The URL can be used to link to this page

Home My WebLink About116 1/2 W 8th St - BuildingBuilding Permit ll6Y 13 -126 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc A/C SYSTEM FOR COMPUTER SERVER ROOM Owner Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 13- 00000126 636352 116 1/2 W 8TH ST 06-30-00-0-2- 6700 -0000- COMM MECHANICAL PERMIT COMMERCIAL NEIGHBORHOOD 8315 Contractor Date 1'/31/13 CPI VENTURES LLC DAVE'S HTG COOLING SRVC INC 116 W 8TH ST PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -5858 (360) 452 -0939 1', Permit MECHANICAL PERMIT Additional desc AC FOR COMPUTER ROOM Permit Fee 64.80 Plan Check Fee 1/31/13 Valuation 7/30/13 Qty Unit Charge Per BASE FEE 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON Charged Paid Credited Due 64.80 .00 .00 .00 .00 64.80 64.80 .00 Extension 50.00 14.80 .00 0 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 o y state o local law regulatincistruction or the performance of construction. 0/43 Dmi.,?// 0'4/W.6 4.7e" Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. 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 01/30/2013 4:14PM FAX Applicant Q tJ-e (s (-t c$ v►'s l arvt.ng Phone Property Owner Property Owner's Address Contractor s Contractor's Address F, O. ;co License 'vt -tom PROJECT ADDRESS Parcel Number CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Project Type 6 l3r(af Description: Residential Check all that apply a New Construction a Addition a Remodel u Repair Demolition o Re -roof o Heat System Other Floor Areas Basement 1 Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other Existing (sa. ft) Proposed fsq. ft,) TOTAL VALUATION g 3 i Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other Impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Will a lawn sprinkler systom be Installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Phone E-mail 1 Occupancy group Occupant load Construction type 19 0001 /0 001 /3 Print in ink For City Use Only: Date Received Permit* /3 Date Approved- 3i'- (.3 Phone Lot Zoning Multi- family `Commercial o Industrial o House o garage o other tear off re -roof o lay over one layer o Heat pump o wood burning stove o gas fireplace o pellet stove o other 0 Y GOm iL per sq, ft. of bedrooms of full baths of half baths 1 have lead and completed this application and know It to be true and correct I am authorized to apply for this permit and understand that it is rasp° slbllity to determine what permits are required, and to obtain permits prior in on projacfs. Date riot Name•. it 6 Kotrv. Signature i :Forms gilding Division /Building permlt application 1 PREPARED 4/01/13, 1136:47 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 13 00000126 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- 063000026700 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 2/06/13 APPROVED REQ COMM: February 5, 2013 1:10:59 PM pbarthol. RES COMM: February 6, 2013 8:29:38 AM pbarthol. PAGE 1 RESULT DATE/STATUS INSPECTOR PB Electical Permit ll6Y 13 -125 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN p2.. 6'160 /4 //CO FINAL .9-6 i,3 MQ COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc T -stat Air conditioning system Owner CPI VENTURES LLC 116 W 8TH ST PORT ANGELES (360) 457 -5858 Permit Additional desc Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 98362 Fee summary Charged ELECTRICAL ALTER COMMERCIAL 56.00 1/31/13 7/30/13 Qty Unit Charge Per 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 .00 56.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000125 250625 116 1/2 W 8TH ST 06-30-00-0-2- 6700 -0000- ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD 0 Contractor DAVE'S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES (360) 452 -0939 56.00 .00 56.00 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 1/31/13 WA 98362 452. N37( .00 .00 .00 .00 0 Extension 56.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 01/31/2013 8:22AM FAX CIty of Port Angeles Permit Application Building Division /Electrical inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 41 4735 Fax'(360)417.4711 ,1 3° (.2 Date: 1 2 Single Family Dwelling X. Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair` J Review May Be Require, pl sy mplet Electrical ew In�rmaU 'on Shget Job b Address: II Building Square Footage: Unit Charge 119.90 S 145.50 204.60 262,20 372.50 2.60 73.60 2.60 92.70 $110,30 148.70 167,90 95,90 88.20 95.90 63.90 63.90 119.90 102.30 110.30 35.20 73.50 110.30 56.00 Signature of owner, electrical contactor or electrical administrator r n s� i c1 ELECTRICAL INSPECTIONS Descrip)ion of above (o c-•-> V e T6. rY.%o UJ g c v+ Owner Information Contractor Information, Name: Name: -1:)aVQ 5 flea-4-(k. 4 5 1 Maili Addres 1 7 S Madly A re s: o. �SbX Y/ City: to sPI1r., tate: W�Zip: _g_, City' 4 tate: Zip: -"a- Phone:. :Z:�i ax:. Phone: Fax; 1 r5 License Exp. License Exp. S: G_ r `3 Total (Qty Multiplied by Unit Charge1 Service /Feeder 200 Amp. Service/Feeder 201.400 Amp. Service/Feeder 401 -600 Amp, 8 Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. 8 Branch Circult W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Sorvlce /Feeder 401 -000 Amp. Temp. Service /Feeder 601 -1000 Amp, Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commerclal. Additional 1500 85.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy -5KVA System or Less 8 First 1300 Square Ft. Each Additional 500 Square Ft, or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub .6 C. Thenmostet $_,57. Total 190001 /0001 Chock 9 Date: 1 3a(r3 Credit Card Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two yearn alter this electrical permit Is finalised. (2) Owner Is required to hlre an electrical contractor If above said property Is for sale, rent or lease. Permit expires after six months of fast inspection. Alter reading the above statement, I hereby codify 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 Taws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. D Cash Electical Permit 1161/ 13 -135 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN bZ -6 -ka 3 AP A� FINAL o2 C `d of z qf- de-4? COMMENTS: 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 furnace heat pump Owner CPI VENTURES LLC 116 W 8TH ST PORT ANGELES (360) 457 -5858 Permit Additional desc Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 98362 Qty Unit Charge Per 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 1.00 5.0000 ECH Fee summary Charged ELECTRICAL ALTER COMMERCIAL 79.00 2/04/13 8/03/13 79.00 .00 79.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000135 091790 116 1/2 W 8TH ST 06-30-00-0-2- 6700 -0000- ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD 0 Contractor EXTRA MILE TECH ELECT., LLC 418 N. RACE ST. PORT ANGELES WA 98362 (360) 457 -0198 79.00 .00 79.00 Plan Check Fee Valuation EL -ECH ADDNT BRANCH CIRCUIT Paid 'Credited Due .00 .00 .00 Date 2/04/13 Extension 74.00 5.00 .00 .00 .00 .0 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: O' CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 L. Date: r? -a Plan Review May Be Required, Please Complete Electrical PI Review Information Sheet Job Address: j l r /z_ g:t;_S X S t i- Building Square Footage: Description Mabove Owner information Name 1, .)...e .".J e. it3 Ate: i t Q Z. :A) L :Sir-. Mating City 1:-;)/. State: F.✓trIp `l r?& 2. Phone Fax: License 8/ Exp. Item Service/Feeder 200 Amp. Sen ce/Feeder 201400 Amp. Servic e/Feeder 401 -600 Amp Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Ternp. Service/Feeder 201 -400 Amp. Temp. Senrice/Feeder 401.600 Amp. Temp_ Ss/vice/Feeder 601-1000 Amp Portal to Portal Hourly SigolOutne Lighting Signal Circuit/ Limited Energy Multi- Family Signal Chin it/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat Multi- Family or Commercial* Unit Charge $132.00 160.00 225.00 288.00 410.00 5.00 74.00 5.00 86.00 102.00 3 121.00 164.00 185.00 96.00 .00 64.00 96.00 8113.00 56.00 g1t FLECTIVUL USPECTICtNS" 7-N r Name: rie t�M.: LE TF.Ll+ Fi kd -.(ccJ Miffing Address: 4i 6 14 nJ& 12ic.E sTietwr Cdy:"Rxtl- 1444eles State '✓Tip: 1103(r a- Phone: YS'7- .7.2-u- Fax: «r 7 License /Exp. -X r 44114r9 7s'F2.le Total (Qty Multiplied by Unit Charge) ad 7S I c1 Total Owner as defined by RCW.18.28.261: (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 1 am the owner of the above named property or a licensed electrical contractor. l 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 RAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical admafisl rator: cash Check /J C editcard x .�,.,a -(/a a 0110112012 Application Number 08 00000487 Application pin number 517949 Property Address 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6700 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc Add cross arm and camera to pole in alley Owner Contractor CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES 36) 565 8400 Qty Unit Charge Per WA 983626032 BASE FEE Fee summary Charged Paid Credited T\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Date 4/25/08 Permit RIGHT OF WAY Additional desc ATTACH CROSS ARM CAMERA Permit pin number 125245 Permit Fee 70 00 Plan Check Fee 00 Issue Date 4/25/08 Valuation 0 Expiration Date 10/22/08 Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 00 00 00 Extension 70 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM •SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER APPROACH I. BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE s- YES' NOs COMMERCIAL= DATE'= :`ACCEPTED YES NO' CONSTRUCTION RW' FPWF ENGINEERING, 417 -4807 CONSTRUCTION RW PW ENGINEERING FIRE' 417 -4653 FIRE DEPT: ,PLANNING DEPT. 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 T•\Policies \1102.15R [1/05j, m r H 0 H N H W C7 H Kt Kt q 0 001 N m m a 1 W H 1 H a A Z Z x w 0 a xx x u l w o,a H h 1 Da H O E F H i H Cl U 1 GI GI a a 1 0 zz U a H H z H 4 a O a H O 0 Q O 0 0 O O H .M O 0a 0 rU m I x H x I£ m 1 00001 w 0 W o co 3 x 0 1 0 te a] 1 NUQ2oo -,1 H H3 oo 0 0 1 m o 0 1.0H aH H rl0 00 HQ HUKCUoo N rN E ,0 1 •01C4 a 1 20 [0 q F W W i v) O 1 m F Kt 1 KC E.aw a g g w034a aU aE.UOa4 0) z w 00 H U am H a mm q a H 04 a r n H w H a q 4W W E F E Cn o W a P W O a U F C7 0 a a H E. S. w rn m H O 0 U o 0 a Ha 60 N a (0 o W 01 N KC 0 H O W z F x m FC a o a Oo°z H H r H 01 D. 1 w 0 4Nr U S v U 0 U H Q! H 0 �a 0 U M U F W N g W W £g0£4 a a H CV N 0 m al 01 rn W Application Number 07- 00001461 Application pin number 898054 Property Address 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6700 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Owner Contractor CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES 36) 565 -8400 WA 983626032 Date 12/10/07 ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 117358 Permit Fee 58.00 Plan Check Fee .00 Issue Date 12/10/07 Valuation 0 Expiration Date 6/07/08 Qty Unit Charge Per Extension 1.00 58.0000 ECH EL -COMM ALT <5 CIRCUITS 58.00 Fee summary Charged Paid Credited Due Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 1 SPECTRON TYPE DATE: RESULTS: EL IH,CTRTCAL INSPECTOR: DITCH SERVICE POUCH -IN FINAL OMMENTS: CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES 36) 565 -8400 Qty Unit Charge Per T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 07- 00001222 Application pin number 369798 Property Address 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER 06-30-00-0-2- 6700 -0000- Application type description RE -ROOF Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 28500 Owner Contractor WA 983626032 KURTZE,MICHAEL 93 TONDA VISTA RD PORT ANGELES PORT ANGELES (683) 4125 Permit BUILDING PERMIT NO PR FEE Additional desc REROOF Permit pin number 113712 Permit Fee 458 15 Plan Check Fee 00 Issue Date 10/22/07 Valuation 28500 Expiration Date 4/19/08 BASE FEE 4 00 10 1000 THOU BL- 25,001 -50K (10 10 PER K) Fee summary Charged Paid Credited Due Permit Fee Total 458 15 458 15 00 00 Plan Check Total 00 00 00 00 Grand Total 458 15 458 15 00 00 Date 10/22/07 WA 98362 Extension 417 75 40 40 k bOF 4 h I s /140) o f 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 hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of stmt -local law regulating construction or the performance of construction. f-o -22 0 h v6 Date Print Name 1 of Contractor ntractor or Authorized Agent Signature of Owner (if owner is builder) INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY. HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. N KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. N T Forms /Building Division /Building Permit (10/0 I/07).wpd CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent L ot9 6c,, rec., IG h•n- Owner 6 C f0. o 504n:soil /r/nct` c,P.Z Phone Owner's Address //6 %z 66 014- g 4 Contractor /Engineer Contractor /Engineer' License PROJECT ADDRESS Parcel Number Floor Areas Basement 1st Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other T.Forms /Building Division /Bldg Permit Appl. -2006 Code.doc BUILDING PERMIT APPLIC TION Print in ink Address X13 to-ila,, 'OF C,6 Te 9 Pk r(c fz w gcl pg Total footprint of structures sq ft. Lot size 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 For City Use 0 ate Received O ermit d ate Approved 6, Phone Expires Lot C'3 /2s` I0 1 Zoning Project Type Brief Description. Residential Check all that apply New Construction si`e,. (l 2 c,/ dot Multi- family Industrial A Ovvc{ ACS, i"-4L, Addition 54 hcL. roPi frd. II cial Remodel Re air xf(efroof Demolition Sign wall- mounted Total sign area projecting freestanding awning other sq ft. Maximum allowed sign area sq ft. Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Existing (sq. ft.) Proposed (sq. ft.) per sq ft.= 7 00 TOTAL VALUATION Z Soo 00 sq ft. Lot coverage 1 have read and completed this application and know it to be true and correct. I am authorized to a understand that it is my responsibility to determine what permits are required, and to obta projec s. '�,t y L Date 2 2 -O? Print Name 0 i c J o f r -6 Signature of bedrooms of full baths of half baths s this permit and rior to working on Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES (360) 565 -8400 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 58.0000 ECH EL -COMM ALT <5 CIRCUITS 1.00 35.0000 ECH EL -LVT -FIRST THERMOSTAT Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AM) INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 WA 983626032 07- 00001088 857600 116 1/2 W 8TH ST 06-30-00-0-2- 6700 -0000- CPI TECH CENTER MECHANICAL APPL. PERMIT COMMERCIAL NEIGHBORHOOD 9602 Contractor ELECTRICAL ALTER COMMERCIAL ALL WEATHER/ 1 -5 CIR +T -STAT 112235 ALL WEATHER HEATING COOLING 93.00 Plan Check Fee 10/24/07 Valuation 4/21/08 Charged Paid Credited 93.00 93.00 .00 .00 .00 .00 93.00 93.00 .00 Date 10/24/07 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 -9813 .00 0 Extension 58.00 35.00 Due .00 .00 .00 c\sh INSPECTION TYPE DATE: RESULTS: F LECTRICAL IN SPECTOR: DITCH SERVICE ROUGH IN FINAL COMMENTS: Ex/ 4 ,2 0 5 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation O CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES (360) 565 -8400 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Fee summary Date T: \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983626032 07- 00001088 857600 116 1/2 W 8TH ST 06-30-00-0-2- 6700 -0000- CPI TECH CENTER MECHANICAL APPL. PERMIT COMMERCIAL NEIGHBORHOOD 9602 Contractor Charged Paid Credited Date 9/21/07 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 -9813 MECHANICAL PERMIT INSTALL HEAT PUMP 111427 64.80 Plan Check Fee .00 9/21/07 Valuation 0 3/19/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 ECH ME- INSTALL 100- FAU 14.80 Permit Fee Total 64.80 64.80 .00 Plan Check Total .00 .00 .00 Grand Total 64.80 64.80 .00 Due .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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. Signature of Contractor o i uthorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEI'TED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FIN AI_ DATE ACCEPTED BY: UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY: ROUGH -1N HEAT PUMP FURNACE f DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SEPA: ESA: SHORELINE: SKIRTING PLANNING DEPT. SEPARATE PERMIT IJ's PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING 12 2 1'01 fb BUILDING PERMIT INSPECTION RECOI:D �-J 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 UNLAWFUL TO COVER, IA'SULATE OR CONCEAL ANY WORK BEFORE I INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. CC) vY T: \Policies11 102 15 building permit inspection record05.wpd [1/4/2005] OQ 09/21/2007 08:39 13604525177 ALL WEATHER HEATING BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 S4" 11" site plan MUST BE COMPLETE to be accepted for review. (360) 4174815 FAX (360) 417 -4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans PAGE 01/02 FOR OPTIMAL USG ONL —7 Date Rcc.: 9 z 1 Permit ll: n, $D Datc Approved: Date issued: Applicant or Agent All (Mary teltiry>3f' li Phone '7,(D() 3 Owne (rclo) 171 Owner's Address I (p V7 B pa Contractor/En (k t11f'ir t�Pannej (mii ate License kE�CV Expires (]!I Phone '5(!�J e/00 Contractor/Engineer's Address OZ, I(i VV1f') Phone 7-1Q LI S7_ -q. j PROJECT ADDRESS: l e I P I7, W S LEGAL DESCRIP'T'ION: Lot: Block: Subdivision: CLALLAM COUNTY. PARCEL NUMBER: ()(3 0 0002. 6, '70g ZONING: o Residential a Multi family Commercial a Repair TYPE OF WORK New Constr. b Re -roof Stove O Addition Move a Garage .Remodel o Demolition Deck Sign Other BRIE ESC T ON OF FRQ,TECT: COMMERCIAL/RESIDENTIAL: Existing Structures) basement Sq. Ft 1" floor Sq. Ft. 2n floor Sq. Ft. 3" floor Sq. Ft. Existing Structure(s) TOTAL, Sq. Ft. Maximum Height of Proposed Structurc(s) Ft. such .permits. Date q /2i /7 Applicant T :IFORMS\BUILDING DIVISION161dgPermftAppl. -2006 CODE.wpe SIZE/VALUATION SF. /SF. SF. Q /SF. SF. Qa /SF. TOTAL VALUATION Occupancy Group: Occupant Load: Construction Type: LOT COVERAGE 1 b32- 0 O Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft Footprint TOTAL Structures) Sq. Ft. Footprint Total Lot Coverage (Divide Total Stntcture(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) VALUATION'OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417.4815 for assistance. PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted, All other permit fees are due at the time of permit issuance. EXPIRATION OF. PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date. of fining .unless. suc h.application. has been pursued.in good. faith or a.permithas' been issucd;..cxcept that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated, (IRCIBC 2006 105.3.2) I hereby certify that 1 have read and examined this application and know the same to be true and correct. am authorized to apply for this permit and understand thatit is my respbnslbility to determine what permits arq)required, and that i must obtain or t -work, Proposed Structure(s) basement Sq. Ft. 1" floor Sq. Ft. 2 "d floor Sq, Ft 3" floor Sq. Ft. Proposed Structure(s) TOTAL Sq, Ft. TOTAL Sq. Ft. of existing proposed structures I 5 40,0 PORT.W 1.1= Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES 36) 565 -8400 Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983626032 T.\Policies \1102_15 budding permit inspection record05.wpd 1/4/20051 06- 00000274 828036 116 1/2 W 8TH ST 06-30-00-0-2- 6700 -0000- MECHANICAL PERMIT COMMERCIAL NEIGHBORHOOD 500 Contractor OWNER Charged Paid Credited Fee summary Due 60.65 60.65 .00 .00 .00 .00 60.65 60.65 .00 Date 3/23/06 Permit MECHANICAL PERMIT Additional desc INSTALL NEW PROPANE TANK /LINE Permit pin number 73411 Permit Fee 60.65 Plan Check Fee .00 Issue Date 3/23/06 Valuation 0 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 ECH ME -GAS PIPE 1 TO 5 10.65 .00 .00 .00 Lasered GED i '62 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS PLUMBING FINAL DATE ACCEPTED BY: UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY: HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA: ESA: SHORELINE PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 L L I J� BUILDING 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 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. T:\Policies \1102_15 building permit inspection record05 wpd1T/4r20051 Application Number 06- 00000317 Application pin number, 790474 Property Address 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER 06-30-00-0-2- 6700 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Owner Contractor CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES 36) 565 -8400 Permit Fee Total Plan Check Total Grand Total WA 983626032 78 70 00 78.70 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 98362 OWNER Date 4/19/06 Permit ELECTRICAL ALTER COMMERCIAL Additional desc STRAITS 15KW GEN Permit pin number 74088 Sub Contractor STRAITS ELECTRIC Permit Fee 78 70 Plan Check Fee 00 Issue Date 4/06/06 Valuation 0 Expiration Date 10/03/06 Qty Unit Charge Per 1 00 78.7000 ECH EL -COM ALT 0 -200 SRV FDR Fee summary Charged Paid Credited Due 78 70 00 78 70 00 .00 00 Extension 78.70 00 .00 00 VA ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 INSPECTION TYPE ROUGH IN COVER SERVICE DITCH FINAL Ili /3 /AA! DATE ACCEPTED YES 1 NO COMMENTS GENERAL COMMENTS: PW- 1102.15 L4 961 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. c rc, `T ture of Contractor o thorized Agent Date Signature of Owner (if owner is builder) Date Application Number 04- 00000365 Pin number 808070 Property Address 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6700 0000 Tenant nbr, name CPI TECH CENTER Application description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 1995 Owner ELKHART VERN 108 W 8TH ST PORT ANGELES Permit SIGN Additional desc 3 16.5 SQ. FT. 1 69 SQ. FT Permit Fee 175.00 Plan Check Fee .00 Issue Date 5/03/04 Valuation 1995 Expiration Date 10/30/04 Qty Unit Charge Per Extension 1.00 85.0000 PER S- SIGN WALL 25 SF+ 85.00 3.00 30.0000 PER S- SIGN LES THAN 25 SF 90.00 Fee summary Charged Paid Credited Due Permit Fee Total 175.00 175.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 175.00 175.00 .00 .00 T: \PLANNING \FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Contractor MILLER SIGNS 30 CHILDERS LN WA 983626032 SEQUIM (360) 683 -6790 Date 5/03/04 WA 98382 1 r INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN 1 1 1 PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING 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 SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 P 1 0. -(7 J L t_, BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -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 PLAN AT JOB SITE T: \PLANNING \FORMS \1102.15 [11/14/2003] CITY OF Copies sent to: Police Fire Planning Finance Date: pORTANGELES W A S H I N G T O N U S A. NAME OF APPLICANT C MAILING ADDRESS /1 (0 W 8th ST' PHONE NUMBER (0700 q 7 c' STREET ADDRESS OF PROPOSED STREET USE i C. DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure.] Tn 40►11 'Pi ■i v r :e I L.• G i A s L. r ../11/11 I F-.,. l.1 IS THE US TEMPORARY OR PERMANENT? >/'ry] HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, or planting strip. A DAT this 3 day of i ,2003 (OFFICE USE ONLY] Date application received] j Fee aid [f� P Receipt Certificate of Insurance per PAMC 11 12.140(B) Agreement to Remove Encroachment signed and on N/A recorded on N/A Application r viewed and recommendation by City Engineer Date 7/21 to de ppr and with the following conditions. Applicati proved denied by the Director of Public Works Date Vis Copies to: Applicant 0 Fire 0 Police 0 Street 0 Other Aio.v.r..ad wwrr 5. 2ao11 See pfl Applicant SUBSCRIBED and swom to before me this 3 da oy f 4 tr 2OQ3 S Washington residing at- r. (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) 0 Address file 0 RUP fib O RU P z? DATE 3 3 3 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 1 1 PLUMBING i UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PH UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BULL QING 417 -4815 BUILDING T' \PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY N ORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 0 0 H 00 x7 H M r M CO Ha z m 0 H z 0 r H 0 0 0 0 x M O z O z M 0 H 0 0 M z 0 0 M n H M H .0 K7 00 n 00 r+ O C n t z i 3y 0 K0 b H z tt 3 "3 Cii 0 0 ta y 0 H M• x70• 0 0 0 n 0 0 z r 0 M H 0 i0 r O 0 0 0 0 M 0 0 r y CO C'7 0 1 N t' 'O T z 0 O H H V) o w 0 t' (.1 0 M M H O 0>' M H H C" 0 0 H (l N 0 r o 0 x N 1 C H 0 O 0 OMG)0 N M in 0 0Mm 0 Z 0 N z H 00 r C0 Hm M a1 H L] o y 0 ro tJ O M M 0 V 0 O r C z H H m ro \H 00 z z H M 00 C m 0 o g z z t7 M M H m m CO 01 J s0 0 Hz z ro (ro ro n H H 0 O O 73 y 4 H 3 n M 7. H r r 73 r K Applicant or Agent: (Alt c r �5 Owner: 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 Address: fp "Z Le-) `S 4 City: y e l� S Architect /Engineer: Phone: Contractor yA (Le v S State License Address: j r 9 n CA- i'Le 50 s)(1C City: S t PROJECT ADDRESS: j E l Z m LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYPE OF WORK: Residential New Constr. Re -roof Multi- family Commercial Stove Addition Move Garage 3 Remodel Demolition Deck Repair X Sign Other BRIEF DESCRIPTION OF THE PROJECT: (t 5 C'C >�ii i t .7�i S(1)t ESC 0 COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: T: \FORMS\APPS\Buildingperrnit.wpd City: Exp. Date: SIZE/VALUATION: e i 0 SF. /SF. S 5 SF. /SF. SF. /SF. I ,3 TOTAL VALUATION 4 L Lot Size: Existing Sq. Ft. Total lot coverage Phone: Exp: Proposed Sq. Ft. Phone: (4%' Zip: `7� (9 Z ZONING: FOR OFFICIAL SE ONLY Date Rec.: S `-c.)7 Permit ty q 36S Date App Date Issued: Phone: (i CDC Zip: [e/3 Subdivision: is t hh �vl i- -i i t- C. (l c c >m 5 U (rt .1_ U Occupant Load: Construction Type- TOTAL Sq. Ft. PLANNING USE ONLY:_. v1/4 ,tip rt _f;, 4- ESA/Wetland(s): Yes yNo SEPA Checklist required? Yes No Other: APPROV PLAN: tea PWU: FIRE: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements 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 Building Division to comply with current fee schedules. Contact the Permit 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 submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. 2 g Applican 7 f 7 e Date: ELECTRICAL PERMIT OWNER /APPLICANT ST. VINCENT DEPAUL 116 1/2 W. 8TH Port Angeles, WA 98363 360/000 -0000 T: CONTRACTOR STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/452 -9104 PROJECT INFO Prj Type: COML. MISC. Occ Type: Occ Grp: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan /Wall KW: PROJECT NOTES TOTAL FEE: Occ Load: CHANGE SERVICE AND REPAIR OTHER FIRE DAMAGE PROJECT FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGFIES, WA 98362 S: Service Type O Riser O X Overhead Service O Underground Service O Temp Service $50.00 $0.00 $0.00 $0.00 $0.00 $50.00 Issued: 10/07/96 PROPERTY LOCATION 116 1/2 8TH ST W Lot: Block: Sub: Parc No: DESIGNER 000 /000 -0000 Long Legal: Prj Value: $0.00 Cnstr Type: SERVICE CHANGE Land Use: Voltage: Diameter: Service Size: Feeder Size: TOTAL FEE: Amount Paid: Balance Due: Permit No: 5682 120,240 X -1 -3 200 AMPS 0 AMPS $50.00 $50.00 $0.00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH -IN /COVER SERVICE /e 0 ,14 7 FINAL 1 /6/74 1 `7/ ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW -I 10215 [4'96] flUIWINV OWNER/APPLICANT VERN ELKHART 116 1/2 W. 8TH Port Angeles, WA 98363 360/000 -0000 T: CONTRACTOR owner VARIOUS Port Angeles, WA 99360 206/000 -0000 PROJECT INFO Project Value: $500.00 Project Type: EQUIPMENT ROOM Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: CSD PROJECT NOTES add interior walls for equipment room receipt #9726 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: T: \PLANNING \FORMS \1102.15 [4/2002) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 $23.50 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 S: ISSUED: 9/27/2002 Misc Fee 1: Misc Fee 2: Misc Fee 3: PROPERTY LOCATION 116 1/2 8TH ST W Lot: 4 Block: 267 Subdivision: TPA Parcel No: 063000026708000 ARCHITECT N/A SFD Units: SFD SQ FT: 98360 -0000 360/000 -0000 MFD Units: 0 MFD SQ FT: 0 TOTAL FEE: AMOUNT PAID: PERMIT NO: 13743 0 Commercial: 0 0 Industrial: 0 Garage: 0 $0.00 $0.00 $0.00 $28.00 $28.00 BALANCE DUE: $0.00 Long Legal 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 l 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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr c L Signature of Contractor or Authorized Agent 7 c Date Signature of Owner (if owner is builder) Date NN INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 /2 /fJ CU LE BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 T: \PLANNING \FORMS 1102.15 (4/2002] (alva) INaON3INIH3df1S 133H1S (Messeaeu ;I apps asJan8.1 uo anuuuo3) lag10 (uosiad •auogd) ON auogd ON 3131dINO3NI 31]1dW03 iapi0 voM 00d Ilegdsv A8 S3A Aq panlaoaa punoj a6ewea oN I] aal3lwJad Aq pauedaa D AID Aq pagedaa IGABJO panoadwlun U :3dA1 33VJHfS :NOIIVa0ls31:1 3OV3anS 03HIfO3a NOI1HliO1S3H OWL! lHOd3H NOII33dSNI SNIHOM 011afld JO IN31N1liVd3a S313ONV 11Od JO A113 :s�pewaa ales :pa;oadsul :S31ON NOI103dSNI Jag;° •neox3 lamas` IeUI j bulgwnld Aauwlg3 6ulwey j uollepunoj camas 'oN uwJad :(auo ale!Jdoldde ajOIlo) uollaadsul ;o adAj uol;oadsul 6ul;sanbaJ uosied ;o ssaappy uopoadsul 6ullsenbai uosiad ;o aweN pa ;oadsul aq o; )IaoM ;o uolleoo1 awll alma :ls3no3a ti 38' -0" 4 c0 6 Site Address: 60_ ig READY FOR �fWILL CALL FOR INSPECTION INSPECTION Installed By: \£QA) 7ie License Number: Phone: Owner /Business: Phone: Owner /Business Address: Sq. Ft. P- Inspector WHITE file by address Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) W.S. No Service Size CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT New Construction Overhead Remodel Underground Service update /alter /repair Voltage r Add /alter circuits Auxiliary power (list below) Special equipment (list below) _27uS 7(0i( 7 tc,C£fr Date NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO. X DATE 3 ne/O l 10 3 .71 Service size Amps Temporary Details /Descriptio• Hold for: Easement Letter Capacity: O.K. Not O.K. Comments Ditch inspection O.K. Signed up for service /meter Rough -in /cover O.K. Meter Department notified for installation O.K. to connect service Fire Department notified of inspection Final OK. Plan Review approved /pending Site Address: //(4 w, Installer: Permit /Receipt No. /60 New Metes Date: 3/ a Notify the Department of City Light by Street Address and Permit Number when ready f or i s p ection. Wo k must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. /6- Amount paid YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall 09/21/2007 08:41 13604525177 Job wired by cadent contractor name 1 Lila' ttI f 1 I t Purchaser's mailing address ?t7 Vtv'i4) CA Telephone number 2ren -7 -0 013 t v iu\ JoloutR0 Address of Inspectlo ll(Li 1A1 win St MA- kin n Phone number s Isle inspection: Zann -1 BOO Stare ZIP Electrical Contractor 0 Owner License number PAX number i0 y5Z 5171 Date Expires Owner as defined by RCW19.28,261r(I) Owner will occupy the .structure for two years after. MIS electrical permit is finalized (2) Owner is required to hire an electrical contractor if above said property is for sale, runt or lease. After reading the above statement, T hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal lation or alteration in compliance wirh the electrical laws, N.E.C.. RCW. Chapter 19.29, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. S ignature of ow ner, electrical contractor or electrical adminlstrnr r 1 X /6/ Date: 9//2 ply fle jcal o d or subtractions Cl a LOAD CHANGES O Baseboard KW O Furnace _KW a Heat Pump Ton OR O Fan -Wall KW Overhead Service O Temp Service O Underground Service Expiration Date of card SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360 -417 -4735 Inspection Dale SEP ALL WEATHER HEATING ELECTRICALWORKPERIS IJTAPPLICATION Installation description Commercial 0 Residential 0 New 0 Altered /Addition LIB_ u)iv o) IV- (1) `1h?f 140 I/ fr vit (AVA (I\ Znomp HSV (v'vi+ O Cash 0 Check �S[ Credit Card Visa Card ,I, GO Mastercard Discover PAGE 01/01 a Inspection fee r 93 Service Information Voltage Phase 0 1 4 3 Service Size: Feeder Size: tl bltreCEI J E 21 99® Area, Building or Equipment Inspected Action Taken Electrical Inspector Job wired by Electrical Contractor Owner Electrical contractor name License number Date Expires I 1 if s I. t it LI III Purchaser's mailing address 7 117. Vizrnp et v Stale ZIP 4111)06 wh gf536 Telephone number FAX number e, 5 -1 P raises owner name VC 1 A so a "CPI lemcv rt Address of inspec too 11(0 Lt1. Bit C* M/} /tio -e Ley Phone numbe to sell dale iospection: r e Owner as defined by RCW./9.28.251:(1) Owner will occupy the structure for two years after this electrical permit is finalized. Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Alter reading the above statement. t hereby certify that I ant the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Pori Angeles Municipal Code. and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Y data• 1-7 t i 1 Inspection Date 1,•d 1y� Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Fumace _KW Heal Pump Ton LAR Fan -Wall _KW SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH -IN e Oatn d FINAL Appro. BY Overhead Service Temp Service O Underground Service THERMOSTAT Date Approved BY DITCH Date Approved By ELECTRICALWORK PERDIITAPPLICATION Installation description '4p Commercial 0 Residential ❑New Altered/Addition I r )U1 CC e Z 7.0CAIMp 170 I /0 IS (Amp zy0 Dolt (k CU 1t5. 0 rrr Cash Check q�CreditCard Visa Mastercard Discover t Card Expiration Date /Ins peon fee co of card lQ N Date Voltage Phase 0 1 3 Service Size: Feeder Sze: SERVICE Dare Approve 8 FEEDER Service Information Appmv B Area, Building or Equipment Inspected Action Taken Electrical Inspector d09:Z0 LO LO oa0 DATE ff 11 R R PERMIT O z -I'4b INS lei 4, _W`t H4 E P N r^t is f ADDRESS Ii 1/2_ Lk) S APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED �2'k�2iY 1.5 f D F L l C `JA() 5 OWL-tE F c ;l'=trh i;4 I�'� OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE J-1O'7 RU_C) L-- 04/05/2006 wrier or ec l .rAganc Straits Electric Am FJ lit OJECT AQQRESS: ctLical Heat Load Additions and or Subtractions aeboard KW unlace eat Pump TON LRA art -Wall telly certify that 1 have reed and examined this e homed to apply for this permit I understand it i required: it remains the applicants responslbil E CTRJ CALPE RMITAP P U CATI ON 1/ Al/e‘ 09:44 FAX 3604573698 •:I1 :t'•.. ELECTRJCAL PERMIT APPLICATION TTie Eleetnral Penult Application jnuat be filled ot% pompICtcty, Please type or reptant In Ink. 11 you nava any questions, please call (380)417473s Fax number. (360417-4711 linens 952 -910 Fa r er. l t t rope ,y v I Sinn iv. ZN G I Phone Sip F 4 /00 .1dro�tr: I I( n w LS n' ty. �f 'r PST t de S t-MC zip: I �i(y Si*•0110.$ ecvlaiComranoc Straits Electric Uoenx `r 9I Phone4 -91 0 9 West P.O. Box 2914 cdr Port Angeles, WA ap 98362 STALLATION WIRED BY: 0 OWNER fl ELECTRICAL CONTRACTOR redlt Card HolderName: Straits Electric Piling Address: P.O. Box 2914 Cary Port Angeles, WA 'L 'edit Card Number. O n PI FXp. Oats: . VISA: X MC: U /a., Put •Ply' s- FE OF WORK: Cheek ell that apply. 0 New )41teratlorVAddilion Residential 0 Muttl famly XCommercial 0 Mobile Home S7. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump D Low Voltage 0 Telecom. 0 Sic rnber of Circuits added or altered: f,.,, SCRIP OF THE ELECTRAL PROJECT: I SCvJ W A env- Cradle Card Holders Signat) Owner or Elea Cont Signature. STRAITS ELECTRIC 01 0 Overhead Service o Temp Service o Underground Service SOK OMICW.055 orcr east 0e m 5— tote,,. 457 -4698 Service Information Voltage: Phase: 01 O 3 Service Stte: Feeder Size: Iica on and know that same to be true and correct, and I ar e City's legal responsibility to determine what petrinits e whet permits am required and to obtaflt such. er /Christie Tucker Data: Oats: PERMIT FEE: 7 @T7 0 Electrical Heat Load Additions Baseboard d Furnace Heat Pump Fan -Wall Comments: ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call (360) 417 -4735 Fax number: (360) 417 -4711 Credit Card Holder Name: sr-Rents FJEc/3? C111�ts�`►z 1t,t,CICF_ Billing Address: P 0• sox .2 y 5 Ci Bnq t i/S Zip: 9834 Credit Card Number Exp. Date: /% VISA x MC Permit Fee: KR 7 e Applicant and/or Agent: Property Owner: Phone: Address. City: Zip: Contractor License Exp: Phone: Address: City: Zip: PROJECT ADDRESS: to tit 67,an-to LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: 0 Residential Multi- family 0 Commercial Electrical Permit fees are based on WAC 296-46 -910 KW KW KW KW STR E/EG)Riltphone: 5VS2 9/0 ax# 45 7 969 o Mobile Home BRIEF DESCRIPTION OF THE PROJECT: /'r 1,1-e4 .Ucc-G/ MOVE "M?CK_ t- (Il /Zf_ C/» Riser Overhead Service Temp Service Underground Service 1 /hereby cert(fy that I haw read and examined Mb application and kno for this permit I understand it tr nor the City's legal responslblll y responsibility to.determtne *hat permits are required and to obrat PW-I IO2_2r imm.00) Credit Card Holder's Sigaatur Service Information Voltage: Phase: 1 3 Service Size Feeder Size: FOR OFFICIAL USE ONLY: Date Rec.: Permit#: 7/! 7 Date Approved: Date Issued: i ay ZONING e true and correct, and! um authorised to apply permits are required' tt remains the applicant's Data (-1 04/02/2015 12:50Pt1 FAX 190001 /0002 CITY OF PORT ANGELES PEltllw APPLICATION Rnilrlina Divisiotn/Electric -Al Inspections - 321 East Fifth street —P.O. Bog 1150 / Port Angeles Washington, 98362 r Ph: (360) 417 -4735 Fax: (360) 417 -4711 W -- 3 201 °1 Dale !(/--2— VLE 1 & 2 Single Family Dwelling FLECmm iii ,17E $OOS * plan Review May Be Req�i� Y cse CJpleSE�ctri Xq�n�ev Information Sheet Job Address: vl l d 1 Building Square Footage Desorimlon of above - - - -- - Owner Inf rma ion Contract r Information Name., , Name. d MailingAddre55, _ � City MOM r}BiAddm,5. O / —Slate —_..._.Zip: Cit , ��' to Phone. — „Fax. _ Phon Fax. _ License # / Exp. License 0 i Exp. C1' Item Unit Charge Qty Total Lft Mufti lied by Unit Char e ServicelFeedet 200 Amp. $ 120,00 ServicalFeeder 201 -400 Amp, $14600 5 Servico.!Feeder 401 -600 Amp $ 205.00 S SorvicelFaedor 601.10011 Arnp $ 262 00 ServicelF'aeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit NO Service Feeder $ 6100 $ Each Additional Stanch Circuit $ 6,00 $ Branch Circuits 1 -4 8 75,00 $ Ternp. Ser*Ll Feeder 204 Amp 8 9300 Temp. ServicafFeeder 201 400 Amp. $110.00 S� Temp. Sarvico Feoder,101.600 Amp, S 119 00 Temp. ServicelFeeder 601.1000 Amp . $168.00 S __ Portal 10 Portal Hourly $ 90.00 g Signal Circuit! Limited EnoMy -1 & 2 Family NiAling $ 64.00 _ Manufactured Home Connection $120.00 $ Tw Renowabto Electrical Energy -5KVA System or Less Thermostat $102.00 $ 56,00 r $ Note $5.00 for each addilional T -Slat NEW CONSTRUCTION ONLY; l'irsl 1300 Square i -1. $12000 Each Additiopal 500 Square Ft. or Porlion of $ 10.00 � S Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot I uh $11000 S 5Total Owner as defined by RC1N. 49.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor it above said property is for sale, rent or lease, Permit expires after six months of last inspection, After reading the above statenfent, I hereby certify that 1 am the,, owner of the above earned property or a licensed electrical contractor I ant making the electrical installation or alteration in compliance, with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG, Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specificalions and PAMC 14 05,050 regarding Electrical Permit Applica0uns. 51gnaturs of owner, electrical contmotoror slectrioal administrator-. ❑ cash Cl Check OIJBI12012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , . , , 15- 00000328 Date 4/06/15 Application pin number . , , 732112 Property Address . . 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 6700 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , . . , . Property Use . , , . . . . . Property Zoning . , , , . . . COMMERCIAL NEIGHBOEZHOOD Application Valuation . . . . 0 Application desc Replace existing 4 ton HP Owner Contractor RESULTS; TOSOE BIOSCIENCE INC DITCH DAVE'S HTG & COOLING SRVC INC 3600 GANTZ RD PO BOX 413 GIRARD OH 44420 PORT ANGELES WA 98362 (360) 452 -0939 FINAL --- -__ - -� - Permit . . . . , . ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 56,00 Plan Check Fee .00 Issue Date 4/06/15 Valuation . . . . 0 Expiration Date 10/03/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL -LVT- THERMOSTAT 56,00 Fee summary Charged Paid Credited Due Permit Foe Total 56.00 56.00 OD ,00 Plan Check Total 00 .00 OD .00 Grand Total 56,00 56,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS; INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE1BUILDING V N co