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Home My WebLink About114 S Lincoln St - BuildingApplication Number 05 00001143 Application pin number 591608 Property Address 114 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3185 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Owner G M LAURIDSEN CHARITY TRUST C/0 KENNETH DOOLEY PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 Charged 61 30 00 61 30 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES. WA 911362 Contractor THE ELECTRIC COMPANY PO BOX 1471 PORT ANGELES (360) 457 7120 ELECTRICAL ALTER COMMERCIAL THE EL CO TAN BED 65615 THE ELECTRIC COMPANY 61 30 Plan Check Fee 11/18/05 Valuation 5/17/06 Qty Unit Charge Per 1 00 61 3000 ECH EL -COMM ALT <5 CIRCUITS Paid Credited 61 30 00 61 30 00 00 00 Date 11/18/05 WA 98362 Due Extension 61 30 00 00 00 0 0 0 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE& INSULATE OR CONCEAL ANY WORK BEFORE 1T IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMVIT$ FINAL GENERAL COMMENTS: YES I NO o e176c,1 1 1 J 1 rw- no2.I3 PREPARED 4/07/05 12 56 11 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/07/05 ADDRESS 114 S LINCOLN ST SUBDIV TENANT NBR FITNESS WEST CONTRACTOR AIR MANAGEMENT SERVICES LLC PHONE (360) 340 6618 OWNER G M LAURIDSEN CHARITY TRUST PHONE PARCEL 06 30 00 5 1 3185 0000 APPL NUMBER 04 00000967 MECHANICAL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 /07/05 JLL MECHANICAL FINAL TIME 17 00 Doug 452 1118 COMMENTS AND NOTES Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application description Subdivision Name Property Use Property Zoning Application valuation Owner Permit Additional desc Permit Fee rl Issue Date Expiration Date T• \PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000967 813401 114 S LINCOLN ST 06 30 00 5 1 3185 0000 FITNESS WEST MECHANICAL PERMIT Qty Unit Charge Per 1 00 36 4000 EC EL -LOW VOLTAGE CENTRAL BUSINESS DISTRICT 41001 Contractor Date 10/21/04 G M LAURIDSEN CHARITY TRUST AIR MANAGEMENT SERVICES LLC C/O KENNETH DOOLEY 3055 NW COLONIAL LN PORT ANGELES WA 98362 POULSBO WA 98370 (360) 340 6618 ELECTRICAL ALTER COMMERCIAL THERMOSTAT WIRE 36 40 Plan Check Fee 00 10/21/04 Valuation 0 4/20/05 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 61 70 Plan Check Fee Issue Date 10/21/04 Valuation Expiration Date 4/20/05 Signature of Contractor or Authorized Agent Date Extension 36 40 00 0 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Fee summary Charged Paid Credited Due Permit Fee Total 98 10 98 10 00 00 Plan Check Total 00 00 00 00 Grand Total 98 10 98 10 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 fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. 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 coTsti ction. 1 S ('®9 Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: 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 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 I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 1 I FIRE DEPT I PLANNING DEPT 417 -4750 I 1 t 1 1 PLANNING DEPT 1 I `ry 7 BUILDING 417 -4815 I "m L) J-J-- 1 1 BUILDING 1 T \PLANNING\FORMS \1102.15 [11/14/2003] 2004 /AUG /11/WED 10 39 AM CITY OF PA BLDG DEPT FAX No 360 417 4711 Applicant or Agent: Owner Q I Address: (o7-c Architect/En r• n gm e BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have auy questions, call 1'ER1S4TTS (360) 417 -4815 FAX(360)417 -4711 (-)L* Phone: (ugh 4 tx Fiv�Ctf Phone: tg t -2D g City \f Zip: 9 e l �o D Phone: Contractor Ftxe -of State License K.1 X Exp: Phone: Address: �eQ an_ n J. City Zip PROJECT ADDRESS: S c 1e —VAA. p r.) ZONING' C N LEGAL DESCRIPTION Lot: 1. f g Block: 1 1 Subdivision:- u A. CLALLAM COON IY PARCEL NUMBER. 0 G3 3 o o o 'S v A d' Ind Ae.wr,.�...tT .Serruuces keN6 MGus- v 601346 6F, Ie Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr. Multi- family Addition in Commercial Remodel tI Reps 'Situ PLANNING USE ONLY Re -roof Move Demolition City O Stove Garage Decic fi-Offier jj' f CL— ESA/Wetland(s): Yes No SEPA Checklist required? Yea No Other. SIZE/VALUATION- Exp. Date: SF /SF SF /SF SF Q /SF TOTAL VALUATION BRIEF DESCRIPTION DE (ON OF THE PROJECT a �CN 1wT� COMMERCIAL/RESIDENTIAL. Occupancy Soup: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft TOTAL Sq. Ft. Total lot coverage 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 Building Division to comply with current fee schedules, Contact the permit Coordinator at 417 -4815 for assistance. FLAN CHECK FEE. IF a plan check fee is due it mast be submitted at the time the building permit application and construction plans are a ubmIttedd_,All milt fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permits 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that l must ob ain such ae its prior to work. :1R G- forms Bui1dtn ermit d A plicant: Date's l�( l y T VESSIBLJ� 1 P a'P P 7 tol r P 001 /001 FOR OFFICIAL USE ONLY Date Rec. /0 Z Permit cD41 -3 4:37 Date Approved: Date Issued: APPROVALS: PLAN BLDG: DPWU• FIRE: OTHER vr Cc' 017 Se r„(-. EyOrs-r t_jne Mira- j1:4FIN-* eX F, t 41. 09/22/2004 05 30 3603943769 7ebtaffeaff 1% TWE018P1306 18000 1% TWE018P13FINer71109 18000 2 TWE024P13013 24000 2 1W1102,4P13FINAk110 24.000 2'h TWE030P130B 30.000 2'h 1Y. E03OPI3FEWAtTas 31000 3 TWE038PB 1 130 36.000 TWE P131 Glen 38.000 3'k TWE042P1308 42,000 3'Fe TWE042P13FB(Nr111& 42,000 4 TWE048P130B 48.000 4 TWE048P13F13(AWTiier"148.000 5 TWEOBOP190B 56.000 5 TWE060P13FEKAIrTildnil 58.000 5 1WE063P43000 60.000 5 TWE083P13 BOs (AtTI"h8D.000 TXV Table AH-7-B Accessories Model Number Description TbbI. Al -7-A- cu.wsitibls 900/23er1 Tons Medd No. C Unit eollrla Fccv TxV TXV TXV TXV TXV TXV TXV TXV TXV TXV TXV TXV TXV TXV TXV TAYPLNM100® TAYPLNM101 TAYBASE101 TAYSASE100 TAYBASE102 BAY99X123® 0AY24X038 BAYSPEK140A See Heater Tables on Pages AH•12-AH -13 For complete egUlpment oonlbblallon elections, plass, refer to Product Data. Split System Air Handlers Single Phase 1 through 11/2 through 5 Tons TWE-P Convertible Air Handlers 12,0 SEER Ships horizontal converts to upflow v itae by standing unit on end Six -way convertibility horizontal (left rlgttt);tront rear access; upflOw. dOwnflow "1 man" installation opportunity Electrical, refrigerant, condensate 8 brewer access convertible to either side Compact 21• depth for easy butallatiorl Corrosion resistant galvanized metal with attractive finish Superior condensate performance Enhanced internally finned coil tubes Direct drive motor Fin Spred it W OpenIngtDe 3 43421.5421 3 43421.541 3 43421.1'21 3 43421921 3 4121.5)21 3 43421.5421 3 45421.5421 3 45421.5421 3 51.75423.5421 3 51.75423.5421 3 579042921 3 57.90284 21 3 57.90520421 3 579045421 3 82.75,28421 3 62.75X28'21 Pedestal Plenum Upflow Pedestal Plenum Upflow Downfiow Subbase Downllow Subbase DownHow Subbase Knockout Cover Plate' PIug-M Speed Change Relay KR Shale Power Entry Kit AIR MANAGEMENT SVC 114 114 121 121 121 121 135 138 166 165 188 188 193 193 211 211 5111Jo aiming awn nal Include amp. n¢e4aMs dud logs slows lor slush wih14 Inch bsxdddonor V. Inch w 1 Met ftIs 44s. 4J 11ro- cstsnst For 1V/E01e4R9eP winter on Oduweb for 4' Arerenw Oak 14 Merasn offer 1 rd (1 unit .140 pal ngdnd Y ap M.odb hood Y %obi AH-7 1922x12.02 or 18220 1.02 192202.02 or 1822x11.02 1922x12.02 or 182211102 1922412.02 or 18.222r11.02 1922412.0201'182201.02 192241202 or 1822411.02 19.22412.020'1822411.02 1922x1202 or 1822401.02 21.22412.02or20?2111.02 21.22112.02 or2022411.02 23.72412.02 or22.72401.02 29.72 11202 o r 22.72411.02 23.72412.0206-22.72411.02 23.72412.02 or22.7240102 23.72402.02 or 22.72x1102 23.7112.02or22.72111.02 Return 19.5x1$.07 19.541807 19.541807 19.908.07 19.5418.07 19.5418.07 19.5x18.07 19.5418.07 21.5418.07 21.54118.07 24x18.07 2441807 24418.07 24418.07 24418.07 2441807 Used With TWE01 8-060P T'WE048 -063P TWE018 -036P TWE042P TWE048 -083P TWE018 -063P TWE018-048P BAYHTR 1415BRKAB.1419BRKAB Mass 2042041 2042041 20412041 2042041 20442041 2042041 2041!040 2042041 2042D41 2042041 20428411 20425x1 204'25x1 2042541 20%25x1 2042541 PAGE 04 IA (Indoor Air Duality) slopedlhree draining pan, no standing water Versatile duct flange allows flush fit 8/4 ",1", 1.5' duct insulation Filter panel stamped with word "Niter+' 200230 volt primary 24 wit secondary transformer Low voltage wire nut connections R 4.2 1" foil face insulated cabinet External access to heater circuit breakers Polarized plugs for making electrical connections from air handler control box to heaters Non bleed expansion Valve refrigerant control TWE Air Handlers are approved for modular or manufactured homes 1 -year limited pens warranty Options! extended warranties Mfg P111 V V V V V V V V s sh sA Fihscih4n 9n M) 09/22/2004 05 30 3603943769 Atiffeaff %Waffaid Vid% AIR MANAGEMENT SVC PAGE 03 Split System Cooling Single Phase 1 through 5 Tons 1Ybl. 13C-3-A— Al1iwo. sot Oyskm Cooling Single Phan. (200-23011/80) Non Model Cooaop FCCV Bond nu. Co X 00 Motor IRMO 9n. N W 0 nb..l ROW MCA Fun On U. 2A7A1018A1000A 18,000 .049 26 20 19 127 82 10 15 3 /4 1 4 2A7A1024A1000A 24,000 .057 28 20 19 139 61 13 20 3 /4 3 /14 2A7 30.000 .085 26 29 26 168 79 17 90 3 /4 Vs 2A 7A7008A1000A *000. .073 28 29 28 174 77 22 96 7 h 1 /1 7A1042A1000A 42M .075 2e7 29 28 211 79 AQegla 11 (2A7A1) 2A7A1048A1000A 48.000 .003 29 29 28 218 79 29 60 1 2A7A1080A1000A 80,000 .092 37 99 90 2132 79 38 90 1'/. s 2A7A0080A1000A 60000 1O2 33 33 30 250 81 36 80 1 sh 0 Sound Mod In _mmrti„es TAO, &kI. am,.std 270 (1$t stoosOnd age) reanrren ROW 10 c+011. Phew .o em vdd, aim* PRIAM omlenn.nb. Fads for town fawn p,oduplw,. ..~- CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division ThIS Certification issued pursuant to the reqUIrements of SectIOn 301 of the International Building Code certifj1ing that at the tIme of Issuance thIs structure was m complzance with the vanous ordmances o.fthe City regulatmg Building constructlon<or use. For thefollowing Use ClassIficatIOn Business Buiidmg:P~~!t~o .-{)~--1 Q~1-:-;::-:':._~:i~~1l!ei~.N~~ne Fat Daddy's Tattoo. ro-",7~ . .. , " .~ - ......-~ - ....~~--- :- ~ -;:~.:...::..;::::::::~ Type of ConstructIOn V - N , Use,Zone CSD ~, .... = - - .......:: .-.........-..,.,.,.- Owner of Busmess Donald Chadwick. ~ BUlldmg Address 114"Lincoln Street \ 1,:' ~ Address 114 Lincoln Street Port Angeles, W A. 98362 ~~~J'~ <':C-'- Port Angeles, W A. 98363 ";!" ".,,,., "'~~ "Ii' v',... - < ,;, . : ~ ,-', ~ " ' .... "'-, .... .~.:.. {~',> -,.. .,;_,<t,:.. ,-~t,'.f:,.. ,"', December 8, 2006 . .",:-;" j""' , .. '" , Date , " ~ II. . ,,<, : ,:" ",' " . . . if:-~b-IObt V,O V ROUTING SLIP QPr' Certificate of Occupancy I ,n,;!$~a.60 Certificate/Inspection Fee 6J& DATE 2 Address of Propo~d B ~ige~s 1 1/'1 fJff!r Ap P'II cant - -. ~_~~Ulltfl- Address ' f W f2 ~tEa/11v'\ W?{-, erg ~3'- home %::1 6fY3/2f9 Phone: ,--' business Brief description of proposed business: ,FA-r ODDDY) TA-n-O c) legal Description: lot Current Use of Property. Zoning ClassificatIon of Property. 7?tIT~O Will THERE BE ANY OF THE FOllOWING? Construction changes . . Electncal changes Mechanical (heating, cooling, stoves) Plumbing changes . New or relocated signs New septic tanks New sewer service Admission charged to patrons Is thIs a home occupation? Excavation of filling of lots Work done In City nght-of-way Is there sufficient off-street parking? . New dnveway openings .... A grading plan for site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting Sidewalks? Is there curb and gutter? Other YES NO -~ -~ -~ - ----X- ~- -~ _-L - --:!.- ~-1- --L -~ -~ -~ -~ -~ *-- 2c== New Business. . . . . . . . . . . . . . . . . . . . . .. " . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership ..................... New Building ............................ Remodel . . . . . . . . . . .. ................... Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use .... ..................... ..-'\....- /3tJtJy ,J/ I E~c,',v b SubdiVIsion THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway Inst~lIatlon . '8) Curb installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire ~) Occupancy 13) Sign 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 ~ Tattoo shop 'iur' 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: ~ REJECTED BUilding Section Public Works Department Planning Department Fire Department CIty Clerk P.BI.A. 1/1. if/In 6 S k.. ~ ~6 --P~Tf .". /43 Comments / Conditions ()(1 ( ) ( ) ( ) ( ) ( ) ( ) CERTIFIC,ATE OF 'OCCUPANCY City of Port Angeles Building Division " " This Certification issued pursuant to the requirements of Section301 of the InternatiOllal Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building , ' constructIOn or use For the followmg Use ClassIficatIOn Busiriess Building Permit No 05- 221 Business Name Fitness West " s;; " Group: B V-N Use Zone CSD ~~t " Type of Construction Owner of Business Troy Olney-Linenkugel Address 230 West 11 th Street Port Angeles, W A. 98362 \.t ,I~ BUIlding Address 1 114 South Lincoln Street Port Angeles, W A. 98362 ,';, '" 11" - '~~'~'"'"'")Mjr:':'^:'i;:'~~?~':~:~~!;i;~r';;~~:;:;~:,~(~;~jj~~!,f~g~;~~~', ,1 :" " ,f ,~:;,>,;,;y.~';";, :, " ",,~, ,: ':;;;~,;itAugust '8. 2005 I <''\..Jo.',-,...'~ _,~ _~...I......<~~"",--,~-->""l"",~....,~-,,""'.:r.'W.:_~t'1i:1....~,",_:"':'- '."~_",,"-l"_',,,:~,-~ ",<:, Building,..Offi. :}l'r,<I "{);;M"P""" .....t"~l', 'lr<11r'r''>-'':e~':'F,I'' :,:Date 'j~"~'i' "'<~i~,/ :il~4~~~~~;;,. ;;;,K ,~~~\~;~r;k1f~J} " Post on the'pr:emlseS:lIl,:a~'fconsplcuous place. '4t;.~~~ ."", ......\o.1~:L)I;:f,',~p" '\4~-':.'~~ '~'l.~<~'~; jfr~ '.. . . Shall not be removed::ext;:~pt by"BUlldmg Official. .::% .'\~':""} h~ .~'" .. ,+ .. CERTIFICAT'E OF OC,CUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requIrements of Section 301 of the International Building Code certifying that at the time of issuance thls, structure was in c91npliance with the various ordinances of the Cay regulating 'Building :'; constructIOn or use For the following , '" Use ClassificatIOn Business Buildmg Permit No 05- 221 Busmess Name FItness West Group: Owner of Busmess' Buildmg Address: B I' r' ,., h /, C' V-N Use Zone CSD Type of ConstructIOn ,I", i Address 230 West 11th Street. Port Angeles. W A. 98362 . st<g 2005 Buildi "'''.r "'-""0,.-<<'" c...." .~.. ,Date ~"'.~ \~:I "~J<~:~~~H:<':(\ .:"~~C)?t~f,lt.:~ >r ;}:~' Post on;'the p'fei1i'ises.Jih~~~;.:~6~:~'~icu'~us place. Z~Yf ' ~:t ;V.f.:'" ->"'~'1t.~'~I1i t:".:. . ~{~if~'1o,..~ ~ < '< -.., r J.,-v. Shall not be rem()vea~'exc~pJ~by Building Official. '\" i:'~;,"';t.:"'~_"':....5' ~f"H ~,~;":t .. ~... ------. - ---:> r:- ,r-.----' , J-;+",~.s UJ~~T a.teTocc - 6;1?;0s - II ROUTING SLIP *' (3'5' - g.~' ~?ORT ~J\f ~O~Q~~ Certificate of Occupancy (j~~~<p .... -=.JII =- $47.00 Certificate/Inspection Fee ~ "t-SL/C wo~:~Cj DATE 3J'24t [os;. New Business . ....... ..... ..... ..... ..... ( ) Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( /~ \ \ '"I S. L."~GouJ s\ PoK7 A.J6-fLIE.5. WiQ. Change of Ownership . . . ... . .. . .. . ( , Applicant '~y OLtJ ~y - LnJ ~JJ k ...:J6-~ '-" New BUilding ........... . . . . . . . . . . . . . . . . . ( ) Addre~"""'Z3D vJ "i-h ST. Pl)[t.T AIf\JMLES.wA. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) , Temporary Business .. . . . . . . . . . . . . . . . . . . . . . ( ) Phone' buslness(.3G.o) LJ 5'2. -,II"/{ homeQIot:)) ,-/",- S J z) Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: F":r rt" F s.s Gs:;,N'l'E.~ legal Descnptlon: lot '"'1f,)Y Block 3\ SubdiVISion Current Use of Property: "f ;,t rN 1::-.<;;' <. Ch:N~ Zoning Classification of Property: ~~D Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes v PERMITS BUSINESS LICENSE -- Electncal changes V 1) BUilding 1) TaXI ,. . , , -- Mechanical (heating, pooling, stoves) ./ 2) Plumbing 2) Peddlers -- Plumbing changes . . -~ 3) Electncal 3) 2nd Hand Dealer New or relocated signs V 4) Mechanical 4) Pawn Broker -- New septic tanks V 5) Sewer 5) Dance . . -- New sewer service ,/ 6) Sidewalk Installation 6) Hotel - Motel -- Admission charged to patrons ,/ 7) Dnveway Installation 7) Fireworks -- Is this a home occupation? t/ 8) Curb Installation 8) Ambulance -- Excavation of filling of lots ./ 9) Sidewalk obstruction 9) Tattoo shop -- Work done In City nght-of-way . -~ 10) Water meter Installation 10) Other Is there sufficient off-street parking? t/ 11 ) Fire -- New dnveway openings ./ 12) Occupancy -- A grading plan for site drainage .... . . . -~ 13) Sign (parking lots, downspouts, etc) -~ 14) Shoreline Are the eXisting streets paved? v 15) Home occupation -- Are there eXisting Sidewalks? v 16) Conditional use -- Is there curb and gutter? v 17) Other Other - ---;;;r ................... . -- I hereby apply for a Certificate of Occupancy and acknowl- Date: 3/ 3D/ 05 edge that I have read this application and state that the information I have supplied is correct to the best of my Signed: It v.-;-/;/ knowledge. ( , A~~RPVEP REJECTED Comments / Conditions ~ ~ r 0(( BUilding Section I ~f Public Works Department y- S-O~- S(Z Planning Department K~{) Fire Department J-3J-DS-~eJ City Clerk !i</ P.B.I.A. / ! " ,.~.. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division Use ClassIficatIOn This Certification issued pursuant to the requirements of SectIOn 109 of the Uniform'Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building . constructio';';'r use. For the following:. . 'if" i;;",;' ,~, ,'~ ~,,~""' /,\" ,-o;t~~ ,:::",/ Fitness Center, Butldmgpe~tN~:: _ .BuslneSs~Na~t':Fitlless\Vest ': '1" ,~"~,,\::, ~,' \'V"~';~~it:t~:~ '0,., . . h'. "; eqJse Zone. CSD Group A-3 ., ,. '. VN \ ~, 'J \ Owner of Busmess/Resldence Bruce Fountain Address: 724 Tyler Street Port Townsend, W A 98368 BUlldmg Address C "n'," _",._.PortAngeles. WA 98362 . ," ;-.... .~ '$' '.':~:~:,~:~~o:;~:~)/ " O~"'~""-'';W't:-'';P':::::'"'0:':''' November 8 2001 BUildirigl~~j~!~l';'~ '. ,0'; 0 ,::::J:;~~\;g~~~E;;'?<i Date ' Post on the prem!~es"in. ai.~onspicuous place. Shall not be re"move'(j except by Building Official. ------ ~ .t=..\ +V\e.S6 We.sT n ~/'\i-k ~ ~ c:I!Jii8' ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE Address of Proposed Business Oil , I Lf .s L V\-i--O LV\.. ~+ ,rr W A Applicant ~(" u. e...t -' ~ 11 ...J-~ A~ess ..., ~ ~ TV( \.Ja.v ~ (r \ c5V-\- ~[~rv~ ~ ~ B 3(p~ Phone: buslnes~ home $Q.f\'\-e....... New Business ............................ Transfer of Busmess location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building .. . . . .. . ................... Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Bnef descnptlon of proposed business: ---.h-hv ,e.., (PI,.. Le./ legal Description: lot E. 32' 1.f1l; C\\\ ltO Block 3/ Current Use of Property: ?f\Nr ~c.,., c...e...",J..e..../ Zoning Classification of Property: (" ..."l )fV\.ll-\..Lvc.... ~ \ Will THERE BE ANY OF THE FOllOWING? Construction changes. . . . . . . . . . . . . Electncal changes Mechanical (heating, cooling, stoves) Plumbing changes ..... ..... ................ New or relocated signs New septic tanks New sewer service .... AdmiSSion charged to patrons. . . .. ........ Is thiS a home occupation? Excavation ot tIlling ot Jots . Work done In City right-ot-way . . . . . . . . Is there sufficient off-street parking? New dnveway openings A grading plan tor site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other . .. ... ....... ........ YES NO ../ ~== ~- ~- ~- ~- ~- ~- SubdivIsion N, R. SNlI TH CSD THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaxI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. /O-26-{)/ - 51: rnb (i.>-2..r'()l-~; t;/ k Comments / Conditions pa;d -6-61 v' S "'iir;" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Application description Subdivision Name Property Use Property Zoning Application valuation 04-00000967 Date .813401 114 S LINCOLN ST 06-30-00-5-1-3185-0000- FITNESS WEST MECHANICAL PERMIT 3/15/05 \ CENTRAL BUSINESS DISTRICT 41001 Owner Contractor G M LAURIDSEN CHARITY TRUST C/O KENNETH DOOLEY PORT ANGELES WA 98362 AIR MANAGEMENT SERVICES LLC 3055 NW COLONIAL LN POULSBO WA 98370 (360) 340-6618 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTE~ COMMERCIAL OLYMPIC/ HEAT PUMP FURNACE OLYMPIC ELECTRIC 61 30 Plan Check Fee 3/15/05 Valuation 9/11/05 .00 o -L Qty Unit Charge Per 1 00 61.3000 ECH EL-COMM ALT <5 CIRCUIT~ 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 [" :2 ('\ o ~ ~ COMMENTS! ACTION NEEDED ELEcrRICAL PERMIT INSPE~JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-ll02.1S (4'96} .... CITY OF PORT ANGELES ' PUBLIC WORKS - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I3UII-DII¥I,~, I"'1,=1~1¥111 ISSUED: 4/03/2002 PERMIT NO: 13329 OWNER/APPLICANT PROPERTY LOCATION 114 LINCOLN S G. M. LAURIDSEN TRUST 114 SO LINCOLN Lot: E. 32'LOT 17&18 Port Angeles, WA 98362 Block: 31 [] Long Legal 360/000-0000 Subdivision: N.R. SMITH T: S: Parcel No: 063000513185000 CONTRACTOR ARCHITECT ADVERTISING SALES & MORE N/A 1327 E. 1ST ST Port Angeles, WA 98362 , 98360-0000 360/452-7785 360/000-0000 PROJECT INFO Project Value: $0.00 SFD Units: 0 Commercial: 0 Project Type: SlGN/VVALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES 2 WALL MOUNTED SIGNS 12 SQ, FT EACH FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $60.00 TOTAL FEE: $60.00 Plumbing: $0.00 AMOUNT PAID: $60.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction ur 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 governi!~this type of work will be complied with whether specified herein or not. The granting of a permit does not com[ru L~n.Pr~u'mect~°j~e autl~o~ty/t~iolate/// or cancel the I~rovi.sions.- / of any state or local law regulating construction or the performance of [Si'gr~tu~e of Cont(c.dt;r~o~uuthorized Agent -Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE 01~ CONCE~tZ ANY kt'ORK BE]ORE INSPECTED.4ND .4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTED] NO COMMENTS FOUNDATION: eoRr [ FOR OFFICIAL USE ONLY: ~?,~ Date Rec.: ~' '~ BUILDING PERMIT - APPLICATION Date Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 41%4815 Applicant or Agent: /~<o~'~ ~t~,~4~ Phone: c,c~-~_ - Owner: C_~ ~-x ~c~o.:z,~¢..3 -r~x7 / ~'~,~-~ ~4~ Phone: Address: ~ x~ %, ~,.~'~ City: ~ ~c~e~ Zip: MchitecffEngineer: ~ ~ ~ ~ ~ ~ X Phone: Contractor ~g ~ ~ ~ ~ ~ ~ License ~: ~ c, ~ Exp: Phone: Address: ~ ~. ~,~7 Ci~: ~ ~x' Zip: PRO~CT~D~SS: ~ ~. ~c~ ~G: LEG~ DESC~PTION: Lot: ~ tq ~ ~5 Block: ~ ~ Subdivision: ~. ~ - ~ ~ CL~L~ CO~TY P~CEL N~BER: O ~ ~o o~ l g t~ Credit Card Holder Name: Billing Address: City:. Credit Card g: Exp. Date: VISA MC ~E OF WO~: SIZE~UA~ON: ~ Residential ~ New Co~. ~ Re-roof ~ Wood-stove ~ SF. ~ $. /SF. =~. · E Mulfi-f~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel u Demolition ~ Deck SF. ~ $ /SF. = ~ n Repair ~ Sign ~ TOTAL VALUATION $ B~EF DESC~PTION OF THE PRO.CT: ~ ~ ~ ~ ~ t~ q ~ ~, ~ ~ ~.~ COMMERCI~SIDEN~: Occup~cy ~oup:. Occup~t Load: __ Cons~c~on T~e: No. of Stories: __ Lot S~e: % Lot Coverage: Exist~g Lot Coverage: /sq. ~. + Proposed Lot Coverage /sq. K. = TOTAL LOT COVE~GE: /sq. PL~ USE ONLY: ~ ~/ ~PROV~S: PL~~ ES~etland~): ~ Yes ~ No SEPA Chec~ist required? ~ Yes ~ No O~: OTHER B~LDING PE~IT ~PLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for r~i~, The Build~g Div~ion can provide you wi~ more detailed ~fomhon on ~e application ~d pl~ sub~l requkemen~, Yo~ co~leted application, site plan (fo~ addifiom) and building com~ction plato ~e to be subdued to ~e B~ld~g Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the a~licant. ~s fig~e ~11 be reviewed ~d my be revised by ~e Build~g Division to co~ly wi~ c~ent fee schedules. Contact ~e Pe~t Coord~ator at 41%4815 for assistance. PL~ CHECK ~E: Yo~ pl~ check fee is due at ~e time ~e building pe~t application ~d com~ction pl~ ~e sub,ned. All o~er pe~t fees ~e due at ~e t~e ofpe~t issu~ce. EXPIATION OF PL~ ~EW: If no pe~t is issued ~in 180 days of~e date of application, ~s application will expire. Build~g Official c~ extend ~e t~e for action by ~e applicant up to 180 days upon ~iaen request by ~e applicant (see Section 107.4 of · e U~fo~ Building Code, c~ent edition). No application can be extended more ~an once. I hereby cert~ &at I have read and examined th~ application and ~ow the same to be tme and comect, and I am authorized to appOfor this permit. I understand it is not the Ci~'s legal responsibili~ to dete~ine what pe~its are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. Applicant: ~, ~ ~- CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/06/2001 PERMIT NO: 12846 OWNER/APPLICANT PROPERTY LOCATION 114 LINCOLN S G. M. LAURIDSEN TRUST 114 SO LINCOLN Lot: E. 32'LOT 17&18 Port Angeles, WA 98362 Block: 31 [] Long Legal 360/000-0000 Subdivision: N.R. SMITH T: S: Parcel No: 063000513185000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $3,500.00 SFD Units: 0 Project Type: INT. REMODEL SFD SQ FT: 0 Occupancy Type: '~ fl ~/~L--- 0 Occupancy Group: MFD Units: Construction Type: MFD SQ FT: Zoning Use: PROJECT NOTES REMOVE INTERIOR WALL REPLACE WITH BEAM PER ENGINEER DESIGN RE DRYWALL FEES ASSESSMENT -~. Building Permit: $97.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $101.75 Plumbing: $0.00 AMOUNT PAID: $101.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work ia 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 t have read and examined this application and know the same to be tree 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 co~jastr~ctio/r~3rl~//performance of construction. Signature of Contractor or Authorized Agent Date Slgnata/~f Owner ,/Datex- ~ / ~ a ~;r\ rVl , ~ r:J!iiI!! . F .~ ~ ~-e.. s <;. Wec~r- -1+ t- "I V\ e...s6 \Ne.sT ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee New Business ............................ Transfer of Business Location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New BUilding .. . . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business .......... . . . . . . . . . . . . . Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE Address of Proposed Business O!\ //4 5> L\vu_oQ LV\.. ~f rrr wA Applicant ~"l..l U ... ~ I J ..v\-~ A~ess 1 2. ~ T\..1 u.v ~ r \ (jV~ ~[..u~~ vJ1l\ &f B 3(pg, Phone: business&iPO)38r Ql~ home ~f'o'\....e..... , 5 - il \8 Brief description of proposed business: ~-hv,~ C ~ l..e.../ Legal Description: Lot E. 32 I Jf17 q.\\ l~ Block :$ I Current Use of Property: '=?rt"-' !:'\vu."., ~\...e.../" Zoning Classification of Property: (" ~<) 1fV\.Jto'L.lAJC-, ~ \ Will THERE BE ANY OF THE FOllOWING? Construction changes. . . . . . . . . . . . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . .. .......... Mechamcal (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 right-of-way.. ................. Is there suffiCient off-street parking? ... . . . . . .. .... New driveway opemngs . . . . . . .. ................ A grading plan for site drainage.. ................ (parking lots, downspouts, etc.) ... . ... Are the existing streets paved? ................... Are there eXisting sidewalks? .. ... Is there curb and gutter? ......... .... . . . . . Other. . .. ... . . . .. ...... YES NO ./ ~== -L_ ~- ~- ....1L.- _ ~- ~- pa~~d _~ ( V' ) ( ) ( ) ( ) ( ) ( ) ( ) Subdivision N. R. SM. TH csD THE FOLLOWING WILL BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Driveway 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 1 0) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: APPROVED REJECTED ~/)I Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. k Comments / Conditions ...t: (rl 1'-- ~ () o -.. ..s /' CERTIFICATE OF OCCUPANCY , , City of Port Angeles Building Division Use ClassIficatlon ThIS Certification issued pursuant to the requirements of SectIOn 109 of the Uniform'Building Code certifying that at the time of issuance this structure was in compliance with the various."C(rdinances of the City regulating Building construction or. use. For the following:, ,~. .-'''' , I > L ,\, '." !".' )'J~'i"'" 'If Fitness Center BUlldmgPe~tNo' _ .Buslnes~Name.' '.Eitrless'West " , ,j '," t, ,;,,~'J ~'-,~:',:'i'\ :, ~'J;, . ,; J type of ConstructIOn: 't ,'i, "~~'_, ' ~,il , .,; , '\' '1:1, VN , ' . ',':" {,Ise Zone ~~,~'~;.~~~! CSD Group A-3 ,'," Owner of Busmess/Resldence Bruce Fountain Address 724 Tyler Street, Port Townsend, W A 98368 BUlldmg Address , ._ _ . _ ,P.ort.Angeles,. W A 98362 . t;:"~':~<~'~':-'--" <:" <C.'" '<".;" ,":' .r;/' ~ c . .... ,C , ~ ..~ ". ..,~ ' _....~;~.:::".::':::~::;~::::;.;;""November 8 2001 . ";. f ~ . -" ' -.. "" " :_;-1" ~ BUlldmg,@fficJaI' ":0" ~'.' , .' "':'''':' . "',~"'v:'" ,; Date Post on the~'prert}i,s~s' i'n,a:~,onspicuous place. ~ t...-_"'--'f_"'~~""~ -.- , Shall not be removed except by Building Official. d'~';" .~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 9R~62 ELECTRICAL PERMIT PERMIT NO 6799 ISSUED: 11/09/1999 OWNER/APPLICANT G. M. LAURIDSEN TRUST 114 SO LINCOLN Port Angeles, WA 98362 360/000-0000 T:OLYMPIC IRON CLUB CONTRACTOR OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457-5303 S: PROPERTY LOCATION . 0 lIt( ~. ?/~ Lot: E. 32'LOT 17&18 Block: 31 c><:J Long Legal Subdivision: N.R. SMITH Parcel No: 063000513185000 ARCHITECT N/A , 98360-0000 360/000-0000 PRQ,JECT INFO Project Type: COML.REMODEL Occupancy Type: Occupancy Group: Electrical Heat: D Baseboard D Furnace D HeatPump D Fan Wall Project Value: $0.00 Construction Type: ADD CIRCUITS Zoning Use: o KW o KW o KW o KW D Riser D c><:J Overhead Service D Temp Service Underground Service Voltage: 0 Phase: D 1 D 3 Servi ce Size: 0 Feeder Size: 0 PROJECT NOTES INTERIOR REMODEL, INSTAL SAUNAS, MOVE FEEDER, WIRE CIRCUITS FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMJ;NTS/ACTION NEEDED ~ $69.50 $0.00 $54.00 $0.00 $0.00 $123.50 $123.50 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO IHlIlr;J-1_IN I LUVhK II/ztl/Qo 7lJVI SEt{ VICE ' " 'R I 0 i I ~n 1 /91.-1- GENERAL COMMENTS: P'W-II02.1S(4'96] l. J " CITY OF PORT ANGELES LIGHT DEPARTMENT -. ELECTRICAL PERMIT PERMIT NO. 0290/ /2/t/FO , . DATE I o READY FOR INSPECTION license Number: o WI LL CALL FOR INSPECTION Phone: Site Address: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Totai Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction l(l Remodel o Service update/alterlrepair o Overhead o Underground Voltage 01003.0 Service size o Temporary ~ Add/alter circuits o Auxiliary power (list below) o Speciai equipment (list below) Amps Detai I s/Descri ption: cJj ~ . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments _9 Ditch inspection O.K. .;fpr~ROUgh-in/cover O.K. o O.K. to connect service o Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters ---- o Site Address: . t of City Light by Street Address and Permit Number when ready for inspection. Work must not be covere 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. _ ~ _ NO OCCUPANCY OA USE ESTABUSHED UNDEA THIS PEAMIT ~ 0 ~ ~ Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPII: PI'IINTItRS. INC. / ELEctRICAL iNSPECTiON WIRING REPORT 457-0411 Ext. 158 DATE G -8 -88 PERMIT Ii ~ INSPECM I-- OWNER/CONTRACTOR ADDRESS /4 5. C/t1J Cou'./ APPROVED NOT APPROVED o ................... DITCH ................... 0 ~............ ROUGH IN/COVER ..............0 o .................. SERVICE .................. 0 . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0 Of';,,) I.J.Jllttl-'j - ~ {;)~r SELulU fA--ltl '>>JVcL, t w,te lNl/ll ~ "t> T .J '(!, 0/- Tb "fu..""-vV ~. ()..J l.G t/r . ~ SvvJ/ CL G ItdlJ AlD~ N tr.1J ~ 6r.. f.rff.A<.r.f) / ,~'ND 5t;.uJ'V>.... / w~ ,An:.,. Q'\ oR'W "s" i3"'~J M~-.JL ~A--'1'\.I. Qh fKl\.k / DtiAhfr.J} n. l J U"",q lW~f J ~--b .J (j)ofW Wtttl' f(,~1WEv/ -(S't ~O-)<" <; A-lJcJL ~~ ;(1-1.. (/J:>.J(Z1 (tv (Art(,r. /l/'vl. , r?J r {" (3 fJUJ 0 V L Q,-ft'fW.-M, ~ ,M"-/? ce C6u(,~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OL YMPrC PRINTERS, INC. (206) 452.1381 ........--,.- ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Instal!:Jion description lCt1':ommercial I:l Residential . ~ '\ Date Expires o New o Altered/Addition ~ '-. ~ ~ . 7147v 1://1'.;'(;. L5u::J 'D h~r'S name ~~ 7'-/ . :;.? .-$-0:;;: ::2 ,..,.. "' 5:';""' ~ ~ ;: ~":f.:.t!.~1..'; I 7~<- Owner as defined by RCW 19.28.261:(1) Owner will occupy the structure for two years afier this electrical permit ;s finalized. (2) Owner is required to hire an electrical contractor if above said properly is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. o C~ ~.fheck # lB'fr~ Visa Mastercard Discover Card # electrical administrator E cal Load Additions and r subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan.Wall KW Expiration Date o f card Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN " THERMOSTAT SERVICE "- Dale Appro"ed By / '-. Dale Approved By Dale . Approved By FINAL " DITCH FEEDER /1-;1-2 -0'5 (~-{2 Dale "- Dale Approved By/ Dale Approved By Inspection Area, Building or Equipment Inspected Action Takcn Electrical Date Inspector h./J /// ''7 /n~ " " 03/08/2005 12:28 3504523498 OLYMPIC ELECTRIC PAGE 01 b-11 ti .. ~ 'I Q Owner 1;~"",,~ o Carnlv:.1 ~mmeTCial ELECTRICAL WORK PERMIT APPLICATION l:I Request Inspection (J Electrical Contractor o AnoDol Permit 0 Alarm D Residential 0 Residenrial Mnint~ 0 Signs 0 Tbel'"mostat 1:1 T~lccnm. lnsttll13tlon dcscripticln M~_7r ~7 .;- ,cb/r;7~r'- r .f-;>tv' ;A-/rry'- #,n77;'I'- .jh--- r- s /;4;T Job wired by mlectri"l Contractor 0 Owner Stare Z.IP 1A.{7. '7 rJ6 3 FAX number ~.r. I hereby certify that 1 am the Q......"er of the above named property or II licensed elecoical contractor (or the firm's aut.horized agent) and am making the electrical installa.tion or ...1tcration in compliance with the electrical law, Chapter t9.28 RCW. (J Cash (J Check # o Credit Can! Visa Mastercard Discover ~d#_______________- Expiration Date of card 1.30 Sign3turc (If nwncr. elec::tricAI cnolrA((Or RT dcdrlc!ll admlni!lltrator -- t"'-- -.3 <S"' ~ () WALLS Tn!'ulat;on Only Ou, "ppnI""d By COVCT rJnle ^~rM~ecl B)' ) CEILING IlHulstion Only DAle i\NlTaVed By Covcr "Ate ^P!'<<'ved Hy THERMOSTAT Dnle I\flfllV"':ld By Dm:.lI "- DAle AppnlVlld ~y ,,- SERVICE Dnre ^flPlQved ~y FEEDER l)n1e ^ll'PTllved Ry ~~s and or subtrac.tlllM o NO LOAD CHANGES 'I P o Bas.boam KW I f o Furnace KW J- :.z; 1bri o Heat Pump Ton LAA 1;;1 Fen.Wall KW lIt> Service Informiltl2n CJ Overhead Servioe CJ T~mp Servioe Cl Underground Service Voltage Phas.O 1 03 Servlce Size: _ Feeder SIze: In!;lpcctioTl Date Area. Bui Iding Of EquiprnCTIl Inspected Action Takcn Electrical !..nspc.cr.nr (~ !Vb Cc.n, ~ r --!2L~J s I .~-~;::./ ~ ,,~ 1"1~ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application mnmuez . I . . 1 15-00000453 Date 4/29/15 Application gin number . . . e76812 INSPECTOR: Property Address . . . zzu a LzmcoLm or AoaEaama rAacaL NUMBER: 06-30-00-5-1-31e5-0000- SERVICE Anplicatioo type description oLEcrnzcxL ONLY Subdivision Name . . . . . . FINAL Property Use Property ouoius CENTRAL uoazmEoa ozorozcT LI Application valuation . . . . o ueec Application desc � sign circuit -----------------------------^--~-- ----- -- - ---- ----------- Owner owoez cootzactoz G m LAoazoaam cnAzzTx raoaT oLxmrzc ELECTRIC co INC C/O 0000 ooLor uoao rcMwArmn sss umoaGzmmA oonT oNouLma WA yaass PORT ANGELES wa eazez (asu) 457 -5303 <sso> 452 -2802 ----'------'---'-'----------'----'---'----------- q 5 ------- ----- 3; '— - Permit . . . ELECTRICAL ALTER coMmEmzzxL Additional oeec Permit Fee 88.00 elan check Fee .on zuoqe Date 4/29/15 Valuation n Expiration Date 10/26/15 Qty Unit cxazse Per ' � Extension 1.00 oo�oono mcx oL-coMM'ozom 88.00 Fee summary mommarr zharsem Paid Credited Due Permit Fee Total 88.00 88.00 .00 .no ^ nzao Check Total .ou .ou 'oo .uo ozaod Total 88.00 88.00 .uo .nn REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE FINAL COMMENTS: LI PERMIT WILL EXPIRE SIX kVMONTHS FROM LAST INSPECTION Signature o[owner ocElectrical Contractor Date: 0 6W1,11. RA Apr 27 2015 08:20AM Olympic Electric Co., Inc 3604523498 page 1 CITY OF PORT ANGELES PERMIT APPLICATIONq,�,�l�'i Building Division/Electrical Inspections 110, 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 UIQ i1011VS Date: Q Multi -Family or Commercial" Plan Review May Be �gtlife [ease cp 9ete Electrical Plan Review Information Sheet Job Address: � � � Building Square Footage: _,_ ........._......... .._ _a,__ , Description of above r Owner Informationj/ f -• Contractor Information Name: ,, • `s "�' Name: OLYMPIC ELECTRIC Mailing Ad rens: 1_ S Ve "`d Mailing Address: 1230TUMWATER City: State: 4—Zip I K1b City: PORTANGELES ,State' WA Zip: 88369 Phone, _#91 ._ .__ —Fax: Phone: aGe,45a asroa._....� ......Fax: 3w-.52.3498 License 9 / Exp ........m„ License ff l Exp- OLYMPEC296DI Item Unit Charge Qty 'Total Multiplied by Unit Lhatgpj Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201400 Amp. $160.00 $ Seruice/Feeder 401-600 Amp $ 225.00 $ Service/Feeder 601-1000 Amp. $ 288.00 Service/Feeder over 1000 Amp. $ 410.00 Branch Circuit W/ Service Feeder $ 500 Branch Circuit WIO Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86.00 Temp. Service! Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201.400 Amp. $121.00 $ Temp. ServlcelFeeder401-600 Amp. $164,00 $ Temp. Servi*Feeder 601 -1000 Amp. $185.00 Portal to Portal Hourly Sign/Outline Lighting $ 96.00 $ 88.00 $ Z $ Signal Circuitl Limited Energy – Multi -Family $ 64,00 $ Signal Circuit/ Limited Energy/ First 1500 sf – Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy -5KVA System or Less $11300 $„w,,,,,,,,,,,,,,,,,,,,,ww_,,,,,,,,,W„ Thermostat $ 56.00 Note: $5.00 for each additional T-Stat Total Owner as defined by RCW.19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator. ❑ cash ❑ check o .w I 1 R Credit Card#.. Wed: � Z'T 0110112012