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135 E 1st St - Building
CTEEC E RTI FISO F OIDC U PAN CY City of Port Angeles - Building Division This certificate is issued p'it itant to the requirements of Section III of the 2 .09 International Building Code certifying that ate the ime'of issuance this structure was in compliance with the various ordinances of the City regulating building construction or�use for the following 5 P V'}" a-.'• '! ,+ens' L s�k Business name: Elliott's,Antique aEmporium � Y � Business address .1351East 1St Street i41 s * kA Property owner: * N,- Lodge ' 3 Property owner's"address 131 East 1St Street �F t Automatic fire sprinkler system: NotjRequited ' Use & occupancy classification: Business`; Building-permit number' .,12-196 Occupant load: 1. Per ZOO9 I'BC; T5-ble Type of construction: V Bs � � j 4-11-12 ueRoberds, PI ntng' anager Date Post on the premises in a conspicuou place This cq t ficate shall not be removed except by the ` Building Official. 1 >.,. CER71FICA,TE OF OCCUPANCY APPLICQ TION Permii ' Z � to FEES CETT` OF PORT ANGELES }" $50 Certificate / Inspection Attn: Permit Technician .� 321 E. Fifth St., Por Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 fee charged for Downtown locations ;1 1s) bel —PLE�SE PRINT IN INK Check one: New business in P.A.?X'Chanae of ownership'oni>>? ❑ Moving location fi-om.within P.A.? ❑ Zoning BUSINESS NAME C .(f 6 8 4�S An-�/ LlZF E Pq D I Business address 135- E 1 3f SI , p Mailing address-?O Bo la &1-/56`640A 994A Phone number Opening date!4A 1 Days & hours of operationp-5 I0-5� Business owner's name lei Contact phone3l 83 v /6/ 70 Business owner's address M3 4W_�/ca L" ZJ Brief description of business 3g24 An;4 hlupd =Properly,, ner's name P11AdA� F—t .K's � OD6E Contact phone V57--33�Sner's address/contact /.3i E ! � her AaxsBLF_c LOA 1"9 1- BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/alterina stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc)- Work planned: _ lb FIRE DEPARTMENT phone 417-4653 Fire approval by on ' Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned.- PBIA lanned:PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? �506` PBIA notified on N ImJ Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 City Clerk approval by� on s C% SS( (;P.1!1. Second-hand dealer/pawnbroker business? Yes X No IJ `/ -- ----- Will there be dancing at this business? Yes ❑ No X A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. V Page 1 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (lfS (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: / � o� > lT /xt�2cm� 7PamI[. fe3 A 1n Yb 1 VV t PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by ✓'2 ` 1.2 PUBLIC WORKS DEPARTMENT—ENGINEERING phone 417-4812 Is site work planned (new or re-IocatE�d 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: PWW approval by on 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. 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 73 (Y Print Nam:-Lt ame �', a��Le� Signature d" TAFor'r" wilding Di M-111Certificate of Occupancy Application(2010).doc . Page 2 of 2 PREPARED 2/27/12, 11:22:32 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/27/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: CONTRACTOR : PHONE : OWNER ELKS LODGE 353 PHONE : (360) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 12-00000196 CO- CHANGE OF OCCP/USE ----------- ------------------------------------------- --- PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------- ---------------- ----------------- ------- 0099 01 2/27/12LL BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 02/27/12 TIME: 09:14:14 February 27, 2012 8:53:16 AM pbarthol. Dorothy 461-1748 -------------------------------------- COMMENTS AND NOTES Ccs;i IFIO,4: l E OF DO(CI-IF A NIC '.APPL CA, Ti l 7 Cc C , -r.sp tior .Atj Perm l;Tech 3 �Iftr': J Goi i�inQ?lec art! 9 3 =` I $100 Parkins Business improvement Arec �P6 T A, I (350 417-4C,1c fa; ;330j 41 -Z, I fec riargec for Down.towr: iocarions PLE<SE PRi}VT ZN 110K Chech oI,-: .Nex business in P A,.?S Changes:of own..-rshiTi oilh! _i Movine)ocatlor,from withiT;P.A." _' Loning ! tt BUSINESS NAME �. �jCzr7 .S,- c d EL'SIneSS address 1 / $ I'falllnQ address Ccw,/ „f! `r Phone number J) Opening date A/IV= I Days 8: hours of operation•t - `r`f' -,.;' Business oviners name (-�,o OnIB^ Business owner's address Brief description o' business Property owners nam °�'i"M... Vit.Ki I;".ODC- r'ontact phone �� c�'`�:a a i Property owner's address/contact f r t f err A "i,"Le c 34" i BUILDING DEPARTMENT phone 417-4815 Bldaapproval b}%�_on I is the business a restaurant or bar that,wil'sea 50 or more people? Yes No Construction changes planned (:moving walls. adding/enlarging windows or doors: roofing,.siding, foundation work; adding/altering stairways, ramps, bathrooms, electrical, iieatinglcooiina/ventilation systems, etc). Wori; planned: ,I' FIRE DEPART NIEAIT phone 417-4653 Fire approval by on 3.i2 V— I Changes to a fire sprinkler systern or fire alarm systen n? Yes _ No I I Work planned': PBIA (Parking Business improvement Area -Downtown) phone 417-4623 Square footage of business? 1•`J 11jK) PBIA notified on — 1 I Is business moving within the PBIA? Yes .7 No7 CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes X No �'•` - `��SP1 Will there be dancing at this business?Wes i- No P A City of PortAnge/es Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-A/rotel. Fireworks, Ambulance; and Tattoo Businesses. Page 1 of 2 p LQNI„ �. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 „1.0 Application Number . . . . . 12-00000282 Date 3/22/12 Application pin number . . . 600722 Property Address . . . . . . 135 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-1675-0000- Application type description SIGNS on your state excise tax form Subdivision Name . . . . . . Property Use to the City of Port Angeles .,! Property Zoning CENTRAL BUSINESS DISTRICT (Location Cone 0$02) Application valuation . . . . 300 ' ---------------------------------------------------------------------------- Application desc 2-32 SF FACADE SIGNS - -------------------------------------------------------------------------- 'A «• �' Owner Contractor � ------------------------•. ._ ;.� ------------------------ ELKS LODGE 353 T C NORTHWEST INC 131 E 1ST STREET 333 W. PINE ST. PORT ANGELES WA 983622902 SEQUIM WA 98382 (360) 457-3355 (360) 683-6655 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . 2 WALL MOUNTED SIGN Permit Fee . . . . 170.00 Plan Check Fee .00 Issue Date . . . . 3/22/12 valuation . . . . 300 Expiration Date 9/18/12 Qty Unit Charge Per Extension 2.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 170.00 ---------------------------------------------------------------------------- Special Notes and Comments March 22, 2012 2:50:44 PM sroberds. The proposal will result in 32 sq.ft.of new. signage on two sides of a structure in the CBD. No land use issues anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 170.00 170.00 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does A not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ` yPate Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. _- POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: .Footing/Slab 113locking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By `ft Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 too Building 417-4815 2- T•Pnrmc/Piiilrlinn niuicinn/Poiilrlinn Parmit PREPARED 3/29/12, 8:56:21 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/29/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: CONTRACTOR T C NORTHWEST INC PHONE (360) 683-6655 OWNER ELKS LODGE 353 PHONE (360) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 12-00000282 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------------------——---------------- BL99 01 3/29/12 BLDG FINAL 1'T// March 28, 2012 11:26:32 AM hcatuzo. 17 Kevin 461-5491 -------------------------------------- COMMENTS AND NOTES ----------- SIGN PERMIT APPUCATON Print in ink °�- CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: Date Received 3 321 E. Fifth St., Port Angeles, WA 98362 f Permit# 2r (360) 417-4815 fax (360) 417-4711 ate Approved Applicant or Agent _1 )pnfhq L ,�no [,&1 le-r— Pho uv100Q qLp( 17 Y9 Property Owner G LKS Phone qS 7—3355 Property Owner's Address Sf p/-1p It983 Cp Z Contractor Tc-eyo rl-h w-est l ne, Phone Contractor's Address X35 IV,Plne >.0 IeP " na, w-A gff3S License # �G A/04/ � q81 Se Expires 0q-120 12 Project Address 1 aorl PI F-S 1, WA Business Name IE II n4iq C- fY\Prj aVni �r Parcel Number Lot Zoning Submit an 8 z "x 11 "site plan & three sets of plans that incl E C`E IV E ■ Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) MAR 3 2012 ■ Placement and sq. ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestandiion ■ Separation distance between the bottom of projecting and freestanding signs and the surfEce %9, PtJBT ANGELES See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for signi�6m6nt�DIVISION Sign Type & Brief.Description: (Type, location, sq. ft.) Sign #1 3 Z Sam Rr-t1 (G�i✓-_j 1_QX'J_4 �e_ Sign #2 3 Z S9 � t 't bne6)4n 94- Sign #3 Sign #4 Totals (Unit charges Sign(s) Unit Charge Quantity multiplied by quantities) Type of Sign Valuation $. boo o $47.00 x = $ All signs less than or equal to 25 sq. ft. $85.00 x = $ 1-70, Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. 00 GRAND TOTAL Make Checks Payable to: City of Port Angeles $ Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. + Proposed sign(s)area sq. ft. = Total sign(s) area sq. ft. ...r 10 Building fagade area (height I D ft. X width ft.) sq. ft. (if a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) 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. tj Date 1� 12� Print Name D01'04 L , . PO CJ 1 Iff Signature�J T:Forms/Building Division/Sign Permit Application.doc i Lease Agreement - Commercial Premises This lease is made this_1st day of March 2012 by and between NAVAL LODGE#353, BENEVOLENT &PROTECTIVE ORDER OF ELKS OF AMERICA, INC., a corporation, hereinafter referred to as either "Landlord or Lessor" and Elliott's Antique Emporium, herein after referred to as either "Tenant or Lessee". 1. PREMISES: Lessor does hereby lease to Lessee and the Lessee leases from the Lessor those certafn premises consisting of approximately _1488 square feet of space used as resale located on the following described property located at 135 East First Street, Port Angeles, situated in Clallam County, Washington, being a portion of the first floor of the building situated on the first floor of Lots 17 and 18, block 16, of Norman R. Smith's subdivision of the Townsite of Port Angeles. 2. TERM: The term of this lease shall be for one (1) year commencing on the First day of March 1, 2012, and ending on the February 28, 2013. Two (2) year lease option at 2% rent increase. 3. RENT: Lessee covenants and agrees to pay Lessor at the Naval Elks Administrative Office located at 131 East 1st Street, Port Angeles, Washington 98362, or to such other party or place as Lessor may hereafter designate, monthly rent in the amount One Thousand Three Hundred ($1300.00) in advance, on the 1st day of each month of the lease term be ig nning March 1,2012. The monthly payment beginning September 1 2012 ending February 28, 2013 will be One Thousand Five Hundred($1500.00). Monthly rent shall be paid on the _first_of each month in advance. Any rental payments received five (5) or more days after the beginning date of each rental period will be subject to a service charge of Fifteen percent (15%). 4. USE OF PREMISES: The Tenant will not use or suffer the use of the demised premises or any part thereof, for purposes other than those of resale (business of the tenant) and will not use or suffer the use of the demised premises nor any part thereof for any trade, manufacture, occupation or use which shall be unlawful or a nuisance, or contrary to any law, charter provision, ordinance, rule or regulation or public authority for the time in force. 5. ANNUAL ADJUSTMENT: Effective March 1, 2013 and on said anniversary date thereafter of every year thereafter, the minimum rent of $1500.00 shall be increased for the ensuing twelve (12) months by such an amount that will reflect the proportionate change in the increase (if any) in real estate taxes; government improvement liens, and fire and liability insurance increases on the premises until the end of the term. Commercial Space Lease CGJ:Elk's Club Building Page 1 of 9 CBTY f 'LES r�r :tsar!tct9osl€tiart:l Y �� V PORT The Issuance or this permit based upon these plans,specifi c,tions and other data shell not pfe"ent the building official from thereafter requiring the correct•nn of errors in said plar,s, specifications and other data, or from preventing building operations being carried on thereunder when in violation'otv211 codes and ordirsnces of this jurisdiction. T6C 5/ Gly ` V �] na Approval Date W ,K�- 241 ka0 ,X` cleftaincAa (�i(,S7( j 218 fL W) V UPPER CASE LIE"EAINO V4 APPROX 13.7-TALL I 141nchestall — or mw� X 192 Inches wide =t6 r► 29.5 UPPERCASE LEVERING APPROX14-TALL 29.5 inches tall x 192 inches wide X16 feet 29 5 UPPER CASE LETTERING APPROX 153'TALL d Loy.U7 Inchei tall by . 13..8lnthuwla• r.� I�'.:°�1:u. LeReNngbl.SlnOiesT►0 V l K /�,y,�`r<��N � —e•if' �' -�.�deo✓ 9 lass 2 ea 2-4 .x 1 $_4 Std ws (Ste 0,4 N,IA&,f) r f t nyproval s f n t w►��- bC C►e�t s-4-U-�.�1'� a� �y '' M b o Woo �^ w�l� fit✓ w i.Lw-k k usi a�� '� 1.� 6P-, -6 Lu%J t wit RECEIVE v MAR 13D �� CITY OF PORT BUILDING DIVISION Application Miscellaneous Information Maintenance - CITY OF PORT ANGELES Cl+, a "'d ,•,.,,1 j Application Miscellaneous Information Maintenance Application number- 09 00000544 { ASSESSOR PARCEL NUMBER: 00-30-00-5-1 1075-0000- 1 35 E 1 ST ® 9/09/09; iSeptenber 9 2009 3 03 49 PM 1pangrle 9/09/09 I CALLED THE APPLICANT, VICTORIA 9/09/09 MCDONALD ON THE PHONE SHE STATED SHE 9/09/09 MOVED TO BOSTON AND THERE IS A NEW 9/09/091 MANAGER AT THE STORE (KIM 9/09/09 'TRENERRY-MOGI) VICTORIA SAID TO CANCEL 9/09/09 'THIS SIGN PERMIT THEY DECIDED NOT TO 9/09/09 PUT UP THIS SIGN AFTER ALL NOBODY 9/09/09- ANSWERED THE PHONE WHEN I TRIED PHONING MM 9/09/09: THE STORE Highlighted'Code field indicates the line is not available for List selection. OK X Eit Carvel__._.__I Add k4� corner sign,r2.= 5/13/2009 11 28 36 AM Scale 1 34 04 Height. 219 581 Length 254 513 in Double Sign is 22.8 tall Sided PAINTED 1/2"MDO x 38 wide approx IF Logo is 18 inches tall by ' ' ilit' , • "J+ 35 inches wide f 1 1W 1K Lettering is 2 inches [ Tali approx '} VISABLE VIA LINCOLN&FIRST ST CORNER BUILDING MOUNTED .A7 A RIGHT ANGLE TO THE PLANE OF THE CORNERS / Not to exceed 4112 feet r r � building i I I � 9 feet FILE Side Walk CITY OF PORT ANGELES—Constnreeion risns The Issuance of this permit based upon these plans,specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. f 9N-383 (0 "T?5 Approval Data By •J' l � J&3,4- I �-e �c�I,� rd f�i?�✓1�--/ ,r O�QORlgn, SIGN PERMIT APPLICATION Print in ink r 4s O f /'*'^�•�- CITY OF PORT ANGELES ,9 �► katApproVea r City Use Only. Attn Building Permit Technician 0 321 E Fifth St. Port Angeles WA 98362 ceived lO-3- (360)417-4815 fax (360)417-4711 - �t3nm old S-Vom 452-- g$oo Applicant or Agent SCA orll 0�_ Q A, S-bm i'Y(10X)6LdPhone SOS - 23 Property Owner N ot.V e b PoePhone Property Owner's Address 131 S 3(oZ Contractor/Engineer Phone o, 417-5z5 Contractor/Engineer's Address 32 Rivej License # C)G LS Expire 08 2-3110 Project Address 1 ,3 5 i✓ 15f-- Business Sf-Business Name bw7 c Parcel Number J Lot Z Zoning G R-) Submit an 8 % "x 11 "site plan & three se of ptans that include. Type of sign (wall:-mounted projecting freestanding illumina d other ) ■ Placement and sq. ft..area ■ How the sign will be securely attached (Engineering spe may be required for freestanding signs) ■ Separation distance between the bottom of projectin nd freestanding signs and the surface below See "Chapter 14.36 Sign Code' of the City of P Angeles Municipal Code for sign requirements. Sign Type & Brief Description. (Type, location, ft.) Sign #1 2 2 g x3 9 It _ S `F+ i Sign #2 Sign #3 Sign #4 Q�_ otals(Unit charges Sign(s) Unit Chang Quantit multiplied by quantities) Type of Sign Valuation S ao® yO $47 00 x _ $ -7 00 All signs less than or equal to 25 sq. ft. $85 00 x $ Wall sign or marquees, over 25 sq ft. $115 00 x = $ Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles $ 0-7,CO Credit Cards (Except American Express) are accepted Existing si (s)area sq. ft. +Proposed sign(s)area�_sq. ft. = Total sign(s) area -70 sq. ft. i � 17*6 Buildin fagade area (height J p ft. X width�� ft.) s$5` o6 sq. ft. (If a building has more than one busin ss in it, only measure the area of the building fagade that is used by the.business applying for this permit.) 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 b-3-01 Print Name_ V i C hir, u m (-D oy)-aA A Signature T Forms/Building Division/Sign Permit Application.doc gy SIM10.-Pans0ee Per ehac- NOTES Permit# f v i 4i aq gehayi`(t- t c Pei l C�o tr l lig Gl S KRJ :�.4^ �(-r5 U� '' .�P lYl it�n c'L' t�o h i I 1 Forms/Building Division/Notes PORT RIGHT OF WAY USE PERMI D EC E ow E APPLICATION "RI(S PNO� JUN 2 2009 i l^ NAME OF APPLICANT DATE AgI22GoP tgSm,— MAILING ADDRESS F%rSA" S eet Engineering Seivices Division — PHONE NUMBER (3(00) 4S'2,— 2'600 STREET ADDRESS OF PROPOSED STREET USE 5Aree, DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested please state the name of the-streetla�n�d limits of closure together with the duration ,of closure] SD f '(� lt-�d �1. v N_' 9.9 IN :3,R ivi W dk J JI Q. W SAA_ a 4M6 all — IS THE USE TEMPORARY OR PERMANENT? tJQX'YY�QY�t?in HOW LONG WILL THE OBSTRUCTION BE IN PLACE? C uCc ©n— of (e Ca LQ_ WHAT ARE THE HOURS OF OPERATION? — Co p ryi OLI 1.4 HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? w HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction,the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with the placement of the use or obstruction on the City street,sidewalk, planting strip or right f way rIN�p��tij t DATED this�_day of o ,200 9 �� 4 .•• T� ••. F� 3P4 APP ica _ . ail r a .0 0??�?Olp = OTARY PU Ici fo shington M `BLIG2; residing at f 4T5- IVA S H ��O��(This permit,if approved, maybe terminated by the City of Port Angeles without cau My comission et and at any time !11111 (OFFICE USE ONLY) Date application received Fee paid $ Receipt# Date Certificate of Insurance per PANIC 11 12 140(B) received Agreement to Remove Encroachment signed and on N/A and recorded on N/A Application reviewed and recommendation by City Engineer Date 6 L310Y is S-e ,t A MC_ q 3 4,. 0 0 571eec rw a✓!�c•� 630" Application approved or denied by the Director of Public Works Date Q Approved copies'o: Applicant O Fire O Police O Street O Other.0 Addres file o RUP# D Q - 7-5 N:1Urbor,Service,StandardslChl\2009 ROW Use Permit.doc, last undated March 12,2009 1 ' C E RT C}ATEN; FOt, U PA N CY Y 6fPort Ange`l'es Bui ;di,n9 ision This certificate is issue ursuant,to,�the requirements of Section 110 of the 20 International Building Code �A cert�ing that at the t' e of tss°tanceZ�itsotructure was in compliance with the v ious ordinances of the City d �vs�r.��,.y �'�i��,r}:�s��p'1.3R�� ,�i�w �.u�Rlea-�- ava. "S . regulating building e=nstruct n¢or itse or kea ottoavtr%' "u�w:M1 f . f � are Business name }°azzletl By Twlli.ghf.`-%Q Tuner n.nettegB;runo Roo i Business address 13`5E 15t St. ' #� WN Property owner �a try Naval Lod A e ,P Ems„�EI'ks Load a e"3'S3 ' p tY 9 g Property owners rens" ' 131E 1 S�t:;>Po t..Ar:gel.es W_ A,R9$362-2 2 Automatic.fire spri kl % tem Per IFB,C. y Use & occupancy c s kation Mercaintide' Building permit num r Type of construction. Occupant load. P 05-07-09 ager Date Post on the premises in a conspicuous place. This c " a I not be removed except by the Building Official. 1 1 m PREPARED 5/01/09 9 01 42 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/01/09 ADDRESS 135 E 1ST ST SUBDIV TENANT NBR DAZZLED BY TWILIGHT CONTRACTOR AMERICAS HANDYMAN PHONE (360) 670 3187 OWNER NAVAL LODGE BPOE PHONE (360) 457 3355 PARCEL 06 30 00 5 1 1675 0000 APPL NUMBER 09 00000370 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/01/09 �TL���yy�''\�� BLDG FINAL May 1 2009 8 52 56 AM 1pangrle VICTORIA 452 8800 BLDG FINAL SIGNS (DAZZLED BY TWILIGHT) COMMENTS AND NOTES CITY OF PORT ANGELES n®�1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000370 Date 4/30/09 Application pin number 016360 Property Address 135 E IST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1675 0000 Tenant nbr name DAZZLED BY TWILIGHT Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 660 Application desc 2 WALL-MOUNTED WOOD SIGNS (EACH IS 32 SQ FT ) Owner Contractor NAVAL LODGE BPOE AMERICAS HANDYMAN 131 E 1ST STREET 2932 RIVER RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 457 3355 (360) 670 3187 Permit SIGN Additional desc 2 WALL SIGNS (32 SF EACH) Permit pin number 144857 Permit Fee 170 00 Plan Check Fee 00 Issue Date 4/30/09 Valuation 0 Expiration Date 10/27/09 Qty Unit Charge Per Extension 2 00 85 0000 PER S WALL SIGN OR MARQUEE > 25 SF 170 00 Special Notes and Comments April 27 2009 5 07 02 PM sroberds The proposal is to place two 32 sq ft signs on a structure in the CA zone Sign allotment meets with the requirements of the zone that allow up to 40 sq ft of signage in this instance No land use issues anticipated Fee summary Charged Paid Credited Due Permit Fee Total 170 00 170 00 00 00 Plan Check Total 00 00 00 00 Grand Total 170 00 170 00 00 00 ap 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 fora 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 onstruction. VLr L Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:FonnsBuiIding Division/Building Permit C> BUILDING PERMIT INSPECTION RECORD t - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- Vv Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 0 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab _ Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL. Walls Ceiling (� FRAMING ' 1 Joists I Girders 1 Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling V Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking 8 Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 (-Sl)Y Fire 417-4653 Planning 417-4750 Building 417-4815 ©WA (� 4. T Forms/Building Division/Building Permit PREPARED 4/28/09 8 37 26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/28/09 ADDRESS 135 E 1ST ST SUBDIV TENANT NBR DAZZLED BY TWILIGHT CONTRACTOR PHONE OWNER NAVAL LODGE BPOE PHONE (360) 457 3355 PARCEL 06 30 00 5 1 1675 0000 APPL NUMBER 09 00000276 CO- CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 4/10/09 JLL BLDG C/O FINAL TIME 01 00 4/10/09 DA OVERRIDE TAKEN BY LPANGRLE DATE 03/30/09 TIME 17 48 21 March 30 2009 5 47 11 PM 1pangrle VICTORIA 808 2347 C OF 0 FINAL DAZZLED BY TWILIGHT AFTERNOON April 10 2009 4 28 06 PM permits no access C099 02 4/28/09 J L BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 04/28/09 TIME 08 37 16 April 28 2009 8 36 16 AM 1pangrle VICTORIA 452 8800 C OF 0 FINAL DAZZLED BY TWILIGHT AFTERNOON COMMENTS AND NOTES Apr 24 2009 3 30PM EQUA-CHLOR, LLC No 8075 P 1 -coutn`4 Wobst, � NAvaA L e- 6f 0G/ 131 E Is+ S+, P r) W �836�-2 P SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only, Attn: Building Permit Technician 113ate Received - ;20-o 9 321 E.Fifth St. Port Angeles,WA 98362 Permit b - '7 O (360)417-4815 fax(380)417-4711 ; Date Approved Applicant or Agent DAA-z m 'Bvi�W .- 1Lt JM - itA Rvoi P e 3bo -9,10-017-S Property OwnerR 1)T I Phone Property Owner's Address f E F Rsre,r- &&s N)ft- Contractor/Engineer rip L&N Phone - ZS Contractor/Engineer's Address i iv 2oA-b 5 w► IT 95 License# Awa Ik4q'94 LT Expires o0 28 1700 Project Address Ir E. 'EiQ;T-CTre&✓r j tsar AN4yxr-S Qk M(oz— .Business Name -poz?,Lam - Ha: Parcel Number Lot Zoning GSD Submit an 8 ,"x 11"site plan 8 three sets of plans that Include. ■ Type of sign(wall-mounted,projecting,freestanding, illuminated,other ) 8 Placement and sq.ft.area a How the sign will be securely attached(Engineering specs may be required for freestanding signs) 2 Separation distance between the bottom of projecting and freestanding signs and the surface below See"Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code forslgn requirements. Sion Noe 8 Brief Description. (Type,location,sq.ft.) Sign#1 2 l X IV W W*4-MotkOT-0 Woob 51fiN #66lf. VM& WrNonwS �r- Sign#2 _Z' 1-i x lb rW U)AtL s4oWrr Eb Webo SW 0 k&vim s;ndE. W 1.6005 - SOLWk Sign 03 4 Koh-; sgp%j wl11 be RuZ(-..4 414"wa o - t tta t WM6 u/Tfr W c . Sign#4 Totals(Unit charges Sign($) ! 60 OU r_a Unit Chae Quentit multiplied by quantities) _Type of Sign Valuation$ C9 4-Pe4- phone call with wr-&et. $47 00 x = $ All.signs less than or equal to 25 sq.ft. 1 112_7',„,. $85.00 x 2_ _ $ t-10 O p Wall sign or marquees,over 25 sq. ft. �`'� $115.00 x - $ Freestanding sign or projecting sign,over 25 sq.ft. GRAND TOTAL Make Checks Payable to:City of Port Angeles $ 1:10.o O Credit Cards(Except American Express)are accepted Existing sign(s)area sq.ft.+Proposed sign(s)area b� sq.ft. =Total s/gn(s)area 16±sq.ff. ID 22 _xs- QOS Building fagade area (helght IV ft. X width 18.s' ft.) IS q, ft. (if a building has more than one business In it, only measure the area of the building facade that is used by the business applying for this permit.) 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 Print Name __GktiD 14 —Signature T:Forms/Building Division/Sign Permit Appllcallon.doc i Apr 24 2009 3 30PM EQUA-CHLOR, LLC No 8075 P 2 twilight r1.plt 4/23/2009 6 15-30 PM Scale: 1 40 88 Height. 183.235 Length. 304.250 in 24lncbntall `' x1771nchoswldo 'Dazzled �/ J� et�rcainches by ghta' 28 Q wl ' `UPPERCASELETTERING 11 1 v APPROXISI'TALL I i> 241nchestall x 192 Inches wide . e j by Twilight ; z9-5=tart UPPERCASELETTERING APPROX WTALL 29.S Inches tall x 192 Inches wide �( =16 feet !'Dazzled- by Twilight; /\ UPPER CASE LETTERING APPROX 1SJ"TALL Sa toL0901571nchas 11by taa lnchoc wlea ,10r."'us Lerte.ln9let.slnchesT►n vl�lyl .4eltCAADK &vk Jw�dsa r 9 Lass 2 {a 244. x I b�+ Std ws ovl CA-Slc_T&C W 4 _ Cin'OF PORT ANG LES—Cortstnrction Plans The Issuance of this p based upon these plans,specifi- 1 SI>W(4-. ^-Fxu, y w^' cations and other data shall not prevent the building official C 1'l � from thereafter requiring the correction of errors in said pla,, specifications and other data, or from preventing WCk_1A f) building operations being carried on thereunder when in hof 4, 5 V violation Of all codes and ordinances of this jurisdiction. Cod t Approval Date S 11�r Will. tLcats .d- 14, " AM) W oo p fem y oM- u.�Q a WA t L mou.wQ usill -61ql( 41 W l-, 4v _0,t L,1 k1. w , ++f s , i a 1 Y r� - t +4 — qq ff y� 1�a,zc,lec B Ra T illsfit ' 4 1� t t j�x x t<% t I 'i C. F.� _,•y�,r, c:1�fry '-! _Z • s!at� - -- f "- N+ ;na fig By �ti lt; wy fu'i1 Tr } tP PREPARED 4/10/09 8 33 09 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/10/09 ADDRESS 135 E 1ST ST SUBDIV TENANT NBR DAZZLED BY TWILIGHT CONTRACTOR PHONE OWNER NAVAL LODGE BPOE PHONE (360) 457 3355 PARCEL 06 30 00 5 1 1675 0000 APPL NUMBER 09 00000276 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CO99 01 4/10/09 JLL BLDG C/O FINAL TIME O1 00 OVERRIDE TAKEN BY LPANGRLE DATE 03/30/09 TIME 17 48 21 March 30 2009 5 47 11 PM 1pangrle VICTORIA 808 2347 C OF O FINAL DAZZLED BY TWILIGHT AFTERNOON COMMENTS AND NOTES O O� C- S q(l(6(09 -T Cally VY1"b ScheAu`e T (Jt--hl- a voice-, (m-e"s-r o - +0 call rn e Q� CA C:ER7i 'CA T"E ®F OC UPA,�+I CY APPL�CA fi'ON Permit# ���2-`"-' CITY OF PORT ANGELES FEES Attn Builder Permit Technician 9 $5 0 00 ertificate/Inspection 321 E. Fifth St. Port Angeles WA 98362 (360)417-4815 fax(360)417-4711 $1 00 00 arking Business Improvement Area(PBIA) j Print in ink fee charged for downtown locat ons BUSINESS NAME BUSINESSADDRESS Zoning Business mailing address 'PO 20 Phone# Opening dateAprlr j Da s& hours of operation f Washington State Tel Dr. # If known list the name of the previous business at this location Ct Lffltir& ( f Brief description of proposed business Business owner's name hone# Q— D Business owner's home address < � F PLEASE NOTE. A Business License is also required for the following businesses:Taxi, Peddlers,Second-hand dealer Pawnbroker Dance, Hotel- Motel Fireworks,Ambulance,Tattoo shop. Contact the City Clerk at 417-4634 for additional information. ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NO✓ YES✓ IF YES CONTACT Electrical changes Electrical Dept.at 417-4735 New business New or relocated signs trm Building Div at 417-4815 [ Construction changes Transfer of business Mechanical changes ventilation,heating,cooling,etc. location from a Plumbingchanges ) PBIA location Firesprinkler system changes Fire alarms stem changes New or relocated sewer or water service Y Public Works at 417-4807 Transfer ofbusiess Excavation or fillingof lots n location from a Work done in the Cityright-of-way non-PBIA location New drivewayopenings i Gradin site drainage arkin lots,downspouts,etc. Change of ownership Landscape irrigation system backflow devices) Water Dept.at 417-4886. Remodel Is this a home occupation? PlanningDiv at 417-4750 Is this asecond-hand dealer orpawnbroker business? CityClerk at 417-4634 Temporary business Is there off-streetparkingfor this business? ✓ How many spaces? Is the street in front of this businesspaved? A�VCt OLcross Change of use Is there a sidewalk in front of this business? to Yc) Is there a curb& utter in front of this business? Call for Certificate of Occupancy inspections before opening business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections 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 �j� �/1� SJ3� bi Date„ - Print Name u ' i1 l/��u/ Signatu e P*I For City use one Department Approved Rejected Comments/Conditions Initials&date Initials&date Building .Z$ J Type of construction Occupant Load Fire ��_ K� Automatic fire sprinkler system required no yes PBIA 3-N- , Planning J 7� City Clerk B Public Works T.Forms/Building Division/Certificate of Occupancy Appli ation V' ���iS`�k �!^" 'e�;�'.r 'mm 178• •, :-., ._, '1241 �V71;'°• �,_' 130, 136 117 ,moo• � , 11,4; udl 4��a1 125. 112• ,� T „� �,• 'o r" 129 .. � 2t ,!-. y$ �' " �tS�r��','�,�a, 4"y,_, *e k�}a• '- `°r. j }�u �C}4d� lu •' k� � •.,fin '�� � 'd;. e'..,• `` ^Y `#• '`,4yV J "y i eta; eft '124 } e..•�� d.'� tp ,'0 A ���? t r } „p •�d' .<;"fix d!7i Y n� ,. 1.' �' LYS •' 132 •"•M'w' ��''' r�, r ,�.`��..� :5'°�„y�d+,, '�da''• °�` , Y°� Ilk 136 "�° •: .,g 'i ",,,• '�?... :; 4.4§, 13 CITY OF PORT ANGELES A FEE RECEIPT NUMBER DEPARTMENT OF LIGHT PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT (/,►(/�/_ TOTAL FEE CONT.LIC.NO, TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address //''�� A�1 CORRECT ADDRESS ISS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES�AREE CCCANCELLED—� Owner C-AM o&A - /t_ Installation By `/�Y - 'P� (LL k Owner's Address 47 /A,40-. Installers Address Day Phone Installers Phone Application is hereby made for P mit to install Electrical Equipment as foil ws: %dit� — �,ws: r Wiring Method AMP 240V AMP 240V USE OF CIRCUIT NUMBER PER 10" 120V 1 0 OR - FEE USE OF CIRCUIT NUMBER PER 10 120V 1 0OR FEE CIRCUITS CIR 30 CIRCUITS CIR 30 LIGHT SIGN _ LIGHT - 50 VOLTS OR LESS CONVENIENCE - MOTOR CONVENIENCE - MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLARALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER - -' REINSTALLATION LIGHT FIXTURE N FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT - TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AWG SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH certify that the work to be performed rider�tthi-s7 permit will be done by the installer and in conform ce wlth N.E.C..EElectrical Code. Date Application made !7 ��/6 / ,1g By i � G �� dr - - CONTRACTOR OROWNER(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. /3 D RECTOR OF CITY LIGHT Date Permit Issued y�047 BY ® / PLANS APPROVED 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. WARNING 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 GATE OF VISIT MAOEBY REMARKS x • 2 H F Z W H 3 0 z 0 0 30 4 7 FINAL eM CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000346 Date 5/04/04 Pin number . . . . . . .464322 Property Address . . . . . . 135 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-1675-0000- Tenant nbr, name . . . . . . CAMERA CORNER Application description . . . COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 60000 Owner Contractor NAVAL LODGE BPOE HOCH CONSTRUCTION 131 E IST STREET 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98362 PORT ANGELES WA 98363 ( 36) 457-3355 (360) 452-5381 ------ Structure Information REPAIR FIRE DAMAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST --------- ------------------------- ---------- �..: Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . REPAIR FIRE DAMAGE Permit Fee . . . . 737.25 Plan Check Fee 479.21 Issue Date . . . . 5/04/04 Valuation . . . . 60000 Expiration Date . . 10/31/04 Qty Unit Charge Per Extension f" BASE FEE 667.25 11�� 10.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 70.00 -------- ---------------- ------ ------------ Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee 54.25 Plan Check Fee .00 Issue Date . . . . 5/04/04 Valuation 0 ' Expiration Date . . 10/31/04 qjQty Unit Charge Per Extension MNIJ __1BASE FEE 47.00 1.00 7.2500 ECH ME-VENT FAN 7.25 -------- ----- ------------------------ ------------------- \1 Permit . . . . . . PLUMBING PERMIT Additional desc Permit Fee . . . . 61.00 Plan Check Fee .00 Issue Date . . . . 5/04/04 Valuation . . . . 0 l� Expiration Date 10/31/04 r,A� Qty Unit Charge Per Extension BASE FEE 47.00 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.00 \ 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 ----------- ----------------------------------------------------------- Other Fees . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 852.50 852.50 .00 .00 Plan Check Total 479.21 479.21 .00 .00 Other Fee Total 4.50 4.50 .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 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. Sig ature of onftthr or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15(11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 -7DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) 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 HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15[11/14/20031 wF.F CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . 04-00000346 Date 5/04/04 Pin number . . . . . . .464322 Grand Total 1336.21 1336.21 .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:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. TICE. ITIS UNLAWFUL To COVER,INSULATE OR CONCEAL ANY WORK BEFORE PLEASE PROVIDE A MIINSPECTED AND CNIMUM 24 HOUR OCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN JSEAL UNDER FLOOR INE(METER TO BLDG) OW/WATER 77 FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING ?� i DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING NA 1 MECHANICAL 1.t HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM SEPA: PLANNING DEPT. SEPARATE PERMIT#'s ESA: PARKING/LIGHTING SHORELINE: LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL ELECTRICAL-LIGHT DEPT. 417-4735 LIGHT DEPT CONSTRUCTION-R.W. CONSTRUCTION R.W./PW/ 417-4807 PW/ENGINEERING ENGINEERING FIRE DEPT. FIRE 417-4653 PLANNING DEPT. PLANNING DEPT. 417-4750 BUILDING 417-4815 � BUILDING T'\PLANNING\FORMS\1102.15[11/14/2003] PREPARED 12/09/04, 13:40:49 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/09/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 6/22/04 JLL BUILDING FRAMING 6/22/04 AP RICK - 460-3824 BLWS 01 6/23/04 JLL BUILDING INSULATION WALL/FLOOR 6/23/04 AP rick hoch also air seal completed on this date/jll BL99 01 10/13/04 JLL BUILDING FINAL 10/13/04 DA ELI 460-3988 final electrical inspection before building final. recall when elec. inspection is approved/jll BL99 02 10/14/04 JLL BUILDING FINAL TIME: 17:00 10/15/04 DA ELI 460-3988 finish electrical inspection and obtain approval before building final/jll BL99 03 12/ L BUILDING FINAL ---------------------•---------------- COMMENTS AND NOTES - Yp�s ahr�a.�f FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION DateRec.: -23-d Permit#:C w Fill out COMPLETELY and in INK.Your application and site plan MUST Date Approved: COMPLETE to be accepted for review. If you have any questions,call Date Issued: PERMITS (360) 417-4815 FAX(360)417-4711 1p I Applicant or Agent: L r wit [s't2l'ji 15^111 p,0A:-,H t Tt;r75 Phone: 4,5Z-44)0 Owner:&Lk! S W&VAL. l &L-;'&L' 1 GE' ?JSP Phone: 4r7*7"335:5� Address: J 3 1 6 - ) I / I-Tower City: P=r AN&t Lts> Zip: 1 V 62, Architect/Engineer: LthA7".&rA{^ ke 2;,H 1 TP A -P lam"' Phone: 40Z-Cell(o Contractor HOS C,OPWPA07160 State License#: Exp: Phone: 4*6Z- 53& Address: 0.01 -t-1ArAjNAq-b1L 'Tr-LZ- City: #;�w-r QvJlawLdS Zip: °�Vltp-?J PROJECT ADDRESS: 1151 '5' 1 '9r/ STr.AbbT ZONING: CSD LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0 CO -SO 00 S 1 ) (p?57 Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC—# Exp.Date: TYPE OF WORK: SIZE/VALUATION: a� ❑ Residential ❑ New Constr. ❑ Re-roof ❑ StovelE l S F. @$ /SF._ ElMulti-family ❑ Addition 1:1 Move El Garage ` E SF. @$ /SF._$ Commercial Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: P-,,UJLI'jllJa T6 k-10-S. NbW 5.A'DRW-?!r0✓T, �- COMMERCIAL/RESIDENTIAL: Occupancy Group: A-Z Occupant Load: Construction Type: No. of Stories: 5 Lot Size: CO 50. .Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Rml> FNeblyrokjr Total lot coverage )DO % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe 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 107.4 of the Uniform Building Code, current edition). 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 it is my responsibility to determine what permits are required,not the City's, and that/must obtain such permits prior to work. J T:\FORM !iS\APPS\Buildingpermit.wpd Applicant: Date: g • HO ' 04- PREPARED 10/14/04, 12:45:43 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/14/04 ------------------------------------— ------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------ - - BL3 01 6/22/04 JLL BUILDING FRAMING 6/22/04 AP RICK - 460-3824 BLWS 01 6/23/04 JLL BUILDING INSULATION WALL/FLOOR 6/23/04 AP rick hoch also air seal completed on this date/jll BL99 01 10/13/04 JLL BUILDING FINAL 10/13/04 DA ELI 460-3988 final electrical inspection before building final. recall when elec. inspection is approved/jll BL99 02 1010/1- l4/04 o JLL BUILDING FINAL TIME: 17:00 ELI 460-3988 ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- F1*44-1 ctv- P,."4,w ,� 'F - PREPARED 10/13/04, 12:40:30 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/13/04 -------------------------------------------------------------- ------ ADDRESS . : 135 E IST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ----------------------------------------------------- - ------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 6/22/04 JLL BUILDING FRAMING 6/22/04 AP RICK - 460-3824 BLWS 01 6/23/04 JLL BUILDING INSULATION WALL/FLOOR 6/23/04 AP rick hoch also air seal completed on this date/jll BL99 11 10/ 3/0 LL BUILDING FINAL is ELI 460 DING F88 -------------------------------------- COMMENTS AND NOTES -------------------------------------- � � Ivii C" P, PREPARED 10/14/04, 12:45:43 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/14/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ----------------------------------------------------------------------------------------------- PERMIT: ME 00 MEC1"ICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 10/14/ 4 JLL MECHANICAL FINAL TIME: 17:00 ---------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 10/14/04, 12:45:43 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/14/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ------------------------------- ---------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------------- PL2 01 6/17/04 JLL PLUMBING ROUGH-IN TIME: 17:00 6/17/04 AP PL99 01 1 14/ 4 JLL _ PLUMBING FINAL TIME: 17:00 L ------------------------------ COMMENTS AND NOTES -------------------------------------- PREPARED 6/22/04, 13:15:03 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 135 E 1ST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----/-------------------------------------------------------------------------- BL3 01 6 22 04 JL I BUILDING FRAMING RICK 460-3824 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/23/04, 12:48:03 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/23/04 -------- --------------------------- --------------------------- ADDRESS . : 135 E 1ST ST SUBDIV: TENANT, NBR: CAMERA CORNER CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452-5381 OWNER NAVAL LODGE BPOE PHONE ( 36) 457-3355 PARCEL 06-30-00-5-1-1675-0000- APPL NUMBER: 04-00000346 COMM REMODEL ------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------------- BL3 01 6/22/04 JLL BUILDING FRAMING 6/22/04 P RICK - 460-3824 BLWS 016/2 / L BUILDING INSULATION WALL/FLOOR rick hoch "----"---- -- ----------------------- COMMENTS AND NOTES Ai CITY OF PORT ANGELES Y N° 1 8 0 4 1 LIGHT DEPARTMENT ELECTRICAL-PERMIT Port Angeles, Washington...._._�!Z��+..... ..--•----------------------- 19$y- In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address -- I-S - -LinJto L?J ... �- 1=� C `-5 Occupancy--Com M--gc l �' ' Owner _ f�)rfgY_ ..----�D/L-JC-� _.... ...... -------- Tenant-----L/12RK -2/EL��t. - - ------- Wiring Contractor...O�---Yt( ELECTRICAL PERMIT CITY OF PORT ANGELES 364417-4735 Application Number > . . . 18-00000837 Date 6/04/18 Application pin number 508918 --- Property Address . . . 135 E IST ST REPORT STATE SALESTAX ASSESSOR PARCEL NUMBER: 06-30-00-15-1-1675-0000- Application type description ELECTRICAL ONLY on your excise tax far» Subdivision Nameto theCityof Port AngelesProperty use . . . . . (Locadon Code 0542) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 ---------------------------------------------------------------------------- Application desc Monitor module for fryer connected to fire alarm Owner Contractor ELKS LODGE 353 HI TECH SECURITY INC 131 B 1ST STREET 723 E FRONT ST PORT ANGELES WA 983622902 PORT ANGELES WA 98362 (360) 457-3355 (360) 452-2727 ---------------------------------------------------------------------------- Permit . . ELECTRICAL ALTER'COMMERCIAL Additional desc . Permit,Fee 96.00 Plan Check Fee .00 Issue Date . . . 6/04/18 Valuation 0 Expiration Date 12/01/18 Qty` Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 1 Fee summary Charged Paid Credited Due < -�--------------- - - -------- - ---------- Permit ---- -- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total' .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00' INSPECTION TYKE I DATE: RESULTS: INSPEC rOR; DUC I SERVICE ROUGH-IN FINAL COWONTSIt Pmmrr WIL L W SIC(6)MONTM MOM LAST INSPECTION-11.1', Signatare of owner or Electrical Contractor X Date: - -max. ELcOm 11 MULTI-FAMILY / COMMERCIAL RECEIVED • ELECTRICAL PERMIT APPLICATION jU,., Public Works and Utilities Department ELECTROL 321 E. 5th Street,Port Angeles, WA 98362 )NSpE ';0ly 360.417.4735 ; www.cityofpa.us 1 eiectricalpermits dcityofpa.us Project Address: 135 East 1st St Project Description: Add monitor module to donut fryer, tie into Elks Building FA system. ❑ Multi-Family Residential E6 Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: Num Num Donuts Email: Mailing Address: 135 East 1st St Phone: 360-775-0745 ELECTRICAL CONTRACTOR INFORMATION Name: Hi Tech Security,Inc License: HITECTS955BS Mailing Address: 723 East Front St Expiration Date: 1/10/2019 Email: hitech@olypen.com Phone: 360-452-2727 PROJECT Item Unit Charge Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 1 $ 96.00 (Note:$5.00 for each additional 1500 sf) Renewable Elec.Energy:5KVA System or less $113.00 $ Thermostat(Note:$5 for each additional) $56.00 $ $ 96.00 TOTAL Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296- 466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 6/1/218 Mike Shirley Mike Shirleysigned Datley Dig'ea1ly 2018.05.31y14:52:42Mike1r07 00' Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] f1 yy l p k s7` 3„,„, Rr " M 71 y',£'�` �,,�✓� r � " P•r �.��"''r��„"�� r �;3�f;�:," " ,M1. r,*� $": '�'R4 .�� ,. r q5�,,aa-n s' ..` ,s:'�' �f' ,y,� �� � s°�•�*� €t,r �7�� +xY,,, �*�v' a ,l t*t{t,F�"`�a' t � cr � f � �� c:9`i���� '.✓ .i � z "' �'x r� '`z'k"'`� f$�"*i `""�: c�,i¢z 3fi / .�t�, €3 s, s. �r" f �+ ',�."t v n:. r t 3,'t`' •gym•a+x t ,;fir�-� s r'2�;.s� '"`t Vis` 'r "� a �'� 'w r <;'r ,. ,� v �; t ^«�. .t• `' � > e`r.ai F5" ✓. k'.i f.✓ " x �' `°`` #� �� x`' °k ���d� k •vta � �a �� yes f � x� `�` sx sx�' r s,,rk „� ",v✓r„� �,x s• r �rx c`"�..r �+� �f"���. ,"1' �`y� "� r• 3�sr .� �.r ,,ff>.E'� � �,,rs �t �•`�s ,z'� s u ' n•�cs:` � �z o 7Y Y' - s -:•''se�..�` '" '� 5 a,€° s �u;Y,,,t. a x r�.C�3+;��„t ,� �T"s' ~u #�`� F�,�,€+}�,,�:� r, ?�.€a,,.t'c -:"� ,.� '`h •" ��,���,a'8- � r sr'�� s ��, F �`�' �`€ `�r�* '� �.�,� ��'''� �r ��",� s �•�r�' r � e � .�",us'. x� "�• >�':� s �,� �` a3' �', tu'ff' s`� �'�' �`%a` .�si`t.-r c'�.�"� �•' y:a>�' ,r � �x 3'�^ i<'� �,,,^F � '' ;� '�- >-t'c � �` �;}•r� r.>�'� zr,2`r.�;,tt`s:� F s r �� fs�����s.>°.' 4 p ��-n„ � '€ Cyd ��' ��t" � �,,,€' y��,' s� ��y'>M` �' r� "' •. � � •�`�`t•r�i' � �x''"` ����x � r, �ro<t�„sr+'d 's '� _~ ,>�*-�ix,.e ar* ? :.�:-�,u`r �"9'Zsf'-�� s � �r t 'r F' 'i�1� � Us . r�,r�- ss #"� r>r" r✓.r'�;�� #'t 's>en s� i �,r '�ya:�: x F g r. y�tw`r `•r• �,r ,k; €z l}s�' ` , „�'�:r� t'�z s `�° > p s'`� €_i"' ='.� z '�f�;`<x��',��� � ��-'r� �.. ,, ,ei �'�" •r�` �, f :pis �` „r °�' $ sax' .,y '�t ~sz � :kb i a •s r.z'*,� �a ^S�,t=mss°�.`!�s�'�€ �t�xr ,� ��+�re 3`x s 'Y �, ,%, ¢ ..,, � ^� � �g-s+"• x�,�.�., '. �=',z� _- + r A' � i` Txs sia s,y' „,•�� �'xa s.r,�'`�., .oma,s,�,k-a.�;r r �-,' �K.,,� " y £ sr €, F >� � �� ,u� � ���,�. " <�^ t x� .. ,' s€ e 7 v,•st?,( gssr a' � raR � s '� x � l ���� `�;� .�.nFr�7� ar '�,. ,r' �r� � r 7 � � '�`.,b'€2s. x •�j`'�asF�€r a r r� �. s f "X, ......... S", -17 . t,k�g�� ks s r r y dxr � tt�r;� �r r� y�='� � ✓.��s't'P �+�'✓� ,. ,". �` �i„ �,^ � �` 5£"� 3'+X�TM � l'{R� } ' ELECTRICAL.PIT CITY OF PORT ANGELES 3664174735 Application Number 18-00000849 Date 6/05/18 Application pin number 072373 Property Address . 135 E 1ST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00.5-1-1675-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . to the Cfty of Pat Angeles Property Use . . . . . f Property Zoning . . CENTRAL BUSINESS DISTRICT (Location,Code©502) Application valuation , . . . 0 ---------------------------------------------------------------------------- Application desc 50 amp circuit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ELKS LODGE 353 SIMPSON ELECTRIC 131 E IST STREET 243036 W HWY 101 PORT ANGELES WA 983622902 PORT ANGELES WA 98363 (360) 457-3355 (360)-457-9270 Permit . . . . . ELECTRICAL, ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . 6/05/18 valuation 0 Expiration Date 12/02/1$ Qty Unit Charge, Per Extension' ' BASE FEE 86.00 -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- --- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 '00 .00 Grand Total 86.00 86.00 .00 o0 INSPECTION TYPE DATE: RESM TS; IN PEZWRfl DITCH SMVICE ROUGH-IN FINAL COMMENTS: PEWff'wj.LL EXPIRE SIX(6)mowffS FROM LAST INSPEGTipN, -Art tore Of awoerOr Ele-ct�'WCo!tm X Date: °°fAl'," ELECTRICAL INSPECTION WIRING REPORT ,� � g.FI 417-4735 DATEPERMIT 9 INSPECTOR l OWNER CONTRACTOR r 51 ADDRESS L S APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . .. ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE-- • MULTI-FAMILY / COMMERCIAL • ELECTRICAL PERMIT APPLICATIO ED Public Works and Utilities Department JUN 321 E. 5th Street, Port Angeles, WA 98362 'j ,6 , 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us EL TR ot Project Address: 135 E 1 st St ( Donut Shop) Port Angeles, WA 98362 — Project Description: 50 Amp Circuit for outlet El Multi-Family Residential 91 Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: Rick Moon Email: Mailing Address: 135E 1st St Phone: (360)775-0745 ELECTRICAL CONTRACTOR INFORMATION Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: PO Box 1086 Port Angeles,WA 98362 Expiration Date: 12/11/2019 Email: dlsimpson5l@gmaii.com Phone: 360-457-9270 PROJECT DETAILS Ism Unit Charge Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 1 $ 86.00 Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy:5KVA System or less $113.00 $ Thermostat(Note:$5 for each additional) $56.00 $ $ 86.00 TOTAL Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C.,RCW Chapter 19.28,WAC.Chapter 296- 46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 6/4/2018 Andrew P Simpson Aq#ew T Siwpsoh Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111 ant y ..� ,' a y P r.w ,. 'ir,. „r,i_ 3+' rt. v' ;.:.. :r A; {'H g�+ t`• 7 '� yf r '�`��k/�°"y{I':,�` y� y'" 'yr r,�..+fi!r.+��.��Cs�C����'�w.��'✓.t. „" � �, � ..f` „ f s � fur r•%'c ie Fi�"r,. 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