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Home My WebLink About101 E Front St - BuildingPREPARED 8/03/11 8 08 55 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/03/11 ADDRESS 101 E FRONT ST SUBDIV TENANT NBR FLORENCE M CHAMBERLAIN CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER FLORENCE M CHAMBERLAIN ET AL PHONE PARCEL 06 30 00 5 0 0090 0000 APPL NUMBER 11 00000771 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 8/03/11 PLUMBING FINAL August 2 2011 1 48 46 PM 1pangrle SUE 452 9692 READY FOR INSPECTION (PLUMBING FINAL GREASE TRAP) COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 11 00000771 Date 7/26/11 Application pin number 496740 Property Address 101 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0090 0000 Tenant nbr name FLORENCE M CHAMBERLAIN Application type description PLUMBING PERMIT Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 960 Application desc GREASE TRAP INSTALLATION Owner FLORENCE M CHAMBERLAIN ET AL 1607 E BEACH RD PORT ANGELES Permit PLUMBING PERMIT Additional desc GREASE TRAP INSTALLATION Permit pin number 189761 Permit Fee 57 00 Issue Date 7/26/11 Expiration Date 1/22/12 Qty Unit Charge Per 1 00 7 0000 EA Fee summary Charged WA 983637161 Permit Fee Total 57 00 Plan Check Total 00 Grand Total 57 00 T:Forms /Building Division /Building Permit Contractor BASE FEE PL- PLUMBING TRAP GARY S PLUMBING INC PO BOX 255 PORT ANGELES (360) 457 8249 Plan Check Fee 00 Valuation 0 Paid Credited 57 00 00 00 00 57 00 00 WA 98362 Due Extension 50 00 7 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same.to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction '7- As_ 1( Sum YA-tc Date Print Name Signature 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 FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit Inspection Type FINAL Date 53 1 Accepted by -SU-- FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 3 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 L.2 Planning 417 -4750 Building 417 -4815 PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Total footprint of structures Site Coverage the amount of impervious s and other impervious surfaces (see PAMC Max. height of proposed structures Will a lawn sprinkler system be instal Will a fire sprinkler system be inst ed? Date T Forms /B ilding Division /Building permit application BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant Eixx QJ GT(' "Nlnksnra.l RtAk Phone D —gl92 Property Owner \oc-e,,n.0 Q., t Phone Property wner's Address e,,,,,/,_ ef() Pobe r 6 a CO( /0 2 7 Contractor cU,, 7" va 1 Phone Contractor's Addre s o fP c,, j, 4 Y .Q1,r, ,m)O g.g.stax. License Expires E -mail 101 F ri S� Residential Multi family Y S e, o House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other sq r. T Lot size b. a• on a parcel, including stru 94 135 for exemptions) Occupancy group Occupant load onstruction l pe Lot TOTAL VALUATION For City Use Only Date Received 1 --26-'1 Permit Date Approved coy ex-VI ok..)s Zoning Commercial Industrial per sq ft. C sq Lot coverage res p.. ed driveways sidewalks patios Site coverage of bedrooms full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working o projects Print Name U ti `f A-UE Signature JA/L_ Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL BACKFLOW VALVE 10 00000364 315544 101 E FRONT ST 06 30 00 5 0 0090 0000 PLUMBING REPAIR CENTRAL BUSINESS DISTRICT 379 Owner Contractor FLORENCE M CHAMBERLAIN ET AL BROTHERS PLUMBING INC 1607 E BEACH RD PO BOX 2136 PORT ANGELES WA 983637161 SEQUIM WA 98382 (360) 452 3259 Permit PLUMBING PERMIT Additional desc BACKFLOW VALVE Permit pin number 163774 Permit Fee 57 00 Plan Check Fee 00 Issue Date 4/14/10 Valuation 0 Expiration Date 10 /11 /10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 7 00 Charged Paid Credited Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 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 1 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 perforrr}ance of construction. Date Print Name T.Forms/Building Division/Building Permit Date 4/14/10 Due Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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. 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 OnIy) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date (q g Accepted by Roh FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES. C (l RIVER 1 vS(_ 5 r A /94/7 r SERVICE ADDRESS I I C l f N T 5l t'e LOCATION OF DEVICE. Al C 41. /vr 17 A/ O e E �i A' p 4 CJ �f e/vre p ASSEMBLY L e_ 1?-0 04 9 a G j' �a2� a� ?9/ Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES B"NO 0 IS ASSEMBLY INSTALLED CORRECTLY' YES o NO 0 DATE OF INSTALLATION IFP/r'(L- a UNKNOWN❑ Initial Test Repairs Details COMMENTS Leaked Cleaned Replaced REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I 1 CHECK VALVE #2 Held a 7 psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO Leaked Closed Tight 0i Held at psi Cleaned Cleaned Replaced Replaced RELIEF VALVE Did Not Open ?psi Opened at 0 ?psi 3 psi Buffer YES NO Final Closed Tight Test Held at 7_ gpsi Held at psi Opened at 2si 5 /'L=cr t f ief tI s 1 sY WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# 1 Received RP 0' RPDA DC DCDA PVB Air Gap SVB AVB PVB /SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD 56 ,p.9 1 Line Pressure 5C psi Held Backpressure YES NO #2 Shutoff Held YES Lam' NO Relief Valve Exercised YES Er NO a I DateTime Tester Signature Cert. Test Kit Passed Failed Initial y y r{ 4,7-444 Test di 1 t7 ll /�'�i (f_d�'t%i y /4� r )-b I7 Repairs Final S l t F C Test YJ y l� t /f t E. c- g G'/ f// r /5 ,?-5-t 7° f,7 b e-5 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant GvARA.V ?Via m x,a aviAr Property Owner 8A so,� Property RI wner's Address 1,p F., ce 5 Contractor Pbvn/wn,a, Yw, Contractor's Address License Expires PROJECT ADDRESS 0l 1 C.0131 ,P eF Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System ther Residential Multi family Phone Phone Phone E -mail 362 0 Lot Zoning House garage other Heat pump wood burning stove gas fireplace pellet stove other Y .ct AAv VA ANAN, �,.p�„I t tear off re -roof lay over one layer Floor Areas Existing (sq. ft.) Proposed (sq ft.) Basement per sq ft. 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 T Forms /Building Division /Building permit application TOTAL VALUATION Commercial Industrial Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage 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 rking on projects. Date \itf -i() Print Name V' n AbG ►J Signature A o Q For City Use Only to Received 1 L ID ermit ?,0 ,4 Date Approved 1 Imo( -10 of bedrooms of full baths of half baths Application Number 09 00000383 Application pin number 063462 Property Address 101 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0090 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Pressure wash /paint Bldg RUP #09 16 Owner FLORENCE M CHAMBERLAIN ET AL 1607 E BEACH RD PORT ANGELES WA 983637161 Fee summary T' \Policies \1 102 15 [10/08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor LIQUID PAINTING 272 N RIDGEVIEW PORT ANGELES (360) 808 2114 Date 5/01/09 WA 98362 Permit RIGHT OF WAY Additional desc PRESSURE WASH /PAINT BLDG 09 16 Permit pin number 145045 Permit Fee 75 00 Plan Check Fee 00 Issue Date 5/01/09 Valuation 0 Expiration Date 10/28/09 Qty Unit Charge Per Extension BASE FEE 75 00 Special Notes and Comments Follow attached RUP #09 16 permit conditions Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 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 Cdr or Authorizegent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102 15 [10/08] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE I DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES 1 NO I I I 1 I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS Application Number 08 00001378 Date 10/31/08 Application pin number 488164 Property Address 101 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0090 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 6 cameras Owner Contractor FLORENCE M CHAMBERLAIN ET AL 1607 E BEACH RD PORT ANGELES WA 983637161 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES (360) 452 2727 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 137174 Permit Fee 40 00 Plan Check Fee 00 Issue Date 10/31/08 Valuation 0 Expiration Date 4/29/09 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT 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 Extension 40 00 IN SPECTIO1\ TYPE DITCH SERVICE ROUGH IN FINAL 'COMMENTS ELECTRI CAL DATE RESULTS INSPECTOR ll/iryo oke ~ ..... CITY OF PORT ANGELES o0..~ -'~x% DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/07/2002 PERMIT NO: 13406 OWNER/APPLICANT PROPERTY LOCATION 101 FRONT E CORNERHOUSE RESTAURANT 101 E. FRONT Lot: 9EXC S 10 Port Angeles, WA 98362 Block: 1 [] Long Legal 360/000-0000 Subdivision: TIDELANDS PTN T: S: Parcel No: 063000500090000 CONTRACTOR ARCHITECT PENINSULA HEAT N/A 502 W. 8th Street Port Angeles, WA 98363 , 98360-0000 360/457-2775 360/000-0000 PROJECT INFO Project Value: $9,850.00 SFD Units: 0 Commercial: 0 Project Type: HEAT PUMP ADD 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 ~-~r INSTALL HEAT PUMP & LOW VOLTAGE THERMOSTAT RECEIPT~9062 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: THERMOSTAT $34.40 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $68.55 Plumbing: $0.00 AMOUNT PAID: $68.55 Mechanicah $34.15 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certif7 that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. , Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\?L ANN]~qG\FOPdV[ S\ I t02.t$ [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING 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 COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DKAINAGE 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 SLW~L/FLOOR/CEiLING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOP. EL[NE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTKICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENG[NEEKING FIRE 417-4653 FIRE DEPT. BUILDING 417-4815 I// ~'~ g'"~ BUILDING ~. ~ BUILDING PERMIT - p~PLICATION ~":~1 F~ 8ulMing Pe~it - P~applt~aon ~ Ae f~ o~ callboy. ~ Pi~e t~ or p~t ~ ~ ~ you hav~ ~y quorum, pl~e c~ 417~815 Apph~t ~Wor Agent: ~ ,~/V ~.//~5~ Phone: f~/,~.~ ~/~,~ Phone: / Address: /~/ ~ ~ City: ~~/~ Zip: ~c~tcc~n~ecr: Phone: / zola ~G~ DESC~ON~ ~: Bl~: Su~siun: TYPE OF WORK: Sw.t~VALUATION: o l~si&:ntial in New Consm u Rcroof u Wood.stove SF. ~ $ /SF. = $_ m Muki-family m Addition cl Movc · o Garage ,,, SF. ~l $ /SF. '" $_ t= Comngrcial t= Remodel o D~nolltion t= ~ SF. ~ S /SF. ,,, $ m R~pair m Sign -o TOTAL ~VALUATIOlq_// $ ~, ~' ~ amz i, scanmo oz tz m o zcr: COMMERCIAI. A~$1DENTIAL: Occupancy Croup:. O~upam Load: __ Coz~-uction Type: No. of Station: Lot Size: % Lot Cove-nSc: Existing Lot Corm'age . /sq. it + Proposed Lot Corm'age: /sq. it = TOTAL LOT COVERAOE: /sq.fl PLAHNING USE ONLY: APPROVALS: PLAN P~tmi*.s Required: Not~s: BLDG Max. H~ight: S~tbacks: 7_fiaMg: DPW Site Plan and Use Approved by: . Dale: FIRE ESA/Wctiand(s): m Yes t= No SEPA Ch~klist require? m Yes m No Other: OTI~R. Division can provide you with more detailed irfformation on thc application and plan submittal r~quir~mlmta. BUILDING PERMIT APPLICATION SUB. MIITAL: Your complet~t application, site plan (for additions) and building construction plan~ are to be submitted to the Building Division. An)' nddlflon lar~er th,,, S00 sq. ft. will ne~d a Pr~appllcntlon Review. VALUATION OF CONSTRUt'I1ON: In all ,'-~,~.~. a valuation mount mm b~ mtered by the applicant ~ figure will be r~i~wed may be revised by the Building Div. to comply with curr~nt f~ sch~ul~. Contact the Permit Coordinator at 417-481 $ for assistance. PLAN CI.~CK FEE; Yom' plan ch,-c_k f~ is du~ at the time the building p~nnit application and comstru¢fion plans are submitted. All p~mit fe~ ar~ dx at the time of p~'mit ismmc~. EXPIRATION OF PLAN REVIIiW~ If no p~rmit is issu~l within ! 80 days of the date of application, this application will expir~ by limitati~t~ The Building Official can ~xtmxi th~ ~ for ac6ou by the applicant up to 180 days, on writl~n r~quest by the applicant (s~ 304(d) of the Uniform Building Code, curr~t edition). No application can b~ ex, coded more than once. / hereb~ certify that I haw read and examined this application and know ~he ~ame to be true and correct, and I am authorized to app~for this permit. I understand it i.~ not the City's legal respon.~ibility to determine what permit~ are required; il remain~ the applicant'5 responsibility to determine what permitz are required and to obtain auch. ,O / /~ pat:C:~DATA~WP~T, EP~LDAPP.FRM PW.I 102.03[~sv.2/96] CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TFI STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 3/22/2002 PERMIT NO 7580 OWNER/APPLICANT PROPERTY LOCATION CORNERHOUSE RESTAURANT 101 FRONT E 101 E. FRONT Lot: 9 EXC S 10 Port Angeles, WA 98362 Block: 1 [] Long Legal 360/000-0000 Subdivision: TIDELANDS PTN T: S: Parcel No: 063000500090000 CONTRACTOR ARCHITECT ELECTRIC SERVICE N/A 924 DRAPER RD. PORT ANGELES, WA 98362 , 98360-0000 360/452-6424 360/000-0000 PROJECT INFO Project Type: MlSC Project Value: $0.00 Occupancy Type: COMMERCIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES ADD FOUR NEW CIRCUITS TO EXISTING FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $57.80 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $57.80 AMOUNT PAID: $57.80 BALANCE DUE $0.00 (~OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL IlqSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, ,NSUL4TE OR CONCEAL ANY ~ORK BEFORE IT I$ INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PL,ANS AT JOB SITE DITCH ROUGH-IN/COVER SERVICE FINAL GENERAL COMMENTS: PWo1102.15 [4/96] f pORT ~ ...~O~~ ~~~ ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00001008 Date 10/25/05 879264 101 E FRONT ST 06-30-00-5-0-0090-0000- COMM REMODEL CENTRAL BUSINESS DISTRICT 500 Owner Contractor ------------------------ FLORENCE M CHAMBERLAIN ET AL 1607 E BEACH RD PORT ANGELES WA 983637161 ------------------------ OWNER -------------------------- Construction Type . . Occupancy Type Structure Information 000 000 ______________________ TYPE II FIRE RESISTIVE MERCANTILE ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 63347 47.00 10/25/05 4/23/06 Plan Check Fee Valuation 30.55 500 Qty Unit Charge Per BASE FEE Extension 47.00 "'--- ~ '- ---------------------------------------------------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments $0 Connect Fee. 10/18/2005 09:21 AM JHEBNER ____________________________ Electrical permits are required. 10/18/2005 09:21 AM JHEBNER ____________________________ Any modifications to the City'S electrical facilities will be at the customer's expense. -----------------------------------------------~---------------------------- Other Fees . . . .. . .. . .. . STATE SURCHARGE 4.50 ~ !l ~ 1-1 f ~ ~ 'i ~ ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total 30.55 30.55 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 82.05 82.05 .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 con con. /O()s:o S Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 buildingpennil inspection record05.wpd [114/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. r INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS W MLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF 1 CEILING iT-I r"J-O, J S- t-- DRYW ALL (INTERIOR BRACED pANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT pUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ill..., ~-o.,- m T:\Po1icies\1102_15 bUlldmg perrmt mspectlOn record05.wpd [1/4/2005] tJj .., "d :;;~~8E; n'O r-' ><: ~ H", W '0 'O",ZZO "'01 ...... r-'nt'1..,"' ><:'0 Ul H 01",",01 ;I> 0 0 >i Zr-' ;l>Ul 0"' H 'ii. nUl '001 >-l 0 tll tJj 0 '0 ~ "d 01, ",. OH n",(') "' ",H 001 , .. .. .. .. .. ..,...... 3:0 H 'OC::0 00'0 H ~;:'. r-'t'10 In'''r-' 0 }\ t'1Ul , , 0 H Glo ..,..,tll OW"' '''In "''''C:: 00'" '" r-'- OOH 0 , Z '" 8 oon '0 UlH HO'" "' '" ~" .4S H 0' 0 "' Z Oln3: Z '" t'1Hl;J 00 , .., '" UlZ on C::Ul"d n ' :r: Ul '" ~~~ ~~~ .., 00 ~ 3:\DtJj H 0'" , >i "' , "' "'or-' yHtJj ",0, 3:0;1> "'HC:: "'''' OOH "'......H i3~8 OOZ ",Hr-' '" , <). ><:-..JO r-'",~ r-' '" ......H ..,H .., "'z Ul'O 0)' n OGl ........, ;I> 0 0 nHn r-' ZZ 3: In'O OOH 3: "' ~z~ UlUl 01 ~o~ '0'0 Z '" "'''' .., WooH Z nn Ul .. Z .., ..,.., WlnGl Ul OH ~ "'w ",0 In .. Z ~ 0 In ;I> y.., ~ Z 3: ;l>H ~ 0 'O'OUl 3:n .., g;g;5l "'~ ~ '" 0 Ul'" Ul ><: zzo .., ;I> "''''H r-' c.--- Ul <: \ 'ii r-' H !B '" "' r-' ><: 0'0 ;1>;1> ..,Gl "'01 H H ...... H -..J ...... o lnoo , OJ OJ >-3 '" ~~~8~ (J'O , t< t< >< ; H", , \0 W '0 'O",ZZtJ >-3[T1 , \0 "- t<(J[TI>-l", ><'0 , UJ H [TI",",[TI :<- , 0 0 10 >-l Zt< :<-UJ 0", , H H ~. (JUJ ..,,[TI , >-l tJ -" tll OJ 0 '0 '" [TI. ",. OH HH (J"'rl "' ",H , H H H O[TI >-l"- "- "-"- 3:10 H , H HH 'O~O 00"" H g;~ ' 00 -.J-.J t<[TIo en"'t< 0 "- "-"- [TI{J) , , 0 H G)O , 0 00 >-l>-3tll OW", [TIen , en en en [TI[TIC:: 00[TI [TI t<- , tJtJH 0' Z [TI e; OO(J .." {J)H , HO[TI "' W ~ H 0' 0 :<-0.. "' :z: oen3: Z W 'Ot< [TIHI7l 00 , >-3 -.J t< UJZ O(J ~UJ'" (J' :r: (J) 0 ~~~ ~~~ >-l H 3: \0 OJ , H O[TI , >-l "' "' , [TIOt< , I-'tD I-'y I-' to "'tJl 3:0:<- , I-'C:::I-'tz:ll--'C:::: [TI[TI OOH ..........H..........~'H gjf!i8 tJoz 1--'t"'1--'::d1-'t"l [TI , ..Jt:I..J~..Jt::l t<"'! t< [TI "-H"- "-H >-lH >-l NZN NZ UJ'O (J 0G)0 0G) "->-l :<- 0 0 0 0 (JH('J t< H H ~ en.." en en.." OOH ZZ H "' ~Z~ UJ{J) [TI o~o~o~ '0'0 Z [TI [Tj[TI >-l Wt"'WWOOH Z (J(J (J) .. , .. Z >-l >-l>-l ... Jl:>.WU1G) UJ OH g; \0 NNW ",0 en .. Z tJ en '0 '0 :<- o..>-l Z 3: 3: 3: ~8 0 'O'OUJ >-3 666l [TI;>: [TI 0.. 0.. tJ UJ[TI UJ t< t< >< zZtJ >-l H H :<- [TI[TIH t< [TI [TI UJ <: "' "' ~ t< t< t< H >< >< ~ [TI "' t< >< tJ'O :<-:<- >-lG) [TI[TI H H "- H 00 "- OH enw FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION / ateRec':/O/t~o,g ~. 'Permit #: ()@- ~'O Fill out COMPLETELY and in INK. Your application and site plan MUST nE .; Date Approved} Ii/. COMPLETE to be accepted for review. If you have any questions, call tf. t I d ' Date ssue : PERMITS (360) 417-4815 FAX(360)417-4711 . Applicant or Agent: CJ)V'r)P fhN.l~ Owner: .=so A-nn e B 'j (ll A-N'i'~ Address: I D \ C =t-YO~\ S+- Architect/Engineer: S€:L F- Re.smurAnT Phone: 4-6;;'- 9b9d-.. Phone: '-Ill-SHoLf City:~eTAn9trib?S Zip: q ~3~ d. wu~\( Phone: 3100- q~3- 3;.55: Contractor Se.LF State License #: Exp: Phone: Zip: ct'S 3 b L ZONING: Address: 0A&M.€" 1\5 A.~o,,~ PROJECT ADDRESS: 101 E"" f" (0 n+ City: 5+. \?A _ LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: O~?JO &0 G 0 oq 0 TYPE OF WORK.: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move ~ Commercial -g Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: SeE! ATIAL"€,c ')/Z.I\\.o,)'Ul..lI.,S o Stove o Garage o Deck o Other .::c~ sTA L.L. SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ .:tS; (} TOTAL VALUATION $ CJ(J. t!J '..pl'\' fL'TI 'fiDrJ vJ ~ t..L. ~ T No n..'rn E:.... Co 0 r '0...,,.. Ll!" ~ l~" f.-.. COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: rfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuildinglResidential Code, 2003). 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 er.' e er. . s are required ,not the City's, and that I must obtain such permits prior to work. / 0 -/.5 .(jj- Date: . L T:\PoIicies\BL-I102_13.wpd l~V? b. 'r. ~~I , , , , ~ ;' -. ~'"7I 0V\0\ S ~~:.P3IS L_ r: CI\ , I J .. l' ~ " "'t) QiI ~ \ L_ l1\ , f' ~ .. . ,< (. ~'( ;{ ~ '''~ 'ro;,} ,: ~ 0"1. '~nd I II~,'~\ , 1"-' t ,.. O!]":I S ., ~.,. OW S' I. , f '1- ~.. L-, -~- . \; \~ \ ) , J'V(L .~J ~:~ ~v'JI}'" .1' ).. r" ~ '-.: , LJ ["..J I. 1 ~ -- -- - ':! ,,> \ ..~ j ~- , .... I -d c:' ~ V\c... ~ \ 1\ ~ o. I [; ~ ~. l\ I / 3- " .:e ...~~ : 1 ~l....r l' '.,. ., 1 "",_' ;-. , ;f'J ~ "')>- -,:.S "Z.. ~~ "l;> ~ ~~ "I< r~' tj \,.., .- \ . ~~ " 'C. ~. , '.~, )~ ,. , \,1; (.>c, t, _ \. ..,~ ~ <.- ('. ," ~/J~Ed Uf)')fJ these ~?t;,-'n,: in!! 0!her lia!3 sh. ; not wev€iIt Ih2 'i"", 'h0', ;,r:;~r 'f'qiJ;r;n.~ 'he Cor;t:C/lOn r;~-----'- t r l : t("~i k>j II: I 1~~4j I.~ . I i W It> (' " :jl^!O' N"Tr\CT. "';=l~'C1 I ~,,_,,~ _ , :..' ,.: ~t ...;:=---- ~ G [- 51 ~ ~ -\ ~\ C/) Q ~ ~ .......... :,;J,_:l;i['" Ji !, '~I 'N,~.:'! fd Ii ,; ;U!iSl:!""'il. -~.~~ J!'~ ~ \. -'. ---i'.- f-=- )",{\< t.. ,-. .......1- t/~I I. . \" ~, \' .. I I I -<... ".5 ...... -~- '7.""Z-- .,<c.,~....-.,_"....~.....~ "~"-""""';V' .' ." .. ',,/ '. . . '.. ...." ..... /- " ... . ". L<.':~>~)~.:~,~" '" .:..:,;.>' JI...!.,' .1, i ~ i . ! t I . ....1/,.... . e; I' ; ...':.::!::J. ..:C .:::.:.::-_L::..-".:.:.:~.-==~=::::l!:.::::.=--::.:=-:.. _,--....-<-. .If .~~ I' r Y '".}t I.. t. 100Tli , '3 d!' .,;. [.dr,!; II..! QJU l'\ .3 b " '-' \? Y Oco\< W I( II I"/i'> ., t...O (J..,., ;;.~",. Q <_# Ii. \)/Jo ."( 1~ f 1 I L,' / .. , (.{ f"t(11Tio,J ~ Gc '1.~) i \' -' l'>le ~ I \f E~c () r tJu ~.' loot, d'~'~ .~ I CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 ELECTRICAL PERMIT Issued: 10/02/98 Permit No: 6449 \ \ CONTRACTOR-----------------------------DESIGNER---------~----------------------- I STRAITS ELECTRIC I P.O. BOX 2914 PORT ANGELES, WA 98362 r 360/452-9104 I OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ CORNERHOUSE RESTAURANT 101 FRONT E 101 E. FRONT Lot: Port Angeles, WA 98362 Block: 360/000-0000 Sub: T: S: Parc No: Long Legal:' , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o Overhead Service o underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- REWIRE BAR/DANCE AREA PROJECT FEES ASSESSMENT--------------------------------------------------------- Eervice: $0.00 Additional Feeders: $0.00 Circuit Wiring: $54.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $54.00 $54.00 --------------------------------- ------------~-------------------- TOTAL FEE: $54.00 Balance Due: $0.00 Cm.1MENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DAn; ACCIll'TED COMMENTS YES I NO UUl-tl KUUUH-lN TCOVEK 1/6JltP7Ia~1 GENERAL COMMENTS: P\V.l 102.15 14I96l _:::-i cL uf~~ ~~ f1"~*~ 7~. . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 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 ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai I s/Descri pt ion: . PERMIT NO. 3..3tfZ- /0 -,:;z.J'-<t/ DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. FL ~ Overhead o Underground Voltage o 10 030 Service size o Temporary Amps 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 ~ Final O.K. o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Installer: - Permit/Receipt No. 3::JYZ New Meters Date: Ie; ~-'H Notify the De rlment 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. .Qf)tP.$2 . ~~ Inspector WHITE - file by address YELLOW - file by number NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT I. PERMIT NO. 1'1 0 2- DATE /1- 17 -87 Site Address: f. . F-'< 0 tJ T r fj- 'fllC VfUJVt. D READY FOR D WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 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 o Overhead o Underground Voltage 01003.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai Is/Description: %1> ~M i C I-\..4-IJ G {.. (( 'Lc..-pT f .ll\kl: (Ja ~'I..-h' ~ /0 <;7'f1--b [ A.i 'i..A ' I..J 'If I'VLluJ '\ Nl.. \A) . . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. -B-Vllcn Insp.,Gliofl O.K. -Id-Rettgh-iflIeeVef-G~~ /J~o O.K. to Q()RROe;1 ~"'V;C-C \ IH"~O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: ({) ( Installer: fi tL New Meters ~ PermitfReceipt No. 1- () l--- Date: ;) 1(-/7 -J 7 . Notify the Depa ment 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 InsPfltor in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. A, . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / b ~ Inspector r Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. F.{{.rL NUMBER CITY OF.PORT ~NGELE.s DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL.PERMIT A ?? <f/ PERMIT NUMBER Owner Owner's Address ~a. q; . TOTAL FEE eA~. . Sile Address TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT , . 'or.,; c. 'j< Day Phone Application is hereby made for P!'lrmit to install EI~ctrical EquJpment as follows: L'" ~Jf.../ --<I ~ ~ Jl(1'~YI AJ ~ I ~~~-- .~L<,.~-q?, <12 ~16^-) ~ (7 ~ rt:ft' f; . Wiring Method(j:l f) I r . NUMBER AMP 120V 240V NUMBER AMP 120V .240V USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 10QR FEE CIR 30 CIR 30 LIGHT SIGN '< ...-. . '" 'l<!' LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE . . MOTOR Ap'PlIANCE MOTOR OISHWASHE~ FIRE ALARMS . DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE . SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE E~ECTRIC HEAT TOTAL FEE .'7../':.. . <H' ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C, UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. - I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed U)~iS permit will be done by ihe installer :~;z<m b:ith~~::1 C~de. j()7 U ,]- Dale Application made ,19 B' ~ - l . CONTRACTOR OR OWNER (OR AUTHORIZED AGEtiJ! . Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. BY'" . ".-- . ."DIRECTOj;%fITY LIGHT ; PLANS~Lc~ ~ '",1:' Notify Department of City Light by St~eet Address and P~rmit Number when ;eady for inspection. W~rk must not be covered or current turned o.n before inspection and O.K. for covering or service h'as been given by Inspector in Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD _ Inspector's Report OLYMPIC PRINTERS, INC. DATE OF VISIT G! /'1..,01. --. .- \ MADE BY . leV " REPORT OF INSPECTOR REMARKS <:!111 ft..P 00 tJ t> V (1- VJ l -t:it ^-J ~12.M.U""fI.--~fVJ ,.... ......u~G B.H.l........6..UE9T Sf".rIBE !IIMlIrtl.O.K. . :5 J nP . z c:J II: c( ~ !!! %: I- Z fe I- o Z o C . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17548 . 6" - 5~- J" / Port Angeles, Washlngtonn........uumm....un...mm.m...m.......umm. 19.'000.00 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 ffectriCal, work as listed below. Address ._/r2./T?7..C.;J..?..;;~.~.;-~2..~---=rn..~nmn..oo Occupancy..,..aoo.e~ooonmn.oo.....moom.. Owner I' 7f'7./:t.-.f?...~~m.!.~k!t.~,~~.<!.~.~-d Tenant.....ooom...oo....._m...m._..m.ooooonm...n..ooooo.mn...n Wiring ~~~~altor oo~."'.~~""ooo.~"'.~"'2::..~.."..m. By.oooo.ooooooom....n..oomoooooo.m..oooooo.oonooo.oo....ooo.oooo /'~ CI /.;>O./,,;}t'O Service, volts __..___fC__..__........................ , 3 / No. wires .........__..._.._________............. Y/b Size wlres..........._____.._______.........._.. -:.;'" ~ -1Z Main fuse ..............._________............... ..s Enclosure __._.____........._......__.....___.... Type of. wlrlng~ Entrance Cable .......m...mmm....... Light Outlets....._.____..........__._.........._..... Receptacle Outlets_____.__......__m__n_....... Dryer, KW..n......._.___............__...n____._. Range, KW un.........__..__.________. Water Heater: KW.______n____________________....r....___....._. He," Kw......3..q.!f;,.!....,.g~'k Motors: size, volts and phase: Rigid Conduit .....__m___ m........._.... MetalUc Tubing ..__m ................... Current transformers: No. & Size............___..........._..____.____. Ser. No............----_______...______.._........... Ser. No....--________................................ Ser. No........................-..-.............----.. Type of Wiring: Armored Cable .............m.............. Non-Metallic ........._._..................._. Knob & Tubemm__.........m_m__......_ RIgid Conduit ...................h.......... MetalIlc Tubing h.................h...... Raceway ......._________...............__..._ Circuits, Light....._._.____.__.................._.... Utility............................................. I-Ieat .______...........................u..._...... Range ....._._____.__.__..............____......... Water Heater ____mm..................... Motor ____..........._____._................._.... Dryer _.________................___.................__ Furnace .__...........u.........__......_......_.__. Total wad____..__.....__.________..... Ser. No.___..:____................................... Total .....--.----..------..--..............- - " '--e a Remarks: n.<.~~kooooooo..~:~s,,~"..n..!:::0..ooo.ooooomooL:-:!.--5.:::...;q:::~oof?::'~~m:::_I.!.00000......000....000 .nm...m.m.....oo.oooooo~oooooooooooooooooooooonoooooooo....oo..noo!ooooooooooo.ooom~.:n~oonmoooooo..............ooooo......ooooo~ooooo.....oo.oom.oooooooo .:i.=.~~oo~:~_oo.......~_~~.~..~~.~..._.~mmn.::~.::..~.~.~~~~:.~~:.....m...n...m...::~~~~;;!i=..:;~~~:.:::_ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work fs to be COD- 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~ 1 7 5 4 8 Address.....-.....,..............._............._.__._.................__........................_..._______.._.....___._...._..........._______.....Date..._....._____.._.._......_______...._......_......... ,-' ::i:~~~;~~.~~~~::::i::::::::~::::::~::~::::::~::::::~::~::::::::T::::::.::::::::::::.:.::.::::::::::::::::::..~~~.a.~t.:~:.::::~:::::::..:.:::::::::::::::::::::::::::::::::::::::::: V ~.~ ~- { ! , NOTICE;-Current ,must riot. 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 inapected befo're concealment. ..' . ~., 1M Olympic Printers, Inc. ''-..... FROM : HI-TECH ELECTRONICS DB-l~78 o ElcLt['i\."~l CUlltL-:U';lIH' Cl O..ml:r ,,,.~"'c.~. ~ \~.: - ~.>~ .............. ~1E'e EU"'~560 Oct. 30 2008 12:02PM P1 l.k.1~ECTH.I(:"'.L WORK.PEltlVifr Af'1'1.1CATfON OCT 3 0 ""'" . .. . . "WI'$iCq uC!st 11lSpL'CiW II o :\.n.u<l,ll l'..:fluir C1._4...Lurlll 0 C:arui'lal I)..Collmlt~rd )~/b h';/'I:.1 by 1?:1~::,-;.:j'.:.1 .;:,l';\l~llCLOr numc t-l-\ "f"~':\'H Sec,.,"",'ty PI.!..r.:h~~I.~') n..1iling add"e~s 32'3 ~~ Ci:\" ~c~~_.._Ar--'c. f..\<ec,. Telepil,1rl':: ~lunlbt:r 3(;.f>"'LUi:2- 2?-27- PrCllli)i,:s ""wncr's nun!! _C.,!?~'<:.e.-l-'><!h.>>F AdiIrC:11> u( i.l1specc.iQll I 0 \ q,..-r - cu\ -t>~, h\l lJ lll;:slaelllh.ll\l"in[, 0 Sigl\~ 0 TL.C~.lWJSL;U CJ 1i:1I.'';:''.I"I. lnMilllMion I.h:::c, iplion o c:j::) \ o El~l:Crical COlllnlctlll' 0 Owo.er License l1u.lUb<i:1 :r:>-IC- t-l-I~E....-r-s.. 9S~BS. F'"e.C>o.)-r s.r- . _r.....s.~"""1.. t,.. (., ~'""RI.)'i:..\ \\~Q. ..~~eA- S j ~T€~ ~ \}l --J ~ ShHe ZIP ~A.. 'tf?:3'Z. FAX nUlnhl!J :%o~4'52-e5""'O RCST~~"-- i="F>-~ ~~e1=s>. <tS"2 - %92- o Cash 0 Check iI ...~ t="\\L I hc::reb:'," ..::ercify that r am the owner of the: above: nA.tllM prapc:.r[y or a licensed d.;:..-....'i.;~l ~ullO:a.:tOt (O!' the linn's auchorad agent) I\nd am mak.in.g the clc:ctl.'ical ios~ib.tiJn lIf ahcr.ttion in ccmpli:mcc with the elecu'ie:a.t law, Chapter 19.28 RCW. o Credit C:afd Card # VlSl. Mastercard DiSCQ,<,er Slgn;l~"l.t of oWDer, el , X~ (~;~~: ~ WALLS i 1 (Tb'tc8Y c",;~ ....pp(..v~d B~ Cover ~hle ."PpIOy,;.Jfly . --........-. ...". ExpirationDaLc of card CEIlING ~lion Only o~\~ Appnm,d D)' Cover TllERlI'1OSr..u:-) OMlC MJ.lrOYCdF) ( DUCH ~~()y.wB't ....PPI'IloHoily SERVICE Dill'; ^~ph)\"~d By FEEDER O~\.. Appr..ycJlJ)' O~l~ .E.1llid.n.~.LLoad Additions and ot subtractions Q NO LOAD CHANGES Q c.tl.5CliJOiird KW o Fllll)!aCc KW (J He.:il PUITlfJ Ton LAA o F&.Ii-\'Vall KW Service Information Voltage Phase 0 1 0 3 Service Size; _ Feeder Size: Q Overhead Service o Temp Service o Underground Service 1f',~:J<.1,;-non Area. Building t), Equipml'!!nt Inspected Acrion Ts/.'ell l::lcmical D;:t.. Jl\~pcl;\or JI} 10 f bE) 1-F1 NA-L-- Ft7..J ~ - - .-- - - I ~".~ --.-....- ..,~-~ - .--.-.... -~..~._- , I I Ma~ 08 02 10:52a _ Bobb~ O. Coleman 360-452-7594 p.l :~< "_,"'0" ,.0','""''' PUR' ,"GoLES ~f j~ l ~ j~:;;:.J,"' (jcop~_:::-^:-:":: Plea_ tJp. Of ,..p.lnt in ink. "you h2ft any qUestioM. plUM d1\ (~) 417- .735 Faa; number. (360) 417"711 ? '_ ~EQUEST INSPECTION 0 Own""'E1ec.Con1r"""rihA~ah'~''- 8A:~ :l1ono ..;1-7\7'-1 FlOC s/1 Prop...."""" f't:--N- ~ ./?-,;v,~~ Phone ,-- ........ Jt!)/ [~ .s/;:!,fi/'1< j. C,,,. " tiy'/ ''P qY~Q. Elec1IIcalCon>3GlOr: e~~-f"""-- ~pb-rb Ucense' Exp -4 ~l./ 7 ('14-- r; Ii 5;12- L.el /~ of/-- City. j?; ..1 ~\.)/ 7~4' Vc~ Add'esS: ........ '>-L .---r-'f'I""( / - fOl.OfJ'lCJAl USfONJ..,Y - ...... _A~__ _ ~ 7(0,/5 Credit Card Holder Name' &-71 )l!1LECTRICAl COtlTRACToR Fild lNSTI'LLATION WIRED 8V: DOWNER 811Ung Address' City: Zip: C,afil CanI Number' Exp. Date: VlSA,--- MC:-- PRO JECT ADORESS- / {i/ ff F:e:t:,.,j m<Ol'-: Check il!! that apply: 0 New o Alteration/Addition o A esidential 0 Mu"~lamily '):t- Commerdal 0 Mob~e ttome Sq. Ft Re note Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump NU!t.ber 01 Circui/S added or altered: :3 o Low Vollage 0 Telecom, 0 Sign DE!;CRlPTJON DF lltE ELECTRICAL PROoIECT: ~ KL) F V .L.....,.....~ . ~.- j-;; A. /./",,#- --/, J9<ldrlcal Heat Load Addlllons PERMIT FEE: 0 Servlc.lrii~nnat",n~. Ofl,aseboard ~ KW / '" ~Iagf<' . o Fumace ~ \,1;\ \, DOv_servtc:e (Phase: 01 03 o Heat Pump .;:;;. TON~ LRA' 0 Temp Sel1lice Sel1lice Size' o Fan--Wall _KW / 0 Undefground Service Feeder Size: '__"""'" ""'" ..."....... _...._""" _ \.. _ "".m authorized to apply for this permit, t understand it Is not/he City's legal responsibility /0 de/ermine what p9l71lils are required; it remains the applicants responsibility to determine what permits are required and 10 obtain such. # ~/7~/ Credit Card Holder's Signature: I~~ / Date: .5"- .5'>0"'7.....- Own.. 0' Elec. Cont. Signatu,.: CJELECTRICALPERMITAPPlICA liON Date; /1 2,60,1}- ~ ~ ii 'I l1a::t'108 , 02 10:52a Bobb::t 0, Coleman 360-452-75S4 p.l : 3aC4 1"'" 11 , , i I ! I I I I I I ! I i I :, I <1-11-0'- ,:2g,'_~_,':Cll'i PU~1 t\N$E'-E~ ELECTRICAl PERMIT APPLICATION The fledJk;al Permit AppneatIon must be tlllDd oat r:~el". Pfeag IJpe:or ,.p.lnt In ink. 1t yau h.."a sny quntioM. pluM calt(J60) 417- 4735 ., I Fa number. (360) 4""711 REQUEST INSPECTION 0 cJn..... Elec.Conlnl_ _ rfh.d'Y(c1A PAr:k PIlon. .:;z -70 <f Faxo Sit! i:.~ /C)Y~4.i-3~ ~=A~~~,/ I //" ~{ "l' - . ~ Et8ctrteaICon113CD": (. ~'t-ri2--f!J'!f-' r"'-Pb-rJ:.~ .J-., 5:;1'2- eel /6" f-l-. " ;I INSTALLAT,ONWJRE08Y: o OWNER " c~ Carll HDlder Name' II BlIIiTlfl Address' II '; E>q>. Oats: II PROJEGT ADORI;SS' II TYPE OF WORK: Check!!!! that apply: 0 New II . '1'il o Residential 0 Mun~family r- Commercial 0 MobUs Home Sq. FI II Remote Meier 0 Oetached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump ~L.ber of Cin:uiIs added Of altered: S d~SCRlPTlON OF lHE ELECTRICAL PftO,IECT: ja~~ :; ~edric:al_ Load Addllon!l ~C1~O~"_O'L ......... /10 ':1..5- o-A~_ Phone: c P:~C: ~ 7ip: ,/,- ~ '" --- Phone' Exp: Ucense ~ ..f ZIp: CIty. CJ-71 )l:!1lECTRICAL COI'lTRACToR r;/o City: Zip: V1SA~ MC,-- / vI .t7 F~{) .,.11 o Alteration/Addition o Low Voltage 0 Telecom. 0 Sign _ 5- 1::; ~. /.l,-,;!- ~Ki:} F tJ.'t..~"'''''''''- PERMIT FEE: 63,';?O Service Infonnatlon I fO Voltage: It D l. Phase: ty( 0 3 SeMce Size: & 00 Feeder Size: _KW ~ (p'1 ;;:.. TON-L-lRA _KW L__ DTempSelviCa o Underground Servk:e d BaseboaJd d Fumaee q Heat Pump o Fa"..Wall " il li~erebY certify /hall have read and examined this application and know thai same 10 be true and co,rect, and I am authorized to apply for this permit, / understand it Is not lhe City's /&gal tesponSlbility 10 determine what permits ~re required; it remains the applicants responsibility to de/ermine what permits are required and to obtain such. C.o*CW.-.,_ 61~ Date: .s--. >' -c/2-- Owner 0' Elee. Cant. Signature: ,:IELECTRICALPERM'TAPPL'CA TlON Dale: