HomeMy WebLinkAbout321 E 7th St - BuildingPREPARED 8/11/09 9 19 41 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/11/09
ADDRESS 321 E 7TH ST SUBDIV
TENANT NBA NORTHWEST DRIVING SCHOOL
CONTRACTOR PHONE
OWNER JASON L TABATHA C MEADOWS PHONE (360) 452 5262
PARCEL 06 30 00 0 2 0275 0000
APPL NUMBER 09 00000695 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 8/11/09
BLDG FINAL
August 11 2009 9 14 17 AM 1pangrle
TABITHA 565 1000
BLDG FINAL RE ROOF
THE PERMIT IS HANGING IN THE WINDOW
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000695 Date 7/14/09
Application pin number 434250
Property Address 321 E 7TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 0275 0000
Tenant nbr name NORTHWEST DRIVING SCHOOL
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 3000
Application desc
TEAR OFF RE ROOF THE BUSINESS OFFICE
Owner Contractor
JASON L TABATHA C MEADOWS OWNER
9904 TRIDENT LANE #101
SILVERDALE WA 98383
(360) 452 5262
Structure Information 000 000 TEAR OFF RE ROOF OFFICE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF OFFICE
Permit pin number 150094
Permit Fee 109 75 Plan Check Fee 00
Issue Date 7/14/09 Valuation 3000
Expiration Date 1 /10 /10
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL 2001 25K (14 PER K) 14 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
'7 /4%9
Dte
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 114 25 114 25 00 00
l
Print Name
T:Forms/Building Division/Building Permit
/15
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION.
Footings
Stemwall
Foundation Drainage Downspouts I
Piers
Post Holes (Pole Bldgs)
PLUMBING
Under Floor Slab
Rough -In I
Water Line (Meter to Bldg) I
Gas Line I
Back Flow Water I FINAL Date Accepted by
AIR SEAL.
Walls I
Ceiling I
FRAMING
Joists Girders Under Floor I
Shear Wall Hold Downs I
Walls Roof Ceiling I
Drywall (Interior Braced Panel Only)
T -Bar I
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney I
Commercial Hood Ducts I FINAL Date Accepted by
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T.Forms /Building Division /Building Permit
Accepted By
Applicant T (f100 Y 1 D Gikyl
Property Owner aQ_
Property Owner's Address QQdi-t -o�n J1rtd
Contractor y, a
Contractor's Address
License
PROJECT ADDRESS i1ncvk j4 J l rit. ,9 1 —144A
Parcel Number Lot Zoning
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structur -s
Site Coverage the amou
and other impervious surfa
Max. height of proposed structur
Will a lawn sprinkler system b: Ins lied?
Will a fire sprinkler system instal
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Expires
Residential Multi family
ter:
House garage X other tear off re -roof lay over one layer
Heat pump wdod- burning stove gas fireplace' pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
APPLICATION Print in ink
Phone 4 5 5 7 2 6 2
Phone e0 S0
ode 4 CY
Phone
E -mail
TOTAL VALUATION
For City Use Only
Date Received 14 0�
Permit b4 145
f
Date Approved
)(Commercial industrial
per sq ft.
L4'ov I Sots
ft. Occupancy group of bedrooms
Occupant load of full baths
Construction type half baths
3
r
sq ft. Lot size sq ft. Lot
of impervio surface on .a parcel including structures, -ved drivew- -s sidewalks, patios
s (see "AMC 17 94 135 for exemptions) e coverage
I have read and completed this application and know it to be true and correct. I am authovfzed to apply for his permit and understand
that it is m responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date r '1 /44 `7 Print Name kti Signature
T Forms /Building Division /Bldg Permit.doc
e
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.,DING DIVISION
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
06-00000949 Date 9/11/06
465991
321 E 7TH ST
06-30-00-0-2-0275-0000-
PUBLIC WORKS UTILITES
Owner
Contractor
~
~
~
COMMERCIAL OFFICE
o
Meadows, Jason & Tabatha C.
6825 NW Ioka Dr.
SILVERDALE WA 98383
OWNER
----------------------------------------------------------------------------
Permit _ . _ . .
Additional desc _
Permit pin number
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
85738
170.00
9/11/06
3/10/07
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
170.00
Qty Unit Charge Per
------------------------------------~---------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 170.00 170.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 170.00 170.00 .00 .00
~~
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~~
Separate Permits are required for electrical worn, 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. '-hereby-certify-that--l-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
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/412005]
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
SHEAR WALLS I WALLS
FOUNDA TION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
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
FRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKlNG/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W.
ENGINEERlNG 417-4807 PW I ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
. .
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CERTI,f' :,€AT'E~~;O::Fi~OC\CIUPANCY
ij,>;jW .f::..'fJ5!.'J'O::' ",; r";liW.1,~r~:Jlh~.. '\;'~"1-~r:~+::',J',', "
~ity of Port Angele~i;~-BuilCli'Q,~~:9J~I\!on
This certificate is issui~'p~;~l);:;n't":to,;{he,reqUlrements of Sect ion 110 of the 20li'3 Internatzonal Buildzng
Code certifying that tit ~h~~(if;t~:~fi:;}~\~~~4~::t~is: ,stT,;l1~ture wqs' 'i.~'~~~ffJpliance witl;,'1he various ordll1ances
of the City regulatir/; zfilildi1.fg1f/fJizJtru2iiQ):{or 'US(Pj(Jf~th'e10Ii~lJi";;8};:"\0'{;'::~:,~~i\, '. , \
" "1f" :;':",,: ;(,\'i',~' !'.>'~". ~",,> NS::~:,',~.. -;o3;:~:1&~1 ;::": "",-", " I \'
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r~'r-,\'\\\ "'\ \ _" '" '; . I " .... \(1 ~ ~ 't> ~,.,,;.. t.,~q C ,> '-':, >~ ,,'^ \ ~';, ~~" '" A ~
Business name' , [~~;.J~,offhwest D~i\1irj~i:Sct;)opl', ' ' ' ~
. M t'"'>:' I" ,,"> th \ {~,,\",,;.~~,,12'~1/' '::<
Buszness addressf/" I, ;32~ ~~F' 7 St. \' i';:;:,,'J,;i:',~\,
O ifb' ~. C, ';b"";"th M d I,,,',':' >:~'~;(~';'~:.':Y"'_ ','" II'}"":'''- ,d ;".t,,*-l'I~
wner 0 usznes\ ,1a", ,a a ea OW;S,," \,,)',1.,1;:"'.,,':;", 1'",""1,; '"":,~,~,\\'i,;,~*"c\"I~:''''~~~!f,j
, ; .Y> '">i,, E th S p'~ ;,r1A' '"I' ~,<," t '1"-I""'~'1?,,'W' 't ' \")~,,~ ~\"_1',,~ ,j,~t~t~~<~~ \. r;,J;r,t
Owner s address' .,,, 05 . 8 t., off: nge es, .A'98362;II"~,.":,,,-,;,,,
, \ ','11' \' I . \ 1\'" -, c,;. ~\ ,,,-, \.y" '~^)' >>' ~
Use & occupancy PJid:{$ifjr:ation. BusJ.~f<~~~~:r"4""""''''' ~,
B 'ld' . '.1..''''''' ,I, 06 4'34"~"'"''''''''''~'l''''''''''''''''''' '''I''i''"
Ul zng permIt nUr~er~'! '" ' - ,..:~;t\"l' ,N,"\:i;~:'\::,f;:,i,\';i);:~~V~,'
~ne constr ti ~'7" ':"_'..r"""'...~~~:1!'f'\J " "",. " , .'H' "" .
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02/28/07
Date
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Post on the premises in a conspicuou
emoved except by the' Building Official.
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50,00 Certificate/Inspection Fee -
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DATE 5/9/1"1(; New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . (~
Address of Proposed Business ItJ. Transfer of Business location . . . . ........ . ( )
L?~/ f, '7 r#) 51') r;-/- 1I1!,IJ'./ S Change of Ownership " . ....... ..... . . . . . ( )
Applicant Wa~ rJ1~bdtJ<<JS New BUilding ...... . . ............... . . ... ( )
Address 101' E ?'r/t 51 Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (~)
/br/ 4.111~~ 1'.0/9 q)'::'fU Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: businesst~4)..:r AV-IOllltfhome Change of Use . . . . . . . .............. .. . . . ( )
Brief descnption of proposed business: / r(} '/;t J(r <<~Vll ~)/ &f/tCCJ~'nn
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legal Description: lot Block Subdivision
Current Use of Property: (~)
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes . . /- PERMITS BUSINESS LICENSE
Electrical changes . . ....... . - ,./ 1) BUilding 1) TaxI
Mechanical (heating, cooling, stoves) . V 2) Plumbing 2) Peddlers
Plumbing changes ... . ... . -/ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs .... . ~== 4) Mechanical 4) Pawn Broker
New septic tanks . . .. . _ L--. 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? .. . V 8) Curb Installation 8) Ambulance
Excavation of filling of lots .. . . . v',/ 9) Sidewalk obstruction 9) Tattoo shop
Work done In City right-of-way . . . V 10) Water meter Installation 10) Other
Is there sufficient off-street parking? ~== 11 ) Fire
New driveway openrngs V 12) Occupancy
A grading plan for site drainage -1L- == 13) Sign
(parking lots, downspouts, etc ) -iL- - 14) Shoreline
Are the eXisting streets paved? ~- 15) Home occupation
Are there eXisting Sidewalks? - -1L- 16) Conditional use
Is there curb and gutter? . . . ~- 17) Other
Other --
I hereby apply for a Certificate of Occupancy and acknowl- 5' / c;krd.
edge that I have read this application and state that the Date:
, r
information I have supplied is correct to the best of my - ~~
knowledge. Signed: / '"
,
~ :tic REJECTED Comments / Conditions
BUilding Section
Public Works Department
Planning Department
Fire Department
City Clerk
fi{) '5 -'I -0 b P.B.I.A.
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\ Certificate of Occupancy
\ '$50.00 Certificate/Inspection Fee
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DATE .5/1 !/j(,-;
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Address of Proposed BUSiness
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Applicant
Address
7 /1) -.-1
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Phone: business(: ~.( !5/r) II'J"", home
Brief description of proposed business:
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legal Description: lot
Current Use of Property:
Z . CI f P 1/ .r,,)
onlng assificatlon 0 roperty: I,
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes .
Electncal 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 nght-of-way
Is there sufficient off-street parking?
New dnveway 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
Block
YES NO
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I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read thiS application and state that the
information I have supplied is correct to the best of my
knowledge.
APPROVED
REJECTED
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New Business. . . . . . . . . . . . . .. . . . . . . . . . . .
Transfer of Business location
Change of Ownership . . . . . . . .
New Building . ,.................
Remodel . . . . . . . .. ................... ..
Temporary Business. .. ...................
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Subdivision
THE FOllOWING Will BE REQUIRED:
,,'
PERMITS
1) BUilding
2) Plumbing
3) Electncal
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
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
Date:
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DATE .5 /'1 1t1( I'J
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Address of Proposed Business 11
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Applicant . ,7 a ~I?'-M~ !/j11J/',rk;~ ) <;
Address /1"11" F ,R""tA <I
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Phone: businesst~~J5h)-ll.J&home
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New Business ............ . . . . . . . . . . . .
Transfer of Business location . . . . . . .~. '. . . . . .
Change of Ownership ...................
New BUilding ............................
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business.. ... . . . . . . . . . . . . .
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .
Brief descnption of proposed business: 7 r(}...ll- )/' .</;~/fl ~v ~(';I(;(,C>-/I'r,n
legal Description: lot
Current Use of Property: ...
Zoning Classification of Property: C ())
, Block
WILL THERE BE ANY OF THE FOLLOWING?
YES .. NO
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Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes . .
New or relodated 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-of-way .
Is there suffiCient 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
.-
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read thiS application and state that the
Information I have supplied IS correct to the best of my
knowledge.
APPROVED REJECTED
Building Section
Public Works Department
- - Planning Department
~ Fire Department
, City Clerk
P.B.I.A.
. > .,
'-
Subdivision
THE FOllOWING Wll[ BE R~9UIRED:
PERMITS BU!:!)NESS LICENSE
1) BUilding 1) TaxI .J
2) Plumbing 2) Peddlers
3) Electrical 3) 2nd Hand Dealer
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk Installation 6) Hotel - Motel
7) Driveway Installation 7) Fireworks
8) Curb Installation 8) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter Installation 10) Other
11) Fire
1~ O~UPM~ \
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
Date: 5,14 k~
Signed:-:/ /J;4~~L-... _
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Comments/Conditions ~ 11 {' 1-1 c.. All 0 tV
STAF\- R..R.f().~...IS TrlE'1' HAb '3 1~,(tE. al\.('T
I N s.r i.:c T , Ii,.,), 1;0 i ( M O."'\H (
CITY OF PORT ANGELES
321 E 5TH STREET
P.O. BOX 1150
PORT ANGELES WA 98362
Lasered
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C E R T I F I CAT E
Issue Date
Parcel Number
Property Address
Subdivision Name
Legal Description
Property Zoning
Owner . . .
Contractor
Application number
Description of Work
Construction type
Occupancy type
Flood Zone
Approved
o F
OCCUPANCY
PER MAN E N T
2/28/07
06-30-00-0-2-0275-0000-
321 E 7TH ST
PORT ANGELES WA 98362
LOT 15 BL 202 TPA
COMMERCIAL OFFICE
MCCLAIN CLEON/SUSAN
06-00001203 000 000
COMM REMODEL
TYPE V)T -RATED
BUSINESS: FF/PRO/MED/REST
ng Official
VOID UNLESS
BUILDING OFFICIAL
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST 5TH STREET. PORT ANG~LES. WA 98J()2
lasered
CEO
Application Number
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivlsion Name
Property Use
Property Zoning
Application valuation
Owner
MCCLAIN CLEON/SU~AN
PO BOX 119
INDIANOLA
WA 983420119
07-00000017 Date
986687
321 E 7TH ST
06-30-00-0-2-0275-0000-
ELECTRICAL ONLY
1/14/07
COMMERCIAL OFFICE
o
Contractor
EXTRA MILE TECH
418 ,N RACE ST.
PORT ANGELES
(360) 457-0198
& ELECT LLC
WA 98362
Permlt
Additional desc
Permlt pln number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
EXTRA MILE/ 200A SVC+ CIRCUITS
93013
EXTRA MILE
91 00
1/14/07
7/13/07
TECH & ELECT , LLC
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 91.0000 ECH EL-COM 101-200 NEW SRV FEEDER
Extension
91 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 91 00 91 00 00 .00
Plan Check Total .00 00 00 .00
Grand Total 91 00 91 00 .00 .00
COMMENTS/ ACTION NEEDED
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ELECfRICAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COflER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMJrlllTS
NO
GENERAL COMMENTS:
PW.II02.15 14196)
s
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Lasered
CEO
Appllcation Number
Applicatlon pln number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon type description
Subdlvision Name
Property Use
Property Zoning . . .
Appllcatlon valuation
06-00001347 Date 12/26/06
340735
321 E 7TH ST
06-30-00-0-2-0275-0000-
PLUMBING REPAIR
~
\
--
COMMERCIAL OFFICE
500
Owner
Contractor
v)
.:I:..
"J
JASON L & TABATHA C MEADOWS
9904 TRIDENT LANE #101
360
SILVERDALE WA 98383
(360) 565-1000
OWNER
Permit . . . . .
Addltlonal desc .
Permlt pln number
Permit Fee
Issue Date
Expiratlon Date
PLUMBING PERMIT
92536
64.00
12/26/06
6/24/07
Plan Check Fee
Valuation
.00
o
Qty Unlt Charge Per
2.00
BASE FEE
7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
Extension
50.00
14.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void jf 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. '-hereby-certify-that-l- have-read-and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming 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
--/J~
Signature of Owner (if owner is builder)
~~j..
ate
T \Pohcles\1102_15 bulldmg pennllmspechon record05.wpd [1/4/2005]
c..
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. ~
IS'-
,
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN III /...0.. /AII't
WATER LINE (METER TO BLOG) , 'I
GAS LINE FlNAL?-j,.j/tJ7 DATE ACCEPTED BY:
BACK FLOW /WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / 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./ PW/ CONSTRUCTION - R W. I!
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT. 7 V :
PLANNING DEPT. 417-4750 PLANNING DEPT. T
BUILDING 417-4815 BUILDING 17 1/1 laUZ3 fj,
T'\Poticies\ II 02 15 bUIld."" oenmt IDspechon record05 wpd [1/4/2005] '1/(/ I
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PREPARED 2/23/07, 9 54 53
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER:
321 E 7TH ST
SUBDIV
PHONE
PHONE
JASON L & TABATHA C MEADOWS
06-30-00-0-2-0275-0000-
06-00001347 PLUMBING REPAIR
(360) 565-1000
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
12/29/06
12/29/06
JLL
AP
01
PLUMBING ROUGH-IN
12/28/2006 10 02 AM PBARTHOL
WILLIS 452-8525
12/29/2006 02.02 PM PBARTHOL
PL99 01 ~! 3/~07 JLL PLUMBING FINAL
~ 02/23/2007 09 13 AM PERMITS
, ~~~. TABATHA 360-509-6901
---------- --------------~--------- COMMENTS AND NOTES
;;~
dtr.
PAGE
DATE
5
2/23/07
Lasered
GED
PREPARED 12/29/06, 9 51 21
CITY OF PORT ANGELES
321 E 7TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
JASON L & TABATHA C MEADOWS
06-30-00-0-2-0275-0000-
06-00001347 PLUMBING REPAIR
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 12/29/06 JLL PLUMBING ROUGH-IN
______,1~~-----~~--~:~~:;'::::::::::.D,.
SUBDIV
PHONE
PHONE
(360) 565-1000
PAGE
DATE
9
12/29/06
PBARTHOL
NOTES --------------------------------------
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13-782
42-381
42 38~
42 389
42-392
42.399
500 SHEETS FILLER 5 SQUARE
50 SHEETS EYE EASES 5 SQUARE
100 SHEETS EYE.E..ll,SE0 5 SOUARE
200 SHEETS EYE EAS~ 5 SQUARE
100 RECYCLED WHITE 5 SQUARE
200 RECYCLED WHITE 5 SQUARE
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
[aserea
CED
Appl~cat~on Number
Applicat~on p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appl~cat~on type descr~ption
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00001203 Date 11/06/06
874263
321 E 7TH ST
06-30-00-0-2-0275-0000-
MEADOWS
COMM REMODEL
COMMERCIAL OFFICE
4500
Owner
Contractor
MCCLAIN CLEON/SUSAN
PO BOX 119
INDIANOLA WA 983420119
OWNER
Perm~t BUILDING PERMIT - COMMERCIAL
Additional desc
Perm~t p~n number 90225
Perm~t Fee 137.75 Plan Check Fee 89.54
Issue Date 11/06/06 Valuat~on 4500
Exp~ration Date 5/05/07
Qty Unit Charge Per Extens~on
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Pa~d Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total 89.54 89.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 231.79 231. 79 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized IS not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined thiS application and know the same to be true and correct. All provIsions of
laws and ordinances governing thiS type of work will be compiled with whether sp ified herein r not. The gra tlng of a permit does not
presume to give authority to violate or cancel the prOVIsions of any state or. I al law re tlng construe on or the performance of
construction
Signature of Contractor or Authorized Agent
Date
T \Pollcles\! 102_15 bUlldmg perrml mspeclIon record05 wpd [!/412005]
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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSI'ECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION.
FOOTINGS
SHEAR WALLS/WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
\
SHOWER PAN FINAL DATE ACCEPTED BY
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING I j,t;}./n7 J.LV
DRYW ALL (INTERIOR BRACED PANEL ONLY) I . I
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING IJllq/~" \ L \....
MECHANICAL
flEA T PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / 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
ELECTRJCAL- LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W./ PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
:
PLANNING DEPT 417-4750 PLANNING DEPT . , , ! A
BUILDING 417-4815 BUILDING fJ.~ ~ J "l
T Ip01lcles\1102_15 bUlldmg pennlt mspection record05 wpd [1/4/2005] ,
~
~
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~
PREPARED 2/28/07, 9 11 19
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
2/28/07
321 E 7TH ST
MEADOWS
SUBDIV
MCCLAIN CLEON/SUSAN
06-30-00-0-2-0275-0000-
06-00001203 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FRAMING
ADAM 670 6719
12/15/2006 02 07 PM
12/18/2006 04 27 PM
e1ectrlca1 rough reqd
at 4' ocIJ11
BUILDING FRAMING
01/09/2007 01 27 PM PBARTHOL
JASON 509-6901
HOUSE SHOULD BE UNLOCKED
01/12/2007 03 53 PM JLIERLY ----------------------------
BUILDING INSULATION WALL/FLOOR
01/19/2007 08 20 AM PBARTHOL ---------------------------
01/19/2007 01 44 PM JLIERLY ----------------------------
BUILDING FINAL
02/23/2007 08-34 AM PERMITS
TABATHA 360-509-6901
KEY ACCESS TO BUILDING FROM ALLEY
02/23/2007 04 52 PM PBARTHOL ---------------------------
AT MINIMUM WILL NEED PARKING AND SIDEWALK FOR HANDICAP
PARKING SPACE/BUILDING NUMBERS INSTALLED PER CODE/ SIGNAGE
FOR HANDICAP/ BATHROOM GRAB BARS INSTALLED/ FRONT DOOR
DEADBOLT NEED TO BE OPERABLE
2/28/07 ~ BUILDING FINAL
l( 02/28/2007 09 10 AM JLIERLY ----------------------------
--------------------- - - ------------ COMMENTS AND NOTES --------------------------------------
BL3
BL3
BLWS 01
BL99 01
BL99 02
Lasered
CED
01
12/18/06
12/18/06
13 00
JLL
DA
TIME
PERMITS ----------------------------
JLIERLY ----------------------------
trlmmers at wlndows / support rafters
02
1/12/07
1/12/07
JLL
AP
1/19/07
1/19/07
JLL
AP
2/23/07
2/23/07
PB
DA
~~~~l~ 1
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S:-W(
,..
PREPARED 2/23/07, 9 54 53
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
321 E 7TH ST
MEADOWS
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
MCCLAIN CLEON/SUSAN
06-30-00-0-2-0275-0000-
06-00001203 COMM REMODEL
PERMIT:
BPC 00 BUILDING PERMIT - ~~~~~
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
BUILDING FRAMING
ADAM 670 6719
12/15/2006 02 07 PM
12/18/2006 04 27 PM
electrlca1 rough reqd
at 4' ocIJ11
BUILDING FRAMING
01/09/2007 01 27 PM PBARTHOL
JASON 509-6901
HOUSE SHOULD BE UNLOCKED
01/12/2007 03 53 PM JLIERLY ---------
BUILDING INSULATION WALL/FLOOR ---
01/19/2007 08 20 AM PBARTHOL --------
01/19/2007 01:44 PM JLIERLY ----------------
BUILDING FINAL
:D k 02/23/2007 08 34 AM PERMITS
TABATHA 360-509-6901
KEY ACCESS TO BUILDING FROM ALLEY
-------------~------- COMMENTS AND NOTES --------
A-r ;f1/r/;#J(l W/U, ;vkdJ Jft.vr
t/mJ/)I t# ~?;J&r.
f~ tv
fia1 /h,vl,)/ij{.
TYP/SQ
BL3 01
12/18/06
12/18/06
JLL
DA
BL3 02
1/12 /07
1/12/07
JLL
AP
BLWS 01
1/19/07
1/19/07
JLL
AP
BL99 01
;p;-
JLL
PAGE
DATE
4
2/23/07
SUBDIV
PHONE
PHONE
Lasered
CED
TIME
13.00
PERMITS
JLIERLY
tr1mmers at wlndows / support rafters
r
{-
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ck-
(p Mt? f1) m
tJF ;j~"-jur:
70
&U1/L~/~
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BUILDING DIVISION
. Lasered
CEO
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at ~Z ,
1:
t""
,-
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~ 8tUl-6/~fj NVJV//~~/2-5 ~ (C()r{,.
1ft M/3UL l~d:5 AI~5 W BL
hWI1Vr::LJ 3t~LI1- I6Ullt.-I),Vfrt; !h..,o;:-
/
~ !-MN()/ elflO &';/,1/6 / 5i 6;f./ ~Cj It..
, /
Xl 131/-r1f1t! O/J/11 1;rzR??J ft/fr?f I'1lCVA//?-/).
-it ff()tl-Jr /)0;12- f)01fJlJa-r Nor 04-u1()c~-
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call +17- 4b/ r
for inspection.
Date
~/d0)
0?-/5
.
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 1/12/07, 8 31.30
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER'
321 E 7TH ST
MEADOWS
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
MCCLAIN CLEON/SUSAN
06-30-00-0-2-0275-0000-
06-00001203 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01
12/18/06
12/18/06
JLL
DA
BL3 02
1/12/07
\'
~
BUILDING FRAMING
ADAM 670 6719
12/15/2006 02 07 PM
12/18/2006 04 27 PM
e1ectrlca1 rough reqd
at 4' oc/] 11
BUILDING FRAMING
01/09/2007 01 27 PM PBARTHOL
JASON 509-6901
HOUSE SHOULD BE UNLOCKED
TIME
13 00
PAGE
DATE
10
1/12/07
PERMITS ----------------------------
JLIERLY ----------------------------
trlmmers at wlndows / support rafters
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Lasered
CEO
PREPARED 1/19/07, 9.17.55
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
1/19/07
321 E 7TH ST
MEADOWS
SUBDIV
MCCLAIN CLEON/SUSAN
06-30-00-0-2-0275-0000-
06-00001203 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FRAMING
ADAM 670.6719
12/15/2006 02 07 PM
12/18/2006 04 27 PM
electrlcal rough reqd
at 4' oclJll
BUILDING FRAMING
01/09/2007 01 27 PM PBARTHOL
JASON 509-6901
HOUSE SHOULD BE UNLOCKED
01/12/2007 03 53 PM JLIERLY ----------------------------
""."'....'/;;:"' ..~--_:~;;:;:::::::~;:::-::::::;:::,_:::::::::::::::::::.:-::::-..._-
BL3
01
BL3
02
12/18/06
12/18/06
JLL
DA
TIME: 13 00
PERMITS ----------------------------
JLIERLY ----------------------------
trlmmers at wlndows / support rafters
1/12/07
1/12/07
JLL
AP
~voiL ~ ~
~e~~ l~ b~ u(0
vJl U ()IJw5 Pu!7
J:,J sf \(4, V\3 U({ 11
uvL<JC( ~
Lasered
CED
PREPARED 12/18/06, 11 56 58
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
10
12/18/06
LasererJ
CED
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
321 E 7TH ST
MEADOWS
SUBDIV
MCCLAIN CLEON/SUSAN
06-30-00-0-2-0275-0000-
06-00001203 COMM REMODEL
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 ~12/18/06 ~ BUILDING FRAMING TIME: 13 00
ADAM 670 6719
12/15/2006 02 07 PM PERMITS ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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, ITV OF PORT ANGEL S _ C~;;~;~~~I~;Pia~s . -i'-"':- -r- 'r.
" ,1- ,- - ---I -, ~
, he Issuance of this permit b sed upon these plans, specifi. J
ations and other data s~all 01 p(event the bUIlding offICial. .. : " . L .:
om . ther~fter requiring tho co(rectlOn 01 err~rs I~ said i " ". ~ :'
. la~s. speCifications ana ot er data, or from, preventing ::'; 00 ~ ..
I Ulldlng operations bel\lg c rned, on'therellnd~r w~cn m .~. i' . j.. ~".. ::.., --h"/' :
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BUILDING PERMIT - APPLICATION
Laserer
GEe '
Fill om COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for reVIew. If youl1ave any questions. call
PERMITS (360) 417-4815 FAX(360)417-4711
:::an;;;;~r::;:~ ~::~~Awl,'n'
Address '-o:?:( I (Iil. t=f. &~ c5sh CIty. IJrf~ kr
ArchItec1/Engmeer 6~ i 1!2-<i /).~
Contractor .5 ~ k-'1 +-u State LIcense #'
Address.
Phone: (..76t1) ..5&.5-/000
Phone: 6'~d
ZIp: 9;;;~~~
Phone: S~
Exp:
PllOne.
CIty:
.~,J! ~~ ~~ I a,.j-~pks
//J Block :J()~
-
(j tJ ..,.-:1 ()OIJ!J ~L5'ctJO
Zip
ZONING:
PROJECT .t\.DDRESS:
LEGAL DESCRIPTION. Lot"
t!~
SubdiVISIOn:
CLALLAM COUNTY P.ARCEL NUMBER:
TYPE OF WORK: SIZE/V...\LUATION:
o ReSIdentIal D New Constr 0 Re-roof 0 Stove SF. @ $ /SF. = $
o MultI-family D Addl110n 0 MoveD Garage SF. @ $ /SF = $
"CommerCIal D Remodel 0 DemohtlOn 0 Deck SF @ $ /SF, = $
o Reparr D SIgn 0 Other TOTAL VALUATIO~ $ -</~O(}..O~
BRIEF DESCRIPTION OF THE PROJECT /LunIJ/H Well j b~l-oJ(.( ~ A~4~t:Vvl 9!- /;'~, '7:/ ~()Nh:J
):,:::;1-, ~~;;hj.~r:~M Z<l':::::I1~~~(f~~
COMMERCLU/RESIDENTL..\L: Occupancy Group Occupant Load: ConstructIon Type
No of Stones' L Lot Size: EXlstmg Sq Ft & Proposed Sq. Ft <~0-nI.L = TOTAL Sq Ft
Total lot coverage %
.tl.PPROV ALS:
PLAN:
BLDG:
DP\VU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s) 0 Yes 0 No SEPA Checkhstrequrred? 0 Yes 0 No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant.
Tills figure Will be revIewed and may be revised by the Buildmg DIvlSlon to comply with current fee schedules Contact the Permit
Coordmator at 417 -4815 for asSIstance.
PLAN CHECK FEE: IF a plan check fee IS due It must be submItted at the time the building permit apphcatlOn and constructlOn plans are
submItted. All other permit fees are due at the tune of permIt Issuance.
EXPIRATION OF PLAN REVIEW: If no permIt IS Issued wItlun 180 days of the date of apphcatlOn, the application will expire. The
BUlldmg Officml can extend the tUlle for actlOn by the applicant up to 180 days upon written request by the apphcant (see SectIOn
Rl05.32 of the International BuildmglResIdentIal Code, 2003). No apphcatIon can be extended more than once
I hereby certify that I have read and exammed this app/JcatJOn and know the same to be true and correct. I am authOrIzed to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that /
must obtain such permits prior to work.
T:\FORMSIBldgPerrnitform wpd APPliC~~/ 4tLs;W~ Date: /.p.t/dd?
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14905
)d-/3 .)3
Port Angeles, Washlngtoll......,_..........___...______..._______.._....._m......m, 19_____00_
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to,99 electrical work as listed below.
3d! S l/X/
~:::s..:2ii~:::::~;::::~~:~::::::;7:~.::~~::::::::::--oo;~=~=~:::_..~::~:~.~:~:::::::~::::::::::::::::::::::~:::::::::::::::
(_.~-!.::i'f ;-:!.kt:.-e. (Q..,
Wiring Contractor oooo.......fF'-.....................-.........---------oo.....- By.._____________.....oo____oo___________..........._.....oooo_.........
/ / 0/'" yr.
Service, volts ::...:......___..~__....__".":_......
.1'
No. wires -m-<7........-......_~.m-m...
Size Wlres../f~:;-mm..m
Main fuse ..............u__..____u__...........
o
Enclosure _m_mm_mm.___m...n__.......
Light OuttetB---_m_____......_.___..____...._........
Receptacle Outlets...._mm__m..___m.......
Dryer, KWI_h..m..m.....h..h_m..
Range, KW __00.....00_........
Water Heater:
Heal~:;-._::?.:::-]J..!J::::::::::
Type or wiring:
Entrance Cable __................m__m...
Motors: size, volts and phase:
Rigid Conduit ........mm__mnm____u.
Metallic TUbing ......__...................
Current transformers:
No. & Size....................____..__.n...__...
Ser. NO....._.._._...__n__________........____......
Ser. NO._......____n.___._...........................
Ser. No......._......................................
Type of Wiring:
Armored Cable ........h__...._______..m_.
Non.Metalllc h...............__._m...._.__.
Knob & Tube..........._....___...n__.._n...
Rigid Conduit _m_m_mm____h_hh..___
Metallic Tubing ..hhm__....__.__....m
Raceway ....___..__..__________.....___._____._._
Circuits, LlghL....m........m.........._...._._..
Utlllty _h..________m____....____..__mm....___
Heat
Range ......___.__......__.__._____......._..____..
Water Heater __mmum.m__.._h.._....
Motor .._...._...___.__._..._..___.___.............
Dryer..___n__.................._.._................._
Furnace m_____m______....m.'_.
Total wad.___._............__........ Ser. No._....______u._______.__..__................. Total _____n____..__________.________.______
Remarks: __oo_6:.~E.::___h__"~~_~...ooy.._:'8___~~<:oo'.;r......_A~_:.:_:~____00___.._....______.._
'7
__....m.............................m.....................................m.................__..__..._____.oo...mY-........m..__oo.____..____._...oo______._._________
.;~:;~.;::...........----.oo..------...;~~~~.--~~~~;~~.........--..-.....oo-mm...z5X~2'-;~A~~---mm~--.----m----.
$__mmm__.mmm.m_.mm.. NO.._._.m..__.._________... By :?r__.:fi.:_.~_._..mm~_~~0:c_.._:~_'?:,.~_____
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
G,r:;.r"
:':) 0 ()" /f--
-.
ELECTRICAL PERMIT
N?
14905
/'
Date called if/l~~.;;:;{-..m..m--.m..--m..-...........c-m-.........m.h......-----.....h.m___.......___h.__..____________.._________
~::;:::::ry c~::~:t::Q;~;V::~~€:~;;p~:::~~::::=::~:::.:::::::..:-:::::::::::::::::::-:::::::::::::::::::::::::::::::::~~::::::~::::::::::=::::::::~:::::::~
Total Load ____..__n__u........__nn......................__.n.......u.._....nu__..........._ nn.n_un ........h....h .......n__...........__.__................d.._............__........_..___
1M 3.72 Olympic Printers, Inc.
JAN-05-2007 10:05 AM
E~JANSSEN
360 452 2982
P.01
IJ An~u.1 Permit
-\ tB
(J Owner ~"="'7
1:1 Alarm 0 Cal'nival Ii' Commercial
\
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ELECTRICALWORKPERMlTAPPUCATION,
~.
G-:l,O
~ebtrlul Contl'.etor
o lleQ nest J nspectlon
o Rtddcntlul. D R~ddential MAlnl. D Sle;m Q ThermOf~tIIt a 'relecolD.
Lic:enSC1\Umher
E/ ec..frt.tc...1
i<~c; >r
InSlal1:11ion dClicriplion
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Job wired by
6'illectrltal Contractor (J Owner
I~lccl.iclll controCtlH nltmc-
e)(+1f..A Mtl,
Purchaser'. tnailina add~!i
_!=lIB 1-1
Cil1t>~
Telephone I'umbcr
)l.O-
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Sl3k ZIP
\.vI+-
fAX number
'i n ~..Z..
Pnnhlll OWlltl"l n/t,mt
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Add~u. or In.pettlon
_-2.~1
Clry, '7">
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Mot. ".,(..... s
e:
71"'l...
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(J Cash (J Check #
J hereby cer1ifY lhal J am. the owner of lhe above named pl'Op<,rlV or .1 lictm~i!d
clecltical contTat:lur (or the linu's <\ulhorizcd "gem) "nd :.1m m~ki~g the electrical
inmJliltion or alu:ration in (~oITlp1ianee with lhe c1cc\ricallaw. Chapter 19.:!S RCW.
(J Credit C..-d
Card II
Visa
Mastercard
Di:>covcr
x:
Expiration'[)atc
orcnrd
WALLS
In~\lIQtion Only
CEILING
Insuh\l.t\rl Only
n,,~ERMO~::'.=-)
. _.,;;;;::=___DITCl~.^",,;;.;;;;.";_)
SERVICE
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:rc~rIC81 Load Additions IInd or 8ubtrsctiona
NO LOAD CHANGES
C BEiaeboard KW
o F~rn.!.og - KW
o tidat Pump _ Ton _ l.A~
IJ Fan.Wall KW
,
vi Overhead Servico
tJ Temp Servie~
o Underground Service
Service Intormotlon
Voltage '1" / to.. .
Pha.e .lit 1 IJ 3
Service Size: '7-0.10 6-
Feede( Size: ~~l--
~Inspection ^rC'". Bllilding or Equipnwnt Inspecled . Action 1'III~en Elcctrit:ol
, DalC Inspcctor
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