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Home My WebLink About123 E 1st St - Building Building Permit 123 E. 1St St. 15 - 1438 . . GELES -DEPARTMENT OF COMMUNITY&SCONOMIC-DEVELOPMENT-i UILDM DPASION 321 EAST STH°gUEET. PORT ANGELES,WA 98362 i4glication Number . . . . . 15-00001438 Date 11/23/15 Application pin number 338328 I�r s . . . . . . 123 B 1ST ST lA ' '�►S $OR PAR= NUMBER:. R1RT SALES TALC, - 06-30-00-5-1-1656-0000- -' Application tyga description SIGNS on}/ti!tftstat@'ekdse tax form "Subdivision Name . . . . . . Property use . . . . . . to Me CNy Of Port Angeles Property Zonia#{ CENTRAL BUSINESS �i� DiST1tICT j�� .. Application'va2uation 1000 '` ------- _-- -------------- .------------------------------------------ e ar -Application-deae : . Bat'cadet aMisng sign. ' --rvOwner------------- .,.r----------- ----------------------- Contractor j}�', i-t.'. .-a-•,--_-,...------ ------ ---------------- ------ - - ... . t^ ":$Z°i#VEbT T SEIBERT OWNER - - PO BOX 312 PORT Atra$7,.85 WA 98362 _..,. (661') 886-6831.. .. ----------------------------------------'------------------------------------- i Permit SIGN, _ ~;;'=;Additional desc 8SF AWNING SIGN t Fee =.i !47.00 Plan Check Fae .00 _. ;A K °ISS Date' 11/'23/15' Valuation 1000 ?' 3 itation Date 5/21/16 " !{a: ,Qty `tA1&' 1.Chargd .,Pere::._.;.. __ Extensin� - --------1_00- 47.0000 PER S-ALL SIGNS < OR TO 25 SF ---47.00- ------------------------------------------------------ Fee .aummary Charged Paid Credited We ` _---t-----�..-��--- ---------- ---------- ---------- ---------- - .... ___.�.,.-...-....k»`...+.. _ 7t Permit Fee Total 47.00 47.00 .00 .00 (:q It Plan Check Total .00 .00 .00 .00 Graad Total 47.00 47.00 .00 .00 i;w HC4hr �Prsrmits are required for elecMcai work,SEPA,Shoreline,ESA,utilities,private and public knprovements.This permit becomes 'Mdt'MW void ifwork or oonsbuct n aulhorited land ootmrnenoed within 180 days,-it construallm„a waits ata<:sp dor absndcu�ed :ir' f f80 days after the work has oomrnencxd,or if required insp�# r4 > kttiit 1�4t tdajta t the . 1 hereby mealy that l have read andexamined this application and know the strue and 60if�a.A#prWASIOns and i"nancmis type of work wM be ith wWhether specified hereh or 1'rt�r'.Ti�:'�0t.0 permit.d this ' i aliurne'td give . 'to Mate*canoal the provia ahs 6fany state or kx*law reguWV construction,or the;perf mance of e print wome Signature of't Contractor or AuthorlYed Agent She of-t (if owner•ia butter) fi€otnwr3ux�n�avak�►s 'Pi ► ' q'�' SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Ont Attn: Building Permit Technician Date Received 321 E. Fifth St., Port Angeles, WA 98362 Permit# '5 (360)417-4815 fax(360)417-4711 pate Approved Applicant or Agent Joe DeScala P onel 360-461-0610 Property Owner Steve Seibert Phone 661-886-6831 Property Owner's Address 123 E. First Contractor mss ow-n--e'rf Sjea }Phone —300-1644M Contractor's Address 537 W Furth St, PnrtAnaeles 98362 (W) � -G�1� License # Expires Project Address 123 E. First St.Suite 1-A Port Angeles 98362 Business Name Parcel Number Lot Zoning CBD Submit an 8 %"x 11 "site plan & three sets of plans that include: F- Type of sign (wall-mounted, projecting,freestanding, illuminated, other...) L Placement and sq.ft. area F How the sign will be securely attached (Engineering specs may be required for freestanding signs) C Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. 'Sign Type&Brief Description: (Type, location, sq. ft.) Sign #1 1- double sided 12" x 48" SignFoam Sign Sign #2 Pedestrian Sign under awen4ng Sign #3 Sign #4 Totals(Unit charges Sign(s) 1 000.00 Unit Charge uantit multiplied by quantities) Type of Sian Valuation$ $47.00 x _ $ 47.00 All signs less than or equal to 25 sq. ft. $85.00 x = $ Wall sign or marquees, over 25 sq.ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq.ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ 47.00 Credit Cards (Except American Express)are accepted Existing sign(s) area 0 sq. ft. +Proposed sign(s)area 8 sq. ft. = Total sign(s)area 8 sq. ft. Building fagade area (height C? ft. X width J-0 ft.) = /80 sq. ft. (if a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on// projects. Date i iG eO� � Print Name ;SpJCci-6 Signature T:FormsBuilding Division/Sign Permit Application.doe Mounting drawing for Mended 123 W. First Street 14 E-. Awning + r A& ARi Aft i 4% a i MENDED i 12'i• CHURCHoART * LIFE MV 40 %W IV W VW 1W 48 IVAOXMV aMIa aL J.3a ns Ak nv Awning Wood 2"x4" mopipspnf sigl;o sm mnpso pus sapoa He 3o ua1E{ole a Wqn+iapunas%00}»p=BUWq suonraacio Sucplsnq Iftimmaid mog b*ap mpo pue suotmUpo&'susid pies ul s oma jo aopa o0r aqi 8uuinbat j*Uwjap m4 ppWo Buippr4 Otp IwAad lou Ilm opp JXRO pm mommi oft susld asay3 aodn paseq uuuad sttp jo mmnssi ALL SmId W9=46UO3-S3130KVJWd JO AID �'�VL� ftft 1J ELECTRICAL PERMIT i CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000060 Date 1/24/12 Application pin number . . . 078940 Property Address . . . . . . 123 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-1656-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 50 amp circuit heater ---------------------------------------------------------------------------- Owner Contractor STEVEN T SEIBERT OLYMPIC ELECTRIC CO INC PO BOX 312 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (661) 886-6831 (360) 457-5303 --------------------------------------------------------------- _ Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . (� 1 Permit Fee . . . . 74.00 Plan Check Fee .00 1 v Issue Date . . . . 1/24/12 Valuation . . . . 0 Expiration Date,. . 7/22/12 Qty Unit. Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 V DN 1 3 12 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 3 `� FINAL 2 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING -'k ORTgN, ELECTRICAL INSPECTION y WIRING REPORT KS 417-4735 DA E PERMIT# INSP.E�C.TyOLL_ OWNER/CON RACTOR a 1. E-LIF-LTiz- C ADDRESS 2 S APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . ..tl� ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: ( 90))t4V 1 !16 r t�j17 69 20 7 Cora Du��n v-'--5 1 �vb -FR1'j T-c-- dJ 2, 17 Looy A-°r flo rn 13 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 R"E'7 .lr IBJ 1J El- lG','. 0_,t'rarcr.t., 1 " CITY OF PORT ANGELES PERMIT APPLICATION I1AM 2 3 2011 � Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1.150/Port Angeles Washington,98362 ELECTRICAL Ph: (360)417-4735 Fax: (360)41.7-4711. INSPECTIONS Date: 01/23/2012 X Multi-Family or Commercial* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 123 E FIRST ST. _ Building Square Footage: Description of above 50 AMP CIRCUIT FOR HEATER Owner Information Contractor Information Name:STEVE SEIBERT Name: OLYMPIC ELECTRIC Mailing Address: PO BOX 312 Mailing Address: 423'0 TUMWATER TRUCK ROUTE City:PORT ANGELES State: WA Zip: 98362 City:PORT ANGELES State: WA Zip: 98363 Phone:457-0811 Fax: Phone:-457-5303 Fax: 452-3498 License#/Exp. License#/Exp. OLYMPEC285D1 _ Item Unit Charge MY Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 1 $ 74.00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86,00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy—Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00' $ Note:$5.00 for each additional T-Stat $ 74.00 Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check C� Credit Card# X MICHAEL L RUTTEN Dated: 01/23/2012 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-473 5 Application Number . . . . . 11-00000577 Date 6/10/11 REPORT SALES TAX ^� Application pin number . . . . 767240 Property Address . . . . . . 123 E 1ST ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-5-1-1656-0000 to the City of Port Angeles Application type description ELECTRICAL ONLY Y g Subdivision Name . . . . . . (Location Code 0502) Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 Application desc 1 circuit remodel. Remove unused equipment Owner Contractor ------------------------ --------------- --------- STEVEN ---------------------- STEVEN T SEIBERT BOTERO & SON ELECTRICAL PO BOX 312 940 TAMARACK WAY PORT ANGELES WA 98362 PORT ANGELES WA 98362 (661) 886-CS31 (360) 452-4766 ---------------------------------------------------------- Permit . . ELECTRICAL ALTER COMMERCIAL i N Additional desc . . Permit pin number . 187260 Permit Fee . . 73.50 Plan Check Fee .00 Issue Date 6/10/11 Valuation 0 Expiration Date . . 12/07/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-ERANCH CIRCUIT WO/FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 _ Grand Total 73.50 73.50 .00 .00 V -A INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ` ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X , ; Date: G:AEXCIIANGE\r3UILDING 0,*poRT44,,, ELECTRICAL INSPECTION U� N y WIRING REPORT ��F� 417-4735 RKS 6 DATE: PERMIT# INSPECTOR Z'Z 1),--bg7 OWNE CONTRACTOR / ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . � ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: M o%J N.-- t> L Ar L L_ V ►4 0 l -F—p ��J CAt Co �cc-�►y ir- ALL, LA1 u 5—i6l) r-c��)e1 L- -"'AAL- 5AAc. AU, U N U ?�� OF ) 465; NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - CITY OF PORT ANGELES PERMIT APPLICATIONR E CX I V E D Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 AUN 9 2011 Ph: (360) 417-4735 Fax: (360)417-4711 { ELECTRICAL Date: - � - ,�`� INSPE TI��S 1 &2 Single Family-Dwelling —Multi-Family-or-Commercial* '�_Commercial l�dditian-/-Alteration/Remodel/Repair* 0 *Plan Review My�_B equire lease Complete Electrical Plan Review Information Sheet Z �1 Job Address:tel` � A o Z, Building Square Footage: Description of above Se iziiic= le 4J Owner Information Contrac / rmatiog Name: ,c 1 E8�'�L77< Name: + r'.�n 63t� Mailing Address: — Mailing Address: 9-Z Y Zit w,-,, Ac?Y 4AU City: State: Zip: City: State:&AJA�_Zip: g�f2 Phone: Fax: Phone: Fax:Gi 7— e1 2 License#/Exp. License#1 Exp. ! T Item Unit Charge Qtv Total(Qtv Multip ied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over.1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ � Branch Circuit W/O Service Feeder $ 73.50 $ -7 3�' Each-Additional Branch Circuit $ 2.60 $ Temp.Service/"Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder401=600.Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp . $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88:20 ;$ Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 95.90 $ Note: $5.00 for each additional-1500 sf Signal Circuit/.Limite.&Energy 1< .2 Family Dwelling $ 63:90 $ Signal Circuit/Limited:Energy-Multi=Family:Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 . $ Thermostat $ 56.00 $ NEW,-CONSTRUCTION,ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ g 0.30 $ _metal Each Swimming Pool or Hot Tub $11 Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit.is finalized. (2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28;WAC. Chapter 296-46B,The City of Port .Angeles Municipal Code, and Utility Specifications and-PAMC 14.05.050.regarding Electrical Permit Applications. Signature.of owner,electrical contractor or electrical administrator: ❑ Asn El check l� Credit Card# /J;A/ x ✓ ) Dated: 101!2010 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000894 Date 8/24/10 Application pin number 527598 Property Address 123 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc RUP # 10 28 SIDEWALK CLOSURE FOR PAINTING Owner Contractor STEVEN T SEIBERT LIQUID PAINTING PO BOX 312 272 N RIDGEVIEW PORT ANGELES WA 98362 PORT ANGELES WA 98362 (661) 886 6831 (360) 808 2114 Permit RIGHT OF WAY Additional desc SIDEWALK CLOSURE FOR PAINTING Permit pin number 171827 Permit Fee 75 00 Plan Check Fee 00 Issue Date 8/24/10 Valuation 0 Expiration Date 2/20/11 Qty Unit Charge Per Extension 1 00 75 0000 ECH RIGHT OF WAY PERMIT 75 00 Special Notes and Comments Applicant responsible for providing signs and barricades for sidewalk closure No material to be allowed to enter City storm drain system No sidewalk closures allowed on weekend or holiday Lift not allowed on sidewalk Place drop cloth on walk under work area Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr e/211001 G Sign a of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\]102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\I 10215[10/08] PREPARED 8/09/10 8 22 43 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/09/10 ADDRESS 123 E 1ST ST SUBDIV TENANT NBR STEVEN T SEIBERT CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER STEVEN T SEIBERT PHONE (661) 886 6831 PARCEL 06 30 00 5 1 1656 0000 APPL NUMBER 10 00000463 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 8/09/10BLDG FINAL TIME 01 00 L August 6 2010 11 16 57 AM 1pangrle BILL FEELEY 461 2309 BUILDING FINAL TWO NEW STOREFRONT ENTRIES AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 �Q Application Number 10 00000642 Date 7/19/10 Application pin number 902188 Property Address 123 E 1ST ST REPORT STATE SALES TAX <_ ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 on your excise tax form Application type description ELECTRICAL ONL Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 3 200 amp feeders 40 circuits Owner Contractor STEVEN T SEIBERT OLYMPIC ELECTRIC CO INC PO BOX 312 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 ��- (661) 886 6831 (360) 457 5303 Permit ELECTRICAL ALTER COMMERCIAL Additional desc FIRE ALARM $5 EACH ADDITIONAL Permit pin number 167999 Permit Fee 624 60 Plan Check Fee 00 Issue Date 6/23/10 Valuation 0 Expiration Date 12/29/10 Qty Unit Charge Per Extension BASE FEE 65 00 40 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 104 00 1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT 95 90 3 00 119 9000 ECH EL 0 200 SRV FEEDER. 359 70 Fee summary Charged Paid Credited Due Permit Fee Total 624 60 624 60 00 00 Plan Check Total 00 00 00 00 Grand Total 624 60 624 60 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 1,0 FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 07/15/2010 14 26 FAX 360 452 3498 Oiy6pic Eiectric Co PP CIT4 INSPECT Q 001/001 JUL 16 200J City of Port Angeles Permit Application t>clkr-'� Building DtvlslonlElecirlcel Inspections ELECTRICAL 321 East Fifth Street:P,O,Box 1150 INSPECTIONS per_ Port Angeles Washington,98362 �` Ph:(360)417-4735 Fax:(360)417.4711 t Date;ZL � �r _1 &2 Single Family Dwelling _MUltl•Famlly or Commercial' -ZCommercial Addition/Alteration(Remodel I Repair" Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet Job Address; �T Building Square Dotage: .2/,OOO sg Pf Descilptlonofabove E,,= Owner InformationContractor Informal- Name: -!! r . �L,/��r71 Name: / Malling Address; Y C> 717 Mailing.Ad dr s: City, slate; 161-7 Zip' 7717 City; State; ZIP: tif�'i j Phone - Fax: Phone: FBx;_tz;g_?+r5r= License 1 Exp. License#/Exp. C,k unit Charge City Total(City Multiplied by Unit Chanel $119.90 S-Servlce/Feeder 200 Amp $146.50 S Service/Feeder 201.400 Amp, $204,80 $ Service/Feeder 401-600 Amp, S262.20 $ Servico/Feeder 601.1000 Amp. Gyp S372.50 $ Service/Feeder over 1000 Amp. $ 2.60 $ Branch Circuit WI Service Feeder `(J S 73,50 $ Branch Circuit W/O Service Feeder O0 eo $ 2.80 S Each Additional Branch Circuit I �j S 92.70 S_, T Temp.Service/Feeder 200 Amp. S 110.30 $, Temp.Service/Feeder 201.400 Amp S 148.7D $ Temp.Service/Feeder 401.600 Amp $167.80 $ Temp.Service/Feeder 601.1000 Amp pV(cyD $ 95.90 $ Ponal to Penal Hourly S 88.20 S Sign/Outline Lighting $ 95190 $gyp- Z Signal Clrculu Limited Energy-Commercial.Addlnonol 1500$5,00 $ 63.90 $ Signal Circuitl Limited Energy 1&2 Family Dwelling $ 53.90 S___. Signal Gircuill Limited Energy Mulli-Femily Dwelling $119.90 $ Manufactured Home Connection $102.30 $ Renewable Electrical Energy 5KVA System or Less $110,30 S First 1300 Square Fl, S 35.20 S Each Additional 500 Square FL or Portion of $ 73.50 S-__Each Outbuilding or Detached Garage $110,30 $ Each Swimming Pool or Hot Tub $ 56,00 S Thermostat $��-Total Owner as defined by RCW.19,28.261•(1)Owner will occupy the structure for two years after this electrical permit Is Finalized.(2)Owner Is required to hire an electrical contractor If above sold proporty Is for sale,rent or lease.Permit expires altar six months of list Inspection. After reading the above statement,I hereby tartly that I am the owner of the above named property or a licensed electrical contractor I em making the electrical Installation or alteration In compliance with the electrical laws,N.E.C. RCW.Chapter 19,28,WAC,Chapter 295.400,The City of Port Angeles Municipal Code,and Ullllty Specifications. Signature of owner,electrical contractor or electrical administrator ❑ Cash _ ❑ Check Xe // '� '� -� Date: 7//'i f/. Credit Card t a ELECTRICAL PERMIT c CITY OF PORT ANGELES 8' 360-417-4735 J Application Number 10 00000667 Date 6/29/10 Application pin number 358000 Property Address 123 E 1ST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 3 circuits lighting clothes store Owner Contractor STEVEN T SEIBERT JARMUTH ELECTRIC PO BOX 312 PO BOX 635 SEQUIM PORT ANGELES WA 98362 SEQUIM WA 98382 �1 (661) 886 6831 (360) 683 4104 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1 Permit pin number 168344 W Permit Fee 78 70 Plan Check Fee 00 Issue Date 6/29/10 Valuation 0 Expiration Date 12/26/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20 Fee summary Charged Paid Credited Due Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Grand Total 78 70 78 70 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN ` l� FINAL 8 �� COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor h Date 06/28/2010 13 57 360-681-722 JARMUTH ELECTRIC PAGE 01 City of Port Angalee►deep Applia don � ��✓ ® ok t4 . � 1 DlvlebnlE>,etAgl btadeglorta I� ^� =Wt Flfar wpt-P.O.floor 1110 'C�V 1 a Per:plat 4117-471167116TJb Ice tbAAnplw :Frx:1aeo1 a»lit t 1111417 JUN 2 U 2009 � Date; 0 ELECTRICAL t O r 1&2 Single Family Dvm% INSPECTIONS 1 Mu"amily of commercler �! Comnrerclal Adattton/AReralion/Renrodli I Repair- Plan Review May%Rsquh W,Please Compote ElecW81 Plan Review information Sheat Job Address: Building Square aomge. ° DwApftn of above Oreler Int"ation Conifactor Iftfotm oon Name _� Nara:Satrrr,u�� Millin Ad_roL Melling Address: PO 8� e < �� COY: State; — Phone; - Zlp. L CPI ; "� G Sale:M Zip: License 0/Exp, Z:t ea; Uom M r Exp. /p Untcharm f 119.10 S 6etwcwFeeer20o f 2/7.50 1204-50 f� Swi*Fwder201 M f 9arviaFeeera0l-0o0 $272.20 f SeiviodFeeder 801.11)00 Anlp, 37160 $ s Swv=Feeaar over 1000 Ar p. f 250 s Bntneh Chorea W1 Service Feeder i 19.10 S Branch CIPWitW10 Service Feaeer S 270 s gt.10 �_ f Exqi Addowal&v&circuit I 110.30 = Tamp.SVVW Feeder 200 Ano f 11e.70 s Temp.UrA W09dar201J0oAmp. $177.70 f Temp.SWACWNSdae0i-MAmV, f 17.70 fPa m Pond Fou er 701.1000", i 77.20 b M f 17,0 so lorm 1Jph7ny f 73.00 f mrs'CvcuiV Limited Enemy�16 2 Fvmj�wd D40" d ISM f6.00 s 111.70 s WPMer*ulecOrt Home ca Enemy ktro�FemiM�Y s 101.30 iiaeaw"OK11 al En Sin or Lee. f 110.90 s erpy tiNYA f 3520 f First 1300 Squw Ft f 79.70 S EaCA AddMt*500 Sown Ft or Poft of i 1030 Eadr f 157.00 f ESM 30im"p POd or PW Tubm� s Thamgebl CM , 'Tad 0~"d m efine er PCW.e r rent rel Ortrar wdl oaupr drw anrreern O two teen aAW dile.Nroicaf prmh N*Wftad R!otatW h reeulred to hire an$**kal oerrerecow N abo.e aaM prepWy N Ibr dant,rent or Nate,oerntit regepp aflaratY stondu olgref arapcdae. ARK reedy UM above atelemenL thereby Cantly that I am tM ownerof the above named Properly er a Iloerreed eleOblCal eo+rlractor I drew m eMaratbn In CWOWWA vrlm the etectrlw tows,N.E.C. PCW.Chapter 1717,WAC.Chapter 30466,The C of Port �O IM ettatnaal irotaleaon or 14' Anpebe MuAioipal Code,VW UUft 1Weiffodloee. &*wh n of owner,swovled confraetor or slecttkel admfnWralor ❑ cash ❑ Check G �p/T� �crdlt cera d O� E`�l-L- Aift F 4 t q T. i4c ,ORP" p "V "S 'm 4 E 3 R YAN, -"G, - EL CITYV-, O.F�,P0 Z, 'OFFIC "'ECT W WASHINGT'bN--b �6�,,. T- b TA -w kttAST Stix 0 , ...... PHONE. ;(360)',41;7,-4735 41 SPECTIOK�` 'R RESSIVE�74N "tA �pLf W-A OG N.,",C,, E--A-�L"JQR,"z;U,'E ' 'KulM ; .�Ilz4111;wnev' 166tical"ContractoK :Vyr,� -y.lq�a�ibfiA p1eqt�iqatwArea:Date' r ,�puilqing o�, qujp�hqotjo,s 'Act16fiT6vp F— �YMY- %4 'Y'�_x "o,Kf ; 4, 7JY, V4 'YW4 p'A"N" YJElf-�, Asyt'4, y 'XP . RT,D0 OT . 0ST lll-1'Ili, 4 4%1�._ ',l orf v 1 4�.S 'z 4 -1,1'1141� k & P_ "i IN fi N., j. pige JF ELECTRICAL PERMIT G CITY OF PORT ANGELES X 360-417-4735 N Application Number 10 00000642 Date 6/23/10 Application pin number 902188 Property Address 123 E 1ST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 3 200 amp feeders 40 circuits Owner Contractor STEVEN T SEIBERT OLYMPIC ELECTRIC CO INC PO BOX 312 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (661) 886 6831 (360) 457 5303 52. ?,-tG Q Permit ELECTRICAL ALTER COMMERCIAL CSJ Additional desc Permit pin number 167999 Permit Fee 463 70 Plan Check Fee 00 Issue Date 6/23/10 Valuation 0 Expiration Date 12/20/10 Qty Unit Charge Per Extension 40 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 104 00 3 00 119 9000 ECH EL 0 200 SRV FEEDER 359 70 Fee summary Charged Paid Credited Due Permit Fee Total 463 70 463 70 00 00 Plan Check Total 00 00 00 00 Grand Total 463 70 463 70 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date 06/23/2010 06 34 FAX 360 452 3498 Olympic Electric Co PA CITY IR!PECTw Z 001/001 -0 ?OR r.1 x.r City of Port Angeles Permit Application JUN 2009 er Building DlvlelonlElectrical Inspections Fifth Po EautAngeles ELECTRICAL Port Angeles Washington,96362 Ph:(360)417/..4735 Fax:(360)417.4711 INSPECTIONS _1 &2 Single Family Dwelling _Multi-Family or Commercial' Commercial Addition/Alteration/Remodel I Repair' Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet Job Address; Building Square Footage, Description of above Owner Information Contractor Informal l Name; Name: 7.-i-L� Merlin Address:�� aX T/2 Mellln9 Ad s: � ^ Clty' City: State: Zip: �r Phone: Fax; Phone:!tsV�A r Fax: License 01 Exp, License#/Exp, Unit Charge � YTotai(Oty Multlpl eed by Unit Cherge) $119,90 S� ServlcelFeeder 200 Amp. $145,50 S ServlcelFeeder 201.400 Amp. $204.60 $ Servles/Feeder 401.600 Amp. S262.20 S Service/Feeder 601.1000 Amp. $372,50 S _ServlcelFeeder over 1000 Amp S 2.60 (Q S Branch Circuit W/Service Feeder S 73.50 S _ Branch Circuit W/O Service Feeder S 2,60 $ Each Additional Branch Circuit S 92.70 $ Temp.Servicel Feeder 200 Amp S 110,30 $ Temp,Service/Feeder 201.400 Amp $148.70 $ Temp.Service/Feeder 401-600 Amp $167.90 3 Temp,5ervlce/Feeder 601-1000 Amp, $ 95.90 $ Portal to Portal Hourly $ 86.20 S Sign/Outline Lighting 5 95,90 3 Signal Clrcult/Limited Energy-Commercial,Addlllonal 1500$5.00 S 63.90 S Signal Circuit/Limited Energy 1&2 Family Dwelling S 63.90 $,.,,.___-__Signal ClrculV Llmlled Energy Multi-Family Dwelling 5119.90 S Manufactured Home Connection $102.30 $ Renewable Electrical Energy 5KVA System or Less $110.30 First 1300 Square Ft. S 35.20 _ 3 Each Additional 500 Square Fl.or Ponlon of S 73.50 S __ „,..,Each Outbuilding or Detached Garage 3110,30 $ Each Swimming Pool or Hot Tub $ 56,00 $ Thermostat Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years altar this electrical permit Is finalized,(2)Owner is required to hire an electrical contractor if above Bald property is for sale,rent or lasso.permll expires after six months of last Inspecllon. After reading the ebovo statsmoht.I hereby certify that I am the owner of the above named property or a Ilcenaed electrical contractor I em making the electrical Installation or alteration In compliance with the electrical laws,N.15-C. RCW.Chapter 1916,WAC.Chapter 296.468,The City of Port Angeles Municipal Code,and Utility Specifications, Signature of owner,electrical contractor or electrical administrator CJ Cash Che X 7�/ Date: Credlt Card 9 CITY OF PORT ANGELES > FIRE DEPARTMENT PERMIT 321 East 5' Street, Port Angeles, WA 98362 Application Number 10 00000635 Date 6/23/10 Application pin number 203225 Property Address 123 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 Tenant nbr name KAUFMAN MILLER BLDG on your state excise tax form Application type description FIRE ALARM SYSTEM to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 6500 Application desc INSTALL FIRE ALARM SYSTEM Owner Contractor STEVEN T SEIBERT PERFORMANCE SYSTEMS PO BOX 312 7324 SW DURHAM RD PORT ANGELES WA 98362 PORTLAND OR 97224 (661) 886 6831 (360) 681 8971 Permit FIRE ALARM SYSTEM Additional desc INSTALL FIRE ALARM SYSTEM Permit pin number 167932 Permit Fee 150 00 Plan Check Fee 00 Issue Date 6/23/10 Valuation 0 Expiration Date 12/20/10 Qty Unit Charge Per Extension 1 00 100 0000 ECH FIRE INSPECTION & TESTING 100 00 00 10 0000 ECH FIRE ALARM EA ZONE 00 1 00 50 0000 ECH FIRE ALARM PLAN REVIEW 50 00 Special Notes and Comments A full acceptance test will be required for the fire alarm system Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers June 21 2010 2 11 05 PM kdubuc If a bathroom is added to the new tenant space a strobe notification device will need to be provided Fee summary Charged Paid Credited Due vlod ej Permit Fee Total 150 00 150 00 00 00 r + Plan Check Total 00 00 00 00 Grand Total 150 00 150 00 00 00 1�J1 V This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced,or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compted with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law reg ting he work specified in the permit. L 10 Signature of ConbOctor or Auth zed Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD C 1 Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice It is unlawful to cover insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM r Rough-in inspection Alarm final i--,,.1 d VQ$ LP-GAS Completed by Contractor- Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi Tank(container) inspection Time initiated Tr Test#2 Appliance inspection Piping pressure test psi Q-� LP-gas final Time initiated UNDERGROUND STORAGE TANK(UST)ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final GENERAL COMMENTS A 3 CY1 2/15/00 G' d own r . Couz�`� Wp,Ons-rle s�vehT Sea bert', Po Bo)c MZ) PAS WR s 36Z FIRE-RELA TED PERMIT APPLICATION `r- CITY OF PORT ANGELES For City Use Only- -- Attn Building Permit Technician Date Receive 32.1 E. Fifth St. Port Angeles WA 98362 Permit# (360) 417-4815 fax (360)417-4711 f Applicant _ Property Owner KA u F Mr4N Mt-L .Core_—faux-�- - ------Rhone - - - - - -- Property Owner's Address 123 FSz— Contractor _ Contractor's Address '7;zq S - License # Pelt vo Q, ge&O M - Expires --- PROJECT ADDRESS --- Project Business Name KA uF, t�^&^ N M k t� Fire Alarm System ❑ Residential ❑ Multi-family Commercial ❑ Industrial Check all That apply Briefly describe the project: ,XOne addressable loop — _— ❑ One zone ❑Additional zones List quantity of additional zones PROJECT VALUATION(labor& materials) $ cao Fire Sprinkler System ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all.that apply Briefly describe the project: Installing backflow protection device(s)? ❑ yes ❑ no <2 inch water line (list quantity of devices) >2 inch water line (list quantity of devices) PROJECT VALUATION(labor& materials) $ Hood/Duct Fire Suppression System ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all That apply Briefly describe the project: Will only the fire suppression system be installed or altered? ❑ yes ❑ no Will a hood and/or ductwork be installed or altered? ❑ yes* ❑ no If yes a mechanical permit will also be needed PROJECT VALUATION(labor& materials) $ /have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date Le -t 4, -t o Print NameNk4A tac- �A to tC Signature T Forms/Building/Fire-related permit application �� -I .71 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000463 Date 5/27/10 Application pin number 951441 Property Address 123 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 Tenant nbr name STEVEN T SEIBERT Application type description COMM REMODEL Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 21000 Application desc TWO NEW STOREFRONT ENTRIES Owner Contractor STEVEN T SEIBERT FEELEY CONSTRUCTION INC PO BOX 312 2606 DEER PARK RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (661) 886 6831 (360) 452 7559 Structure Information 000 000 TWO NEW STOREFRONT ENTRIES Construction Type UNKNOWN Occupancy Type UNKNOWN Permit BUILDING PERMIT COMMERCIAL Additional desc TWO NEW STOREFRONT ENTRIES Permit pin number 165084 Permit Fee 361 75 Plan Check Fee 235 14 Issue Date 5/27/10 Valuation 21000 Expiration Date 11/23/10 Qty Unit Charge Per Extension BASE FEE 95 75 19 00 14 0000 THOU BL-2001 25K (14 PER K) 266 00 Special Notes and Comments May 25 2010 10 37 36 AM sroberds The proposal will result in remodel of a storefront in the CBD No footprint change will result Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 '^ Fee summary Charged Paid Credited Due Permit Fee Total 361 75 361 75 00 00 Plan Check Total 235 14 235 14 00 00 /O Other Fee Total 4 50 4 50 00 00 Grand Total 601 39 601 39 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. ate Print Name Signature of Co a or Aut rize -774—Signature of Owner(if owner is builder) �o/V P*A/ E/Z` T: onnsBuilding Division/Building Permit G BUILDING PERMIT INSPECTION RECORD - — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— V� 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION. Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b -` AIR SEAL. �Jv Walls Ceiling m FRAMING ► 1 Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) vj T-Bar INSULATION Slab Wall/Floor/Ceiling �� MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Q Inspection Type Date Accepted By Electrical 417-4735 / Construction R.W PW I Engineering 417-4831 0 Fire 417-4653 Planning 417-4750 Building 417-4815 Q T.Forms/Building Division/Building Permit CITY OF PORT ANGELES q FIRE DEPARTMENT PERMIT 321 East 5" Street, Port Angeles, WA 98362 Application Number 10 00000479 Date 5/20/10 Application pin number 395871 Property Address 123 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 Tenant nbr name STEVEN T SEIBERT Application type description FIRE SPRINKLER SYSTEM Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 13185 Application desc ADD PARTIAL FIRE SPRINKLER PROTECTION TO 1ST FLOOR Owner Contractor STEVEN T SEIBERT KNIGHT FIRE PROTECTION INC PO BOX 312 2509 WEST 19TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 98363 (661) 886 6831 (360) 417 0505 Structure Information 000 000 PARTIAL FIRE SPRINKLER PROTECTION Permit FIRE SPRINKLER COMMERCIAL Additional desc PARTIAL FIRE SPRINKLER PROT Permit pin number 165308 Permit Fee 263 75 Plan Check Fee 171 44 Issue Date 5/20/10 Valuation 13185 Expiration Date 11/16/10 Qty Unit Charge Per Extension BASE FEE 95 75 12 00 14 0000 THOU BL-2001 25K (14 PER K) 168 00 Permit FIRE SPRINKLER COMMERCIAL Additional desc INSPECTION & TESTING \\\ Permit pin number 165316 � A Permit Fee 100 00 Plan Check Fee 00 \ p� Issue Date 5/20/10 Valuation 13185 /� U Expiration Date 11/16/10 \ `� Qty Unit Charge Per Extension BASE FEE 100 00 Permit PLUMBING PERMIT Additional desc 4 BACKFLOW PROTECTION DEV Permit pin number 165324 Permit Fee 65 00 Plan Check FeQ 00 Issue Date 5/20/10 Valuation 0 Expiration Date 11/16/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 15 0000 EA PL-BACKFLOW PROTECTION > 2 15 00 Special Notes and Comments A full acceptance test will be required for the fire This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compied wwhether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel th ovi ions of a state or local law regulating the work specified in the permit. SigW ature of Contras or or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections Please provide a minimum 24-hour notice It is unlawful to cover insula pe 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 Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor- Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank (container) inspection Test#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK(UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final GENERAL COMMENTS 2/15/00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5" Street, Port Angeles, WA 98362 Page 2 Application Number 10 00000479 Date 5/20/10 Application pin number 395871 Special Notes and Comments sprinkler system Public Works Utility Engineering has no requirements for this plan review Fee summary Charged Paid Credited Due Permit Fee Total 428 75 428 75 00 00 Plan Check Total 171 44 171 44 00 00 Grand Total 600 19 600 19 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD n r-- Q Call 360-417-4655 for fire inspections Please provide a minimum 24-hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. J KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection V_ Alarm final n LP-GAS Completed by Contractor- Underground piping inspection/pressure test Test#I Above ground piping inspection/pressure test Piping pressure test psi V� Time initiated Tank (container) inspection Test#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK(UST)ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final A _`V-) V 'Sr GENERAL COMMENTS 2/15/00 0 PL 01?ORI,I,. FIRE-RELATED PERMIT APPLICATION �- CITY OF PORT ANGELES M1t=: '7-4*56_ F 13 Attn Building Permit Technician 5- 121 10 �I► 321 E, Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 GELS Applicant , K ( � ION lul Property Owner cy T Phone ( "0 Eft— 6g3 � Property Owner's Address t2357 isq 5'T r 1-��_ 0 Contractor _ ► -1- �� Phone (� Contractor's Address Z T f llp (o— License # yAl 11.4+f::90_4A-ty, Expires 5 � E-mail PROJECT ADDRESS _ (23 EaST )Sv Sfi �+�yG 5 a g83�7_ Project Business Name kAO v-7 gvlt,,)VJ Fire Alarm System ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply Briefly describe the project: ❑ One addressable loop _ ❑ One zone ❑ Additional zones List quantity of additional zones PROJECT VALUATION(labor& materials) $ Fire Sprinkler System ❑ Residential ❑ Multi-family vC`ommercial ❑ Industrial Check all that apply Briefly describe the project: Installing backflow protection device(s)? 41:%)t3 pq.avtgt_ ) fgy, S IZ+�� Dcf7� ,-V' � a es ❑ no �o I� �FIc�- . ��l,�c,- �� rc��4xn <2 inch water line (list quantity of devices) >2 inch water line (list quantity of devices)_ �t PROJECT VALUATION(labor& materials) $ 13 181�, — wrlL ov2r 5112JI0 Hood/ Duct Fire Suppression System ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply Briefly describe the project: Will 2Ely the fire suppression system be installed or altered? ❑ yes ❑ no Will a hood and/or ductwork be installed or altered? ❑ yes" ❑ no If yes a mechanical permit will also be needed PROJECT VALUATION(labor& materials) $ 1 have read and completed this application and know it to be true and correct. t am authorito apply f<,,, rand understand that it is my responsibility to detennirrc i t permits are required, and to uot'tin permits prior t o g 3 Date �Ib Print Name � XGm Signature_ _ T Forms/Building/l=ire-related pern 1pplication (.S 50�5 of p lans) Ko"! CDat--Alppro-ed- COMPLETI: USE ONLY `°-"® BUILDING PERMIT - APPLICATION - Ip + _ 4- P —rill out CO_MPLETI LI and in INK.I our application and site plan MUST BE :COMPLETE to be accepted for review If you have any questions.call PERMITS (360)417-4815 FAX(360)417-4711. 1 S4 Applicant or Anent. 6?W WM Phone: (OG &vi Owner- GJ�fb,/�' �7 ► Z'f" Phone. t o(p S$!o (o 'S Address. Pa 13D1d 312 — city For-r AN J$L$S Zip Arclutect/En,neer I-�MoMSy1 w 1viTt� !-�hGia d TSCA S Phone: -4,)1(p Contractor�6OKLm u CoN--Xpopn tnv State License t Exp Phone: Address: Z&,X. LL City. .i?'W—T— _G�31.�"S Zip PROJECT ADDRESS I Z,;5 15 � ST - ZONING LEGAL DESCP.IPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF'"70RK. SIZE/VALUATION ❑ Residential ❑ New Constr ❑ Re-roof ❑ Stove SF @$ /SF =$ ❑ Multi-family ❑ Addition ❑ Movq❑ Garage SF @$ /SF =$ Commercial ')<Remodel ❑ Demolition o Deck SF .@$ /SF =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION BRIEF DESCP\PTION OF THE PROJI;C,T T Wb NSW GOM T eptJ''Iz1 V-S. doe rs (Po- r,6alrlie 5r► 1+6--TThe- eLw"'n j wi I re COMMERCIAL/RESIDENTIAL. Occupancy Group M Occupant Load. Construction Type No of Stones: 3 Lot Size: 500 1=tmg Sq Ft.2f1000 R Proposed Sq Ft.�_ =TOTAL Sq Ft.Z) 0-00 Total lot coverage PLANNING USE ONLY APPyAL ROS PLAN BLD G FDPWU ESA/Wetland(s) ❑Yes❑No SEPA Checklist required? ❑ Yes ❑ No Other- FIRE OTHER. 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. c __ PLAN CHECK FEE.IF a plan check fee is due it must be submitted at the time the building permit applibation 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,the,application will expire. Thb, Building Official can extend the time for action by the applicant up to 180 days upon-written•request by the applicant(see Section RI 05.3.2 of the International Building/Residential Code,2003). No appbcatton can be extended more"than once. I hereby certify that I have read and examined this application and know the..sarrme to be true and correct. I am authorized to apply for this permit and understand that itis my resp on o determine wha ermi re required at he ty's, pn2-010 hat l must obtain such permits prior to or . S � � 51/O 2-0/O to. fit Aq 2 TAr0'PTJe\R1r1aPP—ffhr umd Annlicant: Date: D 108 ++. _. 4 J} All 114 ? 1b4 1.222 124 105 7+ {{yy aJ 130 e t •r ' n 136 107 117 102. 114 104 127 V> 108 '110 ' _ _ ¢ 117 110 112. 115 t, `�+ 129 45 w �. NI 124 VA INK 31. At, jet � ISO, r r$, ,.. .lk� i f 4f, At 4`1 Alor p"1 +'- I I NE< ALUM.-STOREFRONT NEW A STOREFRONT AW DOORS 57STEM WITH ANDD LL glw FACE WITH WITH E WALL BELOW FACE WITH KNEE LL BELOoW F D AND TRIM MD PLYWOOD AND TRIM MDO P YWOO EXISTING STOREFRONT EXISTING STOREFRONT EXISTING STOREFRONT TO REMAIN TO REMAIN TO REMAIN ELEVATION - pno�- Clallam County Assessor& Treasurer - Property Details - 61420 STEVEN T SEIBERT f Page l of 4 Clallam County Assessor & Treasurer Property Search Results > 61420 STEVEN T SEIBERT for Year 2010 2011 Property v Account Property ID- 61420 Legal Description SMITH NORMAN R E20'LT 14&LT 15 BL 16 Geographic ID- 0630005116560000 Agent Code. Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 57 Open Space: N DFL N Historic Property, N Remodel Property- N Multi-Family Redevelopment: N Location Address. _ 123 E FIRST ST Mapsco PORT ANGELES WA 98362 Neighborhood Cycle 5 Comm Map ID• Neighborhood CD- 20953140 Owner Name- STEVEN T SEIBERT Owner ID- 194036 Mailing Address: PO BOX 312 %Ownership. 100 0000000000% ` PORT ANGELES WA 98362 Exemptions: Taxes and Assessments Due Property Tax Information as of 05/10/2010 Amount Due if Paid on. First Second Half Half Statement Base Base Base Arr Year ID Taxing Jurisdiction Due Due Penalty S Interest Paid Du 2010 44133 ST SCH STATE SCHOOL $51404 $51403 $000 $000 $51404 $E 2010 44133 CC-GEN COUNTY $27355 $27356 $000 $000 $27355 $: 2010 44133 PORT PORT $3845 $3845 $000 $000 $3845 2010 44133 PORT ANG PORT ANGELES $63337 $63336 $000 $0_00 $63337 $E 2010 44133 SD#121 SCHOOL DISTRICT#121 $66582 $66582 $000 $000 $66582 $E 2010 44133 NTH OLY LIB NORTH OLYMPIC LIBRARY $7949 $7949 $000 $000 $7949 2010 44133 HOSP#2 HOSPITAL#2 $112.22 $112.22 $000 $000 $112.22 $ 2010 44133 WSMET PK DIST WILLIAM SHORE MET PARK DIST $3570 $3571 $000 $000 $3570 2010 44133 CITY—STORMWATER CITY STORMWATER $8708 $8708 $000 $000 $8708 2010 44133 WEED CONTROL WEED CONTROL $082 -- $081 $000 $000 $082 2010 44133 TOTAL. $2440.54 $2440.53 $0.00 $0.00 $2440.54 $2' 2009 614202008 ST SCH STATE SCHOOL $59990 $59989 $000 $000 $119979 2009 614202008 CC-GEN COUNTY $30360 $30359 $000 $000 $60719 2009 614202008 PORT PORT $4300 $4301 $000 $000 $86 01 2009 6142_02008 PORT ANG PORT ANGELES $66593 $66592 $000 $000 $1331 85 2009 614202008 SD#121 SCHOOL DISTRICT#121 $741_86 $741 89 $000 $000 $1483.75 2009 614202008 NTH OLY LIB NORTH OLYMPIC LIBRARY _ $88.22 $88.21 $000 $000 $17643 2009 614202008 HOSP#2 HOSPITAL#2 $12451 $12451 $000 $000 $24902 2009 614202008 CITY STORMWATER CITY STORMWATER $8708 $8708 $000 $000 $17416 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_)d=61 5/10/2010 PREPARED 7/17/09 8 24 03 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/17/09 ADDRESS 123 E 1ST ST SUBDIV CONTRACTOR THE PLUMBING CONNECTION PHONE (360) 457 1690 OWNER STEVEN T SEIBERT PHONE (661) 886 6831 PARCEL 06 30 00 5 1 1656 0000 APPL NUMBER 09 00000673 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS \ PL2 01 7/17/09 J L PLUMBING ROUGH IN TIME 04 00 July 16 2009 1 39 57 PM 1pangrle STEVE 661 886 6831 ROUGH IN PLUMBING LATE AFTERNOON 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 00000673 Date 7/07/09 Application pin number 600519 Property Address 123 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1656 0000 Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 3000 Application desc REPLACE WATER LINES Owner Contractor STEVEN T SEIBERT THE PLUMBING CONNECTION 123 E 1ST ST 175 BAY VIEW AVE PO BOX 312 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 1690 (661) 886 6831 Permit PLUMBING PERMIT Additional desc REPLACE WATER LINES Permit pin number 149724 Permit Fee 57 00 Plan Check Fee 00 Issue Date 7/07/09 Valuation 0 Expiration Date 1/03/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL-WATER LINE 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 t � 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.eate A:i,,- AXLt 0 7 5UFA( F " 6�C J" Print Name Signature of Contractor or Authorized Agent Signature of Own (if owner is builder) T:Forms/Building Division/Building Permit 3 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 lull IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED u 7 POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION. Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor I Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. \ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 " 1 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 Iti C T.Forms/Building Division/Building Permit �o;Paxr.gti, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only Attn. Building Permit Technician Date Received - - �.� 321 E. Fifth St. Port Angeles WA 98362 Permit# - 6 (360)417-4815 fax (360)417-4711 Date Approved -7-0 Applicant 5 � KE/nPr—_r7' Phone Property Ownef S—/ F—VE^l 77 C1`3Al2 i. Phone Property Owner's Address AQ E11-3 t' 5 7-12-EEZ�; 104 L3OX 3l Z , P 0&-r— Contractor Phone Contractor's Address License # Expires E-mail PROJECT ADDRESS Parcel Number 003 000 O Lot Zoning Project Type & Brief Description. ❑ Residential ❑ Multi-family Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel_ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 15' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq ft. T Lot size sq. ft. = Lot coverage % Site Coverage =the amount of impervious surface on a parcel including structures paved driveways sidewalks, patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full-baths Will a fire sprinkler system be installed? Construction type #of half baths 1 rave read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits arerequired, and to obtain permits prior to wo ng on projects. e Date. .' Print Name 5 � r SL(BEIZr Sign 'rer ature Forms/Building Division/Bldg Permit.doc q R BECORDING MAIL TO 2009-1239685 Page 1 of 3 Quit Claim Deed Steven T Seibert Name STEVEN T.SEIBERT Clallam county Washington 07/07/2009 12 26 43 PM a Po tx 3;J— ■iii F�r j FY IN 1104"d �i, � ��, : �1 Address $29;lr% E n� e D AT 4 -:r— a74 90 City,State.Zia Filed for Record at Request of STEVEN T SEIBERT QUIT CLAIM DEED THE GRANTOR(S) STEVEN T SEIBERT and LINDA PIERSON SEIBERT, Husband and Wife for and in consideration of DISSOLUTION OF MARRIAGE, CASE NO.EFL-08408 SUPERIOR COURT OF CALIFORNIA,COUNTY OF IMPERIAL,939 MAIN STREET EL CENTRO,CA 92243 conveys and quit claims to STEVEN T SEIBERT the following described real estate,situated in the County of CLALLAM, state of WASHINGTON together with all after acquired title of the grantor(s)therein: THE EAST 20 FEET OF LOT 14 AND ALL OF LOT 15,BLOCK 16,NORMAN R.SMITH'S SUBDIVISION TO THE CITY OF PORT ANGELES,WASHINGTON. SUBJECT TO: PARTY WALL AGREEMENT RECORDED IN VOLUME 113 OF DEEDS,PAGE 525 UNRECORDED LEASEHOLDS,IF ANY RIGHTS OF VENDORS AND SECURITY AGREEMENTS ON PERSONAL PROPERTY AND RIGHTS OF TENANTS AND SECURED PARTIES TO REMOVE TRADE FIXTURES AT THE EXPIRATION OF THE TERM. Abbreviated Legal: Property commonly known as 123 EAST 1ST STREET PORT ANGELES WASHINGTON 98362 Assessor's Parcel Number- 063000 511656 0000 Assessor's Tax ID Number- SEIB0100 NO F79 8'1 CLALLAM COUNTY TRANSACTION EXCISE TAX/ DATE ADJUL 7 2009 Dated: � AMOUNT 0 Dated: COU TREASSER `�• BY SGL U VGI Ldl eF� Grantor STEVEN T SEIBERT Grantor•/ LINDA PIERSON SEIBERT Parcel Lookup Page 1 of 1 Parcel Number 0630005116560000 Site Address 123 E FIRST ST PA PrintQuit Back Taxpayer- STEVE SEIBERT/LINDA P-SEIBERT 42975 STAFFORDSHIRE DR LANCASTER CA 93534 Title Owner- STEVE SEIBERT/LINDA P-SEIBERT 42975 STAFFORDSHIRE DR LANCASTER CA 93534 Description SMITH NORMAN R E20' LT14 & LT 15 BL 16 Value Summary Note, Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs(except Commercial Forestland properties) Land Value 156 800 Improvements Value 408 900 Total Assessed Value 565 700 Property Characteristics Note:Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 5700 RETAIL/FURN Land Size (acreage) 00 Note.Acreage is not listed for all properties in the Assessor's records.More information about land size. Tax Status Taxable Tax Code Area 0010 Note.Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics (Click on Bldg.#for more details.) # Bldg. Ty_ ems_ Bldg_ Style Total S.F. BD BA_ 01 Two Story 14230 Tax History Sales History Print Quit Back 2,125,134 http.//apps clallam.net/website/sitis_p pgm?parcel=0630005116560000 7/7/2009 CERTIFICATE ®F OCCUPANCY City`of Port Angeles Buildik' isiott This Ceruficatton issued pursuant to the requirements of Section 109 of the Uniform Budding Cgde certoitig that at-the timi' of Issuance this structure was in compliance with the various ordttumees of the Cuy regulating Building cons traenoit or use.:For the following Use Classification Thri ftl'.Stn`p Bwlding Pe[autNo`= Group M `JType of Qmslrucliun ° �Usc 9.one CBD Oomf of Business/Residence Salivation Almy Address 123 .E ,Ist Street Building Address 123 East l.s....Sir tk, �L�ti x�x.-��, .�-�. z�ort.Angeles, WA 98362 tr ¢s a, nx-a't" a ,r ...r 22 n 'Building OtficlatT Date Post on tF egpje, to Gca IGuous place. Shall not be reuilding Official. • ORTNrGELES 1' W A S H I N G T ON, U. S. A. FIRE DEPARTMENT t March 21, 2000 Yry � Major George Bawden Salvation Army rltx ;l .�� P O Box 2229 st 4 Port Angeles, WA 98362 - Dear Major Bawden, t This letter is in reference to the Certificate of Occupancy inspection conducted by Lou Cyt Haehnlen,the City's Building.Official, and myself at 123 East First Street on March 17, 2000. , The inspection revealed the following deficiencies which will need to be corrected prior to Ze P,'. x , t s3 occupancy. unless other, arrangements are approved by the City's .Building and Fire Departments. . tw 1. All ceiling and wall penetrations in the boiler room shall, be repaired using a fire resistive material equivalent to the fire resistive rating of the room. '2. Replace the;painted fire sprinkler head in the boiler room.' k 4 3: Provide fire sprinkler protection in the newly constructed elevator control room. The s buildin 's=fire,s rmkler.:s stem is required to be, extended or altered to provide 9 , �`"�Nrrx appropriateaprinkler protection anytime the basement is remodeled.' iv FT ;" . . The Fire.Department recommends adding a sidewall span kler head in the existing 3 ` elevator pit with a shut off valve located in an accessible area..Refuse'and residual a hydraulic fluid have'a-tendency to collect at the bottom of the elevator shaft. A properly installed sidewall sprinkler head will control a fire in such material. 4. Mount the spare sprinkler head box adjacent to the fire sprinkler system riser. k �yy .t) 9p -• x �� 1 4 ' Identified in previous correspondence dated September 2, 1999, to Doug Wood Realty. k d ;ir Fh y� lu 102 EAST FIFTH STREET • PORT ANGELES, WA 98362-3014 PHONE: 360-417-4655 • FAX: 360-417-4659 • E-MAIL: PAFIRE4@CI.PORT-ANGELES.WA.US 7, � fm Major Bawden Page 2 March 21, 2000. 5. Storage shall be maintained 18 inches or more below sprinkler head deflectors in the basement. On all other floors, storage shall be maintained two feet or more from the ceiling. _ 6. Ensure the basement's fire sprinkler ssytem has a design density appropriate for the basement's proposed use -- combustible storage. The design density shall be no less than Ordinary Hazard- Group II. 7. Replace the sprinkler systems fire department connection caps with "approved" break-a-way caps. 8. Provide fire extinguishers within 75 feet of all portions of the building. The fire extinguishers shall be mounted no higher than five feet and be plainly visible at all times. All extinguishers shall be serviced annually by a licensed fire,extinguisher business. 9. The basement's required north exterior exit door is required to swing in the direction of exiting. The keyed deadbolt shall be removed from the above basement exit door and replaced with "'single action" locking hardware. 10. ' Provide "Not An Exit" signage on each elevator door. 11. Provide lighted exit signs with battery back up near the main floor's second required exit to assist with exiting in the event of an emergency. The location for installation was identified during the inspection. 12. Provide a one-hour fire resistive separation between the area(s)proposed for storage and the area(s)used for sales. Contact the Building Department for"approved"construction methods. 13. The second floor shall be provided with an additional "approved" separate exit. The second floor shall not be used or occupied until provided with the additional exit. Contact the Building Department regarding provisions for "limited" use until such time a second approved exit can be provided. 14. . If utilized, an outside dumpster shall not be located within five feet of combustible walls or roof eve,lines. .r Major Bawden Page 3 March 21, 2000 No combustible storage is allowed adjacent to the building. Dianna Sisk stated the Salvation Army had no intention of allowing any slot-age outside overnight. 15. Secure cover plates on all electrical junction boxes, receptacles and switches. 16. Ensure the cover on the main floor's electrical panel latches in the closed position. If you have any questions or require additional information on any of the above requirements, you can contact Lou Haehnlen at 417-4815 or myself at 417-4653. Sincerely, Lou Haehnlen, Building Official Dan McKeen, Acting Fire Chief City of Port Angeles Port Angeles Fire Department DM/cw pc: Linda Childers.-- Attachment to Certificate of Occupancy. 123 East I" Street ROUTING SLIP $tI CEPJIFI.CAT�NSP ,"iI�N. E uslnes ice e, ul Ing Permit Application, Certificate of Occupancy DATE Harch 20, 2000 New Business Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . (xx ) 123 East�lst Street Port Angeles, FIA Change of Ownership p . . . . . . . . . . . . . . . . . . . . . . . ( ) ApplicantT'HE SALVATIOU ARMY/Mj. Bawden New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address 206 So. Peabody Sr. Port Angeles Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business 452-7679 home 457-4716 Permanent Business. . . . . . . . . . . . . . . . . . . . . . . . (xxR) Brief description of proposed business: Relocation of Existing Salvation Army Thrift Store providing Sale of Donated Items to the Public. Legal Description: Lotl5&E20'of#14Block #16 Subdivision Smith's S.D. Current Use of Property: Furniture Store Zoning Classification of Property: C3D WILL THERE BE ANY OF THE FOLLOWING? YES NO YOU WILL NEED THE FOLLOWING: Construction changes . . ... . .. ... . ... . .. . .. . .. . . _ X PERMITS BUSINESS LICENSE Electrical changes . . .. . ... . . . ... . ... ... . .. ... .. X 1) Building 1)Taxi Mechanical(heating,cooling,stoves) . . ... .. ... . . _ X 2) Plumbing 2) Peddlers Plumbing changes . ... . .. . . . ... ..... .. . ... ... .. —x— 3) Electrical (City Light) 3)2nd Hand Dealer New or relocated signs. ... . . .... .. . . . .. . ... .. ... _ y 4) Mechanical 4) Pawn Broker New septic tanks. . .... .. ... . . . ... . .... ... ... . . . _ _ 5)Sewer 5)Private Detective New sewer service ... . . . ... .. . .. . . ... ... . .. ... . i 6)Sidewalk installation 6) Merchant Patrol Admission charged to patrons .. .. . .... ... . ..... . _ K 7) Driveway Installation 7)Amusement Is this a home occupation? .. .. . .. . .... ... ... .. . . y— 8) Curb installation 8) Dance Excavation or filling of lots . . .. . .. ..... ... .. . .. . . _ _ 9)Sidewalk obstruction 9) Hotel- Motel Work done in City right-of-way . .. . ..... .. . .. .. . . . _ 10)Water meter installation 10)Septic Tank Is there sufficient off-street parking? . . . I . . ... . . . .. X 11)Septic tank 11) Fireworks New driveway openings . .. . .. ... . .... .. .... . . ... _ X 12)Occupancy 12)Ambulance A grading plan for site drainage X 13)Sign 13) Massage Parlor (parking lots,downspouts,etc.) .. . .. ... . .. . .. . .. . _ X 14) Fire Department 14)Tattoo shop Are the existing streets paved? .. .... . .. ... . . . ... . X 15)Shoreline 15) Other Are thereexisting sidewalks? . .. ... . ... ... .. ... . . __X_ 16)Home occupation Is there curb&gutter? . . . ... .. . ... ... . .. ... ... .. X 17) Conditional use Other.. .. . .... .. . ... . .. . .. ... . .. :... .. ... .. . .. 18)Other I hereby apply for a permit/license for the items above and acknowledge that I have read this application and Date: Ma 0 state that the information I have supplied is correct to the best of my knowledge. Signed: AppTraW. Rejected Comments/Conditions Building Section Public Works Department Planning Department Fire Department Pf31PC �i�Crl 9/10/64 OLYMPIC PRINTERS,INC. n r ROUTING SLIP �, •. Business License, Building Permit Application, Certificate of Occupancy DATE I.arot 2U, 2UUn New Business Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( ) 123 East 1st Street fort Au,;eles, t�lv Change of Ownership . . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant 'ihL SALW.TIGi: ?1G Y/[ij. t4-jezdeu New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address 211h Sn. Ppntx dy r- Pr1Yr An.-plpa Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business 4-0-767(-) home 457-4716 Permanent Business . . . . . . . . . . . . . . . . . . . . . . . . (xxx) Brief description of proposed business: lielocation of fxi.stin_ Salvation eiriay Thrift 6tor,•. urovidiut, Sale ofDonated Items to the Public. Legal Description: Lot 156M'of!`14 Block ir'lb Subdivision S.aitn' Current Use of Property: furniture Store Zoning Classification of Property: �-BP WILL THERE BE ANY OF THE FOLLOWING? YES NO YOU WILL NEED THE FOLLOWING: Construction changes .. .... .. .... ... . ... ... .. .. _ X PERMITS BUSINESS LICENSE Electrical changes ... .. . ... ... ... ..... .. . ... .. . X 1) Building 1)Taxi Mechanical(heating,cooling,stoves) ... .... .. ... . X 2) Plumbing 2) Peddlers Plumbing changes ... .... .. ... . .. .... .... . . .... x 3) Electrical (City Light) 3)2nd Hand Dealer New or relocated signs.... ...... ....... .... .. ... v 4) Mechanical , 4) Pawn Broker New septic tanks.. .... .. . ... ... .... .... .. . ... .. _ — _ 5)Sewer 5) Private Detective New sewer service .... . ... .. . .. . ... .... . . . ... .. �• 6)Sidewalk'!nsta l lation 6) Merchant Patrol Admission charged to patrons . .. ..... ...... ..... _ 7) Driveway installation 7)Amusement Is this a home occupation? .. ...... .... ...... .. .. _ 8)Curb installation 8) Dance Excavation or filling of lots .. ... . .. .... ... . .. ... . _ 9)Sidewalk obstruction 9) Hotel - Motel Work done in City right-of-way .. ... .... .... .. ... . 10)Water meter installation 10)Septic Tank Is there sufficient off-street parking? . .... ... ... .. . X 11)Septic tank 11) Fireworks New driveway openings . .. ...... .. . . .. . ... . . . ... 12)Occupancy 12)Ambulance A grading plan for site drainage X 13)Sign 13) Massage Parlor (parking lots,downspouts,etc.) ......... . .. .... .. X 14) Fire Department 14)Tattoo shop Are the existing streets paved?. .. . .... ... . .. ... .. h 15) Shoreline 15)Other Are thereexisting sidewalks? .. ... . .. . ... . .. ... .. x 16) Home occupation Is there curb&gutter? . .. ... .. .... ... ... ... ... .. x 17) Conditional use Other.... .... ... .... .... .. .... .. .... ... ... .. .. 18)Other I hereby apply for a permit/license for the items above and acknowledge that I have read this application and Date, state that the information I have supplied is correct to tiq the best of my knowledge. Signed' N/ �C Approved Rejected Comments/Conditions Slw I I Co.n ,7 L 1 Building Section 11,1s.c'J4,>r\ naNLr l�C ' cLc7 � mc.•cGr �l dO� Public Works Department � Planning Department (see < •°'�''�� Scc - Fire Department Pr 9110184 OLYMPIC PRINTERS,INC.',( L l; Vit , t ROUTING SLIP A`. Business License, Building Permit Application, Certificate of Occupancy lam ems; DATE L_' ` s New Business . . . . .nPLANNOING hh MM f2 Address of Proposed Business Transfer of BusinessU. .l'. •�• • •c,. tr •^t 'uri ., ;.-1." Change of Ownershi . . . . . . . ..:"(1( IIApplicant /: j. New Building . . . . . . I QAddress sn:-, r_ nrr l Remodel . . . . . . . . . . . . . . . LTemporary BusinessTS. . .. " 'Permanent BusinessRT ENT. . . . Phone: business 7 , home ( • - �) Brief description of proposed business: ••-1 :ecioa Ot UE ,..).,nL';�I ItO.,s to tnt'� AlbliC. Legal Description: Lot I36"2 )'oi I" Block 1i Subdivision Current Use of Property: ra,iLllra Store Zoning Classification of Property: CLD WILL THERE BE ANY OF THE FOLLOWING? YES NO YOU WILL NEED THE FOLLOWING: Construction changes . . . .. .. ... . . . .... . .. . .. . .. X PERMITS BUSINESS LICENSE Electrical changes .... .. . . .. ... . .. . ... . .. . .. . .. X 1) Building 1)Taxi Mechanical(heating,cooling,stoves) " ' . ' .. ' .. x •, 2) Plumbing 2) Peddlers Plumbing changes . . .. . .. . .. ... ... . . . . .... .. ... _ 3) Electrical (City Light) 3)2nd Hand Dealer New septic tor anksted signs. . .. . .. ... . .. . . .. ... . .. ... ' 4) Mechanical 4) Pawn Broker New septic tanks. 5)Sewer 5) Private Detective New sewer service 6) Sidewalk installation 6) Merchant Patrol Admission charged to patrons 7) Driveway installation 7)Amusement Is this a home occupation? . . . ... . . . .. .. . .. . .. ... * 8) Curb installation 8) Dance Excavation or filling of lots . . ... .... ... . . ... _ ... 9)Sidewalk obstruction 9) Hotel - Motel Work done in City right-of-way . . . . .. .. .. . . .. .. ... 10)Water meter installation 10)Septic Tank Is there sufficient off-street parking? . . . .. . .. . .. ... 11)Septic tank 11) Fireworks New driveway openings . .. . .. . .. ... . . .. . ... .. ... '• 12)Occupancy 12)Ambulance A grading plan for site drainage 13)Sign 13) Massage Parlor (parking lots,downspouts,etc.) . . ... . ... . .. ... . .. 14) Fire Department 14)Tattoo shop Are the existing streets paved? .. . ... . . .. . .. ... ... . 15)Shoreline 15)Other Are there existing sidewalks? . ... ... . .. . . .. ... .. . : 16) Home occupation Is there curb&gutter? . . . . .. . .. . ... . ... ... ... .. . . 17)Conditional use Other. . . . ... . .. . ... ... ... . . . ... .. .. .. ... . . . ... 18)Other I hereby apply for a permit/license for the items above and acknowledge that I have read this application and state that the information I have supplied is correct to Date: the best of my knowledge. Signed: Approved Rejected Comments/Conditions04 I 7- Building Section 1 , - Public Works Department AL e Planning Department '-) Fire Department �. 9110184 OLYMPIC PRINTERS,INC. • PORTANGELES WASHINGTON, U. S. A. i ca FIRE DEPARTMENT a 2 September 18, 2001 l SEP20 2001 D Captains Ralph and Diane Jimenez Salvation Army PO BOX 2229 COMMUNITY DEVELOPMENT Port Angeles, WA 98362 Dear Captain Jiminez, 'On Friday,September 7,2001,I walked through your facility with Lou Haehnlen,the Port Angeles Building Official. We were at the facility to follow up on a citizen complaint that there was an excessive accumulation of combustible materials in the area facing the back alley.Lou and I found 1 that there was indeed a significant amount of material stored in this area. Additionally,we walked through the basement, first and second floor areas of the building. It was my understanding at the time that a September 17 deadline had been set for the removal of s " the material stored outside. \ On the 17',Lou and I returned and found that the majority of the accumulation in the alley had been removed, or was in the process of being moved that day. Thanks! ' I have included a copy of a letter that was sent to Major Bawden in September of 2000.In this letter, a number of corrective actions are spelled out. Based upon the walk through that I conducted with Lou,it appears that the majority of these items have been addressed. Unfortunately,one very major correction remains to be accomplished. Item #7 on the attached letter specifically requires the addition of a second exit from the second floor before that floor may be used or occupied. It is clear that the second floor is currently being used for storage and the additional exit has not been provided. The addition of a second exit will greatly enhance the utility of the building and will also provide for a safer exit for customers on the first floor who now must exit through the basement in the event of emergency. - I urge you to contact either myself or Lou Haehnlen so that we can discuss a plan of action.Lou can be reached at 417-4816 and I can be reached at 417-4653. I look forward to working with you on this project, and I appreciate your efforts to date. Sincerely, Ken Dubuc, Fire Marshal Port Angles Fire Department # pc: Lou Haehnlen 102 EAST FIFTH STREET • PORT ANGELES, WA 98362-3014 PHONE: 360-417-4655 0 FAX: 360-417-4659 0 E-MAIL: PAFIRE@CI.PORT-ANGELES.WA.US • PORTANGELES WASH I N GTO N, U. S. A. i car !� FIRE DEPARTMENT September 1, 2000 Major George Bawden Salvation Army P O Box 2229 'Port Angeles, WA 98362 Dear Major Bawden, '— N This letter is in reference to a follow-up inspection conducted by Lou Haehnlen and myself on August 31, 2000. The inspection was performed as the result of earlier deficiencies identified in a Certificate of Occupancy inspection conducted on March 17, 2000.' (�C{ During the August 31 inspection, it was noted that many of the March 17 deficiencies had not ' been completed, in fact, one identified hazard(deficiency)had increased in severity? The following represents those deficiencies that have not been corrected as of August 31, 2000. The deficiencies will need to be corrected immediately, with a follow-up inspection occurring on approximately,September 30, 2000: 1. Replace the painted fire sprinkler head in the boiler room. 2. Provide fire sprinkler protection in the newly constructed elevator control room. The building's fire sprinkler system is required to be extended or altered to provide t appropriate fire sprinkler protection anytime the basement is remodeled. The Fire Department recommends adding a sidewall sprinkler head in the existing elevator pit with a shut off valve located in an accessible area. Refuse and residual hydraulic fuel have a tendency to collect at the bottom of the elevator shaft. A properly installed sidewall sprinkler head will control a fire in such material. F Wit: 1 Letter to Major George Bawden regarding March 17th inspection sent on March 21, t 000. 'Excessive combustible storage was observed on the second floor. � ' x `ter, ,+ a } 102 EAST FIFTH STREET • PORT ANGELES, WA 98362-3014 PHONE: 360-417-4655 0 FAX: 360-417-4659 0 E-MAIL: PAFIRE@CI.PORT-ANGELES.WA.US Major George Bawden Page 2 September 1, 2000 3. Ensure the basement's fire sprinkler system has a design density appropriate for the basement's proposed use -- combustible storage. The design density shall be no less than ordinary hazard - Group IL 4. Replace the sprinkler system's missing fire department connection cap with an "approved" break-a-way cap. 5. Provide lighted exit signs with battery back-up near the main floor second required exit to assist with exiting in the event of an emergency. The location for installation was identified during the initial inspection. 6. Provide a one-hour fire resistive separation between the areas proposed for storage and the area used for sales. Contact the Building Department "approved" construction methods. 7. The second floor shall be provided with an additional approved separate exit. The second floor shall not be used or occupied until provided with the additional exit. If you have any questions or require additional information on any of the above requirements, you can contact Lou Hahenlen at 417-4815 or myself at 417-4651. Sincerely, Dan McKeen, Fire Chief Lou Haehnlen, Building Official Port Angeles Fire Department City of Port Angeles DM/cw PC: file - 123 East 151 Street CITY OF PORT ANGELES J PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST 5TH STREET. PORT ANGELES.WA 98362 L 1 ELECTRICAL PERMIT Issued: 1/20/98 Permit No: 6186 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ KAUFMAN-MILLER 123 1ST ST E 123 E. 1ST Lot: Port Angeles, WA 98362 Block: Long Legal : 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- APS ELECTRIC 546 BENSON RD. PORT ANGELES, WA 98362 360/452-6753 000/000-0000 PROJECT INFO-------------------------------------------------------------------- Prj Type: COML. MISC. Prj Value: $0.00 Occ Type: Cnstr Type: SERVICE INSTALL Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120 , 240 Furnace KW: 0 X Overhead Service Diameter: -1 X-3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECTNOTES------------------------------------------------------------------- INSTAL 200 AMP 3-PHASE SERVICE FOR 10HP ELEVATOR PROJECT FEES ASSESSMENT--------------------------------------------------------- . Service: $83 . 00 Additional Feeders: $0 .00 Circuit Wiring: $0.00 Temp Service: $0.00 TOTAL FEE: $83 . 00 Misc $0 .00 Amount Paid: $83 .00 -------------------------- TOTAL FEE: $83 .00 Balance Due: $0. 00 i COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIN[l"24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT]OB SITE INSPECTION TYPE DATE ACCEPT® COMMENTS YES NO DIT 7H SERVICE 11Z711$7 TW--,t GENERAL COMMENTS: Pvi-IIm.Isla'sal OE PORT 4,,P CITY OF PORT ANGELES LIGHT DEPARTMENT PERMITNO. 27� ELECTRICAL PERMIT DATE &112 ® Site Address: 1-1READY FOR ED CALL FOR / INSPECTION INSPECTION Installed By: / License Number: Phone: Owner/Business: I Phone: r Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage ❑ Heatpump ❑ Other ❑ 10 ❑ 3 Rf ❑ Commercial/Industrial load Add/alter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: • W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation ❑ O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending Site Address: Permit/Receipt No. �. c;;-) 70 Installer: New Meters Date: G o • Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT.224. �A NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /D & Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. 1 - f ' OF PORT 4NC u�/•��mm CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. / ELECTRICAL PERMIT DATE ^� Site Address: // // ❑ READY FOR 11 WILL CALL FOR S T INSPECTION INSPECTION Installed By: - License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage ❑�Tommeociinaelnclustrial Other / ❑ 10 ❑ 30 load Add/alter circuits Service size Amps I ted load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: /rI S fa It %rfv9 Cly ('e/ �`/ S W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation w❑ O.K. to connect service ❑ Fire Department notified of inspection L Final O.K. ❑ Plan Review approved/pending Site Address: Permit/Receipt No. L'� : ,ls � e7 6 Installer: New Meters Date: C 7177 ® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. LNO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Spector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN —Top:Inspector,Bottom:City Hall Q S7 j CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PIERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT BL Iry1PCc. ` TOTAL FEE a CONT.LIC.NO. TIMETO COMPLETE- NO.STOAIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address /Zd L-_ / s' Sr- - CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner KRt/Fml�Al- /VI I'L Qi0 Installation By B-LrMP IG 1—zI.I4CTYIC/ Owner's Address 57i4rv1 li Aq'S A" 4V L' Installers Address X01 5:0 • /-1 NCL1A/ Day Phone 1-15z-- 2,35S -Installers Phone NS 7 - 9.3 0. Application is hereby made for Permit to install Electrical Equipment as follows: PL-PI-Ac rs s u ISTi4,l 6 (15 le ame A✓1'Tw (iirWiT— - 6rrw4ray✓' 1-0-A-6 eied-rw✓' . Wiring Method CVf�l�l t'r NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 00R FEE USE OF CIRCUIT CIRCUITS PER 1 0 1 00R FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS - OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE k FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE. FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performedunder this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made / ` d wl ,t191-q-- ;IfoQTR/ By V 7V&J6 lEta CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to Compliance with the Ordinances of the City of Port Angeles. , - - DIRECTOR OF CITY LIGHT Date Permit Issued By E' " 211-1 �"'� PLANS APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 4570411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector'S Report REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS fo(.-j CA1eCA' e /iZ m/2-!e Doe6o 6u�e.v Gc.ivG - z cc a co F z_ W F F I' 7 � - �,.y} '° O.K.FOR COVERING O.K.TO CONNECT SERVICE 3 �7'9s FINAL O.K. t y �- —_ri ,t,��.jI:'/`Vii=✓: ��'I 0PeN NG MT\ %tl w G t-JgD Cn1Y� 'L\t CJ\-& I I I fI ;i I IF i I j f.�1"IX 1 I1\1D\c�'r`S EDv� Ot= i i I G i 1 41%� CITY OF PORT ANGELES �� a FEE RECEIPT/NUMBER DEPARTMENT OF LIGHT A PERMITNUM R APPLICATION AND ELECTRICAL PERMIT TOTALFEE CONT.LIC.NO. TIMETOCOMPLETE' NO.STOI LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address /,23 F L/ �'7 CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner knvFm4w ,AJII Le)C, Installation By 6t rmole- i5kzril Owner's Address 123 67 ! Installers Address So( S- 1./0,ICOLAI Day Phone y-?a. —,13sS Installers Phone 9s-7-d Application is hereby made for Permit to install Electrical Equipment as follows: IS C- 9&6I&P $ e7& Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 0OR FEE USE OF CIRCUIT CIRCUITS PER 1 0 1 0OR FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLAR ALARM �1 RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE It FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH ORCIRCUIT REAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVJCS5DPFli CONDUCTORS SERVICE A.W.G. SIZE RO SUB-TOTAL UND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in co formance with the NAC..,E,leeccttfrical Code. Date Application made // l 1g� Byy� CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT Data Permit Issued By aV PLANS APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER— WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report � �..nir oowroea.iuC REPORT OF INSPECTOR DATE OF VISIT MADEBY AA REMARKS S C /eGl(' Tlias & eN �/VSOBCT� Yrr z cc cc a - M S F z W H F O z O D O.K.FOR COVERING O.K.TO CONNECT SERVICE FINALO.K. Application Number . . . . . 23-00000144 Date 2/13/23 Application pin number . . . 830320 Property Address . . . . . . 123 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-1656-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc New office ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STEVEN T SEIBERT JOHNSON ELECTRIC COMPANY PO BOX 312 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (661) 886-6831 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 2/13/23 Valuation . . . . 0 Expiration Date . . 8/12/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 2/10/23, 8:41:21 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000144 123 E 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Office space NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/15/2023 23-144 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 123 E 1st ST