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Home My WebLink About507 E 1st St - BuildingCERTIFICATE OF OCCUPANCY City of Port .Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifj�mg 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 Pefinit No. 05 -047 Business Naine Ambrosia Type of Constriiction. CA yp V -N Use Zone: Owner of Business: Janet Robert Fuller Address: 1215 E_ 3r St. Port.Anreles. WA. 98362 Building Address:507 E. First St. Port Aneeles. WA. 98362 ,Noverriber 24. 2005 No. 57 Group: B Building Official Date Post on .the- :premises fin, a conspicuous place Shall not be removed except by Building Official 0 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 mow om 05 00000047 Application pin number 747564 Property Address 507 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2030 0000 Tenant nbr name AMBROSIA Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 10000 Owner Contractor Date 7/06/05 R J PROPERTIES OF PA LLC OWNER 1215 EAST 3RD STREET PORT ANGELES WA 983623604 (360) 670 7790 Structure Information 000 000 CHANGE OF USE AUTO REPAIR TO RETAIL Construction Type TYPE V NON RATED Occupancy Type MERCANTILE Permit ELECTRICAL ALTER COMMERCIAL Additional desc OWNER WIRED/ 20 CIRCUITS Permit pin number 51623 Permit Fee 78 70 Plan Check Fee 00 Issue Date 7/06/05 Valuation 0 Expiration Date 1/02/06 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL COM ALT 0 200 SRV FDR 78 70 Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) 1 ADA van parking space required building to be made ADA accessible and have 1 ADA accessible restroom Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 83 20 83 20 00 00 COMMENTS /ACTION NEEDED DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 ACCEPTED COMMENTS YES I NO N13-/7-O i D- 1-fS L 4 AJ I M I I M I I I I I I PW- 1102.1511 Request Inspection Electrical Contractor ldOwner Annual Permit Alarm Carnival Jl Commercial Residential Residential Maint. Signs Thermostat Telecom. 7 (Installation description Job wired by ❑Electrical Contractor Owner Azi 4_/_1-) Electrical contractor name License number 2o rJ/}dgA l Purchaser's mailing address City State ZIP Telephone number FAX number 'Pre is owner's name i o t7 a r 1. 4 Address of inspection gor1 go i'r54 S C t)rt I-FnQe e l3 A chi I, Inspection Date t 7D— 770 I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW O k- Area, Building or Equipment Inspected S ELECTRICAL WORK PERMIT APPLICATION eirfoirb exa..l D S Pe c)-CO 4-, Cash Check Credit Card Visa Mastercard Discover Card /Signature of owner, electrical contractor or electrical administrator Expiration Date X <f card fee el WALLS CEILING THERMOSTAT SERVICE r-- 7 Insulation Only Insulation Only 7'53 rr Date Approved By I `Date "Appr ved By J Approved By Date Approved By DITCH FEEDER y over Co er V 1T(�CJ D Approved By i Date Appr ed By Date Approved By J Date Approved By J Action Taken fed /P Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 1 3 Heat Pump Ton LAR Temp Service Service Size: Fan -Wall KW Underground Service Feeder Size: Service Information Electrical Inspector D r Ll� " ,. iI/?1-/(J5'::fiJ Am\'('o~';o.... 6~-[.,n ROUTING SLIP ~r :I/Is/Of> ofIO"r~>\" $'~Q<'(", Certificate of Occupancy <>~)" L~ ~ illH."':' Certificate/Inspection Fee - ~1C'Wo#~ DATE /)or..~q .:1 Of) cf New Business ..................... ....... ( ) . . Address of Proposed Busin",ss Transfer of Business location. . . . . .....,..... ( )( ) 5D7 1:.. Fir'';t st. f/l Change of Ownership . . . . .......... . . . . . . . . ( ) Applicant JaM! "/Cob....f Fu 1/..,", New Building .................. ........... ( ) Address /~/5 E. Th;rJ sl: Remodel. . . . . . . . . . . . . . . . . . . ,.........., . ( ) f!ort f)l)r'''', IJA 9!13("'J.-' Temporary Business ....... .............. .. ( ) Ph~le: business 4/7-/:/7.1[, home </..57- ?:No Change of Use. . . . . . . . . . . . . . . . . . . . . . . .. .. . ( ) e.e ,"70- 7790 Brief description of proposed business: re:6d Igi fJ Iv; deo "<'Ita I / f legal Description: lotE1'Z.'-J-lIo/-W'h.~MIz. Block :20 Subdivision Norma" R.s"';.t~ Current Use of Property: p.nsono.\ ~,ucl'~' + pc>.... <0<'1 '" \ (J.U \0 en .-e.. " Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. ..... J-- PERMITS BUSINESS LICENSE Electrical changes. .......... ~- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . _-L 2) Plumbing 2) Peddlers Plumbing changes ........ -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs, ... -=l.....-_ 4) Mechanical 4) Pawn Broker New septic tanks. . ....... - --.lL- 5) Sewer 5) Dance New sewer service .............. _ --A- 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 .. ......... _ i-.- 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.) .......... -- 14) Shoreline Are the existing streets paved? ...... .... ~- 15) Home occupation Are there existing sidewalks? . ....... .......... ---2L _ 16) Conditional use Is there curb and gutter? ..... ...... ~-- 17) Other Other. ..... ............ -- I hereby apply for a Certificate of Occupancy and acknowl- /ft!1 ~ 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: .1.Aiful.J Arr~ REJECTED Comments / Conditions /II g O~ Building Section Public Works Department SR '6- \1...0'7 Planning Department 1l.D Fire Department ~\l 'b -3 \-1)~ City Clerk P.B.I.A. it '"'I ." A.~'\:''-O';l~ :Je ROUTING SLIP ~fb')''';'. ~ 1.1/.,/"'" 44us- f'O.f4<\< 6~ -1-/1 ~o~""(.. Certificate of Occupancy . / ;I b~__", - ~~ ~ - -$4-p.OO'Certificate/lnspection Fee - 'lo;.;;;;'> )L" . , 1{) <I DATE I I New Business . . . . . . . . . . . . . . . . . . . . . . ...... ( ) Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( )( ) /..u';' f-:. ;:"_11 r)t. 1'/4 Change of Ownership . . . . . . ........... ..... ( ) Applicant ).),,-t ,fd-...,i Fu.!L... New Building ......................... .... ( ) Address I :}/.; E. TJJ....-1 :;? Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) /" t J.l,,,, "'/0"''' '1...~ ';-' ~(, J-. Temporary Business ......................, ( ) Phone: business <//?.I. ') .~( home ,/.; I ...,) '..... Change of Use. . . . ( ) , ,J I~ . .. ..................... c.~ 1/ /,'Iu- 7'790 Brief description of proposed business: f, t ..1 /.,1 t j" ,l,..- :. ,.ir. \ I I . Legal Description: Lot [i1. I, T 1I...\.l h if t J?_ Biock 7ti Subdivision h.Ot""',1 ~ ,Po, Current Use of Property: c,",r).".,.,\ ,\,;.; je,l:!.. 1- , :"'.r '""f~""\ ~ --\ \.. , !, .- 1 , . C'~ Zoning Ciassification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. ........ ..... .. ....... ---1>- ~ PERMITS BUSINESS LICENSE Electrical changes. ....................... ..... ~ ~ 1) Building 1) Taxi Mechanical (heating. cooling, stoves) . ....... ~ ---"'-- 2) Plumbing 2) Peddlers Plumbing changes .... .. ......... ........ ...... ~~ 3) Electrical 3) 2nd Hand Dealer " New or relocated signs. . . . . . . . ...,.......... .... ~~ 4) Mechanical 4) Pawn Broker New septic 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 .. ~~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City ri,9ht-of-way . ... ... ....... ~~ 10) Water meter installation 10) Other Is there sufficient off-street parking? .... ~~ 11) Fire New driveway openings. ............ .... ~2- 12) Occupancy A grading plan for site drainage. ........ ......... ~~ 13) Sign (parking lots, downspouts, etc.) ....... ~~ 14) Shoreline Are the existing ~treets 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- / ~ /';; q /0 c./ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my (~'Y'f1 r: knowledge. Signed: .:i, JLr J ~7 .. APPROVED REJECTED Comments / Conditions d-f1 ~, --+- Buiiding Section 'If' ~~ <I~:J",,:",:,D ~+ 3/;/ / t5'.L, Public Works Department " ') i:;:/ __ ,'^ ..-1 0 Planning Department , Fire Department City Clerk P.B.I.A. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursll{Jf1f to rhe requirements afSection 301 of the international Building Code certifying that of the time of issuance this structure \vas in compliance with the various ordinances afthe City regulating Building construction or use. For thefal/oyving: Use Classificalion: Business Building Permit No.: 05-047 Business Name: Ambrosia Group:~ Type of Construction: VN Use Zone: CA Owner of Business Janet & Roger Fuller Address 1215 E. 3" St. Port An~eles, W A. 98362 Building Address 507 E. 1". Street.---.. "~' 'Port An~e1es, W A. 98362 " ". ,0.. 7Y/~ ~ .71l~';;;~~/'..::: . .. ~ November2L2005 Buildmg ~ ...... . Date Post on the premises in a conspicuous place. Shall not be removed except by Building Official. ....... CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicat10n Number Applicat10n pin number Property Address ASSESSOR PARCEL NUMBER: _. .Applicat1on type description Subdivis10n Name Property Use Property Zoning . . . Application valuation 05-00000529 Date 224545 507 E 1ST ST 06-30-00-5-1-2030-0000- SIGNS 6/30/05 COMMERCIAL ARTERIAL 100 ~~~ 7/ /$jCJb ~ Owner Contractor R & J PROPERTIES OF PA LLC 1215 EAST 3RD STREET PORT ANGELES WA 983623604 ( 36) 670-7790 OWNER 53066 85.00 6/30/05 12/27/05 Plan Check Fee Valuation .00 100 \r1 \) -4 \TI \~ ~ * ..--. ~ L Permit . . . . . Additional desc . Permit pin number Perm1t Fee Issue Date E,:piration Date SIGN Qty Unit Charge Per 1.00 85.0000 PER S- SIGN WALL 25 SF+ Extens10n 85.00 - Fee summary Charged Paid 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 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 compiled 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 ,I. J~ Signature of Contractor or AuthOrized Agent Date SI T \Pohcles\1102_15 bUIlding penmt inspectIOn record05 wpd [1/4/2005] BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 ArchItect/Engmeer: Contractor rIA \ ley Phone' .3~o - 45'7- ?'31D Phone: (.110 .- ') ') 1'''0 CIty. Ii r t CJ n1e It" '1 ZIp' 98.i /p~ Phone: ApplIcant or Agent: R"he,t .J JaV1 Owner Sa m e- Address' Id JI) e. .2('J State LIcense #: Exp: Phone: ZIp: Address' PROJECT ADDRESS: 5D'7 E Is); LEGAL DESCRIPTION: Lot' CLALLAM COUNTY PARCEL NUMBER: CIty: ZONING: c--B Block: SubdIVISIon: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: , -" ~O ReSIdentiaL '.::'O..NewConstr '.0 ..Re-rooC... .- 0 Stove o MultI-farmly 0 AddItIon 0 Move 0 Garage ~CommercIal 0 Remodel 0 DemolItIon 0 Deck o RepaIr ~Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~ro I~l"! r,/ City: Exp. Date: SIZEN ALUATION: SF. @ $ /SF. = $ SF @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ J DD ~I'CV" on ~ro.,t o~hu.'I\J~{\1 COMMERCIAL/RESIDENTIAL: Occupancy Group: No of Stones. Lot SIZe' ExistIng Sq. Ft Total lot coverage % Occupant Load' & Proposed Sq Ft COnstruction Type' = TOTAL Sq. Ft. PL~G~~NL~=.c.'\l : ~ - .::to ~~ I1l >~_~~f/l_ n..J\. o'-""'--'~,,~Q - \a\~ ~0~c..-=;<""~ ESAlWetland(s). 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other: APPRO~Y: PLAN: f;,J 7 ~~ BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant Tlns figure WIll be revIewed and may be revised by the Buildrng DlVlslOn to comply WIth current fee schedules Contact the Penmt Coordrnator at 417-4815 for aSSIstance PLAN CHECK FEE- IF a plan check fee is due It must be subrmtted at the tIme the bmldrng penmt applIcatIOn and constructIon plans are subrmtted All other penmt fees are due at the trnle of penmt Issuance EXPIRATION OF PLAN REVIEW: lfno penmt IS Issued WithIn 180 days of the date of applIcatIOn, the application will expire. The Bmldrng OffiCIal can extend the trrne for actIon by the apphcantup to 180 days upon wntten request by the applicant (see SectIOn R1 05.3.2 of the InternatIOnal Bmldrng/Residentlal Code, 2003). No applIcatIOn can be extended more than once. I hereby certify that I have read and exammed thiS applicatIOn and know the same to be true and correct I am authoT/zed to apply for thiS permit and understand that it is my responsibility to dete me what permits are reqUired ,not the City's, and that I must obtain such permits prior to work T\Pohcles\BL-1l02_13 wpd Applicant: Date: {,,/:;,:'?ID~ I , ::lNI S831NI8d ::lldl^JA 10 [,1# V'!80-J .-1-- -'l----t . --+ 1--- I- -1-- -- -+- u__ - I t "----I L -r ,-+---- +-~ - -- t__ - --- : - ~- -+ -f--- 1---1- - ~_l ..1. ---1--- -+- I I I - - ~I=~ \ L_~ (~-~ -- F !l ~.;... X " \ ~ ,-J \n ' \. t1 rt- . _-J --l (, ['1\- ""> .. ,,~- --- '"--I-~~ -~ I ~ /' r= ~) ;}- ~ I. - ~I- r-'- i ~ 7'- -(- ~ /~ '- ~- I! 1'\ ,#j.~d < i i ~~:~tl. : J~D(lJ ~ =F--- =~~ ~=~!1--=- --- -- ( . \0.. . 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",L~ '\ "T1 o :n ;;: -,-~l, ( I , \' L' "" '" Ol o r -< ;;: " o " ~ Z -< m :n _Ul z o i9}~ -1 SV3 l' ~ f ~/9'.1('0<1I-I~ ~ ~9 JU1I~ 14>1A'J ,_ ~'#~'A (1-. f !'1 'h~ DC' ~(11 A/I >I.,,~ 7) v J ~I "~1 U 7 (. }~ "'!i \j .' 'Z y. -z: '.... 1.::1' ~ ~ 'I J I //7 I . I I I :'-'['. I ~>;:' , J 'I : . \ I I /' ~ / I ./ / / // , :1 ?U/lIMJI ! ...; //1. /'7 J> I /Y -cfi / ' I / ,1/ / / ( j O)lJj f~(J r 167 1'/ 'Yo i:~ -/;J d r; / V ;/"'JWWfJ-n ). 'II to f'43/ IJ.>Y;1 ,.' /' ~V (urUl1fJj -----, // // ~. > - xt N" -"' ::::-.. - /1/" 1// 19-7: J,;/ / ~ f'-. ~--.o::Rt-- 1/ }, I I \' I '-- ~ ~'(III ----r r---.." ~ r-::::f:::::: t-- ., I II 'lit ~ K.. ,..{) n '} (;, '" Mt' )-' r- ''71A t.{,1 t? J; " I ~ _ ~,r/(}r.,. _ . / IAI 'F .~ fO~ 1>J=2fS' ' I I ""'-tl?J,:.t tI t; I "IV ) (-~ 11-') 141 );,19 'tIf11J-':Z / ..;-_ > ~~;9 IA~'~h // "':,, ~/~~,df // :::~/ / / / '// / / 'J/I / / \ I '? I:};< Z; / ,/ / <> / // ~ /- ~'V;;, (11 ~ '-1(1 . L'" ;> ~ ~ .: /// - , d V::~.-;.9~( 1 ;/ / .'7" 17 // 'J 111 /V-? ~G .I.r,,;? '/ / I ___ / /--; ~ 7J 0Y J/ >>7 >;1:7"/, '1" '/'" 17 4;;','<iJ' d 7 'J / < <-_:}" ~..xl<::' V.) ~J7 db? 9~+- t. tf If/ /u'?i! r 1- f!;;j ? ~ ~ i" -j/ j$ ~/}7'j r -c{}- -c x-t - 1./ <:ft pORT ~ S;"~~~ ". .... -==- ~ ~~ 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: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000047 Date .747564 507 E 1ST ST 06-30-00-5-1-2030-0000- AMBROSIA COMM REMODEL COMMERCIAL ARTERIAL 10000 Owner Contractor R & J PROPERTIES OF PA LLC 1215 EAST 3RD STREET PORT ANGELES (360) 670-7790 Structure Information Construction Type . . . . Occupancy Type . . . . . OWNER WA 983623604 CHANGE OF USE AUTO REPAIR TO RETAIL TYPE V NON-RATED MERCANTILE Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 204.75 1/21/05 7/20/05 Plan Check Fee Valuation Qty Unit Charge Per 8.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 54.25 Plan Check Fee 1/21/05 Valuation 7/20/05 Qty Unit Charge Per 1. 00 BASE FEE 7.2500 ECH ME-VENT FAN ------------------------------------------------------------ Permit PLUMBING PERMIT Additional desc Permit Fee 54.00 Plan Check Fee Issue Date 1/21/05 Valuation Expiration Date 7/20/05 Qty Unit Charge Per BASE FEE 1. 00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) 1-ADA van parking space required, building to be made ADA accessible and have 1-ADA accessible restroom. Other Fees STATE SURCHARGE 1/21/05 133.09 10000 Extension 92.75 112.00 Extension 47.00 7.25 .00 o Extension 47.00 7.00 4.50 .00 o "'~ :' ~lQ Gj (J ---v " - - "<. ;:p r '" _. ~ <0 f(0 " --+ 1:)" . \J\ ~ r 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 c truction. Signature of Owner (if owner is builder) T:\PLANNINGIFORMSII102.15 [11/14/2003] Date \ 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAJNAGEfDOVfNSPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING . .. I FRAMING 11 . JOISTS 1 GIRDERSt'" ,..,.. :.J SHEAR W ALL/HOI,I> DOVfNS .. .,..; WALLS 1 ROOF 1 C~~ ~C jit DRYW ALL (IN~RlO~CED PANE~.o~L Y) T-BAR .' INSULATION ,"' SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 BUILDING T:\PLANNINGIFORMSII102.15 [11/14/2003] , ----~ --...-. <:ft pORT ~ ~~~ ~,. .... -==- ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number 05-00000047 .747564 Page 2 Date 1/21/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 313.00 313.00 .00 .00 Plan Check Total 133.09 133.09 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 450.59 450.59 .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:\PLANNINGIFORMSII102.15 [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 I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS W -II-oS ,i 1- ~0j.i "~r )./-'}f).-Cl ~ <d' j.- WALLS I FOUNDATION DRAJNAGEfDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING ,:"te".',;.;- ~ U,,,,,,,,,..j."'>4 UNDER FLOOR 1 SLAB Q-Cf-(.9<)- -:J H-- 1/<1/0'r fJ..r ROUGH-IN (:;.(q.OC 41..L- Pl/ll~~ 10-;2.0-oS J}..J- 1J.p WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING T FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOVfNS WALLS 1 ROOF 1 CEILING B. (1-c;;,/ :rL..-~ DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL F'N~J- ( 0-,;20-05 A- ~ J J.J,.. HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering 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 OCCUPANCYIUSE 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 11 rJ. 2l)..t?tF. JTl BUILDING T:\PLANNINGIFORMSIII02.15 [I 1/14/2003] ""?- ~'" N) ~> '-/} '\ ~ -'~ ~ ~' '0 t"' Ul o .... 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Z r.,.., ~:=; "':'< w'" .., I:"' I:"' H '" ~ I:"' "" '" " o , " " \D o 0'0 ;,.;,. ..,Q "'''' BUILDING PERMIT - APPLICATION 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 FAX(360)417-4711 Applicant or Agent: Eo1!:J4Il-r J ..:3AI\Jk1' Owner: ({ ~~ p~r~ O~ PA. Address: 19.1), Ii.;,z@ <~ ;L(/u ~ LL.L City: 14/1,'1' Av6~L"{'~ 2AW8ul(:" '~04-1'<~ ''''''- State License #: Phone: 360- 67tJ- /790 Phone: "l6c - 670 - 7 79D Zip: 98362 Phone: 360 -4/1-050 I Exp: Phone: City: Zip: ------- PROJECT ADDRESS: 5o,.tZ. 15.:( ~'1. ZONING: t2A k..'2. L-r /I ~ wz, t...., (2 D LEGAL DESCRIPTION: Lot: Block: '2n tV Subdivision: c...$",AIl,..,H $'J/!.iJ CLALLAM COUNTY PARCEL NUMBER: 0/"-10'" QJ ~}I ~():5c9 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 b,edition 0 Move 0 Garage SF. @ $ /SF. = $ 0'Commercial lIr"Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ /0, DOEJ o Repair 0 Sign 0 Other TOTAL VALUATION $ /0) 00= BRIEF DESCRIPTION OF THE PROJECT: .1All'~O"'l. f.S<~-..I4 L-J.J1.l.L -c.. ~ ~V'..W Sfl-401 -To /J.ez.. 4v().(,,(...~ ...-t. t<.~tt:4IL SA~ u-J 1-t4 ~ l.,v4t.(.:i 4,L /...-..JSLJt.A-(,.,..;J, IU(.....; f,J..4l<..vt"1' , 5'"1"'0'7.-14 4-(.":;-45 COMMERCIAL/RESIDENTIAL: Occupancy Group:~ Occupant Load: , '5'0 Construction Type:J - (5 No. of Stories: --L- Lot Size: 707/ 5.~ Existing Sq. Ft. ?x:>fSs- & Proposed Sq. Ft. ~ 0 = TOTAL Sq. Ft. 3<JA~ Total lot coverage % bWl. 0AJt..'" () A~-,1.. A-t><A lJ L 1r...v..h.1.. I,)AJ4~ City: Exp. Date: PLANNING USE ONLY: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. T'\RVESS\BLDG-fo=-bro'h",,"~003-B"i\di"gp,",", wpd Applio",," ~,L a4,..tlM J. 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Uniformly Loaded Floor Beam[ 2000 International Buildinq Code (97 NOS) 1 Ver: 6.00.7 By: Charles Smith, Lindberg & Smith on: 01-31-2005 : 2:04:04 PM Proiect: english - Location: floor grider Summary: 3.5 IN x 5.5 IN x 5.5 FT 1#2 - Douqlas Fir-Larch (North) - Dry Use Section Adequate By: 10.1 % Controlling Factor: Section Modulus I Depth Required 5.24 In Deflections: Dead Load: Live Load: Total Load: Reactions (Each End): Live Load: Dead Load: Total Load: Bearing Length Required (Beam only, support capacity not checked): Beam Data: Span: Unbraced Lenqth-Top of Beam: Live Load Deflect. Criteria: Total Load Deflect. Criteria: Floor Loadinq: Floor Live Load-Side One: Floor Dead Load-Side One: Tributary Width-Side One: Floor Live Load-Side Two: Floor Dead Load-Side Two: Tributary Width-Side Two: Live Load Duration Factor: Wall Load: Beam Loadinq: Beam Total Live Load: Beam Self Weiqht: Beam Total Dead Load: Total Maximum Load: Properties For: #2- DouQlas Fir-Larch (North) BendinQ Stress: Shear Stress: Modulus of Elasticity: Stress Perpendicular to Grain: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd=1.00 CI=1.00 Cf=1.30 DLD= LLD= TLD= 0.03 0.07 0.10 IN IN = U889 IN = U639 LB LB LB IN FT FT LL-Rxn= DL-Rxn= TL-Rxn= BL= 770 302 1072 0.49 L= Lu= U U 5.5 1.67 360 240 PSF PSF FT PSF PSF FT PLF PLF PLF PLF PLF PSI PSI PSI PSI PSI LL1= DL1= TW1= LL2= DL2= TW2= Cd= WALL= 40.0 15.0 3.5 40.0 15.0 3.5 1.00 o -r;:~ \t ';,( ~r T~~~ wL= BSW= wD= wT= 280 5 110 390 Fb= Fv= E= Fc_perp= 850 95 1600000 625 Fb'= 1103 Fv': Fv'= 95 PSI Adiustment Factors: Cd=1.00 Design Requirements: ControllinQ Moment: 2.75 ft from left support Critical moment created by combining all dead and live loads. ControllinQ Shear: At a distance d from support, Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Area (Shear): Moment of Inertia (Deflection): M= 1473 FT-LB 900 LB 16.03 IN3 17.65 IN3 14.21 IN2 19.25 IN2 19.65 IN4 48.53 IN4 v= Sreq= S= Areq= A= Ireq= 1= .\,,'-......:::':'\Uj t:.:::~T:~'\':.:l\rt~:t: ' ""k.. ";"";'. FootinQ Desiqn r 2000 International Buildinq Code (97 NOS) 1 Ver: 6.00.7 By: Charles Smith, Lindberg & Smith on: 01-31-2005: 2:05:06 PM Project: english - Location: pad footing Summary: Footinq Size: 1.0 FT x 1.0 FT x 10.00 IN * Footing has been designed without reinforcement Footing Loads: Live Load: Oead Load: Total Load: Ultimate Factored Load: Footing Properties: Allowable Soil Bearinq Pressure: Concrete Compressive Strength: Footing Size: Width: LenQth: Depth: Effective Concrete Depth: Column and Baseplate Size: Column Type: Column Width: Column Oepth: Bearing Calculations: Ultimate BearinQ Pressure: Effective Allowable Soil Bearing Pressure: Required Footing Area: Area Provided: Baseplate BearinQ: BearinQ Required: Allowable BearinQ: Beam Shear Calculations (One Way Shear): Beam Shear: Allowable Beam Shear: Punching Shear Calculations (Two way shear): Critical Perimeter: PunchinQ Shear: Allowable Punching Shear: Bending Calculations: Factored Moment: Nominal Moment Strength: PL= PO= PT= Pu= Qs= Fc= W= L= Depth= d= m= n= Qu= Qe= Areq= A= BearinQ= Bearing-Allow= Vu1= vc1= Bo= Vu2= vc2= Mu= Mn= 770 LB 302 LB 1072 LB 1732 LB 1500 PSF 2500 PSI 1.0 FT 1.0 FT 10.00 IN 8.00 IN (Wood) 4.00 IN 4.00 IN 1072 PSF 1375 PSF 0.78 SF 1.0 SF 1732 LB 44200 LB 0 LB 4160 LB 41.00 IN 0 LB 0 LB 2598 IN.LB 20800 IN-LB Multi-Loaded Beamf 2000 International BuildinQ Code (97 NOS) 1 Ver: 6.00.7 By: Charles Smith, Lindberg & Smith on: 01-31-2005 : 1 :56:35 PM Project: ENGLISH - Location: BEAM AT EXISITNG BED Summary: 5.5 IN x 5.5 IN x 3.0 FT / #2 - DouQlas Fir-Larch (North) - Dry Use Section Adequate By: 63.2% Controlling Factor: Section Modulus / Depth Required 4.31 In Center Span Deflections: Dead Load: DLD-Center= Live Load: LLD-Center= Total Load: TLD-Center= Center Span Left End Reactions (Support A): Live Load: LL-Rxn-A= Dead Load: DL-Rxn-A= Total Load: TL-Rxn-A= BearinQ LenQth Required (Beam only, support capacity not checked): BL-A= Center Span RiQht End Reactions (Support B): Live Load: LL-Rxn-B= Dead Load: DL-Rxn-B= Total Load: TL-Rxn-B= Bearing Length Required (Beam only, support capacity not checked): BL-B= Beam Data: Center Span LenQth: L2= Center Span Unbraced LenQth-Top of Beam: Lu2-Top= Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom= Live Load Duration Factor: Cd= Live Load Deflect. Criteria: U Total Load Deflect. Criteria: U Center Span Loading: Uniform Load: Live Load: wL-2= 560 PLF Dead Load: wD-2= 345 PLF Beam Self Weight: BSW= 7 PLF Total Load: wT-2= 912 PLF Properties For: #2- DouQlas Fir-Larch (North) BendinQ Stress: Fb= 725 PSI Shear Stress: Fv= 85 PSI Modulus of Elasticity: E= 1300000 PSI Stress Perpendicular to Grain: Fc_perp= 625 PSI Adjusted Properties Fb' (Tension): Fb'= 725 PSI Adjustment Factors: Cd=1 ,00 Cf=1.00 Fv': Fv'= Adjustment Factors: Cd=1.00 Design Requirements: Controllinq Moment: 1.5 Ft from left support of span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 Controllinq Shear: At a distance d from left support of span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) 2 Comparisons With Required Sections: Section Modulus (Moment): M= V= Area (Shear): Moment of Inertia (Deflection): Sreq= S= Areq= A= Ireq= 1= 0.01 IN 0.01 IN = U3497 0.02 IN = U2147 840 LB 529 LB 1369 LB 0.40 IN 840 LB 529 LB 1369 LB 0.40 IN 3.0 FT 0.0 FT 3.0 FT 1.00 360 240 85 PSI 1026 FT-LB 958 LB 16.99 IN3 27.73 IN3 16.91 IN2 30.25 IN2 8.53 IN4 76.26 IN4 FootinQ DesiQn r 2000 International Bui/dinQ Code (97 NOS) 1 Ver: 6.00.7 By: Charles Smith, Lindberg & Smith on: 01-31-2005 : 1 :57:07 PM Project: ENGLISH - Location: FTG AT EXISTING BED Summary: FootinQ Size: 1.0 FT x 1.0 FT x 10.00 IN Reinforcement: #4 Bars @ 5.50 IN. O.C, EIW I (2) min. Footing Loads: Live Load: Dead Load: Total Load: Ultimate Factored Load: Footing Properties: Allowable Soil BearinQ Pressure: Concrete Compressive StrenQth: ReinforcinQ Steel Yield StrenQth: Concrete Reinforcement Cover: Footing Size: Width: LenQth: Depth: Effective Depth to Top Layer of Steel: Column and Baseplate Size: Column Type: Column Width: Column Depth: Bearing Calculations: Ultimate BearinQ Pressure: Effective Allowable Soil Bearing Pressure: Required Footing Area: Area Provided: Baseplate BearinQ: BearinQ Required: Allowable BearinQ: Beam Shear Calculations (One Way Shear): Beam Shear: Allowable Beam Shear: Punching Shear Calculations (Two way shear): Critical Perimeter: PunchinQ Shear: Allowable PunchinQ Shear (ACI11-35): Allowable PunchinQ Shear (ACI11-36): Allowable PunchinQ Shear (ACI11-37): ControllinQ Allowable Punching Shear: Bending Calculations: Factored Moment: Nominal Moment Strength: Reinforcement Calculations: Concrete Compressive Block Depth: Steel Required Based on Moment: Minimum Code Required Reinforcement (ShrinkagefTemperature ACI-10.5.4): ControllinQ ReinforcinQ Steel: Selected Reinforcement: Reinforcement Area Provided: Development LenQth Calculations: Development LenQth Required: Ld= Development LenQth Supplied: Ld-sup= Note: Plain concrete adequate for bending, therefore adequate development length not required. PL= PD= PT= Pu= Qs= Fc= Fy= c= w= L= Depth= d= m= n= Qu= Qe= AreQ= A= BearinQ= Bearing-Allow= Vu1= vc1= Bo= Vu2= vc2-a= vc2-b= vc2-c= vc2= Mu= Mn= 840 529 1369 2169 1500 2500 40000 3.00 1.0 1.0 10.00 6.25 (Wood) 4.00 4.00 1369 1375 1.0 1.0 2169 47600 o 6375 41.00 586 65344 88188 43563 43563 3253 83963 a= 0.62 As(1)= 0.01 As(2)= 0.24 As-reQd= 0.24 #4 Bars @ 5.50 IN. O.C. EIW I (2) Min. As= 0.39 15.00 3.00 LB LB LB LB PSF PSI PSI IN FT FT IN IN IN IN PSF PSF SF SF LB LB LB LB IN LB LB LB LB LB IN-LB IN-LB IN IN2 IN2 IN2 IN2 IN IN "fi ~r-~pplication Number CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST STH STREET. PORT ANGELES. W^ 9R~()2 05-00000047 Date 7 Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . , Application valuation 507 E 1ST ST 06-30-00-5-1-2030-0000- AMBROSIA COMM REMODEL COMMERCIAL ARTERIAL 10000 Owner Contractor R & J PROPERTIES OF PA LLC 1215 EAST 3RD STREET PORT ANGELES (360) 670-7790 Structure Information Construction Type . . Occupancy Type OWNER WA 983623604 000 000 CHANGE OF USE AUTO REPAIR TO RETAIL TYPE V NON-RATED MERCANTILE Permit , , . , . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date "Expiration Date ELECTRICAL NE~COMMERICAL HALVORSEN/ SERVICE ONLY 53843 HALVORSEN ELECTRIC 192.00 7/08/05 1/04/06 Plan Check Fee Valuation .00 o CJ\ \) ~ Qty 2.00 1. 00 Unit Charge Per 48.1000 ECH EL-COM 0-100 NEW ADD SRV FDR 95.8000 ECH EL-COM 101-200 NEW SRV FEEDER Extension 96.20 95.80 ~ \ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36, 050-E) I-ADA van parking space required, building to be made ADA accessible and have 1-ADA accessible restroom. -. lI' 1 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 192.00 192.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 196.50 196.50 .00 .00 (; -l ... COMMENTS/ACTION NEEDED \ ELECTRICAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLIt 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 ACCEPTED COMMItNTS I YIS NO 1JITCH I In\ll{~l-I_IN / CUVhK SbR VICb . I .R/Jq /,,:5--1 A7 ~) I I / 1 GENERAL COMMENTS: PW-II02.1) (<II!l6) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. ~'f724 DATE f}- ZO-'9(g ELECTRICAL PERMIT Site Address: ~O1 Fi f25T D READY FOR D WILL CALL FOR e. INSPECTION INSPECTION Installed By: ~ f6UfMOT-JD I License Number: Phone: 7- e7J5U3 Owner/Business: Phone: 6A-M~ Owner/Business Address: Sq. Ft. ELECTRIC HEAT D BASEBOARD KW _ D FURNACE KW _ D HEAT PUMP KW_ D FAN/WALL KW _ D RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D TEMPORARY SERVICE D RISER ;g. OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D1rp )it3rp SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: J N S-rI>rlhIN4 p~, NT' - ecorH5> a, FAIJ .IJ.J pf2k, - MA-tJu pPaLlI2eP ---.pA-JfJT txortf. (I ",- 4FT' 4-Sur-B p,x:rue&5 g, ~ I+f> FAt.!) . WS. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service ~ Final O.K. 7fYv-. New Meters .,...- (, Site Address: 501 e. . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -)(!1f!I? ~ ~~ $ 3: ..- Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. , : CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16741 ) - -;;--- :> :.~ Port Angeles. Washlngtonnmm...mmm.............mmmm...m.....m.... 19m...'. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, o~. or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. ~;(.>/ E/ Sf .f': Address h---;;u;.----.1::.7:-h'!.1'!::::-:.~-mm--nnn.'.m----.--mnmh.--.. Occupancy...mi.:..~__,-_~._~_.__m_n.___.___.m Owner nnm..1!!f.?n:':'~~-::75::~~~n ~~nanL.....mm.-n...-.___---h-nmnm-----m.mmmm..mm.. Wiring Contractor _7.__'C1'!f?,~mn_m_AE,:~~_~.:;~;-~~-:;;..nmnm.m....-m.--n.h.n-___h__nh'___m."" Light Outlets____.._____.m_m_____.__..._....__._.. Service, volts ..7..--..--m-...-------.:....:..... Type of Wiring: O' No. wires _...._____:~...........__.....___:. Armored Cable .............................. Size wires________L&_~{~ Non.Metall1c ----...-----...--------......---- '" C>r::J;i() A Knob & Tube_________________________..._..._ Main fuse .....~~..._.mm____._..;'!"..... <S Enclosure ._...._.__...................____.. Receptacle Outlets.m.................___....... Dryer, KW....hn...n......__.....__._nn_n..___ Range, KW __nhmn_m_._..__. Rigid Conduit _______......_..._______..._... Water Heater: ,- Metallic Tubing mm__...m__m.n..... KW....._______u_.._._.n_______._!:;_________n. Heat: KW.;!.Q__".~.e:e,,,C Type of wiring; Entrance Cable ._humm.mm........_. Ser. NO..__......_....:h_______...__n._....n...... Raceway ___.._...__............_..n.._._..._ Circuits. Light..................______.............__ Utility ........____......_.___.____._____.__..___.__ lieat h_____.._..._._......................._...... Range ......................_.......__...._..__00_. Water Heater _.__._......._................. Motor .n..._.........________.n____......_..__._. Dryer __.___n_______.._____._______...~....n_n..__ Furnace n__......................;.,....____.......... Motors: size, volts and phase: Q Rigid Conduit ____...__._......______...___. Metallic Tubing m.m Current transformers: No. & Size...................______._..n Ser. No. ...................___.___n................. Ser. No.._______..______.......................___.... Remark:~ta:__:~~.._~...~.:~_::;--,.-~l,<t~/_____~:.::_~~.~-:.~~--:Z::=..--..:-.,:~:~~?~-~~-~:m-::~.:.~.:~:::.::::.:::~:::::~:: ___.___._~___._____.__.__..nn__.__________._.__._._____u..._.._...____.___...__._.____.___________..__.___.___._______._____.____._____.....__.____________.__.._..__..._n__ _:::_=~~._~~:-_-_~.-..~-.~._~~._.~.._.__~m--m::~.~.~:__:~.~:~.~.~....--...----------.---..-::-Jifljl;~~~~.~~~::~~.::~:_~__~ NOTICE-Current must not be tUrned on until Certificate of Inspection has been issued. It work is to be COD- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOT:IFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N<! 16741 Address..__________._...............__..........___.___.................____................______.._...............__...._.........___.___.~..Date..._.........._______.........._......_......_.___..... <: Owner _......._..._.........__.n_.___._.___.nn..._...._.__....._.._........_...........__.n__........_.__._____..__._........ Tenant.....u..n.__.........___u__nn............____.___n____......... \ \Wiring Contractor ......._.._._______........_.___.___...____.___.._.._......_.............___.............__..__................__.__.___. By n__........._.____.__..___..........._...______............._ "- NOTICE-Current must n()t 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 n]"TT'lT"li.... 'Pri....t"'.." Tn,.. }19, Electrical Contractor 0 Owner o Annual Permit Cl Alarm 0 Carnival 0 Commercial ELECTRICAL WORK PERMIT APPLICATION o Request Inspection . o Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by jB Electrical Contractor 0 Owner Installation description ~ Electrical contractor name License number f IjALVIJfrv't'}.J ,,. EI.J=;cTRlC fiAt v'/.J};1/J fACL Purchaser's mailing address ?/f12 Pi../UX RI1 City Slate ZIP PtJflr A-AJ~E.Ll5t; Telephone number /j'. JC1/'? Premises owner's name ~ I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash 0 Check # jilLCredit Card @J Mastercard Discover Card# __@-~LLEL-____-____ ccITical contractor or electrical administrator Expiration Date of card I/o f3 x WALLS Insulation Only CEIUNG Insulation Only THERMOSTAT Date Approved By SERVICE 7J~5 1;:f?, )DalC i Coyer ;oved By ~ J~0 C~ Date . Approve y Date Approved By !. /, Com Ad) f1/~ ,,5' Dal Approved By DITaI FEEDER Dale Approved By Date Approved By Electrical Load Additions and or subtractions )( NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information ~verhead Service o Temp Service o Underground Service Voltage /20 Ie 4 t> Phase 0' 1 ~ 3 Service Size: Zli'P /1 Feeder Size: / I:JfJ.A Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 1/ fA /, s" ,-( UZ-v;cr_ AF> .4UO ,,6/ ::, 1;.s nN/I1.- /fP A'.--f) , , . ~ ~/) .., / / /../