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Home My WebLink About114 E Lauridsen Blvd - Building ft:• CITY OF poRTANGELEs • ►`� W A S H I N G T O N, U. S. A. • Community & Economic Development Department ovember 10,2014 Rosetta Taylor,Project Manager CDS Commercial Due Diligence 3550 W.Robinson Street Third Floor Norma,OK 73072 RE: 114 E. Lauridsen-Albertson's Dear Ms.Taylor: In response to your request for information regarding the above-referenced property,we have researched our files and present the following: 1. The current zoning classification for the subject property is Community Shopping District (CSD). 2. According to the zoning ordinances and regulations of this district,the use of the subject property is a permitted use. Current Use Grocery store 3. Adjacent property zoning designations:North: Residential Single Family South: Residential Single Family;East: Commercial Office;West: Community Shopping District and Residential Single Family 4. Per current zoning ordinances and regulations applicable to the subject property,the current structure(s) is legal conforming. 5. Have any variances,special permits/exceptions,ordinances or conditions been granted/approved for the subject property: No 6. Rebuild:In the event of casualty,in whole or in part,the structure located on the subject property may be rebuilt in its current form (i.e. no loss of square footage,same footprint, with drive through(s), if applicable). 7. Code Violations Information: None This information was researched on November 10,2014, by the undersigned as requested. The undersigned certifies that the above information is believed to be accurate and is based upon,or relates to the information supplied by the requestor. The Authority assumes no liability for errors and omissions. All information was obtained from public records,which may be ins(cted during regu ar business hours. By: —•---- - V _A " Municipality: City of Port Angeles, Washington Title: Planning Manager Department: Community &Economic Development Printed Name: Sue Roberds Phone: (360)417-4750 Phone: 360-417-4750/Fax: 360-417-4711 Website: www.cityofpa.us/Email: smartgrowth @cityofpa.us 321 East Fifth Street- P.O. Box 1150/Port Angeles, WA 98362-0217 ELECTRICAL PERMIT 114 E Lauridsen Blvd 12 -1172 Oct 15 2013 04:53PM Olympic Electric Co., Inc 3604523498 CITY OF PORT ANGELES PERmu APPLICATION Building Division /Electrical Inspections 321 Fast Fifth Street — P.O. Box 11501 Port Angeles Wasbington, 95362 Ph: (360) 417 -4735 Fag: (360) 417 -4711 Date: 0 ` Z Mu It! -Fa mily or Commercial* page 1 OCT RECEIV I G ELECTRICAL IhSPCI6al *Plan Review May Be Required, Please Com fete Electrical Plan Review Information Sheet ,cob Address: Building Square Footage: Description of above f W 1 PORT 04 N v# owner Inf rma�tion ' Contractor information Name: Wq 5- Name: OLYMPIC ELECTPJG Mailing Address; _; "�/� /�� Mailing Address; 42307U-YA -R �ilty:_S'i 5t2te:Zlp; City: POPITANGELEa State: WA Zip. ea�s3 Phore:: - Fax; Phone: 350.457.5303 Fax; 350-45 .3186 License # I Ll cense ! Exp, DLY1WPEC23rD1 !Lem Unit Charge P& Total (9ty Mulied by Unit Charge) Service /Feeder 200 Amp. $132.00 $ ServicelFeeder 201.400 Amp. $160.00 $ Service /Feeder 401 -600 Amp $ 225,00 $ Service /Feeder 601 -1000 Amp. $ 288.00 $ Service /Feeder over 1000 Amp. $ 410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit WO Service Feeder $ 74,00 [ $ Each Additional Branch Circuit ^ $ 52 $ Branch Circuits 1-4 $ 8600 $ -temp. Servloe! Feeder 200 Amp $10200 $ Temp. Servioe/Feeder 201.400 Amp. $121,00 $ Tamp, ServlceJFeeder 40 1 -600 Amp. $16400 $ Temp. ServiceWeeder 601 -1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Slgn /Oulline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Wlb- Family $ 64.00 $ Signal Circuit/ Limited Energy / First 1500 s1- Commercial $ 96.00 $ Note, $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $ 113.00 $ Thermostat $ 56.00 $ Nate: $5.00 for each additional T -Stat $''rTolal 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. I am making the electrical installation or alleration in compliance with the electrical laws, N.E_C., RCW Chapter 19.28, WAC. Chapter 296 -468, The Clty of Port Angeles Municipal Cede, and Utility Specifications and PAMC 14.05.650 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check e _ El Credit Card 0 611612012 ELECTRICAL INSPECTION WIRING REPORT ffC�ORKS 417-4735 DA PERNT 4 � INSPECT I ►t,): I 161.1 -7 -- I I �) -1 OWNEN CONTRACTOR C) L�le I ADORESS I L4 r ".11202-00=10 NOT APPROVED ❑ ...... ........ DITCH . ................... ❑ ID ................ ROUGH IN/COVER ............... Ll .................... SERVICE .............. ❑ El.......... .......... FINAL ............... ❑ CORRECTIONS NEEDED; 67t) V[ !K—= 6 -mc, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE ELECTRICAL PERMIT CITY OF .PORT ANGELES .360-417-4735 Application Number . . . . 13-- 00001205 Date 10/16/13 Application pin number , . . 678045 Property Address . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 5-0- 9100 -0000- Application type description ELECTRICAL, ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation , , 0 Application desc New Cooler circuit Isle 1 __--__-___-----..___.__--_-_--_ ------------------------- ------------------ - - - - -- Owner Contractor AI,HERTSON'S INC OLYMPIC ELECTRIC CO INC 250 PARKCENTER BLVD 4230 TUMWATER BOISE ID 637260001 PORT ANGELES WA 9B363 {360) 457-5303 r ------------------------------------------------------------ z_ #t0tL- - - - - -- Permit .. . . I I I ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 74.00 Plan Check Fee 00 Issue Date . , , 1. 10/16/13 valuation . . . . 0 Expiration, Date . , 4/14/14 4ty Unit Charge Per Extension 1_ - -_ -- 00 74. - 0000 ECH EL -COMM BRANCH C.IR WO/ SIF 74.00 Fee summary Charged Paid ,Credited nue Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 100 .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 vw FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGEWILDING 9 IN INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN /20 1 12— c FINAL C11 rq 6 G 6 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New sign Owner ALBERTSON'S INC 250 PARKCENTER BLVD BOISE Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total ID 837260001 ELECTRICAL ALTER COMMERCIAL 88.00 9/10/12 3/09/13 Qty Unit Charge Per 1.00 88.0000 ECH EL -COMM -SIGN 88.00 .00 88.00 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00001172 045328 114 E LAURIDSEN BLVD 06-30-10-5-0- 9100 -0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor HANSON SIGN CO. PO BOX 928 SILVERDALE, WA. SILVERDALE WA 98383 (360) 613 -9550 60 613 1 5 6 88.00 .00 88.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 9/10/12 .0 0 0 Extension 88.00 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: rs e 09/06/2012 19:42 FAX 3606139515 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 41 -4735 Fax: (360) 417 -4711 Date: 9/7 Owner f matio Name: `t? le 0 Magi City: Phone: Stele: f Zip 3 7 Le_ Fax: License 1 Exp, Item Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401.600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 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 Multi Family Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stat Multi- Family or Commercial* Unit Charge 132.00 160.00 225:00 288.00 410.00 5:00 74.00 5i00 86.00 102.00 121.00 164.00 185.00 96:00 88.00 64.00 96.00 113.00 56.00 HANSON SIGN CO 1Q002 gt: Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: l 4 L, a c.cr, d 5e el �i 1lZGJ Building Square Footage: Desaiption of above C t YO.t.t 7 L l ELECTRICAL INSPECTIONS IIIIII >IE iIIIIIII1SYMJOR�ri>;i a Contracjor Information Name: Hart sq,O ;qn Malting Address: P.0 C`* City:'S;1i a rel a 14 State: WA Zip: 4RARI Phone. ax: 3 loD —M /3 -?S1 License 1 Exp. Al 1 7/e2742O Total (Qtv Multiplied by Unit Charge) 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. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296 -468, 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: 0 Cash 0 Check Credit Card 0 0112012 EQ. 3' -O" STORE FRONT PROPOSED SIGNAGE EXISTING SIGNAGE TO REMAIN. EXISTING SIGNAGE TO REMAIN. INSTALL NEW 4' X 4' LOGO DISK STARBUCKS. SCALE: 3/32" =1:-0" NO WORK PROPOSED AT THIS TIME. NO WORK PROPOSED AT THIS TIME. ilarmac EXISTING FACES TO BE REMOVED. NEW FACES "STARBUCKS" TO- BE-INSTALLED Need cabinet size, molding size, ,V.O___ size and face size. 4' -0" S/F Exterior Wall Mount Logo Disk Scale: 3/8" 1' -0" RECEIVED 22' -1,Q" EQ. PROPOSED REFACE SCALE: NOT TO SCALE ima e national si PROJECT TITLE DATE: 06.18.11 pa, ID 83687 toil free: 800.592. NAMPA,PIANT_ U #43,11541 TERRELL PLANT #4331 95410Z POW canton to -48 a:.bet no. UNDERWRITERS LABORATORIES. 4E EG710G SI6R store LOCATION: AlA QUOTE: 5255 Star Road Na COMPUTER RE: 4 r •c• n•I Grry O O AL S 58 tete: 208.345.4020 fax: 208.336.9886 www.imagenational.com Section Detail Scale: N..T.S. TRIM CAP MATERIAL: 1" BLACK TRIM. CAP NOTE: ATTACH WITH SQUARE HEAD SCREWS. (PER CLIENT) S/F Exterior Wall Mount Logo 'Disk Scale: 3/4" 1' -0 ILLUMINATION: MATERIAL: INTERNAL WHITE LED ILLUM. (LUMIFICIENT) (PER CLIENT) LED's Provided By: LUMIlificient" A. Non- Corrosive Securement Using Appropriate' Mounting Hardware B. 'l" Flexible Conduit Whip to 120v Power C. Blocking as Required per Location D. 20 amp :120v Circuits Required (supplied by others) E.1/4" Weep Holes as Required Disconnect Switch,Required at Cabinet PROJECT TITLE: RETURNS: MATERIAL: 3" ALUM. PER CLIENT (THICKNESS 3PD) PAINTED BLACK POLYURETHANE (PER CLIENT) BACKS: MATERIAL: ALUMINUM (THICKNESS 3PD)' COLOR 3PD store t FACE: MATERIAL: 3/16" WHITE ACRYLITE BRAND 015 -2GP. 3M BRAND 3630 -76 HOLLY GREEN.B /G: WEEDED WHITE MERMAID GRAPHIC AND VINYL PER CLIENT)., US Sig imust be approved by the NationaLElectrical Code, Underwriters Laboratory, CUL, and all applicable local codes. Disconnect switch in primary to be within sight of sign (sign includes power supply enclosure) REF: NEC 110 -3[13] 600 -2, 6 -4. Primary electrical source 1/2 "(13mm) conduit_minimum) :REF: NEC 600 -6, 600- 21(provided by installer). DATE: 016.18. i NAMPA PLANT UL #433195 RQ1 TERRELL PLANT -1L #433195 -II0Z 'ILVEt t A1LFsi conform ;taUL- 4R /aslBabe{ed a Er must NNRERWRITERS LABORATORIES. ELEC1e1CSIGN fYrV OBAWN BY: n LOCATION: \AIA OOOTE: minimize shadowing (PER CLIENT) 'ELECTRICAL: POWER WITH SELF- CONTAINED _LUMIFICENT. POWER SUPPLY CONTAINED WITH A U.L. ENCLOSURE COVERED WHITE VINYL FILM. (PER CLIENT) 16265 Star. Road Nampa, ID 83687 toll free: 800.592.8058 tele: 208.345.4020 fax: 208.336.9886 www.irnagenational.com COMPUTER FILE: BUILDING PERMIT 114 E Lauridsen Blvd 12 -890 PREPARED 12/14/12, 15:32:46 PROGRAM BP521L CITY OF PORT ANGELES INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 PAGE 1 APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00000890 114 E LAURIDSEN BLVD 06- 30- 10 -5 -0- 9100 -0000- 063010509100 000 000 BPC 00 BUILDING PERMIT COMMERCIAL BL3 0001 BLDG FRAMING 8/14/12 APPROVED JLL RES COMM: August 14, 2012 4:04:01 PM jlierly. 000 000 BPC 00 BUILDING PERMIT COMMERCIAL BL99 0001 BLDG FINAL 8/28/12 APPROVED JLL REQ COMM: August 28, 2012 8:43:47 AM hcatuzo. REQ COMM: 503- 887 -6251 CALL TO MEET. RES COMM: August 28, 2012 4:05:01 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH -IN 8/14/12 APPROVED JLL REQ COMM: August 14, 2012 9:28:51 AM hcatuzo. REQ COMM: VALLEN CALL 30 MINUTES TO MEET. 503- 887 -6251 RES COMM: August 14, 2012 4:04:01 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL6 0001 PLUMBING WATER SUPPLY 8/24/12 APPROVED JLL RES COMM: August 24, 2012 4:25:35 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 8/24/12 DISAPPROVED JLL REQ COMM: August 24, 2012 9:02:05 AM hcatuzo. REQ COMM: VALLEN 503 887 -6251 RES COMM: August 24, 2012 4:25:42 PM jlierly. RES COMM: Not ready for a final also contact public health for RES COMM: inspection /j11 000 000 PL 00 PLUMBING PERMIT PL99 0002 PLUMBING FINAL 8/28/12 APPROVED JLL RES COMM: August 28, 2012 4:05:01 PM jlierly. P r Date Application Number 12- 00000890 Application pin number 979820 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 9100 -0000- Tenant nbr, name STARBUCKS Application type description COMM NEW CONST Subdivision Name s Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 151000 Application desc COFFEE KIOSK INSIDE STORE Owner ALBERTSON'S INC CURT FAUS CORPORATION 250 PARKCENTER BLVD 5775 JEAN RD SUITE 105 BOISE ID 837260001 LAKE OSWEGO OR 97035 (503) 699 -1103 Structure Information 000 000 COFFEE KIOSK Permit Additional desc Permit Fee Issue Date Expiration Date Qty 51.00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Contractor BUILDING PERMIT COMMERCIAL COFFEE KIOSK 1305.85 8/06/12 2/02/13 Plan Check Fee Valuation Unit Charge Per BASE FEE 5.6000 THOU BL- 100,001 -500K (5.60 PER K) Permit PLUMBING PERMIT Additional desc Permit Fee 120.00 Plan Check Fee Issue Date 8/06/12 Valuation Expiration Date 2/02/13 Qty Unit Charge Per BASE FEE 6.00 7.0000 EA PL- PLUMBING TRAP 1.00 7.0000 EA PL -WATER LINE 1.00 7.0000 EA PL -DRAIN VENT PIPING 1.00 7.0000 EA PL -WATER HEATER 1.00 7.0000 EA PL -IND WASTE PRETREAT INTRCPTR Special Notes and Comments A minimum 2A -10BC fire exinguisher is required. Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adjacent to an exit. July 17, 2012 3:32:49 PM kdubuc. If a ceiling is placed over the kiosk, sprinkler pro e tior� will need to be extended down through the ceiling. 1,1JV��, Print Name T:Forms /Building Division /Building Permit Signature of Contractor or Authorized Agent Date 8/06/12 848.80 151000 Extension 1020.25 285.60 .00 0 Extension 50.00 42.00 7.00 7.00 7.00 7.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 riot 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 I- regulating construction or the performance of construction. Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Construction R.W. Stemwall 417 -4831 Foundation Drainage Downspouts Fire Piers Planning Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted by 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: Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PVV Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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 LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. l ,r j tar Application Number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application pin number T:Forms /Building Division /Building Permit 12- 00000890 979820 Page 2 Date 8/06/12 Special Notes and Comments July 24, 2012 3:24:46 PM sroberds. No land use issues anticipated. Interior remodel. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for I /l/j�/1 this plan review. V �iV Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 1425.85 1425.85 .00 .00 Plan Check Total 848.80 848.80 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2279.15 2279.15 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 Jest inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oT 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Accepted By Footings 417 -4735 Stemwall Construction R.W. PW Engineering Foundation Drainage Downspouts Piers 417 -4653 Post Holes (Pole Bldgs.) Planning, PLUMBING:' FINAL Date 4-2R) 'aCccepted byI.I/ Under Floor Slab Building Rough -In y. /t• /a' at t.. Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Partial Joists Girders Under Floor Shear Wall Hold Downs VITEIM1Mritg Walls Roof Ceilin. Drywall (Interior Braced Pane! 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab, Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning, 417 -4750 Building 417 -4815 g `2 6 (a"' V w PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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 11 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. 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 For City Use Only: Date Received a-• It t'a Permit a- Date Approved Applicant lo+ c r t IRt F,Q Gc.cSH/ T ERQEu Ph;'ne (2+0R s -s476, Property Owner v,wcE f�Fa.,upTENI .ce PF1 AC (1 ZJC. Phone (2) Rso 6m88 Property Owner's Address log 2ti (,.Nny,t), EY /N s. zFp TYLF (A )A 9$t 31tig Contractor r.c..QT FA,us cop_PbO —r1c") -3 Phone (s 699 —I 1o4 Contractor's Address SAYS wtc t LA OSJEGxC) oR q-7 uANCm,as. c a c wp .com License F FC 96,9 ni R Expires B/21/2012 E-mail PROJECT ADDRESS iy EAcT LAR. Q c f>SFKI P L'JC Parcel Number 069 3 0/49 601 DO Project Type Brief Description: Check all that apply New Construction Residential Multi family /Commercial Industrial Addition Remodel Repair Demolition Re -roof Heat System Q House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove a other ,JFFFL_ ICIO$K- 7rJ5 z.oto Az EXts4,,3 acuncEQY ST o4E- ther Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Date Z Print Name Ta1,0 14,ca, T:Forms /Building Division /Building permit application Lot Existing (sq. ft.) Proposed (sq. ft.) RECEIV 1111 16 2012 CITY OF PORT ANGFLES BUILDING DIVISION Signature per sq. ft. Zoning G5D TOTAL VALUATION 1S1,o=- of bedrooms of full baths of half baths 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, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? t O Occupant'load Will a fire sprinkler system be installed? ��onstruction type Rev 1 have read and completed this application and know it to be tru and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on pr.' ts. II -C •15 Residential Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Ventilation System Garage Carport Other (describe) Area Totals Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Co sfrcial Structures Area Description (SQ FT) E ;rig Proposed Minimum value For Office Use Structure (s) Water Heater Medical gas piping Addition Water Line Vent piping Tenant Improvement Sewer Line Industrial waste pretreatment interceptor Other (describe) Other (describe): Area Totals Lot /Site Coverage Calculations Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor 1 Other (describe): Lot /Site Coverage Calculations Footpri (SQ FT) of all Structures: Lot Size: Lot Coverage S T Site coverage (all impervious tructures) Site Coverage Aug 02 12 10:10a Michelle Howard CITY• OF R 1 `V LEES W A S H I N G T O N U.S. 321 East 5`h Street Port Angeles, WA 98362 P: 360 -417 -4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application 360- 337 -7721 p.1 For City Use Permit Date Received: Date Approved: Project Address: l iq r-Gs1- J,A,r; dyer ewe_ parr- y /mss ifICS Phonei 310 G To, /7 Main Contact: /4lti-/ .L'tv Wow J Property Owner Contractor Type of Permit Project Description Date Name /L ,W0 r ()c �.iJ rT I GJ•c1.^f Son.S �JU Y. Mailing City Name 30 Lin Prom b Mailing Address City 5; it, -_rci, t� G✓c6 tr 9 ?y 8 3 Contractor License (J;'1 ll 9 s Project Value: SDOc7 Zoning: Existing Fire Sprinkler System? Yes No Residential .Commercial Industrial Maximum height of structure Print Name 14a- i+1:ij He& A id Phone State Phone Email State Tax Parcel Expiration: Public Demolition Fire Repair Reroof (tear off /Lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Proposed Bedrooms I have read and completed the application and know it to be true and correct. I am and understand that it is my responsibility to determine what permits are permits prior to working on projects. I understand the plan review fee is not refu occurred. I understand that I will forfeit 20% of the review fee if I cancel or withd plan review has occurred. l understand that if the permit is not issued within 180 application will be considered abandoned, and the fees forfeit. Signature Zg Zip Lot Proposed Bathrooms m authorized to apply for this required, and to obtain ridable after review has raw the application before days of receipt, the Email Y►'1 -1 d Q L1ecct.bt� Residential Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Basement Medical gas piping of Outlets: Water Line First Floor Vent piping Sewer Line ti Second Floor Other (describe): Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Ventilation System Garage Carport Other (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water H eater Medical gas piping of Outlets: Water Line as' Vent piping Sewer Line ti Industrial waste pretreatment interceptor Other (describe): Lot /Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious structures) For Office Use Site Coverage Commercial Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Structure (s) Appliance Vent Heater (Suspended, Floor, Recessed wall) Addition Size: Heating /Cooling appliance repair /alteration Tenant Improvement Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Other (describe) Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Area Totals Ventilation System Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Aug 02 12 10:10a Michelle Howard 360- 337 -7721 p.2 A t-leor 5 'i (C5 Heather Catuzo From: Todd Poirier [toddp @ctagroup.com] Sent: Thursday, July 26, 2012 12:54 PM To: Jan Goins; Heather Catuzo Cc: Michael Amestoy; Tim Johnson Subject: Re: FW: Albertsons Starbucks Kiosk Heather- Here is our response to the comments below with regards to the Albertsons store 404 Starbucks kiosk drawings. 1.) 1 floor drain, 2 mop sinks, 1 hand sink, 1 compartment sink (the Starbucks kiosk unit has (1) three compartment sink, (1) hand sink, (11-ft ln, (1) rinse sink and (riy. To support these sink etc., the plumbing drawings show the following, (2) floor clean outs, floor sinks (1) vent thru the roof. 2.) 1 roof vent (Correct) 3.) No grease interceptor (I suspect the store has a vault but if you could confirm that for me, that would be appreciated). (The new waste lines connect to the existing waste lines at the store. The store does have a grease interceptor vault. The vault sits in a planter box that is across the main drive isle in front of the store at the far front right side of the building.) 0 (Uric 04.evc.effor e lam/ a beat ru i r 'eYc tvr 4.)No mechanical elements to the permit: no ,heating changes, added fans, vent hoods, etc (Correct) Todd J. Poirier Senior Project Manager Office: 208. 336.4900 DIRECT: 208.577.5676 CeII: FAX: 208.343 -3531 www.cta rou •.com AN INTEGRATED DESIGN FIRM 1185 GROVE ST BOISE, ID 83702 Jan Goins <jangoins@cfauscorp.com> 7/26/2012 10:44 AM Good Morning Todd Would you confirm the below info for the building dept of Port Angels. Jan 6'oins Curt Faus Corporation 503 699 -1103 (Office) 503 699 -1106 (Fax) 503 710 -7278 (Cell) From: Heather Catuzo <HcatuzoPcityofpa.us> Date: Thu, 26 Jul 2012 11:40:49 -0500 1 6 4 I 'roof vert To: Jan Goins <iangoinsPcfauscorp.com> Subject: RE: Albertsons Starbucks Kiosk Hi Jan, Thanks for the speedy reply I didn't have the "cfauscorp" just "cfaus.com" in my email information for you. The number for Todd is the same. Yesterday it rang and rang without going to any voice mail. Here is my email to you from yesterday: We have the Starbucks permit ready to issue. I wanted to confirm a couple details from the plans for the plumbing permit. I see: 1. -[if supportLists]- [endif] >1 floor drain, 2 mop sinks, 1 hand sink, 1 compartment sink. 2. -[if I supportLists]- [endif] >1 roof vent 3. <I -[if supportLists]--><!-- [endif] >No mechanical elements to the permit: no heating changes, added fans, vent hoods, etc. Assuming I have that correct, I will give you the permit balance, and we can issue. We will need someone to sign for, and pick up the permits. Thanks so much for your help on all of this. It looks like a fun project! Heather Catuzo Building Permit Technician City of Port Angeles Building Division 321 East 5th Street Port Angeles, WA 98362 (360) 417 -4817 hcatuzo@'cityofpa.us From: Jan Goins [mailto:jangoinsOcfauscorp.com] Sent: Thursday, July 26, 2012 9:37 AM To: Heather Catuzo Cc: Todd Poirier Subject: Albertsons Starbucks Kiosk Hello Heather Thank you for your call this morning, sorry you had difficultly reaching me. Please see below for my contact numbers. Todd Poirier number is 208 577 -5676 You mentioned that you have a couple of questions, please let me know them and we will address them. Jan Goins Curt Faus Corporation 503 699 -1103 (Office) 503 699 -1106 (Fax) 503 710 -7278 (Cell) !SIG:5011731c190322624492392! 2 BUILDING PERMIT 114 E Lauridsen Blvd 12 -886 PREPARED 9/21/12, 9:15:38 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/21/12 ADDRESS 114 E LAURIDSEN BLVD TENANT, NBA: STARBUCKS CONTRACTOR HANSON SIGN CO INC OWNER ALBERTSON'S INC PARCEL 06-30-10-5-0- 9100 -0000- APPL NUMBER: 12- 00000886 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 9/21/12 Vl SUBDIV: PHONE (360) 613 -9550 PHONE BLDG FINAL September 21, 2012 8:57:35 AM pbarthol. Conney (Hansen Signs) 360 613 -9550 Starbucks sign COMMENTS AND NOTES Application Number 12- 00000886 Application pin number 815012 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 9100 0000 Tenant nbr, name STARBUCKS Application type description SIGNS Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 2200 Application desc DISK CABINET SIGN 16 SF-- STARBUCKS Owner ALBERTSON'S INC 250 PARKCENTER BLVD BOISE Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 47.0000 PER Fee summary Charged Permit Fee Total Plan Check Total Grand Total 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormslBuilding Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ID 837260001 Contractor HANSON SIGN CO INC PO BOX 928 SILVERDALE (360) 613 -9550 SIGN DISK CABINET SIGN 16 SF 47.00 Plan Check 8/01/12 Valuation 1/28/13 47.00 .00 47.00 S -ALL SIGNS OR TO 25 SF Fee Paid Credited Due 47.00 .00 47.00 .00 .00 .00 Date 8/01/12 WA 98383 .00 .00 .00 .00 2200 Extension 47.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Inspection Type Date Accepted By Comments FOUNDATION: Accepted By Electrical Footings 417 -4735 Stemwall Construction R.W. Foundation Drainage Downspouts 417 -4831 Piers Fire 417 -4653 Post Holes (Pole Bldgs.) PLUMBING: Accepted by Under Floor Slab Rough -In 417 -4815 Water Line (Meter to Bldg) l a' '0-1--e— Gas Line Back Flow Water FINAL Date 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: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Landscaping Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 l a' '0-1--e— PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T•Fnrmc /Fliiilriinn r)ivisinn /Riiilrlinn 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 77L °N►., SIGN PERMIT A PPLI CA TI �o c� CITY OF PORT ANGELES Attn: Building Permit Technician le 321 E. Fifth St., Port Angeles, WA 98362 NIPRigr (360) 417 -4815 fax (360) 417 -4711 Project Address Business Name Parcel Number r Lot Zoning '14 0i P Phone Sign Type Brief Description: (Type, location, sq. ft) Sign #1 L.r r Ji.Sk a.() b "tne-1 615y) l a4 5 icl et r 8I ct I lo 5-P Sign #2 •J Sign #3 Sign #4 N Print in ink For City Use Only: Date Received 13.1 er Permit I?.' Date Approved Applicant or Agent eo v,v, e �eV Property Owner 4)6t.J Alherfsn,us Property Owner's Address PD k lo9O 1 ,1ea, A/; s� I►'JNs� W( Contractor PaviSoAV 3 i IJo. Phone 3 l e o- tp13- 96 5 0 Contractor's Address P,t ,Bo Q 5 3 /oerdat e j It/A- 9e3 83 License /4J4 -A/ S D:17,-3 Expires c -s /e j 3(v0 Submit an 8 "x 11 "site plan three sets of plans that include: Type of sign (wall- mounted, projecting, freestanding; illuminated, other...) Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. RECEIVED JUL 1 3 2012 GI I Y OF PORT ANGELES BI II Totals (Unit charges Sign(s) Unit Charge Quantity multiplied by quantities) Type of Sign Valuation ,9ao c) $47.00 x 1 1-' 00 All signs less than or equal to 25 sq. ft. $85.00 x Wall sign or marquees, over 25 sq. ft. $115.00 x Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area l'q(o. i sq. ft. Proposed sign(s) area 4, sq. ft. Total sign(s) area 2 sq. ft Building facade area (height .3 ft. X width to S ft.) 7 950 sq. ft (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date l l Print Name 0;010101 C''. 4c e Signature T:Forms /Building Division /Sign Permit Application.doc .aurtdsen Boulevard, Fort Angeles, WA (ioo To see all the. details that are visible -on -the screen; use the "Print` link next to the map: 1 of 1 sf OF POFAT ANGELES s.; tiVra pN4Slt:ts; CITY O'! PORT ANGELES Construction Plans The Issuance of this permit based upon these plans; specifi- cations.and other data shall not prevent the building official from thereafter requiring the correction of errors, in said plans; specifications and other data or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Jtl .L I k: Approval Date 'ql(f -Liewoo-1 http: /maps.goc gle.com/maps9hl= en&tabwl 7/1.1/2012 7:52 AM INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 0 1110 FINAL Z-- COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Feeder and circuits coffee kiosk Owner ALBERTSON'S INC 250 PARKCENTER BLVD BOISE Permit Additional desc Permit Fee Issue Date Expiration Date ID 837260001 ELECTRICAL ALTER COMMERCIAL 267.00 8/06/12 2/02/13 Qty Unit Charge Per 27.00 5.0000 ECH 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER Fee summary Charged Permit Fee Total Plan Check Total Grand Total 267.00 .00 267.00 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00000991 667400 114 E LAURIDSEN BLVD 06-30-10-5-0- 9100 -0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 267.00 .00 267.00 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 8/06/12 AC ELECTRIC SERVICE, INC. 804 W MEEKER ST SUITE 102 KENT WA 98032 (253) 852 -0225 Plan Check Fee Valuation EL- BRANCH CIRCUIT W /FEEDER Paid Credited Due .00 .00 .00 .00 0 Extension 135.00 132.00 .00 .00 .00 Date: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) AUG -02 -2012 10:38 FROM -AC ELECTRIC CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -471 Date: Plan Review May Be Required, Please Jon Address E Building Square Footage Description of above 444E V. -S T �1►�P_4 Owner Ink,,Qqrmatton Name: 1Fk Mailing Address: City: State: Zip. Phone: Fax: License ax Exp. Item 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 Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp Temp. Service/Feeder 201400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601.1000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Multi Family Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for eacn additional 1500 sf Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each aaditional T-Stat Multi-Family or Commercial` Cm�le�te5leerical Planev Sheet s 1Z Unit Charge 132.00 160.00 225.00 288.00 410.00 5.00 74 00 5.00 86.00 102.00 121.00 164.00 185.00 96.00 88.00 64.00 96.00 113.00 56 00 Dated: 2538135817 Contractor Information Name. R S- Maitin Address: City ler.>rt Phone: License a Exp. IU3 2, 212 ELECTRICAL INSPECTIONS T -924 P.002/002 F -498 o s 11041T RECEiVED' z a�t r.^, mEE�& s State. 1 a A Zip: Gt FZi6 7 Total (t' Multiplied by Unit Charnel 1. 2:1 135' 5 ;07!!7 0267,6e 7 Cdetal 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. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ovner, electrical cprftractor or electrical administrator: o cash L7 Check 2E 3 Z t 2LJ ‘L);(. Credit Card LEV 1N 1Z 0110112012 /1,1 -1}) NI 1 l S L, E L(A J 1�1L LAP 4' M INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN /2124[7 PRP 7147> FINAL tzlz Pri T COMMENTS Application Number 10 00001395 Application pin number 147275 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 2 circuits coffee machine Owner ALBERTSON S INC 250 PARKCENTER BLVD BOISE ID 837260001 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER COMMERCIAL 178186 76 10 12/01/10 5/30/11 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged 76 10 00 76 10 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Paid Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 76 10 00 76 10 Plan Check Fee Valuation Credited 00 00 00 Date 12/01/10 WA 98363 Due 00 0 Extension 73 50 2 60 00 00 00 Date REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) a a CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections E 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417-4711 ELECTRIL ONSPECTIONS Date ..D /O 1 2 Single Family Dwelling Owner Information a Mailing A A t l 1 t1 City: State: W. ZIP: S .3 G� Phone: Fax: License Exp. Plan Review May Be Required, Please Complete Electrir Plaa Review I ormation Sheet Job Address: /y r. L/I r. ev d„ Se 6 A S Building Square Footage' Description of above Item 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 First 1500 sf Commercial Note: $5.00 for each additional 1500 sf 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 Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Multi- Family or Commercial* x Commercial Addition &elation Remodel Repair"' Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 Contractfo anion Name: r_Fpr fL Mailing 4dcl s: No L Clry C' State: Zip Phone:.. 57 y Fex: License lr f Exp. '7 f�yt Total (Qty Mulf plied by Unit Charge) 7 a do a 14. t O 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 inspectio t. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical c ntractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296 468, The City of Port Angeles Municipal.Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signa owner, electrical cont for or electrical administrator 0 cash 0 check Credit Cards 65/ Dated: �1 .3 D 0 o11m1/2o10 REVIEWER: f-LL CONCEPT REVIEW 0 PRELIM. REVIEW 0 ACTION TAKEN ON COMM MT COMMENT STATUS A C omment accepted BACK CHECK BY/DATE: DATE: 02 9s DEPT REVIEW FINAL REVIEW 0 REVISION 0 DATE. COMMENT NO. DRAWING SHT and/or SPEC. PARA. COMMENTS C—onection made List DWG or peregreph number where arrectien matk ..-1.6.4.-0' 4-e; .2e,A.Ze/Ac4 I 11 n �7 t�th1� g i 1 t PROJECT ,,,52 411:&1_10-p LOCATION: c( c 2(DSe70 PERMIT 1 REVIEW COMMENTS 11`-t o 1Uck SHEET OF I REVIEWER:, J 4 CONCEPT REVIEW 0 PREUM. REVIEW P ANAL REVIEW O REVISION 0 ACTION TAKEN ON COMMENT COMMENT STATUS A accepted Correction made List DWG orp.n.gnp6 where correction merle BACK CHECK BY/DATE. DATE: /Z.- 2 Z- DEPT REVIEW DATE: COMMENT NO. DRAWING SHT and/or SPEC. PARA. COMMENTS �/9/7 3, e 4 (,4) Aee.0 7Ocr' //a' -IG-X/ s' Gc10/1eizZs /ec s?.e,a1/t-1 D 2 422) /cq ",s res/oess d/25 ny4 3 ®3 Mecl �De" 77 /.e.S I CJ 1cs Za7.U/AJ C �1 /one. .e0t5 (ii2 &._s 6-X// ,1us T s s r rr1 ,4 2"-442 s car /5b e -.c//> 6 e71-A '�UTO(-' S€: Tomes/, �y 6 ,/c/Ls 1e /777 %/�erus-b S13-7z', t PROJECT•,Ze9e7S'ox}S LOCATION: q C /�c-�) PERMIT 1 7 g-3 Z REVMW COMMENTS 1 (L Lawdoiseiv, SHEET OF Application Number 08 00001488 Application pin number 045952 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY' Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Circuit for outside machine Owner Contractor ALBERTSON S INC ANGELES ELECTRIC 250 PARKCENTER BLVD 524 E 1ST ST BOISE ID 837260001 PORT ANGELES (360) 452 9264 Qty Unit Charge Per 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS Fee summary Charged Paid Credited Due Date 12/02/08 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 138461 Permit Fee 58 00 Plan Check Fee 00 Issue Date 12/02/08 Valuation 0 Expiration Date 5/31/09 Permit Fee Total 58 00 58 00 00 00 Plan Check Total 00 00 00 00 Grand Total 58 00 58 00 00 00 Extension 58 00 DATE 1 12,/b15. RESULTS )2/2/e EL hCTRICAL INSPECTOR tsTskrf) SPECTION TYPE TS: PREPARED 7/03/08 8 38 09 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/03/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/05/08 JLL BLDG FRAMING 3/05/08 AP March 5 2008 8 30 51 AM 1pangrle ROD 206 255 7868 FRAMING 'ROOF CURB INSPECTION March 5 2008 4 25 09 PM jlierly BL3 02 3/19/08 JLL BLDG FRAMING 3/19/08 AP March 19 2008 8 52 35 AM 1pangrle ROD 206 255 7868 FRAMING March 19 2008 4 31 21 PM jlierly FFNL 01 6/13/08 KDD FIRE FINAL 6/13/08 AP June 13 2008 12 17 18 PM kdubuc fire final June 13 2008 12 17 47 PM kdubuc fire final BL99 01 7/03/08 J BLDG FINAL TIME 01 00 July 3 2008 8 31 15 AM 1pangrle TOM 360 808 1303 BLDG FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 2/15/08 JLL PLUMBING UNDER SLAB TIME 09 00 2/19/08 AP February 13 2008 11 19 39 AM 1pangrle ROD 206 255 7868 PLUMBING UNDERGROUND SLAB PLEASE CALL HIM ON HIS CELL PHONE TO FIND HIM ON SITE EASIER HE REQUESTED A MORNING INSPECTION HE LIVES OUT OF TOWN AND WANTS TO LEAVE PORT ANGELES AT NOON HE ALSO THINKS IT WILL BE SAFER FOR ALBERTSON S CUSTOMERS IF THE INSPECTION HAPPENS IN THE MORNING WHEN THERE ARE LESS CUSTOMERS February 19 2008 4 27 32 PM jlierly PL1 02 3/07/08 PB PLUMBING UNDER SLAB TIME 09 00 3/10/08 AP March 6 2008 4 16 35 PM permits ROD 206 255 7868 PLUMBING UNDERGROUND REFRIGERATION UNDERGROUND March 10 2008 8 17 10 AM pbarthol underslab drains in bakery area /pb refrigeration lines in bakery and deli area 375 450 lbs /pb PL2 01 3/31/08 JLL PLUMBING ROUGH IN 3/31/08 AP March 31 2008 8 25 24 AM 1pangrle ROD 206 255 7868 UNDERGROUND ROUGH IN PLUMBING March 31 2008 4 31 08 PM jlierly CONTINUED ONTO NEXT PAGE PREPARED 7/03/08 8 38 09 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/03/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 03 4/01/08 JLL 4/01/08 AP PL99 01 7/03/08 PLUMBING UNDER SLAB April 1 2008 8 42 58 AM 1pangrle ROD 206 255 7868 'UNDERGROUND PLUMBING April 1 2008 4 19 08 PM jlierly PLUMBING FINAL TIME 01 00 July 3 2008 8 32 07 AM 1pangrle TOM 360 808 1303 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 5/07/08 10 36 47 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/07/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MERP 01 3/19/08 JLL MECHANICAL REFRIGERANT PRESS TIME 09 00 3/19/08 AP March 19 2008 8 47 28 AM 1pangrle RYAN 253 266 8018 'REFRIGERATION PIPING TEST' AS EARLY AS POSSIBLE CALL 30 MINUTES BEFORE YOU GET THERE March 19 2008 4 32 09 PM jlierly ME1 01 5/07/08 MECHANICAL ROUGH IN TIME 03 00 May 6 2008 3 32 19 PM 1pangrle RYAN 206 571 1029 MECHANICAL ROUGH IN 'REFRIGERATION TO KEEP THE FOOD COLD PLEASE CALL HIM WHEN YOU GET ON SITE MID AFTERNOON (HE S IN SILVERDALE THIS MORNING ME99 01 5/07/08 J- MECHANICAL FINAL TIME 10 00 May 6 2008 9 11 23 AM 1pangrle IVY 425 527 1026 MECHANICAL FINAL REGRIGERATION PIPING 10 00 AM INSPECTION COMMENTS AND NOTES PREPARED 5/06/08 10 39 27 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/06/08 ADDRESS 114 E LAURIDSEN BLVD TENANT NBA ALBERTSONS CONTRACTOR CAPITOL SIGN AND AWNING OWNER NEW ALBERTSONS INC PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 08 00000149 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 493 6070 PHONE BL99 01 5/06/08 L BLDG FINAL May 6 2008 9 06 10 AM 1pangrle BILLY 360 239 7095 BLDG FINAL SIGN COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 39 7 SF WALL MOUNTED SIGN Owner Contractor NEW ALBERTSONS INC PO BOX 20 BOISE Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 ID 83726 T.Forms /Building Division/Building Permit (10 /01 /07).wpd 08 00000149 431666 114 E LAURIDSEN BLVD 06 30 10 5 0 9100 0000 ALBERTSONS SIGNS COMMUNITY SHOPPING DISTR 3680 CAPITOL SIGN AND AWNING P 0 BOX 8106 LACEY WA 98509 (360) 493 6070 Permit SIGN Additional desc 39 7 SF WALL SIGN Permit pin number 120352 Permit Fee 85 00 Plan Check Fee 00 Issue Date 5/05/08 Valuation 3680 Expiration Date 11 /01 /08 Qty Unit Charge Per 1 00 85 0000 PER S SIGN WALL 25 SF+ Special Notes and Comments February 15 2008 3 04 54 PM sroberds The proposal will result in upgraded signage and the addition of signage for a supermarket activity in the CSD zone No land use issues anticipated as proposed Charged Paid Credited Date 5/05/08 Due Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 Grand Total 85 00 85 00 00 00 Extension 85 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. 1W? 6teS- Date Pri Name Sign of ontractor or Authorized Agent Signature of Owner (if owner is builder) INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. 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 FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT il's PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING f FIRE 417 -4653 FIRE DEPT PLANNING DEPT A 17-4750, PLANNING DEPT 6 BUILDING 417 -4815 BUILDING 5 6 ag 3-L_ CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS �Q 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 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 0 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. fJ Owner Fee summary ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 120 volt power poles registers ALBERTSON S INC 250 PARKCENTER BLVD BOISE ID 837260001 Permit Fee Total Plan Check Total Grand Total Charged 58 00 00 58 00 08 00000488 946480 114 E LAURIDSEN BLVD 06 30 10 5 0 9100 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor TANDEM ELECTRIC INC 5836 S 228TH KENT WA KENT (253) 395 8806 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 125252 Permit Fee 58 00 Plan Check Fee 00 Issue Date 4/28/08 Valuation 0 Expiration Date 10/25/08 Qty Unit Charge Per 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS Paid Credited Due 58 00 00 58 00 00 00 00 Date 4/28/08 WA 98035 Extension 58 00 00 00 00 SPECTION TYPE DATE. RESULTS ELECTRICAL INSPECTOR- DITCH SERVICE OUCH -IN 0 lar° 7",47.° FINAL c//‘/06 /iii. /iic,‹0 OMMENTS: LieitLIO K ■1. in•WW azan ASSOCIATES INC April 25 2008 Supervalu Inc, Barb Dalsoglio 250 E Park Center Blvd Boise, ID 83706 RE. Albertson's Store #0404 Dear Ms. Dalsoglio: In accordance with your request and authorization, the following test data are presented on the following reports, which are enclosed: March 19 Concrete Report No. 23551 Referenced concrete reports and compressive strength data will be mailed following 28-day tests, if applicable. If you have any questions, or if we can be of further assistance, please do not hesitate to contact our office. Respectfully submitted, Penn Seely Laboratory Manager Peninsula Division PS. pm Enclosures Cc: Client email GEOTECHNICAL ENGINEERING ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING INSPECTION With Offices Serving The Western United States 20714 State Hwy 305 NE, Suite 3C Poulsbo, Washington 98370 (360) 598 Fax (360) 598 KA Project No. 106-07280 [(4 /28/20081James Lierly 10607280- 042808.pdf (ratan Associates, Inc. Project No. 106 -07280 Weather CLOUDY Project ALBERTSONS PA Location PORT ANGELES Client SUPERVALU INC Field Data Supplier ANGELES CONCRETE Concrete X Mortar Prisms Grouted Grout Ungrouted Site Mix Plant No. 1 Flex Beams Other Conc. Air Temp. Temp. Unit (F) (F) Wt. Time Truck Ticket Air Slump 3 A39 20782 5.5 3.25 57 48 Placement Area Walls Slab Columns Pilings Grade Beams Other Footings Slab /Deck Grids SOUTH HALF OF WHEELCHAIR RAMP (6'11'X150') AT SE BLDG CORNER. Remarks CONCRETE PLACED BY CHUTE. SAMPLED AT 9 -15 5 YRD OF TOTAL 15 YRD W/C 32 Inspector John Kupferschmid Reviewed By96 Laboratory Data Cyl. Test Dia Code Date P13965- 03/26/08 P13965- 04/16/08 P13965- 04/16/08 P13965- 04/16/08 P13965- P13965 P13965 P13965- Remarks Results Reviewed By Age 7 20714 State Hwy 305 N.E. Suite 3C Poulsbo, WA 98370 (360)- 598 -2126 Codes for Break Types: 1 Cone Cyl. Code P13965 Pour Date 3 -19 -2008 Jurisdiction CITY OF PORT ANGELES Permit No. 07 1205 Engineer Architect Contractor ELITE COMERCIAL CONTRACTING Length Dim. Area 4X8 12.50 4X8 12.56 28 4X8 12.56 28 4X8 12.56 28 Design Strength 3000 Max. Load 65680 2. Cone Split Comp. Str (psi) 5,230 85160 6 780 82145 6 540 83650 6,660 Date Reviewed p 1 L' 3. Cone Shear Report No. 23551 Reported Batch Data Cement Type I -11 Design X Actual X Mix No. C -5915 C -5915 Cem.Ibs. 585 580 F Ash lbs. 195 194 C. agg. lbs. 1700 1702 c. agg. lbs. 2 C. agg. lbs. 3 Sand lbs. 1070 1016 Water 29 29 4GAL Admixture 39 38.8 Other Air Ent. (ozlcwt.) 3 75 3.70 Water Added on Job (gals.) 0 Field Test Methods ASTM C143 ASTM C138 ASTM C1064 ASTM C173 ASTM C31 Other xi I Items Inspected Conforming Non Conforming Date Specimens Rec'd. Ni4K Tested Break Set By Type AC 1 EG 2 EG 1 EG 1 4. Shear Lab Test Method ASTM C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C1019 Other )X Compressive Flexural Test Results )t Conforming Non Conforming 5. Columnar (Split) (4/28 /2008) James Lie rly 10607280-042808.pdf Page 1 I(raZaJ ASSOCIATES INC April 25, 2008 Supervalu Inc, Barb Dalsoglio 250 E Park Center Blvd Boise, ID 83706 RE. Albertson's Store #0404 GEOTECHNICAL ENGINEERING ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING INSPECTION ICA Project No. 106 -07280 Dear Ms. Dalsoglio: In accordance with your request and authorization, the following test data are presented on the follow4 which are enclosed: March 19 Concrete Report No. 23551 Referenced concrete reports and compressive strength data will be mailed following 28 -day tests, if applicable. If you have any questions, or if we can be of further assistance, please do not hesitate to contact our office. Respectfully submitted, Penn Seely Laboratory Manager Peninsula Division PS. pm Enclosures Cc: Client email With Offices Serving The Western United States 20714 State Hwy 305 NE, Suite 3C Poulsbo, Washington 98370 (360) 598 -2126 Fax: (360) 598 -2127 2 ELECTRICAL .PERMIT AND INSPECTION RECOR.D CITY OF PORT ANGELES 360 -417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ALBERTSON S INC 250 PARKCENTER BLVD BOISE ID 837260001 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary 08 00000408 554528 114 E LAURIDSEN BLVD 06 30 10 5 0 9100 0000 ELECTRICAL ONLY Qty Unit Charge Per 1 00 35 0000 EC EL LOW VOLTAGE Permit Fee Total Plan Check Total Grand Total COMMUNITY SHOPPING DISTR 0 Contractor ELECTRICAL NEW COMMERICAL JOHANSEN MECHANICAL INC P 0 BOX 1768 WOODINVILLE (425) 481 2266 Charged Paid Credited 35 00 35 00 00 00 00 00 35 00 35 00 00 Date 4/07/08 WA 98072 124131 35 00 Plan Check Fee 00 4/07/08 Valuation 0 10/04/08 Due Extension 35 00 00 00 00 l SPECTION TYPE DATE RESULTS ELECTRICAL INSPECTOR DITCH SERVICE I' OUGH IN FIl\ AL s/.&/0 5 4-10 4 OMMENTS: PREPARED 4/01/08 9 00 10 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/01/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 2/15/08 JLL PLUMBING UNDER SLAB TIME 09 00 2/19/08 AP February 13 2008 11 19 39 AM 1pangrle ROD 206 255 7868 PLUMBING UNDERGROUND SLAB PLEASE CALL HIM ON HIS CELL PHONE TO FIND HIM ON SITE EASIER HE REQUESTED A MORNING INSPECTION HE LIVES OUT OF TOWN AND WANTS TO LEAVE PORT ANGELES AT NOON HE ALSO THINKS IT WILL BE SAFER FOR ALBERTSON S CUSTOMERS IF THE INSPECTION HAPPENS IN THE MORNING WHEN THERE ARE LESS CUSTOMERS February 19 2008 4 27 32 PM jlierly PL1 02 3/07/08 PB PLUMBING UNDER SLAB TIME 09 00 3/10/08 AP March 6 2008 4 16 35 PM permits ROD 206 255 7868 PLUMBING UNDERGROUND REFRIGERATION UNDERGROUND March 10 2008 8 17 10 AM pbarthol underslab drains in bakery area /pb refrigeration lines in bakery and deli area 375 450 lbs /pb PL2 01 3/31/08 JLL PLUMBING ROUGH IN 3/31/08 AP March 31 2008 8 25 24 AM 1pangrle ROD 206 255 7868 UNDERGROUND ROUGH IN PLUMBING ROD 206 255 786 March 31 2008 4 31 08 PM jlierly PL1 03 4/01/08 L PLUMBING UNDER SLAB April 1 5508 6 42 58 AM 1pangrle A /ten n 8 ii/e12 6 Y 1( �VY,[J 'UNDERGROUND PLUMBING COMMENTS AND NOTES PREPARED 3/31/08 9 51 26 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 114 E LAURIDSEN BLVD TENANT NBA ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING OWNER ALBERTSONS SUPERVALU PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 02 3/07/08 PE 3/10/08 AP PL2 01 3/31/08 SUBDIV PHONE PHONE PL1 01 2/15/08 JLL 09 00 2/19/08 AP AM 1pangrle PLUMBING UNDER SLAB TIME February 13 2008 11 19 39 ROD 206 255 7868 PLUMBING UNDERGROUND SLAB PLEASE CALL HIM ON HIS CELL EASIER HE REQUESTED A WANTS TO LEAVE HE ALSO THINKS THE INSPECTION CUSTOMERS February 19 2008 4 27 32 PM jlierly PLUMBING UNDER SLAB TIME 09 00 March 6 2008 4 16 35 PM permits ROD 206 255 7868 PLUMBING UNDERGROUND REFRIGERATION UNDERGROUND March 10 2008 8 17 10 AM pbarthol underslab drains in bakery area /pb refrigeration lines in bakery and deli area 375 450 lbs /pb PLUMBING ROUGH IN March 31 2008 8 25 24 AM 1pangrle ROD 206 255 7868 UNDERGROUND ROUGH IN PLUMBING MORNING INSPECTION HE LIVES OUT OF TOWN AND PORT ANGELES AT NOON IT WILL BE SAFER FOR ALBERTSON S CUSTOMERS HAPPENS IN THE MORNING WHEN THERE ARE LESS COMMENTS AND NOTES (253) 893 3121 (208) 395 6628 PHONE TO FIND HIM ON SITE PAGE 1 DATE 3/31/08 IF PREPARED 3/19/08 12 02 36 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/19/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/05/08 JLL BLDG FRAMING 3/05/08 AP March 5 2008 8 30 51 AM 1pangrle ROD 206 255 7868 FRAMING ROOF CURB INSPECTION March 5 2008 4 25 09 PM jlierly BL3 02 3/19/08 1 L BLDG FRAMING March 19 2008 8 52 35 AM 1pangrle 4 ROD 206 255 7868 FRAMING MERP 01 PERMIT ME 00 MECHANICAL ERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 3/19/08 J L MECHANICAL REFRIGERANT PRESS TIME 09 00 March 19 2008 8 47 28 AM 1pangrle RYAN 253 266 8018 REFRIGERATION PIPING TEST AS EARLY AS POSSIBLE CALL 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc ALTER FIRE ALARM SYSTEM (13 ZONES) Owner NEW ALBERTSONS INC PO BOX 20 BOISE ID 83726 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East Sh Street, Port Angeles, WA 98362 08 00000327 908150 114 E LAURIDSEN BLVD 06 30 10 5 0 9100 0000 ALBERTSONS FIRE ALARM SYSTEM COMMUNITY SHOPPING DISTR 3598 Contractor Qty Unit Charge Per 1 00 100 0000 ECH FIRE INSPECTION TESTING 12 00 10 0000 ECH FIRE ALARM EA' ZONE 1 00 50 0'000 ECH` FIRE ALARM PLAN REVIEW Date 3/19/08 FOCUS MICRO INC 4640 CAMPUS PLACE SUITE 100 MUKILTEO WA 98275 (425) 293 0123 Permit FIRE ALARM SYSTEM Additional desc ALTER FIRE ALARM SYSTEM Permit pin number 122812 Permit Fee 270 00 Plan Check Fee 00 Issue Date 3/19/08 Valuation 3598 Expiration Date 9/15/08 Special Notes and Comments March 19 2008 10 43 15 AM Preliminary bid plans only Per Ken Dubuc The following.coinments to all systems T All sy's'tems shall be installed ter .NF-FA 72 2 A final field.acceptance' be conducted before final approval The field acceptance test will be a test of ALL system components 3 Owner is responsible for all ongoing inspection testing and maintenance required per the current :edition of the Ineernation Fire Code Note Prior -to the issuance. of a Certificate of Occupancy compliance with the above conditions must be met Fee summary Charged Paid Credited Permit Fee Total 270 00 270 00 00 Plan Check Total 00 00 00 Grand Total 270 00 270 00 00 Due Extension 100 00 120 00 5d 00 00 00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compied with w h at -ci le• e or not. The granting of this permit does not presume to give authority to violate or cancel the _i f •I tate or •cal law regulating the work specified in the permit. Arms- 3 ki l k c Signature of Contra .Authorized.Agent Date ,Signature of Owner (if Owner is builder) Date Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alann final 6-13-03' KU) LP -GAS Completed by Contractor- Test #1 Piping pressure test psi Underground piping inspection /pressure test Above ground piping inspection /pressure test Time initiated Tank (container) inspection Test #2 Piping pressure test ps Appliance inspection Time initiated LP gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final FIRE PERMIT INSPECTION RECORD Call 360 -417 -4655 for fire inspections Please provide a minimum 24 -hour notice or conceal any work before inspected and accepted. Post permit in a conspicuous KEEP PERMIT CARD AND APPROVED PLANS AT 0 og It is unlawful to cover insulate OJ location. JOB SITE GENERAL COMMENTS 2/15/00 N in 3 Cs -0C Project Name Albertson's Fire Alarm Modifications Address 114 East Lauridsen Plan 08 -03 Installer• TBD Date 3 15.2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments Preliminary bid plans only The following comments apply to all systems 1 All systems shall be installed per NFPA 72 2 A final field acceptance test will be conducted before final approval. The field acceptance test will be a test of ALL system components. 3 Owner is responsible for all ongoing inspection, testing and maintenance required per the current edition of the International Fire Code NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by C),-._C) Building Department Copy Contractor/ Owner Copy Fire Department Copy Light Department City Permit 08 -327 PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Date 03.1 o8 FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY ENGINEERING POLICE DEPARTMENT ADMINISTRATION CITY CLERK RISK MANAGEMENT FROM. PUBLIC WORKS/BUILDING DIVISION RE ADDRESS E 1.-aurasell NAME /CONTACT Vp,,y'. SPX11 or PHONE i f 2 -5 -21 3- 01?-3 x L i 3 (o PERMIT NUMBER. 0 g- 3 77 a� PROJECT DESCRIPTION A- (4-ex Fi' v S C.\ S v1 1 S Z-o heiS) 0c4 1,64 -1 S 0 h S NEW CONSTRUCTION AD IOM /ALTERATION COMMENTS /CONDITIONS REVIEW/RETURN FILE c -O Application Number 08 00000329 Date 3/11/08 Application pin number 256841 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor ALBERTSON S INC STONER ELECTRIC 250 PARKCENTER BLVD 1904 SE OCHOCO BOISE ID 837260001 MILWAUKEE (503) 462 6500 OR 97222 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 122838 Permit Fee 90 00 Plan Check Fee 00 Issue Date 3/11/08 Valuation 0 Expiration Date 9/07/08 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 90 00 90 00 00 00 Plan Check Total 00 00 00 00 Grand Total 90 00 90 00 00 00 SPECTION TYPE DATE RESULTS EL FiCTRICAL IN SPECTOR DITCH SERVICE OUCH -IN g- .26.08 414 7TH° FINAL 5-/6- ag .974' ,dz OMMENN TS Application Number 08 00000324 Date 3/11/08 Application pin number 837756 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor ALBERTSON S INC AC ELECTRIC SERVICE INC 250 PARKCENTER BLVD 804 W MEEKER ST SUITE 102 BOISE ID 837260001 KENT WA 98032 (253) 852 0225 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 122796 Permit Fee 243 00 Plan Check Fee 00 Issue Date 3/11/08 Valuation 0 Expiration Date 9/07/08 Qty Unit Charge Per Extension 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00 37 00 5 0000 ECH EL COMM ALT ADDTNL CIRCUITS 185 00 Fee summary Charged Paid Credited Permit Fee Total Plan Check Total Grand Total 243 00 00 243 00 243 00 00 00 00 243 00 00 Due 00 00 00 INSPECTION TYPE DATE RESULTS ELECTRICAL INSPECTOR DITCH Agr 3 /°5 yl8`B15 7/08 A -piLi "AP h Cet3iixatml z to T 4P T SERVICE ROUGH IN FINAL c//6/08 AIR 4--c-C2 COMMENTS: Applicant or Agent Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Website Version Dec. 2007 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 Existing (sq. ft.) Proposed (sq. ft) Total footprint of structures sq. ft. T Lot size ft. Occupancy group Occupant load Construction type TOTAL VALUATION Per h e For City Use Only Date Received 3- 1 0 -OS Permit DS- 3i7 Date Approved 4,35A93, 0 M3 //7 Phone Property Owner v 9 ej 404 Phone Property Owner's Address //4 -o'f r cG4-e%,� 13k0ae. y P>i11 4e /,l)%, 983( Contractor /Engineer )O0-c-c- vn "7 /0 Ate Phone as 0/93 o Contractor /Engineer's Address ,/o ��r /'ace i/ /C10 alec,LYeD w!9 96'a License rOCusiylI ko2Q. `L Expires /r- -o PROJECT ADDRESS //A7 cdae, Jd' 47 5 4-1(- 1 -6i 94 Parcel Number Lot Zoning Project Type Brief Des Check all that apply New Construction cription. Residential ommercial Multi- family Industrial %i iie-Lde sec C2 g e m r fa -ex. t:6-2 km/49‘24, Addition emodel Repair Re -roof Demolition Sign wall- mounted Total sign area Heat pump wood- burning stove gas fireplace pellet stove other Heat System )they r a-IL i Jp ,A icev v =03 10/0. r. catarce (13 'rat, 46..vr m m gZofr a ;pa) projecting freestanding awning other sq. ft. Maximum allowed sign area sq. ft. per sq. ft. sq. ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permi s prior to working on projects. Date O g Print Name �.Xa-el �1 r dr Signature L�t/�L ®'I 1 PREPARED 3/07/08 9 05 34 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/07/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBA ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 2/15/08 JLL PLUMBING UNDER SLAB TIME 09 00 2/19/08 AP February 13 2008 11 19 39 AM 1pangrle ROD 206 255 7868 PLUMBING UNDERGROUND SLAB PLEASE CALL HIM ON HIS CELL PHONE TO FIND HIM ON SITE EASIER HE REQUESTED A MORNING INSPECTION HE LIVES OUT OF TOWN AND WANTS TO LEAVE PORT ANGELES AT NOON HE ALSO THINKS IT WILL BE SAFER FOR ALBERTSON S CUSTOMERS IF THE INSPECTION HAPPENS IN THE MORNING WHEN THERE ARE LESS CUSTOMERS February 19 2008 4 27 32 PM jlierly PL1 02 3/07/08 JLL PLUMBING UNDER SLAB TIME 09 00 3 /jfT/'7 March 6 2008 4 16 35 PM permits ROD 206 255 7868 PLUMBING UNDERGROUND REFRIGERATION UNDERGROUND COMMENTS AND NOTES '7( `7‘‹ PREPARED 3/05/08 8 42 46 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/05/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT BPC 00 BU ILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 3/05/08 JLL BLDG FRAMING March 5 2008 8 30 51 AM 1pangrle ROD 206 255 7868 FRAMING ROOF CURB INSPECTION' COMMENTS AND NOTES Application Number 08 00000262 Application pin number 164068 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor Date 3/04/08 ALBERTSON S INC FOCUS MICRO INC 250 PARKCENTER BLVD 4640 CAMPUS PLACE SUITE 100 BOISE ID 837260001 MUKILTEO WA 98275 (425) 293 0123 Permit ELECTRICAL ALTER COMMERCIAL Additional desc CAMERA FA SYSTEM UPGRADE Permit pin number 121921 Sub Contractor FOCUS MICRO INC Permit Fee 249 00 Plan Check Fee 00 Issue Date 3/04/08 Valuation 0 Expiration Date 8/31/08 Qty Unit Charge Per Extension 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT 40 00 19 00 11 0000 EL LOW VOLT SYS >2500 SQFT 209 00 Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 249 00 249 00 00 00 00 00 249 00 249 00 00 Due 00 00 00 SPECTION TYPE DATE RESULTS c• ELECTRICAL INSPECTOR DITCH SERVICE Ii OUCH IN FINAL s /i /9/o8 fir4/4i'to /9z-Q O MMENTS PREPARED 2/15/08 9 40 11 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/15/08 ADDRESS 114 E LAURIDSEN BLVD SUBDIV TENANT NBR ALBERTSONS /SUPERVALU CONTRACTOR ELITE COMMERCIAL CONTRACTING PHONE (253) 893 3121 OWNER ALBERTSONS /SUPERVALU PHONE (208) 395 6628 PARCEL 06 30 10 5 0 9100 0000 APPL NUMBER 07 00001205 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 2/15/08 JLL t PLUMBING UNDER SLAB TIME 09 00 February 13 2008 11 19 39 AM 1pangrle ROD 206 255 7868 PLUMBING UNDERGROUND SLAB PLEASE CALL HIM ON HIS CELL PHONE TO FIND HIM ON SITE EASIER HE REQUESTED A MORNING INSPECTION HE LIVES OUT OF TOWN AND WANTS TO LEAVE PORT ANGELES AT NOON HE ALSO THINKS IT WILL BE SAFER FOR ALBERTSON S CUSTOMERS IF THE INSPECTION HAPPENS IN THE MORNING WHEN THERE ARE LESS CUSTOMERS COMMENTS AND NOTES Application Number 08 00000173 Date 2/15/08 Application pin number 014444 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc AF Technologies Owner Contractor ALBERTSON S INC AF TECHNOLOGIES 250 PARKCENTER BLVD 1418 HEMLOCK ST NW BOISE ID 837260001 SALEM Permit ELECTRICAL ALTER COMMERCIAL Additional desc AF TECHNOLOGIES Permit pin number 120741 Permit Fee 249 00 Plan Check Fee 00 Issue Date 2/15/08 Valuation 0 Expiration Date 8/13/08 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT 19 00 11 0000 EL LOW VOLT SYS >2500 SQFT Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 249 00 249 00 00 00 00 00 249 00 249 00 00 OR 97304 Due Extension 40 00 209 00 00 00 00 IN SPECTION TYPE DATE RESULTS ELECTRICAL INSPECTOR DITCH SERVICE ROUGH IN FINAL ViVe 6 A4 1147 COMMENTS Application Number 08 00000141 Application pin number 520715 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor Date 2/04/08 ALBERTSON S INC CAPITOL SIGN AND AWNING 250 PARKCENTER BLVD P 0 BOX 8106 BOISE ID 837260001 LACEY WA 98509 (360) 493 6070 Permit ELECTRICAL SIGN PERMITS Additional desc CAPITOL SIGN AND AWNING Permit pin number 120279 Permit Fee 35 00 Plan Check Fee 00 Issue Date 2/04/08 Valuation 0 Expiration Date 8/02/08 Qty Unit Charge Per 1 00 35 0000 ECH EL COMM 1ST SIGN Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 35 00 35 00 00 00 00 00 35 00 35 00 00 Due Extension 35 00 00 00 00 DATE riv,-0 006 RESULTS FL TRICAL INSP I TOR SPF,CTION TYPE OMME N TS: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001205 Date 2/04/08 Application pin number 710980 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Tenant nbr name ALBERTSONS /SUPERVALU Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 1137453 Owner Contractor ALBERTSONS /SUPERVALU ELITE COMMERCIAL CONTRACTING 250 PARKCENTER BLVD 804 W MEEKER ST BOISE ID 83706 KENT WA 98032 (208) 395 6628 (253) 893 3121 Structure Information 000 000 TENANT IMPRVMNT NON STRUCTURAL Construction Type TYPE III NON RATED Occupancy Type MERCANTILE Permit BUILDING PERMIT COMMERCIAL Additional desc TENANT IMPROVEMENT Permit pin number 113506 Permit Fee 6138 95 Plan Check Fee 3990 32 Issue Date 2/04/08 Valuation 1137453 Expiration Date 8/02/08 Qty Unit Charge Per Extension BASE FEE 5635 25 138 00 3 6500 THOU BL -1M (3 65 PER K) 503 70 Permit MECHANICAL PERMIT Additional desc Permit pin number 120147 Permit Fee 129 60 Plan Check Fee 00 Issue Date 2/04/08 Valuation 0 Expiration Date 8/02/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 6 00 7 2500 ECH ME VENT FAN 43 50 1 00 10 6500 ECH ME HOOD /DUCT SYSTEM 10 65 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 10 65 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments PLUMBING PERMIT 120121 121 00 2/04/08 8/02/08 Qty Unit Charge Per BASE FEE 7 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER T.Forms /Building Division/Building Permit (10 /01 /07).wpd Plan Check Fee 00 Valuation 0 Extension 50 00 49 00 7 00 15 00 c) c?‘ Thib pr VjeLL will L UILC a epCLaLC CL1111L a4d LILC alarm 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. -C) 'odPC Date Print Name gnature of Contractor or A thorized Agent Signature of Owner (if owner is builder) INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. 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 FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING T Forms /Building Division/Building Permit (10 /01 /07).wpd 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. 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. r Application Number Application pin number Special Notes and Comments plans for review Owner is responsible for ongoing fire alarm system inspection and maintenance per the current addition of NFPA 72 Owner is responsible for ongoing fire sprinkler system inspection and testing per the current addition of NFPA 25 This project will require seperate permit and fire sprinkler plans for review Call for cover inspection for all sprinkler installations A full acceptance test will be required for all fire alarm systems January 7 2008 3 15 39 PM per kdubuc Regarding the Deli Hood 1) Separate detailed plans for the fire extinguishing system must be provided for review The size of the Ansul system the nozzle ratings the duct sizes and lengths and the distances to surfaces protected must be provided 2) A manual pull station must be provided The exact location of the manual pull station for the system is not shown The pull station must be in the path of exit travel and easily accessible 3) A K class fire extinguisher must be provided The extinguisher must be located in an easily accessible location with the top no more than 5 off the floor 4) The hood and duct fire. extinguishing system must be connected to the fire alarm system Activation of the suppression system must initiate a fire alarm at the FACP 5) A full witnessed acceptance test of the system will be required This test will include a balloon test as well as tests of the fuel /electrical shut offs the pull station the fusible links and the fire alarm connection October 26 2007 1 03 23 PM sroberds Proposal is for interior remodel No land use issues anticipated Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Charged Paid Credited Due Permit Fee Total 6389 55 6389 55 00 00 Plan Check Total 3990 32 3990 32 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 10384 37 10384 37 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 clays 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 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division/Building Permit (10/01/07) wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001205 710980 Page 2 Date 2/04/08 STATE SURCHARGE 4 50 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING -7 3 -`-0g PB ge L riy Lic•+es 37 'C l6 y 1 -O$ Gng- A,cef-( -y FINAL 3 0 g DATE 1)L_'L__ ACCEPTED BY. UNDER FLOOR SLAB 1 5 0 S ILL- ROUGH -IN 3- -31 -!)g 3 i.L WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING 3 -5-o3 ZI L_ CRg-of 4) H 3- 11-03 F1l-oLm l i/�i �L� JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL (Qrh9Q n e t- '1 v Qssur -le s1- 3-I q -Q rk8C attlirqtn '1 L(— 51 7 /o8 'Tea_ FINAL 5 6 DATE ACCEP D BY HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING 7 -3-N 'Y-.- T Forms /Building Division /Building Permit (10 /0I /07).wpd 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. 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. Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 or Agent e.}l- p1 17 t,Sj4 A) A lin huh Property Owner Property Owner's Address 1 i4 E Liku I?.i r i ?LW) Contractor /Engineer (10 MI, SIC -aAI Ai.it A Contractor /Engineer's Address po LA 5 License L,�p ITSA 1 Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq. ft. Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type FQCr LoA Lot For City Use Only Date Received 0 Z 61 0 8 Permit Date Approved Phone ?(-,/j 493 (c640 Phone +gal =i 963407 Phone 3 r 493 (non v Expires 01 /z ;/D9 PROJECT ADDRESS F Parcel Number Zoning Project Type Brief Description. Residential (Commercial Check all that apply New Construction Multi- family Industrial Addition Remodel Repair Re -roof Demolition 7(Sign flwall-mounted projecting freestanding awning other Total sign area 3 3- sq. ft. Maximum allowed sign area sq. ft. Heat pump wood burning stove gas fireplace pellet stove other Heat System Other per sq. ft. TOTAL VALUATION 3( T Lot size sq. ft. Lot coverage of bedrooms of full baths of half baths have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects Date Print Nam i_i I!AAS Signature Webst a Version Dec. 2007 (2/1/2008) Linda Pangrle RE. Albertsons Remodel #404 Port Angeles From 'Randy Syphus' <rsyphus @id tait.com> To 'Linda Pangrle' <Lpangrle @cityofpa.us> Date 2/1/2008 1006 AM Subject: RE. Albertsons Remodel #404 Port Angeles CC 'Thomas David P (Boise)' <David P Thomas @supervalu com> Thank you We will be providing the information that Jim requires within the next few days Original Message From Linda Pangrle [mailto Lpangrle @cityofpa.us] Sent: Thursday January 31 2008 11 AM To Randy Syphus Subject: RE. Albertsons Remodel #404 Port Angeles Hi Randy Good news The Albertsons permit is ready to be issued The permit fees are $6 394 05 Who will be paying picking up the permit and plans? Jim our building inspector still needs to receive the information that he previously requested but we don't want to hold up issuing the permit because of it. Please contact these two applicants who submitted building permits and plans after you had submitted the original plans. Since you are the project manager you'll have the best information for them regarding needed permits and approved plans for them to complete their work on the project. 1) Ivy LeVangie at Johansen Mechanical Inc. at 425 -527 1026 or 425 -481 2266 Ivy is the person who submitted a building application and plans on 01 -07 -08 to upgrade the HVAC system and install a hood and exhaust fans 2) Ryan Carlton at Hussmann at 206 -571 1029 or 425 -291 3901 Ryan submitted a building application and plans on 01 22 -07 to remodel the existing refrigeration systems I look forward to issuing this permit. Thanks for your help Linda Pangrle Permit Tech City of Port Angeles 360- 417 -4815 Randall Syphus <rsyphus @id tait.com> 1/30/2008 6 10 PM Yes that is the contractor Randall Syphus Project Manager Page 1 (2/1/2008) Linda Pangrle RE. Albertsons Remodel #404 Port Angeles Page 2 Tait Associates 208 345 -2428 208 514 -9102 mobile Original Message- From 'Linda Pangrle' Lpangrle @cityofpa.us> To 'Randy Syphus' <rsyphus @id tait.com> Sent: 01/30/08 5 19 PM Subject: RE. Albertsons Remodel #404 Port Angeles Outstandingpermit issues? I got the two attachments Thanks I looked up Elite Commercial Contracting on the Washington State Dept. of Labor Industries website It shows them to be located at 804 W Meeker St, Kent, WA 98032 Does that sound like your General Contractor for this job? I haven't received any information from Ty Dennis yet. Linda Pangrle Permit Tech City of Port Angeles 360- 417 -4815 'Randy Syphus' <rsyphus @id tait.com> 1/30/2008 3 44 PM will try it again Please let me know right away if you don't get them this time Thanks for your help Original Message From. Linda Pangrle [mailto Lpangrle @cityofpa.us] Sent: Wednesday January 30 2008 3 39 PM To Randy Syphus Subject: Re Albertsons Remodel #404 Port Angeles Outstandingpermit issues? Randy I received your email, but not the attachments Please send me the attachments Thanks Linda Pangrle Permit Tech City of Port Angeles 360- 417 -4815 'Randy Syphus' <rsyphus @id tait.com> 1/30/2008 3 33 PM Linda, I have attached two documents (2/1/2008) Linda Pangrle RE. Albertsons Remodel #40 Port Angeles Page 3 1) Correspondence between myself and our Mechanical Engineer In this correspondence the items identified by a number 1 '2' '3' and 4 shown in red ink, constitute the items communicated to the Mechanical contractor as being outstanding or needing review by someone at the city The text highlighted in yellow in the correspondence dated January 22, 2008 shows the Engineers response and plan of action to address these four items The highlighted text in the correspondence dated January 24 2008 clarifies the requirements for item no 4 2) A letter from the Engineer of Record addressing in comment form the four items considered outstanding and needing review A note of clarification On October 15th 2007 I transmitted (3) full sets of drawings for all disciplines (Arch Mech /HVAC Plumb Elec Fire Prot, Refrigeration and CCTV) These drawings were all wet sealed with the exception of the Refrigeration Drawings (the '6 0' series drawings) and the CCTV (the '8 2' series drawings) Since the Engineer has subsequently added an exhaust schedule to one of his drawings (referenced in item no 3 of the letter attached hereto) he will of 'ECUt :Narrative :SUNGARD't?UBI C 58CTO8 Ab Sae Cancel Exit Spell check Time eta ip Application number, type: 08 00000014 COMM MECHANICAL PERMIT Property address: 114E LAURIDSEN January 31, 2008 9 17 04 AM 1pangrle ON 10 -16 -07 ALBERTSONS SUBMITTED A•SET. OF REMODEL. PLANS, AND GOT. ASSIGNED PERMIT .#07-1.8 THERE WERE TWO_ OTHER LATER. SUEMITTALS OF PLANS AND BUILDING APPLICATIONS. THAT WE RECEIVED 1)• A1- 07-08 FOR UPGRADING THE -HVAC SYSTEM, AND INSTALLING A H001) 'AND EXHAUST 'PANS THIS GOT' ASSIGNHD'•PERMIT #08 -14 .2) 01'-22 -08 FOR 'REMODELING' THE' EXISTING REFRIGERATION. SYSTEMS THIS ONE DIDN`T' GET ASSIGNED. 'A 'PERMIT NUMBER. AFTER TALKING "WITH RANDY SYPHUS, 'THE PROJECT MANAGER, ON 01 -30 -08 I FOUND. 'OUT THAT THE TWO-.LATER SUBMITTALS SHOULD. NOT HAVE BEEN. SUBMITTED THE INFORMATION THEY SUBMITTED WAS• ALREADY INCLUDED IN' THE FIRST SUBMITTAL ON 10 -16 -07 I REVOKED PERMIT .#08-14 AND TRANSFERRED KEN DUBUC 5 COMMENTS AND THE'A4ECHANICAL FIXTURE COUNTS TO THE ORIGINAL. PERMIT 807 -1205 Application Number 08 00000122 Application pin number 238200 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor ALBERTSON S INC 250 PARKCENTER BLVD BOISE ID 837260001 OWNER Permit ELECTRICAL NEW COMMERICAL Additional desc HUSSMANN CONTROL Permit pin number 120022 Permit Fee 238 00 Plan Check Fee 00 Issue Date 1/31/08 Valuation 0 Expiration Date 7/29/08 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT 18 00 11 0000 EL LOW VOLT SYS >2500 SQFT Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 238 00 00 238 00 238 00 00 238 00 00 00 00 Date 1/31/08 Extension 40 00 198 00 00 00 00 SPF,CTIO TYPE DATh RESULTS s//k/r ELF,CTCAL INSP hCTOR (1/30/2008) Linda Pangrle Albert sons Remodel #404 Port Angeles Outstanding permit issues Page 1 From Ty Dennis' <TyD @elite -cc com> To <Ipangrle @cityofpa. us> Date 1/30/2008 4.22 PM Subject: Albertsons Remodel #404 Port Angeles Outstanding permit issues Linda, Here is the information you are requesting for the general contractor License #CCO1 ELITECCO20CD Please call if you have any questions Ty Dennis Elite Commercial Contracting 804 West Meeker Street Kent, WA 98032 Office- 253 893 -3121 Fax 253 893 -3101 Cell- 206 255 -9364 This message contains information that is confidential and may be privileged Unless you are the addressee (or authorized to receive for the addressee) you may not use copy or disclose to anyone the message or any information contained in the message If you have received the message in error please advise the sender by reply e-mail and delete the message (1/30/2008) Linda Pang:le Albertsons Remodel #404 7 Port Angeles Outstanding permit issues? Page 1 From 'Randy Syphus' <rsyphus @id tait.com> To <Ipangrle @cityofpa.us> Date 1/30/2008 3 36 PM Subject: Albertsons Remodel #404 Port Angeles Outstanding permit issues? CC 'Thomas David P (Boise) <David P Thomas @supervalu com> <ty @elite -cc. Linda, I have attached two documents 1) Correspondence between myself and our Mechanical Engineer In this correspondence the items identified by a number 1 '2' '3 and 4 shown in red ink, constitute the items communicated to the Mechanical contractor as being outstanding or needing review by someone at the city The text highlighted in yellow in the correspondence dated January 22 2008 shows the Engineers response and plan of action to address these four items. The highlighted text in the correspondence dated January 24 2008 clarifies the requirements for item no 4 2) A letter from the Engineer of Record addressing in comment form the four items considered outstanding and needing review A note of clarification On October 15th 2007 I transmitted (3) full sets of drawings for all disciplines (Arch Mech /HVAC Plumb Elec Fire Prot, Refrigeration and CCTV) These drawings were all wet sealed with the exception of the Refrigeration Drawings (the '6 0' series drawings) and the CCTV (the '8 2' series drawings) Since the Engineer has subsequently added an exhaust schedule to one of his drawings (referenced in item no 3 of the letter attached hereto) he will of necessity be forwarding this revised drawing with his wet stamp and signature This is what he is referring to in item 1 of the same attached letter I just want to be clear that the city had already received (3) sets of stamped and signed drawings and that those being forwarded within the next couple of days are simply a revision to those previously submitted I have not been able to reach the contractor to secure the information you need i.e license etc. So by virtue of cc' on this correspondence to Ty Dennis at Elite Commercial Contracting I am asking him to forward all required information regarding the General Contractor to you so you can issue any outstanding permits. (1/30/2008) Linda Pangrle Albertsons Remodel #404' Port Angeles Outstanding permit issues? Page 2 Randall P Syphus Project Manager Tait Associates 208 345 -2428 208 345 -3757 fax rsyphus @id tait.com Albertsons #404 recap of our conversation Page 1 of 2 Randy Syphus From Jason Hamm [jharnm @dcengineering.net] Sent. Thursday January 24 2008 4 PM To rsyphus @id tait.com 'Thomas, David P (Boise)' Cc: bliquin @id tait.com Subject: RE. Albertsons #404 recap of our conversation Attachments 012408 Building Department Comments Response.pdf Randy We should not need seismic `restraints as referenced in the attached letter I will issue this letter to the building official and if he chooses to enforce 'local jurisdiction' we,will need the restraints but if he there should not be a change for the bracing. Jason Hamm DC Engmeenng 123 W Spruce St. Missoula, MT 59802 ph. 406 829 -8828 ext. 102 £x. 406- 829 -8829 From Randy Syphus [mailto.rsyphus @id.tait.com] Sent: Thursday, January 24, 2008 3 47 PM To: Thomas, David P (Boise)' Cc: 'Jason Hamm', bliquin @id.tait.com Subject: FW Albertsons #404 recap of our conversation Importance: High Dave, Per the Engineer's response below it looks like there will be some minor revisions to his drawings. The only potential cost item would be associated with the seismic restraints I can go ahead and issue an ASI, and let Elite tell me that it will be an extra if you think that is equitable Or I can issue a CCD with your authorization and assume that it will be an extra. Please advise. From Jason Hamm [mailto•jhamm @dcengineering.net] Sent: Tuesday, January 22, 2008 3.37 PM To: rsyphus @id.tait.com Subject: RE. Albertsons #404 recap of our conversation Randy I spoke with the mechanical contracting company and the mechanical building inspector in regards to the comments listed below please see how these will be handled (,°Stamped drawings The.inspector needs stamped drawing submitted to him We will°send you three sets to be submitted. 20-WA State energy code data This will not be required due to no AC Unit work:being performed: '..Details /Information for the Make Air Unit and Grease Hood (including CFMS) Hood details om 5.1. sheet; 1 1/30/2008 Albertsons #404 recap of our conversation Page 2 of 2 am going, to add a ventilation calculation to the sheet for his reference. 4..information /details showing seismic restraints and how we are going to meet the codes for that. I will add details showing seismic restraints for ductwork due to store location being in a D -1 seismic area. If you have any questions please feel free to contact me. Thanks Jason Hamm DC Engmeenng 123 W Spruce St. Missoula, MT 59802 ph. 406 829 -8828 ext. 102 N. 406- 829 -8829 From: Randy Syphus [mailto rsyphus @id.tait.com] Sent: Tuesday, January 22, 2008 1 41 PM To: 'Jason Hamm' Cc: Thomas, David P (Boise)' Subject: Albertsons #404 recap of our conversation Jason Please send an email re -cap of our conversation regarding the outstanding permit items at this store. Please address each of the items, and how it is being resolved Thanks Randall P Syphus Project Manager Tait Associates 208 345 -2428 208 345 -3757 fax rsyphus@id.tait.com 1/30/2008 Plan Review Comments Response Letter Albertson s 0404 `Port Angeles' Remodel City of Port Angeles Plans Review Plans Checked by Jim Lierly 360 -417 -4816 Comment Response Mechanical. 1 Building department requires stamped and signed drawings for permit review These will be submitted as required. 2. WA State Energy Code Data not provided. This data is not required due to no new AC work is being performed. 3. Details Information regarding the new grease exhaust hood. Hood details located on sheet 51 Outside Air /Exhaust rate table added to sht. 5.0. 4 Information pertaining to seismic restraints for new ductwork. Seismic restraints are not required for new ductwork installation per 2006 IBC reference to ASCE 7 -05, Chapter 13.6.7 which states ductwork with across sectional area of less than 6 square feet shall not be required to brace. End of Comments 123 W Spruce St. Missoula, MT 59802 Voice 406.829.8828 Fax 406.829.8829 www.dcengineering.net DATE. 1 _'7 D g 0 011 N)Q c 1% FIRE DEPARTMENT V PLANNING DEPARTMENT NN PUBLIC WORKS/ENGINEERING DIVISIO 7 7)/ 0 LIGHT DIVISION ENERGY ENGINEERING POLICE DEPARTMENT ‘t/t4 ADMINISTRATION CITY CLERK RISK MANAGEMENT FROM. PUBLIC WORKSBUILDING DIVISION RE ADDRESS i l q E, L-&u ri s-e3n (V(\ NAME /CONTACT PHONE 4 5 2 (6 2 -6 PERMIT NUMBER. 0 PROJECT DESCRIPTION v P 3 rm RVPvG S s Yv S 1 an 4' ex ln&us-( ►s NEW CONSTRUCTION ADDITION /ALTER!ATI ON COMMENTS /CONDITIONS REVIEW/RETURN FILE rs 1 ece. Jam. /44r .C. 44hN A Property Owner f 1,v Y5 Property Owner's Address as 7 Pf12 k iatAre P vJ. gory Contractor /Engineer lA,A5 AiAi Contractor /Engineer's Address 7 b Z 3 S l g DAL-7 Applicant or Agent License PROJECT ADDRESS 14 y F L Parcel Number Heat System Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 Project Type Brief Description. Check all that apply New Construction Addition XRemodel Repair Re -roof Demolition Sign wall- mounted Total sign area Heat pump Existing (sq. f Total footprint of II Max. height of •roposed structures f h ft. Will a lawn s rinkler system be installed? Will a fire s• rinkler system be installed? Residential wood b -fr i era 1-, Proposed (sq. ft.) '1 8 go Z ructures t- h3 902- sq ft. Lot size Phone -feet- kJ4It G. Ex res 0v 4- Ajel(c r.,/14 S' st( ojecting freestanding awning other q ft. Maximum allowed sign area sq ft. urning stove gas fireplace pellet stove other Occupancy group t Pho Pho Id 0 ev l Lot Occupant load A/ �{v e Construction type For City Use Date Received Permit Date Approv -d Iv• e cl t)�2- Zoning 0 I ercial Multi family Industrial per sq ft. TOTAL VALUATION G ZCi sq. ft. Lot coverage of bedrooms of full baths of half baths I have r: ad and completed this application and know it to be true and correct. I am authorized to apply for this permit and under- and that it is my responsibility to determine what permits are required, and to obtain permits prior to working on p roe ct l�,LZl Print Name ,N^/ Signature .Forms /Building Division /Bldg Permit Appl. 2006 ode doc 12 Ken ktuc sa,i' d hp- do esrit- r 'O S6 PL Qh S Applicant or Agent Parcel Number 0 (030 1050 Project Type Brief Description. Check all that apply New Construction Addition Remodel 'Repair Re -roof Demolition Sign w Heat System yrOther Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of st ctures Max. height of oposed structures Will a lawn s• inkier system be installed? Will a fire s• inkier system be installed? s. l Print Name site ersion Dec. 2007 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 Property Owner New Property Owner's Address_ 20 Contractor /Engineer elAwn e 0,1 Contractor /Engineer's Address Pty 1-7 License �d tAAt% MT. -7SPY� PROJECT ADDRESS f t‘Jra wall- mounted Total sign area Heat pump t ‘A WA Existing (sq. ft) pyre 2- 52-7 •tx)OC) 00 Residential JComme cial Multi- family wood -bur ng stove gas fireplace pellet stove other proje sq Oa) r i EON4t4t e'anS roposed (sq. ft.) 41(6 cA i \t 1t "J sq ft. ft. Lot size C_ '0 53'72.L Phone woveci.tv, ng freestanding awning other Maximum allowed sign area sq ft. Occupancy group Occupant load Construction type LAIC% Signature Phone Phone Expir Lot s For City Use On Date Received t _0 S Permit 14 Date Approved 425 1 tA/4 Zonin per sq ft. z2L. L. Industrial TOTAL VALUATION 36 AOO sq ft. Lot coverage of bedrooms of full baths of half baths d and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and I have re unders :nd that it is my responsibility to determine what permits are required, and to +btain p it prior to working on proje Dat COPIES DATE NO DESCRIPTION 1 Albertsons 404 Port Angeles Job Permit Application for 114 E Lauridsen Blvd 3 Permit Application Plans for 114 E Lauridsen Blvd From. Ivy LeVangie Date 1/3/2008 Project: Albertsons 404 Port Angeles Job P11290 Reference: Permit Application Johansen Mechanical inc. P Box ;68 W'oodimil: WA 98072 425.481.2266 Bus 425.486.6933 FAX TO- City of Port Angeles Deparment of Development /Permits 321 E 5th Street Port Angleles WA 98362 WE ARE SENDING YOU X ATTACHED SHOP DRAWINGS COPY OF LETTER THESE ARE TRANSMITTED as checked below: For Approval X For Your Use Resubmit As Requested For Review and Comment For Bid (s) Due Comments. Please contact me if you have any questions at 425 481 -2266 or 425 527 -1026 (direct) COPY TO Job File RECEIVED BY DATE LETTER OF TRANSMITTAL UNDER SEPARATE COVER VIA PRINTS PLANS O &M'S SPECS Approved as Submitted Approved as Noted Returned for correction Per you Request For Signature SIGNED t*- THE FOLLOWING ITEMS CHANGE ORDER SUBMITTALS Resubmittal Submittal Please Return (1 copy) Immediate Action FYI The following items must be noted. PORT ANGELES FIRE DEPARTMENT HOOD/DUCT SUPPRESSION SYSTEM PLAN REVIEW Project Name Albertson's Deli Hood Address 114 E Lauridsen H/D Installer• Telephone System Installer• Telephone Permit 08 -01 We have checked this plan and find that it conforms to the requirements of our ordinance F 1) Separate detailed plans for the fire extinguishing system must be proe for review The size of the Ansul system, the nozzle ratings, the duct sizes and lengths and the distances to surfaces protected must be provided. 2) A manual pull station must be provided. The exact location of the manual pull station for the system is not shown. The pull station must be in the path of exit travel and easily accessible 3) A "K" class fire extinguisher must be provided. The extinguisher must be located in an easily accessible location, with the top no more than 5 off the floor 4) The hood and duct fire extinguishing system must be connected to the fire alarm system. Activation of the suppression system must initiate a fire alarm at the FACP 5) A full witnessed acceptance test of the system will be required. This test will include a balloon test, as well as tests of the fuel /electrical shut -offs, the pull station, the fusible links and the fire alarm connection. Building Department Contractor Fire Department Reviewed By Date T 08 Reviewed by Building Department Copy Contractor/ Owner Copy Fire Department Copy o?- izo5 PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name Albertson's Remodel Address 114 E Lauridsen Blvd. Plan 07 -31 Com Residential n Date 10 19.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1) Separate fire alarm and fire sprinkler plans required. 2) Acceptance tests will be required for fire alarm and fire sprinkler systems. 3) Owner is responsible for ongoing fire alarm and fire sprinkler annual inspection and testing. NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Date (O.(q el From Tait Assoc. FAX TRANSMITTAL TO UYtAa FAX X60- LF11 -LIil FROM F8141 411,1444A �si Assoc RE. a Oy1 11040/4 tektokd rebjecf PAGES (including cover sheet). MESSAGE cc: 208 345 3757 10/18/2007 07 03 8934 P 001/001 TAIT Associates, Inc. Engineering Architecture Planning Surveying Laha L nertvea (4014v 4(e 4tie A t 4 %t000 it I, t31, 453 fig" At 213 75e0 345 Bobwhite Court, Suite 110 Boise, ID 83706 (208) 345- 2428 (208) 345 -3757 fax Offices: Santa Ana San Diego Concord Sacramento Phoenix Tucson Denver Las Vegas Reno www.TAIT.com pORTANGELES W A S H I N G T O N U S A COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT Jason Hamm, DC Engineering 07^ 12 11 L( E L eir,m_. �s RE Request exemption of type two exhaust hood (Albertsons) After review of the technical data provided for the "Turbo chef' pizza oven. The City of Port Angeles building department has determined that the oven is similar in type of that of a micro wave oven. The request for exemption of the type 2 exhaust hood shall be granted with the following conditions. 1 -Only one "Turbo chef' oven shall be installed without a type 2 hood. 2- The oven must be installed in an approved food preparation area with sufficient room ventilation to maintain acceptable working conditions. 3 -The oven must be installed, maintained, operated, and serviced according to the specifications of the manufacturer and local codes. Pitt 4- Preparation in these ovens without additional ventilation should be limited to pizzas, sub sandwiches, reheating of par -baked or cooked foods, other similar items and baking. 5- This exemption shall not limit the Clallam county health department from any requirements pertaining to the regulations within theirjunsdiction. 360 417 -2000 6 -This exemption shall be in effect until revoked. However, should any local enforcement agent find that the operation of the TurboChef Technologies Rapid Cook Oven without mechamcal ventilation creates a sanitation or safety problem, the local enforcement agent may require the unit to be used only with external mechanical ventilation. These problems may include but are not limited to problems of installation, use, maintenance, cleaning or other site specific considerations which exceed the above limitations or pose a discernable health or safety problem. Jim Lierly Building Inspector 360 -417 -4816 jherly @cityofpa.us FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY ENGINEERING POLICE DEPARTMENT ADMINISTRATION CITY CLERK RISK MANAGEMENT FROM. PUBLIC WORKS/BUILDING DIVISION RE ADDRESS l L A E. Lcluvr l' s e41 NAME /CONTACT R sAn c c U S u O h v PHONE �0g z$ PERMIT NUMBER. 0`7 L 2� PROJECT DESCRIPTION NEW CONSTRUCTION ADDITION /ALTERNATION COMMENTS /CONDITIONS r j4 EVIEW/RETURN FILE it e in so s Su p Ua(u c�� VeArve4/0 ____,,O r N, CorAme al Cov► .c `ni L►c tSe E L.Tf& C Co2cCD s the e4; ene Co 11�ru L E r+ 301os r, E_ cvovr goonAj Sphu5 s 'r oi-, P ('kTA BUILDING PERMIT APPLICATION Print in Ink r,6 Applicant or Agent 4 r, 4 va c v-Doe, Ph Owner (SA }ZCViz nS 4I,t,pa- Val,t� Ph Owner's Address 1 o pavitt unicir 3(V 13ol ID 83104 Contractor /Engineer TDD Ipti r rc+i+ 'v^r NA Phone Contractor /Engineer's Address License PROJECT ADDRESS 1 l /-1- LatAnekev1 Porgy At yles vv,4 o �i(�Z Parcel Number Project Type Brief Description. Check all that apply New Construction Residential Commercial Multi family Industrial Addition XRemodel Repair inirfOYC -Rwslus last NON siwe ttraI 111 pvbYevlo4 Re -roof Demolition Sign wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign a'r'ea sq ft. Heat pump wood burning stove gas fireplace pellet stove other Heat System Other Floor Areas Basement 1St Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Web Version 10 -01 -07 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Existing (sq. ft.) Proposed (sq. ft.) if son- *S Son- Will a lawn sprinkler system be installed? I 1 3'1,9 53 Mt' 41 CI- sq ft. Lot size sq ft. Lot coverage Max. height of proposed structures E14560 114 ft. Occupancy group of bedrooms 1C10 ckzr of full baths •irt' 4 of half baths Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I a understand that it is my responsibility to determine what permits are required, n projects Date Print Name aal( S N �V� S Signature Occupant load Expires Lot TOTAL VALUATION l orized to ap to o i tain per For City Use Only Date Received I 6- Cr/ Permit# O7 -IZO Date Approved 20 2414 20S 3'15 (.(oz$ Zoning per sq ft. ly for this permit and to working on 1 LETTER OF TRANSMITTAL DATE 10/15/2007 Project. Albertsons 114 E. Lauridsen Blvd Architect's Project No.. AL1817 Port Anaeles. WA To. C B O Company: City of Port Angeles Address. 321 E 5 St. P O Box 1150 Port Angeles, Wa 98362 Re. Submittal of Tenant Improvement Package Transmitting. (3) Sets Drawings and (1) Permit Applications Via. UPS For: Your Review Approval Remarks. Please accept our submittal package for this tenant improvement project at the Albertsons Store If there are deficiencies in this submittal package please notify Tait Associates at your earliest convenience Thank you Copy To: B DalSoglio, SuperValu File TAIT Associates, Inc. Engineering Architecture Planning Surveying Ph.. Fax. S g nature 10 ?15107 t2svul alt P scup 3 If this transmission is incomplete or incorrect, please notify our office immediately Thank you. 345 Bobwhite Court, Ste 220 Boise ID 83706 (208) 345 -2428 (208) 345 -3757 fax Offices. Santa Ana San Diego Concord Sacramento Phoenix Tucson Denver Boise www TAIT.com N Dolan Ave:— I I Hancock J 0 f 1' Albertson FULLYNSPRWK EREDYSTRUCTUURE 4 ILA 01071 )30 1 RE 1.0 5 i 1063 C dO1S dO1S 1 Il.1Jr'''./1i w i e ve 6063 EllIMMo0000000111] I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I I I PLUMBING UNDER FLOOR SLAB ROUGH -IN W,j4TER LINE (METER TO BLDG) AS LINE BACK FLOW WATER AIRiSEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY SEPA. ESA. SHORELINE: STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. T•\PLANNING\FORMS 1102.15 (11/14/2003] Permit SIGN Additional desc Application Number 04 00000949 Date 11/05/04 Pin number 094792 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 9100 0000 Application description SIGNS Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner ALBERTSON S INC 250 PARKCENTER BLVD BOISE Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 ID 837260001 Contractor HANSON SIGN CO PO BOX 928 SILVERDALE WA SILVERDALE (360) 613 9550 WA 98383 Permit Fee 170 00 Plan Check Fee 00 Issue Date 11/05/04 Valuation 0 Expiration Date 5/05/05 Qty Unit Charge Per 2 00 85 0000 PER S SIGN WALL 25 SF+ Charged Paid Credited Due Permit Fee Total 17 0 00 170 00 00 00 Plan Check Total 00 00 00 00 Grand Total 170 00 170 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\PLANNING\FORMS \1102.15 [11/14/2003] Extension 170 00 -1 C'F•P 2 POI= A �13ELE. BUILDING PERMIT APPLICATION The Building Permit Application must be filled out completely Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent:444 4 Phone 6O Gib 4557 Owner 4-3eVL**O•r- Ot■ Phone: 452- 2307 Address 114 E L.P )RIQtelA E1.14, City. fel* A► c.,IeS Zip 4 63362. Architect/Engineer Phone: Contractor 40 n UP114) Co i License PAA s'>131,Exp 6-0-4. Address:eO q 2 e City 1■J r LE. 614• PROJECT ADDRESS:1 14 E LRUQ10 S ENS IV D LEGAL DESCRIPTION Lot: Block. Subdivision: CLALLAM COUNTY PARCEL NUMBER t�e'�fD eellit Card g ljolder Name: Sb+P Billing Address: Q� Cit ll CCFF�L W w •t Cla a3 Credit Card Exp. VISA X MC TYPE OF WORK. SIZE/VALUATION O Residential New Constr. Re -roof Wood -stove SF /SF O Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair gr Sign TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT %I-tot EKll4-(Al T3'�' R �ic1t ieet s+AS alt.) fkrtsop.m. %A 13AZ 9ffillut. P RIS) S s■ wt#k SKI DN Rrrj silk) COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Type: No. .ofStories: Lot Size: Existing Lot Coverage: PLANN USE ONLY Notes: .4.r4s r• ZONING: C IU %.Lot Coverage: /sq ft. Proposed Lot Coverage: /sq. ft. TOTAL LOT COVERAGE. /sq. ft. T•1FO RNI S\AP P S \S e i l d ingperrni t Applica FOR OFFICIAL USE ONLY Date Rec. OP Permit 5l— 9 tl Date Approved: Date Issued. Phone:360 613 9550 Zip 48383 1 APPRSVALS: PLAN l L,/ BLDG. "T DPW FIRE ESA/Wetland(s): Yes No SEPA Checklist required'? Yes No Other OTHER BUILDING PERMIT APPLICATION SUBMITTAL. Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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. Your plan check fee is due 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, this 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 (scc Section 107 4 of the Uniform Building Code, current edition). No application can be extended more than once I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determin what permits are required, it remains the applicant's responsibility to determine what permits are required and to obtain Date: q- 29-DA CITY OF PORT ANGELES Dept. of Community Development EX'S :NG OCT 1 2 2004 CHANNEL LETTERS LOGO TOTAL LULA 24.5 5Q. FT. 191 5Q. FT. 0.5 50, Fr t5ERTS0NS. .84.31 5Q. FT SAVON .36.71 SQ. F TOTAL ILLUMINATED CHANNEL LETTERS CHANNEL WRAPS 'TACHMENT ALL UNITS ATTACHED USING 3/8' LAG BOLTS INTO FASCIA FRAMING MINIMUM 4 EACH AS NEEDED PER UNIT AL5ERT5ON5 #0404 FORT ANGELES WA Design PO. BOX 928 Sales 9438WILLAMETTE MERIDIAN RD. NW PHONE (360)613-9550 SALES. RANDY HANSON SILVERDALE WA98383 FAX (360j 613-9515 DESIGN: FORREST MILLER ©2 "4 THIS SIGN DESIGN G T!-i t 20PE^TY Or HANSON SIG' C. VOT TO BE RODL/CED eV ANY 51 wn ERAAGS101 O TRANSF ET■ SALL CUSTOMER IMAGE NATIONAL SKETCH 1 OPTION 5 REVISION SCALE 1/4' =1' DATE 10/11/04 JOB ORDER CITY OF PORT ANGELES Dept. of Community Development EX'S :NG OCT 1 2 2004 CHANNEL LETTERS LOGO TOTAL LULA 24.5 5Q. FT. 191 5Q. FT. 0.5 50, Fr t5ERTS0NS. .84.31 5Q. FT SAVON .36.71 SQ. F TOTAL ILLUMINATED CHANNEL LETTERS CHANNEL WRAPS 'TACHMENT ALL UNITS ATTACHED USING 3/8' LAG BOLTS INTO FASCIA FRAMING MINIMUM 4 EACH AS NEEDED PER UNIT AL5ERT5ON5 #0404 FORT ANGELES WA Design PO. BOX 928 Sales 9438WILLAMETTE MERIDIAN RD. NW PHONE (360)613-9550 SALES. RANDY HANSON SILVERDALE WA98383 FAX (360j 613-9515 DESIGN: FORREST MILLER ©2 "4 THIS SIGN DESIGN G T!-i t 20PE^TY Or HANSON SIG' C. VOT TO BE RODL/CED eV ANY 51 wn ERAAGS101 O TRANSF ET■ SALL CUSTOMER IMAGE NATIONAL SKETCH 1 OPTION 5 REVISION 0 SCALE 1/4 =1' DATE 8130/04 JOB ORDER L!1i HANSON SIGNS LN1 is\ 2004 AREA CALCULATIONS EXISTING CHANNEL LETTERS 94.5 5Q FT LOGO 19,1 50. FT. TOTAL 113.6 50 FT F'FKOPOSED ALBERTSONS 84.31 50. FT SAVON 46.41 SQ. FT TOTAL 130 72 SQ FT Design Sates Alb 31 5" 12' 0 ATTACHMENT DETAIL 9 0 ALL UNITS ATTACHED USING 3/8" LAG BOLTSINTO FASCIA FRAMING MINIMUM 4 EACH AS NEEDED PER UNIT rit ILLUMINATED CHANNEL LETTERS CHANNEL WRAPS S S il J i1 ALDERTSONS #0404 PORT ANGELES, WA 0f TION #3 PAGE #1 SQUARE FOOTAGE: LOGO AL 'ERTSONS 84 31 SQUARE FEET 5AV -ON PHARMACY 46.41 SQUARE FEET TOTAL 130 72 SQUARE FEET PO PHONE (360) 613 9550 SALES RANDY HANSON TE MERI DIAN RD NW MERIDIAN 9438 WILLAMETTE D e P A R T M a N T SILVERDALE WA 98383 FAX (360) 613 9515 DESIGN FORREST MILLER THIS SIGN DESIGN IS THE PROPERTY OF HANSON SIGNS INC. IS NOT TO BE REPRODUCED IN ANY WAY WITHOUT PERMISSION OR TRANSFER BY SALE S tcxZE tits' SIGN AREA SHOWN IN GRAY 0 PC- OAIMACY L�`LU� 2 0 2 FORMED 0 0 G'HARMACii 5'-0' LOGO ALBEIES.IZNS LETTER AREA BOXED FORMED 4 -0" X 9' -6' SAV -ON PHARMACY 38.0 SQUARE FEET 31 7 SQUARE FEET 28 97 SQUARE FEET 3 4 X 8' -0' SAV-ON PHARMACY 26.67 SQUARE FEET 22.3 SQUARE FEET 20.21 SQUARE FEET 2'-9' X 6' 7' SAV-ON PHARMACY 18 10 SQUARE FEET 15.14 SQUARE FEET 13 73 SQUARE FEET 2' -6' X 6' 1 SAV-ON PHARMACY 15.21 SQUARE FEET 12.67 SQUARE FEET 11 69 SQUARE FEET SIGN AREA SHOWN IN GRAY l' U) -C n2 BOXED L�`LU� 2 0 2 FORMED LETTER AREA 5'-0' LOGO ALBEIES.IZNS 156 92 SQUARE FEET 117 7 SQUARE FEET 74 13 SQUARE FEET *0' 4 1 LOGO 3'-4" ALBERTSONS -DI 07.25 SQUARE FEET 84.31 SQUARE FEET 50 38 SQUARE FEET 3' -6' LOGO 2' -9" ALBERTSONS 74.23 SQUARE FEET 58.48 SQUARE FEET 34 91 SQUARE FEET 2' 9" LOGO 2' -6' ALBERTSONS 58.90 SQUARE FEET 46 42 SQUARE FEET 25 76 SQUARE FEET SIGN AREA SHOWN IN GRAY 0 1 O 0 LETTER AREA PHARMACY PHARMACY BOXED FORMED 4 -6' X 12' -0 SAV-ON 59 0 SQUARE FEET 46 41 SQUARE FEET 43.20 SQUARE FEET 4 -0' X 10' -8 SAV-ON 47 11 SQUARE FEET 36 71 SQUARE FEET 33 92 SQUARE FEET SIGN SQUARE FOOTAGE CALCULATIONS Image National, Inc. An Electric Sian Company 444E. stA i4.Fdc B iciah USA 83716 5704 Tel; 208.3 4020 208 330. 7881 VWW..ci 1t Iona mr DATE: QUOTE: 8/26/04 DRAM BY: DC ACCOUNT EXEC. D F ALB SAVON- PHARMACY COMPUTER HIE NAME: REVISION: PROJECT TITLE 1 EOCATfON: ALBERTSONS SAV -ON PHARMACY STANDARD SIGNS Approval Date 2 YICPIITY MAP 3 CONTACT INFORMATION MAT LI7EXE1 4 CODE INFORMATION com CITY PORT AIIIGELES donstruction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing budding operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Zoo (o AlgtiSgy SCC 5 am NEW PARKING STALL DETAIL ILE �-1 6 ACCESSBLE PARKING SIGN d POST Albertsons STORE NO. 404 PORT ANGELES. WASHINGTON LAUREL STREET Albertson OLT LINCOLN STREET JOE Q m w KN SCHEDULE OF KEYED NOTES GN SCHEDULE OF GENERAL NOTES rzr TKO TREE ITITO T. 8 CESSTBLEIObRKING AT 1 PARTUL SITE PLAN S S SYMBOLS �SYMBOLSI TAIL 0 W wo. IMATERIN_Sf VICKGMISB X454 MEW SA SCNEDULE OF ABBREVIATIONS a.4.o...w., D SCHEDU OF DRAWINGS INSOLATION TONDOS voi 14 4 1 0 z tf a 41 REVISIONS (TOOKEO VT WO SHEET TITLE PARTIAL SITE PLAN SHEET 10 EQ. EQ: :EQ. harmac 11 REMOVE AND DISPOSE OF EXISTING 3' -4" X 8' -0" SAVON CLOUD SIGN AND PATCH AND PAINT HOLES SIGN AREA 22.3 SQUARE FEET INSTALL NEW SET OF 3' -0' RED SAVON PHARMACY' ILLUMINATED CHANNEL LETTERS SIGN AREA 39.7 SQUARE FEET ELECT. LOAD 9.0 AMPS 120 V. EXISTING D/F PYLON SIGN NOT TO SCALE EQ. EXISTING SET OF 4' 1 TO 3' -4' ALBERTSONS' LETTERS AND LOGO TO REMAIN WASH AND CLEAN FACES AND RETURNS SIGN AREA 84.31 SQUARE FEET WASH AND CLEAN ALBERTSONS FACES AND REPAIR ILLUMINATION AS REQUIRED 31 -5' EQ. PARTIAL FRONT BUILDING ELEVATION 3/32' =1 -0' RED LETTERS n r e! V "C GENERAL OFFICES: 18255 SrorRaad lamp Ith B16B144I6 TEIEPHONE: ISM 5924058.1200 6414116B EV fill) BR 9836 N.A.!, ALL SIGNS MUMMY TO UL.117111 BWEMA ACCORDINGLY. B MUST COMPLY MITN GL. 41.1 INCYAM UOCMOIIIILS CANADA ALL SIGNS MUST RICAN COMPLIANT WNW MEMO UTAU7116M1 M H1311164N Rh nlsi tended B6elnwll- edi endow with the_- menSdAmde600oitheNo nal Re, cCcde and/of ppli- mhlebmlmde Includes p ardmC Ond hondrq al M sign °m 12/4/07 D.F. WR OU mmn D.C. BU ftXBIIUU BllB MN M WORM WU ID WI DUSMUMM umi° 14694 MNLnIEMUE ALB-404-12407-R2-P 1 12/5/07 1EGSi 0 IMP PROJECT MIK c;.._ CI) �mW w w Z 00 *1 cc cc O MI BILE: C/3 w CO J 6 =1 ©2007 Image National, Inc. This design is an original work of authorship by Image National, Inc. ("Image which owns the copyright protection to this design as provided by the copyright laws of the United States (title 17 U.S. C ode). All rights are reserved by Image and, until the use of this design is authorized by Image in writing, Image owns the a lusive rights to: a) reproduce this design in copies, in graphic form or as o sign; b) prepare derivative works based upon the design; c) distribute copies of the design by sale or other transfer of ownership; and d) display the design publicly. mageNatio0aL, I nc. This d esign is anoriginolwork01 out hors hipby Image National, Inc. Image") which owns the copyright protection to this design os provided by the copyright laws of the United States (title 17 U.S. Code). All rights are reserved by Image and, until the use of this design is cuthorized hy Image in writing, Image owns the exclusive rights to: a) reproduce this design in copies, in graphic form or as a sign; h) prepare derivative works based upon the design; c) distribute copies of the design by sole or other transfer of ownership; and d) display the design publicly. n 22' 10' 3' -0' $on Pharmacy AREA 39.7 So. FT. T. SAVON PHARMACY LETTERS WITH 2 -5 v UllERAl OFFICES: 16i65 Star Intl tE B P H O 196114416 ISM 59241559 -DB61545-W2B FAX RR 359196 NE utt="AB RED FACES WHITE RETURNS TRIMCAP 1 Ill Di C N F 0 6 1/4"=1 -0' 1 (1) SET REQ'D u.1 6 P •ALL SINS TOW-MIS B IAMB C• ASCBABI461T• BuuIST COMM NMI u 41.1 IBSBALMOCFEB4AUS GAUDA ALL SIGNS MT BE GAS 54NAUANT 0911t a161a%Aa 41 #471115 151 m #171115199 3 4 5 2 d I 0 FACE: MATERIAL: 3/16 211-1 (2283) REO ACRYLIC RETURNS: MATERIAL 5" PRE-PAINTED WHITE .040 ALUMINUM ILLUMINATION: MATERIAL: GELCORERED /6105 -UP LEA ILLUMINATION This tended la be Wee eel /decode, eh Ae,eq nnl Mae 6rool tee Ile. eel Fad lc ode ondk, OF mbh art lc a de Wm p 11 mundagmd banked 1 O I I O 0 A Di gl Rh O TRIM CAP: MATERIAL 1" TRIM CAPON LETTERS COLOR: WHITE ©BACKS: MATERIAL: .063 BACKS PRE PAINTED WHITE ALUMINUM O ELECTRICAL: (2) Ps3 TRANSFORMERS (3) AMPS TOTAL 120 V. oNr 12/4/07 9MS4BY D.F. 1144 w ti D.C. PM BB oo p O nA41014 IBBB BB SECTION DETAIL 000 46114E B 3'-0' V PB tNaoA9a4m 3/4 =1 -0' i,.._....._., 1 L l mu 14694 111 1144 11154111 ALB-404-12407-R2-P Pharmacy Red 5 up 'P" 9 10' Leg 1 Trans. 1 "a" 8' 2' Leg 2 Trans. 1 'r" 4' -0" Leg 2 Trans. 1 "m' 10' 8' Leg 3 Trans. 1 "a" 8' 0" Leg 3 Trans. 1 'c' 5' 8' Leg 4 Trans. 1 'V' 6' 10" Leg 4 Trans. 1 61 4" Total LED 1) Ps3 Transformer 1,5 Total Amps SupplyWire: 8 10' 80' LED DIAGRAM 111010 —761— 30=1 -0' INSTALL A. Non Corrrosive Securement, 3/8' Hole Provided at Letter back for appropriate wall attachment (lag, screw, or all-thread) B. /2'Flexible Conduit to 120v Power C. Blocking as Required per Location D. (1) 20 amp 120v Circuit Required (supplied by others than Image National) E. Remote Transformers NOTE: Disconnect Switch Required in Transformer Box (Supplied by Image National) 36 Savon Red 5 up 'Sa' 13' -6 Leg 1 Trans. 1 'Say" 11 -6' Leg 2 Trans. 1 Lion' 14-6 Leg 3 Trans. 1 F110 a OE 114 EAST_ LAURIDSEN BLVD. PORT ANGELES WA 98053 Total Estimated Part 100' 10' R ed 5 up LED P 2) PS3 Transformers 1 10' Supply Wire 39' -6 Total LED 1 Ps3 Transformer 1.5 total Amps Supply Wire: 3 10' 30' SHIPPING LIST (Per Set): MAKE SURE U.L. LABELS ARE ON LETTERS MATERIALS CHECKED BY STANDARD PART NUMBER: SALBLTR36LRMSPRED 75 FLEX (2) PS3 TRANSFORMERS (11) LED Splice Connectors 12' x 3/8' All- thread •(20)yi FLEX CONNECTORS (2) TRANSFORMER CANS (1) Blueprint with LED Layout For Mounting Letters (1) INSTALL PATTERN (2) SWITCHES /SAFETY PLATES Touch -up Paint B-2 mageNatio0aL, I nc. This d esign is anoriginolwork01 out hors hipby Image National, Inc. Image") which owns the copyright protection to this design os provided by the copyright laws of the United States (title 17 U.S. Code). All rights are reserved by Image and, until the use of this design is cuthorized hy Image in writing, Image owns the exclusive rights to: a) reproduce this design in copies, in graphic form or as a sign; h) prepare derivative works based upon the design; c) distribute copies of the design by sole or other transfer of ownership; and d) display the design publicly. Owner Contractor ALBERTSON'S INC HANSON SIGN CO. 250 PARKCENTER BLVD PO BOX 928 BOISE ID 837260001 SILVERDALE, WA. SILVERDALE (360) 613 -9550 Permit Fee Total Plan Check Total Grand Total 36.40 .00 36.40 COMMIENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Application Number 04- 00000949 Date 2/01/05 Pin number 094792 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 9100 -0000- Application description SIGNS Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Permit ELECTRICAL SIGN PERMITS Additional desc SIGN CHANGE Sub Contractor HANSON SIGN CO. Permit Fee 36.40 Plan Check Fee .00 Issue Date 10/14/04 Valuation 0 Expiration Date 4/13/05 Qty Unit Charge Per Extension 1.00 36.4000 ECH EL -COMM -1ST SIGN 36.40 Fee summary Charged Paid Credited Due 36.40 .00 36.40 .00 .00 .00 WA 98383 .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 GENERAL COMMENTS: PW -I iaeas L4S61 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH 0 Vi 0.5 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 GENERAL COMMENTS: PW -I iaeas L4S61 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00000310 Date 4/15/04 Pin number 889470 Property Address 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 9100 -0000- Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner Contractor ALBERTSON'S INC 250 PARKCENTER BLVD BOISE ID 837260001 OWNER Permit ELECTRICAL ALTER COMMERCIAL Additional desc SOUP WARM SELF CHECK Sub Contractor TANDEM ELECTRIC INC. Permit Fee 59.40 Plan Check Fee Issue Date 4/15/04 Valuation Expiration Date 10/12/04 4ty Unit Charge Per 1.00 59.4000 ECH EL -COMM ALT c5 CIRCUITS Fee summary Charged Paid Credited Permit Fee Total Plan Check Total Grand Total T: \PLANNING \FORMS \1102.15 [11/14/2003) Due 59.40 59.40 .00 .00 .00 .00 .00 .00 59.40 59.40 .00 .00 .00 0 Extension 59.40 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 LIGHT DEPT ELECTRICAL E TL 03/014W CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION RW. PW ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. T: \PLANNING \FORMS \1102.15 [11/14/2003] S to Address: C A Q� j n READY FOR WILL CALL FOR }�C INSPECTION INSPECTION Irystalled By: Cr -GNU License Number: Phone: Phone: vyvner /Business: 4 r_ Owner /Business Address: Sq. Ft. Site Address: ��y f 9 Permit /Receipt No. s5 Insta ler: New Meters j t� O.zb n &4 of ?OPT CITY OF PORT ANGELES LIGHT DEPARTMENT •r`7 321 E. Fifth Street ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW Details/Description Port Angeles, WA 98362 (206) 457 -0411 WSi No CA ACITY: O.K. NOT O.K. ACT ON REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE ELECTRICAL PERMIT RESIDENTIAL 1& COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE SERVICE SIZE DATE PERMIT NO. Sje,•••• DATE RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: 1O SERVICE SIZE AMPS FEEDER SIZE AMPS ENGR. /0 %244: OVERHEAD SERVICE APPROVED CHANGE SERVICE WIRE OTHER D tch Inspection O K Rough -in /cover O K O.K. to connect service Final O K Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 0411, EXT. 224. �r Permit Fee NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector WHITE File by address PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: r OLYMPIC PiIINTERS INC. 1' Site Address: Y 11 1/ .4,1 441 L L. C INSPECTION License Number: INSPECTION R Phone: Irystalled By: Qwner /Business: A o_tra444.4....7 Phone: wner /Business Address: Sq. Ft. Site Address: 11 1/ ELS Permit /Receipt No. r30 Installer: New Meters Date: De CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT PERMIT NO. 3 C- 9 DATE it1/4G ELECTRIC HEAT 01 BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW ails /Description RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE 1 0 3 93 SERVICE SIZE AMPS FEEDER SIZE AMPS WS No SERVICE SIZE DATE ENGR CAPACITY: O.K. NOT O.K. OVERHEAD SERVICE APPROVED ACTION REQUIRED: CHANGE TRANSFORMER CHANGE SERVICE WIRE INSTALL SERVICE POLE OTHER ditch Inspection O K E C F ough -in /cover O K K. to connect service nal O K Notify Port Angele.City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 -0411, EXT. 224. WHITE OLYMPIC Electrical Inspector File by address RINTERS INC. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PINK Top: Eng, Bottom, Customer 'r2S Permit Fee GREEN Top: Meter Dept., Bottom: C7—' Si e Address: t Zitt G L tk El NSPECT ON License Number: WILL CALL F NSPECTION Phone: In tolled By: 0 ner /Business: J Or41 e Phone: Sq. Ft. fi mer /Business Address: X3 Site Address: Permit /Receipt No. fC X f7 X3 Installer: s New Meters Date: i/ 1 LievV 92. -4.c. (p J G, zits EL Det W. CA ACT =CTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW ils /Description No ACITY: O.K. NOT O.K. ION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE E itch Inspection O K Rough -in /cover O K O.K. to connect service Final O K WHIT: File by address OLYMPI. PRINTERS INC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT RESIDENTIAL 7 COMMERCIAL D NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR O TEMPORARY SERVICE //it) 0 SERVICE SIZE DATE PERMIT NO. SAL? DATE 4:7/2—/ RISER OVERHEAD SERVICE UNDERGROU D SERVICE VOLTAGE'17t7 -Or? 1 co 900 SERVICE SIZE AMPS FEEDER SIZE AMPS A A-g t &'4 44 -k( chsn fed 9'a8 /(IJ ENGR OVERHEAD SERVICE APPROVED CHANGE SERVICE WIRE OTHER Notify Port Angels City'Light by Street Address and Permit Number when ready for inspection. Work must not be covered befo a inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or or the Building Permit. PHONE 457 -0411, EXT. 224. t9-0 J_ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMI i4" Electrical I spector Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall S to Address: 1/ �-t /.14,4241124°- i f WILL CALL FOR INSPECTION READY FOR INSPECTION stalled By: License Number: Phone: !9 1 c Mner /Business: 0 03 0 N co m N C 2 Phone: Owner /Business Address: Sq. Ft. Sitq Address: Permit /Receipt No. Installer: New Meters Date: ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW Details /Description No CA ACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE Ditch Inspection O K Rough -in /cover O K O.K. to connect service Final O K Notify Port Angele4lCity Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457 -0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT JO Electrical Inspector WHIT File by address OLYMPIA PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE SERVICE SIZE DATE PERMIT NO. 5970 y/ y /zr DATE RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: 1 0 3 SERVICE SIZE AMPS FEEDER SIZE AMPS ENGR OVERHEAD SERVICE APPROVED CHANGE SERVICE WIRE OTHER Permit Fee PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall lob wired by Electrical contractor name Purchaser's mailing address City Telephone number City X Inspection Date T000 /T0 Phone number to schedule inspection: Electrical Lind Additions and subtrarNpna NO LOAD CHANGES Baseboard KW O Furnace KW Heat Pump Ton LAR Fen -Well _KW Electrical Contractor Owner License number Date Expires ANGFL FS FI FCTRIC INC. 524 EAST FIRST PORT ANCFIFS WA 98362 State ZIP FAX number Premises owner' name I Address of in. eecton 7 ZAWCA Pte. Q Avt iitars %S2 -VA Date: Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. �Sigaatare f owner, elec ical contrac or or electrical administrator ,2 d Overhead Service Tep�pP-Service O tnderground Service SAME DAY INSPECTION, CAI•I, BEFORE 7.00 AM 360- 417 -4735 DT-Japan sa Ta2av ELECTRICAL WORK PERMITAPPLICAEON Instal •n description Commercial Residential flew Akered/Addition K— a VI rWu9(L.. "Rtt tl if NS P tcl air Cavt. J It 64171 es Cash Check redrtCard Ysa Card Expiration Date ofcard Date Date Mastercard Discover a✓ Act_- Voltage Phase 1 Cl 3 D Service Size: R16 Feeder Size: _,,J66 J ,�(4 SERVICE FEEDER I nspection fee rarvlce Information Approved By C Approved BY eO Area, Building or Equipment Inspected Action Taken Electrical Inspector 5926 Z94 09E XVd 00 4T ROOE /IO /ZT 04/25/2008 10:28 FAX 253 395 8810 q� Contractor 0 Owner Job wired by atcb fires License number' 1 L Electrical contractor JAt�Cly�y` �7'tyh 1LGlD Purchaser's mailing address 4 7 S J a l e a'D 3 806 PA)( number 8 v X M Telephone number �3 -3q Premises owner's name Ad r� htr/ Address %�tlon� LE s w4 9 6 Phone nu 'p,5cho 6 I —E 3cue tlnln 1 Owner as defined by RCPV.11.99.23.361:(1) Own. will occupy the structure Jor two years after Ihis despite! pawl! is fina/i,cd. (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 ant the owner of the above named property or a licensed electrical contractor.] am 'taking du electrical instal- Chapter lation or alteration in compliance with the electrical laws, N.6.C., lCW 19.25, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications. Inspcc lion Date al contractor or electrical administrator itg 10 41 W AP Dole Area, Building or Equipment Inspected 08 003 DR -OM at--t) TANDEM ELECTRIC /NR' GRILL Inspection fee 5 .,Oo Exp ofc. 1.5-5 2S1 07 O Overhead Service 0 TemP Service O Underground Service E ctr'. f {lad Addlt)QLt_s_ O NO LOAD CHANGES O Baseboard KW O Furnace KW O Heat Pump _Ton— LAR Fan -Wall KW SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 417 4735 TIiERMOSTAT DITCH. Post /mnrned e -O'l0 b 6 -63z l pR -02h2_ ELECTRICALWORKPERMITAPPLICATION l illation description �l Commercial 0 Residential 0 New Altered /Addition Action Taken S 1 t� or BiU lion Voltage Phase 01 0 5 Service Size: Feeder Sint Z1001/002 Electrical Inspector Job wired by City 408 I 'A: 'C. 5 114 •I, gi.,..�,..t nntracior name Purchaser's mailing address 2/3101 14 4-p` 41, e MC, ,Electrical Contractor O Owner Sl ZIP ►a- y17•iufd;..t 1; a kv72 Telephone number FAX number t425-t -1q I -221a k 4 2S 2"0 'Premises owner's uame AI►2CksAA tee. Address of Inspection 1t cs L am r eel 1Ud City -ea $3 2 Phone number hi schedule Inspection: O wner as defined by RCW.19.28.20:(1) Owner will occupy she structure for two years after this electrical permit is finalized (2) Owner is required ro hire an electrical contractor if abate said property it for sole. rent or lease After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E.C., ACW. Chapter 19.23• WAC. Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifications. r of o ate rlcai contractor or electrical administrator Expiration Date Date: t/ ,1 v of card Inspection Date Add O NO LOAD CHANGES O Baseboard KW O Furnace KW O Heat Pump Ton LAP 0 Fan•Wali _KW SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -473S Duo S /fib o ROUGH -1W Z/Z 'd 891' °11 Appr V N Sy J FINAL 2A �o HAIJMt I(AAP7 tojs.I* ONew OAltered/Adalnon ppreved 6y se. License .camber Date Expires ons t 33 O Overhead Service O Temp Service O Underground Service uW TFICR11MOSTAT r ELECTRICAL WORKPERMITAPPLICATION- stallation description 7(,Commercial Residential Irt9 ot1 1 1 -t -A-kJ AAd QS•tra ),Cnb Cl Cash O Check Credit Card V'im Mastercard Discover Card# Appmeod By Appmvea By J 1V01NVH0311 N3SNVHOP SERVICE nspection fee Service Information Voltage Phase 0 1 0 3 Service Size: Feeder Size: Data PDER Appmvda F) Arca, Building or Equipment Inspected ova -'S24 OW -32y a$ Va. 0B -173 &a -141 bA (2,2. Action Thkea Electrical Inspector WV8t :01 8001 't 'idV to reo -4- PITONE NUMBER !OH4J M!133P% COMPANY: FAX NUMBER 3(20 4 1 1 1 1 30‘ 1-417 4 "75S Johansen Mechanical Inc. IR O. Box 1768 Woothwille, WA 98072 425. 481.2266 Bus 425 4815.6933 MX FACSIMILE TRANSMITTAL SHEET FROM: DATE: RAI TOTAL NO. OF PAGES INCLUDING COVER Z SENDER'S REFERENCE NUMBER RE: YOUR REVERENCE NUMBER: 1.-M.,) VaII A'S y R, ckri cal f)cf`ik URGENT FOR REVIEW FOR YOUR USE PLEASE COMMENT PLEASE REPLY NOTES /COMMENTS: Try c S F re f co n utc Se:-Q? cln earl; l; r ki s 14ef i s ot.J Per et ;opt,' c COQ(`or. 1 -1 =s-1-4 otvui o er-ek s l C° \p-e_ react- --2cs ck 52:7-)01.C. --rvovic—s l/l 'd 8Sil' °N DIRECT PHONE: 425-527-1026 PAX: 425 -486 -693 I VY L©JO H ANS E N ME CII.COM 1VOINVHO3W N3SNVH0r WV8h :01 800? 'V 'JdV 03/10/2008 16:25 FAX a8 O 32,5 Job wired by Lot Electrical Contractor 0 Owner Electrical contractor name SlersiER Ca Purchaser's mailing address 1 901 se oci,ato License number Dam Expires Sri FEZ322.1 1)31 City State ZIP MtLw OR- 97ZZZ Telephone umber FAX nuinber CGS 4�b2-4-5110 CO3_ 4,53 915 v Prf a mises owner's name -I HLSe U 3 o 4D Address of inspection 1/) East LAvel.no Phone number to schedule Inspection: L Owner as defined by RCW.19.28.261:(I) Owner will occupy the structure for two year after this electrical penis it finalized. (2) Owner Is required to hire an ekcirical contractor if above said property 2v for sale, rent or lease. Aft reading the above statement, I hereby certify that 1 am the owner of the above tamed properly or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -4613, The City of Pon Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Expiration stallation description Commercial 0 Residential Altered/Addition 0 Cash O Check ZCredit Card Visa <Was ercard Card Inspection fce S90 Discover �f►� t-� callatLy 4 Lsa r y/s n role mac (G') rnn,o Seases Fleetrical Load Additions and or spbtractlons 0 NO LOAD CHANGES 0 Baseboard KW 0 Fumace KW 0 Heat Pump Ton LAR 0 Temp Service Fan -Wall KW 0 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 Inspection Date r), YA R B OUGH I p I V V �r��/ Dric AppAvo Dr FINAL #f/ ;)3 AppmvW By 0 Overhead Service Doe THERMOSTAT D.r. Arrv.vd By Approved By Doe 111001 Q -w/31 I ELECTRICALWORKPERMPI 'APPLICATION Voltage Phase 0 1 0 3 Service Sae: Feeder Size: SERVICE FEEDER Service Information Appmvd By Appn d By Area, Building or Equipment Inspected Action Taken Electrical Inspector Job wired by ft Elec rical Contractor u owner Ex cg contractor nameLic c number Date Expires e gJPht4r.- 1 n r A ciLSTa9S Purchaser's mailin address DH L- I "\e e nS a.1'�-- t\Q Rate SIP City X _1 4 (pc3i) f 1 Telephone number FAX AX mamba (pF1 Rn'1 -NcZ) 263 e r's 1 prpM os c ow na l i1^7•kn Ike ra j Adorer. of ipspectlo l'P \Pty Phone number to r b le nspect tl (c).‘.711-t rra� QFV Owner as defined by RCW. 19.28.261:(/1 Owner will occupy the structure JO two years after this elecrital permit is finalized. (2) Owner is reyufed to hire as electrical contactor if above said property is for sale, rent or lease. After reading the above statement, 1 hereby certify that 1 am ahc owner of the above named property or a licensed electrical contractor. l am making the electrical instal- lation or alteration in compliance with the cleaned Ia:vs..N.E.C., RCW. Chapter 19.28. WAC, Chapter 296.468, The City of Port Angelcs Code. and Utility Specifications /Signature o w anti �I coot etor or electrical administrator .r n...., 1l ,r,rltt Date: 3 —in -nS inspection Date Arca, Building or Equipment Inspected Action Taken Electrical Inspector 2)/(316 0 Oe<t_t 4aoe,n C41s tnkraY eila t 3Ief3)bS C ASH f2znn--■ 12.0064,-( lT. C✓e-Io',sit Stt2 /1 nhwlnlc_ u c c*" 26/or' MAR -10 -2008 14:06 FROM -AC ELECTRIC glectricaJBadAddltiol1 a O NO LOAD CHANGES D Baseboard _Kw C7 Furnate KW 0 Heat Pump Ton LAP 0 Fan -wan KW or subtractions Ovemeed Service O Temp Service O Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 THERMOSTAT DW, App,O•O By 011ie DITCU ELECTRICAL WORKPERMIT APPLICATION on aescnpnon Commercial Reeldearial ,R New eithere &Addition -t- N5TAl-1— I.IF14N 1- 1.51711a1G RrtM'N■l'' ASILST t n3s -t P•54 1:>1( w o2.%ick C Nina) A ►sea RSU>CflTO6 c Pr5C5 Z c 1 ac uT4 Cash 0 Check 6�Credit visa Card o p azd onDaie Inspection f c C s 2.,La s ob AppNKO nr 2538135817 T -159 P.002 /002 F -573 DN. Doc Mastercard SERVICE FEEDER a FEEDER Appmy.m Sy Discover Service let ormetioe Voltage '2b C3 Pnase 0 1 an Service Size: ten o Feeder Size: i 3 e- alb 2 DATE 0 NER/ T'AQTOR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRENG REPORT 417 -4735 PERMIT INSP••TO' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE DATE PERMIT a ,C LC.t c.T CORRECTIONS NEEDED ELECTRICAL INSPECTION WIRING REPORT 417 -4735 j2 T� G8 037 0 NER N INSPECTOR ADDRESS �l 412,41z'sw.v ,B w✓1 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL ,l' ,aaC 2.u- 71> $l61 �F Cnv L. o;. MAX/C. ate Z— zco 74- /7S ft OLYMPIC PRINTERS, INC. (360) 452 -1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE 676 e PERMIT INSP T 0 'C TRACTOR /7( Lenor ADDRESS //y &J Lorite-ho E,v APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: C e —Az_ 6- c ,IiVd1 /e) 2 NE,4-r t 4.10, q ,fty, cr "n4* v</C /fi 40e, u� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS. INC. (360) 652 -1381 re 0 Aug -23 -O0 08:01 Port Angeles Public Works Address:4/D BtC Q49 ELECTRICAL PERMIT APPLICATION The F.'tertrical Permit Application must he filled out completely. Please type or print in ink. If you have any questions, please call (360) 417 -4735 Fax number: (360) 417 -4711 Electrical Heat Load Additions Service Information Pr P.O1 9 Pox OPFICAI.1 /SE ONLY, Bate Rm.: P.n,, t a: Dais .4pprovcd:_ ]ate Issued; Applicant and/or Agent: fi4Prt>sOA1 t.54rti PhonD 613 566 Fax #J(0 6e3 Property Owner: BE A Stsn.5 Phone: 45Z 2..07 Address: tt4 E LAORtogbi eLu. City: P.z S zip: Contractor 14 WSan 5913 License #;1-103 loSnt7 Exp: 7.17 Phone .B6 6(3 4Sre City: &tluF& Zip: 48383 Credit Card Holder Name: t4A1raf5WS19143 cb BillingAddrecs:� it et& cos 1 Cit zipRa 3 Credit Card Number Exp. Date; VISA. MC Permit Fee- PROJECT ADDRESS•lI4 E LAu RAD S F 81u t r BLMS ZONTNG -c LEGAL DESCRIPTION; Let: Bock: Stbdivision: "c 456 CLALLAM COUNTY PARCEL NUMBER: CAPV.Ogfa1 ICON= TYPE OF WORE: 0 Residential 0 Multi- family )(Commercial 0 Mobile Home p I Electrical Permit fees are based on WAC 296-46-910 ,w A M_ L '13 C e__ .S 0 e r F 3 J BRIEF DESCRIPTION OF THE PROJECT: Ci tin Q Liam. 7 eld &GIN- ose S (YRf X15 0 Baseboard KW in Riser Voltage. 0 Furnace KW Overhead Service Phase: 1 3 0 Heal Pump KW c Temp Service Service Size; 0 Fan -Wall. KW 0 tuderground Service Feeder Size: Comments: r hereby serf& that 1 have read and examined this application and know the sarne to r true and correct. and 1,m author i:ed to apply .forthLv permit. !understand ii is not the City's legal responsibility to dote or t errnih err required: it remains the applicnnt's responsibility to determine what permits are required sad to obtain such. s. Pw -1102 2? (m ?Lnej Credit Card Holder's Sig, re; DAte; Apr -14 -04 04:45P LUU4 /Art. /14/Wti2 U2 :5Z FM UM OF PA BLDG DEPT Property Owner ALBERTSONS address: 114 E LAURIDSEN BLVD Address: 5836 S 228TH ST Credit Card HolderName PROJECTefbReSS: 114 E LAURIDSEN BLVD DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Haat Load Additions and or Spbtractlons :/ELECTRICALPERMITAPPLICATON v o y FAX }Jo. 360 417 4711 ELECTRICAL PERMIT APPLICATION The Eiecbical Penne Application mast De filled oul compleleiy. Please type or repnnt In ink R you have any questions, please Call (3661 417.4735 Fax number (356) 4174711 INSTALLATION WIRED Rr D OWNER x1 ELECTRICAL CONTRACTOR P.001/001 I at OPIepu, USE DN.Y Dwlu Pwa• Ara Ao .ti Dec a 1 Owner Ot Elea- Contractor Agent TANDEM ELECTRIC (KEITH) Phone: 253- 395 -8861 253- 395 -8810 Phone: 360- 452 -2367 orb: PORT ANGELES zp: 98362 Electrical Contractor, TANDEM ELECTRIC, INC. ura 3/06 Phone; 253- 395 -8806 City: KENT TANDEM ELECTRIC, INC. (AL MITCHELL) Zp: 98032 Biding Address: 5836 S 228TH ST City: KENT Zip: 9 $0 32 Credit Card Number: Exp.Date: VISA: x MC: PORT ANGELES. WA 98362 TYPE OF WORK; Check all that apply: 0 New 2WteralbNAddflon O Residential 0 Multi- family 21 Commercial 0 Mobile Home Sq. R O Remote Meter 0 Detached garage O Hot Tub D Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecm, 0 Sign Number of Circuits added or altered: 4 RELOCATE MOBILE WARMER, ADD (3) CIRCUITS FOR U -SCAN CHECKSTANDS, DISCONNECT UNDERGROUND CIRCUITS FOR OLD CHECKSTANDS. Service Information Baseboard _KW Voltage: Furnace KW 0 Overhead Service Phase: 01 3 7 Heat Pump __TON LRJA OTemp Service Service S ize: 7 Fan-W all KW 0 Underground Service Feeder Size- thereby certify that /have read and examinod th/s appfieation and know that same to be tnre and conecr, end 1 am authorized to apply for this permit 1 understand if is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to d MOW; ad and to obtain such vi %/1k lerak Credit Card Holder's Signature Owner or Elec. Cont. Signature: Date: y-. Date: y /V!C7 PERMIT FEE: 59 yd P_02 Apr -14 -04 04 :44P To: From: Al Mitchell Re: Permit Application Pages: 2 Fax: 360-417-4711 Tandem Flccnjc Inc. 5836 Solidi 228" Si. Kent, WA 98032 Phone: 253- 395 -81106 Fax: 253-395-8810 Of: City of Port Angeles Date: 4/14/04 0 Urgent 0 For Review Please Comment Please Reply Please Recycle This is a permit application for the Albertson located at 114 E Lauridsen Blvd in Port Angeles. Please call me at 253 395 -8806 with approval and permit fees. Thank you. P 0 t N 0162 .lob wired by Electrical contractor name License number FoeudiniPJfo Focta_CMI Purchaser's mailin egress Aleadio Ci State ZIP vr2ti Etiveo 43/9 nA Telephone number FAX number 1M5 0/A3X'1S6 -/25.A93. 6" 41 'Pre tses owner's name 4 e L( ..4740 Address of inspection 1/4 a 7 Ia.-w12c -r<— C ite A Phone number to schedule Inspection: 1 7 1 4915• (9,93 D /01 .X 434 Owner as defined by RCW .19.28.261:0) Owner will occupy the stricture fur two rears 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, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E.C., RCW. Chapter 19.28. WAC. Ch •e City of Port Angeles Municipal Code, and Utilit i 'cations. r /iSig re fi ovine rac or electrical administrator Expiration Date Date: /g Y ElectricalContractor ❑Owner 1 n El ectrical Load Additions and or subtractions O NO LOAD CHANGES Baseboard KW O Furnace KW Heat Pump Ton LAR O Fan -Wall KW Inspection Date Date Expires it l Overhead Service Temp Service Underground Service SAME DAP INSPECTION, CALL BEFORE 7:00 AM 360 417 -4735 THERMOSTAT D ate Date DITCH ELECTRICAL WORK PERMITAPPLICATION '\/installation description Soa 4 i ti(Commercial Residential 0 New Altered/Addition oCaue F ar/ t.d ectrnaa-o vnffz /41 o. VA-date 1 »,n&ke gZe 1/464 i,, ,t' 6 f R /ul 1/4otie o annu.eeld /ens Ar oVern 6 t/e to o&64ge 4)6 -te. Cash Check Credit Card Card of card Approved B Approved By Visa Mastercard Discover Dale Date SERVICE FEEDER Inspection fee S 9, 00 Service Information Voltage Phase O 1 3 Service Size: Feeder Size: Approved n Approved By Area, Building or Equipment Inspected Action Taken Electrical Inspector Project Name: Albertson's Fire Alarm Modifications Address: 114 East Lauridsen da— 02b2_ Plan 08 -03 Installer: TBD Date: 3.15.2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments: Preliminary bid plans only. The following comments apply to all systems: 2. A final field acceptance test will be conducted before final approval. The field acceptance test will be a test of ALL system components. 3. Owner is responsible for all ongoing inspection, testing and maintenance required per the current edition of the International Fire Code. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: City Permit 08 -327 PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW All systems shall be installed per NFPA 72. Building Department Copy Contractor/ Owner Copy Fire Department Copy Light Department Date: o3.t5.08 Job wired by Electrical contractor name f 't Taal vtr)l Cnitc nC P rchasees mailing actress (*Electrical Contractor Owner License number Date Expires .7eCHL935CN DIls /o City 0R :,6a -a_3 Telephone number FAX number State ZIP y' SC sE Pre ises owner' name l .4I ar o rt Address of inspection /1 C G_c:c..L4 ritcfco i0J Phone number to sch ule inspection: scx g';(7- 1019' Owner as defined by RCW.19.28.261: (l) 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, 1 hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., ROW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. (Signature oLowver, electrical contractor or electrical administrator Expiration Date Date: 9 0Sj of card Installation description iirCommereial Residential New Altered/Addition 2 Cash Check Credit Card Card GFll;I_ ,gosini5 Mastercard C InsZ4tfeSD 4 OO Discover J 08 -0 1 Inspection Date Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW 0 462 4.14 list Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 THERMOSTAT Dale Approved By Date DITCH ELECTRICAL WORK PERMIT APPLICATION Approved By Date SERVICE FEEDER Service Information Voltage Phase 0 1 0 3 Service Size: Feeder Size: Date Approved By Approved By Area, Building or Equipment Inspected Action Taken Electrical Inspector License FTECHTI935CN Licensee Name A F TECHNOLOGIES INC Licensee Type ELECTRICAL CONTRACTOR UBI 602684693 Verify Workers Comp Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 1418 HEMLOCK ST NW Address 2 City SALEM County OUT OF STATE State OR Zip 97304 Phone 5033622364 Status ACTIVE Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED Effective Date 2/15/2007 Expiration Date 2/15/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License ROBINCE9310E Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Printer Friendly Version License Information Topic Index Contact Info Search Home Safety Claims E Insurance Workplace Rights Trades Et Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Electrical Contractor A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. https: fortress .wa.gov /lni /bbip /Detail.aspx ?License= FTECHT1935CN 2/11/2008 Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date AUSTIN MUTUAL INS 5P1707753 10/25/2007 10/25/2008 ROBINS, CARL E SR TREASURER $170,000.00 10/23/2007 AUSTIN MUTUAL INSURANCE COMPAN 6P1707753 10/25/2006 10/25/2007 $1,000,000.00 02/15/2007 Name Role Effective Date Expiration Date ROBINS, KEVIN AGENT 02/15/2007 Bond Amount ROBINS, CARL E SR PRESIDENT 02/15/2007 41095575 ROBINS, CARL E SR TREASURER 02/15/2007 NISWONGER, MATT L VICE PRESIDENT 02/15/2007 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 PLATTE RIVER INS CO 41095575 01/11/2007 Until Cancelled $4,000.00 02/15/2007 Look Up a Contractor, Electrician or Plumber License Detail Electrical Administrator Information ROBINCE9310E ROBINS, CARL E Bond Information License Name Status ACTIVE Business Owner Information Savings Information Insurance Information Insurance #2 #1 IMOUSIMIS No Matching Information Start a Search Printer Friendly Versiw About L&11 Find a job at LEI 1 Information en espanol 1 Site Feedback 1 1- 800 -547 -8367 Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the state of Washington. Access Agreement 1 Privacy and security statement 1 Intended use /external content policy I Staff only link Page 2 of 2 washington Visit access.wa.gov https: fortress. wa. gov /Ini /bbip /Detail.aspx ?License= FTECHTI935CN 2/11/2008 Job wired by Electrical Contractor 0 Owner 7-15-4 Electrical contractor name License number Date Expires I T C FG 4F 4 Purchaser's mailing address !tI /SZ H-e mtocX &9 Nu! City State ZIP SQ I.em OR 97scc/ Telephone number FAX number SC3R -,3Com A.Wny S03 &,a a38; Premises owner's name 4 /Jev 7 .address of ins salon e O Lai' rk,1se), 7 Pivot. Cit ll ngefe Am_ Q 2& Phone number to schedule inspection: s.„, 9O3 52 C co Owner as defined by RCP: 19.28.261:W Owner will occupy the structure Jar two yeses after this electrical permit is finalized. (2) Owner is required to hire an electrical conrrcctar if above said property is for sole, rent or lease. A]cr reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. am making the electrical instal lation or alteration in compliance with the electrical laws. N.E.C., RCN'. Chapte 19.28. WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. ature owner, electr c ntr or or electrical administrator A/� /Sign �O v 171- D ate, �/F� /X May 06 08 03:05p Af Technologies Inspection Dare R000H- Wm Appew:cO FINAL ctions Electrical Load Additions and or subtr. NO LOAD CHANGES '7 Baseboard KW O Furnace KW 0 Heat Pump Ton LAB O Fan -Wall _KW SAME DAY INSPECT! CALL B 0 Over ead Service Tem Service Lind ground Service FORE 7:00 AM 360 417 -473 Date THE DIT Area, Building or Equipment Inspected 5033622382 ELECTRICA .LWORKPERMITAPPLICATION Installation description 4Commercial 0 Residential 0 New 0 Altered /Addition ✓o g V 4d' G &b D NS «l1 p.2 a try 7 0 f t Mastercard Iiscover rationDate tcar oar tags P ase 0 1 0 3 Service Size: Feeder Size: SERVI Se ice Informal ormve lay ua:c Approved By porn day na:c Apple ed e Action Taken on ace Electrical Inspector May 06 08 O3:04p Af Technologies To: C■1, QF*P%NI AtileZrrat 2626 1I From: 4 �°G`Atice tG�.res- Date: Re: .El�"G Perm 1 Pam CC: Fax Transmittal S Y�chne'/4gr2r Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle Notes: rtrif 5033622382 p.1 503- 362 -2364 Office 503- 362 -2352 Fax gl /a A e l Pe r n;: 4o /i115 T l/ tt glben. sass /2 Z Ie VJSet� 31�d d 2 6o3-3‘..2 ?36? City Electrical contractor name i'APITDL5 AtoN11J16. Purchaser's mailing address Pn 8o)( Pt DGo City Leiry QUA Telephone number 3ton 493 (.0C 3o C Premises owner's name Ai- naeTSonic Address of inspection 1 14 E. LAU12- I ilCFA RLU Phone number to schedule inspection: 3(i-10 S (CO ?O Job wired by Electrical Contractor Owner License number Date Expires CAPITSAvz261 0 hi-9 t.9 State Z 2 II' (J 305 FAX number Po^r AIuc,Ei c 9834 2 3tpo 455 34,IZ Owner as defined by RCW 19.28.261:(I) 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 ant the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. CSignature of owner, electrical contractor or electrical administrator \1/4X��y Date: U a� glectrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW O Furnace KW Heat Pump Ton LAR LI Fan -Wall KW Inspection Date Overhead Service O Temp Service Underground Service ELECTRICAL WORK PERMIT APPLICATION Installation description Commercial Residential New H! Altered/Additioo 1 Car Cio t,,tdcLl..Erree WPLL SIcab) Cash Check g Credit Card Visa Card Expiration of card asterca Inspection fee 35 Service Information Voltage Phase O 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 4735 THERMOSTAT SERVICE Dale Approved [3> Dale Approved 9� DITCH *ELDER Date Approved By Date Approved By Discover Arca, Building or Equipment Inspected Action Taken Electrical Inspector License CAPITSA022B1 Licensee Name CAPITOL SIGN a AWNING Licensee Type ELECTRICAL CONTRACTOR UBI 601551789 Verify Workers Comp Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 8106 Address 2 City LACEY County THURSTON State WA Zip 98509 Phone 3604936070 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 1/21/1998 Expiration Date 1/29/2010 Suspend Date Separation Date Parent Company Previous License Next License Associated License OSAGEKM951 CM Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Printer Friendly Version License Information Search Topic Index I Contact Info Home Safety Claims Insurance Workplace Rights Trades Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Electrical Contractor A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. https: fortress. wa. gov /Ini /bbip /Detail.aspx ?License= CAPITSA022B 1 2/4/2008 Name Role Effective Date Expiration Date HARTLEY, J DANIAL Cancel Date 01/01/1980 Bond Amount BOAD, BILL #2 01/01/1980 LPM4054082 STROPE, MICHAEL Until Cancelled 01/01/1980 GARRETT, TONY AGENT 01/01/1980 AMWEST SURETY INS CO Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 COLONIAL AM CAS SURETY OF MD LPM4054082 02/08/2001 Until Cancelled $4,000.00 01/23/2001 #1 AMWEST SURETY INS CO 1344451 01/20/1998 Until Cancelled 08/07/2001 $4,000.00 01/17/2001 Look Up a Contractor, Electrician or Plumber License Detail Master Electrician Information OSAGEKM951CM OSAGE, KENNETH M II Status ACTIVE Business Owner Information Bond Information Savings Information Insurance Information Start a New_Search Printer Friendly Version entoonoto License Name No Matching Information No Matching Information About L &I I Find a job at L &I 1 Information en espanol 1 Site Feedback 1 1- 800 -547 -8367 Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement Intended use /external content poticy Visit access.wa.gov Staff only link Page 2 of 2 ngton https: fortress. wa. gov /Ini /bbip /Detail.aspx ?License= CAPITSA022B 1 2/4/2008 i !V Job wired by CgElectrical Contractor Owner Electrical contractor name M Purchaser's mailing address 7423 5 1 &v 57 City Te�p number zo6 -Ica -4790 Premises owner's name 4 dr theef 9nN5 ess of inspection /a!ffiv f rw..v.;Astra [1- Cit or Air Phone number to schedule inspection: Wit --5q q$qo NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Inspection Date Owner as defined by RCA 19.28.261:(7/ Owner will occupy the structure for two ye ars 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, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E.C., RCN'. Chapter 19.28, W• Chapter 296 -36B, The City of Pon Angeles Municipal Code, and Utility 4 ifications. Sign ow r, electrical contractor or electrical administrator X Date: 1 -it EI ��.318�i r/1 ad Additions and or subtractions SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 4735 ROUGH -IN License number Date Expires pr c eool inc.- ct-B Stare ZIP 14IA- FAX number sac- z41 -qwe Overhead Service Temp Service Underground Service THERMOSTAT nau Date Approved By DITCH ELECTRICAL WORK PERMIT APPLICATION lj Installation description Commercial 0 Residential New a act frrt 4 s1 y� too so fT X95 Cash Check Of Credit Card /Visa Card Inspection fee Expiration Date of card PPrwcd n1 Altered /Addition J Dale Mastercard Discover SERVICE FEEDER Service Information Voltage Phase 1 3 Service Size: Feeder Size: Approved Approved By RECEI JAN 29 t *HT DEPT E® Arca, Building or Equipment Inspected 08 Action Taken Electrical Inspector CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: Multi - Family or Commercial* JAN 12 2015 * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet ELECTRICAL INSPEPONS Rr Job Address: it +y C LAreA1CWL? %: VD Building Square Footage: 6 -40 -g description of above Owner Information Contractor Information Name: 6111-5 WA-0 1-1- . Name: , 5J61-15' PL„U- " Mailing Address: 21,50 PAR K CO-EWL Mailing Address: 2&t4 M r- t ° DN City: rarnaviF -State IV _ Zip: EEL ?06 _ City: li i State: phone:.— Fax: ° PhoneAr:„d••'3t�Z1�S License # 1 Exp. License # / Exp• i 1 CP- PB'1 5 4 '-w Item Unit Charge Qty Total (Qtv Multiplied by Unit Charge) ServicolFeeder 200 Amp. $132.00 $ Service /Feeder 201400 Amp, $160.00 $ Service /Feeder 401 -600 Amp $ 225,00 $ Service /Feeder 601 -1000 Amp. $ 288.00 $ Service /Feeder over 1000 Amp. $410,00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit NO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 52 $ Branch Circuits 1.4 $ 86.00 $ Temp, Service/ Feeder 200 Amp, $102.00 $ Temp. Service /Feeder 201 -400 Amp, $121.00 $ Temp. Service /Feeder 401 -600 Amp. $164.00 $ Temp. ServicelFeeder 601 -1000 Amp • $185.00 $ Portal to !aortal Hourly $ 96.00 $ $ D SignlOutiine Lighting $ 88.00 — Signal Circuit/ Limited Energy - Multi- Family $ 642 $ Signal Circuit! Limited Energy 1 First 1500 sf - Commercial $ 96.00 $ Nate: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or less $113.00 Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ Total Owner as defined by RCW19.28.261: (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 or last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N•E.C., RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility S >cificatro and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owners e1,ect-rjcg1 ontractor or e ctrical administrator: ❑ Cast, V check ❑ CreditCard# x ] Dated: I �G t 0110112012 r ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 15-- 00000030 Date 1/12/15 Application pin number , . . 250870 Property Address , , . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 9100 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , . . . . Property Use Property Zoning , . . . , . . COMMUNITY SHOPPING DISTR Application valuation . , , . 0 --------------_------------------------------------------------------------- Application desc Signs ------- ----- REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Owner Contractor RESULTS: INSPECTOR: ALBERTSONIS INC SIGNS PLUS INC 250 PARKCENTER BLVD 1330 N. FOREST ST BOISE ID 837260001 BELLINGHAM WA 98225 ---------------- ----- ---- --- ------- ----- .{360} ____ ------- -- _ 671- 716- 5 4li- 1� d C✓1��5✓ �N� � ___ -- Permit . , , . , . ELECTRICAL ALTER COMMERCIAL Additional. desc . . Permit Fee 176.00 Plan Check Fee 00 Ik4r Issue pate 1/12/15 Valuation. . , . . 0 m1 �L� Expiration Date 7/71/15 30 791 1 Qty Unit Charge Per (Extension 2.00 88.0000 BCH EL -COMM -SIGN 176.00 Fee summary Charged Paid Credited Due Permit Fee Total 176.00 176,00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 176.00 176.00 .00 ,00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN �� 1 FINAL" COMMENTS: PERMIT WILL EXPIRE SLY (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING a W Nov 05 2014 04 :59PM Olympic Electric Co., Inc 3604523498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street —P.O. Box 1150 / Port Angeles Washington, 9$362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date° ` n Multi- Family or Commercial" page 1 RE E I V E D NOV 0 6 20 EirEi Ownerinf �tion Contractor Information Name: Name: OLYMPIO ELECTRIC Matlin r_ess; Mailing Address; 42M TuMwATER silty: State: Zip; City; P RYANULES Slate: WA zip: 08383 Phone: - Fax: Phone: 360AU -5303 Fax: 3e0--45: -3496 License )(p. License # /Exp CLVMPE028501 Item Unit Cha e f t Multiplied Unit Cha Service/Feeder 200 Amp. $132,00 $ Service /Feeder201 -400 Amp, $16000 $ Service)Feeder 401 -600 Amp $ 225.00 $ Service)Feeder 601 -1000 Amp. $ 288.00 $ ServiceiFeeder over 1000 Amp. $ 410,00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 14.00 _ L $�_ Each Additional Branch Circuit $ 5,00 Branch Circuits 14 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp, Service/Feeder 201400 Amp. $121.00 $ Temp, Service /Feeder 401 -600 Amp, $164.00 $ Temp. Service/Feeder 601 -1000 Amp . $185,00 $ Portal to Portal Hourly $ 96.00 $ Sign /Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Multi•Farniiy $ 64.00 $ Signal CircuiV Limited Energy i First 1500 sf - Commercial $ 96,00 $ Note: 55.00 for each additional 1500 sf Renewable Electdcat Energy - 5KVA System or Less $ 113.00 $ Thermostat $ 56.00 $ Note: $5.ODtor each additional T-811 at $-ZE ::— Total Owner as defined by RCW,19.28.261: (1) Owner wiil occupy the structure for two years after this electrical permit is finalized. (2) Owner is required tc 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 contraclor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW, Chapter 19.28, VVAC. Chapter 296-468, The City of Pori Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractorar electrical administrator: ❑ cuh C7 check and p 01)01M12 1 vnv V �o�POFi'fq�C ELECTRICAL INSPECTION WIRING REPORT S.t�`�I 417 -4735 MKS H DATE: PERMIT!! INSPECTO 11 /l y 1 — l35g o�N�R L it-g CONTRACTOR L-R P-N ADDRESS APPROVED NOT APPROVE ® ......... ...........DITCH.— ........... 13, . .............. ROUGH IN /COVER ............... ® ............... .....SERVICE................... ❑ ............... ......FINAL.................... 0 COMECTIONS NEEDED: L 19 Iz Lt5 C e16 ?, �1,129C 446 -W zgC -140�� 2) gac Gov 4 rz, tF7 r __t�� rz -tJ 0. C 4 30.7 4 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOViE ELECTRICAL PERMIT CITY OF PORT ANGELES 364 -417 -4735 Application Number . , . , , 14- 00001358 Date 11/07/14 Application pin number . . , 436322 Property Address . . , . .. . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER; 06 -30 -10 5-0- 9100 -0000- Applicat.ion type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . , , . , , COMMUNITY SHOPPING DISTR Application valuation , . , 0 ---- Application desc --------------- --- ---- --- ----- --- --- - -- disposel and dog treat cooler Owner Contractor .ALBERTSON'S INC OLYMPIC ELECTRIC CO INC 250 FARKCENTER BLVD 4230 TUMWATER BOISE ID 837260001 PORT ANGELES WA 98363 (360) 457 -5303 Permit . . , . , , ELECTRICAL ---------------------------------- ALTER COMMERCIAL Additional desc . , Permit Fee 79.00 Plan Check Fee Cp Issue Date 11/07/14 Valuation , . . , 0 Expiration Date 5/06/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74,00 1,00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.00 Fee Summary Charged Paid ___ -_ Credited Y- lmDue- - - - -- ` Permit Pee Total 79.00 - -- - -- - -- - --- - - - - -- 79.04 .00 - --- - - - - -- 00 Plan Check Total 00 .00 .00 00 Grand Total 79.00 79.00 .00 00 INSPECTION TYPE DATE: DITCH. SERVICE ROUGH -IN )FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONT.I -IS FROM LAST INSPECTION RESULTS REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Signature of owner or Electrical Contra_ ctor X Date: G:IEXCHANGEIBUILDING -.0 t W FEB 11 2015 CITY OF PORT ANGELES PERMIT APPLICATION ELEURICAL Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1/13/2015 Multi - f=amily or Commercial* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: HAGGENS 114 LAURIDSEN BLVD Building Square Footage: Description of above LIKE FOR dKE OLD WITH TH5 NEW Owner Information Contractor information Name: Name: SEA -TAC ELECTRIC, INC. Mailing Address: Mailing Address: 7056 S.220TH ST City: State: Zip: City: KENT State: WA Zip: 98032 Phone: Fax: Phone: (253) 872 -5553 Fax: (253) 872 -4142 License # 1 Exp. License #I Exp. SEATAE1077RW Item Unit Charge 4th Total (Qtv Multiplied by Unft Charnel Service /Feeder 200 Amp. $132.00 $ ServicelFeeder 201 -400 Amp. $160.00 $ Service /Feeder 401 -600 Amp $ 225.00 $ Semite /Feeder 601 -1000 Amp. $ 288.00 $ Service /Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 2 $A72 Temp. Service/ Feeder 200 Amp. $102,00 $ Temp. Service /Feeder 2011400 Amp. $121.00 $ Temp. ServicelFeeder 401 -600 Amp. $164.00 $ Temp. ServicelFeeder 601.1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign /Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy — Mufti - Family $ 64.00 $ Signal Circuit/ limited Energy I First 1500 sf — Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ 172 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. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signa ure of owner, electrical contractor or electrical administrator: El Cash 0� Check 11 CreditCard# X dated: 1/13/2015 01/0112012 y N Ao � PORT 4,,,Q. ELECTRICAL INSPECTION 6 k "so", 7 00 01 WIRING REPORT 417-4735 DATE. PERMIT It �j I b I )�- )Z�— w OWNER CONTRACTOR ADDRESS NOT APPROVED ............. DITcH .......... ......... 1:1 ROUGH IN/COVER ............... 0 .................... SERVICE ................... 11 El ................... .. FINAL ........... ........ 1:1 CORRECTIONS NEEDED: � L4 Jeqv-W NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS =010W Is) M19LD1740 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , , , , . 15- 00000]29 Date 2/11/15 Application pin number , , . 395715 Property Address . . , , 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 9100 -0000 Application type description ELECTRICAL ONLY Subdivision Name , , . .. . Property Use , . . . . . . Property Zoning . . . COMMUNITY SHOPPING DISTR Application valuation , . , . 0 Application desc Relocate existing lights and outlets Owner Contractor ALHERTSON'S INC SEA TAC ELECTRIC INC 250 PARKCENTER BLVD 7056 S 220TH ST BOISE ID 837260001 KENT WA 980.32 (2S3) 872 -5553 - -- -z- ---------------------------------------------------------- Permit . . , , , . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS E2 .Permit Fee 172.00 Plan Check Pee OD Issue Date 2/11/15 Valuation , . . . 0 Expiration Date 8/10/15 Qty U7 it Charge Per Extension BASE FEE ----- -- - --- --- . -- -------- - -- - - -- 172.00 Fee summary Charged Paid Credited Due Permit Fee Total 172.00 172.00 .00 .00 Plan Check Total .00 .00 00 ,00 Grand Total 172,00 172.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) '-To 2,53 t-rz 65-75"3 ,7-06 3bV t. L4 3"Y_- 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:IEXCHANGEIQUILDING I Application Number . . . . . 23-00000237 Date 3/10/23 Application pin number . . . 201503 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low voltage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAAR PROPERTIES IX LLC FAR WEST TECHNOLOGIES INC 1702 AUBURN WAY N 606 EAST MAIN AUBURN WA 98002 PUYALLUP WA 98372 (253) 229-6493 (253) 604-4341 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 111.00 Plan Check Fee . . .00 Issue Date . . . . 3/10/23 Valuation . . . . 0 Expiration Date . . 9/06/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 3.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 15.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 111.00 111.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 111.00 111.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! 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 Branch Circuits 1-4 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 -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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. 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 3/09/23, 8:42:37 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000237 114 E LAURIDSEN BLVD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 111.00 TOTAL DUE 111.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/20/2023 23-237 TAP OWNER CONTRACTOR Far West Tech PROJECT ADDRESS 114 E Lauridsen Blvd Application Number . . . . . 22-00001172 Date 9/20/22 Application pin number . . . 023280 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low voltage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAAR PROPERTIES IX LLC VALDELMAR ELECTRIC 1702 AUBURN WAY N 4909 N BOULDER ROAD AUBURN WA 98002 SPOKANE WA 99216 (253) 229-6493 (509) 903-9690 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 246.00 Plan Check Fee . . .00 Issue Date . . . . 9/20/22 Valuation . . . . 0 Expiration Date . . 3/19/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 30.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 150.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 246.00 246.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 246.00 246.00 .00 .00 PREPARED 9/19/22,12:58:53 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001172 114 E LAURIDSEN BLVD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 246.00 TOTAL DUE 246.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS Ceiling Cover retail space NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/27/2023 22-1172 TAP OWNER CONTRACTOR Valdelmar Electric PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/20/2023 22-1172 TAP OWNER CONTRACTOR Valdelmar Electric PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000608 Date 4/25/18 Application pin number . . . 385984 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -9100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation 0 ---------------------------------------------------------------------------- Application desc LED fixture upgrade ------------------------------------------------ ------------------------- Owner Contractor ------------------------ Greg Saar ------------------------ STRAITS ELECTRIC 32199 State Route 20 PO BOX 2914 Oak Harbor, WA PORT ANGELES WA 98362 OAK HARBOR WA 98277 (360) 452-9104 (253) 229-6493 --------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 74.00 Plan Check Fee .00 Issue Date . . . . 4/25/18 Valuation . . . . 0 Expiration Date 10/22/18 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIP 74.00 ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited -------------------- Due ----------------- Permit Fee Total ---------- 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00. Grand Total 74.00 74.00 .00 .00 INSPECTION TYPE DATE: RESULTS: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signattwe of owner or Electrical Contractor X a r REPORT STATE ULAS TAK on your exdw tax form to the City of Port Angeles (Location Code 0502) d INSPECTOR: Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000619 Date 4/26/18 Application pin number . . . 537145 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -9100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . Property Use . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Sign ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Greg Saar ADVANCED SIGNS LLC 32199 State Route 20 418 17TH ST SE #3A Oak Harbor, WA AUBURN WA 98002 OAK HARBOR WA 98277 (253) 987-5909 (253) 229-6493 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 88.00 Plan Check Fee OQ Issue Date. . . . . 4/26/18 valuation . . . . 0 Expiration Date . . 10/23/18 Qty Unit Charge Per Extension 1.00 88.0000 ECH EL -COMM -SIGN 88.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 88.00 88.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 88.00 88.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION of owner or Electrical Contractor X RESULTS: REPORT STATE §J60 TAX on your excise fax fom to the City of Port Angeles (Location Code 0502) INSPECTOR 0 Date: MULTI -FAMILY / COMMERCIAL t-' -- `Y " �y p . ELECTRICAL PERMIT APPLICATION" .r Project Description: CC / ^e c+ -5, y05 n ❑ Multi -Family Residential 51 Commercial / Industrial / Public Building Square footage: [Electrical Permit Applications may be submitted to City Hall or eiec:r;caiuens a)cryof a.L, or faxed to 360.417.4711) 3 WOR a Name: C-,�r ��tp�, , Email: Mailing Address: Phone:=13-2C-5-�Yy� Name. �J v--w-W `V .: 4 License: ¢?J*✓r�� =31�/� Mailing Address: �7�� 5 f 'b U; '� 4_10ull . INA - Expiration Date: Email: 0 S - ,le Phone:415-L � KA F4z.1 a 01-1000,40, item, Unit Charae Quantity TQW (Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 I $ Signal Circuit/Limited Energy - Multi -Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $56.00 $ 99 � $ 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. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC%14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (❑ Owner Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or eiec:r;caiuens a)cryof a.L, or faxed to 360.417.4711) 3 WOR ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4174735 Application Number . . . . . 18-00000163 Date 2/07/18 Application pin number . . . 736213 - Property Address . . . . . . 114 E LAURIDSEN BLVD ns^► w wI REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -9100 -0000 - on excise tax form Application type description ELECTRICAL ONLY your Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . - . 0 ------------------------------------------------------ --------------------- Application desc Cash Registers data ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Greg Saar ANGELES COMMUNICATIONS INC. 32199 State Route 20 102 ROSS LN. Oak Harbor, WA PORT ANGELES, WA OAK HARBOR WA 98277 PORT ANGELES WA 98362 (253) 229-6493 (360) 457-4375 ----------------------------------------------------------I----------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 2/07/18 valuation . . . . 0 Expiration Date 8/06/18 Qty Unit Charge Per Extension 1 1.00 96.0000 BCH EL -LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 _ Plan Check Total .00 .00 .00 .00 GrandTotal96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 y 114!?? FINAL A4!(l� . COMMENTS: . . PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPFCTION Signature of owner or Electrical Condor X Date: Feb.06.2018 10:47 AM Angeles Communications 3604570212 PAGE. 1/ 1 CITY OF Pour ANGELES PERNInr APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 4.174735 Fax: (360) 417-4711 Date: _ Multi-Famlly o Commercial" —J l * Plan Review May Be Required, Please Complete Electrical Plan Revi w Informatlpn heet Job Address: Building Square Footage; DeSCrp�p ion of aID0}l9 V 01 C.EC 4 D17'K ►-jo?c: 'F N f �a.[i� ` / .� !•-!/ r :r 7 /v�... fHr' ✓moi ! i�A h r "/ Owner Inform on Contractor Infonration 'l Name: /•ril. ( S�ft/_Z-_ Name; r'� �k;�I l o . ,•, .,, t -S Mailing di 3s wi]►4 N MaiHn�gAdd 101.. u:_: -S ,�,. Ciky ur State: .�- Zip: City: �'c+tr -F _ .S State: t 'L"4 gyp: /� Phone:'Fax- Phone:46a Y .� / V 7 ?' pex: '• c; .- _ _ License 0 / Exp. License 0 / Exp._ n•a ! 7A:4 17 Item Unit CharceTotal Qty Multioll bv_ Unit Chargel Service/Feeder 200 Amp, $132.00 $ Service/Feeder 201-400 Amp. $ 160,00 $ Service/Feeder 401-600 Amp $ 225.00 $ ServkWFeeder 601.1000 Amp. $ 288.00 $ Servica&,eeder over 1000 Amp. $ 410,00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuli W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circults 14 $ 86.00 $ Temp, Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp, $121.00 $ Temp. Service/Feeder 401-600 Amp. $ 164,00 $ Temp. Servlae/Feeder 601-1 ODD Amp , $ 165.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy— Mufti -Family $ 644.00 $ Signal Circuit/ Limited Energy / First 1500 of — Commercial $ 96,00 f - $ ;yam Note: $5,00 for each aWillonal 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat � $ Total Owner as defined by RCW.19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor If above said property is for sate, rent or lease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 286-468, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator, 13 ceah 17.1 check J O cretin cord # x _ '� ✓J �` Oated: S^�t'%i ! ot/01*012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 18-00000163 Date 2/07/18 Application pin number . . . 736213 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -9100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation 0 ---------------------------------------------------------------------------- Application desc Cash Registers data ---------------------------------------------------------------------------- REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Owner Contractor ------------------------ Greg Saar ------------------------ ANGELES COMMUNICATIONS INC. 32199 State Route 20 102 ROSS LN. Oak Harbor, WA PORT ANGELES, WA OAK HARBOR WA 98277 PORT ANGELES WA 98362 (253) 229-6493 (360) 457-4375 ---------------------------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 2/07/18 Valuation . . . . 0 Expiration Date 8/06/18 Qty Unit Charge Per Extension i 1.00 96.0000 ECH_ EL -LIMITED IST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- ---------- 96.00 ---------- ---------- 96.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION 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: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001906 Date 1/12/18 Application pin number . . . 337524 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -9100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Lighting retrofit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Greg Saar OLYMPIC ELECTRIC CO INC 32199 State Route 20 4230 TUMWATER Oak Harbor, WA PORT ANGELES WA 98363 OAK HARBOR WA 98277 (360) 457-5303 (253) 229-6493 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 219.00 Plan Check Fee .00 Issue Date . . . . 1/12/18 Valuation . . . . 0 Expiration Date . . 7/11/18 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIF 74.00 29.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 145.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 219.00 219.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 219.00 219.00 .00 .00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angers (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS• 4 0. 16v- ScApW— PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: Dec 28 2017 11:21 AM HP Fax page 1 CITY OF PORT ANGELES PERMIT APPLICATION 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: /;Zr // a Multi -Family or Commercial* !r " Plan Review May Be Required, Please Complete Electrical Pian Review Informaiion Sheet ,tab Address: U4 ;5, Lau re ds el A t.V L;;' Building Square Footage: Description of above l.�htnq 1160frr944i-`- Owner Information /��( f,r Contractor Information Naive: J QQ r,yr 1 �. 1�!!� mama: my -EI -mc Mailing Address: 1702- A:d 4 at e A 404t y , w' Mailing Address: 4= -w— City: ;qicgym State: Wh- Zip: City. Clty, PM TM,GELES State: Zip: Phom Fax: Phone: 3aa-a — Fax: 3W,452 -349e License P / Exp. License 41 Exp. CLYWEc295o1 Item Unit ChameCyt Total ( Multiplied b}r Unit Charger Service/Feeder 200 Amp. $132.00 _ $ ServicelFeeder 2011100 Amp. $160.00 $ ServiceFeeder 401.600 Amp $ 225.00 $ Ser"Feeder 601-1000 Amp. $ 286.00 $ Servies/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 l $ Each Additional Branch Circuit $ 5.00 _ $-LitD© Branch Circuits 114 $ 86.00 $ Temp. Servicer Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service(Feeder 401-600 Amp. $164.00 $ Temp. ServicelFeeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 _ $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy- Mutti-Family $ 64.00 $ Signal Circuit) Limited Energy! First 1500 sf - Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Std $?J�.r3D 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. I am making the electrical installation or alteration in compliance with the electrical laws, N.E. C., RCW. Chapter 19. 28, WAC. Chapter 296468, 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: ❑ CaO ❑ aleck -t- In Credlt Card rf X�WOOLDated ! "�' �C 'y vf* 01101,2012 t Trent Peppard From: Christy Brown <christyb@olym picelectric. net> Sent: Wednesday, February 07, 2018 8:48 AM To: 'Karl Willard'; Trent Peppard Subject: RE: Saar's Market -Work completed to date Please see Olympic Electric's responses below in red. From: Trent Peppard [mailto:Tpeppard@cityofpa.us] Sent: Tuesday, February 06, 2018 1:18 PM To: Mike Rutten; Christie Tucker; Christy Brown Subject: FW: Saar's Market -Work completed to date I would like to meet with all parties at Saar's Market to determine who will be completing the individual parts of this project. Trent Peppard City of Port Angeles Senior Electrical Inspector Traffic Signal Technician Phone (360) 417-4735 Fax (360) 417-4711 From: Trent Peppard Sent: Thursday, February 01, 2018 10:59 AM To: kart nwledsolutions.com; Trent Peppard <ToeDDard@citvofoa.us> Subject: FW: Saar's Market -Work completed to date Karl, My understanding that Olympic Electric (OE) is no longer working for Saar's Market. Christy Brown with OE sent me an email (below) describing what was completed and not. During our walk through I have found some discrepancies with her list that need to be noted for a complete delineation of scope of work. 1. The lights that were moved rows 1-6 need to be supported to building structure. The ceiling wires for this portion of the job were provided by the GC after we reconfigured the rows. We received the wires and hanger screws on our last day on the job and did not have time to complete that portion of the install. 2. Water heater room 3 foot fixture needs to be replaced. We don't believe it was listed on Karl's work description and were not supplied with 3' lamps. 3. Two pole lights at the SW entrance not completed. My list to Trent clearly states two were not complete. We were short two fixtures and Karl had to order more. When they arrived Karl asked us to wait to install because neighbors were complaining about brightness. He was considering supplying fixtures with a different light distribution. 4. Five wall packs for the loading dock not completed. My list to Trent clearly states four were not complete. According to our counts, we were four wall packs short and Karl had to order more. Once again a neighbor complainec about brightness so we planned to wait until shields arrived to complete install. Trent counted five. We thought there were four. That is a question for Karl. 5. 1 found multiple fluorescent fixture cover plates improperly installed. This should be corrected by OE 6. 1 found some electrical wiring protruding from the fluorescent cover plate. This should be corrected by OE 7. Screw in LED bulb for Deli department hood. We were told by Karl not to install LED lamps in hood because they are temperature sensitive. 8. Karl commented that a fixture may not have been installed in the Deli department next to the hood. Our install changed considerably from original scope and instruction was verbal from GC. Possibly, we missed a fixture. We would like the transition to be smooth. Olympic Electric will help in any way we can to facilitate this. Regards, Christy Brown OLYMPIC ELECTRIC COMPANY, INC. 4230 Tumwater Truck Route Port Angeles, WA 98363 (360) 457-5303 Trent Peppard City of Port Angeles Senior Electrical Inspector Traffic Signal Technician Phone (360) 417-4735 Fax (360) 417-4711 From: Christy Brown(mailto:christvb(cDolvmpicelectric.netj Sent: Wednesday, January 31, 2018 10:30 AM To: Trent Peppard <Tpeppard@citvofpa.us> Subject: Saar's Market -Work completed to date Trent, This is the work we have completed and not completed at Saar's Market. Work Completed by Olvmpic Electric: Store floor except produce area Pharmacy Restrooms Offices Deli West Storage 4' and 8' fixtures Wall packs except (4) Parking lot fixtures except (2) along South entry Can lights in entrance canopy except front row NOT Completed: Freezer cases All cooler cases Walk-in beer cooler Pendant hung fixtures in produce and meat department Kitchen and North storage (behind produce and bakery) Jelly jar fixtures in West storage area Front row of canopy lights in entry New goose neck sign lights for store sign I have attached a drawing that may be helpful. Yesterday was not a good day. Thanks, Christy Brown OLYMPIC ELECTRIC COMPANY, INC. 4230 Tumwater Truck Route Port Angeles, WA 98363 (360) 457-5303 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000608 Date 4/25/18 Application pin number . . . 385984 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -9100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc LED fixture upgrade ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Greg Saar STRAITS ELECTRIC 32199 State Route 20 PO BOX 2914 Oak Harbor, WA PORT ANGELES WA 98362 OAK HARBOR WA 98277 (360) 452-9104 (253) 229-6493 ----------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 74.00 Plan Check Fee 00 Issue Date . . . . 4/25/18 valuation . . . . 0 Expiration Date . . 10/22/18 Qty Unit Charge Per Extension 1.00 74.0000 BCH EL -COMM BRANCH CIR WO/ SIF 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.00 74.00 .00 .00 Pian Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 INSPECTION TYPE DATE: RESULTS: DITCH SERVICE ROUGH -IN FINAL'% 1 �� COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Eiecr Contractor X 4_ - REPORT S'TATW 4 S TAX on your excise tax krm to the City of Port Angeles (Location Code 0502) r 1 f d INSPECTOR: c Date: K Apr 2418 06:27a Straits Electric Project Address: Project Description: 3604520741 p.1 MULTI -FAMILY I COMMER ELECTRICAL PERMIT APPLIC . Public Works and Utilities Department,01". . 321 F. 5th Street Port Angeles, WA 985362 360.417.4735 ,,vww.cityofp3.us l etectricalpermits@cityc►�,�..,,,. ❑ Multi -Family Residential Commercial / Industrial/ Public Building Squz e footage: ac 'r Name: Mailing Address: Name: Mailing Ad =sem:, . Email:Ar �,ti ,� s �. � 2&0" � c� �a O�!17 t'i � r�ir�IIG� 'Ti l� G�e-J 611. C r4/k— Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. ServicelFeeder over 1000Amp. Branch Circuit W1 Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 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 Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited EnergylFirst 1500 sf-Commercial {Note: $5.00 for each additional 1500 sf) Renewable Slec. Energy: 5KVASystem or less Thermostat (Note: $5 for each additional) Unit Charge $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74,00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96,00 $86.00 $96.00 $113.00 $56.00 Phone: License: Gj fray/'ti7 Expiration a}}'e: 1(Phone: oO0—Y-52—- —c7;116 z A/f I ze Total (Quantity x Unit Charge) $ $ $ $ 2ILL 00 $ $-f ' TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for ttivo 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 owna above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliancewit eel `' I laws, N.E.C., RCW. Chapter 19.26, WAC. Chapter 296- 46B. The City of Port Angeles Municipal Code, a d Utility Specifitions PANIC 14.05.050 regarding Electrical Permit Applications. T '�haw" Ldt�r f' Date Print Name Sign ure (❑ Owner Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hail or electricalpermits@cityofpa.us or faxed to 360.417.4711] J Address: 114 E Lauridsen Blvd. PREPARED 2/18/15, 11:24:34 INSPECTION TICKET ;; 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY iJ` ,;ITE 2/18/15 ----------------------------------------------- --------------- ADDRESS --------------------------—--- ADDRESS 114 E LAURIDSEN BLVD SUBDIV: CONTRACTOR SIGNS PLUS INC PHONE (360) 671-7165 OWNER- ALBERTSON'S INC PHONE PARCEL 06-30-10-5-0-9100-0000- APPL NUMBER: 15-00000028 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 2/18/15 JLL BLDG FINAL J"2 February 1B, 2015 11:26:10 AM pbarthol. coy/[1 mike 671-8383 mike COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION r 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000028 Date 1/13/15 U Application pin number . . . 251520 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- REPORT SALES TAX Application type description SIGNS Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning COMMUNITY SHOPPING DISTR Application valuation . . . . 19000 Location Code 0502 ---------------------------------------------------------------------------- Application desc two wall mount signs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALBERTSON'S INC SIGNS PLUS INC 250 PARKCENTER BLVD 1330 N. FOREST ST BOISE ID 837260001 BELLINGHAM WA 98225 (360) 671-7165 --------------------------------- ------------------------------------------ Permit . . . . . . SIGN Additional desc . Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 1/13/15 Valuation . . . . 19000 Expiration Date 7/12/15 Qty Unit Charge Per Extension 1.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 85.00 1.00 47.0000 PER S-ALL SIGNS < OR = TO 25 SF 47.00 ---------------------------------------------------------------------------- Special Notes and Comments t January 12, 2015 4:54:24 PM sroberds. New bldg mtd signs for existing supermarket in the CSD. Total 199.5 sq.ft. Replacing 225 sq.ft. of signage on no _ side of structure. No land use issues anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 H 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 4174831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls i. 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000028 Date 1/13/15 Application pin number . . . 251520 Property Address . . . . . . 114 E LAURIDSEN BLVD v ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- REPORT SALES TAA Application type description SIGNS Subdivision Name . . . . . . on your-state excise tax form Property Use . . . . . to the City of Port Angeles Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 19000 (Location Code 0$02) Application desc two wall mount signs ---------------------------------------------------------------------------- Owner Contractor ALBERTSON'S INC SIGNS PLUS INC 250 PARKCENTER BLVD 1330 N. FOREST ST BOISE ID 837260001 BELLINGHAM. WA 98225 (360) 671-7165 -----------------------------------------------------------------------"---- Permit . . . . . . SIGN Additional desc . . Permit Fee 132.00 Plan Check Fee 00 Issue .Date . . 1/13/15 Valuation . . . . 19000 Expiration Date . . 7/12/15 Qty Unit Charge Per Extension 1.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 85.00 1.00 47.0000 PER S-ALL SIGNS < OR = TO 25 SF 47.00 --------------------------------------------------------------------------- Special Notes and Comments January 12, 2015 4:54:24 PM sroberds. New bldg mtd signs for existing supermarket in the CSD. Total 199.5 sq.ft. Replacing 225 sq.ft. of signage on no side of structure. No land use issues anticipated. - - --------------------------------------- - --------------------------------- " _ I Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 132.00 132.00 .00 .00 i Plan Check Total .00 .00 .00 .00 /1 Grand Total 132.00 132.00 .00 .00 j i i i i 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 I 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'rot--�he granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regutating/consNuction or the performance of j construction. r � ��s' GiN�el12 ale �5 ��s' P / - Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) i T:Forms/Building Division/Building Permit i i yQFpOR7q,V SIGN PERMIT APPLICATION Print in ink LS !�p I1o�►+ CITY OF PORT ANGELES I , Attn: Building Permit Technician For City Use Only: Date Received 321 E. Fifth St., Port Angeles,WA 98362 Permit#® l,�'(360)417-4815 fax(360)417-4711 (Date Approved Applicant or Agent s7yl L..,S f'LuSe Phone Property Owner A95; WA-0 Lel; Ph(one Property Owner's Address ;2S-u pnp_1e `je D_ r,d , is01 1D 0706 Contractor S i cs p4oz Phone 3 Co_g,71-716 Contractor's Address 774., mApQ I&,z 1:,;,,, BEE.i;a��•N�►� w4 �P,�3s License -, L;,;, Expires 6. jJ/ � Project Address glad C i3i.JD Business Name Parcel Number _�,,r,i c.,s y/d®anG Lot B Zoning OA Submit an 8 %"x 11 "site plan & three sets of plans that include: • Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) ® Placement and sq. ft. area ® How the sign will be securely attached (Engineering specs may be required for freestanding signs) • Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. Ilf Sign Type& Brief Description: (Type, location, sq. ft.) Sign #1 WALL i F-IZO jXt' U10—MANE: )8-7 �REpl herz L_V tszlw6) Sign #2 WAt-L 2, i6o L50,rViAoc Mass, EVIRAtucz, b,2. S "15r Cecop.,AIr FxiSTix,)-C Sign #3 Sign #4 Totals(Unit charges Sign(s) g Unit Charge Quantity multiplied bV quantities) Type of Sign Valuation$ $47.00 x _ $ 47,oa All signs less than or equal to 25 sq. ft. $85.00 x _ $ gs' oQ Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ 1 3 i ,ac Credit Cards (Except American Express)are accepted Existing sign(s)area 2254 sq. ft. +Proposed sign(s)area I M d sq. ft. = Total sign(s)area 10i..5 sq. ft. ,r0 RJ IQEl'0Vt.0 Building fagade area (height I;P _ft. X width31ft.) _ 665 sq. ft. (if a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am auttrized to apply for this permit and understand that it is my responsibility to determine—W11%- permits are required, and to obtain permits prior to working on projects. Date G .70/S Print Name/ C-Ll/u RZ1/U(~/jGvs Signatu T:Forms/Building Division/Sign Permit Application.doc FILE SIGNS PLUS raw ��*�� 766 Marine Drive Bellingham,WA 98225 Phone 360.671.7165 Fax 360.671.0144 signsplusnw.com bft 4@dd 68jrr5�:lj �� HAGGEN #107 codes WwiergsrritJrlil/�► ALL yp �, 114 E LAURIDSEN BLVD ,. Dft 2 _� - PORT ANGELES, WA 98362 CLIENT: Port Angles N C� HAGGEN FOLDER NAME: SHARE D\PROJECTS\HAGGEN\@ MISC\ EXPANSION\WASHINGTON\107\SITE MAP.CDR DATE: • c; r.1 , 01/06/2015 SCALE: ta 1"=100'-0" a .. SALES EXECUTIVE: JIM SUTTERFIELD DESIGNER: MIKE LINEBRINK --1 �- _ FINAL C 2014 Microsoft Cor oration SALES Li Bing 2014 Nokia - _ +'' _ rid, _ • DATE VICINITY MAPS" PRODUCTION , i DATE • _ :! ♦ REVISION DATE PLACE PROPOSED NEW SIGN #1 HERE REVISION DATE �.� 0 PLACE PROPOSED NEW SIGN #2 HERE JOB # 2723 �, slu•rrr. `C 4 ® siyn.F'i,,,hu eu.kah U` Underwriters Ia,1�M3, P.ulwrryo -go, pn o-rh1� : ((V * an.—, Laboratories Laboratories Inc. oga's Soup Mohs —J _d" ,v.i...,w..t,tl,..16..a1 - Obucnen wi,h Sir,Plu wid—wrinen hSr - f ,' ' .ar.emm,roPrchve iAu wwerk. L � e —4i- C-). •- - - - US C.,,6ghtLw Title P9l Chap— v • f ,_ INTERNATIONAL SIGN ASSOCIATION Motor Ave I y SERVICE NOTES ELa -1 N,�,E-N kMe<l L MW LAMPS: Solan Ave N _ Imlmma.mAm INA" I - ; o TRANSFORMERS/BALLASTS: M^ d E Orcas Ave = E Orcas Ave . - _ •�;• _ l ; ! +' ..► LA � u SITE MAP OTHER: t7bing v +2011 I,^ oft Co,panero"+2011Nokia VICINITY STREET MAP SIGNS PLUS 766 Marine Drive + Bellingham,WA 98225 Phone 360.671.7165 Fax 360.671.0144 signsplusnw.com HAGGEN #107 114 E LAURIDSEN BLVD PORT ANGELES, WA 98362 CLIENT: At•.. _ HAGGEN — - - -- - — -- — - — t ELI 4 k FOLDER NAME: fwh j SHARED\PROJECTS\HAGGEN\@ MISC\ EXPANSION\WASHINGTON\107\SITE MAP.CDR — DATE: g 01/06/2015 SCALE: 1"=20'-0" y SALES EXECUTIVE: JIM SUTTERFIELD DESIGNER: MIKE LINEBRINK FIML EAST ELEVATION EXISTING CONDITIONS SALES / f DATE PRODUCTION DATE REVISION DATE 20'-2" REVISION DATE JOB # 2723 02012 gn.Plo. Th" '"°' " "" P.p" O Underwriters _ . orsr.i .Plot.nd�p.o�nd and.....�.nareder��py.igh�w. Laboratories Ince Any u.e o(N....herk artier J.an dircn ti SrEG 6,n,u., PLACE PROPOSED NEW SIGN #2 HERE o g.Plo..ithem nnen .11 perm nAdl ron.timicyoor .g.eemcn to punhce thn amwh, Ask .nd rhe design PmP°•ed P^ L'S Copyright Ww Title n/9'-Chapter S _ INTERNATIONAL SIGN ASSOCIATION A PLACE PROPOSED NEW SIGN #1 HERE SERVICE NOTES 0,911,M, LAMPS: N bo TRANSFORMERS/BALLASTS: OTHER: EAST ELEVATION PROPOSED NEW CONDITIONS • 23'-3" 22-5 SIGNS PLUS' 221-0" "".,.......t,i•a t°e°.,. 766 Marine Drive Bellingham,WA 98225 Phone 360.671.7165 Fax 360.671.0144 or-----.- ___.___.___._.._...._..._..__.._.__._.._...__.......___..._..._._._._..._...__._.____..__....—._._..__._----- ......._.._._._...__.._._......_. � signsplusnw.com HAGGEN #107 114 E LAURIDSEN BLVD _ PORT ANGELES, WA 98362 0 T 1 CLIENT: HAGGEN FOLDER NAME: SHARED\PROJECTS\HAGGEN\@ MISC\ 19 o EXPANSION\WASHINGTON\107\SIGN 1 0o bo DETAIL.CDR DATE: 01/06/2015 SCALE: AS NOTED SALES EXECUTIVE: JIM SUTTERFIELD Food & Pharmacy Since 1933 _ DESIGNER: in MIKE LINEBRINK FINAL 'a v SALES DATE •�p•(7 PRODUCTION WHITE BORDER TRIM, POP RIVET TODATE BORDER ANGLE 10'-4 1/2" REVISION DATE SPECIFICATIONS WELDED 2"X3"X114" ALUMINUM TABS ALUMINUM FORMED CHANNEL WITH WHITE TRIM CAP & RETURNS, REVISION DATE TRIM CAP CHANNE AND WHITE PLEX FACES. °HAG WITH ISAMSUNIGGOQ ILLUMINATE WITH LOW VOLTAGE WHITE LED LIGHTS. JOB # 2723 WHITELED'S 02012 Sig-PI-17fi6-1,4the Underwriters fdoa prape.y.fSigs Plus and is protected BACKER PANEL, 2"X2" SQ. TUBE FRAME WITH ..,!—.dlc. Hghd— U` Laboratories Inc.® Aty.re of this-k.ther than direct LISTED L ",'� .125 ALUMINUM FACE, PAINTED "NORTHWEST FRESH" bwi..with Sign PI-without wri en WELDED2"X2" GRAPHICS ON FACE. peri a. 1—hi,,".. Mw—.purduse this utwork, SQ.TUBE U5CA%r1ght La T� fy_'Chapter5 ALUMINUM FRAME INTERNATIONAL SIGN ASSOCIATION BACKER PANEL FACE PAINTED FACE,--------'*- ACE, MP 38829 SERVICE NOTES PAINTED DARK GREEN WITH VINYL GRAPHICS (PMS 3435) APPLIED TO FACE CROSS SECTION/ATTACHMENT DETAIL LAMPS: "NORTHWEST FRESH" GRAPHIC MP 48526 (PMS 3435 @ 50%) TRIM CAP CHANNE LETTER RETURNS/TRIM CAP/BORDER TRIM/ACRYLIC FACES TRANSFORMERS/BALLASTS: YAGLINE SHAPE ILLUMINATED WHITE WITH SAMSUNG GOQ WHITE LED'S "FOOD &PHARMACY SINCE 1933"COPY OTHER: 3M HOLLY GREEN SIGN #21 EXTERIOR NIGHT VIEW SCALE: 1" = V-0" SIGNS PLUS'" nn"rat an...eutslGe tM1e boa. 4'-0" 766 Marine Drive Bellingham,WA 98225 Phone 360.671.7165 Fax 360.671.0144 signsplusnw.com APPLIED WHITE VINYL STRIPE HAGGEN#107 114 E LAURIDSEN BLVD PORT ANGELES, WA 98362 ROUTED LETTERS & BACKED SPECIFICATIONS HAGGEN WITH WHITE ACRYLIC BASE CABINET, 1"X1" SQ. TUBE FRAME WITH .063 ALUMINUM FOLDER NAME: SHARED\PROJECTS\HAGGEN\@ MISC\ FACING, PAINTED DARK GREEN. EXPANSION\WASHINGTON\107\ ROUTED .100 ALUMINUM FACE WITH ALUMINUM ANGLE FRAME SIGN DETAIL.CDR FRONT-LIT CHANNEL LETTER AND WHITE PLEX BACKER PANELS. DATE` 01/06/2015 LOW VOLTAGE WHITE LED LIGHTS TO ILLUMINATED. SCALE: 1"=9 4, S/F CHANNEL LETTER, ALUMINUM FORMED CHANNELS SALES EXECUTIVE: JIM SUTTERFIELD WITH WHITE TRIM CAP AND RETURNS, WHITE PLEX FACE DESIGNER: WITH TRANSLUCENT VINYL GRAPHICS. MIKE LINEBRINK LOW VOLTAGE WHITE LED LIGHTS TO ILLUMINATE. F'N SALES_ v BASE CABINET WHITE PLEX BACKER PANEL, DATE COLOR MATCH TO PMS 3435C WHITE PLEX FACE, WHITE TRIM CAP& RETURNS 1 RACEWAY � l PRODUCTION ti. e• 4• 1/4• DATE TEC SCREW REVISION DATE ATTACHMENT FOR o-_ FACE TO CABINET REVISION DATE z ® ANCHOR TO EXISTING JOB # 2723 a BUILDING STRUCTURE 02—sig-pl..I TW.e.twnrkl.,he WITH 3/8 LAG BOLTS/MIN OF 4 PropertydSign.Plorattdirpmt ted Underwriters 4 s I (SEE ANCHOR DETAIL SHEET) ond"retateandTed—l-pydght6— ® � Laboratories Inc.e Any.d this—k other than dkv tIS1ED bueinc.t with Signa Pl"a withn"t written N TRIM CAP-----" Perm'aeinn dullunttimtey"� .peement m p"rd.th4 A. CHANNEL"H" p and thede.ignprvporedper J. US Cow opyright Lnie 17M chapters �� tt WHITE LED LIGHTS INTERNATIONAL SIGN ASSOCIATION 6 p FOR ILLUMINATION SERVICE NOTES LAMPS: e 3/16 WHITE PLE 1.JEWEL-LITETRIIACAP BACKER PANELS p WELDED 171'SQ.TUBE 2 SIL OWSM-TYPICAL ALUMINUM FRAME WITH I INTERIOR PAINTED WHITE Q 063 ALUMINUM FACING t'063' kLUNIMBACK 100 ALUMINUM FACE TRANSFORMERS/BALLASTS: 5.3116'REFACE 6.LED MODLLES WITH ROUTED GRAPHICS 7.WEEP HOLES WITH BAFFLES AS REQUIRED AND 1"X1"ANGLE EDGE 8..040 ALUMNUM RETURN 9.RACEWAY WITH 019MWECT SWITCH 10.38LAGeaTS ® OTHER: 2:�P ww"`MY� LISTED CROSS SECTION/ATTACHMENT DETAIL SCALE 112"=V S 3-1/2'LAG EMBED INTO EXISTING STUDS OPTIONAL�\ !'SHEETING OPTIONAL z"SHEETING 16°O.C.OR HEADER 1-1/2"DRIVIT \. BRICK VENEER SIGNS ° Marine war mrLU S n 766 Marine Drive f— 5TUD5 C�16'O.C. // t — STUD5 @ 16 O.C. Bellingham,WA 98225 I! / Phone 360.671.716$ \\1\\\\\1\\\1\\1\\\1\1\\1\\ �— INTERIOR 4 INTERIOR 1 1 1 1 1 i Fax 360.671.0144 �— INTERIOR signsplusnw.com HAGGEN #107 114 E LAURIDSEN BLVD / PORT ANGELES WA 98362 CLIENT: LAG ANCHOR - DETAIL 1 TOGGLE ANCHOR - DETAIL 2 DROP LATCH ANCHOR - DETAIL 3 HAGGEN ANCHOR DIA. MIN. ULTIMATE TENSION&SHEER LOADING IN LBS. ANCHOR DIA. MIN. ULTIMATE TENSION&SHEER LOADING IN LBS. ANCHOR DIA. MIN. ULTIMATE TENSION&SHEER LOADING IN LBS, FOLDER NAME: &LENGTH HOLE EMBEDMENT CONCRETE STRENGTH IN PSI. &LENGTH HOLE EMBEDMENT CONCRETE STRENGTH IN PSI. ALENGTH HOLE EMBEDMENT CONCRETE STRENGTH IN PSI. SHARED\PROJECTS\HAGGEN\@ MISC\ AS 2000 PSI. 3500 Psi. AS 2000 PSI. 3500 P5I. 2000 PSI, 3500 PSI. EXPANSION\WASHINGTON\107\STANDARD 3/8" 3/8" TENSION SHEER TENSION SHEER 3/8"0 3/4"0 TENSION SHEER TENSION SHEER 3/8"0 3/8"0 AS TENSION I SHEER TENSION SHEER ANCHOR DETAILS.CDR REQUIRED REQUIRED REQUIRED DATE: 01/06/2015 SCALE: AS NOTED SALES EXECUTIVE: JIM SUTTERFIELD p 0 DESIGNER: 1111 �0 pp \ 1 11 1 1 1 1 111111 1 11 Ili MIKE LINEBRINK 1 1111111 FINAL f SALES / DATE 3'MINIMUM 3"MINIMUM 3"MINIMUM EMBEDMENT EMBEDMENT EMBEDMENT PRODUCTION DATE LAG EXPANSION ANCHOR - DETAIL 4 3/8"16 X 4" DOUBLE EXPANSION ANCHOR - DETAIL 5 SLEEVE ANCHOR - DETAIL 6 ULTIMATE TENSION A SHEER LOADING HOLLOW WALL ANCHOR (MOLLY BOLT) - DETAIL 7 REVISION DATE IN LBS./CONCRETE STRENGTH(PSI.) SHIELD ULTIMATE LOADS TENSION SHIELD ULTIMATE LOADS ANCHOR DIA. MIN. 2000 P5I. 3500 PSI. ANCHOR DIA. IN. [ULTIMATE TENSION&SHEER REVISION DATE BOLT DIA. HOLE LENGTH IN LBS. BLOCK BOLT DIA. HOLE LENGTH IN LBS.(3000 PSI.) LENGTH HOLE EMBEDMENT TENSION SFIEER TENSION SHEER &LENGTH HOLE WALLBOARD LOADING IN LBS. 3/8" 11/16" 1-3/4" 3640 3850 2440 3/8' 3/4" 1-3/8° TENSION:3640 SHEER:3850 3/8•X 3' 3/8" 1-1/4" 2840 1736 2960 2020 3/16'X 3" D.O.U. THRU 2" TENSION:130 SHEER:300 NOTE BLOCKING TO SPAN EXISTING VERTICAL STUDS OR ®'01S1gniPui "'""°'" "h` Underwriters 3/8"f1S X 4-1/2° � � pr"pvq"fSpn%ur rnd'u pr"Tectal U RATED ANCHO� EQUAL TO SPREAD LOAD TO EXISTING WALL STRUCTURE nna °.m.ndfrdr,A-pyd&I.— e L Laboratories Inc.® Anyu""fthirrrtw"rkahrr"h aL ` LISTED bu wnh Sig.Pl.-h..written *OPTIONI pmviulan dull mnn:mrey°ur L � 111 1 U4'X�2'5QR PLATE .�aw@p, dpprr W/1.O�E IN NIDD E ZINC NAIL IN US Copy ghe. Tar n/�Ch.p S INTERNATIONAL SIGN ASSOCIATION T f� nL+wLG *OPTION 4*X2" 2 SERVICE NOTES 1 1 11 1 1 11 11 111 1 1 1 11 I 24'X 2•X 2•X 118'ANG W/1.0 HOLE IN MIDDLE ...:::::::::::::: LAMPS: NUT /// — " O ' .............. .. 24'x 2'X 4'WOOD BLOCK SOLID BLOCK OR 3°MINIMUM SCREEN /EPCO USE / / W/}'0 HOLE IN MIDDLE WASHER � CONC2ETE NO SCREEN W/EPCON 3"MINIMUM SCREEN REQ'D EMBEDMENT CERAMIC 6-OR EQUALn PAN HEAD SCREW EMBEDMENT USE EPCCN CERAMIC EPDXY 3/8"�J ALL THREAD 6"OR EQUAL EPDXY CUT TO LENGTH SPREADER/EXPANSION ANCHORS TRANSFORMERS/BALLASTS: WEDGE ANCHOR - DETAIL 8 EPDXY ANCHOR - DETAIL 9 U-TWTE TENSION&SHEER LOADTN6 THW NXT ANCHOR-DETAIL 10 ULTIMATE TEMION 6 SNEER LOADING SPREADER/EXPANSiON ANCHORS - DETAIL 11 IN L95./CONCRETE STRENGTH(PSI) IN LIS./CONCRETE STRENGTH(PSI.) EMBEDMENT ULTIMATEt'UtlOUT ULTIMATE SHEAR 2000 P5I. 1 3500 PSI. 2000 PSI. 3500 P5I. ULTIMATE TENSION 6 CLmcm ANCHOR IN CONCRETE IN LSS. IN LBS. ANaM DIA. HOLE DIA. EVMWK FNr /INCHOR DIA. HOLE DIA.EMSEN04T ANCHOR DIA. HOLE EMBED - OTHER: 1.1/2• 3219 4029 TENSION SHEER TENSION SHEER TENSION SHEER TENSION SHEER LOADING IN LBS./AVERAGE DRYW 3/8"0 3' 5678 4303 T AS 6660 5085 8567 6009 1/8"-1/4" Z"+- i°+- 4-1/2' 5935 4581 3/8" 7/16° 3-3/8• 6660 5085 8567 6009 3/8' REQUIRED TENSION:65+_ SHEER:70+- Application Number . . . . . 22-00001016 Date 8/12/22 Application pin number . . . 264464 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Fire alarm / Intrusion ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAAR PROPERTIES IX LLC EC COMPANY 1702 AUBURN WAY N PO BOX 10286 AUBURN WA 98002 PORTLAND OR 97223 (253) 229-6493 (503) 224-3511 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 141.00 Plan Check Fee . . .00 Issue Date . . . . 8/12/22 Valuation . . . . 0 Expiration Date . . 2/08/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 9.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 45.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 141.00 141.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 141.00 141.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! 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 Branch Circuits 1-4 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 -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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. 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS Ceiling Cover retail space NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/27/2023 22-1016 TAP OWNER CONTRACTOR EC Company PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/20/2023 22-1016 TAP OWNER CONTRACTOR EC Company PROJECT ADDRESS 114 E Lauridsen Blvd Application Number . . . . . 22-00000821 Date 7/11/22 Application pin number . . . 198139 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAAR PROPERTIES IX LLC SYNERGY ELECTRICAL CONTRNG LLC 1702 AUBURN WAY N 910 W 10TH ST AUBURN WA 98002 PORT ANGELES WA 98363 (253) 229-6493 (360) 461-3954 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 1004.00 Plan Check Fee . . .00 Issue Date . . . . 7/11/22 Valuation . . . . 0 Expiration Date . . 1/07/23 Qty Unit Charge Per Extension BASE FEE 86.00 62.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 310.00 2.00 160.0000 ECH EL-COM 201-400 SRV FEEDER 320.00 1.00 288.0000 ECH EL-COM 601-1000 SRV FEEDER 288.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1004.00 1004.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 1004.00 1004.00 .00 .00 PREPARED 7/05/22, 8:09:37 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000821 114 E LAURIDSEN BLVD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 1004.00 TOTAL DUE 1004.00 Please present reciept to the cashier with full payment MULTI-FAM ILY / COMMERCIAL E LECTRI CAL PERM IT APPL ICATION Public \\brks and t tilitics Dcpat'tntcnt l2l E. 5th Sfi'ecl. Port i\ngeles, \Vr\ 98-162 160 .11,7 .1135 \v'\v\v'.cityoflprr.Lrs , elcclriurlpcrnrits t1t ciL1,'otpa.us 1lo 3 }} 114 E Lauridsen Blvd Project Address: Project Description:Remodel Existing Store - Electrical I Ututti-Family Residential E Commercial / lndustrial/ Public Building Square footage: 45,000 Name: SMR Properties lX LLC Email: M ai ! i ng Ad d ress : I "20? 4llpsnlfl"3y.-N,*Agpsn, wA-"eppp-? *---Phone: 253-229-6493 Name: _Synerqy Electrical Contracting, LLC Mailing Address:PO Box 1544 Port Angeles, WA 98362 Emait: svnerqvelectricalcontracti nq@qmail.com Expiration Date , 11t1412022 Phone; 360-461-3954 License: SYNERECS29QM Item Service/Feede r 200 Amp. Service/Feede r 201-400 Amp. Service/Feede r 401 -600 Amp. Service/Feeder 601 -1 000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Branch Circuit WO Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feede r 201 -400 Amp. Temp. Seruice/Feeder 401-600 Amp. Temp. Service/Feeder 601-1 000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal CircuiULimited Energy - Multi-Family Signal CircuiUlimited Energy/First 1500 sf - Commerciat (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: SKVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $s.oo $74.00 $s.00 $86.00 $102.00 $121.00 $164.00 $185.00 $e6.00 $88.00 $88.00 $e6.00 $113.00 $s6.00 $ $ $ 1004.00 rorAL 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. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 2g6- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 06-30-2022 Tracy Critchfield Print Name Signa (tr Owner ffi Electrical Contractor / Administrator)Date [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Partial Rough Wall cover East west wall, Lounge, Bathrooms, Manager Office, IT other than north wall, Pet wash and Chainsaw ext. wall. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/22/2022 22-821 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Propane dispenser NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/18/2022 22-821 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS Ceiling Cover retail space NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/27/2023 22-821 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/20/2023 22-821 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 114 E Lauridsen Blvd Application Number . . . . . 22-00001014 Date 8/12/22 Application pin number . . . 063156 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Sign ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAAR PROPERTIES IX LLC HANSON ELECTRIC 1702 AUBURN WAY N PO BOX 173 AUBURN WA 98002 PORT TOWNSEND WA 98368 (253) 229-6493 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 88.00 Plan Check Fee . . .00 Issue Date . . . . 8/12/22 Valuation . . . . 0 Expiration Date . . 2/08/23 Qty Unit Charge Per Extension 1.00 88.0000 ECH EL-COMM-SIGN 88.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 88.00 88.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 88.00 88.00 .00 .00 PREPARED 8/11/22,10:08:45 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001014 114 E LAURIDSEN BLVD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 88.00 TOTAL DUE 88.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Signs NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/22/2022 22-1014 TAP OWNER CONTRACTOR Hanson Sign PROJECT ADDRESS 114 E Lauridsen Blvd Application Number . . . . . 23-00000568 Date 6/02/23 Application pin number . . . 744912 Property Address . . . . . . 114 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-9100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Propane Vaporizer ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAAR PROPERTIES IX LLC SYNERGY ELECTRICAL CONTRNG LLC 1702 AUBURN WAY N 910 W 10TH ST AUBURN WA 98002 PORT ANGELES WA 98363 (253) 229-6493 (360) 461-3954 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 6/02/23 Valuation . . . . 0 Expiration Date . . 11/29/23 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 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! 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 Branch Circuits 1-4 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 -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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. 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 5/31/23, 7:19:24 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000568 114 E LAURIDSEN BLVD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/2/2023 23-568 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 114 E Lauridsen Blvd ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/5/2023 23-568 TAP OWNER CONTRACTOR Synergy Electric PROJECT ADDRESS 114 E Lauridsen Blvd