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Home My WebLink About112 E 8th St - BuildingCERTIFJC UPANCY CI t vtport Angele ,j1lgt pivision This certificate is issutuniet rsuant to the requiremen Srof Section .174-ofthe 21909 International Building '.I., Code certifying that atlipti,ofrissuance this structure was in compliance with the various ordinances ,:--et: of the City regulating buil huilanzcbristruction for the follOWing3, Orfgi 1.''' 4' t: o Business name 4raternal Order of Business address 112: E. St. r 'Y Property owner f:) c -I44k, Peninsula ot 'Oat; 'aftitrOepter 1 Property owner )62 dreg 118 E 8 PiA7 616§'' Automatic fire spin ler stem. W741 sc 946Z.& Not Use occupancy klaUSation. Assembly Building permit nu o b'er.s.;_, 'e''-- rzaz 1 0-1015 Occupant load load Type of construction. Post on the premises in a conspicuous place.' his cettifi teshallnot be removed except by the Building Official. PREPARED 4/29/11 13 42 11 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/11 ADDRESS 112 E 8TH ST SUBDIV TENANT NBR FRATERNAL ORDER OF EAGLES CONTRACTOR JP PLUMBING INC PHONE (360) 457 6767 OWNER PENINSULA COMMUNITY MENTAL PHONE (360) 457 0431 PARCEL 06 30 00 0 2 6831 0000 APPL NUMBER 11 00000275 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/21/11 JLL BLDG FINAL TIME 01 00 4/21/11 DA April 20 2011 4 43 51 PM 1pangrle JIM 452 3344 BUILDING FINAL PARTITION FRAMING AFTERNOON PLEASE CALL HIM 10- MINUTES BEFORE YOU GET THERE April 21 2011 4 30 03 PM jlierly Electrical final /finish guard rail /handrail on stairs /health dept inspection/ No grease interceptor required/j11 BL99 02 4/29/11 J BLDG FINAL April 29 2011 1 39 29 PM 1pangrle THOMAS 452 3344 BUILDING FINAL PERMIT PL 00 PLUMBING P:i' T REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 4/21/11 JLL PLUMBING FINAL TIME 01 00 4/21/11 DA April 20 2011 4 46 28 PM 1pangrle JIM 452 3344 PLUMBING FINAL PLUMBING FOR NEW SINKS AFTERNOON PLEASE CALL HIM 10- MINUTES BEFORE YOU GET THERE April 21 2011 4 30 03 PM jlierly Electrical final /finish guard rail /handrail on stairs /health dept inspection/ No grease interceptor required/j11 PLUMBING FINAL PL99 02 4/29/11 JL April 29 2011 1 40 10 PM 1pangrle V THOMAS 452 3344 PLUMBING FINAL 1- COMMENTS AND NOTES PREPARED 4/29/11 13 42 11 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/11 ADDRESS 112 E 8TH ST SUBDIV TENANT NBR FRATERNAL ORDER OF EAGLES CONTRACTOR PHONE OWNER PENINSULA COMMUNITY MENTAL PHONE (360) 565 3919 PARCEL 06 30 00 0 2 6831 0000 APPL NUMBER 10 00001315 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 3/17/11 JLL BLDG C/O FINAL TIME 01 00 3/17/11 DA OVERRIDE TAKEN BY LPANGRLE DATE 03/17/11 TIME 08 04 40 March 16 2011 4 44 34 PM 1pangrle PATTI 461 9008 C OF 0 FINAL FRATERNAL ORDER OF EAGLES AFTERNOON PLEASE CALL PENNY AT 477 1803 TO ARRANGE TO HAVE THE BUILDING OPEN FOR YOUR INSPECTION March 17 2011 4 27 35 PM jlierly finish setting up interior items for inspection/ obtain a permit for plumbing when ready to install and walk in cooler /j11 C099 02 4/21/11 JLL BLDG C/O FINAL TIME 01 00 4/21/11 DA OVERRIDE TAKEN BY LPANGRLE DATE 04/20/11 TIME 16 49 29 April 20 2011 4 47 56 PM 1pangrle JIM 452 3344 C OF 0 FINAL EAGLES AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE April 21 2011 4 30 03 PM jlierly Electrical final /finish guard rail /handrail on stairs /health dept inspection/ No grease interceptor required /j11 C099 03 4/29/11 L BLDG C/O FINAL OVERRIDE TAKEN BY LPANGRLE DATE 04/29/11 TIME 13 42 01 April 29 2011 1 41 03 PM 1pangrle THOMAS 452 3344 C OF 0 FINAL COMMENTS AND NOTES DE 1 PERMIT 11 INSPECTOR -yY,,,��_� OWN R VC V\ CONTRACTOR 13:51V-RD t SO )Sl ADDRESS 112_ rz g t., APPROVED 0 0 0 0 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DITCH ROUGH IN /COVER SERVICE FINAL Pt 4 la`s t■O ti 4 6 p- tw:r rt NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED f CORRECTIONS NEEDED: CAP.)." O S TS GO g PS CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East /Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax. (360) 417 -4711 Date: 1 2 Single Family Dwelling Multi Family or Commercial* Plan Review May, Be Required, Please Com I Electrjcal Plan Revierm o Sheet Job Address: 0 ----7 'Z.e e 1 1 C) 4 -p v l Building Square Footage: J Description of above Owner Information Name: 9 !e� �rf 7 7Jv /c/ )j Mailing Address: City State: Zip: Phone: Fax: License Exp. Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Dated: RECEVER APR 21 2011 r! Commercial Addition Alteration Remodel Repair* Contra1In#ormatipn Name: C Sc CG?) OJti 47::t._A., Mailing Address: 9 Vis ]'a vi p vt n r, City ?r1 Stater,_ Zip: q E 1. -Z Phone: ax: e/t °a -il 76.,6 License Exp. /30 0 c re. S E 9 3 /a Item Unit Charge CIty Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 ___I__ Each Additional Branch Circuit 2.60 9 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline.Lighting 88.20 Signal Circuit/.LimitedEnergy First 1500 sf Commercial 95.90 Credit Card ELECTRICAL INSPECTIONS Total (Qty Multiplied b Unit Charge) 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.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications Signature of owner, electrical c• tractor or electrical administrator c Check INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 1.41 1 V -1;4 FINAL q I N ii 6 `f" 7. COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 5 circuits remodel Owner PENINSULA COMMUNITY MENTAL HEALTH CENTER 118 E 8TH ST PORT ANGELES (360) 457 0431 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983626129 11 00000359 005775 112 E 8TH ST 06 30 00 0 2 6831 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor ELECTRICAL ALTER COMMERCIAL 184218 83 90 4/22/11 10/19/11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES (360) 452 4766 Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 4 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Charged Permit Fee Total Plan Check Total Grand Total 83 90 00 83 90 Paid Credited Due 83 90 00 83 90 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING 00 00 00 Date 4/22/11 WA 98362 Extension 73 50 10 40 00 00 00 0 0 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date' PREPARED 4/21/11 8 04 08 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/21/11 ADDRESS 112 E 8TH ST SUBDIV TENANT NBR FRATERNAL ORDER OF EAGLES CONTRACTOR JP PLUMBING INC PHONE (360) 457 6767 OWNER PENINSULA COMMUNITY MENTAL PHONE (360) 457 0431 PARCEL 06 30 00 0 2 6831 0000 APPL NUMBER 11 00000275 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/21/11 BLDG FINAL TIME 01 00 April 20 2011 4 43 51 PM 1pangrle JIM 452 3344 BUILDING FINAL PARTITION FRAMING AFTERNOON PLEASE CALL HIM 10- MINUTES BEFORE YOU GET THERE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 4/21/11 L PprMlIN0 FINAL TIME 0 00 April 20 2011 4 46 28 PM 1pangrle JIM 452 3344 PLUMBING FINAL PLUMBING FOR NEW SINKS AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction 4 e-i` -t 1 CI 1 S c'X Lo 1 LA Q These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call y) J)- L/ S for inspection Date Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 4/21/11 8 04 08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/21/11 ADDRESS 112 E 8TH ST SUBDIV TENANT NBR FRATERNAL ORDER OF EAGLES CONTRACTOR PHONE OWNER PENINSULA COMMUNITY MENTAL PHONE (360) 565 3919 PARCEL 06 30 00 0 2 6831 0000 APPL NUMBER 10- 00001315 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 3/17/11 JLL BLDG C/O FINAL TIME 01 00 3/17/11 DA OVERRIDE TAKEN BY LPANGRLE DATE 03/17/11 TIME 08 04 40 March 16 2011 4 44 34 PM 1pangrle PATTI 461 9008 C OF 0 FINAL FRATERNAL ORDER OF EAGLES AFTERNOON PLEASE CALL PENNY AT 477 1803 TO ARRANGE TO HAVE THE BUILDING OPEN FOR YOUR INSPECTION March 17 2011 4 27 35 PM jlierly finish setting up interior items for inspection/ obtain a permit for plumbing when ready to install and walk in cooler /j11 C099 02 4/21/11 JLL BLDG C/O FINAL TIME 01 00 n 1'4 OVERRIDE TAKEN BY LPANGRLE DATE 04/20/11 TIME 16 49 29 l April 20 2011 4 47 56 PM 1pangrle V� JIM 452 3344 C OF 0 FINAL EAGLES AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN /J i1/4-1 19k1D FINAL c 1 6 a COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Security system Owner PENINSULA COMMUNITY MENTAL HEALTH CENTER 118 E 8TH ST PORT ANGELES (360) 457 0431 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT Fee summary Permit Fee Total Plan Check Total Grand Total WA 983626129 ELECTRICAL ALTER COMMERCIAL 183467 95 90 4/12/11 10/09/11 Charged 95 90 00 95 90 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL .PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000303 589559 112 E 8TH ST 06 30 00 0 2 6831 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES (360) 452 2727 X15? �3.S6P Plan Check Fee Valuation Paid Credited Due 95 90 00 95 90 00 00 00 Date 4/12/11 WA 98362 00 00 00 00 0 Extension 95 90 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date r-- oo FROM HI -TECH ELECTRONICS i. ITt Oi POi :l &►N(,LL.i_s IT N tkaldicig Un iSi.011!1, lecccical iust►cs•ciur.. 3_1 .Lust Filth St Frei t' 0 Del. 11 Port Angelis 9b362 'n. ,.iou) 41 4 ax. ('U) 417 i SingI...I sillily Dwelliag Owner intomietion Nomt c.. p ort Ange t WP_ 2p- ..&j4:2- q L:.wRSzti,'f Etc, item Unit Charge Se. vii,e/Feadei 201. Amp. $119.90 SorviceiF44der 201 -400 Aran. 145.50 Sarv:ca /Feeder 401 .Amp 204.60 Servioiireedar 501 -1000 Amp. S 262.20 Serriceli=eader over 1000 Arrp- 8 372,50 8r4rlcn Circuit 'v( Service Feeder 2.60 E Circuit WO Service Feeder :,.50 Ea AtidiLonal branch Circuit 240 7 emp. 5era:o Fleecier 200 Amp. 52.70 Temp, Service//Feeder 201.400 Amp. 5 110.30 Tsrlp. Service/Feeder 401 -600 Amp. 148.70 .1rnp ServtcoiFeeder 60'11000 Anlp 5 167.00 Porte! w Porter Hou!ir 5 95.90 SigniOunine Lighting tla.20 aOnal Circu,tl Limited Energy r Fist !S00 sf Ccrinoroial 95 90 glow,. $5.00 iur e6:ti addil,on l 1655 st -Sipe! Circu r Limited Energy 1 6 2 Frmly D.veUing S 53.90 Signal C.weuii/ Limited Energy Malti•F.amily Dwelling 5 63.90 'danufz:.tarad time Connection 115.50 Retwrieule Eleetri t Energy SKVA System or Less 10230 '1167110:M 50.00 NEW CONSTRUCTION ONLY. r=ust 1300 Square Ft 5 11030 Eat) Aaauionel 500 Square Ft or Potion of 35.20 Erich 001bl :1hdtns or Detached Garecje 73.50 Sect Sv,inireing Pod or lid Tub 110.30 FAX NO. t wr est 360 452 856 CE V EEI pr 08 201'1 01 26PM REED APR 11 2011 K. Multi- Family or Colnnlerool" Lornnl4rcial Addition alteration Remodel Repair Review May Be Required, 1 e,f Ir plate 1- Plan R3viaw Information Sh.;at vw a r ELECTRICAL INSPECTIONS Contractor Information Name. Hi Tech Security, Inc Made g.kk eth 723 East Front St_ C:ty. Port Angelesstau WA ;to: 9836,7._ hr',; X 452 27277 w 452 -8560 Lrcen�ti {;!tr t tvTS 955HS Total ION Multiplied by Unit Charnel 5 5 S b_S __2_0 Total v110irto Owner as defined by ROW 19,25.261 (1) Owner will occupy Ina structure for two years afar this electrical permit is finalized. f2) Owner is required to hart an electriser contactor if above said property is for sale, rotor lease. Paine expires after six months of last inspection After reading the above statement, I hereby certify that I an the owner of the above named properly or a .licensed electrical contractor i am making eiectrica installation or attereton in compliance with the alectricai laws, ti,F,i., ROW. ,hapter 19.26, WAC. Chapter 296468, Thu City of Port Aarga;es Miro.cipai Code, and Lt6iiiy Specifications and PAIv1C 14.03.050 regarding Electrical ?emit Applications SIgnaw a of owner. electrical contractor or electrical administrator 0 Cad) 0 Chxek C CroditCarua_ P1 g t Date 2 00 1 00 1 00 Other Fees Fee summary Permit Fee Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 1974 Application desc PLUMBING FOR NEW SINKS PARTITION FRAMING Owner Contractor PENINSULA COMMUNITY MENTAL HEALTH CENTER 118 E 8TH ST PORT ANGELES (360) 457 0431 Structure Information 000 Construction Type Occupancy Type Permit PLUMBING PERMIT Additional desc Permit pin number 183145 Permit Fee 86 00 Tissue Date 4/04/11 Expiration Date 10/01/11 Qty Unit Charge Per 7 0000 EA 7 0000 EA 15 0000 EA T:Forms /Building Division /Building Permit WA 983626129 Charged 11 00000275 Date 4/04/11 915150 112 E 8TH ST 06 30 00 0 2 6831 0000 FRATERNAL ORDER OF EAGLES COMM REMODEL 000 PLUMBING UNKNOWN ASSEMBLY BASE FEE PL PLUMBING TRAP PL WATER LINE PL SEWER LINE P'9r, lYloz/2/S JP PLUMBING INC 246 FORS RD PORT ANGELES (360) 457 6767 FOR NEW SINKS Permit BUILDING PERMIT COMMERCIAL Additional desc TENANT IMPROVEMENT Permit pin number 183137 Permit Fee 95 75 Issue Date 4/04/11 Expiration Date 10 /01 /11 Qty Unit Charge Per BASE FEE 15 00 3 0500 HND BL -501 2K (3 05 PER C) STATE SURCHARGE Paid Credited 181 75 181 75 00 WA 98363 PARTITIONS Plan Check Fee 62 24 Valuation 1974 Plan Check Fee 00 Valuation 0 Print Name Signature of Contractor or Authorized Agent Extension 50 00 45 75 Extension 50 00 14 00 7 00 15 00 4 50 Due 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) ct-2:1-tt 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 ny state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION: Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING Planning Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 Gas Line Back Flow Water FINAL Date 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. Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. _SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. _SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -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. T:Forms /Building Division /Building Permit Application Number Application pin number Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 62 24 4 50 248 49 11 00000275 915150 62 24 4 50 248 49 00 00 00 Page 2 Date 4/04/11 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Date Footings Electrical Stemwall 417 4735 Foundation Drainage Downspouts Construction R.W Piers 417 -4831 Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING 1 31 2 by W Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 Gas Line 3 Back Flow Water FINAL Dat 23- 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. Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 `I '2 I 3 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -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. T:Forms /Building Division /Building Permit C 0 ril 5 -io- it Applicant Property Property Contractor Contractor's License Owner �/7„ Owner's Address P PI u rnbthr Address .ay R 1- l .q;e.1eds p `�3`t L� Expires J PROJECT ADDRESS Parcel Number wr Ca cotil moors a-He. FLun+6 hi 4 ��1w�.L�-oviev►cie BUILDING PERMIT APPLICATION 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 P r 4-7 et i P a "a/e-C a E` i /e 5 Project Type Brief Description. Check all that apply New Construction Residential Multi- family "ommercial Industrial g- c.,%n -f v enf 1 -co mpartmeol- !r O e A n lira` CH n eQ 4) 1 r 4 ry 1St �n c f 5las Wat- Addition )emodel nhl serving pre- PaLKa9 d nocri `krvi4e lt, hctzn�rdou S n o h ea h n) n no qre ,o,Se 5o &spew, elc5 or Co -(,hak 30YnS ear off re -roof lay over one layer Repair Demolition Re -roof House garage other Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installe Will a fire sprinkler system be installe Existing (sq. ft.) Proposed (sq. ft.) per sq ft.= Total footprint of structures Site Coverage the amount of impervious s and other impervious surfaces. (see PAM /7k 8 74 ft. Lot size e on a parcel, including struct 7 94 135 for exemptions) Occupancy grou Occupant load Constructio pe Lot Pho For City Use Only Date Received '3 30 Permit# i1— Lilt/ Approved L J tr if 1 340 -1 1 hone 4 Phone 5 6-1(01 WA a$3(3 E -mail Zoning G S 0 TOTAL VALUATION /771 sq ft. Lot coverage s paved driveways sidewal Site coverage of bedroo of full b hs of ha baths ios I have read and completed this application and know it to be true and correct 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date s'D Print Name p V71 B� Signature evvrl trr�c IS T For ldi g`rdivision /Building permit p ication ✓V Q Community Health enter March 29, 2011 City of Port Angeles 321 E. 5 St. Port Angeles, WA 98362 Subject: 112 East 8 St. To Whom It May Concern. 1 I8 East Eighth Street Port Angeles,WA 98362 Ph. (360) 457 -0431 Fax (360) 457 -0493 info @pcmhc.org www.pcmhc.org Please be advised that Peninsula Community Mental Health Center has entered into a lease agreement for its property at 112 East 8 St. in Port Angeles, WA with the PORT ANGELES AERIE, NO 483, FRATERNAL ORDER OF EAGLES from February 1, 2011 to January 1, 2012 Permission has been given to the Eagles by PCMHC for minor renovations to be made to the building, particularly with plumbing, to accommodate their bar If I can be of any further assistance, please don't hesitate to call me 360 565 -3919 Sincerely, Peter 0 Casey, LICSW Executive Director cc PORT ANGELES AERIE, NO 483 FRATERNAL ORDER OF EAGLES United Way COMMUNITY RESOURCE CENTER 490 North Fifth Avenue Sequim,WA 98382 Ph. (360) 681-0585 Fax (360) 681 2808 L0/ DOCK .5 Rn E oPc ot'E R HE4 P 8 0 Si Al; q i &G A 421 t 'k( L/juN Pay In IMINCIONINSIM O C 000000 00 c 00/ R "LAS r L o /4 HeR L ICI I� R4 BFIR C C CI I� C C C ri RiAt'r 5 G \C' i)!IO vott 114 A 1 .5-tro< FEcr S i DR/l q L/3ti T r�� e B,;'' ..5 4 z C j e e L L. A L, A A=SS E /2 9 714 S Apr E, 9 s L oDg 4g 3 .Sc' I-1 i /•icif l3 fLe e- T' r kt#7L (Ff= /e )s'yAJ‹ 6 if H 1/ F/l"� /04kTi7 /ews .,6 /9X'E/J LM 14, 1 Pi X tJ '5' it 976 /14 1'6 L/3/' tJ= 6' /i (5'TA 7: oxi r $,Q et a c T i,i &r E 745 CiLifb`' 7/ rie /FL oF 5 /.Uk A1/i tZ /f9/.-' it, =/31 M'/- r SINK c L f u> 45 r/ Erz S/9 AL ..;/4.7b !X' eA' ��3/@ I P C T 3 L t A/4)/7E4 i 7 574'.0 to" raj /:-A1 tkeit x.re5e AMI i4) 84►Tti y 3/9/1 2 l 6, ?Pot) idE G� o c 0 e iaks R per Ng Doi/.S C C C D C C J c D CusT OMER /3kE'9 236() sq f=l n n 1 vL) L9 U V..57A ///4 irt= 1 ityeA.)s S -lt-a 7t ez'jt C -iA- <t c C D 4127 a J /oZ Gl?rt Approval Date ti lb[ 1 011., pt-%)4) E 45.2 b2,./J-0 4y-1 gm*, The issue, e c cations are oti,g t. from thereafter requirir piar specifications and of building operations being violation of all codes and <u v M1CRt suyQwl sir CJ D C JJ _e ES Construction Plans used upon these plans, specifi- 'ent the building official on of errors in said fr "m preventing aj when in urisdiction� OaVei L PREPARED 3/17/11 8 05 32 CITY OF PORT ANGELES ADDRESS 112 E 8TH ST TENANT NBR FRATERNAL ORDER OF EAGLES CONTRACTOR OWNER PARCEL APPL NUMBER C099 01 3/17/11 PENINSULA COMMUNITY MENTAL 06 30 00 0 2 6831 0000 10 00001315 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY FRATERNAL SUBDIV BLDG C/O FINAL OVERRIDE TAKEN March 16 2011 4 PATTI 461 9008 C OF 0 FINAL AFTERNOON PLEASE CALL PENNY AT 477 1803 TO ARRANGE BUILDING OPEN FOR YOUR INSPECTION COMMENTS AND NOTES PHONE PHONE (360 65 3919 hv k TIME 01 00 BY LPANGRLE DATE 03/17/11 TIME 08 04 40 44 34 PM 1pangrle ORDER OF EAGLES uN TO HAVE THE 1=c 6-4" 6 I) 0 eor..v PAGE 9 DATE 3/17/11 p- 6e wG /2 o L--o eye-70 aton 1 \o Permit# 0-I3I 5 F a-A eirnd n4e)(-- 0-F- E -eds P er svz, -i0 {�pP roveA C P ►o —o'er —Good -for I c�.�r 4-0 12-h3 /11 itc; Z 33(Pf P h o-na -e Ea. Ie s r4 9 Q, /Z61 ,...At QO rte LAW it -en Cie L i 230S S1 ee4 r eas C 0-1 1 1r1 2 v (e-o Ki vl o fl u tv+ b1° f f/2.v S .aA ok `fie b u i d tj k e- (.501 cp arv✓I i 4 r 0 1 5 '3-I(0 II PPx Sum IS Pad O\o r vl S CQ,114 (4,f-90 cell) Q r d@, 5V 4or C o fl) (1561) Svc 5 ai d Pa S cu ct +ey c I vend {'h c&-F- o P t` ci o. o show n o le` 1 0 c cc i {1. C i L "4) 1 A-ln of€A- 0` bu l r P tv ,m n� 3-6 -11 !P Pd4- pkone. ne e -4-a Ga,l -Par C o c 4 s�-�,G-1-i o l fro vh T Forms /Building Division/Notes NOTES 6.1--qcos) m oz.— I No Fser X11 T A Si DAS, sii Tkei rla_Y\ er-Q-AA V�1e- (!..i Scv S S'- \a 5+11 y\ ee.d 0,1? tein /fu eQx-y-Y-1 0 5 5 2e. -fc, F3 (AAR ruf 6 1, r ?ORT,, CERTIFICATE OF OCCUPANCY APPLICATION FIRE DEPARTMENT phone 417 4653 CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business in P.A. Change of ownership only? L�J Moving location from within P.A.? L C oning e BUSINESS NAME i e O f G r 4.= /p S Ae sg 3 Business address //2. e, P' 4 S7 7 Mailing address //D .5% /,M Phone number .3 4.65 -95,9? 3 3`)"`( Opening date ;z Days hours of operationp- 7 ei4 y Business owner's name ©e" 4 r, c r3 Contact phone -7 d e45 c/ Business owner's address O 5 -i /9.4, r /es #1 9P- Brief description of business Property owner's name 4 c y /V., J Ten Contact phone _3 4 ,565 39/ P rwnnr'c =ddreSS /cnntoct it r S7 h C, f BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes L1 No Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned f o T rc o /a g a V IN i l I 5 ci WAS P er rn� =t- Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? CITY CLERK phone 417 -4634 (h P0 Is business moving within the PBIA? Yes No 7 Second -hand dealer /pawnbroker business? Yes N Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses Page 1 of 2 \00 2612(9 FEES to vti $50 C ertificate Inspection PdM{- $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Permit# O 13 Bldg approval by on Fire approval by on PBIA notified on City Clerk approval by on °P COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for� mpplloyees and customers? �4,p taxi mom,. 7r (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned r Work planned ff G_)4 1 h 4/, P PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots downs irrigation system backflow devices etc.) Yes No PUBLIC WORKS WASTEWATER phone 417 -4845 T \Forms \Building Division\Certificale of Occupancy Application (2010).doc o cd I C° �C .e (S h P, o l7l A. S l (reA, Er1 1 PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. Please sign up for utility services at the cashiers' counter Page 2of2 CED approval b /3 /An iJ L /''Z././ /D PWE approval by on PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No J?" If yes what will be discharged. Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 I hereby apply for a Certificate of Occupancy I acknowledge that I have read this .application and state that the information have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date /1) Print Name G e J p 1 a Roek- CER TIFICA TE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT T IN INK Check one New business in P.A. Change of ownership only? 21 Moving location from within P.A.? L? Zoning c CJ BUSINESS NAME 7e r.0 r, 4 c °J /``S J Ae- 2F3 Business address //V,_ P L _S i e 7 Mailing address 7 /0 r .5% J, e� Phone number 3 Gd -Lisp? 33Yy Opening date a Days hours of operation 7 i4 y; eo e,A,.. Business owner's name M i r' f ©��r. rvrt"� /rS Contact phone .3 4,e '/52 Business owner's address .e..7 5 s /9• /rS' er>, Brief description of business J P� C, 7 Property owner's name Re -1 S s.f M.01 7en Contact phone 360-3 39/9 Prnnnrhi n arlrlrccclrnntnr+ ID J 9 t f n n BUILDING DEPARTMENT phone 417 4815 Is the business a restaurant OR bar that willxseat 50 or more people? Yes L7 No Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned 1 -%a T /c /c,P ek..9 4,. >c eA o a �c� c� a 5c,+- C t71ct� P 3 w FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No I Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? (p PO 0 7 Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses Page 1 of 2 Permit# CS 13 (5 FEES vJ ila�r+� Qc $50 Certificate Inspection Parking Business Improv bv fee charged for Downtown locations Bldg approval by on Fire approval by on PBIA notified on City Clerk approval by on °'P COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off- street parking spaces available for mployees and customers? A6o x y era, i'r iL., s 5' r/ (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned f,JG. i f 7'7 74- d PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or-re-located' sewer or water service, 'excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots, downs irrigation system backflow devices. etc.) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 T \Forms \Building Division\Certificate of Occupancy Application (2010).doc c n 7i I ,fJ GJ 6,5 3 r c r° (AA-I- •h PP f). S t J f'� fp)r i yk.1 Page -2 of 2 Date /i� /0 Print Name F e s Signature CED approval by on PWE approval by on on N NO u►n e ni5 PWW approval by on 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 1 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 n City e approval L W J1 7 by NIP" on 1 12., 1 O 1 .lik. d AA 0/( .2. tY do _lL'.. d1M I 1 (t6uX c/'c-tAvv fvrAn a, (J -e CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT INK L�J Check one New business in P.A.? Change of ownership only? Moving location from within P.A.? IV Zoning G 5b BUSINESS NAME 7 z "1 e..- i €r e °f' ,�4o /1-S Ac .r C 9P„3 Business address //a L. s 7 i Mailing address 7 /Q 5 g oJr s.%. "Al Phone number 3 6® 95 .3;J7/'y Opening date :2 Days hours of operation,- 7 10 /o,a,,,,.. Business owner's name I 7e A/ De-2rf '4 /r5 Contact phone 3 d /i 2 a v Business owner's address 2 7 ".•-7 S 6 �e. 7 �9, 7 a. /9 $'7 Brief description of business Property owner's name e Jt2/c. /eca /TG, Contact 3 6® -S65 39/.i Prr,nnrh, n 4rirrirecc /r nntoot f' 1 t9 4D e't l n BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes L7 No FIRE DEPARTMENT phone 417 -4653 Construction changes planned (moving walls, adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps, bathrooms electrical heating /cooling /ventilation systems etc) Work planned All 7 `c /cP w e.. >e 7e g �o c� icy ..g.... Changes to a fire sprinkler system or fire alarm system? Yes No I Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 67 POO 7 Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes N Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses Page 1 of 2 Permit# t D' 13 (5 h� euu4z tie- j a- lt a 0 4e(- FEES tovila�c+� $50 Certificate Inspection P t $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by on Fire approval by K1> p on 2.-lo t� PBIA notified on °P COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off- street parking spaces available for mployees and customers? l t x ?r ie v (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots downs irrigation system backflow devices, etc.) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No 1 If yes what will be discharged Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy 1 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 0 Print Name Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 T'\Form ,Building Divisior \Certificate of Occupancy Application (2010).doc h PP A S i r\ rir t'1LJSignature Page 2 of 2 CED approval by on 7' 7- .e9 •n O s s oar° PWE approval by on PWW approval by on v. R7, CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION Permit# 13 e vo o 'e(1` FEES 1ovialt $50 Certificate Inspection ['ern" t $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 New Co1'fact 3 "16' ors �{G -400 2 PP Pa� C e l I ASE PRIN INK �p 'OX Z (o $36 fit Check one. New business in P.A. Change of ownership only? L�l Moving location from within P.A.? Z c. se BUSINESS NAME ,�'ea i e c- e ege a o /e. t Q Q 0 FIRE DEPARTMENT phone 417 -4653 Phone number ,76€5 9S 3:3 yy Opening date Business owner's name Business owner's address O ��J�- .r, Brief description of business BP u- 2- BUILDING DEPARTMENT phone 417 -4815 h'14 �t?fl-U Bldg approval by 4--�j 46 -1% Per Sue e'er P mom's !'t e to th s cL pR,-.4 -ton o i <,u2ld trig err iumbin (1�rn9c�t Wi (l be. do rte.- Is the 'business a restaurant or bar that will seat -5 u or more people? Now Changes to a fire sprinkler system or fire alarm system? Yes El No Work planned PBIA (Parking Business improvement Area Downtown) phone 417 -4623 Po sf) Square footage of business? Is business moving within the PBIA? Yes No Second-hand dealer/pawnbroker business? Yes No Will there be dancing at this business? Yes No 2.,,./ A City of Port Angeles Business License is required for Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses Page 1 of 2 bays hours of operation- 7 4 y .5 fi r. i P :7; Contact phone 3bD 4%f 9/ 2 a 7 S /J`�C� I° /94 r 4- Ili Gam 9 'Y'J' 6 2 Property owner's name Pe A.., ta/4 Hev Contact phone 360 S ,5 39i Property owner's address /contact w T h S` T PBIA notified on on t -�'�i AFie -'$iey occupy es (e 5e S by f+ lnq Construction changes planned (movin walls adding/enlarging windows or doors roofing siding foundation work, if adding /altering stairways ramps bath Work planned 7/o 7 e e e e i r l 1 5 ,4- icl h ex vy. e approvalby ie., DD on Z I0 s, electrical heating /cooling /ventil on systems etc) hike4 Y approval by on 11' (Z 1 v City Clerk a royal b COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Signs planned Number of off street parkin spaces available for mployeees and customers? Aid/ofcpx r.rz. 7r .5 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc (,Ali I l hP,P fek PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS- DEPARTMENT ENGINEERING phone 417 -4812 IF Is site Work planned (neyv.or re- located sewer or water service, excavation grading or filling° work in City right -of -way new openings site drainage parking lots downs irrigation systeimbackfiow ;devices, etc). Yes No PUBLIC WORKS WASTEWATER phone 417 -4845 T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Date //-9 /l, Print Name n r ,v 141Signature Page 2 of 2 CED approval by E)- oon t2 -1340 PWE approval by RU on it 1 (0 Work planned PWW approval by on 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. 'KO Clallam County Assessor Treasurer Property Details 58462 PENINSULA COMMU Page 1 of 5 i Clallam County Assessor Treasurer Property Search Results 58462 PENINSULA COMMUNITY MENTAL HEALTH CENTER for Year 2010 2011 Property Account Property ID 58462 Geographic ID 0630000268310000 Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Open Space. N Historic Property N Multi Family Redevelopment: N Township Range Location Address: 112 EAST EIGHTH ST PORT ANGELES WA 98362 Neighborhood: Exempt Ref Region 5 Neighborhood CD 50985200 Owner Name Mailing Address. Taxes and Assessment Details Legal Description LOTS 7 8 S60' OF LOT 9 BLK 268 Agent Code Land Use Code 89 DFL N Remodel Property N Section. Mapsco Map ID 2 Exemptions: EX PENINSULA COMMUNITY MENTAL HEALTH CENTER Owner ID 45653 118 E 8TH ST Ownership 100 0000000000% PORT ANGELES WA 98362 -6129 Property Tax Information as of 11/09/2010 Amount Due if Paid on. M_ NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid p 2010 41405 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 CC -GEN COUNTY $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 PORT PORT $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 PORT ANG PORT ANGELES $0 00 $0 $0 00 $0 00 $0 00 2010 41405 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0 00 $0 00 $0 00 $0 00 $0 00 2010 41405 CITY_STORMWATER CITY STORMWATER $151 84 $151 84 $0 00 $0 00 $303 68 2010 41405 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 2010 41405 TOTAL. $152.66 $152.65 $0.00 $0.00 $305.31 2009 584622008 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 $0 00 2009 584622008 CC -GEN COUNTY $0 00 $0 00 $0 00 $0 00 $0 00 2009 584622008 PORT PORT $0 00 $0 00 $0 00 $0 00 $0 00 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =5 8 11/9/2010 Dear Mike OR ANGELES W A S H I N G T O N U S A Community Economic Development Department December 9 2010 Mr Gordon M. Stoddard Fraternal Order of Eagles 110 South Penn Street Port Angeles, WA 98362 RE Conditional Use Permit CUP 10 -05 1 12 East Eighth Street As you know following a public hearing conducted on December 8 2010, the City's Planning Commission approved a conditional use permit (CUP 10 -05) to allow a club /lodge use at 112 East Eighth Street, per your application to this office, with the following 5 conditions. Conditions. 1 Adequate off street parking is critical to Club use At minimum, the parking agreement submitted as part of the application with Peninsula Community Mental Health will remain active for the duration of the occupancy Club activities will be scheduled to ensure that activities will not result in more parking demand than available off street parking can provide Club use between the hours of 10 AM and 5 PM M F will be restricted to those uses that will not impact daily use of on street parking activities and at no time will parking be permitted to spill over onto the nearby residential neighborhoods Club members shall be made aware of the importance of using available off street parking. 2. Permits necessary for planned improvements, such as plumbing and /or electrical, will be obtained prior to commencement of those activities. 3 Inspection by the City's Fire Department is required prior to occupancy 4 Activities shall be restricted to Club member use. No outside bookings will be scheduled. 5 The permit shall be for a one year time period with potential for extension. The decision of the Planning Commission is final unless appealed to the City Council within 14 days of the date of the decision. Good luck in finding a new Club location. We will be sorry to see your Club leave the City If you have any questions regarding any of this information, please don't hesitate to contact this office incerely Sue Roberds Planning Manager Cc Address file Phone 360- 417 -4750 Fax: 360- 417 -4711 Website www cityofpa.us Email smartgrowth @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 Use Classification Thrift Store Group M Type of Construction Owner of Business/Residence St Vincent de Paul Building Ad C ERTI FI,A 'T` V C PANCY City of Port Angeles Building Division This Certification issited pursuant to the requirements of Section109 of the Uniform Building Code certifying that at the time ::afm uantce... this stl ucture was in compliance with the various ordinances' of f the Ctty. regulating Building construction or use. For the following: VN Building Permit No Use Zone CN Address 112 E. 8th.., PA WA 98362 ess 11 E Stu �%1 January 12 2001 uilding Offrrial v Date Post onthe premises in a conspicuous place. Shall not be'removed except by:Building Official. Port Anceles, WA 98362 R ROUTING SLIP Certificate of Occupancy $47.00 Certificate /Inspection Fee L p°FT DATE 7 y C U New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Address of Proposed Business E h Iii Applicant 5T Iii //AI_ ,t;' O Address 1/ F' 7 Phone: business 7 5 7 3 home Brief description of proposed business' �/y/Z /%T 7 CLf) /1- W. 6 ST Legal Description: Lot Block Subdivision Current Use of Property' �AL Vfj Ti'pnt ./q y Zoning Classification of Property G/(,/ WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes THE FOLLOWING WILL BE REQUIRED: PER BUSINESS LICENSE 1) Building 1) Taxi Electrical changes Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers 3) 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other Plumbing changes New or relocated signs t/ New septic tanks t/ New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots f Work done in City right -of -way Is there sufficient off- street parking? 11) Fire N New driveway openings 12) Occu ancy A grading plan for site drainage 3) Sign ore ine 15) Home occupation 16) Conditional use 17) Other (parking lots, downspouts, etc.) 1." Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? ti/ Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. 7 Date x/0 pp Signed ,4 6- 4_,Qi-- e��... (k 1 O- r.4 _�.q,1 AP ED REJECTED Building Section Comments Conditions Works Department TINA Public I tab SR. Planning Department S r9 -00 Fire Department i City Clerk P.B.I.A. ,4 PORTANGELES W A S H I N G T O N U.S.A. FIRE DEPARTMENT September 19, 2000 Ms. Barbara Townsend St. Vincent dePaul 116 West 8th Street Port Angeles, WA 98362 Dear Ms. Townsend, During a courtesy walk through of the building at 112 East 8 Street on August 29, 2000, the Fire Department will require the following: 1. A proposed plan shall be submitted to the Building Department and the Fire Department for approval. 2. The fluorescent lights under the sprinkler heads shall be lowered as to a height no less than 18 inches below the sprinkler heads. 3. The exit door on the east side of the building used as a rear exit is currently provided with a dead bolt. If this door is to be used as a secondary required exit, the deadbolt shall be removed and provided with single action hardware. An illuminated exit sign shall be required above the door. 4. Signage above the front door on the left side stating, "This door to remain unlocked during business hours." 5. A second exit will be required out of the southeast storage area with single action hardware. This will need to be approved by the Building Official. 6. The exit door exiting out of the west storage area shall be provided with single action hardware. 7. Illuminated exit signs above the southeast and west storage room exit doors. 8. Fire sprinkler protection in the rest room by a qualified fire sprinkler company. 102 EAST FIFTH STREET PORT ANGELES, WA 98362-3014 PHONE: 360-417 -4655 FAX: 360- 417 -4659 E -MAIL: PAFIRE @CI.PORT- ANGELES.WA.US Ms. Barbara Townsend Page 2 September 19, 2000 9. Replacement of the Omega sprinkler heads in the west storage room. They have been recalled and required that you complete a proof of claim form for replacement. Enclosed is the paper work, which the Fire Department will assist in filing out. 10. Address numbers must be six inches in height and clearly visible from the street. 11. A Knox Box installed on the west side of the building. Contact Fire Department for the order form and mounting location. 12. Electrical shall be approved by City Light. Please contact Tom Sperline, Electrical Inspector, at 417 -4753. If you have any questions concerning these requirements, please contact me at 417 -4654. Sincerely, Jeff Abram, Fire Prevention Specialist Port Angeles Fire Department JA/cw pc: file 112 East 8th Application Number 07- 00000785 Application pin number 744985 Property Address 112 E 8TH ST ASSESSOR PARCEL NUMBER 06-30-00-0-2- 6831 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner SOCIETY OF ST VINCENT DE PAUL OWNER QUEEN OF ANGELS CONFERENC PORT ANGELES WA 98362 Qty Unit Charge Per 1 00 58 0000 ECH EL -COMM ALT <5 CIRCUITS COMMENTS/ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Contractor Date 7/30/07 Permit ELECTRICAL ALTER COMMERCIAL Additional desc OWNER/ 1 -5 CIRCUITS Permit pin number 106120 Permit Fee 58 00 Plan Check Fee 00 Issue Date 7/30/07 Valuation 0' Expiration Date 1/26/08 Fee summary s Charged Paid Credited Due Permit Fee Total 58.00 58 00 .00 00 Plan Check Total .00 00 00 00 Grand Total 58 00 58 00 .00 00 Extension 58.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH -IN COVER SERVICE INSPECTION TYPE FINAL 17-9 -0? L4 DATE ACCEPTED YES 1 NO COMMENTS GENERAL COMMENTS: PW- 1102.1514'961 Application Number 05- 00000151 Pin number 222977 Property Address 112 E BTH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6831 -0000- Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation Owner SOCIETY OF ST VINCENT DE PAUL QUEEN OF ANGELS CONFERENC PORT ANGELES WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 42.2000 Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTES. FA PNL. +1 SMOKE D HI TECH SECURITY 42 20 Charged Paid 42.20 .00 42.20 COMMENTS /ACTION NEEDED EL -LOW VOLT CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 COMMERCIAL NEIGHBORHOOD 0 Contractor HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES (360) 452 -2727 COMMERCIAL ET. INC Plan Check Fee 3/06/05 Valuation 9/02/05 42.20 .00 42.20 SYS =2500 SQFT Date 3/06/05 Credited Due WA 98362 .00 .00 .00 .00 .00 .00 .0 0 Extension 42.20 r\P\ INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCH ROUGH-IN COVER SERVICE FINAL L tfir:-..1./1 1 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW -I 102.1514/961 CITY OF PORT ANGELES DEPARTMENT OF EAST OMMUNIT COMMUNITY T x E E W 98362 DING DIVISION 321 Application Number 04- 00001176 Pin number 856032 Property Address 112 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6831 0000 Application description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 67999 Owner Contractor SOCIETY OF ST VINCENT DE PAUL CMU CONSTRUCTION QUEEN OF ANGELS CONFERENC 1695 S. BAGLEY CREEK PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -1771 Structure Information FIRE DAMAGE REPAIR Construction Type TYPE V NON -RATED Occupancy Type BUSINESS:OFF /PRO /MED /REST Other struct info NUMBER OF UNITS 1.00 Permit FIRE ALARM SYSTEM Additional desc Sub Contractor HI TECH SECURITY INC Permit Fee 50.00 Plan Check Fee Issue Date 3/31/05 Valuation Expiration Date 9/27/05 Qty Unit Charge Per 1.00 50.0000 ECH FIRE ALARM PLAN REVIEW Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The project involves the construction of a covered loading dock area. The dock area MUST BE sprinklered PRIOR TO USE. VAR 02 -03 was approved allowing a 1.5 rear setback under the condition that the area be sprinklered. Public works electrical engineering has no requirements for this plan review. Public works utility engineering has no requirements for this plan review. Other Fees Permit Fee Total Plan Check Total Other Fee Total Grand Total T: \Policies \1102_15 building permit inspection record05.wpd [1 /4/20051 Date 3/31/05 Extension 50.00 STATE SURCHARGE 9.00 Fee summary Charged Paid Credited Due 50.00 50.00 .00 .00 .00 .00 .00 .00 9.00 9.00 .00 .00 59.00 59.00 .00 .00 .00 0 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 ins pections c a nd kha the been to be s ue av or e days All from the last st insp I hereby certify that I have read and examined this application 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. oAJ FILL Signature of Owner Of owner is builder) Date Si of Contractor or Authorized Agent Date Si 9 BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: Owner: rs'e 4 r-.1 3 r Lss, Phone: Address: City: Zip: Architect /Engineer: Phone: Ti 1, Tea. 955BS Contractor SeCQf i I� State License #:H 1 TE- c r S 11 Ex p I I 1 0 CI Phone: y5ca a7 city: -ROri c Zip: q5?3 L ZONING: Address: Ta i PROJECT ADDRESS: or1/4.-rv rs Phone: i-sa a7) LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC SIZE VALUATION: TYPE OF WORK: Residential New Constr. Re -roof Stove SF. /SF. 1Viulti- family Addition Move Garage SF. /SF. Commercial Remodel Demolition Deck SF. /SF. Repair Sign �Otherr I I-C- A Icy TOTAL VALUATION {o f 1e BRIEF DESCRIPTION OF THE PROJECT: ‘Awn r sec i n COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Total lot coverage Exp. Date: Existing Sq. Ft. City: Occupant Load: Proposed Sq. Ft. PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 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 I must obtain such permits prior to work. 1 1 /t° /a_ T: \RVESS\BLDG- forms- hrochures \2004- Buildingpermitwpd Applican A Date: P2) 3 J FOR OFFICIAL. IISF ONI Y: Date Rec.:3 /0 0 5 Permit u:05 76 Date Approved: Date Issued: Construction Type: V-Zc4) yctky) e TOTAL Sq. Ft. S I Gr' APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: The following comments apply to all systems: Reviewed by: PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Project Name: St Vincent DePaul Sprinkler Monitoring Address: 112 East 8th Plan 05 -06 Installer: Hi -Tech Date: 3.29.05 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. If this system is monitored by an off -site central station monitoring company, then the building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417 -4653 for a KNOX order form and for mounting location information. 1. All systems shall be installed per NFPA 72. 2. A final field acceptance test will be conducted before final approval. The field acceptance test will be a test of ALL system components. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Date: 3 -2 .OS Building Department Copy Contractor/ Owner Copy Fire Department Copy Light Department INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA: ESA: SHORELINE; PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 01? CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMI C ARD AND APPRO PLANS AT JOB SITE. T: \Policies \1102_15 building permit inspection record05.wpd (1/4/2005] O pORT4 l i r■CI QR. AND FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY ENGINEERING LI POLICE DEPARTMENT ADMINISTRATION CITY CLERK RISK MANAGEMENT FROM: PUBLIC WORKSBUILDING DIVISION RE: ADDRESS: 4/ Z L e NAME /CONTACT: e, €.-t ¥r I J +b'f PHONE: y 5Z 7a 7 PERMIT NUMBER: o' I PROJECT DESCRIPTION: L 7 t r f/ Ict cr frvc NEW CONSTRUCTION ADDITION /ALTERNATION COMMENTS /CONDITIONS: ►1 DATE: 3,- S REVIEW/RETURN FILE S I I S I LEN K N l (:III' Gbbal Project Values: Project Name:ISt. Vincent 1 Standby Hours:I 24 Project ID: I 1 Alarm Mins:I 5 Prepared By:IGarret Politika I berating Factor:I 1.2 I Date: IMarch 18,2Wo I Voltage Drop Warning Threshold :I 10 I Panel ID: (SK -2224 I Model: SK -2224 Fire Alarm Control Panel Max NAC Current: 1.25 Amps Location: I 1 Volts: 24 VDC Max Panel Current: 2.5 Amps Ckt.# Circuit Name Qty Current Draw Wire AWG Ohms Per Length(ft) Actual Volts %Drop Standb Alarm 8 Type 1000 Ft. One -Way Ohms EOL SK -2224 SK -2224 Main Control 1 0050 0.250 SK -2884 SK -2884 Serial Board 1 0.010 0.010 SK -2880 SK -2880 I/O Module 0.000 0000 SK -2866 SK -2866 Annunciator 0.000 0.000 SK -2104 SK -2104 DACT 1 0.033 0.070 IDC -1 Initiating Device Ckt 1 0.000 0.060 IDC -2 Initiating Device Ckt 2 0.000 0 000 NAC -1 Notification Appl Ckt 1 O.030 0.000 #18 Solid 6.39 0.00 20.40 0.00% NAC -2 Notification Appl CM 2 0000 0.000 #12 Solid 1.59 0.00 20.40 0.00% Aux Aux Power Out 0.000 0.000 *12 Solid 1.59 0.00 20.40 0.00% Total Standby Current (Amps) 0093 0.390 Total Alarm Current Amps) Standby Time In Hours 24 0.083 Alarm Time In Minutes 60 (5 Mins) Total Standby AH Required 2.234 0.033 Total Alarm AH Required Total Combined AH Required 2.27 Command Shortcuts Multiply By The Deratinq Factor 1.20 I Configure Circuits Print Page Minimum Battery AmpHours Required 2.72 r a m CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00001176 Pin number 856032 Property Address 112 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6831 -0000 Application description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 67999 Owner SOCIETY OF ST VINCENT DE PAUL CMU CONSTRUCTION QUEEN OF ANGELS CONFERENC 1695 S. BAGLEY CREEK PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -1771 Structure Information FIRE DAMAGE REPAIR Construction Type TYPE V NON -RATED Occupancy Type BUSINESS:OFF /PRO /MED /REST Other struct info NUMBER OF UNITS 1.00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date Other Fees Permit Fee Total Plan Check Total FIRE SPRINKLER COMM KNIGHT FIRE PROTECTION INC 162.75 Plan Check Fee 2/10/05 Valuation 8/09/05 BASE FEE 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) FIRE SPRINKLER COMM Qty Unit Charge Per Extension 1.00 100.0000 ECH FIRE INSPECTION TESTING 100.00 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The project involves the construction of a covered loading dock area. The dock area MUST BE sprinklered PRIOR TO USE. VAR 02 -03 was approved allowing a 1.5 rear setback under the condition that the area be sprinklered. Public works electrical engineering has no requirements for this plan review. Public works utility engineering has no requirements for this plan review. Fee summary Charged Paid Credited Due 262.75 105.79 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. !hereby certify that 1 have read and examined this application and know the same to be true and correct. Alf 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 presurrl to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construe 63 Signature of Contracto` or Authorized Agent Date Signature of Owner Of owner is builder) Date T: \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] Contractor STATE SURCHARGE 262.75 105.79 .00 .00 Date 2/10/05 105.79 100.00 Plan Check Fee .00 2/10/05 Valuation 67999 8/09/05 6569 Extension 92.75 70.00 9.00 .00 .00 BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: f l9 Owner: cr V t 1.11k.1r LEGAL DESCRIPTION: Lot: h-ti r{ Phone: H✓t Gr Phone City: hers ulrbit Address: 1 Architect/Engineer: Contractor i .f e- �re State License -1t _6 Exp: pp�qq Address: ZW' f) I� Sr City: Ui W s k PROJECT ADDRESS: n- 47 -o coy Zip: 1$!1. Z- Phone: Phone:447 -6SOY Zip: C3V3 ZONING: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC Exp. Date: TYPE OF WORK: SIZE/VALUATION: Residential New Constr. Re -roof Stove SF. /SF. Multi- family Addition Move Garage SF. /SF. Commercial Remodel Demolition Deck SF. /SF. 0 Repair ❑Sign Other TOTAL VALUATION $dl BRIEF DESCRIPTION OF THE PROJECT: rt pivtle4 Ci( No. of Stories: Lot Size: Existing Sq. Ft. Key44-51 Allodi c1 i COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Proposed Sq. Ft. Total lot coverage PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: FOR OFFICIAL USE ONLY: DateRec.: 1 7 Permit #:tO /1 7 Date Approved: Date Issued: Construction Type: TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: 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 R105.3.2 of the International Building /Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be tru 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, an that 1 must obtain such permits prior to work. T: \RVESS\ BLDG forms brochures \2003- Buildingpermitwpd Applicant: 91M Date: 1hk Project Name: St. Vincent De Paul Address: 112 E 8th Installer: Knight Fire Protection Installer Telephone: 417 -4653 Type of System: Open 13 ►1 13 R 13 D Date: 1.25.05 PAFD Permit 05 -02 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprinkler System Plan Review We have checked this plan and find that it conforms to the requirements of the code, however the following item must be addressed: 1) The 2003 International Building and Fire Codes require that sprinkler system water flow alarms be transmitted to an approved central station. This sprinkler system must be monitored. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFPA Standard. All controlling valves shall be provided with tamper supervision. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A sprinkler alarm test is required. Before final acceptance of the system, an inspection and hydrostatic test will be conducted to ensure that the installation complies with the applicable NFPA Standard. Contractor ad' Building Department Fire Department Reviewed by: Date: I ZS m5 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWNSPOUTS PIERS POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT k's PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. T: \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] k 0 FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY ENGINEERING POLICE DEPARTMENT ADMINISTRATION CITY CLERK RISK MANAGEMENT FROM: PUBLIC WORKS/BUILDING DIVISION II RE: ADDRESS: I i2. L NAME /CONTACT: M a k PHONE: I l i 1 O SOS PERMIT NUMBER: PROJECT DESCRIPTION: F e DATE: A_fq_ 5p v lClet Ze t, s Mock. Ken +-e11 tAne, wk ft 4ke rzees s(nOL&(c, 8e NEW CONSTRUCTION a ADDITION /ALTERNATION COMMENTS /CONDITIONS: REVIEW/RETURN FILE V+ „u -,017 C) X7212 .7Th 0 w J 3 Lt1 LL 0 nt' ,••ot n k.D ho-oi. rt. 1 0$ I-11 53796rvp Vo 'v0 34 irv3" '1 j a ,,1 G +ndn-ld 1i- y °i is 'WI. ool 01 D r r D z P1 80=0 0 =z 4 0'- C" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00001176 Pin number 856032 Property Address 112 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6831 -0000- Application description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 67999 Owner Contractor SOCIETY OF ST VINCENT DE PAUL CMU CONSTRUCTION QUEEN OF ANGELS CONFERENC 1695 S. BAGLEY CREEK PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -1771 Structure Information FIRE DAMAGE REPAIR Construction Type TYPE V NON -RATED Occupancy Type BUSINESS:OFF /PRO /MED /REST Other struct info NUMBER OF UNITS 1.00 Permit BUILDING PERMIT COMMERCIAL Additional desc REPAIR FIRE DAMAGE Permit Fee 793.25 Plan Check Fee Issue Date 1/18/05 Valuation Expiration Date 7/17/05 Qty Unit Charge Per Extension BASE FEE 667.25 18.00 7.0000 THOU BL- 50,001 -100K (7.00 PER K) 126.00 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The project involves the construction of a covered loading dock area. The dock area MUST BE sprinklered PRIOR TO USE. VAR 02 -03 was approved allowing a 1.5 rear setback under the condition that the area be sprinklered. Public works electrical engineering has no requirements for this plan review. Public works utility engineering has no requirements for this plan review. Other Fees Fee summary STATE SURCHARGE 4.50 Charged Paid Credited T:\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Date 1/18/05 Due Permit Fee Total 793.25 793.25 .00 .00 Plan Check Total 515.61 515.61 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1313.36 1313.36 .00 .00 515.61 68000 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 goveming 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. O..k4 4 Signature of Contractor or Authorized Agent 1 -6 -czs Date Signature of Owner (if owner is builder) Date t C P m m m m m m 0 X' w w 0 H b m XI o o JA.U.JM LOW VF, -3� r r v x <n 0x Y 2 RJ '1 e K 0 H K ro 30 a a m o 0 o a 2 o o 0 0 7 a 0 a z '2 2 0 20 0 010 n n m m 0 ro 3 0 0 H a 0 m V EA 3 N M 0 0 3 0 N m H w m a a z '0 CO o 'O 0 H '1 P 0 to N N CI m m 3 to P H o O n 2 a 'd v 3 a n L m o 0 0 e o m A 0 ro En 01 2 2 m 3 HI 0 In x n x H ro K b fn N M ro n 00 V0 c m0 H 2 DI 0 0 0 O O M H 2 2 XIn ro X H 5i m o' M M m n H m 'o H 00 3 t+ 30 m 0 22220 rn330( oo 2 v 01 l] 3 H m O o30 a20 o 01 oH 0 0 "1 Vl H 3w< 7 v n mom 3 co 0o3 0 0 M'0 r m 0 r 0 01 2000 61 M'+ 0 01 Hm 0X O' A M VI 0 H 00 0 o to 01 r. M CC to 4Df m y 0 0 w w H H VV V CO CO 30 0 C 0 0 S G M 3 0 Z C M C K x o3 0 0 3 3 b CO 010E 0000 qZ o m 0 3 0 0 0 M1] H o`° 00o 3. ro o a 0 Z>O 0 o 0 n n J CO 3 0: H 0 p 1. O Er, 3 3 m 0 N 3 0 N m 0 H H a m w o 0 i ro a 0 ro 0 H n a 0 m 3 Z a a C O 0 N 0 '0 N G 0 N m Y 0 n F m H H 0A 0 A o o 0 n 3 m03I- 0G o 000001 H0 o 0K 0'-] 0 H o33 q m m 3 3 nH n 0 H 3 w H Z o Z x n m 30Z Oo H d o mio r m r ro 3 01 X x 00 Co 330 m 33 H m K b OF mm 0 O ro y H0 0 00 mm 0 m CON to &ttr YCKUV111 l.Hlll/ nl \1/ 1f111 \v...v L.......... INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS ii 1._14 as el. A/ CEILING FRAMING O I,;. %s 32. 0_<J:�2.r Vt,2t.un O- LL. z 09 JOISTS GUIDERS SHEAR WALUHOLD DOWNS WALLS ROOF CEILING 4-3 --nr" <1 kl-' DRYWALL (INTERIOR BRACED PANEL ONLY) T- BAR 77 O- 6 S a j INSULATION SLAB WALL /FLOOR /CEILING 1 ll -o.5_ J1 MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT N's PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING I' 7 1 /4 LL BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. T:Policies \1102_15 building permit inspection reco A -c N '1 c 2 K 0i C i nt'G o 0 H 0000 x nix onxdxd 0 00 0 0 m o MZ 3 it �0 o Y 00 17 0 0 w m A 0 aI-, 0 0' CO aZ0 Z>0 >00 0 0 0 n HH> H 0 m rr H r Do e 11 0 a 3 '0 H £n Z m n 10 0 3 XI m 0 0 N 30 0 N m rt a H w m N 10 XI i O 0. 0 '0 0 H 11 V 0 O 0 a 0 0 m O 3 m o a H O n 0 O ry m '0 1-• en c a ra m 0 0 H (0 K 0 i F (0 H N (0 0X Om '0 0 0 m o m w HH m 01 01 00 p T pp 11 O I m m m8 H. m1 n 3 2 b 2 H In om0H 0 3 N 0 m CC II H 0K �0 5 0m In N VI H H g Z n M om 00 m 0 r m '0 r (0'0 5 5 C 220 m m.+ N HM 0 0 10 O b 0 H H n o m 0 Y 0e 0110 mm 0 ir EcN nmo0mmn c 2KC„5G o 000 w Xozo A Z °N ®2 z O 01000 0' 4] o 0 Z 01 0<»010 C N m 01 0 1 '00010 m z>o o bo n [1 m rt 0 V C 0cz 2 0 M n O 3 A H M o M 311 H 01 01 H A o H O 00 CO N N N 01401 A 0 A 01 o V) 0 0101 H 0 '0 0m NN H 0 z n 0 z o H o M C 'O m 550 00M MM0 0 N m A H KA 0 0 m M 0 yy H 2 M01 r- 0' 0' to Z v z i N0 M M 0 H H 00 p Z 'r n M X mM C A K 0x Z K C H O o m o n 3 3 3 LI 00 H Z on »07 nmm m rt to n d oC £0 O m R O a3- H o M 37 m H m H 0 M 0 Hi z� m m r H ro V N V CO CO 0 oo V01m 4Y0 rro r r n 0 0 q S M on H ro ,33<3 (q M Y 010 0 S F 'YJ HM M HA i.< '0 0 H Z C ro 0 0 'A 0 n fn j M 0 d MI m 0 M q M A O nAn 0 0 0 0 H '120 000H [n m m 0 XN 20 m o m u1 0 r 0 m o y m o K H C O H H H i 0 x ro Z 0 ni m m M Z 03 o H cm0 n H H i 3 w H A 'Z H A i 0 mom mm 0 O o i r n o n Cd \M M v i z H W 01 0 1 0 ro ro m m n H 0 0 Z 4 H 0 m my r D3 DJ r K 0 'O H0 mm to tri 333 En z y m d z H m 5 G c 1 n a 0 0 0 o Cn CD DI r A r 0 K p ^f i W p H m n 0 m 30 0 CO 0 r o CO H CO 0 0[G z n cyq r e H H xd m m oc 8 H CO 0 H n H n 3Z b m z '%1 228 rnIA M Y1 z r 0 n m m 0 0 o o Enna 03.E naw oMna O 0KZm in 0H% 0 0 G rn nH y H m 0 I z om 0z o ff o m e 0 m 00 00 a m 0 C y e tO q 0 m n n H A 4H (00 m H r r a r K d 0 v H Gl 01 M co Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: Residential New Constr. Multi- family Addition Commercial Remodel Repair BRIEF DESCRIPTION OF THE BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: On eDl t III fit AA J. Owner: S7 UTA;et:.T De P4ut: Address: Sght L40e &C 'fibre( 1 City: 5 ?cap= �eed 1 t4 fv9 FS Arehiteet/Engineer: c tu M Phone: V e >1 3 M t o Contractor 0 ,M. U C G.user Ric, State Lice I xp: "1 -1 Phone: 4.57. Address: t(AA S 12)c.4 L et,k R4 City: t n AN -LEs Zip: iS3Lt PROTECT ADDRESS: S .s 7/4- L Au2 &L I 0- C ..51 ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: City: Exp. Date: SIZE/VALUATION: Re -roof Stove SF. /SF. Move Garage SR /SF. Demolition Deck SF. /SF. Sign Other TOTAL VALUATION (,f 9C19,'l PROJECT: Fi F 0 4a445t y P &P4i2 MC COMMERCIAL/RESIDENTLAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage TARV ES S\BLDG- forms- br ochuresk2003- Buildingpermit.wpd Phone: Phone: PLANNING USE *,Y: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: FOR OFFICIAL USE ONLY: Date Rec.: 9. -J.S -O l Permit dN -(!,7 Date Approved Date Issued: 3 GAY 45 La ;CA)-<Ib Ott Y CG LL (i51- 5135 Zip: SAS ?C Construction Type: Proposed Sq. Ft. TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 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 t must obtain such permits prior to work. Applicant: _e k U k p, R Date: a eiS 6'/ A 1 ti 44 IEaG,) 2 BUILDING ELEMENT TYPE I TYPE II TYPE 111 TYPE IV TYP A B A B A B HT A B Structural frame' Including columns, girders, trusses 3 2 1 0 1 0 HT 1 0 eating walls Exteriors Interior 3 3h 2 2h 0 00 S. CI 0 2 1/HT 1 0 0 Nonbearing walls and partitions Exterior See Table 602 0 Nonbearing walls and partitions Interior` 0 0 0 0 0 0 See Section 602.4.6 0 0 Floor construction Including supporting beams and joists 2 2 1 0 0 HT 1 0 Roof construction Including supporting beams and joists 71 /a` 1° 1° 0 1` 0 HT 1° 0 FIRE SEPARATION DISTANCE (feet) TYPE OF CONSTRUCTION GROUP H GROUP F -1, M, S -1 GROUP A, B, E, F -2, 1, R S -2, U 5 All 3 2 1 5 IA 3 2 1 i Others 2 1 1 2 10 IA 2 1 30 IIB 1 0 0 S. Ot 1 1 30 All 0 0 0 TABLE 601 FIRE RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS (hours TYPES OF CONSTRUCTION For 81: 1 foot 304.8 mm. a. The structural frame shall be considered to be the columns and the girders, beams, trusses and spandrels having direct connections to the columns and bracing members designed to carry gravity loads. The members of floor or roof panels which have no connection to the columns shall be considered secondary members and not a part of the structural frame. b. Roof supports: Fire resistance ratings of structural frame and bearing walls are permitted to be reduced by 1 hour where supporting a roof only. c. 1. Except in Factory- Industrial (F -1), Hazardous (H), Mercantile (M) and Moderate-Hazard Storage (S -1) occupancies, fire protection of structural members shall not be required, including protection of roof framing and decking where every part of the roof construction is 20 feet or more above any floor immediately below. Fire retardant treated wood members shall be allowed to be used for such unprotected members. 2. In all occupancies, heavy timber shall be allowed where a 1 -hour or less fire resistance rating is required. 3. In Type 1 and lI construction, fire retardant treated wood shall be allowed in buildings including girders and trusses as part of the roof construction when the building is: i. Two stories or less in height; u. Type II construction over two stories; or iii. Type I construction over two stories and the vertical distance from the upper floor to the roof is 20 feet or more. d. An approved automatic sprinkler system in accordance with Section 903.3.1.1 shall be allowed to be substituted for 1 -hour fire resistance -rated construction, pro- vided such system is not otherwise required by other provisions of the code or used for an allowable area increase in accordance with Section 506.3 or an allowable height increase in accordance with Section 504.2. The 1 -hour substitution for the fire resistance of exterior walls shall not be permitted. e. Not less than the fire- resistance rating required by other sections of this code. f. Not less than the fire resistance rating based on fire separation distance (see Table 602). TABLE 602 FIRE- RESISTANCE RATING REQUIREMENTS FOR EXTERIOR WALLS BASED ON FIRE SEPARATION DISTANCE 2003 INTERNATIONAL BUILDING CODE® For SI: 1 foot 304.8 mm. a. Load- bearing exterior walls shall also comply with the fire resistance rating requirements of Table 601. b. Group R -3 and Group U when used as accessory to Group R -3, as applicable in Section 101.2 shall not be required to have a fire resistance rating where the fire separation distance is 3 feet or more. c. See Section 503.2 for party walls. 83 ST. Vincent de Paul Thirft Store 8 th. Str. laurel Port Angeles Wa. 98362 Brian Taylor 452 -7662 W 460 -7262 C Barb Townsend 457 -5735 W 461 -0642C CMU CONSTRUCTION INC; CHUCK ULBRICH 1695 S. Bagley Ck. Rd. Port Angeles WA 98362 360 -452 -1771 Fax 360 457 -3663 Lic; CMUCOI *022MG November 2 2004 Fire damage Bid Subcontract Demo: Exterior walls of storeage area And debris of burn out storeage area. Utility room, wash room bath room. Remove all drywall insulation from ceiling walls Garage area remove all drywall insulation from ceiling wall. Store room ceiling only remove drywall insulation Subcontractor Knight fire protection Inc, Remove app: 200' of sprinkler piping hanger from fire damage area. Store, clean, reinstall. Install new hanger, heads thru out renovated area. Remaining portion of sprinker system to remain in operation during construction. 3,895.00 Option install four dry side wall sprinkler heads in exterior store area. Option 989.00 Subcontractor Extre mile tech electrical Remove all ceiling and wall fixtures and specific fire and water. Fire damage areas garage, store room, utility room, bath room 7- 8' 4 lamp ele: florescent strip fixtures w /lamps 6 -4' 2 lamp ele: florescent strip fixtures w /lamps 2- 4' 2 lamp ele: florescent strip fixtures w /lamps 15- standard outlets, 9- strandard switches, 3- GFI, 2- standard therostats 2- Small bath fan, 2- 3' baseboard heaters, 1- shop heater Subcontractor C F insulation Batt insulation in ceiling R -38 Batt insulation in walls R -21 5,768.00 7,155.00 3,414.60 Subcontractor Ralph's Drywall Drywall fire damage area Store room, Utilies room bath room, Wash room, Garage, Ceilings, walls. Hang, tape, smooth finish. 6,756.00 Subcontractor Flooring Services Concrete cleaning Store front room, storage room, garage, utilie room, bathroom, wash room, before seal concrete floor 1,699.00 Subcontractor Pluming Connection Bathroom new toilet, sink, and faucet. Wash room New heat water bank 50 gal. New utilie sink and 30" double sink rough in and trim 1,772.17 Subcontractor Exterior wall finish Exterior wall stucco Finestore. its go to look diffent 5,800.00 Contractor to TSP all walls ceiling in retail area 2,436.60 Subcontractor Painting Main retail area seal all walls ceiling. Paint walls ceiling. 4,500.00 Clear finish beams 500.00 Seal floor 1,400.00 Garage storage room seal walls ceilings 1,695.00 Seal floor 650.00 Utility room bath room wash room Seal walls ceilings open framing. 1,600.00 Seal floors 450.00 Paint 6 doors $100.00 ea.. 600.00 Exterior painting garage door, wrap trims 1000.00 Exterior storage area floor Clean paint 1,575.00 Bathroom walls 4' hi laminate. Countertop 4" back splash Laminate. 875.00 New 4'6" x 3'4" window, wrap &trin 398.66 New exterior prehung metal door, trim hardware 479.52 Remove bathroom door, jamb. store clean re- install trim for windows 184.08 New open wall shelving App; 1040 If 2,532.60 Subcontractor M &P doors New 8' x8' insulated garage door hardware 455.00 Labor materials to repair block at garage door opening 800.00 New prints for exterior storage area. 250.00 New exteriors storage roof wall sheathing. Labor Materials 3,803.38 Subcontractor Dia Roofing New metal roof to match existing roof 1,360.00 New fencing for storage area 40'x 5' gate 2,915.22 Clean up haul debris to land fill dump fees 1,300.00 Sears Appliances: Kenmore Washer, kenmore Dryer, G.E. Fridge 30" 17cu. ft. Kenmore Microwave. Delivery 1,419.96 Building permites are needed to start this job. Any additional work required by the city of Port Angeles or by the State. or any unknown damage by fire or water is a additions. This will be handed by time and materials plus O.H. 10% Profit 10% St.Vincent de Paul Thrift Store. Quote CMU CONSTRUCTION INC. Chuck Ulbrich President 360 452 -1771 W 360 460 -0114 C Payment 1/3 at time of start or with in 30 days of start and 1/2 at time of rough inspection and balance do at completion. Acceptance Acceptance President Owner Subtotal 67,999.79 Add Permits Add option O.H.10% 6,799.97 Profit 10% 6,799.97 S.T. 8.3% 6,772.78 Total 88,372.51 15 days to accept Date GROUP TYPE OF CONSTRUCTION TYPE I TYPE 11 TYPE 111 TYPE IV TYPE V A B A B A B HT A B Hggreel) Hgn(S) UL 160 65 55 65 55 65 50 40 A-1 S UL 5 3 2 3 2 3 2 1 A UL UL 15,500 8,500 14,000 8,500 15,000 11,500 5,500 A-2 S UL 11 3 2 3 2 3 2 1 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000 A-3 S UL 11 3 2 3 2 3 2 1 A UL UL 15,500 9.500 14,000 9,500 15,000 11.500 6,000 A-4 S UL 11 3 2 3 2 3 2 1 A UL UL 15,500 9,500 14,000 9,500 15,000 11,500 6,000 5 UL UL UL UL UL UL UL UL A UL UL UL UL UL UL UL UL UL ]3 I S UL 71 5 4 5 4 5 3 2 A UL UL 37,500 23,000 28,500 19,000 36,000 18,000 9,000 S UL 5 3 2 3 2 3 1 1 i A UL UL 26,500 14,500 23,500 14,500 25,500 18,500 9,500 F -I S UL 11 4 2 3 2 4 2 1 A UL UL 25,000 15,500 19,000 12,000 33,500 14,000 8,500 F-2 S UL 11 5 3 4 3 5 3 2 A UL UL 37,500 23,000 28,500 18,000 50,500 21,000 13,00<) W I S 1 1 1 1 1 1 1 1 NP A 21,000 16,500 11,000 7,000 9,500 7,000 10,500 7,500 NP H -2 S UL 3 2 1 2 1 2 1 1 A 21,000 16,500 11,000 7,000 9,500 7,000 10,500 7,500 3,000 1-13 S UL 6 4 2 4 2 4 2 1 A UL 60,000 26,500 14,000 17,500 13,000 25,500 10,000 5,000 H-4 5 UL 7 5 3 5 3 5 3 2 A UL UL 37,500 17,500 28,500 17,500 36,000 18,000 6,500 H-5 S 3 3 3 3 3 3 3 3 2 A UL UL 37,500 23,000 28,500 19,000 36,000 18,000 9,000 1 -1 S UL 9 4 3 4 3 4 3 2 A UL 55,000 19,000 10.000 16,500 10,000 18,000 10,500 4,500 12 S UL 4 2 1 1 NP 1 1 NP A UL UL 15,000 11,000 12,000 NP 12,000 9,500 NP 13 S UL 4 2 1 2 1 2 2 1 A UL UL 15,000 10,000 10,500 7,500 12,000 7,500 5,000 I4 S UL 5 3 2 3 2 3 1 A UL 60,500 26,500 13,000 23,500 13,000 25,500 18,500 �9;006----.4 S UL 11 4 4 4 4 4 3 1 A UL UL 21,500 12,500 18,500 12,500 20,500 14,000 9,000 1 5 UL 11 4 4 4 4 4 3 A UL UL 24,000 16,000 24,000 16,000 20,500 12,000 7,000 R_22 S UL 11 4 4 4 4 4 3 2 A UL UL 24,000 16,000 24,000 16,000 20,500 12,000 7,000 R -3a S UL 11 4 4 4 4 4 3 3 A UL UL UL UL UL UL UL UL UL R-4 S UL 11 4 4 4 4 4 3 2 A UL UL 24,000 16,000 24,000 16,000 20,500 12,000 7,000 S -1 S UL 11 4 3 3 3 4 3 1 A UL 48,000 26,000 17,500 26.000 17,500 25,500 14,000 9,000 S2 b,a S UL 11 5 4 4 4 5 4 2 A UL 79,000 39,000 26,000 39,000 26,000 38,500 21,000 13,500 U c S UL 5 4 2 3 2 4 2 1 A UL 35,500 19,000 8,500 14,000 8,500 18,000 9,000 5,500 1 For SI: 1 foot 304.8 mm, 1 square foot UL Unlimited, NP Not permitted. a. As applicable in Section 101.2. I b. For open parking structures, see Section 406.3. c. For private garages, see Section 406.1. 74 GENERAL BUILDING HEIGHTS AND AREAS F/4 TABLE 503 ALLOWABLE HEIGHT AND BUILDING AREAS Height limitations shown as stories and feet above grade plane. Area limitations as determined by the definition of "AT 0.0929 m 2003 INTERNATIONAL BUILDING CODE® C M U Co sq-< cr kJ- L1. (,J /o;,:._ 4.z Few 6 f 11,16 (o -5) 114, P (.f wA L.‘ I%J r .vw/V.o Loa >p N f iv. V.,) L, 1-7 c:2 •i (TU (Q 0 1f� 1S2( V )4N i5 r0 eaci/ C /.i S %ter 131,IPt 15. "i c" I 1F( 10. ■y)5 ?o,SPor II FILE As r J5 4 PI Sas 3eic. ri i /5'� t,v S 7 „v e. cn_,,.. -A ✓7 1sP 11 5 4 0” S f j 1" F A V J L k i_ 2 �z_ C x 4 e�s i S, -ti a k. o3ar 1 -(7-cS U2 sop>) I 7 it I 4 1),_ 22L z LA s C ,c a t .5( 2.<4: 2)JLA( t5 (r. 0 -44 4 w- ts-1 L Yy 41 2 tr V, 2 5 7() A LI 0 44r 22 0 P v lzo y.z c )--15 6 t; Z- i l 1 2 S S) OH I ?c ev yi a i 77 N ww U m z N W N m Q N m 0 i 0 in 0 0 W w a ¢x0 o z Q OmI w r'O N N n 0 z0 Q J 0 0 cow z W W o z O� 2 co F O W 2 I- 0 in 0 LL g u. 4 n 0 u. O CO 0 U LL W 2 0 U U U b U 0 N LL z 0 a 2 d' z as w 0 V 2 Y J 0 U 0 0 Q 0) W J 0 0 J 0 5 'G O o m 0 it 0 J U z 0 Z Gust Factor Category I: Rigid Structures Simplified Method Gust1 1For rigid structures (Nat Freq 1 Hz) use 0.85 1 0.85 Gust Factor Category II: Rigid Structures Complete Analysis Zm Zmin 15.00 ft lzm Lzm Q Gust2 Cc *(33/z)^0.167 I *(zm /33) ^Epsilon (1/(1+0.63 *((Min(B,L) +Ht) /Lzm)^0.63))^0.5 0. 925*(( 1+ 1.7`Izm *3.4 *Q) /(1 +1.7 *3.4'Izm)) 0.2281 427.06 0.9264 0.8863 ft Gust Factor Summary G Since this is not a flexible structure the lessor of Gust1 or Gust2 are used 0.851 1 values should he WINDO2 v1 -02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 Description: CMU CONSTRUCTION Analysis by: Zenovic Associates, January 2005 User Input Data Structure Type Basic Wind Speed (V) ,Strut Category (I, II, III, or IV) Exposure (B, C, or D) Struc Nat Frequency (n1) Slope of Roof (Theta) /Type of Roof Kd (Directonality Factor) Eave Height (Eht) Ridge Height (RHt) Mean Roof Height (Ht) Width Perp. To Wind Dir (B) Width Paral. To Wind Dir (L) tamping Ratio (beta) Building 100 Ii C np n�. sic,pe g;1 i 1 3 ci0 c 1, 0 01 mph Hz Deg ft ft ft ft 1904 ly thr'o 1, "Id rn Ne Calculated Parameters T 4.: of Structure Height/Least Horizontal Dim Flexible Structure 0.28 No Copyright 2002 MEGA Enterprises, Inc. mportance Factor 1 1 Alpha I 9.5001 zg 1 900.0001 At Bt Am Bm= Cc 1= Epsilon Zmin Calculated Parameters Table 6 Values 0.105 1.000 0.154 0.650 0.200 500.00 0.200 15.00 ft ft 1/13/2005 www.mecaconsulting.com Page No. 1 of 4 Elev ft Kz Kzt qz Ib/ft "2 Pressure (1b/ft "2) Windward Wall* +GCpi -GCpi 15 0.85 1.00 18.47 9.24 i 15.89 WINDO2 v1 -02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 6.5.12.2.1 Design Wind Pressure Buildings of All Heights Fig 6-5 Internal Pressure Coefficients for Buildings. Gcpi Copyright 2002 MECA Enterprises, Inc. Condition Open Buildings Partially Enclosed Buildings Enclosed Buildings G c i 0.00 0.55 0.18 0.00 -0.55 -0.18 Max Max Enclosed Buildings 0.18 -0.18 1/13/2005 www.mecaconsulting.com Page No. 2 of 4 Calculations for Wind Normal to 40 ft Face Additional Runs may be req'd for other wind directions Cp Pressure (psf) +GCpi -GCpi Leeward Walls (Wind Dir Normal to 40 ft wall) -0.48 -10.82 -4.17 Leeward Walls (Wind Dir Normal to 44.5 ft wall) -0.50 -11.18 -4.53 Side Walls -0.70 -14.32 -7.67 Overhang Bottom (Applicable on Windward only) 0.80 12.56 12.56 Roof Wind Normal to Ridge (Theta <10) for Wind Normal to 40 ft face .00256 "VA2 "I "Khcc *Kht "Kd Dist from Windward Edge: 0 ft to 22 ft Max Cp -0.18 -6.15 0.50 Dist from Windward Edge: 0 ft to 5.5 ft Min Cp -0.90 -17.46 -10.81 Dist from Windward Edge: 5.5 ft to 11 ft Min Cp -0.90 -17.46 -10.81 Dist from Windward Edge: 11 ft to 22 ft Min Cp -0.50 -11.18 -4.53 Roof Wind Parallel to Ridge (All Theta) for Wind Normal to 44.5 ft face Dist from Windward Edge: 0 ft to 22 ft Max Cp -0.18 -6.15 0.50 Dist from Windward Edge: 0 ft to 5.5 ft Min Cp -0.90 -17.46 -10.81 Dist from Windward Edge: 5.5 ft to 11 ft Min Cp -0.90 -17.46 -10.81 Dist from Windward Edge: 11 ft to 22 ft Min Cp -0.50 -11.18 -4.53 Dist from Windward Edge: 22 ft -0.30 -8.04 -1.39 Variable Formula Value Units Kh 2.01 "(15 /zg)A(2 /Alpha) 0.85 Kht Topographic factor (Fig 6-4) 1.00 Qh .00256 "(V)A2 "I "Kh "Kht "Kd 18.47 psf Khcc Comp Clad: Table 6 -3 Case 1 0.85 Qhcc .00256 "VA2 "I "Khcc *Kht "Kd 18.47 psf Roof Pressure Coefficients, Cp Roof Area (sq. ft.) 1,780 Reduction Factor 0.80 B WINDO2 v1 -02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 Figure 6 -6 External Pressure Coefficients. CD Loads on Main Wind -Force Resisting Systems (M -thod 2) tiff N N N N N I N I z ofzontal distance from windward edge L 1/13/2005 Copyright 2002 MECA Enterprises Inc www.mecaconsulting.com Page No. 3 of 4 a= 4 WINDO2 v1 -02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 Figure 6-11 External Pressure Coefficients, GCp Loads on Components and Cladding for Buildings w/ Ht a 60 ft -+I ID- a Copyright 2002 MECA Enterprises, Inc. 2a Theta W 4.00 ft Note: Enter Zone 1 through 5, or 1H through 3H for overhangs. Ht Component Width (ft) Span (ft) Area (ft gut Zone A GCp Max Min Wind Press (Ib/ft "2) Max Min 1/13/2005 www.mecaconsulting.com Page No. 4 of 4 BUILDING PERMIT OWNER/APPLICANT ST VINCENT DE PAUL 112 E. 8TH PORT ANGELES, WA 98362 360/000 -0000 T: CONTRACTOR CMU CONSTRUCTION 1695 S BAGLEY CREEK RD PORT ANGELES, WA 00009 -8362 360/452 -1771 PROJECT INFO Project Value: $4,850.00 SFD Units: 0 Commercial: 0 Project Type: STORAGE COVER SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: CSD PROJECT NOTES 434 SQ. FT. STORAGE COVER RECEIPT #9993 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 FEES ASSESSMENT Building Permit: $111.25 Plan Check: $66.75 State Surcharge: $4.50 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: $0.00 T: \PLANNING \FORMS\ 1102.15 [4/2002] S: ISSUED: 12/10/2002 PROPERTY LOCATION 112 8THSTE Lot: 7 Block: 268 Subdivision: TPA Parcel No: Misc Fee 1: Misc Fee 2: Misc Fee 3: ARCHITECT N/A 98360 -0000 360/000 -0000 TOTAL FEE: AMOUNT PAID: BALANCE DUE: PERMIT NO: 13872 $182.50 $182.50 Long Legal $0.00 0.00 $0.00 $0.00 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 1 2-40 -0 z Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS I FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION i SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT k's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT Ws PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417-4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 477 -4750 Ire PLANNING DEPT. BUILDING 417-4815 0,9 0, Kt) BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T: \PLANNING \FORMS \1102.15 [4/2002] ?ORTA L/ SO The Building Permit Application must be felled out completely. Please type or print in ink. II you have any questions, please call 417 -4815 Applicant or Agent: C'A'I U Ulrall' TA1C Owner: ST V IA) eckf CAf- PAUL Address: I I Z L- R 1 Sr Architect/Engineer: XYC -S7o,E Contractor (e /11 to N GIVST 4(1 471l FAQ BUILDING PERMIT APPLICATION City: P FOR OFFICIAL USE ONLY: Date Rec.: 11- z 1'OZ Permit 1 .S' 7? Date Approved: Date Issued: Phone: `1 z -t 77 &4q(S '(col 0642_ Phone: ct 51- 51 35 Zip :9 cz Phone: Q57-.4io of U OI- *o'zz•'i License Exp: 2.002, Phone: f-/S2.- I11 f Address: (CRS S A a9/ Li Y 1, eV( City: P A Zip: R c& PROJECT ADDRESS: Sibs l ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Exp. Date: VISA MC TYPE OF WORK: Residential New Constr Multi- family Addition Commercial Remodel Repair Re -roof Move Demolition Sign BRIEF DESCRIPTION OF THE PROJECT: C c) ut =,(1J tebre T\FORM S \APPSB ui l d i ngpermit SIZE/VALUATION: Wood -stove 439 SF. /SF. S50 cvv Garage SF. /SF. Deck SF. /SF. TOTAL VALUATION COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:14OGp Eel me No. of Stories: Lot Size: Lot Coverage: Existing Lot Coverage: /sq. ft. Proposed Lot Coverage: /sq. ft. TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: Your plan check fee is due 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, this 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, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: `__XA9Lgo Q.QM )--et Date: 11- 21-^ G z 0 J LJ D J LLEY STREET EXISTING STRUCTURE PROPOSED CCNSTRUCTIGN 4-8' SITE PLAN I" 20 ST.VINCENT DE PAUL THRIFT STORE 112 EAST 8TH. ST. P W A S H I N G T O N U.S.A. July 10, 2002 DEPARTMENT OF COMMUNITY DEVELOPMENT Mr. George Brittenham, President Society of St. Vincent de Paul 112 East Eighth Street Port Angeles, WA 98362 RE: Variance Application VAR 02 -03 112 East Eighth Street Dear Mr. Brittenham: As you know, following a special meeting of the Board of Adjustment on July 5, 2002, the Board approved your request to cover an existing loading dock area located at the rear of 113 East Eighth Street per you application to this office. The request is approved with one condition as follows: Condition: The existing loading dock structure located 1.5 feet from the 8/9 alley may be covered as proposed but not enclosed. A copy of this letter has been sent to the Building Division so that you may now apply for the building permit that is required to cover the structure. If you should have any further questions, please don't hesitate to contact this office. Sincerely, Sue Roberds Assistant Planner cc: Building Division 321 EAST FIFTH STREET PO 80X 1150 PORT ANGELES, WA 98362-3206 PHON E: 360- 417-4750 FAX: 360- 417-4711 TTY: 360- 417-4645 E-MAIL: PLAN NING @CI.PORT- ANGELES.WA.US OR PERM ITS @CI.PORT- ANGELES.WA.US 0 June 11, 2002 PORTAN GE LES W A S H I N G T O N U.S.A. DEPARTMENT OF COMMUNITY DEVELOPMENT TO: Building Division, DCD Public Works Utilities Fire Department SUBJ: VARIANCE VAR 02 -03 St. Vincent de Paul 112 East 8' Street The applicant is requesting a DECREASE in the minimum rear setback from 15' to 1'6" to enclose an existing loading dock in the CN zone. Please review the proposal for those issues that relate to your departmental concerns and respond to the Planning Department no later than June 19, 2002. Don't hesitate to ask if you have any questions: U /v G/ 1/, 4k /Co �Dr APPLICATION FEE Total: $225 AT' *IMPORTANT PLEASE READ Only completed applications will be accepted. To be considered complete, an application must include all of the followitg information: A completed application signed by the applicant and the property owner (if different than the applicant). A vicinity map showing the site in relation to surrounding uses and cross streets. A site plan drawn to a logical scale (1"=20' is good) with complete dimensions showingall property lines, existing and proposed structures, setbacks, and any significant vegetation. The site plan must be on 8 x 11" paper and prepared with a permanent marking instrument such as a black ballpoint or flair pen. (Pencil or colored pen will not don A building elevation identifying the proposed construction by cross hatching. 0 Mailing labels (legibly typed or printed) containing the names and addresses of property owners within 300' of the proposed site. A list of the property owners may be obtained from the County Assessor's Office. Supporting narrative information that you feel is needed. $225 Application fee. It is important to be accurate and complete with the information regarding all aspects of your project. The Board of Adjustment's decision will be based on the information cortained in this application, and, if approved, will be limited to the proposal as presented and potentially conditioned. Changes to the application or erroneous information may result in the delay of your project review. Don't hesitate to ask if you have any questions regarding the permit process, time periods, or restrictions of certain applications. Planning Department personnel may be reached at 417 -4750 between the hours of 8 a.m. and 5 p.m. Monday through Friday. APPLICANT INFORMATION• SOCIETY or 5r VINCENT de PAUL Applicant: Q}IFPN (IF AN4FJ S cots, FFIZR tic F Address: La EAST RTH STRF pt FOR OFFICE Date Rec'd: File Number: Received by: �/e SE po RT AugeLES 4 wA 9.8362_ Daytime phone 45'7 .73 1vl ai t -ING ADDRESS: 2.09 W. Po 2T mN GELE5, WA `1;34a *Representative if other than applicant: GEORGE ARMTEK, HAM, PRESl onfDaytime phone 7355 Address: 64 I EnAEw no n LAM P. PnRr ANUF L E.S WA 9 Q,3G. 3 Property owner (if other than applicant): Address: Daytime phone NLY z O SITE INFORMATION: Street address: I 12 EAST 8 TH 51 Pa frr A Mr-tFL.ES. Legal description: LOTS 7 A Awn THE Salt[ t 60 Fs k T O P LOT 9 LN Si-one P 68 Ois T HE TOwI4SrrR OF PORT ANGELES,CLALLAM CAU4111, WAVANGTON Zoning designation: G c n Property dimensions: no' x 14.n'A Ain cn' u 60' Property area (total square feet): l7,000 Physical characteristics and current improvements (i.e., flat, sloped, developed, vacant, etc. PLAT WITH fi$OO Cry. FT 3OIL,0I1 VARIANCE INFORMATION: What standard are you requesting a variance from? State the variance you are requesting: 1 If Lot Coverage TIR Ari Setback (state front, side, rear) Height Other (explain) State the unusual property characteristics (i.e., slope, bluff, ravine, dense vegetation, other) that exist on your property that prevent you from observing the standard development regulations: THE sat ArI GT RUrr'L)RF FxVRN n5 ro APPRpXt l FT GF 'r'un REAR ALI,E on for a variance (attach additional pages if necessary): W P w 1514 ro r Irr A ROD R OVB R THE OPEN SP Cris ON OPTTLIF EX.I51 STRIMTURP A• aft nut W nN T7ta P.LTE FLAN Tin SFRVF. AG A spa RACP AREA Pt R t) t,PPI IA NCE-Q.. SIGN ATURE 1 certify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of information will terminate this permit application. 1 have read this application in its entirety and understand that my submittal will be reviewed for completeness and, iffound to be complete, will be scheduled for the next available Board of Adjustment meeting per the "Meeting and Application Dates" handout available in the City's Planning Department. Signature Signature Date C: Wiyriles\FORM S\APPS \VAR.APP Owner (if other than applicant): I am the owner of the subject property identified herein and approve of this application. Page 2 of 2 Date g 2 p 2 w ALLEY o T H STREET PROPOSED CONSTRUCTION EXISTING STRUCTURE 0 1- SITE PLAN I =20 ST.VI NCENT DE PAUL THRIFT STORE 112 EAST 8TH. ST. b II z 0 w w E- D 0 U) Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES: v in(&nt Ae r(21 I Mr; #t J rune SERVICE ADDRESS: 2, e (c\> s'T PA LOCA"IIONOFDEVICE: (AO dt hQ Pr.too eN ASSEMBLY: Lj A 0 G) Size Manufacturer ,y� Model IS THIS AN APPROVED ASSEMBLY'? YES it NO IS ASSEMBLY INSTALLED CORRECTLY? YES �CNO DATE OF INSTALLATION UNKNOWN WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# Received 12 W23 7 Serial No. REDUCED PRESSURE PRINCIPLE ASSEMBLY DC o DCDA PVB Air cap SVB AVB DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Test Leaked Held at 1 7/9_ psi Leaked Closed Tight O[ Held at psi Did Not Open Opened at 2 +9, psi AIR INLET Did Not Open Opened at psi Repairs Details Cleaned Replaced Cleaned Replaced Cleaned Replaced 3 psi Butler YES NO CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced Final Test Held at psi Closed Tight Held at psi Opened at psi AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES NO TYPE OF HAZARD Line Pressure Held Backpressure #2 Shutoff Relief Valve I aQt kir 63 psi COMMENTS YES NO Held YES I� NO Exercised YES NO tir Date/Time Tester Signature Cert. Test Kit Passed Failed I Test l COecKx 11)16101 C J�le c Oc 432ND Th95� c At Repairs Final Test Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES: v in(&nt Ae r(21 I Mr; #t J rune SERVICE ADDRESS: 2, e (c\> s'T PA LOCA"IIONOFDEVICE: (AO dt hQ Pr.too eN ASSEMBLY: Lj A 0 G) Size Manufacturer ,y� Model IS THIS AN APPROVED ASSEMBLY'? YES it NO IS ASSEMBLY INSTALLED CORRECTLY? YES �CNO DATE OF INSTALLATION UNKNOWN WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# Received 12 W23 7 Serial No. Application Number 04- 00001184 Pin number 308160 Property Address 112 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6831 -0000- Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Owner Contractor SOCIETY OF ST VINCENT DE PAUL QUEEN OF ANGELS CONFERENC PORT ANGELES WA 98362 EXTRA MILE TECH ELECT., LLC 418 N. RACE ST. PORT ANGELES WA 98362 (360) 457 -0198 Permit ELECTRICAL ALTER COMMERCIAL Additional desc ALTER 10 CIRCUITS Sub Contractor EXTRA MILE TECH ELECT., LLC Permit Fee 87.80 Plan Check Fee Issue Date 12/21/04 Valuation Expiration Date 6/20/05 Fee summary Charged Paid Credited CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 9R362 COMMENTS /ACTION NEEDED Date 12/21/04 Due Permit Fee Total 87.80 87.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 87.80 87.80 .00 .00 .00 0 Qty Unit Charge Per Extension 1.00 61.3000 ECH EL -COMM ALT <5 CIRCUITS 61.30 5.00 5.3000 ECH EL -COMM ALT ADDTNL CIRCUITS 26.50 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. ICEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.15 (4'961 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH -IN COVER or /fr SERVICE 0 .1 3 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. ICEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.15 (4'961 7 Electrical contractor name Purchaser's mailing address City Job wired by Electrical Contractor Owner State ZIP Telephone number FAX number License number Date Expires Premises owner's name ST. VIA) ENT rte RA-UL TH2r ff €g5/2F, Address of inspection 112 EAcr Q+ti Cit 1�•�. (B4a1,4R "roc tv5tnd) Phone number to schedule inspection: LIS S 35 Owner as defined by RCW. 19.28.261:0) Owner will occupy the structure for two years after this electrical pencil is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that 1 ani the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. I of owner, electrical contractor or electrical administrator X Date: /Installation description Commercial Residential New Altered /Addition L 44 Y izvv 2e,cp.p- rActrs ti CORK 200✓+1 CiOR.k 1bnn10 /3 y (360 80S OS92) 7o6Tsc!, in.,ptitle Cash Check o Credit Card Visa Card Expiration Date J `f card (TSC.HLT$ 22. A-NC) Mastercard Discover C 5 lns bn fee a Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 Inspection Date Dam Appro■ Date THERMOSTAT DITCH ELECTRICAL WORK PERMIT APPLICATION Approved By By Da Date Service Information Voltage Phase 1 3 Service Size: Feeder Size: SERVICE FEEDER Approved By Approved By PECEIV JUL 052C LIGHT DEPT Area, Building or Equipment Inspected ED 07 Action Taken Electrical Inspector ELECTRICALWORKPERMITAPPLICA ION Request inspection 0 Electrical Contractor 0 Owner Na.....og' 0 Alarm 0 Cantival,Commercial 0 Residential 0 Residential Maiut. 0 Signs 0 Thermostat 0 Telecom. O Annual Permit 7 Job wired by Electrical contractor name Ha -Teen. Se-Cosa... et Purchaser's mailing address 723 `e -r t aa-sv {,Q Electrical Contractor 0 Owner City State ZIP C p1ES wA Premises owner's name x. 'J C£J S> e_ Address of Inspection 112. *+KT 8Th cit WALLS Insulation Only Date Appr.rvd By Cover Dam Approved Dy inspection Date Ld Wd67:0t S00E £0 License number 6IrracT5 95 98342 Telephone number FAX number 36o Lig a 242 3G0^ r•L 856 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. /Signature of owner, electrical contractor or electrical administrator s CEILING insulation Only Date Aypauvtd By Cnvcr Dam Approved By Area, Building or Equipment Inspected V nstallatinn description Expirati of card Sre-Gti flc rCR Cash 0 Check S-Crcdit Card Card THERMOSTAT Dpre Apptovcd By DITCH Dam Approved By Mastercard Discover Action Taken Inspection fee 42.20 SERVICE Date Approved By IFEDER Dam Approved X Electrical l_ alsl itionsgnd or subtractions O NO LOAD CHANGES O Baseboard KW Voltage O Furnace KW 0 Overhead Service Phase 0 1 0 3 O Heal Pump Ton LAR 0 Temp Service Service Size: O Fan -Wall KW 0 Underground Service Feeder Size. Service Information Electrical Inspector 0958 ESP 092 ON Xiid SJINOcil7313 H031 —IH Wald �n ELECT (CALL D INSPECTION MING REPORT 4174735 DATE 3 gips"' R eie:92 1n74 t ADDRESS APPROVED INSPECTOR /9 PERMIT M D1 /6? 6. 5 0 DITCH ROUGH IN /COVER SERVICE FINAL sT NOT APPROVED XS CORRECTIONS NEEDED: 17 t 0 .1,cm.'w 5 Sr�..P'.Isr-'S C' iry 6i.? ON ffU Y COnI.I. /,Cv 11Ln 5 Yb 0 f9".Ea -er.S Nor tr e9 LJNi2f /5 4 /Jooa (Afr.e ..q-rr c OLYMPIC PRINTERS, INC. (380)452-1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Inspection Date Area, Building S r Equipment Ins Inspected P Action Taken Electrical Inspector i �B /rte A t azek iii l Li Z z r ?Ad/AC 01 w 9 e mesa 'Electrical Contractor Owner `.....00° Annual Permit Alarm Carnival 5/Commercial Residential Residential Maint. Signs Thermostat Telecom. 7 installation description Job wired by Electrical Contractor Owner 77-72 /ei 71.5' credal Electrical contractor name CxFn Wlt Purchaser's mailing address e RAti. C°rrzeg City State ZIP To et-1- Art/ (les tt/A- 9 Z Telephone number FAX number yr? 5^��a Premises owner's name 5. enkr 'hE atll T6.rttFf s'I4ce Address of inspection /12 got sf p 5 -4" f c i n_ 4- 4 n fes gf3(.Z 937 5"735 I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. /Signature of owner, electrical contractor or electrical administrator WALLS Insulation Only it o5' Dam Approved By Cover Dam Approved By Electrical Load Additions and or subtractions Ili NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW /1 v License number CEILING Insulation Only Date Approved By C over p provo y ELECTRICAL WORK PERMIT APPLICATION Request Inspection DV //gel' Overhead Service Temp Service Underground Service /2E 8,47,7,0c6 Cash Check 0 Credit Card Visa Mastercard Discover Card Expiration Date of card THERMOSTAT Date Approved By DITCH Dam Approved By f Inspection fee SERVICE Date Approved By FEEDER Date Approved By Service Information Voltage Phase 1 3 Service Size: Feeder Size: FROM Ele; ric-S •.'h Owner or Ele �c nira -tor Agent: r Property Owner R t ck ci Address: Electical Contractor: p Address: ELECTRICAL PERMIT APPLICATION The Eec!r:ca: Perms Ap;:: cation must a filled out ornately, Masse type or reprint In Ink. If you hays any questions, please cell (1501411-4735 INSTALLATION WIRED Ern. O OWNER CTRIt AL CDNTRACTCR Credit Card Holler Name: Or 1 1 3 Billing Address: C Credit Cand Number: PROJECT ACORES$: I !2) g+ti TYPE OF WORK; Check a j that apply: New y i,Reeldental C Multi- family Commercial Remote Meter Detached garage Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PR CT: W r 1 r-N 110 1-v GaITTS f Eleetapal Heat Load Addition; Baseboard KW O Furnace _KW Heat Pump _TON Fan -Wall KW Owner or Else. Gant. Signature; C:/ELECTRCALPERMITAPPL ICATION Credit Cord Holder's Signature: Ckt 0 /O -,Z FAX NO. 4526424 Oct. 02 2002 07:54AM P2 aces C y rn DaTe Ap Ox Aorovy 17 7 8/ 8 pea number (360) 4171711 REQUEST INSPECTION PI (Vic t i e ta-Phone: 1 -11 Cil-t/ti Fat 'fY2 c 42c1 C C1 Phone: :2. -6 310` Pork Av z 9 License# +L Zar Exp: 9p 4 0 y Phontr.al City: Por ink�s.ie ZIP: 9 &3 Exp. Date VISA: Alteration/Addition 'Mobile Home 'Ep: Ft of Tub Swim Pool 0 Septic Pump on 0 Low Voltage Telecom, ,k u ;�l Eite, 9734 Serelee Information Zip: PERMIT FEE'74, So /i'T n*8 4 a y,G o y afeae s ."116,7o voltage: 0 Overhead Service Phase: 2 1 3 LRA 0 Tamp Service Service Size: 0 Underground Service Feeder Size: PAMC 14.05.060(B): For industrial. commercial, ra.'denttat projects larger than a duplex, a one Ilne drawing of the Electrical Service Feeders, building size (sq. ft.), load calculations, and the !ylte is of conductors and/or raceway is required and shall e000mpanY the Elect Permit appliatlon. 1 hereby certify that 1 have read and examined this application and know that same to be true and correct, and I authorized to apply for this permit. I understand it 13 not the City's legal responsibility to determine what permits required; it remains the applicants responsibility to determine what permits are required and to obtain such. Date: r Date: North Peninsula Electric 928 -9409 RECEIVED CITY OF PORT ANGELES PE MIT APpmcAiiON Building Division/ Electrica I Inspections 321 East Fifth Street --- P.O. Box 11541 Port Angeles Washington, 98362 Plr: (360) 417 -4735 Tax: (361)) 417 - 4711 Bate: 11' a2 r " / C( �,fiultl- Family or Comrrtercial� ELECTRICAL INSPECTION'S NOi j•ORr,1:l.i`, ;e ill Plan Review May Be Re q it d lease t omplet ecf�ical Plan Review lnforrrlatia� Sheet Joh Address: = _ -- _ 'Suilding Square Footage, Desai'pltan of above S Owner Information Contract inif7wtion Ge n�� Name: " � ii Wme: Ir- _�Ci Malting Ad ss Mailing Ad ss' je Stela: Zip: City: State: Zi Phone: Fax:._ _ -_ —� Phone License A l Exp.—_ License iY l Exp, x: L �.- item Unit Charge Q Total Mufti lied by Unit Char e Se.- Ace,'Feecar 200 Amp. $132.00 $ -- SeNm'Feecer 201400 Amp. $160.00 $ ' ServtcelFesdar 401 -600 Amp $ 225.00 S ServfcelFeeder601 -1000 Amp. $ 2880 5 SenAcellreader over 1000 Amp. $ 410.00 $ Branch Cirellt'J4'1 Service Feeder $ 5.00 Branen Cirojil'10)10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ $ Branch Circuit: !- $ B6,00 temp. Servinel Feeder 200 Amp. $102,00 $ p S 5 N p $ Temp. Servlce�Feeder 201.400 Amp. $121.00 !e4-00 . �-- T emp. Sery - ,NFoeder 401 -604 Amp. $ $ Temp. Serr'.ce'Feeder 601 -1000 Amp . $185.00 96.00 Portal to Portal Hourly $ SigniotAine'Ligh[Ing $ 88.00 $ Slgnai ClrcuW Limited Energy - tolult-Famlly $ 64.00 $ Sigrai Circultl Limited Energy 1 First 1500 sf - Camrrerdal $ 96.00 $--- ----.• Note: $5.00 for each addl dorral 1840 sf Renewable Electrical Energy - 5KVA System or Less $ 113,00 Thermostat $ 56.00 Note: $5.00 for each additional T -Stal $ + fatal $�� Ovrnur as defined by ROWAS.28.261: (t) Owner will occupy thestructure for Paso years after this electrical permit is fi nalized. (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 certfy that I am the owner of the above named property or a licensed electrical contractor. I am making the etachcal installation or alteration in compliance with the electrical laws, KE.G., RC4V. Chapter 19.28, WAC; Chapter 296 -488, The City of Port Angeles Municipal Cade, and Utility Specifications and PAIVC 14,05.050 regarding Electrical Permit Applicaliohs. Signature of owner, efectrical contractor or electrical administrator: ❑ Czsh ❑ check i - i �sr4 Kowd 4 ; I --D t j r H atad: [ — -2 0110112072 S ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 14- 00001427 Date 11/24/14 Application pin number . . . 694489 Property Address , , . . . . 112 E 8TH $T A ASSESSOR PARCEL NUMBER: 06- 30- QO -0 -2- 6831 -0000 Application type description ELECTRICAL ONLY Subdivision Name . , , . . Property Use Property Zoning , , . , , . COMMUNITY SHOPPING DISTR Application valuation . , . . 0 Application desc Low voltage heating control 2x fee ' -------------------------- ---------- --------- - - - - -- ----------- ---- - - - - -- Owner Contractor RESULTS: ------------ ------ - PENINSULA COMMUNITY - - - -- MENTAL ------------------------- NORTH PENINSULA ELRCTRIC HEALTH CENTER 761 FRESHWATER PARK RD 116 E 8TH ST PORT ANGELES WA 98363 PORT ANGELES WA 983626129 (360) 477 -1764 (360) 457 -0431 FINAL --------------.-------- -------- Permit . , . , . , ------------ ELECTRICAL ALTER - - - - -- _____---------------------- COMMERCIAL Additional desc 2XFEE Gtr /OUT PERMIT / LICENSE Permit Fee 192.00 Plan Check Fee 00 Issue Date 11/24/14 Valuation 0 Expiration Date 5/23/15 Qty Unit Charge Per , Extension BASE FEE 96,00 1.00 96.0000 RCH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 192.00 192.00 .00 .00 Plan Check Total 00 .00 00 OQ Grand Total 192,00 192.00 00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN �} FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: G.TXCHANGE0UILDING Page 1 of I CITY OF Pou .ANGEL ES PIMMIT.API'LICATIO'N' 'Building Division/E lectaical inspections 321 East Flfth Street - P,0- ]lox 11501 Port Angeles Waskington,98362 141- (360) 41-74735 Fax. (360) 41.7-4711 Date: '10-28-14 x Muhl- Family or Commercial' RECEIVE' OCT 2 9 2014. ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Eledrical Plan Review Information Sheet Job Addrm: 18vAdk-g 89mra Foot-age: D pton of above Owner Information Contractor Info rmation . Behavioral Henith XqM e: - 8 -M-M� -sp.ws 11y". 10.g. St Stec: WA ug _k=.— Raw 4 f U c e n & e # I Extra. Hff Fq CT_ a-DJ3 L3 _S_ Totalf0ty Mu Ifiglie d by Lin it Ch Irge ServicWeodex 200 Amp, $132A ------- - SeWceffieedex 201-400 Amp $ 160m --- ,SeA6WFaeda(441-640 k4 $ 5M SONWFOM0601-1000 Amp. $ M100 8W"117eadar a 1000 Amp. $410.00 Btanch Otoult W SeMee Feeder $ Bran di Orcuit M Setvl" Feaster .100 6 7400 Sidi Additowl BaMb C ,it $ 1.4 $ 86.00 Temp, Wa Fseder2ffl Amp, $102.00 6-- Taj,np, $en (Feedar=-00 Amp, Mpg, Temp, $snic01FeMer601-1000Am.p,. $185.00 FO A81 b Portal itu r� $ 96.00 S�alalfhe UgbWg $ Mba 4nal QWUW Wted Efeigy - MA-Fojrlt� $ 64.00 9j ch pillust.1500sf jdal ujV LMW Enq $ WOO 6 0-1 tote: $5,00 [of ea O at 15 9 Repv,yallo E c*,o Enetgp; 5I.N.A. System or Lem $1130.0 $— nart )Mwt $ 56,00 $— I*W; $ 5,00 for ead addilbml T-Glal s- —!!-S— Total Owrer as defir by RGIM19,26,261,'(1) Owner Will owupy he stuctura for hw yaars after Ns 916ctr.ical. pernlit is firdized. (.2) Owner is re wired 6 A VX01 es after 8N months of Wt JRspe�dim .to Ifire an elatiftal coatrWor if 6bova said prq).eAy iS for sale, roAt of lees , Perm' r AfltatreadN the abaveStalamanl, I her:eby urfify that I am the owner of the above named ploperty br aticensed elmtrlcal contrxtor, tarn ma ft-electrical Mlailato or alteration in oonpilant with the 8Wffirzi laws, K.E.C.,.:RGW. Chapter 19,28, INAC, Chaplor296-4613, The Cilyof Port Anplips Munidpasi Code, and Utility Specftaljom arkd pMAG 14,05,050 regaf&q E160fal Parr it Appl.ka ter .5., signature of owner, electacalc antra -otar or etectrioat adni InIstrator. El (Ash 0 timck Q 0f6iRCafd# X Mike Shirley http:// www. pdfescape. com /open/RadPdf.axd ?rt= c &dk= 03BBC1 CDDVTKU7U I U3 6XYM-LJF... 10/28/2014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . , , 14- 00001322 Bate 10/30/14 Application pin number . , . .687490 RESULTS: Property Address . . . . 112 E 8TH ST DITCH ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 6831 0000 - Application type description ELECTRICAL ONLY Subdivision Name . , . . . , Property Use . . , . . . property Zoning . , , . , CommuNITY SHOPPING i)ISTR ROUGH -1N Application valuation . . . , 0 P; -2-o Application desc Camera Surveillance Owner Contractor PENTNSULA COMMUNTTY MENTAL HI TECH SECURITY INC COMMENTS: HEALTH CENTER 723 E FRONT ST 118 E 8TH ST PORT ANGELES WA 98362 PORT ANGELES WA 983626129 (360) 452 -2727 (360) 457 -0431 m Permit , . . I ELECTRICAL ALTER COMMERCIAL Additional deec . . Permit Fee . . , , 96.,00 Plan Check Fee OD Issue Date . .. . . 10/30/14 Valuation 0 Expiration Date , , 4/28/15 Qty Unit Charge per , Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96,00 Fee summary Charged Paid Credited ^l Y96.00 Due permit Fee Total -__._ 96.00 .00 00 Plan Check Total .00 .00 .00 00 Grand Total 96,00 96.00 ,00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -1N P; -2-o FINAL. COMMENTS: PERMIT WILL EXPIRE SLY (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING 1 W N North Peninsula Electric CITY OE PORT ANGELES PERMIT APPLICATION Building DivisiordEtectrical Inspections 321 East fifth Street — P.O.Box 11501Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (360) 417 -4711 Date: Multi - Family or Commercial" 928 -9409 p.1 RECEIVED", ' AU Edi►�r.*- MSPECTIONS U_ Willi *Plan }review May Be R irv�Pleasp omplete E4ectrical Plan Review Information Sheet Job Address `iii Building Square Fcotage: Description Of above .. ` ) b O� )p Q r 1 After reading the above statement, I hereby certF 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., RC4V. Chapter 19.28, WAG. Chapter 29646B, The City of Port Angeles Municipal Code, and Utility Speciftcalions and PAK 14.06.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrlaal administrator: ❑ cash a ct,eck Cf ] - X Dated:. Owner iormatio Name: V r �? �'.14h C_en�r�` Contractor Information _ Name: ; y G- �C'C^f`�Cr Maillnp Arsss: 1P\ Mailing Rd Tess; City, State: �t� Zip: Thane,_ Fax ;3 le-2— Gity; State: dip; Phone�� - License 0 f Fxp. _ ax: License #1 Exp. F -+- Item Unit Char CKV Total fQtv Mufti lied by tj i Charooli 89,wafeeder 200 Amp. $132.00 $ , SuvkelFeeder 201 4100 Amp, $160.00 $ ServlcelFeeder401-600 Amp $ 225.00 $ ServlcelFeeder 801 -1000 Amp. $ 29$.00 $ SerkdFeederover 1000 Amp. $ 410.40 $ Branch Circuit W Service Feeder $ 5.00 p U Branch Circuit'd+110 Service Feeder $ 74.00 $ Each Addillonal 9rarch Circuit $ 5.00 $ Branch Circuils 14 $ 96.00 $ Temp. Service! Feeder 230 Amp. $102.00 $ Temp, ServicelFeeder 201 -400 Amp. $1211,00 $ Temp. Servicelf oeder401 -600 Amp. $164,00 $ Temp, Servicer'Feeder601 -1000 Amp , $ 48500 $ Portal to Portal Hourly $ 98.00 SignlOu:fine Lighting $ 66.00 $ Signa Circuit! Limited Energy - Multi- Family $ 64.00 $ Signal CircuiV Limited Energy I First 1600 sf - Carnrne,rdal $ 96.00 $ 1 $5.00 for each additional 1500 st Renewable Electrical Energy, SKVA System or Less $ 113.00 $ Thermoslal $ 56.00 $ Note: $5,00 for each additional TS1ai CP Oviner as defined by RCK 19.28,261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required to hire as electrical contractor if above said property is for sale, real or lease. Permit expires after six months of last Inspection. After reading the above statement, I hereby certF 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., RC4V. Chapter 19.28, WAG. Chapter 29646B, The City of Port Angeles Municipal Code, and Utility Speciftcalions and PAK 14.06.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrlaal administrator: ❑ cash a ct,eck Cf ] - X Dated:. appaRYgN�R ELECTRICAL INSPECTION lit ��iP L WIRING REPORT 417 ^4735 ARKS e DATE / PEA MIT 0 INSPECTC OWP R CCNTRACTCR ADPRrE))SSr� pG L,. APPROVED IV�i lm1P�R�V C� ® .................... DITCH....................I� 0 ................ ROUGH IN /COVER ............... ® ............... .....SERVICE................... ® ........... .......... FiNAL .......... .......... 11 CORRECTIONS NEEDED: dS ►'=) K a m P4) 0� V ! i7 (A/ L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - r ELECTRICAL INSPECTION WIRING REPORT KS 7- 417-4735 11M INSPECTOR cl 24 OWNER CONTRACTOR FF ADDRESS --Ll Z- NOT APPROVED ........... DITCH ........ ........... 0 ROUGH IN /COVER ......... . - - - - - 0 El .................. - SERVICE ................... El Q ......... ........... FINAL ............... . - - - - 1:1 CORRECTIONS NEEDED: QA PA -11 (_-Jo U ]w — NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ,tVQRT4& Ao ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE PERMIT if J? INSPECTOR OWNER CONTRACTOR No 6y, N?r, iiA 1 -0- — ADDRESS APPROVED NOT APPROVED ❑ .... ............ .. DITCH .................... 11 ❑ ................ ROUGH IN/COVER ............... ❑ [:1 .......... ... SERVICE ............... ❑ ........ .......... FINAL .............. CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14- 00000956 Date 8/13/14 Application pin number 250200 Property Address , . , 112 E 8TH ST ASSESSOR PARCEL NUMBER, 06-30-00-0-2- 6831 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use , ... . . , . Property Zoning . . . . . . , COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Application desc Treatment center Owner Contractor PENINSULA COMMUNITY MENTAL NORTH PENINSULA ELECTRIC HEALTH CENTER 761 FRESHWATER PARK RD 118 E 8TH ST PORT ANGELES WA 98363 PORT ANGELES WA 983626129 (360) 477 -1764 (360) 457 -0431 Permit. . , . , . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Bee . . , . 414.00 Plan Check Fee 00 Issue Date 6/13/14 Valuation 0 Expiration Date 2/09/15 Qty Unit Charge Per Extension 30.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 150,00 2.00 132,0000 ECH EE, -COM 0 -200 SRV FEEDER 264,00 Fee summary charged Paid Credited Due Permit Fee Total 414,00 414.00 .00 .00 Plan Check Total 00 .00 .00 ,00 Grand Total 414.00 414,00 .0o 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR; DITCH SERVICE b ROUGH -IN FINAL 2 J 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 0:IEXCHANGE1BUILDING c K-/ CITY OF P011T AN(MLES ft,1z1YH'r APr1,,#c/vrioN BailldiinL, DivisioWElectrie"I 321 E, a9t Fifth Street — P.O. ljox 1150 / Port Angeles W4ishingtoyi, 98362 )I N (360) 417-4735 Fa.x- (360) 07-4711 1. Multi-Famlly or Commerciap Osl-,rrajoft *Plan Review Ma��' qu ired, PleaSe,�Orppieto Electrical Plan Review Informci9on Shoot Job Addimm. Sulldlog Square Footage" QOSWPIlor) oil above Owner IM0013flE Nam a: Contractor Info i atlon NJ MP Mallinp �Ad rim: KIP: Pi # aw Item '�e�r irwrea-* 200 Amp, $132,00 Sarvice/FZer 201-400 Amp, $ iftoo Sarvlc*wdor 401 -00O Amp $225,00 SeMca/Feedfir601-1000 Amp, $288,00 $ SOMMIreader over 1000Amp, $ 410.00 Byartch clrt;uit 09 service Foodor $ 11MM CIMUR W10 Service Feeder $ 74.00 Each Addiflonal Branch Circuit 5,00 ° ° $..� T Branch G ircults 14 $ 88,00 Temp. Urvicel Roeder 200 Amp, $102.00 TOrnp. SorviceiroWer 201400 Amp, $121,00 Ternp, Gerv],.Woeder 401 -W Amp, $154.00 Temp. Seryl c, Xasder 60 1 -1000 Amp Portal to Portal Hourly 96,00 SignI(.O;x-, Lighling 88.00 Sloal Orcultl Lj:njjed Energy - Muitlq-'ami�y Signal Circuit! Limited Energy / First 11)00 84• ocairrardal $ 96,00 Note: U-00 for each additional 1500 sf Renewable EfedrIcal Energy • 5KVA Systern or Less 113-00 Thermostat Noire; $6,00 for each additional T-Stet 117, $ 17 T Total Oviner as &,,lined by RM 19.28,261: (1) Owner )grill occupy tile 6: truoture for two yaarz after this electrical permit is Mal I ized, (2) Oviner is required to hire an electrical contractor if above said property is for sale, rant or lease, Permli expires after six M011ths of last Impaction. After reading the above statement, I 1jereby certify that I am the owner of the above named property of a Hcensed electdoaf contractor. I am making the electrical installation or altoration jrj compliance With the electrical laws, N,E.C., RCK Chapter 19,28, WAG, ChapW 296-46B. The City of Port Angeles .Municipal Code, and UNRY Specifications and PANIC 14,05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractorJor electrical administrator: 0 cradRcafd� -7 Ds.0d; ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 14- 60001534 Date 1/08/15 Application pin number . . . 198966 INSPECTOR: Property Address , . , . 112 E 8TH ST A ASSESSOR PARCEL NUMBER: 06-30-D0-0-2- 6831 -000D- SERVICE Application type desGriptien ELECTRICAL ONLY Subdivision Nacre ROUGH -IN Property Use . . . . , , Property Zoning COMMUNITY SHOPPINO DISTR Application valuation , . . , 0 COMMENTS: ---- - - - - - -- - -- - Application desc Dishwasher circuit Owner Contractor PENINSULA C'OMMUNITl' MENTAL NORTH PENINSULA ELECTRIC HEALTH CENTER 761 FRESHWATHR PARK RD 118 E 8TH ST PORT ANGELES WA 98363 PORT ANGELES WA 983626129 (360) 477 -764 (360) 457 -04.31 Permit . . . . , , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 74,00 Plan Check Fee 00 Issue. Date 1/08/15 valuation . . . , 0 Expiration Date 7/07/15 Qty Unit Charge Per Extension 1,00 74,0000 ECH EL-COMM BRANCH CIR WO/ SIP 74,00 Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74,00 DD .00 Flan Chock Total .00 .00 DO .00 Grancl Total 74.00 74.00 00 00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) I .INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN l �-- FINAL COMMENTS: PERMIT WILT. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEWILDING