HomeMy WebLinkAbout618 S Peabody St A - BuildingINSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
g fo 1
7
1
1 1
FINAL
6111 1�-
O
1
COMMENTS:
bb
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Audio Speaker
Owner
AARON M SWENSON DDS PLLC HI TECH SECURITY INC
618 S PEABODY STE A 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 477 -4160 (360) 452- 272762e S5
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
ELECTRICAL ALTER COMMERCIAL
96.00
7/23/12
1/19/13
96.00
.00
96.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
12- 00000916
692372
618 S PEABODY ST A
06-30-00-6-8- 0000 -3010-
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
Contractor
96.00
.00
96.00
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT
Paid Credited Due
.00
.00
.00
Date 7/23/12
.00
.00
.00
.00
0
Extension
96.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
FROM HI -TECH ELECTRONICS
E.,1TY or PORT ANGELES 1'1; RWLIT APP11CA,'l'tON
t3uitdittA DivisiutVL`lect tit ul.141.51m:10 Its
321 East FiTttt St rcct P.O. Box 1150 Port .ttgcics i.' a-,ltingtot, 98362
Ph: (3611) 4 L7_47 Fax: (361)) 417-4711
Uste
/2
Owner information
�v. n S
�I� a �/r� C? T
c Port Angeles WA 7
11.n d C /S Fa i
:carts:: +i 1 E v.
FAX NO. 360 452 8560 Jul. 19 2012,04:36PM P1
REce yED
'JUL 20 2012
ELECTRICAL
INSPECTIONS
INIMW
1 &Sin a Family Duelling idtllti- Femity or Commercial' Commercial Addition Alteration 1 Remodel I Repair'
Plan Review M y B Requirad Plea a Complete Iectricat Pte R_ev�iew•Information Sheet
em n 5 b, �f
,;4.•47:isc of ;.C�n� �,U�.� /�/Je�t •er.,
Item Unit Charge 1
Ssrvic&lFeetter 200 Amp. 113.93
ServiceiFusder 201-400 Amp. g tyS.50
Service/Feeder 401-600 Amp S 304,$0
Ss:vicaSaeder 8014000 Amp. 5 25 20
`..lemcelFeeder met 1000 Amp. 5 272.56
°2rsnctl Circuit VW Service Feacar 2.60
SIVrcil Circuit W/0 Service Feeder 5' 75.50
Each Additional Branch Circuit 1.50 S
Temp, Seniscef Feeler 200 Amp. 91T0
Temp. Service /Feeder 201'400 Amp. 110.330
Tsmp. SarrlceIzetisr 401400 Amp. 5 1400
Tulip. Se:rvicc/Fered r 601.1000 Amp $167.90
Penal to Portal Hourly 5 95.90
SSigrJOudinrs Lighting 5 53.20 5
stoat Circuit/ Limited Energy 1 First 1500 sf Commercial 5 05,90 t
tats: 55.00 ftu each additional 1500 si
5i3ael CirvtiiV United Energy 2 Firmly Dwelling 63.00 5.,.._._..,_
Signal Circulti Limited Energy -Multi- Family Dwelling 3 83.90 5
Msauracrired flame Connection $119.90 5
Rvatesebte Electrical Enemy 5KVA System rr Lew S. 02.30 5
T nennastat 5 50.00
Near! CONSTRUCTION ONLY;
First 1300 Square Ft. 110.30
Each Motional 5 Square Ft or Portion of 5 3573,50 20 5
awn Outuudding or Detached Garage: 5
Each Swimming Pool or Hot Tub 5110.30 5
Si O Total
Owner as defined by RCW.19.28.261: (1) Own er will occupy the structure for two years after this electrical per is ba c:ed. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months at last inspection.
After reading the above statement, I hereby eaai that I am the owner et the above named property or a licensed elecbcal contractor. I am making
trio (Ascii ins4diaricn or alteration in compliance with the electrical taws, N.E.C., 11CW, CbaptEr 19,26 WAC. Chapter 296.468, The City of Port
rr a es Municipal Code, and Utility Specifications and PAMC 14.05050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
tca;_ 111f1.1L
Contractor information
Barre: Hi Tech Security, Inc.
tvi3di tq A 1,1; ss' 723 East Front St
Port Angelos$tal:: WA 26- 98362
?kilt.. 452 -2727 Fa 452 -6560
Licc,»eAte E FlTTBCTS9SSHS
0 Cash 0 el:eex
C?F Crean Cara 0_
Totallgty Mullioned by Unit Charnel
5
S
5
S
WORM W
09
u\
T
t
v
CERTIFICATE 01 OCCUPANCY
City of `'Port Angeles Building Division
This certificate is issued pursuant to the requirements of Section 1111-Of the 20,09 International Building
Code certing that at: >o: issuance this structure was in compliance with the various ordinances
of the City regulating buildings $lrutoJ arise for the following_-,_
Business name t AaramM Swenson:.DDS !PLWC
Business address 18 S. Peabody St `Suite.:A
Property owner w. Aaron M Swenson ,DDS "P 'LC'
Property owner s address 618 S PeabodySt;,,:Suite A, P.ort WA 98362
Automatic fire spinkler:system. Not "Required`
Use occupancy blass'ification. Business,
Building permit nui ber 11 -5 3
Occupant load.
Type of construction. VB
01/26/11
Date
Post on the premises in a conspicuous place. `T.his,certifeateNshall not be removed except by the Building Official.
0
FIRE DEPARTMENT phone 417 -4653
CITY CLERK phone 417 -4634
CERTIFICATE OF OCCUPANCY APPLICATION Permit# l— 53
CITY OF PORT ANGELES
Attn. Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
PLEASE PR IN INK
Check one: New business nn in P.A. ?[Change of ownership only? oving location from within P.A.? Zoning C D
BUSINESS NAME f -�`0N SLR ti &s PL. C_
Business address 61 g S Pee-30e (L.> Mailing address
Phone number %o 4' Y6/ S Opening date -3 i7 Days hours of operation ft s"pm
Business owner's name ,-i/.ni' 5vJr a✓' Contact phone •560 `75"� 4 r y/k 9
Business owner's address (go L' /s Sr 1 /1- f' •2e
Brief description of business 'D£N77.c. �1 e77c
Property owner's n ame /Mew) M SG✓F sar/ Contact phone `/4--?-- y/6 6
Property owner's address /contact $rpm t i 5 5 T Pc,-4- P 6i... 48 63
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people?
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways, ramps, bathrooms electrical heating /cooling /ventilation systems etc)
Work planned
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business?
is business moving within the PBIA? Yes No
Second -hand dealer /pawnbroker business? Yes No
Will there be dancing at this business? Yes No
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
Bldg approval by on
Yes No
Fire approval by on
PBIA notified on
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750
Number of off street arking spaces av' ilable.for employees and
customers?
(A parking plan may be require
Signs? (wall- mounted freestanding, projecting awning A -frame etc
Signs planned:
PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4872
Is site work planned (new or re- located sewer or water service,
excavation grading or filling work in City right -of -way
new driveway openings, site drainage parking lots, downspouts
irrigation system backflow devices, etc.) Yes No
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
Will waste other than domestic household waste be discharged into the sewer system? Yes No
Ify_es what will be discharged:
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Date Oh/ Print Name
T \Forms\8uilding Division\Certificate of Occupancy Application (2010).doc
Olt/ Sv l /59// Signature
Page 2 of 2
PWE approval by on
PWW approval by on
ow CERTIFICATE OF OCCUPANCY APPLICATION
F
To CERTIFICATE
PLEASE PR N IN INK
Check one New business in P.A. ?ll Change of ownership only? +oving location from within P.A.? Zoning C C)
BUSINESS NAME /4.4K M Si,,J DD'S P&L-
Business address 6 g 5 Pe6 edy S-7'k /4 Mailing address
Phone number 3o 4 16/ ..r"" Opening date -3= /1 Days hours of operation M -F S
Business owner's name A/5". d>l/ Contact phone S60 75 4 7'67 Jl F y/
Business owner's address (god- 1 /S sT pot/. .��rs &A- 'E34.
Brief description of business _GsArs.4_46. DE/ fP 7?cF
Property owner's name 4 Oit) M SW /150V Contact phone S
Property owner's address /contact /$t a LU r' S'` .ST
r Gk 83
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people?
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways, ramps, bathrooms electrical heating /cooling /ventilation systems etc)
Work planned.
FIRE DEPARTMENT phone 417 -4653
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business?
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 -4634
CITY OF PORT ANGELES
Attn. Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Second -hand dealer /pawnbroker business? Yes No
Will there be dancing at this business? Yes No
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance,
Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
Permit#
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations_
Bldg approval by on
Yes No
Fire approval by on
PBIA notified on
5
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750
Number of off- street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall- mounted freestanding projecting awning A- frame, etc
Signs planned:
PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS. DEPARTMENT ENGINEERING phone 417 48i
Is site work, planned (new or re- located sewer or water service,
excavation grading or filling work in City right -of -way
new driveway openings, site drainage parking lots, downspouts
irrigation system backflow devices, etc.) Yes No
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
Will waste other than domestic household waste be discharged into the sewer system? Yes No
If yes what will be discharged:.
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy .l acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Date iV// Print Name 07✓ r.S7Att/SO/t/ Signature
T\Forms\Building Division\Certificate of Occupancy Application (2010).doc
Page 2 of 2
CED approval by on
PWE approval by R Y -on Ct.' .r 1
10 o C abklotc�u:t
PWW approval by on
ti
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES
Attn Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
PLEASE P
Check one New business in P.A.? Change of ownership only
BUILDING DEPARTMENT phone 417 -4815
FIRE DEPARTMENT phone 417 4653
CITY CLERK phone 417 4634
Second -hand dealer /pawnbroker business? Yes No
Will there be dancing at this business? Yes LI No
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
N
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
IN INK
oving location from within P.A.? Zoning C C)
BUSINESS NAME 4i o/v M SW �N--C(DN DIES 'PLLG
Business address 6/g S Pea0ed4 sl S., fc /4 Mailing address Scf H-
Phone number ys a. Y6/ S' Opening date -3 /1 Days hours of operation M ii'etwr sp'"
Business owner's name A o/v 51,-J,Eti5 aN Contact phone S60 s y67 V? y/e,..9
Business owner's address (8 iN /S'7(4 sr P /1 4 /c s; 64/A-- &3C 3
Brief description of business G Z.AL D£N T1fTy rRA-e77c,
Property owner's name ,4420# M SGV 561v Contact phone 4 8
Property owner's address /contact &pa /xi i 5 Sr ,wry p (p ZA,
Is the business a restaurant or bar.that will seat 50 or more people?
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business?
Is business moving within the PBIA? Yes No
Page 1 of 2
Bldg approval by on
Yes No
PBIA notified on
Permit k- 53
3d3
IP
1 A
Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work,
adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc)
Work planned
Fire approval by
on
City Clerk approval by -I R on 0 1S-11
COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750
Number of off street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall- mounted, freestanding projecting awning A -frame etc
Signs planned
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812
Is site work planned (new or re- located sewer or water service
excavation grading or filling work in City right -of -way
new driveway openings site drainage parking lots downspouts
irrigation system backflow devices, etc.) Yes No
Work planned
PUBLIC WORKS WASTEWATER phone 417 4845
Will waste other than domestic household waste be discharged into the sewer system? Yes No
If yes what will be discharged:
Call for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
I hereby apply for a Certificate of Occupancy acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Date OP/ Print Name
Please sign up for utility services at the cashiers' counter
T \Forms\Building Division \Certificate of Occupancy Application (2010).doc
Page 2 of 2
CED approval by S R.
on 01,- T -4--lk
PWE approval by (V
on
PWW approval by x on
Clallam County Assessor Treasurer Property Details 62260 AARON M SWENSON Page 1 of 3
Clallam County Assessor Treasurer
Property Search Results 62260 AARON M SWENSON DDS PLLC for Year 2011 2012
Property
Account
Property ID 62260 Legal Description: PEABODY
PROFESSIONAL
PLAZA UNIT A
Geographic ID' 0630006800003010 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 63
Open Space: N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 618 S PEABODY ST A Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 5 Comm Map ID 2
Neighborhood CD' 20953140
Owner
Name: AARON M SWENSON DDS PLLC Owner ID' 209094
Mailing Address: 618 SOUTH PEABODY STE A Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Taxes and Assessment Details
Property Tax Information as of 01/26/2011
Amount Due if Paid on: M.
Values
Exemptions:
NOTE. If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Improvement Homesite Value: N/A
Improvement Non Homesite Value. N/A
Land Homesite Value: N/A
Land Non-Homesite Value: N/A Ag Timber Use Value
Curr Use (HS): N/A N/A
Curr Use (NHS): N/A N/A
Market Value N/A
Productivity Loss: N/A
First Second
Half Half
Base Base
Amt. Amt. Penalty Interest Base Paid Amount Due
Year Statement ID Taxing Jurisdiction
2010 44898 ST SCH STATE SCHOOL $143.94 $143.93 $0.00 $0.00 $287.87 $0.00
2010 44898 CC -GEN COUNTY CLALLAM $76.60 $76.59 $0.00 $0.00 $153.19 $0.00
2010 44898 SD #121 SCHOOL DISTRICT #121 $186.44 $186.43 $0.00 $0.00 $372.87 $0.00
2010 44898 CITY PORT ANG CITY OF PORT ANGELES $177.34 $177.35 $0.00 $0.00 $354.69 $0.00
2010 44898 PORT PORT OF PORT ANGELES $10 76 $10.77 $0.00 $0.00 $21.53 $0.00
2010 44898 NTH OLY LIB NORTH OLYMPIC LIBRARY $22.26 $22.25 80.00 $0.00 $44.51 $0.00
2010 44898 HOSP #2 HOSPITAL #2 $31 42 $31 42 $0.00 $0.00 $62.84 $0.00
2010 44898 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.00 $10.00 $0.00 $0.00 $20.00 $0.00
2010 44898 CITY_STORMWATER CITY STORMWATER $14.04 $14.04 $0.00 $0.00 $28.08
2010 44898 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00
2010 44898 TOTAL. 8673.62 $673.59 80.00 $0.00 $1347.21 $0.00
2009 622602008 ST SCH STATE SCHOOL $167.98 $167.97 $0.00 $0.00 $335.95 $0.00
2009 622602008 CC -GEN COUNTY CLALLAM $85.02 $85 00 $0.00 $0 00 $170.02 $0.00
2009 622602008 SD #121 SCHOOL DISTRICT #121 $207 74 $207 73 $0.00 $0 00 $415.47 $0.00
2009 622602008 CITY PORT ANG CITY OF PORT ANGELES $186.47 $186.45 $0.00 $0.00 $372.92 $0.00
2009 622602008 PORT PORT OF PORT ANGELES $12.04 $12.04 $0.00 $0 00 $24.08 $0.00
2009 622602008 NTH OLY LIB NORTH OLYMPIC LIBRARY $24 70 $24 70 $0.00 $0.00 $49,40 $0.00
2009 622602008 HOSP #2 HOSPITAL #2 $34.87 $34.86 $0.00 $0.00 $69 73 $0.00
2009 622602008 CITYSTORMWATER CITY STORMWATER $14.04 $14.04 $0.00 $0.00 $28.08 $0.00
2009 622602008 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00
2009 622602008 TOTAL. $733.68 $733.60 80.00 $0.00 $1467.28 $0.00
http. /websrv8 clallam.net/propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =62260 1/26/2011
43
PREPARED 11/06/08 8 24 50 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/06/08
ADDRESS 618 S PEABODY ST A SUBDIV
TENANT NBR PEABODY PLAZA OWNERS
CONTRACTOR BARNES CONSTRUCTION INC PHONE (360) 683 5796
OWNER LAVERN H SWENSON PHONE (360) 460 5417
PARCEL 06 30 00 6 8 0000 3010
APPL NUMBER 08 00001354 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 11/06/08 LL/ BLDG FINAL
November 5 2008 1 33 28 PM permits
683 5796 DAVE
COMMENTS AND NOTES
Application desc
RE ROOF LAY OVER ONE LAYER
Owner
T Forms /Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00001354 Date 10/24/08
Application pin number 104990
Property Address 618 S PEABODY ST A
ASSESSOR PARCEL NUMBER 06 30 00 6 8 0000 3010
Tenant nbr name PEABODY PLAZA OWNERS
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 14695
Contractor
LAVERN H SWENSON BARNES CONSTRUCTION INC
1719 E 5TH ST 258852 HWY 101 W
PORT ANGELES WA 983624917 SEQUIM WA 98382
(360) 460 5417 (360) 683 5796
Structure Information 000 000 RE ROOF LAY OVER ONE LAYER
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF LAY OVER ONE LAYER
Permit pin number 136895
Permit Fee 277 75 Plan Check Fee 00
Issue Date 10/24/08 Valuation 14695
Expiration Date 4/22/09
Qty Unit Charge Per Extension
BASE FEE 95 75
13 00 14 0000 THOU BL -2001 25K (14 PER K) 182 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 277 75 277 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 282 25 282 25 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
JOplog Sp,
ate Print Name Signature of Contractor or Authorized A t Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Accepted By
Comments
FOUNDATION
Accepted By
Electrical 417 -4735
Footings
Electrical
Stemwall
Construction R.W
PW Engineering 417 -4807
Foundation Drainage Downspouts
Construction R.W
PW Engineering
Piers
Fire 417 -4653
Post Holes (Pole Bldgs
PLUMBING
FINAL Date:
Accepted by
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
i l
'TL-1r
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
FINAL Date.
Accepted by
Heat Pump Furnace Ducts
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
RESIDENTIAL
DATE
Accepted By
Commercial
Date
Accepted By
Electrical 417 -4735
Electrical
Construction R.W
PW Engineering 417 -4807
Construction R.W
PW Engineering
Fire 417 -4653
Fire
Planning 417 -4750
Planning
Building 417 -4815
Building
i l
'TL-1r
PLANNING DEPT
Separate Permit #s
SEPA.
ESA.
SHORELINE.
Parking Lighting
Landscaping
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 -4807 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
T /Building Division /Building Permit
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 481560) 417 -4711
,secs H f c
Applicant or Agent l-n �.S C r`st T
Property Owner Pect_vb(u. P) i7A btun-er5 ossce.,
Property Owner's Addres (p l q) S Pee, t
Contractor /Engineer ff
Contractor /Engine is Address
License Aga C19 b_ Expires
PROJECT ADDRESS to PS 5 Pea bp al
Parcel Number 4(030 004,g ao oO- 3010
Project Type Brief Description.
Check all that apply
New Construction
Commercial
P66
6 1) E re- t Cc O cr )Lr
Multi family Industrial
Addition
Remodel
R
e air
e -roof
Demolition
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
4
Occupancy group
Occupant load
Construction type
Phone 3(Qt'--- (p03 S
Phone 3(p t) V.00 5
11 \eg I A— q03‘
Phone
E -mail
Lot
Existing (sq. ft.) Proposed (sq. ft.)
For City Use Only
Date Received M.- l35+
Permit C) J 354
Date Approved
Zoning
per sq. ft.
TOTAL VALUATION 1 it.p55 31
sq. ft. Lot size sq. ft. Lot coverage cyo
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 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.
Date 09/OS Print Name
Sqn I tG`— +`-`tr Signature
Barnes Construction Inc
258852 Hwy 101 W
Sequim, WA 98382
sir
Name Address
Peabody Plaza Owners Association
618 S. Peabody St.
Port Angeles Wa 98362
n ate
Estimate
9/11/2008 27'1
i
lel,e4f32V-4..6",, 2 6-
Description
30yr Pabco
Hip Ridge SG -30 Year
Elk Starter Strip
Valley Metal
RCV4
AF50
Ridge Vent
2' Plumbing Jack
Step Flashing
2Q' Metal
81' metal
roofing nails 1 1/2'
abor
livery
NOTE THIS BID IS FOR REROOFING OVER EXISTING ROOF
G
BID GOOD FOR 30 DAYS ANY QUESTIONS PLEASE CALL OR FAX US AT PHONE
NUMBERS AT BOTTOM OF PAGE THANKS
Phone
360 683 5796
Fax
360 683 -7570
Subtotal
Project
Qty
100.25
4.333
6
14
9
2
38
10
150
24
24
8
107.5
$14,695.31
Sales Tax (8.4
$1.234 41
Total
$15,929 72
Signature
Estimate