HomeMy WebLinkAbout138 W Railroad Ave - Building Jun 27 2013 08:35AM Olympic Electric Co., Inc 3604523498 page 1
RECEIVED
.JUN 2 7 2013
CITE' OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical Inspections INSPECTIONS
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 ,L
Ph: (360)417-4735 Fax: (360)417-4711
r
Z Multi-Family or Commercial*
"Plan Review May Be Required, P�ea�Corrlplele Electrical Plan Review Information Sheet
Job Address; l37,/F�a. •-
Building Square Footage:
DescHpWn of above
Ownerinformation 7 Contractor Information
Name: 1r7 rrr� �,�I,,ZI 144,1& Names oLYMP'C ELE=RC
Mailing dd ress: J7 w Malling Address; CW TUMNATUR
City, r r State'% Zip: E <,_7 City: P3R 7ANGELES State; WA Zip, 9!363
Phone: I �'TT Phone:360-467-6363 Fax: 3ZO452-3490
License U Exp, License#!Exp.OL!'TiPEC266o1
Item Unit Charge City Total(Qty Multiplied by Unlit Charnel
Serviee/Feeder200 Amp. $132.00 $ /Y =
Servios/Feeder 201400 Amp. $160.00 $
Servicer'Feed er 401 600 Amp $225.00 $
ServiowFeeder 601-1000 Amp. $286.00 $
ServloeiFeeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $ 5,DO $
Branch Circuit WC Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 96.00 $
Temp Service!Feeder 200 Amp. $102.00 $
Temp,ServicelFeeder 2C 1-40Q Amp, $121.00 $
Temp,Service/Feeder 4C1.600 Amp. $164.00 $
Temp.ServicelFeeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Wine Lighting $ 88,00 $
Signal Circ&Limned Energy—Mulli-Family $ 64.00 $
Sigral Circuit!Limited Energy I Fast 1500 sf—Commercial $ 96A0 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is 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 cornpiiance with the electrical laws, RE C.,RCW.Chapter 19.28,WAC.Chapter 296468,The City of Part
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ check
{��...7-- / i.•y ' [E Credit Card#
X ,2 v -,
- paled: /` / 01N1I2012
V"
ELECTRICAL PERMIT E
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000704 Date 6/28/13
Application pin number . . . 494016
Property Address , . . . 138 W RAILROAD AVE
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-5230-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your exclse tax form
Subdivision Name , . . . . .
Property Use , , . , , . I to the City of Port Angeles
Property Zoning . , . . , , . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation , . . . 0
Application desc
service change
Owner Contractor
JOHN/EVELYN WESTREM, TRUSTEES OLYMPIC ELECTRIC CO INC
WESTREM REV LIVING TRUST 4230 TUMWATER
NEWPORT BEACH CA 92661 PORT ANGELES WA 98363
------------- {360} 457-5303------ , y
Permit . , , . . ELECTRICAL ALTER COMMERCIAL dOJ�A�_i
.Additional desc .
Permit Fee , , . . 132.40 Plan Check Fee 00
Issue Date 6/28/13 Valuation . . . . 0
Expiration Date 12/25/13
Qty Unit Charge Per Extension
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
Fee summar y Charged ed Paid Credited - Due ^
Permit Fee Total 132.00 132.00 .00 .00
Plan Check Total ,00 .00 .00 00
Grand Total 132,00 132.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
VIE
COMMENTS;
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ctor X Date:
G:IEXCI-TANGMBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
Application Number , , , 13-00000704 Date 6/28/13
Application pin number , . , 494016 �-r
Property Address . . . . . . 135 W RAILROAD AVE REPORI S/4LES !/Q�{
ASSESSOR PARCEL NUMBER: 06-30-00 5-0-5230-0000-
Application type description ELECTRICAL ONLY on your excise fax form
subdivision Name
Property Use to the City of Port Angeles
,
Property Zoning . . . , , , CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation , , , , 0
Application desc
service change
----------------------------------------------------------------------------
Owner Contractor
JOHN/EVELYN WESTREM, TRUSTEES OLYMPIC ELECTRIC CO INC
WESTREM REV LIVING TRUST 4230 TUMWATER
NEWPORT BEACH CA 92661 PORT ANGELES WA 96363
(360) 457-5303
Permit , , . , , , ELECTRICAL ALTER COMMERCIAL
Additional desc ,
Permit Fee 132.00 Plan Check Fee 00
Issue Date 6/28/13 Valuation . . . . 0
Expiration Date 12/25/13
Oty Unit Charge Per Extension
1100 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
Fee summary Charged Paid Credited Due
Permit Fee Total 132,00 132.00 .00 .00
Plan Check Total. .00 .00 .00 .00
Grand Total 132,00 132,00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Dare:
GAEXCHANGEWILDING
" .
M V^I
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
I - IS-Q ot
New Business ............................ ( )
Transfer of Business location. . . . . . . . . . . . . . .. t><)
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building ............................. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Brief description of proposed business: R t" b ~ \.' M C) ~ ~ L.Id-o 6 b \ ~S
-y ~
legal Description: lot t;; 2 'l-.&iAJ z..IO Block Subdivision 7;J.e (c.\..~ ~
Current Use of Property: He. \-0...; \
Zoning Classification of Property: C 15 D
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes 0 0 0 0 . . . . . . . 0 0 0 0 0 0 . . . . . 0 0 0 0 0
Electrical changes. . . . 0 0 0 0 0 0 0 0 . . . . 0 0 0 0 0 0 . 0 0 . . . . .
Mechanical (heating, cooling, stoves) 0 0 0 0 0 . 0 0 0 . . . 0 0
Plumbing changes . 0 0 0 0 0 0 0 0 . 0 . 0 0 0 0 0 0 0 0 0 0 0 0 . . . 0 0
New or relocated signs. . . . 0 0 0 0 0 0 0 . . . . . 0 0 0 0 0 . 0 0 0 0
New septic tanks. . . 0 0 0 0 0 0 0 0 . . . . 0 0 0 0 0 0 0 0 . . . . . 0 0 0
New sewer service . 0 0 0 0 0 0 . . . . . 0 0 0 0 0 0 0 . . . . 0 0 0 0 0 0
Admission charged to patrons. . . . 0 0 0 0 0 0 0 0 0 0 . 0 . 0 0 0
Is this a home occupation? 0 0 0 . 0 . . 0 0 0 0 . 0 0 0 0 0 . . . . 0
Excavation ot tilling ot lots .... 0 0 0 0 0 0 . . 0 0 . . . 0 . 0 0 0 0
Work done in City right-ot-way 0 0 0 0 0 . . 0 0 0 0 0 0 0 0 0 . 0 . .
Is there sufficient off-street parking? 0 0 0 0 0 . . . . 0 0 0 0 0 0
New driveway openings . . . 0 0 0 0 0 . 0 . . . . 0 0 0 0 0 0 0 0 . . .
A grading plan tor site drainage 0 0 0 . . . 0 0 0 . 0 0 0 0 0 . . . .
(parking lots, downspouts, etc.) 0 0 0 0 0 . . . . 0 0 . . . . 0 . .
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . 0 0 0 . . . . . . . . . . 0 . .
Is there curb and gutter? .... 0 0 0 0 . 0 . . . . . . . 0 0 0 . . . .
Other. . . . . . 0 . . . . . . . . . . . . 0 0 . . . . . . . . . . 0 0 . . . . . . . .
YES NO
-X-
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-~
_.X-
.2C- -
-~
-~
_.X
_X-
X
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~-
X
== oX
_ ..x..
X-_
~-
>< -
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
APPROVED REJECTED
~~/-/
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
I 1,5'/ o"z...S~
I __' 0
i~'"
~
~o. .... CITY OF PORT ANGELES
°~ PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORt
ANGELES,
WA
98362
BUILDING PERMIT ISSUED: 1/17/2002 PERMIT NO: 13189
OWNER/APPLICANT , PROPERTY LOCATION
~/'~=-~'L 138 RAILROAD W
138 RAILROAD AVE. Lot: N120 E2 LT 9&N75 W2LT 10
Port Angeles, WA 98362 Block: 1 [] Long Legal
360/000-0000 Subdivision: TIDELANDS
T: S: Parcel No: 063000505230000
CONTRACTOR ARCHITECT
COPY CAT GRAPHICS N/A
3234 HWY 101 E
PA, WA 98362-0000 , 98360-0000
360/452-3635 360/000-0000
PROJECT INFO
Project Value: $0.00 SFD Units: 0 Commercial: 0
Project Type: SIGN/PROJECTING SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
· .
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INSTALL ONE WALL MOUNTED SIGN 21" X 48"=7SQ. FT, AND ONE PROJECTING
SIGN 39"X16"=4SQ. Ft. ~'~
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: $60.00 TOTAL FEE: $60.00
Plumbing: $0.00 AMOUNT PAID: $60.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 pedod 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 Si(~n~"'t,~ q~ (if o)~,ner is builder) ' Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4§15 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
I I I
MECHANICAL
HEAT PUMP
WOODSTOVE ! PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES ! SITE WORK ( Englneerin g Division ) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERJMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOKELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417~.735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 417-~.750 PLANNING DEPT. / / f~/~
BUILDING 417~.815 BUILDING /////~//gg~_~
C:La. PPL.WPD
cP'~°nr~ FOR OFFICIAL USE ONLY:
BUILDINGPERMIT-APPLICATION P~tff:
Da~ A~ved:
~ Issued:
~e Building Pe~it - Pre-applicaaon must be fiEed out compl~ely.
~ Please ~e or p~nt in in~ If you have any qu~fions, please call 4174815
Applie=t or Agent: (~ceo o~, ~r ~ ~ ~ ~ ~ ~ ~ Phone:
~chitec~n~ne~: ~o ~ ~ Cc~ ~ ~w~ ~ ~ ~ ~ ') Phone:
Con.actor C~-o ~ ~ c License ~: E~:. Phone:
Ad.ess: CiW:. Zip:.
C
LEG~ DESC~PTION: Lot:b~.~ oG G~/O Block: ~ Subdivision: '~]~Z
CL~L~ CO~ P~C~L ~ER~Credit Card Holder Name:
Billing Addr~s: Ci~:
Credit Card g:. Exp. Date: ~SA MC
T~E OF WO~: S~E~UA~ON:
a Residential ~ New Co~. a Re-roof a Woo~tove SF. ~ $ /SF. = $
~ Multi-fa~ly ~ Addifon ~ Move ~ G~age SF. ~ $ /SF. = $
~ Co~ercial ~ Remodel ~ Demolition D Deck SF. ~ $ /SF. = $
B~EF DESC~TION OF ~
PRO.CT:
~O~RC~S~ENTI~: Occup~cy Group:. Occup~t Load: __ Co~c~on T~e:
No. of Stories: __ Lot S~e: % Lot Coverage:
Exis~g Lot Coverage: /sq. ~. + ~oposed Lot Coverage: /sq. fl. = TOTAL LOT COVE~GE: /~q.~
PL~N~G USE O~Y: APPROVES: PL~~/
Notes: BLD~
DPW
ESA~etland(s): ~ Yes ~ No SEPA Checklist required? ~ Yes m No O~er: OT~R
B~D~G PE~ ~PLI CATION S~'FI'~: Your application and s~e p~n must be [dled out completely to be accepted for
review. ~e Bulldog Division c~ provide you wi~ more derailed ~fomafion on ~e a~lica~on ~d phn sub~l requkemen~. Yom
completed application, site pl~ (for addi~ons) ~d bufldmg cons~chon pl~ ~e to be sub,Red to ~e Buildmg Division.
V~UA~ON OF CONS~UC~ON: In aH c~, a v~uafion amount must ~ enter~ by ~e a~lic~t. ~s fi~e will be reviewed
~d may be revved by ~e B~g Dihsion to co~ly M~ c~ent fee schedules. Con~ct ~e PAt Coordm~r at 4174815 for ~sismce.
PL~ C~CK ~E: Yo~ p~ check fee is due at ~e ~e ~e b~ld~g pe~t a~lica6on md cons~c~on p~ ~e sub,Red. All o~er
pe~t fees ~e due at ~e t~e ofpe~t issuance.
E~ON OF PL~ ~W: If no pe~t is issued wi~ 180 days of~e ~te of application,
Buildmg Official c~ extend ~e ~e for action by ~e applic~t up to 180 days upon ~ request by ~e a~ticant (see Section 107.4 of
the Unifom Bulldog Code, c~ent edi~on). No applica~on can be extended more ~an once.
] hereby certi~ that I have read and examined this application and ~ow the same to be trite and co~ect, and I am authorized to apply for
this pe~it. I understand it is not the Ci~'s legal responsibili~ to dete~ine what pemits are required; it remains the applicant's
rexpo~ibili~todeteminewhatperm~arerequiredandtoobtain~ ~ ~
T:WO~S~PPS,Buildin~it Applic~t:~ ~ /~~ ,7.~ate:
Certificate of Occupancy
J $47,00 Certificate/Inspection Fee
Address of Proposed ~si~ss A Transfer of Business Location
I,~ ~ ~ ~l~a~ ~¢~ Change of Ownership ......................
Address ~ ~ ~C~ ~ ~" Remodel .................................
Phone: busnes~?~'~y home~;~2~ Change of Use ............................
Brief description of proposed business: ~C~ ;~; ~
Legal Description: Lot ~ ZIO Block I Subdivision
Current Use of Prope~: '~ ~; ~
Zoning Classification of Prope~: ~ ~ ~
WI~ THE~E BE A~ OF THE FOLLOWING? Y~ NO THE FOLLOWING WILL BE REQUIRED:
Constru~ion changes ........................... ~ PERMITS BUSINESS LICENSE
Electri~ changes .............................. ~ 1) Building 1) T~i
Mechanical (heating, cooling, ~oves) ............... ~ 2) Plumbing 2) Peddlers
Plumbi~ ~ang~ ............................. ~ 3) Electrical 3) 2~ Hand De~ler
New or relocated signs .......................... ~ 4) Mechanical 4) Pawn Broker
New septic tanks ................................ ~ 5) Sewer 5) Dance
New sewer se~ice .............................. ~ 6) Sidewalk installation 6) Hotel - Motel
Admission ch~ged to patrons ...... ~ 7) Driveway inMallation 7) Fireworks
Is this a home occupation? ...................... ~ 8) Curb installation 8) Ambulance
Excavation of filling of lots ....................... ~ 9) Sidewalk obstruction 9) Ta~oo shop
WO~ ~one In C~ right-of-way .................... ~ 10) Water meter installation 10) ~her
Is there sufficient off-street parking? ............... ~ 11) Fire
New driveway openings .......................... ~ 12) Occupancy
A grading plan for site drainage. ~ 13) Sign
(parkingl~, do~spou~. ~c.) .................. ~ ~4) Shoreline
Are the exi~ing streets paved? ................... ~ ~ 15) Home occupation
Are there existing sidewalks? ..................... ~ ~ 16) Conditional use
Is there curb and guffe~ ........................ ~ 17) Other
Other .......................
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date; 1- 1,2~
information I have supplied is correct to the best of my
APPROVED REJECTED Comments//Conditions
~ Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
C IPANCY
This ~t to the requirements of Sectio~109 of the
in ~
Use Classification: --
Group: M ~ Construction:
Owner of Busincss/Residenc{ WA 98362
Building Address: 13 8
Post on ,ous place.
Shall not be re 3uilding Official.
o'~" CITY OF PORT ANGELES
d.~.~ WORKS - ELECTRICAL
PUBLIC
DIVISION
321 EAST 5TIt STREET, I~RT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 12/12/2001 PERMIT NO 7486
OWNER/APPLICANT PROPERTY LOCATION
GREG SCHERER 138 RAILROAD W
138 RAILROAD AVE. Lot: N120 E2 LT 9&N75 W2LT 10
Block: 1 [] Long Legal
Port Angeles, WA 98362
360/000-0000 Subdivision: TIDELANDS
T: S: Parcel No: 063000505230000
CONTRACTOR ARCHITECT
ELECTRIC SERVICE n/a
924 DRAPER RD.
PORT ANGELES, WA 98362 , 98360-0000
360/452-6424 360/000-0000
PROJECT INFO
Project Type: COML.REMODEL Project Value: $0.00
Occupancy Type: Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 0
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES
10 circuits
FEES ASSESSMENT Service: $0.00
Additional Feeders: $25.50
Circuit Wiring: $57.80
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $83.30
AMOUNT PAID: $83.30
BALANCE DUE $0.00
('OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL llqSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA ~,VFUL TO CO~ER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH · t ,z~i ,. ~
ROUOH-IN / COVER '___~'~[, '~'ll;;. . 4 t'3
SERVICE
GENERAL COMMENTS:
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 12/12/2001 PERMIT NO: 13139
OWNER/APPLICANT PROPERTY LOCATION
138 RAILROAD W
GREG SCHERER
138 RAILROAD AVE. Lot: N120 E2 LT 9&N75 W2LT 10
Port Angeles, WA 98362 Block: 1 [] Long Legal
360/000-0000 Subdivision: TIDELANDS
T: S: Parcel No: 063000505230000
CONTRACTOR ARCHITECT
COZI HOMES N/A
324 E. 9TH STREET
Pot/Angeles, WA 98362 , 98360-0000
206/452-9906 360/000-0000
PROJECT INFO
Project Value: $12,000.00 SFD Units: 0 Commercial: 0
Project Type: ADDN/REMODEL SFD SQ FT: 0 Industrial: 0
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INTERIOR ALTERATION OF EXISTING BUILDING, OPTIONAL EXTERIOR
AWNING ADDITION
RECEIPT # 8626
FEES ASSESSMENT
Building Permit: $209.25 Misc Fee 1: $0.00
Plan Check: $125.55 Misc Fee 2: $0.00
State Surcharge: $4,50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $339.30
Plumbing: $0.00 AMOUNT PAID: $339,30
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am required for electhcal work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction,
Signature of Contractor or AuthOrized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ UNLAWFUL TO COVER,
INSULATE OR CONCE. dL ANY WORK BEFORE INSPECTED AND .4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE ]yEsACCEPTEDI NO COMMEbrrS
POENHATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING /~t--, f -~tt
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PEKMIT #'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 DEFT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - KW.
ENGINEERING 417-4807 PW / ENGINEERING
BUILDING 417-4815 [~'~/~0~ ,~l~ BUILDING
,~:~ w ~ ~--~a:0: FOR OFFICIAL IJ~E ONLYr
BUILDING PERMIT- APPLICATION
T~ Building Permit - Pre~plica~on ~t be~led out completely.
Please ~pe or print in ink lfyou have any qu~tions, plea~ call 417-4815
Applicant ~or Agent: ~D ~Y~ Phone:
Owner: &~ ,~,,,,~~ - ¢~;c &~ ~g~y Phone:
Address: City: Zip:
~hitecffEngineer: Phone:
Contractor ~ ~ 5 Lic~e ~: Exp:. Phone:
Address: Ci~: Zip:.
Billing Add~: ~:.
Cr~it Ca~ ~: Exp. Date: ~SA MC
TYPE OF WO~: SIZ~AL~ATION:
m Residential D N~ ~nsm ~ R~-mof D W~tove SF. ~ $ /SF.
~ Multi-fmily m Ad~tion D Mow ~ Gmge SF. ~ $ /SF.
~ Commercial ~R~el ~ ~molition ~ Deck SF. ~ $ /SF.
D Rep~ ~ Si~ ~ TOTAL VALUA~ $.
CO~R~A~E~IAL: ~up~cy Group: Oc~p~t Lo~: Cons~c~on
No. of Stories: ~ Lot S~: % Lot Co~e: %
Exist~g Lot Corse: /~. R * ~o~sed Lot Coverage: /sq. · = TOTAL LOT COV~GE:
PLANN~G U~ ONLY: APPROVALS: PL~
Nol~: BL~.
DPW
ES~Wetl~d(s): D Yes ~ No SEPA Checkl~t required7 D Y~ ~ No ~er:
BUILDING A~L1CATION S~: Your~i~nandsOepl~t~ed~tco~l~a~eptedfoero~.
Building Division c~ provide you wi~ mo~ d~il~ infomation on ~e application and pl~ mbmi~l r~uiremen~.
BULLDOG PE~T APPLICATION SUBM~AL: Your compl~ed applimtion, site pl~ (for addifiom) md bulldog cons~ction
plans ~e to ~ submiRed to ~e Bulldog Division.
VALUATIO8 OF CONSTRU~ION: ~ ~1 c~s, a valuation ~o~t m~ ~ mt~d ~ ~e ~lic~t, ~h figum will ~ ~viewed ~d
may ~ revised by the Building Div, to comply wi~ cu~nt fee sche~tes. Contact ~e Pe~it C~inator at 4174815 for ~sist~ce.
PL~ CllECK FEE: Yo~ plm ch~k fee is ~e at the time ~e buil~g ~it applimtion ~d cons~ction pl~ ~e submiRed, At1 other
pe~nit fees ~e due at the time of ~mit issu~ce.
EXPIRATION OF PLAN REVIEW: If no ~it is issued wi~in 180 days of the date of application, this application will e~pire by
limitations. ~e Building Official c~ extend the time for action by the applicant up to 180 days, on writtm request by the applicant (see
Section 107.4 0f the Unifom Building C~e, cu~ent edilion). No application c~ be extended more th~ once.
[ hereby cert~ t~t f h~e read and e~amined thL*' application and ~ovv the *~me to be true and correct, and I am mtthorized to applyfbr
this permit, I understand it i~ not the Ci~"s legal respomvibili~, to determine what permits are required; it remaitu the appt cantos
re3~onsibilit): to determine what ~ermits are r~ quirad t ~ d to obtain such
Applicant: .....
From: Kenneth Dubuc
To: RVESS
Date: 12/5/01 8:54am
Subject: Building Application Review
Roger,
The Fire Department has reviewed the building application for the interior remodel at 138 Railroad and has the
following comments:
- The building will require address numbers. Address numbers must be at least 6" in height, be of contrasting color
from their background and easily visible from the street.
The business will require a 2A-10BC fire extinguisher. The extinguisher must be readily accessible and mounted
with the top no more than 5' off the floor.
Thanks,
Ken E)ubuc, Fire Marshal
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date IT-~'~'~' ~ t Time Received by <:~ ~ (phone(~)
Location of Work to be inspected /-~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundatior~Framing~Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: ~'~
Inspected: Date / ~.- ~/~ - (~ Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [-']Gravel r-]Asphalt I--~PCC []Other
[] Repaired by City Work Order #
~] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE}
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
Date ,/ ~ - / ,~' (-,~; Time Received by (phone, person)
Location of Work to be inspected /.~<::~ z~J'~ J ,~ z/~i~:~ '~/~
Name of person requesting inspection ~'~=. ~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. t ~ I ~c~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~~,,~
INSPECTION NOTES:
Inspected: Date ,/~-~-/~- ~1 Time. By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved r~Gravel [-~Asphalt []PCC [~Other
[]Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~--} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: .(~ _
Date ~'--/ . ~'~_ Time Received by ~/'~ (phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing(/'l~inal'~Sewer Excav.
Other
INSPECTION NOTES:
Inspected: Date / - Z/- ~ ~ Time. By ~-~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [~Asphalt [--IPCC [~Other
[] Repaired by City Work Order #
[-] Repaired by Permittee [] COMPLETE
[--} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
---
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
0< 7~ ~
tf /7/70
.
ELECTRICAL PERMIT
DATE .
Sit~ Address:
cI
~EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Ower/Business:
I
owner/Business Address:
I
Residential
II Heat KW
q Baseboard 0 Furnace/Boiler
qJ. Heatpump 0 Other
Commercial/Industrial load
I Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Phone:
Sq. Ft.
./
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~overhead
o Underground /,/1')
Voltage I~~
~HI 03.0
'Service size /tIJO Amps
o Temporary
o New Construction
~ Remodel
o Service update/alterlrepair
Detai islDescription:
I
i
Ii
. Ii
Ii
Ii
~I
Ii
II
I
W.S. No. Service
Cap~clty: 0 O.K. 0 Not O.K.
,
o D,itch inspection O.K.
Jld' ~ough-in/cover O.K.
D O.K. to connect service
V1"Fnal O.K.
SilelAddres~ W.
Insl Iler: ~, 'J
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
New Meters
?
.
Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
mu~ not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
T ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~f) ~
Inspector Amount paid
WHI E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMP C PRINTERS. INC.