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HomeMy WebLinkAbout519 S Peabody St - Building r/ _s:, t 1 CERTIFIC O F OCC PA CY City o Port Angeles 'Building D i vi sion This certificate is issued p ur suant to the requirements of Section 111 of th 2009International Building Code certifying that at the tzme of zssuance thzs structure was zn compliance with the vac�ious ordinances of the City regulating building construction ouse r f oz the following Business name: O MC OMP Pati Finan Business address: 5 1:9 S Peabody S t t Property owner s Clallam Cnt� 'Publ Hosp -Dis r2 dba OJ m is Medical Center p ty y �x y p Property owner's 4,(1-4,o, 939 Caroline St ,Port Angeles, WA'9 `3909 Automatic fire s z inkler.s: stem Not Required t:. f cation: Business Use occupancy class Building permit. number .h X 969�;� r k x Occupant load: Pere 20 C Tables 1t00 1 Type of construction: VB t s� 09 30 11 ``'t S'ue Bober /s, Planning g Manager Date Post on the premises in a conspicuou s place. This ce rtificate` shall not be removed except by the Building Official. <4. 4 pc 43 <>C> T VT V) 0 4 ,pORTi, CERTIFICATE OF OCCUPANCY APPLICATION Permit# I I km c��'.t.•���� ors FEES CITY OF PORT ANGELES op C ert Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) earq ,.,y C ortic(360) 417 4815 fax (360) 417 4711 fee charged for Downtown locations k_‘ 'VTh (I) Q In: it O top p err+ F;na hG I PLEASE PRINT IN INK Sc...v �p� Check one: New business in P.A.? Change of owner o�nl"y.Moving location from within P.A.? Zoning CO BUSINESS NAME' 0.' Business address <579 S PE A.6n Y Mailing address 31 C,4 c5 /ATE Phone number f7 70-o Opening date Days hours of operation fr7 -r Business owner's name OLY /C l 1 !CA C 9. Contact phone__Bektfil r7 i 11 Business owner's address ”7 C46 L /(TC Brief description of business /V7EZN1CA-c._ ZLCc ie s /&C LL /AJ9 Property owner's name OLY /L /1'!C /C4. C'UP Contact phone (//7- 7) 70 Property owner's address /contact ”9 rA2Cz/ &)E" $Cc'77 g6 d BUILDING DEPARTMENT phone 417 -4815 Bldg approval by 4 on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps bathrooms, electrical ,leatingjcpoling /ve systems, etc). Work planned: A/0 to /�r�u�.�� --bSSL pa FIRE DEPARTMENT phone 417 4653 Fire approval by on q-9-1) Changes to a fire sprinkler system or fire alarm system? Yes No 1 Work planned: PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? 26644 k Z. LCV( S 53'Z84 PBIA notified Is business moving within the PBIA? Yes NoX CITY CLERK phone 417 -4634 City Clerk approval by on 9-s-11 Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes No', A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on F Number of off street parking spaces available for employees and customers? s (A parking plan may be required.) Signs? wall -mou ted f eestandi projecting, awning, A- frame, etc Signs anned: 7 X �5' t> to e. t me et s= c 40 a. at ,C /o Ji t O 1! A 'Y..,3° free.dap,c, 8 ,g bac port" ee a±, oft 4 t I r :freed a,/4.40(/ ,it ;de 6SI P.Aletik 6. Vie# 1 f di 4 e k i nn 0. S i g h f er rYii i arr. i co n .k, diP �J CJ V PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by RV on q la— 1 PUBLIC WORKS DEPARTM ENGINEERING phone 417 4812 Is site work planned (new or re- located sewer or water service, excavation,'grading or filling, in City right -of -way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes No Work planned: (VC}nz f' PUBLIC WORKS WASTEWATER phone 417 4845 PwWa by Will waste, other than domestic household waste, be discharged into the sewer system? Ye No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 :Eire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter. l 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.. Incorrect i /ormation may result in revocation of permit. Date 6), ,Z. r 'I Print Name CSAI Q 44 2-10--- Signature .i T: \Forms \Building Divis 1Certificate of Occupancy Application (2010).doc P C°111\AV) Page 2 of 2 1 c c ,..e -7 Cg) r H H m cr N FC m U Lo W 14 41 H 0 F W 0 4 X W O F U F H P4 Z H W H C> mz o r 4 O N H N H H 01 Q1 U w o Hi z bi z F M a H z F N w H o 4 Q, M W z H a w x a H M a F a H a as a H M M a io a 4 F a z z 0 0 u• 0 0X 0 as a °0 o z Fh cl• OFF Ca H0 m z o ot,w ww w a H z as 2F mHa (j) E, w v, m a z s H N a 4 41 41 Z U 00 wM 1 2ow HH 0 U HU 0 H fa HOE 0 F 0 0n °aA�wao 0 O U] W H F U a E 0 F O 0 oM WU)0 no 0000£ z a o U 000 a v U U 0 H 00Z 121P4 0. 00)U0)0 4 O o F X Ul U p U D 0 W O m 1 U 0 Cr �E- a 0 O �0 0 „H wz a o 0 a F, 0 O H M t!w' 0 0 zoo) a h KC a O 0 w 0 0 0 o o 0 w a O 0 0 0 0 i 0 0 cn. .loo 4141 0 0 0 m0 f�o c W Z 0 0 \O H 0[11)- 0 014 0) 0 0001 0 0 0 N N 00 wo m ma a a IX 0 •0 0 a Z w U O F 4 F 0 z a w 0 o 0 W 0) 0 0 0,1 X m aH 0 a w0Qa Pa 0 aU FCFUOa< a F U ,f COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on r Number of off- street parking spaces available for employees and customers? ZS (A parking plan may be required.) Signs wall -mou` tedC eestandi projecting, awning, A- frame, etc Signs armed: X-3 )ez.li inn teat- Cd, It d J -r y f P s r 1C7CC:,. f't9�t 4 ��'i- c L Of al e-., 1. I r e U% L NE Li 5 eve WI m 0. S 1 P 1 0 n i CO PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on 1-12 PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 /ud ervMiM4P_vv"S Is site work planned (new or re- located sewer or water service, excavation, grading or filling, work in City right -of -way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes No' Work planned: 11, c�� t f PUBLIC WORKS WASTEWATER phone 417 4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No 'S If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' 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. Incorrect i ormatio may result in revocation of permit. Datee,ZSta IPrintName 5C0 0 Signature Lim T: Worms \Building DivisionlCertificale of Occupancy Application (201D) doc Page 2 of 2 r��,zT CERTIFICATE OF OCCUPANCYAPPLICAT/ON Permit# FEES CITY OF PORT ANGELES f Cert f ficate /Inspection Attn: Permit Technician '‘431 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) 1 Qe T t-P" oiv!C,,(360) 417 -4815 fax (360) 417 -4711 fee charged for Downtown locations l` L oInC: cs 1 paf e►r FinanLt "0 P 4 PRINT IN INK Check one: New business in P.A.. Change of owners ip on $.Moving location from within P.A.. Zoning C-0 BUSINESS NAME Business address 579 S 1PEA.nD Mailing address C426L Phone number 4/7- '70 Opening date Days hours of operation A? F Business owner's name OLYN?P /C )CZ/CA( C'(3TL. Contact phone Business owner's address G4'6 L AJ Brief description of business veLCO326s/ t LL/ 4 //C/L sv s II Property owner's name (r}-L` wif /x`17 IC4L /OR' Contact phone ?7 7)'70 Property nwnPr's ariciress /cnntart 29 rAA:20"L /�\)t 'iLc 7 L�67.))7 S�'�. Y►'�!� y 17=1 BUILDING DEPARTMENT phone 417 4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps bathrooms, electrical eating /c oling /ventilation systems, etc). Work planned: A/cP€ 0 r. SSi.66 pa-(^- FIRE DEPARTMENT phone 417 -4653 Fire approval by 0 on )21%)) Changes to a fire sprinkler system or fire alarm system? Yes No 'L$ Work planned: PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? 2664 x LL vL�i_s =3Z PBIA notified on Is business moving within the PBIA? Yes NoX CITY CLERK phone 417 -4634 City Clerk approval by on Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Clallam County Assessor Treasurer Property Details 57661 CLALLAM COUNTY Page 1 of 1 Clallann County Assessor Treasurer Property Search Results 57661 CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2 for Year 2011 2012 Property Account Property ID: 57661 Legal Description: LOTS 10 AND 11 AND W 25 LOT 12 BL 198 TPA Geographic ID: 0630000198450000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 65 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 519 S PEABODY ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: x ref Cycle 5 Comm Map ID: 2 Neighborhood CD: 20953140 Owner Name: CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2 Owner ID: 18291 Mailing Address: DBA OLYMPIC MEDICAL CENTER Ownership: 100.0000000000% 939 CAROLINE ST PORT ANGELES, WA 98362 -3909 Exemptions: EX Taxes and Assessment Details Property Tax Information as of 09/07/2011 Amount Due if Paid on: .,;a NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. i First Half Second Half I Year Statement ID Base Amt. Base Amt. f Penalty Interest Base Paid Amount Due Statement Details 2011 152357 $808.38 $808.30 $0.00 $0.00 $1616.68 $0.00 R Statement Details 2010 40646 $2925.42 $2925.39 $0.00 $0.00 $5850.81 $0.00 Values �.__.._.w....._ Taxing Jurisdiction 'Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 9/7/2011 3:47 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =57661 9/7/2011 ELECTRICAL PERMIT it CITY OF PORT ANGELES 360-417-4735 Application Number 11- 00000317 Date 4/13/11 _,1 Application pin number 783829 REPORT SALES TAX Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1, -9845 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc Low voltage com 4200 sqft Owner Contractor CLALLAM CNTY PUB HOSP DIST 2 ANGELES COMMUNICATIONS INC. DBA OLYMPIC MEDICAL CENTER 102 ROSS LN. 939 CAROLINE ST PORT ANGELES, WA PORT ANGELES WA 983623909 PORT ANGELES WA 98362 (360) 457 -4375 HSZ o21 Z Permit ELECTRICAL ALTER COMMERCIAL V Additional desc EACH ADDITIONAL 1500 SQFT $5 Permit pin number 183657 Permit Fee 105.90 Plan Check Fee .00 Issue Date 4/13/11 Valuation 0 Expiration Date 10 /10 /11 Qty Unit Charge Per Extension BASE FEE 10 1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90 Fee summary Charged Paid Credited Due Permit Fee Total 105.90 105.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.90 105.90 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN s/r/ 11 FINAL 51 l`1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION. O Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING ic ECE1VE E1 t d i Poar, APR 12 2011 (,04; ELECTRICAL a' INSPECTIONS V" CITY OF PORT ANGELES PERMIT APPLICATION J Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: _4/12111_ 1 2 Single Family Dwelling Multi Family or Commercial' _X, Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 519 Peabody S Building Square Footage: 4200 Sq Ft Description of above Peabody professional building, two story office space Install voice and data services Commercial communications, 244 wires Owner Information Contractor Information Name: Olympic Medical Center Mailing Address: _939 Caroline Sc Name: _Angeles Communications Inc City Port Angeles Stale: _WA_ Zip; 9g3g2 Mailing Address: 1402 0 Fairchild Airport Phone:^ 417.7000 Fax: City: _Port Angeles Stale: _WA_ Zip: _98362 License Exp. Phone;_457 d375Fax; 457 -0212 a License Exp. Item Unit Chase Qtv Total fQty Multiplied by Unit Charm)) Service/Feeder 200 Amp. 119.90 Service/Feeder201- 00Amp. 145.50 Service/Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp, 262,20 Service /Feeder over 1000 Amp, 372,50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 73,50 Each Additional Branch Circuit 2.60 Temp, Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp, 110.30 Temp. Service/Feeder 401 -600 Amp, 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95,90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63,90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56,00 NEW CONSTRUCTION ONLY: First 1300 Square Ft, 110.30 Each Additional 500 Square Ft, or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 0 Total 0 Owner as defined by RCW,19.28.261: (1) Owner will occupy the stru t re foriwo years after this electrical permit is finalized, (2) Owner is re uired to hire an electrical contractor if above said property is for sale, rent or ease. Permit expires aftersix months of last inspection. Q After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, NEC,, RCW, Chapter WAC, Chapter 296 -46B, The City of Port Angeles Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 cash 0 Checks X credit Card q On We X 4) 134 Dated: 4/1212011 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Repair sewer in alley R/W const #10 05 Owner LEONARD N/L C RASMUSSEN TRST 1761 E 6TH ST PORT ANGELES WA 98362 Permit RIGHT OF WAY Additional desc REPAIR SEWER IN ALLEY 10 05 Permit pin number 163188 Permit Fee 150 00 Issue Date 4/02/10 Expiration Date 9/29/10 Qty Unit Charge Per 1 00 150 0000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total T \Policies \1102 15 [10/08] 150 00 00 150 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000315 032170 519 S PEABODY ST 06 30 00 0 1 9845 0000 PUBLIC WORKS UTILITES COMMERCIAL OFFICE 0 Contractor MORRISON EXCAVATING INC P 0 BOX 3051 PORT ANGELES (360) 452 7179 Plan Check Fee Valuation RIGHT OF WAY PERMIT Paid Credited 150 00 00 150 00 00 00 00 Date 4/02/10 WA 98362 Due Extension 150 00 00 00 00 00 0 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 PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITAR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417-4815 T \Policies \1102.15 [10 /08] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number Application pin number Property Address ASSESSOR 'PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Repair sewer service line Owner LEONARD N/L C RASMUSSEN TRST 1761 E 6TH ST PORT ANGELES T' \Policies11102 15 10 /08] WA 98362 Permit SANITARY SEWER HOOK UP Additional desc REPAIR SEWER SERVICE LINE Permit pin number 162685 Permit Fee 40 00 Issue Date 3/23/10 Expiration Date 9/19/10 Qty Unit Charge Per 1 00 40 0000 EA Fee summary Charged Permit Fee Total 40 00 Plan Check Total 00 Grand Total 40 00 Signature of Contractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000279 710170 519 S PEABODY ST 06 30 00 0 1 9845 0000 PUBLIC WORKS UTILITES COMMERCIAL OFFICE 0 SAN SEW REPAIR Contractor MORRISON EXCAVATING INC P 0 BOX 3051 PORT ANGELES (360) 452 7179 Plan Check Fee Valuation Paid Credited 40 00 00 00 00 40 00 00 3-07 3 -/D Date Date 3/23/10 WA 98362 Due Extension 40 00 00 00 00 00 0 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 co uction. Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T\Policies \1102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES NO r� CONSTRUCTION R W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit for new furnace Owner LEONARD N/L C RASMUSSEN TRST 1761 E 6TH ST PORT ANGELES WA 98362 Permit Additional desc Permit pin number 158923 Permit Fee 57 50 Issue Date 12/30/09 Expiration Date 6/28/10 Qty Unit Charge 1 00 57 5000 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL ALTER COMMERCIAL Per ECH Charged 57 50 00 57 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00001365 641710 519 S PEABODY ST 06 30 00 0 1 9845 0000 ELECTRICAL ONLY COMMERCIAL OFFICE 0 Contractor BOB S ELECTRIC INC 2293 DEER PARK RD PORT ANGELES (360) 457 6887 57 50 00 57 50 Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Paid Credited 00 00 00 tho JI tr) Date 1 /11 /10 WA 98362 DATE RESULTS 00 0 Extension 57 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. v.if) ti FROM BOB S Electric City of Port Angeles Permit Application Building DMalon/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417.4711 Date: 1 a 5 6 17 `I 1 2 Single Family Dwelling Multi- Family or Commercial' ,Commercial Addition Alteration Remodel I Repair Plan Review May Be !gi Please Complete Electrical Plan Review Information Sheet Job Address: {g‘essarem Buildiing Square Footage: Description of above /V.t 0 t 1iArec q.,. Owner Information Name: 1....p.oA14' 1ems SS MIL(c 4M Mailing Address: ?!et E VPa Cif/bar AJOEsoco•SState: La cc, Zip: 3t: 2— Phone: Fax: License I Exp Unit Charge $119.90 145.50 204.60 26220 372.50 2.60 73,50 2,60 9270 $110.30 $148.70 $167.90 95.90 8 &20 6 95.90 63.90 63.90 $119.90 $10230 $110.30 3220 73.50 $110.30 5 &00 Signature of owner, electrical contractor or electrical administrator nateLdrintlQf C �u DEC 2 9 2009 ELECTRICAL INSPECTIONS. I 2 9943 Contractor Information Name: Mailing Addre City: Phone 5bi ax: License /Exp. Total ((AY Multiplied by Unit Chang) Service /Feeder 200 Amp. Service/Feeder 201.400 AM/ Service/Feeder 401-600 Amp. Service/Feeder 601.1000 Amp. SeMwlFeeder over 1000 Amp. s4 Branch Circuit WI Service Feeder 57 1 larancn Circuit WIO Service Feeder I --,.!4B 1:014 110 Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp, Scnlicc/Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp. Portal to Portal Mouny Sign/Oulhne Lighting Signal Circuit/ limited Energy— Commercial, Additional 1500 $5.00 Signal Circuit/ limited Energy 18 2 Family Dwelling Signal Circuit/ L mited Energy Muth-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage S Each Swimming Pool or Mot Tub Thermostat Total Dec. 29 2009 12 0501 PI" 4 C G a9 AO fir" State: /.(a Zip. 95fA C L MtiZ cni. Owner as defined byRCW.19 23261: (1) Ownerwfll occupy the structure for two years after this electrical penult 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 lest inspection. After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. lam making the electrical Installation or aeration hr compliance with the electrical laws, N.EC. RCW. Chapter 1928. WAC. Chapter 2964613, The City of Port Angeles Municipal Code, and Utility &peelerratlone. O Cash Cheek Credit Card a 9.1(_ 01-01 -2010 Application:Number Application pin number Property Address ASSESSOR PARCEL. NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation COMMERCIAL OFFICE 0 Application desc 4 stats for Heat. 5 ton heat pump` 15 KW furnace Owner LEONARD N/L C RASMUSSEN TRST 1761 E 6TH ST PORT ANGELES Permit Additional desc Permit .pin..number_ Permit Fee Issue Date Expiration Date Fee summa WA 98362 Qty Unit Charge_ Per 4 00 43 7500 ECH Charged ELECTRICAL ALTER 158535 175 00 12/18/09 6/16/10 Extension EL LVT THERMOSTAT 175 00 Paid Credited Due Permit Fee Total 175 00 175 00 00 00 Plan Check Total 00 00 00 00 Grand Total 175 00 175 00 00 00 .INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS S-ignature o1 owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 09 00001335 Date 12/18/09 078675 519 S PEABODY ST 06 30 00 0 1 9845 0000 ELECTRICAL ONLY Contractor AIR FLO HEATING CO INC 221 W CEDAR SEQUIM (360) 683 3901 COMMERCIAL Plan Check Fee Valuation DATE RESULTS WA 98382 00 0 Date INSPECTOR. 19)2) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001330 Date 12/16/09 Application pin number 195250 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9845 0000 Tenant nbr name LEONARD N/L C RASMUSSEN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 19000 Application desc INSTALL A NEW HEAT PUMP AIR HANDLER Owner Contractor LEONARD N/L C RASMUSSEN TRST AIR FLO HEATING CO INC 1761 E 6TH ST 221 W CEDAR PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 683 3901 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 158485 Permit Fee 64 80 Plan Check Fee 00 Issue Date 12/16/09 Valuation 0 Expiration Date 6/14/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80 Fee summary Charged Paid Credited Due oq Date Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. T:Forms/Building Division/Building Permit Mar 1 Print Name Signature of Contractor or Authorized Agent )cv \\,t0- to Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab I Blocking Hold Downs I Skirting I PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Accepted By Comments FINAL Date Accepted by I V) FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By 0 k \N vJ 0 3 12/16/2009 WED 9 12 FAX 360 683 3971 Air Flo Heating Co. 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 any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 ®001 /oo1 FOR OFFICIAL USE ONLY DateRec. t2=-'1b —09 Pennitik C T 1. S3 Date Approved: Date Issued: Applicant or Agent: .41.19-- I; IA) (7.,41 in Phone: (D A -"'t y l t Owner. LAO }2j, InfLt) C.. Cr, c VI Phone: Address: 6 i at PP.DU O( 4 to- Cit Zip: 6 )01O2- Architect/Engineer Phone: Contractor ifh Vg.... .14 (43t tate License Ai le F 1,14- (i.fIAMExp: Phone:(6Z7, -?Q Address:J'2 -1 W (ICAO 11 \..1J City j110n Zip: gg302 PROJECT ADDRESS: i 1 I Ct 1 `(T►I f) k ,c.O NING. LEGAL DESCRIPTION Lot Block: CLALLAM COUNTY. PARCEL NUMBER: TYPE OF WORK. Residential. New•Constr. P Re -roof Multi- family Addition Move 0 Garage s :Commercial Remodel. Demolition P Deck b Repair Sign Other :BRIEFDESCRIPITON°OF THE PROJECT t.( dfki i 4- &t) Mp A) le- !COMMERCIAL/RESIDENTIAL. Occupancy Group: No. ofStories: LotSize: Existing Sq. Ft Total lot coverage PLANNING USE ONLY Stove ESA%Wetland(s): Yes No. SEPA Checklist required? Yes No Other. T'1FORMS\BidgPcrmitAppl, wpd Applicant: SIZE/VALUATION SF /SF SF g$ /SF SF /SF =S 'TOTAL VALUATION �1 0 a‘rfloco Subdivision: QfiO Occupant Load: Construction Type: Proposed Sq. Ft. TOTAL Sq. Ft. Date: 2-- t 1 0 I 14-0-yot Cep- (5 n one ccd, l� APPROVALS. PLAN: BLDG: DPWU- FIRE. OTHER: VV.ALUATION:OF CONSTRUCTION: In.all cases, a valuation amount must be entered by the applicant This figure will be reviewed.and may be. revised by. the Building. Division to comply with current fee schedules. Contact.the Permit Coordinator at 4:17 -4815 for assistance. PLAN.CHECK<FEE; IF •a plan check fee is due it must.be subniitted 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.P.LAN.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 1days upon writtenrequest by the: applicant (see Section 81.05.3.2 .of. the. International Building/Residential Code, 2003). No.application- can be extended more than once. Thereby certify:that! have -read and examined this. application. and know.the same fo'be. true and .correct. 1 am authorized to :applyfor.this:permit understand'that it. is.my responsibility.to. determine what permits are required ,not the. 'City's, and that must obtain.such permits prior to work. 12/16/2009 WED 14 40 FAX 360 683 3971 Air Flo Heating Co. DEC 17 2009 °R7 ELECTRICAL INSPECTIONS Date: i2- t C-9 g ‘11 r 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 5 (q I go n14 -t- Building Square Footage: Description of a�ve j. j Ni ,V i4-Q. 4 fM b s- 14-4-114 (tr- 7 -0n 1 46 7 I Int'r r ,f :_t City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (360)417 -4711 Owner In o ation Contractor Information Name: 1) r.1rq L 61 (4 Name: k t t1.. i In D 1---j cal fa Mailing 5 Pori IQ r Mailing Address: 22-i ki /i k A 2i lr City 1 ,i c 4.t-S State: IA.) P- Zip. 2 City a_ .11. t t^n Statet.,) r!k- Zip: 9 9 g) Phone: Fax: Phone 3 I C Fax: hS� ."?'".-4-- 1 License Exp. License Exp. Air j-/..- Unit Charae 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 RECEIVED Total (Qtv Multiolied by Unit Chara1 Service/Feeder 200 Amp. Service/Feeder 201 .400 Amp. Service/Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub i -t r Thermostat Total I 7 r' Owner as defined byRCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signa of owner electrical contractor or electrical administrator O Cash 0 Check l4 Q9J1 I 0 Date: a Credit Card 1f m NI L.E/ I r- 2001/002 4k it VJ Date Print Name T.FormsBuildMg Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001135 Date 10/30/09 Application pin number 966000 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9845 0000 Tenant nbr name LEONARD N/L C RASMUSSEN Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc INSTALL IRRIG BACKFLOW CHECK VALVE Owner Contractor LEONARD N/L C RASMUSSEN TRST 1761 E 6TH ST PORT ANGELES WA 98362 (360) 452 9039 OWNER Permit PLUMBING PERMIT Additional desc IRR BACKFLOW CHECK VALVE Permit pin number 155937 Permit Fee 17 00 Plan Check Fee 00 Issue Date 10/30/09 Valuation 0 Expiration Date 4/28/10 Qty Unit Charge Per Extension 1 00 7 0000 EA PL -LAWN SPRNKLR BCKFLW PREV 7 00 1 00 10 0000 EA PL- SUPPLEMENTAL PERMIT 10 00 Fee summary Charged Paid Credited Due Permit Fee Total 17 00 17 00 00 00 Plan Check Total 00 00 00 00 Grand Total 17 00 17 00 00 00 Signature of Contractor or Authorized Signature o R ,3 -01 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 snces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give au ority e violate or cance rovisions of any state or local law regulating construction or the performance of construction. er (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking I Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date 1 3,0 Accepted by ROCA 8etiYar Date Accepted By 0 -o Cv FINAL Date Accepted by (2 Application Number 09 00001135 Date 10/30/09 Application pin number 966000 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9845 0000 Tenant nbr name LEONARD N/L C RASMUSSEN Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning Application valuation 0 LEONARD N/L C RASMUSSEN TRST 1761 E 6TH ST PORT ANGELES WA 98362 (360) 452 9039 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Qty Unit Charge Per 1 00 7 0000 EA 1 00 10 0000 EA T:Forms!Buildm" Division/Building Permit COMMERCIAL OFFICE Application desc INSTALL IRRIG BACKFLOW CHECK VALVE Owner Contractor OWNER PLUMBING PERMIT IRR BACKFLOW CHECK VALVE 155937 17 00 Plan Check Fee 00 10/30/09 Valuation 0 4/28/10 PL -LAWN SPRNKLR BCKFLW PREV PL- SUPPLEMENTAL PERMIT Fee summary Charged Paid Credited Due Permit Fee Total 17 00 17 00 00 00 Plan Check Total 00 00 00 00 Grand Total 17 00 17 00 00 00 '0 x 121 /.inn L F NUE) .fl .7 a m r, c .A) Il5ate Print Name Signature of Contractor 1.uthorized Age/ C./ goh Extension 7 00 10 00 Da4e insPec-Eee9, A it- 3-0 r ��lvicn L cL PQ,hc r e, 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 commcnced 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 t .nces governing this type of work will he complied with whether specified herein or not. The granting of a permi' does not presume to give au ority violate or cance rovisions of any state or local law regulating construction or the performance of construction. Signature of 0, ner (if owner is builder) 4 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 1 p z..i Property Owner lo..eN Property Owner's`Address Contractor Contractor's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re-roof o Heme�t System 1/Other .Residential :o. Multi- family House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing (sp. ft.) Proposed (fir. ft.) Basement 1 Floor 2nd F:oor 3 Floor Garage Carport A Covered Porch Deck Shed Other Max. eight of proposed structures Will a lawn sprinkler system be installed? Will afire sprinkler system be installed? I have read and completed this application and know it to that it is my responsibility to determine what permits are n Date JV Dq Print Name 2_ tilt T Forms uildi g Division /Bldg Permit.doc �j <1 r no GCK.c17, 1J ('(..cs K in- .�e Tom, A-1: 10,17 -E- 4 f i v ir A i:T7 f, TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount: of impervious surface on a parcel including structures paved driveways sidewalks and other impervious surfaces (see PAMC 17 94 135 for. exemptions). Site coverage ft. Yes Expires Occupancy group Occupant. load Construction type Phone Phone Phone E -mail per sq ft. be true and correct. I am authoriz-d .apply for rthis p d, and to obtain permits prior t ing o rojec S(,US sC Signatu r1 e For City Use Only Date Received (0 30 Oq Permit #___C j) Date Approved Lot s� Zoning rd'Commercial b.'Industrial of bedrooms of full baths of half baths patios OA it and derstand of voRr,�,o 17 VAN Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use 09 00000872 812144 519 S PEABODY ST 06 30 00 0 1 9845 0000 PUBLIC WORKS UTILITES Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc Install 2nd water for irrigation Owner Contractor RASMUSSEN LEONARD N/L C 1761 E 6TH ST PORT ANGELES WA 98362 Fee summary Charged Paid Credited Due ature of Contra or o Authorized Agent T1Policies \I 102 15 [10/08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Qty Unit Charge Per 1 00 980 0000 EA PW W/M 1 SERV 5/8 METER la7211 D to Date 8/27/09 Permit PUBLIC WORKS RES WATER SERV Additional desc 2ND WATER METER FOR IRRIGATION Permit pin number 152439 Permit Fee 980 00 Plan Check Fee 00 Issue Date 8/27/09 Valuation 0 Expiration Date 2/23/10 Permit Fee Total 980 00 980 00 00 00 Plan Check Total 00 00 00 00 Grand Total 980 00 980 00 00 00 Extension 980 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority late or cancel the provisions of any state or local law regulating construction or the performance of const action. /Mc Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH I BACK -FLOW DEVICE I CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T \Policies\1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00001306 Application pin number 086842 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9845 0000 Tenant nbr name RASMUSSEN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 8000 Owner Contractor RASMUSSEN LEONARD N/L C AIRFLOW HEATING 2133 W 14TH ST 221 W CEDAR PORT ANGELES WA 983635120 SEQUIM SEQUIM (360) 683 3901 Date 12/27/06 WA 98382 Permit MECHANICAL PERMIT Additional desc Permit pin number 91983 Permit Fee 64 70 Plan Check Fee 00 Issue Date 12/27/06 Valuation 0 Expiration Date 6/25/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Fee summary Charged Paid Credited Due Permit Fee Total 64 70 64 70 00 00 Plan Check Total 00 00 00 00 Grand Total 64 70 64 70 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I- hereby certify- that -I -have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] S CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I BUILDING PERMIT INSPECTION RECORD T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. 12/08/06 FRI 14 54 FAX 360 683 3971 AIR FLO HEATING Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: A t J2 PLO la Owner 1,tit pi a4/ E..s !�'I j, '-✓1 Address: City' Architect/Engmeer Phone: Contractor Ale, 14 Pahl State .License ii.:A j F L i Exp: Address: 9d1 U) a City PROJECT ADDRESS. Le LEGAL DESCRIPTION. Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr. Re -roof 0 Stove o Multi family la Addition NloveD Garage 34 Commercial Remodel Demolition Deck Repair 0 Sign Other BRIEF DESCRIPTION OF ME EROJECT CO CIAL/RES;IDOTIAL. Occupancy Group: No. of Stories: Lot Size: Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Existing Sq. FL ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be .submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF .PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residennal Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined apply for this permit and understand that must obtain such permits prior to work. TAFORMS\BidggentvtAppl_wpd App eau+ '/I I i 1 m mlla its application and know the same to be true and correct. I am authorized to y responsibility to determine what permits are required ,not the CIfy's, and that I SIZE/VALUATION: SF /SF SF /SF SF /SF TOTAL VALUATION a_ Date: Zip: ZONING. FOR onn Date Rm. Permit4; Date Approved: Date issued: Phone; I/) I Phone: _g Phoncla lt )j Zip: 6 1 Occupant Load: Construction Type: Proposed Sq. Ft_ TOTAL Sq. Ft. APPROVALS: PLAN BLDG. DPWU• FIRE: OTHER. 2,-v&->f) La el ool Application Number 07 00000075 Application pin number 338250 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9845 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Owner RASMUSSEN LEONARD N/L C 2133 W 14TH ST PORT ANGELES WA 983635120 Fee summary Permit Fee Total Plan Check Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Contractor HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES (360) 452 2727 Permit ELECTRICAL ALTER COMMERCIAL Additional desc HI TECH SURVELLANC SYSTEM Permit pin number 93948 Sub Contractor HI TECH SECURITY INC Permit Fee 40 00 Plan Check Fee Issue Date 2/01/07 Valuation Expiration Date 7/31/07 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT Charged Paid Credited Date 2/01/07 WA 98362 Due 40 00 40 00 00 00 00 00 00 00 40 00 40 00 00 00 00 0 Extension 40 00 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCI1 I I I I SERVICE I I r FINAL 1 2 -1 -a- IAA J GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD 1 1 1 1 1 1 I 1 PW- I102.13I4/961 Application Number 06 00001306 Application pin number 086842 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9845 0000 Tenant nbr name RASMUSSEN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 8000 Owner RASMUSSEN LEONARD N/L C AIRFLOW HEATING 2133 W 14TH ST 221 W CEDAR PORT ANGELES WA 983635120 SEQUIM SEQUIM (360) 683 3901 Permit ELECTRICAL ALTER COMMERCIAL Additional desc AIR FLO/ 6 ZONE STATS Permit pin number 93179 Sub Contractor AIRFLOW HEATING Permit Fee 90 00 Plan Check Fee 00 Issue Date 2/01/07 Valuation 0 Expiration Date 7/31/07 Qty Unit Charge Per Extension 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT 35 00 5 00 11 0000 ECH EL -LVT ADD THERMOSTAT 55 00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Contractor Date 2/01/07 WA 98382 90 00 90 00 00 00 00 00 00 00 90 00 90 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCH ROUGH -IN COVEk SERVICE FINAL GENERAL COMMENTS: PW- 1102.131496) 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 RASMUSSEN LEONARD N/L C 2133 W 14TH ST PORT ANGELES WA 983635120 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER AIR FLO/ T STAT 91991 AIRFLOW HEATING 36 40 12/11/06 6/09/07 Charged Paid 36 40 00 36 40 06 00001306 086842 519 S PEABODY ST 06 30 00 0 1 9845 0000 RASMUSSEN MECHANICAL APPL PERMIT COMMERCIAL OFFICE 8000 Contractor AIRFLOW HEATING 221 W CEDAR SEQUIM SEQUIM (360) 683 3901 COMMERCIAL Qty Unit Charge Per Extension 1 00 36 4000 ECH EL LVT FIRST THERMOSTAT" 36 40 Credited Due 36 40 00 36 40 t10 Ttic.; r",..,.._ Pion Ch °k 00 «a COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Plan Check Fee Valuation 00 00 00 Date 12/11/06 WA 98382 00 00 00 00 0 ELECTRICAL PERMIT INSPECTION RECORD 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. DITCH ROUGH -IN I COVEk SERVIC FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO COMMENTS PW.I102.1514961 ~-p~ ~~'~y- ~'!-~~~ ELECTRICALWORKPERMITAPPLICATJON, Job wired by 0" Elcctrical Contract.r 0 Owner Inslalls.tion description a-Commerc:illl D. Residential ~lc:cTl'i.;;al l.:omractOr flllme License number 111 1"'-"-14- S~I't';- r..Jc.. HI~ 9ssaS, Purcha~cr's m<Jiling ~dures<; -:;t:z."3 &>.s.-r >='R:il--'>", $,. Date ExpiJ"e1o; 'I c'l I:l New 0 Altered/Addition v.Jtl 99'3..2-.. ~",".....:l~ ~ t<>R.. S ue.v",- \ I IA..le.,. \ CilY \>Ol'U" ~s.. State ZIf> Telephone numeel' :3,"0 -'-+5:2-27-21 FAX numbt"T 3,"0 -452-85"0 t( ~ <;j<'~",,", " Premises: OWII~r'5 nall1e F'R.'-, t::"t:A)t.~L SA\J\~S \=><c.P-l?,oc::,'f A(tdrc~1i of inspectiun 5..L 9 5",-i'l-\ Cit~ '(00.., ~~ ('!lnne number to schedule in$pertion: '+5'"""0'-1<61 Own<'r us d..;'il'J.ed oy,RCW./9.28.161:(J) Owner will occupy the struC'wrf:jor two yea,..~ (//I.'r rMI' d('('./n'cu[ permit is ,finalized. (2) Oh/'j('r is required /(1 Ir;re all dr.Clrl(.'(.f Wnfractnf' if above said p'Opt'r()' ir ji" S(j/e, rent ('JI' Il':f:"~(', Aller reading the above );Ultcmenl, r hereby certify thst I 3m the nwnc~ or the: abovc named propCl1y Or a licensed electrical COnlC"ilclor. I am m<lking the electrical instal~ laliol1 or alteration in compliancc with the ell:ctricallaw~, N.E.C.. RC\V. Chapter 19,28, WAC, Chapter 296-46D, Thc City of Port Angele~ Municipal Code, and Utility Spcciticalion~. ~ign"llln: fir OWller, clcctl'ic31 cont,.3t.tor or c1ttctriC:ll admini.o;;tracor c:J Cash c:J Check # 0..) }="\\L c:J Credit Card Card" Visa Mastercard Discover ----~ ----.- ----- ---',- x Date: ';Z-~ 01- Expiration Date of c.rd Electrical.L.oad Addi1;ions and or btractio.ns o NO LOAD CHANGES o Baseboard IWJ o Fumace KW CJ Overhead Service [J Hem Pump _ Ton._ LAA 0 Temp Service o Fan-Wall KW lJ Undergrou;Jd Service SAM.: DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 fRO .~ ~UQ1-:,,,,,, " D,,~<rE&\10S~:~,w 0, (1 / / ~lNAI~ l~li APIl","~d ~y ,Servie:e Infonnation VOllagB _._ PhaseD 103 Service Size: _ Feeder Size: SIi:~''1rn -om-- ^flI'rov~" Ely Drrll H1WER Dal~ ^rpmv<<tBy D~IO: Al'prllv~ ~y rn5pcctioll f)~to:: I -L I Area, Building or Equipment In~ptct(,.-d Action Taken Electrical Inspector ~~.- ( :z.?(p7_ WdS[: 0 ~00 VG 'u2f ._.1 '.---=E- ----., -- _n_ _ _I 09SB GSV 09[ : 'ON X~~ SJINO~lJ3l3 HJ31-IH : WO~~ Td o Electrical Contractor DOwner ~ . ':,. ELECTRICAL WORK PERMIT APPLICATION ~eQuestInspection '. G~ o Annual Permit 0 Alarm 0 Carnival 0 Commercial D Residential 0 Re.~jdcntial Maine. 0 Signs a Tbermosta[ 0 Telecom. Job wiud by ~ElectriCal Contractor 0 Owner Installation description License number Purchaser's mailing add,"77 _ /1 / ) ~<f.!'5 ~/ ~ C?A :;: Telephone number FAX number 7E-:::>G ?- City ~A47I//AA~ 4~ ~'^--' L I tc"-lZ-- foot<- CoLU LU Itr:\1 O~ <:.... ~t. Q......., (L$ D L \ K.J- N() ~W\I Pl"'eml~ 7ner's name ~fj-^ /'I' _Jl Address of in!lpection ..=(/ .;- ~.:) I hereby certify that I am the QWDCr of tbe above named property or a licensed deetrical contractor (or the :firm's authorized agent) and am makiug the electrical installation or alteration in 'compliance with the. electrical law, Chapter 19.-28 RCW, D Cash D Check # ~dil Card cSJ Ma'\tercard Discover Card# ____"____.____.. ontrllctor or electrical adminlstntor Expiration Date of card x WALLS Insulation Only CEILING Insulation Only THERMOSTAT SERVICE D,.lc A!>pn)vol! By 04te ^p[lrovedBy Dllle Approved By O~l~ ....1li>l'Ovcl1l3y DITCH FEEDER Cover Cover DlIle ^pprove.d I;ly lJ:Olc AppfQvod8y Dllto Appl'llve(1 By O:LLC Al'1"(wc4Br EI~ctrical Load Additions and or tiiubtraction~ [J NO LOAD CHANGES (J 8aseboard KW t1 " I _. (J Furnace - KW i<i.l "'L.C: ~D (J Heat Pump = Ton _ LAR 10 v.,j CJ Fan-Well _ KW ..... Service Information ee er Ize: Inspection DlHe Are3, Building or Equipment lnspectcd Electrical Action Taken I~ J - o? Illspector '#/,e.",nl ,/V,x: 4cO l~hY{L o Overhead Service CJ Tamp Service o Underground Service Voltage Phase IJ , D 3 Service Size: F d S' .d Wd9S:v0 900G BG .~~a [v66 GSV 09[ . .ON XtJ.:I ~l..lP~13 s.aoa WOCl.:l " .J~ 'Ioi."" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 98J(,2 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00001306 Date 12/29/06 086842 519 S PEABODY 8T 06-30-00-0-1-9845-0000- RASMUSSEN MECHANICAL APPL. PERMIT COMMERCIAL OFFICE 8000 Owner Contractor RASMUSSEN LEONARD NIL C 2133 W 14TH 8T PORT ANGELES WA 983635120 AIRFLOW HEATING 221 W. CEDAR SEQUIM SEQUIN (360) 683-3901 WA 98382 Permit Additional desc Permit pin number Sub Contractor Permi t Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL BOB'S EL./ LIKE FOR LIKE F/HP 92593 BOB'S ELECTRIC . DO 12/29/06 6/27/07 INC plan Check Fee valuation .00 o Fee summary Charged Paid Credited ------------ ---------- ---------- -~-------- Permit Fee Total .00 .00 .00 Plan Check Total .00 .00 .00 Grand Total .00 .00 .00 Due .00 .00 .00 Pf- ',.' .,,; ...!'J1... .0" COMMENTS/ACTION NEEDED ELECTRICAL PERMIT APPLICATION FOR OrFICIi\L LIS!:. O!\L Y D~lelR,t\\ I>ronnirll': OSlcApl>rvvctl: D;llel~~~d: The Electrical Permit Application must be filled out ot=:oml)l_toly. Please type or reprint In Ink. 11 you have any qu@stlons, please call (360. 417-4735 /J , .. . .: Fa. number: (360) 417-4711 fJ ~c< ;;;~~f' OwnerorElec.ContractorAgent: A:,ol3s CI.I:;t.9.. ~ ZAJL Phone'~-~~a.' Property Owner: t><!.,.J. J - i -/ A.... ??"" i .... ~../ Phone; Addre.o: 61 1 ~- A - PJ City: ;fL~ ~ ~<-g'.L,~ "-rfl___ ElectriealContractor; ~AJLh i'/~,... .RJ>..... UcenS&#:&1l.c.P'7'.J..t1~y Address: ~:a..'f'3 At."" A~ L city;1........1- hA'l/IL- ~6.... INSTALLATION WIRED BY, 0 OWNER~eCTRICAL CONTRACTOR Credit Card Hofder Name: ,/o'nL., ..d..~,1 Billing Address: ca~ 7::2, L Pou. / tcp.Date: %:2- 99</3 Zip: 7J>::s G c.. Phone: ~7- G8ff7 Zip: ~.(;S 6 'L Zip: <7.f'~~ ~ VISA:~MC:_ ..:::'/a c PROJECT ADDRESS: !O! _ L Q. ~~ /-Lf~ ~o ~ o New lBAlteration/Addition TYPE OF WORK: Check all that apply: o Residental 0 Multi-family o Commercial 0 Mobile Home Sq. Fl. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign Number of Circuils added Or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: -:~' Electrical Heat Load Additions Service Information o 8aseboard o Furnace o Heal Pump o Fan-Wall _KW _KW _KMI -KMI o OVerhead S..rvice o Temp S..rvice o Underground SelVree Vollage: Phase: 0 1 0 3 Serviee Size: Feeder $i2:a: PAMe 14.05.060(8): For indust"al, commercial, & residenlial projects larger than a duplex, a one -line drawing of lhe Electrical Service & Feeders, building. size (sq. ft,), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. , 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 'egal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. "", ~:.;'~L. : PW-90 or Elec. Cont. Signature: rd WdrO:eO rODe Be 'oao [1766 cst- 09[ r 'ON Xtl.o 01~+oa13 s,aoa WO~.o o . . FROI'l BOB'S Electric FAX NO. .... I ".....,....,". '..' , .. '~". "" ,-..J~I.-.:.::J 1 360 452 9943 Mar. 12 2002 09:48AM P1 : ',;.~,'JJ,' .....-. . ~.,. w ELECTRICAl PERMIT APPLICATION t-VIl.Of'F1C'1A1.U","()r.ol.Y rq.'-k__.,_ "","~.. ~- O-~......,J: r~e Electrical Parmi'f A?PIiC3Noo milia he filled aut comDlate"'. Plene ~pe or repriM 1n Ink. If you hav. any Qlol8llfiono. ptcu. C8t1 (310) 41r. 47.l5 Fax num,"" (360) "70471' K REQUESTINSPEcnON{~ aw.erO"Elec.C<lnImellorAgent ~~" l:;.td.'-=+-~L.C 'IJ{(t. p"""".4S7-t,~O ..,<:4S'a- 97<13 Propert)'~: d.~ 6 ",~.A..<..... ( ~ .-.... - "..A~.-..It" J Phonll: =;;:~{ ~'p: Dh...... 4S7-tei'r;; 7 Zip: ~r;:" '> INSTALLATION W!ftEO BY: C OWNE~ t:! IiL&CT~ICAL CONTRACTOJIt CtedltCllnlHoIderName:C A ('0 f.... (n. ?'o/3, G-v...~ c:;..f< 1.- BlIlJnIlAdt:lleu. ~ 'd... 4 2, 'DF-E~ g,.~,;<' City: ~('+,q 1\1" foe S CnHIItC_Num_~ P.DaIec ~/9 l.L) "- ZIp: C, ~ ~ L- VlSAA- "'C,-- S /L/.~'1/ PROJECT ,.--_. ..' ... -. .". \...::........-:..;:_.,.....:..... -. ,-" . ....... TYPEOFWtlIlK; ChecklllLthBlapply: 0 New CiAlteratiol1lAddition CJ Residential 0 Multl-famUy ~CommerCial 0 MObile Home Sq. Ft Remote M..... 0 Oelact>ed garag.. 0 Hot Tyb 0 Swim Pool 0 Septic PI.Irrp ':J lOW Voltage 0 Telecom. C! SIgn NYmber ofC&w1ls added or o1letecl: DESCRlP1lON OF TH! !LaCTR1C:AL PROJECT: . tjf(........, Ci..t1~'.~' 1) 4/ (? .#.(,.--AI"'.,+" ~1aetIfea1 Haat LttJId ...,wIHAN.. ~I'f A- S4Ilf"lvfP-D InfDrlll:rltl6n PERMIT FEE: o _board l:JF~ o Heal Pump OFsn-w8ll _KW _Kw - TOI'L--LRA _KW VOl:ag8; Ph88e: 0 1 0 3 Service SIze.: ~eedoo' Sl2e;____ C Overlleod SeM~ o TSIlll SsM... w Und&l!lfO\lnd Sa""",, I hereby cerlify that I have read and examlnfHi this application alld know thet same to be true and correct, atld I am authorized In BppIy for this permit. lunCl&/'SU/nd it ;s not the CJ/y's legal responsibility to determine what pormif$ 819 T9qulT9d; it T9mains the applIcants responsibility In determine what permits are f9qlJired and In obtain such. c...__._ -;~~:1rA~~5 -~:/.~ OWner or EhI~. Cant. Slgllature: Oat&: 4/// ~ ~ C:lELECTRICAlPERMfTAPPLICA TION / 12/08/06 FRI 14:54 FAX 360 683 3971 AIR FLO BEATING I4i 002 , ./ @'-' " " -. 1 "' ...... ELECTRICAL WORK PERMIT APPLICATION Job wiretl by ~ EJectric.a1 CO.lTactor DOwner Instslliltioll description ~ CUlOmertiaI 0 Residmtial Elecrrical COrurdctOr l:J.ne Lir.;Wc. number Date EXPires A I ~ r;w ~..-a f-:t V1f,,? tt 1t..F1.Ai(l<<A~ P,,,.,,,,,', maH'" (1~ -B1ZJ 111. ~ c;~ StaleZfP /' Il/v(\ tLJA- q~ Tlllcpb c: number FAX numbc)' Cl New W Alteredl4.dditiuD . . , " 1l1X/VW1 '{)?,1f1f {(J-{ I?~ vt~ Owller as defined hy RCW.J9.28.26"1:(J) Owller )llfIt OCCupy the SlnlCI~"(' for lwO years qfief' 1M,. <t:Jecl,;c.nJ permil is ji1lGJized. (1) Owner is l'eq~ired to hire a1l eh',c,r'c:al COntractor ff qbol'e ,,;q;Q property iJ' jor .talc, rent Or ICaJe. After rc::sdinS tJ.e above Sliltcmenl, 1 hereby certify that I am the owne:r of the abo....e nsmc,i propC!tty or!. Iiceneed electrical COlllrdctoT. I am making the e:leettic:U ~st:tJ~ latioll or alteration in coml'liilnce: wilh lhe del::tric;.1 law~, N,E.C., R.CW. Chapter 19.28, WAC. Chapter 296-46B. The City or Port Angeles Municipal Code. ~Dd' Utility S ci c31ions. Sitn o Cosh 0 Check # x Q Credit Card Visa Mas.tercard DiSCover Car:d# ----._-J2N..E L~-___~ Expiration Dale of card a cad ditl 8n ors t ctl ns o NO LOAD CHANGES o J:3aseboaro KW D Furnace KW /Jt2. Ja l-leatPump :;2 TO'''~LAR o rl1n.Wall KW SAME DAY Il\'SPECTION. CALL BEFORE 7:00 AM 360-417-4735 o Overhead Service o Temp ServIce o L1ndE'rground Service Voltage Phage 0 1 CJ 3 Service Size: _ Feeder Size: ( "= ROUGH:,.....,.y , F1NAL 2 l'L,j" 7 -4!& /' THERMOSTAT DJ.J~ ApP'O--=lly '\ ( SERVICE I J "- Do. ^p~rn..w b~' /' FEEDER "- D:.t< Nlllrove(lBy ACyjlln T:!ken Electrical Inspector /' DfJUf Dal~ Allllro..~ ny InRpccrion Ditte Area, Building Or Equipment lnspccterl . . IcO /1./tI/oP 01/10/07 WED 15:13 FAX 360 683 3971 AIR FLO HEATING I4J 001 " ~ ~ . ~ ~~~w ELECTRICAL WORK PERMIT APPLICATION . Job wired by o Electrical r:OlltrsctOl" 0 OWl1~r Insl3Jlaticln .clc!':cnprion o Commercial 0 Residentia) Date F...1pin~~ o New 0 Alrered/Addition Ac.td 21)VJIV/Ej ~S ('7Lh) " , .' r!Oi~tiv{rcR [LS_~Sf;~ "S/'Z1f 'Sc,CtiOPttt ~:::t)(1.L( ;Eor+-~~ r-te ~ ' P Ill! number tD Jche Ie ;lupediou; OW'1e' as defined &.., RCij.:J9.28.26J:(J) OWlIer will occupy {he struclurefoT two years l1fter this i!le.cJrical fIeJ'1l(U i.~ /ifl17.r.u,..J, (2) Owner is r..qllird to hi,.~: 1m r.1r.r:tricaJ COrJlractnr if aboye .~(Jid pn)p~rly i.t jeT S1111;', re.nr or r,."sp Aftl:!" rC<1ding the ,above .st<l.tcment, 1 hereby certif:y that I am the OWlIC:f Llf tile: above mum:d proptrrl)' OT 01 lic.ensl:d electrical contrBctor. I am making the clectriC31 instal- httiOll or ~her.nion in complicmce with the electrical laws, N.E.C., RCW. Chsplcr 19.28, WAC. Ch.apter 1.96-16B. The tHY of Port Angeles Municipal Code. and Utility S C:t::ificatiom,,- Sig or tlectrle~J 3dmiDinr:uor o Cash 0 Check # o Credit Card VISa Maslercard Discover Card# 1),\.U::::iJ.g,__-____-___~ ExpirationDate of card Or' Q NO LOAD CHANGES a easeboard KW CJ Furnace KW o Heat Pump Ton CJ Fan-Wall KW and or s btraetions Service Information LAA a Overhead Service Cl Temp Service CI Underground SBrvicB Voltage Phase0103 Service S12c: Feeder Sl.ze: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 THERMOSTAT /' ROUGIHN " I).", ^ppruvodJJy /' FINAL -'-:>-07 .J4:) DltLe ....l'l'rcvECll'ly /' SERVICE D~,. ~7'By 0>>\0: App......g,lby DITCH \. J C FEEDER D~I~ AMI.ovtd Oy Due Apl'",.-cdRy Inspection Date:: Area, Building or Equipment lnspl."Cted Action T:\k:~r'I Electrical Inspector AcO 01 /~-,~ .... CITY OF PORT ANGELES  P~LIC WOKS BU~D~G D~ISION 321 EAST 5TH ST~ET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 2/22/2002 PERMIT NO: 13243 OWNER/APPLICANT PROPERTY LOCATION 519 PEABODY S LEONARD RASMUSSEN 2133 W 14TH STREET Lot: 10,11&1/2 12 Port Angeles, WA 98362 Block: 198 [] Long Legal 360/452-9039 Subdivision: TPA T: S: Parcel No: 063000019845000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $3,000.00 SFD Units: 0 Commercial: 0 Project Type: INT. REMODEL SFD SQ FT: 0 Industrial: 0 'J~ Occupancy Type: Garage: 0 MFD Units: 0 Occupancy Group: Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD OFFICE SPACE AND STORAGE IN BASEMENT FEES ASSESSMENT O- Building Permit: $83.25 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: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 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 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 lasl 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 n/o~The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or/~l law regulat/i~g c(}hstruction or the per[ormance of Signature of Contractor or Authorized Agent ~ 5/~i,~nature of C:~6r](ii (~wner is builder) 7-' [~ateV I BUILDING PERMIT INSPECTION RECORD CALL 4 ] ?-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA tFFLIL TO COVER, INSULATE OR CONCEAL ANY tgORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IyEsACCEPTEDI NO COMMENT8 BUILDING PERMIT - APPLICATION I~ Building P~mit - Pre-application mt~t ~d o~ ~e~. ~ ~,, ~ ~l~e ~ or p~t ~ ~ R ~a ~a~e ~y qnm~ns, p~ ~U 417-4515 Appli~t ~ Ag~t: ~ ~ ~ Phone: ~~r: Pho~: ~n~tor. Li~ g: E~: ~o~: Ad.ss: CiW: ~p: L~G~ D~O~: ~ BI~: ~: ~I.L~ ~ P~L ~: ~it Ca~ Holder Name: ~ Add~: ~: C~it Ca~ fi: Ex~ ~: ~A MC .... ~ OF WO~ S~UA~ON: . ~ : ~ROV~: P~_ ES~s): o y~'o No S~A ~ ~? o y~ n No ~ B~G f~ ~CA~ON S~'~-~'~: Yo~ ~mpl~ ~U~, ~ p~ (f~ ~) ~d ~g ~o V~UA~ON OF ~UL'I'ION: ~ ~1 ~ a ~ ~ m~ ~ m~ ~ ~e ~y ~ ~ by ~e B~g Div. m c~ply w~ ~t ~ ~. ~ ~e P~ ~r at 417~815 f~ m~. P~ c:~ ~g: Yo~ pl~ ~ ~ ~ ~e at ~ ~e ~ ~ ~ ~ ~d ~t fe~ ~ ~ ~ ~e ~e of ~R ~. E~TION OF PL~ ~W: If no ~ ~ i~ed ~in l~ da~ of ~e ~ of a~, l~i~s. ~e ~g O~c~ ~ ~d ~ ~e ~ ~on by~e ~ti~t ~ m 180 ~ on S~ti~ i 07.4 0f ~e U~fo~ Buil~ C~e, ~t ~fl~). No a~licafion cm ~ e~ded mo~ ~m onco. I ~y ~ t~ 1 ~ ~ ~ ~i~d th~ ~pl~on ~ ~w t~ ~ ~ be ~ ~ th~ ~it. 1 ~ it ~ not t~ Ci~ le~ ~omibili~ to ~i~ wh~ ~m~r~u~' it ~aim ~ ~plic~t~ r~p~di~ to det~mi~ w~t p~t~ ~ ~qu~d and to ohta~ ~ / ~ / ~ · . .-f ~ . //~ / / A ¥ ~ ~ < .9,6 I.~ > I--- < .Z,91. > ..g'gzI. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '~ *-/ ~' *-(~ ~-~ Time ///--~//~/~'~(Received by /~ (phone, person) Location of Work to be inspected , ~/~ ~---~' P~-~/~'~ ~/' Name of person requesting inspection / Address of person requesting inspection Phone No. l~/~-~- ~(~.~'~ Typeof Inspection (circle appropriate one): Permit No. / ~*~- Sewer Foundation ~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date i~>-~/~-d--)~ Time. By Remarks: ~ ~,~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE ~-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date'~. - ~ Time Received by [phone, person) Location of Work to be inspected "-~' f ~/ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing~inal ~Sewer Excav. Other INSPECTION NOTES: .~- ~'~'-~-~ ' Inspected: Date "' Time By Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved I--]Gravel []Asphalt []PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/21/2001 PERMIT NO: 13151 OWNER/APPLICANT PROPERTY LOCATION 519 PEABODY S RON GARNERO c/o LANDMARK PROP 501 E 1ST STREET Lot: 10,11&1/2 12 Port Angeles, WA 98362 Block: 198 [] Long Legal 360/457-0436 Subdivision: TPA T: S: Parcel No: 063000019845000 CONTRACTOR ARCHITECT HOME SERVICE N/A 223 MARSDENRD Port Angeles, WA 98362 , 98360-0000 206/457-1708 360/000-0000 PROJECT INFO Project Value: $10,000.00 SFD Units: 0 Commercial: 0 INT. REMODEL SFD SQ F-r: 0 Industrial: 0 Project Type: Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES REMOVE EXISTING WALLS AND RECONFIG NEW WALLS IN UPSTAIRS OFFICES FEES ASSESSMENT Building Permit: $181.25 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: $185.75 Plumbing: $0.00 AMOUNT PAID: $185.75 Mechanical: $0.00 ~ BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 certi~ that I have read and examined this application and know the same to be true and correct. All provisions ol aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol construction. Sigr~"o~ C~i~tractor or Authorized 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 UNL4 WFIfL TO COVER, INSULATE OR CONCE,4L ,4NY WORK BEFORE INSPECTED ,4ND ,4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION T~PE DATE ] ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK PLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS/ROOF/CEiLING ; 2-2&-oi /__,,~. ht DRYWALL T-BAR INSULATION WALL / FLOOR ! CEILING MECItANICAL HEAT PUMP WOODSTOVE ! PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES ! SITE WORK {Engineehng Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECT[ON SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 /~/ ,~/~//~ ~.,~ PLANNING DEPT. BUILDING 417~815 ~7 /7 ~'~ BUILDING C:~APPL.WPD  FOR OFFIciAL U$~ ONI BUILDING PERMIT - APPLICATION TI~ Building P~ - ~i~ ~ be~d o~ co~lete~. ~ P~e ~ or p~t h ~ H~u bye any quu~n~ ~ ~ 417~15 A~ss: ~ ~. ~ ci~:~~; ~A Zip:~ ~GAL DE~ON: ~~~1~: t~K Su~m: ~l.w.~ ~ P~L ~: C~it'C~ HoM~ Name: B~g Add~: C~t C~ ~: KxK h2: ~A MC ~ OF WO~ S~UA~ON: o ~fi~ o N~ ~. o ~f o W~ SF. ~ $ /~. = $ No.~~ ~ L~s~: I~:~O %~:- t~t ~'.~..-.% ~: ~:4~ ~ ~ + ~s~ ~ ~.~/~::'~ ~ LOT CO~OS.. No~: ' · · ~ .. · B~.., ~ D~. ~~s): O Y~ ~ ~o Y~ ~ No ~ B~G ~ON S~'i'i'~: ~ ~ ~ M ~ ~ ~. T a~a ~ p~ (~ ~ ~d ~ c~o p~ ~ m be ~d m to B~I~; may ~ ~ by ~c B~ ' t 417~815 ~ ~. ~ ~ ~: Y~ p~ ~'su~i~. S~fi~ i 07.4 of ~ U~ Buil~ C~e, ~t ~). No ~pHcafion ~ ~ ~ m~ ~ on~. th~ ~it. I u~ ~ ~. n~ t~ C~ le~ ~po~ibill~ to ~M~ w~ p~m~ ~ r~u~d; it ~i~ ~ ~pl~ . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:f ~ -~_o ~/ Date ----~ Time Received by (phone, person} Location of Work to be inspected <~..~-~,//,~ ~__~ Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circ!.e a~opriate one): Sewer Foundation/~-~Framingl~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date / ~! ~' ~~ ~ Time. By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~-~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 12/28/2001 PERMIT NO 7500 OWNER/APPLICANT PROPERTY LOCATION LEONARD RASMUSAN 519 PEABODY S 519 PEABODY Lot: 10,11&1/2 12 PORT ANGELES, WA 98362 Block: 198 [] Long Legal 000/000-0000 Subdivision: TPA T: S: Parcel No: 063000019845000 CONTRACTOR ARCHITECT BOB'S ELECTRIC INC. N/A 2293 DEER PARK PORT ANGELES, WA 98362-0000 , 98360-0000 360~457-6887 360/000-0000 PROJECT INFO Project Type: COML. MISC. Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES ALTERED CIRCUITS 4 NEW CIRCUITS REC. # 7500 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $57.80 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $57.80 AMOUNT PAID: $57.80 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4 ] 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 2,{ HOI~R NOTICE IT IS UNLA {,VFUL TO CO FER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH SERVICE GENERAL COMMENTS: o~. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 7/06/2001 PERMIT NO: 12781 OWNER/APPLICANT PROPERTY LOCATION 519 PEABODY S RON GARNERO cio LANDMARK PROP 501 E 1ST STREET Lot: 10,11&1/2 12 Port Angeles, WA 98362 Block: 198 [] Long Legal 360/457-0436 Subdivision: TPA T: S: Parcel No: 063000019845000 CONTRACTOR ARCHITECT HOME SERVICE N/A 223 MARSDENRD Port Angeles, WA 98362 , 98360-0000 206/457-1708 360/000-0000 PROJECT INFO Project Value: $14,000.00 SFD Units: 0 Commercial: 0 Project Type: FOUND. REPAIR 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 REPAIR OF BASEMENT RETAINING WALL THAT FAILED DURING FEB 2001 EARTHQUAKE FEES ASSESSMENT Building Permit: $237.25 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: $241.75 Plumbing: $0.00 AMOUNT PAID: $241.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electdcalwork, SEPA, Shoreline, ESA, utilities, pdvate 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 leet inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of aws and ordnances goveming 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 con,~ruction. Signature of C~-ractor or Authorized Agent ~) D~te Signature of Owner (if owner is builder) Date BUH~DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE ACCEPTED COMMENTS YES [ NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRl)EPS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB [ WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK ( Engineering Di vision) 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. 4 ~ 7M735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - 1LW. ENGINEERING 417M807 PW / ENGINEERING FIRE 41%4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ -"~-0 t ~.~ C:Lt~pPL.WPD ~~ FOR OFFICIAL USE ONLy: 8UILDIN PIEl lT- A PLI ATION ~ ~ Building P~it - ~e~pl~on ~t be ~d out co~lete~, om ~: Pl~se ~e or p~t in inL If you have any qu~fio~, p~ ~H 417~81S Appli~tm~orAgent: ~ ~: I~. Phone: ~t~l ~er: ~ &.~ ~o ~~~ ~. Phone: ~ Ad. ss: ~ ~. ~%b. Ci~:P..v ~.~ ~ Zip:q&~&~ ~t~n~n~: ~m~t ~.. ~ C~~vt~ Phom:~ Con~ctor ~ ~ ~a Li~ g:~ E~: ~oL Phone:~ Ad~ss: ~Z3 ~a~ ~. Ci~: P~ ~.l~; ~ Zip: LEG~DES~ON.~ i~tt~t~t~ BI~: I.~ Su~ion: ~ CO~ ~CEL ~: ~C~lt O~ ~er Name: 8iH~ Add~: ~:. C~ C~ ~:. Exp. ~: ~A MC ~E O~ WO~: ~ Resid~ o N~ ~. o Rc-~f o W~mvc SF. ~ $ /SF. = $. ~ M~fi-~ ~ A~ ~ Move u G~ge SF. ~ $ ~F. = $. ~ C~m~id ~i ~ ~olifion ~ De~ SF. ~ $ , /SF. = $. ~ ~ S~ n ~ V~UA~ON $ I CO~R~~E~: Oc~ ~up: ~ . O~up~t Lo~ ~ Co~on T~: ~ ~ No. of S~e~ ~ ~tS~: t~:~, %~tCo~e~ ]~ . ~ % Exi~ Lot Cov~ge: ~/~. ~ + ~S~ ~t Cov~gc: ~/sq. ~ = ~T~ LOT CO~GE:~/sq.~ P~G USE ONLY: ~PROV~: Not~: B~. ~ DPW Bu~d~ Div~ion ~ p~vidc ~ou ~ mo~ d~l~ ~o~ation on ~c ~p~c~ ~d pl~ su~i~ B~G ~E~ ~P~CATION ~TF~: Yo~ ~ompl~d ~on, si2 pin (f~ a~ifio~) nd bu~g pl~ ~ to bc su~d m ~e ~uil~g ~ision. V~UA~O~ OF CON~RU~ION: ~ ~ ~s, a v~ ~t m~ ~ ~2~ ~ ~c ~p~ ~ fl~ w~ ~ ~vicw~d may be ~vis~ by ~c Bu~d~ Div. to comply ~i~ c~t f~ sch~. Con~ ~ P~ Coo~ator at 417~81~ for ~it f~es m ~e at ~c ~e ofp~it E~TION OF PL~ ~W: If no P~it h issued wi~ 180 da~ of ~c ~2 of applic~ion, ~ applJcaflon will expire b~ I~itations. ~ ~uild~g ~inl ~ c~d ~e t~ for ac~on by ~ ~lic~t ~ to 180 da~, on ~ ~qu~ by ~e applic~t Section 107.4 of~e Unifo~ ~u~d~g ~e, c~nt c~ti0n). No applic~on ~ be ext~ded mo~ ~ I ~eby c~t~ th~ I ~e r~ and ~i~d th~ ~plication and ~ow t~ s~e to be ~ ~ co~ect, ~d I am ~r~ to ~p~for thi~ pe~it. 1 ~st~d it ~ not t~ Ci~'s legal r~po~ibili~ to ~t~i~ w~ ~rmi~ ~e requ~' it remai~ t~ ~plic~t's r~po~ibili~ to determine w~t permits ~e required a~ to obtain suck PW-ll0~13[gv~/011 Applic~t~ ~~ t Date: See Pate 4for it~ntctlota on ~ompttti~ tl~ ~ite pta~ Fo~mort infonnat~% cart ~7-0~11, ~ 1~. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: / Date ~ -- ~-~- C-) Time Received by Location of Work to be inspected -~-/~'J,~0~.,.~,.., ~ P~'~"~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~~ewer Excav. Other INSPECTION NOTES: Inspected: Date L'~--~ '7--~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) (3) OX 9~0S (3) ox 9~0s (3) ox 9~o~ 0TY O]F ; orm .ANGELES PERlV.I%'ll' .APiPL>ICA nON RECEIVEID Building DiAsion/ EiectaacAll Inspections 'JUL —2, 2013 321 Bost Fifth Street P.O. Boar 1150 / Pori: Angeles WasbinagW a, 98362 Fb-- (360) 417 -4735 Fax: (360) 417 -47718 I.t CI PCAt tNSPECTIONs Qate, 7- 2 -- — MultWamily or Commercial* .. Commercial Addi0on 1 Alteration I Remodel 1 Repair* x Plan Review May Be Job Address: - pullding ftsm Footage: Desurlpbdr of abov9 Owner Information Name: � Moiling Ad�{�. City: I! Li - 5taflce• Phone; ex: ol ' ll Unl�a SerrfovlFeeder 200 Amp. $132.00 ServiceJFeeder W400 Amp. $160.00 SepAcefteder 401 -600 Amp $ 24.00 5eMcelFeeder 601 -1000 Amp. $ 2913.00 ServlcelFeedernver 1000 Amp, $ 410.00 Branch Circulls 1.4 $ 96.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W/O Ssrvlce Feeder $ 700 Each Additional Branch Circuit $ 5.00 Temp. Servicel Feeder 200 Amp. $102,00 Temp. ServicelFeeder201400Amp, $121.00 Temp: servWFevftr 401.600 Amp. $164.00 Temp. SP- McdFeeder601.1000 Amp . $185.00 Portal to Porter+ Hourly $ 96.00 SlgnlOullfne Lighting $ 88.00 Signal Clrcuill UmL,-d Energy — Multi -Fain ly $ 64.00 Signal C'mc N Limited Energy 1 First 1500 sl-- Commercial $ 96 -00 Note. $5.00 for each Wditlonsl 1500 of Renewable Electrical Energy - 5KVA System or Lass $113.00 Thermostat $ 56110 Plan Review Information Sheet �.yy.y�cartr.tg�„ Cow r lrrfarrrtatfvn Name: 1 C- Maili7JI City: ��ip:_. Phonar , Uwn Exp. ~ r 6A 01 To t 191z Mu ' 611 i# Cha Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for tyro years after this electrical permit Is linnatl;md. (, I Owner is required to hire an electrical contractor if above said property is for sale, rent or tease. permit sxpites after six manth5 of last inspection, After reading the above statement, I hereby certify that I am the owner of the shove named.property or a licensed electrical c ,ftctorr I am making the electrical Installation or alteration in Compliance with the electrical Ins, KE.C., RCW. Chapter 19.28, WAC. Chapter 2964 TSB, She City of Port Angeles Municipal Code, and Utility Speaffrcatlons and PAMC 14,05.050 regarding Electrical Permit Applications. 81911atu o vi ner, elaeWcaf mint or or electrical administrator: Q Cash © cheek narea: a�ro�rzalx Cow r lrrfarrrtatfvn Name: 1 C- Maili7JI City: ��ip:_. Phonar , Uwn Exp. ~ r 6A 01 To t 191z Mu ' 611 i# Cha Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for tyro years after this electrical permit Is linnatl;md. (, I Owner is required to hire an electrical contractor if above said property is for sale, rent or tease. permit sxpites after six manth5 of last inspection, After reading the above statement, I hereby certify that I am the owner of the shove named.property or a licensed electrical c ,ftctorr I am making the electrical Installation or alteration in Compliance with the electrical Ins, KE.C., RCW. Chapter 19.28, WAC. Chapter 2964 TSB, She City of Port Angeles Municipal Code, and Utility Speaffrcatlons and PAMC 14,05.050 regarding Electrical Permit Applications. 81911atu o vi ner, elaeWcaf mint or or electrical administrator: Q Cash © cheek narea: a�ro�rzalx ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , . . 33- 00000716 Date 7/02/13 Application pin number . . . 213200 .Property Address . . , . , . 519 S PEABODY ST ASSRSSOR PARCEL NUMBER: 06-30-00-0-1- 9845 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 Application desc 1 -4 circuits ductless heat pump Owner Contractor CLALLAM CHTY PUB HOSP DIST 2 SIMP50N ELECTRIC DBA OLYMPIC MEDICAL CENTER 243036 W HWY 101 939 CAROLINE ST. PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457 -9270 (360) 417 -7170 1 . Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CTRCU17S Permit Fee 86,00 Plan Check Fee .00 Tsaue Date 7/02/13 Valuation 0 Expiration Date 12/29/13 Qty Unit Charge Per Extension BASE FEE 86.00 --- ---- ----- - - ---- _,_ Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86,00 .00 .00 Plan Check Total 00 .00 .00 00 Grand Total 86.00 86.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: r PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: GA XCHANGEWILDING V ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -4735 Application Number , , , , . 15- -00000357 Date 4/09/1E Application pin number 494325 Property Address 519 S PEABODY ST ASSESSOR PARCEL NUMBER: 06 30- 00 -0 -1- 9845 Application type type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . , , COMMERCIAL OFFICE -APp --- ---- -- valuation ---- --- --- w- -- ---- - --- ---- --- - -- - -- Application desc 3o amp circuit IT room ----------------------------------------------- `--- ------ -- --- ---- -- -- - --- -- Owner Contractor CLALLAM CNTY PUB HOSP DIST 2 SIMPSCN ELECTRIC DBA OLYMPIC MEDICAL CENTER 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 963623909 (360) 457 -9270 (360) 417 -7170 Permit ELECTRICAL ALTER COMMERCIAL Additional. desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 4/09/15 valuation , , . , 0 Expiration Date 10/06/15 Qty Unit Charge Per ' Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 86.00 56.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXP= SIX (6) MONTHS FROM LAST INSPHCTION ' ra Signature of owner or Eleettical Contractor X Date: G:IEXCHANGE \BUILDING RECEIV ED ` 1F iv0RTel eor�J CITE OF PORT ANGELES P1C�t]V1IT APPLICATION AP Building Diivisfofn/Electrical inspections �,,.., •� t 321 East Fifth Street —P.O. Bore 1.150 / Port Angeles WaAington, 98362 EE TktlCA Ph: (360) 417 -4735 Tax: (30) 4174711 INSPECTIONS Date:,g � 15 -. -. _& Multi-Family or Commercial* * Plan Review May Be Requi , Pie se omplet Electrical Plan Review Information Sheet Job Address:f' Building Square Footage: �, r Description of above Owner Information Contractor Information ` Noma Q 1 r'C +r' Name; _ h'J din %wfGr�Tj';�rJ-- ---�i_ Malilog dregs: Marlin d ss: - stare; zip; City, C State: Zip; ,(�i. �' _ C r Phone: ax. Phan®: cens Lie 1 trip. S License #! Exp. Y Ike Unit Charret Total fGtly lie Unik C ar e Service /Feeder 200 Amp. $132.00 � $ SenrlcelFeeder 201 -400 Amp. $160.00 - ServicefFeeder40l -600 Amp $ 225,00 - �f--- 5ervioefFeader 601 -1000 Amp, $ 288,00 .._... $- •- Service/Feeder over 1000 Amp. $ 410.00 $_ -- Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W10 Service Feeder 3 74.00 Each Additional Branch Circuit $ 5.00 $ Branch Clrcuits 1-4 $ 86.00 $ , Temp. Sorvicel Feeder 200 Amp, $102.00 Temp. Service/Feeder 201 -400 Amp. $121.00 Temp. ServlcelFesderO"00 Amp. $164.00 $ �- Temp. Service/Feeder 601 -1000 Amp , $185.00 Portal to Portal Hourly $ 96.00 -- Sign /Outline Lighting $ 88,00 Signal ClruuW Limited Energy -- Mull!- Famlly $ 64.00 -- Signal Clrcult/ Linked Energy / First 1540 sf - COi11M ttilal $ 86,00 $ —• Nota; $5,00 for each addltlonal 1300 5f Rarrmble Electrical Energy - 51VA System or LIM $113,00 $ -- Thermostat $ 56.00 $— Note: $5.00 for each additional T-5tat $-E4 � 0 ) Total Owner as defined by RCW.19,28.261: (1) OwnetWilI61X1Rth0ftctura1brtft yen after this electrical permit is finalized. l I�) Owner i§ rm 4tim to hire an electrical contractor ii above said property it fot sale, motor lease. Peirrilit expires after six months of last inspection; After reading the above statement, I hereby vilify that I am the owner of ft ohm named properly or a licensed electrical cc !ftf tor. I arfi'making the electrical installation or alteration in compliance with the electrical -IM, N,Et, RCW, Chapter 19,28, WAC, Chapter 296,16B, The C4of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 rt:garding Electrical Permit Applications. Sign ur of owner, electrical ea actor or electrical administrator; ❑ Cash © Check Doted; ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . , , , 15- 00000357 Date 4/09/15 Application pin number . . , 494325 Property Addre98 , . . . 519 S PEABODY ST ASSE'SSCR PARCEL NUMBER: 06-30- 00 -0 -�- 9845 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . , . , . Property Uge Property Zoning , . . . , . . COMMERCIAL OFFICE Application valuation . , . , 0 Application desc 3o amp circuit IT room --------------------------------------------------- ----- ----------- -- -- -- --- Owner Contractor CLALLAM CNTY PUB HOSP .D18T 2 SIMPSON ELECTRIC DBA OLYMPIC MEDICAL CENTER 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457 -9270 (360) 417 -7170 ---------------------------------------------------------------------------- Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 8610D Plan Check Fee 00 Issue Date 4/09/15 Valuation . . . . 0 Expixaticn Date 10/06/15 Qty Unit Charge Per Extension BASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total, 86,00 86,00 00 00 Plan Check Total. 00 .00 .00 .00 Grand Total 86,00 86.00 :00 .00 N REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH: SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G_IEXCHANGEWILDUG Signature Cash Adjustment Application# i-�7y-�35-7 Receipt # Fee Type-2ftw-1- Cashier info Payment Type Check # Amount Paid Refund Amount Adjustment Posted Fee New Fee Signature --�D5 (A) Ej pty unit, (2hargC Per �gCax►eion RASES PEA BG.Oo - _--------- -- -------- a Fs-.e eummaxy ChargCci 15 1ia Cxedirtd Sue Y.^ r - - -_ - - -- Perinih Fe-Fr °rotal, a6.n0 66.00 .00 •00 1.>:1Qn Cheok 'iokal .00 40 .00 00 Grand Total 66.00 Afi,00 DD 00 f Ob 1 vim, INS'EC i'!nN TXP DAIS: MULLS: TNSPSCTOR: DUCH SSKV�'CE RQVGH -IN ;'NAT. COMMENTS: PEF,Mr' WCLL FIRE SIX (6) M011MIS FROM .t AST WSPEGnON - 5ig=t= ufow= or EZCGtrica l CQatractor x Dace: