HomeMy WebLinkAbout120 S Albert St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicat10n Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application descr1pt1on
Subd1vision Name
Property Use
Property zoning . . .
Application valuation
6/21/04
04-00000535 Date
.502375
120 S ALBERT ST
06-30-00-5-1-2790-0000-
STRAIT ALIGNMENT
SIGNS
COMMERCIAL ARTERIAL
450
Owner
Contractor
SIMPSON BROTHERS
524 E 1ST ST
PORT ANGELES
OWNER
WA 983623302
Permit SIGN
Additional desc 45SF WALLMOUNTED SIGN
Permit Fee 85.00 Plan Check Fee .00
Issue Date 6/21/04 valuation 450
Expiration Date 12/18/04
Qty Unit Charge Per Extension
1.00 85.0000 PER S- SIGN WALL 25 SF+ 85.00
Fee summary Charged Pa1d Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
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Separate Permits are required forelectrrcal work, SEPA, Shoreline, ESA, utilities, prrvate 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 perrod 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 compiled with whether specified herein or not The granting of a permit does not
presume to give authorrty to violate or cancel the provIsions of any state or local law regulating construction or the performance of
constr~cr
t~(~()f
Date Signature of Owner (if owner is builder)
T IPLANNINGIFORMSIII02 15 [11/14/2003]
Date
BUILDING PERIVIIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
"'{ES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 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
LIGHT DEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 ~- If 3-ol-J .. I .1 .; BillLDlNG
T \PLANNING\FORMS\1102 15 (11114/2003]
BUILDING PERMIT - APPLICATION
FOR OFFIC~ USE ONL ~ J
Date Rec. 0 -/ LJ - 6 =T
PemlIt #
Date ApPlOved
Date Issued
Fill out COMPLETELY and in INK. Your applicatioI\and site plan MUST BE
COMPLETE to be accepted for review, If you have any' questions" call
PERMITS (360) 417-4815 FAX(360)417-4711 '
ApplIcant or Agent:
Owner:
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&~C:-.s;t'6.r-'S Phone: S6...r - t:;Nl~?"'A'
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i 20 .s A..\ ~(2.:\ CIty: ~ . . < I ',"-';1' ZIP; q i?~b~ .:
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Address: .\ 0"3-
ArchItect/Engmeer:
Contractor
State LIcense #:
:~" , Phone'
Exp(; 0
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Phone:
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Address:
CIty:
120 ~~a.~
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ZONING:
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PROJECT ADDRESS:
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LEGAL DESCRIPTION: Lot:
Block:
SubdIVISIOn: _
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CLALLAM COUNTY PARCEL NUMBER:
7?!) #'~ .;::"AC..-:rT &c;::C./k j.J1#-11.. ':51'Tf2-A. rr-
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Credit Card Holder Name:
Billing Address:
Credit S::ardType VISA
TYPE OF WORK:
o ResidentIal 0 New Constr. 0 Re-roof
o Multi-family 0 AddItIon 0 Move
o CommerCIal 0 Remodel 0 DemolItIOn
o RepaIr ~ SIgn
BRIEF DESCRIPTION OF THE PROJECT:
J..I~ l~- ~TU,J:::.,a. < ~ 2~ilJClC w~/I / ~"'T fJLH'H~~ .;. ~(2.i41ZJ'".s
City:
MC
#
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF = $
SF. @ $ /SF. = $
TOTAL VALUATION $
t.../.5 C> < C5>'t?
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
ConstructIon Type:
= TOTAL Sq. Ft
No of Stones'
Lot Size:
EXIstmg Sq. Ft.
Total lot coverage
%
APPRO V ALS:
PLAN :r;./t 4<) ()~
BLDG: I
DPWU:
FIRE:
OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DlVlsIOn can proVIde you wItlI lllformatIOn on the applIcation and
plan subnuttal requIrements If you have questIOns.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reVIewed
and may be revised by the Buildmg DIViSIOn to comply WIth current fee schedules. Contact the Permit Coordlllator at 417 -4815 for aSSIstance,
PLAN CHECK FEE. IF a plan check fee IS due It must be subnutted at tlIe trrne the bmldlllg peImlt applIcatIOn and constructIOn plans are
subrmtted All other pemut fees are due at the trrne of peImlt Issuance
EXPIRATION OF PIJAN REVIEW: Ifno pemut IS issued wIthm 180 days of the date ofappbcatIOn, the application will expire, The
Bmldmg Official can extend the time fOl action by the applIcant up to 180 days upon written Iequest by the applIcant (see SectIOn 1074 of
the Umform Building Code, cunent edItIOn), 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 If is my responsibility to determme what permits are required J an I must obtam such permits pnor to work.
Date' ~~d-()I/
Applicant:
T \FORMS\APPS\BUlldmgpemllt wpd
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PREPARED 8/20/04, 13 39.28
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
8/20/04
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
120 S ALBERT ST
STRAIT ALIGNMENT
SUBDIV.
SIMPSON BROTHERS
06-30-00-5-1-2790-0000-
04-00000535 SIGNS
PHONE
PHONE
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
BL99 01 -iP;';p( ~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING FINAL
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17038
Port Angeles, washlngtonm.mm.t:n::-_.~..zmnmmm..m...m.m, 19.Zl"
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
:~:::s: 1~2?~~..~.~~.~Z~~~?l~~:~..~~.IO:~cupancY._~~........
Owner .m...?r..J!..!L...(..:a,,~-!:.~~:!'_,~TenanLmnn..........._.mn.m_......m...m._nm.nm......n..
Wiring Contractor nn~~.~"""~!..~nn.._n. By.__nm...m......n.....mn.n......m__m.._nn..____nn..n
. ./' ...
Light OutletB............./~:!="'n.____m. Service, volts /.P.:f-/4>.Ze.... Type of ;:'Irlng;
Receptacle Outlets...../~................ No. wires ..~....._.. ..................._.~. Armored Cable ..............................
Dryer. KW mum....-h.....h......h............ Size wires..... ..~._.....J;;!.~~.. Non.Metallic .................--..............
f!7&tf A Knob & Tubem............_.................
Main fuse ................._......................
o1X
0/
Range. KW............-m........._
qA--'
~X
Water Heater: /
jf,5
KW._m_nnn_nnm..__m_/m_nn
Heat: Kw..../h...!.:.l'''Lm
-S'
Enclosure .......:'"...............................
Type of wiring:
Entrance Cable .................h....
Motors: size. volts I\;nd phase:
,v- L. J,-
C:.r/I. . ~
.;7 .._.~m,e_ ~.............m......._..mn
Rigid Conduit .hnmm.nmmnm_m_.
Metallic TUbing ...........................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .....................................
Ser. No........................................
RIgid Conduit ......................_........
MetalUc Tubing h.. h.....................
Raceway ......................._.....___._
Circuits, LlghL..6....._........m.___.......
b
Utility .___.........................................
Heat .....;G....._....._..............___
Range .............................................
Water Heater ..cfl......................
Motor ..._........................................
Dryer ......_._.....................................__
Furnace .........................-_...h._.._.......
, pO
Total Load............................. Ser. No. ................._.......................... Total ...__......_......._.......h.........
Remarks: nnnn_m,.~~.nnn_c.-A_:".~.Lmn.nnm.nn.....nmn_n__m.m.mmm.mmm.m..m..
.--......------------------..--.------.-.-.--------.----.------......-------.-.--------------------.........--.--.-----------------.-----....--...-..---------------------------
_uuuu__.______uuun_.uh__U_________n_n_unnu._uu_u__u_.___.___u.__nn_un.nu___u_.___u._nnuun_nunn_n_.ununnnnnnuu..hn__u_n_u
::~:~!.~f..~.....m..m ::~.~.~:..~~.~.~~.~:m..... By ..9i~flI:.~:~~.l..-'
/" - ..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed ~ue notIce must he given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
N?
17038
Owner ..................................._.........._......_..._.._.._n.........................._.............................. Tenant........_..................._..........................._..........
Date..._......_.._.._.__..._..._n_......_......_.........
WiringContractor................................____......_......._........................_.............................................By....................__......n................._.............
I NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
1M Olympic Printers, Inc.
RECEIVED'
CITY OF PORT ANGEL -s PERMIT APPLICATIO , JUN 3 O
Building Division /Electrical Inspections 2014
321 East ]Fifth Street -- P.O. Box 1150 I Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; 06/29/2014
I�SP�CTP��'
W/lMulti-Family or Commercial*
* Plan Review Mayu Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1208 A BERT S
Building Square Footage; 2000
Description of above �N
Owner Information
Name: STRAIGHT ALIGNMENT & BRAKE
Contractor Information
Name: ADTLLO
Mailing Address: 120 5 ALBERT ST
Mailing Address; 11824 N CREEK PKWY N, SUITE 71105
City: PORTANGELES State: WA Zip: 98362
City: BOTHELL State: wA Zip! 98011
Phone: 360.452-7991 Fax:
Phone: 203-774-9499 Fax an -490 -0363
License # 1 Exp.
License # 1 Exp, ADTLLL'881 Do ExP:3r20Y2015
Item
Unit Charge
QfY Total (Qtv Multiplied by Unit Charge),
ServicelFeeder 200 Amp,
$132.00
$
ServicelFeeder 201 -400 Amp.
$160.00
$
ServicelFeeder 401 -600 Amp
$ 225.00
$
ServicelFeeder 601 -1000 Amp.
$ 288.00
$
ServicelFeeder over 1000 Amp.
$ 410.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 86,00
$
Temp. Service/ Feeder 200 Amp.
$102.00
$
Temp, ServicelFeeder201 -400 Amp.
$121.00
$
Temp. ServicolFoodor401 -600 Amp.
$164,00
$ _
Temp. ServicelFeeder 601 -1000 Amp
$185.00
$
Portal to Portal Hourly
$ 96.00
$
SignlOutline Lighting
$ 88,00
$
Signal Circuit] Limited Energy — Multi - Family
$ 64.00
$
Signal Circuit] Limited Energy I 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
$�_
%Total
Owner as defined by RCW,19,28,261: (1) Owner will occupy the structure for two years after this electrical permit is finaiized, (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 ❑ Check
0141z11ydgned1y1 enn 11erC -11,
Jennifer
19 Credit Card #
�N�, cn= Covello, o= Nwthwes[ Peimll lnc,
xJennifer Covello 9, °�an« °�M " °yz,
ma= ,e ° °�`�° P�nil " °` "' " °5
Date'. 2014.PS,FS 07:53:92 -0}3'00'
paled: 06/29/2014
0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
Application Number . . . . .
14- 00000765 Date 6/30/14
Application pin number . . .
314090
Property Address . . . .
120 S ALBERT ST
ASSESSOR PARCEL DUMBER;
96-30-00-5-1- 2790 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
PORT ANGELES W
Property Use . . . . . . . .
STE 1D5
Property Zoning . . . . . . .
COMMERCIAL ARTERIAL
Application valuation . . . .
0
Application desc
Alarm
(206) 719 --0347
Owner C
Contractor
- --- ---- ------- --- -
- - - - -- -
------------------------
524 E JST ST 1
11824 N CREEK PARKWAY, N
PORT ANGELES W
WA 983623302 S
STE 1D5
SOTHELL W
WA 98011
(206) 719 --0347
------------------------------------------------------------ -
- -
---------------
1 �
C7�
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMEr WILL FXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Cr1EXCHANGEISUILDING
PERMEr WILL FXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Cr1EXCHANGEISUILDING