HomeMy WebLinkAbout1409 E 1st St - Building CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360)417-4711
Date: s" 16 "C..3 kmult!-Family or Commercial* INSPECTIONS
* Plan Review May.Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Information , Contractor Info.rw�tion
LT
Name ,OGGYS s ��� � � Name: A
Mailing Address: Mailing Add ess
City: State: Zip: City: IPA state:L-A Zip:
Phone: Fax: Phone: Fax:
License#/Rip, License#!Exp.- I _ ST51�h Z
Item Unit Charge City Total(Qty Multiplied by Unit Charge
ServicelFeeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
ServicelFeeder 401-600 Amp $225.00 $
ServicelFeeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 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 Circui#1 Limited Energy--Multi-Family $ 64.00 $
Signal Circuit/Limited Energy I 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
$,��__.Total
Owner as defined by 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 296-468,The City of Port
Angeles Municipal Code,and Utility Specifications and 1 14,05,050 regarding Electrical Per pplications.
Signature of owner,e c . al contractor or electrical administrator: El Cash check
Ll Credit Card#
X Dated: 01/0112012
v PORT
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
RKS bl
DATE PERMIT 0 INSPECTOR
�IZD)13 1 M-os"
OWNER
CONTRACTOR
t3L,Ac-g I 6,40c
ADDRESS
APPROVED QTA:IPP�ROVED�-_-:�
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . .
❑. . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0
[I. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED:
ap
—p Z;W77—
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000533 Date 5/20/13
Application pin number 869723
Property Address . . 1409 E 1ST ST REPORT SALES TAX
ASSESSOR PARCEL NUM3ER; 06-30-00-1-0-1036-0000- on our excise tax form
Applioatio.n 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
Application desc
6 circuit remodel
Owner Contractor
DIANE MARKLEY -__-f--___ BLACK DIAMOND ELECTRICAL CONTR
PO BOX 2835 502 BLACK DIAMOND RD
PORT ANGELES WA 983620333 PORT ANGELES WA 98363
(360) 460-5639 - (360) -565-1035 - -- K*-
r ----- ------------
Pe
-^- ermit , , . , . . ELECTRICAL ALTER COMMERCIAL "
Additional de5c , .
Permit Fee . . , . 99.00 Plan Check Fee .00
Issue Date . . , . 5/20/13 valuation . . , 0
Expiration. Date 11/16/13
Qty Unit Charge Per Extension
1,00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
5,00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25,00
------------ ---------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 99.00 99.00 .00 .00
Plan Check Total. 00 .00 00 ,00 ^
Grand Total 99.00 99.00 .00 ,00 1y11
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN C
FINAL C
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date.:
G:IEXCHANGEWILDING
ELECTRICAL PERMIT I
CITY OF PORT ANGELES
360- 417 -4735
Application Number 12- 00000911 Date 7/20/12
Application pin number 987019
Property Address 1409 E 1ST ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00- 1- 0- 1036 -0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation 0
Application desc
1 -4 circuits exterior lighting
Owner Contractor
DIANE MARKLEY ANGELES ELECTRIC
PO BOX 2835 524 E. 1ST ST.
PORT ANGELES WA 983620333 PORT ANGELES WA 98362
(360) 460 -5639 (360) 452 -9264 9
Permit ELECTRICAL ALTER COMMERCIAL /'mil
Additional desc 1 -4 CIRCUITS v y
Permit Fee 86.00 Plan Check Fee .00
Issue Date 7/20/12 Valuation 0
Expiration Date 1/16/13
Qty Unit Charge Per Extension
BASE FEE 86.00
cl
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
P
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN l Z. a II_
1 ..1
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE\BUILDING
07/19/2012 08:25 FAX 360 452 9265 Angeles Electric 40001/0001
rfiEC 5
1r
1 9
CITY OF PORT ANGELES PERMIT APPLICATION !ill E_ 0
Building Division/Electrical Inspections ELECTRICAL ,--..9 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTION: 'r-
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 7 12- V
Multi- amily or Commercial* _ommercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet r Si; Job Address. 9 f r1'T S
Building Square Footage: O
Description of above AP A i 00 T 7 6 Soza..6 .Ty /3 Y f( u
Owner Information Contractor Information
Name: `✓fLL y.r 3S0 IiDI" Name: 4A1 ELt( A,(„� GTX1C, /NG
Mail A ress: icing .€47- Mailing, Add s: S
�1
City: State: /r Z ip: -7 City. Yertr .424 State: WA— zip:
Phone: Fax: Phone: WS2 4'g Fax: WT-0.2
License it/Exp. License Exp.
Item Unit Charge %it Total ay Multiplied by Unit Charnel
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 Circuits 1-4 86.00 1 2G cc>
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
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 Commeraal 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00
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 296 468, 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 Cheek
f ttCard/ Q#41 FILE.
x Dated: 7/' oiroiOM2
S
T -7141(
CERTIFICATE .CCUPANCY
City-p,..CP43rt AngelesBuildmg,pmsion
Nv,.g
This certificate is issuedijursuant to the requirements of Section Mofthe 2009 International Building
Code certifying that atrthelge issuance this structure was in compliance with the various ordinances
A' .#1:•;'"ct Y‘ ,S.:
of the City regulatingibuadingeonstructibn._,4eiussfor the folloVinr
Business name f';' ,—ANiii44'8molee
Business address d 144:09aE 1st St
4 '..71'"'s
Property owner i Diane Markley vr`'
f 4 .-F
Property owner staadreSs: 1 IJOX 283t -1ATA'!082-0338
or' -A.- r• t:
Automatic fire sprinkler 'system. Not4etifiitetf g
Use occupancy classyication. Retail
v vs, .1:
Building permit numbers 11-5tillile
Occupant load.
Type of construction.
:44;
Post on the premises in a conspicuous place. This ,certificate.shallia be removed except by the Building Official.
r
ZO5e-Ar
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES Ir
Attn. Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
BUILDING DEPARTMENT phone 417 -4815
FIRE DEPARTMENT phone 417 -4653
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned
CITY CLERK phone 417 -4634
Second -hand dealer /pawnbroker business? Yes plo
Will there be dancing at this business? Yes No
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance
Hotel- Motel, Fireworks, Ambulance and Tattoo Businesses.
Page 1 of 2
Permit 551
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
ee charged for Downtown locations
PLEASE PRINT IN INK
Check one New business in P.A. Change of ownership only? Moving location from within P.A Zoning
BUSINESS NAME UNll U cSlY\ c \'1n0
Business Phone number (DID Opening a Mailing a ddress W� E
J' S r
g j= r uhutu 161
date /1;3711 Days hours of operation `8";,:-,,,
itn
Business owner's namej12,0P\ xl 'R o Olr1 Contact phone Pt 1 -t -1 Cie
Business owner's address (.A 1— 5k
Brief description of business 5me12.e ,ShoD C CACCD Ser6 rnnra„ e:Iz.
i J)
Property owner's name -1 ,Is\fL &I A Contact phone 3ivU) 1 460 S 39
Property owner's address /contact 2235 F6 Pc es 10A
Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes No P
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc)
Work planned
Fire approval by on
PBIA (Parking Business improvement Area Downtown) phone 417 -4623
Square footage of business? 2_72L 4 i PBIA notified on
Is business moving within the PBIA? Yes No
City Clerk approval by on
C p
COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750
Number of off street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall- mounted freestanding projecting awning A -frame etc
Signs planned
n PASAIY1 6164n
\J ;J
PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812
Is site work planned (new or re- located sewer or water service
excavation grading or filling work in City right -of -way
new driveway openings site drainage parking lots dowyspouts
irrigation system backflow devices etc.) Yes No .9
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
CED approval by on
Please sign up for utility services at the cashiers' counter
PW approyai by _RI7 on 1 I
PWW approval by on
Will waste other than domestic household waste be discharged into the sewer system? Yes No V
If yes what will be discharged
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Print Name Ida 19 /A I C Signature
T' \Forms \Building Division \Certificate of Occupancy Application (20 i0).doc
Page 2 of 2
r-
PREPARED 6/07/11 8 44 22 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/07/11
ADDRESS 1409 E 1ST ST SUBDIV
TENANT NBR WILLY S SMOKE SHOP
CONTRACTOR PHONE
OWNER MARKLEY DIANE L TTE PHONE 36) 457 5678
PARCEL 06 30 00 1 0 1036 0000
APPL NUMBER 11 00000559 CO- CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01 6/07/11 ///���TTTL BLDG C/O FINAL TIME 01 00
t.� OVERRIDE TAKEN BY LPANGRLE DATE 06/06/11 TIME 11 08 25
June 6 2011 11 06 22 AM 1pangrle
WILLY 209 224 1653 DIANE MARKLEY 460 5639
C OF 0 FINAL WILLY S SMOKE SHOP
AFTERNOON
PLEASE CALL BOTH WILLY AND DIANE 10 MINUTES BEFORE YOU GET
THERE
COMMENTS AND NOTES
P
poR7 C
ff
NNW
CITY CLERK phone 417 -4634
CERTIFICATE OF OCCUPANCY APPLICATION Permit# 55'1
CITY OF PORT ANGELES
Attn Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people?
Second -hand dealer /pawnbroker business? Yes
Will there be dancing at this business? Yes No
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance,
Hotel Motel, Fireworks, Ambulance and Tattoo Businesses.
Page 1 of 2
o
PLEASE PRINT IN INK
Check one New business in P.A.?`/Change of ownership only? Moving location from within P.A.? Zoning C PI
BUSINESS NAME (k.)\( 1 u 5 n. S1cQ
Business addressi120 u a IsF ��M�aii i address j1 '5 r ct ahl COI
Phone number �(r2O -7 100 Opening date 1 1 Days hours of operation
Business owner's name(, Au P)(l Contact phoneaPl 22q -ICA
Business owner's address.. OSA, tA) 1- N
Brief description of business `irne <2e ,c, NO tobacco erirn rnnras ei-c
Property owner's name Q c \2l?1 A Contact phone
Property owner's address /contact P FSn y. 22S S P -T Pc- ol rdes
Bldg approval by on
FIRE DEPARTMENT phone 417 -4653
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned.
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business? 2721, 4 k
Is business moving within the PBIA? Yes Nod
Yes No g'
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc)
Work planned
Fire approval by 4 f on -jl 19
PBIA notified on
City Clerk approval by
FEES
Certificate /Inspection
Parking Business Improvement Area (PBIA)
ee charged for Downtown' locations
(3i,b) 460 -5
JA
on
COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750
Number of off street parking spaces available for employees and
customers?
(A parking plan may be required
Signs? (wall- mounted freestanding projecting awning A -frame etc
Signs planned
leeRbn PX141 f1r- 610 n
PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812
Is site work planned (new or re- located sewer or water service
excavation grading or filling work in City right -of -way
new driveway openings site drainage parking lots dow pouts
irrigation system backflow devices etc.) Yes No
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
T\Forms\Building Divisionctertificate of Occupancy Application (2010).doc
Page 2 of 2
CED approval by on
PWE approval by on
PWW approval by on
Will waste other than domestic household waste be discharged into the sewer system? Yes No
If yes what will be discharged
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
Please sign up for utility services at the cashiers' 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 correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Date Print Name Vet e_ l 01 19� Signature IN e
CERTIFICATE OF OCCUPANCY APPLICATION
(ovcier
CITY CLERK phone 417 -4634
CITY OF PORT ANGELES
Attn Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 l fax (360) 417 -4711
nor On
BUILDING DEPARTMENT phone 417 -4815
Second -hand dealer /pawnbroker business? Yes plo
Will there be dancing at this business? Yes No
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance
Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
Is the business a restaurant or bar that will seat 50 or more people?
Permit 1- 551
FEES
$50 Certificate Inspection
Parking Business Improvement Area (PBIA)
ee charged for Downtown locations
PLEASE PRINT IN INK
Check one New business in P.A. ?Change of ownership only? Moving location from within P.A Zoning C PI
BUSINESS NAME IJ 'U A n c \Inn
Business addressiL101 Ja jsr I
Phone number (r() 7 VD Opening date
Business owner's namel u1'tt>Y1P1
Business owner's address U&' 4- 3
Brief description of business 5mo e ishoD- idhck w
Mai ing address '2i —t E_ }i'GhuXut ICI
4 Days hours of operation
Contact phone VA, 21.4-
W'A 4 :154� 1,7,
Piz
Property owner's name Mr9.102l ?1 A Contact phone 3 ,o") 460 SL, 39
Property owner's address /contact n-- Flax 22 3 S P6,- Pcacedes _iLJC\
Bldg approval by
Yes No V
Construction changes planned (moving walls, adding /enlarging windows or doors roofing siding, foundation work,
adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc)
Work planned
FIRE DEPARTMENT phone 417 -4653
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business? 2721, --r
Is business moving within the PBIA? Yes Nod
Fire approval by
PBIA notified
City Clerk approval by
on J0 Z1 JI X
7/r/
on
COMMUNITY 8 ECONOMIC DEVELOPMENT phone 417 4750
Number of off- street parking spaces available for employees and
customers?
(A parking plan may be required
Signs? (wall- mounted freestanding projecting awning A -frame etc
Si ns planned
I &Cl PY4f1d 6io fl
PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812
Is site work planned (new or re- located sewer or water service
excavation grading or filling work in City right -of -way
new driveway openings site drainage parking lots dow pouts
irrigation system backflow devices, et.c) Yes 0 No
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
Will waste other than domestic household waste be discharged into the sewer syster} Yes No V
If yes, what will be discharged
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information 1 have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Print Name4ft2 el 19 (IflW C11 Signature
T \Forms \Building Division \Certificate of Occupancy Application (2010).doc
Page 2 of 2
CED approval by
PWE approval by fk on
PWW approval by
Please sign up for utility services at the cashiers' counter
on
1,J ae\\-- 72
V r
Clallam County Assessor Treasurer Property Details 60844 DIANE MARKLEY for Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 60844 DIANE MARKLEY for Year 2011 2012
Property
Account
Property ID' 60844 Legal Description: TX #606 SUB LOT 10
Geographic ID' 0630001010360000 Agent Code.
Type: Real
Tax Area 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 59
Open Space N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Township Section:
Range:
Location
Address: 1409 E FIRST ST A Mapsco
PORT ANGELES WA
Neighborhood: Cycle 5 Comm Map ID 2
Neighborhood CD 20953140
Owner
Name: DIANE MARKLEY Owner ID'
Mailing Address: PO BOX 2835 Ownership
PORT ANGELES WA 98362 -0333
Taxes and Assessment Details
Property Tax Information as of 06/08/2011
Amount Due if Paid on. M. NOTE. If you plan to submit payment on a future date make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
Exemptions:
38864
100 0000000000%
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due
2011 155399 ST SCH STATE SCHOOL $160.81 $160 81 $0 00 $0.00 $160 81 $160 81
2011 155399 CC -GEN COUNTY CLALLAM $88 78 $88 77 $0 00 $0 00 $88.78 $88 77
2011 155399 SD #121 SCHOOL DISTRICT #121 $210.21 $210.20 $0.00 $0 00 $210.21 $210.20
2011 155399 CITY PORT ANG CITY OF PORT ANGELES $204 95 $204.93 $0 00 $0 00 $204.95 $204.93
2011 155399 PORT PORT OF PORT ANGELES $12.50 $12 49 $0.00 $0 00 $12.50 $12 49
2011 155399 NTH OLY LIB NORTH OLYMPIC LIBRARY $37.23 $37.23 $0 00 $0 00 $37.23 $37.23
2011 155399 HOSP #2 HOSPITAL #2 $36 44 $36 44 $0 00 $0.00 $36 44 $36 44
2011 155399 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.08 $11 07 $0 00 $0.00 $11.08 $11.07
2011 155399 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0 00 $36.00 $36.00
2011 155399 WEED_CONTROL WEED CONTROL $0 82 $0.81 $0 00 $0 00 $0 82 $0.81
2011 155399 TOTAL. $798.82 $798.75 $0.00 $0.00 $798.82 $798.75
2010 43680 ST SCH STATE SCHOOL $163.74 $163 75 $0 00 $0 00 $327 49 $0.00
2010 43680 CC -GEN COUNTY CLALLAM $87 14 $87 13 $0 00 $0 00 $174.27 $0 00
2010 43680 SD #121 SCHOOL DISTRICT #121 $212.09 $212.09 $0 00 $0.00 $424 18 $0 00
2010 43680 CITY PORT ANG CITY OF PORT ANGELES $201 75 $201 75 $0 00 $0 00 $403 50 $0 00
2010 43680 PORT PORT OF PORT ANGELES $12.24 $12.25 $0 00 $0.00 $24 49 $0 00
2010 43680 NTH OLY LIB NORTH OLYMPIC LIBRARY $25.32 $25 32 $0 00 $0 00 $50.64 $0.00
2010 43680 HOSP #2 HOSPITAL #2 $35 74 $35 75 $0 00 $0.00 $71 49 $0 00
2010 43680 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11 38 $11.37 $0 00 $0 00 $22.75 $0 00
2010 43680 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0.00 $72.00 $0.00
2010 43680 WEED_CONTROL WEED CONTROL $0 82 $0.81 $0.00 $0.00 $1.63 $0 00
2010 43680 TOTAL. $786.22 $786.22 $0.00 $0.00 $1572.44 50.00
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =60844 6/8/2011
"~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property zoning
Application valuation
05-00000251 Date
633204
1409 E 1ST ST
06-30-00-1-0-1036-0000-
COMM REMODEL
1/20/06
~
COMMERCIAL ARTERIAL
5000
Owner
Contractor
MARKLEY, DIANE L TTE
P O. BOX 2835
PORT ANGELES
(360) 457-5678
Structure Information
Construction Type
Occupancy Type
OWNER
WA 98362
000 000 INTERIOR REMODEL
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
Permit
Additional desc
Permit p~n number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL ALTER COMMERCIAL
APS/ CIRCUITS = 200A PNL FEE
69195
APS ELECTRIC
78 70 Plan Check Fee .
1/20/06 Valuation
7/19/06
00
o
"
~
~
Qty
1 00
Unit Charge Per
78 7000 ECH EL-COM ALT 0-200 SRV FDR
Extension
78.70
'"
Other Fees
STATE SURCHARGE
4.50
"-
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78 70 78 70 00 00
Plan Check Total 00 00 00 .00
Other Fee Total 4 50 4 50 00 .00
Grand Total 83.20 83 20 00 00
\I)
j
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
"
INSPEqTlON TYPE
DATE
COMMENTS
'~ .. 4
'''' 'dit>^ ~ ~.
NO
GENERAL COMMENTS:
PW.II02.l5 (4196)
~ pORT ~
~~O~~
()rta~
lL ~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000110 Date
.331090
1409 E 1ST ST
06-30-00-1-0-1036-0000-
RE-ROOF
4/16/04
COMMERCIAL ARTERIAL
8500
Owner
Contractor
EMERSON JEAN M
825 N COUNTY RD 261
ALTURAS CA 96101
EMERALD ROOFING
114 MT PLEASENT CREST
PORT ANGELES WA 98362
(360) 452-8173
----------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TORCH DOWN
190.75 Plan Check Fee
4/16/04 Valuation
10/13/04
.00
8500
Qty Unit Charge Per
Extension
92.75
98.00
BASE FEE
7.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
...........
,:z
CJ
~?
---------------------------------------------------------
Fee summary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.75 190.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 195.25 195.25 .00 .00
(\"\
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.,
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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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
ON
FIL.c-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNING\FORMSllI02.15 [11/1412003]
\
BUILDING PERMIT INSPECTION RECORD
CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
.
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ,..J:..il, - 0,,", J..L BUILDING
T:IPLANNINGIFORMSIII02.15 [11/14/2003]
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<;Jty of Port Angele~'~- Building ,.D~vl$"ion
.4 ee," ~~,
This certificate is Issuiil pursuant; to th({/,equlrements of SectIOn IIO of the 200~ InternatIOnal BUlldl71g
Code certzjjdng that If the-ti~~~tl;~jJp~c,e;this strupure was'?h,con:zpl!allce wlt~i/he varzous ordinances
of the City regulatirfg buildi1Jg,'<onstrziction or use, for~ the following: 'I", - ". \
I ,~, l ,,~~~~:'~'~::\:""~~" ':;';:"i '<'I ):',~,,'~ ,t,,~ ,,~>::',~::,,'t'.l ", - ^, '~:~~7< \
Business name: ~ ;', Maxim Powel 8portsJrig.,{I;f'i.~;,.I~;/\\I~i':;' ,:-::,~-n:~' I
B. dd~' " 1409\E 1st 8t '. :-,~":,'-", .1,,11, "<,~':I'\~',,,,,-:/,,;;:,~:y,,,'!.I~,,"";'~\i~'"" i
USlness a ress~ i,'>.'; t > . . t '\l~\;;'~'<l\';": , \,),! f~:"",,\1;t;;;:I~,~,<;;,1.'\;~V:\~~0~'!'~~~~\', <~;'\':,'J.ti';'!," if
. ~ \\" , , ,',~,,' ~"'\,'\.\';\<,~ ",~ ':';l';'c, ,',':f'--:~",-,>':\~"'~~~'(~\ "l..";t'~:~tl< ~
Owner ofbuszneSR' . Marcy Donaldson', r .;'"'i~Yh',, ,.' ,,~.t,";,("~';:'{;i~\o~', ",,1
~ :, _' _" \ '\~11",'1 "~1\ )~";1 I_",~'~' ",',\ ' I" \;:.t"(,~"~".{' I,~^'v~."" ~!
Owner's address.l528 N. Bagley Creek Rd.;'PortAngeles, WA98362
Use & occupancy ~l!issification Business,'~;J,'" ,'. I
\t:> 'c ,~' _-'" ;;:<....~ \ '. ~"i'
Building permit n~~er~::: ".>C,,) 'ii, O~-25-tC;--;t~(. ' ' .if
Ti. pe 0 onstruc nt', ''If= ~l#"
, J i; II
1:;-
1:"
o-:::ti,F'
~~'('
Lasered
CED
01126/07
Date
~',\ 'hI,
Post on the premises in a conspicuo~~'-'p,ace
.,F",,\c ~
~.
0..,<, C,p![;"p.-%#J
mot ~etremoved except by the Building Official.
~_\I"
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(lJ 6-- }61 (; \)O~~,~~oROUTING SLIP ~ ~ORT...." J1
Lasereo ~O~O~I"
~f'. ~o..f i Certificate of Occupancy (J~~1Il ~
CEO J, _
"- =-.:0
=-
OU>'{\ ~ Certificate/Inspection Fee ~
"t&t1CWO"'+-''<> \J\
1/2(,101 -
DATE New Business. . . . .... . . . . . . . . ....... . . . (~)
Address of Proposed Business Transfer of Business location . . . . . . . . . . . .. . ( )
/Lf09 F/~-I ~ Change of Ownership ..................... ( )
Applicant ;'U~d> /~I,-b:. ]:11e.. New BuildIng ............................ ( )
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
A,ess ,~54G /I. ~ ~ ~dI
rr, /If c;fJ~6 Temporary Business. . . . . . . . . . . . . . . . . . .. .. ( )
/ ~
Phone: buslness~ home '71/& If''117r Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
-=S;---d'1 {/"7'7 <"~ ~/ t mC;co~V\E ~
Brief description of proposed business: (~~~ ~ ~OU'~ ~ A-rV (~~
legal Description: lot Block Subdivision
Current Use of Property: 6p rY ~,
Zoning Classification of Property: c.?f
Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes ./ PERMITS BUSINESS LICENSE
1/-
Electrical changes ... . ---;;r- - 1) BUilding 1) TaxI
Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers --
----vr- - ..+:
Plumbing changes ~- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs 4) Mechanical 4) Pawn Broker a
.. . - --vr ~
New septic tanks ... . - ---vr 5) Sewer 5) Dance
New sewer service 6) Sidewalk Installation 6) Hotel - Motel
AdmiSSion charged to patrons -~ 7) Driveway Installation 7) Fireworks
- ----;:;r- IT\
Is thiS a home occupation? .... . -~ 8) Curb Installation 8) Ambulance
Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop ,
Work done In City right-of-way ==~ 10) Water meter Installation 10) Other -
Is there suffiCient off-street parking? .. . . . ---LL----;;r- 11) Fire \j)
New driveway openings .... . ~- 12) Occupancy ~
A grading plan for site drainage ~- 13) Sign
(parking lots, downspouts, etc ) ---T - 14) Shoreline ~
Are the eXisting streets paved? vr-- 15) Home occupation
Are there eXisting sidewalks? -;r- 16) Conditional use
Is there curb and gutter? -- 17) Other
Other . . --
I hereby apply for a Certificate of Occupancy and acknowl- l/c2C./bl7
edge that I have read this application and state that the Date:
Information I have supplied is correct to the best of my Signed: '-;1/}~ Oh~ "3
knowledge.
~I ~
-'-
~~Drt~REJECTED -
Comments / Conditions ~
,1 I l,BUilcfingSectiC5fl) ~
-'1 -
'-=------~ - - - ~- -~" ~
1(30{O7 Public Works Department
5R Planning Department 0
~
KD- Fire Department 6l~ V tA. Co.\'\. t (-31-07
filLl:Z,'7-C>/ City Clerk n
P.B.I.A. %
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUlLDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Lasered
CEO
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001239 Date 12/15/05
668211
1409 E 1ST ST
06-30-00-1-0-1036-0000-
DIANE MARKLEY
MECHANICAL PERMIT
COMMERCIAL ARTERIAL
9470
f1t-JAl~ '7?J
b~/!O~
Owner
Contractor
MARKLEY, DIANE L TTE
P. O. BOX 2835
PORT ANGELES WA 98362
( 36) 457-5678
DAVE'S HEATING & COOLING
PO BOX 413
PORT ANGELES WA 98363
(360) 452-0939
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
67322
36.40
12/15/05
6/13/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
67314
64.70 Plan Check Fee
12/15/05 Valuation
6/13/06
.00
o
Qty Unit Charge Per
Extension
50.00
14.70
--
-r ~
,"""t. 0
;~ J
f\ ~
f
--
~
-1
V'.
1
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 101.10 101.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 101.10 101.10 .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 orwork 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
pre e to give authority to violate OJ cancel the provisions of any state or local law regulating construction or the performance of
c ,str ctiO(' '. 1/
,t~0" :;
ignature of Contractor or AuthOrize Agent Signature of Owner (if owner is builder) Date
T \PolIcles\!! 02 _!5 bUlldmg peront mspectlOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS y/'YJO & ___TW
GAS LINE FINAL v!z,-I k DATE flu
WOOD STOVE 1 PELLET 1 CHIMNEY ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEP A-
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 I, I I ........ PLANNING DEPT
BUILDING 417-4815 fYj P1 / (JfJ::? VI1/' BUILDING
T \Pohcles\ 11 02_15 bUIldmg permIt mspectlon record05. wpd [1/4/2005]
PREPARED 6/21/06, 13'52:54
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR BOB KAJFASZ
PAGE
DATE
1
6/21/06
1409 E 1ST ST
DIANE MARKLEY
DAVE'S HEATING & COOLING
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00001239 MECHANICAL PERMIT
PHONE
PHONE
(360) 452-0939
( 36) 457-5678
SUBDIV:
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MECHANICAL DUCTS
12/23/2005 08:08 AM PBARTHOL ---------------------------
BUILDING UNOCCUPIED CALL 1ST
*****DIANE 457-5678 / 460-5639*****
12/23/2005 03:45 PM JLIERLY ----------------------------
no access left message/Jll
MECHANICAL DUCTS
12/27/2005 08:15 AM PBARTHOL ---------------------------
****DIANE 460-5639*****
****CALL 1ST*****
12/27/2005 04:46 PM PBARTHOL ---------------------------
bU11d1ng locked
MECHANICAL HEAT PUMP TIME: 13:00
02/01/2006 02:40 PM DYASUMUR ---------------------------
DIANE 460-5639 CALL BEFORE GOING TO PROJECT
02/02/2006 04'40 PM JLIERLY ----------------------------
MECHANICAL DUCTS TIME: 13'00
02/27/2006 10:03 AM DYASUMUR ---------------------------
DIANE 460-5639 CALL 1/2 HOUR BEFORE GOING TO JOBSITE
02/28/2006 04:37 PM JLIERLY ----------------------------
th1s 1nspect1on 1S for frame and a1r seal. and the 1tems
are not complete. th1s 1nspect1on should be on the remodel
perm1t/Jll
~~~~-::---~~:---~~---::~~;::~::::~~DP:OT::~~:~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~_____
ME5
12/23/05
12/23/05
JLL
DA
01
ME5
12/27/05
12/27/05
JLL
DA
02
ME3
2/02/06
2/02/06
JLL
AP
01
ME5
2/28/06
2/28/06
JLL
DA
03
lasered
CEO
PREPARED 2/02/06, 13 47:16
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
2/02/06
1409 E 1ST ST
DIANE MARKLEY
DAVE'S HEATING & COOLING
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00001239 MECHANICAL PERMIT
PHONE (360) 452-0939
PHONE (36) 457-5678
SUBDIV:
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME5 01
12/23/05 JLL
12/23/05 DA
ME5 02
12/27/05 JLL
12/27/05 DA
ME3 01
2r2r6 lW
~ ~~~~
Lasered
CED
MECHANICAL DUCTS
12/23/2005 08.08 AM PBARTHOL ---------------------------
BUILDING UNOCCUPIED CALL 1ST
*****DIANE 457-5678 / 460-5639*****
12/23/2005 03 45 PM JLIERLY ----------------------------
no access left message/)ll
MECHANICAL DUCTS
12/27/2005 08 15 AM PBARTHOL ---------------------------
****DIANE 460-5639*****
****CALL 1ST*****
12/27/2005 04 46 PM PBARTHOL ---------------------------
bU1ld1ng locked
MECHANICAL HEAT PUMP TIME: 13 00
02/01/2006 02 40 PM DYASUMUR ---------------------------
DIANE 460-5639 CALL BEFORE GOING TO PROJECT
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 12/23/05, 12 39 26
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
12/23/05
ADDRESS
TENANT, NBR,
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
1409 E 1ST ST
DIANE MARKLEY
DAVE'S HEATING & COOLING
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00001239 MECHANICAL PERMIT
SUBDIV,
PHONE
PHONE
(360) 452-0939
( 36) 457-5678
Lasered
CEO
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~--~~--~~il,~~~---~!~~~i~~~:~~:~;~:~:~~;~;~;:~-~~~~~~~~~~~~~~~~~~~~~~~~~~~-----
~~ *****DIANE 457-5678 / 460-5639*****
COMMENTS AND NOTES --------------------------------------
~o
ij CLt'lo 'J
Dee 14 05 0357p
DAVE'S HEATING & COOLING
Lasered
CEO
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
LQIV7Ac--r fJr:..oP6:-R.-rYOL.JN~R -To AC.C.~Ss FoR
=cNsP6<:~oN
Phone: "/0 ;:;-o"r3 ~ . <Jt.;H €(\/ /? t;~r.At:'STf! ~
Phone: "'I61-5~ f<g / 4~O-5b3Cj
pOy'"~h~l-cs Zip: q~3f:::,d-.
Applicant or Agent: .]) V't ve 16 H eo-- -h Y\ 'l'
Owner. J) 100.. VI -e... M a.. r tz l ~ '1)
Address:
City:
Phone:
J)AV€5Hc.c:r""t(;;JC q=t,JKc.. ~
StateLicense#:J)AV~.sHc...; Exp: S C>7
.
City: lor-+hcazJ.JUs
e:;- C{ s-f- F/rs + Srr-e-e- -f
ArchitectJEngmeer:
Contractor])~ v-e. \05 l1-ea.:-h n~
Address: (.0. ,go k /-( /3
PROJECT ADDRESS: / ~ If) CJ
LEGAL DESCRIPTION: Lot:'
CLALLAM COUNTY PARCEL NUMBER:
Phone: 7"S-dJ-O?37'
Zip: '7~3.{,;;J..
ZONING:
Block:
7
SubdiVIsion:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Expo Date:
TYPE OF WORK: SIZEN ALUATION:
o Residential 0 New Constr. 0 R~roof 0 Stove SF. @ $ ISF. = $
o Multi-familv 0 Addition 0 Move 0 Garage SF. @$ ISF. = $
IB'" Commercial 0 Remodel 0 Demohtion 0 Deck SF @ $ ISF = $
o Rep3..\1" 0 SIgn 0 Other TOTAL VALUATION $ crJ '71 O~
BRIEF DESCRIPTION OF THE PROJECT: JY\ s+",-l I. 0....4-. on 0+ -e.. (-e..c.....+r-, c.... -k.. Irfl\o....::....s:L 0...,", d.- ~
of LA. '^"- P ,-"..4 Ju.... c.;-r ~ r k --I1vuv-VV1 0 5 +~ t<J 1- r-e..
COMMERClALfRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stones: Lot Size: Existing Sq. Ft. & Proposed Sq.. Ft. = TOTAL Sq. Ft.
Total lot coverage %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checkhst required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIus figure will be reviewed
and may be revised by the Building DivislOD to comply WIth current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
subnutted. All other permit fees are due at the time of petmlt lssuance.
EXPIRATION OF PLAN REVIEW: !fno peImlt IS issued \l\rithin 180 days of the date of application, the application will expire. The
Building OffiCial can extend the time for action by the applicant up to 180 days upon wntten request by the apphcant (see Secnon RI05.3.2
of the International BuildlDglResldential Code, 2003). No applicanon can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and
understand that it ,s my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work
T\RVESS\BLDG-f_-bn>....~I2004-B.,ld""'mi'wpd Appl"""t ~ ~.t<, I :?!I 'f (,,:5
I [ave..l5 '-ea:h h ~ I
f pORT ~
cY.J.O~~~
ha
~--
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
. 321 EAST 5TH STREET, PORT ANGELES, WA 98362
/.~s
c/j}'r;
Applicatlon Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcation type descrlption
Subdlvision Name
Property Use
Property Zoning . . .
Applicatlon valuation
05-00000251 Date
633204
1409 E 1ST ST
06-30-00-1-0-1036-0000-
COMM REMODEL
4/27/05
~
~
.
~
-
COMMERCIAL ARTERIAL
5000
Owner
Contractor
MARKLEY, DIANE L TTE
P. O. BOX 2835
PORT ANGELES
(360) 457-5678
Structure Information
Construction Type . .
Occupancy Type
OWNER
WA 98362
000 000 INTERIOR REMODEL
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
Permit BUILDING PERMIT - COMMERCIAL
Additional desc INTERIOR REMODEL
Permit pin number 47035
Permit Fee 134.75 Plan Check Fee 87.59
Issue Date 4/27/05 Valuation 5000
Explration Date 10/24/05
Qty Unit Charge Per Extension
BASE FEE 92.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
Other Fees
STATE SURCHARGE
4.50
-.
...:t:.
~
-.Q
Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total 87.59 87.59 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 226.84 226.84 .00 .00
. \~. ~.
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7-
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Separate Permits are reqUired forelectncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThiS permit becomes
null and void if work or construction authorized is not commenced within 180 days, If construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
(!) tV FI t.E
Signature of Contractor or Authorized Agent
Signature of Owner (If owner is bUilder)
Date
Date
T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
"
BUILDING PERMIT INSPECTION RECORD
\h~
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE 'P
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCi} TION. ~_
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE - \
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION: ,
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL .
WALLS 3hh& Jf,-v
CEILING " I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING 'Jt1 II" 7/</ I
MECHANICAL - 1~ fr' V'-
fi A
HEAT PUMP/FURNACE/DUCTS tn~-
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA-
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 i '''is'- O~ IJfI) ELECTRICAL
LIGHT DEPT
CONSTRUCTiON R W / PW/ CONSTRUCTION - R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 (I I FIRE DEPT
PLANNING DEPT 417-4750 , I PLANNING DEPT I
BUILDING 417-4815 _'fry./, '/I J BUILDING lJ.d-
T \Policles\1 102_15 bUlldmg penml mspectlOn record05 wpd [1/412005]{ 't W I f I
~i
3 tit
,~
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00000251 COMM REMODEL
PREPARED 1/26/07, 9:50 09
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
1409 E 1ST ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
1/26/07
SUBDIV
PHONE
PHONE
(360) 457-5678
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING AIR SEAL
03/01/2006 08 38 AM JLIERLY ----------------------------
03/01/2006 08 39 AM JLIERLY ----------------------------
complete frame requlrements from last lnspectlon and alr
seal/] 11
BUILDING FRAMING
03/01/2006 08.38 AM JLIERLY ----------------------------
03/01/2006 08:40 AM JLIERLY ----------------------------
alr seal was not lnltlated/]ll
BUILDING FRAMING
03/01/2006 10 59 AM PBARTHOL ---------------------------
DIANE 460-5639
03/03/2006 08 18 AM
BUILDING INSULATION
03/06/2006 10 18 AM
DIANE 460-5639
03/08/2006 08 07 AM JLIERLY ----------------------------
JLL BUILDING FINAL
~ 01/25/2007 09:35 AM PERMITS
DIANE MARKLEY 460-5639
PLEASE CALL SO BUILDING CAN BE OPENED
-------------------------- ----------- COMMENTS AND NOTES --------------------------------------
BAIR 01
2/28/06
3/01/06
JLL
DA
BL3
2/28/06
3/01/06
JLL
DA
01
BL3
3/02/06
3/03/06
JLL
AP
02
BLI
3/07/06
3/08/06
JLL
AP
01
BL99 01
1/26/07
\,(
Lasered
CEO
JLIERLY ----------------------------
TIME 13.00
DYASUMUR ---------------------------
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00000251 COMM REMODEL
PREPARED 3/07/06, 12 50:48
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
1409 E 1ST ST
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
3
3/07/06
SUBDIV
PHONE
PHONE
(360) 457-5678
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING AIR SEAL
03/01/2006 08 38 AM JLIERLY ----------------------------
03/01/2006 08 39 AM JLIERLY ----------------------------
complete frame requ1rements from last 1nspect1on and a1r
seal/) 11
BUILDING FRAMING
03/01/2006 08 38 AM JLIERLY ----------------------------
03/01/2006 08 40 AM JLIERLY ----------------------------
a1r seal was not 1n1t1ated/]ll
BUILDING FRAMING
03/01/2006 10 59 AM PBARTHOL ---------------------------
DIANE 460-5639
03/03/2006 08:18 AM
BLI 01 ~07 406 ~JLL BUILDING INSULATION
03/06/2006 10:18 AM
DIANE 460-5639
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BAIR 01 2/28/06 JLL
3/01/06 DA
BL3 01 2/28/06 JLL
3/01/06 DA
BL3 02 3/02/06 JLL
3/03/06 AP
Lasered
CEO
JLIERLY ----------------------------
TIME 13: 00
DYASUMUR ---------------------------
PREPARED 3/02/06, 11-42:44
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2
3/02/06
ADDRESS
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER:
1409 E 1ST ST
SUBDIV
PHONE
PHONE: (360) 457-5678
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00000251 COMM REMODEL
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01
2/28/06
3/01/06
JLL
DA
BUILDING AIR SEAL
03/01/2006 08 38 AM JLIERLY ----------------------------
03/01/2006 08 39 AM JLIERLY ----------------------------
complete frame requ1rements from last 1nspect1on and a1r
seallJ 11
BUILDING FRAMING
03/01/2006 08-38 AM JLIERLY ----------------------------
03/01/2006 08 40 AM JLIERLY ----------------------------
a1r seal was not 1n1t1ated/Jll
BUILDING FRAMING
03/01/2006 10 59 AM PBARTHOL ---------------------------
DIANE 460-5639
Lasered
CEO
BL3
01
2/28/06
3/01/06
JLL
DA
BL3
02
4/02/06
9-\ 0 t..p
\
~
-------------------------------------- COMMENTS AND NOTES
~~\OY' Pr€ At\-- ~ \
PREPARED 3/01/06, 8 39:17
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
1
2/28/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1409 E 1ST ST
SUBDIV:
PHONE
PHONE : (360) 457-5678
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00000251 COMM REMODEL
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
Lasered
CEO
BAIR 01 ~ JLL BUILDING AIR SEAL
'*0 DI!. 03/01/2006 08 38 AM JLIERLY ----------------------------
BL3 01 f28706 JLL BUILDING FRAMING
1.. f"l olp bA 03/01/2006 08 38 AM JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~I~~~
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,
~
~~
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. ~_ I._ ,4
BUILDING DIVISION
Lasered
CEO
CITY OF PORT ANGELES
Job Located at
fILE
Correction Notice
J '5 +--
*
*
} (,1 0 ?
12
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction: \ \ I \, I
* I2~F1G:l2- +~ 11 S t'-1vs""t-?-,e \ Y2.. Svf>fV\JP(L~
+- --J?JoCJc. 171+i\-Vl/s,8 'B,P4v'-]
~ -S-t-iL4\.f ?:9~ ~ vJ -4 U
* ~l0M ~n,~:::::. (~\":hH_JtQ4 re~~
V }.lD+ e. -uuc:c.J-r;-o' \e :n::;-~ O~'-
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* -0.J ~0( ~e ~
C )( J <; -1--,' v \)~ t "-4 t<L t I
M Ii ,
-
~/\
''-.
j
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call --L/ ( '7 - LIft c;-
for inspection.
Date ~
-= J C( /
Inspector for Building Division
-,~
DO NOT REMOVE THIS TAG
PREPARED 12/27/05, 14.34:08
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
4
12/27/05
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
1409 E 1ST ST
DIANE MARKLEY
DAVE'S HEATING & COOLING
MARKLEY, DIANE L TTE
06-30-00-1-0-1036-0000-
05-00001239 MECHANICAL PERMIT
SUBDIV
PHONE
PHONE
(360) 452-0939
( 36) 457-5678
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
I_asered
CEO
ME5
01
12/23/05
12/23/05
JLL
DA
MECHANICAL DUCTS
12/23/2005 08 08 AM PBARTHOL ---------------------------
BUILDING UNOCCUPIED CALL 1ST
.....DIANE 457-5678 / 460-5639.....
12/23/2005 03~ JLIERLY ----------------------------
no access left message/]ll
MECHANICAL DUCTS
12/27/2005 08 15 AM PBARTHOL ---------------------------
****DIANE 460-5639*****
****CALL lST*****
ME5
02 12/27/05 JLL
~.) ,4-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~~.
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CITY OFPORT ANGELES - Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans. specifications and other data, or from prevenbng
building oper.:tions being carried on thereunder when In
violation of all codes and ordinances of this jurisdiction.
(SECTION 303(c).. ifo Bui~ng Code.) ~
Approval Date D~ By
,
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BUILDING -PE'RMIT - APPUCA TION CED~-:~-
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Appltcant or Agent b-t (1\1\ ~ vY\ 6...1' 1<- ~
Owner: ~t o...~ YY\o-.,rk- ~
Address:'? O. ~O1-. :)835
Phone'
Phone:
4 51-- 5~?-JJ
3r.o()-4to6~Sfo3Cj CcQ.(1
CIty: ~(\V--t ~F
Lv1\ .
ZIp:
19Sb 2-
ArchItect/Engmeer:
Contractor
Phone:
State LIcense #:
Exp:
Phone:
Address: City: ZIp:
PROJECT ADDRESS: , LfO 9 r::A s...t- rr v~ s:t', ?ov't ~~~S ZONING: A ~,J~
LEGAL DESCRIPTION: LotSM1 ~ 10 lt3Block: \ :5;;,.. SubdIvIs~n:~6-f: ~ JL.Jrf:J-i' Sub&..
CLALLAM COUNTY PARCEL NUMBER: D fa < :SCOO , (') \ I.. '3 I...
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o ResIdentIal 0 New Constr. 0 Re-roof
o MultI-family 0 AddItlOn 0 Move
o CommercIal ~emodel 0 Demohtion
o RepaIr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT: r\ \ '!\.G,.
R€.pJ~c.-"L- 5 N .t.uj uJ\mA~ J NW ~ Pt't~
\ '~DA
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stones: Lot SIZe: ExistIng Sq. Ft.
Total lot coverage %
City:
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ 5666 ~
) <\- fQ S +D y t (\.~ b If B.Mk~ L~...\
~f\.1 CVq.:FI\L~ ~oE.. i.:~~kte) Slte~i rock.
<.
Occupant Load: ConstructIon Type:
& Proposed Sq. Ft.
= TOTAL Sq Ft
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checkhstreqmred? 0 Yes 0 No Oilier
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThIS figure WIll be revIewed
and may be revIsed by the Bmldmg DIVISIon to comply WIth current fee schedules Contact the Permrt Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee is due It must be subillltted at the tIme ilie bmldmg permrt apphcatlOn and constructlOn plans are
subillltted. All other pemnt fees are due at the tune of permrt Issuance.
EXPIRATION OF PLAN REVIEW: 1fno permrt IS Issued Wlthm 180 days of the date ofapphcatlOn, the application will expire. The
Bmldmg Official can extend the tune for actIon by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOll RIDS 3 2
of the 1ntematlOnal Bmldmg/ResIdentIal Code, 2003). No apphcatIoll can be extended more than once.
I hereby certify that I have read and exammed this application and know the same to be true and correct. I am authonzed to apply for thiS permit and
understand that It is my responsibility to determme what permits are required ,not the City'S, and that I must obtain such permits prior to work.
TlRVESSIBLDG-fo=,-lrroclmrm\200,"Bmldmgpo=;' wpd APPh,,~l'UUti~Date. L) , 4,- () s..
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Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
.
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
\
DetailslDescription:
7Y~
I(~
a ry
o ,;/
Id~~~
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
"'A Final O.K.
;tjA
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/pending
Installer:
/;/t};1 E / or-
k>J
Permit/Receipt N~ ~ I r
New Meters
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for nspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector' 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
;) s--:' CJ CJ
Amount paid
YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
r
/ -;;-r, 0
FEE AECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
"
A
9 2- z-.
PERMIT NUMBEA
.
10 00 (V\t \'~-C
TOTAL FEE - 1..2 C , Co""",- .
CONT. Lie. NO. TIME TO COMPLETE NO. STORJES LEGAL OCCUPANCY
-
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /~ 0'9 E / ST'
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WAONG A DREj,ES ARE CANCELLED
Owner LV/'/liA^1.S0/t../ - . InstatlationBy < ~.......__..w~ F/~o(.T
Owner's Address Installers Address :2.3 8' L--t.J l? ,1,
Day Phone 4tS 250 0 V - Installers Phone .;;,r? -.>~ l?9-
Application is hereby made for .~ermit to install Elect~ical_Equipment as follows: A~ "."", ~ ?:;:: ~
~ ~/; Tc/:.c.<-.v //s ^ " . I <_ A . I " c -'
IV 1,lN -2>1./~ Wiring Method ?: /J'f:.
-
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER , 00R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT ~t It SIGN ,
LIGHT I.... IJ ./ 50 VOLTS
^ ^ OR LESS ,
CONVENIENCE I ()V , . I IM-, ~ 1./ MOTOR
CONVENIENCE '^ .<\) I~f -- MOTOR ,
APPLIANCE .. IIV I ( , MOTOR _ ..
DISHYJASHEA \ \ \ () .....- IjlREALARMS
DISPOSAL . \ Ur\'t >7 BURGLAR ALARM
RANGE ND I' / V MISC.
OVEN /
WATER HEATER // V
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 .200 -" bO AMP //~ PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .r60 .4<70 --'-~ A.w.G.
, I SUB-TOTAL SIZE OF ENTRANCE SWITCH
SIZE OF GROUND
.
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.
,19 <;-L By ~OR~ORAUT~NT)
Permission is hereby given to do t.tle.above_d~scribed work, a.ccording to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances 0 h~ ,City !Jf Port An eles.
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Date Application made
.
Date Permit Issued
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WARNING
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cqvered or c.urrent 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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FEE RECEIl5r NUMBER
CI.TY OF,PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND,ELECTRICAL pERMIT
NUMBER
.
TOTAL FEE
;7&P
TIME TO COMPLETE
NO. STQRI ES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY O....A JSE ESTABLISHED UNDER THI~RMIT
~_ PIh Jv- s~/2.,?~ l;rJ'f ~ /;3- , ,
.. CORRECT AD~RES IS RESPONSIBILITY OF APPLlCAN~ PERMITS ~ITH WR012J;~El!:l GArCEs- / ~ }
Owner InstallatIon By . . fA.
owner'sAddress~~~ Installers Address ~~~' :P.
Day Phone - (J('J 7 ' Installers Phone , .
Application is hereby made for Permit to install Electrical Equipment as follows: _ I ~5 I L -,/ .
~/~) , .
Wiring Method
aJj)! I V--
.
NUMBER AMP 240V NUMBER AMP 120V - 240V
USE OF CIRCUIT . PER 12QV 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN I q} V ~
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 # -
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC ,
BASIC FEE
ELECTRIC HEAT /7/"<:.::'-
'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 P7t wil', be done by the installer and ir~j;:t;;';e w'ith tpr~cal Code,
Date Application made J '7 -' c:z ,1~ Ba A ~ /- -7
I . - V CO'Nl'RACTOR OR OWNER(OR AUTHORIZED AGENT) t'
Permission is hereby given to do the above described work, according to the c9nditions.hereon and according to the'approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
ZCITY.LIGHT
By '~aJ' c4
PLANS APPROVED :
. ;;;;j;;ed
I WARNING
.. .
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work -must not
be covered or cur~ent 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.
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
~
DATE OF VISIT MADE BY REMARKS
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ELECTRICAL WORK PERMIT APPLICATION
J()b wired by ~ Electrical Contrad~r' 0 Owner
~~C$C5 CO"f;:io~nd,,;- eaJ t~ &Lec..~qg1';:;j
PU5~<Th m'~~d~1\ ~/Ldl
~t"-X AC\q eL~s t'J A;
T~lc'phonc numbel' FAX number
"1 a -(,.:,.S3 '54.l't\'€-
Pre~hes OWDer~s name L,{
~\ "-l\'€- Y'V\J1.,l'.....~
Addre.'U of ilJspecthm ] 1 S'!d 1. a~
\r..tbq.. 6 . f.:r~..~. ,. - :lfi'e.'€.-!!
City ~..-r A Y\l tl.e.s. Ul..i1
Pbou\ l'umber '9 schedule ~spe"io.: /9 ~
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(hvner (l.J d('jlned by RCw'19.28.261:(l) Owner will occ"py rhe srructure for lwo
yerJI",'I" a/jcr thi.. electrical pe.rmit i.. finaliud. (2) Qwn(!t, is reqlJired. to hire all electrical
contractor if above ...aid property is fnr sale, rent or lease.
After rea.ding the abo\"e statement., I hereby certify tbat I am the owner of the above
named property or 3. Hccnscd electrical contractor, I ~m making the electrical instal.
lation or nlterd.tion in""complianee with the: electrical laws. N.E.C.. RCW. Chapter
19.28. WAC. Chapter 296-46B. TIle Cit)' of PorI Angeles Municipal Code, and
Utility Specificatiolls.
Sfg1l3t "0 owner, de
installation description "
~\commerdRl, Q Residential
ClNew
~ Altered/Addition
~
tlfZ'3b3
.
~o f)6.?J'f
o Cash
o Check If
61\.. /yl.L
o Credit Card
Card #
Visa
Mastercard
Discover
)
x
Expiration Date:
of card
$"'p?ti~ t~
ServiCE! Information
VO~ag~d lb
F'hasa 1 Cl 3
Service Ize: ~
Feeder Size:
Electrical Load Addil n
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
a Heat Pump Ton
o fan.Wall 'KW
LAR
bt Overhead Service
O'T emp Service
a Underground Service
SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735
ROUGH-IN 11IERMOSTAT SERVICE
1/.#' '-~ I)~l': AltpN~coJ fly "I)"te Approved My
.'I'1I1e .\pprovdBy
,,1..,rJ~AL~ DITCH ~EEDER
o .'I.l'PNvedRy llllle A""rovw.8y Dll\~ Apf'<Ovcd By
Inspection Area, BUilding Or Equipment Inspected Action Taken Elccmcal
Date , lnspector
I~Zv - (It, ;?'~/""'- ~L',~. . /N AC At? Ad)
.
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4,-,/7 i h, /~ t:.
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'ON Xtlj
~O~JtI~~NOJ ltlJI~~J3l3 'S.d.tI
WO~j
Application Number . . . . . 22-00001121 Date 9/08/22
Application pin number . . . 063718
Property Address . . . . . . 1409 E 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-1036-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Circuits
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WAEL ALAWAWDEH JOHNSON ELECTRIC COMPANY
1409 E FIRST 3129 S REGENT
PORT ANGELES WA 983620333 PORT ANGELES WA 98362
(360) 460-5639 (360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 9/08/22 Valuation . . . . 0
Expiration Date . . 3/07/23
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 9/07/22,13:53:48 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001121 1409 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