HomeMy WebLinkAbout603 S Lincoln St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001167 Date 10/17/11
Application pin number 610214
Property Address 603 S LINCOLN ST q TAX
PARCEL NUMBER: 06- 30- 00 -0 -2 -0100 -0000- REPORT SALES TAY
Application type description RE -ROOF
Subdivision Name on your state excise tax form
Property Use to the City of Port Angeles
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 5697 (Location Code 0502)
Application desc
REPLACE MANSARD ROOF.
Owner Contractor
SECOND REDDING ASSOC QUALITY PLUS ROOFING LLC
PO BOX 260765 PO BOX 610
ENCINO CA 914260765 SEQUIM WA 98382
(360) 683 -1483
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF MANSARD
Permit pin number 194761
Permit Fee 151.75 .Plan Check Fee .00
Issue Date 10/17/11 Valuation 5697
Expiration Date 4/14/12
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL- 2001 -25K (14 PER K) 56.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .00 .00
folciA
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.
v OM/ p f-
Date/D 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
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 A JOB SITE. v
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts 1 O
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line V\
Back Flow Water 1 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only) 1
T -Bar 1
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
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
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planniu 417 -4750
Building 417 -4815 U" ir
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BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received /O /7
Permit 7
City of Port Angeles Please print in ink. Date Approved 6 7
Attn: Building Permit Technician Approved by
321 E. 5 St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: Phone:
Property owner.
Wi Phone:
Property owner's mailing address: r
Contractor's business name: p �C L,GC Phone:
(or property owner's name if h she is doing /overseeing the wo 6
Contractor's m-Ilin g ad ress: 74`
l5 2
Contractor's L&I license number: Expiration date:
Project Address:
Project Type: Residential Commercial ID Industrial D Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re -roof: house garage &other 6/14 tX
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage other
Project Valuation 5 d (labor materials, not including sales tax)
Repair: ex•lain the •ro
/t' u[.JL: 4 l/�✓ i4J LLB.
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T: Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa protects that
do not require plan review:
(1) Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit
and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to
working on projects.
Dater /7 7( Signature t /l�
Print Nam- v D 6/V
Page 2 of 2
t;PW-ts'W;;=w''AtAVMM' '�.'�a" t�,, r 3s �g t a g�t3z`�s Y�e.�,.,s. 7,a E� ��-:i'�e�W �k�.�"'�-
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Sequim 360 -683 -1483 Port Townsend 360- 385 -9783 261851 Hwy 101
Silverdale 360- 698 -5500 Sequim, Wa 98382
Po Box 610 Sequim, Wa. 98382 Date: 6 -8 -2011
Proposal To Phone: Cell:
Arnie Michaelsen(Goodwill) 253- 279 -1371
Street: Work: FAX:
603 South Lincoln 253- 573 -6520
City: Mailing address: amichaelsen@tacomagoodwill.org
Port Angeles, Washington 98362
Insurance: Phone: Claim fl
Card t Exp. Date: Code: Visa Master Card/Discover
We hereby submit specifications and estimates below for
Remove all existing shakes on front of the building and haul away all waste materials.
Install new felt vapor barrier to protect the roof deck surface from extreme weather conditions.
Install new valley metal.
Install limited lifetime laminated shingles with 110 mph wind rating and nailed with 6 nails when installed to decrease uplift in high wind
conditions.
NOTE: sheeting clause below if needs to be sheeted.
Note: Plywood clause any decking that is bad is an added cost above the contract price if not stated above. This material labor
Payment to be made as follows: fl 1 2 Down rest on completion 0 Paid on completion payment arrangements above 03 or 6 months same as CASH
Guarantee: Said roof carries guarantee for years against leaks only. We are not liable for any foot traffic, Wind damage, or acts of
God. Not liable for damages work performed by other trades. All materials are guaranteed to be as specified. All work 10 be completed in a
workmanship like manner according to standard practices. Arty alterations or deviation from above specifications involving extra costs will
be executed upon verbal and written orders, and will become a extra charge over and above the contract. All agreements contingent upon
strikes, accidents or delay beyond our control. NOTE: Any emergency roof repairs or repairs have no GUARANTEE UNLESS NOTED
ABOVE.
Aut onzed ature
Acceptance of proposal: The above prices, specifications, and conditions of satisfactory and are hereby accepted. To are authorized to do Note: This proposal may be withdrawn
the work as specified. Payment outlined above. In the event that this agreement is not paid as agreed, then the reasonable attorney fees and
collections costs even though no suit or action Is filed or paid. If a suit or action is filed, the amount of such reasonable attorney fees shall by us if not within Days.
be fixed by the courts in which suit or action, including any appeals therein, is tried, heard and decided. if proposal is canceled by home
owners after acceptance a 25% charge will be made of the contract price. Quality Plus Roofing LLC Is not responsible for any debris that
accumulates in the attic due to roof removal, or damage of vibration: When paid by check the of is not paid In full until the funds are
available to Qualify Plus RoolingtLC.
Signature t'..:. rt; ,�1,; Date i r' t
Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
Business and Licensing Information
Name QUALITY PLUS ROOFING LLC UBI No. 602932148
Phone 3606831483 Status Active
Address P 0 Box 610 License No. QUALIPR91304
Suite /Apt. License Type Construction Contractor
City Sequim Effective Date 9/24/2009
State WA Expiration Date 10/14/2013
Zip 98382 Suspend Date
County Clallam Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
Specialty Specialty Effective Expiration
License Name Type 1 2 Date Date Status
QUALIPR935CA QUALITY PLUS Construction Roofing Unused 2/1/2007 2/2/2011 Re-
ROOFING Contractor Licensed
Business Owner Information
Name Role Effective Date Expiration Date
POTTER, JOHN RAY Partner /Member 09/24/2009
POTTER, PATRICIA MARGIE Partner /Member 09/24/2009
Bond Information
Bond Company Bond Effective Expiration Cancel Impaired Bond Received
Bond Name Account Date Date Date Date Amount Date
Number
American Until
2 Contractors 100112022 01/29/2010 Cancelled $12,000.00 01/29/2010
Indem CO
1 WESTERN 15093603 09/10/2009 Until 02/01/2010 $12,000.0009/24 /2009
SURETY CO Cancelled
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
UNITED
https: fortress .wa.gov /lni /bbip /Print.aspx 10/17/2011
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuits 8 light fixtures
Owner
SECOND REDDING ASSOC
PO BOX 260765
ENCINO
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CA 914260765
173443
73 50
9/16/10
3/15/11
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00001026
270112
603 S LINCOLN ST
06 30 00 0 2 0100 0000
ELECTRICAL ONLY
COMMERCIAL NEIGHBORHOOD
0
Contractor
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
Charged Paid Credited
73 50 73 50 00
00 00 00
73 50 73 50 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
1117117) M
4)1'710
Date 9/16/10
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES WA 98362
(360) 452 9104 2 91 `tl
RESULTS
00
0
Extension
73 50
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
c/
w
Signature of owner or Electrical Contractor X Date.
r
Sep 15 10 11:37a Christie Tucker
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (3
Date:
9 -15
1 8 2 Single Family Dwelling
Multi -F amity or Commercial
Commercial Addition Alteration Remodel 1 Repair'
Plan Review May Be Required. Ple as e Complete Electrical Plan Review Information Sheet
Job Address: /1,
Building Square Footage;
Dess ipjionol a e at
Owner Information
Name:
Mailing Address:
City'
Phone:
License #1 Exp.
Unit Charge
S 119.90
S 145.50
S 204.60
S 262.20
S 372.50
2.60
S 73.50
2.60
92.70
110.30
148.70
167.90
95.90
88.20
95.90
S 63.90
E 63.90
$119.90
102.30
110.30
35.20
73.50
5110.30
56.00
..1
State: Zip:
Fax:
ull
Check
s -ha, Qr ift‘r
C �'1 try .z r /d
L
Contractor In rmatiou-
Name: .STI t 'Cif C
Mailing Ad ss: _fit) .k 2Vy-
City l'/? Stale: 1 L Pr Zip:
Phone: Fax:
License #1 Exp. \TP.J'1r L -)7
Total (qty Multiplied by Unit Champ.)
S ServicelFeeder 200 Amp.
E Service/Feeder 201 -400 Amp.
5 Service/Feeder 401.600 Amp.
S Serrtce/Feeder 601 -1000 A•np.
S Service/Feeder over 1000 Amp.
S
Branch Circuit WI Service Feeder
7. i 'Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
E Temp. Service/Feeder 201 -400 Amp.
S Temp. Service/Feeder 401 -600 Amp.
Temp. ServicelFeeder 6C1 1000 Amp.
Portal to Portal Hourly
Sign/Duane Lighting
Signal Circuit/ Limited Energy Commercial. Additiona 1500 $5.00
E Signal Circuit/ Limited Energy 1 2 Family ()welting
E 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 Portion of
S Each Outbuilding cr Detached Garage
E Each Swimming Pool or Hot Tub
E Thermostat
Total
X Date: Credit Card If
360 452 -0741 p 1
1 E] a ♦'hut pORTig(f/
S EP 1 5 2009 L
ELECTRICAL
INSPECTIONS
OL
SSC
0`'
Owner as defined by RCW.19.26.261 (1) Owner wW occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required to hire an electrical contractor if
above said propb"rry Is for sale, rent or lease. Permit expires after six months of last Inspection.
After readrngthe a statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor lam making the electrical Installation or
alteration Intornp 1 ance with the electrical laws, N.E.C. RCW. Chapter 1128, WAC. Chapter 296-4613, The City of Port Angeles Municipal Code, and Utility SpecMcatlons.
I 1
Signature Of owr it, elp ltrical contractor or electrical administrator
I II
I
Cash
Thr
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property. Use
.Property Zoning
Application valuation
Application desc
1 circuit for data control panel
'Owner
SECOND REDDING ASSOC STRAITS ELECTRIC
PO BOX 260765- PO BOX 2914
ENCINO CA 914260.7.65 PORT ANGELES
(360)- 452 9104.
_ELECTRICAL ALTER COMMERCIAL
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
IN SPECTI ONTY
Fee summary
Qty Unit Charge Per
1 00 57 5000 ECH
Permit Fee Total
Plan Check Total
Grand Total
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
158378
57 50
12/15/09
6/13/10
Charged
57 50
.00
57 50
ELECTRICAL PERMIT
CITE' OF PORT ANGELES.
I7-4
_09 00001322
526836
603 S LINCOLN ST
06 30 00 0 2 0100 0000
ELECTRICAL ONLY
COMMERCIAL NEIGHBORHOOD
0
Contractor
Plan Check Fee
Valuation
EL BRANCH CIRCUIT W0 /FEEDER
Paid Credited
57 50
00
57 50
4 40 4
00
00
00
Date 12/15/09
WA 98362
IS? 1 168
Extension
57 50
Due
00
00
00
DATE "RESULTS
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
FROM STRAITS ELECTRIC FAX NO. 3604
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (380) 417.4735 Fax: (360) 417.4711
Date:
Unit Charoe
93,75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93,75
80.00
86.25
27.50
57.50
86.25
43.75
Ilgn wor. vner electrical contractor or electrical administrator
Date:
ECERE
DEC 14 2009
ELECTRICAL
INSPECTIONS
Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp.
Service/Feeder 201.400 Amp.
ServicelFeeder 401.600 Amp.
Service /Feeder 601 1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
$S7 Si) Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
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
Slgn /Outline Lighting
Signal Clrcult/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 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 Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
57. SO Total
Dec. 14 2009 10 53AM :T'1
■ORr
1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition I Alteration Remodel Repair'
Plan Review May Be gequlrecleasp Complete Electrical Plan Review Information Sheet
Job Address: WOO L...m C lei
Building Square Footage: n
Description of above Acid r`ecp' eGe c. M v V c o i y13o -v v
Owner Info ation U Contractor Inform tion
Name: ra t;� C ;4 Cil.A61 I Name: -17 11��..CG
Mailing Address,
Mailing Addr ss:
City State' Zip: City' State: Zip: NC.ol.
Phone: Phone: R /(j
License Exp. License I Exp. 5
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,
After r Ing the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor lam making the electrical
In a lion or alteration In compliance with the electrical laws, N,E.C. RCW Chapter 19.28, WAC. Chapter 296.488, The City of Port Angeles Municipal Code, and
p ,till rations.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Computer network
Owner
SECOND REDDING ASSOC
PO BOX 260765
ENCINO
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 75 0000 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
CA 914260765
ELECTRICAL
ADDITIONAL
157834
110 00
12/08/09
6/06/10
110 00
00
110 00
IOotx- 544 w-2 (i;i
ISO 5'134 77.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
09 00001279
949123
603 S LINCOLN ST
06 30 00 0 2 0100 0000
ELECTRICAL ONLY
COMMERCIAL NEIGHBORHOOD
0
Contractor
ROBBLEES TOTAL SECURITY INC
751 TACOMA AVE S
TACOMA
(253) 627 5448
ALTER COMMERCIAL
1500 SQFT $5 00 EAC
Plan Check Fee
Valuation
BASE FEE
EL LIMITED 1ST 1500 SQ FT
Paid Credited
110 00 00
00 00
110 00 00
Date 12/08/09
WA 98402
Due
00
00
00
113 SZ 610)
DATE RESULTS
17.!( c
+1
00
0
Extension
35 00
75 00
Signature of owner or Electrical C N Date
INSPECTOR.
12/07/2009 Mon 15:17
City of Port Angeles Permit Application
Building DivisioniStectrical Inspections
321 East Fifth Street P.O. Bag 119
Port Angeles Washington, 91130
Ph: 1360)417.4735 Fav,: (3601417.4711
te;
11
Da 1
1 7 Single Family Nailing
or:Conynerciar
Cmmercial AdditionlAlteration I Remodel
Plan keview Ivjey_Be RegOred. Please Complex Electrical Ran eview infpnnation Sheet A
JobAddrcs 3 LioCcLfl Ct D•
Bolding Square. Footage: r)
Description 07 above C'1.17). C.1. cLr.N K. .1'17:— Lxj.k 1 c. r rt \id
erj'n' Information L.
mo 7 1
City 16 State: \.PZ.A. zrix
1
License kg. t44 I:
'btr ts beA/51A011:
Omer',
Name: 7 1C1Cc.1 r'75 (10,551,
Mailing Ackfress:(e.:', t„,,:10§2,q
City:914 teS State: WA Zip: sitYfzl.
Phone 1'1: EA Fax.
License #1 Exp.
tin Gitatne
S11.75
$160_00
$20.5,0
S2p:' 25
4 Mt.
S 57.50
2.06
74Q
S 86.25.
S116:25
5131.25
S 75,00
69.00
S 75.06
S 50.80
S 50.00
93.7$
5 80.00
96.25
S 27.50
S 57.50
S 85.25
S 43.75.
Olv Tnlai {Qv M#lioljedj [IRO Chute)
SerOefeetler251,40•Arep.
BervicefFeeder Amp.
SeneiCeFeeder601-1030 Arno.
seriiice/Fe*r mrer lop° Amp,
.uldinat urvun. t kr ..ellvit.prcraJoi
BrancnCircriit•WiD Servicefeedar
:c
Each Additioral Branch Circuit
Temp. Senow? F
To rnp..SeirimfFeeder 201-4C D.AmO,
S Temp, Se /Feeder 4B1 -6po
Torrin, ServicefFeetter $01.1000-Amo,
.Porlatto Ptinal Hourly
Signlpittline Lighting
Stnal. Circuit; Lim fte Energy .cornrnerciel
Signal Clim,.uiti Liroled Enot 16.2 Family Dmiling
Signal Circuit/ Llnilled.Energy Multi-Fa rely Dwelling.
Maritiodinerj Horne C9rutecion
Renewable EleclriutEnerEiy 51(VA. Syslarn or LesS
First 1300 Egiare Ft.
..Each Additional 500 Square FL POrtion.cf
Esgi-Outillang•or pra 9ar.age
Each"Switnrriirg PeOl Ortiol.TUO
Thermostat
Total
OWThqr dfitied by Rgiv, pi:Owg wit! occupy ike stream kr riva years after Mrs ncat permit is finifized. 121 amer quiyed-b Itire:an
ovvr. saqpraperge s 7gr WM rent or tease.
After 7eadirg the above..statetent, I hereby certlfythat Pant the oviner Of the above named properly ors licensed clear ;cal contractor.; I afn the electrical
installation or alteration incompliance with the el..tctrical laws, I/.E.C., R U C Chapter 19,28, WAG...Chapter 296..Int, 7 he C ity ol PtniAngel ttu alcipa Code,:and
Wilily Specifications,
Signalii re of ovaler latttcal contractor or electri cal dminiStrater
,t it't Datu fri101
Robblee's Total Security 572-3628
CEI VEt
DEC 8 2009
ELECTRICAL
(INSPECTIONS
Cash
LI check
Cledit Cold
ID. #1175 Page 3 Of 3
0
DATE
2.1)
OWNER/CONTRACTOR
ADDRESS
66
APPROVED
0
0
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTOR
aq -12 N>vD
SZ Mr
L!►J cO'- -t
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED
n( Its P G.BR N
n1T a i. iz.t c441_
)J'
NOT APPROVED
P1 -it--
Li if_ 1 O Ltrtt 6 151-tFL` Z t
Q j .2 rr-V L- 076 si LPi 10
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
. .
Use ClaSSlficatlOn.
CERTIFICATE OF..OCCUPANCY
City of Port Angeles
Building Division
J. '
This Certification issued pursuant to the requirements of SectlOn 301 of the
International Building Code certifjJmg that at the tzme of issuance rids structure was
m cofnpliance with the various ordmances of the City regulatmi Building
\
constructIOn ar lIse For the following'
BUIldmg Penmt No 06-815
, f''''
Business
Busmess Nmi1e:
, ~: t ~t
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~. iU~e Z(;me.t CSD
, , '\,' "', ,':~,: "\{~ I ~
"*ori~Angeles. W A. 98382
.'
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Type of Construction.
V-N
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t ~ " ,
Owner of Busmess Linda 1. Moffitt'
Address 58424 HWY 1.12
Port An~.Sles. W A. 98362
"
"",Gctober 30.2006
"f .
r
Date
Post on tfi-ep'remUi!~""~::,-,,,.,,:~a .conspicuous place.
Shall not be removed except by Building' Official.
..~.
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1f t9G - <1 lob
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PClY
ROUTING SLIP
Certificate of Occupancy
150.00..Gertlflcate/lnspectlon Fee
DATE Jol~ (S I 7.0010
Address of propose\i~uslness f\
0:703 ~LIY\~
Applicant L...., ~ :;s- \n~ ),
Address 5 g tt:;t '-\ +\ I D ~ \ \ 'Z-
vor\- \~n~\p.0
Phone: busineJ '451~ Zz. 7_ home 452.- ~fo7'Lr
New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. (
Transfer of Business location . . . . . . . . . . . . . " (
Change of Ownership ..................... (
New Building ............................ (
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " (
Temporary Business. . . . . . . . . . . . . . . . . . . . . .. (
Change of Use . . . . . . . . . . . . . . . . . . . . . . .. (
)
)
)
)
)
.........)
)
Brief description of proposed business: ~.G 9t='~"lYl (' L_
C /01 ~ S'\-(lt~\.
legal Description' lot floCk
Current Use of Property' '\.'M~u':9 \ \) ,
Zoning Classification of Property: ('.-GnUi"\ey~
Subdivision
YES NO THE FOllOWING Will BE REQUIRED:
-~ PERMITS BUSINESS LICENSE
-~ 1) BUilding 1) TaxI
-~ 2) Plumbing 2) Peddlers
V 3) Electrical 3) 2nd Hand Dealer
--
-~ 4) Mechanical 4) Pawn Broker
V 5) Sewer 5) Dance
- V 6) Sidewalk Installation 6) Hotel - Motel
--
V 7) Driveway Installation 7) Fireworks
--
V 8) Curb Installation 8) Ambulance
--
-~ 9) Sidewalk obstruction 9) Tattoo shop
-~ 10) Water meter Installation 10) Other
~- 11 ) Fire
V 12) Occupancy
--
-~ 13) Sign
-~ 14) Shoreline
~- 15) Home occupation
~- 16) Conditional use
~- 17) Other
--
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
AdmiSSion charged to patrons
Is thiS a home occupation? ...
Excavation of filling of lots
Work done In City right-of-way .
Is there sufficient off-street parking?
New driveway openings
A grading plan for site drainage .
(parking lots, downspouts, etc)
Are the eXisting streets paved? . . . . . . .
Are there eXisting sidewalks?
Is there curb and gutter?
Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read thiS application and state that the
Information I have supplied is correct to the best of my
knowledge
-~
REJECTED
1/1-~/ 06 &
K.DD
~LA ~J11b6
BUIlding Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Date: -1/....-t !( I" -
Signed: :il /A<-L-~ )"
;. (J () (<7
hr~d!E
Comments / Conditions
~ ;}~\j....
'~'~
.~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
ELECTRICAL PERMIT
Issued: 12/04/97
Permit No:
6144
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
ALBERTSONS I 603 LINCOLN S
603 S. LINCOLN I Lot: 1/2 INT LT 1-9,12-18
Port Angeles, WA 98362 I Block: 201. Long Legal:. .
360/452-2307 I Sub: TPA
T: S: I parc No: 063000020110000
I
CONTRACTOR-----------------------------DESIGNER---------------------------------
STRAITS ELECTRIC I
P.O. BOX 2914 I
PORT ANGELES, WA 98362 I ,
360/452-9104 I 000/000-0000
I
PROJECT INFO--------------------------------------------------------------------
prj 'l'ype: COML.REMODEL Prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: CSD
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wail KW:
Service Type
o Riser
o Overhead Service
o Underground Service
o Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
o
-1 X-3
o AMPS
o AMPS
PROJECT NOTES-----------------------------------------------------------------~-
REMODEL OLD ALBERTSONS FOR GOODWILL USE.
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $52.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$52.00
$52.00
---------------------------------
---------------------------------
TOTAL FEE:
$52.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEP'I'ED COMMItI'ITS
I YES I NO
Uln..:tl
~ .-IN / COVER Ik7/(5" t7r-<-
..,
-
r lNAL I :;>//o/I'd I I
GENERAL COMMENTS,
",-II02.UI4I96]
Application Number . . . . . 22-00001160 Date 9/15/22
Application pin number . . . 693120
Property Address . . . . . . 603 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0100-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Sign lights
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ALBERTSONS 60045 YESCO LLC
PO BOX 990 REAL ESTATE PO BOX 25666,
MINNEAPOLIS MN 554400990 SALT LAKE CITY UT 84115
(801) 464-4600
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 88.00 Plan Check Fee . . .00
Issue Date . . . . 9/15/22 Valuation . . . . 0
Expiration Date . . 3/14/23
Qty Unit Charge Per Extension
1.00 88.0000 ECH EL-COMM-SIGN 88.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 88.00 88.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 88.00 88.00 .00 .00
PREPARED 9/14/22,14:31:25 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001160 603 S LINCOLN ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 88.00
TOTAL DUE 88.00
Please present reciept to the cashier with full payment
Application Number . . . . . 22-00001514 Date 12/06/22
Application pin number . . . 477334
Property Address . . . . . . 603 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0100-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Sign upgrade
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ALBERTSONS 60045 YESCO LLC
PO BOX 990 REAL ESTATE PO BOX 25666,
MINNEAPOLIS MN 554400990 SALT LAKE CITY UT 84115
(801) 464-4600
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 88.00 Plan Check Fee . . .00
Issue Date . . . . 12/06/22 Valuation . . . . 0
Expiration Date . . 6/04/23
Qty Unit Charge Per Extension
1.00 88.0000 ECH EL-COMM-SIGN 88.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 88.00 88.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 88.00 88.00 .00 .00
PREPARED 12/05/22, 7:44:50 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001514 603 S LINCOLN ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 88.00
TOTAL DUE 88.00
Please present reciept to the cashier with full payment