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Home My WebLink About108 W 8th St - BuildingNAME OF PREMISES. 1. A L/f z 1. J f` SERVICE ADDRESS t) 2 Si R to LOCATION OF DEVICE. t 'A/P /l 7 C hi S-/V _cm /c ASSEMBLY WA r 0a q Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES laiN0 IS ASSEMBLY INSTALLED CORRECTLY' YES CI NO DATE OF INSTALLATION /4 v& UNKNOWN 0 Initial Test Repairs Details COMMENTS Initial Test Repairs Final Test DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 Leaked �0�' Held at_/' O psi Cleaned 0 Replaced 0 REDUCED PRESSURE PRINCIPLE ASSEMBLY AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES 0 NO 0 I DateTime Tester e-; rC k /2 R a e c og Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division CHECK VALVE #2 Leaked 0 Closed Tight 8!" Held at psi Cleaned 0 Cleaned 0 Replaced 0 Replaced 0 Signature RELIEF VALVE Did Not Open 0 Opened at 3 psi 3 psi Buffer YES 0 NO 0 Final Closed Tight Test Held atY Q psi Held at psi Opened at C„ psi ZA7.-CifieY 7c It T g Cert. WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# Received 9 4 /5/ 3 9 ate Replaced 0 Line Pressure psi RP Cr RPDA 0 DC 0 DCDA 0 PVB O Air Gap 0 SVB 0 AVB 0 PVB /SVB AIR INLET Did Not Open 0 Opened at psi CHECK VALVE Leaked 0 Held at psi REPAIRS Cleaned 0 AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO 0 YES 0 TYPE OF HAZARD 69/ 'er it? Held Backpressure YES Er NO 0 #2 Shutoff Held YES le NO 0 Relief Valve Exercised YES 0/"NO 0 Test Kit Passed Failed 0 O 6-, 9 5'6 Ai 1911 /e f o *4 .;.3= .4,-.-' R 4:R i Ili 48 r.,' „,,t: 0 2 i :_,,.1.,R rt"R :10' '0 0,090 Os 4, -.:-T,..f.-4a-i, ,/„.1±9K LI.t ilfrg, ,?ttfi Vii, e•- i 0,4 s' ,fe: -'-'1e, L sr p.. ??,,...S#4 Si5R 0'..k.:' d -1 16•,•7, i bro'' Aldo' 67 11 T'': R, .E„.. :i?, 71- 7,N.;, ,,,,,..Z:45F1 t '0.0- W. 8.71-1, 4, 't ,,.,.,:thriwbUrVate`fexClieillak'ffor '...1 61.6s Lo'catiOn4Ctid0405 1;1 .Tenant nbr name 13 4 cA Tr€1 .,i Use :Px -kAtTiri value troll '=a4. ?KY 4=, "UITLYi0F.„ JNGELES ;G01■21ITYSEFECONOMM1) MEL,9R EL-ES;' 4.-.°;t'tt; :RR V 4R1,R-4 .1 it 141,71 cOMMER1-.*N4G4)3013.1-i991I ytapoeti App1:#6.tiondescr, XNSTALI.,.. :DEVI C-,p;,,,F,',OR''..-..THEi .4„, x t, 7, 4,7, 7r,-. TF 1 -4 A-' r'f''' A,tf. o'w•fiot,. JO e 55 fi .4 a 6_ t' b i F =,.1)4W VERNON P.,,TcilAR T.“. :1?;R..Ecispa piozr..w: 10 8';- "M.: ,:8'n4, t. -R4# 9-J., 064):1;,45,7 5 0 5,0R -1T-IiM.'8510,",,,,;,1: --.'*'':,„Rt.:'''!((53„;:4:AR„1441271 12 kt .,.4 4., PE ii:Reli riizt.';' g IC ''KcicKie,i.dril;101;lesC, SODA Permrt .131:nun 74,..,k iMAC 'Art- PLUMBING,1RP EI ,,Ifoi,,r,pikE V ,13,, -?s2RLCR,r, Perri4t" 1Fe ,a il'e gUeible 8.7iij:ilio. ,.i 7: ,..lcii.,.._ ea c ic Ex D.4:t-e, ;z0 5.,149-'a Aralliatyor.y.„. 3,?,"--: RRiiR (2444 r05:4i Per t4:;, ,44• BASE FEE -j 'f 1.1 6!"",.! j -1- -t.. P aid. l' t, Credited '1 1161- Fee !f:a 4'.°44;4 P.41-3' 1" 'Ur' f4p4iiiilt. 'S' ilVtati' :rk 'Avo 3aiircli.0cX. Tot,4 R- 1 410'Ro ocit m.co "00 1 ;t4 ,EEEE., Er- d&itcr-, J 9 -„00 5 3 -P 9' 7 r 04 t AV EJE tEEE •E r: EttE 0,', A-4 4.. ‘4 4 A "AV,h1411.', FYISI •.-N EA ,ii,' r S 6 Pe i it i ;4riiteliuli bfliti'S'EP`A, '81 k,,iLATt ii tij,es', PP if:pi ein 4. 13110_iftiiii:iVe MOW. Olik,O.,*ii, ?0:1 n a a void ilf, work CiRCO nstrci or authorized is not „commenced -,r,.,. In,, .,l ,..1, 9Ftlei„ .,,1 4- l'' 'ii P! p6ii'efed ,ircr:' iigai86 140 Ada. j.0,, 4 or not. la t 1 'T -liig -Er'fi"ifq4arA'ciGd know the same eito f:bb7Irbeia All provisions p 411pReq !912-._,, -,pr?,....y.e th i 2,. ,,R,R TRR. T he 7 correct. r.1 bl;ilaws, ;andtirdItia6CeP•lboVeming 4hiPlypv*iwPrtk complied h here igrarg99 ;4?1!,91:P,9,EMY09PP !zr POkp,Ye ,e -.t, it, v 7t tiot. F construction. -4, t •"i% -'•g'e l, E irEE -1 't- V ii,! A c4 .1h..„ ,kriV i.„,;r. --Y, t7-... 4V 4.-.''' „7 IA, ft 1 4, .1. 4t,, Date 49. 1?„nrit:Varne Signature of tP;OthOnted. A l, iSignatUrept 0,Pqr:tcif-'9t.=„is:-ID41519, i lk !v:L .i iA4 4'''' ,i-- 4V ir g4 4 t''-' .•,t,'„;•, 3-- ArrF.Othii/OUlidrib4Di■iiionlidilding Perm ,t =.1_, I, -.0,'"'-44 :i U .r''' ''•7•-• :''''S' f iittiy*,, AK ,5**t, '''0 t Rk.,,,, it a, "k it,: 1 2:4. i''' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A BACKFLOW DEVICE FOR Owner CARL VERNON ELKHART JR 108 W 8TH ST PORT ANGELES (360) 457 5858 WA 98362 Qty Unit Charge Per 1 00 Fee summary Charged Permit Fee Total 57 00 Plan Check Total 00 Grand Total 57 00 10 00000886 556844 108 W 8TH ST 06 30 00 0 2 6700 0000 LAUREL LANES CAFE PLUMBING REPAIR COMMERCIAL NEIGHBORHOOD 300 THE SODA MACHINE Contractor Permit PLUMBING PERMIT Additional desc SODA MACHINE BACKFLOW PREV Permit pin number 171736 Permit Fee 57 00 Issue Date 8/19/10 Expiration Date 2/15/11 PRECISION PLUMBING P 0 BOX 2910 PORT ANGELES (360) 452 1850 Plan Check Fee Valuation BASE FEE 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 Paid Credited 57 00 00 00 00 57 00 00 Date 8/19/10 WA 98362 00 0 Extension 50 00 7 00 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) f\ n6\-4 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction e t t \t fit,, C L 14 AaT h M c.i Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping Electrical Construction R.W PW Engineering Fire Planning Building T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type Date Accepted By Comments 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Sod disrnsedr ,L t tW ftow L Ron Be''eh FINAL Date U Z~ Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By C 00 oQ Op a cY ALL 5 k, geh- Applicant Property Property Contractor Contractor's License e PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System 'Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 1_ x P, Pcumk an PREcI P 9 1 Qfl BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 1. A vm11. LA t? s CAC Owner N1atz.k4 %LtAviAa1 Owner's Address c g w 6 +ft PQ.eQ.tStot Pt,v‘p& t3inG Address 0 42, o y. a tO D1ne,t'3 acgSSui Expires ei Zt Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? T Forms /Building Division /Building permit application. w qG 4A Kc LF S Lot Residential Multi- family C i A c u t !.o w c o. d s 5 k l i S S o o A ffiik c. fi Existing (sq. ft.) Proposed (sq. ft.) 1/ A Occupancy group cupant load Con uction type For City Use Only' Date Received 75 I 0 Permit i U 23c, Date Approved Phone L {S 7 S8 S Phone S m Phone 5; (8 5 0 E-mail I e sve,,e. 'rm.l ,c4n, R$36a, Zoning Commercial Industrial House garage other tear off re -r6of lay over one layer Heat pump wood burning stove gas fireplace pellet stove other per sq ft. Ad TOTAL VALUATION 3 00 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage !o Site Coverage the amount of impervious su ce on parcel including structures p :ved drivew- sidewalks patios and other impervious surfaces (see PAMC 17 35 for exemptions) ite coverage f bedrooms o II baths of ha baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this pe it and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to work)ng on projects Date 8 l4 10 Print Name ERN 1F-L\4 tri kick Signature Q41-v. �GJ�� Clallam County Assessor Treasurer Property Details 58441 CARL VERNON ELK. Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 58441 CARL VERNON ELKHART JR for Year 2010 2011 Property Account Property ID 58441 Geographic ID 0630000267000000 Type Real Tax Area. 0010 Open Space: N Historic Property N Multi Family Redevelopment: N Township Range Location Address. 108 W EIGHTH ST PORT ANGELES WA 98362 Neighborhood: Neighborhood CD Owner Name Mailing Address: Taxes and Assessment Due Property Tax Information as of 08/19/2010 Amount Due if Paid on.. Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 2009 2009 2009 2009 2009 2009 2009 Statement ID 41388 41388 41388 41388 41388 41388 41388 41388 41388 41388 584412008 584412008 584412008 584412008 584412008 584412008 584412008 584412008 PA 121 PORT ST CNTY H2 L Land Use Code 74 DFL N Remodel Property N Cycle 5 Comm 20953140 CARL VERNON ELKHART JR 108 WEST EIGHT STREET PORT ANGELES WA 98362 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY_STORMWATER CITY STORMWATER WEED_CONTROL WEED CONTROL 2010 41388 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 CITY_STORMWATER CITY STORMWATER Legal Description Agent Code. Section Mapsco Map ID Owner ID Ownership Exemptions: First Half Base Due $511 40 $272.15 $38.25 $630 12 $662.40 $79 08 $111 64 DIST $35 52 $125 72 $0 82 $2467 10 $596 82 $302.06 $42.78 $662.51 $738 06 $87 76 $123 87 $125 71 LOTS 1&2 BL 267 2 193561 100 0000000000% Second Half Base Due Penalty Interest Base $511 40 $0 00 $0 00 $51 $272.15 $0 00 $0 00 $27 $38.25 $0 00 $0 00 $630 12 $0 00 $0 00 $6: $662.40 $0 00 $0 00 $6E $79 08 $0 00 $0 00 $7 $111 65 $0 00 $0 00 $11 $35 53 $0 00 $0 00 $Z $12571 $000 $000 $12 $0 81 $0 00 $0 00 $2467 10 $0.00 $0.00 $24E $596 82 $0 00 $0 00 $11.c $302.03 $0 00 $0 00 $6C $42.79 $0 00 $0 00 $E $662.51 $0 00 $0 00 $132 $738 07 $0 00 $0 00 $147 $87 77 $0 00 $0 00 $17 $123 87 $0 00 $0 00 $24 $125 72 $0 00 $0 00 $2E http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =58 8/19/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Meter socket repair Owner CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES 36) 565 8400 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGI -I IN FINAL COMMENTS WA 983626032 156877 113 75 11/19/09 5/18/10 113 75 00 113 75 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 09 00001206 896446 108 W 8TH ST 06 30 00 0 2 6700 0000 ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD 0 Paid 113 75 00 113 75 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 113 7500 ECH EL 201 400 SRV FEEDER Credited l Due 00 00 0 0 Date 11/19/09 u IL WA 98363 DATE RESULTS 00 00 00 00 0 Extension 113 75 INSPECTOR. 131315/ c� It 30 Ia it Signature of owner or Electrical Contractor X Date FROM A. P S. ELECTR I CAL CONTRACTOR City of Port Angeles Permit Application Building DivisionlElecbioal 321 East Fifth Street P.O. Box 1160 Port Angeles Washington, 98362 Ph; (980) 417.4735 Fax: (360) 4174711 Date: If Far BEGE4YfR 0 18 2009 ELECTRICAL INSPECTIONS 1 &2 Single Family Dwelling Multi- Family or Commercar Commercial Addition Alteration Remodel 42epair'/ Plan Review May Be Required. Please Complete Electrical Plan Review Information Sheet Job Address: G art f e I i .1) I;' Building Square Footage: Description of above VLF La G I2. bY1 Owner Information Name: J) r n K.1 i< b4 Mailing Address: i e, R^ G) g 1 SF City' P A State: W A. Zip: R5fSb2 Phone,+ 555 Fax License Exp. Unit ChertL 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $13125 75.00 69.00 75.00 -50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 CA Signature of owner electrical contractor or electrical administrator Contractor Information Name: A,P. S_,5 Ie.c rI MaiTing Address' City State"? Zip: Phone: Fax. license Ems. 4;i L°- Total Q�l r Mullioted by Unit Charnel SavicelFeeder 200 Amp. $_1J 3 5 Service/Feeder 201 -400 Amp. Li O o 4 Service/Feeder 401.600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. ServicelFeeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline lighting Signal Circuit/ Limited Energy Commercial Signal Circuit! limited Energy 18, 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Famiy Dwelling S Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Fest 1300 Square Ft Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat ti_ LJ 3 ;`15 Total Nov 18 2009 08 55AM P1 Owner as defined by RCW.19 28 261: (1) Ownerwlll ocsupythe structure far two years alter this eledrfcelperm/t is f nafined (2) Owner is required to hire an electrical contractor if above said property ls for sales rent or tease After reading the above statement I hereby certify that tam the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration In compliance with the eled,icat tsars, N.EC, RCW. Chapter 1920, WAC. Chapter 286486, The City of Port Angeles Municipal Code, and Utility Specifications. Cash Check s 11 l LW, Credit Card f isn 'i !e_ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc move interior load bearing post Owner VERN ELKHART 108 W 8TH ST PORT ANGELES (360) 457 5858 Construction Type Occupancy Type Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 3 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 14 0000 T:FormsBuilding Division/Building Permit WA 983626032 Per Charged 137 75 89 54 4 50 231 79 09 00000625 641875 108 W 8TH ST 06 30 00 0 2 6700 0000 LAUREL LANES COMM REMODEL COMMERCIAL NEIGHBORHOOD 5000 Contractor OWNER Structure Information 000 000 TYPE I FIRE RESISTIVE ASSEMBLY BUILDING PERMIT COMMERCIAL MOVE INTERIOR POST /BEAM 149096 137 75 Plan Check Fee 89 54 7/08/09 Valuation 5000 1/04/10 BASE FEE THOU BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited 137 75 89 54 4 50 231 79 00 00 00 00 Date 7/08/09 Extension 95 75 42 00 4 50 Due 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora 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 1 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 coonrstruction. p Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof./ Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping 1 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit Accepted By 1 Comments FINAL Date Accepted by FINAL Date Accepted by Date Accepted By S FAts ?c-ix) 5 AuguSt 2009 LaureKahes Attn Vern 108 W 8 Street Port Angeles WA 96362 Subject: Inspection of BeaM- Pipe &footing Installation Building Permit NO 09400000625 Dear.Mr Elkhart: FILE Cilia .Structural Management 140 West 7th Street Port Angeles, Washington 98363 Office (360) 452-2098 Fax (360) 417,2098 ungerpegmsn.coni t Conducted:an inspection at 108 W 8 Street in POrtAngeles,. Washington on several occasions over the last two weeks The inspections were to assure that the installation of footings beam hangers', brackets and posts was done appropriately for the permitted work. ThiSis being done under Building Permit No '09-00000625 The following have been the finding The first inspection happened on 17 July to observe the exposed foundation under the old west wall of the building It was found to be a block wall on a footing with all the cells filled with concrete I adjusted my footing to allow the existing footing to remain within the new footing This adds continuity and allows a clean floor finish on the north footing I then visited the site on the 20 and 21st to asses the south footing and allow it to be poured over the ribbon footing and between the existing floor joist under the lanes This Cleaned up this footing allowing future lane remodeling to-be'done with little or no interference while achieving the support needed for the new beam My next inspection happened on Tuesday the 28t of July This was to inspect the preparation forthe,beam installation The_existing'maih beams were blocked up and the members, in the roof system were being removed where they would :interfere with the installation of the new support beam On Thursday 30 the beam showed up and ,1 was there during the jacking of the beam up into place The hangers supplied were light but with added lubricant and additional* jacking force the new beam was moved into place The hangers Were deeper than the existing beams needed which allowed dense blocking to be installed in the hanger seats to support the 'beams th the exact position needed for proper 'roof support. On Monday the 3 of August an inspection made of the beam in place the -pipes tn place with the saddles on the ends of the beams Everything looked great for the welding of the columns to the at both ends On Tuesday the 4 of August, V Jack Hutto Jr tame from Lincoln welding to d0 the welding of the columns in place He is certified Welder ID No W02170 Expiring July 1: 2010 with WABO .1 was especially pleased with the overhead welds which care had to be taken to not heat up the steel tO much We did not 0900Insp want to damage the GIuLAM beams in the saddles At the same time it was important to .obtain penetration with the welds to create the proper support structure with the -pipe and bracket. The bolts are now in-and the shims under the main roof beams are nowin place The suspended ceiling can -now.be broughtup to the new beam on both sides I can thus certify that the installation of the foundation, columns, beam and hangers to hold up the roof beams which results in the removal of the pipe column in the bowling approach area is complete The installation was done in an orderly manner resulting in a- compliant installation .to the engineering The only items left to do are to install the insulation and replace the suspended ceiling I have a complete photographic record of the construction which can be.rnade available upon request. This concludes my observations concerning the post removal permit for Laurel. Lanes. The conclusions and recommendations contained in this report are based on site conditions, as they existed at the time of my visit and inspection A visual inspection was made the configuration was analyzed, and conclusions were .drawn :from this information If the conditions are defined further in any way or if changes to the site occur different conclusions can be. anticipated I should be advised of changes so that can review these conditions and reconsider further recommendations This report has been prepared for the,exclusive use of Vern Elkhart and this assigns The recommendations and conclusions are based: on the site materials observed and on previous experience with projects with similar observed conditions The conclusions and recommendations are professional opinions derived in accordance with current standards of practice within the limited scope of -my services No warranty is expressed or implied Thank you for using Gene Unger Engineering INC on this project. Sincerely; Gene H Unger, PE. CC City of Port Angeles Building Department 09007Insp f4 7 Applicant t�f.J�(? al4_S Property Owner \117.-' IRA k_ LK l .j (Kr Property Owner's Address (p t&, {t Contractor GJt Contractor's Address License Parcel Number BUILDING PERMIT APPLICATION Print in- ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St: Port Angeles, WA 98362 (360) 417 -4815 fax (360) 41'7 -4711 Expires Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant. load Will a fire sprinkler system be installed? Construction type a=er‘ Phbn Phone .E -mail PROJECT ADDRESS C b tit. �J �o 41:k UJti For City Use Onl Date Received4 P rmit ate Approve Lot Zoning TOTAL VALUATION ArkS Proiect Tyne Brief Description.. ❑.•Residential Multi- family o: Commercial :o Industrial Check all that apply New Construction Addition k W i/5 'r v4 emodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove El gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3rd Floor Garage Carports Covered Porch Deck Shed Other of bedrooms of full baths of half baths 1 tt.S7 �Ssg �(S7 s 8' S" ts Total footprint of structures sq 'ft. T Lot size sq ft. Lot coverage Site.Coverage the amount of impervious surface on.aparcel Including structures paved driveways sidewalks patios, and other impervious.surfaces (see PAMC 17 94 135 for exemptions) Site coverage I have read and completed this application and know it to be true and correct. 1 am• authorized to. apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to king on projects. Dat 6 /2-Y /by Print Name (x 0,4 (r 6.0,1" Signature (1� T ForfnsiBuilding Division /Bldg Permit doc is u 4' P/ G e 6 ,/yr "t 2 ce/ L ce,N eS ry c- trrr V e r 1•7 J a B ell 6 yf7 --,kg 8 ,yJ-e vs 6 .e-ct jvt r e e- h 9 i 84 e'e r Wr 7 tl D 4 I -E' Az oft )I 7836 4 /r' e 7 4x0 '7 FILE CITY OF PORT ANGELES Construction Plans The issuance of this permit based upon these plans, specifi- cations and' other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. "d r,i 9.e )eS (A/ 9' tt Code.) Approval Date By 4$ A.(1 k r ems r ao )11 /li-2 t_ .t ,L r t /Ltl a pt* cat r 0 r s t i b s7i I �i Je rre,c 7 er-44 se. lul 1; c e 141 01 7 x Z ftc-tOt /T4 /7 e.„5. -e-Lt 7-ea e/* p/ic, z_ vv/ed //a Ay 4 3 5 ec t/ he, /1_4 i t 1.1) 40 4 e 17 .4- e 9 ao e t tlq 6/r r Vr- ,)Joa 40o.dti &row 1.4,40.Aif.‘, 0/ fiagg (0 -1 4 .4/ 41_4144-21 I 9 4 4 0 k 1-0(-61 LAA r 1 4;44 f !Pk; 9-2/i bt-LY -4-v- fr fl 1 5 4-2-1,04* 1 p 455 11.01P X d,;-.1 cr 1 0 0 0 10 rf At IT ®4�� 1 dI 4-3 S AY �8 y fi V4'1 A e i1 iez e- 1 drif ;7, or 3 xiz /j 8 n 1 3 6 c e,u, 3 Cte•cr 4,' rdi g e07007' Step New Beam Replacing Post 8 75x2c3 5 GLB +IF.... 31 4- J 3'-6" New Column Fthotina Ball Return 20' 16'-6 Column to kle removed Ball Return Step I 49' to Wall Man View U) N 49' to cu Wall 1 i 1 1 EG9 Hanger each side 1 Bowling Lane 1 i 6' New Column fboting 8' 20' Bowling Lane 12' Bowling Lane Bowling Lane Revisions' O 0) O co d 0 L o_ -17> c a• 1— L.) Scale, 1#=4' Job' 09007FP Date' May 2009 Sheet r OJ co op 3'-6" New Bears Replacing Post 8 75x28 5 GLB Column to be removed h 9x27 5 GLB 10' 1 New Column Footing Ball Return 16' -6p 20' Elevation View EG9 Hanger each side for 9x27 5 GLB 1 6' 20' New Column Footing 12' 9x27 5 GLB 7 Revisions: CO 0 co p I co co ID oN W d- cZ v 3 W- F" 0) cc 3¢ O N (Y) co Ul i n, O cs W JCO CS S_ 3+, (1) dco0 W w °IL 1- U Scale' 1' =4' Job' 09007FP Date' Apr 2009 Sheet 2 of 3/ 0 -.4 8i" End View 9" Plan View 0 1/4 V 1" base plate #4 6" ocew 3' Clear c7 O 4' 9' O O Min 10' 1 3' Square Elevation View 1-1/8' hole for 1' bolt 1/4' Plate (Typical) 8 -3/4" x 28-1/2' GLB 24F -V4 3/4" plate 15 "x x 9-3/8' HSS4x0 237 A 7" 3/4'x17" AB Typ 4 Double nut on 9 "x9 "x1" plate Grout after final ad justment Existing floor to be repaired Revisions: N M co In a o, 1 l _Jc oo Q c5 Tt; do 0 Q J.-10_ 07 c F- U Scale' 1" =2' Job: 09007Det Date' May,2009 Sheet 3 of 3 j CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/05/2001 PERMIT NO: 13091 OWNER/APPLICANT PROPERTY LOCATION 108 8TH ST W VERN ELKHART 108 W.8TH ST Lot: 1,2 Port Angeles, WA 98362 Block: 267 [] Long Legal 360/457-5858 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT ALL WEATHER HEATING & COOLING N/A 302 KEMP STREET PORT ANGELES, WA 00009-8362 , 98360-0000 360/452-9813 360/000-0000 PROJECT INFO i Project Value: $22,000.00 SFD Units: 0 Commercial: 0 Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 ~ Construction Type: MFD SQ FT: 0 .~ Zoning Use: CSD PROJECT NOTES INSTAL HEATPUMP AND LOW VOLTAGE THERMOSTAT ~'~ RECEIPT g8583 AND #-8582 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: THERMOSTAT $34.40 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $69.40 Plumbing: $0.00 AMOUNT PAID: $69.40 Mechanical: $35.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days Eom 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. Signatu'~e Of (~tre~r or Aut'~o~z'-~--Agent ' -Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL.4TE OR CONCE,4L ANY WORK BEFORE INSPECTED.4ND .4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE / ~O ~/ FOUNDATION: PLANNING DEPT. 4174750 PLANNING DEPT. ~ ~ FROM : ALL LIEATHER HEATING & COOLING FAX NO. : 368 452 5177 Dec. 05 2001 09:45¢tM P3 I~)KOI~IC~- ~ ~y: B~,~ ...... ~~=: ........... , ,/~ Ni w ~ ~i'ION~ ~: ~ ~: ...... ~u~ ~~ ~~ ..... ~s: , , Q~; , ,, I, , ~:- CO ~ ~~: _ ~~ N~ ~S~: ~ ~ % ~ ~ ~ % B~G ~~N S~'n~: Y~ ~ ~ ~ ~ (~ ~) ~ ~ ~ ~ON OF ~ ~: ~no ~t is is~ ~in 1~ ~ of~ ~ ~ ~ ~m ~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 10/05/2001 PERMIT NO 7419 OWNER/APPLICANT PROPERTY LOCATION OVERN ELKHART 108 8TH ST W 108 W.8TH ST Lot: 1,2 Port Angeles, WA 98362 Block: 267 [] Long Legal 360/457-5858 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 , 98360-0000 360/452-9104 360/000-0000 PROJECT INFO Project Type: COML.REMODEL Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: CSD Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 ,~, [] Fan Wail 0 KW Service Size: 320 Feeder Size: 0 PROJECT NOTES (CD upgrade 100 a. service to 320 a. 2- 200 a. panels and existing circu FEES ASSESSMENT Service: $173.80 Additional Feeders: $68.90 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $242.70 AMOUNT PAID: $0.00 BALANCE DUE $242.70 ('OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTILICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE IT iS INSPECTED AND ACCEPTED. DITCH ROUGH-IN / COVER SERVICE ,~/,~,14/ :i'/~ GENERAL COMMENTS: :ff'ORr~ $~O~~~ ~ ...~ :-==- "to1i~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subd~v~s~on Name Property Use Property Zoning . . . Application valuation 5/03/04 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authOrized is not commenced Within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compiled with whether 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 con~, ~ 04-00000364 Date .454948 108 W 8TH ST 06-30-00-0-2-6700-0000- JEFFIX LAB EXPIRED t&/?O/04 SIGNS COMMERCIAL NEIGHBORHOOD 925 Owner Contractor ELKHART VERN 108 W 8TH ST PORT ANGELES MILLER SIGNS 30 CHILDERS LN SEQUIM (360) 683-6790 WA 983626032 WA 98382 Permit Additional desc Permit Fee Issue Date Expiration Date SIGN 2-SQ. FT. SIGNS 60.00 5/03/04 10/30/04 Plan Check Fee Valuation .00 925 Qty Un~t Charge Per 2.00 30.0000 PER S- SIGN LES THAN 25 SF Extension 60.00 Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 o < ~<o\.;( Date Signature of Owner (if owner IS builder) T \PLANNING\FORMS\1102 15 [11/14/2003] -- \1 ~ ~ o<t ~ ~ Date BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY DateRec 5"~-6Y Pelll11t # D4 -.. 5: b 1 Date AppJ Dved Date Issued 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 Apphcant or Agent. {;Vl l {( Q..c;/' S~.3 tA S Phone: Owner: [9 -t?_vV\ E , K~ rt( L !A0 ~ L <- A.I\.& 'S) Phone' ,Address: {0<6 CLJ q;-+k sr: CIty: -p~-+-V\V\-S \2...L~ 5> I ArchItect/Engmeer: Contractor M. ( C ~ ?::) U\.> State LIcense #: Exp: Address: / {9'0 CAusB€Jf2<7 CIty: ~-eG>-~...:hVA. ~ PROJECT ADDRESS:/~g 0.JZl-fi --~+- {9 Zb3- (P., ~1) '-1St - s~s-8 ZIp" q <z .s Ce. ? Phone' Phone: rc '>.?~ -(.,:'7 ~ n ZIp: 't'l S ~~ C-Cf-jl ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NU1v1J3ER: Block: SubdIVISIon: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o ResIdentwl 0 New Constr. 0 Re-IOof o MultI-family 0 AddItlOn 0 Move o CommerCIal 0 Remodel 0 DemolrtlOn o Reparr ~Ign BRIEF DESCRIPTION OF THE PROJECT: City: EAll- Date: o Stove o Garage o Deck o Other :2 ~ ~t.-L- SIZENALUATION: SF. @ $ /SF = $ SF @ $ /SF = $ SF @ $ /SF. = $ TOTAL VALUATION $ 1- q ;?-S' ~o Vo."'\. 'Ie;. Y "S r b l\..:) S' COMMERCIALIRESIDENTIAL: Occupancy Group' No. of Stones' Lot SIZe' EXIStrng Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. ConstructIOn Type: = TOTAL Sq. Ft. % If etland(s). 0 Yes 0 No SEPA Checklrstrequrred? 0 Yes 0 No APPROV PLAN~ BLDG: DPWU: FIRE: OTHER:_ BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DivlSlon can provide you WIth informatIOn on the applrcatlOn and plan subrmttal requrrements If you have questions. VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant. ThIs figure wIll be revIewed and may be reVIsed by the Buildmg DIviSIOn to comply WIth cunent fee schedules. Contact the Perrmt Coordmator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the tm1e the bmldmg perrmt applIcatIOn and constructlOn plans are subrmtted. All other pemnt fees are due at the tIme of pemt Issuance EXPIRATION OF Pl:AN REVIEW: lfno pel1mt IS Issued Wlthm 180 days of the date of applIcation, the application will expire. The Bmldmg OfficIal can extend the time for action by the applIcant up to 180 days upon wnttenIequest by the applIcant (see SectIOn 107.4 of the Umform Bmldmg Code, cunent edItIOn). No applIcatIOn can be extended more than once. I hereby certify that I have read and examined this applicatIOn and know the same to be true and correct. I am authonzed to apply for thiS permit and understand that it is my responSibility to determine what permits a.re reqiured ,n t the City'S, and that I must obtam such permns pnor to work T \FORMS\APPS\BUlJdmgpeIll11t.wpd ApplIcant: ~ Date: ~ ~ ~"~e'-(}Y .. w~~ w:f\V- ~ OL~f(1 13v't l.-"[:)leJ~ pv,L..j:)tlVG t.-V ~ ~-r -e:: ~~-r- I ~po ':l,; Sl&trJ Ab "Jh f/ <- f\~ s~1=-t CD 1, ~~o rP (I ~<60 r:f1 ~ "f -. tA> VV t/ ~'" ()-- y. rj1 c0 I- tOO 0 COLO ~ .cOO 0 <( ~U;> E I- -....... WLO 0) Z C~ L... I L. 0 0)0 ><<> 0 M t- o b 0 ~ I- Z W ~ ~ s- O Q) LLC W Q) 00 <(..c a.. () C/)~ W o - LL u.. o -- Q)- ID Q) L... - __ell CI)(A ~ 0 -a, = o --z (/)0> Q) C S .~ ell (00 ~- ~ #105 95 x 15 $250 Month #107 105 x 12 $190 Month #109 9 5 x 20 $280 Month #113 'w 95 x 13 5 $200 Month /X kMf- 0illlliilltdt '- #114 " " !M 95 x 12 $170 Month ,i; ~~l~~~:\,- ^ <i~T #115 10x11 $160 Month ~ ~f1l #116 95x11 $160 Month I @ w,."W..... ~~v ~ ". ''-.:; " #108 "'~I f~ 8th Street "~,,,~~ll #104 9 5 x 10 $155 Month #112 95x8 $115 Month lll'P'>>""" I 10x12 $180 Month 85 x 12 $155 Month MENS WOMENS #117 Common Area _I #118 10x12 $180 Month Classroom (Hourly Rate) Shared Conference Room :G:'/~/-4'! hf<~~F ^^/~1~ :~t'iift,1.,..~_l. -~ Capacity prOViSion!!!9--1~ -1- IA.. Warehouse Ar.ea \vJ8 ~ llb/.z.. / iJw I ~.) Warehouse iii, i " >>. // ill )M~~"d\( v.,_, , fii!I!r i~ ~ , ~-"ty P "" " I Ii' ~pacl rovlslonmg nc ';: (City 'of~A Fiber Optic I-NET Core) 161t-Strands of Fiber i il I I ,~ THESE DESIGNS ARE THE PROPERTY OF MILLER SIGNS . L- I Ce> tA- .::::. - 01 I IA"::> "* E::.$ I"> e t6 (.... u c.:::- ~ c.. ~ 1 d.1 <l ~ ~ \L " b't rp ";> 1 t{' ,{ Tech Center C:::- ?o l f t6-. 15' - (~. ~c-ePtTeCh ~ ~ Center t 5" ' ,r (C/' ~ ePtTech Center l s- \ r<{"~-=ePtTech Center "-- (~.s c/J /7:' i lro.scP /7,1 {es.S- cp . . / i,f I - ~+L : I I I F ( us k tAA0 l) .AT r=-f) ';=:-o t4 VVt c....-~ \lE.-l2- .5 w6S'/ = rtf' y ld-S:S 1== {t'1''J- cP il.?&> ~T H ;. 1'1$1 )c 100 I ::::. rqoo r:p e-iAST ::;: it:6' X (~g := ;23oL{ rf " ,,---j ~ , L-~'I) ~~ II I!E}JJ '; ~ ~) J U' -~ \ \.. ~ ~-- --I - \ ~-- ~-\ - ~-\ .., Ii .. . It :r~ n CI :I ;; .. ,", j 'f" ,~' J 1/ . 9 II f " . . . Site Address: 08 W, me.- Installed By: Owner/Business: Owner/Business Address: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 174/ tp:y'O ELECTRICAL PERMIT DATE o READY FOR WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. o New Construction o Remodel o Service update/alter/repair d<.Add/alter circuits 6'Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage o 113 030 Service size o Temporary Amps cJf~~ W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection OK o Rough,in/cover OK o O.K. to connect service 'B Final O.K. -1(yw\ Site Address: /08 1(/ 8ft.. Installer: Size Comments Date Hoid tor: 0 Easement 0 Letter o Signed up tor service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending New Meters o Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and OK for covering or service has been given by the ~ in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT It u:f2 Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall 10/04/2001 15:06 FAX J604574698 STRAITS ELECTRIC 1ill01 ,@ ~ l;i. ~.... ELECTRICAL PERMIT APPLICATION fOil. OffiCIAL l'S~ O\;L r DllcfRn'. F't"tllIIl., D"leAppm~,j O~lt h'W\!. The Electrical Permit Application must bit filled out eomc".tlJl~. Pies... '- or raprtnlln InlL lf)'Ou hew en1 que.lIOn.. please coli (3150. 417-4735 Fox number: (360) 417-4711 OwnerorEI9C.ContractorAgent Straits Electric Proper1'{ Owner: V-c:rn V 1chCI.At- Addross rGo to 8ff1 Ele<;tric:al ConI<aCIOr. Straits Electric Address: P. 0 - Box 291 4 Pncoo. REQUEST INSPECTION 0 452-9104 F~:457-469B Phon.: fu ~c!;gS8 Zip: q M.P2. CfBdlt Card Holder NlImtl: Straits City: ~ ELECTRICAL CONTRACTOR Electric C~: Por+ ~ Licensell: STRAIE*OU,OS Port Angles. WI'. 9/03 Phone.452-9104 Zip: 98362 INSTALlATION WIRED <lV: DOWNER Billing Address' P - O. "ox 291 4 City: Port Angeles. WI'. CredlrCardNumber' Exp.Date: log {,(j Jih (ftJ. J a ceJtLf' -b J Zip: 98362 VISA:~MC:_ .. PROJECT ADDRESS: TYPE OF WORK: Check all that apply: 0 New ~tterationlAddilion CJ Residental CJ Mutti-Iamily ~ommercial 0 Mobile Home Sq. Ft. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign ~ SeNf7..C -tD Electrical Heat Load Additions ~L- d ]?~. 70 Sentlce Information o Baseboard o Furnace o Heat Pump o Fan-Wall -~ _KW -~ _KW o Overheed Service o Temp Service o Underground Service Voltege: Phase: 0 1 0 3 ServiCB Size: Feeder Size: PAMe 14.05.060(8): Fo. industrial, commercial, & residential projeclS l81ger than a duplex, a one -line drawing 01 the Electrical Servico & Feeders, building size (sq. ft.), load calculaLlons, and lhe type & of conductors and/or raceway is required and shall accompany Ihe Ele<::trical Permil application. I hereby certify that I have read and examined this application and know that same to be true and correct. and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required: it remains the applicants responsibility to dete mine what permits are required and to obtain such. Credit Card Holder's Slgnalu Tucker/Christie Tucker DMe: lo/4(Or PW.9019 Owner or Elee. Cont. Slgnalu Date: ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: Permit #: 7/#{'/ Da.. Approved: b (g:o Date Issued: II f 'A The Electrical Permit Application musl be filled oul completely. Please type or print in ink. If you bave any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent:---.STRI1 i rs t:JeC-kir~Phone: ~SZ -91OC/Fax# ~S7-<;t'1D9~ Property Owner: Address: Phone: Contractor City: . License #: Exp: Zip: Phone: Address: City: Zip: Credit Card Holder Name: .!; l"'R~ I T~ ~I c.c:lf< it... / p. '1:1 I Billing Address: rD. .cOx .;2.9/1 Credit Card Number #'' . "'"7,., zr Permit Fee: /0\- Chlti.s:f1l: TLLc..K( Ie City'P"llflhuf,kf Zip: '1J'J~z.. Exp.Date:/ . VlSALMC_ , PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: /08 t:U. S+l1 ~fi<J ~17VU) ,., ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Multi-family 0 Commercial 0 Mobile Home Elcctrical Pcrmit rccs arc based on WAC 296-46-910 R~ 70/1 .seA/jet c!;g;Olt./urJ BRIEF DESCRIPTION OF THE PROJECT: Elcctrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW KW KW o Riser o Overbead Service o Temp Service o Underground Service Voltage: Phase: 0 I 0 3 Service Size:_ Feeder Size: Commcnts: , hereby c~rtlflthQI / haw ,.,ad and examlnfd tlrb appl/cat/II" tJntllm~ Jar this ~/mlt. 1 undemand Ills nllr rh. C/ly~ IIgal ru,oollllblllry ~ "ft responsibility ro.dele;mln6111r1l1 permlll aIY ",l/lI/fYd tlnd to obtai IlIch. , 11116 and c~mcl. and I am aulnom,,' 10 apply perm/II aIY ""/"lrrd: /1 ,.,1fIIl/lllth. applicant~ PW-IIOI_lJ (,.;,It.OO) Credit Car4 RolllCl'" SlgllalUr Date: 0{ lit (j.)