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Home My WebLink About1235 E Lauridsen Blvd - Building CITY OF PORT ANGELES PERMIT APPLICATION �1M..,� , Building Division/Electrical Inspections JUL a 7011 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 V 1 Ph: (360)4174735 Fax: (360) 417-4711 ELLURICAL Date: 30- 1 , Multi-Family or Commercial* *Plan Review May Be Requi ed, Please Complete Electrical Plan Review Information Sheet Job Address:. �' 5 Building Square Footage: Description of above Owner In ormation Contractor Information Name: ` � d��C,�y+r 11!;Z �� Jl j Name Bb L'. Mailing Address: Mailing Address City, State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#1 Exp. License#I Exp. AKr. ,.. ._c"__P q 5"L- Item Unit Charge y Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp, $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86.00 $ Temp,Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp, $164.00 $ Temp.Service/Feeder 601-1000 Amp. $18500 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64,00 $ Signal Circuit/Limited Energy 1 First 1500 sf-Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $_ Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws,N.E,C„ RCW,Chapter 19.28,WAC,Chapter 296-46B,The City of Port Angeles Municipal Cod nd Utilit Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ow , ec ric co tractor or electrical administrator: ❑ cash check ❑ Credit Card 9 X Dated: �� 0110112012 (01 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 �gp Application Number 13-00000857 Date 7/31/13 Application pin number , , . 405264 Property Address . . . . , . 1235 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7905-0000- REPORT+SALE S TiX Application type description ELECTRICAL. ONLY on your excise tax form Subdivision Name . . , . . , Property Use to the City of Port Angeles Property Zoning . , . . , , PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation . , . . 0 Application desc 2 cizcuiots heat pump and furnace Owner Contractor PORT ANGELES COMMUNITY PLAYERS BLACK .DIAMOND ELECTRICAL CONTR ATTN: TREASURER 502 BLACK DIAMOND RD PO BOX 2807 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 565-1035 (360) 452-6651 ------------------------------------------------ _------------------------ Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 79.00 Plan Check Fee 00 Issue Date 7/31/13 Valuation 0 Expiration Date 1/27/14 Qty Unit Charge Per Extension 1,00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT Eee summary Charged Paid Credited Due ------------ ---------- ----------- ---------- ---------- Permit Fee Total 79.00 79.00 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79,00 79.00 ,00 00 rµ V k INSPECTION TYPE DATE: RESULTS: INSPECTOR: DI'T'CH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCI-IANGE1BUILDING 07/08/2013 10:21 13604525177 ALL WEATHER HEATING PAGE 03/03 ' � \ CITY oF PoRT �� 0� ^,^.~_~__ ___________-. ��=~ "[ Building Dhdoiwm/ElewtrinwllInspections 32% East Fifth Street—P.O'Box 185B/Pori:^kogejmo Washington,90362 Ph: (36<)417-4735 Fix: (36() 417-47t1 Date. ��u|�i^pmmUyo'�omm�mo�m|° \0NS ' �N��t�` °Plan Review May Be Required, Please Complete El *lca/Plan Review Information Sheet Job Address; Building Square Footage: Owner information Contractor Information Na TDIiA layers rn� N emc C Phone;452,6651 Fax: Phone: FaX:A 9)-4 177 Item 8mWmgPmoder200 Amp, $182.00 Service/Feeder Vo140UAmp. N180.00 Service/Feeder 4O1'8VOAmp $225.00 Service/Feeder 8014 COO Amp, *208.00 _-----_ ammina/Fowdw,over 1000 Amp, 410,00 Branch Circuit 0x8mwkeFeeder 5,00 Branch Circuit WIO Service Feeder 74.00 EuohAdd|uunal 8m/wh01rou|( UO ~--_—_ Branch Circuits 1~4 86.00 Temp.Service/Feeder%OOAmp, 102.00 Temp.SerV:e/Poode,2M400Amp. 121.00 _____. �--------- Temp,SpMool;oeda~4O1'800Amp, $184.08 Temp,SorkwlFoederVV140$0Amp Q105.00 pono|to Portp|Huudy $ 9010O 3|gn0u0nuUghtlnp $ 88.00 Signal O|mWVUm|teWEnnrgy-MultA'omUy $ K0C Signal 0|mv|VUm|tod Rnegy/First 150O91'-Commercial m A&OO Note: $8.00 for each idditionu|i508mf R*nowoNoB*W,|ow|Energy'8KvA System mLou $li100 Thermostat 56.80 �__ Now$D.00 for each additional T-S tat $--jifix-7vta| Owner ao defined byRCN.i8.88.28t(0DmnurvW||000upythostructumfortwmywmrs after this electrical permit is finalized,(2)Owner is required to hire nn electrical contractor|yabove said property is forsale,rent or lease,Permit expiresafter six months of last�spoction, After rexdinD the above v0terrient. (hereby oertfy that|mm the ummmrof the above oorred property o,w licensed electrical contractor. |ummok�ng the electrical|ostd|$#unor alteration|ncompliance with the electrical laws,N.E.C.. RCW.Chapter 1Q.28.VVAC Chapter 296-48B.Thv City ofPort Angeles Municipal Code, undUd|1ty Specifications and pAMC 14.05.060 regarding Bect,cm|Permit Applioudwno. Signature oy owner,ehck|ou|contraictor orm|mcmcu|administrator: O m,"x O u»e0 O wow|onmv ELECTRICAL PERMIT q CITY OF PORT ANGELES 360-417-4735 ' Application Number , , , , , 13-00000741 Date 7/10/13 Application pin number , , , 055168 Property Address , . , . , , 1235 7 LAURIDSEN BLVD a ASSESSOR PARCEL NUMBER; 06-30-00-0-2-7905-0000- REPORT SALES TAX Application type description 7LECTRICAL ONLY on your excise tax forth Property Name to the City of Polf Angeles Pro ert Use Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502) Application valuation , . . . 0 Application desc T-stat 2 ton heat pump ---------------------------------------------------------------------------- owner Contractor PORT ANGELES COMMUNITY PLAYERS ALL WEATHER HTG & COOLING INC ATTN; TREASURER 302 KEMP ST PO BOX 2807 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-9813 (360) 452-6653 ------------------------------.____.__---------------------..__- Permit , . . . , , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . , . 56.00 Plan Check Fee 00 Issue Date . . . . 7/10/13 Valuation , , . 0 Expiration Date 1/06/14 Qty Unit Charge Per Extension 1.00- - --56.0000 ECH EL-LVT-THERMOSTAT 56.00 Pee summary Charged Paid Credited Due Permit Pee Total 56.00 56.00 ,04 ,00 Plan Check Total. .00 OQ 00 ,00 Grand Total 56.00 56,00 00 .00 V� INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 360- 417 -4735 1J Application Number 11- 00001294 Date 11/15/11 Application pin number 811642 REPORT SALES TAX Property Address 1235 E LAURIDSEN BLVD your excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 7905 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning PUBLIC BUILDINGS PARKS Application valuation 0 Application desc 2 circuits outside lights and RCPT Owner Contractor PORT ANGELES COMMUNITY PLAYERS BLACK DIAMOND ELECTRICAL CONTR ATTN: TREASURER 502 BLACK DIAMOND RD PO B'OX 2807 PORT ANGELES WA 98363 Uv PORT ANGELES WA 98362 (360) 565 -1035 (360) 452 -6651 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 76.10 Plan Check Fee .00 Issue Date 11/15/11 Valuation 0 Expiration Date 5/13/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60 Fee summary Charged Paid Credited Due C Permit Fee Total 76.10 76.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.10 76.10 .00 .00 (n� INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 1 FINAL 11/1 7 94 W COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING r r RECEINFLT CITY OF PORT ANGELES PERMIT APPLICATION '"i" Building Division/Electrical Inspections NOV 1 5 201', *,,,,,„7, 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 983621 ECTRICdI" Ph: (360) 417 -4735 Fax: (360) 417 -4711. fi�'P�ECTtO Date: k 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 12-35 E, LAv,2iDSi<r✓ J3L -t/ O. (P. Co,^•a'va PcA Building Square Footage: De ription of above A•ot A I o rr i el. C. I (rN i (2) OUTS( pc 6-r i (3) 0 0731' or CrF/ 5 7 i nz 144.6 o.•• 77 c.N NJ in)Si o f ou7zr. srr 1, z 41-6- n c)t-i n.�E,. L/ i f-faa -t c Owner formation Contractor Information Name: Y ljP- 'L \Y 4 D19 Name: 231 -Ac ic ZNA.A- -cp^.O /LLe Mailing Address: Mailing Address: So z. 731''Ack :b'<t,-�. City: State: Zip: City: 'A- State: Zip: %e363 Phone: Fax: Phone: Fax: License Exp. License Exp. iuk-c-fc EC ta:> Item'' .Unit Charge Qty Total (Qty Multiplied by Unit Charge) 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 7 3 Sv Each Additional Branch Circuit 2.60 2 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 Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 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 7b-= Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to°hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby.certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteratiomin compliance-with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and.PAMC 14.05.050 regarding Electrical Permi Applications. Signature of owner, electrical contractor or electrical administrator: Cash I Check Credit Card X Dated: 6' /'f 0110112010 6 7 --T`A,-(--- r o S L C2� .55-7(. CITY OF PORT ANGELES r '�1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000891 Date 9/01/11 Application pin number 843067 Property Address 1235 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 7905 -0000- Tenant nbr, name PA COMMUNITY PLAYHOUSE on your state excise tax form Application type description COMM ADDITION Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning PUBLIC BUILDINGS PARKS Application valuation 8131 Application desc 308 SF COVERED WORK AREA /STORAGE RE- SIDING Owner Contractor PORT ANGELES COMMUNITY PLAYERS HATHAWAY CONSTRUCTION INC ATTN: TREASURER 624 E. 7TH ST. PO BOX 2807 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -5627 (360) 452 -6651 Structure Information 000 000 308 SF COVERED WORK AREA Other struct info HARD SURFACE AREA Permit BUILDING PERMIT COMMERCIAL Additional desc 308 SF COVERED AREA SIDING Permit pin number 191288 Permit Fee 193,75 Plan Check Fee 80.44 Issue Date 9/01/11 Valuation 8131 Expiration Date 2/28/12 Qty Unit Charge Per Extension BASE FEE 95.75 7.00 14.0000 THOU BL- 2001 -25K (14 PER K) 98.00 Special Notes and Comments A minimum 2A -10BC fire exinguisher is required. V must be mounted, with the top no more than 5 off the floor. Suggested extinguisher placement is adjacent to an exit. 4 August 24, 2011 9:56:12 AM sroberds. The proposal will result in the construction of a new 0 t.k attached storage area for lot coverage of 16% and site coverage coverage of 68% in the PBP zone. August 23, 2011 1:25:16 PM Tim. OK The existing building sewer may be located at the same location of the proposed construction. Any modification or damage to the existing building sewer will require other permits and inspections. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due 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. Ross 7///20// Ross g9-14 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/ Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Stab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit S SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000891 Date 9/01/11 Application pin number 843067 REPORT SALES TAX Permit Fee Total 193.75 193.75 .00 .00 on your state excise tax form Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 to the City of Port Angeles Grand Total 278.69 278.69 .00 .00 (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) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 4 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: r-- Under Floor Slab Rough -In Water Line (Meter to Bldg) w Gas Line Back Flow Water FINAL Date Accepted by v l AIR SEAL: Walls Ceiling (1 FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: /O Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 C t I9 (1 T:Forms /Building Division /Building Permit s �r 4:::::::: Ln H H W W 0 F as al 13 W u w' W x o W F z r H cn H N III l0 F N io W W U/ a U I N H a <w o xz o a H J• ca O Q 0 0 P, 3 W ■0 l0 H CO N J• M r) Q O a xMaaa w W a ar W at H m a H W W C i 0 Cr) H Q z Zi In CO U W (I] W m m o 0 0 o F w U Z m o O N z O 0 K H ••a H Z, F h 0<r WO X Q z ..H o z H0 m Cal a' uu z FNO E H as X I,Fz x w U) z a O o ∎-1 L.n w a X H r�J N F� Z NN ou O U ua Z 10F 0E<0 4W 0 1 0 000 0-00,-q r 0 W >,oH U cn cn Q acnH FW p 0 O H O q Cal a a a i m a a i a KC a s a W 3F• 0 g F zaEi8oE 0'11 ►,I W a o m E cn cnaF a H J•7-, cnN 2Ul \0 H W H W O H 0 0HU MO01 Z x ra W m H W O 0o 000 H" (.4 i"U GC F Hc. 00 0 F3 a) DI ,Z,7, N 'Q O o H o W a 0 0 y H a x 0 0 0 0 .7 a 0 0 0 E F W 0 0 0O oa' W ou, a z o m m Q F W a V] U 0 a'0 cn F 7,,g .7z E 0 0 0 J FCE X m OF Qzzzxa a 01 N u C=I F 0 U O a g W F w a„ "R7� BUILDING PERMIT APPLICATION Print in ink s ic CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received le '1 1 321 E. Fifth St., Port Angeles, WA-98362 Permit TM= (360) 417 -4815 fax (360) 417 -4711 Date Approved ain Applicant /5 /vA4 A o e 1 /.5' -5551 Property Owner A ,4 .e,, Phone `152 Property Owner's Address /23 5 E. L440 idsrw 8b ✓d Contractor A vim v Cioft.5ikucl /o v Phone 457- 5627 Contractor's Address 62 E 7- 51- p, A License HATHAC /022 Expires c3/o7/ o/z E -mail PROJECT ADDRESS 1 1.5 3 E Lau ri`d se/ RJvd r Id h ®Use Parcel Number Lot Zoning pap Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply i t New Construction 141t k 2-2 308 S F Addition COveyel L&x, rk c `S•f p e. r 4� Remodel 1 Repair 4 sG i nj Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 6' 2 "tl Floor 9 3 ftl Floor Garage Carport Wl). Pace. y Covered Porch 30$ (2. 3 /W Deck Shed 3t nq 9,30 Other *per Ro 5 TOTAL VALUATION 9 13 -I Total footprint of structures `1 $4 sq. ft. Lot size Al 616 sq. ft. Lot coverage i G. Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage (07,5 l i .np 'v 13 se f-{- Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant Toad of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior t. working •n projects. Date$ /7 /ZO(/' Print Name ?osS /1gv'ANIt Signature A j T:Forms /Building Division /Building permit application �J v NOTES Permit E\ Z9 1 k t‘\ s bl--Lu Or-KJ pot-- ytc,:- I 6):. I ?:)c... bi P-avtv,h og. S1-� t--c-i t e S e Sk A.pr Q th --u1 l F c c i W t r-LI 1-14pd .s'vbiy_t& a- y.1.6(1-- ovt Cis 1 /x/5 1 n11 I L V �l V Stn, L Pte. 401 A-D LholeAnan cke,,K o In 3, 82, valAgt -WCW IS 5, l I for 1: 4ee T:Forms /Building Division/Notes i '?,5„:1 vt •=••::.m. f---,,, i '''‘v A v #4,-,/;,, •,-,-,•-,,,,,,,,,,,,t,•,!,...'.., -::•,,,,•-,:t,„-,',t114%:;.g .7-#-....‘,1•04 i '7 ?•P' ,rt,' A eir'. '.';',:,;'r -r-r? 04,4..";..r..r':'” F,Likii,;,-.;;,•-: 4 '4)11 4,44-,frrr :01, 1 r.'''r''' Aff4A 4 ',.1 '5,',":''':•;:i .:.p.141.710":`,'.1-, ,101;4 f' ,O,!!'"':.:'',,%!. e4.'„r„. r. r'''.'e, ',14I114,4r=„ 14 d ,t24 4, l'''' --.'7''''';'.. et_ 4 ''',,,,,,,,ft■A 'r";' 414043i T S` ,1 I !'-'4.-" '41r•;'''.' 011).'' "0.1#,-'' "t'' ":".'""'OP'11 i 'N.., 7 :40,f,tg '.0:;. 4.; ,„u„1, i ,4„ r.,...r 1,,,',1.' .t v '''r ;101.0 :',:44,, 4 ‘Ik!i„'- .,V:f., lz.z,.„- r1. 4 .1 4:, 'Yr44P ,,,,,,q;,..11,1•,;"4:r,:rr=r,=,=,'„grix,' q '44. /1 1 0 3 r,.. 1 1 7„.„ 4.„ Oallam County Assessor Treasurer Property Details 58632 PORT ANGELES COM... Page 1 of 1 ClaVam County Assessor Treasurer Property Search Results> 58632 PORT ANGELES COMMUNITY PLAYERS for Year 2011 2012 Property Account Property ID: 58632 Legal Description: LOTS 1-3 VAC ST ALLEY ABTG BLOCK 279 Geographic ID: 0630000279050000 Agent Code: Type: Real Tax Area: 0010 PA 1u1 PORT oTCwrv*uLvwwp Land Use Code 89 Open Space: w DFL w Historic Property: w Remodel Property: N Multi-Family Redevelopment: N Township: Section: N Range: Location Address: 1235 EAST LAIJRIDSEN BLVD Monouz PORT ANGELES, WA 98362 Neighborhood: x ref Exempt Ref Region 5 Map ID: 2 I Neighborhood CD: 50985200 Owner A\-\9" wame: ponrAmasLsacommuw/rvpu m osnoowno,: *sr*o Mailing Address: ATTw:TnsAsunsn °/0 Ownership: 100.0000000000% P 0 BOX 2807 PORT ANGELES, WA 98362 Exemptions: EX Taxes and Assessment Details Property Tax Information as of 08/17/2011 Amount Due if Paid on: NOTE: If |untouubmh oymantonahumve date, make oueyou enter the date and click RECALCULATE to obtain the correct total amount due. C|iokon''StavamentDetui|u^tnaxpandnrco||apaeotoxotummenL First Half Second Half Year sm� L- Base p��!/n��» Base p�u Amount Due Statement Details 2011 153266 *178.13 *178.11 $0.00 $0.00 m356.24 *0.00 Statement Details e010 *1555 m178.12 m178.12 $0.00 $0.00 $356.24 *w.00 V ves |ru^m Junsd uov Improvement /om|dmu Sketch Property Image Land L�n RnUValue History I Deed and *�m This year is not certified and ALL values will be represented with "N/A". m ��nmo�� /nc�/ngmn weu�*vemwn:oo.nu.zunu Database last updated m «eoon�1nuo11 3:49 AM Reserved. Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=58632 8/17/2011 HATHAWAY CONSTRUCTION, ION, INC 624 E 7TH St Port Angeles, Wa., 98362 Phone and Fax 360 -457 -5627 Lic HATHAC1022JG Proposal Community Playhouse 1235 Lauridsen Blvd Port Angeles, WA C/O Kathy Hussey DETAILED DESCRIPTION: Construct 14' x 22' storage shed per plans, specifications and city code. Proposal is for labor only. Material, painting and permit to be furnished by others. HATHAWAY CONST, INC, is to furnish all the necessary labor to install, construct and /or put into place the improvements according to the included detailed description and /or the attached detailed description(s), as follows; Labor 1,600.00 Gutters and downspouts 148.50 Sub -total 1,748.50 Sales tax 146.87 Total 1,875.37 Hathaway Construction 7f-e.n z- L 6 472 8� /1 Date HARTNAGEL BUILDING SUPPLY INC. PAGE NO 1 3111 HIGHWAY 101 EAST PORT ANGELES, WA 98362 TOLL FREE 1- 888 452 -6252 PHONE: (360) 452 -8933 AN EMPLOYEE OWNED AND OPERATED LUMBER TRADERS STORE GUST NO:' JOBiNO „PURCHASE ORDER: .`-REFERENCE, zap TERMS CLERK:,;' DATE /TIME 207890 000 ADDITION NE 7,10 1 1 1 81 ‘„5/18/11, 7:02 TERMINAL: 559 SOLD TO SHIP TO EXP. DATE 5/19/11 PA COMMUNITY PLAYERS KATHY 452 7038 or 460 8693 't' PO4BOX 2807 PORT ANGELES, 'IA/A,-°)98362;-.- SALESPERSON: 81 KEVIN WIEGEL TAX: H3 HARTNAGELS- CHARGE EXE ESTIMATE: 425861 :LIN -E ;;SHIPPED ORDERED UM 3 e SKU, P DESCRIPTION:';. >..',SUGG;' ;'UNITS,. PRICE PER .EXTENSION, ,�,:C:, 1 05/12/11 2 10 EA 1224SS #4 2FT REBAR STUB STEEL -1/2" 10 1.70 /EA 17.00 N 3 1 EA EPB66HDG SIMPSON EPB66 ELEVATED POSTBASES 1 21.24 /EA 21.24 N 4 1 PC PT668 6 X 6 PRES TREATED 8' 24 847.36 /MF 20.34 N 5 22 LF GLB513 GLU -LAM -BEAM 5 1/8 X 13 1/2" R/L 22 8.54 /LF 187.88 N 1/22 6 1 EA S0186 SIMPSON HUCQ612. 1 19.87 /EA 19.87 N 7 1 EA TIM4814 4 X 8 FIR TIMBERS 14' 37.33 634.40 /MF 23.68 N 8 1 EA HUC48 SIMPSON HUC48 H.D. BEAM HANGER 1 6.54 /EA 6.54 N 9 1 EA S0186 SIMPSON CCQ66. 1 60.65 /EA 60.65 N 10 1 EA S0186 SIMPSON W48, OFFSET FLANGE. 1 19.92 /EA 19.92 N 11 1 EA DF2810 2 X 8 DOUGLAS FIR 10' 13.33 442.00 /MF 5.89 N 12 1 EA DF2812 2 X 8 DOUGLAS FIR 12' 16 442.00 /MF 7.07 N 13 30 EA 05584 3/8 X 4 1/2 GAL LAG BOLT 30 0.69 /EA 20.70 N 14 30 EA 05627 3/8 GALV FLAT WASHER 30 0.08 /EA 2.40 N 15 12 EA S0186 SIMPSON LB26 12 2.87 /EA 34.44 N 16 1 EA DF2410 2 X 4 DOUGLAS FIR 10' 6.66 448.50 /MF 2.99 N 17 1 EA DF2412 2 X 4 DOUGLAS FIR 12' 8 448.50 /MF 3.59 N 18 2 EA DF2416 2 X 4 DOUGLAS FIR 16' 21.33 448.50 /MF 9.57 N 19 3 EA DF2420 2 X 4 DOUGLAS FIR 20' 39.99 448.50 /MF 17.94 N 20 1 EA S0675 TRUSSES. 1 498.00 /EA 498.00 N 21 11 EA H1T SIMPSON H1 HURRICANE TIES 11 0.67 /EA 7.37 N. 22 1 EA H5 SIMPSON H5 HURRICANE TIES 1 0.36 /EA .36 N 23 12 PC OSB58 5/8" 4 X 8 OSB 384 477.84 /MF 183.49 N 24 2 RL FELT30 2 SQ 30# FELT (29) 2 23.27 /RL 46.54 N 25 3 EA WF3BK 3X5 115* BLACK WALL FLASHING 3 18.04 /EA 54.12 N 26 16 EA P627AB PAB PREM 30 ANT.BLACK [4]Y 16 16.48 /EA 263.68 N 27 1 EA RTOP ROOF TOP DELIVERY MINIMUM. 1 50.00 /EA 50.00 28 3 PC PAN88SL LP PANELSIDING 4' X 8' 8" O/C SL 96 1163.08 /MF 111.66 N 29 1 PC PF10410 1x4 10' SPF KD PRIME FACIA 3.34 1595.05 /MF 5.33 N 30 1 PC PF10412 1x4 12' SPF KD PRIME FACIA 4 1581.75 /MF 6.33 N 31 2 PC PF540612 5/4x6 12' SPF KD PRIME FACIA 15 1581.75 /MF 23.73 N 32 1 PC PF540616 5/4x6 16' SPF KD PRIME FACIA 10 1669.15 /MF 16.69 N Continued... HARTNAGEL BUILDING SUPPLY INC. PAGE NO 2 3111 HIGHWAY 101 EAST PORT ANGELES, WA 98362 TOLL FREE 1- 888 452 -6252 PHONE: (360) 452 -8933 AN EMPLOYEE OWNED AND OPERATED LUMBER TRADERS STORE `GUST NO` ,JOB NO :PURCHASE ORDER REFERENCE:, TERMS CLERK „DATE TIME 207890 000 ADDITION NET 10TH 81 ;5718/11 7 02 TERMINAL: 559 SOLD TO SHIP TO EXP. DATE: 5/19/11 PA COMMUNITY PLAYERS KATHY 452;7038 or,460 8693 PO'BOX 2807 PORT ANGELES WA ALESPERSON: 81 KEVIN WIEGEL s 98362 TAX: H3 HARTNAGELS- CHARGE EXE ESTIMATE: 425861 LINE" SHIPPED ORDERED UM, SKU u DESCRIPTION SUGG; UNITS x V PRICE IPER'EXTENSION 33 1 EA S0904 MISC NAILS, ETC. 1 200.00 /EA 200.00 N TAXABLE 50.00 NON- TAXABLE 1899.01 SUBTOTAL 1949.01 TAX AMOUNT 4.20 TOTAL 1953.21 TOT WT: 2603.89 X Received By Application Number 08 00001055 Application pin number 179820 Property Address 1235 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 0 2 7905 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS PARKS Application valuation 0 Application desc T stat Owner Contractor PORT ANGELES COMMUNITY PLAYERS 1203 S LAUREL ST PORT ANGELES WA 983627735 Date 8/26/08 ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 133017 Permit Fee 35 00 Plan Check Fee 00 Issue Date 8/26/08 Valuation 0 Expiration Date 2/22/09 Qty Unit Charge Per Extension 1 00 35 0000 EC EL LOW VOLTAGE 35 00 Fee summary Charged Paid Credited Due Permit Fee Total 35 00 35 00 00 00 Plan Check Total 00 00 00 00 Grand Total 35 00 35 00 00 00 II�SPECTIOI` TYPE DATE DITCH SERVICE ROUGH Il' FIJ AL COMMEI\ TS: zf z7iP EL FETR.ICAL RESULTS INSPECTOR DATE ELECTRICAL INSPECTION WIRING REPORT 417 -4735 OWNER/CONTRACTOR PERMIT INSPECTOR OS tiE.431-1 L ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED i ALL t)v•1.Q E) cY"la (-$L. 69mv 1r`'L c. Y6� b Z:0Z f OLYORIIC'PRINTERS, INC. (360) 452 -1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Aug 25 08 06:28a Dg-10 Job wired by Electrical Contractor Electrical contractor Dam.. License number Date Expires Rol (ARMY 101 f lt laglaajealrELP01 -t Purchaser s mailing address 2 1CP MAP 9 tv -1 Sta a %lP Tele hone number I AX number iet ern'sc o r' n me Ccmrn!4/ s of in section i k :1;s E- A AflC7 -eter Phone number to bcdule in ction Electrical_ oad Additians_an& r. sjjbtractirns NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Date- (Installation description Owner DEI 14Cc ommercial Own._ us ueffned by RCW 19 28. (I) Owner will occupy the structure fir two years afier this electrical permit is finalized. (2) Owner is required to hire an electrical contractor j ubo• said propern is for sate, rent or lease. After reading the above statement, I hereby certify that r :m the owncr of the above named property or a licensed electrical contractor. 1 am making the electrical instal lation or alteration in compliance with the electrical laws. N.J,.C. RCW Chapter 192R, VAC Chapter 296 -4613. The City cif Port Angeles Municipal Code, and Utility Specifications /Si ure of owner, electrical contractor or electrical administrator 1 New Expiration Date f card Overhead Service Temp Service Underground Service SAS DA I S_PECTJON_,_CALLB E_7 :91L I GQA1Z41 5. ROUGH -IN 7 THERMOSTAT i-Jz,/ Dale +.pprnv. RV oar. FINAL DITCH 1 2 1° Uwe Appro,ed Inspection Date RECEIVED E L E C TRICAL WORK PERMIT A PPLICATION AUG 2 5 2008 Dat. Approved i• Area, Building or Equipment inspected Cash Check Z redit Card Card Apps ed By Residential Altered /Addition p.2 Gl.' i t'1 I9C9 Visa Mastercard Discover Date Date Voltage Phase L7 1 3 Service Size: Feeder Size: SERVICE FEEDER Action Taken 1ns ie ti .Se rsri celtitotm atto n Appen ed Rv Approved n} Electrical Inspector Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL TWO TON HEAT PUMP Owner PORT ANGELES COMMUNITY PLAYERS ATTN TREASURER PO BOX 2807 PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date orms /Building Division /Building Permit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001048 Date 8/25/08 118560 1235 E LAURIDSEN BLVD 06 30 00 0 2 7905 0000 P A COMMUNITY PLAYERS MECHANICAL APPL PERMIT PUBLIC BUILDINGS PARKS 6117 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 MECHANICAL PERMIT INSTALL TWO TON HEAT PUMP 132936 64 80 Plan Check Fee 8/25/08 Valuation 2/21/09 Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 00 0 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 Fee summary Charged Paid Credited Due .14 7)0 H 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 iZ Date/ Print Name Signature of Contractor or Authorized Agent ignature 9 fler own &r is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 -C KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. FOUNDATION. FOOTINGS SHEAR WALLS WALLS INSPECTION TYPE DATE ACCEPTED I COMMENTS ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD i I I I Expi reel I -3 1-10 1 YES NO FOUNDATION DRAINAGE DOWN SPOUTS PIERS 1 POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) 1 1 GAS LINE 1 FINAL DATE ACCEPTED BY. 1 BACK FLOW WATER 1 AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) 1 T -BAR INSULATION SLAB I WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS 1 GAS LINE 1 1 WOOD STOVE PELLET CHIMNEY 1 FINAL DATE ACCEPTED BY. 1 COMMERCIAL HOOD DUCTS I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING 1 PLANNING DEPT SEPARATE PERMIT fl's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED YES 1 NO Aug 25 08 O6'28a Applicant or Agent I'\ (IV Pd` hut/ Phone 2,-Gil) aZ Owner (J� Q f f 04 Crl�() I '�l Cf9,)�' IlC� Phone Owner's ddress Q .0 ibo .7 95cn Contractor /Engineer (Ai ga v 11PcI1 \Y Contractor /Engineer's Address 77_. I(P r f Pry License Lu\ I\*c. Parcel Number Proiect Type Brief Description: Check all that apply o New Construction- o Addition Remodel o Repair o Re -roof o Demolition o Sign (Heat System 'other Floor Areas Basement '1 Floor 2 Floor 3fd Floor Garage Carport Covered Porch Deck Shed Other 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 Existing (sq. ft_) Proposed (sq. ft.) Total footprint of structures sq. ft. Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant Toad VMIl a fire sprinkler system be installed? Construction type PROJECT ADDRESS (Z CI tm CA .s-e o Residential Commercial o Phone I 1 qg"5( Expires G�i Lot Zoning Multi- family o Industrial wall mounted projecting o freestanding o awning Total sign area sq. ft. Maximum allowed sign area sq. ft. Heat pump o wood burning stove o gas fireplace pellet stove o other per sq. ft. For City Use Only" Date Received -0 c) Permit (`)k l 4.9, Date Approved TOTAL VALUATION 1 -1 O sq ft. Lot coverage of bedrooms of full baths of half baths have read and ccmpleted this application and know i 0 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, aid th t tcthr\ btain per its pnor o working on orCJBgs r( n In Ce 7 j Print Name c r ft J t VI (i I l Signa.ure T.Formsieuilding Divisor'R■dg Permit Appl. -2006 Code doc p 1 o other Application Number 05 00001211 Application pin number 658039 Property Address 1235 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 0 2 7905 0000 Application type description SIGNS Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS PARKS Application valuation 1424 Owner PORT ANGELES COMMUNITY PLAYERS 1203 S LAUREL ST PORT ANGELES WA 983627735 Permit SIGN Additional desc Permit pin number 67108 Permit Fee 115 00 Plan Check Fee 00 Issue Date 12/16/05 Valuation 1424 Expiration Date 6/14/06 Qty Unit Charge Per Extension 1 00 115 0000 PER S SIGN FREE OR PROJ 25+ 115 00 Fee summary Charged Paid Credited Due Permit Fee Total 115 00 115 00 00 00 Plan Check Total 00 00 00 00 Grand Total 115 00 115 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 const Signattk of Contractor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor Date 12/16/05 JACKSON S SIGNS GRAPHICS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457 3703 (t) b. Date Signature of Owner (if owner is builder) Date FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I I 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE. FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION RW ENGINEERING 417 -4807 I PW ENGINEERING FIRE 417 -4653 I 1 1 FIRE DEPT PLANNING DEPT 417 -4750 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 1 BUILDING G x T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] DATE ACCEPTED BY, DATE ACCEPTED BY. DATE I ACCEPTED I YES 1 NO J .fod-.Artae:l :.0.w4ot. E. Lauri s.:e.r.t moos: 472 Moot rio. LALLA COLINTY `f!' N oan 41 1,4-4 ,140PUICATIO.0 .40)014= CITYOFPORT ANGELES 17 45276051 Or.t...Anaeres: 98562 diteli.:JACKSSG022M18- 1 28767 mid es a undsen 131vc1. lock: Sub Pk es are du 'At tbe ime :gPe# '1100iiiSiSt#4:***180411iys. a ti;t0.0000tiOcit 00:11414, 2003) Noapp1icatzoxca gturir 'CAT's*: NOV 3 0 ...r.iTtr.orAto, D .:lkoktoo.: .4-,Rotoot. 43.:. 004. .......t#:. 0. ,147 Tr.l io :Coolovf ttook 1,,,.. 14.e,4.1 K 3703 F. 98562 17)3,1? Plvwo Size 60. 15. sg Ft Ocpaucy tz4 0: Ob4situdtfotaT 1104114 151bri001041kc taphcation ad '*Pir004.'at.0 a non, die �I 'fsee`$ection, I 70 Feet 'Vertical Datum NA VD 88 ,3rizontal Datum NAD 83/91 1 235 ‘N. 1 Area Map 124t fi t i f Blvd r" 1247 I 1/ 1242 I 1 1 "-4 7 1/ r 1248 ,20 1 806 This map is not ntended to be used as legal description. This map/drawing is produced by the City of Port Angeles for its own use and purposes. Any other use of this map/drawing shall not be the responsibility of the City CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when m violation of all codes and ordinances of this jurisdiction. cr.) Approval Date rZ Zl» By 0 60" x 36" Main Sign puff= °r`tgligtairL�,.laftgu' gat' gt is'� ,rBrs.r.ENfE re h .y.,.,.� 5 l 1 ,y.).y.,,.li r�'r:s 10.1` 1= 75Y= v ttf."r.au R4a• /.:rai w1� •s- i i/'.c'^••'. •r.•x 1 i f6t.�uv.r.' x..1.Lw.�i:W.Sw J�..��a. �rsau5'FAn�..�t..GSJ t1a,..ES�ve'..1'� w�.. �.M.. �lcf:d sr��A. a' t�fYA.,.. e. t..... Ar> i1:. �f3�. G .G2.T....1Fiu yrwsdA�Wa'T�Y.41 Jackson s Signs 472 Mount Pleasant Rd Port flngeles Wfl 360 -457 -3703 i 'S "'lr;;- CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .12\ EAST 5TH STREET. PORT ANGELES. WA 98]62 ~ Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000127 Date .136616 1235 E LAURIDSEN BLVD 06-30-00-0-2-7905-0000- ELECTRICAL ONLY 3/04/05 PUBLIC BUILDINGS & PARKS o Owner Contractor PORT ANGELES COMMUNITY PLAYERS 1203 S LAUREL ST PORT ANGELES WA 983627735 OWNER Permit Additional desc Sub Contractor Permi t Fee Issue Date Expiration Date ELECTRICAL ALTER UPGRADE SECURIT~ HI TECH SECURITY 42.20 2/24/05 8/23/05 COMMERCIAL SYSTEM INC Plan Check Valuation Fee .00 o Qty 1. 00 Unit Charge Per 42.2000 EL-LOW VOLT SYS <=2500 SQFT Extension 42.20 ~ ~ Iv\ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 ~ \'\ ~ ~ & ~ -<C ~ 1'0., ,~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE<;rJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItPTJtD COMMENTS YES NO III 'f'~ JH lUGH-IN I COVER ~~K V lCh /l "'I~ A I 1.3/4/n<Y"fCA1./ .- / GENERAL COMMENTS: PW.lI02.1~ [4196] . . \ I. I, CITY OF PORT ANGELES LIGHT DEPARTMENT Site Address: PERMIT NO, / 7;l 7 (. /;0 /J' (j' 'I ,/ o READY FOR ,)'WILL CALL FOR INSPECTION INSPECTION License Number: Phone: ELECTRICAL PERMIT DATE Installed By: Owner/Business: Phone: Owner/Business Address: 123- 8 Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/lndustrial load Total Connected load (atlach breakdown) Total Motor load (atlach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 1.0 03.0 Service size o Temporary Amps o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai I slDescri ption: / .4-l4uu .'--"'" jlef W,S. No, Service Size Capacity: 0 OX 0 Not O,K, Comments o Ditch inspection O,K;::, ~~ f5i.. Rough-in/cover OX \ cP- O O.K. to connect service rA Final OX -'1'Vv-- Date Hold for: 0 Easement 0 Letler o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending PermitfReceipt No. /7PJ7 Installer: New'Meters Date: --ft./) . .<J 0 (, /0 ~l Notify the D~partment of City Light by SI eet !,d1i:ess and Permit Number when ready for inspection. Work_ must not be covered or electrically energized beJbre inspection and O.K. for covering or service has be by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 15 -'( ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT II' .;;;:J () I Inspector WHITE - tile by address YELLOW - tile by number PINK - Top: Eng. Bottom: Customer GREEN - To OLY,,"l"lC PRINTERS, INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /5Yl -qh2f/!J? ELECTRICAL PERMIT DATE Site Address: Instal o READY FOR WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: ~~.;J~ Address: 'i' Sq. Ft. o Residential 0 Heat KW ~ no 'tiQ Baseboard 0 Furnace/Boiler b Heatpump 0 Other o Commercial/lndustrialload ~Add/alter circuits Totai Connected ioad .I 0 Auxiliary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) (list below) r o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary Amps DetailslDescription: /0 (./1/s frclclcJ 3tMf) Cv.4-ti tl#f'~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service N Final O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters o Nollfy the Department of City Light by Street Address and Permit Number when ready for Inspection. Work must not be covered or electrically energized efore inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. J~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;, ::2d !lP I Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ?l.-YMftIC PRINTERS. IN<;:, ..L_ _ n f'/ J!, _ PERM I 5 WITH WRONG ADDIIt~S~S ARr.CANCEL~, I . Installation By ----3. r f5r LC~~tC- , I ' Installers Address . . - , Day Phone Installers Phone Application is hereby m~de for Permit to install Electrical Eq~ipment as follows: JPrTML ~ ~"" ~u t^ff 0 ~ ~f- lE ~CE(.tMBEA . TOTAL FEE Site Address Owner CITY OF PORT ANGELES DEPARTMENT OF LIGHT .AP-PLlCATlON AND ELECTRICAL P.ERMIT -;1 ~AtNUMBEA A be:!- /'1M CONT. Lie. NO. TIME TO COMPLETE NO. STC~RIES LEGAL OCCUPANCY USE OF CIRCUIT Wiring Method . fd/VcL f . I certify that the work to be performed under t~ permit. will ~e done by the-'i~staller and In conformance with the N.E.C. Electrical Code. Date Application made 7/7 f,t ,19 By KJ-rrp, I. I I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permissiq" is here~y gIven to do the abqye described work, accordmg to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances 0 the City. o,t Port Angeles. /J(l!~& . ~DIRE R F Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on befqre inspecJion and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. LIGHT LIGHT CONVENIENCE CONVENIENCE APPLIANCE DISHW.6,SH.~R DISPOSAL . RANGE OVEN WATER HEATER LAUNDRY ... DRYER FURNACE GAS-OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE . Date Permit Issued WARNING OLYMPIC PRINTERS, INC. - -- -- NUMBER CIRCUITS AMP PER CIR FEE 240V '100R 30 AMP PER CIR 240V 100R 30 120V 10 NUMBER CIRCUITS 120V 10 . USE OF CIRCUIT. FEE ()5t- Trtr -L -I '^->,,<>~ 11/ -W,,-- ~D-f'-, SIGN 50 VOLTS OR LESS I:'}!FOR S'ufJAO ., c.,./'-/L +- 0"'; MOTOR ..L. .' . _ MOTOR_ FIRE ALARM~ BURGLAR ALARM MISC. . REINSTAllATION LIGHT FIXTURE # SUB TOTAL FEE ENERGY FEE BASIC FEE . TOTAL FEE' SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER . AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE I A.W.G. SUB-TOtAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPIECTOR DATE OF VISIT MADE BY REMARKS , , , , . , " , , , .,' , ,. , 1 , , ! ; 1 -- , ., ., " , .. I . .. ., , . , -- , '.' .. . .. -- , . - . - , , , '. ) , . .:...... -- ee"E:~G I 9'iK fG e~"'Nt;"1 "~'II....E q \11~~ \kX . fWML O.K. , " \ . . z o a: c( :E ~ :I: ~ Z W . ~ o z o c . . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9 15011 Port Angeles, washlngton.____n_)'______€:u~h__hu_____m_______um_____, 192.5:" In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- :~::~s: is ~~~__~::~4__~r.-:~;:~_~~_~_~~_~~__:~_10:~cupancy__~~~_~____n___________________ ~-""-~--(i7 ?/ ~:::~::::~:;::~a:::;::t::~~:-:=?::::~<un~~~:~~~::::::::::::::-:_-_-_-:::::::::::::::::::::::::::::::::::::::::::::::::::: \j Light Outlets..__m____mn..._..........._.._..._ Service, volts hnhnnn___..____...........____... Type of Wiring: Receptacle Outletsm_hU....................... No. wires ..__....nnn________...........___... Drye" KWluuuum_____m____u_______m___u__ Size wires......___.m_m.............._____n Range, KW..__m. Main fuse hn....m.____.......nmmmn___ ~.rater Heater: Enclosure .__.............____n.____............ Type of wiring: Entrance Cable ______mm_mn._.._.__... KW__uu___mm__m__mmuum_uu_ Hut, RWuuC,m__../3/3_mm__u Rigid Conduit .___................__________. Metallic Tubing ____._m.m.......h_____ l. J .::.....---1..~_...7....;i..m~3.--;:--------_... Current transformers: .mm...Jmm_.m/mn.....:::...~:~..::7'!.~~ l' . No. & Size.......mn.mm.___..__.n._....... 00_000000...................................00_....0000.... Ser. NO:n..._n__....__n_nnn__................. MJtors: size, volts and phase: Ser. NO..n_.._......._.......n....._____n__.n_... Ser. NO.................n_.n_nn_................. Armored Cable ..........._..._._........_... Non.Metallic __....un.____mm___....____. Knob & Tube__u_nn___..mmnmn.mn RIgid Conduit uum___uu_______________u Metallic Tubing m...._mmn........... Raceway nunn..._nn..__n............n...... ;,2.. Circuits, Llght...._......:........................m _J Utility~......n............................... Heat Range .............___......._...............__.... Water Heater ....._......................... Motor ___.___........._.__..................._..... Dryernunnnnn..._nn_nnn___.n...nn.._..... Furnace ..........................______.____u..._._ Total Load....nn.....nn__.__.n.... Ser. NO........__.._...n.....n___.._.n_........... Total ........0000_000000...__00000000.__0000 "" Remarks: u___mn__m.m_JJjmEnd?_~..;L_~..<_~~~=.l(!::::m~.J~.~~_-<~/!.:':!:.?:(_;.~._~_.._n_m_.__mnuu.m__________n_mn__m_______n -- n '.} _;~;::~-;~~m----m-------------------;~~;:;:~-;~~~;~~-m-m--------------h--------------:--;-;::-----~~i:~---h---;,-'------------7---------hm $____________m_________________m___ NO_mm______________________ By __u!.{__Lnj_!.__C:.___::_~_;__':_::__-'::~:_::__':=::._ , NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15011 Date called for inspection......_...._.........._...................__.................._....................._......................................_......................................._........... Preliminary inspection dates............................ _._.........._....._........__..................___............_................_.............__......................._..........._...._ Total Load Inspectloncompleted..._......_.._................................................--......................_......._...............___........................._....u............__......._......__ 1M 3.72 Olympic Printers, Inc.