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Home My WebLink About102 1/2 E 1st St - Building a(i ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98](,2 '"'1-'.I:-'............a......ull l~Ul[ll.)(:~r Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning Application valuation U/-UUUUUU~..:I 322521 102 '1/2 E 1ST ST 06-30-00-5-1-3140-0000- ELECTRICAL ONLY uat.e :2./05/07 o Owner Contractor K'O ERICKSON TRUST 234 WHIDBY AVE PORT ANGELES WA 983626542 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES! CIRCUITS UPSTAIRS 93583 ANGELES ELECTRIC 58.00 plan Check Fee 2/05/07 Valuation 8/04/07 .00 o ~ f-l Qty Unit Charge Per 1.00 58.0000 ECH EL-COMM ALT <5 CIRCUITS Extension 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 ~ n , EXPIRED "---- \{ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEi'TJtD COMMENTS , . I YES I NO UU\;t1 RUUUH-lN I \;UVJ;,K rICh -c- I I I GENERAL COMMENTS; PW-II02.U(4'96) t . -,,-, :1~'.~" ,'!'""" \.L" . i L ...;..~ r) -rl- iOi1c9") ROUTING SLIP /) . ~ Certificate of Occupancy to.' $47.00 Certificate/Inspection Fee 11703. DATE Address of Proposed Business /~ ~ 1/ I tn.!'z..- ~. I s+- ..stiR=-," g; Applicant '=i*uLA: cu.:N(~ffA.N. 3:J1:SIGN ) Address -J~~ IS. (~S't-('=--""" - ~cxr k):"""'~ Phone: business4s:2.-'1788"" home ~ New Business ..................,......... Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . , New Building , , . . , . . . . . . . . . . . . . .'. . . . . . . . . . Remodel. . . . . . . . . . , . . . , . . . . . . . . . . . . . . . , , . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ f ?O~l.", ",\:;~Q~ <J~~1~ '-~ ~ - '-<.;;;;.' ( ) ( .........-r ( ) ( ) ( ) ( ) ( ) ~I<A-l>IHG Oeslbr-.:) WR-mV::} €D1'l1N6 / legal Description: lot '1 Block 3l Subdivision N<:?rMa.r\ ~;~ Current Use of Property: u~<,uP(1='T'-. 1o..i'.5 GIRL- ...s-e<::><-1'r Cl'PFr.~ Zoning Classification of Property: ~ ~II~" '>t-= <:. :DL5T1?/r f Brief description of proposed business: WILL THERE BE ANY OF THE FOLLOWING? Construction changes.......................... Electrical changes. . . . . . . . . . . Mechanical (heating, cooling, stoves). Plumbing changes ......................... - <a..'~ ,^'\' New or relocated signs. ~. ... .~~. New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service .. . . . . . . . . Admission charged to patrons. . . . . . . . . . . . . . . Is this a home occupation? ........ Excavation of filling of lots ......... Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? ........ New driveway openings. . . . . . . . . . . . . A grading plan for site drainage. . . . (parking lots, downspouts, etc.) .. Are the existing streets paved? Are there existing sidewalks? . . . . . . . . . . . . . . . Is there curb and gutter? Other........................ . YES ~ ,~ 7_ -~ =-'7 ~ ,/ = ::::z =~ * I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk .B.I.A. 1/;'/0'2> 2 Sf.- Kti\) (2)U I-&~-o ~tVY THE FOllOWING Will BE REQUIRED: ,A 7 JeB I / ~ ~ 0. . G....r.......:....e;~ PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: Signed: Comments / Conditions BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other ./ r o' !li!~Q ,,~ " ~~ ~na" 1b. -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY 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 descr~ption Subdivision Name Property Use Property zoning . . . Application valuation 05-00001083 Date 11/04/05 '032679 102 1/2 E 1ST ST 06-30-00-5-1-3140-0000- ERICKSON TRUST BLDG. Laserea CED SIGNS 1680 Owner Contractor K 0 ERICKSON TRUST 234 WHIDBY AVE PORT ANGELES WA 983626542 JACKSON'S SIGNS & GRAPHICS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457-3703 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN 64642 47.00 11/04/05 5/03/06 Plan Check Fee valuation .00 1680 Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 fl'Vl clleJ o ~ -22-07 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, If construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construCffon t/'v. ~ 11_ tJq _OS Date Signature of Owner (if owner is builder) Date T \Pohcles\1102_15 bUlldmgpenmt mspectlOn record05 wpd [1/4/2005] ~ N '" ~ ~\l1 ~ 1..-"" ~ ~ -\ " . ". .... BillLDING 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. r INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'5 SEPA: P ARKING/LIGHTING ESA- LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W I PWI CONSTRUCTION. R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING o "6fi2/ef1 ~l.L -,...... . _\. tn.... 1C 1......1...1.... , .... .....,.............t .n(,"....pl"hnn TPr:nrrlOS_ wnd r 1/4/20051 PREPARED 8/22/07, 8 48 34 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 102 1/2 E 1ST ST ERICKSON TRUST BLDG. JACKSON'S SIGNS & GRAPHICS K 0 ERICKSON TRUST 06-30-00-5-1-3140-0000- 05-00001083 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL99 01 8/22/07 JLL \( ~ SUBDIV PHONE PHONE (360) 457-3703 DESCRIPTION RESULTS/COMMENTS BLDG FINAL 08/21/2007 02 39 PM LPANGRLE STEVE 457-4441 BLDG FINAL - SIGN (K 0 ERICKSON BLDG UPSTAIRS SUITES) 2 8/22/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- r- Ol'U rnC/) O~ CD Q IJI -. t~! ~ .0 111:i "01.5E ~ ..sl~ tiet ~fJ~ iil~ i~.!l ~ # Sign & installation drawings for ~ K.O. Erickson Bldg 102 Y2)N. First st. Lasered CED CITY OF PORT ANGElES - Construction Plans The Issuance of this permit based upon these plans. speclfi. cations and other data shall not prevent the bUilding official from thereafter requiring the correction of errors In said plans, specifications and other data, or from preventing bUilding operations being carned on thereu~dpr "w,l1el2.iJ1lt and IAla Violation of all codes and ordinances of thiS ~lcW n (SEttler! 41J~{r)~ S~dt.l ;:t.co'!.":I:'1!,c:.... Approval Date ur- By --=' L \. ~~l.~ V~~ ~" ~~ Lead Shield \.0., l~l S-'~ ~ . Brick wall Lead Shield " ~ ~ , ' "~ " , '. '~_~~" _ - ,'J . ~ ~\--;1"~ > j. _ , " ' ',' ", ' , " '..' " , seied App1icantor,A~t;' ',Edcksonc:Trust,BJ,dg,' ",,,, ',,, '~,~q~*, ',':,." ,457~44~1^'."',,,"":, E~:~ , 'r: · I/~,,'v,'- +'" ..,'. ' 457 4441 ' ,,' .'. ,'" ~wner:~J:IC~ rus...." ,,;,:,'~.~,:,"~: ,'__:,", ',: '", " " ,11iqJiei' ,,: ",--= ,,' ,,',;' ',' ',:,>',-:,: " 'Aa~~' ,102E. 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""",.~.,.~~apt-,.." ,', c' ',", , ' , p. ,",,',, :s~(LAU~Oth~;~He:~~~;,~:a~~:tUAA()f~t;~Q; , , ,:' :,,',' ",' "", :" " ", " -'. " ,,' :,~~mATION'OP(~:'RE~: p,no ~f~ iSs~(i,Witbln:t~ ~J!";,Qrth~,,~te;~of;~(?~. ~-app.~~~~~~~~ ~p~, ~~. '}"" ,',:,' 'Sui1ding,.0fficmlcm~~,th&!tjfnffOr iCtion)~ythe~~l4l t(H.8~;days'\~~.n\~:r~~~'by,the,;appli,~(($e,e;$~on;~!~:3~2.. :< ' ", "filieIntema6Oiia1'B...n~'(';J.1D~~;..j"1003') 'bt.~ "'~ '-can'~'~'1fio,:.,tban;on~ ,',,' ", " ,," . ""':,'~-"' : ..,,~, ,;:"~-"'~ , :',.',:~': "''';'',o,a~ ", n,.""'",";"',.,,- \:",:t~t., \: ,~":;:',::,",::.- ",', ',',' , ,.":':'-'""..,~',:: . ' iJib'rcib;~ ffl8t:/:ti,., ~M!' ii;'rfai.,rtl1i8, ":,^ii6at~ litid,\kJiQW,,~,~;to~be;~;~,,~~ii'~~-pzed{~MPiY,for!ttii$:i~e11f,itj~-, 'J.-::, . ' "",'1.." ,'^ . '" .. __, ' ," " ," ,f!I!JI'~, d,.. .., ",__ ,'" '," , ., ",,' --" , '.' pnd..I$iJ4~t'U{'~fflY ~~~,to t{e~~W!iit:~~a,~'l~tJi!!!K6~t1#:Ci!~. ~at(tijt:I'miisUJlJta;{';siJOfi,pemtit6.priot:tO Wt'-!k!' /', :"':'" ':' " ,. ,,': ",::,' ", ': :'~" ',', ,~~~L;.,",:, '/1_'~',_ :L :;;.-' :':',:" :' ,:X 'j";;-' <,; ,; >' ''-'" ,:; '::' '" ;'" ,':',.': ,r :'.'~1:)P~tic~\'$~i,~Q2.;}~:~; .'ApP,~' '~~~~.:(~! ,~,',,~~:~ :',,',.l';(/;{.v~,,;:: :",: :",<,:<',:'~::" ',. , ", ':;, ',--: :-.::: . i", " ".,:.'"" _. -,- "', ~".", _ ,",'~~'>'~: -,~.-":_',,.\-. '; ,. .~-, I '. -'~:, - ,-.~ ,', r o' !It!.'''>,, ~~ " ~\, "na~ ~-- 'l.&l~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY 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 05-00001083 Date 11/04/05 '032679 102 1/2 E 1ST ST 06-30-00-5-1-3140-0000- ERICKSON TRUST BLDG. Laserea CED SIGNS 1680 Owner Contractor ~ N "'" ~ K 0 ERICKSON TRUST 234 WHIDBY AVE PORT ANGELES WA 983626542 JACKSON'S SIGNS & GRAPHICS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457-3703 64642 47.00 11/04/05 5/03/06 Plan Check Fee Valuation .00 1680 \!\m ~ i~ ~ ~ , ....., Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 Pl) (11 ClIJ o ~ -2,2-07 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes null and void if work or construction authorized IS not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construCtion '^^ ~ . ,L /'" I l-tJ..., _o~ Date Signature of Owner (if owner is builder) Date T \Pohcies\1102_15 buddmg pennlt mspectlOn record05 wpd [1/4/2005] \, 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIVISIon) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I , FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \Pohcles\I 102 15R [lI05] ~ ROI ITl }G SLIP ~ · -~ Certific~ ~e, Occupancy ct, $47.00 Ceo :icee/Inspection Fee DATE ' New Business ............................ ( ) Address of Proposed Business ~/;~ L~--//~ Transfer of Business Location ................ ( Ifc~¢1"~..- ~. IS"+ ._~-¢~4~;~-'-r- ..~ Change of Ownership ...................... ( ) Applicant ¢'~M~ ~rt-3~-FF~/~ _~-~:~;;;t%.l) New Building ............................. ( ) Address ~.~'w ,~--. ~o,~-~¢,.%,?.~ ~ Remodel ................................. ( ) ¢~4::::~e.,~- ¢k-~Cc::z~ Temporary Business ....................... ( ) Phone: business,~--%-'~{7~ home '~-~ Change of Use ............................ ( ) Brief description of proposed business: ~'lP-'/:~hL~¢=~ LO ,~-f-r,~)C;;.~ / Legal Description: Lot ~ Block _~[ Subdivision 1'4¢r~,~¢.~ ,.~[~ Current Use of Property: O/--~:~_Jc~Pr~ ~ &J~::~ ~'//2-L~ --~-~t Zoning Classification of Property: __ ~ .~ L~t~.~- WILL THERE BE ANY OF THE FOLLOWING? YES ~ THE FOLLOWING WILL BE REQUIRED: Construction changes ........................... PERMITS BUSINESS LICENSE Electrical changes .............................. V''/ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. v/' 2) Plumbing 2) Peddlers Plumbing changes ............................. ~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ~,%~...~) ~ 4) Mechanical 4) Pawn Broker New septic tanks ....................... ? ...... ~ 5) Sewer 5) Dance New sewer service .............................. ~_ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons .................... ~' 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... ~_ 8) Curb installation 8) Ambulance Excavation of filling of lots ........................ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way .................. ~/' 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... / -'. ~ 11) Fire New driveway openings .......................... ~ t2) Occupancy A grading p~ao for site drainage ................... V~., 13) Sign (parking lots, downspouts, etc.) ..................~- 14) Shoreline Are the existing streets paved? ................... ~7~ -- 15) Home occupation Are there existing sidewalks? .....................t~ 16) Conditional use Is there curb and gutter? ........................ 17) Other Other ......................................... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: knowledge.inf°rmati°n I have supplied is correct to the best of mySigned: ~Z::~,=~.~%~___~,_~,., ~y/ REJECTED C omments/ConditionB Y'~' ,/-~'~ . . Building Section Public Works Department Planning Department Fire Department CityC,erk z/R.B.I.A. 1-17-207 5,35PM FROM ANGELES ELECTRIC INC 360 452 9265 P_ 1 Job wired by S'~' .. ~'> ~""! .. " "'Ii" ELECTRICAL WORK PERMlT APPLICATION DOwner lnstallu~sCTiption ~mmercial a Resideatial PUJ'chaser's mailing add!cs.s ANGELE~'ttttf#fC, INC. Date 'xpi,e, 52-' EAST FIRST PORT ANGELES. WA .98362 1:1 New o AlteredJ Addition Electric~l COlllractoc name City State ztP ~ ~Pr~ Tdephone number FAX number Premises ~wne"'.s~e, . . , IJ, Addrcn D~ /:1:t-a ~ City ~~ ~t!- &, h-es'/ S~ ?/I- Phone number t.u .5icl~ ibSpt;ctionySZ_ 9~71 OWI'l("1' (l.t deJi1led by RCw./9.28.26/:(J) Owna will occupy ihe $Iructure Jor rw" yeun after: fhis (!lectrlCIl! per",U is f(JJalizl.>d. (2) Own~ is required to hire an dcctricul Cf)lItraClf)r if af)ove said properry i.~ for sah-. rent Qr lC'(JSl', Aller ro:adhig the above ~tatCl11C11t, I hereby certify that I am the tlwner of tbe above nsml.-d J'lrnpcny or :l. licensed electrical controlctor. I am making the electrical instal- lation or ultcruuon in compli<lm;c with the ~lcctric31 laws, N.E.C.. ReW. Chapter 19.28. WAC. Chapter 296:"'4fiB. The City of Port AnHcles Municipal Code. and Utility S'Pecifications. ncr, eled o Casl~Check# ~il Card Visa Mastercard Discover Card # _____01V' __fiL&-o____ r or eleclrical administrator Expiration Date of card ~nsP'~~ Se,:rvice Information Vonago ~ </jJ Phase ~F~ Service Si..: 1. Feeder Size: ~_ x . Ele all.m!QAlIlID o LOAD CHANGES 1:1 Sas.board KW Q Fumace ~._. KW o Heat Pump Ton 1:1 Fan-Wall KW , t i n LAI1 ~'seNlce o Temp Service o Underground Ssrvks SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4]7-4735 ,.- ROUGH-IN THERMOSTAT I' SERVICE 0"1': .~~ 1)4tc Aflpm..cdBy '-- 0;14: - N.'\>l'O'~ Foy FINAL DCfCH FEEDER Dllte AW"(wcoJSy"'/ I)Ale ^I'P'"'Ved~y ./ "- Dille A,p1"","ClIfly.../ Il"lSpi;\vticIIl Area, Building or Equipment Jn1<;pc::clc::d Actj\Jn T"k~n tHecmc:al Date lll.)pc~tor -- -- . nA"> ()\ plV . Vl'-r . . !""'-''1 . - ..t7fjrJ- 1/ Ii 9 /0 -, liih , / f "~o'f pORT -1""G .!;,.~~'" ~ha{ ~-- "tS[~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zon1ng . . . Application valuation 05-00000580 Date 877000 102 1/2 E 1ST ST 06-30-00-5-1-3140-0000- PUBLIC WORKS UTILITES 7/11/05 a; l U) ~ C>' o Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date . RIGHT OF WAY RUP # 05-23 54114 70.00 7/11/05 1/07/06. Plan Check Fee valuation .00 o I i L- ~ I ~'\~ i "'!: ~~ i - 1- I~ i ill~ I ~ 1 i I I i I i i I I I Owner Contractor K 0 ERICKSON TRUST 234 WHIDBY AVE PORT ANGELES WA 983626542 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452-5381 Qty Unit Charge Per BASE FEE Extens10n 70.00 Fee summary Charged Paid Credited 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 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and publiC Improvements. This permit becomes null and void if work or construction authonzed 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 Authonzed Agent Date Signature of Owner (If owner IS builder) Date T \Pollcles\1I02 15R [1/05]