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Home My WebLink About1017 E 1st St - Building Building Permit 1017E Pt St 14-203 THE r CITY OF For City Use Permith 4-2-6)3 WASHINGTON . U . S. Date Received: y.,z.t I 4 321 East 51` Street Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4711 permits@dtyofpa.us Building Permit Application Project Address: k.; �l S Pear Fi trst - C.vc.Ko0'3 Main Contact: Phone# boo 4-- b &I E-Mail: 11 - 92- 1s- Property Name AOr RI Pat EST Phone Owner Email PO 1bo% Q2-% t AIM It134G s State 1.41 R$ 34 Contractor Name c-L O t J0 E -f 1 N Gr Phone 6%3- 341 6 1 Maljaiat, �v4. C EDM. S-'teef 11lu�Mp Email a�..��,o-1Li- ' 4yad sum SEQ k.)% � J /4kvJ 618•31f4 Contractor License# p 1 FLk D..0 42 1) Lam- Expiration: L I 511`f. Project Value: Zoning: Tax Parcel# Lot# S 010410 . 00 Type of Residential ❑ Commercial 1 Industrial 0 Public 0 Permit Demolition 0 Fire ❑ Repair 0 Reroof(tear off/lay over) 0 For the following,fill out both pages of permit application: New Construction 0 Remodel 0 Addition 0 Tenant Improvement 0 Mechanical IA Plumbing 0 Other 0 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ _ Project , 10 K114\s P$+C.X ti U.14\I- eS OtC.G MlE N Description I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit Date Print Name tare 'd I LSE E89 09E Old 21 I d WU T O :O I b !02 T2 qaA Residential Structures For Office Use Area Description(SQ FT) Existing Proposed SS value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed SS Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wail) Boiler/Compressor Size: # Heating/Cooling appliance repair/alteration Evaporative Cooler(attached.not It Pellet Stove/Wood-burning/Gas portable) , Fireplace/Gas StoveGas Cook Stove/Misc. Fuel Gas Piping #of Outlets Ventilation Fan,single duct # Furnace/Heat Pump/ Size: i # Ventilation System # Forced Air Unit-P ((s S i 1 Plumbing Fixtures indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLGTUON PORMS\BUILDING PERMIT 08121LDOCX a -d 1L86 689 09E Old 21Id WuTO :OT t,TOZ 12 gad CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number 14-00000203 Date 2/26/14 Application pin number . . 265654 Property Address 1017 E 1ST ST ASSESSOR PARCEL NUMBER: • 06-30-00-6-2-0310-0000- Application type description COMM MECHANICAL PERMIT REPORT SALES TAX Subdivision Name Property User on your state excise tax form Property Zoning COMMERCIAL ARTERIAL to the City of Port Angeles Application valuation . . . 9090 (Location Code 0502) Application desc REPLACE HEAT PUMP UNIT Owner Contractor . PRIEST AND ZEIGLER AIR FLO HEATING CO INC PO BOX 2281 221 W. CEDAR PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 683-3901 I • _. Permit MECHANICAL PERMIT Additional desc . HEAT PUMP UNIT REPLACEMENT Permit Fee . . . 64.80 - Plan Check Fee . . .00 1J Issue Date . . . 2/26/14 Valuation . . . . 0 Expiration Date . 8/25/14 rtl Qty Unit Charge Per Extension I BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 . :, -- , ''' • Fee summary Charged Paid Credited Due -` It • Permit Fee Total 64.80 64.80 . .00 .00 l Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 1 I I • • 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 previsions 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. � �j OX V;g/. J'6-f" pG-sw /�.6,— - Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit , - . BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- Building Inspections 4174815 Electrical Inspections 4174736 Out*Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT18-UNLAWFUL,TO COVER.INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. , • Inspection Type Date Accepted By Comments FOUNDATION: Footings Stenwaal 'Foundation Drainage/Downspouts Piers Post Holes(Pole Bidgs.) - PLUG: 'Under eioeri Sob . Rain Water Ursa(Meter to aldri) , . Gas Ursa rt -Back flow/Water FINAL Date Accepted by AIR SEAL: ?g,t'!46116 ' . ' Mats/Gkders/Under Floor tesr MU Held DONTIS /ROW Catatai - 'Drywall Ohtedix Braced PanetOnly) 'T.Bar SI4ULATION: ti neer/Ceiling MECHANICAL: Heat Ptunp/Ftensee/FAU I Ducts t Rough-In. : Gas Une Wged Stove I Pellet/Chimney Commerciattiood I Ducts FINAL Date Accepted by illiANUFACTURED HOMES:. • aatinti I Skit)lied, 1111oelng Si Downs tkirtWig I 1 ... • • PLANNING DEPT. Separate Permit Its SEPA: *-=i/,I.Ighting ESA: . -- SHORLIK: 1 , *'."-.,';'Ai'':4'''i'-ziihrOttlillSPECTIONS REQUIRED",rOOCCUPANCY1 USE -. , . ;: - -kx,I.7:41:‘,-..I01.....-,..,:,-N',,:, ,_'• '•• ,-, . .„tr,74±,-,_:4.4,, ,%...-ii,i i Inspection Type • Date ..APG0P1,40.41,,-.; , Eleetrical 417-4735 Construction-R.W. PW /Engineering 417-4831 •-• • , s -,:, = .. .• • '---- -, \ k- • ' - --Fire 4174653 • , I ' Pelielits2 , 417-4750 •.,• : ,..,. .. --v!7:35iiiicUn9 417-4815 ..... ....,,, ., .., ( i : , . 144-*!.0:-.• :' 1 1,e". ../D.2ilriivarl rlitiic inn/De•11.41...i.Cl....ow.a ,A111110+ PREPARED 3/11/14, 13:56:18 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK , ' ', DATE 3/11/14 ADDRESS . : 1017 E 1ST ST SUBDIV: CONTRACTOR : AIR FLO HEATING CO INC PHONE : (360) 683-3901 OWNER . . : PRIEST AND ZEIGLER PHONE : PARCEL . . : 06-30-00-6-2-0310-0000- APPL NUMBER: 14-00000203 COMM MECHANICAL PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 2/27/14 TAP MECHANICAL FINAL 2/28/14 AP February 27, 2014 9:48:24 AM pbarthol. February 28, 2014 12:29:06 PM pbarthol. ME99 02 3/1111/4) PB 7/, MECHANICAL FINAL March 11, 2014 1:58:20 PM pbarthol. COMMENTS AND NOTES 1 Q CITY OF PORT ANGELES PERMIT APPLICATIONRECEIVED Building Division/Electrical Inspections �� 321 East Fifth Street—P.O. Box 1150/Port Angeles 'WashingFA 9661 Ph: (360)417-47.315 Fax: (360)417-4711 Ii4�IC Date: -A" I,1 14 _Multi-Famil or Comrrli` "Plan Review May Be R uired, Please Complete Electrical Plan Review l2rm fon Sheet Job Address 1 t 'ti IF O 5 Building Square Footage: Description of above Owner fo tionD r Contra for Inftrb o T Name: Name: Mani Address: Mailing Address: S City, c �Eate: P" City: 1) Slat®: Zip: phone Fax: Phone: License#f Exp. LJoons$N 1 Exp. Item Unit Charge ,Qty TDtal(Cty Muhinlled by Unit Charnel Service(Feeder 200 Amp. $132.00 $ ServiceTeeder 201-40D Amp. $160.00 $ ServicelFeeder 401-600 Amp $226.00 $ Service(Feeder 601-1000 Amp. $28800 $ SendcelFeeder over 1000 Amp. $410,00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 g Branch Circuits 1-4 $ 86.00 g Temp.Service!Feeder 200 Amp, $102.00 S Temp.Ser)ice(Feeder 201-400 Amp, $ 121.00 $ Temp. SeOcefFeeder401-6DOAmp, $ 1600 $ Temp.ServicelFeeder6C1-1D00 Amp . $ 185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutlinB Ughting $ 88.00 $ SignalClrcuVLimitedEnergy--Multi-Family $ 64.00 $ Signal Circuit!Limited Energy 1 First 1500 sf—Commercial $ 96,00 $ Note: $5.00 for each additlorial 1500 sf Renewable Electrical Energy-5KVA System or Less $11100 Thermostat $ 56.00 t gd Note:$5,00 for each additional T-Scat S-64,.b 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 o1 the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in oompliance with the electrical laws,N.E.C„RCW.Chapter 19.26,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 el ectrical administrator: ❑ cash ❑ Chm* t—Crsdlt card a oatad; a1�n�rza�x E 'Cl TLGE EB9 096 07d NIa 1J1:110 =01 biOZ TZ qaj ELECTRICAL PERMIT �.. CITY OF PORT ANGELES 350-417-4735 Application Number 14-00000198 Date 2/25/14 fy,� Application pin number 835544 uV Property Address , . . . . 1017 E 19T ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-6-2-0310-0000- Application type description ELECTRICAL ONLY on your excise fax form subdivision Name . Property Use t0 the City of Port Angeles , Property Zoning , . , . . , COMMERCIAL ARTERIAL (Location Cede 0502) Application valuation . , , . 0 Application desc T-stat Owner Contractor ------------------------ ------------------------ PRIEST AND ZEIGLER AIR PLO HEATING CO INC PO SOX 2281 221 W. CEDAR PORT ANGELES WA 98.362 SEQUIM WA 98382 - - -- (360) 683-3901 ------------------ ----'--------- --------------- ---------- Permit , . ELECTRICAL, ALTER COMMERCIAL Additional desc . Permit Fee 56.00 Plan Check Fee .00 Issue Date 2/25/14 Valuation 0 Expiration Date 8/24/14 Qty Unit Charge Per Extension 1.00 56,0000 BCH EL-LVT-THERMOSTAT 56,00 Fee summary Charged Paid , Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56,00 56,00 ,00 .00 Plan Check Total QO 00 ,00 .00 Grand Total 56.00 56.00 00 00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL f ' COMMENTS: I PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 14-00000198 Date 2/25/14 Application pin number . . . 835544 Property Address . . . , , 1017 E 1ST ST REPORT SALES TAX PARCEL NUMBER: 06-30-00-5-2-0310-0000- Application type description ELECTRICAL ONLY on your excise tax form erty Use iU Name Property to the City of Pott Angeles Pro Property Zoning , , , COMMERCIAL ARTERIAL (LOGation Code 0502) Application valuation 0 ------------------------ Application desc T-stat -------------------------------------------- -------------------------------- Owner Contractor ------------------------ ------------------------ PRIEST AND ZEIGLER AIR FLO HEATING CO INC PC BOX 2281 221 W, CEDAR PORT ANGELES WA 98362 SEQUIM WA 98382 {360} 683-3901 Permit . . , . , . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 56.00 Plan Check Fee .00 Issue Date 2/25/14 Valuation , , . . 0 Expiration Date 6/24/14 Qty Unit Charge Per Extension 1100 56.0000 ECH EL-LVT-THERMOSTAT 56,00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANWBUILDING Post on the premises in a conspicuous place. UPANCY V! I: This certificate is issue ucsuant to the requirements- of Section Itaorthe 2006 International Building t.,. Code certifying that a 0 heinv.,: q/ issuance this structure was in compliance wi h the various ordinances of the City regulatin ,thuildppe,Struci1 o 9 t3".: f!,19; thoefo,illlo:tnig Business name Coo Nest (0wrierc- elvehRiBair Business address iii 57i.• 7 iTg. 1 St St!1''''q Property owner h Priest ZOIgjeri,., Property owner Raddilessizt PO Box 2,2*000-bA WA 98362. Automatic fire spdniderisystem. peARG 0., Use occupancy classifiCation. Assembly :i71"" li,.y NelIi Occupant load. 191 ‘6. 717,..,. v,p Building permit num Type of construction. bt be removed except by the Building Official. 2-9- Se1tv ad-Ile cke6( u r ne,uJ C of 0 46A- has 4 10.4 ;s4.4 cn cd- Post on the premises in a conspicuous place. This ----" o - ~ \YI~\ \~ \--\S-Oq f\l ~ + ~. ~ rien , 0 , , , '" c- , ri 0 , , , OJ ri , M , , en , 0 , WW , <.9~ , W "" , :>: "'0 , H , ~ , , , , en ~ , 0 CfJ , , W , C- Z , 0 , , 0 , ri 0 , 0 U , , .. 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OJ Po: ,W 8 '" , zo OJ 0 " ~ 'S w'" CfJ -u ri ~o ~~~~~z E-< 0 0 Po:~~WU..:I H CfJ "':>< ~ , en W~ ozzzco'" '" en COH OW03:"", :>< 0 "'u ,,~uO"''' '" ~ U From: To: Date: Subject: Ken Dubuc Linda Pangrle 1/2/2009 1 :42 PM Re: Coo Coo Nest Certificate of Occupancy Inspection Linda - This C of 0 has been completed. Thanks, Ken Print in ink CERTIFICA TE OF OCCUPANCY APPLICA TION CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Permit # ag - l~5( I \ . ~ FEES $50.00 Certificate / Inspec,tion $100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations " ,. Business owner's name Business owner's home address PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information. .AG.:j:IGN...... _.v::.. New business 1/ Transfer of business y location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use Call for Certificate of Occupancy inspections before openinq business: Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 Please provide a minimum 24-hour notice for inspections Public Works at 417-4807 . .., . Please sign up for utility services at the cashier counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is corrJct to the best of my knowledge. /7 /J f} /7 L2 _ ' / Date qj,O!O)-- Print Name B.Q./ve/ f!.. )3aIl>d Signature ~~ r::- Cf/30lo2 Approved I itials & date Rejected Initials & date Comments / Conditions Building Type of construction Automatic fire sprinkler system required. Occupant Load Fire no yes PBIA Per phoYle ca..H w~+h bvs.lhess 6wher or-. lO-Ol-oB: Cvr-t--eY\t\~ ,th~,wi'H be.. no J.tlndV'\9' He.. ~v-eeA-fo 3er ~ bv~~ne"> HCev'\se fr~o~- +0 hc...v:V1j d./Ln.t'\.~j 1n ~t~~~~ J perr- pnet\e. -~wi'~ rft)~e:~ own"W' - OI'\-cf/3(jjDS: .he. co~reGt- 4-AJ.res.s 1$ /011 E I s+ 51-) flO't lol5C ,. Planning City Clerk i-- I Public Works i i:l:o':i1slBlJi1,jlng Division/Certificate of '.)r_~cupancy Appii':at;<':-J~: e CERTIFICA=FE"'OF"'QCCU P ANCY 1I,'j.'#1~ ""'l';;: ~,,:;~, -.~~'!l. .,..f"'" City of Port Angeles""',,,,. ,lir Building Division "\"'~', ~ .~ This ce~~cation issued pursuant to the requirements of sec~,30J of the Intematio,!/,l Building Code certifying that at the time of issuance thJ1;pructure was in cJ'/npliance with the various ordinances of the City regulating Building ~ . . ~ Ni constructIOn or use. For the followmg:!\ Use Classification: Business Building Pennit No.: 05-106 Business Name: G.I.s Restaurant & Loum!e Groop: --1L..-' Type of Construction. VN Use Zone: CA J ~ f1 Owner of Bosiness: L Ga~ Johnson Address: 1121 East 4th Street. Port Angeles,t'W A. 98362 \ I Boilding Address: ] 017 East1 "._Street. ,""",",", " "~'"':"'.",.".",,; _, .,!".PortAng:eles. W A. 98362 'if '1j,!;J}n"'",, ,<"'''. . ~. 'J-I~:V(~,d;'-l~r~:;l'l;tJ,'jJ~~tf\rJl \~~Zif;\j;'~(~:V~~$i~t ~pr .~ --)l'~?l...."~'t..+::~c<:\;..W}, -~-. ~" -,_~~''t'''~'?'.'''Jf'_ i--< ';j'I.,~i-\~b:-/~l\t(;~W' (ri' '''~::;!;1~~f~h~1i~i;l;,~~~~~~~~~t~~sJpd~:a:: ]. 2005 Post on t1,'eprehlises~'in'a:corfsprduous place. Shall not be rer;:;6ved:e~~'ept 6y" Building Official. " :lfC/- J-C~@ J.1a. re"'- I sr G :Ii: ROUTING SLIP .,0.'." IDb .i"o~q~,. '7' ;(. - ".) . /: Certificate of Occupancy 05"- '-~--\'" .....~ ~ c:5'/V,<! /l '!iotJnlc;LfU'oO Certificate/Inspection Fee '-' "'8"0""""''' .- DATE ,;:). -/..,c -C) ~ New Business .",., . ........ ...... . ...... ( ) Address of Proposed BUS~S~ ~ . Transfer of Business location. . . . . . . . . . . . . . . . ( ) Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ./ ) /0/7 IE ;~ . ~ . ~ New Building ... . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant ~ - (7; --oH"J 0 Address //2,/ ~ ,yn'-t' S7 Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business ....................... ( ) Phone: business 4-.0(.'1 ~{.,;f71 home 41-..2l}7~ Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) h-o>> , 13 eel ~4Gz r;;. Brief description of proposed business: -< legal Description: lot ~OCk Subdivision G/A Current Use of Property: hA'1V i - t5V;qz#6;F- I::.L A..v...,~ . '. Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. ............ .. -X-- PERMITS BUSINESS LICENSE Electrical changes. --A- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . _ 1.-.- 2) Plumbing 2) Peddlers Plumbing changes ... . . . . . . . . . . . . . . . . . . . . . . . . . . - ~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs ~(<?".;p;qU;.: _ _ 4) Mechanical 4) Pawn Broker New septic tanks. .......................... --4 5) Sewer 5) Dance New sewer service ......... ..... -+-- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. ..... ..... ....... ! 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way . --A- 10) Water meter installation 10) Other Is there sufficient off-street parking? ....... ..... -+x 11) Fire New driveway openings. 12) Occupancy A grading plan tor site drainage. ........... --b- 13) Sign (parking lots, downspouts, etc.) ..... .... - --A- 14) Shoreline Are the existing streets paved? . -L- 15) Home occupation Are there existing sidewalks? . =1== 16) Conditional use Is there curb and gutter? ............. 17) Other Other. ....... -- I hereby apply for a Certificate of Occupancy and acknowl- Date: ,;( - /L/.//.J-5 ....... /) edge that I have read this application and state that the information I have supplied is correct to the best of my Signedr =U/J '" n L ,~; L! /Uf1 .(/1 knowledge. '--"J Yl/ 1 ( Il;C;( ~, b I v REJECTED Comments / Conditions Building Section T r;J Public Works Department Planning Department k[)1J Fire Department ~-O') ill City Clerk PB.I.A. ~',"- ~..-- ~ " -.r-'to ~, .' -., '::;.."': .'- ''''i .' ~~ . -"P'~~''''"''"~-'lCj: r /;~:~ij) . .~ . ... /.1~rch....r{~:~ _ G J7 ," ROUTING SLIP '-';7. 1'7 _ }:. Certificate of Occupancy / 1\ c.::i rVre ,q /V ~ 0 -::"J c; 847.00 Certifi?,ate/lnspection Fee --- DATE'r:J. -,/-'/ - CJ ::> > I Address of Proposed Business, 0 j) _'1 A /rJ/7 IF /6/ /' ,F-(r lI/nSH Applicant ~ ,/'YA,,-.~J.,lr...... 701-I,.Jso/\/ Address //2../ E -411'4- 57 Phone: business t/~~ . Aq 77 home .-!//~J - .207$ Brief description of proposed business: Feo,,? legal Description: lot Current Use of Property: hA'">v . f!: Zoning Classification of Property: \ WILL THERE BE ANY OF THE FOLLOWING? -" 05- /6(-.) .. . New Business ............................ ( Transfer of Business location. . . . . . . . . . . . . . .. ( , , Change of Ownership . . . . . ... . . . ~. . . . . ( New Building . . . . . . . . . . . . . . .-:-. . . . . . . . . . . .. ( Remodel. . . . . . . .,. . . . . '.' . . . . . . . . . . . . . . . . .. ( . , Temporary BUSiness ....................... ( _Change of ~se . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( . <' !!? pi ~A {-;1 {;. -Block L:)~~(;;CJ2A -?'t-: - YES NO -.lL _ ....... ~ ~ _ --K- ........._~ F?zC-c__ _ .1- ,- -~ ..j =x. ----.: ~ ,t, ----;; ~ ~. ---v -----:::;:'- .E -~ -+- ~- % :< = Construction changes. Electrical changes. Mechanical (heating, cooling, stoves) . Plumbing changes ", New or relocated signs. ,. ~.:St.r::.~ .^tl. -, ' New septic tanks. ....................... New sewer servie's Admission charged to patrons. Is this a home occupation? ",.... . , , , , , , . , Excavation of filling of lots ....,.""""......... Work dorie, in City right-of-way. .\. . . . . . . , , , . , . . . . Is there sufficient off-street parking? . . . . . . . . . . . . New driveway openings. . , , , . . . . . . A grading plan for site drainage, (parking lots, downspouts, etc.) .,....., Are the existing streets paved? . Are there existing sidewalks? . Is there curb and gutter? ..,.,..""",.......... Other. I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. APPROVED REJECTED ~h/r5~ ' ,W j- v)~ Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. , Subdivision E L A "-^-_IO/') .... <1/4 em THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 1_0) Other Date: ~7.' /L!rtt).s- /'I /J Signed: ---Y/iul/?/.1 /J;.;;;f/)(9,!/) " -I/' . 'I I '( Comments / Conditions r Ov" --""'-\ "'1 "'.~~., ^[), ~ - ~'). - ~^ .",\-;'t--~ I ,rn. \\, y ^ . rc'.\, ~ _ \) ~ +- \1-\ ~5>. <:, \ , - f?OAr..... lO~G'\" .~~ L~ ~ - ~"Gwc#" ) ) V) ) ) ) ) . \. '. CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ~eSrY DATE .a.//Y/d7 , , ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other ~ Commercialllndustrial load Total Connected ioad (attach breakdown) Total Motor load (attach breakdown) Detai is/Description: r I) /110 v',s G3 ) I'fr:k/ 2. D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: <t"S'7 5'303 Phone: /(, Sq. Ft. o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0 03.0 Service size o Temporary ';KJ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps /P/~/uG tf) u./ hi /rJ:e iN .;;< /tfhf ;/}',x'hu.r . ~ .;r 9 cJ.... !d.,jt- 'C IL Notify the D partment 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. It t9f! W.S. No. Service Capacity: 0 O.K. 0 Not O.K. ~R'!O Ditch inspection O.K. j vi: Rough-in/cover O.K. O.K. to connect service o Final O.K. Site Address: ,.' Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pendi ng Permit/Receipt No. New Meters o - I o-w... / Inspector WHITE - file by address YELLOW - file by number OLYMPIC PRINTERS_ INC. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . . . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /7d2r (p ,I 9,//11 Site Address: ELECTRICAL PERMIT DATE ~ I ~READY FOR (t> Ie, INSPECTION l.]cense Number: D WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other (1l;j Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair D Overhead D Underground Voltage D 10 D 30 Service size D Temporary Amps ~Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Details/Description: /lJd,~ (f;_.~ ~Ap EfW ~ ,> YJ-A) I / W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch inspection O.K. D Rough.in/c':lVer O.K. D O.K. to connect service ~ Final O.K. ~ Date Size Comments Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: Permit/Receipt No. /7~ 0/ In5tall(9;( 'IVJ New Metero htf 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. ..-..-. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 1 ~ # 1B1y1 . nspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall r138~ FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /.3 c:L PERMIT NUMBER .. . ~ , /Z h'-' "!'I Jl7'f'" (OMf,fr TOTAL FEE P- i' ' ~~ -..? . -:), r ....,. CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . Site Address ~...-L .~ \ ~ Qc_<;~I2..t\tJ,.... I () I 7' ~. 1 ~ . .p, A-, . (\ f fORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CAN CELL 0 Owner ..un t..\ N C::.<;::;..-Ri?a::J1f::::: Installation By Owner's Address I 0 17 E.., i ~ PA\ . Instaliers Address Day Phone . 4- S-7 -. c". if 7 7. . Installers Phone ~2:! ~z.~ -:-t-'-- Application is hereby made for Permit to install Electrical Equipment as follows: e,f..... . c::: I .'1 G- <;E; I f'HJ ~O I ,J,>~ . tJ~J <S1 ~ Wiring Method CO,J D V 1 ..- . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER .100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN at.I? -*K I '2't. <l . LIGHT 50 VOL T5 II.~ OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWA~HER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB.TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH . I, certify that the work to be performed under this permit will be done by the Installer and in conformance with the N.E.C. Electrical Code. Date Application made I '2-- I z.. I ,19 "7Slf By _~-U ~/ CONTRACTOR OR OWNER (0 UTHORIZED 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 D.ate permitlssued/o1ft/ /?( ~~ANS~~~ '. L4p 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.Orlgln.1 CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS. INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS ~ , I-I t( -'{!,- 1lf' 9 O.K. FOR COVERING (-(4-1')- 111 --"(/ O.K. TO CONNECT SERVICE /-/11- ('l 1iJ~ FINAL O.K. I . z Cl a:: <( ~ ~ :t: I- Z fe I- o Z o o . INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ' ELECTRICAL PERMIT ROUGH -IN CITY OF PORT ANGELES = FINAL 360-417-4735 COMMENTS: Application Number . . . . . 18-00001417 Date 9/17/18 Application pin number . . . 856101 Property Address . . . . . . 1017 E 1ST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-6-2-0310-0000- on our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 Owner Contractor ------------------------ PRIEST AND ZEIGLER ------------------------ STRAITS ELECTRIC PO BOX 2281 PO BOX 2914 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9104 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 88.00 Plan Check Fee .00 Issue Date . . . . 9/17/18 Valuation . . . . 0 Expiration Date . . 3/16/19 Qty Unit Charge Per Extension 1.00 88.0000 ECH EL -COMM -SIGN 88.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total 88.00 ---------- ---------- ---------- 88.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 88.00 $8.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ' ROUGH -IN 2 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: Sep 10 18 08:22a $ r , Sat r - Spa W Strait$r1a 3604520741,,; y_ p.1 a Jr' TI-FAMILYPO! MERCIAL ELECTRICAL PER ITAPPLICATI Public Warks and Utilities Department 321 F. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.eityoofppaa.us I electricatpermjts@cityofpa.us Project Address. Project Descriptio C Multi -Family Residential Name: Mailing Address: Mane: Mailing Address: t Email: since/ Commercial / Industrial/ Public Building Square footage: Service/Feeder 200 Amp, Service/Feeder 201.00 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service[Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. ServicelFesder 201-400Amp. Temp. Service/Feeder401-60OAmp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal CfrcuittLimited 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) P Y" Z J i1L2,l2� License: G7G�7'LC /o[ �9L Expiration D te: Phone: Unit Charge Quanfity Total (Quantity x Unit Charge) $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 $ 588.00 $ 596.00 $ $113.00 $ $5600 $ S &6- � TOTAL Owner as defined by RCW.19.26261: (1) Owner will occupy the structure for two years afterthis 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 o a named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance.with th lec 'Ca t8 N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Fort A 1 Munigipat Code, and Utility Specificatio sand A , 4.05.050 regarding Electrical Permit Applications. Date Print Mame Signature (❑ Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] cue , W7