HomeMy WebLinkAbout302 S Race St - BuildingPREPARED 10/12/09 14 59 00 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/12/09
ADDRESS 302 S RACE ST SUBDIV
TENANT NBR CITY OF PORT ANGELES
CONTRACTOR PHONE
OWNER CITY OF PORT ANGELES PHONE (360) 417 4566
PARCEL 06 30 00 7 7 0145 0000
APPL NUMBER 09 00000266 COMM NEW CONST
PERMIT BBC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01
10/12/09
BLDG FINAL
October 12 2009 2 57 56 PM 1pangrle
BLDG FINAL
COMMENTS AND NOTES
?giqN I w"
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC 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
Application desc
CONSTRUCT AN 800 SQ FT PICNIC SHELTER
Owner Contractor
09 00000266 Date 4/09/09
816634
302 S RACE ST
06 30 00 7 7 0145 0000
CITY OF PORT ANGELES
COMM NEW CONST
PUBLIC BUILDINGS PARKS
35000
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
(360) 417 4566
Structure Information 000 000 NEW 800 SQ FT PICNIC SHELTER
Permit BUILDING PERMIT COMMERCIAL
Additional desc 800 SF PICNIC SHELTER
Permit pin number 143495
Permit Fee 518 75 Plan Check Fee 337 19
Issue Date 4/09/09 Valuation 35000
Expiration Date 10/06/09
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
April 7 2009 4 54 42 PM sroberds
The proposal will result in the construction of a 800 sq ft
covered picnic shelter at Erickson Park in the PBP zone
Lot coverage is 4% No land use issues are anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES
Public Works Utility Engineering has no requirements for
this plan review
Other Fees
Fee summary Charged Paid Credited Due
Permit Fee Total 518 75 518 75 00 00
Plan Check Total 337 19 337 19 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 860 44 860 44 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
`t0
Date
Qty Unit Charge Per Extension
BASE FEE 417 75
10 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 101 00
T:FormsBuilding Division/Building Permit
Print Name
STATE SURCHARGE 4 50
Rha f
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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
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 I Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date I Accepted By
lc- 1 z -D c Tit__
Project Tvoe Brief De
all that apply
New Construction
o Addition
Remodel
Repair
Re -roof
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport Ptcyovoumf
S tic+vhes 1, SOO
Desk 1 4- KfosK5 BOO 1-0± t
Shed
Other 6ct�'h 0 0 1 2 S(„
Total footprint of structures 3 3 22
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
-;Attri Building'Perrnit Teehnician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent 0,:s4e_t_V-ko..t, QGr..f�,,y\e�
Property Owner Q ��.h�eS
Property Owner's Address 3;).\ Sstr-
Contractor /Engineer Q�E paAs
Contractor /Engineer's Address 3..1 E 5�\ S�te��
License Expires E -mail
PROJECT ADDRESS', 30'1 So:tit� S fr
Parcel Number O(0 00 0460
escriotion. Residential )(Commercial
en, e 2
26 LIP I
Lot
b y 1 ���sw;�. AACI A" i}o1�,�.,� s
S I t 2 [out.n��.e c cre C Z., 4 -Ve c 4-. a r
Heat pump wood burning stove gas fireplace pellet stove
Existing (sq. ft.) Proposed (sq. ft.)
sq. ft. Lot size O997
J
For.City_Use'Ont
Date Received
Permit O
Date Approved
V r
Ph iie 360 lir tIS6A
PhVe f.
Multi- family Industrial
TOTAL VALUATION 3 5, 3 0 0
sq. ft. Lot coverage 1 -1-.
I
fi
Max. height of proposed structures ft. Occupancy group �li oo
f bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my, responsibility to determine what permits are required, and to obtain permits priorto working on
projects.
Date 3)4/01 Print Name ec-e., S. .\cc.._-k Signature
E 'K h `Pc -k
Zoning r BP
other
per sq. ft.
WA AY5
UNIT PAVERS w/
CONCRETE BORDERS
EXISTING RESTROOMS
TO BE REMOVED
NEW
RESTROOMS
STORAGE
BUILDING
31' -0'
.PRELIMINARY SITE PLAN
0
SIDEWALK
PLAY AREA
0
I I
PLAYGROUND
SCALE: 1 40 %0"
GIBSON
DESIGN
GROUP
NORTH
618 S. PEkBODY
SUITE I
PORT ANGELES
WASHINGTON
360-457-9523
D�AM BIGROOUIC
PICNIC
SHELTER
ERIO(SON PARK
PORT ANGELES
WASHINGTON
REV190N5
PROIECT 781E
^RO)EGTs
x
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tisgs
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7
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ti
Date
Company Name
Address
City
State
File Location
MECAWind Version 2 0 2 2 per ASCE 7 -05
Developed by MECA Enterprises Inc Copyright 2009 www mecaenterprises com
2/23/2009
ZENOVIC ASSOCIATES INC
301 EAST 6TH STREET SUITE 1
PORT ANGELES
WA
C \Program Files \MECAWind \Default wnd
Detailed Wind
Basic Wind Speed(V)
Structural Category
Natural Frequency
Importance Factor
Alpha
At
Am
Cc
Epsilon
Slope of Roof
Ht Mean Roof Ht
RHt Ridge Ht
OH Roof Overhang at Eave=
2
Bldg Length Along Ridge
Load Design
100 00 mph
II
N/A
1 00
9 50
0 11
0 15
0 20
0 20
6 12
11 50 ft
14 00 ft
00 ft
40 00 ft
Project No
Designed By
Description
Customer Name
Proj Location
Figure 6 -6 External Pressure Coefficients
Cp Loads on Main Wind -Force Resisting Systems(Method 2)
06286
SRH
DREAM PLAYGROUND
DREAM PLAYGROUND FOUNDATION
ERICKSON PARK, PORT ANGELES
(Method 2) per ASCE 7 -05
Structure Type Building
Exposure Category
Gust Factor Category I Rigid Structures Simplified Method
Gustl For Rigid Structures (Nat Freq >1 Hz) use 0 85 0 85
Gust Factor Category II Rigid Structures Complete Analysis
Zm 0 6 *Ht 15 00 ft
lzm Cc *(33 /Zm) ^0 167 0 23
Lzm 1 *(Zm /33) ^Epsilon 427 06 ft
Q (1 /(1 +0 63 *((B +Ht) /Lzm) ^0 63)) ^0 5 0 94
Gust2 0 925 *((1 +1 7 *lzm *3 4 *Q) /(1 +1 7 *3 4 *lzm)) 0 90
Gust Factor Summary
Not a Flexible Structure use the Lessor of Gustl or Gust2 0 85
Figure 6 5 Internal Pressure Coefficients for Buildings, GCpi
GCPi Internal Pressure Coefficient -0 18
C
Flexible Structure No
Kd Directional Factor 0 85
Zg 900 00 ft
Bt 1 00
Bm 0 65
1 500 00 ft
Zmin 15 00 ft
Slope of Roof(Theta) 26 57 Deg
Type of Roof Gabled
Eht Eave Height 9 00 ft
Roof Area 447 00 ft^
Bldg Width Across Ridge= 20 00 ft
MWFRS -Wall Pressures Perpendicular to Ridge
Wall
Leeward Walls -0 50
Side Walls -0 70
Elev Kz Kzt
ft
14 00
10 00
5 00
Wall
0 85
0 85
0 85
Roof Location
1 00 18 47
1 00 18 47
1 00 18 47
Windward Min Cp
Windward Max Cp
Leeward Perp to Ridge
Overhang Top (Windward)
Overhang Top (Leeward)
Overhang (Windward only)
Leeward Walls -0 30
Side Walls -0 70
Cp +GCpi(psf) GCpi(psf)
-11 18
14 32
qz Windward Wall---
psf +GCpi -GCpi
14 32
0 29
0 18
0 60
0 29
0 60
0 80
CP
9 24
9 24
9 24
-8 04
15 89
15 89
15 89
Note 1) Total Leeward GCPi Windward GCPi
2) Shear and Moment are sum of forces (Leeward +Windard) acting on bldg
+GCpi(paf)
MWFRS -Wall Pressures Parallel to Ridge
Cp +GCpi(psf)
7 88
0 50
-12 75
4 55
9 42
12 56
Elev Kz Kzt qz Windward Wall---
ft psf +GCpi -GCpi
4 53
7 67
Total Shear Moment
-GCpi Kip K -ft
20 41
20 41
20 41
GCpi(paf)
GCpi(paf)
1 39
7 67
1 23
6 15
6 10
4 55
9 42
12 56
3 27 6 53
7 35 23 27
11 43 51 84
Total Shear Moment
-GCpi Kip K -ft
4j6
14 00 0 85 1 00 18 47
10 00 0 85 1 00 18 47
5 00 0 85 1 00 18 47
0 0 ft to 5 8 ft
5 8 ft to 11 5 ft
11 5 ft to 23 0 ft
23 0 ft to 40 0 ft
9 24
9 24
9 24
15 89
15 89
15 89
0 90 -17 46
-0 90 -17 46
0 50 -11 18
0 30 -8 04
17 27
17 27
17 27
1 38
3 11
4 84
Note 1) Total Leeward GCPi Windward GCPi
2) Shear and Moment are sum of forces (Leeward +Windard) acting on bldg
Roof Dist from Windward Edge Cp +GCpi(paf) GCpi(psf)
10 81
10 81
4 53
1 39
2 76
9 84
21 93
��6
Low Rise Bldg Provisions per Fig 6 -10 MWFRS Transverse Direction
Building GCpf +GCpi -GCpi qh Min P Max P
Surface psf psf psf
1 0 55 0 18 -0 18 18 47 6 83 13 48
2 -0 1 0 18 -0 18 18 47 -5 17 1 48
3 -0 45 0 18 -0 18 18 47 -11 64 -4 99
4 -0 39 0 18 -0 18 18 47 -10 53 -3 88
5 -0 45 0 18 -0 18 18 47 -11 64 -4 99
6 -0 45 0 18 -0 18 18 47 -11 64 -4 99
1E 0 73 0 18 -0 18 18 47 10 16 16 81
2E -0 19 0 18 -0 18 18 47 -6 83 -0 18
3E -0 58 0 18 -0 18 18 47 -14 04 -7 39
4E -0 53 0 18 -0 18 18 47 -13 11 -6 46
1T 1 71 3 37
2T -1 29 0 37
3T -2 91 -1 25
4T -2 63 -0 97
Low Rise Bldg Provisions per Fig 6 -10 MWFRS Longitudinal Direction
Building GCpf +GCpi -GCpi qh Min P Max P
Surface psf psf psf
1 0 4 0 18 -0 18
2 -0 69 0 18 -0 18
3 -0 37 0 18 -0 18
4 -0 29 0 18 -0 18
5 -0 45 0 18 -0 18
6 -0 45 0 18 -0 18
1E 0 61 0 18 -0 18
2E -1 07 0 18 -0 18
3E -0 53 0 18 -0 18
4E -0 43 0 18 -0 18
1T
2T
3T
4T
18 47
18 47
18 47
18 47
18 47
18 47
18 47
18 47
18 47
18 47
4 06
16 07
10 16
8 68
-11 64
11 64
7 94
23 09
13 11
11 27
1 02
4 02
2 54
2 17
Notes 1) Min P qh (GCPf +GCpi))
Notes 2) Max P qh (GCPf GCpi))
Notes 3) For Torsional Load Cases the zones are designated with a T
The pressures(Min P Max P) are 25% of the full design wind
10 71
9 42
-3 51
2 03
4 99
4 99
14 59
-16 44
6 46
4 62
2 68
2 35
0 88
-0 51
vw�
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Application Number 06 00000393 Date 8/16/06
Application pin number 370000
Property Address 302 S RACE ST UTL
ASSESSOR PARCEL NUMBER 06 30 00 7 7 0145 0000
Tenant nbr name CITY OF PORT ANGELES
Application type description COMM NEW CONST
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 20000
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
WA 983620217
Other struct info TOTAL LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit ELECTRICAL NEW COMMERICAL
Additional desc OLYMPIC EL/ 100A SVC
Permit pin number 82768
Sub Contractor OLYMPIC ELECTRIC
Permit Fee 78 70 Plan Check Fee 00
Issue Date 8/16/06 Valuation 0
Expiration Date 2/12/07
Qty Unit Charge Per
1 00 78 7000 ECH EL COM 0 100 NEW SRV FEEDER
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
05/15/2006 10 07 AM SROBERDS Pre fab public restroom
and demo of existing facilities in PBP No land use issues
noted
Electrical load calculations and elctrical permits are
required
Electrical panel size location type meter socket
location required
05/02/2006 11 03 AM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Waste Disposal Application Testing Required for
Demolition
Charged
78 70
COMMENTS/ACTION NEEDED
OWNER
1 00
1 00
1 00
1 00
1 00
1 00
1 00
Extension
78 70
STATE SURCHARGE 4 50
Paid Credited Due
78 70 00 00
00 00 00 00
ELECTRICAL PERMIT INSPECTION RECORD
.MALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
INSPECTION TYPE
DITCH
ROUGH -IN COVEk
SERVICE
FINAL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES I NO
I I I
I I I
I I I
I I I
I I
I I
I I I
I I I
COMMENTS
PW- 1102.15 (4'961
Application Number
Application pin number
Other Fee Total
Grand Total
4 50
83 20
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000393
370000
4 50
83 20
00
00
Page 2
Date 8/16/06
00
00
4
INSPECTION TYPE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
(LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
ACCEPTED
YES I NO
DITCH I I I
ROUGH -IN COVEk I I I
SERVICE I I I
FINAL I S/-9- 7 I Ai 1
I I I
I I I
I I I
I I I
COMMENTS
PW -T 102.13 w961
C v\
07/19/2006 07 21 3604523498
7
Job wired by 'Electrical Contractor Owner
Electrical contractor name License number
()I de .t rc �r
Purchasers maili address
City
Pent" ft 4A9 eles
Telephone number
3 b Its 7 5
Premises owner's name
ni c Pm- IblgeWs
lls 91 P.tk 30Z 5, ortic
Pod' Anelfe
Phone number to schedule Inspection
i
Owner as defined by RCW /9 28.261 tl1 Owner a ill occupy rhr ,structure for t
veers after this eIectricol'permir is final;ed. (2) Owner I. required to hire on electrical
contractor if above said properly is for sale, rent Ur lease.
After reading the above statement, I hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor I am making the electrical instal-
lotion or alteration in compliance with the electrical laws, N E C RC'W Chapter
19.28, WAC Chapter 296.468 The City of Port Angeles Municipal Code pnd
Utility Specifications.
/SIgnatu�e of owner el 1 contractor or electrical administrator
X Nitokt/ 4' Glob Date. 7/I9/
Electrical KW or subtractions.
NO LOAD CHANGES
Baseboard KW ❑Overhead Service
Furnace KW Temp Service
Heat Pump Ton LAS
Fan•Wall KW Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-473S
i ROUGH -IN THERMOSTAT
Address of Inspection
City
Inspection
Date
7 Zo 06
Date
.t7 9 (7 Mrnilvrn-
FINAL
i
Suite 96 6 3
FAX number
3bO -1 ?s2 3y90
Apps ved Dy f
Date Expires
one Appr it By
DITCH
Apprn ed Dy Dale
Area, Building or Equipment Inspected
OLYMPIC ELECTRIC
ELECTRICAL WORK PERMIT APPLICATION
6)(0 39 P
jin'stallation description
Commercial 0 Residential
X New
i",4 SFRv C -E
O Cash Check
0 Credit Card
Expiration Date
of card
Approved ay J
\Ifcred /Addition
Visa Mastercard Discover
Card
713 .7 cD
(inspection fcc
J
Set,xice Informetina
Dale
Voltage
Phase 1 U 3
Service Size.
Feeder Size:
SERVICE
FEEDER
tine Ayr cad ay
Action Taken
Approved By
PAGE 01
Electrical
Inspector
1 BUILDING IS DESIGNED TO COMPLY WITH TO WAC 51 -50 -1101
CALIFORNIA TITLE 24
2. DESIGN COMPLIES WITH THE PROVISIONS OF THE 2003 IBC CODE
FOR THE FOLLOWING LOADS:
ROOF SNOW LOAD 250 PSF
FLOOR LOAD 400 PSF
IBC DESIGN SPECTRAL RESPONSE S 3.41 S 1 1.59
SITE CLASS D
SEISMIC USE GROUP- I
SEISMIC DESIGN CATEGORY. E
BEARING WALL SYSTEM R 5.5
BASIC WIND SPEED 120 MPH (3— SECOND GUST)
WIND EXPOSURE D, I 1.0
3. BUILDING TYPE. IBC TYPE V —B
OCCUPANCY- B
EXTERIOR WALLS. 1 —HR RATED PER IBC TABLE 720.1(2), ITEM 4 -1.1
MINIMUM DISTANCE TO PROPERTY LINE: 10 FEET
4 CONCRETE STRENGTH f'ci 2500 PSI INITIAL f c 5000 PSI
FINAL AIR ENTRAINMENT 5 1/2% 1% IN PLASTIC CONCRETE.
REINFORCING STEEL #3 GRADE 40, #4 AND LARGER GRADE 60
MINIMUM LAP 18" AT SPLICES. TIE BARS WITH DOUBLE ANNEALED
16 GA IRON WIRE. REINFORCING TO BE PLACED IN CENTER
OF PANEL UNO.
WELDED WIRE FABRIC(W.W.F 4x4xW8xW8, Fy65 KSI (OR EQUIVAL).
COMPLY WITH ASTM A82, SMOOTH WIRE, MIN. LAP 2 SQUARES.
5. EMBEDDED ITEMS IDENTIFIED ON DRAWINGS(i.e. PS -2, R301)
REFER TO CXT STANDARD EMBEDMENT CATALOG.
6. BACK OF PANELS TO HAVE SMOOTH TROWEL FINISH U.N.O.
ALL SURFACES TO BE TEXTURED ARE NOTED ON PANEL DWG'S
7 REFER TO SEPARATE CXT INCORPORATED SPECIFICATIONS
COVERING DESIGN, MATERIALS, PRODUCTION, AND INSTALLATION
CRITERIA FOR SPECIFIC STYLE OF BUILDING.
8. CONSTRUCTION COMPLIES WITH THE SPECIAL INSPECTION
PROVISIONS OF THE 2003 IBC, SECTION 1704 SPECIAL
INSPECTORS ARE QUALIFIED PER IBC SECTION 17041 WITH THE
BUILDING OFFICIAL IN SPOKANE COUNTY WA.
OWING TEl
DVW p L LUGM DI WWII
FT an leaf.
11/ TO
TOTAL TI®alfII -vA "/t
VYIATMII r$n =PRE Il/V PER R 6 MGM.
LarML DanseII 1/4 U ID FT
EUr *Vl
MITaw I TD+XIV IVY
PTIIITIDI ar =MUD PLY
OT VIDmllt !V.
MIMI(V On D/Y
TDVDa PPM r1.ImwTXT ar PUTQ .VM. -1/4
envois L m
DID ISIUIIpItE a/V
NOTES
TAO S
for
t
ALL SEASON GENERAL USAGE
3
PANEL ;MARK NO. KEY PLAN
R1 —L
If1
Pt
N6
W7
0_
R2 —L 3 IUNUT BI 3
W12
BACK
W1
FRONT
R1 —R
Fl
P1
P3
APPLICABLE CODES
R2 —R
F2
3
3
2063 INTERNATIONAL BUILDING CODE
2003 UNIFORM PLUMBING CODE
2005 NATIONAL ELECTRIC CODE
.1ki%,to
NO.
TA -01
TA -02
TA -03
TA -04
TA -05
TA -06
TA -07
TA -08
TA -09
TA -10
TA -11
TA -12
TA -13
TA -14
TA -15
TA -16
TA -17
TA -18
TA -19
TA— 20
TA -21
TA— 22
TA -23
TA— 24
TA -25
TA -26
TA -27
STATE OF WASHINGTON
DEPT OF LABOR INDUSTRIES
CONSTRUCTION COMPLIANCE SECTION
FACTORY BUILT HOMES COMMERCIAL STRUCTURES
PLANS ACCEPTED NO. o F3n C44700 `j
SU3JECT TO FIELD INSPECTION OVERSIGHT
OR VIOLATION OF RCW IS NOT INCLUDED
IBC 1907.5 1 Reinforcing steel shall be
accurately placed, adequately supported
and shall be secured against displacement
before concrete is placed, and shall also
meet the standards set forth in ACI 318.
Absolutely no weldine on the rebar without
the Eneineers orior annroval.
INDEX OF DRAWINGS
TITLE
COVER SHEET
HANDLING INSTRUCTIONS
FLOOR PLAN
BUILDING ELEVATIONS
BUILDING ELEVATIONS
INTERIOR ELEVATIONS
DETAILS
WALL PANEL W1
WALL PANEL W2
WALL PANEL W3
WALL PANEL W4
WALL PANEL W5
WALL PANEL W6
WALL PANEL W7
WALL PANEL W8
WALL PANEL W9
WALL PANEL W10
WALL PANEL W11
WALL PANEL W12
FLOOR SLAB F1
FLOOR SLAB F2
ROOF SLAB R1 —R
ROOF SLAB R1. —L
ROOF SLAB R2 —R
ROOF SLAB R2 —L
DATE: 5 a L
-Zt7D7 1
1
INTERIOR PARTITIONS P1
GRAVEL PAD DETAIL
P2 P3
TA -28 FLOOR DRAIN LOCATIONS BELOW FLOOR PIP
TA -29 PLUMBING PLANS
TA -30 PLUMBING DETAILS, DIAGRA
TA -31 ELECTRICAL NOTES
TA -32 ELECTRICAL PLSj 6„ j E N S s U
TA-33 MATE L C OF LP N E1 A n
FPS P P f
EXPIRES
6/12/07
O! ®ID WIOWB
001 1 a re lIO 1oi.
as R. Calla I m FT. ay. on= WIC R
996.1 (7091) 4167 I WAR 149.500
refl
Precast Products
TAO S
C XT STANDARD BUILDING
The information contained herein is proprietary and the
exclusive property of CXT incorporated. The mfemintion
may only be used by the original recipient for the purpose
Intended Reproduction or distrbutlan of thk Information
is strictly prohibited without the puler arltlen consent of
CXT —Id. By dads; use of this Information.
CKT Maparatod 'Dote no warranty. express ar implied.
Inducting warranty of inerchontdIIty or of fitness for
p purpose.
SCALE
DRAWN
CHECKED
DWG NO.
ewwwu
11 =T -D- DATE 104 -17-06
I D B ESSL R I FRE NO. I TA -06S
I A IWTISON I PLOT 124
COVER SHEET
TA -01
CXT Inarpmand
SHEET REV.
1
33
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T•\Policies \1102.13R (1/05)
Qty Unit Charge Per
1 00 0000 EA
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
SANITARY SEWER HOOK
ERICKSON PLAY FIELD
83642
00
7/31/06
1/27/07
Charged
00
00
00
SAN
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 3m- STREET PORT ANGELES, WA 98362
06 00000826
280718
302 S RACE ST UTL
06 30 00 7 7 0145 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
OWNER
UP
SEWER HOOKUP
Plan Check Fee
Valuation
Paid Credited
00
00
00
00
00
00
Date 7/31/06
00
0
Extension
00
Due
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work 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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY 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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417.4750 I
BUILDING 417 -4815
T•\Policies \1102.15R 11/05)
RESIDENTIAL
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
1 I I
1 1 I
I I I
1 1 I
I 1 I
1 1 1
I I I
1 1
I
1 1 1
I I I
1 I 1
1 1 1
I 1 1
1 I 1
I 1 1
1 I 1
1 I I
1 I I
1 I I
I I I
I 1
1 1 I
I I I
1 1 I
1 I
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION ILW
PW ENGINEERING
I I I FIRE DEPT 1 1 1
1 1 I PLANNING DEPT I I I
I I BUILDING I I
I I I I
PREPARED 7/24/06 12 12 42 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/24/06
ADDRESS 302 S RACE ST UTL SUBDIV
TENANT NBR CITY OF PORT ANGELES
CONTRACTOR PHONE
OWNER CITY OF PORT ANGELES PHONE
PARCEL 06 30 00 7 7 0145 0000
APPL NUMBER 06 00000393 COMM NEW CONST
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 24/06/ JLL
PLUMBING UNDER SLAB TIME 13 00
DALE 452 8525
07/24/2006 08 30 AM DYASUMUR
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 110 0000 EA SAN SEW RECON
Other Fees
Fee summary
WA 983620217
76596
110 00
12/12/06
Signature of Contractor or Authorized Agent
T \Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000393
370000
302 S RACE ST UTL
06 30 00 7 7 0145 0000
CITY OF PORT ANGELES
COMM NEW CONST
UNKNOWN
20000
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SANITARY SEWER HOOK UP
Plan Check Fee
Valuation
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
05/15/2006 10 07 AM SROBERDS Pre fab public restroom
and demo of existing facilities in PBP No land use issues
noted
Electrical load calculations and elctrical permits are
required
Electrical panel size location type meter socket
location required
05/02/2006 11 03 AM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Waste Disposal Application Testing Required for
Demolition
Charged Paid Credited
Permit Fee Total 110 00 110 00 00
Plan Check Total 00 00 00
Other Fee Total 4 50 4 50 00
Date 6/15/06
STATE SURCHARGE 4 50
Due
1 00
1 00
1 00
1 00
1 00
1 00
1 00
00
00
00
0 0
20000
Extension
110 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
(OCT t 1,90--
Date Signature of Owner (if owner is builder)
(Q I N5 joko
Date
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 4653
PLANNING DEPT 417 -4750 I
BUILDING 417-4815
T \Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY INSPECTEONS. 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO 1
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
I I
I I
I I
1 I
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 06 00000393 Date 6/15/06
Application pin number 370000
Grand Total 114 50 114 50 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102.15R [1/05)
CALL 417 -4807 FOR UTILITY 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
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T• \Policies \1102.15R [1/05]
INSPECTION TYPE
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417-4653
PLANNING DEPT 417 4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE ACCEPTED
YES NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT I I
I I PLANNING DEPT I I
I I BUILDING I I
I I I I I
PORT,,.
`r1 �loa
M
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
18 00 14 0000 THOU
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration Date
6 00
1 00
1 00
desc
number
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DMSION
321 EAST 5TH STREET PORT ANGELES, WA 98362
7 0000 ECH
7 0000 ECH
15 0000 ECH
WA 983620217
77495
347 75
12/12/06
Per
PLUMBING PERMIT
77487
114 00
12/12/06
Signature of Contractor or Authorized Agent
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
06 00000393
370000
302 S RACE ST UTL
06 30 00 7 7 0145 0000
CITY OF PORT ANGELES
COMM NEW CONST
UNKN 20000
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT COMMERCIAL
Plan Check Fee
Valuation
BASE FEE
BL -2001 25K (14 PER K)
Plan Check Fee
Valuation
BASE FEE
PL- EA FIXTURE ON ONE TRAP
PL- EA INSTALL WATER PIPE
PL- EA BLDG SEWER
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
05/15/2006 10 07 AM SROBERDS Pre fab public restroom
and demo of existing facilities in PBP No land use issues
noted
Electrical load calculations and elctrical permits are
required
Electrical panel size location type meter socket
location required
Date 6/15/06
1 00
1 00
1 00
1 00
1 00
1 00
1 00
226 04
20000
Extension
95 75
252 00
00
0
Extension
50 00
42 00
7 00
15 00
t
(ern L ‘?cot--
Date Signature of Owner (if owner is builder)
col IS
Date
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.
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 9CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT. 417 -4750 I
BUILDING 417 -4815 I
lc h. ;Mina nermit inspection record05.wpd (1/4/2005)
BUILDING PERMIT INSPECTION RECORD
YES I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I I
I I I
I I
I I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT.
I BUILDING
I I I
I I I
I I I
r iM
Application Number
Application pin number
Other Fees
L
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000393
370000
Special Notes and Comments
05/02/2006 11 03 AM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Waste Disposal Application Testing Required for
Demolition
T•\Policies\1102_15 building permit inspection record05.wpd (1/4/2005]
Page 2
Date 6/15/06
STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 461 75 461 75 00 00
Plan Check Total 226 04 226 04 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 692 29 692 29 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 4735
FINAL O 01, V I DATE j1,17
FINAL
SEPA.
ESA.
SHORELINE:
ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417-4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
BUILDING 417 4815 I I I BUILDING
m 1 c t,. imino nrrnnt insoection record05.wpd 11/4/2005]
ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
141117 ;J, /I
T•\FORMS\B1dgPerrnitform.wpd Applicant:
BUILDING PERMIT APPLICATION
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. L`
Owner .��t'
Address: City
Architect/Enaineer•
Contractor State License
Address: 6 c
PROJECT ADDRESS c.c�cw
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER. _OD' ✓O CO 7 a
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
Repair Sign
i B F DESCRIPTION OF TAE PROJECT
V/
City
Lv_. -302 5 tOAC6 5i
Re -roof Stove
Move Garage
Demolition Deck
Other
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load.
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tune for action by the applicant up to 180 days upon wntten request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to wor
Block. Subdivision.
Phone: 3 CU L(1? 4666'
Phone.
Phone.
Exp
Zip
Phone:
Zip
ZONING
FOR OFFIC USE NIA
Date Rec.
Permit W•
Date a ppro-eed: 154
Date Issued:4" 1 /O
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION ZOr 019
PA.:4-0.1
Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
Date: t a7 C G
AceoccitiL
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
100
Feet
Vertical Datum NA VD 88
Horizontal Datum NAD 83/91
"3
N
Th map or nte ided to be used legal de ipti
This ap/dr ig is produced hi the an of Port Angeles for its cc use and purposes
Any other use of this map/drawing shall not be the responsibility of the City. r,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
App11cation pin number
Property Address
ASSESSOR PARCEL NUMBER:
APPlication type descript10n
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000274 Date
702748
302 S RACE ST
06-30-00-7-7-0145-0000-
COMM NEW CONST
PUBLIC BUILDINGS & PARKS
15000
OWI).er
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
10' FENCE & CONCESSION STAND
47670
274.75
5/04/05
10/31/05
Plan Check Fee
Valuation
Qty
Unit Charge Per
13.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Spec1al Notes and Comments
Plans for concession stand & 10' high fence must be
submited & approved pior to construction.
05/04/2005 01:37 PM RVESS ------------------------------
04/20/2005 02:57 PM SROBERDS ---------------------------
The proposal will result 1n a public skate park in the
pub11c Buildings and Parks zone. Structures within the
park will require a bU1lding permit and any fence over 6'
tall will need engineering. No land use issues are
apparent from the current submittal.
Other Fees
STATE SURCHARGE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm1t Fee Total 274.75 274.75 .00 .00
Plan Check Total 178.59 178.59 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 457.84 457.84 .00 .00
5/04/05
1. 00
1. 00
1. 00
1. 00
1. 00
178.59
15000
Extension
92.75
182.00
4.50
~x F1 eeo
l7--/04/00
~\
~
(iJ
<0
P
~
;v
~
~
Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, private and public Improvements This permit becomes
null and void if work or construction authonzed IS not commenced Within 180 days, If construction or work is suspended or abandoned
for a penod 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 authonty to Violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
DN
FIL~
Signature of Contractor or Authonzed Agent
Date
Signature of Owner (If owner IS bUilder)
T \Pohcles\1102_15 bUIldIng permIt InspectIon record05 wpd [114/2005]
'"
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECT] ONS
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
FOUNDA nON 1110110 8/~.b .c-, 13 -t:Xr J I-L-
FOOTINGS .S'" - (e-c 5' .kL.
WALLS (b /7/0'5 J {,(,
FOUNDATION DRAINAGE / DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR ."-
,~ -
INSULATION ' "
t
SLAB J /
WALL / FLOO~ING
MECHANICAL "
. '
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE I PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
l' \PolIclesll 102_15 bUlldmg permit InspectIOn record05 wpd [1/4/2005]
PREPARED 6/07/05, 12 58 19
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
302 S RACE ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
6/07/05
CITY OF PORT ANGELES
06-30-00-7-7-0145-0000-
05-00000274 COMM NEW CONST
SUBDIV
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 5/06/05 JLL
5/06/05 AP
BLM 01 5/13/05 JLL
5/13/05 AP
BI2 01 ~E{l
BUILDING FOUNDATION FOOTING
460-5306 05/06/2005 08 19 AM JLIERLY
05/06/2005 04 25 PM JLIERLY ----------------------------
BUILDING FOUNDATION MONO SLAB
05/13/2005 09 05 AM JLIERLY
ROBERT 460-5306
05/13/2005 04 11 PM JLIERLY ----------------------------
partlal steel lnspectlon In skate bowl/]ll
BUILDING FOUNDATION WALL
06/07/2005 09 15 AM DYASUMUR
REBAR TIEING AT SKATE PARK
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Sou~
o,oJ{
)'r:P' K
'-
'7
V
11.0:;1--
PREPARED 5/13/05, 13:16.03
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
302 S RACE ST
INSPECTION TICKET
INSPECTOR' JAMES L LIERLY
PAGE
DATE
4
5/13/05
CITY OF PORT ANGELES
06-30-00-7-7-0145-0000-
05-00000274 COMM NEW CONST
SUBDIV
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
BLM 01
S/06/0S JLL
S/06/0S AP
5/r3/OS . J~ /J
5 Jl3!o~ ----.-.
BUILDING FOUNDATION FOOTING
460-S306 OS/06/200S 08 19 AM JLIERLY
OS/06/200S 04:2S PM JLIERLY ----------------------------
BUILDING FOUNDATION MONO SLAB
OS/13/200S 09 OS AM JLIERLY
ROBERT 460-S306
COMMENTS AND NOTES
PREPARED 5/06/05, 12 57 46
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
302 S RACE ST
CITY OF PORT ANGELES
06-30-00-7-7-0145-0000-
05-00000274 COMM NEW CONST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE
PHONE
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PAGE
DATE
4
5/06/05
~~~__:~__~_~L~____~~:~::~:O::::::~:::5:::::~:__~__~~::~~~________________________
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: .
Date ([J,<) 103/~ Time! 0 ~ (0 Received by ~~1JJ2- (pnone;;:::::::::;person'
. / I . VI
Location of Work to be inspected .5-#.t ~ ~CL+-JL
Name of person requesting inspection Yl - /I P - - - (i-Gt: r [/"'2 V
Address of person requesting inspection hone No.
Type of Inspection (circle appropriate one): Permit No. (!J...~-- )-7 t-/
Sewer Foun~ation Framing Chimney plumbing Final S/ewer Excav. Other
~WUl-5l-- .0* ~r li1?profY1piu IYls(/eCHO"l CJfL Work Ia-el~
INSPEC"TION ~OTES: denlJ e....
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. . . . .. YES NO
~7JO~
s~ I:>~~t U
~ &,.,y )
~
JLL
,..-..;.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel DAsphalt OPCC
D Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec If -2D-OC;-
Pelmlt# oS- - 2,'-L
Date Apploved
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
;\., 10 as 'SO 130'2..
ApplIcant or Agent: l2.c.4a...'( I\.ln...IIO"'~-kv- ~~,^Ac -h'VlI\ /~vt- Phone:
~O"IL
Owner: C\ ~ ~f- ?l'\.r4 A..u.a. A-.e-~ Phone:
Address: p.o. iIOtl~ ILSD City: ?c....+ ~..d~ I I..J.r.A.
ArchItect/Engmeer: +:...o..lA.b v.LL- t ~. . \VI.(.
,
Contractor I>~1AAI\4IA.A S~k.pA....\u,. State LIcense #: Exp: Phone:
Address:~Lo~~ u..'i'( \0\ CIty: LUAColIA C"'htI6(l.. ZIp:G11~~1-2(.,,;2..2
PROJECT ADDRESS: e~Cl4o'L P"\...r\c.. ZONING:
LEGAL DESCRIPTION: Lot: '.\--'U., Block: SubdIvIsIOn: L..,+ , ..f-G:; \ v\ ~ ':;\lb .
CLALLAM COUNTY PARCEL NUMBER: Cl c, -30 -00 - , '10 I 4.->
4-ti -O~'
4L\,- 4-'00 \
ZIp: ~~3c.,2.
Phone: An -oso \
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o ResIdential 0 New Canstr. 0 Re-roof
o MultI-farmly 0 AddItIOn 0 Move
o CommercIal 0 Remodel 0 DemohtIOn
o RepaIr 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
SleENALUATION:
o Stove <.:.~~CQ SF.@$2J.S-B
o Garage JOI ~J1.C h.. SF @ $
o Deck SF.@$ /SF =$
o Other TOTAL VALUATION $
51u..k.. ~..k CoAA-J Irv.Oc:.-L" kJ: \ .......1''''' ~uL.et.1 ..... .
'2.OC, Be;) 0
COMMERCIAL/RESIDENTIAL: Occupancy Group'
No. of Stones. Lot Size: EXIStrng Sq. Ft.
Total lot coverage %
Occupant Load.
& Proposed Sq. Ft.
Construchon Type'
= TOTAL Sq. Ft.
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetIand(s)' 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by tIle apphcant. TIllS figure wIll be revIewed
and may be revIsed by tIle Bmldmg DIVISIOn to comply WIth current fee schedules. Contact the Penmt Coordmator at 417 -4815 for assIstance.
PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the trme the buildmg penmt apphcatIOn and construction plans are
subrmtted All other penmt fees are due at the trme of penmt Issuance.
EXPIRATION OF PLAN REVIEW: If no penmt IS Issued WIthm 180 days of the date of applIcatIOn, the application will expire. The
Bmldmg OffiCIal can extend the tmle for actIOn by the apphcant up to 180 days upon wntten request by the apphcant (see SectIOn R105 3.2
of the InternatIOnal Bmldmg/ResIdentIal Code, 2003) No apphcatIOn can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to apply for this permit and
understand that It IS my responsibility to determine what permits are reqUired J ot the Cdy's, and that I must obtain such permits pnor to work
Date. 5/1.;Z/0<"
T \RVESS\BLDG-forms-brochures\2004-BUlldmgperrmt wpd Applicant:
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Parcel Lookup
Page 1 of 1
Parcel Number 0630007701450000
Site Address:
I Quit I I Back I
Taxpayer:
CITY OF PORT ANGELES PO BOX 1150
PORT ANGELES, WA 98362-0217
Title Owner:
CITY OF PORT ANGELES PO BOX 1150
PORT ANGELES, WA 98362-0217
Description:
CAIN, SUBD OF LOT 21
3TS 14-26 BL 1
Value Summary:
Note: Listed values do not reflect adjustments made for exemption programs such as
Senior/Disabled or Current Use programs (except Commercial Forestland properties)
Land Value. 0
Improvements Value: 0
Total Assessed Value 0
Property Characteristics:
Note: Use Code IS for Assessor's purposes only Contact the appropriate planning or
bUilding departments for Zoning and allowable usage of property
Use Code: 9750 EXEMPT
Land Size (acreage): .00
Note Acreage IS not listed for all properties In the
Assessor's records More information about land size
Tax Status: City
Tax Code Area.: 0010
Zoning Code:
Note ZOning and zoning codes change constantly Verify all
zOning with the appropriate planning or bUilding department
Building Characteristics: (Click on Bldg # for more details)
~ Bldg. Type Bldg. Style Total S.F. BD BA
Tax History
Sales History
~ [Backl
11420,08311
http://65.161.1 0.164/website/sitis--'p.pgm?P ARCEL=063 000770 1450000
3/2212005
11',' N' (r\, l P I' F"\
~j ; 1 \Vi ~I ~! ~I
& ASSOCIATES
CML ENGINEERING
LAND SURVEYING
INCORPORATED
519 South Peabody Street, Suite 22
Port Angeles,Washlngton 98362
(360) 417-0501
Fax (360) 417-0514
E-mail.zenovlC@o]ympus.net
March 22, 2005
Mr. Glenn A. Cutler, P.E.
Public Works and Utilities Director
City of Port Angeles
P.O. Box 1150
Port Angeles, W A 98362
Re: Port Angeles Skate Park Project - Rotary Nor'wester Foundation
Erickson Park
Dear Glenn:
On behalf of the Rotary Nor'wester Foundation, I am hereby requesting that the City of
Port Angeles waive the plan review and permit fees for the construction of the skate park
at Erickson Park. The Rotary Nor'wester Foundation will be directing the construction of
the park that is to be constructed primarily by Dreamland Skateparks of Lincoln City,
Oregon. Upon completion of the skate park and associated improvements to the
satisfaction of the Foundation and the City of Port Angeles, the park will be donated to
the City.
We appreciate your support for this worthy project and your consideration of this
request. Please give me a call if you have any questions or if you need further
information.
Sincerely,
Zenovic & Associates, Inc.
kf -
Stephen M. Zenovic, P.E.
Principal Engineer
Fc: IN 04005
Cc: Rotary Nor'wester Foundation
..-
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CITY OF PORT ANGaE5
REPRINT
Hi CUSTOMER RECEIPT Hi
Oper: KEMERY Type: AD Drawer: 1
Date: 5/03/05 04 Receipt no: 42334
Descript~on Quantity
2005 274
BP BUILDING PERMITS
1.00
Alount
Trans nUlber:
CITY OF PA
302 S RACE 5T
PARKS DEPT
310.8985.594.4150 PK 1302
$507.84
308475
Tender detail
AD ADJUSTMENT
Total tendered
Total paYlent
$507.84
$507.84
$507 .84
Trans date: 5/03/05 Tile: 13:34:54
Hi THANK YOU FOR YOUR PAYMENT Hi
FOR INQUIRIES 360-457--04U'?JiESS ZERO
WWW.CITYOFPA.US
/-
Application Number . . . . . 22-00000499 Date 6/14/22
Application pin number . . . 178997
Property Address . . . . . . 302 S RACE ST
ASSESSOR PARCEL NUMBER: 06-30-00-7-7-0145-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Pole lights
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF PORT ANGELES OWNER
321 E 5TH ST
PORT ANGELES WA 983620217
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 6/14/22 Valuation . . . . 0
Expiration Date . . 12/11/22
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
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Play ground lighting
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/14/2022 22-499 TAP
OWNER
City of Port Angeles
CONTRACTOR
PROJECT ADDRESS
302 S Race St