HomeMy WebLinkAbout901 C St - Building 05/16/2013 16; 39 3607978482 SECURITY SERVICES NW PAGE 01
E I V E
CITY OF PORT ANGST, ES PERMIT APPLICATION
Building Division/ElectricalInspections MAY 17 2913 �
321 East Fifth Street—P.O.00X 1,150/Fort Angcics Washington,98362
Pia: (360)417-4735 Fax., (360)417,471,1 ELEURIOAL
INSPECTIONS
Date, f Multi-Family Commercial"
Plan Review Ma e R quired Please 4 pl a electrical Pia Review lnfQrmation Sheet
Job Address; ��� T�� �/r_.s
eulldlnq Square Footage; °A t--oe
Description of above g .��
Owner InI'mItion wee Contractor InfQrmation
Name; I Name: . 5 Ne 7"
hlallir�p Address: T , Hwy I ( Mdifir)p�1d ress;_ .r(�• vX &60
City, Ufmk Mr..� ^$tale: W/ 7-ip, �1�7�__ City n state; Zip:_s3
phone '�� Fax: Phon, Fax:,3_ _ Cz.
License#/Exp.� fit License#I Exp. c+[r�� a
Item Unit Charge City Total(Qtv MuTU131led by Unit Charge)
SerO elFeeder 200 Amp. $132.00 $ — —
Senrtce/Feeder 201.400 Amp. $180,00 $
Service/Feeder 401.600 Amp $225.00
ServlcelFeeder 601400 Amp. $258,00
ServlcOFeeder over 1000 Amp. $410,00
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circult W10 Service Feeder $ 74,00 $
Each Addltfonel Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 66.00 _ $
Temp,Service)Feeder 200 Amp. $1 02.00 $
Temp.Ser loeTeeder 201-400 Amp, $121.00 $�
Temp,ServicelFeeder 401-500 Amp, $164,00 $
Temp.ServicelFeeder%1-1000 Amp, $185,00 $
Portal to Portal Hourly $ 95,00 $
Sign/001ine Lighting $ 88.00 $ W
Signal Circuit!Limitcd Energy-Multi-Family $ 64.00
...-..-Signal Circuit!Limited Energy I First 1500 sf-Commercial $ 96,00 $
Nate: $3.00 for each additional 1500 sf
Renewable Electrical Fnergy-5KVA System or Less $113,00 $
Thermostat $ 56.00
Note;$5,00 for each additional T-Star
$ F-kr4>9 Total
Owner as defined by ROW.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 alectrlcal contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor.I am making
the electrical installation or alteration it compliance with the electrical laws,N,6,C.,ROW,Chapter 19.28,WAG, Chapter 296.468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature pLowner,a 06cal contractor or electrical administrator: ❑ cash X Check
Ll Credit
X - Dated; � � /'� ��
ezl //,3 ,
W/�l �7 ��rn.� Gtn�r� ��"j. I�(J-'L� C.4.�2� �Ld !'✓�.rl-+-y a'� .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000531 Date 5/20/13
Application pin number , . , 708861
Property Address , , . , . 901 C ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-QO-0-3-0045-0000- our excise tax form
Application type description ELECTRICAL ONLY on Y
Subdivision Name to the City of Part Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation . , , , 0
Application desu
Security ,system
Owner Contractor
RICHARD & MARY SMITHTON SECURITY SERVICES NW
220 MOONLIGHT DR. PO BOX 660
SEQUIM WA 98362 PORT TOWNSEND WA 98368
-----{360} 6--- 3463
7100 _-__. _ ------`i---------800) 859=
Permit . . I . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 96,00 Plan Check Fee 00
Issue Date 5/20/13 Valuation . , . . 0
Expiration Date 11/16/13
Qty Unit Charge Per Extension.
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96100
------__-°__°_------_-------------------------------------------------------
Fee summary Charged Paid Credited Due-
Permit Fee Total - -96 00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .96,00 96.00 00 .00
V
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE "
ROUGH-IN
FINAL ' 1
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
R`RD E I V E D
vorrr.tA,c 1
G` ¢err
CITY OF PORT ANGELES PERMIT APPLICATION MAY 17 2013 •ate.-
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150 I Port Angeles Washington,98362 RECTRICAL
Ph: (360)417-4735 Fax: (360)417-4711 MSPECY10INIS
Date: S 14 — 17 Vlmulti-Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address, ✓� C �T
Building Square Footage:'
Description of above
&JT_=Af— Z-i 6r h41T
Owner Information,,., 4 Contractor Information
Name: (zj1LL V Name: ED F_
Mailing Address: Mailing Address: e3Z7-
City: State: Zip: City: .[ State:_&�k Zip:
Phone; Fax: Phone: Fax:
License#1 Exp. License#1 Exp. C� rlD L
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
ServicelFeeder 200 Amp. $132.00 $
ServicelFeeder 201-400 Amp. $160.00 $
ServicelFeeder 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 W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $ !
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.ServicelFeeder 201-400 Amp. $121.00 $
Temp.ServicelFeeder 401.600 Amp, $164.00 $
Temp.ServicelFeeder 601-1000 Amp, $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outline Lighting $ 88.00 $
Signal Circuit)Limited Energy-Multi-Family $ 64.00 $
Signal Circuit)Limited Energy i First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Scat
$ _Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-4613,The City of Port
Angeles Municipal C 6,7a d Utility Specifications and PAMC 14.05.050 regarding Electrical Per it/Applications.
Signature of ,el al ontractor or electrical administrator: El Cash fly Check
? El Credit C'a'rd\#
X Dated: y /✓ 0110112012
J
:_...,
o�4oRr ELECTRICAL INSPECTION
WIRING REPORT
``QwoRKS ��s�`" 417-4735
DATE: PERMIT& INSPECTOR
OWNER
CONTRACTOR
ADDRESS
APPROVED T APPgg�CDI
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED: '"uoo,;,-7 R
f f
M-12 m o rn
c
.l
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS F
— DO NOT REMOVE --
°Fp°HTO� ELECTRICAL INSPECTION
WIRING REPORT
ml��WoA yF 417-4735
PATE: PERMIT# INSPECTOR
OWNEFT
CONTRACTOR
F3 Gw t h-►o V4 � we*—
ADDRESS
APPROVED OT APPROV
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . .q. �- . . . . . . . .
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . .
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED: [ - 6J Zia-)q T gap
tinA);: 1, ��
dG A—r +-AIrCAZ I C-Ari- I>POq 04-
aD fir? (ti.f
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
--- DO NOT REMOVE �-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00000532 Date 5/20/13
Application pin number . . . 789292
Property Address . . . . . 901 C ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0045-0000- our excise tax form
Application type description ELECTRICAL; ONLY on Y
Subdivision Name , . , , . , to the City of Pod Angeles
Property Use (Location Code 050,2)
Property Zoning COMMERCTAI4 NEIGHBORHOOD
Application valuation . , . , 0
__ -----------------
Application desc
1-4 circuits lights and outlets
Owner Contractor
RICHARD & MARX SMITHTON BLACK DIAMOND ELECTRICAL CONTR
220 MOONLIGHTT DR, 502 BLACK DIAMOND RD
SEQ Ulm WA 98382 PORT ANGELES WA 98363
(360) 681-7100 (360) 565--10.'35
-------------:-— - - --
---- --__--------- --- -----------------------------_ -_-_- (�
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc , . 1-4 CIRCUITS yJ
Permit Fee . . 86.00 Plan Check Fee .00
Issue Date . . . , S/20/13 valuation 0 �
Expiration Date , . 11/16/13
Qty Unit Charge Per Extension
BASE NEE 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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:.
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION x
Signature of owner or Electrical Contractor X Date:
GAEXCHANGMUILDING
t
CERTIFICATE OF OCCUPANCY
,,,,,.,,,f Ang eles Budding Division
This certificate is issue p scant to the requirements' o f Section 111 of the 2'009 International Building
Code certifying that a t h e tone of issuan this structure was in compliance with the various ordinances
of the City regulatingg b uilding constru or`use for the following
Business name: B;eUFSBiz
Business address 9Q1 Sou C x ''.4:4
Prope owner: il
Property owner
Richard &Mary S w r n i thton
saddre ss` 1201 Thorn D r Sequlrn,WA 9 3 82
Automatic fire sprinkler >system: No Re quired
Use occupancy c las s ific ation: Business P
Buildingpermit nu 12 -208
Occupant load: Pe 200 9iBC T 1 2004 1 1r
Type of constructi V -B y l i b g
4 -11 -12
S ue Ro b e rds; :p“, Manager Date
z a s may,
Post on the premises in a conspicuo place T hi s cent fica shall not be removed except by the
Building Official.
DG 0
CERTIFICATE OF OCCUPANCY APPLICATION Permit# /a din?
-1 CITY OF PORT ANGELES
FEES
,1 $50 Certificate Inspection
Attn: PermitTechnician
321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PEIA)
(360) 417 -4815 fax (360) 41 7 -471 1 I fee charged for Downtown locations
I
PLEASE PRINT IN INK
Check one; New business in P.A. ?Change of ownership only? J M location from within P.A.? Z
BUSINESS NAME 1. S a 0 'z
Business address Ma i(ina addre y,'�j�
Phone number Openin C)1( Days hours of operation V
Business owner's name ti./ 1 Cl date Yl Conta t hone enr. v
Business owner's address H(, O`Q, V G al l n a g Mar
Brief description of business v .�u ;SARI L a
mb
Property owner's name 0Rd Yd rn
t Contact phone
1
Property owner's address /contact Y� '2Q 'e11
`-01 nuyearmwszei,
BUILDING DEPARTMENT phone 417 -4815 l Bldg approval by 3 W on 2'Z '1' at
Is the business a restaurant or bar that will seat 50 or more people? Yes No
Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work,
adding /altering stairways, ramps bathrooms, electrical, heating /cooling /ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417 -4653 Fire approval by VPP on 3 t2
Joy RY-c—
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business? PBIA notified 1
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 -4634 City Clerk approval by 4#—on- Li -011--1-2.--•
Second -hand dealer /pawnbroker business? Yes XI No II L(G t I -109C"
b 1S
Will there be dancing at this business? Yes No I
s i
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second -Hand Dealer,. Pawnbroker, Dance,
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
V -P3 Page 1 of 2,
COMMUNITY ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall mounted, freestanding, projecting, awning, A- frame, etc
Signs planned: ix Sf oo
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval by VV ?v Vtl a 5'9.1 �v
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 4812. r vV 0,0 YY ��iV b"17
Is site work planned (new or re- located sewer or water service,
excavation, grading or filling,. work in City right -of -way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes No
Work planned:
PWW approval by ('1 o
PUBLIC WORKS WASTEWATER phone 417 -4845
Will waste, other than domestic household waste, 'be discharged into the sewer system? Yes No
If yes, what will be discharged:
Call for Certificate Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
Please sign up for utility services at the cashiers' counter.
I hereby apply fora .Certificate of Occupancy. l acknowledge that I have read this application and state that the
information I have supplied is correct to the best of.rny.knowledge. Incorrect information may result in revocation of
permit.
e� Qv r
ame �1 Signature
ka. Print N
T:Forms\Building Division\Certificate of Occupancy Application (2010).doc
Page 2of2
.Heather Catuzo
From: Sue Roberds
Sent: Friday, March 23, 2012 12:57 PM
To: Heather Catuzo
Subject: RE: Certificates of Occupancy Routings
Dave's Heating No land use issues anticipated.
Made in Washington Business office uses are permitted in the CA zone svith off street parking for the use. 20 parking spaces are indicated on the
application but only 6 are available on site; 3 spaces are required, A frame signs may not he in the right of way but can be on private property in front
of the window.
Iron Apparel No land use issues anticipated
Bike Garage No land use issues anticipated
Bev 's Biz (I know 1 signed off on this one before) No land use issues anticipated although parking needs to be identified That is not in the street.
Aloha Brewing No land use issues anticipated. Site is in PBIA.
Sue Roberds
Planning Manager
City of Poll Angeles
P.0. Box 1150
Port Angeles. WA 98362
sroberds9?cityofna.us
360-417-4750
From: Heather Catuzo
Sent: Friday, March 23, 2012 10:04 AM
To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds
Subject: Certificates of Occupancy Routings
Importance: High
Comments Due: March 30, 2012
Please email any comments directly to me so that 1 can process.
Thank you,
Heather Catuzo
Building Permit Technician
City of Port Angeles Building Division
321 East 5th Street
Port Angeles, WA 98362
(360) 417 -4817
hcatuzo@cityofpa.us
1
CER.77FiC,47-7 OF OCCUPANCY A/DRUG:AT/Ohl Perm':
E E S
ir 14
0 TY OF PORT ANGELES
5 Certif i'..:CTE: InspecTior
Attn: Perml: Te3hnician
021 i::, pift st p A vvA q,e33,s7 j $103 Pcrl<tno i_Isiriess Improvemeni (PKA)
(360) 417-4cli5 fax (363)417-4711 fee c.ricroed for Down locotions 1
1 i
PLEASE PRINT IN INK
Cfrieel•: one: Nov. business in P.A.? i Cliang.t: of owfr?rshi) only? L7 MovinE location from within RA:7 I.: Zo n i n g
BUSINESS NAIVIE kip+. 9. limb,
Business address 4 A Maiiinq address... bil
Phone number Opening dater) Cs( i Days hours of operation Aram
Business owner's name e,,, v./ 1 (1'11 Contaphane etiNatran
Business owners address W, t 0 4-- IIIMMMINIIMil
1
Brief description of business (a'S M
7111110■11
I a vat 4 NC Contact phone tc 6-0 O L K) (3 5 c,9 2
Property owner's name 2 7 1 ,4 k ot, i
1 Property owner's address/contacl if 1 n
BUILDING DEPARTMENT phone 417-4815 Bide approval by on
!E: the business a restaurant or bar that will sea 50 or more people? Yes 7 No AI
Construction changes panned (movino walls, addinoleniaroinc windows or doors roofing, siding foundation work,
adding/aiterinc stairw.ays ramps bathrooms eiectricai heatingicoolind/ve.ntilation systems. etc).
Work planned:
FRE DEPARTMENT phone 417-4653 i Fire approval by k ICO2 017 '20$ 12.• I
i
Changes to a fire sprinkler systern or fire alarm system? Yes No
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business? I PBIA notified on
1 I
Is business moving within the PBIA? Yes LI NO
CITY CLERK phone '417-4634 I
City Clerk approval by
Second-hand dealer/pawnbroker business? Yes X No E
Will there be dancing at.this business? Yes Li N›...1(
A City of Po. Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
i/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000838 Date 8/05/11
Application pin number 539874
Property Address 901 C ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 0045 -0000-
Tenant nbr, name RICHARD M SMITHTON on your state excise tax form
Application type description RE -ROOF to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 8640
Application desc
RE -ROOF: LAY OVER ONE LAYER
Owner Contractor
RICHARD MARY SMITHTON RAINMASTER ROOFING
220 MOONLIGHT DR. 1205 S. 0 ST.
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 681 -7100 (360) 452 -3213
Structure Information 000 000 RE -ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF
Permit pin number 190587
Permit Fee 193.75 Plan Check Fee .00
Issue Date 8/05/11 Valuation 8640
Expiration Date 2/01/12
Qty Unit Charge Per Extension
BASE FEE 95.75
7.00 14.0000 THOU BL- 2001 -25K (14 PER K) 98.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 193.75 193.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 198.25 198.25 .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 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 Division /Building Permit
r--
BUILDING PERMIT INSPECTION RECORD 1
00
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 IN CONSPICUOUS 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 Stab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
'Watts
Ceiling
FRAMING: --c)
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 1......
Wood Stove /Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit Its SEPA:
Parking Lighting ESA.
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Er _gineering 417 -4831 l"b
Fire 417 -4653 R
Planning 417 -4750 �j
Building 417 -4815 24 1 0
T- nrrr !P riinn nivisinn /Building Permit
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Q. BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Er itoit,.,14:AIS
Attn: Building Permit Technician For City Use Only:
g rj
321 E. Fifth St., Port Angeles, WA 98362 Date Received Permit
(360) 417 -4815 fax (360) 417 -4711
Date Approved
Applicant R -MA s rF/.L RovFiNo Phone 4s2 -32i3
Property Owner _Dick Z,,,;. Phone 6,g/— 7106
Property Owner's Address
Contractor j 2 gon Fin/6 Phone y z _3Z/s
Contractor's Address /205 So: n'
License 72. L *04• Expires Ii E-mail a
PROJECT ADDRESS 4 M C's+ Qo[ G S+
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family t Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
VRe -roof House garage Bother tear off re -roof pf lay over one layer
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.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage ='the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. 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. 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 9-5"--/I Print Name T “f La Signatur J/
T:Forms /Building Division /Building permit application
r.
*e/7022 .1!
ii 1
Fvzi .e.e- trzie
Clallam County Assessor Treasurer Property Details 23 RICHARD AND MARY S... Page 1 of 1
Clallam County Assessor Treasurer
58923 RICHARD AND MARY SMITHTON for Year 2011 2012
j Property
Account
Property ID: 58923 Legal Description: N51 OF W5 OF LT 9
N51 LT 10 BL 300
Geographic ID: 0630000300450000 Agent Code:
Type: Real
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 I
Address: 901 S C ST 901 1/2 Mapsco:
PORT ANGELES, WA 0
Neighborhood: Cycle 5 Comm Map ID: 2
Neighborhood CD: 20953140
Owner 4
Name: RICHARD AND MARY SMITHTON Owner ID: 53241
Mailing Address: 220 MOONLIGHT DR Ownership: 100.0000000000% i
SEQUIM, WA 98382 t
Exemptions:
q.
,Taxes and Assessment Details
Property Tax Information as of 08/05/2011
Amount Due if Paid on: 3 NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
I► Statement Details
2011 153551 $622.17 $622.12 $0.00 $0.00 $1244.29 $0.00
i' Statement Details
2010 41837 $623.85 $623.83 $0.00 $0.00 $1247.68 $0.00
Values
I Taxing Jurisdiction
1 Improvement 1 Building
Sketch
Property Image
I Land
Roll Value History
Deed and Sales History
1 Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 8/5/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaceess /Property.aspx ?cid =0 &year= 2011 &prop_id =58923 8/5/2011
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 11 00000787 Date 7/27/11
Application pin number 950970
Property Address 901 C ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 0045 0000
Tenant nbr name RICHARD MARY SMITHTON
Application type description COMM REPAIR
Subdivision Name
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 200
Application desc
repair rotten framing at garage door
Owner
MARY RICHARD SMITHTON OWNER
220 MOONLIGHT DR
SEQUIM WA 98382
(360) 681 7100
Structure Information 000 000 REPAIR ROTTEN FRAMING AT GARAGE DOOR
Permit BUILDING PERMIT COMMERCIAL
Additional desc RE FRAME GARAGE DOOR FRAME
Permit pin number 189985
Permit Fee 50 00
Issue Date 7/27/11
Expiration Date 1/23/12
Qty Unit Charge Per
Other Fees STATE SURCHARGE
Fee summary Charged
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
7.1// /6PoiI Ma
Date Print Name
T.Forms /Building Division /Building Permit
50 00
32 50
4 50
87 00
BASE FEE
Contractor
Plan Check Fee 32 50
Valuation 200
Paid Credited
50 00
32 50
4 50
87 00
00
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 o state or local law regulating construction or the performance of
construction
Extension
50 00
4 50
Due
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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 IN CONSPICUOUS 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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Sir Wall Hold Downs
Walls FRpof Ceiling
Drywanterior 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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T.Forms /Building Division /Building Permit
FINAL Date Accepted by
FINAL Date Accepted by
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
Date Accepted By
A3
Parcel Number
Project Tvpe Brief Description.
Check all that apply
New Construction
Addition
Remodel
i( Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1St Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant mmr c,V\
Property Owner ��r_r� y x\
Property Owner's Address 9 01 So c s'
Contractor G r
Contractor's Address
License
Residential
Existing (sq. ft.) Proposed (sq. ft.)
Multi- family
Phon
Phone
Phone
Expires z E -mail
PROJECT ADDRESS °10 S� (s PC;r c,,A ,s
Lot
rot, G1, 1 �o ,,.te
per sq ft.
For City Use Only
Date Receiyed 7— .2.71
•ermit# to -1J
ate Approved
/cxD
3 1 Z
Zoning
Commercial Industrial
House garage. other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
TOTAL VALUATION Qom,
•1
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage`s 'i
Site Coverage the amount of impervious surface on a parcel, including structures, paved ✓driveways sidewalks patios
and other impervious surfaces. (see PAMC 1 94 135 for exemptions) Site coverage
P•
Max. height of proposed structures ,ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know it to be true and correct. I am authorized, to apply for this permit and aideatand
that it is my responsibility to determine what permits are required, and to obtain permits prior to t jon
Date y.) Print Name )K..,, N.R A sr 1.10 Signatur
T:Forms /Building Division /Bldg Permit.doc
of bedrooms
of full baths
of half baths
r
Clallam County Assessor Treasurer Property Details 58923 RICHARD AND MAR. Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 58923 RICHARD AND MARY SMITHTON for Year 2011 2012
Property
Account
Property ID'
Amount Due if Paid on.
F Statement Details
2011 153551
Statement Details
2010 41837
Values
Taxing Jurisdiction
Improvement I Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
58923
Taxes and Assessment Details
Click on 'Statement Details' to expand or collapse a tax statement.
Legal Description:
Exemptions:
Website version: 9 0 32.2200 Database last updated on: 7/27/2011 3:52 AM
N51 OF W5 OF LT 9
N51 LT 10 BL 300
Geographic ID' 0630000300450000 Agent Code:
Type: Real
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: 901 S C ST 901 1/2 Mapsco:
PORT ANGELES, WA
Neighborhood: Cycle 5 Comm Map ID' 2
Neighborhood CD' 20953140
Owner
Name: RICHARD AND MARY SMITHTON Owner ID 53241
Mailing Address: 220 MOONLIGHT DR Ownership: 100 0000000000%
SEQUIM, WA 98382
Property Tax Information as of 07/27/2011
NOTE. If you plan to submit payment on a future date make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
$622.17 $622.12 $0.00 $0 00 $1244.29 $0.00
$623.85 $623.83 $0 00 $0 00 $1247 68 $0.00
This year is not certified and ALL values will be represented with 'N /A
2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http. /websrv8 clallam.net/propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =58923 7/27/2011
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ROUTING SLIP f,OAT "'<\-
$'O~Q~t<'
'J, Certificate of Occupancy .# , IS~ (j~.:. ~
/' ....~
=-
f' (0.\ $47.00 Certificate/Inspection Fee ~
"'8(ICWOfo:~-'"
DATE ~~ . /- 06 New Business ........................... . ( "- )
Address of Proposed Busines!? , Transfer of Business location. . . . . . . . . . . . . . . . ( )
'db I r "T L, f r - Change of Ownership . . . . . . . . . . . . . . . . . . . . . " ( )
..). (........) I, ".. /"'1, ),,,, /i
Applicant ''I / 0'~~-"c~ .)/7 "':"//.// -:"/.y .,,'7"',fj J New Building ( )
//~.'~--- ............................ .
/ I -'
Address ,.'.", / ,E.. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
C ,.J// r"; /.;) .4 ' R.:? f..::Z, Temporary Business ...................... . ( )
, .
Phone: business home ('~.' /' /';)/ Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: -I .. , ~/}/ 1,.,.. ./ t:.') .
.,.. ,"
legal Description: lot !U<-/ ~ ;1.)' ,< _,+.1' e, L. ~..)-) Subdivision
.- - ,.: 1 Block
Current Use of Property: V ~.I/ -;- '1>>" CI~c..", ~_t. os
I CJ..J
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . --L- PERMITS BUSINESS LICENSE
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~- 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ~- 2) Plumbing 2) Peddlers
Plumbing changes ............................ . ... 3) Electrical 3) 2nd Hand Dealer
--
New or relocated, signs. . . . . . . . . . . . . . . . . . . . . . . . . . )C - 4) Mechanical 4) Pawn Broker
'f. I
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- /! - /- cJ~:3 .
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my '- ".' ""
S' d J ),; .' / r ..!./. . 1:.. .~
knowledge. Igne :/,. ....... . "'-. , .",,~ ,"""- \,'-,;" , ..---~~ >..f:/ / ~
.. , ,;(
,
I Comments / conditions~l.a-" 0 ~
A~~eO~~~~l,REJECTED ,
I ~OA~I"~J _~ +~ C\..C,D
Building Section ; I
I L-0d~ ~~~~ (.<~ #A' 0-1:)
J;~,i1te Public Works Department
Planning Department ~'~~ ~ =t \ ><'Y'''-'' -1" · ~ -
Fire Department o ~ ~ 4;.\j\ O-.~
I ..
City Clerk
P.B.I.A.
0l~1 K,('V\. ~
ROUTING SLIP f,ORT "'-\'
~O~Q~(I'
'd Certificate of Occupancy .#-1 152- iJr-:-~ .
"- -==.J
=-
1'L>,\ $47.00 Certificate/Inspection Fee --
"t8(IC~~
DATE );1--/~ (}6 New Business ........................... . (/ )
Address of Proposed Business A Transfer of Business location. . . . . . . . . . . . . . . . ( )
9 D I 5. t.. s r. fJ()~T 'AJ,;..tzL/:; " Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant $/JeI3E~B5~ SPJ/r/,1T.t1"u New Building ............................ . ( )
Address /~ 11 / /~L>~..oro A.J Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
~e.-?/II n11 ~ J A P eSf-1'ff c:t- Temporary Business ...................... . ( )
/
Phone: business home &R/- ??o/ Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: d1&:J) AI2G)/t<S/2:J~c
,;6 . /... r I~
+ I I
legal Description: lot VSI O~ w.!f 0;: 1. rCj Block 6 '- !3 60 Subdivision
Current Use of Property: I/Ae~v r )'1 CleoV\e..rs
Zoning Classification of Property: CJ"
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . --L PERMITS BUSINESS LICENSE
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~- 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . L-_ 2) Plumbing 2) Peddlers
Plumbing changes ............................. 1-_ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . X-_ 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. . . . . . . . . . . . . . . . . . . . --4- 7) Driveway installation 7) Fireworks
Is this a home occupation? ..................... . - --i- 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? . . . . . . . . . . . . . . . -L_ 11 ) Fire
New driveway openings. . . . . . . . . . . . . . . . . . . . . . . . . --i- 12) Occupancy
A grading plan for site drainage. . . . . . . . . . . . . . . . . . . -~ 13) Sign
(parking lots, downspouts, etc.) ................. . -~ 14) Shoreline
Are the existing streets paved? ....... . . . . . . . . . . . . 1--. _ 15) Home occupation
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ~- 16) Conditional use
Is there curb and gutter? ........................ -P-- 17) Other
Other........................................ . --
I hereby apply for a Certificate of Occupancy and acknowl- Lt-/- 0..3
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my Signe';H~~d~ ~
knowledge.
ArRO~~n 'I\REJECTED Comments / Conditions
\ IJ' b 1\\1}. Building Section
\' \i~ ~\ \ Public Works Department
Planning Department
-KDD Fire Department
HIo-OlJ ~R.J City Clerk
P.B.I.A.
~ e. ~
e/s Etc-
J V\... \ S 1- "l
..
722.0Y
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS;'
... KEEP PERMIT CARD AND APPROVED PLANS AT JOB TE. ..... :i.' ...... '.' ,<
/ INSPECTION TYPE DATE ACCEPTED COMMENTS ...... '. "", i;f'i;'
/., . IT
...... r..' , .... YES I NO ....... ,:"'i..i!.
\ .y.!; ,. ".; .....
. FOUNDATION:
"FOoTlNGS ,
WALLS
.' FOUNI)ATlON DRAlNAGElDOWN SPOUTS , , '.. ..... ....
.'. (LIGHT DEP1) SEPARATE PERMIT: #' .../ ...... .... ....
Jj;LECTRICAL . '.', ....... r
.. ROUGH-IN .., I I .... <) .....
PLl!MBING . .. ................J./."
"UNI)ERFLOOF,I SLAB .
ROUGH;IN . ,. .....,..
. .......
WATER LINE (METER TO BLDG) '.
. GAS LINE
.
-:- .....
BACK. FLOW / WATER . "i' .......;
AIR SEAL . .' ..f, .. .... .
WALLS ..
CEUJNG I . I .. ....'
.' ....
FRAMING 'T .. ".
...
JOISTS I GIRDERS
SHEAR WALLlHOLD DOWNS .'
.
VI ALLS I ROOF I CEUJNO .
DRYWALL (INTERIOR BRACED PANEL ONLY) '. .
T-BAR .. ."
INSULATION .
SLAB I
WALL I FLOORI CEILlNG I
....
MECHANICAL
HEAT PUMP
GAS LINE '.
I.' WOOD STOVE I PELLET I CHIMNEY . '.'
HOOD/DUcTs . i. , ,..
fW UTILITIES j SITE WORK (Engineering Division) . SEPARATE PERMlT#'s: ..
WATERLINE/ METER .'
SEWER CONNECTION . ....
.. ......
SANnARy .' '.. .' .,
.
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEP A:
PARKlNGILIGHTING ESA:
'. LANDSCAPING .... SHORELINE: .. .'
.. .... FIJIIAL INSP.ECI10NS REQUIRED PRIOR TO OCCUP AN.<::YIUSE .' .... :" .... ,. ",
'. RESIDENTIAL . DATE YES NO COMMERCIAL DATE "ACCEPTED
" ". . .. . '.' "YES <NO'
..' ELEctRICAL. LIGHT DEPT. : .... .... ......
417-4735 . ELECTRICAL
.. UGHT DEPT . ""',:."
CONSTRUCTION R W./f>WI CONSTRUCTION-RW. .... . ..'
ENGINEERING 417-4807 PW I ENGINEERING ..... . ......
FIRE 417-4653 ' FIRE DEPT. . ........... " .: . ,
. " ..
PLANNING DEPT. 417-4750 .' PLANNING DEPT.
~~ JI-lJl/ .I,/.... .. BUILDING ..'
BUILDING 4174815 .
T:\PLANNING\FORMS\1 102. IS [1lI1412003]
" .;"'r 'c,,',_ \:~';_ :.1-':_ ,.-..~-'-.:.~~
PREPARED 3/11/04, 13:35:53
CITY'OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
901 S C ST
ADVERTISING SALES & MORE
SMITHTON, MARY/RICHARD
06-30-00-0-3-0045-0000-
04-00000192 SIGNS
SUBDIV:
PHONE (360) 452-7785
PHONE : (360) 452-7785
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
BL99 01 3\(~\~~ ~
- -- - - - - - - - - - - - - - - - - - - - - - - - - - - u'_ -- -- - - COMMENTS AND NOTES
,
BUILDING FINAL
MIKE 452-7785 SIGN FINAL
PAGE
DATE
5
3/11/04
. .
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
DateRec.:~
Permit#: 0'1 - ,<; L.
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any qnestions, call
(360) 417-4815
Applicant or Agent: ~ $ M s:.. \. ~~ ~
Owner: QI.a.,,~.....o cr- M a.t2., -f'n-- I -r~""" ...:J
Address: .~ 0 I Q -r"", ~ ~-r.. City: c?~~7
Architect/Engineer:
Phone: 4-~2 - '7 7"JK"
Phone:
~G-~c.-e--~ Zip: Oz ~-':.\. bL
Phone:
So \. ~--N.s
State License #: c:r.r Fi t.~ Exp:
Phone:
Zip:
ZONING:
City:
Q... .9--;-_ .
,
CLALLAM COUNTY PARCEL NUMBER:
Block: '] 0 0 Subdivision:
0&300003. 00 <+-.s:""'
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: ~ <=
'3. '" I ~ ~ I--lQ ..,.) r-;.. '-"'-
City:
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF. = $
SF.@$ /SF.=$
SF. @ $ /SF. = $
TOTAL VALU~TION $
;L I oL-b' 6 f'w'i_ l"~7QA
I()O~
.....
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
Construction Type:
= TOTAL Sq.Ft.
%
APPROV
PLAN-c..1
LDG:
DPWU:
FIRE:
OTHER:_
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at 'the time of permit issuance.
EXPIRATION OF PLAN REVIEW: 1fno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, currenr edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the . " an a st obtain such permits prior to work.
T:\FORMS\APPS\Buildingpermit.wpd
Applicant:
Date: 3.. 4- . 0 4-
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LINDBEU "''t1vIITH
ARCH~.JCTS
f:'lE,
~Il":"
~~.;
t~.:. .
June 2,2004
Mike Penna
Penna Brothers Construction
1902 West Sequim Bay Rd.
Sequim, WA 98382
, RE: Reidel Residence
Dear Mike:
As per our phone conversation, we have reviewed the footing and stem wall
rebar at the Reidel residence.
You have informed us the footings were formed to be minimum 18-inches wide
and not 16-inches as the drawings show. The wider footing is fine and we do
not have to add any 'additional rebar.
The vertical rebar is to be number (4) bars at 12-inches on center, and they can
be wet stabbed into the footing. The horizontal bars are to be number (4) bars
also on 12-inches on center.
If you have any additional, questions please contact us.
Respectfully,
LINDBERG & SMITH ARCHITECTS, INC., P.S.
cc: City of Port Angeles
319 south peabody suite b / port angeles wa 98362/360.452.6116 fax 360.452.7064
email contact@lindarch.com / www.1indarch.com
6'
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o Ditch Inspection O.K.
o Rough-in/cover O.K.
~'f!l O.K. to connect service
o Final O.K.
-/
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
3C:>bCf
b - ;)9-9J-
I
I
Site Address:
I
Installed By:
1
Owner/Business:
I
DATE
ELECTRICAL PERMIT
o READY FOR
INSPECTION
license Number:
f8( WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
I
i<1 RESIDENTIAL
f6 'COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
r SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~
Details/Description:
~A?r:4
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
ENGR.
DATE
o CHANGE SERVICE WIRE
o OTHER
Site ~ddress:
I
Installer: New Meters
I ~ b-7i'~'1':r
Noti~ Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
befor~ inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building P7'm)l. PHONE 457-0411, EXT. 224.
! d" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ,20, V 6
Elect( allnspector Permit Fee
Permit/Receipt No.
{r C /(
~
WHITE - File by address
YELLOW - file by number
GREEN - Top: Meter Dept., Boltom: City Hall
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
CITY OF PORT ANGELES PEILVIIT APPLICATION a - -
Building Division/Electrical Inspections DEC y '
321 East Fifth Street P.O, Box 11501 C 9 2013
— Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
ELECTRICAL
Date: — 3 Multi- Family or Commercial* WSPEMONS
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: S. G •-r
Building Square Footage:
Description of above
_I p
Owner Information Contractor Info ation
Name: _ W 1 L L_y Name;
Mailing Address: Mailing Address:
City: Stale Zip City; State: Zip;
Phone: Fax: Phone: Fax:
License 91 Exp. License # I Exp. L4e- (-X- L C
Item Unit Charao Qty Total (Qtv Multi lied by Unit Char-go)
Service/Feeder 200 Amp. $ 132.00 $
Service/Feeder 201 -400 Amp. $ 160.00 $
Service/Feeder 401 -600 Amp $ 225.00 $
Service/Feeder 601 -1000 Amp. $ 288.00 $
Service/Feeder over 1000 Amp. $ 410.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 2- l0 --
Branch Circuits 1 -4 $ 86.00 $
Temp, Service/ Feeder 200 Amp. $102.00 $
Temp. Service /Feeder201 -400 Amp. $ 121,00 $
Temp. Service/Feeder 401 -600 Amp. $ 164.00 $
Temp. Service / Feoder 601 -1000 Amp , $185.00 $
Portal to Portal Hourly $ 96.00 $
Sigr /Outline Lighting $ 88.00 $
Signal Circuit] Limited Energy - Multi- Family $ 64.00 $
Signal Circuit] Limited Energy I First 1500 sf- Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00 $
Thermostat $ 56.00 5
Note: $5.00 for each additional T -Stat
$(c) Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that i am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, N, w.C., RCW. Chapter 19.2$, WAC. Chapter 296 -463, The Oity of Port
Angeles Municipal Code, and ility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature of o er, at tr' al contractor or electrical administrator: ❑ Cash Check
D Credit Card ft
X /�
Dated; 0110112012
r-
ELECTRICAL PERMIT t
CITY OF PORT ANGELES -�
360-417-4735
Application Number . , , , .
13- 00001420
Date 12/.10/13
Application pin number . , .
554940
DITCH
Property Address , , , , ,
901 C ST
ASSESSOR PARCEL, NUMBER:
06- 30- 00- 0- 3- 0045 -0000
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
FINAL
Property Zoning , , , . . , .
COMMERCIAL NEIGHBORHOOD
Application valuation . , , .
0
Application desc
Circuits for cooler
Owner
Contractor
RICHARD & MARY SMI:THTQN
BLACK DIAMOND ELECTRICAL
CONTR
22.0 MOONLIGHT DR,
502 BLACK DIAMOND
RD
SEQUIM WA 98362
PORT ANGELES
WA 98363
(360) 681 -7100
(360) 565 -1035
Permit . . . , . . ELECTRICAL
ALTER COMMERCIAL,
Additional desc 1 -4 CIRCUITS
Permit Fee 96.00
Plan Check Fee
,CO
Issue Date . , , , 12/10/13
valuation
0
Expiration Date , . 6/08/14
Qty Unit Charge Per
Extension
BASE FEE
86.00
2.00 6,0000 ECH EL -ECH ADDNT BRANCH CIRCUIT
10.00
Fee summary Charged
Paid Credited.
Due
Permit Fee Total 96.00
96 00 .00
,00
Plan Check Total .00
00 00
00
Grand Total 96,00
c
96.00 .00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 4502)
INSPECTION TYPE
DATE:
RESULTS.
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
Ll 4C
PERMIT WILL EXPfRE.S1X (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date;
G:1)XCHANGEIBUILDING
c�
v�
Ci€Ty of .PORT ANGELES PERMmAPPLtcATiON
Building liirv%sioaXlEectrical Inspee ions
321 Fast Fifth Street—P.O. Box 1'1541 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (36D) 4174711
Date. _? i ,_° / 9-
— Multi - Family or Commercial*
* Plan Review May He required, Please Cad fete Sectrical Pura Review Information Sheet
JobAddrass: 0 a
Bulidinrg Square Footage:
DeswpVori of above e) 1.
Omer to at! n
Mailing Addr+em: qa Z. �• � �
��
State zol —. 5 S AY_....
license # I Fxp. - - - - --
-.--
lteara
SeraiicelFeeder 200 Amp. ' `' t
Unit Charge
932 00
ServicelFeeder201- 400 Amp.
$160.00
ServiWF der 401 -600 Amp
$ 225.00
SorvicesFeeder 601 -1660 Amp.
$ 288.00
G rvicelFeeder over 1000 Amp,
$ 410.00
Brrarich Circuit W/ Servim Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additlonal Branch Circuit
$ 6,00
Branch Circuits 14
$ 66.00
Temp. Service/ FeWar200 Arrip_
$102,00
Temp. Servi eeder 201-400 Amp,
$ 921,00
7eriip. ServlceIfeeder401.600 Amp.
$164.00
Temp. SeTWWFeeder601 -1600 Amp .
$185,00
Portal to Portal Hourly
$96.06
aigral00lne Lighting
$ 68,00
Signal Circuit/ Urnited Energy — mull! - Family
$ 64,00
Signal Circuits Umited Energy s First 1500 sf— Commercial
$ 96,01
Now $5.06 foreach additonal 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
Thermostat
$ 56.00
Note, $U0 for each additional T-Slat
r,,e p�aa4r,a
F j
Coact r Infonnation
Maifrng Address: .
Glty` vr4��_
LicenSWEXp.lZ+4�s°1?�'
$
$
$
owner as defined by Rr W.19,28.261: (1) Ommer will occupy the structure for two years after this electrical permit is FrnsWd. (2) Owner is required
to faire an electrical contradior if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reeding the above statement, I hereby certify that t am the owner of the above named property or a licensed electrical contractor. I am making
the eleclriccal instAlation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port
Angeles Municipal Code, and Utility Spedfications and PAMC 14,05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator. ❑ cash ❑ card
"� t "" ' ❑ CredrtCaFdZ.
x ' �j c fated: -7 A91ATd2nl2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . , . , ,
15- 00000867
Date 7116115
Application pin number , , ,
147945
DITCH
Property Address , . . , , .
901 C ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-3-0.045-0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . . .
1
Property Use , , . , . . . .
FINAL
Property Zoning , , , . . , .
COMMERCIAL NEIGHBORHOOD
Application valuation , , . .
0
---------------------------------------------
Application desc
---------------
---------- - -- - -_
Cooler circuits
Owner
Contractor
RICHARD & MARY SMITHTON
EXTRA MILE TECH &
ELECT'., LLC
220 M00NL1c,HT DR,
418 N, RACE ST.
SEQUIM WA 98382
PORT ANGELES
WA 98362
(360) 681 -7100
(360) 457 -5222
Permit ELECTRICAL
ALTER, COMMERCIAL
Additional desc .
Permit Fee 147.00
Plan Check Pee
.00
Issue Date 7/15/15
Valuation , ,
, . 0
Expiration Date . . 1/12/16
Qty Unit Charge Per
Extension
3.00 5.0000 ECH 'EL-
BRANCH CIRCUIT W /FEEDER
15.00
1100 132.0000 ECH EL -COM
0 -200 SRV FEEDER
132.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 147;00
147.00 .00
.00
Plan Check Total 00
.00 00
DO
Grand Total 147.,.Ep0
147.00 00
Oq
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE.
DATE :.
RESULTS:
INSPECTOR:
DITCH
SERVICE
•Z
ROUGH -IN
1
FINAL
,
COMMENTS:
PERMIT WILL EXPaE SIX (6) MONTHS FROM L'A'ST INSPECTION
f
Signature of owner or Electrical Contractor X
Gi:IEXCHANGMBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .,
16 00000855
Date 6/1.4/1,6
Application pin :number
401.716
Property Address
901 C ST
ASSESSOR PARCEL NUMBER;
06 30 00 0-3 0045-0600
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning .
COMMERCIAL NEIGHBORHOOD
Application valuation . . .
0
Application desc
Ductless twat pumps
Owner
Contractor
WAEL ALAWAWDEH
EXTRA MILE TECH
& ELECT., LLC
:1.409 E FIRST ST
418 N. RACE ST.
PORT ANGELES WA .913362
PORT ANGELES
WA 9£3361
(360) 457-5222
Permit ELECTRICAL
ALTER COMMERCIAL
Additional de:c 1.4 CIRCUITS
Permit Fee 86.00
Plan Check Fee
00
Issue Date 6/14/1.6
Valuation
0
Expiration Date 12/11./16
Qty Unit Charge Per,
Extension
BASE
FEE
86,00
Fee summar.y Charged
Paid 'Credited
Due
Permit Fee Total. 136.00
86.00 00
00
Plan Check Total .00
.00 00
00
Grand Total 86.00
86.60 ,00
0
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL l
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical ContractorDate:
GAEXCHANGE\I3UILDING �.._ _ .. .... ._
v
CITY OF 0R1f1" ANGELES PEPMff APPLICATION
Building DividonlEtedrical llnspeetions
321 East Fifth Street— P.O. Bog 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fag: (360) 417-4711
Date:
Multi -Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: _ f '; r l-. 41-
BUding Square Foolage., _
DemdpVon of above
a� t71w"1 y....
C�s
/f
uwwWe' �'
Owner Information
Name;
Co r larfoa raatlon
MaiTmg iddes� �' <
CCty.State: 27p. —
01r.7--p
PCodrara° Fa
CRa1Gin Addms 4.
City.s Siabe AY,
"
-`�`
Rhone: �= Fax
License#/Exp,
fi/Frp�,�
Item UnitC A a
gtx T tal Multi kd by Unit C ar e
Service/Feeder 200 Amp. $132.00
Service/Feeder201-400 Amp. $160.00
Service/Feeder 401-600 Amp $ 225.00
$ ,
ServicelFeeder601-1000 Amp. $ 288.00
Service/Feeder over 1000 Amp. $ 410.00
$
Branch Circuit W/ Service Feeder $ 5.00
Branch Circuit W/O Service Feeder $ 74.00
$�
Each Additional Branch Circuit $ 5.00
$ _.
Branch Circuits 1.4 $ 86.00
I $"
Temp. Service/ Feeder 200 Amp_ $102.00
$
Temp. Service/Feeder201400 Amp. $121.00
$
Temp. Service/Feeder 401.600 Amp. $164.00
Temp. Servi er 601-1000 Amp. $185.00
$
Portal to Portal Hourly $ 96.00
$
Sign/OutlineU htin S 88.00
$
Sinal Circuit/ Umited EnergyMulti-Family S 64.00
– y
$
Signal Circultl Urrild Energy 1 First 1500 sf– Commercial $ 96.00
$
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
Total
Owner as defined by RCWA 9.28.261: (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 sec months of last inspection.
After reading the above statement, I hereby ceattfjr that. I am the owner of the above namedproperty or a licensed electrical contractor. I am making
the electricel installation or alienation in compliance with the electrical laws, N.E.C.,
RCW, Chapter 11.28, WAC, Chapter 29646% The City of Port
Angeles Municipal Code, and UtilitySpecifications and PAMC't ,05.050 regarding
Electrical Permit Applications.
Signahue of owner, electrical contractor or electrical administrator_
❑ cash ❑ thea*
a ,
Doted: —IL
❑ cramcaMs