HomeMy WebLinkAbout505 E 8th St - Building PREPARED 8/27/10 8 06 54 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/27/10
ADDRESS 505 E 8TH ST SUBDIV
TENANT NBR MARK A DEROUSIE
CONTRACTOR PHONE
OWNER MARK A DEROUSIE PHONE (360) 808 2340
PARCEL 06 30 00 0 2 2740 0000
APPL NUMBER 09 00000243 SIGNS
PERMIT SIGN 00 SIGN
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
EL99 01 8/27/10L BLDG FINAL
�t August 26 2010 4 52 24 PM 1pangrle
BUILDING FINAL FREESTANDING SIGN KEY PROFESSIONAL BLDG
COMMENTS AND NOTES
i
CITY OF PORT ANGELES
1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
a�
� 321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000243 Date 3/20/09
Application pin number 106861
Property Address 505 E 8TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 2740 0000
Tenant nbr name MARK A DEROUSIE
Application type description SIGNS
Subdivision Name
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 1500
Application desc
INSTALL A 16 SQ FT FREESTANDING SIGN
Owner Contractor
MARK A DEROUSIE OWNER
PO BOX 1372
PORT ANGELES WA 98362
(360) 808 2340
Permit SIGN
Additional desc 16 SF FREESTANDING SIGN
Permit pin number 143107
Permit Fee 47 00 Plan Check Fee 00
Issue Date 3/20/09 Valuation 1500
Expiration Date 9/16/09
Qty Unit Charge Per Extension
1 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 47 00
00 115 0000 PER S FIS OR PROJ SIGN > 25 SF 00
Special Notes and Comments
March 1.8 2009 8 1.6 57 PM sroberds
16 sq ft free standing sign in the CN zone No land use
issues anticipated as proposed 1
Fee summary Charged Paid Credited Due \v
Permit Fee Total 47 00 47 00 00 00
Plan Check Total 00 00 00 00 /
Grand Total 47 00 47 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 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 gr nting of a ermit does not presume to give auth violate or cancel th rovisions of any
state or local law regulating construction or the perform of ruc'o .
Im
NSIe�
ate Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:FormsBuilding Division/Building Permit
0
BUILDING PERMIT INSPECTION RECORD t
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— UQ
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 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 by Ul
AIR SEAL. Q
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only) , ^
T-Bar �j,)—
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 by
MANUFACTURED HOMES
Footin /Slab
1131ocking&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 I Engineering 417-4831
Fire 417-4653
r
Planning 417-4750
Building 417-4815
C�
T Forms/Building Division/Building Permit
SIGN PERMIT APPLICATION Print in Ink
CITY OF PORT ANGELES
� For City Use Only
Attn Building Permit Technician Date Received
a■•— 321 E. Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417-4711 ete #
to Approved O
Applicant or Agent MW 2�_,&tlS/C Phone
Property Owner Sib Phones_
Property Owner's Address P-0 307C/j72
Contractor/Engineer 0W(VA,)-Palir Phone 07$--21
Contractor/Engineer's Address
License # Expires
Project Address SO 8 ST"
Business Name Vel Pio ssrrM� 1a
Parcel Number & Lot tl_ R&i1a Zoning CN
Submit an 8 % "x 11 "site plan & three sets of plans that include.
■ Type of sign (wall-mounted projecting freestanding illuminated other )
■ Placement and sq ft. area
■ How the sign will be securely attached (Engineering specs may be required for freestanding signs)
■ Separation distance between the bottom of projecting and freestanding signs and the surface below
See "Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements.
Sign Type & Brief Description. (Type, location, sq. ft.)
Sign #1
Sign #2 J
Sign #3
Sign #4 o�`q �►
Totals(Unit charges Sign(s)
Unit Chang Quantit multiplied by quantities) Type of Sign Valuation$
o°
$47 00 x = $ 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 D A sq ft. +'Proposed sign(s)area sq. ft. = Total signs) area sq. ft.
Building fagade area (height ft. X width ft.) = sq. ft. (!f 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 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 3J11 ld� Print Name AWL. be Q&VE7 Signature L_Y
T Forms/Building Division/Sign Permit Application.doc
KEY
Professional Building
CITY OF PORT ANGELES—Construction Plans
The Issuance of this permit:,ased upon these plans,specifi
cations and other data shall not prevent the building official
from thereafter requiring the corection of errors in said
pla specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
Ftpproval Date BY
Soa,sez-�
F �
c�
R Z�
,
/
/
/
/
/
J.
s ,
/
/
,
clr0
s� �
CERT UPANCY
ort An ;' -
g
This certificate is issued1qursuani io the requirements of Section 110 of the 20 International Building Code
certifying that at the iitne of issuance this structure was in tomo ltd with the v .ious ordinances of the City
regulating building construction or use fir the following
Business name: Central Business Office for OMP (Owner: 01y4 i Medical Center)
Business address:9 505 E. 8"" St.
Property owner: 1 Clallam Co. Public Hospital 'District #2
Property owner's Oddi ess 939 Caroline St , Port Angeles,WA,98362 909
Automatic fire spri item: Per
Use & occupancy c sscation: Busi
Building permit num r.
Type of construction:
Occupant load: P
00 05-05-08
aWer Re-issue Date
Post on the premises in a conspicuous place. This a 1 not be removed except by the Building Official.
1
CSZ
PREPARED 3/31/08, 9:51:26 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/31/08
----------------------- ------------
ADDRESS . : 505 E 8TH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
-- -------------------------- ---
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------------- -------------------------------------------------
BL3 01 2/25/08 JLL BLDG FRAMING
2/25/08 AP February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
February 25, 2008 4:39:52 PM jlierly.
BLI 01 2/28/08 JLL BLDG INSULATION
2/28/08 AP February 28, 2008 8:54:24 AM 1pangrle.
MARK 808-2340
INSULATION
THE KEY IS ABOVE THE DOOR.
February 28, 2008 4:37:03 PM jlierly.
BL99 01 3/21/08 JLL BLDG FINAL
3/21/08 DA March 19, 2006 9:06:37 AM 1pangrle.
MARK 808-2340
BLDG FINAL
March 21, 2008 3:53:36 PM jlierly.
landing at rear door and temp windows next to office
doors/jll
BL99 02 3/31/08 BLDG FINAL
March 31, 2008 8:26:56 AM 1pangrle.
MARK 808-2304
BLDG FINAL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 3/21/08, 9:11:33 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/21/08
------------------------------------------------------------------------------------------------
ADDRESS . : 505 E 8TH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
--- - - ------------------------ ----
PERMIT: HPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------ ---------------------------
BL3 01 2/25/08 JLL BLDG FRAMING
2/25/08 AP February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
February 25, 2008 4:39:52 PM jlierly.
BLI O1 2/28/08 JLL BLDG INSULATION
2/28/08 AP February 28, 2008 8:54:24 AM 1pangrle.
MARK 808-2340
INSULATION
THE KEY IS ABOVE THE DOOR.
February 28, 2008 4:37:03 PM jlierly.
BL99 01 3/21/08 BLDG FINAL
March 19, 2008 9:06:37 AM 1pangrle.
MARK 808-2340
BLDG FINAL
-------------------------------------- COMMENTS AND NOTES
4 c t IA) e i--c 09
owS _
PREPARED 2/28/08, 9:49:02 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/28/08
---------------- --- ------------------ --- --------
ADDRESS . : 505 E 8TH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER : MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------- ----------------------------------------—-------------------------------
BL3 01 2/25/08 JLL BLDG FRAMING
2/25/08 AP February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
February 25, 2008 4:39:52 PM jlierly.
BLI 01 2/28/08 L BLDG INSULATION
_moi February 28, 2008 8:54:24 AM 1pangrle.
MARK 808-2340
INSULATION
THE KEY IS ABOVE THE DOOR.
-------------------------------------- COMMENTS AND NOTES
PREPARED 2/25/08, 9:50:37 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/25/08
------------------------------------------------------------------------------------------------
ADDRESS . : 505 E STH ST SUBDIV:
TENANT, NBR: MARK DEROUSIE
CONTRACTOR ADAMICH CONSTRUCTION PHONE (360) 417-3409
OWNER MARK DEROUSIE PHONE (360) 457-6600
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000100 COMM REMODEL
-----------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------- ---------------------------------- - -----
BL3 01 2/25/08 BLDG FRAMING
February 25, 2008 9:07:33 AM 1pangrle.
MARK 808-2340
FRAMING (HE WANTS WHATEVER INSPECTION IS NEEDED SO THAT HE
CAN INSULATE AND SHEETROCK.)
THE KEY IS OVER THE DOOR.
-------------------------------------- COMMENTS AND NOTES --------
PREPARED 2/25/08, 9:50:37 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/25/08
--------- ------------------- -----------------
ADDRESS . : 505 E 8TH ST SUBDIV:
CONTRACTOR PACIFIC OFFICE EQUIPMENT INC PHONE
OWNER BREMANN LNVESTMENTS PHONE
PARCEL 06-30-00-0-2-2740-0000-
APPL NUMBER: 08-00000094 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-----------------—-----------------------------------------------------------------------------
BL99 01 2/25/08 JLL BLDG FINAL
February 25, 2008 9:13:05 AM 1pangrle.
TOM 417-3600
BLDG FINAL - RE-ROOF
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Application Number . . . . . 08-00000206 Date 2/21/08
Application pin number . . . 349060
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 0
Owner Contractor
BREMANN INVESTMENTS NORTH PENINSULA ELECTRIC
402 E 8TH ST 761 FRESHWATER PARK RD
PORT ANGELES WA 983626220 PORT ANGELES WA 98363
(360) 477-1764
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit pin number . 121269 ` (�
Permit Fee . . . . 73.00 Plan Check Fee .00 V\`
Issue Date . . . . 2/21/08 Valuation . . . . 0
Expiration Date 8/19/08
Qty Unit Charge Per Extension ( �I
1.00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00 V
3.00 5.0000 ECH EL-COMM ALT-ADDTNL CIRCUITS 15.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 73.00 73.00 .00 .00
V
y
INSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUCH - IN
Z,
FINAL
COMMENTS .-
of°oRr""° CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 08-00000100 Date 2/20/08
Application pin number . . . 285600
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Tenant nbr, name . . . . . . MARK DEROUSIE
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 15500
----------------------------------------------------------------------------
Application desc
convert carport to office space
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MARK DEROUSIE ADAMICH CONSTRUCTION
PO BOX 1372 810 CHURCH
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 457-6600 PORT ANGELES WA 98362
(360) 417-3409
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . ZZTYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . ENCLOSE CARPORT FOR OFFICE SPC
Permit pin number . 119768
Permit Fee . . . . 291.75 Plan Check Fee 189.64
Issue Date . . . . 2/20/08 Valuation . . . . 15500
Expiration Date 8/18/08
Qty Unit Charge Per Extension
BASE FEE 95.75
14.00 14.0000 THOU BL-2001-25K (14 PER K) 196.00
----------------------------------------------------------------------------
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.
February 12, 2008 4:36:30 PM sroberds.
The proposal will result in the enclosure of a carport into
additional office area in the CN zone. Lot coverage is 2762
sq.ft. of usable floor space. Site use as an office
requires 7 off street parking spaces. No land use issues
are anticipated at this time.
Electrical load calculations and electrical permits are !�
required. �!� J
Any modifications to the City's electrical facilities will [/
be at the customer's expense.
Public Works Utility Engineering has no requirements for
this plan review.
----------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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 an It provisi s of an ate or local law regulating construction or the performance of
construction.
ate Print Name Si nat re of trac or or uthorized Agent Signature of Owner(if owner is builder)
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 INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT N's SEPA:
PARKING/LIGHTING 4- ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:Forms/Building Division/Building Permit(10/01/07).wpd
0f�0T"*Q CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
-�� 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . o8-000001oo Date 2/20/08
Application pin number . . . 285600
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 291.75 291.75 .00 .00
Plan Check Total 189.64 189.64 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 485.89 485.89 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permitbecomes
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 DivisionlBuilding Permit(10/01M).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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE C
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWNSPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUNIBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL (�
WALLS
CEILING C R
FRAMING 62--25—QS LL- v f
JOISTS/ GIRDERS
SHEAR WALLMOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION c,(,_
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL Q J
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING Q Q 1
T:Forms/Building Division/Building Permit(10/01/07).wpd
UPTOWN REALTY C
R,
REG , ED
FEB 15 2008
N�o�
CITY OF PORI,ANGELES
BUILDING DIVISION ;fir
LN
I
C>
er �
Telephone: 360-452-7861 www.uptown realty.com
Z dy
my W
Wy
Vv
7 +Y
- F 3
J
�mn,
p�
-
1
t
s
�i .fin �S- f•
TIM4
ti - e`
xic'3e. P 0 �
NOW,
Y ,y S
s {
1 HTA
-r '3+ . in c +•` .�'-^'�. 3` s
lion, An
W.
f. [ (
08 - 100
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Carport Enclosure - DeRousie
Address: 505 East 8th
Plan# 08-09 Com ® Residential ❑ Date: 2.7.2008
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
1) Provide a 2A:IOBC fire extinguisher for the new office area. Extinguisher should be mounted
near an exit, with the top no more than 5' off the floor.
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by: Date: 01•Jr•Z 008
® Building Department Copy
❑ Contractor/ Owner Copy
❑ Fire Department Copy
p
,OF ORTgN�F
DATE: 2
OI -Q
ORICS ANOJ
TO:
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: 5 v 5 ST r` 5�-
NAME/CONTACT:
PHONE: eo 9
PERMIT NUMBER:
PROJECT DESCRIPTION: e
r) f-�X,c,,e spa Ce
❑ NEW CONSTRUCTION
�'�}-i cry
ALTERNATION
COMMENTS/CONDITIONS: 1'1'1 �"�
�REVIEW/RETURN ❑ FILE
hone co,l1 with MoarK be- ilgouS1e- 60 1�3[�o8-The carport ,aretL alr!, t
PGr P Ne 11 eh -10 `+ham 4 srde
h,a,� �, concrete slab $ .s �nLtosed on�+-�, s;des_ ` 85gSaF
ORT T
i �s BUILDING PERMIT APPLICATION Print in ink of/,L,,
I'►�.•�- CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
321 E. Fifth St., Port Angeles, WA 98362 Date Received
(360)417-4815 fax (360)417-4711 Permit# .0 — !
C Date Approved
Applicant or Agent AIW, {,' Com\\$�$ Pho e �fj�-
Pp g uS
Property Owner lm uSt:e Phone 34040 2-3
Property Owner's Address r A,) P(? i L Ori
Contractor/Engineer Phone
Contractor/Engineer's Addre s
License # Expires
PROJECT ADDRESS GS C i
Parcel Number O (o'50 o 22 6- Lot Zoning 6NJ
Project Type & Brief Description: ❑ Residential ❑ Commercial ❑ Multi-family ❑ Industrial
Check all that apply
❑ New Construction
❑Addition
XRemodel S� &_
❑ Repair
❑ Re-roof 1xc e /'} = ::�_7(O L
❑ Demolition
❑ Sign ❑ wall-mounted ❑ projecting ❑ freestanding ❑ awning ❑ other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
Meat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove)K-bther 1C-ProA)-'TT
6 Other
Floor Areas Existing(sq. ft.) Proposed(sq. ft.)
Basement 27 @ $ per sq. ft.
1s` Floor / SY L!08
2"d Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
l7e 3) 76
TOTAL VALUATION $
Total footprint of structures sq. ft. . Lot size `7. tTZ)-Q sq. ft. = Lot coverage 22.E %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? _) Construction type # of half baths
I have read and completed this application and know it to be true and correct. 1 am VuthorizedMps
this permit and
understand that it is my responsibility to determine what permits are requir and r to working on
projects.
Date Print Name- Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
IL- - - -
Al �
w
N
i t
r"
MTw f 1 G..
a
0
A
S
�h S lOF
\
\
\
a
\\
516 \
520 522 \
<.. a24
0130b02745.JPG
29
Ro/o w/s 4
4 29 3
2a/office
lat-643sf
2nd=1,589sf
32
8 2nd story/parking oh
r`!
29
8
3
26 23� IS oh
0
9
19
v 3
�.
�'• .
� �:
F
?�.
��;- ,,
$:,`
:•
r�:
/� �g ��
�� �
���
1 � U S� .�
���� ��
e �
Op pOFT„�,O CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 08-00000094 Date 1/22/08
Application pin number . . . 952278
Property Address . . . . . . 505 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description RE-ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 2400
Owner Contractor
------------------------ ------------------------
BREMANN INVESTMENTS PACIFIC OFFICE EQUIPMENT INC.
402 E 8TH ST 402 E 8TH ST
PORT ANGELES WA 983626220 PORT ANGELES WA 98362
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . PARTIAL RE-ROOF
Permit pin number . 119560
Permit Fee . . . . 109.75 Plan Check Fee .00
Issue Date . . . . 1/22/08 Valuation . . . . 2400
Expiration Date . . 7/20/08
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
------------------------------------------------------ ---------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .00 .00
10000!;��
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.
/,yZ .Q F> A
Date Print Warne Signature of Contractor A
Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit(10/01/07).wpd
BUILDING PERMIT INSPEC'T'ION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. OQ
CALL 417-4807 FOR PUBLIC WORKS UTILITIES I
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL 0 �,
WALLS G
CEILING }
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY) (�
T-BAR '
INSULATION
SLAB
WALL/FLOOR/CEILING Ln
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT N's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ��ryry
YES NON�
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL 1;
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING U
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING 02-2 ILL-
T:Forms/Building Division/Building Permit(10/01/07).wpd
� 9 0 Q
evKr.9,��ff BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received
321 E. Fifth St., Port Angeles, WA 98362 Permit#C)8
(360)417-4815 fax(360)417-4711 Date Approved
Applicant or Agent 7oAt4l SAc.RANAMA-ir Phone 364) Al! 7 -3600
Property Owner 6P CM9WAW lIVVC-S rML1r3 Phone 3642 U 17-36 00
Property Owner's Address 3 14 L 8 S T
Contractor/Engineer Phone
Contractor/Engineer's Address /jc+ ec o/'% ='-ez
License # PAC l FOL' O l Z N5 E=xpires Z 3 /05
PROJECT ADDRESS SDS E S `6Y Sr
Parcel Number 6 G3 E'S� - a �7 7 Lot /t7 &KLot oning
Project Tme&Brief Description: ❑ ResidentialCommercial ❑ Multi-family ii Industrial
Check all that apply
❑ New Construction
❑Addition RE—,ROOF A POR 710,41 ext SrIAI ! aly /3
❑ Remodel XLS LW-6-- .5- RL i' - ,
❑ Repair _ oG
)(Re-roof
❑ Demolition
❑ Sign ❑wall-mounted ❑ projecting ❑freestanding ❑ awning ❑other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existing(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq. ft. _ $
1s' Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
l have read and completed this application and know it to be true and correct. 1 am authori ed to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to_o6' in pe its prior to working on
projects
_111
Date 110bPint Name Signature i
Website Version/ Dec.2007
V\�VVii
REGISTERED. AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 PACIFOE012ND 04/23/2008
EFFEC - 08/02/1999
PACIFIC OFFICE EQUIPMENT I
402 E 8TH ST:
PORT ANGEL WA 8362 - _
Ignature -
Issued by DEPARTMENT OFLABOR AND INDUSTRIES
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following:
Use Clasvcation: Office Building Permit No.: Business Name: Olympic Community Action
u
Group: B Type of Construction: VN Use Zone: CN
Owner of Business/Residence: Olympic Community Action Address: 505 East 8`h, Port Angeles, WA 98362
Building Address: 505 East 8t tr 2
IS 2002
Building tial Date
Post on the premises in a conspicuous place.
Shall not be removed except by Building Official.
p �Ce.
` ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( )
1 Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: +
Legal Description: Lot Block Subdivision
Current Use of Property:
Zoning Classification of Property: �,Q,�
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. . . ....... . ........ . . ...... PERMITS BUSINESS LICENSE
Electrical changes.............................. 1) Building 1) Taxi v1
Mechanical (heating, cooling, stoves).............. 2) Plumbing 2) Peddlers O
Plumbing changes . . . . ......................... 3) Electrical 3) 2nd Hand Dealer
New or relocated signs.......................... 4) Mechanical 4) Pawn Broker
New septic tanks... . ........................... 'l 5) Sewer 5) Dance
New sewer service . . . . ..... . . . .... . . . .......... +' 6) Sidewalk installation 6) Hotel-Motel
Admission charged to patrons........ . . ...... . . . . __4L_ 7) Driveway installation 7) Fireworks
Is this a home occupation? ......... . . ........... 8) Curb installation 8) Ambulance
Excavation of filling of lots . . ..................... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way..................... 10) Water meter installation 10) Other S
Is there sufficient off-street parking? ............... ✓r 11) Fire
New driveway openings .. . . . . ............... . . . . 12) Occupancy
A grading plan for site drainage. . ........... . . . . . . 13) Sign
(parking lots, downspouts, etc.) . . .......... . . . . .. 14) Shoreline
Are the existing streets paved? . . . ............. ... � 15) Home occupation
Are there existing sidewalks?. . . . . . . ... . . . . . . . . ... f 16) Conditional use
Is there curb and gutter? . . . . . . . ... .. . . . . . . . . . . . . 17) Other
Other. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . .. .
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
APPROVED REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
li I r
Fire Department
City Clerk
r.
P.B.I.A.
v4A cz Y N B
pOFT�
ROUTING SLIP
Certificate of Occupancy
=--Certificate/Inspection Fee 7-0
DATE 3 Z z O New Business
Address of Proposed Business �/ Transfer of Business Location . . . . . . . . . . . . . . . .
C_/tsiwm-n, 4c-A0,1 ou5"Li4 di✓j fr�&a Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant S°S ,e New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business 06z))y5-22-926' home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: C r U 5'j h
fAle C— ; -x.25 ✓via t.f Zi CO e ~ i r
02
Legal Description: Lot Block Subdivision
Current Use of Property: c -e—
Zoning Classification of Property: �--
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes...... . ........... . ........ PERMITS BUSINESS LICENSE
Electrical changes.. . ........................... 1) Building 1) Taxi
Mechanical (heating, cooling, stoves). . .......... .. 2) Plumbing 2) Peddlers
Plumbing changes . . . . .......................... 3) Electrical 3) 2nd Hand Dealer 1j,I
New or relocated signs.......................... 4) Mechanical 4) Pawn Broker
New septic tanks ............................... 5) Sewer 5) Dance
New sewer service ......... ................... . / 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons.............. . . . . . . 7) Driveway installation 7) Fireworks
Is this a home occupation? . . ........... . . . .. . ... 8) Curb installation 8) Ambulance
Excavation of filling of lots ....................... 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way.................... 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . . . . . ....... 11) Fire
New driveway openings . . . . . . . . . . . . ............. 12) Occupancy
A grading plan for site drainage. . . . ............... 13) Sign
(parking lots, downspouts, etc.) . . ................ 14) Shoreline
Are the existing streets paved? ................... 15) Home occupation
Are there existing sidewalks?. . ................... 16) Conditional use
Is there curb and gutter? . . . . ................ . . . . 17) Other
Other. . . . . . . . . . . . . .. .. .... . .. . ...... . . . . ......
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date: Z Z O
information I have supplied is correct to the best of my
knowledge. Signed:
APP REJECTED Comments / Conditions
Building Section /J,��i e-, C ;5 z� r f r] f
Public Works Department d c u /�
Planning Department c /�
RFire Department
34-62- U City Clerk
P.B.I.A.
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES.WA 98.362
Application Number 06-00001012 Date 7/30/07
Application pin number 834224
Property Address 505 E 8TH ST Lasered
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description ELECTRICAL ONLY CED
Subdivision Name
Property Use . . .
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
BREMANN INVESTMENTS ANGELES COMMUNICATIONS INC
402 E 8TH ST 102 ROSS LN
PORT ANGELES WA 983626220 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
----------------------------------------------------------------------------
Permit ELECTRICAL NEW COMMERICAL
Additional desc ANG. COMM / VOICE-DATA
Permit pin number 106575 r _
Sub Contractor ANGELES COMMUNICATIONS INC.
Permit Fee . . . . 40 00 Plan Check Fee 00
Issue Date 7/30/07 Valuation . . . 0
Expiration Date 1/26/08
Qty Unit Charge Per Extension "
1 00 40 0000 EL-LOW VOLT SYS <=2500 SQFT 40 00
------------------------------------------------------------------ ----
Fee summary Charged Paid Credited Due �-
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 00 40 00 00 00
Plan Check Total .00 00 00 00
Grand Total 40 00 40 00 00 00
VJ
k z
P
a
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4174735 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
INSPECTTON TYPE DATE -ACCECOMMENTS
YES NO
DITCH
ROUGH-IN COVER
SERVICE
FINAL J—n-7 1A I
GENERAL COMMENTS:
rw-i iaz.ts(awl
D44;ce, VN a
ROUTING SLIP
Certificate of Occupancy
$Certificate/Inspection Fee
[DATE2- Z p 21New Business ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . .
�rz'~r"'"^' �/ ° � �� ki Change of Ownership ( )
�J 9 p . . . . . . . . . . . . . . . . . . . . . .
Applicant sOs � Sl T+-- New Building
Address � +
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business LMR)Y54 21977 home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: c r t4 /i'Se vo fi
tc". S rvlh �1../-�1 egy" C
Legal Description: Lot Block Subdivision
Current Use of Property: ;
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? VES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes................. . . ...... . . PERMITS BUSINESS LICENSE
Electrical changes................. . . . ..... . . . .. 1) Building 1) Taxi
Mechanical (heating, cooling, stoves)....... . . . ... . 2) Plumbing 2) Peddlers
Plumbing changes _ 3) Electrical 3) 2nd Hand Dealer rC
New or relocated signs............... ........ . . . 4) Mechanical 4) Pawn Broker v
New septic tanks...... .... ... .... . ....... . . .... 5) Sewer 5) Dance 1�
New sewer service _ __z 6) Sidewalk installation 6) Hotel-Motel I
Admission charged to patrons........ . . . . . .... . . . _ _z 7) Driveway installation 7) Fireworks M
Is this a home occupation? 8) Curb installation 8) Ambulance
Excavation of filling of lots . ..... .. . . . ...... . . .... _ _ 9) Sidewalk obstruction 9) Tattoo shop !.J`
Work done in City right-of-way............. . .... . . _ 10) Water meter installation 10) Other y
Is there sufficient off-street parking? ... .. ..... . . . . . 11) Fire
New driveway openings ... . . . .. .. . . . . .... .. . . ... 12) Occupancy
A grading plan for site drainage..... ........ . ..... 13) Sign
(parking lots, downspouts, etc.) ...... .. . ....... . . //---- 14) Shoreline
Are the existing streets paved? ..... . . . . . ....... .. 15) Home occupation
Are there existing sidewalks?.. .... . . ....... . . . 16) Conditional use
Is there curb and gutter? ............. ... . . ..... . 17) Other
Other. ...... . . ........... . . ..... . . .. ..... . . . . .
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date: Z L O
information I have supplied is correct to the best of my l
knowledge. Signed: 7
PP REJECTED Comments / Conditions
Building Section �7z a i5 �Qi ,-f C) f
Public Works Department d c Lr - r
Planning Department
Fire Department
City Clerk
P.B.I.A.
r
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction oe use. For the following,'
Use Clas�fication: Office Building Permit No.: Busine" .t,11y377tI[t]tiL Community Action
Group: B Type,of Construction: U9eghtr:`
CN
Owner of Business/Residence: Qb=ic Community Anton Addtdss: 505 East 8111,Port Angeles, WA 98362
Building Address: 505 East 8t tre 2
ism
v 15, 2002
Buildin Date
Post on the picuous place.
Shall not be removed except by Building Official.
CITY OF PORT ANGELES
LIGHT DEPARTIV2M ELECTRICAL PERMIT M 1747'7`
Port Angeles, Washington------------ -._ ...--•-----------------------_..1 19rJ
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to doelectricalwork as listed below.
AddressP .5 rS�LuC Occupancy. :•f}c ±ra`_ :.
-------------- --------------- - -------------- ---
Owner .� 13-t_ = � '`� ='` � Tenant - ---------
--------------------------.--
Wiring Contractor f lkr -rc?---r>~� r--'-- --------- By--------------------------------------------------------•------------
Light Outlets...................._ ........... Service, volts .'�^.7�..a" -_+ s...... .. Type of Wiring:
Receptacle Outlets............................... No. wires ....-,�a.-..............-.._.."-.,-' Armored Cable ..............................
ar - -
Dryer, KW.........::............................... Size wires.....<..'. t� Non-Metallic ................._..............
1 .....*......_.
Knob & Tube................................
Range,KW.................................... ..... Main fuse ......f.....�.�..................
��!!r^-. ............. Rigid Conduit ...............................
Water Heater: Enclosure ...._ .......J Metallic Tubing KW..-....../"---.r?.._..-........_...----- Type of wiring: Raceway ................
Heat: KW................... . ............_. Entrance Cable ------------------------..._ Circuits, Light......_n ._.....___._
. ............. ... r..................._..
Motors: size, volts and phase: Rigid Conduit ------------------------------- Utility ........... .............................
Metallic Tubing ------------------------- Heat ............'------....-_--..._------------
GYM, ............... ............
_f!r-.t.E:.�o No. & Size....................................... Water Heater ............--.._............
7.a..........................^......I......_..............
rUU!/f�I-) c --!/.. Ser.No ..................._................. Motor .........................................
f�1 . ..._�.......... .. .......fin.._.......
r.......-_ Ser. No.............................................. Dryer............9.._........................._
------_/rfrli('PeZ_.._. `s{
_..................:... Furnace.........r._................................
--------------- Ser. No............................................. �y T
Total Load..-----`--- Ser. No............._..._.......................... Total ..._Q, .......................--
Remarks- -------------------------•-----------------------------------------•------------------------------_------ ..........................................
------------------------------------------------------------------------------------------------------------------------------------------------------.------------------------
--------------------------------------•----•------------------------- -----------------•------------------•------------------------------------------............--••--•--
Permit Fee Treas. Receipt
C�
$---=-----0�------------------- No.------------------•-------- By
- .... '
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N° 17477
Address ..................._............................._...............................................................
..................... Date....................................................
'w
Owner .........................................._........._......_.._.......................................................... Tenant....................................................................
WiringContractor..........................................................._..........................................................
--- By..............................................................
'NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
B
t
1M Olympic Printers, Inc.
CITY PORT T14ELECTRICAL PERMIT N° 160-35
M
LIGHT HT DEPARYMENY
Port Angeles, Washington-------% ---------------- --------- 19- '--
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do ele/,cttrriical work as listed below.
Address -----_/)///`//-'J J ............................... ------ --------- Occupancy------efL �--------------------
Owner �4_%��-:�����--//r�,e!% f_ Tenant---•-----------------
_ ✓ — ------------------------
Wiring Contractor-------- -----------=--=-E'=`�-------------------- By----------------------------------------------------------------------
Light Outlets........._.16.................. Service, volts ..y/�/7Q,r..- '�.- Type of Wiring:
Receptacle Outlets--_S_.��................ No. wires ..-._J......./...............-'. Armored Cable .._.........................
Dryer, KW.............-...................._..... Size wires._r7�®./I _ L� Non-Metallic ..._.........................._
.. ....._..
- AKnob & Tube.................................
Range, KW------------------------------------------ Main fuse .....-.:r7r/
Water Heater: Enclosure ..._:�------.
------`---------- Rigid Conduit ...................---.......
��// „• Metallic Tubing ...........................
KW..........9......�.._------------------_--- Type of wiring: Raceway ........------......
/[// e 5 Entrance Cable ............................. - -
Heat: KW................................................. Circuits, Light....... ........................
Motors: size, volts
( and phase: Rigid Conduit ............................... Utility ...........! .
Metallic Tubing ....-...._................ Heat �. .......................
......._.......-.�t.r.... _......
Current transformers: Range .............................................
No. & Size....................................... Water Heater ...............................
...........................................................
Ser. No............... Motor ..._........................................
.
........................................................... Ser. No..............................................
i Dryer....................._...........................
Furnace...........................................
.
Ser. No.............................................. ^7
Total Load............................. Ser. No.............................................. Total ....._`._
. .,.....---................
Remarks: .......... -0'--=-------------�-`'.--__--li".. ---------------------•----••-
-----------------•-------------------------------------------------------------------------------------------------------•------------------------•---........------------....--
----------..........----------------------------------•-----• ---------- ---------------------------------------------------------•----••---•--•....................... .
Permit Fee G Tress. Receipt
•-------------- No.__..-..-.........-.... B = r - = _,- ° "
$-- ..... y ---;�-
NOTICE—Current must not be turned on until Certificate of Inspection bas been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N° 16035
Address ........................................................................................................................................ Date......................................................
Owner ..................................._................._......_.._........................................................... Tenant..................-
.................................................
WiringContractor..........................................................._............................................................. BY..............................................................
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
J rv�r,v4 �
ELECTRICAL WORK PERMITAPPLICATION
Install- on description
Job wired by Electrical Contractor (3 Owner Commercial ❑ Residential
Electrical contractor name Lic'en'se number Date Expires
orrkl, f ,�,l� a I'I r s 1C tiler,{ �Z ❑ New ❑ Altered/Addition
Purchaser's nailinrddrCesss
City State ZIP
fc) y Y-F- cIInc O —S
Telephone number FAX number
X111- S S _aIS
Premises owner's name
Address of inspection
SOS 8
City
D Y,
Phone number to schedule inspection:
x-
0...ter as defined by RCIV,19.18.261:(/) Owner will occupy\the structure for two
gars afler this electrical permit is fmalized. (1) Owner is required to hire an electrical I
contractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# flvYV
After reading the above statement, I hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lationMastercard or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# C)0-- C�'L/-_
Utility Specifications. ---
Signature of owner, electrical contractor or electrical administrator Expiration Date
/..� Inspection fee
X �lJh ��vDate: , �o �� of card $ Sap
Electrical Load dditions and or subtractions Service Information
❑ NO LOAD CHANGES
❑ Baseboard KW Voltage
❑ Furnace —KW ElOverhead Service Phase Elf El3
❑ Heat Pump _Ton LAR ❑ Temp Service Service Size:
❑ Fan-Wall _KW ❑ Underground Service Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
e
-IN �J THERMOSTAT SERVICE
Date Ap Oalc Appmved Ry Delc Apprmed Ry
L ✓ DITCH FEEDER
Approved By Date APP�o\'ed RY Date Approved By
Inspection Area,Buildingor Equipment Ins ected Electrical
Date Action Taken
Inspector
}
OppORTq,1,v,,(�N ELECTRICAL INSPECTION
4�
WIRING REPORT
ws�� 417-4735
RKS 6
DATE PERMIT INSPECTOR
z Zz o a -ozo(�
OWNdWr.TRIACTOR
ADDRESS
APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
)I . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED:
AU-y1,-5 r-o-q FH,6K r--
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS,INC.(360)452-1381
I,
ELECTRICAL.WORKPERMIT APPLICATION !'
e ❑Request Inspection
U Electrical Contractor ❑0"ner 4'—"
U Annual Permit U Alarm U Carnival 0 (:ommercial D Residential O Residential Maiat. U signs U Thermostat Telecom.
Installation Description h
Job wired by Electrical Contractor ❑Ow'ner
F.I¢ ical Lennmyn LICCnyc number
x ��y 71Mr 11 V � !VC... t
Purchas ' mailing address.—v
City / e ZIP /
LL
telephone number /Ll• rAG%)n miser
7-0375--- - 021
Premises owner's name r
Addres mm coon
City �,n
_ CU Cash O Check g
1 hereby certify that I am the owner of the above named pmperty ora licensed Wredit Card Visa Mastercard Discover
firm's electrical contractor(or the authorised agent) and am making the electrical W�
installation or alteration in cnmp)iance with the electrical law,Chaplet 19.28 ROW. Card#
Signal wl r, elect ripl contrBetor or el ectrlcal atlmin lrtratnr Expiration Dale �n r /c
InaptClion fee
of Card
/W LLS CEILING 'THERMOSTAT SERVICE
In..ulation Only Inyulalimr Only —
1\ nzm npp.naal Fly ne+o nppm,N By
me Aimrv.cd ii -' ITCH I�'EDER
! (.'over
C�Cnvel npprnv o, �uu�
n.., nl+mo.M ny oma APnrv,d By
Electrical Load AgS[Itlons and or suEtiractions Service Intormation
U NO LOAD CHANGES
❑ Baseboard _KW Voltage---
Q Furnace —KW ❑ Overhead Service Phase❑ 1 ❑ 3
❑ Hent Pump _Ton-_LAR U Temp Service Service Size:
U Fan•Wall KW J Underground Service Foader Size:
Inspection Area,I}oilding or Equipmertl Inspected Action Taken Electrical
Date Inspector
JUN 2 1 20)7
LIGHT DEPT.
ELECTRICAL PERMIT
CITY OF PORT ANGELES W
360-417-4735 - 1!
Application Number 14-00001317 Date 10/29/14
Application pin number 780123
Property Address . . . . . 505 E 8TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2740-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . .
Property Zoning . . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502)
Application valuation 0
Application desc
Remodel
Owner Contractor
BOM LLC EXTRA MILE TECH & ELECT., LLC
505 E 8TH ST 418 N, RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-4481 (360) 457-5222
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee ,00
Issue Date . . . . 10/29/14 Valuation 0
Expiration Date . . 4/27/15
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 00
Plan Check Total .00 .00 .00 00
Grand Total 86.00 86.00 00 1.00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
---------------
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL E3(PIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X TM` Date:
G:\EXCHANGE\BUILDING
a �
CITY OF PORT ANGELES PERMIT APPLICATION
Building DkisiomMlectrical Inspections
321 East Fifitb Street—P.O.Box 1150/Port Angeles Washington,%362
Pb:(360)4174735 Fax:(360)4174711
Dat®:
Multi-Famlly or Commercial*
*Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address; 4_7 to
Building Square F'oopags:
Descriptive of above r/
Owner information Contrac r
Name _ Name InformationMarg Ad r :_ t z M WAddress:
Cily State: Tip:, ` Cad es State:
Phona:
Lkense#/Exp parr: PhoW - ax: ;
LimsevExp, I"LAl
r
Sarvloa/Faeder 200 Amp, T Ifo
ml C
$132.00
Service/Faeder 201400 Amp. $160.00 $
Servic0eeder 401-600 Amp $225.00 $
Sarvir JFheder 601-1000 Amp, $288,00
Servfoe/Feeder over 1000 Amp, $410.00 $
Branch Circuit Wa"Service Feeder $ 5.00 $
Branch Circuit W/0 Service Feeder $ 74.00 $
Each Additional Branch Circuit $
5.00
Branch Circuits 14 $ 86.00 $ ;
Temp.Sal Feeder 2000 Amp, $102.00 —
Temp.ServiceiFeeder201400 Amp. $121.00
Temp.Service/Feeder 401-6001 Amir. $164.00
Temp.,Senrloe/Faadaer 601-1000 Amp, $185.00
Portal to Portal Hourly $ 96.00
Sigril Lighting $ 88,00 $-- - --�
Signal Circuit/Umlted Energy-Mull-Family $ 64.00 $��
Signal ClirtrIV Limited Energy/First 1500 sf-Commarcia) $ 96.00
Note., $5.00 for each addil1500 sf
Renewable'Electrical Energy-SttVA 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 tinaked.(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 atm making
the electrical installation or alteration In compliance with the electrical laws,N.E.C.,Il Chapter 19.28,WAC.Chapter 296-466,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: ❑ cU, ❑ Check
CrOMICardS
01!012012
'L CTRICAL INSPECTION
4r^" ti E
WIRING REPORT
Ci u�
4174735
r .
rM
ti �rRaeHa
.. ...... .._._... m ..................
�_.....
Nfllfl_ :n
AM:::1IROVIFD OT Al—)
IIS -. . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . , .'
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . .
. . . . .. . . . . . ❑
❑,. . . , . . . . . . . SERVICE . . . . . . . . . . . . . . „ . ❑
0. . . . . . . . . . FINAL - - .
CORRECTIONS NEEDED: .hm..JC
NOTIIFY INSRIEc rOR WIHIEIN C IRIlECTIOIN9S
ARE CO IFL T111:D WITHIN 15 DAYS
- DO NOT REMOVE
,,,,,