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Home My WebLink About160 Del Guzzi Dr - Building W CITY OF FORT ANGELES PERMIT APPLICATION Building Divisions/Electrical Inspections RECEI 321 East Fifth Street--1P.O.Box 1150/'Port Angeles Washington,98362 ' Ph. (360)417.4735 Fax: (360)417-4711 DEC 9 2013 Date: �� 1.. . _Multi-Family or Commercial* RECTRICAL INSPEC71ONS *Plan Review May Be R uired, FI Complete Electrical Plan eview'Information eet Job Address: Building Square Foo pwrc peon of at tage: r Owner Information Contractor Informatl Name, Name: " Malling Address: Mailing Ad 99. tfi _ city- Stale: p:_, '�.. City: State, 7Jp phoned Fax: Rhone: FaX: _ r — License#1 Exp. License#1 Exp. Item Unit 21harge Totol Qtv MuRI lied Charge) Servlce/Feeder 200 Amp. $192,00 $ Servlce/Foeder 201.400 Amp. $160.00 $ :ervicelFeedor 401.600 Amp $225.00 $ 8ervioelF`eeder 601.1000 Am p. $296,00 $ ServioOeeder over 1000 Amp. $410.00 $ Branch Circuit W1 Service Feeder $ 5100 $--^ Branch Circuit W10 Servlce Feeder $ 74.00 $ Each Additional Branch Circuit $ V0 Branch Circuits 14 $ 96,00 Temp,Service/Feeder 200 Amp. $102.00 �� $ Temp.ServlWFoodor 201.400 Amp, $121.00 $ --- 'temp.Servlce/Fseder401100 Amp. $164.00 $-T-- Temp.Servimil'ooder601.1000 Amp, $185,00 $ - Portal to Portal dourly $ 96,00 - $ $Jgn/0utline EJghting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64,00 -�-- $--� Signal Orcult/Limited Energy I First 1.rr00 sf-Commercial $ 00.00 -- Note: $5,00 for each additional 1600 sf Ronewable Electrical Energy-SKVA System or Lass $113.00 $ Thermostat $ 56,00 $-- - Note:$5,00 for each addliticnal 7Stat $ Total owner as defined by RCK19.28,261;(1)Owner will occupy the structure for two years after this olectrical 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 contrador,I am malting the electrical installation or alteration in cornpliance with the electrical laws,N,E.C.,12CW,Chapter 42$,WAC.Chapter 296469,The City of Port Angeles Municipal Code,and Utility Spec160allons and PAMC 14.06.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Caah d ch.c* .- ❑ credit card• 01101012 zfT'd TTLt,2-Tt7:01 Zt766ZSb092 0IJ108-13 S808:140Z�A 2b:80 ET02-6•-ODO ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , , , 33-OOD01421 Date 12/10/13 Application pin number 649697 Property Address , . . . . 160 DEL GUZZI DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-12-3-4-9020-0000- Application type description ELECTRICAL ONLY ony your excise tax form ProppertyiUs Name to the City of Port Angeles Property Use Property Zoning . , . . . , . COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . , . . 0 ---------------- Application desc circuits Owner Contractor ------------------------ ------------------------ WUJI ENTERPRISES LLC BOB'S ELECTRIC INC P O BOX 3101 2293 DEER PARK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-7687 (360) 457-6887 Permit . , , . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee .00 Issue Date 12/10/13 valuation . , . , 0 Expiration Date 6/08/14 Qty Unit Charge Per Extension BASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86,00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANOMBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES "�- 360-417-4735 " Application Number 13-00001421 Date 12/10/13 Application pin number 649697 Property Address 160 DEL GUZZI DR REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-12-3-4-9020-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Pod Angeles Property Zoning . , , , . , . COMMERCIAL ARTERIAL (Location Code owie ®502) Application valuation . . 0 ---------------------------------------------------------------------------- Appli,cation desc circuits Owner Contractor ------------------------ ------------------------_ WUJI ENTERPRISES LLC BOB'S ELECTRIC INC P 0 BOX 3101 2293 DEER PARK RD, PORT ANGELES WA 98362 PORT ANGELES WA 98362 - -- (360) 4---7687 (360) 457-6887 ------------------------ Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee .00 Issue Date 12/10/13 Valuation 0 Expiration Date 6/08/14 Qty Unit Charge Per Extension .d.y BASE FEE 86.06 Fee summary Charged Paid Credited Due p. Permit Fee Total. 86.00 86,00 .00 .00 1 Plan Check Total .00 00 00 ,00 Grand Total 86.00 86100 .00 .00 r V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN Z FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWUILDING Application Number 11 00000045 Application pin number 045310 Property Address 160 DEL GUZZI DR ASSESSOR PARCEL NUMBER I 06 30 12 3 4 9020 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc 2 circuits for exray Owner WUJI ENTERPRISES LLC P 0 BOX 3101 PORT ANGELES WA 98362 (360) 452 7687 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH Signature of owner or Electrical Contractor 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Contractor THE ELECTRIC COMPANY PO BOX 1471 PORT ANGELES (360) 457 7120 ELECTRICAL ALTER COMMERCIAL 180349 76 10 Plan Check Fee 1/13/11 Valuation 7/12/11 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 76 10 76 10 00 00 00 00 76 10 76 10 00 DATE SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS Date 1/13/11 WA 98362 Due 00 00 00 0 0 0 Extension 73 50 2 60 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date Plan Review May Be Required, Please Com lete Electrical Job Address: .f z )2 Building Square Footage: I Description of above I I I Phone: License Exp. ECEIVE CITY OF PORT ANGELES PERMIT APPLICATION !JAN 12 2011 Building Division/Electrical It spections ELECTRICAL 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 983PECTIONS Ph. (360) 417 -4735 Fax: (360) 417-4711 Date.i■/j) 2 Sin1e Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Owner Inf•rmation r Contractor formation Name: C.—;- Name: d G ��'L —i t O Mailing A dres 4 rl2 a. Mailing ddress: �,f, /TeX /4 City' /9 State: Zr): City 5490 St a te:�� Zip: Si m/� Fax: Phone:�7 Fax: St License Exp. e�7G ../444 Ce-1 i 4669 --.4 o°7 Item Unit Charae ON Total (Qtv Multiplied by Unit Charge) Service /Feeder 200 Amp. $119.90 Service /Feeder 201 -400 Amp. $145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 73.50 l 73, ceS Each Additional Branch Circuit 2.60 4•-u Temp:"Serv:c el-Feader 200 Amp. 9270 Temp. Service /Feeder 201 -400 Amp. $110.30 Temp. Service /Feeder 401 -600 Amp. $148.70 Temp. Service /Feeder 601 1000 Amp $167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 74 .f,2rotai 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.0 RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator D Ca I Check Dated: i/ Ian Revie Information Sheet') �(Z�5 4- 9;f3/ Credit Card 0110112010 O v CO l'iP oRksb w ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATF PERMIT M INSPECTOR 1 6! fo -OR I 2 ON/NER/CONTRACTOR /40 cZ ?r..14 ti I.lsu --X'` ADDRESS 66 L APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: t N AIL -R 0 f2 G° V elm tt NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE P°RTAPV ELECTRICAL INSPECTION WIRING REPORT 'c AKS 417 -4735 �RKS 6 DATE PERMIT I l jJ OWNER/CONTRACTOR LJ c1 1 Tz txri .a 2t S 6_G INSPECTOR ADDRESS /a J Zz APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED: grfc -/-t0 J£ Ca11 rZ.0 1112. cflCL 9vYLr -tom ils(-4s t C-A ►D- A,r-ui c� NO TIONS E COMPLETED WIT 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 10 00000812 Application pin number 214748 Property Address 160 DEL GUZZI DR ASSESSOR PARCEL NUMBER 06 30 12 3 4 9020 0000 Application type description ELECTRICAL ONLI Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc 5 circuits altered remodel Owner WUJI ENTERPRISES LLC P 0 BOX 3101 PORT ANGELES (360) 452 7687 WA 98362 Permit Additional desc Permit pin number 170303 Permit Fee 83 90 Issue Date 8 /05/10 Expiration Date 2/01/11 Qty Unit Charge Per 1 00 73 5000 ECH 4 00 2 6000 ECH Charged Permit Fee Total 83 Plan Check Total Grand Total (3 Fee summary Contractor NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 Signature of owner or Electrical 2ontractor X (360) 477 1764 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Paid Credited 90 83 90 00 00 00 00 90 83 90 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION DATE. RESULTS Date 8/05/10 12e VLWWS 00 0 Extension 73 50 10 40 Due 00 00 00 INSPECTOR. Date. REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 0 2010 -08 -04 11:26 NORTH PEN INSULA ELEC City of Port Angeles Permit Applicatloi Building OlvisionlElectrical Inspections 321 East Fifth Street -P,0, Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax (360)4174711 Date: 1$ 2 Single Family Dwelling Multi- Family or Commercial' ?Commercial Addition I Alteration 1 R !model I Repair Plan Review May Be R fired, ease Complete ectri Ian R view Information Sheet Job Address. (1 �t Y 1 i ce Building Square Footage: Description of above Nam Owner ati r 1 I Name; Mailing Address City Phone:__ License 1 Exp. Unit Charoe S 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 S 92.70 110.30 $148.70 $167 90 95.90 8820 95.90 63.90 63.90 119.90 102.30 $110.30 3520 73.50 110.30 5 56.00 State: Fax: glx Zip: 3609289409 360 417 47, RECO AUG 4209 ELECTRICAL INSPECTIONS At (a rr'I l(:L,� )1111C- raff��N o tral;tor llor{natlon Mailing Address FF�\ City State Phone:L' ll L)-i Fax License Exp J•j r h rr O CI ieck r I Date: Total (0tv Multiolied by Unit Charnel S Service/Feeder 200 Amp Service /Feeder 201 -400 Amp Service/Feeder 401 -600 Amp S Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeaer .3i Branch Circuit W/O Service Feeder C) 4 Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp Temp Service/Feeder 201400 Amp. Temp Service/Feeder 401.600 Amp Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting S Signal Circuit/ Limited Energy Commercial Additional 1500 $5.00 Signal Circuit/ Limited Energy 1 it 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Podron of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub .C,-Thermostat 4otal Ir_, IC/ a Zip: 4 cn.L3i 9 Li r -12_ Credit Card ft (T I 1 4. P 1/1 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 properly Is for sale, rent or lease. Permit expires after ex months of lest Inspection. After reading the above statement. I hereby certify that I am me owner of the above named property ore 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 296468, The City of Pon Angeles Municipal Code, and Utility Specifications, O Cash Signature of owner electrical contractor or electrical administrator PREPARED 10/06/10 8 20 17 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/06/10 ADDRESS 160 DEL GUZZI DR SUBDIV TENANT NBR ANGELES CLINIC FOR ANIMAL CONTRACTOR CHILDERS BUKOVNIK CONST INC PHONE (360) 461 4148 OWNER WUJI ENTERPRISES LLC PHONE (360) 452 7687 PARCEL 06 30 12 3 4 9020 0000 APPL NUMBER 10 00000660 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 7/28/10 JLL BLDG FOUNDATION STEM WALL TIME 09 00 7/28/10 AP July 27 2010 4 50 12 PM 1pangrle MIKE 460 5765 STEMWALL MORNING THE PERMIT IS ON THE POST NEAR THE STEMWALL AREA July 28 2010 4 28 30 PM jlierly BL3 01 8/09/10 JLL BLDG FRAMING TIME 01 00 8/09/10 AP August 6 2010 11 14 36 AM 1pangrle BILL 461 4148 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 9 2010 4 45 49 PM jlierly BLI 01 8/12/10 JLL BLDG INSULATION TIME 01 00 8/12/10 AP August 12 2010 8 39 03 AM 1pangrle BILL 461 4148 INSULATION AFTERNOON August 12 2010 4 36 48 PM jlierly BL99 01 10/06/10 BLDG FINAL TIME 01 00 October 5 2010 4 06 38 PM 1pangrle BILL 461 4148 BUILDING FINAL X RAY ROOM ADDITION AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 10/06/10 J L PLUMBING FINAL TIME 01 00 October 5 2010 4 07 33 PM 1pangrle BILL 461 4148 PLUMBING FINAL X RAY ROOM ADDITION AFTERNOON COMMENTS AND NOTES PREPARED 8/12/10 8 41 36 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/10 ADDRESS 160 DEL GUZZI DR SUBDIV TENANT NBR ANGELES CLINIC FOR ANIMAL CONTRACTOR CHILDERS BUKOVNIK CONST INC PHONE (360) 461 4148 OWNER WUJI ENTERPRISES LLC PHONE (360) 452 7687 PARCEL 06 30 12 3 4 9020 0000 APPL NUMBER 10 00000660 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 7/28/10 JLL BLDG FOUNDATION STEM WALL TIME 09 00 7/28/10 AP July 27 2010 4 50 12 PM 1pangrle MIKE 460 5765 STEMWALL MORNING THE PERMIT IS ON THE POST NEAR THE STEMWALL AREA July 28 2010 4 28 30 PM jlierly BL3 01 8/09/10 JLL BLDG FRAMING TIME 01 00 8/09/10 AP August 6 2010 11 14 36 AM 1pangrle BILL 461 4148 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE August 9 2010 4 45 49 PM jlierly BLI O1 8/12/10 BLDG INSULATION TIME O1 00 August 12 2010 8 39 03 AM 1pangrle BILL 461 4148 INSULATION AFTERNOON COMMENTS AND NOTES PREPARED 8/09/10 8 22 43 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/09/10 ADDRESS 160 DEL GUZZI DR TENANT NBR ANGELES CLINIC FOR ANIMAL CONTRACTOR CHILDERS BUKOVNIK CONST INC OWNER WUJI ENTERPRISES LLC PARCEL 06 30 12 3 4 9020 0000 APPL NUMBER 10 00000660 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 461 4148 PHONE (360) 452 7687 BL2 01 7/28/10 JLL BLDG FOUNDATION STEM WALL TIME 09 00 7/28/10 AP July 27 2010 4 50 12 PM 1pangrle MIKE F6R0AM5ING 5 STEMWL LL MORNIG THE PRT S ON THE POST NEAR THE STEMWALL AREA July 8 20 4 28 30 PM jlierly BL3 01 8/09/10 Lim BLDG TIME O1 00 August 2010 11 14 36 AM 1pangrle BILL 464148 FRAMING AFTERNO PLEASE HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 7/28/10 8 14 47 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/28/10 ADDRESS 160 DEL GUZZI DR SUBDIV TENANT NBR ANGELES CLINIC FOR ANIMAL CONTRACTOR CHILDERS BUKOVNIK CONST INC PHONE (360) 461 4148 OWNER WUJI ENTERPRISES LLC PHONE (360) 452 7687 PARCEL 06 30 12 3 4 9020 0000 APPL NUMBER 10 00000660 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS COMMENTS AND NOTES BL2 01 7/28/10 JL BLDG FOUNDATION STEM WALL TIME 09 00 July 27 2010 4 50 12 PM 1pangrle vt 7,11 MIKE 460 5765 STEMWALL MORNING THE PERMIT IS ON THE POST NEAR THE STEMWALL AREA y Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 80 SQ FT X RAY ROOM ADDITION Owner WUJI ENTERPRISES LLC P 0 BOX 3101 PORT ANGELES WA 98362 (360) 452 7687 Structure Information 000 000 Permit BUILDING PERMIT COMMERCIAL Additional desc 80 SF ADDITION X RAY ROOM Permit pin number 168229 Permit Fee 193 75 Issue Date 7/16/10 Valuation Expiration Date 1/12/11 Qty Unit Charge Per Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 1 00 7 0000 EA PL -WATER LINE Z ro\ t (1. .�C\ c5 T:Forms/Building Division/Building Pennit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000660 Date 7/16/10 789100 160 DEL GUZZI DR 06 30 12 3 4 9020 0000 ANGELES CLINIC FOR ANIMAL COMM ADDITION COMMERCIAL ARTERIAL 8420 Contractor CHILDERS BUKOVNIK CONST INC 13 VALHALLAS DR PORT ANGELES (360) 461 4148 ADD AN 80 SF X RAY ROOM Plan Check Fee BASE FEE 7 00 14 0000 THOU BL -2001 25K (14 PER K) PLUMBING PERMIT MOVING A HOSE BIBB 168492 57 00 Plan Check Fee 7/16/10 Valuation 1/12/11 Special Notes and Comments The Fire Department has reviewed the project application and has no comments July 15 2010 11 37 40 AM sroberds The proposal will result in an 80 sq ft addition to a commercial structure in the CA zone No land use issues anticipated Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will WA 98362 125 94 8420 Extension 95 75 98 00 00 0 Extension 50 00 7 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) hniv‘ein ()AO° 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) 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 Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump I Furnace I 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 SHORELINE. T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 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 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By rekti trarm Ns) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number T:FornsBuilding Division/Building Permit 10 00000660 789100 Special Notes and Comments be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Page 2 Date 7/16/10 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 250 75 250 75 00 00 Plan Check Total 125 94 125 94 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 381 19 381 19 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 BUILDING PERMIT INSPECTION RECORD Inspection Type 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 Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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. PLANNING DEPT Separate Permit #s Parking Lighting Landscaping Date Accepted By 1-1,5k— Inspection Type "CW 'TL- I I I I I Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date I Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 0 0 F v 10 -6 -10 ALL, 5 awne ..ter- Couyi y Websre WUjt E erphsest_t_c A PO 6oK310l PA fl 9 83 2 BUILDING PERMIT APPLICATION Print in ink Applicant 1> AL, Phone t. Property Owner ,4i5 t.-0 Phone Property Owner's Address I& o b e,I6 uzz i bi A Contractor Ki LL, Grrrt Gl„,((ie_s Ev,„(cov k C Phone Contractor's Address 13 VA Clki.ftas hr. A g83c0 2 License c N ti-b c. p I PROJECT ADDRESS Parcel Number Project Tvpe Brief Description. Check all that apply New Construction (Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Expires (60 heA 62uzz1 fi A, Ame (es a t -c 6-t A Lot Zoning C, Residential Multi family 1/Commercial P k 4-r ail X ram r o o m x1C alavir\1 a f?.;bfa House garage other Heat pump wood burning stove gas fireplace pellet stove other Ko nqAu InPA4 S itji= Existing (sq. ft.) Proposed (sa. ft.) 31 9 S 9-e) tolt Max. height of proposed structures /1 ft. Occupancy group Will a lawn sprinkler system be installed? 14 0 Occupant load Will a fire sprinkler system be installed? j4 0 Construction type E -mail For City Use Only to Received (Q ZSS- I U mit# 10 (o 6 D \e t pprove 14S 4 2- 7(9 S7 4c15l 4(4R c k: t c(e,N, b i l l cMa. cam Industrial tear off re -roof lay over one layer per sq ft. Io5.2lc 6;4-24) TOTAL VALUATION gi 4Zd Total footprint of structures '3 76 sq ft. T Lot size 29 5$y sq ft. Lot coverage /'/,1_. 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 N u6 of bedrooms of full baths of half baths O O have read and completed this application and know it to be true and correct. 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 to4orking on pf s. Date T.Forms /Building Division /Building permit application U WY 101 113 gl 2104- 4:7 LL cZV t•i N 3 >I y s 1 1 1 1.1.5" I ht 1 \A H 1g1 1 ci 1 I .S I) 4. 2 ipelvt-Tiv s c—c 1. 1 JOSHUA'S HP RESTAURANT 140 113 0 120/208 SECT CAB 3-LBC4 SUPER 8 MOTEL 2104 10 J-46. 3F SECT CAB T_C,AB ,,3-LBC3 J-47_ 1\ June 10 2004 GELES W A S H I N G T O N U S A PUBLIC WORKS UTILITIES DEPARTMENT Kathleen Graf 221 Fox Point Road Port Angeles, WA. 98362 Subject: 160 Del Guzzi Drive New Service Job# 9785 Dear Kathleen, Per your request for electrical service a cost estimate has been created The cost for labor and materials supplied by City Light to serve your property is $4,277 43 This estimate is good for 180 days This estimate is subject to change and may require signed /notarized easement(s) as additional data is provided The customer /contractor will be responsible for the following 1) Surveying and staking the property Clearing grading and bringing the area to final grade before installation of electrical facilities 2) Trenching backfilling and restoration of the entire job The primary cable trench must be a minimum of forty -seven (47 inches deep trench twenty -four (24') inches wide and approximately five (5') feet in length. The trench must meet the requirements of WAC Chapter 296 155N "Excavation. Trenching and Shoring The service wire trench must be a minimum of thirty -three (33 inches deep and eighteen (18 inches wide from the secondary pedestal to the meter location Ail excavated material shall be placed no closer than two (2) feet from the back edge of the excavation and any excavation over forty -seven (47) inches in depth will need shoring Backfill and compaction will be in accordance with Spec# UM 0 01 -P and UM 0 01 -S (enclosed). 3) Excavation and backfill for the transformer vault 32 "x44 'x36' Spec# U 1 04 (enclosed) 4) Installation and future maintenance of the underground wire in conduit from the secondary pedestal to the meter base(s) 5) Providing a 24/7 all- season road for maintenance 6) Coordination with Capacity Provisioning Qwest and WAVE Broadband for installation of their equipment and joint trench usage 7) All required permits (Trenching in the R/W etc.) 8) Payment of the estimated job cost: $4,277 43 321 EAST FIFTH STREET P 0 BOX 1 150 PORT ANGELES WA 98362 -0217 PHONE 360-417 4805 FAX 360 -417 4542 TTY 360 -417 4645 E MAIL PUBWORKS @CI PORT ANGELES WA US The City will be responsible for the following 1) Providing and installing the primary cable(s) and conduit. 2) Providing and installing the transformer vault(s) secondary pedestal(s) and associated equipment. 3) Providing and installing a 32Oa 12O/240v electric meter If the actual cost of construction exceeds the estimated amount, there will be no further billing If the cost is less than the estimate, the difference will be refunded to you. Work will be scheduled in five (5) to six (6) weeks after the receipt of the payment for $4,277 43 and an authorizing signature below This allows for engineering design, scheduling the City Light crews and the requisitioning of materials. If you have any questions or concerns, feel free to contact me. ohn G Hebner Electrical Engineering Specialist Jhebnerecitvofoa.us 360 -417 -4706 Authorizing Signature Date Cc: James Harper Electrical Engineering Manager Alan Oman, Electrical Inspector Roger Vess, Permit Technician File Attachments: 3 Ref: WF18886/01 cf ,ORr ~ ~..~~... o,.~ L~ ~ .~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~' <5'\ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000584 Date 768480 160 DEL GUZZI DR 06-30-12-3-4-9020-0000- GRAF & WILCO MECHANICAL APPL. PERMIT 6/05/06 tit ~ 12130 Owner Contractor WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES WA 98362 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 79319 Permit Fee 36.40 Plan Check Fee Issue Date Valuation Expiration Date 12/02/06 .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 79301 64.70 Plan Check Fee Valuation .00 o 12/02/06 Qty Unit Charge Per Extension 50.00 14.70 "'-. ~ C) BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 101.10 101.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 101.10 101.10 .00 .00 E ~ ~ ~ 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. Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGiLlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 ~ FIRE DEPT. PLANNING DEPT. 417-4750 i \ PLANNING DEPT. BUILDING 417-4815 '~ "1111 f} } \ M BUILDING T:\Po1icies\1102_15 building pennit inspection record05.wpd [1!4/200~ I ~ , ~ ~ ~ \) s:~ ~~ c::. N ~ ~ L- ,- I JUN-05-2006 09:12 AM ALL WEATHER H/C Inc 360 452" 5177 P.02/02 ~ Vi; BUILDING PERMIT. APPLICATION FHI out COMPLETELY and'n INK. Your appUcation and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call PERMITS (360) 417~481S FAX(360)417-4711 Owner: Address:! ~D DefJ /1]1.) DR/f.9H City: " ArohitectlEngincer; Phone: contra_~it::;,~ State Lieen.e #:~: 'I Ji (Olp Address:-,_ CIty: fD(1 ~t( PROmCf ADDRESS: I bO ~I(j IJ lZ/ D',' Ve. LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY P AReEL NUMBER: Phone~~~1 Phone: ~ - 64- Zip: 9f(j,~/r;2 Phone~)4'5l4li~~ ZiP:J./J3~L - ZONING: Subdivision: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZE/V ALUATION: C Residential 0 New Constr. 0 Re-roof C Stove SF. @ $ /SF. .. $ C "Multi-family CI .Addition 0 Move C Garage SF. @ $ ISF, "" $ l5ifCommerciaJ It Remo del 0 Demolition C Deck SF. @$ ISF," $ Cl Repair CI Sign C Other TOtAL VALU.f..TION . $M~ BRIEF DESCRIPTION OF THE PROJII:CT: Ift:a t Pu fYI p In {ftL II WILY N 1 r II Jfi7T. ~ COMMERCIALIRESIDENTIAL: Occupancy Group: No. ofStorles: _ Lot Size: Existing Sq, Pt. Total lot cO'Vclra8e ~ Occupant Load: Construction Type: & Proposed Sq, Ft - TOTAL Sq. Ft. PLANNING USE ONLY: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: ESAlWetland(s): DYes 0 No SBPA Checklist required? C Yes 0 No Other: OTHER:_ VALUATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the BuildinS 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 pennit application and construction plans are submitted. All other pemrit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 18D days of the date ofapplicatioll, the appUcation will expire. The Building Official can extend the time for action by the applicant up to 180 days UpoD written request by the applicant (see Section R105.3.2 oftbe Incematiol1ll1 BuildinglRcsidential Code, 2003), No application can be extended more than once. " , I hereby certify that I have read and examined thIs eppllcetlon end know the same to be true and correct. I am authorIzed to apply for thIs permit and understand that It Is my responslbllny to determIne what permits are requIred ,not the City's, and t I mu t obtaIn such pennlts prior to work, , Date: ft7/S /1J1o Applicant: T:\R VESS\BLDG.folTlll.brochurel\2004.BulldlngptDTnit. WJ)d ~ "!-=J- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000243 Date 382707 160 DEL GUZZI DR 06-30-12-3-4-9020-0000- WUJI, LLC COMM ADDITION 4/07/06 c::p ;s;. l.)) Owner Contractor 0Jhltkfe., -~kJ;b 13 92 00 WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES Other struct info . CHILDERS BUKOVNIK 13 VALHALLAS WA 98362 PORT ANGELES (360) 457-6547 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS CONST INC WA 98362 17.10 1. 00 4320.00 34585.00 1600.00 5920.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL ADDITION TO VETERINARY CLINIC 74146 1244.25 Plan Check Fee Valuation 808.76 139200 10/04/06 ~4 40.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1020.25 224.00 - Qty Unit Charge Per Permit ELECTRICAL ALTER COMMERCIAL Additional desc L/V T-STAT Permit pin number 74179 Permit Fee 36.40 Plan Check Fee Issue Date Valuation Expiration Date 10/04/06 .00 o ~ a ~ - S\ ~ <..N vJ '- Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 74161 79.20 Plan Check Fee Valuation .00 o 10/04/06 Qty Unit Charge Per Extension 50.00 14.70 14.50 BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU 2.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT 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 lo~al la legulating construction or the performance of construction. ~ '1/ . II ) 1;/ ~~2. Signature of Contractor or Authorized Agent Date Signature 0 b'wner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] 1- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. ~ > CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I T FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] cf'ORT~ ~ \;: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 06-00000243 Date 4/07/06 Application pin number 382707 Additional desc . Permit pin number 74153 Permit Fee 127.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 10/04/06 Qty Unit Charge Per Extension 50.00 70.00 7.00 BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA.WATER HEATER Special Notes and Comments 03/16/2006 08:12 AM KDUBUC -----------------------------The Fire department will require plans for review. Electrical load calculations and elctrical permits are required. Any changes to City electrical facilities (i.e. transformer upgrade) will be at the custmer's expence. 03/20/2006 04:09 PM GMCLAIN ---------------------------- Public works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1486.85 1486.85 .00 .00 Plan Check Total 808.76 808.76 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2300.11 2300.11 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:IPoliciesll 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. .... CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ~ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: , . rf~); fi, d"V FOOTINGS rzw~ I O~ JW SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR 1 SLAB e,1'1fJ./IJb'11/ ROUGH-IN i./-I). 7-0 G J J.iL/ WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS "/~b 1(;(, \iW CEILING , FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING -W-Vi /ht: vl/ DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION , SLAB c..f /7/&/ e , v~ r WALL 1 FLOOR 1 CEILING Ft/S /0" lf~ MECHANICAL , r-Jjpr, pJ /41tff It, -I h - HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE (,/'U{/~ vi FINAL r-Z3/~ '~ ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY DATE COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. I BillLDING 417-4815 BUILDING 1~/J.1;'6 ~1 ),1- , ~ \}l ~ ~ F ~ ~~ r\:J ~ ~ ~~ ~ """ ~ T:\Policies\] 102_15 building pennit inspection record05.wpd [1/4/2005] I / / / "'''' o "- 01 N "- CO r.lr.l C:>E-< od;od; p..o " '" '" '" , " '" '" >< ..:l 0: r.l H ..:l ..:l E-< r.lUl O<:r.l ~~ E-<r, Z 00: HO E-<E-< UU r.lr.l p..p.. UlUl ~~ o '" M > H o gJ Ul r.lr.l ZZ 00 :x::x: p..p.. 01 '" U Z H Z o E-< 'H Ul oE-< Z OH OUoO Uj~~ 0<: 0 P::: H(I)N~ Q ~~~~ H 0 H I U N ::S::P:::'<;JI N ::J 0.. 11'"1 ~ mO::M'I2' C"I) tJ ~ t N H CJlE-! 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H o H , U 0.00::> N l<<>:'" ZOO 0 N ~ Ol I M "Hr>l 0 ::> j:QP::M~ II: <>: "U r>l , N H M ~(J}E-iNO ~QQ rlOO ..1..1 <>:ZrlO ~ r>l r>l 00 Mia -..1 Q -Q 00 ..1r>lr>l \Or>l HHHMO 0.E-<E-< 0" OlJI-I1J1 , OOr>l ;;,~ \O::>:!1::> \0\0 Or>l..1 r-l~U~OO 0::>0. N 0:>: 'E-< ~O .,.<>: <>: <>: <>:U 0 '<Il <>: 'r>l ..1 0. ZO <Il 0. Q E-< .~ r>l'" 00 -U rl <>:0 gjE-<~<>:rjZ !-< 0 0 <.: <>:~E-<r>lU..1 .... 00 0.>< ~ , r>lE-< QZZZ<>:o. 0. N <>:H :i!r>l0;':<.:0. >< ..1 o.U E-< UO 0.<': 0. E-< 0. " BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at ria () Del G()Z.~ f Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: y e()~ ~ 16e (?nok-<..I:=t' ~ ~ O~\2"- ~~ s' &" g"6'"J ~/~t These corrections must be made and are not to be covered until reinspection i~2f~. When corrections have been made, please call f7 -l{f(; I ( for inspection. Date 'f);)..rf b (0 I ~ DO NOT REMOVE THIS TAG Inspector for Building Division " PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name: Addition to Integrative Health Center For Wuji LLC Address: 160 Del Guzzi Drive Plan # 06-10 I Com ~ Residential D I Date: 3.20.2006 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1. The addition to the building will increase the overall square footage to 6456. Port Angeles Municipal Code requires that all buildings over 6250 square feet in size be fully sprinklered and fitted with a monitored fire alarm system. A 2-hour area separation between the addition and the existing building may be used to negate the fire sprinkler requirement, however the fire alarm system will still be required. This building is already protected by a monitored fire alarm system. That system will be required to be extended into the addition. A full acceptance test of the fire alarm system will be required. If a sprinkler system is installed, the Fire Department will require separate fire sprinkler plans for reVIew. A 2A-l OBC fire extinguisher must be mounted at or near the east exit. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: cJ? D D ~~~ Builaing Department Copy Date: $,Z6.0b Contractor/ Owner Copy fIlE --- Fire Department Copy - D~'Lv 1')'1-- :S7ah BUILDING PERMIT - APPLICATION FOR OFFICIAL USE pNLY: Date Rec.: ~A:? IOfp Permit #: t?~ '" Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Contractor'=- \,\, \,,~~"bs:. ~'O'C.~~Il'3\~ State License #: Address: \.~ ~~ '\)-r. City:'V~v&-\\'-)6.e'-$;-"S PROJECT ADDRESS: \.<-00 \)~I.... &-'U?2 I. cat'_ Exp: Celt '-\ S 2-';.\"1 L. L\~ \. _\.W~ CO L..lS""l- "5tO~ Zip: S~~\;:,Z 1-\ S l - I SO:; 0 'O\\L\~ Phone: '-\6'~~ \ "\~ Zip: '4?-,,~? Applicant or Agent: c:~ \\..()~<l..'S:.. ~'-")~<;::)~ \.J\.'C- (~~",'t. Owner: ,""....JI... ") -s::- , \.. '- C Address: ~.O\ ~())( ~\O, Phone: Phone: City: ~Yl~~~~'~~ Architect/Engineer: r~~ ~ ~'fLy Phone: ZONING: c ~ \'.J LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: D Residential D New Constr. D Re-roof D Stove D Multi-family D-7\ddition D MoveD Garage p....-Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: I It:--- -V5-1 {' L;N. I'{.! SIZENALUATION: SF. @ $ /SF. = $ \\(,.,00 SF.@$ 'a7.eo /SF.=$ t~q."2.C:>O- SF. @ $ /SF. = $ TOTAL VALUATION $J~. ).()-{) "2:' ~~~'-'H""~ ~o ~~\~"1:-\~c:.,.. \h":H"-O\~6- ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: oB Occupant Load: u.:)\~"" ~~'t.6-<::" \'~~~<; No. of Stories: l Lot Size: 34; Sf:>S Existing Sq. Ft. 1.\ ~~ Total lot coverage t1. , % Construction Type: c.o~~w","~,- ....1..C>..l:,..OJ ~ -~. 1<-ltA.~~ & Proposed Sq. Ft. \~"Q() = TOTAL Sq. Ft. ,.s,~ PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: 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: Ifno 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 R105.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I 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 City's, and that I must obtain such permits prior to work. ~ nFORMSIBWgPonni~~.wpd APPlioantd0 .' ncd /5 /t~O ~ /. ~ ~ / S'(qJ ~ O~ J J ~ ~--_.. r::i VORT ~G' l'~~~ rea __ -=->r ~ 't,l~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000470 Date .858350 160 DELGUZZI DR 06-30-12-3-4-9020-0000- ELECTRICAL ONLY 6/01/04 o Owner Contractor WILCOX, KATHLEEN/DENNIS PORT ANGELES (360) 457-5706 WA 98362 STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452-9104 WA 98362 Permit Additional desc Sub Contractor permi t Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE STRAITS ELECTRIC 40.90 Plan Check Fee 6/01/04 Valuation 11/28/04 .00 o "- ~ fi (t\ ~ ~ ~~ Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .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 governi(lg this type of work will be complied with whether specified herein or not. The granting rf a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or 'fhe performance of construction. \ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] l BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 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 IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL 711 !(}1 ~) LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. I I ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] i- f .. . ~~.. . ..:.....~'l!'I'.-(' , '/;:,~ CITY OF PORT ANGE~ . DEPARlMENT OF coMMUNITY DEVELOPMENT- BunnING DIVISION . 32IEAStS'IHSTRElIT, PORT ANGeLEs, WA98362 . ~;~ l: .04-0000l'178 Date .954604' . " 160 DELGUZZI DR 06-30-12-3-4-9020-0000- SIGNS Application Number " Pinnumber . . . . . . Property Address ASSESSOR, PARCEL NUMBER, Application description Subdivision Name . Property Use . . . . PropertY zoning . .. Application valuation Owner' WUJI ENTERPRISES LLC P OBOXc 3101 PORT ANGJn,ES WA 98362 . " 4602 Contractor JACKSON SIGNS' 472 MOQNT PLEASENT RD PORT AllGELES WA 98362 (360) 457-3703 SIGN .' . ------~------~--~-------------------~-----~--~-~~--~-----,-~---------------~- permit..... Additionaldesc PerIllitFee Issue ,Date . Expiration Date 145.00 12/22/04 6/21/05 .00 . .4602. Qty 1.00 1.00 unit Charge Per 30.0000 PER S'-.SIGN LES THAN. 25 SF 115.0000 PER S- SIGN FREE ORPROJ 25+ Extension .30.00 115.00 Fee summary Charged Permit Fee Total Plan Check Total Grand Total 145.00 .00 145.00' Paid credited Due ~)~ G.t\ -...;. 'I .'t"~I' ~' VV .... ~~ '\ 145.00. ;00 145.00 .00 .00 .00 ;00 .00 .00 Separate PermitS are required for E;llectrieal work. SI;PA;'Shoreli(le. ESA, Utilities, private andpubJic-irnprQve),tlems",.J:b[s null and void liWOrk or ~nstruction authorlzed'isnotcOmmenceqWithin 180 days; if cOnSvuCtionorwor,k ~ S . '. Jl~' for a period of 180 days after the work as commenced; or if requl~fnspectJons have not been requested ..~ ' 0', Inspection. f. herebycer1lfy that I have read and eXamined this application .and know the same to betiue and laws andordinaricesgovemlng this type of work willbsCQmpliEld With.whetl:1er speclfledhereln or not,'The gran Qg 0, .,.' oes not presume give authto violate or eancel the provisions of any 'state or loeallaw regulating constructiolfor th~perfo1manceof cons Cllon . . . r Signature ~fContractororAuthrized Agent ~qV' .... . pate}/". .SJgnatllreOfQwner (if _Is bllildeil ,!':C:-", . ..! .,,' . -'! . . " . . .... ,,: . .' "."-':;"~ .' '!, .,. . '.. BUll..DING PERMrIINSPECTlON RECORD CALL 417-4815. FOR BUILDING INSPECfIONS.CALL 417-4735 FORELECTRI(JALINSl'ECfIONS. INSPECTION TYPE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEJl.,/NSU14T1fO. CQNCEALAN'f"JfORKllEFORE lNSPECTSI1A.lfD'1CCEPTED. P.OST PERMIT IN Acp~SJ>>ICfJOl1SLOCATIQN. KEEP PERMIT CARD AND APPROVED PLANS AT JOBSrrE; '. .. .1< DATE : ~cc7NO .... .. ........COMMENn . " . . PLEASE. . . ", .'. FOUNDATIOl.... FOOTJNGS W AI.l.S I FOUNDATION ELECTRIcAL ROUGH.IN . ;. . . PLUMBING. UNDER FLOPRI SLAB ROUGH-IN ! WATER LIN (METER TO BLDO) GAS LINE 'BACKFLOV IWATER AIR SEAL I WALLS I 1 DRAlNAGEIDOWN SPOurs . (UGHTDEPT) SEPARATEPERMlT:tI . . 1 . .' . . - . .1 . I . ... ... .. . . , .. . I . I. CEILING FRAMING JOISTSl G tDBRS SHEAR WAJj.UHOLD DOWNS . I '0' . .. .' I 1 I '. .'. '.' ..' , . .. . . . WALLS/RqoF/CEILING .... ;,.' DRYWALL 'INTERIOR BRACED I'ANEL ONLY) T.BAlt.' ...... . ..' lNSVU:rJON . . . .. . . , . . I I, SLAB WALL 1 FLOOR I CEILING MECIlANIcAl. . . I I .... . . T I , .', HEAT~ , GASJ..INE:'1 wOOD sTOivE IPELLBT 1 CHIMNEY. HooDI miCTS ." . ..' "." . ... ." \,' 4 _', _ ",' "'; PW UTlLlnES I SITE WORK .... (Bngin~gPiyisi~) SEPARATE PERMIT #'s: WA'fBRLI$1 METER SBWER CONNBCiION SANITAR . . .... I I ~. '. - . . ." . I' , PLANNIN~DEPT. SEPARATE PBRMrr#'s . PAllI<INGJUGJ(TiNG , . -', IN"" .., .!. .,.' . ... ,.', "0..... SHO~ . - ,'. '" ,,', FJNALIN.SP~9~S~U~rRIOR,~~Cllf~GY(.f).~~ ._" ." , I RESIQENnAL " . DATE:"},, <YES" ." NO '. CO~ BLECTRIC~. L1(J~ DEPT. 411-4735' I ' " ~ ..;' ,~ ' I ' . " .. SEPA: STORM , ESA: I, : , .' , DATE I. ACCEPTED . ' YES: "NO , .. , , ... CONSTRUC11ON. R.W. 1>\! IENGJtffiERING, ~FIRE om.... ' " ' PLANNINGDBPr. . . Burt:J5n.:lO : ..... .: , " I.: ,'. . , I'" " . . . , , .. CONSTR.udrON It. w"i PWI BNOINEB~ ,.417-4807 FIRE 417-4653 'PL.Al'OONG~BPT. 417-4750 BtJIIDINO:- J _-. \ 4"174815 ., T:\PLANNING\FORM$\II02.IS (11/1412003) " I ii, . " - " ~* ".'c .. '. , " ,- BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: I ~-I'7 -0,,-\ Pe111lit #: (J If... I' ., (' 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 questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent-I ~iE~-n \Ie .,..J6a,L 7J..I ~ Phone: Owner: ~L.~ €:r2..Af:= Address:-' loO I/6L.. H7:'2.' 1/.2. City:_~iZ'" .AN~ElE:'~ Phone: 457.. 570t::. '5A-M'i5 Zip: '1~~2- : Architect/Engineer: Phone: Contractor ~Ac-~.;. Slh....,~ State License #: Exp: Address: 4:lz.. ~ f't€IJtI>AtJr 1Q:) City:~ ~ Le'os PROJECT ADDRESS: IIt:J/) V4;; l- ~LJ Z;'U "P~. Phone: <f!;7- 3-TO 3 Zip: q~"2- ZONING: CA LEGAL DESCRIPTION: Lot CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ ISF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair )it.. Sign 0 Other TOTAL VALUATION $ ~"Z... -"7'0" BRIEF DESCRIPTION OF THE PROJECT: l tu S7tW..L 51 &-"""" ~.., ~S7i ~ 5-r'rZ4Jt:::ri/12E. d"'5TM.-l. t.AJ-r - 1)11 r ~r;:e~ 0"" W;;:~ -e'A(.E- ~ of" g., ,LD~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. % AFPROV PLAN: f, BLDG: 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: Ifno pemufis issued within 180 days 6f the dafe 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. 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 require , at th City's, a that I mu tobtain such permits prior to work. T:\FORMS\APPS\Buildingpermit. wpd Applicant. Date: 12-/ '" ,~ 'f 1- ---c] .. 60" X 36" ~- F ~- '- '.._ l'l' Jdckson's Signs & 472 mount Pledsdnt Rd & Port ftngeles. Wft ::)60-4S7 -::~70::) ... . Existing structure 74.5" I I Li-rfJ ho i:: ..s I -z... e.- = .3 lFS-&S . fS4',' "~~ 3~5':: '\ ll\qt/1 ~~~) ~-b.eL. ~ ,- -- . '-'~ 60"0 " f //-.- -----..----.----..--", ~ 5 so. Ft. . '_ 4':::-:.=-=~~_~__h__.~__ oJjwJ. j lftf tJ I FM>vr~ f))J W t.... S (/5)(l;;(/" " ----.. BlA\~ /1-orP ~ (12.8 so. Ft. w'1o ~ 14"-t ~ __/ \;. . '" -....:-:==='-'- 1 3 10' X 1 0 I 0" Mounted oAW .. facing wall. /'/ (~so. Ft. ~-------~ r , . ~,,~ ~pplicationNwnber Pin,nuinber . . . . Propert:yAddress ASSESSOR ,. PARCELNOMB~: Application description Subdivision Name Property Use . . . . Proper~yzoning. . . ~plication valuation CITY. ()E ii><)RTANGELES r>EPARTMENTOFCOMMUNffY1?E\TELOPMENT' - BUILDING DIVISION 321. EAST STH STREET, PORT ANGELES,WA ~8362 04-00000306 Date .441652 160 DELGUZZI DR 06-30-12-3-4~9020-0000- COMM NEWCONST ?/27/04 285366 owner Contractor WUJI ENTERPRISES LLC P 0 BO:iC3101 PORT ANGELES WA 98362 J &. J" CONSTRUCTION 233 ALICE RD. PORT. ANGELES PORT ANGELES (360): 457-1909 NEW 4320 SF 2';"STORY COMM BLDG TYPE V NON-RATED . BUSINES~:OFF{P'RO/MED/REST TOTAL %. .:r.QT<;;()~RAGE CONSTRUCTION TYPE NUMBER OF. STORIES EXISTING LoT COVERAGE LOT SIZE PROPOSEDI.OT' COVERAGE TOTAL LOT COVERAGE NUMBER. OF'. UNITS WA 98363 ------ strgsture Information. construc;tion Type Occupancy Type Other struct info . . . 7.00 V-N 2.00 1.00 339768.00 2284.00 2284:00 1.00 2058.85 5/27/04 11/23/04 Plan Check Fee Valuation . . 1338.25 285366 c.,. ~.~" ~ <J . . . - - - -... -.- - - - - --,- -- - -........ - - -- -~.'- - - - - --.. -.,;....,;.,:. ~._._..::. .';';';;':''':'' .;...;,..;....;;.....'..;,.............. - - - - - -.- .'- -..; -........ -.. -- Permit '" . . Additional desc permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL ,,;j Qty Unit Charge Per Extension 1017.25 1041.60 <P ,J -~ .~.] " . . ',1 vJ ..~ ..... BASE FEE ' 186.00 5.6000 THOU BL-100,001~500K (5.60 PER K) -------------~--------------------;...;.---~-;...;.--~-~-~-------------------~----~--- Permit Additionaldesc . ~ermit Fee Issue Date Expiration Date MECHANICAL PERMIT 94.10 Plali Check Fee 5/27/04 Valuation . . l1:/23/P4, .00 o '1.00 3.00 1.00 14.7000 ECH 7.2500 ECH 10.6500 ECH BASE FEE ME- INSTALL 100- FAU ME-VENT FAN ME-GAS PIPE 1 TO 5 Extension 47.00 14.70 21.75 10.65 ~ Qty unit Charge Per 1 188.00 5/27/04 U/23/04 Plan Check Fee Valuation .00 o ------~-_.--~~----------~-----------~--------~-------------~---------------- Permit . . . . Additional desc Permit Fee .Issue.Date ExPiration Date PLUMBING PERMIT Qty. Uni t . Charge Per BASE FEE Extension 47.00 Separate P~IJ11I~s:are r.equlr.ed for electrical work, sg'pA Shorellne"E~~;uiil!ties; private and public imp,rovements/This null ancb;olCiIf woi:k or, construction auth()rize,t1l,s;,n." ,menced:witliihl.~80'days. If construction or work ,is:sgsP'e.ijdl for a penqd dl180 c:lays after the work as comrriShc . .0ritrequlrecOn~R~cflons have not been requestedwJuiiri'1Sn,' Inspe,ttlo'n; I hereby certify that I have read andf)X8lt:llned this appllcati'C(n and know the same to be true and'.~itect. , . . visions of laws an:i16it1inances goveniingthis type of Work Willcb990mplied with;whether specified herein or not. ThEtglCl,t;\tingofaJ~~r:mltdoe.s not presume to give authority to violate or cancel the ,:irdvisions of any state or local law regulating constr'uctl9n, or th,e:p'efformance ,of cons ClIon. ' .., . , .' . ' 'sr-z-~-:C!Y Date 2Signature' of Own,er(if owner isbuilde,r) . Date T:\PLANNlNG\FORMS\II02.1S [1111412003] r-",r .' -~-'" " ,.- - ' I . 1 I "",:V.,",''-''-'<' , ,,\....-,':,.-1 {->'_~'."',~t'~, C,",",?,. ~C"'j~'r!~t'~?('~~~:':";:"l!.fi!i !,:: BlJU..DING PERMIT INSPECTION RECORD "." . . CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL . INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE; '..IT IS UNLAWFUL TO cOVER,INSULATEQR CONCEAL ANY WORK BEFORE . \ INSPECT~:~~~f2:O ~~ ~::g~ :L~~~~?:~g~~~~ATi()N. ,',' ..... lNSPEctrJON TYPE . I - FOUNDATION: FOOTINGS WALLS . FOUNDATION ELECTRICAL ROUGH-IN DATE ACCEPTED I YES I NO COMMENTS . .'c . I DRAlNAGElDQWN 5PbtITs . . , .. . (LIGHTDEPT) SEPARAtBPERMIT:# . I . PLUMBING .' . .' UNDER I'LOOR I SLAB . ROUGH-IN ..' .... WATER LINE (METER ToBLDG) .' GAS LINE BACK FLOW I WATER I AIR SEAL . W A!4-S .' ,C~ -.-~ . .' . c., , ,'. . FRAMIIIl$L.: . JO~~rGdIDB~ ..... SHliAR W A.t.LlHOLD DOwNs W ALLSI RooF:J CEJtING . .' '" . DRYWALL (INTERIORB~CED p~ ONLY) T-BAR - .' '. ....-'- I I . . .. .... . . ." : JNSULATION SI.:AB .' . . -; ." WALL/FLOOR/CEIUNG ME<mANl~ ., HEAT PUMP GAS LINE WooD.STOVE I P!'iUET I CHiMNEY HooDI DUCTS · .... . . ..' .... ,'. i '. .. I . .' . PWUTILlTIESI SITE WORK WATERLINE/METEJ( SEWER CONNECTION SANITARY STORM (Engineering Division) sgPARATE PERMIT iI's: ..... , . . ' . . .' . PLANNtNGDEPT, SEPARATE PERMlT#'s PARKINGlLIGHTlNG '.' .... ~DSCA1>lj\f~ SEPA: ESA: . ,., ,.,., I.."" '. .~HO~;.' ..'. . FINAl) ~J'l~"ECllONS REQUIREDP;lUORTO OCCU~~9'/g~Ij:! "';:: ,. ....' C' ." '. '. . , ;, ,>. DATE" YES':'-:-: INO 'f' cOMMERCIAL: ,~::DATE,;,>::.cACCEPTED . . :. ."'I':'.VES<' NO . , ':", m _ .' ':' . ~~, '.' CONSTRUCTlON':R.W.' : " , . PW I ~GINEERING . ' FIRE DEPT.' "', I .' ,>' , ., . . .:,,' PLANNING DEPi' '" " :, . . ." " . c .. , I .' "'.'" . RESIDENTIAL ,. . ELECTRICAL -LIGHT DEPT. '417-4735, .... CONSTRUCTION R. W.I PWI ENGINEERING . .,' ,., I 417-4807 FIRE PLANNING DEPT. BUlLDlNG :. , T:\PL~~~~~J 1~~IS ~IVI412003] ,~, ._"~,".:c::~~~';i;...\>~-;i.~,-::>L;,~,-",.,-:",,- - 417-4653 " I,;: 417-4750 417-4815 . . BUIi.DING . ,:;;.:,' . ,'. . :.......<.$,. . I "'" CITY OF PORT ANGELES, DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,W A 98362 \ APPlication' NUlllber Pin ,number 2 5/27/04 Page Date . . . . . 04-00000306. .441652 Unit Charge Per 7.0000 ECH 7.0000 ECH 15.0000 ECH 7.0000 JilCH PL- EA.FIXTtlRE ON ONE TRAP PL- EA. INSTALL WATER PIPE, PL,. EA. BLDG.,SEWER PL- EA.WATER HEATER Extension 112.00 7.00 15.00 7.00 Qty 16.00 1.00 1.00 1.00 --","'''- ..-'"'-, <',; '-' ,', ""..- ' . - .-'- - - , ~r~,.--~----------------_.-~-----~--~.~-------~---~~-~------------------~--~-- Special Notes and Commenes On the lower floor there will be a dedicated ADA patient treat.ment room will be available to all health care providers in lieu of second floor ADA access route. There will also be a,requireddedicated health. care provider office in lieu of second floor ADA access route. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must c6ntr~stwith wall color they are mounted on.' (Ord. 14.36. 050-E)' The project iato construct ,a 4320 square foot commercial structure in the Commercial Arterial zone for a total lot coverage of 7\". Setbacks and lot coverage are gQOd and parking for the site as shown is for a:geIlEaral, business or retail use.No land use, issues are noted. Electrical load calculations, and elctrical permits are required. ' 6' wide sidewalk to City standards ,along Del Guzzi DrivE! Paid ......... - - -...... -'- -............ ':""'" --. - -................. -_... -- _:... :..:.,;".,:,:.:. - -.............. -'- - - --- - - - _.";"- - - -'- --.... -.. -- SEWER SYSTEM DBLV CHARGE STATE SuRCHARGE PW WATER' SYSTEM USB FEE credited Due 2340.95, 1338.25 4429 ;.00 8108.20 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for er~~cal WOrk.~EJ~A.Shoreline,ES.t\~~tilities. private and public Improvements. Tl;lis permit becomes null and Yoldif work or col1structionauthorlzed isnotcommencedwithin180days;if construction or work Is suspendedoratiandorll~.d for a period of 180 days after the work as commence~.;ori( requlredj..,spectioils have not been requested within180days:from the last Inspection. . I hereby certify that I have read and~?,~mihed this application and know the same to be true and correct. All provisions of laws and ordinances govemingthlstypeofworkwiU(~e,complied with whether specified herein or not. The grantlngofapermltdoes not presume to give authority to violate or cancel th~ provisions of any state or local law regulating construction or the performance of construction. Date Signature of Owner (if owner is builder) .: ~ -,- -':-" -~"-'.:..c~----,,__ ~_~____~_ .~'_'_'_:^,c,'." Date ;~__~__~___" ~~~~J:C__' BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR aUILDlNG INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASEPR,OVIDEAMINIMUM ~ HOURN()J1CE. IT IS UNLA WFUL.TqCOVER, INSULATEORC(Jl{,CEALANl' WORK BEFORE INSPECTEDAND 4fc:EPTED.. ;POST PERMIT INACON~PICUOUS LOCATION. . KEEP PERMmCARD AND APPROVED PLANS AT JOB' SITE. '.. .. INSPECTION TYPE . DATE ACCEPTED ,COMMENTS ". YES I NO . .' FOUNDATION: . ..' FOOTINGS t:-lil...n H J.1- '. WALLS , 7 ...11. ...010} J.L FOUNDATION DRAINAGE/DOWN SPOUTS ... . Ei.ECTlUCAL (LIGHT DEPT) SEPARATE PERMIT: # I. ROUGH-IN I .' I I .... PLUMBING .......... fl'v)41 1"':1'1-00- J, l- '. UNDERf'L()()RI SLAB .J . . . ( R.OUGH-IN r::t- A1 I:"" JLL WATER LINE (METER TO SLOG) .' . . . GAS LINE BACK FLOW I WATER ...... . , , AIR SEAL , WAI+S, . ...llh-LJ....&..., J .- CEII.,ING . r... I '.. .' FRAMING . ]OlsTSIOIIU>ERS .' SHEAR W ALUHOLD DOWNS ~ 0-/10... f!)1.I ....1. ).. I WALLS I RooFl CEILING I."....H..;..~ \ ,'. DRYWALl.. (iNTERlORBRACBD PANEL ONl..Y) T..BAR . . . INSULATION . . SLAB WALL j FLOOR I CEILING I I' _-,-,"" ...1 II.L I , MECHANICAL ~. . . '. J.L. \-/~ I' t-#E.a.r-- HEAT PUMP GAS LINE I =7..;~I-oH J L. \... WOOD STOVE I PELLET I cmMNEY , - HOODI DUCTS . . . . PW UTILITIE:S /. SITE WORK (Engineering DivisionhSEPARA TEPERMIT #'s:. WATERLINE / METER SEWER CONNECTION . .' ..' SANITARY ....... STORM PLANNING DEPT. SEPARATEPERMIT#'s .', '. SEPA: PARKINGlLiGHTlNG ESA: LANDSCAPING .. :-'. .'ie.' '. '..;;'(.'.:. '" . , ,.$iiQ~:" .' ./ . , - FlNALil\ll~PECTIONS REQUIRED PIUOR.TO OCCUP~~X{JJ~Ji: '. , .'. , . " . '\.><.:" RESIDENTIAL DATE YES'':') }";'NO .} ",'COMMERCIAL ....... '. ACCEPTED ..... ;,", " ..... .' . . .... YES NO '., ,., ELECTRICAL -LIGHT DEPT. 4\.74735 , ELECTJUCAL I:IOUT .DEPT CONSTRUCTION R.W./PWI CONSTRUCTION ~R.W. ENGINEERING 417-4807 . , PW I ENGINEERING '. ....... FIRE 417-4653 \ '.' FIRE DEPT. . . PLANNING DEPT. 417-4750 PLANNING DEPT; [f-~ J.I... BOlLDING ... .. .... ... BUILDING 417-4815 .... . T:\PLANNING\FORMS\1102.15 p 1/1412003] PREPARED 1/14/05, 15:48:45 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST (360) 457-1809 SUBDIV: PHONE PHONE : PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 9/21/04 9/22/04 ~ PL99 01 JLL AP ~~ PLUMBING ROUGH-IN TIME: 17:00 PAT 461-4726 PLUMBING FINAL TIME: 17:00 PAGE DATE 3 1/14/05 COMMENTS AND NOTES -------------------------------------- ! PREPARED 1/14/05, 15:48:45 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 1/14/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST SUBDIV: PHONE PHONE : (360) 457-1809 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 9/21/04 JLL MECHANICAL GAS LINE 9/22/04 AP PAT 461-4726 ME99 01 ~ ~ MECHANICAL FINAL ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 1/14/05, 15:48:45 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 1/14/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST SUBDIV: PHONE PHONE : (360) 457-1809 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 6/17/04 JLL 6/17/04 AP 6/24/04 JLL 6/24/04 AP 8/16/04 JLL 8/16/04 AP 10/04/04 JLL 10/04/04 AP 10/04/04 JLL BUILDING FRAMING 10/04/04 AP SCOTT 461-4724 10/07/04 JLL BUILDING INSULATION WALL/FLOOR 10/07/04 AP scott at J&J BL99 01 ~ ~ BUILDING FINAL ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- BL1 01 BUILDING FOUNDATION Dan 460-2485 BUILDING FOUNDATION daniel 460-2485 BUILDING SHEARWALL Pat 461-4726 BUILDING AIR SEAL FOOT ING BI2 01 WALL BL9 01 BAIR 01 BL3 01 BLWS 01 PREPARED 10/07/04, 13:15:21 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/17/04 6/17/04 BI2 01 6/24/04 6/24/04 BL9 01 8/16/04 8/16/04 BAIR 01 10/04/04 10/04/04 BL3 01 10/04/04 10/04/04 BLWS 01 10/07/04 JLL AP JLL AP JLL AP JLL AP JLL AP ~ BUILDING FOUNDATION Dan 460-2485 BUILDING FOUNDATION daniel 460-2485 BUILDING SHEARWALL Pat 461-4726 BUILDING AIR SEAL BUILDING FRAMING SCOTT 461-4724 BUILDING INSULATION scott at J&J SUBDIV: PHONE PHONE : (360) 457-1809 PAGE DATE 6 10/07/04 c::~ ~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- FOOTING WALL WALL/FLOOR PREPARED 10/04/04, 14:09:58 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 10/04/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST SUEDIV: PHONE PHONE : (360) 457-1809 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/17/04 JLL BUILDING FOUNDATION FOOTING 6/17/04 AP Dan 460-2485 BI2 01 6/24/04 JLL BUILDING FOUNDATION WALL 6/24/04 AP daniel 460-2485 BL9 01 8/16/04 JLL BUILDING SHEARWALL 8/16/04 AP Pa~ 461-4726 :::R_::__~__~___;;;;;:;~~~~~AN' N"" ______________________________________ / PREPARED 9/21/04, 12:10:23 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~::__:~__~~___:~~H::::::::::::::E SUBDIV, PHONE PHONE : (360) 457-1809 PAGE DATE 3 9/21/04 NEXT PAGE ----------------------------------- . " r-' PREPARED 9/21/04. 12:10:23 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL2 01 1Ir.:Y~t ~ PLUMBING ROUGH-IN ~ PAT - 461-4726 ------------------------ ------------- COMMENTS AND SUBDIV: PHONE PHONE : (360) 457-1809 PAGE DATE 4 9/21/04 NOTES -------------------------------------- TIME: 17:00 PREPARED 8/16/04, 12:20:20 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 8/16/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST SUBDIV: PHONE PHONE : (360) 457-1809 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/17/04 JLL BUILDING FOUNDATION FOOTING 6/17/04 AP Dan 460-2485 BI2 01 6/24/04 JLL BUILDING FOUNDATION WALL 6/24/04 AP danie1 460-2485 BL9 01 ~!.16/ 4 [~~ BUILDING SHEARWALL . ~ Pat 461-4726 ---------------- -- ------------------ COMMENTS AND NOTES -------------------------------------- '\, PREPARED 6/24/04, 12:57:58 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST SUBDIV: PHONE PHONE : (360) 457-1809 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PAGE DATE 5 6/24/04 BLl 01 6/17/04 JLL BUILDING FOUNDATION FOOTING 6/17/04 AP Dan - 460-2485 BI2 01 ,Y,;itr:.,'1' i\L~fJ BUILDING FOUNDATION WALL ~ ~ daniel 460-2485 ------------------- ------------------ COMMENTS AND NOTES -------------------------------------- PREPARED 6/17/04, 13:15:30 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 160 DELGUZZI DR J & J CONSTRUCTION WUJI ENTERPRISES LLC 06-30-12-3-4-9020-0000- 04-00000306 COMM NEW CONST PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/17/e4 \' ~L ~'~ llV \ . \ -------------------------------------- BUILDING FOUNDATION FOOTING Dan 460-2485 SUBDIV: PHONE PHONE : (360) 457-1809 PAGE DATE 7 6/17/04 COMMENTS AND NOTES -------------------------------------- ,T BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec,: 4-e-ol{ Pemlit #: Cy-! - ,.3 Q6 . Date Approves Date IssuedJ , Fill out COMPLETELY and in\INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 (' Applicant or Agent: J' ~J eO A)...s J ! Phone: 3 ~ t) - LL.~-) - I 6D q Owner k 1'\ 'i'l\- ~ ~ 'eNF.. ~ D ,c;: '" AJ/ r tJ, L I!")<... Phone: It> 7 ~ .s-1 0 6/g~' 1../ ! Address: ;);2.1'1-0 '1- ~t, '2-d City: (''''i).t- A-,v~tc'e Zip: 98.3 ~ 2.. . I ArchitectJEngineer: tEy~ s:to tJe-~,-{\ L~ 1~9'"DG'S19tJ, Phone: 3~() ... 4 S7- '3 410 Contractor ~ *' J Cc-.e"s-r- State License #:J~C!Ol\JP*,O"Ptxp: 10/06- Phone:.;6 cJ - 41-7...1 ~el9 Address: J.J~ f1-Lu!.c: ~ d.. City: ~c~_~ ,,4tV"5/,5 Zip: 9S36:J PROJECT ADDRESS: tL>o 'V e-L' c;' ~"l!.~1 \)t<.\ J 6- ZONING: .3 LEGAL DESCRIPTION: Lot: Block: C!/ It .5 Cf} / ~ 3 Lf .P C/ .:z... 0 Subdivision: '. CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:. Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential ]i:New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move X Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ~tJ- ,.,q,J'1l ,,{(,l ' l{J)l( City: Exp. Date: SIZENALUATION:' '-i"r- 00 o Stove ' 4 3'lO _ SF. @ $_ ~(~':>/SF. = $_ -z;8 536b_ o Garage SF. @ $ /SF. = $ o Deck SF. @ $ /SF. = $ ~ther . ~ TOTAL V ALUAT\ON . $ 2 ~ .s66 0 Q .J..1-\. '"i-1:;-f", rLl4- J-., VC' 1-\ R..~ j U r,_~ 2 Occupant Load: Construction Type: .s- r/ & Proposed Sq. Ft~ = TOTAL Sq. Ft~ COMMERCIAL/RESIDENTlAL: Occupancy Group: 1S No. of Stories: ~- Lot Size: ,,7. g fl(;Existing Sq. Ft. Total lot coverage -, % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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 Pennit 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 pennit application and construction plans are submitted. All other pemlit fees are due at the time of pennit issuance. EXPIRATION OFPIJAN REVIEW: lfno pemlit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tinle for action by the applicant up to 180days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, cunent edition). No application can be extt;nded 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 City's, a that must obtain such permits prior to work. o l-/ T:\FORMS\APPS\Buildingpermit.wpd Applicant: Date: ~ r-c;? r-& / / fjjj. ~ ENOVIC I & ASSOCIATES It\CORJ>ORATEIl l,l V lL .eNGINEERING LAND SURVEYING 'i 1 <J South Ibhodl' SUCCI, Suire 22 POrt Angeb.\\Iashington 98.162 13(0) 417-050] bx (j()()) 417-0514 E-mail: zenol.ic@olympus.net May 19, 2004 Cathleen Graf P.O. Box 3101 Port Angeles, W A 98362 SUBJECT: Commercial Building for GraflWilcox Port Angeles, W A 98382 Dear Ms. Graf: This office has reviewed the Washington State Amendments to the Uniform Building Code concerning Accessibility for your proposed two story structure. Based a review of Section 1103.2.2, a building with less than 3000 s.f. per floor does not require accessibility to the second floor. This section does however; require accessibility to all floors of buildings containing heath care providers. The definition of a heath care provider is not noted in the book and thus it is up to interpretation whether massage therapists or counselors are heath care providers under this section of the Code. It is my opinion that providing a treatment room on the first floor for the proposed massage therapists and counselors meets the intent of the accessibility code since accessibility to all services is available from the first floor and thus they comply with the intent of the accessibility requirements found in the Washington State Amendments to the Uniform Building Code. It should be noted that there are several businesses located within the City which provide accessibility in this manor including the office which this business operates, which as a common room on the main floor, meeting ADA accessibility requirements which is for use by all the tenants. Please call me if you have any further questions on this matter. ~)W Tracy Gudgel, P.E. Fc: IN 04102 I Brad Collins - t-{e: rW: Accessibility code Page 2 I > Sent: Monday, May 17, 2004 10:02 AM > To: 'koraf@tahoesnow.com' > Subject Accessibility code > > Attached is the state accessibility code, adopted as Chapter 11 in the > 1997 Uniform Building Code. The two sections we discussed on the phone > are 11 03.2.2--Accessible route of travel, and 11 01.4--Alternate Methods. > > Regarding applying the alternate methods provision to your project, > Section 1103.2.2, Exception 2, item 2.1 requires an accessible route of > travel to the offices of health care providers on the second floor. What > you described sounds like it could be considered as an alternate method > for providing equivalent access to health care providers who normally work > on the second floor, thatalternate being toprovide specifisfacilities > on the first floor for use by those providers as needed when treating > persons who cannot use the stairs. If acceptable to the local > jurisdiction, this provision could be documented on the Certificate of > Occupancy for the building. > > As I explained, the state building code act (RCW 19.27) does not provide > the State Building Code Council with any enforcement authority. RCW > 19.27.050 requires the counties and cities to enforce the code. Therefore > acceptance of any alternate method proposed is a decision made by the > local jurisdiction. > > <<Accessibility. doc>> > > AI Rhoades, Codes Specialist > WA State Building Code Council > E-mail: alr(c:Qcted.wa.Oov > Phone: 360.725.2970 > FAX: 360.586.9383 > Web: www.sbcc.wa.Qov > cc: Lierly, James; Vess, Roger rdY~ I ! From: To: Date: Subject: Brad Collins (CTED), Rhoades, AI 5/24/04 5:08PM Re: FW: Accessibili~j code To: AI Rhoades, Codes Specialist WA State Building Code Council AI, Thanks for your review and support on this ADA interpretation question. The Clallam County DCD Director Rob Robertson, Building Official Fred Slota and I have agreed to another alternate to providing an accessible route of travel to the second floor in a health care facility. You had accepted a dedicated ADA patient care room on the first floor as acceptable alternate to providing access for those who are disabled seeking health care services, and we have agreed that a similar dedication of an ADA office space on the first floor as acceptable alternate to providing access for those who are disabled providing health care services. Accordingly, the City of Port Angeles will approve the building permit for this small health care facility (< 3,000 sq ft on each of two floors) with these two alternates to providing access for disabled people to the second floor. Again, thank you for the assistance that you provided the permit applicant Kathleen Graf and to me, Brad Collins, Community Development Director and Building Official Brad Collins, Director Department of Community Development City of Port Angeles (360) 417-4751 bcollins@cityofpa.us >>> "Rhoades, AI (CTED)" <AIR@CTED.WA.GOV> OS/21/04 05:25PM >>> To: Brad Collins, Building Official City of Port Angeles Brad, Thank you for your call this afternoon. As we discussed, I definitely agree with you that the building tenants (and any employees they might have) must be considered when applying the accessibility requirements for a building. With that in mind, I cannot think of any alternate to providing an accessible route of travel to the second floor in a health care facility as required by the state code. I appreciate your professionalism and your willingness to discuss the possibilities in applying the provisions of the code. AI Rhoades, Codes Specialist WA State Building Code Council E-mail: alr@cted.wa.Qov Phone: 360.725.2970 FAX: 360.586.9383 Web: WWIN.sbcc.wa.Qov > -----Original Message--- > From: Rhoades, AI (CTED) .-------- Rhoades, AI (CTED) From: Sent: To: Subject: Rhoades, AI (CTED) Monday, May 17, 2004 10:02 AM 'kgraf@tahoesnow.com' Accessibility code Attached is the state accessibility code, adopted as Chapter 11 in the 1997 Uniform Building Code. The two sections we discussed on the phone are 11 03.2.2--Accessible route of travel, and 11 01.4--Alternate Methods. Regarding applying the alternate methods provision to your project, Section 1103.2.2, Exception 2, item 2.1 requires an accessible route of travel to the offices of health care providers on the second floor. What you described sounds like it could be considered as an alternate method for providing equivalent access to health care providers who normally work on the second floor, that alternate being to provide specific facilities on the first floor for use by those providers as needed when treating persons who cannot use the stairs. If acceptable to the local jurisdiction, this provision could be documented on the Certificate of Occupancy for the building. As I explained, the state building code act (RCW 19.27) does not provide the State Building Code Council with any enforcement authority. RCW 19.27.050 requires the counties and cities to enforce the code. Therefore acceptance of any alternate method proposed is a decision made by the local jurisdiction. ~~..,. I::::J Accessibility.doc Al Rhoades, Codes Specialist W A State Building Code Council E-mail: aIr@cted.wa.gov Phone: 360.725.2970 FAX: 360.586.9383 Web: www.sbcc.wa.gov 1 I Brad ~lIins - FW: Accessibility code / ---- From: To: Date: Subject: "Rhoades, AI (CTED)" <AIR@CTED.WA.GOV> IIlbcollins@cityofpa.uslll <bcollins@cityofpa.us> 5/21/045:30PM FW: Accessibility code To: Brad Collins, Building Official City of Port Angeles Brad, Thank you for your call this afternoon. As we discussed, I definitely agree with you that the building tenants (and any employees they might have) must be considered when applying the accessibility requirements for a building. With that in mind, I cannot think of any alternate to providing an accessible route of travel to the second floor in a health care facility as required by the state code. I appreciate your professionalism and your willingness to discuss the possibilities in applying the provisions of the code. AI Rhoades, Codes Specialist WA State Building Code Council E-mail: alr@cted.wa.gov Phone: 360.725.2970 FAX: 360.586.9383 Web: www.sbcc.wa.gov > -Original Message- > From: Rhoades, At (CTED) > Sent: Monday, May 17, 2004 10:02 AM > To: 'kgraf@tahoesnow.com' > Subject: Accessibility code > > Attached is the state accessibility code, adopted as Chapter 11 in the > 1997 Uniform Building Code. The two sections we discussed on the phone > are 11 03.2.2-Accessible route of travel, and 11 01.4--Alternate Methods. > > Regarding applying the alternate methods provision to your project, > Section 1103.2.2, Exception 2, item 2.1 requires an accessible route of > travel to the offices of health care providers on the second floor. What > you described sounds like it could be considered as an alternate method > for providing equivalent access to health care providers who normally work > on the second floor, that alternate being to provide specific facilities > on the first floor for use by those providers as needed when treating > persons who cannot use the stairs. If acceptable to the local > jurisdiction, this provision could be documented on the Certificate of > Occupancy for the building. > > As I explained, the state building code act (RCW 19.27) does not provide > the State Building Code Council with any enforcement authority. RCW > 19.27.050 requires the counties and cities to enforce the code. Therefore > acceptance of any alternate method proposed is a decision made by the > local jurisdiction. > > <<Accessibility. doc>> > > AI Rhoades, Codes Specialist > WA State Building Code Council "- E IU IS '1 M '-:l i: (I't: ~ '1 t '* l.u ~ ~ ..., 1 Q,! ~ J -- J _....- Vl J ~ Ijl .0 l1. 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AT' - ~p 85 (/1)7 ---.. ~ L1 Q., \J IZC!Iq-II) t~\.vG- - ~ rtm...... 1-_ ~.. CITY., '. . OFPORl'AN.G.. EL..ES DEPARTMENTOFCO~DEVELO~-BUILDINGDMSION 321 BAST5'I'HS1REET. PORT ANGELES, WA 98362 Charged Page 2 Pate 9/15/04 Application Number . . . . . 04-00000306 Pin number / . .. . . .441652 . . -- - - - - -... -..... '"!Ii..... "i<'''' - - - "'!' - -- - - - - - ~_ -"'!'f.- "!" - -=-:.-_ - - __ -_ _-_.;.-~ _ _ _ _ _ _ _ _...... .-..... ~ _... __ _ _ _ _'''' _;... _ __ . .. . ~- .~ '. Paid Credit~d ----_..._--~ .'---------~ Permit Fee' Tqtal Plan Check Total Other Fee. Total Grand'Total ~Q) ~ \ ~ CF> ) "'X ;: ft~ S~paralePermlts are required for electrical work,S!;pAi~.horelir;!e.ESA.utlllti~s.prlVateand public ImprQ~emen~"1l;1i~. nunan~,.VQld lfwork or construction autilo.rlzed is .nO~.~rlllnenced within 180cC:fa~.jf const{uCtlonorwQrkjS;SUI$~n~.:. foraperlqdof 180 da~ after the \york as commenced~~rifrequjred jnsAA.ctjonshavenotbeenrequestedwithin1~Oda ...rQmthe4a$l Insp~~lqll.J hereby certify that I have readandeXaOlin~<f tfiis applicationa~dknowthesameto betru~and COrrect,J\lI:pr()visionsof Jaws and ordinances governing this type ofworkWiu6ecomplied with whethe:...~p~fied'herelhornOt. TfiEigra~ti.~S''O~_aWl'l11ifdO.~SnOt presume to give authority to violate orcancel the. provisions of any state or locaUaw regulating construCtlori'.brthepelfonnl'ince of construction. . Sigiudureof Contractor or Authorize(! Agenf . ....Date . .',"'';;'.'' -;b:c::';~ BlJaDING PERMIT INSPECTION RECORD ..~.<~ ,'. '...'.'.........'............................. ~ ;~. ~", , --~:-<: - ..'....,. . '," "., CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE.PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, J1{SULA].'EJJR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. . .. INSPECTION TYPE DATE I ACCEPTED , COMMENTS , , I YES I NO '. FOUNDATION: '. . . . " FOOTINGS . WALLS . FOUNDATION DRAINAGEIDOWN SPOUTS . ..' , ". ELECTRICAL (LIGHTDEPT) SEPARATE PERMIT: H - .~ A ROUGH-IN 7),~ I rc-,{ I '--r7>?fL,~. '. . ) . . PLUMBING UNDER FLOOR I SLAB . ROUGH-IN WATER LINE (METER TO SLOG) GAS LINE . BACK FLOW f WATER . , . '. AIR SEAL , WALLS . CEILING '. - FRAMING .' , JOISTS I GIRDERS SHEAR W ALLfHOLD DOWNS WALLS' ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION .' - SLAB WALL' FLOOR' CEILING I .' I MECHANICAL , HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY aOOD f DUCTS PW UTILITIES' SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE 'METER SEWER CONNECTION . SANITARY STORM PLANNING DEPT. SEPARATE PERMIT /#'s SEPA: PARKINGJl.IGHTlNG ESA: LANDSCAPING SHORELINE: " , . , ,.' '. FINAL IJIiSPECTIONS REQUIRED JlRlQR TO OCCUPANCYJUSE , '. ',' RESIDENTIAL .. DATE YES NO COMMltR,qA). . DATE .'. , ACCEPTED - , .'." " '. YES , NO " ELECTRICAL --, ELECTRICAL _ LIGHT DEPT. 411,4735 LIGHT DEPT,', . ..' ~NSTRUCTlON R. W./ PWI CONSTRUCTION - R.W. GINEERlNG 417-4807 PW 'ENGINEERING FIRE 417-4653 FIRE DEPT. ..,. " PLANNING DEPT. PLANNING DEPT. .. . 417-4750 Bun.DING' '.' .. 417-41115 BUILDING '. , T:\PLANNlNG\FORMS\1102.15 (1111412003] ,- s ~~.... . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT.;. BUILDINGDMSION 321 EAST 5TH STREET, PORT ANGELES, WA98362 04-00000889 Date .125473 160 DELGUZZI DR 06-30-12-3-4-9020-0000- ELEcTRICAL ONLY 9/30/04 Application Number Pin. number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name .. Property Use Property Zoning. . . Application valuation o Owner Contractor WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES WA 98362 HI TECH ELECTRONICS 723 E. FRONT STREET' PORT ANGELES PORT ANGELES WA 98362 (360) 452-.2727 --------------------------------------------~------------------------------- Pennit . . . . Additionaldesc Penult Fee ,1 Issue Date EJqliration !:late ELECTRICAL NEW COMMERICAL Plan Check Fee Valuation . . 53.60 9/30/04 3/30/05, .00 o Qty 1.00 l.00 Unit Charge Per 42.2000 EL-LOW VOLTSYS <=2500 SQFT 11.4000 EL-LOW VOLT SYS >2500 SQFT . Extension .42.20 11.40 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Pennit Fee Total 53.60 53.60 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 53.60 53.60 .00 .00 ! ~I ~ ~' I ! ~ ~~ ~ ~ ~~ t~ ~ ' \,\ ~. ~ Separ~tePermlts are required for electrical work,SEf'A, Shoreline, ESA, utilities,prlvate..and public improvements. This piJrmitbecom~s nullan,dvqld if work or construction authorized is not commenced within .180 days, If construction or work Is susl1ende~()ri~b~""doned for a period of180 daysafler the work as commenced, or if required Inspectl()ns have not been requested within 1~lttf.aYSfrOmthe last In!ipe~tlon' .there~y ce!'lifythat I have read and eXafllined this application and know the same to be true and cof'J'eCt..,6Jlprovlslons of laws andptdinanCEls govemlng this type .of workwill.becomplied withwhetherspeclfled herein or not. The grantingof;8;pel111lt does not pl-esumetQ.give authority to violate orcancel.the provisions of any 'state or local law regulating construCtlon.orthe performance of construction. SignawrEt of Contractor or Authorized Agent Signature of Owner [If owner is builder) -Date Date BUILDING PERMIT INSPECTION RECORD CAl:.'L417-4815 FORBUlLDINGINSPECfIONS. CALL41~735 FOR ELECTRICAL INSPECTIONS. ...... . PLEASE PROVIDE A MINIMUM 24 HOURNOTICE; .IT IS UNLAWFUL TOCO~ INSULA~E.o~(JOl!l(JEALANY WORl(;BEFORE INSPECTEDAND4fCEPTED. POST PERMIT IN A CONSPIGPOpSLOCATION.. . . KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE. INSPECTION TYPE ...... DATE ACCEPTED . .. . COMMENTS ....... .' . . I \TS I NO .' ...... ..... '. . ..... FOUNDATION: ". .'. ..... . FOOTINGS ....... .... ......... WALLS . . ........ FOUNDATION DRAINAGEIDOWN SPOUTs ....' . '. <.... (LIGHT DEP1)SEfARATB.pIttud:iT: 1# 7i L~V~ ~ ELECTRICAL . -1 ROUGH.IN 19_ .,- "AI lfC I d-~:",," . .~. ~ . '. . " PLUMBING .. UNDER FLOOR/ SLAB ( ". ROUGH-IN ..., , W ATER LINE (METER TO BLDG) GAS LINE .' . . , BACK FLOW /WATER .' .. . '. , , AIR SEAL . WALLS 7 \. ) .... .' i' CEILING .' , '..,., , : FRAMING .... ".' . , 10ISTS I GIRDERS '7 , SHEAR W ALLlHOLD DOWNS ~ , ~ .' WALLS I ROOF I CEILING " DRYWALL (INTERIOR BRACED PANEL ONLY) '.. . T-BAR . .... I .. . INSULATION .' '" .... SLAB . I I I " WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP .......... ~ .' . .. / GAS LINE .' / WOOD STOVE I PELLET ICIDMNEY .... /' '.' HOOD/ DUCTS . i . PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT /I's: .' WATERLINE/ METER '.. , I SEWER CONNECTION .... . , SANITARY ( STORM , . PLANN~G DEPT. SEPI\.RATE~#'s ~PA: PARKINGlLIGHTlNG : ESA: LANDSCAPING .... '.~!?~. . .. . .;... , ......... ........JIfflAL IN~PEc:nONS REQUIRED. pRIOR TO OCC~~CY~S,E.; ". .;, RESIDENTIAL . . '. DATE .\TS........ NO COMMERCIAL .? "DATE .. Ac,dEPTED , . . . ,. '.' '.' . . 'YES , NO ,'-" /;,; "'{AJ?~ .f'Q"'~ ...., ~. ELECTRICAL - LIGHT DEPT. 4174735.. ELECTRICAL 'i. Ii. 'y';'\~~ . .. LIGHTDEPT CONSTRtJcnON~. R.W. , '., 'i' .... CONSTRUCTION R. W./ PW/ , ENGINEERING 417-4807 PW I ENG1NBERlNG FIRE . ... 417-4653 FIRE DEPT. . '. . ,- " '",,'^" ." , '." .1. . PLANNING DEPT. ... 417-4750 PLANNING DEPT. , .. BUILDING 417-4815 Bi.rrLDtNG ...... .... T:\PLANNlNG\FORMS\1102.IS[11I14I20031 'J;Zo:'> "',' "<, s ~~ CITY OF PORTANGE;LES DEPARTMENT OF COMMUNITY DEVELOPMENT- BUILDING DMSION 321 EAST 5lH STREET, PORT ANGELES, W A 98362 at Application Number . . pin nwnber . .... . . . Property Address ASSESSOR. PARCEL NUMBER: ,Application description Subdivision Name property Use ... . Property Zoning . . . Application valuation 04-00000842 Date .185502 160 DELGUZZIDR 06-30-12-3-4-9020-0000- ELECTRICAL . ONLY 9/23/04 o owner Contractor WUJI ENTERPRISES 'LLC PO BOX 3101 PORT ANGELES WA 98362 ANGELES COMMUNICATIONS INC. 102 ROSS LN. PORT ANGELES , WA PORT ANGELES WA 98362 (360)457.,.4375 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL' TEL & DATA CABLE 53.60 Plan Check Fee 9/23/04 Valuation . . 3/23/05 .00 o Qty 1.00 1.00 Unit Charge Per 42.2000 EL-LOW VOLT SYS<=2500 SQFT 11.4000 EL-LOW VOLT SYS >2500 SQFT Extension 42.20 11.40 ~.~ ...~~ ~ '" ~ ~.~ ...~(\ Fee SUllUllary Charged Paid Credited Due ----------------- -------...-... ---------- ---------- ----------- Permit Fee Total 53.60 53.60 .00 .00 Plan Check Total .00 .00 .00 ,.00 Grand Total 53.(;0 53.60 .00 .00 Separate Permits are requiredforelectrlcaiwork,SEPAj~horeUne, ESA, ~litiet>1 priVIil\ean~BIJbI,ici.ml?rovelJl~ts~l'his~~i~~CQme. null anClvold If work or construction authorized Is not commenced within.18O:days,ffearisti'UCtion or worlds'~uspj~d8d of'abandoned for a period of180 days after the work as commenced, or.ffrequlred Ins~lons have not been requestedwithin1a~~aysff()mthelast Inspection. I hereby certify that I have read and eXarnf~thls appUcatioQa;nd'knc:>>\y the same to be true art~'co~ A,U,prqyit}ions pf laws aildordinances governing this type of work will be~mplied with wh~speclfied heJBin or not. Thegr8nUngbfa ~if.'does not presume\,!<> give a~rity to violate or cancel the provisions of any slam or local law regulaUng construction or thepeifotmance of construction. ., (\ . .. " Signature of Contractor or Authorized Agent Date s~nature,.ofOWn9f" flf owner Isbullder), Date T:\PLANNlNG\FORMS\IJ02.JS[IJ/14I2(03) BUILDING PERMITINSPECflON RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECfRlCAL INSPECTIONS. PLEASE PROVIDE AMINIMUM 24 HOUR NOTICE: ITIS UNLAWFUL TO COVER, INSULATE ORCONCEALANYWORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPI<;UOUS -'OCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. . '.' INSPECTION TYPE . DATE I.. ACCEPTED , COMMENTS .' YES I NO . <. '. FOUNDATION: .... FOOTINGS 'f., WALLS FOUNDATION DRAJNAGEIDOWN SPOUTS ELECTRICAL (UGIIT DEPT) SEPARATE PERMIT: iI .I} ~/ .A .. .. "". , ')AU;;;:; .~' ..'" I Q...~tJ- r k '1(" I ," ROUGH-IN ....... ~- PLUMBING . , UNDER FLOOR I SLAB '. ROUGH-IN . WATER LINE. (METER TO BLOG) " GAS LINE BACK FLOW I WATER , . ,'. AIR SEAL ,," WALLS .. I CEILING , I I FRAMING . . " " JOISTS I GIRDERS SHEARWALLIHOLD DOWNS WALLS I ROOF I CEn.ING DRYWALL (INTERIOR BRACED PANEL ONLY)" , T-BAR : . INSULATION " ':.' SLAB . " I WALL I FLOOR I CEn.ING , MECHANICAL .'. HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY ,. HOOD I DUCTs '.., PW UTILITIES' SITE WORK (Engineering Division)' SEPARATE PERMIT I/'s: , WATERLINE I METER SEWER CONNECTION ' '. SANITARY STORM , " PLANNING DEPT. SEPARATE PERMIT ii's '., '. SEPA: , PARKINGILIGBTlNG ESA: .~JI'iIG '.,'!;,<.. ''<'', , ~' ,', '-> .' <'FlNAD,INSPECTIONS REQUIRED PlUOR TO ()CClJ'~~: ""',,', :"\'" " ; 7 DATE YES NO COMMERCIAL: " ~' <; .. "\CC1:EPTED ;'. RESIDENTIAL '.".. , c:j;.,-'-' .... i."" ;;YiS:.', "'NO '.';', , . " l!.1Z;;J" "':'; <, ELECTRICAL. UGIIT DEPT. 417-4735 ELECTRICAL, ,'A':iI/. : UGHTDEPT CONSTRUCTION R. W.I PWI CON8TRUCllON. R.W. ' " ' ENGINEERING 417-4807 PW I ENGINEERING < FIRE 41?~3 , .'; FlREDEPT; , > ., ...,. ... .' , '.: , . PLANNING DEPT. PLANNING DEPT. " 417-4750 BUll.DING 417-4815 BUILDING , I;. .,' T:\PLANNING\FORMS\1I02.15 (11/14flOO3] .--;-;"'-,, ;(1 ~ CITY OF PORT ANGELES DEPARTMENT OF coMMUNJ.T\r DEVELOPMENT - BUILDING DMSION . 321. EAST 5TH STRfET, PORT ANGELES, W A 98362 '" '. Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 285366 Owner Contractor WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES Structure Information Construction Type Occupancy Type Other struct info J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457-1809 NEW 4320 SF 2-STORY COMM BLDG TYPE V NON-RATED BUSINBSS:OFFjPRO/MBD/RBST TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF.. STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOTCOVBRAGE NUMBER OF UNITS WA 98362 9/10/04 WA 98363 7.00 V-N 2.00 1.00 339768.00 2284.00 2284.00 1.00 ---------------------------------------------------------~-~---------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMBRICAL 320A SERVICE STRAITS ELECTRIC 184.30 Plan Check Fee 9/10/04 Valuation 3/10/05 Qty Unit Charge Per. 1.00 184.3000 ECH EL-COM 201-400 NEW SRV FEEDER .00 o - - - - - - - - - - - - - - - - - -: - - - - ---- -- - - - - -- - - --- - - - - -"---:-_-- - -.-- - ---'- - - - - - - - - - - ~ - - - -- Extension 184.30 Special Notes and Comments On the lower floor there will be a dedicated ADA patient treatment .rOom will be available to all health care providers in lieu of second floor ADA access .route. There will also be a required dedicated health care provider office in lieu of second floor ADA access route. Building address sign shall not be less than 6w & not more than 12" in height. Numbers colors must contrast with wall color they are. mounted on. (Ord. 14.36.050-E) The project is to construct a 4320 square foot.commercial structure in the Commercial Arterial zone for a total lot coverage of 7%. Setbacks and lot coverage are good and parking for the site as shown is for a general business or retailuse.No land use issues are noted. Electrical load calcul~tionsand elctrical permits are required. 6' wide sidewalk to City standards along Del Guzzi Drive Other Fees SEWER SYSTEM DBLV CHARGE STATE SURCHARGE --------------------------------------------~------------.------------------- 1862.00 4.50 . . ~ \K ~ ~ }~ ~~ ~. Separate Permits are required for electrical work, SEPA.Shoreline. ESA, utlli~~s. private and public improvements. This permit becomes null and void if work or construction authorized is not Commenced within 180 days, if con~tructlon or work Is suspended or abandoned for a period 01180 days after the work as commenced, or if. required inspectlclns 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 win be tom plied with wh13th~r specified herein or not. . The granting of a permit does not presume. to give authority to violate or cancel the provisions of any. state or . local. law regulating construction or the performance of construction. . Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\II02.IS [1111412003] ,'- Signature of Owner. (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD " CALL 417-4815 FOR BUILDING,INSPECTIONS. CALL 417-4735 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 IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO ", FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGEIDOWN SPOUTS , ELECTRICAL (LlGHTDEPT) SEPARATE PERMIT: # ROUGH.IN : I . I ., , PLUMBING . , UNDER FLOOR / SLAB , ROUGH-IN , WATER LINE (METER TO BLDG) . , GAS LINE BACK FLOW / WATER , AIR SEAL WALLS ; CEILING I , FRAMING JOISTS / GIRDERS . SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING .' DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR / , . INSULA TIO't , SLAB / , I I WALL /FLooR / CEILING I ., I MECHANICAL , , HEAT PUMP GAS LINE , , - WOOD STOVE / PELLET / ClDMNEY HOOD / DUCTS '. PW UTILI:rIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER i SEWER CONNECTION '. SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 1 SEPA: PARKlNGlLIGHTlNG ESA: LANDSCAPING .c : SHORELIffE: " ,,' ,'. , F1NALINSP,ECTlONS REQUIRED ~R10R TO OCCUp'ANCYlYst, .' RESIDENTIAL DATE YES NO COMMERCIAL DATE 'ACCEPTED . YES NO , <, ELECTRICAL -LIGHT DEPT. 417~4735 ELECTRICAL " LIGHT DEn CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 4174807 : PW I ENGINEERING, FIRE 4174653 FIRE DEPT. .... : . PLANNING DEPT. 4174750 PLANNING DEPT. , BUILDING 4174815 BUILDING " ., 0:' ~ T:\PLANNING\F0RMS\1102.15 [11/14120031 ~e ~~ CITY 0F PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DN~SION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 . Application Number :. . . .. 04-00000306 Pin. number . . . . . . .441652 Page 2 Date 9/10/64 Other Fees PW WATER SYSTEM USE FEE 2562.50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 184.30 184.30 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4429.00 4429.00 .00 .00 Grand Total 4613.30 4613.30 .00 .00 Separate Permits are required for electrical Work, SEPA, Shoreline, ESA, utilities, private and public improvements. T~is~rrnit~ecomes null and void if work or construction authorized is not commenced within 180 days, if construction or work i~susper1ded c:>>rili;)andoned for a period of 1 fSO days after the work as commenced. or if required inspections have not been requested within 18(tdaysfrornthe 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 regu.ating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\II02.IS [1111412003] y:;,.- BUILDING PERMIT INSPECTION RECORD ~--: - .. "...... CALL 4 1 7-4815 FOR BUILDING INSPECTIONS. CALL 4 1 7-4735 FOR ELECTRICAL INSPECTIONS. " PLEASE PROVIDE A MINIMUM 24 HOURNOl1CE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY.WQRKB.EFORE'. INSPECTED AND ACC4PTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO . FOUNDATION: .' FOOTINGS , WALLS ,,' , FOUNDATION DRAlNAGEIOOWN SPOUTS ELECTRICAL ,(UGHT DEPT) SEPARATE PERMIT: II /).. l\__ A ~~ t&/:. 'ROUGH~IN 19~.:i ~-lJ( I 1(''7\ r. -, ..' , . ," PLUMIUJIlG UNDER FLOOR I SLAB , ROUGH-IN W ATEit. UNE (METER TO BLOG) , GAS LINE BACK FLOW I WATER I AIR SEAL . I WALLS, .' I i . CEILING FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS : , WALLS I ROOF I CEalNG " : DRYWALL (INTERlOIt BRACED PANEL ONLY) T-BAR , INSULATION SLAB WALL I FLOOR I CEaING MECHANICAL , , HEAT PUMP GAS UNE WOOD STOVE I PELLET I ClDMNEY HOOD I ,DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT /I's: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: " LANDscAPING , SHORELINE: FINAL ~SPECTIONS REQUIRED PRIOR TO OCCUP^.NCYIllSE. " ; ',', RESIDENTIAL DATE YES NO COMMERCIAL DATE' ACCEPTED , . YES ".NO , ELECTRICAL l:lh>k ELECTRICAL - UGHT DEPT. 417-4735 AeIJ UGHT DEPT , , CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BuaDlNG 417-4815 BuaDING , . ., .~. T:\PLANNING\FORMS\1102.15 [1111412003] ----.---;;;:-- . ~~ ~.crr,YOFPORTAN(JELES DEPARTMEN;f OF COMMUlWTY DEVELqPMENT - BUILDING DMSION' 321. EAST STHS'rREET. PORTANQELES'. WA 98362 " '.'"- Application Number. . Pin number . . : . . . Property Addre~s ASSESSOR PARCEL. NUMBER: Application description Subdivision Name Property Us~ .... . . Property zon'ing . .. Application valuation 04.,.00000470 .858350 160 D1i:LGUZZI. DR 06-30-12-3-4-9020-0000~ ELECTRICAL ONLY Date 6/01/04 WILCOX, ~~EN(DENNIS o Contractor ------------------------ -"..... , JiiORT ANGELES {MOl 457-5706 WA 98362 STRAITS ELECTRIC JiiO, BOX ~!3'H PORT ANGELES (36()l452~9104 WA98362 _.... wi......... _ '....... - - - - '_ -- - _ _ - -- - _:''';'_ - ~.. ~- -,_.. - - ... - -- -- - - -"'~',~;;';'-~->- - --...;_......- --... .'- -.... _..;. - ~-- Permit Addit.tonaldesc. Sub Contractor permit Fee. . Issue Date, Expiration. Date ELECTRICAL TEMPORARY' SERVICE Permit Fee Total, Plan Check Total Grand Total .00 .00 .00 "- .~ ~-i .' "'~"" .......~.. .~ ~ .'" ..~...~ STaAITS ELECTRIC 40.90 plan ~~CII: Fse, .00 6/01/04 Valuation 0 U/28/04 Extension 0-60 SRVFDR 40.90 Fee sununary Credited Due Signature of Contractor or Authorized Agent Signature of Owner (If owner Is builder) SeparabrPermlts are r~!Jired for eleptricalwork:S~PA.Sh(lre,lJne, ESA,'utUlties;private andput>lic Improvements.Th'~pe;'!II,fbecomes null an-CI v()ldif work or con~tructionauthorized Is.notcominenbed Wifhir,.18(l~~~;lf(X)nstruction.or work l"suspel:1dedor abandoned fur a p~t1odof 1~.O days after the work as commencedj;orJfrequlredlnspectlon$'have not be.en requesiedwjthin.~180'ci~ys frOm the last Inspectlo,n.1 hereby certify that Uiave read and examined this application and ,knoW the same to be true aildcorrect.AO provisions of law. s'an. ..d... ..ordi~ance. s gov., ar. nlpg. ttlis type. Of. work Wilroeco.'~. p.'lied\Nith wh~th,erspeg.ified he, fe.. In or n~t.1)1e:gn:'nti. 'ng'p.fa p.' erm!tdoes not prElsume to gIve authonty tq VIolate or cancel the provisions of any state or local law regulating construction or reperformance of cohstniction., . .... , " '; . \ . T:\PLANNlNO\FORMS\1102,IS [llfI4l20(3) BUILDING PERMIT INSPECTION RECORD :"~'.- - -,-'.-' '<:;Att417--4815FOR BUILDINQ INSPECTIONS. CALL 417-4735, FOR ELECTRICAL INSPECTIONS. <.:PL.E.~SEPROVIDEAMINlMUM;24 HOlJR NOTICE. .IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFOHE. .'." INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . .. . ..' .' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE COMMENTS . .' II .' , . ., r ,YEs" .' ACCEPTED . . . . .'. " SijORE~INE: . . ...... FIN~INSPECTIONS REQUIR,EP,I'RIORTO OCCUrANo<:;VI1!SE ,.' ..... ....... DATE YES NO. '.. COMMERqAi. . .,' ,. " INSPECTION 'J')'PE DATE' FQUNDATlON: . ' . '. ' FOOTINGS I WALLS :: , < '," ' . ..,c. . :.:, .. . ..... DRAINAGEIDOWN SPOUTS . FOUNDATION . ' ELECTRICAL ROUGH-IN. . (LIGHT DEPT) SEPARATE PERMIT: # .,: I . PLUMBING '., UNDERFLOOR/SLAB .:.'._. < '. ROUGH-IN......,......... .' WATER LlNE{METER TO BLDG) I'.' GAS'LINE. .... ..' ---;- ..,.... D~CK FLOW I WATER. . AIR SEAL .....,....., ...... . WALLS '........./>) -.- : CEILING ":'. i:. ..... FRAMING '. Jm~ IGJRj)ERS ,.' ..... SHEARWALLlHOIpDOWNS WALLSI ROOFI9EILING. DRvW ~L (INTERIOR BRAcED PANEL ONt Y) " T.BAR ..... .., . I I. I . INSULATION SLAB .. WALL/ FLOOR/.CEILING '. f MECHANICAL '.' '. HEATPUMP. . ..',. GAS'LINE' .... ..... WOOD STOVE IPELLET I CHIMNEY HOODfDUCTS " PW Ufn..lT1ESi SfUWORK '. (Engineering Division) SEPARATE PERMIT #.s: I WATERLINE / METER SEWER CONNECTION SANITARY .' 2 '. PLAIIlNINGDEPT. SEPARATE PERMIT #'$ . . STORM . , . PARKlNGlLlGImNG LANDscAPING .. , . . RESIDENTIAL . NO '.. , . -.-- ".-' .-: -'. : '. . ".: ...... . :.' -.-; ::",".." - . I . . . - : I , . . : 1 , . ". ., ---...... . " . I > . , I . : I , " . .' . - , I ,,' . I ': ; .' ,- ; . :' " .' ....... - . ., . .. . , . '. . . . .:~'~i' ... . .' . . . '.. ;:,~ . .::. ' . , SEPAl . ESA: . . . .. . . ,.....: . .' ," < ':, . ': . .- " . '. . .' . . . - . . . . . ." ..... .' '. -.. .:. . .'. I.. > f. '. ',' I::'~ . 1,;/, - J I .', I. . . '. >, . ". .:., . ......... .. , . , .. . .' ..1" " i. - ., , DATE --~ ~.;...A€~EPTEp : . YES: NO ELECTRICAL - LIGHT DEPT. ". " CONSTRUCTION R. W. !PWI ENGINEERING. .' --:. FIRE _ '. . . PLANNIN(1 DEPT. .' . - BUILDING '. .( ... -. ELECTRICA:L . . LIGHT DEPT . I.' ...:.... CONSTRUCTION - R. W. . I....... .'. /., PW I ENGINEERING < FIRE DEPT. '.' ..... -. . ..., '. ............... PLANNING DEPT. .; ,,' , .... . '.' ... '.' BUILDING 7h 101 1 /tL,~h; -. I '17 : I . - I 417-4735 417-4807 411-4653 417-4750 417-4815 <' ',---~< " t) ""'..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 " Appl~cation Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type descr~pt~on Subdivision Name Property Use Property Zoning Application valuation Owner WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES Other struct ~nfo Perm~t Additional desc Perm~t p~n number Sub Contractor Perm~t Fee Issue Date Expiration Date 4/27/06 06-00000243 Date 382707 160 DEL GUZZI DR 06-30-12-3-4-9020-0000- WUJI, LLC COMM ADDITION 139200 Contractor CHILDERS BUKOVNIK 13 VALHALLAS WA 98362 PORT ANGELES (360) 457-6547 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS CONST INC WA 98362 17.10 1 00 4320 00 34585 00 1600 00 5920 00 1 00 ""- ~ \) ELECTRICAL ALTER COMMERCIAL SHAMP/ ADD 7 CIRCUITS 75028 SHAMP ELECTRICAL 71 90 4/21/06 10/22/06 CONTRACTING plan Check Fee Valuation .00 o r~ '" ~ A' ('J f'1 Qty 1 00 2 00 Un~t Charge Per 61 3000 ECH EL-COMM ALT <5 CIRCUITS 5 3000 ECH EL-COMM ALT-ADDTNL CIRCUITS Extension 61.30 10 60 Special Notes and Comments 03/16/2006 08 12 AM KDUBUC -----------------------------The Fire department will require plans for review Electrical load calculations and elctrical perm~ts are requ~red. Any changes to City electrical facilities (i.e transformer upgrade) will be at the custmer's expence. 03/20/2006 04 09 PM GMCLAIN ---------------------------- Public Works Ut~lity Engineering has no requirements for this plan review Other Fees , STATE SURCHARGE ~ 4 50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee 70tal 71 90 71.90 00 00 Plan Check Total .00 00 00 .00 Other Fee Tota~ 4 50 4 50 00 .00 Grand Total 76 40 76.40 .00 00 COMMENTS/ACTION NEEDED ~ ELECfRICAL PERMIT INSPECfION RECORD CIJ-L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO llTI :H III II IGH-lN /l,;UVbK 7- 3-1"J' bE) :SbK V Ie]:; -,- I R-IL-/lh, ~^ ) I GENERAL COMMENTS: PW.J102.1~ (4'96] ~ ''''''~. ~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98J()2 , '. Appllcation Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Appllcation type description Subdivlsion Name Property Use Property Zoning . Appllcation valuation 06-00000243 Date 382707 160 DEL GUZZI DR 06-30-12-3-4-9020-0000- WUJI, LLC COMM ADDITION 7/05/06 139200 Owner Contractor WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES CHILDERS BUKOVNIK 13 VAL HALLAS WA 98362 PORT ANGELES (360) 457-6547 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS CONST INC WA 98362 Other struct info 17.10 1 00 4320 00 34585.00 1600 00 5920.00 1. 00 ~ ~ \J Permit Additional desc . Permlt pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL HI-TECH/ FA+SECURITY 81547 HI TECH SECURITY 65 00 7/05/06 1/01/07 INC Plan Check Fee Valuation 00 o ~ ~, 1\ EL-LOW VOLT SYS <=2500 SQFT EL-LOW VOLT SYS >2500 SQFT Extension 42 20 22.80 Qty 1 00 2.00 Unit Charge 42 2000 11.4000 Per Special Notes and Comments 03/16/2006 08 12 AM KDUBUC -----------------------------The Fire department will require plans for review. Electrical load calculations and elctrical permits are required Any changes to City electrical facilities (i.e. transformer upgrade) will be at the custmer's expence. 03/20/2006 04 09 PM GMCLAIN ---------------------------- Public Works Utility Englneering has no requirements for this plan review \J\ ~ \'J N. '\ Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 00 65 00 00 .00 Plan Check Total .00 .00 .00 00 Other Fee Total 4.50 4.50 .00 00 Grand Total 69.50 69.50 .00 .00 ~ COMMENTSI ACTION NEEDED I ELECTRICAL PERMIT INSPECTION RECORD CA~L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItP'I'ED COMMENTS YES I NO U 11 \,;1'1 IH111{!I-I-IN I CUV-hK 7-3- /J G SERVICE FINAL 19>~b//?bl I GENERAL COMMENTS: PW-lI02 15(4'961 -# - . ()4-~ ~ "1 It . - , r I I I .1 . I C & F lNSULATlO,N, lNC. P.O. Box 2197 Port Angeles. Wa. 98362 (360) 681-0480 Fax: (360) 681-0349 1-800-479-1371 I I I , , , INStJIATION CERI'IFICATE ~ , ~ ,...---~_ CERTIFY THAT, IN CONFOW~ WITH THE CURRENI' THERMAL /--' /' ~~~~ SIt:.NDARDS O'iashi!1gton Sta~e Code) OR ~PROVED PlANS, INSUIATla.~ HAS BEEN INSTALLED IN THE BUIWIN3 LOCATED AT: / I \ i1\ddre~ of Pro rt 0"""7 Name: ~~:., Pennit ~: /:;1-0;\( ~\{f\ VAPOR BARJ.l.I ERS 'I' YT..>e: Floors lo m, \ Ce 11 i n9 \~alls Sun-Contractors C & F InsJlation, Inc. Contractor's Reo ~o. CFINSI*066D.:v ~-\:n ~ Jq~"y AutnonZed Signature Title ~\L- 0.'2-, \} tnSUlalkJR'r;'ntJaclors l~r Supp~e(s 09/07/2004 16.- 42 FAX 3604574698 STRAITS ELECTRIC . . 2b~d1I:Ef:Bli3itRr.09':{O.:AJ,(;~~~br:r;:q~~"i3MGDEP:C':'~':c'FAX No,j60 417- 4 711 '. '."",_:,?:;<:".n P;'002 . - .~. . '-; . ~ iJ:~.~'::', '.:.::\i:::~.:.:: - . ____ . "-'--;--'-'i-.-=--'-=~'.-~ --'-~_.- ~.~ . ____ ~_. t, -16. f'i;';!~cALPERMIt APPLICATION . 'i;(: .~~. i~EI~Wt~ Pcmntl AD;;'ltc:aUon muSt bQ flllod out comalo.tel\'. "'-"" PI.~~tvP.or';'~nllnlnk.lfyouhaVll3llyqU_""",,P_CalI(3601-4n~n5 01- 360 . .' - 'Faxnumber. (36(11 417-4711 14J01 c. J='Q"fI. onx;v.L \J:sJ!. 0JiL Y - Pa'TaIil.tt ......- uD&c1mla1: .' ". ...-. c 52 9104 457-4698 Owne,.,.eiec. Conlr.I AGone straits El.ect:tic . ~.Ph<ln2: 4 - Fax: P"'I''''',>,Owner. :i::-u..I. #...,. ::. .r::.,...~_.~.~,,;_ , fA'; 0 ..~ P"cne: '-I57--5,7rJCo Addr...., I (/? c> .7'lo 1. r' > ~,; '"Wt. Ci\y: fi'lrt- ~...P ~ WI+- ZJp' Cf ??,b ~ . ' , ~e. -Ol\o.s a( - 452 9104 !;Jeclrlc::ll Cc'l1r'4c1cr. Stril it El'ectr:l:c'" , Uoen.etl:'... ," - '''''lI" , "0 . Phon.: - ""0.....-; P.O. Box 2914 Clly.port Angeles,WA z;Jp: 98362 : NSTAlLATl ON WIRED BV.- "OWNER JIJ ELEmRlCAL CO/\/TRACTQR Credit Card HalderNam&:. Straits E-lectr.ic 8I11ingAddr~: P.O. Box 2914. CnKlit Carr! NlJmber: .' 0 n .pj '/ of:- 'CffY: Port Angeles,' WA er,G- Date: 98362 Zip; \I1SA:":"'::' Me: 'ReJECT ADO~", / ft:; 0 . ~ Lf:rf? -7; , 'D'L... ~r+- ~h.a-- ryrEOFWORKi Ch~~~ll1a;apPI, ~ew . DAltaratlonlAdditi~'_ J Residential Q Multf-famDy X Commercial 0 MDb~e .Home . Sq. Ft ] Remote Mater .0 Deta<:/\"d garage OHat Tub OSWfm Pool OSepUc:Pump lUmber of Circuits added a, atte",d: OLowV0!t9ge QTo'.."am, OSif ,eSCRlPTlON OF THE ELECTRICAL PROJECT; 3d 0 flr- S oK-(Jic p l..elrics! Hoat Load :Additions and c>,.Sqbtral;:tlons ServIce Informatlon S.....boam Fumace Heat Pump Fan-Wall _KW KW' =TON _KW lRA o Overhead .Servfce "Temp 5eM<:e o undergrounll SeMcc Yollage: Phase: 0 1 O:J Servl=Slze: Feeder Stz.e: r,eroby certify that I have read and examined this Ii 'Jfhonzed to apply for this pennit (understand it IS n 'e roqLJirad; ff remains the app/ir;anrs responsibiJ to d ELECTRJCAlPERMITAPPUCATlON ~..lL - nand know that same to be true and C(Jl1'ec:t. and I ar. e s legw responsibility to detefTlline what pehnits what permits Bf9 required end to obtain suph. er/Ch~' e.Tucker Date: 9'/r~tf-- cr/t/od- 14(- CredIt Card Hold~s Signat Owner Dr Elee.. Cant Signa ,. Dste: <Jb- PERMIT FEE: $ /87" 3 0 ;1(0 9H~~ Sep-21-04 OB:02A 04 - g Cf'2- 360-457-0212 .: .' P.Ol r s.... .. ;'r. " AGOID": City "''''' roa Uf.,k:1A1. U:U:1 oNl,y 0...-__. --".--. - ''-It.- .. - - u..~... ...___......,.__ DooI........., -- --'-'.--. T INSPECnON 0 : Q57-02-1Z- PIl":JIle: .. Zip: Zip: '.ffi.3..G:l3 VISA: J\_ MC:_ () age J(Telecom. OSig __CJ.kf'1.:. ...........---. -.",.-. on 'age: rJ3 ae: D1 IC8 Size: wr SIze. u_ - ot the Electncel Service &. I accompany the Elaarica e and correct, and I an ermine what permits ar to oblBin such. Oale:. Date: \:: ~ ELECTRICAL PERMIT APPLICATION lhe Elec[ticat Permit AppliC8~on rnust be filted Dut oomDllt8lv. Pt6aS8l~pe Of ...print in Ink. If". ttAW 111)' ......t.lanl$...... C:illI (380) .17....735 Fak"~ber: (3&0)."....711 . REQUES Own"' ... EJoc CO"I"L1", Age.,1 If!)? Iec-..> Chmm U (II 'c(),. t,1v15 . _...:451- 'f,,7S- F.. "",pony ow...,__.t<~+-h \p p u c.~ f. Pho..., [~bicl!I' CorlrDCtor: License fI= Exp: PROJECT ADDRESS: Actdras.1\: ,,_ City: INSTALlATION WIR(O BY, U OWNER 'f. ELECTRICAL CONTRACTG< CTfldffCara Hold..- Name;-A.(lfJj2..I~S C.om~fll'c.a ti nY1$ Billing Address:!OZ 'K6SSh.":L___.CJIy; 71,t ~Ies e,.dff Card NUffiber:.! / () ~ I 1(.,0 j)eL.6t.< p 'Z-.'"._.DI2.. Check lII! that apply: );(New Tnc. -. \J -t:: I' TYPE OF WORK' , 1.'1 Alteration/Addition n Residen..J U Multi-family Ji( Commercial 0 Mobile Homa Sq. FI 175 Remola Meier 0 Detached garage I..l Hot Tub [1 Swim Pool [l Saptic Pump o Low Vall Number of Orcults added Qr altered, DESCRIPTION OF TIlE ELECTRICAL PROJECT: "7e1-ep~flJL c$ Lu-tc,. Co. bk Electrical Heat load Additions PERMIT FEE: Service Inlormatl u Baseboard o FUfn9C0 rJ Heat Pump U Fa".Wall KW KW TON -KW LRA o Overhead SMVlce [J T etnp Servica Q Underground ServiCR Vol Pha Se", F..... PAMC 14.05.060(8); For indu91r1BI. commercial. & residential projeelli larger than a dupleK. It orKs _ line drawini Feeders, bui~ln9 size (sq. ~.), 10eO calculatio"" and tho typo & of conducto,. and/or racew.lY 15 required and s/1aI pennil appllClllion. I herebr certify fhat I have read and examined /hi" application and know 'hltt S6me /0 be Iru aulhorized 10 apply for this permit. I understlind il is not the CIty's I9gal responsibility 10 del required; il remains the applicants responsibility to determine whal penllits a,e rl1C{ulrfill ilml , Owner or Elec. Cont. Signature: C:IELECTRK:AlPERMITAPPLICA TION \ , FROM : HI-TECH ELECTRONICS FAX NO. : 350 452 8550 Sep. 29 2004 i0:20AM Pi ., 2(";~ I'~E?, ~S/~;J: ... ~. .H J8 I'\ijl GIrl OF P,I, BLi:(; JEPT :<' }:: ~c~ " ,r . \" ____~!:_~C!~<;:.~~..E.~~~I.E>F.'.ELl5_:~I' q!~," ~ . .0000n"I'IC,,;.l.I..l..:SEC~;..~ .._......_--_...~~,';..~--:~:.; ~ .::..~~. 1)....AI~..u..,~ LO..c ls.~..J .~_. :TIe EI~ctrlcaI P~ll AlJpneauon rnu!!'l. bel rlllod.tlJt. COmD\Qt~lV. P1ea6&~pe or rpp,.;nl ir: ink... If.you,hav" :In)! qlJB51.;cn", p1ea5;; CDII {3GOl M'....736 . ~.'"U"'l>er' (360)417-4711 -.-,."..- ..,,-.----..-----'. . -.... -. - --- --~_.- 'Owner ~r Eloe, eont=lOt A,;ot\t (,1+ rz. iZt.. T m Po (In k/f ~h.M.300,."5.:I.d. 7.2..i'", 3u) - ')5 ;J - 2-50 ,', I'ro..nrOY"'e" I..: i"f:Gr R ATl\! F i-JR{~l TJ.t. {!EN1"E-K '. ..' . ~hOM.36o ,- '-/57--,,)7c,6- All,,,,,,, l(Po DFI GuZZ.I DR . cJiy:PoRT /l-NIrJEjE~u)ft Zip: QY3fP;;L EJ"",,:a1 Cm"'''O'' 1-I;-iE.el-l E{.eI!.TRiJ~J I ~S, . uoeM.e=:j.jil~t.,gq'lcf~:_ CJ?-.'D7 :o?!.'~~....~?q-.c -</f:,".?-;!. 7.2'7 ~';e'; i-p,3 E ~P.6;:7;"6 r''';----'''-;,;:-Pc'/i.-i;Jj;//-;,ciE-.s Lz-';g zl?:4 ~~ b;z 1~STA1.\..ATIO~WIREO 8V:"---CJOWNER -_:_--- -, '~lECTRICAl:CONTRACTOR'-''''----' Credit Card Holder Name: c:, f't 1< rZ F_ r IVI (J 0 (. , T / K 17.. , B!III.~g Address: '7:;:31.~ F R6 ,,'-1.'5 i- C;iy:Pnrrr A d7E:-U5 vJA Credit Cord . {JfJ I<. r,/J tUl ~ (,[5 Zip: <1&:-1 6 d~ ( VJSA:~ MC:_ C) r-- P1tCJEOT ADORESS: IbO D EL6C-1Z2..1 Dff ..-~;~ ~ .. RiA '1((," &2 o Residential 0 Multl-family )6 Commercial o Mobile Home Sq, Ft ;';500 d' j-~ .-:) TYPE OF WOllK: Check i!illhal apply: ~ New , 0 AJleis~on'Ad<flllon o Remote Metar 0 Detached gerage C Hot Tuh 'Ci S'Him ::>001 0 Septlo 'Fump .. , OLow Volb!lge C Telecom. 0 SIOlr, 00.. ~. ."0 _ ._. ~. o. .~_. - -. _.-~........ .~.__._~.... ,-"-,'--'":"" ~- ~;--:-- ----:-'.-----,---- -.~.----~. .--.-- ...--- --- - -.- . "---- Number of Circullll ad<led or altered: D~SCRJI'TJON OFTIlEELeCmICAl-PROJEc;i:~ u) \/ ol T A-G E s r- C-u. (2./ 71j' S9IVI.elnfo"""tion' elootrical Ho.t Load Adellt\on~ an~ or SUbtractions, D,Oilerh""d S.,Mce c Temp Service o Unde.rllround ServiGS vorb:lQe: Phase: 0 loa SelViee SiZQ: , F.!lIier SIZe: ) E1asebo.rtl ] Furnace ) Heal pump ) Fan-WaU _KN ICN TON LRA -KW- hereby certify that I have rear! and examined Ws applloation zac la apply 'or thIs pe,'1Tlf!. f under$tMIcl it is not the City's lagel responsibility to r:Jaterminfif what parmits ire raqulrer!: It remains the applicants responsIbility to de rmlne whet permits are roql1irad and to obtain such. ' D~te:~ o.t9;~4 Owner or See. Cent SIgnature: Credit Cud Holclti"'$ Sign~t:.ire: pE~MIT FEE: $ 53 ; &:Iv :(e:LECTRICM.PE:RMrrA~p....rCA;nON . . . ','.;...:.',>. '.';;'j.,':>'~""'-;::,;'- .. - \ - 4S 2 - 9 1 04 _!t,:-_ ~{:;-~'<4:5:7,;.4 698 -:.Phona( .. ", -":".~~~':_:~~~~~,;:~-_:." '.' ' .- . .~".~':~~;~"':: p~.ptJr+ AJ1N"~ ~, :>;_;~{~~~~;5%V. ~ '.;"~t~-.-,,:-,::: '~-- U . 4~~*"~.'\.\05i'it~=c'c~-~-:":::-'52';'-91a4 -e_eo..."""'. s E...-ec '-.__C__'_ -___ ,_... _ ~ _,I~o' , r...."'" .,-,.",,-..,--,-,. ... p--. ,-., -- - . 1 -, 98362 Adu,;..,;,P.O. Box 2914 ':',,,'l'.;::-':;,'{Jj;::::';;:;,':'_ - at;r-port Ange es,WA '-Zll>' ' INST~~ON~~BY: c~~]~}-]1i8;~~~~~C{WTRACT~ - - -- , : _~JtCard HoIderName:. ,st:r<i'~;ts::-,:1;:i::~ctr:i_c_ -- sIn A' p 0 Box:2'9'i'4"!'~;:':;;?-:- --Cltjt.;portAngele'i;,WA - --.: "-ZJ. 98362 I ng dC/!8SS: .. i-:;;~~;'iir2:-,- " _' _ _' :--.-:-: -- 'J>:, x- Cn.dit Card Nu~ber: ,:-- €!h mH_ .'X:,: p. er.o. Date: _ _ _ _ -. _" - , -_ __ VJSA:~ MC:-_ . _ : - -( 1~{)::t;?'&..~~'u'Z.-z I O/U V€.-) - D -, 2.; -~ ve. _ ~R~lIDlIReiS: I of ,:':?-:_~~o:_:~;~-, r-y-o k _ uatfri1/l - ~~ 'if;j:~_n/f?,c;Jo4<- "lYPE OF 'WORK: Check &lJ lhlltetlPlY:_ - - 0 A1l&raUonlAdd"&tiOn - -. o ResIdential 0 Multl-Wnay , XCoriunen:ia1 lJ Mob~ I-iome _ $q. Ft DRemot&Mater :[][)etadledgM!gi -i:iHi:ifTiIb OSWlmP",,1 DSeptiGPump - OtDwVoItage o Tetec:om. DS1r Number gf Circuits added Or atIerad: ' - IiiI 01 'u'f~.:..~. .. OS/28/2004 15:25 FAX 3604574698 _J132Fj~09i~i~~" ~':x~~:: " ,:U+;z. "',.".;.." '''---- ---- '---ITS"- 'oal8 0V':~~"':, ..... . .....:"",..:;.'1. "',- ..~~ 1-/ ...;..-..I:J,...... ....:.i~ . . b . :_:\~~~) ,!.... .".: .'" -71:\~~ '~':J.~ __ ~. DESCRlPTIOH OF TIlE E1..EC'mICAL p~~ - ~~Il~ S,~A'/~('j ~.bdrica' Heat LOiId Additions....; er-sithiraeilDns' SerVlcelnfftrmlltfon o a.....board CJ FWnace ci HDat PiIri1p ::J Fen-WaI _KW -- KW- =TON _KW , . ,__.-u__. . ......_--_.~.. lRA [] 0VIlIhead -Service )Q'emp SeIWe _ !:I Unde:gmund Sel\Iic:e . ITolliiiiS::--- . Phase: _ '0 1 CJ 3 SerW:e~ Feeder SIztl: .' r hemby certify that I have read BIId emmlnBdthls p 9UthOtfzed to apply for this permit. I ririderstand it. tiat fUll reqllirBf/; It r appfir;-apt$ respon - to ,6/04-. ' A; ( - -re.. f ;;;::::::!il7fk rri '[I, - ': .,;;~L ~ .' ..fe__~:r~\f:"'j"i: ~f)\lIr( ~F PERMlT.~<!~;~l'", _ '--.- ~Al'PUCAllON f'J' ',--: _l;'X7;1j;;>; ~~I'r."'-'_~ i::l..... =->, v- . XFM./L /.,l)c~fi$i.4/f(f{~_.-r-~-\ -;;0"'-' ,-"'-~-",--i """,":-'!':":,--:'-: ~ I ;1t6J ? / I / r7i~" ~r-;~>",' ZF 1088,/0 ,-J.I'-. Credit Card Ho~s-Slg tfl . Bnd know thErt same to be true 8f1d_f:OlTect,. end J ar. e ~ JBga/ T8$pO(I$I"bilily to deiennJne I/VfIl'4sietJntts Ine wflar ~ 8fB tsqU{red endtD ~ Sl4lh. r/Chr . Tucker ,Date:- .. "-;. .. TRANSACTION REPORT 2004/JUN/Ol/TUE 12:39 P.Ol/Ol RECEIVER 94574698 COM.TIME 0:00:34 TYPE/NOTE OK FILE ECM 1536 ~. ~W CITY OF PDRT ANGELES DEPARTMENT OF CdMMuNITY D1NELOPMENT - BUILDING DMSION 32i EAST STIl STREET, PORT ANGELES;WA 98362 . Appl1cat.ion Nurnl:ler pinn'W'aber _... property Address ASSESSOR. PARCliL NUMBER: Applicatlon deser1pt.ion subdivision Name fraperty Use . . . . property Zoning . . . Application valua~1on 04-0000P470 Date .858350 160 DELGttZZI. DR. 06-30~12-3-4-9020-0000-' n'SCTRlCAl. ONLY G/Ol/04 o owner Contra.ctor i'lILCOX, ICA:l"HLEEN/PEHNIS PORT ANGELES (360) 457-5706 . WA 9836::2: STF.JUTS ELECTRIC PO BOX 2914 Pci~T ANGInoES . (360) 452-9l04 WA 98362 - _"-"--...-__ .....___ _~_~_ _________.. __._ - ,.,__.. _"" =C:=-=-_",,'" '1""', ,...,...~ :"''':'. -::-. -::::-: - .-:::.= ~_7. -:0:: -::.:-.-;- "'7".-::-.'::. . Penni t Additional desc Sub Contra.ctor Permit Fee Issue De't.e Expiration" Data ELEC:'l1H CAL TEMPORARY S&RVICE B~TS ELECTRIC 40.90 ~lan Cheek Fee 6/01/04 vaiuatio~ . . :n/28/04 ,00 o Q1:Y unit Charge p~ 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FOR B>ctensian 40.90 Fee .~ Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Pe~t Fee T01:al, 40.90 40.90 ,00 .00 Plan.Check TOul ,00 ,00 .00 .00 Grand Total 40.90 40.90 .00 .00 Separate Pennits are re,quiredforelectrical work, SEPA, Shoreline, ESA. utilities. private and public improvements. This permit becomes null and void II work or conslrudlon authorized is not commenCed w~hin 180 days, if construction or work Is suspended or abandoned for a period 01 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last 'iiispecllo',i'i:' Ilieieliy-cejtifYlhan have m-ad am:l examinod'this'apptlcation-and'1<now-tl1e same to ,Be tfUe-and GOll'ect. AUprovjsions.of laws and ordinances govel'nlng this type of work will be complied with whether specified herein or nOt. The,granUng ~f a permit does not presume to give autho~ty to violate or cancel the provisions of any state or local law regulating coristruction or he performance of "",,,c:tnlt'!Hnn . EROlL;, ALL WEATHER HEATING & COOLING FAX NO. : 360 452 5177 Sep. 15 2004 09:05AM P1 11110 Roo.: hmlilt: D<I -.3:0b pa.. Apprvvcd' Dolo _. . "(i''''''' , The Building PermIt . p,e.Qppl/catlon .."JlN JllUtI "III CDmpleteJy. . ~~ . Please t)'pe or priDt'ln Ink. U)'ou baVUD)' quesUoll5, pleasecal/417-4815 \ II ,II' 1\ l' Phone: o,(oO-'-\S;}-'\ 'i;;l.5 AppliCllDt or Ascnt:J1\ \ \,'jJ~ \'\fM'\Jlr~' I' tiN I 110.0 1. ' I \ Phone: 'A,1~ry L\S~- \~D"" 0Wller: ~\.k~\DPJ/\ C;\fn(~ _~ov\d.i" ~~ ~{}'! ~ h " I A iI \6 \r-IA. Zip: o...'(,'1,(/J;) Addroaa: \lol~ l\i\C-1Y'1./z,o, \)/"a City: "()i-\ t\"~J ~ Arcbi~ccr:~fI Phone: \ . (\ '1:_ ,.., I los Phone: '%O-,--\",?:c,'g13~., Co~rCl.\.\IJ.l~\.d\~~~(v:>~ Lic:euse#:~w..\f:HUSDW ~1':...::l.\1 ~ c'"" ~I,. ~ o~c... ""f\ Zip: "\'K'!>( cd- ~ /< ~;, &>01 'V~-{>~~t" l,,~. \".~ L - l- \) , , ..~~y.uI,f$;'J"'O tl~>ft'\'1.~~I~"~-. SubdMsiOll: ZONIl'lGl . ""'~UcRJmON: Lot: Block. Credit Card BoI4er NUDe' rr ..6.1.1 "",COUNTYl'.ur.cEL NllMB,IR: City, BIlIIn&MdIWl: Esp. Date: CredIt elll'ii " BUILDING PERMIT. APPLICATION ~ Me .( TYQ'Oll'WOJUC: C 1I..l~ri.l c Now CaIlatr. o Multiofullly C Al\di1iOll SIZE/VALUATION, c b-roof C Woods_. SF.@$ /SF. ~ S o Move 0 Ollngc SF..@$. /SF. ~ $ D llUo oDcck SF.:@'S' - ISF.~$ o(>""1?'-cW 0 Rmuodel I:) emo D TOTAL VALUATION S ?1,t..j.g'''l "'" Q hpaif 0 Sip 0 . . 1../ \.1. , PJP'~15CUPTlON'OF'TllEtIlODCT: .:rUT UP ~ t)~..,r...-.qJ;~r-. ().~ \; r>\I..,~-.' \-\~ 1.f\~~~e",~,1 hJ r-_Y._I~h,f'A~ .: .. -~. \,.;,\~ L.r:xu Vc/fq,qe... 7he.l.u.Ds'tc,,+ (5N/.. Y ~~SJ1)ENnALl Occupancy Group: Occupant Load: ConstructioD Type: No. otStariu:._ LotSizo:. .%.LotCoverage: % ExistiDg'LotCover1lle: Isq. ft. + Proposed Lot Coverage: Isq. ft. = TOTAL LOT COVERAGE: ~QV~Om.V: APPR.OVALS: PLAN N.....~ .~ Dl'W rum O~ laq.ft ESAfWellaDcl(.): g Yea" No SBPACleckliat requUcd?" y~ c No Other: LL.Bml:DDtoPitiwlT!4PPLtCA1'JOl'(.'S1JBMl1TAL: Y""rllpp/Jctlll4lt.tllltlrlHp/Iut """Nj1&4ollla_,'-Ip.tJ>1M -- '1 r~/.' ",,1_. n.e'8ui1diD& Division c:aa provide you with more dctalled iDfom>auOll on the appW:ation and plan I\Ibm1ttal reqWremeulll. Your completed appW:atio... .ite plan (for additiOD4) and building COllStruCtion plans are to be sublJlitted to the Building Diviaioll, V~UA""QJll'O)r'CONSTRUC'ltON::1D llII cueo,.a .VlIJwIUOD ....OUllt mll8t be eatcrecl by the appllc:aaL lhla figIm> will he nlYiowed and may be ~by the Building DiviBionto comply with cwreal fee schedules. CoDlact the Pmnit Coordinator at 417-481 5 for assisllu>ce. PLAN.ClIEClUl'EE:Your plan check fee is clue at tbelime the building pennit applicatiou 8Dd COD8lrUctiou piano are submitted. AU olber pemUt f~ an: due at the time of PemUl lssuaDce, EXPIRATION OF PLAN REVIEW, Uno permit is issued within 180 days oftbe date ofapplicatiOll, tbia .appUcatlon..wII1 uplre. 1bc Buildiag Official can extend tbelime for action by the applicant up to 180 day. upOD wnlleD request by the applicllnt (oCc Seetionl07.4 of the UIIifonn Building Code. c:wrent editiOll). No application. can b. extended more than onCe. 1 herrby cmth tluufluJve reodand cmmUled this applkanon and know the same to be trve and correct and ]"", all/horlzal to apply for this pennlt 1 undemand II Is /tot the CJty'. legal rupolt.l/bililJi, /0 determine what perm/u are P'et1"lred; It remains the IIppllcanl'. ......polt.llbility 10 aelennilU! whal permits are required and 10 obtain such. Applicw: Ol,"~\j ~ 'I, Date, "'\L<;.~ , T:"O~S\A:PPSI8alldlalP"""lI ;\1,...;' ",' . : ,. .... ~~-:""~' ...... 04/12/2006 08:04 FAX ~ 003/003 c~-DL, ~ Ov~' +[\\ \ D~ ~ ~ ...... - ELECTRICAL WORK PERMIT APPLICATION Job ..ired by o EI.drleal Contrador 0 Owner JnSl~ati.on description ItI' Commercial C Residential Date Expires o New o AlteredJAdditioo " ~ e1J..L 1 ~ ~'Ti.'IY~~ '; City A> )~ Phone number to schedule inspectIon: Owner os defined by RCWJ9.28.26J:(J) Owner will occupy Iht' structure for IWO year.f after th;~' electrical permit is finalized. (2) Owner is requIred 10 hire an eleclfical contractor if above J()id properry i~ /", sale, fTI1( or /t"ase. After reading the above S1<nemelH, , hereby certify tnut I am lhe owner of the above -namtd propel'{)' or a licensed c:Jectricul contractor. I am makins the e1cdrical instal- lation or Illtcrs.lion in complia.nce with the electrical luws. N.E.C" RCW. Chapter 19,1g, WAC. Chapter 296-46B, The City of Port Angeles Municip31 Code, and Ulility Sp~cific;l1tiuns. Slenature of owner. electrical conlr~HOt or electrical acfministl'"Btor IJ Cash 0 Check # ~t Card VlSll Mastercard Discover Card# _ 00-=8.. \e..L_-____"____ x Dllte: Expiration Date of card Electrical Load Additions and Or' subt(Bctlons D NO LOAD CHANGES o Saseboera KW o FumacQ KW D Heat Pump _ Ton _ LAR o Fen-Wall KW Service Information CJ Ovemead Service o Temp Service o Underground Service Voltage Pho.eO,D3 Service Size: _ Feeder Size: -' SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ;t6J ROUGH-IN TIlERMOSTAT SERVICE / 7-3-" " A..O ~~ , / I Dalc AjltlrG,,~(1 Hy Dalc ~l'",,,~ey FINAL DITCH FEEDER fi5!t{.! f'JC. ~i2 I , D;!,~ Appro By '- DMC" Approved 9y DillC" AJIflm"cd By ItlJ:pection Area, Building or Equipm,nl Inspected Action Taken F.lecu;cal Date Inspectol //. '/nt:, h"vAt-- -nA_ LLC) / "f "- '0// ~6 ELECTRICAL INSPECTiON' WIRING REPORT 417-4735 7-<13 IZL ~V< 7.-L / APPROVED NOT APPROVED D ................... DITCH ................... D D .............. ROUGH IN ICOVER .............. D D ... (); . . . . . . . . . . .. SERVICE .................. D G r:;J(.. .r~l:-e{.'.~..... FIf'!AL.................... D o .)C CORRECTIONS NEEDED' " ..:r-; If () ~ c.... '" G.-..-c. / -"-' ,Ii, <- A-T77t:: ~~,~C - AC~_"<;5 ~r~) Iff -V ('nt'-rez,& ! O<A-rS,n~ @ /1(~14--'1'5> , -KY ~,J,e l i. "j I :,#" < NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452.1381 I:J Electrical Contraclor ti~- ~ '..'..."- 0) ".--..;.. ,,--; o OW"IIcr ~.........~:?' ELECTRICAL WORKPERMlT APPLICATION o Request Inspection D Annual Permit ~13rm 0 Carn.iyal ;a-Commerci3.1 0 Residential a Residential MaiDt. 0 Signs 0 Thermosbt l:J Telecom. ,r Installl1~ion description Job wired by I:J Electrical Contractor I:J Owner Electrical cuntractor name License number HI.T<f.LI-'. SULlA...y I:"~ H-1T"t.=."fS 955lS S. ~ e.<e"",,e..,<- I r..:>.l.,..A.\ \ Pllfchascr's mailing addre.-.s -=J:Z-s. ~;:4<;1 ~R{)",:>,- \-,Q..<>:. - S. f..,,-uR.., ..." ~So. ~w-.... Ci~OA.T f\-.x>e..-'..9~ State :LIP 9~ 31.:, 2- ..,A. Telephone numbCT FAX number 'B 5"b CJ 3UO- '-1-'52- 2"7T}. -St.o -<.(52- Pn:mi!les owner's nOlme . r...:>-rt.btai>-~\VZ- Bul\CI"'G Addn:ss or inspCCliod 11..0 b--L ()""2.2. i ~'llL Cit~ f\.-:b~\c~ l)('>;- . o Cash I:J Check # e~ t=",IL I bereby certify that 1 am the owner of the above named property or .a licensed I:J Credit Card VISa Mastercard Discover electrical contractor (or the firm's authorized agent) and am making the electrical imrallatioll or alteration in compliance with the electrical law. Chapter 19.28 RC\V. Card # - . - ---------------- ~..~~w~ .et ettrical untractur or C'lcctrlc-a1 ::ldmtnisfr:ltor Expiration Date ~l /" of card ( Im.pccti2!!-ree $ 1;.:;,.0<::> " " WALJ..s Imulalion Only D~IC Approved By 7-3 -t:Jl. covc~ f)lle ^pplVV ~ '- CEll,ING Insula lion Only D~lo,l ^ppl'Qvcd Or 7-:r .olov" ...IzD Dale ^WrovcdIJy THERJ'\iOSTAT Dal~ Appl,)ve.,1 ij)' DITCH Dille ^pprQycd D.y SERVICE D3te .~",v.:.lB)I FEEDER D.\~ ^i"Provd ~y Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace _ KW o Heat Pump _ Ton _ LAR o Fan.WaU KW Service Infortllilillm o Overhead Service o Temp Service U Underground Service Voltage __ PhaseOl03 Service Size: Feeder Size: In!>pcction Dale Area. Building Or Equipment Inspected Action Token P.lcctricsl Inspector ;., n l:d . 'W1:J9C :1.0 900c ZC ."unr. , ,~ .. - 09SB CSl7.. 09Z 'ON XI:J~ SJINO~~)3l3 HJ3~-IH WO~~ ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . 15- 00000666 Date 6/10/15 Application pin number 436180 Property Address . . . 160 DEL GUZZI'DR ASSESSOR PARCEL NUMBER; 06-30-12-3-4- 9020 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . Property Zoning . . . . . . COMMERCIAL ARTERIAL Application valuation . . . 0 Application desc Heat pump only Owner Contractor WUJI ENTERPRISES LLC ALL WEATHER HTG &COOLING INC P 0 BOX 3101 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 452-9813 w sj__2 � % .�_..,.. 360,..452-7687 0 -- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee 00 Issue Date 6/10/15 Valuation 0 Expiration Date 12/07/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL -LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 ,.00 100 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 00 N00 Signature of owner or Electrical Contractor; GAEXCHANGMBUILDING RESULTS: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. 1 6� 06/09/2015 05:14 13604525177 ALL WEATHER HEATING ,Z R,/�,, ",J ' CITY OF PORT ANGELES PERMIT APPLICATION "V Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1.150 / Port Angeles Washington, 98362 I 1) 1, Ph: (360) 417-4735 Fax: (360) 417-4711 I. )I 1N 0 Date. 6/9115 �,11 t,'l R 'Ad _x- Multi-Family or Commercial* Plan Review Me Be Re%ired, Please Complete Electrical Plan Review Information Sheet Job Address: 160 Me_ thrive Building Sqluare Footage: Descriplbn of above owner Information Name: Angeles Clinic for Animals & coolin inc. M addin Address: 60 0 uzz rive Dort An n� state: ZIP: City; Phanw 452-981 Fax' City, ulcense#/Exp, Aled b Unit ChA _10-11INN-Ruill License # / Exp» ServicelFeader 200 Amp. $1$2,00 ServicalFeeder V-400 Amp, $160.00 $2,25-00 qervicelFeeder 401-600 Amp ServicaMeeder 601' »1888 Amp. $ 286,00 SeTvicefFeeder over 1000 Amp. $410.00 'Branch CIrcuit W1 Service Feeder S 5,00 Branch Circuit W10 Service Feeder $ 74,00 Each Additional Branch Circuit $ 5.00' Branch Circuits 14 $ 86,00 $ 102,00 Temp. $erviceJ Feeder 200 Amp. Temp. Servic*Feeder 201-400 Amp, $ 121Z Temp. ServicelFeeder 401 .600 Amp, $164.00 Temp, ServicelFseder 601 ..180'0 AMP $ ION portat to Portal Hourly $ 962 $ 88.100 SigrdOutfina Lighting, Signal DOW Wmited Energy — Mulli-Farnily $ 600 Signal, CirtujV Limited Energy I First 1500 sf — Cornme02I $ 915.00 Note: $5,00 for each additional 1500 s( $JH_0 Renewable MetiflCal Energy - 5KVA System or Less $ 11100 Thermostat $ 56.00 Note: $5.00 for each additional T•Stat PAGE 02/03 Contractor Information Name: AllWeSther Heatin & coolin inc. M011ing ddress; 21 eMD Street I ort An 0 state; A Zip, B3,62 City; Phanw 452-981 Fax' 2-51 ulcense#/Exp, Aled b Unit ChA _10-11INN-Ruill $JH_0 16_,00 Total Owner as defined by RCW-119.28,261: (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. Ater 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., RCK Chapter 19.28, WAC, Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ Cash 0 Check Cmdlt Card 4 ��0044,. 0111011120112 ELECTRICAL PERMIT CITY OF PORT ANGEL 360-417-4735 1 Application Number 16-00000746 Date 5/24/16 Application pin number 299180 Property Address . . . 160 DEL GUZZI DR ASSESSOR PARCEL NUMBER: 06 -30 -12 -3 -4 -9020 -0000 - Application type descript.ion ELECTRICAL ONLY Subdivision Name . . . . Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 ------------- Apl,..):Llcation desc Ductless heat pump Owner Contractor RESULTS. WUJI ENTERPRISES LLC DITCH ------------ BLACK DIAMOND ELECTRICAL CONTR P 0 BOX 3101 502 BLACK DIAMOND RD SERVICE PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7687 (360) 565-1035 Permit ELECTRICAL ALTER. COMMERCIAL Additional desc COMMENTS: Permit Fee '74.00 Plan Check Fee 00 Issue Date S/24/16 Valuation . . . . 0 Expiration Date 11/20/16 Qty it Charge Per Extension 1.00 '74.0000 RCH E:ICOMM BRANCH CIR WO/ SIF '74.00 Fee summaxy Ch a ir. g (., d Pa id Credited DuO Permit Fee Total '74.00 74.00 00 00 Plan Check Total 00 .00 00 00 Grand Total 74.00 74.00 00 00 00 REPORT SALES TAX on your excise tax form to the City of Pott Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS. INSPECTOR: DITCH SERVICE ROUGH -IN Iry FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X_..._ . . . ....... _.— Date:- GAEXCHANGEWILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 .; Date: 5- Z 3 - /to Multi -Family or Commercial* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:......_.....--�---� ........... .... Building Square Foot e: ........ Description -_ ---_ Description of above �� . ......... Owner Information ta:r�r a� Name G� � N1,L .........--..__....----_._._. Ebb- A- I „.,Ay Name: . _. _ ..... ..... ...... Mailing Address Mailing Address: * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:......_.....--�---� ........... .... Building Square Foot e: ........ Description -_ ---_ Description of above �� . ......... Owner Information Contractor lnf r Name G� � N1,L .........--..__....----_._._. Ebb- A- I „.,Ay Name: . _. _ ..... ..... ...... Mailing Address Mailing Address: City: State. Zip City. Stat Zip: Phone:�.Fax ....... _...-� Phone:.... -.. Faxe: License # I ExP ........._...---�.... License # /Exp. - - _ --,,,.-_m.-_.. Item Unit Charg 'total ti Multiolued by nit Chantel Service/Feeder 200 Amp. $132,00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $ 225.00 $ .............. Service/Feeder 601-1000 Amp. $ 288.00 $.... Service/Feeder over 1000 Amp. $ 410.00 $, Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $ '121.00 $ Temp. Service/Feeder 401-600 Amp. $164,00 $ Temp. Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.00 Signal Circuit/ Limited Energy - Multi -Family $ 64.00 $, Signal Circuit/ Limited Energy / First 1500 sf- Commercial $ 96„00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 $,� Note: $5.00 for each additional T-Stat $ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port Angeles Municipal Co 11 1.ltility Specifications and PAMC 14.05.050 regarding Electrical Permit pYlcations, Signature Towner a ri I contractor or electrical administrator: int Casty . (beck I Credit Card# 0110112012 tot '-z__ Application Number . . . . . 23-00001069 Date 10/11/23 Application pin number . . . 117601 Property Address . . . . . . 160 DEL GUZZI DR ASSESSOR PARCEL NUMBER: 06-30-12-3-4-9020-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WUJI ENTERPRISES LLC BLACK DIAMOND ELECTRICAL CONTR P O BOX 3101 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7687 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 10/11/23 Valuation . . . . 0 Expiration Date . . 4/08/24 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD