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221 N Race St - Building
0,,*90RT ELECTRICAL INSPECTION WIRING REPORT RKS b 417-4735 � DATE. 711 RMIT# INSPECTOR 3 r -e `2'� OWNER Gi rZ, �.2 R c- 14, s r -Are APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL --� CORRECTIONS NEEDED- r" li,7 f iQ L- w 1A n w-ZZ _ A11FXj>>, To Co►.t �t�L� iv �,i� r��-r _ Z?t7e�S A n1,!:� -s),404,L-,L- -t4a. 551- 1Q-c. 251 - � 4:t 14 -21E'a 4 Ja 1) 5>,Ry I LY M RS', "4`D Gri Q,16 l 1p 'Z- �u j p fl"Sx,> Nx-c Z 3a LA-)W- 294, 963- Z3�C� I h!-5-r&L_L_ 4-- i JA-,v,Io►�L M. N.e- i L Mrf.c 31'j - 14L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITAYS� — DO NOT REMOVE — `,� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 O' Application Number 11 00000190 Date 3/07/11 Application pin number 438260 REPORT SALES TAX �! Property Address 221 N RACE ST ASSESSOR PARCEL NUMBER 06 30 00 6 1 0314 0000 on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc 200 amp service change Owner Contractor ORR GILL M ALASKAN ELECTRIC 1 1020 CAROLINE ST 237 ROBERSON RD 1 v PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 2443 (360) .582 3874 53-7,3 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc �+ Permit pin number 182063 Permit Fee 119 90 Plan Check Fee 00 Issue Date 3/07/11 valuation 0 Expiration Date 9/03/11 Qty Unit Charge Per Extension 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Fee summary Charged Paid Credited Due Permit Fee Total 119 90 119 90 00 00 Plan Check Total 00 00 00 00 Grand Total 119 90 119 90 00 00 lid V INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE 3 If l ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING r 03/03/2011 16 09 3604525333 ALASKANWCS%1S ® PAGE 01/01 'pr?ORT tVd MAR - 4 2011 ` . "`' CITY OF PORT ANGELES P>✓RMItTpLICATION ELECTRICAL - Building Division/Electrical inspections INSPECTIONS �T 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fax: (360)41.7-4711 Date: 1 &2 Single Family Dwelling Multi-Family or Commercial" _.Commercial Addition I Alteration I Remodel/Repair* *Plan Review May Be Re uired,Please complete Electrical Plan Review Information Sheet Job Address:, � �� Building Square Footage:- L - Description of above__.,,MQ.-. Owner I formation Contractor Information _ Nerve t�}fLL Name:, tSk&*.l Q � r.� ROSC2�ll-C�S Mailin Address• „Z l,�l 14C��TK.�e Mairmg Address City . F* State:w�zip: City: A-- State:w o►-lip: -. . Phone:�'o 8 -it-7-1- Fax License Qom?_- "7y Fax 91 License#I Exp. License#I Exp. A4,1A Er,C99Kynb IteeUnit Charge Sty Total IQtt1 MURlalied by Unit Charnel Servlce/Feeder 200 Amp. $119.90 $--1-1-- Service/Feeder 201400 Amp. $145.50 $ $ Service/Feeder 401.600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262 ZD $ ServlcelFeeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder S 2.60 $ Branch Circuit W/0 Service Feeder $ 73.50 $--^ Each Additional Branch Circuit $ 2.60 Temp.Servlce/Feeder 200 Amp. $ 92.70 $--- Temp.Service/Feeder 201.400 Amp. $110.30 $ Temp,Service/Feeder 401-600 Amp. $148.70 $—�---- Temp.ServicefFeeder 601-1000 Amp $167.9D $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Ughling $ 88.7.0 $----- Signal Circull/Umited Energy/First 1500 sf-Commensal $ 95,90 $ Note: $5.00 for each additional 1500 sf $ Signal Circult/Umited Energy 1&2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy Mulli-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $-----"-' Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 NgW CONSTRUCTION ONLY: $ First 1300 Square FL $110.30 S 35.20 Each Additional 500 Square FL or Portion of $73.50 $�_ Each Outbuilding or Detached Garage $ Each Swimming Pool or Hol Tub $110.30 $, 11 IR.jo Total Owner as defined by RCW 19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor If above said property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor 1 am making the electrical installation or alteration in compliance with the electrical laws,N.E.C. RCW Chapter 19.28,WAC.Chapter 296-46B,The city of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator ❑ caur t7 Check 3R'Credit cam# a t t C E RTI FCyAAE kOC �J PA N CY of Port Ang l . BUMIli,n '' )D ision �s :'a This certificateis issue ur us ant-toA requirements of Section 110 of the 20 International Building Code certifying that at the t'.`e of issuance£tdi'is structure was in compliance with the v ious.ordinances of the City '; , raonorf.ra,,t.Z.lze.follo� uulatin buildin cnsrucng, M Business name ��CedarGrove2'C:oun el ngl"n ('Owner �Gilh„O.rr,) Business address 5 i ♦ r2'21,M Race St � � ; }� k v , a t. t Property owner ; Gill Orr/ Jo:hanna�ingallsV � .fi �” '"�Y�w� Property owners ddress 293 RockyRoad:;vFort'AngelesA9836 Automatic lre sprihklerj',syptem Per IMF, lz orpiyfl , � y Use & occupancy cl sadcation. Busiiz ne'ss4' . �> 5 Buildin ermit num r X0.8 634 . H t is ti MF.{;i Type of construction. Occupant load Pei 09-24-09 Rolle Manna-ng 'eager Date Post on the premises in a conspicuous place. This ce'r'fi'fi 'a e a 1 not be removed except by the Building Official. 1 J O� MWQ �O N n Q Z J-(8/26/2009) Linda Pangrle 221 N Race Street Page 1 From Roger Vess To• Linda Pangrle Date: 8/26/2009 11.02 AM Subject: 221 N Race Street CC: Sue Roberds Linda, The permit #08-1379, parking improvements have been completed per approved engineered plans Thank you, Roger °` *",Q" "° CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001379 Date 4/20/09 Application pin number 519200 Property Address 221 N RACE ST ASSESSOR PARCEL NUMBER 06 30 00 6 1 0314 0000 Application type description PUBLIC WORKS UTILITES --� Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc storm dain connection & parking lot Owner Contractor ORR GILL M KATTAU CONSTRUCTION 1020 CAROLINE ST 3103 MT PLEASANT RD PORT ANGELES WA 98362 PORT ANGELES WA 96362 (360) 452 2443 (360) 452 4738 Permit RIGHT OF WAY Additional desc STORM DRAIN CONNECTION/PARKING Permit pin number 137182 Permit Fee 50 00 Plan Check Fee 00 Issue Date 4/20/09 Valuation 0' Expiration Date 10/17/09 Qty Unit Charge Per Extension r� 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Special Notes and Comments N Improvements to off street parking will be completed within ) 12 months of May 28 2008 per Chapter 14 40 Off Street Parking in the Port Municipal Code Installation of approved storm water management infrastructure to be completed as well April 20 2009 11 22 06 AM 1pangrle Per Sue Roberd s 02 24 09 e mail an extension is granted with the understanding that you will complete the required parking improvements and call for final inspection no later than June 30 2009 Fee summary Charged Paid Credited Due ^ Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 ^' Grand Total 50 00 50 00 00 00 (\ V " t 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 pro isions of any state or local law regulating construction or the performance of construction d Agent Date Signature of Owner(if owner is builder) Date Signature of Contractor o utho ' T'\Po1icies\1102 15[10/08] 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 INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102 15[10/081 (3/23/2009) Linda Pangrle�Right of Way Use Permit#08-1379 `� _� ___,� Page 1 From Linda Pangrle TO. gill.cedargrove@olypen com Date, 3/23/2009 11.07 AM Subject: Right of Way Use Permit #08-1379 Hi Gill, Thanks for the phone message letting me know that Kattau Construction will be the contractor doing your parking lot project. Roger Vess, from the City Public Works Dept. requests that you come in and pay for and pick up your Right of Way use permit as soon as possible. The fee is$50.00 Come to the Building Permit counter to get the Right of Way use payment sheet and to pick up the permit. Thanks, Linda Pangrle Permit Technician City of Port Angeles n� 321 E. 5th St. `J' Port Angeles, WA 98362 360-417-4815 360-417-4711 FAX Ipangrle@cityofpa.us '(2/24/2009) Linda"Pang rle '221 N'Race Street Page 1 From Sue Roberds To: gill.cedargrove@olypen.com Date: 2/24/2009 4 40 PM Subject: 221 N Race Street CC: Linda Pangrle, Roger Vess Dear Mr Orr, You recently sent an e-mail(February 6, 2009)asking for extension of Certificate of Occupancy Permit#08-634 through June, 2009,to enable you to complete required parking improvements required for occupancy of the site as a commercial use. The permit can be extended with the understanding that you will complete the required parking improvements and call for final inspection no later than June 30,2009 Additionally the Right of Way Use Permit application does not identify who your contractor is. The name of your licensed contractor must be on the application. Please stop by or phone Permit Tech Linda Pangrle(417 4815)with this information at your earliest opportunity Sincerely 3/ao/oq Gill Cal �, 4 'lJ+ a Y,rnzs s aJ e 5-�&A4nuc -�OxV f'he, (gar I<,n�C (off- C0h+M c}-o rr wait loe K0',+4_a0 C0nSkrrveA_7' 0h I{��t�- aC�033&Y' _Occupancy Permit 221 kac" ---.Page 1 ............. From 'Gill.cedargrove <gill cedargrove@olypen com> To <I pa ng rle@cityofpa.us> Date 2/6/2009 2.01 PM Subject: Occupancy Permit 221 N Race Hi Linda, I have spoke with a licensed and bonded contractor who states he can do the concrete work for this property in June I believe the permit is through May so I am requesting an extension through the end of June Thank you Gill Orr Gill Orr CDP � A0 Foil-" i �() T- � e9 � f� ) Row ? JAL o� � Wr4o' el l S� r"a h;s AD From UndaPangde TO RogerVesy Date: 12/26/20084 SS PM Subject: Cedar Grove Counseling Inc., 2I1NRace St. Hi Roger Is it ok for me to issue the Certificate of Occupancy#08-634 for Cedar Grove Counseling Inc.? lnoticed that the PwUT permit#08-1379 for the storm drain connection and parking lot hasn't been paid for or issued yet. The comments nnthat permit state: 'Improvements tooff street parking will becompleted within 1Zmonths o[May Z8,2OO8, per Chapter 14 4O,Off Street Parking in the Port Municipal Code. Installation ofapproved storm water management infrastructure 0obecompleted ao well. [sMay 28, 2OO8still the correct date 0uput onthe PYVUTpermit even if ithasn't been issued yet? Also, [want tnmake sure that[have acopy nfthe approved parking plan. [ have atwo-page site plan and three pages of drainage calculations from Zenovic&Associates dated 03-19-08. Is that the approved plan&calculations? Please let me know if I can issue the C of 0,or if I should wait until after the PWUT permit has been issued. Thanks, Linda i2J79 L9 R fty, 4 T ~ �� .J1_ l�_ / --- 46 -l~. L�` ~ ' �� ^�"~ �� �/u N� � JQ�� ��� � ~' ^���~ /D coo), U. ~ J - �� ?/ -��� ��� PCl[J "� w U ` ' �� ^-��-u�o�- U ~- ~- V - —~ ~ ' � b�y� �- ` � X- C�*jo4e- COQ-fj5Ew kc i5F c,L—)A t,! P-,l C W All LAWN I Lot. S'K\S* (z sv s 40tsq�yk- 23564 Aw,x) IST' Z-A L3 a4 C-IF /lZ P-0-4 co q -R up PIPE LEvE - AT ELev $6 oTt OF 9,t�(N A�-D o P, t-z N =tTi EN ' TD Ex 1STlNC7 CATCtA AUS _SF--t- (A(VF-Kt 19AYN REC--EIVE OCT 31 2008 CITY OF FbRT ANGELES III-fmW-,DrVfSIQN 5- 7110 C+ 36 -41 F7 XC7 Q X-11- t i. Ile, - 1 1 CITY OF PORT ANGELES DRAINAGE DESIGN ZENOVIC&ASSOCIATES PROJECT Cedar Grove Counseling 301 E.6th Street,Suite 1 LOCATION. 1020 Caroline Street PORT ANGELES,WA 98362 PARCEL NO: DATE: 3/19/2008 JOB NO 08043 AUTHOR: ZNS Mean Recurrence Interval= 25 Years Rainfall Duration(T)= 30 Minutes Design City= Port Angeles I= 1.207 Inches/Hour=m/(T^n) M= 7.370 n= 0.532 BEFORE DEVELOPMENT R AREA ACRE COEFF SQ. FT A C. Q=C"I"A 1 Existing House 1567 0.036 0.900 0.039 2 Concrete Driveway 376 0.009 0.900 0.009 3 Lawn 5047 0.116 0.220 0.031 TOTALS 6990 0.160 0.079 CFS =INCREASED 10%FOR 25 YEAR STORM(.90 MAX.) AFTER DEVELOPMENT RUNOFF AREA ACRE COEFF SQ.FT A C. Q=C"I"A 1 Exisftng House 1567 0.036 0.900 0.039 2 Parking Area and Exist.Sidewalk 1314 0.030 0.900 0.033 3 Lawn 4109 0.094 0.220 0.025 TOTALS 6990 0.160 0.097 CFS =INCREASED 10%FOR 25 YEAR STORM(.90 MAX.) INCREASE IN SITE RUNOFF= 0.018 ALLOWABLE = 0 % 0.000 CFS REQUIRED ON SITE RETENTION/DISPOSAL= 0.018 CFS REQUIRED VOLUME FOR 30 MIN.STORM= 32 CU.FT RUNOFF COL CTE DNA B IN BOUNDARY A o CONTROLLED SQ.FT CONTROL Q=C'I'A RUNOFF 1 Exisitng House 1567 0.00% 0.039 0.000 2 Parking Area and Exist.Sidewalk 1314 80.70% 0.033 0.026 3 Lawn 4109 0.00% 0.025 0.000 TOTALS 6990 0.026 CFS Cedar Grove Drainage Page 1 of 2 Intensity LLALLAM COUNTY DRAINAGE DESIGN ZENOVIC&ASSOCIATES PROJECT Cedar Grove Counseling 301 E.6th Street,Suite 1 LOCATION 1020 Caroline Street PORT ANGELES,WA 98362 PARCEL NO: DATE: 3/19/2008 JOB NO 08043 AUTHOR: ZNS Mean Recurrence Interval= 2 Years Rainfall Duration(T)= 30 Minutes Design City= Port Angeles I= 0.711 Inches/Hour=m/(T^n) M= 4.310 n= 0.530 BEFORE LRUNOFF AREA ACRE COEFF SQ. FT A C. Q=C'I"A 1 Existing House 1567 0.036 0.900 0.023 2 Concrete Driveway 376 0.009 0.900 0.006 3 Lawn 5047 0.116 0.200 0.016 TOTALS 6990 0.160 0.045 CFS =INCREASED 10%FOR 25 YEAR STORM(.90 MAX.) AFTER DEVELOPMENT RUNOFF AREA ACRE COEFF SQ.FT A C. Q=C"I`A 1 Exisitng House 1567 0.036 0.900 0.023 2 Parking Area and Exist.Sidewalk 1314 0.030 0.900 0.019 3 Lawn 4109 0.094 0.200 0.013 TOTALS 6990 0.160 0.056 CFS '=INCREASED 10%FOR 25 YEAR STORM(.90 MAX.) INCREASE IN SITE RUNOFF= 0.011 ALLOWABLE = 0 % 0.000 CFS REQUIRED ON SITE RETENTION/DISPOSAL= 0.011 CFS REQUIRED VOLUME FOR 30 MIN.STORM= 19 CU.FT RUN-OFFCOLLECTED GE AS O NAR R o CONTROLLED SQ.FT CONTROL Q=C"I"A RUNOFF 1 Exisitng House 1567 0.00% 0.023 0.000 2 Parking Area and Exist.Sidewalk 1314 80.70% 0.019 0.016 3 Lawn 4109 0.00% 0.013 0.000 TOTALS 6990 0.016 CFS Cedar Grove Drainage Page 1 of 1 2Y Intensity CA pp, Parn f A Res`f-,00 r,, re-r m i-- 0-7-SSZ- Fi itgd a 2_-0 (-0 a �UR� tq{ CERTIFICATE OF O CCUPA NC Y A PPLICA TION Permit# d 8 - 6_� of low CITY OF PORT ANGELES FEES �= Attn Building Permit Technician 6;DCertificate / Inspection 321 E. Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 $100 00 Parking Business Improvement Area(PBIA) Print in ink fee charged for downtown locations BUSINESS NAME 2 �/lU✓ �LJUJV S� L/it/ C BUSINESS ADDRESS Zoning Business mailing addresp i l-ocr S a Phone# G Opening date / 0 Das & hours of operation Brief description of ro osed business y Irl✓ Business owner's name / /�/( Phone# 360 --// _— Business owner's home address -mac PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers Second-hand dealer Pawn broker Dance Hotel- Motel, Fireworks Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NO✓ YES✓ IF YES, CONTACT Electrical changes V Electrical Dept. at 417-4735 New business New or relocated signs Building Division at 417-4815 Construction changes Transfer of business Mechanical changes(heating,cooling,stoves) ✓ location from a Plumbing chan es PBIA location Fire sprinkler system changes ✓ Fire alarms stem changes Transfer of business Is this a home occupation? ,/ Planning Division at 417-4750 location from aSecond-hand dealer or pawn broker? City Clerk at 417-4634 non-PBIA location New or relocated sewer or water service Public Works at 417-4807 Excavation or filling of lots Change of ownership Work done in the City right-of-way New driveway openings Remodel Grading site drainage(parking lots, downspouts,etc.) ✓ Landscape irrigation system(backflow devices) Water Dept.at 417-4886 Temporary business Off-street parking Existing streets paved Change of use Existing sidewalks Curb and gutter Call for Certificate of Occupancy inspections before o enin business Please sign up for utility Building Department Inspection 417-4895 & Fire Department Insp ction 417-4653 services at the cashier counter C: Please provide a minimum 24-hour notice for, ' ns I hereby apply for a Certificate of Occupancy I acknowledge hat I have read this application and state that the information I have supplied is corr ct to the best of my knowledge Date 6 Print Name______6/ L /t Signature For City use only Department Approved Rejected Comments/Conditions Initials&date Initials&date Building Type of construction Occupant Load Fire Automatic fire sprinkler system required no yes PBIA /q,' 6 GUr Planning Cl 7—V 2�n1Uvt/� - C /�}� /,J�c,2✓�£'D �✓/£ City Clerk 1—M-I ' /Z_-Maw/7(s' 7Z mss-'�e(- /AWX_1.J 6 607- Public Works ����i _?Y) T:porms/Building Division/Certificate of Occupancy Application 0� 00 12610, Application Tracking Action Log Maintenance - CITY OF PORT ANGELES} sut+l0ARt1•Ft180C iLy 8 H t,l�3aviL, Application Tracking Action Log Maintenance Application number- 08 00000634 Address: 221 N RACE ST Application type: CO-CHANGE OF OCCP/USE Revision/Path/Step/Seq/Agency: A 01 00 PUBLIC WORKS ENGINERING Action date. 111708 Action by: r -- ,� ROGER VESS Action code: APPROVED Time spent(hours): F----® ®Improvements to off street parking will be completed within Fii, 12 months of'May 28 2008 per Chapter 14 40, of£'Street Fi 1 "Parking in the Port Municipal Code Installation of approved M j storm water management infrastructure to be completed as j 1 Well. 2 00. -/'OK Highlighted'Sequence indicates line is not available for List selection. �!Exit oe� Cancel �nO- e s"" add standar. �\ 5r'm dVu�h C o h2G�o'h PKih� o PREPARED 5/30/08 9 09 52 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/30/08 ADDRESS 221 N RACE ST SUBDIV TENANT NBR CEDAR GROVE COUNSELING CONTRACTOR PHONE OWNER GILL ORR / JOHANNA INGALLS PHONE (360) 808 1175 PARCEL 06 30 00 6 1 0314 0000 APPL NUMBER 08 00000634 CO- CHANGE OF OCCP/USE -------- - -- - --- - --- -- --- -- PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 5/30 08 JLL BLDG C/O FINAL TIME 01 00 ./ OVERRIDE TAKEN BY LPANGRLE DATE 05/29/08 TIME 08 20 06 QMay 29 2008 8 18 36 AM 1pangrle GILL 808 1175 C OF 0 FINAL CEDAR GROVE COUNSELING INC AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES ADR Rami A Res+n,3rN-\ P-Ilrmt- a7--5 SZ- Rhojed 02--01-0!R) <, CERTIFICATE OF OCCUPANCY APPLICATION Permit# 03 — l93 1 �> F F CITY OF PORT ANGELES FEES " - Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 G;Dcertif icate / Inspection (360)417-4815 fax (360) 417-4711 $100 00 Parking Business Improvement Area(PBIA) Print in ink fee charged for downtown locations MOVa -gym 1020 Catrol t r i e � BUSINESS NAME £ ,-J0J uNS'—r( /IV --Z:7,—,)C BUSINESS ADDRESS S Zoning Business mailin a ldres5 Phone# Q Opening date / oe Days & hours of operation Brief description of ro osed business Business owner's name ;e e- /1,2 Phone# O -// fC Business owner's home address �77, 'loc/�Y iZo,4�J - ollr - £� �% �' PLEASE NOTE. A Business License is also required for the following businesses Taxi, Peddlers, Second-hand dealer Pawn broker Dance Hotel- Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NO✓ YES✓ IF YES, CONTACT Electrical changes Electrical Dept. at 417-4735 New business New or relocated signs uj t e 0.g m 1 BuildingDivision at 417-4815 Construction chan es s vs 142k Ter" Transfer of business Mechanical changes(heating,cooling,stoves ✓ location from a Plumbing changes V% PBIA location Fire sprinklers stem changes kW ✓ Fire alarms stem changesw)'0-5Nt -h Transfer of business Is this a home occupation? U' ✓ Planning Division at 417-4750 location from a Second-hand dealer or pawn broker? City Clerk at 417-4634 non-PBIA location New or relocated sewer or water service Public Works at 417-4807 _ Excavation or filling of lots Change of ownership Work done in the City right-of-wa New driveway openings Remodel Grading site drainage parking lots,downspouts,etc.) t/ Landscape irrigations stem (backflow devices) Water Dept. at 417-4886 Temporary business Off-street parking _ Existing streets paved Change of use Existing sidewalks Curb and gutter Call for Certificate of Occupancy ins ections before o enin business Please sign up for utility Building Department Inspection 417-4815 & Fire Department Insp ction 417-4653 services at the cashier counter Please provide a minimum 24-hour notice for inspec ' ns I hereby apply for a Certificate of Occupancy I acknowledge hat I have read this application and state that the information I have supplied is com ct to the best of my knowledge Date o9-pPrint Name_ /c C- /t Signature For City use only- Department Approved Rejected Comments/Conditions Initials&date Initials&date Building Pt> 5-3&-0 Type of construction Occupant Load Fire Q 54O'0Automatic fire sprinkler system required no yes PBIAi9>2iG.J6 GUT p�,9n� rT £o , /`!f£ Planning q-11- 9 C/ 7-V �> 2��Ch,�r1< v4£/,3 /-7-J£' y City Clerk g ,yam 'TO �l�J CC 4�/7 -J G 607- Public Works �.Q 9ij .Nglv7 1.7—rW -;jy od i 70 1� T Forms/Building Division/Certificate of Occupancy Application e i, �i t+�"h xi`,.'t.`C''� k b +;�"h�-t�,x,r - +.�...vi ,� r.<;y�.,' x� a,r+Y, +�;� ;�,,,,ti, j•�,. ra'4'e � �S cY "�s�"` �� `�l'Epy.'"�s �+r.�" R f,•Ln r tF M� 4�^�.o rj�' °'+L�1• y Y k ��. 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NM 9L'.«f -.rne�t�4D. ±n '1ti �1-,-.H `l.X.�' mfr ��'r�,�3,'?�>.`-�-,.2_...>• =&C_ �'^ ,d A�� G, RECEIVED / �� \O,Q(/`� LEGEND OCT 312008 1141 - - - - EXISTING PROPERTY LINE I� Fj C v► ' s / EXISTING FIRE \ HYDRANT / \ ` �� PROPOSED EDGE OF PAVEMENT CI BUILDING 011MON egg r o d , 1- _ EXISTING SIDEWALK w a s ---- –\ ----------- EXISTING EDGE OF CONCRETE *SEE CONCRETE NOTES SHEET 2 3 diad 2. 8 FUTURE \�\� \�FKq \ �� SLOPE 2% MIN. PRIVACY FENCE '� �� ` – — — — — — — — – EXISTING EDGE OF PAVEMENT JW (PER OWNER) \ , ,� W p6 F" � —X—X—X—X—X—X— PROPOSED FENCELINE " Z U Q 0 4" CONCRETE —X—X—X—X—X—X— EXISITNG FENCELINE 4 C.S.T.C. 7 O / / / /7�/�� NATIVE sols a 0 C/)PROPOSED DITCH FLOWLINE //�//�//� NA PROPOSED PAVEMENT A PARKING AREA SECTION // 1 Scale: NTS 0 EXISTING PAVEMENT V / // EXISTING ,c DIRECTION OF SLOPE N �, C7 N Q,//� BUILDING / IV/// EXI DECK � ///} •-• 2 2 / /�t / EXISTING CATCH BASIN DISABLED PARKING '�~ SIGNAGE SIZE 12" X 18" W m WHITE. SYMBOL Q V W 3 / EXISTING FIRE HYDRANT & BACKGROUND Z EXISTING FENCE /} EXISTI}RAMP NG pj 0 O�Zw / rt / °D 2 LUQ / / LAWN / CALL BEFORE YOU DIG x Q o I �, / BLUE. SYMBOL FIELD W C CREATE FL0'WLINE TO / ////NSTALL WHEELy 1 - 800- 424- 5555 W a ^a EXISTING 3' } v STATE DISABLED DIRECT RUNOFF INTO STOPS (TYP) �� DE SIDEWALK / �/, UNDERGROUND UTILITY �` GREEN: LETTERS & BORDERS 4i z RAIN GARDEN (2% MIN. / �/ / , FOR j PARKING PERMIT J / 4 WIDE WHITE / } \ STRIPING (TYP) INSTALL HANDIL�AP PARKING' ,' \ LOCATION SERVICE �z REQUIRED SCALE. U SIGN PER DETAIL B/1 .1e le VAN SITE' BACKGROUND 3/19/2008 9c �� ' GREEN: LETTERS & BORDER FILE. ACCESSIBLE SITE PLAN 02-14-08 \\ t / /tE� O AND RE IDVE EXIST JO NO: 9' a CONCRETE DRIVEWAY & SIDEWALK �' 12" 08043 e ,, AS REO'D, APPROX. 255 SF r\ CONSTRUCT APPROX. �� s� b'. / i QNEN M. 2FH0 11� 1 193 SF OF CONCRETE �w B• } ' ROVIDE A 12" THK. x 2'0 QUARRY / ��• pE WA Li PER SECTION A/1 SPALL PAD IN RAIN GARDEN AS SHOWN i LETTERS SHALL HAVE WIDTH TO HEIGHT RATIO \ / /CONSTRUCT 1.5' DEEP X 1 WIDE X 27' ; BETWEEN 3:5 AND 1 1 AND A STROKE-WIDTH-TO 4y /00" \ SA UT EXISTING �' 'LONG RAIN GARDEN PER DETAIL A/2 / t HEIGHT RATIO BETWEEN 1 5 AND 1 10 IN� PAVEME T AS REO'D D g, / EXISTING CATCH BASIN: RIM / BACKFILL DITCH PER CDF BACKFILL ' B HANDICAP PARKING SIGN 3 �p�.2359410 ELEV=87.20,' I\OUT=85.80� � 6PECIFICATIONS DETAIL B/2 ,'� moi' G/STER ' \\ 1 Scale: NTS SS'ONAL ENG CONNECT RAIN GARDEN OUTLET TO ' ' ' \ EXISTING CATCH BASIN WITH APPROX. 11 i11)ir' / \ IN, L.F OF 4"0 PVC PIPE\T 2% SLOPE ,' P ES. i S EET SITE PLAN APPROVED FOR CONSTRUCTION DATE APPROVAL EXPIRES. 1 Scale 1 " = 20' CITY ENGINEER 0 20' 40' 60' OF 2 EROSION CONTROL NOTES DRAINAGE NOTES CONCRETE NOTES --N ALL WORK AND MATERIALS TO BE IN ACCORDANCE WITH CURRENT STANDARD SPECIFICATIONS FOR ROAD, BRIDGE AND MUNICIPAL �� � ~ W 1 ALL EROSION CONTROL MEASURES SHALL BE 1 ALL CONSTRUCTION SHALL CONFORM WITH CONSTRUCTION" WASHINGTON STATE DEPARTMENT OF TRANSPORTATION, AMERICAN PUBLIC WORKS ASSOCIATION. a s I s CONSTRUCTED-AND MAINTAINED IN ACCORDANCE WITH THESE PLANS AND THE WASHINGTON STATE 't o THE REQUIREMENTS OF THE STORMWATER MANAGEMENT DEPARTMENT OF TRANSPORTATION STANDARD ;+ � 1 SIDEWALK CRACK CONTROL JOINTS SHALL BE 1/8" THICK, 1 DEEP AND AT 10� EACH WAY 1 MANUAL FOR THE PUGET SOUND REGION (DOE, 2005). PLANS FOR ROAD, BRIDGE AND MUNICIPAL CONSTRUCTION. 2. CONCRETE SHALL BE CLASS 3000 AND SHALL HAVE A MINIMUM 28-DAY COMPRESSIVE STRENGTH OF 3000 PSI AND SHALL NOT m S 2. ALL DISTURBED REAS, EXCEPT THOSE ON WHICH ACTIVE CONSTRUCTION IS TAKING PLACE, SHALL BE 2. CONTRACTOR SHALL NOTIFY UTILITY LOCATOR CONTAIN LESS THAN 5-7¢ SACKS OF CEMENT PER CUBIC YARD. CONCRETE SHALL ALSO BE AIR ENTRAINED. TOTAL AIR CONTENT 1z� q EITHER SEEDED AND MULCHED OR PROTECTED WITH SERVICE AND ARRANGE FOR FIELD LOCATION (PERCENT BY VOLUME) SHALL NOT BE LESS THAN 596 OR MORE THAN 796.. WAPPROPRIATE PLASTIC SHEETING r SSS UTILITIE DISTURBANCE BETWEEN OCTOBER WITHIN AND APRT 30 AND NN AFFECTED REAS PRIORMARKING OF ALLERGROUND TO CONSTRUCTIONS 3. HERBICIDE TO BE PLACED UNDER PAVING, CURB AND SIDEWALK PRIOR TO PLACING OF MATERIALS. 3 WITHIN 7 DAYS BETWEEN MAY 1 AND SEPTEMBER 30. 3. ALL STORM DRAIN PIPING DESIGNATED AS PVC 4 FORMS SHALL BE TRUE TO LINE, GRADE & SECURELY STAKED. Vj 3. ALL EROSION CONTROL MEASURES SHALL BE INSPECTED SHALL BE SDR35 PIPE CONFORMING WITH ASTM w MONTHLY AND AFTER MAJOR STORM EVENTS. ANY SPECIFICATION D3034 5. JOINTS SHALL BE PLACED AT ALL ALLEY AND DRIVEWAY RETURNS STRUCTURESW C'6F" DEFICIENCIES SHALL BE REPAIRED IMMEDIATELY O Q G 4 FINAL ELEVATIONS, GRADES, AND ACTUAL PIPE 6. CONCRETE SHALL BE A COMMERCIALLY AVAILABLE TRANSIT-MIX PROPERLY PROPORTIONED AND DELIVERED TO THE SITE IN READY-MIX U -- 4 ANY MUD THAT IS CARRIED OFFSITE BY VEHICLE WHEELS LOCATIONS ARE TO BE DETERMINED BY TRUCKS. AGGREGATE SIZE SHALL BE A MAXIMUM OF 1y1" IN FOUNDATIONS AND % AT ALL OTHER LOCATIONS. SLUMP SHOULD NOT ; U AND DEPOSITED ON PUBLIC ROADWAYS SHALL BE OTHERS SUCH THAT THE FINAL ELEVATIONS EXCEED 4 CURING COMPOUND SHALL BE SPRAYED ON ALL EXPOSED SURFACES IMMEDIATELY AFTER FINAL TROWELLING. C a CLEANED UP IMMEDIATELY AND DRAINAGE PATTERNS CONFORM WITH THE O C/) C/) PLAN AND DETAILS HEREON. ANY CHANGES 7 ALL CEMENT SHALL CONFORM TO THE ASTM STANDARD C-150. ALL AGGREGATE SHALL CONFORM TO ASTM STANDARD C-33. a Z C/) 5. ADJACENT PROPERTIES SHALL BE PROTECTED FROM MUST BE APPROVED BY THE ENGINEER PRIOR SEDIMENT DEPOSITION BY APPROPRIATE USE OF TO CONSTRUCTION. W ASPHALT CONCRETE PAVEMENT OR VEGETATIVE BUFFER STRIPS, SEDIMENT BARRIERS OR W FILTERS, DIKES OR MULCHING. OR BY A COMBINATION OF 5. THIS DRAINAGE SYSTEM MUST BE INSPECTED CLASS B PCC PAVEMENT (HIGH v) THESE MEASURES. AND CERTIFIED TO THE COUNTY BY THE EARLY) MATCH EXISTING PAVEMENT w ENGINEER. CONTACT ZENOVIC & ASSOCIATES, TYPE AND DEPTH. SEE NOTE g4 W L1 6. STABILIZED CONSTRUCTION ENTRANCE SHALL BE INC. AT LEAST 48 HOURS PRIOR TO THE TIME 12" MIN. OVERLAP V CUTS SHALL BE SAWCUT SEE NOTE 3 Q Z CONSTRUCTED AND APPROVED PRIOR TO SITE GRADING OF INSPECTION. AND/OR FOUNDATION EXCAVATION. a 4 N Q O N ':II I II I II I I III—1 11- N to W 40W W 00 CDF BACKFILL -11 I—) (III C O y 3 RAIN GARDEN SOIL NOTES i=til lil- a -I�1=1 11=1�. � 1 SOIL AND PLANT MATERIALS MUST BE PER SPECIFICAl10NS FOR BIORETENTION �IIIIIII IIII_a o ooW AREAS IN CHAPTER 6 OF "LOW IMPACT DEVELOPMENT TECHNICAL GUIDANCE _ O 0:(t Z MANUAL FOR PUGET SOUND" JANUARY 2005. I I ( — — = _ Z V Q 2. PLANT MATERIALS MUST CONSIST OF GRASSES/LEGUMES AND SHRUBS. TREES BEDDING Ct MAY ALSO BE USED WHERE APPROPRIATE. Q BCDF BACKFILL FILL SPECIFICATIONSEDGE PAVED F I 2 Scale: NTS W 2600 LBS. OF 0.375 IN. AGGREGATE F � SURFACE 800 LBS. OF STANDARD CONCRETE SAND _y h_ 94 LBS. OF PORTLAND CEMENT SCALE. 1� __ APPROX. 14 GAL. OF WATER 1"=30 III_=— io 9 _I I_I I I_ THE AMOUNT OF WATER IS A CRITICAL FACTOR TO SET UP TIME AND SHOULD BE ADDED AT =I I I—I I I—III- —III—III-I I I NOTES. THE SITE. 3/19/2008 I�—III—I I I \/ I—III—I I I I 1 HMA PATCH SHALL BE ROLLED AND KU VIBRATED. FILE. —I I (-^,,I I \\ I I I—I I I- SITE PLAN 02-14-08 I I—III // RAIN GARDEN SOIL �� / iii— 2. TO BE USED FOR ALL PAVED STREETS AND ALLEYS. BACKFlLL LOCATION TO 1 -0" BEHIND CURB OR EDGE OF J Rb: �f I I I I I I FILTER FABRIC ON PAVING UNLESS OTHERWISE APPROVED IN ADVANCE BY CITY ENGINEER. 08043 NATIVE SOIL I IOP OF DRAINES DRTOCK 3. WHERE CONCRETE PAVEMENT JOINT IS LESS THAN 4-0" FROM SAWCUT THE PAVEMENT SHALL BE REMOVED TO III~i ( I — _DRAIN ROCK THAT JOINT Q�6N M IFiyO 11— 4"0 PERFORATED PIPE 4 TEMPORARY PATCHING WITH ASPHALT OR PLACEMENT OF STEEL PLATES IS REQUIRED WHEN TRAFFIC WILL CROSS WASy�� C+ 12"- COF FOR MORE THAN 24 HOURS WITHOUT PERMANENT RESTORATION. STEEL PLATES SHALL HAVE COLD PATCH QL WEDGES ON TRAFFIC EDGES. A RAIN GARDEN SECTION CALL FOR INSPECTION PRIOR TO Scale: NTS PLACING CDF BACKFlLL.2 o23594Nn� L ba ALL WORK AND MATERIALS TO BE IN ACCORDANCE WITH CURRENT STANDARD SPECIFICATIONS FOR ROAD, BRIDGE AND MUNICIPAL CONSTRUCTION" WASHINGTON STATE DEPARTMENT OF E S: TRANSPORTATION, AMERICAN PUBLIC WORKS ASSOCIATION. S ET 2 OF 2 '°R'-w' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION Q 321 EAST 5TH STREET, PORT ANGELES,WA 98362 0 Qq Application Number . . . . . 07-00000588 Date 6/07/07 Application pin number . . . 754960 Property Address . . . . . . 221 N RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-6-1-0314-0000- Application type description COMM ADDITION Subdivision Name . . . . . . Property Use . . . . . . . . Property zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 9441 Owner Contractor MC COY TERRANCE E OWNER 221 N RACE ST PORT ANGELES WA 983623513 Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . ADD ADA RAMP AND RESTROOM Permit pin number . 102616 Permit Fee . . . . 207.75 Plan Check Fee 135.04 Issue Date . . . . 6/07/07 Valuation . . . . 9441 Expiration Date . . 12/04/07 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 ---------------- ----------------------------------------------------- Permit . . . . PLUMBING PERMIT N Additional desc . . MOVE SINK IN RaR Permit pin number . 102624 Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 6/07/07 Valuation . . . . 0 Z Expiration Date 12/04/07 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.00 .00 7.0000 ECH PL- EA. INSTALL WATER PIPE .00 Special Notes and Comments 05/29/2007 09:48 AM SROBERDS --The proposal is the addition of an ADA parking ramp and bathroom remodel in the ^ CO zone. No land use issues are anticipated. - - Other Fees -.-.-. STATE SURCHARGE 4.50 - Fee summary Charged Paid Credited Due ------ --- ---- --- 'F1 Permit Fee Total 264.75 264.75 .00 .00 ®� Plan Check Total 135.04 135.04 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 404.29 404.29 .00 .00 C! \® Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work 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 pennit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA N F'UL TO COVER,INSULATE OR CONCEAL ANF WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTEll 7T COMMENTS 1'ES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS I I PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) p- ©Q GAS LINE FINAL (�QO DATE I i 11 ACCEPTED BY: BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW./PW/ CONSTRUCTION-R.W. ENGINEERING 4174807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102 15 building permit inspection reCord05.wpd[1/412005] PREPARED 2/01/08, 9:22:47 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/01/08 ------------------ ------------ ADDRESS . : 221 N RACE ST SUBDIV: CONTRACTOR : PHONE OWNER MC COY TERRANCE E PHONE PARCEL 06-30-00-6-1-0314-0000- APPL NUMBER: 07-00000588 COMM ADDITION ---------------------------------------------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS —-----—------------------------------------- ---------- ---—---- BL99 01 2/01/08 JLL BLDG FINAL TIME: 01:00 n February 1, 2008 8:33:36 AM 1pangrle. GILL 808-1175 PTV BLDG FINAL AFTERNOON PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE. ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------- ------ PL99 01 2/01/08 VJLL oa j PLUMBING FINAL TIME: AM February 1, 2008 8:40:511 AM 1pangrle. GILL 808-1175 PLUMBING FINAL AFTERNOON PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE. -----------------------Ft --- —--- COMMENTS AND NOTES -------------------------------------- l/ i _. __.. I ..,,.....!.�'t i..... i : ,�.._. ... .... . , _ . ..... 3 ...... A .....,... W �1{ 91 cl- .. ' e I Ia : I I , j♦ t p � I I ! E. I v . � I I _ _ L_ t i 0,ce PSD _ R,"R- P w ' 2 l r\ I URz3�a - ' f , I 1 I , : F E y € E I. - - lc��w O�� � - -. f I I _t i i, i I 1 Er E 1 _ r f 'I 2a F 30 .0 r2� 5 td { �F' I _ 1 co � i � I I i i tri r`CV, vie E X Z j f I S' i F i [[[ OwhPX'5: & H Orr 4' Joi4 ny)a- (`s :. fDate FICIAL SE NLY: BUILDING PERMIT - APPLICATION .: Cell $pg 1175 : p Fill out COMPLETELY and in INK.Your application and site plan MUST p p proved COMPLETE to be accepted for review. If you have any questions,callPERMITS (360) 417-4815 FAX(360)417-4711ed: Applicant or Agent: CWA- v kc t vt Phone: Ownox-t 0a S � r t O_Lt l_ Pho/ne: �'6 0-- -710 _3 Address: ,22 I Al IZ 4 C E City: Po az- /`n/ - e Le-S (.Or_ Zip: 99-3(e Architect/Engineer: -- ' Phone: — Contractor i� 'D'P I State License 4: Exp: Phone: Address: City: /1 Zip: PROJECT ADDRESS: / l`L 2 Pt(c Pm��r/���t 4n, V?31,a ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF.=$ ❑ Multi-family X Addition ❑ Move❑ Garage SF. @$ /SF.=$ Commercial o Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=$ ❑ Repair ❑ Sign ❑ OtherI TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJEC�I 1 Li n trl k'L'i rrn r(�IYtC)c�c� 1 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq. Ft. =TOTAL Sq.Ft. Total lot coverage % PLANNING USE ONLY: APPROV S: PLAN: � BLDG: DPWU: ESA/Wetland(s): ❑Yes❑No SEPA Checklist required? ❑ Yes ❑ No Other: FIRE: OTHER: VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that itis my responsibility to determine what permits are required,not the City's, and that I must obtain such permits prior to work. T:TORMS\B1dgPermitform.wpd Applic t: '�' "� Date: -5 0-3/0 CITY OF PORT ANGELES T PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES.WA 98362 yam_ , Application Number . . . . . 07-00000136 Date 2/13/07 Application pin number 171336 Property Address . . . . . . 221 N RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-6-1-0314-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 Owner Contractor MC COY TERRANCE E OWNER 221 N RACE ST PORT ANGELES WA 983623513 --------------------------------------------------------- - Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . RECON EL/ 1-5 CIRCUITS HEAT , Permit pin number 94920 C„ Sub Contractor . RECON ELECTRIC, CORP. N Permit Fee . . . . 58.'00 Plan Check Fee .00 Aj Issue Date . . . . 2/13/07 Valuation 0 Expiration Date . . 8/12/07 1" Qty Unit Charge Per Extension 1.00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 CA COMMI----NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 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 ' MORMON TYPE DATE ACCEPTED COhIMENTS YES NO DITCH SERVICE FINAL -0 GENERAL COMMENTS: PW-1102.1514W RECON Electric, Corp. 360-824-9047 p. l a 1 NFFR f 7Fn �` --7 07 LJJ �� ELECTRICAL MI WORKPERTAPPLICATION r tI"e.�..rP Installation description Job wired by Xf Electrical Contractor C1 Owner Commercial U Residential 1 Eledricol contractor name Licenrse..number �t Date Expires R[CON ClerC rk,, Corg- QC�OIJcC96;ZJ8 ONew l�Alteredgddltoo � Purchaser's mailing address Po 609 3372 City state ZIP S,kver<W w 983 e3 Ad! � wall lled«5 Telephone number FA nu bar 3 3o7-c o-f 3Eo $,? -90Y7 i✓d/! 7i sTi`t%s Premises owner's name Fas1r-4.IeS7- marfao�e- Address of inspectionsn `t /V/ /GdL[ Sf, City r 7L C�15 O Phone number to se edule inspection: Owner as defined by RCW f9.28.26l:(/) Owner will occupy the structure for two years after this elecvical permit is finalized (2)Owner it required to hire an electrical contractor if above said property it for sale. rent or leare. ❑Cash ❑Check After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- 0 Credit Card Mastercard Discover lation or alteration in compliance with the electrical laws,N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# Utility specifications. Signature ewer, alae teal eontraetor or electrical administrator Expiration Dale r7 Impaction fee X Lfy Date: ,<—7—Q -1 of card i 5-8,00 Electriial Load Additions and or sailatractions Service Information U NO LOAD CHANGES U Baseboard KW Voltage I10 2YO O Furnace _KW Overhead Service Phased 1 U 3 U Heal Pump _Ton_LAR U Temp Service Service Size: 9 Fan-Wall 5 KW D Underground Service Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AIH 360-417-4735 ROUGH-IN STAT SERVE�mw Date A"-d 6y E7- �7 AWM By Du. SIN L H FEE Appmve r AeVmvmnr Dam aaaaa Inspection Arca,Building or Equipment Inspected Action Takeo Electrical Date Inspector a � p7 ,..INCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION U 321 EAST 5TH STREET, PORT ANGELES,WA 98362 �i— BUILDING PERMIT ISSUED: 12/30/2002 PERMIT NO: 13933 OWNERIAPPLICANT PROPERTY LOCATION BOBBIE MCCOY 221 RACE N 221N RACE Lot: 9 Port Angeles, WA 98362 Block: 3 ® Long Legal 360/457-6769 Subdivision: DYKE LAND T: S: Parcel No: 063000610314000 CONTRACTOR ARCHITECT EVERWARM N/A 257151 HWY 101 Port Angeles, WA 98362-0000 98360-0000 360/452-3366 360/000-0000 PROJECTINFO Project Value: $2,500.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE STOVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 �J Construction Type: MFD SQ FT: 0 — Zoning Use: rs7 PROJECT NOTES INSTALL PROPANE STOVE AND LINES I TANK RECEIPT#10030 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PROPANE STOVE $35.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $35.00 Plumbing: $0.00 AMOUNT PAID: $35.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned fora period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 7 Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder D to TAPLANNING\F0RMS\1102.15[4/20021 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection ° Address of person requesting inspection i Phone No: Type of Inspection (circle appropriate one): Permit No. / J_ Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date ' Time By Remarks: T; 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)