HomeMy WebLinkAbout505 E 8TH STCITY OF
PORTSPA�ANGPLES
T
Date * x DIV * * ISION ORr1,�
/ZRF.QUFS**** **
i� T k�+*
FOR ! *
Time _/,,.5 N S P 7- J O N
Location of Work Received by-. '7
Name Of t0 be inspected-`(��" �,�t#�_
Add Person requestinginspection.---.,,
ns --_(phone, erso
on re
n
Address of Person' gection `'�-------_
TYPe of Inspection e9 sting ins,oectio
spection (cirSewer cle o n -
Foundation g rate one): _
Fi-aming i phone No --- --
Chimney p b '— --
�—
r*r i t N
Final Other_ • zr o.` -
*
In Date` -
Rem ***
-`_Time gy 4* ******
con ti n ue on
reverse side if necess-----._-_`--
ary) ----
CITY OF PORT
R * * * * * * * k A• * A
ANGELES
CEPARTME�T OF PUBLIC ®BSILDING DIVION
*Date RFQJEST FOR RINSPECTION /
Time
Location of --- -- Received by
Work to be inspected—_-- _ __
Name of -__����� --(phone, person)
Person requesting
Address Of i n sp e c t i on --- ��-�r1 , ~—�-------_
Person requestin ----
Type of Inspection9 inspection — `-._---.-- _--_
(circle a ------_-- ----___
Sewer pproprrate one); -- - - _— ---____�
Foundation - — Phone No --_
Fror,rin _ __`_ �..__
9 Chimney :"f'lumbin Permit No,��.. _
Final Dther
*****
*
Inspected: Date
Remarks: ----
-- --------- T i n.,, e
--------
(continue on reverSe side if necess-
ary)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQUEST FOR INSPECTION
Date-C���--
Received by Phone person)
Location of Work to be inspected y'—_—_________._
,r t �,
Name of person requesting inspection___.v_1))w
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney
Phone No.
P rmit No.
Plumbing Final Other S 0?t i
V
�r * �c �c * * * * �r * * �c �c �F * * �c �c �c * �c 7t •fir �• * * * * * * 9:• * * * * * •* * •k * * * �c * 9c * �c * * �c �c it �x �c * * �c * �•
inspected: Date
Remarks:
Time
by
(ccntinue on reverse side if necessary) 1L
4
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
T FOR INSPECTION
REQUES
— / Time lD ``� 3 --Received by (phon', Person)
Date _____-- `''� G
Location of Work to be inspected —
a
Name of person requesting inspection �— Phone 14iol
.
Address of person requesting inspection__— Permit No. ---
Type of Inspection (circle appropriate one): J
Plumbing Final Other --
Sewer Foundation From Chimney 9
�r •k * * * �: �r * i�
Inspected: Date
Remarks: ____.____
Time
,na-a nn reverse side_if_.necesso
by
.rt•�..,e;..:�a a:�i7.d:�: he uii: rYi"4.a:cwSY£f;S 't 'r� '..F, _2751tll
CITY OF PORT
ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQUEST FOR INSPECTION
Date `Time _ �_t� _ Received b �'�"�
Y _.�(p�hone, person}
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting in; erection._
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney
0
Phone No.
JJ Permit No.
Plumbing Final Other L
Inspected: DateC./,��/ Time _ by
Remarks:
(continue on reverse side if necessary)
reche(� 31/r210i
k am ,op P,,�
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQUEST FOR INSPECTION
Date _ �7 _----.Time
e --
Received by (phone, person)
w.
Location of Work to be inspected` --
Name of person requesting inspection-__1
Address of person requesting inspection
Type of
'inspection (circle
appropriate
one):
Plumbing naiOther
Sewer
Foundation
Framing
Chimney
Inspected: Date
Remarks:_
Phone No.
Permit No.
.L .L a- -t• * �r * * * >ti * * * * * *-- 'k �c *— * * �r * �r * * * �r * * * yc �r * *—_ �' * ,* j_'l''_ • *lit * �r it •lr
Time
by
(continue on reverse side if necessary)
IL
Commercial Plan Check List
Page -2-
� Electric Service
(City Light Dept.)
32, Health Department
(Health District)
3 1. Public Works
34. Fire Extinguishing
System (Chp. 38)
35. Combustion Detectors
35, Additional Filings Required
Dk �1'311-.GY
Z*t
(a) Environmental Impact
(b) Flood Plain
Slide Hazard
(c) Shoreline Management `-
(d) Air, Pollution --
Uje arrier Free standardsPW)
PLANSt)Jh,JiC Phone 17"2176-)� PLAN CHECK: LIST
/ / 11
Date Received _ _ _ Commercial
Date Checked 1?;/0 3
Permit Number 771J
o� 23. Other Hazards - Vertical
VaIuatio0��(�' ,l _ 17� _ Opening, Stairways, etc.
Street Address Lz�Tl::
* * * * * * * * * * * * * * * * * * * * * 24. Construction: ,�
(a) Foundation 7/2' 1N
1. Legal Description 0- 5 l0 (b) Reinforcement
2.. Zoning (City Ord.) (c) Walls
3. Fire Zone (Chp. 16) (d) Reinforcenent: #43z1%,kr-t ���•i riz,
4. Occupancy Group (Tbl. 5A;
Chp. 5-13 inc)
i�
6.
7.
8.
9.
10.
11.
Bond beams & vertical _ --
o�_
(e) Beams _
Type of Construction Floor
(Chp. 17-21 inc) -12,(n-�S
Location on Property F o� r�Yb! +_�W Jl,��r Rog ' hS 31��2 -f4s
(Zone Ord; 5A; Chp. 22) Sly (f) Floor ,lozsts` "5W
% of Lot Coverage n t `r�o4 =�. = 224�o
;} —` -__' (g) Ceiling joists
Variance or Cond. Ise 11
10�r' — up (h) Rafters
Floor Area (single door)
(Table 5-c) 1�2D _ 8�/ r 2l`ll! ) Tru' 7c1L s,32 �5
Height (Tbl . 5-D) ) (j jHeadersx8,5s—
�--- __
Occupant Load (Tbl . 33-A) (k) Studs
Exit; (Chp. 33)?J (1) Sheathing .(�'
Door Hardware
12. Stairways (Chp. 33)
13. Fire Resistive Separations
Table 5-B; Chp. 43)
(9. InteriorFinishes
Furred Spaces
(Sec. 2508, 3205)
Sani tatilon r (P1 umber. Code)
}:y rl I....
Res room equirements
Plumbing Layout
18. L ght ` - t�diion'
for
Occupancy (Sec.-05 Chp. 6-15)
Heating (Chp. 51 )
_ OK . -
slgq,�wb
t0
25.
-m IlG
Walls
(m) In�� r nics
,'ejstroom
Corridors
Area rooms
(n) Dropped ceilings
Structural:
a. Registered Architect/
Engr. stamped
b. Plan Check Service
26. Future additions
)
Ventilation, Foundation &.
•. ref -A fm Imz i�� "mil lam'
Property Drainage
Roofing
Roof
Aw�rz� 001f Old 29. Driveway Openings (City
21. Signs (Uniform Sign Code) XAOLP2 �' Ord. 1125)
22. Special Hazards (see occu-
pancy Chp.)
V2
= 5hm o
dam- �i IM 7
30. Off -Street Parking (City
Requirements) jjwof r4,.
Over
DEPARTMEN F OF PUBLIC WOFIKc, —CITY OF PORT Af4GELES TON Permit No, Date Pe it Issue(
BU1LDIH(;
........ .........0DATE -------
ppcantto bill nh#—Ueritt>clvy line j
1 $ ... 7-V) CW Valuation
----------
CLASS OF WORK Building Permit Fee J?.-62�7-
Plan Checking F"
too $
NAME New �-Demolish
q Repair
iliit rar.;n
Mail Address Addition Treasurer's Rece
ipt No.ova
city 12 A -7 Use of building
Life of Permit.
Ph. No-7-.4 - - 0, .-
0H
Sire of building -a tit o2e.�,w . ......... .
NAME - r,� eight
-R-0of -rooms Application taken N�:. of Families r.
..........
Address No. of floo;; Si= -f - L Date review comp e el
- C - ity No. of Bldgs. Use of Bldg ...........................
Ph No Now on 1- A- -
on Lot Floor Area
Sq. R
n SPECIFICATIONS
0 NAME
z -,Zk— -4 t FOUNDATION Aft I- -0i
hbre Sq. Ft.
Itte rial
Address al Exterior I rt
Piers
4
Width of W 1 7 Type struction 1 11
City -iing Size
0 Footing
Ph. No.
= --.- Height FR 1-Hr HT &)
> Use Zone
M `NAME - Material Size Span
Spacing
Beams
1 Address Occupancy Group A E I H
4 Joist Is# Fl R M
M
6 City 4
-4 Ph. No. Joist 2nd 1 3 4 5 License No.
Joist ceiling F I re Zone
Roof Rafters -7
submitted.../ Plans and Specific lions
........... Exterior Studs
Plot Plan Properly Line Interior Stul'49--
'PPROVED
Director ........ ------ ............ ..........
--i;jj- 7 Director of apt. of Inspections
al
Exterior Roof Interior Wallis -4 KEY"—,
— - - 1 '1112.4 --Reroofing W[4a- SPECIAL and UNUSUAL CONDITIONS
C Heat: -ao Gas oil re
Electric
I hereby acknowledge that I have read this appl
oc c4tion
ID
and state that the above is Correct and agree to comply with
all City Ordinances and State Laws regulating building con.
struction.
T 30 SIGNATURE OF
PERMITEE
DOSE
F
0 - LEGAL DESCRIPTION
0 ITINGI
4 30 Subdivislo,
BUILDING0
44 *.
0
AM, 101 -0
C�,jb� a
4
U.
--ase Permit
Street Variance or Conditional
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Budding
Address
3707A Rev. 7-77
..�.tt..-ng&H.rYt,1'.•.•..7/tXKRPl+kl[6D?V€�i'y�''�1N.M'`,1�, ,,"•Y�;1
I
+ AM. -..!CATION FOR RUiLDING PERMITANT) CE-RT1`. iCATE o6" 0 CXUPAiwA.0 !S
i DEPARTMENT OF I'lUBLIC WORKS - CITY OF PORT ANGELES, WASFii1,avT0',
?' IJ, BUILDING DIVISION
DATE Applicant to fill in beeweeii heavy lines
Building CLASS OF WORK.
Address ��
New Demolish
;VI. NAME Alteration Repair
m I Mail Address
Addition Mov _
'-- - Use of building
,., Crty pd Ph. No.
Size of building Height
NAME No. of rooms _ No of Families
No. of floorsSine of lct 1 1
�- Address _.._ �(
No. of Bldgs. Use of BYdg.
7O City Ph. No. Now on lot oqt`e_,- Now on tot
SPECIFICATIONS
O NAMES FOUNDATION
z - - -- - ----- — -- Material— - -_— _ ... _ •�.., _..__— Exterior Piers
..Address
Width of Wall
city Footing Sine
Ph. No. Height
NAME
Address
ii City Ph. No.
License No.
Mons and Specifications submitted ........................
Plot Plan ( 1 Property line APPROVED � �r.l ildj(,(�
COVERING Dire -for of Dept. of Inspections
Exterior Walls Roof `SPECIAL and UNUSUAL CONDIT NS
Interior Walls - I Reroofing
Heat: Wood Gas _Oil Electric _
I hereby acknowledge that I have read this application
and state that the above is correct and agree to comply with�f--
all City Ordinances and State Laws regulating building con-
struction.
SIGNATURE OF
PERMITEE
O t Q —r
ed
LEGAL DESCRIPTION - -�-- - - —_ __.----___--
Subdivision, Q b�j
Lot No. _ -tia Block No. 2 L T
Permit No. Date Penmit Issu
-------------------.
� _10
00
$ ....... Valuation
Valuation
PROPOSED
EXISTIN
BU ING
C �
M
lL. >_
(
Material
Size
pacing_
Span
Beams
--
-
--------
Jois► 2nd ff.
--
Joist Ceiling
Roof Rafter
Exterior Studs
Interior Studs
—
Street 'Variance or Conditional Use Permit
Building Permit Fee
Plan -Checking Fear
Total vv
Treasurer's Receipt No.. r./73,$1 ..... ..
..... .......
Life of Permit .., Fcp 4(4� ..5./..... .... .
Application taken by ..11. V�/........ ......... .
Date review completed ...........................................
Total Floor -Area - Sq. R
Area of lot
Type Construction I
Use Zone FIRCS D-C/
Occupancy Group A E
1
Fire Zone 1 f Z 3
- --- -- Sq. Ft
li Ili IV V
1-Hr HT
1 Fi 0 R M
G) 3 4 5
3707A /7 g
14,
t t1 .�
� ��� s
Q Th
��
. �. NTY F PGA EEES
T ANGPUBLIC WORKS
P DEPARTMENT OI"
BUILDING DIVISION
REQUEST FOR INSPECTION;Time
�S . �� S: Received by _.. __�`� "
one, .person
Date
-
Location of Work to be inspected
Ncme of person requesting inspection____ l
_ Phone No. _-- —
Address of person requesting inspection — - Permit No.
Type of Inspection (circle appropriate one):
Sewer Foundation` Framing Chimney Plumbing Final Other____ -----
�c �r �c �r �c * � �c � * * * :� * * * * * * * * * * * * * * * * �c k �c �c *' * * •�c 9c * �c �c 9c �c �c �• '* * �c �' � _
Inspected : Q a t e ____-_---- ----- — -
Time ��•; by
- ---- (continue on reverse side if necessary _ ��-1���
ORSANG
ELE�
DEPARTMENT OF
PUBIC WORKS
BUILDING DIYISION
Date REQUEST FOR INSPECTION
--Time
Received by person)
Location of Work to be inspected
Name of person requesting
Address Of Person requesting inspection V
Type of Inspection (circle appropriate one
Phone No.
Permit No.
Sewer Foundation Framing Chimney P I um b i n g
Final Other
---------------------
All:
Inspected: Dat
e 4
Remarks: Time by A-11
------------- e - ----------------- ---------
(continue on reverse side if necessary
- - - -------
CITY OF PORT A
NGFLFS
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQUEST FOR INSPECTION
Dote
Received by (phone, person)
Location of Work to be inspected
Nome of person requesting
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one):
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Other
Inspected: Date
Remarks:
by
(continue on reverse side if necessary)
fi
Time
CITY OF PORT ANGELES
DEPARTMENT' OF PUBLIC WORKS
BUILDING DIYISION
REQUEST FOR INSPECTION
Date---;' Time to Received by K 0, g person)
(-
Location of Work to be inspected _6L 5-
Name of person requesting inspection- (_711t2ertfop�
Address o.' person requesting inspection i__ Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney ,Plums mbing Final Other___
, V-Oy?
Inspected: Date —
Remarks:
by
(continue on reverse side if necessary)
Kill _17,911F.-S&AX ORP—D
CITY OF PORT
ANGELES
DEPARTMENT QE PUBLIC W
BUILDING DIVISION WORKS
Date
_ REQUEST FOR INSPECTION
_-1_�_ _
----- ---- ------ Received b
----- phone person)
Location of Work to be inspected SAS" __-E 8�-
Name of person requesting inspection. --
Address of person requesting inspection —
Type of Inspection (circle appropriate one): Phone No. ---�---
_—
Sewer Foundatio Framin Permit No.
Ch1mnex Plumbing Final Other-- —
._-------
oof
/I
* * * * * * * * * * * *
Inspected: Date
_----------- __ ---Time ---- Remai,ks:_------___- by
(continue on reverse side if necessary) '---- ------ -_ --
Vie"`-...�`,��� i. t�.a'z.._� ±�,. ..� �� J('� ,.�r,.a.: o..... +.�^Yi-::�... 3t .�': a- �£tr�.....� d-��� �,.? .. .. _-.. •.' .. i...�; . , �-- e��.. $..:. Ye„r
'•Vast 7.'u:ff-msr-..Rrua�»whx..aa�wr.�er
--
CITY OF PORT
ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQUEST FOR INSPECTION
Date---_1-%- 7 --_. -------------Time % � 0 Received by )` P� p o , Person)
I
Location of Work to be inspected-__ `-��5----FE- 84 -- -
Name of person requesting inspection `Ja hf`;-�' �-� ------ ------
Address of person requesting inspection _ -- --
Phone No.
Type of Inspection (circle appropriate one): Permit No. _
Sewer Foundation Framing Chimney Plumbing Final Other Ve a �'_
x
-{ 4 4-1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * r
Inspected: Date
Remarks: -. --- ___--.
------ ---- ----Time `' by
(continue on reverse side if necessary)
u� 1l
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQUEST FOR INSPECTION
Date-12 2�1-------_--- -- Received b 1<• )'
--Time----`" y
Location of Work to be inspected. ----
Name of person requesting inspection --
Address of person requesting inspection Phone No.
Type of Inspection (circle a[ propriate one): �, Permit No. J�
Sewer Foundation Framing Chimney Plumbing final Other —_
* it �c �c 4r �c * •k �t * * �c •* �4• �c �c *• 4r * •k A• * * * * * * * * * �t •k �c * �c 'fir �k * �k �c �Y * yk is �c �r �t * •k �E 9c �k * �k �c �F it �r
Inspected: Date
Remarks:-.- ------- ---- - -- - - - - - ------ --- - -
r�ve-
(continue on reverse side if necessary)
91
Commercial Plan Check List
Page -2-
31 7Electric Service
(City Light Dept.)
32. Health Department
(Health District) 4,
33:y Public Works 61 $�-r177
t-
�w
34. Fire Extinguishing
System (Chp. 38)
35. Combustion Detectors
36. Additional Filings Required
(a) Environmental Impact
(b) Flood Plain
Slide Hazard
(c) Shoreline Management
(d) Air Pollution
(e) Barrier Free standards
/1 /0
410
7
PLANS Kei Phone * PLAN CHECK LIST
Date Received q1q 7 7_ _—+ Commercial
i
Date Checked_LZ
Permit Number C� DO 1.
-� ..b �..� 23. Other Hazards -Vertical
, Valuation �o-) Z. �
- � Opening, Stairways, etc.
Street Address_ q..f — 8 s
* * * * * * * * * # k * * 24. Construction: < ,�
B1k 2 7-7 (a) Foundation----
1 . Legal Description (b ) R ' f t 17 s
2. Zoning (City Ord.)
3. Fire Zone (Chp. 16)
4. Occupancy Group (Tbl. 5A;
Chp. 5-13 inc)
5. Type of Construction
(Chp. 17-21 inc)
ein orcemen
(c) Walls T'•
— (d) Reinforcement:
Bond beams & vertical r"v .f;�4'
(e) Beams
6. Location on Property
(Zone Ord; 5A; Chp. 22)
of Lot Coverage Z�'�a-✓
7. Variance or Cond. Use Permit _
3. Floor Area (single floor)
(Table 5-6
9. Height (Tbl . 5-D) 7-wr �5-�cc-� � �-
10. Occupant Load (Tbl. 33-A)
11. Exits (Chp. 33) _
Door Hardware
12. Stairways (Chp. 33) _ Tcye_
Fire Resistive Separations
- Table 5-B; Chp. 43)
14. Interior Finishes
15. Furred Spaces
(Sec. 2508, 3205)``��-�'"�`
16. Sanita%ion (Plumb. Code)
L -Y.'?' 4")V'e_5
Restroom Requirements
17.
19.
20.
21.
Plumbing Layout
h '1 f
Floor G x ji- �r +� ! z GO
Roof
(f) Floor joists 2-X. /z--
o-i-st s •�---L --
r s ----
( i) Trusses �i''w�� -Jo-- s-4
(j) Headers
(k) Studs��
(1) Sheathing ri
.Z
Walls �i`.C_
Roof
interior finishes
Restroom
Corridors
Area rooms
(n) Dropped ceilings
25. Structural:
a. Registered Architect/
Engr. stamped
b. Plan Check Service
Leg t & Vents anon or
Occupancy (Sec.-05 Chp. 6-15) �'Yj.eGli.'LcL� 26. Future additions
Heating (Chp. 51) H- ea4 pornpoinr,7 27
Ventilation, Foundation & E
Roof 9s �-t rra� �'ack,5
Signs (Uniform Sign Code) 29�
22. Special Hazards (see occu-
pancy Chp.) s �.
t3Js.s
Property Drainage .Svr•Ake e
Roof i ng
Driveway Openings (City
Ord. 1125)
30. Off -Street Parking
Requirements)
/Yn�.c sl,acvn
-lam a Ile/ -up
(C i ty I Frov%cfecl
�-
Over
-----'-.._._ _._ _-.----.--- -- Date Permit lssuO
TE OF OCCUPANCY Permit N o .
CERTIFICA
..._
A�`PLIC:,k-rjoN FOR 13UIL _
I• ENT OF PUBLIC WORKS -CITY OF PORT ANGELES, WASHINGTU ^, !?� Valuation
DEPARTM S....
lines - •-- ....._.... .
BUILDING DIVISION �}
II 71 - Applicc,r,f to �i!! in between heavy — - --
Building Permit Fee ;
D ATE _— -- ------ - $
CLASS o F WORK Plan checking
Fee
Building �- tf -_ - Total
S E - --- --
Address ---"-" - f Demolish _�
_ New -----------... <` --
--- Repair --`. —__ . Treasurer's Receipt No.
Alteration --- ""
IM s
m NAME ` Addition
— Life of Permit
m �----
r f 7- pp on taken by . P ..... .
3 r''-�-,�- �--'------- -- use of building _._ __ - .
Mail Address - r Height x A licati
�..p i♦
m -- Ph. No. Size of building �C_- __ _ --- -- te - _
2
�" No. of Fomiliss / ,j �•
m city ` - - -
No. of moms _ e � -
Sine of lot - - - Sq.Ft
NAME No. of floors --- Totol Floor Area -
-_".. - Use of Bldg. C �Q _
O _
Address Now an lot - �L-t- t- f� (�O✓s1'._.______,-- -- Sq. Ft.
-" Now on lot ---No, of 5Idgs* _- ______________._ . _ . _ - � Area of lot
ph. No. SPECIFICATIONS j
O city FOUNDATION _ _ - _--__ _ ------ 2 3 4j y`r
Exterior Piers — - Type Construction 1 �./
n NAME Materials [Ci�Lr ----- --lt —_
O _ _
Wall
Width of �� - t ��� Zone
C 1/
-- --- -`-. E` Mxp
zi Address _—_ _-- -..._ ---- _ 7x_ ._ Use u
ro _ _ _--- Footing Sine _ _
City -- -- Height _ - l Spacing Span
Ph. N-- o ---- Materi--o-1 Size Occupancy Group AB. C D E F C' H! J
t geoms
�l /lilr{ �trt 1L 3 g$ It 1/4t� 1 �j� 3 4 5
Y' NAMErc "' _ i ---
7° I S� Joist 1st FI.
� � + ------ joist - !/ - — - Ire Zone �
Address d 3e - FI. .✓ -- � •i I - --
end F
Joist ceiling -
city ---
License No. y Roof Rafts n � -' '�— J 1 -- .........
D ZZ_ --__ 6r - APPROVED .
Exterior Stvds
Z,� `--= Direct of Dept. of Inspedio
Plans and Specifications submitted • property Lin Interior Studs
plot plant ) COVERING of E `$"� _ SPECIAL and UNUSUAL CONDITIONS
Exterior Wall Z X6
I+ �-�. roofing .il...�---------�7 Y••
-ty interior Wais �/:.- ec
Gas
I have reas pp
. .. Hear: Wood liea ion. — --- s`
I hereby acknowledge that am a - 1
A
d state that the above is correct and agree to comply withCjotAA l�r —
ct all City Ordinances and State Laws regulating building con' y e
struction.
SIGNATURE OF 1�� ,• .
�-..;1�� ....l---' --- - - - ----
m PERMITEE •••••.�•
LEGAL DESCRIPTION _- -
RO OSE in __ -._ --
OR EXISTING Subdivision _.�.._
E.._.� ' 51ock No. Lot
%
Lot No -
. BUILDING t $ b.? ; ----- -- --`
_ - -- - ---
i
2-0
Street Varian oConditional Usa Permit --- "—
3707A
CITY r.
0 P
�T �N
G�LE�..................
DEPARTMENT OF PUBLIC WORKS
BUILDING DIVISION
REQ"E'ST FOR INSPECTION
NLO_Date � __--Received by � (phone,
Location of Work to be in,i,ected_
Name of person requesting inspection ' /r
Address of person Type of Insperequesting inspection—., -__
Sewer_ _
c�n��-r�l appropriate one); -- -----
"
joundatiqp`Framing Chimney Plumbing
Inspected: Date''` '
Time
Remarks:
-- - ---- ----- - --- Phone N o .
Permit No.
F i n u l Other ---
(continue on reverse side if necessary)
Qi
11
SEE
QVPog
WORKSES
PUBLIC
D"pARTMLBUILDING DIVISION
TIQN
F**R *�NSP*EC
REQUEST O _ (Phone, person)
Q ) Received by ----- —----..._
-
Date ---
netted /� -- -- ---- --- --- --
Location of Work to be ins, C _--r- --_- -
requesting inspetion
Name of person cPhone N'? -
-_ Address of person requesting —
u t, i n inspection e c t i a nPermit No --
e of Inspection (circle appropriate one). Final Other_
�-`— Chimney Plu
YP b►ng
�y--�'" -Framingm—*******
foundation * * * * * * * k �..* ._.. ., � ._.:...�
Sewe***
Time .=---
inspected, Date
- - - - --- conon reverse.,, "a, r
------------
-- - - (tinue ` ��
n..a�ryA.f�f
CITY OF PORT
� GEES
APART �
MENT O PUBLIC WORKS
REQUEs
.4 was 0.....INSPECTIONREPORT... name.00.
.
Dated /
Time .v n __ Received by (phone, erslon)
Location of Work to be inspected C) S- L ��
Name of person requesting inspection i Mir
Address of person requesting inspection
Type of Inspection (circle a Phone I�io.
appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Othe
r
INSPECTION NOTES:
Inspected: Date
Time By
Remarks:_0 AO
4
RESTORATION REQUIRED ...... YES NO
S I r�1�/gyp
-i q Z );0:" 1= (:3� L 12 n-�)
3 SPAc_4
5 04- 0 F'�'ic �- wove n
z— 3 ��/���
�A L
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
Work Order # —
❑ COMPLETE
❑ INCOMPLETE
❑ Other
(Continue on reverse side if necessary)
i2 STREET SUPERINTENDENT (DATE)
• _ 4,,`.!sar: 0.a
ROUTING SLIP-
Business License, Building Permit Application, Certificate of Occupancy
DATE 9/C� 7 _
New Business ..... ....................... ( yes
Address of Proposed Business
Transfer of Business Location ................ (A/0
/= e 64
Change of Ownership ....................... ( NO)
Applicant �nyzl &Z ./�
New Building .............................. ( No)
Address
Remodel .................................. ( Na )
1a/e
Temporary Business ........................ ( NO)
Phone: business 1tz2,-4ohome
Permanent Business ...... . ................. (yes)
Brief description of proposed business:
Legal Description: Lot le i/ Block 9 Subdivision
Current Use of Property:
Zoning Classification of Property: C S ,O
WILL THERE BE ANY OF THE FOLLOWING? YES NO
YOU WILL NEED THE FOLLOWING:
Construction changes .......................... _
Electrical changes ............................. - --�
Mechanical (heating, cooling, stoves) ............. _—_
Plumbing changes ............ ...............
New or relocated signs .... 1V!,Y40tV.-Vj. 'N. !�S�r� _ ��
--
New septic tanks ............................... -- --
New sewer service
' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' . • • --- -
Admission charged to patrons ................... _
Is this a home occupation? ...................... ��
Excavation or filling of lots ................... .. _ r/
Work done in City right-of-way ................... _ �'
Is there sufficient off-street parking? .............. _ _
New driveway openings ......................... _ __- `�
A grading plan for site drainage ,fix i sf N5 _
PERMITS BUSINESS LICENSE
1) Building 1) Taxi
2) Plumbing 2) Peddlers
3) Electrical (City Light) 3) 2nd Hand Dealer
4) Mechanica! 4) Fawn Broker
5) Sewer 5) Private Detective
6) Sidewalk installation 6) Merchant Patrol
7) Driveway installation 7) Amusement
8) Curb installation 8) Dance
9) Sidewalk obstruction 9) Hotel - Motel
10) Water meter installation 10) Septic Tank
1eptic tank 11) Fireworks
f2) ccupancy 12) Ambulance
13) Sign 13) Massage Parlor
(parking lots, downspouts, etc.) .................. _ —__
14) Fire Department 14) Tattoo shop
Are the existing streets paved? ...................
15) Shoreline 15) Other
Are there existing sidewalks? .................... `�
16) Home occupation
Is there curb & gutter? ..........................
17) Conditional use -------------
Other .........................................
18) Other ---
I hereby apply for a permit/ Iicense for the items above
and acknowledge that I have read this application and Date: lC9 1 � 8
state that the information I have supplied is correct to --_---
the best of my knowledge. Signed: —
Apvedpri,Rejected
Comments/Conditions ZX\Building
Section
t f�I�Q�G/,�� /1 /tiS'11J7r7-/%: ,�1/'7rlz
�' A'`
��f7 Public Works Department
—
Y) _ Planning Department
----- ----
--- —
/� Fire Department
---- ----
- —�
9/10184 OLYMPIC PRINTERS, INC.
CITY OF PORT ANGELES
r
DEPARTMENT OF PUBLIC WORKS
ANN ff and M .. ANSPECTIONREPORT. ...a
REQUEST:
Date Received by (phone, person
............... .............
Location of Work to be inspected z/-7,
Name of person requesting inspection - =✓`�",�
Address of person requesting inspection Phone No
o
Type of Inspection (circle appropriate one):
Sewe.r Foundation Framing Chimney Plumbing Final Sewer Excay. Otherai//ZW.11
SURFACE RESTORATION:
SURFACE TYPE: [� Unimproved []Gravel
F-1 Repaired by City
E:j Repaired by Permittee
F-1 No Damage Found
El Asphalt [I PCC
Work Order # ___
[-j COMPLETE
E] INCOMPLETE
El Other
(Continue on reverse side if necessary) s*rREET SUPERINTENDENT (DATE)
d.«*, CITY OF PORT ANGELES
s' PUBLIC
WORKS -BUILDING DIVISION
321
EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
Issued: 9/21/98
Permit No: 10743
Conditions:
OWNER/APPLICANT --------------------- ---PROPERTY LOCATION ------------------------
MARILYN BOSCKIS
505 8TH ST E
505 E.8TH ST
Lot: 10,11
Block: 227 Long
Legal:
Port Angeles, WA 98362
Sub: tpa
360/683-8893
S: Parc No:
,I,.
CONTRACTOR-----------------------------
DESIGNER ----------------------
GREAT NORTHWEST ENTERPRISES
PO BOX 2963
Port Angeles, WA 98362
206/4.52-9518
000/000-0000
_----------
PROJECT INFO-------------- ----_
SFD UNITS: 0
MFD UNITS: 0
Prj Value: $3,870.00
SFD SQ FT: 0
MFD SQ FT: 0
Prj Type: RE —ROOF
Occ Type:
Occ Group: Occ Load:
COMMERCIAL:
0
0 GARAGE: 0
INDUSTRIAL:
Cnstr Type:
Land Use: csd-------------------
PROJECT NOTES------------- -----------—
---------------
TEAR OFF/TORCHDOWN
O
rrnn
V,
0)
PROJECT FEES ASSESSMENT----------------------
______________
0.00 n
BUILDING PERMIT
$87.25-------------
$0.00 ---------RADON
$0.0
PLAN CHECK
$0.00--------------
$0.00
$0.00
STATE SURCHARGE
$4.50--------------
$0.00
$0.00
HOUSE MOVING
$0.00--------------
$0.00
$0.00
MANUFAC HOME
$0.00--------------
SIGN
$0.00--------------
$0.00 TOTAL FEE:
$91.75
PLUMBING
$0.00--------------
$0.00 AMT PAID:
MECHANICAL
$0.00--------------
$0.00---------- —__—$91�75
--------------•—
$0.00--------------
$0.00 BAL DUE:
$0.00
$0.00--------------
THIS PERMIT DOES NOT REQUIRE A SEPA, SHORELINE OR ESA PERMIT
Applicant
Staff
Date
RW _ SAMTARY
WATER DWY S 1 UKM Lr�" ., ...y.--
te and permit becomes null and void ff
k or
Separate Permits are requircommencedelectrical
work,
days, 'rf rivaconuctionuor'work is suspended or c improvements. abandoned for a period of 180 days after
Lreadand
on autho not
as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
of work
exa' ilei wit whet herospecfiedoherein othe rrnnot e to bea grannting oefcta permit does not presume toprovisions of laws and rgive authority to violatgoverning e or ancel the
o pno'
s of any state or local law regulating construction or the performance of construction..
re of Contractor or Authorized Agent Date Signature of Owner ('rf owner is builder) Date
0 n H
cry
H
fCy�
O
HHO
triHH
rn
�dz
HOt7
H H U
zn0
dHCz]
OHy
H W tr]
F3 cn
0
F3 t3j
� �
BUILDING PERMIT INSPECTION RECORD
417 4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIIIIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
CALL E OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CO;gSPICUOUS LOCATION.
ICALL 41
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE —
I NSPF,CTION TYPE
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT)
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE
BAC==OW/ ATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF I CEILING
DRYWALL.
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
INECHANICAL
CHIMNEY
WOODSTOVE/PELLET
DUCTS
pW UfHnUs / SITE WORK (Eng —nn8 D"O°)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE / EROSION CONTROL
PARI:MG
OILER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPAINCYNSE
DATE YES NO COMMERCIAL
DATE ACCEPTED
P
O
L
IDENTIAL
DEFT.. / PW /NLY)
GENERAL COMMENTS:
COMMENTS
417-4746
417-4807
417-4654
ELECTRICAL
LIGHT DEPT
PW / ENGINEERING 6L
FIRE DEPT
DATE
102.1514961
c
ACCEPTED
YES NO
IQ C) H
crro
H � y
y txli
1-C y
O
Fjj
y ►- 0
xxIli
W H H
H00
0 y
H H C7
C7 H
oyz
f7 y
N
z t:)�+
y�;U
ycn
0
r
y N
x cn
rm m
� rw
�k CITY OF PORT ANGELES
�• PUBLIC WORKS - ELECTRICAL DIVISION
'S21 BAST 5TH STREET. PORT AWELES. WA 99362
ELECTRICAL PERMIT
ISSUED: 6/27/2001 PERMIT NO 7313
OWNER/APPLICANT
MARILYN BOSCKIS
505 E.8TH ST
Port Angeles, WA 98362
360/683-8893
T: S:
PROPERTY LOCATION
505 81 H ST E
Lot: 11
Block: 227 ® Long Legal
Subdivision: tpa
Parcel No: 0630000227450
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC N/A
1805 TUMWATER
PORT ANGELES, WA 98362 98360-0000
360/457-5303 360/000-0000
PROJECTINFO
Project Type: COML.
MISC.
Occupancy Type:
Occupancy Group:
Electrical Heat:
❑ Baseboard
0 KW
❑ Furnace
0 KW
❑ Heat Pump
0 KW
❑ Fan Wall
0 KW
PROJECT NOTES
Circuit for motion light.
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use: csd
❑ Riser ❑ Underground Service
❑ Overhead Service Voltage: 120,240
❑ Temp Service Phase: ® 1 ❑ 3
Service Size: 0
Feeder Size: 0
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wring: $56.25
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $56.25
AMOUNT PAID: $56.25
BALANCE DUE $0.00
('01NINIENTS/ACTION NEEDED
cnx
W H
a
O
cn E1
�w
WQF
aQz
�w
H D
zHo
�HCa
0UZ
Q H H
QOH
zo
m
44
O P P
114
U 0
H O
�i
NH
wa�D
HUO�
ROUTING SLIP
Business License, Building Permit Application, Certificate of Occupancy ,
DATE /� -�"� J New Business
Address of Proposed Business L • � � (� )
Transfer of Business Locat;on ................ ( )
_ Change of Ownership ........ , .
Applican T//C New Building( ) ..............................( ) Address 5C1•'l'/C'c-5 Remodel ............ .
Temporary Business ..................... . ( )
Phone: business '5�'q ' 7—
��_ home Permanent Business .................... . . . . ( )
Brief description of proposed business: j%J1 &2t7Z//
Legal Description: Lot — i O f / j Block J Subdivision
Currant Use of Property: nfjC 6'
Zoning Classification of Property: /) C /
-------------
WILL THERE BE ANY OF THE FOLLOWING? YES NO
Construction changes ............... ... " PERMITS BUSINESS LICENSE
............. YOU WILL NEED THE FOLLOWING:
Electrical changes .............................
Mechanical (heating, cooling, stoves) / 1) Building 1) Taxi
Plumb:ng changes ............ .......2) Plumbing 2) Peddlers
.......
New or relocated signs .... . .. . . . . . . . . ..... ✓ 3) Electrical (City Light) 3) 2nd Hand Dealer
New septic tanks........... f 4) Mechanical 4) Pawn Broker
New sewer service / 5) Sewer Admission charged to patrons 6) Sidewalk 5) Private Detective
/ ewak installation E) Merchant Patrol
' . ' ' ' ' ' Is this a home occupation? ............. . . . . . . . . . 7) Driveway installation -� 7) Amusement
Excavation or filling of lots 8) Curt)installation 8) Dance
Work done in City right-of-way .......... L / 9) Sidewalk obs'.ruction 9) Hotel • Motel
Is there sufficient off-street parking? ..... 10) Water meter installation 10) Septic Tank
New driveway openings ................. 11) Septic rank......... - 11) Fireworks
A grading J 1ccupancy
9 g plan for site drainage 12) Ambulance
/ 3 ign
(parking lots• downspouts, etc.) 13) Massage Parlor
14) Fire Department 14) Tattoo shop
Are the existing streets paved? ........... I ....... 15) Shoreline
Are there existing sidews Iks? ............ 1G) H15) Other
Home occupation
Is there curb 8 utters -----___ _
g •••.•.• •••••••• 17) Conditional use
Other....................... I........... ---- -
.. 181 Other
I hereby apply for a permitilicen,-e for the items above
and acknowledge that I have read this application and p 7>
state that the information I have supplied is correct to Date:
the best of my knowledge. Signed:
Approved Rejected I
Comments/Conditions
Building Section
LLB et T
l -
_-- Public Works Department v�5t.(j �r�' (�A
Planning Department _!
Fire Department I r
\ I
9/10f84 OLYMPIC PRINTERS. INC
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST -
Received __Time_ _Received by (phone ersonl�
Location of Work to be inspected OV
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundaton Framing Chimney
INSPECTION NnTf=S-
1-7
Phone No.
Permit No.
Plumbing Final Sewer Excay. Other
eevi%J
RESTORATION REQUIRED ...... YES Nn
SUKI-AUL: RESTURATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
❑ Asphalt ❑ PCC
Work Order #
❑ COMPLETE
❑ INCOMPLETE
❑ Other
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Section
This Certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the Cit.- regulating building
construction or use. For thefollowing:
Use Classification Professional office Bldg. Permit No. —0—
Group
Type Construction A Use Zone
Owner of Business The Lodge -----Address 1013 0 1 y
Building Address 505 East 8th Street
lei;
Po
rt An
""I A 1 e F.,
December
51 1988
Date
i Offi'ial
Post on the Premises in a Conspicuous Place
Shall Not be Removed Except by Building official
110
4
01
CITY OF P(, r tT, ANGFLES — PUBLIC WORK
BUILDING DIVISION — PERMIT APPLICATION 3904
a
VE:__M
Date Received Date Issued .l�j/ d
m
C,
Name
Address
City
Phone
Lic. No.
_
1. Owner�d1tn
2. Contractor
3. Architect/Engr,— --__ -_ --
4. Class of Work: --'N-ew Addition [1 Alteration1 1 Repair i ] Move Demolition
5. Description of Work.:
6. Type of Permit: Building Plumbing Contractor
No. Fixture Type Fee
Valuation $ _ Water Closet
Lavatory
_
Permit Fee Bathtub
Plan Check Fee _ (receipt# )_
_
Shower
_
Investigation Fee
Kitchen Sink
Other
Disposer —
Tolal $ Receipt # _
Floor Drain 1 Floor Sink
Building Sq. Ft.
Clothes Washer
%
Occupancy Group
Urinal
_
Occupant Load —
Water Heater
No. of Stories
Drinking guntain
Type of Construction
Lawn rinkler
Occupancy Permit Issued Date:
Va um Breaker
Legal Description: Lot: C� Block: ZZ--1
_
r Panels _
Subdivision
Otthh er
Land Use Zone D
Sub Total
Lot Area
Permit Fee
Lot Coverage % = Sq. Ft =
Receipt
# Total $ _
Sign Contractor
[7 Mechanical Contractor
Sign Type
tC$
s
No.
Type of Equip me
Fee
Illumination
Elec. Furnance
Overall Height
Heat Pump
Sign Width —
8
_
Woodstov
Sign Height
Z,'
Oil F ace
Sq. Ft.
6�Chen Hood
Clearance
Other
Land Use Zone
—
Fee
$ ( S.OQReceipt #
Receipt # _ _- Total $
Special Conditions:
&Total
IONACCEPTEDBY=PLANSCHECaKPROVEDFORISSUANCEBY
NOTICE
A separate permit is required for electrical.
This permit becomes null and void if work or construction authorize ' Is not commenced
within 180 days. or It construction Or work Is suspended or abandoned for a period of 18G
days at any time after work Is commenced.
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 hefem or nol. The granting of a permit does not presume
to give authority to lolate or cancel the provision. Of any other state or local law
Other Permits:
regulating consir tionorthe performance ofcomllructwn
__..
Sign ae Contraclor Or 1 ofrzed Age i
Sewer _ RIW
Other
Driveway_
$:g•Cr'. n•ot Ownetp vine buitdici
-
457-0411 Ext. 120 INSPECTION RECORD PERMIT
IT IS UNLAWFUL TO COVER INSULATE, OR OTHERWISE CONCEAL ANY WORK
BEFORE INSPECTED & ACCEPTED.
24 HOUR NOTICE REQUIRED PRIOR TO INSPECTION. POST THIS INSPECTION RECC,,riu
. IN A CONSPICUOUS LOCATION, APPROVED PLANS MUST BE ON JOBS!TE AT TIME
OF INSPECTIONS.
Inspection Accepted Date Inspector
Foundation Footings
Corrections
Foundation Walls
Corrections - ----- -
Rough In Electrical ------
Corrections ----------
Plumbing
Corrections
Framing
Corrections
Chimney
Corrections
Mechanical
Corrections
Insuiation
Corrections
Electrical Final
Corrections
Final Inspection
Corrections
FINAL INSPECTION IS REQUIRED PRIOR TO ANY OCCUPANCY
CITY OF PGriT ANGELES — PUBLIC WORKS
Uol a
BUILDING DIVISION — PERMIT APPLICATION 7Q3
U, a
Date Received I I Date Issued J--1 ��%I ��
t'
Name
Address
City
Phone_
Lic. No.
_
1. Owner _C[ NTy2Y Z /
-5o s -�4
r A
Z — � 8 Z /
_
J
2. Contractor p
3. ArchitectlEngr.
4. Class of Work: New ' Addition i .l Alteration ICI Repair L) Move I 1 Demolition
5. Description of Work:
6. T pe_of Permit: I Building 1 Plumbing Contractor
No. Fixture Type Fee
Valuation $ Water Closet
Lavatory
Permit Fee Bathtub
Plan Check Fee --.-,, (receipt# ) Shower_
Investigation Fee Kitchen Sink
Other
Disposer _
_
Total _ $ Rnceipt # _
Floor Drain I Floor Sink
Building Sq. Ft.
_
Clothes Washer
—
Occupancy Group
Urinal
Occupant Load
Water Heater
_
No. of Stories
_
Drinking Fountain,
Type of Construction
Lawn Sprinkler
Occupancy Permit Issued_ Date:
Vacuum Breaker
Legal Description: Lot: Block:
Solar Panels
Subdivision
Other
_
Land Use Zone
Sub Total
_
Lot Area
Permit Fee
Lot Coveraoe % _ _ Sq. Ft. =
Receipt
# Total $
Sign Contractor 0 tyF7L�
Mebhanical Contractor
ign Type _
1 .Ito`
2
_
3
No.
Type of Equipment
Fee
Illumination
Elec. Fu'rwce
Overall Height
/ 2'
Heat Pump
Sign Width
/ 0�
_
Woodstove
_
Sign Height
A—'
_
Oil Furnace
Sq. Ft.
Kitchen Hood
Clearance
F3 r
Other _
Land Use Zone
CSD-Cl
_
—
Fee
40 ae_
10,
Total $ 40'
. Receipt #
Receipt
# Total $
APPLICATIO
ACC PTEDBY
PL C
EC EDBY
I APPR PORISSUANCEBY
Special Conditions:
NOTI
A separate permit is required for electrical.
This permit becomes null and void if work or construction autoonzer. is not commenced
within 180 days. or it construction or work is suspended or abandoned for a period of 180
days at any time after work rs commenced.
I hereby certify that I have read and examined this applicatior and know the same to be
true and correct. All provision of laws and ordinances governi-Ig this type of work will be
complied with whether specified herem or not The granting of +r permit does not presume
to give authority to violate, or cancel Ih provisions of any other state or local law
cancel
rep ling construction or te ertama nor construction.
Other Permits:
�l,/�n (I--.J. - - -- - --
Signature of Contractor or Author ?- Agen q IDah,,
Sewer _ --- - - - - R/W----__-- ----
J /
Drivewzty Other
Signature of Owner (if owner is bwldeit u)alel
457-0411 Ext. 120 •- INSPECTION RECORD — PERMIT
IT IS UNLAWFUL TO COVER INSULATE, Or, OTHERWISE CONCEAL ANY WORK
BEFORE INSPECTED & ACCEPTED.
24 HOUR NOTICE REQUIRED PRIOR TO INSPECTION. POST THIS INSPECTION RECORD
IN A CONSPICUOUS LOCATION, APPROVED PLANS MUST BE ON JOBSITE AT TIME
OF INSPECTIONS.
Inspection Accepted Date Inspector
Fnundation Footings --
Corrections
Foundation Walls
Corrections
Rough In Electrical _
Corrections_ --
Plumbing
(-nrrP.r.tinnc;
Framing
Corrections
Chimney
Corrections
Mechanical
Corrections
Electrical Final---
Corrections------
Final Inspection
C o r re c t i o n s------------
FINAL INSPECTION IS REQUIRED PRIOR TO ANY OCCUPANCY
1
soy E. 8'
`
I
CITY OF PORT ANGELES
-- PUBLIC WORKS
N2 6281
BUILDING DIVISION --
PERMIT APPLICATION
Date Rcccivcd 7 lz 9l z Datc ls,tucd
771
Owner/� �jJ-a�e ` AtWtc4s a _ _._�c. No.
Contractor Alt",
Amh, En r.
Class of Wak• Ncw LJ Addiutm -6 Ahcratitm
Rcpalr Marc Demolition
1�I
Mwription of Wtwk:
4-4*//-Oi/e.,V
Typc of Permit: ❑ Building
L] Pluntbmg Contractor
FiatureTypc _--
Fcc _
WalcrCloscl
Valuation S
_
UvatMV _
Permit Fcc
Bathtub
Plan Chcck Fee (rcceiot M
_Showcr
Invcsti ation Fcc
Kitchcn Sink
Othcr
Dilposcir
Total S Rceoi t N 11
Flax Grain Sink
act mE . Ft.
C W
(kc Cmru t
Urinal
Occupant Load No. f Storics
Water Hcatcr
T)pcofCon%truetion
_
Drinking Founui
(kcuomcy Per7jil4sucd
_
Legal Dcwripu m: LAA
Vacuum Brcakcr
Black
Solar Pancls
Subdivision
Othcr
Land Uw tome
_
Sub Toul
Lrn :lea
imlil ee
Lox Cmcra c % = 54. Ft. =
Rccci t_M ___ Total S
S1 Contractor
Mcchaniul Contractor
Si T�'
=
_
s
No.
Type of F ►tir+rnnt Fcc
117luninaticm
Flee. Fum
(hcrall Hci ht
_
Hcal Part
Sign Hclght
/ ��
_
Oil Furnscc
Ft.
1.2.1
Kitchcn Hood
Clearance
_
Other
L.arwf Use Zme
I C1
Fee
I 42,
Total S �, 00 Receipt k
Receipt M Total S
w "UP" r
i
so
nunar rzf,ssc.,msy
SpccialCondiuorts: m®
NOTICE
Am rats pass r nYtuJed fa tlaaru-I taco a. -A u:Fax-
rho paaala baram nail and vod J w * m teat--x aathw.zcd u nil cave -:cord
trnlae lSo6M ti.f aaatnutW, or •ork A wspaidod a abcM- d fa a pmo! d
I so daps at aq ama ahw watt u canntmcea
I h-br andy"11. nd -td'—'Ted" appt:ca:tar. ared Lnow t�s amu b!K
()liter PCrn:IL4:
vac and coreen Al: p=%— r( L-w- and ad:raxn ao-ctmna Zhu t�.x or wott wt::
W cmgLed —h whctha -pec,Ewt h— tw nM The rra.-t:na of a pernvt t:on not
PI.— to p•s a,th—sy w r—t. or careel It.. Provuan- of nr taher -ate or local
tau mgaul na coatrtrt,on a the pers+am-r<e of carurxutn
Scwcr _ R/W
Ihtveway other
Waterr
s�awrts.etr •1•aawl
i PEV Pima. at
L
.�.
i
rev rRItT. tCC
CITY OF PORT ANGFLES -- PUBLIC WORKS
BUILDING DIVISION --PERMIT APPLICATION N° 65191)1
Date Received / `/ / 9Z Date Issued / / _
!l !
>
a
i"
)
Nantc
_`---_-_
Add�css t c Lic. No.
Contractor
Arch/En r. —�—
Class of Work: New L3 Addition lluatumt U Repair Movc Demolition
Dcsctiption of Work:
Type of Permit: ❑ Building
❑ Plumbing Comra_ctor
No.
Fixture Type
Fez!
water Closet
Permit Fee iJa
Bathtub
Plan Check Fee (receipt N
Sh�slver
Investigation Fee �'
Kitchen Sink
Other
_
_
Told S S�o Rkre' r A
Floctr Drain I Floor Sink —
_
ja ,s%L Ft. —
C1194��1h1
(ketillancy Cmlup ^Z,.
Urinal
_
Omu ant Il)id No. of Stories—
_
Water Heater
Tyr, "r C'm miction w
Drinking Fountain
—
cu� e:rmii Issued ----
wit %j n 1 •r
Le al Dcccrigutw Lot
Va_uum Breaker
Block
G tar Pancls
Subdivision
Other
Lard Use %tse
Sub Total
d Area
Lot Cover_ : % Sq Ft. =
Receipt a Total
Si n Conractor
Mechanical Contractor
Sign Tl,-pc
s
'
No.
Type of Equi sp ncnt ` Fee
Illuminations
Elm Furnace
Overall Hcicht
r
Neat Purno
Sign Flct ht
Oil Fumwc
. Ft.
_
_
Kitchen Hood
Clearance
Other —
Land Use Zone
—
Fcc
—_—
Total S Receipt /
Receipt a Total S
aynsc acctmnar
in Itsn'r
In nst'Ascrfly
Special Conditions: —�
Other Permits:
Scwcr R/W
Driveway _ Othcr _
Water
NOTICE:
A uPtue p.Ann u -WvW for a:ecutul.mdt .rid utLi.
Thy prima l__ Ax and •ad f wk a cmnructm aud+mrcd o nw ..x' , cd
.r111,A 110 da.., - If <atunclm w .ak V ..pmded w dxnf-al fa a Frmd &
110 days at any tax dw . k u c amAAnced
I Itneby cwly Ytat I have and .Ad e.atn:rad tht appitcawn a.•Id k+ the .sine in he
rx an td cnttact All ptwatau t (la.. and rdw.,• (amnia don tope( ..k ..:.
Lie fa"Ited .till .t-her .px:nad h.aat m AOI jlte ,.nor; M a pemvi Aan t•,n,
pA>:.R tb rive itiiha::y 4t r,Otytt of Ui\e: lAt plUlnNxlf of Mr n.`.Ci t'..'.e n! :�n l'.
4 a: ; car�v+,c:.m • tt• pemunn.xe o! <mnwun
AIM -A // /
R d uen.ay. A.d �.d Aax cots
a,..t --
I
q; ir 14 F P" P q P T
IV 7 V. 7 1 IN r 7*
V,
....... ............. . ........ I ..............
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Section
This Certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certif)-ing that at the time of issuance this structure was
in compliance with the vaiious ordinances of the City regulating building
construction or use. For thefollowing:
UwC4uific&1ton,nrTAT. -CRRVTCF AGENCY Bldg. Pcrmit No..---
8-2 —Type( onitrucoon V-N _____L'qeZont r-.;r)-ri
COMMUNITY ACTION __Addcss__5Q�_ EAST 8th
ButkfinjAd1rei%r1Q5 FAST Ath -PORT- ANG—Er rc 'WA-----
JULY 31, 1992
Due injOfficia
Post on the Premises in a Conspicuous Place
Shall Not be Removed Except by Building Official
.............
4 "< .Irv,n , " , .................. ...... ........
047,
w 7
PREPARED 8/27/10 8 06 54 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/27/10
ADDRESS 505 E 8TH ST SUBDIV
TENANT NBR MARK A DEROUSIE
CONTRACTOR PHONE
OWNER MARK A DEROUSIE PHONE (360) 808 2340
PARCEL 06 30 00 0 2 2740 0000
APPL NUMBER 09 00000243 SIGNS
PERMIT SIGN 00 SIGN
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
EL99 01 8/27/10L BLDG FINAL
�t August 26 2010 4 52 24 PM 1pangrle
BUILDING FINAL FREESTANDING SIGN KEY PROFESSIONAL BLDG
COMMENTS AND NOTES
i
CITY OF PORT ANGELES
1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
a�
� 321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000243 Date 3/20/09
Application pin number 106861
Property Address 505 E 8TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 2740 0000
Tenant nbr name MARK A DEROUSIE
Application type description SIGNS
Subdivision Name
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 1500
Application desc
INSTALL A 16 SQ FT FREESTANDING SIGN
Owner Contractor
MARK A DEROUSIE OWNER
PO BOX 1372
PORT ANGELES WA 98362
(360) 808 2340
Permit SIGN
Additional desc 16 SF FREESTANDING SIGN
Permit pin number 143107
Permit Fee 47 00 Plan Check Fee 00
Issue Date 3/20/09 Valuation 1500
Expiration Date 9/16/09
Qty Unit Charge Per Extension
1 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 47 00
00 115 0000 PER S FIS OR PROJ SIGN > 25 SF 00
Special Notes and Comments
March 1.8 2009 8 1.6 57 PM sroberds
16 sq ft free standing sign in the CN zone No land use
issues anticipated as proposed 1
Fee summary Charged Paid Credited Due \v
Permit Fee Total 47 00 47 00 00 00
Plan Check Total 00 00 00 00 /
Grand Total 47 00 47 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 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 gr nting of a ermit does not presume to give auth violate or cancel th rovisions of any
state or local law regulating construction or the perform of ruc'o .
Im
NSIe�
ate Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:FormsBuilding Division/Building Permit
0
BUILDING PERMIT INSPECTION RECORD t
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— UQ
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs)
PLUMBING
Under Floor/Slab
Rough-In
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by Ul
AIR SEAL. Q
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only) , ^
T-Bar �j,)—
INSULATION
Slab
Wall/Floor/Ceiling
MECHANICAL.
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES
Footin /Slab
1131ocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R W PW I Engineering 417-4831
Fire 417-4653
r
Planning 417-4750
Building 417-4815
C�
T Forms/Building Division/Building Permit
SIGN PERMIT APPLICATION Print in Ink
CITY OF PORT ANGELES
� For City Use Only
Attn Building Permit Technician Date Received
a■•— 321 E. Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417-4711 ete #
to Approved O
Applicant or Agent MW 2�_,&tlS/C Phone
Property Owner Sib Phones_
Property Owner's Address P-0 307C/j72
Contractor/Engineer 0W(VA,)-Palir Phone 07$--21
Contractor/Engineer's Address
License # Expires
Project Address SO 8 ST"
Business Name Vel Pio ssrrM� 1a
Parcel Number & Lot tl_ R&i1a Zoning CN
Submit an 8 % "x 11 "site plan & three sets of plans that include.
■ Type of sign (wall-mounted projecting freestanding illuminated other )
■ Placement and sq ft. area
■ How the sign will be securely attached (Engineering specs may be required for freestanding signs)
■ Separation distance between the bottom of projecting and freestanding signs and the surface below
See "Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements.
Sign Type & Brief Description. (Type, location, sq. ft.)
Sign #1
Sign #2 J
Sign #3
Sign #4 o�`q �►
Totals(Unit charges Sign(s)
Unit Chang Quantit multiplied by quantities) Type of Sign Valuation$
o°
$47 00 x = $ All signs less than or equal to 25 sq ft.
$85 00 x = $ Wall sign or marquees, over 25 sq ft.
$115 00 x = $ Freestanding sign or projecting sign, over 25 sq. ft.
GRAND TOTAL Make Checks Payable to City of Port Angeles
$ Credit Cards (Except American Express) are accepted
Existing sign(s)area D A sq ft. +'Proposed sign(s)area sq. ft. = Total signs) area sq. ft.
Building fagade area (height ft. X width ft.) = sq. ft. (!f a building has more than one
business in it, only measure the area of the building fagade that is used by the business.applying for this permit.)
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 projects
Date 3J11 ld� Print Name AWL. be Q&VE7 Signature L_Y
T Forms/Building Division/Sign Permit Application.doc
KEY
Professional Building
CITY OF PORT ANGELES—Construction Plans
The Issuance of this permit:,ased upon these plans,specifi
cations and other data shall not prevent the building official
from thereafter requiring the corection of errors in said
pla specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
Ftpproval Date BY
Soa,sez-�
F �
c�
R Z�
,
/
/
/
/
/
J.
s ,
/
/
,
clr0
s� �
CERT UPANCY
ort An ;' -
g
This certificate is issued1qursuani io the requirements of Section 110 of the 20 International Building Code
certifying that at the iitne of issuance this structure was in tomo ltd with the v .ious ordinances of the City
regulating building construction or use fir the following
Business name: Central Business Office for OMP (Owner: 01y4 i Medical Center)
Business address:9 505 E. 8"" St.
Property owner: 1 Clallam Co. Public Hospital 'District #2
Property owner's Oddi ess 939 Caroline St , Port Angeles,WA,98362 909
Automatic fire spri item: Per
Use & occupancy c sscation: Busi
Building permit num r.
Type of construction:
Occupant load: P
00 05-05-08
aWer Re-issue Date
Post on the premises in a conspicuous place. This a 1 not be removed except by the Building Official.
1
CSZ
PREPARED 3/31/08, 9:51:26 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/31/08
----------------------- ------------
ADDRESS . : 505 E 8TH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
-- -------------------------- ---
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------------- -------------------------------------------------
BL3 01 2/25/08 JLL BLDG FRAMING
2/25/08 AP February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
February 25, 2008 4:39:52 PM jlierly.
BLI 01 2/28/08 JLL BLDG INSULATION
2/28/08 AP February 28, 2008 8:54:24 AM 1pangrle.
MARK 808-2340
INSULATION
THE KEY IS ABOVE THE DOOR.
February 28, 2008 4:37:03 PM jlierly.
BL99 01 3/21/08 JLL BLDG FINAL
3/21/08 DA March 19, 2006 9:06:37 AM 1pangrle.
MARK 808-2340
BLDG FINAL
March 21, 2008 3:53:36 PM jlierly.
landing at rear door and temp windows next to office
doors/jll
BL99 02 3/31/08 BLDG FINAL
March 31, 2008 8:26:56 AM 1pangrle.
MARK 808-2304
BLDG FINAL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 3/21/08, 9:11:33 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/21/08
------------------------------------------------------------------------------------------------
ADDRESS . : 505 E 8TH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
--- - - ------------------------ ----
PERMIT: HPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------ ---------------------------
BL3 01 2/25/08 JLL BLDG FRAMING
2/25/08 AP February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
February 25, 2008 4:39:52 PM jlierly.
BLI O1 2/28/08 JLL BLDG INSULATION
2/28/08 AP February 28, 2008 8:54:24 AM 1pangrle.
MARK 808-2340
INSULATION
THE KEY IS ABOVE THE DOOR.
February 28, 2008 4:37:03 PM jlierly.
BL99 01 3/21/08 BLDG FINAL
March 19, 2008 9:06:37 AM 1pangrle.
MARK 808-2340
BLDG FINAL
-------------------------------------- COMMENTS AND NOTES
4 c t IA) e i--c 09
owS _
PREPARED 2/28/08, 9:49:02 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/28/08
---------------- --- ------------------ --- --------
ADDRESS . : 505 E 8TH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER : MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------- ----------------------------------------—-------------------------------
BL3 01 2/25/08 JLL BLDG FRAMING
2/25/08 AP February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
February 25, 2008 4:39:52 PM jlierly.
BLI 01 2/28/08 L BLDG INSULATION
_moi February 28, 2008 8:54:24 AM 1pangrle.
MARK 808-2340
INSULATION
THE KEY IS ABOVE THE DOOR.
-------------------------------------- COMMENTS AND NOTES
PREPARED 2/25/08, 9:50:37 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/25/08
------------------------------------------------------------------------------------------------
ADDRESS . : 505 E STH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
-----------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------- ---------------------------------- - -----
BL3 01 2/25/08 BLDG FRAMING
February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
-------------------------------------- COMMENTS AND NOTES --------
PREPARED 2/25/08, 9:50:37 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/25/08
--------- ------------------- -----------------
ADDRESS . : 505 E 8TH ST SUBDIV:
CONTRACTOR PACIFIC OFFICE EQUIPMENT INC PHONE
OWNER BREMANN LNVESTMENTS PHONE
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000094 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-----------------—-----------------------------------------------------------------------------
BL99 01 2/25/08 JLL BLDG FINAL
February 25, 2008 9:13:05 AM 1pangrle.
TOM 417-3600
BLDG FINAL - RE-ROOF
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Application Number . . . . . 08-00000206 Date 2/21/08
Application pin number . . . 349060
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
Owner Contractor
BREMANN INVESTMENTS NORTH PENINSULA ELECTRIC
402 E 8TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 983626220 PORT ANGELES WA 98363
(360) 477-1764
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit pin number . 121269 ` (�
Permit Fee . . . . 73.00 Plan Check Fee .00 V\`
Issue Date . . . . 2/21/08 Valuation . . . . 0
Expiration Date 8/19/08
Qty Unit Charge Per Extension ( �I
1.00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00 V
3.00 5.0000 ECH EL-COMM ALT-ADDTNL CIRCUITS 15.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.00 73.00 .00 .00
V
y
INSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUCH - IN
Z,
FINAL
COMMENTS .-
of°oRr""° CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 08-00000100 Date 2/20/08
Application pin number . . . 285600
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Tenant nbr, name . . . . . . MARK DEROUSIE
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 15500
----------------------------------------------------------------------------
Application desc
convert carport to office space
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MARK DEROUSIE ADAMICH CONSTRUCTION
PO BOX 1372 810 CHURCH
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 457-6600 PORT ANGELES WA 98362
(360) 417-3409
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . ZZTYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . ENCLOSE CARPORT FOR OFFICE SPC
Permit pin number . 119768
Permit Fee . . . . 291.75 Plan Check Fee 189.64
Issue Date . . . . 2/20/08 Valuation . . . . 15500
Expiration Date 8/18/08
Qty Unit Charge Per Extension
BASE FEE 95.75
14.00 14.0000 THOU BL-2001-25K (14 PER K) 196.00
----------------------------------------------------------------------------
Special Notes and Comments
A minimum 2A-10BC fire exinguisher is required.
Extinguishers must be mounted, with the top no more than 5'
off the floor. Suggested extinguisher placement is
adjacent to an exit.
February 12, 2008 4:36:30 PM sroberds.
The proposal will result in the enclosure of a carport into
additional office area in the CN zone. Lot coverage is 2762
sq.ft. of usable floor space. Site use as an office
requires 7 off street parking spaces. No land use issues
are anticipated at this time.
Electrical load calculations and electrical permits are !�
required. �!� J
Any modifications to the City's electrical facilities will [/
be at the customer's expense.
Public Works Utility Engineering has no requirements for
this plan review.
----------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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 an It provisi s of an ate or local law regulating construction or the performance of
construction.
ate Print Name Si nat re of trac or or uthorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit(10/01/07).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 UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT N's SEPA:
PARKING/LIGHTING 4- ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:Forms/Building Division/Building Permit(10/01/07).wpd
0f�0T"*Q CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
-�� 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . o8-000001oo Date 2/20/08
Application pin number . . . 285600
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 291.75 291.75 .00 .00
Plan Check Total 189.64 189.64 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 485.89 485.89 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permitbecomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T.Forms/Building DivisionlBuilding Permit(10/01M).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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE C
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWNSPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUNIBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL (�
WALLS
CEILING C R
FRAMING 62--25—QS LL- v f
JOISTS/ GIRDERS
SHEAR WALLMOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION c,(,_
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
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 I NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL Q J
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.
BUILDING 417-4815 BUILDING Q Q 1
T:Forms/Building Division/Building Permit(10/01/07).wpd
UPTOWN REALTY C
R,
REG , ED
FEB 15 2008
N�o�
CITY OF PORI,ANGELES
BUILDING DIVISION ;fir
LN
I
C>
er �
Telephone: 360-452-7861 www.uptown realty.com
Z dy
my W
Wy
Vv
7 +Y
- F 3
J
�mn,
p�
-
1
t
s
�i .fin �S- f•
TIM4
ti - e`
xic'3e. P 0 �
NOW,
Y ,y S
s {
1 HTA
-r '3+ . in c +•` .�'-^'�. 3` s
lion, An
W.
f. [ (
08 - 100
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Carport Enclosure - DeRousie
Address: 505 East 8th
Plan# 08-09 Com ® Residential ❑ Date: 2.7.2008
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
1) Provide a 2A:IOBC fire extinguisher for the new office area. Extinguisher should be mounted
near an exit, with the top no more than 5' off the floor.
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by: Date: 01•Jr•Z 008
® Building Department Copy
❑ Contractor/ Owner Copy
❑ Fire Department Copy
p
,OF ORTgN�F
DATE: 2
OI -Q
ORICS ANOJ
TO:
FIRE DEPARTMENT
❑ PLANNING DEPARTMENT
❑ PUBLIC WORKS/ENGINEERING DIVISION
❑ LIGHT DIVISION
❑ ENERGY
❑ ENGINEERING
❑ POLICE DEPARTMENT
❑ ADMINISTRATION
❑ CITY CLERK
❑ RISK MANAGEMENT
FROM: PUBLIC WORKS/BUILDING DIVISION
RE: ADDRESS: 5 v 5 ST r` 5�-
NAME/CONTACT:
PHONE: eo 9
PERMIT NUMBER:
PROJECT DESCRIPTION: e
r) f-�X,c,,e spa Ce
❑ NEW CONSTRUCTION
�'�}-i cry
ALTERNATION
COMMENTS/CONDITIONS: 1'1'1 �"�
�REVIEW/RETURN ❑ FILE
hone co,l1 with MoarK be- ilgouS1e- 60 1�3[�o8-The carport ,aretL alr!, t
PGr P Ne 11 eh -10 `+ham 4 srde
h,a,� �, concrete slab $ .s �nLtosed on�+-�, s;des_ ` 85gSaF
ORT T
i �s BUILDING PERMIT APPLICATION Print in ink of/,L,,
I'►�.•�- CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
321 E. Fifth St., Port Angeles, WA 98362 Date Received
(360)417-4815 fax (360)417-4711 Permit# .0 — !
C Date Approved
Applicant or Agent AIW, {,' Com\\$�$ Pho e �fj�-
Pp g uS
Property Owner lm uSt:e Phone 34040 2-3
Property Owner's Address r A,) P(? i L Ori
Contractor/Engineer Phone
Contractor/Engineer's Addre s
License # Expires
PROJECT ADDRESS GS C i
Parcel Number O (o'50 o 22 6- Lot Zoning 6NJ
Project Type & Brief Description: ❑ Residential ❑ Commercial ❑ Multi-family ❑ Industrial
Check all that apply
❑ New Construction
❑Addition
XRemodel S� &_
❑ Repair
❑ Re-roof 1xc e /'} = ::�_7(O L
❑ Demolition
❑ Sign ❑ wall-mounted ❑ projecting ❑ freestanding ❑ awning ❑ other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
Meat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove)K-bther 1C-ProA)-'TT
6 Other
Floor Areas Existing(sq. ft.) Proposed(sq. ft.)
Basement 27 @ $ per sq. ft.
1s` Floor / SY L!08
2"d Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
l7e 3) 76
TOTAL VALUATION $
Total footprint of structures sq. ft. . Lot size `7. tTZ)-Q sq. ft. = Lot coverage 22.E %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? _) Construction type # of half baths
I have read and completed this application and know it to be true and correct. 1 am VuthorizedMps
this permit and
understand that it is my responsibility to determine what permits are requir and r to working on
projects.
Date Print Name- Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
IL- - - -
Al �
w
N
i t
r"
MTw f 1 G..
a
0
A
S
�h S lOF
\
\
\
a
\\
516 \
520 522 \
<.. a24
0130b02745.JPG
29
Ro/o w/s 4
4 29 3
2a/office
lat-643sf
2nd=1,589sf
32
8 2nd story/parking oh
r`!
29
8
3
26 23� IS oh
0
9
19
v 3
�.
�'• .
� �:
F
?�.
��;- ,,
$:,`
:•
r�:
/� �g ��
�� �
���
1 � U S� .�
���� ��
e �
Op pOFT„�,O CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 08-00000094 Date 1/22/08
Application pin number . . . 952278
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description RE-ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 2400
Owner Contractor
------------------------ ------------------------
BREMANN INVESTMENTS PACIFIC OFFICE EQUIPMENT INC.
402 E 8TH ST 402 E 8TH ST
PORT ANGELES WA 983626220 PORT ANGELES WA 98362
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . PARTIAL RE-ROOF
Permit pin number . 119560
Permit Fee . . . . 109.75 Plan Check Fee .00
Issue Date . . . . 1/22/08 Valuation . . . . 2400
Expiration Date . . 7/20/08
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
------------------------------------------------------ ---------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .00 .00
10000!;��
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
/,yZ .Q F> A
Date Print Warne Signature of Contractor A
Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit(10/01/07).wpd
BUILDING PERMIT INSPEC'T'ION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. OQ
CALL 417-4807 FOR PUBLIC WORKS UTILITIES I
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL 0 �,
WALLS G
CEILING }
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY) (�
T-BAR '
INSULATION
SLAB
WALL/FLOOR/CEILING Ln
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT N's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ��ryry
YES NON�
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL 1;
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING U
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING 02-2 ILL-
T:Forms/Building Division/Building Permit(10/01/07).wpd
� 9 0 Q
evKr.9,��ff BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received
321 E. Fifth St., Port Angeles, WA 98362 Permit#C)8
(360)417-4815 fax(360)417-4711 Date Approved
Applicant or Agent 7oAt4l SAc.RANAMA-ir Phone 364) Al! 7 -3600
Property Owner 6P CM9WAW lIVVC-S rML1r3 Phone 3642 U 17-36 00
Property Owner's Address 3 14 L 8 S T
Contractor/Engineer Phone
Contractor/Engineer's Address /jc+ ec o/'% ='-ez
License # PAC l FOL' O l Z N5 E=xpires Z 3 /05
PROJECT ADDRESS SDS E S `6Y Sr
Parcel Number 6 G3 E'S� - a �7 7 Lot /t7 &KLot oning
Project Tme&Brief Description: ❑ ResidentialCommercial ❑ Multi-family ii Industrial
Check all that apply
❑ New Construction
❑Addition RE—,ROOF A POR 710,41 ext SrIAI ! aly /3
❑ Remodel XLS LW-6-- .5- RL i' - ,
❑ Repair _ oG
)(Re-roof
❑ Demolition
❑ Sign ❑wall-mounted ❑ projecting ❑freestanding ❑ awning ❑other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existing(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq. ft. _ $
1s' Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
l have read and completed this application and know it to be true and correct. 1 am authori ed to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to_o6' in pe its prior to working on
projects
_111
Date 110bPint Name Signature i
Website Version/ Dec.2007
V\�VVii
REGISTERED. AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 PACIFOE012ND 04/23/2008
EFFEC - 08/02/1999
PACIFIC OFFICE EQUIPMENT I
402 E 8TH ST:
PORT ANGEL WA 8362 - _
Ignature -
Issued by DEPARTMENT OFLABOR AND INDUSTRIES
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying 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:
Use Clasvcation: Office Building Permit No.: Business Name: Olympic Community Action
u
Group: B Type of Construction: VN Use Zone: CN
Owner of Business/Residence: Olympic Community Action Address: 505 East 8`h, Port Angeles, WA 98362
Building Address: 505 East 8t tr 2
IS 2002
Building tial Date
Post on the premises in a conspicuous place.
Shall not be removed except by Building Official.
p �Ce.
` ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( )
1 Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: +
Legal Description: Lot Block Subdivision
Current Use of Property:
Zoning Classification of Property: �,Q,�
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 v1
Mechanical (heating, cooling, stoves).............. 2) Plumbing 2) Peddlers O
Plumbing changes . . . . ......................... 3) Electrical 3) 2nd Hand Dealer
New or relocated signs.......................... 4) Mechanical 4) Pawn Broker
New septic tanks... . ........................... 'l 5) Sewer 5) Dance
New sewer service . . . . ..... . . . .... . . . .......... +' 6) Sidewalk installation 6) Hotel-Motel
Admission charged to patrons........ . . ...... . . . . __4L_ 7) Driveway installation 7) Fireworks
Is this a home occupation? ......... . . ........... 8) Curb installation 8) Ambulance
Excavation of filling of lots . . ..................... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way..................... 10) Water meter installation 10) Other S
Is there sufficient off-street parking? ............... ✓r 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? . . . ............. ... � 15) Home occupation
Are there existing sidewalks?. . . . . . . ... . . . . . . . . ... f 16) Conditional use
Is there curb and gutter? . . . . . . . ... .. . . . . . . . . . . . . 17) Other
Other. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . .. .
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
APPROVED REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
li I r
Fire Department
City Clerk
r.
P.B.I.A.
v4A cz Y N B
pOFT�
ROUTING SLIP
Certificate of Occupancy
=--Certificate/Inspection Fee 7-0
DATE 3 Z z O New Business
Address of Proposed Business �/ Transfer of Business Location . . . . . . . . . . . . . . . .
C_/tsiwm-n, 4c-A0,1 ou5"Li4 di✓j fr�&a Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant S°S ,e New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business 06z))y5-22-926' home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: C r U 5'j h
fAle C— ; -x.25 ✓via t.f Zi CO e ~ i r
02
Legal Description: Lot Block Subdivision
Current Use of Property: c -e—
Zoning Classification of Property: �--
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 1j,I
New or relocated signs.......................... 4) Mechanical 4) Pawn Broker
New septic tanks ............................... 5) Sewer 5) Dance
New sewer service ......... ................... . / 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons.............. . . . . . . 7) Driveway installation 7) Fireworks
Is this a home occupation? . . ........... . . . .. . ... 8) Curb installation 8) Ambulance
Excavation of filling of lots ....................... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way.................... 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . . . . . ....... 11) Fire
New driveway openings . . . . . . . . . . . . ............. 12) Occupancy
A grading plan for site drainage. . . . ............... 13) Sign
(parking lots, downspouts, etc.) . . ................ 14) Shoreline
Are the existing streets paved? ................... 15) Home occupation
Are there existing sidewalks?. . ................... 16) Conditional use
Is there curb and gutter? . . . . ................ . . . . 17) Other
Other. . . . . . . . . . . . . .. .. .... . .. . ...... . . . . ......
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date: Z Z O
information I have supplied is correct to the best of my
knowledge. Signed:
APP REJECTED Comments / Conditions
Building Section /J,��i e-, C ;5 z� r f r] f
Public Works Department d c u /�
Planning Department c /�
RFire Department
34-62- U City Clerk
P.B.I.A.
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES.WA 98.362
Application Number 06-00001012 Date 7/30/07
Application pin number 834224
Property Address 505 E 8TH ST Lasered
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description ELECTRICAL ONLY CED
Subdivision Name
Property Use . . .
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
BREMANN INVESTMENTS ANGELES COMMUNICATIONS INC
402 E 8TH ST 102 ROSS LN
PORT ANGELES WA 983626220 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit ELECTRICAL NEW COMMERICAL
Additional desc ANG. COMM / VOICE-DATA
Permit pin number 106575 r _
Sub Contractor ANGELES COMMUNICATIONS INC.
Permit Fee . . . . 40 00 Plan Check Fee 00
Issue Date 7/30/07 Valuation . . . 0
Expiration Date 1/26/08
Qty Unit Charge Per Extension "
1 00 40 0000 EL-LOW VOLT SYS <=2500 SQFT 40 00
------------------------------------------------------------------ ----
Fee summary Charged Paid Credited Due �-
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 00 40 00 00 00
Plan Check Total .00 00 00 00
Grand Total 40 00 40 00 00 00
VJ
k z
P
a
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTTON TYPE DATE -ACCECOMMENTS
YES NO
DITCH
ROUGH-IN COVER
SERVICE
FINAL J—n-7 1A I
GENERAL COMMENTS:
rw-i iaz.ts(awl
D44;ce, VN a
ROUTING SLIP
Certificate of Occupancy
$Certificate/Inspection Fee
[DATE2- Z p 21New Business ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . .
�rz'~r"'"^' �/ ° � �� ki Change of Ownership ( )
�J 9 p . . . . . . . . . . . . . . . . . . . . . .
Applicant sOs � Sl T+-- New Building
Address � +
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business LMR)Y54 21977 home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: c r t4 /i'Se vo fi
tc". S rvlh �1../-�1 egy" C
Legal Description: Lot Block Subdivision
Current Use of Property: ;
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? VES 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 rC
New or relocated signs............... ........ . . . 4) Mechanical 4) Pawn Broker v
New septic tanks...... .... ... .... . ....... . . .... 5) Sewer 5) Dance 1�
New sewer service _ __z 6) Sidewalk installation 6) Hotel-Motel I
Admission charged to patrons........ . . . . . .... . . . _ _z 7) Driveway installation 7) Fireworks M
Is this a home occupation? 8) Curb installation 8) Ambulance
Excavation of filling of lots . ..... .. . . . ...... . . .... _ _ 9) Sidewalk obstruction 9) Tattoo shop !.J`
Work done in City right-of-way............. . .... . . _ 10) Water meter installation 10) Other y
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? ..... . . . . . ....... .. 15) Home occupation
Are there existing sidewalks?.. .... . . ....... . . . 16) Conditional use
Is there curb and gutter? ............. ... . . ..... . 17) Other
Other. ...... . . ........... . . ..... . . .. ..... . . . . .
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date: Z L O
information I have supplied is correct to the best of my l
knowledge. Signed: 7
PP REJECTED Comments / Conditions
Building Section �7z a i5 �Qi ,-f C) f
Public Works Department d c Lr - r
Planning Department
Fire Department
City Clerk
P.B.I.A.
r
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction oe use. For the following,'
Use Clas�fication: Office Building Permit No.: Busine" .t,11y377tI[t]tiL Community Action
Group: B Type,of Construction: U9eghtr:`
CN
Owner of Business/Residence: Qb=ic Community Anton Addtdss: 505 East 8111,Port Angeles, WA 98362
Building Address: 505 East 8t tre 2
ism
v 15, 2002
Buildin Date
Post on the picuous place.
Shall not be removed except by Building Official.
CITY OF PORT ANGELES
LIGHT DEPARTIV2M ELECTRICAL PERMIT M 1747'7`
Port Angeles, Washington------------ -._ ...--•-----------------------_..1 19rJ
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 doelectricalwork as listed below.
AddressP .5 rS�LuC Occupancy. :•f}c ±ra`_ :.
-------------- --------------- - -------------- ---
Owner .� 13-t_ = � '`� ='` � Tenant - ---------
--------------------------.--
Wiring Contractor f lkr -rc?---r>~� r--'-- --------- By--------------------------------------------------------•------------
Light Outlets...................._ ........... Service, volts .'�^.7�..a" -_+ s...... .. Type of Wiring:
Receptacle Outlets............................... No. wires ....-,�a.-..............-.._.."-.,-' Armored Cable ..............................
ar - -
Dryer, KW.........::............................... Size wires.....<..'. t� Non-Metallic ................._..............
1 .....*......_.
Knob & Tube................................
Range,KW.................................... ..... Main fuse ......f.....�.�..................
��!!r^-. ............. Rigid Conduit ...............................
Water Heater: Enclosure ...._ .......J Metallic Tubing KW..-....../"---.r?.._..-........_...----- Type of wiring: Raceway ................
Heat: KW................... . ............_. Entrance Cable ------------------------..._ Circuits, Light......_n ._.....___._
. ............. ... r..................._..
Motors: size, volts and phase: Rigid Conduit ------------------------------- Utility ........... .............................
Metallic Tubing ------------------------- Heat ............'------....-_--..._------------
GYM, ............... ............
_f!r-.t.E:.�o No. & Size....................................... Water Heater ............--.._............
7.a..........................^......I......_..............
rUU!/f�I-) c --!/.. Ser.No ..................._................. Motor .........................................
f�1 . ..._�.......... .. .......fin.._.......
r.......-_ Ser. No.............................................. Dryer............9.._........................._
------_/rfrli('PeZ_.._. `s{
_..................:... Furnace.........r._................................
--------------- Ser. No............................................. �y T
Total Load..-----`--- Ser. No............._..._.......................... Total ..._Q, .......................--
Remarks- -------------------------•-----------------------------------------•------------------------------_------ ..........................................
------------------------------------------------------------------------------------------------------------------------------------------------------.------------------------
--------------------------------------•----•------------------------- -----------------•------------------•------------------------------------------............--••--•--
Permit Fee Treas. Receipt
C�
$---=-----0�------------------- No.------------------•-------- By
- .... '
NOTICE—Current must not be turned on until Certificate 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N° 17477
Address ..................._............................._...............................................................
..................... Date....................................................
'w
Owner .........................................._........._......_.._.......................................................... Tenant....................................................................
WiringContractor..........................................................._..........................................................
--- By..............................................................
'NOTICE--Current must not be turned on until Certificate 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.
B
t
1M Olympic Printers, Inc.
CITY PORT T14ELECTRICAL PERMIT N° 160-35
M
LIGHT HT DEPARYMENY
Port Angeles, Washington-------% ---------------- --------- 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 Angeles, per-
mission is hereby granted to do ele/,cttrriical work as listed below.
Address -----_/)///`//-'J J ............................... ------ --------- Occupancy------efL �--------------------
Owner �4_%��-:�����--//r�,e!% f_ Tenant---•-----------------
_ ✓ — ------------------------
Wiring Contractor-------- -----------=--=-E'=`�-------------------- By----------------------------------------------------------------------
Light Outlets........._.16.................. Service, volts ..y/�/7Q,r..- '�.- Type of Wiring:
Receptacle Outlets--_S_.��................ No. wires ..-._J......./...............-'. Armored Cable .._.........................
Dryer, KW.............-...................._..... Size wires._r7�®./I _ L� Non-Metallic ..._.........................._
.. ....._..
- AKnob & Tube.................................
Range, KW------------------------------------------ Main fuse .....-.:r7r/
Water Heater: Enclosure ..._:�------.
------`---------- Rigid Conduit ...................---.......
��// „• Metallic Tubing ...........................
KW..........9......�.._------------------_--- Type of wiring: Raceway ........------......
/[// e 5 Entrance Cable ............................. - -
Heat: KW................................................. Circuits, Light....... ........................
Motors: size, volts
( and phase: Rigid Conduit ............................... Utility ...........! .
Metallic Tubing ....-...._................ Heat �. .......................
......._.......-.�t.r.... _......
Current transformers: Range .............................................
No. & Size....................................... Water Heater ...............................
...........................................................
Ser. No............... Motor ..._........................................
.
........................................................... Ser. No..............................................
i Dryer....................._...........................
Furnace...........................................
.
Ser. No.............................................. ^7
Total Load............................. Ser. No.............................................. Total ....._`._
. .,.....---................
Remarks: .......... -0'--=-------------�-`'.--__--li".. ---------------------•----••-
-----------------•-------------------------------------------------------------------------------------------------------•------------------------•---........------------....--
----------..........----------------------------------•-----• ---------- ---------------------------------------------------------•----••---•--•....................... .
Permit Fee G Tress. Receipt
•-------------- No.__..-..-.........-.... B = r - = _,- ° "
$-- ..... y ---;�-
NOTICE—Current must not be turned on until Certificate of Inspection bas been issued. If 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° 16035
Address ........................................................................................................................................ Date......................................................
Owner ..................................._................._......_.._........................................................... Tenant..................-
.................................................
WiringContractor..........................................................._............................................................. BY..............................................................
NOTICE—Current must not be turned on until Certificate 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.
1M Olympic Printers, Inc.
J rv�r,v4 �
ELECTRICAL WORK PERMITAPPLICATION
Install- on description
Job wired by Electrical Contractor (3 Owner Commercial ❑ Residential
Electrical contractor name Lic'en'se number Date Expires
orrkl, f ,�,l� a I'I r s 1C tiler,{ �Z ❑ New ❑ Altered/Addition
Purchaser's nailinrddrCesss
City State ZIP
fc) y Y-F- cIInc O —S
Telephone number FAX number
X111- S S _aIS
Premises owner's name
Address of inspection
SOS 8
City
D Y,
Phone number to schedule inspection:
x-
0...ter as defined by RCIV,19.18.261:(/) Owner will occupy\the structure for two
gars afler this electrical permit is fmalized. (1) Owner is required to hire an electrical I
contractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# flvYV
After reading the above statement, I hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lationMastercard or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# C)0-- C�'L/-_
Utility Specifications. ---
Signature of owner, electrical contractor or electrical administrator Expiration Date
/..� Inspection fee
X �lJh ��vDate: , �o �� of card $ Sap
Electrical Load dditions and or subtractions Service Information
❑ NO LOAD CHANGES
❑ Baseboard KW Voltage
❑ Furnace —KW ElOverhead Service Phase Elf El3
❑ Heat Pump _Ton LAR ❑ Temp Service Service Size:
❑ Fan-Wall _KW ❑ Underground Service Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
e
-IN �J THERMOSTAT SERVICE
Date Ap Oalc Appmved Ry Delc Apprmed Ry
L ✓ DITCH FEEDER
Approved By Date APP�o\'ed RY Date Approved By
Inspection Area,Buildingor Equipment Ins ected Electrical
Date Action Taken
Inspector
}
OppORTq,1,v,,(�N ELECTRICAL INSPECTION
4�
WIRING REPORT
ws�� 417-4735
RKS 6
DATE PERMIT INSPECTOR
z Zz o a -ozo(�
OWNdWr.TRIACTOR
ADDRESS
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
)I . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED:
AU-y1,-5 r-o-q FH,6K r--
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS,INC.(360)452-1381
I,
ELECTRICAL.WORKPERMIT APPLICATION !'
e ❑Request Inspection
U Electrical Contractor ❑0"ner 4'—"
U Annual Permit U Alarm U Carnival 0 (:ommercial D Residential O Residential Maiat. U signs U Thermostat Telecom.
Installation Description h
Job wired by Electrical Contractor ❑Ow'ner
F.I¢ ical Lennmyn LICCnyc number
x ��y 71Mr 11 V � !VC... t
Purchas ' mailing address.—v
City / e ZIP /
LL
telephone number /Ll• rAG%)n miser
7-0375--- - 021
Premises owner's name r
Addres mm coon
City �,n
_ CU Cash O Check g
1 hereby certify that I am the owner of the above named pmperty ora licensed Wredit Card Visa Mastercard Discover
firm's electrical contractor(or the authorised agent) and am making the electrical W�
installation or alteration in cnmp)iance with the electrical law,Chaplet 19.28 ROW. Card#
Signal wl r, elect ripl contrBetor or el ectrlcal atlmin lrtratnr Expiration Dale �n r /c
InaptClion fee
of Card
/W LLS CEILING 'THERMOSTAT SERVICE
In..ulation Only Inyulalimr Only —
1\ nzm npp.naal Fly ne+o nppm,N By
me Aimrv.cd ii -' ITCH I�'EDER
! (.'over
C�Cnvel npprnv o, �uu�
n.., nl+mo.M ny oma APnrv,d By
Electrical Load AgS[Itlons and or suEtiractions Service Intormation
U NO LOAD CHANGES
❑ Baseboard _KW Voltage---
Q Furnace —KW ❑ Overhead Service Phase❑ 1 ❑ 3
❑ Hent Pump _Ton-_LAR U Temp Service Service Size:
U Fan•Wall KW J Underground Service Foader Size:
Inspection Area,I}oilding or Equipmertl Inspected Action Taken Electrical
Date Inspector
JUN 2 1 20)7
LIGHT DEPT.
ELECTRICAL PERMIT
CITY OF PORT ANGELES W
360-417-4735 - 1!
Application Number 14-00001317 Date 10/29/14
Application pin number 780123
Property Address . . . . . 505 E 8TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . .
Property Zoning . . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502)
Application valuation 0
Application desc
Remodel
Owner Contractor
BOM LLC EXTRA MILE TECH & ELECT., LLC
505 E 8TH ST 418 N, RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-4481 (360) 457-5222
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee ,00
Issue Date . . . . 10/29/14 Valuation 0
Expiration Date . . 4/27/15
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 00
Plan Check Total .00 .00 .00 00
Grand Total 86.00 86.00 00 1.00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
---------------
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL E3(PIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X TM` Date:
G:\EXCHANGE\BUILDING
a �
CITY OF PORT ANGELES PERMIT APPLICATION
Building DkisiomMlectrical Inspections
321 East Fifitb Street—P.O.Box 1150/Port Angeles Washington,%362
Pb:(360)4174735 Fax:(360)4174711
Dat®:
Multi-Famlly or Commercial*
*Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address; 4_7 to
Building Square F'oopags:
Descriptive of above r/
Owner information Contrac r
Name _ Name InformationMarg Ad r :_ t z M WAddress:
Cily State: Tip:, ` Cad es State:
Phona:
Lkense#/Exp parr: PhoW - ax: ;
LimsevExp, I"LAl
r
Sarvloa/Faeder 200 Amp, T Ifo
ml C
$132.00
Service/Faeder 201400 Amp. $160.00 $
Servic0eeder 401-600 Amp $225.00 $
Sarvir JFheder 601-1000 Amp, $288,00
Servfoe/Feeder over 1000 Amp, $410.00 $
Branch Circuit Wa"Service Feeder $ 5.00 $
Branch Circuit W/0 Service Feeder $ 74.00 $
Each Additional Branch Circuit $
5.00
Branch Circuits 14 $ 86.00 $ ;
Temp.Sal Feeder 2000 Amp, $102.00 —
Temp.ServiceiFeeder201400 Amp. $121.00
Temp.Service/Feeder 401-6001 Amir. $164.00
Temp.,Senrloe/Faadaer 601-1000 Amp, $185.00
Portal to Portal Hourly $ 96.00
Sigril Lighting $ 88,00 $-- - --�
Signal Circuit/Umlted Energy-Mull-Family $ 64.00 $��
Signal ClirtrIV Limited Energy/First 1500 sf-Commarcia) $ 96.00
Note., $5.00 for each addil1500 sf
Renewable'Electrical Energy-SttVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
Total
Owner as defined by RCW,19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is tinaked.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six Months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I atm making
the electrical installation or alteration In compliance with the electrical laws,N.E.C.,Il Chapter 19.28,WAC.Chapter 296-466,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cU, ❑ Check
CrOMICardS
01!012012
'L CTRICAL INSPECTION
4r^" ti E
WIRING REPORT
Ci u�
4174735
r .
rM
ti �rRaeHa
.. ...... .._._... m ..................
�_.....
Nfllfl_ :n
AM:::1IROVIFD OT Al—)
IIS -. . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . , .'
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . .
. . . . .. . . . . . ❑
❑,. . . , . . . . . . . SERVICE . . . . . . . . . . . . . . „ . ❑
0. . . . . . . . . . FINAL - - .
CORRECTIONS NEEDED: .hm..JC
NOTIIFY INSRIEc rOR WIHIEIN C IRIlECTIOIN9S
ARE CO IFL T111:D WITHIN 15 DAYS
- DO NOT REMOVE
,,,,,
F--
Q
u
IL
I
0
a
110'• G�
i
h
."T'a bL� l= NX WALL)
..
�Il.�llNTl�► I 1�T� a „'paF`� `ft w "r I LANT$N I I X14
I I�-► � !� ,ImB � . � --www Lrn �; �� , � !�
i, o
rol ,�,, •,�otl� �, W
AO <M
�. h
Cw A,uAls
1111 row) c uq, rr u�►) W
1
-wwsW We
`'fLAN'TING {2i .40j - �p
vr`�}'DRN uv �� • 140,00 �T u �ta►t/<TY ,,,, i. I v
24,I HAYS SURNIITTED ]'HESE �lI.ANSAS AN iPPLi ON FO BVILn-LNG PEftm1T.% ' q. iDATEI
IANfTHEAPP:,1.,.%\ 15lLL ORRESP(1NSIBLE 1'O:I "AIM-NT 07 �
PERMIT&PIAN CHECK FEFS FS pW (�
Uil• f
C"BL"E UKDER THE VNLFORN
pow
VAI NF --
I
51TF PLAN
t=
I
Ll
f _ elf I I a
L'xiif'a biW (s MK WALL)r, Ell-.
rt otic, I M
•, ,
TD
NBC*
4
�Ojo
1 1 CI
Fitb•
g N
ckas
I O �!► �� ' :r. ."«� I lei
-- -------- •, _ 'I �I I J I 117
I �M
Awl
z ?I.A" 4
ftv Y _
., naa.Rtr 1..(a—
F
�APPI.INI778D THZSC PLANS I �
N PEA\IR N Fb BUILD l If I
`I ^! (DATE) !f
I AM THE APPLI.AST AND WILL BR.
REBPO\'BIBLE :PAY?TENT OP
PERMIT i PLAN('HECK FBEB CHAP.
QiABLB UNDER THE UNUNAM I I i —.
% . ZL'•O• 14•d III'-d .
- bO'•r IO)-O� 41�-0„
.r
- AP"\ 51TE PLAN
Address:
505 E 8 Ih Street
5-05-- C F , 5�-
PREPARED 1/27/15, 9:2 9:2 6 INSPECTION TICKET PACE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/27/15
------------------------------------------------------------------------------------------------
ADDRESS . : 505 E BTH ST SUBDIV:
CONTRACTOR ASM SIGNS PHONE (360) 452-7785
OWNER SOM LLC PHONE (360) 457-4481
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 15-00000012 SIGNS
------------------------------------------------------------------------------------------------
PERMIT: SIGN 00 SIGN
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 1/27/15 JLL BLDG FINAL
January 27, 2015 9:29:03 AM jlierly.
mike ASM
---------------------A--------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TFl STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000012 Date 1/20/15
Application pin number . . . 568784
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000- REPORT SALES TAX
Application type description SIGNS
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . COMMERCIAL NEIGHBOR1400D
Application valuation . . . . 0 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
3
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BOM LLC OWNER
50S E 8TH ST &1-7
PORT ANGELES WA 983G2
(360) 457-4481
----------------------------------------------------------------------------
Permit . . . . . . SIGN
Additional desc . . WHITE AL UMINUM 27SF
Permit Fee . . . . 85.00 Plan Check Fee .00
Issue Date . . . . 1/20/15 Valuation . . . . 0
Expiration Date 7/19/15
Qty Unit Charge Per Extension
1.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 85.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 8S.00 85.00 .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 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-af-a state or local law regulating construction or the performance of
construction.
i L'2 0
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
Tforms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
��oists'T—Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
,Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW Engineering 417-4831
Fire 417-4653
Planning 417-4750
L Building 417-4815
T:Forms/Building Division/Building Permit
SIGN PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
C Affn- Building Permit Technician For City Use Only:
Date Received 11-111 �'
321 E. Fifth St., Port Angeles,WA 98362 Permit# /<-- 6*10 1
(360)417-4815 fax(360)417-4711 kvkate Approved �Ya Z/
V I/
11 Zh�hn,-� 360-452-7785
Applicant or Agent ASM Signs e
Property Owner BOM LLC �one 360-457-4481
C 0
Property Owner's Address 1102 E 1st Street, Port Angeles, WA 98362
Contractor ASM Signs Phone 360-452-7785
Contractor's Address 1327 E 1st Street, Port Angeles, 98362
License # ADVERSM030K7 Expires 12-21-2015
Project Address 505 E 8th Street, Port Angeles, WA 98362
Business Name BOM LLC Baker, Overby& Moore, Inc P.S.
Parcel Number 0630000227400000 Lot 10 Zoning /",4
Submit an 8 Y2"x 11 "site plan & three sets of plans that include:
• Type of sign(wall-mounted, projecting, freestanding, illuminated, other...
• Placement and sq. ft. area
• How the sign will be securely attached (Engineering specs may be required for freestanding signs)
• Separation distance between the bottom of projecting and freestanding signs and the surface below
See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements.
Shcln Type&Brief Description: (Type,location,sq. ft.)
Sign #1 White Aluminum, Facade Of Building, 27 sq ft
Sign #2
Sign #3
Sign #4
Totals(Unit char-ges Sign(s)
Unit Chang Quan multiplied by quantities) Type of Sian Valuatiori$
$47.00 x = $ All signs less than or equal to 25 sq. ft.
$85.00 x 1 = $ 85.00 Wall sign or marquees, over 25 sq.ft.
$115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft.
GRAND TOTAL Make Checks Payable to: City of Port Angeles
$ Credit Cards(Except American Express)are accepted
Existing sign(s)area_sq. ft. +Proposed sign(s)area 27 sq. ft. = Total sign(s)area 27 sq. ft.
Building tagade area (height Z5 ft. X width 2 7 ft.) = sq. ft. (if a building has more than one
business in it, only measure the area of the building tagade that is used by the business applying for this permit.)
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 deter ine—what—per
required, and to obtain permits prior to working on projects.
Date k _1- %(; Print Name �-� *� . 1--1 i-- da/Z Signature
T:Forms/Building Division/Sign Permit Application.doc
505 E . 8th Street 7;j
2
,2
1
Port Angeles , WA 9836.2J
I;j 4 1
L6 g
Ms.
Baker,Overby&Moore
Certified Public Accountants
505 E . 8th Street
Port Angeles , WA 98362
2"No 8 Scre-thr plate Oto ooden fe"'
32"x 120"x.040"