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1026 E 1st St - Building
PREPARED 6/07/10 8 49 13 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/07/10 ADDRESS 1026 E 1ST ST SUBDIV TENANT NBR APRIA HEALTHCARE CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901 OWNER EDNA G PETERSEN PHONE (360) 417 0995 PARCEL 06 30 00 6 2 0200 0000 APPL NUMBER 09 00000701 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/13/09 JLL MECHANICAL FINAL TIME 01 00 11/13/09 DA November 12 2009 4 04 44 PM 1pangrle ELLEN 683 3901 MECHANICAL FINAL HEAT PUMP AT APRIA HEALTHCARE AFTERNOON INSPECTION November 13 2009 3 40 03 PM jlierly ME99 02 4/12/10 JLL MECHANICAL FINAL TIME 01 00 4/12/10 DA April 6 2010 4 49 45 PM 1pangrle DEREK 417 0884 MECHANICAL FINAL INSTALL 5 TON HEAT PUMP (APRIA HEALTH CARE) AFTERNOON April 12 2010 4 43 01 PM jlierly man at counter claimed he didnt know anything about the uinspection made a call to Ednas business down town and she is out of town owner to make arrangements for inspection/j11 ME99 03 5/24/10 JLL MECHANICAL FINAL TIME 12 00 5/24/10 DA May 19 2010 3 46 01 PM 1pangrle I CALLED KELLY AT APRIA 417 0884 (TO FINALIZE THIS PERMIT) MECHANICAL FINAL HEAT PUMP AFTERNOON May 24 2010 4 02 12 PM jlierly again no access business was closed called all numbers on inspection ticket and no answer if future attempt to gain access for inspection is denied a reinspection fee will result /j11 ME99 04 6/07/10 JL JuneA3ICAL 0INAL A J D J June 3 2010 4 12 44 PM 1pangrle CHRIS FROM AIRFLOW HEATING 461 0979 MECHANICAL FINAL HEAT PUMP ON THE ROOF AT APRIA HEALTH CARE CHRIS (FROM AIR FLOW HEATING) WILL MEET YOU AT APRIA AT 4 00 PM IN BACK OF THE BUILDING BY THE LOADING DOCK CHRIS WILL HAVE A LADDER FOR YOU SO YOU CAN GET ON THE ROOF RON AT APRIA 417 0884 WILL LET YOU IN THE BUILDING FOR THE INSPECTION COMMENTS AND NOTES PREPARED 5/24/10 8 35 18 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/24/10 ADDRESS 1026 E 1ST ST SUBDIV TENANT NBR APRIA HEALTHCARE CONTRACTOR AIR FLO HEATING CO INC PHONE (360 OWNER EDNA G PETERSEN PHONE (36 PARCEL 06 30 00 6 2 0200 0000 APPL NUMBER 09 00000701 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/13/09 JLL 11/13/09 DA ME99 02 4/12/10 JLL 4/12/10 DA ME99 03 5/24/10 MECHANICAL FINAL TIME 01 00 November 12 2009 4 04 44 PM 1pangrle ELLEN 683 3901 MECHANICAL FINAL HEAT PUMP AT APRIA HEALTHCARE AFTERNOON INSPECTION November 13 2009 3 40 03 PM jlierly MECHANICAL FINAL TIME 01 00 April 6 2010 4 49 45 PM 1pangrle DEREK 417 0884 MECHANICAL FINAL INSTALL 5 TON HEAT PUMP (APRIA HEALTH CARE) AFTERNOON April 12 2010 4 43 01 PM jlierly man at counter claimed he didnt know anything about the uinspection made a call to Ednas business down town and she is out of town owner to make arrangements for inspection/j11 MECHANICAL FINAL TIME 12 00 May 19 2010 3 46 01 PM 1pangrle I CALLED KELLY AT APRIA 417 0884 (TO FINALIZE THIS PERMIT) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES i.V tics& Po 13\4).4 L e F (4) PREPARED 4/12/10 8 12 38 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/12/10 ADDRESS 1026 E 1ST ST TENANT NBR APRIA HEALTHCARE CONTRACTOR AIR FLO HEATING CO INC OWNER EDNA G PETERSEN PARCEL 06 30 00 6 2 0200 0000 APPL NUMBER 09 00000701 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 683 3901 PHONE (360) 417 0995 ME99 01 11/13/09 JLL MECHANICAL FINAL TIME 01 00 11/13/09 DA November 12 2009 4 04 44 PM 1pangrle ELLEN 683 3901 MECHANICAL FINAL HEAT PUMP AT APRIA HEALTHCARE AFTERNOON INSPECTION November 13 2009 3 40 03 PM jlierly ME99 02 4/12/10 MECHANICAL FINAL TIME 01 00 1�1 April 6 2010 4 49 45 PM 1pangrle DEREK 417 0884 MECHANICAL FINAL INSTALL 5 TON HEAT PUMP (APRIA HEALTH CARE) AFTERNOON COMMENTS AND NOTES RK 01-0,. -qs„t— 3' Awl PREPARED 11/13/09 9 25 31 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1026 E 1ST ST TENANT NBR APRIA HEALTHCARE CONTRACTOR AIR FLO HEATING CO INC OWNER EDNA G PETERSEN PARCEL 06 30 00 6 2 0200 0000 APPL NUMBER 09 00000701 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS L ME99 01 11/13/09 Lc.. SUBDIV MECHANICAL FINAL TIME 01 00 November 12 2009 4 04 44 PM 1pangrle ELLEN 683 3901 MECHANICAL FINAL HEAT PUMP AT APRIA HEALTHCARE AFTERNOON INSPECTION COMMENTS AND NOTES PHONE (360) 683 3901 PHONE (360) 417 0995 PAGE 3 DATE 11/13/09 Oef tSo ACC-ta •‘wk ecustakstel-g_ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000701 Application pin number 391710 Property Address 1026 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 6 2 0200 0000 Tenant nbr name APRIA HEALTHCARE Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 10116 Application desc INSTALL 5 TON HEAT PUMP Owner Contractor EDNA G PETERSEN AIR FLO HEATING CO INC PO BOX 1718 221 W CEDAR PORT ANGELES WA 983620087 SEQUIM WA 986^.,2 (360) 417 0995 (360) 683 3901 Permit MECHANICAL PERMIT Additional desc INSTALL 5 TON HEAT PUMP Permit pin number 150151 Permit Fee 64 80 Plan Check Fee 00 Issue Date 7/15/09 Valuation 0 Expiration Date 1 /11 /10 Qty Unit Charge Per 1 00 14 8000 EA Fee summary Charged T:FormsBuilding Division/Building Permit BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited Date 7/15/09 Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 Extension 50 00 14 80 Fnaled Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work 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. /hilee *k,JV Date Print Name Sign re of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By I 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only T -Bar INSULATION. Slab Wall Floor! Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney 7- (O Commercial Hood Ducts I FINAL Date F/ MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY! USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted byZ Date Accepted By Applicant or Agent tt t F u t 7 t' E 1 Owner �D�l P e S E a..SG,4 Owner's Address 0 I Contractor /Engineer pittk F Lv Contractor /Engineer's Address a3 a vj License F L -r PROJECT ADDRESS AA. Parcel Number Project Tope &.Brief Description. Residential ifcCommercial Check all that apply New Construction o Addition Remodel Repair o Re -roof o Demolition Sign Heat System Other Floor Areas Existing. ft) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. T Lot size 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 have read and completed this application and know it to be true and correct. I am authorize understand that it is my responsibility to determine what permits are required, and projects. Date 1 is Print Name Ltk i kt &t- R5 Signature T:Forms /Building ivision/Bldg Permit Appt. -2006 Code.doc 2 d 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 wall mounted a projecting o freestanding o awning Total sign area so. ft. Maximum allowed sign area sq. ft. Heat pump wood- burning stove gas fireplace pellet stove other ILSE EB9 096 l�l Phone lat 3 -390 Phone `151- bit 0 0- cap- 938q Ar N lQ c. E S vJ A A11'5 1 'a- °'tn1 Phone '3 too 6% 3 3`t "o1 �R. Sr" 6 e.Q Uk vJ Pt Expires KET LQ kr_ tom. L t K t:'• a 1.1 1c „LLti� Z "Ted L. �A, y�. E COQ Q Lot O 1A e1I A For City Use Onl Date Received_”? 09 Permit #_Q9 Date Approved A /Drra, I Peet l Vh Cave Multi- family per sq ft. TOTAL VALUATION I O t I o 00 sq ft. Lot coverage of bedrooms of full baths of half baths Industrial Zoning 0 other to apply for this permit and m_its prior to working on WALE 8 6002 Si InC Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Circuits for roof top ac unit Owner Contractor PETERSEN EDNA G PO BOX 1718 PORT ANGELES Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983620087 Permit ELECTRICAL HEATPUMP Additional desc Permit pin number 151340 Permit Fee 57 50 Plan Check Fee Issue Date 8/10/09 Valuation Expiration Date 2/06/10 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 57 50 00 57 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000794 116476 1026 E 1ST ST 06 30 00 6 2 0200 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Paid Credited 57 50 00 57 50 DATE it )a 4i7- /og 00 00 00 Date 8/10/09 WA 98362 4:57_ 27bc Due RESULTS 00 00 00 00 0 Extension 57 50 Signature of owner or Electrical Contractor X Date INSPECTOR. a 08/08/2009 12 42 FAX 360 452 9265 City. of Port Angeles Permit Application Sulking' Dlv7tioNENetrkal Inspections 321 LestPdtlr8treet- R.O..Box 1158 Pori Iingeles.Waihitipton,98382 Ph :{380)4174735Fax:(360)417.4711 Date: t&2.Single Family Dwelling i -family or Commercial' ommercial:Addition Alteration 1 Remodel /Repair 'Plan Review May Be Required, Please Complete Eletl Plan Review Information Sheet .Job Address: /A 4 if, Building .Square Footage: ,e4 X Description of above Owner Inform on Name: 4 Mailing Address: 7 A/ L" City pet._ State: _M" Zip: Phone: IA, -rgit License It/ Exp. Unit Charge 93.75 $113.75 $160.00 $205.00 8291.25 2.00 57.50 2.00 72.50 86.25 5116.25 5131.25 75.00 69.00 75.00 50.00 $50.00 93.75 80.00 86.25 S 27.50 57.50- 86.25 43.75 9tl EFIOZ ARUM/ED AUG 10 2009 ELECTRICAL INSPECTIONS w Contractor Information Name: Mailing Add s: ri202— City State: Z Zip: Phone: '/62. 24 License Exp._46 4 Total tcaty Multiplied by Unit Chara Service/Feeder 200 Amp. Service/Feeder 201.400 Amp. Service/Feeder401-600 Amp. Service/Feeder 601.1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder 47 Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service,/ Feeder 200 Amp. Temp. ServicelFeeder 201 -400 Amp. Temp. Service/Feeder 401-600 Amp. '5 Temp. Service/Feeder 601 -1000 Amp. Portal to.Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit) Limited Energy 1 2 Family Dwelling Signal Circuit/ Umited'Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat al0001 /0091 4 Owner as defined b y RCW /9.28.261: 1 O w n e r w i l l o c c u p y the s t r u c t u r e f o r two y e a h a f t e r t h i s e l e c t r i c a l p a r e d I s N n a l l e d 2 h e e b y i s r e q u i r e d t o hire an- ekctrical contracto if +hove said property is for ask reiht of lease. After reading the above statement, I hereby certify that I am the owner of the above named property or alicensed ekeblcal.contractor.i am nialpng t heeledrical installationor-alteration in Compliance with the elect icatiaWs; N.E.C:, RCW. Chapter 1928, WAC. Chapter 296.468, The City of Port Angeles Municipal Code; and UtlUty Spedficatf ns. Signature of owner, olectiicai contractor or electrical administrator Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 5ton HP Furnace No load change Owner PETERSEN EDNA G PO BOX 1718 PORT ANGELES WA 983620087 Permit ELECTRICAL Additional desc Permit pin number 150102 Permit Fee 43 75 Issue Date 7/15/09 Expiration Date 1 /11 /10 Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 43 75 00 43 75 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000696 024456 1026 E 1ST ST 06 30 00 6 2 0200 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 ALTER COMMERCIAL Paid Credited 43 75 00 00 00 43 75 00 DATE. Contractor AIR FLO HEATING CO INC 221 W CEDAR SEQUIM (360) 683 3901 Plan Check Fee Valuation ekt (09 AV U/2, l09 Date 7/15/09 WA 98382 3971 RESULTS 00 0 Extension 43 75 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. Jul 14 2009 10 10AM AIR FLO City of Port Angeles Permit Application Building Divisio IElectrical Inspections 321 East Fifth Street —P.O. Box 1150 Port Argetes Washington, 98362 Ph: (360) 417.4735 Fa:c (360) 417.4711 Date: 1 1 2 Single Family Dwelling Multi-Family or Commercial' Commercial Addition /Alteration /.Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: l a \R5'f R IE. IF'S V.1151 5 Building Square Footage: Description of above tJa L0.113 fi'O tit Name: Information I 'DO 4 ''E. S Mailing Address. b X t" t 1 City: it C. SState: k Zip G 35, 3 Phone: ?j faL 'tr= r' License Exp. Unit Charoe 93.75 $113.75 $160.00 5205.00 5291.25 2.00 57.50 2.00 72.50 86.25 .5116.25 5131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Owner as defined by RCW.19.28.281 (1) Owner will occcW the structure for two rears after this electrical permit is Mated. (2) Owner is required to hire an electrical contractor if above said properly is for sale, rant or lease. After reading the above statement, I hereby certify that t am the owner of the above named property or a licensed electrical contractor 1 am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. SlonaWrs of owner electrical contractor or electrical administrator Date: 9b( 1 010011 0 603 3971 iJUL 4 ,lily EL IRICAL INSiltiONs Total (Qtv Multiplied by Unit Ch c e Service/Feeder 200 Amp. Service/Feeder 201 400 Amp. Service/Feeder 401 -600 Amp. ServioelFeeder 601 1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Cirwlt Temp. Service/ Feeder 200 Amp. Temp, Service/Feeder 201.400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. Service/Feeder 601 1000 Amp. P.ortat to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection RenewableElectrical Energy 5K VA System or Lass First 1300 Square Ft: Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat .$2.41.1 i Total Ac 0/ WiAZ I »C Contractor Information Name: PrtQr Lf) 4tJ(- Mailing Address: 1 b --e '.47 City E Q t) t 1J` State: N1 IQ+ rip: 'S Phone: '�thj) 122 3 -4 'sc‘ License Exp. R t R FL-14- 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 Overhead fiber from(1026 E 1st to Washington St Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Fee summary Permit Fee Total Plan Check Total Grand Total WA 983620217 RIGHT OF WAY OVERHEAD FIBER IN ALLEY 138370 70 00 Plan Check Fee 00 11/26/08 Valuation 0 5/25/09 Per Charged 70 00 00 70 00 BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES WA 98362 08 00001480 293480 1000 E 1 2 ALY R6 30 00 0 0 0000 0000 CAPACITY PROVISIONING PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER Paid Credited 70 00 00 00 00 70 00 00 Date 11/26/08 Due Extension 70 00 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 \Policies \1102 15 [10/08] CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION INSPECTION TYPE DATE ACCEPTED PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T ,Policies \1102 15 [10/081 RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES 1 NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Addr~ss ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000906 Date 1026 E 1ST ST 06-30-00-6-2-0200-0000- COMM REMODEL 9/25/03 15000 Owner Contractor PETERSEN EDNA G PO BOX 1718 PORT ANGELES OWNER WA 983620087 Structure Information Construction Type . . . . Occupancy Type . . . . . INTERIOR REMODEL TYPE V NON-RATED BUSlNESS:OFF/PRO/MED!REST Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL 75.00 9/25/03 3/24/04. plan Check Fee valuation .00 o "- ~ ).." ~ Qty Unit Charge 1.00 59.4000 3.00 5.2000 Per ECH EL-COMM ALT <5 CIRCUITS ECH EL-COMM ALT-ADDTNL CIRCUITS Extension 59.40 15.60 Other Feel? STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 79.50 79.50 .00 .00 ~ \' ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and v_oid if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of J 80 days after the work as commenced, or ifrequired inspections have not been requested within 180 days from the last ! inspection. 'hereby certify that! 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 locanaw'regulating construction or the performance of construction. .' Signature of Contractor or AuthorizedAgent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 (412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDEA MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, IrySULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SlTE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TIQN DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I I PUJMRlNG - UNDER fLOOR I SLAB ROUGII-IN WATER LINE GAS LINE BACK l'LOW !WATER AIR SEAL . WALLS CEILING FRAMING JOISTS I GIRDERS SnEAR WALL WALLS I ROOF I CEILING DRYWALL T-llAR INSULATION SLAB I I WALL I FLOOR I CEILING I I MECHANICAL -- I-IEA T PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS row UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT /I's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING I>EI'T. SEPARATE PERMIT II's SEPA: PARKINGfLlGHTlNG ESA: LANnSCAPING SHORELINE: FINAL INSPECTIONS REQumED PRIOR TO OCCUPANCY/USE RESIl1ENTIAL OATF. YES NO COMMERCIAL DATE ACCEVTEO YES NO ELECTRICAL - LlG~1T DEPT. 4]7-4735 9,;]. ~DJ LfJ ELECTR]CAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 4]7-4807 PW / ENGINEERING FIRE 4]7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4R15 BUILDING T:\PLANNING\FORMS\II02.15 [4/2002J . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: ~ '~ tI PERMIT NO '/t/70 / / /J/?( , DATE o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS ~;,,-, . ~ .'1/1 . Ctf{l:lA...aJ!.C(f}:.'!..a.- W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection 0. K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. --r!hlj"rl II /1 Installer: New Meters i-u . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ Electrical Inspector WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC_ Permit/Receipt No. '1(70 &ei ,-2 f) -- Permit Fee GREEN - Top: Meier Dept., Bottom: City Hall " . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: --- PERMIT NO. <710 7r? y,/zt-/fs , DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL 1xl COMMERCIAL r[j BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL -g ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS /fA chjLJ;S) CIA ~~ ~ I ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O. K. to connect service ;fPI^~ Final O.K. Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ Ele tricallnspector Site Address: /O~(P E. IJ (cf I.I Installer: c9l..S WI WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. New Meters --- O~ 62 Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall '.. \ ELECTRICAL PERMIT CITY OF PORT ANGELES LIGHT DEPARTMENT Site Address: -d: Installed By: c...' j ro.-.. c Owner/Business: Owner/Business Address: o Residential Heat KW o Baseboard if Furnace/Boiler lB1-ieatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~d/alter circuits o Auxiliary power (list below) 'U Special equipment (list below) .\ DetailslDescription: /?-""'N/;'JAc. rc. /,,,,, .f'cA '/',,-AJ 4./("1": ~J r.; a' ('<< ,r r..r . C;O ~'l "c~-,c.L;-;t' ~r1 /l.....4 .-/2d' /Ye,,___/ ,. PERMIT NO. c;;J / () 5 '3 /d 0/ /f'''J I ' DATE o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. ~erhead o Underground Voltage o 1.0' 03.0' Service size o Temporary Amps //J ~UJ .~ '// h".raA 4 -.<: Ik:i Size Comments Date Hold for: 0 Easement 0 Letter W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~aio.K. o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Pian Review approved/pending Site Address: 02G- [ /if c-l...u Installer: t"-- Permit/Receipt No. Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / ,. ,,-to ~. , / i l~spector A~oun; P~id WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall .' OLYMPIC PRINTERS, INC. ~,. CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. I 70 ( ? - zS:- -3'1 . ELECTRICAL PERMIT DATE Site Address: . Installed By: Owner/Business: Owner/Business Address: o READY FOR INSPECTION License Number: WI LL CALL FOR NSPECTION Phone: Phone: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other ir90mmercialllndustrial load ! Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ,5'Add/alter circuits o Auxiiiary power (list below) o Special equipment (list below) DetailslDescription: Overhead o nderground Volt e o 1/21 D3.l2J Service siz o Temporary Amps A 11> 'T'A-'L TAlc,TIfLL of- IJ 7t!f(( f. fJf.w C/t..( V ITJ V\.J 1'7}I f0~ Lv OuTL€- f"5 . r Date I LeitE I I W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. I] O.K. to connect service A Final O.K. ~ Site Address; {. fltf.J r [bcM/L. Ozt, ~(uu{?YII Installer: Hold for: 0 Easement 0 o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending ) PermitfReceipt No. 7 (j ( Date: 5'"- zs--'8t Notify the Department 01 City Lighl by Street Address and Permit Number when ready lor inspection. Worf must not be covered or electrically energized before inspection and O.K. lor covering or service has been giver by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 45J11. EXT. 158 or EXT. 224 1ll' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / &~ . [., peetor I 'Amount paId I WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City H' I ~. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/06/2001 PERMIT NO: 13075 OWNER/APPLICANT PROPERTY LOCATION 1026 1ST ST E EDNA PETTERSEN 217 N LAUREL Lot: 15-20 Port Angeles, WA 98362 Block: 128 [] Long Legal 360/457-6400 Subdivision: WD MORRIS T:SUITE 2 S: Parcel No: 063000620200000 CONTRACTOR ARCHITECT MILLER SIGNS N/A 1190 CARLSBURG RD. SEQUIM, WA 98382-0000 , 98360-0000 360/683-6790 360/000-0000 PROJECT INFO Project Value: $515.00 SFD Units: 0 Commercial: 0 Project Type: SIGN/WALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL 21.66 SQ. FT. WALL MOUNTED SIGN FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $30.00 TOTAL FEE: $30.00 Plumbing: $0.00 AMOUNT PAID: $30.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits ara raquirad for electrical work, SEPA, Shoraline, ESA, utilities, pdvate and public improvements. This permit becoroes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work as commenced, or if raquired 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 corract. All provisions el laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presuroe to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature o'S'f "Go'tractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOT1CE. ITIS UNL,4WFUL TO COVER, INSULqTE OR CONCE, qL /INY WORK BEFORE INSPECTED .4ND .4CCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. INSPECTION TYPE DATE [ ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILFNG MECHANICAL HEAT PUMP WOODSTOVE ! PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPAKATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGFNEERING 417-4807 PW / ENGINEERING FIRE 417~653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUiLDiNG -9-0-'O3 d.L. BUILOn G C:\APPL.WPD CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5Ttl STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 3/05/2002 PERMIT NO 7561 OWNER/APPLICANT PROPERTY LOCATION EDNA PETTERSEN 1026 1ST ST E 217 N LAUREL Lot: 15-20 Port Angeles, WA 98362 Block: 128 [] Long Legal 360/457-6400 Subdivision: WD MORRIS T: S: Parcel No: 063000620200000 CONTRACTOR ARCHITECT OLYMPIC ELECTRIC N/A 4230 TUMWATER PORT ANGELES, WA 98362 , 98360-0000 360/457-5303 360/000-0000 PROJECT INFO Project Type: COML. MISC. Project Value: $0.00 Occupancy Type: Construction Type: FEEDER Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 0 Feeder Size: 100 PROJECT NOTES 100 a. feeder for heat pump unit and recepticle on roof. FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: feeder $74.30 TOTAL FEE: $74.30 AMOUNT PAID: $74.30 BALANCE DUE $0.00 ('OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE '"~ 9~,~3 / DITCH ROUGH-IN / COVER SERVICE FINAL [ ,'~/.?~ ~ 1~7~l GENERAL COMMENTS: CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~/~ (phone, person) Date ~ -~--(~'~ Time Received by Location of Work to be inspected /'~)~ ~=~ ~- Name of person requesting inspection ~<~[ <~.~,~,o~vt~ Address of person requesting inspection Ph0~ne No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Sewer Excav. Other INSPECTION NOTE~: I , , Inspected: Date ic~) ~ I~ ~ Time Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) FOR OFFICIAL USE ONLY: BUILDING PERMIT- APPLICATION ~'~': ]P~m~it #: D~ ~: ~ T~ Building P~it - P~-~pl~a~on ~t be f~d out co~lete~. ~ ~: Pi~e ~ or print in in~ ffyou have any qu~tio~, plea~ ~H 417-4815 Applic~t ~or Ag~t: /~'/f C~// Phone: ~7 Phon : Ad.ess: .//~ 5~a~a*~E~ ~ Ci~: ~/~ ,, ~? Zip: ~t~n~: Phone: Con tor Ad.ss: ~'~ Ci~:. Zip: Pao~~ss: /O2a~ / ~T -~a"~e -~ zoo9: L~GAL ~C~ON: L~: / ~- ~ ~ ~ock: ~ ~ ~ Su~i~: ~ ~. ~F~ ~ C~ COU~ P~CRL ~R~~ ~it Ca~ HoMer Name. B~ Addms: Ci~: C~it Ca~ g:. gxp. ~a~: ~~ MC ~ OF WO~: S~UA~ON: ~ ~sidm~ a N~ Con~. ~ Re-roof u Woo~to~ SF. ~ $ /SF. = $ ~ Mul~-~y a Ad~ ~ Mow ~ G~e SF. ~ $ /SF. = $ a Co~ ~ ~odel a ~oli~ a D~k SF. ~ $ ~F. = $ a ~ ~ si~ ~ TOT~ V~UA~ON $. 5'/ B~F DES~ON OF ~E PR~: ~ I ,~ CO~R~S~: ~u~ ~up: O~up~t ~d~ Co~ No. 0f St~e~ ~ L~S~: % ~t CorSe: % Exis~g Lot Corse: /~. ~. + ~sed L~ Covia: : ~ /~. ~::~ T~ LOT CO~GE: ~ ~ ~ /sq.fl P~G uSE O~Y: ~PROV~: PL~ Not~: BL~. / ' DPW. ES~s): D Yes ~ No SEPA ~t ~7 ~ Y~ u No ~: ~.. B~ld~ Divisi~ ~ ~de you w~ mo~ dmil~ ~f~afi~ on ~e app~on ~d pl~ ~i~ ~. B~G Fg~ ~PLICA~ON S~: Yo~ compl~d a~ofio~ s~ pl~ (f~ addifi~) ~d bu~g co~ p~ ~ to be submi~ m ~ Buil~g ~ion. V~UA~O~ OF ~NS~UL-YION: ~ ~ ~ a v&oa ~o~t m~ ~ ~ by ~ ~C ~ fi~ ~ ~ ~ew~ ~d ~y ~re~s~by~e Build~gDiv. to complywi~c~,=at f~ ~he~l~. ~n~&eP~it ~torat417~815 for ~si~. P~ C~ ~E: Yo~ pl~ ch~ f~ ~ ~e at &e ~e &e ~g ~ ~p~ ~d ~ pl~ ~'submi~. pe~it fees ~e due at &e ~e of p~it ~su~ce. E~TION OF PL~ ~W: If no ~t is issued wi~ 180 da~ of ~e ~te of ~cafion, ~ app~on w~ exp~e I~it~ons. ~e Bu~g O~ci~ ~ e~md &e ~e for ~on by ~e a~lic~t up to 180 da~, ~ ~ ~qu~t by &e ~lic~t (see Semion 107.4 0f &e U~fo~ Bulldog Code, ~t ~i~on}. No applicafi~ c~ ~ extruded more &~ once. I ~by c~ t~ I ~e re~ ~d ~ined th~ applic~ion ~d ~ow the same to be ~e ~d co~t, ~ I am ~thor~ed to ~p~for th~ pe~it. I u~st~ it ~ not t~ Ci~ leg~ r~po~ibili~ to dete~i~ wh~ permits ~e ~u~ed; it ~ai~ the applicant~ r~po~ibiH~ to dete~ine w~ pe~its ~e required ~d to obtain such. CITY OF PORT ANGELES P~LIC WO~S B~D~G DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/28/2001 PERMIT NO: 13158 OWNER/APPLICANT PROPERTY LOCATION 1026 1ST ST E EDNA PETTERSEN 217 N LAUREL Lot: 15-20 Port Angeles, WA 98362 Block: 128 [] Long Legal 360/457-6400 Subdivision: WD MORRIS T: S: Parcel No: 063000620200000 CONTRACTOR ARCHITECT RANDY HOCH CONSTRUCTION N/A 379 BENSON RD PORT ANGELES, WA 98363-0000 , 98360-0000 360/452-6901 360/000-0000 PROJECT INFO Project Value: $4,000.00 SFD Units: 0 Commercial: 0 Project Type: INT. REMODEL SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 ~-. Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD INTERIOR WALLS TO FORM ADDITIONAL OFFICE SPACE \~, FEES ASSESSMENT Building Permit: $97.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $101.75 Plumbing: $0.00 AMOUNT PAID: $0.00 Mechanicah $0.00 BALANCE DUE: $101.75 Radon: $0.00 Separate Permits are required for electrical work, S EPA, 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. 1 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 previsions of any state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Date ~Signature of ~wner (if owner is builder) '/ D/ate BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE [ DATE I ACCEPTED COMMENT~ YES I NO FOUNDATION: WALLS/ROOF/CEILING I-/~--O?-- PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 417-4815 BUILDING r FOR OFFICIAL USE ONLy: BUILDING PERMIT- APPLICATION P~ ~ or p~t h ~ ff~e ny quH~ns, p~ nH 417~81S ~i J,~ ~ P~L ~ER:, ~it Ca~ HoMer Nnm~ o ~fi-~ o A~ o Mov0 o O~ SF. ~ $ ~F.- S o C~m~ ~el o ~oUfi~ o ~ SF. ~ $ ~F. ~ $ ~ROV~: P~ D~ E~s):oY~uNo S~A~~?o Y~o No ~ BUH.F)ING l'F,!~ APPLICATION SUBMrI-I'AL: You~ completed application, site plan (~r additions) mid building cou~ plans nm to be submitted to the Buildins Division. VALUATION OF CONSTRU~-s'ION: In nil cases, a valuation amount must be mtgn~d by the applicant, ~ figure will b~ reviewed and may be revised by thc Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CltgCK FEE: Your pin che~ fee is duo at the time tl~ building permit application and consmmtion plans are 'suhnitt~d. All other p=~mit fees n~ due at ~he ~/me of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the ~t~ of applicalion, this application will expire by limitatiom. The Building Official can extend the time for action by the applic~t up to 180 days, on written request by the applicant (see Section i 07.4 of tho Ualform Building Code, cur~nt edition). No applica~on can be extended more than once. I he. by certij~that I have read and ~xarnined thi~ application and know the same to be. true and correct, andl am authorized to apply for this l~rmit. I understand it ir not the City's legal responsibility to determine what perrnit~ are required; it remain~ the applicant's responsibility to determine what p~lntt$ tire required and to obtain xuq~ /~a / / -2 v- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ! ~' 1 ~c~-- (~-- Time Received by /'~ ~/' (phone, person) Location of Work to be inspected /~)'~ ~, ~- / ~ 7--- Name of person requesting inspection / Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ! Sewer Foundation~-~F'~in~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: · Inspected: Date / - //~ - ~ ~-~ .Time By d Remarks:. RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000906 Date 9/16/03 Property Address ...... 1026 E 1ST ST ASSRSSOR PARCEL NUMBER: 06-30-00-6-2-0200-0000- Application description . . . CO~ REMODEL Subdivision Name ...... Property Zoning ....... Application valuation .... 15000 Owner Contractor ...... Structure Information INTERIOR REMODEL Occupancy Type ...... BUSINESS:OFF/PRO/MED/RRST Additional desc . . .................................. = Fee summary Charged Paid Credited Due 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 inspection s 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 Sign"~re o(Contract/~or Authorized Agent Date - Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PEKMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24. HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE iNSPECT[ON TYPE DATE [ ACCEPTED COMMENTS YES [ NO FOUNDATION: FOOTINGS WALLS I~OUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g PLUMBING PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ~l ENERGY ~ ENGINEERING POLICE DEPAR17MENT ADMINISTRATION ~l CITY CLERK ~l RISK MANAGEMENT FROM: PUBLIC WORKS/BUILDING DMSION NAME/CONTACT: ~-'~./,~ PHONE: /-Z:5"' ~-- ~ PERMIT NUMBER: PRO, CT DESCRIPTION: ~l NEW CONSTRUCTION .~ ADDITI O/A~ERNAT~'~ON~ COMMENTS/CONDITIONS: ~REVIEW/RETURN ~l FILE FOR OFFICIAL U E ONLY: BUILDINGPERMIT- APPLICATION Date Rec.:.~) ~A ~ ~' Permit #: Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Issued: Architect/En~g~neer: ~M~/~9-~:~/~'~Td3Z,~ ,'7 g:.~ ~ Phone: //~- Con~actor~dL/~)a~' State ~cense ~: Exp~Z~,?~ ,Phone: Address: Ci~: Zip: LEG~ DESC~TION: Lot: Block: Subdivision: CL~L~ CO~ P~CEL ~ER: Credit Card Holder Name: Billing Address: City:. Credit CardType VISA MC __ # Exp. Date: TYPE OF WORK: SIZE/VALUATION: [] Residential [] New Constr. [] Re-roof [] Stove SF. ~ $ /SF. = $. m.Multi-family rna, Addition [] Move [] Garage SF.~$ /SF.=$ ,~Commercial ~ll[,Remodel [] Demolition [] Deck SF. @ $ /SF. = $ [] Repair [] Sign _,D Other · TOTAL yALUATION C;MMERCI~/REdIDEN'~IAI~: Occupancy G-roup:t / Occupant L~d: Con~tmction Type5 ' No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. -- TOTAL Sq. Ft. Existing lot coverage __ % & Proposed lot coverage % = Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: __ BLDG: DPWU: ESA/Wefland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 10T4 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are r~quir~d ,not t~at I must obtain such permits prior to work. ,~' --/,~ -r'~: s.t.~-;,,;l" \ ~/t 1,,1" FII'ClliCi\l PerIl IiI Aop/iC<11ien !!lY~~~lU!f'.E1 out complelelY: , '- P1c;ose Iyr>e or reprinl In Ink. If you have any qU~:'>ljons. please.coll (360. 417--4735 Fax ,.umh~f: (360) 417-4711 OW/leI 01 Elec. COr)lrC\cfo!' ft.genl:--..l'iNGELES-..ELEC.:r:'H J C. r-'ropeI190wner: ~J JIlt! 9e..krSOJ-i /O~.. Ea Is:-!- Adclless: ~ ~ REQUEST INSPECTION lNC- Phone:4,)7-'I7(,4 Fa>: 4'i7-'l7!;'i PIlone: LI-.S 7. - {p 1/ f} 0 Q7C'~../r) Zip: r.' '-....~.,.r.., C;ly: \~ -J.. (~/I' t'. ,., '....dr, n ~ (/\ <.::.~. c'::: ' lINGELd 4 GORS UCf!rtSQ II; Exp; Phone: ..4 t::;?_tl7Iid EI<?Cllical Conl!'8clor: Address: 524 EAST FIRST ANGELES ELECT/lIC INC. INSTALLA nON WIRED BY: f..IOWNEfl Cily:---f.QpT ANGELES, WA :Ii: x:I.ECTRICAL CONT AIICTDfl Zip:38362 Credit Card Holder Name:---Ip<l "i mps.on Billing Address: City:' Zip: Credit Card Number: Exp, Date: VISA:_MC:_ PROJECT ADDRESS: /L?ou;; L J!i:!: TYPE OF WORK: Check alllhat apply: [JNew )Q Alleration/Addition o Residental 0 Multi-family )i1( Commercia! 0 Mobile Home Sq. Ft. Number of Circuils added or allered: o Remote Meier 0 DetaChed garage 0 Hal Tub 0 Swim Pool 0 Septic Pump 0 Low Vollage 0 Telecom, 0 Sign DESCRIPTION OF THE ELECTRICAL PROJECT: 5;d., 'E'rt--r-enc , ~J..P WiD del n n (:'h [)~7 h<?r<; {)(f,ce- :::;[; 'GCe , C ) ('0-./', b o Baseboard :J Furnace :J Heal Pump :J Fan-Wall _KW _KW _KW _KW . ~(o 11'( Service Informalion Eleelrical Heal Load Addilions o Overhead Service OTemp Service LJ Underground Service Vollage: Phase: 0 1 0 3 Service Size: ' Feeder Size: :lAMe 14.05.060(B): F~r industrIal. commercial, &. residential projecls larger than a duplex, a one _ line drawing of the Eleclrical Service & =eeders. building size (sQ. ft.), load calc:Jlalions. and lh~ Iype & of conduClors and/or rac@wayis required and shall accompstJy !he =Iectrical Permit application. 'IJereby certify that I have read and examined this application and know that same to be true and correct, 'and I am luthorized to apply for this permit, I understand it is not/he City's legal responsibility to determine what permits j(e required; it remains the applicants responsibility to'determine what permits are required and to obtain such. 9/,&7f:> 'W-9019 I It (- fJ6 ~,,((,d '1~Ut_C.5'0f7L1~!,!3)( ~-. 'Z-oJ 61<- A-z., (7, - 1k~ Jk. Credit Card Holder's Signalure: ~'l~ r ":\:r r\ J ~ Dale: II 'J^! 0 3 Owner or EII!e. ConI. Signature: Dale: 61'3 C,{(C ~"- C l'd ~- /i11-z../o~ .hMtk- \ ~/. S9G6 GSV 09E ~Nr-5I~~~3l3 S3l38Nv NO~~ .$ ry5~ ~W8E' l l E0G-GG-6 Crry mi, Palli"ll, ANGELIKS Bitilding MvkilonfElectvical Inspections 321 Eniffifth Stff'evt — 11.0. Box 11.501 Vort Angeles Wk1S1Lk1AgtGF1, 98362 .111ay (360) 4.174735 Fax. (360) 4174711 Date: 4-3-21D 15 11 Muffi-Family ofCornmerciall * Plan Review May Be Required, Please Complete Electrical Plan Review hilbrination Sheet J611) Ad&ess: 1026 East -; m Bj'!j'V Sqmre oeicr,jton of above_ Instail firp plarm aiA d.iu1ribujtpd audio. All wirinq . . . .... ....... . ..... . .. ... Owner I nformatlon ... ........ ..... .. ..... . Contractior information Name: rallatirus SpfjrN Bar ... .... Name: . ?hOM Addfa5s: 1026 Ea�kl Is[ St. ... .. hia-fNAddr = 723 Engl Front St Co: P-'PLL&QrALi M362- Slate 'WA Z!g -P :Qjjo�L - - _. _Eja�4 62 ,N-04774274- rm.i w. 152, Phmo-452 ZZL_ Nn: . ...... . Umm- e i Exa.--' HITECTS955BS Item U n It qh%m Ch TQtaLaf"M Ul �lqd by Unit Cheir e So NteiFoedef 200 Amp, S 132.00 .... ............. Setviwif`eedei 201 -400 Amp, $160.00 . ........ ... Seivk,,efFeedaf 401-600 knp $225,00 . ...... - 5ervirFFeed r 69't 100,0 Amp. $288.00 Se;Yt0Fesdof over IWO Mp $ 40.00 l3fanch Gmuil Wi SoMos Faedef 5.00 l3fanch Cirajil, Wro si�rvloa Fdadet 74.60 EacbAddlioiiai Btamt Circuil 5.00 Bmflob Circuits 1.4 86.00 Temp. Swv&4 Feedv 200 Amp. $102.00 Tamp. Sophm,'Foadot201-400 Amp, $121,00 Tamp. Sears sFrecler401 -600 Amp. 164.00 Temp, Swvk,VFeWer 601 - 1000 Amp . 185.00 PO4'al 10 Portal burl)/ $ 96.00 *IiiDultne Lighting $ 88,00 S nq3 CocuiY Lirriited Enwgy - Muki-Family $ 64.00 8inji Cxu&' Limited ErLuTqy I First Mllsf - Commewal $ 96.00 We, $5.00 f0t each add i rel 1500 51 Rene�vaha Eleclkd Eflergy - 5)(VA System of Less $113.00 Thermostat $ 56.00 Me: $5.00 for anh acldi[kmal T-81al Owrier as ftfined by RCV1,19.28,261: (1) OWMF will =UPY the Structure, for [via ySars after this electrical pormil is linalizzid. (2) Owner is required to hire an electrical a)ntfadot if above said property Is for sale, rent or lease, Permit expires after six months of last iligpedion, After readipq the agave 3ta ternen 1, 1 hemby corli F that I am the owria r of the abvie namBd:p roparty or a I ivansed. electrical contracto r. I am mak ing the electrical installation or alteration in com pliance wi Ili the a lectrica I laves, N E, C., R GIV. Chapter 19.28, WAG. Chapter 29&46 B, The City of Purl Argil MunidpalCodb, aM Uillb/ Specifeatibns arKI PAS C 14,05.050 reprding Electrical Permit Applications,. Signature of owner, electrical Mnttactororelectftal administrator-. C r.1sh 0 Vwck Q X Mike Shirley :Dattd: 4?X2015 http:// www. pdfescape. com /open/RadPdf.axd ?rt=c &dk- 04324A I 6ff1\W00g ScRuCPbHMnJyOK... 4/3/2015 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . 15- 00000338 Date 4/07/15 Application pin number . . , 079938 Property Address 1026 E 1ST ST ASSESSOR PARCEL NUMBER; 06-30-00-6-2-0200-0000- Application type description ELECTRICAL ONLY subdivision Name Property Use Property Zoning , . , , , , , COMMERCIAL ARTERIAL Application valuation , . , , 0 Application desc Alarm & Audio connections ---------------------------------------------------------------------------- Owner Contractor --------- --------- - - - - -- ------------------------ PETERSEN EDNA G HS TECH SECURITY INC PO BOX 1718 723 E FRONT ST PORT ANGELES WA 963620087 PORT ANGELES WA 98362 -- -(360) 452 -2727 --------------------------------- - - - - -- ---- - - - - - -- - Permit . . . . , . ELECTRICAL ALTER COMMERCIAL Additional. desc Permit Pee 96.00 Plan Check Fee 00 Issue Date . . , . 4/07/15 Valuation . . . . 0 Expiration Date . . 10/04/15 Qty Unit Charge Per .1.00 96,0000 ECH E Fee summary Charged Permit Fee: Total 96.00 Plan Check Total QO Grand Total 96,00 Extension L- LIMITED 1ST 1500 SQ FT 96.00 Paid Credited Due 96,00 00 00 00 00 00 96,00 00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI4S FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCIIANGI]WILDING 05/11/2015 03:47 FAX 3606139515 HANSON SIGN CO CITY OF PORT ANGELES PEg;mrr APPLICATION Building Dirv$slon/Electricasl Inspections 321 East lqfth. Street — P.O. Box 1150 / Port .Angeles Washington, 98M2 Ph: (360).417-4735 Fax. (364) 417 -4711 Date: Plan Review Ma Be Requital, Please Job Address: O – Sallding Square Footage: Description of above — pi_ S f 1I —)( Multi-Family or Cornmerciar Owner info ation Name., Yl i K Maili Tess City SRate; SQi�_ Zip: Phony; Fax: License # 1 Exp. Electrical Plan Review Information Sheet Item Sere WFeeder 200 Amp. Rakghar ae $132,00 SmiceNeeder201400Amp, $160.00 Service /Feeder, 401.60Q Amp $ 225.00 ServioafF'eader 601 -1000 Amp. $ 2g8.00 S6"icefFeeder over 1000 Amp. $ 490.00 Branch Circuit WI %Vice Feeder $ 5.00 Branch Circuit WiO service Feeder $ 74.Q0 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ R96A0 Temp. Service! Feeder 200 Amp, $10200 Temp. ServicelFeeder 201 -100 Amp, $ 929.00 Temp, Service/Feeder 401.600 Amp. $164.00 Temp, Se vice/Feeder 601 -1000 Amp . $185.00 ftlai to Portal Hourly $ 96.00 Si nlOulone Lighting $ 88.00 Signal CIMAY Limited Energy a Multi - Family $ 6,00 Signal Circuit/ Limited Energy 1 First 1500 sf– Commercial $ 96,00 Note: $5,00 for each additional 1500 si Renewable Electrical Energy - SKVA System ur Less $113.00 Thermostat $ 56.00 Note: $5.00 for eaCh additional T-Slat RECE&E 2115 ','LEURICA1 INE1,N,' Contraelor Information 16 002 i 9hC Total Xft Multi I ed by Unft Cho e $ C) Total ��J Owner as defined by RCW,19,28.261, (1) Owner will occupy the structure for two years altEr this electriical permft is finalized. (2). Owner is required to hire an electrical contractor if ebove 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 afteroon in compliance with the ele&cai laws, N. E.C,, RCW. Chapter 19.211, WA-C'. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.01050 regarding Electrical Penult Applications. Signature of owner, electrical contractor or electrical admiriisiretor: © c82h ❑ Check >X Crodit-Cwd s x oar�ea S 1 2. 01MI2012 t ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . , , . 15- 00000512 Date 5/12/15 Application pin number . . . 340480 "1 Property Address . . . , 1026 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMRFRo 06-30-00-6-2- 0200 - 0000 -- to the City of Port Angeles Application type description ELECTRICAL ONLY Subdivision Name , . . . , , Property Use FINAL Property Zoning . . , . . . COMMERCIAL ARTERIAL Application valuation . . , . 0 Application desc - ----------------------__--------- Signs owner Contractor PETERSEN EDNA G ------------------------ BANSON SIGN Co, Pp BOX 1718 PQ BOX 928 PORT ANGELES WA 983620087 SILVERDALE, WA, SILVERDALE WA 98383 --------------------------------------------------------- (360) 613 -9550 q y -Jl --------- Permit , , . . ELECTRICAL ALTER COMMERCIAL Additional desc ADDITICNAL SIGN Permit Fee 93,00 Plan Check. Fee ,00 19.Sue Date 5/12/15 Valuation 0 Expiration Date 11/08/15 Qty Unit Charge Per Extension BASE FEE 5100 1.00 88,0000 ECH EL -COMM -SIGN 88,00 Fee summary Charged Paid Credited Due - Permit Fee Total 93.00 93.00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 93,00 93100 00 .00 INSPECTION TYPE C� vl DATE: RESULTS: INSPECTOR: "1 REPORT SALES TAX on your excise fax form SERVICE to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date; GAEXCHANGE\BIIILDING INSPECTION TYPE DATE: RESULTS: ELECTRICAL PERMIT DITCI4 CITY OF PORT ANGELES Q 360 -417 -4735 CP Application Number 14- 00001108 Date 1/22/15 Application pin number . . , 137084 FINAL Property Address . , , . . . 1026 E 1ST ST C COMMENTS: ASSESSOR PARCEL NUMBER: 06- 30- 00 -6 -2 -0200 -0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . , . , . . Property Use to the City of Port Angeles Property Zoning , . . . , , COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . , , , 0 . Application desc Altered circuits Owner Contractor ---- ------- ---- --- - - - --- PETERSEN EDNA G ------------------------ EXTRA MILE TECH & ELECT., LLC PO BOX 1718 418 N. RACE ST, PORT ANGELES WA 983620087 PORT ANGELES WA 98362 (360) 457 -5222 Permit , , , . . . ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 290.00 Plan Check Fee QO Tssue Date 9/7.6/14 valuation . . , , 0 Expiration Date 7/21/15 Qty Unit Charge Per Extension 1,OQ 79.0000 ECH .1;L -COMM BRANCH CIR WO/ SIP 74.00 20.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT .100.00 1,00 96:0000 ECH EL- L.IMITED 1ST 1500 SQ ET 96.00 4,00 5.0000 ECH EL -ADDNT LIMITED 1500 SQ BT 20.00 ,Special. Notes and Comments September 16, 2019 8 :49:24 AM Tpeppard, Load calculation required before rough inspection. Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- Pormit Fee Total 290,00 ---- - - - - -- --- - - - - - -- ---- - - - --- 290.00 ,00 .00 Plan Chec}c Total 00 ,00 .00 .00 Grand Total 290 OQ 290.00 ,00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCI4 SERVICE ROUGH -IN FINAL C COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION .s ti Signature of owner or Electrical Contractor X .. G:IEXCHANGEIBUILD1NG Date: RECEIVED. t71 . . . . . . . . . . . . . . . . . . . . CITY OF PORT ANGELES PERff APPLICainm n Building Division/Electrical Inspections j JAN 2 2 ZU15 321 East Fifth Street --P_b. Box 1150 f Port Angeles Washin Ph; (360) 417 -4735 Fax: (360) 417 -4711 Date: °/ Muiti »Family or Commercial* * Plan Reviow May Be R aired, Tease t�Qm Leta E rlcal f'I review information Sheet Jib Add= _ _ f 0 6 ,'tom 1 Stf— , .,,..,, ,P i Budding Square Footage: _ Oescr ptlon of above Z-, j2 eZ J 1Z ea 6 �� 9.- Ayr 0- r Owner In ioan ~ Y-[ s ! � Name:fJ 5& —�� � _ Comntrattnfoation fae M'.,#.+5.,.,..'tr�GFF Maft Address: P . fiJ . 1 Malling Adds: At :7_41 "%�e►C� ��!¢ !� Catq� _P State: Zip i fE' C�� , .. Cily �fw ' e is State. � 7jp: Phane�Fax: Phase: 9 Fax: 5e!r 7 — _ 6 Clause #lPxxp. Lbme# /Exp. gfXrA4M 9 7 [tern Unit_ hangs Total Qtty Multiplied by Unit ChaMg Service/FeMer200Amp. $132.00 $ _ ServiriFeader 201400 Arrp. $160.00 $ SeraioWesder40MOD Amp $ 225.00 aervioelFeeder6D9 -1000 Amp. $ 268.00 Servicaffeeder over 9000 Amp. $410.04 Branch Circuit Wf Service f=eeder $ 5.00. � $ Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit 8 5,00 Branch Circub1 -d $ 86.00 - -- $ Temp, Service! Feeder 200 Amp, $102.00 $ Temp. Service/Feerter 201.400 Amp. $121.00 $ Temp. Servic WF'eeder401.600 Amp. $164.00 $ Temp. Swvir eiFeeder601 -1000 Amp. $18$,00 $ Portal to Portal Hourly $ 96,00 $� Sign/Outllne Lighting $ 86.00 Signal Circuit/ Limited Energy - Multi- Femily $ 64.00 Signal CimulY Limited Energy ! First 1600 sf - Commercial $ 96.00 $ $ . Note: $5.00 for each additional 1500 sf Z ,mod Renewable Electrical Energy - 6i4VA System or Lass $ 913.00 $ y Thermostat $ 66.00 $ Nate: $5,00 for each additional T -Stal p p of $ l Natal Owner as definers by RCW.10,25.261: (1) Owner will occupy the structure for two years after this electrical perrnit 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,, ROW. Chapter 19.28, WAG. Chapter 296.4613, The City of Part Angetes :Municipal Cade, and Utility Specifrcaflons and I AMC 14.05.050 regarding Elecbical Permit Applications. Signature of owner, electrical contractor oretectrical administrator: 0 cast, Q char 0 CreditGardd_ _ mm ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 14- 00001108 Date 1/22/15 Application pin number 137084 Property Address . . . . . . 1026 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-6-2- 0200- -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . , . , Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation . . . . 0 Application desc Altered circuits ---------------------------------------------------------------------------- Owner Contractor PETERSEN EIDNA C EXTRA MILE TECH & ELECT., LLC PO BOX 1718 418 N. RACE ST, PORT ANGELES WA 983620087 PORT ANGELES WA 98362 (360) 457 -5222 ---------------------------------------°°___-------------------------------- Permit , . . . ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 290.00 Plan Check Fee 00 Issue Date 9/16/14 valuation D Expiration Date 7/21/15 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR 410/ S/F 74.00 20.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT .100.00 1100 96.0000 ECH EL- LIMITED 1ST 7.500 SQ FT 96.00 4.00 5,0000 ECH EL -ADDNT LIMITED 1500 SQ FT 20,00 ------°---------------------------------------------------- °__ ° °_----- ___ -_- Special Notes and Comments September 16, 2014 8:49:24 AM Tpeppard. Load calculation required before rough inspection, ------------- - - - - -- ---- - --------__--______--_---------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 290,00 290.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 290.00 290.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date- GAEXCHANGH \BUILD NG QppU97gn, ELECTRICAL INSPECTION d WIRING REPORT 4� 7 -4735 ARKS 6� DAT PERMIT 1h INSPECTOR OWNER CONTRACTOR �! v1--- 5DRESS S APPROVED NOT APPROVED ® .................... DITCH .................... ROUGH IN /COVER ............... ® .................... SERVICE . .... .............. 0 ® .....................FINAL ................... CORRECTIONS NEEDED: �` C I-1 1 Tb 3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS .'. y4°RT,HIN ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED Cl....................DITCH ....................13 ROUGH IN/COVER ............... iJ ............... .....SERVICE................... ® ................ .....FINAL..................... CORRECTIONS NEEDED: ��`A -�G L--1 R4 k _15-7.- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 95 DAYS _.I ?OAT 44,n ELECTRICAL INSPECTION %p WIRING REPORT 417-4735 lr,S� RKS 11 DA3) PERMIT 0 INSPECTOR OWNER CONTRACTOR ADDRESS NOT APPROVED .... DITCH .................... 13 BOUGH IN/COVER ............... 0 .............. SERVICE. ......... 13 ..................... FINAL .................... 0 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ,108y,4M ELECTRICAL INSPECTION WIRING REPORT � 417 -4735 : PEF.iMIT # INSPECTOR y i3 f �dl D OWNER CONTRACTOR Ly L ADDRESS ,�,// In'-2 P -- NOT APPROVED ................... DITCH ..... ........... .... ROUGH IN /COVER ............... � ............... .....SERVICE................... 0, FINAL .................... ,f QOPRECTIONS NEEDED: LAa- r &yxa K ,!�q NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE - ccjj f � 0 4%, ELECTRICAL INSPECTION WIRING REPORT RKS & 417-4735 DATE: PERMIT N INSPECTOR I - , �6 OWNS CONTRACTOR ADDFirSS QT,Jool--X Zrolff�r ❑ .................... DITCH ....... ............ 1:1 IN /COVER ............... ❑ ❑ .................... SERVICE ..... ............. ❑ cl......... . , . . . . 4NAL ............ .... L . - El CORRECTIONS NEEDED: e) hA 4?�Et4E- tLI yz, c— f5—; NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL INSPECTION WIRING REPORT -4735 17 ;?K9 4 DATE: Tq RMIT # INSPFCTO I (4 11-7 -I :�Rd2 OW[4E�4 CONTRACTOR A ADDRESS APPROVED NOT APPROVED ................... . DITCH .................... o ROUGH IN/COVER ............... 0 ❑ .......... ......... SERVICE... ........... ... 1:1 0 ................... .. FINAL .... ............... 0 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS -- � a 0,11 kTA FaffAm ,*I? OR T 4,,, Ao 0 ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE 11 CONTRACTon APPROVED NOT APPROVED ......... ...... IDITCH, . ............... ROUGH IN/COVER ............... 0 SERVICE ................... 11 i- ........... ... FINAL ........ ........... ❑ CORRECTIONS NEEDED: S;;2, A3p-sr-,2- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , , , , 14- 00001106 Date 9/16/14 Application pin number . . . 137084 DITCH Property Address . . , . 1026 E 1ST ST ASSESSOR PARCEL NUP4BER; 06-30-00-6-2- 0200 -000D- Application type description ELECTRICAL ONLY Subdivision Name . . . . , . Property Use . , . . , . . . FINAL Property Zoning , . COMMERCIAL ARTERIAL Application valuation 0 ------------------------------------------ App]ication desc - --------------------------------- Altered circuits Owner Contractor PETERSEN EDNA G EXTRA MILE TECH & ELECT., LLC �)0 BOX 1718 418 N. RACE ST. PORT ANGELES WA 983620087 PORT ANGELES WA 98362 (360) 457 -5222 Permit . , . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee 174.00 Plan Check Fee 00 Tssue Date 9/16/14 Valuation , . , , 0 .Expiration Date 3/15/15 Qty Unit Charge Per Extension 1100 74,0000 ECH EL -COMM BRANCH CIR WO/ S/F 74,00 20,00 510000 ECH EL -ECH ADDNT BRANCH CIRCUIT 100,00 Special Notes and Comments September 16, 2014 8 :49:24 AM Tpeppard, Load calculation required before rough inspection, Fee summary Charged Paid Credited Due ----------- - - - --- ---- -- - - -- Permit Fee Total 174,00 ---- - - - - -- ---- - - - - -- 174.00 OD -- -- - -- - -- 00. Plan Checic Total .00 .00 .OD .00 Grand Total 174.00 174.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Corse 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION y Signature of owner or Electrical Contractor X Date: GAIEXCHANGMBUILDING r C� RECEIVED CITY OF PORT ANGELES PERMIT APPLIi:ATION Building Division/Mectrical Inspections a � � �� 12 2014 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Pia: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL -Multi-Family or Commercial* 'Plan Review May Be Required, Teas Complete Electrical Plan Review Information Sheet JobAddims: I &�Z :Building Square Footage: Descripilon of above Owner 10mmquon Contrac r Infanmatio n Name & A w -, Names �� f'- Le IF^ Z! t tGG� t4lOM Address: / e> aP 6 A �_ 5.'-4-, Mailing Address: n.�•t- �� 5Trt 1" City ,fig tt State: r a✓ t+- Zip: " � City: r� ltl S fs zip: �;JS Phone:�Fax: Phone; ax: 4_eSr7_ —k ig ev 5° License I Exp. Lis nso01 elp. ��4;1T_ ._ M `! e Item U k 0—a rs to ! Total LOV SeiviceiFeeder 200 Amp. $132,00 �9uttipli�d by Unby Unit Charael ServIcelFeeder201-400Amp, $160.00 ServicelFeeder401 -600 Amp $ 225.00 $� 3arvicelF•eeder 601 -1000 Amp. $ 288.00 $ Sereioe aaler over 1000 Amp. $ 410.00 Branch Circuit W/ Service Feeder $ 5,00 Zav $ � Branch Circuit W10 Service Fooder $ 74.00 --,W Each Additional Branch Circuit $ 5,00 Branch Circuits 14 $ 86,00 $ 'temp. Service! Feeder 200 Amp. $102,00 $ Temp. ServlcefFeeder 201 A00 Amp. $ 121.00 $_ Temp. SarvicelFeeder 401.600 Amp. $164.00 Temp. 9ervloolFeeder601 -1000 Amp . $185.00 $_ Portal to fRMA Hourly $ 96.00 _ _ $ SignlOutline Lighting $88,00 _ ._ _ $ Signal Circuit! Limited Energy — Multi- Family $ 64,00 $ Signal Clmuil/ Limited Energy 1 First 1500 sf — Commerdal S 96.00 $ —, Note: $5.00 for Each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 $� Mote: $5.00 for each additional T -Stat Total Owner as donned by 6f,CW.19,28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is requited to hire an etectrical 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 installatlon or alteration in compliance with the electrical laws, N.E.C., ROW. Chapter 19.28, WAC. Chapter 29646B. The City of Pori 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 Q Chea D Crtd€tCard# !�/j n�,•�e -{° Usted: _ � � �'�f,� 01r�1i21142 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 . Application Number . . . . , 14- 00401108 Date 9/16/14 Application pin number . . . 137084 INSPECTOR: Property Address , . . . 1026 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-6-2- 0200 -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name . , . , , . ROUGH -IN Property Use Property Zoning . . , . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 COMMENTS: Application desc Altered circuits Owner Contractor PETERSEN EDNA G EXTRA MILE TECH & ELECT., LLC PO BOX 1718 416 N. RACE ST. PORT ANGELES WA 983620087 PORT ANGELES WA 9$362 (360) 457 -5222 Permit , , , , . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 174,00 Plan Check Fee Q0 Issue Date , , . 9/16/14 Valuation 0 Expiration Date 3/.15/15 Qty Unit Charge Per Extension 1100 74.0000 ECH EL -COMM BRANCH CYR WO/ S/F 74.00 20,00 5,0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 10.0.00 Special. Notes and Comments September 16, 2014 8;49;24 AM Tpeppard, Load calculation required before rough inspection. Fee summary Charged Paid Credited Due Permit Fee Total 174.00 174,00 ,04 .00. Plan Check Total .00 0o .00 .00 Grand Total 174.90 174,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANWBUILDINC �o�pogrgy� ELECTRICAL RICAL INSPECT ION r '/ WIRING REPORT 'ARKS °' 417 -4735 APPROVED NOT APPROVED ® ......... D9TCH . `T�•i .. ROUGH IN /COVER........... . 13 ...... ..............SERVICE'......... ®. ®..................... FINAL . CORRECTIONS NEEDED; NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DRYS � ELECTRICAL INSPECTION MIRING REPORT wnRKS &' 417 -4735 DqT PERMIT S AT �4 - 1 1 bg fNSPECTpp '. fIWNzR CONTRA O APDRE55 S—r- APPROVED NOT APPROVED ® ................. DITCH . —. ROUGH ITV /COVER .... I� ® ... .................SERVICE....... ®.......e...... ....... FNAL .................... El CORRECTIONS NEEDED: V1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ®O NOT REMOVE - ELECTRICAL INSPECTION N WIRING �c ®.y REPORT ARKS a`� 417 -4735 APPROVED NOT APPROVED ® ............. DITCH . . ® .............. ......SERVICE............,..... ® ..................... F[NAL ............ ........0 CORRECTIONS NEEDED: �Qaz Y NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 1 ► DAYS ofQO�rwN 7 ELECTRICAL INSPECTION s '" WIRING REPORT" KS 51 417-4735 APPROVED NOT APPROVED 9 -- -T -1 -INL ......... DITCH.. I .......... . D- ° ........... ROUGH IN /COVER ..... . o. . ................ . . SERVICE .......... : Il LI............... ......FINAL.................... 0, CORRECTIONS NEEDED: V0w*.2 u tZ T- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - �� ELECTRICAL INSPECTION WIRING REPORT 417 -4735 APPROVED NOT APPROVED ® ..... ............ DITCH . ROUGH IN/COVER ...... LL. . ................. SERVICE rl ® ..................... FNAL. ......... .......... CORRECTIONS NEEDED: rte. . C � YJ L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS r ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: H h: HMI I # I-9 :77 1 ) () 9_ MSPECTP4 I ftA2 OWNER CONTRACTOR flzcf-4 ADDRESS L 1 D Z6-- . APPROVED NOT APPROVED .................... DITCH .................... ROUGH IN/COVER ............... U ........ .......... SERVICE ................... 0 .... ................ Fl`NAL . ................... o CORRECTIONS NEEDED: 14 L, Co u f5-r7 --- 5 C?i2mn� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS u0 Pofir ELECTRICAL INSPECTION WIRING REPORT ��'' ASKKS b 417 -4735 APPROVED NOT APPROVED ❑ ...... .............DITCH...... %:( �— ... ROUGH IN /COVER ............ ® ............... .....SERVICE................... ❑ ❑ ................ .....FINAL..................... ❑" CORRECTIONS NEEDED: 6-6 v NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS R' Application Number . . . . . 22-00001404 Date 11/08/22 Application pin number . . . 945492 Property Address . . . . . . 1026 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-6-2-0200-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Signs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NORTH OLYMPIC HEALTH CARE NETW HANSON SIGN CO. 240 W FRONT ST STE A PO BOX 928 PORT ANGELES WA 983620087 SILVERDALE, WA. (360) 452-7891 SILVERDALE WA 98383 (360) 613-9550 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . ADDITIONAL SIGN Permit Fee . . . . 93.00 Plan Check Fee . . .00 Issue Date . . . . 11/08/22 Valuation . . . . 0 Expiration Date . . 5/07/23 Qty Unit Charge Per Extension BASE FEE 5.00 1.00 88.0000 ECH EL-COMM-SIGN 88.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 93.00 93.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 93.00 93.00 .00 .00 PREPARED 11/07/22, 7:38:16 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001404 1026 E 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 93.00 TOTAL DUE 93.00 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 2/1/2023 22-1385 TAP OWNER CONTRACTOR Hanson Sign PROJECT ADDRESS 1026 E 1st St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Floor boxes D-E / 5-7, Conduit A-B / 6 NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/9/2022 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Wall cover top floor. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/14/2022 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH Partial ROUGH IN/COVER SERVICE FINAL COMMENTS: First floor wall cover NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/8/2022 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Hard lid first floor cover and 2nd floor ceiling insulation. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/17/2022 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Top floor ceiling cover NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/6/2022 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: TI NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/28/2022 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st ST ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: First floor ceiling cover. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/5/2023 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 3709 Page St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Medical building NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/1/2023 22-418 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1026 E 1st St parking &4ewap aaewss to main 0 East Ffrst Streat driveoeY atcexs (2) ren}aee ri4h curix m vn M•a01'e Asowt to stint tteaa as terra _Eusuft Water ®ter _ 6ew later tiros fat Fi. 5®pHIeSslw a£ existing esphslt CITY or PFFERT ANGELE5 — ConatrucYion PlPnf The Issuance of this Pew f""rd "Pan these plans, p " cations and other dafe s"ll not prexpnt ft building official s in said from thereafter ro LuIilg the., Ot errorreventi g plans, specifications and other data, Al. from P building operations figdcoraear,est1ol�sdjurisdiction. 2 violation of all codes V Approval Bata By �— f Ariz 43 mw$ xg arag Sot, A,p2 AI d6.9na square feat. " 1 � i3 erinaiwg snsrcas Plus 2 AIM, pa rxvein p ace e x �JE 03 a► t E FA2L�<twA oflA 5���2s 5 t f�- qJ �� �.aa V &1110) 4+�UAgD CO Font moil 1 a 0 Z-4-V-4-r- � c-&I1 0I'q AXI -tt t sc--,g ZP o ,04( SODA ►��L- 6-1 ? .X eorf 4SITE 'PL�Atd low East First,. Pant Angeles, M Percet # Arm_ -74 Ac. m: (31,50e sf) Existing erect cowered by buildine A 8900 sf Pica eavercd apr as : 368 sf fw¢al pmpeael non earernwa 9169 (M) Existing Asphalt corer: 21,630 sf asphalt to ba raax,N 2,5oa of Cone' wren remasa: 19,130 sr(61%) 12� s,vtF, Fvn I*-- e c-y �a SD l �r S F aki g w be raved. (r *%ux 2W Silo .ilh g .ensaawe, l vuksetni &ustiwg NtSld9xx fraraaninta 7WO V C�p: 1212 SF sxrumd R. r Parrfi: 78 Sr+ u1CY Addainns: 209 V k)/ 31-1Ly ��- �►� P�2 &*4 jd-b'a Urine access to loading deck. storage arse scwwM Fluxa(etitting) ,. -------------------------------------- eris4tdng smwi Is" 9 I ewiii Ling Smri lar inrwrbNd i II II Existing Canopy to remain. Not shown due to scale II II II II II II I I II II II I I r 7'-011 N31_5I. 51-9" x E'^e" S'•U" x 2' d" Sr U"R_g 2e Y-2 1/4x 0-B x y_e r Ur_D�ry x x Ed"7Mx IIII fire suppression manifold closet- emergency oxit existing xisting 00 lino of high coiling for gaming arcade engineering and retrofit eG framing detai'is a IIIII El 4 El Cl se van Artisan izza bar tA� halt station wait area ; Entry roof addition O entry LPgas Pined izza oven nuf Specs + '1 New serviCe ------------------ entry porch II--11 - - - - - _existingIr I I womens restroom exist electrical room r ' MMM Waiting I I omargonoy exit W -4 3/4" I I I I va M G Q7 •,+ I 11 I I Bar 1 I I � I I g d � I� I � • " 'I """ i I I service entrance �, ry I I I I I I o .E-+ 4-,; b wome s restroam beverage ;1I . , /., existln� server station "^ti. ADA ��'} , exi IIIg Her floor Elevated 7" to aocomodate tap lines I I e'-O" Ii mans restroom �r existing � walk in bar cooler ,V '� M m s restroom a' err r hurl dwashi sin 6xld " t I I T xisting _ - i I'i t I ADA � GJ„ Kitchen i emergency exit �00� f ----------------------- 11 I I 0 cooking line grease trap size TBD handwashin staff sink existing W/C ''1, r-•--� type 1 hood li ------^I I I a i it 4 L,1 IIIII IIIII "------------- ------ 'I Foam Wal 8x10 in Cooler office office a II existing II II II II Add service door for kitchen 4-) _,____ µ 'elk in freezer, rri II Water Heater 3 compartment sink typo 2 hood fSx10 Large Cap, f "ll""'1j Dish line l I\11L..._.JIIL....._.JIIL._._..JI f r. C�_7 5F-6 100'-0" Ca u) r + W R c� ORN'ERAL NOTES: cd CV O 2) ALL CY ALL CTION'I'TONS NF RME O1200 8) ALL TO CONFORM 'f0 EODP IRE STANDARDS YI TITUTRICTION S) ALfD.SII'ITNITIITYIN CONTACT WITH CONCRETE ST OR EARTH TO BE PRESSURE BY 'ITREATED 6) ALL FASTENERS IN PT WOOD TO UP. MI) GALV. OR 4 MAY, 0) MAINTAIN .WINr I/2" CLEARANNCM FRON UNTREATED WOOD TO CONCRETE 7) ALL FRAMING VEMBRtRS TO EE k2 Nh D.FIR OR BETTER R) REFER TO AANIIF SPTJCS ON EN09:NHHRm LVN$FR FOR INSTALL CUIDELIVES R) ALI, EQL'IPMRVT TO DE ENSTALLCm PER MANX. SPECS 10) ALI• WOOD PRODUCTS EXPOSE) TO MOISTIRYE SHALL BE DRIED BEFORE COVER Existing entry p for second floor LED reader Board sign Family sports Pub :E -1 111 1�c M CMU Block below canopy to covered with Arch. Stone a M ICI New Covered Entry / � . ._ Wood framed with Stane Veneer -,. Electrical service to overhead lines (existing) I I I I I I I I 0 ® D�2' Approx line of grade (asphalt) T Finish Grade / or deck surface PLINTH PETAIL SCALE; 1/6" m V -0" Simpson CB66 HDG Plinth: 10" square 3/4" Champfer at top & corners (2) #4 bar vertical, w/611 bends to bottom Height Varies based on footing depth, maintain top 6" minimum above grade or finished surface, Footing 2'-6" Square, .w/4 #4 bar on way (typ) Us Wall EMS W 16" p, C, I NI„ I, nnnnn ., n%H V II ,WIN. n,i ae, Mull en 1A1"V47% f r A16 Y�� 16° LTT1tY IOT WALE & SLAB NOT TO SCALE NM, fW YTW ova 10 • In a,M -Existing CMUblock above canopy to be covered with M/;V Ill MTN' Vertical Metal ,siding, Concealed Fastener 211" u. c. Laminated asphalt Shingle, dish Def, I TYPICAL FRAME ROOF: METAL ROOF 1/2" ROOFING PLYWOOD o/w H' CLIPS 2x8 LEDGER, BOLTED 0 16" 0.C. 2x6 RAFTERS 0 16" o.c, Now service entry porch CMU Block Wall Existing Openings N m 001 !r U) Cn ice+ r-tl F� U3 CIO I . Q-. Cd C%j C) "--4 M m vP"ae Existing loading dock door ?existing deck k .roof not shown i Approx line of grade, S' away from south well., v` behind retaining wall ........... ...... ..............1 New exit rx� Sign 4.✓ Shed Roof; 2A rafters W 16" o,c, Metal roof 0 i ti m 00 �/� T W VA y T 7�11 3/E31, V) KL t�J \All openings existing �iOp II,� T �`,n �T U -J (sw C r-1