HomeMy WebLinkAbout230 E 1st St - Building CITY OF PORT ANGELES
r ��i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000255 Date 3/23/11
Application pin number 676865
Property Address 230 E 1ST ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -6 -3- 3000 -0000- REPORT SALES TAX
Application type description RE -ROOF on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation 6200
Application desc
OVERLAY 1 LAYER TORCH DOWN
Owner Contractor
LANNOYE DONALD D AFFORDABLE SERVICES
222 FORREST AVE 258663 HWY 101 WEST
PORT ANGELES WA 983622518 SEQUIM WA 98382
(360) 683 -9619
Permit BUILDING PERMIT NO PR FEE
Additional desc TORCH DOWN OVERLAY 1 LAYER
Permit pin number 182907
Permit Fee 165.75 Plan Check Fee .00
Issue Date 3/23/11 Valuation 6200
Expiration Date 9/19/11
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 165.75 165.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 170.25 170.25 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or -I law regulating construction or the performance of
construction.
41 1111111%4 leh
_t AEI IMNIL
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
V 1 Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
ti
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
�JI Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
C\O Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 9
L---
T:Forms /Building Division /Building Permit
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roarq,. BUILDING PERMIT APPLICATION Print in ink
l0'i�• CITY OF PORT ANGELES
of likklMa Attn: Building Permit Technician For City Use Only:
321 E. Fifth St., Port Angeles, WA 98362 Permit Received 3 23 'GI
(360) 417 -4815 fax (360) 4174711 Dat ov d
Date Approved -d
Applicant 4oDt( )e Phone
Property Owner D a-x t p I., �,c r' P Phone 36 s`� q' I 0
Property Owner's Address ZZZ f Per-f- Ffric ius(pL
Contractor Afror' a b L 3 V r u (A S Phone 06, QR �p /Cf
Contractor's Address Z S9j( 1-4--fAi l (01 (,e_l°P e3Q)2 --7442_(=
License IZS*` (10S Expires 0 3 I/ E -mail) yy
PROJECT ADDRESS 23) Fi 51 61 -r-e- 22
Parcel Number Q (2) )62; j Ono Lot 1 Zoning
Project Type Brief Description: Residential Multi family 4Commercial Industrial
Check all that apply
New Construction Addition i Vl l \961-
Remodel tzfijan
Repair ShOQ
Demolition 5 0'
ti-Re-roof House Xgarage other tear off re -roof may over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft)
Basement per sq. ft.
1 Floor
2nd Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date ;'"Z7 Print Name 'f kti Signature
T:Forms /Building Division /Bldg Permit.doc
-.A. AFFORDABLE.R.00FING PROPOSAL
258663 Hwy 101 Wet
Sequim, WA
(360) 683-9619 (360) 385-2724 (360) 452-0840
Name ay\ L ,n n (D/ e_ phone#1 3604sq-ct
Address z.:230 e Fits+ q(ab -9euzz,
cit A-ev,:eLps State k k) Pt. Zip Code c ief3(0
Tarp hiiuse perimeter to protect landscaping
Remove old roofing and haul to landfill
Install Plywood OSB
Install Roofing Felt Install Drip E,clge Metal
Ftnshing thstall Metal W-Valleys
Exhaust Vents Install Roof to Wall Flashing
'...Inset all Ridge Vents Install Roof to Wall Step Flashing
Install Attic Vents Cut In Chimney Counter Flashing
„:•InStall Sun Tube Install Chirnney Step Flashing
Install Skylights Install_ Skylight Flashing
Install
Install
Install
Install
SeburefLocate Septic Drain Fie d Ipcation
Pricelneludes Building Permit f 0f7)/}
Customer to Secure Building Permit
Description: it 61 R .N• nr) 101 L.
111111VMMIIIMb WillOOMIIILMMaiY='
L 10
C, zoo Oo
_per 1 6S; 76
Payment in fiill upon completion of project,
unless other arrangements accepted. S'UBTOTAL:
We propose hereby to furnish material and labor, SALS TAX 3 y 72_
complete in accordance with the above specifications. TOTAL:
0 00:
Not= ciiii May be withdrawn by us if not
All material is guaranteed to be as specified. Any alteration or deviation from the above accepted within 30 days.
specifications involving extra costs will be excuted only upon written orders and will
become an extra clutrge over and above the estimate. All agreeMents contingent upon
-2- "Hices; accidenta, Ordelays beyond to carry-fire
necessary insurance.
Acceptance of Proposal the above prices, specifications and conditions Brand P3 G-I Year I 0
are satisfacmry and are hereby accepted You are authorized to do the Color Workmanship:
work as specified. Payment will be made as outlined above. bYear Warranty
Lifetirne Warranty
Affordable Roofing's Representative: 0 Date: 1.
Customer's Signature of Acceptance:
_Dam: c 9c,
See attached Warranty Statement.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Service repair
Owner
LANNOYE DONALD D
222 FORREST AVE
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 93 7500 ECH EL 0 200 SRV FEEDER
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983622518
ELECTRICAL ALTER COMMERCIAL
155.663
93 75
10/28/09
4/26/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00001110
151210
230 E 1ST ST
06 30 00 6 3 3000 0000
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Plan Check Fee
Valuation
Charged Paid Credited
93 75 93 75 00
00 00 00
93 75 93 75 00
DATE RESULTS
Kix 10 cias?
12120 710
Date 10/28/09
Signature of owner or Electrical Contractor X Date
WA 98362
Due
0 0
0
Extension
93 75
00
00
00
s 1>
INSPECTOR.
a
DATE vi �j
/o /2/ 4
OWNERICON'FRACTOR
4rI6) -S LcT11LC
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTOR
0C) Ui12E> W'
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL
CORRECTIONS NEEDED: C9,6 J ni pal) rn D i )G 0
r�► lit 4 f SMAt
C"NI r r ■lr)US N cr... 7 a) w b
7iPre_ F� aN,v C'fAIDUGi 7Jt._ Y.4Pt� l►��
r c 3 /O. )S
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS 1112331'0
DO NOT REMOVE
tat
CL 2r 0 IT Z r P i•a "TA ca?'F 1�
A-LL J{Jc,rLf>r_h c? gL%)!LT Cd r•(DjCTd2S
J\1 C 2 o 1 i
Owner
Name:
McNlrrp
City:
Phone:
License Exp,
Unit:chalne
:93.75
3118,75
$160.0D
$2:00
$f;p5
S 2.00
57.50
2:00
S 72.50
$116:25
$13125
$75:OD
5.60.00
S. 76.0D
50.00
•10.00
93:75
$00.00
5':88 2ef
27.50
57.60
566.25
43.75
X
10/24/2009 08 13 FAX 360 452 9265 Angeles Electric
City of Polt Angptas Permit Application
Buildkrg.DNM{lo& riot nspections
321: E:art'hlthlbed P.O. Box 1110
Post' efil Is ter+, 0382
Pk; :(660)104716 'mu t$Ol #i7411
Deter 2
1 S.2 Single Family Dwelling
I:mmdly or Commerdel•
GMnnterciptMdhbn I aleretion I Remodel I 'Web`
m
6lgnsfurs of owner, electrical eentrector or eleclrtcal adhnlnlptrater
gall;
RECEVED
OCT 2 7 1009
ELECTRICAL
INSPECTIONS
P1iun:Reefaw May Se Required Pease Co ete Electrical Plan Review Sheet
job' Addree8:, .F RE) F F' 7:
Yit i�/ )1'
BuP IPg Square poteg�
Description of atone
Contractor Inform
ND Nome:
WON Adder:
State: c.. Zip: M47 City;
Fax Phone'
Q Cash
C1 check
L] credit Card
State:
Fax
Werner Exp.
tled.bv Unit Charnel
Service/Feeder 200 An
6ervicelFeader.01-40O Amp.
bervici 1Feeder 4014000 Amp.
Ssrvks+ ceder 601 -1000 Amp.
Service/Feeder ores 1000 Amp.
Branch C Wl Service Feeder
Branch Clrmslt WM Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp,
Temp. Service/Feeder 201-400 Amp.
Temp. ServIce&Feeder 401 -600 Amp.
Temp. ServkelFeeder 801 -1000 Amp.
Portal W Portal Hourly
SipnlOuGne Liyhtkhg
Signal Circuit/ Limited Energy Commercial
Signal Cimulti Umlted Energy 15 2 Fanny Dwelling
Signet Mould Limited Energy Mufti- Family Owel irg
Mamrtadurad Home Connec an
Mgr enable Eleclamal Energy SKVA System or Lass
First 1300 Square Ft.
Each Additional 600 Square Ft or Portion of
Each Outbuilding or Oetichsd Garage
bah .Swimming Pool or Hot Tub
Thermostat
Toad
0001 /0001
Moneta thilpned by R CW f12fl ttlf: (f) Owner MA occupy Ow structure for tee years etty this elect feel pwnit is Molest Ownwis nquhvd to hoe an
electrical oonbsicbu If oboe* said properly le for safe, rant of horse.
ARer.reading the above statement i hereby certify OA t am the owner of the oboes named property or Ilc ;•naod eteclrk& eenlnotWr. t am making the electrical
:lnslafallon or.elteratlon in'corpliencewlth the eleotteel taws, N.E.C. RCw. Chapter 19.20, WAC. Chapter 290.460, The c ;ity of Port Angeles Municipal Code, and
utillgi Spoclffcb One.
I0 /10'd ViSt LTV 092 SUM OIl8fd •S313ONd Ind 1ld £S:170 :6002- 0Z -011V
fPORr.......
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREE'r, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
property Zoning .
Application valuation
08-00000213 Date
116286
230 E 1ST ST
06-30-00-6-3-3000-0000-
DONALD D LANNOYE
RE-ROOF
2/21/08
COMMERCIAL ARTERIAL
4095
Application desc
TEAR OFF & RE-ROOF
Owner
Contractor
DONALD D. LANNOYE
222 FORREST AVE
PORT ANGELES
WA 983622518
BARNES CONSTRUCTION
258852 HWY 101 W
SEQUIM
(360) 683-5796
OFF & RE-ROOF
INC.
WA 98382
Structure Information 000 000 TEAR
Permit BUILDING PERMIT - NO PR FEE
Addi tional desc TEAR OFF & RE-ROOF
Permit pin number 121335
Permit Fee 137.75 Plan Check
Issue Date 2/21/08 Valuation
Expiration Date 8/19/08
Qty Unit Charge Per
BASE FEE
3.00 14 .0000 THOU BL-2001-25K (1, PER K)
Fee
.00
4095
Extension
95.75
42.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 13 7.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4 .50 4 .50 .00 .00
Grand Total 142 .25 142 .25 .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 has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be compiied 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.
Date
-:J-( ~ 13
Print Name Signature of Contractor or Authorized Agent
#'jJf!O<s-!3/iR.rvl2--
~re of Owner (if owner is builder)
.';.0
T:formslBuildilll; DivisionlBuilding Permit {lOfOI/07).wpd
BUILDING PERMIT INSPECTION RECORD
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CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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.
INSPI<:CTION TVPE DATE I ACO:PTED COJ\11\11~NTS
I YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE GLDOS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH~IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF I CEILING
. DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I T
WALL I FLOOR I CEILING I I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
[\'IANlJF,\CTURED J-10IV1ES
FOOTING / SLAB
BLOCK[NG & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT /J's SEPA:
PARKING/LIGHTING E5A:
LANDSC,\PING SHORELINE:
F]NAL INSPECTIONS I{EQUIRI~n "ulon TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COl\IMERCIAL DATE ACCEPTED
YES NO
ELECTR[CAL - LIGHT DEPT. '117-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCT[ON R.W_/ PW/ CONSTRUCTION - R.W.
ENG]NEERING 417-4&07 PW I ENGINEERING
FIRE <1]7-4653 F]RE DEPT. -
PLANNING DEPT. 4[7.4750 PLANNING DEPT.
BUILDING 417-4815 BUIl.DlNG 02-2'6-0 :JU--I
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Barnes Construction Jnc
Estimate
258852 Hwy lOt w
Sequim, W A 98382
J
Date
Estimate #
2/13/2008 547
Name / Address
Don Lannoye
222 Forest Ave
Port Angeles Wa 98382
(~
Project
Description Qty
30yr Pabeo 8/12 piteh Tear ofT 13.5
Hip & Ridge SG-30 Year 0.67
Elk Starter Strip I
Felt 4
Step Flashing 100
Ridge Vent 12
Drip Edge Metal 8
Labor 14.5
Labor to cover wall
Tear OfT Labor 13.5
Prep Time
Dump
Pennit
BID GOOD FOR 30 DAYS ANY QUESTIONS PLEASE CALL OR FAX US AT PHONE Subtotal
NUMBERS AT BOTTOM OF PAGE THANKS $4,095.66
Sales Tax (8.4%) $344.04
Phone # Fax# Total $4,439.70
360-683-5796
360-683-7570
Signature
\. i
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received 2-- 2[-OlS'
Permit # 06- 21"s
Date Approved
Applicant or Agent ~ A-k' u FS
Property Owner
~W-(PY33-'S7q (p
PROJECT ADDRESS
'* ;? 3 0 E. I s't- Sr- '--- ,
~, Parcel Number ::>
f\f
d, Soe E
Zoning
&esidential
Commercial
o Multi-family
o Industrial
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
rrR'e-roof
o Demolition
o Sign
o Heat System
o Other
Floor Areas
Basement
1st Floor
2nd Floor
3'" Floor
Garage.
Carport
Covered Porch
Deck
-- -- -.- -- --"-
Shed
Other
1.7()
8'
.", r
.( ) ...-r-
O({ t' c..{:.
S'" f'i--
other
o wall-mounted 0 projecting 0 freestanding 0 aw
Total si n area s . ft. Maximum allowed si n area s
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
Existinq (Sq. ft.) Proposed (Sq. ft.)
@$
h
TOTAL VALUATION $ L C)
sq. ft.
ft.
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
Lot size
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Occupancy group
Occupant load
Construction type
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, an~o obtain permits prior to working on
projects. .' .
Date;)- ;U - 0;] Print Name J),;.JO c. A~, r" "" c, Signature :-0 ~
T:Forms/BuiJding Division/Bldg Permit Appl.-2006 Code.doc
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT
Issued: 5/28/97
Permit No:
5941
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DON LANNOYE 230 1ST ST E
222 FOREST AVE Lot: 1,3,16,18 063000633000000
Port Angeles, WA 98362 Block: 30 Long Legal:
360/457-9190 Sub: Thompson & Goodwin
T: S: Parc No: 063000633080000
CONTRACTOR-----------------------------DESIGNER---------------------------------
APS ELECTRIC
546 BENSON RD.
PORT ANGELES, WA 98362
360/452-6753
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: COML.REMODEL prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: CA
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
WIRE NEW BATHROOM
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $40.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$40.00
$40.00
---------------------------------
---------------------------------
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTSI ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
L"l'SPECTION TYPE DATf. I ACCKPTED COMMENTS
I YES I >10
t1
..-IN I CUVr.K Sk,f'(n /V ,
:-;lC.KYIClC.
l<.INAI ",,7 z..y; ~ 7 I 77l"'<-t
GENERAL COMMENTS,
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 2/14/97
Permit No:
5836
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DON LANNOYE 230 1ST ST E
222 FOREST AVE Lot: 1,3,16,18 063000633000000
Port Angeles, WA 98362 Block: 30 Long Legal:
360/457-9190 Sub: Thompson & Goodwin
T: penn print S: Parc No: 063000633080000
CONTRACTOR-----------------------------DESIGNER---------------------------------
APS ELECTRIC
546 BENSON RD.
PORT ANGELES, WA 98362
360/452-6753
,
000/000-0000
PROJECT INFO----------------------------------------------------________________
prj Type: COML. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: CA
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 0
Furnace KW: 0 Overhead Service Diameter: -1 -3
Heat Pump KW: 0 Underground Service Service Size: 0 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES--------------------------------------_____________________________
WIRE TROFFERS AND RECEPTACLES
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PROJECT FEES ASSESSMENT----------------------------------------_________________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $50.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$50.00
$50.00
---------------------------------
---------------------------------
--------------------------
TOTAL FEE:
$50.00
Balance Due:
$0.00
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED CO~S
" I YES I NO
DITCH
RnTTr.T-r_lN !l,.UVnK ,
SERVICE
,
FINAL I '/-7 I
.,
GENERAL COMMENTS:
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Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. d a ;/,3
q/ ~ ~<{7
/ I "
.,
DATE
Installed By:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
\'
Owner/Business:
. Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai IslDescription:
,fl4<-rvJ
L-0df~O
dd /7U ~~;(/i:;
.-
~hf
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
/If"' l% Final O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
/ /-l-t
Permit/Receipt No.
':)3;).3
New Meters
e>
Notify the Department of City Lig by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the In~or inWriting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~/ 5 ~~ NO OCCUPANCY DR USE ESTABLISHED UNDER THIS PERMIT * c52t&, OD
, ll)ipector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.
!o 0 2----
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
602--
PERMIT NUMBER
.
TOTAL FEE ~()93- ( &,A1M
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
.2 30 A. .f, ~I te:, I
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AOAA~S~ES Af}E CANCEL~ / . _
Owner D /) 10 LA.f'.J tv 0'1 ~ Installation By -1='7 ( {lr c ( U'IJf:::!C..
Owner's Address 1>11\) 1>~Ltv T Installers Address /
Day Phone Installers Phone /
I
Application is hereby made for Permit to install Electrical Equipment 85 follows:
Rf v-> I It t. D-., -tuA " /'!...- (}..J kil S" AN d.
.
Site Address
A-~cl
f'.JtJ...J 5UtU/C.-L
Wiring Method & ~ I f
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ,/" ,,0 AMP PHASE
FEEDER f -/ ~ "'" ./ I .~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ~ " - T ~() ':-- A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
.
By 7? ~
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 pertalOlO;;;O~b:ct to compliance with the o::nances of the City of po~t~'t IGHT
Date Permit Issued I ~ I ) PLANS PRO D
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
'"
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WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's RepOft
;.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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, I~ ~ 11\t\ ,
O.K. FOR COVERING
h '", qL 1\1 O.K. TO CONNECT,SERVICE . .
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000203 ;1
PERMIT NUMBER
.
TOTAL FEE . ;;'(._00 I {'O^1Nt
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
.-
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 2 30 r I~- -F'-":;1 - 51-
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner (I/l..,,-/-:':ry _ 5r.I....s .- InstailationBy - fl..AiM &,,~ - 5'rC/-V-
Owner's Address - P CJ an 'V /3 ':J"L Installers Address
.
Day Phone '-/ 1"- '7 ,/ &/ 0 , Installers Phone
App.lication is hereby made for Permit to install Electrical Equipment as follows: /IV.> 'TA L g 0 e;( rf't (7 ~ S, C-AI
Wiring Method ,f> l/' '<
.
NUMBER AMP .120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT PER. 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN , f fl./!) ;J.t. t!J.
50 VOLTS - -
LIGHT OR lESS
- - -
CONVENIENCE MOTOR
CONVENIENCE .. MOTOR .
AP~lIANCE - - MOTOR
DISHWASHE.R . _. FIRE ALARMS I
'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 ,- . ;)., ,- 0<
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. --. ..
SERVICE . AW,G.
-- I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
~ Date Permit Issued
\.
\ I WARNING
\
I: certify that the'work to'be performed unde'r this permit will be done.by th~ installer and in conforma~ce with the N.E.C. Electrical Cod~.'
- (""F' ~ - C ...,
,19 By :f!:i~J/ 9 ~._-;::-;;,
. CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
fermission is hereby given.to d.o the aboye de~cribed work,.according to the conditions hereon,and according to the approved plans and
~pecifications pertaining thereto, subject to compliance with the Ordinances of the Ci!y of ~ort Angeles. \
7,-fr By'1L~17;Y1~ '
PLANS APP OVED "' -"'. "
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.
Date Application made
-:3 - 7 - --
)--
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original
CANARY. Duplicate
PINK. Triplicate
WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
:3 - I? -j'r '\ O.K. FOR COVERING
'1 - n - I'f 7. /J1f'P O.K. TO CONNECT SERVICE
J-I) -8'> / FINAL O.K.
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FEE REC [PT NUMBER
CIT.Y OF PORT ANGELES
, DEPARtMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
000140~
A
PERMIT NUMBER
.
\,-,
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TOTAL FEE
'/6
<od '.
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~tMETOCOM-~LETE~. ) '., .NO:-STORIES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
J3~
CORRECT AODAESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADORE ES ARE CANCELLED
/'\ .L-,' II.-c?:;;.. e.-Ie.~
~:~:;'SAdd:S-'~~~~ ~0 S~'Z-~ . :~:::::::~o~:;ess ~~l sf
Day Phone . Installers Phone' . '75":2. ~ q;:). C ,/
Application is hereby made for Permit to installElectrical Equipment as follows: eJ< re J{ tJ If N~ elf' P ,t-r-e
pc{ rL::. } c {('IS 'f-cJ...,+"/c e e<p /VIf'J!.es)~1{ Pea) 1P !f~,t-r
Fe e. fJ . Wiring Method ~;f)e.-
LEGAL OCCUPANCY
Site Address
~ 3D .\2s/
.
AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER - PEA -120V 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 --
LIGHT SIGN
LIGHT , . 50 VOLTS
OR lESS
-
CONVENIENCE MOTOR
CONVENIENCE - . MOTOR
APPLIANCE.. .. . MOTOR "
DISHWASHER , - FI RE ALARMS. .
DISPOSAL BURGLAR ALARM
..
RANGE MISC. JJ y
OVEN :J Y'
WATER HEATER
LAUNDRY
DRYER '. REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .q J'c'.~
TOTAL FEE .
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
"
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
"
SERVICE AW.G.
. I SUB~TOT AL .
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
his permit will be done by the installer and in con10
/
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By
CONTRACTOR OR NER {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 01 the City 01 Port Angeles: '_ ,,\. .(. : . \ . \
D RECT O.F F. <ni .2::T '
/ - ~~15:;- /~
Date Permit Issued
WARNING
Notify Department 01 City Light by Street Address and Permit Number when ready 10r inspection. Work must not
be covered or current turned on be10re inspection and O.K. 10r covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.04'1 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
~
REPORT OF INSPECTOR
OATEOFV1SIT MADE BY REMARKS
f.-q- }() /fl y~-f I Nf) ~ X PIt/Yet- f7j((j)Pc:~L" !fN(J I'L <( c;-
, 5/';ff\e !1 0.5 14 f) 0)(3.
--- - - .. -
r:.
l
1- 1-1S i( /'J? O.K. FOR COVERING
O.K. TO CONNECT SERVICE
;2.. - /1 ~<{ ~ 1*.2 FINAL O.K.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 ":AST 5TH STREET. PORT ANGELES. WA 91l~()2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000278 Date
784302
230 E 1ST ST
06-30-00-6-3-3000-0000-
ELECTRICAL ONLY
4/21/05
COMMERCIAL ARTERIAL
o
Owner
Contractor
LANNOYE DONALD D
222 FORREST AVE
PORT ANGELES
WA 983622518
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
SIMPSONI HOT TUB CIRCUIT
47746
SIMPSON ELECTRIC
61.30 Plan Check Fee
4/21/05 Valuation
10/18/05
.00
o
Qty
1. 00
Unit Charge Per
61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61.30
1\1
LIj
Q
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.30 61.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.30 61.30 .00 .00
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COMMENTS/ACTION NEEDED
~
ELECTRICAL PERMIT INSPEgJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.lH4196\
04/20/2005 02:37 4579270
WIll ~tJr'-~""""
~
~,
tiElectrica' Contractor 0 Owner '_...'
CJ Annual Permit I:J Alllrm 0 Carnival P Commercial CJ R~idential D Resjden(-i~1 Malnt. CJ Signs 0 Thermostat CI Telecom.
SIMPSON ELECTRIC
PAGE 01
ELECfRICAL WORK PERMIT APPLICATION _
o Request Inspection
Job wired by
IWElectncal Contractor 0 Owner
lostallEl1ion description
Electric;)1 contractor name
Sitnaie>n b/ec..-f1t,'t- U('
PurchaJer's m3i1ing addTC!t!:
d-.i/.303t. jj..J tf. / {)J
City,
2DM It ~ Jf?S
Tch:phcl11C number
45 -9;1-70
Premi&:C!f owner's name
<;PI'r S !-IDt' rn/K~ D~~,'e,
Addre5'!ii or In!lp'cdlon
~304/JJ c. /~Sl.
CUy -e {es
Licco!lc number
S1'hli'JS€t. 973 If!. fiJ
. '
(\ Ad 4.. (',- 1l..O~ jjn--
0- 1Jo+ T cJ"
tAJ
Stntc z,p
(J)~ 98.363
rAX number
;J..'3D
2Z
/~
1 herehy certify that T am the Owner of the above n<lmc.d prnpert)' or a liecnscd Q ~
electri~l contractor (or the finn's authorized agent) Bnd am making the dccLrical 7I':,CrcditCard ~ Mastercard Discover
in~tal1ation Of alteration in compliance with the eleclTicallaw. Chapter 19.28 RCW. Card # ------~__-____-3.J:ss
o Cash 0 Check #
e of owner, electrical contne
/.
r or electriClloI :admini!itntnr
,
Expiration Pate
of card
Jnspcction fee
$ b/.~
WALLS
In~ula'ion Only
r
CEILING
In~uJation Only
,
r 1HERMOSTAT
, Dllle Afl"mlledl'r
r DITCH "'\
OllIe ^flI'''''''ld By
r SERVJCE
Oftle ^""m"cd 5)<
/ FEEDER
D.~ ^"P"""od Dr
Onle
^"J'H'(I\ttI\J D)'
Onre
^""r(lVNl6,
Cover
Co vcr
l:>ft1t
A1lProvecl Dy
--'
lJlI.'~
^l"1Il'Ovftd By
,
E,leclrlcal Lo.sd AddltlQns and or s.ubtracllon~
I.J NO LOAD CflANGES
C Bas.boam KW
Q F"umace KW
I.J float Pump _ Ton _ LAR
C Fan-Wall _ KW
Service 1~lormalion
lnsJ'lcc\ion Area. HUi1ding or Equipment Jn~ctcd Action Taken Blcctl'icnl
Date Inspector
1./ /'7A /JJ< /?/.hM I"iY /'76(/
/ I
Q Overhead Service
o Temp Service
Q Underground Service
Voltage
PhaseI.J1D3
Service Size: _
Feed~r Size: ..
;'1cO
o/zo):;s-