HomeMy WebLinkAbout710 S Lincoln St - BuildingPREPARED 11/06/09 9 00 38 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/06/09
ADDRESS 710 S LINCOLN ST SUBDIV
TENANT NBA JOHN ROBIN POPINSKI
CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681
OWNER JOHN ROBIN POPINSKI PHONE
PARCEL 06 30 00 0 2 3190 0000
APPL NUMBER 09 00001157 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR PER
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 11/06/09 J L Nov FINAL
November 5 2009 4 44 04 PM 1pangrle
TRAVIS 452 4681
BLDG FINAL RE ROOF (UPPER LEVEL OF THE BUILDING)
COMMENTS AND NOTES
in/
ft_ 1-0 9
Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00001157 Date 11/05/09
Application pin number 177495
Property Address 710 S LINCOLN ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 3190 0000
Tenant nbr name JOHN ROBIN POPINSKI
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 5080
Application desc
TEAR OFF RE ROOF UPPER LEVEL OF BLDG
Owner Contractor
JOHN ROBIN POPINSKI
710 S LINCOLN ST
PORT ANGELES WA 983626124
lS
Print Name
T:FormsBuilding Division/Building Permit
EMERALD ROOFING INC
P 0 BOX 879
PORT ANGELES
(360) 452 4681
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF UPPER LEVEL OF BLDG
Permit pin number 156208
Permit Fee 151 75 Plan Check Fee 00
Issue Date 11/05/09 Valuation 5080
Expiration Date 5/04/10
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL 2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 25 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or formanc D ruction.
Signature of Contractor or Authorized Agent
Fnq Imp
11-6_
Signature of Owner (if owner is builder)
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
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
Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I 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
11 -4„ -Oq
D
1 1
1'
T:Forms /Building Division /Building Permit 1.-_
PROJECT ADDRESS ,7j;CP
Parcel Number 063m nn 7 31
Floor Areas
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant "ii r 1/ 3 't .P sag ce6 17(
Property Owner TAN PcPlti514-( /chi, ft ?of Phone
Property Owner's Address q' g ?N Rd. PA-j lnwA 983 (02
Contractor Ica �fl'Q-, I etC' Phone 4
Contractor's Address Q 7 on k g 0, f} g .?A. 2
License km :F. 17If p f Expires
Project Tyne Brief Description. Residential
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Existing (sq. ft.) Proposed (sq. ft.)
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
/0 --/°7 /0 E -mail
Lot Zoning
Multi- family )(Commercial
`eRe -roof ❑.House garage it other $ucu) Ktear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Basement per sq ft.
1st Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
For City Use Only
Date Received 1.1 j -0
Permit N-11
Date Approved
ID Industrial
Li pops \towel 3 l e�Vel s
TOTAL VALUATION D
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks .patios,
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
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 working on projects.
Date l/ Print Name I/ at Ut 7 Signature
r
T /Building Division /Bldg Perrnit.doc
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SMITH TIMOTHY L /STAR
710 S LINCOLN ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
T•\Policies \1102.15R [1/05]
Qty Unit Charge
WA 983626124
RIGHT OF WAY
SOIL BORING IN ALLEY
108753
70 00
8/10/07
2/06/08
Per
70 00
00
70 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000935
280590
710 S LINCOLN ST
06 30 00 0 2 3190 0000
KANE INVIRONMENTAL INC
PUBLIC WORKS UTILITES
COMMUNITY SHOPPING DISTR
0
Contractor
OWNER
BASE FEE
Plan Check Fee
Valuation
Paid Credited
70 00 00
00 00
70 00 00
Date 8/10/07
Due
00
00
00
00
0
Extension
70 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 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T\Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
SMITH TIMOTHY L /STAR
710 S LINCOLN ST
PORT ANGELES
Construction Type
Occupancy Type
Other struct info
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983626124
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
07 00000096
194368
710 S LINCOLN ST
06 30 00 0 2 3190 0000
JOHN POPINSKI
COMM REMODEL
COMMUNITY SHOPPING DISTR
10500
Owner Contractor
OWNER
Structure Information 000 000
TYPE V ONE HOUR
BUSINESS OFF /PRO /MED /REST
NUMBER OF UNITS
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc EL SVC 10 CIRCUITS
Permit pin number 96883
Sub Contractor ELECTRIC SERVICE
Permit Fee 75 00 Plan Check Fee 00
Issue Date 3/09/07 Valuation 0
Expiration Date 9/05/07
Qty Unit Charge Per
1 00 75 0000 ECH EL COM ALT 0 200 SRV FDR
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
03/05/2007 09 40 AM PERMITS Proposal will change
occupancy of structure from retail restaurant /bakery to
personal service use If additional changes occur a
parking plan must be submitted prior to occupancy change
Public Works Utility Engineering has no requirements for
this plan review
STATE SURCHARGE 4 50
Charged Paid Credited Due
75 00 75 00 00
00 00 00
4 50 4 50 00
79 50 79 50 00
Date 3/09/07
1 00
Extension
75 00
00
00
00
00
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.
FINAL
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
D1 i CH
ROUGH -IN 7 COVER
SERVICE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED
YES I NO
I
IS/ --/7- 7I...4LO I
I I
I I
I I
I I I
COMMENTS
PW -I W2.I5 (41961
v(
i
Job wired by
Premis soy
h
er''s name
Address of inspection
City
Popp
Inspection
Date
Electrical Contractor Owner
Electrical contractor name License number Date Expires
V-1J cel}ll' ,S-f111 ie1LLi» c, EL. C r S E t3 20N1
Purchaser's '1' dd res
City 4 State ZIP
n ncpL -r W
Telephone number U FAX number
1 1 2 (o 2-i Act A.
1t� rerp V teLA4 S
S. Lt 1c_4
pp
%an 0
Phone number to schedule inspMion
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 instal- Credit Card
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card
Utility Specifications.
owner electrical contractor or electrical administrator Expiration Date
3 s5 07 J .z)fcard
rSignature o
X 1/
Electrical Load Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Date
Overhead Service
Temp Service
Underground Service
SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735
ROUGH -IN 7 THERMOSTAT
op ROUGH -IN
_,kr-
Date Approved By Date Appr ed By
FINAL DITCH
Approved By Date Appr ed By
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
/Installation description
'7 Commercial Residential
New �I Altered /Addition
U Cash Check
SERVICE
Date
I-
Date
Action Taken
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
Appr ed By
FEEDER
Appr ed By
Discover
Electrical
Inspector
PREPARED 4/17/07, 8 33 32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
4/17/07
------------------------------------------------------------------------------------------------
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
710 S LINCOLN ST
JOHN POPINSKI
SUBDIV
SMITH TIMOTHY L/STAR
06-30-00-0-2-3190-0000-
07-00000096 COMM REMODEL
PHONE
PHONE
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
------------------------------------------------------------------------------------------------
BUILDING FRAMING
03/08/2007 09 47 AM PERMITS
JOHN 452-3012
03/09/2007 04 23 PM PBARTHOL ------_____________________
BUILDING FINAL
04/12/2007 08:31 AM PERMITS
JOHN 452-3012
04/12/2007 04 35 PM JLIERLY ------______________________
ti INSTALL GRAB BARS IN ADA ROOM AND HAND RAIL ON RAMP ALSO
FIX THRESH HOLD AT REAR DOOR FOR ADA ACESS JLL
J BUILDING FINAL
04/16/2007 09 39 AM PERMITS
. JOHN 452-3012
----------------------~[--- -------------------------------------------------------------------
PERMIT: PL 00 PLUMBING P IT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
BL99 01
BL99 02
TYP/SQ
01
3/09/07
3/09/07
JLL
AP
------------------------------------------------------------------------------------------------
4/17/07 ~
\'
----------------------\ -- ---------
PL2
PL99 01
PL99 02
4/12/07
4/12/07
JLL
DA
4/17(07
I
01
3/09/07
3/09/07
JLL
AP
4/12/07
4/12/07
JLL
DA
PLUMBING ROUGH-IN
03/08/2007 09.48 AM PERMITS
JOHN 452-3012
03/09/2007 04 23 PM PBARTHOL ---________________________
PLUMBING FINAL
04/12/2007 08 34 AM PERMITS
JOHN 452-3012
04/12/2007 04 35 PM JLIERLY -----_______________________
INSTALL GRAB BARS IN ADA ROOM AND HAND RAIL ON RAMP ALSO
FIX THRESH HOLD AT REAR DOOR FOR ADA ACESS JLL
PLUMBING FINAL
COMMENTS AND NOTES --------------________________________
PREPARED 4/12/07, 11 25 25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
24
4/12/07
------------------------------------------------------------------------------------------------
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
710 S LINCOLN ST
JOHN POPINSKI
SUBDIV
SMITH TIMOTHY L/STAR
06-30-00-0-2-3190-0000-
07-00000096 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 3/09/07 JLL BUILDING FRAMING
3/09/07 AP 03/08/2007 09 47 AM PERMITS
JOHN 452-3012
03/09/2007 04.23 PM PBARTHOL ---------------------------
BL99 01 4/12/07 JLL BUILDING FINAL
~ 04/12/2007 08 31 AM PERMITS
JOHN 452-3012
PERMIT: PL 00 PLUMBING PERMIT
===~:~----~~~~~;~;~---~;~~~:_---;;;~~~;~~~~~~~=:_--------------------------~~~-- --~-~
PL2 01 3/09/07 JLL PLUMBING ROUGH-IN H
3/09/07 AP 03/08/2007 09,48 AM PERMITS J
JOHN 452 - 3 012 uL. ,'''' '" loA.
03/09/2007 04 23 PM PBARTHOL ------------- -~~-~-I~ l'~
'"""' 'MIOO ~ ,"~mG nNM (
--------------------------------::~;':~:~:::::,':.G~G,:~"'___________~Il_t;~__~_ ~
gM[.,~
~I
{l*^
CcOt::;-
PREPARED 3/09/07, 10,17 50
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
3/09/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
710 S LINCOLN ST
JOHN POPINSKI
SUBDIV
SMITH TIMOTHY L/STAR
06-30-00-0-2-3190-0000-
07-00000096 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01
-~~:~::_~-----~~~~:~:~~~;~~~::_-~-_:::::::_---------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL2
01
3;09/07
~q
~
PLUMBING ROUGH-IN
03/08/2007 09 48
JOHN 452-3012
AM
PERMITS
COMMENTS AND NOTES
~ ~ORT ~
,~O~\,
~r'Elii~
L~
~
'l.Oi:",~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Applicat10n type description
Subd1v1s1on Name
Property Use
Property Zon1ng . . .
Application valuation
07-00000096 Date
194368
710 S LINCOLN ST
06-30-00-0-2-3190-0000-
JOHN POPINSKI
COMM REMODEL
3/05/07
~
....::J
l
~
~
COMMUNITY SHOPPING DISTR
10500
Owner
Contractor
SMITH TIMOTHY L/STAR
710 S LINCOLN ST
PORT ANGELES WA 983626124
OWNER
Construction Type
Occupancy Type
Other struct info .
Structure Information 000 000 ----------------------
TYPE V ONE HOUR
BUSINESS:OFF/PRO/MED/REST
NUMBER OF UNITS 1.00
~\'(\o--\ \~
0\'\' \1--- 01
Perm1t BUILDING PERMIT - COMMERCIAL
'Add1tional desc INTERIOR REMODEL
Perm1t p1n number 94169
Perm1t Fee 221.75 Plan Check Fee
Issue Date 3/05/07 Valuat10n
Exp1rat1on Date 9/01/07
Qty Unit Charge Per
144.14
10500
9.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Extension
95.75
126.00
Perm1t . . . . .
Addit10nal desc .
Perm1t p1n number
Perm1t Fee
Issue Date
Exp1rat1on Date
PLUMBING PERMIT
MOVE SINK
96461
57.00
3/05/07
9/01/07
Plan Check Fee
Valuat10n
.00
o
.....::)
-
1. 00
7.0000 ECH
BASE FEE
PL- EA. FIXTURE ON ONE TRAP
Extens10n
50.00
7.00
~
Qty Un1t Charge Per
V)
Spec1al Notes and Comments
The Fire Department has rev1ewed the proJect application and
has no comments
03/05/2007 09'40 AM PERMITS -- Proposal w1ll change
occupancy of structure from reta1l restaurant/bakery to
personal serV1ce use. If add1t1onal changes occur, a
park1ng plan must be subm1tted pr~or to occupancy change.
Pub11c Works Utility Engineering has no requ1rements for
this plan reV1ew.
t-
-
-
~
---
~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged
Paid
Cred1ted
Due
Perm1t Fee Total 278.75
278.75
.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 govermng 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
Date
T IPohcleslll02_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
'\.
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-473,5 ~OR ELECTRICAL INSPECTIONS
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS .
YE~ NO
FOUNDATION
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TION DRAfNAGE 1 DOWN SPOUTS
PIERS I
POST HOLES (POLE BLDGS ) ,
PLUMBING I
UNDER FLOOR 1 SLAB
ROUGH-fN
WATER LINE (METER TO BLDGl
GAS LJNE FJNAL DATE ACCEPTED BY
BACK FLOW / WATER
AIR SEAL
,
WALLS
CEILfNG
,
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILfNG
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILJNG
MECHANICAL
ROUGH-JN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE 1 PELLET 1 CffiMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKlNG & HOLD DOWNS
SKJRTING
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
CONSTRUCTIONR W /PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUlLDJNG 417-4815 BUlLDJNG
T IPollcleslll02 15 bmldmg pemn! IIlSpectlon recOld05 wpd [1/4/2005]
. . .lrRr ""
$~O~
r....
L~
~
~,,~
CITY OF PORT ANGELES
DEP ARTME~'T OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . .
Application pin number
Plan Check Total
Other Fee Total
Grand Total
144.14
4.50
427.39
07-00000096
194368
144.14
4.50
427.39
Page
Date
2
3/05/,07
.00
.00
.00
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shorelme, 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 IPohcleslll02_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
BUll,DING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS
CALL 4 17-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEALANJ' WOFJl. BEFORE ~
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. -......)
KEEP PERMIT CARD AND APPROVED PLANS AT .JOB SITE. f
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA TlON DRAINAGE I DOWN SPOUTS
PIERS I
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR I SLAB ,
ROUGH-IN 1"'2.. la Inn ILl/' ,
IVlf' , ,
WATER LINE (METER TO BLDG)
GAS LINE FINAL Ii I II J 01 DATE JLL- ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS ,
WALLS 1 ROOF I CEILING I~ Jq/t'? JJ:J-
DRYWALL (lNTERJOR BRACED PANEL ONLY) ,
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING
MECHANICAL
ROUGH-IN
HEAT PUMY I FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE I PELLET I CHlMNEY
MANUFACTURED HOMES "
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT SEPARATE PERMlT#'s SEPA.
P ARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTIONR W IPWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BU1LDING 417-4815 BU1LDING ~ 117/0"1 if
T \Pohcles\ 1102 15 bUIlding penmt Jl1spectJOI1 Tecord05 wpd [J 14/2005]
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BUILDING PERMIT - APPLICATION
COMPLETE to be accepted for review. If you have any questions,
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: .::::r C:, '" 1"\
Owner: .5 ~ ~ "z..-
Address: q~ L~~tz...\)t'\\...0'^
~e:.? ~J\S h: ~
Phone:
Phone:
'-I/;';:1 - 30 I :1
~.4 ~ 'z.-
~~. City: ~oR\ fI^~ ....lLz.<7
Zip: 9 <; 3(;, ~
Phone:
Exp:
Architect/Engineer:
),//'1
Contractor C)'-U ~'4... R....
State License #:
Phone:
Zip:
ZONING:
P../1 ~
\ go
~
cs\)
Address: City:
PROJECT ADDRESS: ., \ 0 S. L i ^ ~o \ (\. Ii V 'L oJ
LEGAL DESCRIPTION: Lot: / "7 -I. I ~ Block: 2 3 j Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0 (n 3 0000 ~~, q D )
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
Jl. Commercial Jt Remodel D DemolitiOn D Deck
D Repair D Sign D Other
BRIEF DESCRIPTION OF THE PROJECT:
?A; i'\ T ( .:I.t\T/). ~'t f.~ A~S ~ l= \OoR.~ i'/Cf J
A' \., 2
COMMERCIAL SIDEN IAL: Occupancy Group:
SIZEN ALUATlON:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
10. /;00 -
I
/J7/IVOte FR/I ,W//,v'1 ~ \)R<-1 UJA t \
Existmg Sq. Ft.
Occupant Load:
& Proposed Sq Ft.
ConstructIOn Type:
= TOTAL Sq. Ft.
No. of Stones: Lot Size:
Totallot coverage
%
ESAlWetland(s): DYes D No SEPA ChecklIst required? D YeV(No Other:
PL~GUSEONLY:{~~ ~':, , ~7:.j7'i:..~ 1 F~~<rv>-I
\.LX · hO <L- 1" '<l ~ ~ ~, ,. -
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
subrmtted. All other p~rrmt fees are due at the time of permit issuance.
EXPI'RATlON OF PLAN REVIEW: Ifno perrmt is issued within 180 days of the date ofapphcation, the application will expire. The
Building Official can extend the trme for actIOn by the apphcant up to 180 days upon written request by the applicant (see Section
Rl05.3.2 of the InternatiOnal Buildmg/Residential Code, 2003). 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 it is my responsi .. -t determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPenmtfonn wpd Applicant:
Date:
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, Honzontal Datum = NAD 8.
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ThIS map IS not Intended to be used as a legal descriptIOn
Thts map/drawing tS produced by the Clrv of Port Angeles for Its own use and purposes
Any other use of thIS map/drawing shall not be the responslbliltyofthe City
Legend
o~O~?
o~ CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 12/04/2001 PERMIT NO: 13125
OWNER/APPLICANT PROPERTY LOCATION
710 LINCOLN S
STAR'S BAKERY
710 S LINCOLN Lot: N 41'-18/N 40'-17
Port Angeles, WA 98362 Block: 231 [] Long Legal
360/457-3279 Subdivision: TPA
T: S: Parcel No:
CONTRACTOR ARCHITECT
BUD'S SIGN ART N/A
111 Woodridge Ct.
Sequim, WA 00009-8382 , 98360-0000
360~417-3584 3601000-0000
PROJECT INFO
Project Value: $0.00 SFD Units: 0 Commercial: 0
Project Type: SIGN/PROJECTING SFD SQ FT: 0 Industrial: 0 -,~
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 0 ~
Construction Type: MFD SQ FT: 0
I^
Zoning Use: CSDC2 ~/~
PROJECT NOTES
REPLACE EXISTING PROJECTING SIGN ~
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $30.00 TOTAL FEE: $30.00
Plumbing: $0.00 AMOUNT PAID: $30.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate a nd 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.
Signatur~ o~ Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
-~ & CAKP--..SHOP
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
.y3.;<.s
~ /cYI/yJ
, I
DATE
ELECTRICAL PERMIT
,
Site Address:
I
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
InSfilJed By:
Owher/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o l'lESIDENTIAL
~ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
If- OVERHEAD SERVICE
o UNDERGRQUNCVSE8\LJCE
VOLTAGE: LZC//Z-StJ.J
~ SINGLE PHAS~
o THREE PHASE
SERVICE SIZE ~ AMPS
Det!lilslDescription:
(<.JIlL r-
iu1d .iJ-r4-/t!/t&(9I4f,S;,
.
w.s. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Oitch Inspection O.K.
~ ~Rough-in/cover O.K.
o O.K. to con~rvice
1t^ )lllFinal O.K. R-,.~
Installer:
L,'
Permit/Receipt No. ___
::1'2 S
Site Address:
.
,
Notify Port An eles ty 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 0,. n the ~Buildin Permit. PHONE 457-0411, EXT. 224. In .1)
.-- / tlA/L/f NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ? D \..~
I $ ~
I Eleclricallnspeclor Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
I
PERMIT NO.
J S" pc:,
~A:ff~
DATE
D READY FOR
INSPECTION
License Number:
Ins ailed By:
I
Owner/Business:
O~ner/Business Address:
D RESIDENTIAL
'" COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D !-fEAT PUMP KW_
D SIGN
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
Detjlils/Description:
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
~ OVERHEAD SERVICE
D UNDERGROUN)b~RVICE
VOLTAGE: /ZC/j "0
f2J SINGLE PHAge
D THREE PHASE
SERVICE SIZE ,.::Je<2() AMPS
~//'
.
:
~!iII
R~ /OO~~
.;:200 ~. ,
(..u/~ 91<<....... /I'+Vr Adduf
CtJo k.
/IJf /J'C '
CYC4:O~~~)
, I
w.~l. No. SERVICE SIZE
CAfACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D lPitch Inspection O.K.
D !Rough-in/cover O.K.
.11 . I\'P cp.K. to connect service
III' D Itinal O.K.
Notify Port Angel s Cit Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
bef~re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or Qn the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
Electrical Inspector
In~taller:
SI\!> Address:
7-0
Olc
StJ,
.
WHitE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
om'..*lc PRINTERS INC
New Meters
Permit/Receipt No.
J57(e,
dO
#O~
,
Permit Fee
GREEN - Top: Meter Dept" Bottom: City Hall
lnst lied By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
91
ELECTRICAL PERMIT
DATE
Site: ddress:
o READY FOR
INSPECTION
License Number:
)€""ILL CALL FOR
INSPECTION
Phone:
Ownfr/Business:
Phone:
Own:er/Business Address:
Sq. Ft.
d Residential
Heat KW
[I Baseboard 0 Furnace/Boiler
.9 Heatpump 0 Other
"Yl Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
, (attach breakdown)
o New Construction
~Remodel
(0- Service update/aiter/repair
'f5( Add/alter circu its
(0 ~ Auxi I iary power
(list below)
o Special equipment
(list below)
~ Overhead
o UndergrOUnd0ro
Voltage / I ~ Z-
M10 03.0
(S'ervice size /010 Amps
,
o Temporary
Deliji IslDescription:
: A-J) ~
. - I ~ ~&1 (i~ Cpo i'4J
I
,
W.S.i No. Service
Cap<ilcity: 0 O.K. 0 Not O.K.
I
o Ditch inspection O.K.
~ Rpugh-in/cover O.K.
o q.K. to connect service
;t#'^'~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Site :Address:
New Meters
.
/
Notify the De artm nt of City Light by Street Address and Permit Number when ready lor ins ection. Work
mus, not be overed or electrically energized before inspection and O.K. for covering or service has been given
by tI)e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
i ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c>2-(9 ~
~ Amount paid
WHIl!E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
,
OLYM~IC PRINTERS, INC.
/)'1'2.4-
FEE RrEIPT NUMBER
CITY OF PORT.ANGELES
" DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
3 cr I
PERMIT NUMBER
"
.
'I . . ~
.5-;;, 0(1 ( CoN( M
. . TO~AL FEE . .
I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGALOCCUPANCY
ELECTRICAL PEAMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addiess 71 0 5.' L //J C # L J.(
I 0 CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner I 11v'e. fA-A.TA.'IO~e" .. Installation By , j2/J [1oNNeLy
Owner'sj\ddress I S"J.}.. {J, 10 r. . Installers Address .
Day Pho1e . tf s 7 .-'- ~}..^ "'f ,. .' Installers Phone
, "
ApplicaUpn is hereby made for Permit to install Electrical Equipment as follows:' '. ~
, . .
S;.
.,
,.
,
"
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'.\-', \
,..... "
Wiring Method RnMcJ(
.'
AMP 240V NUMBER AMP 120V - 240V
USE PF CIRCUIT NUMBER 'PER 120V 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS '0 CIRCUITS '0
, CIR 30 CIR 30
LIGHT SIGN
LIGHT I -50 VOL T5
OR LESS
CONVE:~IENCE - -
MOTOR
GONV[ IENCE MOTOR
APPW.NCE . MOTOR
DISHW~SHER FIRE ALARMS .
DISPOqAL BURGLAR ALARM
-
RANGE:I MISC.
OVEN I D.... Ale. rc'e..
WATERIHEATER It:'oR /AJ,;,A./f
LAUND~Y r li.tr,d ~ IJ j..(, ,lYO
DRYER: REINSTALLATION LIGHT FIXTURE # ..
FURN~E SUB TOTAL FEE
GAS- IL .
FURNA~E ENERGY FEE
ELECT IC BASIC FEE
ELECT IC HEAT '3 'IA! kI -- S:J.. (70
TOTAL FEE
ELECT IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT .AMP PHASE
FEEDE SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE j )09 1;t.{.OO A.W.G.
I SUB. TOTAL ru:~ SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made 'f( ~ 'J.. 7
19 <.r By
1 certify !lhat the work to be performed under this permit will be done by the installer and in con for
CONTRACTOR OR OWNER ORizED "..6..GENT)
Per~lssion is hereby given to do the above described work, according to the. conditions hereon and aecor 0 the approved plans and.
specjfic~tions pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
,. : DIRECT~OF(CYY LIGHT:_ . :.
I By /J1 tK--?7 c: J~...y-
Date Pe~mit Issued PLANS APPROVED f;..-- 1 . :, ,\. !./:<. \
.
,;\
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not.
be covered" or current turned on before Inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY. Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
OLYMPIC ~RINTERS, INC.
\ '
REPORT OF INSPECTOR
c
DATE OF VISIT MADE BY REMARKS
. . ..
, . If' " I ' ,
.
.
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r. JL fS" -?l/J ~dA "RO 5 ~,,/P flY C- Le.f1'<~
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f5~ )- 7-i') ,'l1f'~ . O.K. FOR COVERING
1) /J..7 - i{S , ' .2U'd:- O.K. TO CONNECT SERVICE
/0- 7 ,-~f fit.; FINAL O.K.
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