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HomeMy WebLinkAbout230 E 1st St - Building CITY OF PORT ANGELES r ��i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000255 Date 3/23/11 Application pin number 676865 Property Address 230 E 1ST ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -6 -3- 3000 -0000- REPORT SALES TAX Application type description RE -ROOF on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning COMMERCIAL ARTERIAL (Location Code 0502) Application valuation 6200 Application desc OVERLAY 1 LAYER TORCH DOWN Owner Contractor LANNOYE DONALD D AFFORDABLE SERVICES 222 FORREST AVE 258663 HWY 101 WEST PORT ANGELES WA 983622518 SEQUIM WA 98382 (360) 683 -9619 Permit BUILDING PERMIT NO PR FEE Additional desc TORCH DOWN OVERLAY 1 LAYER Permit pin number 182907 Permit Fee 165.75 Plan Check Fee .00 Issue Date 3/23/11 Valuation 6200 Expiration Date 9/19/11 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or -I law regulating construction or the performance of construction. 41 1111111%4 leh _t AEI IMNIL Date 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 V 1 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. ti 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: 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 Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: �JI Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 C\O Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 9 L--- T:Forms /Building Division /Building Permit a H H a H m w M, H H E w t u H 5 as H a Q H Ex au 41 am cow m H x H X io H z N H M H m ++zw ■D en a d o aoa ri H C7 Q a E w M ^Z H x aX H a H W W 0 Q Q H 0 0 0 o w w U) w [n 0 0 0 0 .7 a W x w 0 x 0 o N a 0 0 O U K C 0 H H U a' Z H b o a H w 0 0x w 0 H Q U) 0 O i HH H HN0 cn U U Z H 0 Q H w w w H KC 0 0 0c a n az O 1 H U w i 0 HH O w° 4 0 sa vP N a n H.0 0 0 Ai H H G. E Q 0 x 0.,,, 0u0 0 IZcn U] Q CL H KC o 00 aco'0a o Q 0 00000 0 o 0 w 0 F H O H IX ''L' w w Q o a 5 0 ON KC 0 0 H0 N 00 Z a' H∎ I N H c0 (n 0 5 w H a 0 o 0 H00 DI 4 0 w O E- Z rna GCI E H -HH H H0 oW Z 1 1 [n0 Z en C.. QD 0 w a w O N a o H 0 0 0 m a a O a 0 u a 0 0 0 00 0 az E a 0 a U 0 3 0 r1 F 0 roarq,. BUILDING PERMIT APPLICATION Print in ink l0'i�• CITY OF PORT ANGELES of likklMa Attn: Building Permit Technician For City Use Only: 321 E. Fifth St., Port Angeles, WA 98362 Permit Received 3 23 'GI (360) 417 -4815 fax (360) 4174711 Dat ov d Date Approved -d Applicant 4oDt( )e Phone Property Owner D a-x t p I., �,c r' P Phone 36 s`� q' I 0 Property Owner's Address ZZZ f Per-f- Ffric ius(pL Contractor Afror' a b L 3 V r u (A S Phone 06, QR �p /Cf Contractor's Address Z S9j( 1-4--fAi l (01 (,e_l°P e3Q)2 --7442_(= License IZS*` (10S Expires 0 3 I/ E -mail) yy PROJECT ADDRESS 23) Fi 51 61 -r-e- 22 Parcel Number Q (2) )62; j Ono Lot 1 Zoning Project Type Brief Description: Residential Multi family 4Commercial Industrial Check all that apply New Construction Addition i Vl l \961- Remodel tzfijan Repair ShOQ Demolition 5 0' ti-Re-roof House Xgarage other tear off re -roof may over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft) Basement per sq. ft. 1 Floor 2nd Floor 3` Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 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 ;'"Z7 Print Name 'f kti Signature T:Forms /Building Division /Bldg Permit.doc -.A. AFFORDABLE.R.00FING PROPOSAL 258663 Hwy 101 Wet Sequim, WA (360) 683-9619 (360) 385-2724 (360) 452-0840 Name ay\ L ,n n (D/ e_ phone#1 3604sq-ct Address z.:230 e Fits+ q(ab -9euzz, cit A-ev,:eLps State k k) Pt. Zip Code c ief3(0 Tarp hiiuse perimeter to protect landscaping Remove old roofing and haul to landfill Install Plywood OSB Install Roofing Felt Install Drip E,clge Metal Ftnshing thstall Metal W-Valleys Exhaust Vents Install Roof to Wall Flashing '...Inset all Ridge Vents Install Roof to Wall Step Flashing Install Attic Vents Cut In Chimney Counter Flashing „:•InStall Sun Tube Install Chirnney Step Flashing Install Skylights Install_ Skylight Flashing Install Install Install Install SeburefLocate Septic Drain Fie d Ipcation Pricelneludes Building Permit f 0f7)/} Customer to Secure Building Permit Description: it 61 R .N• nr) 101 L. 111111VMMIIIMb WillOOMIIILMMaiY=' L 10 C, zoo Oo _per 1 6S; 76 Payment in fiill upon completion of project, unless other arrangements accepted. S'UBTOTAL: We propose hereby to furnish material and labor, SALS TAX 3 y 72_ complete in accordance with the above specifications. TOTAL: 0 00: Not= ciiii May be withdrawn by us if not All material is guaranteed to be as specified. Any alteration or deviation from the above accepted within 30 days. specifications involving extra costs will be excuted only upon written orders and will become an extra clutrge over and above the estimate. All agreeMents contingent upon -2- "Hices; accidenta, Ordelays beyond to carry-fire necessary insurance. Acceptance of Proposal the above prices, specifications and conditions Brand P3 G-I Year I 0 are satisfacmry and are hereby accepted You are authorized to do the Color Workmanship: work as specified. Payment will be made as outlined above. bYear Warranty Lifetirne Warranty Affordable Roofing's Representative: 0 Date: 1. Customer's Signature of Acceptance: _Dam: c 9c, See attached Warranty Statement. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Service repair Owner LANNOYE DONALD D 222 FORREST AVE PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983622518 ELECTRICAL ALTER COMMERCIAL 155.663 93 75 10/28/09 4/26/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00001110 151210 230 E 1ST ST 06 30 00 6 3 3000 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Plan Check Fee Valuation Charged Paid Credited 93 75 93 75 00 00 00 00 93 75 93 75 00 DATE RESULTS Kix 10 cias? 12120 710 Date 10/28/09 Signature of owner or Electrical Contractor X Date WA 98362 Due 0 0 0 Extension 93 75 00 00 00 s 1> INSPECTOR. a DATE vi �j /o /2/ 4 OWNERICON'FRACTOR 4rI6) -S LcT11LC ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR 0C) Ui12E> W' APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED: C9,6 J ni pal) rn D i )G 0 r�► lit 4 f SMAt C"NI r r ■lr)US N cr... 7 a) w b 7iPre_ F� aN,v C'fAIDUGi 7Jt._ Y.4Pt� l►�� r c 3 /O. )S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 1112331'0 DO NOT REMOVE tat CL 2r 0 IT Z r P i•a "TA ca?'F 1� A-LL J{Jc,rLf>r_h c? gL%)!LT Cd r•(DjCTd2S J\1 C 2 o 1 i Owner Name: McNlrrp City: Phone: License Exp, Unit:chalne :93.75 3118,75 $160.0D $2:00 $f;p5 S 2.00 57.50 2:00 S 72.50 $116:25 $13125 $75:OD 5.60.00 S. 76.0D 50.00 •10.00 93:75 $00.00 5':88 2ef 27.50 57.60 566.25 43.75 X 10/24/2009 08 13 FAX 360 452 9265 Angeles Electric City of Polt Angptas Permit Application Buildkrg.DNM{lo& riot nspections 321: E:art'hlthlbed P.O. Box 1110 Post' efil Is ter+, 0382 Pk; :(660)104716 'mu t$Ol #i7411 Deter 2 1 S.2 Single Family Dwelling I:mmdly or Commerdel• GMnnterciptMdhbn I aleretion I Remodel I 'Web` m 6lgnsfurs of owner, electrical eentrector or eleclrtcal adhnlnlptrater gall; RECEVED OCT 2 7 1009 ELECTRICAL INSPECTIONS P1iun:Reefaw May Se Required Pease Co ete Electrical Plan Review Sheet job' Addree8:, .F RE) F F' 7: Yit i�/ )1' BuP IPg Square poteg� Description of atone Contractor Inform ND Nome: WON Adder: State: c.. Zip: M47 City; Fax Phone' Q Cash C1 check L] credit Card State: Fax Werner Exp. tled.bv Unit Charnel Service/Feeder 200 An 6ervicelFeader.01-40O Amp. bervici 1Feeder 4014000 Amp. Ssrvks+ ceder 601 -1000 Amp. Service/Feeder ores 1000 Amp. Branch C Wl Service Feeder Branch Clrmslt WM Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp, Temp. Service/Feeder 201-400 Amp. Temp. ServIce&Feeder 401 -600 Amp. Temp. ServkelFeeder 801 -1000 Amp. Portal W Portal Hourly SipnlOuGne Liyhtkhg Signal Circuit/ Limited Energy Commercial Signal Cimulti Umlted Energy 15 2 Fanny Dwelling Signet Mould Limited Energy Mufti- Family Owel irg Mamrtadurad Home Connec an Mgr enable Eleclamal Energy SKVA System or Lass First 1300 Square Ft. Each Additional 600 Square Ft or Portion of Each Outbuilding or Oetichsd Garage bah .Swimming Pool or Hot Tub Thermostat Toad 0001 /0001 Moneta thilpned by R CW f12fl ttlf: (f) Owner MA occupy Ow structure for tee years etty this elect feel pwnit is Molest Ownwis nquhvd to hoe an electrical oonbsicbu If oboe* said properly le for safe, rant of horse. ARer.reading the above statement i hereby certify OA t am the owner of the oboes named property or Ilc ;•naod eteclrk& eenlnotWr. t am making the electrical :lnslafallon or.elteratlon in'corpliencewlth the eleotteel taws, N.E.C. RCw. Chapter 19.20, WAC. Chapter 290.460, The c ;ity of Port Angeles Municipal Code, and utillgi Spoclffcb One. I0 /10'd ViSt LTV 092 SUM OIl8fd •S313ONd Ind 1ld £S:170 :6002- 0Z -011V fPORr....... ...O~~ ~~~ ~~ :::;: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREE'r, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use property Zoning . Application valuation 08-00000213 Date 116286 230 E 1ST ST 06-30-00-6-3-3000-0000- DONALD D LANNOYE RE-ROOF 2/21/08 COMMERCIAL ARTERIAL 4095 Application desc TEAR OFF & RE-ROOF Owner Contractor DONALD D. LANNOYE 222 FORREST AVE PORT ANGELES WA 983622518 BARNES CONSTRUCTION 258852 HWY 101 W SEQUIM (360) 683-5796 OFF & RE-ROOF INC. WA 98382 Structure Information 000 000 TEAR Permit BUILDING PERMIT - NO PR FEE Addi tional desc TEAR OFF & RE-ROOF Permit pin number 121335 Permit Fee 137.75 Plan Check Issue Date 2/21/08 Valuation Expiration Date 8/19/08 Qty Unit Charge Per BASE FEE 3.00 14 .0000 THOU BL-2001-25K (1, PER K) Fee .00 4095 Extension 95.75 42.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 13 7.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4 .50 4 .50 .00 .00 Grand Total 142 .25 142 .25 .00 .00 ~ o ?'?~ C', ~ /? ~ r (;, ~ 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 compiied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date -:J-( ~ 13 Print Name Signature of Contractor or Authorized Agent #'jJf!O<s-!3/iR.rvl2-- ~re of Owner (if owner is builder) .';.0 T:formslBuildilll; DivisionlBuilding Permit {lOfOI/07).wpd BUILDING PERMIT INSPECTION RECORD o cv , ~ IJ CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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. INSPI<:CTION TVPE DATE I ACO:PTED COJ\11\11~NTS I YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE GLDOS.) PLUMBING UNDER FLOOR I SLAB ROUGH~IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING . DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I T WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS [\'IANlJF,\CTURED J-10IV1ES FOOTING / SLAB BLOCK[NG & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT /J's SEPA: PARKING/LIGHTING E5A: LANDSC,\PING SHORELINE: F]NAL INSPECTIONS I{EQUIRI~n "ulon TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COl\IMERCIAL DATE ACCEPTED YES NO ELECTR[CAL - LIGHT DEPT. '117-4735 ELECTRICAL LIGHT DEPT CONSTRUCT[ON R.W_/ PW/ CONSTRUCTION - R.W. ENG]NEERING 417-4&07 PW I ENGINEERING FIRE <1]7-4653 F]RE DEPT. - PLANNING DEPT. 4[7.4750 PLANNING DEPT. BUILDING 417-4815 BUIl.DlNG 02-2'6-0 :JU--I \'0 w o ft\ ::D ;;{ T f 7J ('\l 1 d ~ T:FormsfBlIlld1l1g DivisionlBuilding Pen11lt (10/0 1/07).wpd "-- N~ riO ~ ~ N ~ N ~~ ~" << ~O ~ ~ , ~ , ~ ~ ~ ~ ~ " ~ H ~ " ~'" "~ ,,~ "~ Z 0" HO "" UU ~" ~~ 00'" ~~ o ~ ~ > 8 !': '" ~~ zz 00 xx ~~ U ~ N o ~ ~ , o o o Z 0" o '0 HruOO WE-o><OP: ><UOOI OO~M~ ~" ," " " M CIl Ul..:t 1M ...:lZ 0.0...... E-o 0 'N Ulr::lUQOO ri 00 o CIl Cl , 0 W..:l t<l...J 00 <Z.:(,.,O oZ p:; Z , I <"">0<1:0\0<0 NQr:tlCloo ~ '" ~ .~ ro~ O~ ;;;~ N ~" N" o ~ o ~" ~O ~~ "" "H ~U " " .. ill P:; . W ZO W Ul,C ~ (}H"'~ ...:IZ ~~....~tJ.:J gQ5i~g; o<Cf-oUOD..:c '" " ~ , ~Z, ~OO "HU '" "~'" "H" oels ""'''' ~" '0" . ri " '" C . ,eo ~ ~ o ~ ~ " ro 0 o ~ " o , o ~ N~" ~ ., ro~ ...:IN'...:l < M< Z >,00 Z ....1-10.0.... ". " 00 01-oHI::) 0.0::>0 ..JG.I.:(..J IllCt.Oill '" ~ " o z o ~ '" " ~ ~ o U L~~' Q"CI)~, ZCIl'..:! ~H(il1 " ", - , 9 : 1-100' Ot>1W,,,, l%l f-of-o 10 g~~:3> ,,. ~ ,,",WO N O"U ~ " ~ " H o 0 '" ~ ~ " ~ ~ ~ " W Barnes Construction Jnc Estimate 258852 Hwy lOt w Sequim, W A 98382 J Date Estimate # 2/13/2008 547 Name / Address Don Lannoye 222 Forest Ave Port Angeles Wa 98382 (~ Project Description Qty 30yr Pabeo 8/12 piteh Tear ofT 13.5 Hip & Ridge SG-30 Year 0.67 Elk Starter Strip I Felt 4 Step Flashing 100 Ridge Vent 12 Drip Edge Metal 8 Labor 14.5 Labor to cover wall Tear OfT Labor 13.5 Prep Time Dump Pennit BID GOOD FOR 30 DAYS ANY QUESTIONS PLEASE CALL OR FAX US AT PHONE Subtotal NUMBERS AT BOTTOM OF PAGE THANKS $4,095.66 Sales Tax (8.4%) $344.04 Phone # Fax# Total $4,439.70 360-683-5796 360-683-7570 Signature \. i J BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only: Date Received 2-- 2[-OlS' Permit # 06- 21"s Date Approved Applicant or Agent ~ A-k' u FS Property Owner ~W-(PY33-'S7q (p PROJECT ADDRESS '* ;? 3 0 E. I s't- Sr- '--- , ~, Parcel Number ::> f\f d, Soe E Zoning &esidential Commercial o Multi-family o Industrial Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair rrR'e-roof o Demolition o Sign o Heat System o Other Floor Areas Basement 1st Floor 2nd Floor 3'" Floor Garage. Carport Covered Porch Deck -- -- -.- -- --"- Shed Other 1.7() 8' .", r .( ) ...-r- O({ t' c..{:. S'" f'i-- other o wall-mounted 0 projecting 0 freestanding 0 aw Total si n area s . ft. Maximum allowed si n area s o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other Existinq (Sq. ft.) Proposed (Sq. ft.) @$ h TOTAL VALUATION $ L C) sq. ft. ft. sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths % Lot size Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Occupancy group Occupant load Construction type 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, an~o obtain permits prior to working on projects. .' . Date;)- ;U - 0;] Print Name J),;.JO c. A~, r" "" c, Signature :-0 ~ T:Forms/BuiJding Division/Bldg Permit Appl.-2006 Code.doc "(I "4i:",~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 5/28/97 Permit No: 5941 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DON LANNOYE 230 1ST ST E 222 FOREST AVE Lot: 1,3,16,18 063000633000000 Port Angeles, WA 98362 Block: 30 Long Legal: 360/457-9190 Sub: Thompson & Goodwin T: S: Parc No: 063000633080000 CONTRACTOR-----------------------------DESIGNER--------------------------------- APS ELECTRIC 546 BENSON RD. PORT ANGELES, WA 98362 360/452-6753 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: CA Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- WIRE NEW BATHROOM PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $40.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $40.00 $40.00 --------------------------------- --------------------------------- TOTAL FEE: $40.00 Balance Due: $0.00 COMMENTSI ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE L"l'SPECTION TYPE DATf. I ACCKPTED COMMENTS I YES I >10 t1 ..-IN I CUVr.K Sk,f'(n /V , :-;lC.KYIClC. l<.INAI ",,7 z..y; ~ 7 I 77l"'<-t GENERAL COMMENTS, PW-II02.1~(4'961 e ~;;;;iI' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 2/14/97 Permit No: 5836 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DON LANNOYE 230 1ST ST E 222 FOREST AVE Lot: 1,3,16,18 063000633000000 Port Angeles, WA 98362 Block: 30 Long Legal: 360/457-9190 Sub: Thompson & Goodwin T: penn print S: Parc No: 063000633080000 CONTRACTOR-----------------------------DESIGNER--------------------------------- APS ELECTRIC 546 BENSON RD. PORT ANGELES, WA 98362 360/452-6753 , 000/000-0000 PROJECT INFO----------------------------------------------------________________ prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: CA Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES--------------------------------------_____________________________ WIRE TROFFERS AND RECEPTACLES ~~f;J' PROJECT FEES ASSESSMENT----------------------------------------_________________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $50.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $50.00 $50.00 --------------------------------- --------------------------------- -------------------------- TOTAL FEE: $50.00 Balance Due: $0.00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED CO~S " I YES I NO DITCH RnTTr.T-r_lN !l,.UVnK , SERVICE , FINAL I '/-7 I ., GENERAL COMMENTS: PW.IID2.l:5(4I96] , ., Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. d a ;/,3 q/ ~ ~<{7 / I " ., DATE Installed By: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: \' Owner/Business: . Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 010 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai IslDescription: ,fl4<-rvJ L-0df~O dd /7U ~~;(/i:; .- ~hf . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service /If"' l% Final O.K. Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection o Plan Review approved/pending Site Address: / /-l-t Permit/Receipt No. ':)3;).3 New Meters e> Notify the Department of City Lig by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the In~or inWriting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. ~/ 5 ~~ NO OCCUPANCY DR USE ESTABLISHED UNDER THIS PERMIT * c52t&, OD , ll)ipector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. !o 0 2---- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 602-- PERMIT NUMBER . TOTAL FEE ~()93- ( &,A1M CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .2 30 A. .f, ~I te:, I CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AOAA~S~ES Af}E CANCEL~ / . _ Owner D /) 10 LA.f'.J tv 0'1 ~ Installation By -1='7 ( {lr c ( U'IJf:::!C.. Owner's Address 1>11\) 1>~Ltv T Installers Address / Day Phone Installers Phone / I Application is hereby made for Permit to install Electrical Equipment 85 follows: Rf v-> I It t. D-., -tuA " /'!...- (}..J kil S" AN d. . Site Address A-~cl f'.JtJ...J 5UtU/C.-L Wiring Method & ~ I f . NUMBER AMP 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT 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 TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT ,/" ,,0 AMP PHASE FEEDER f -/ ~ "'" ./ I .~ SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE ~ " - T ~() ':-- A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. . By 7? ~ 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 pertalOlO;;;O~b:ct to compliance with the o::nances of the City of po~t~'t IGHT Date Permit Issued I ~ I ) PLANS PRO D 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. '" , 19 WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's RepOft ;. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , .' , , . . '. p ~ :.. - , .' .' . ,_,' ....1 , : . . , . ~ I , " i . . " , . , '. '. " 9 "~ , II t"'. Ivf../Jt IJ If-! If'! rD. 71:> k.fJllliJH1.I~ , I~ ~ 11\t\ , O.K. FOR COVERING h '", qL 1\1 O.K. TO CONNECT,SERVICE . . I " .. ~~L._.... ~ L _S"'AtJi) /)/J A.+ C/(l{ I' , I . z CI II: < :i! ~ J: I- Z W l- . I- o Z o Q . to j ~S-- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000203 ;1 PERMIT NUMBER . TOTAL FEE . ;;'(._00 I {'O^1Nt CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY .- ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 2 30 r I~- -F'-":;1 - 51- CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner (I/l..,,-/-:':ry _ 5r.I....s .- InstailationBy - fl..AiM &,,~ - 5'rC/-V- Owner's Address - P CJ an 'V /3 ':J"L Installers Address . Day Phone '-/ 1"- '7 ,/ &/ 0 , Installers Phone App.lication is hereby made for Permit to install Electrical Equipment as follows: /IV.> 'TA L g 0 e;( rf't (7 ~ S, C-AI Wiring Method ,f> l/' '< . NUMBER AMP .120V 24QV NUMBER AMP 120V 24QV USE OF CIRCUIT PER. 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN , f fl./!) ;J.t. t!J. 50 VOLTS - - LIGHT OR lESS - - - CONVENIENCE MOTOR CONVENIENCE .. MOTOR . AP~lIANCE - - MOTOR DISHWASHE.R . _. FIRE ALARMS I '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 ,- . ;)., ,- 0< TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS . --. .. SERVICE . AW,G. -- I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH ~ Date Permit Issued \. \ I WARNING \ I: certify that the'work to'be performed unde'r this permit will be done.by th~ installer and in conforma~ce with the N.E.C. Electrical Cod~.' - (""F' ~ - C ..., ,19 By :f!:i~J/ 9 ~._-;::-;;, . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) fermission is hereby given.to d.o the aboye de~cribed work,.according to the conditions hereon,and according to the approved plans and ~pecifications pertaining thereto, subject to compliance with the Ordinances of the Ci!y of ~ort Angeles. \ 7,-fr By'1L~17;Y1~ ' PLANS APP OVED "' -"'. " 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. Date Application made -:3 - 7 - -- )-- 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 :3 - I? -j'r '\ O.K. FOR COVERING '1 - n - I'f 7. /J1f'P O.K. TO CONNECT SERVICE J-I) -8'> / FINAL O.K. . z CI a: < ::e !!Z :I: I- Z W l- . I- o Z o C . () '3 ft, tf- FEE REC [PT NUMBER CIT.Y OF PORT ANGELES , DEPARtMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT 000140~ A PERMIT NUMBER . \,-, > . TOTAL FEE '/6 <od '. 'I"~ . . \ .' " I ' I "(fO'M ',A/f .. . , \ ~', ,~ ~tMETOCOM-~LETE~. ) '., .NO:-STORIES ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J3~ CORRECT AODAESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADORE ES ARE CANCELLED /'\ .L-,' II.-c?:;;.. e.-Ie.~ ~:~:;'SAdd:S-'~~~~ ~0 S~'Z-~ . :~:::::::~o~:;ess ~~l sf Day Phone . Installers Phone' . '75":2. ~ q;:). C ,/ Application is hereby made for Permit to installElectrical Equipment as follows: eJ< re J{ tJ If N~ elf' P ,t-r-e pc{ rL::. } c {('IS 'f-cJ...,+"/c e e<p /VIf'J!.es)~1{ Pea) 1P !f~,t-r Fe e. fJ . Wiring Method ~;f)e.- LEGAL OCCUPANCY Site Address ~ 3D .\2s/ . AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER - PEA -120V 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 -- LIGHT SIGN LIGHT , . 50 VOLTS OR lESS - CONVENIENCE MOTOR CONVENIENCE - . MOTOR APPLIANCE.. .. . MOTOR " DISHWASHER , - FI RE ALARMS. . DISPOSAL BURGLAR ALARM .. RANGE MISC. JJ y OVEN :J Y' WATER HEATER LAUNDRY DRYER '. REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT .q J'c'.~ TOTAL FEE . ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER " A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS " SERVICE AW.G. . I SUB~TOT AL . SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made his permit will be done by the installer and in con10 / ~5 ,19 By CONTRACTOR OR NER {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 01 the City 01 Port Angeles: '_ ,,\. .(. : . \ . \ D RECT O.F F. <ni .2::T ' / - ~~15:;- /~ Date Permit Issued WARNING Notify Department 01 City Light by Street Address and Permit Number when ready 10r inspection. Work must not be covered or current turned on be10re inspection and O.K. 10r covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.04'1 Ex!. 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 OATEOFV1SIT MADE BY REMARKS f.-q- }() /fl y~-f I Nf) ~ X PIt/Yet- f7j((j)Pc:~L" !fN(J I'L <( c;- , 5/';ff\e !1 0.5 14 f) 0)(3. --- - - .. - r:. l 1- 1-1S i( /'J? O.K. FOR COVERING O.K. TO CONNECT SERVICE ;2.. - /1 ~<{ ~ 1*.2 FINAL O.K. . z CI a: cl: ::IE ~ :r I- z W l- . I- o Z o Q . J ~ "I.tiii.. ..io" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 ":AST 5TH STREET. PORT ANGELES. WA 91l~()2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000278 Date 784302 230 E 1ST ST 06-30-00-6-3-3000-0000- ELECTRICAL ONLY 4/21/05 COMMERCIAL ARTERIAL o Owner Contractor LANNOYE DONALD D 222 FORREST AVE PORT ANGELES WA 983622518 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL SIMPSONI HOT TUB CIRCUIT 47746 SIMPSON ELECTRIC 61.30 Plan Check Fee 4/21/05 Valuation 10/18/05 .00 o Qty 1. 00 Unit Charge Per 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61.30 1\1 LIj Q Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 f1\ ~ ~ ~ ~ ~ ~ h \) COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPEgJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.lH4196\ 04/20/2005 02:37 4579270 WIll ~tJr'-~"""" ~ ~, tiElectrica' Contractor 0 Owner '_...' CJ Annual Permit I:J Alllrm 0 Carnival P Commercial CJ R~idential D Resjden(-i~1 Malnt. CJ Signs 0 Thermostat CI Telecom. SIMPSON ELECTRIC PAGE 01 ELECfRICAL WORK PERMIT APPLICATION _ o Request Inspection Job wired by IWElectncal Contractor 0 Owner lostallEl1ion description Electric;)1 contractor name Sitnaie>n b/ec..-f1t,'t- U(' PurchaJer's m3i1ing addTC!t!: d-.i/.303t. jj..J tf. / {)J City, 2DM It ~ Jf?S Tch:phcl11C number 45 -9;1-70 Premi&:C!f owner's name <;PI'r S !-IDt' rn/K~ D~~,'e, Addre5'!ii or In!lp'cdlon ~304/JJ c. /~Sl. CUy -e {es Licco!lc number S1'hli'JS€t. 973 If!. fiJ . ' (\ Ad 4.. (',- 1l..O~ jjn-- 0- 1Jo+ T cJ" tAJ Stntc z,p (J)~ 98.363 rAX number ;J..'3D 2Z /~ 1 herehy certify that T am the Owner of the above n<lmc.d prnpert)' or a liecnscd Q ~ electri~l contractor (or the finn's authorized agent) Bnd am making the dccLrical 7I':,CrcditCard ~ Mastercard Discover in~tal1ation Of alteration in compliance with the eleclTicallaw. Chapter 19.28 RCW. Card # ------~__-____-3.J:ss o Cash 0 Check # e of owner, electrical contne /. r or electriClloI :admini!itntnr , Expiration Pate of card Jnspcction fee $ b/.~ WALLS In~ula'ion Only r CEILING In~uJation Only , r 1HERMOSTAT , Dllle Afl"mlledl'r r DITCH "'\ OllIe ^flI'''''''ld By r SERVJCE Oftle ^""m"cd 5)< / FEEDER D.~ ^"P"""od Dr Onle ^"J'H'(I\ttI\J D)' Onre ^""r(lVNl6, Cover Co vcr l:>ft1t A1lProvecl Dy --' lJlI.'~ ^l"1Il'Ovftd By , E,leclrlcal Lo.sd AddltlQns and or s.ubtracllon~ I.J NO LOAD CflANGES C Bas.boam KW Q F"umace KW I.J float Pump _ Ton _ LAR C Fan-Wall _ KW Service 1~lormalion lnsJ'lcc\ion Area. HUi1ding or Equipment Jn~ctcd Action Taken Blcctl'icnl Date Inspector 1./ /'7A /JJ< /?/.hM I"iY /'76(/ / I Q Overhead Service o Temp Service Q Underground Service Voltage PhaseI.J1D3 Service Size: _ Feed~r Size: .. ;'1cO o/zo):;s-