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Home My WebLink About109 N Liberty St - Building ..~.. CERTIFICATE OF OCCUPANCY City of Port Angeles BuiJding Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For thefollowing: Building Permit No.: 06-029 Use Classification: Business . ...:.>:..,~..::~;~siness Name: Game Comer Group: ~ _~ ~ ' . .;':.. ,Ii: : ':-:.:""\" ~(!~. Type of Construction: '::N _--,-~_~_~_'~:,::"'0.~~ Zone: CA Address:1914 S.Pine Street. . \~6rt Angeles, WA. 98362 ~. :~' '. ~;(~. Ow~er of Business: Ronald W.Kaiser Building Address: 109 N. Liberty Street. 71Jr-L(. ~~9;,.=:~'~~=-"" BUll ding Offi CI a I \;;~,i~\~~S.{~j1l,kj~;.i,t,,:,~,~~~~\:;::th:;;' ~~;,!, ,.' Port Angeles, W A. 98362 January 24, 2006 Date Post on the (conspicuous place. Shall not be removed except by Building Official. .~. tJ18 0& - (Q21~~ ROUTING SLIP {f)PIVI/I AI ~ . ~ I'ORT,q"" ~A1'1E- L6'41,llLK. ~O~Q1;- Certificate of Occupancy 1-/1"3/00 (Jh~~ 1iL. mr...:.:::.._'W '=- $50.00 Certificate/Inspection Fee ~ "'Vll'L/CWO'i\.f.'<> DATE Jj)D J oro New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of ProP9sed Business. . Transfer of Business location . . . . . . . . . . . . . . . ( ) ~!\1, L;~~~eeA- Change of Ownership . ... . .. . .. . .. . ..... . . ( ) Applicant h'J. Q. tf'lf. ::::f'.\ ~ . New Building . . .... . . ... ... ... ... . . ... . .. ( ) Address a ~lA\Y) ~e." ~+: 'Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) 4~-0\1S'L home Ll~rrSf)LfK Temporary Business. . . . . . . . . . . . . . . . : . . . . . . ( ) Phone: business Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: {~f"t"\,~ ( C?fnU) f1~J ~ t.A::)(~ J \/')dt'o ~.(>J~~ c...'l e j ,,)"'/~~ I lega Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES ~ THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............ . --L 2) Plumbing 2) Peddlers Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . --L 3) Electrical 3) 2nd Hand Dealer New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . --1L 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - ---1L- 5) Sewer 5) Dance New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons . . . . . . . . . . . . . . . . . . . --\L 7) Driveway installation 7) Fireworks Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . ~ 8) Curb installation 8) Ambulance ,- Excavation of filling of lots. . . . . . . . . . . . . . . . . . . . . . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way . . . . . . . . . . . . . . . . . . . --\L. 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 . . . . . . . . . . . . . . . . . . - -t.L 13) Sign (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . - --V- 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . . . . . . . . ~- 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . --LL - 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ I hereby apply for a Certificate of Occupancy and acknowl- Date ~c, edge that I have read this application and state that the information I have supplied is correct to the best of my ~&lvz~ knowledge. Signed: ~ .~ REJECTED Comments / Conditions Building Section Public Works Department Planning Department kfjf) Fire Department 1/)t>/06 {ju. City Clerk I ' P.B.I.A. ~~C I\\olo(p S-o :::=- 1fC ""+:'- CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division Max. Occupancy 10 This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: Use Classification: Business. Building Permit No.: 05-831 Business Name The Game Trader Group: ~. Type of Construction: V-N Use Zohe: CA Owner of Business: Christopher P. Copeland Address: 1018 3rd. Street Port Angeles. W A. 98382 Building Address: 109 N. Liberty Street . ~ , c', - '~__~1_..~~"1~Ww :'..::,:\:.::':'~;(:,:\J;:1>::t~~t;~.~\;'~(~~:;': ,.' :?:'/>:.:. c:\D::{;,i, ember 3. 2005 ~;::{i~~:i;.{;:;'l:i~:.~~s;;\)t\IJ}.~'.)'. V,~rj~~?i~7J};~~)'~ Date Post on th ." .. . ....'i$es.iif,iiajcoRspicuous place. .~!t:k~~~~;:r~~'.,jF' ~,:{i;P J,::r.; ;f.'?~I~~~li~')1~;.i'f':"~ ,::r;, .~~".r!! ." Shall not be remOved: except by Building Official. ........... ! ~IJ 5lAia ., "'-O~ c1er- ll~ 8-0.0 -- -:It: 4::;' ROUTING SLIP CJ6- e3\ Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE 9// los- #' . Address of Proposed Business /OCJ tV, .L;~-eY+t S'f; Applicant ChrtJf{JfJ},@r p.. CcrfJelaJl d I. ' Address I () I g- :;> ,.d S' f. (Jor'f ~t,e ~5 W~. C}tp'7tJ~ Phone: business o/S7-c;"J.S 1 home ~I'ORT "''v lO~G'~t ~~ L, m:::;;;;..:' =- ~ ""UliLICWO.....>f.'<> New Business ............................ ( >< ) Transfer of Business location. . . . . . . . . . . . . . " ( ) Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( ) New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ....................... ( ) Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Brief description of proposed business: 13 fA " r- 5 e 1/ - 'Trtt.de / IJ/deo Gam~ 5 legal Description: lot -;:.? ~. Current Use of Property: 'lJe Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . Plumbing changes ............................. New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service ............................. Admission charged to patrons. . . . . . . . . . . . . . . . . . . . Is this a home occupation? ...................... Excavation of filling of lots ....................... Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings. . . . . . . . . . . . . . . . . . . . . . . . . A grading plan for site drainage. . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? .. . . . . . . . . . . . . . . . . . Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ OO~......................................... YES NO -~ t _ .x.- i :;~ 'x I Ct4t- THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing ,3) Electrical "4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use ~ 17) Other QVO I hereby apply for a Certificate of Occupancy and acknowl- 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: APPROVEjJ/ REJECTED /oI'W/IJJ 'a ~~ ~~ q hItS Bl.L I 1 Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Comments / Conditions ~:'... J I~,., , This C~rtifi.C,d,f~Ohissue4fJursuant to the requirements of Sectio~jJ 09 of the UniforrYf::;Bu'iidi~g':qode"~~P,#fYi,!g~lhat at the tirne<9f"(Ss.lcUlnCe this ;~ructure was U"Cw,ifi~,ioo, :e~ljf~~l~:~&rr:ilIfl~!~!~~~~;::~:B{i~ing Group: M '.1.:.. ";'\.!.:...:~.':...'...e......'OfCOM""ctiOO ';,~i 'ii",' ..... ""U",ZoJ CA ~ 7;;: ..;'lr:~:::,l:,"'!:::,~-{,? <.:~\"~~ ~'(:",. ", '" ',',}, \\ .. Owner of BusinesslResidenJ~,: Ci'i2y'R:. Smith Building Address: ;~) ~*" ,'\W'~st 27 2004 Date ous place. Iding Official. Po 0 Shall not be r . ., ~ "he, s~ .... .r-.. ~.l" ~.. - 1-h.c.. ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee / DATE d //j/dc/ Addres90f ~roPos:d Business. - 10 !J L J 1d-7f-n"- Applicant GIJ 12. Y" . Sm I 1.4 Address ::2 -3 Cf .:3 FL-IJ C~ IkL -::d2:t IJN ~ (,.p S UJ'l1 '/ <63h 3 J Phone: business"l:r7-.q.s:s-~ home '-/57-5.r'7h_~ W~ ~L~ Brief description of proposed business: ~ BIJY legal Description: lot Block Current Use of Property: ~'- ~~--.--.... Zoning Classification of Property: C. Ii WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . Plumbing changes ............................. New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service ............................. Admission charged to patrons. . . . . . . . . . . . . . . . . . . . Is this a home occupation? ...................... Excavation of filling of lots ....................... Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings. . . . . . . . . . . . . . . . . . . . . . . . . A grading plan for site drainage. . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? ................... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other.......... .1.............................. YES NO -~ K -~ -- _-L -~ -~ X -- _-K- X -- X - ---v ~== -~ x== -iL- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. ~\t~\D~D 2/"LlJ/ c>y S~ I I KD0 R I.A 2.h3/0Y / I Building Section Public Works Department Planning Department Fire Department City Clerk PB.I.A. New Business ............................ ( Transfer of Business location. . . . . . . . . . . . . . .. ( Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( New Building .. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business .,. . . . . . . . . . . . . . . . . . . .. ( Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ~LP ~L( / ~Y1 -So. Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Date: )!t;~~~~ - Signed: Comments / Conditions ~ f'ORT ~Iv iJ~O~Q~~ ~l tL~ =- ~ .<>u8LICWO'r':f''<> i/) ) ) ) ) ) ) d.4/' .J!tJlm. .~~ ~ ~ORT ~ $~O~~~ r..-a -- ~ ~ 'l<i~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000143 Date .832822 109 N LIBERTY ST 06-30-00-1-0-1006-0000- ELECTRICAL ONLY 2/23/04 COMMERCIAL ARTERIAL o Owner Contractor AUSTIN GERALD G 1305 E 1ST ST PORT ANGELES WA 983624602 HI TECH ELECTRONICS 723 E. FRONT STREET PORT ANGELES PORT ANGELES WA 98362 (360) 452-2727 ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor permi t Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL SECURITY SYSTEM HI TECH ELECTRONICS 40.90 plan Check Fee 2/23/04 Valuation 8/21/04 .00 o Qty Unit Charge Per 1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.90 . Permit Fee Total Plan Check Total .Grand _ Total 40.90 .00 40.90 40.90 .00 40.90 .00 .00 .00 .00 .00 .00 ~ ~ ", '0 "- ~ ~ ~ \\ \ "'- , ""- ~ 1:\ "- ,'--\ '< " --t ~ "-.. ~ \' ~ ~ ~ ~\ " '" (.-.3 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL 2/t.-p /0'1 l,fcO LIGHT DEPT CONSTRUCTION - R.W. , CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003J . .. e... - A~~~ - . ROUTING SLIP I'f'OA1-1'v ()~o~G~l" Certificate of Occupancy ~-" Ci~.1 L -=:...w =- $47.00 Certificate/Inspection Fee ~ / -<teuc wo?"f..~ DATE .~ I/i/eye! New Business . .. ... .. .... ... . ..... . , . .. ( 0 Addres90f ~roPOS:d Business Transfer of Business location . '" . ..... ... . ( ) /12 J.J L JI~Jf1 y Change of Ownership . . . . . . .. ...... . . . . ( ) Applicant G1o/Z)' '-. Sm 1'74 New BUilding .. . . . . . . . . . .... " ...... . . .. ( ) Address -,,2 3 '73 fL-tJ (..f', I2~L Remodel. . .. . .... . ............ . '" .. ( ) ft IJN 6:.R, {,.LJ s lA/W /' fr3t; 3 Temporary Business ... .. . . ..... . .. . ( ) -' Phone: business "15"" 7-4' S-S'k, home '-I5-7-~-'7k.-3 Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Brief description of proposed business: W..t!. Ji..e L~ ~L(J ~L{ /'~n~ 01/ J2 RJIJ Y y v legal Description: lot Block SubdivIsion Current Use of Property: ~~~ ~-,~~ Zoning Classification of Property: C. Ii Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes --4- PERMITS BUSINESS LICENSE Electncal changes K 1 ) BUilding 1) TaxI ~ Mechanical (heating, cooling, stoves) . , ==~ 2) Plumbing 2) Peddlers Plumbing changes .. , . . _ -.JL 3) Electncal 3) 2nd Hand Dealer New or relocated signs _ -.:L 4) Mechanical 4) Pawn Broker New septic tanks . . -~ 5) Sewer 5) Dance New sewer service X 6) Sidewalk Installation 6) Hotel - Motel . -- Admission charged to patrons ,/' 7) Dnveway Installation 7) Fireworks ... . _ -----X- Is thiS a home occupation? X 8) Curb Installation 8) Ambulance . . -- Excavation of filling of lots . , , . .x 9) Sidewalk obstruction 9) Tattoo shop - Work done In City nght-of-way --y 10) Water meter Installation 10) Other -- It, Is there suffiCient off-street parking? ---.L _ 11 ) Fire " New dnveway openings .. , _ ...x. 12) Occupancy A grading plan for site drainage -- 13) Sign ( ps (parking lots, downspouts, etc ) )( == 14) Shoreline Are the eXisting streets paved? 15) Home occupation Are there eXisting Sidewalks? -- 16) Conditional use Is there curb and gutter? . . , . -X-- 17) Other Other , . ....... . -- I hereby apply for a Certificate of Occupancy and acknowl- (}~~c/ 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: 4-.;~ ~#- ~\t~\D~ Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 'I'h s+ ~<:. -.. ~ ~ 1- V- -:::f-- . CERTI FICA~EN:e\F'~-'lCCU P ANCY j"~:f~!~~~~ .. ..,~, <~:fe" City of Port Angeles~,,\ ,. B oldo no 0 0 ~, ~:f" UI lng IVISlon '\r.. k * t'" \ This C~frification issued pursuant to the requirements of Sectio~) 09 of the Uniform:~uilding Code certifying that at the time of issuance this ib:ucture was 1'1 . , - _._'" .. " ""'~ ~............ \1' in cqmpliance with the various ordinances of the City regulating 'Quilding ~: . {" N. . .;.' construction or use. For the following: . \} Use ClassIficatIOn RetaIl BuIldmg PermIt No Busmess Name' The Store Inc. l' :11 .". -'".- r.i ~ ~ Group M 11' Type of ConstructIOn VN Use Zone I:' CA I':' I., ~ ._~-- ' ~ -_. _. _ _ .... . _ -- . "" Owner of BusmesslResldence. Gary R. Smith Address 2393 Place Rd. Port Angeles, /W A 98363 ~\~. I.' BUlldmg Address '\O~rNorth Libert 'Port Angeles, WA 98362 r.-" ,Ji,' IH , J dust 27 2004 ~,. Date ix;; Po 0 1.'I~ ,"'!", ; 'ous place. Shall not be re'm~ . .. >yjB'uilding Official. '~_S.ID.~,~""J.i~~'"'''' \ FROM : HI-TECH ELECTRONICS ~ ., ,- -... --- ~, " jJ FAX NO. : Glri CFJ:A BLOC JEPT e 1ST , 360 452 8560 ~,~.z Nc. 360 ~;7 4';; I Feb. 19 2004 11:26AM Pi r'. 'I': I _ '~' $ a ',",...~. I~ ELECTRICAL PERMIT APPLICATION 10J1.0FFlC'If\.LUs.G:oNJ,.'Y D.Ie'J.~: __,___ ...... OA\IAppmvod- O"I~ II.ua1' nil ~cot!:ie31 Permit AppU~ti::m must be fillltel out caml)lf:lelv. 01- /Cf3 pl&liSB typl; or rapnnt I" InlL l1.you havu any qu;ctlONi, ~1.'u5.ca1l [)60)4174735 Fu number; (360) 417-4711 OWM:crElee. conL"llctorAgootb \ -Te.c-h E) ed-,o" 'c-":> P~lX1.: c.t 5L-'d.lJl 'f<II<; +5.2... - '8'StO Prn"."yOwnor' (-;Q,() Slv,,~ lis.!! Hc,rP<:r Phone: 1-57-15'56 Ad~:Jo9 Nor4t..l.l...kA-~ Cily:Jf-rlt- AI \.c, z'P:q~3i:,d- E1eelri""'Conn=\4\=te~ec-~rnr\'''''''' ' Li""",.1I: 'EC..J~p:z(9)~<; Phone:,f5;;l-;).7J.7 NJdress:! (J-~ E 'F r"f\ 1- _'5+ "11<0'0'+ 4~e..k:> W~. ZIP: 9'6'3' b:L INSTAUA nON WIRED BY: IJ OWNER ~TRICAL CONTRACTOR Credit Card HolderName:~ r r~+ M. <(\ \ I.t \' lev ~,,",A-= ,:J-,," F 'oA~ 'S-L_ lir1-. . S~ Zip: '1~::'('~ v/$AclC MC: Pl\OJ~CT ADUR.O~~:..-l 09 N ()., L I 'K E !<-T'I , lYPf OF WORK; Ch=~ ~ iliat apply. 1:1 New 0 Alteration/Addition o Residen!ial 0 M~femlly eYCc,mmercial 0 Mobile Home Sq. 1<t loco o Remote Mater 0 DelaCh.d iJa:aga " 0 Hot Tub' D SlAoim Pool c Septj~ Pump ~volrage 0 Tele~om, 0 Sign Number "f Cirouils added or sllerad: S. .. ' , ' . DESCRIPTION OF'THHLECTRlCAL PROJECT:_11')5~ /1' 5e.Cu. r\ -\-(j , S Q'S{~ EI~ctrlc:al Heat Loael Additions and or.SubtraetiQnli . ~Ice Information I:J Overl1ead SeNice D Temp Servico o Underground Servic. Voll8ge: Phase: 1:1 1 ~ 3 Service $\z., Feeder Slze:__ [J easaboard o F"m.ce o H...t Fump o Fan-Well _IN/ , IWI - TON LRA -IN/- I hef8by certify that ( have read aM examIned fhis flPplir:ation and know IIlaI same fa be true and correct, and I am author(zfJd to appfy for thIs permit I unde!7Stond it is not the City's legal responsibUity to determine whet permits are requIred; it ",mains the applicants resp,onsibility to determine nat P. ./ requir8d and to obtain such. Credit Card Holder's Sisneture: '~ Oate:~ Owner or Elac. Cont. Signature: O.te, 7/11. /61 PERMIT FEE; $ 16 ~ ;;!El.fCiFlICA1.PERMIT APPUGA.TlON Av/J 7~.A /~ <J."ORr~ l~~t. rGii ~~ ~ ....t:;? CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property Zoning . . . Application valuation 04-00000143 Date .832822 109 N LIBERTY ST 06-30-00-1-0-1006-0000- ELECTRICAL ONLY 2/23/04 COMMERCIAL ARTERIAL o Owner Contractor AUSTIN GERALD G 1305 E 1ST ST PORT ANGELES WA 983624602 HI TECH ELECTRONICS 723 E. FRONT STREET PORT ANGELES PORT ANGELES WA 98362 (360) 452-2727 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL SECURITY SYSTEM HI TECH ELECTRONICS 40.90 plan Check Fee 2/23/04 Valuation 8/21/04 .00 o Qty Unit Charge Per 1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.90 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes l1ull 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. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\PLANNING\FORM$\] 102.]5 [] ]/1412003]