The URL can be used to link to this page

Home My WebLink About403 S Lincoln St - Building CITY OF PORT ANGELES icz�� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000371 Date 4/25/11 Application pin number 975405 Property Address 403 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1 -6920 -0000- REPORT SALES TAX Tenant nbr, name LINCOLN ST. STATION 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 .600 Application desc REPLACE WATER LINE, METER TO BUILDING EXPIRED Owner Contractor KEN W PRICE MORRISON EXCAVATING INC 5418 S OLD MILL RD P. O. BOX 3051 PORT ANGELES WA 983621972 PORT ANGELES WA 98362 (360) 460 -8310 (360) 452 -7179 Permit PLUMBING PERMIT Additional desc REPLACE WATER LINE Permit pin number 184440 Permit Fee 57.00 Plan Check Fee .00 Issue Date 4/25/11 Valuation 0 Expiration Date 10/22/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 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 �J c 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. �"a /1 Di 4, le.,[ G' �C Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Vr 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 FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceilin9 Drywall (Interior Braced Panel Only) /1 T -Bar 1 C/ 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 Stocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417-4750 C Building 417 -4815 E -3 f x T:Forms /Building Division /Building Permit PROJECT STATUS UPDATE Permit 31 Date: \O 1 L 460 -83 l0 I phoned the Applicant �,L at Property Owne at Contractor at (left a phone message or discu io ZZ-II The perms as expired, will expire soon). hat is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. iO -11 NO\9 Catle n922.644oan J so -t— ell Pe.-6t s Re.rtrici T:Forns /Building Division/Project Status Update ?oltr4.,, BUILDING PERMIT APPLICATION Print in ink 41 CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Receiv d 4-2-6 321 E. Fifth St., Port Angeles, WA 98362 Permit# 1� =3'71 (360) 417-4815 fax (360) 417 -4711 Date Approved f Applicant KCN k✓ p„,.e Phone 3 6O -S3/ Property Owner P c- Phone Property Owner's Address //S O`d /tt //Re Contractor Mo2Rt s eoe Phone 360 60- o> Contractor's Address p 0, eo h v 5/ License naggiE /0 o ,fin Expires (Mt- cf_ a E -mail PROJECT ADDRESS O 3 50, eJ/ti L ihColh 5 S{��ihoh Parcel Number Lot Zoning Project Type Brief Description: Residential Multi family C ommercial Industrial Check all that apply New Construction IR e e p 1il c e I,v e .Se/ u /e. e5 '744om ,Y j /&J A4 -P/ P.K Addition -/-o J Remodel xRepair Demolition Re -roof House garage .0 other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) 'Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION k‘ Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage cyo Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 t orking on projects. Datee -5- /f Print Name ��A-^) vkai Signature 6% vim'```." T:Forms /Building Division /Building permit application Official Use Only Asscm.# !'i 1 Received 0 '4/ Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department j Water/Was t�ewater Collection Division NAME OF PREMISES. 5 b A/ C SERVICE ADDRESS "t' !f A/ C Z- f X to LOCATION OF DEVICE. IA/ k' T C we* U Av84 T6 G eir of S /N,4- ASSEMBLY 4 4 7/ S' 5 Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY" YES IYNO IS ASSEMBLY INSTALLED CORRECTLY" YES II 1 o DATE OF INSTALLATION 17 2 0i UNKNOWN RPDA REDUCED PRESSURE PRINCIPLE ASSEMBLY RP DC 0 DCDA DOUBLE CHECK VALVE ASSEMBLY PVB Air Gap svB AVB Initial Test Repairs Details COMMENTS Initial Test Repairs Final Test CHECK VALVE #I Leaked Held at 5, psi Cleaned Replaced CHECK VALVE #2 I RELIEF VALVE Leaked Did Not Open Closed Tight Opened at psi Held at psi Cleaned Cleaned Replaced Replaced f Line Pressure UG psi WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY PVB /S V B AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced 1� 3 psi Butler YES NO Final Closed Tight AIR INLET Opened at psi CHECK VALVE Held at psi S 41- Test Held at/ C psi Held at psi Opened at psi BACK PRESSURE NO YES J AIR GAP INSPECTION 0 REQUIRED MINIMUM SEPARATION• YES NO TYPE OF HAZARD 5P.19 A? 4 )i t")Ne t Held Backpressure YES EV NO #2 Shutoff Held YES I'NO Relief Valve Exercised YES [V I Date'Time Tester Signature Cert. Test Kit Passed Failed 4 6 J /c !L Ci .n'7- ff r a L S A J'• AI 6 J f` `r lfi l i 6 L ckex r 6 4G /i'I!nw6s7 P' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Contractor PRICE KEN W OWNER 5418 S OLD MILL RD PORT ANGELES Owner WA 983621972 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 07 00000321 057930 403 S LINCOLN ST 5 06 30 00 0 1 6920 0000 ELECTRICAL ONLY Qty Unit Charge Per 1 00 35 0000 ECH EL COMM 1ST SIGN Fee summary Charged Paid Credited Due Date 4/04/07 Permit ELECTRICAL SIGN PERMITS Additional desc TC NORTHWEST Permit pin number 98327 Permit Fee 35 00 Plan Check Fee 00 Issue Date 4/04/07 Valuation 0 Expiration Date 10/01/07 Permit Fee Total 35 00 35 00 00 00 Plan Check Total 00 00 00 00 Grand Total 35 00 35 00 00 00 O 7 as 8 S,G /v rr 69 Extension 35 00 GENERAL COMMENTS: CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. Dl'1'C;H ROUGH COVER SERV ICE FINAL ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS epic 5/909 PW- 1102.15 (4,96] Job wired by Electrical Contractor Owner Electrical contractor name License number NOR#ALU t TNC 'Pr mi s ner' rite d ress f inspectio pity e-P0 c Phone number to schedule inspection 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 Inspection Date Appr ed By Date FINAL /Date Approve/1'1 Date Date Date Expires DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATIOj \(Installation description X Commercial Residential New Altered/Addition Purchaser's mailing addre N J e-9 v h-� (Rv-e .EL) s� `t Z vv-c-w City S State ZIP S e e i v t i..-. L A J A 4 2 3 8 2 C L A cj r r e 1 Iie•r S y s Tele hone number FAX number 3.-63- -loess 36o 6133 -66 S S o kJ FA RIPC.Jet./ ('flJ CAN- Sou 3o O ti t O P) NO2, -IA S O i b <td Cash Check named property or a licensed electrical contractor I am making the electrical instal- Credit Card Visa Mastercard Discover 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 Card Utility Specifications. /Signature of owner el ctrical contractor or electrical administrator Expiration Date D X Date: 3/z .,Of card Inspection fee Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 1 3 Heat Pump Ton LAR Temp Service Service Size: Fan -Wall KW Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735 ROUGH-EN THERMOSTAT SERVICE Appr ed By Appr ed By Date I- Date FEEDER Action Taken Service Information Approved By Approved By Electrical Inspector Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner PRICE KEN W 5418 S OLD MILL RD PORT ANGELES Permit SIGN Additional desc Permit pin number 98038 Permit Fee 47 00 Issue Date 3/29/07 Expiration Date 9/25/07 Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total 47 00 00 47 00 T Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000308 309976 403 S LINCOLN ST 06 30 00 0 1 6920 0000 B &W SUBWAY INC SIGNS COMMUNITY SHOPPING DISTR 2400 Contractor T C NORTHWEST INC 518 N SEQUIM AVE WA 983621972 SEQUIM (360) 683 6655 1 00 47 0000 PER S SIGN LES THAN 25 SF Date 3/29/07 WA 98382 Plan Check Fee 00 Valuation 0 Extension 47 00 Paid Credited Due 47 00 00 00 00 00 00 47 00 00 00 Foq 036 z I� U 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 3 /z4 /o Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE BUILDING PERMIT INSPECTION RECORD \'ES ACCEPTED COMMENTS NO I FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE. 417 -4653 I I I I FIRE DEPT 1 PLANNING DEPT 417 -4750 1 I I I PLANNING DEPT I BUILDING 417 -4815 I I I I BUILDING T \Policies \1 102 15 building permit inspection record05.wpd [1/4 /2005] DATE ACCEPTED BY. DATE ACCEPTED BY. ..1 II1 A •v .J Fill out COM PLETF.1 and in lhK. S our application and site plan MUST B COMPLETE to be accepted for review If you have any questions, all PERMITS (360) 417 -4N15 FAX(360)417.4711 Applicant or Art: 7o re) R w .1 l Owner 4 Ui S tL t3 -T __I N G' Address: RQ d 5 '7 City Architect'Enginecr' f Contracttrr' �_S State License #1:CJJOi't' 1Grp 4 Address: 6 r/ c5 tfr,v) City prr >i r i w e-k.- PROJECT ADDRESS, 403 SS C lake' ii 6'" LEGAL DESCRIPTION Lot. Nlack: CLALLAM COUNTY PARCE,L NUMBER TYPE OF WORK. Residential New Cunstr U Re -roof Stove Multi- iirtnily 0 Addition 0 Mnvc 0 Garage Commercial Remodel 0 Demolition Deck Repair Sign 0 Other BRIEF DESCRIPTION OF THE PKOJE('T ,e Per9 ?E E7 1`Tin c Sri, S' No. of Stories: Lot Size: Total lot coverage PLANNING USE ONLY TO d BUILDING PERMIT APPLICATION £SA/Wetland(s): Yes No SETA Checklist required'? Yea No Other TVORMS1131dgPennitfurm.wpd Applicant: Existing Sq 1.1. 061-9 £89 09€ Phone: Phone: Phone: Subdivision: O Ar Mai S S"Uc.)TH St 61.e (s?Zr,s S -Aver/ COMMERCIALIRESIDE:NTIAL. Occupancy Group- I .had: Proposed Sq. Ft. VON orrtcjA t NNE rate R. perm,t 1. /r7 ate Approved. at Issued: 3 0- (o33 3(0 Zip _5 S 507 Phone: &N J3 66,55 ZONING _CS L7 Zip: SIZE/t ALLATION SF (a 'SF SF (�d /SF SI' (a: S /Sr S TOTAL VALL ATION a, N 62-e) si a ae" /36//4./Ain.c, Construction Type. TOTAT Sq. Pt. Date: 3/ Z6 /ta7 APPRO PLAN BLDG, DPW U' FIRE. OTHER: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.. t t This figure will be reviewed and may be revised by the Building Division to comply with ctm'ent fee schedules. Contact the Permit Coordinator at 417.4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must he submitted at the time the building permit application and constr plans are submitted. All other permit fees arc 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 acttnn 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 eau be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, I em authorized to apply for this permit and understand that It is my responsibility to determine whet permits are required ,not the City's, and that I must obtain such permits prior to work. SN9IS2t311IW Wd 0i~ Z0 400Z- Tz -aaW 29_2007 11 43 pM kvx 9 Wood. SIct �S 1 \fc,k‘5 \i/ ‘et‘i\t/ .54),<-1/40\4 \NZ ,t);it\o' ~ o (X) I ~ U\ This certificate lS issue certifYmg that at the t regulatmg buildmg c, Business name ~' , Business address: Property owner, Property owner's Automatic fire spri Use & occupancy c Building permit num Type of construction. Occupant load: Post on the premises in a conspicuous place. This .-J:. 0" vJ rl~ V) , q-2-q~ 08 r- -- ~ ('\ Q ::s ~ '" CERTIFICA TE OF OCCUPANCY APPLICA TION Permlt# 08- '6y ~ " . CITY OF PORT ANGELES FEES Attn BUilding Permit Technician Ji150' Certificate / Inspection 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 $ .00 Parking Business Improvement Area (PBIA) fee charged for downtown locations Print In Ink BUSINESS NAME BUSINESS ADDRESS Business owner's name ~ C\Yl Business owner's home address PLEASE NOTE: ~ f ~ ~ \ A Business License IS also required for the followmg busmesses' TaxI, Peddlers, Second-hand dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information ACTION. . - ..;:.., New bUSiness Transfer of bUSiness location from a PBIA location Transfer of bUSiness location from a non-PBIA location Change of ownership V Remodel Temporary bUSiness Change of use . . Call for Certificate of Occupancy inspections before opening business: Building Department Inspection 417-4815 & Fire Department InspectIOn 417-4653 Please proVide a minimum 24-hour notice for inspectIOns NO/ YES/ IF YES, CONTACT v Electrical Dept at 417-4735 V BUlldln Dlvat417-4815 V v V v v"" \,/"" '\,./ V"" \,../ Public Works at 417-4807 \,../ v \,.-/ Please sign up for utility services at the cashier counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read thiS application and state that the informatIOn I have supplied IS correct to the best of my knowledge \ J7 IJ -L d-Q Date (- \ ~ - D ~ Print Name T2 e..b...Q..cc... 0\-\ Vljf)~ ml~nature l L/ ~'U I -to IL D-Z.lAY\ D'I IZ-\L.') Rejected Initials & date Building Type of construction Comments / Conditions Occupant Load Fire I-~~IA ~nnlng I I City Clerk Automatic fire sprinkler system reqUired Pubk Works T Formsli3'Jlldlng DlVtSl011lCt-I t '1r-2fe r,f Occupancy ApplicatIon no yes e.. Street Lookup Parcel Number 0630000169200000 Site Address' 403 S LINCOLN ST PA l Quit I Taxpayer: PRICE KEN W 5418 S OLD MILL RD PORT ANGELES, WA 98362-1972 5418 S OLD MILL RD PORT ANGELES, WA 98362-1972 Title Owner: PRICE KEN W Description: L TS 8&9 BL 169 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as SenlorlDlsabled or Current Use programs (except Commercial Forestland properties). Land Value 224,000 Improvements Value. 402,800 Total Assessed Value: 626,800 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropnate planning or bUilding departments for Zoning and allowable usage of property. Use Code' 5900 OTHER RETAIL Land Size (acreage) .00 Note Acreage IS not listed for all properties In the Assessor's records More information about land size Tax Status Taxable Tax Code Area': 0010 Note' Zoning and zOning codes change constantly Venfy all zoning with the appropnate planning or bUilding department Building Characteristics: (Click on Bldg # for more details) JL Bldg. Type Bldg. Style Total S.F. BD BA 01 One Story 4900 Tax History Sales History Other parcels at this address: I Quit I http://apps.clallam.net/website/ sitis _ s. pgm ?address=403 &street= UN CO LN ST Page 1 of 1 &... 7/16/2008 216 'I j ';j , I '\ ; I Page 1 of2 Subway549 From: To: Sent: Subject: "Dean Dirks" <dean@deandlrks com> <RACSJTD@aol com> Tuesday, July 15, 20083 08 PM PA permission City Of Port Angeles, I am giVing Becky Tunstal permission to get a permit from the bUilding department and set up utilities services for the Subway In Port Angeles I spoke to Mrs Pangre on the phone today, who authorized this e-mail of permission The city needs to make these changes effective our first day of business on the 23rd Please send the bills to Dirks LLC PO Box 316, Wauna, WA 98395 (253) 858-1553 Port Angeles Account # 83183-156390 Federal Tax Id number tax Id 20-5332136 Dean Dirks Dirks LLC 5214 Tlmberlane NW Gig Harbor, Wa. 98335 Cell 253-225-9951 Fax 253-276-0182 www.deandirks.com 7/16/2008 CERTI FICA1'E.o~OF~"6CCU P ANCY -'~' '\~~ -.~ .~ . /\)' City of Port Angeles t.,....~.._ ~/frJ;1 Building Division "~\',: ,~ ~ This C.#~;ji&ii;litt ISs.ued f.~rsuant to the requirements of Sectio;:"J, 09 of the Uniforrf Building Code ce~tifJlr'!!i:fl!fJU!!. the tlm(f.,Of~.~f,e this sl1i}fcture was In cfmpiiance with the variaMs''fjrdi~~''!!.f.i~~ .q,!r~ti#f#ilJK alii/ding ,r. construction,<J1' use. ~~'fiitrhJltig: ~. t' ',," .' . ~E\ .. \ UseClassificationESpres~b/specialtY Coffee Building Permit No. '.' ~'f M ~; Type of Construcnon VN Use Zone ,~ ~. OwnerofBusmesslResidenceL~da M. Berglund Mdresil24 E. Angeles, '" Bwlding Address 4 2 2 ~----- .... '. ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE J)f C- ~ ( 200u ?oY'f.Avl~6les I Wll\ q~~G?2- Phone: busmess if/l ~ 5 40 ~ome Lt'57 -oqq~ Brief description of proposed business: legal Description:? lot , Current Use of Property: Zoning Classification of Property: 8"t~ O~~,.C ~ Block WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical 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 ~ NO -- v" -- v -- -----1L... _ v" _ v -- V -- -~ -~ -~ -~ v a/ -- v -- ,,/ -- ~- ~- ~- V I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the mformatlon I have supplied is correct to the best of my \ knowledge. REJECTED Building Section Public Works Department Planning Department Fire Department 1~12-ot - ~~ /-25- O/--kiJ{; \8v '-/2 -OJ City Clerk P.B.I.A. New Business ............................ (t><.) Transfer of Business location. . . . . . . . . . . . . . .. ( ) Change of Ownership . . . . . . . . . . . . . . . . . 0 . . .. ( ) New Building ...... 0 . . . . . . . . . . . . . . . . . . . . .. ( ) Remodel. . . . 0 . . . . . . . . . 0 . 0 . . . . . . . . . . . . . . . 0 ( ) Temporary Business ...... . . . . . . . . . . . . . . . .. ( ) Change of Use . . . . . . . . . . . . . . . . . . . . . . 0 . . . .. (oX- ) e.. Subdivision TPA 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 Date: ~ C . (p ( ,;)000 Signed ~ '1th- ~ Comments / Conditions ti 'l4ir~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER App11cation type descr1ption Subdiv1s1on Name Property Use Property Zon1ng Application valuation 05-00000903 Date 505854 403 S LINCOLN ST.4&5 06-30-00-0-1-6920-0000- ELECTRICAL ONLY 9/26/05 COMMUNITY SHOPPING DISTR o Owner Contractor PRICE KEN W 5418 S OLD MILL RD PORT ANGELES WA 983621972 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permit Additional desc Permit p1n number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES EL/ 1-5 CIR 60772 ANGELES ELECTRIC 61.30 Plan Check Fee 9/26/05 valuation 3/25/06 00 o ~ \> \A 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 t (; g ~ ~ .\ 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, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO I JI' I'( :H RClllnl-l_IN I COVER ~.hK V ICE ~-'3....(!)'5'" I.MU GENERAL COMMENTS: PW.II02.J$(4I96J ~ o 00 , ::i -D (j) . Post on the premises in a conspicuous place. This -J: o \JJ .~. r- _A :5 Q - :5 ~ ~ ~ -+0 rype jY1~ et} OZ:-lB-D2; ~ e~ ;)/ . . CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # O<B -\.'l.q CITY OF PORT ANGELES Attn' BUlldmg PermIt TechnICIan 321 E Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 " Print In Ink BUSiness owner's name BUSiness owner's home address FEES ~o 00 - Certificate I InspectIOn $1O~ Parking BUSiness Improvement Area (PBIA) fee charged for downtown locations 1-10 U;..J -e.- IT 5, E IJ-e I G 4o~ oS~ Go ...s L f VI f.-"0 I li:oJ{JM 51..(V/ Phone # {.,vA PLEASE NOTE: A Business License IS also reqUIred for the following bUSinesses Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ./ New busmess Transfer of bus mess location from a PBIA location Transfer of busmess location from a non-PBIA location I Change of ownership ./ Remodel Temporary busmess Change of use Will THERE BE ANY OF THE FOllOWING? NO// YES/ IF YES, CONTACT Electncal chanCles ~ Electncal Dept at 417-4735 New or relocated slans ./ BuJldma DIvIsion at 417-4815 Construction changes .// " Mechanical chanCles (heating, coolma, stoves) /' ./ " Plumbing chanCles ,../ " Fire spnnkler system chanaes v / " Fire alarm system changes // " Is this a home occupation? ,/ PlannmCl DIvIsion at 417-4750 Second-hand dealer or pawn broker? ............./ CltV Clerk at 417-4634 New or relocated sewer or water service /' Public Works at 417-4807 Excavation or filling of lots ---- " Work done In the City nght-of-way // " New dnvewav open lOgs .....- " Gradmg site drainage (parkmg lots, downspouts, etc) "" " Landscape Irrigation system (backflow deVices) /'" Water Dept at 417-4886 Off-street parkmCl .../'./ EXlstmg streets paved /~ EXisting sidewalks .../ Curb and gutter .../ Call for Certificate of Occupancv inspections before opening business: BUlldmg Department InspectIOn 417-4815 & FIre Department InspectIOn 417-4653 Please prOVIde a mmlmum 24-hour notIce for mspectlons Please sign up for utility services at the cashier counter, I hereby apply for a CertIficate of Occupancy, I acknowledge that I have read thIS appilcation and state that t e mformatlOn I have supplied i correct to the best of my knowledge Date?- ) ~ Print Name ~ e: Me;- ~vvJ Signature BUilding Fire PBIA Plannmg City Clerk Public Works Rejected Imllals & date Comments I CondItions Type of construction Occupant Load AutomatIC fire sprmkler system reqUired no yes T FormslBUlldlng DlvlslonlCertlficate of Occupancy Application Parcel Lookup . r . . , 't " Parcel Number 0630000169200000 Site Address' 403 S LINCOLN ST PA r ee'",'y?:~' F: 'T ~.,," I ,:Quif! 'Back Taxpayer: PRICE KEN W 5418 S OLD MILL RD PORT ANGELES, WA 98362-1972 5418 S OLD MILL RD PORT ANGELES, WA 98362-1972 Title Owner: PRICE KEN W Description: L TS 8&9 BL 169 Value Summary: Note: listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland propertJes) Land Value 224,000 Improvements Value' 402,800 Total Assessed Value, 626,800 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropriate planning or bUilding departments for ZOning and allowable usage of property Use Code: 5900 OTHER RETAIL Land Size (acreage). .00 Note Acreage IS not listed for all properties In the Assessor's records More mformation about land size Tax Status: Taxable Tax Code Area 0010 Note Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or bUilding department Building Characteristics: (Click 011 Bldg # for more details) -.fL Bldg. TYM_ Bldg. Style TotaIS.F. BD BA 01 One Story 4900 Tax History Sales History ~~ 111,631.25811 http://apps.clallam.net/website/sitis ~. pgm ?parcel=063 0000 169200000 Page 1 of 1 f\\e 2/13/2008 :'(pORT ""'" !::.J..O~~~ O,.~ "-~ ~ 'l,i;~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00001014 Date 10/24/03 403 S LINCOLN ST 06-30-00-0-1-6920-0000- LINCOLN STREET STATION SIGNS 2000 Owner Contractor PRICE KEN W 5418 S OLD MILL RD PORT ANGELES WA 983621972 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES WA 98363 (360) 457-1809 Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS 1 SIGN CIRCUIT STRAITS ELECTRIC 35.30 Plan Check Fee 10/24/03 Valuation 4/22/04 .00 2000 ~ ~ tA Qty Unit Charge Per 1.00 35.3000 ECH EL-COMM-1ST SIGN Extension 35.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.30 35.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.30 35.30 .00 .00 (A " ~' ~ ~ ~ ~ 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 \PLANNINGlFORMS\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng 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 iJ//t,j,:. /-c{;) 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 BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [4/2002] ~ hiiiii L~ ~ ~JC;;;..P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00001014 Date 10/15/03 403 S LINCOLN ST 06-30-00-0-1-6920-0000- LINCOLN STREET STATION SIGNS 2000 Owner Contractor PRICE KEN W 5418 S OLD MILL RD PORT ANGELES WA 983621972 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES WA 98363 (360) 457-1809 Permit Additional desc Permit Fee Issue Date Expiration Date SIGN 48 SF FREE 115.00 10/15/03 4/13/04 STANDING SIGN plan Check Valuation Fee .00 o Qty Unit Charge Per 1.00 115.0000 PER S- SIGN FREE OR PROJ 25+ Extension 115.00 ~ G VJ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 ~ "t-- .::, ('\ Cl .......... .:s 1Q . 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, jf construction or work is suspended or abandoned for a period 01.180 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. AU 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 v'olate or cancel the provisions of any state or local law regulating construction or the performance of construction. - _\, " j/L--. Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\II02.15 (412002) ...~ ' <- ~ if ~ t ~ J;; Cf -() - ~ 9 I~ Q t... "l ~ t=- ~-~ t, ;j rt f a.. I'd ~'dO ~ ~~~@~g: O~ ~ ~t>l~~~:>:l:~!ci .. ~ t" ~_>-3 &5 : 0 ~ I tI) tJj" 8 fJl I "l tIJ €8~~ ~.. ~~. .~~ '" : ~2 .. .. .. .. :?.. 1:>:16 '" I L' 0 0 I..,)....... 6- I t'l ~ 0 w ~;g c... t" "": '" : w:~~~ ~~~.;::i~ ~' : ~~~ ~~~~800:~: : ' 0 0 ~,," ,:;;. I c.,:::u 6~t>lOZS:Ul"" : ~'~H HOZ::;:'jZ' ~ , :~::; ~~~""8: ~ , ,"" 00' """, 00 I :>-3 8~ g~z: 0 z tv ~ (J)' ....J 000 o~o-,l' g z~ : o H o 0 , Z ", " ",~ m , " , , , 00 e:1O 2;)1titJ:l:::uo .@~~8:~~ ~~.~Ej:~Q ("J ><: \.C rT Z I o-i...... i H1~'Q:~~ t'l ~ t:po : 80 z nl=:. g: ~ z ;;j 2. ~: ~ ~~8,1-j 5~1;.00 ;;,051! I g):< : rT3:~: H1' Q' on' " 0 ,i: ,ii''< o . n ~ ~ Z o " ~ 00 ~ . o " " ~. o . " C . ~. o . . . "" zz 00 zz "~ , H 'HZ 'ZOO '00" '"~ ,~" ,"" '"H '00 "Z ,~" OO:~H :ij,tJjr) tI'[J)~ ......:t"'>-:l <, .., t"' 'H ," ," ," :~ ~ tt'f~ 't- 1;, (/' ~ r--' ~.l. ~'s ~ if" [ )f~ ~ :) ~ C) ~ -t w m o ~ ~ ~ H 00 o ~ :~~ :~~ , H , 0 , , , ~ , ~ , , , 0 'ww s ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY, Date Rec.' I 0-15-0 -~ Permit #, 10 Date Approved: Ib Date Issued: Fill out COMPLETELY and iu INK. Your application and site plan MUSTt#r COMPLETE to be accepted for review. If you have any questions, call, ) (360) 417-4815 V Applicant or Agent: -. ~ cl. ~\ (Oe--,v" + Phone: 510 () -. L.J )/ ~ / P> () 9' ( Owner: kc..-,./ Y(2..It<' r Phone: y f7~ Address: <.; (') ~ '5' , 1, I^--@O llt; CIty: \ :'-. f) /14"7' p~ Zip: ;? & 'S 6 ::1-. ArchitectlEngireer: ...L (f~ R r f 4- ~~ / ./ h" Phone: ....y ~":.2 ~ / It, Contractor , \ c:i j . c::: St1te License #: '. Exp: Phone: Address:c~ "3_~ #//("6 (j2 r/ City: r?1J /2../ ~p/~ Zip: PROJECT ADDRESS: -1/ c?~~ ~,<? ..1//1/ f'{)./-/(./ LEGAL DESCRIPTION: Lot: Block: ZONING: ?P?63 C,c; () Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Conunercial 0 Remodel 0 Demolition o Repair ~Sign BRIEF DESCRIPTION OF TH!t"PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATlON: SF, @ $ /SF, ~ $ SF, @ $ /SF, ~ $ SF, @ $ /SF, ~ $ TOTAL VALUATION $ 2C::::x:'J <:>D COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq, Ft. & Proposed Sq, Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % ~~~~ ~~~~~f ~t;):::~~ :'-]J::,~j:;, J :,V If ~ ~, ESA/Wetland(s): 0 Yes I2l'No SEPA Checklist required? 0 Yes ~o Other: (' ~<-, () APPR~~: PLAN:'/? BLDG: DPWU: FIRE: OTHER:_ BmLDING 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 mnst 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: 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, I hereby cerlify that I have read and examined this application and know the same to be true and COlTect. t am authorized to apply for this permit and understand that Ii is my responsibility to determine what permits are required ,not the City's, and hat I ust obtain such permlis prior to worn, T:\FORMS\APPS\Buildingpermit.wpd Applicant: ate: Ie? ~/S'r t? '5 ~ ) - ~~~ H~ c"lTe S~ H 12-, fLEl4 FleE I n -L11-J~ ~ ~Nirrn ~~ I.t; ~ I ~ +411+ 911fjl! ! - 1 W~ / ."" - , _. , , \ - --<.,-+ I i 'J.O - /----' --... 1 I; --.., , 1 I II + ' _ _.... 71 I 1 / ~L"-IL , -..) t.) G,J i - - ~-- - t-.. ~ , i , .. - 1=:t t:::t / "- , i \I' i ~ i I 'U ~ , t:=t ~11=j t=t f=:l l=f l=1 ft==i 1=f1 "-.:l _ _.._-L __P.kt~ n_ ~ .111.11'4' ~ L I NO?Lf-l 0p.. T1 o..t 4t7'7 '3. l-INet.:t.N % ~rreor=; -..:- ~,,/J~Vt?'1 r-.1U"'-~-. =J'.4IA"jl~1L ~~~ ~1!l-P1II'~ ~1<11't 1'10/\'" to'ol- e~\..-; . "'t'=,a, . . r).ktl4' ~ V~ - --- - .cn..~f ' -- - . ..... 'lJ' 4)/", ~~~.~:\ ~ ~~q~N '" ..5l ~ l "'I,~l ~ I '", / ~) '" . ~ rTJ ~- . '-/ .. ~ '.l> - . ~ f--- ~- :, (J . ;[' ~- II --- 1i ~ - - , ~ 11 , ... .,. I ~ ~ .r '.. -, I Iltl -I-~> ., . . . ". ..5l -' ~ ~ ~ "IAI --tl~jcjrn.m1 ~~Tlf)'" f'i,;."'i LUM'$!J' ..-1 ' r- tjlNII; '~T r I I 1 1 I j 1 I r 1 rl~l ~J-~ (I j ~~ t'l'-. I .LJ 1'-1,/ ~ ",~.,' a:tC. 'l~:')~i~,t.~ I, :;;: 01;,; I I", ,.,', ',e':~ ;i''';~' r~'~') ;~ ;:d~'::':: ';i:;~:~: ,:,'.. ;,' j ;:,;': I'I~' r"." "', ,nO ~,11er ,1at' ,'1,,11 ~ot prevent the bl"luwl ulioml ,,':~., 1".',:~'_ltE' r~r1l,'nng ll;~ cQ[!~tlm~ ~t enU!$ ill ~lid r ","'." .:C1!1~,'t<'11l" ~Ild ul'icr ~Jta, m fr~<Il ple","!'il hll' rill,. ~.p..r~,llnn' be'~g caHied en Hm"CII~N ...il~n i~ ._ 1.1,:,..'_orje"'"'1,,,,!'n'''''e'clt~isi"~ """"'''JIII'7'"'"('''''''''''''"'''/' ' !d::;:~",liJ~te 10/4 I'll, By ___) V l!,Ox i'-lJI. ,L",'I mN::'. f"T''' W/J'1.6 "I !lOIt C" 1'1",C. I!II ~ FilE '-'aqp'~ El.EVATll71i Y~"~Ild' .~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 06-00001021 Date 935250 403 S LINCOLN ST 2 06-30-00-0-1-6920-0000- ELECTRICAL ONLY 9/27/06 Application Number Application pin number Property Address . ASSESSOR PARCEL NUMBER Application type description Subdivislon Name Property Use Property Zoning . Application valuatlon UNKNOWN o Owner Contractor PRICE KEN W 5418 S OLD MILL RD PORT ANGELES WA 983621972 HALVORSEN ELECTRIC 1426 W 11TH ST PORT ANGELES WA 98363 (360) 457-7803 Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL HALVORSEN/ ALTER FRONT COUNTER 87122 HALVORSEN ELECTRIC 61 30 Plan Check Fee 9/27/06 Valuation 3/26/07 .00 o Qty unit Charge Per 1 00 61 3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61 30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 61.30 61. 30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61. 30 .00 .00 COMMENTS/ACTION NEEDED ~ \t3 ~ rt "1 )'- ~ ~ ~ ~ t CJ\ ~ ELECfRICAL PERMIT INSPECfION RECORD I 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 ACCEPTED COMMENTS I YES NO IJI I:H Il IUU.~-lli'll COVER ~"".H: VI(..... I I .........~ q:./~-"1, .A...A, ) I GENERAL COMMENTS: PW.II02.I'I4'96] d'~'~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .'21 EAST STIl STREET. PORT ANGELES. WA 9Rl62 ELECTRICAL PERMIT Issued: 4/20/99 Permit No: 6613 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ KEN PRICE 403 LINCOLN S 403 SO. LINCOLN Lot: 8&9 Port Angeles, WA 98362 Block: 169 Long Legal: 360/452-2221 Sub: TPA T: S: #3 Pare No: 063000016920a CONTRACTOR-----------------------------DESIGNER--------------------------------- PENINSULA SIGN SERVICE PO BOX 791 CARLSBORG, WA 98324 360/683-4294 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SIGN Occ Grp: Occ Load: Land Use: CSD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES-----------------------------------------------____________________ ONE SIGN AND FEEDER PROJECT FEES ASSESSMENT--------------------------------------___________________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Mise SIGN $32.25 TOTAL FEE: Amount Paid: $32.25 $32.25 --------------------------------- --------------------------------- -------------------------- TOTAL FEE: $32.25 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEIlL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPR DATE ACCItPTEll COMMENTS YES I NO ]gE -IN /I.;UVI:.K ~ V 11.;10 I L//Z-;/dIJ I I GENERAL COMMENTS: PW-II02.IS(4I96] .~.~ J~ \M CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 98]62 ELECTRICAL PERMIT Issued: 11/02/98 Permit No: 6463 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ KEN PRICE 403 SO. LINCOLN Port Angeles, WA 98362 360/452-2221' 'T: FIRST FEDERAL S: 403 Lot: Block: Sub: Parc No: LINCOLN S 8&9 169 Long Legal: TPA CONTRACTOR-----------------------------DESIGNER--------------------------------- COLEMAN ELECTRIC PO BOX 1326 PORT ANGELES, WA 98362 360/452-7194 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: CSD Electrical Heat Baseboard KW: Fu::-nace KW: He'it Pump KW: Fan/Wall KW: Service Type o Riser o X Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT ~OTES------------------------------------------------------------------- REWIRE OLD SMITH BARNEY OFFICES INTO OFFICES FOR FIRST FEDERAL PROJECT FEES ASSESSMENT-----------------~--------------------------------------- service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $54.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $54.00 $54.00 ============~==================== TOTAL FEE: $54.00 Balance Due: $0.00 C0t\1MENTS/ACTlON NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE . ACCEPTIW COMMENrS YIIS I NO -IN I If/lc,It?t' rJ>' ]ID<.. V IL "- . I I I . , GENERAL COMMENTS: PW-IID2.UI06J . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 71 cf .2 '1 DATE /0./.2(, ;1 r Installed By: ~ t:-,' ~ lV , 0 READY FOR r 1/'5 INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUN~E~~E VOLTAGE: /;uJ 02~ 0116 1f316' SERVICE SIZE ~ FEEDER SIZE AMPS AMPS Details/Description: CJ .s-o . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. A,lr"'1j(ROugh-in/cover O.K. , ~O.K. to connect service _~ k~ ~'"tJ. Final O.K. fk~,-;~~ &~) Site Address: CL.;;6 ;:j- 'I Installer: . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ":# ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ !fiS 7 {} Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Metsr Dept., Bottom: City Hall OLYMPIC PRINTERS INC. I-~ . Site Address: 0.3 0-4 Installed By: Owner/Business: Owner/Business Address: I o RESIDENTIAL ~. COMMERCIAL o . BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN Details/Description: CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. :s 7 C" / 8/Z.1/7C- . . DATE ELECTRICAL PERMIT o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS :;g. SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE o UNDERGROUNIi> SE.RllICE VOLTAGE: /2-0/ 2. ~ o SINGLE PHASE ~ THREE PHA99' SERVICE SIZE reJ-O AMPS !(&wlOV[ C T c//R-c-cI- rl1 c& ~ . /11 E~/lvq I IN.s 4// 3 ~ W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~o.K. to connect service o Final O.K. Site Address: 'I () ::s ~. L;~ Permit/Receipt No. 'J- 7& I Installer: 0fr... L New Meters ~ . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. 1&wJ Electrical Inspector WHI!E - File by address NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ .s-o ~ Permit Fee YELLOW - file by number GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC PINK - Top: Eng, Bottom, Customer . . . Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . , I. Site IAddress: , ELECTRICAL PERMIT PERMIT NO. t'lhO 3 DATE 1/>;/'1 J EADY FOR INSPECTION License Number: , WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: OWl"!erfBusiness Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) . () , (list below) DetailslDescription: ~ i( S ( K*IUJ: ~JOj' / ~;:;~~ o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary Amps . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for instailation o Fire Department notified of inspection o Plan Review approved/pending Installer: ~ Permit/Receipt No. Site Address: :;::2 (gO r' New Meters . ( AJ.5 Notify 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 by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. I 5 I j 0 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;/.); tJ V Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18072 Port Angeles, wash1ngton......._2/..;;lL.?l..i.........m..... 19__000000 1// i In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to d6 electrical work as listed below. ~ddress .....<;:.;iy::2:~---I-~.-J.~~~ooo.~..:~-);.c;.~.({L----. occupancy.C.Q~.~__~cs:j.J./__.____.__ Owner _____.___J:::L~L___...______oo.____jLoooo.___5___..,oo___,. ~enanLm__..oo~.m.."moo..\~______ooooo_____.oo___ooo.._____oo... Wiring Contractor .__A::t:!.~.~l~;'J___oo.EL.!':!:~.L... BY...___.,e::d:..",oo1J.~~...________.__.oo..__ Light Outlets..............................._.._..... Receptacle Outlets............................... Service, volts ....................................... No. wires ....................................... Dryer, KW........n...n........................_.. Size wires..................................._.. Range, KW m.mhmh.mmm._._n Water Heater: Main fuse ....................................... Enclosure ................................. KW.m.......m..m...m Type of wiring: Entrance Cable ............................. Heat: KW................................................... Motors: size, volts and phase: Rigid Conduit ......................... Metallic Tubing ..................... Current transformers: No. & Size.............................. Ser. No.............................................. Ser. No.............................................. Ser. No............................................... Total Load............................. Sec. No. ................._.......................... Remarks: oo___...______mmoo....____.___...__ooo.__.___oo.moo......m...___.___..oo.___.___oooo....._____m___oo__'OO______'___OO"oo______.moo.oooo..."___ Total....................................... Type of Wiring: Armored Cable .............................. Non-Metallic ................................_ Knob & Tube.................................. RIgid Conduit ............................... Metallic Tubing ........................... Raceway ........................................_ Circuits, Light....................................... Utility............................................. IIeat ......................................._...... Range ............................................. Water Heater ............................... Motor ............................................. Dryer................................................_ Furnace .........................'_................... ...-----...----..-.------....-.-------------._._..______._._..._______........._..._.nn...._.._____....h_..________._.....________h_.____________..____.___._..._.__._._____ ._.....__.......UU.Unu_..._.......nnn........__h_h_....U.....nn....uu....h__nn__.........__.n......hhUn._._.......n.__.........n.............__u...... Permit Fee $:.00...00______...__.________.....___. Treas. Receipt No......__..___.oooo........... By --------.......------......__________._________...m.______....______. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 80 7 2 Address ......Yt!.;;?,.....m.;?.L~.=~\..~.:!..:y.~:..I..r.l.m.m......................mm..m........... Date...h.6!.3./E.r........._......_m...... owner..5E~2.'i?T.~...._1'(J..:n.r.5nL\2.t.!..m.......m..m.......m......m..n.n.Tenant.mm....mf.......~..m'..................mn.....m ...., -,. -"-, 4.. \'." Wiring Contractor......hn!.':\.(Ltd..'?.,)........:t::.....~~.""L:,""f.',......m.m..........."",'m""m.m BY.m,&m.::::..,...,.2}.,""""'.~'"'1(.LLn o ' . V NOTIC~urrent must not be turned on until Certificate ot Inspection has been issued. If work fs to be con. cea.led due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. 9t Electrical Contractor o Annual Permit 0 Alarm ~ ..'1l1iiiiIl "-.~.. ~t- ~....Ir o Owner ~...o o Carnival ~ Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. ELECTRICAL WORK PERMIT APPLICATION' astRequest Inspection !< Job wired by 0 Electrical Contractor ~ Owner Electrical contractor name License number Installation description RFLDcJl.rGD '!?JA7L.1U IL/CIIT sit/ /ilJL.J/tN?5f3AJs ii/EaRle Purchaser's mailing address 244Z J.7/1JCF' 1?0 City PORT A-JIIbm~ Telephone number State ZIP .9i? 863 FAX number 4 Premises owner's name LiM.N C;TIrR p~'Jj)ay ttJ/t)./S' Address of inspection .'J Ii '3 .<;0 1.lk'CiJl./f/ .<)t.../r7l... 'Z- City PORT /f tJ c. r; t./~<6 I hereby cerrify that I am the owner of the above named property or a Jicensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash 0 Check # )iJ Credit Card (jjiP Mastercard Discover Card# __JL!,!J.Ike..._-____-____ Signature of owner, electrical contractor or electrical administrator X~ Expiration Date / of card {;/; '3iJ / WALLS "' Insulation Only Dale Approved By Cover Dale Approved By / CEILING Insulation Only Dale Approved By Cover Dale Approved By THERMOSTAT Dale Approved By DITCH Dale Approved By SERVICE "' Dale Approved By ./ / FEEDER "- Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Waif KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD1D3 Service Size: Feeder Size: Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ~,N~ S~ '" . '-'W'i \. 'J'"' -,.. ELECTRICAL WORK PERMIT APPLICATION . Electrical contc3ctor name License number Date Expires ~v.Mt'.S Illstal~ dc~crjprion lit""Eommercial CJ Rcsidcarial o New ~d/AdditiOn (iJ~ ~ 1&La J J"b wired by lectrical Con tractor 0 Owncr Purchaser's m.tiling addrl:ss City ANGELES ElECml~, !Nt:. 524 EAST FIRST Telephone "umber PORT ANGELES\'MIA>~62 -~--i". - Premi~e~ owoer'!l namt: ~':,JI~!Z-. s;:- {;t'3 City (fttt Ph<,ne. number to srbedulc inllpcl:tiou: s C<<AL blk/-rt& sr) ~ #5' Owner CIS d(fim:J by RCW /9.2,'j,2t51:(J) Owner will occupy the srruaure for two years after this el€GTricCll permit is finaJi;;(..'cl, (2) Owltf:,. is I'(!qtlil'ed tn IIi,.!!: an dectrical' ,oof/traciQr if'aboVt~ nila property i~.ti),. ,falt:." reAl or least!. After ~ading the "bove S"latel1lent. I hereby certify that I 3m the owner of the above named property or ::t 1icen~cd electrical contractor_ I am making the electrical U1S1;l.i- ladem or altcration in compliance with (he electrical laws. N.E,(:., ReW. Chapter 19.2$. WAC. Chapter 296-468. Tllc City of Port Angeles Municipal Code. and Utility Specifications. Si2naruc'c or. wner, electrical contnctor or c1cctric31 :tdminisr ator CI Cash 0 Check 1/ o Credit Card Visa Mastercard Discover Card# ____-_-LJAL-Jql.l:::.----__ x Date: Expiralion Date of card .El.\1.s;1r.~al Load Additions and or subtractions Q NO LOAD. CHANGES a Baseboard KW CJ Furnace KW (J Heat ~ump Ton LAR o Fan-Wall KW CJ Overhead SSl'\fice ::J. Temp Service a Underground Service -7 Voltage ~ Phase Q 1 Q 3 Service Size: _ Feeder Size: __ SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 h--ROUGH-IN THERMOSTAT SERVICE Dll1t; Aflflr<'lvea Ky D~t" --APII1'(JVQ(1 Hy O;llo; ^I'J'Mv<:d ~)' .r r FINAL DITCH FEEDER 9-;;..3-1:>S' A0 '- D;llo; "'~'f'TI'IVcd ~y OllIe ^l.lp",.o1 t!y Ol!.!" AIlPr<.>vCl.IBy/ lnspcl;lion Area, Building or Equipment Inspected Action Takeo Electrical Date In!lpcctor .. .. .- ~...~~~ ....'._M /?CO 9h./ ~,--' . / -. / / I (;-d 59(;6 (;5V.09E JNI JI~lJ313 S313~N~ ~o~~ ~~E0'0L 50(;-RL-R " , ~Jectrjc.l cOlliraetor /lnslll11ation descri{ltiOI1 Job wired by D o.wner !iil""Commen:i.1 O' R.sld.nll~l ----< ~w . Bltcmce.! CCtltra~tor pame Licensl; number pate E:xpirei o Altered/Addition Al.A.e(\,\~A.l' \) ":!:teL J>,.lAexY\SSOii?,)PW /0...'.... ( ~- p.J.fchasCT'S mail g s:::ldre's I PD e,D)( Cj 9- .4LA~ -Sr€.t"'\ --.- Ci~lAf'I\yP vJA- Stale ZIP . 9~i~71 (VI 011 0 t-4 Sf,- N.<.,,~.r~ ---.. . I2~t1;~";e73/~ .. .. fAX number "zs~. 81'9', ,z1~ . " --., Pn~I11"~U ownu's Dame f34vJ SVf::,WA-y .:xt-1<.. . - --'- AoJdren of Inspe.dioD L'I'\c..oln -S+. # 5:-- L..JO '3. ~vt-h .~ Clt1ft> A....q'e~ R-r -- Pilon!! number to Il:b.edu\f: lulpE-crf.o-D: Z-?~. '19'1, '1!>I~ O.\?Tt.r as dr:fin.-ed by RCW19.28.261:(J) Owner will occliPY the structl1uJor twc> )'w/'S oft>>' this I!!I~cfricaf ~1"mit iJ finaliuJ. (2) OYJJt~r is raquired to hire cPZ electrical CC'.'1t1'acfor if abc\ll said pr(Jp~rty is fo.,. sale, rent OJ' l~a.re. o Cash o Cbuk # AIler t~ad;"g the abo\'';\ St3lo:ment, I hexcby ct-.rtify that I am the owner of tDl1: above ~",ditCard ~ n:uucd propert)' or a 1i~{lsed tlectric.al contractOr. r am maJci.1t tbe electrkal instal. Maste,oard Disco~;r l~tion at alteration ill compliilnce. with tllC etectrical1aws, N.E,C.. R,CW. Chapler CordI! 19.28. W."..C. Chapter 296-46'8, The City of Port Anscle6 Municipill (odEl, 'r.d U.-ijity Specifi~titJn~. ChriS H-rl/Z..A V"Slg11actrl"e or owuer,. eJectrlc:sl cDDtnl.etor or electrlc.:al admin.istr<lror Expiration ''i' S " . ..' .,,' .' , . P.131 ELEcnuCAL WORKPERMlT APPLICATI(:; ~ t . Electrical Load AdditIons and or sublraetlollll o NO LOAD CHANGES o ea,.board ~N o Furnace KW o Heat pump _ Ion _LAR o Fan.Wall KW SAl\-lli DAY INSPECTION CALL BEFORE 7'00 AM 360-417-473S Service InforlJ1ation o Overhead SerJie~ o Tr'mp SaNIC. o Underground Service Voltage _____ Ph as. 0 1 0 3 Servic.c Size; _ Feeder Size: , . ( ROUGH-IN " r THERMOSTAT r SERVICE -, \ ~~ \-o,a- --) \. DlII_ Appfll\"-.l By '- [l1\0 Approwd5i " / FEEDER "' FINAL DITee: /:/2-1 In ~ A1d7 0 ^pp~yt\1BY "= Dlllt ApPfClYodC,/ Dltt Appl"O\.~9f Il1speetion A".. Building oc Equipment Inspected Actiol1 Taken f.k..lfic.3: pate Ir,sJ'c.:.t.., - ~ -- ~ ~- l---~-~' . . - - ---,. --- - - ~~ -. ._- -- - - ,~u -- --I--~ - V7?:2 '3 I - \ _._~ .__J_._-_.. , ~ - '. ;t 10/21/2003 10:50 FAX 36045i4698 STRAITS ELECTRIC I4i 01 ., b/~ ELECTRICAL PERMIT APPLICATION . ------,....------...--... FOil. OFf1ClAL USE OfllL'f D:I~: f'l::m1:1I_: D;,.1~A.ppru~: O;dtl'illurll; The ElecuicaJ Permit Application must be filled out completely, PleASe \)Ipe or reprint In Ink. If you ha... any questions, please coli (360. F"" number. (J60) 417-4711 awn.ror.Eloe. CcnlnldorAgent Straits Electric Phon.' PrnpertyOwner. ~Y1LOI VI 8-tcl ~ Address: 4f'V\ ~ Un~ City; fA- PhOne: Credit Card Holder Name: Straits city: ~ ELECTRICAL CONTRACTOR Electric u~.:STRAIE*O~DS Port Angles, WI\. 9/03 tip: '1~~2.. P/1on.' 452-91 04 Zip: 98362 Electrical Cont.r;;ictcr. Straits Electric Addrnss: P.O. Box 2914 INSTAllATION WIRED BY: DOWNER Billing Address' P. 0 _ "ox 291 4 Exp. Date: ~ WA Zip: 9 8 3 62 VISA:~MC,- ~l~t~ PROJECT ADDRESS' L ftJ3 ...5 LlAf'!BLN~ sr, TYPE OF WORK: Check all that apply: Lj/'New o Alteration/Addition o Residental 0 Muttl-famlly ~ Commercial 0 Mobile Home Sq. Ft. o Septic Pump o Low Voltage 0 Telecom. 0 Sign o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool Number of Circuits added or altere<l: ~ DESCRIPTION OF THE ELECTRICAL PROJECT; ~8t1 c jy-r LLl1- Eleclrical Heal load Additions 4/oQ. Service Infonnalion o Baseboard o Fu maCt! o Heat Pump o Fan-Wall ,/ _IWI IWI _IWI _IWI o OVemead SelVice o Temp Service o Underground SelVice Voltage: Phase: D 1 Service Size: Feeder Size: D 3 PAMC 14.05.060(8): For industrial. commercial. & residential projects larger than a duplex. a one - line drawing of the Electrical Service & Feeders. building size (sq. ft.). load calculations. and the type & of conductors and/or raceway is required and shall 8<COmpany the Electrical Pennlt application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibilily to determine what permits are required; it remains the applicants responsibilily to dete . e what permits are required and to obtain such. er/Christie Tucker ~ . slgnat~, PW.9019 It( - Nb CdY\+td- vJ/ ~ .Co.-' /)/l . c.(ut-rh"'C-c, ,frf1)ot>'\.. "S>T ~r ~C~ /~Jh'r Dale: Date:IO~2-l--o.3 U/., , ~(Il.L &'0- 'lLf".cf..L...... ~ 35,30