HomeMy WebLinkAbout933 E 1st St - Building Building Permit
933 E 1St St
15 - 1070
CTHEITY opoRTANGELES
FOr City Use
7
WASH IN G T O N , U . S .
Permifi# 7�
Date Received: g--4-,1-/(
321 East S" Street
Port Angeles, WA 98362 Date Approved 71 L (r---
P:
r�P: 360-417-4817 F: 360-417-4711 �7
permits@cityofpa.us
Building Permit Application
Project Address: �33 e Lr / .
Main Contact: c/o KiaI— i'6oi,s Phone # 3(,o - y-17- 8 S 4-c
koDI LL/AA4S kvdi. I kv&4sgelwh� - . opt E-Mail: (C)_3670 — 1? - 13 17-
Property NamePhone
l-kOWAY-PS \/EN
Owner Mailing Address Email
G753 Mo i2,D
City State Zip
< EC II9 X83 ?z wA 7V3 ��
Contractor Namepem//S(4,(G `lea / C Phone
3G0 68I - 3 333
Mailing Address 7 Email
/d 'o. 'vi< 7.3 pefi,,ASG.--(4Haok. -Copt-
City / r'l bort' r A • State VV /4 Zip
7e ? zy
Contractor License# e N/N' • 0 ii-Y0 W, - / Expiration: 10 I �t I I
$roject Vain n ,go Zone g. 0(p Parcel o�0a2 600060 Lot
l�J ) —
Type of Residential 0 Commercial Industrial 0 Public 0
Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0
For the following,fill out both pages of permit application:
New Construction 0 Remodel 0 Addition 0 Tenant Improvement 0
Mechanical qi Plumbing 0 Other 0
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathroom:
Yes 0 No 0 I F ��
Project CL-1, 6h -a+
A Yv_c-1) h.•e ct �- rho r►'t 1>S l O Com. usl
Description
FJ)N lkc- rob
I have read and completed the application and know it to be true and correct.I am authorized to apply for thi
permit. I understand that it is my responsibility to determine what permits are required and to obtain permi
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the applicationbefore the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will I
considered abandoned and the fees forfeit.
Date Print Name Signature
S I
14 fro I «
o �
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
_ LotlSite Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct
Furnace Heat Pump Size: 3r # Ventilation System
Forced AIIJnit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
. ,
cifirr -PORT ANGELES
-
DEPARTMENT OF COMMUNITitWs . OIsIOMIC DEVELOPMENT-BUILDING DIVISION
.,..4 ......4./
321 EAST si*iitiogit fiowt AN43ELES,WA 98362
-•
-- Application Number • 15-00001070 _ -, Date 8/24/15. - _ ..,. .
Application pin number . . 253960 REt)RT SALES rAX
Property Address 933 s_lor ST- - --:- . -
: '. ASSESSOR PARCEA„MteetER: --. -06,30-Q077.,2,026S-Roos- • on your state excise tax!bim
- Application type description COMM MECHANICAL PERMIT
-
Subdivision Nese to the City of Port Angeles
.
, - Property Use . . ' fLoOlition Click
, - 0502)
Property Zoning . .' . '. . . C0141411ECIAL ARTERIAL' ' —
. •,.
Application valuation . . . . 6578
-".-
•• .• Application desc - . . -- - _
' ,• :,.•, 2 rooftop mounted beat Pump units - . :-.:' :
,... .
Owner Contractor
, •
HOWARDS vsarrusss PENINSULA HEAT INC . ,..,_ . . ..„
253JPASOLA RD ' -18I TraTefikilDXtA AD ' ,
.„.
st*am WA 98362 SEQUIN WA 98382
1360) 601-3333
--..-.= •
: .
Pereit. MECHANICAL PERMIT
• -i
,,-, Additienal desc . . 2 3TON ROOFTOP-14NT HP UNITS
'!..: • Permit Fee . . . . 79.60 iPlan.Cheink Tee . . ,00 . :-. .... ;-2 ,"2, -T--1
,:,;, Issue Date . . . . 8/24/15 valOatkpn . . . .
...,,
Expiration Date . - 2/20/16 • -., 0 . ' ••--.'''
,• • , N, ,
s -„-iQty Unit Charge Per Extension -. . '
'1444Wi. - EASE FEE 50.00 •
00,-- - - 14.8000 SA— MR-IMALSMPAPAU < OR . 5---TON 29.60 • -
FeetsUieniT Charged Paid . Credited Due.
7j. Pewit Fee Total 79.60 79.60 ' .00 .00 ' --- ' ' = -`,..• t . T':'-?-;• -
Pleat Check tibtAl .00 .00 .00 .00 , . „,„ ....,
t-s_44 4'1 Grand Total 79.60 79.60 .00 .00
, .-,- .... --... -• . ,
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*pirate Permits are rettOkildfcsitedittittwork.SEPA,Shoreline,ESA.utilities,private and cnthric ihiptit0AiMents,ilthipinwdtbaitAtilltes
,.„:.. • _.., ,, ,,,
'hull and void If work or conettoctletti$VcditrAnfLud.. Althi .,:filrix,If'S9r,ItNClik."!t,„- ..„,•-:,-,,'',, •• :,---*.- -.-. •„,.--- .'-_. '
**Period _bt.180 dlYAoltetlf*".YOIiii..*:0OlStlei*.j'Or itligkikl***1041100111 tilivilibt-: : .,,,'•'- :-.:• ,..,_7.,'.!4-:.!,-)411111,410L-A,.:.'las.
..... , .
last Inspection. I hereby Mirtify that I havOreadiind examined this application and knowthe amnia tOlid"thieitOd -=',All
of laws and or*anciiiikwi*Oig this type of work will be complied with whether specified herein or nOt.- IttelifliffittittAta-P,1114igeli
EN not:presume to give aulhodtyió viotite-or tiricelihe Provisions of any state Or local law regtiatkig tottstrudifori or 21 the:peitintahte'of
"0 cohatruttion.
,
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;1- ‘ ''S'fl-ici•in.7 —
. . .
,
\t6 Date " Print Name.' Stristure of Coitrattor or Autlisitied Agent Signature of(hsiter(tolinisi4beadeo,' -„.-
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1' l rj /
PREPARED 8/31/15, 9:22:13 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/31/15
ADDRESS . 933 E 1ST ST SUBDIV:
CONTRACTOR : PENINSULA HEAT INC PHONE : (360) 681-3333
OWNER . . : HOWARDS VENTURES PHONE :
PARCEL . . : 06-30-00-7-2-0260-0000-
APPL NUMBER: 15-00001070 COMM MECHANICAL PERMIT
PERMIT: ME 00 MECHANICAL, PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 8/31/15 LL MECHANICAL FINAL
August 31, 2015 9:18:27 AM jlierly.
cody 912-1317
COMMENTS AND NOTES
Certificate of Occupancy
933 E 1St St
12 - 1303
Q-, -O
w t
CERTIFICATE OF OCCUPANCY
City of Port Angeles - Building Division
This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building
Code certing that at the time of issuance this structure was in compliance with the various ordinances
of the City regulating building construction or use for the following:
Business name: LOWER ELWHA KLALLAM COUNCELING SERVICES
Business address: 933 E 1ST ST 6
9 Business owner: LOWER ELWHA KLALLAM TRIBE
Business owner's address: 2851 LOWER ELWHA RD PORT ANGELES, WA 98363
Automatic fire sprinkler system: N/A
Use & occupancy classification: Business
Occupant load: Per 2009 IBC, Table 1004.1.1
Type of construction: VB
. .� . .` 11/2/2012
Sue Roberds, ' •nning Manager Date
Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official.
V
• O<>C JO
e�caerPermit# 1 - Iq.til� CERTIFICATE OF OCCUPANCY APPLICATION �S
creAI CITY OF PORT ANGELES FEES
' $50 Certificate /Inspection
Attn: Permit Technician
NOMPF321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360)417-4711 fee charged for Downtown locations
iozjyub/ PLEASE PRINT IN INK
Check one: New business in P.A.?'E Change of ownership only? Moving' location from within P.A.? Zoning
BUSINESS NAME .$ ��1� I II UI A 411 � ..w
Business address / Mailing address ski
Phone number Opening date Days & hours of operation MON- fLI g:OD- 5'60
Business owner's name COU202 SUA.,/1-nq Ktifl..U31'l 7/ Contact phone?�l,Q1.)-UZ &1-171
Business owner's address , 1 U31 12 Wtfl4 1O1 1 (.(FS q- *-361.3
Brief description of business Cit /C F 7 E7
OUD1 (I `��C�F�TII/l
•
Property owner's name t/./ V,�.A'✓('�'_ j4• tact_ohone
Property owner's address/contact_
•
BUILDING DEPARTMENT phone 417-4815 Bldg approval by t LL on
Is the business a restaurant or bar that will seat 50 or more people? Yes\ No ❑
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by 'G' on t fl-I c-e—
Changes to a fire sprinkler system or fire alarm system? Yes ❑ NoX
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA notified on
Is business moving within the PBIA? Yes No
CITY CLERK phone 417-4634
City Clerk approval by on
Second-hand dealer/pawnbroker business?Yes No
Will there be dancing at this business?Yes ❑ No
lA
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUNITY 8 ECONOMIC DEVELOPMENT phone 417-4750 CED approval by .5 /. on 40041. s
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PWE approval by on
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling, work in City right-of-way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes ❑ No ;
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWWapproval by on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes D Nor
If yes, what will be discharged:
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of
permit. �`
`-Date /0/4 ��' Print Name ���/�x-�1J (��IiZ Z-//��r4.T Signatur �.J�
y
T\Forms\Building Division\Certificate of Occupancy Application(2010)doc
ge2of2
9
• a.
LEASE AGREEMENT BETWEEN
HOWARD'S VENTURES,LLC
and the
LOWER ELWHA KLALLAM TRIBE
r(M
THIS LEASE,is made and entered into this/aia day of September,2012,by and between HOWARD'S
VENTURES,LLC,a Washington Limited Liability Company,hereinafter referred to as either"Landlord",
"Lessor"or"Owner" and the LOWER ELWHA KLALLAM TRIBE,hereinafter referred to as either
"Tenant", "Lessee" or"Purchaser."
WITNESSETH:
1. PREMISES: Landlord hereby leases to Tenant and Tenant hereby leases from Landlord the premises with
a street address of 933 East 1st St.,Port Angeles,Washington 98362 and legally described in Exhibit A.
Included in the lease are the furnishing identified in Exhibit B and the telephone system.
2. TERM AND OPTION TO RENEW: The initial term of this lease shall be for a period of FIVE YEARS
(5)years,commencing on October 1,2012,and ending on September 30,2017. Lessee shall have the option to
renew this lease for an additional five year period on the same terms and conditions except that the rent for the
succeeding term shall be negotiated by the Landlord and the Tenant at that time. Tenant shall exercise the
option to renew by providing written notice to the Landlord of the intent to exercise said option no later than
one hundred eighty(180)days prior to the expiration of the original term. Unless Landlord and Tenant agree in
writing on the fair market rent for the premises within sixty(60)days after Tenant sends its notice of intent to
exercise to Landlord,the renewal shall be null and void.
3. RENTAL AND REAL PROPERTY TAX REIMBURSEMENT:Tenant agrees to pay Landlord as rental
for said Leased Premises a monthly rental of Thirteen Thousand Five Hundred Dollars($13,500.00)in lawful
money of the United States in advance of the 1st day of each and every calendar month of the lease term,
without deduction or offset. Said rental shall be paid to Howard'Ventures,LLC 253 Fasola Rd.,Sequim,WA
98382 or at such other place as the Landlord may hereafter direct.If a monthly rental payment is received
PAGE 1
PREPARED 10/08/12, 10:35:42 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/08/12
ADDRESS . 933 E 1ST ST SUBDIV:
CONTRACTOR : PHONE
OWNER . . : RHETT HOLDINGS PHONE :
PARCEL . . : 06-30-00-7-2-0260-0000-
APPL NUMBER: 12-00001303 CO- CHANGE OF OCCP/USE
PERMIT: CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
CO1 01 10/08/12 J.. BLDG C/O INITIAL INSP
�� * OVERRIDE TAKEN BY PERMITS DATE: 10/08/12 TIME: 10:34:25
11\ October 8, 2012 10:34:52 AM permits.
brandy 808-1092
COMMENTS AND NOTES
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362
(360)417-4815 fax (360) 417-4711
,
,
For City Use Only:
Date Received .;l.-23-o~
Permit#~
, ate Approved~
Pho e
Phone
Parcel Number
PROJECT ADDRESS
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
~ign
o Heat System
o Other
Lot
Zoning
o Residential
jl Commercial
o Multi-family
o Industrial
~all-mounted 0 projectingao/\ 0 freestanding 0 awning
Total sl n area 61 s. ft.eD.&1Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (Sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
1st Floor
2nd Floor
3'd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ u,lno
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
sq. ft.
ft.
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
Occupancy group
Occupant load
Construction type
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 is my responsibility to determine what permits are required, and to obtain permits prior to working on
projectst J C. M /7, YV~
Date~ (;;15 ()~ Print Name IN-! /'J I e.. a..j e. V Signature <.!../MAu. tJ II -...tA-
T:Forms/Buifding DivislonJBldg Permit Appl.-2006 Code.doc . .
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/Jf~L 17frz oJ-/) I!'ff,v'C5 {JJ'i4-"ic MISS,,,,,'} /f>O'.l> nh ~~
{Ull.-g "!'.,zu;y (2.,~;"y" ~
.'.:t'}"I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
08-00000124 Date
068924
933 E 1ST ST
06-30-00-7-2-0260-0000-
ELECTRICAL ONLY
5(08(08
COMMERCIAL ARTERIAL
o
Owner
Contractor
JACE REALITY
P.O. BOX 2437
PORT ANGELES, WA.
PORT ANGELES
WA 98362
ANGELES COMMUNICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
ANG. COMM./ VOICE DATA
120014
ANGELES COMMUNICATIONS INC.
51.00 plan Check Fee
1/31/08 valuation
8(17(08
.00
o
~
~
~
Qty Unit Charge
1.00 40.0000
1.00 11.0000
Per
EL-LOW VOLT SYS <=2500 SQFT
EL-LOW VOLT SYS >2500 SQFT
Extension
40.00
11.00
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 51 .00 51.00 .00
plan Check Total .00 .00 .00
Grand Total 51 .00 51.00 .00
Due
.00
.00
.00
"
,
"-
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~
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.
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. CJ?Y AI
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.--.
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:([OlJtIdSNI : SllDSffif :3:lVa aMl
lVJllilJdltI NOIIJ3:dSNI
-
~
ELECTRICAL PERMIT A1VD INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
':
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name
Property Use
Property Zoning
Application valuation
08-00000431 Date
719365
933 E 1ST ST
06-30-00-7-2-0260-0000-
ELECTRICAL ONLY
4/n/08
COMMERCIAL ARTERIAL
o
Owner
Contractor
Jace Real Estate
933 e 1st
PORT ANGELES
WA 98362
HANSON SIGN CO.
PO BOX 928
SILVERDALE, WA.
SILVERDALE
(360) 613-9550
WA 98383
Permit ELECTRICAL SIGN PERMITS
Additional desc
Permit pin number 124420
Permit Fee 51.00 plan Check Fee .00
Issue Date 4/11/08 Valuation 0
Expiration Date 10/08/08
Qty Unit Charge Per Extension
1. 00 35.0000 ECH EL-COMl"J-lST SIGN 35.00
1. 00 16 :0000 ECH EL-COMM-ADD SIGN 16.00
~
d
Fee summary Charged
Paid
credited
Due
~
Permit Fee Total
Plan Check Total
Gl"and Total
51.00
.00
51.00
51.00
.00.
51.00
.00
.00
.00
.00
.00
.00
.
........
\V\
't
[NSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
.
DITCH
,
SERVICE
ROUGH - IN
03 jo l> AfP AcQ
FINAL
,
.
COMMENTS:
Application Number 08 00000168
Application pin number 845624
Property Address 933 E 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 7 2 0260 0000
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Owner Contractor
RHETT HOLDINGS
P 0 BOX 2437
PORT ANGELES WA
PORT ANGELES
WA 98362
Signature of Contra or or Authorized Agent
T•\Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Date 2/08/08
CRAFTSMAN FINE HOMES LLC
PO BOX 1779
PORT ANGELES WA 98362
(360) 461 0606
Permit RIGHT OF WAY
Additional desc
Permit pin number 120634
Permit Fee 50 00 Plan Check Fee 00
Issue Date 2/08/08 Valuation 0
Expiration Date 8/06/08
Qty Unit Charge Per Extension
1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00
Fee summary Charged Paid Credited bue-
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 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 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
c r ctio
Date Signature of Owner (if owner is builder) Date
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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/051
PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
DATE
ACCEPTED
YES NO
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
RHETT HOLDINGS
P.O. BOX 2437
PORT ANGELES, WA.
PORT ANGELES
WA 98362
Permit
Additional clesc
Permit pin number
Permit Fee
Issue Date
Expiration Date
08-00000140 Date
446100
933 E 1ST ST
06-30-00-7-2-0260-0000-
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
o
Contractor
,.
2/04/08
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES WA 98362
(360) 452-2727
ELECTRICAL NEW COMMERICAL
HI TECH SECURITY
120261
73.00
2/04/08
8/02/08
Qty
1. 00
3.00
Unit Charge
40.0000
11.0000
Per
plan Check Fee
valuation
EL-LOW VOLT SYS <=2500 SQFT
EL-LOW VOLT SYS ~2500 SQFT
Fee summary Charged Paid
----------------- ----------
Permit Fee Total 73 .00 73 .00
Plan Check Total 00 .00
Grand Total 73. 00 73 .00
!
Credited Due
.00
.00
.00
.00
o
~
~
~
Extension
40.00
33.00
~
.00
.00
.00
.
..........
\1.1\
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INSPECTION ELECTRIC.AL
TYPE DATE: RESULTS: INSPECTOR:
I
DITCH
SERVICE .
.. .. ".
d)~g A,P , Ad)
ROUGH - IN
s)3}S '~ AcD
FINAL
.
::::OMMENTS:
_._-~;--;:----'---~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name
Property Use
property Zoning
Application valuation
Owner
JACE REALITY
P.O. BOX 2437
PORT ANGELES, WA.
PORT ANGELES
WA 98362
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
08-00000124 Date
068924
933 E 1ST ST
06-30-00-7-2-0260-0000-
ELECTRICAL ONLY
1/31/08
COMMERCIAL ARTERIAL
o
Contractor
ANGELES COMMUNICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
ELECTRICAL NEW COMMERICAL
ANG. COMM./ VOICE DATA
120014
51.00
1/31/08
7/29/08
Qty
1. 00
1. 00
Unit Charge
40.0000
11.0000
Per
plan Check Fee
Valuation
.00
o
EL-LOW VOLT SYS <=2500 SQFT
EL-LOW VOLT SYS >2500 SQFT
Extension
40.00
11.00
Fee summary Charged Paid Credited Due
-------------.--- ---------- ---------- ---------- -------
Permit Fee Total 51 .00 51 .00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 51 00 51 00 .00 .00
i
~
~
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~.
i
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I
INSPECTION ELECTRlCAl
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
-- -
;..n~ 0<5 ,4yO )-to
ROUGH - IN
S-~/1-o8 q AcQ
FINAL
COMMENTS:
~)
y
~
.
,
,
.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
property Zoning
Application valuation
08-00000012 Date
367244
933 E 1ST 8T
06-30-00-7-2-0260-0000-
ELECTRICAL ONLY
1/08/08
COMMERCIAL ARTERIAL
o
Owner
Contractor
RHETT HOLDINGS
P.O. BOX 2437
PORT ANGELES, WA.
PORT ANGELES
WA 98362
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 118497
Permit Fee 175.00 Plan Check Fee .00
Issue Date 1/08/08 Valuation 0
Expiration Date 7/06/08
Qty Unit Charge Per Extension
1. 00 175.0000 ECH EL-COM ALT 201-600 SRV FDR 175.00
~
W
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
\'\
.........
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INSPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
.. .- ... ..
I ;j/9j()B AP ~
ROUGH ~ IN
sj; % 8 Ar' t4t-D
FINAL
IlotJBJ tJ.>e..oJ.{"'~ B $flL.v~~ lb.
.~ ttf ,u ,
20MMENTS:
.
_.","-.~-..------,--_.,.;'_..".............._..,-~ -. _=.~_._e-'_-> . .. _ _ ~_- _ _ . .. ~
.-.c.;. _-.:~ .__-==.:........... __ .... .-..::.=---=.:._~.::.. ..:.:.-==-=-- ~ . __. __-::~n.::. :.. __ .. ._.._~_~
~
C E RT~EA""'E;fi;~~Jf;jr.tl:- U PAN CY
Oity4F~ort A~~~,~J>'Bbliain'9>. (,D~' .ision .
V ~
This certificate is i.\."'el'~nt'!,?the requirements of Section 1 10 o.;;he 21J ~/nternational Building Code
certifying that althe t2n~lfJAi%:4~~9~fliHP,!J!~e was in cOlllp.liqIJ.f' with the v"'tJriolls ordinances of the City
regulating building c nst~~!fti~~i~~mse~-ZO~l(!g.~~\.. \
Business name: ~,;;~'.~~;"tf'Rea~~"~~'!~'pi~c,tgo:V~er.:.~.<.R 'm.~...tr'I.H<11...ldingS)
::@-i'l<;O,>";;,-- <'" " " ,",:":"'r~~l '"'
Business address: .i 3,3~E'11 51 S1. " 'J~~ace,;& Eileen Schmitz
Property owner,' Rhett Holdililgs. ' ',yJ'
Property owner',\ ,.f' PO Box 24~~.Jlge es~\i7V,:4.',983621'
Automallcjire spm~lr'ilB;stem: Per IB
Use & occupancy cl&s't'(Jll1I1ion Busimes
~""'- '
Building permit num . r, '
Type of construction: ~ IB@
Occupant load: Pe I -
05-29-08
Date
~Ha I not be removed except hI' the Building Official.
\i\Cl\ \~
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDrNG DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 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
07-00001212 Date 12/06/07 , c~. OOe>
702640 ~ l) t'I'- ,... -..-1:0 0
933 E 1ST ST \>2bS , 6-\- ~~ '...."2- O.~
06-30-aO-7-2-~O-0000- (;,o'\--re- DO'
JACE THE REAL ESTATE co. 6 to ~O , "Z-I ,,,,I c7
COMM ADDITION ~
COMMERCIAL ARTERIAL
678650
Owner
Contractor
RHETT HOLDINGS
POBOX 2437
PORT ANGELES
CRAFTSMAN FINE HOMES LLC
PO BOX 1779
WA 98362 PORT ANGELES WA 98362
(360) 461-0606
HARD SURFACE AREA
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
REMODEL BLD/ADD
113605
4110.50
12/06/07
6/03/08
- COMMERCIAL
CANOPY
plan Check Fee
Valuation
2671.83
678650
Qty
Unit Charge Per
179.00
BASE FEE
4.7500 THOU BL-500,OOl-lM (4.75 PER K)
Extension
3260.25
850.25
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
116731
93.80
12/06/07
6/03/08
Plan Check Fee
Valuation
.00
o
Qty
Unit Charge Per
1. 00
4.00
14.8000 ECH
7.2500 ECH
BASE FEE
ME- INSTALL 100- FAU
ME-VENT FAN
Extension
50.00
14.80
29.00
Permit PLUMBING PERMIT
Additional desc
Permit pin number 116749
Permit Fee 142.00 plan Check Fee
Issue Date 12/06/07 Valuation
Expiration Date 6/03/08
Qty Unit Charge Per
BASE FEE
9 .00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. SLDG SEWER
1 .00 7.0000 ECH PL- EA.WATER HEATER
.00
o
-<'-
/~
~. '7
:'--7
00 Y
<;?
Extension
50.00
63.00
7.00
15.00
7.00
Special Notes and Comments
December 3, 2007 11:40:44 AM sroberds.
The proposal will result in the remodel of an existing
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. 1 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 cancelnrovlSlons of any state or local law regulating construction or the pertormance of
co~t:c/tin ~u3IZ;LT\J () 1f1rJD~ xJd~
Date Print Name Signature of Con ractor or Authorized Agent Signature of Owner (if owner is builder)
T:Fofms/Bllilding Divisionmuildi~g Permil (IO/OI/07),wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 I ACCEPTED COMI\'IENTS
I YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE 8LDGS.)
PLUMBING
UNDER fLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO SLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SE.'\L
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR W ALLfHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I I I
I'vIECHANICAL
HEAT PUMPI FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET! CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTI NG ! SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT I,"s SEI'A:
J'AllKING/L1GHTlNG ESA:
LANDSC,\PING SHORELINE:
FINAL INSPECTIONS REQUlHED PRIOR TO OCCIJPANCY/USE
RESIDENTIAL DATI~ YES NO COMMERCIAL OATE ACCEPTED
YES ,"0
ELECTRICAL - UGHT DEPT. 417-4735 ELECTRiCAL
LlGHT DEl'T
CONSTRUCTION R.W.! PW/ CONSTRUCTION - R. W.
ENGINEERING 417-t1807 PW J ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DI~PT.
BUILDING 417-4815 8\J1LDING
T:Forms/13uilding DivisiolllBlIilding l'ermit (IOIOI/07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00001212
702640
Page 2
Date 12/06/07
Special Notes and Comments
structure in the CA zone. The structure has been
intermittently occupied for some time and site development
is required along the Washington and First Street frontages
with regard to sidewalks and landscaping. Landscaping will
be accepted within the parking strips rather than on-site
due to existing impervious site development.
October 31, 2007 9:18:25 AM kdubuc.
If building is to be sprinklered, separate fire sprinkler
plans are required for review.
2) If fire alarm system is provided, separate fire alarm
plans are required for review.
3} A KNOX box will be required for this occupancy. Contact
the Fire Department for KNOX ordering information and box
placement requirements.
4) Fire extinguishers will be required per International
Fire Code.
5} Address numbers will be required for the building.
Numbers must be at least 6 tall, readily visible from the
street and of a contrasting color from their background.
6) Means of egress may not pass through kitchens or storage
areas. Exit 126A is accessed through the kitchen.
October 26, 2007 11:00:14 AM sroberds.
No land use issues anticipated. Lot coverage is maxed.
Electrical load calculations and elctrical permits are
requi red.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Construct driveway and Sidewalks to City Standards. Remove &
replace curbs & sidewalks from eastern existing driveway
along 1st Street to Washington St. Remove & replace existng
ADA ramp to current standard at 1st Street & Washington St.
Install sidewalk along Washington St. from 1st Street to
alley. Repair damaged asphalt at curb gutter along 1st
Street. No concrete with exposed aggregate allowed in the
City road right of way. An inspection by Public Works
Engineering is required prior to pouring concrete.
Other Fees
STATE SURCHARGE
4.50
Fee summary charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 4346.30 4346 .30 .00 .00
Plan Check Total 2671.83 2671 .83 .00 .00
Other Fee Total 4.50 4 .50 .00 .00
Grand Total 7022.63 7022 .63 .00 .00
Separate Permits are required for~lectrical 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 thai 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 wilh whelher specified herein or not. The granting of a permil 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.
Dale
'Print Name
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:Forllls/Building DivisionlBuildillg Permit (10/01/07).wpd
BUILDING PERMIT INSPI~CTION RECORD
CALL 4] 7-48] 5 FOR BU]LD]NG ]NSPECT]ONS. CALL 4] 7-4735 FOR ELECT]{]CAL ]NSPECT]ONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UT]LlT]ES
PLEASE PROVIDE A M]NIMUM 24 HOUR NOT]CE. /TIS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERM]T CARD AND APPROVED PLANS AT JOB SITE
o
--J
. --
\;'l
-
INSPECTION TYPE DATE I ACCEPTED CO,\I,\IENTS ~
I n:s I NO
FOUNDATION: Ph'n-f\1s O\-2-4-ol? ~LL
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRt\JNAGE j DOWN SPOUTS
PIERS
POST HOLES (POLE SLOGS.)
PLU,\lI1ING
UNDER FLOOR I SLAB ?-I-D8 pp,
ROUGH-IN 'J -I-A'?; PI3 ,-
WATER LINE (METER TO BLOG) ;2. -J q-o~ -rU.
GAS LINE F1NAL5-13-~g DATE ::J LL-- ACCEPTED BY:
BACK fLOW I WATER
AIH SEAL 2-1'1-015 :Jet--
WALLS
CEILING I
FRAi\'IING ? ,IQ-O g 0LL ~
JOISTS I GIRDERS v:>
SHEAR W ALLIHOLD DOWNS vJ
WALLS I ROOF I CEIUNG
DR YW ALL (INTERIOR BRACED PANEL QNt Y) fi\
T-BAR
INSULATION ;2.-2.':)-tl8 ~IL
-
SLAB I '^
W ALL I FLOOR / CEIUNG I +
MECIIANICAL r-OU.9h-.'n (Y\ed'l4n,'ud J"u_ ;2-1'/-08
HEAT PUMP I FURNACE I DUCTS *
GAS LlNE
WOOD STOVE I PELLET I CHIMNEY FINAL O!J, 13 - 08 DATE -::r (....L.-- ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
1\,IANUFACfUHEU IIOMES
FOOTING I SLAB ~
BLOCKING & HOI.D DOWNS
SKIRTING
PLANNING ])1':1''1' SEPAI{ATE PERMIT II's SEPA: ,
I'AHKING/LIGIITING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUll~EI) I'RIOR TO OCCUPANCY/USE
RESIDENTI,\!. DATE YES NO COi\Ir-.IERCIAL DATE ACCEPTED 0-
YES NO ~
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT OEPT
CONSTRUCTION R.W. / PWI CONSTRUCTION -R.W. ~~
ENGINEERING 417-4807 PW I ENGINEERING
FIRE <117-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT. --' ~
:t--
BUILDING 417.48]5 BV1LDING .H(A~O!? ::n...L, ~
T:FonmlBllilding,Divisiorv'8t1ilding Permil (l~jO lf07).wpd
:s
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITlES DIVISION
321 EAST 5TRSTREET, 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
07-00001212
702640
933 E 1ST ST' 02.60
06-30-00-7-2-~O-OOOO-
JACE THE REAL ESTATE CO.
COMM ADDITION
Date 12/06/07 , ~
{) ul'" \<,:
Corv-.e.ct r I'l. '2- 02bO
O,,~O 001
YJf i 2./.C( I 0"1
0000
COMMERCIAL ARTERIAL
678650
Owner
Contractor
RHETT HOLDINGS
POBOX 2437
PORT ANGELES
CRAFTSMAN FINE HOMES LLC
PO BOX 1779
WA 98362 PORT ANGELES WA 98362
(360) 461-0606
HARD SURFACE AREA
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
116558
50.00
12/06/07
6/03/08
Plan Check Fee
Valuation
.00
678650
Qty
1. 00
Unit,Charge Per
50.0000' ECH
RIGHT OF WAY PERMIT ~.
Extension
- 50....:00
--------.------------------------------------.------------------------
. .' . .._ C" '.,
Special Notes and Comments
December 3, 2007 11:40:44 AM sroberds.
The proposal will result in the remodel of an existing
structure in the CA zone. The structure has been
intermittently occupied for some time and site development
is required along the Washington and First Street frontages
with regard to sidewalks and landscaping. Landscaping will
be accepted within the parking strips rather than on-site
due to existing impervious site development.
October 31, 20079:18:25 AM kdubuc.
If building is to be sprinklered, separate fire sprinkler
plans are required for review.
2) If fire alarm system is provided, separate fire alarm
plans are required for review.
3) A KNOX box will be required for this occupancy. Contact
the Fire Department for KNOX ordering information and box
placement requirements.
1) Fire extinguishers will be required per Internat~onal
.Fire Code.
5) Address numbers will be required for the building.
Numbers must be at least 6 tall, readily visibTe from the
street and of a contrasting color from their background.
6) Means of egress m~y not pass through kitchens or storage
areas. Exit 126A is accessed through the kitchen.
October 26, 2007 11;00:14 AM sroberds.
Separate Permits are required for eleclrical work, SEPA, Shoreline, ESA, utilities, private arid public improvements. This permit becomes
null and void if work orconstruction authorized is not commenced within 180 days, if cQnstruction or work is suspended or abandoned
for a periQd of 180.aays after Ihe work as commenced, or if required inspections have nOlbeen requested within 180 days from Ihe last
inspection: I hereby certify that I have read and examined this application and know the same to be Irue and correct All provisiQns of .
laws and ordinances governing this type of work will be complied with whelher specified herein or not The granting of a permit does nol
pres me to give authorily 10 violate or cancel the provisions of any state or local law regulating construction or the performance of
nstr. ction., ' .
/ .,,:07
Date
Signature of Owner (if owner is builder).
Date.
T:\Policies\1102.15R [1/05]
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 I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANlT AR Y
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH I I
BACK-FLOW DEVICE I I I
I I I
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW./ PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGfl','EERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\II02.15R[I/05}
~ r/I"ORr..."
.~
L --
'. """,....
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
07-00001212
702640
Page 2
Date 12/06/07
Special Notes and Comments
No land use issues anticipated. Lot coverage is maxed.
Electrical load calculations and elctrical ,permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Construct driveway and Sidewalks to City Standards. Remove &
replace curbs & sidewalks. from eastern existing driveway
along 1st Street to Washington St. Remove & replace existng
ADA ramp to current standard at 1st Street & Washington St.
Install sidewalk along Washington St. from.1st Street ,to
alley. Repair damaged asphalt at curb gutter along 1st
Street. No concrete with exposed aggregate allowed in the
City road right of way. An inspection by Public Works
Engineering is required prior to pouring concrete.
Other Fees
STATE SURCHARGE
4.50
Fee summary charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4 .50 .00 .00
Grand Total 54.50, 54 .50 ,.00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private arid 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 180aays after the work as commenced, or if required inspections have nofbeen 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. Ail provisions of
laws and ordinances governing this type of work wiil 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 constructio'n or the performance of
construction.
Signature of Owner (if owner is builder)' :
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\ll02.1SR [1/05]
PERMIT INSPECTION RECORD
.'
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH I
BACK-FLOW DEVICE I
.
I I I
I I 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. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\] 102.15R[I/05]
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LINDBER(2NiMITH
ARC H I \~~E C T S
February 14,2008
RECE,"ED
1 fEB 1 5 2008 1
F PORT ANGELES
CI~U?LDING DIVISION
Building Inspector
City of Port Angeles
321 East Fifth Street, P.O. Box 1150
Port Angeles, W A 98362
Re: Jace Real Estate Remodel Ledger
Our detail for the entry canopy roof ledger called for Yz" diameter lags into existing
framing or blocking. However, the contractor informs us that this is splitting the studs.
As an option, he has proposed using a screw product called "LedgerLok" We have
reviewed the literature and agree that two LedgerLok screws at 24" o.c. are adequate for
the load from the canopy to the ledger.
If there are any questions please call.
Sincerely,
~.~----e =
I"? -----..........
L1NDIU:RG & SMITH ARCHITECTS
Bill Green
11l~
..':J.
319 south peabody suite b / port angeles wa 98362 /360.452.61 J 6 fax 360.452.7064
email contact@lindarch.com I www.lindarch.com
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LIST OF RECOMMENDED STREET TREES FOR PORT ANGELES
Common Name Botanical Name Height/Spread' Comments
. Large trees should be located in planting strips over 6 feet in width.
LARGE TREES
European Beech Fagus sylvatica 100/60
American or White Ash Fraxinus americana 70/60 Many good varieties to choose
from.
Thornless Honey Locust Gleditsia triancanthos 80/40
finermis
Sweet Gum Liquidambar 80/40
stvraciflua
Tulip Tree Liriodendron tulipifera 90/40
London Plane Platanus x acerifolia 100/65 Use only in areas with large
olantina strios.
Burr Oak Quercus macrocarpa 80/40
Pin Oak Quercus palustris 70/40 Very good urban tree. Strong
branch structure.
Willow Oak Quercus phellos 70/50
Red Oak Quercus rubra 75/70
Shumardii Oak Quercus shumardii 70/50
,:';"r~!,',~,/~,~','_';.": ,. "~nj",,';'f~.'4 ":" "('t:".:,:(~::,: "'<<, ~"{\~; "':~~';: ;:. ....",t,::':,'i .-,.,:;~, /_ ",',N' ~"~... 'r:/;~ '.:' , ',' ..'-;'_~,,', ,', ~"cj-' ",': :'';~i; "W-i"-,,"?:J', :.,:" ;":I~'-;l~!i "~:' ';;[',.:"','_:" ,,; I.
,;JVI,~ ,?I, q,!YJ;~gE}:TRE,E:~ ;,i!", '::.::,~~) Nl e~t!gg1~\r~E1~L?r~..typi~:ally. thei,9~s.t'C~?jc,~: f? rir18.;.t,\~~~io;!'1~~!~~ets':\:t: :::f.:
Hedge Maple Acer campestre 30/30
Norway Maple Acer platanoides 50/30
Sycamore Maple Acer pseudoplatanus 60/50
Red Maple Acer rubrum 50/40
Sugar Maple Acer saccharum 60/35
Red Horse Chestnut Aesculus carnea 40/30
Horse Chestnut Aesculus 60/40
hioDocastanum
European Hornbeam Carpinus betulus 50/25
American Hornbeam Carpinus caroliniana 35/30
Western Catalpa Catalpa speciosa 60/35
Green Ash Fraxinus 40/30
oennsvlvanica
Ginkgo (male only) Ginko bilaba 40/25
Kentucky Coffee Tree Gymnociadus dioica 50/35
Mountain Silverbell Halesia monticola 40-60
Street Tree Selection Guide for the City of Port Angeles
I:\skj\trces\CTMI\CTMI hanuouts\Strcct tree list (bcst).doc
This tree thrives in local
conditions and is becoming
invasive in native areas.
Several good species exist for a
varietv of use applications.
May produce seeds that interfere
with walkina.
May produce seeds that interfere
with walkina.
Many good varieties to choose
from
Avoid female trees. They produce
fruit with an obiectionable odor.
Page 1
Tupelo Nyssa sylvatica 60/40
Sourwood Oxydendrum 50/25
arboreum
Swamp Oak Quercus bicolor 60/45
Scarlet Oak Quercus coccinea 60/45
English Oak Quercus robur 60/40
Oregon White or Garry Qurecus garryana 65/45 Native to Olympic Peninsula
Oak
Little Leaf Linden Tilia cordata 50/30 May attract aphis
Big Leaf Linden Tilia platyphyllos 60/60 May attract aph is
Silver Linden Tilia tomentosa 60/40 May attract aphis
Japanese Zelkova Zelkova serrata 60/40
Small trees should only be planted in Small trees require specific
SMALL SIZE TREES . locations of, ILmited'space, either narrow approvaUiJr pl<;intingas street
plantihq area or.overhead obstruction trees. . . ,
Trident Maple Acer buergeranum 25/30 r. / ,{? /
David Maple Acer davidii 20/35"" t / /l1~Y /
Amur Maple Acer ginalla f.-. .~o~ \ /...!. , only ~used under wires.
Paperbark Maple Acer grise;,nV / /' "lV~/20 \ 4! ould only be used under wires.
/
Japanese Hornbeam Ca,w(f)s ~~ica ,... 1.(' 30/~~ /
Eastern Redbud ;C~ rCis\~nade{')iV \~h6 /
Yellow Wood , CI~dras~>{u~ a\ \ t""35/25 /
Flowering Dogw9~ Corn us fl rida , ~ ~ 1\ 20/'15
Chinre KN'~09WO~d.. ~~rnus kOU~~ ~ /20/20
, hinensis'~ \
cor~'therry ~\ ~ /
Dogw Cor us mas / 25/20
Smoke Tr7e fbfi "';';S coggYJFi( 25/25
~asif gly~awthorry Cfataegus/ 25/20 May produce fruit that becomes
phaenoDNrum objectionable to walk on.
C ~e Ha,.thof11~ \ cr~i3e9us lavallei 25/20
Witch HazeV' \ /I'Grnamelis spp. 20/20
~
\ ~Ol f'n Rain / Koelreuteria 30/30
paniculata
~ 'n Chain ~ Laburnum x watereri 30/20
'Vossij'
Amur Ma~i<G Maackia amurensis 30/30
Mag~ Magnolia sp 25/25
~ Magnolia Magnolia stellata 20/10
Street Tree Selection Guide for the City of Port Angeles
J:\skj\trees\CTMI\CTMI handouts\Street tree list (best).doc
Page 2
Crabapples
Malus spp.
25/20
Crabapples may produce messy
fruit.
Persian Parrotia
Parrotia persica
30/20
---------
Flowering Plum
Prunus cerasifera
This Jreeiias been over planted in
30/15 _____ ------ Port Angeles and is not
_____ recommended.
Many varieties available. Many
25/25 are not tolerant of Port Angeles
rowin conditions.
Flowering Cherry
Prunus sp~
~Bftrnus virginiana
25/25
Canada Red
Chokecher
Ornamental p f
Pyrus calieryana
35/12
Sophora japonica 20/20
* All height and spread dimensions are for trees at approximately 30 to 50 years of age and
are listed for growth expected in urban areas. The same tree in a forested or more natural
setting is likely to be larger.
Trees prohibited for street-side planting in Port Angeles
Too large for most planting areas. Aggressive and invasive root systems. Weak-wooded trees
that tend to break apart at relatively young age. Notorious for damage to curbs and sidewalks.
(Some of these trees may be used appropriately in landscapes without problems)
Large evergreens Firs, cedars, hemlocks, spruce, pine.
Cottonwood or Poplars Populous sp.
Willows Salix sp.
Silver Maple Acer saccharinum
Catalpa Catalpa sp.
Tree-of-Heaven Ailanthus altissima
American Sycamore Plantanus occidentalis
Palm trees
)
Severely attacked by insects or diseases that weaken or defoliate branches, decrease tree vigor
and shorten lifespan.
Box Elder
Black Locust
Elms
Birches
Crabapples
American Sycamore
Acer negundo
robinia pseudoacacia
Ulmus sp.
betula sp.
Malus sp.
Plantanus occidentalis
Produce and drop large or messy fruit that may cause hazardous conditions for pedestrians and
extra clean-up work for the homeownerlresident.
Horsechestnut
Walnut
Fruit bearing trees - standard size
Crabapples
Mountain Ash
Aesculus hippocastanum
Juglans sp.
apples, cherries, phlms, apricots, or pears
Malus sp.
Sorbus sp.
Street Tree Selection Guide for the City of Port Angeles
J:\skj\trees\CTMI\CTMI handouts\StreCI Iree list (best).doc
Page 3
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: lace Real Estate
Address: 933 East First Street
Plan # 07-32 I Com ~ Residential 0 I Date: 10.3 I .2007
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
I) Ifbuilding is to be sprinklered, separate fire sprinkler plans are required for review.
2) If fire alarm system is provided, separate fire alarm plans are required for review.
3) A KNOX box will be required for this occupancy. Contact the Fire Department for KNOX
ordering information and box placement requirements.
4) Fire extinguishers will be required per International Fire Code.
5) Address numbers will be required for the building. Numbers must be at least 6" tall, readily
visible from the street and of a contrasting color from their background.
6) Means of egress may not pass through kitchens or storage areas. Exit 126A is accessed
through the kitchen.
FILE"
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions
must be met.
Reviewed by:
_~l\)~~
Building Department Copy
Date:
Ic.~ \ .07
~
o
o
Contractor! Owner Copy
Fire Department Copy
..
PreliIninary review
Jace Real estate Rmnodel Plan review corl'ections
Details are required for ADA, Mechanical, Plumbing, Energy code performance
1101.2 Design. Buildings and facilities shall be designed and constructed to be accessible in accordance
with this code and ICC A 117 .1. and chapter 11 of 2006 !BC including state amendments which can be
down loaded at httn:l/www.sbcc.wa,2:ov/sbccindx.html The design shall include ramp details, handrails
and extensions. All accessible ronte shall be 44" wide and any egress threshold within 6" of finish grade
shall be made accessible per state amendment amendments but not less that 50% of all egress access shall
be ADA compliant. Per call for clarification.
2903.4.1 Number. Occupant loads over 30 shall have one drinking fountain for the first 150 occupants,
then one per each additional 500 occupants.
HV AC plans are required for review. Plans shall be designed and stamped by a mechanical engineer.
Energy code compliance forms shall be completed and submitted. Compliance forms can be downloaded at
hUD:/ fw,"",,, .neec.net/resourccs/resourccs.h tOll
Provide door and window schedule including hardware, Safety glazing requirements per 2006 me.
Provide floor plans for mechanical room (2nd floor) details
Provide renected ceiling plan including emergency exit lighting and exit signage per 2006 IBe ANSI 117.
also t-bar details for seismic zone D1
SECTION 1011
EXIT SIGNS
1011.1 Where required. Exits and exit access doors shall be
marked by an approved exit sign readily visible from any direction
of egress travel. Access to exits shall be marked by readily
visible exit signs in cases where the exit or the path of egress
travel is not immediately visible to the occupants. Exit sign
placement shall be such that no point in a corridor is more than
100 feet (30 480 mm)or the listed viewing distance for the sign,
whichever is less, from the nearest visible exit sign.
Exceptions:
1. Exit signs are not required in rooms or areas that
require only one exit or exit access.
2. Main exterior exit doors or gates that are obviously
and clearly identifiable as exits need not have exit
signs where approved by the building official.
3. Exit signs are not required in occupancies in Group U
and individual sleeping units or dwelling units in
Group R-l, R-2 or R-3.
4. Exit signs are not required in sleeping areas in occupancies
in Group 1-3.
5. In occupancies in Groups A-4 and A-5, exit signs are
not required on the seating side of vomitories or openings
into seating areas where exit signs are provided
in the concourse that are readily apparent from the
vomitories. Egress ligliting is provided to identify
each vomitory or opening within the seating area in an
FILE
.
emergency.
1011.2 Illumination. Exit signs shall be internally or externally
illuminated.
Exception: Tactile signs required by Section 1011.3 need
not be provided with illumination.
1011.3 Tactile exit signs. A tactile sign stating EXIT and complying
with ICC A117.1 shall be provided adjacent to each
door to an egress stairway, an exit passageway and the exit discharge.
1011.4 Internally illuminated exit signs. Internally illuminated
exit signs shall be listed and labeled and shall be installed
in accordance with the manufacturer's instructions and Section
2702. Exit signs shall be illuminated at all times.
1011.5 Externally illuminated exit signs. Externally illuminated
exit signs sball comply with Sections 1011.5.1 through
1011.5.3.
1011.5.1 Graphics. Every exit sign and directional exit sign
shall have plainly legible letters not less than 6 inches (152
mm) high with the principal strokes of the letters not less
than 0.75 inch (19.1 mm) wide. The word "EXIT" shall
have letters having a width not less than 2 inches (51 mm)
wide, except the letter "I," and the minimum spacing
between letters shall not be less than 0.375 inch (9.5 mm).
Signs larger than the minimum established in this section
shall have letter widths, strokes and spacing in proportion to
their height.
The word "EXIT" shall be in high contrast with the background
and shall be clearly discernible when the means of
exit sign illumination is or is not energized. If a chevron
directional indicator is provided as part ofthe exit sign, the
construction shall be such that the direction of the chevron
directional indicator cannot be readily changed.
1011.5.2 Exit sign illumination. Tbe face of an exit sign
illuminated from an external source shall have an intensity
of not less than 5 foot-candles (54 lux).
1011.5.3 Power source. Exit signs shall be illuminated at
all times. To ensure continued illumination for a duration of
not less than 90 minutes in case of primary power loss, the
sign illumination means shall be connected to an emergency
power system provided from storage batteries, unit equipment
or an on-site generator. The installation of the emergency
power system shall be in accordance with Section
2702.
Exception: Approved exit sign illumination means that
provide continuous illumination independent of external
power sources for a duration of not less than 90 minutes,
in case of primary power loss, are not required to be connected
to an emergency electrical system.
Contacl me if you have any questions
ilierlv(ci)citvofpa.us 417-4816/808-0534
,-.
((4"
LINDBERCj\~MITH
ARCHI\'r!.ECTS
November 16,2007
R EC E_! V E 0
NOV 1 6 2007
:3 : IOf(YI
~.
Jim Lierly
Building Inspector
City of Port Angeles
321 East Fifth Street, P.O. Box 1150
Port Angeles, W A 98362
CITY OF PORT ANGELES
BUILDING DIVISION
Re: Jace Real Estate Remodel
Dear Jim,
With this response submittal, we are no longer involved with this project. Del Johnson,
the owner's builder, will be the point of contact for any future comments or requirements.
His telephone number is 461-0606. The owner thought our fee was unreasonable and I
choose not to work for free when I can help it.
In response to your review comments sent to us November 7, 2007, I have collected data
from Mr. Johnson arll-ftjc'1frl it with my two drawings. However, I have not reviewed
the information Mr.rc:~~rovided and there m3Y be some deficiencies. Please note
the following item responses: ..".
. The accessibility issue with the floor is being addressed by Mr. J0hnson with a
new concrete topping slab and re-grading at the entry.
. The occupant load for the building is 98 and therefore, one drinking fountain was
added (see my revised floor plan). The drinking fountain is located between the
two existing toilet rooms on the cast side of the building. They will be utilizing
bottled water dispensers at other locations in the building.
. HV AC plans are attached.
. Energy code compliance forms are with the Mechanical plans.
. Door and window information is in the brown envelope (provided by Mr.
Johnson)
. A new drawing (Sheet A-2.5) is attached which shows the second floor
mechanical space. The drawing was developed based on dimensions provided to
me by Mr. Johnson.
. Mr. Johnson had Simpson Electric take care of the emergency exit lighting and
signage and should be one of the attached sheets. There will be no suspended
ceiling, everything will be hard lid.
. I mentioned the signage issue to Mr. Johnson but I am not sure that information is
included in the package he gave me.
319 south peabody suite b / port angeles wa 98362/360.452.6116 fax 360.452.7064
email contact@lindarch.com I www.lindarch.com
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I apologize for the awkward nature of this response package and do not desire to make
your job more difficult. At the same time I am not willing to donate services in this
situation.
Sincerely,
g.~.
LINDBERG & SMITH ARCHITECTS
Bill Green
'R
SEATTLE LIGHTING
14505 NE 20th STREET
BELLEVUE W A 98007
425-455-2110 Fax 425-746-7658
Quotation
::::::::::~~:!lm;;;;::;;:;:;: ;:;::::::::;:::~;~;;;:;::;::::;;;:
11/14/0 7 S1793 703
ORDER TO: :;:::~:;llll,:::::::
.................
,..""" ''''''''TmO
1~D5 .. 20th ,,,.,,..,
BKLU<VDO - 'HIOO' 1
425~<lS5-:U.l0 P.. ~5-7~-765B
OOOTE TO:
CRAFI'SMAN FINE HOMES LLC
PO BOX 1779
PORT ANGELES, WA 98362
SHIP TO:
CRAFI'SMAN FINE HOMES LLC
PO BOX 1779
JOB#JACE
PORT ANGELES, WA 98362
:::::::::::::~:_:::::::;::: ;:::::::::;:::::;:::;:::::::;:~'EiIeU:IPJIIm::::::::::;:::::;:::;:::::::: ::::::::;:;;::;::;::;;:;;::;:::::;:~;~:::::::;::;::;;:::;::;::::::;::::::: ;:;:::;:::::;::;::;;;:;;:::;;:;::::::;~J.:J.:J.~.;::;::;;:::::::;::::::;::;;:;;:::::;
...-........................... .........................-..............................
1449 DEL J JOB#JACE Jim Neufeld
:::::;:::;:::::::::;:::::::::::::::::;:::::;:;:WttIE:::;:;:::;:::;:::::;:;:;:::::::;:::;;:::;:::::;: .................Sl9J':.m:................. ;:::;:;:::::::;:;:::::;:;:::::::;::nll$::::;:::::::;:::::::::::::::::::::: ......:JallI!:llm:...... :::;::::mtGI9':~::::;:
................ .................. :::;:::::::: -.: :::::::;::::
........................................................ :::;:;:::::;:::::::::::::::;:;:;:......;:.....:;:;:;:::;:::;:::;:;:;:;:::::::::; ......................................... ......................... ...........................
Jason Engstrom OT SDC 1% lOth Net 25th 11/14/07 No
......:lSIIIell::eJY...... :::::;:::::;:]'~RJ':'llll:;:::::;::::::: :::::::;;::;;;:::;:;::::::::::::::::::;;::;::::;:;;::;;::::::::;:::::::::~I.!IJ."W!lt:::;::;:::;::}:::;::;::;::::::::::;;:,:;::::::::::::::::;;::::::::::: :;:::::::::;:::;:~::ftij;:::::::::::::::::r::;::::;,:::::;::~:~::,:::::::::::::::
..un ......
.:;:;:;:;:;::.............;:;:;:::::;: .............nh....... .
3gea 275625 S100-02-HE-US15-LjH "A A ^^ - - - - -
EP HERMES PASSAGE LEFT
Special Order - Non Returnable
44ea 11144 DN 1407-626
WALL BUMPER SAT CHROME
14ea 19247 IV BP70A92
(BIN PACK) HINGE PIN DR STP CHR
2ea 55560 DN 1450-619 WS
FLOOR DOOR STOP SATIN NICKEL
Sea 243707 1704-626
DON-JO ROLLER LATCH
Special Order - Non Returnable
2ea 275628 17-8036-AL
TA PANIC BAR H1\RDWARE
Special Order - Non Returnable
2ea 219919 17-LEVAL
TA PANIC DR HDWE
Special Order - Non Returnable
2ea 217541 14-800-BFAL
TA DOOR CLOSER
Special Order - Non Returnable
7ea 275629 S200-02-HE-US15-L/H
EP. HERMES PRIVACY LEFT
Special Order - Non Returnable
5ea 275633 S300-02-HE-US15
EP HERMES DUMMY PAIR
Special Order - Non Returnable
2ea 269001 S50001-US15
EP DEADBOLT W/ DISK ROSETTE SATIN
NICKEL
Special Order - Non Returnable
*** Continued on Next Page ***
-
-
'R
SEATTLE LIGHTING
14505 NE 20th STREET
BELLEVUE W A 98007
425-455-2110 Fax 425-746-7658
Quotation
::::::::::Ullll[:llm:::::::::::: :::::::::::::::lMl.It:mIleJ!:::::::::::::::::
........................ ..........h................____
11/1.4/07 S1793 703
ORDER TO: :::::_:ell~:::::::
.................
'BATrLR LmBTDOQ
14505 .. :lOth ""ur
""""""" .. 5&007 2
425-4.55.:21.10 p~ <US.7<l6-1GSB
OOOTE TO:
CRAFI'SMAN FINE HOMES LLC
PO BOX 1779
PORT ANGELES, WA 98362
SIUP TO:
CRAFI'SMAN FINE HOMES LLC
PO BOX 1779
JOB#JACE
PORT ANGELES, WA 98362
:::::::::::::~:l~::::::::n::::::::::::::::::::::::::::~~:~:::::::f:"::::::::"::::::::::::':::::::::::::::::::::::':::m:~~::::,::,::::::::::::':::::::::::::::::::::f:':::'::'::':,'::':::::::m.:.:.J~\~@r:::::::::'::::':::::::::'::::::::':
1449 DEL J JOB#JACE Jim Neufeld
:::':::::'::::::'::::::::':':::':','::::::::':~:':::::::::::'::::::ff:':':::':'::::::::::: ':::::':':::':::::::",:::,::,::~:~:"",::,::":::'",:,:,:",,:: :"::::':::":'::::::""':::":::',!~filf~::""':':::"':'::::"::::':'::::::::::::::':'~:~:::':::::':: :'::::::~J!:~::::::
Jason Engstrom OT SDC 1% 10th Net 25th 11/14/07 No
:::::::::::::~:!1m:::::::::::)::::::::::::!\l.ll!'::!!lf'::::::::::::::::::::::::::':'::::':':::"::::::::::::::::::::::::':::::::::::::::::J~}~f::::::::f::::::::::::::'::::::::::,::::':::::::':::::::::::::::::::::::::::::::::J!~:f!j;:::::::::::::'J::::"::::':::::::::~::~'::::::::::::::::::
2ea 80136 KEYING CHARGES
7ea 275646 01-C1030
TA DOUBLE TP HOLDER CHROME
Special Order - Non Returnable
7ea 219851 01-1903SS
TA PAPER TOWEL DISPENSER
Special Order - Non Returnable
7ea 224512 01-1922SS
TA SURFACE MOUNT VERTICAL LIQUID
SOAP DISPENSER
Special Order - Non Returnable
7ea 225868 01-1930SS
TAYMOR TOILET SEAT COVER DISPENSER
Special Order - Non Returnable
7ea 17889 TA 01-C220048
48" STAINLESS STEEL GRAB BAR
7ea 17878 TA 01-C220024
24" STAINLESS STEEL GRAB BAR
TAXES NOT INCLUDED
This is a Quotation.
Prioe N'O fin:l for 30 d.p. orubjftct to ch.ao>~ without noti.::. aftoar 30 dllya.
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31'..,,1 24'.0- 18'.0.
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FIRST STREET
SITE PLAN
(ID
SCALE: I" . 20'-0"
NORTI-I
A
BUILDING PERMIT - APPL\CA TION
/\~~liGallt Qr Agent L '1<JD@J"~~..f. ~ITf+ Af?r,/.frre:""r- Phone _45"2..' ~'(/-"'
Owner ~ I...,..,. 4- ~lLFe:;..J..L .c.rHM'~ Phone-4'5'Z..'/'2.J.c>
Owner's Address '<. ~ E. I ~ ~T Fc-;f'"T fJ. f ~I J:;. ~
Contractor.lEftgin<er n~,- c..-1:,w tJ <t.="-I State License #' Expires
Phone~ .;. "..y...,,~
'iW'A<.IIIIJa40NING: CA
Residential projects: submit two setS of plans
Commercial projects: submit three sets of plans
FOR OFFICIAL USE ONLY:
Date Rec,: I~ - r9-o7
Permit #:' trJ 7 - ~z,. ,
D te Approved: I J 'P/t>
J '
Fill out COMPLETELY and in INK. Your application, prescriptive energy'
_ ans, specs, and a 8 \1," x 11" site plan MUST BE COMPLETE to be
{o'(~ accepted eview. (360) 417-4815 FAX (360) 417-4711
'--$6..c'e.- *;.eS~-\<>.~ Co .
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ContractorlEngineer's Address
'(133 f:
I ~ 5r-
PROJECT ADDRESS: [
LEGAL DESCRIPTION: Lot
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
,SIZEN ALUATION
"'1~"tS SF,@$ ~~SF,= $
SF, @ $ /SF, = $
SF, @$ /SF, =$
TOTAL VALUATION $
~7.1!,G..~e
TYPE OF WORK
o Residential 0 New Constr, 0 Re-roof 0 Stove
o Multi.family 0 Addition 0 Move 0 Ganige
'}it. Commercial )If. Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRlEF DESCRlPTION OF THE PROJECT:
;<:r;-^,,~/- 4>F-~VI,"'Y/U--~ P4 Jlt DI)//- r~/,"J:7,If:..AiE:.- J<.bI::/D ~/""&. JiZ./lJlo/,b
Apc)jtu::~t=~ A/=V ENrFZ>!rA~ "
COMMERC1AL/RESIDENTIAL: Occupancy Group: P:, Occupant Load: q..., Construction Type:-\, C,,=""I ;:.r-.
Existing Structure(s) basement P Sq, Ft. & Proposed Structure(s) basement Sq, Ft.
, I" tloor <1 Cd1' Sq, Ft. & 1" tloor Sq. Ft.
20' floor . _ Sq, Ft. & 2" tloor Sq, Ft.
3" tloor Sq. Ft. & C#l~ 3'" tloor Sq, Ft.
Accessory Structures Sq, Ft. & Accessot<y Structures <9>-n=; Sq, Ft.
Existing Structure(s) TOTAL q ,4>"'15 Sq, Ft. & Proposed Structure(s) TOTAL c.-oop:::, Sq, Ft.
TOTAL of existing & proposed structures In3.(r:> Sq, Ft.
Maximum Height of Proposed Structure(s) 12. Ft.
LOT COVERAGE
Lot size Sq, Ft. '2J ~
Existing Structure(s) Sq, FI. Footprint
Proposed Structure(s) Sq, FI. Footprint
TOTAL Structure(s) Sq. Ft Footprint
Total Lot Coverage~ %
q.~.c:;
<.&>7~
tf<.7n
ivide Total Structure(s) Sq, Ft. Footprint by Lot Size Sq, Ft.)
Are you planning to install a lawn sprinkler system? No
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 currentfee schedules, Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the tirae the building permit application is submitted, All other permit fees are
due at the tirae 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 filing unless such application has been pursued in good faith or a permit has beeIi issued; except that the building
official is authorized to grant one or more extensions of tirae for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006105.3.2)
T:IFORMSIBUIL
" ~(~
I 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, and that I must obtain
such ermits pr.'or to work. ' L 1 N'O~ ~\ 'Ii'"
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r 6\ ,-,e. /.,,~ ,\?\l < .\\- D'V' Certificate of Occupancy
\J ~l)J '-;:l.. ':r ~-?\ $50.00 Certificate/Inspection Fee
DATE II -1- 05 Cof-O IS$VeJ ui' JN~ t'~e~st.t~. ~~rY\I'~ 4t-. o.~. .'3/~'\IDg (
Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . .. (
q33 E I sA- Change of Ownership .... . . . . . . . . . . . . . . . . .
Applicant f' ,I-CE-f\) S~..AIY\;+z. - RIiEH-lIoln;rvg New Building ............................
Address P. (). nm :!) ,/,"3'1 Remodel.. . . .. . . .. . .. .. .. . . .. .. .. .
p()f?:L A I\)q tlf C, J W PI qr,-:<.,u','J. Temporary Business. . . . . , , ' . . . . . , . . .
Phone: business 1-/5;::;. -/;),) 0 home Change of Use. . . , , , . . . . . . , . . . . . . . . .
Brief description of proposed business: () FFi (l f
-(3I.{Sii\JE.SS "'To hQ.. r0~~J2
legal Description: lot" -I '" Block do
Current Use of Property: 0 FF. <:.c C. -
Zoning Classification of Property: (1 n rY\ f'i\ f IC.. c.. i A L
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. .
Electrical changes. . . . . . . . . . . .
Mechanical (heating, cooling, stoves)
Plumbing changes.
New or relocated signs . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . .
New sewer service. . . . . . UI\J.~.ry~.~ rY. . . .
Admission charged to patrons .
Is this a home occupation? . . .
Excavation of filling of lots, U N.I<c.l\l.QW.tV, , .. ,
Work done in City right-af-way . . . . . .
Is there sufficjent off-street parking? .u~I.WC~W .
New driveway openings ... t-l f-JKfPP~ tJ.
A grading plan for site drainage L{N/){I)ol<)A)..
(parking lots, downspouts, etc.) .
Are the existing streets paved? . . . . . . . . . . . .
Are there existing sidewalks? .
Is there curb and gutter? . . . . . . . . . . .
Other.
YES. NO
X_
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Subdivision 4J; IliAms 'i r2.R.A m"U<..
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
1 0) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
BVSINESS 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
.-9
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REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City CI erk
P.B.IA
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Brief description of proposed business:
r ,LI~ ,n)f.. ~:: -T ,,",, ~i-'. J...
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legal Description: lot 17-/9 '" .ci/M"d It- Block;';"
Current Use of Property: ( f- F, e. f. ',' ,. ,)c'...
Zoning Classification of Property: t I, i\ \ I~ \ ('" i:' e. i H L
, ^"'.7~O2;
/-
{ 0 " \ 1J\9 .~~,~ -vi'- ROUTING SLIP
f' \\ \,Idt' Ib" '. ~ D''\'\ I Certificate of Occupancy
V 0 I[{\O- -;l.. 0/ <:teJ<"'{'<\~ ~?O.OO Certificate/Inspection Fee
DATE /1.. <./.. <::; Cof 0 h ~ >uw. u\'\ ~~w ~;ne~~J.? .fe.-r.n'1;t-. ~o ~ . SI.-z.'\ID2 (
Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . .. ( )
/"'/"'-. J:: J ~
-" '- Change of Ownership .... . . . . . . . . . . . . . . . .. .t><L
Applicant.... I J <-'[ f'.J "(111'1\ ;-h?_ - tOlE H I!( J };,.,"1~ New Building ............................ ( )
I ", ,J - /'.;r7 v
Address -. ( . r r x ., < . ,'F Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (. )
j.""j-{ I-IJuI.4f/iS wA<7"'--J/~ TemporaryBusiness....................... ( )
Phone: busine~s.'i!:-_'/:")L home Change of Use .........................,. (I. )
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes.
Electrical changes
Mechanical (heating, cooling, stoves)
~Iumbing changes. . . . . . . . . .
New or relocated signs . . . . . . . . . . . . .
New septic tanks . . . . . . . . . . . .
New sewer service. ....!J.r'..r: ~ . ~ .' ~ ~ f\). . .
Admission charged to patrons
Is this a home occupation? . .
Excavation of filling of lots . ~,! ~\: .~J~).(I~-9.I\) .
Work done in City right-of-way . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? J! ~~~I.\.I\., ~1~.J.llJ~..? .
New driveway openings .,. u .!'..!':~f~.lP!...t? ~). . . .
A grading plan for site drainage t ! ~v 1; !\H.~'.J!--i.
(parking lots, downspouts, etc.) . . . . . . . . . . . .
Are the existing, streets paved? . . . . . . . . .
Are there existing sidewalks? ... .
Is there curb and gutter? .
Other. .
(' (fl,' P
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Subdivision ;'),1/," JtI'" I,' J, IJ /, It 1<..
~
THE FOllOWING Will BE REQUIRED:
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
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
" ~ .
\-.:
(T1
If'
-+
I hereby apply for a Certificate of Occupancy and acknowl,
edge that I. have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
\$/3;0'>
I
APPROVED
REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department (',
1/1
I/t;!/>",''.g'l(
Fire Department
City Clerk
P.B.I.A.
"
-+-,
a
~
<. -
-<!<- 09- 10'1'2.-
ROUTING SLIP
Certificate of Occupancy
$50.00 Certificate/Inspection Fee
,"OR'~",
lO~<i\..
'JI~_'"
, ,.,.....!
c~
~
'-'
"<.d'
DATE //- tf - 05
Address of Proposed Business
q33 E I S;t-
Applicant f I It.t.fL1 :::;e.P. ((\ ;+z. - R J./ E. H floIn:IL'j
Address PO.?'rri ;)'1::'57
Pnf':t. Ar1Jqf.../fS wFlqr,"'2,&~
Phone: business 115-:;" - /:J.) 0 home
Brief description of proposed business: . () FFi (' f.
.hL.{S ; iDESS 'Yo n3- rOrh VlYcl1i.u,Q
legal Description: lot / -I Block ~
Current Use of Property: 0 FF, c...c
Zoning Classification of Property: en m Nl t' Ie ~ i A L
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes.
Electrical changes . .
Mechanical (heating, cooling, stoves) .
Plumbing changes,
New or relocated signs
New septic tanks
New sewer service, . . . . . ,LAI\,),f:-.t9c>.f.9 rY. .
Admission charged to patrons ........
Is this a home occupation? . . . . . . .
Excavation of filling of lots. U !\.i .rs.N.QW.~ .
Work done in City right-af-way .
Is there sufficient off-street parking? .Lt~I.W(J!-v(~.
New driveway openings ... H t0Klq'.l.9 tJ. . . . . .
A grading plan for site drainage U N .K.ft)l)~.)Y. . . .
(parking lots, downspouts, etc.) .
Are the existing streets paved? . . . . . . . . . .
Are there existing sidewalks? .............
Is there curb and gutter? .
Other. .
YES. NO
X~
=Z=
--4~
-4~
~-X--
----"- ~
~~
~~
7
--- SL
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New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transfer of Business location . . . . . . . . . . . . . . .
Change of Ownership .....................
New Building . . . . . . . . . . . . . . . . . . . . .
Remod~ ...........................
Temporary Business. . . . . . . . . . . . . .
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .
5DA CL
,
Subdivision /{); /liAmS -; (I R.A /IILf<.
THE FOllOWING Will BE REQUIRED:
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
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
to) Other
I hereby appiy for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
APPROVED REJECTED
Building Section
Public Works Department
Pianning Department
Fire Department.
City Clerk
P.B.I.A.
II~05
AQ., ~IJ <y 'I\Q .Q. 4. /
AiJ ~..UJ~O m.~..f\....t.ll /
CERTIFICATE OF OCCUPANCY
>,' ---~....q,~ ' --:-- - ~~ .
, '~/pty,~fPort ADgel~~
L,/ Building Djvisio~ """
V ~/~
This Certification issued pursuanllo the requirements of Section 109 of the
Uniform Building Code certifYing that at the time of issuance this structure was
in comRliqnce,withthe .vari~dinances of the City regulating Building
, construct(on or:use. For thefollo}:Y.i!Ht:_--i
Use Classification: RetaiL' -Bu,' ildi~g Pennit NoV \ ,\ El!'5ioessNa;';-~:'- J- n-J Boards and Games
r--'--: f \.' '; ~...'. 'I
Group: M \ . Type of Construction: \,.".VN '. _ .~:_.:....~,~"- '-. Use Zone: CA
, "I ,. " -'-"" , I
\..__~ L-........;..___~ _,__ .__ _ _..._, \._~
Owoe, ofBusincssIResidence:'8radlDefoe Addiesi" 651 'Kemo: 'POrl'Angeles. W A 98363
; ': t" _ _n~___\ "/
Building Address 933~~<;treeL"~:*~,.,;.....,..,,,..,..gf~;~~:le{ W A 98362
- tf1,!,'~Y~.iij ,,;~"ifJt"";, ..i;*;~i;t"'..,:.~J:;'"
'. B~i1d'in~~ffi~~1j~~~~,~~~~::(~)i'~~ AU~~~el. 2002
Post on the~tim~()HsPiCuous place.
Shall not be removed except by Building Official.
:.
ROUTING SLIP 0-^"-~ , ,rO",."
/o~::;;~{"'<;.
Certificate of Occupancy t3ar,.,...c! J be. "'. -<.I4lc ~1"
L.~
~
~" . .Q[o~ertificate/lnspection Fee -
:::r r.v-"y 51(", i" ~rl( :r"C!.. ~t(;WcP"
DATE 5- t7- 02- New Business ( )
................... ., .......
Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( )
q<,~ L 1,,'1 Sl Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( V)
Applicant r") ~.. "'- New Building ..............., . .... ... ..... ( )
Address G<>I ,""", f) <;T Remodel. . . . . . . . . . . . . . . . . . . ........ ... ... ( )
-P",I 4t-')..-h L-J"'- 'tC<?'6 2 Temporary Business ....................... ( )
Phone: business 4 (-r'116 2.:L home '-iO <;rJ7S' Change of Use. . . . . . . . . . .................. ( )
Brief description of proposed business: ~-e..:i<--; ( - sIG-f", ;SO" r-c./ S
Legal Description: Lot I'i - 1"'1 ~Ck Subdivision WI J/,~,,^<, tUa.u{" ;:,.
Current Use of Property: .:51<-.1e . av/<
Zoning Classification of Property: (' A
WILL THERE BE ANY OF THE FOLLOWING? YES N3-- THE FOLLOWING WILL BE REQUIRED: -\)
Construction changes. . . PERMITS BUSINESS LICENSE
........... ... - ----,..-- VJ
Electrical changes. ........... .. --------;7 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . -- 2) Plumbing 2) Peddlers Gl
Plumbing changes .... .. .... / 3) Electrical 3) 2nd Hand Dealer
- ----:iT
New or relocated signs. ..... --L/ 4) Mechanical 4) Pawn Broker
New septic tanks. . ........... ............. 5) Sewer 5) Dance
New sewer service ....... ......... ... -T 6) Sidewalk installation 6) Hotel - Motel 1:\,\
Admission charged to patrons. . ~- 7) Driveway installation 7) Fireworks
......... - ---r- -
Is this a home occupation? ....... =/ 8) Curb installation 8) Ambulance
Excavation of filling of fats .... 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. . . . .......... -+- 12) Occupancy
A grading plan for site drainage. . -- 13) Sign
(parking lots, downspouts, etc.) /' 14) Shoreline
Are the existing streets paved? .' ................. ---r 15) Home occupation
--
Are there existing sidewalks? . .......... ....... -----L _ 16) Conditional use
Is there curb and gutter? .......... ...... --.L _ 17) Other
Other. ...... ............ ...... .... -~
I hereby apply for a Certificate of Occupancy and acknowl- ~
') - {'I. - OL
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my e/l/~~~
knowledge. Signed:
~
!itt-D REJECTED Comments I Conditions
Building Section
Public Works Department
Planning Department
krx:> Fire Department
!;"-/'1.02 ~ City Clerk
P.B.I.A.
\II
"\
.'
.. .
_ _TO"', ~- ~"'v'
. .
ROUTING SLIP ") - .) - :s ,pMl."
~Q~a<'(",
"~........'"
Certificate of Occupancy b " . _\ J b(,"... J...'- ~~
~
"$4'7f.OQ;Certificate/lnspection Fee 5""::'"') ~I:. 1 .,/ /,,' '-'
- ~ ,l .... ,,,, \. :'(h... 't''''rc~
DATE s- 17- 02 New Business ( )
............................
Address of Proposed Business Transfer of Business Location, . , , , . . , , , , . , , , , ( )
Cp,S t ',>' ",I Change of Ownership, , . , , , , . , , , , , , , , , , , , , . ( V)
Applicant I::" < ,I I).. ~~... New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address (,..:; I ..co( '''' ,) U Remodel. . . . . . . . ... .. . ........... .... .... ( )
) '1 A ;." I., t."" ~\'l,t.? Temporary Business ( )
" .. ............. ........
Phone: business , 'I' *" 2.~ home c/,/ <;O7~ Change of Use. , , . , , . , . ( )
...................
Brief description of proposed business: R~-L ( - 'J K..,1, ;J", , .1,\
Legal Description: Lot 11..f-/"7 ,Block Subdivision W, 11,:':'",,< tVaM!:
Current Use of Property: -5 K-,. +<2 Pavk
Zoning Classification of Property: (' A
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. .- PERMITS BUSINESS LICENSE
................ --
Electrical changes. ........... ------.,.- 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . .' 2) Plumbing 2) Peddlers
.......... --
Plumbing changes .. ....... ...... / 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. ....". .... ---:;- ~ 4) Mechanical 4) Pawn Broker
New septic tanks. ...... ........ ................ - '7" 5) Sewer 5) Dance
New sewer service ... ...... .... .... ........ ---r 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 at tilling at lots ......... ... ... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot.way . ........ / 10) Water meter installation 10) Other
.... .. .... /=
Is there sufficient off-street parking? ........... ... 11) Fire
New driveway openings ............ / 12) Occupancy
A grading plan for site drainage. ... ..... ..... - ---r 13) Sign
--
(parking lots, downspouts, etc.) ........ / 14) Shoreline
- ""T
Are the existing streets paved? ........... -- 15) Home occupation
Are there existing sidewalks? . ........... ---L _ 16) Conditional use
Is there curb and gutter? .... ........ ...... ---.L _ 17) Other
Other..... . .......................... --
I hereby apply for a Certificate of Occupancy and acknowl, <., II ~ U..,
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my r< .. () .'
knowledge. Signed: _ .... ,_, f---- L,A....
APPROVED REJECTED Comments I Conditions /) \()~ ,'", , /ll /'
Building Section I(,/J...~ "'~. 0 A-I '0 ,- \~ P.. '"
If---vl P..? '-71 f., tfJ f),_.~..-.o J
Public Works Department ' A
91iJ1}(' >41( Planning Department }1lA;-t l'~r p ! VlL.' /) -
.//).-< rn f A I
Fire Department
City Clerk ~:
PB.I.A.
;:,.
, .
CE RTI FICkrE~6P'eCCU P ANCY
~ ~
0itY'ot Port Angeles
. BUilding<?iv'iSiO~
This C~rtihtionissuedf.!'4.':..~nt to the requir;~ts of Sectioh~ 09 oj the
UniJormfBlIl/dmg Cod'l.certifYmg'that.alJ~e t~ oflssuan0f...thls st';.ucture was
in cbmfliance withithe\v;;ious or..dinancesofthe~(Hty regulating Building
If f I ~~., "l;' h fill~- ~--' \
/I . jconstruptlOn Qr"use, ,'or t e 0 owmg:~
,f ..-- '<V\., ~~.;" ,.)"1
Use Classification Reta11 kBUlldinglPenrut No : ~ .. _<' 'Bilsjnes~ ?'lams: --~. Frontslde....9~
\GJj t.1'" ,";'\" i'!';:iI(~..'."'ft','..~>j
Group M ' 'T~ofConstrucllon \ VN '~'" ' '''.-:'.~s';:l;Je:' h3:~'CA
~ .'>-~" ..,,,;; ,\""'1~ ",",- ';>:1" )>', H
Owne,ofBusmess/Res,dence @m~t:Jr, Lightfoot ~~~d,;s:"933"E~I'S~:: P6r~?.\n~eles. WA 98362
~ \1 . . 'i., " h., "I' ' f (/
Building Add,esso ;l~Fi . - .. -" .. k . - . 62 '
.~ ' /
~, .e rua 6 2002
B~il~ ,a. ' Date
Post on tile. 'ises in a c. ~i ous place.
Shall not be ~1noved-e)(~ept"byBuilding Official.
ROUTING SLIP F"Ov\t>";'~e q ~.C"' ....
~~o~q..<..
~:ri"
Certificate of Occupancy ~~
~
$47.00 Certificate/Inspection Fee ""'-;JCwo";''"
DATE / )-} 2." '-0/ New Business ............ . ............... ( ~~
Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . (
~'S~ ~. 1 ~ ..;{: Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( )
Applicant o (OA,,,,-r T. i-.l&I1/Foo7 New Building ............................. ( )
Address 1,,7- Cv<I TIN or. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Sot:) jJ I rYI 0~~~ Temporary Business ...."", ,............. ( )
Phone: business 457-0/11 home 01'/- ') 1 '7Z Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: jZ.67:.41L A.f::,n/Z-rj/l/& t":: lUFf) ~ -!. JlvD 0.0 /<':....
~'0-'~ ~ 1F~
legal Description: lot Block Subdivision
.-.-
Current Use of Property: \/1\-( -kN (
Zoning Classification of Property:
WILL THERE BE ANV OF THE FOLLOWING? V-' NO THE FOllOWING Will BE REQUIRED:
Construction changes. ... ........ ......... .... .. ~- PERMITS BUSINESS LICENSE
Electrical changes. .. .... ................. ...... 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . ........... 7'- 2) Plumbing 2) Peddlers
Plumbing changes ....... ............. 7- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. .. .............. ...... .. 7- 4) Mechanical 4) Pawn Broker
New septic tanks. . . . . . ......... ... ..... ..... -7 5) Sewer 5) Dance
New sewer service .... ........ -7 6) Sidewalk installation 6) Hotel ~ Motel
Admission charged to patrons. . .... ...... 7' --:- 7) Driveway installation 7) Fireworks
Is this a home occupation? ..... ... ...... =~ 8) Curb installation 8) Ambulance
Excavation ot tilling ot lots ........ ..... -~ 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot-way . . . . . . . ........... 10) Water meter installation 10) Other
Is there sufficient off-street parking? ......... Z- 11) Fire
New driveway openings. . . . . . . . . . _V 12) Occupancy
A grading plan tor site drainage. .............. .... ~--IL 13) Sign
(parking lots, downspouts, etc.) 14) Shoreline
Are the existing streets paved? ............... .... 15) Home occupation
Are there existing sidewalks? . ............. ....... ---;;r - 16) Conditional use
Is there curb and gutter? ........... .. ........... :::z = 17) Other
Other.... . ... ... .................. ........
I hereby apply for a Certificate of Occupancy and acknowl- I J_ ,z. '-f,7 / A
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ~ &1-~M-
knowledge. Signed:
I //
-" REJECTED commenlS~ condition~
Building Section
Public Works Department
Planning Department
~ kilO Fire Department
II. j'.J -1i1 80 City Clerk
P.B.I.A.
~:tl
97
;?,
~:~
ROUTING SLIP ft~"t~;'~-e q
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE 1}-J2,-C!
Address of Proposed Business
.....~ ~ . ",""
--,""2:....--, L. I ~ .t;~.
Applicant 0,~r"v-r ,. J- / GI/7Ioo/
Address , ~ -z: C-v<I -;-I-J'/ C -r.
{"f::; (.; , , " " C; ?l:..? c..
Phone: business L/'':;;,"/_c.>/l1 home fL.;-g!, II",'?..
f,ORrA-\>
lO~~\
~~.
~~
~
-
'>0;;;;;;;.>
New Business ............................ ( )
Transfer of Business location. . . . . . . . . . . . . . .. ( V)
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building ............ . . . . . . . . . . . . . . . .. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ..... . . . . . . . . . . . . . . . . .. ( )
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
fZ6-:"'A II -",{;tI1/Z 7'1,v{.,
Brief description of proposed business:
/ ,-.:'A Te P'Af:.r::-
legal Description: lot
--
Current Use of Property: II A-I' A,\, I
Zoning Classification of Property:
r-:: or) b ~
t;. I/V() 00 ;e:.
Block ~~
WILL THERE BE ANV OF THE FOLLOWING?
V, NO
~-
7-
7-
7-
--r
-7
7-
-~
=~
./ ./
,/
--;7 ~
~-
--;;r -
----:7 =
Construction changes. . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . .
Plumbing changes ............ . . . . . . . . . .
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 tor site drainage. . . . . . . . . . . .
(parking lots, downspouts, etc.)
Are the existing streets paved? ...................
Are there existing sidewalks? . . . . . . .
Is there curb and gutter? . . . .
Other.......... .................
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.
APPROVED REJECTED
.n'" kill)'
1.;:iJ) 'f.)
Building Section vI 6-,
I'
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
!I lido!
VI<.
Subdivision
THE FOllOWING Will BE REQUIRED:
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
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
::t:ed: ')!j; ~l1t-
/ /j
I I .
Comments / Co~ditions ,'-.i.nf .j) iJ.A....wA J2.../>
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
08-00000257 Date 3/28/08
606849
933 E 1ST ST
06-]0-00-7-2-0260-0000-
THE JACE REAL ESTATE CO
SIGNS
COMMERCIAL ARTERIAL
6100
Application desc
TWO - 51.0 EACH SQ. FT. ILLUMINATED CABINET SIGNS
Owner
Contractor
RHETT HOLDINGS
P.O. BOX 2437
PORT ANGELES
WA 98362
HANSON SIGN CO INC
PO BOX 928
SILVERDALE, WA
SILVERDALE
(360) 613-9550
WA 98383
Permit SIGN
Additional desc
Permit pin number 121848
Permit Fee 170.00 Plan Check Fee .00
Issue Date 3/17/08 valuation 6100
Expiration Date 9/13/08
Qty Unit Charge Per Extension
2.00 85.0000 PER S- SIGN WALL 25 SF+ 170.00
Special Notes and Comments
March 4, 20084:02:40 PM sroberds.
The proposal will result in the placement of two
mounted signs (west and north side) for total of
of signage. No land use issues anticipated.
building
102 sq. ft.
Fee summary Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
170.00
.00
170.00
170.00
.00
170.00
.00
.00
.00
.00
.00
.00
~
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regUlating construction or the periormance of
construction.
Dale
6n -h'Ie...
Print Name
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:Forms/Building DivisionlBuilding Permit (IOI01/07).wpd
BUILDING PERMIT INSPECTION RECORD
o
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. W
CALL 417-4807 FOR PUBLIC WORKS UTILITIES I
PI,EASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
('-l
\J\
...J
INSPECTION TYPE DATE ACCEPTED COr\Ir\'IENTS
YES I NO
FOUND/\TION:
FOOTINGS
SHEAR WALLS I WALLS
rOUNDA Tl0N DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (pOLE BLDGS.)
PLUI\-IIlING
UNDER fLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLOC)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING I I I
FRAMING
JO]STS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
1'-8AR
INSULATION
SLAB I I
WALL I FLOOR / CEIL/NG I I I
MECHANICAL
HEAT PUMP I FURNACE / DUCTS
GAS LINE
WOOD STOVE I PELLET! CHIMNEY FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD I DUCTS
!'vlANUFACTURED HOi\IES
FOOTING I SLAB .
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #', SEI)A:
PARKINGfLIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS RI~QUIIU;D PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMF:RCIAL DATE ACCEPTED
YES NO
ELECTRICM. - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PWI CONSTRUCTION - R,W,
ENGINEERING 417-'jR07 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING '117-4815 BUILDING 'Hh1//)R flf'-J
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CITY or PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
08-00000257 Date 3/17/08
606849
933 E 1ST ST
06-30-00-7-2-0260-0000-
THE JACE REAL ESTATE CO
SIGNS
COMMERCIAL ARTERIAL
6100
Application desc
TWO - 51.0 EACH SQ. FT. ILLUMINATED CABINET SIGNS
Owner
Contractor
RHETT HOLDINGS
P.O. BOX 2437
PORT ANGELES
WA 98362
HANSON SIGN CO INC
PO BOX 928
SILVERDALE, WA
SILVERDALE
(360) 613-9550
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
SIGN
123174
.00
3/17/08
9/13/08
.00
6100
Special Notes and Comments
March 4, 2008 4:02:40 PM sToberds.
The proposal will result in the plac ent of two building
mounted signs (west and north side) for total of 102 sq. ft.
of signage. No land use issues ticipated.
Fee summary
Charged
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
.00
.00
.00
.00
.00
.00
.00
.00
.00
I
/
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r Q.;~ c..;fr
7 ~ ' CV\O'b
Ce'{ 0'-"\1"
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. 1 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.
/0. fl1 (J{
T:Forms/Building Division/Building Permit (IO!01!07).wpd
Signature of Owner (if owner is builder)
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 I-lOUR 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 lOB SITE,
INSI'ECTION TYPE DATE AC;::CEPTED COi'l'tl\'IENT$
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TJON DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE SLOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDO)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING I I
FRA,\>IING
JOISTS I GIRDERS
SHEAR W ALLfHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PAl\'EL ONL Y)
T-BAR
iNSULATION
SLAB I
WALL f FLOOR I CEILING I
IVIECHANICAL
HEAT PUMP f FURNACE! DUCTS
GAS LINE
WOOD STOVE / PELLET J CHIMNEY FINAL DATE ACCEPTED f3Y:
COMMERCIAL HOOD I DUCTS
MANUfACTURED HOMES
FOOTING / SLt\B
BLOCK!NG & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEllA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS RI~Ql!IREJ) PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE. YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417-<l735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R,W./ PW/ CONSTRUCTION - R,W.
ENGINEERING 417-,1807 PW./ ENGINEERING
FIRE 417-4653 flREDEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUILDING <117-4815 BUILDING
T:FormslBllilciing Division/Building Permit (JOIOI/07).wpd
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Bnef descnptlon of proposed business1
J-. A-u i\Jt1 ~
legal Description: lot
Current Use of Property: V AC.A I'\J T
..
Zoning Classification of Property:
cf\
~-~O/
Phone:
~\CJe\'eA.. 07- 2.17 V'
ROUTING SLIP
Certificate of Occupancy
$50.00 Certificate/Inspection Fee
home 5:@;2-1t..//1
Il.. ~ fb n.
c h J'l1V i, (J 4
Block
SubdivIsion
Will THERE BE ANY OF THE FOllOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
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-of-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 NO THE FOllOWING Will BE REQUIRED:
-~ RMITS BUSINESS LICENSE
..t.. 1) BUilding 1) TaxI
--
-~ 2) Plumbing 2) Peddlers
_ ---'L 3) Electrical 3) 2nd Hand Dealer
..,. 4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk installation 6) Hotel - Motel
-~ 7) Driveway Installation 7) Fireworks
~ 8) Curb installation 8) Ambulance
~ 9) Sidewalk obstruction 9) Tattoo shop
---L 10) Water meter InstallatIOn 10) Other
~- 11) Fire
-~ 12) Occupancy
-~ 13) Sign
-- 14) Shoreline
'f..... 15) Home occupation
i--== 16) Conditional use
'\.... 17) Other
--
--
I hereby apply for a Certlflcat of Occupancy and acknowl-
edge that I have read thiS pplication and state that the
Information I have suppl' d IS correct to the best of my
knowledge.
~
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Date: ~ - 5:: 0 7:t, U
Signed: h fA J #' /
ct W e., I< a. I
Comments / Conditions
CBuildi~eGtI0n/
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
c~
Cf~;\{'e\\~J, ()t - 2-17
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~ \,ORT-'I",
,i.o~Q.y~
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---- ---'<"""-=-==., +- ::--=:
<)"..../;;. ~~ U8{ICWO<r-~
..y* 1,"\\ // '~
/. 1>-;\."'0 1""
New Business.. ........ 'j/~~Wf\ /. . . .. ( "'y'\
Transfer of Business locat~~n . . . {J;? . ') . . .. ( i!:'(Ij)
Change of Ownership ...1..". .r;:;fl. .,~Y . . \~ ( "",J\ ))
p \\\-.. V t)j~'" ~~~ v~ ~d
New Building......... \'. :\~/~"~' '}/\~ . I,,!,:/)
Remodel t, \~ . I', ~ " ('\ .' )
. . . . '.' . . . . " \/. ~~ '",,' :\~G'" . '~f \ ' ,/\,."
Temporary BusIness. . . . .,~. . . . . . '\\:" fl.'.. J!' ~ )
I " \. ,(:jY'./
Change of Use. . . . .. ! .. ."'... . . . . . . (....~J J; ( )
,/1' ""~"::""-~-:ct:- ___:::;:tJI;,:!_Y
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.*dII'<Q \.u)J!nl.-'t1t::.., t:)
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ROUTING SLIP
Certificate of Occupancy
$50.00 Certificate/Inspection Fee
YES NO / THE FOllOWING Will BE REQUIRED:
- ~ PERMITS BUSINESS LICENSE
- ~ /1) BUilding 1) TaxI
- ~ 2) Plumbing 2) Peddlers
- ~ I 3) Electrical 3) 2nd Hand Dealer
- ~ 4) Mechanical 4) Pawn Broker
- ~ 5) Sewer 5) Dance
- ~ 6) Sidewalk Installation 6) Hotel. Motel
_/,4 7) Driveway Installation 7) Fireworks
-; ~ 8) Curb Installation 8) Ambulance
- ~ 9) Sidewalk obstruction 9) Tattoo shop
L- ~ 10) Water meter Installation 10) Other
/~ _ 11) Fire
/ - ~ 12) Occupancy
.I ',(~ 13)
.. / - _ Sign
/ --:;::- _ 14) Shoreline
i - - 15) Home occupation
I _ _ 16) Conditional use
1/ ,;. == 17) Other
/
I hereby apply for a CertIficate of Occupancy and acknowl-
edge that I have read thi~'~ppllcatlon and state that the
information I have supplied IS correct to the best of my
I
knowledge. /
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APPROVED REJECTED
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DATE 3 ~ 5, - ()
Address of Proposed Busigess , \ .~
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JL .... ,? '". # ~) d< L
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Applicant .:;',f'(~)LL'. J.,,jt,,,, I .. ~l1: /)/-.,).A :~J
Address '?) S~. ~'" iA)A-3J", I FJ-." JjV~
'-~~. &!/A It.; ·
I /" I'~- I (: 'IL.
business 0(,''''3 l (':i'- ( home .-~0<t.' n...,< "1
Phone:
Bnef description of proposed business: D ,;?, t) l\
1- ,~ \.J .,,It! ~( -../
,.., J .-
'.." '..?J!C.. ....
legal Descnptlon: lot :
Current Use of Property: V Ar:. /.\ ,<-.,:) 1
Zoning Classification of Property' L .A
Block
Will THERE BE ANY OF THE FOllOWING?
Construction changes . .
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
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-of-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 . , . .
;'
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
,
"
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SubdIVISIon
"7 '- K;'"'~ . ~ ~7
Date: ') d' ~ ...-- ," ""<'-- ~
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Signed: C ,1 i ,'; J, ~ ,c..o;;~. -::~'
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Comments / Condition~ a..r ); J.~
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CITY WORT ANGELES LIGHT DEPARTMENT
321 E. ~h Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. SSS~
Ir~//D/rr;,
, '
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
.~
I (< ^-<'J
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0191 0391
SERVICE SIZE
o TEMPORARY SERVICE FEEDER SIZE
h.J ~fJ f!Lu..UJt4ch1t7i--f!)(l(AC~ I~, ilL-,
(tlA.A--1.( "~4t.J
o RESIDENTIAL
~ COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
AMPS
AMPS
DetailslDescription:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O. K. to connect service
p-Final O.K. L,t,~,[
VJrt-, J,^ ;~3<'
fK.. Sir"le
Site Address:
Installer:
A'/~
)-
Permit/Receipt No.
.s-.s-S-G,
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUildi~Z.permit. PHONE 457-0411, EXT. 224.
... f NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 11 . I <.._ rJ-O
~/ $ ~0
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bollom, Customer
GREEN - Top: Meter Dept., Bottom: City Halt
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OLYMPIC PRINTERS INC
+:7 84~~ ::...~. ~~.;
"/(7 - St' 73 !;"
~$ rS~1 p ~ ;""7<;;.
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ADDRESS )133 -> /5jL
APPROVED ~ROV~
o ,""',',',",',," DITCH """"",,","" 0
o ..,..,....", ROUGH IN/COVER" " '.., , , , , " 0
o ,',"""," SERVICE """,",',"",' 0
o ,"""',"',,"',,' FINAL, ' , , , , , , , ' , , , , , ' , , , , ,8Q
"
'~'ELECTRiCAlINSPECTiON
WIRING REPORT
CORRECTIONS NEEDED: ?7'
(1-112!c(4L[sc~rY ~!kf '</fWU'LJ'tlUSf-
'2/' 1-t/'~U(ef 4:z kf.jC!- /rJC-t-,;f,'C2'k ~,_
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-'vA e"" / j,J S ~f // [.I /.I/./_Ii':Y.Ltf../t 4-1' <:
NOTIFY INSPECTOR WHEN CORRE~
41lE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OL YMPIC PRINTERS, INC_ (206)452.1381
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. '177 7'
DATE r /!h l'
I'
D READY FOR
INSPECTION
License Number:
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D HEAT PUMP KW
D FAN/WALL KW
D RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
"Gl:: ADD/ALTER CIRCUITS
tJ SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
Details/Description:
fAls4// 1J&(}
.
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f f
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
D RISER
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D116 D316
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
b;L
/r'ok/;/lJ tJ ,r
, / {
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
)?".:p Final O.K.
Site Address:
New Meters
--
Notify Port Angeles Cit ight by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and . K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUildin~H>HONE 457-0411, EXT. 224. #
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;Jt'
. -~ $ V
Electrical nspector Permit Fee
Installer:
.E.
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
GREEN - Top: MeIer Dept., Bottom: City Hall
r
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
~ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
D FAN/WALL KW _
o HEAT PUMP KW_
D SIGN
o TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
W ADD/ALTER CIRCUITS
tJ SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
,
/IV
.
PERMIT NO. 37'S ;;Z
/ /J'ff3
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DATE
D READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE
SERVICE SIZE AMPS
jJ /Tel>
d~f:
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
11'-' Final O.K.
Site Address:
Notify Port Angeles ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
l~
Eleclr;callnspector
Installer:
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
YEllOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
New Meters
MJ
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Permit Fee
GREEN - Top: Meier Dept., Bottom: City Hall
~
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FE'E RECEIPT UMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
lid- r
PERMIT NUMBER
.
TOTAL FEE
~
~CTRIGAl PERMIT ONLY
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMJT
I"i:r"
PERMITS WITH WRONG A
Owner
Owner's Address
1!tf1- ~~
Installation By
" lnstaller"s-Address
Wiring Method(?~lih) /.,.--
D~y Phone Installers Phone
Application is hereby made for Permit to install Electricai Eltuipment as follows: f N -;;F' I'rf A-"
(!e>~\~\€J)/<f 'Jr-J E-k.1~,.lG t?.Jf?r",J~ .
.
AMP 240V NUMBER AMP 120V. 240V
USE OF CIRCUIT NUMBER PER 120V . 10QA . FEE USE OF CIRCUIT" PER 100R FEE
CIRCUITS 10 CIRCUITS 10
CIR 30 CIR 30
LIGHT SIGN f "i A./ ~
LIGHT 50 VOLTS . , .....,
OR LESS
CONVENIENCE I. - - MOTOR u
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER . FIRE ALARMS. .
DISPOSAL BURGLAR ALARM
-
RANGE MISC.
OVEN
WATER HEATER ,
LAUNDRY
DRYER . .. .. AEINSTAlLATlONLlGHT FIXTURE # -.
FURNACE SUB TOTAL FEE .
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .. -'7 U.
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W,G.
I SUB-TOTAL - SIZE 0 EpjTRANCE SWITCH .......
SIZE OF GROUND
I certify that the work to be perfo',:"ed '7 t~mit will be done by the installer ;?1:1r; ~~ith t~f~~icai /
.Date Application made ~ , 1~ Y I't .... .. A
I - CONTRACTOR OR OWNER (OR AUTHORIZED AG6T)
/
.
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
speCifications pertalnl-ng "thereto, subject- to complian"ce with the Ordmances of the City of Port Angeles
\, DIR~CITY LIGHT.
Date Permit Issued ~CANSA:a~ .~41,,".,.
Notify Department of City Light by Street Address and Permit Number when re-ady~f~r inspection, Work mu.st not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard" A. :Permits Phone: 457-0411 Ext. 158. -
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD _ inspector's Report
01 YMPlC PRINTERS. INC
REPORT OF INSPECTOR
DATEOFVISIT MADE BY REMARKS
,
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O.K. FOR COVERING
.. q.K. TO CONNECT SERVICE
(, /11 '17 /"...M .
FINAlO.K.
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'. CITY OF PORT ANGELES
DEPARTlvlEN'i"OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
J~g8
" PERMIT NUMBER
.,
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TOTAL FEE 2-&~ I 7 Lf f'<i-
CaNT. Lie. NO. TIMETOCOMPLETE __NO':"STORIES ---LE~AL OCCUPANCY
_. /
NO DC . PANGY OR USE ESTABLISHED UNDER THIS PERMIT
. ..(.~:./rr-
CORRECT ADDRESS IS RESPONSIBILITY OF A PL CANT PERMITS W. n.t:... WRQ ~D.oBESSES AREC-~NCEttED-~
ownerlJ--A. \ (AI i LD!i':A? 'InstallatlOn By \ I
Owner's'Addres's Installers Address )
Day Phone Installers Phon? ccj.<:: 2 S 7 /7~7"
Application is hereby made for Permit to install Electrical Equipment as follows: (~ ~ 'S J ~rl G' dl\J
. . II . - 1/ ,,;7,
~~ D P'O'2..r~>?:' ... . ~ 11 ~\~ i J <;:;-1:. ^ C-.44 <; S- ,?~~ ~i>].((..!J
- (fr:~'_ -'- Wiring Method (,0~u ,<r'"'
,-- - ~ ..
Site Address
-,
AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PER 120V 100A FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SiGN / 1:-/ ,V 2/~L
LIGHT 50 VOLTS "
OR LESS
MOTOR ..
CONVENIENCE
CONVENIENCE MOTOR
APf?l\ANCE - MOTOR.
DISHWASHER -- FIRE ~LARMS
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOT AL FEE .
'GAS - OIL
FURNACE ENERGY FEE
ElECTRIC BASIC FEE
ELECTRIC HEAT . ?~vt:?.!!:::--
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A,C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-tOTAL --
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.~
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Date~~?rl
I certify that the work to be performed under t~_ perjWill be done by the installer and in CO~f" r70:e wit~e
Date Application made 1 J i- ,19 15 7 By /t/!J!<--....
. .. ,I CONTRACTOR OR OWNER (OR AUTHORIZED A EN:[)
PermiSSion is hereby given to do the above described work, according to the conditions her,eon,and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinanc~~ of the CitX,of port Angeles.
.' "'__' DIRECTOR OF CITY LIGHT
q'L---~." .~
By -LL/t c- 2!f2
PLANS APPROVED '. "
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or currentjurned on before inspection and O.K. for covering or s~rvice has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PL,ACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
, Electrical Code.
(
C1Zp
WARNING
WHITE, Original CANARY. Duplicate PINK, Triplicate WHITE CARD, Inspector's Report
REPORTOF !NS~I;CTOR
t. .L'. ;-.
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"..'''' "
DATE OF VISIT
REMARKS
MADE BY
ELECTRICAL INSPECTION
WIRING REPORT
457.0411 Ext. 158
INSPECToJ!r
S/aJ Ov
/
if/ vo cL
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER.............. 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
W( ~ IS Of S'Uu{t..'ftJ
eoN N {(- If- ff) 10 71fL ilK 'i. vJ try
MT
S7/l.;lP/[ (/_
,.
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
..
- DO NOT REMOVE -
h.....
OLYMPIC PRINTERS, INC. (206) 452-13B1
,':'
-E1!llAl.O.K. )~VQi:l'N~ -;..~ .
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
h90
PERMIT NUMBER
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
.
TOTAL FEE
J-.& 00
. L 7'1 L
- tVI; IYBflI
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
q~?, t. II> l-
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner 1J.I1. KoIIJriA Installation By \).o.:",bn...:> (lito(\. -Sl~",
Owner's Address Sc.-.Y'V\..e. "-<6, <,<-bo uti- .. Installers Address ~:J.-..-/' ?<\.~ e- '~A
Day Phone L/;5"7- ~8&:J... Installers Phone i.(~;l...-'::J.;)..l./
Applicati~n is hereby made for Permit to install Electrical Equipment as follows: ~ p M C) l] t ('l~ CI- ~ € ~ l\,Sk l )~
Site Address
:Se,M..~ ~<~~'S..
Wiring Method (-0 Ad",,; .~
.
NUMBER AMP 12QV 240V NUMBER AMP 120V 24QV
USEOF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT -;Z. , SIGN :z. .t/,~ .-- .21. qg
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - - MOTOR . I.
APPLIANCE I .. MOTOR
DISHWASHER FIRE ALARMS - .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN .
WATER HEATER
LAUNDRY
DRYER .. . REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE .
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT . <'<-'
TOTAL FEE ~
ELECTRIC HEAT SIZE OF.SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-
SERVICE A.W.G.
- I SUB-TOTAT.
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
7 II 7 .19 8& By ..---;-
Date Application made
.
CONTRACTOR OR OWNER (OR lZED AGENT)
Permission is hereby given to do th~ aJ~ove'described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
ZDIRECT. R OF CITY. LIGHT '.
By /lhA-L _ <'Aft'
Date Permit Issued PLANS APPROVED . _-,"",0_ ,
7 - 17-1'1'
WARNING I
.;,
No-tify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current ~urned ~m before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - OrIginal CANARY. Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
n. "..c,,.. cC't.lT~Cq ,1\.1'"
REPORT OF INSPECTOR
DATEOFVISIT MADE BY REMARKS
O.K. FOR COVERING
, I \. O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15602
Port Angeles, washington....,/.;.?m.:L.Lm..........mm.mm.. 19.))~
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 Angeies. per-
mission is hereby granted to do electrical work as listed below.
Address .~[;.!--~----__.;.__mn.mnnmmm-n-- occupancyn~nmm.n.nn.__..m.n
~:~:~~.~n~actor.:m~:::d~:::::nn~~:~~~;:::::::::::::-...':.-::::::::::::=::::::::::::::::==:::::::::::::::::::
Light Outlets...............................__.__.n. Service. volts ............_...___..__.________.___... Type or Wiring:
Armored Cable ................____.__.......
Receptacle Outlets._.__m.......................
No. wires ......................._.__.._..____...
Dryer, KW.....h...._.._____.u___.....__h.._____.
SIze wires.........___........____m.__...___..
Range, KW __n....__n....hu.__
Main fuse ____.........................._.___....
Water Heater:
Enclosure ........._...._........__.__.____......
KW.______mmnnmnnmmmmnmmn
Type of wiring:
Entrance Cable ..___.___m_________........
Heat: KW.....n...__n.....nu.__nn...nn.nn........
Motors: size, volts and phase:
Rigid Conduit ___.mmn.m....m........
Metallic Tubing .mm....h..............
Current transformers:
No. & Size............n..............n.....n__
Ser. NO...nn..__...................................
Ser. No. .......n.nnnnn.....n...n.n__....n..
Ser. NO...n....n....................................
Non-Metallic ...................__............
Knob & Tubenmnmmnmm_nnm___._
Rigid C()udult m_n._.n_m_mm_mnn_
Metallic Tubing .....___m................
Raceway ..................__.............._..._
Circuits, Light..............n.hh..................
Utility nmn_m_nnnnn_m_mnmm__nn_
11eat .......................__......................
Range .............................................
Water Heater .............mm............
Motor .h..................n.__nnnh...........
Dryer...........__.nnnn...n....................._
Furnace . ........................,~...................
:~:~~::~:~:::~~::~..~.:-::::::::::::::::::::::~:t:~l::n~.n.:n..~n::.~~.~~:.~.:~::~.:
.;~.:.~~__~::......._.___....___.___nnm--.::~.~.~:...~.~.~.~~~.~.._._.~.m----.--.-----.::.El!fd.~----.---.--..--.---------.mu--------
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be COll-
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?
15602
Address..............................................__.............................................................................__.........Date..._........___.._.._.........._......_.................
Owner..................................._.........._......_......_.._...........................................................Tenant...........__.......................................................
Wiring Contractor............................................ ..............................................................................By...................................__.........__..............
NOTICE-Current must not; be turned on until Certiflcate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
~.",.;..q.;.,'.,~
...,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14913
.. /~ -/7 >3
Port Angeles, Washlngtou.ummu.u....u..mm...............u.....uu........, 19....000.
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.
r 3 3 E 1.-a!Y. ~<J
Address ...'.....m..........m..uu.....~...... .Lm..m..'.~m...A...u........m..... Occupancy...mm...m.................................
"II,' [1/
>~:'?trl,L-.!iL"t..~~) -;e-i.,.. 1rr~.~
Owner .....:.......uu....m.m...u..~...t:;I.; .....v."..".m.m... Tenant..u.........mm...........................mm..mu......m......
. . () ;-::'1 Ch!2Af G,-.
Wmng Contractor .....::..uv.....mmuu...m........u...uu..........u. By.uu...............m...m..........um...............m........
~1or
Service, volts __..tQj..m..._..__.....m___....
No. wires ..Lmn........_...n.........m
Light Outlet..............mmn...........m_.....
Receptacle Outlets......n..._......._...........
Dryer, KW[ ..........nn......hh..__.___._n______
Range, KW __________..m__m_.
Water Heater:
3
/
KWm.n50;r;;;nn!.:~Z;~e .
Hea', RW..7.3"'.V"'..'~' .'nn.mnmm;:.:;
"I l...cJY . ...;'(.1,..
Motors: sIze, volts d phase:
.....m;:~=;._~=~zCj:{!2'fi
::: ;~::S:Yr;..7L::':"':.'~::
c.., I.~
Enclosure ............__......n_m..nnnn...
Type of wiring:
Entrance Cable _mmmm_nmm_...._.
Rigid Conduit m.nm.m___mm__.._....
Metall1c Tuhlng mnn.mnnnnmn.n
Current transformers:
No. & Size___.m_n__nn..n...mn...m.....
Ser. NO~........._.n_.____.__nn.__nn_...........
Ser. No........_._____________...___._.....______.._.
Ser. NO........._nn__n___.nn__n_._nnn__n___
Ser. NO.nn._n_nn.n...n........................
Type of Wiring:
Armored Cable mmn"n
Non.Metallic .....____.mm.m........nm
Knob & Tube.....m......m___m___........
Rigid Conduit ......_....._00 .............00
Metallic Tubing u...m__n.n.m.._nm
Raceway _u.nn....nn......n....nnn__...._
Circuits, LighLm............._........mn_.._.._
UUIity .mn.......mmnmm....n.nnnmn
Heat
Range ..._...0000.__000000............_.00._.00____
Water Heater ._._n.n_....m...._.........
Motor ........_____..__________...___..........___.
Dryer..___..________._..._.._......____.....___._._..._
Furnace _.nnu.n_.n....n....,_.....
Total .._n__nnnnnn..n.............n_
Remarks: ..........m..m...U..................mmm....m.__......................mm....m.mm..__..__.mm....m..m..........m............__
........................................d.................-..........................._......................~...................~...................~.........._.............
.................-..........................................................................__...n..................__...d......~..........d...........................~..u.
Permit Fee \
$..._...................m..__.......
Treas. Receipt
No..__.........................
By ............000...____...__....__..000000.__.000.000__....000__...000.
NOTICE-Current must not; be turned on until Certificate ot Inspection haa 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?
14913
Date called for inspection_:_____.__._........___..._.____._.___..____.__.________..___________.._._______.__.._...._...._.....____..____..............____.._________..____.._____..._._............_..
Prelimtnaryinspectiondates........__._.__......................__..................._........_.._._______._...___......................._______....__............__.._..._...___......._..........
Inspectioncompleted...__._...._______...___..._........_....................__......._.~,.......___._.______....._........_....._......___..______....._....._........__...._........._..._._._.......
1M 3-72 Olympic Printerrs, Inc.
Total Load .__.nnn.n___...n...........nn._...._.n._~....n_..._..........n.n...._......n_ l____n
.-............-.....---....----...................-..-...-...-....--....-......-
Certificate of Occupancy ~o,.-~-~ J ~c- ~' ~.~.
~e~ificate/Inspection Fee ~.~ ~1c ~ ~
DATE ~ ~ / ~- O~ New Business ............................
Address of Proposed Business Transfer of Business Location ................
ff~ ~ /~ ~ I Change of Ownership ......................
Applicant ~ r~ ~ ~ New Building .............................
Address ~ ~ ~ &T Remodel .................................
¢~,~ 4~,(~ c~x ~3~ Tempora~ Business .......................
Phone: business Nt?-~ home ~ ~ Change of Use ............................
Brief description of proposed business: ~;~ - ~ ~0~
Legal Description: Lot /~ - /~ ck Subdivision ~/, ~/,~
Current Use of Properly:_ ~ ~ ~ ~ v'/~ '
Zoning Classification of Prope~: ~. ~
WILL THERE BE ANY OF THE ~OLLOWlNG? YES N~ THE FOLLOWING WILL BE REQUIRED:
Construction changes ........................... ~. PERMITS BUSINESS LICENSE
Electrical changes .............................. ~ 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers
Plumbing cha~ges ............................. ~ 3) EJectdcal 3) 2~d Hand Dealer
New or relocated signs .......................... ~ ~ 4) Mechanical 4) Pawn Broker
'
~ow 8o~tic tanks ............................... 5) 8~w~r 5) Danco
~ow ~owor s~ico ............................. ~) Sidowalk installation ~) Hotol - Motol
Admission charged to patrons .................... ~ ~ 7) Driveway installation 7) Fireworks
Is this a home occupation? ........................ 8} Curb ~n~a~tation 8J Ambu(ance
Excavation of filling of lots ....................... ~ 9) Sidewalk obstruction 9) TaEoo shop
Work done in Ci~ right-of-way.. / 10) Water meter installation 10) Other
is there sufficient off-street parking? / 11) Fire
New driveway openings ......................... ~ 12) Occupancy
A grading plan for site drainage ..................... 13) Sign
(parking lots, downspout, etc.) .................. ~ 14) Shoreline
Aretheex~st~ngstr~s~v~? .................... 15) Homeoccupafion
Are there existing sidewalks? ..................... ~ 16) Conditional use
ts there curb and gu~er? ........................ ~ ~ 17) Other
Other ......................................... f
I hereby apply for a Certificate of Occupancy and acknowl- ~'- [ ~ - 0~_..
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my I---"~'3/'~ ...,~/'-'"~ ~ ~" '~'. "/'~ ~)
knowledge. Signed: __
,~ D REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
EB.I.A.
CERTIFIC OCCUPANCY
This Certiflqgtt~o~ i~t4edpursuant to the requirements of Section 109 of the
Uniform B~#dlng ~da e~ttf~fing that qt the time ~ tSsuance this structure was
in compilerrt~ ff,~¥h~ne ~ftt~ Ct~y r~git~ting Building
~eClas$ia~tio~: RetmL ~uil6~l~l'~t ~ s and Games
Own~ofBusln~s/Residence: ~De£oe WA 98363
Building Address: wa 98362
~ 2002
Post on place.
Shall not be removed except by Building Official.
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANG~;I.~-~. WA 98362
BUILDING PERMIT ISSUED: 1/19/2001 PERMIT NO: 12450
OWNER/APPLICANT PROPERTY LOCATION
933 1ST ST E
HOWARD C RATZMAN
933 E 1ST STREET Lot: 14-19
Port Angeles, WA 99360 Block: [] Long Legat
206/000-0000 Subdivision: WILLIAMS & CRAMERS
T: S: Parcel No:
CONTRACTOR ARCHITECT
J & J CONSTRUCTION N/A
233 ALICE RD
Port Angeles, WA 98363 , 98360-0000
360/457-1809 360/000-0000
PROJECT INFO
Project Value: $5,000.00 SFD Units: 0 Commercial: 0
COMM/REMOD SFD SQ FT: 0 Industrial: 0
Project
Type:
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: ACD
PROJECT NOTES
INSTALL NEW HANDI-CAP REST ROOM
FEES ASSESSMENT
Building Permit: $111.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
RW SANITARY WATER DWY STORM DKA OTHER
Separate Permits are required for electrical work, utilities, p~vate and public improvements. This permit becomes null and void if work or
cons'n~Jction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after
the work es commenced, or it required nspecfions have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this appica~on and know the same to be t~ue and correct. All provisions of 1~3ws and ordinances governing this type of work
lwill be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
~ ~ovisions of any state or Ioc~law reg~ating construction or the performance of construction
15~'sture of ~ontractor or Authorized A"'~t Dote Si~]nature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDINO INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL T@'COVEI~
INSULATE OR CONCE.4L ANY WORK BEFORE INSPECTED AND ACCEPTED. Po~r PERMIT IN A CONSPICUOUS LOCATION.
FOUNDATION DRAINAGE
:c~ I I I
&J
~
BUILDING PERMIT
OWNER/APPLICANT
HOWARD C RATZMAN
933 E 1 ST STREET
Port Angeles, WA 99360
206/000-0000
T:
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
ISSUED: 11/07/2001 PERMIT NO: 13082
PROPERTY lOCATION
933 1ST ST E
lot: 14-19
Block: k8J long legal
Subdivision: WilLIAMS & CRAMERS
S: Parcel No: 063000720250000
CONTRACTOR
J & J CONSTRUCTION
233 ALICE RD
Port Angeles, WA 98363
360/457-1809
PROJECT INFO
Project Value: $500.00
Project Type: REMODEL
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use: ACD
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units:
SFD sa FT:
Commercial:
Industrial:
Garage:
o
o
o
o
o
-I:
\['\
\/'
MFD Units:
MFD sa FT:
o
o
~
PROJECT NOTES
INSTALLATION OF (3) HEAT PUMPS AND CONSTRUCTION OF A FIREWAll
RECEIPT # 8236
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
,-..,
r
$23.50
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$205.65
$0.00
Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
$233.65
$233.65
$0.00
BALANCE DUE:
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 ifrequired 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 v' e or ncel the provisions of any state or local law regulating construction or the performance of
con~~~.
" J,
{/
Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILTNG
DRYWALL
T-BAR
INSULATION
SLAB I
WALL / FLOOR I CEILING I
MECHANICAL I C,';C "'i~ ';dV'+<:J"S I { ....}L~ ~ (). I JfH i-\~J'.. ~. -;p;. tfH" .,., C~ S'.J//' "' ' .
I ".("F/::.':F.-:j
HEAT PUMP f/-iG'vl .1-, 'l-l-
WOODSTOVE ( PELLET/CHIMNEY (INSERT
HOODIDUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE ( METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/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./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT. C'lftr<.-<!.
BUILDING 417-4815 BUILDING 'l"Z-lt7.n' thJv
C:\APPL.WPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
. .
REQUEST:. 1/
/ / : _1/ ,..€} I
Date .' / U .
Time
v:~
Received by ()( (phone. person)
Location of Work to be inspected q? -::? c:
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
I :;d
Phone No.
Permit No.
Sewer Excav, Other</'/' '
/
I/i'/
INSPECTION NOTES;j
Inspected: Date / /,
Remarks:
/"
T~/
,/
".' /
Time
By
('
" -' .__>7. "'.' __ ",'
, .",,, ", '. / .
'-v,'I.... ,
f' ,
."'(1 )II iJ i......'/. / ".
....... ',_'C
REST"ORA TION REQUIRED . . . . .. YES NO
J /
/1,'
/. ..ice- I !
L_ -j"
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
REQ~E~T; <._
Date / .I. . ,~
'r!
.."" r
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
,/_.
Time
Received by
(phone. person)
location of Work to be inspected 7'5 _? ("-
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
//;;.~
Time
Phone No,
A Permit No.
~ Sewer Excav. Other
BV ~
/3082...
INSPECTION NO~S:
Inspected: Date ~ - It:, 'C9/
Remarks:
RESTORA TION REQUIRED. . . . " YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Repaired by City
CJ Repaired by Permittee
D No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
lDATI"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
. .. .. ..
REQUEST:
Date
Time
Received by
(phone. person
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
9''3 ~ c
') ;;,~
- ,
I.d-
Phone No.
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUiRED...... YES NO
I/o
C of
C)
~t n(p,r.Q... !fo<<A.e
FurV\~~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
---....-......... ...............,..,~....................,-r
'n^T~\
"(I
~;;;ii"
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
32 I EAST 5TH STREET, PORT ANGELES, W A 98362
BUILDING PERMIT
ISSUED: 11/13/2001
PERMIT NO: 13094
OWNER/APPLICANT
HOWARD C RATZMAN
933 E 1 ST STREET
Port Angeles, WA 99360
206/000-0000
T: /='rM' ~; cl '" )J: ""e...... S:
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $0.00
Project Type: SIGN/MARaUEE
Occupancy Type: COMMERCIAL
Occupancy Group:
COnstruction Type:
Zoning Use: ACD
PROPERTY LOCATION
933 1ST ST E
Lot: 14-19
Block:
Subdivision:
Parcel No:
~ Long Legal
WILLIAMS & CRAMERS
063000720250000
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
.-D
V'
V-
t'^
PROJECT NOTES
WALL MOUNTED SIGN
<J
\-
FEES ASSESSMENT
Building Permit: $0.00 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $0.00 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $30.00 TOTAL FEE: $30.00
Plumbing: $0.00 AMOUNT PAID: $30.00
Mechanical: $0.00
Radon: $0.00 BALANCE DUE: $0.00
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 wili 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
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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-TN I I I
PLUMBING
UNDER FLOOR! SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL I FLOOR / CEILING I T
MECHANICAL
HEAT PUMP
WOODSTOVE I PELLET/CHIMNEY I INSERT
HOQDIDUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4]7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION. R.W.
ENGINEERING 4]7-4807 PW I ENGINEERING
FIRE 4]7-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT. rJJO _ ,1
BUILDING 4]74815 BUILDING L..,~ -17-05 01/
C:\APPL.WPD
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONI..
Dole RI:c.:
Pcnnil N:
DIlD Approved:
DIlD _
The Building Permit -l're-application IIIIISt be ft/kd 0111 completely.
Please type or prlat ia iall. Uyou bave aay questiODJI, please caU 417-4815
Applicant and/or Agent: (.:/<0>,,,,7 i: L 1 &lit(:fJD T
Owner:GflAtN( (, L-l{~)-i7C<9<9r
Address: C;-s 'Z, S, I ~ C4"_ City: (>.A.
Architect/Eogineer:
Phone: "457-0/)/
Phone: ' , , ,
Zip: S -g'i5b~
Phone:
Contractor
Address:
License #:
Exp:
Phone:
Zip:
ZONING:
City:
,~""", P,A,
Block: ~ -::t ""., Subdivision:
Credit Card Holder NaDle:
City:
KIp. Date:
PROJEcr ADDRESS: OJ 7;~ t=.,
LEGALDESCRlPI'ION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Bi1Iiq Address:
Credit Card II:
eft
VISA
MC
TYPE OF WORK: SIZElVALUATlON:
o Residential 0 New Constr. 0 Re-roof 0 Woodstove ' SF. @ $ /SF. = $
o MuIti-tiunily 0 AdditiOD 0 Move 0 Garage SF. @$ /SF. _ $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF_ = $
o Repair 0 Sign . 0 TOTAL VALUATION $
BRIEF D~Ol'r OF THE PROJECT: ?,~~ _';: (,p;:;-~ :;[~/lJA' hi I (L ~ b (> J.,/lL~T\
P..--~Y//A^,t',^,/l--V ON (~/.ff> C;.N. C~__s_ __ I~, .-"-v/Cf}/,r,)(::....
COMMERCIALlRESmENTIAL: Occupancy Group: occupaOiiAi8ai .,"053> Construction Type:
No. of Stories: I Lot S/2e: ' % Lot ~verage:%
Existing Lot Coverage:; '. . /sq_ ft. + Proposed Lot Coverage:"';" " Isq. fb. toTAL LOT COVERAGE: 'S',' Isq.
PLANNING uSE ONLV: APPROVALS: PLAN !lJ~~
Notes: BLDG.
DPW
FIRE
ESNWetJand(s): 0 Yes 0 No SEPA Checklist required? 0 Ves 0 No Other: O~
BUILDING APPLICATION SUBMITrAL: YIHI' IIpplJcDtJtm tlIId site pflm mllStbefllle4 _ ctJIIIIlrete6' to be tuXqtdfor rm-. Th
Building Division can provide you with more detailed iaformation on lite application and plan submittal requirements.
BUILDING PERMIT APPUCATION SUBMl'ITAL: Your completed application, site plan (for additions) and building cOllStluctiOl
plans are to be submitted to lite Building Division_
VALUATION OF CONSTRUcnON: In all cases, a va1uation aniount must be entered by lite applicant This figure will be reviewed an
may be revised by the Building Div. to comply with current tee schedules. Contact the Permit Coordinator at 417-481 S for assistance.
PLAN CHECK FEE: Your plan check: fee is due at lite time lite building permit application and construction plans are'submitted. AIl ollte
permit fees are due at lite time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit is issued witbin 180 days of lite date of application, litis application will expire bl
limitations. The Building Official can extend lite time for action by lite applicant up to 180 days, on written request by lite applicant (sel
Section 107.4 of lite Unifonn Building Code, current edition). No application can be extended more lItan once.
/ hereby certify that I have read and examined this application and mow Ihe same to be true and correct, and / am aIIlhorized to apply /01
Ihis permit J "nderstand il is not lhe City's legal responsibility 10 determine what permits are required; it remaim Ihe applicanl'~
..."...~dHy.""'.......",..", ~.......,... m -..... jlf;jft1
PW-1102_I3[revSJ011 Applicant:. ~ Date: 1/, 0~.p I
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BUILDING PERMIT
OWNER/APPLICANT
HOWARD C RATZMAN
933 E 1 ST STREET
Port Angeles, WA 99360
206/000-0000
T:
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
East 51b Street, Port Angeles, W A 98362
PERMIT NO:
321
S:
ISSUED:/27]t 0 I
PROPERTY LOCATION
933 1ST ST E
Lot: 14-19
Block:
Subdivision:
Parcel No:
13087
k8J Long Legal
WILLIAMS & CRAMERS
063000720250000
CONTRACTOR
FEDERAL FIRE SAFETY
2032 SO. 0 ST.
PORT ANGELES, WA 98362
360/457-3308
PROJECT INFO
Project Value: $3,276.19
Project Type: FIRE ALARAM SYS
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use: ACD
ARCHITECT
NIA
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
-'>J
v~
\iN
PROJECT NOTES
INSTALL FIRE ALARM SYSTEM
RECEIPT# 8589
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
1')
IV
\ -
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Mise Fee 1: F.D. PLAN REV.
Mise Fee 2: F.D. TESTlINSP
Mise Fee 3:
$50.00
$100.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$150.00
$150.00
$0.00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection, I hereby certify that I have read and examine:! this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to giye authority to yiolate or cancel
the prov" of any r local law regulating the work specified in the penn it.
('
Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fIre 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 Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Tank (container) inspection Time initiated
, Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final l.tI t-:J.'01 U. ')
GENERAL COMMENTS:
2/15/00
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BuiIdinglUtility/ElectriclFire Permit Application
Please fill out completely. Type or print in ink. If you haye questions
please call (360) 417-4815 or Fax: (360) 417-4711
e-mail: www.ci.port-angeles.wa.us
Applicant andlor Agent: 11 L M \ U/~
Owner: H-C W-A~~ R A'T'Z-W\.fl.J
Address: ~D3 .:r#"ClIl'rtJ e,EOlD f2.b ,
PhoneA5'7-3.3D~
Phone:
City: U WI tavA / () A
FOR OFFIC'{i USE ONf Y:
Date Roc" l --/f:, -0
Permit #, I R-
Pre-Appl Complete'
SHBI724'_Y_N
Letter ofCompleteness:_
Bldg. Penrut Appl,
B.P. Issued;
~p..,.. /'3,D[37
Zip: 9 7"-l8 h
Architect/Engineer/Designer:
Contractor: ft.)'E~fll-- FIM.bI'lFf-"'Y
Address: 2. 03 z... S,' (Y G-r ,
PROJECT ADDRESS:: 9.3 3
LEGAL DESCRIPTION: Lot:
, I:N~ LicenfeEjU.F11'f?bbT Exp: :8)oz,..
City: Po ff A-tJlO~.L.e-.;, ,'\IV PI
C. )".1' A It
Block:
Subdivision:
Credit Card Holder Name:
City:
Exp, Date:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address:
Credit Card #
Phone:
Phone: 15)-3308
Zip: q 83b3
ZONING
Zip:_
VISA_MC_
S2/(..11
TYPE OF WORK:
o Residential 0 New Constr. 0 Reroof
o Multi-family 0 Addition 0 Moye
)( Commercial K Remodel 0 Demolition
o Electrical 0 LP-gas 0 Sign
SIZEN ALUATION:
SF,@$
SF.@$
SF.@$
TOTAL VALUATION $
o StovelInser\
o Garage
o Deck
DUST
BRIEF DESCRIPTION OF THE PROJECT:
~)'l:f.- ALA~"" 5\r"'TlM
/SF. = $
/SF. = $
/SF. =$
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Lot Size: % Lot Coyerage: %
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: Isq. ft. = TOTAL LOT COVERAGE: /sq.ft
PLANNING USE ONLY:
Permits Required:
Max. Height: Setbacks:
Site Plan and Use Approved by:
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No
APPROVALS:
Notes:
Zoning:
Date:
Other:
PLAN
BLDG
DPW
FIRE
OTHER
PRE-APPLICATION SUBMITTAL: Your application and site plan must be flUed out completely to be acceptedfor review. The
Building Division can provide you with more detailed information on the application and plan submittal requirements.
BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases, a valuation amOlmt must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Diy. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due 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: Ifno permit is issued within 180 days of the date of application, this application will expire
by limitations, The Building Official can ""tend the time for action by the applicant up to 180 days, on written request by the applicant
(see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to
apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the
applicant's responsibility to determine what permits are required and to obtain such.
PW-II02_13[rev.6/00I Applicant: U./~v-
Date:
) ) )1 )tJ J
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I DATE: It-(,'-Oi I
~;IRE DEPARTMENT
o PLANNING DEPARTMENT
o
o
POLICE DEPARTMENT
ADMINISTRATION
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUILDlNG DIVISION I
o
o
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
-c
w
IN
1\\
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RE: ADDRESS: '1 ~'~ 2 I U ~M2~ RA +~I't4N S;d') " 1!
NAME/CONTACT:
PHONE:
PERMIT NUMBER:
PROJECT DESCRIPTION:
o NEW CONSTRUCTION
o ADDlTION/ALTERNATION
COMMENTS/CONDITIONS:
~W/RETURN
o FILE
PORT ANGELES FIRE DEPARTMENT
Fire Alarm System Plan Review
Project Name: Ratzman Building Address: 933 E First St
tnstaller: Federal Firesafety Telephone: 457-3308
Type of System: Extended R-3 D R-I D Com (Z]
Date: November 7, 2001 Permit #01-10
We have checked this plan and find that it conforms to the requirements of our ordinance.
Additionally:
I. All systems shall be installed as prescribed in NFP A 72.
2. A final field acceptance test will be conducted to ensure compliance with applicable codes
and ordinances before final approval is given.
0 Contractor Reviewed By fJ()~
~ Building Department
0 Light Department
0 Fire Copy Date \ \ - '( - q)/
FP - 6 Page I of I
FEDERAL FIRESAFETY, INC.
2032 South '0' SI.
PORT ANGELES, WA 98363
l1@uu@~ @[? u~[}!J@[};1]Duu&11
(360) 457-3308
FAX (360) 457-5612
DATE ,)
JOB NO.
ATTENTION
TO
C,"'/ Qf f~A..16~1E-$
RE:
LbV
WE ARE SENDING YOU
o Attached
o Under separate cover via
the following items:
>
o Shop drawings
o Copy of letter
o Prints
o Change order
o Plans
o Samples
o Specifications
o
COPIES
DATE
NO.
-3
DESCRIPTION
rt'Ic..n- .5'LYB/fI,JiALj
F)~f
tl C~,1 (j,J
THESE ARE TRANSMITTED as checked below:
o For approval
o Approved as submitted
o Resubmit
copies for approval
copies for distribution
corrected prints
o For your use
o Approved as noted
o Submit
>
o As requested
~ review and comment
o Returned for corrections
o Return
o
o FOR BIDS DUE
19
o PRINTS RETURNED AFTER LOAN TO US
REMARKS
SIGNED:
Q
COPY TO
"enclosure. are not .. noted, kindly notify u. st once.
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ELECTRICAL WORKPERMlT APPUCATION
I
Job wired by
)( Electrical CODtractor a Owner
lr,talJ.'ion description
JIl.. Co......erclal 1;;1 ReIIcleDtIaI
Date Expires
CJ 1'1...
i:l Altered! AddltloD
\ Jt) Ii' e_ j 't::o:fq
"remise. owner's name
-1<=u.-€-!
Address of InspectloD
~O~.C
City ? A-
Phone number (0 ~CbedQle lo.pedioo: ro 70 - <...f9 7 L/
Owner as defined by R.CW.19.18.26J:(l) OwItC'I' will occu.Py (h~ structt4N:jor two
yea" after this el<<tric.dl pc7'WJ1t Ls flMliJ.ed. (1) Ow7.Ier is rtqt4lf'fd tQ hIre an elecrrtClJl
rorltn:lI;rOr If aoo'Vt laid pro~rty is fq, salt, relft ()I" let'St.
After reading the 1!l})Qvt statement, I hereby ~l1ify thai ,I am the owner of the above
named property or a licensed electrical contractor. I. am making the elednclIl inlJlal-
I.lltion or alterarion in compliance with the elec:trical laws, N.~.C_, RCW. Chapter
19.28, WAC. Chapler 296-468. The City of Port Angel!!:s Municipal Code. and
Utility Spec:ificiltion!li.
S'Cdatu of w r, electrlcll eontuetor Or electrical .dmlnlstr.tor
p,- r-::. r
5<9&')~-Pf-
01'/ -r. (~
o Cash CI Check#
~redit Card VISl
Card #
Mastercard
Discover
- .
-""'"---------------
x
Expiration Date
of card
Inspection fee
$ S ( .00
Service Infannation
i:l NO LOAD
o Baseboard
a Furnace
a Heal Pump
i:l Fan-Wall
I
. ANGES
_KW
i<:-N
_ Ton_LAA
KW
o Overhead Service
o n:lmp $9Nlce
o Underground Service
Vol1ago
PhD8&CJ,03
S8rvica Size: _
F_r S1zo:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
k
ROUGH-IN
.irJ]
A~rcw&dBy
THERMOSTAT
SERVICE
D~le
A~.oJBy
D:lle ~..w8y
5:
ANAL D
k
AOJlfO~td By
DITCH
Fm>tR
Dlte AppromBy
Dati AppnI'I'ed By
Inspection
Date
Area. Building or Equipment Inspected
Action Taken
Electrical
Inspector
U(OO"Dm.
04/08/2008 15:18 FAX 3606139515
~~
HANSON SIGN CO
72> JbO 41':l '(:P/I
~001
03-oL\~\
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ELECTRICAL WORKPERMlT APPLICATION
Job ",ired by
o Electrical Contractor 0 Owner
IflSt3l1l11t1on description
QII Commercial 0 Residential
Electrical contruclO1' name 5
Purchaser's mailin* addrcas
Po &-x 92-~
CS"!IIe.rr'JJe ClltZIP <f R'3R3
Tclc~one numbcS"S'b FAX n:t' (0 t3 q 51$'
f'remhles owner's AHme
:J fU_F- KCfll f S7'ArE en
Address of Ineptctioa
0133 E IE $1"
Clty ~rt Iln3.e!e5 0..)&
Phonc'.l1mber to "b~.le l.spe'''..'31DD ~/3 955 ()
Owner as d(ifi.n.ad ~v ~CW.J9.28.:J6J:(J) Own~r wUl OCClll')' the .<;,rucluref()r two
yea1'S afif!r ,his ele.ctrical permi, ;$ finaJ~zed. (2) Owm:r t,i I"equind to hirlt azl t:ll!Czric;al
contractQf if abow SUid property is for .sO/f.", r{"Jft ar leCLSt.
After racing the .,bove Slatt:mcnt, I hereby cemfy lMt I am the owner of the above
Darned propctt)' or B. licensed clcc,..;cal contrnclOT. I llm making tile electrical instal..
larion or allcratioll in complillJ)ce wilh the clectricnl laws, N.E.C.. RCW. Chapter
19_28. WAC. Op,ptt;r 296-46B. The. City of Port Anseles Municipal Cod-e, and
Utility Speciticl1tio1l.s.
SiEnatare tonfratCor or elec1rlc3J admJDlnraror
Co
L.icense nurdber
Oat:: Eltpire$
7
aN...
a A1tfred/Addltio.
bl <:;i1Jle. PUP ('fJJ..b'>1@} SJ~
LtJ'ne.on /Jort-h ~o..s.f COf'71er
a Y1& f) tle C!l:rJ 0efl eJe lfo..~'(')Y/
o Cash 0 Check #
I)I:1;reditCard ~ Mastercard Discover
CordI! ~lL!F"r ~_?bD i'l.-~ 9S5C
x
Date: 'i f. 0 f!
Expil2tion Date
of card
~"'~ 5/cP
ServIce InformatlDn
Electrical Load dlUons and or subtractions
o NO LOAO CHANGES
a Baseboard KW
o Fumace KW
o I-taat Pump _ Ton _ LAA
a Fan.Wall KW
o Ovarhead Service
o Temp Service
o Underground $eNlce
VoIlage
Phase a , a s
SeNlca Sl2e: _
Feeder SIze:
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
- .
,.- ROUGH-IN ,.- TBERMOSfAT SERVICE
'- O:ale AllpnlV~lIlJ)' DIl\': Apcmlvad By OM' Awn>Y~ tl)'
,.- ol'rrn
S'~~ l::AL-JfJ, _, FUllER
o.~ ~, ~y../ '- 0.., ADPmecl.i:ly
Inspection Area, Building or EqL1jplncnt Inspccu:d Action Taken Electrical
Dstc: Inspector
. 0'.1'0 . O~-I'2l,4, OQ. ..012
06- DI'-lO
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
~ Electrical Con<ractor 0 Owner
Insta.llation uc:>cription
~CoUlmercial u ResideDtisl
Electrical l.:1Jntractor name
I~'C -r=-I-l- S~.......,,\,'l- :C-.lt:..
,
Purchaser's mailiflO! lltldress
7-23 iAsT
LiCCMC number Date Expires
~\T'_":T$9s5'8S '/,olo'i
o New
o AlteredlAddilion
'.'$l)R\ ~ Ll~s.
Tclc.phonc number
~O -t.lsz-2:t2.1
~p..D~\.$\ -
Slate ZIP
...vA ?f3 SG> 2-
FAX number
31.10- ~S2.-8S~O
S;>R.f.w\Q~
- +::'Rf...! $:'U:.U~,'t-Y <;:js.~",",
u \~'i:O '>0Rub\ \~'C...
~
::L~~ L-L
Premise! owner'~ name
~STf'U~ Go.
Cffoqc:; ~ "',
-r~ ~7;... ~~L..
Address of in~pcc(iOll
__~'t""b"3 '7:..,..,,-,
CIIY~OR:\ (0.....>b~~>
Phone number '(I Hhl'dule inspection:
s~
o CreditCard
Card #
Visa
Mastercard
Oiscover
,
o
L
C7
OWIU.'" (.lS {i..fi:/e.'d oy RelY. /9.28.161:(1) ()Wilf:r wifl nccupy thl: srru.cttl1"e for tWrJ
:',lean; (lji,tr lilis d~"'lrical pt!,-mit i_~ ji/lufiz;!d. (2) OWne,. [. l'equin:1i to /lire all electrieat
elm/rete/or if above .)uid p""perty i:.' Jiir ,.ale. rent (Jr {eau.
After re.ading the 3bovc SllllcoltOT, I hereby l~ertify thut I alii the owner of tbe above
named property or a liccnstJ elcctrlcal conlraCTor. r am making thc electrical instDl-
lation Qr <1ltcration in compliance. with the clccrr;caI12ws. N.E_C_, RCW, Chapter
19.28, WAC. Chapter 296->16H, The City of Porl Angdcs Munieip31 Code, and
Utility Speeiticatinns.
o Cash 0 Cheek # C)..J
'F,\'L-
---.----. --------_.--
013
Expiration Date
of card
7
~
c1'\:1 ieOlI contractor or electrical administrator
x
Date~
J:;;1e-ctrieal Lo~_d Additions a.nd or subttQ.ctians
o NO LOAD CHANGES
CJ Baseboard KW
a ~urnace KW
LJ Heat Pump .'_ r on _ LAR
LJ Fao-Wall ._ KW
Cl8-0''''''
08-<:0'''-
~~rvice Information
Q Overhead Service
o Temp Serviea
Q Underground Service
Vottage
Phase IJ 1 0 3
Service Size: _,_
Feeder Sit.e: _.'_
SAME DAY INSPECTION. CALJ.. BEFORE 7:00 AM 360-417-4735
/"- ROUGn~ D J ( -. /
THERMOSTAT \ SERVICE
!j;J()r'; _ ~ l__ App~
'-- IlAlC Apl'T"1"cll B~ \. Ilftlc Aprrcvcll By J D~lc
/" n:EDER "
j,~/n;NAL ~ 011"01
11 D;,T ~ D~\c App,o)vcd By "- DIIIC Approvo\ll.l.l'
Inspection Area, Building or Equipment Inspected Action Ta.ken ElectriCill
Date In~pcctoT
..
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09S8 CS17 09>:
.ON Xtl~
SJINO~lJ3l3 HJ3l-IH : WO~~
ADDRESS
J
APPROVED /' 01=- Z. ~~ ~ NOT APPROVED
o .................... DITCH. , , . . . , . . . . . . . . . . . . . 0
D. . . . . . .. . . . . . . . . ROUGH IN/COVER.. . . .. . . .. . . . ..0
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D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . .)(:
CORRECTIONS NEEDE~/.5~IYG /,A7li~<- Cnv,fA_
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ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ElEC1"IR~CAl ~NSIPIECT~ON
WIRING IRIEIPOIRT
417-4735
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
ADDRESS
s.,-
;..---
APPROVED ~ D~ L:- ~~ NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
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ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE ~
OLYMPIC PRINTERS, INC. (360) 452-1381
/.............
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Utili SPQcUkAlionll.
saa...~ Ilr OWOa', ole(!'rlcM contract. IU dectrluJ A....tnlfltr.t"'''
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SAME DAY INSPECTION. CAl,L BEFORE 7:00 AM 3till-417-1ill
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SIMPSON ELECTRIC
PAGE 01
.
\
.
ELECTRI!CAL WORKPJi:R.MIT APPUlCATlON
InAtalhuiM tlel)(!rlprion
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o Casb 0 Cbock #
pt Credit Cord @ M..lerCBnI Di.cover
ClIl'dH ____"_.____-___._-____
IlxpltRuon Date
of cal'd
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
08- J~?I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
08-00000168 Date
845624
933 E 1ST ST
06-30-00-7-2-0260-0000-
PUBLIC WORKS UTILITES
2/08/08
COMMERCIAL ARTERIAL
o
437 ~/5r
Owner
Contractor
RHETT HOLDINGS
P.O. BOX 2437
PORT ANGELES, WA.
PORT ANGELES
WA 98362
CRAFTSMAN FINE HOMES LLC
PO BOX 1779
PORT ANGELES WA 98362
(360) 461-0606
R 1fJ;tb
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
120634
50.00
2/08/08
S/06/08
Plan Check Fee
Valuation
.00
o
f2JuJ
Qty Unit Charge Per Ex~e . n
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
--------------------------------------------~~--------------------- ------- .
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
50.00
.00
50.00
50.00
.00
50.00
.00 .00
.00 .00
.00 .00
J~~
~11b-OZ?
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 nol 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 wilh whether specified herein or not. The granling of a permit does not
presume to give authority to violate or cancel the provisions of any state or local iaw regulating conslruclion or the performance of
construction.
Signature of Contractor or Authorized Agenl
Date
Signalure of Owner (if owner is builder)
Date
T:\Policies\II02.15R [1/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:
Date 2. - 22 - 0 e
Time
Received by !2v
(phone, person)
Location of Work to be inspected q:5 '5 cIS r
Name of person requesting inspection TDv'-'\V\A 'j Wcods
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No. cRJ -I b8
Final Sewer Excav. Other Ct...,./, '/r- S.'Je
W<:.l "'-
INSPECTION NOTES:
Inspected: Date 2.. - 22 -6 8 Time
Remarks: 'Ke..plw:.e.n>te..If\.-'T C-lA....-b., o'^- IS'-
A.7) A. r ~ ""'"p s c.. t l:.A- t€.v< <i!.d ~6vC. """ f / .s r '6-- tUo..s u.J v..q fLW(
s ,'de..wa....l k Ct.l 0 ~ u.~c:.....'5 h "49bt>l/I
By
RV
RESTORATION REQUIRED. . . . .. YES
NO X
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: Q/
Date 5' --q ./ /J 0" Time Received by (phone. person)
Location of Work to be ~nsp.ected ~7?C /7~ 0f::c~l"d{f ~4.;
Name of person requesting inspection ;i)./ - e-t- _ _ _
Address of person requesting inspection Phone No. -7~/ - Ot:?CJ~
Type of Inspection (circle appropriate one): Permit No. 07-f2/2....
~ t~-T
Sewer Foundation Framing Chimney PIUmbing~eWer Excav. Other '()f3 ~~'~8
INSPECTION NOTES: ,r/
Inspected: . Date s: &210 Time
Remarks: C,l.l...-b ~ G~V" 2-2.2-08
~,'de..wo..lk 2-2.2-0€
s....\A:)..e. ..... 2 - 8 -() 8>
'Po.~k\\I\.3 /Sinp'p"I/~ ~-/6-o8
I .----'
By
A?V
O~;to~
RESTORATION REQUiRED...... YES
NO ><
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STRFFT SllPFRINTFNnFNT
tnATFI
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , . . ,
15-00001164 Date
9/16/15
RESULTS:
Application pin number
414368
Property Address . ., .
933 E 1ST ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -7 -2 -0260 -0000 -
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name
COMMENTS:
to the City of Port Angeles
Property Use
Property Zoning
COMMERCIAL, ARTERIAL
(Location Code 0502)
Application valuation . . . .
0
Application desc
Heat pump replace
Owner
Contractor
HOWARDS VENTURES
PENINSULA HEAT INC
253 FASOLA RD
782 KITCHEN -DICK RD
SEQUIM WA 98382
SEQUIM
WA 98382
(360) 681-3333_4��_j_
Permit ELECTRICAL
ALTER COMMERCIAL
Additional desc . ,
Permit Fee 56.00
Plan Check Fee
00
Issue Date 9/16/15
Valuation . . . .
0
Expiration Date 3/14/16
Qty Unit Charge Per
Extension
1.00 56.0000 ECH 'EL-LVT
THERMOSTAT
56.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 56.00
56.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 56.00
56.00 .00
.00
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
G:\EXCHANGE\13UILDING
ELiECTR�ICAL INSPECTION
WIRING REPORT
X9 417 4735
CONTRACTOR 7
APPROVED NOTAPPROVED
0 ..... I '--- -
0- ......... ROUGH IN/COVER �-O
0. SERVICE ...........
0 .......... FINAL ..........
CORRECTIONS NEEDED:
J.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WIT14IN 15 DAYS
- DO INOT REMOVE
CITY OF PORT ANGELES PERMIT APPLICATIONV
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362,a i (1 r; i
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: .�_._._ ........_ �/Multi-Familyor rciIli
" Plan Review May Be Repired
Job Address mmmmm_,_--_µµµWm q 3mm3 m wC
Building Square Footage:
Complete Electrical Plan Review Information Sheet
Description of above K L-A LLA M (/3()N
caner formation
Name l.N
_ —_ .'
Mailing Address S� .�
_-—
City:tState:�Zip U
.
G J Q Phone:.Fax:
License # I Exp ._____.......... .- ........ ..,.e._...-. .,....
Item
Unit Charple
Service/Feeder 200 Amp.
$132.00
Service/Feeder 201-400 Amp.
$160.00
Service/Feeder 401-600 Amp
$ 225.00
ServicelFeeder 601-1000 Amp.
$ 288.00
Service/Feeder over 1000 Amp.
$ 410.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 86.00
Temp. Service/ Feeder 200 Amp.
$102.00
Temp. Service/Feeder 201-400 Amp.
$121.00
Temp. Service/Feeder 401-600 Amp.
$164.00
Temp. Service/Feeder 601-1000 Amp .
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline Lighting
$ 88.00
Signal Circuit/ Limited Energy — Multi -Family
$ 64.00
Signal Circuit/ Limited Energy / First 1500 sf — Commercial
$ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - SKVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
$'_....... ...��,1.....KK ..
$ SL Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash neck
❑ Credit Card #
00, X Dated: �. „
.... ..... 0110112012
-.,
u
LEILAI.PERMIT n
PORT ANGELES
3fF17.4735
i
Application Number 19-00000899 Date 6/13/19
Application pin number . . 155258 REPORT STATE SALES TAX'
Property Address . . . . . . 933 E 1ST sT On (NII'excise tax f
ASSESSOR PARCRI;'NUMMM: Q6-30-00-7-2-0260-0000-
bm
Application type description ELECTRICAL :,MLy tO the City Of Port Angeles
Subdivision name . . . /
Property Use . . . (Loc Von Code0502)
Property Zoning. . . . . . . . COMM$RCtAL ARTEA3AL
Application valuation 0
-------- ---------
Application desc
Outlets.Ti$
owner Contractor'
HOWARDS VENTURES SIMPSON ELECTRIC
253 FASOLA RD '243036 W WY 101
SEQUIM WA 98382 PORT A?8t3=S', WA 98363
(360)'457-4270
Permit . . . . ELSTfLICAL ALTER COMMERCIAL
Additional desc 1-4 CCUZTS
Permit Fee $8:Oa' I Pima Check:Fea .` 00
Issue Date illa/19 Valuation 0
Expiration Date 12/10/19
Qty oii bharge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86:00 86.00 .00 .00
Plan Check Total A0 .00 .00 .00
Grand Total 86.00 86.00 f 00 .00
INSPECI'ION'TYPE DATE:'' SULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
' Pt Et i E7FP E SiX Lf>?Mfi1►tF M Y,AST INMIEC N
Signature of owner or Electrical Contractor X Date:
`� 7
� �.
I
j
i
I
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MULTI-FAMILY / COMMERCIAL CD
OR T
tipELECTRICAL PERMIT APPLICATION RECEIVED
Ptiblic Nk"orks and Utilities Department JUN 2019
321 E. -5th Street, Port Angeles, WA 98362 N
360.417.4735 1 ",-ww.city(.Apa.us ! electric,alpet•iiiits(i:i).citN�of`l)a.us
Project Address: 933 E 1 st St >NOHN
Project Description: Outlets for IT
O Multi-Family Residential l) Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Howards Ventures Email:
Mailing Address: 253 Fasola Rd Sequim,Wa 98382 Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: SIMPSON ELECTRIC LLC License: SIMPSEL973RQ
Mailing Address: P.O.Box 1086 PortAngeles,Wa 98362 Expiration Date: 12/11/2019
Email: dlsimpson51@gmail.com Phone: 360-457-9270
PROJECTDETAILS
Unit`Charae Quantily Totai(Quantity x Unit Charge)
Service/Feeder 200 Amp." $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00` $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 '` $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 1-4 $ 86.00
Temp. Service/Feeder 200 Amp. $102.00.- $
Temp. Service/Feeder 201400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Mutti-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96:00 $
(Note: $5.00 for each additional 1500 so
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 86.00 TOTAL
Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28,WAC. Chapter 296-
466,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
6/11/2019 Deborah L Simpson -4--Zd /0 �'c�x�oaerL
Date Print Name Signature([:] Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]