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HomeMy WebLinkAbout511 W 8th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 1 360- 417 -4735 0 Application Number 12- 00000401' Date 4/09/12 Application pin number 314247 Property Address 511 W 8TH ST B REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2- 3610 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc 1 -4 circuits remodel Owner Contractor JASTMAR INC OWNER 511 W 8TH ST PORT ANGELES WA 98363 j'N\ Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS b Permit Fee 86.00 Plan Check Fee .00 Issue Date 4/09/12 Valuation 0 Expiration Date 10/06/12 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due �M`r� Permit' Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 61 i li oito FINAL /17 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING ,,,,?0„,,,,, cr CITY OF PORT ANGELES PERMIT APPLICATION 1 1 1 �r Ns Building Division/Electrical Inspections t 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 G r W f V Ph: (360) 417 -4735 Fax: (360) 417 -4711 1111111Pr eat ELECTRICAL Date:CAI,2—._ Mufti- Family r Commercial* INSPECTIONS mo Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 5'l 1 t, 9 S`t pa 2T A Building Square Footage: Description of above tt 1vt4 ice. 7 LO r tt b i J\ 0 r- fro t 2.0 S `t -Pf- Owner Information Contractor Information Name: q flAJ N -1 I L E k4. BRII) t Name: Mailing Address: 5•1( Li 4T- 4 Mailing Address; City: p. f State: j,. 1{- Zip: 63(mL City: State: Zip: Phone: 1100->i t Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge qty Total (Qty Mult� Unit Charge) Service /Feeder 200 Amp. 132.00 .1 2. Service/Feeder 201 -400 Amp. 160.00 J Service/Feeder 401 -600 Amp 225.00 Service /Feeder 601 -1000 Amp. 288.00 Service /Feeder over 1000 Amp. 410.00 pict Branch Circuit W/ Service Feeder 5.00 L P •..c Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 10 1 j I a0 Branch Circuits 1-4 86.00 �6 Temp. Service/ Feeder 200 Amp. 12.00 N Temp. Service /Feeder 201 -400 Amp. 121.00 6,, 1• Temp. Service /Feeder 401 -600 Amp. 164.00 a Temp. Service/Feeder 601 -1000 Amp 185.00 b Portal to Portal Hourly 96.00 g b Sign /Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat �C7 r tal 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 of owner, electrical contractor or electrical administrator: Cash 7 Check Credit Card x 4 f A. A. Dated: 4 5 Z.— 01101/2012 1 :'(1='ORT"'+. $.J..O~~~ ,. 'L ~ ~ 'l.Sl1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Appl~cat~on Number Application p~n number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subd~v~s~on Name Property Use Property Zoning . Application valuation 07-00001018 Date 9/04/07 100358 511 W 8TH ST C 06-30-99-0-2-3610-0000- JASTMAR, INC / STEVEN B. Lasered CEO SIGNS UNKNOWN 800 Owner Contractor JASTMAR, INC. 511 W. 8TH ST PORT ANGELES (360) 808-2989 OWNER WA 98363 Perm~t Add~t~onal desc . Permit p~n number Perm~t Fee Issue Date Exp~rat~on Date SIGN 64 SQ FT SIGN 110270 85 00 9/04/07 3/02/08 Plan Check Fee . . Valuat~on 00 800 SO\ , - ......... - V\ ~ ~ -..~ ... ~ O<J ,~ ~ Qty Un~t Charge Per 1.00 85 0000 PER S- SIGN WALL 25 SF+ Extension 85 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 85 00 85 00 00 .00 Plan Check Total 00 00 00 00 Grand Total 85.00 85.00 .00 .00 ~ /,"1 ~ -6 ~ ~ ~.- ~c.r S Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vIolate or cancel the provIsions of any state or local law regulating construction or the performance of construct;on. ~ I~ '?"r~O? Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is buil~r) Date T \Pohcles\l102 _15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICALINSPECTIONS 0 CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVlDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSUL/,TE OR CONCEALANJ' WORK BEFORE ,-j INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON , KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYJ'E DATE ACCEPTED COMMENT!' YE!, NO FOUNOA nON FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER UNE (METER TO BLDG) GAS UNE FINAL DATE ACCEPTED BY BACK FLOW I WATER AIR SEAL WALLS CEIUNG FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (TNTERlOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL I FLOOR I CElUNG MECHANICAL ROUGH-IN HEATPUMY/FURNACEIDUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE 1 PELLET I CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMlT #'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTIUCAL - LIGHT DEPT 4] 7-4735 ELECTRlCAL UGHTDEPT CONSTRUCTION R W IPWI CONSTRUCTION - R W ENGINEERING 4]7-4807 PW 1 ENGINEERING FIRE 4J 7-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING io10(/(), -r1..L o ~ G\ z ~ '4- (", ~ rj) -/ ~ :s- T IPo11c1esl1102 15 bUl1dJllg penmt lIlspectlOn recOIdOS.wpd [11412005] " PREPARED 10/01/07, 9.59 52 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER: 511 W 8TH ST C JASTMAR, INC./ STEVEN B JASTMAR, INC. 06-30-99-0-2-3610-0000- 07-00001018 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL99 01 10/01/07 IIf INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 808-2989 PAGE DATE 10 10/01/07 TIME: 08:56 00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- DESCRIPTION RESULTS/COMMENTS BLDG FINAL TIME 04 00 * OVERRIDE TAKEN BY LPANGRLE DATE 10/01/07 October 1, 2007 8 54 53 AM lpangrle STEVEN 808-2989 BLDG FINAL - SIGN LATE AFTERNOON " A ~~iC~ ~(LeR. 1\1- Sl( LJ. ~ SlR-~~ ~R:-T AN~8-es i LGA 9~~(('2- \.l(j~ c. ~..... r 6 Ii () ~~tEr ~lDbES R-tLL er-. 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Dustan Lloyd 808-0040 P.O. Box 2866 Port Angeles W A 98362 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans BUILDING PERMIT - APPLICATION 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 for review. (360) 417-4815 FAX (360) 417-4711 Applicant or Agent ~~J~~~~8N ?~iYlPhone 31dJ-)?O$?-2-1X'7 Owner S/2J'~~!d~{- Phone ~afJ' ~O~ ,.2<j ~I Owner's Address ,,-Cl ( t..J. <6~ c;.rRe;.;:t~ - 't1)fC{ Mt;"eu~ I A.JI+- 9 g~~ .58--F State License # Contractor/Engineer Expires .--. Contractor/Engineer's Address .----- Phone -"t "I.. /I PROJECT ADDRESS: S:-I (W ~-.0 <Z~ l:.- \PA. stfi-,~ ~~ ~t - 'Z... - 'V-{I 7 ~9:' ,9 LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: or €' ~o q Cj 0 '-.:2, ~ { n ZONING: p N~1-.1- "Buc 2-3 Cc <1110\01 ?er 5V~~7-\O TYPE OF WORK "-11.. SIZEN ALUATION S-\eAleY' $~O'oo -fo~ ~ o Residential 0 New Constr. 0 Re-roof 0 Stove 0'1 SF. @ $ /SF. = $ """'1 ~ ef'.s~\" o Multi-family 0 Addition 0 Move 0 Garage SF. @$ ISF. = $ \ stgn..4 o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ uJo..\1 SI'gh o Repair <.r:i Sign 0 Other TOTAL VALUATION $ <:g-llJ. (0 a.m~v~t ,- rJ.. ~ . -U . wc.s Ol"11Inr.,Il.. BRIEF DESCRIPTION OF THE PROJECT: "CU \ 5 C- -==.)'~ \~\<.o..:::,~ < C~e.4. ~7 ~~i\i(fl n~~r~ <;L~ SlqJ{. ~LbAi tvA-.~kL l_\ l.;r.'.L.!.. A-t..u...~ pA-AU..:::t. (?\lL~) -fA Lf{~~' ~-N~irT\ Il'N POc--."0,. (P(('(-~tl -p,..,-. L,..hnt :l'y{t;"P:Y: ~,~ -"P{)~:>~ I\-Re:: Lf' ltJ.bJq,~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: ConstructlOn Type: / Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. 't- 1'\ floor Sq. Ft. & 1'\ floor Sq. Ft. p.. 2nd floor Sq. Ft. & 2nd floor Sq. Ft. (' t-. 3Td floor Sq. Ft. & 3'd floor Sq. Ft. ~ ~ Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. ;_' \\j Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft. :" fij TOTAL of existing & proposed structures Sq. Ft. ~ Lot size Sq. Ft. LOT COVERAGE Maximum Height of Proposed Structure(s) Ft. . ~ 17 Existing Structure(s) Sq. Ft. Footprint Are you planning to install a lawn sprinkler system? ~.... Proposed Structure(s) Sq. Ft. Footprint 1-:- TOTAL Structure(s) Sq. Ft. Footprint __ Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) r[ VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be It 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 nON 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 app y is permit and understand that it is my responsibility to determme w7ht ermits are required, and that I must obtain Rd','~erml prior to work. ~ ~, . a e - ~(:n - -1-67 Applicant t~. ~~ T:\FORMS\BUILDING DIVISION\BldgPermltAppl-2006 CODE - backup wpd .' . ., . ", " . - \ ...... J_. .'.. I '\, J.l ., <=:: .I ~.j~ . -, .... ...........' ~~~a_w.a_ml~ . PIXJMBING - " TRAPS: WATER HEATER: SEWER:' .' ,-. WATER: '. , MECHANICAL: VENTS: FURNACE: GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: r: ,.. t. " . ,/ , " . - \ 'oj 1 \'." --- J ..... ..' ...' \., .......- .. I. ~ j' !. ,t ~r.,~ l.~ , " J \' .\ . r I ' . \. J ," ~ ~~ ~ ~ ~ ~ ts ~~ _.J I 'J' J~ ~ '-yJJ 1- ~ f ~J: I LJ Ji0'}.J'Dt 3 ';t: k ~d J.- -s -<t: ~ :r- :;1 j ~~ ~ ~ h K I 0 , ::; D .1\ ~ 1,-; ~ y ~\ 0- -.J l.~'t>a (\_ . ",)L_ lit . y-'! ~i;~ ~ ~ ~ f~ ) v'cl\ )~ /\~ · ~ __ _ J \'\1 ~ l'- ..J ~L -k (1 i 0- Vi Cl. ~ ':l. G ~, <;J 1-. ---- ('- ~ ~<lI -; f !:r ~ do I \f\i:Jlf,ii 'E~ ~ ~ 0--\fJ/J " \ . . St C[t-LS WlLL 't6~ A Ct)Mt,d-'\7\(V~ OF ClGtcf'f 'f ~ , KcrtIR--- ~LU= ( ~~ w ( ~LA:c--'k PU R. ~e,""2.c ,..s ~ . ~ ( tt- 'F ~l W Dustan Lloyd 808-0040 PO Box 2866 Port Angeles W A 98362 .... ...... -, , ~ , - -, ~ ~ i -~ , - - '- -'I ;' \ ~ ~ ,<, -, - "- /' ,-" , ' " _ 1 - _,~' < _, . 1h8~H ST~~~~d .~IUTD.....G~D 5 ~6KI-~~ . , qlul1 'tJA .1\,~","1 'L ,.\I',S (~SS~ Q "\ W\'1V\o-.V~ 't be..fzlv-e n """'" H-;d... _10\0 L~f"""i&~lrt$:~("J ()Wl(\ef ~\ s ~e.r-yY\\ ~ ~Ot- p.exrY'\I"OI d l~ BUILDING PERMIT - APPLICATION ;"S;; · ~e> . Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FA..X(360)417-4711 FOR OFFICIAL USE ONLY DateRec Of -09-or I Pel1D1i # (') - 8l . u", AP"'"'7//:t>ry ate Issued 1 Applicant or Agent: ::rIG r MNt. I 1 Jo-L. / S le{e----N ? ~~ ~u G Phone' I ( Owner STL->V~ 7. '2:.'fLl[){7E Phone' Address' .<)( ( Cd, ~ S~.:.-c City. ,?... A, 'S~ ~&8 ~ 7{) 51 r d-'1ti 3'6 r ~O~~ ?-7i7 ~ ZIp: (.~~~ ArchItect/Engmeer Phone: Contractor S~F State LIcense #. '" Exp: .-- Phone: r--- Address' c:;~ PROJECT ADDRESS: f\:S 1\jZ:n..'-..r-<... City: 5 \\ W,~ \P~ SttUR-'L -pC-.fVr LEGAL DESCRIPTION. Lot. Block. CLALLAM COUNTY PARCEL NUMBER: ..---- ZIp: r-- ZONING: '[<{ ~~~I BUc- 2% St- Ur.it C. "6 7 ~ }-Z... - 2.. '-It '7 ~ SubdIvISIOn: ()~ 30 79t) 2-3 G>(Q TYPE OF WORK: SIZE/V ALUATION: o ResIdentIal 0 New Constr. 0 Re-roof 0 Stove SF @ $ /SF. = $ o Multl-family 0 AdditlOll 0 MoveD Garage SF @ $ /SF = $ o Commerclal 0 Remodel 0 DemohtlOn 0 Deck SF. @ $ /SF. = $ o Reparr )(Slgn 0 Other TOTAL VALUATION $ ~O(j. ~ BRIEF DESCRiPTION OF THE PROJECT~~~" , " r.. $, I.. N. ~4'-< - (i) _)Jt\:<-L~ { ( __~~ ~~L). ( slr,i4 eJr Lf )C~ . t---t?~ C:\c r.:>L\ <..1 ~t-.L .t-~ L1f;rf/L.Jt=lr....tf1 ~~ (A0lfl-'\' wi ~\(L r "t ....M.( WJ'"O):>~ 'c, ..J- E l N.. - ~ (){l...a..cf S~~ COMMERCIALIRESIDENTIAL: Occupan y Group: Occupant Load Construction Type. .--- No.ofSton". Lot S=. Exi,tffig Sq Fi. & Pmpo,"d Sq. Ft ~ TOTAL Sq. Fi -,;j If: ~ Total lot coverage % -1 Sl'db . 1::.-c:>' V 1 & APPROVALS: ~ G PLAN: ~~ ~ BLDG: ~ 1: t:l> DPWU: ). , FIRE: ~ OTHER: ~ f . ~~ VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant. l~ '4 This figure will be reviewed and may be revlsed by the Buildmg DlvlSlOn to comply with current fee schedules. Contact the Pemut ~ ~ () Coordmator at 417-4815 for aSSIstance. ' r "-,j PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the time the building permit apphcatlOn and constructIOn plans are ~ subl1lltted. All other permit fees are due at the time of permit Issuance. 0' \);I EXPIRATION OF PLAN REVIEW: rfno pemut is issued within 180 days of the date of applicatlOn, the application will expire. The 01..J BUlldmg Official can extend the tune for actlOn by the applicant up to 180 days upon vvntten request by the apphcant (see SectlOn a RI05.3.2 of the IntematlOnal BUl1ding/Residential Code, 2003). No applicatlOn can be extended more than once. PLANNING USE ONLY: ESAJW etland( s): 0 Yes 0 No SEP A Checklist requrred? 0 Yes 0 No Other. I hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. j}... T.\FORMS\BldgPenmtform wpd Applicant: ~ ~ A.8~f Date: 7 - r r-[)7 / I , . it1tli,~~$fil;l~~G>,~EI~~WS'S~GINJm~~J~~~~~ji{1i}~!~ . . , . PLUMBING TRAPS: . WATER HEATER: SEWER: WATER: MECHANICAL: VENTS: FURNACE: GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: I' Applicatlon Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Applicatlon type description Subdivislon Name Property Use Property Zoning Appllcatlon valuation 07-00000757 Date 7/09/07 319265 511 W 8TH ST C 06-30-99-0-2-3610-0000- 8TH ST. BRIDGE'S GRILL COMM NEW CONST o ;j , J U1 ..J fl='ORr~ "....o~~~ ~"..~ 'IL~ ~ 'toil,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 \ UNKNOWN 5000 Owner Contractor JASTMAR INC 511 W. 8TH ST PORT ANGELES (360) 808-2989 Structure Information Other struct lnfo . OWNER WA 98362 000 000 952 SF MODULAR RESTAURANT & DECKS TOTAL % LOT COVERAGE 23 00 CONSTRUCTION TYPE V-N NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1 00 3080 00 17500.00 952 00 4032.00 1 00 \J1 - - C ~ ~ O"X' ~ q,O ~~:v r;() ~, ~ 0)- ~ ........ 0?' c 5 ,/ ~q~ -' ..,.. %~ ("") O~ 0> ~ ~ Permit BUILDING PERMIT - COMMERCIAL Additional desc DNG & ORDR DECK/RAMP Permlt pln number 105627 Permit Fee 137 75 plan Check Fee 89.54 Issue Date 7/09/07 Valuatlon 5000 Expiration Date 1/05/08 Qty Unlt Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42 00 Permlt Additional desc Permit pln number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 105999 72 00 7/09/07 1/05/08 Plan Check Fee Valuatlon .00 o Qty Unlt Charge Per Extenslon 50 00 7.00 15 00 BASE FEE 1 00 7.0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER Special Notes and Comments Address numbers shall be plalnly vlslble from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. A minimum 2A-I0BC flre exingulsher is required. Extlnguishers must be mounted, wlth the top no more than 5' off the floor Suggested extinguisher placement is adjacent to an exit. 06/29/2007 05.11 PM SROBERDS - The proposal will result \') 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 .3 for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last . inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All proVISions of laws and ordinances governing this type of work will be complied With whether specified herein or not. The granting of a permit does not Z presume to give authority to violate or cancel the proviSions of any state or local law regulating construction or the performance of C? construction. . t., ~ ~ Signature of Contractor or Authorized Agent Date T \Pohcles\II02_15 bulldmg penmt mspectlOn record05 wpd [1/4/2005] , BUILDING PERMIT INSPECTiON RECORD , CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSUL/,TE OR CONCEAL ANY J;VORE BEFORE' INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA T10N KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSI'ECTlON TYPE DATE ACCEPTED COMMENTS I YE" NO FOUNDA TlON FOOTINGS SHEAR WALLS 1 WALLS FOUNDA TlON DRAfNAGE 1 DOWN SPOUTS 1 PIERS I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LlNE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CElLlNG FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CElLING I MECHANlCAL ROUGH-IN HEATPUMY I FURNACE 1 DUCTS I G AS LINE FINAL DATE ACCEPTED BY WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SIURTING PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPlNG SHORELINE 'I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTlONR W IPWI CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUTLDING 417-4815 BUILDING T \Po11c1es\1102 15 bUl1dmg penmt mspectlOll Tecord05 wpd [1/4/2005] :f~ORT ""Y. $".J..O~<(~ , ....~ if .. L~ ~ ~,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Applicat10n Number Applicat10n pin number 07-00000757 319265 Page Date 2 7/09/07 Spec1al Notes and Comments 1n the placement of a modular build1ng for use as a food estab11shment with outdoor seating in the CN zone No land use 1ssues anticipated. MAINTAIN CLEARANCES FROM SERVICE WIRES Electr1cal load calculations and elctr1cal perm1ts are required. San1tary sewer connection 1nspection is required by Public Works pr10r to back fill of ditch 24 hour advance not1ce 1S required Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Cred1ted Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 209.75 209.75 .00 00 Plan Check Total 89.54 89.54 00 00 Other Fee Total 4.50 4.50 00 .00 Grand Total 303.79 303.79 .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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (If owner IS bUilder) Date T \Pohcles\1102_15 bUlldlOg penmt inspectIOn record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD . CALL 417-48] 5 FOR BU]LDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS 0 CALL 4] 7-4807 FOR PUBUC WORKS UTIUTIES - ~ PLEASE PROVIDE A MINHvlUlv124 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANI' WORE BEFORE' \ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON .,..j KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE U1 -J INSPECTION TYPE DATE ACCEPTED COMME.NTE. YEE. NO FOUNDA nON FOOTINGS SHEAR WALLS / WALLS FOUNDA T10N DRAINAGE / DOWN SPOUTS P1ERS I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) ()7 J 30 /61 J"LL FINAL 1 0 ~I D1DA.TE GAS LINE T " :fi-L ACCEPTED BY BACK FLOW / WATER AIR SEAL WALLS CE1LING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (fNTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CElLING I MECHANICAL ROUGH-IN HEAT PUMY lFURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE / PELLET I CHIMNEY 1"\ 41) U vf\12.11 ~ i)O W N :t7 /f~ I u:r J\)... MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT SEP ARA TE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R W / PWI CONSTRUCT10N - R W ENGINEERlNG 417-4807 PW I ENGINEERlNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BU1LDING 4] 7-48]5 BU1LDlNG I07CJlT01 :JU..., . ~ - - ~ 00 y. ~ . '-" C 5 + (\ ~ 3 T IPo11clesl1 ] 02 ] 5 bm]dmg penrllt mspectlOll lecord05 wpd [1/4/2005] z E. " ~ ~~ This certificate is issue Code certifYzng that a of the City regulatzn Business name I Business addressfJfl Owner of busineSillll: Owner's address . Automatlc fire sp \'In Use & occupancy \1. Building permit nu Type of construction Occupant load 10/01/07 Date be removed except by the Building Official. , If ?ORT' ~ lO~~~ ,. ,. .. ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o --1 ~ V1 -J Appl1cat1on Number Application p1n number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Appl1cation type description Subdivision Name Property Use Property Zon1ng Appl1cat1on valuat10n 07-00000757 Date 7/09/07 319265 511 W 8TH ST C 06-30-99-0-2-3610-0000- 8TH ST BRIDGE'S GRILL COMM NEW CONST UNKNOWN 5000 Owner Contractor JASTMAR INC. 511 W 8TH ST PORT ANGELES (360) 808-2989 Structure Information Other struct 1nfo OWNER WA 98362 000 000 952 SF MODULAR RESTAURANT & DECKS TOTAL % LOT COVERAGE 23 00 CONSTRUCTION TYPE V-N NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 3080.00 17500 00 952.00 4032.00 1. 00 Permit Additional Perm1t pin Perm1t Fee Issue Date Expiration PUBLIC WORKS COMM WATER SERV 01 desc . number Date 106369 770.00 7/09/07 1/05/08 -- - plan Check Fee Valuation .00 o Qty 1. 00 Un1t Charge Per 770.0000 EA PW W/M I" SERV 5/8" METER Extension 770 00 ~ " Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a min1mum of S1X 1nches h1gh and be of contrast1ng color from the background A min1mum 2A-10BC f1re exingu1sher is requ1red. Extingu1shers must be mounted, w1th the top no more than 5' off the floor Suggested ext1nguisher placement 1S adJacent to an eX1t 06/29/2007 05'11 PM SROBERDS - The proposal w111 result 1n the placement of a modular bU1ld1ng for use as a food establ1shment with outdoor seat1ng 1n the CN zone No land use issues ant1cipated. ~ f t!? '-.: C 5 .""" -r o Permit SANITARY SEWER HOOK UP Addit10nal desc ALTER EXISTING SEWER Permit pin number 106377 Perm1t Fee 40 00 Plan Check Fee 00 Issue Date 7/09/07 Valuat10n 5000 Exp1ration Date 1/05/08 Qty Un1t Charge Per Extension 1. 00 40 0000 EA SAN SEW REPAIR 40.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180-days after the work as commenced, or if required inspections have nOt been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date S>tt~A~~ Signature of Owner (if owner IS i1der) ? -? ~O / Date T'\Pohcles\1102.15R [1105] PERMIT INSPECTION RECORD ,... CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, .. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIvIsIon) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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'\Pohcles\1102.15R [1/05] I If ,CRT ~ lO~~~ .~ * ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Appl~cation pin number 07-00000757 319265 Page 2 Date 7/09/07 Special Notes and Comments MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculat~ons and elctr~cal permits are requ~red. Sanitary sewer connect~on ~nspection ~s required by Public Works pr~or to back fill of d~tch. 24 hour advance not~ce is required. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pa~d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 810 00 810 00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4 50 4 50' .00 .00 Grand Total 814 50 814.50 00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180'aays after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the prOVisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner IS builder) Date T'\Pohcles\II02.15R (1/05] PERMIT INSPECTION RECORD ,. CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, ,f INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIvIsIOn) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R. W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\Pohcies\1102 15R [1/05] JASTMAR INC. 06-30-99-0-2-3610-0000- 07'-00000757 COMM NEW CONST PREPARED 10/01/07, 9 59.52 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 511 W 8TH ST C 8TH ST BRIDGE'S GRILL INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 808-2989 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLMH 01 7/18/07 JLL 7/18/07 AP BL3 01 8/28/07 JLL 8/28/07 DA BL99 01 10/01/07 #- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL6 01 7/30/07 7/30/07 JLL AP PL99 01 10/01/07 If PAGE DATE 7 10/01/07 BLDG MFG HOME TIE DOWN 07/18/2007 10 13 AM LPANGRLE STEVEN 808-2989 FOUNDATION - MODULAR TIE DOWNS 07/18/2007 04 46 PM JLIERLY ---------------------------- BLDG FRAMING 08/28/2007 08 33 AM LPANGRLE STEVEN 808-2989 "HANDICAP RAILS" 08/28/2007 04:52 PM JLIERLY ---------------------------- f1n1sh hand ra11 and ada term1nat1on/Jll BLDG FINAL TIME 04 00 October 1, 2007 8 41 53 AM Ipangrle STEVEN 808-2989 BLDG FINAL REQUESTED LATE AFTERNOON DESCRIPTION RESULTS/COMMENTS PLUMBING WATER SUPPLY 07/26/2007 03.45 PM LPANGRLE STEVEN 808-2989 WATER SUPPLY LINE REQUESTED AN INSPECTION FOR MONDAY 07-30-07 07/30/2007 03.58 PM JLIERLY ---------------------------- PLUMBING FINAL TIME 04.00 October 1, 2007 8.42 33 AM Ipangrle STEVEN 808-2989 PLUMBING FINAL LATE AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/28/07, 9 41 41 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 9 8/28/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL _ APPL NUMBER: 511 W 8TH ST C 8TH ST_ BRIDGE'S GRILL SUBDIV JASTMAR INC 06~30~99~0~2~3610~0000~ 07~00000757 COMM NEW CONST PHONE PHONE (360) 808~2989 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLMH 01 7/18/07 7/18/07 JLL AP BLDG MFG HOME TIE DOWN 07/18/2007 10-13 AM LPANGRLE STEVEN 808~2989 FOUNDATION ~ MODULAR TIE DOWNS 07/18/2007 04 46 PM JLIERLY ~~~~~~~~~~~~~~~~~~~~~~~~~-~~ BLDG FRAMING 08/28/2007 08 33 AM LPANGRLE STEVEN 808~2989 "HANDICAP RAILS" BL3 01 8/28/07 9Jf ~17~ ,"~Ol'~-~------------------------------- PREPARED 7/30/07, 10 17 38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 7 7/30/07 ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER 511 W 8TH ST C 8TH ST BRIDGE'S GRILL SUBDIV JASTMAR INC 06-30-99-0-2-3610-0000- 07-00000757 COMM NEW CONST PHONE PHONE (360) 808-2989 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS ;;;--;;----,i:;i;;---~---i!~:!!1:;:1:::;;::--:;:::;:;------.-------------------------- ~- \:) REQUESTED AN INSPECTION FOR MONDAY 07-30-07. -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 7/18/07, 10 27:46 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 511 W 8TH ST C 8TH ST BRIDGE'S GRILL INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE JASTMAR INC 06-30-99-0-2-3610-0000- 07-00000757 COMM NEW CONST (360) 808-2989 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLMH 01 7/18/07 t( !f- BLDG MFG HOME TIE DOWN 07/18/2007 10 13 AM LPANGRLE STEVEN 808-2989 FOUNDATION - MODULAR TIE DOWNS PAGE DATE 9 7/18/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- I I'-f\ \ Lt: I <.., ~K.. \\ <; R.l LL YC1'L'\ J\NG,ELE5 '+ " Ion..!<.. iTlAluaft I.r.4Yq.! "'-::> \\OI-llO"'~.s. :110'10 "bJ"OINI~ g._OJ'-""'J1.l"&,__ )\.IANl R,~p N~ t 5c"'''II<I~ z' \ -':.' -: ....'y..( 00 ?J(l"G, L"'''NDR.'oJ I TANNIN(" SAt.t:>N 'W3' q,o" PhA LA!JDIN" ~r:: .;' f/:)' t Ii' t+< 20' 4'1' so' 6' I2.S'1=~-- ~'b,t1TH S1REeI ---- --~- ------ - . " ,0' l'IzcPOSEL:> l(:)x4'2.. c.cNeesSIO'" 116' 11tJ>..1Le.1l. tnoPoSGt> sr.z.o Cove~ P~I<. '-'+'-'0'---'\..4' + I (7/16/~g97) Llnd~,Paf!g!~~ ~'Re New'3^e~ta^uranr ^"^" :P~g~^Tll From: To: Date: Subject: Jeff Young Linda Pangrle 7/16/20072:37 PM Re: New Restaurant cc: Brian Richardson; Gary Richmond Yes thanks Linda, we will follow up with our questlonalre. >>> Linda Pangrle 07/12/2007 2:59 PM >>> HI, We Just Issued permit #07-757 for a new restaurant called the "8th St. Bridge's Grill" located at 511 W. 8th St. It IS a modular restaurant 10' x 42'. Customers will order food at a window and either take It away to eat It or eat It outside on a deck. The owner IS Stephen P. Bridge (Jastmar, Inc.). He can be reached at 808-2989. I hope thiS Information IS useful to you. Linda Pangrle, Permit Tech City of Port Angeles 360-417-4815 ~*. 5+-~ ~Y'~&je\: G~ II BUILDING PERMIT - APPLICATION 'OR OFFICIAL USE ONLY' ate Rec.. k> - ::L Co -0 r:; penmt#:~' - iJ. Date Approved / ~ / Date Issued: . - 7 ': Fill out COMPLETELY and in INK. Your application and site plan MUST I COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent:.:::rASTM.1\R .IJJL. / 'STPY2N. 7. . I { Owner: S1L-=V~? 'B~L'D.gF' Address: ~Il W. ~~ <;~l Architect/Engineer' S e:=LF City: ii-. M.~~~ '2>G:>e> ~ ~o '? - ~9 ~7 300" ~o ~- 2- '} ~7 Zip: ~ k' '3.<0 ;t. Phone: - Contractor Se:::Lt- State License #: Exp: Address: S'l\ W. ~ S,-- UnttC' City: 'p-. A:, PROJECT ADDRESS: $11 W. ~ 'St-~ \,pp... s~ ~~'("" ~7 2,.-z..'It/ ~E:aE 79 LEGAL DESCRlPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: () Cr-' 30 Cj c; 0 ~ ~~{ 0 Phone: Zip: <7 g '::)e:, a.. CoM-M.L...>Rc~ - ZONING: Ne. tt ~ p,~~,- l Th4:=.. :.?-3(.:. TYPE OF WORK: ATION: o Residential ~New Constr. D Re-roof 0 Stove ISF. = $ o Multi-family b Addition D MoveD Garage SF. @$ ISF. = $ -:-i "",Commercial D Remodel D Demolition ~Deck 53>2- SF.@$ q.'-{D ISF.=$ T 7'::;;[}VO.CD D Repair D Sign )l"Other M.ODvC/dL- p~.e;tf()TAL VALUATION $ ~~. LD BRIEF DESCRIPTION OF THE PROJECT: (~,"!.,ih)cr t:>~ ~C:t (J>) 1411\G" AI-A .pp(~ ,..-. I / L,<; ( '-f~( .n' I Or- ;...u}{\u tAR... , () 'F~?; Rn I L-h I ~ q. (. c:.. ) (" Y- c-- b... Jo.' , .u u.. ~~k t 25 ~ 20 ~eiL 'U t:~ .J Lf{ f 3V (A:J>P!l--'f~ i.~(-(,,~ l'\:cC'E-S';: {'oLE R~p" f~D'=>~ 'i:)CU<.. tidC:u.<fl (?~~ o~ Ct~ COMMERCIAL/RESID f NTIAL: Occu:Q.ancy Group: Occupant Load: Construction Type: l'A-otI u<A.R.. D./....b~. \ 17/90 y; -=~ _,eJi) IV No.ofStories:_ Lot Size: f'J-S'fI'fO ExistingSq.Ft 30~D &ProposedSq.Ft ~=.TOTALSq.Ft. ~@ ~_, Tota11ot coverage .;t3 - % '" ~ "L ! l!' 7 L'l~ '1 S 2. Jt1 Lto 3:z.. r; ~ i PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ~ ~ 1.I' 0 I c,.. s- . -'i' ESAlWetland(s): DYes D No SEPA Checklist required? 0 Yes D No Other: VALUATION 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: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application. the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International BuildingIResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that itJs my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. "OIFORMS\Il1dgl''''''''''''''''wpd AppJicontq h',~ jJ~~ Da1o: Ir 24r () Z J ,~ .~ .\~... .... . ~m~sa1GmlI$~~T~ . _ h - - ~?-'-,.,. PLUMBING ,/ v TRAPS: WATER HEATER: SEWER: , WATER: \ MECHANICAL: VENTS: FURNACE: - - .. - .- -- GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: '- , J " ~ odu 1ttV' / ~ ' " (~ , '.\ /" -(I if 1li!iII ~-- "I.oiic~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST5THSTREE'[, PORT ANGELES,WA98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000927 Date 9/22/03 5H W 8TH ST, 06-30,,99:-?-2-3610-0000- RE-RoOFc:(" 1800 Owner Contractor ---------'--------------- BORGMAN GRANT,' M 5H W 8TH ST PORT ANGELES WA 983625835 AFFORDABLE SERVICES 258663 HI - WAY 101 SEQUIM SEQUIM WA 98382 (360) 452-5264 -------------------------~-------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF. FELT. TORCH DOWN 86.65 Plan Check Fee 9/22/03 Valuation 3/21/04 .00 1800 Qty unit Charge Per Extension 47.00 39.65 D, BASE FEE 13.00 3.0500 HND BL-501-2K (3.05 PER C) ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 ....... - Fee sununary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 86.65 86.65 .00 Plan Check Total ..00 .00 .00 Other Fee Total 4.50 4.50 .00 Grand' Total 91.15 91.15' .00 Due .00 .00 .00 .00, E ~. ~' (!I) '~ Separate F'ermltsare required for electrical work. SEPA, Snorellne;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~80 days atterthework as commenced, or if required inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and 'examined' this application and, know the same to be true and correct, All provisions of laws and ordinances governing this type of work wiUbe 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. . (JNFI LC Signature of Contractor or Authorized Agent Date '-. '", Signature of Owner (If owner is builder) Date . ..- ........"... . T:\PLANNING\FORMS\1102.15. [412002] BUll..DINGPERMIT INSPECTION RECORD ::-: ( 'i';-: {'lh~: - - - - -- - .'~" ., CALL 417A815 FOR BUI~DlNG INSPECfI()NS~rpLEASEPROVlDfFAMINIMUM24 HOUR NOTI9E.1T IS.ClNLAJYFUL To~liK~R. INSPLATE OR CONCEAL ANY WORJ(JJ!ifOJl~ INSPECTED AND ACCEPTED. POST PERMIT IN' A CONS~I(.:{!().,SLOCATi6N. " ,'" -- - - ''''' - - ' -- --,,,.'tjt_- '''n' '-~_'--~"'~::;:--'--;,:-~;,/:'-~"~~'~--'-' ->"',;'~" '. - - - - - - - - - .:._~~ > c.::'~':-i;2.";'_ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ", :~ - - .' - -' "-,' -,--', -', -.-n:':: ,,--. ,. >f."':,[.',~. :.r- -"-' INSPECTION TYPE DATE A~C;:EPT~ . · .'. fer 'Y:;;Y:'f;i I. .... I YES NO . ---!~Y"A<i;~~ . FOUNnATION: . ....,Y ," /t, .. ....... . FOOTIl'IGS . . .' WALLS .., . . ....r ,; FOUNDATION DRAJl:-IAGE . . '. ELECTRIcAL:.;'" .. ; - .:. .- .. .. (UGHT rlEPT) SEPARATE PERMIT: # .... "'. '. ."".~n .;... " .,'j .yr;. ,'iT 'c. r': . . PLUMBING ," '.' f ".l .. UNDER I'I-OORISLAB ..... ...' . - .... .,... ROUGH.IN . WATER LINE .(, GAS LINE.> '. .. .' BACK FLOW! WATER . . '." " ". .. . AIR SEAL ,'" WALLS . '.. I . CEILING' I C'.:. I ii. j'. {I': ":' .. ..... :, ..y ." FRAMING .... .'. JOISTS I GIRDERS SHEAR WALL ,. I.. WALLS I ROOF I CEILING . DRYWALL I. T-BAR INSULATION SLAB WALL! FLOOR! CEILING ...'" . I . - . MECHANICAL HEAT PUMP WOOD STOVE! PELLET! CHIMNEY HOOD I DUCTS . .... . ., '. PW UTILITIES I SITE WORK (Engineering Di:-ision) SEPARATE PERMIT #'5: '. , . WATERLINE I METER . SEWER CONNECTION , SANITARY .' .'. . STORM " . . PLANNING DEPT. SEPARATE PERMIT #'5 .. SEPA: . .PARKINGILIGHTING '.' ESA: LA\liDSCAPING ) .. SHORELINE: .' ',,..,'''- ,..,-.,;....,..".,.,,--- .-,'j,.: '.' "......y.. '];"}1"JN.(\WNSPEq:I.ONSREQUIR~D PR.IOR.!tQgcCU~~!,9',~~~,:<ini ';;'<:. 6 ; ,-,,' " ,- -~t~tJ'\ ~ ~.<,j'J~;"':' ':;o;i:<,cj,l'S '. , iU:SIDll:rmAL "'",,, ...., UA 1J<i' , YEs '>NO': '. ....COMMERCIAL .' 'j;DATE' ACCEPTED' I' " ;; '" ~,:-*>:-i:, "i':!}) --'>~~ .b '\-ES'" 'l'i/i'NO .'. ".'-"" ..", "iT .....v ELECTRICAL:" tiGHT DEPT; .... 411-473S .. '. ELEfiP8iM 1),_" . '-,' " , . .... ,. . '. L1GHTD,J'T '.", CONSTRUCTION R,W.I PW! . . ..' - CONSTRUCTION".. RoW, ...... 1.'-' ENGINEERING 417-4807 PW I ENGINEERING . ! . FIRE 417-4653 .. FIRE DEPT. ;',f,,'., \.:" ", PLANNING DEPT. :417-4750,1 ~.....kA '."" ,I;' PLANNINqpEljil\i; ",_,<::,;,~" : ;ix; , !. .......... ~ f 11. 1_':- 11,/ :'.' amLDING -y..... ;. BUILDING.... 417.4815., . . , ",;,y' '. ...."!.'.,. ... T:\PLANNING\FORMS\1102.IS [412002] SEP-19-2003 02:00 PM 2D673A53. 3 .. ..................... ...-......,........ ~ ~-a'-o~' I.04AM,CITV ~ORT ANGELES 360 582 9029 P.01 ,3$041 '1"'" \.1. .....",....;'~'~I:t'~r.~:c.I.':I.' I '. I . ' " ," : "",; ;'..;;' :"~:.,:,l".,~~. ~I"'."" ' , FOP. OrPlCW:USE ONLY; Da"fWc.r~ Pmtjlr... q 27 Oat' AppT'Uv.d; 0... ~: s BUILDING PERMIT. APPLICATION FlU out COMPLETELY IInd lD INK. Your appUcatfouDd sit. pllD MlJST BE COMPl.ETE to be accepted rpr mil". II you bave lilY qu.tioa., eaU (360) 417-4815 ~::~&;~~ (~CV0 fY1n ~ . .... i:,;;~tr:O~:tt/~ AddrclS: f2LL ML' ~ City: 1d1tj.~~.fts tJJf+. Zip:?~~2.. :.:~: I; ./0 H filA, fh Stat. Li....1ij::OIV;J~"!I~!k~~ I'honc: fI;?;?, -C{n/q ~:7S~3J.J.1Al~ J 0 I I^:.. Clty:.<; ~~(J i 0 ;'.) &: 1Jp:'iPi1?J2 -7'f?c PROJECt ADDRESS; !2iLl1i 22V~, .:.)h,t/ PI. _ _ __ - ZONmGI LEGAL DESCRIPTION: Lot: Block: Subdivision:' CLALLA.M COUNTY PARCEL NUMBER: _ C~'Cv4B.ldorN__ ~ ~ ~~~ BIJIlqAddrua: '2.S~{1' I'. City: ~e~(.u'~ U<.r4- qe ~~-~~ . n'PE or W()JU(: : Sl7JtlV.u.U411ONl. . c RMidelltI.aJ 0 Nt... CoDstr. fll.b-roof C Stove'. S1. @ S JSP. ., c MWti.ti.mI/y 0 AddiUon 0 Move 0 Oange SF. @S ISF.. S l:l c.omm.cw C Remodel C DomoUtWn CJ'[)eGk. ..... .Sf.;@S /SF..-S' C RlIpa.ir 1:1 SiSJ;l C Other .' ". ....TOTALVALUA~ON $~ BRIEF DESCIUPTION OP TBE PROBCT: Tt'n r ~l {(/..J:..7-:&i.SR....5 _~J1.i1- l ~)7)= c_ :,-'.,> ,','- """;i'O:''''':;>:,i'';; COMMltR.ClAIJUSmENTlALI Occupancy Group: OccvplDtLoad:. No. ofStories:_ lot Size: &lttiDg Sq. Pt. . &Pt~Sq. P't. BldIting lot covl!ll'ajlLl _ % & Proposed lot COVctllSI _ % · Torallcit coviDgci C01l8tn1ctlon Type: · TOTAL Sq.Pt % ESAlWctlwl(a): C YOI 0 No SBPA Chcckl.i4treq~'1 eYes 0 No. Other: APP1l.OV ALS: PLANs BLOO: DP~I__ rm:E= OTBBlll_ PLANNING USE ONL YI BUILDING PERMIT APPUCAUON SUBMn'TAL: The euil~ Divialon can provide)'OlI with bIformatiou OD the applk;aIiOl1 and plulUlDIit1aI mqullenJemll Jf ION: In I1J cues. a valuaUon amount mwt been_eel by the appliclIlt. nus fipre will be m1cwtcl arulma.ybe mil. bytbtBv.:lldiqDivilioo to oomply with wucnt fee ac:hCldu1n.Co~thc Permit Ccoro1Dalont41?4815 torll.iItar1ce. PLAN CHECK FEE: JlI a p1au acck fee It chic it mwt be .ubmlllDd at the ~ tho buildir1& permilapplicauou wi ooutNctiaza plaas ~ INbmittc4 All other pem:liUeellrf due at tbI time ofpamit iN\lmQCI,</,' . ......, Exmu.nON OF PLAN JUMEWI flDO permit leluuec1 witbto 181>>. ~~ of tp.o' cat'of Ippllo.tiou. the appllcatlell will uplre. The BuildP1, 01Beia1 c:Q extaD4 tb. tiD:u: for lO1ic:o by tho 1pp&lI1t up to 180 daY- upcmMtttCa reqwiat by che IppUcanC eM SeetiOll107.4 of the Umtonn BaUdms Code, c:ummt edition). No application can bo a~d ~!'!Jhl:D (mC". I het9by CIJIf/fj ItIst I 11M 1Nd anri 'Xlmw,1d /hit appl/oaHon and /QIow th" 4,me fa be true'8ntJ COITICt. I ." .lihQrlz8d to tppJy fof tlill perrnH ",d =':uo:=~-~.~:-#};;~~ob~D:~~~;0 , "N'" ./ ((' /..~" P' .... . '1 g 'ill, CITYOPPORT:A:NGE[ES' DEPARTMENTOFCOMMuNITYDEVELOPMENT. ., BUILDING.DMSION ',' ,,,,,.-,-.,, ".- >,-"':-.E..-'" ,-,._,' ":'.' "C" \'-", -"., '" ,,' . ..' . '3ilEAST5W~'I;REET, PORTA~GEtES,'WA:98362 . , ',~ -i~ ~ ' \l, ' , , ' "-". .,' '. Application Number . ; >"PropertyAddress . . .. ASSESSOR PARCEL NUMBER: Application description 'Property Zoning . ;. . Application valuation . '0:3-000~()42i .' 511W 8THST 0630990236100000 ELECTRICAL ONt.Y Date . 5/02/03 o Owner . Contractor -----~------------------ ELECTRIC 'SERVICES WA 983625835 , ." . ' : - - - --",:,.~-- - -"':' --0:- -,~,"": - - -.- - - -...--- - - - - - -,- ~~ -~- - __r.-:-;c'...-_~".~,,,:,!,,:t,r:':~':"~ -.- -:"--:- - ~)..;.:..- - - - ~.;..;-;,.;... --- Permit . . . . Additional desc Sub Contractor . Permit Fee . . . Issue Date .' . EXpiration Date ELECTRIC SERVICE , 64.60 5/02/03 10/29/03 .. -".', ."^." . Plan Check Fee 'valuatiCf' . Unit Charge Per 59..4000 ECH 5.2000 ECll: EL.,COMM ALT<5 CIRcUl;'l;'S > EL-COMM ALT7ADDTNL CIRCUITS Extension 59.40 5.20 Charged Paid' C~edited .> Due ----...;.----- 64.60 .00 64.60 i j:: ",,;~~t ""I' BUlLDINGPE~!.INS,PE,CTIONRECORD I. .. ,y . . '. . .1' CALL 417-4815 FOR BUILDINGINSfE,CTl9NS. .P!?g1\~EP~9:vIDE A MINIMUM24;HOUR NOTICE..'I'(IS UNbj,WFULTQ CJ,(lVlJ!l; INSULATE OR CON~ANY WO::::;~::~;;;:P~::::~;;::Em A CPNSPICUOVS~rS GASJ;INE..., ( BACK FLOW I WATER. A.lR SEAL ...... WALLS CEILING' FRAlVIlNG . .... . ..... JOISTSjGIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR' '.. INSULATION ...... SLAB WALL I FLOOR I CEILING MECIfANICAL HEAT PUMP WOOD STOVE I PELLET I CIllMNEY IV \ ./ .,' .~ . . .r1 ""l t,;,.' it) ~ -;',' . INSPECTION TYPE . . . DATE ACCEI'TED , , YES I NO :.' . ':i" ",.,; , . FOUNDATION: FOOTINGS WALLS . FOUNDATION DRAINAGE ELEc:rIU~,u. . (LlGJ-lT DEPl) R.OUGH-IN ',' : PLUMBING '., UNDER FLQORI SLAB ROUGH.IN :,' WATERLINE . HOOD I DUCTS .' .' PwUTILITIESI SITE WORK WATERLINE I METER SEWER CONNECTION SANITARY" CO\\1MENT& I . , '. , , . .... .', . .' '. . I . . . ,. c::,. I:., . . , , I , . . , ',','. :" ~ , ..,,'.,' '. , , " .' , . " SEPARATE PERMIT: # Ie, I . " . . . . , . , . . :', .' , " ," ,.:- ' . . . " ,.' .": . " .. . . . , . . \) ; .'. "'1 . , "\ " : '. .. , "",' . " , , ,,',' ; . I I '. ,I . : . , . , , (Engineering Division) SEPARATE PERMIT #'s: . , , . '. " , : . : STORM PLANNING DEI'T. "'SEPARATE PERMIT #'s . PARKINGILIGHTING LANDSCAPING . ","C,,, ',..:' .' SEPA: ESA: , SHORELINE: """,\ ..' ", "" ,;,F"~AIt:~SP~()~SREQtJl~I!:DP,Rl9RTOOC,CUPANCYIUS,E,':' , . :- . ,."" .,...:..,.' /, I>~'l'Jl:' 'vES' '.' 1'''~(jJ' I;", COMMERC!tL"':" D.4TE"A<:;Cltl"ti:ri . u~,->'j>;:, ,.,.::.';',: '~l.~., ' -j c""'" ," I ' , ,,":;",",'C',i'F;.{Z, ""', ,'"," ;:::",' .,,( ';",",.'yEs~" NO h 417-47355.', .... ELECTRICAI;," ~.' .. .3/;t Iwc':'<",h.x "Ie \. , . >.." I ..., ,/ !-Ig~i DEPT ';,e" ",." ~ ;..'1ZQ;:J le~.., ''''''',~,'' , . .' . \."',i'< C' ....' i ,'I, "CONSTRtlGTlON-ItWi\,:.!i ",,; ..... 417-4807 PW I ENGINEERING '. I ""',., I , RESIDENTIA\- ':'" L'," ":~, :' , ELECTRICAL - LImIT DEPr,~ ' , " ,~.", ' . " ." ", CONSTRUCTION R. W.I PWI ENGINEERING FIRE on 417-4653. FIRE DEPT. .. " '. PLANNING DEPT. . BUILDING ... '417-4750 . 417-4815 PLANNING DEPT. ....., '.' " ." ,. '. ......, "i ". BUILDING'" "! ','c7 '.,t,.. I .. ..', ..' T:\PLANNING\FORMS\II02.15 [4/2002] (<) 1 (J{)- Oif C>~V\. :s ~lM.fd? I (NL.. ROUTING SLIP :fl'ORT "'>\I 04- 795"" i1'~O~G~~ DfB/A \.1... S P 8-={) k lJ2l\}-\. Certificate of Occupancy ~_. ..'~ L -=::..J =- LA..HJC) ~ M-I't"\'" $47.00 Certificate/Inspection Fee ~ "tt8LICW~'f> DATE ~~lB~~~ S~ AfiY- New Business ........................... . ( ) r Address of Proposed Business ~ v. u Transfer of Business location. . . . . . . . . . . . . . . . ( ) ~LltJ, 3~ Sr, ~ . l1"6 .B Change of Ownership . . . . . . . . . . . . . . . . . . . . . . (-f-) Applicant S~\(tV'l ? 6R, hl'tt= / :r~lM^h New Building . .......... .................. ( ) Address ( INC.. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) 'z...s>' (i, 7 g ~ Temporary Business ...................... . ( ) Phone: business home "-I <:;"'f~ Change of Use. . . . . . .. . . . . . . . . . . . . . . . . . . . . . ( ) :3 (c e ~ VS-7 - ylJ 'f If Brief description of proposed business: LA...! 10 D R.l" l"--'k"'\ / -6. Rt'c.=:Py S(t) ~~ I legal Description: lot Block Subdivision Current Use of Property: l..o..lA.;,-d I-{ ~ +- Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes.. . . . . . .. .. .. . . . .. .. .. .. . . . .. .. .. .. . . . . ==~ PERMITS BUSINESS LICENSE Electrical changes.. .. . . .. . .. .. .. .. . . . .. .. .. .. . . .. .. . : . . . . .. . .. 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . .. . .. . . . .. .. . . . . . -4 2) Plumbing 2) Peddlers Plumbing changes .............................................. -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs.. .. .. . .. . .. .. .. .. .. . .. . . .. .. .. . . . . .. .. .. . --:z 4) Mechanical 4) Pawn Broker New s~ptic tanks.. .. . . . .. .. .. .. .. .. .. .. .. .. .. . . . .. .. .. .. .. . . .. . .. .. . -/?- 5) Sewer 5) Dance New sewer service ............................................... --? 6) Sidewalk installation 6) Hotel.. Motel Admission charged to patrons. .. .. .. .. . .. . .. .. .. .. . . .. .. .. .. .. . ==~ 7) Driveway installation 7) Fireworks Is this a home occupation? ..................... . 8) Curb installation 8) Ambulance Excavation of filling of lots .............................. ==y 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way.. . . . . .. .. .. . . .. .. .. .. . . . . .. .. 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . .. .. . . . . .. . . . . *-- 11 ) Fire New driveway openings .. . . . .. .. . .. . . .. .. .. .. . . .. .. .. .. .. . . . .. -~ 12) Occupancy A grading plan for site drainage.. . .. .. .. .. .. .. . .. .. .. . . .. .. .. .. . -~ 13) Sign (parking lots, downspouts, etc.) ................. . -$2- - 14) Shoreline Are the existing streets paved? ............................. ~- 15) Home occupation Are there existing sidewalks? .. .. .. . . . .. .. . . . . .. .. .. . . . .. .. . ~- 16) Conditional use Is there curb and gutter? ................................ -?- 17) Other Other.. .. .. . . . . .. .. . .. .. .. .. .. .. .. .. . . .. .. .. .. . . .. .. .. . .. . .. .. .. .. .. .. . .. .. -- I hereby apply for a Certificate of Occupancy and acknowl- ~- 3gp~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: , '[Jt",.) ~ ~ ~~ Comments. / Conditions Il- U Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 6, --- "- e ~I ~ <]Il '-f. OA -... I J ,~..._- -I :::r,:'E",""ii"O"" "iiE\li""OC,..C. U PAN CY ~~lii'It:~" r~' ""'OJ.,-. , '" City of Port Angeles Building Division This C~rtiji(/9!ti!~i'ti!~~$~~~'J>ursuant to the requirements of Sectio \109 of the Unifor'11lJ1,/il~~~~!;<;:~~~c?F~ifylngthat at the tif11,{!ofi~~.~~'kf? this s~1ucture was in cJmplianc~.w#hthe various ordinances of the Cityregtllqting ~uilding tW "..,;,:";"','::',',-,:':,":,:,:':'!>:::'::;}>:,'o'::' "<:'_':'/!:::_':".., -'-'-"', "'-,.' , " ,.-,'", ,',' ,--' -';"',-:",'::,:';','::;>/,'::-_,;'t':\:--_:i':" ~~\~ ~i ,jilin/construction or use. For the following:...:,?,' l\ :.~.:~'" uunrmat. . ":":'::::00. V-N B..;~,'N~'JI}::un;Nnmt Owner of Business: Stevem!P. Bndge Address: 511 W. 8th Street. SUIte B. Port Angeles. W A 98362 Building Address: 511 W e~t8th Street. Suite B Port Angele~.~Lf 98362 if!' '~~r 17 2004 ate Po Shall not be ,I, us place. ,",i!!~ "uilding Official. ..~.. () 1--'>1 Cn:V OF PORT ANGELES. DEPART'MENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000288 FEE RECEIPT NUMBER PERMIT NUMBER ., . II! bOfJ-' .. ~. !2'-rmPE<=-:z.gSbf ( : (! 6M All TOTAL FEE' .. CaNT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAlOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 5/1 IAf 81jJ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner Oi..SONS G'f?O~~r" - 0 0 Installa'tion By Oi..'I'mPIL Ei..EC.-r1?1 L. Owner's Address .sn oW Bpi Installers Address 'Sot S. L.,NLD.,J , Day Phone tiS? -55'fO . Installers Phone /..f57- 5.303_ Application Is hereby made for_P~rmit t9 install Electrical Eql,lipme.nt as follows: WFtJH&-e.s l'/- ".]::JR.,.,.~ Site Address Wiring Method (!o",DVlr . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE"OF CIRCUIT PER l00R FEE USE OF CIRCUIT PER l00R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN 50 VOLTS - LIGHT OR LESS CONVENIENCE .. MOTOR CONVENIENCE .. MOTOR - APPLIANCE - MOTOR DISHWASHER - FIRE ALARMS . DISPOSAL BURGLAR ALARM .. RANGE MISC. , . - OVEN WATER HEATER . .0 , LAUNDRY DRYER . REINSTALLATION LIGHT FIXTURE # FURNACE - ..- i. SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC - - . BASIC FEE ELECTRIC HEAT o' TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - A.C. UNIT J-C() AMP 3 PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. By ,13m rA~ MAr' 17 ,19l5S Date Application made . 0;: PJJ~s(r CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. . By . reR;?f~ '., PLANS APPRIJIo 0 Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered o~ current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457'()411 Ex!. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PR!NTERS, I!'I~. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . " " ". . ~ " . ,.., ., ' . " ,. . " . " ., .. . - - ,. - ' , , , . " " ~ '" ' , '. , . ",', . -~. .' , - " , . b -3-13 /(1. if O.K. FOR COVERING 6' ~3-'D) 4t j'~ O.K. TO CONNECT SERVICE ~ -no '(j' 7l)~ , FINAL O.K. . z c:l ex: 00:( :!! !I.! :I: I- Z W l- . l- e z e c . {? RfcElfr tMBER , CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /-<;/:J. PERMIT NUMBER . " TOTAL FEE ~~ft~~~. CONT. LtC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner Installation By Owner's Address Installers Address Day Phone. .....I~7 -,<5 '1-D . Installers Pho e ~ f// Apprcation is hereby made for Permit to install Electrical Equipment as follows: fl. - , Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT I SIGN LIGHT 50 VOLTS OR lESS - CONVENIENCE MOTOR CONVENIENCE - - MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER . REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT .7( /!r, TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL ' , SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certit: that the work to b(2:formed under'this permit will be done by the installe~;ance Q~al Code. Date Application made L...4 /s-: ,19 >?~ By' -. ~A _. 0/. - = (' '. . .. _,oW, 00 ~':~^"' ~"" , . Permission is hereby given to do the above described work, according to the conditions hereon and acco~ding the.ap roved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. _ ,-. \, \ . ..,.' DIRECT R OF CITY LIGHT ' \ - , . Date Permit Issued 11 C-/o\" WARNING I " , , Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report .,.<;- .. , .-',"'-".-'" REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , , . , . , . , . , . , .....~ '\ ) " ,. . -- " , -. " ", , ~-' - , , . - . , - , " , , , I -,- , . , : , I. - . , .. " I, . .0'. .. . , I . , .. , , . - - , ,. , , .. ..~~-~ . \..... , ,.~'\ - , , " " " , .. 7~ It- ct~ 11/% :O.K. FOR COVERING ') -i't ..if (" ~ Z.J , O.K. TO CONNECT SERVICE /- /t-7f ",'/, 7;g FINAL" O.K. " .. . " , , . z Cl a: ~ ::l!: ~ J: I- Z ~ I- o Z o C . / , '.. ELECTRICAL WORK PERMIT APPLICATION ,<;/\ 1..\ / (\ fI.s'rMJ'tR , I ' ~ v - s.~ i3 State ZIP Installation description r Commercial 0 Residential o New 0 Altered/Addition .- Job wired by 0 Electrical Contractor Owner Electrical contractor name License number Date Expires INC. S~c:N ? 6R<~G<= Purchaser's mailing address ~ ';rr, . 11'-\<.;;1 A-(( , N~ (~ p ~ .-'-- ~~-s. . City 1>1\ R, A-f.J (,8.k-, Telephone number r "V{,3 fl- 2.-s->..SL>,,-~ e-.... ~-.>;;. .- k - - Premises owner's name wft FAX number 13Ll5."t- n3,,-,2- -z.-S'3 - S&G, -'?'f'. '!. <l - 1;;- 0 Fn-R \*N- IJ I iJ (, , RUioJ \-oJ I RlIJ(., ro pl\-P:lL Tloi<l .~ Address of inspection :;:>1 \ W' ~ ~. CitYB ok'l ,i\.:-N ("'I='-<'-~ , Phone number to schedule inspection: U'?. - (.,7 i\'"S 1\;:-"'--" V r R.GvM S . "'/IV SI'€ (J, (d\ /~Olo2.. PIVL ..,.. C(It-u</~ Owner as defined by RCWJ9.28.26/:(J) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner Ls required to hirc an electrical contractor if abol'c said property is fur 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~ ]ation or alteration in compliance with thc electrical laws, N,E,C., RCW, Chapter 19,28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Cash )(ChCCk# o Credit Card Visa Card # Mastercard Discover M Electrical Load Additions and or su o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW Date: 7 II-DS; tractions Expiration Date of card 30 Service Information LAR o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN " THERMOSTAT SERVICE f1J),,/".,-- 4cN' Dile Approv~ Dale Approved By Dale Approved By ./. FINAL DITCH FEEDER ..v J, .4zJ) Da Approved By '-. Dale Approved By "- Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector A_ /) ?/ /.<", , / / FROM Electric~S ) FRX NO. : 4526424 Rpr. 292003 08: i0RM Pi .. ELECTRICAL PERMIT APPLICATION FlOTt ()n'\CIAl. 'J~R rJN!. Y Oettllhc' _n _ , PCTTllittt: ..____ _..:, O"ICt\pprn~od:___ Ulll~I.ulOed:_._____'.. The EI~bical Permit Appltcation must be f1111d out comolet.lv, Pl.... type or ...prtn'ln In.. IfJou hlw .ny qu..llono, pl.... call (360) 4174735 Fa number: (300) 417..711 :it J;1.7 " " REQUEST INSPECTION C OWner or Eloe. Contractor Agent: ~12..LC2.4~ L<' $..,.~v '6, ,~l..,- Phon.: I..>. 'S"'2.-{.",.; Fox: Y t"'",_(.,~ 1 U Properly 0.....,.0. r.!1 ; \::' f L " b Q .- ~ )' Phone: "t'5 7- <;''''':2. Add"'.,,] \ {,: Ct'7(k.u<.- <PIC'^-t f2k.;/, Po r- + ~ry/,LG- Zlll 9g-3~~ Elechlcal Conlractor: \2:\.<1 "-'<'1oL'<- ~ I .....L_ Llcllf\8ett.~rrI13'r.;; I;f/'lfl~~ Phone: 4> 2..~" Addre.s: 1?''L ~ \(~ R.&. _City: ~n.\ ~ ,j....v~' Zip: <1T~,..... INSTALLATION WIRED BY: 0 OWNER ~L CONTRACTOA (fr~: , Credit c.rd Holder Name: Billing Address: PROJECT AllllRESS: !;'i I w, <?~ 4") ' / ~ Zip: VISA:~ Crodlt CiJrrf Number:, 23Exp. Date: ()LS,tI./S TYPE OF WORK: Check ~ that apply: 0 New o AltertltionlAddition o Resldental 0 Multi-family ~ Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached gSrtlge 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: (0 o Low Voltage 0 Telecom, 0: DESCRIPTION OF THE ELECTRICAL. PROJECT: n t. "-' n \ 1 +fv I--~ ) -+,;, " ) EI8Ctr,L1;at ~~~~lon!~~ER~~: ~ y' ,.~O ServlcR Information o Baseboard o Furnace ::; Heat Pump (J Fan-Wall KW KNV TON -KW LRA o Overr.ead Service :J Temp Service o Underground Service VOltage: Phese: 0' :J 3 Service Size: Feeder Size: PAMC 14.05.060(6): For Industrial, commercial, & residential projects larger than a duple., a one. line orawlng of the Electrical Service Feeders, building size (sq. ft.), load calculatlons, end the type Co of conductors and/or raceway Is reqUired and shall accompany the Elect, Permit application. I hereby certify that I haVl. read and examined this application end know that same to be true and correct, and I , authorized to apply for this permit, I understand It is not the City's legal responsibility to determine what permits required; it remains the applicants responsibility to determine what permits are required and to obtain such. CredIt Card Holder's Slgn.ture; ~~ Ollte: ~/2~/o?:> Date: ""l2flo'~ Owner or Ele t. Sign.lure: C :iELECTRICALPERMIT APPLICATION