HomeMy WebLinkAbout117 W 1st St - Building CITY OI FORT ANGELES pER IT RECEIVED ..a� r*CC
APPLICATION �' '
Building Division/Electrical Inspections SEP 2013
321 East Fifth Street-1P,O. Sox 1150/Port=ulti-Family 362 ,. �
Ph: (360) 417-4735 Fax: (360)417-4711 EL.IVRICAL >
ate, ^ clal* O,
*Plan.Review Ma Be Req 'red,I'ease Complete electrical Flan Review Information Sheet
Job Address; � 1 C "4_:: "r-
Building Square Footage;
Description of above c
Owner Infottllation r Contractor Information
Name: 1� Name: ;E �-r.4'ze4 C_ S ,Rrl vet
Mailing Address; Mailin Add ss: 7-01 1 t 4
City: State; dip: City: State �a Zip:
Phone: Fax: Phone: 0 rte '—YFax, '4 C co 1+ Z
License#I Exp, License#1 Fxp, - t.1'--, `t` 11 r 9� 7-e
Item unit.Charpe t Total(Qty Multlplled by Unit CharQe).
Service/Feeder 200 Amp, $432.00 $_
Service/Feeder 201-400 Amp, $1160,00 $
Service/Feeder 401-600 Amp $225,00 $
ServicelFeeder 601-1000 Amp. $288.00 $�
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit IN/0 Service Feeder $ 74,00 $�"a
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 86,00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp,Service/Feeder 201-400 Amp. $121.00 _ $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp,Service/Feeder 601.1000 Amp, $185,00 $
Portal to Portal Hourly $ 96,00 $
Sign/Outline Lighting $ 88.00
Signal Circuit/Limited Energy-Multi-Family S 64.00 $
Signal Circuit)Limited Energy/First 1500 sf-Commercial S 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-$KVA 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 finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease, Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 99,28,WAC,Chapter 296-468,The City of Port
Angeles Municipal Code,and Utility Specifleations and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electri aI eontractororelectrical administrator: E1 cash C] check
❑ CredltCard# ol" _ •_�•,��
dated; 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00001037 Date 9/12/13
Application pin number 74.5670
Property Address . . 117 W 1ST ST
ASSESSOR PARCEL NUMBER, a6-30-00-0-0-1557-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . .
Property Use to the City of Port Angeles
Property Zoning , . . . . . • COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation . . . . 0
Owner Contractor
M AND S BREWER PROPERTIES LLC ELECTRIC SERVICE
1308 KOSICH PL 82 DRAPER RD
SARATOGA CA 95070 PORT ANGELES WA 98362
(360) 452-6424
Permit • . • , . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 74.00 Plan Check Fes 00
Issue Date 9/12/13 Valuation 0
Expiration Date 3/11/14
Qty Unit Charge Per Extension
1100 74.0000 ECH EL-COMM RKANCH CTR WO/ S/F 74.00
Fee summary Charged paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 74,00 74.00 •00 .00
Plan Check Total 00 .00 .00 ..00
Grand Total 74.00 74.00 .00 .00
'mow.
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Owner
M AND S BREWER PROPERTIES LLC
1308 KOSICH PL
SARATOGA CA 95070
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge P
1 00 56 0000 EOH
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Charged
i56 00
00
56 00
Signature of owner or Electrical Contractor X
G. \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000508
386496
117 W 1ST ST
06 30 00 0 0 1557 0000
ELECTRICAL ONLY
Paid
Contractor
ELECTRICAL ALTER COMMERCIAL
186361
56 00 Plan Check Fee
5/25/11 Valuation
11 /21/11
EL LVT THERMOSTAT
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
56 00
00
56 00
DATE. RESULTS
c k5CU
5,/,74
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Credited
00
00
00
Date 5/25/11
Due
Extension
56 00
00
00
00
00
0
INSPECTOR.
Date:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
May 24 11 09 15a Dave s Heating Cooling
City of Port Angeles Permit Application
Building Division /Electrical inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.475 Fax: (350) 417-4711
Date: /a /l
1 2 Single Family Dwelling
Multi- Family or Commercial`
Commercial Addition l Alteration Remodel I Repair`
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: S n_ /,JJ -e- 5.1 Fi rs-t' S1 >ze4
Building Square Footage: I
Descriptigp of above -14-..12-r- fr .el" i �v ,r-e, •-a Y 1 to s .-1-„ ti 4. o-c
Al r i
1
Owner Informs ion
Name' v “)--r
Mailing Address:
City
Phone:
Unit Charge
119.90
$145.5D
S 204.60
6 262.20
S 372.50
2.60
73.50
2.60
92.70
110.30
148.70
167.90
$95.90
S .88.20
S 95.90
63.90
S 63.90
5 119.90
5102.30
5 110.30
3520
73.50
S 110.30
S 56.00
X
Stare:
Fax:
1 r k J 7 -e
t
Signature of owner electrical contractor or electrical administrator
Check
7✓►J Date 4
3604520939
RECEVED
MAY 2 4 2@1i
ELECTRICAL
INSPECTIONS
gantraclor Information
Name: J) a V& 5 Y[ 2a 4 v�
MaiGrg,+ddres C. U. t`SoK `1f t 3
City _rock t eigAILIState: t.r /Pr Zip: 3 6 a.
Phone' '1`.6 Fax: `7 39
bcense #1 Exp. DA t a G
Total (Otv Multiplied by Unit Charoel
S Service/Feeder 200 Amp.
S
Service/Feeder 201-400 Amp.
5
Service/Feeder 401-600 Amp.
ServicelFeeder 601 -1000 Amp.
S Service/Feeder over 1000 Amp
Branch Circuit W/ Service Feeder
5 Branch Circuit W/0 Service Feeder
S Each Additional Branch Circuit
5 Temp. Service/ ceder 200 Amp.
5 Temp. Service /Feeder 201-400 Amp.
S Temp. Service/Feeder 401-600 Amp.
S Temp Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign /C Wine Lghting
Signal Circuit/ Limited Energy Commercial. Additional 1500 55.00
5 Signal Circuit/ Limited Energy 1 8 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
5 Manufactured Home Connection
S Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square FL or Portion of
Each Outbuilding or Cetached Garage
S Each Swimming Pool or Hot Tub
0 Thermostat
$�L 00 Total
Credit Card
p1
Owner as dermed by RCW.19.28.251: (1) Owner occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor it
above said property is for sale, rent or lease. Permit expires attersix months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or
alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and utility Specifications.
0 Cash
OF pORT 44
OAKS
DA
/zo, ij
OWNER
t -a
CONTRACTOR
ADDRESS
1L? Vl 4?
APPROVED
0
0
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT
1 1-614
CORRECTIONS NEEDED:
S1e S r_rz,
DITCH
ROUGH IN /COVER
SERVICE
FINAL
INSPECTO
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
NOT APPROVED
0
r
Application desc
Furnace circuit
Owner
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
M AND S BREWER PROPERTIES LLC
1308 KOSICH PL
SARATOGA CA 95070
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
11 00000480
858080
117 W 1ST ST
06 30 00 0 0 1557 0000
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
Permit ELE ALTER COMMERCIAL
Additional desc
Permit pin number 185900
Permit Fee 73 50 Plan Check Fee
Issue Date 5/19/11 Valuation
Expiration Date 11/15/11
Qty Unit Charge per
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
73 5000 ECH
Charg'ed
73
73
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
50
00
50
EL BRANCH CIRCUIT WO /FEEDER
Paid
Signature of owner or Electrical Contractor X
G \EXCHANGEBUILDING
73 50
00
73 50
Credited
00
00
00
Date 5/19/11
RESULTS
WA 98362
00
0
Extension
73 50
Due
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date
MAY -17 -2011 07 30A FROM ELECTRIC SERVICE 4526424
f
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth street PLO. Box 1150 Port Angeles Washing r a, 9836tLECTRICA
Ph. (360) 417 4735 Fax: (360) 417 4711 INSPECTIONS
Date: l 7/ e
S ingle Family Dwelling. Famlly or Commercia
Plan Review May 9e_ui Pleas Co mp a te Be gal Plan Revte I nformation Sheet
Jpii Adds=
Building Square Footage: I 4Ur D r, 1
description of above 1
ulir vx v-ea_ u rc.A.A-4-1 j
OwnerInfomi*tion
Nome:
Malliry Add( 1'1- 3 w 1 rr
City �J State: M Zip; c/ 'Ir3&
Phone• _Fax: f
License N Erp
Item
Servic&JFeeder 200 Amp.
SeMce/FeeOer 201 -400 Amp.
Servic&Feeder 401 -800 Amp
Service/Feeder 80i Amp.
.ServicelFeeder over 1000 Amp.
Branch Circuit W/ Semite Feeder
Branch Cirdrk W/D Service Feederi
Each Additional Branch Circuit f
Temp. Service/ Feeder 200 Amp.
Temp. ServlcelFeeder 201-400 Amp.
Temp. ServiceJFeeder 401.600 Amp.
Temp. Service/Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign/Outline lighting
Signal Circuit/ Limited Energy l First 1500 at- Commercial
Note: $3.00 for each additiona11500 ar
Simi Circuit/ Linvied Energy 1 &,2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION O
First 1300 Square FL
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool ur Hot Tub
Owner as defined by RCW.19.28.261: (1) Omer will occupy the structure for to
to'hire an electrical contractor If above said property Is for sale, rent or lease. Fie
After reading the above statement, I hereby certify that! am the owner of the >a
the electrical Installation or alteration in compliance with the eledrical laws. N.
Angeles Municipal Code, and Utility Speciftcations and PAMC 14.05.050 re #1i
Signature of or lee eleCW o�trdctoror electrical administrator
Unit Sharpe
119.90
$145.50
204.60
26220
372.60
5 2.60
s 73.50
260
92.70
5 110.30
148.70
167.90
95.00
6820
95.90
83.90
6320
119.90
10230
56.00
5 110.30
36.20
5 73.60
$110.30
Dated:
'RECEIVE
MNy 17 2o11
Commercial Addition Alteration Remodel Repair*
Contractor Info
Naw C
MaiiingAfd
City: ws
Phone:
U�en�e
AIL
r
TO 4174711
-1 ..S 0
eilelPmio
P 1/1
//7 1
l.v��
4 62- V n, v al'rti IGO
State: W a Zip: 3»? AL
v u4 Fax: Sao
lZt�r�c -T S f 1 3 Za•+1
Total (Qty Multiplied by Unit Charnel
5
9 4— Total
years after this electrical permit is finalized. (2) Owner is required
mit expires alter slur months of last insperon.
ve named property or a licensed electrical contractor I am making
RCW. Chapter 19.28, WAG. Chapter 296468, The City of Port
tg Electrical Permit Applications.
Oath Chad(
D CreditCard tl
PREPARED 4/19/11 8 52 33 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/19/11
ADDRESS 117 W 1ST ST SUBDIV
TENANT NBR TEENIE QUEENIE
CONTRACTOR KANDU ENTERPRISE PHONE (360) 565 8383
OWNER M AND S BREWER PROPERTIES LLC PHONE
PARCEL 06 30 00 0 0 1557 0000
APPL NUMBER 11 00000279 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01
4/19/11
II
BLDG FINAL
April 18 2011 12 45 38 PM permits
LARRY 460 2088
PERMIT INSIDE WINDOW
COMMENTS— AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF
Owner
M AND S BREWER PROPERTIES LLC
1308 KOSICH PL
SARATOGA CA 95070
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
5 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
11 00000279
121554
117 W 1ST ST
06 30 00 0 0 1557 0000
TEENIE QUEENIE
RE ROOF
COMMERCIAL ARTERIAL
30000
Contractor
KANDU ENTERPRISE
714 WEST 6TH
PORT ANGELES
(360) 565 8383
TEAR OFF RE ROOF
BUILDING PERMIT NO PR FEE
TEAR OFF RE ROOF
183194
468 25
3/31/11
9/27/11
Date 3/31/11
WA 98363
Plan Check Fee 00
Valuation 30000
Unit Charge Per Extension
BASE FEE 417 75
10 1000 THOU BL -25 001 50K (10 10 PER K) 50 50
STATE SURCHARGE 4 50
Charged Paid Credited Due
468 25 468 25 00 00
00 00 00 00
4 50 4 50 00 00
472 75 472 75 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. 1 hereby certify that 1 have read and examined this application and the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether ed herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state o w regulating construction or the performance of
construction.
3 /3//26" a ,n, ar....a\, S/
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
Date Accepted By
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 1 FINAL Date
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Comments
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted by
Accented by
Date 1 Accepted By
r
1
Applicant the -A1/4
Property Owner KA
Property Owner's Address l►�
Contractor em
Contractor's Address 0 u rizAf- i LV
License Expires
PROJECT ADDRESS
Parcel Number
Repair
Demolition
Re-roof
Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT
II
CITY OF PORT ANGELES
Attn Building Permit Technician
321 Ea. Fifth St. Port Angeles WA 98362
(360)417 -4815 fax (360) 417 -4711
Proiect Type Brief Descriptio
Check all that apply
New Construction
Addition
Remodel
House garage other tr off re -roof lay over.one layer
Heat pump wood- burning stove gas fireplace pellet stove other
11'
Existing (sq. ft.) Proposed (lg. ft.)
per sq ft.
P�TI
7 1 5-1-
Residential Multi- family
APPLICATION Print in ink
For City Use Only
Date Received 3
Permit U-2:11"
Date Approved
Phone 30-460-361
Phone
Phone
id vi S.sn+
E -mail
"T ICS ly
Lot Zoning
&Commercial Industrial
TOTAL VALUATION 3 ,COO
Total footprint of structures sq ft. Lot size ooO sq ft. Lot coverage WO
Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
Max. height of proposed structure ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant Toad of full bath
Will a fire sprinkler system be instilled? Construction type of half
I have read and completed this application and know it to be true and correct. I am authorized to ap
that it is my responsibility to determine;^ what permits are required, and to obtain permits prior to worki
Date gI301 Print Name f Signature
T.Forms /Building Division /Building permit a
OA
patios
and understand
Clallam County Assessor Treasurer Property Details 55937 M AND S BREWER P Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 55937 M AND S BREWER PROPERTIES LLC for Year 2011 2012
Property
Account
Property ID 55937 Legal Description: LOT 16 BL 15
Geographic ID 0630000015570000 Agent Code.
Type: Re
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 59
Open Space: N DFL N
Historic Property* N Remodel Property N
Multi- Family Redevelopment: N
Township Section:
Range:
Location
Address: 117 W FIRST ST 119 Mapsco
PORT ANGELES WA 98362
Neighborhood: Cycle 5 Comm Map ID 2
Neighborhood CD 20953140
Owner
Name M AND S BREWER PROPERTIES LLC Owner ID 207710
Mailing Address: 1308 KOSICH PL Ownership 100 0000000000%
SARATOGA, CA 95070
Exemptions.
click RECALCULATE to obtain the correct total amount due
Year Statement ID Taxing Jurisdiction
2011 150705 ST SCH STATE SCHOOL
2011 150705 CC -GEN COUNTY CLALLAM
2011 150705 SD #121 SCHOOL DISTRICT #121
2011 150705 CITY PORT ANG CITY OF PORT ANGELES
2011 150705 PORT PORT OF PORT ANGELES
2011 150705 NTH OLY LIB NORTH OLYMPIC LIBRARY
2011 150705 HOSP #2 HOSPITAL #2
2011 150705 WSMET PI; DIST WILLIAM SHORE MET PARK DIST
2011 150705 CITY STORMWATER
W CITY STORMWATER
2011 150705 WEED C WEED CONTROL
1!
2011 150705 TOTAL.
2010 39007 ST SCH STATE SCHOOL
2010 39007 CC -GEN COUNTY CLALLAM
2010 39007 SD #121 SCHOOL DISTRICT #121
2010 39007 CITY PORT ANG CITY OF PORT ANGELES
2010 39007 PORT PO OF PORT ANGELES
2010 39007 NTH OLY L1B NORTH OLYMPIC LIBRARY
2010 39007 HOSP #2 I HOSPITAL #2
2010 39007 WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 39007 CITY_STORMWATER CITY STORMWATER
2010 39007 WEED _CONTROL WEED CONTROL
2010 39007 TOTAL.
Values
Taxes and Assessment Details
Property Tax Information as of 03/30/2011
NOTE If you plan to submit payment on a future date make sure you enter the date and
Amount Due if Paid on. y p p y y
First Second
Half Half
Base Base
Amt. Amt. Penalty Interest Base Paid Amount Due
$322.31 $322.31 $0.00 $0.00 $0.00 $644.62
$177.93 $177.93 $0.00 $0.00 $0.00 $355.86
$421.32 $421.30 $0.00 $0.00 $0.00 $842.62
$410 76 $410 75 $0.00 $0 00 $0 00 $821.51
$25 04 $25 04 $0.00 $0 00 $0.00 $50 08
874.62 $74 62 $0.00 $0.00 $0.00 $149.24
$73.04 $73 04 $0.00 $0 00 $0.00 $146.08
$22.20 $22.20 $0.00 $0.00 $0.00 $44 40
$62.97 $62.97 $0.00 $0.00 $0.00 $125.94
$0.82 $0.81 $0.00 $0.00 $0.00 $1.63
51591.01 $1590.97 $0.00 $0.00 $0.00 $3181.98
$332.66 $332.67 $0.00 $0 00 $665.33 $0 00
$177.02 $177.04 $0.00 $0.00 $354.06 $0 00
$430.89 $430.90 $0.00 $0.00 $861 79 $0.00
$409.89 $409.89 $0.00 $0 00 $819 78 $0.00
$24.88 $24.88 $0.00 $0.00 $49 76 $0 00
$51 44 $51 44 10.00 $0 00 $102.88 $0 00
$72.62 $72.63 $0.00 $0 00 $145.25 $0.00
$23 11 $23.11 $0.00 $0 00 $46.22 $0 00
$62.97 $62.97 $0.00 $0 00 $125.94 $0 00
$0.82 $0.81 $0.00 $0.00 $1.63 $0.00
$1586.30 $1586.34 $0.00 $0.00 $3172.64 $0.00
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =55937 3/30/2011
1 10:k9a6, 5 -(3
CERTIFICATE �F i 3C`C PAN CY
C o Port Angeles. �'Builsdingg °Division
r; ,dr-
This certificate is issued Pursuantto_the requirements of Section 110 of the 2006:International Building Code
certifying that at the tune of issuancerthisrstructure was in compliance with the various ordinances of the City
regulating building c o n str ict (On o pet jollo
Business name .x eenieiOueenie` wner. �Mariiyn;Lam
Business address 1,'171V 1S St.''
Property owner s Donna Lea Brewer
Property owner s address., 12308 KosichA, 9`507
Automatic fire sprinkler. system Per IBC::.
Use occupancy classi' cation. Mercantile!
Occupant load.
Building permit number
Type of construction.
05 -12 -10
Date
Post on the premises in a conspicuous place. Th s cercate" s all not be removed except by the Building Official.
PREPARED 4/08/10 8 21 07 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/08/10
ADDRESS 117 W 1ST ST SUBDIV
TENANT NBR TEENIE QUEENIE
CONTRACTOR PHONE
OWNER DONNA LEA PENNY BREWER PHONE
PARCEL 06 30 00 0 0 1557 0000
APPL NUMBER 10 00000331 CO- CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
CO99 01 4/08 10 JLL BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 04/07/10 TIME 09 29 40
April 7 2010 9 28 23 AM 1pangrle
MARILYN 452 5121
C OF 0 FINAL TEENIE QUEENIE
AFTERNOON
COMMENTS ANI2 NOTES
4,.
NNW
Print in ink
CERTIFICATE OF OCCUPANCY APPLICATION Permit# Ib`33�
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
BUSINESS NAME r
FF1'► tF t AP Q n tac
BUSINESS ADDRESS (fl (A) y I 64.,
Business mailing address &G
Opening date S/ -3- /0 Days hours
Washington State Tax I D (Ai 'J tic 56 V
Brief description of proposed business 0,; in! ry
1 Business owner's name IMcv) (l La-I
1 Business owner's home address M 1 igJ
PLEASE NOTE.
A Business License is also required for the following businesses: Taxi Peddlers, Second -hand dealer Pawnbroker Dance Hotel
Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information.
ACTION
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non -PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Approved
Initials date
lb ea
L- I3�Ir� Rb1
1- 1 .7 -(o RH
LI l y- I D S(Z
yrg-)oRvl
T:Forms /Building Division /Certificate of Occupancy Application
50.00
$100 00
L.
WILL THERE BE ANY OF THE FOLLOWING?
Electrical changes
New or relocated signs
Construction changes
Mechanical changes (ventilation, heating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
Rejected
Initials date
FEES
ertificate Inspection
arking Business Improvement Area (PBIA)
fee charged for downtown locations
Zonin Gf3D
Phone SFP- cke --S l o I
of operation /h S i f) �o SL+n 1 2Z 4
If known list the name of the previous
business at this location C
bu r,1 Cl U F S
Phone 3r;0 eeS M 1
NOV
V_
Call for Certificate of Occupancy inspections before opening business.
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application
supplied d is correct to the best of my knowledge l
Date 7 I r) Print Name4�' t 1 t/ �j lam/ Signature
For City use only: 1
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
YES/
Comments Conditions
Type of construction Occupant Load
Automatic fire sprinkler system required no
IF YES CONTACT
Electrical Dept. at 417 -4735
Building Div at 417 -4815
Public Works at 417 -4807
Water Dept. at 417 -4886
Planning'Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
Please sign up for utility services
at the cashier counter
d state that the information I have
cetono
yes
Thin vt nyl letters oh exieirjor Of tJ ndtoto
Vi«J ha.ng 0v\ alunirl jjv\ She- Knows she'll heed a.
rmtt for iirh' Sins.
SO-
Clallam County Assessor Treasurer Property Details 55937 DONNA LEA "PENNY Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 55937 DONNA LEA "PENNY' BREWER for Year 2009 2010
Property
Account
Property ID 55937 Legal Description. LOT 16 BL 15
Geographic ID 0630000015570000 Agent Code.
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 59
Open Space. N DFL N
Historic Property N Remodel Property N
Multi Family Redevelopment: N
Location
Address: 117 W FIRST ST 119 Mapsco
PORT ANGELES
Neighborhood Cycle 5 Comm Map ID
Neighborhood CD 20953140
Owner
Name DONNA LEA 'PENNY' BREWER Owner ID 15398
Mailing Address. 12308 KOSICH PL Ownership. 100 0000000000%
SARATOGA, CA 95070
Taxes and Assessments Due
Property Tax Information as of 04/07/2010
Amount Due if Paid on. M.
Exemptions.
Statement
Year ID Taxing Jurisdiction
2010 39007 ST SCH STATE SCHOOL
2010 39007 CC -GEN COUNTY
2010 39007 PORT PORT
2010 39007 PORT ANG PORT ANGELES
2010 39007 SD #121 SCHOOL DISTRICT #121
2010 39007 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 39007 HOSP #2 HOSPITAL #2
2010 39007 WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 39007 CITY STORMWATER CITY STORMWATER
201 39007 WEED CONTROL WEED CONTROL
2010 39007 TOTAL.
2009 559372008 ST SCH STATE SCHOOL
2009 559372008 CC -GEN COUNTY
2009 559372008 PORT PORT
2009 559372008 PORT ANG PORT ANGELES
2009 559372008 SD #121 SCHOOL DISTRICT #121
2009 559372008 NTH OLY LIB NORTH OLYMPIC LIBRARY
2009 559372008 HOSP #2 HOSPITAL #2
2009 559372008 CITY STORMWATER CITY STORMWATER
First Second
Half Half
Base Base Base Arr
Due Due Penalty Interest Paid Du
$332.66 $332.67 $0 00 $0 00 $332.66
$177 02 $177 04 $0 00 $0 00 $177 02
$24 88 $24 88 $0 00 $0 00 $24 88
$409 89 $409 89 $0 00 $0 00 $409 89 $z
$430 89 $430 90 $0 00 $0 00 $430 89
$51 44 $51 44 $0 00 $0 00 $51 44
$72 62 $72.63 $0 00 $0 00 $72.62
$23 11 $23 11 $0 00 $0 00 $23 11
$62 97 $62.97 $0 00 $0 00 $62.97
$0 82 $0 81 $0 00 $0 00 $0 82
$1586.30 $1586.34 $0.00 $0.00 $1586.30 $1!
$388.23 $388.23 $0 00 $0 00 $776 46
$196 48 $196 48 $0 00 $0 00 $392.96
$27 83 $27 83 $0 00 $0 00 $55 66
$430 96 $430 96 $0 00 $0 00 $861 92
$480 11 $480 11 $0 00 $0 00 $960.22
$57 09 $57 09 $0 00 $0 00 $114 18
$80 58 $80 58 $0 00 $0 00 $161 16
$62.97 $62.97 $0 00 $0 00 $125 94
http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2009 &prop_id =55937 4/7/2010
�ZANU cnterprises
9 1 e l 1 7
714 West 6
Port Angeles, WA. 98363
565 -8383 or 460 -3617
City of Port Angeles Public Works.
Glenn Cutler, Director
Terry Dahlquist, Engineering
Jim Klarr, Light Operations
Trent Peppard, Electrical Inspector
RE. 117 West First Permit 10 -0068
Dear Director and Staff
Please permit replacement of the second service panel.
Sincerely,
Gregory Bondy, Sole Proprietor
I am contracted by MS Brewer Properties for improvements to 117 West First. These improvements included
removing two individual cloth insulated wires supplying two outlet strips, the length of the building and along
both walls. These lines were replaced with grounded outlets in metallic conduit per commercial requirements.
The rough -in was approved on 1/22 by Trent Peppard. Electric Services later recommended that an adjacent or
second service panel be replaced due to age and signs of oxidation. On 1/26 Trent Peppard left a correction
notice requiring replacement of this adjacent service At this point no alterations have been made to this second
service.
On February 4 2010 Trent Peppard verbally required the service and meter be moved as part of this correction
notice on permit 10 -0068 This current permit and work order does not alter or modify the second service. I
would like to appeal Mr Peppard's decision to replace the supply lines and metering system. This is outside the
current scope of work or permit. The rough -in was approved on 1/22/2010
There is agreement that the service panel needs to be replaced per NEC 110 -11 There is no cause to leverage the
current permit for convenience of meter reading The exterior of this building is a professionally painted
memorial mural to the late David Brewer Moving the meter will also increase risk of damage or vandalism.
DATE
OWNER/CONTRACTOR
ADDRESS
ELECTFUCA, 1NSPECTiON
G E P O T
417 -4735
l�1C�T2 l L 5e_ 2 lJ l CE-
PERNCik
ID -0008
5T"
WSPEC
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED SL__PLIS.- S ►1ZV tL- E "rK j
r
_k)P S Fz,c v_ sci> -co c.J WTtSJZ 25G -46rs -Iid
AL1. v n1 us>-D 0; 1.1 110 12_A_
CD 0 P FITS To Zip Suwc.0 P
ni nIi E.A4D l i r»= crt &-z. 7 met__ icO 11
R OL PLO.- 5cRO Clime 1-A.$ELD
p,-rL Z3. 2- T,
NOTWY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
WAC 296 -46B -110
011 Deteriorating agents.
(2) Electrical equipment and wiring that has been submerged or exposed to water must comply with the
following:
(a) All breakers, fuses, controllers, receptacles, lighting switches /dimmers, electric heaters, and any
sealed device /equipment (e.g relays, contactors, etc.) must be replaced.
(b) All other electrical equipment (e.g. wiring breaker panelboards, disconnect switches, switchgear
motor control centers, boiler controls, HVAC /R equipment, electric motors, transformers, appliances, water
heaters, and similar appliances) must be replaced or reconditioned by the original manufacturer or by its
approved representative
110 12 Mechanical Execution of Work.
Electncal equipment shall be installed in a neat and workmanlike manner
FPN Accepted industry practices are described in ANSUNECA 1 -2006, Standard
Practices for Good Workmanship in Electrical Contracting, and other ANSI approved
installation standards.
(A) Unused Openings. Unused openings, other than those intended for the operation of
equipment, those intended for mounting purposes, or those permitted as part of the design
for listed equipment, shall be closed to afford protection substantially equivalent to the
wall of the equipment. Where metallic plugs or plates are used with nonmetallic
enclosures, they shall be recessed at least 6 mm /o in.) from the outer surface of the
enclosure.
300 11 Securing and Supporting.
(A) Secured in Place. Raceways, cable assemblies, boxes, cabinets, and fittings shall be
securely fastened in place. Support wires that do not provide secure support shall not be
permitted as the sole support. Support wires and associated fittings that provide secure
support and that are installed in addition to the ceiling grid support wires shall be
permitted as the sole support. Where independent support wires are used, they shall be
secured at both ends. Cables and raceways shall not be supported by ceiling grids.
230.2
(E) Identification. Where a building or structure is supplied by more than one service, or
any combination of branch circuits, feeders, and services, a permanent plaque or
directory shall be installed at each service disconnect location denoting all other services,
feeders, and branch circuits supplying that building or structure and the area served by
each. See 225.37
DATE PERMIT
l 2t, 1 1 a i o -ooc
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
I I�� -TtZ l C 5e 2 J
INSPECTO
ADDRESS 7
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL
CORRECTIONS NEEDED: 1-8 L7S- "n4 Al
i
JO Pc gVt) CS> (*J WTisre (A)pi., 27b l i
c,� L ALL ',NI a ►.J !/0 12 q
ca a Do a WO L G RTS 'ro Su 1011E-17
I14176W-19PJ1 i r» c,ztLI wt.-, rzz►V igrec 3'0 11 .A
R )LTI 5(Ri) tCig. Srll°+LL LAIUKLL P
2 Nroc Z3 2 If-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
New circuits for store
Owner
BREWER 0 DAVID MINA K
PO BOX 1805
PORT ANGELES WA 983620096
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
159848
81 30
1/22/10
7/21/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000068
801588
117 W 1ST ST
06 30 00 0 0 1557 0000
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
0
DATE
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
81 30 81 30 00
00 00 00
81 30 81 30 00
2 1 ID
)2.1I c J
34
Li7E 2 V LA
Signature of owner or Electrical Contractor X Date
Date 1/22/10
WA 98362
RESULTS
00
00
00
00
0
Extension
73 50
7 80
Due
litkr
INSPECTOR.
City of Port Angeles Permit Application
Building DivistordElectrical Impactions
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98382
Ph: (360) 417-4735 Fax: (360)4174711
Date:
1 2 Si may Chvelling
M amity or Cernmarciar
ommercial Addition I Alteration 1 Remodel /Repair*
Plan Review May Be Cactarfd
Job Address;
Building Square Footage:
Description of above
Owner Infonnali
Name:
Mailin A
City:
Phone:
License 41 Exp.
Unit Chan*
119.90
145.50
204.60
28220
372.50
2.60
73.50
2.60
5 92.70
110.30
148.70
167.90
95.90
88.20
95.90
63,90
63.90
119.90
102.30
110.30
35.20
73.50
110.30
56.00
x
Contra
Name:
Mailielfddr
tate: City: 11)
Fax: Phone, L fS
License Exp.
Qi
Please C Etectrical Plan Review Information Sheet
ijJ k s
0 Check
Data:
Signature of owner, electrical contractor or &china' admInisirabor
1 1
RECEllyED
JAN 2 2009
ELECTRICAL
INSPECTIONS
Thermostat
Iti.or, Total
Total (Qty Multiplied qv Unit C
Service/Feeder 200 Amp
Seneca/Feeder 201-400 Amp. r I
SewicelFeeder 401-600 Amp.
Service/Feeder 601-1000 Amp:
SerAce/Feerier over 1000 Amp
Branch Orcull WI Service Feetle
0 Branch ChuitlA Service Feet
'1 Each Additional Branch Cricuil
Ten. Service/ Feeder 200 Arnp
Temp. Service/Feeder 201-400 1
Temp Service/Feeder 401-600
Temp. Service/Feeder 601-1000 '3
Patti to Portal Hourly
Sign/Duff:no Lighting
Signal Circuit/ !exited Energy
Signal Circe/ Limited Energy
Signal Owl/ Limited Energy
biantdachned Home Connection,
Renewable Electrical Energy 5i ystem or Less
Firit 1300 Square Ft
Each Additional 500 Square Ft 6 iron of
Each Outbng Of Detwiler! C-1
Each Swirnming Pool or Hot Tul
f nation
Owner ea defined by ROW.111.2&261: (1) Owner will occupy the structure for two years after thts
above said properly is for sale, rent or tease. Permit expires after six months of last Inspection.
After reading the above statement! hereby certify that lam the craw of the above named property r
alteration In compliance with the electrical taus, N.E.C. RCW. Chapter 19.213, WAC. Chapter 296/4613, t
oe'cle-A-
Slate: 1)- Zip:
Fax: 1
r
r AddiliOnal 1500 $5.00
al Dwaling
•1 anty Dweling
is finalized. (2) Owner 1 a required ro him an electrical contractor if
veneed electrical contractor. I am making the electrical installation or
;ity of Port Angeles Municipal Coda, and Utility Specificatkine.
MCl~ ld
\ 2-- \ l,-{) 7
-
,..J
[.
~
\A
l'
~.
"
'nO\"le.- CQ\\ Wl:th I<ol"lct
11./10/01
ROUTING SLIP ;<> i-JI&\JG" .I+NTt61V~
Certificate of Occupancy '--
$50.00 Certificate/Inspection Fee
Lct.'{)Q.
ct '33 i9'2-
?Pr
DATE
Address of Propose Business
sr
Applicant ~ v'b-e^'
Address 117 (^ ., . '," ~ l ;~;;rrC.1 ~9';r
'+?f\*"~~ i6.2:d: q>'(~U
Phone: business (Ao&(f home
S7-7ft
Brief description of proposed business: __~.R.*V:b.,LLt;
legai Description: lot
Current Use of Property: ~j.,.c.v" '-" )
Zoning Classification of Property:
Block
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . .
Mechanical (heating, cooling, stoves)
Plumbing changes.
New or relocated signs .
New septic tanks . . . . . . . . . .
New sewer service.
Admission charged to patrons .
Is this a home occupation? . . . . . . . . .
Excavation of filling of lots.
Work done in City right-af-way .
Is there sufficient off-street parking? .
New driveway openings ........
A grading plan for site drainage. . . .
(parking lots, downspouts, etc.) . .
Are the existing streets paved? . . . , , . . . . .
Are there existing sidewalks?
Is there curb and gutter? .
Other.
YES NO
-~
~
V
= V
- ----tL
- ---t.L
- ----/.L:
-~
=2
=~
~~
~=
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the \.
information I have supplied is correct to the best of my .
knowledge.
~~\;~
5(Z.. ?iII'llo1
J<\)D
REJECTED
[E3uildiog.sectioJ'
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.IA
New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transfer of Business location . . . . . . . . .
Change of Ownership
New Building .........
Remodel . . . . . . . . . . . . .
Temporary Business. . . .
Change of Use . .
S~
Subdivision
(:AD
THE FOllOWING WilL BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
D~'d~j'#/
Signed: if. /YU~
Comments / Conditions
()1-1-3r
/)
)
)
)
)
)
)
.
ROUTING SLIP ---- fiNT16lV~ <"OR'~...
~""O~"'\-
cfJIQ\J[;< G'JI1'",:::--_,~
Certificate of Occupancy "lS....~
.... .....,."'.'-.y
$50.00 Certificate/Inspection Fee .~
~"cwo""~
DATE D~?I b I/O ~ New Business. . . . . . . .. ....... .. ........ ( /)
Address of Pr~posed Business Transfer of Business location . . . . . .. ...... ( )
II 7-~ ~ 'Or - Change of Ownership .. ........ ......... . . ( )
Applicant ) c:L. f--:,..'l-""\ (,'b-e^-' New Building ....... ...... .... .... .... . . ( )
Address 117 1" J , l 'b\ (<::'~.5i-;:\ Remodel . . . . . . . ........ .. ... ..... ...... . ( )
'::p,,,;t-- ~-&o;~ I ^: )~ q <<.?:-Jo U Temporary Business. . . . . . . . . . . . , . . . . . . ... . ( )
Phone: business 1/57-(111,:;&(/ home Change of Use. . . ... ......... .. ....... . .. ( )
Brief descripti~n of proposed business: ~Lb)_Lt. SC-L~
legal Description: lot Block Subdivision
Current Use of Property: th...1o c. LX. <---r ,
v
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) ... .. - V 2) Plumbing 2) Peddlers
Plumbing changes. .... -~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs . . ......... - ~ 4) Mechanical 4) Pawn Broker
New septic tanks . ........... ..... - ~ 5) Sewer 5) Dance
New sewer service. . . ...... .................... - ----JL 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons ..... ..... - ---i,L 7) Driveway installation 7) Fireworks
Is this a home occupation? .... ....... - ------V. 8) Curb installation 8) Ambulance
Excavation of filling of lots. .... -~ 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-at-way. . . . 10) Water meter installation 10) Other
Is there sufficient off-street parking? . .... ...... =2 11) Fire
New driveway openings ---7 12) Occupancy
A grading plan for site drainage . - / 13) Sign
(parking lots, downspouts, etc.) ...... _ ----.fL 14) Shoreline
Are the existing streets paved? . 7 . 15) Home occupation
--";7:-
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- '''';~ '/Jt
edge that I have read this application and state that the'
information I have supplied is correct to the best of my
knowledge. Signed: 4./, '/ @r ft"---'
APPROVED REJECTED C~J~:&~3 ~',~~'<l
Building Section
Public Works Department
Planning Department
~ Fire Department -1rW4l::.~ ()(},taJ~l{d_.
~ .lie
P.B.I.A.
07-2..37
I - . .
CERTIFICATE OF OCCUPANCY
"
City of Port Angeles""
.' Building Division ~..\
'7 ~
.? '\
This Ce.f;ification issued pursuant to the requirements of Sectioh:30 I of the
InternationiIl Building Code certifying that at the time of issuance thii;structure was
.i ,
in compliance with the various ordinances of the City regulating Building
. t construction or use. For the following: . . ~\
Use Classification: BUSIneSS Building Permit No.: Business Name: LOWDEN GARAGE
1J q
Group: B ~ Type of Construction: V-N Use Zone: Jj CA
~ #
Owner of Business: Kath'Coville Address:436 East Park Avenue. Port Anrreles. ,W A. 98362
~~ f
Building Address: 117 Eas A venue Port Ang:eles, W A 98362
~., .,....,.., '"._~.. '~'.' ,f/
m~Lif~~~~~~- . .~t"'st,8 2005
\ B'ui-'di~~g~Qmcia'ii~;'::>';- ,,~~, ,'\'? . Date
'''~''''''ill~ ~.,~..., ,...',,,..,,..'.,,....iW' .Z;'
"~~ ..~f'@~~'f~~~y~[~1;;~$fi,~1.~~~.,~k~~tr~~~l$Y4Ji'
Post on'the"pr~inises~irita'~conspicuous place.
<-4., ""~.1'~X;:-:...", '. _ ~,.~"'~, ~,~.,~.,..... /' .<I'Y
Shall not be rembve'd::excepfby"B'uilding Official.
";-'~K~':j'~P"::.'f,':.;r.r".;:.:r;:r.:;;;Jl\~'
.,.;.-
~,~.
. .
]
Fe.6 - "1-l-1.-\.
Get2-Tocce,-8-oS - 07
ROUTING SLIP
Certificate of Occupancy
(1;,1\ R..Af6f:~ Certificate/Inspection Fee
L01.0DEN
DATE d - 1-/ - 05
Brief description of proposed business:
P\ n-\\ G \) e..~
legal Description: lot
Current Use of Property:
Zoning Classification of Property:
Block
C-A
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes.
Electrical changes. . . . . . , . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . .
Plumbing changes ..
New or relocated signs.
New septic tanks. . . . . . . . . . . . . . . . . . .
New sewer service .............,..............,
Admission charged to patrons. .
Is this a home occupation?
Excavation of filling of lots .......,.....
Work done in City right-af-way . . . . . . . . . . . , . .
Is there sufficient off-street parking? .
New driveway openings. . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan for site drainage.
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? .........
Are there existing sidewalks? .
Is there curb and gutter? ...............
Other.
YES NO
Y..
---r
=-Y
-1
---X
=~
-~
- -X--
=~
-X--
-~
-~
-~
=*
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
') .S-05 -3\
KIID
2-B-o<:' "W
New Business ,...................
Transfer of Business location. . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . .
New Buiiding ........................
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .............
Change of Use, , . , . , , , . . , . . . . . . . . . . . . . . . . .
'\- G'\~-\-~
Subdivision
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
~OO~
( )
(Xl
( )
( )
( )
( )
( )
Comments / Conditions
tv\()v~d -PN>M 1;),,1 6 F,'('J/-/~IN
Date ~ - 4 - oS
Sign~d;'-I{ (iTh rCJ:y t U J )
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15-- QO001534 Date 12/09/15
Application pin number . , 613898
Property Address . , , . . . 117 W 1ST ST
ASSESSOR PARCEL NUMBER; 06-30-DO-0-0- 1557 -D000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . , . , , ,
Property Zoning , , , , . , . COMMERCIAL ARTERIAL
Application valuation . , , . 0
Application desc
Security alarm
------------------------------------------------- ------- ----- ------- -- - - - - --
Owner
Contractor
r
-------- -- -------- - - -
M AND S BREWER PROPERTIES
- --
LLC
------------------------
ADT LLC
1308 KOSICH PL
on your excise tax form
11824 N CREEK PARKWAY, N
SARATOGA
CA 95070
STE 105
ROUGH -IN
BOTHELL
WA 98011
FINAL
COMMENTS:
(206) 719 -0347
Permit , . , . . .
ELECTRICAL
ALTER COMMERCIAL
Additional. desc , .
Permit Fee . . . .
96.00
Flan Check Fee
.. .00
Issue Date . . , .
12/09/15
Valuation . . .
, 0
Expiration hate . ,
6/06/16
Qty Unit Charge
Per •
Extension
1.00 .96.0000
ECH EL-
LIMITED 1ST 1500 SQ FT
96.00
---------------------------------------------------'---------------=---------
Yee summary Charged
Paid Credited
Due
- ------ ---- - - - - -- --
Pormit Fee Total
-- - - - - --
96.00
---- - - - - -- ---- - - - - -- ----
96.00 .00
- - - - --
.00
Plan Check Total.
.00
.00 00
QO
Clrand Total
96,00
96,00 Q0
.00
INSPECTION TYPE
DATE:
r
INSPECTOR:
DITCH
REPORT SALES TAX
on your excise tax form
SERVICE
to the City of Port Angeles
(Location Code 0542)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
GAEXCHANGE\BUILDING
TO: Page 2 of 2 2015-12-08 20:C6:07 (GMT) 18884000383 From: Deborah Shields
CITY OF PORT ANGELESPERMiT APPLWATI ON
BidWililig DNision/Elettrical
321 East Wilt Street — I'D. Box It 50 / Port.kngeles Washingtoli, 98362 NIS
(360) 41.7-4735 Fax: (360) 41.7-47.11A. ELECTRiCAL
10101/2015 1 * 10SPT'TION'1�
cote 2Ii-my r rmeca
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 117VVrirstst
Building SCILISI'S Foote e W4
op V, S
scdptior,ctabov,_
n
Owner Information
Name:
Mailing Address:
ck:.P':)R'! A - — --- State: V
NaMO7
Phone: o,— —Fax: . ..... .
Address' 11324 Iq
License R i Exp.
State _V_VA. zlp: SM,
to
Unit charg
Service/Feeder 200 Amp,
$132.00
Service/Feeder 201400 Amp.
$ IGHO
Se Fvicel Feeder 401-600 Amp
$223.00
ServiceiFeeder'601-1000 Amp.
$288,00
Service/Fee der over 1000 Amp.
9410,00
Branch Circuit VV/ Service Feeder
S 5.00
Branch Circuit VVIC Service Feeder
$ 74D0
Fach Additional Branch Circuit
$ 5,00
Branch Circuits 1.4
S 86.00
Temp. Service' Feeder 200 Amp.
$102,00
Temp. Service14,eder 201-400 Amp.
$12100
Temp, Serke/Feeder 401-600 Amp,
$164,00
7 ei np . 8erviice/Feeder 601 -1000 Amp
S 185.00
Portal to Portal hourly
S 9a 00
SignfOulline Lighting
$ 88,00
Signal Circuitf Limited Energy – U ulti•Farnily
S 64.00
Signal CircuiV1.1mited Energy I First 1500 sf –Commercial
$ 94.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
Al
rN,
Contractor Information
NaMO7
Address' 11324 Iq
city.
State _V_VA. zlp: SM,
Phon ®
Fax:
License EXp
lold MY Multiplied by Unit Qhargp)
Total
Owner as defined by RCVV. 19 28.261: (1) Owner will occupy the structure for tyo years after this electrical permit is finalized. (2) Owner is required
to hire an electrica; contractor if above said property Is for sale, rent or lease. Perinit 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 contactor, I am making
the electrical installation or alteration in compliance with the electrical laws, KEC., RCW, Chapter 19,28, VVAC, Chapter 296-4613, The City of Pod
Angeles Municipal Code., and Utility Specifications and PAIVIC 14.05 050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator,
X n
Jenifer Covello
Wad�
_ 12/08/2015
-
❑ Cash ❑ Check
9 Credit Card
011MV2012
Application Number . . . . . 23-00001150 Date 10/25/23
Application pin number . . . 200700
Property Address . . . . . . 117 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1557-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OLYMPIC BLUFFS PROPERTIES LLC BLACK DIAMOND ELECTRICAL CONTR
519 FINN HALL RD 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 10/25/23 Valuation . . . . 0
Expiration Date . . 4/22/24
Qty Unit Charge Per Extension
1.00 86.0000 ECH EL-COMM BRANCH CIR 1-4 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 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
Application Number . . . . . 23-00000904 Date 8/29/23
Application pin number . . . 273696
Property Address . . . . . . 117 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1557-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Lighting retrofit
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OLYMPIC BLUFFS PROPERTIES LLC ROCHE ELECTRIC & CNSLTNG INC
519 FINN HALL RD 688 OAK WOOD DR
PORT ANGELES WA 98362 SEQUIM WA 98382
(425) 293-2357
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS X 2
Permit Fee . . . . 172.00 Plan Check Fee . . .00
Issue Date . . . . 8/29/23 Valuation . . . . 0
Expiration Date . . 2/25/24
Qty Unit Charge Per Extension
BASE FEE 172.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 172.00 172.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 172.00 172.00 .00 .00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/24/2023 23-904
TAP
OWNER
CONTRACTOR
Roche Electric
PROJECT ADDRESS
117 W 1st St