HomeMy WebLinkAbout923 E 1st St - Building
Classification: Business
Group: -1L
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certificatioll issl/edpllrSllallllo the requiremellls,o(Sectioll30] ofrhe
International Building Code cert~lying that at the time of issuance this structure was
in compliance with the various ordinances of the Ciry regula ring Building
construction or use. For thefollowinng
Budding Pennit No.' 06-] 04
Owner of Busine", COwbOY',Gountrv Address, 973 E. First Street
Typc ofConstmction:
V-N
Business Name: COWbOY CountrY
Use:Zone: CA
Port Angeles, W A. 98362
Port Angeles, WA,98362
Building Address, 923 E. First Street
7fk.~ >f. 7?hdZ,/'1. '~---:-~"::'t'-<,:".~'Februarv L 2006
/ Buildmgckficla, 't:(}'!:~::"_:t.=-~t;~""'.';-"rl" " ,~".:,"';~:
~~)~:S?~~'~::~' ~::7':~'~'S.,:j~:,; '::~:,:._~':~,;.'::~';r - ~
Post on the"'p-~emisEu;;iif;acQri!;picuous place.
"<,,'" ~ . , _ "... . .C _'.~ _ '.
Shall not be removedex'cepfby Building Official.
Date
-~.
.
, "
OA~
/,
DATE I /3/1 aG.,
Address of propoted Business
-;f.t8
oc. -.\ 04 ,
ROUTING SLIP
Certificate of Occupancy
~o Certificate/Inspection Fee
New Business, , , , , , , , , , , , ,
Transfer of Business Location
r' C,
'-<> w B-1>[ ~'''''''1
qZ3. G. / J,-
/{,Rr.4", 9"-IeJ WI! '7P3t, L.-
business 3c.<> ~5L-so"'i1ome
Change of Ownership ,..........,'......,.
New Building ..,....,...."........
Remodel . . , . . . . , . . . , , . . . . , ' , . . . . . . ,
Temporary Business. . , . . . . . , , . . . . . . .
Change of Use . . . . . , . . . . . , ' . . . . . . , . . . . . . ,
x:
Applicant
Address
Phone:
Brief description of proposed business:
Legal Description: Lot
Current Use of Property:
Zoning Classification of Property:
Will THERE BE ANY OF THE FOllOWING?
Construction changes. . . . .
Electrical changes .
Mechanical (heating, cooling, stoves)
Plumbing changes.
New or relocated signs . . . . . . . . . .
New septic tanks .
New sewer service. . . . . . . . . . .
Admission charged to patrons .
Is this a home occupation? . . . . . . . . . . . . . . . .
Excavation of filling of lots. .
Work done in City right-af-way .
Is there suffjcient off-street parking? .
New driveway openings ...
A grading plan for site drainage .
(parking lots, downspouts, etc.) .
Are the existing streets paved? .
Are there existing sidewalks? .
Is there curb and gutter? .
Other............................... .
~ ~J I~P~77;;A-", w/5:M- 1--r:;ic..:.
Block Subdivision
YES NO THE FOLLOWING WILL BE REQUIRED:
c--- PERMITS BUSINESS LICENSE
--
t/ 1) Building 1) Taxi
--
V' 2) Plumbing 2) Peddlers
--
V 3) Electrical 3) 2nd Hand Dealer
--
V-- _ 4) Mechanical 4) Pawn Broker
,/' 5) Sewer 5) Dance
--
_v 6) Sidewalk installation 6) Hotel - Motel
./ 7) Driveway installation 7) Fireworks
--
---1!/A- 8) Curb installation 8) Ambulance
1/ 9) Sidewalk obstruction 9) Tattoo shop
- "..-
-- 10) Water meter installation 10) Other
V_ 11) Fire
_ V 12) Occupancy
-- 13) Sign
-- 14) Shoreline
J/ _ 15) Home occupation
V-- _ 16) Conditional use
V-- _ 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:
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.IA
1-c,-ov~
~W
') -I-do tbfi 0
CERTI FICA~E~'e'F~'GlCCU P ANCY
., . ..'~
.Ii'" City of Port Angeles+",;~
JI<P Building Division "-
This Certifi~ation issued pursuant to the requirements of Section~J09 of the
UnijormmuHding 'Code' ce;rifying thatot the !im.eojissuance this s1~ucture was
IJ' "..,'......".".~,' " - ..'".""~,.'- - '>,.-......... '''--;-'~.._. \~.
in compliance with the various ordi~ancesoftheCityregulating Building
if' ... construction or us~. For theIol/owing: 1~
lI)I ' -.. ".... . -'-,1'.," ..,..,'- ' 'Ii'
Use Classification; Cafe' '_ -',' .,,'-; , Building Permit No.:, . . ~ Business.Name: Mo~ing Star Juice Bar
~I .......-, ~r"" , "." ~
~ . '.U
Gmup -.lL \ . .~~:e 01 Coustruction ~~" ."~.._ ____ _.. . '.. use~.ne; CA
Ownec01 Business/Residence. Rav Costello Address. 415 South Race Street. Port Angeles. W A 98362
\'... ............._ .___..~_...... II
Building Address. 923 East 1" Street Port An~eles. W A 98362
\
Pas '." . . . S8!fI.:/OUS place.
Shall not be~m~.,.. ~~;,;g.;o!>.y'Building Official.
, o,""'~ "'C\. .- ~ ~r " "
~
ROUTING SLIP o~I~"T .~
l~Q<,,<;.
Certificate of Occupancy ~~
....,.~
~
$i8s Certificate/Inspection Fee -
"ti;,~w<:p-'"
DATE ~ /'-1/(;)0::; L( New Business . . . . . . . . . . . . . . . . . . . . . ....... ( V;
Address of Proposed Business Transfer of Business Location. . . . . . . . . ....... ( )
9~:'? G. I7RST S-r-. Change of Ownership. . . . . . . . . . . . . . . . ...... ( )
Applicant RAY t"'./')<7'>r 1/ C') New Building .... '. .... ............ ....... ( )
Address '-lIs. .s. J'2ACr: Sr. Remodel. . . . . . . . '" ..... ,........ ........ ( )
J70iZl ANtC~LL<;. wA n>?,;:;";:J Temporary Business ...... .......,. , ....... ( )
.
Phone: business home LiS7'-37''1J Change of Use. . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: :::S-U I (:~ 7Z4 TZ & (!A~L
legal Description: lot Block Subdivision
Current Use of Property: tJJA (V'+CA-JJ7:'\
Zoning Classification of Property: C<J /'1/f/11:" JZc.1A-1....
WILL THERE BE ANY OF THE FOLLOWING? YES NV THE FOllOWING Will BE REQUIRED:
Construction changes. ........... - ---v PERMITS BUSINESS LICENSE
Electrical changes. . -\7 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . -\7 2) Plumbing 2) Peddlers
Plumbing changes ............ '7'- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. ---if 4) Mechanical 4) Pawn Broker
New septic tanks. -V- 5) Sewer 5) Dance
New sewer service ........... =~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. ......... 7) Driveway installation 7) Fireworks
Is this a home occupation? ........ =~ 8) Curb installation 8) Ambulance
Excavation of filling of lots .. ........... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right.of-way . ... -:;/ - 10) Water meter installation 10) Other
Is there sufficient off-street parking? ... -\1; 11) Fire
New driveway openings. -7 12) Occupancy
A grading plan for site drainage. ... ... .... -V 13) Sign
(parking lots, downspouts, etc.) ~ 14) Shoreline
Are the existing streets paved? .. ...... 15) Home occupation
Are there existing sidewalks? . 16) Conditional use
Is there curb and gutter? 17) Other
Other. . ..... ........ .......
I hereby apply for a Certificate of Occupancy and acknowl- 51'1/<;)00'-/
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my Signed:~' - ./- f"/fL-
knowledge.
&/' -
A""OVE1~""EC"O Comments I Conditions
~ Building Section
Public Works Department
~ Planning Department
Fire Department
~II-(jl f}.) City Clerk
"
P.B.I.A.
M
"
sb.
...h1'Q.,e, 15
ope.
Ju.. -.e...l ':or
~ .
'"iJl"
M
,
Sk
.Jb,' Q.e
"B~
ape
J,,- e.. l <;T
''i-
-~
"":..... .0) t:>r r., "'C\. r \ r '" VI.
.... ..' . .... . ~ , .,
> "
ROUTING SLIP ~ pORT 'Iv
, /Q~G'<"~t
"
Certificaie of Occupancy - ~-:
L..~
$4:Z.;g()'Certificate/lnspection Fee ~
-
, I, ~'CWO.P
5"/ q /;;Jco '-( I v)
DATE New Business ,..................... ... ... (
Address of Proposed Business Transfer of Business l ~o~ ~' ~ll'[E '[ffi )
'1..;1,? E. hRST S, Change of Ownership . )
Applicant RAY ~/'O New Building , . . , . . . . : : [JU~ :l>>OFJ:: i )
Address 'i1S- .5. J2ACi: 51. Remodel, . . . , . . , . . . . )
R/27 AN";<{"L~<" wA ~~ Temporary Business . . .1l?~nf~~!ni~~M~v~1;~.;.:nt ( )
Phone: business home'lS7-5'7tfj Change of Use. . . . . ... . , , , . . . . . . . . . . . . . . . . . \ )
Brief description of proposed business: ~UI{~ 'R'A Tl 2 CAP,
legal Description: .lot Block Subdivision
Current Use of Property: Al)A (VA CAJJT\
Zoning Classification of Property: CaA/V1'liZC 1-4/ C':?A-
WILL THERE BE ANY OF THE FOLLOWING? YES NV THE FOllOWING Will BE REQUIRED:
Construction changes. - PERMITS BUSINESS LICENSE
Electrical changes. ... ............ .............. = v,' 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . V. 2) Plumbing 2) Peddlers
Plumbing changes VV 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. ---;;:j; 4) Mechanical 4) Pawn Broker
New septic tanks. ................ --ij 5) Sewer 5) Dance
New sewer service -~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. -~, 7) Driveway installation 7) Fireworks
Is this a home occupation? - ---=-<- 8) Curb installation 8) Ambulance
Excavation of filling of lots ......... V, 9) Stdewalk obstruction 9) Tattoo shop
- ---v-
Work done in City right-of-way. ----L _ 10) Water meter installation 10) Other
Is there sufficient off-street parking? ... ~---v-, 11) Fire
New driveway openings. _ -"'-L 12) Occupancy
A grading plan for site drainage. .... --if 13) Sign
(parking lots, downspouts, etc.) -v.- 14) Shoreline
Are the existing streets paved? ..... ---v: - 15) Home occupation
Are there existing sidewalks? . . ....... ----"-'-- 16) Conditional use
Is there curb and gutter? V_ 17) Other
Other.
I hereby apply for a Certificate of Occupancy and acknowl- -:;/'1/-;;>00 '1
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ~ /!. /,~
knowledge. Signed: ~~.d -:./::.A: .. .. -
, t/ -
Comments I Conditio'ns i ~ ,,,.., ,
APPROVED REJECTED , ...... ,n~. ,,^,
<>
Building Section ~ /Y'\ + DA 0 ('.Pi /)""" 0 rr-1' j . ...J.-Lo.. 0 +
Public Works Department ,rYA, \v. ,.. ~i( , ,('0 , IJ I. +r. rl J'L,.rY
~~~f{4! ~ ~1. " ~Q
Planning Department '~A" ' .._ )J--y-, -I: ().u! -
Fire Department ,
City Clerk
PB.I.A.
L
,
~r;"",,\, '"'C\. u..'- '- , ....-....\ . v
~,
ROUTING SLIP ,:,d~\,<
Certificate of Occupancy <''/I''''::'-.~,,:.
""..,.-~
~
$I!MI Certificate/Inspection Fee '-'
''"&ucwc#~
DATE S- ILl IdcuL( New Business ., ............ ... . ....... ", ( v)
Address of Proposed Business Transfer of Business location, , , ..... ....... ( )
<t:J,"? G_ h7ZST $"1" Change of Ownership, , , , , , , , , , , , , , . , , ( )
Applicant Ie AY 1""/,,<"";-0;-(' C", New Building . . . . . , . .,.. ........,. ........ ( )
Address '-lIS S jOqCL sr Remodel, , , , , . . , ' , , , , , , , , , .,. .......,. ( )
;:::::,rzl AAiI:-;Z'I:,<;- WA n>?c:- ;::) Temporary Business .... ..... .... '" .. ..... ( )
,
Phone: business home '157-374'1 Change of Use, , , , , , , , , . " , . . . . . . . . . . . . . . , ( )
Brief description of proposed business: )UI(,~ 7Z4lZ g C!AJ=L
legal Description: lot Block Subdivision
Current Use of Property: AI)A (V-4CA-Alr\
Zoning Classification of Property: &A.lVlr iZc iA- (.
Will THERE BE ANY OF THE FOllOWING? YES NV THE FOllOWING Will BE REQUIRED:
Construction changes. ....... ~ ----v PERMITS BUSINESS LICENSE
Electrical changes. ~~ 1) Building 1) Taxi
Mechanical (heating, cooling. stoves) . ............ ~V 2) Plumbing 2) Peddlers
Plumbing changes \7~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. ~\f 4) Mechanical 4) Pawn Broker
New septic tanks. ~V 5) Sewer 5) Dance
New sewer service ... =~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. ....... ............ 7) Driveway installation 7) Fireworks
Is this a home occupation? =~ 8) Curb installation 8) Ambulance
Excavation of filling of lots ... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way. ~~ 10) Water meter installation 10) Other
Is there sufficient off-street parking? .......... ..... ~\I; 11) Fire
New driveway openings ..... ~7 12) Occupancy
A grading plan for site drainage. . . . . ...... ....... ~V 13) Sign
(parking lots, downspouts, etc.) ~ 14) Shoreline
Are the existing streets paved? . 15) Home occupation
Are there existing sidewalks? . ...... 16) Conditional use
Is there curb and gutter? .... ............. ...... 17) Other
Other. ......................
I hereby apply for a Certificate of Occupancy and acknowl- 51'1/?ooLj
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my Signed:~",,"/ ~ A/7
knowledge, ./: ////
C/
A""O~~","'C'" Comments / Conditions
iP1171C) Building Section
, I
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.IA
(Ir l
sk:
h~\C:.e
K. -
Of'<-' ~ "'- -e. l ';T
~)
----
q.:>
(jJ
reI
--
II"
1
of( p~RT A......O
!4.....~~4~<?~
~R!ii ~
-- ~
~
'l&;:~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000809 Date
090571
923 E 1ST ST
06-30-00-7-2-0250-0000-
COMM ADDITION
COMMERCIAL ARTERIAL
58050
Owner
Contractor
HOWARDS VENTURES LP
803 INDIAN BEND RD
UMPQUA OR 974869737
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
59956
730.25
9/23/05
3/22/06
Plan Check Fee
Valuation
Qty
Unit Charge Per
9.00
BASE FEE
7.0000 THOU BL-50,001-100K (7.00 PER K)
----------------------------------------------------------------------------
9/23/05
.11
1. 00
1387.00
17500.00
1935.00
18.90
1. 00
474.66
58050
Extension
667.25
63.00
r..
~.~
"]\~
~
~LN
Lf1I
~} ,
0-
~C--
I ~
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 59972
Permit Fee 61.70 Plan Check Fee .00
Issue Date 9/23/05 Valuation 0
Expiration Date 3/22/06
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
PLUMBING PERMIT
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
59964
82.00
9/23/05
3/22/06
Plan Check Fee
Valuation
Qty
Unit Charge Per
4.00
1. 00
BASE FEE
7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
7.0000 ECH PL- EA.WATER HEATER
.00
o
Extension
47.00 ....,..
28.00
7.00 ~
c....
\'
------------- --------------------------------------------------------------
Special Notes and Comments
09/13/2005 01:16 PM KDUBUC ---------------______________
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 I regu a' g construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\ 1102_15 building permit inspection record05. wpd [1I4/2005]
Date
~
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING I
MECHANICAL
HEAT PUNWI FURNACE I DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417 -4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPolicieslll02_ 15 building perml! inspectIon record05.wpd [1/4/2005]
~ pORT A.Ir,
6'.1" ~~~ .
r.
~ --
"l.OU;~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000809
Application pin number 090571
Page
Date
2
9/23/05
----------------
------------------------------------------------------------
special Notes and Comments
The Fire Department will require detailed floor plans for
review. ~
09/03/2005 03:18 PM SROBERDS -- The proposal will result
in an addition to a commercial structure in the CA zone for
total lot coverage of 19%. No land use issues noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES. The Electric
Service Entrance Must be Relocated.
09/02/2005 08:24 AM JHEBNER ----------------------------
Electrical load calculations and elctrical permits are
required.
Connect Fee Does Not Apply.
09/02/2005 08:29 AM JHEBNER ----------------------------
Any modifications to the electrical facilities will be at
the customer's expense.
09/02/2005 08:29 AM JHEBNER ----------------------------
Public Works Utility Engineering has no requirements for
this plan review.
----------------------------------------------------------------------------
Other Fees
--------------------------------------------------------------
. . . . . . 4 . 4
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 873.95 873.95 .00 .00
plan Check Total 474.66 474.66 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1353.11 1353.11 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\poIicies\ 1 102_15 building permit inspection record05. wpd [I/4/2005]
BUILDING PERMIT INSPECTION RECORD tJS- 150?
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES NO A ,
FOUNDATION: l7/Ilff) $1evb /~~~r J/.t. 19Y'
FOOTINGS
WALLS
FOUNDAnON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)f'71 I 1I-/'7-oS ...ILt
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN l/6/~~ ~ VLV
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS IJI-i.1.~-@~ J J..L
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS , ~
WALLS 1 ROOF 1 CEILING 11/2-3/lJ\- '~IJ
DRYW ALL (INTERIOR BRACED PANEL ONLY) L-/
I , .J'l
T-BAR liHI3/o r #fIJ
, v
INSULATION
SLAB I
WALL 1 FLOOR 1 CEILING 111-1...V-Or d J..L I
MECHANICAL ~e.,t,- (/~/Ob 11h
HEAT PUMP 1 FURNACE 1 DUCTS 1/<,10'" JLV
GAS LINE I
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRucnON - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 -L-L. PLANNING DEPT. J I
BUILDING 417-4815 t --.1 BUILDING 1// a./tJb VtL-
T:\PoliciesIII02 15 building permit inspection record05.wpd (I/4/2005] I
'0 >-l i:;:;;08E; n'O
t"' >< 'O:o<1~ZO H:o<1
'" '0 >-It'l
'" '- t"'nt'l>-l:o<1 ><'0
[f) t'l:o<1:o<1t'l ;,.
, 0 0 Zt"' ;"[f) 0:0<1
, H ~. n[f) 'TJt'l
, >-l 0
, to 0 '0
't t'l. :0<1. 0
n:o<1 :0<1 :o<1H
Ot'l >-l'-
3:0 0
, 0 'OC:: 00:'; '" ~~
' <7\ I:"'t'l Ul<7\O "-'
, '- t'l[f) , , >l W QO
, 0 >-l>-l OW;,. t'l<7\
, . <7\ t'lt'l 00:0<1 t'l 1:"'-
, 00 0 , 0 t'l
, 00[f) H [f)H
iff 00 [f) W
00 , <: >-l
:0<1 O-..lt'l "-'
t'lH '" , Z [f) Ul
, t"' [f)Z "-'>-l >-l
: ) C::UJ 8~~ ...
1:"''0 <7\
>-l 3:"-'t'l
, 3:Ul[f)
, 0
, E; , I:"'
, 0'0
, 0", :0<10 00
, HI:"' t'lt'l H 0
, 6~ UJ[f) >-lo
, c::n H ,
, Ulto 1:"':0<1 0
, '- H >-lH Z
"-'Z [f)'O
n 0<;) '->-l
0 0 nH H H
3: <7\'TJ 00 ZZ
3: Z 3:Z [f)[f)
t'l 3: ",'0
Z 0;" t'l t'lt'l
>-l w t~ Z nn
[f) >-l >-l>-l
Ul [f) OH
~ Ul :0<10
>-l' .. Z
0 H
"' :~ , c..>-l
Z 3: to , 5:8
0 .. ",'O[f)
>-l 13l3iil t'l~
t'l o >" UJt'l
[f) >< _J ZZO >-l
;,. .. t'lt'lH I:"'
[f)0 <:
~O t"'
H
~ t'l
:0<1
I:"'
><
0",
;,.;,.
>-lQ
t'lt'l
H
'-
o
<7\
'-
o
<7\Ul
~\
~
~
~
~
~
~
~
~
~ ~
t~
~
"'"\
'-<J
~
~
~
.~
'-'\)
o
}
~~
""
~
t
~
~
~
~
\,
to to to to to to to to
I:' I:' I:' I:' I:' ;J> I:' I:'
\0 () () H W H m 3:
\0 G"l G"l :>;
0 0 0 0 0 0 0 0
H '" H H H H H '"
:t" HH HH HH HH HH HH HH
' '" "'''' "'''' HH HH HH HH 00
' , " " " " " " "
' W HH 00 "'''' "'''' "'''' HH 00
' 0 "W \0\0 OJ OJ WW WW -J-J mm
' , " " " " " " "
' 0 00 00 00 00 00 00 00
' Vl VlVl VlVl VlVl VlVl VlVl VlVl VlVl
,
,
, *~
, ;J><=-< tJ<=-< ;J><=-< ;J><=-< ;J><=-< ;J><=-< ;J><=-<
, '01:' ;J>I:' '01:' '01:' '01:' '01:' '01:'
, I:' t:" I:' I:' I:' I:' I:'
,
,
,
,
()
o
3:
3:
l'1
Z
>-l
UJ
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~W
~C~~~CN~NC~~C~~C~~~C~O~~CO~OCOO~OC
'H'~'H'~'H"H"H'~'H'~~'H'~'H~'~'H
W~~~~~O~O~NN~NN~N~N~~Z~~~O~O~ O~O~
OO~roNO~~~umooowwowroWO~H~~omromo~~~wo
'H'~'H'Z'H"H"H'~'H'ZZ'H'~'Hro'Z'H
NZw NZW NZWWZWNZW NZNQ WZW NZ~N WZ
OQO aQo OQOOQOOQo OQo ~OQo OQ~o OQ
o 0 0 0 0 00 00 0 0 O~~O 0 0 ~O 0
~~~~~n~~~nrn~H~~~~ ~~~O~~~~ ~~ ~ ~~
H m ~ m ~ Z ~ ~ H O~ 0 0 0
O~O~~~O~O~O~~OO~O~O~OO~O~O O~ 0 O~
~~~~NH~~~H~N~~~H~I ~WW~ OO'W ~U ~ WO
.. .."'..Z.."'..Z....;J>....Z......l'1... ..()....;J> ..;J>
~ N~NQ~~~QON~WWQWN~~~~ WO~ N~ ~ ~~
N ~~O N~O O~H~W O~~~~. m~oo OOH N ~H
~ ~ @ H @ @ @
~ ~ ~~~ ~~~~ ~~ ~ ~ ~ ..~Z~ ~3: ~ ~3:
m I-Jj 0 0
o >-l Z Z
lUQ"'O '1:10 Y '"dO
o+:>.t< tIl tIl L' tIl
"';J> ;J> ;J>UJ H ;J>UJ
...,J{J) ::u ::Ot"l tlj ::Ot"l
H@::j;j ;ji;; 2l ;ji;;
C3:0 0 >< 0
tzj~ L' t'"
I I'" I'"
6 I :3: ; ~
.. I tI1 I tI:I
0' ,
o , ,
1 ,..... If-'
I ......J 1-...]
I I..
I 0 I 0
I 0 10
, ,
, ,
,
,
,
,
,
,
,
,
,
,
,
,
~
tJ
Z
o
>-l
l'1
UJ
'0
to
;J>
:>;
>-l
:r:
o
I:'
'0
to
;J>
:>;
>-l
:r:
o
I:'
'0
to
;J>
:>;
>-l
:r:
o
I:'
'0
to
;J>
:>;
>-l
:r:
o
I:'
'0
to
;J>
:>;
>-l
:r:
o
I:'
<=-<'0
I:'to
H;J>
l'1:>;
:>;>-l
I:':r:
><0
I:'
'0'0
toto
;J>;J>
:>;:>;
>-l>-l
:r::r:
00
1:'1:'
'0
to
;J>
:>;
>-l
:r:
o
I:'
'0
to
;J>
:>;
>-l
:r:
o
I:'
<=-<
I:'
H
l'1
:>;
I:'
><
,
, ,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
~
~
(
to >-l '0
I:' >< ~
3: '0
,
UJ H
o iO ..;
H
to
'0
f-II--' n::on
00 OtIj
....................... 3: 0
00 "dCo
ot..t>. t"1tI:lO
.........-........ tIj (f)
00 1-:3J-itx1
lJl (Jl @ @S
e;
H
O<=-< :>; :z:
;J>I:' l'1HG"l
I:' UJZ
CUJ'O
~"d!
H
..;
:>;01
l'1l'1
gj~8
;:;~!
UJ'O
'>-l
()H()
OOH
~Z~
l'1
Z
>-l
UJ
::;~~8Ej ()'O
H:>;
'O:>;ZZtJ >-ll'1
l'ntr:lt-3:;u ><'0
z['1:>;[;;&l ;J>
0:>;
@. ()UJ "'l'1
>-l tJ
to 0 '0
l'1' :>;. OH
:>; :>;'"
>-l'
W
00:r: \0 ~~
Vlmo '"
, , :os W G"lo
OW;J> l'1Vl
00:>; l'1 1:'-
0 , 0 l'1
OOUJ H UJ
00 UJ -J
OJ , <: >-l ,
0-Jl'1 In
\0 , Z UJ '"
"'>-l >-l
8~~ Vl
Vl
3:"'l'1
3:VlUJ
0
Ej'1:'
0'0
tJO
HO
>-lo
H ,
0
Z
H H
ZZ
UJUJ
'0'0
l'1l'1
()(J
>-l>-l
OH
:>;0
.. Z
<=-<>-l
'O'OUJ ~8
88~ l'1:>:
UJl'1
ZZtJ >-l
l'1l'1H I:'
<:
I:'
H
l'1
:>;
I:'
><
tJ'O
;J>;J>
>-lG"l
l'1l'1
H
tv
,
W
o
,
o
'Vl-J
n
o
3:
3:
t>:l
Z
>-l
Ul
~
o
Z
o
>-l
t>:l
Ul
H~HtIjl-i
ZOZt"'f-'
>-l~Ult>:l'-
tIj "t1()~
::0 tIjl-jw
H n:u............
o I-3Hf\J
:0 no
:O;Jo<o
Ot"'Ul
C
Gl:O
~Oo
'Cf-'
HG)..
Z~oI>
, -..I
OH
"1Z
'0
3:
>':
;Jo<
t"'
t"'
Ul
f-'
f-'
'-
''''
'"
'-
'"
o
o
Ul
H
Z
>-l>-l
t>:lH;Jo<
:03:0
Ht>:l~
~.. Z
f-'
>':-..1
;Jo< ..
t"'o
t"'o
Ul
f-'
o
Ul
f-'
~
f-'
f-'
'-
'"
'"
'-
'"
o
o
Ul
;Jo<
~
o
00
01>
o
~
t>:l
t"'
f-'
o
'"
f-'f-'
f-'f-'
'-'-
"''''
"''''
'- '-
00
UlUl
;Jo<;Jo<
'On
o
01>
'"
'0
3:
;Jo<
o
~
t>:l
t"'
f-'
o
f-'
f-'f-'
f-'f-'
'-'-
"''''
ww
'-'-
00
UlUl
;Jo<;Jo<
'On
o
Ht>:l
Zt"'
Ult>:l
'On
t>:l>-l
n:o
>-lH
n
:O;Jo<
Ot"'
C
Gl:O
~O
HC
ZGl
~
t>:l'
:><H
>-lZ
t>:l
:0
H
o
:0
>':
;Jo<
t"'
t"'
Ul
:008
t>:lt>:l!
UlUl
cn
t"':o
;;l ~ ~H
'->-l
nH
00
3:Z
3:
t>:l
Z
>-l
Ul
f-'
f-'
'-
'"
W
'-
'"
o
o
Ul
o
f-'
~l-irol-i~l-irol-il-irol-il-irol-i~l-irnl-i~~l-irnl-i~l-irn~I-i~l-irn
~NCN~NCI-iI-iCI-iI-iCI-i~I-iCI-iO~I-iCO~Ocoo~oc
~~~~~6~~~~~~~~~~~~~~~~6~~~~6~6~
mf\Jo~tIj~~rooo~wwoWmWO~HtIj~o~romO~~tIjwo
~""""""H""""""Z""""""H""""""""""""H""""""""""""H""""""~""""""H""""""ZZ""""""H""""""~""""""Hro""""""Z""""""H
f\JZN NZNNZWf\JZf\J f\JZNQ NZN f\JZ~N wZ
OG)o OQooQaoQa DQO I-3OQO OQ~o OQ
o 0 0 00 00 0 0 OI-i~O 0 0 ~o 0
~~()~~~()~rnH~~~~ ~~~O~~~~ ~~ ~ ~~
m tIj m tIj Z ::0 ~ H o~ 0 0 0
~1-i~O~O~OI-i~OO~o~o::Ooo~o~o o~ 0 o~
~NH~~~H~W~~~H~I ~WW~ oo............w 1-'0 ~ wo
"'.. z.. "'.. z.. .. ;Jo<.. .. z.. 01>.. t>:l... .. n.. ..;Jo< .. ;Jo<
~f\JQ~~~QONI-3WWQWW~~~~ wo~ Wl-j ~ ~1-3
1-'0 NI-iQ O~H~W o~~~~. m~oo OOH N ~H
Gl Gl 0 f-' ~ 0 0
:0 lU Z Z Z Z
~8~ ~8~~ i~ i ~ i ~~ i i~ i ~~
0'\ ~ 0 0
o 1-:3 Z Z
It:lQl-Q '1:10 Y "'tIO
oJ:>.t< lI:I IJj L' tr1
"';Jo< ;Jo< ;Jo<Ul H ;Jo<Ul
...J(j) ::0 ::tit"' tIj ::OL'
f-'~;:j;1 ;15; ~ ;15;
C3:0 0 ><: 0
t>:lt"' t"' t"'
'>-l >-l
f-' H H
o I I ~ 3:
.. I I tIj tJj
o ,
o
,
,
,
,
,
,
,
,
,
,
>-l 'tI
~ !
Ul ....
o >-l
n:o~
~,tln
'OCo
t"'t>:lo
t>:lUl
>-l>-lt>;l
t>:lt>:lt'"
00t>;l
~
lU H
t>:lH~
UlZ
CUl
~'O~
~,
'0
to
;Jo<
:0
>-l
~
o
t"'
to
t"'
n
Gl
o
'"
'0
to
~
>-l
~
o
t"'
'0
to
;Jo<
lU
>-l
:r:
o
t"'
to
t"'
n
Gl
o
f-'
f-'f-'
"''''
'-'-
00
"''''
'-'-
00
UlUl
Oy
;Jo<t"'
t"'
Y'O
t"'to
H;Jo<
t>:llU
lU>-l
t"':r:
><:0
t"'
to
t"'
H
o
f-'
f-'f-'
f-'f-'
'- '-
"''''
moo
'-'-
00
UlUl
;Jo<y
'Ot"'
t"'
'0'0
toto
;Jo<;Jo<
lUlU
>-l>-l
:r::r:
00
t"'t"'
to
t"'
w
o
f-'
f-'f-'
f-'f-'
'-'-
"''''
ww
'-'-
00
UlUl
;Jo<y
'Ot"'
t"'
'0
to
;Jo<
lU
>-l
:r:
o
t"'
'0
to
;Jo<
:0
>-l
:r:
o
t"'
to
;Jo<
H
:0
to
t"'
'"
to
t"'
3:
o
f-'
o
f-'
o
'"
f-'f-'
f-'f-'
'-'-
"''''
Ww
'-'-
00
UlUl
f-'f-'
f-'f-'
'-'-
f-'f-'
-..1-..1
'- '-
00
UlUl
f-'f-'
00
'- '-
00
"''''
'-'-
00
UlUl
)>y
'Ot"'
t"'
)>y
'Ot"'
t"'
)>y
'Ot"'
t"'
y
t"'
H
t>:l
:0
t"'
><:
, f-'
'-..I
, ..
'0
o
to
t"'
3:
o
f-'
f-'f-'
00
'-'-
00
01>01>
'-'-
00
UlUl
1:0
n:ofl
Ot>:l
3:0
'OCo
t"'t>:lo
t>:lUl
>-l>-l1:O
tltJ S
El
H
SlH~
UlZ
CUl'tl
~'t1!
....
>-l
:00,
t>:lt>:l
gj~8
~~!
Ul'O
'->-l
nHn
00....
~z~
t>:l
Z
>-l
Ul
to y
)>t"'
t"'
f-'
-.J
o
o
>-l 'tI
~ !
Ul ....
o >-l
i;;~~8E;
'O:ozzo
t"lntIj,.,~
t>:llUlUt>:l
Zt"' )>Ul
C nUl
3: . >-l
to 0
t>:l. :0.
'"
n'O
H:O
>-It>:l
><:'0
)>
0:0
"1t>:l
o
'0
Of-'
:0'"
>-l'-
~~
Glo
t>:lUl
t"'-
t>:l
Ulf-'
'"
Ul
'"
OO~ 1..0
1Il0'lO f\J
I I::E: w
ow)>
00::0 tIl
o 0
00(1) l-'
00 Ul
CDI<: 1-3
O-..lt>:l
'" Z Ul
"'>-l >-l
n , C
00:0
3:"'t>:l
3:UlUl
o
;Jo< t"'
00'0
00
HO
>-lo
H'
o
Z
o
01>
'O'OUl
:r::r:c
OOto
zzo
t>:lt>:lH
<:
zz
UlUl
'0'0
t>:lt>:l
nn
>-l>-l
OH
:00
.. Z
y>-l
~8
t>:l:>:
Ult>:l
>-l
t"'
t"'
H
t>:l
:0
t"'
><:
0'0
;Jo<)>
>-lGl
t>:lt>:l
f-'
'"
'-
f-'
W
'-
o
Ulol>
01 01 >-3 'tl tJ:1 tJ:1 tJ:1 tJ:1 tJ:1 tJ:1 tJ:1 >-3 'tl i;;~i!8E; n'O
I:-< I:-< >< ~ I:-< I:-< I:-< ;I> I:-< I:-< I:-< >< ~ H:U
f-' f-' '0 n H W H '" 3: 3: '0 'O:UZZO >-301
, G"l :u , I:-< n01 >-3:U ><'0
[}) H [}) H O1:U:Uo1 ;I>
0 0 0 >-3 0 0 0 0 0 0 0 0 >-3 ZI:-< ;I>[}) O:u
'" f-' f-' f-' f-' f-' f-' '" f-' @. n[}) "'01
>-3 0
0<1 tJ:1 tJ:1 0 '0
n:uf;; 'tl 01. :U. Of-'
f-'f-' f-'f-' f-'f-' f-'f-' f-'f-' f-'f-' f-'f-' ~, f-' n:u('l :u :u'"
f-'f-' f-'f-' OO1('l f-'f-' f-'f-' f-'f-' f-'f-' 00 00 001 >-3,
" " 3:0 " " " " " '-' 3:0 0
"'''' "'''' 'OGo "'''' "'''' "'''' f-'f-' 00 C' 0 'OGo oo:r: '" ~~
"'''' ww 1:-<010 CD OJ WW WW -.J-.J "'''' """" 1:-<010 lO"'O '"
" " o1[}) " " " " " " o1[}) , , ::8 W G"lo
00 00 >-3>-30<1 00 00 00 00 00 00 >-3>-31l:1 OW;I> o1lO
lOlO lOlO O101t"< lOlO lOlO lOlO lOlO lOlO LnlO O101C:: OO:U 01 1:-<-
000<1 OOH 0 , 0 01
~ e; OO[}) f-' [})f-'
00 [}) '"
t~ H CD <: >-3
;1>;1> ;1>;1> :u H ;1>,,-< ;1>,,-< ;1>,,-< ;1>,,-< ;1>,,-< 0,,-< :u z: O-.Jo1 W
'On 'On O1H~ 'Ot:" '01:-< '01:-< '01:-< '01:-< ;l>t:" O1HG"l '" , Z [}) lO
0 0 .[}) Z I:-< I:-< I:-< I:-< t:" I:-< [})Z "'>-J >-3
G[}) G[})'tl n , G 0
1:-<'0 ~'O~ Oo:u 0
>-J j 3:"'01
3:lO[})
H 0
>-3 E;'I:-<
:u08 0'0
, H~HtI:lf-l H01 ~~~f-lf-l~f-lf-l~f-l~f-l~f-l~~f-l~f-l(f-l~~f-l~f-l~ :UO , 00
, ZOZI:-<f-' ZI:-< O101! ~~Cf-lf-lCf-lf-lCf-l~f-lCf-lO~f-lCOWOCOO~OC 0101 HO
, 1-3~C/)tJj.......... (f)01 (f)[)) ~"""""H""""""""""H""""""""""H"""""~"""""H"""""~~"""""H"""""~"""""Hrt"""""~"""""H gJ;q8 >-30
, tt:l "tl{)tv 'On Gn ~O~tvN~Ntv~N~N~f-lZ~f-l~O~O~ o~Ot"l H
, ~ tt:1t--3w 01>-3 I:-<:U tI:l~~ooroowwOWroW~~HtI:l~O~ro~o~~tI:lWO I:-<:U! 0
, H n:u, n:u >-3HH Z..........H....................H'..........H..........~..........H..........ZZ..........H..........~..........Hro..........Z..........H >-3H Z
, 0 >-3H'" >-3H (f)'O~ tvZtvtvZNNZrv NZNQ tvZN NZWtv NZ [})'O
n , :u no n '>-3 OQOOQOOQo DQO 1-30Qo OQo..o 0G"l '>-3
0 :U;l>o :U;l> nH 0 00 00 0 0 01-'):.10 0 0 '< 0 0 nH('l H H
3: , ::8 Ol:-<lO Ot:" 00 iPoLnl}Ulll1HlJ1lJ1"'ljUl Ln):>oU10~lJ1"tllJ1 lO'" lO lO OJ OOH ZZ
3: , ;I> G G 3:Z '" 01 Z :u "" H 01:-< 0 0 0 ~zg: Of)(f)
01 , t:" Cl:U Cl:U 3: ~o~of-l8oo~o~o~oo~o~o o~ a~ '0'0
Z , t:" :r:oo :r:o 01 0 01 0101
>-J , [}) Gf-' HG Z ~-.JH'::::"NLi.t::>,J::.H,t:>. I ...,J{j)W~ co..........w f-'O "" WO Z nn
[}) , HQ.. ZCl >-3 "'..Z....;I>_..Z..""..01_. -n.. ;I> ;I> >-J >-3>-3
, f-' z:r:"" :r: (f) -.JUlQOt\J'""'3WWQWt0lJ1;J:::.1.::::..;s: WOlO "'>-3 "" lO>-J [}) OH
~ , f-' , -.J 01 f-'a O-..JH'::::"W o -.J lJ1 t'1.::::... "'I:-<CD CDH '" lOH :U0
, , OH >:H Cl 0 f-' ""~~~ 0 0 - Z
0 , '" 'UZ >-3Z :u Z Z Z
, '" '0 01 ~H'O'O '0'0 '0 ~ '0 '0 '0 '0 "-<>-3
Z , , Z 3: :u 03:3: 3:3: 3: 3: 3:3: 3: 3:3: ~8
0 '" H '" 'U 0 0 'O'O[})
>-3 , 0 >-3>-J 0 0 >-3 Z Z 5561 01:>:
01 , 0 O1H;I> :u '0 "-<'0 '0'0 '0 '0 "-< , OCl'O '00 "-< '00 [})o1
[}) , lO :U3:0 tJ:1 1:-<tJ:1 tJ:1tJ:1 tJ:1 tJ:1 t:" "">< tJ:1 tJ:1 I:-< tJ:1 zzo >-3
H01~ ~ ;I> H;I> ;1>;1> ;I> ;I> H "';I> ;I> ;I>[}) H ;I>[}) O101H I:-<
, 2 - :u o1:U :u:u :u :u 01 -.J[}) :u :Ul:-< 01 :Ul:-< <:
, f-' t:" >-3 :U>-J >-3>-3 >-3 >-3 :u f-l~j~ >-3;1> :u >-3;1> I:-<
, 0 f-' I:-< :r: I:-<:r: :r::r: :r: :r: I:-< :r:ttI I:-< :r:ttI H
, - ::8-.J [}) 0 ><0 00 0 0 >< G3:0 0 >< 0 01
lO ;I> - I:-< I:-< 1:-<1:-< I:-< t:" 011:-< I:-< t:" :u
f-' 1:-<0 f-' I:-<
1:-<0 f-' , , >-3 , >-3 ><
[}) , f-' , , i , H
~ '" 0 , , , 3:
f-' W - , , 01 , ~,
f-' , 0 , , - , -
, '" 0 , ,
;I> '" 0 , , f-' , f-'
0 '" 0 , , , -.J , -.J
3: , lO , , , - , -
~ '" , , , 0 , 0
0 , , , 0 , 0
0 0 : , ,
lO f-' ,
, ,
"" , ,
0 '" , ,
CD , ,
, 0'0
"" '0 , , ;1>;1>
0 3: , , >-3Cl
, , 0101
,
~ ;I> , ,
0 , ,
~ , , f-'
, , '"
, , ,
0
'"
,
0
lO-.J
~
~~\ ! ~~~~~~~~~~~~~~~~~
~ ~~}: ~~S~~~~S~~~Sg~~~S
I ~N~~Z~~~O~O~ O~O~
... ~. : ~ ~ 8 -:: z ~ ~ 8 ~ g ~ 8 ~ ~ ~ ~ 8
"~ I\JZNQ NZrv I\)Z~l\.) N2;
n OQa ~OQo OQ~o OQ
~ ~ ~ ~~~6~~~~ ~~~~ ~~
~ ~ H o~ 0 0 0
~ ~o~oo~o~o o~ 0 o@
~ I ~~W~ OO'w ~o ~ w~
[f] ",... OJ... .. 0.. ..:>> .. :>>
I\J~~~~ wo~ N~ ~ ~~
~~~~. m~oo OOH I\J ~H
~ ~ @ ~
~ ~ ",.~ ~ ~~ ~ ~~
O'l I'lj 0 0
o ~ Z Z
It:lQtt:l 'LIO ~ 1'00
.f:>~ to to ~ to
N:t>- ;J::.I ;J;:>'C/) H :t:-cn
....,JC/) ::0 ::dt-l ttI :::t1Li
~~~fi ~5; ~ ~5;
c:~o 0 >< 0
OJI:""' I:""' I:""'
I ~ I >-:I
6: : ~ : ~
" I ttI I/:IJ
o I.. I..
0, ,
, ~ ~
I -....J I -.J
I .. I..
, 0 0
10 10
, ,
, ,
,
, ,
, ,
, ,
, ,
, ,
, ,
, ,
,
,
,
,
,
,
~ ~
~
-.,)
C\
r-
~
o
Z
o
>-J
OJ
[f]
'0
~
:J>
~
>-J
~
o
I:""'
~
:>>
H
~
III III III
I:""' I:""' I:""'
'" ~ ~
0 0 0
~ '" ~
~~ ~~ c.' ~
~~ 00 00
'-'- '-'- .,'-
~~ 00 00
..J..J "'''' ",.",.
'-'- '-'- '-'-
00 00 00
UlUl UlUl UlUl
o
~
w
'-
o
Ul
:J>y
'01:""'
I:""'
:>>y
'01:""'
I:""'
y
I:""'
H
OJ
~
I:""'
><
Oy
:>>1:""'
I:""'
>-J 'tl ~;g~8E;
>< ~
'0 'O~zzo
'- I:""'OOJ>-J~
[f] H OJ~~01
0 >-l ZI:""' :J>[f]
~. O[f]
>-J
III III 0
'tl 01. ~.
n~n ~
OOJ
~o
'OC:o OO~ '"
1:""'010 "''''0 '"
01[f] , , ~ w
>-J >-J Ill. oW:J>
OJ Ole:: Oo~ 01
OOH 0 0
~ 00[f] ~
00 [f]
H ""< >-J
~ Z 0..J01
OJHQ '" , z [f]
[f]Z "'>-J >-J
C:[f]'tl 8~~
~tt:l; ~"'01
~"'[f]
H 0
>-l E; , I:""'
0'0
~Ol 00
0101 H 0
gj~8 >-Jo
H ,
I:""'~! 0
>-JH Z
[f]'O
'->-J
nH("]
OOH
~z~
OJ
Z
>-J
[f]
'O'O[f]
555i
ZZO
O101H
<:
HH
ZZ
[f][f]
'0'0
OJ OJ
no
>-J>-J
OH
~o
.. Z
y>-J
:J>H
~o
OJ:>:
[f]OJ
>-J
I:""'
I:""'
H
OJ
~
I:""'
><
0'0
H~
>-JOJ
><'0
:J>
O~
"1 OJ
o
'0
o~
~~
>-J'-
~~
<;)0
OJ'"
1:""'-
OJ
[f]~
W
W
'"
o
~
0'0
:J>:J>
>-J<;)
0101
~
~
'-
'"
W
'-
O~
"''''
~~~~~~~~~~~~~~~~~~~~~~~
~c~~c~~~c~o~~co~ocoo~oc
'H"H'~'H'~~'H'~'H~'~'H
~~~~~~~~~~Z~~~O~O~ O~O~
OO~WW~wroW~~H~~bmmmo~~~wb
'H"H'~'H'ZZ'H'~'Hro'Z'H
NZNNZW NZNQ WZW NZ~N Wz
OQOOQo OQo ~OQo OQ~o OQ
o 00 0 0 O~~O 0 0 ~O 0
~H~~~~ ~~~O~~~~ ~~ ~ ~~
Z ~ ~ H O~ 0 0 0
~~oo~o~o~oo~o~o og 0 O~
N~~~H~I ~mw~ m-........w ~b ~ wb
.. ;.> .. .. Z.. .. .. t>1... .. n.. ..;.> .. ;.>
N~WWQWN~~~~ WO~ N~ ~ ~~
~H~W O~~~~. m~m OOH N ~H
o ...... !;;i 0 0
Z Z Z Z
~ ~~ ~ ~ ~ ..~ ~ ~3 ~ ~3
O'l l'Ij 0 0
o >-l Z Z
1t::lG:ll"d 1-00 Y "dO
ot>.t< to to t'1 tI1
N;J::.I ~ ;:t:lu) H ;::::"{J)
--JC/) ::0 ::dt"l tIj ::dt'1
f-'~::1;J ;J5; ~ ;J5;
C::30 0 ><: 0
t>1t"' t"' t"'
I 1-3 11-3
6 ; ~ ; ~
.. I tI:I I tI:l
o I I ..
0, ,
I I--' I I-'
'-..l -..l
,
,
,
,
,
,
,
, tv tv tv tv tv
, t"' S ;.> t"' t"'
, H H '" 3
, ""
,
, 0 0 0 0 0
, f-' f-' f-' f-' '"
,
,
~ f-'f-' f-'f-' f-'f-' f-'f-'
f-'f-' f-'f-' f-'f-' 00
, "- "-"- "-"- "-"- "-"-
, '" "'''' "'''' f-'f-' 00
, co ww ww -..l-..l "''''
, "-"- "-"- "-"- "-"-
, 0 00 00 00 00
, Vl VlVl VlVl VlVl VlVl
,
,
,
;r ;.>c., ;.>c., ;.>c., ;.>c.,
'Ot"' '01:"' 'Ot"' '01:"'
I:"' I:"' I:"' I:"'
,
,
n
o
3
3
t>1
Z
>-l
[J)
~
o
Z
o
>-l
t>1
[J)
'0
tv
;.>
""
>-l
:r:
o
I:"'
'0'0
tv tv
;.>;.>
""""
>-l>-l
:r::r:
00
1:"'1:"'
'0
tv
;.>
""
>-l
:r:
o
t"'
'0
tv
;.>
""
>-l
:r:
o
I:"'
c.,
t"'
H
t>1
""
I:"'
><:
o
o
tv >-l 'tl
I:"' ><: ~
3 '0
"-
[J) H
o >0 ..;
f-'
III
'tl
......,..... n::on
00 Otlj
.................. 3:'.0
00 "tlC::c
It>.,t::.. t"'tIlc
.................... P1(f)
00 1-3~~
UllJ1 ~~S
e;
H
Oc., "" Z
;'>t"' t>1HG)
I:"' [J)Z
C::[J)'tl
~'d~
H
..;
",,0,
t>1t>1
;g~8
~~I
[J)'O
"->-l
nHn
OOH
~Z~
t>1
Z
>-l
[J)
, ..
, 0
'0
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
;'>'Oon;.> n'O
'0;'>:<:00 H""
'O""zzo >-It>1
I:"'nt>1>-l"" ><:'0
t>1",,"t>1 ;.>
ZI:"' ;'>[J) 0""
~. nUl "'t>1
>-l 0
tv 0 '0
t>1. "". Of-'
"" ""f-'
>-l"-
'"
oo:r: '" ~~
Vl"'O '"
, , :<: w G)o
ow;,> t>1Vl
00"" t>1 1:"'-
0 0 t>1
OOUl f-' Ulf-'
00 Ul '"
co , < >-l
0-..lt>1 ..
'" Z [J) 0
"'>-l >-l
n , c:: f-'
00"" ..
3"'t>1
3VlUl
0
;.> , I:"'
00'0
00
HO
>-lo
H ,
0
Z
zz
UlUl
'0'0
Dlt>1
nn
>-l>-l
OH
",,0
.. Z
c.,>-l
'O'O[J) ~:=;
"3651 t>1~
[J)t>1
zzo >-l
t>1t>1H t"'
<
I:"'
H
t>1
""
I:"'
><:
0'0
;.>;.>
>-lG)
t>1t>1
f-'
f-'
"-
'"
co
"-
o
Vl-..l
tIl tIl tIl >-J ":l ::;~~8E; n'O
t"' t"' t"' "' ~ H>O
'" 3: 3: '0 'O>oZZt:J >-Jt>l
'- t"'n 01 >-J>o ",'0
m H 01>0>001 ;p
0 0 0 0 >-J Zt"' ;Pm 0>0
H N H @. nm "'01
>-J t:J
I:ll tIl 0 '0
f ":l 01, >0. OH
HH HH n>O(J >0 >OH
'00 00 001 >-J'-
'-'- '- '- 3:0 H
00 00 'OCo oo:x: '" ~-:::
"'''' "'... t"'t>lo Ul"'O N
'-'- '- '- t>lm , , ~ w Glo
00 00 >-J>-J1:ll ow;p t>lUl
UlUl UlUl 01 Ole: 00>0 01 t"'-
t:Jt:JH 0 , t:J 01
e; oom H mH
00 m N
f~ ... co <: >-J N
;Pc.., t:Jc.., >0 izI 0'-'01
'Ot"' ;Pt"' t>lHQ '" Z m N
t"' t"' mz N>-J >-J
cm":l 8~g ...
~~~ co
3:Nt>l
3:Ulm
... 0
>-J ;p t"'
t:J0'O
3::~........ttl""""~f-Ittl::1I-'~l-'td >ot:J I t:Jo
o;x:.)--LC:OllJOC:OO~oc::: 0101 H 0
:::d::O..........H..........'1..........Hn-..........::u-........H ~~8 >-Jo
Z::tlI-'L'Of-;Ot"l O::Oot"" H
Htlj-...Jt:JO'IfDO"It:::l"1of::>D:lWt:l t"'>01 0
ZZ...........H...........::1...........HID...........Z..........H >-JH Z
Q NZN rvZp'!!\.} rvz m'O
n 1-30GJo OQo.o oGl '->-J
0 H;PO 0 0 '< 0 0 nH(J HH
3: O'<UltUUl Ul'" Ul Ul'" OOH ZZ
3: ot"' 0 0 0 ~Z~ mm
01 00 m 02 o~ '0'0
Z ::001-30 0 01 0101
>-J ;p co '- W Ht:J '" wt:J Z nn
(J) n .. ;p ;p >-J >-J>-J
3: WOUl N>-J ... Ul>-J m OH
~ "'t"'co COH N UlH >00
"'~~~ 0 0 .. Z
t:J Z Z
'0 '0 '0 c..,>-J
Z 3:3: 3: 3:3: ;PH
0 '" '" 0 0 'O'O(J) 3:n
>-J 0 >-J Z Z t'it'ifii 01;"
01 , t:JGl'O '00 c.., '00 (J)t>l
(J) "'"' tIl tIl t"' tIl zZt:J >-J
N;P ;p ;Pm H ;P(J) t>lt>lH t"'
'-'(J) >0 >ot"' 01 >Ot"' <:
........~j~ >-J;P >0 >-J;P t"'
tIll:ll t"' tIltIl H
C3:0 0 "' 0 01
t>lt"' t"' t"' >0
t"'
, , >-J , >-J "'
H , , H , H
0 , , 3: 3:
.. , 01 01
0 , , .. , ..
0 , , ,
, , H , H
, '-' , '-'
, , .. ..
, , 0 , 0
, , 0 0
, ,
,
, ,
, ,
,
, t:J'O
, ;p;p
>-JGl
, 0101
,
,
,
H
H
'-
H
'-'
'-
0
Ul...
tJ:l tJ:l >-l I i:;~08E; 0'0
t"' t"' >< H>:>
3: 3: '0 'O>:>~Zo >-It'l
, t"'()tr1.,:;u ><'0
(I) .... t'l>:>>:>t'l ;>>
0 0 >0 >i Zt"' ;>>{I) 0>:>
'" ..... ~. O{l) ".1t'l
>-l 0
III tJ:l 0 '0
t "" t'l. >:>. 0.....
.......... O>:>1'l >:> >:>0
00 Ot'l >-l'
" 3:>0 0
00 'O~O 00iI: '" ~~
"""" t"'t'lO Vl"'O '"
" t'l{l) , , :>; W Glo
00 >-l>-llll OW;>> t'lVl
VlVl t'lt'lc::: 00>:> t'l t"'-
00.... 0 , 0 t'l
e; OO{l) ..... {I).....
00 (I) W
fJ .... OJ, <: >-l
01:; [:iH~ O-.Jt'l Vl
;>>t"' "', Z (I) 0
t"' (l)Z "'>-l >-l
~~I 8~~ ""
Vl
~"'t'l
Vl{l)
.... 0
>i E; , t"'
0'0
~1-'1I:l;:1"""'~l-'tr:I >:>0, 00
IllOGOO>'OG t'lt'l HO
I1..........HrT..........~.........H (I) (I) 8 >-lo
,",ot"' a::oot"l H ,
mO'\t:1I1~tt:lwtj ~fJ! 0
:J..........Hm..........Z.........H >-lH Z
~ZIllr..J tvZ (I) '0
0 OQo.o OQ '>-l
0 0 '<;0 0 OHI'l HH
~ Vl".1 Vl Vl".1 00.... ZZ
0 0 ~z~ (I) (I)
t'l ~~ o~ '0'0
Z 0 t'l t'lt'l
>-l "" wo Z no
(I) .. ;>> .. ;>> >-l >-l>-l
"'>-l "" Vl>-l (I) OH
~ OJH '" VlH >:>0
0 0 .. Z
Z Z
'0 '0 '0 I:;>-l
Z 3:3: 3: 3:3: ~8
0 0 0 '0 '0 (I)
>-l Z z 13131iJ t'l:>:
t'l '00 I:; '00 (l)t'l
(I) tJ:l t"' tJ:l zzo >-l
;>>{I) H ;>>{I) t'lt'lH t"'
>:>t"' t'l >:>t"' <:
>-l;J> >:> >-l;J> t"'
iI:tJ:l t"' iI:tJ:l H
0 >< 0 t'l
t"' t"' >:>
t"'
, >-l , >-l ><
, H , H
, 3: , 3:
, t'l , t'l
, .. ,
, ,
, ..... , .....
, -.J , -.J
, .. , ..
, 0 , 0
, 0 , 0
, ,
, ,
, ,
, ,
, ,
,
, 0'0
, ;J>;J>
, >-lGl
, t'lt'l
,
,
,
, .....
, 0
, ,
0
'"
,
0
VlOJ
tIl ..., 'tI ~:;l~8E; n'11
t' 0<: ~ H:>:J
3: '11 '11:>:J ZO ...,t>:!
'- t'nt>:!...,:>:J 0<:'11
'" .... t>:!:>:J:>:Jt>:! ;..
0 0 >i Zt' ;..'" O:>:J
H ~. n", ''It>:!
t~ ..., 0
Il:l tIl 0 '11
'tI t>:!. :>:J. OH
8G;1"l :>:J :>:Jo
..."
3:0 0
'11Co 00:I: '" ~~
t't>:!o "''''0 "-'
~~ t>:!'" , , :>; w Qo
""""Il:l ow;.. t>:!'"
'" tll'J S 00:>:J t>:! t'-
0' 0 t>:!
S 00'" H "'H
00 '" W
~ .... "', <: ...,
<:; :>:J == O""t>:! "-'
t' t>:!HG'l "', Z '" '"
t' "'Z "-'..., ...,
C"''tI 8~~ H
~'11~ '"
3:"-'t>:!
3:en",
.... 0
>i E; , t'
0'11
:>;HtIl :>:JO, 00
;"OC t>:!t>:! HO
:>:J'-H gj~8 ""0
:>:JOt' H ,
t>:!WO t':>:J1 0
Z'-H ...,H Z
"-'z "''11
0 OQ '-""
0 0 OHI"l HH
~ en"l 00.... ZZ
0 ~Z~ "''''
t>:! O@ '11'11
Z t>:! t>:!t>:!
..., WO Z no
'" .. ;.. ..., ...,...,
en..., '" OH
~ enH :>:JO
0 " Z
Z
'11 <:;...,
Z 3:3: ~~
0 0 '11'11'"
..., Z ssfiJ t>:!~
t>:! '110 "'t>:!
'" tIl ZZO ...,
;..'" t>:!t>:!H t'
:>:Jt' <:
...,;.. t'
:I:tIl H
0 t>:!
t' :>:J
t'
, ..., 0<:
, H
, 3:
, t>:!
, ..
, H
, ""
, ..
, 0
, 0
,
,
,
,
,
,
, 0'11
, ;..;..
, ""Q
, t>:!t>:!
,
,
,
, H
, 0
, '-
0
..
'-
OH
en"-'
BUilDING PERMIT - APPLICATION
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 V
PERMITs (360) 417-4815 FAX(360)417-4711
/
Applicant or Agent: c::::::::... ~~ ~t;. S jV\ I iN
O~~: DAee~ ~A~
Address: mq.7 I-IIVV) }O! ~ City: ~~.AIV:~tr<
Architect/Engineer: L1M:;~l::t * 'SM J~ ~J.J\1"~ _ Phone:
Contractor WAe2.tsYi.r ~ J...t.it,.- State License #: Exp:
I
Address: ~D~ etzaJJN 1Z!). City: Poa..r 4N~bt.t;l;
PROJECT ADDRESS:~"'2 ~e" I=,~,... c:.:.T.
Phone: 4'13 2,- ~ J} '"
Phone: %0 ~ ((;7 OJ )
Zip: C? ~~ I?t-
4-Fz....bJ} J,
Phon~/)"'f2 7 J
Zip: t')t~ 2-
ZONING:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COuNTY PARCEL NUMBER:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family )5 Addition 0 Move
'Fd Commercial 0 Remodel 0 Demolition
/I. '* Repair 0 Sign
BRIEF DESC.R.ft>tION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATION:
Ict?E; SF. @ $ ~O /SF. = $ E:"h,oGO. D;/
SF. @ $ /SF. = $
SF. @ $ /SF. = $ "7
TOTAL VALUATION $~!!f:;2" 050. v-/
,~8'T;'/1... ~-F~ ADCn71o-v I ~
~
o Stove
o Garage
o Deck
o Other
.s; I N'6. L D ':;'~t:-.V;
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: -l Lot Size: ~ ~OC;,-,). ,':"Existing Sq. Pt.
Tota1lot Coverage 0 I I ~~ . %
Occupant Load: Construction Type:
, ~17 &ProposedSq.Ft. J~;;'~ =TOTALSq.Ft. ~?Z.Z
PLANNING USE ONLY: AFPROV ALS:
PLAN:
BLDG:
~ DPWU:
FIRE:
ESAlWetIand(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: OTHER:_
VALUATION OF CONSTRUCTION: In an e'".., a valuation amount must be entered by lbe applicant. This figure will be reviewed
"'d may be revised bYlbe Building Division to oomply with currcot fee '~dules. Contact lbe Permit Coordinator at 417-4815 for ,",sistauee.
PLAN CHEcK FEE: IF a pI", check fee is due it must be submitted at the time lbe buildmg permit application ",d construction pI"" are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REYrEW, If no permit is issued within 180 days of the date of application, lbe application will expire. The
Building Official c'" cxlend the time fur _on by the applicant up to 180 day' upon written requ",t by the applicant (",e Section RI05.3.2
of the International BuildinglResidentiaI Code, 2003). No application can be extended more than once.
I hereby cerlify that I have read and examined this application and know the same to be troe and correct. I am authorized to apply
for this permN and understand that it is my responsibility to determine what permits are required, not the City's, and that I must
obtain Stich permNs prior to wori<. ~ _. ,
T:\PoJicies\BL-lI02 13.wpd Applicant:" - Date: Zd). JP.VICA' {)lfi?'
- ~
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Phone 2:
-
Building .DepartmentUseDnly
Lot:
Address: 1z.~ ~ I=I~T ~.
City: PD12-T' ~ &t 'o'\.trs
State: tN. Zip: ~~2.
Contact: CJ,.Jtl.ra.t..8"c:;. b I c; M I ~
Phone: 452.. (PI ~ "'"
Permit#:
,'Notes:,
Fax:
+S2-i0l14-
. n ullIte azmg )1 non ny
Glazing Glazing V-Factor Door9 Wall Wall Wall Slab4
Option Area 10 V- Ceiling2 VauIted Above Int4 Ext4 Floor5 On
% of Floor Vertical Overhead] ] factor Ceiling3 Grade Below Below Grade
- Grade Grade
ill Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-I0 R-30 R-I0
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQVlREMENTS 0,1 FOR GROUP R OCCUPANCY
. CLIMATE ZONE 1
(U r . d GI . 0 . 0 1 )
See the code text for footnote references
This project complies with the fol/owing:
../ The project is a single family residence or duplex.
../ The project is wood frame OR a1/ of the insulation is interior or exterior of the framing.
../ All building components meet the requirements listed in Table 6-1, Option III.
../ The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
T)' pG:. D F l-\G"A -t- SOuiZ-CE' ( t:LS'c",..
\-! ST p\A YlP
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
Feet
N
Area Map
This map is not intended to be used as a legal description.
This map/drawing is produced by the City of Port Angelesfor its Own use and pmposes.
Any other use q{ this map/drawing shall not be the responsihili(v ~f the Ci(l'.
.~
..\W
R7 ~/O ~
.~ -r;t.e e n'"'1 Or-: 'F:. 1/ .
~r'7 (? t: /IJ FiJ,€1'7. ;;;<-t
?;f I"t-r J7./j- J2 R (A:1 K t=c /\/7'1- s II 7/-5.
~v ~ 2--&R~r.5S (ON I C )76
Ce:>A.) r7RiJc57(o IJ t{)ORk
,1..,.. C( 2-"3 Et...,r 5: TO" P, A ,
:;>
~
~
,
V')
W
-oJ
W
l:J
Z
<
b2
o
c..
tu'
"'w
C~
-V')
71-
-V')
.J~
~u:
-
I-
7 V')
-<
.JW
~M
C~
J
.t'Ili t-.Li
.t'Ili hLi
06-.fC
~#r
~
ill
,~
it! sJ
___/~_/___// ;LJ /
/ / / ~-...- /KA
Vv vV' I(JJ
i
\')~
z_
i=Q
d)-l
x3
will
~
ill
~
ill
~
ill
~
ill
ill
~
ill
it
ill
(jl i
! -II r-
& d I
15 M
Ziti
I!
II' .
C=--==:J
~
ill
I
II
....- ....- ....- ....-
...... ....- ...... ....- ....- ....-
, II ~.:Ii~' ,Sf
~ ~ i ,. :if ~I~I~ ~ ~
-~
It: ~ i
z I~ tH I
~ Ii U~ ":i fl' i~1 ~i !111;~llf~11 ! ;111 II :1
.. in f ~ !
~ ,.. ~ III ~ 81111'1:16
o ~I f- "' o 5 H' I'! lis. II h ~ I I. ~p
: II · 0 "' -<i
0 f- Z m I"II,! Ii ~! Ii; ~;!ill &1 :i ~j III Ii
lL ~ ~i H jl
U 't i ";1 'II~ ~ ~ h Itl! ..1... I~ t '" tl ~
~~ u '<( ! ~ a--II i
~ II ~ ~ ~ 1:lllli III i: d! ~lIIi!lI!li II if !~ 11111
~ I!d 81111rili~
~
~
~
.
~
<)
,
I;
i::
.
,
.
...
~
II
~
.
'1'
g
~
IE
w
f-
d)
$~
W
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000809 Date 10/30/05
090571
923 E 1ST ST
06-30-00-7-2-0250-0000
COMM ADDITION
COMMERCIAL ARTERIAL
58050
Owner
Contractor
HOWARDS VENTURES LP
803 INDIAN BEND RD
UMPQUA OR 974869737
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
.11
1. 00
1387.00
17500.00
1935.00
18.90
1. 00
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
OWNER/ CIR= 200A PNL. COMM.
61945
95.80
10/30/05
4/28/06
Plan Check Fee
Valuation
.00
o
\\
~~
W\J
~\A
~
'l:'
""
~
J
~
Qty
1. 00
Unit Charge Per
95.8000 ECH EL-COM 101-200 NEW SRV FEEDER
Extension
95.80
Special Notes and Comments
09/13/2005 01:16 PM KDUBUC -----------------------------
The Fire Department will require detailed floor plans for
review.
09/03/2005 03:18 PM SROBERDS -- The proposal will result
in an addition to a commercial structure in the CA zone for
total lot coverage of 19%. No land use issues noted.
MAINTAIN CLEARANCES FROM SERVICE WIRES. The Electric
Service Entrance Must be Relocated.
09/02/2005 08:24 AM JHEBNER ----------------------------
Electrical load calculations and elctrical permits are
required.
Connect Fee Does Not Apply.
09/02/2005 08:29 AM JHEBNER ----------------------------
Any modifications to the electrical facilities will be at
the customer's expense.
09/02/2005 08:29 AM JHEBNER ----------------------------
Public Works Utility Engineering has no requirements for
this plan review.
~1
~
~
""-
\i\
'\
c,
"j
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 95.80
95.80
.00
.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
un l,;t1
lUll 1~1-I-IN /IIIV,",K
__..... . _A'
:ShK V lCh
FINAL I T I
GENERAL COMMENTS:
PW-ll02.l' [4196]
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Plan Check Total
Other Fee Total
Grand Total
.00
4.50
100.30
COMMENTS/ACTION NEEDED
Page
Date
2
10/30/05
05-00000809
090571
.00
4.50
100.30
.00
.00
.00
.00
.00
.00
ELECTRICAL PERMIT INSPECTION RECORD
. CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATI!: ACCItPTItD COMMENTS
I YES I NO
./ e),(;T€e IeI'[ o..<J~.>
jl--Z-3-0')
UTI 'H II - '2 1- 01'" I rV nt~Dt<. <.AJ 1'Iu-5
lUll TnH_IN7 CO'V J::!.K t1-P IZ-z. r I~LN~L-
;SJ::!,K V It;J::!,
I;. - .t. "1- 0.$1 ..H J. )
GENERAL COMMENTS:
PW-II02.U (4196)
o~ pORT ~
~~~~<(,
a~.
"--~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001267 Date 12/22/05
103486
923 E 1ST ST
06-30-00-7-2-0250-0000-
COWBOY COUNTRY
SIGNS
COMMERCIAL ARTERIAL
1000
Owner
Contractor
HOWARDS VENTURES LP
803 INDIAN BEND RD
UMPQUA OR 974869737
ADVERTISING SALES & MORE
1327 E. 1ST STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 452-7785
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SIGN
RELOCATE SIGN FRM OLD LOC.
67736
209.00 Plan Check Fee
12/22/05 valuation
6/20/06
Qty
2.00
1.00
Unit Charge Per
47.0000 PER S- SIGN LES THAN 25 SF
115.0000 PER S- SIGN FREE OR PROJ 25+
Extension
94.00
115.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 209.00 209.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 213.50 213.50 .00 .00
.00
1000
~
FnJ~
(/27/tr;
-D
~
~~
~
~
)~
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 ~or:ity...t violate or cancel the provisions of any state or local law regulating construction or the performance of
const'f'CHol"i.
''2- - 2 '2.. or
Ignature of Contractor or AuthOrized Agent
Date
Signature of Owner (If owner IS bUilder)
Date
T'\Pohcles\11 02_15 bUlldmg penmt inspectIOn record05. wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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/1-1/05 ,-1(,,1; U'tvl"hl'\f1-
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CffiMNEY FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 I ,- PLANNING DEPT
BUILDING 417-4815 IjZ7 IOC, "-.i CA../ BUILDING
T \Pohcles\1 102_15 bUIldmg penUlt mspectlOn record05 wpd11/4/2005]
PERMITS (360) 417-4815 FAX(360)417-4711
"'~(r,
(!~~
.If' 19,~~~
~~ _ :'i:::;:_~~:-_ .}\
\~.- j
.~'
BUILDING PERMIT - .APPLlCATION
Fill out COMPLETELY and in LNK. Your applicatIOn and site plan 1\1UST B
COI\ITLETE rv DL ;'H:Lep Led fOr 1 eYlE:~'. I: YDu have any qTICstlOTISJ ~alJ
APVeell~INCt SAL.~ J. rvr~e.e:.
ApplIcant or Agent ~s: ~ So '-.<3. ~ ~ Phone' ~Z " 11 fJf?
Owner' ~ ~\rJ C 00..)~.o'-.( CoJ0J2~1' Phone
Address: '\'23 e. \= 1/L3-r CIty. ZIp.
ArchItect/Engmeer Phone:
Contractor
() rJ h....e
.~ S '\--'\,
~ ~..s
State LIcense #
Exp.
Phone.
PROJECT ADDRESS
q '2-- '1
('">
c.
CIty:
~...t2-~ -r ,
,
(7 Q..
Zw
Z01\TING:
e-A
C<").-t-"\. ~\.C\,{:)~
Address:
LEGAL DESCRIPTION' Lot
CLALLAM COUNTY PARCEL NUMBER
Block
SubdIVISlO11'
TYPE OF WORK:
o ResIdentIal 0 New Constr. 0 Re-roof
o Mulh- family 0 Addmon 0 Move
o CommerCIal 0 Remodel 0 Demohhon
o Reparr ~lgn
BRIEF DESCRIPTION OF THE PROJECT
o Stove
o Garage
o Deck
o Other
~.N S-c A L<-
SIZENALUATION:
g-O SF. @ $ /SF. = $ '). \
? 'f SF. @ $ /SF. = $
\ B SF. @ $ /SF = $
TOTAL Vi\l,UATION $,.
o~ oJ ~(2..~ ~S"1 ~""'<'\l C.
0':::' o. cs.o
o DC::>. cJ).::>
~
--;-' -...u D
.....> A '-'-
s;:' I.. C'N..s
,f~
~ '71:}~(I.C .'
COMMERCLl\L/RESIDENTlAL: Occupancy Group.
No. of Stones, Lot SIZe. EXlstrng Sq. Ft
Total lot coverage %
Occupant Load'
& Proposed Sq Ft
ConstructlOn Type
= TOTAL Sq Ft
APPRO,;;~~:
PLAN:~
BLDG:
DP\VU:
FIRE:
OTHER:_
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant TIllS figure ,,,ill be revIewed
and may be revIsed by the Buildrng DlvlslOn to comply WIth current fee schedules Contact the Penmt CoordrnatOl at 417 -4815 for aSSIstance.
PLAN CHECK FEE- IF a plan check fee is due It must be subrmtted at the time the buildrng penmt apphcahon and construCTIon plans are
subrmtted. All other penmt fees are due at the hme of penmt Issuance
EXPIRA..TION OF PLAN REVIEW: If no pernnt IS Issued wlthm180 days of the date ofapphcation, the application will expire. The
BUlldrng OffiClal can extend the trn1e for actlOn by the applIcant up to 180 days upon wrItten request by the applIcant (see SectlOn R1 05.3.2
of the InternaTIonal Buildmg/Resldentlal Code, 2003) No applicatIOn can be extended mOle 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 Ihat ~s my responSlblmy 10 d~lerm~Jts are ~ollhe City'S, and Ihal J must obtain such permits pnor 10 wor!<
T\Pohcles\BL-1 102_13 wpd Applicant~ _ Date: \'2-_ 2.'. O~
..
..
-'
tow ~ i
, .--- I
F..E{J!B"rr:nj~t;;
ARCHrl."ECl' . i
';
t,_
I
\eRA_ . - I . (
ST~~~':;"\.*, WASHlNGTOU '~
'''tzL '~J
~,!<'p.,~
t...1 Nr)"~" k, S M\ ~
PfG~ 1 T'bPorc;
c c::> ~ c..J2.c< ~
F,C-L-
FILE
-
4- -~'
t00~~ ~
~o
~,c.~.-.1<:' C'....~
p, Pc..&:
~ ,c:;;:.. <~e.
~
7;0
:;::' , t...r>....G-c
\N~
!5)G
05""""- l~lQl
--.' I
Sllq U r: r 0.".,
I J L.. ..., ) oCp cJtL.
-
cqZb e. I ~+ g,{-.
/t.,'
:(~" "
;" - ) ..7C"''1'I,l.'!iM''/I<-'i
," r F _"'liOl' ~
i ~~. ~ ~ """'...........,,~ ~
:\~ ~fitlllS:-
~oItf'Gt~ :$,wl tlG
-~
CITY OF PORT ANGELES - Constructio
The Issuance of this permit based upon these plan
cations and other data shall not prevent the buildl
from thereafter requinng the correction of erro
plans, specifications and other data, or from p
bUIlding operations being carried on thereunder
violatJon of all codes and ordinances of this ju
_,"~"".~ a
Approval Date J"2..."2 B ~
c... D Nc..(4!;
~ (())O
I I
1-
&-: ,S-T,""C "
~ <6---<. \.S""l, ...3 C. ( l (?
(CL~ \ c)Co-~ <:.>
-tcu.N"
7/
n Plans
s, spedfi-
ng official
rs in said
reventing
when in
risdlctiOn.
Ql:1~ ~C-
IS
r~lt
.....
~e JI.-"
r= I <->-
4- -~'
(8)0
(c.J
::.. (!)~-\: o~)
C D~G..O'-1 ~<.~-Z~
f
t=- ,~-("
Sl'.
~
~CZ-~
~Q.e ~eS;;,
~~. '=\~~~L
c.p 6-.1cfL.~-? c!:-
-------
r-'
\-.:>.:J.- a Q""7' .0 ~
p '='- 22- ')oC.. 8- CJ ';: \'< bO f'o~-~.s:'
'1 f'+.~~ 't . ~'l. ---
-:; b,1~ ~ <<=~
Lr.....~ ~... '" ~~~"t'-\. -
~
~ ~ K E:- " Cl-"'-r '-'::-0 ~o~ (5.t- S ~ C!.J \ ~.
~( \ 4. ~' ~ "2-0 <0 >< '- ~oo Po ..)"'~
..... -><. :=
... :1
f?
A 2..~",":>c. \c"o \ ~o8
- ....,
- ..-
bOO >< G')<O
~\ >oe:. &.
\ .68 ( \ ~ J ...... ~
:D t.-+ 4: ,'] ~ ~ \ fo
- ><
"" l , D8
2-.
- .."..
~~<f. (l -+ f\ b'1.lb -
~ -+- - ~ ~og-
-
-
~ -+ 64."9
~ b~-c:;q
l -t- . ~. cbe
,S;q, '>< ~. to " 4 ~ q l -:!)~P-c:'-1
;0.
y ~ ~
"\ v.' t ,
~ 0
t"" . tJ cJ ~ ~ w ~
z t J IJ -
'1 VI ~ ') .
.. ~ r _
Q (t ~ C4 VI '}1f
\) ~d 1 V! ') ~ ,
J ~ ~ r 1
~ J ~ 'l ~
r .. -
Q tL J
ct' ~ V1
1 c0 ~
~ "'
Q It
:t
V tJ
1
1
0
/;
(
-\
~
r
t
+:
.
~
(f>
"
t. ~~
___ '0'''''''
'll~b'
.
~
o
0J ~
~ ~ ~
~
v:l
P ~ 0
f) (I) (,
~ ,.4 ~
\i) i'>
.{
~
t9.(2~ I ~Q\
.. . - ..
~
\
J 9
~ ~~
o ~ ~ L
dO ~~
--z0
,
V ~1 ~
~ , "
. ~
~ r
r () 4
C!. .<1 ~ 1\ J
t' ~
~ t "- ~
'1 (A J '-J) J .I ;
j
l\l Vl -
C'~ J j eJ
~ q, a
{.
t \!. -
~
~ \fi
1
j
~
~
tV
J
~
'} ~
~ 8'tlw\~
J ~ :r60~
a.:: J./
; flY -~ --I
'J j1, M ~
'3 /--'
h)
PREPARED 12/27/05, 14 34,08
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
12/27/05
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER
923 E 1ST ST
COWBOY COUNTRY
ADVERTISING SALES & MORE
HOWARDS VENTURES LP
06-30-00-7-2-0250-0000-
05-00001267 SIGNS
SUBDIV
PHONE
PHONE
(360) 452-7785
PERMIT, SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
BL6 01 12/27/05 JLL
/11d-1/t1(~ /!,..t)
BUILDING POST/COLUMN FTG TIME, 17,00
12/27/2005 08-20 AM PBARTHOL ---------------------------
WARREN 460-4271
-------------------------------------- COMMENTS AND NOTES --------------------------------------
c9:35 'I
FEE RECEIPT NUMBER
- CITY OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
1700~*9 ~
PERM NUM~~
A
.
TOTAL FEE
... /b, C/CJ
\
,
Site Address
CONT. LIe. NO.
TIME TO COMPL.:ETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT QNL Y
.(7r
MIT
W~
Owner
Owner's Address
DayPhone
'-
"
i
Wiring Method
e.
NUMBER AMP 120V 240V NUMBER AMP 120V . 2~OV..
. USE OF CIRCUIT CIRCUITS PEA '0 100A FEE USE OF CIRCUIT CIRCUITS PEA '0 100R FEE"
CIA 30 CIA 30
LIGHT :;L. SIGN
- 50 VOLTS
LIGHT OR LESS
.- .. MOTOR . - ~ -- ..
CONVENIENCE
CONVENIENCE 0.. . . MOTOR -
APPLIANCE. .. MOTOR
OISI-!WASHER . FIAE ALAAMS .0 -
DISPOSAL BUAGLAA ALAAM
. .
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY .
DRYER REINSTALLATION LIGHT FIXTURE # .
FURNACE SUB TOTAL FEE .. - .
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT . . . -
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
0 0
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
_. .1 SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certiiy that the work to be performed und.e~. this permit :rl be done by the installer and in .co ~#
/ e it ~X . Electrical Code.
Date Application made . (7-- (7 ,19 ~)? By . - .. ?-w--o _A A';"
.. I . _CONTRACTOR OR OW~ER (OR AUrf~IZED AGENT)
.
PermiSSion IS hereby given to do the above descnbed work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the .Ordinances of the City of Port Angeles. . ' . L \.
J'~V"7;1-r'r '.~y ~/~, &7 ~~R Of CIT~~:IGHT/alf2. :: '. .'. "
Date Permit Issued /c ( ~-
PLANS A PROVED . , \ ..:' .'. ..
Notify Department of City. Light by Street Address and Permit Nu~ber whe~ ready for. in~pection. Work must not
be covered or 9urrent 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.
WARNING
r
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
('ll V,",PIr. PRINTFR<::;. INf'.
~
REPORT OF INSPECTOR
,
DATE OF VISIT MADE BY REMARKS
1'J.-/r!-iSif /J9 7:/Y 5'T! Lt- !?<o;(,<1ex tN (!-((?LiN"'- 'i?- tv/JtL~
Je.T II", <VG-
~
~TI{A'G.,( T-<.H &c< r p".r:;-S DIY He x: I IN-sleeT/oN
11
1')7'~rj-- .YJ1 f' ~ 5T,Ll /0 I t1<1' r Nee t7 ~ eXou"vp ;/'1 c- T) I L f
<> .1'1 _ td,fL L <:' u TL."- rs - f' .dde L ,veePs I AI JJ-e '/ I{II c-
I
. :5IGJY /,.y ;:: f.. ON T I'f t'(' /J 5 sw-TC-(
,
\
/1~ jo-8lf 11. C2 .O.K. FOR COVERING ('LuM Ifr
1..-4-ir /l: If X O.K. TO CONNECT SERVICE
^-'t-,(~' 1', 7{p FINAL O.K.
-.1
.
z
CI
II:
<I:
::IE
!!!
J:
I-
Z
W
l-
.
I-
o
Z
o
c
.
'",
,
ELECTRICAL WORK PERMIT APPLICATION
Installation description
A Commercial 0 Residential
o New ~Altered/Addition
/!/~r.:s TO
/JJi/L ,.c F;=
Job wired by
o Electrical Contractor
Owner
Electrical contract7T name
/1/4-
Purchaser's mailirtg address
73 ;"'r. Pt~
CilYU
Tc1ePh::::~y-I~
?be> ( D-(,
License number
Date Expires
GMr,ed.
Stale ZIP
/,Jr 9P 5& L-
J5' ~?f'?i'c-l-J
FAX number
I? ~i1T~
Premises owner's name
D4I<f!.6J
Address of inspection
~J E. Isr$r~
City ~r A",Se.l<".5. LJI'r 9P3{,2-
Phone numb{'r to schedule inspection:
bo - L?; '-'""'--
Own~r as defined by RCW19.28.26/:(1) Owner will occupy the structure fur two
years after this electrical permit is finalized. (2) Owner is required to hire all electrical
contractor if above said property is for sale, ren! 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-
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
Utility Specifica . ns.
Sign Jure 0
o Cash 0 Check #
o Credit Card
Card #
rical contractor or electrical administrator
Expiration Date
of card
Date:lo/7'/~
ctions
o Overhead Service
o Temp SerVice
o U'ilderground Service
LAR
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT
Dale
Approved By
Approved By
Dale
IZ
FINAL
d:!:f2
D1TaJ
Dale
Approved By
Inspection
Date
Area, Building or Equipment Inspected
~ 1-1
it".
~
tv. ,.5
Acd/
Visa
LJowt9<-
,
::::-
~A
Mastercard
Service Information
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SERVICE
Dale
Approved By
FEEDER
Dale
Approved By
Action Taken
,
Discover
Electrical
Inspector
FOR OFFICIAL USE ONLY:
Date Rec.:
Pennit#: "7() 73
Date Approved: , ~
Date Issued: /01')1
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application mUSI heftl/ed oUI completely.
Please type or print in ink. If you have any questions, please call (360) 417-4735
Fax nnmber: (360) 417-4711
Applicant and/or Agent:-.STR 19 i T.5 tieCltei~Phone: l/s-z -~/o</Fax # i/S7-<;/1D9tP
PropertY,Owner:
Address:
Phone:
City: '
License #:
Contractor
Address:
City: '
Credit Card Holder Name: .s 't""RiIll T oS ~I Gc:h. iL /
Billing Address: P.O. gox .;2.'111 I
Credit Card Number
VISA)L MC_
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
9c23 ~_ /J
(fll1J c-Wli'tvI )
/
Subdivision:
Block:
CLALLAM COUNTY PARCEL NUMBER:
ZONING
TYPE OF WORK:
o Residential 0 Multi-family 0 Commercial 0 Mobile Home
Electrical Permit rees are based on WAC 296-46-910
/
0) I ~ [ '14.J 0 'j'4fe-l1 i/r It. !r --1-0
~~-1~J.H(A_ (J~
BRIEF DESCRIPTION OF THE PROJECT:
Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
_KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
Comments:
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
/ hen:by c~rtl/r thai / haw ,.,ad and eJramlnfd IlIb aRPllcatlon and Imo
for tMs perml' I undel'1ta1ld it is nOf th. CI/)'~ legalrupotulblllfy lUte
rerpQnsl/llllry lo,delcrmlnf ..mill perm/II atY ",,,"/rrll and ID Db/Ill IIl~h.
PW-II02_2) {,..:I/,OOI
Credit Card >>.old.', SlgnalUr
, lflle anti CDme', anti/11m Illli"QrU~" 10 I1pp/y
p#rml~ are Nf{uil'eik If f'eftlfJlnr t"~ opp/ie/NII ~
Date: 0f 4-( tJ:J
Application Number . . . . . 23-00000340 Date 4/07/23
Application pin number . . . 492680
Property Address . . . . . . 923 E 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0250-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Relocate switches
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RENTAS INVESTMENTS LLC FELTON ELECTRIC
73 MT PLEASANT CREST RD 196 GANDALF RD
PORT ANGELES WA 983629399 PORT ANGELES WA 98363
(360) 775-5001
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 4/07/23 Valuation . . . . 0
Expiration Date . . 10/04/23
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
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
Branch Circuits 1-4
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 -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 4/06/23,14:09:50 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000340 923 E 1ST ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/10/2023 23-340 TAP
OWNER
CONTRACTOR
Felton Electric
PROJECT ADDRESS
923 E 1st St