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Home My WebLink About1215 C St - BuildingElectrical Permit 1215 C St 12-1372 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001372 Date 10/17/12 Application pin number . . . 292412 Property Address . . . . . . 1215 C ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -7158 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . 0 Application desc security system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOCH, RICHARD L HI TECH SECURITY INC 4201 TUMWATER TRUCK RTE 723 E FRONT ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-5381 (360) 452-2727 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 10/17/12 Valuation . . . . 0 Expiration Date . . 4/15/13 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- 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 96.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RESULTS: INSPECTOR: ROUGH -IN tw- .- FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING Date: Z. Multi -Family or Commercial* `Plan Review May Be RecTired, Please Complete Electrical Plan Re-.Aew Information Sheet JcbAdds ess: 1215 SO. C t Guilcfng Square Footage• Descgpfionofabave Instal! security systiain. Owner 19 tractor Information Name. ThNi'MCatilTiopnbel 1 Groun j Marin Address 1215 So C CITY OF' ORT AINCELLS PERUNI]TAYPLICATION ci,y art Arigeles Slate. Zip-, c a City- P�Ar4r_� Stale: wA zip: srx2 Building DivisionfElectrical Inspections0, ELECT.- Pheric UOASa-M, Fax 7-52-::a License # I Exp 321 Eastflfth Street —P.O. Sox .1150iPort Angeles Wwshington. 98362 ;NSPECTIo Item Unit Charge Ph: (360) 4,17-4735 Fa -x: (360) 417-4711 Sonice/Feeder 200 Amp. $ 132.00 s Date: Z. Multi -Family or Commercial* `Plan Review May Be RecTired, Please Complete Electrical Plan Re-.Aew Information Sheet JcbAdds ess: 1215 SO. C t Guilcfng Square Footage• Descgpfionofabave Instal! security systiain. Owner 19 tractor Information Name. ThNi'MCatilTiopnbel 1 Groun Narre Marin Address 1215 So C Maung Address MEW FArdSt ci,y art Arigeles Slate. Zip-, c a City- P�Ar4r_� Stale: wA zip: srx2 Phone x6G-oIIQ47A Fax Pheric UOASa-M, Fax 7-52-::a License # I Exp License r I Exp. Item Unit Charge 9 —tv Total (Qty MuRiplied by Unit Charqe) Sonice/Feeder 200 Amp. $ 132.00 s Service/Feeder 201.400 Amp, S160.00 $ Service/Feeder 401-600 Amp S225.00 S Service/Feeder601-1000 Amp, 5 288.00 5 Serviceft-eeder over 1000 Amp. $410.00 $ Branch Circuit W1 Service Feeder S 5.00 $ Branch Circuit W/O Ser&a Feeder $ 74.00 Each Additional Branch Circuit S 5.00 Branch Circuits 1-4 $ 86.00 $ Temp. Service! Felder 200 Amp. $102.00 $ Temp. Sentice/Feader 201400 Amp. $ 121.00 S Temp. Service/Feeder 401-600 Amp. $164.00 s Temp. Service/Feeder 601-1000 Amp. $185.00 Portal to Portal Hourly S 96.00 Sig,1100ine Lighting $ 88.00 Signal Circuit/ Linfeted Energy - Muld-Family $ 64.00 S Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 95.00 Note: 55.00 for etch additional 1500 sf Renewable Electricd Energy - 55KVA System or Less $113.00 Thermostat $ $ Note: $5.00 for each additional T-Stat S wco Total Owner as defined byRCW.19-28.261: (1) Owner will occupy the structure for two yews after this electrical permit isfinaked. (2) Owner is required tohire an electrical contractor if, above said property is for sale, rentor 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 piopeity or a licensed electrical contractor. I am making the electrical instaHafion or alteration in compfiance with the electrical laws, N.E.C., RCVV. Chapter 1928, WAC. Chapter 29646B, The City of, Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05,050 regarding Electrical Permit Applicators. Signature of owner, electrical contractor or electrical administrator: 0 cash 0 Check 0 CredhCaid# On,'t, x Mike Shirley / Gary Politika fted: MIRM2 CERTIFICA , TE OF "dCC,UPANCY City'bf Port Angeles - Building Division This certificate is issuedpgrsuant to the requirements of Section 111 of the 2009 International Building Code certifying that atthe.time of issuance this structure was in compliance with the various ordinances of the City regulating,building constriiction or rise for the following:: Business name: The Campbell Group LCC Business address! 1215 South C; Street Property owner: ,Richard Hoch J Property owner's address:. c/o James & Associates 1111 Caroline Street Port Angeles, WA 98362 Automatic fire sprinkler system: Not Required Use & occupancy classification: Business Buildingpermit number 1.x2=71°4 '` y Occupant load: "Per 2009' IB, Table 1004`1 1 �ri, Type of construction: V 8, 6-21-12 :Sue°�Ro erds'> ?Ja . ntng:Manager Date Post on the premises in a conspicuous place.:::This cert.cate shall not be removed except by the Building Official. ``tiyOF pQkrq CERTIFICATE OF OCCUPANCY APPLICATION Permit # CITY OF PORT ANGELES FEES$50 Certificate /Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 .$4e" Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations ou'30 00 0' �15u PLEASE PRINT IN INK Check one: New business in P.A.?)L Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning Ctq BUSINESS NAME�lr12 Business addressl-�l� USDA'_. 517Y CIR3(ml Mailing address�)C. 4 Phone number.Ac,-4E rA-v TIAT-,,-'itfflEOpening dateLnl IRI la Days & hours of operationMOAf -rRX Business owner's name�Vv-� Gat Contact phone��,n3� �`j� 1 -4 V Business owner's address WL SUJ Co11jvy%V-!A �+,.. 717 u,A4 1'10(0. I�nrua � — n� Brief description of business L>t< o -r,> s T'im RF.R (Yl't�i.Y��pxnA nn + Property owner's name- Qxr --fa i S k� rues �dSsaC- ,tact phone_?�� Property owner's addr ss/coutJ 11\1 r'iv-r-Az '1e 'iVytk r. ` I�'1r-1- I=c,'Qbe-1PS tt7�A of a Q\r"rrA L - Hnl 0 ,lw► I r UCJ�YG 1`Cxq qv %G6GwJ , w � c � ,/ t BUILDING DEPARTMENT phone 417-4815 I Bldg approval byly L2�0 � I O oniw V Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X 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 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? 1, 4 n Is business moving within the PBIA? Yes ❑ No 15�% CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ No X Will there be dancing at this business? Yes ❑ No �K A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 PBIA notified 0 1 X on,�/ City Clerk approval bY_AaVT W( D' ,JUN - 6 2012 CITY OF PORT ANGELES BUILDING DIVISION COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 Number of off-strparking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) CED approval ba Signs, planned: F f ee- A2 U�� c�_� rc1� 1P A �n V6 VV t YI j I'b j�,52, Pr1C► 5�'L 5 WrL- PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No K Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWE approval by 10.0 ` I? PWW approval by N j lk on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No X If yes, what will be discharged: Call for Certificate of Occupancv inspections BEFORE ovenina business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. DatkOLi I Print Nam Signature _0�41�y 4T� T Torms\Building Division\Certificate of Occupancy Application (2010).doc Page 2 of 2 • i • -�,. N . a can N n A. w" 04 .r nc Nk Ln M?�. ,br'.' `*; `}.$,�,,,��• � ate",, �{.�.F •�'w,,1'R.,{ '�:1�•,•� yh",a 4s�"^,^'`•� o pt .r+r./ rr 4 .,,'y.r .'c•,• f + p \+°dj A�� .H'e�.' .� s.a yx "', //-' r }"•'�"�tl µ�q,"'�Y;''`':'i'•�, ! w; 04 'c`�,,,g.±raj;. ash. ,, .d;'r $p •.:,% 6. , o „� � i`"�, ' �''" >� „ -�%�' +''• ; iaw. y � Flt" 'y,. - � {uy •r e,:.{ r' .. !•„-'i,�,� Wil. F ..r7'• . • : / r' �: f � a C N r t� tr# \A Heather Catuzo From: Roger Vess Sent: Wednesday, June 06, 2012 2:17 PM To: Heather Catuzo Subject: RE: Certificate of Occupancy The Campbell Group LLC Engineering has no comments. Roger From: Heather Catuzo Sent: Wednesday, June 06, 2012 11:53 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: Certificate of Occupancy The Campbell Group LLC Please send comments to me no later than June 15, 2012. File can be viewed at: G:\EXCHANGE\Building Routings File Name: CO The Campbell Group LLC 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@citvofpa.us 1 Heather Catuzo From: Janessa Hurd Sent: Wednesday, June 06, 2012 1:48 PM To: Heather Catuzo Subject: RE: Certificate of Occupancy The Campbell Group LLC No comment From: Heather Catuzo Sent: Wednesday, June 06, 2012 11:53 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: Certificate of Occupancy The Campbell Group LLC Please send comments to me no later than June 15, 2012. File can be viewed at: G:\EXCHANGE\Building Routings File Name: CO The Campbell Group LLC 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@citvofoa.us COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on //l:7 Number of off-strparking spaces available for employees and L_)�' p �� a� �j: customers? `1 , (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) 2_ Sigp planned: PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No K Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 I PWWapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No.X If yes, what will be discharged: Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Datk4 Print Nameo-,("moi t�- Pt 4 Signature T: 1FormslBuilding Divsion\Certificate of Occupancy Application (2010) doe V Page 2 of 2 00 n a a u ow .7 o Cry o a a x 5 mu o � 7 r O q I U a aM a aIa W x F I c0 U r If1 a H o O u a o in xMo H W U N x O 0 H F x o H H w x W zF .N Un[ u az El ozzzaa W W 0 3 a a a F U 0 a< A. CERTIFICATE OF OCCUPANCY APPLICATION Permit # v2_--+4 FEES CITY OF PORT ANGELES Attn., Permit Technician TO) Certificate / Inspection. 321 E Fifth St., Port Angeles, WA 98362 440& Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for [)owntown locations iA & U{ 07.50 PLEASE PRINT IAI 1A*' Check one: New business in P.A.TAChange of ownership only? _1 Moving location from within P.A.? L Zoning is $4 BUSINESS NAME (T,o L_ Business address j i -7j Mailing address #l.: fl -i -,X i�q '48, Phone numbers 1 71 _14c, W1 a r--s!� -y' '-Opening datei-cl iPj Days & hoursof operation *t - i= it I R.t'� Business owner's name Contact phone 'W I - , Business own er's address CU, Y1N, (A i:-VQrw:47�2^�,, 44 C11 k CU Brief description of business Property owner's named `j ptact phone CA c6 14 1 I i 3 tl Property owner's addrpss/contkt N I k'k . BUILDING DEPARTMENT phone 417-4815 Bldg approval bil on Is the business a restaurant or bar that will seat 50 or more.people? Yes No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by KM on G -V -101L INW.Q 8#1 T(M L-keaza 00 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?. i : L4 PBIA notified Is business moving within the PBIA? Yes 1.1 No , CITYCLERK phone 417-4634 City Clerk approval by Second-hand dealerlpawnbroker business? Yes I I No YA Will there be dancing at this business? Yes C No A City of Port Angeles Business License is required for.. Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses, Page I of 2 on on V RE�C,Ei ED I !i IN - CITY OF Ndr_7 Op pORT,µ,O� CITY OF PORT ANGELES sty DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION U _ N • 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03-00000644 Date 11/06/03 Property Address . . . . . . 1215 S C ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -7158 -0000 - Application description . . . COMM ADDITION Subdivision Name . . . . . . Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . 24000 Owner Contractor HOCH, RICK TERRI HOCH CONSTRUCTION 4201 TUMWATER TRUCK RTE 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 983637257 PORT ANGELES WA 98363 (360) 452-5381 (360) 452-5381 ------ Structure Information REMODEL COMMERCIAL/RESIDENTIAL ----- Construction Type . . . . . TYPE V NON -RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 57.65 Plan Check Fee .00 Issue Date . . . . 11/06/03 Valuation . . . . 0 Expiration Date . . 5/05/04 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 10.6500 ECH ME -GAS PIPE 1 TO 5 10.65 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 62.15 62.15 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume tooiive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of efi constru ion. ) Signala Of ;o� td�A�uthorized Agent bate Signature of Owner (if owner is builder) Date T \PLANNING\F0RMS\1102 15 [4/2002] til BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED COMMENTS YES I NO FOUNDATION. FOOTINGS I WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS I SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL/ FLOOR/ CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineenng Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGH LANDSCAPING TING ESA LAN I I SHORELINE RESIDENTIAL ELECTRICAL - LIGHT DEPT CONSTRUCTION R W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T \PLANNING\FORMS\1102 15 [4/20021 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417-4735 417-4807 417-4653 417-4750 I� 417-4815 t � I (191 �\ `�'f iA I a �1 I ELECTRICAL LIGHT DEPT CONSTRUCTION - R W PW / ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED YES I NO PREPARED 11/07/03, 12 55-22 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/07/03 --------------- — — ------------------------ --------------- ADDRESS 1215 S C ST SUBDIV- CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER HOCH, RICK TERRI PHONE : (360) 452-5381 PARCEL 06-30-00-0-3-7158-0000- APPL NUMBER- 03-00000644 COMM ADDITION ----------------------------------------------------------- PERMIT: ME O1 MECEANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------- ------------------- ------------------ - - ME6 01 11/07/03 JL MECHANICAL GAS LINE Propane gas line, gagae is at down stairs fire place Dale 452-8525 ---------------------- --------------- COMMENTS AND NOTES-------------------------------------- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED I I` YES I NO FOUNDATION: FOOTINGS %� ��y-03 J L L WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH -IN PLUMBING UNDER FLOOR / SLAB 9 w- Q ROUGH -IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ ROOF /CEILING q- n( -D 3 DRYWALL T -BAR p INSULATION r ' SLAB = _, 1. WALL/,j&001`/CEIiII�Gf) MECHANICAL Y HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engmeenng Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM I PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGH ESA- LANDSCAPING TING I I I SHORELINE RESIDENTIAL ELECTRICAL - LIGHT DEPT CONSTRUCTION R W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T \PLANNING\FORMS\I 102 15 [4/2002] FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417-4735 417-4807 417-4653 417-4750 417-4815 'rt `j J�d`I j i-j— ELECTRICAL LIGHT DEPT CONSTRUCTION - R W PW / ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED YES NO dp0HTCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03-00000644 Date 7/07/03 Property Address . . . . . . 1215 S C ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -7158 -0000 - Application description . . . COMM ADDITION Subdivision Name . . . . . . Property Zoning . . . . . . . Application valuation . . . . 24000 Owner Contractor ------------------------ HOCH, RICK TERRI ------------------------ HOCH CONSTRUCTION 4201 TUMWATER TRUCK RTE 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 983637257 PORT ANGELES WA 98363 (360) 452-5381 (360) 452-5381 ------ Structure Information REMODEL COMMERCIAL/RESIDENTIAL ----- Construction Type . . . . . TYPE V NON -RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . Permit Fee . . . . 400.75 Plan Check Fee 260.49 Issue Date . . . . 7/07/03 Valuation . . . . 24000 Expiration Date . . 1/04/04 Qty Unit Charge Per Extension BASE FEE 92.75 22.00-------14.0000 THOU BL -2001-25K (14 PER K)--------------308.00 ------- -------------------------------- Permit . . . . . . MECHANICAL PERMIT - Additional desc . . Permit Fee . . . . 68.75 Plan Check Fee .00 Issue Date . . . . 7/07/03 Valuation . . . . 0, Expiration Date . . 1/04/04 Qty Unit Charge Per Extension BASE FEE '47.00 3.00 E-- ME -VENT FAN 21.75 ---------------- ----7.2500 Permit . . . . -------------------------------------------- PLUMBING PERMIT Additional desc . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 7/07/03 Valuation . . . . 0 Expiration Date . . 1/04/04 Qty Unit Charge Per Extension BASE FEE 47.00 6.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 42.00 1.00 7.0000 ---------------------------------------------------------------------------- ECH PL- EA.WATER HEATER 7.00 Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited ----------------- Due ---------- Permit Fee Total ---------- ---------- ---------- 565.50 565.50 .00 .00 Plan Check Total 260.49 260.49 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 830.49 830.49 .00 4,.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. "61� IftL _?/7 / 0-� Sign ure of Contractor or Authorized Agent date Signature of Owner (if owner is builder) Date T \PLANNING\F0RMS\1102 15 (4/2002] PREPARED 8/18/04, 12.20 04 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/18/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 1215 S C ST SUBDIV: CONTRACTOR • HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER HOCH, RICK TERRI PHONE : (360) 452-5381 PARCEL 06-30-00-0-3-7158-0000- APPL NUMBER 03-00000644 COMM ADDITION --------------------------------------------------- ----------------------- PERMIT: BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 8/11/03 JLL BUILDING FRAMING 8/12/03 AP BLWS 01 8/14/03 JLL BUILDING INSULATION WALL/FLOOR 8/14/03 AP BL1 01 11/14/03 JLL BUILDING FOUNDATION FOOTING 11/14/03 AP footing John 461-3220 depth ok on middle pier move clean out out of pier area/Ion said helper just left to get another clean out to install/aim BURW 01 12/05/03 JLL BUILDING RETAINING WALL 12/05/03 AP Retaining wall footing Rich Hoch 460-3824 BL99 01 _ 8/ 8/ 4 JLLVn BUILDING FINAL Rick 452-5381 --------------------- - -- COMMENTS AND NOTES ------------ s> 1 FARMEtS / INSUR AWE GROUP Hoch Agency 1215 S C St. Port Angeles, WA 98363 Fax: 360-417-1082 Phone: 360-417-1005 To Whom It May Concern: The Hoch Agency will service all handicap prospects & clients via the downstairs entrance. Sincerely, James Hoch / 1�p yC)Rt.j4rr FOR OFFICIAL USE ONLY \� BUILDING PERMIT - APPLICATION DateRec Permit# �.. �•,••-srr.rrrwrr Fill out COMPLETELY and in INK. Your application and site plan MUST Date Approved COMPLETE.to be accepted for review. If you have any questions, ca (360) 4174815 Dat Issued 4• -wloS Applicant or Agent: 4P4104,on SA4 tT n Phone: 462'-61)& Owner: 914A01- Phone: L_ S� S l Address: �i 201 TGtYn#VArW_ -ri? 0)L 1�lCity:_ PORT AA& �l,$�t Zip:��(p3 Architect/Engineer:_J�l lA %'P& 0 SM! tP ),J ) 77-15 Phone: 'L'�)) (o Contractor AOGN GpN"�► tG� p4> State License #: 4OP�c W N'r Exp: Phone:�5? ' 113aL ) Address:429i 7'Lli'NWATbx- llzu Gx-o). city: ndTzT ANc4 &Lt35 Zip: 01bs'&5— PROJECT ADDRESS: It ,G STr ZONING: G LEGAL DESCRIPTIO - Lot: CLALLAM COUNTY PARCEL NUMBER: NoWrg PAQX Wim' WALT= Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Multi -family %;k Addition ❑ Move `Q, Commercial Remodel Demolitio ❑ Repair ❑ Sign BRIEF DESCRIPTION OF THE PROJECT: Block: 3� Subdivision: P- A - __0j& 30 00 0 5 -71 5'$ ola LOTS 114 M PLtnK NOzNT- IAALP Ots T Aw- o� LAO 7--13 . City: Exp. Date: SIZEN, ALUATION: ❑ Stove S7 SF. @ $ /SF. = $ 2 41 000 . ao ❑ Garage SF. @ $ /SF. = $ Demolition ❑ Deck SF. @ $ /SF = $ ❑ Other TOTAL VALUATION $ hbMDVW OtJLr V1/-0"lNGI IG,TGNk£!V AA/0 MAZV- 1, wT 0 00.-,*caO/vl . 12W'MOMI— Wil S,n iVG 1VT'o 14. G aVAi COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type V— )`1 No. of Stories 1 Lot Size: $! 5a Existing Sq. Ft.Z (o & Proposed Sq. Ft. 51 = TOTAL Sq.Ft. 235 3 Existing lot coverage % & Proposed lot coverage % = Total lot coverage 1¢ • 4q I % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s)- ❑Yes El No No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements of 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 subnutted at the time the building permit application and construction plans are subnutted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no 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, current edition) No application can be extended more than once. t hereby certify that 1 have read and examined this application and know the same to be true and correct 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits pnor to work T U'ORWAPPS\Buddmgpermit wpd Applicant ��Tv� v`C� Date: I7' 1 U1W6 • 03 Move "n Yv) o .. r y • � s V�e, fc.o1 Ny Qu1vl� C2-) PWP O PREPARED 12/05/03, 12 27 56 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/05/03 ------------------------------------ ---- -------------------- ADDRESS 1215 S C ST SUBDIV CONTRACTOR HOCH CONSTRUCTION PHONE - (360) 452-5381 OWNER HOCH, RICK TERRI PHONE - (360) 452-5381 PARCEL 06-30-00-0-3-7158-0000- APPL NUMBER 03-00000644 COMM ADDITION ----------------------- ---------------- - --- PERMIT= BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------- --- ------------ - BL3 01 8/11/03 JLL BUILDING FRAMING 8/12/03 AP BLWS O1 8/14/03 JLL BUILDING INSULATION WALL/FLOOR 8/14/03 AP BL1 01 11/14/03 JLL BUILDING FOUNDATION FOOTING 11/14/03 AP footing John 461-3220 depth ok on middle pier move clean out out of pier area/Don said helper Dust left to get another clean out to install/Dim BURW O1 12/05/03 J^ BUILDING RETAINING WALL Retaining wall footing Rich Hoch 460-3824 ------------------------------------ COMMENTS AND NOTES ---- PREPARED 11/14/03, 12 40 32 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/14/03 -------------------------- ------------------ -------'----------- ADDRESS - 1215 S C ST SUBDIV CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER HOCH, RICK TERRI PHONE (360) 452-5381 PARCEL 06-30-00-0-3-7158-0000- APPL NUMBER 03-00000644 COMM ADDITION ------- - --------- --- ----------- ------------------------- PERMIT= BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------'----------------------------------- --------- BL3 01 8/11/03 JLL BUILDING FRAMING 8/12/03 AP BLWS O1 8/14/03 JLL BUILDING INSULATION WALL/FLOOR 8/14/03 *APBL1 01 11/14/03BUILDING FOUNDATION FOOTING footing John 461-3220 ---------- -- COMMENTS AND NOTES - c �V� CITY OF PORT ANGELES V DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ��'� i1�7 Time , S /-7 Received by (phone, person) f Location of Work to be inspected r3� Name of person requesting inspection p -j e L Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimneyumbing inal Sewer Excay. Other INSPECTION NOTES:) Inspected: Date Time i By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Repaired by City Work Order # ❑ Repaired by Permittee [] COMPLETE ❑ No Damage Found ❑ INCOMPLETE ❑ Other (Continue on reverse side if necessary) cTRFFT cl IPFRI1UTFNnF1UT (nATF1 PREPARED 7/24/03, 8.31.07 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/24/03 --— — ------- — — ---------——---- --—---———————----- — -— — -------- ADDRESS 1215 S C ST SUBDIV CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER HOCH, RICK TERRI PHONE (360) 452-5381 PARCEL 06-30-00-0-3-7158-0000— APPL NUMBER 03-00000644 COMM ADDITION -------------- --- ----------------------------------------- PERMITc PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 7/21/03 JLL PLUMBING UNDER SLAB TIME 17 00 7/2 3 AP PL2 01 /24/0 JLL _ PLUMBING ROUGH—IN TIME• 17 00 COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date I �'b Time Received by Vc- hone person) Location of Work to be inspected Name of person requesting inspections-�-,v Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimn Plumbing Final << Phone No. Permit No Sewer Excay. Other INSPECTION NOTES- 11,6C 0n-00ti Inspected: Date ` Time fe� Remarks: W, RESTORATION REQUIRED ...... YES <J,&,4 By SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC []Repaired by City ❑ Repaired by Permittee ❑ No Damage Found NO Work Order #' ❑ COMPLETE ❑ INCOMPLETE El Other (Continue on reverse side if necessary) STRFFT SI IPFRINTFNnFNT InATF1 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: % Date -9`!2! `4::*)� Time Received by / (phone, person) / �T Location of Work to be inspected --L;,7--L;,7f � �� C Name of person requesting inspection An C-. Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. �� 7 Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other 2.7, [ INSPECTION NOTES: Inspected: Date j< D3 Time Remarks: RESTORATION REQUIRED ...... l sCX_ YES plcoCe'- NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Other ❑ Repaired by City ❑ Repaired by Permittee ❑ No Damage Found Work Order # ❑ COMPLETE ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES 'V DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date 7i— -'o Time �(� : e, Received by�7�,sz.,c.�� ( honerson) Location of Work to be inspected°/ Name of person requesting inspection a2 C - Address of person requesting inspection Type of Inspection (circle a nate one): Phone No. X60 �-38d7 Permit No. G Sewer Foundation raming himney Plumbing Final Sewer Excay. Other h.eej- 10- Crx I l Sv h e. eco -h vn ee.i" V o (c INSPECTION NOTES. V "l OCL- Oa-e.z Inspected: Date ") Time 1� . Remarks: n RESTORATION REQUI ED ...... YES By SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Repaired by City ❑ Repaired by Permittee ❑ No Damage Found NO Work Order # ❑ COMPLETE ❑ INCOMPLETE ❑ Other 0 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) N st ,� VV -` 1/&` I FENCE TO ALLEY �ONCRETE SIDEWALK 21'-1 1/4" 24'-0" 18'-0" " iTEPS i 1-- . l �ONCRETE STOOP— ZOOF 0 NEW CONCRETE I i t Na; STALL � I IALK TO EXISTING 1 I = O O :URB i 5 IDE NEW CONCRETE MAXIMUM SLOPE I I e 1:12 ,ONCI;MTEBLOCK I AND TRILLIS BU I LD INC- = PROPOSED NEW —"—"—" j A5PI44LT DRIVE AND 14'-0"24'-0" 18'-0"3 ,-� 'I PARIKING LOT 48'-0" I i. 59'-O'► I ,I I I SITE I I I I SCALE: I" = 20'-0" I I I i I I I I I — — — — — I - ALLEY — — — — — — — — — — — — — — — — — I U N st CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . Pin number . . . . . . Property Address . . . ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . Application description Subdivision Name . . . Property Use . . . . . Property Zoning . . . . Application valuation . . . . 04-00000280 Date 4/06/04 .476960 . . . 1215 S C ST 06-30-00-0-3-7158-0000- . . . FARMERS INSURANCE . . . SIGNS . . . COMMERCIAL NEIGHBORHOOD . . . 900 Owner Contractor HOCH, RICK TERRI OWNER 4201 TUMWATER TRUCK RTE PORT ANGELES WA 983637257 ( 36) 452-5381 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . 17.5 SF WALL MOUNTED SIGN Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . 4/06/04 Valuation . . . . 900 Expiration Date . . 10/03/04 Qty Unit Charge Per 1.00 30.0000 PER S- SIGN LES THAN 25 SF Fee summary Charged Paid Credited Permit Fee Total 30.00 30.00 .00 Plan Check Total .00 .00 .00 Grand Total 30.00 30.00 .00 Extension 30.00 Due •�' .00 .00 .00 fes_ V 11 n G Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ?",-0 ",cil A' Signature/ f Contractor or Authorized Agent I Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4174735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ' ROUGH -IN ' PLUMBING 1 UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL LLS CEILING FRAMING JOISTS/ GIRDERS I SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR (INSULATION it SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineenng Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s ! SEPA: PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL I DATE YES NO COMMERCIAL ELECTRICAL - LIGHT DEPT CONSTRUCTION R W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T.IPLANNINGIFORMS11102 15 (11/14/2003] 417-4735 417-4807 417-4653 ' 417-4750 417-4815 ELECTRICAL LIGHT DEPT CONSTRUCTION - R W. PW / ENGINEERING I FIRE DEPT. PLANNING DEPT BUILDING DATE ACCEPTED YES NO PoRr.a t . FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec yg Permit #{ OL) •'r. Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date App,oved COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Issued Applicant or Agent, '�nx C_ C� ' t,, r Owner- Ri clic :-Fe.rrw & ck l Address. 121 C C q . City: Architect/Engineer: r Contractor State License #: Address 'Si rvi P ea s e- kn %t -e City - PROJECT ADDRESS: Phone: 917- 1005 Phone. !P^ r 4 An V10 -i Phone- Exp LEGAL DESCRIPTION: Lot: 9.2 LTS 11 k 12Block: 371 Subdivision: CLALLAM COUNTY PARCEL N LAMER: Nes. Sn nod ;� 71 S R OOC O Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: No, of Stories- _ Lot Size: ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Multi -family ❑ Addition ❑ Move ❑ Commercial ❑ RemodeI ❑ Demolitio ❑ Repair X Sign City: 4S2- S381 zip: UUR Phone: Zip - ZONING: Exp. Date: SIZENALUATION: 1:1 Stove SF. @ $ /SF = $ El Garage SF @ $ /SF. = $ Demolition ❑ Deck SF. @ $ /SF = $ ❑ Other TOTAL VALUATION $ 90 p .da 11bun j 3. S Y _5<`� COMMERCIAL/RESIDENTLAL: Occupancy Group: Occupant Load: Construction Type: No, of Stories- _ Lot Size: Existing Sq Ft. & Proposed Sq. Ft = TOTAL Sq. Ft. Total lot coverage % ONLY: �''�fh ;A--� , `,.�, J>_e. 17, APPROV S: PLAN:��' i �P,L�yA-INNINGUSE �/ / ,' n .P'�'9 l i' ., j_�/ . ®�� ..-. �•�Q.:. Qi,�): t�� .�..� Cf i t A ,,� �P r�.., G7 :X . ��'> 7' / i BLDG: DPVv U• ESA/Wetland(s)- ❑ Yes-�No SEPA Checklist required? El Yes El No Other: Fes' 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 maybe 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: If no pernut 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 Umfoirn Building Code, cur ent 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. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work T TORMSIAPPS\Btuldingperm;t wpd Applicant Date- 9 /2 IN y L&5s �a4Q�oX�c�na�C 5�Z�-� 12 1S s� I-aej�iDh cr1 * o rv%CC A Ue-y "ORT o�N CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ciT+� (206) 457-0411 PERMIT NO. �z �Z DATE ELECTRICAL PERMIT Site Address:,,.� El INSPECTION FOR El WILL CALL FOR / Oc-�`� C ' INSPECTION INSPECTION Installed By: (.y e CS�� I License Number: I Phone: t-Crl� Owner/Business Phone: Owns er/Business Address: Sq. Ft. u ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE FURNACE KW -/(L ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE HEAT PUMP KW ❑ REMODEL VOLTAGE: 11FAN/WALL KW ADD/ALTER CIRCUITS L1 1 El 3 SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: -- —� �D lK/ Tit t4 - I W.S! No. SERVICE SIZE DATF ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER I I I ❑ Ditch Inspection OX ❑ Rough-in/cover O.K. ❑ O.K. to connect service I F inal O.K. Site Address- / � � � Permit/Receipt No. � �. S2 7g Installer.n & New Meters Date: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report ® or on the Building Permit. PHONE 457-0411, EXT. 224. / �A NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT �I J Electrical Inspector • Permit Fse WHITE — File by address PINK — Top: Eng, Bottom, Customer GREEN — Top: Meter Dept., Bottom: City Hall OLV—PRINTERSINC