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Home My WebLink About426 E 8th St - BuildingApplication Number 11 00000266 Application pin number 240798 Property Address 426 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7112 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Card access system Owner JAMES F AND JAYNE T SELANDER 426 EAST 8TH STREET PORT ANGELES WA 98362 36) 457 0489 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER COMMERCIAL 183038 95 90 3/29/11 9/25/11 Charged 95 90 00 95 90 Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Paid Contractor 95 90 00 95 90 Plan Check Fee Valuation INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ADT SECURITY SERVICES INC 11824 NORTH CREEK PKWY BOTHELL WA 98011 (425) 489 3668 Credited 00 00 00 1 13 )1►. X1;1 Date 3/29/11 Due DATE. RESULTS 00 0 Extension 95 90 0 0 00 00 I REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. NIVP Date. 03 -25— 11 16 59 FROM—nw permit 13609452091 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417 -4711 MAR 2 8 201 Date- 03/25/2011 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address. 426 E. th St Port Angeles WA, 9 362 Building Square Footage: Description of above Owner Information Name: James Jayne Sstander Mailing Address: 426 E. 8th St City- Fort Angeles State: WA Fax: phone 201i963 Zip: 98:152 License 1 Exp. LOW Vofago Electnc I Alum Item Service/Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp Service /Feeder 601 1000 Amp Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401-600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Sig» IOutline Lighting Signal Circuit/ Limited Energy I First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charae 119.90 145.50 204.60 262.20 372.50 2.60 73,50 2.60 92.70 110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 S 56.00 110.30 35.20 73.50 $110,30 Signature of owner, electrical contractor or electrical administrator RE El ED Iy ELECTRICAL :31 2 Single Family Dwelling Multi- Family or Commercial Q Comm in'ti. %ithon I Alteration I Remodel Repair' h" 11:1...1 0411. V. Contractor Information Name: ACTSECURiTV SERVICES Mailing Address; 11924 N CREEK PKWY N, #105 City: BOTHELL State: WA Zip: 98011 Phone' 360-945-278? Fax: 360445.0251 License 1 Exn AOTSES10320s.- 4/25!2011 Total Kibi Multiplied by Unit Charge' T -390 P002/003 F -826 Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.G. RCW Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Cesh Check O Credit card Occupant load. Type of construction. City of Port An geles :4-:.:Atkidiog,,p vision --,:e -N This certificate is issued ursuant to the requirements of SectionIit 299 International Building Code certifying that 4, hoogi this structure was in compliance with the various ordinances of the City regulatingybyll*Aci);40:iiCtiort the foi "-001.- 4}vgig: Business name f P all plilLt Business address: 1 ,..14.2b e teks..tth s 1 -,e n P' 1 Y,_ it Vrr at Property owner i,:, :1 Jame r rJayitie.7,S6lici6r v k, 'V" Property owner scodd17,6* 832 E 8 Automatic fire spritn7derPSYStem. Nofzfecithret v ----7 Use occupancy elasfifieation. Bus Building perm it nut qbet:Y., 09-5.42,-" tWia Post on the premises in a conspicuous place. hiwilifijatsshallliot be removed except by the Building Official. Linda Pangrle From Olgy Diaz [Olgy Diaz @ppgnw org] Sent: Friday May 20 2011 2 58 PM To Linda Pangrle Subject: Cert. of Occupancy 09 -542 Hi Linda, I spoke with you earlier this afternoon about changing the name on the Family Planning of Clallam County Certificate of Occupancy (09 -542) to Planned Parenthood of the Great Northwest. I am writing to follow up and let you know that they did not have a major change in outside signage other than changing the placard on the existing sign to reflect the name change Our clinic manager on site also mentioned that someone from the City of Port Angeles had already been by to see the signage and indicated a new permit would not be necessary Therefore, is it possible to have a new certificate with the name change mailed to me at our headquarters in Seattle? The mailing address here is 2001 East Madison St. Seattle, WA 98122 and it can be simply address to my attention Does the clinic need to have the original hardcopy filed in the building or can I send them a copy to post? Either way I'd still like to receive the original her and forward on to them if necessary after I make copies. Thank you for your help with this matter Olgy Diaz Finance Administrative Assistant Planned Parenthood of the Great Northwest (206) 328 -7739 Office (206) 720 -7522 Fax Donate Online http /www plannedparenthood orq /ppgnw /donate -23158 htm PPGNW is a 501(c)(3) not for profit organization We rely on the generous support of donors to safeguard reproductive rights healthcare and education Get Involved http /www plannedparenthood orq /ppgnw /take- action -23852 htm Join our Action Network to stand up for reproductive freedom increase access to sexual health care and make a difference in your community Learn More http /www plannedparenthood orq /ppgnw /contact health- educator -23759 htm Find an educator in your community and access programs for teens parents families or professional development Confidential Information This message and any files which may accompany it contain information belonging to Planned Parenthood of the Great Northwest which is confidential and /or legally privileged These are intended only for the use of the intended recipient If you are not the intended recipient you are hereby notified that any disclosure copying distribution or the taking of any action in reliance on the contents of this information is strictly prohibited 1 This certificate is issue Code certing that a of the City regulatin Business name Business address Propertv:owner Property owner Automatic fire sp Use occupancy Building permit nu Type of constructio Occupant load. pursuant to the requiremenfs`'°of Section 110 of the 1 %l6 International Building h DAV issuance this structure was in compliance w the various ordinances it i ig ctisn or use for the fal�lo F l. Planning fjC,Ial Wont 3 ix 426E. 8th St. James F es 832 E 8 n'kker- system assifc at i on. Post on the premises in a conspicuous place. be removed except by the Building Official. r a;l4. 1-2- 1-6 m PREPARED 6/24/09 9 06 00 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/24/09 ADDRESS 426 E 8TH ST SUBDIV TENANT NBR FAMILY PLANNING OF CC CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER JAMES F JAYNE T SELANDER PHONE PARCEL 06 30 00 0 2 7112 0000 APPL NUMBER 09 00000542 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/04/09 JLL BLDG FRAMING 6/18/09 AP June 4 2009 10 48 58 AM 1pangrle KEVIN 457 8247 FRAMING June 18 2009 9 46 10 AM jlierly BL99 01 624/09 BLDG FINAL June 24 2009 8 23 07 AM permits Kevin 457 8247 BL99 02 6/24/09 JLL BLDG FINAL June 24 2009 8 29 36 AM permits EARLY AFTERNOON IF POSSIBLE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 6/04/09 JLL MECHANICAL ROUGH IN 6/18/09 AP June 4 2009 10 52 13 AM 1pangrle KEVIN 457 8247 MECHANICAL ROUGH IN June 18 2009 9 46 34 AM jlierly ME99 01 6/24/09 JLL, MECHANICAL FINAL L( June 24 2009 4 2 5, 0 7 0: 2 8 47 27 5 84 27 35 AM permits Kevin 7 8247 EARLY AFTERNOON IF POSSIBLE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/04/09 JLL 6/18/09 AP PL6 01 6/24/09 u PL99 01 6/24/09 zko PLUMBING ROUGH IN June 4 2009 10 52 45 AM 1pangrle KEVIN 457 8247 PLUMBING ROUGH IN June 18 2009 9 46 38 AM jlierly PLUMBING WATER SUPPLY June 24 2009 8 28 18 AM permits Kevin 457 8247 Early afternoon if possible PLUMBING FINAL June 24 2009 8 29 05 AM permits Early afternoon in possible COMMENTS AND NOTES PREPARED 6/04/09 10 53 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/04/09 ADDRESS 426 E 8TH ST SUBDIV TENANT NBR FAMILY PLANNING OF CC CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER JAMES F JAYNE T SELANDER PHONE PARCEL 06 30 00 0 2 7112 0000 APPL NUMBER 09 00000542 COMM REMODEL BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PERMIT TYP /SQ BL3 01 6/04/09 PERMIT TYP /SQ ME1 01 6/04/09 PERMIT TYP /SQ PL2 01 6/04/09 ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS BLDG FRAMING June 4 2009 10 48 58 AM 1pangrle KEVIN 457 8247 FRAMING MECHANICAL ROUGH IN June 4 2009 10 52 13 AM 1pangrle KEVIN 457 8247 MECHANICAL ROUGH IN PLUMBING ROUGH IN June 4 2009 10 52 45 AM 1pangrle KEVIN 457 8247 PLUMBING ROUGH IN COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000542 Date 6/04/09 Application pin number 884526 Property Address 426 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7112 0000 Tenant nbr name FAMILY PLANNING OF CC Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 8000 Application desc TI ADD BATHROOM DOORS WALLS Owner Contractor JAMES F JAYNE T SELANDER CLAWSON CONSTRUCTION LLC 832 EAST 8TH STREET P 0 BOX 2683 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 1473 Structure Information 000 000 TI ADD BATHROOM DOORS WALLS Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TI ADD BATHROOM DOORS WALLS Permit pin number 147470 Permit Fee 179 75 Plan Check Fee 116 84 Issue Date 6/04/09 Valuation 8000 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 147488 Permit Fee 57 25 Plan Check Fee 00 Issue Date 6/04/09 Valuation 0 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25 Permit PLUMBING PERMIT Additional desc Permit pin number 147496 Permit Fee 86 00 Plan Check Fee 00 Issue Date 6/04/09 Valuation 0 Expiration Date 12/01/09 Qty Unit Charge Per Extension 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 local law regulating construction or the performance of.:onstruction. V OY, a 4 Date Print Name T:FormsBuilding DivisionBuilding Permit D I Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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. Inspection Type Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By Comments FINAL Date Accepted by FINAL Date Accepted by Date Accepted By V CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 09 00000542 Date 6/04/09 Application pin number 884526 Application Number Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 0000 EA PL- PLUMBING TRAP 14 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL SEWER LINE 15 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 323 00 323 00 00 00 Plan Check Total 116 84 116 84 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 444 34 444 34 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 local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FornsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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. 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit (o —LI-09 u-- Inspection Type 4 -OW "CLLR Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 FINAL Date 6--ay ccepted by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date 6 2 4 6 Accepted by ZL_ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 0 N Date Accepted By p 6 CP -2 -4 0 4 1 3 t S o 5 DATE PERMIT (l4 /05 69 -osy OVVNEA/dONTRACTOR ADDRESS 1Z(, i ELECTRICAL INSPECTION WIRING REPORT 417 -4735 INSPECTOR APPROVED NOT APPROVED DITCH ROUGH IN /COVER l,. SERVICE FINAL CORRECTIONS NEEDED Cvrc I �eO z V "r t l rat 6' or sikt x S t.iic 210_6 R *_PA t Q ct1c1)11 Th 17-,c_7 ►Y-k g _U 7ou ,a NE_c_ 11D 6i rvc tstOk( CO217 ()a 13 1. e ><g—V t,J t 2 t n16 nl 5-C- i-jOd NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Bth fan 1 circuit Owner IRWIN TODD R /MARY A 426 EAST 8TH STREET PORT ANGELES WA 98362 36) 457 0489 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 147454 57 50 6/03/09 11/30/09 Charged 57 50 00 57 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000541 142584 426 E 8TH ST 06 30 00 0 2 7112 0000 ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD 0 Contractor ELECTRICAL ALTER COMMERCIAL BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES WA 98362 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Paid Credited Due 57 50 00 57 50 Plan Check Fee Valuation 00 00 00 Date 6/03/09 ys2 4766 00 00 00 DATE RESULTS fr !DI 00 0 Extension 57 50 Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph (360) 417.4735 Fax: (360) 417-4711 Date: e' 0 Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 city Signature of owner electrical contractor or electrical administrator Date: Y� RECEIVED JUN 3 2009 LICGHT DEPT Total (Qtv Multiplied by Unit Charge) Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Cash D. Check Credit Card f9117 j rr°i 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition I Alteration Remodel Repair* Plan Review May Be Required, Please Com l to Electac41 Plan -Revs w Information Sheet ,p Job Address: 4 l— r Y" Y o -J A 14-o efe! Building Square Footage' '2 o00 n/ i .:—..?_„"LA) --'4 L T V& of above ,t L r) U 7?) 61J( 7 ado t `cr,L-LA_ to.-- fJf:tJl.,,.?1 Owner Informatio Contractor Information Name ca l t �/i, y�,>1, g/ .g Name: G"<aTre r <%r+i Mailing Address: Yd a 1.44 Mailing. Address: 0 I e./-- City State: Zip' CityF i' A 4,t —s State CA' Zip' Fi6.1.— Phone: Fax: Phone.% J qi. Fax: ei.c >GL License Exp License Exp n7r. i?.s i'. e, -r b (o Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. 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.0 RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Del Remodel Repair Demolition Re -roof Heat System Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 9'8362 (360) 417 -4815 fax (360) 417 -4711 Applicant 1 R-Y QLP4NNJiV 7 v 4,„A r Property Owne,r Property Owner's Address Contractor &,4E. S 2,t' ef, s70..,0 r....-7704/ L L L Contractor's Address nd,c Z-bb3 Po2r License Ci_4wsScc- .81,325 Expires I7/9 PROJECT ADDRESS Z s 7 Residential I Piv\COINA TArn pro v 4732) 6) 7 4'7 New Pool^ House garage other Multi- family /J7/ Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Eli osed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 1 sq if T Lot size 7015 sq ft. Lot coverage 3 9 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 Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type For City Use Only 7 Date Received o-3-09 Permit* ("A— ate Approved fl t ne 3G,o Ks 29 Y one Phone duo V5 02- G X24 5634 Z E -mail ,t-V) PNwL.e 1 Po/1 A-,v)t' /rte 4 58 z Lot crrH Zoning k Commercial Industrial tear off re -roof lay over one layer TOTAL VALUATION 8"°' ors of bedrooms of full baths of half baths 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, and to obtain permits prior to rki on projects. Date Print Name Oh I4-41l1n1 ////v( /JJ Si gnature T Forms /Building Division /Bldg Permit.doc TE- tgit`" t, ID 1— I I I i ll PrTh r I It= 11. FILE .frio I I_ Kev 1 I I I olLOS 6 1 0 e 6' L 0 CITY OF PORI ANG Eas Jr= on Plans The Issuance of this permit based upon the4e ns, specifi• cations and other data shall not prevent thq b i ing official from thereafter requiring the correction* e rs in said E plans, specifica6M 4ritr rtrther data, or fo i revenhing building opera lirMg carried on therm when in violation of all codes and ordinances of this risdic J Approval Date lotfic Print in ink BUSINESS NAME FaYh l i i il Q Q 4 )Ict I l'f Pi9fj.Ar1v BUSINESS ADDRESS Liao 1 a g.J S co y-1'- AN4 j, 1,.0,1) ,9g262 ,zoning ca Business mailing address 0 J/ d w a,7 'Pr,- eixig,r /e Phone 3( �"7 �cc Opening date u, I V 1 d Q Days. o houra of operation f y.,, —r: n.04 F Washington State Tax I b I V Brief description of proposed business 1 Business owners name T ux ,e. tires -6-or Phone Business owner's home address }U r.t P/N.(1- F'r-1• ar faa✓ 1J T I PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel Fireworks, Ambulance, Tattoo shop Contact the City Clerk at 417 -4634 for additional information. New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use Building Fire PBIA Planning City Clerk Public Works ACTION WILL THERE BE ANY OF THE FOLLOWING? 1 NO/ YES/ IF YES CONTACT Electrical changes Electrical Dept. at 417 -4735 New or relocated signs ke- SK;nrteckeXt5iihei t1_I Building Div at417 -4815 Construction changes f Vv CERTIFICATE OF OCCUPANCY APPLICATION Permit _0 CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port.Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Date (o /d,/0 1 Print Name f Irl o For City use only Department Approved Initials date 1<t•'• 2g-l- o1 SR .g.dq Bu -Z -oil Rv -0-oq Mechanical changes (ventilation, heating, cooling, etc. Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this asecond-hand dealer or pawnbroker business? Is there off street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Reje Initial T: Forms /Building Di ision /Certificate of Occupancy Applicatio! I I-/ 11 9 Act t?k, Signature C('/),2_,) 5147� 1 n If known list the name of the previous business at this location M ,e 4 (n,,,I1 date, �pc I dt nq Pe 1 A 1-t- 0111 Type o l oorg6 0:k iieCtuJS2 r the0 s9 t bu)161 i r) j p urvi l r, 00 ertificofe /Inspection ec h knjua 4 e e al' /au $100 00 Parking Business Improvement Area (P.BIA) "h fee charged for downtown locations Automatic fire sprinkler system required no nts Conditions Occupant Load Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up for utility services at the cashier counter yes 417 A 431 r 433 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner IRWIN TODD R /MARY A 426 EAST 8TH' STREET PORT ANGELES (360) 457 -0489 Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T•\PLANNING\FORMS \1102.15 [11/14/20031 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 04 00000739 728419 426 E 8TH ST 06 30 00 0 2 7112 0000 COMM ADDITION 35 SF ADDNT TYPE V NON RATED BUSINESS OFF /PRO /MED /REST TOTAL LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL ALTER REMOD /CIRCS SHAMP ELECTRICAL 61 30 10/25/04 4/24/05 COMMERCIAL NEIGHBORHOOD 2100 Contractor MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452 8281 COMMERCIAL CONTRACTING Plan Check Fee Valuation Qty Unit Charge Per 1 00 61 3000 ECH EL -COMM ALT <5 CIRCUITS Date 10/25/04 WA 98362 23 00 1 00 2353 00 10500 00 35 00 2385 00 1 00 Extension 61 30 STATE SURCHARGE 4 50 Charged Paid Credited Due 61 30 61 30 00 00 00 00 00 00 4 50 4 50 00 00 65 80 65 80 00 00 00 0 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 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 FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 1, /2 ROUGH -IN /fl j./)CQ I Y JC PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING 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 PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 T•\PLANNING\FORMS 1102.15 [11/14/2003] YES NO COMMENTS f e y) D SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING 10/21/2004 15 44 FAX Owner or Elec. Contractor Agent: J ,jr iii p LL.I:(tTRK, cnil 'i 1) Mfr., we Phone: 1 62 1k• �'�i Property Owner _-LaW_ E1 Address- 4 s vo Electrical Contractor 5} Iffl 1.P LLS( Address: L' INSTALLATION WIRED BY L OWNER 'W ELECTRICAL CONTRACTOR Credit Card Holder Name. Ni ((l VV ;a 4d11'nf Billing Address. r ift) 0.! 1 ..)1YY •r' t PROJECT ADDRESS. ti i g r• 4 TYPE OF WORK. Check all that apply' New Residential c1 Baseboard I_I Fumace rl Heat Pump IA Fan -Wall KW KW TON LRA KW C /ELECTRICALPERMITAPPLICATION ELECTRICAL PERMIT APPLICATION The Electrical PermitApplicanon must be filled out completely. Please type or reprint in ink. If you have any questions, please call (360) 417 -4735 Fax number (360) 417 -4711 city. CeT A! I bk., �1 N mPe:ec2; r lI� 1L_�?r, tl i Atat!v6 111(` Ucense Exp 1 cit -P(7 9. AN E71 -.1t1, w 1.7 Multi- family Commercial City' L f s )J 6-G-1.1_ S r_i ''Alteration /Addition 0 Mobile Home Sq Ft 0 Overhead Service U Temp Service O Underground Servico Fax: Phone. 2_.) 0'4 Voltage Phase. 1 1 3 Service Size Feeder Size: 11001 /001 I'OK 'rl•ICI _L LII ON, Y Daic'Acc Pcnml Dale Appr cd DAL Isaurd e LIS -y gc1 zip: (r, Phone: Zip: Zip. TS3( VISA. X MC. 11 Remote Meter U Detached garage C7 Hot Tub Swim Pool Septic Pump Low Voltage Telecom r i Sigr Number of Circuits added or altered: 2 1r cu +S rc� DESCRIPTION OF THE ELECTRICAL PROJECT 61 2 �1 l-+1 I r I l Electrical Heat Load Additions and or Subtractions Service Information I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required, it remains the applicants responsibility to determine what permits are required and to obtain such Credit Card Holder's Signature. A 1-- 'L Date: Q�� JQ� Owner or Elec. Cont. Signature '2'- Date.nttlfN_ PERMIT FEE 41. So CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000587 Date 6/16/03 426 E 8TH ST 06-30-00-0-2-7112-0000- MECHANICAL PERMIT ~ '" , ~ -l 8725 Owner Contractor RIGGS TTE LON W/SHERRIE B WURGONE LIVING TRUST PORT ANGELES WA 98362 ALL WEATHER, HEATING & COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES WA 98362 (360) 452-9813 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 35.30 6/16/03 12/13/03 plan Check Fee Valuation .00 o .~ \3 ~ Qty Unit Charge Per i.oo 35.3000 EC EL-LOW VOLTAGE Extension 35.30 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.30 35.30 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 35.30 35.30 .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 ancel the provisions of any state or local law regulating construction or the performance of c ruction. Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP 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: e)( P "Uf) ~7 /Os' 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/20021 1i- pORT ~ lO~ ,. -- -=-- ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00001056 Date .463936 426 E 8TH ST 06-30-00-0-2-7112-0000- MECHANICAL PERMIT 11/12/04 Application Number P~n number Property Address ASSESSOR PARCEL NUMBER: Applicat~on description Subdivision Name Property Use Property Zoning . . . Application valuation COMMERCIAL NEIGHBORHOOD o Owner Contractor IRWIN, TODD R/MARY A 426 EAST 8TH STREET PORT ANGELES WA 98362 ( 36) 457-0489 MARKS AMERICAN PLUMBING 420 E 11TH ST PORT ANGELES WA 98362 (360) 452-4548 Permit Additional desc Permit Fee Issue Date Expirat~on Date MECHANICAL PERMIT MEDICAL GAS LINES 57.65 Plan Check Fee 11/12/04 valuation 5/12/05 .00 o Qty Unit Charge Per Extension 47.00 10.65 BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 EXPIRED 9;1 c:; / oS; )~ - 'f \\\ ~ 't ~ ~ 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. nature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T \PLANNINGIFORMS\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 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 . -, .t" > . . ' YES NO FOUNDATION: \..... ..... . ~.J ~ . ,. . ...... FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN ~f' TER LINE (METER TO BLDG) GJ>..S LINE BACK FLOW I WATER AIR1SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP GAS LINE 11 J-/5 -01-) _I .)_ WOOD STOVE I PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE 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 / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] -PREPARED-1-1-/-15 /-0 4-,-13___1_7__ 00 CITY OF PORT ANGELES INSPECTION_~I~KET INSPECTOR JAMES L LIERLY PAGE DATE 13 11/15/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 426 E 8TH ST MARKS AMERICAN PLUMBING IRWIN, TODD R/MARY A 06-30-00-0-2-7112-0000- 04-00001056 MECHANICAL PERMIT SUBDIV PHONE (360) 452-4548 PHONE - ( 36) 457-0489 ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 ~~ MECHANICAL GAS LINE THIS INSPECTION IS FOR MEDICAL GAS LINES FOR DENTIST CHAIR JLL -------------------------------------- COMMENTS AND NOTES ---------------------_________________ f pORT ~ 84.0~~~ ,. ...~ ~ ~~ 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 04-00000739 Date 9/07/04 .728419 426 E 8TH ST 06-30-00-0-2-7112-0000- COMM ADDITION Owner Contractor EXPIRED 4/Z4/ tr; COMMERCIAL NEIGHBORHOOD 2100 IRWIN, TODD R/MARY A 426 EAST 8TH STREET PORT ANGELES (360) 457-0489 Structure Information Construction Type Occupancy Type Other struct info WA 98362 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 35 SF ADDNT. TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 23.00 1. 00 2353.00 10500.00 35.00 2385.00 1. 00 Permit BUILDING PERMIT - COMMERCIAL Additional desc Permit Fee 106.75 Plan Check Fee Issue Date 9/07/04 Valuation Expl.ration Date 3/07/05 Qty Unit Charge Per BASE FEE 1. 00 14.0000 THOU BL-2001-25K (14 PER K) 69.39 2100 ..:t. ~ ~ R- ~ ~ ~ J ~ .\ Extension 92.75 14.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total 69.39 69.39 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 180.64 180.64 .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 atterthe 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 authonty 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) T \PLANNING\FORMS\I 102.15 [I 1/14/2003] 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 YES NO FOUNDATION. -- --. FOOTINGS . r " I /n- i-Ou I. 1 " 1" 14lo ...",.. L .. ~ WALLS'.'.........A. .. ......it I 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 IJI?-').?--O~I J.L CEILING r I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / C-"" LO-r~-d'" JIL DRYWALL(~~~~DPANELONL~ T-BAR .-.J .. INSULATIO~ SLAB WALL / FLOOR / CEILING II" -')...r-oJ/ J.L I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEP ^' PARKINGILIGHTING 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 / PW/ CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T \PLANNING\FORMS\I 10215 [11/14/2003] PREPARED 10/08/04, 12 21 29 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 10/08/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 426 E 8TH ST MILL CREEK CONSTRUCTION IRWIN, TODD R/MARY A 06-30-00-0-2-7112-0000- 04-00000739 COMM ADDITION SUBDIV PHONE PHONE (360) 452-8281 (360) 457-0489 PERMIT, BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 .~0'~~_~41 ~L BUILDING FOUNDATION FOOTING ~ er1C 808-0771 ------------------------ ------------- COMMENTS AND NOTES ----------------------------__________ TIME 17 00 PREPARED 10/25/04, 13..04 06 CITY OF PORT ANGELES _INSPECTION TICKET INSPECTOR JAMES L LIERLY _.__. PAGE DATE ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 426 E 8TH ST MILL CREEK CONSTRUCTION IRWIN, TODD R/MARY A 06-30-00-0-2-7112-0000- 04-00000739 COMM ADDITION SUEDIV, PHONE PHONE (360) 452-8281 (360) 457-0489 PERMIT, BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 10/08/04 JLL BUILDING FOUNDATION FOOTING TIME 17.00 10/08/04 AP er1C 808-0771 BAIR 01 10/22/04 JLL BUILDING AIR SEAL 10/22/04 AP BL3 01 10/22/04 JLL BUILDING FRAMING 10/22/04 AP J1m 460-6268 BLWS 01 ~i JLL BUILDING INSULATION WALL/FLOOR ~ 1 10/25/04 ...................................... COMMENTS AND NOTES ...................................... ___PREPARED_10L2~_L~~,__12 ~~~5 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 10 10/22/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 426 E STH ST MILL CREEK CONSTRUCTION IRWIN, TODD R/MARY A 06-30-00-0-2-7112-0000- 04-00000739 COMM ADDITION SUBDIV PHONE PHONE (360) 452-S2S1 (360) 457-0489 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/0S/04 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/08/04 AP er1C SOS-0771 BAIR 01 10 22/04;%=L BUILDING AIR SEAL BL3 01 ~O 22/0 JL BUILDING FRAMING _________~-------------:~~-::O~::::NTS AND NOTES ______________________________________ BUILDING PERMIT .. APPLICATION Permll # 0 Date Approved Date Issued Fill out COMPLETELY and in INK. Your application 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:~~5 y~ Owner: fI\Jr:Jp ~l \ "" Address: '121 t p. P/'Vv ~:7_ Phone: l-tSZ-aZ8( Phone: 4,-<;7-0'18'1 CIty: ~-r Jtrv~ ZIp: ,'18"3~L- ArchItect/Engmeer: Phone: Contractor 1'1/u......- ~L Cl~ State License #M\Ll.crAOrt~l'^~Exp: /Jas- Address: ~l q, O~ 111\\ A _A ,,~ CIty:~' - PROJECT ADDRESS: 42(, ~ a~.>T LEGAL DESCRJPTION: Lot: Block: Phone:tt~l.- ~ ~ \ ZIp: ~1~? ZONING: SubdIVlSlon: CLALLAM COUNTY PARCEL NUMBER: D(p)n no n~7 1/7 mOO Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: D Res1dential D New Constr. D Re-roof o Multi-family ~ AdilltlOn D Move K Commercial 0 Remodel D DemolitlOn o RepaIr D Slgn BRIEF DESCRIPTION OF THE PROJECT' City: Exp. Date: o Stove o Garage D Deck o Other SIZEN ALUATION: _sS" SF @ $ Ceo /SF. = $ 2. tco SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 2-1CO..co COMMERCIAL/RESIDENTIAL: Occupancy Group' Occupant Load: Construction Type: No. of Stories: I- Lot Size: /~$"CO EXlstmg Sq. Ft.2.J5'3 & Proposed Sq. Ft 32... = TOTAL Sq. Ft. 23 ~ Total lot coverage ?-) % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes 0 No SEPA Checkhstrequrred? 0 Yes 0 No Other. BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlsion can provIde you Wlth mforrnatlOn on the applicatlOn and plan submittal requrrements if you have questlOns. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. Tills figure will be revIewed and may be rev1sed by the Bmldmg D1v1slOn to comply w1th current fee schedules. Contact the Perrmt Coordmator at 417 -4815 for assIstance. PLAN CHECK FEE: IF a plan check fee 1S due It must be subrmtted at the trrne the buildmg perrmt apphcatlOn and constructlOn plans are submitted All other perrmt fees are due at the trme ofperrmt 1ssuance. EXPIRATION OF PLAN REVIEW: Ifno perrmt 1S 1ssued W1thm 180 days of the date ofapphcatlOn, the application will expire. The Bmldmg Official can extend the trme for action by the apphcant up to 180 days upon wntten request by the apphcant (see Section RI05 3.2 of the Intemanonal BuildmglResldential Code, 2003). No applicanon 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 authonzed to apply for thiS permit and understand that it IS my responsib1lity to determine what permits are reqUired ,not the City's, and that I must obtain such permits pnor to work. T.\RVESS\BLDG-forms-brochures\2003-BUlldmgpermltwpd Apphcant: L.- __ .s;/rE:i~ Date: 8 J:)2lD.~ / - , , 1 f1 "aRT ~J' l~ ,. .... -=-:or ~ 'l.tilc~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number P~n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Appl~cation valuation 04-00000868 Date .707060 426 E 8TH ST 06-30-00-0-2-7112-0000- SIGNS 9/29/04 Owner Contractor EXPIRED ~q I().f COMMERCIAL NEIGHBORHOOD 5000 IRWIN, TODD R/MARY A 426 EAST 8TH STREET PORT ANGELES WA 98362 ( 36) 457-0489 JACKSON SIGNS 472 MOUNT PLEASENT RD PORT ANGELES WA (360) 457-3703 98362 Perm~t Additional desc Permit Fee Issue Date Expiration Date SIGN 18SF FREE STANDING 30.00 Plan Check Fee 9/29/04 Valuation 3/29/05 .00 5000 ,.1 Qty Unit Charge Per 1.00 30.0000 PER S- SIGN ALL 25- Extension 30.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 30.00 30.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 30.00 .00 .00 -l:.. ~ ~ ~ ~ Of) ~ 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 atter 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 presu~ give authOrity to vlolaj-1 cancel the provisions of any state or local law regulating construction or the performance of coeT, r;yt IrJ~ C/~V1-oc./ Signatur /bf Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] BUILDING PERMIT - APPLICATION FOR OFFICLAL USE ONLY Date Rec tj - 2 e ..... 0 tf Pernllt # [? L/ ....<P,btr Date ApplOved Date Issued Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Appbcant or Agent:~ N ~8?t1r.L ~7J'& Tt2J.{ Phone: 4s7... () ~ Owner: -rl>v't> t1ZW/~ Phone: Address:~b E: g-T'H S"f: CIty. 11>l2T A~~~~ Z1p: Of e?h:2- ArchItect/Engmeer: Phone: Contractor .J~..,~ s,~ State License #: Exp: Address:A--~2- UT: ~~ 14:> CIty: ~ ~rr~ PROJECT ADDRESS: ~ bo 97fJ SF: Phone:~" ~70~ ZIp: 'If'!>~ 2. ZONING: ~ C-tJ LEGAL DESCRIPTION. Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdlVISlOn. Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o ReSIdential 0 New Constr. 0 Re-roof 0 Stove SF @ $ /SF. = $ o MultI-family 0 AddItion 0 Move 0 Garage SF @ $ /SF = $ o CommercIal 0 Remodel 0 DemolItion 0 Deck SF. @ $ /SF. = $ o Reparr )( SIgn 0 Other TOTAL VALUATION $ S'DtJO.OO BRIEF DESCRIPTION OF THE PROJECT: Z - S I OE.D ~'~f-JP6ln1t\.. S\.;..., MoI1'fJ7'r!1o i!!Jt.,J ~ IV Ht>...,.,.. #) r: '6\1, Lt>1 "-'(b COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construcbon Type' = TOTAL Sq. Ft No. of Stones' Lot SIZe: Existmg Sq Ft. Total lot coverage % AFPROY PLAN: 9', BLDG: DPWU: FIRE: OTHER:_ PLANNING USE O-NLy:Ze;-Y\-.J\.. 0..-\ ~ &--0_"3:, "':A~ 'l" \?, fjl ESAlWetland(s): 0 Yes g1'fo SEPA Checkhstrequrred? 0 Yes ~o Other )) \ oarA - -1)~~\AJ, BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlslOn can proVIde you WIth mformation on the apphcatIOn and plan subrmttal requrrements If you have questlOns VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. Tills figure will be revIewed and may be IevIsed by the Bmldmg DIvIslOn to comply WIth current fee schedules Contact the Penmt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the trme the bmldmg penmt apphcatlOn and construction plans are subrmtted All other pemllt fees are due at the tIme of permit Issuance EXPIRATION OF Pl.-AN REVIEW: lfno pemut IS Issued wIthm 180 days ofthe date of apphcatlOn, the application will expire. The Bmldmg OffiCIal can extend the trme for actlOn by the applicant up to 180 days upon wntten request by the apphcant (see Section 107.4 of the Umform Bmldmg Code, cunent edition). No apphcation 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 d IS my responsibility to detennine what permds are req~,s, and th I must obtain such pennis prior to worl<. T \FORMS\APPS\BUlldmgpermlt wpd Apphcant. Date: a I z., / l'cf .f~ ,M.f1> Sign: 15#per Sq. Ft. Sign Foam Double sided 18 Square Feet 72 . A" - 36.0" I - - liIiiD ~ ock Base :JI: 1/2" Masonary Anchor Bolt 6" x 6" 4" 1/4" thick Plate 1/4" thick wall square tube welded all around Brackets: \3 Lve... tP - ~+I ;j t: FfLotJ(~ bot rn ~ ~H : - <U ..--w'U ~I~ 'CO ~ c p~ c... 5 QQ. ~ "C Qi ~e i' I' 11 ~ r-.. c: :a~ ",I!". <U r-.. ~Q:~ -~ 1:: 0' ~ ::I d ~ E~ E~ O~ ~ ~ ::::s l ;: ~ fJ ~ "f' !1 ~ ~ ~ '" c ~ "" .'" c o '" ~ 1.1 ~ ~ <:f<I'ORr...... c~ .,. L -=- ~ "'.~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation 03-00000587 Date 426 E 8TH ST 06-30-00-0-2-7112-0000- MECHANICAL PERMIT 6/16/03 8725 Owner Contractor RIGGS TTE LON W/SHERRIE B WURGONE LIVING TRUST PORT ANGELES WA 98362 ALL WEATHER, HEATING &: COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES WA 98362 (360) 452-9813 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 61.70 Plan Check Fee 6/16/03 Valuation 12/13/03 .00 o Qty Unit Charge Per Extension 47.00 14.70 ..:t. BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.70 61.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.70 61.70 .00 .00 '? <.l' ~I ~ --{ S ~ 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 iaws 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 T:\PLANNING\FORMS\I 102.15 [4/2002] FROM : RLL WERTHER HERTI NG & COOLI ~jG FRX NO. : 350 452 5177 Jun. 13 2003 08:59RM P1 FOR OffICIAL USE ONl.Y, Dolo ~.: _U' ...s ~7 Dale ApprollQ!, Dale ...... , ;;",.;'. ~ W Th" BuUdJIIg P"""i' -l're-<lpplicatu)1I "'_ be j1JIN filii ctJ",p/eteJy. ~~ PI_ type or print iD Ink. If you bave my qUestlODl, pleu. .aU 417.<1815 Applicant or Aseot: fl/ / t()rJr;J-!v r ff(alrl1f ~ (lOJlrnOl Phone: 7;!P()~C(524%/? OWner: ) '4Z ;'(91' I . Phone: '1'57-J/3f.t; A4dRaa: ~f G Th)'r City: wt-m'1q.fft?5 Zip:~~; L Anlbi~ocr: =t1 ~:::)t::'e1 Jj=p:!):t;~t&p ~.._~~.":. tJb/.iG-~<:.,r LEGAL~N: Lot Block: Subdivision: CL~,.UMC:01mTYP4RCEL~ CredltCII'Il Boldv Name= ...~; City: Cndlt C.... II: Ellp. I)ate: BUILDING PERMIT. APPLICATION Phone; q(( I(f? Phone: l/9 2-'lf: /3 Zip: q t31f 2 ZONING; VI~ Me 1'YI'I0I'WOJIX: SIZEIV ALUATION: c 11..;-.1 C New Coutr. eRe-roof 0 WoodolOVe SF. @$ ISF. - $ c Mu1ti-flImi1y 0 Addition 0 Move 0 Ovage SF. @ $ ISF. - $ ~eon-cw 0 JI......,d..) c Demolition 0 Dcck SF.@$ /SF.-$ / 0 RcpaU 0 Sip c TOTAL VALUATION $ 'C12,S.rJIJ BRlPQBSClW'T10NOJ'TllEPJlOJECT: 1I~!{.rRuTp !flC;!dU ~ lonJVd-f t--:!:.{..a/-(- CO~SIJ)&NTIAL: Occupaacy Group: Ooo1paat Load: ColllltructiOD Type: Nil. of Starica: Lot Size: % Lot CoVetagc: % &iatia& Lot Coverage: Isq. ft. + Proposed Lot Coverage: /oq. ft. - TOTAL LOT COVERAGE: Isq.ft PLANl'lJNG tlSE ONLY: APPROVALS: PLAN 1'1_1 BLDG. DPW I'IRE ESAlWct1md(I): 0 Yes 0 No SBPA Check1ist required? 0 Yes 0 No OIher: OTHER B~...... ....API'lJC.TlONSUBMrlTAL: Y""'~II",",.p/mt.IUI"JIW_~-_"" ~'flI"---. - .,., ,,,,,1_ Th. RuIMI'IC Division ClIII provide you with morc detailed infonnatioa oa the applicatioD 8.IId plan aubmittal rcquircmcnts. Your completed applicatiDll, site plan (for additioos) 8.IId building COllStruction plans are to be submitted to the Building Division. . VALUATION OJ' CONSTRUCTION: Ia 111-._ 'VlllaalloD lIIIIOuot mUll be entered by the applicaaL Tbia figure will be revillMd ....d may be revised by tbe BuiIdiDg Division to comply wilb =t f.. schedul... Contlet the Pennit Coordinator at 417-48 15 for assislance. PLAN t"IIItCKJIEE: Your pIaa cbeck fee is due at the time tbc building pcnnit spplicatiOl1 and COIIItructian p...... IIIC submiu.ed. AU otbcr permit fcca are due at the time of pemrit issuaoce. EXPlHATION OF PLAN IU:VIEW: If no pClDlit is issued within 180 dll)'li of the date of applicatilll1. this appllcaUoD WID .plre. The Bui\diQg Official can extend lb. tUnc for action by the applicant up to 180 day. upon wriltm r.qu..t by the applicant (....; Section 107,4 of lb. Unifonn Buildina OxIc. cunent edition)_ No application can be exlCnded morc than once_ I huehy <<11fy tluJt I have reaJ and e:uuni1ted thb appllca/ian (l1Id know ,he same ro be I/'Ue alld cOl'1'eCt, and / Q/II autJrDrized to apply to' Ihl3 pemtlt 1 undentanJ II 13 IIOt the City's legal N!3pofUtbilily to delermi"e what permits are ,equlred: It r"maw th" appllctJIll's ~poll,fib,lily /0 dete""i"" whal permits are requi,,,d alld 10 obtain such. rtfl~ Jt,-. " APPIiCllJl~~ Y!z~IM' @j~/l~ , T'\PQIUolS\APPSI8olldlnpamll . \, CITY OF PORl' ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15606 Port Angeles, wasbJ.ngton_______./~___=~__J!-_m__m_____..__.m______, 192~- 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- mission Is hereby granted to do electrical work as listed below. Address m__i__'?:f__n_ne.J:~_a..___mm_____.__nn_n___n_h__n_____n. occupanCy.h~----- Owner ,!)~.d/f.- :.... .___lJy__~enanL----n-n-mnm---hn~-----hh-----.m-----m---.------------- Wiring Contractor c2~.~flIL~-._.mm By_.m___m____...._______m.___hn_n__mm__n____nnn________ Light Outlets...._m.._._mmm_........_.._..... Service, volts .I..2:..'?.L~~_..m Type of Wiring: Receptacle Outletsm_.m....................... No. Wires~. ........ . Armored Cable ..................--.....----. Sl I ~ A' Non-Metallic ................_m.___.......__ Dryer, ICW nnn.,,___,_,_,__.___n___....__n___n_ ze w reSn... ....{.,/.............-.....-.. L/fl.() .A Knob & Tube......._._...___....._n..n...... Range, KW.n._...____..n.___.._____.. Maln fuse ....m"7--'.m_.[_\_m_._.....m Enclosure m..CTn......nm__..... wa:~:~.atfi~Ln_____.____ Hea', Kw._.r:?.L.. .....mh.___ Motors: Si'- v a phase: Type of wiring: Entrance Cable ..m___on____mn......... Rigid Conduit .h...._h..........m........ Metallic Tubing m____.......m Current transformers: No. & Sizem_m.....mmn..._.... Ser. NO....._........n._.._._._.._..........__....... Ser. No. _.......00._................................. Ser. NO.................___.._.................._n... RIgid C()ndult ....._..hm____.h....mm Metallic Tubing .............m_.mm__. Raceway _._.._........................._......_ Circuits. LIghLr9...9..m_._.m__m______. ~:~:ty__:::::i~::::::::::::::::::::::::::::: Range ....._.............____.________............. Water Heater ..A.--..m........... Motor ..._...__.__..__._.____......__.............. Dryer..............._.........._____.____._____....__.. Furnace ......._._..__....................._........... -() Total Load..............n..__nn_... Ser. No.................................._....__..._. Total ....~............................... Remarks: ___n___..'mm/~n-~~~..-------.m5.-~Jr:,..-r'=----------m------m--m-----h---h.. .:~_~~_~~~:~~-h_-_-___~-~-_~mn.m::~~.~:~~~~_~:~_~~~-____-___n---.h-h.-nh-:~-;jt2~d~: __ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION &//f: i:i:~ EU'.crBJ.Cl\L VEIfMIT N? 15606 ::: ~~~- --~:i~~~!~::-~:::====: NOTICE-Current must ot be turned on until CertlfJcate or 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.