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Home My WebLink About313 W 1st St - BuildingPREPARED 8/30/11 8 19 00 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/30/11 ADDRESS 313 W 1ST ST SUBDIV TENANT NBR TWICE UPON A CHILD CONTRACTOR PHONE OWNER JAMES R TERRY L MACDONALD PHONE (360) 460 8513 PARCEL 06 30 00 0 0 1330 0000 APPL NUMBER 11 00000561 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 8/30/11 BLDG FINAL TIME 01 00 August 29 2011 4 09 30 PM 1pangrle ANGELA 565 1210 BUILDING FINAL TWO WALL MOUNTED SIGNS FOR TWICE UPON A CHILD (NORTH SOUTH ELEVATIONS) AFTERNOON COMMENTS AND NOTES (7041) riCSMI CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 11 00000561 Application pin number 801899 Property Address 313 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1330 0000 Tenant nbr name TWICE UPON A CHILD Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 1700 Application desc TWO 4X8 WALL MOUNTED SIGNS (STH &NRTH ELEVATIONS) Owner Contractor JAMES R TERRY L MACDONALD OWNER 4412 BRYCE DR ANACORTES WA 98221 (360) 460 8513 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 2 00 85 0000 PER SIGN 2 4X8 SIGNS 187062 170 00 6/15/11 12/12/11 Special Notes and Comments June 8 2011 1 30 22 PM sroberds No land use issues Total sign area is 27 sq ft Fee summary Charged Paid Credited Permit Fee Total Plan Check Total Grand Total T Forms /Building Division /Building Permit Extension S WALL SIGN OR MARQUEE 25 SF 170 00 170 00 170 00 00 00 00 00 170 00 170 00 00 Plan Check Fee 00 Valuation 1700 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 t rovisions of any state or local law regulating construction or the performance of construction Date 6/15/11 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) n&\' 3()/ 1 -1211. 3 TDtGb2, C•j. 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 Furnace FAU Ducts Rouqh -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 INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Accepted By Comments PLANNING DEPT Separate Permit Its SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. T.Forms /Buildino Division /Building Permit !FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Electrical 417 -4735 Construction R.W PW I Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By O I Project Address Business Name Parcel Number Sign #1 Sign #2 Sign #3 Sign #4 ry)(fun 4 cl w cc YVI cry n.4( SIGN PERMIT APPLICATIQ I Print in ink CITY OF PORT ANGELES City Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent r,q�(� 3,, 6 Property Owner (v1 Property Owner's Addre s L\u Z P,recn .�tvN.e) Contractor �I (4_1d' ..ld v /3u chi, i wne Contractor's Address License /3 /.v 1 ii vs -I I l of f ,nG,., A cbv�. I Lot Sian Type Brief Description: (Type, location, sq. ft.) 4x Lu Totals (Unit chances Unit.Charae Quantitrf multiplied by quantities) $47 00 x $85 00 x 3 $115.00 x Existing sign(s) area I7 GRAND TOTAL n C ep f cLX'lA r' c 2C 1(>tr}� S�e,ur'e _Type of Sign Expires I have read and completed this application and know it to be true and correct. apply for this permit and understand that it is my responsibility t required, and to obtain permits prior to working on projects. Date Cz f' ..I Print Name 1---.v o�� Sig T:Forms/Building Division /Sign Permit Application: o For Ci Use Only Date Received 6 if Permit late Approved Pll�n 310o 5-( P ne alt a0 Ss 1 3 GI Phone Sign(s) Valuation Zoning Submit an 8 "x 11 "sitanlan three sets of plans that include. Type of sign (wall- mounted, projecting, freestanding, illuminated, other Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. 4 47)1 c oa (n«cIc cQ (JOY w/ t C* kr> Hs All signs less than or equal to 25 sq. ft. Wall sign or marquees, over 25 sq. ft. Freestanding sign or projecting sign, over 25 sq. ft. Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted sq. fit Proposed sign(s) area sq. ft Total sign(s) area /70 sq. ft Building facade area (height oZ ft. X width 49 ft) /29(a sq. ft. (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I am authorized to what permits are 0 v f FILE CITY OF PORT ANGUES 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 pies specifications and other data, or from preventing I i;,t hg operations being carried on thereono,, en in violation of all codes and ordinances of this juris ction. Approval Date By —j.t, C 1 I r Clallam County Assessor Treasurer Property Details 55904 JAMES R AND TERR. Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 55904 JAMES R AND TERRY L MACDONALD for Year 2011 2012 Property Account Property ID 55904 Legal Description LOT 17 EASE #1968 BL 13 Geographic ID 0630000013300000 Agent Code: Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 47 Open Space: N DFL N Historic Property N Remodel Property N Multi- Family Redevelopment: N Township Section: Range. Location Address: 313 W FIRST ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Comm Map ID' 2 Neighborhood CD' 20953140 Owner Name. JAMES R AND TERRY L MACDONALD Owner ID' 38247 Mailing Address: 4412 BRYCE DRIVE Ownership: 100 0000000000% ANACORTES, WA 98221 Owner Name: Mailing Address: Taxes and Assessment Details Property Tax Information as of 06/08/2011 Amount Due if Paid on. Exemptions: JAMES R AND TERRY L MACDONALD Owner ID' 4412 BRYCE DRIVE Ownership ANACORTES, WA 98221 Exemptions: 38247 100.0000000000% 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 First Second I Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 150676 ST SCH STATE SCHOOL $216 40 $216 40 $0.00 $0.00 $216.40 $216.40 2011 150676 CC -GEN COUNTY CLALLAM $119 47 $119 45 $0.00 $0.00 $119 47 $119 451 2011 150676 SD #121 SCHOOL DISTRICT #121 $282.87 $282.87 $0.00 $0.00 $282.87 $282.87 2011 150676 CITY PORT ANG CITY OF PORT ANGELES $275 79 $275 78 $0.00 $0.00 $275 79 $275 78 2011 150676 PORT PORT OF PORT ANGELES $16.82 $16.81 $0.00 $0.0_0 $16.82 $16.81 2011 150676 NTH OLY LIB NORTH OLYMPIC LIBRARY $50 10 $50 10 $0.00 $0.00 $50 10 $50 10 2011 150676 HOSP #2 HOSPITAL #2 $49.04 $49.04 $0.00 $0.00 $49 04 $49.04 2011 150676 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14.91 $14.90 $0.00 $0.00 $14 91 $14 90 2011 150676 CITY_STORMWATER CITY STORMWATER $61.64 $61.64 $0.00 $0.00 $61.64 $61 64 2011 150676 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 2011 150676 TOTAL. $1087.86 $1087.80 $0.00 $0.00 $1087.86 $1087.80 2010 38977_ ST SCH STATE SCHOOL $221.26 $221.26 $0.00 $0 00 $442.52 $0 00 2010 38977 CC -GEN COUNTY CLALLAM $117 74 $117 76 $0.00 $0 00 $235.50 $0 00 !2010 38977 SD #121 SCHOOL DISTRICT #121 $286.60 $286.59 $0.00 $0.00 $573 19 $0.00 2010 38977 CITY PORT ANG CITY OF PORT ANGELES $272.62 $272.63 $0.00 $0.00 $545.25 $0.00 2010 38977 PORT PORT OF PORT ANGELES $16.55 $16.55 $0.00 $0 00 $33 10 $0 00 2010 38977 NTH OLY LIB NORTH OLYMPIC LIBRARY $34.22 $34.21 $0.00 $0.00 $68 43 $0.00 2010 38977 HOSP #2 HOSPITAL #2 $48.30 $48.31 $0.00 $0 00 $96.61 $0 00 http. /websrv8 clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =55904 6/8/2011 This that certificate is issue', Code certifying that a uil of the City regulating' e Business rico Business address i Property owner Property owner eom 0 Automatic fire splitnIciretb Use cgc occupancy 0g Occupant load. __,:it Building permit numbe Type of construction. i -.e., olgort An 1,- 1 ision '4:7--' rsuant to the requirernen rof Section tvpofthe 20Q9 International Building rnO o assugince this structure was in compliance with the various ordinances ifeikih r.,10 f or the folto A fl A6;,KIJ s 3 \O (6/22/2010) Linda Pangrle '313 W 1st Street From Jeremy Pozernick To Linda Pangrle, Sue Roberds Date: 6/22/2010 2 33 PM Subject: 313 W 1st Street I have inspected the new parking lot spaces for Twice Upon a Child and parking lot wheel stops. They have followed parking lot design and meet city standards for stall width, length and wheel stop location. Thank you Jeremy Pozernick Public Works Inspector Page 1 PREPARED 6/02/10 9 02 10 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 313 W 1ST ST SUBDIV TENANT NBR TWICE UPON A CHILD CONTRACTOR PHONE OWNER JAMES R TERRY L MACDONALD PHONE PARCEL 06 30 00 0 0 1330 0000 APPL NUMBER 10 00000434 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PAGE 1 DATE 6/02/10 C099 01 6/02/10 LL BLDG C/O EITAL OVERRRIDE TAKEN BY LPANGRLE DATE 06/02/10 TIME 09 01 58 June 2 2010 8 59 56 AM 1pangrle NO NAME WAS LEFT 460 9467 C OF 0 FINAL TWICE UPON A CHILD AFTERNOON COMMENTS AND NOTES O b Print in ink BUSINESS NAME wi c` BUSINESS ADDRESS 313 w Business mailing address Ate M► Opening date D Washington State Tax I D Co Ca c33 qSI Brief description of proposed business CERTIFICATE OF OCCUPANCY APPLICATION Permit# 10 139' CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Don A Child r'�v'st N.r�t An a :the Business owner's home address` 1 Pt ka Business owner's -name PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use For City use only: Department Building Fire PBIA Planning City Clerk Public Works Call for Certificate of Occupancy inspections before opening business Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this supplied is correct to the best of my knowledge Date JQ1 J 1O Print Name 1 _I r1 a t Jar Pk- I-) Approved Rejected Initials date initials date I :-fo- -/f Rr I ilding Division /Certificai ;DI Occupanc Applica Phone #3o 5(4_: l a.1O Days hours of operation 41 3 u f 9 30 5 36 If known list the name of the previous business at this location k 4 N C{, Jaren /Y1, t ern rf Cona jtaairie i WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs I I G)a Gt Perin i Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system.(backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Type of construction NOV Signat rt Comments Conditions Automatic fire sprinkler system required no FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee harged for downtown locations Phone# g ea y( 946 1 7 11Go 1 G' i k: YES✓ Occupant Load s Part df-►e- F13 Zoning C f) IF YES CONTACT Electrical Dept. at 417-47-35 Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? yes LI Please sign up for utility services at the cashier counter pliopation an state>that the :information have ca�nity websc4e- (.5 +{52 -2.y 9 Pry a� hers a� t y -3 �S R L MaeDor\aj LIt Cu� P P��wR 6 q g3 i` w k 4 si-Acs peg- g e e -1-.- S Application Tracking Action Lo aintenance" CI TY OF PORT ANGELES File Edit 'List Commands Help SWIQAMPUBUC SECTOR Naviline +4,13K Exit 'Cancel Add stan. Application Tracking Action Log Maintenance Application number 10 00000434 Address: 313 W 1ST ST Application type: CO- CHANGE OF OCCP /USE Revision /Path /Step /Seq /Agency: A 01 00 PUBLIC WORKS ENGINERING Action date: 52010 Action by j ROGER VESS Action code: i J APPROVED Time spent (hours): .(D r Correction report item Sequence Comment. Frint 1.000 TJheel stops shall be installed per Urban Services 'Standards and..Guildelines Chapter 3 34 2 000 3 000 4.000 5 0001 6.000 7 000 8 000 ,9 000 Highlighted 'Sequence indicates line is not available for List selection. r r r r End of Chapter 3 CHAPTER '3 TRANSPORTATION 2. Lots shall be graded and paved with a hard surface pavement of portland cement concrete or asphaltic concrete with a structurally adequate base, or other hard surface pavement acceptable to the City Engineer The Director of Public Works and Utilities may allow for an exception to hard surface pavement for developments in the Industrial Heavy Zone, provided that adverse impacts to stormwater drainage surrounding properties, and public infrastructure are mitigated to the extent the Director deems reasonably necessary and appropriate. 3 Wheel stops shall be installed where necessary to prevent encroachment upon public right -of -way or adjacent to private property 4 The City may grant permission for temporary occupancy of a building or structure without the parking spaces improved provided that an improvement bond in amount of 150% the estimated value of the improvements is provided for the approval of the City Engineer The bonds may be accepted if weather conditions make for unsound construction practice materials are not available, or there are difficult site conditions. Such bonding shall not exceed 12 months. 5 Building uses requiring 6 or fewer spaces may delay without a bond or the improvement of the parking stalls, for up to 12 months provided that the area is graded and maintained in good condition and runoff is controlled per item number 1 above B Stall Standards 1 The number of stalls that shall be provide is governed by the requirements of PAMC Chapter 14 40 2. A standard stalls, aisle widths, and layouts shall be designed in accordance with the City Standard Drawing for Parking Lot. 3 No portion of the public right -of -way shall be used in the turning movement to directly enter or exit a stall. Parking stall layout will not be approved where the vehicle must back onto public right -of -way to exit a stall. 4 Stalls shall be delineated by 4 wide white striping or raised pavement markers. C Handicapped Parking Stalls Size of stall and striping width per applicable City Standard Detail Drawing. Number of stalls required will be as specified by the DCED Chapter 3 Transportation (February 2010) Page 34 of 35 Print in ink 7 BUSINESS NAME I wi cc. Upon di t i d 13tr} ii- 1 S partafkhe wtt 1 BUSINESS ADDRESS 3%3 W E„' Zoning Ctt Business mailing address &A W i Phone 3100- x 1 0 5 t ax0 Opening date G sr- 0 Days hours of operation M 5 uvf 9'.30 5 3.0 Washington State Tax I D If known list the name of the previous (o0a SI33 WI business at this location k ON Brief description of proposed business GIB, W /Y1 a, Cons b jj I Business owner's name Anada. 13cc.Hr. Phone g4 1 4(a0 9 4,7 Business owner's home addres 1 70 Ptc.ka -I Crde -h4 ale, &wJ q /.c3 PLEASE NOTE. A Business License is also required-for the following businesses. Taxi Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk 'at 417 -4634 for additional information. ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use Call for Certificate of Occupancy inspections before opening business. Building Department Inspection. 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge supplied is correct to the best of my knowledge Date 410110 Print Name For City use only: Department Approved Initials date Building Fire PBIA Planning City Clerk Public Works I t,I co 5 -1i -16 iZ s21 -10 5 -1s -10 SP G22 -10 Forms/Building DivisionlCerlificatr of Occupant; Applicat n CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 I WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second-hand dealer or pawnbroker business? Is -there off street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? A Rejected Initials date 1 I I Aar a Perm -I that I have read this Signatw e FEES Certificate Inspection NOV YES✓ Comments Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes Permit 1 1 34' Parking Business Improvement Area (PBIA) fee charged for downtown locations IF YES CONTACT Electrical Dept. at 417 -4735. Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886. Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up,for.utility services at the cashier counter that the information I have a Permit --VOo 0 coS-e, (03C2Ar .v� N OTES o tes TF ormsiBuilding pwIsionN 0 kao Re WN 17 2010 TY BUILDING OW DIVISION. ,s1,. ref 6 Q� tt C \ci ,,1 5 ,c ;Ne- 0.5 ('CO eico p.. o mo CP ill eleY\ (4 q a`D t C A r 12 °O M Clallam County Assessor Treasurer Property Details 55904 JAMES R/TERRY L M Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 55904 JAMES R/TERRY L MACDONALD for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area: Open Space Historic Property' Multi Family Redevelopment: Location Address. Neighborhood' Neighborhood CD Owner Name Mailing Address: Owner Name Mailing Address. Taxes and Assessments Due Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 Statement ID 38977 38977 38977 38977 38977 38977 38977 38977 38977 38977 2009 559042008 2009 559042008 2009 559042008 55904 0630000013300000 Real 0010 N N N 313 W FIRST ST PORT ANGELES WA 98362 Cycle 5 Comm 20953140 Property Tax Information as of 05/03/2010 Amount Due if Paid on E. 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 DIST CITY_STORMWATER CITY STORMWATER WEED_ CONTROL WEED CONTROL 2010 38977 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT Legal Description Agent Code. PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property' Mapsco Map ID JAMES R/TERRY L MACDONALD Owner ID 411 GUY KELLY RD Ownership: PORT ANGELES WA 98362 Exemptions. JAMES R/TERRY L MACDONALD Owner ID 411 GUY KELLY RD Ownership PORT ANGELES, WA 98362 Exemptions. LOT 17 EASE #1968 BL 13 47 N N ),AN- y( 38247 100 0000000000% 38247 100 0000000000% First Second Half Half Base Base Base Arr Due Due Penalty Interest Paid Du $221.26 $221.26 $0 00 $4 43 $0 00 $117 74 $117 76 $0 00 $2.35 $0 00 $16 55 $16 55 $0 00 $0 33 $0 00 $272.62 $272.63 $0 00 $5 45 $0 00 $F $286 60 $286 59 $0 00 $5 73 $0_00 V. $34.22 $34.21 $0 00 $0 68 $0 00 $48 30 $48 31 $0 00 $0 97 $0 00 $15 37 $15 37 $0 00 $0 31 $0 00 $61 64 $61 64 $0 00 $1.23 $0 00 $0 82 $0 81 $0 00 $0 02 $0 00 $1075.12 $1075.13 $0.00 $21.50 $0.00 $21 $258.22 $258 22 $0 00 $0 00 $516 44 $130 68 $130 68 $0 00 $0 00 $261 36 $18.51 $18 51 $0 00 $0 00 $37 02 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =55904 5/3/2010 PREPARED 4/06/10 8 16 01 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/06/10 ADDRESS 313 W 1ST ST TENANT NBR JAMES R /TERRY L MACDONALD CONTRACTOR TOPNOTCH ROOFING GUTTER OWNER JAMES R /TERRY L MACDONALD PARCEL 06 30 00 0 0 1330 0000 APPL NUMBER 09 00000931 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/06/10 JLL SUBDIV BLDG FINAL April 6 2010 8 10 02 AM 1pangrle TO FINAL THIS PERMIT I CALLED THE CONTRACTOR S PHONE NUMBER (457 0066) A WOMAN ANSWERED AND STATED THE WORK IS DONE AND READY TO INSPECT BLDG FINAL RE ROOFED THE OLD KNOP BLDG COMMENTS AND NOTES /r PHONE (360) 457 0066 PHONE (360) 452 2478 N3 W I $1-- St 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 TEAR OFF RE ROOF THE COMMERCIAL Owner JAMES R /TERRY L MACDONALD 411 GUY KELLY RD PORT ANGELES WA 98362 (360) 452 2478 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 8 00 14 0000 THOU Other Fees Fee summary Charged Permit Fee Total 207 75 Plan Check Total 00 Other Fee Total 4 50 Grand Total 212 25 T:Forms/Building Division/Building Permit 09 00000931 Date 9/10/09 568316 313 W 1ST ST 06 30 00 0 0 1330 0000 JAMES R /TERRY L MACDONALD RE ROOF COMMERCIAL ARTERIAL 9513 BUILDING Contractor TOPNOTCH ROOFING GUTTER 1235 W 9TH PORT ANGELES (360) 457 0066 TEAR OFF RE ROOF BLDG BUILDING PERMIT NO PR FEE TEAR OFF RE ROOF 153262 207 75 Plan Check Fee 9/10/09 Valuation 3/09/10 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited 207 75 00 4 50 212 25 00 00 00 00 WA 98362 Due Extension 95 75 112 00 4 50 00 00 00 00 00 9513 lo Separate Permits are required for electrical work, SETA, 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 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. C, /d /r I l(l4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if ownris builder) 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 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 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 Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By -0 V 9 (n 111 FB �j_ 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) 417 -4711 Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 3 o 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 Date 5 ,40 -09 P nt Name rAi rs It) co, I Zr="° T Forms /Building Division /Bldg Permit.doc 313 W l s S Lot Zoning Signature For City Us Only Date Received in-09 Permit n Date Approved Applicant moo. p, N 64-e A, /CooP,, 6u- Phone 1 p a.�' Q a -4, Property Ownel z c jV ^v A. Phone ga 5- a. 2 Si 7 a- Property Owner's Address Ili/ 60' v ¢G-a t i d ,?4. q* 4 42- Contractor P v- .t (,J e„ ti- i.. t Phone Z .0 a G g Contractor's Address i 2 -3. s;° Lt". 1° 7 k' 3 License fie P.i& E3 P .D A Expires /S -_7o /v E -mail ID PROJECT ADDRESS C v I° 6/A44!-- Project Type Brief Description. Residential Multi family 'Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition gi•Re -roof House garage other 4l tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other per sq ft. TOTAL VALUATION (3 5 L 3, GO Total footprint of structures 30 sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it ,s my responsibility to determine what permits are required, and to obtain permits prior to working on projects. of bedrooms of full baths of half baths Sep 09 09 09 TOPNOTCH ROOFING GUTTER wo o KOONIsk t osiNoksti tst 1129/09 (revised 9/9/09) topnotchroofing@qwestoffice.net TOPNORG984DA EXPIRATION DATE: 5/18/10 Company signatur‘— i to 1 '9 Bid prices are subject to reasonable increases due to arc necessary alterations, additions, increases it material er:d /or labor to complete work. Homeowner will be notified of any necessary Chang s, which may affect cost. Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH Is happy to provide permit, but will add the cost to the final bill Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you have questions concerning this estirnate/bid. If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER, at the address above. Work is scheduled upon receipt of signed bid_ Verbal agreements win not autanantoe scheduled work_ References are available! ESTIMATE AND BID PROPOSAL CONTRACT TP Jim MacDonald, 411 Guy Kelly Rd., Port Angeles, WA 98362 452.2478 FOR Re -roof 313 W First 5t Port Angeles, WA 98362 (old KONP building) Two layers of composition roofing to be torn off Does not have adequate vents Tear off existing roofing. Clean up and landfill disposal included. Roof with 30 -year laminated, architectural composition over 30# felt Install drip edge metal 55' of ridge cap 3 -4" news 1 -2" new, 6 -roof vents, and starter course composition. Customer has removed old, unused chimney Estimated cost of tear off and re -roof using the materials specified labor to complete work as described, and sales tax $9513 00 799.09 $10 312 09 Thank you! Ten thousand, three hundred twelve and 09/100* Plus City of Port Angeles Building permit required. Revised bid reflects increased prices for roofing material and felt Customer has requested a black roof Authorized party to accept hid MATERIAL WARRANTY BY 14ANUFACTURER, .Amt. o.,11 TN. 30U 40!.0000 N• ANSHIP GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 ARKS A DATE PERMIT INSPECTOR OW ER/CO TRACTOR G -1 C. fZ 1 G ADDRESS 3)3 Lc) r APPROVED 0 O. f CORRECTIONS NEEDED: Rvs_vR‘ Q CAS-% S J 2 s- Tn 1� TLI�_1 X11 E ri. 1 ‘.7 6 SRI CA-J. 4. r2a e NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL ALA 7*--S t) A Li 0 mil, O S S..d g t�LT3Z1 L X14 L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE LI /airri 1 NI /2 110-1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits Bathroom Offices Owner MACDONALD JAMES R /TERRY L PO BOX 1450 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983620265 09 00000265 587740 313 W 1ST ST 06 30 00 0 0 1330 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 ELECTRICAL ALTER COMMERCIAL 143487 59 50 3/24/09 9/20/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN f FINAL COMMENTS Charged Paid Credited 59 50 59 50 00 00 00 00 59 50 59 50 00 Date 3/24/09 WA 98362 DATE RESULTS '3l z 1 l* +4 /l, 1e, Signature of owner or Electrical Contractor X Date 00 0 Extension 57 50 2 00 Due 00 00 00 INSPECTOR. City of Port Angeles Perini! Application Building DNhJon1ElhcMtet lnspaetlons 321 East Fifth Basel -P.O. Bas 1130 Putt Anglin Washington, 88352 Ph: (360)1174735Fu: (350) 4174111 Date: 3 1& 2 SI Family Dwelling M may or Connnerdal' ommarcial Addition Alteration Remodel/ Repair' Plan Review May Be Required, Please Complete Elecb(cal Pten Review Information Sheet Job Address: t "S W F% er Buildetg Square Footeger Disc iptlon of above IL G�•` r Y29 Owner Iniortlletio$ G e .�,,,,C49 Name: l 1/n a..� MeiAddr t 3 w Z City' magmas: �yt e�5tate: IJp: Phone: Co p t4Cense ti/ Exp. UnitCharos 593.75 5113.75 5180.00 520500 5291.25 2.00 557.50 52.00 „J 72.50 86.25 5116.25 5131.25 75.00 69.00 75.00 S� 50.00 S 50.00 93.75 80.00 88.25 27.50 57.50 88.25 43.75 2/2 d M Signature downs,. eagl coodrector or Nonskid amNrdetrator QIN! 3 T T2.172. tr 01 RECEIV L, MAR 2 4 2009 UGHT DEPT Contractor IMortnrnion. Name: '"r"'‘c Meiling Addre iZ> L' G 2, City: J't' 1 1.41 State: ti n Zip: `'2 3L Phone: t 1 to t/cenae M Exp. E. S 3 `4 ws Total pv Multildied by Unit Charnel 5 SavIr Faedie 200 Amp. ServloelFeeder 201.400 Amp. SasvlcelFeatar 401400 Amp. SsrvicelFeeder801.t000Amp. SenricalPeedr over 1000 Amp. Branch Ciro W/ Sevin Feeder t S7. rn Branch ClaaattW/O Service Feeder oa Each Additional Brach Circuit Temp. Soviet/ Feeder 200 Aral. Temp. SeMca+Feeder 201400 Amp. Temp. ServloelFeeder 401600 Ann. Teem ServioelFeeder 801.1000 Amp. Patel to Portal How SigNOu11►ne Wang 5 Stria) Ciralbl Limited Energy Common* Signal Circuit/ Limited Energy 1 s 2 Fwnfly Ore1Nng Signal Quill Limned Enemy Mu*.Famity Mang S Manufactured Home Connection Monotone Eucttlexa Energy SKVA System or Less First IMO Souse FL Each Additiatel 500 Square Ft a Portion of S Each Outbuldhg or Detached Garage Each Swimming Pool or Hot Tub Thermostat 5�1 49 Toni 0lemrae deDsidh RCM WHO: 10 Gam nalOccupy Mt aarctum ra►Mep a ear eds sletdcal wnra inert. (It Owner asequared bdeea electrical contraee ltNeve set prepay leAu sae, mgorWee After reading the above antimony hereby ceiU y that 1 em ate manor the mine named propnty or a Il aid alactr cal conbador.1 ant mehbrg tth. sintitca Instillation or allem as rn caen$Ynee wNh tM elueMewl laeiN. N.E.C.. RCW. Conn 19* WAC. CAeptar 2964$N, The City of PM Angsln thmlap1 Cad. aid UYIIty Sp.cffleatam. t 3DI(d3S 3IdiD3 W0e13 dST 20 5002- 2T -,ww CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 F. AST 5TIt STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 9/04/2002 PERMIT NO 7808 OWNER/APPLICANT PROPERTY LOCATION KONP 313 1ST ST W 313 W. 1ST ST Lot: 17 Port Angeles, WA 98362 Block: 13 ~ Long Legal 360/457-1450 Subdivision: TPA T: S: Parcel No: 063000001330 CONTRACTOR ARCHITECT ELECTRIC SERVICE N/A 924 DRAPER RD. PORT ANGELES, WA 98362 , 98360-0000 360/452-6424 360/000-0000 PROJECT INFO Project Type: COML. MISC. Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: CBD Electrical Heat: ~ Baseboard 0 KW I Riser L~ Underground Service ~ Furnace 0 KW Overhead Service Voltage: 0 · Heat Pump 0 KW , Temp Service Phase: ~ 1 · 3 If Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES ADD SURGE PROTECTION '"---- RECEIPT#9593 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $59.40 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $59.40 AMOUNT PAID: $59.40 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH-IN / COVER SERVICE FINAL I ~/,<$/~ ~- I ~4c.~1 GENERAL COMMENTS: \ \ \ -- CITY OF PORT ANGELES LIGHT DEPARTMENT r ELECTRICAL PERMIT )- ~ :?/ Port Angeles. WasWngton.m.m...._._..m_...m..m..mm.mmm.....mm. 19m..m N~ 17576 In accordance with the City Ordinance to regulate the installation. extension, or repair of elec- trical equipment In. on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to dO electrical work as listed below. J I 3 ("U- / d /I J)-c,<,-~~ ~~~::s__::::::zCQ:d'!:z:?~~::g~;;et::~:~:::__.~::~~~.~:.~:::::::~::::::::::::::::::::::::::::::::::::::: . , \I Wiring Contractor mm__m.mmm__mmm.____.____m.._____________mm By_...mmmmm__________.__m._m..._________.m__._._m____. Light Outlets......n__....n......nn....._.._...., Receptacle Outlets.______.....___................ Service, volts ........................hnn._....... No. wires .........................____.......... Type of Wiring: Armored Cable .___.____...____h__.__....... Non-Metallic ............___..........___..... Knob & Tube.................................. Rigid Conduit .....__..................__.... Metallic Tubing h......................... Raceway ..............................._......_ Circuits, Llght.__.......______..______.....___....... Utility............................................. Dryer, KW nunn__.nh____.____._..____.____.__.. Size wlres............................._....._.. Range, KW hn....n....hnnnn... Main fuse ....................................... Water Heater: Enclosure ................................. KW...................................... Type of wiring: Entrance Cable ....mm...m............. Heat: KW................................................... Mo.~ors: sIze, volts and phase: Rigid Conduit Meta11lc Tubing ......_.............m.m Current transformers: Heat ............................................... Range ............................................. Water Heater .........h.................... Motor ............................................_ No. & Size....h................................. Ser. No.............................................. Ser. No..............._.............................. Dryer................................................_ Furnace .........................'_................... Ser. No. ................................_............ Total Load...................._........ qp See. No.............................................. Total .....................................__ Remarks: ..m--~.f21!...~.~_t..._____m;q.:~._:I';~.?:~...-<mm..__....m_.m..m__m....__....____000000____000.000.. uuuuu____nnnun.....n.__nnunnuUnnnnunnn.h.__nu_n.nn.nn.hn~nnnn.nUU_.u_un_u__nn.....nn.u..uu.nun.u.nUnU...__.Uun .;~_~j~.~~..~____.____::::...m------::~.~.~:__~.~.~.~~~.~.-_..__.--------m..-----:;..;:gel~&:::~~::~::~_~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 7 5 7 6 ELECTRICAL PERMIT Address........................................................................_.........................__....................................Date..._.........._.._.._.........._......_................. Owner ..............................h____.........._......_......_.._h..................h...............hh.................. Tenant...h.............h.................h............................. Wiring Contractor..................................._..................................................................................... By ............................................................._ NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. " 1M Olympic"Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16270 '>_/')' )) Port Angeles. Washlngton.........../...m..:....muu...m.mmm......m... 19m'~:.. In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to dO electrical work as listed below. Address u.d~Q.I!/:./.?...ru'C.7Lm...uum..u..mm.u.mn....u occupancy.u_A:."!;,-:::.~"~n.._mmmuu o~ner m...:u34.~~~{~~.mlt2,.;:>Jenant...-.m..mmuuu..m:un_mu....nuuuu..uum.........u WIring Contractor uu~.mm.'."..u.m..u.muumuuuuum.m..muuu By......uuu.n.............umuu..mu..m.....u..........uu - (J /.....C>/;.1//r: Light Outlets......h......................._.._..... Service, volts ................................:::.... Type of Wiring: ''2:' No. wires .........:::.......................... Armored Cable ................h....__...._ Size Wlres.....,d1f:-:-t:, ........_.. Non.Metalllc ................................. 0' '",y,,-,.. Knob & Tube.................................. Main fuse ....................................... ~. Enclosure ....................................... Receptacle Outlets......h....................... Dryer, KW nunn..n..nn...............n....... Range, KW n..nn........................... Water Heater: Rigid Conduit ............................... Metallic Tubing ..n',,""'''''''''''''''' KW.um...................n.................... Heat' KW....l.y..lijdJ::.:....... Type of wiring: . Entrance Cable h........h................. Raceway ......................._........._._ Circuits, Ltght..........hm........................ Utlllty ............................................. Motors: size, volts and phase: Rigid Conduit ............................... MetalUc Tubing m............ Current transformers: Heat ....................h......................... Ser. No............................................... . Range ............................................. Water Heater ............................... Motor ............................................. No. & SIze....................................... Ser. No.............................................. Dryer................................................_ Furnace h........................_................... Ser. No. ...................h...........h........... Remark:~ta:u=~~...~~::..,:;.::;g~..u~~~.~.:~~::..:.~.::.~::~.::.ummummmm~~~::u~~:...~:.~:::.~::~:::...:~::~__~~: .;~~;;.;~~mmmummmumuu;~~~~:.~~~~;~~.m.....mmmum.umuul?;7;'Z%'76',:,u1uu..m7.......m.. $:.........mm.mum.u..mm.. NO.uum...m....uuu..... By ;;"l(.:u~;.m.Z.i({t~!!.0~'f._t.~~.~.?.~.. NOTICE-Current must not be turned on untU Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16270 Address..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_......... Owner ........................h........_...h._.._......_.........._............................................._............. Tenant.........................................................u......... Wiring Contractor ........................................................................................._................................ By .............................................................. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. .. 1M Olympic Printers, Inc. J FRX NO. : 4525424 5ep. 03 2002 08:51R~_?.l___ ELECTRICAL PERMIT APPLICATION FOR ilFF{("fAI.. USF. 0,'';[ Y D~!...'Q~(:: ._. ,., ,_,. ?'Oflnl\~: _'.._.__ t:lol~ I\~pu"~, "___.__ ".. 0..11' iii.'IIoIcJ.: _____._ The EI51crrical Perm!! AppiicatJOr) mu.t twI fltlad out eamDIGtD~. PIBIl.M 'Ypo or reprint in Ink. tf you naVB an~ qUllstJO"_. pleue call1380} 417-S735 Fax nUmb.r: (3iO) 4""711 .:rI7708 - t:: r.. _1 . Owner or Else. Contractor Agent \ _ ~ i' ~l ,\ r Property O~C 'e a d \~I 'Ie 0 I\! P Addr.ss ~ 'l ~ \/\.1 l ~ 4- Electrlcol Contractor: ~ ; f( --' Addr...:_ti r..l.t;h \_ <:;> INSTALlATION WIRED ey: 0 OWNER \c.r d, ,: 1 REQUEST INSPECTION 0 Phona: "is") -(,i-h.ef Fu: ~ ~ I.. - (',"""j-, 'f Phone: cay ZIp; ~~~/"-' "'"";,' !r::..~~~"" ~ '~ _ aty: I ,p/'lo.. ..-~....+ IIo.~JI\""'" a"l . , ELECTRICAL CONTRACTOR 10 ~ -f:.l. Phone: "t'5"::2 -t.,"'i ZIp: 9 J "3i'"2- CnHiit Cani Holder Nfl",.: Billing Addre$s: City: Credit CaniNumber: ~ , Zip: V/SA:-@ TYPE OF WORK: Check @!! that apply: 0 New 0 Alteration/Addition o Resldental C MultI-family X Commercial 0 Mobile Home Sq, Ft Remote Meter 0 Detached garaga !J Hot Tub 0 Swim Pool 0 Septic Pump d Low Voltage 0 Telecom, 0 ~ 31"5 w /g- PRo.JEOT ADDRESS: Number of Circuits added or alterlOd: OeSCRIPTION OF THE ELECTRICAL PROJECT: ''n.sAtill S...~rd I f r'V ~""-- ('+" -r o Baseboard o Fumace o Haat Pump CJ Fan-WeJI -.<m KW -TON - -.<m $ PERMITfFE: [) 9 . ~ 0 ;2eaf//T 1# f'5" 'J.3 ServIce ."'formatlon Electrica' Hest Load Addlll",MS LRA o O~E;::~ead Servl~ o Temp Stt:"Vice c UnderQro~nd Sarvlce Voltage: Phasa: 0' 0 3 Service Sl~e: Feeder Size: PAMC 14.05,060(8): For inoustrlal, commerciai, & residential projects largar than a dup!""" a one - line drawing of the Electrical Service 8 Feeders. building slza (sq. fl.), load calculations, ancl the type & of conductOr!! and/or raceway is required and shall accompany tho Electrll Permit appllca~on. I hereby certify that I have read and examined this application and know that same to :8 true and correct, and I a authorized to apply tor this pe,wit. I understand it is not the City's legal responsibility to determine what permits c required; I~ remains the applicants responSibility to determine what pennils af9 reqUired and to obtain such Crudit C.rd Holder's Signature; Owner or Elee. Cont. Signature: -fJV2ud Date: '08.te:~;