HomeMy WebLinkAbout1215 E Front St - Building ♦
C T°IFICAT - .y -.' �, . UPANCY
'"s City of Port Angeles
Building Division
This Certificdtion:issued pursuant to the requirements of Section301 of the
International Building Code certifying that at the time of issuance thisstructure was
in compliance with the various ordinances of the City regulating Building
r ;
construction or use. For the follotiving
Use Classification: Gift ShO12 Building Permit No. 04-212 Business Name: Franni's GiftMxpressions
Group: 1V1 Type of Construction: V-N { Use Zone: CA
Owner of Business: Fran Feeley Address. 2606 Deer Park Rd., Port Angeles ,WA 98362
A
Building Address: 1215 East Front.Street, _ Port Angeles, WA 98362
a � 1,, w .✓J
March 21, 2005
1171 g fficial�� �,. bate
37 P;� l � 'awx4 "' 5+ krh&�auM .i.¢i�w5r..{F�r' �,a'
Pos on he premi er„en a;conspicdbus place
Shall not be edmoved�except b_VBbilding Official
��� —*' r p
I 1
ROUTING SLIP 0�-M-
Certificate
m
of Occupancy
Certificate/Inspection Fee akos
DATE New Business ( X )
Address of Proposed Business C Transfer of Business Location
F/ ( )
2� on t . 3� ,e, Change of Ownership ( )
Applicant New Building ( )
Addr ss zl"16 7Pk—, Remodel ( )
�2 C ��� Temporary Business ( )
Phone business %7-0& home ' Z+2�c° Change of Use ( )
Brief description of proposed business
Legal Description Lot Block Subdivision
Current Use of Property-
Zoning Classification of Property- coty) u'reja C/4
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED
Construction changes PERMITS BUSINESS LICENSE
Electrical changes X 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers
Plumbing changes 3) Electrical 3) 2nd Hand Dealer
New or relocated signs y 4) Mechanical 4) Pawn Broker
New septic tanks 5) Sewer 5) Dance
New sewer service 6) Sidewalk installation 6) Hotel Motel
Admission charged to patrons 7) Driveway installation 7) Fireworks
Is this a home occupation? 8) Curb installation 8) Ambulance
Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way t 10) Water meter installation 10) Other
Is there sufficient off-street parking? 11) Fire
New driveway openings 12) Occupancy
A grading plan for site drainage 13) Sign
(parking lots, downspouts, etc.) X 14) Shoreline
Are the existing streets paved? 15) Home occupation
Are there existing sidewalks? 16) Conditional use
Is there curb and gutter? 17) Other
Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date U _a
information I have supplied is correct to the best of my
knowledge Signed
AP OV REJECTED Comments / Conditions
3 Building Section
Public Works Department
Planning Department
�(Dp Fire Department
0 City Clerk
PB I.A.
0` ^'
N CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 04-00000214 Date 8/06/04
Pin number 003612
Property Address 1215 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 1350 0000
Application description COMM ADDITION
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 60000
Owner Contractor
FEELEY WILLIAM/FRAM FEELEY CONSTRUCTION
2606 DEER PARK RD 2606 DEER PAR 6 kN 1'f
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 2884 (360) 452 7559
Structure Information 1035 SF ADDNT/RES TO COMM RETAIL
Construction Type TYPE V NON RATED �•
Occupancy Type BUSINESS OFF/PRO/MED/REST 1\\
Other struct info TOTAL %, LOT COVERAGE 22 50 r V
HARD SURFACE AREA •�"
NUMBER OF STORIES 1 00 f]�
EXISTING LOT COVERAGE 1327 00 v,
LOT SIZE 10500 00
PROPOSED LOT COVERAGE 1035 00
TOTAL LOT COVERAGE 2362 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW COMMERICAL
Additional desc FURNACE/H P +T STAT/DAVE S
Sub Contractor DAVE S HEATING & COOLING
Permit Fee 97 70 Plan Check Fee 00
Issue Date 8/06/04 Valuation 0 Q
Expiration Date 2/03/05
Qty Unit Charge Per Extension
1 00 61 3000 ECH EL-COMM ALT <5 CIRCUITS 61 30
1 00 36 4000 ECH EL-LVT FIRST THERMOSTAT 36 40
Special Notes and Comments
Address numbers shall be plainly visible from the street !A
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background
SEE COST ESTAMATE FROM JOHN HEBNER
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 97 70 97 70 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 102 20 102 20 00 00
Separate Permits are required forelectrical 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 an];state Pr lloyltaw regulating construction or the performance of
construction. }}''
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T•\PLANNING\FORMS\1102.15[11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
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/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN 3 Q
PLUMBING
UNDERFLOOR/SLAB
,r ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
y�A WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEATPUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT#'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735tQ 0� LIGHT DEPT
L
CONSTRUCTION RW /PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 1 BUILDING
T-\PLANNING\FORMS\I 102.15[11/14/2003]
��paar aye FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Date Rec.: 6-�'
Permit#:04 2/q
= Fill out COMPLETELY and in INK.Your application and site plan MUST Date Approved:
COMPLETE to be accepted for review. If you have any questions,cal
Date
(360)417-4815 Issued:
Applicant or Agent: C>° e'1 C -nr✓S4- , -ZN C ' Phone:
Owner: w t A,� C—e e ( Phone: y S-,D ^ Z S Y
Address: City: Zip:
Architect/Engineer: w i m o o2>J Phone: `I S a-
Contractor f:�t e_l clY C,,3.�s4: State License#: Exp: Phone:
Address: Z U Dee e & z Lc_ 2 d City: r- i-9 Zip: e? Z
PROJECT ADDRESS: 1 d� I S E R oNT s L ZONING:
/4 LL
LEGAL DESCRIPTION: Lot: C L is 13 Block: 1-36 Subdivision: PS C c
CLALLAM COUNTY PARCEL NUMBER: Q fl D O _ �, S .S-O o a n b
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp.Date:
TYPE OF WORK: SIZE/VALUATION:
❑ Residential ❑ New Constr. ❑ Re-roof ❑ stove SF. @$ /SF. _$
❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF._$
)l Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$
❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ GO C3�
BRIEF DESCRIPTION OF THE PROJECT: 0 0 niy e 2 ✓L2 c d 19 A, {-c 4-c 4,
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No.of Stories: l Lot Size: j 05oG Existing Sq.Ft. 3�7 &Proposed Sq.Ft. 1035 =TOTAL Sq.Ft. 23JZ-
Existing lot coverage %&Proposed lot coverage %=Total lot coverage 22 S %
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): ❑Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed
and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
1 hereby certify that I have read and examined this application and know the same 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,not the City's, and that I must obtain such permits prior to work.
T:\FORMS\APPS\Buildingpermit.wpd Applicant: Date: �o
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FROM :Dave's Heating & Cooling Srvc FAX NO. :13604520939 Aug. 02 2004 08:56AM P1
FOX Of'FIC:tnl.USE ONLY.
u, BUILDING PERMIT - APPLICATION Date Rec.:
Permit#:
Fill out COMPLETELY and in INK.Your application and site plan MUST BE pale Approved:_
COMPLETE to be accepted for review. If you have any questions,call
(360)417-4815 Date "�
***** PLEASE FAX PERMIT TO DAVE' S HEATING AT 452-0939 - THANK Y
Applicant or Agent: wave's ke_et.h h Ccs (��, �vl cq phone: 5,e5.A-0'731
Owner ► I l �� �e " _ CQ11A 414, --W-3-0 9 Phone: -;L--7 f S 9
Address: X60(o f�Qa��ar k City: D r-1- At ate,(-.5 Zip:___1?3 L2-
Architect/F,ngineer: X71' Phone:
Contractor o ��, State License Exp:,
�eg5 Phone: I/.5-4 j
Address: �o B >K g, City: D r4 L4V (42S Zip: e-,?
PROJECT ADDRESS: ��l 5 E�S r-1-6n+ Srir-ff ' ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name: .�0.►�r.� ����,✓r, ka
Billing Address: 3 Citv
Credit CardType MAw # Exp.Date: o
TYPE OF WORK: SIZE/VALUATION:
C3 Residential ❑ New Constr. 0 Re-roof ❑ Stove SF.@$-/SIF, S
❑ Multi-family WAddition O Move C Garage SF.Q$ /SF,_$
ef(Co"Weial O(Remodel ❑ Demolition O Deck SF.@$4 ISF._$
O Repair o Sign ❑ Other / TOTLIA•I.VALUATION $ 5 Q`
BRIEF DESCRIPTION OF THE PROJECT:
COMMERCL41J aZESIDI+,NTIAL: Occupancy(,roup: Occupant Load: Conattvction Type: _
No.of Stories:_ Lot Size: Existing Sq.Ft_ &Proposed Sq.Ft._ ,__--- =TOTAL Sq.Ft.
Existing lot coverage %&Proposed lot coverage "/o=Total lot coverage %
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
ESANVetland(s): O Yes O No SEPA Checklist required? 0 Yes D No Other: U�>I.
BUILDING PERMIT APPLICATION SUBMITTAL: The Bt;ilding Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This frgttre will be reviewed
and maybe revised bythe Building Division to comply with current fee schedules. C=ontact the Permit Coordinator at 4174815 for assistance.
PLAN CHECK FEE:1F a plan check fee is due it must be submitted at the tune the building permit application and construction,plats an
submitted. All other permit fees are due at'the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within i 8U days of the date of application,the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of
the Uniform Building Code,current edition). No application can be extended more than once.
I hereby certify that I have read and examkwd this application and know the same to be true and correct, I am authorized to apply for this permit ana
understeW that d Is my responsibpJfy to determine what permits are req n he City's,and that 1 ust obtain such permits nor to work.
'r:4;0RMSWPPS\9ui1dingp=dt.wpd Applicant: Date: 1>4 __.
4SEASONS (360)
023 - Fax(360) 452-3047
ENG/NEER/NG, INC. 619 S. Chase Street_3 Port Angeles, WA 98362
April 2,2004
City of Port Angeles
321 East Fifth Street
Port Angeles, WA 98362
Subject: Drainage and Erosion Control Plan for 1215 Front St.
Port Angeles, Washington,98362
Tax Parcel 063000-531350
4 Seasons Engineering, Inc. has reviewed the proposed building and site improvements at 1215 Front Street for the
purpose of creating this drainage and erosion control plan. A new asphalt parking lot and building addition are
proposed. Stormwater runoff will be controlled with a detention pipe and an outlet control Tee before discharging to
the city storm sewer. Hydrologic modeling was done using the Rational Method for a 25 year, 30 minute storm, in
an Excel spreadsheet. The spreadsheet of calculations is included. This letter and the attached drawing comprise an
Engineered Drainage Plan and Erosion and Sediment Control Plan to conform to the City of Port Angeles Design
Standards, and the 1992 D.O.E. Stormwater Management Manual.
The proposed improvements for 1215 Front St. are the expansion of an existing building and addition of an asphalt
parking lot. There is an existing house and outbuildings with approximately 2100 square feet of roof area,and a
gravel driveway of about 850 square feet. The remainder of the lot is lawn and landscaping. This project will
include the addition of approximately 6000 square feet of new paving and roof surfaces. The site is gently sloping to
the west. There are no significant offsite stormwater routes onto the property. Elevation of the site is approximately
100 feet above sea level. Rainfall in the Port Angeles area is approximately 30 inches per year.
A Small Parcel Erosion and Sediment Control Plan has been developed. The details of the Erosion and Sediment
Control Plan are indicated on the attached drawing. Erosion and sediment control details include:
1. Use the existing gravel driveway as the construction access route. Re-surface with clean gravel as needed to
prevent erosion.
2. Re-vegetate disturbed areas with grass and clover at a minimum. The optimum time for reseeding is
between September 15 and October 1. Additional seeding may be needed in the following spring.
3. Cover exposed and unused soils within 2 days between October 31 and March 31 and within 7 days
between April 1 and October 30. Use plastic sheeting or straw mulch on cleared areas and stockpiles.
Place gravel base on road driveway and parking areas soon after clearing and subgrade preparation.
4. Inspect and maintain erosion control items throughout the course of construction.
The details of the Drainage plan are indicated on the attached drawing. Drainage details include:
1. Construct a drainage detention system consisting of two Type I catch basins and a buried detention pipe as
shown on the plan.
2. Wet tap the existing storm sewer pipe in Front Street and run a 6"pipe to the north catch basin. Install an
outlet Tee with a solid cap and orifice as shown on the plan.
3. Slope all new sidewalks, landscaping and parking areas to the two catch basins. Slope a minimum of 2%
and a maximum of 5%.
4. Direct gutters and downspouts toward the catch basins. Use titeline pipe to connect new construction to the
drainage system.
Enclosed is a copy of the Erosion and Sediment Control and Engineered Drainage Plan with supporting calculations.
This plan if constructed and properly maintained shall limit stormwater runoff within the parameters set by the City
of Port Angeles
Signed,
ohn E. Partch
Reviewed by,
f Y�
Jay S. Petersen
'00, -'
4SEA (360)
) 452-3047
ENG/NEER/NGS INC. 619 S. Chase Street-3 Port Angele023 - Fax s, WA 98362
Storm Drainage Calculations
Rational Method-25 yr. 30 minute storm Prepared by 4 Seasons Engineering
Feeley Spec 1215 Front St. Date: March 29, 2004
Pre Development Runoff
Surface Runoff Coefficient Rainfall Intensity Area Area Runoff Rate
Inches/hour Acres Square Feet cubic feet/sec
Existing Buildings 0.90 0.85 0.05 2,050 0.0360
Existing Lawn 0.25 0.85 0.17 7,600 0.0371
Existing Gravel Parking 0.50 0.85 0.02 850 0.0083
Total 0.24 10,500 0.0814
Proposed Post Development Runoff
Surface Runoff Coefficient Rainfall Intensity Area Area Runoff Rate
Roof and Paving 0.90 0.85 0.18 8,000 0.1405
Lawn and Landscape 0.25 0.85 0.04 1,650 0.0080
Gravel Parking 0.50 0.85 0.02 850 0.0083
Total 0.24 10,500 0.1568
Post Development - Pre Development for 30 minutes = 135.8 cubic feet
Detention Pipe
Diameter Length Storage Volume
Feet Feet Cubic Feet
1.50 80.00 141.37
Orifice Size
Predevelopment runoff Max. head Orifice dia.
cfs ft. in.
0.0814 1.5 1 9/16
Summary:
18"diameter x 80' detention pipe with Type I C.B. each end
1-9/16" diameter orifice on 6"Tee with overflow to existing city storm drain pipe
4
- /d oe`
Page 1
/ \
IS CONDARY \�tti, Erosion and sediment control notes:
NSTRUCTION \ 1. Use the existing gravel driveway as the construction access
route. Re—surface with clean gravel as needed to prevent erosion.
'ACCESS W/ SFO o� oaa
SCALE: 1"=20' '' CRUSHED 2. Re—vegetate disturbed areas with grass and clover at a N C4
QUARRY ROCK Q�G \F)- minimum. The optimum time for reseeding is between September N �N
15 and October 1. Additional seeding may be needed in the v SCALE INFir " " SGP following spring. m
3. Cover exposed and unused soils within 2 days between October 41 Y
31 and March 31 and within 7 days between April 1 and October 30. Q Q W 4Wj
Use plastic sheeting or straw mulch on cleared areas and Q U
stockpiles. Place gravel base on road driveway and parking areas 0 En 0 V W
Note: is is a/graphical �- - - -% - . " " " " / .Z� �'�, soon after clearing and subgrode preparation. M
- - -/ . - - " 4. Inspect and maintain erosion control items throughout the
repres ntatiorN
v of the approximate ��' 2 N.. " - - course of construction.
site / yout aid opprokkpate %MAX:_ / '� C4
loc tions of boundaries, / I. ""�" " - TYP Drains a notes: '�
i rovem nts, andtheproPoepi' d� /- - - - - - - - - - gGo
rainage/'system and does no �� - "T 1. Construct a drainage detention system consisting of two Type 1
catch basins and a buried detention pipe as shown on the plan. 3
CB. 2. Wet tap the existing storm sewer pipe in Front Street and run a
epresght a survey. Verify al w \v
ro t boundaries, easements, - - - - - " "_ _ ' " ' - -
y '� P O� 6»pipe to the north catch basin. Install an outlet Tee with a solid
tfes required setbacks prior ,' /f�1 y� /
to stl'u¢"tion. Existingj �' cap and orifice as shown on the Ian.
. -I . �O P
im ents and utilities s o ,' :--— - - - - - �� Q S, J. Slope all new sidewalks, landscaping and parking areas to the c
_ Q f �, two catch basins. Slope a minimum of 29'and a maximum of 59'
are ro ity of Port Angele i /' ( GV WnSh,! < ; o
ing a d city wide utilit -NEIN-A.C. " �Q �� �,� Direct gutters and downspouts toward the catch basins. Use
4
r It
ings a d Id be verified �- �� / Cv} ��` titeline pipe to connect new construction to the drainage system. �`a
p ' r to con t uction. O'- - - - - - - - - - - - - -
p
��' o,L�p�' ** Right of Way permit required for all work in street or alley right
4
- - - - - - -_. . �"' of way. �'Wy
. / . . . . . . . . . . . . RAVEL PARKING CALL BEFORE YOU DIG !_Nz"
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EXISTING 1�1 / �F� io-06-o a—
WET TAP1 -800- 424-5555
W
�- - J�- - - 2 r4x- -�'- / EXISTING
STORM DRAIN �9 - - OPE AAT%
INE, APPROX. // HOUSE `S TYPE / C.B. WITH
- - - ACE / �' FRAME AND GRATE
3 DEEP �9 ULTRAGUARD CATCH Z
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C;B. BASIN INSERT a
» NEW
�." v �,���� / TYPE / C.B. WITH 6 PVC TEE J
FRAME AND GRATE USE SELECT BACKFILL CONCRETE
U TRA GUARD CATCH IN PIPE ZONE DRI VEWA Y
101
�\ �P�o // "0 PVC FROM B SIN INSERT 2� (CRUSHED R�C 29 2% APPROACH Z Z
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NEW 15' WIDE s S / DDLE Or
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COMPACTED—,`
CEMENTEXISTING
CONCRETE dip \so �'9� NATIVE EARTH ' ; ; �'�� ��� STORM DRAIN Z W n
DRIVEWAY O \� PIPE, VERIFY SIZE Q I_ d
APPROACH \� DRAINAG TEN TION PIPE AND DEPTH
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P ORT NGELES
Fa2m, WASH I N GTO N, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
March 29, 2004
Bill Feeley
C/O Feeley Construction, Inc.
2606 Deer Park Rd
Port Angeles, WA. 98362
Subject: 1215 East Front St
Job# 9762
Dear Bill:
The estimated cost for labor and materials supplied by the City to upgrade the N
transformer that serves your property is $1,211.83. This estimate is good for 180 days.
City Light will be responsible for the following:
1) Providing and installing the upgraded transformer.
2) Providing and installing the service wire.
The owner/contractor will be responsible for the following:
1) Payment of$1,211.83.
Payment of the estimated amount will authorize the City to schedule the work. If you
have any questions or concerns, feel free to contact me at 360-417-4706.
erel ,
J n G. Hebner
Electrical Engineering Specialist
Cc: James Harper,Electrical Engineering Manager
Al Oman,Electrical Inspector
Roger Vess,Permit Tech
Attachments: 1
Ref: WF 16877/01
321 EAST FIFTH STREET • P. O. BOX 1 150 • PORT ANGELES, WA 98362-0217
PHONE: 360-417-4805 • FAX: 360-417-4542 0 TTY: 360-417-4645
E-MAIL: PUBWORKS@CI.PORT-ANGELES.WA.US
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
G� 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 04-00000214 Date 4/07/04
Pin number . . . . . . .003612
Property Address . . . . . . 1215 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1350-0000-
Application description . . . COMM ADDITION
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 60000
Owner Contractor
FEELEY, WILLIAM/FRAN FEELEY CONSTRUCTION
2606 DEER PARK RD 2606 DEER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-2884 (360) 452-7559
------ Structure Information 1035 SF ADDNT/RES TO COMM RETAIL -----
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
Other struct info . . . . . TOTAL % LOT COVERAGE 22.50
HARD SURFACE AREA
NUMBER OF STORIES 1.00
EXISTING LOT COVERAGE 1327.00
LOT SIZE 10500.00
PROPOSED LOT COVERAGE 1035.00
TOTAL LOT COVERAGE 2362.00 `\K
NUMBER OF UNITS 1.00
-------------------- ------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL dh
Additional desc . . v c
Permit Fee . . . . 737.25 Plan Check Fee 479.21
Issue Date . . . . 4/07/04 Valuation . . . . 60000
Expiration Date 10/04/04
Qty Unit Charge Per Extension
BASE FEE 667.25
10.00- -- 7.0000 THOU BL-50,001-100K (7.00 PER K) 70.00
- -
--------------------------
Permit MECHANICAL PERMIT
Additional desc . . X �1
Permit Fee . . . . 61.70 Plan Check Fee .00 1
Issue Date . . . . 4/07/04 Valuation . . . . 0 f
Expiration Date 10/04/04
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70
.00 7.2500 ECH ME-VENT FAN .00 f✓�
-
-----------------------
----------------------------------------------------
Permit . . . . RIGHT OF WAY
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee .00
Issue Date . . . . 4/07/04 Valuation . . . . 60000
Expiration Date . . 10/04/04
Qty Unit Charge Per Extension
1.00 45.0000 ECH RIGHT OF WAY PERMIT 45.00
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
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. q
6/
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is b ilder) Date
T:\PLANNING\FORMS\1102.15[11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE -7DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: c 11v 5l b S ���_ .lr
KV
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS a V
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING —e Ap
y f
MECHANICAL PG Jcirli c<c t! U( J-4NcS�� �LL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY tt
HOOD/ DUCTS
PW UTILITIES! SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
Ed
BUILDING 417-4815 J 0 - L& J BUILDING
T:\PLANNING\FORMS\1102.15[11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING IF
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
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:
ESA:
PARKING/LIGHTING
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
r_f�_ (j{( LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-RW.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15[11/14/20031
OF pORi,,,�,0 CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
< <� 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 04-00000214 Date 4/07/04
Pin number . . . . . . .003612
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
SEE COST ESTAMATE FROM JOHN HEBNER
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 843.95 843.95 .00 .00
Plan Check Total 479.21 479.21 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1327.66 1327.66 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15[11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST- aS
Date— —Time Received by (phone, person)
Location of Work to be inspected 15�i FRY)t4 0l03/) 00 �/e�SDom
Name of person requesting inspection Il1_gAJL 4",&4 4-1a. I
Address of person requesting inspection Phone No. � ,�// ��.���
Type of Inspection (circle appropriate one): Permit No.
Se oundation Framing Chimney Plumbing Final Sewer Excay. Other 1�21
INSPECTION NOTES:
Inspected: Time By
Remarks. /UC
RESTORATION REQUIRED . . . . . . YES NO
Inv ,q,
V I�
�a
AJH c PTK
Z7 s,
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other
❑Repaired by City Work Order #
❑Repaired by Permittee ❑ COMPLETE
❑No Damage Found ❑ INCOMPLETE
PREPARED 5/10/04, 12:35:00 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/10/04
-----------------------------------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'------------------------------------------------------------------------------
BL1 01 5 10 04 JLL BUILDING FOUNDATION FOOTING
U BILL 461-2309
-------------------------------------- COMMENTS AND NOTES
PREPARED 5/11/04, 13:19:03 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR ROGER VESS DATE 5/11/04
-----------------------------------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------------------------------------------------------
BL1 01 5/10/04 JLL BUILDING FOUNDATION FOOTING
5/10/04 DA BILL - 461-2309
footings on slab need to 18" depth and clean out grade beam
next to existing building/jll
BLM 01 5/11/04 R/ - BUILDING FOUNDATION MONO SLAB
-------------------------------------- COMMENTS AND NOTES
--------------------------------------
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at C
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction;
- k-
4 �4 0'110�
211f ri
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Date 0
nspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 8/02/04, 13:49:27 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/02/04
------------------------------------------------------ -------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------— ----------------------------------------------
BL1 01 5/10/04 JLL BUILDING FOUNDATION FOOTING
5/10/04 DA BILL - 461-2309
footings on slab need to 18" depth and clean out grade beam
next to existing building/jll
BLM 01 5/11/04 RV BUILDING FOUNDATION MONO SLAB
5/11/04 AP
BAIR 01 8 02 04' L BUILDING AIR SEAL
X a BILL - 461-2309
BL3 O1 8/0 04, JL11 BUILDING FRAMING
3 d BILL 461-2309
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 8/04/04, 12:25:04 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/04/04
------------------------------------------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------—------------- ---------------------------
BL1 01 5/10/04 JLL BUILDING FOUNDATION FOOTING
5/10/04 DA BILL - 461-2309
footings on slab need to 18" depth and clean out grade beam
next to existing building/jll
BLM 01 5/11/04 RV BUILDING FOUNDATION MONO SLAB
5/11/04 AP
BAIR 01 8/02/04 JLL BUILDING AIR SEAL
8/02/04 AP BILL - 461-2309
BL3 01 8/02/04 JLL BUILDING FRAMING
8/02/04 DA BILL - 461-2309
block sheathing at front area/nail guard at panel/36x36
landing at front door/jll
BL3 028 04 04 JLL BUILDING FRAMING
Bill 461-2309
—---------- -- -- ------ -- COMMENTS AND NOTES ----------------------------
PREPARED 8/05/04, 12:27:17 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/05/04
------------------------------------------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 8 0 /04 LJ MECHANICAL ROUGH-IN TIME: 17:00
DAVE 452-0939 HEAT PUMP, FURNACEE,,
DUCTS
---------------- ------ -- COMMENTS AND NOTES --------------------------------------
PREPARED 8/06/04, 12:37:36 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/06/04
— ----------- ---
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------------
BL1 01 5/10/04 JLL BUILDING FOUNDATION FOOTING
5/10/04 DA BILL - 461-2309
footings on slab need to 18" depth and clean out grade beam
next to existing building/jll
ELM O1 5/11/04 RV BUILDING FOUNDATION MONO SLAB
5/11/04 AP
BAIR O1 8/02/04 JLL BUILDING AIR SEAL
8/02/04 AP BILL - 461-2309
BL3 01 8/02/04 JLL BUILDING FRAMING
8/02/04 DA BILL - 461-2309
block sheathing at front area/nail guard at panel/36x36
landing at front door/jll
BL3 02 8/04/04 JLL BUILDING FRAMING
8/04/04 AP Bill 461-2309
BLWS ITLL BUILDING INSULATION WALL/FLOOR
BILL --- 461-2309
Y
------------- ----- COMMENTS AND NOTES -------------
OTING SLIP
Ov
Cer fic to of Occupancy
e ficate/Inspection Fee
DATE New Business . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . ( )
C_ (-r�- fi ���'y'- Change of Ownership . . . . . . . . . . . . . . . . . . . ( )
Applicant Ebm, R01,01 , New Building . . . . . . . . . . . . . . . . . . . . . ( )
Address y./'�-_C I. f A! 2) Remodel . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . ( )
Phone: business _/t � home );_1 " 1T Change of Use . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business:
Legal Description, Lot Block Subdivision
Current Use of Property
Zoning Classification of Property: ��
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED.
Construction changes PERMITS BUSINESS LICENSE T
Electrical changes X 1) Budding 1) Taxi
Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers a
Plumbing changes 3) Electrical 3) 2nd Hand Dealer
New or relocated signs 4) Mechanical 4) Pawn Broker
New septic tanks — 5) Sewer 5) Dance r�
New sewer service6) Sidewalk installation 6) Hotel-Motel
Admission charged to patrons 7) Driveway installation 7) Fireworks
Is this a home occupation? 8) Curb installation 8) Ambulance
Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way 10) Water meter installation 10) Other
Is there sufficient off-street parking? - 11) Fire
New driveway openings 12) Occupancy
A grading plan for site drainage 13) Sign
(parking lots, downspouts, etc) x 14) Shoreline
Are the existing streets paved? ... .. 15) Home occupation "
Are there existing sidewalks? a� 16) Conditional use
Is there curb and gutter? 1 17) Other
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:
71
PUov
REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
voY ti or4;C( FOR OFFICIAL USE ONLY:
:FJ. BUILDING PERMIT - APPLICATION DateRec.: le) �
Permit#:
. � Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved:
rr COMPLETE to be accepted for review. If you have any questions,call Date Issued:
PERMITS(360)417-4815 FAX(360)417-4711
Applicant or Agent: �° !e`l ca" 5'z Phone: 7 �� s-S
Owner:
5/4 M r_ Phone:
Address: I a l S �2 N City: Zip:
Architect/Engineer: Phone:
Contractor �'I (10,„S4_- I State License#: itc���cso5r xpS -21' 0 Phone: S
Address: (o� f.17 C2 F`rZo,�- City: Zip:
PROJECT ADDRESS: 7Sn ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC_# Exp.Date:
TYPE OF WORK: SIZE/VALUATION:
❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. =$
❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF.=$
❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=$
❑ Repair �)2�-Lcign ❑ Other TOTAL VALVATION, $ !& (9 "
BRIEF DESCRIPTION OF THE PROJECT: 7IrZ S or—Z(:�e S rc-e-" Lfc:0
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories:4— Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft.
Total lot coverage %
APPROV S•
-._ PLAN:�O
PLANNING USE ONLY: /�- �� ,� ��. _� 1 1� �1 - ����-�
BLDG:
DPWU:
ESA/Wetland(s): El Yes
Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed
and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2
of the International Building/Residential Code,2003). No application can be extended more than once.
1 hereby certify that 1 have read and examined this application and know the same 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,not the City's,and that I must obtain such permits prior to work..
T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd Applicant:
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE -7DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15[11/14/2003)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
'rte 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 04-00000901 Date 10/04/04
Pin number . . . . . . .075322
Property Address . . . . . . 1215 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1350-0000-
Application description . . . SIGNS
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 600
Owner Contractor
------------------------ ------------------------
FEELEY, WILLIAM/FRAN OWNER
2606 DEER PARK RD
PORT ANGELES WA 98362
( 36) 452-2884
----------------------------------------------------------------------------
Permit . . . . . . SIGN
Additional desc . . 20.76 SF FREE STANDING SIGN
Permit Fee . . . . 30.00 Plan Check Fee .00
Issue Date . . . . 10/04/04 valuation . . . . 600
Expiration Date 4/03/05
Jv
Qty Unit Charge Per Extension
1.00 30.0000 PER S- SIGN LES THAN 25 SF 30.00 (►�
Fee summary Charged Paid Credited Due �1
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 30.00 30.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 30.00 30.00 .00 .00
C 'f
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 orAuthorized Agent Date Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15[11/14/2003]
PREPARED 10/20/04, 13:21:49 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/20/04
------------------------------------------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 8/05/04 JLL MECHANICAL ROUGH-IN TIME: 17:00
8/05/04 AP DAVE 452-0939 HEAT PUMP, FURNACE, DUCTS
ME99 01 10/20/04 JL MECHANICAL FINAL
------------------_71----------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/20/04, 13:21:49 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/20/04
------—---------------------------------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR FEELEY CONSTRUCTION PHONE (360) 452-7559
OWNER FEELEY, WILLIAM/FRAN PHONE (360) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000214 COMM ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 5/10/04 JLL BUILDING FOUNDATION FOOTING
5/10/04 DA BILL - 461-2309
footings on slab need to 18" depth and clean out grade beam
next to existing building/jll
BLM 01 5/11/04 RV BUILDING FOUNDATION MONO SLAB
5/11/04 AP
BAIR 01 8/02/04 JLL BUILDING AIR SEAL
8/02/04 AP BILL - 461-2309
BL3 01 8/02/04 JLL BUILDING FRAMING
8/02/04 DA BILL - 461-2309
block sheathing at front area/nail guard at panel/36x36
landing at front door/ill
BL3 02 8/04/04 JLL BUILDING FRAMING
8/04/04 AP Bill 461-2309
BLWS 01 8/06/04 JLL BUILDING INSULATION WALL/FLOOR
8/06/04, AP BILL --- 461-2309
BL99 01 10 20/04 JLL— BUILDINGFINAL
{,-,/UPJ— BILL 461-2309 JIM CALL BILL SO HE CAN MEET YOU AT THE SITE
.
------------------ - CONTINUED ONTO NEXT PAGE -----------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date �D/��/ 2 Time Received by % (phone, person) _
Location of Work to be inspected
Name of person requesting inspection
Address of person,requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbin Final Sewer Excay. Other
INSPECTION NOTES:
Inspected: Date Time By��
Remarks:
RESTORATION REQUIRED . . . . . . YES NO
SURFACE RESTORATION:
SURFACETYPE: ❑ Unimproved ❑Gravel []Asphalt El PCC El Other
❑Repaired by City Work Order #
❑Repaired by Permittee ❑ COMPLETE
El No Damage Found ❑ INCOMPLETE
PREPARED 11/01/04, 12:50:07 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/01/04
--------------------------------- --------------------------------------------------------------
ADDRESS . : 1215 E FRONT ST SUBDIV:
CONTRACTOR : PHONE :
OWNER FEELEY, WILLIAM/FRAM PHONE ( 36) 452-2884
PARCEL 06-30-00-5-3-1350-0000-
APPL NUMBER: 04-00000901 SIGNS
------------------------------------------------------------------------------------------------
PEZMIT: SIGN 00 SIGN
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 ,11 O1 04 JLC Y BUILDING FINAL
Sign final
----------------- -- COMMENTS AND NOTES --------------------------------------
r �
C T'I ICA ° "=` , F- CU AIVCY
l
y City of Port Angeles"-,;,,,
�� Building Division
Y
1
This Certification issued pursuant to the requirements of Sectioh�301 of the
International Building Code certifying that at the time of issuance th s�,structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following: j
Use Classification Gift Shop Building Permit No• 04-212 Business Name Franni's Gift'Expressions
Group M x Type of Construction V-N f Use Zone to
Owner of Business Fran Aeeley Address 2606 Deer-Park Rd., Port Angeles ,WA 98362
Building Address 1215 East Front Street, Port Angeles, WA 98362
March 21 2005
J3uil g (ficial ,;Date
mn-' '
.4"-vT ; #✓,+ �r
Poi on e",premig6siii a,c®rispicu®us place.
Shall not be romoved ezcept"by,Building Official.
FROM :Dave's Heating & Cooling Srvc FAX NO. :13604520939 Aug. 02 2004 09:58AM P1
1 ,„: ",.I Iii UP `'r. 171.1ki 2t 1 ... . .. :;.,
taw ELECTTRICAL PERMIT APPLICATION rno,aamu oseo av —
The Ebotrieal Permit Application muel G Aced cul
Please type or repHnt in Ink. a rou have arty RMe>tlarr.pipes call(3ae)477iT73 f/eV �//��,,^Tl
Faltnambor:(39a)417iH1 r/ / /•.
***** PLEASE FAX PERMIT TO DAVE' S HEATING AT 452-0939 - THANK YOU *****
Ownet or Floc,Conoavtw AannL J x,Ive'.5 _2a�'1 n �{-r!ov�I n�. V l �l we `/Sa-O It 3` r.=;
I'mpertyowner:_— 9 1,� I Fee Pam,: SZ- 7559
asdrieal Contreaor. ✓C'S Ca �-Coe II �n o Vt celloeru6 N S�G9`�l-5E, >S- thesis:<�Sa_09.3`
Aedaa°-- O. Ax�3 -- —Cty: 1�3 1 A,,aP -SC zip: 9L3G�
INSTALLATION WIRED BY: c OWNER ar(LECTrbcAL coNrrRACTOR
Credit Card Holder Name: JP_a�..�. �tdl(�tr�r "' �`-• I �_
err.
AlongAd&"$.' P•d. �1C X13 _ C►tY: �ara av,�a.5 wA _, Trp: 9�3Ga
Crede Card Number. xp Defe. VISA:— Mc:—
PROJM1 AODRFSS: I a 1.5 �a15-I' r-r Ol,'r S��'
TYPE OF WORK: Check 1Wthal apply. ❑New eAJteratior✓AddRlan
U91`X .
C Rasidential 0 Multi-"Iy e) Ccmmertial O Mobile Home SQ.Ft
0 Remote Meter 0 Detached garage G Hot Tub 0 SWM Pool 0 Septic Pump BLOW Vo
y � Rage O Telecom. G S:gl
Number of Cimuaa added or allerad: - r�c'�l'Yn o5fu '-C. t re„
OESCRIPTIIION OF THE ELECTRICAL PROJECT._ +I Ove 6�,- ruew TYLoiVy,n 65' -t-
W I'T ✓� (h S�c�1.�.G.�o v. o-� _Sr 'c.1 v' o ' `_'�_�yt A t'_4_. ha.a�
EI6d*al Hent Land AddRlone and or Subtractions $eMca Information
08aearward KV✓ Veltege:__`_
2't urnete /0 KW O overhead Service Phase: O t ❑ 3
at6al Porn aaTONl,LRA o Temp Semi= Sarvloe mtv:
Q Fan-Wall _KW n Underground Service Feeder Sim:
I hereby certify that I have read and examined this application end know that same to be true and correct and I am
euthonzed to apply for this permit. 1 understand Nis not the CdY's lapel responsibility to determine what permits
ycerequimdr rAare/nsthe applfcapts responsibUrq io.oafa a naAuhatP&m2 's.ara-sequirecl and Ao�btain such---
I
Credit Card Holder's Signatura: (� ; Date: 8 0
O Owner or Elea. Cont. Signature: . Date:.
PERMIT" FEE: $—� i . i,0
::lELEC'TRICALpaftMITAPPLIGATICN
Ts7.9r ' 3,6 --lo
t
3 -3 • o41 kco . 40P �"' c•,L 't(16/.30
/7l%�/ $�/p�/ �t-t�'`+<- ►c • 14• o'� — R k --SPP.
OF POFT 9N�.
EDa1nApprnvtedf:7_ffff
y
tiv ELECTRICAL PERMIT APPLICATION®_ W or
"rc®r The
Electrical Permit Application mus[be filled out completely.
�KS nNO�
Please type or reprint in ink. If you have any questions,please call (360)4174735
Fax number: (360)417-4711
1 � 1
Owner or Elea Contractor Agent: /3 i I I f F � ry P ti I e.j Phone: q5d- qS S /y
Fax: -5,19 , F
i
Property Owner: i 1( 9 - rl/1 rJ r e t a Phone: -S,9 . e
Addressr r �'Orte{ C4: io• 19 - Zip: 1
19 'S
L Z
Electrical Contractor: - License 4: Exp: Phone:
Address: City: Zip:
INSTALLATION WIRED BY: OWNER ❑ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address: City: zip:
Credit Card Number.• Exp. Date: VISA:_ MC:
PROJECT ADDRESS:
� It � rR �c�
TYPE OF WORK: Check all that apply: ❑ New Alteration/Addition
❑ Residential ❑Multi-family Commercial ❑ Mobile Home Sq. Ft
❑ Remote Meter ❑Detached garage ❑ Hot Tub ❑ Swim Pool ❑Septic Pump ❑ Low Voltage ❑Telecom. ❑ Sign
Number of Circuits added or altered: _r>
DESCRIPTION OF THE ELECTRICAL PROJECT: J9 cY� DD S
Electrical Heat Load Additions and or SubtractionsService Information
❑Baseboard KW Voltage: talo
❑Furnace KW t*overhead Service Phase: ,d-1 ❑ 3
`..Heat Pump 'ETON/SS LRA ❑Temp Service Service Size: 'JI_
❑ Fan-Wall KW ❑ Underground Service Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and l am
authorized to apply for this permit. / understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: Date:
( _ Owner or Elec. Cont. Signature: Date:
AJ✓6 tt'I,G� W/EGA C 7` U77 Z, 7-?' ��877
fwW�. Itatt4� PERMIT FEE: $ , dD
/E LE CTR ICALPERMITAPPLI CATION
h 0 3/M/Y �
ELEMI AL PERMIT
CITY 4F.PRT ANGELES
360-41.7-4735
Application Number . . . . . 16-00001568 Date 10/17/16
Application pin number . . . 650112
Property Address . . . . . 1215 E FRONT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1350-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Store remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TENANGO LLC OWNER
PO BOX 2435
PORT ANGELES WA 98362
(928) 699-7657
----------------------------------------------------------------------------
Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 99.00 Plan Check Fee .00
Issue Date . . . . 10/17/16 Valuation . . . . 0
Expiration Date . . 4/15/17 .
Qty Unit Charge Per_ Extension
1.00 74.0000 BCH "EL-COMM BRANCH CIR WO/ S/P 74.00 j
5.00
-------- - -5.0000 25.00
-BCH EL-ECH ADDNT BRANCH CIRCUIT ---'--- - -
Fee summary Charged Paid Credited Due
---=------------- ---------- ---------- ---------- ----------
Permit Fee Total 99.00 99.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 99.OQ 99.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL �r
CO1VIIvIENTS:
I
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
i
I
Signature of owner or Electrical Oont wtor X Date:
Q\EXCHANGEWILDING
• I
^/
CITYOF
BuildingInspections
321 East Fifth Street-Pwrt Angeles Washington,90362
Ph: (360)417-4735 Fax: (360)417-4718 00
Datef
Multi-Family 0 Commercial Addition/Alteration/Remodel/Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Building Square FootaQe: . 2-L<00
C
Mailing Address: P-0, 2-(k3(;' Mailing Address:
city: F" /� State: LvA-zip: City: State: Zip:
License#/Exp. License#/Exp.
-- '� �10 ���/ �� ��^7
0�� '`�' ^/^`^ /-^` -'-' ~ ' Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 2C0Amp. $132.00
Service/Feeder 2O14OOAmp. $160.00 $_________
Service/Feeder 401-6OOAmp $225.00 ____--- $_-________
Som|oelFeedor8O1'100Amp. $288.00
Service/Feeder over 1OOOAmp, $410.00
Branch Circuits 14 $ 86.00 L---��/ /
Branch Circuit N0Service Feeder o 5.00
Branch Circuit W/O Service Feeder $ 74.00
Each Addh�na|B�mohCiooh $ 5.00 ? k
Temp.Service/Feeder 2O0Amp. $102,00 �^�______
Temp.Service/Feeder 2O14OUAmp. $121.00 *______-- .. '
Temp.Service/Feeder 4O1-6OOAmp. $164.00 *_---____-
Temp.Service/Feeder GO1'1OOOAmp. $185.00
Portal toPortal Hourly $ 96.00
Signx]uUinoUghUng $ 88.00 $_________
Signal Circuit/Limited Energy/First 1500sf-Commercial $ 06,00 ____--- $___--_-__
Note: $6.O0for each additional 150Nsf
Renewable Electrical Energy 5KVASystem orLess $113O8 *_--___-_'
.
Thermostat $ 5GOO $___-----_
� ------ C�'�/
$_________T�a| y ^-
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. |ammaking
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCK Chapter 19.28,WAC, Chapter 298'488.The City ofPort
Angeles Municipal Code,and Utility Specifications and PAMC14.O5.O5Oregarding Electrical Permit Applications.
Signature ofowner,electrical contractor nrelectrical administrator: O oaox O cow,x
O ommunordw
i.
x Dated
� mmnmmx
ELECT UCAL PERMIT
MY OF PORT ANGELES
16"17-4735
Application Number . . . . . 16-00001442 Date 9/27/16
Application pin number . . . 530156
Property Address . .. . . . . 1215 E FRONT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1350-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the MY Of Port Angeles
Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation 0
-------------------------------------------:--------------------------------
Application desc
Security system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TENANGO LLC SECURITY SERVICES NW
PO BOX 2435 Po BOX 660
PORT ANGELES WA 98362 PORT TOWNSEND WA 98368
(928) 699-7657 (800) 859-3463
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date . . . . 9/27/16 Valuation . . . . 0
Expiration Date . . 3/26/17
Qty Unit Charge Per. Extension
1.00 96.0000 ECH .EL-LIMITED 1ST 1500 SQ FT 96.00
---------------------------------------------------------------------:-------
Fee summary Charged Paid Credited Due
----------------- ------ -- ---------- ---------- ----------
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TWE DAM' RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WELL EXPIRE SIX(6)MONTHS FROM LAST INSPECI1ON
Signature of owner or Electrical Contractor X Date:
G-AEKCHANGBBURDING
09/26/2016 MON 14: 59 FAX 360 797 8482 Security services x w �04L
�L
i
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections �.
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 I
Ph:(360)417-4735 Fax:(360)4174711 ) �'
Date: Multi-Famlly rommflrclsl�
Plan Review May_Be Requi�d, Complete Electrical Plan Review Information Sheet
Job Address• I��. r
BuYding Square Footage:
DvwdpoQn of a0ave I n5k uYv►
Owner Informatil Contractor Information
Name: %[ Name; rha,'Af4 4MV,495 UA
Mall Add es: t2 htailt A
Clry; StM : Zip: GIy, ✓' State.
Phone —y ax: Piro D= ex: —rfc4r2-
Llcwse#!Exp- AoFA Lkwm#/Exp.
tem Unlit Charge gty Total(. Muitlnlled by Unit Charnel
ServioaTeeder 200 Amp. $132.00 $
Servlc ofeeder 201400 Amp. $180.00 S
Swv)WFesder 4014M Amp $225.00 $
Service/Feeder 801-1000 Amp. $288.00 $
Servloe/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $ 6.00 S
Branch Circuit W/0 Service Feeder $ 74.00 3-
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 68.00 $
Temp,Service/Feeder 200 Amp, $102.00 $ j
Temp.ServiciWeeder 2014M Amp. $121.00 $
Temp.ServkxlFeader 401 X00 Amp. $164.00 $
Temp.Servlce/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/0uH"ine Llghting $ 88.00 S
Signal Circuit?Limited Energy—MultWarrily $ 600 S
Signal Cln:ulq Limited Energy J First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 S
Thermostat S 56,D0 $
Note:$5.00 For each addilionel T-Stat
$ roe 4V 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 electrlcal contractor I 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 296460,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 eleetrMl administrator: 0 cah X Chock
0 Crv&Card#
uc
TB4"/Q-4h UYI [ttd
ELEC $ CXAL PERMIT
CI'C"Y'OF PORT ANGELES
360417-4735 ! l
Application Number 16-00001568 Date 10/17/16
Application pin number . . . 650112
Property Address 1215 E FRONT ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-,1350-0000-
Application type description ELECTRICAL ONLY on your excise tax fora
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning . . . . . . . COMMERCIAL ARTERIAL (LOCation Code 0502)
Application valuation . . . . 0 j
-----------------------------------------------------------
- Application desc
Store remodel
-----------------------------------------------------------------------------
i
Owner Contractor
------------------------ ------------_------_____
TENANGO LLC OWNER
PO BOX 2435
PORT ANGELES WA 98362
(928) 699-7657
----------------------------------------------------------------------------
Permit . . . . . .. ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 99.00 Plan Check Fee .00
Issue Date . . . . 10/17/16 valuation . . . . 0
Expiration Date 4/15/17
Qty Unit Charge Per Extension
1.00 74.0000 BCH "EL-COMM BRANCH CIR WO/ S/P 74.00
5.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25.00
---------------------------------------------------"-_-----------------------
Fee summary Charged Paid Credited Due i
----------------- ---------- ---------- ---------- ---------- I
Permit Fee Total 99.00 99.00 .00 .00
Plan Check Total .00 .00 .00 ,00
Grand Total 99.OQ 99.00 .00 .00
P[S.P"EMON TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
AOV
COWEWS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
SipatM of owner or Electncat Contmtor
Dater
G:EXCHANGSBUILD'No
�
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Strmet-Part Angeles Washington,98362 -
Ph: ������D�-47���m�: (3��'���7-�78�
r�,m
`� ' - ��\�
�-
__MUK Fa0|� Commercial Addition/Alteration/Remodel/Repair'
^Plan Review May
Building Square Foota 2- 00
I C
&jhaer[�Aor LIUJ Contractor Information
Name: r Name:
MailingAddress, P.O. 2-4-313- Mailing Address:
PhoneI6017wl 3,23-7 Fax: Phone: Jax:
License#/Exp. License#i Exp.
—
Item �'| 36= ��, �57
`7
Unit Charcie QtV Total(Qt)f Multiplied by Unit Charge)
Service/Feeder 2OOAmp. $132.00 $_________
Service/Feeder 201400Amp. $160.00 $ _____
Service/Feeder 4O1'8OOAmp $225M
Service/Feeder 8O1-1U0OAmp. s288,00
Service/Feeder over 18OOAmp. $410.00 \
Branch Circuits 14 $ 8S.00 /
Branch Circuit N0Service Feeder $ 5.00
Branch Circuit W/O Service Feeder $ 74.00 m_��&�/
Each Add�ona|B�nohCimo� $ HO � / / k
' -
Temp.Service/Feeder 20VAmp. $102.00 *��___-__
Temp.Service/Feeder 2O14DOAmp. $121.00 $________ �j^7
Temp.Service/Feeder 481-6O8Amp, *164.00 $_________
Temp.Service/Feeder 801'1000Amp. $18500 __--_-- *_-____--_
Portal toPortal Hourly $ 0&O0 -__-_-_ $-_-__-___
Sign/Du8inoUghting D 88M $----___-_
Signal Circuit/Limited Energy/First 1500sf-Commercial $ 96.00 $_________
Note: $5.OUfor each additional 1500 s
Renewable Electrical Energy'5KVASystem mLess $113.00 �_________
----'
Thermostat $ 56.00 __---_ *-_--__--_
$_______Total y 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 certfy 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.,RCK Chapter 19.28,WAC. Chapter 39S488.The City nfPort
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature wfowner,electrical contractor mrelectrical administrator: O naso O Check
O omuitoardw
+ / i.
� 0110112012
� ~T-