HomeMy WebLinkAbout112 Del Guzzi Dr #1 - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES c.d.
360-417-4735 j
Application Number 11- 00000591 Date 6/14/11 REPORT SALES TAX
Application pin number 592132
Property Address 112 DEL GUZZI DR 1 on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-12-3-4-9000-0000- to the City of Port Angeles
Application type description ELECTRICAL ONLY y g
Subdivision Name (Location Code 0502)
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
3 circuit lighting change
Owner Contractor
KT OLYMPIC PLAZA LLC EXPRESS ELECTRIC INC
510 LAKEWAY DR PO BOX 30857
BELLINGHAM WA 98225 BELLIGHAM WA 98228
(360) 671 -0113
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 187443
Permit Fee 78.70 Plan Check Fee .00
Issue Date 6/14/11 Valuation 0
Expiration Date 12/11/11
Qty Unit Charge Per Extension \�1
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20
Fee summary Charged Paid Credited Due
Permit Fee Total 78.70 78.70 .00 .00
Plan Check Total .00 .00 .00 .00 n
Grand Total 78.70 78.70 .00 .00 v
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN OK-1H
FINAL 6 Z7
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
Jun. 13. 2011 9:23AM EXPRESS ELECTRIC No. 1238 P. 2
:St Pair vc 1
CITY OF PORT ANGELES PERMIT APPLICATION F�f (1 Os
Building Division/Electrical Inspections if llitalli
321 East Fifth Street— Y.O. Box 1150 /.Port Angeles Washington, 98362 JUN 1 3 2011 ,_4„.,
Ph: (360) 417-4735 Fax: (360) 417 -4711 ELECTRICAL
Date: IQ -2011 t INSPECTIONS
1 2 Single Family Dwelling Multi Family or Commercial' )V Commercial Addition /Alteration /Remodel Repair*
Plan Review May Be Re uired, Please Complete Electrical Plan Review Inform.tion Sheet
Job Address: yy 4 '2_04 N �q �►UlV 3Q. 0 1 r. it 4
A :.z7 B
Building Square F6otag S() s
Description of above Itri el nc S De rj`v r 1, rwl rn 4-,'r. e C\ -4- c•ryc. i 11.8.r1+
Owner Information 1 Z *-1— J 'Z2 Contractor Information
Name; tv� D De ye 1 c i rr+e n� L�,� Name: Ex p r[ ti i er4- r c.._ Mailing A dress: 510 L-.a P >6y t) r:.hf Mailing Address: Pa C.o,c. ?,D 8 '7
City: ,P,, h m a State: W Lip: `f A 22, City: LH lna rn State; W 'u A Zip: ct 2-2.15
Phone: V Fax Phone: .`71 -OI \3 Fax: Ah a 71 o ZZ 1
License /Exp. License /Exp. 5x PrZSF 7 r t 17
Item U rg
nit Chae Otyr 3 4 otat (Qt M ti pl ie d b Unit Charge)
Service /Feeder 200 Amp, 119.90
Service /Feeder 201.400 Amp. 145.50 s
Service /Feeder 401.600 Amp 204.60
Service/Feeder 601 -1000 Amp. 26220
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 I 7-5, .5
Each Additional Branch Circuit 2.60 _I.._ S ;-o
Temp. Service) Feeder 200 Amp. 92.70
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 I First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 S
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Horne Connection 119.90
.Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square FL 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
$7$.9O 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.
Signature o owner, =lectrical contractor or electrical administrator. 0 Cash Check
Q'�C red It Card tt
X Dated: L j 10 2 0 1 1 011012010
Applicant or Agent S/~~S PI.OSltnIKEbJ../1!1f12.114< Pho
Owner K-rVIIIIE J-opm~A7T . LL.C Phone
Owner's Address 510 j..IjI<EW,!Jy 7)/'l-. e~LLl4J(;.IJ/jM. v-JA qe ;r;l.J
Contractor/Engineer S'/GJ..J~ PL<.J~ I Phone ~'a-b",-.7/l.r.
Contractor/Engineer's Address 1~:jCl /J. ?' O~ST 'S"r. 8/?LL1'V6/.j,(),v!, '-VA (8).. '1.1'""
License # S I Go ~PI <:;).;) L-t.-AJ Expires ~/ I" / (/7
BUILDING PERMIT APPLICA T/ON Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
PROJECT ADDRESS
/1). DeL. C:uZZ/ DYJ./lJ;: )lJffE 11:./
Parcel Number 0"'$ 6 J 2 31../~ OOCJOOO
Lot
ZoninQ C.OM;tfC:IUIA L
o Residential
rYCommercial
o Industrial
o Multi-family
Proiect Tvoe & Brief Descriotion:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
~ign
o Heat System
o Other
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area 4'. S s . ft. p. .:. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
ther
Floor Areas Existina (sa. ft.) Prooosed (sa. ft.)
Basement @$ per sq. ft. = $
1 51 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
'-......... TOTAL VALUA TION $ i:J. 000 23-
Total footprint of structurJ sq. ft. + Lot size sq. ft. = Lot coverage %
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
# of bedrooms
# of full baths
# of half baths
Occupancy group
Occupant load
Construction type
ply for this permit and
its prior to working on
I have read and completed this application and know it to be true and correct. I am authorize
understand that it is my responsibility to determine what permits are required, and to obi
projects.
Date 11/3107 Print Name miKE LI/Vd/1/l./1o.JIL Signature
Web Version 10-01-07
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ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001256 Date 10/30/07
930904
112 DEL GUZZI DR 1
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
MT. MEN EL/ 200A PNL + CIRCUIT
114256
MOUNTAIN MEN
91.00
10/30/07
4/27/08
ELECTRIC
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
91.0000 ECH EL-COM 101-200 NEW SRV FEEDER
Extension
91.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91.00 91.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 91.00 91.00 .00 .00
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[INSPECTION ELECTRICAL
TYPE DATE: RESUL TS: INSPECTOR:
DITCH
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SERVICE
ROUGH - IN
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FINAL
COMMENTS:
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CERTIFle.~~,i::,:''':Q''"1'~o. ~SC' UPANCY
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This certificate is issued l{rsu~~tt~ the require~:~t~'~fsect;:~)Y1':b;~d}ih~(J61nternational Building
Code certifying that a e']ifnl'e?o issy'~~cethis structure was in compliance w~(h the various ordinances
of the City regula tin ri'i~do'n!'or.use [or the foMq5:!i!}g:,.
; .,.:.~:':~;:(;J~~~}~f\ \ '''~','~\~i~\~t.iF}{,:3;<',:i''':'_<:1 .,
Business name:
Business address..'
Owner of business:
Owner's address.,
Automatic fire spr~n i'~i't;~,.,st~m:
Use & occupancy Clas,sifjpatLOn:
Building permit nu'tnb~r:{~'\~,,,,,...,*,,,
Type of construction\'W. .
Occupant load: '1,
12/12/07
Date
o be removed except by the Building Official.
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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
Owner
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM
(360) 752-4299
Structure Information
Construction Type . .
Occupancy Type
07-00001163 Date 10/24/07
503428
112 DEL GUZZI DR 1
06-30-12-3-4-9000-0000-
ARMED FORCES RECRUITING
COMM REMODEL
UNKNOWN
65970
Contractor
000
FRANKLIN CORPORATION, THE
702 KENTUCKY ST., #381
BELLINGHAM WA 98225
(360) 733-7200
000 TENANT IMPRV. - ARMED FORCES RECRT.
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
WA 98225
Permit BUILDING PERMIT - COMMERCIAL
Additional desc TI-ARMED FORCES RECRUITING
'permi t pin number 112680
Permit Fee 782.25 Plan Check Fee
Issue Date 10/24/07 Valuation
Expiration Date 4/21/08
508.46
65970
Qty Unit Charge Per
Extension
670.25
112.00
BASE FEE
16.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
CHANGE OF OCCUP/USE
ARMED FORCES RECRUITING
113936
25.00 Plan Check Fee
10/24/07 Valuation
4/21/08
.00
o
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
25.00
MECHANICAL PERMIT
113852
72.05 Plan Check Fee
10/24/07 Valuation
4/21/08
.00
o
~
I. "k~
Cy if
<2,
0)
Qty Unit Charge Per
BASE FEE
1.00 14.8000 ECH ME- INSTALL 100- FAU
1.00 7.2500 ECH ME-VENT FAN
Extension
50.00
14.80
7.25
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
PLUMBING PERMIT
113860
114.00
10/24/07
Plan Check Fee
Valuation
.00
o
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 co lied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisi of any state or local law regulating construction or the performance of
COS:;C~~01- . MI;;LW::~ !J;t1fJL-
Date Print Name Signature f Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/BlIilding DivisionIBlIilding Permit (1 010 I I07).wpd
BUILDING PERMIT INSPECTION RECORD
..
CALL 4 17-4815 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 UNLA WFUL TO COVER, INSULA TE 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 NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH.IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
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. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T: Forms/Building Division/Building Permit (I % I /07). wpd
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Expiration Date . .
07-00001163
503428
4/21/08
Page
Date
2
10/24/07
Qty Unit Charge Per
BASE FEE
5.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
Extension
50.00
35.00
7.00
15.00
7.00
Special Notes and Comments
This project will require a seperate permit and fire alarm
plans for review.
Call for cover inspection for all sprinkler installations. A
full acceptance test will be required for all fire alarm
systems.
October 9, 2007 4:51:00 PM kdubuc. Tenant to install
adequate number of smoke detectors per detector listing.
Strobe only notification devices required in restrooms.
Horn/strobe devices required elsewhere.
October 12, 2007 12:37:10 PM sroberds.
The proposal will require 6 off street parking spaces. The
commercial center is near capacity for parking with this
tenant addition.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
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 993.30 993.30 .00 .00
Plan Check Total 508.46 508.46 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1506.26 1506.26 .00 .00
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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 OivisionIBuilding Permit (10IOl/07).wpd
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. 01
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. .-...I
\
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN \ ()-7,i '0'1 -XLv
WATER LINE (METER TO BLDG)
GAS LINE ~L-\'2..-01 DATE 'JL-L ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING to --3 i -0 f 3LL
JOISTS / GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR \ 1 -it> -($1 -XL-t..-
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL f{Otlgk-Xn iY'~ctJ lZ.-b,-01 :ru...
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL \2...-\2..~Ol DATEJLL ACCEPTED BY:
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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED It'
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION _ R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING I Z-12-11 ~7 :r l.L
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PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Tenant Improvement - Armed Forces Recruiting
Address: 112 Del Guzzi Drive, Suite 1
Plan # 07-25 I Com ~ Residential 0 I Date: 10.9.2007
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
1) Tenant to provide smoke detection throughout. Number of detectors to be determined by
detector listing.
2) Fire alarm notification devices required. Strobe only devices required in restrooms.
NOTE:
Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by:
\<Q~.G.Q
Building Department Copy
Date:
(0.'\.07
~
o
o
Contractor/ Owner Copy
Fire Department Copy
PROJeCT DiReCTO
owneRS
KT DEVELOPMENT
510 Lakeway Drive
Bellingham WA 98225
Kent Thomas. Troy Muljat
360-752-4299
LeSSOR
u.s. ARMY CORPS OF ENGINEERS
4735 East Marginal Way
Seattle WA 98134-2385
206.764.3668
Bradford L. Schultz
aRCHiTeCTS
~RINSTAD & WAGNER ARCHITECTS
1609 12th Street
Bellingham. Washington
360/676-9501
Fred Wagner. AlA
Tom Grinstad. Architect
conTRaCTOR:
THE FRANKLIN CORPORATION
177 Telegraph Road Ste. 381
Bellingham WA 98226 ..
360-733-7200
Brett Bennett
PROJeCT inFORmaTion
Legal Description:
Pro ject Description:
Zoning :
Unit Area :
/1 Occupancy Group:
Occupant Load:
~ Construction Type:
Lot 1 of Del Guzzi Short Plan No SP-85[11J7
Block C. Neil Koetje's Addition to Oak Harbor
A tenant improvement as an armed forces recruting center
Commercial Arterial
1.545 s.f.
B
15
VB Non-Sprinkled
DeFeR ReD sUBmiTTalS
· PLUMBING PLANS
· HV AC PLANS
PROJeCr
LocaTion
suire 1
HWY 101
CtJ
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Parking Information:
Floor Area: 1.466 sJ. minus toilet. storage. hallway less than 44' - 1.220 sJ.
Parking Required: Table A 14.40 Business & Professional Offices: 1 space per 400 sJ.
1.220 sJ. / 400 sJ. - 3.05 Parking Spaces Required. 4 Spaces provided.
r
2006 Washington State Nonresidential Energy Code Compliance Form
Project Info Project Address Suite 101, Recruiting Station Date 10/1/2007
It7~~Del Guzzi Drive For Building Department Use
Pt. Angeles
Applicant Name: KT Development
Applicant Address: 510 Lakeway Drive, Bellingham, WA 98225
Applicant Phone: 360-752-4299
Project Description D New Building D Addition o Alteration o Plans Included
Indicate controls (Sections 1513) including commissioning requirements on plans.
CompHance Option o Prescriptive @ Lighting Power Allowance o Systems Analysis
(See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.)
Alteration Exceptions D No changes are being made to the lighting
(check appropriate box - sec. 1132.3) D Less than 60% of the fixtures new, installed wattage not increased, & space use not changed.
Maximum Allowed Lighting Wattage
Location Allowed
(floor/room no.) Occupancy Description Watts per ft2 .. Area in W Allowed x Area
offices offices 1.00 1125.0 1125.0
toilet toilet 0.80 63.0 50.4
common hallway / janitor 0.80 267.0 213.6
.. From Table 15-1 (over) - document all exceptions on form L TG-LPA Total Allowed Watts 1389.0
Proposed Lighting Wattage
Location Number of Watts/ Watts
(floor/room no.) Fixture Description Fixtures Fixture Proposed
Army fluorescent (2) T8 Elec ballast 5 62.0 310.0
Navy fluorescent (2) T8 Elec ballast 4 62.0 248.0
Marines fluorescent (2) T8 Elec ballast 5 62.0 310.0
Common fluorescent (2) T8 Elec ballast 4 62.0 248.0
Toilet Panasonic fan/lite 1 32.0 32.0
Storage recessed fluor. (2) 16W 7 32.0 224.0
Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 1372.0
Notes:
1. For proposed Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (if
included). For track lighting, list the length of the track (in feet) in addition to the fixture, lamp, and ballast information.
2. For proposed Watts/Fixture, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and
other criteria as specified in Section 1530. For hard-wired ballasts only, the default table in the NREC Technical Reference Manual
may also be used. For track lighting, list the greater of actualluminaire wattage or length of track multiplied by 50, or as applicable,
the wattage of current limiting devices or of the transformer.
3. List all fixtures. For exempt lighting, note section and exception number, and leave Watts/Fixture blank.
~------
I
2006 Washington State Nonresidential Energy Code Compliance Form
Interior Lighting Summary (back) L TG-INT
2006 Washington State Nonresidential Energy Code Compliance Forms
Revised July 2007
Prescriptive Spaces Occupancy: 0 Warehouses, storage areas or aircraft storage hangers o Other
Q.ualification Checklist Lighting 0 Check if 95% or more of fixtures comply with 1,2 or 3 and rest are ballasted.
Note: If occupancy type is "Other" and fixture Fixtures:
answer is checked, the number of fixtures in (Section 1. Fluorescent fixtures which are non-lensed with a) 1 or 2 two lamps, b) reflector
the space is not limited by Code. Clearly 1521) or louvers, c) 5-60 watt T-1, T-2, T-4, T-5, T-8 lamps, and d) hard-wired elec-
indicate these spaces on plans. If not tronic dimming ballasts. Screw-in compact fluorescent fixtures do not qualify.
qualified, do LPA Calculations. 2. Metal Halide with a) reflector b) ceramic MH lamps <= 150w c) electronic ballasts
3. LED lights.
TABLE 15-1 Unit Lighting Power Allowance (LPA)
Use LPA~ (W/st) Use LPA~ (W/st)
Automotive facility 0.9 Office buildings, office/administrative areas in 1.0
facilities of other use types (including but not limited
to schools, hospitals, institutions, museums, banks,
churches)5.7.11
Convention center 1.2 Penitentiary and other Group 1-3 Occupancies 1.0
Courthouse 1.2 Police and fire stations" 1.0
Cafeterias, fast food establishments", 1.3 Post office 1.1
restaurants/bars5
Dormitory 1.0 Retail'U, retail banking, mall concourses, wholesale 1.5
stores (pallet rack shelving)
Exercise center 1.0 School buildings (Group E Occupancy only), school 1.2
classrooms, day care centers
Gymnasia", assembly spaces" 1.0 Theater, motion oicture 1.2
Health care clinic 1.0 Theater, performing arts 1.6
Hospital, nursing homes, and other Group 1-1 and 1.2 Transportation 1.0
1-2 Occupancies
Hotel/motel 1.0 Warehouses , storaoe areas 0.5
Hotel banauet/conference/exhibition haW" 2.0 Workshoos 1.4
Laboratory spaces (all spaces not classified 1.8 Parking garages 0.2
"laboratory" shall meet office and other appropriate
cateaories)
Laundries 1.2
Libraries" 1.3 Plans Submitted for Common Areas Onlv'
Manufacturing facility 1.3 Main floor buildina lobbieso (except mall concourses) 1.2
Museum 1.1 Common areas, corridors, toilet facilities and 0.8
washrooms, elevator lobbies
Footnotes for Table 15-1
1) In cases in which a general use and a specific use are listed, the specific use shall apply. In cases in which a use is not mentioned
specifically, the Unit Power Allowance shall be determined by the building official. This detenmination shall be based upon the most
comparable use specified in the table. See Section 1512 for exempt areas.
2) The watts per square foot may be increased, by two percent per foot of ceiling height above twenty feet, unless specifically directed
otherwise by subsequent footnotes.
3) Watts per square foot of room may be increased by two percent per foot of ceiling height above twelve feet.
4) For all other spaces, such as seating and common areas, use the Unit Light Power Allowance for assembly.
5) Watts per square foot of room may be increased by two percent per foot of ceiling height above nine feet.
6) Reserved.
7) For conference rooms and offices less than 150ft2 with full height partitions, a Unit Lighting Power Allowance of 1.1 0 w/~ may be used.
8) Reserved.
9) For indoor sport tournament courts with adjacent spectator seating over 5,000, the Unit Lighting Power Allowance for the court area is
2.60 W/~. .
10) Display window illumination installed within 2 feet of the window, provided that the display window is separated from the retail space by
walls or at least three-quarter-height partitions (transparent or opaque). and lighting for free-standing display where the lighting moves
with the display are exempt.
An additional 1.5 w/~ of merchandise display luminaires are exempt provided that they comply with all three of the following:
a) located on ceiling-mounted track or directly on or recessed into the ceiling itself (not on the wall).
b) adjustable in both the horizontal and vertical axes (vertical axis only is acceptable for fluorescent and other fixtures with two points
of track attachment).
c) fitted with LED, tungsten halogen, fluorescent, or high intensity discharge lamps.
This additional lighting power is allowed only if the lighting is actually installed.
11) Provided that a floor plan, indicating rack location and height, is submitted, the square footage for a warehouse may be defined, for '
computing the interior Unit Lighting Power Allowance, as the floor area not covered by racks plus the vertical face area (access side only)
of the racks. The height allowance defined in footnote 2 applies only to the floor area not covered by racks.
Exterior Lighting Summary L TG-EXT
2006 Washington State Nonresidential Energy Code Compliance Form
2006 Washington State Nonresidential Energy Code Compliance Forms
Revised July 2007
Project Info ProjAddres'Suite 101, Recruiting Station Date 10/1/2007
108 Del Guzzi Drive For Building Department Use
Pt. Angeles
Name: KT Development
Appl. Name 510 Lakeway Drive, Bellingham, WA 98225
Appl. Phone 360-752-4299
Project Description o New o Addition o Alteration o Plans Included
Refer to WSEC Section 1513 for controls and commissioning requirements.
Compllance Option o Lighting Power Allowance o Systems Analysis
Building Grounds o Efficacy> 60 lumenslW 0 Controlled by motion Sensor
(luminaires> 100 Watts) o Exemption (list)
Alteration Exceptions o No changes are being made to the lighting
(check appropriate box - sec. 1132.3) o Less than 60% of the fixtures new, installed wattaoe not increased, & space use not chanaed.
Tradable Maximum Allowed Lighting Wattage
Allowed Watts Area (tr), perimeter Allowed Watts
Tradable Locations Description per tr or per If (If) or # of items x tr (or x If)
Total Allowed Watts
Tradable Proposed Lighting Wattage
Use mfgr listed maximum input wattage. For fixtures with hard-wired ballasts only,
the default table in the NREC Technical Reference Manual may also be used.
Number of Watts! Watts
Location Fixture Description Fixtures Fixture Proposed
-c-
Total Proposed Watts may not exceed Total Allowed Watts for Exterior Total Proposed Watts
Non-Tradable Maximum Allowed Lighting Wattage
Allowed Watts Area (tr), perimeter Allowed Watts
Non-Tradable Locations Description per ft2 or per If (If) or # of items x ft2 (or x If)
Non-Tradable Proposed Lighting Wattage
Number of Watts! Watts
Location Fixture Description Fixtures Fixture Proposed
Proposed Watts may not exceed Allowed Watts for Category
Exterior Lighting Summary (back) L TG-EXT
2006 Washington State Nonresidential Energy Code Compliance Form
2006 Washington State Nonresidential Energy Code Compliance Fonms
Revised July 2007
TABLE 15-2
LIGHTING POWER DENSITIES FOR BUILDING EXTERIORS
Tradable Surfaces Uncovered Parking Areas
(Lighting power Parking lots and drives 0.15 Wife
densities for uncovered
parking areas, building Buildina Grounds
grounds, building Walkways less than 10 feet wide 1.0 W Ilinear foot
entrances and exits, Walkways 10 feet wide or greater 0.2W/ft2
canopies and overhangs Plaza areas
and outdoor sales areas Special feature areas
may be traded.) Stairways 1.0 W/ft2
Building Entrances and Exits
Main entries 30 W/linear foot of door width
Other doors 20 W Ilinear foot of door width
Canopies and Overhangs
Canopies (free standing and attached and 1.25 W Ift2
overhangs)
Outdoor Sales
Open areas (including vehicle sales lots) 0.5 W/ft2
Street frontage for vehicle sales lots in 20 W Ilinear foot
I addition to "open area" allowance
Non-Tradable Building Facades 0.2 W/ftz for each illuminated wall or
Surfaces (Lighting surface or 5.0W Ilinear foot for each
power density illuminated wall or surface length
calculations for the Automated teller machines and night 270 W per location plus 90 W per
following applications depositories additional ATM per location
can be used only for the Entrances and gatehouse inspection 1.25 W Iftz of uncovered area (covered
specific application and stations at guarded facilities areas are included in the "Canopies
cannot be traded and Overhangs" section of "Tradable
between surfaces or
with other exterior Surfaces")
lighting. The following Loading areas for law enforcement, 0.5 W/ftz of uncovered area (covered
allowances are in fire, ambulance and other emergency areas are included in the "Canopies
addition to any service vehicles and Overhangs" section of "Tradable
allowance otherwise Surfaces")
permitted in the Material handling and associated 0.5 Wife
"Tradable Surfaces" storage
section of this table.)
Drive-up windows at fast food 400W per drive-through
restaurants
Parking near 24-hour retail entrances 800 W per main entry
: L
BUILDING PERMIT APPLICA T/ON Print in ink
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received \ 0- ~-ol
321 E. Fifth St., Port Angeles, WA 98362 Permit # 6~
(360)417-4815 fax (360)417-4711 ~ Date Approved 1'{/6/0":)
Applicant or Agent 6~1~IAO if ~tS.i!KZ b.t I ,.~ Ph e ~G?6 b 1 b :>~ I
Owner kT Pcv~L.of"~~-r Phone ?reO 7'j~ -+z.t:}~
Owner's Address 15>10 LI\\:Ew~ '"D~o~ I ~U-It-t~f-(~ wA. <.')~z,v:~
Contractor/Engineer frO-.\1) ~n V\ CCJ~ f Phone 300 -133 - 72-00
li?x.<;:ontractor/Engineer'sAddress 102- ke.v\'tuc,{<~ st.:it3gl BeJl,l')~hOJ'Y\,WA qgZ'2..t;"
\O\~'\l~l\~LicenSe# ff2,{\Nl<c)to'iqS& ) Expires r q
~~ ~
C}1-\' PROJECT ADDRESS 0tv"L1-1 yt{lve ?lH\€'
(.Af' ~. I /L A_
-,\,,"... Parcel Number Lot Zonin uolkM.. ~ A-L
'f\
c;
Proiect Tvpe & Brief Description:
Check all that apply
ti'New Construction
o Addition
)l Remodel
o Repair
oRe-roof
o Demolition .
o Sign
o Heat System
o Other
o Residential
~ommercial
o Industrial
o Multi-family
y 4-r4-r I
, v~""l-.I
o ~v l-tc!; 101 D
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existina (sa. ft.) Proposed (sa. ft.'
Basement 0 @$ per sq. ft. = $
1 st Floor ?u t1'€. 16t:= 1,4-~ ~ 40 t,4? 0,t>
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUA TlON $ fpt;J, ~7D
sq. ft. + Lot size ..d-I,11 C,
ft. Occupancy group
~ Occupant load
.H..Q.... Construction type
D
C
\
Total footprint of structures 14,1o~t
Max. height of proposed structures 'lD
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
sq. ft. = Lot coverage 3~
%
t?
I ,:'J
V-f;>
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know it to be true and correct. I am autho . ed to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to in permits or to working on
projects.
Date4 D6i: tJL Print Name ~OUA4 t e;r,.e;u-JSi4-0 Signature
Web Version 10-01-~7
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001304 Date 11/19/07
020752
112 DEL GUZZI DR 1
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
ANDGAR CORPORATION
PO BOX 2708
FERNDALE
(360) 366-9900
WA 98248
Permit ELECTRICAL NEW COMMERICAL
Additional desc ANDGAR/ T-STAT
Permit pin number 115014
Permit Fee 35.00 Plan Check Fee .00
Issue Date 11/19/07 Valuation 0
Expiration Date 5/17/08
Qty
1. 00
Unit Charge Per
35.0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
---
--
~
-0
C"
-'
(;)
C
~
~,
.c;
-<)
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--
INSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
} z.{-r t tF7 IW-~ -~
FINAL
COMMENTS:
rc VORT:'4:
t?O~tt(tf'
(j~~
'L -=:;:...>t'
~
'tIii~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
l
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001279 Date 11/15/07
006434
112 DEL GUZZI DR 1
06-30-12-3-4-9000-0000-
ARMED FORCES
SIGNS
UNKNOWN
12000
Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
SIGNS PLUS INC
1330 N. FOREST ST
BELLINGHAM
(360) 671-7165
WA 98225
Permit SIGN
Additional desc TWO, 47.5 SF EACH ILLUM SIGNS
Permit pin number 114595
Permit Fee 170.00 Plan Check Fee
Issue Date 11/15/07 Valuation
Expiration Date 5/13/08
.00
12000
Qty Unit Charge Per
2.00 85.0000 PER S- SIGN WALL 25 SF+
Extension
170.00
Special Notes and Comments
November 6, 2007 3:44:14 PM sroberds.
The proposal is to install 2 building mounted signs in the
CA on a multiple tenant site. No land use issues noted.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 170.00 170.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 170.00 170.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be co lied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisi s of any state or local law regulating construction or the performance of
construction. .
I - 9-01- M'CJt/~L !.__~/:;l~/VL
Date Print Name Signatur of Contractor or Authorized Agent
mE!. 9 ~/J s: R-v S
Signature of Owner (if owner is builder)
T:Forms/BlIilding OivisionIBlIilding Permit (10/01/07).wpd
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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
o
,....j
1
,.-.
!1
~
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
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF I CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T -BAR
INSULATION
SLAB
W ALL 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 ARKING/LlGHTING 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 4 I 7-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING 2/IL/JII5? PB
T:Forms/Buildin' Division/Buildin' Permit 10101/07.w d , ,
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ELECTRICAL WORK PERMIT APPLICAT"ON~
,
~
~
\.N
Installation description
~ Commercial 0 Residential
.Job wired by _ a-ElecWcalContractor D",Oll'neL 0'1-15'8
Meum,... ~ l=/a1n' ::j~c fv'OtlVTlII';.:!.;$'7l:2 -0
Electrical contractor flallle License number Date Expires
/OliO kh /lI,/lR k'J
o New
o Altered! Addition
Purchaser's mailing address
f"ViUY\
City
3W - 3C)"}-7/3~
LJI{ 982</7
Slate ZIP
9t.o- 3<1fr '3JtJ
FAX number
/Ju.; T I
Telephone number
Premises owner's name
A~de;
Phone number to schedule inspection:
Owner ax defined by.RCW/9.28.26/:(J) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
COl/lractor if ahove said property is for sale. relit or lease.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28. WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
d
X Date: /0- ;?J3-(j7
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
D Baseboard KW
D Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
o Cash )ll Check # 11. 1 Q.
o Credit Card
Card #
Visa
Mastercard
Discover
/
Expiration Date
of card
Service Information
o Overhead Service
o Tamp Service
o Underground Service
Voltage
PhaseD 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
lll~ "15?BY
THERMOSTAT
SERVICE
Date
Approved By
Dale Approved By
12{ I(?fr/Z-
n"
FINAL
1W
Approved By
DITCH
FEEDER
nJt./o7 _~Y
Dale Approved By
Inspection
Date
Area, Building or Equipment Inspected
.,~ction Taken
Electrical
Inspector
~
J
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
J 67-/25Cc
OWNER/CO TRACTOR
hO\J I-t~ ,., I N
u~\ i
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D.. . . .. . . . . .. . . . . ROUGH IN/COVER. . . . ... . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . .~. ~
CORRECTIONS NEEDED:
-hllf.I<SH \l2.\'i"\ \ rL~~s ~ -V17-1)I~'::;'
A N..l) ~ fL.} fI-\ 7
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
Nov 06 07 11:51a
ANDGAR CORP
360 366 5800
p.2
'Q(Electrical Contractor In,~tallalion description
Job wired by DOwner '}It. Commercial o Residential
Electrical COnfr:lclor name License number Date Expires )4.Ncw
p~~~~~~g address Jl.-N~l1<O\\L.'"'~ ,-\-CF\ o Altered/Addition
PO 'Co;<- '2",0'2:, \(\'S"';o.\\ U) \\e..,,"
~e\\)aC>..\e... Slate ZIP "t\\E:.'<lY'IO~"'O-\
'-"1\ C\'6 2.'-\ 'D 0.\ "'\:Y\ e..
TdCPho~um\.JeT FAX numb~ ~e..\?C)l ~'('(\e.'(\\ Or;; ~~r;;e.>\~
l~~l;:.(s,-",qO(j l~l9O ~ "<".;>800
Premises owner's name \\ \('JD'<'<-
It..\ 'l:::.e- ~ e-\0~N"\e,." \
.
AddTCSS of inspection ,\:>n\le., 'S.u..,....e.. \
\ n.. \::)e..\ (:,01..1...'
CHYyO,<'I f\'r\~\c'''::>. ,,'oj"
Phone number to ~~6.~cct~nn: <..~C) ~lolo -~~OO
Owner as defilled by RCW.J9.28.16/:(J) Owller will occupy rhe ...truc(urefor two
years after this cleClrica! permit j:> finlJlizeJ. (]) OW/WI' is reqrlireu to /rire an elec/rical
em/tractor if alwl'/: sajd plopcrty i.~ for 5ale. rellr or leaSt' o Cash o Check #
After r~ading the above statement, I hereby ccrlify lhat I am the OWfier of the above 1:8 Credit Card G;1asterca;d)
n:lmed property or a licensed electrical eonlraetor. I am makin:; th.e elecTricnl instal- Visa Discover
latioTl or alteration in compliance with the electrical laws. I'\.E.C.. ReW. Chapter Card # .'
19.28. WAC. Chapter 296-46B. The City of Port Angeles Municipal Couc, llnd
Ulility Specifications.
Signature of owner, electrical contractor or electrical administralor Expiration Date
X~\\l\Wr\. "h\S<\Q.\\~J>III.II.\ Date: \\-19-0\ -('f card ~D.('\~ '00... (~nS;rS:f~
Electrical Load Additions and orQ,btractions Service Information
~,.:;-;.;~
!" '."-'"
--"" ~
'!......."
ELECTRICAL WORK PERMIT APPLICATION
o NO LOAD CHANGES
o Baseboard KW
l:J Furnace KW
o Heat Pump Ton
D Fan-Wan KW
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD t 0 3
Service Size:
Feeder Size:
S!\ME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
.
( ROUGll-IN I THERMOSTAT "" ( SERVlCE
}"](-7/ f!)l ~J I
Date ^I>I'Nved Oy DMe '- Iblc AJlp,o,'ed Dy
/' I~AL DrrCH "" /' FEEDER
r2-D,! t1l. ~~. O'lIe ^I'l'rTl,'c<l ny '- U~te APflT'l~..,d By
Inspection Area, Building or Equipment In,:>-pcctcd Electrical
Date Action Taken Inspector
.. " 1-=
~vK;.D " p:.1!JI
~II\II " Sl ?nnr
--.-
..
Nov OS 07 11:51a
ANDGAR CORP
3S0 3SS 5800
Ir - ANDGART"
-4c 0 r p 0 rat ion
COMMERCIAL
MECHANICAL
Heating & Air-Conditioning
design, sales & installation
preventative maintenance
service & repair
REFRIGERATIOi'l
FOOD SERVICE EQUIPMEi'lT
ARCHITECTURAL METALS
flashing
metal roofing
METAL FABRICATION
structural
specialty fabrication
stainless steel
6920 Salashan Pkwy, A-102
P.O. Box 2708
Ferndale WA 98248
Office: 360.366.9900
Fax: 360.366.5800
corporate@andgar.com
www.andgar.com
Fax Transmittal
Date:
11/6/2007
From:
p.l
. ,
. .
Krista VanMersbergen
.
To:
AI Oman
Phone: 360-366-9900
Company:
City of Port Angeles
Fax:
Fax Number: (360) 417-4711
Re:
Dept of Defense Electrical Permit
Number or pages (including cover sheet): 2
Message:
AI,
360-366-5800
Enclosed is the electrical permit application form for the Department of
Defense TI in Space 1 out at Olympic Plaza (112 Del Guzzi Drive). We are
installing (1) thermostat.
Thanks!!
Krista VanMersbergen
Project Coordinator Assistant
(360) 366-9900 ext 169/ kristav@andQar.com
H:\Commcrical ML"Chanical\Com:spondcncc fonns\Gcncrnl Fax Cover - Krista.doc