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HomeMy WebLinkAbout807 S Lincoln St - Building RECEIVED Electrical Information Form 'JA Public Works&Utilities Department 360 417-4700 2014 p ( ) mH,y0", City Electrical Inspector(360)417-4735 Please complete and return to Public INSECTRICA21ties Department 7Name s anent service: Name:and address of party Street: responsible for permanent City 1 State service billing? Daytime Phone:° r y (� �} ' $ ' Home Phone: o • (if other than above) L�y� Site contact: Name: Title: ,'.] 1i Daytime Phone: Contractor: Name: Gam an S U�r �L� Daytime Phone:,' ,S )4(7"5 �L_(, � Electrician: Name: Company: Daytime Phone: Excavator: Name: Company: Daytime Phone: • ' Existing []New ❑ Single-family residence ❑Mufti-family residence; #of units .Commercial ❑Subdivision; #of lots ❑Overhead service ❑General service Underground service ❑Other: • . • . • Description of work; 1 Street address 1 Jot number: Nearest cross street: Desired connection date: Electrical transformer serving property is: ❑ on a pole ❑ on the ground Total square footage: sq. ft. Main disconnect size: amps Voltage: ❑1201240 1ph ❑1201208 3ph ❑2771480 3ph ❑1201240 3ph ❑480 3W 3ph ❑ Other ❑Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: ❑A/C (T ton) ❑ Range/Oven ❑ Hot Tub ❑Clothes Dryer ❑Heating ❑Pumps (_Hp) ❑No Load Change ❑Water Heater ❑Elevator(_Hp) ❑ Other • • ° ® • Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). "Electrical one-line drawing showing the service entrance panel and location *Connected Toad data. *Size and locked rotor amps of all motors over 50h2. kpplicant's Signature: wox Date: C -- MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS Information form.xls VVF dTi ; �ti r.)ric�Ir Fa13:?ttl:rr rnali,>rr fog In Revis'd 1-16-0J t� le,0, VORr ELECTRICAL INSPECTION , - y WIRING REPORT RKS 417-4735 DATE PERMIT 9 T—INSPECTOFi owwlr�— CONTRACTOR ADDRESS L 4-0 L- APPRbVE-D N::02TAPPR0VE9 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . [3 /- 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 13. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . Q ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . El CORRECTIONS NEEDED: V ir— qtlg r— M NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE — ELECTRICAL PERMIT t CITY OF PORT ANGELESO 360-417-4735 Application Number 14-00000015 Date 1/09/14 Application pin number 207755 Property Address . , 807 S LINCOLN ST REPORT SALES T"ASSESSOR PARCEL NUMRRR: 06-30-00-0-2-6928-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name , . . . , to the City of Port Angeles Property Use Property Zoning . , , , , . . COMMUNTTY SHOPPING DISTR (Location Code 0502) Application valuation , . , , D Owner Contractgr RP WEST 'COAST PRODUCTS :,LC SME SOLUTIONS PO PDX 5015 2302 A STREET BUENA PARK CA 906221066 TACOMA WA 98402 (714.) 690-2359 (253) 572--3822 - -----------;------ -------------------------------- ---- -- --- -- ------- Permit ELECTRICAL ALTER COMMERCIAL, Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee .00 Issue Date 1/09/14 Valuation . . . , 0 Expiration pate 7/08/14 Qty Unit Charge Per Extension SASE FEE 86.00 _-- -^_ __med Paid Credited Due __T^- -^ _-_ -_-__ ^ _ __ _ Fee summary Charg ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86,00 00 00 Plan Check Total 00 ,00 .00 00 Grand Total; 86,00 86.00 00 00 n� 1 S INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING Cr ry ov Pow ANGELES PERMIT APPLICATION RECEIVED Building Division/Electrical Ins�pcctions DEC 3 0 2013 321'East Fifth Street-P.O.Box 1,150/Port A-ageles Washington,9$362 Ph:(360')417-4735 Fax-(360)417-4711 ELEURICAL Date: Multi-Family or Commercial* Plan Review Ma Be Required,Please Complete Electrical Plan Review Information Sheet Job Building Square rootage; Description of above Owner Information Contractor Information Q)o 1­4 Name:thle Ff LgCXR_o�_aLk) Mail! MajOng Address. City: State: Zip-, Phono:%-I I-4q 1-q—Fax: 44357 Phone: :-_Fax: License 411 Exp., License VExp.-C- Item Unit Charge Qty Total(Q!y Multipl d by_qnllt ChVSroj Service/Feeder 200 Amp, $132.00 Service/Feeder 201-400 Amp, $160,00 ServicelFeeder 401-600 Amp $225.00 Sera WFeeder 601-1000 Amp, $288.00 Service/Feeder over 1000 Amp. $410.00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circolt WID Service Feeder $ 74.00 Each Additional Branch Circuit 5,00 $ Branch CircOs 1-4 86,00 Temp.Service/Feeder 200 Amp. $102,00 Temp.Service/Feeder 201400 Amp. $121,00 Temp,Service/Feeder 401-600 Amp. $164,00 Temp.Service/Feeder 601-1000 Amp. $185,00 Portal to Portal Hourly $ 06.00 SigniOutline Lighting $ 88,00 Signal Circuit)Limited Energy-Multi-Family $ 64,00 Signal Circuill Umbd Energy i First 1500 sf-Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-6KVA System or Less $113,00 Thermostat $ 56r00 Note,$5,00 for each additional T-Stat Total Owner as defined by RGW.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 ar►the owner of the above named property or a licensed electrical contractor.I arn making the electrical installation or alteration in compliance with the electrical laws,N,E,C,,RCW.Chapter 19,28,WAC.Chapter 2964613,The City of Port Angeles Municipal Code,and Utility Specifications and PAMG 14.05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator. 0 Cash 11 Check Credit Card 4 X �r — Dated; �"7ti t�tu,r •�4� CI'PY'OF PORT ANGELES PERI)IIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362 V� Ph: (360) 417-4735 Fax: (360) 417-4711 , - ` r Date: 9. 30 l / Multi-Family or Commercial* Plan Review Ala Be Requir d, Please Complete Elec 'cal Ian eview nformation Sheet Job Address:_ t� s tic I✓1 �'"� �s^ ° il , 5 Building Square Footage: Description of above Owner I N Contractor informa lon Name: Name: Wt,L � Mailing Address: Mailing Address:11 01", P! s City: State' zip City: mal'OVK" State: WA zip Phone; Fax Phone:Lf f-11•16 ax: License#!Exp. License#!Exp. A E N Item Unit Charge ty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp, $132,00 $ Servlee/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 WI Service Feeder $ 5.00 $ Branch Circuit WID Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 C r r $ � Temp.Service/Feeder 200 Amp. $ 102,00 $ Temp.Service/Feeder 201-400 Amp. $121,00 $ Temp,Service/Feeder 401-600 Amp. $164,00 $ Temp.Service/Feeder 601-1000 Amp. $ 185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Cireuitl Limlted Energy—Multi-Family $ 64.00 $ Signal Circuit/Llmited 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 ROW.19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2)Owner is required to hlre 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., ROW. Chapter 19,28,WAC. Chapter 296-466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Check r ❑ Credit Card X / Dated: 0110112012 ELECTRICAL PERMIT .�.. CITY OF PORT ANGELES 360-417-4735 Application Number 13-00001483 Date 12/30/13 Application pin number , . , 841797 Property Address . . . . , , 807 S LINCOLN ST REPOR7'SALESTAX ASSESSOR PARCEL NUMBER; 06-30-00-0-2-6928-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property 50ning . . , . . , . COMMUNITY SHQPPING DISTR (Location Code 0502) Application valuation . , . , 0 Application desc 1-4 circuits lighting change Owner Contractor BP-WEST CQAST PRODUCTS LLC EMERALD ELECTRIC NW PO BOX 5015 9830 220TH PL SE BUENA PARK CA 906221066 SNOHOMISH WA 98296 (714) 690-2359 (425) 446-1003 -------- ----- Permit -"--u ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . B6.00 Plan Check Fee 00 Issue Date . , . . 12/30/13 valuation 0 Expiration Date , . 6/28/14 n Qty Unit Charge Per Extension SASE FEE 66.00 ----- --_ _--Charged - '---- ------Credited ----T -- Fee summary Paid Due r --------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86,00 .00 .00 Plan Check Total 00 Op .00 ,00 Grand Total 86,00 86100 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN p FINAL COMMENTS: PERMIT WILL EXPlEW SIC(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING �� ^mss CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000404 Date 4/10/12 Application pin number 817740 Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 6928 -0000- REPORT SALES TAX Tenant nbr, name AM /PM on your state excise tax form Application type description PLUMBING PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 6450 Application desc GREASE TRAPS Owner Contractor BP WEST COAST PRODUCTS LLC ANGELES PLUMBING INC PO BOX 5015 PO BOX 1151 BUENA PARK CA 906221066 PORT ANGELES WA 98362 (714) 690 -2359 (360) 452 -8525 Permit PLUMBING PERMIT Additional desc GREASE TRAPS Permit Fee 57.00 Plan Check Fee .00 Issue Date 4/10/12 Valuation 0 Expiration Date 10/07/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -IND WASTE PRETREAT INTRCPTR 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 nal, (4 .21-f. 2- 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:FormslBuilding DivisionlBuilding 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: �j Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line xx� Back Flow Water FINAL Date 4. 24. 1 (.f c cepted by AIR SEAL: Was 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 g Construction R.W. PW Engineering 417-4831 0 Fire 417 -4653 Planning__ 417 -4750 Building 417 -4815 T•Pnrmc /Ruilriinn flivicinn /Rnilrlinn Parmit P1 N H (1 d' W W 0 F as a ca 0 01 N N 0 1.1 O] N N O N 01 C \0 r O O 0 O N N LO H U •1 r L S+ a (0 b r6 a U .0 0 w .0 a .0 H a H W W 0 W 0 CO 0 0 N O a 0 w 0 Z x 0 F U Z N a s Om N•.+ H 0 H 4 N 1 U U1 2 CO U1 CF 10 u1 0 2 ri C H N r1 z O 0 V) 0 0 0 CO N u 4 a N H N a) a N F W W W rj H CO H S■ 4 H N 2 a s 0 2 O 2 O O 2 O N W U) !n 2 2 H N.7. N w H N to 2 z z 0 0 W a m W 0o z H H -a -.O 0 H F� 0 rn 0S U a 2 H H W N .0)H d' a a a.] CO HaH l+0 W O5 a)£.. W i V)o v)0 0 W sru Sa >n a [-10 01w a 0. 4 aoa 0.0 U 0 0 0 0 a 1. O 0 H 0 O H F 0 m CO H 1/1 z a m 'a F o z wF °a a� `AN 0 U U 400 ZHa CO h Z 0. 0 o H CO N H 7 CI) F W 0 V) 1 O Inn -4 0 01 0 W o o 44141 N N 0 N 4 0.0 aNN .+.1 H H0 r"- 0 Nw O z a1DN 0 W a O0 T j Tr K a m KC KC COO 000. NN N N 02 F w0 v01 .44 00 0 0 a W .7 a u a 20 01 a W W U H N 00 CO F F t a W z H 0 o O w[ OZZllaP4 a 0• 0 au aH 0 U0aa N a 4 0 N H 0 0 0 C I.) W as a Q 0 0 0 N 0 N 0 m N 0 O 0 0 C D 0 O 0 N N 40 H J a O l a u w .0 0 0 a H W W W cn Q O O 4 0 W J4 w a X v N F 0X cn as o 0 H N Z F h N m ,n 0 (.1 4 r C Oa H O m m F F Z z Cr) 0 0 Z a N H F IA 41 w 0 co z a a 0 o D w Z 2 0 N OO 0a H H H 0 a 0 F E, 0 o U U H a V] z N m a a d H F H w as 0.Ha 1 (4 U Q H W V) 0 a V1 V1 0 11 0 Z i zao Qa a n H ow es r F Z 0 N 0 Z a m F N H tO a 0 N z w a amp 0 0 ,a0 b z a0) 41. H 0cn H crFoo a V]Xa000 4WCs) N N W 044/00O OFF H H 0 0 1 1 cn W a \0 N 0 0 0 1 O o m pa o ff 0 a 0 O K4 ,7 0 wa x ..x 00 0 4 0 (00 w a a ZO w a 0 F a 0 0 F Q a z F 0 o IX r4 41 0 cn w H Q 2 Z Z Z a a al a o au U U00a W aa, 04/09/2012 10:32 3604528583 ANGELESPLUMBING PAGE 02/02 ;799.! ;Y BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only Date Received 1 a 321 E. Fifth St., Port Angeles, WA 98362 Permit 12 404 (380) 417 -4815 fax (360) 417 -4711 Date Approved f-I- i a- Applicant Or Agent ANGELES PLUMBING, INC. Phone 452 -8525 Property Owner SP WP ST ("NAT PRf))1TTCTS Phone 254-778-6317 Property Owner's Address pp Box 6117, Tpmpla, TX 76581 Contractor /Engineer. ANGgLES PLUMBING,., INC. Phone 452 -8525 Contractor /Engineer's Address P.O. BOX 1151, Port Angeles, WA 98362 License ANGELPIO77KP Expires 5-1.5-2012 PROJECT ADDRESS Arc /PM 807 S Lincoln Parcel Number Lot Zoning Project Type Brief Description: o Residential ot Commercial Multi- family Industrial Check alI that apply Q New Construction Addition Remodel Repair c Re -roof rrf3emoiitiorl' MT1?AB Grease Trap MI G 5 25 GPM, 50 Grease Cam Lbs. Heat System Heat pump wood burning stove u gas fireplace pellet stove other 01 Other Install grease trap for triple cpmparfinent sink and nnP flnnr drain Floor Areas F lso. ft) Proposed (sq. ft.) Basement 0 sc Per sq. ft. 1 Floor Ifs I E) G® F� :t. 2nd Floor 3` Floor Garage L 9 112 Carport :1111 Covered Porch CITY OF PORT ANGELES Deck N Shed Other TOTAL VALUATION 6.450.00 Total footprint of structures sq. ft, i Lot size sq. ft. Lot coverage Max. height of proposed structures ft. Occupancy group of bedrooms WIII a Lawn sprinkler system be installed? Occupant load of full baths tMlf a fire sprinkler system be installed? Construction type of half baths 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 4 Print Name DALE BRUNTZ Signature T Forms/Building Division/Bldg Permit App1,2006 Code,doc ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00001007 Date 9/14/11 Application pin number 786852 REPORT SALES TAX Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2 -6928 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc EAGLE SIGN/ 4 SIGNS Owner Contractor BP WEST COAST PRODUCTS LLC EAGLE SIGNS, LLC. PO BOX 5015 1511 S. KEYES RD. BUENA PARK CA 906221066 YAKIMA, WA. (714) 690 -2359 YAKIMA WA 98901 (509) 453 -5511 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 4 SIGNS Permit pin number 192609 IIIP Permit Fee 352.80 Plan Check Fee .00 Issue Date 9/14/11 Valuation 0 Expiration Date 3/12/12 Qty Unit Charge Per Extension 4.00 88.2000 ECH EL -COMM -SIGN 352.80 (f\ Fee summary Charged Paid Credited Due Permit Fee Total 352.80 352.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 352.80 352.80 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN lob ill rakiF FINAL i'D l COMMENTS: J PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGEIBUILDING M os.. pOR7g, j CITY OF PORT ANGELES PERMIT APPLICATION r Building Division/Electrical Inspections d 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 0 Ph: (360) 417 -4735 Fax: (360) 417 -4711 W Date: q 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: '3c) s Ls, vn _c:Av Building Square Footage: Description of above a a-- ,r, pp., A Owner r m y tion Contractor Information Name: Name: —IL- Mailing A Marlin Addres•: .,r 'ii► City: State: Z ip: City: State: Zip: A192(_ Phone: Fax: Phone. ax: 5Z,' Li c 3£ License Exp. License Exp. F- f✓12r1 5 L- Item Unit Charge Total (Qty Multiplied by Unit Chargel 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 Each Additional Branch Circuit 2.60 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 L 4<Q 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 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, e ctrical con actor or electrical administrator: El Cash Check r Credit Card �e ibc(( r f Dated: 01101/2010 f Application Number 10 00001345 Application pin number 876345 Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6928 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc New signs and 1 circuit Owner Contractor ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Date 11 /18 /10 BP WEST COAST PRODUCTS LLC TRI M ELECTRIC PO BOX 5015 3509 NE 187TH CT BUENA PARK CA 906221066 LAKE FOREST PARK (714) 690 2359 SHORELINE WA 98155 (425) 773 4677 y,Z- -5 109'0 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 177469 Permit Fee 514 50 Plan Check Fee 00 Issue Date 11/18/10 Valuation 0 Expiration Date 5/17/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 `W+ ys��a, .8 2000 ECH EL COMM SIGN 441 00 p Fee summary Charged Paid Credited Due Permit Fee Total 514 50 514 50 00 00 Plan Check Total 00 00 00 00 Grand Total 514 50 514 50 00 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN 61 2 Ito FINAL I1I71' i COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature,of owner or..Electrical,Contractor X._..., RESULTS I INSPECTOR. 4i7 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) w Date: r 7 L CITI OF PORT ANGELES PERMIT APPLICATION Zit 1 b rn 11i /TR Building Division/Electrical Inspections ELECTRICAL East Fifth Street P 0 Box 1150 Port Angeles V� ashington, 98362 INSPECTIONS Ph (360) 417 -4735 Fax. (360) 417 -4711 Date. 1 Sin le Family Dwelling Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: 4 '7 C+. /..1 L) /_D LMJ Building Square Footage; A P La4C— r� f G J A l h C' v 1 Owner Information Name: C..0 Mailing ddres _0_02 `'J AIN Ili City t y ir5 State: Zip: Phone: Fax: License Exp. Item Service /Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 Signature of owner, -Iectrical c. for o electrical administrator' X ii Dated: r Contractor information Name: k! -,i4 Mailin Ad es `34 /UJE /61 Jo GT City State: Zip: _gR I ci 5 Phone: -/ZS 713-4677Fax: '1 778 /O97) 7) License Exp. T 111 L-* 9' P 3�` Total (Qty Multiplied by Unit Charge) .57-/-q- Total 01/01/2010 MI V 44 6 1 0 t) (, 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 ram 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 05050 regarding Electrical Permit Applications Cash Application Number 10 00000831 Application pin number 392041 Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6928 0000 Tenant nbr name BP WEST COAST PRODUCTS Application type description SIGNS Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 6500 Application desc FIVE SIGNS (41 SQ FT TOTAL) Owner BP WEST COAST PRODUCTS LLC PO BOX 5015 BUENA PARK (714) 690 2359 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 CA 906221066 Contractor ALASKA MARINE REFRIG INC 9991 SE COTTONWOOD DR PORT ORCHARD WA 98366 (360) 871 4414 SIGN FIVE SIGNS 171066 235 00 Plan Check Fee 00 11 /10 /10 Valuation 6500 5/09/11 Qty Unit Charge Per 5 00 47 0000 PER S ALL SIGNS OR TO 25 SF Special Notes and Comments August 16 2010 5 26 20 PM sroberds The proposal will result in new signs at an existing fueling station in the CSD for total signs of 217 sq ft The property size permits 230 sq ft of building mounted signage the proposal will result in approx 108 sq ft for each street frontage No land use issues anticipated Fee summary Permit Fee Total Plan Check Total Grand Total 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 4ou r0Jo i) mike /9Lis7;0 e T:Forms /Building Division /Building Permit Charged Paid Credited 235 00 235 00 00 00 00 00 235 00 235 00 00 Date 11 /10 /10 Due Extension 235 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) r\DA4' 10 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 MANUFACTURED HOMES. Footing Stab Blocking Hold Downs Skirting 'FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T /Building Division /Building Permit Inspection Type FINAL Date Accepted by Accepted by Date Accepted By Pe) PREPARED 11/22/10 8 26 38 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/22/10 ADDRESS 807 S LINCOLN ST SUBDIV TENANT NBR BP WEST COAST PRODUCTS CONTRACTOR ALASKA MARINE REFRIG INC PHONE (360) 871 4414 OWNER BP WEST COAST PRODUCTS LLC PHONE (714) 690 2359 PARCEL 06 30 00 0 2 6928 0000 APPL NUMBER 10 00000831 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/22/10 JLL BLDG FINAL November 19 2010 3 51 31 PM 1pangrle (1/ MIKE 360 509 3536 BUILDING FINAL 5 ARCO SIGNS COMMENTS AND NOTES c u)neir fer Gourd, Wdos;3e. be Wes+ CiCLS+ P 1' €s PD isox50(5 g „eneSc KK, CR 90 62.2- 1066 SIGN 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 For City Use Only Date Received -(3-0 Permit# iO— Date Approved 1S Applicant or Agent 1or'le° 4 SonS Inc, Phonil 714) gS q- 99 )Ir Property Owner tl7 dUCA S C-p Phon j OD 23 5 1 Property Owner's Address '4 ea{t -merit Lq'alvrq, (.G 90190)-3 4-Contractor /Engineer .AYYI1 env irnnrnerrk l Sexy ices Phone '36 -53/ 1 -44 14 Contractor /Engineer's Address q�l SE C.o*'nwood Dr Polrf or d, /4 983100 License AL14SICIPMi29( Expires 5 -l9- Project Address 50 5 LAncoln St Business Name AKCO 57/9 Parcel Number Submit an 8 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted projecting, freestanding, illuminated, other Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See `Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements. Sian Tyne Brief Description. (Type, location, sq. ft.) (A) Sign #i C2) (`Ano anneL Ifs IOsi�t k 2d st-t- TOTFL, (6)Sign #2 (3) 36” CanDpy bW S1I1 7s /ea 1 Sign #3 Sign #4 Totals (Unit charges Unit Charge Quantity multiplied by auantities) $47 00 $85 00 $115 00 a3S T:Forms /Building Division /Sign Permit Appiication.doc GRAND TOTAL e•of Sign LL C U All signs less than or equal to 25 sq ft. Wall sign or marquees, over 25 sq ft. Freestanding sign or projecting sign, over 25 sq ft. Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Lot Zoning C: S D Sign(s) Valuation 5o0 Existing sign(s) area 175 5 sq. ft. Proposed sign(s) area q 1 sq. ft. Total sign(s) area ;l (9.5 sq. ft. Building facade area (height 15 ft. X width ft.) sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects Date 8- O Print Name JD fiw eqkQ.(d- Signature Permit I 0- 1 33‘ T Forms /Building Division/Notes NOTES Donco Sons, inc. Signs Lighting Electrical CA Uc C10-C45-C61 #435616 AZ Uc L38 8097661 L11 #098214 •AZ DBA D S Signage, (nc. `C° l John Barber (714) 254 -0099 Fax (714) 254 -0199 1410 N. Daly St. Anaheim, CA 92806 -1502 jbarber @donco.com r, ARCO® 0 BP West Coast Products LLC 6 Centerpointe Drive, LPR 6 -111 La Palma, California 90623 RE Signage Permitting Dear Permitting Official: Arco has enlisted the services of Donco Sons, Inc. to manage and administer all necessary regulatory permitting for signage elements related to the Arco Re -image Program of 2010 and 2011 Donco Sons, Inc is authorized to act on Arco's behalf in connection with our permitting efforts including applying for permits for signage, payment of fees, pulling necessary permits, and responding to your comments. If you have any concerns or questions relating to any of the above, please feel free to contact me at (714) 690 -2359 Sincerely V ■fr nce4J PCL'a Vincent L. Pace Project Manager Z J 0 z J cn CANOPY KEY. D DISPENSER C COLUMN P PIC MACHINE SIGN TO REMAIN 2 OF 3 Approval Date 1 OF 3 E 8TH ST FILE CITY OF PORT ANGELES Construction Plans -ID The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the WidiggIfjciil romriereaft7requi ng the correction of errors in said plans, specifications and other data, or from preventing mereunaer wnen in violation of all codes and ordinances of this jurisdiction. By I k 4 BULLNOSE DECAL& L.E.D. LASERLINE 200' -0" BP PEARL FASCIA r MAIN BLDG 57' -0" NORTH 9 Ln SIGN PROPOSAL CONTRACTOR. I PROPERTY OWNER. MEYER SIGN CO INC ARCO PRODUCTS COMPANY 2608 HIGHWAY 99 S 4 CENTERPOINTE DRIVE MOUNT VERNON, WA 98273 LA PALMA, CA 90623 360 -424 -1325 JOHN BARBER MEYERSA038QE 714 -254 -0099 MEYERSC012C4 PROJECT JOB. ADDRESS ARCO LUMINATE PROGRAM ARCO STATION #5719 807 S LINCOLN STREET PORT ANGELES, WA CODE I DESCRIPTION. ICE) CANOPY SPARKS 1(E) ADVERTISING SIGNS 1 (E) BLDG WALL SIGN I(E),PRICE SIGN CODE I DESCRIPTION A (CANOPY CHANNEL LETTERS B 136' CANOPY BUTTON SIGNS C (REFACE (E) DISPENSERS EXISTING SIGN SCHEDULE (QTY SQ.FT I TOTAL 1 3 2.5 I 7.5 2 24 I 48 1 28 I 28 1_ 92 I 92 EXISTING TOTAL SIGN AREA 175:5 SQ.FT PROPOSED SIGN SCHEDULE IQTYI SQ.FT TOTALI REMARKS 12 4 10 20 ION EXISTING CANOPY FASCIA 7 21 ON EXISTING CANO FASCIA 1 0 IDISP €LASER TOP B SKIRT ION CANOPY FASCIA SQ.FT IBULLNOSE GRAPHIC W/ LED LASERLIGHT PROPOSED TOTAL SIGN AREA 41 REMARKS TO BE REFIXED WITH,NEW SIGNS EXISTING TO REMAIN UNCHANGED EXISTING TO REMAIN UNCHANGED EXISTING TO REMAIN UNCHANG THE FOLLOWING APPLIES TO ALL ELECTRICAL SIGNS: Lit LABELS, EXTERNAL DISCONNECT SWITCHES, CONNECT TO EXISTING ELECTRICAL CIRCUIT Z 0 W F- a W p o) Cl) Q 0 J w VI 0 c E F- w O)w in I'- U 0 —I in O U �zZ Q O u rI ce 00 <co a_ DATE. 7 REVISION 1 2 31 4I SCALE. 1 30' SHEET NUMBER 1 OF 7 DRAWN A.S CANOPY SIGNS EXISTING CANOPY SPARKS TO BE REMOVED 2.5 SQ.FT QTY 3 PHOTO OF EXISTING CANOPY ON SITE EXISTING DISPENSER 24% 2' -9' BULLNOSE GRAPHIC AND LED LASERLINE 40F4 PROPOSED 1 OF 2 RE -IMAGE OF EXISTING DISPENSER 0 D 1 OF 3 2 OF 4 2 OF 3 1- 0 W C 7) W M ce C UV' J p V) z (1)0 D 71:1 °Q ao rn Do V v C N C3 b H- w rn N- zzai 0_ __i U U)J Q I- U �IY fY <0°oa DATE. 7 -28 -10 REVISION 1I 2 3 41 SCALE. NTS SHEET NUMBER 2 OF 7 DRAWN: A.S CANOPY DETAILS 20' 2' -9' O 20" CANOPY LETTERS FRONT VIEW TRANSLUCENT RED r— OPAQUE BLUE 36' L.E.D LIGHT MODULES SHOWN L.E.D LIGHT MODULES SHOWN 10 SQ FT QTY TWO (2) "raj), 36' CANOPY BUTTON SIGNS 7 SQ FT FRONT VIEW QTY THREE (3) FLAT BULLNOSE DECAL W/ L.E D LASERLINE 21 CROSS SECTION (through seated tube) MOUNTING CLIP —en 1.261n x •4- [32 mm) 1.0 fnf26 BLUE LIGHT EMITTING DIODE (LED.) TUBE CANOPY FASCIA 21" BULLNOSE GRAPHIC DECAL 8055 [14 mm] Perspective Round LEO laserline not to stale 1203 in 0060 nlnll 11!+5 in (3035 n+ml CROSS SECTION (through mounting dip) IS in pawn) 0 1.6in140 PERSPECTIVE VIEW illulninat end caps internally illuminated polycarbonate lens -ARCO Light Blue MS 2935c lO5 IN 13060 aims FLAT BULLNOSE DECAL W/ L.E.D. LASERLINE 1.73 in 144 mm) 1.5En 138 nar11 SFJ14FD ASSEMBLY z J 0 Z 0 v ro I– c W in CC I– 0) t/) L c U-1' 0 J 0 o 2- t 00 zW I 9 Q O 0o C N 0 v H C) IYQ ix) O O W zZ in J Q oD UtirY Q 00 a DATE. 7 -28 -10 REVISION 1 2 3 4I SCALE: NTS SHEET NUMBER 3 OF 7 DRAWN A.S DISPENSER GRAPHICS t VALANCE LIGHTING. TECHNICAL DATA. U L. LISTED L.E D LIGHTING /LOW VOLTAGE SEALED UNIT INPUT VOLTAGE UNIVERSAL INPUT 120 -277 VAC INPUT FREQUENCY 50 -60Hz TOTAL WATTAGE. 95 WATTS INPUT CURRENT 1.2 AMPS ,MAX 100VAC POWER FACTOR. >90% DRIVER EFFICIENCY 89% COMPLIANCE. UI48 CLASS 2 WET LISTED L.E D LIFE. L70 >50 000Hr 25 °C AMBIENT DRIVER LIFE 100 00 25 °C FULL LOAD L.E D CCT 5600K L.E.D TYPE ARRAY Attachment to Upper Bonnet 3/8•Bott uomer bonnet 28 S' internally ilti nrna d tialanpa wr.tu.!?t kneed ;c ;he e_reenad gal:ttr.8. lid airbag Clirfn, sfi e1] t4lnstittct to flexitiIity to accomodate maltipta digits (Toque, vinyl Niter applied fiat surface ARCO aloe ARCO U Rise lo% 31 Door Sire varies rn rcinxad two ttom rs rc7 <rct;d with row stet metal dne4 trend raf gartios Peewee White 62' 18' ARCO 44 PROPOSED DISPENSERS FRONT VIEW A irt Pump upights BP Pearl 0 IvErify Coailtiee el paint an and pailtl andiar repair es needy NEW VALANCE ATTACHMENT TO MATCH EXISTING BOLT PATTERN 2'11— s QTY. FOUR (4) I W rnW Ct Q It) C2 m OW Z Off CC00 Q co O.. DATE. 7 -28 -10 REVISION 1 1 21 3I 4 SCALE. NTS SHEET NUMBER 4 OF 7 DRAWN: A.S Underside of canopy BP High Hiding White O Curb painted BP Warm Grey Q Top 1/3 painted OP Yellow Top 2/3 painted BP Pearl a Existing columns BP Pearl 0 Elevation Undercanowv Paint Schedule 1=.1 kale: 1i7" =1'°0' Existing fascia BP Pearl 0 3/4' IM 1 1 /4' r 518 25/8' L.. r Detail Canoov Clearance Sian L1 scale.►' 1'-0 Painted metal extrusion attached to column with cover plate top and bottom. clearance 14 -0=" Existing columns BP Pearl 0 Plea View Side View Detail Column Sinnaae Product Locator scale: 1' 1' .0' Front View Right Side View Trash Valet Forte Product Solutions (formerly Kitterman Plastics) scale:1 /2° 1'D' 30' 24.25' Straight Bollard /1 Bollards \t _v scale 3/4' =1` -0' '--4' diameter BP Dark Pearl standard color 1 I 18' Top 1/3 painted BP Yellow 00 Top 2/3 painted BP Pearl .11eTt1� 25.75' 10" radius au resc Measurement should reflect distance from bottom of Helios (or lowest point) on canopy to ground. 17,E Sip placement should be aliped with a column, so as to ati being U' hit by tall vehicles. Should also be away from Spark button sign. ae§:An 8' f 3/4 28' U -Shape Bollard Front View 3D View Copy should be localized for each site, based on clearance. Alum sign which slides down into metal extrusion BP Pearl RA1.1013) White (Pentane White) digits with Arco Dark Blue )PMS 295) shadow. To create shadow drop digits on a 45 degree angle to the right 1/2' w 4' diameter .95 BUILDING ELEVATION FRONT ELEVATION EXISTING ADVERTISING SIGNS TO REMAIN 24 SQ FT QTY 2 EXISTING 4'x7' WALL SIGN TO REMAIN 28 SQ.FT QTY 1 PHOTO OF EXISTING BUILDING ON SITE urn pm 48' 168% 23' -0" 12' 5' SIGN TO REMAIN ARCO Pm. 3' -8' unleaded. unleaded plus. unl. premium. 0002 self serve gasoline 0000 ARCO parr of PP 000 000 1) 3' -8' EXISTING PRICE SIGN 92 SQ.FT. FRONT VIEW QTY ONE (1) z J 3- z VJ w O W N LL Q in (1) O J T O J DATE. 7 -28 -10 REVISION 1 2 31 4I SCALE. NTS SHEET NUMBER 6 OF 7 DRAWN: A.S Fully assembled Scottsdale SuperKit that includes a PG High Impact lens and door assembly, a 175, 250 or 320 watt Pulse -Start Metal Halide or 400 watt Metal Halide multi -tap ballast mounted on a panel with a new reflector and a 175, 250 or 320 watt Pulse -Start Metal Halide or a 400 watt Metal Halide Reduced Envelope lamp. SSK UNV S 320 PSMV PG MT WHT 320 WATTS CANOPY LIGHTING EXISTING SCOTTSDALE SUPER KIT r 20 378" x 20 S18" Panel x CANOPY LIGHT FIXTURES (E) CANOPY LIGHT FIXTURES TO BE REPLACED BY NEW L E D PANELS IN (E) FIXTURE HOUSINGS (SEE ATTACHED LIGHTING DETAILS) Fully assembled Scottsdale Universal SuperKit that includes a PG High Impact lens and door assembly, a 175, 250 or 320 watt Pulse -Start Metal Halide or a 400 watt Metal Halide multi -tap ballast mounted on a 2x2 universal panel with a new reflector and a 175, 250 or 320 watt Pulse -Start Metal Halide or a 400 watt Metal Halide Reduced Envelope lamp. Kit includes four adaptor brackets to effectively retrofit your existing canopy fixture. DISTRIBUTIONS ILEOS 1 S i A I ES 1 Maas' 61 1 8 503 I 5 905 I 5 0 t 72 84 1 8,306 1 7,455 I 7.118 I 0 104 1 8.828 I 9,316 I 8.335 I 120 128 I LT t7 I 10.515 I 9.867 I 148 64 1 7,806 I 7272 6.96 95 6 co i, a tilo 1 104 1 11.794 I 11.023 1 100021 157 1 128 i 14.012 I 12.531 11.725 1 195 64 1 8.983 I 8.074 7.674 I 123 84 1 11.133 1 10.253 9,533 1 157 GENERATION 3 LED AMBIENT CANOPY LIGHT (CR03) D O 0 z U 60' -0" G vss` 5ver' SOLID-STATE !MUTING US patent 13574994 and US B Intl Weals pending SUPER ENERGY SAVING FEATURES: THERMAL CONTROL Sensors in both optical we and driver enclosure reduce drive current when ambient temperatures exceed 50'C. Curry—rills lowered in imperceptible 5% increments every 5 minutes until recommended operating letup is toothed. DAYLIGHT SENSIBO Etmtsales day burners (opi1anll) by sensing daygght levels (rot affected try the ftyht coming from the LEDs). Turns future off al fight levels approximately equal 10 sti raise and on al sunset OCCUPANCY SENSIiIG Small, budl-in @sh-mounted sensor (optional) debts movement in a 20 fast circb- noel fans to 30% pager when no presence Is detected. Smart dun slowly lowers fight level over a 30-second period. LEDS For LEO array chafer, 64 and 84 (19.4" square optical unit) and 104 and 128 (213" square). Each feature select higirbrighhress LEDs; 5300 color temperature, 70 CRI (nominal). DRIVE CURRENT OPTIONS Choose horn Three drive current levels; 350 mA (most energy efcient), 450 mA or 550 mA (best First-cost value). OPTICS /0151111807101/4 Ultrahigh eltldency collectors pea-side Ihrea distnbutons to meet your lighting reeds. Choose from standard symmetric, asymmetric (tor directing light toward or away from selected areas), or enhanced symmetric (far increased brightness and attraction from Ole load). Lumirehe Is rated Iu0 cutoff. OPTICAL UNIT Featuring an idea -sfrn 1" profile, Lousing is 91e-formed aluminum V/11119 dear tempered gtass lens. um is 'rater- resistant, sealed to an IP67 rating. Integral single blade heal sink does not trap dot and grime, ensudng cool tuning performance over the fee of the rectum. THE INDUSTRY'S DRLY BREATHADLE SEAL Breather allows super tight 1P87 prelecOOn while preventing temperature cyrtmg from ceding up internal pressures and vacuums that can stress optical un seats and components. DRIVER Proprietary. state -of- tie- adSmartTec'adriver technologyploades unsurpassed system efficiency, control and pectin Components are fully encased in potting for IP87 moisture reststanco. Ceinprs wall IEC and FCC standards. DRIVER HOUSING -Wet location haled driverlelectrkxl enclosure is elevated above canopy deck to help prevent eater entry and to provide easy mock -out" connection of primary Wring. FINISH Standard color is wile. Find with LSE's DuraGrip polyester powder coat process. DueaGrip withstands extreme weather changes without cracking or peeling. OPERATING iMAPERATURE -40°C to +50°C (-40°F to +122 ELECTRICAL Universal voltage power supply. 120-271 VAC, 50/60 Hz input C -Medium surge protection (11X' 51W *ANSI 061.41) EXPECTED LIFE- Minimum 60,100 tours to 100,E hours depending upon the ambient temperatue of the installation (oration Sere LSi web site for spec tIc guidance. WARRANTY Limited S'yeerwrarrany. LISTING EEL Bided to UL1598 and other U.S. arm Canadian safety standards. Suitable for wet locations. PHOTOMEFRICS Application layouts are available on request Contact 151 Petroleum Lighting or petroleumzppsfiti•hldrsldg.eom INSTALLATION !retells in a 12 or 16' deck pan. Deck penetration consits 015 dri led hales simplifying Imtallalnn and water seating. Unit is designed to retrofit into existing Scottsdale/ Encore Top Access (4") hole and to.u. wiring from the SWEGTAWiiOrout having to relocate anthill. Retold panels are available for existing Scuftsdales and Encores (see back page) as Well as kos far rucessed and 212 instatagans (see separate spec sheets). Annnaa lenata5na Asnesa Nara IY oOw 1P67 RoHS PROPOSED GENERATION 3 LEO AMBIENT CANOPY LIGHT (CR03) LUMINAIRE ORDERING INFORMATION I Mal CR03 S LED 128 450 CW UE WHT IMS I Lgtn s Olndballae Light Soatee Prefix oR03 5-SY+Nneide LEO A Asymmetric ES Enhanced Symnetge I ACCESSORY ORDERING INFORMATION tAccesndn as 0011Insbnedl Osuerl lion ereu Humber SalreetPLVI SC to CR03. fix 16 axtPool I Reedit Pule• Et/LLTA/ SOFre CR03.1nr 16eakPang I *free Pang SCto CR03 ler IF auoe'na eamu PIM ECU /SI?iam alert/7 ax3 Paxe Reaffi4b2 Ca2r Pad (el cowed hex armrwCR03) Soperkflse are agallable to retrain CA03 Ambient and Focus Nimes Intl a wide variety el relating 2x2 dad Tossed housings- See taparate apee shoots. DIMENSIONS 103/8" 053 IDA 16' DECK RETROFIT PANEL SC (0430951) CUNT 1 -3116' r tat mm' 9 co +P *It rTOP PAN t 1 710' At) t•-- 14'1305nm1 t el LEDs 64 S4 104 tea 2X2 COVER PANEL W/ HOLES (430966) Orin Catrnr e 431951 430765 war 4 350.34mA 455.455mek s4 o} 350.35372 493 4601t AMBIENT 64784 u-tow t r R6tiaan01 t 3-115-4 41 TA-we� 193/8 (493 mm) 1 2X2 COVER PANEL BLANK (357282) Cola Tumpanla" dw •Coat Vane 0":f ss�ver Input Vane 1n- Untvor ai Voltage (120.277 1,61 OMSradeoa Order Rumba Retied La Cara Pavlelsk fee hart 357262 Reined R6cnu Pandltme (no h s) 331752 Ke 760 Phes m ?t25ramidr)• 1 'eu rtdprlpaoied.:rwp1rote,teneleN T•3/B" 1154 mm) 1.13010"1 131 mm) Finish PAR Meth AMBIENT 104/120 0 -a/ta" r1 Maw/ em p 21-11/16 (551 mm) Manias) JI coaspv 14'(356 ram) 13116 t. (3f mm)_ sOLID•STAre LIGHTING epl6ns IPC Integral Photocell TAMS Integral Udine Stem of 11n6° (551 mad 16' DECK RETROFIT PANELS EC/ECTA/SCF ((1430765• BOTTOM PAN TOP PAa r 2' _(61 sled RIC COVER PANEL (354702) le 314' (476 ons) z J 0 z C.) W CO L1J M B CD C U 0 o (I7)v o Go V N O :1 Cl I— LO 0 ZZ 1n Or J U LU o <Zz J Q 1- o fYo 3- <c011 DATE. 7 -28 -10 REVISION 1I 2 3 4 1 SCALE. NTS SHEET NUMBER 7 OF 7 DRAWN: A.S Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 roof top HVAC units 200 amp panel 3 circuits Owner BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA (714) 670 5400 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS CA 90623 161075 127 70 2/19/10 8/21/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000161 157345 807 S LINCOLN ST 06 30 00 0 2 6928 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor ELECTRICAL ALTER COMMERCIAL EVERGREEN ELECTRICAL 15103 60 AVE W EDMONDS Plan Check Fee Valuation Qty Unit Charge Per 3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 1 00 119 9000 ECH EL 0 200 SRV FEEDER Charged Paid Credited 127 70 127 70 00 00 00 00 127 70 127 70 00 Z /_slIb 212 Ica Date 2/22/10 WA 98026 DATE RESULTS Extension 7 80 119 90 Due 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE PERMIT INSPECTOR 2.l2 -z /Ca /o -014,! \1 OWNER/CONTRACTOR r iz y.g x I t ADDRESS c"�yz t PO 7 s c_Ifr.I )LA( c-S7 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL &?RRECTIONS NEEDED: 6srigto..1D i cove )c`r a P2.6 rzre37 r Xt ZLO 4. M I t ,C 2°34 g '15<0 7 Coo r^!G s N c 110 3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE -m MyFax Joe Giseburt EES (425) 773 -0148 To:Electrical Permit Application 12:05 02/18 /10GMT -08 Pg 02-02 CITY OF PORT ANGELES PERMIT APPLICATION FEB 1 2009 Building Division /Electrical Inspections RICAL 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTELECT TIONS Ph. (360) 417 -4735 Fax: (360) 417 -4711 Date: /O 1 2 Single Family Dwelling EC EN Li, Multi- Family or Commercial" Commercial Addition Alteration Remodel Repair Plan Review May Be Req4uired, Please Complete Electrical Plan Review Information Sheet Job Address C) S( '7 5 L, n e- ,n 1 n Building Square Footage: 2 'I dt2 Descektion of above ICQ i, i i l F� 7 K; 'I j 7047 (Jk1 7 �7 L �7 C /l Ile, Qp o'rt. '�:_4' i d d ;c. o�iY7f'c(' /.9i7 i av'o.I Owner lnformatip(1 Contractor Information I Name: J� 1 it) i i Name: Evergre. E) BG=Cp 1 Mailing Address: Mailing ddress: /5/03 {L�7 X i cci City: State: Zip: City: 111p 7 Slate: 1/1/14 Zip: 47 Phone: Fax: '125 7 ?3 -0 /$f Phone: '?7f2/ r (get, ,c2- 6 59/ License #IExp. License Exp. E)/'E ESO 'i9Kl Item Unit Chame Total (ay Multiplied 11v Unit Charm Service /Feeder 200 Amp. $119.90 $___i_j_U 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. 5 372.50 Branch Circuit W/ Service Feeder 2.60 7- 7.flo Branch Circuit W/O Service Feeder 73.50 I Each Additional Branch Circuit 2.60 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/ 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 SKVA 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 73.60 Each Swimming Pool or Hot Tub $110.30 Ifg7.7(b Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the stnicture for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter.296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner electrical coctor or electrical administrator. Cash Check � X Il �tiv��. o ared: -1.R=-10 Mrs -r'4r C'u, o+nma . PREPARED 2/18/10 8 25 25 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/18/10 ADDRESS 807 S LINCOLN ST SUBDIV TENANT NBR ARCO AM /PM CONTRACTOR ALASKA MARINE REFRIG INC PHONE (360) 871 4414 OWNER BP WEST COAST PRODUCTS LLC PHONE (714) 670 5400 PARCEL 06 30 00 0 2 6928 0000 APPL NUMBER 10 00000139 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/18/10 J MECHANICAL FINAL TIME 01 00 February 18 2010 8 23 16 AM 1pangrle PAUL 206 595 5353 MECHANICAL FINAL (ARCO) HEAT PUMP AND FREEZER CONDENSER AFTERNOON THE PERMIT IS ON THE BULLETIN BOARD NEAR THE OFFICE THERE IS A LADDER ON THE SIDE OF THE BUILDING FOR YOU TO ACCESS THE UNIT ON THE ROOF COMMENTS AND NOTES 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 REPLACE 7 5 TON HEAT PUMP FREEZER Owner BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA (714) 670 5400 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 1 00 Fee summary Charged Permit Fee Total Plan Check Total Grand Total 2' Date 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 18 2000 EA 10 6500 EA CA 90623 78 85 00 78 85 10 00000139 027395 807 S LINCOLN ST 06 30 00 0 2 6928 0000 ARCO AM /PM MECHANICAL APPL PERMIT COMMUNITY SHOPPING DISTR 18900 CONDENSER Contractor ALASKA MARINE REFRIG INC 9991 SE COTTONWOOD DR PORT ORCHARD WA 98366 (360) 871 4414 MECHANICAL PERMIT HEAT PUMP CONDENSER 160721 78 85 Plan Check Fee 2/09/10 Valuation 8/08/10 BASE FEE ME FURN /HP /FAU 5 TON ME. STOVE /FIREPLACE /MISC APP Paid Credited 78 85 00 78 85 0 0 00 00 .we fr c‘„ Date 2/09/10 Due Extension 50 00 18 20 10 65 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulatin construction or the performance construction. frint Name Signature of Contractor or Authorized Agent 00 0 Signature of Owner (if owner is builder) 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 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type 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 Comments FINAL Date Accepted by FINAL Date Accepted by Date Accepted By -1g -14 ;TEL 0 oQ V 0 P Applicant iq Phone Z06 S� 5 Property Owner (,t).e-$ ,.,sfi &cc. Phone 41 (7e �8 G' Property Owner's Address e 1Pr Pp. Z. 11)../,,,,,c,. Ca. ciO KZ 3 Contractor A Qt f l'c Zn„.r fp, ,C .oa. Phone 33,(6T 67/ ''i' Contractor's Address I S�' Go7`/a,�, ,cI d r 0 L.v 3�rr License A Atsici 6101 4/e Expires c-/?-20/6 E -mail el "4 0 ,ovi1 /2 PROJECT ADDRESS Co 4N ,9)44 g.67 S t 4 f,1 A /4 Parcel Number Lot Project Type Brief Description. Residential Multi -family 1,6ommerciaf Industrial Check all that apply New Construction �-e l44-9.__ fo,p ile..,fte a bi' �/'e- e-' Addition Cam! Je t Remodel Repair Demolition Re -roof Hsuse garage other tear off re -roof lay over one layer -feat System m'fieat pump wood- burning stove gas fireplace pellet stove other Cher Floor Areas Date e t LC /d Print Name 7 Forms /6 •Iding Div ;o rBuildino permit application BUILDING PERMIT APPLICATION Print in ink CITY OFPORT 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.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 1 g 71V, 0.0 Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage ok Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Signatu ~e For City Use Only Date Received 2 -q- 0 Permit# 10- t1,°t Date Approved Zoning of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorize to apply for this permit and understand that it is my responsibility to determine t permits are required, and to obtain permits prior t orki g on projects. 7=161- /3sit-xeg Cu.rr 4-I 1 6 934, 3000 /t 3 tk. l 6 Am U t°�J•�c ei e (-c> 1344, etoSai eh t-olu d J�14...s^ Z, K A.M/ds i 2�© b4 w.e00 26�fss tee 130" iyo ',it 89" L± l 5co 1j 7Z January 6, 2010 Mr Paul Supple Atlantic Richfield Company 2010 Crow Canyon Place, Suite 150 San Ramon CA 94583 -1120 Dear Mr Supple: Re: Requirements for Reporting Environmental Conditions at Leaking Underground Storage Tank Contaminated Sites The Department of Ecology (Ecology) has received a report that petroleum contamination related to an underground storage tank (UST) system has been discovered at the following location. 807 South Lincoln Street, Port Angeles, Clallam County, Washington. The Ecology data base identification number is 67489663 The reporting of petroleum contamination from UST systems to Ecology is required by the Model Toxics Control Act cleanup regulation, Chapter 173 -340 Washington Administrative Code (WAC). The documents enclosed with this letter outline the remaining requirements with which you must comply in order to be in compliance with Chapter 173 -340 WAC. Enclosed are a copy of WAC 173 340 -450, Releases from Underground Storage Tanks, and a summary of reporting and sampling requirements for your use. This petroleum release will be recorded on the leaking underground storage tank database and the confirmed and suspected site list that are maintained by Ecology If you would like a formal review of the release information and/or technical assistance with the cleanup of -this release, Ecology has a fee -based service called the Voluntary Cleanup Program (VCP). Upon entering the VCP a site manager will be assigned by Ecology The ultimate goal of this review and assistance is a "No Further Action" letter that is issued through the VCP when the site meets applicable cleanup requirements. Information on the VCP and forms for applying are located at httn:// www. ecv. wa. aov /nroerams /tcn /vcnNcnmain.htm If the website is not accessible, please call (360) 407 -6240 and forms will be sent through the US Postal Service. Please direct all reports and questions about this site to me. I may be reached at (360) 407 -6263 The address is. Department of Ecology, P 0 Box 47775, Olympia, Washington 98504 -7775 Sincerely, Carol A. Johnston Southwest Regional Office Toxics Cleanup Program 6,k,A CAJ/ksc:ARCO 5719 Enclosures By certified mail. (7009 1410 0002 4420 0617) cc: Mr Markam Hurd, Delta Consultants, Ms. Terri Partch, City of Port Angeles Scott Johns, City of Port Angeles Connie Groven, Department of Ecology STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47775 Olympia, Washington 98504 -7775 (360) 407 -630( 56 7 ./o', JAN 13 2010 CITY OF PORT ANGELES Dept. of Community Development From David Carroll <dcarroll @barghausen.com> To 'Sroberds @cityofpa.us' <Sroberds @cityofpa.us> 'tpartch @cityofpa.us' <tp Date 1/13/2010 1051 AM Subject: Permit #09- 00001253 ARCO 807 S Lincoln Fuel Upgrades, BCE #3386 Attachments ARCO 5719 dispenser and line samplesJ17025 -1 Std_Tal_L2 Final Report.pdf S tockpile analytical ARCO 5719 J17025 -2 Std_TaI_L2 Final Report.pdf CC Markham Hurd <markhamhurdl @comcast.net> ESE service @esecorporation corn. Delta and I have called your office recently for clarification on the requirement to stop work until a SEPA Checklist is filed with the city as a result of supposed 'contamination' that was discovered during construction activities. This can all be verified by your inspector Roger Vess who was at the site Attached is the report and below is a note from the geologist who discovered that there is no residual hydrocarbons in the soils on site only in the stockpiles which will be removed away from the site to CEMEX in Everett and disposed of As a result of the requirement to file this report to the Washington State Department of Ecology BP -ARCO will be required to monitor this site in the future in accordance with DOE requirements You are welcome to contact us or the geologist at the numbers below for further explanation. David Carroll, Project Engineer I Barghausen Consulting Engineers, Inc. (425) 251 -6222 office I 18215 72nd Avenue South Kent, WA 98032 (206) 255 -4798 Mobile http. /www barghausen.com <http. /www barghausen com From. Markham Hurd <mailto markhamhurdl @comcast.net> To Michael Rosenau <mailto service @esecorporation com> Cc: 'Markham Hurd' <mailto markhamhurdl @comcast.net> 'Supple Paul V' <mailto paul.supple @bp com> Derek Tornow' <mailto.DTornow @deltaenv com> Sent: Wednesday January 06 2010 8:23 AM Subject: ARCO 5719 Port Angeles Soil Results Good morning Michael per your request this morning, I've attached the laboratory reports for the soil samples collected during the dispenser upgrades at ARCO 5719 in Port Angeles. The compliance samples collected from the line trenches and former dispenser locations were all non detect for petroleum hydrocarbons. One of the three compliance samples collected from the stockpile generated from soil removed from the line trenches and dispensers contained hydrocarbons above Washington Department of Ecology's MTCA Method A cleanup levels In accordance with Ecology regulations, this site was reported to Ecology on 12/29/09 Based on field screening and the soil samples collected along the line trenches and dispenser locations, there are no residual hydrocarbons remaining beneath the islands or lines. It appears that all of the hydrocarbons in this area were removed during initial excavation activities to expose and remove the lines and to remove the existing dispensers. The report summarizing the field activities and the laboratory results will be forwarded to Ecology upon completion. If you have any questions or if the City of Port Angeles has any questions, please contact me at 206 679 -8074 or Paul Supple with Atlantic Richfield Company at 925 275 -3801 Thanks! Markham Markham Hurd I Senior Geologist, R.G I North American Operations Delta Consultants, an Oranjewoud N V Company Direct +1 206 679 8074 I USA Toll Free 800 477 7411 Sue Roberds ARCO 807 S. Lincoln From Sue Roberds To David Carroll, Terri Partch Date 1/13/2010 11 55 AM Subject: ARCO 807 S. Lincoln CC: ESE, File, Markham Hurd, Mike Norrell, Scott A Listar; Terri Partch Dear David I did receive your phone call last evening, but it was after 5 and I did not return the call Thank you for the follow up e-mail If no hydrocarbons are observed on site except in the stock piles that will be removed to an approved disposal location (Everett), our Department, that performs environmental reviews for the City, has no issues with your continuing work on the site. It doesn't make any sense to do a SEPA at this stage Originally, we anticipated that that would be the course of action, but we have pretty much covered all of the aspects of a SEPA review at this time without going through the application Of course, if any further contamination is found, you will need to cease until appropriate measures are taken Please let me know if you have any questions with this information Sincerely, jue Roberds Planning Manager City of Port Angeles, WA (360) 417 -4750 sroberds@citvotha.us Page 1 of 1 file. //C \Documents and Settings \sroberds \Local Settings \Temp \XPgrpwise \4B4DB4A8D 1/13/2010 TestAmerica cc: Sarah Kennedy Mackie Manivong Derek Tornow Joannah Tornow THE LEADER IN ENVIRONMENTAL TESTING TestAmerica Laboratories, Inc. TestAmerica Tacoma 5755 8th Street East, Tacoma, WA 98424 Tel (253) 922 -2310 Fax (253) 922 -5047 www testamerical nc.cont ANALYTICAL REPORT Job Number 580- 17025 -1 Job Description ARCO 5719 For Delta Consultants 4006 148th Ave NE Redmond WA 98052 Attention Markham Hurd Curtis Armstrong Project Manager I curtis.armstrong @testamericainc. corn 12/30/2009 TestAmerica Tacoma is a part of TestAmerica Laboratories, Inc. Mp oted or. ,aamro Rolee Mon 1200.2009 BRA This report is issued solely for the use of the person or company to whom it is addressed. Any use, copying or disclosure other than by the intended recipient is unauthorized. If you have received this report in error please notify the sender immediately at 253 -922 -2310 and destroy this report immediately This report shall not be reproduced except in full, without prior express written approval by the laboratory The results relate only to the item(s) tested and the sample(s) as received by the laboratory The results included in this report have been reviewed for compliance with the laboratory QA/QC plan and meet all requirements of NELAC. All data have been found to be compliant with laboratory protocol, with the exception of any items noted in the case narrative. Page 1 of 50 12/30/2009 Comments No additional Receipt All samples were received in good condition within temperature requirements. GC /MS VOA Method(s) 8260B: 5035/82608 DSS The recovery of the surrogate spiking compound Ethylbenzene -d10 exceeded QC recovery limits in the analysis of sarrples 580- 17025 -5, 580- 17025 -8, and 580- 17025 -9 analyzed in analytical batch 580-56119. In addition, the recovery of the surrogate spiking compounds 4- Bromofuoroben zene exceeded QC lints in sample 580- 17025 -6. As all elevated recoveries indicated a potential high bias with no target analytes detected above the reporting limit, the deficient recoveries were flagged "X" on the appropriate forms and the data reported. The 47% recovery of the surrogate spiking compound Toluene -d8 fell below the 85 -115% QC recovery range in the analysis of sample 580-17025-3 in analytical batch 580- 56119. The sample was reanalyzed in analytical batch 580 -56181 again with deficient Toluene -d8 recovery (33 In addition, the recovery of the surrogate spiking compounds fluorobenzene and Ethylbenzene-d10 also fell below QC recovery limits in analytical batch 580-56181. Due to the better overall surrogate recoveries, the sample data has been reported from analytical batch 580-56119. No other analytical or quality issues were noted. Metals No analytical or quality issues were noted. General Chemistry No analytical or quality issues were noted. Job Narrative 580 17025 -1 Page 3 of 50 12/30/2009 TestAmerica cc: Sarah Kennedy Mackie Manivong Derek Tornow Joannah Tornow iniangenamisiiuteaaWralisiiii THE LEADER IN ENVIRONMENTAL TESTING ANALYTICAL REPORT Job Number 580 17025 -2 Job Description BP /ARCO Soil For Delta Consultants 4006 148th Ave NE Redmond WA 98052 Attention Markham Hurd Curtis Armstrong Project Manager I curtis.armstrong @testamericainc. corn 12/22/2009 App mod a® ekm*o Prolee Man PM TestAmerica Tacoma is a part of TestAmerica Laboratories, Inc. This report is issued solely for the use of the person or company to whom it is addressed. Any use, copying or disclosure other than by the intended recipient is unauthorized. If you have received this report in error please notify the sender immediately at 253 -922 -2310 and destroy this report immediately This report shall not be reproduced except in full, without prior express written approval by the laboratory The results relate only to the item(s) tested and the sample(s) as received by the laboratory The results included in this report have been reviewed for compliance with the laboratory QA/QC plan and meet all requirements of NELAC. All data have been found to be compliant with laboratory protocol, with the exception of any items noted in the case narrative. TestAmerica Laboratories, Inc. TestAmerica Tacoma 5755 8th Street East, Tacoma, WA 98424 Tel (253) 922 -2310 Fax (253) 922 -5047 www- testamericai nc.com Page 1 of 31 12/22/2009 Table of Contents Cover Title Page 1 Report Narrative 3 Method Summary 4 Sample Summary 5 Sample Datasheets 6 Data Qualifiers 19 Qc Reports 20 Client Chain of Custody 29 Sample Receipt Checklist 31 Page 2 of 31 12/22/2009 Comments No additional comments. Receipt All sanples were received in good condition within temperature requirements. GC /MS VOA Method(s) 8260B: 5035/8260B Due to the high level of both target and non target corrpounds,sanple 580- 17025 -9, the internal standard 1 4-Dichlorobenz ene-d4 was not recovered at a level that produced usable data. All analytes and surrogates associated with that internal standard have been set to not needed and will need to be analyzed and reported from the provided methandic extract. The target compound Toluene was detected above the calibration range in the analysis of sample 580- 17025 -9 in analytical batch 580 -55886 The compound has been set to not needed and was analyzed and reported from the provided methanolic sample container The 506% recovery of the surrogate spiking compound Toluene -d8 exceeded the QC recovery range of 85 -115% in the analysis of sample 580- 17025 -9 in analytical batch 580-55886. Ps the deficient recovery indicated a potential high bias and the target compound (8hylene Dibrorride) associated with the same internal standard was not detected above the reporting limit, the sample was not reanalyzed. No other analytical or quality issues were noted. Metals No analytical or quality issues were noted. General Chemistry No analytical or quality issues were noted. Job Narrative 580- 17025 -2 Page 3 of 31 12/22/2009 Application Number Application pin number Property Address. ASSESSOR PARCEL NUMBER Application type description Subdivision-Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation Application- desc- Gas pump replacment 4 circuits Owner .Cdttractdr BP COAST PRODUCTS LLC ESE CORP 6 CENTERPOINTE 11077 EAST LA PALMA CA 906231066 TACOMA WA 984462 (253) 535 3112 Permit ELECTRICAE COMMERCIAL Additional desc Permit pin 156646 Permit Fee 63 5 0 Plan Check Fee 00 Issue bate 12/30/09 Valuation. 0 Expiration Date 6/28710 Qty- Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRcuIT 57 50 3 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 6 00 Fee summary Charged Paid Credited -Dile PerMit Fee, Total 63 50 63 50 00 Plan Check Total 00 00 00 Grand Total 63 50 63 50 00 INSPECTION D-ITCH SIgnature of owner or Electrical Contractor X -ELECTRICAL PERMIT CITY OF PORT ANGELES 360,417,4735. ,-0 09 00 001189 Date 12/30/09 l 637572 807.-S •INCOLN ST e..... 06 30 -00 0 2 6928 0000 ON' ELECTRICAL ONLY 0.07 00 00 DATE RESULTS Chr Date INSPECTOR. SERVICE ROUGH IN FINAL- COMMENTS r CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001253 Date 12/16/09 Application pin number 516720 Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6928 0000 Application type description PW STORMWATER DISCHARGE PERMIT Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Replace gas dispencers and piping Owner Contractor BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA CA 906231066 Permit PW STORMWATER DISCHARGE PERMIT Additional desc REPLACE DISPENCERS PIPING Permit pin number 157537 Permit Fee 110 00 Plan Check Fee 00 Issue Date 12/16/09 Valuation 0 Expiration Date 6/14/10 Special Notes and Comments An inspection of required BMP s by Public Works Engineering prior to land disturbing activities 24 hour advance notice of the inspection is required call 417 4831 for inspection Any area of disturbed soil which is un worked for 48 hours must be covered If the amount of cut and fill exceeds more than 100 cubic yards the project will be stopped until a clearing and grading permit has been issued and a SEPA determination has been made If contaminated soils are discovered the project will be stopped until a SEPA determination has been made Fee summary T \Policies \1102.15 (10 /08] OWNER Qty Unit Charge Per 2 00 55 0000 HR PW INSPECTION Charged Paid Credited Due Permit Fee Total 110 00 110 00 00 00 Plan Check Total 00 00 00 00 Grand Total 110 00 110 00 00 00 Extension 110 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \I 102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360)417 -4735 Fax: (360) 417-4711 Date: 11/02/09 1 2 Single Family Dwelling Multi Family or Commercial* ,Multi-Family Addition Alteration I Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 807 S Lincoln Port Angeles WA 98362 Building Square Footage: Store 2700 SF no changes to structure Gas Canopy 1856 SF no changes to structure Description of above ARCO Gasoline dispenser Replace Only for retail fueling facility See attached scow of work for dispenser renlacement Owner Information Contractor Information Name: BP West Coast Products Name: ESE Corporation Mailing Address: 4 Centerpointe Drive Mailing Address: 11o11 Waller Road East City La Palma State: WA Zip: 90623 1028 City Tacoma State: WA Zip: 984462 Phone: (714)674 5400 Fax: Phone: (253) 535 3112Fax: (253) 535 3298 License Exp. License #1 Exp. &sitcc /b1 i16 ►'l I K t_ Unit Charae 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 1 3 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator Thermostat Total 635 Cash Check ,,0 Credit Card 6' �l: C v BCE #3386 was pORT of llkimilli Total (Qtv Multiplied by Unit Charge) Service /Feeder 200 Amp. LZ 7 Lib Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 3386.004.pdf.doc pOR1 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000936 Date 8/10/07 Application pin number 361104 Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6928 0000 Tenant nbr name KANE INVIRONMENTAL INC Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA CA 906231066 T•\Policies \1102.1512 [1/05] OWNER Permit RIGHT OF WAY Additional desc MONT WELL SE INT 8TH LINCOLN Permit pin number 108761 Permit Fee 70 00 Plan Check Fee 00 Issue Date 8/10/07 Valuation 0 Expiration Date 2/06/08 Qty Unit Charge Per Extension BASE FEE 70 00 Fee summary Charged Paid Credited Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R 1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Owner Contractor BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA CA 906231066 Qty Unit Charge Per 1 00 61 3000 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 Application Number 05 00001271 Date 1/09/06 Application pin number 325668 Property Address 807 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6928 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 OWNER Permit ELECTRICAL ALTER COMMERCIAL Additional desc TRI M/ TANK MONITOR Permit pin number 67793 Sub Contractor TRI M ELECTRIC Permit Fee 61 30 Plan Check Fee 00 Issue Date 1/09/06 Valuation 0 Expiration Date 7/08/06 Fee summary Charged Paid Credited Due Permit Fee Total 61 30 61 30 00 00 Plan Check Total 00 00 00 00 Grand Total 61 30 61 30 00 00 Extension 61 30 1 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD A CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO DITCH 112.7 q- o 5 1 ROUGH -IN COVER 3 0 SERVICE 1 FINAL I -/9 0(p' I ..JI I I I I I I I 1 COMMENTS PW -I IO2.is I4,961 %gni Job wired by Electrical Contractor Owner Electrical contractor name <I— a�I it) Purchaser's mai —it address PO x Mit City State ZIP ,i 10 Z Telephone number FAX number _q z 116• oz /zf i, Prenpises owner's name City 0 Address of inspection Inspection Date /a a3 -mss Date FINAL /Da 06 LA2/07 4 Phone umber to schedule inspection. 13 i-+&" 15 Owner as defined by RCW 19 28.261 (I) 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical instal- 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. /Signature oft t•r elect al X Date /Z. /ZZ ;:9or Electrical L ad Additio s and or subtractions 4V0 LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW ntractor or electrical administrator "Approved By Approved By License number Date Expires Overhead Service Temp Service Underground Service Expiration Date of card SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH IN THERMOSTAT SERVICE r Date Appr ed By DITCH Date S a T� Approved By Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION, /Installation description Commercial Residential New Altered/Addition INATAL b.' A Ado MoN i rod 0+Y Cash Check Credit Card Visa Mastercard Discover Card Date Date Voltage Phase 1 3 Service Size: Feeder Size: Appr ved By FEEDER Action Taken Inspection fee 67 L30 I Service Information Appr ed By Electrical Inspector Saadi Spiers From: Sent: To: Subject: Linda Pangrle {Lpangrle@cityofpa.us] Thursday, May 10,20074.21 PM Saadi Spiers Re: Request for Cancellation of Permit; ARGO ampm Fae No 5719; 807 Uncoln, Port Angeles, WA; BCE # Hi Saadi, My supervisor is requesting a signed copy of your email. Please sign it and fax it to me at 3613-417-4711. Thanks. Linda Pangrle, Permit Tech City of Port Angeles 3613-417-4815 >>> "Saadi Spiersu <sspiersjbarghausen.com> 5/113/213137 3:133 PM >>> Hello Linda, I am sending you this email based on our conversation about cancelling the above referenced permit. Please see that Permit No. 064213, and associated permits for this site, are noted and Filed, as cancelled by request of the applicant, Barghausen Consulting Engineers Inc., on behalf of BP West Coast Products, LLC. We give you permission to shred the plans. Thank you for the review, approval, and extension of these permits. Due to circumstances beyond our Client's control, this project will not be executed at this time. We understand that the plan review fees are non-refundable. Please do not hesitate to call if you need any further information. Respectfully, ( /1 I ~ f > ,- < :\< , / ......_~_~__~~,-.,Jrv#Vi'v_rvlVfVN^".......,,..., "<< Saadi G. Spiers Engineering Assistant 1 Barghausen Consulting Engineers, Inc. (425) 656-7485 (2136) 841-13796 www.barRhausen.colII <http://www.barRhausen.com/> ~NN~NN~NNNNN~N~NN~NN~ 2 ~a.HA(j~ lIJ~ ,~ CIVIL ENGINEERING, LAND PLANNING, SURVEYING, ENVIRONMENTAL SERVICES l6 ii1t~ cj ~ ' ~ \S'(. f?' <), ~~ I"vG ENG\~~ November 30,2006 FEDERAL EXPRESS David Yasumura, Permit Technician CIty of Port Angeles Building Department 321 East 5th Street Port Angeles, W A 98362 RE' Building Permit Plan Review Extensions Interior Renovation I Exterior Upgrades ARCO AM/PM Facility 8075 South Lincoln, Port Angeles, Washington ARCO FAC No. 5719 I Our Job No. 3386 Dear David: On behalf of BP/Global Alliance; Barghausen Consulting Engmeers, Inc., is requesting an additional 180 days for plan approval due to circumstances beyond oUf control. The Building Permit will expire December 26,2006. The new date of expiration will be June 26,2007. Should you have questions or need additional information, please contact me at (425) 656-7485. Thank you. Respectfull y , ~:G.~ Engineering Assistant SGS/ath 3386c.008.doc enc' As Noted cc: Mark Murgash, BP West Coast Products, LLC Brian Wall, BP West Coast Products, LLC Tom Noble, BP Global Alliance, LLC Jay S. Grubb, Barghausen Consulting Engineers, Inc. Bruce K. Creager, Barghausen Consulting Engineers, Inc. Daniel B. Goalwin, Barghausen Consultmg Engineers, Inc. J. David Carroll, Barghausen Consulting Engineers, Inc. 18215 72ND AVENUE SOUTH KENT, WA 98032 (425) 251-6222 (425) 251-8782 FAX BRANCH OFFICES . OLYMPIA, WA . TACOMA, WA . SACRAMENTO, CA . TEMECULA, CA www barghausen com Clallam County Department of Health and Human Services Environmental Health Services + 223 East 4th Street, Suite #14 + Port Angeles, WA 98362-3015 Tele. 360-417-2258 + FAX: 360-417-2313 [ffi ~~IE~WrE ~ ~ IJULHml ~ CITY OF PORT ANGELES Dept. of Community Development July 11, 2006 Berghausen Consulting Engmeers Ms. Saadi Spiers 18215 nnd Avenue S Kent, W A 98032 RE: ARCO AMlPM FacIlIty #5719/Job # 3386.75 Dear Ms. SpIers: I have reviewed your plan and applIcatIOn for the change m serVIce for mtenor renovatlon at the ARCO AMIPM, located at 807 S Lincoln Street in Port Angeles, W A. Clallam County ReceIpt No. 60502 for the $60.00 Change in ServIce Plan ReVIew fee IS enclosed. Please note that the reqUIrements lIsted below, as well as all other applIcable reqUIrements stated m Washington Admimstratlve Code (W AC) Chapter 246-215, must be satIsfied before C1allam County Environmental Health can approve the changes to ARCO AM/PM Food ServIce OperatIOn PermIt #3142. 1. The new countertop convectIOn oven, model HSM-6, may be used WIthout mechamcal ventilation under the followmg condltlons a) There may be no more than one unventllated model HSM-6 ovens m a food establishment. b) The oven may not be used WIth the mternal steam feature. c) The oven is only used to bake bread and cookies and heat hot dogs and precooked frozen hamburgers and entrees deSIgned to be heated m theIr sealed packagmg. Bread IS lImIted to loaves, rolls, and crOIssants that have no other mgredlents than flour, sprouted grams, butter, marganne, lard, vegetable oil, sugar, yeast, salt, sprces, water, appropnate food addItIVes, (ennchment, dough condltlons, leavemng agents, etc.), and eggs. d) The oven must be mstalled, mamtamed, operated, and serVIced according to the speCIfications of the manufacturer and local codes. e) The oven must be mstalled m an approved food preparatlon area WIth sufficient room ventllatIOn to mamtam acceptable working condltlons. (condltlons established by Bruce Morden of CalIfornIa Department of Health Services in hIS December 31, 2002 letter to Berghausen Consultmg Engineers, and verbally by Jim LIerly, BUIldmg Inspector for the CIty of Port Angeles) 2. At the ware washing, 3 compartment smk, wall mounted or other-approved dram shelving must be available for air drymg of eqUIpment and utensils. 3. Ensure that equipment such as drammg refrIgeratIOn, and Ice machmes are all mdlrectly drained. -..,~, ]; <'i' < > "it ~ ~ ~ ~~ ~t ~ ~ ~ ~ V\ ~ 4. All refrigeration umts must have an accurate thermometer, and accurate, NSF 00_ 2200F metal stem thermometers must be aVaIlable at all tImes to mom tor the temperature of any potentIally hazardous foods. 5. All food w~rkers must have current food worker's cards. 1 '. !. f . ': -~: I~ \ "" . 6. All eqtiiprh~nt must be of commercIal qualIty, NSF approved or equivalent and all surfaces must be smooth, non-absorbent, and easIly cleanable. . .If you ,have any guestions or If I can be of any further assIstance, you may contact me at (360) 417-2418. () RobI unroe EnvIronmental Health Specialist enc receipt # 60502 cc. Andy Brastad, Environmental Health Director Mark Murgash, BP West Coast Products, LLC Kelly Sandhu - JSV Interpnces ~ Llerly, BUilding Inspector - City of Port Angeles correspondence file food file "~J....~ ' , , PREPARED 6/26/06, 16: 44: 21 ~hA.usen CITY OF PORT ANGELES ~-~- pM PAYMENTS DUE PROGRl o ()'> ( .-C ~ APPLICATION NUMBER: 06-00000420 807 S LINCOLN ST FEE DESCRIPTION AMOUNT DUE MECHANICAL PERMIT PLUMBING PERMIT BUILDING PERMIT - COMMERCIAL PUBLIC WORKS INSPECTION TOTAL DUE 67.90 99.00 845.25 47.00 1059.15 Please present this receipt to the cashier with full payment. dJ o -J rJn;kdt/lftt ~ ~(J;" ~~~ ~ q~ ~?~ ~X /J --- ~ J" A~ ~.y ~ ~ <P O~ ~ CfA <?\' .s'X L9? 9t:- ..p Y ~ oJ C? \l)A ~ \?" ~ ~- ~I 9' ~ ~ ~~ c'~ b' ~/ ~\ 1 V\A ~ ? 3 \' ~ lJ) r: - :5 8 ---- s v1 1" " Applicant or Agent: BP WEST COAST PRODUCTS, LLC Owner: BP WEST COAST PRODUCTS, LLC Address P.O. Box 5015 City: Buena Park, CA Archltect/Engmeer. Barghausen Consulting Engineers, Inc. Phone: (714) 670-5400 Phone: (714) 670-5400 Z. 90622-5015 IP: Phone: (425) 251-6222 FOR OFFICIAL USE ~ ate Rec 8 /~ ermlt#~ Da APp~:ved~ ate Issued BUILDING PERMIT - APPLICATION Fill out COMPLETEL Y 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 Contractor TBD State License #: Exp: Phone: Address: PROJECT ADDRESS: 807 S. Lincoln LEGAL DESCRIPTION: Lot. CLALLAM COUNTY PARCEL NUMBER: City: Zip: ZONING: Block: Subdivision: Credit Card Holder Name: Bllltng Address: Credit Card Type VISA _ MC _ # TYPE OF WORK: SIZE/v ALUATION: D ReSIdentIal D New Constr. D Re-roof D Stove SF. @ $ /SF. = $ ~Multl-famlly D AddItion D MoveD Garage SF. @ $ /SF = $ VI Commercial t/ Remodel D DemolitIOn D Deck SF @ $ /SF. = $ D RepaIr D Sign D Other TOTAL VALUATION $ 75,000.00 BRIEF DESCRIPTION OF THE PROJECT: Fuel dispenser upgrades (see attached for full description) COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Total lot coverage EXIsting Sq. Ft. Occupant Load. & Proposed Sq. Ft. ConstructIOn Type: = TOTAL Sq Ft % PLANNING USE ONLY: APPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER: ESA/Wetland(s): DYes D No SEPA Checklist reqUired? DYes D No Other V ALUATlON OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be reVised by the BUilding DIvIsIOn to comply With current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the bUilding permit application and construction plans are submitted. All other permit fees are due at the time of permit Issuance. EXPIRATION OF PLAN REVIEW: Ifno 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 appltcant up to 180 days upon written request by the applicant (see Section R I 05.3.2 of the InternatIOnal Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and exammed 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. Applicant ~ J I ~~ Date May 24, 2006 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you bave any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Appli"nt 0' Agent'~~f.IJ:Iinq E~ i ,lfU'SPhone, {moS)2. OS 1-(,;a.'1 "2- Owner:.BP V'Jest1:k5L~~~ Phone:(;JJ!fjl270-5t./t>O Address: p. 0, B () X 50 IS City: B ue~ PO/rk.. I ~ Zip: q tJftR2.. 7- Architect/Engineer-Bryha..u5e11 (OhSlAlh'!:J Ff19illeeYS Phone: &26j2-51-lI2-?..2 Contractor State License #: Exp: Phone: Zip: Address: PROJECT ADDRESS: ~01 LEGAL DESCRIPTION: Lot: (Q-q City: S Ot.l+h LiflLol n Block: . ~q O<.oYJDOO 2cDQ 2 r;;OOOO ZONING: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: BlIhng Address: CredIt Card Type VISA _MC_# TYPE OF WORK: SIZE/VALUATION: D ReSidential D New Constr. D Re-roof D Stove SF. @ $ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ D Commercial 'fil" Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D SIgn D Other TOT AL V ALVA nON $ 19,000 _ BRIEF DESCRIPTION OF THE PROJECT: 'Metl!)r QMocl@.\ I l\p}.NHoo(S, t'\e,W +;r'\\.skeS, n~vJ t1bln.t..fs, rYli IlO1' -p\ I.lml:H~. Minot' h\e.dttlln ,', oj COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones: Lot Size: Existing Sq. Fl. 2,(0' f6 Total lot coverage % Occupant Load: Construction Type: & Proposed Sq. Ft. '2 f.f ,~ = TOTAL Sq. Ft. PLANNING USE ONLY: APPROV ALS: PLAN: BLDG: DPWU: ESA/Wetland(s). DYes D No SEPA Checkhst reqUIred? DYes D No Other. FIRE: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. ThIs figure WIll be reVIewed and may be revised by the BUlldmg DIvISIon to comply WIth current fee schedules. Contact the PermIt Coordmator at417-4815 for assIstance. PLAN CHECK FEE IF a plan check fee IS due it must be submitted at the time the bUlldmg permIt application and construcllon plans are submitted All other permIt fees are due althe lime ofpermrtlssuance. EXPIRATION OF PLAN REVIEW: Ifno permIt IS Issued wlthm 180 days of the date ofapphcatlon, the application will expire. The BUlldmg OfficIal can extend the time for actIOn by the applicant up to 180 days upon written request by the applicant (see SectIOn R I 05 3 2 of the Intemaltonal BuildIng/ResIdential Code, 2003). No applicalton can be extended more than once. I hereby cerMy that I have read and examined this application and know the same to be true and correct. I am authonzed to apply for this permit and understand that It is my responsibi to determine what permits are required ,not the City's, and that I must obtain such permits prior to work A pp hean Date 57Z.1~ t , ~ 2006/MAY/26/FRI 01:42 PM CITY OF PA BLDG DEPT FAX No, 360 417 4711 P. 002 ._-.~. ..--- .... --. -... -. .-.-....-- -- ----.-.. ~..-._-_._...._---. .~ PREPARED 5/26/06, 14:12:06 - . -- -G-I-T-*--GF. -PORT -Al':JGEI:.ES- - -- .. -,., - . - ... _ _.. __ .. _ _ PAYMENTS DUE RECEIPT - - - -PRGGRAM .BP820L ---------~----------------------------------------------------------------- APPLICATION NUMB~R: 06-00000420 807 S LINCOLN ST FEE DESCRIPTION AMOUNT DUE -------------------------------------------------~------------------------- PLAN CHECK FEES TOTAL DUE 549.41 549.41 Please present this receipt to the cashier with full payment. " . . ." -' I: . "., . ~ t . ......, -------- ------ - ------- -- , , ,.. . '. . 2006/MAYI26/FRI 01:42 PM CITY OF PA BLDG DEPT FAX No. 360 417 4711 P. 001 F..ILE ~.. . - - - - - - --- - - - - - . - ~ -. . -~ -.. - . - -- - 0.....'.'..., ;: ... I- ,. Hl~ORTANGELES "Clrv' b F WAS H I N G TON, U. S. A. FAX TRANSMITTAL Department of Community Development . Building Division' . . 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360)417-4815 FAX: (360)417-4711 TO: A I B:>clvt I 1'1 I~UCJ FROM: D~d Yt{~mLtr?LJ Company: ~"'t1hau~ Fax: 4- ~- "2.'31 .- f;18Z Number of pages; Z (incLuding transmittal page) A-rr~ t~ Ttte- _p~ C~ reo> J F~~ . tv1AIcB atedL p~~Le To C-IT7 ~r- ?~YZ1 h\4Ett5; T~k 'iov. ~ .... ~(?t4AV~ IJJ~< ~ '\ CIVIL ENGINEERING, LAND PLANNING, SURVEYING, ENVIRONMENTAL SERVICES May 26, 2006 FEDERAL EXPRESS David Yasumura, Permit Technician City of Port Angeles Building Department 321 East 5th Street Port Angeles, W A 98362 RE: Building Permit for Forecourt Upgrade Application No. 06-00000420 ARCO AMlPM Facility 8075 South Lincoln, Port Angeles, Washington ARCO FAC No. 5719/ Our Job No. 3386 Dear David: On behalf of BP west Coast Products, LLC, Barghausen Consulting Engineers, Inc., is submitting documents for review and approval of a Building Permit for the fueling equipment upgrades at the ARCO facility referenced above. The upgrades include the following: A. Install six (6) new under dispenser containment sumps and related equipment. B. Extend double-wall fiberglass product lines to new dispensers. C. Abandon & cap existing 91-octane product piping underground and in turbine sump. Convert 91 tank to 87. Convert 89 tank to 91. D. Cap and abandon Stage II Vapor Recovery fiberglass piping underground and in turbine sumps. E. Install new monitoring dispenser sump sensors. F. Install new/modify existing fueling system related electrical conductor/conduit/panels, etc. G. Construct six (6) new fuel islands. H. Reinstall fueling canopy drive slab as required in areas removed. Match eXIstmg site conditions. Install new asphalt paving as necessary to replace paving removed due to construction. 1. Install six (6) new Wayne V580 dispensers and equipment. Enclosed are the following items: 1. Three (3) sets of plans 2. One (1) Building Permit Application 3. Two (2) sets of equipment cut sheets 4. One (1) Barghausen Consulting Engineers, Inc. check in the amount of $549.41 made payable to the City of Port Angeles 5. One (1) City of Port Angeles Plan Check Fee sheet dated May 26, 2006 for Application No. 06-00000420 18215 72ND AVENUE SOUTH KENT, WA 98032 (425) 251-6222 (425) 251-8782 FAX BRANCH OFFICES . OLYMPIA, WA . TEMECULA, CA . RANCHO CORDOVA, CA www barghausen com ~ . David Yasumura, Permit Technician City of Port Angeles Building Department -2- May 26, 2006 Should you have questions or need additional information, please contact me at (425) 251-6222. Thank you. Respectfull y, '~ --- ~ L--~ M. Alexia Inigues Project Planner MAI/vj 3386c.007 .doc enc: As Noted cc: Ken Dubuc, Port Angeles Fire Department Roger Vess, Port Angeles Engineering Public Works Department Michael Hager, BP West Coast Products, LLC Brian Wall, BP Global Alliance Jay S. Grubb, Barghausen Consulting Engineers, Inc. Daniel B. Goalwin, Barghausen Consulting Engineers, Inc. J. David Carroll, Barghausen Consulting Engineers, Inc. Stephen H. Kirk, Barghausen Consulting Engineers, Inc. ~6HA.V~ fIJ~ '-~ CIVIL ENGINEERING, LAND PLANNING, SURVEYING, ENVIRONMENTAL SERVICES May 24, 2006 FEDERAL EXPRESS (360) 417-4815 ('I . cj ~ ' ~ Il'c. (?' (,., ~~ ''vG E:NG\~~ David Yasumura, Permit Technician City of Port Angeles Building Department 321 East 5th Street Port Angeles, W A 98362 RE: Building Permit Plan Review Interior Renovation ARCO AM/PM Facility 807.~ South Lincoln, Port Angeles, Washington ARCO FAC No. 5719/ Our Job No. 3386.75 Dear David: On behalf of BP/Global Alliance, Barghausen Consulting Engineers, Inc., is submitting documents for review and approval for a combination Commercial Building Permit for tenant improvement work at the existing gasoline station/convenience store. The scope of work consists primarily of renovation of the sales counter, food service counter, ADA improvements, updating of food service equipment, new floor and wall finishes, and various other items. Plans have been submitted for concurrent Health Department review. The renovation work has been estimated at $50,000 (not including movable furnishings and equipment). Enclosed are the following items: 1. Three sets of plans 2. Permit application for tenant improvement/mechanical/plumbing The work is relatively straightforward. There are no changes to the existing occupancy, construction type, exiting, or structural elements. Additional plan review and permit fees for the mechanical and plumbing will be paid at the time of permit issuance if required by jurisdiction. Should you have questions or need additional information, please contact me directly at (425) 656-7485. Thank you. Respectfull y , ~G.~ Saadi G. Spiers Engineering Assistant SGS/ath 3386c.005.doc enc: As Noted cc: Brian Wall, BP West Coast Products, LLC Greg Herrenbruck, BP Global Alliance, LLC Jay S. Grubb, Barghausen Consulting Engineers, Inc. Bruce K. Creager, Barghausen Consulting Engineers, Inc. Daniel B. Goalwin, Barghausen Consulting Engineers, Inc. J. David Carroll, Barghausen Consulting Engineers, Inc. 18215 72ND AVENUE SOUTH KENT, WA 98032 (425) 251-6222 (425) 251-8782 FAX BRANCH OFFICES . OLYMPIA, WA . TEMECULA, CA . RANCHO CORDOVA, CA www barghausen com TRANSACTION REPORT 2006/MAY/24/WED 11:14 P.01/01 RECEIVER 842525187824243789 T,~PE/NOTE OK FILE SG3 7971 -, .----- I 1 i I F,-- '0'- 'RT~' N' ~G( - B.LE'S' : I ~_ ~ .! t \ \. ; I .. _ . ..__ _ __ , H H _ _ _. ~ . _ M__. _ _..... N . WAS H I N G TON, U. S. A. - :FAX-T-RANSMITl'AL- _Q~J:la.rtf!l.~l1tot Qqm_m9nity 'p~_\(~IOPIT!~'lt. _.. Building Division 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360)417-4815 FAX: (360)417-4711 TO: AlexlA 1 V\1~lAes - Company: ~r J1t:i'.ti~~ Fax: 4~"?;'...e76~ Number of pages: '1.. li~~~~~~~~_~~~n~~~t!~~_pa~~~ FROM: PAVI I'tt~Vt)\lJr~ - pt~?c: Ft{{ lV\ +ke. X ttVUtc; c\ 7~ peY/YlI+ wjol - 1 ~v, ~~ Act" .J~M~~~ ~v -l-tt~\V lY\pu...J... A.fter 1: ~e+.../1.t.e-s- t w,lf utl Y/)IA. wrfl1 f?- 4tit ~f.J1,..~ ?e~"""~-J.. {)ff 1 i~ FORTANGELES WAS H I N G TON, U. S. A. FAX TRANSMITTAL Department of Community Development Building Division 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360)417-4815 FAX: (360)417-4711 TO: Ate-Xl&\. 1 VlI(1ues Company: ~V' 11t-\t-{e;~ Fax: 4-z.1;. ?;, or e1e>'2. Number of pages: 'Z- (including transmittal page) FROM: PAVI I'tt~"'t)\Vr-tL pt~~~ Fd{ lV\ #e. >< t\V~C; ~ 7'1r pev-mt+ wjd 1 ~vt (;M~ ~~t'" Jer^v..f~~--k ~v -f1.t~\V lV\fv...J. r ~fkr "1 ~~ ~~ t wd{ un Yf),^ wrll1 ~ 4c;t e>f ft...L ?~"'I?'\-\..J.. FORTANGELES WAS H I N G TON, U. S. A. FAX TRANSMITTAL Department of Community Development Building Division 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360)417-4815 FAX: (360)417-4711 TO: AU 8>(1Vt. I I1I~Ue-j FROM: DvWld 'It{~mLlnu Company: ~rr8htut~ Fax: 427..1-rjl- ~78Z Number of pages: Z (including transmittal page) ~T1?A\C-t"eo ('7 Tfte; pLAN C~ ~J ~l~~ Mp,tc(:::, atedL p~~Le To C-fT7 ~f PtJ~1 k\Ct>t{C$ -r~K YOt-i ~-----~ o ~ ~ ~ Date: 5/23/06 Roger Vess Al Oman wa (f-/ n~ frlY." K ~ DtIl8vc p..,9.t:r V"J A-t ~h..ANt /"' ~ORTANGELES VV ASH I N G TON, U. S. A. COMMUNITY & ECONOMIC DEVELOPMENT DEPARTMENT Re: ARea AM/PM FUEL DISPENSING UPGRADE Is there special fees for this work? Thanks Dave o ~ ~ ~ Date: 5/23/06 iN I~Hvj,'1J fo v {C u, \ Q.e_Ji'''tT}V(l.-L-- ~ORT ANGELES "W ASH I N G TON, U. S. A. COMMUNITY & ECONOMIC DEVELOPMENT DEPARTMENT Ken Dubuc Re: ARca AM/PM FUEL DISPENSING UPGRADE Could you tell me what fees i should be charging for your work? Thanks Dave 05/23/2008 14 38 FAX 425 251 8782 BARGHAUSEN ENGINEERS 111001/001 ~a.KA.(' .&-~ ~~-. ; ~ r.i .". ~ "c. \ .~ ~'" , ~i-~ l\r~ 11M"'" CIVIl. ENGINEE~ING. LAND PLANNING, SURVEYING, ENVIRONMi:NTAI. SERVICES DATE: TOTAL PAGES (including cover sheet): May 23, 2006 1 FACSIMILE: (360) 417-4711 TO: Dave Yasumura FROM: RE: City of Port An~e1es Building Division Alexia Inigues ARCO AMlPM fuel dispenser upgrades JOB NO: 3386.75 MESSAGE: What are the permitting requtremetns based on the following scope of work? A.) INSTALL (4) NEW UNDER DISPENSER CONTAINMENT SUMPS AND RELATED EQUIPMENT. B.) EXTEND DOUBLE-WALL FffiERGLASS PRODUCT LINES TO NEW DISPENSERS. C) CAP AND ABANDON EXISTING 89 OCTANE PRODUCT PIPING LINE UNDERGROUND AND IN TURBINE SUMP. CONVERT 89 TANK TO 87. D.) ABANDON & CAP STAGE II VAPOR RECOVERY FffiERGLASS PlPING UNDERGROUND AND IN EACH TURBINE SUMP. E.) INSTALL NEW MONITORING DISPENSER SUMP SENSORS. F.) INSTALL NEW/MODlFY EXISTING FUELING SYSTEM RELATED ELECTRICAL CONDUCTORlCONDUITIP ANELS. ETC. G.) CONSTRUCT (4) NEW FUEL ISLANDS. H.) REINSTALL FUELING CANOPY DRIVE SLAB AS REQUIRED IN AREAS REMOVED. MATCH EXIsTING SITE CONDITIONS. INSTALL NEW ASPHALT PAVING AS NECESSARY TO REPLACE PAVING REMOVED DUE TO CONSTRUCTION. I.) INSTALL (4) NEW WAYNE V580 DISPENSERS AND EQUIPMENT. Please call me at (425) 656-7430 or fax (425) 251-8782 to discuss the permitting requiremems. Thank you. . cc: Fax No: Fax No: Please call (425) 251.6222 if you do not receive the Indicated number of pages. 182'5 72NOAvENUE SOUTH KENT, WA 98032 (425) 25'-6222 (425) 251-8782 FAX BRANCH OFFICES OLYMPIA, WA WALNUT C~EEK, CA Fax Cover Sheet. doc o ~ ~ ~ Date: 5/23/06 ~ORT ANGELES WAS H I N G TON, U. S. A. COMMUNITY & ECONOMIC DEVELOPMENT DEPARTMENT Roger Vess Al Oman 100- Re: AReO AM/PM FUEL DISPENSING UPGRADE Is there special fees for this work? Thanks Dave V::I/Ld/LVVb ''I dtl rlll\ 'IL::I L::II tl (tlL 4U2~J g1'3~ tillKbHIIU0tN tNblNttK~ ~OOl/001 a.\"\A.(" ~~~ (.s-~ .lQ- "t- o _ r> Ii ~ ~ ltc. \ .~ <", > ~"'~ "'c: lfNG'" CIVIL. ENGINEERING, LAND PLANNING. SURVEYING, ENVIFlON~ENTAl. SERVICES DATE: TOTAL PAGES (including oover sheet): May 23, 2006 1 FACSIMILE: (360) 417-4711 TO: Dave Yasumura FROM: RE: City of Port Angeles Building Division Alexia Inigues ARCO AMlPM fuel dispenser upgrades JOB NO: 3386.75 ~/5 trrlJ - ( MESSAGE: What are the pcrmiuing requiremetns based on the following scope of work? A.) INSTALL (4) NEW UNDER DISPENSER CONTAINMENT SUMPS A.ND RELATED EQUIPMENT. B.) EXTEND DOUBLE-WALL FffiERGLASS PRODUCT LINES TO NEW DISPENSERS. C.) CAP AND ABANDON EXISTING 89 OCTANE PRODUCT PIPING LINE UNDERGROUND AND IN TURBINE SUMP, CONVERT 89 TANK TO 87. D.) ABA.NDON & CAP STAGE II VAPOR RECOVERY FmERGLASS PlPING UNDERGROUND AND IN EACH TURBINE SUMP. E.) INSTALL NEW MONITORING DISPENSER SUMP SENSORS. F.) INSTALL NEW/MODIFY EXISTING FUELING SYSTEM RELATED ELECTRICAL CONDUCTORlCONDUlTIP ANELS, ETe. G.) CONSTRUCT (4) NEW FUEL ISLANDS. H.) REINSTALL FUELING CANOPY DRIVE SLAB AS REQUIRED IN AREAS REMOVED. MATCH EXISTING SITE CONDITIONS. INSTAlL NEW ASPHALT PAVING AS NECESSARY TO REPLACE PAVING REMOVED DUE TO CONSTRUCTION. 1) INSTALL (4) NEW WAYNE V580 DISPENSERS AND EQUIPMENT. Please call me at (425) 656-7430 or fax (425) 251-8782 to discuss the permitting requiremenls. Thank you. cc: Fax No: Fax No: Please call (425) 251-6222 if you do not receive the Indicsted number of psges. 182'5 72ND AVENUE SOUTH KENT, WA 98032 (425) 25'-6222 (425) 251-8782 FAX BRANOH OFFices OLYMPIA, WA WALNUT CI1EEK, CA Fax Cover Sheel.dOC BP West Coast Products, LLC 4 Centerpolnte Drive LaPalma, CA 90623-1066 April 27, 2006 To Whom It May Concern: BP West Coast Products, LLC hereby authorizes Barghausen Consulting Engineers, Inc., to act on our behalf for the purpose of processing all land use entitlement and development permit related documents where BP is the legal property owner of record of ARCa and am/pm branded facilities in any district within the State of California, Oregon and Washington. Work may also include representation at entitlement hearings or planning meetings for design review and similar services. A BP representative from the Asset Management group shall accompany the company's agent for any entitlement action. The authorization is valid until December 31, 2006 Please call me at 866~421-3636 should you have any questions on this matter Respectfully, -- .-- 1 '--' .' / /. . -7 ____, k-t/.. / ( Mark Murgash BP Project'Manager /.~ /-1 <...----/' .;',' {.r../ L// ~i~ c~<-- MrQlu_ 'I ~....~~ O,~p - ,~ BP West Coast Products, llC 4 Centerpointe Drive laPalma, CA 906~ 1056 April 27, 2006 To Whom It May Concern: BP West Coast Products, LLC hereby authorizes ~arghausen Consulting Engineers, Inc., to act on our behalf for the purpose of processing all land use entitlement and development permit related documents where BP is the legal property owner of record of ARCO and am/pm branded facilities in any district within the State of California, Oregon and Washington. Work may also include representation at entitlement hearings or planning meetings for design review and similar services. A BP representative from the Asset Management group shall accompany the company's agent for any entitlement action. The authorization is valid until December 31, 2006. Please call me at 866-421-3636 should you have any questions on this matter. Respectfully, ~ L_~~ Mark Murgash BP Project Manager ~~~~ Ywft' . ..~~_~ ELECTRICAL WORK PERMIT APPLICATION ~ " Installatton descriptton '" Job wired by D Electrical Contractor DOwner e51 Commercial a Residential Electrical contractor name I BD License number Date Expires .a- Altered! Addition aNew Purchaser's mailing address ReIOCtt'h~ n ~ ins~OY1 0+ City State ZIP Jig ~l:H~ W +vo d. Sevv t'V6 Telephone number FAX number ~lAirrfl~ ' Premises owner's name 6P West (PfJ..S+rpro~, LU , Address of inspection ~ '-in erA n 001. SOU Clty~O(+ An~t'{-e5 Phone number to schedule inspection: Owner as defined by RCW.J9 28.26/ .(/) Owner WIll occupy Ihe structure for two years after thiS eJeclrrcaJ pemlitls finalized. (2) Owner is required to hire an electrical contractor if above saId property IS for sole, rent or lease. D Cash D Check # 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 maklOg the electrical instal- D Credit Card VISa Mastercard Discover lation or alteratron In compliance with the electTlcal laws, N.E.C., RCW. Chapter 19.28, WAC Chapter 296-468, The CIty of Port Angeles Municipal Code, and Card # - - - Utility Specifications ---------------- Signature of owner, electrical contractor or electrical administrator ........ Expiration Date ,X Date: of card (SDSpection fee ~ Electrical Load Additions and or subtractions a NO LOAD CHANGES a Baseboard KW a Furnace KW a Heat Pump _ Ton _ LAR a Fan-Wall KW Service Information a Overhead SeNlce a Temp Service a Underground Service Voltage Phase a 1 a 3 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH.,JN THERMOSTAT Approved By SERVICE Dale Appnwc\.l By DaJe Dale Approved By FINAL DITCH FEEDER D.ale Approved By Dole Approved By Dale Approved By Inspection Area, BUlldmg or EqUipment Inspected ActJOn Taken Electrical Dale Inspector 0' ,-". "1'\...- ~~-'J-~t.s(' iI'" ,_"I"t,\~H,",.t,"/~J ...... ..~f) 'Iw..!!.,) '\ ~~\ i~ ~ _--- ,,'! \ !,,,_ "iE._._"" :Ii,/ \~ ~ "'~y BUILDING PERMIT - APPLICATION FOR OFFJClAL USE ONLY Date Rec Pernm *' Fill om 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 Dale ApplDved Dare Issued ~ Apphcan1 01 Agent )t. Owner. l(. Address ~ CIty )(. Archltect/Engmeer: 1- Contractor ""State LIcense #. Address: CIty: ~ Phone )t Phone l( ZIp: I< Phone )t. Exp )t Phone' ZIp' ZONING: " PROJECT ADDRESS: LEGi"L DESCRJPTION Lot. CLALLAM COUNTY Pi'>.RCEL NUMBER: Block. SubdlVISlOn' TYPE OF WORK: SIZENALUATION: D ResIdentml D New Constr. D Re-roof D Stove SF @ $ ISF = $ D MultJ-family D AdditlOn D MoveD Garage SF. @ $ ISF = $ X. CommercIal ,)('Remodel 0 Demolition 0 Deck SF @ $ ISF. = $ o Reparr 0 Sign D Other TOTiI"L VALUATION $ 1S, Dt)O BRIEF DESCRll'TION OF THE PROJECT: ~ Ftlt:.(... D\Sp~N$etr. Upa.~~C; COMMERCIAL/RESIDENTIAL: Occupancy Group' Occupant Load' & Proposed Sq. Ft Corumucuon Type' = TOTAL Sq. Ft. No of Stories' Lot Size: Total lot coverage Existing Sq Ft % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PL.t\NNING USE ONLY: ESAlWetland(s): 0 Yes DNo SEPACheclchstrequrred? DYes D No Other. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills figure will be revIewed and may be revIsed by the Buildmg DIVISIon to comply WIth current fee schedules. Contact the Permlt Coordmator at 417-4815 for aSSIstance PLAN CHECK FEE' IF a plan check fee IS due It must be subIDltted at the tlIDe the buildmg permit application and construction plans are sublll1tted. All other pemt fees are due at the tlIDe of permit Issuance. EXPIRATION OF PLAN RKVIEW: Ifno permit is Issued wIthm 180 days of the date of application, the application will expire. The Building Offinal can extend the tlIDe for action by the applicant up to 180 days upon wntten request by the apphcant (see Section RI05.3.2 of the lntematlOnal BuildmglResldentlal Code, 2003). No apphcatlOn can be extended IDOl'e than once. I hereby certify that I have read and examined this application and know the same to be true and correct. lam authorjzed to apply for this permit and understand that it is my responsibjJjty to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work. - x T'\FORMS\BldgPerrD1tform wpd Applicant: x Date. ';,~ > ,~ ~'h t -:'w "': Cj ~ vO .~ "'. 80& t. ) ,; y & }~ 215 ;7 I 7 CERTIFICATE OF OCCUPANCY ,," .citY of 'Port Angeles Building Division''',~ This Certification issued pursuant to the requirements oj Section 301 of the International Buildingpode certifying that at the tIme of issuance this structure was in cpmpliance with the'various ordmances of the City regulatzng Building ~onstruction or use. For the following: Use ClasSification Group ~ Owner of Busmess Daliit S. ViFk BUlldmg Address 807 S. 'Lincoln Street - ~.'L ~ v h1P'~X>~~,H{fi:!: ~~.~~ ,; '" tiildmg PeIIlllt,No.: '05..:1 054!:0'~(.'i:',' BuSiness Name ARea AmPm \t;lI:t~:~;~,;, \i~,:~tl1::~ :~:'~' ,\f~::;~l:~~~{~t~;;:~. ~ype ofC~nstiuctlO; '~';Y;N><~ ,~.t:"Us~Zone CA f\ di::;::'5~~f :~~:\~~~~.\:: ~x: :i:'~'~1:;,t~?~, ~ '-,t l:!o~;f: :~:~: Address 1206 W. 10th. Street ,Port Angeles, W A. 98362 Port Angeles, W A. 98362 January 24, 2006 Date t<<~ ~ . Post on th;~"premls a conspicuous place. Shall not be removed except by Building Official. .~. fiReo AM Pi11 ~74 -::t-0-~~4- ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee DATE io - '2.~ ~S- Address of Proposed Business ~a' S I Li ~ CO LN Sr . fiRf JJI(1l /; '1 LJ (J 11Jt: Applicant "DA LJ I r ,",~.,. V1ltjc- Address J206 U /0 174 (7' {OP1 jJJJc.FLC/ f/..I/J. 1~rz6Z. Phone: business 'Bf,o 'l.Jfi:'7 8HI home"7,k.. {,yo..QD9"j Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: Block Will THERE BE ANY OF THE FOllOWING? Construction changes Electncal changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons .. Is this a home occupation? Excavation of filling of lots . Work done In City nght-of-way Is there sufficient off-street parking? New dnveway openings A grading plan for site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other. . . . YES NO -~ - ---k- - ----'L- -~ -~ -~ -~ -~ - --lL- - ---lL- _-L ----lL- - -~ V --V -- ~- X-- -lL- ~ V -- New Business. . . . . . . . .. ................. Transfer of BUSiness location . . .. ... . . , . . Change of Ownership .........,........,. New Building ............... . . . . . . . . . . Remodel . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . .. . ........... Change of Use . . . . . . . . . . . . . . . . . . . . . . . " . v- Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaXI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the Date: information I have supplied IS correct to the best of my knowledge. Signed: APPROVED . , EJECTED ..,., I: ...... 1, 1()/7..~/o s SR . I ~OD oSlA Jo/?.~JoS BUIlding SectIon Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions " ~~.t~.~ ""w-;;~i;n~ '""" ~-~""~..................---- ---...-- ......- ~ r~ - ... ~ ...... --..... '" It '" ... .... .. r..... -r--.p- ~'r'T;-'< ~"t".. ......~~.T,.,..~-.~...~4iiI~-. .; 1)/'t l/V' ..\ 7 , j I .~ Nevf/ I N 5"( A (. '-/+ 7 , (; )'V Official Use Only Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Assem.# > RL'Ccived NAME OF PREMISES: A/, ~ U /1 M / j"JM - tI. 7" V I Ie I( SERVICE ADDRESS: ,y // ) LOCA nON OF DEVICE: I /V S- / I? [ ASSEMBLY: J)./ A T - J )~ !.. I AI (, I A I t)' v / L JP I ~/ r: ;1/ F (/ '7 1;? -i , )- T -. :7/ ... 'II I ; ~7 (K /( t t ,It..., : I.d? AI /..:: /1 ') ..., "- - " ,:" ~ .> Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY? YES CYNO 0 IS ASSEMBL Y INSTALLED CORRECTL Y? YES 8' NO 0 DATE OF INSTALLATION OJ -1",< ') tb(; UNKNOWND \ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ~ RPDA 0 DC 0 DCDA 0 DOUBLE CHECK VALVE ASSEMBL Y PVB 0 Air Gap 0 SVB 0 AVB 0 CHECK VALVE #1 CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Leaked 0 Leaked 0 Did Not Open 0 AIR INLET Held at ~ f psi Closed Tight 0 Opened atU psi Did Not Open 0 "- Test Held at ~ psi Opened at _ psi Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE \, - Leaked 0 Held at _pSI Replaced 0 Replaced 0 Replaced 0 REPAIRS Cleaned 0 Details Replaced 0 3 psi Butler YES 0 NO 0 Final Closed Tight 0 AIR INLET Opened at _ psi CHECK VALVE Held at _pSI Test Held at _psi Held at _psi Opened at _ psi BACK p'RESSURE NO 0 YES 0 AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YE~ 0 NO 0 ) !' t':11' I '/1' ( - TYPE OF HAZARD "- COMMENTS Line Pressure ~ psi - .. A, . 7t.: - e-; - (: j) '-i ) 4 ,... ~ YES IJ/NO 0 ) I I: IJ '/IC::I} Held Backpressure - J - !: ,,1-1 " t Y ., ..... /) },? A /N' .J ~ (: , ,) )(/ I ;-. ~ #2 Shutoff Held YESJ:Y NO 0 f//e t /) 9. - t; l'- Tv ,4 I~ cl? '\ ,/11 A '~ , I <.. ~ rbllN!? FtvfJ /l tJIfA/A/ ftill /-1 /, (A Relief Valve Exercised YES Ii:V'NO 0 Daterrime Tester Signature Cert.# Test Kit Passed Failed Initial I .. ) }- v1, , , t.~ f Test t(kt.tl ~ '2L- f),,- 1.:). ~ ~ y "/pVl-rF a- D " Repairs 0 0 Final ! - ) 7 . ,.11 , , / ). ~ '! u v. 0 0 Test , I)C:: ( I, t f. ' /11 /4'" F...A. J 1 , P It- t j r c6{ 5 \[) , C :5 g -- .:s ~ ~t WHITE. CUSTOMER COPY YELLOW. PURVEYOR COPY PINK. TESTER COPY ,- 'Q "1.0;;....", CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00001270 Date 12/28/05 274130 807 S LINCOLN ST 06-30-00-0-2-6928-0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR o Owner Contractor BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA CA 906231066 OWNER permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL AMR/ ICE MACHINE 2CIR. 67785 AMR ELECTRIC 61.30 Plan Check Fee 12/28/05 Valuation 6/26/06 .00 o en o -.J Qty Unit Charge Per 1.00 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61'.30 .00 .00 V\ C' 7 - o o ( ? ~ '" COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO I;). - .). B - t') GENERAL COMMENTS: PW-II02.J5 (4'96) :f pORT ~ lO~~~ ,......a ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001240 Date 12/15/05 228200 807 S LINCOLN ST 06-30-00-0-2-6928-0000- PLUMBING REPAIR COMMUNITY SHOPPING DISTR 2000 Owner Contractor BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA CA 906231066 ALASKA MARINE REFRIG INC. 9991 SE COTTONWOOD DR. PORT ORCHARD WA 98366 (360) 871-4414 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT RPL BACKFLOW DEVICE 67330 57.00 Plan Check Fee 12/15/05 Valuation 6/13/06 .00 o Qty Unit Charge Per Extension 50.00 7.00 BASE FEE 1. 00 7.0000 ECH PL-OTHER BACKFLOW 2"- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 61. 50 61. 50 .00 .00 Separate Permits are required for electrical work, SEP A, 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. (}~--- ~(:3 Signature of Contractor or Authorized Agent f~ ~ ~ (1J'l C ~ 8 l J\ "I /2-2/-05 Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 ClliMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINALINSPECTIONS 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] Dee 15 05 12:02p Karen 360 871-4414 p.1 . j. " (' '. , .....~ ,:;....:.~jr -~:':'" .:::r' ',,'.r ,1"~_\ i.., .. j , \"---- I~ ..,-...._--~' BUILDING PERMIT - APPLICATION Date Roc.: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. lfyou have any questions, can PERMITS (360) 417-4815 FAX(360)417-4711 renn;ll': Dale Approved: \'2/1 ~ I 0 ;,' Dale Issued: \-z./i., t:I (""' I , Applicant or Agent: -t Owner: 6 r W(st CDast Address: 4 c..e.n\Li'"~C\ nic I. ?i a1uci's Dr', J ( C City: u,\ \ lA..lnlL-L 1 'AL Phone: --1ia.O I fY71, 41- /4- Phone: '114: {,;'jO '040; Zip: 01 DhL-?,J ArchitectlEnginecr: Phone: Contractor AlnSK(.t N~\\'; n( ~~.~ ~C'.tjl.Cistale License fI: Ali~SKtv\~ ('i~tf~.~. lq. C~l Address: c,q(ll 5ECDltD\'1 \t\Jccrl Dv-, City: Peft Ovcllc.\'c\ 50'1 s. Lineo In 5f-. '~\:J2 Phone: t::'j \. t:~'l-I V zip:-.:L83{:,b PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: CI'iS \ Credit Card Type VISA TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove CI Multi-family 0 Addition CI Movea Guagc y{ Commercial 0 Remodel 0 Demolition [] Deck [] Repair 0 Sign [] Other BRIEF DESCRlPTlON OF THE PROJECT: ~~ ~"'( SIZEIV ALUATION: SF.@ $ ISF. = $ SF. @ $ ISF. = $ SF. @ $ JSF. = $ TOT AL V ALUA nON S ,2.[ f.() , C,=- RUl ~D'v: el.i 1(.\ ~ pit(~.L.' cclt.1 tLLr \tal h , Occupant Load: 12~. kf [c'l.l' dr 'V'l CC....-' ('q' K{ SUlL\ llI1L i'J tn COMM ERCIA L/RESlDENTlA L: " ''o(' I'lLU; cc;upancy Group: Construction Type: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. % PLANNING USE ONLY: APPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAfWetland(s): [] Yes [] No SEPA Checklist required? 0 Yes 0 No Other: V ALUA TION OF CONSTR.UCTION: 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 10 comply with current fee schedules. Conlact tbe Permil Coordinator at 417-48 15 for assistance. PLAl'( CHECK FEE: IF lan check fee is due it must be submiUed at the time the building permit application and construction plans arc submitted. All otber permit fees are due at the time of permit issuance. EXPIRA TION OF PLAN REVIEW: Ifno permit is issued within 180 days of tbe date of applica1ion, 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 R 1 OS .3.2 of the In Lernational BuildrngfResidcntial Code, 2003). No application can be extended more than once. J hereby certify that I have read and examined this applic;ation and know the same to be true and correct. , 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 / mud obtain such pe~'s prio' to work. A",_,. CIzvu.. ~ 0.. / ~ 5 !f5 CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000803 Date .804557 807 S LINCOLN ST 06-30-00-0-2-6928-0000- ELECTRICAL ONLY 9/10/04 COMMUNITY SHOPPING DISTR o Owner Contractor BP WEST COAST PRODUCTS LLC 6 CENTERPOINTE DR LA PALMA CA 906231066 S & E ELECTRIC 3904 SO. CENTER ST TACOMA WA 98409 (253) 272-5813 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 61. 30 Plan Check Fee Issue Date 9/10/04 Valuation Expiration Date 3/10/05 Qty Unit Charge Per 1. 00 61.3000 ECH EL-COMM ALT <5 CIRCUITS .00 o \h ~ ~~ ~CJ\ ~ ~ \'." --\ \ :'.. ~i ~ , Extension 61.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61. 30 .00 .00 lI\ '\ 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 orwork 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 erning this t or will be complied with whether specified herein or not. The granting of a permit does not presume to give thor.' y to' e canc the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK IJEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERJNG 4 J 7-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGIFORMSII 102.15 [11/14/2003] I stalled By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. :29(cF //Jo/Y"/ / , .... " , ELECTRICAL PERMIT DATE 51 e Address: D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: o ner/Business: Phone: o ner/Business Address: Sq. Ft. , 10 Residential I Heat KW '0 Baseboard 0 Furnace/Boiler :0 Heatpump 0 Other '0 Commercialllndustrialload Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) ~Special equipment (list below) Amps D$tai IslDescription: .. ~111 ) / - f(fAtdcL~~ W~S. No. Service C<jpacity: 0 O.K. 0 Not O.K. 0: Ditch inspection O.K. o Rough.in/cover OK A W.K. to connect service ///,/. inalOK 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 permi~e9it~ New Meters . Notily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given b~ the Insp~.Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. : rJ 11__ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '.S (}-O . ~ :-7.- I - , , Inspector Amount paid , WiHlTE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OL~MPIC PRINTERS, INC. CITY OF PORT ANGELES LIGHT DEPARTMENT .;:;&,V7 /OR3/f'D , PERMIT NO. ELECTRICAL PERMIT DATE ~ILL CALL FOR INSPECTION Phone: o READY FOR INSPECTION License Number: 807 ~. &;hCO Installed By: I Owner/Bus,iness: Phone: w. /hv7 Sq. Ft. Owner/Bu~lness Address: mew Construction {] Remodel o Service update/alter/repair o Overhead ~ Underground Voltage o 10 030 Service size o Temporary o Re~idential He~t KW o BaEeboard 0 Furnace/Boiler o H'1atpump 0 Other o C9mmerclal/lndustrial load To,tal Connected load (attach breakdown) I Tqtal Motor load (attach breakdown) , I Details/Description: Amps o Add/alter circuits o Auxiliary power (list below) ~ Special equipment (list below) ~ /74-scri4 Hold for: 0 Easement 0 Letter Date Size Comments o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending permj;8~7 New Meters - , Notify the Department of City Light by Street Address and Permit Number when ready for inspec Ion. Work m~st not be covered or electrically energized before inspection and O.K. for covering or service has been given b~ the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.01J.1, EXT. 15~8 or EXT. 224. i Tt2-v--- NOOCCUPANCYORUSEESTABLlSHEDUNDERTHISPERMIT~JY"9~ ~O ~ ~' Inspector Amount p VJ,H1TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom. Customer GRE~N - Top' Inspector, Bot om City Hall , .....L..__._._ ....'..TICAS. INC. . r/ . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ,;2 7t? S 8/;~o DATE Inst 'lied By: 807 5.0. b ~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: ,.,,- :3 ZZ -"",,:T Phone: Site Address: Own r/Business: Own' r/Business Address: Sq. Ft. Residential l}([ New Construction , Heat KW /O'Remodel d Baseboard 0 Furnace/Boiler 0 Service update/alter/repair eatpump 0 Other ommercial/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o undergrOUn~-7~7 Voltage /Gla c:>"G'O o 10 ~3~ Service size t:.t:PD Amps o Temporary Detai I slDescri ption: ~u. . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. ,1~,Ditch inspection O.K. ~ tRough-in/cover O.K. A~~lo.K. to connect service /(j)tftjFinalo.K. I 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 o . Nptify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given br the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224_ ...-:-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '),t""'V'\ (J() /~ ~ - Inspector Amount paid \^.lHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Ol.jY,""PIC PRINTERS. INC. I. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ~76r DATE fJ-G- 9n Installed By'\ o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION Phone: Site Address: Phone: . Owner/Business Address: I J Residential ! Heat KW (jJ Baseboard 0 Furnace/Boiler dJ Heatpump 0 Other OJ Commercial/Industrial load II Total Connected load (attach breakdown) I Total Motor load (attach breakdown) Dejails/DescriPtion: / ~ I -l .BOBCO ELECTRIC ! po. BOX 1138 I MilTON. WA. 98354 I -~ - Sq. Ft. o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) +j o Overhead o Underground Voltage 01003.0 Service size )><fTemporary o New Construction o Remodel o Service update/alter/repair Amps n.&~) A C('D ~ W.S. No. Service Size Ca'paclty: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough.in/cover O.K. A I\JM 11 ;O.K. to connect service /IJ' 'fi Final O.K. 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 ~ te Address: Permit/Receipt No. I stall : . New Meters I Nbtify the Department of City Light by Street Address and Permit Number when ready for inspection. Work m;ust not be covered or electrically energized before 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. . 15}(.~;f NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 20,00 Amount paid W'HITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall oiJrlollPIC PRINTERS. INC. . !lICU1 ;j/-a't-s, ELECTRICAL WORK PERMIT APPLICATION C-e Job wired by o Electrical Contractor 0 Owner Installation description ;tJ Commercial (J Residential License number AMI(. r;./€X.''''''- ;41;!\-SI(MA'U,2 PU99'97Iingsd'E Co1!(rPlf4/aod Or- City iJJJ, State ZIP . fJo/'T . ~t.. ql"~/,()4 9-zrS6'b Teleph~e number . FAX number ~O._<() (-4 s{;<J-,?:,7/-'tlf. Date Expires /1-/-6 t. DNew ~ Altered/Addition Electrical contractor name Ex +0'1 cI (4) j :2- For IC-L :J.. Ciu; Lc. f'S :20~/Z~d ~ ~(... tS , ~Ct..r"C: ~ Premises owner's name ----.rlR..CC) Address of inspection ~()'7 S L/.ACGI Y\ City f) (. r 0 r- r pt--n 'f4- ,.....s Phone number to schedule inspection: L. . cg Owner as defined by RCW./9.28.261 :(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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrica ontractor or electrical administrator > o Cash 0 Check # lil Credit Card <Yi;J Mastercard Discover Card # x Date:, 2:- .?-'--tJ S' Expiration Date ' of card / Electrical Load Additions and or subtractions Q NO LOAD CHANGES I:l Baseboard KW I:l Furnace KW Q Heat Pump Ton LAR Q Fan-Wall KW Service Information I:] Overhead Service o Temp Service o Underground Service VOltage PhaseQ 1 Q 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT / SERVICE Dale Approved By "- Dale Approved By / DITCH FEEDER "- Date Approvedl3y/ "- Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector . ~/) /.;.2./ ~7A~ // ~ , / Date Approved By FlNAL dEP '~ ELECTRICAL PERMIT APPLICATION !'OJ.( lJFFlCL'\!, USE O~!L y l..ldldKcc The !:::Jecirical Permit Application must be filled out completely. f'~""i\ 1/ Dale Al'l'rn~;:.j==__~=~=~ nOlt is~ueJ _..___.____ Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 CJ~ - 80..3 Owner or Elec. Contractor Agent: S-r E. e~l(" Property OWner: ~ ~\f'1t\ \ Address fj.:>l SO"\\'" LNC-<>\,.l Electrical Contractor: S.f E. f:l-e:-~ Address 3~o4 s, fJ:'w\rt <;,. City~ k..,d.,\ \ License #~LET-l\SD~ City \&J'>ry)b.--"' .YJy Phone{2S~'21'2.$~l~ Fax(2~) 5">3 - o\~ Phone: ( 3(.,0) "K?- 2.13/ Zip "'I ~3'~ '2- Phone: zip""'t~9 INSTAllATION WIRED BY: DOWNER ~ElECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC: PROJECT ADDRESS: 2o"l S. L N Lo\ '" TYPE OF WORK: Check .1ill that apply: ONew o Alteration/Addition o Residential 0 Multi-family ~ Commercial 0 Mobile Home. Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: _\ - Z.O~ DESCRIPTION OFTHE ELECTRICAL PROJECT: \NS~\ \ - \'l.ov ~ ~a.~/J"\ \O'""":R,,,,,.-o... ~\G. : o Low Voltage 0 Telecom. 0 Sign Electrical Heat Load Additions and or Subtractions Service Information :i Baseboard ] Furnace J Heat Pump J Fan-Wall _KW KW TON~LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: hereby certify that I have read and examined this application and know that same to be true and correct, and / am lUthorized to apply for this permit. I understand it is not the City's legal responsibiiity to determine what permits lre required, it remains the applicants responsibility to determine what permits are required and to obtain such. %~4- mIT:::"""^,eu~':" ~ ~ Credit Card Holder's Signature: Date: Owner or Elec. Cant. Signature: Date:U4=---- MIT FEE: $ ~I .30 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 ,Application Number I , , , . 15- 00000454 Date 4/29/15 Application Pin number . . . 051816 Property Address ,. , , , 807 S LINCOLN ST ASSESSOR PARCEL NUMBER! 06-30-00-0-2- 6928 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . , . . . Property Use Property Zoning . . , , , , . COMMUNITY SHOPPING DISTR Application valuation , . , , 0 --------------------- Application desc - -------------------- - Register, disc. and dispensers Owner Contractor - BP WEST COAST PRODUCTS LLC ------------------------ SME SOLUTIONS PO BOX SD15 2302 A STREET BUENA PARK CA 906221066 TACOMA NA 98402 (714) 690 -2359 (253) 572 -3822 -------------------------------------------------------------- Z-5 b4 1% Permit . . . . . , ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee , . , , 106,00 Plan Check Fee pp Issue Date , . , , 4/29/15 valuation , . , , 0 Expiration Date 10/26/15 Qty Unit Charge Per Extension BASE FEE 86.00 4,DD 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT --------------------------------- 20.00 Fee summary Charged --- - - - ----------------------- Paid Credited Due - -- -- Permit .Fee Total 106,00 -- - - - - -- --- -- - - -- 106,00 00 00 Plan Check Total 00 '00 ,pD .00 Grand Total 106.00 106,00 ,00 DO INSPECTION TYPE DATE: DITCH SERVICE. ROUGH -IN FINAL L COMMENTS: PERMIT WILL EXPIRE SIX (6) MON'T'HS FROM LAST INSPECTION F PORT SALES Tour excise tax form City of Port Angeles cation Code o5o2) RESULTS: I INSPECTOR: Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIB UILDING �C. APR-28 -2015 09.18 FROM- RECEI21 pR 2'e 2915 CITY OF FORT ANGELES PERMIT APPLICATION EL ECIgICK Building Division /Electrical Inspections INSPWIONS' 321 East Fiffli Street - P.O. Box 1150 / fort Angeles Washington, 98362 Plt: (360) 417 -4735 Fax: (360) 417 -4711 Date, I I Multi-Family or Commercial* P.001 /001 F -700 " Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; 90-7 L N Building Square Footage: 4 No � Description of above " w a A , t r c Fa Ic i _ C A?+ (y M. L•S - >t- TN.S�t�C -r Srz-" �Se,1 ra+ d wr lw• 1 Ij r 'Z�A..� Owner Information Contractor Information Name: ¢ tJ 1 Name, w'�''T LLB Mailing Address; , L. N c rn► City: .-��r _-state: .1A Zlp: 6 ��-".. Phona: a 1 Mailing Address: ! 0 10 S,_ rrxcy�a W y 5.: re �+- Y Clry: 1 ' ­N State; rjr -Zip: Nq - Fax; -- "- �-� License # 1 Exp, r, _a License #IExp, 7 Item Unit Charge Oyt Total fQtv Multi [iad by Unit Char e ServlcelFeader 200 Amp. $192,00 _ $_ -� Service /Feeder 201 -400 Amp. $160,00 $ SarvicelFeeder 401.600 Amp $ 225.00 $ ServicelFeeder 601 -1000 Amp. $ 288.00 $ SeTvicelFeeder over 1000 Amp. $ 410.00 $ 9ranch Circuit WI Service Feeder $ 5.00 $ Branch Circuit WC Service Fesdar $ 74,00 Each Additional Branch Circuit $ 5.00 _ $ gto , 00 Branch Circuits 1-4 $ 86.00 1 Temp, Service/ Feeder 200 Amp. $102.00 $ temp, Service /Feeder 201 -400 Amp. $121.00 $ Temp, ServicelFeeder 401.500 Amp. $164,00 $ Temp, ServicelFesdar 601.1000 Amp , $185.00 $ Portal to Portal Hourly $ 95.00 5 SigriOutlina l.lghtlrg $ 80,00 $ Signal Circuit/ Limited Energy- Multi- Family $ 64.00 $ Signal Circuid Limited Energy 1 First 1500 sf - Commercial $ 962 —�T $� Note; $5.00 for each additional 1500 of Renewable Electrical Energy - 5KVA System or Less $113.00 _ g Tharmostat $ 56.00 Note; $5,00 for each additional T -Scat Owner as defined by RCW,19,28.261; (1) Owner will occupy the structure for two yaars 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 -46R, The City of Port Angeles Municipal Code, and lutllity Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator; ❑ cash ❑ Dated: u110112012 a x H- 1-�0 0 �• e. S Av ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 15- 00000454 Date 4/29/15 Application pin number 051816 Property Address •. . . . 807 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6928 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use , . . . . . , , Property Zoning . . , COMMUNITY SHOPPING DISTR Application valuation 0 Application desc ------ - - -------------------------------- Register, disc. and dispensore Owner Contractor BP WEST COAST PRODUCTS LLC ------------------------ SME SOLUTIONS PO BOX 5015 2302 A STREET BUENA PARK CA 906221066 TACOMA WA 98402 690 -2359 572 -3822 - - -- -(714) 1- - -- - --- _ - - -- -(253) ---- ---- -�G - -? "� Permit . . . . , ELECTRICAL ALTER COMMERCIAL Additional desc . , 1 -4 CIRCUITS Permit Fee . . . . 106100 Plan Check Fee .00 Issue Date 4/29/15 Valuation . , , , 0 Expiration Date 10/26/15 Qty Unit Charge Per Extension BASE FEE 86,00 4,00 5.0000 RCA EL -ECH ADDNT BRANCH CIRCUIT 2D.00 Fee summary Charged ---- :---- --- ----- Paid Credited ----- --- -- -- -- Due Permit Fee Total 106.00 --- - -- - -- ---- - -- - -- --- 106.00 .00 - - - - - -- .00 Plan Check Total .00 .00 00 .00 Grand Total 106.00 106.00 .00 00 INSPECTION TYPE DATE: DI'T'CH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION MTAX x form ngeles A50Z) RESULTS: I INSPECTOR: Signature of owner or Electrical Contractor X Date; G:IEXCHANGE1BUiLDING