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Home My WebLink About1105 E Front St - BuildingDATE PERMIT INSPECTOR b S 68 OWNER/CONTRACTOR ADDRESS 1 I b S" 1=►20 )4 ST APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL s CORRECTIONS NEEDED' I N.D N u CY(z_t c1d.L Zvi Pt ).1:1r X v t 1. ►'fin �ilJ G7 S ro 4 OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE J/l v S �a�;�AL c S 'ORT A. 4k A11 G�`'L r -OR DATE A l OWMER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT PERMIT 6 417 -4735 ADDRESS 1 I c.- F2,-fl ST APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED Ir-‘6 ALL r l t 5 C k O I 1 Z.- a S ?u c.�S OLYWIC PRINTERS, INC. (360) 452 -1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE INSPECTOR ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360 -417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Com remodel Owner MAYBEE EDWIN PO BOX 1602 PORT ANGELES WA 983620195 Permit ELECTRICAL ALTER Additional desc MOVE SERVICE NEW Permit pin number 123745 Permit Fee 175 00 Issue Date 4/08/08 Expiration Date 10/05/08 08 00000381 489525 1105 E FRONT ST 06 30 00 8 1 0430 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor THE ELECTRIC COMPANY PO BOX 1471 PORT ANGELES (360) 457 7120 COMMERCIAL CIRCUITS Qty Unit Charge Per 1 00 175 0000 ECH EL COM ALT 201 600 SRV FDR Fee summary Charged Permit Fee Total Plan Check Total Grand Total 175 00 00 175 00 Plan Check Fee 00 Valuation 0 Paid Credited 175 00 00 00 00 175 00 00 Date 4/08/08 WA 98362 Extension 175 00 Due 00 00 00 IN SPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: 1k ice Asp' `471A4) 7311Z 1,01 96P 311405 1- 1RLLb/7S -E t 1)a(C Mar 26 08 09:03a Job wired by Electrical Contractor Electrical contractor name The °roc, pv' Purchaser's mailing address vt 13Lx 1l1 '7I City 7c e r P vtc,elei Telephone number FAX number 'Premises owner' name lot ids rte Address of inspection 1 C OS LccS T gro47 cit Po A vicic es Phone number to schedule inspection r Owner as defined b' RCW 19,28,261 .(1,) Owner will occupy Me structure for two years after this elecirical permit is finalized. '2) Owner is required to hire on electrical contractor if above said property is for sale, rent or lease. Cash S Check Aftcr reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical law it.E.C. RCW Chapter (9.28, WAC Chapter 296 -468, The City of Port Angeles Municipal Code, and Card Utility Specifications �Slgnatu eowner eectric on ctot') or deal administrator Expiration r,_._ De of card \X e EIeaI Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAB Fan -Wall KW SAME DAN INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH -IN l THERMOSTAT Inspection Date 2 116( 0 6 ROU &I rifti12 3 1a2- 101 t Approe B•y J FINAL Data np .ed By J Jed Kimzey License number 0 Owner ier lecTc State ZIP ti lf)G Dale Date Expires Overhead Service O Temp Service Underground Service DITCH Dale Approved ny J Area, Building or Equipment Inspected J--1 o��tldl .nl "ran �'t kf r f (360) 565 -1178 p1 ELECTRICAL WORK PERMIT APPLICATION V Installation description i:IRCommercial O Residential New Altered /Addition 6.11 -c,J G Iti4CUl N t1/4112- A.u_to1' Appromd By Data Date cc-11 S Sb i r 1 yw•r•„lt il 6 S S f Inspection fee 1 Ls 174--- Service Information Voltage A. Phase O 1 3 Service Size: Feeder Size: v SERVICE FEEDER Action Taken Approval By 1 Approved By J r Electrical Inspector I I VP CERTIF Ci This certificate is issue Code certifting that a of the City regulatin Business name Business address Property owner— Property owner s Automatic fire sp Use occupancy t Building permit nu% Type of construction:\ Occupant load. rsuant to the requiremen nce this structure was in compliance w or the lleOg Sh ar esigHS Colleen 1 05 Fro St Sutte Cloud-Ni 1 1 360 E Si mo .**7 n Trer ystern. 3 NotaRecita EVS4 I asn atton Bu "iNes Post on the premises in a conspicuous place.' UPANCY ision 6 International Building the various ordinances 362 09/26/08 Date o be removed except by the Building Official. C.> to,11,A 0 Print in ink ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use For City use only Department Building Fire PBIA Planning City Clerk Public Works T:Forms /Building Division /Certificate of Occupancy Application CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUSINESS NAME 3keaT D s BUSINESS ADDRESS I i7 A E Business mailing address 3foIX G tJ 'PL Opening date oL, c- OR Days hours of operation au c Brief description of proposed business GU> <36 ten r. J A 1< Approved Initials date WILL THERE BE ANY OF THE FOLLOWING'' I Electrical changes New or relocated signs i ►Iq.tk sly n oe r Construction changes a Mechanical changes (heating, cooling, stoves) Plumbing changes Fire sprinkler system changes Fire alarm system changes Is this a home occupation? Second -hand dealer or pawn broker? New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Off- street parking Existing streets paved Existing sidewalks Curb and gutter Rejected Initials date FEES $50 00 Certificate Inspection $100.00 Parking Business Improvement Area (PBIA) fee charged f or downtown locations Phone C49.rhx. I,,r.s 11 Business owner's name etr, Iler?r LealI It rn6 Business owner's home address CO? 3It Gj&, i I PLEASE NOTE: A Business License is also required for the following businesses. Taxi Peddlers Second -hand dealer Pawn broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information NO/ Phone 4/S ,A -3 75..1 GI- 4/ 7 l111l YES/ Comments Conditions Type of construction Occupant Load A utomatic fire sprinkler system required no p yes //C �w 7 ina7�oGli�r t r o Permit OR- G3 Zoning IF YES, CONTACT Electrical Dept. at 417 -4735 Building Division at 417 -4815 Planning Division at 417 -4750 City Clerk at 417 -4634 Public Works at 417 -4807 Water Dept. at 417 -4886 Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge r�CK �l Date Ova .2 Print Name C l /ePAA W 1 I (a ms Signature (,-9-1/.4.. LC2J L 0 „}RTA,„ CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 $100 00 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations 5 ee- m gewload Pe.v-mifi C es s r BUSINESS NAME `hear DPS tcl C A BUSINESS ADDRESS l I os A E. rnr\ Business mailing address 3( lX C-) a.1 ak r 'PL f Opening date 0(9-- L»,- DR DAys hours of operation (o d a N Brief description of proposed business Tp r ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use For City use only: Department Building Fire PBIA Planning City Clerk Public Works CERTIFICATE OF OCCUPANCY APPLICATION Permit# OR -6 63 1 Approved I Rejected 4r o$ —g03 Initials date I Initials date 4 t i-i- 6- builctlnq Type of construction T. Forms /Building Division /Certificate of Occupancy Application <DD 2 512 6 -30-o4 Bu 6 -Z 49 1i -U 50 00 WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs ALA it Cli In flex rhAA- Construction changes Mechanical changes (heating, cooling, stoves) Plumbing changes Fire sprinkler system changes Fire alarm system changes Is this a home occupation? Second -hand deafer or pawr broker? New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Off street parking Existing streets paved Existing sidewalks Curb and gutter FEES Certificate Inspection Phone rhx. Business owner's name a° II ePnn Ltjt I ltd nn6 I Business owner's home address 3(o(Y (J&)c 1P PLEASE NOTE. A Business License is also required for the following businesses Taxi, Peddlers Second -hand dealer Pawn broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge rr (JP(' Date OC9 Print Name Je W 1 1 I la 111.5 Signature_ c..0 i Comments Conditions Occupant Load Automatic fire sprinkler system required no Zoning Phone 2 /SA -395 -1. a- S6 7 An NOV I YES/ IF YES, CONTACT Electrical Dept. at 417 -4735 1/ Building Division at 417 -4815 Planning Division at 417 -4750 City Clerk at 417 -4634 Public Works at 417 -4807 Water Dept. at 417 -4886 yes 1102 .4 4,"•••; 5 PREPARED 6/05/08 8 47 26 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/05/08 ADDRESS 1105 E FRONT ST SUBDIV TENANT NBR SHEAR DESIGNS CONTRACTOR PHONE OWNER CLOUD NINE LLC PHONE (360) 460 3951 PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER 08 00000503 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 5/27/08 JLL BLDG AIR SEAL 5/27/08 AP May 27 2008 2 10 20 PM 1pangrle AIRSEAL May 27 2008 4 51 22 PM jlierly BL3 01 5/27/08 JLL BLDG FRAMING 5/27/08 AP May 27 2008 2 09 54 PM 1pangrle FRAMING May 27 2008 4 51 22 PM jlierly BL99 01 6/05/08 L BLDG FINAL TIME 01 00 June 5 2008 8 31 30 AM 1pangrle COLLEEN 457 1844 BLDG FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 6/05/08 PL2 01 5/27/08 JLL 5/27/08 AP PL99 01 6/05/08 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL FINAL TIME 01 00 June 5 2008 8 32 12 AM 1pangrle COLLEEN 457 1844 MECHANICAL FINAL AFTERNOON PLUMBING ROUGH IN May 27 2008 2 10 56 PM 1pangrle ROUGH IN PLUMBING May 27 2008 4 51 22 PM jlierly PLUMBING FINAL TIME 01 00 June 5 2008 8 33 00 AM 1pangrle COLLEEN 457 1844 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000503 887145 1105 E FRONT ST 06 30 00 8 1 0430 0000 SHEAR DESIGNS COMM REMODEL COMMERCIAL ARTERIAL 12000 Application desc FRAMED IN A ROOM ADDED EXT DOOR SIDING PL /MECH Owner Contractor CLOUD NINE LLC OWNER 360 E SIMMONS RD PORT ANGELES WA 98362 (360) 460 3951 Structure Information 000 000 FRAME A ROOM SIDING PL MECH Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Date 5/13/08 Permit BUILDING PERMIT COMMERCIAL Additional desc FRAME A ROOM SIDING Permit pin number 125575 Permit Fee 235 75 Plan Check Fee 153 24 Issue Date 5/13/08 Valuation 12000 Expiration Date 11/09/08 Qty Unit Charge Per Extension BASE FEE 95 75 10 00 14 0000 THOU BL -2001 25K (14 PER K) 140 00 Permit MECHANICAL PERMIT Additional desc VENT FAN WALL HEATER Permit pin number 125583 Permit Fee 72 05 Plan Check Fee 00 Issue Date 5/13/08 Valuation 0 Expiration Date 11/09/08 Qty Unit Charge Per BASE FEE 1 00 7 2500 ECH ME VENT FAN 1 00 14 8000 ECH ME INSTALL FLOOR /WALL FURNACE Permit PLUMBING PERMIT Additional desc ADD TWO MOVE TWO SINKS Permit pin number 125609 Permit Fee 100 00 Plan Check Fee Issue Date 5/13/08 Valuation Expiration Date 11/09/08 7�i /a 9 k►ik. Date S'rint Name T Forms /Building Division/Building Permit (10 /01 /07).wpd Extension 50 00 7 25 14 80 Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent 00 0 egnatua Owner (if owner is builder) FOUNDATION• CALL 417 -4815 FOR BUILDING INSPEC CALL 417 -4807 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT INSPECTED AND ACCEPTED KEEP PERMIT CARD INSPECTION TYPE DATE FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 8 s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING FIRE I PLANNING DEPT I BUILDING 417 -4807 417 4653 417-4750 I 417 -4815 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD TIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. FOR PUBLIC WORKS UTILITIES IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE POST PERMIT IN A CONSPICUOUS LOCATION AND APPROVED PLANS AT JOB SITE. SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ACCEPTED COMMENTS YES NO FINAL DATE I FINAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING DATE DATE ACCEPTED YES I NO ACCEPTED BY. ACCEPTED BY. Page 2 Application Number 08 00000503 Date 5/13/08 Application pin number 887145 Qty Unit Charge Per Extension BASE FEE 50 00 4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 28 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 Special Notes and Comments A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit May 13 2008 9 20 53 AM sroberds Proposal is remodel from deli to personal service salon with 4 operator stations 12 on site parking spaces are required for use as proposed Site also contains self serve laundromat and espresso use w /parking No land use issues are anticipated Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 407 80 407 80 00 00 Plan Check Total 153 24 153 24 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 565 54 565 54 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R. W PW/ ENGINEERING I FIRE PLANNING DEPT BUILDING T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 417 -4653 417 -4750 417 -4815 DATE ACCEPTED YES NO 2 -0 I I I I I I DATE YES NO COMMERCIAL DATE ACCEPTED I I I I I I I FINALOGkJ/ O D DATE V L l i ACCEPTED BY. SEPA. ESA. SHORELINE. COMMENTS 0U,0Li FINAL 6 T DATE f L'-- CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING ACCEPTED BY. YES I NO I I I. I IOb /o. fLL_ FEE CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. 19f:OT1ON 303(c) Um iia 0uild1, Pe N9 (-P Z73 Approval Date L (Q( By 1 lak too g-1.. 4j T�t '>l Co- ci. e -x S� 19iornt, tiltr satoit O wvle,r (Aileen s A ev) 1vct,l t Z; (nbA 1o04 6awt ne,a siC,tin FIT ni sf cxis3 q p1 to dot r vJo. rrpl ((co_ e x si t4 AC ow w/ doO i E01 ED j,1 i. CJi F -1 G::L.L,S FIRE DEPT, DA E 'L30c)$ of 6 acat Here is what we've done so far for the interior of the building. The walls that we built were made with 2 by 4's 16" on center To anchor them to the floor we used 1/4 by 3 1/2" Red Head concrete anchors that were placed less than 6" from any jomt and less than 48" on center The wood for the footer was pressure treated 2 by 4's. We attached the top plate using 2 16d nails on each of the existing 24" on center trusses. We had 5/8 type x sheetrock installed over everything. We framed the ceiling in the room that used to be the kitchen usmg 2 by 6's 16" on center, we then attached it using Simpson 2 by 6 joist hangers. We also used 3 16d nails into each of the existing studs that are 16" on center The plumbing in the wall was installed by tapping mto the existing drain in that wall. The two east sink rough -ins are the existing from the former restaurant. The new ones to the west utilize an inch and a half pipe connecting up to the drain. Feel free to call us if you have any other questions or we can help in anyway Thanks, Bryant and Haley Kroh *1.( MO a Ei I tt, o D tJ, IV_ 4-60 —HAI s 1,3 tL q, t o y C- c 6d 1 360 11G OSLO aA1L-S N7w;" ovuvio 0 i, j t 1 V n fit tobtsu Reviewed by R Ei Ei 08 503 PORT ANGELES FIRE DEPARTMENT Project Name Cloud 9 remodel Address 1105 E Front Street Plan 08 -16 Corn Fq Residential Date 4 30.2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. Provide a 2A -10BC fire extinguisher for the business. The extinguisher should be mounted adjacent to an exit and must be mounted with the top no more than 5' off the floor NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Building Department Copy Contractor/ Owner Copy Fire Department Copy PLAN REVIEW Date ''1 30 0$ t umul i FROM COMMENTS /CONDITIONS: IP= DEPARTMT PLANNING Duerr PUBLIC woRKEVEnanizasma DIVISION LIB' Da'P]1R'1'MENT ENERGY mum= POLICE Dapmemerr 0 \t& RE ADDRESS 11 E Frt) trt+ S NAME /CONTACT 1-1 a 1 K rf-) h PRONE: Li 5 Z PERMIT NUMBER 0 S 5C 1) p PROJECT DESCRIPTION C om t h e re t kexmd& ADMISTRILTION crry CLERK RISE MA PUBLIC WORKS /BUILDING DIVISION'_ NEW CONSTRUCTION 2( A N /ALTE'RATION DATE 2 1 02 1 Applicant or Agent -3-1 �PU 1 v? k Property Owner C /o.'L 1 1--1-G Pty h Property Owner's Address 31.11or M0 r� Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Residential viKoommercial Check all that apply New Construction Addition k,e Repair Re -roof Demolition Heat System Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 i I n F 1nn SfV'P P (e -w b 6e;C 2 s t,..1cs a,J' .tetk t 2 u-oved t p(cqlc E e-ctc.ie.m.f /Oa- 4",a-erduv d,or` (itau 4 Ui Lt2 -L 4ho ca ac a o,tn Us. hP.A ro,wveV !see- e,r j►.P Pit^a Rea d.PJr' S 016.11) o Heat pump wood burning stove b gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date /Ory Print Name T Forms /Building Division /Bldg Permit Appl. 2006 Code doc sq ft. Lot size ft. Occupancy group Occupant load Construction type 229 Phi ii 3b0 c iq q S Phone 6) 3c J Phone Expires PP Q Lot Multi family Industrial For City Use Only: Date Received 14 —2`? ld 2' Permit Oct— 503 f ate Approved 51 7c 7 3 b H I) f2 u (A /ea hee i SetmAit s r 2e c2f rc,1 Zoning per sq ft. TOTAL VALUATION 12, ?UCH sq ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects Signature ff AZ 9'( 1/44N, TY2 4 N.//4." t 4 CERTIFICATE City of Port AngeleS‘ Building Division t;\ This CertzfiCA:OkissIgcl,pursuant to the requirements of Section 109 of the Unifortn6uilattiaoilee67:415;ing that at the time:Of4suance this structure was .4 in cOmpliahee Ordinariocslof the City regulating Building construction or US*: F o r t liefolloWing Use Classification. Retail BUildiiig Permit No. 04-65 Business Name: Aneeles Deli. Building Address: 05. East Front Street, Group: M Type of Construction. VN Use Zone:! CA Owner of Business/Residende: Haley Fairchild Address: 346 Est Simmons Rd. Port At eles. WA 98362 Port Aneeles. WA 98362 .;ij August 27. 2004 Buildi4gOftiefaiS,1 Date Post on the place Shall not be emoTved Official bg. t 1 Legal Description Lot _in 1 AL_ LI Block Current Use of Property Yo-e re V` l Zoning Classification of Property ROUTING SLIP Certificate of Occupancy 00 Certificate /Inspection Fee DATE 1- 7-( 0'1 New Business Address of Proposed Business Transfer of Business Location 104 E., ,rnn i .5)-fee 1- Change of Ownership Applicant 14A 1 04 Elurr,k i f el New Building Address 6►M M-6N.0 Remodel Temporary Business Phone business i -147 44 (-11 home "i-(1 6 l R 1 Change of Use Brief description of proposed business. d o In.01Lwu oPei4 M,a,r -c, k 36 4.4 200 y WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes 1 PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service .7 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 -7 10) Water meter installation 10) Other Is there sufficient off street parking? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage a 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? .7 17) Other 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 Date -AL4 Signed A PR VE EJECTED Comments Conditions Building Section C� Public Works Department q" -(7 q Z Planning Department Y jan Fire Department 42-0 City Clerk PB I.A. 146 65— Subdivision 5 4 CERTIFICATE_ OF OCCUPANCY CitV�i kort ,Angeles Buililingilivision This CertificapcmIissued pursuant to the requirements of Section 109 of the Uniform'BUiliArik'Cod&certiffinglithat at the time:ciiffiSSuance this structure was in coinfiliancOwlikthelilaribuk oedngo,iofithe Citkregulating Building 4 rAtVti r „Of constrmctiakor;usqqp 7 10,14t, -,0,8' v- Use Classification: Restaurant Ettiilding Pertitit mi. X.77 Busine Name: MB.V.be'S.,Deli Catenne f.' Group: A2.1 Tye of Construction: I L .a„, ATM. 't Use.'Zorie: .i CA kt., Owner of Business/Residence: Kent Welborn Addiiii:".259 WA 98382 Building Address: 1105 aSt-.Fitint'Stret 410362 ..E.Mav,15. 2002 1.• Biiildin ifiltl.Vsvo•V1024- 11,M'M 'Date Post on the,pre'iteil cOnSpicuous place Shall not be removed except by Building Official DATE Applicant Address Phone Address of Proposed Business 7 T lz`J J 4 ,4eh LJ 7_6 6f/ A�/r7/riaiZ 9 7 382 home P/ ebeft 6 =V 51p ss Brief description of proposed business Legal Description Lot 1/ Current Use of Property _Do 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 -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 -2e- 22- REJECTED ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee X Z z/ Block C A YES NO 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed Comments Conditions M -Q.e`5 x.h'- Car; 1 c NO gy m C'P is 77d1-2 9 Subdivision 1 14.r7 emke THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 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 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other a-/-0 L /S 7524 Use Classification: Retai Building Address: 1105 t aserro CERTIFICATE OF OCCUPANCY Group: M Owner of Business/Residence: Hato Fairchild This Certijkationiissued,pursuant to the requirements of Section 109 of the Uniform Bus ding C odL t ertif ing illiatat the tinvAissuance this structure was ."44.0 in comfili aripustirdm nem .fstlieettjAregyl ti g Building al onst oirawt r Permit No Afgill. OM of Construction: Ad La346VastmSitrtirionoRnadrTort Aneeles. WA 98362 "sli Ai-98362 March 28. 2002 Full& Date Post on the e spicuous place Shall not be reii Official i c1/4v" C- DATE J to o Address of Proposed Business Pr G IA+ Applicant 47I1 4 -1�-1 rr tot Address 3 LA G 17- C i nrn rv∎ 6 AS 2cd Phone business home 411 F Iq Brief description of proposed business Legal Description Lot /0 4' Current Use of Property Ffnu ><a Zoning Classification of Property CA 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 -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 f Block rnn 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 APP;c� B REJECTED 1 _07 ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 5.1'1 010 Date Signed THE FOLLOWING PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter•installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Comments Conditions Subdivision HAQi 4 (ooEF S WILL BE REQUIRED 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 e ~ VORT ~ 8~o~~~ r...a "!:: ---- 'l,it1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name property Use . . . . Property zoning . . . Application valuation 04-00000329 Date .794880 1105 E FRONT ST 06-30-00-8-1-0430-0000- CLOUD 9 MECHANICAL APPL. PERMIT 4/22/04 COMMERCIAL ARTERIAL 865 Sx8tJ r ee .~~ 4/'27!C~ Owner Contractor ------------------------ MAYBEE EDWIN PO BOX 1602 PORT ANGELES WA 983620195 SUBURBAN PROPANE 25 SETON RD PORT TOWNSEND (800) 647-5485 WA 98368 -------------------------------- ------------------------------ Permit MECHANICAL PERMIT Additional desc PROPANE COOK STOVE TO EXISTING Permit Fee 57.65 Plan Check Fee .00 Issue Date 4/22/04 Valuation 0 Expiration Date 10/19/04 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 ----.. ---- \J Ci\ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 \\1 T, ~ '- --.J -+ (M '-f. ,/ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date <~ ~~O/( Signature 0 Owner (if owner is builder) C( I ZZ-/O'1 Date T:\PLANNING\FORMS\1102.15 [11/14/2003J BillLDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN 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 / GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB \V ALL 1 FLOOR 1 CEILING I I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PW/ 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:\PLANNING\FORMS\1102.15 [I ]114/2003] ~ ROUTING SLIP ~ ~ Certificate of Occupa0cy V $47.00 Certificate/Inspection Fee Address of Proposed BusinesS__ Transfer of Business Location ................ Phone: l~usif'~ss home ~ Change of Use ............................ Brief description of proposed business: ~/~, ~)4~'-~-/ Legal Description: Lot /~ ~' J/ Block Z,~ Subdivision Current Use of Property: .~ Zoning Classification of Property: ~ WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: ~ PERMITS BUSINESS LICENSE I Construction changes ........................... Electrical changes ............................... 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ....... ~ 2) Plumbing 2) Peddlers Plumbing changes .............................. 3) Electrical 3) 2nd Hand Dealer New or relocated signs .......................... ~--~'~ 4)Mechanical 4) Pawn Broker New septic tanks ............................... ~__~ 5) Sewer 5) Dance -~-.~. 6) Sidewalk installation 6) Hotel - Motel New sewer service Admission charged to patrons .................... ~ 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... ~ 8) Curb installation 8) Ambulance Excavation of filling of lots ........... : ........... ~ g) 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 1) Fire 17 New driveway openings ......................... ~ 12) Occupancy A grading plan for site drainage ........ ~ 13) Sign (parking lots, downspouts, etc.) .................. 14) Shoreline Are the existing streets paved? ................... /.~ 15) Home occupation Are there existing sidewalks? ..................... I'~// 16) Conditional use Is there curb and gutter? ...... ~ 17) Other Other .......................................... I hereby apply for a Certificate of Occupancy and acknowl- ~,/~/t/~ 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 REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk CERTIFICATE OF OCCUPANCY City of Port Ange~s Building Division This Certification issued pursuant to the requirements o/Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construt~t~on or use. For the following: Use Classification: Restaurant lBlaild,ng Pem~it No.: ~nam~ Mayboe's Deli & Catering G~oup: A2.[ T~eofConstruction: ~ USO~ ~ CA OwnerofBusiness/Residencc: Kent Welbom Aa, a-,ss: 2;59 West Hammond, Sequim, WA 98382 Building Address: 1105 East Front Streak_ .... _~ ........ Port An~ele~ WA 9~362 Buildin · Date Post on ous place. Shall not be removed except by Building Official. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~UILMIIV(~ I"I-J~MI1 ISSUED: 4/05/2002 PERMIT NO: 13334 OWNER/APPLICANT PROPERTY LOCATION WAYNE SVEC 1105 FRONT E 1105 E. FRONT STREET Lot: 10-11 Port Angeles, WA 98362 Block: 4 [] Long Legal 206/452-3700 Subdivision: HART & COOK T: S: Parcel No: 063000810430000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $0.00 SFD Units: 0 Commercial: 0 Project Type: SIGNNVALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: ACD PROJECT NOTES 2 WALL MOUNTED SIGNS ON ANGELS AABLOOM FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $30.00 TOTAL FEE: $30.00 Plumbing: $0.00 AMOUNT PAID: $30.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits am required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oi laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ef a permit does no1 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signaiure of Owner (i~owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILD1NGINSPECT1ONS~ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITISUNL/iWFULTOC~VER, INSULATE OR CONCEAl. ~INY WORK EEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IyEsACCEPTEI~I NO COMMENTS FOUNBATION: FOOT1NGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK ( Engineerlng Division ) SEPARATE PERMIT #'$: WATERLINE / MEYER SEWER CONNECTION SANITARY STORM PLANNING DEFP. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOKELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW! I CONSTRUCT]ON - R.W. ENG INEEPdNG 417-4807 PW / ENGINEERING FIKE 417-4653 FIKE DEPT. BUILDING 4174815 ' ' BUILDING }l ~', '~t~] C:'~APPL,WPD o~, FOR OFFICIAL USF, ON. LY: Date Rec.: BUILDING PERMIT- APPLICATION Date Approved: Date Issued: The Building Permit - Pre-application must be filled out completely. ~'~'~ Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: AF~ ~a !~- d~x~ It~ {Y~ Phone: Architect/Engineer: '~ ~4-~ Contractor 1.~ / ~- License #: Exp:. Phone:. Address: City: Zip:, LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: .Credit Card Holder Name: Billing Address: City: Cred/t Card #: Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: [] Residential [] New Constr. [] Re-roof [] Woodstove SF. ~ $ /SF. = $. [] Multi-family [] Addition [] Move [~ Garage SF. ~ $ /SF. = $. [] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF. = $ [] Repai~ ~Sign [] TOTAL VALUATION $ ~) ~OMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __Construction Type: __ No. of Stories: __ Lot S/ze: % Lot Coverage: % Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. ft. -- TOTAL LOT COVERAGE:. r~/sq.fl PLANN[N~ USE ONLY: ~ ~ ~ APPROVALS: , PLAN~/~, ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you.~th more detailed information on the application and plan sulg~aittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. T:\FORMS~APPS\B uildingp~mit D~ OF l~BI~C WORKS, BUILI)~G ~ o,,~" CITY OF PORT ANGELES °~"~' PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/26/2001 PERMIT NO: 13110 OWNER/APPLICANT PROPERTY LOCATION WAYNE SVEC 1105 FRONT E 1105 E. FRONT STREET Lot: 10-11 Pod Angeles, WA 98362 Block: 4 [] Long Legal 206~452-3700 Subdivision: HART & COOK T: S: Parcel No: CONTRACTOR ARCHITECT LAMPLIGHTER ENTERPRIZES N/A 4206 N. WINNIFRED TACOMA, WA 98407-0000 , 98360-0000 503/752-9699 360/000-0000 PROJECT INFO Project Value: $6,500.00 SFD Units: 0 Commercial: 0 Project Type: BOILER-LP SFD SO FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: AGD PROJECT NOTES INSTALL PROPANE BOILER FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $50.65 Plumbing: $0.00 AMOUNT PAID: $50.65 Mechanical: $50.65 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The ~]renting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction er the performance of construction. · ~ Signature of Contractor or Authorized Agent Date ~'~gr~atu~'bf O,~vn~r 0f owner is builder) Date s ~"'~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 9/24/97 Permit No: 6058 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ MAYBEE'S DELI 1105 FRONT E 1105 E. FRONT STREET Lot: 10-11 Port Angeles, WA 98362 Block: 4 Long Legal: 206/452-3700 Sub: HART & COOK T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- TWETER ELECTRIC 572 OBRIEN RD. PORT ANGELES, WA 98362 360/457-6759 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: FEEDER Occ Grp: Occ Load: Land Use: ACD J;:lectrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 -1 X-3 200 AMPS 125 AMPS PROJECT NOTES------------------------------------------------------------------- REMODEL LAUNDROMAT INSTALL 125 AMP FEEDER AND CIRCUITS FOR WASHERS AND DRIERS. DRIERS ARE GAS HEATED PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $83.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $83.00 $83.00 ---------~----------------------- --------------------------------- TOTAL FEE: $83.00 Balance Due: $0.00 COMMENTSI ACTION NEEDED CITY OF PORT ANGELES LIGHT DEPARTMENT , ELECTRICAL PERMIT N~ 17921 port Angeles, Washlngton.oom._~..::-mz.:::.m_..mm.m.mm..m_oo.., 19_[~3 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. ;/. .-#eue Address n_nm..m__mm._________.mnnm..mm_.n__.____.__________mm_____m Occupancyn_..____.______.___~""'~n_n Owner _=~-:.:{t..t~:.~~~~e__________n_ Tenant.mm__..______m_.m..m._____________nmm_mm_.oom..m Wiring Co~tr'ttor ___:fI&.cI)Lr=>.,_::g~n~__~Z. By_._____.m._moom________mm_.nnn.___oo__oon___m..._ ~~ /20/~~~ Light Outlets.......____............._......_.._..... Service, volts ................;r.................... '3 No. wires ........................_.............. r Size wires..................................._.. Main fuse ____6/2.dn 00________00___ Receptacle Outlets............................... Dryer, KW...........................n............. Range, KW _..__...n...............,.......... Water Heater: Enclosure ........m......__..__ KW_________hn___nnn_h_h______n_ Type of wIring: Entrance Cable ...mm..m............... Heat: KW................................................ Motors: size, volts and phase: d/!?"-___.;((!_~1":.___h_h____._ .J .'-' ~.--,- Y' .~ '?A';!..~.::-...../.':~.(4_~.....-:t~~........ Rigid Conduit Metalllc Tubing ...._m................... Current transformers: No. & Size......_................................ Ser. No............__................................ Ser. No. .................................__.......... Ser. No..........................................__... Type of Wiring: Armored Cable h..m....................... Non.Metallic m....m..._....m........_... Knob & Tube.................................. RIgid Conduit _____n_m_____mn______.m Metallic Tubing ..m......m.m.._...... Raceway ....___........._.............._......_ Circuits. LlghLnnnmm___h.____hn________h_ Utility h_____._._______nm___n_______hn__h___ Heat ............___........................_...... Range ...........................................h Water Heater ............m.........___.... Motor ............_................................ Dryer ...................................._.........__ Furnace .............___.........._......._........... Total Load............................. Ser. No.................._................._........ Total........................::............. - 0/ 4 r; /) , Remarks: ......c?..::1...c~~-:'.(~:.:;::_~n__..!!.......:...~::.-;;'.d:=;_::"'~b~_~.~...~!:::::.....:..z~~-:!.::::......~~~~7I' /t,-.~-- - - - \J .--.......-.--......................._............_..n........_---................_..........__.n..._...__...n........_................n................................... Treas. Receipt u.UUUuun....UUnnnn_.....U.hnnuuu..._nnnUUh.._n.._nn....u...n.unn.w..nn......._nnunu..nnnuuun...n..n...nnnh_.._nnnnnU By .f.t:Z!ii:,~d~?:;,/:_____.~~=- /, , NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. Permit Fee /0 ~C) . $_mm__oom.mm.___moo__._____ NO..__..mmm.___......____ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 9 2 1 Address....................___.................................................................___.......................h....................Date..._......_.._.._.._.........._......_......_......... Owner ..................................__......_.._......_......_.._..............-......-.............................n..... Tenant.......................n........nnn.................n....nn.. WiringContractor.............._........................_..................._.............................................................By............................__................................ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. 17254 Port Angeles, washlngtonu....uLu:::Q?.~....._u....u................, 19~..~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'! In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do ctrical work as listed below. /1 ().5 e lY. d Address ...,..____u___........uu...u... !t.~..----u..---.--......... Occupancy.~._....u._..........___ Owner :;911&....~ u u'ii?.4~I.P:..~. TenanL..................._.........._...._...___................_......... Wiring ~.~n~~c~~?:~;=........-::.C~~....u._____... By...u........................................u......u....__...___... . (7 LIght Outlet.......m__..........-..-...-.._.._..... Service, volts .....__mn.........__........__...._ Receptacle Outlets....................n......... No. wires .........n.............__.......______ Dryer, KW..u....__nnn..........__.___._________ Size wires....nm.n.nnn____._mm__.._n Runge, KW.___....__unnnn____u_.____m_ Main fuse ..nhn...n__....nm............... Water Heater: Enclosure ..........n....................hn.U KW._..._.....mnnnnmmuum Type of wiring: Entrance Cable ............___.___.._ Heat: KW.............n.....__....____..................... Motors: size. volts and phase: Rigid Conduit __n....___.m__m Metallic Tubing _m__mm.... Current transformers: No. & Size....m_m...m.__........___........ r~....~.=::nf'.mnn :.:.:~:l.:~::::: --.---------.............-.--....--.-....-................. SeT. No.__......._......_.........__.........._...... Ser. No. ............_............._................_. Ser. No......._.._...............................__.. Type of WIring: Armored Cable ....._._m...__.._........... Non-Metallic ................._____....._...._ Knoh & Tubennnn..-..-..-....-nn......_ RIgid Conduit nnn.....-..-un...n..._n MetalUc TubIng hU....................... Raceway .........._....................___._ Circuits, LlghL.nn.._mnnn.....-n..-..-n... Utltlty n_.m..n...-..._nn__...........-....n Ileat .....__....................................__ Range ._..._._____._..____..__......__............. Water Heater ...m_U...................... Motor .._......................_................._. Dryer ....................._......................._.. Furnace .__......................._......_........... Total Load......__..................... Sec. No. ................._........................_. Total ........__............................_ Remarks: .-....---...___...~...~2.....___..._____._....____...................................m................. '-.. .nnn.nn.UnU__._.nnn_nnnuuuU.hn.n....unnu.unuu.nnu.uuuu__n.....nuun.uu.u.__u___..~..._hnu.nun_n.u_____n.u._uhU.~_..__ _~~~;~--;::....----...-m......----....;~:~~...~~~:~~~....--........----..--.......--/1/:r~""'7J""--'''''--'--''''''''' $_......................._............. No............................. By/I4J..................~~"!!c_g.,,~ NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If' work is to be eon- cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17254 Address.........__....._...............................................................................................................n......Date..._......____......_..................................... Owner..............__..................._.........._......_......_.._...................__......................................Tenant.................................................................... WIring Contractor........................................ ..................._..............................____...........................By.............................................................. NOTICE-Current must not be turned on untl1 Certltlcate of Inspection haa been Issued. If work Is to be con- . \ cealed due noUce must be gIven the Inspector so that work may be lnspect,~~ before concealment. , "'.. 1M Olympic Printers. Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15885 ? -;)-3 )(;' Port Angeles, Washlngtonnn_m_m___________...____m_____m_m_mmnm_____, 19___nm 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- :~:::: i~__:i~~::Y8~~~:~:~--b-~-10:~cupancy---~~~----~--_____________n_______ o~~er nmD-!~(~-,~!j;--j~-m TenanL_m__m_mmnn____________m__m_mmnm________nmm__ Wmng Contractor _mnm_m'_n"_____m____nnmnnn_"==_-_________m_ By-------mmmnmmnmmnnm----n----mnmmmm--n Light Outlets__ummm_mmm______n_u_m_. Service, VOltsl.c.?:_?_f..f..!.:'_q:uu4 Type of Wiring: 1'0_ wires nnY-----m-u-mmnu-lI'"ru ?Ool1c)f Size wlres...._...m......._._..mm_... . 100A Main fuse __.._._mnm___..m..mm_.m... Euclosure m~C!!::uZ;?nnmm.m Receptacle Outletsnmm....................... Dryer, KW.....__..___.__.___.______.._______.__.... Range, KW _...__._....____....____._ Water Heater: KW.______________nmnmnn__nnnn Type of wiring: Entrance Cable __............__.h.......... Heat: K"r.......................h................n.. Motors: size, volts and phase: Rigid Conduit __m..._.m.... Metallic Tubing .........__....._.......... Current transformers: No. & Size......_....................._._........ Ser. No............--.........................-...... Ser. No. nn..........................._............. Ser. No. ....n..........................._........... Total Load.mm.m__.._m.......... Ser. No........__.__....._........__................ Remarks: nnnmnnnmnmm________________________________________________m_______n_______.._________mn____..___nn....________________mnm_m__ Total ..._...._.__.._..__.....h......h_.... Permit Fee Treas. Receipt NO.m_____..........__..._... By nm_m__m___mn___m_"__m'm___n___m_mm_mm_m $:mm_m__m_mmmm..______. Armored Cable ..h................m...._.. Non.Metallic ....._._......................._. Knob & Tube......._._......................_ RIgid Conduit mu______m____.____..mm Metalllc Tubing uum.m__mm.__um Raceway .....______.__..__............._......_ Circuits. Light................_....__..m.___hm.. Utility mumm__n_mm_________.____umuu Ifeat ..............._......................._...... Range ................nn._........._........._... "rater Heater ............._............._... Motor ....nn.__._..._.............._h........... Dryer ................................n.._._.._..._.._ Furnace . .._..._..._.............'~_..h......n ....., 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 80 that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT '. . N? 15885 Address...___._...______.._......................_......................__..............._____.........__________......___..................._Date..._......_......_.._.................................._.. Owner ...hn.....n_nn___.............____.___n_......_.._...__._n.........................n..nn__nn__.........n__... TenanL.......h_.nn______nuu._nnn_u.n_............._n........ Wiring Contractor ......_..._._........_._______....._......................_..............._....._..................._____._..._______._. By.........._____....._........___.____....._________.__.__.__.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice mus~ be given the Inspector so that work may be inspected before concealment. f. 1M Olympic Printers. Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT . N? 15152 '17-;;c. )y Port Angeles, WasWngton_ooo__ooo______ooohh__________________ooo_oooooooooooomm. 19__000___ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. A 'I V '..{L - '-' I - . Address ;-l!i~'-(--:;~;.-m~-:t:::t:"~--7~=::-h=Cl--mm--m-- occu~~ffz:~~--.-.- Owner ___'ooo..__'lm.m____h_ooo_____._____t'.lh_'___oooooooooooo__'__'_____ Tenant..__m)I____h____ooomoooooo__ooo/!_L____'_____.lmoooooo____ / "r ,'vi 'I /0 .. - /':-/1 (;.' f L,P- WIrmg Contractor ooo-'-:----:-;-t---'---------oooooo--.-.-.---ooo--m--..-ooo--- By.....___________;__m___._.____ooo....___.__..m____________m._... Light outlets_..______mm__m.........__._.~.__... Service, volts m_I._..~.':.!l!..t..~.....r:: (,/r....-'Type of Wiring: I No. wIres ..._.~nm..nnmmnnnmm Armored Cable ............mmmmmn . J -0 ~ Non.Metalllc ................................. Size WlreS...n,lu~..._..mmmmmmnm Main fnse ...~~c.,;,./))(..?!.:u -- Enclosure m__?.nmununnnnn..m... Receptacle Outlets...mm..nm.....__........ Dryer, KWI...nu.........u......u......__........ Range, KW un.mn Water Heater: KW.__.......................................... . /5 Jj 13 Heat. RW,n.nnnn..nnn..u.'nn..nnn.n.......... Motors: sIze, volts and phase: 1:.,1;,. ' /1/!...=.'.......'t.:.(..r.,,~4...._... ~ 4"4 5C.l, ...'1#.................._................................ ,I Type of wiring: Entrance Cable mnnmnnmm..nnm Rigid Conduit .m.~nmn.n.... Metallic Tubing hnmnmnmm___..n Current transformers: No. & Size..n..nnn_n.nnnnn._nn,.n.n Ser. NO............n.......nn.nn_............... Ser. NO.,n.n_nnn___n._nnn_nnn.nn._n.._. Knob & Tubemnmmnm. RIgid Conduit ................._ Metallic Tubing mnnunnm.n........ Raceway Circuits, Light Utility ........n.n....nu..n._nn.............. Heal Range .nnnnn....nn...n.....n.............. Water Heater ..._._........nm..mmn.. Motor .............................._.............. Dryer.nn._....n..................................... ........nn_..n.....__............nd......_d.......... Ser. No...._..._.........._......................._.. Furnace ...._u....u........n..'_....u.......u... Total Loadu.......u.................. Ser. NO.m..mmm....___..mn..___..m....___ Total ...._2.-1::_.":.....nmmmm. Remarks: ...:;z::.~/~/.{~''--ooo__9-....._.ooo........:?:....5._!.''...(.....:::-:......?/?r.!:J_..:2...!/2L.7..........___...... ~~-~~-$f~Q.............---. ~~~-~-~:--~~-~.~~-~-~-..-._-. By .__j:./i.~__Z!:.L:;l.{~:r,,:J;,,;;_-'._~____ NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION r; /11" J /'1/ I c.)v ? c.--LQ -2.Q..\.... r;-.' , "~ECTRICAL PERMIT N? 15152 /~.,' . '"7 ( /4~' '/ ./. ::::I~~:I::7:~~:::;:;~:i~~:~;:::.:a?~~::::::::::(~.:;;.::::~~:?~::::::::::::::::::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::~:::::::::::::::::.:: .I ' Inspectioncompleted...____._....._...._.._____..._........................._.............................._._......................u................._...._._._..........._.................__...__..._ \ 1M 3.72 Olympic Printers, Inc. Total Load ..u.n........._....n_.u.....................n.__............ .. uun. ............... .n. n....... uu.n""" ""'.n.h n.. n......_............n........n................___.__....._......_ ,. fjl'O~!'~~ ., 10,-10.., ..:t::-~ i7 ~ iJ " '~ rt ~.... FOR OFFICIAL USE ONl DalelRa:: Pamir ,: Dille Appmvcd: D.-tCl lNued: ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be flIled out comoletelv. ;/ P lease type or reprint in ink. If you have any queslions, please call (360) 417-4735 Fax number: (360)417-4711 OWner or Elec. Conlractor Agent: ~ f 'V !;/lrAi & Property Owner: c,-\ (, nL.. f' ~ ~ .!~ ti Q,' A ho 9 .- \ Address: :522,~\\S,Q... ~l City: :Por\- A(\Q{',V/.L..-. - \ Phone rsldJ) %i.crJ#ax: Ll5'}' - '19 & ~ Phone: ~6'7 . 'lSbI ZJp: 9ca3bJ JA- Electrical Contractor: License #: Exp: Phone: Address; Il(bWNER City: o ELECTRICAL CONTRACTOR ZJp: INSTALLATION WIRED BY: Credit Card Holder Name: Billing Address: Credit Card Number: City: Exp. Date: Zip: VISA: .. PRo.JECT ADDRESS: 1\05 e. Fr-()(\ \.- s,+r-p 0 J- TYPE OF WORK: . Check alllhal apply: 0 New e'AJteralionlAddilion o Residential o Multi-family .z Commercial ,0 Mobile Home . Sq. Fl. i.J? (J'. .' o Remote Meter 0 Detached garage 0 Hot Tub 0 SwimPo:l! [J Septic Pump,. ": 0 La..... Voltage 0 Telecom. Number of Circuits added or altered: In~+o./l . ou II.{'~A d 14ftA /' T DESCRIPTION OF THE ELECJRIC,A,l PROJECT: Iidr//f7/Y'Y1 / , In .,' Electrical Load Additions and or subtractions Service Information o Baseboard o Furnace o Heal Pump o Fan-Wall KW KW TON KW lAR o Overhead Service o Temp Service o Underground Service VoKage: /;7()~'1t?Y' Phase: Iil1 3 Service Size: J DO I/-. Feeder Size: PAMC 14.05.060(B): For industrial, com mercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Servi! Feeders. building size (sq. fl.), load calculations. and the ty pe & of conductors andlor raceway is required and shall accom pany the Electrical Penni! application. I hereby certify that I have read and examined this application and know that same to be true and correct, and authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permit, are required; it remains the applicants responsibility to determine what permits are required and to obtain slJch. Credit Card Holder's Signature: Date: PW-9019/7/03 Owner or Elec. ConI. Signature: d ~ <:ff2. (tA~ ~ L oj. D;te:, PERMIT FEE: $ n;' ~/,,/,)3 I . . ., .~' - r?~V\~\ I - I~Al'V\'? I - \ JO y',1.1'-1o v . l~iC>h.. - 2wi.cg,." -1-~Q~~ L:f-~~~~ I 7 --- ) I ~ (]u J-I<-+- j - I -~-1-S OuHz+ ~ Clv1.k T 5 0.0 t- J.ej- -:::-~um . f'Oc0h Gt,cv i \- ~\C...<; \ . -i2i1L-Lz.c..e~Q...Co \ ~ ~L~ i.~!L--Q<L~nc.:>.'O-Q\- (' we 'J i-\- 1IJ- wiJj{ M ho.S~ I (p I \'\S~_QC l i0., ~\:" (---rh.,z"-.. \V.2<"'\:':, U,;:,~€....-..a.ckl~ --!- '..f-b 1hl:':> GirL-G)-\- (fDi~LIDC,d 3,i5A) L2_SQA. It" ( ~*()..{ \~ I &-1€-erJ S0\o~\"~'-:'\~ 2> crll-e. e..- ~ci) bLt'.-L9___UH u\ + '\ '1 ,~~ z :'\ \Iv, \" () LA-- \~ ~ DlYI-:, -Ie) z. II.ti/] rs ( Toto- I LbId 7,25 Pc, 10 Sf'o.c",- I ~ I I L I I ~ '. pc> P< . 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