes thanks Linda, we will follow up with our questlonalre.
>>> Linda Pangrle 07/12/2007 2:59 PM >>>
HI,
We Just Issued permit #07-757 for a new restaurant called the "8th St. Bridge's Grill" located at 511 W. 8th St. It IS a modular
restaurant 10' x 42'. Customers will order food at a window and either take It away to eat It or eat It outside on a deck.
The owner IS Stephen P. Bridge (Jastmar, Inc.). He can be reached at 808-2989.
I hope thiS Information IS useful to you.
Linda Pangrle, Permit Tech
City of Port Angeles
360-417-4815
~*. 5+-~ ~Y'~&je\: G~ II
BUILDING PERMIT - APPLICATION
'OR OFFICIAL USE ONLY'
ate Rec.. k> - ::L Co -0 r:;
penmt#:~' - iJ.
Date Approved / ~ /
Date Issued: . - 7
':
Fill out COMPLETELY and in INK. Your application and site plan MUST I
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:.:::rASTM.1\R .IJJL. / 'STPY2N. 7.
. I {
Owner: S1L-=V~? 'B~L'D.gF'
Address: ~Il W. ~~ <;~l
Architect/Engineer' S e:=LF
City: ii-. M.~~~
'2>G:>e> ~ ~o '? - ~9 ~7
300" ~o ~- 2- '} ~7
Zip: ~ k' '3.<0 ;t.
Phone:
-
Contractor Se:::Lt- State License #: Exp:
Address: S'l\ W. ~ S,-- UnttC' City: 'p-. A:,
PROJECT ADDRESS: $11 W. ~ 'St-~
\,pp... s~ ~~'("" ~7 2,.-z..'It/ ~E:aE 79
LEGAL DESCRlPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: () Cr-' 30 Cj c; 0 ~ ~~{ 0
Phone:
Zip: <7 g '::)e:, a..
CoM-M.L...>Rc~ -
ZONING: Ne. tt ~
p,~~,- l Th4:=.. :.?-3(.:.
TYPE OF WORK: ATION:
o Residential ~New Constr. D Re-roof 0 Stove ISF. = $
o Multi-family b Addition D MoveD Garage SF. @$ ISF. = $ -:-i
"",Commercial D Remodel D Demolition ~Deck 53>2- SF.@$ q.'-{D ISF.=$ T 7'::;;[}VO.CD
D Repair D Sign )l"Other M.ODvC/dL- p~.e;tf()TAL VALUATION $ ~~. LD
BRIEF DESCRIPTION OF THE PROJECT: (~,"!.,ih)cr t:>~ ~C:t (J>) 1411\G" AI-A .pp(~
,..-. I / L,<; ( '-f~( .n' I
Or- ;...u}{\u tAR... , () 'F~?; Rn I L-h I ~ q. (. c:.. ) (" Y- c-- b... Jo.' , .u u.. ~~k t 25 ~ 20 ~eiL 'U t:~
.J Lf{ f 3V (A:J>P!l--'f~ i.~(-(,,~ l'\:cC'E-S';: {'oLE R~p" f~D'=>~ 'i:)CU<.. tidC:u.<fl (?~~ o~ Ct~
COMMERCIAL/RESID f NTIAL: Occu:Q.ancy Group: Occupant Load: Construction Type: l'A-otI u<A.R.. D./....b~. \
17/90 y; -=~ _,eJi) IV
No.ofStories:_ Lot Size: f'J-S'fI'fO ExistingSq.Ft 30~D &ProposedSq.Ft ~=.TOTALSq.Ft. ~@ ~_,
Tota11ot coverage .;t3 - % '" ~ "L ! l!' 7 L'l~ '1 S 2. Jt1 Lto 3:z.. r; ~
i
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
~
~
1.I'
0
I
c,..
s-
.
-'i'
ESAlWetland(s): DYes D No SEPA Checklist required? 0 Yes D No Other:
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.
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 BuildingIResidential 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 itJs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
"OIFORMS\Il1dgl''''''''''''''''wpd AppJicontq h',~ jJ~~ Da1o: Ir 24r () Z
J
,~ .~ .\~... ....
.
~m~sa1GmlI$~~T~
. _ h - - ~?-'-,.,.
PLUMBING ,/
v
TRAPS:
WATER HEATER:
SEWER: ,
WATER: \
MECHANICAL:
VENTS:
FURNACE: - - .. - .- --
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
'-
,
J
"
~ odu 1ttV'
/
~ '
" (~
, '.\
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-(I
if 1li!iII
~--
"I.oiic~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST5THSTREE'[, PORT ANGELES,WA98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000927 Date 9/22/03
5H W 8TH ST,
06-30,,99:-?-2-3610-0000-
RE-RoOFc:("
1800
Owner
Contractor
---------'---------------
BORGMAN GRANT,' M
5H W 8TH ST
PORT ANGELES
WA 983625835
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM
SEQUIM WA 98382
(360) 452-5264
-------------------------~--------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF. FELT. TORCH DOWN
86.65 Plan Check Fee
9/22/03 Valuation
3/21/04
.00
1800
Qty unit Charge Per
Extension
47.00
39.65
D,
BASE FEE
13.00 3.0500 HND BL-501-2K (3.05 PER C)
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
.......
-
Fee sununary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 86.65 86.65 .00
Plan Check Total ..00 .00 .00
Other Fee Total 4.50 4.50 .00
Grand' Total 91.15 91.15' .00
Due
.00
.00
.00
.00,
E
~.
~'
(!I)
'~
Separate F'ermltsare required for electrical work. SEPA, Snorellne;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~80 days atterthework 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 wiUbe 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. .
(JNFI LC
Signature of Contractor or Authorized Agent
Date
'-.
'",
Signature of Owner (If owner is builder)
Date
. ..- ........"... .
T:\PLANNING\FORMS\1102.15. [412002]
BUll..DINGPERMIT INSPECTION RECORD
::-: ( 'i';-: {'lh~: - - - - -- - .'~"
.,
CALL 417A815 FOR BUI~DlNG INSPECfI()NS~rpLEASEPROVlDfFAMINIMUM24 HOUR NOTI9E.1T IS.ClNLAJYFUL To~liK~R.
INSPLATE OR CONCEAL ANY WORJ(JJ!ifOJl~ INSPECTED AND ACCEPTED. POST PERMIT IN' A CONS~I(.:{!().,SLOCATi6N.
" ,'" -- - - ''''' - - ' -- --,,,.'tjt_- '''n' '-~_'--~"'~::;:--'--;,:-~;,/:'-~"~~'~--'-' ->"',;'~" '. - - - - - - - - - .:._~~
> c.::'~':-i;2.";'_
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
", :~ - - .' - -' "-,' -,--', -', -.-n:':: ,,--.
,. >f."':,[.',~.
:.r-
-"-'
INSPECTION TYPE DATE A~C;:EPT~ . · .'. fer 'Y:;;Y:'f;i
I.
.... I YES NO . ---!~Y"A<i;~~ .
FOUNnATION: . ....,Y ,"
/t, .. .......
. FOOTIl'IGS .
. .'
WALLS .., .
. ....r ,;
FOUNDATION DRAJl:-IAGE . . '.
ELECTRIcAL:.;'" .. ; - .:. .- .. ..
(UGHT rlEPT) SEPARATE PERMIT: # .... "'.
'. ."".~n .;... " .,'j .yr;. ,'iT 'c. r':
. .
PLUMBING ," '.' f ".l ..
UNDER I'I-OORISLAB ..... ...' . -
.... .,...
ROUGH.IN .
WATER LINE .(,
GAS LINE.> '. ..
.'
BACK FLOW! WATER . . '."
"
". .. .
AIR SEAL ,'"
WALLS . '.. I .
CEILING' I C'.:. I ii. j'. {I': ":' .. ..... :, ..y ."
FRAMING ....
.'.
JOISTS I GIRDERS
SHEAR WALL ,. I..
WALLS I ROOF I CEILING .
DRYWALL I.
T-BAR
INSULATION
SLAB
WALL! FLOOR! CEILING ...'" . I
. - .
MECHANICAL
HEAT PUMP
WOOD STOVE! PELLET! CHIMNEY
HOOD I DUCTS . .... . ., '.
PW UTILITIES I SITE WORK (Engineering Di:-ision) SEPARATE PERMIT #'5: '. , .
WATERLINE I METER
.
SEWER CONNECTION ,
SANITARY .' .'. .
STORM " .
.
PLANNING DEPT. SEPARATE PERMIT #'5 .. SEPA:
.
.PARKINGILIGHTING '.' ESA:
LA\liDSCAPING ) .. SHORELINE: .'
',,..,'''- ,..,-.,;....,..".,.,,---
.-,'j,.: '.' "......y.. '];"}1"JN.(\WNSPEq:I.ONSREQUIR~D PR.IOR.!tQgcCU~~!,9',~~~,:<ini ';;'<:. 6 ; ,-,,' " ,-
-~t~tJ'\ ~ ~.<,j'J~;"':' ':;o;i:<,cj,l'S
'. , iU:SIDll:rmAL "'",,, ...., UA 1J<i' , YEs '>NO': '. ....COMMERCIAL .' 'j;DATE' ACCEPTED' I'
"
;; '" ~,:-*>:-i:, "i':!}) --'>~~ .b '\-ES'" 'l'i/i'NO
.'.
".'-"" ..", "iT .....v
ELECTRICAL:" tiGHT DEPT; .... 411-473S .. '. ELEfiP8iM 1),_"
. '-,' " , . .... ,. . '. L1GHTD,J'T '.",
CONSTRUCTION R,W.I PW! . . ..' -
CONSTRUCTION".. RoW, ...... 1.'-'
ENGINEERING 417-4807 PW I ENGINEERING . ! .
FIRE 417-4653 .. FIRE DEPT. ;',f,,'., \.:" ",
PLANNING DEPT. :417-4750,1 ~.....kA '."" ,I;' PLANNINqpEljil\i; ",_,<::,;,~" : ;ix; , !. ..........
~ f 11. 1_':- 11,/ :'.' amLDING -y..... ;.
BUILDING.... 417.4815., .
. , ",;,y' '. ...."!.'.,. ...
T:\PLANNING\FORMS\1102.IS [412002]
SEP-19-2003 02:00 PM 2D673A53. 3
.. ..................... ...-......,........
~ ~-a'-o~' I.04AM,CITV ~ORT ANGELES
360 582 9029
P.01
,3$041 '1"'" \.1. .....",....;'~'~I:t'~r.~:c.I.':I.' I '. I
. ' " ," : "",; ;'..;;' :"~:.,:,l".,~~. ~I"'."" ' ,
FOP. OrPlCW:USE ONLY;
Da"fWc.r~
Pmtjlr... q 27
Oat' AppT'Uv.d;
0... ~:
s
BUILDING PERMIT. APPLICATION
FlU out COMPLETELY IInd lD INK. Your appUcatfouDd sit. pllD MlJST BE
COMPl.ETE to be accepted rpr mil". II you bave lilY qu.tioa., eaU
(360) 417-4815
~::~&;~~ (~CV0 fY1n ~ . .... i:,;;~tr:O~:tt/~
AddrclS: f2LL ML' ~ City: 1d1tj.~~.fts tJJf+. Zip:?~~2..
:.:~: I; ./0 H filA, fh Stat. Li....1ij::OIV;J~"!I~!k~~ I'honc: fI;?;?, -C{n/q
~:7S~3J.J.1Al~ J 0 I I^:.. Clty:.<; ~~(J i 0 ;'.) &: 1Jp:'iPi1?J2 -7'f?c
PROJECt ADDRESS; !2iLl1i 22V~, .:.)h,t/ PI. _ _ __ - ZONmGI
LEGAL DESCRIPTION: Lot: Block: Subdivision:'
CLALLA.M COUNTY PARCEL NUMBER: _
C~'Cv4B.ldorN__ ~ ~ ~~~
BIJIlqAddrua: '2.S~{1' I'. City: ~e~(.u'~ U<.r4- qe ~~-~~
.
n'PE or W()JU(: : Sl7JtlV.u.U411ONl. .
c RMidelltI.aJ 0 Nt... CoDstr. fll.b-roof C Stove'. S1. @ S JSP. .,
c MWti.ti.mI/y 0 AddiUon 0 Move 0 Oange SF. @S ISF.. S
l:l c.omm.cw C Remodel C DomoUtWn CJ'[)eGk. ..... .Sf.;@S /SF..-S'
C RlIpa.ir 1:1 SiSJ;l C Other .' ". ....TOTALVALUA~ON $~
BRIEF DESCIUPTION OP TBE PROBCT: Tt'n r ~l {(/..J:..7-:&i.SR....5 _~J1.i1- l ~)7)=
c_ :,-'.,> ,','- """;i'O:''''':;>:,i'';;
COMMltR.ClAIJUSmENTlALI Occupancy Group: OccvplDtLoad:.
No. ofStories:_ lot Size: <tiDg Sq. Pt. . &Pt~Sq. P't.
BldIting lot covl!ll'ajlLl _ % & Proposed lot COVctllSI _ % · Torallcit coviDgci
C01l8tn1ctlon Type:
· TOTAL Sq.Pt
%
ESAlWctlwl(a): C YOI 0 No SBPA Chcckl.i4treq~'1 eYes 0 No. Other:
APP1l.OV ALS:
PLANs
BLOO:
DP~I__
rm:E=
OTBBlll_
PLANNING USE ONL YI
BUILDING PERMIT APPUCAUON SUBMn'TAL: The euil~ Divialon can provide)'OlI with bIformatiou OD the applk;aIiOl1 and
plulUlDIit1aI mqullenJemll Jf
ION: In I1J cues. a valuaUon amount mwt been_eel by the appliclIlt. nus fipre will be m1cwtcl
arulma.ybe mil. bytbtBv.:lldiqDivilioo to oomply with wucnt fee ac:hCldu1n.Co~thc Permit Ccoro1Dalont41?4815 torll.iItar1ce.
PLAN CHECK FEE: JlI a p1au acck fee It chic it mwt be .ubmlllDd at the ~ tho buildir1& permilapplicauou wi ooutNctiaza plaas ~
INbmittc4 All other pem:liUeellrf due at tbI time ofpamit iN\lmQCI,</,' . ......,
Exmu.nON OF PLAN JUMEWI flDO permit leluuec1 witbto 181>>. ~~ of tp.o' cat'of Ippllo.tiou. the appllcatlell will uplre. The
BuildP1, 01Beia1 c:Q extaD4 tb. tiD:u: for lO1ic:o by tho 1pp&lI1t up to 180 daY- upcmMtttCa reqwiat by che IppUcanC eM SeetiOll107.4 of
the Umtonn BaUdms Code, c:ummt edition). No application can bo a~d ~!'!Jhl:D (mC".
I het9by CIJIf/fj ItIst I 11M 1Nd anri 'Xlmw,1d /hit appl/oaHon and /QIow th" 4,me fa be true'8ntJ COITICt. I ." .lihQrlz8d to tppJy fof tlill perrnH ",d
=':uo:=~-~.~:-#};;~~ob~D:~~~;0
,
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CITYOPPORT:A:NGE[ES'
DEPARTMENTOFCOMMuNITYDEVELOPMENT. ., BUILDING.DMSION
',' ,,,,,.-,-.,, ".- >,-"':-.E..-'" ,-,._,' ":'.' "C" \'-", -"., '" ,,'
. ..' . '3ilEAST5W~'I;REET, PORTA~GEtES,'WA:98362 .
, ',~ -i~ ~ ' \l, ' , , ' "-". .,' '.
Application Number . ;
>"PropertyAddress . . ..
ASSESSOR PARCEL NUMBER:
Application description
'Property Zoning . ;. .
Application valuation .
'0:3-000~()42i
.' 511W 8THST
0630990236100000
ELECTRICAL ONt.Y
Date . 5/02/03
o
Owner .
Contractor
-----~------------------
ELECTRIC 'SERVICES
WA 983625835
, ." . ' :
- - - --",:,.~-- - -"':' --0:- -,~,"": - - -.- - - -...--- - - - - - -,- ~~ -~- - __r.-:-;c'...-_~".~,,,:,!,,:t,r:':~':"~ -.- -:"--:- - ~)..;.:..- - - - ~.;..;-;,.;... ---
Permit . . . .
Additional desc
Sub Contractor
. Permit Fee . .
. Issue Date .' .
EXpiration Date
ELECTRIC SERVICE
, 64.60
5/02/03
10/29/03
.. -".', ."^."
. Plan Check Fee
'valuatiCf' .
Unit Charge Per
59..4000 ECH
5.2000 ECll:
EL.,COMM ALT<5 CIRcUl;'l;'S >
EL-COMM ALT7ADDTNL CIRCUITS
Extension
59.40
5.20
Charged
Paid'
C~edited .>
Due
----...;.-----
64.60
.00
64.60
i j::
",,;~~t ""I'
BUlLDINGPE~!.INS,PE,CTIONRECORD I.
.. ,y . . '. . .1'
CALL 417-4815 FOR BUILDINGINSfE,CTl9NS. .P!?g1\~EP~9:vIDE A MINIMUM24;HOUR NOTICE..'I'(IS UNbj,WFULTQ CJ,(lVlJ!l;
INSULATE OR CON~ANY WO::::;~::~;;;:P~::::~;;::Em A CPNSPICUOVS~rS
GASJ;INE..., (
BACK FLOW I WATER.
A.lR SEAL ......
WALLS
CEILING'
FRAlVIlNG . .... . .....
JOISTSjGIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR' '..
INSULATION ......
SLAB
WALL I FLOOR I CEILING
MECIfANICAL
HEAT PUMP
WOOD STOVE I PELLET I CIllMNEY
IV
\ ./
.,'
.~
. .
.r1
""l
t,;,.'
it)
~
-;','
.
INSPECTION TYPE
. .
. DATE
ACCEI'TED , ,
YES I NO
:.'
. ':i"
",.,; ,
.
FOUNDATION:
FOOTINGS
WALLS .
FOUNDATION DRAINAGE
ELEc:rIU~,u. . (LlGJ-lT DEPl)
R.OUGH-IN ',' :
PLUMBING '.,
UNDER FLQORI SLAB
ROUGH.IN :,'
WATERLINE .
HOOD I DUCTS .' .'
PwUTILITIESI SITE WORK
WATERLINE I METER
SEWER CONNECTION
SANITARY"
CO\\1MENT&
I
.
,
'.
, ,
.
....
.', .
.'
'.
.
I
. . . ,.
c::,. I:., . . ,
,
I , . .
, ',','. :" ~ , ..,,'.,' '.
, ,
"
.' , .
"
SEPARATE PERMIT: #
Ie,
I
.
"
.
.
. .
, .
, .
. :', .'
,
" ," ,.:- ' . . .
" ,.' .": .
"
..
. .
.
,
.
.
\) ;
.'. "'1 . ,
"\ "
: '.
.. ,
"",'
.
" , ,
,,','
;
.
I
I
'. ,I
.
:
.
,
.
,
,
(Engineering Division) SEPARATE PERMIT #'s:
.
,
,
. '.
"
,
: .
:
STORM
PLANNING DEI'T. "'SEPARATE PERMIT #'s
.
PARKINGILIGHTING
LANDSCAPING
. ","C,,, ',..:' .'
SEPA:
ESA:
, SHORELINE: """,\ ..' ", ""
,;,F"~AIt:~SP~()~SREQtJl~I!:DP,Rl9RTOOC,CUPANCYIUS,E,':' , . :- . ,."" .,...:..,.'
/, I>~'l'Jl:' 'vES' '.' 1'''~(jJ' I;", COMMERC!tL"':" D.4TE"A<:;Cltl"ti:ri
. u~,->'j>;:, ,.,.::.';',: '~l.~., ' -j c""'" ," I ' ,
,,":;",",'C',i'F;.{Z, ""', ,'"," ;:::",' .,,( ';",",.'yEs~" NO h
417-47355.', .... ELECTRICAI;," ~.' .. .3/;t Iwc':'<",h.x "Ie
\. , . >.." I ..., ,/ !-Ig~i DEPT ';,e" ",." ~ ;..'1ZQ;:J le~.., ''''''',~,'' , . .' .
\."',i'< C' ....' i ,'I, "CONSTRtlGTlON-ItWi\,:.!i ",,; .....
417-4807 PW I ENGINEERING '. I ""',.,
I
, RESIDENTIA\-
':'" L'," ":~, :' ,
ELECTRICAL - LImIT DEPr,~ '
, " ,~.", ' . " ." ",
CONSTRUCTION R. W.I PWI
ENGINEERING
FIRE
on
417-4653.
FIRE DEPT. ..
"
'.
PLANNING DEPT.
.
BUILDING
... '417-4750 .
417-4815
PLANNING DEPT. ....., '.' " ." ,. '. ......, "i
". BUILDING'" "! ','c7 '.,t,.. I
.. ..', ..'
T:\PLANNING\FORMS\II02.15 [4/2002]
(<) 1 (J{)- Oif
C>~V\.
:s ~lM.fd? I (NL.. ROUTING SLIP :fl'ORT "'>\I
04- 795"" i1'~O~G~~
DfB/A \.1... S P 8-={) k lJ2l\}-\. Certificate of Occupancy ~_.
..'~
L -=::..J
=-
LA..HJC) ~ M-I't"\'" $47.00 Certificate/Inspection Fee ~
"tt8LICW~'f>
DATE ~~lB~~~ S~ AfiY- New Business ........................... . ( )
r
Address of Proposed Business ~ v. u Transfer of Business location. . . . . . . . . . . . . . . . ( )
~LltJ, 3~ Sr, ~ . l1"6 .B Change of Ownership . . . . . . . . . . . . . . . . . . . . . . (-f-)
Applicant S~\(tV'l ? 6R, hl'tt= / :r~lM^h New Building . .......... .................. ( )
Address ( INC.. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
'z...s>' (i, 7 g ~ Temporary Business ...................... . ( )
Phone: business home "-I <:;"'f~ Change of Use. . . . . . .. . . . . . . . . . . . . . . . . . . . . . ( )
:3 (c e ~ VS-7 - ylJ 'f If
Brief description of proposed business: LA...! 10 D R.l" l"--'k"'\ / -6. Rt'c.=:Py S(t) ~~
I
legal Description: lot Block Subdivision
Current Use of Property: l..o..lA.;,-d I-{ ~ +-
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes.. . . . . . .. .. .. . . . .. .. .. .. . . . .. .. .. .. . . . . ==~ PERMITS BUSINESS LICENSE
Electrical changes.. .. . . .. . .. .. .. .. . . . .. .. .. .. . . .. .. . : . . . . .. . .. 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . .. . .. . . . .. .. . . . . . -4 2) Plumbing 2) Peddlers
Plumbing changes .............................................. -~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs.. .. .. . .. . .. .. .. .. .. . .. . . .. .. .. . . . . .. .. .. . --:z 4) Mechanical 4) Pawn Broker
New s~ptic tanks.. .. . . . .. .. .. .. .. .. .. .. .. .. .. . . . .. .. .. .. .. . . .. . .. .. . -/?- 5) Sewer 5) Dance
New sewer service ............................................... --? 6) Sidewalk installation 6) Hotel.. Motel
Admission charged to patrons. .. .. .. .. . .. . .. .. .. .. . . .. .. .. .. .. . ==~ 7) Driveway installation 7) Fireworks
Is this a home occupation? ..................... . 8) Curb installation 8) Ambulance
Excavation of filling of lots .............................. ==y 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way.. . . . . .. .. .. . . .. .. .. .. . . . . .. .. 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . .. .. . . . . .. . . . . *-- 11 ) Fire
New driveway openings .. . . . .. .. . .. . . .. .. .. .. . . .. .. .. .. .. . . . .. -~ 12) Occupancy
A grading plan for site drainage.. . .. .. .. .. .. .. . .. .. .. . . .. .. .. .. . -~ 13) Sign
(parking lots, downspouts, etc.) ................. . -$2- - 14) Shoreline
Are the existing streets paved? ............................. ~- 15) Home occupation
Are there existing sidewalks? .. .. .. . . . .. .. . . . . .. .. .. . . . .. .. . ~- 16) Conditional use
Is there curb and gutter? ................................ -?- 17) Other
Other.. .. .. . . . . .. .. . .. .. .. .. .. .. .. .. . . .. .. .. .. . . .. .. .. . .. . .. .. .. .. .. .. . .. .. --
I hereby apply for a Certificate of Occupancy and acknowl- ~- 3gp~
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed: , '[Jt",.) ~ ~
~~ Comments. / Conditions
Il- U Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
6,
---
"-
e
~I
~
<]Il
'-f.
OA -... I J
,~..._-
-I
:::r,:'E",""ii"O"" "iiE\li""OC,..C. U PAN CY
~~lii'It:~" r~' ""'OJ.,-. , '"
City of Port Angeles
Building Division
This C~rtiji(/9!ti!~i'ti!~~$~~~'J>ursuant to the requirements of Sectio \109 of the
Unifor'11lJ1,/il~~~~!;<;:~~~c?F~ifylngthat at the tif11,{!ofi~~.~~'kf? this s~1ucture was
in cJmplianc~.w#hthe various ordinances of the Cityregtllqting ~uilding
tW "..,;,:";"','::',',-,:':,":,:,:':'!>:::'::;}>:,'o'::' "<:'_':'/!:::_':".., -'-'-"', "'-,.' , " ,.-,'", ,',' ,--' -';"',-:",'::,:';','::;>/,'::-_,;'t':\:--_:i':" ~~\~
~i ,jilin/construction or use. For the following:...:,?,' l\
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Owner of Business: Stevem!P. Bndge Address: 511 W. 8th Street. SUIte B. Port Angeles. W A 98362
Building Address: 511 W e~t8th Street. Suite B Port Angele~.~Lf 98362
if!'
'~~r 17 2004
ate
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Shall not be
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"uilding Official.
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Cn:V OF PORT ANGELES.
DEPART'MENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000288
FEE RECEIPT NUMBER
PERMIT NUMBER
.,
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!2'-rmPE<=-:z.gSbf ( : (! 6M All
TOTAL FEE' ..
CaNT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAlOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
5/1 IAf 81jJ
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Oi..SONS G'f?O~~r" - 0 0 Installa'tion By Oi..'I'mPIL Ei..EC.-r1?1 L.
Owner's Address .sn oW Bpi Installers Address 'Sot S. L.,NLD.,J ,
Day Phone tiS? -55'fO . Installers Phone /..f57- 5.303_
Application Is hereby made for_P~rmit t9 install Electrical Eql,lipme.nt as follows: WFtJH&-e.s l'/- ".]::JR.,.,.~
Site Address
Wiring Method
(!o",DVlr
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE"OF CIRCUIT PER l00R FEE USE OF CIRCUIT PER l00R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
50 VOLTS -
LIGHT OR LESS
CONVENIENCE .. MOTOR
CONVENIENCE .. MOTOR -
APPLIANCE - MOTOR
DISHWASHER - FIRE ALARMS .
DISPOSAL BURGLAR ALARM
..
RANGE MISC.
, . -
OVEN
WATER HEATER
. .0 ,
LAUNDRY
DRYER . REINSTALLATION LIGHT FIXTURE #
FURNACE - ..- i. SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC - - .
BASIC FEE
ELECTRIC HEAT o'
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-
A.C. UNIT J-C() AMP 3 PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL 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.
By ,13m rA~
MAr'
17
,19l5S
Date Application made
. 0;: PJJ~s(r
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
By . reR;?f~ '.,
PLANS APPRIJIo 0
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered o~ current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457'()411 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PR!NTERS, I!'I~.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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b -3-13 /(1. if O.K. FOR COVERING
6' ~3-'D) 4t j'~ O.K. TO CONNECT SERVICE
~ -no '(j' 7l)~ , FINAL O.K.
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, CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/-<;/:J.
PERMIT NUMBER
.
"
TOTAL FEE
~~ft~~~.
CONT. LtC. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Installation By
Owner's Address Installers Address
Day Phone. .....I~7 -,<5 '1-D . Installers Pho e
~ f//
Apprcation is hereby made for Permit to install Electrical Equipment as follows: fl.
- ,
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT I SIGN
LIGHT 50 VOLTS
OR lESS
-
CONVENIENCE MOTOR
CONVENIENCE - - MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER . REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC
BASIC FEE
ELECTRIC HEAT .7( /!r,
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL ' ,
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certit: that the work to b(2:formed under'this permit will be done by the installe~;ance Q~al Code.
Date Application made L...4 /s-: ,19 >?~ By' -. ~A _. 0/. - =
(' '. . .. _,oW, 00 ~':~^"' ~""
, . Permission is hereby given to do the above described work, according to the conditions hereon and acco~ding the.ap roved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. _ ,-. \, \
. ..,.' DIRECT R OF CITY LIGHT ' \ - ,
.
Date Permit Issued
11 C-/o\"
WARNING I
"
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. TO CONNECT SERVICE
/- /t-7f ",'/, 7;g FINAL" O.K.
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ELECTRICAL WORK PERMIT APPLICATION
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State ZIP
Installation description
r Commercial 0 Residential
o New 0 Altered/Addition
.-
Job wired by 0 Electrical Contractor Owner
Electrical contractor name License number Date Expires
INC.
S~c:N ? 6R<~G<=
Purchaser's mailing address
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11'-\<.;;1 A-((
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City
1>1\ R, A-f.J (,8.k-,
Telephone number r "V{,3
fl- 2.-s->..SL>,,-~
e-.... ~-.>;;. .- k - -
Premises owner's name
wft
FAX number
13Ll5."t-
n3,,-,2-
-z.-S'3 - S&G, -'?'f'. '!.
<l - 1;;- 0
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RUioJ \-oJ I RlIJ(., ro
pl\-P:lL Tloi<l
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Address of inspection
:;:>1 \ W' ~ ~.
CitYB
ok'l ,i\.:-N ("'I='-<'-~
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Phone number to schedule inspection:
U'?. - (.,7
i\'"S
1\;:-"'--" V r
R.GvM S .
"'/IV
SI'€ (J,
(d\
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PIVL ..,.. C(It-u</~
Owner as defined by RCWJ9.28.26/:(J) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner Ls required to hirc an electrical
contractor if abol'c said property is fur sale, rent or lease,
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor, I am making the electrical instal~
]ation or alteration in compliance with thc electrical laws, N,E,C., RCW, Chapter
19,28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash )(ChCCk#
o Credit Card Visa
Card #
Mastercard
Discover
M
Electrical Load Additions and or su
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan-Wall KW
Date: 7 II-DS;
tractions
Expiration Date
of card
30
Service Information
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN " THERMOSTAT SERVICE
f1J),,/".,-- 4cN'
Dile Approv~ Dale Approved By Dale Approved By
./. FINAL DITCH FEEDER
..v J, .4zJ)
Da Approved By '-. Dale Approved By "- Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
A_ /) ?/ /.<",
, / /
FROM Electric~S
)
FRX NO. : 4526424
Rpr. 292003 08: i0RM Pi
..
ELECTRICAL PERMIT APPLICATION
FlOTt ()n'\CIAl. 'J~R rJN!. Y
Oettllhc' _n _ ,
PCTTllittt: ..____ _..:,
O"ICt\pprn~od:___
Ulll~I.ulOed:_._____'..
The EI~bical Permit Appltcation must be f1111d out comolet.lv,
Pl.... type or ...prtn'ln In.. IfJou hlw .ny qu..llono, pl.... call (360) 4174735
Fa number: (300) 417..711
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REQUEST INSPECTION C
OWner or Eloe. Contractor Agent: ~12..LC2.4~ L<' $..,.~v '6, ,~l..,- Phon.: I..>. 'S"'2.-{.",.; Fox: Y t"'",_(.,~ 1 U
Properly 0.....,.0. r.!1 ; \::' f L " b Q .- ~ )' Phone: "t'5 7- <;''''':2.
Add"'.,,] \ {,: Ct'7(k.u<.- <PIC'^-t f2k.;/, Po r- + ~ry/,LG- Zlll 9g-3~~
Elechlcal Conlractor: \2:\.<1 "-'<'1oL'<- ~ I .....L_ Llcllf\8ett.~rrI13'r.;; I;f/'lfl~~ Phone: 4> 2..~"
Addre.s: 1?''L ~ \(~ R.&. _City: ~n.\ ~ ,j....v~' Zip: <1T~,.....
INSTALLATION WIRED BY: 0 OWNER ~L CONTRACTOA
(fr~:
,
Credit c.rd Holder Name:
Billing Address:
PROJECT AllllRESS:
!;'i I
w,
<?~ 4")
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Zip:
VISA:~
Crodlt CiJrrf Number:, 23Exp. Date:
()LS,tI./S
TYPE OF WORK:
Check ~ that apply: 0 New
o AltertltionlAddition
o Resldental 0 Multi-family
~ Commercial 0 Mobile Home
Sq. Ft
Remote Meter 0 Detached gSrtlge 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered: (0
o Low Voltage 0 Telecom, 0:
DESCRIPTION OF THE ELECTRICAL. PROJECT:
n t. "-'
n \ 1 +fv I--~ )
-+,;, " )
EI8Ctr,L1;at ~~~~lon!~~ER~~: ~ y' ,.~O
ServlcR Information
o Baseboard
o Furnace
::; Heat Pump
(J Fan-Wall
KW
KNV
TON
-KW
LRA
o Overr.ead Service
:J Temp Service
o Underground Service
VOltage:
Phese: 0' :J 3
Service Size:
Feeder Size:
PAMC 14.05.060(6): For Industrial, commercial, & residential projects larger than a duple., a one. line orawlng of the Electrical Service
Feeders, building size (sq. ft.), load calculatlons, end the type Co of conductors and/or raceway Is reqUired and shall accompany the Elect,
Permit application.
I hereby certify that I haVl. read and examined this application end know that same to be true and correct, and I ,
authorized to apply for this permit, I understand It is not the City's legal responsibility to determine what permits
required; it remains the applicants responsibility to determine what permits are required and to obtain such.
CredIt Card Holder's Slgn.ture;
~~
Ollte: ~/2~/o?:>
Date: ""l2flo'~
Owner or Ele t. Sign.lure:
C :iELECTRICALPERMIT APPLICATION