HomeMy WebLinkAbout112 Del Guzzi Dr #4 - Building
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001498 Date 12/18/07
167392
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
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Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
GUARDIAN SECURITY
9435 PROVOST ROAD NW
SILVERDALE
SILVERDALE WA 98383
(360) 692-3738
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
11 7788
GUARDIAN SECURITY
40.00
12/18/07
6/15/08
Plan Check Fee
Valuation
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Qty
.00
1. 00
Unit Charge Per
35.0000 EC
40.0000
EL-LOW VOLTAGE
EL-LOW VOLT SYS <=2500 SQFT
Extension
.00
40.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 40.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.00 40.00 .00 .00
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FINAL
COMMENTS:
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
Owner
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
07-00001290 Date 11/19/07
888280
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
o
Contractor
SIGNS PLUS INC
1330 N. FOREST ST
BELLINGHAM
(360) 671-7165
WA 98225
ELECTRICAL NEW COMMERICAL
SIGN PLUS 2 SIGNS
114751
51.00
11/19/07
5/17/08
Qty
Unit Charge Per
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
51.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 51.00 51.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 51.00 51.00 .00 .00
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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
07-00001288 Date 11/14/07
739616
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
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Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit ELECTRICAL NEW COMMERICAL
Additional desc SIMPSON EL 10 CIR TANNING BED
Permit pin number 114736
Permit Fee 83.00 Plan Check Fee
Issue Date 11/14/07 Valuation
Expiration Date 5/12/08
.00
1
Qty
1.00
5.00
Unit Charge Per
58.0000 ECH
5.0000 ECH
EL-COMM ALT <5 CIRCUITS
EL-COMM ALT-ADDTNL CIRCUITS
Extension
58.00
25.00
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 83.00 83.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 83.00 83.00 .00 .00
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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
07-00001287 Date 11/19/07
665284
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
ALL WEATHER HEATING & COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW
ALL WTHR/ 2 LV
114728
46.00
11/19/07
5/17/08
COMMERICAL
STATS
Plan Check Fee
Valuation
.00
1
Qty
1. 00
1. 00
Unit Charge Per
35.0000 ECH
11.0000 ECH
EL-LVT-FIRST THERMOSTAT
EL-LVT-ADD THERMOSTAT
Extension
35.00
11.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
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TYPE DATE: RESUL TS: INSPECTOR:
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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
07-00001264 Date 11/01/07
482800
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
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Owner
Contractor
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
MOUNTAIN MEN ELECTRIC
1040 TEN MILES ROAD
EVERSON WA 98247
(360) 303-7135
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
MT MEN EL/ HVAC ON ROOF
114397
MOUNTAIN MEN
58.00
11/01/07
4/29/08
ELECTRIC
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
58.0000 ECH EL-COMM ALT <5 CIRCUITS
Extension
58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
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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
07-00001231 Date 10/23/07
040223
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
KT DEVELOPMENT, LLC..
510 LAKEWAY DR.
BELLINGHAM WA 98225
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES
(360) 452-9104
WA 98362
Permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
STRAITS/ 1-5 CIR.
113829
STRAITS ELECTRIC
58.00
10/23/07
4/20/08
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
58,0000 ECH EL-COMM ALT <5 CIRCUITS
Extension
58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
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INSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
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COMMENTS:
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
Owner
KT DEVELOPMENT, LLC.
510 LAKEWAY DR.
BELLINGHAM WA 98225
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
07-00001170 Date 10/23/07
594440
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
ELECTRICAL ONLY
UNKNOWN
o
Contractor
SIGNS PLUS INC
1330 N. FOREST ST
BELLINGHAM
(360) 671-7165
WA 98225
ELECTRICAL SIGN PERMITS
SIGNS PLUS/ 1 EL. SIGN
112870
SIGNS PLUS INC
35.00
10/23/07
4/20/08
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
35,0000 ECH EL-COMM-1ST SIGN
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
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00001164 Date 10/29/07
597584
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
BRONZE BAY TANNING
SIGNS
UNKNOWN
6500
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 . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
SIGN
41.6 SF ILLUM. SIGN BOX
112698
85.00 Plan Check Fee
10/29/07 Valuation
4/26/08
.00
6500
Qty Unit Charge Per
1.00 85.0000 PER S- SIGN WALL 25 SF+
Extension
85.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .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 loca/law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
T:Forms/Building OivisionIBuilding 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 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.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOVNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE / PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
. SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION. R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING \2.-2$'0'1. f>p,
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: \0- 95 -CP7
Permit#: 0-' - l \~~
Date APproved:/,p:~?
Date Issued:
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 Yo" x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent SI t: N~ PL Jf
Owner Kr vavELot/M ~ LLC.
Owner's Address 516 t....A 1<5V-->,A,'i ;)(2.. ,
Contractor/Engineer 51G Ns' Pi.-.:>$
Phone ~6(j-b7J-7/6f
Phone
eeLLIN~ ~1.l'^1: LN'A <}.9''l :It.f
State License #r'~N<1}f4!2L....."
Expires d-/1tltTJ
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Phone '360- ~ 7/-7/1..;'
Contractor/Engineer's Address L~~ N.{:'Prt..nr sr: 8&a1/V1:. /JAJII1( t.--A 7Jg)..;Z.S'
PROJECT ADDRESS: / I?.. '"bEL.' c.u.n./ DJ'L,JJr' S u rt" /:-#"'/
ZONING: COMJIf~/'I:JL
LEGAL DESCRIPTION: Lot:
Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 01530/23'-19000 0 00
o Residential
o Multi-family
o Commercial
o Repair
TYPE OF WORK
o New Constr. 0 Re-roof
o Addition 0 Move
o Remodel 0 Demolition
IF'Sign 0 Other
o Stove
o Garage
o Deck
SIZENALUATION
1.11. " SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
t.; 500!l!!
BRIEF DESCRIPTION OF THE PROJECT:
::J::rvSIA LL.. ClIVI:: 0") :LA.-'-VJIVIIIVATCL> '5/61'-'
B y-o VYl..-e B o...~ T a.h Y\ h/)j
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
Sq. Ft. & I" floor Sq. Ft.
Sq. Ft. & 2nd floor Sq. Ft.
Sq. Ft. & 3'd floor Sq. Ft.
Sq. Ft. & Accessory Structures Sq. Ft.
Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOT AL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
Existing Structure(s) basement
I ,. floor
2nd floor
3 ,d floor
Accessory Structures
Existing Structure(s) TOTAL
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage %
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRA TION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
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 respons'bility to determine a p rmits are required, and that I must obtain
such permits prior to work.
Date IcJ /; /07 Applicant
/ '
Web Version 8/14/2007
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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
07-00001076 Date 10/29/07
387288
112 DEL GUZZI DR 4
06-30-12-3-4-9000-0000-
GABE & KATY RYGAARD
COMM REMODEL
UNKNOWN
20000
Owner
Contractor
KT DEVELOPMENT LLC FRANKLIN CORPORATION, THE
510 LAKEWAY DR. 177 TELEGRAPH RD #381
BELLINGHAM WA 98225 BELLINGHAM, WA
BELLINGHAM WA 98226
(360) 733-7200
Structure Information 000 000 BRONZE BAY TANNING
Construction Type . . TYPE V NON-RATED
Occupancy Type BUSINESS:OFF/PRO/MED/REST
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
TNT IMPRVMNT - BRONZE BAY
111187
347.75 Plan Check Fee
10/25/07 Valuation
4/22/08
226.04
20000
Qty Unit Charge Per
Extension
95.75
252.00
BASE FEE
18.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
114165
42.50 Plan Check Fee
10/29/07 Valuation
4/26/08
.00
o
Qty Unit Charge Per
Extension
28.00
14.50
BASE FEE
2.00 7.2500 ECH ME-VENT FAN
Permit PLUMBING PERMIT 0!
Additional desc
Permit pin number 114157
Permit Fee 57.00 Plan Check Fee .00 ~~~
Issue Date 10/29/07 Valuation 0
Expiration Date 4/26/08 <y ~
Qty Unit Charge Per Extension
3,
BASE FEE .00 O~
4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 28.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
Special Notes and Comments
A minimum 2A-10BC fire exinguisher is required.
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 orwork 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.
...,Zq-() 7-
Date
Signature of Owner (if owner is builder)
T:FormslBuilding DivisionIBuilding Permit (I O/OI/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 4 17-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 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
YES I 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 I
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 FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHT.ING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4&07 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4& 15 BUILDING
T: Forms/Building Division/Building Permit (1010 1/07). wpd
Of ,ORT ~~
t>~'<;.
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---
.'l.O(IC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00001076
Application pin number 387288
Page 2
Date 10/29/07
Special Notes and Comments
Extinguishers must be mounted, with the top no more than 5'
off the floor. Suggested extinguisher placement is
adjacent to an exit.
09/19/2007 02:49 PM KDUBUC -----------------------------
A fire alarm strobe device must be placed in the restroom.
09/19/2007 02:50 PM KDUBUC -----------------------------
Smoke detection must be provided in this tenant space.
Smoke detector location to be approved by the fire
department.
09/19/2007 02:52 PM KDUBUC -----------------------------
A horn/strobe fire alarm notification device must be placed
within this tenant space.
October 1, 2007 1:20:55 PM sroberds.
The proposal will result in a tenant improvement for a
commercial use in the Commercial Arterial Zone. Parking is
available at 12 on site spaces. No land use issues are
currently anticipated.
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 447.25 447.25 .00 .00
Plan Check Total 226.04 226.04 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 677.79 677.79 .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.
Date
Print Name
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:Forms/Building DivisionIBuilding Permit (10/01/07). wpd
BUILDING PERMIT INSPECTION RECORD
o
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. ~
CALL 417-4807 FOR PUBLIC WORKS UTILITIES . I .
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. 0
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. -i
6'
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
WATER LINE (METER TO BLOG)
GAS LINE FINAL 12.-\ 3,07DATE J LL- ACCEPTED BY:
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 FINAL I z..-f3-07DATE JL.L 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 12.-I3-<51 ""JLL
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". BUILDING DIVISION-
CITY OF PORT ANGELES
* *
Correction Notice
J b L t d t II } \"L // ~ ""7 ~I ) /'L
o oca e a ~..f)~ ~L/ &-.&:- ~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~ rLL~I/~/~,q_~ /);~~j
--1ifps L i? ~ ?" <:) ~
TO ,r-:; ptyz / ~/ /At-~ ~ ~
471/Y /It-( e!:11 11-'" c.JV'- At i! ;.1/1111/ (' P(L
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These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call <:(/7- e;/'~//r
for inspection.
Date
~~i"g ~i""."
DO NOT REMOVE THIS TAG
01- (01 b
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Bronze Bay Tanning
Address: 112 del Guzzi Drive #4
Plan # 07-23 I Com [g1 Residential D I Date: 9.20.2007
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances, with the following comments:
I) Provide a 2A-1 OBC fire extinguisher for the occupancy. Ideal location is adjacent to the exit.
2) Provide smoke detection for the occupancy. Detector placement to be in accordance with the
detector listing.
3) Provide a fire alarm strobe device in the restroom.
4) Provide at least one horn/strobe device for the occupancy.
NOTE:
Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by: ~ a:J ..j ~_Q
~ Building Department Copy
D Contractor/ Owner Copy
D Fire Department Copy
Date:
~.zo.07
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Subject: Needed info. Bronze Bay per~it- Olympic Plaza
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3 pages I
Date: October 24. 2007 I
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Here is the final bit of information that! you are needing to complete the building permit for Bronze Bay. Michele
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LaBlanc is onslte if you have any quettions. Shane Mitts from All Weather heating & Cooling is handling the HV AC
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system. I have attached a copy of t~e drawing for that.
Please let me know if you require an~ further info.
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Fax
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To: Jim or Linda P.
From: Katy Rygaard
Phone Number: 360.477.5523
Phone Number: 360-417-4815
Fax Number: 360-417-4711
Fax Number: 360.417.8013
Comments:
Jim or Linda.
Thank you & kind regards.
Katy Rygaard
Bronze Bay Tanning
360.477.5523 ph
360.417.8013 fax
Katyrygaard2@aol.com
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BLDG. 1
1 STORY RETAIL
12,884 s.t.
EL. 200
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Port Angeles, WA 98362
360-452-8786
Gabe " Katy Rygaard
Owners
bronze.bay_inc@hotmail.com
---------
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"--'... Site Plan
~'-1" = 20'-0"
PROJECT iNFORMATION
PROJECT DESCRIPTION
1484 SF TENANT IMPROVEME'H FOR
.. NEW EXERCISE CLUB
\BLE PANELS
<EST EXPOSED EDGE
I=ITI..H=O \/!:=OTlr'/\ I
PRO.JFC:T Annpi=C::;C::;
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 W' x 11 " site plan MUST BE COMPLETE to be
accepted Tor review. (360) 417-4815 FAX (360) 417-4711
\ J...{ ~ ~t\O~ ~t,y)"( 0 \'1rOv{t~ Residential projects: submit two sets of plans
~ \ lJ.r{'l" # ,\ - \ Commercial projects: submit three sets of plans 1 <3f.o
Applicant or Agent KrDl1z..e.. /Jaa TtVYtl/ltl ..le.[)'~ Y7 7-5) J5
t.).J. . J
Owner 6tz(l2- ~~"IL !Ia"tjl I!Y~i~ifircL Phone ./r, t'.- VJ7- /C/Y5
Owner's Address II)~I /lfl)/'\I-'oe.. ~Dcv(. , /)crl- 141~(~r, lLA CJEs?2
ContractorlEngineer ,C:ll.../KI, 1'\ /<::"'/) . State License # fKJJ,vAC. t15 ht.. Expires 5-) 7-c" '1
. ri\ Oore.- CO(\s-w-uct1on [Y\OO~EC-.lt q-lI L.{ ~
ContractorlEngineer's Address '" Phone \ loJ2'?/fJl ~
PROJECT ADDRESS: //1 III L 6{J~' /)1'" IF 'f IlYf-A/1/ir!e-(. IJI ZONING:I~~vs:\n8t;$ 6Wh
~ 7" " t~n
\1\. J;tEGAL DESCRIPTION: Lot: Block: Subdivision: C iltcf-pr;s
CLALLAM COUNTY PARCEL NUMBER: (YltJo V'e eon s
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
DateRec.:~l
p=", ()~- ~
Date A roved: ~ ~ .
Date Iss :
TYPE OF WORK
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
M'mmercial 0 Remod~~l 0 Demolition 0 Deck
o Repair ~Sign ~ )C ) 0 Other
('./ ptC/)( .
BRIEF DESCRIPTION OF THE PROJECT: -
/ (:./''?/',r
SIZEN ALUA TION
SF. @ $ ISF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
:) c [() ()
/
C t't)"f... )
/''1.\ p'-"'I'~Uj" ':/-"/1 'Ti.iL.",,"Pv,. S A'..t'O; l-'
I
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~..s
S\€e
'-311
p~
~ ~ 11--
f>er. -116<;
fJl1Of)
~
l.J':// {'(nUl /2- Jt<./1-;rv S' r)?~~c.-.
COMMERCIALIRESIDENTIAL: Occu ancy Group: Occupant Load: Construction Type:
Existing Structure(s)basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
}'\ floor .; Ilj eLf Sq. Ft. & 1 st floor Sq. Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3,d floor Sq. Ft. & 3rd floor Sq. Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
/1(,,-
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance. ....
EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 .
days after the date offiling unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions oftime for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRCIIBC 2006 105.3.2)
~
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, and that I must obtain
such permits prior to work.
Date Y'-I E\ 0'7
Applicant
/k'iL
Jli'ft:,I}e.c /
{
T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd
10/17/2007 09:31 FAX 3604574698
Job ..ired by
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License "
Phoo
iospectioo;
STRAITS ELECTRI C
I4J 03
ELECTRICAL WORK PERMIT APPLICATION
.
[J Owner
1~1I8rion description
r Commercial CJ Reudential
[J New 0 AlteredlAddJdoD.
l~E'
.
SLU.,k-
4-
<~
C)y~
J 07 - J:l3 r~
L--
Owner tiS dflftAed by RCW.J9.28.2~/:(I) OwlW' will occupy the ."l'Uctu,e p" twO
years ajif.T' ,hu- dcclrir;al permil i.l' fi"alized. (1) Owner is reqwir/!.d (0 hire CUI electrical
conrracror if above SDid properry is fo' sale, renJ 0" lease.
After reading me above stalemelll. I hereby cenify 'dun I am the owner of the above
nllm:d prope or II I;c:cnscd elccuical c:ontJBctor. I am milking the c1ccbica.J instal-
IinioD Or ..I ion in c;ompliilOcc with the electrical laws, N.E.C.. RCW. Chapler
19_28. apte1'" 296-468, The City of Port Angeles Municipal Code. and
Utilily liDOS.
Slg ownert electrie31 c:ontrac:tor Dr electri.::al a
x
EiRe I Load Additions and or subtractions
(J NO LOAD CHANGES
(J B.""boald KW
(J Furnace KW
o Heat Pump _ Ton _ LAA
(J Fan-Wall KW
Q Cash Q Check #
~ Credit Card VISa Mastercard Discover
~d#_~.~~~___~____
E:<piration Dat ,
Date:
Serviee Information
[J Overhead Service
(J Temp Service
[J Underground Se",1ee
Voltage
Ph... (J , (J 3
Service Size: _
~eeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
/ ROUGB-IN
JO/Z2/0, 1'tL-
"- o~ AM"mved ~y
/ FINAL
U!tf7!O? Tl'Z?
'-. 0.,.."' Aw""......Ja,/
Inspcc:tioa
Date:
/ THERMOSTAT '\
DlIle A.fIftrDvedl:l)/
/ DlTCH '\
"- 0.111" ,AllPl'\'I>'1OIlI 8;
r SERVICE
"- OM' ^PfX'OVlldll,
/ FDDm
o.~ Appmftd By
1r,J/':>,L
Area, Building or Equipment Inspected
Action TakeD
Electrical
Insptetor
c
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....
,
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
.
L
ADDRESS
I...
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D................ ROUGH IN/COVER.............. ~
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . : . . . . . . . . . 0
D. . . . . . . . . . . . . . .. . . . . . FINAL. .. . . . .. . . . . .. . . . . ..0
CORRECTIONS NEEDED:
5t;utfV
-
j-J ~;><,
AFSD U~ ~S:--/
."
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
11/04/2007 21:11
4579270
SIMPSON ELECTRIC
PAGE 01~
.
ELECTRICAL WOR.l<PERMI1'APPLICATION
nttftllAtiot'l IltcIIcrlpUan
;ri. CCllRl\lfldoI CllIeoldtJltl81
ON_ { ~A"'~AcIcIlllp .f)rlew..e...:/!-I
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/-/0 c iR-(l_).,u-!-S ty-<- '
5u..Vl k,
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CllJlv4s ,
Job ",/Tell by ~utrleal COJltl'Ac:t:or Q Owner
E'ee.ttical c::ontl'ulm' ft.m~ Licc:nse nunlbet- OaWl Expiree
<ith05on FJ.eAl€"C -S:z:mfSEL913 te9
;eeb;;c;:'".r mRtllnll Bddreu I
. ,.::J.Lf::7, 03' 10 lY<-uU
Ci'Y],), (u
I 6r<.r- ~INj~ -eS.
T~lcphonCl n1.1mbtl1' q 7 PAX fUlmbcr -L-
7- ;;. 0 .:?A .,...
P....It~.r;h.{e. 6~ T(LIf1Y\\~ 'IOn
I\ddr... .r .0.,...1.. ) r---- c"-T:;.:F-.-..J
112 D<a-I ~uZ--z.j -Ur. ~ '
City P ~ \- ^ (
. 0 . >I~-e \-es,
P"o.~ ..umber tD u.:tJel'flllil' ,... et::tl2.JI:
'-1' ..:j
0...'111':'" a.~ d~"IJM by llCtY./9.28.26J:(I) OW",,. l1Im necKp,. ,ht: ,"""1:1",.., .for I')w)
_"" ,.~r /hl! r#er.Il"lml I',".",lt t.~ ji"ol/nd. (2) OwrIJ!!r '$ 1Yqwred ItJ ,,/~ all det'tt1M1
C(J(I'rtll!fllr If "bOlIt.' said f"V1P"J'f)' 1& far 141e. ,.,mt Dr ImtrL
After raRdi.na tbe above Il.lItemenI, I hoteby cC1tify lnllt I AlII the awna' IOf IIIe Ibo"e
named pI'lJpCl1)I or It IicenllCd el.,ctritRI contracfDr. I RIll Iml.klna the clr:r::'fI"lcll.l l"'tal-
lalian Of Ililtcmtiob in Clomplaaacc will, I,", "'"meal IIlWI, N.E.C_, RCW. Ctu'lf'lcr
19.18. WAC. Ch.-pter 296-46iB, Te.c Citt or Port ^"Bclea Mllnicipal Code, find
UIHit SpfjenrktnJl.
Sip_ dI a_er. eleC'!trl .. contrAnD" Dr I!lectr.cnl AdllDlJllbtrllitor
X (j1JtA--h
iill.OSrlCiol LORd tlcIl;II1IDn8 II
o NO ~OAD CHANGES
o B_,d _KW
o Fum_ _ KW
Ot-leo'PU'llp _ r.n_~AA
IJ Fen-WoN _KW
/01 W
State ZIP
WfI C,S3b.3.__
IS
5-/0
Q Com Q Check #
..Bl Credit ClIld .~.;) ,Mastercard Di.cover
Card# __c2:n..~~_-____-____
Date: 1/-0 S -07
ExpirRtion Dale
of card
o O..rh8ad SIIf\II..
o romp Service
C Underground Servlcu
Voltage
PhIl... IJ 1 lJ 3
Sorvl.. S12B: _
FeACIer Stz:e:
SAME DAV INSPECTION. CAU.. 8EFORE 7:00 AM 360-417-4735
/' ROUGH..tN
A~ ~.,
nNAL
tJ./t:tJn ~,
1'IIERM0S'J'AT
/'
SERVl:CE
O"m ArJll'WDrfltv
'-
OMf. ~19~
r
mrca
Jt~K
DoII~ ~OI1ny
Ollie l'/
InltpCClinn
Date
Area, Building or Equi,,,,,.ot 'O'Peeled
Act,ion TAken
EIGame81
Jnapcctot:
111 Jl./l6z
~~Vbrl
JA.'f
w
(B roYlz.e. B.oy. \ CL\~: n\ t'\j ')
~ e. $lBt>
~",~.......:t'
......
Job wired by
CJ Electrical Contractor CJ Owner
Electrical contractor name
S/Grv~ P'-uS
License number
Date Expires
1.-//(./09
SIG."-'S,ol <;;!''ILuJ
Purchaser's mailing address
/330 /V. ?'O/l-€\i .yr
City
glFL<-IN6 fJAfI')
Telephone number
7$'60- b 71-71(.5'
State ZIP
Ai", 'f8)?f
FAX number
7150-(.7/-01'-/'1
Premises owner's name
1<1 uriVlIZO,oMl3;;s-(
Address of Inspection
:/12' Do..."<; 1:.J'Z"z.rpYL ,nr-,th;
City ,
Pd1-T ;<)N651...es -
Phone number to schedule Inspection:
~"'. -47 ,-7/.f
Owner as defined by RCWJ9.28.261:(1) Owner will occupy the slr,ucturefor two
vears after this electrical permit is finalized. (2) Owller is required to hire an electrical
.contractor if above said property is for sale. rent 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 ele(:trical laws. N.E.C.. RCW. Chapter
19.28. WAC. Chapter 296-468, The of rt Angeles Municipal Code, and
Utility Specifications.
ner, electr' al
or electrical administrator
Date: 10 1 07
x
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW
o Heat Pump Ton
o Fan-Wall KW
ELECTRICAL WORK PERMIT APPLICATION'
InstaJ.1.ation description
~Commerclal 0 Residential
~w 0 Altered/Addition
2/UST}'iJLl... O/Vlr O)XLLvmlpdTEi) {/6J
o Cash
o Check #
o Credit Card
Card #
Mastercard
Discover
VIsa
Expiration Date
of card
Inspection fedo
$ 3~"-
Service Information
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size: _
Feeder Size:
ROUGH-IN
TIlERMOSfAT
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
SERVICE
Di-Ie
AppT<.l\'e,J 6y
Dale
DITCH
D~le
Inspection
Date
Area. Building or Equipment Inspected
-b/~.u-
LIGHT DEP .
Appro~'ed By
Dale
Appro,'cd By
FEEDER
Approved By
O~le
Approved By
Action Taken
Electrical'
Inspector
/Jj?
11/05/2007 15:55
13504525177
ALL WEATHER HEATING
PAGE 01/01
e
ELECTRICAI~ WORK PERMIT APPLICATION
JtJ" wired by ~Iectrical Contractor Cl Owner
EJectflcal contr3ctor. name License number Dille Expiros
f\11UK>~~t-\1"Il-rl rY)'; 1i:''JIU:1C'} hi WflAll:\0:Y-lfV\\\ '1'::LOtL
~=};;
Telephone number
. - t:ij
1~11"1ion dc!;criptiofl
'" Cflmmerclnl tJ Residentlnl
o New
o Altered/Addition
Stntc ZIP
( 1 JA 9?)"=)& 1
FAX numhcr
I '-f .
Premises oVl(ner'.Il n:Jmc
fub..~ V (i\-\~~~o..O\Vd
Address of 'nsper~nn . D" .....fI. 4
117 t)-P\. 1177 I V\ve. -n
J'AIA Ar1G-de~ (1 H1 qfJ?~G;,2
t"bone number to s:b~tlJc I 5
(2.')
L ~\ L1,\!'\f\r \M()'StlAt
(D\ 1i1v1Dt-
O~J1I-p.1' O,t defined hy RCW./9.28.26/.-(1) Owlter wfl/ occupy the s'rucUll'l~ for 'w"
years after thi.'i €l~cfn'c;a' per",U isjlnalized. (2) OWlIer Lt required to 'lire an electrical
CQlltructor If l,bove ,\'lIid property i~ jor sa/e. ran' 0" lease.
After rt;aoillg the above st3tcmcnt, I hereby certify th<lt I am the owner of tllC above
namcd property or a liccnJ'iod electrical contmctor. I :\m milking the c:1cctrical in!;tal-
lation or nlterution in comp1i3nee with thc clectrical lawli, N.n.C., RCW. Chupter
19.28. WAC. Chaptcr 296-468. The City of Port Angelcli Municipal Codc, and
Utility Specifications,
Si 'ure.r ."u.r, et!rICO' tootroetor 0'. , n
.!':J!,-c;!ri<;.aLko_<td..All.lli!lollU>nd or subtractions
o NO LOAD CHANGES
o Saseboard KW
a Furnace kw
Cl Heat Pump _ Ton _ LAR
o Fan-Wall KW
o Cash 0 Check #
~Credit Card Visa
Card #
Mastercard
Djscover
Expiration Date
afcard
[J Overhead SeMoe
a Temp Service
o Underground Service
Voltage
Phasa0103
SeMGe Siz.e: _
Feeder Si7.e:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
SERVICE
"ftl~
^flr",v~d Dy
Onto
^Pflrovcd D;V
D~le
^N'l"(\Ve(ll~y
FlNAL
''1'luJ- ...~
~ ^1't,,'n~ll"Ay
DrrCH
FEEDER
t)Ale ^flrfllVCd By
DIlle ^Jlflrovet! Hy
Inspection
Dllte
Area, Bllilding or Equipment Inspected
Actinn '1'nkcn
Blcctrical
Inspector.
ELECTRICAL WORK PERMIT APPLICATION
I
Electrical contractor name
jr10UJl/Yhf.l
Purchas~{s mailing address
!()<./V le)\ J"1./,
City .
~tO- ~i'-7/5~
'relep~ne number
j. . ~ e>rV
License number
Date Expires
Installation description
)'t Commercial 0 Residential
)( New 0 Altered! Addition
Job wired by
~ Electrical Contractor 0 Owner
/I1.;k ~~G-
'.J~'"
12J ~ tJJt 92'?-<l1
State ZIP
'-?<<J- ~S - 'J3JO
1-1 V J1r? /&?/Jr
-,vP
,
,
FAX number
Premises owner's name
Address o~ inspec!ion , k
/17- ()I'-l- ~- ~_'7!
City FotZ. -; AN6€..LL.S
:~,~'~
ulA 9g3b?_
Phone number to !lchedllle inspection:
Owner as defined by,RCW.J9.28.26/:(l) OWI/er will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
con/raetor if ahove said proper~y is for sale, rent 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 la~s, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
;gn~o';1'!J;;ontractor or el~t~;;: a;~:n;~a~n~ 7_
Electrrcal Load Additions and or subtractions
D NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton
D Fan-Wall KW
o Cash
o Check #
o Credit Card
Visa
Mastercard
Discover
Card #
Expiration Date
of card
"
( ~ns~$:eeCTO
Service Information
D
D
o
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
LAR
Overhead Service
Temp Service
Underground Service
Voltage
PhaseD 1 D 3
Service Size: _
Feeder Size:
ROUGH-IN
THERMOSTAT
SERVICE
Dale
Approved lly
Dale
Approved By
Dale
Approved By
FINAL
1lJd"i ~
DITCH
FEEDER
Dale
Approved By
Dale Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
~
ELECTRICAL WORK PERMIT APPLICATION
Electrical contractor name
<;:;"Jt;;N<;: PLoJ<;;
Purchaser's mailing address
/S3() N, rOf).."a
City
l!c,-Lt....f,A.-G IJ'oM
I
Telephone number
~60~61I' 716S
License number
S:iL;/VS(:J/<:5'4,.. )
Date Expires
"/16Jd
. I
Installation description
o Commercial 0 Residential
~w
o Altered/Addition
Job wired by
ar6:ctrical Contractor [J Owner
State ZIP
t.<AI tj(j ;r).-f
FAX number
(,,r"- 7/' ONi;
fJ.-"57nu.- Jw.-t> (ll) r/........."""N/j-r;:~/)
t:J~41v/v'"'- lE:r:n;A..- }fIt; J./.r
~7
Premises owner's name
q DcU~/OIJI""'"",rr- LI-L-
Address of Inspection .. ~, _'
';:'" . iE:'! It.. .&'.A y .:..;;;JtI1.: 'D'PL -ei.J --z.z../ .
City
"';':-iF
wrn:
,
Phone number to schedule Inspection:
;to- '" 7/-7/6S
O-wner as defined by RCWJ9.28.26J:(I) Owner will occupy the structure for two
years after this electrical pennil is finalized. (2) O-I.'llcr is required to hire an electrical
contractor if abol'e said property is for sale, rent 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, Th . y of Por Angeles Municipal Code. and
Utility Specifications.
Signature of owner, or electrical administralor
r. At t.4-P <4{1UJo(
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
----------------
/
Date:
Expiration Date
of card
Electrical Load Additions and or subtractions
CI NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
Q Fan-Wall KW
Service Information
o Overhead SeNiee
o Temp Service
o Underground Service
Voltage
Phase CI 1 CI 3
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/
ROUGH-IN
THERMOSfAT
SERVICE
\. Dale
Approved By
'- Dale
/
Approved By
Dale Approved By
FlNAL
rz/f/:/67 ~BY
DITCH
FEEDER
DalC
Approvcd By
Dale Approved By/
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
~ ;r; I~; I&; g 'if!! ~ /Q)
NOV 0 5 2Qg7
~)
, ,nllr nE:/a'P
12/14/2007 ~1:47 ~~ 3606926857
GUARD IAN SECURITY SYSTEM
~002
o
-1'2 I
B
.
ELECTRICAL WORKPERMlT APPLICATION
Job wired by
~lectrical Contractor 0 Owner
h1!llallution de~eripti(lft
)z'.ColOmerciaJ 0 llesideaUal
~ew 0 Altered/Additio.
3
t
~
...c
cB
Electrical contfactor name J..iCCl\''le number Date Slq)irc:s
GlH'A-c\;(I.-^" ,,,\.0 r,.....r; ~U C:>U,f\(.l..\)SSJ '1"J'K: t:, ?
Purchaser's mamng 8ddre~ J I
gn s 'PY'ClVOS+ '/2...(") 0.0 N W
City \ t St:'!te Z.IP
S', \.\~Cla...~ WA t18?J'?J:,
Telephone number FAX numb~r
'300.0Cj '0 q).. (s; 57
'Premises owner', I'Hlrne
k.. '" t-:o,.I Q, 4 0."" rrl
Address or tnspd:hOn J J . ~
\ \ 1- l> 1\ (,u -z.Z-' VI,
City
Port A V\.fliLks l.0A 9 ~ ?JG:,;;z.
Phon. number to "..duTe In'p...lo.: 3"0 '(.1 S.::L, 9> (9 r;,
Ow"e,. "5 defined by RCW.19.18.161:(1) Owner will occupy tilt! s,rucrl4t'Jl!Dr two
yetJl"S afiel' thiS eJeCI1'lcal permi' is jinalizgd.. (1) 0I1'/1l!1" i.J reqllireJ ro hire an e~clJ"ical
contrtJClar if Qbo~ said prope.rt.J' j~ fo, so'e. TCIII. OT lease.
Afle-r reading tl\e abo\lC 51alemcn~ I hcroby certify Ihat 1 ian' the olNtlcf of the above
named property (If a lic:c:n,ed electrical cOt'lU'3clOr. 111m moking che electrical in.'\tal-
l1l.tlon or alte-ration i compliance wilh the electrical IltW6. N.E.C.. RCW. ChaptCl'
19_28, WAC. ebB cr 296-468. The City of pori Angeles Municipal Code. and
Utility Specifica 'OM$.
SIl:RAlure rlcn~[or or elcctrh:al admlnl5tntlOl'"
. ;.),.n'A 7_lL ~"'-'j
:\:f-LI
o Cash )lU:bcok # 'lJI) Co \
o Credit Card Y)SlI Mastercard
Discover
~dff______----------
x
Date: /.7 . I 'I ' 7
tl .
Expiration Date
of caId
luspcction fee
$ L..\Q. 00
SArvlr:e Information
E tri I
o NO lO CHANGES
o Sa ard _KW
Q Fumace _ KW
Q t;eat Pump _ Ton ~ LA~
[J Fan-We.1l _ KW
a Overhead Service
C Temp Service
lJ undefgfound Service
Vollage
Phase 0 1 03
$eNlee Slze:_
Feeder Size:
SAME DAY lNSPECTION CALL BEFORE 7:00 AM 360-417-4735
.
ROUGH-IN /' THERMOSTAT " SERVICE
Dlltll t\pJlr1wed Ry " DRl~ ^pptOwe4l!1r D,te Ap"",wtli By
FINAL DlTUl '\ FmDER
,1-/fjD7 ~, PIIII AP\M'ovl:ll8y/ "- QI.. ApvroYlIII By
D"
(nspection Areu., B\,ilding or Equipment Inspected Action Taken ~leclrical
Dste !nspectol'
.
Look Up a Contractor, Electrician or Plumber License Detail
Topic Index I Contact Info
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f'~i ntecF ~iend I y_V_ersioQ
: Electrical Contractor
:A business licensed by Lal to contract electrical work within the scope of its specialty. Electrical
,Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
Page 1 of2
&. Ucen5ing
1_ ___._.,_...~_.._.e_._ -~ - -_._..._-~-~---_."._-,.~._-- ~--
I License Information
, License GUARDSS233K5
I
i Licensee Name GUARDIAN SECURITY SYSTEMS INC
,
i Licensee Type ELECTRICAL CONTRACTOR
UBI 600189667 Verify_W.9IkeLs-'-omp Premium
1 Statu~
. Ind. Ins. Account
!
Jd
Business Type CORPORATION
Address 1 1743 1ST AVE S
Address 2
City SEATILE
County KING
State WA
Zip 98134
Phone 2066226545
! Status ACTIVE
! Specialty 1 LIMITED ENERGY
I Specialty 2 HVAC/RFRG LTD ENERGY
, Effective Date 5/25/1977
Expiration Date 9/30/2008
Suspend Date
Separation Date
Parent Company
Previous License !
, !
Next License I
,
Associated CLOSEF'9739i:1
, Li cense
--,,- ,"~.=~
https://fortress. wa.gov/lni/bbip/Detail.aspx?License=GU ARDS S23 3 K5
12/14/2007
Look Up a Contractor, Electrician or Plumber License Detail
Page 2 of2
Master Electrician Information i
i
License CLOSEF'9730H
Name CLOSE, FRANK A
, Status ACTIVE
--,-_,'---"^' ,
,
i Business Owner Information
Name Role Effective Date Expiration Date
01/01/1980
01/01/1980
AGENT 11/05/2007
,CLOSE, FRANK A
DUNHAM, JOHN R
i DWTR&J CORP
--,......-
, Bond Information
, Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
'Bond Name Number Date Date Date Date Amount Date
1#7 OHIO CAS INS Until
CO 3610465 06/11/2003 Cancelled $4,000,00 06/16/2003
, CUMBERLAND
I CAS & Until
1#6 SURETY CO MB009001249 03/11/2000 Cancelled 07/20/2003 $4,000.00
I AMERICAN
BANKERS INS Until
1#5 CO LPM350951 06/11/1995 Cancelled 06/11/2000 $4,000.00
J INDIANA
LUMBERMAN'S Until
, #4 MUT INS CO SBP12114433 06/11/1991 Cancelled 07/27/1995 $4,000.00
NATL SURETY Until
#3 CORP SLR 6439092 06/11/1986 Cancelled 06/11/1991
CONTINENTAL Until
#2 CASUALTY CO 9239875 12/31/1984 Cancelled 12/25/1986
UNITED
PACIFIC INS Until
#1 CO 902491 02/15/1977 Cancelled 12/31/1984
, ,,'. _'-_0' _ ___..___ _____ ,. .~ ~.". ._-.._"~",, ',~ ~~-- ~_..._~
Savings Information
No Matching Information
.",.-"._--~ -~""l
~_"",_J
, No Matching Information
~---_..~--.,",.,,""-~~._'".,~.-
".._."..".~~_. ~~'!
Ii
Insurance Information
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12/14/2007
12/14/2007 11:47 ~~ 3606926857
GR~IAN SECl~ITY SYSTEM
I4i 001
Guardian Security
9435 Provost Road NW Suite #204 Silverdale WA 98383
Phone 360-692-3738 - Fax 360-692-6857
pmaurice@guardiansecurity.com
.
TO: Trent or Al in Electrical Inspections
FAX - # of pages including this page = 2
Here is the fonn for the permit for the Bronze Bay Tanning Salon.
I will mail the check out today.
If you have any questions please give me a call.
Thanks
Sally Hamshaw
Guardian Security